Padma Shri and Dr B C Roy National Awardee
|Health Videos …|
11th December 2012, Tuesday
Add Fluid to Prevent Contrast Kidney Damage
Renal complications caused by contrast dye can be reduced in at-risk patients by using a sliding scale of fluid volume expansion in individuals undergoing PCI, reports Somjot Brar, MD, MPH, of the University of California, Los Angeles at the 2012 Transcatheter Cardiovascular Therapeutics meeting at Miami, USA.
The sliding-scale for hydration calls for additional hydration for at-risk individuals. They are with a glomerular filtration rate (GFR) < 60, diabetes, age >75, hypertension or a history of congestive heart failure.
The hydration schedule is guided by the left ventricular end diastolic pressure.
Hydration at that level is continued for all patients until 4 hours post procedure.
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Dr KK Aggarwal
Group Editor in Chief
Start bulk laxatives (e.g., psyllium) or osmotic laxatives as the first line of therapy in older patients with chronic constipation who do not respond to dietary and lifestyle modification.
Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal on
FDA panel recommends first drug for HIV prevention
19th MTNL Perfect Health Mela 2012
Large number of students took active participation in the 19th MTNL Perfect Health Mela
Dear Colleague, Let’s celebrate New Year by learning CPR-10 and saving the life of a person
Watch English or Hindi Video @http://emedinews.in/videos/cpr/index.html
Dr K K Aggarwal
Medical colleges plan massive tree plantation drive
BHUBANESWAR: Medical colleges in the state seem to be bitten by the green bug. College authorities of SCB and VSS medical colleges in Cuttack and Burla are planning to paint the campus green by embarking on a massive tree planting drive on the college premises. The Burla medical college in Sambalpur district, one of the premier colleges and hospitals in the state, is the most sought after by patients from 10 western Odisha districts with nearly 2000 people visiting the hospital every day. However, the college was yet to have a good green cover. "In order to make the campus look green, we have sought the help of State Bank of India (SBI), which will provide us saplings, to be planted in vacant space on the campus. Initially, there were a few trees but as the campus was gradually extended the trees were uprooted," said Santosh Behera, principal, VSS Medical College. The college staff, along with first year students, will be engaged in the plantation drive, Behera said. "We are planning to plant around 500 trees. We will also seek the help of the forest department for maintenance of the trees," said the principal. Students are showing great enthusiasm for the plantation drive, he added.
SCB Medical College and Hospital in Cuttack has similar plans. "We are planning a massive plantation on the college campus, not only for beautification, but also to ensure an oxygenated environment for patients," said Prakash¬¬ Mahapatra, principal of the medical college. "There are already many trees on both sides of the road leading to the college campus. However, there are still many vacant spaces, which have been identified for plantation. We have asked the Cuttack Municipal Corporation (CMC) and the forest department to supply us with saplings of trees and also to help in the plantation," said the principal. SCB students have been asked to devote time for planting trees as well as maintaining them subsequently. "This year, our main motto will be to keep the campus environment-friendly by planting fast growing trees in front of a few departments, which have no trees at all. In the drive, the students of a particular department, as well as the faculty members, will be involved," said the principal. Deemed as the best government referral hospital in the state, SCB witnesses a rush of about 3000 patients an any given day, he said. (Source: TOI, Dec 10, 2012)
Medical mistakes in Indian movies
Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:
Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.
Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: email@example.com
Direct thrombin inhibitors, such as dabigatran, should not be considered an alternative to therapy with warfarin in patients with prosthetic heart valves.
(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)
For comments and archives
(Contributed by Dr Monica and Brahm Vasudev)
Polycythemia vera better with low hematocrit
Maintaining patients with polycythemia vera at hematocrit levels below 45% reduced thrombotic complications without increasing rates of other serious adverse events compared with a higher hematocrit target, researchers said at the American Society of Hematology's annual meeting. (Source: Medpage Today)
Worst hematologic malignancy treated without chemotherapy
"Groundbreaking research" presented today at a plenary session of the American Society of Hematology (ASH) 54th Annual Meeting shows that acute promyelocytic leukemia (APL) can be treated without chemotherapy. Instead, it was treated with a combination of all-trans retinoic acid (ATRA) and arsenic trioxide (ATO), compounds that have long been used in traditional Chinese medicine. (Source: Medscape)
FDA panel gives thumbs down to opioid
An FDA advisory committee voted 11-2 on Friday against recommending approval of a single-entity hydrocodone product, raising questions about its abuse potential as a member of a drug class with a history of problems. (Source: Medpage Today)
Crowded EDs associated with higher risk for inpatient death
Patients admitted to hospitals via crowded emergency departments (EDs) may be more likely to die in the hospital than similar patients admitted during slow periods, according to a study published online December 5 in the Annals of Emergency Medicine. Findings also suggest that ED crowding is associated with a slight increase in length of stay and a 1% cost increase. (Source: Medscape)
@DrKKAggarwal: Controlling diabetes and high blood pressure can prevent kidney disease Uncontrolled high blood pressure and... http://fb.me/WlBXAIAE
@DeepakChopra: What is consciousness? http://youtu.be/w1ku2O_E4MM
(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinews)
The vast power of the Spirit
“Om Poornamadah Poornamidam
The whole is whole; if you take away the whole away from the whole the whole will still remain. (That is infinite, this is infinite, from the infinite, the infinite has come out. Having taken the infinite out of the infinite, the infinite alone remains).
