eMedinewS17th November 2013, Sunday

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

Primary Care New HIV Treatment Focus

As the long–term prognosis for people with HIV continues to improve, they are at risk for such things as diabetes and high cholesterol, according to the 2013 guidelines from the HIV Medicine Association of the Infectious Diseases Society of America.

In many HIV practices now, 80% of patients with HIV infection have the virus under control and live long, full lives.

The new guidelines published online and in the January issue of the journal Clinical Infectious Diseases, replace those from 2009, in which physicians were urged to focus on helping their patients adhere to sometimes difficult treatment regimens.

New recommendations

  1. Patients with controlled HIV should have tests for viral load every 6 to 12 months, rather than every 3 to 4 months as previously recommended.
  2. Patients should be offered vaccination against pneumococcal infection, influenza, varicella, and hepatitis A and B, as indicated.
  3. Expanded recommendations on the initial evaluation and immediate follow–up of patients have replaced an earlier discussion of the best way to diagnose HIV.
  4. A section on metabolic comorbidities, including diabetes, high cholesterol, and osteoporosis, replaces separate guidelines on dyslipidemia.
  5. The new guidelines also expand the section on other sexually transmitted diseases, including a new recommendation for annual screening for trichomoniasis in women and yearly screening for gonorrhea and chlamydia for people at risk.
  6. Clinicians also need to ask regularly –– in "an open, nonjudgmental manner" –– about patients’ sexual histories and any risky behaviors, such as the use of illicit drugs.
  7. Usually, HIV patients receive care from either a specialist or a primary care physician. New guidelines are intended to ensure that both groups are aware of issues that arise in the other camp. (MedPage)

TCT 2013 Update: Cardiology Trials

RANSLATE–POPS: Free platelet–function tests boost use but don’t change outcome

Platelet function test in acute–MI patients only modestly influences the choice of antiplatelet agent, according to the TRANSLATE–POPS study by Dr Tracy Wang at Duke Clinical Research Institute, Durham, NC. The US physicians generally select an agent based on what they think a patient needs and what they think a patient can afford or can take. So in that setting, if the clinician’s mind is already made up, introducing a test isn’t likely to change that decision very much.

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

Is the origin of ISO Certification from the Vedas?

sprritual blog

Whatever you say or do means you are ISO certified.

In mythology, truthfulness means that you do what you think or say. ISO therefore is a Vedic stamp for truthfulness.

You need ISO certification in Kaliyuga as majority being Kaliyugi will not be doing what they say or think.

In traditional old business times, people used to transact on verbal assurances but today every one works on written agreements. The saying was "Prana Jaye per vachan na jaye".

cardiology news

Bringing up children

To bring up your children as well as you can, bear the following in mind.

  • Spend more time on them and less money.
  • Teach values such as honesty, integrity, patience and self control gradually and steadily, and that too by your own example.
  • Praise them openly and often, reprimand the bad behavior, not your children. Teach them self esteem and self confidence (something they’ll carry for the rest of their lives).
  • Restrict television watching and recreation time. Keep a watch on your children’s company.
  • Try to keep alcohol and drugs away from the house, or keep them in moderation.
  • Maintain a happy and loving home environment.
  • Give a lot of your time to your children, both in quality and quantity.
  • Make humor and laughter a part of your relationship with children.
  • Allow children to grow and learn through the mistakes they make.
  • Hug and show feelings of love whenever possible.
  • Communicate gently but clearly and firmly––get your point across.

News Around The Globe

President Obama has nominated Harvard Medical School’s Vivek Hallegere Murthy as the next surgeon general of the United States, according to multiple news reports.

Murthy is an outspoken advocate of universal–health insurance programs and is the co–founder and president of Doctors for America, an organization of some 16,000 physicians with a stated mission to "improve the health of the nation and to ensure that everyone has access to affordable, high quality health care," according to its website. The AP also reported that Murthy has founded and worked with a nonprofit specializing in HIV/AIDS education in both India and the United States.

Boris, a rear admiral and pharmacy expert with the United States Public Health Service, currently serves as the nation’s acting surgeon general. Murthy must win confirmation from the U.S. Senate before commencing the position’s four-year term. (Rajat Bhatnagar)

How Early Obesity Prevention Should Start

NEJM

  1. Pregnant women should not smoke
  2. Rates of elective cesarean sections, especially before 39 weeks of gestation, should be reduced.
  3. Simple sleep–hygiene measures should start in early infancy.
  4. The ideal age for introducing solid foods appears to be 4 to 6 months in order to prevent allergies
  5. The same is true in terms of obesity prevention.

