eMedinewS11th October 2013, Friday

Dr K K Aggarwal Padma Shri and Dr B C Roy National Awardee

Dr KK Aggarwal

President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, National Vice President Elect, Indian Medical Association; Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; 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

MCI Update

I am writing this in my personal capacity and not as a member of Delhi Medical Council or Member of Ethics Committee MCI. These are my personal views.

  1. A few days back eMedinewS carried an editorial about the latest state of MCI functioning.
  2. Yesterday also the newspaper carried news about "Pick & Choose Policy" by MCI on Code of Ethics.
  3. Recently in a function one of the high officials from Health Ministry warned that the ministry is giving a second and last chance to the "to be" elected new MCI to behave. He probably was referring to the oncoming state medical councils elections where a member would be elected from each state council.
  4. In one of my Sunday Classes, some doctors said that there was more corruption in the pre–Ketan Desai era in the MCI. But have the Board of Governors have been able to bring down the cost of capitation in the last three years? This year we all know that a PG seat in Radiology was openly auctioned for Rs. 3 crores.
  5. Some of the writings in the Internet have been that Dr. Ketan Desai was caught red handed taking a bribe. But the same was not true and as of today Dr. Ketan Desai has been given clean chit in Disproportionate Case and other cases at Hyderabad, Chennai, Kolkata by CBI as well as competent Court. There is not a single pending charge sheet against him nor has he been convicted in any case.
  6. Some doctors said that anybody can buy judgments today.
  7. But not when the whole government machinery is against you.
  8. Others said that IMA will try to bring its activists in MCI through state medical council elections?

Why not! MCI needs medical activists and there is no way that a medical activist would not be active in IMA also.

Let democracy prevail and the new elected body run the medical profession and not the government.

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."


VIP’s on CPR 10 Mantra Video
eMedinewS
Ringtone – CPR 10 Mantra Hindi

Ringtone – CPR 10 Mantra English

Spiritual message on the 7th Navratri

sprritual blog

By the time chanting of Bija mantras LAM, VAM, RAM, YAM, HAM and AUM is over, the inner darkness too is over. Navratri is the detoxification of body, mind and soul. Body detoxification involves Navratri diet containing eating less devoid of cereals. In Navratri diet, flour is replaced with Kuttu or Singhara flour; pulses with amaranth or Rajgiri and Rice with Samak rice. Mental and soul detoxification involves practicing Yoga Sadhna as described in nine forms of respective Durga.

• Kalaratri is worshipped on the Seventh Day of Navratri.
• She is dark and black like night.
• Her hair are unlocked
• SHE has three eyes and four hands.
• She holds a sharp Sword in her right hand and blesses her devotees with her lower hand.
• HER vahana is a donkey, destroyer of darkness and ignorance (or shava).
• She spills out fire from her nostrils.
• She has on necklaces shining like lightening.
• In Yoga Shastra, SHE represents the Sasahara Chakra ….Read More

cardiology news

Story of a Boy and the Servant

There was a boy who used to be a servant for a rich family. They provided him accommodation, food and everyday some money for tea or snacks. This boy after finishing his morning works used to go to tea stall nearby and spend sometime drinking tea, eating and talking to regular customers. One day he was out to tea stall as usual. There was one beggar newly arrived and stayed put near tea stall. This boy found some kind of attraction towards this beggar. May be sympathy? He bought a tea and some snacks for the beggar and sat near him talking. While leaving he gave beggar whatever money left with him.

This became a routine and continued for sometime. On the other hand, beggar’s regular collections started reducing because people now used to him. But he didn’t want to move to other place for better income for the beggar felt somewhat attached to the servant boy. Sometimes all the beggar's collection for whole day was what the boy gave to him. The beggar didn’t like to move out of their meeting place. One day the boy didn’t appear as usual. Beggar got worried but thought he might have some work to finish. Next day also the boy was not seen. He was gone ten days. By now beggar concluded that the boy might have either gone to his native or found a new job. But beggar was more worried for the boy didn’t inform him about these. So he finally decided to move to a better place next morning. That night, somebody disturbed beggar’s sleep. When he woke up, he saw the boy sitting near to him and crying. Boy was looking tired. He was locked up inside the house where he worked as servant. He was not given food to eat and allowed to go out as the rich man suspected the boy had stolen the necklace of his wife.

