eMedinewS22nd April 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

Clinical trial with 254 deaths starts debate

The death of 254 Indian women in the course of a 15–year US5–funded clinical trial has triggered a raging debate. The trial was for a cervical cancer screening method and the women who died were part of a control group kept without screening to study death rates in unscreened populations.

Cervical screening reduces the incidence of the cancer, yet over 140,000 women in the control arm of the trial were not screened.

The trial was unethical and violated the international ethical guidelines on medical research, the Helsinki Declaration’s guidelines, which clearly state that "the benefits, risks, burdens and effectiveness of a new intervention must be tested against those of the best current proven intervention".

Even ICMR guidelines stipulate that a placebo can be used only if the disease is self-limiting or when no proven preventive, diagnostic or therapeutic method exists.

The three–cluster randomized controlled trials looked for a cheap screening treatment for cervical cancer for introduction into the public health programme. The screening treatments being examined were Visual Inspection with Acetic Acid (VIA) screening, Pap smear– which is the standard of care in the west – and HPV screening.

Trial researchers claimed that having unscreened control groups is ethically justified in India because no–screening is considered "standard care". (Source: Rema Nagarajan, TNN)

News Around The Globe

  • A risk score that includes clinical characteristics, serologic findings, and imaging tests has been noted to have the potential to predict which antibody-positive patients are likely to develop rheumatoid arthritis (RA), reports a new research. Among patients positive for the RA–specific anticitrullinated protein antibodies (ACPA), 62% of those with high scores of >3 (out of 5) progressed to RA, reported the study authors.
  • The US Food and Drug Administration (FDA) has recently issued a safety advisory regarding the use of laparoscopic power morcellation during hysterectomy and procedures to remove uterine fibroids. The FDA has stated that the devices pose a risk of spreading unsuspected cancerous tissue and has thus discouraged the use of power morcellators in association with hysterectomy or myomectomy.
  • Lifestyle changes, including diet modifications and exercise, made by people at high risk of diabetes may reduce their chance of developing the disease over the next 20 years, reports a Chinese study. The lifestyle changes also helped lower death rates, especially among women. The study has been published in the Lancet Diabetes and Endocrinology.
  • A new study published in the Annals of Internal Medicine has revealed that coinfection with HIV heightens the risk for hepatic decompensation in patients with hepatitis C virus (HCV), even in the times of antiretroviral therapy (ART). Liver decompensation was noted to be higher even in patients with ART-mediated suppression of HIV RNA levels to less than 1000 copies/mL or less than 400 copies/mL during the 6.8 years of the study follow-up.
  • A study published online April 16 in the Lancet has stated that functional brain imaging with fluorine-18 fluorodeoxyglucose positron emission tomography (FDG–PET) might assist the determination of whether a patient in a vegetative state has the potential to recover consciousness. Researchers noted that FDG–PET had high sensitivity for identifying patients in a minimally conscious state (93%) and high agreement with behavioral Coma Recovery Scale–Revised (CRS–R) scores (85%).

Rabies News (Dr A K Gupta)

What is the "potency" of rabies vaccine?

WHO recommends that the vaccine potency should be at least 2.5 IU per dose. The potency is the capacity of the vaccine to induce immune response.

Cardiology eMedinewS

  • A recent study published in the April issue of JAMA Surgery has revealed that missed doses of prophylactic anticoagulation account for about 24% of the deep vein thrombosis (DVT) that occurs in surgery and trauma patients. On the contrary, only 5% of those who took uninterrupted therapy reported a DVT.
  • Researchers at the Los Angeles Biomedical Research Institute (LA BioMed) have noted that calcium scoring can accurately predict the chances of dying of heart disease among adults with no known risk of heart disease. The study revealed that those with low coronary artery calcium scores of 1–99 were 50% more likely to die of heart disease than those with a calcium score of zero. Adults with moderate scores of 100-399 were 80% more likely, and those with scores of >400 were three times more likely to die from heart disease, when compared to adults with a score of zero.

Pediatrics eMedinewS

  • A team of researchers from various centers has noted that a new antiviral drug termed ERDRP–0519 may protect those infected with measles from getting sick and prevent them from spreading the virus to others. The drug blocks the replication of pathogen. The findings have been published in the current issue of Science Translational Medicine.
  • A novel study has reported that young adults who use marijuana only recreationally may have significant abnormalities in two key brain regions that are important in emotion and motivation. The degree of brain abnormalities was directly related to the number of joints a person smoked per week. The more joints smoked, the more abnormal the shape, volume and density of the brain regions.