News

  • In a study of 15,462 type 2 diabetics who were followed for 5 years, those in the low physical activity group (never exercising or exercising once or twice a week for 30 minutes) had a 25% greater risk of coronary and cardiovascular events than those in the high activity group (exercising three or more times a week), and a 69% greater risk of a fatal cardiovascular event. (European Journal of Preventive Cardiology)
  • Although it’s not technically an addictive disorder by psychiatric standards, behaviors associated with "food addiction" are closely tied to obesity. In an analysis of data from the Canadian province of Newfoundland, about 5% of people there exhibited symptoms of "food addiction," as classified by the Yale Food Addiction Scale. That prevalence rose with increasing obesity, from 1.6% among those who were underweight or normal weight to 7.7% in overweight and obese patients (Data presented at Obesity Week).
  • A newly discovered mutation in the human prion protein gene produces a clinical syndrome marked by chronic diarrhea, autonomic abnormalities, and peripheral neuropathy. Eleven members of an extended family in Britain were found to share the syndrome. A specific, inherited Y163X mutation in the PRNP gene was identified in six of these individuals with DNA samples available. The resulting aberrant prion protein did not appear to be transmissible, unlike those responsible for Creutzfeldt–Jakob disease (CJD) (NEJM).
  • The FDA wants label and packaging changes for certain topical antiseptic products to reduce the risk of infection. The agency said that it is evaluating "infrequent but continuing reports of infections resulting from antiseptic products labeled for preoperative or preinjection skin preparation."The risk of infection apparently arises most often from user contamination; however, contamination can also occur during the manufacturing process, as topical antiseptics are not required to be manufactured as sterile. The FDA has recommended that these products –– available as single– or multiple-use –– be sold only as single–use preparations. In addition, the antiseptics should not be diluted after opening and any leftover solution should be discarded.

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Rabies News (Dr. A K Gupta)

Why do some people fear the rabies vaccine?

In the past, rabies vaccine was a sheep brain derived Nerve Tissue Vaccine (NTV) and was associated with considerable side effects. Large volumes and a number of injections were required. So, rabies vaccine acquired the dubious reputation of a dangerous vaccination. However, these fears are no longer justified with modern rabies vaccines that are very safe.

cardiology news

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

  • Posttraumatic stress disorder (PTSD) has been linked to an increased risk for ischemic heart disease, new research shows. A prospective study conducted by investigators at University of California, San Francisco, showed that myocardial ischemia was approximately twice as prevalent in patients with PTSD compared with those without the disorder. As per the authors, posttraumatic stress disorder was associated with ischemic changes on exercise treadmill tests independent of traditional cardiac risk factors, C–reactive protein, and several health behaviors and psychosocial risk factors, suggesting additional mechanisms linking PTSD and ischemia should be explored (November issue of Biological Psychiatry).
  • The use of vascular–closure devices in patients undergoing transfemoral PCI is associated with a significant reduction in vascular complications and the need for blood transfusions. Among more than 85 000 PCIs performed across 32 hospitals in Michigan, the use of a vascular–closure device, which was used in 37% of cases, reduced the risk of vascular complications by 22% and the need for postprocedural blood transfusions by 15% compared with the use of manual closure. The closure devices were associated with a 31% lower risk of hematomas and a 46% lower risk of pseudoaneurysms (November 11, 2013 in the Annals of Internal Medicine).
cardiology news

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

  • Declining eye contact in infants as young as 2 months old may be one of the earliest indicators of autism spectrum disorder (ASD). A prospective study, which followed 110 children from birth to age 3 years, showed that those who had a subsequent diagnosis of ASD started life with relatively normal attention to others’ eyes. However, their eye fixation began to decline between the ages of 2 and 6 months and continued declining to study’s end. This pattern was not observed in typically developing children (November 6 in Nature).
  • Resting pulse rates among pre–teens in the U.K. have increased over the last 30 years, suggesting a decline in overall fitness levels. The modest, but significant, increases were not explained by the precipitous weight gains among the age group over the same period, and researchers warned that they could have important public health implications for future cardiovascular disease risk. Between 1980 and 2010, the mean pulse rates increased by 0.07 beats per minute per year among boys and 0.04 beats per minute per year among girls) (Archives of Disease in Childhood)
cardiology news

Hospital safety incidents have 20% mortality

Patients who experience a patient safety incident have a 20 percent chance of dying as a result of the incident, said Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal President, Heart Care Foundation of India.