Later after ten days of torture, when they found necklace, they thrown him out of their house. It was not boy stole the necklace but the rich man’s wife had forgotten where she kept. Though mistake was of rich women, the boy was thrown out of house where he served sincerely for many years! Beggar listened to the story patiently. The boy was crying for he still couldn’t understand why he was thrown out. Beggar was too matured to get emotional like the boy. For him, these are common and already witnessed things. He advised the boy not to worry and he promised to take the boy with him next morning. Next day beggar took the boy with him and fed him stomachful. After finishing the breakfast, they left for a new place searching for a new experience. Later it’s heard that, the boy found a new house to serve. The beggar fixed a place in near area to take care of the boy.

Morals of the story:

  1. The boy didn't expect anything in return when given to beggar. All he had was sympathy towards the beggar.
  2. Rich family treated boy very well for they want a good faithful servant. But when something went missing the faithful servant became the first suspect. For rich, it’s easy to suspect and target poor.
  3. When the rich man found his wife to be blamed for missing necklace, he didn’t care to punish her or seek pardon from the boy. Instead he threw the boy out of his house.
  4. The boy was careless and spent all money he got for he was not matured to understand – the situations can't be same always. He thought his life will be same always.
  5. Even while boy spent money, he spent it for a good cause which came to his rescue when he was in need. Even savings wouldn’t have instantly helped as the beggar did.
  6. Beggar was faithful for the hands that fed him. When got a chance he was happy to pay it back.
  7. Life is a long journey. We don't know who will support us when in need. So treating everyone nicely is important saving for future.
  8. Who to give and whom to give, who to connect with whom all decided by previous births. The boy was particularly attracted by this beggar shows some kind of past connection between them. So to fight or to embrace someone is what decided by us through our karma.
  9. Also the people we meet, we love, we like, we hate, we fight, we depend are sort of steps towards our journey.

News Around The Globe

20th MTNL Perfect Health Mela Programme Brouchure

20th MTNL Perfect Health Mela 2013 Hangout on Air with Google

The Immune System of the Soul

October 17, 2013, Siri Fort Auditorium

Organised by Brahma Kumaris


In this fast paced world, where we all are running in the rat race to acquire all sorts of gadgets, luxuries and comforts of life, and have actually forgotten about our ‘being’, our ‘soul’ per se. None of us have the time to sit back and ponder on the very basic questions which arise even in a small child’s mind, as in who we are? Where we have come from? What is the purpose of our being? How our soul dwells in our daily activities? How can we charge up our soul or what makes it low? Do we actually listen to our inner/soul’s voice? If yes, there is still some hope, and if not, then what happens to our inner voice in return? All of us are bothered about materialistic possessions and all we care about is that we should be free from physical ailments. Does that suffice our existence? The answer is NO, as emotional ailments take its toll when we stop caring about our soul or the inner voice. To answers these questions and to help people get enlightened, Mike George, an author, spiritual leader and management consultant, has organized a workshop titled ‘The Immune System of the Soul’ which will take you to a journey from awareness to realization and finally to transformation. The workshop is scheduled on October 17, 2013, 6–8 PM at Siri Fort Auditorium, Delhi. Come and be a part of this divine experience.

