July 9  2015, Thursday
eMedinewS
editorial
A glass of milk can prevent diabetes
Dr KK AggarwalA large intake of high–fat dairy products reduces risk of diabetes. Low–fat dairy products do not appear to show the same effect, reports a new study.

Specifically, people who consume a large amount (over 8 portions per day in this study) of high-fat dairy products have a 23% lower risk of developing type 2 diabetes than those who consume lower levels (1 or fewer portions per day).

Previous studies have indicated that replacing saturated with unsaturated fats helps to prevent type 2 diabetes and for this reason plant sources of fat are considered preferable to animal. High intakes of red meat and meat products are known to be positively associated with diabetes risk.

The latest results were presented by epidemiologist Ulrika Ericson, PhD, from Lund University Diabetes Center, Malmö, Sweden, at the European Association for the Study of Diabetes 2014 Meeting.

Molecules with odd numbers of carbon atoms (15 and 17), which are found in dairy products such as yogurt, cheese, and milk, appeared to have a protective effect.

Even–chain saturated fatty acids, as found in alcohol or margarine, are associated with a greater risk for type 2 diabetes.
IMA,IJCP,HCFI
eMedipics IMA,IJCP,HCFI
As a part of a first of its kind initiative, Heart Care Foundation of India, a leading National non-profit organization trained over 8000 Delhi Police PCR van staff in the life-saving technique of hands-only CPR-10.
IMA,IJCP,HCFI
TRENDO 2015
The 3rd Annual meeting of the Endocrine Society of Tamil Nadu and Puducherry will be held in Kodaikanal on 11th and 12th of July 2015. TRENDO 2015 is proposed to address latest updates, emerging concepts, clinical applications and controversies in diabetes, thyroid disorders, gonadal problems, pituitary disorders, metabolic bone disease and adrenal diseases.
News
  • Deficits in cognitive function can be present up to 18 years before the development of clinically evident Alzheimer's disease (AD), suggests a new study published online in Neurology.
  • Most patients treated with spinal cord stimulation (SCS) for painful diabetic peripheral neuropathy maintain effective pain relief in the long-term, suggests new research published online in Diabetes Care.
  • Aspirin may inhibit the growth of mesothelioma, an aggressive and deadly asbestos-related cancer, suggests new research published in Cell Death and Disease.
  • New research, published in Science, has identified an interaction between the Dengue virus's RNA and proteins within the host that allows the virus to bypass the host's immune response, making it easier for the virus to invade. The research explains the mechanisms that the virus has developed to optimize its ability to cause outbreaks as it travels across the globe.
  • The American Association for the Study of Liver Diseases, along with other societies, has updated guidelines for the treatment of hepatitis C viral infection (HCV), including the use of direct-acting antiviral drugs. The new guidance was published online June 25 in Hepatology.
Top News from ADA 2015
Results from two major cardiovascular safety trials of type 2 diabetes drugs headlined the American Diabetes Association (ADA) 2015 Scientific Sessions, held June 5–9 in Boston, Massachusetts. The meeting was a special 75th anniversary celebration of the establishment of ADA. (Medscape)
Cardiology eMedinewS
  • People with ischemic heart disease have lower bone-mineral density (BMD) of the wrist, suggested a recent study using a new scanning technology that shows a link between cardiovascular disease and bone loss. The study was published in the July issue of Osteoporosis International.
  • The US Food and Drug Administration (FDA) has approved the combination tablet valsartan/sacubitril for the treatment of patients with heart failure.
Pediatrics eMedinewS
  • Low maternal thyroid hormone levels in early pregnancy are associated with increased symptoms of attention-deficit/hyperactivity disorder (ADHD) in children, suggest the results from the Generation R study published online July 6 in JAMA Pediatrics.
  • Infants who have cataract surgery and posterior intraocular lens (IOL) implantation at 7 to 22 months of age have fewer adverse events than younger children, with favorable vision outcomes, reported a new review published online in JAMA Ophthalmology.
Dr KK Spiritual Blog
Positive Attitudes

