eMedinewS 16th July 2013, Tuesday

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

Aspirin after 50 for the primary prevention of cardiovascular disease and cancer

For people age =50 years without excess bleeding risk, the new recommendation is to take a low-dose daily aspirin (75 to 100 mg).

Patients who are more concerned about the bleeding risks than the potential benefits (prevention of cardiovascular events and cancer) may reasonably choose to not take aspirin for primary prevention.

Meta-analyses of randomized trials have shown aspirin to reduce the risk of non-fatal heart attacks and long-term aspirin use reduces overall cancer risk.

A new meta-analysis suggests that aspirin use in 1000 average risk patients at age 60 years would be expected to result, over a 10-year period, in six fewer deaths, 19 fewer non-fatal myocardial infarctions, 14 fewer cancers, and 16 more major bleeding events. (Chest 2012;141:e637S) ...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 Why is the Garun Puran not read in routine life?

It is said in Hindu mythology that Garun Puran should not be read unless there is a death in the family. What can the rationale behind this?

One of the philosophies of Vedanta is that one should always talk and think positive and face adversity like a cricketer right from the first ball he faces. He always thinks he is going to score a 100 till he gets out. Similarly, every person should think that he will live up to 100 years until the last moment of death. Once he dies, he is not there to know how many years he lived. It is only the family who would know this. As far as he is concerned, till the last moment, he had been thinking that he would live for 100 years.

It is true that one should plan his old age and write a will in time but that is for the safety of the family and has nothing to do with your life.

Because Ganesh Puran talks about everything about death, therefore, it is normally recommended that we do not talk about it in routine life. ...Read More

cardiology news

The Starfish

Once a man was walking along a beach. The sun was shining and it was a beautiful day. Off in the distance he could see a person going back and forth between the surf's edge and the beach. Back and forth this person went. As the man approached, he could see that there were hundreds of starfish stranded on the sand as the result of the natural action of the tide.

The man was stuck by the apparent futility of the task. There were far too many starfish. Many of them were sure to perish. As he approached, the person continued the task of picking up starfish one by one and throwing them into the surf.

As he came up to the person, he said: "You must be crazy. There are thousands of miles of beach covered with starfish. You can't possibly make a difference." The person looked at the man. He then stooped down and picked up one more starfish and threw it back into the ocean. He turned back to the man and said: "It sure made a difference to that one!" ...Read More

News Around The Globe

Puducherry college took Rs 5.8 crore for MBBS seats

As per a report in TOI CBI has said that Mahatma Gandhi Medical College & Research Institute, Puducherry, took capitation fee to the tune of Rs 5.76 crores from 73 different persons in 2007-08. As per CBI the institute also "illegally" got an increase in annual intake of students to the MBBS course from 100 to 150 by "fraudulent means". Capitation fee was collected in the name of donations by the college management. Reiterating the Supreme Court's categorical order in Islamic Academy of Education vs State of Karnataka case, CBI said the apex court had held that capitation fee could not be collected in any form. The college was collecting capitation fee in the guise of donation. CBI also said in spite of having conspicuous shortage of teaching faculty and resident doctors, the college illegally managed to get an increase in annual intake of students to the MBBS course from 100 to 150 by fraudulent means.

2nd cancer tied to 1st colon cancer site

Colorectal cancer increased the risk of a secondary primary cancer as much as sevenfold, depending on the site of the original tumor, researchers found. (Source: Medpage Today)

Microbleeds up death risk in AD and beyond

Alzheimer's patients who experience brain microbleeds have a significantly increased risk of mortality compared with Alzheimer's patients without the often asymptomatic bleeds, researchers reported here. (Source: Medpage Today)

Study confirms cognitive loss with menopause

Certain aspects of cognitive function related to memory declined significantly in women during the transition from pre- to postmenopausal status, a comprehensive neuropsychiatric assessment showed. (Source: Medpage Today)

Clinical notes: New guide for best use of labs

Two infections disease societies recommended that physicians take care to order the correct tests and to handle specimens properly. Also this week: a rapid method for checking device sterility. New guidelines from the Infectious Diseases Society of America (IDSA) and the American Society for Microbiology (ASM) call on physicians to be careful when they order laboratory tests intended to diagnose clinical infections. (Source: Medpage Today)

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

In how many cycles does the hair grow?