Dr K K Spiritual Blog

You are the Temple of God and the Spirit of God dwells in you

This sutra from the Bible reflects the union between the spirit and the soul. The ‘Spirit’ represents the Parmatama or the Brahman and ‘You’ represents the individualized spirit or the Soul (Jivatama).

A temple is a place of worship and also the place where the God resides. Every human being represents a temple (place of worship) where the God exists (one’s soul) and this soul is nothing but the essence of God (the spirit).

One should treat every individual with the same manner as the same spirit dwells in every human being. The soul is also the reflection of individual’s past and present karmic expressions. Most people look for and search for God in artificial temples, gurudwaras and churches, not realizing that the same God is present within us, provided we undertake the internal journey to look for Him.

He is present in between the thoughts in the silent zone and can be approached by adopting any of the three pathways: Karma Yoga, Bhakti Yoga and Gyana (Gnana) Yoga.

Doing selfless work with detachment to its results; working with the principles of duty, devotion and discipline; and/or regularly doing Primordial Sound Meditation or other types of meditations can help one reach the stage of self-realization or meeting one’s true self. Once there, one can have all the happiness in life.

Wellness Blog

What type of a vegetarian are you?

There are 4 main types of vegetarian diets:

  • Lacto–ovo–vegetarian consumes dairy products and eggs but no meat, poultry, or seafood
  • Lacto–vegetarian eats dairy products but not eggs, meat, poultry, or seafood
  • Ovo–vegetarian eats eggs but no dairy products, meat, poultry, or seafood
  • Vegan does not eat any animal products, including meat, fish, poultry, eggs, and dairy products; many vegans will also avoid honey.

Vegetarian and plant–based diets are associated with a reduced risk of obesity, diabetes, heart disease, and some types of cancer as well as increased longevity. Vegetarian diets are typically lower in fat, particularly saturated fat, and higher in dietary fiber. They are also likely to include more whole grains, legumes, nuts, and soy protein, and together with the absence of red meat, this type of eating plan may provide many benefits for the prevention and treatment of obesity and chronic health problems, including diabetes and cardiovascular disease.

Inspirational Story

Beginning Today

Beginning today I will no longer worry about yesterday. It is in the past and the past will never change. Only I can change by choosing to do so.

Beginning today I will no longer worry about tomorrow. Tomorrow will always be there, waiting for me to make the most of it. But I cannot make the most of tomorrow without first making the most of today.

Beginning today I will look in the mirror and I will see a person worthy of my respect and admiration. This capable person looking back at me is someone I enjoy spending time with and someone I would like to get to know better.

Beginning today I will cherish each moment of my life. I value this gift bestowed upon me in this world and I will unselfishly share this gift with others. I will use this gift to enhance the lives of others.

Beginning today I will take a moment to step off the beaten path and to revel in the mysteries I encounter. I will face challenges with courage and determination. I will overcome what barriers there may be which hinder my quest for growth and self-improvement.

Beginning today I will take life one day at a time, one step at a time. Discouragement will not be allowed to taint my positive self-image, my desire to succeed or my capacity to love.

Beginning today I walk with renewed faith in human kindness. Regardless of what has gone before, I believe there is hope for a brighter and better future. Beginning today I will open my mind and my heart. I will welcome new experiences. I will meet new people. I will not expect perfection from myself nor anyone else: perfection does not exist in an imperfect world. But I will applaud the attempt to overcome human foibles.

Beginning today I am responsible for my own happiness and I will do things that make me happy . . . admire the beautiful wonders of nature, listen to my favorite music, pet a kitten or a puppy, soak in a bubble bath … pleasure can be found in the most simple of gestures.

Beginning today I will learn something new; I will try something different; I will savor all the various flavors life has to offer. I will change what I can and the rest I will let go. I will strive to become the best me I can possibly be.

Beginning today and every day. Just a thought, but as I often think of you and realize how much God loves you, sometimes I think we need to also love ourselves through His eyes.

ePress Release

Summer Diarrhea Treatment

One loose motion is equal to one glass of ORS. Most summer diarrhea is watery, effortless and painless diarrhea with no mucous or blood. They need no antibiotics. The only treatment is oral rehydration solution, 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.

One loose motion is equivalent to loss of one glass of fluid. Explaining this, Dr. Aggarwal said that if a patient has passed 10 loose motions, he needs 12 glasses of ORS apart from normal requirement of fluids and one glass for every loose motion passed again.

