eMedinewS 12th July 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; Chairman Ethical Committee Delhi Medical Council; Editor in Chief IJCP Group, National Vice President Elect, Indian Medical Association; 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

Make infants to sleep supine

Nearly half of infants examined in one Canadian city showed signs of positional plagiocephaly (flattened head), more than would have been expected from most previous studies.

Of the 440 infants between 7 and 12 weeks of age (mean 9.7) examined at four clinics around the city of Calgary, Aberta, 204 exhibited some signs of plagiocephaly, with most showing mild symptoms, reported Aliyah Mawji, RN, PhD, of Mount Royal University in Calgary and colleagues. On that basis, the researchers calculated the rate of the condition among 7- to 12-week-old infants at 46.6%, according to their report in Pediatrics vastly higher than four earlier prevalence estimates that had found rates of 3.1% to 16.0%.

The estimated high incidence of positional plagiocephaly may relate to recommendations that healthy infants be placed in the supine position for sleep to reduce the incidence of SIDS. ...Read More

Cheerful people less likely to have CAD

Positive well-being is associated with nearly a one-third reduction in heart disease in a high-risk population with a positive family history and a 13% reduction in incident heart disease in a national probability sample, Lisa R. Yanek, MPH, of the Johns Hopkins University School of Medicine reported in the American Journal of Cardiology.

In the past, negative psychological states and diagnoses such as depression and anxiety have long been found to be predictive of poor cardiovascular outcomes.

In the study positive well-being was measured using the General Well-Being Schedule (GWBS) and predicted heart disease incidence in 1,483 siblings of people who had coronary events before the age of 60.

The researchers classified the siblings into high-, intermediate-, and low-risk strata according to the Framingham risk score and followed them for 5 to 25 years. Over a mean follow-up period of 12 years, the siblings experienced 208 coronary events, including myocardial infarction, sudden cardiac death, acute coronary syndrome, and the need for revascularization procedures.

Results showed that the 1275 siblings who did not have a coronary event had a mean GWBS score of 75.0 points versus 69.7 points for the 208 siblings who did have an event.

Looked at another way, siblings with greater baseline GWBS scores were 33% less likely to develop heart disease, independent of age, gender, race, and traditional risk factors.

Protection was strongest in siblings in the high Framingham risk score stratum: Those with higher GWBS scores were 48% less likely to develop heart disease than those with lower scores.

The researchers then repeated the study, using a sample of 5,992 people from the general population who participated in the first National Health and Nutrition Examination Survey (NHANES). In this group, those with higher GWBS scores were 13% less likely to have a coronary event than those with lower scores. (Source: MedPage Today, Dr Sanjay Gupta) ...Read More

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
eMedinewS
Ringtone - CPR 10 Mantra Hindi

Ringtone - CPR 10 Mantra English

sprritual blog Are we born as humans each time we die?

As per Vedic sciences, Hindu philosophy believes in rebirth unless your Sanchit and Prarabdha Karmas are totally exhausted.

It also believes in liberation in which once your past karma’s debt is over, you do not take a rebirth.

Garuda Purana on the other hand says that you can take a birth in animal species which means you can be born like a donkey or a dog. While Vedic science says that once you get a human body, you will either be liberated or get another human body only.

The message from the Garuda Puran can be read and interpreted in a different perspective. In mythology humans are linked to animal tendencies. For example, bull is linked to sexual and non-sexual desires, peacock to vanity etc. Probably, people who wrote Garuda Purana meant that if you do not live according to the Shastras, you will end up in getting another human body but with animal tendencies and behavior. ...Read More
 

cardiology news

MBA and the fisherman

An American businessman was at a pier in a small coastal Mexican village when a small boat with just one fisherman docked. Inside the small boat were several large yellow–fin tuna. The American complimented the Mexican on the quality of his fish and asked how long it took to catch them.

The Mexican replied only a little while.

The American then asked why didn’t he stay out longer and catch ............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 poisonings in India”.

You are requested to kindly attend the CME.

