eMedinewS14th September 2014, Sunday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and DST National Science Communication Awardee

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

Even Children Can Have Acidity

Children who have continuing recurrence of cough and croup could be suffering from stomach acid reflux problems.

Croup or ‘Kali Khansi’ as it is called in local parlance is recognized by a loud cough that often sounds like the barking of a seal. It can cause rapid or difficult breathing, and sometimes wheezing. Croup is thought to be caused by a virus, but reflux acidity has been suggested as a possible trigger.

In gastroesophageal reflux disease, stomach acid causes swelling and inflammation of the larynx, which narrows the airway. It can trigger more swelling with any kind of viral or respiratory infection.

Identifying children with gastroesophageal reflux disease could help treat and improve recurring croup. It is unusual for a child to have three or more bouts of croup over a short period of time. These children need to be evaluated.

The same is true for adults also. Patients with non responding asthma should be investigated for underlying acidity as the cause of acute asthma.

News Around The Globe

  • A US Food and Drug Administration (FDA) advisory panel has voted 14 to 1 in favor of Novo Nordisk’s injectable diabetes drug liraglutide for the treatment of obesity. The drug is indicated specifically for chronic weight management in individuals with a body mass index of 30 kg/m2 or greater or 27 kg/m2 or greater along with at least 1 weight–related comorbidity.
  • New research, published online September 12 in The Lancet, has suggested that a combination of an injectable glucagon–like peptide–1 (GLP–1) agonist with basal insulin may be an excellent treatment option in patients with type 2 diabetes, bringing about robust blood glucose control with no increased hypoglycemia or weight gain.
  • A rapid test to detect pathogens and antimicrobial resistance may assist in a more judicious use of antibiotics compared to standard testing; however, the key to the benefit is real–time antimicrobial checks and balances, suggests a new study presented at the Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC).
  • Intermittent proton pump inhibitor (PPI) therapy is as effective as continuous PPI therapy for high–risk bleeding ulcers, suggests a systematic review and meta–analysis published online September 8 in JAMA Internal Medicine.
  • Anakinra appears to be an effective treatment for adults with resistant idiopathic recurrent pericarditis, suggest the results of a new 10–patient study published online in the Annals of the Rheumatic Diseases.

Rabies News (Dr A K Gupta)

Can a rabies vaccine be given to a pregnant woman?

Following animal bite, rabies vaccine can be given to a pregnant woman. Medical termination of pregnancy should not be done as a routine clinical practice.

Cardiology eMedinewS

  • Data recorded by a wearable cardiac defibrillator (WCD) can assist physicians in assessing whether a patient at high risk of sudden cardiac death should receive an implantable cardioverter defibrillator (ICD), suggests a new research presented at the European Society of Cardiology (ESC) 2014 Congress.
  • The More Options Available with a Quadripolar LV Lead Provide In–Clinic Solutions to CRT Challenges (MORE–CRT) trial, presented recently at the European Society of Cardiology (ESC) 2014 Congress, has suggested that the use of quadripolar leads instead of bipolar leads with biventricular pacemakers could potentially lead to safer and more uneventful implantation procedures.

Pediatrics eMedinewS

  • Breastfed babies are far less likely to have ear, sinus or throat infections later in childhood, and the longer the children are breastfed during their first year, the lower their odds of these infections at age 6, suggests a new study published online in Pediatrics.
  • According to new research from the University of Haifa in Israel, the season during which a baby is born affects its motor development during its first year of life. Researchers found that babies born in the winter started crawling at an average age of 30 weeks, compared with those born in the summer, who started crawling at an average age of 35 weeks.

Dr K K Spiritual Blog

Search for Happiness in the Present Moment

Happiness should not be considered as being synonymous with pleasure. Pleasure is transient and is always associated with pain later. Any transient addiction to any of the five senses will either lead to pleasure or pain. Pleasure leads to attachment resulting in more intense and greater desires, and if these are not fulfilled, they cause pain which manifest as anger, irritability or even a physical disease. This type of transient pleasure is chosen by the individuals who attach themselves not to the actions only, but also to its results.

The soul, which is an energized field of information and energy, is controlled by the person’s action, memory and desire. With every action, a memory is created which either gets stored or is recirculated again as an action. If one does not control the desires, the recurrent actions may cause more problems than happiness.

True happiness, on the other hand, is internal happiness or the happiness of the soul or of the consciousness. It is often said, "You are what you eat; you are what you think; and you are what you do." Hence, your own internal happiness will vary with what you eat, think, and do.

