eMedinewS13th November 2013, Wednesday

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

I am not in the race to become MCI President: Dr Ketan Desai

Dr Ketan Desai in an exclusive interview with Dr KK Aggarwal…

Q. You have been elected as the representative member of the Gujarat University to the MCI. Is it a valid election?

Ans. Yes, my election as the representative member of the Gujarat University to the MCI was unanimously approved by members of the Senate. The election was conducted as per MCI rules.

Q. You have also been elected president of World Medical Association, though you could not travel to the general body meeting of the WMA.

Ans. I was elected as President of WMA for the first time in 2009 and I was to take charge of it in Canada in October 2010. For this purpose, the Court had granted me the permission also but various vested interests possessing ill will against me had been motivating certain agencies, who had made efforts, successfully, in preventing me from leaving the country thereby disabling me from attending the meeting of WMA at Canada in 2010. Hence, I could not assume the office of the President of WMA in that year. However, members of WMA had realized the unjust and unfair treatment being meted out to me by such vested interests and decided to recognize my entitlement for holding the office of the President of WMA, in future. The General Body of WMA, which had met in Brazil recently, has unanimously resolved for my assuming the office of President WMA.

Q. Can you just brief about your duties and about the activity of WMA? How Indian Doctors would be benefited from your experiences as president WMA?

Ans. WMA is an association comprising members of national associations of about 109 countries including USA, UK, Japan, Germany, Russia, EU countries, India, China, Brazil etc. World Medical Association (WMA) stands for community of Physicians and uniformity of their Medical practice. It lays down ethical standards for Medical practice all over the world and issue statement on global health problems like women child abuse, homosexuality and other health related issues in world. WMA has advocacy to different countries on issues like environment and health, disaster management, care of elderly, patient safety and standardization in medical practice, prohibition of chemical weapons etc.

All the statements and advocacy of WMA are taken note of by the WHO, which is amalgamated in their policies. WMA also participates with other stake holders in global healthcare like WHPA (World Healthy Professional Alliance)

As WMA president I have to preside over all the functions of WMA and act as the ambassador of the organization in different international fora like WHO, UNICEF, WHPA etc. These experiences will enrich my knowledge about the global health care and will help me to advise our government on formulation of health policies for the benefit of masses. Due to my presence in WMA, Indian doctors will get better exposure to the global healthcare.

Q. Recently, in a judgment, the Supreme Court of India nullified NEET mandated by the MCI from the year 2014.

Ans. Yes, the central government and the MCI both were served notices by the Hon’ble Supreme Court in this regard. Here I would like to state that during my tenure as the president of MCI in June 2009, MCI had recommended a single entrance test for admission to graduate and post graduate medical courses for the whole country. Too many entrance exams conducted by different universities only end up in confusion and harassment to the students. MCI in its report submitted to the Government of India, had also proposed suitable amendments to the MCI Act to facilitate the common entrance test. If the Government had then accepted those changes… well, it would have been a different story.

Q: There is a big debate that you are out to grab the position of President MCI. What do you have to say about it?

Ans. I am not in the race to become President MCI.

MCI to Elect New President on 10/11th December

The First General Body of the Medical Council of India after its reconstitution will be held on 10th & 11th December, 2013 at 11:00 A.M, as per the following agenda.

1. Notification of New Members

2. Preparation of and declaration of Electoral Roll.

3. Election of President.

4. Election of Vice President.

5. Executive Committee – Election of members.

(i) University Representative Group (4 Members).

(ii) Nominated Members Group (3 Members).

(ill) R.M.G. Group (2 Members).

6. Postgraduate Medical Education Committee – (Under IMC Act section 20) - (3 Members)

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

The Science Behind Bhabhuti and Ash

sprritual blog

Satya Sai Baba was known to give Bhabhuti as Prasad to his visitors. In Mythology also, Rishi Munis used to give Bhabhuti to their followers.

Lord Shiva is known to be having laid Bhabhuti on his skin. Many people believe that Ash or Bhabhuti reminds one that the human body is perishable and will be converted into Ash ultimately after the death of the physical body.

But there is also another meaning behind this mythological ritual of applying Ash onto the body.

Fire in mythology means the fire of knowledge, knowledge about the true self consciousness. Knowing about true self is obstructed by negative thoughts, animal tendency, egoistic vanities and foolish attachments.

Kama Krodha Lobha Moha and Ahankara fall into the same category. Burning negative tendency, animal behavior, ego and attachment into the fire of knowledge is what spirituality is. Once you burn your negative tendencies in the fire of knowledge, the resultant Ash or Bhabhuti which is to be ingested as the Prasad is what Rishi Munis gave to their seekers.