With kind regards, Dr. Pawan Gupta, CME Co-ordinator

In a work published online in the journal PNAS, researchers at the Instituto de Medicina Molecular (IMM), in Lisbon, Portugal, have discovered a new class of highly potent antimalarial compounds. These compounds, referred to as Torins, were originally developed by researchers in the Boston, MA to inhibit a key human protein involved in cell growth, mTOR, and have been shown to be effective anticancer agents in rodent models. In research performed by Dr. Kirsten Hanson in the laboratory of Dr. Maria Mota, the IMM team and their collaborators have discovered that Torins are extremely effective multistage antimalarials; Torins appear to have a novel activity against the Plasmodium parasites themselves, distinct from both currently used malaria therapeutics and from their ability to target human mTOR.

National News

  1. Men who took soy supplements after having their prostate cancer removed were just as likely to see their cancer return as men who didn't take soy. In a new study published in the Journal of the American Medical Association, Bosland and his colleagues randomly assigned 177 men who'd had their cancerous prostates surgically removed less than four months earlier to drink either a soy or placebo beverage every day for up to two years between July 1997 and May 2010.
  2. Modest reductions in air pollution could prevent almost 8000 hospitalizations for heart failure and save hundreds of millions of healthcare dollars in the US alone said Dr Anoop SV Shah and colleagues (University of Edinburgh, Scotland) in the Lancet.
  3. For patients with diabetes, the use of the angiotensin-receptor blockers (ARBs) telmisartan and valsartan are both associated with a significantly lower risk of macrovascular disease compared with irbesartan, a large, retrospective study suggests. In the analysis, the use of telmisartan and valsartan lowered the risk of hospital admission for MI, stroke, or heart failure by 15% and 14%, respectively. In contrast, the use of losartan or candesartan did not significantly reduce the risk of cardiovascular events in the diabetic patients say Dr Tony Antoniou (St Michael's Hospital, Toronto, ON) and colleagues in their report, published online July 8, 2013 in CMAJ.
  4. Restricting work shifts for postgraduate year one residents to 16 hours appears to have reduced the operative experience of general surgery interns. Compared with the four academic years before the change, the year immediately following the restriction saw significant declines in total operative cases (by 25.8%), major cases (by 31.8%), and first-assistant cases (by 46.3%) performed by the interns (P=0.008 for all), according to Christian de Virgilio, MD, of Harbor-University of California Los Angeles Medical Center, and colleagues. The drops were seen across most types of surgery, the researchers reported online in JAMA Surgery. (Source: MedPage)
  5. Atrial fibrillation (Afib) is associated with brain lesions indicating silent cerebral ischemia, similar to its link with symptomatic stroke, a study showed. (Source: Medpage Today)
  6. A study published online July 11 in The Lancet that includes 2 cohorts of nonagenarians born 10 years apart suggests cognitive ability and daily function in the oldest old may be improving. The study is. (Source: Medscape)
  7. It may be possible to triage chest pain patients based on levels of DNA particles in the blood, a cross-sectional study suggested. (Source: Medpage Today)
  8. Topical cyclosporine relieves the symptoms of allergic conjunctivitis and may help patients reduce their dependency on steroids, according to a new meta-analysis published online June 4 in Ophthalmology. (Source: Medscape)

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

How does contraception work?

Contraceptive agents are usually divided into those that are either hormonal or non hormonal. Most of the hormonal contraceptives work by changing a woman's hormone levels to mimic a pregnancy, therefore preventing eggs from being able to be released from the ovary. In contrast, non hormonal contraceptive agents or devices work by preventing a man's sperm from joining a woman's egg.

Rabies News (Dr. A K Gupta)

An unvaccinated or partially vaccinated pet dog or cat is bitten by a stray dog. What should be done?

If an unvaccinated or partially vaccinated pet dog or cat is bitten by a stray dog, wounds should be thoroughly washed with water and povidone iodine should be applied. If the stray dog is suspected to be rabid, then the pet dog should be put to sleep (Euthanasia). But if the owner is not ready or the rabid status of the stray dog is not known, post-exposure vaccination of the pet with cell culture vaccine and simultaneous careful observation of the pet are recommended for up to 2 months (up to six months is desirable) for possible signs of rabies in the pet. During this period for any sickness in dog, the owner should take the dog to the veterinarian to get rabies ruled out at the first instance. It should be noted that post-exposure vaccination is not very successful in dogs. Simultaneously, pre-exposure vaccination of all household members is necessary.