Being in the present moment leads to true happiness. If one laments about the past or keeps fearing about the future all the time, you will never be able to live in the present. Not living in the present is bound to cause unhappiness. One should learn to live and enjoy the present, which can only be done by attaching oneself to the actions and not to its results.

Doing one’s duty with devotion and discipline also helps one to remain in the present. Performing good action is important, but it is equally important to maintain the purity of the mind at the same time. Because any intention in the thought creates the same chemical reaction as when the actual deed is done, abusing a person in thought is the same as abusing him in person. Cultivating positive actions in day–to–day life, like, giving or sharing etc., helps in acquiring internal happiness.

Thoughts ultimately get metabolized into various chemicals and hormones changing the internal biochemistry of the person; hence, by thinking about cancer all the time, one can actually induce it over a period of time. And similarly, cancers can be cured by thinking positive over a period of time.

Internal happiness gives a deep feeling of satisfaction and is not associated with any transient chemical changes which are generally associated with bodily pleasure activities. People who are internally happy are always contented and are devoid of jealousy, anger, irritability, greed and ego.

One should learn to disassociate from, both, external pain as well as pleasure, and only then can one acquire true internal happiness.

Wellness Blog

Prevention strategy relies on lifestyle

Stenting may not always be the answer to treating heart disease with stable.

A German study has shown that patients with stable coronary artery disease who were put on an exercise regimen had significantly higher rates of event–free survival than those who had undergone percutaneous coronary intervention (PCI). In the study, 70% of patients in the exercise program had event-free survival –– no stroke, heart attack, or death –– compared with 50% of stented patients after four years.

Exercise is an important part of any type of prevention, and it should be instituted for "anyone with stable coronary heart disease."

The study on stenting versus exercise come was a continuation of a pilot study first reported in 2004 in the journal Circulation. That study of 101 male patients found that after one year, 88% of patients who exercised had event–free survival compared with 70% of stented patients.

The updated data reflect an additional 100 patients, who performed moderate intensity exercise for two weeks under hospital supervision, and then were given an exercise bike to continue their regimen at home.

Patients with stable angina exercised at 80% of their threshold, and that after four weeks of exercising, their angina threshold increased.

The clear message for patients is to get 30 to 60 minutes of moderate–intensity aerobic activity every day, noting that 30% of heart disease could be prevented by 2.5 hours of walking per week.

Inspirational Story

Monetary Reminder

Imagine there is a bank, which credits your account each morning with £86,400, carries over no balance from day to day, allow you to keep no cash balance, and every evening cancels whatever part of the amount you had failed to use during the day. What would you do? Draw out every penny, of course!

Well, everyone has such a bank. Its name is Time.

Every morning, it credits you with 86,400 seconds. Every night it writes off, as lost, whatever of this you have failed to invest to good purpose. It carries over no balance. It allows no overdraft. Each day it opens a new account for you. Each night it burns the records of the day. If you fail to use the day's deposits, the loss is yours.

There is no going back. There is no drawing against the "tomorrow."

Therefore, there is never enough time or too much time. Time management is decided by us alone and nobody else. It is never the case of us not having enough time to do things, but the case of whether we want to do it.

ePress Release

Padma Shri, Dr. BC Roy and DST National Science Communication National Awardee, Dr. KK Aggarwal delivers an oration on Medical ethics

Leaves over 2000 doctors enthralled during the GPCON– 2014 – Indian Medical Association’s National CGP Conference & 44th Annual Conference of the IMA Mumbai Branch

Stressing on the importance of practicing medicine a transparent and ethical manner in today’s day and age, renowned Cardiologist, National Senior Vice President and Honorary Secretary General elect of Indian Medical Association and President of the Heart Care Foundation of India, Dr. KK Aggarwal delivered the DR F.P. Antia Oration at the Palladium Hotel in Mumbai today. The oration was delivered on the occasion of the GPCON– 2014 – Indian Medical Association’s National CGP Conference & 44th Annual Conference of the IMA Mumbai Branch. Over 2000 doctors who attended the oration found the information shared extremely useful and essential for every medical practitioner.

A medico–legal expert and social worker par excellence, Dr. KK Aggarwal is the only doctor in the country to have received three prestigious National awards namely the Padma Shri, Dr. BC Roy and the DST National Science and Communication Award. He is also a Limca Book of World Record holder for the maximum number of people trained in the lifesaving technique of hands only CPR in one go and the Senior National Vice President of the Indian Medical Association.

Speaking on the occasion of his oration, Dr KK Aggarwal said, "Medical practitioners are said to be ethical in their practice only when they execute it with honesty, fairness, objectivity, responsibility and self–regulation. In my opinion, every doctor must always ask three questions before taking a decision, first is it necessary; second will it bring happiness to the patient and lastly will it bring happiness to me. If the answer to any one of questions is no, one should not perform that action."

