eMedinewS
11th October 2014, Saturday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and National Science Communication Awardee. Limca Book of Record Holder (CPR). Gold Medalist

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

Living close to major roadways

Living close to major roadways, such as freeways, freeway ramps, or heavily trafficked arterial roads, is associated with higher blood pressure, according to a new analysis published October 1, 2014 in the Journal of the American Heart Association.

The study is an analysis of the Women's Health Initiative and includes 5401 postmenopausal women living in the San Diego area. More than 40% had hypertension. People who lived within 100 m of any major roadway were 22% more likely to have hypertension than those who lived more than 1000 m from the road.

Prior studies suggest that residential proximity to major roadways is associated with increased risk of cardiovascular morbidity and mortality, according to lead investigator Kipruto Kirwa (Brown University School of Public Health, Providence, RI).

Endoscopes may pass on E. coli

An E. coli outbreak at an Illinois hospital in US was caused by endoscopes that had bacterial contamination despite being disinfected in the recommended way.

The outbreak occurred among patients who underwent procedures with duodenoscopes. "The complicated design of duodenoscopes makes cleaning difficult. It appears that these devices have the potential to remain contaminated with pathogenic bacteria even after recommended reprocessing is performed," Dr. Lauren Epstein, of the U.S. Centers for Disease Control and Prevention, and colleagues wrote in the study published in the Oct. 8 issue of the Journal of the American Medical Association. (MedLine Plus)

News Around The Globe

  • Among relatively young patients enrolled in a prospective study of schizophrenia spectrum disorders -- mean age 24 -- half were overweight or obese, nearly 60% had abnormal lipid levels, half had above-normal blood pressure or overt hypertension, and 13% met criteria for metabolic syndrome, reported Christoph U. Correll, MD, of North Shore-LIJ Health System in Glen Oaks, N.Y., and colleagues reports online in JAMA Psychiatry.
  • Five major U.S. airports will begin screening travelers entering the country from the three West African nations hit hardest by the ongoing Ebola epidemic, federal health officials announced Wednesday. These five airports receive 94 percent of the roughly 150 travelers who arrive daily in the United States from the West African nations of Guinea, Liberia and Sierra Leone, Dr. Tom Frieden, director of the U.S. Centers for Disease Control and Prevention, said during a news briefing.
  • A new publication, from the International Osteoporosis Foundation (IOF), entitled "Osteoporosis in men: Why change needs to happen," highlights the fact that the ability of men to have independent pain-free lives into old age is being seriously compromised by osteoporosis and that one-third of all hip fractures occur in men, with mortality of 37% in the year following fracture.
  • Two courses of antenatal corticosteroids can safely be administered to pregnant women with preterm premature rupture of membranes (PROM) without increasing the risk for neonatal sepsis, suggested an article published online October 6 in Obstetrics & Gynecology.
  • Patients with mild gallstone pancreatitis who were admitted to the surgery service went to the operating room sooner and had shorter hospital stays and lower hospital costs than those admitted to the medicine service, pointed a new retrospective study published online in the American Journal of Surgery.

Dr KK Spiritual Blog

Science behind Karva Chauth Fast

  • The fast is observed four days after Sharad Purnima and eight days after Dusshera.
  • It is a popular fast in Hinduism. It is observed by the married women for the well being of their husbands.
  • The fast builds relationship between the husband and wife and is often promoted on the theme “be faithful to your partner”
  • The fast is linked to Navratri. The benefits of doing mind body soul detoxification during Navratri are seen on health (Sharad Purnima), longevity (Karva Chauth), fertility (Ahoi Ashtami), wealth (Dhanteras) and inner happiness (Diwali).
  • The fast starts before sunrise and ends after worshipping the moon. On this day, married women wake up before sunrise and take bath and offer their usual prayers. They then consume food that helps in maintaining the fluid level of the body – milk, fruits, juice, tea or coffee.
  • Non-vegetarian food is avoided.
  • No food is consumed after sunrise.
  • The practice of “feast, fast and feast” is not health friendly.
  • Patients with diabetes and hypertension may need to reduce their dose of drugs. During fast the requirement may reduce by 40%.
  • Most patients with high blood pressure are advised to take their BP drug at night. The fast therefore will not affect the BP regimen timing.
  • One should avoid trans fat rich foods before or after the fast.
  • One should break the fast with light food only for getting the maximum spiritual benefit.
  • Moon is worshipped on both Sharad Purnima and Karva Chauth.
  • In Sharad Ritu, with predominant metabolism (Pitta) the importance of moon with cooling properties cannot be over emphasized.
  • Moon in mythology indicates positive thinking with cool mind.
  • Most pregnant ladies are asked to avoid fasting during pregnancy and if they do they are allowed to take fruits and liquids.
  • The difference between Karva Chauth fast and ekadashi fast is (in both water is not allowed) is that in Karva Chauth one is allowed to consume enough liquids early in the morning. Ekadashi Vrata aims at producing dehydration in the body so as to avert the mental side effects of water retention during full moon. In Karva Chauth, one is not required to dehydrate the body.