All those out there who feel you are at your wits end wondering how things don’t ever work out for you, can now relax and dwell on all those failures that life has taken you through and turn failure into success.
  1. Failure doesn’t mean you are a failure. But it does mean you haven’t succeeded yet.
  2. Failure doesn’t mean you have accomplished nothing. It does mean you have learned something.
  3. Failure doesn’t mean you have been foolish. It does mean you had a lot of faith.
  4. Failure doesn’t mean you’ve been discouraged. It does mean you were willing to try.
  5. Failure doesn’t mean you don’t to do. It does mean you have to do it in a different way.
  6. Failure doesn’t mean you are inferior. It does mean you are not perfect.
  7. Failure doesn’t mean you have wasted your life. It does mean you have a reason to start afresh.
  8. Failure doesn’t mean you should give up. It does mean you must try harder.
  9. Failure doesn’t mean you’ll never make it. It does mean it will take a little longer.
  10. Failure doesn’t mean God has abandoned you. It does mean God has a better idea.
Events
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Make Sure
Situation: A patient with pseudomonas meningitis was not responding.

Reaction: Oh my God! Why was aminoglycoside not added?

Lesson: Make sure that when pseudomonas meningitis is suspected, combination therapy with two antibiotics from different classes to which the isolate is susceptible are given and one antibiotic is an aminoglycoside, unless the use is prohibited by nephrotoxicity. The therapy should continue for at least 21 days. Clearance of the organism should be confirmed by repeat CSF analysis and culture.
Dr Good Dr Bad
Situation: An 80–year–old male patient with acute heart attack was posted for reperfusion therapy.

Dr Bad: Chew 300 mg aspirin.

Dr Good: Chew 300 mg aspirin and 75 mg clopidogrel.

Lesson: Start clopidogrel 75 mg as opposed to prasugrel for patients older than 75 years who are treated with fibrinolytic therapy.

(Copyright IJCP)
eMedi Quiz
In postoperative intensive care unit, five patients developed postoperative wound infection on the same day. The best method to prevent cross infection occurring in other patients in the same ward is to:

1. Give antibiotics to all other patients in the ward.
2. Fumigate the ward.
3. Disinfect the ward with sodium hypochlorite.
4. Practice proper hand washing.

Yesterday’s Mind Teaser: Heat labile instruments for use in surgical procedures can be best sterilized by:

1. Absolute alcohol.
2. Ultra violet rays.
3. Cholorine releasing compounds.
4. Ethylene oxide gas.

Answer for yesterday’s Mind Teaser: 4. Ethylene oxide gas.

Correct Answers received from: Dr Jainendra Upadhyay, Dr K Raju, Dr Poonam Chablani, Daivadheenam Jella, Prakash Patankar, Dr Nikhil Mohanty.

Answer for 7th July Mind Teaser: 4. Bronchogenic carcinoma.

Correct Answers received: Dr Jainendra Upadhyay, Dr Bitaan Sen & Dr Jayashree Sen, Dr Poonam Chablani, Dr Avtar Krishan, Dr Sushma Chawla.
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eMedinewS Humor
Organized Crime

No matter how much the government fights it, organized crime just seems to get more organized every day. The police pulled in a Mob kingpin recently and reminded him he had the right to make a phone call.

"Just fax the arrest report to my lawyer," the mobster said calmly.
Rabies News (Dr A K Gupta)
Can rabies vaccine be given to a pregnant woman?

Following animal bite, rabies vaccine can be given to a pregnant woman. Medical termination of pregnancy should not be done as a routine clinical practice.
IJCP Book of Medical Records
IJCP’s ejournals
CPR 10
Total CPR since 1st November 2012 – 101090 trained
Video of the Day
Sameer Malik Heart Care Foundation Fund
The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number or by filling the online form.

Madan Singh, SM Heart Care Foundation Fund, Post CAG

Kishan, SM Heart Care Foundation Fund, Post CHD Repair

Deepak, SM Heart Care Foundation Fund, CHD TOF
Press Release
300 Police PCR staff trained in CPR 10

During 40 days training programme on CPR 10 being organized for Delhi Police PCR men staff, 275 persons were trained today. The training is being organized by Heart Care Foundation of India jointly with Indian Medical Association, Delhi Red Cross Society and Delhi Police.

