eMedinewS
1st December 2014, Monday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and National Science Communication Awardee. Limca Book of Record Holder (CPR). Gold Medalist

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

Cancer Survival Rates Can Increase the Anxiety

One of the first questions many people ask when first diagnosed with cancer is about their prognosis. They might want to know whether the cancer is relatively easy or more difficult to cure. The doctor cannot predict the future, but often he/she gives the estimates based on the experiences of other people with the same cancer. Survival statistics can be confusing and frightening. Survival rates cannot tell about the situation specifically. The statistics may be impersonal and not very helpful.

Cancer survival rates or survival statistics indicate the percentage of people who survive a certain type of cancer for a specific amount of time. Cancer statistics often use a five–year survival rate. For instance, the five–year survival rate for prostate cancer is 99 percent. That means that of all men diagnosed with prostate cancer, 99 of every 100 lived for five years after diagnosis. Conversely, one out of every 100 will die of prostate cancer within five years.

Cancer survival rates are based on research that comes from information gathered on hundreds or thousands of people with cancer. An overall survival rate includes people of all ages and health conditions diagnosed with the cancer, including those diagnosed very early and those diagnosed very late. Only the treating doctor may be able to give more specific statistics based on the stage of cancer. For instance, 49 percent, or about half, of people diagnosed with early–stage lung cancer live for at least five years after diagnosis. The five–year survival rate for people diagnosed with lung cancer that has spread (metastasized) to other areas of the body is 2 percent.

Overall and relative survival rates do not specify whether cancer survivors are still undergoing treatment at five years or if they’ve become cancer free (achieved remission). The five year survival rates for all men is 47.3–66%% and for all women is 55.8–63%

Other terms

  • Disease–free survival rate. This is the number of people with cancer who achieve remission. That means they no longer have signs of cancer in their bodies.
  • Progression–free survival rate. This is the number of people who still have cancer, but their disease isn’t progressing. This includes people who may have had some success with treatment, but their cancer hasn’t disappeared completely.

News Around The Globe

  • Magnetic resonance imaging (MRI) may displace the magnets of cochlear implants or cause extreme discomfort for some wearers, suggests a new study published online in JAMA Otolaryngology-Head & Neck Surgery.
  • In a new study, researchers from the University of Huddersfield in the UK claim to have discovered a "breakthrough" drug - ethane-beta-sultam - that may reduce the brain-damaging effects of binge drinking. The study is published in the Journal of Alcoholism and Drug Dependence.
  • The drug cimetidine can increase survival rates in colorectal cancer cases, suggests a new study published in ecancer.
  • Group mindfulness treatment is as effective as individual cognitive behavioral therapy (CBT) in patients with depression and anxiety, suggests a new study published online November 27 in The British Journal of Psychiatry.
  • Using a patient's own rib cartilage (autologous) for rhinoplasty appears to be associated with low rates of overall long-term complications and problems at the rib site where the cartilage is removed, suggests a report published online in JAMA Facial Plastic Surgery.

66th Annual Conference of Cardiological Society of India (CSI) -2014

JH

Dr KK Spiritual Blog

Get What You Give

A son and his father were walking on the mountains. Suddenly, his son falls, hurts himself and screams: "AAAhhhhhhhhhhh!!!"

To his surprise, he hears the voice repeating, somewhere in the mountain: "AAAhhhhhhhhhhh!!!"

Curious, he yells: "Who are you?" He receives the answer: "Who are you?" Then he screams to the mountain: "I admire you!" The voice answers: "I admire you!" Angered at the response, he screams: "Coward!" He receives the answer: "Coward!"

The boy is surprised, but does not understand.

Then the father explains: "People call this ECHO, but really this is LIFE. It gives you back everything you say or do. Our life is simply a reflection of our actions. If you want more love in the world, create more love in your heart. If you want more competence in your team, improve your competence. This relationship applies to everything, in all aspects of life. Life will give you back everything you have given to it.

Inspirational Story

Brotherhood

Ram received an automobile from his brother as Birthday present. One day when Ram came out of his office, he saw a street urchin was walking around the shiny new car, admiring it.

“Is this your car?” – He asked. Ram nodded, “My brother presented me on my birthday.” The boy was astounded. “You mean your brother gave it to you and it didn’t cost you nothing? Boy, I wish…” – He hesitated.

Of course Ram knew what he was going to wish for. He was going to wish he had a brother like his brother but what the lad said jarred Ram all the way down to his heels.

“I wish,” the boy went on, “that I could be a brother like that.” Ram looked at the boy in astonishment, and then impulsively he added, “Would you like to take a ride in my automobile?”

“Oh yes, I’d love that.” After a short ride, the boy turned and with his eyes aglow, said, “Would you mind driving in front of my house?”

