eMedinewS24th April 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

Cough Hygiene

  1. When you cough or sneeze, you tend to expel out respiratory waste which can be droplets (larger than 5 microne) or airborne droplet less than 5 microne, both have a different implications.
  2. Droplets remain suspended in the air only for a limited period and exposure of less than 3 feet is usually required for human to human transmission of droplet born respiratory organisms. In flue this can be upto 6 feet. The examples of droplet infections are patients with meningitis, influenza, rubella (German measles) etc.
  3. No precaution needs to be taken by a person who is 6–10 feet away from the patient but if a person is sitting or working even 3–6 feet distance the non-coughing person should wear simple mask.
  4. In contrast, airborne droplet nuclei which carry respiratory secretion smaller than 5 microne can remain suspended in the air for extended period and can cause infections to people who are standing even more than 10 feet away. The example of airborne droplet nuclei infections are TB, measles, chickenpox and sars.
  5. Patients with these disease require to be placed in an isolation room and all those people who are looking after these patients must use a safe N95 mask.
  6. In normal house with windows opened, there is a constant exchange of air which prevents spread of infections but in AC setups with no air exchange, the infections can spread from one person to another.
  7. When sitting in an air conditioned atmosphere, the setting of the AC should be such that the same air is not circulated and fresh air is allowed to exchange. Split ACs, therefore, are more dangerous than the window ACs.
  8. In an office with split AC, if one of the 40 employees is suffering from any of the droplet nuclei, disease can transmit infection to others. Therefore, patients with confirmed TV, measles, chickenpox and SARS should not be allowed to work in split AC atmosphere.

Information: Dear Colleague, the Manesar workshop has been postponed till further information. Kindly take a note of it

News Around The Globe

  • A study presented at the recent American Society of Addiction Medicine (ASAM) 45th Annual Medical–Scientific Conference has revealed that smoking cigarettes, even for a short duration, may be associated with a significantly lower quality of life (QoL). Smoking was noted to be associated with lower physical, mental, and social functioning and increased depression in a review of 54 studies.
  • The International League Against Epilepsy (ILAE) has expanded the definition of epilepsy. The new definition states that epilepsy refers to a disease of the brain defined by any of the following conditions: At least 2 unprovoked (or reflex) seizures more than 24 hours apart; One unprovoked (or reflex) seizure and a probability of future seizures similar to the general recurrence risk (at least 60%) after 2 unprovoked seizures, occurring over the next 10 years; or Diagnosis of an epilepsy syndrome.
  • A new study conducted in Switzerland has stated that statin use is associated with a significant reduction in mortality after status epilepticus. The study has been published online in the European Journal of Neurology.
  • According to a new study, using intraoperative frozen–section margin analysis (FS) during lumpectomy for breast cancer has the potential to reduce the need for reoperations to a considerable extent. The study authors noted that women undergoing FS had a 30–day reoperation rate of <4% as compared to 13% for patients in a national database.

Rabies News (Dr A K Gupta)

Can rabies vaccine be given to a child with chicken pox or measles?

As rabies is 100% fatal, there is no contraindication for antirabies vaccination. Rabies vaccine can be given to a child with chicken pox or measles and it is effective. If possible administration of measles vaccine should be postponed by a fortnight after the completion of antirabies immunization.

Cardiology eMedinewS

  • In patients with type 2 diabetes and a history of or high risk for cardiovascular disease, arrhythmias occur more frequently during periods of hypoglycemia, reports a study published in May issue of Diabetes. The study authors noted that bradycardia was eight–fold higher during nocturnal hypoglycemia episodes compared to normal glucose periods and atrial ectopic activity was about four–times higher during nighttime hypoglycemia.
  • A nonrandomized, observational study has suggested that patients with unruptured arteriovenous malformations (AVMs) in the brain may have better outcomes over the long term by following a conservative strategy and avoiding interventions. The risk of death or sustained morbidity from any cause, and risk of nonfatal symptomatic stroke or death due to an AVM, associated arterial aneurysm, or intervention were lower in the patients who underwent conservative treatment.

