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Dr KK Aggarwal

From the Desk of Editor in Chief
Padma Shri and Dr B C Roy National Awardee

Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist and Dean Medical Education Moolchand Medcity; Member Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; 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); Editor in Chief IJCP Group of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR


8th May, 2010, Saturday

Nearly half of urban people may have high blood pressure, high cholesterol, or diabetes

Dear Colleague

Nearly 45% of Americans have high blood pressure, high cholesterol, or diabetes, according to researchers from the Centers for Disease Control and Prevention. The same should be true for urban India.

One in eight Americans has at least two of the conditions and one in 33 has all three. People should be aware that lifestyle modifications and medications can control them and reduce their risk for cardiovascular disease.

About 8% of adults have undiagnosed high blood pressure, 8% have undiagnosed high cholesterol, and 3% of have undiagnosed diabetes.

Blacks had a particularly high incidence of hypertension, 42.5 %, compared to 29.1 % of non–Hispanic whites and 26.1 % of Mexican–Americans.

High blood cholesterol was more common among non–Hispanic whites (26.9 %) than among blacks (21.5 %) and Mexican–Americans (21.8 %), while diabetes was more common among blacks (14.6 %) and Mexican–Americans (15.3 %) than among non–Hispanic whites (8.3 %).

 

Dr KK Aggarwal
Padma Shri Awardee and Chief Editor

 

Photo Feature


Thirty-three eminent doctors who have been Padma Awardees gathered at India International Centre in a unique initiative to form a 'Medical Think Tank' to discuss medicosocial issues of importance to the public as well as medical professionals.

Dr k k Aggarwal

International Medical Science Academy Update (IMSA): Practice Changing Updates

No NSAID link to ovarian cancer

Regular use of anti–inflammatory drugs did not reduce the risk of ovarian cancer. Neither weekly nor daily use of aspirin or other nonsteroidal anti–inflammatory drugs influenced the relative risk of ovarian cancer. This was reported by investigators from california here at the American Association for Cancer Research meeting. 

News and views (Dr Brahm and Monica Vasudeva)

Genetic, environmental causes of obesity

As per Kelly D. Brownell, director of the Rudd Center for Food Policy and Obesity at Yale University, obesity has both genetic and environment causes. Overeating has become chronic, and that if it is not considered a disease in itself, it certainly leads to other diseases, such as type 2 diabetes.

Link between soda consumption and bone strength

In the past, researchers surmised that soda took its toll on bones because children who drank soda did so in place of milk. Investigators are now testing the theory that phosphoric acid in soda harms bones. Findings from a 2005 study in the journal Osteoporosis International indicated that minerals were being removed from bone, and not replaced in men who consumed a low–calcium diet and 2.5 liters of soda daily for 10 days.

High rates of pregnancy, STDs noted among people aged 18–29

According to a poll published earlier this year by the National Campaign to Prevent Teen and Unplanned Pregnancy, 86% of unmarried people ages 18 to 29 are sexually active, and 87% of the same group reported that they are not ready to have kids. Yet, nearly half of those who are in a sexual relationship either do not use contraception at all or use it inconsistently, and almost 20% of all respondents predict that they’ll have unprotected sex within the next three months. As a result, seven in 10 pregnancies in the 18–to–29 age group are unintended, and men and women in their 20s have among the highest rates of sexually transmitted infections of any age group, including chlamydia, gonorrhea, and syphilis.

Reducing sodium just one way to reduce stroke risk

An expert panel at the Institute of Medicine has urged the US FDA to force food makers to cut sodium to reduce the risk of stroke.  

Mnemonic of the Day : Features of Portal Hypertension–ABCDE

Ascites
Bleeding (Hematemesis/ Piles)
Caput medusae
Diminished Liver
Enlarged spleen

Quote of the Day

''It takes one hour of preparation for each minute of presentation time." Wayne Burgraff

DMA Update:  Tomorrow 9th May is Mother’s Day

For stress incontinence, conservative treatment works.

Question of the Day: (Dr Shaila Bhattacharyya, Bangalore)

What is type 2 diabetes mellitus of the young?

Type 2 diabetes mellitus of the young is occurrence of diabetes mellitus in age group 6–19 years, which is characterized by insulin resistance and/or relative insulin deficiency. Most patients do not require exogenous insulin at least initially and they rarely develop diabetic ketoacidosis (DKA). Type 2 diabetes mellitus in young is associated with obesity, acanthosis nigricans, insulin resistance, polycystic ovarian disease (PCOD) and family history of diabetes mellitus, female preponderance and early teens. These children usually do not develop ketosis and are C–peptide positive and negative for – ICA, anti–GAD, ICA 512 antibodies.

 Stupid Question: (drsooneita@gmail.com)

When you see a friend/colleague with evidently shorter hair...
Stupid Question: Hey have you had a haircut?
Answer: No, its autumn and I'm shedding.... ..

eMedinewS Try this it Works: FOR FASTER REMOVAL OF EARWAX

For faster, easier, cleaner, and nontraumatic removal of impacted earwax, use a headlight and fine–tipped alligator forceps. This can save time and eliminate the hassle of lavage.

International Vaccines recommendations

Typhoid Vaccination is sometimes recommended 10 days before travel

Dr Good Dr Bad

Situation: A patient of MI, four weeks after the attack came with stroke.
Dr Bad: Diagnosis is 100 % cerebral embolism.
Dr Good: You need further investigations.
Lesson: After four weeks, cerebral emboli resulting from MI are uncommon.