During the training Padma Shri Awardee Dr K K Aggarwal, President, Heart Care Foundation of India and Hony. Secretary General, IMA said “brain does not die in the first 10 minutes of death. During these 10 minutes if one compresses the centre of chest of the victim with a speed of 100 per minute, one can revive the person.

Dr Aggarwal said that what Police is being trained should also be known to every person specially those who are directly or indirectly associated with any health care centre faculty.

In Delhi only PCR can recall within 10 minutes of death. CPR should be done only if a person is not breathing.

Large number of deaths occurs when a person is being transported to the nearest hospital. Such patients can be revived if a bystander performs chest compression on the victim whose heart has stopped beating.

Dr. Aggarwal said that for becoming a CPR first responder, one does not need any certificate or degree.
eIMA News
Digital IMA Inauguration: Sunday 26th July
Dear Colleague,

Digital IMA Inauguration: Sunday 26th July

Multi location CME and live webcast on IMA website

Program Schedule: 11-12 Noon

11-11.30 AM: Interaction with National President and HSG (Dr Marthanda Pillai and Dr KK Aggarwal)

11.30-11.50 AM: Lecture by Dr Banshi Saboo, Diabetologist, Scientific Committee Chair - Diabetes Education Program (DEP), Congress Chairman: Diabetes India, Hon. Secretary: AIAARO (Indian Obesity Society)

11.50-12 Noon: Conclusion

CME Grant: USV

Locations:
State
City Name
Address
Andhra Pradesh
Hyderabad
EB Section 1st Floor, TE Madhapur
Assam
Guwahati
CTO building, Ground Floor, PAN Bazaar, Guwahati.
Bihar
Patna
Room adjacent to media centre room, ground floor,
O/o CGM, BSNL Bihar Telecom Circle, Sanchar Sadan, CTO building, Near GPO, Patna – 800001
Chandigarh
Chandigarh
Grond Floor Adjoining CSC, Sector -17, Chandigarh
Chandigarh
Raipur
Room no.F-207, 1st Floor, Telephone Bhavan, Fafadih, Raipur
Gujarat
Ahmedabad
Ground Floor, Central Repair Shop, Navrangpura, TE, Navrangpura
Gujarat
Surat
Ground Floor, Karimabad, Admin Building, Ghod Road
Gujarat
Vadodara
Alkapuri TE Building, Ground Floor, BB Helpdesk room, Near Race Course Circle, Vadodara
Gujarat
Gandhinagar
TE Building, Sector-11, 1st Floor, CRS room, Gandhinagar
Haryana
Gurgaon
1st Floor Room, Sector 44, Plot No.42, CSC BSNL Gurgaon
Karnataka
Bangalore
CTO Building, Ground floor, Adjacent to CSC
Madhya Pradesh
Indore
BSNL Bldg No.3, 1st Floor, Nehru Park, Indore
Madhya Pradesh
Bhopal
CTO BSNL Building, New market, TT Nagar, Bhopal
Madhya Pradesh
Pune
Ground Floor, CSC, TE Building, Model Colony
Madhya Pradesh
Nagpur
Room no. 64 SFMS, Ground Floor, CTO Bldg, Civil Lines
Madhya Pradesh
Nashik
SDELC, 1st Floor, Canada Corner, BSNL Nasik
Orissa
Bhubaneswar
1st Floor, CTO building, CSC, PMG Square, Bhubaneshwar
Orissa
Cuttack
CTO Building BSNL Cuttack
Punjab
Ludhiana
1st Floor, Dugri Urban Estate, BSNL Ludhiana
Rajasthan
Jaipur
1st floor, CTO Building, MI road, BSNL, Jaipur
Rajasthan
Kota
Ground Floor, E-10B, BSNL Building, Road no.2, Indraprastha Area, Kota
Telangana
Hyderabad
EB Section 1st Floor, TE Madhapur
Uttar Pradesh
Lucknow
TE Kaiser Bagh, Lucknow
Uttar Pradesh
Agra
108, 1st floor, BSNL Admin building, Sanjay Place

