eMedinewS 11th July 2013, Thursday

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

Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); National Vice President Elect Elect, Indian Medical Association; 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at
www.twitter.com/DrKKAggarwal
www.facebook.com/Dr KKAggarwal

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 10x10 i.e. 100 per minute.”



VIP's on CPR 10 Mantra Video


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Ringtone - CPR 10 Mantra Hindi

Ringtone - CPR 10 Mantra English

From the Desk of Editor in Chief

Pioglitazone ban is controversial

Doctors in India have shown their concern following unexpected decision by the Government to suspend the sales of pioglitazone (pio) . The Government suspended the manufacture, sale and distribution of pio at the end of June citing the concerns for adverse effects, particularly, bladder cancer according to a report published in BMJ. The doctors in the country feel that it should not have been banned.

In fact, unless a drug comes into the category of poison, no drug should be banned only because of some side effects.

In US the drug is still available with some warning. In France, it was banned three years ago and in Germany it has been suspended sales only for the new patients. In no other country it is banned. Banning is always based in any country only on the basis of the data of that country. In India, there are no reports that use of pio has caused bladder cancer. ...Read More

Adolescent pregnancy

This year’s World Population Day theme is Adolescent Pregnancy.

There was a time when the news of teenage pregnancy was a shocking one in our country, however, the trend has changed. The new trend is too alarming but not surprising.

The factors in India are poverty, lack of education, disintegration of joint families, peer pressure and media exposure. Such incidents are much higher in villages than in cities.

In one Indian study from Banaras published in Indian Journal of Pediatrics 2007, teenage pregnancy was associated with significantly higher risk of pregnancy induced hypertension, pre-eclemptic toxemia, eclampsia, premature onset of labour, fetal deaths and premature delivery.  Increased neonatal morbidity and mortality were also seen in babies delivered to teenage girls.. ...Read More

sprritual blog Meaning of Birthday

On the day of your birth, we should file our Vedic returns of good and bad we have done in the last one year. We are borne with both Sanchit Karma and Prarabdha Karmas.

Prarabdha Karma are the part of sanchit karma, a collection of past karmas, which are ready to be experienced through the present body. We have to bear the fruits of Prarabdha Karmas while Sanchit Karmas can be negated with our positive present and future Karmas.

We must also make a balance sheet of our three debts and pay them if not paid by this time and they are Dev Rin (God who gave us the birth), Petra Rin (Parents who gave us the body) and Rishi Rin (Teachers who gave us the education) On our birth, we must re-calculate our age as 100 minus age left or we must redefine our age by saying I am 18 years old with so many years of experience.

On our birthday, we should instead of extinguishing a lamp we should light a lamp. Out of our Vedic earnings we must give tax of 30% to the God, that means if you have got a positive earnings by 100 happiness, you must pass happiness to 32 others. ...Read More

cardiology news
pediatrics news
wellness blog

Sangat and smoking

Sewa, Simran and Sangat are the three principles of life according to most Vedic literature. Even Adi Shankaracharya ...Read More

cmaao

Alcohol and rape facts

  • Alcohol use contributes to the occurrence of date and acquaintance rape
  • Alcohol consumption by the perpetrator, victim, or both, is estimated to be involved in approximately one-half of sexual assaults among adolescents and young adults.
  • Read More
press release

Strenuous exercise may increase risk of cardiac disorder

eheartcarenews

TV and Radio Coverage

29th June: Live in pearl NCR News
29th June: Live in Zee News
01 July: Live p7 on Monsoon Disorders
02 July: Live Sahara up on floods

CPR VIP Sensitization (Dr K K Aggarwal)

3rd July: Dharmender Kumar special commissioner crime police

Add ECG when screening school children

Quoting a pilot study published in the American Heart Journal, Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal and President, Heart Care Foundation of India and Perfect Health Mela. said that the study has shown that one should screen all healthy children and adolescents with an ECG to detect undiagnosed heart conditions that increase the risk of sudden cardiac arrest.

The current American Heart Association guidelines recommend screening only competitive athletes, not all children, with an additional ECG. Only in Italy and Japan there is compulsory screening of all athletes or ...Read More

News Around The Globe

Dr. KK’s CME Group

Dr. KK’s CME Group is organizing a CME with Dr. KK Aggarwal on Sunday, 14th July, 2013 at Moolchand Medcity from 8-10 am. The topic for the CME will be “How to handle common poisoning in India”. You are requested to kindly attend the CME. With kind regards, Dr. Pawan gupta, CME Co-ordinator.

