August 5  2015, Wednesday
High TGs and cancer link
Dr KK AggarwalThe US Multi-Society Task Force on Colorectal Cancer has published new consensus guidelines aimed at raising the preparation compliance goal to at least 85%, reports Medscape.

Elevated triglycerides after radical prostatectomy significantly increased the likelihood of prostate cancer recurrence. The risk of recurrence rises about 3% for every 10 mg/dL increase in triglyceride levels.

As per a new retrospective cohort study reported online in Cancer Epidemiology, Biomarkers and Prevention, total cholesterol, LDL, and HDL does not have significant associations with prostate cancer recurrence. In the subgroup of men with dyslipidemia, however, higher total cholesterol levels were associated with an increased risk of recurrence, whereas higher HDL levels decreased the risk.

"These findings, coupled with evidence that statin use is associated with reduced recurrence risk, suggest that lipid levels should be explored as a modifiable risk factor for prostate cancer recurrence," said Stephen J. Freedland, MD, of Duke University.
In cardiac arrest call 102 or 100
A new study reveals that researchers have uncovered a biomarker for pancreatic cancer in patients' urine, paving the way for a low-cost, noninvasive test that could diagnose the disease in its early stages. The findings were published in the journal Clinical Cancer Research. Three proteins - LYVE1, REG1A and TFF1 - were found at significantly higher levels in the urine samples of patients with pancreatic cancer, compared with the samples from healthy individuals.

Post-menopausal women who received high doses of vitamin D saw little effect on bone mineral density, falls, or other outcomes, reported a new randomized trial published in JAMA Internal Medicine.


Medications commonly used to treat dementia could result in harmful weight loss, and clinicians need to account for this risk when prescribing these drugs to older adults, suggests new research published in the August issue of the Journal of the American Geriatrics Society.


New research suggests that two commonly used gout medications, which target uric acid and adenosine triphosphate, may offer protection from alcohol-induced liver disease and inflammation. The report is published in the August issue of the Journal of Leukocyte Biology.


New research suggests that an organic byproduct generated by intestinal bacteria may be responsible for the formation of cholesterol plaques in the arteries of individuals with decreased kidney function, thus pointing that targeting this byproduct may be a novel strategy for safeguarding the heart health of patients with chronic kidney disease. The findings are published in an upcoming issue of the Journal of the American Society of Nephrology (JASN).
Cardiology eMedinewS

Poor glycemic control prior to CABG surgery in patients with type 1 diabetes increases the long-term risk of all-cause mortality and major adverse coronary events (MACE), suggests a population-based observational cohort study published in the August 4 issue of the Journal of the American College of Cardiology.


Girls who exercise may be banking a lifetime benefit: lower risks of cardiovascular disease (CVD), cancer, and premature death as adults, reported a prospective study published in Cancer, Epidemiology, Biomarkers & Prevention. Researchers noted that women who exercised only as adolescents appeared to have a lower risk of all-cause mortality (HR 0.82, 95% CI 0.73-0.91) than women who did not start exercising until adulthood.
Pediatrics eMedinewS

Clinicians should intervene when preschoolers are extremely picky eaters, as even moderate levels of selective eating are associated with impaired psychological and psychosocial function, suggested a study published online August 3 in Pediatrics.


Thrombocytopenia of no known cause in small-for-gestational-age (SGA) infants typically resolves within two weeks, and usually does not warrant platelet transfusion, suggests a new study published online in Pediatrics.
Dr KK Spiritual Blog
Namkaran Sanskar

In India, a person is identified by his/her name, which usually is a reflection of his/her own family. It may contain not only your maiden name but also the name of your father and your surname/caste.

When you are born, you are usually given your special name, which you carry throughout your life unless it is changed for a specific purpose. For example, the surname may change after marriage or the in-laws may change the name, specifically, for a girl.

Artists often change their names to those which may reflect their profession. A classic example is Rajesh Khanna, who changed his name from Jatin to Rajesh, which was easier for the public to recall.