Pediatrics eMedinewS

  • Lower prenatal vitamin D levels in mothers may be associated with an increased risk of dental caries in infants, reports a recent prospective cohort study from Canada. Nearly 23% of the 135 infants analyzed had early childhood caries. Mothers of infants with caries had lower prenatal 25OHD concentrations than mothers of caries–free children.
  • A new study published April 21 in Pediatrics states that the presence of 2 or more comorbid anxiety disorders in children with attention–deficit/hyperactivity disorder (ADHD) hampers functioning, heightens problematic behavior, and is associated with a poorer quality of life (QoL) compared with children with ADHD who have 1 or no anxiety disorders.

Dr K K Spiritual Blog

What is charity?

Some time back after retuning from a free health check-up camp, I met a Professor of Cardiology from Lucknow and started boasting that I saw 100 patients free today. He said do not get excited. Charity is a positive, but still not the absolute positive, unless it is done without any motive or done secretly. He said that you were honored on the stage; you got blessings from the patients and people talked about you in positive sense. It was an investment in the long run and not an absolute charity. When you serve never get honour on the stage by the people to whom you are serving. If you get that then it is like give and take. The purpose of life should be to help others without any expectations.

Understanding helping others

When you help others, it should not end up in harming somebody else. If you help even if it is unconditional, if you end up in promoting no.2 by superseding another senior person who deserves is not a help as the person to whom you are helping will give you one blessing but the person to whom you have harmed will give you 10 curses. Ultimately you end up with minus 8 points. Helping other means that you should give happiness to you, to the persons you have helped and also to others to whom you have not helped.

Helping always pays

The difference between American and Indian models is that Indians always think of now and do not invest in future. Americans always plans for the future. When we help somebody, we want that the same person should expect you by helping you when you are in need in a shorter run. But charity does not believe in that. Your job is to help others and negate your negative past karmas. You never know, may be decades later you get a help from a person to whom you helped decades earlier. Help should never be linked to returns.

Wellness Blog

OTC drug does not mean it can be taken without a doctor’s advice

An over–the–counter antacid is often used to relieve mild cases of heartburn or acid reflux. Though they are available without a doctor’s prescription they should be taken only under a doctor’s advice.

As per American Academy of Family Physicians

  • There are different types of antacids that work in different ways.
  • One should talk to the doctor before taking an antacid.
  • To manage an ulcer, an antacid may need to be taken in conjunction with an antibiotic.
  • If one needs more calcium to help strengthen bones, one should prefer an antacid that contains calcium carbonate.
  • In some, antacids may have minor side effects such as nausea, headache, diarrhea or constipation.
  • One should read the label carefully to make sure that one is not allergic to any of the ingredients.
  • People with kidney disease may not be able to take all types of antacids.
  • An antacid may interact with other medications.

Inspirational Story

Emotional management

When someone is doing something or is about to do something, in a way we don’t want it to be done and when we are not able to accept it, we become angry.

However, When someone is doing something or is about to do something, in a way we don’t want it to be done – and we are able to accept it – we remain tolerant.

When someone has something which we don’t have, or someone is able to produce the results which we are not able to produce – and we are not able to accept it – we become jealous.

When someone has something which we don’t have, or someone is able to produce the results which we are not able to produce and we are able to accept it – we get inspired.

Then emotional equation is quite simple.

Something + Acceptance = Positive Emotion

Something + Non Acceptance = Negative Emotion

So, it is not ‘something’ or ‘someone’ who is making us feel positive or negative, but it is our ‘acceptance’ or ‘non acceptance’ of something or someone, which is making us feel positive or negative.

It isn’t the world but the quality of our response to the world that determines the quality of our emotions. Next time we feel disturbed with a negative emotion, instead of asking who or what is disturbing us, we will examine who or what we are resisting (not accepting) that is causing this disturbance in us. We will replace resistance (non acceptance) with acceptance, and the negative emotion will turn into a positive one.