Make Sure

Situation: A patient with unexplained fever developed perforation of the small intestine.
Reaction: Oh my God! Why was typhoid not suspected in this case?
Lesson: Make sure that a possibility of typhoid is kept in every case of PUO.

IMADNB Joke of the Day (Dr. Tarun Gupta)

BLINDNESS

The sympathetic and inquisitive old lady at the seashore was delighted and thrilled by an old sailor's narrative of how he was washed overboard during a gale and was only rescued after having sunk for the third time. “And, of course,” she commented brightly, "after you sank the third time, your whole past life passed before your eyes." "I presume as how it did, mum," the sailor agreed. "But being" as I had my eyes shut, I missed it."

Formulae in Clinical Practice: (Body mass index)

Formula: weight (kg) / {height (m)}2 With the metric system, the formula for BMI is weight in kilograms divided by height in meters squared. Since height is commonly measured in centimeters, divide height in centimeters by 100 to obtain height in meters.

Example: Weight = 68 kg, Height = 165 cm (1.65 m) Calculation: 68 ÷ (1.65) 2 = 24.98

Milestones in Derma

Tungiasis

Gonzalez Fernandez De Oviedo Valdes reported the earliest case of tungiasis in the 16th Century when Spanish conquerors of the crew of the Santa Maria were shipwrecked on Haiti and became infested with tungiasis. In the 17th Century, Aleixo de Abreu, provided the world with the first scientific description of Tunga penetrans (sand fly). Sand fly is a poor jumper and most lesions occur on the feet. Tungiasis appearsas a tiny black dot on the skin at the point of penetration. It forms a small, inflammatory papule with a central black dot and enlarges into a white, pea–sized nodule. This lesion can range from asymptomatic to pruritic to extremely painful.

Lab Test (Dr Arpan Gandhi and Dr Navin Dang)

Plasma Ammonia

To detect elevated levels of ammonia in the blood, to help evaluate changes in consciousness, severe liver disease, and certain genetic urea cycle disorders; to support the diagnosis of hepatic encephalopathy and Reye’s syndrome.

List of Approved drugs from 1.01.2009 to 31.10.2009

Drug Name

Indication

Approval Date

Amphotericin B Emulsion 5mg/ml (Addl. Indication)

Febrile Neutropenia in cancer patients

18.7.2009

 MCI Updates

The central government is proposing to establish an umbrella body to oversee medical education in the country said Health Minister Ghulam Nabi Azad. The body is National Council for Human Resources in Health. The need for the council was felt after a parliamentary standing committee had shot down key elements of a law that the government wanted to bring in 2005 to tighten the functioning of the MCI by amending the existing act of 1956. "We wanted that there be not more than two terms for the (MCI’s) president and vice president. The standing committee said this was unconstitutional. The power of the government to dissolve the MCI was not accepted. "The power to remove the president, the vice president and the members of the executive council was not accepted. The power to issue directives to the MCI was also not accepted."

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eMedinewS–Padma Con 2010

Will be organized at
Maulana Azad Medical College, New Delhi on July 4, 2010, Sunday to commemorate Doctors’ Day. The speakers, chairpersons and panelists will be doctors from NCR, who have been past and present Padma awardees.

 
 

eMedinewS–revisiting 2010

The second eMedinewS – revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, cultural hungama and live webcast. Suggestions are invited .

 

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Public Forum (Press Release for use by the newspapers)

Padma awardees and a medical think tank

In a unique initiative, thirty-three doctors who have been Padma Awardees, this year and in the past, collected under one roof at the India International Centre, New Delhi as a -Medical Think Tank. They met togetherand discussed medicosocial issues of importance to the country. It was decided that the group would meet every month and discuss plans of importance to the society in general and medical professionals in particular.

This August gathering included Dr. SP Aggarwal, Dr. Prem K Kakar, Dr. JM Hans, Dr. Mohsin Wali, Dr. Veer Singh Mehta, Dr. PD Nigam, Dr. Mahipal Sachdeva, Dr. SK Sama, Dr. Balbir Singh, Dr. D Triguna, Dr. AK Grover, Dr. Anil Kr Bhalla, Dr. DS Rana, Dr. HS Rissam, Dr. KK Sethi, Dr. Narmada Prasad Gupta, Dr. SC Manchanda, Dr. KK Aggarwal, Dr. Yash Gulati, Dr. Malvika Sabharwal, Dr. M Khalilullah, Dr. Naresh Trehan, Dr. Arvind Lal, Dr. SK Sarin, Dr. AS Soin, Dr. PS Maini, Dr. Ashok Kr Vaid, Dr. Kalyan Banerjee, Dr. Ranjit Roy Chaudhary, Dr. Harsh Mahajan, Dr. Raman Kapur, Dr. Sanjeev Bagai and Dr. LC Gupta.

Readers Responses

  1. JK Sharma may be one of thousands, there may be so many sharmas still working in many nursing homes as RMO and sheltered by the so called senior consultants, is there any system to check them, can they work without DMC registration. Dr KK can u now start any drive angainst these quacks? I hope u can courge for this noble action,now senior doctors want cheap juniors only, because of saving the money, we are still have faith in god and some time our patients also called as god. why? the noble profession why it is declining? simply doctors mean only earn money, the doctors don’t know their own sugar level, cholesterol level, thanks to u who orgnising, HEALTH PERFECT HEALTH MELA, thanks, Dr KP Singh.