A name for a baby is chosen on any of the following grounds:
  • The priest as per the horoscope decides the sound present in the universe and that Akshar (Alphabet) is given to the family to pick up a name starting with that Akshar.
  • Sometimes, the name of the baby may be chosen depending upon the auspiciousness of the day he/she was born, e.g. a baby boy born on Krishna Janmashtami, may be named ‘Krishna’ by the family after Lord Krishna.
  • If the parents have vowed a Mannat to a deity, then they may name their child after one of the many names of that deity. For example, if parents have taken a Mannat from Vaishno Devi, their baby girl may be named for one of the forms of Goddess Durga or Parvati.
  • People may also choose similar names for their children, e.g. Ramesh, Mahesh, and Suresh.
  • People may also keep the name of the child in the form of known pairs. If the name of the first child is Luv, the parents may like to name the second child as Kush, especially when the parents have twins. Other examples are Karan Arjun, Sita and Gita etc.
  • Sometimes, parents name their child after their favorite celebrity. For example, if someone is a big fan of Sachin Tendulkar, he may name his child Sachin. Sachin himself was named after the noted Hindi film music director Sachin Dev Burman by his father, who was a great fan of SD Burman.
Name has a lot of significance as Akshar in Sanskrit has a vibration and if that positive vibration matches with the vibrations of universe at the time of your birth, it helps in healing.

Normally, it is expected that you live up to your name. For example, if your name is Durga, you are expected to know all about Ma Durga and try to adopt characteristics of Durga.

Therefore, everyone is expected to know the literal meaning of his or her name and try to follow a lifestyle that is consistent with your name. For example, if you are named Ram, you are not expected to act like Ravana.

Namkaran Sanskar or the naming ceremony is a complete ceremony and is one of the 16 sanskars. It is both a social and legal necessity. As the naming process creates a bond between the child and the rest of the community, it is considered auspicious.

Some people name their child before he/she is born but a Namkaran Sanskar is usually performed on the 12th day after birth but it may vary from religion to religion and custom to custom. The formal ritual involves a Namkaran puja, which is held at their home or a temple where the priest offers prayers to all the Gods, Navagrihas, five elements, Agni and the ancestors. The horoscope of a child is made and is placed in front of the idol of the deity for blessings. With the baby in the lap of the father, the chosen name of the child is whispered in the right ear.

Some people name the child on the 101st day of the birth; while some choose the first birthday to name their child.

The name of the child also entails certain etiquettes as it reflects a person. You cannot take the name of a person with disrespect. If you abuse a name it means you have abused a person.
Make Sure
Situation: A patient after sublingual nitrate developed fainting attack.
Reaction: Oh my God! Why was the systolic murmur missed on auscultation?
Lesson: Make sure that patient with left ventricular outflow tract (LVOT) obstruction are not given sublingual nitrates.
Dr Good Dr Bad
Situation: A patient came with black stools.
Dr. Bad: It is lower GI bleeding.
Dr. Good: It is upper GI bleeding.
Lesson: Black stools usually indicate upper GI bleeding.

(Copyright IJCP)
eMedi Quiz
Do women have more headaches than men?

A. No, they get equal numbers.
B. Yes, but not that many more.
C. Yes, and the headaches are more severe.
D. Yes, but men tend to get more painful kinds that last longer.
E. None of the above.

Yesterday’s Mind Teaser: Interscalene approach to brachial plexus block does not provide optimal surgical anaesthesia in the area of distribution of which of the following nerve:

1. Musculocutaneous.
2. Ulnar
3. Radial
4. Median.

Answer for yesterday’s Mind Teaser: 2. Ulnar
Correct Answers received from: Dr Jainendra Upadhyay, Dr Poonam Chablani, Dr K Raju.
Answer for 2nd August Mind Teaser: 4. Pre-existing neurological deficits.
Correct Answers received: Dr Jainendra Upadhyay, Dr Poonam Chablani, Daivadheenam Jella.
Rabies News (Dr A K Gupta)
What should be done with a patient who has had exposure but goes for treatment after considerable delay (weeks to months)?