Ram smiled a little. He thought he knew what the lad wanted. He wanted to show his neighbors that he could ride home in a big automobile. But Ram was wrong again.

“Will you stop where those two steps are?” The boy asked. He ran up the steps. Then in a little while Ram heard him coming back, but he was not coming fast. He was carrying his little crippled brother. He sat him down on the bottom step, then sort of squeezed up against him and pointed to the car.

“There he is, brother. Like I told you upstairs, his brother gave it to him and it didn’t cost him a penny. Some day I’m going to give you one just like it then you can see for yourself all the pretty things in the shop windows that I’ve been trying to tell you about.” Ram got out and lifted the crippled boy to the front seat of his car. The shining-eyed older brother climbed in beside him and the three of them began a memorable ride.

Rabies News (Dr A K Gupta)

What are the most common modes of exposures of rabies virus?

Human exposures to rabies can generally be categorized as bite, open wound, mucous membrane, or other types of exposure:

  • Bite exposure: Any penetration of the skin of a person by the teeth of a rabid or potentially rabid animal.
  • Open wound exposure: Introduction of saliva or other potentially infectious material (cerebrospinal fluid, spinal cord, or brain tissue) from a rabid or potentially rabid animal into an open wound (e.g., broken skin that bled within the past 24 hours).
  • Mucous membrane exposure: Introduction of saliva or other potentially infectious material (cerebrospinal fluid, spinal cord, or brain tissue) from a rabid or potentially rabid animal onto any mucous membrane (eyes, nose, mouth).
  • Other exposure: Any interaction with a rabid or potentially rabid animal where a bite, open wound, or mucous membrane exposure cannot be definitively ruled out.

Cardiology eMedinewS

  • A study published in the Clinical Journal of the American Society of Nephrology has stated that the presence of two specific proteins in the good HDL can be associated with a poorer prognosis - increased risk of cardiovascular disease and mortality - in diabetic patients who require dialysis.
  • Rheumatic heart disease is a sorely neglected condition in the developing world, with almost half of affected patients not receiving penicillin prophylaxis, suggested a study from the Global Rheumatic Heart Disease Registry. The data were published online in the European Heart Journal.

Pediatrics eMedinewS

  • A report released by the Infant & Toddler Forum (ITF) highlights the need for pre-conception and pregnancy to be seen as a critical 'window of opportunity' to improve the health of the next generation and stresses that a mother's weight and nutritional status before, during and between pregnancies can have a long lasting effect on the health of her children and the risk of disease later in life.
  • Kids who attended full-day preschool programs were more ready for kindergarten and had fewer absences than kids who attended half-day preschool programs, reported a new study published online November 25 in JAMA.

Quote of the Day

  • He who closes his ears to the views of others shows little confidence in the integrity of his own views. William Congreve

Wellness Blog

Most uncontrolled asthmatics think they are controlled

Two-thirds of patients with uncontrolled asthma think their disease is well under control. Asthmatics on proper medicines can not only live a normal life but also reduce their future complications. Uncontrolled asthmatics invariably end up with right heart complications due to persistent lack of oxygenation in the blood. Dr. Eric van Ganse, of University of Lyon, France, in a study published in the Annals of Allergy, Asthma, and Immunology, examined 1,048 subjects with inadequate asthma control. When asked how they would rate their asthma control over the past 14 days, over 69 percent considered themselves to be completely or well controlled. Failure to perceive inadequate asthma control was more likely to be found in patients between the ages of 41 and 50 years. The reasons are:

  1. Most asthmatics fail to perceive their level of disease control and with an uncontrolled state they often feel that their asthma is under control.
  2. In severe asthma low blood oxygen levels might impair a person’s ability to assess their own breathing difficulty.
  3. The notion of asthma control seems poorly understood by asthmatic patients.

Mild to moderate asthma limits the activities of a person and they over a period of time take that as their normal limits.

ePress Release

Tips on family history of high cholesterol

Premature heart disease is when heart disease occurs before 55 years in men and 65 years in women. In premature heart disease, the prevalence of dyslipidemia (high cholesterol levels without symptoms) is 75-85%, said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association.

About 54% of all patients with premature heart disease and 70% of those with a lipid abnormality have a familial disorder. Screening lipid analysis therefore is recommended for first-degree relatives of patients with MI (particularly if premature). Screening should begin with a standard lipid profile and if normal, further testing should be done for Lp(a) and apolipoproteins B and A-I.

Approximately 25% patients with premature heart disease and a normal standard lipid profile will have an abnormality in Lp(a) or apo B. Elevated apo A-1 and HDL are likewise associated with reduced CHD risk.