Hair growth occurs in cycles. While some grow, others rest, and still other are shed. Hormonal changes, such as those associated with oral contraceptives (birth control pills) or pregnancy may synchronize hair growth and make it appear to grow and shed more than usual. However, hair growth patterns usually return to normal within 6 to 12 months.

Rabies News (Dr. A K Gupta)

What does humanizing your dog mean?

  1. Talking to your dog like he/she is a person.
  2. Treating your dog like he/she is a person.
  3. Allowing dogs to do what they want because it will hurt their “feelings.”
  4. Dressing them up in little doggie clothes.

Remember, humanizing your dog is fulfilling your own human needs, not your dogs. Humanizing dogs does more harm than good.

cardiology news

Enzyme may speed artery thickening in diabetes

Elevated levels of an enzyme in the endothelium might be a mechanism for accelerated atherosclerosis in diabetes, an animal model study suggested. (Source: Medpage Today)

Sleep May Play Important Role in Heart Health

A good night's sleep boosts the benefits of a healthy lifestyle on the heart, according to a new large study from the Netherlands published in the European Journal of Preventive Cardiology. The researchers found that not smoking, regular exercise, a healthy diet, and moderate alcohol consumption protects against cardiovascular disease (CVD). However, they also found sufficient sleep (defined as 7 or more hours a night) further increases the heart benefits of these four traditional healthy lifestyle habits.

Valvular Heart Disease News

Infective endocarditis, arrhythmias, conduction abnormalities and thromboembolism are significant issues in dialysis patients with valvular abnormalities.

(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

Birth defect risk doubles for cousin couples: Study

Children whose parents are cousins run more than double the risk of being born with a congenital abnormality, although the overall rate of such birth defects remains low, according to new research findings. ...Read More

Juvenile dermatomyositis may be triggered by UV exposure

Sunlight, the first noninfectious environmental factor identified in juvenile myositis, alters autoantibody expression and may shift the disease phenotype from muscle only (myositis) to involvement of skin as well as muscle (dermatomyositis). ...Read More

cardiology news

Monsoon fever can be deceptive

In the current season any episode of fever should not be taken lightly as many diseases can cause fever, the commonest being viral, malaria, dengue or Chikungunya. However, fever can also be due to viral jaundice or typhoid.

Here are a few tips:

  • Unless you suspect typhoid, no antibiotics are required.
  • Viral fever is associated with cough, redness of the eyes or nasal discharge.
  • Dengue will have fever with rash and pain in eye movement.
  • Chikungunya is a triad of fever, rash and joint pain. Typically the joint pain will increase on compression of the joint.
  • Typically, the fever in malaria comes with chills and rigors and will have normal phase in between two episodes of fever.
  • Fever in jaundice disappears once the jaundice appears.
  • Typhoid fever is often continuous with relatively low pulse rate and with toxic feeling.

Precautions

  • No antibiotics are required unless there is a feeling of toxemia.
  • Antibiotics in cases of sore throat are only required if associated with pain in the throat while swallowing food or red angry-looking tonsils.
  • Except for paracetamol or nimesulide, other anti fever medicines should not be used indiscriminately as they can reduce platelet count.
  • Most diseases are self-limiting and take 4 to 7 days to resolve.
  • The basic precaution involves proper hydration, especially on the days when fever is subsiding.

Warning signals
Any fever with associated comorbid conditions should not be ignored and the doctor should be consulted....Read More

cardiology news

Indicators of Intimate Partner Violence in Emergency Departments

Intimate partner violence (IPV) is a serious, preventable public health problem affecting more than 32 million Americans.

IPV affects both sexes but women are more often victims than men. Lifetime estimates for IPV involving women in the United States range from 22 to 39 percent. In countries around the world, 10 to 69 percent of women report physical assault by an intimate partner at some time in their life.

