17th june 2013,Monday

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; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); National Vice President Elect Elect, Indian Medical Association; 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); Editor in Chief IJCP Group & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at
www.facebook.com/Dr KKAggarwal

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.”

From the Desk of Editor in Chief

Dear Colleague,
From today you will get all the e-publications from IJCP group in one email with respective links:
1. Daily eMedinewS 2. Cardiology eMedinewS 3. Pediatrics eMedinewS 4. Dr KK Aggarwal Blog 5. CMAAO@IMA Newsletter (Every Wednesday) 6. Heart Care Foundation of India Newsletter (Every Friday) 7. Daily Press Release Kind Forward this email to your friends so that they can also subscribe for it free.
Happy Reading!!!

GOI- Improve the health care delivery system

We are enclosing Govt of India Circular for Comments

Dear Sir As you are aware, the Central Government has initiated a number of measures to improve the healthcare delivery system in the country. However, shortage of allopathic doctors for attachment at PHC and subcentres has been a hurdle in making the health care mechanism mire effective. One of the option that has been under the consideration of the Government to mitigate such shortage is the integration of ISM (Indian System of Medicine) qualified doctors in the mainstream and pool in 7 Lakh such doctors available in the country with allopathic doctors to enhance the availability of doctors and outreach of healthcare services. Read More…

Prayer for Inner Happiness

Stress is defined as the physical and mental reaction to the interpretation of a known situation. In absence of a known situation there cannot be a stress. One cannot be stressful for a person who has just died in New York in an accident unless he or she is a known person. Read More

Socio-demographic characteristics of sexually abused children :Of the victims, 56.4% (n = 57) were female and 43.6% (n = 44) were male. The mean age was 9.57 +/- 3.5, with a range of 4-17 years.
Read More

Prehypertension triples the risk of heart attack : A person with pre–hypertension, systolic blood pressure between 120–139 mmHg and diastolic pressure between 80–89 mmHg, is more
Read More

Checklist for a doctor’s consultation
(Dr K K Aggarwal)
When you go to a doctor, make sure that you have reviewed your checklist. You know the name and credentials of your doctor. Read More

News Around The Globe

Immunization of migrants a big challenge: Health officials

AURANGABAD: Health officials have intensified polio surveillance in the region, especially in the high risk areas where migrants reside, after an 11-month-old boy was detected with the vaccine derived polio virus (VDPV) in Beed district. After the third such case to be identified in the country, reports of stool samples of 45 children from the region sent for testing to the National Institute of Virology, Pune, are awaited. (Source: TOI, Jun 13, 2013).

Early PET/CT crucial in ablated colorectal liver metastases

Early positron emission tomography and computed tomography (PET/CT) imaging is effective at identifying local-site recurrences of colorectal liver metastases after radiofrequency ablation. Although there are no guidelines for the timing or interpretation of images, they are best used 3 to 12 months after radiofrequency ablation, according to a new study. Dr. Nielsen presented the research here at the Society of Nuclear Medicine and Molecular Imaging 2013 Annual Meeting. (Source: Medscape).

Tenofovir reduces HIV infections in injection drug users

Preexposure prophylaxis (PrEP) with tenofovir disoproxil fumarate nearly halved (48.9%) HIV infection rates in injection drug users, according to a randomized, double-blind, placebo-controlled, phase 3 trial of 2413 participants in Thailand. (Source: Medscape).

Dabigatran 110 mg similar in benefit to 150 mg in weighted analysis

Reigniting a smoldering debate, a new analysis based largely on data from the RE-LY trial has found similar overall benefits to the higher and lower doses of dabigatran (Pradaxa, Boehringer Ingelheim) studied in that trial. (Source: Medscape).

Restless legs syndrome linked to higher mortality

After adjustment for age, men with restless legs syndrome (RLS) have a 39% increased risk for death, and the risk is still elevated after adjustment for lifestyle habits and sleep disturbances, among other factors, a new study shows. (Source: Medscape).


Obesity in Science and Spirituality

Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal Speaks on Obesity in Science and Spirituality in a function held on 16th June 2013. .

Audio of Day

Daily aspirin to prevent heart disease may increase risk of GI or cerebral bleeding

Valvular Heart Disease Update

Echocardiographic screening of first-degree relatives of patients with bicuspid aortic valve and a positive family history and in those with a dilated aorta is recommended.
(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)

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

What are the success rates of IUI?