An early and correct administration of modern anti-rabies vaccine is life-saving. The vaccination must be started immediately irrespective of the status of the biting animal. Patients who seek treatment after a delay of 48 hours or even months after having been bitten should be dealt in the same manner as if the exposure occurred recently.
IJCP Book of Medical Records
IJCP’s ejournals
CPR 10
Total CPR since 1st November 2012 – 113241 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
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IMA IPMO Initiative
Kindly go to
and pledge your organs
unless we do it public will not listen to us

Team IMA
ICON 2015
  • Insulin resistance is associated lower brain glucose metabolism and poorer memory in late-middle-aged adults at risk for Alzheimer's disease (July 27 in JAMA Neurology).
  • Physicians must take responsibility for improving the rate of human papillomavirus (HPV) vaccinations among teenagers, according to Anne Schuchat, MD, assistant surgeon general and director of the National Center for Immunization and Respiratory Diseases at the Centers for Disease Control and Prevention.
  • Girls who exercise may be banking a lifetime benefit: lower risks of cardiovascular disease (CVD), cancer, and premature death as adults. (July 31 Cancer)
Inspirational Story
Determination and Persistence

This is a real life story of engineer John Roebling building the Brooklyn Bridge in New York, USA back in 1870. The bridge was completed in 1883, after 13 years.

In 1883, a creative engineer named John Roebling was inspired by an idea to build a spectacular bridge connecting New York with the Long Island. However bridge building experts throughout the world thought that this was an impossible feat and told Roebling to forget the idea. It just could not be done. It was not practical. It had never been done before.

Roebling could not ignore the vision he had in his mind of this bridge. He thought about it all the time and he knew deep in his heart that it could be done. He just had to share the dream with someone else. After much discussion and persuasion he managed to convince his son Washington, an up and coming engineer, that the bridge in fact could be built.

Working together for the first time, the father and son developed concepts of how it could be accomplished and how the obstacles could be overcome. With great excitement and inspiration, and the headiness of a wild challenge before them, they hired their crew and began to build their dream bridge.

The project started well, but when it was only a few months underway a tragic accident on the site took the life of John Roebling. Washington was also injured and left with a certain amount of brain damage, which resulted in him not being able to talk or walk.

“We told them so.” “Crazy men and their crazy dreams.” “It’s foolish to chase wild visions.” Everyone had a negative comment to make and felt that the project should be scrapped since the Roebling’s were the only ones who knew how the bridge could be built.

In spite of his handicap Washington was never discouraged and still had a burning desire to complete the bridge and his mind was still as sharp as ever. He tried to inspire and pass on his enthusiasm to some of his friends, but they were too daunted by the task.

As he lay on his bed in his hospital room, with the sunlight streaming through the windows, a gentle breeze blew the flimsy white curtains apart and he was able to see the sky and the tops of the trees outside for just a moment.

It seemed that there was a message for him not to give up. Suddenly an idea hit him. All he could do was move one finger and he decided to make the best use of it. By moving this, he slowly developed a code of communication with his wife.

He touched his wife’s arm with that finger, indicating to her that he wanted her to call the engineers again. Then he used the same method of tapping her arm to tell the engineers what to do. It seemed foolish but the project was under way again.

For 13 years Washington tapped out his instructions with his finger on his wife’s arm, until the bridge was finally completed. Today the spectacular Brooklyn Bridge stands in all its glory as a tribute to the triumph of one man’s indomitable spirit and his determination not to be defeated by circumstances. It is also a tribute to the engineers and their team work, and to their faith in a man who was considered mad by half the world. It stands too as a tangible monument to the love and devotion of his wife who for 13 long years patiently decoded the messages of her husband and told the engineers what to do.

Perhaps this is one of the best examples of a never-say-die attitude that overcomes a terrible physical handicap and achieves an impossible goal.

Often when we face obstacles in our day-to-day life, our hurdles seem very small in comparison to what many others have to face. The Brooklyn Bridge shows us that dreams that seem impossible can be realised with determination and persistence, no matter what the odds are.
Quote of the Day
Any change, any loss, does not make us victims. Others can shake you, surprise you, disappoint you, but they can't prevent you from acting, from taking the situation you're presented with and moving on. No matter where you are in life, no matter what your situation, you can always do something. You always have a choice and the choice can be power. Blaine Lee
IMA in Social Media 28659 likes 46741 likes 1758 likes