The term "intimate partner violence" describes actual or threatened psychological, physical, or sexual harm by a current or former partner or spouse. IPV can occur among heterosexual or same-sex couples and does not require sexual intimacy.

Among 5514 assault-related ED visits for women, 1530 visits were IPV related; 2040 were non-IPV related. Among 9476 assault-related visits for men, these frequencies were 395 and 2878, respectively. Among women, occurrence in the home (adjusted odds ratio [AOR] 12.8), head injury (AOR 1.6), and sexual violence (AOR 0.4) distinguished IPV- from non-IPV-related assaults. Among men, occurrence in the home (AOR 25.9) and alcohol use (AOR 2.0) distinguished IPV- from non-IPV-related assaults.

(Yau RK, Stayton CD, Davidson LL, J Emerg Med. 2013 Jul 8. pii: S0736-4679(13)00463-0). ...Read More

cardiology news

EBook

CPR 10 Training Camp, EPFO, 30th May 2013

CPR 10 Camp - Police Training Center Najafgarh

Camps

CPR Classes: Persons trained (52)

CPR VIP Sensitization

Total CPR since 1st November 2012 – 54572 trained

6th July: Zoonosis Conference: 52

Video Chats and uploads

Symposium 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

Symposium on Prayer, Faith, Meditation and healing Part 6

Symposium on Prayer, Faith, Meditation and healing Part 5

Symposium on Prayer, Faith, Meditation and healing Part 3

Symposium on Prayer, Faith, Meditation and healing Part 2

Symposium on Prayer, Faith, Meditation and healing Part 1

CPR 10 training was given to 1001 students learnt CPR at Bal Bharti Public School, Dwarka

Seven Steps to Patient Safety

What patient expect on doctor – A survey

MTNL Perfect Health Mela to focus on Disaster Management & Doctor patient relationship

Dr AK Aggarwal Speaks on Workshop on Patient Safety

Dr RN Makroo on Blood Safety

Prof (Dr) Usha Gupta on Medication Safety

Dr N V Kamath DHS on Patient Care

Vegetarian diet reduces BP

Ingestion of a vegetarian diet may reduce systolic blood pressure by 5 mmHg and a 5 mm reduction in blood pressure reduces the risk of heart disease by 21%, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela.

The high fiber content of the vegetarian diet may add to the BP lowering effects.

A typical vegetarian diet contains more potassium, complex carbohydrates, polyunsaturated fat, fiber, calcium, magnesium, vitamin C and vitamin A, all of which may have a favorable influence on blood pressure.

Soy is another vegetarian food good for the heart. It is naturally high in potassium and low in sodium.

Soy should be taken as an alternative protein source to unhealthy meats. Soy-based meat is higher in fiber and lower in sodium. However, soy does not contain the long-chain omega-3 fatty acids that are found in fatty fish and shellfish.

Soya is also good for the thyroid and post menopausal heart symptoms......

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

Moderate coffee intake protects against stroke

today video of the day 1308 students learnt CPR at Abhinav Public School, Rohini

Symposium on Prayer, Faith, Meditation and healing Part 9

CPR Utsav 6th April 11543 Male Female Trained in 1 day

eMedi Quiz

Read this…………………

A male client with acute pyelonephritis receives a prescription for co-trimoxazole P.O. twice daily for 10 days. Which finding best demonstrates that the client has followed the prescribed regimen?

a. Urine output increases to 2,000 ml/day.
b. Flank and abdominal discomfort decrease.
c. Bacteria are absent on urine culture.
d. The red blood cell (RBC) count is normal.

