eMedinewS19th June 2014,Thursday

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

Psoriasis – a complex immune–mediated disease

Psoriasis is a complex immune–mediated disease and is a common disorder that affects men and women equally

Although it can begin at any age, the peak times for disease onset are young adulthood (ages 20 to 30 years) and late middle age (ages 50 to 69 years).

There are multiple clinical subtypes of psoriasis. Plaque psoriasis, the most common presentation of psoriasis, most commonly presents with sharply defined erythematous plaques with overlying silvery scale. The scalp, extensor elbows, knees, and back are common locations for plaque psoriasis lesions.

Psoriatic arthritis occurs in about 30 percent of patients with psoriasis, and precedes the skin manifestations in approximately 15 percent of patients.

A diagnosis of psoriasis can be made by history and physical examination in the vast majority of cases. Occasionally, a skin biopsy is needed to rule out other conditions.

Numerous topical and systemic therapies are available for the treatment of psoriasis. Treatment modalities are chosen on the basis of disease severity, relevant comorbidities, patient preference (including cost and convenience), efficacy, and evaluation of individual patient response.

News Around The Globe

  • A new study, presented at the 19th Congress of the European Hematology Association, has revealed that low–dose thalidomide is an effective treatment for epistaxis in patients with hereditary hemorrhagic telangiectasia (HHT) who have failed to respond to other treatments; however, some patients might require maintenance therapy.
  • A drug combining long–acting insulin degludec with liraglutide was noted to maintain superior blood sugar reduction after one year compared to either medicine separately, according to findings from a late stage trial presented at the American Diabetes Association (ADA) 74th Scientific Sessions. The combination therapy also helped more patients achieve recommended blood sugar levels and reduced side effects of each of the drugs taken alone.
  • A new study has suggested that working with a dietician could help parents of kids with food allergies provide them with a balanced diet. After the parents were given six months of dietary counseling, children with food allergies started getting more vital nutrients and eating as many calories as their peers without any food restrictions. The study is published online in the Journal of the Academy of Nutrition and Dietetics.
  • Bionic pancreas, being developed collaboratively between the Harvard group and the Department of Biomedical Engineering at Boston University, Massachusetts, is wearable and automated and incorporates glucagon in addition to insulin. It has shown improved blood glucose levels in adults and teenagers with type 1 diabetes for 5 days straight in real-world settings. These findings from 2 studies were presented recently at the American Diabetes Association (ADA) 2014 Scientific Sessions.
  • In a Sentinel Event Alert issued June 16, entitled "Preventing Infection from the Misuse of Vials," the Joint Commission has described factors that contribute to the misuse of injection vials and offers strategies to curb the problem of improper use of injectable medicines. The Joint Commission said that a survey of 5446 health professionals revealed that 6% admitted to sometimes or always using single-dose/single-use vials for multiple patients.

Rabies News (Dr A K Gupta)

Does kissing a rabies patient call for anti–rabies vaccination?

Kissing a rabies patient may transmit disease because there may be contact with rabies patient’s saliva. Full post–exposure immunization must be given either by intramuscular (IM) or intradermal (ID) route.

If there are ulcers in the mouth of the exposed person, then rabies immunoglobulins (RIG) must be given by IM route.

Cardiology eMedinewS

  • The US Food and Drug Administration has approved the Sapien XT transcatheter aortic heart valve for the treatment of high–risk and inoperable patients with severe aortic stenosis. This is the next generation of the Sapien valve that was first approved in November 2011.
  • The American Heart Association (AHA) has published a new consensus statement on the use of noninvasive testing to evaluate women with suspected ischemic heart disease (IHD). The consensus statement has suggested that women at low risk for IHD should not be subjected to diagnostic tests, whereas those with a slightly higher risk or intermediate risk should undergo initial exercise treadmill testing with electrocardiography.

Pediatrics eMedinewS

  • A study published online June 16 in JAMA Pediatrics has pointed that there appear to be no adverse cognitive effects on 6–year–old children exposed to antiepileptic drugs (AEDs) while in the womb and then breast–fed while their moms continued this therapy.
  • Children with attention–deficit/hyperactivity disorder (ADHD) have reduced iron levels in the brain, which normalize with stimulant medication, reports a new research conducted by investigators at the Medical University of South Carolina Center for Biomedical Imaging in Charleston. Researchers reported that medication–naive patients with ADHD had significantly lower brain iron levels compared with those who had been receiving psychostimulant medication.

Dr K K Spiritual Blog

You look at people the same way as you are

Honest people look everybody as honest and dishonest people look everybody as dishonest. It all depends on the type of people you interact with. If you do not take bribe, nobody will come and offer bribe to you and you will feel everybody is honest. If you take bribe then everybody will come to you to offer bribe and you will feel that everybody in the society is dishonest.

Never judge people with you personal experience. I recall one of the doctors said that every doctor takes and gives bribe because he was running an imaging centre and every doctor who approached him asked for a bribe. But he did not take into consideration the doctors who did not approach him.