Yours sincerely

Dr A Marthanda Pillai                              Dr K K Aggarwal
NEWS
  • The "2015 AHA/ASA Focused Update of the 2013 Guidelines for the Early Management of Patients with Acute Ischemic Stroke Regarding Endovascular Treatment" are published online June 29 in Stroke. T he guidelines specifically recommend that stent retrievers should be used if possible for the endovascular treatment.
  • A from The Netherlands has shown that in patients with symptomatic osteoarthritis of the hand, 24 weeks of treatment with hydroxychloroquine did not ease pain or improve function, new research shows
  • Most patients who present to emergency departments (EDs) with suspected urolithiasis do not receive the recommended low-dose computed tomography (CT) techniques, according to data from the STONE study. The median effective radiation dose was 11 mSv, nearly triple the <4 mSv used in low-dose techniques.
  • In the US and other Western countries, obesity and atrial fibrillation are increasing in tandem. Ample evidence exists to associate the two diseases.
  • A new study examining the effects of statin therapy on levels of aggression suggests that men and women may respond differently to the lipid-lowering medications (Medscape)
  • Presenting their data here at the 17th World Congress on Gastrointestinal Cancer (WCGC), the researchers say that a panel of eight genetic markers, derived from a simple comparison of case patients and control individuals, can identify patients at risk for colorectal cancer with a high sensitivity and specificity. (Medscape)
  • In an analysis of data from the Atherosclerosis Risk in Communities (ARIC) study, having lesions smaller than 3 mm was associated with a significantly increased risk of stroke compared with lesion-free scans (HR 3.47, 95% CI 1.86-6.49), Thomas Mosley, PhD, of the University of Mississippi Medical Center, and colleagues reported in the Annals of Internal Medicine. (Medpage)
  • In a shocking incident of medical negligence in national capital, a one-year-old baby lost her life after being refused treatment in two government hospitals in Delhi while the third made the parents of baby wait for the treatment until the child died. (Focus News)
  • Seven senior citizens from K.R. Pet taluk in the district, who underwent operations at a private hospital in Mysuru in April, have levelled allegations of medical negligence against the hospital that caused them to partially lose vision in their right eye. Bhagwan Mahaveer Eye Hospital near Siddalingapur in Mysuru had organised an eye camp on March 31, and a surgery camp on the next day. A good number of people, a majority of them farmers, attended the camps (The Hindu)
Heart attack: 8000 cops to be trained
SNS New Delhi, | 08 July, 2015

In order to save lives, which are lost in a huge number in the Capital everyday just because of lack of awareness about basic life saving techniques, Delhi Police and Indian Medical Association (IMA), have joined hands together.

The non-profit organisation will be training over 8000 Delhi Police PCR van staff in the life-saving technique of hands only CPR-10. The 40-day long training camp is being organised by the NGO in association with the IMA, Delhi State Branch of Indian Red Cross Society & Delhi Police.

As part of the programme, Dr KK Aggarwal, president of IMA and his team at the Heart Care Foundation of India trained over 250 police offers at the IMA Hall on Tuesday. The project will be completed by 15th August 2015. Delhi, a city of 22 million people, has only 152 state-run ambulances.

That's one for every 144,736 people. However, the World Health Organisation states that there should be at least one ambulance per one lakh people clearly indicating the shortage in the capital. In such cases, the first to reach most accident venues and emergency situations are the 8000 police persons who man all the PCR vans in Delhi.

Dr KK Aggarwal said, "Around 240,000 people die every year due to heart attacks in the country and we believe that 50% of them can be saved if 20% of the population learns hands only CPR. The fastest to reach an accident site or an emergency situation are the neighborhood PCR vans."

It is a known fact that 50 per cent of the people who suffer a sudden cardiac arrest can be brought back to life within 10 minutes of their death if someone performs hands only CPR on them.
Factors that increase the risk of hyperthermia may include:
  • Dehydration.
  • High blood pressure or other health conditions that require changes in diet. For example, people on salt-restricted diets may be at increased risk. However, salt pills should not be used without first consulting a doctor.
  • Heart, lung and kidney diseases, as well as any illness that causes general weakness or fever.
  • Use of multiple medications. It is important, however, to continue to take prescribed medication and discuss possible problems with a physician.
  • Reduced sweating, caused by medications such as diuretics, sedatives, tranquilizers and certain heart and blood pressure drugs.
  • Age-related changes to the skin such as poor blood circulation and inefficient sweat glands.
  • Being substantially overweight or underweight.
  • Alcohol use.
Inspirational Story
Planting Potatoes

When I was a boy growing up we had several gardens around our old house. The largest one of all was used just for growing potatoes.