  1. An analysis of trials including nearly a quarter of a million people confirmed that statins as a class are well tolerated, although safety profiles vary from agent to agent. Statin therapy was associated with increased odds of diabetes and elevations of liver enzymes compared with placebo, but there were no differences in development of myalgia or cancer, elevations in creatine kinase, or discontinuations because of adverse events, according to Huseyin Naci, MHS, of the London School of Economics and Political Science, and colleagues. When comparing individual statins, simvastatin and pravastatin appeared to have the best safety profiles, and because of that they "should be favored in clinical practice," the investigators reported online in Circulation: Cardiovascular Quality and Outcomes. (MedPage)
  2. Whether your patient is 6 or 60, brain-stimulating activities may help preserve memory, a study of nearly 300 individuals found. In an adjusted mixed-effects model, more frequent late-life and early-life cognitive activities were each associated with slower cognitive decline (P<0.001 and P=0.008 respectively), Robert S. Wilson, PhD, of Rush University Medical Center in Chicago, and colleagues reported in Neurology.
  3. On any given day, some 80,000 patients in Europe are fighting an infection they picked up in hospital, often while in intensive care, the EU's disease monitoring agency said. Although some of these infections can be treated easily, others - like the superbug MRSA and other drug-resistant bugs - can be fatal or affect patients' health very seriously, taking several months of costly hospital care and medication to beat. A survey by the European Centre for Diseases Prevention and Control (ECDC) found that on any given day, one in 18 patients in European hospitals has at least one hospital-acquired infection - amounting to around 3.2 million patients per year.
  4. Modified Early Warning Scores (MEWS) may predict which patients may be safely allowed to sleep through the night without a check of vital signs, suggests a research letter published July 1 in JAMA Internal Medicine.
  5. Contrary to current recommendations, creating a fistula may not be superior to placing an arteriovenous graft (AVGs) in patients over 80 who will be needing hemodialysis, according to results from the US Renal Data System (USRDS).
  6. AMA has declared diabetes as a disease
  7. In middle-aged subjects with no apparent heart disease, all measures of increased HR were associated with increased mortality and CV risk. However, night-time HR was the only parameter with prognostic importance after multivariable adjustment (Eur Heart J 2013;34(23):1732-1739).
  8. The Maharashtra Medical Council in its executive committee meeting has unanimously passed a resolution against the existing MR government gazette notifications as also proposed notifications allowing AYUSH practitioners to prescribe and treat using allopathic drugs. The MMC has categorically refused to register non-MBBS doctors in their state registry. The said resolution would be sent to MCI and MOH in the coming week.

eMedipics

today emedipics

Doctor Day Celebration

On the occasion of Doctors Day, a CME was organized by IMANDB, eMedinewS and Heart Care Foundation of India on 29th June 2013 at IIC, New Delhi

Valvular Heart Disease Update

When should aortic valve replacement be done?

Aortic valve replacement should be performed in essentially all patients with symptomatic aortic stenosis. Surgery in such patients is associated with marked reductions in symptoms and subsequent mortality.

(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)

Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What is endometriosis?

Endometriosis is a common condition that affects women during the reproductive years. It occurs when normal tissue from the uterine lining, the endometrium, attaches to organs in the pelvis and begins to grow. This displaced endometrial tissue causes irritation in the pelvis that may lead to pain and infertility.

Rabies Update (Dr. A K Gupta)

Should modern rabies vaccines meant for use in man be given to animals?

It is advisable to use human vaccines for human use and use the veterinary vaccines for animals.

medicolegal update

(Dr. M C Gupta, Advocate & Medico-legal Consultant)

Q. What are your comments regarding the Maharashtra government gazette notification allowing Ayurveda practitioners to practice modern medicine?

Ans.

  1. The notification that you are Read More
ijcp book of medical records
medicolegal update

How should you defend yourself on the charge of doing an unnecessary treadmill test in a case with atypical chest pain?