Inspirational Story

The Here and Now

The critical time for accomplishing anything is in the here and now. Every day is a day to dare to do my best. Each day provides opportunity for self–improvement/self–renewal. Today’s accomplishments, not yesterday’s or tomorrow’s, produce the most satisfaction as what I accomplish today can give me an immediate feeling of self confidence and direction.

The most important ingredient in future performance is present performance. The most difficult tasks are consummated, not by a single explosive burst of energy or effort, but by consistent daily application of the best I have within me.

Practice is an opportunity to improve my skills. Approach each practice with enthusiasm, as nothing great has ever been accomplished without it. Challenge myself mentally as well as physically and I will start to enjoy the price of success rather than pay for it. Desire… the "want to" is the extra which enables an athlete to take whatever ability he/she has and utilize it to the maximum. Total effort gives an athlete a special kind of victory… victory over himself/herself. I will make this the best day and the best practice ever.

Rabies News (Dr A K Gupta)

Can the IM and ID routes of vaccination be used interchangeably?

Many internationally reputed experts recommend that the phenomenon of mixing of IM and ID schedules is not to be practiced and must be avoided as far as possible.

Cardiology eMedinewS

  • The National Institute for Health and Care Excellence (NICE) has approved 2 tests to help rule out myocardial infarction (MI) in people who present to hospitals with angina and suspected acute coronary syndrome. The guidance recommends both the Elecsys troponin T high-sensitive assay and the ARCHITECT STAT high-sensitivity troponin I assay as biomarkers for MI.
  • A study from University of Leipzig Heart Center in Leipzig, Germany and published online in the Journal of the American College of Cardiology that used two-dimensional echocardiography to closely examine the hearts of 100 children and teens found physical and functional signs of future heart problems already developing in obese children. As a group, obese children also had a reduction in diastolic function, enlarged heart chambers signs of increased cardiac workload, and other unfavorable conditions.

Pediatrics eMedinewS

  • Though eating disorders such as anorexia and bulimia are typically associated with teenagers and young adults, researchers caution parents that children between 8 and 12 years old who are difficult eaters could have lurking psychological issues. The researchers presented their findings at the Eating Disorders Association of Canada conference in Vancouver.
  • Certain industrial chemicals commonly found in low levels in the environment can infiltrate the placenta during pregnancy and affect thyroid hormone activity in the placental tissue, suggests a new study. This could possibly affect cognitive development in infants. The study is published online October 9 in the Journal of Clinical Endocrinology and Metabolism.

