eMedinewS21st August 2014, Thursday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and DST National Science Communication Awardee

Dr KK Aggarwal

President, Heart Care Foundation of India; Senior Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, Senior National Vice President, Indian Medical Association; Member Ethics Committee Medical Council of India, Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Limca Book of Record Holder in CPR, Chairman (Delhi Chapter) International Medical Sciences Academy (March 10–13); Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04);
For updates follow at :  www.twitter.com/DrKKAggarwal, www.facebook.com/Dr KKAggarwal

Low cholesterol linked to anxiety, depression, suicide, hemorrhagic stroke and cancers

People with very low cholesterol levels are at increased risk of developing stomach cancer, according to a study published in the International Journal of Cancer.

The study involved 2,600 residents of Hisayama, Japan, who were followed for 14 years. Gastric cancers developed in 97 subjects. After accounting for age and gender, stomach cancer rates rose significantly with descending cholesterol level. For example, among subjects with the highest cholesterol levels, the gastric cancer rate was the equivalent of 2.1 cases per 1000 persons per year; among those with the lowest cholesterol, the rate was 3.9 per 1000 persons per year.

Patients with low serum cholesterol should consider periodic gastrointestinal examination for the prevention of stomach cancer.

Low cholesterol has been earlier linked to depression, anxiety and suicide in both men and women. Another earlier report has also shown that people with cholesterol level below 180 had twice the risk of brain hemorrhage as compared to those with cholesterol levels of 230.

News Around The Globe

MEDICAL COUNCIL OF INDIA

Pocket–14, Sector–8, Phase–I, Dwarka, New Delhi–110077

This is for the information of the public at large that Indian Medical Council (Professional Conduct, Etiquettes and Ethics) Regulations, 2002 of the Medical Council of India, is required to be strictly adhered by all the Registered Medical Practitioners under the Indian Medical Council Act, 1956. Public is hereby informed that whenever they come across any unethical act or medical misconduct (commission/ cuts)/ Advertisements/ illegal abortions/ unnecessary investigation & nexus with drug companies etc.) should immediately approach and lodge a complaint with the appropriate medical council with which the Medical Practitioner.

Dr. Neera Nayyar
Secretary (I/C)
Source: The Times of India, & Dainik Jagran, 19.08.2014

  • A new research has suggested that atypical antipsychotic medications are linked with acute kidney injury (AKI) in elderly patients. Researchers noted that adults older than 64 years receiving prescriptions for quetiapine, risperidone or olanzapine had an almost a 2–fold increased risk for hospitalization for AKI within the next 90 days as compared to those who did not receive these prescriptions. The study was published in the August 19 issue of the Annals of Internal Medicine.
  • A French study has shown that patients who have used immunosuppressive thiopurines to treat inflammatory bowel disease (IBD) have a 7 times higher risk of developing a myeloid disorder. The study has been published in the August issue of Clinical Gastroenterology and Hepatology.
  • The US Food and Drug Administration (FDA) has approved eliglustat for treating adults with type 1 Gaucher disease. Eliglustat is the only first–line oral therapy for the condition.
  • Increased urinary levels of endocrine–disrupting phthalates, found in flexible plastic and some personal–care products, are associated with considerable declines in testosterone levels in both men and women as well as in children, suggested a research published online in the Journal of Clinical Endocrinology & Metabolism.
  • Low plasma adiponectin levels in patients with acute myocardial infarction (MI) are independently associated with an increased risk of subsequent diabetes, suggests a new study published online in Diabetes Care.

Rabies News (Dr A K Gupta)

What does humanizing your dog mean?

  1. Talking to your dog like he/she is a person.
  2. Treating your dog like he/she is a person.
  3. Allowing dogs to do what they want because it will hurt their "feelings."
  4. Dressing them up in little doggie clothes.

Remember, humanizing your dog is fulfilling your own human needs, not your dogs. Humanizing dogs does more harm than good.

Cardiology eMedinewS

  • During treatment with clarithromycin, but not roxithromycin, patients, especially women, exhibited an increased risk of cardiac death compared to those who received penicillin V for similar infections, suggested a population–based Danish study. There were 37 excess cardiac deaths per one million treatment courses of clarithromycin. The study was published online August 19 in the BMJ.
  • New research suggests that living in an inclusive neighborhood with helpful and friendly neighbors could possibly reduce the risk of heart attack. The study has been published online in the Journal of Epidemiology & Community Health.

Pediatrics eMedinewS

  • An article published in the August 20 issue of JAMA has stated that pediatric emergency department (ED) physicians might be relying too much on oxygen saturation readings from pulse oximetry devices while deciding whether infants with bronchiolitis are hospitalized. Researchers suggested that oxygen saturation should not be the only factor in the decision to admit or discharge and may need to be reevaluated.
  • A new study published in the August 20 issue of JAMA has shown that twice as many infants may be affected by severe combined immunodeficiency (SCID) than previously believed. Researchers suggested that population–wide newborn screening for SCID, according to the national guidelines, appears effective for altering the course of the potentially life–threatening syndrome.