A: In a Supreme Court Judgment Martin F. D'Souza vs Mohd Ishfaq (3541 of 2002) dated 17.02.2009, Justice Markandey Katju and G S Singhvi enlisted precautions which doctor/Hospitals/Nursing Homes . Read More

dr good dr bad

Situation: Doctor, do I need further testing as my serum TSH is normal.
Dr. Bad: You still need a free T4 test.
Dr. Good: No further testing is required.
Lesson: If serum TSH is normal no further testing is performed. In a young woman with amenorrhea and fatigue, free T4 is needed, but that should be ordered along with TSH as a screening test.

make sure

Situation: A patient with pyogenic meningitis developed complications.
Reaction: Oh My God! Why were antibiotics not given when the meningitis was suspected?
Lesson: Make sure that first dose of antibiotics is given at the time meningitis is suspected.

quote of the day

Dreams are illustrations... from the book your soul is writing about you. Marsha Norman

twitter of the day

Dr KK Aggarwal: Beware of Monsoon Disorders By Dr k k Aggarwal
http://bit.ly/14JxRjo #Health

Dr Deepak Chopra: Can the truth come back? My article was written for SF Gate
http://bit.ly/14JxRjo #Health

emedinews humor

Anna, 6 years old, gets home from school. She just had her first family planning lesson at school.

Her mother, very interested, asks, “How did it go?"

"I died of shame!" She answers!

"Why?" Her Mother asked. Read More

reader response

Dear Sir, you are doing wonderful Job for us via emedinews. Thanks to you and your team. Regards: Dr SP Shukla

An Inspirational Story

The Gardener and his Garden

There was once an earnest gardener who loved his work and his produce. One day he was walking through his delightful garden and happened to notice a weed. The gardener was particularly tired so he decided to leave it.

The next day he had to leave to visit his relatives in another country for two weeks. When he came back, the back yard was covered in weeds and all his produce was dead!

Likewise, if we allow just one bad thought in our head and fail to remove it, it will sprout and instead of having to pick one weed, we will have too much to control. ............Read More

eMedi Quiz

Read this…………………

Nurse Wayne is aware that which finding would be least suggestive of necrotizing enterocolitis (NEC) in an infant?

a. Hepatomegaly
b. Distended abdomen
c. Gastric retention
d. Blood in the stool

Yesterday’s Mind Teaser: When developing a postoperative plan of care for an infant scheduled for cleft lip repair, nurse Elaine should assign highest priority to which intervention?

a. Comforting the child as quickly as possible
b. Maintaining the child in a prone position
c. Restraining the child’s arms at all times, using elbow restraints
d. Avoiding disturbing any crusts that form on the suture line

Answer for yesterday’s Mind Teaser: a. Comforting the child as quickly as possible

Correct answers received from: DR.BITAAN SEN & DR.JAYASHREE SEN, Dr. Sushma Chawla, DR HUSAINALI VAKIL, DR SANTHAKUMARI, Dr. B.B. Gupta, rajeev ardey, Narahari Kandakatla, Dr. V.P. Thakral, Dr.K.V.Sarma, Kanta Jain, Dr Pankaj Agarwal, Dr.K.Raju, Dr Jainendra Upadhyay, Dr Valluri Ramarao, Muthumperumal Thirumalpillai, Dr B K Agarwal,

Answer for 8th July Mind Teaser: a. A sunken fontanel

Correct answers received from: daivadheenam jella, pushpa otiv, Dr B K Agarwal

Send your answer to ijcp12@gmail.com

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Forthcoming Events



2nd annual Ped Neuro Conclave

Sunday, 25th August 2013.
This is an annual event hosted jointly by Fortis Escorts Hospital and IAP Jaipur. This conference is held every year and is attended by more than 200 delegates, which include Neurologists, Pediatricians, GPs and resident doctors from all over Rajasthan. Senior faculty from different institutes all over India and abroad participates and shares their knowledge and experience with the audience.

The eminent faculty includes
Dr. Pratibha Singhi, Head Pediatric Neurology, PGI – Chandigarh
Dr R K Sabharwal, Head Pediatric Neurology, Sir Ganga Ram Hospital, New Delhi
Dr. Vineet Bhushan Gupta, Sr Consultant Pediatric Neurologist, Apollo Hospital, New Delhi;
Dr Deepak Gupta, Sr Consultant Paediatric Psychiatrist, Sir Ganga Ram Hospital, New Delhi.
Venue: Jaipur Marriott Hotel
Date: Sunday, 25 August 2013 (0900-1700)
Organizing Secretary: Dr Sharad Sharma, MD (PGI), MRCPCH (UK), Fellow Pediatric Neurology (London)
Senior Consultant Pediatric Neurology, Fortis Hospital, Jaipur, Rajasthan

Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Name
Date
Time
Place
Duration
Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

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