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What can one do to reduce my stress?
Talk to your partner.
(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)
What about Rh-positive and Rh-negative?
A patient with Rh–negative blood cannot be given Rh–positive blood as the antigen-antibody reactions will result in severe consequences.
Women who are Rh-negative with their husbands being Rh–positive, the first child with Rh–positive may be normal; she may subsequently not conceive or may have repeated abortions. There may be intrauterine fetal death. If the child born is alive, it will suffer from a fatal disease called "erythroblastosis fetalis." Now mothers can be given an injection of anti–D within 24 hours of the delivery of an Rh–positive child and thus protect the next baby from this catastrophe.
For Comments and archives…
The meal pattern that would probably be most appropriate for a client recovering from GI bleeding is:
A. Three large meals large enough to supply adequate energy.
B. Regular meals and snacks to limit gastric discomfort
C. Limited food and fluid intake when he has pain
D. A flexible plan according to his appetite
Yesterday’s Mind Teaser: Immediately after cholecystectomy, the nursing action that should assume the highest priority is:
A. encouraging the client to take adequate deep breaths by mouth
B. encouraging the client to cough and deep breathe
C. changing the dressing at least BID
D. irrigate the T-tube frequently
Answer for Yesterday’s Mind Teaser: B. Encouraging the client to cough and deep breathe
Correct answers received from: Dr K V Sarma, Dr PC Das, Dr Bharat Bhushan Aggarwal, Jaya Lakshmi, Dr Arpan Gandhi, Dr Jainendra Upadhyay, Dr Avtar Krishan, Dr Uma Gaur, Rameshwar Prasad, Dr PC Das, Abhay Singh Deora, Dr Chandresh Jardosh.
Answer for 9th December Mind Teaser: A) Gnawing, dull, aching, hunger like pain in the epigastric area that is relieved by food intake
Correct answers received from: Dr KV Sarma, Archna Parwani, Dr Taiyab Saherwala, Dr Jainendra Upadhyay, Dr Avtar Krishan, Dr Pankaj Agarwal, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai,
Dr Thakor Hitendrsinh G, Dr (Maj. Gen.) Anil Bairaria.
Send your answer to firstname.lastname@example.org
Sudden Death Final
A man had tickets to Game Seven of the Stanley Cup Final right at center ice. As he sits down, a man comes down and asks if anyone is sitting in the seat next to him.
"No," he says. "The seat is empty."
"This is incredible" said the man. "Who in their right mind would have a seat like this for the Stanley Cup and not use it?"
"Well, actually," the man responds, "the seat belongs to me. I was supposed to come with my wife, but she passed away. This is the first Stanley Cup we haven't been to together since we got married in 1967."
"Oh, I'm sorry to hear that. That's terrible. But couldn't you find someone, a friend or relative, or even a neighbor to take the seat?"
The man shakes his head, "No, no one. They're all at the funeral."
(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)
Phenol poisoning is known as carbolism
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(Press Release for use by the newspapers)
Fluctuating blood pressure more harmful
In the elderly persons with high blood pressure further fluctuations and spikes in blood pressure readings can affect their ability to think clearly and other cognitive functions, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.
As per a North Carolina State University study, in people whose systolic blood pressure is 130 mm Hg or higher, the cognitive functions gets impaired on days when their blood pressure spikes and fluctuates. On the other hand, in people with normal blood pressure, the cognitive functions do not get impaired if their blood pressure spikes or fluctuates.
Several studies in the past have found a link between high blood pressure and dementia, which is marked by a loss of memory and other cognitive abilities, including the ability to speak, identify objects or think abstractly. In another study it was found that treating high blood pressure in the very elderly may help reduce their risk of developing dementia.
The carry home message is that if you have blood pressure that wildly fluctuates and you also have underlying high blood pressure, you might be in double trouble for poorer cognitive functioning.
4th eMedinews Revisiting 2012
(a day long single hall medical conference on 2012 happenings, followed by doctors of the year 2012 awards)
Sunday 20th January 2013, Maulana Azad Medical College Auditorium
Dilli Gate Delhi
Dr KK Aggarwal
Dr Veena Aggarwal
Dr Pawan Gupta
4th eMedinewS Revisiting 2012
The 4th eMedinewS–revisiting 2012 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 20th 2013.
The one–day conference will revisit and discuss all the major advances in medicine in the year 2012. There will also be a live webcast of the event. An eminent faculty will speak at the conference.
There is no registration fee. All delegates will get Registration Kit, Attractive gifts, Certificates. Morning snacks and lunch will be provided.
Register at: www.emedinews.in/
4th eMedinewS Doctor of the Year Awards
Nominations invited for 4th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2012.
pls send his/her Biodata at: email@example.com
1. IJCP’s ejournals (This may take a few minutes to open)
Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (firstname.lastname@example.org), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (email@example.com), Dr Navin Dang, Dr Pawan Gupta(firstname.lastname@example.org), Dr Parveen Bhatia, (email@example.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta