eMedinewS1st July 2014, Tuesday

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

Today is Doctors’ Day

Follow the five principles of AIDET to improve doctor–patient relationship

Most doctor–patient disputes today are because of a communication gap or miscommunication. To ensure a better doctor–patient relationship, there are etiquettes that doctors should observe, whenever a patient comes to your for consultation.

First, remember the acronym AIDET, it represents the principles that doctors should follow to communicate better with their patients and build a doctor–patient relationship based on mutual trust and respect. These principles are:

Acknowledge: This means that whenever a patient comes to you greet him, call him by his/her name.

  1. Introduce: Introduce yourself or any other member of your staff to the patient and what will be doing for the patient.
  2. Duration: Keep your patient informed about for how long the treatment would continue or, any waiting time.
  3. Explain: Always tell your patients about the diagnosis, the tests or procedures in terms that they are able to understand. This is the concept of informed consent.
  4. Thank you: Say thank you to the patient. Doing this will develop trust and respect in the patient for you as his/her physician

Secondly, doctors should be ‘self IOS certified’. This means:

  1. Do what you say: For example, if you have told your patient that you would be late by one hour, make sure that it is only one hour and not later than that
  2. Document what you speak and
  3. Preserve what you document

Simply put, these only mean that you should be transparent in your interactions with the patient. This will go a long way in avoiding any potential legal problems.

News Around The Globe

  • New data from the Mayo Clinic Study on Aging has shown that a lifetime of intellectual enrichment assists in delaying the onset of cognitive decline in older individuals. Researchers noted a significant association between higher levels of education and working in mentally stimulating jobs in early– to mid–life, as well as higher levels of mid– to late–life cognitive activity, and better cognition with age. The study is published online in JAMA Neurology.
  • Childhood food allergies affect caregiver quality of life, and allergies to milk and egg appear to be the hardest on caregivers, than peanut or tree nut allergies, reports a new study published in the July issue of the Annals of Allergy, Asthma and Immunology. The study also reported that multiple food allergies, age at reaction, income, eczema, parent–reported anaphylaxis, and reaction perception can all significantly affect caregiver quality of life.
  • Results from the Cryptococcal Optimal ART Timing (COAT) Trial, published in the June 26 issue of the New England Journal of Medicine, have revealed that patients with HIV and cryptococcal meningitis may have improved survival when the initiation of antiretroviral therapy (ART) is deferred until 5 weeks after the diagnosis. The earlier ART group (1–2 weeks after meningitis diagnosis) had significantly higher mortality compared with the deferred ART group (45% vs. 30%).
  • The European Union Committee for Medicinal Products for Human Use has recommended new cancer indications for bevacizumab and regorafenib. The new indication recommended for bevacizumab is use in combination with chemotherapy for the treatment of platinum–resistant recurrent ovarian cancer. The new indication recommended for regorafenib is use in the treatment of unresectable or metastatic gastrointestinal stromal tumors (GIST) in patients who have progressed on or are unable to tolerate imatinib and sunitinib.
  • A new case series has suggested that the fermented drink kefir taken with a staggered and tapered antibiotic withdrawal regimen could assist the resolution of recurrent Clostridium difficile infection. Kefir is a fermented dairy product that contains probiotic agents. The findings were published online in Clinical Infectious Diseases.

Rabies News (Dr A K Gupta)

Can rabies be transmitted through sexual intercourse?

Rabies virus is present in the semen and to some extent in vaginal secretions. Priapism, increased sexual libido and indulgence are seen both in male and female rabies cases. Hence, in the exposed person, a full course of rabies post–exposure vaccination either by intramuscular (IM) or intradermal (ID) route should be given. If there is any doubt of category III exposures, that is, abrasion on penis or in vagina, then RIG must also be given by IM route.

Cardiology eMedinewS

  • University of Antwerp, Antwerp University Hospital, and Multiplicom NV have together developed a blood test to determine the genetic risk of sudden cardiac death (SCD). This test, called PED MASTR, is already in use at the center of medical genetics of University of Antwerp/Antwerp University Hospital and will be launched worldwide from September 2014. PED MASTR will make the full analysis of the high number of genes involved for SCD causing mutations feasible and faster.
  • Researchers at UT Southwestern Medical Center have identified a new therapeutic target for atherosclerosis. This molecule, known as 27HC (27–hydroxycholesterol), has been found to worsen the development of the condition, and may prove to be a promising therapeutic target. Researchers identified the impact of 27HC on atherosclerosis through a study that was published in Cell Metabolism.