The 16 different patient safety concerns are:

  1. Complications of anesthesia
  2. Death in low mortality diagnosis related groups
  3. Bed sores
  4. Failure to rescue
  5. Foreign body left in during procedure
  6. Physician–induced pneumothorax (air in the lungs)
  7. Selected infections due to medical care
  8. Post–operative hip fracture
  9. Postoperative hemorrhage or hematoma
  10. Postoperative physiologic and metabolic derangements
  11. Postoperative lung failure
  12. Postoperative pulmonary embolism or deep vein thrombosis (clot in the legs or the lungs)
  13. Postoperative infections
  14. Postoperative wound dehiscence in abdominopelvic surgical patients
  15. Accidental puncture or laceration
  16. Transfusion reaction
cardiology news

Total CPR since 1st November 2012 – 71933 trained

Media advocacy through Web Media

Depression and obesity linked

Winter is related to depression and now the results of a 5-year study suggests that depression predicts an increase in abdominal obesity (visceral fat accumulation) said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India. This is why depression increases the risk of diabetes and cardiovascular disease. People with depressive symptoms accumulate more visceral fat than their counterparts without depression.

The findings, reported in the journal Archives of General Psychiatry, come from a study of 2,088 well–functioning adults, between 70 and 79 years of age, who were enrolled in the Health, Aging, and Body Composition Study.

Abdominal obesity is determined by waist circumference. In the study, depression roughly doubled the odds of gaining visceral fat. One of the factors may be that depression is linked to more refined carbohydrate craving and resultant visceral obesity.

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

20th MTNL Perfect Health Mela 2013

press release

Statins may worsen asthma

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 muscles are grouped together as muscles of mastication except:

1.Buccinator.
2.Masseter.
3.Temporalis.
4.Pterygoids.

Yesterday’s Mind Teaser: All of the following are examples of traction epiphysis, except:

1.Mastoid process.
2.Tubercles of humerus.
3.Trochanters of femur.
4.Condyles of tibia.

Answer for yesterday’s Mind Teaser: 4.Condyles of tibia.

Correct answers received from: Dr. Jatinderjit singh, DR ARPAN GANDHI, Dr. V.P. Thakral, Dr.K.V.Sarma, Dr.(Maj. Gen.) Anil Bairaria, Dr Chandresh Jardosh, DR AVTAR KRISHAN, Dr Kanta Jain, dr.sahadevudu gelivi, Dr B K Agarwal, Muthumperumal Thirumalpillai, daivadheenam jella

Answer for 15th November Mind Teaser: 2.Iliohypogastric

Correct answers received from: Dr.(Maj. Gen.) Anil Bairaria

Send your answer to ijcp12@gmail.com



medicolegal update

Click on the image to enlarge

medicolegal update

A woman customer called the Canon help desk with a problem with her printer.
Tech support: Are you running it under windows?
Customer: "No, my desk is next to the door, but that is a good point. The man sitting in the cubicle next to me is under a window, and his printer is working fine."

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: Doctor, this patient has developed acute renal failure (ARF).
Reaction: Oh my God, I forgot that he was on furosemide. I gave him full dose of amikacin.
Lesson: Make sure, before calculating the dose of aminoglycoside (amikacin) that furosemide and other loop diuretics, which enhance its nephrotoxicity are not being given.

medicolegal update

A crust eaten in peace is better than a banquet partaken in anxiety. Aesop

medicolegal update

Dr KK Aggarwal: Dr K K Aggarwal: Relaxation during work http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Are we alone in the universe? Take a quick trip through the cosmos as I explore this eternal question. @thechoprawell http://youtu.be/65NXtLfQMYo

Forthcoming events

The Principal, Staff and Students of Bal Bharati Public School ((An Institution of child education society (Regd.))

Sector – 12, Dwarka, New Delhi – 110078 cordially invite you to their 16th Annual Day on Sunday, November 17, 2013

5:00 pm onwards

Venue: School premises

Chief Guest: Sh Vineet Joshi, IAS, Chairman CBSE

Guest of Honor: Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India

2. Pushpanjali Crosslay Hospital, a 350+ bedded NABH & NABL accredited multi super specialty hospital is organizing its 5th Annual Conference "PCCON 2013" in association with Indian Medical Association (East Delhi Branch & West Ghaziabad Branch) on November 23–24, 2013 at Hotel Country Inn, Sahibabad, Ghaziabad.

Chairperson : Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

Day & Date : Sunday, 24th Nov, 2013

Topic : Quality Management in Healthcare Delivery

medicolegal update
  1. Dear Sir, emedinews provides very useful information. Regards: Dr Shagun

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medicolegal update

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