Emotional management begins by stopping to blame that ‘something’ or ‘someone’ and starting to take the responsibility to respond life with ‘acceptance’

ePress Release

Can diabetes be ward off ?

Adhering to Mediterranean diet, rich in fruits and vegetables and low in animal products, may protect one against developing type 2 diabetes 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.

The diet emphasizes olive oil, vegetables, fruits, nuts, cereals, legumes and fish, and deemphasizes meat and dairy products. It is a healthy eating plan that seems to help in the prevention of heart disease.

In the study published in the British Medical Journal, researchers tracked the diets of 13,380 Spanish university graduates with no history of diabetes. Participants filled out a 136–item food questionnaire, which measured their entire diet (including their intake of fats), their cooking methods and their use of dietary supplements. During an average of 4.4 years of follow–up, the team found that people who adhered to a Mediterranean diet had a lower risk of developing type 2 diabetes. In fact, those who stuck very closely to the diet reduced their risk by 83 percent.

Moreover, the people who tended to stick closest to the diet were those with factors that put them at the highest risk for developing diabetes, such as being older, having a family history of diabetes and being an ex–smoker. These people were expected to have a higher rate of diabetes, but when they adhered to the Mediterranean diet this was not the case.

Type 2 diabetes is typically brought on by poor eating habits, too much weight and too little exercise.
One key factor that might be responsible for the protective effect of the Mediterranean diet is its emphasis on olive oil for cooking, frying, putting on bread and mixing in salad dressings.

Preventing diabetes – TIPS

  1. Eat less
  2. Omit refined carbohydrates (white sugar, white rice and white maida)
  3. Use olive oil, vegetables, fruits, nuts, cereals, legumes and fish, and reduce meat and dairy products

About HCFI : The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on" Hands only CPR" of 88972 people since 1stNovember 2012.

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 10x10 i.e. 100 per minute."

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 – 88972 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

World Earth Day Celebration at DAV Public School, RK Puram, New Delhi.

press release

Depression linked to paralysis

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 62–year–old diabetic with coronary artery disease, on treatment for the same, came for follow up.
Reaction: Oh My God! Why didn’t you put him on antioxidants?
Lesson: Make Sure to add antioxidants to the prescription because of their free radical scavenging and other beneficial effects.

eMedinewS Humor

Seen on a famous beauty parlor in Bombay
Don’t whistle at the girl going out from here. She may be your grandmother!

Quote of the Day

Sunbeams out of the clouds. Faith out of all my doubt. Terri Guillemets

 

Twitter of the Day

Dr KK Aggarwal: Eating refined sugar can cause diabetes http://youtu.be/NMIK16PyBrY?a via @YouTube
Dr Deepak Chopra: Why do you stay in prison When the door is so wide open -Rumi

 

eMedi Quiz

The cells belonging to the following type of epithelium are provided with extra reserve of cell membrane:

1. Transitional
2. Stratified squamous
3. Stratified cuboidal.
4. Stratified columnar.

Yesterday’s Mind Teaser: Presence of food might be expected to interfere with drug absorption by slowing gastric emptying, or by altering the degree of ionisation of the drug in the stomach. Which of the following statements is not a correct example?

1. Absorption of digoxin is delayed by the presence of food.
2. Concurrent food intake may severely reduce the rate of absorption of phenytoin.
3. Presence of food enhances the absorption of hydrochlorothiazide.
4. Anitimalarial drug halofantrine is more extensively absorbed if taken with food.

Answer for yesterday’s Mind Teaser: 3. Presence of food enhances the absorption of hydrochlorothiazide.

Correct answers received from: Dr Vasantray H Panchal, Prabha Sanghi, Dr K V Sarma, Dr Jainendra Upadhyay,
Dr Poonam Chablani, Dr Avtar Krishan, Dr A K Jain, Daivadheenam Jella.

Answer for 22nd April Mind Teaser: 2. Herpes simplex virus.

Correct answers received from: Daivadheenam Jella.

Send your answer to ijcp12@gmail.com

medicolegal update

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  1. Dear Sir, Very Informative News. Regards: Dr Kapil
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