He further added, "Practices such as taking cuts and commissions and creating a nexus with pharma companies and chemists are all unethical acts and a doctor should never indulge in them. In addition to this, it is also the duty of every doctor to devote some of his or her time to the development of the medical profession as a whole.

A pioneer of leading health initiatives, Dr. KK Aggarwal has been instrumental in bringing treatments such as clot dissolving therapy for acute heart attacks and Colour Doppler Echocardiography in the country. In addition to this, he has also conceptualized and organized unique consumer driven health awareness platforms such as The Perfect Health Mela and the Run for your Heart as a part of his role as the President of The Heart Care Foundation of India. His most recent project within the NGO called the Sameer Malik Heart Care Foundation Fund is playing an instrumental role in providing heart care for all patients in need of treatment but do not have the financial or technical means to fund it.

Dr. Aggarwal is also a member of the Ethics Committee of the Medical Council of India, and he is well versed with topics such as ethical guidelines every medical practitioner must follow, medical negligence, article 21 and a person’s right to universal healthcare.

– Ends –

About HCFI

Initiated in 1986, the Heart Care Foundation of India is a leading National NGO working in the field of creating mass health awareness among people from all walks of life and providing solutions for India’s everyday healthcare needs. The NGO uses consumer based entertainment modules to impart health education and increase awareness amongst people. A leading example of this is the Perfect Health Mela, an annual event started in 1993 that is attended by over 2–3 lakh people each year. The Mela showcases activities across categories such as health education seminars and check ups, entertainment programs, lifestyle exhibitions, lectures, workshops and competitions. In addition to this, the NGO conducts programs and camps to train people on the technique of hands only CPR through its CPR 10 mantra for revival after a sudden cardiac arrest. They currently hold three Limca book of world records for the maximum number of people trained in hands only CPR in one go. Keeping article 21 of the Indian constitution in mind, which guarantees a person Right to Life, Heart Care Foundation of India has also recently initiated a project called the Sameer Malik Heart Care Foundation Fund to ensure that no one dies of a heart disease just because they cannot afford treatment.

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Total CPR since 1st November 2012 – 98440 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

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Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

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Health Check Up and CPR 10 Camp at SD Public School Pitam Pura, 1st September 2014

press release

Do not give citalopram more than 40mg

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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 :

 

Make Sure

Situation: A patient with rheumatoid arthritis developed deformity.
Reaction: Oh my God! why was treatment not started early?
Lesson: Make sure all patients with rheumatoid arthritis are started with specific treatments within 3 months of diagnosis.

eMedinewS Humor

A certain little girl, when asked her name, would reply, "I’m Mr. Sugarbrown’s daughter."

Her mother told her this was wrong, she must say, "I’m Jane Sugarbrown."

The Vicar spoke to her in Sunday school and said, "Aren’t you Mr. Sugarbrown’s daughter?"

She replied, "I thought I was, but mother says I’m not."

Quote of the Day

If we did all things we are capable of, we would literally astound ourselves. Thomas A. Edison

Twitter of the Day

Dr KK Aggarwal: Anger recall is as bad as Anger itself http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: True faith is the certainty of what we do not see, the unseen awareness that makes seeing possible @danieldennett

   

eMedi Quiz

Beel’s phenomenon can be seen in the following conditions except

a. Hemiplegia
b. Ramsay hunt syndrome
c. Bell's palsy
d. Leprosy

Yesterday’s Mind Teaser: A self practicing dermatological needs

a. Videoconference
b. Mobile teledermatology
c. Store and forward teledermatology
d. A combination of store and forward, online discussion group, and author based second opinion teledermatology

Answer for yesterday’s Mind Teaser: d. A combination of store and forward, online discussion group, and author based second opinion teledermatology.

Correct answers received from: Dr K V Sarma, Dr Chandresh Jardosh, Dr Rishi Pal Singh, Dr Avtar Krishan, Muthumperumal Thirumalpillai.

Answer for 12th September Mind Teaser: a. Neutrophil

Correct answers received from: Dr Jainendra Upadhyay, Daivadheenam Jella, Dr Avtar Krishan, Dr Bitaan Sen & Dr Jayashree Sen.

Send your answer to ijcp12@gmail.com

medicolegal update

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  1. Dear Dr KK Aggarwal, Please accept my hearty congratulations. Though you may not know me personally, I have the pleasure of knowing you and your achievements through the eMedinewS. With warm regards: Dr.S.Ramaswamy, Professor of Anatomy (retired),Hypnotherapist.

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