Rishis are different from Pandits as Pandits are the ones who have knowledge but may not have spiritual experiences.

Rishi Munis have both the knowledge and the personal experiences. The Rishi Munis are the ones who have learnt to burn their negative tendencies and ego into an Ash and help their followers in turn to burn their negative tendencies.

The Ash given to their seekers is a constant reminder that the seekers need to burn their negative tendencies and convert them into the same ash.

cardiology news

In today’s materialistic society, charity is often seen as low priority. However the reality is that the community we live in has a huge influence on us personally it fosters safety, responsibility and sustainability so it is important that we take our community seriously for the greater good of humanity and for our own personal benefit.

Most importantly though, you'll gain an appreciation for what REALLY matters and it’s not fame or fortune!

After–all, there are many high-profiled people who are great believers in charity and the planet. Bill Gates donates millions of dollars to charities, Bob Geldoff and U2’s Bono are great crusaders against world poverty, and many other celebrities offer money and their time to a variety of causes.

Yes, these people have the money to give and their image has done pretty well out of their endeavours but at the heart of their generosity is the genuine desire to make a difference. And they do.

But, you don’t need lots of money or fame to contribute to the community we all can.

It is my honest belief that we should all help those less fortunate than ourselves and trust me, if you have the resources to be able to read this article on–line, then there are lots of people out there who are less fortunate!

Whether this help is financial through appropriate donations or through donating your time as a volunteer doesn’t really matter, but we should all feel some social responsibility to do something.

Everyone can do something. YOU can do something. If you don’t have the time, DONATE. If you can’t afford to donate money, VOLUNTEER and offer your time or services.

Making Donations

As a general guide, aim to donate 10% of your income to charity. You may have heard the phrase, "Charity starts at home" so make sure your budget can afford it!

Pick a cause that you believe in the most. All charities are worthwhile, but which ones are YOU passionate about? Go help them, help them on weekly or monthly basis.

News Around The Globe

Dr. Vinay Aggarwal, President, CMAAO today won the Medical Council of India seat

Dr. Vinay Aggarwal, President, CMAAO today won the Medical Council of India seat from Delhi Registered Medical Practitioner election. He defeated his rival by 3500 votes. His rival component did his best to tarnish his image, went to the High Court Single Judge and then to the Double Bench and lost everywhere. I personally feel that one should always fight an election with a positive note. If your agenda for fighting the election is only to find faults in others and put allegations on others, it will be very difficult for you to win. In the last Delhi Medical Council election we saw a similar campaign by a contestant who also lost the election ultimately. It is positive attitude and a campaign which makes a person win.

Azadi from ‘lordships’ or ‘My Lords’

The British are gone, but we still address judges as "my lord" and "your lordship".

As per a report published in Hindustan Times in a resolution passed seven years ago, the Bar council of India had asked lawyers to start addressing the judges as "sir".

The matter has now reached the Supreme Court, with a 75–year–old petitioner, Shiv Sagar Tiwari, contending the address is a "symbol of slavery and should be strictly prohibited as it is against the dignity of the country".

The decision is not actionable, since "it cannot be termed professional misconduct".

Delhi high court’s Justice S Muralidhar, insists on not being addressed as "my lord" and "your lordship".

News

  • The inflamed joints and systemic inflammation characteristic of early rheumatoid arthritis (RA) have been linked with an altered pattern of gut microbial colonization, suggesting a new explanation for autoimmunity and having potential implications for treatment, as reported online in eLife. Seventy–five percent of patients with new–onset, untreated RA had a distinct predominance of intestinal microbiota, with an expansion of pro–inflammatory Prevotella copri. In contrast, that pattern was only seen in 11.5% of patients with longstanding RA (P<0.01), in 37.5% of those with psoriatic arthritis (P<0.05), and in 21.4% of healthy controls.
  • A study by Louis Monnier, MD, from University Montpellier, France, and colleagues reveals that the so–called "dawn phenomenon" has a significant impact on many of those with type 2 diabetes and is already present in some patients treated only with diet alone, new research shows. In addition, this effect is not blunted by oral hypoglycemic agents. The findings indicate that in selected type 2 diabetes patients, specifically those with HbA1c approaching 7% who are demonstrating evidence of the dawn phenomenon, insulin use should be considered earlier than it is traditionally, because insulin can eliminate this effect, said Geremia B Bolli, MD, from the University of Perugia, Italy.
  • Treatment with a weight–loss drug appeared to help pre–diabetic and diabetic patients shed pounds and improve dysglycemia. In the study presented at the annual World Congress on Insulin Resistance, after 56 weeks of treatment with extended–release phentermine/topiramate (Qsymia), obese/overweight individuals, with and without diagnosed type 2 diabetes, experienced a mean percent weight loss ranging from 6.8% to 8.9% with a low–dose regimen, and 8.8% to 11% with a high–dose regimen.
  • AMG–145, an investigative monoclonal antibody, administered subcutaneously every 2 weeks or 4 weeks, appeared to significantly reduce low–density lipoprotein (LDL) cholesterol, as reported in a study presented at the World Congress on Insulin Resistance. A 70–mg dose of AMG–145 delivered every other week led to a 43% reduction of LDL cholesterol from baseline after 12 weeks compared with placebo
  • According to a new study published online in the NEJM, proteinuria resolved partly or completely in a small group of patients with focal segmental glomerulosclerosis (FSGS) treated with abatacept (Orencia).