cardiology news

Chest Pain Patients Could Get Quick DNA Test for Heart Problems

Testing fragments of DNA in the blood may be a fast way to find out if a patient’s chest pain is due to coronary artery disease according to a new US-led study published online this week in the journal Arteriosclerosis, Thrombosis, and Vascular Biology. When patients complain of chest pain, they have to undergo a time-consuming and expensive set of tests to find out if the cause is something to do with the heart or some other problem, such as in the muscles, lungs or esophagus.
(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)

Valvular Heart Disease News

The term “critical” stenosis was defined based upon theoretical considerations showing that the aortic valve area must be reduced to one-fourth of its natural size before significant changes in circulation occur. As a result, since the triangular orifice area of the normal (adult) aortic valve is approximately 3.0 cm2, an area exceeding 0.75 cm2 would not be defined as critical.

(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

Chest Pain Patients Could Get Quick DNA Test for Heart Problems

Testing fragments of DNA in the blood may be a fast way to find out if a patient’s chest pain is due to coronary artery disease according to a new US-led study published online this week in the journal Arteriosclerosis, Thrombosis, and Vascular Biology. When patients complain of chest pain, they have to undergo a time-consuming and expensive set of tests to find out if the cause is something to do with the heart or some other problem, such as in the muscles, lungs or esophagus.
(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

Women above 65 to take extra care of their health

Women aged 65 and above should take low dose aspirin routinely to prevent heart attack and paralysis..

  1. All women are urged to exercise a minimum of 30 minutes per day, but women who need to lose weight or maintain weight loss are now advised to engage in 60 to 90 minutes of moderate-intensity activity on most, or preferably all, days of the week.
  2. A heart-healthy diet should be rich in fruits, whole grains and fiber foods with a limited intake of alcohol and sodium.
  3. Saturated fat should be reduced to less than 7 percent of calories.
  4. Women at very high risk for heart disease should try to lower their LDL ("bad") cholesterol to less than 70 mg/dL.
  5. Women aged 65 and above should consider taking low-dose aspirin on a routine basis, regardless of their risk. Aspirin has been shown to prevent both heart attacks and stroke in this age group.
  6. The upper dose of aspirin for high-risk women is 325 mg per day.
  7. Hormone replacement therapy, selective estrogen receptor modulators nor antioxidant supplements such as vitamins C and E should be used to prevent heart disease.
  8. Folic acid should also not be used to prevent cardiovascular disease.
  9. Women should eat oily fish or some other source of omega-3 fatty acids at least twice a week.
  10. Women should not only quit smoking but should use counseling, nicotine replacement or other forms of smoking cessation therapy. ...Read More
cardiology news

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.
  • Sexual assaults involving alcohol are more likely to occur between partners who are acquaintances or casual dates than between partners who are steady dates. Read More
cardiology news

Media Press Clipping

Media Press Clipping Month of May

Media Press Clipping Month of June

CPR VIP Sensitization (Dr K K Aggarwal)

3rd July: Dharmender Kumar special commissioner crime police

Chaturmas: time to strengthen inner healing

The "Chaturmas" begins on the Ekadashi in the month of Ashadha and ends with the Ekadashi in the month of Kartik and has got both spiritual and health implications said Padma Shri & Dr. B C Roy National Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India and Perfect Health Mela and National Vice President-Elect IMA.

Indian farmers depend on monsoon crops. The months of monsoon are synchronized with four holy months of the year. These four months, called chaturmas coincide with many festivals.

Chaturmas start with Guru Poornima, a festival to worship your teacher or an indication that for the next four months one will have a lot of time to learn in view of rains.

Next is the month of Shravana, in which Mondays are worshiped for Lord Shiva. The Narali Poornima in this month marks the end of heavy rains and the throwing of the coconut in the sea appeases the sea and it calms down. Nag Panchami and Gokul Ashtami are part of this month. Bhadrapad, the next month of festivals, the first half is dedicated to the worship of Ganapati, the lord of removal of obstacles. The second half is the shradhs when religious ceremonies are held in memory of the departed souls. The month of Ashwin starts with the "Navaratri" , through Dusshera and Diwali. Kojagiri Poornima in this month is the bright poornima. The last two days of Ashwin and the first two days of Kartik are usually the days of the Diwali festival. The Ekadashi in the first half of the month of Kartik marks the end of the Chaturmas. ...Read More