For upto 12 loose motions a patient can be managed as an out patient but if the loose motions are more than 12 he needs observation and if the numbers of loose motions are more than 40, he needs intensive treatment.

The main complication is renal shut down, which will happen if the blood pressure remains low for more than few hours. During loose motions one should maintain that he or she passes urine every 6–8 hours. If no urine is passed for eight hours it may indicate an impending renal failure.

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 88972 people since 1stNovember 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 10x10 i.e. 100 per minute."

eMedi Quiz

The commonest cause of sporadic encephalitis is:

1. Japanese B virus
2. Herpes simplex virus
3. Human immunodeficiency virus
4. Rubeola virus

Yesterday’s Mind Teaser: A 70-year-old male patient presented with history of chest pain and was diagnosed to have coronary artery disease. During routine evaluation, an ultrasound of the abdomen showed presence of gallabladder stones. There was no past history of biliary colic or jaundice. What is the best treatment advice for such a patient for his gallbladder stones?

1. Open cholecystectomy.
2. Laparoscopic cholecystectomy.
3. No surgery for gallbladder stones.
4. ERCP and removal of gallbladder stones.

Answer for yesterday’s Mind Teaser: 3. No surgery for gallbladder stones. .

Correct answers received from: Prabha Sanghi, Dr.Rahavendra Jayesh, Dr Jainendra Upadhyay, DR NIRMALA AGARWAL, Dr.K.V.Sarma, Daivadheenam Jella, Dr Chandresh Jardosh, Abhay Naik, Dr B K Agarwal,

Answer for 17th April Mind Teaser: 1. G0–G1–S–G2–M.

Correct answers received from: Dr Avtar Krishan,

Send your answer to ijcp12@gmail.com

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 – 88972 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

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VIP’s on CPR 10 Mantra Video

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

emedipicstoday emedipics

A free health checkup camp was organized by Heart Care Foundation of India at St. Forebal Public School on 16th April 2014

press release

Weight loss may improve sexual health of obese diabetes

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: An elderly patient with unstable angina presented with URTI and was found to be positive for Chlamydia pneumoniae infection.

Reaction: Remember to start macrolides immediately.

Lesson: Make sure to remember that erythromycin 2 g/day for 10–14 days reverses the increased risk of atherosclerosis.

eMedinewS Humor

Bite my eye

A man walks into a bar has a few drinks and asks what his tab was. The bartender replies that it is twenty dollars plus tip. The guy says, "I'll bet you my tab double or nothing that I can bite my eye." The bartender accepts the bet, and the guy pulls out his glass eye and bites it.

He has a few more drinks and asks for his bill again. The bartender reports that his bill now is thirty dollars plus tip. He bets the bartender he can bite his other eye. The bartender accepts knowing the man can't possibly have two glass eyes.

The guy then proceeds to take out his false teeth and bite his other eye.

Quote of the Day

A total commitment is paramount to reaching the ultimate in performance Tom Flores

 

Twitter of the Day

Dr KK Aggarwal: Stable CAD and type 2 diabetes……Among patients with stable CAD and type 2 diabetes…… http://youtu.be/NMIK16PyBrY?a via @YouTube
Dr Deepak Chopra: : Mathematics embedded in fundamental space time geometry of the universe reflects order balance harmony logic & beauty http://bit.ly/DC_Ananda #ananda

 

Forthcoming events

Date: Saturday 2PM–Sunday 3PM, 26–27 April 2014
Venue: Om Shanti Retreat Centre, Bhora Kalan, Pataudi Road, Manesar
Course Directors: Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal and BK Sapna
Organisers: Heart Care Foundation of India. Prajapati Brahma Kumari Ishwariye Vidyalaya and eMedinews
Facilities: Lodging and boarding provided (one room per family or one room for two persons). Limited rooms for first three hundred registrants.
Course: Meditation, Lectures, Practical workshops
Atmosphere: Silence, Nature, Pyramid Meditation, Night Walk
Registration: SMS– Vandana Rawat – reg mno, rawat.vandana89@gmail.com
SMS – BK Sapna reg mno1, bksapna@hotmail.com

Note: Donation in Favor of Om Shanti Retreat Centre will be welcomed

 

Our Contributors

Dr Veena Aggarwal, Dr Chanchal Pal, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Monica Vasudev, Dr Navin Dang, Dr Pawan Gupta, Dr Parveen Bhatia, Dr Prachi Garg, Rajat Bhatnagar, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Dr. K. K. Aggarwal, Hats off to your untiring work towards educating people about CPR 10. Regards: Dr Kartik
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