Wellness Blog

Triphala can help in reducing bronchial hyperreactivity

Triphala (TRP), a herbal extract, has been shown to affect lymphocytes and natural killer T (NKT) cell function. It has been shown to ameliorate bronchial hyperreactivity through immune–cell modulations.

In a study carried out at the Division of Allergy, Immunology and Pulmonary Medicine, Washington University in Saint Louis, Saint Louis, MO, asthma mouse models were generated through intraperitoneal (IP) injections of ovalbumin (OVA)/2 weeks followed by repeated intranasal OVA challenges.

Mice were then treated with normal saline (OVA/NS) or Triphala (OVA/TRP). Data were compared with mice treated with inhaled budesonide. Both TRP and budesonide significantly ameliorated functional and histological OVA–induced bronchial hyperreactivity.

Triphala causes a significant decrease in bronchial reactivity. It alters immune-cell distributions and show anti–oxidative properties. Immune–cell modulation with triphala can ameliorate lung injury.

(Ref: Horani A, Shoseyov D, Ginsburg I, et al. Triphala (PADMA) extract alleviates bronchial hyperreactivity in a mouse model through liver and spleen immune modulation and increased anti–oxidative effects. Ther Adv Respir Dis 2012 Aug;6(4):199–210).

Inspirational Story

It’s All Good

I heard a story told recently about a king in Africa who had a close friend that he grew up with. The friend had a habit of looking at every situation that ever occurred in his life (positive or negative) and remarking, "This is good!"

One day the king and his friend were out on a hunting expedition. The friend would load and prepare the guns for the king. The friend had apparently done something wrong in preparing one of the guns, for after taking the gun from his friend, the king fired it and his thumb was blown off. Examining the situation the friend remarked as usual, "This is good!" To which the king replied, "No, this is NOT good!" and proceeded to send his friend to jail.

About a year later, the king was hunting in an area that he should have known to stay clear of. Cannibals captured him and took them to their village. They tied his hands, stacked some wood, set up a stake and bound him to the stake.

As they came near to set fire to the wood, they noticed that the king was missing a thumb. Being superstitious, they never ate anyone that was less than whole. So untying the king they sent him on his way.

As he returned home, he was reminded of the event that had taken his thumb and felt remorse for his treatment of his friend. He went immediately to the jail to speak with his friend. "You were right" he said, "it was good that my thumb was blown off." And he proceeded to tell the friend all that had just happened. "And so I am very sorry for sending you to jail for so long. It was bad for me to do this."

"No," his friend replied, "this is good!"

"What do you mean, ‘this is good'! How could it be good that I sent my friend to jail for a year?"

"If I had NOT been in jail, I would have been with you."

ePress Release

Heart Care Foundation of India announces the dates and program of the 21st MTNL Perfect Health Mela

First of its kind ‘Heart Mahakumbh’ to be the key attraction of this year’s event

Heart Care Foundation of India, a leading national non–profit organization committed to raising health awareness in the country, today announced the dates and program of the 21st MTNL Perfect Health Mela 2014. The Mela is an annual event curated to spread mass health awareness using entertainment as a medium and the theme of this year’s Mela will be "No one should die of heart disease just because they can’t afford treatment". It will be held from October 15–19, 2014 at the Talkatora Indoor Stadium in New Delhi.

In line with its theme, the 21st edition of the MTNL Perfect Health Mela will feature a first of its kind ‘Heart Mahakumbh’ comprising of free heart care diagnostic facilities and cardiac interventions for the poor and needy. Over 200 free cardiac surgeries will be provided free to those who cannot otherwise afford treatment by the Sameer Malik Heart Care Foundation fund, which is a new initiative by the NGO. These interventions will include angiography, stenting, pacemaker implants and, closure of a hole in the heart amongst others.

Addressing a press conference, Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee and the President Heart Care Foundation of India, Dr. KK Aggarwal said, "Heart Care Foundation of India is committed to making India a healthier and disease free nation and as a part of this endeavor we constantly try and develop consumer driven health awareness modules. The Perfect Health Mela now in its 21st year will aim at not only educating the masses about the importance of being healthy through disease prevention but will also provide technical and financial assistance for those who need heart interventions and cannot afford treatment. I would like to thank all our supporters and partners for supporting us in this initiative and hope that we can continue making a substantial difference in the future as well"

The Perfect Health Mela caters to people from all age groups and from all walks of life showcasing activities across categories such as health education seminars, check ups, entertainment programs, lifestyle exhibitions, lectures, workshops and competitions. The Mela is attended by over 200 organizations each year including those from the State and Central government, PSUs and leading corporates. This year’s Perfect Health Mela is being organized in association with the NDMC, MCD and MTNL and it will feature a series of mini–events starting September 2014 as a build up to the main event.

Announcing the dates of the Mela and releasing the theme, Dr. NV Kamat, Director Health Services, Delhi Government and Dr. PK Sharma, Medical Officer Health, NDMC said, "Article 21 of the Constitution of India clearly states that every individual has the right to life and the right to live with dignity. Keeping this in mind, no person should be denied medical treatment just because he does not have the means to fund it. I congratulate the Heart Care Foundation of India for their constant efforts towards raising health awareness and providing effective health solutions for the marginalized sections of the society"

Adding to this, Mr. Gunjan Sinha – General Manager Marketing Corporate Office, MTNL, Dr. NK Yadav – Medical Health Officer, South Delhi Municipal Corporation and Mr. Deep Malik – Member, Sameer Malik Heart Care Foundation Fund in a joint statement said that we congratulate Heart Care Foundation of India on this initiative and we assure you that we will do all we can to make the 21st MTNL Perfect Health Mela a success".