Pediatrics eMedinewS

  • Pediatric emergency medicine researchers at the Children’s Hospital of Eastern Ontario (CHEO) together with the Ontario Neurotrauma Foundation (ONF) have launched the first comprehensive pediatric concussion guidelines. The new guidelines provide evidence–based recommendations to standardize the diagnosis and management of concussion in children aged 5 to 18 years old, from the initial assessment to the period of recovery.
  • A Mayo Clinic study published in Pediatric Obesity has reported that physicians using body mass index (BMI) to diagnose children as obese may be missing nearly 25% of kids who have excess body fat despite a normal BMI. Researchers noted that while BMI has high specificity in identifying pediatric obesity, meaning BMI accurately identifies children who are obese, it has a moderate sensitivity, meaning the BMI tool tends to miss children who actually should be considered obese.

Dr K K Spiritual Blog

Panchamrit body wash

Panchamrit is taken as a Prasadam and is also used to wash the deity. In Vedic language, anything which is offered to God can also be done to the human body. Panchamrit bath, therefore, is the original and traditional complete bath prescribed in Vedic literature. It consists of the following:

  • Washing the body with milk and water, where milk acts like a soothing agent.
  • This is followed by washing the body with curd, which is a substitute for soap and washes away the dirt from the skin.
  • The third step is washing the body with desi ghee, which is like an oil massage.
  • The fourth step is washing the body with honey, which acts like a moisturizer.
  • The last step is to rub the skin with sugar or khand. Sugar works as a scrubber.

Wellness Blog

All about death by hanging

  • Hanging is the simplest and yet highly effective method used by people who commit suicide.
  • It is the most common cause of suicide next to poisoning in women and gunshot injury in men.
  • Hanging accounts for 53% of suicides in males and 39% in females.
  • It has a high mortality rate up to 70%.
  • The materials required are easily available and of wide range and therefore it is difficult to prevent.
  • Hanging can be suspension hanging or drop hanging.
  • Suspension hanging is hanging of the body by the neck and drop hanging involves calculated drop to break the neck.
  • In suspension hanging, a person takes 10 to 20 minutes to die resulting into a painful death. Materials used are rope, bed sheet, shoe laces, telephone extension cables, and threads of the chairs/mattresses.
  • Suspension hanging causes compression of carotid artery, jugular veins and the airway.
  • In suspension hanging, 5 kg of pressure is required to compress the carotid artery; 2 kg of pressure is required to compress the jugular veins and 15 kg of pressure is required to compress the airway. Unconsciousness occurs in 5 to13 seconds.
  • Full suspension is not necessary. A person can die even with partial suspension.
  • Near hanging is the term used for those who survive.

Inspirational Story

Mother’s Love

The Vietnam War broke out. Followed the heart, the young husband joined the military and sacrificed his life leaving behind his wife and kids.

Life postwar was very hard, often with not enough food to eat. Still young and beautiful, the wife refused to remarry and dedicated her entire life to raise her kids with the best possible care and education. An opportunity came; the first born son immigrated to America, studied hard and became a NASA Engineer having a good life.

The son sent home letters often, together with much money for mom to spend, however, Christmas after Christmas, New Year after New Year, with the many excuses, the son stubbornly refused to travel home to visit mom. When the mother died, the son returned and organized a big funeral but people did not see him shedding a tear.

Mother left behind a chest that she always placed at the top of her bed. During the funeral, the son opened the chest and suddenly burst into tears, sobbed, embraced his mother’s coffin and screamed hysterically, "Mom! Mom!"

Everyone looked at each other and looked at the chest. It was full of $100 dollar bills and a piece of paper. In it read, "Son, I don’t spend too much money. I miss you a lot. Every time I hear a motorcycle passing by, I run out the door but it wasn’t my son. I saved this money for you in case when you get sick."

ePress Release

Doctors must follow etiquettes to facilitate better doctor–patient relationship

A good doctor patient relationship forms the heart of practice of medicine. And when this bond is breached, it leads to legal disputes between the doctor and his/her patients. Proper communication is the key to creating a good interpersonal relationship.

On the occasion of Doctors’ Day, Padma Shri and Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association said that doctors should observe certain etiquettes, whenever a patient comes to them for consultation. He said doctors should follow the five principles of AIDET to improve doctor-patient relationship.

  1. Acknowledge: This means that whenever a patient comes to you greet him, call him by his/her name.
  2. Introduce: Introduce yourself or any other member of your staff to the patient and what will be doing for the patient.
  3. Duration: Keep your patient informed about for how long the treatment would continue or, any waiting time.
  4. Explain: Always tell your patients about the diagnosis, the tests or procedures in terms that they are able to understand. This is the concept of informed consent.
  5. Thank you: Thank your patient. Doing this will develop trust and respect in the patient for you as his/her doctor.

eMedi Quiz

A 60–year–old male presented to the emergency with breathlessness, facial swelling and dilated veins on the chest wall. The most common cause is:

1. Thymoma
2. Lung cancer
3. Hodgkin’s lymphoma
4. Superior vena caval obstruction

Yesterday’s Mind Teaser: Which one of the following is a recognized x–ray feature of rheumatoid arthritis?