First-degree relatives are brothers, sisters, father, mother; second-degree relatives refer to aunts, uncles, grandparents, nieces, or nephews and third-degree relatives refer to first cousins, siblings, or siblings of grandparents.

Familial hypercholesterolemia (FH) is a genetic disorder, characterized by high cholesterol, specifically very high LDL "bad cholesterol") levels, and premature heart disease. Patients may develop premature cardiovascular disease at the age of 30 to 40. Heterozygous FH is a common genetic disorder, occurring in 1:500 people in most countries. Homozygous FH is much rarer, occurring in 1 in a million births. Heterozygous FH is normally treated with drugs. Homozygous FH often does not respond to medical therapy and may require apheresis or liver transplant.

To detect familial high cholesterol levels, one must do universal screening at age 16. The cholesterol levels in heterozygous patients are between 350 to 500 mg/dL, and in homozygous, the levels are between 700 to 1,200 mg/dL.

emedipicstoday emedipics

Health Check Up and CPR 10 Camp at G.B.S.S.School, Jangpura New Delhi-14 on 19th November 2014

Self-Assessment-Quiz

 

expert_choice
press release

Obesity reduces life expectancy

video of day

Other Blogs

Video Library

Sameer Malik Heart Care Foundation Fund

The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number +91 9958771177 or by filling the online form.

Madan Singh, SM Heart Care Foundation Fund, Post CAG

Kishan, SM Heart Care Foundation Fund, Post CHD Repair

Deepak, SM Heart Care Foundation Fund, CHD TOF

Total CPR since 1st November 2012 – 101090 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

Ms Geetanjali, SD Public School
Success story Ms Sudha Malik
BVN School girl Harshita
Elderly man saved by Anuja

CPR 10 Videos

cpr 10 mantra
VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

 

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 :

 

Dr Good and Dr Bad

Situation: A patient came with pinpointed chest pain.
Dr. Bad: It is a classical heart attack.
Dr. Good: It is non–cardiac chest pain.
Lesson: A cardiac chest pain can never be pinpointed by a finger.

Make Sure

Situation: A patient on dialysis and on oral antacid developed aluminum toxicity.
Reaction: Oh my God! You should have put him on magaldrate preparations?
Lesson: Make sure to remember that Magaldrate preparations do not cause aluminium toxicity in patients undergoing dialysis.

eMedinewS Humor

Anniversary Gift

After she woke up, a woman told her husband, "I just dreamed that you gave me a pearl necklace for our anniversary. What do you think it means?" "You’ll know tonight," he said. That evening, the man came home with a small package and gave it to his wife. Delighted, she opened it – to find a book entitled "The Meaning of Dreams."

Twitter of the Day

Dr KK Aggarwal: Heart patient should take aspirin unless contraindicated
Dr Deepak Chopra: God isn’t selfish. He doesn’t want anything from you. God doesn’t reject. Whatever you are is fine with him.

eMedi Quiz

The extent to which ionization of a drug takes place is dependent upon pKa of the drug and the pH of the solution in which the drug is dissolved. Which of the following statements is not correct?

1.pKa of a drug is the pH at which the drug is 50% ionized.
2.Small changes of pH near the pKa of a weak acidic drug will not affect its degree of ionization.
3.Knowledge of pKa of a drug is useful in predicting its behaviour in various body fluids.
4.Phenobarbitone with a pKa of 7.2 is largely ionized at acid pH and will be about 40% non-ionised in plasma.

Yesterday’s Mind Teaser: Which of the heart valve is most likely to be involved by infective endocarditis following a septic abortion?

1. Aortic valve.
2. Tricuspid valve.
3. Pulmonary valve.
4. Mitral valve.

Answer for yesterday’s Mind Teaser: 2. Tricuspid valve.

Correct answers received from:  Dr. B. B. Aggarwal, Dr Poonam Chablani, Dr Gopal Shinde, Dr.Bitaan Sen & DrJayashree Sen, Dr Rakesh Sharma, Dr Avtar Krishan,  

Answer for 29th November Mind Teaser: 2. HbsAg and HBeAg positive.

Correct answers received from: Dr Rakesh Sharma, Dr Avtar Krishan,

Send your answer to email

medicolegal update

(Contributed by Dr MC Gupta, Advocate)

Q. Sometimes the relatives of an unconscious patient in a hospital request the doctor to attest the left thumb impression of the patient. Should the doctor agree to such request?


Ans. Legally speaking, attestation of signature or thumb impression means testifying that the signature/thumb impression has been made by the person concerned knowingly and voluntarily. This cannot be done by an unconscious person. Hence, the doctor should not agree.

medicolegal update
  1. Dear Sir, Very Informative news. Regards: Dr Shantanu

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