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Rabies News (Dr. A K Gupta)

What is pre–exposure vaccination?

Pre–exposure (Prebite) vaccination means immunization before the bite.

cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • Positron–emission tomography (PET) can identify recently ruptured atherosclerotic plaques or those at risk of rupture in patients using the metabolic tracer 18F–sodium fluoride (18F–NaF), suggests a small prospective observational study. According to the study’s lead author, Dr Nikhil V Joshi from University of Edinburgh, Scotland, focal uptake of the tracer in the coronaries "informs about calcification activity, which is believed to be a healing response to intense plaque inflammation. It was seen in the culprit artery of >90% of the group’s patients with recent acute MI and in more than a third of those with stable coronary disease.
  • Being overweight or obese were risk factors for myocardial infarction (MI) and ischemic heart disease (IHD), even in the absence of metabolic syndrome. Borge G. Nordestgaard, and co–author, Mette Thomsen, Copenhagen University Hospital report in the JAMA Internal Medicine that among participants with and without metabolic syndrome, there were "increasing and cumulative incidences" of both MI and IHD along the continuum of weight from normal to obese.
cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • Findings of a pilot study suggest that women who receive immunotherapy injections before pregnancy might be protecting their offspring from allergies.
  • High levels of immunoglobulin G (IgG) in children, girls in particular, were associated with the development of autoimmune disease as reported in the journal Pediatric Rheumatology
cardiology news

Poor Hygiene Habits May Lead To Typhoid Fever

Typhoid fever is caused by a bacterium called Salmonella typhi and is transmitted through the ingestion of food or drink that has been contaminated by the feces or urine of infected people. Flying insects feeding on feces may occasionally transfer the bacteria through poor hygiene habits and public sanitation conditions.

Though the cases occur round the year, more cases are seen during the summer and rainy seasons.

Symptoms usually develop 1–3 weeks after exposure, and may be mild or severe. They include high fever, malaise, headache, constipation or diarrhea and enlarged spleen and liver. A healthy carrier state may follow acute illness.

It can be treated with antibiotics. However, resistance to common antimicrobials is widespread. Healthy carriers should be excluded from handling food.

Sanitation and hygiene are the critical measures that can be taken to prevent typhoid.

Few salient facts about Typhoid fever

  1. Typhoid does not affect animals and therefore transmission is only from human to human.
  2. Typhoid can only spread in environments where human feces or urine are able to come into contact with food or drinking water.
  3. Careful food preparation and washing of hands are crucial to preventing typhoid.
  4. Typhoid fever in most cases is not fatal.
  5. Prompt treatment of the disease with antibiotics reduces the case–fatality rate to approximately 1%.
  6. When untreated, typhoid fever persists for three weeks to a month.
  7. Resistance to common antibiotics is now common
  8. Typhoid that is resistant to common antibiotics is known as multidrug–resistant typhoid (MDR typhoid).
  9. Ciprofloxacin resistance is an increasing problem, especially in the Indian subcontinent and Southeast Asia.
  10. Azithromycin is a new drug for drug–resistant typhoid.
  11. Typhoid vaccine taken every three years is the best preventive approach.
cardiology news

Total CPR since 1st November 2012 – 71933 trained

Media advocacy through Web Media

Patients with low heart functions should not ignore the winter New guidelines

All heart patients should know the pumping status of their heart called ejection fraction and if low these patients are at risk of sudden cardiac death during winter season, said Padma Shri & Dr. B.C. Roy National Awardee and Dr KK Aggarwal President Heart Care Foundation of India.