News

  • Updated guidelines for managing severe sepsis and septic shock have direct implications for personnel working in emergency departments, according to a review published online September 25 in the Annals of Emergency Medicine. The Surviving Sepsis Campaign, launched in 2002, is a joint effort of the Society of Critical Care Medicine and the European Society of Intensive Care Medicine. The campaign updated sepsis guidelines in 2012 to reflect knowledge gained since the previous update in 2008. This review provides a synopsis of the recent changes in guidelines for the ED physician, with a particular emphasis on those that may have direct implications for ED assessment and management of early sepsis
  • Carotid ultrasound was more sensitive for detecting subclinical atherosclerosis in patients with rheumatoid arthritis (RA) than CT with calculation of coronary artery calcification scores. Among a group of 60 patients classified as being at moderate cardiovascular risk on a conventional scoring system, the presence of severe abnormalities on ultrasound reclassified 51 as being at high or very high risk. And of those 51 reclassified patients, only 12 would have been reclassified as being at high or very high cardiovascular risk using a coronary artery calcification score, as reported by Miguel A. Gonzalez–Gay, MD, of Universitario Marques de Valdecilla in Santander, and colleagues in the November Annals of the Rheumatic Diseases.
  • Bisphosphonate use was associated with significantly increased risks of atrial fibrillation and serious atrial fibrillation, researchers found. A systematic review of randomized controlled studies and observational studies showed use of bisphosphonates was associated with a 27% increased risk of atrial fibrillation (95% CI 1.16–1.39) in observational studies and, in randomized controlled trials alone, with a 40% increased odds of serious atrial fibrillation, according to Abhishek Sharma, MD, of Maimonides Medical Center in Brooklyn, N.Y., and colleagues.
  • According to Annick Bogaerts, PhD, and colleagues, from Belgium and the Netherlands, women who retain weight between their first and second pregnancies are at increased risk for perinatal complications, and this includes underweight and normal–weight women, according to an analysis of data from 7897 live–born singleton births. The findings are reported in an article published online October 7 in Obstetrics & Gynecology.
  • In a new study in postmenopausal women, the use of selective serotonin–receptor inhibitors (SSRIs) was associated with a higher risk of fracture than use of glucocorticoids, which are well–known for their link to fractures. SSRI fracture risk also exceeded that of proton–pump inhibitors (PPIs), also known to be associated with this side effect, said lead author Jonathan Adachi, MD, FRCPC, a professor in the McMaster University department of medicine, Hamilton, Ontario, who reported the findings here at the American Society for Bone and Mineral Research (ASBMR) 2013 Annual Meeting.
  • The TOI dated Oct 10, 2013 reports that one in 10 adults suffers from hypothyroidism, with the prevalence of the condition higher in inland cities than in coastal locations, as per a countrywide study. The study, published in the Indian Journal of Endocrinology and Metabolism, shows that out of the 5,376 people who were surveyed, 10.95% were found to be suffering from hypothyroidism. Inland cities such as Bangalore, Delhi, Kolkata, Ahmedabad and Hyderabad had a higher prevalence of hypothyroidism compared to coastal locations such as the city, Goa and Chennai. The study revealed that women were three times more likely to be affected than men; of the affected population, 15.86 per cent were women and 5.02 per cent men. The finding was especially true for those in midlife that is the age bracket of 46–54 years.

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Rabies News (Dr. A K Gupta)

What are the limitations of polyclonal serum (RIG)?

Difficulties associated with the use of Polyclonal Serum (RIG) samples might consist of:–

  • Batch–to–batch variation.
  • Risk related to the use of human blood products. Because HRIG preparations are of human origin, they need to be treated to minimize the risk of transmission of infectious agents.
  • Difficulties in finding immune donors during sudden mass exposures might lead to a low availability of RIG.
  • Because of discontinued ERIG production by international manufacturers, supply of ERIG relies on regional production.
  • The use of ERIG has raised ethical issues and has been condemned by animal protection groups.
cardiology news
  • Indications for biventricular (BiV) pacing should be extended to include patients with systolic heart failure and first–, second–, or third-degree atrioventricular (AV) block, the FDA’s Circulatory System Devices advisory panel decided here yesterday by a thin majority vote. Their important caveat: BiV pacing in first–degree AV block should be only for patients for whom there is "a verifiable confidence that ventricular pacing is going to be necessary most of the time," said panel chair Dr Richard L Page (University of Wisconsin, Madison) during the proceedings. With the panel having overwhelmingly decided that BiV pacing would be both safe (by a six to one vote) and effective (unanimously), a lone abstention on the third issue of whether benefits would outweigh attendant risks led Page to cast a tie–breaking vote in support of the expanded indication.
  • A new position paper published online September 25, 2013 in the European Heart Journal on the current role of platelet–function testing in patients undergoing PCI highlights the current state of evidence and advocates a selective role for testing in some patients, such as those at high risk for stent thrombosis. The experts, from the Working Group on Thrombosis of the European Society of Cardiology (ESC), stress that clinical presentation and patient characteristics should guide antiplatelet therapy during and after PCI. According to Dr Dániel Aradi (Heart Center, Balatonfürd, Hungary) and colleagues, for selected patients, those who are suspected of having an increased risk for thrombotic or bleeding events based on clinical and/or procedural characteristics, "platelet–function testing may help the decision-making by providing information on the level of platelet reactivity."