Quote of the Day

  • Life has no limitations, except the ones you make. Les Brown

IMA NEWS

  • (TOI News) Delhi BJP president Satish Upadhyay on Thursday nominated nine prominent people, including former AAP leader Shazia Ilmi, from the capital for Prime Minister Narendra Modi's Swachh Bharat mission. The move is aimed at turning Modi's cleanliness drive into a "jan andolan (mass movement)", BJP workers say. Upadhyay has nominated wrestler Sushil Kumar, Delhi University vice-chancellor Dinesh Singh, Indian Medical Association Secretary (Elect) Dr K K Aggarwal, Kathak dancer Uma Shankar, Sirazuddin Qureshi who is president of Indian Islamic Centre, Praveen Khandelwal, general secretary of Confederation of All India Traders, DUSU president Mohit Nagar, DCM group managing director Vijay Bharat Ram and former AAP leader and social activist Shazia Ilmi for the campaign....." Introducing the people nominated by him, Upadhyay said, "We want more and more people to join the mission. I want these people to nominate nine people each and take the cause forward. We all have to work hard to make the PM's initiative a success." Apart from the nine nominees, there are several organizations and people who have assured support. Among them are chairman of Sulabh International Bindeshwar Pathak, singer and composer Shivani Kashyap, member of FI Ladies Organization Harjinder Kaur, United Residents of Delhi, PHD Chamber of Commerce, and artiste Ravindra who directed the video released by Delhi BJP.
  • Indian Express: “I was asked to be one of the nine nominees for the cleanliness campaign. When I asked them about what will be required of me and who were the other nominees, I was told that the likes of Uma Sharma and Padmashree K K Aggarwal and DU Vice-Chancellor Dinesh Singh will be a part of the event. Without any hesitation, I agreed,” Ilmi told Newsline
  • Tribune: Shazia Ilmi, who has resigned from the AAP, today shared the BJP platform for the Swachh Bharat Abhiyan. She is one of the nine prominent citizens of Delhi who have promised to participate in the campaign. Other participants are Sushil Kumar, Olympian; Prof Dinesh Singh, Vice-Chancellor of Delhi University; Dr K. K. Aggarwal, Secretary IMA; Dr Vinay Bharat Ram MD of DCM group; Uma Sharma, Kathak artist; Sirajuddin Qureshi, president, Indian Islamic Centre; Praveen Khandelwal, general secretary of CAIT; and Mohit Nagar, president, DUSU.
  • ISMA Times: On this occasion Pradesh President Satish Upadhyay introduced 9 prominent persons of Delhi to the media who have assured full participation in the Prime Minister’s Swachh Bharat Abhiyan at his request. Except Dr. Vinay Bharat Ram all the 8 prominent citizens were present in the press conference. Dr. Vinay Bharat Ram could not attend due to his prefixed engagements but his representative was present. These prominent persons are Sushil Kumar, Olympian, Prof. Dinesh Singh, Vice Chancellor, Delhi University, Dr. K.K. Aggarwal, Padmshree, Secretary IMA, Ms. Shazia Ilmi, Social Activist & Journalist, Dr. Vinay Bharat Ram, MD, DCM Group, Ms. Uma Sharma, Padam Bhushan, Kathak Artist, Sirazuddin Qureshi, President Indian Islamic Centre, Praveen Khandelwal, Gen. Sec., CAIT, Traders Leader, Mohit Nagar, President, DUSU. Upadhyay expressed his confidence that all the 9 nominated prominent citizens and other institutions that have supported us today shall create awareness in the society for this campaign honestly. Upadhyay told that the following persons and associations who have assured full cooperation in Swacch Bharat Abhiyan were also present in the press conference – Bindeshwar Pathak, Sulabh International, Ms. Shivani Kashyap, Famous Singer, Smt. Harjinder Kaur, Member FICCI (lady wing), United Residents of Delhi, a forum of 1248 RWAs. President- Jitendra Tyagi, Secretary- Saurav Gandhi, PHD Chamber of Commerce, Ravindra, Video Director.
  • DNA News: Ex-journalist and Aam Aadmi Party (AAP) member Shazia Ilmi, Indian Wrestling champion Sushil Kumar, Padma Bhushan Kathak Dancer Uma Sharma, Delhi Vice Chancellor, Dinesh Singh, Padmashree Dr K K Aggarwal are few of the eminent personalities from various walks of life who were present at an event organised by state Bhartiya Janata Party in Delhi to pledge their contribution to carry forward the mantle of Clean India Campaign.
  • Business Standard: RJD MP Rajesh Ranjan alias Pappu Yadav today announced to launch a "people's agitation" against doctors charging "exorbitant" fees and other charges from Monday to solve problems of common man. The agitation is fixed on October 13 at Saharsa, Yadav said addressing a dharna here.

Wellness Blog

Intermittent dosing of proton pump inhibitors for GI bleeding

The current recommendation is IV pantoprazole, esomeprazole, or omeprazole at a dose of 40 mg twice daily rather than a high-dose continuous infusion.

Evidence

Treatment with proton pump inhibitors (PPIs) leads to elevation of gastric pH levels, which stabilizes blood clots and improves clinical outcomes.

PPIs are recommended for all patients with peptic ulcer bleeding. High-dose continuous IV PPI has traditionally been recommended for patients presenting with upper gastrointestinal bleeding.

Several meta-analyses of randomized trials have failed to show superior outcomes with high-dose continuous IV proton pump administration compared with intermittent dosing (e.g., 40 mg IV twice daily).

Intermittent dosing could lead to decreased resource utilization and cost.