Dr K K Spiritual Blog

Is the time and place of death pre–defined?

Some gurus teach that the time and place of death is predefined and some do not. I personally feel that the life and respirations are predefined and not day and time of death.

It is something like water in a sponge will become empty when every drop of water comes out but it does not matter how much time it takes to come out. It is therefore possible to postpone or prolong the fulfillment of Prarabhdha Karma and postpone death.

As per the Karma theory, unless our Prarabdha Karmas (decided at the time of death and birth) are enjoyed and fulfilled, one cannot die. But once the Prarabhdha Karmas are fulfilled, death is inevitable.

Another unanswered question is, can Prarabdha karma be modified? The fate or destiny may not change which means one may not be able to prolong the quantity of life but can definitely change the quality of life. The quality of life can be changed by modifying Agami (present Karmas).

Sanchit Karmas can be burnt with the file of knowledge about self. Prarabdha Karmas have to be experienced and Agami Karma can be neutralized by positive and negative Karmas to Zero in the present life.

The last few Prarabdha Karma experienced can thus be slowed down by the net positive result of their Agami karmas.

Wellness Blog

How to recognize cardiac arrest

Rapid recognition of cardiac arrest is the essential first step of successful CPR 10.

As per Guidelines, the lay rescuer who witnesses a person collapse or comes across an apparently unresponsive person should confirm unresponsiveness by tapping the person on the shoulder and shouting: "are you all right?"

If the person does not respond, the rescuer calls for help or ambulance and initiates excellent chest compressions.

Lay rescuers should not attempt to assess the victim’s pulse and, unless the patient has what appear to be normal respirations, should assume the patient is apneic or without respiration.

Remember even well–trained professionals can have difficulty determining if breathing is adequate or pulses are present in unresponsive adults.

After assessing responsiveness, health care providers should quickly check the patient’s pulse.

While doing so, it is reasonable to visually assess the patient’s respirations.

It is appropriate to assume the patient is in cardiac arrest if there is no breathing or abnormal breathing (gasping) or if a pulse cannot be readily palpated within 10 seconds.

The key point is not to delay CPR.

Inspirational Story

Learn and Earn

Chuan and Jing joined a wholesale company together just after graduation. Both worked very hard.

After several years, the boss promoted Jing to sales executive but Chuan remained a sales rep. One day Chuan could not take it anymore, tender resignation to the boss and complained the boss did not value hard working staff, but only promoted those who flattered him.

The boss knew that Chuan worked very hard for the years, but in order to help Chuan realise the difference between him and Jing, the boss asked Chuan to do the following. Go and find out anyone selling water melon in the market? Chuan returned and said yes. The boss asked how much per kg? Chuan went back to the market to ask and returned to inform boss the $12 per kg.

Boss told Chuan, I will ask Jing the same question? Jing went, returned and said, boss, only one person selling water melon. $12 per kg, $100 for 10 kg, he has inventory of 340 melons. On the table 58 melons, every melon weighs about 15 kg, bought from the South two days ago, they are fresh and red, good quality.

Chuan was very impressed and realised the difference between himself and Jing. He decided not to resign but to learn from Jing.

My dear friends, a more successful person is more observant, think more and understand in depth. For the same matter, a more successful person sees several years ahead, while you see only tomorrow. The difference between a year and a day is 365 times, how could you win?

Think! how far have you seen ahead in your life? How thoughtful in depth are you?

ePress Release

Blood sugar goals

Correction and prevention of low blood sugar is beneficial to hospitalized patients, Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association.

For most non–critically ill hospitalized patients with diabetes, one should have a target blood sugar of <180 mg/dL. In non–critically ill hospitalized patients, lower blood glucose levels may decrease the risk of poor clinical outcomes, but also increase the risk of hypoglycemia. A reasonable sugar goal to avoid low blood sugar is to achieve fasting blood glucose concentrations not less than 90 to 100 mg/dL.

Preventing a Peptic Ulcer

An ulcer is a breakdown in the lining of the stomach or the first part of the small intestine. A type of bacterial infection is the most frequent cause, but lifestyle factors may also raise the risk said Dr Aggarwal.

One may follow these preventive steps that may ward off a peptic ulcer:

  1. Limit alcohol to no more than two drinks daily.
  2. Stop smoking or chewing tobacco.
  3. If you need to take painkillers, avoid anti–inflammatory drugs (NSAIDs) such as naproxen, ibuprofen or aspirin.
  4. Consider, with your doctor’s approval, paracetamol instead.

eMedi Quiz

The Vitamin A supplement administered in Prevention of nutritional blindness in children programme" contain:

1. 25,000 i.u./ml.
2. 1 lakh i.u./m.l.
3. 3 lakh i.u./m.l.
4. 5 lakh i.u./m.l.