Valvular Heart Disease News

Newer modalities such as 3D Transesophageal echocardiography are the investigation of choice in aortic valve disease.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

cardiology news
  • Vaccination with the 13–valent pneumococcal conjugate vaccine (Prevnar 13, PCV13) was associated with reductions in invasive and noninvasive pneumococcal disease across all age groups. According to findings presented at the IDWeek meeting, within 2 years of approval for pediatric patients in 2011 to 2012, PCV13 vaccination was tied to a 59% reduction in invasive pneumococcal disease–related hospitalizations in children younger than 5 years old, and a 25% reduction (95% CI 11%–36%) in related hospitalizations in adults. Vaccination was associated with a 19% reduction in all-cause pneumonia–related hospitalization in children younger than 5, though it was not associated with significant reductions in adult patients.
  • A checklist in the neonatal intensive care unit (NICU) specifically designed for the palliative care of terminally ill neonates not only helps to ensure that babies receive quality compassionate care, it also benefits parents. Presenting the findings at the National Association of Neonatal Nurses 29th Annual Educational Conference, Karen McDonald, DNP, from Christiana Care Health System in Newark, Delaware said, "To avoid healthcare and information disparities among our patients and their families, checklists and other forms should be present on the chart of every baby who receives palliative care in the NICU." A team approach to palliative care has been shown to improve neonatal pain management, reduce the number of procedures that are performed, and produce better quality care during the end–of–life period.
cardiology news

Prehypertension triples the risk of heart attack

A person with pre–hypertension, systolic blood pressure between 120–139 mmHg and diastolic pressure between 80–89 mmHg, is more than three times likely to have a heart attack and 1.7 times more likely to have heart disease than a person whose blood pressure is lower than 120/80 mmHg.

Systolic blood pressure is the pressure against the artery wall when the heart beats and diastolic blood pressure is the pressure when the heart is at rest between the heart beats. Normal blood pressure is lower than 120/80 mmHg and hypertension is a blood pressure more than 140/90 mmHg or higher.

Research has shown that if prehypertension is aggressively treated, 45% of all heart attacks can be prevented. Lifestyle modifications such as weight control, regular physical activity and changes in diet are recommended for people with pre–hypertension. The importance of prehypertension has been listed as one of the top 10 recent advances in cardiology.

cardiology news

Total CPR since 1st November 2012 – 63425 trained

CPR Classes 63425

Media advocacy through Print Media

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sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

Media advocacy through Web Media

Shorter the waist line, longer the life line 2nd PR

FREEPRESSINDEX LINK, FREEPRESS RELEASE, AFRICANEWSWIRE, PRLOG, BLOGZ

Soul is the biggest pharmacy in the world – Dr KK Aggarwal

On the occasion of World Mental Health Day in a function organized by Delhi Medical Association, Padma Shri and Dr. B.C. Roy National Awardee, Dr KK Aggarwal, President Heart Care Foundation of India said that the very fact that our body has a receptor for each and every drug means the human body is the biggest pharmacy in the World and has the capacity to produce each and every drug. Obviously God never created these receptors for Pharma Company to invent drug molecules.

Dr Aggarwal said that the forthcoming 20th MTNL Perfect Health Mela will have special classes and counseling sessions on mental health. The Mela will be held at the Constitution Club of India from 23rd to 27th October, 2013.