Yesterday’s Mind Teaser: When caring for children who are sick, who have sustained traumas, or who are suffering from nutritional inadequacies, nurse Ron should know the correct hemoglobin (Hb) values for children. Which of the following ranges would be inaccurate?

a. Neonates: 10.6 to 16.5 g/dl
b. 3 months: 10.6 to 16.5 g/dl
c. 3 years: 9.4 to 15.5 g/dl
d. 10 years: 10.7 to 15.5 g/dl

Answer for yesterday’s Mind Teaser: a. Neonates: 10.6 to 16.5 g/dl

Correct answers received from: Rajeev Ardey, Dr. Thakor Hitendrsinh G, DR ABBAS VAKIL, mahesh tandale, Dr.K.V.Sarma, Dr. P. C. Das, daivadheenam jella, DR AVTAR KRISHAN, DR ARPAN GANDHI, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr.K.Raju

Answer for 14th July Mind Teaser: b. Elevating the neonate’s head and giving nothing by mouth

Correct answers received from: DR P K SAHU, Dr.K.Raju, DR.BITAAN SEN & DR.JAYASHREE SEN

Send your answer to ijcp12@gmail.com




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medicolegal update

(Dr. K K Aggarwal, Padma Shri and Dr. B C Roy National Awardee; Chairman Legal Cell Indian Academy of Echocardiography; Chairman Ethical Committee Delhi Medical Council; Editor eMedinewS and President Heart Care Foundation of India)

I referred a patient to a specialist and he criticized my treatment plan to the patient.

A:
This is not allowed under MCI Code of Medical Ethics Regulations 4.2, 4.3, 4.4

“4.2 Conduct in consultation: In consultations, no insincerity, rivalry or envy should be indulged in. All due respect should be observed towards the physician in-charge of the case and no statement or remark be made, which would impair the confidence reposed in him. For this purpose no discussion should be carried on in the presence of the patient or his representatives.

4.3 Consultant not to take charge of the case: When a physician has been called for consultation, the Consultant should normally not take charge of the case, especially on the solicitation of the patient or friends. The Consultant shall not criticize the referring physician. He/she shall discuss the diagnosis treatment plan with the referring physician.

4.4 Appointment of Substitute: Whenever a physician requests another physician to attend his patients during his temporary absence from his practice, professional courtesy requires the acceptance of such appointment only when he has the capacity to discharge the additional responsibility along with his/her other duties. The physician acting under such an appointment should give the utmost consideration to the interests and reputation of the absent physician and all such patients should be restored to the care of the latter upon his/her return.

Comments

  • We must respect the referring doctor.
  • We must not criticize the referring doctor.
  • We should not take over the case.

Read More

medicolegal update

Teacher: Rick, where was the Declaration of Independence signed?
Rick: At the bottom!

medicolegal update
medicolegal update

Situation: A patient with chest pain came to the ER.
Dr. Bad: Get your ECG done.
Dr. Good: I need to see if you have a rash on left side of your chest.
Lesson: Never miss left side herpes zoster chest pain in this situation. Hyperesthesia particularly when associated with a rash is often due to herpes zoster. Read More

medicolegal update

Situation: A patient on penicillin antibiotic developed a relapse of fever while still on antibiotic.
Reaction: Oh my God! Why was the antibiotic continued for so long?
Lesson: Make sure that drug fever is always excluded in such situations. Antibiotics are the most common cause of drug fever, accounting for approximately one–third of episodes. This especially applies to beta–lactams, sulfonamides and nitrofurantoin (Am J Med Sci 1987;294:275).

medicolegal update

Question paper of 5th class

Write an essay about your MOTHER in 200 words. Given time half an hour.

A boy finished the paper in first minute itself.
He just wrote one sentence, but he got full marks.
That one sentence was-
"Any combination of 26 alphabets can never explain my MOTHER"!!!

medicolegal update

Dr KK Aggarwal: High fat diet prostate cancer prone
http://bit.ly/132xLOW #Health

Dr Deepak Chopra: There are epistemic limits to the scientific method. The scientific creation story is as much of a myth as any
http://bit.ly/14JxRjo #Health

medicolegal update

You have to find sufficient time to explain in detail to the attendant, who is closest and responsible for the patient, before every surgical case, followed by consent form signature. This is to be done by a senior person not by staff nurse or the junior-most resident. Usually there is crowd of attendants before surgery. You have to pick out the right and responsible person for the consent and detail briefing about anesthesia and the operation. In smaller cities and smaller hospitals, this is best done by surgeon himself. Vivek Kumar, Varanasi.

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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