The success rates with donor insemination depend on many factors. These include the female age and the presence of other female fertility factors such as endometriosis, tubal disease, or ovulatory dysfunction. In general, the monthly chance of pregnancy ranges from 8–15%. The risk of birth defects as a result of conceiving with donor insemination is no different than from conceiving naturally, and is in the range of 2–4%.

Rabies Update(Dr. A K Gupta)

If the saliva of the rabid animal falls into the eyes, what should be done?

If the rabid animal`s saliva falls into the eyes, the eyes should be washed with water/saline and then RIGs can be instilled as eye drops, after dilution (1:1) with sterile normal saline along with full course of anti-rabies vaccination.

Medicolegal Update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

What are ordinary and extraordinary medical care?

Catholic teachings and the Pope advocate a distinction between ordinary and extraordinary care, with ordinary care being mandatory, whereas extraordinary care may be withheld or withdrawn
. Read More

IJCP Book Of Medical Records

Cardiology Medicolegal Forum

Q: Is it legally necessary for a physician to display his registration number while issuing a payment receipt?

Ans: Yes.

As per Regulation 1.41 of the MCI Code of Ethics Regulations, 2002 “1.4.1 Every physician shall display the registration number accorded to him by the State Medical Council / Medical Council of India in his clinic and in all his prescriptions, certificates, money receipts given to his patients.” Read More

Dr Good & Dr Bad

Can a PPI be combined with thyroid drug?
Can thyroid medicine and omeprazole be taken together on an empty stomach?
Dr. Bad: You can take it.
Dr. Good: Don’t combine. Lesson: T4 thyroid medicine should not be taken with other
Read More

Make Sure

Situation: A 40–year–old male developed acute heart attack after playing squash.

Reaction: Oh my God! Why was a cardiac test not done?

Lesson: Make sure that anybody going for anaerobic games after the age of 40 should first get a cardiac clearance.

Quote Of The Day

When you are at a loss of what to do, do nothing. Doing nothing can be very wise. When you pause doing things, you become more aware of God’s presence, and often an unexpected solution to your question will arise.

Twitter Of the Day

Dr KK Aggarwal: Diabetics should not smoke The health hazards of cigarette smoking in the general population are well-known.

Read More


eMedinews Humor

The teacher, during an English lesson, asked her students: "
"Now tell me, what do you call a person who keeps on talking when people are no longer interested?"
Read More


Reader Response

Dear Sir, Emedinews provides very useful information. Regards: Dr Supriya

An Inspirational Story

Love in action

One night a man came to our house and told me, "There is a family with eight children. They have not eaten for days," I took some food and I went. When I finally came to the family, I saw the faces of those little children disfigured by hunger. Read More

eMedi Quiz

Read this…………………

The most common manifestation of cutaneous adverse reaction to food is.......

A. Acute urticaria
B. Pruritus
C. Flare of atopic dermatitis
D. Contact urticaria

Yesterday’s Mind Teaser: The pain management nurse assesses a 67-year-old patient for reports of episodic, sudden-onset, and right-sided facial pain. The patient describes the pain as fleeting, electric-like, and triggered by light touch and brushing of the teeth. The pain management nurse suspects:

o Facet syndrome.
o Myofascial pain syndrome.
o Temporomandibular disorder.
o Trigeminal neuralgia.

Answer for yesterday’s Mind Teaser: Trigeminal neuralgia.

Correct answers received from: Dr. B.B. Gupta, Dr shashi saini, Dr.(Maj. Gen.) Anil Bairaria, Dr.K.V.Sarma, Dr. Thakor Hitendrsinh G, DR AVTAR KRISHAN, Dr B K Agarwal, daivadheenam, Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Dr.K.Raju, Dr(Brig) C H Gidvani, DR P K SAHU, dr kanta Jain

Answer for 15th June Mind Teaser: Develop psycho-physiologic self-regulation.

Correct answers received from: Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Dr.K.Raju, Dr(Brig) C H Gidvani, DR P K SAHU, dr kanta Jain

Send your answer to ijcp12@gmail.com

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Forthcoming Events

ZOONOSIS – 2013-Conference on Prevention of Diseases
Communicable from Animals to Human

Saturday, 6th July, 9.30 am – 5 pm

Venue: New Delhi

(All About Flu, Malaria, Dengue, Chikungunya, Japanese Encephalitis, Rabies, Neurocysticercosis, Leptospirosis, Food Allergies etc.)

For Free Registration:

Email: rekhapapola@gmail.com
Phone: 9899974439 (Rekha Papola), 9810301261 (Dr Uday Kakroo)

Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

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