Yesterday’s Mind Teaser: For the calculation of positive predictive value of a screening test, the denominator is comprised of:

1. True positives + False negatives.
2. False positives + True negatives.
3. True positives + False positives.
4. True positives + True negatives.

Answer for yesterday’s Mind Teaser: 3. True positives + False positives.

Correct answers received from: Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Smriti Aggarwal, Dr Avtar Krishan, Dr Bitaan Sen & Dr Jayashree Sen, Deepak Ambli.

Answer for 20th August Mind Teaser: 4. Agreement between two observations.

Correct answers received from: Smriti Aggarwal, Dr Jainendra Upadhyay, Dr Avtar Krishan.

Send your answer to ijcp12@gmail.com

Self-Assessment-Quiz

 

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Zee News – Health Wealth Shows

Alcohol
Cancer Prevention
Depression
Paralysis
Pneumonia
Potbelly Obesity
Sudden Cardiac Death
Safe Drugs
Safe Holi
Vitamin D
Vitiligo
Fluid Intake

 

Total CPR since 1st November 2012 – 96458 trained

cpr10 Mantra The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."

CPR 10 Success Stories

Ms Geetanjali, SD Public School
Success story Ms Sudha Malik
BVN School girl Harshita
Elderly man saved by Anuja

CPR 10 Videos

cpr 10 mantra
VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

emedipicstoday emedipics

Health Check Up and CPR 10 Camp at NP Primary School Kaka Nagar on 11th August 2014

press release

Moderate coffee intake protects against stroke

video of day video of day

 

IJCP Book of Medical Records

IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records.

If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us on :

 

Make Sure

Situation: A patient on penicillin antibiotic developed a relapse of fever while still on antibiotic.
Reaction: Oh my God! Why was the antibiotic continued for so long?
Lesson: Make sure that drug fever is always excluded in such situations. Antibiotics are the most common cause of drug fever, accounting for approximately one–third of episodes. This especially applies to beta–lactams, sulfonamides and nitrofurantoin (Am J Med Sci 1987;294:275).

eMedinewS Humor

Foiled Carjacking

An elderly lady did her shopping and upon return found 4 males in her car. She dropped her shopping bags and drew her handgun, proceeding to scream at them at the top of her lungs that she "knows how to use it and will shoot if required… so get out of MY car!"

The 4 men didn’t wait around for a second invitation. They got out and ran like mad, where upon the lady proceeded to load her shopping bags into the back of the car and got into the drivers seat.

Small problem: Her key wouldn&’t fit the ignition. Her car was identical and parked four or five spaces further down.

She loaded her bags into her car and drove to the police station. The sergeant that she told the story to nearly tore himself in two with laughter and pointed to the other end of the counter where 4 pale white males were reporting a carjacking by a mad, elderly, white woman.

No charges were filed.

Quote of the Day

Most successful men have not achieved their distinction by having some new talent or opportunity presented to them. They have developed the opportunity that was at hand. Bruce Barton

Twitter of the Day

Dr KK Aggarwal: High fat diet prostate cancer prone http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Our immune system might respond vigorously to our environment. Here is An Ayurvedic Approach to Seasonal Allergies http://bit.ly/DC_Ananda

medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Sir, Thanks for the information: Regards, Dr Kanishk

Forthcoming Events

Seeking media opportunity: Dr. KK Aggarwal giving an oration on spirituality and health in Pune

Dr. KK Aggarwal is giving an oration on Spirituality and Health in Pune. His talking points would include:

  1. Health and Spirituality
  2. Modern Medicine vs Spirituality
  3. Medical Negligence and ethics a doctor must follow during his practice
  4. Reversal of heart disease

Dr. KK Aggarwal is the only doctor in the country to receive all three National awards, namely the Padma Shri, Dr.B C Roy National Award and DST National Science and Communication Award. A spiritual orator and writer, Dr. KK Aggarwal is an expert in the field of scientific healthcare communication.

A member of the Ethics Committee of the Medical Council of India, Dr. Aggarwal is also well versed with topics such as ethical guidelines every medical practitioner must follow, medical negligence, article 21 and a person’s right to universal healthcare.
If you would be interested in meeting him during his visit to Pune, an interaction can be scheduled before or after his oration.

Venue: SKN Medical College S.No. 49/1, Westerly Bypass Road, Narhe (Ambegaon), Pune – 411 041.

Date: Friday, 22nd August 2014
Oration Time: 2:00 pm onwards

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