For more information about the event please visit: www.perfecthealthmela.com Entry to the Mela is free for all.

– Ends –

About Heart Care Foundation of India
Heart Care Foundation of India is a leading national non–profit organization, which was founded in 1986 with an aim of raising health awareness in the country and providing effective solutions for impending health issues affecting the masses. Over the past 28 years, the NGO has constantly strived to use entertainment as a medium to disseminate health information and has successfully curated and implemented various mass health awareness modules and events based on this model. A leading example of this is the Perfect Health Mela, which is now in its 21st edition and sees an attendance of a minimum of 2–3 lakh visitors each year. In addition to this, two key projects of the Heart Care Foundation of India include the Hands only CPR 10 campaign and the Sameer Malik Heart Care Foundation Fund.

To know more about the foundation, please visit www.heartcarefoundation.org

Media Contact
Talking Point Communications
Shriya Mishra/ Naina Aggarwal
9650785276/ 9582363695

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Total CPR since 1st November 2012 – 94595 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

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CPR 10 Videos

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emedipicstoday emedipics

Heart Care Foundation of India announces the dates and program of the 21st MTNL Perfect Health Mela.

LToR Deep Malik (Member Sameer Malik Heart Care Foundation Fund), Dr Bagotia (Asst Director Health DHS), Dr KK Aggarwal (President HCFI), Dr PK Sharma (Medical Officer Health NDMC); NR Tuli (CMO MCD)

press release

Monitoring LFT in a patient on statins

video of day video of day

 

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 gross ascites presents with complaints of difficulty in breathing on lying down.
Reaction: Oh my God! Why did you drain so much ascitic fluid?
Lesson: Make sure to only moderately tap ascitic fluid as overenthusiastic tapping can be life–threatening.

eMedinewS Humor

Blonde Stop

A Police car pulled alongside a speeding car on the motorway.

Glancing at the car he was astonished to see that the blond behind the wheel was knitting!

Realizing that she was oblivious to his flashing lights and siren, the cop rolled down his window and shouted "Pullover!"

The blonde rolled down her window and yelled back "No, it’s a scarf!"

Quote of the Day

Next to trying and winning, the best thing is trying and failing. Lucy Maud Montgomery

 

Twitter of the Day

Dr KK Aggarwal: Stress may increase smoking habits http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: We’re living in a golden age for neuroscience, and every aspect of human behavior is being linked to brain activity. http://tinyurl.com/lkz8hq4

 

Forth Comming Event

Announcement

Call for Free Registration

4th annual conference Zoonosis 2014
Sunday 6th July 10am–2 pm followed by Lunch

Venue; Indian Medical Association HQs, IMA House, ITO New Delhi

Objective: To discuss about prevention of diseases communicable
from animals to human.

Who can take part: Medical Practitioners,Veterinary Practitioners, Animal Owners/Breeders, NGOworking with animal care etc.

Experts will be from Veterinary/Medical sectors

All participants will be given certificate of participation.

Organizers: Heart Care Foundation
of India, Millennium India Education
Foundation,CAR (Ministry of Agriculture Govt.of India,

Register at :
rawat.vandana89@gmail.com/
drkakroo@gmail.com
or Call: Vandana 9891673085/Dr Kakroo 9810301261

 

eMedi Quiz

Which of the following is not true about papular pruritic eruption in HIV infection?

a. It is one of the earliest manifestations of HIV infection.
b. It is an HIV–specific cutaneous manifestation.
c. Arthopod bites have been postulated to be one of the causative factors.
d. It does not serve as a cutaneous marker of underlying immune status.

Yesterday’s Mind Teaser: All of the following are TRUE regarding HIV infection in children except:

a. Most of the children present with clinical symptoms during the neonatal period.
b. They usually present with non specific symptoms of immunodeficiency
c. Skin is one of the most commonly involved organs with HIV infections
d. Children may remain asymptomatic upto the age of 8–10 years

Answer for yesterday’s Mind Teaser: a. Most of the children present with clinical symptoms during the neonatal period.

Correct answers received from: Raju Kuppusamy, Dr Poonam Chablani,
Dr Jainendra Upadhyay, Pradip Das.

Answer for 17th June Mind Teaser: c) It is associated with APC mutation

Correct answers received from: Jayant Gaikwad, Dr P C Das, Dr Jainendra Upadhyay, Daivadheenam Jella, Dr Avtar Krishan.

Send your answer to ijcp12@gmail.com

medicolegal update

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medicolegal update
  1. Dear Dr Aggarwal, Thanks a lot for having me on eMedinewS mailing list since the beginning of this wonderful new letter. Thanks & with best regards: Suresh Pathak.
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