Dr Aggarwal said that spiritual medicine should be part and parcel of MBBS curriculum. Spiritual medicine is teaching how to shift from sympathetic to parasympathetic state of mind. Sympathetic state of mind leads to diseases and parasympathetic state to a healing mode. Most of the mind, body and spiritual techniques are based on this principal.

Dr Aggarwal said that beta–blockers are one group of drugs, which are known to reduce cardiac mortality and again shift one to parasympathetic mode artificially. Talking about Yoga, he said that it is a natural beta blocker.

One should have a dialogue with one’s soul every day. The same can be done by meditation or by adopting slower and deeper breathing with a rate of 4 to 5 per minute for the next 20 minutes.

The simplest spiritual prescription is to chant OM or AUM, which medically produces a pain killer and tranquilizer at the same time.

Dr Aggarwal said that stress is the reaction of the body and the mind to the interpretation of a known situation. Spiritual counseling, therefore, involves changing interpretation.

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 63425 people since 1st November 2012.

The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10minutes, 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."

today emedipics

On the occasion of World Mental Health Day in a function organized by Delhi Medical Association, Padma Shri and Dr. B.C. Roy National Awardee, Dr KK Aggarwal, President Heart Care Foundation of India delivers a lecture

press release

Death risks higher for heart attack survivors living near major roadways

today video of the dayDr KK Aggarwal Birthday 5th September

Cultural Evening at IMA

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

During rapid sequence induction of anesthesia:

1.Slick’s maneuver is not required.
2.Pre–oxygenation is mandatory.
3.Suxamethonium is contraindicated.
4.Patient is mechanically ventilated before endotracheal intubation.

Yesterday’s Mind Teaser: Over a 4–day period, five men, four women, and six children are admitted to Philadelphia metropolitan hospitals with fever, prostration, hypotension, and various degrees of mucosal bleeding. All patients have thrombocytopenia, leukopenia, and elevated liver and renal function tests. None of the patients have traveled outside the mid–Atlantic area in the past 3 months. A viral hemorrhagic fever is suspected. Which one of the following epidemiological clues most strongly suggests that the outbreak is the result of a deliberate epidemic?

A. Multiple simultaneous epidemics of different diseases
B. Unusual age distribution of a common disease
C. Unusual antibiotic resistance pattern
D. Unusual geographic clustering of disease
E. Unusual route of exposure

Answer for yesterday’s Mind Teaser: D. Unusual geographic clustering of disease

Correct answers received from: Dr. V.P. Thakral, DR.A.K.GAJJAR, Dr. P. C. Das, Dr.K.Raju, Dr.K.V.Sarma, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, DR AVTAR KRISHAN, dr p j khalap, DR AJAY GANDHI.

Answer for 9th October Mind Teaser: B. Atopic dermatitis

Correct answers received from: Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, DR AVTAR KRISHAN, dr p j khalap.

Send your answer to ijcp12@gmail.com




medicolegal update

Click on the image to enlarge

medicolegal update

Gynecologist: A man who works and operates in another man’s field

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: Doctor, this patient has developed acute renal failure (ARF).
Reaction: Oh my God, I forgot that he was on furosemide. I gave him full dose of amikacin.
Lesson: Make sure, before calculating the dose of aminoglycoside (amikacin) that furosemide and other loop diuretics, which enhance its nephrotoxicity are not being given.

medicolegal update

A crust eaten in peace is better than a banquet partaken in anxiety. Aesop

medicolegal update

Dr KK Aggarwal: Dr K K Aggarwal: Relaxation during work http://bit.ly/15Lvpwx #Health

Dr Deepak Chopra: Are we alone in the universe? Take a quick trip through the cosmos as I explore this eternal question. #SAS13

medicolegal update

Dear Sir, eMedinewS is very inspirative. Regards: Dr Shagun

Forthcoming Events

20th Perfect Health Mela from 18th Oct to 22nd Oct at different locations

20th Perfect Health Mela from 23rd Oct to 27th Oct at Constitution Club of India

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medicolegal update



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