1. Juxta–articular osteosclerosis.
2. Sacroilitis.
3. Bone erosions.
4. Peri–articular calcification.

Answer for yesterday’s Mind Teaser: 3. Bone erosions.

Correct answers received from: Dr P C Das, Dr Raghavendra Jayesh, Dr Poonam Chablani, Arvind Diwaker, Dr Avtar Krishan, KV Venugopal, Prabha Sanghi, Gajveer Singh, Daivadheenam Jella, Dr Jainendra Upadhyay, Dr B K Agarwal, Dr Chandresh Jardosh.

Answer for 29th June Mind Teaser: 2. Interstitial lung disease.

Correct answers received from: Dr P C Das, Dr Jayashree Sen, Dr Bitaan Sen, Dr B K Agarwal.

Send your answer to ijcp12@gmail.com

Make Sure

Situation: A 40–year–old mild hypertensive complained of ED after a beta blocker.
Reaction: Oh my God! What was the need of starting the drug so early?
Lesson: Make sure that all patients with mild hypertension are first advised lifestyle modifications like exercise, low salt diet, high fiber diet, decreasing stress, etc. before advising anti hypertensive medications.

eMedinewS Humor

Overloaded

My wife, a flight attendant for a major airline, watched one day as a passenger overloaded with bags tried to stuff his belongings in the overhead bin of the plane. Finally, she informed him that he would have to check the oversized luggage.

"When I fly other airlines," he said irritably, "I don’t have this problem."

My wife smiled, "When you fly other airlines, I don’t have this problem either."

Quote of the Day

Let us follow our destiny, ebb and flow. Whatever may happen, we master fortune by accepting it. Virgil

Twitter of the Day

Dr KK Aggarwal: Dengue patients don’t die of platelet deficiency http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Attention & intention are the mechanics of manifestation http://tinyurl.com/lkz8hq4

Zee News – Health Wealth Shows

Alcohol
Cancer Prevention
Depression
Paralysis
Pneumonia
Potbelly Obesity
Sudden Cardiac Death
Safe Drugs
Safe Holi
Vitamin D
Vitiligo
Fluid Intake

 

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

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)

emedipicstoday emedipics

Health Check Up Camp at Sarvodya Kanya Vidyalaya, 8th May 2014

press release

School Health Education

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 :

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

Zoonosis 2014 9-1 PM


6 July 2014 Zoonosis 2014

Speakers Zoonotic disease in India
Dr Jyoti Misri Pr Scientist ICAR Govt of India

Inaugural address
Dr M L Madan Fmr DDG ICAR

Dr KK Aggarwal (To Moderate)

Bovine Tuberculosis and Brucellosis
Dr R Somvanshi HOD Vety Pathology IVRI Bareilly UP

Dr Rishendra Verma Jt Dir.Centre for Animal Disease Research and Diagnosis IVRI Bareilly UP

Equine Encepahalitis
Dr. Baldev Gulati Pr.Scientist National Centre for Research in Equines,Hissar Haryana

Cysticarcosis, Neurocysticercosis
Dr R Somvanshi HOD Vety Pathology IVRI Bareilly UP

Rabies, Cat Scratch Disease
Dr. Ashok Bhardwaj Asstt.Prof. SKAUST Jammu

Swine Flu, Japanese Encepahlitis
Dr.P K Uppal Fmr FAO Expert on Flu
Dr. Baldev Gulati Pr.Scientist National Centre for Research in Equines, Hissar Haryana

Bird Flu
Dr.P K Uppal Fmr FAO Expert on Flu

Mycotic Diseases

Dr.P P Gupta Fmr Dir.Research Punjab Agri Univ.

Food Borne Diseases Salmonellosis, tapeworms, teniasis

Dr.Lal Krishna
Fmr Animal Husbandry Commissioner Govt.of India.

Anthrax, Rota Virus, Carona Virus

Dr. A K Bhatia Professor & Head, Biotechnology Dept.GLA Univ. Mathura

Dr.M P Yadav Fmr Director IVRI Bareilly UP

Dr.C Bhattacharya Vety Public Health Spl. Delhi

Emerging Threats : JD,Crone's Disease,Nepha Virus,etc.

Dr.Shoorvir Singh Pr Scientist National centre for Res in Goats Makhdoom Agra

 

medicolegal update

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medical querymedical query

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update
  1. Heartily congratulation to Dr K.K.Agrawalji to receive Dr R.K.Menda Oration Award. Regards: Dr A.J.Dabawala Amreli Gujarat
cardiology news

Media advocacy through Web Media

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