I can still remember those potato planting days. The whole family helped. After my Dad had tilled the soil, my Mom, brothers, and I went to work. It was my job to drop the little seed potatoes in the rows while my Mom dropped handfuls of fertilizer beside them. My brothers then covered them all with the freshly turned earth.

For months afterward I would glance over at the garden while I played outside and wonder what was going on underneath the ground. When the harvest time came I was amazed at the huge size of the potatoes my Dad pulled out of the soil. Those little seedlings had grown into bushels and bushels of sweet sustenance. They would be turned into meal after meal of baked potatoes, mashed potatoes, fried potatoes, and my personal favorite: potatoes slowed cooked in spaghetti sauce. They would keep the entire family well fed throughout the whole year. It truly was a miracle to behold.

Thinking back on those special times makes me wonder how many other seeds I have planted in this life that have grown unseen in the hearts and minds of others. How many times has God used some little thing that I said or did to grow something beautiful? How many times has Heaven used these little seedlings to provide another’s soul with sweet sustenance?

Every single day of our lives we step out into the garden of this world. Every single day we plant seeds that can grow into something wonderful. We may never see the growth that comes from the kind words or loving acts we share but God does. I hope then that you always tend the garden around you with care. I hope that you plant only goodness, peace, and compassion in the lives of everyone you meet. I hope that every day you help miracles to grow.
Quote of the Day
It's hard to beat a person who never gives up. Babe Ruth
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Reader Response
Dear Sir, Reading emedinews is very informative and interesting. I am a regular reader of emedinews and miss it just like a morning cup of tea. Regards: Dr SP Sharma
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Wellness Blog
Cycling can cause erectile dysfunction

Age, diabetes, hypertension, obesity, high lipids, smoking, drugs, heart disease, upright cycling for more than 3 hours a week can cause erectile dysfunction in males. For those who ride bicycles for more than 3 hours a week should do so in a reclining position and not upright position.

A man is considered to have erectile dysfunction when he cannot acquire or sustain an erection of sufficient rigidity for sexual intercourse. Any man may, at one time or another during his life, experience periodic or isolated sexual failures.

The term "impotent" is reserved for those men who experience erectile failure during attempted intercourse more than 75 percent of the time. Heart disease increases the risk for later erectile dysfunction. Erectile dysfunction may be an early warning sign of future heart disease. Men with erectile dysfunction without an obvious cause (e.g., pelvic trauma), and who have no symptoms of heart disease, should be screened for heart disease prior to treatment since there are potential cardiac risks associated with sexual activity in patients with heart disease.

Eight of the 12 most commonly prescribed medications list impotence as a side effect and it is estimated that 25 percent of cases of erectile dysfunction are due to drugs.

Depression, stress, or the drugs used to treat depression can result in erectile dysfunction.

Neurologic causes of erectile dysfunction include stroke, spinal cord or back injury, multiple sclerosis, or dementia. In addition, pelvic trauma, prostate. Surgery or priapism may cause erectile dysfunction.

Bicycling, less obvious, but of increasing importance, has been the possible association of erectile dysfunction with bicycling. Anything that places prolonged pressure on the pudendal and cavernosal nerves or compromises blood flow to the penile artery can result in penile numbness and impotence.

Cycling-induced impotence, is primarily a problem of serious cyclists and has been reported to occur in Norwegian men competing in a 540 km bicycle race.

The penile numbness is attributed to the pressure on the perineal nerves whereas the erectile dysfunction is thought to be due to a decrease in oxygen pressure in the pudendal arteries.

Recreational cyclists, those who cycle for less than 3 hours per week and men who cycle in a reclining position avoid the sustained intense pressure on the penile nerve and artery and are less likely to experience sexual side effects. Continued cycling in a seated upright position can reduce the penile oxygen levels lasting 10 minutes.
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