In the most recent meta-analysis, published in JAMA Intern Med 2014, intermittent dosing was not inferior to high-dose continuous infusions with regard to rebleeding, mortality, need for surgery or repeat intervention, or the need for urgent intervention in patients with peptic ulcers with high-risk stigmata (active bleeding, adherent clot, or a visible vessel). There was also a trend toward a decreased risk of rebleeding with intermittent dosing (Source Up to date).

ePress Release

Sitting over 3 hours a day may reduce life expectancy

One should not sit for more than 2 hours in a day, said 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.

Quoting a study published in BMJ, Dr Aggarwal said that sitting for three hours per day or longer may reduce an individual's life expectancy. The study calculated that limiting the time that people spend sitting to 3 hours or fewer each day would increase the life expectancy of the population by two years. Cutting down TV watching to fewer than two hours each day would bump life expectancy up by another 1.4 years.

When you are sitting, your leg muscles (the largest in the body) are completely inactive, which causes problems with how you handle your blood sugar and how you handle cholesterol.

eMedi Quiz

Which of the following is a basic teledermatology tool?

a. Videoconference
b. Hybrid teledermatology
c. Store-and-forward teledermatology
d. Mobile teledermatology

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 ionization 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 Jainendra Upadhyay, Dr K V Sarma, Dr Avtar Krishan.

Answer for 9th Oct Mind Teaser: d. It does not serve as a cutaneous marker of underlying immune status.

Correct answers received from: Dr Poonam Chablani.

Send your answer to email

emedipicstoday emedipics

Health Check Up and CPR 10 Camp at N P CO-ED Sr Sec School, Laxmi Bai Nagar on 28th August 2014

mela_brochure
Self-Assessment-Quiz

 

expert_choice
Zee News – Health Wealth Shows

Alcohol

press release

Rhinitis medicamentosa

video of day video of day

Other Blogs

Video Library

MTNL Perfect Health Mela

Heart Care Foundation of India, a leading national non–profit organization committed to making India a healthier and disease-free nation announced the upcoming activities of the 21st MTNL Perfect Health Mela scheduled to be held from 15th – 19th October 2014 at the Talkatora Indoor Stadium in New Delhi.

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 +91 9958771177 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

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)

 

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 :

 

Dr Good and Dr Bad

Situation: A patient with laryngopharyngeal reflux was not responding.
Dr. Bad: Increase the drugs.
Dr. Good: What diet do you take?
Lesson: Foods and beverages containing caffeine (coffee, tea, sodas, etc), alcohol, chocolate and peppermints weaken the protective esophageal sphincters that normally hold stomach contents in the stomach and esophagus.

Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia with 11 units of insulin.
Reaction: Oh my God! Why was additional insulin given?
Lesson: Make sure that the insulin dose is correctly calculated. The formula is 1500/total daily dose. The value will be the amount of sugar fluctuation with one unit of insulin.

eMedinewS Humor

Medical Records

The following are actual medical records (supposedly) taken from patients' actual medical charts...

  • I saw your patient today, who is still under our car for physical therapy.
  • The patient lives at home with his mother, father, and pet turtle, who is presently enrolled in day care three times a week.
  • She is numb from her toes down.
  • While in the emergency room, she was examined, X-rated and sent home.
  • The lab test indicated abnormal lover function.
  • Occasional, constant, infrequent headaches.
  • Patient was alert and unresponsive.
  • When she fainted, her eyes rolled around the room.

Twitter of the Day

Dr KK Aggarwal: Longer the waist line shorter the brain size
Dr Deepak Chopra: What is the actual purpose of the ego?

medicolegal update

(Dr. K K Aggarwal, Padma Shri and Dr. B C Roy National Awardee; Editor eMedinewS and President Heart Care Foundation of India)

Choosing the best option in the judgment of the doctor is not medical negligence?

In the case of Charan Singh vs Healing Touch Hospital And Ors on 24 April, 2003 (III(2003) CPJ 62 (NC)), the National Consumer Disputes Redressal Commission observed “it is a settled law when two choices are available, exercise of one, which is the best in the judgment of the doctor and anything else is available to contradict this, doctor in such circumstances cannot be held negligent.

medicolegal update
  1. Thanks, but issue sounds diverse, IMA is working, but it is unrecognizable. Hence, people demand 3rd party intervention. GoG has also issued circular to class1 to 4 for relief work at Kashmir. The safety of both doctors and patients matter. This is not to disappoint IMA but to RECOGNISE its efforts to solve the crisis. Dr Prashant Tanna

eMedinewS Special

1. IJCP’s ejournals (This may take a few minues to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)