Twitter @IndianMedAssn 1091 followers
Reader Response
Dear Sir, Very informative news. Regards: Dr Karuna
Wellness Blog
How to Prevent Arthritis from Slowing You Down
  1. Keep moving
    • Avoid holding one position for long.
    • While working get up and stretch every 15 minutes.
  2. Discover your strength
    • Put the strongest joints and muscles to work.
    • Push open heavy doors with the side of the arm or shoulder. It will protect finger and wrist joints.
    • While climbing up let the strong leg lead you and while going down let the weaker leg lead you. It will reduce hip or knee stress.
  3. Plan ahead
    • Simplify and organize your routines so you minimize movements that are difficult or painful.
    • Keep items you need for cooking, cleaning, or hobbies near where they are needed
    • Have multiple sets of cleaning supplies, one for the kitchen and one for the bathroom
  4. Make use of labor-saving devices and adaptive aids.
    • Long-handled grippers, can be designed to grasp and retrieve out-of-reach objects.
    • Rubber grips can help one get a better handle on faucets, pens, toothbrushes, and silverware.
  5. Ask for help.
    • Only a very small percentage of people with arthritis become severely disabled and get dependent on others.
    • Educate family members and friends about how arthritis affects you.
    • Don’t be afraid to ask for help when you need it.
(Source Harvard Healthbeat)
IMA Humor
A guy is walking up to a doctor’s office when a nun comes running out screaming and crying.

The guy walks in and says, "Doc, what’s with the nun?"

The doctor says, "Oh, I just told her she’s pregnant."

The guy says, "The nun’s pregnant?"

The doctor says, "No. But it certainly cured her hiccups!"
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Press Release
An emergency guide to performing CPR in infants

It is the most traumatic to find oneself in a situation where your infant stops breathing due to cases such as drowning, electrical shock, suffocation, poisoning, lung disease or an injury. Most parents are unaware of what to do in such situations and panic instead of helping save the life of their child. The life-saving technique of CPR can help revive the infant and bring him back to life.

“By immediately administering CPR, the lives of infants who stop breathing can be saved. Parents must remain calm and composed and try and help their child. Panic can only lead to the situation becoming worse. They must remember that unlike most situations wherehands only CPR 10 is sufficient to revive the victim, in the case of young infants, mouth-to-mouth resuscitation is required”, said Padma Shri Awardee Dr A Marthanda Pillai, National President IMA & Padma Shri Awardee, Dr KK Aggarwal, President Heart Care Foundation of India & Honorary Secretary General IMA.

Adding to this, Dr. KK Aggarwal said, “Upon finding that your child has stopped breathing, you must immediately call an ambulance and begin the technique of CPR. For this, make your child lie back down on a flat surface and compress the center of their chest with two fingers at a speed of 10 x 10 – 100 a minute. After performing 30 compressions, you must shift to mouth-to-mouth breathing. The procedure involves tilting the head of the child back, pinching their nose and breathing two long breaths into their airway. Post this, chest compressions should be repeated and the process follows till medical help does not arrive, or the child is revived”.

In children suffering from hypothermia or low body temperature, CPR should be continued till the body temperature is not brought back to normal. Sometimes this may even take a few hours. A recent case of how a child who had stopped breathing due to drowning was revived after two hours is a great example of how revival attempts should not be stopped in infants where hypothermia is suspected.

Heart Care Foundation of India jointly with the Indian Medical Association, Delhi Red Cross Society and Delhi Police has taken up the challenge of training 100% of the Delhi Police PCR van staff on the life-saving technique of Hands-only CPR 10 by Independence Day 2015. Until now over 7000 police PCR van staff have been trained so far in CPR 10 also called as compression only CPR or bystander CPR or first responder CPR.

The 2010 guidelines set out by the American Heart Association do not recommend mouth to mouth breathing during revival after death due to a sudden cardiac arrest barring the exceptional cases of death due to drowning or in the case of an infant. If 20% of the Indian population is made aware of how to perform Hands-only CPR 10, over 50% of deaths due to a sudden cardiac arrest can be avoided.

A sudden cardiac arrest occurs when the electrical conducting system of the heart fails and the heart beats irregularly and very fast (more than 1000 times, technically called as ventricular fibrillation). Soon after the heart suddenly stops beating and the blood flow to the brain stops. As a result, the person becomes unconscious and stops normal breathing.A cardiac arrest is not the same as a heart attack, but it may be caused by a heart attack. In most cases, sudden cardiac arrest may be reversible in the first 10 minutes. This is possible because the brain remains alive during this period when the heart and respiration have stopped, a situation called clinical death. To know more or to organize a training camp in your locality, please call the NGO’s helpline number 9958771177.