The new 2008 guidelines from American College of Cardiology and American Heart Association for device–based therapy of cardiac rhythm abnormalities suggest that an internal electric shock devise called an ICD therapy is indicated in all patients with heart functioning called LVEF of less than 35% due to prior heart attack (post 40 days) and who are symptomatic.

The guidelines further suggest that ICD therapy is indicated in patients with non–ischemic dilated cardiomyopathy (enlarged heart) who have an LVEF less than or equal to 35% and who are symptomatic.

ICD therapy is also indicated in patients with heart dysfunction due to prior heart attack who are at least 40 days post heart attack with LVEF less than 30% even if they have no symptoms.

ICD therapy is also indicated in patients post heart attack with LVEF less than 40% if they have non-sustained VT on 24 hour ECG monitoring of inducible abnormal heart rhythm called VF or sustained VT at electrophysiological study.

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 71933 people since 1st November 2012.

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."

today emedipics

Large number of Students attended the Medico Masti in 20th MTNL Perfect Health Mela

press release

Longer CPR efforts may improve survival chances

today video of the day20th MTNL Perfect Health Mela Press Conference with Marwadi Yuva Manch, Faridabad

20th MTNL Perfect Health Mela Press Conference at Marwah Studio, Noida

Cultural Evening at IMA

eMedi Quiz

The commonest variation in the arteries arising from the arch of aorta is:

1.Absence of brachiocephalic trunk.
2.Left vertebral artery arising from the arch.
3.Left common carotid artery arising from brachiocephalic trunk.
4.Presence of retroesophageal subelavian artery.

Yesterday’s Mind Teaser: Interscalene approach to brachial plexus block does not provide optimal surgical anaesthesia in the area of distribution of which of the following nerve:

1.Musculocutaneous.
2.Ulnar
3.Radial
4.Median.

Answer for yesterday’s Mind Teaser: 2.Ulnar

Correct answers received from: Dr. P. C. Das, Dr.K.Raju, DR ARPAN GANDHI, Dr Chandresh Jardosh, Dr Jainendra Upadhyay, DR AVTAR KRISHAN, Dr B K Agarwal.

Answer for 10th November Mind Teaser: 4.Pre–existing neurological deficits.

Correct answers received from: DR AVTAR KRISHAN, Dr B K Agarwal.

Send your answer to ijcp12@gmail.com



medicolegal update

Click on the image to enlarge

medicolegal update

A civilized fight between husband & wifeh

Wife: Twinkle Twinkle little star, you should know what YOU are and once YOU know what YOU are Then the Mental hospital is’nt so far.

Husband: The rain makes all things beautiful The grass & flowers too If rain makes all things beautiful, Why doesn’t it rain on YOU?

Wife: Roses are red Violets are blue Monkeys like YOU should be kept in zoo.

Husband: Don’t feel so angry YOU will find me there too, Not in cage but laughing at YOU.

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient with acute chest pain died before reaching the hospital.
Reaction: Oh my God! Why was water–soluble aspirin not given?
Lesson: Make sure that at the onset of acute heart attack and chest pain, water–soluble aspirin is chewed to reduce chances of sudden death.

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: The world’s deadliest virus in China today http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: No physical laws can explain an observing self or conscious minds that conceptualize & have access to mathematical truth

Forthcoming events

GFIMS&R

Venue: Gold Field Institute of Medical Sciences & Research, Ballabgarh, Faridabad
Date: November 14, 2013
Time: 2.00 pm to 4.00 pm

Program Details
Floral welcome
Lighting of lamp & Saraswati vandana (Recorded):
Introduction: Dr Jasveer Singh 
Welcome: Dr (Col) Parduman Singh, Principal GFIMS&R       
Blessings: Dr Shashi Adhlakha, Secretary GFIMS &R 
Felicitation: Padma Shri Dr K K Aggarwal and Dr (Mrs) Veena Aggarwal, Dr Gajinder Goyal
Keynote Address on CPR: Padma Shri & Dr B C Roy National Awardee Dr K K Aggarwal, Eminent cardiologist, Moolchand Medcity, New Delhi
Demonstration of BLS of CPR by already trained persons (Medicos & Non Medicos) under guidance of Dr Nirupama Bansal    
Emergency of Cardiac arrest: Dr Gajinder Goyal, DM Cardiologist
Concluding remarks and Vote of thanks: Dr Jasveer Singh    

medicolegal update
  1. Dear emedinews is very informative. Regards: Dr Sam

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medicolegal update

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