eMedinewS15th December 2013, Sunday

Dr K K AggarwalPadma 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

Due to technical reasons the zee show “Health Wealth” is postponed.

PSM India Initiative Board Meeting

Members
1.  Mr. Wajahat Habibullah
2.  Dr. Pervez Ahmed
3.  Mr. Ashok Kumar
4.  Mr. S. Krishnan
5.  Mr. P. C. Jha
6.  Dr Prafull D. Sheth
7.  Dr. K K Aggarwal
8.  Mr. Bejon Misra
9.  Dr. P. V. Venugopal
10.Mr. Brijesh Regal
11.Mr. T. K. Govindan
12.Dr. (Mrs) Meera Mitra
13.Ms. Reena George
14.Ms. Vandana Saxena
15.Dr. Rashmi Kulshrestha
16. Dr (Wg Cdr) Manisha Kukreja Bhatia
17.Mr Man Singh
18.Dr G N Singh
19.Linda M Distlearth

SOME OF THE POINTS DISCUSSED:
1. Drugs should be dispensed only against a valid prescription.
2. Nobody should buy a medicine without a bill.
3. Brand substitution is a crime.
4. Home delivery of drugs should be only against a faxed or e-mail prescription.
5. Everyone should participate in adverse drug reaction (ADR) protocol.
6. ADR reporting should be binding on the Doctors.
7. Patients can also report ADR.
8. New drug means any item introduced  in last four years.
9. Every Doctor must have a copy of national formulary (India) of essential drug.
10. India today is supplying drugs to over 200 countries.
11. DCGI should inform every doctor about drug policy every month.
12. Doctor is also a consumer.
13. India is the only country where medicine strips are cut and 1-2 tablets are dispensed to the patients.
14. In South 40% of pharmacies do not have pharmacists.
15. Off labels use of drugs is not permitted in India.
16. White paper is needed as to how to communicate with all the doctors at one time.
17. All Doctors should read the package insert in the drug box.
18. MBBS education must talk about DCGI approved indications of a drug.

Violence against doctors

In Rohtak, a Doctor was assaulted for demanding ID proof before Ultrasound scan. Jind police has booked 12 peoples for assaulting the Doctor at Safidon town in Jind district.

The PNDT Act makes it compulsory for the doctor to ask for an ID.

According to the Government norms, it is mandatory for Doctors to keep a record of patients going for Ultrasound scan and any violation of the rule attracts strict action from the health authorities.

The assaulted doctor was shifted to Rohtak Medical College with multiple fractures. The entire Act was captured by CCTV cameras installed in the Hospital.

The time has come to have a central Act for the prevention of violence and damage to the property Act.

Rape Prevention

Aaj Tak is telecasting a show on 16th December, 2013 – the first anniversary of the Nirbhaya Kand. The recording of the show was held at Central Park, Rajiv Chowk, Connaught Place, New Delhi. A large number of celebrities, cine stars, social activists were invited for the show. I was also invited as a participant but, unfortunately, show ended before they could cover any health aspect on Nirbhaya Kand.

It is unfortunate that public’s mind in such cases is always towards the crime part. 

Nobody asked about the rehabilitation of the victim or prevention of rape There are many medico-social issued which are linked to occurrence of any rape in the society.

1. To provide first aid to the victim on the spot. In Nirbhaya Kand, it took 45 minutes before she could get minimum medical attention. In this case, the delay was in getting police assistance, then transferring the victim to 25 minutes away to Safdarjung Hospital.

2. Every rape victim should get immediate medical attention. Even if the occurrence of rape is hidden from the police or from the society, it should never be hidden from the medical doctors as rape victim needs
immediate medical attention for prevention of possible pregnancy, prevention of sexually transmitted illnesses and prevention of HIV AIDS. Emergency contraception and post exposure prophylaxes for HIV is available.

3. Another issue linked to the above is that impunity need to be provided to doctors if a rape victim is handled by him or her and the family does not want police to be informed.

4. Post traumatic stress disorder counseling needs to be provided effectively to the affected victim for which designated centres need to be identified.

5. Gender sensitization and sex education needs to be promoted at school level. Every family physician in India should be trained in this subject. Every family physician should be trained as a family sex educator
so that those males who have excessive sexual desires or have a perverted mind, can be counseled and treated.

These were the points which I though I would have covered if I had got a chance to speak in the discussions, but, unfortunately, the health issues are never a priority in such discussions.

The mindset of the society is only towards punishing the culprit.

It is understandable that one should punish the culprit, but equally important is to counsel those males with excessive sexual desires so that they do not end up in committing a crime.

There will be youngsters who under the influence of alcohol may get sexually excited and end up in committing the crime. Counseling, education and treatment of them can prevent many rapes in the society.

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 mantra
VIP’s on CPR 10 Mantra Video
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Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

One should never say there is no cure of disease

sprritual blog

Quite often we see Doctors telling their patients that your disease has no cure. This is a wrong statement. At the most we can say “I have no cure for your disease.”

An even better answer is “I have no cure for your disease in my pathy.”

There may be advances available in other countries that we may not be aware of and there may be treatments available in other pathies and the same may not be in our knowledge.

There may be groups in India who are attempting joint consultations with other pathies.

For example, one may like to treat a cancer non-responding to chemotherapy by adding Pranayama, Yoga, Ayurvedic Panchkarma, Unnani rasayanas and homeopathic nosodes. The addition of the above may convert non responding chemotherapy to a responding one.

Similarly, the treatment of mild hypertension may include Ayurvedic Dosha-specific diet, Ayurveda-based basti panchkarma, Unani-based rasayana, homeopathy-based constitutional medicine and with minimal does of allopathic drug.

cardiology news

How often do you stop to count your blessings?

In your daily struggle for more, how often do you feel joyful and thankful for the many, many things you already have?

Sometime today, stop and take stock of the things you have, the things you know, the people in your life, your spirituality, your skills, your opinions, your special perspective on life, your family, your hobbies, your sense of humor, your appreciation for beauty, your caring for others, your concern for those less fortunate, and your ability to see opportunity.

The list of possibilities is endless, and these things all have value beyond anything you can imagine.

I challenge you to take a good hard look at yourself and to count your Blessings.

Think of as many of them as you can. Think of the beauty and richness of your life. These things don't require money or power or position.

They all spring from your attitude, the way you react to situations, the way you value others, and the way you value life itself.

News Around The Globe

Mega CPR 10 Utsav on Sunday

Heart Care Foundation of India and New Delhi Municipal Corporation are jointly organizing a Mega CPR 10 Utsav on Sunday, 15th December, 2013 at Talkatora Stadium. Over 25000 members of the public including school children will be trained in the technique.

News

  • Patients who quit smoking had significant improvements in symptoms of gastroesophageal reflux, researchers report in the American Journal of Gastroenterology. However, the association was only significant among patients with a normal body mass index, not among those who were overweight, who had minor symptoms, or who used antireflux drugs on less than a weekly basis.
  • Chances of long-term survival for patients with multiple myeloma are greater if they are treated at academic centers or, better if they have an autologous stem cell transplant as part of their initial therapy, according to an analysis presented at the annual meeting of the American Society of Hematology. Only about one in 13 patients will live more than 10 years.
  • A newly identified mutation, T372R, occurs in 30% of insulinomas and may provide new diagnostic and therapeutic targets for the disorder, a study reported. The mutation is found on the YY1 (Ying Yang 1) gene, which regulates mitochondrial function, insulin and insulin-like growth factor signaling.
  • A landmark study by the Tata Memorial Hospital (TMH) presented at the ongoing San Antonio Breast Cancer Symposium in US has established that if the breast cancer has metastasized then surgery and radiotherapy do not necessarily ensure longer survival for women, as reported in TOI, Dec 13, 2013. Chemotherapy and hormonal treatment can achieve almost similar benefits
  • New guidelines from the International Diabetes Federation (IDF) address what the organization says are shortfalls in diabetes care for older people. Although other recommendations for treatment of this condition usually "have a section about older people," there is "none with this amount of detail," said Trisha Dunning, RN, PhD, CDE, vice president of IDF and a coauthor of the new guidance. The guidelines were published last week to coincide with the IDF World Diabetes Congress 2013.

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Rabies News (Dr. A K Gupta)

How is rabies transmitted?

Rabies is transmitted by infected secretions. Most commonly, transmission to humans takes place through exposure to saliva following a bite by an infected animal. Rabies virus can be excreted in saliva, urine, nasal discharge and respiratory secretions.

cardiology news

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

  • An international registry reported online in the International Journal of Cardiology has shown that among patients with either established atherosclerotic disease or at least three risk factors, a history of atrial fibrillation at baseline was associated with about double the risk of cardiovascular death, myocardial infarction, or stroke over the next 4 years (18.9% versus 9.4%). But despite the increased risk, only 52%patients with history of AF were reportedly on anticoagulants at the 4-year follow-up.
  • The American Association of Clinical Endocrinologists (AACE) says it can't support the new cardiovascular risk guidelines issued by the American Heart Association (AHA) and the American College of Cardiology (ACC), saying the set of 4 guideline documents is out of step with its own recommendations. The 4 guidelines are:
    • The treatment of blood cholesterol in adults.
    • Lifestyle management to reduce cardiovascular risk.
    • Obesity management, in conjunction with The Obesity Society.
    • A "science advisory" on the management of hypertension, along with the Centers for Disease Control and Prevention.
cardiology news

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

  • Matthew M. Laughon, MD, MPH, of the University of North Carolina at Chapel Hill, and colleagues report online in JAMA Pediatrics that among 399 drugs commonly used in community NICUs, 96‰ did not have sufficient labels for dose, safety and efficacy in neonates
  • Probiotics may have therapeutic potential in autism spectrum disorder (ASD) suggesting that gut bacteria may contribute to ASD-like symptoms, says a new study published December 5 in the journal Cell.
cardiology news

How can you keep your memory sharp?

  • Manage your stress, especially deadline pressure and petty arguments.
  • The biggest stress is an ongoing sense of extreme anxiety. The stress can be managed by deep breathing, meditation, yoga and by mindful approach to living.
  • Get a good night’s sleep. The most common reason for poor sleep is difficulty in falling asleep and staying asleep. Many drugs used to treat insomnia can also impair memory.
  • If you need a sleeping medicine, it should be used in the lowest dose for the shortest period of time.
  • Get up at the same time in the morning.
  • If you smoke, quit.
  • If you do not drink, do not start.
  • Alcohol makes it difficult to perform short term memory tasks such as memorizing list.
  • Alcohol induces vitamin B1 deficiency, which can cause dementia.
  • Protect your brain from injury as repeated minor head trauma can cause brain damage.
  • Wear a seat belt when driving or riding in motor vehicle.
  • Wear helmet while driving or riding motorcycle.

     

cardiology news

Total CPR since 1st November 2012 – 77787 trained

Media advocacy through Web Media

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press release

Energy drinks may put heart at risk for sudden death

New Delhi: 14th December 2013: Energy drinks may raise blood pressure and prolong QT interval increasing the risk of sudden cardiac death said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal President Heart Care Foundation of India.

In a meta-analysis by Sachin A. Shah at University of the Pacific in Stockton, Calif, with a pooled analysis of 93 people who consumed energy drinks, the QT interval on an ECG was significantly prolonged by 10 ms. The threshold level of regulatory concern is around 5 ms.

In another pooled analysis of 132 people by the same group, researchers found a significant increase in systolic blood pressure by 3.5 mmHg that was associated with the consumption of energy drinks.

Doctors are generally concerned if patients experience an additional 30 ms in their QT interval from baseline. QT prolongation is associated with life-threatening arrhythmias.

That energy drinks can prolong the QT and lead to sudden cardiac death, warrants further investigation.

Half of the energy drinks on the market are consumed by adolescents and young adults.

Most energy drinks have caffeine. Drinks such as Monster, Red Bull, Rockstar, Full Throttle and AMP have three times the amount of caffeine as colas. A 16-oz. can of Monster Energy, for example, contains 160 mg of caffeine, which is almost as much as five cans of soda.

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 77787 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."

emedipicstoday emedipics

Health Check Camp at Bal Bharti Public School, Dwarka

press release

Can Vitamin D Treat Pain?

vedio of day

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

All of the following are the electrocardiographic features of severe hyperkalemia except:

1. Peaked T waves.
2. Presence of U waves.
3. Sine wave pattern.
4. Loss of P waves.

Yesterday’s Mind Teaser: All of the following infections are often associated with acute intravascular hemolysis except:

1. Clostridium tetani.
2. Bartonella bacilliformis.
3. Plasmodium falciparum.
4. Babesia microti.

Answer for yesterday’s Mind Teaser: 1. Clostridium tetani.

Correct answers received from: Dr Ajay Gandhi, Dr.K.Raju, Dr.A.K.Gajjar, Dr.A.K.Saxena, Dr. P. C. Das, Dr. Mihir Vora, Dr.S.D.Limbad, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr Avtar Krishan, Dr B K Agarwal, Dr.Bitan Sen & Dr.Jayashree Sen

Answer for 13th December Mind Teaser: 4. Neurotoxic.

Correct answers received from: Dr.A.K.Saxena Dr. P. C. Das, Dr.R.P.Sharma, Tukaram Pagad, Dr P K Sahu

Send your answer to ijcp12@gmail.com

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centralbank
medicolegal update

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medical querymedical query

medicolegal update

A Dishonest Honest Man

A woman went shopping. At the cash counter she opened her purse to pay. The cashier noticed a TV remote in her purse.

He couldn´t control his curiosity and asked, "Do you always carry your TV remote with you?"

She replied, "No, not always, but my husband refused to accompany me for shopping today...

The story continues...

The shopkeeper laughs and takes back all the items that lady had purchased.

Shocked at this act, she asks the shopkeeper, "What are you doing?"

He said, "Your husband has blocked your credit card."

medicolegal update
medicolegal update

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medicolegal updatemedicolegal update

medicolegal update

Situation: A patient with prosthetic heart valves (bioprosthetic) developed infective endocarditis.
Reaction: Oh my God! Why was he not given infective endocarditis prophylaxis?
Lesson: Make sure tthat all patients with prosthetic heart valves (bioprosthetic or homograft) are given infective endocarditis prophylaxis.

medicolegal update

Instead of worrying about what people say of you, why not spend time trying to accomplish something they will admire. Dale Carnegie

medicolegal update

Dr KK Aggarwal: Bed netting is of little help to prevent dengue http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Consciousness is the subjective ground of all experience. If there is reality outside of consciousness it is unknowable#CosmicConsciousness

Forthcoming events

5th eMedinews Revisiting 2013

(a day long single hall medical conference on 2013 happenings, followed by doctors of the year 2013 awards)

Sunday 19th January 2014, Maulana Azad Medical College Auditorium

Dilli Gate Delhi, 10 am-6 pm


Dr KK Aggarwal
Padma Shri and Dr B C Roy National Awardee President
Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman
Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

5th eMedinewS Revisiting 2013
The 5th eMedinewS–revisiting 2013 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 19th 2014.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2013. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. Lunch will be provided.

Register at: rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

5th eMedinewS Doctor of the Year Awards
Nominations invited for 5th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2013.

pls send his/her Biodata at: emedinews@gmail.com

medicolegal update
  1. Respected Dr Aggarwal, First of all, please accept my heartiest congratulations for your outstanding work in the field of medicine. I am Dr.Neeraj Gupta, a Psychiatrist working in Australia. I need to put forth two important and very relevant health issues and need to know your views on them. Recently honourable Supreme Court has declared Homosexuality a crime which has sparked conflict and apprehension all across the country and in other parts of the world. I being a Psychiatrist and having had dealt with patients of homosexuality, I know these patients have complex emotional problems and they do not pretend to be sick or gain anything by assuming this role. I am not aware of any cure or any Medication as such, some evidences are in favour of CBT , but CBT as such helps to reduce distress from sexual orientation, however peer support & family support has more optimistic results. There is high risk of suicide in these patients much more than general population. I think this will create more unrest among Indians having sexual orientation problem. Sir, another significant issue I want to briefly address is the Legal punishment assigned to an Indian who attempts suicide. Any one who attempts suicide has significant stressors in the life and the person seeks escape though suicide. If one survives anyhow, our Legal system makes him more stressed which obviously would further increase the chances of further suicide. I personally think that these people should not be punished for their act as such. Sir, I would like to know what health professional in India think about above issues. Sincere Regards. Neeraj.

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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

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