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

press release

Lifestyle change can reduce aging

today video of the daySymposium on Prayer, Faith, Meditation and healing Part 9

Symposium on Prayer, Faith, Meditation and healing Part 8

Symposium on Prayer, Faith, Meditation and healing Part 7

eMedi Quiz

Read this…………………

Nurse Dave is conducting an examination of a 6-month-old baby. During the examination, the nurse should be able to elicit which reflex?

a. Babinski’s
b. Startle
c. Moro’s
d. Dance

Yesterday’s Mind Teaser: 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

Answer for yesterday’s Mind Teaser: a. Hepatomegaly

Correct answers received from: DR ABBAS VAKIL, DR HUSAINALI VAKIL, DR SANTHAKUMARI, Dr. B.B. Gupta, Dr Gajveer singh, Dr Jainendra Upadhyay, raajmsingh, Tukaram Pagad, DR ARPAN GANDHI, Narahari Kandakatla, Anil Bairaria, Dr Pankaj Agarwal, Dr.Chandresh Jardosh, Dr.K.Raju, rajeev ardey, daivadheenam.jella

Answer for 10th July Mind Teaser: a. Comforting the child as quickly as possible

Correct answers received from: DR ARPAN GANDHI, Narahari Kandakatla , Dr.Chandresh Jardosh Dr.K.Raju, rajeev ardey

Send your answer to ijcp12@gmail.com




eMedi Apps



medicolegal update

Ques: 1 - (Dr. M C Gupta, Advocate & Medico-legal Consultant)

Can the medical council take action against a pathologist who signs path lab reports of other laboratories without visiting the lab?

Ans.

  1. The medical council has wide powers. However, such powers must not be misused.
  2. Delhi Medical Council punished a doctor recently in the above circumstances. The order no. 1082 sated 3-6-2013 can be viewed at -- http://delhimedicalcouncil.nic.in/status-comp2013.html
  3. The order, abridged, is reproduced below:

Ques: 2 - (Dr. M C Gupta, Advocate & Medico-legal Consultant)

Can the medical council take action against a pathologist who signs path lab reports of other laboratories without visiting the lab?

Ans.

  1. The medical council has wide powers. However, such powers must not be misused.
  2. Delhi Medical Council punished a doctor recently in the above circumstances. The order no. 1082 sated 3-6-2013 can be viewed at -- http://delhimedicalcouncil.nic.in/status-comp2013.html
  3. The order, abridged, is reproduced below:
medicolegal update

Whoever tells the biggest lie

Two boys were arguing when the teacher entered the room.
The teacher says, "Why are you arguing?"

One boy answers, "We found a ten dollar bill and decided to give it to whoever tells the biggest lie."

"You should be ashamed of yourselves," said the teacher, "When I was your age I didn't even know what a lie was."

The boys gave the ten dollars to the teacher. Read More

medicolegal update
medicolegal update

Situation: I weigh 120 kgs. How many calories should I eat to maintain my body weight at 100 kgs.
Dr. Bad: 3000 calories
Dr. Good: 2200 calories
Lesson: Approximately 22 to 25 kcal/kg is required to maintain one kilogram of body weight in a normal adult. Expected or calculated energy expenditure for a woman weighing 100 kg is approximately 2200 to 2500 kcal/day. The variability of ± 20 percent could make energy needs as high as 2620 to 3000 kcal/day and as low as 1860 to 2000 kcal/day.

Read More

medicolegal update

Situation: A patient with acid peptic disease was denied any painkiller for his distressing illness.
Reaction: Oh my God! Why did you not give him nimesulide?
Lesson: Make sure to prescribe nimesulide as it is safe in acid peptic disease.

medicolegal update

If you’re not using your smile, you’re like a man with a million dollars in the bank and no checkbook. Les Giblin

medicolegal update

Dr KK Aggarwal: Add ECG when screening school children
http://bit.ly/14JxRjo #Health

Dr Deepak Chopra: How Does Forgiveness Heal?
http://bit.ly/14JxRjo #Health

medicolegal update

Dear Sir, we read emedinews daily. It is a nice collection of interesting and educative . Regards: Dr Sharad

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

eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes 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)

Our Contributors

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 (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

medicolegal update



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