eMedinewS 22nd July 2013, Monday

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; Chairman Ethical Committee Delhi Medical Council; Editor in Chief IJCP Group, National Vice President Elect, Indian Medical Association; 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.facebook.com/Dr KKAggarwal

NEET Update

  1. IMA TN unit welcomes SC verdict: Point Counterpoint
    IMA TN: Conducting tests nationwide simultaneously was not possible as Medical Council of India was not the competent authority and did not have enough manpower and infrastructure.

    A: Exams are not being taken by MCI buy by CBSC for UG and NBE for PG. 

    IMA TN: There is a possibility of entire examination system collapsing if one person in the council became corrupt.

    A: MCI is an elected body and one person getting corrupt can not make any difference. The ministry does not collapse if the minister turns out to be corrupt.

    IMA TN:  Government should bring in stringent law and strictly implement the existing law to curb the menace of collecting huge sum of money towards fees by private medical colleges.

    A: that was the purpose of NEET.

  2. Lucknow Activists demand probe in NEET decision
    Activists have prayed new CJI for an independent enquiry into various allegations including alleged leak of an order on NEET.

    a. At 8.36am on 18th July, GS a lawyer from the Supreme Court published an article 'Into the Darkness' on a website 'Bar and Bench'. 

    The article stated, "In a little while, on his last day in office, the Chief Justice's court will deliver the much awaited judgment concerning the validity of the national medical entrance test to be conducted by the Medical Council of India. 

    For the better part of the last week, senior counsel and junior advocates alike have without compunction shared a story that the appeals by the private colleges will be allowed with a declaration that the MCI has no jurisdiction, and one if the judges will dissent from this view. 

    The judgment, it is confidently touted, runs into more than 190 pages and in excess of 300 paragraphs. It is my fervent hope that this tale is false - a figment of some perverse and destructive mind. In a few hours, we will know the truth."

    On the same day at 11am, the three Judge bench delivered exactly the same judgment.

  3. Report from the Hindustan Times, says...
    "Meanwhile, CJI was caught unawares when informed that an article by SC advocate GS - uploaded on a website two hours before the verdict - had leaked the judgment and even mentioned that Justice D would be the dissenting vote. The article talked about "gossip" within court circles that the appeals by private colleges against the NEET would be allowed.  When questioned about the 'leak', CJI said he was surprised and shocked. "What can I say about it?" he said.  The outgoing CJI was on his way to his farewell party when media persons questioned him."

  4. Times of India on 19th July titled "Collegiums stalls outgoing CJI's attempt to push judge's appointment to SC" also talks about former CJI Kabir's meeting with the Collegium. It says...  (Source: MONEY LIFE)

....Read More

Similarities between Bihar mid day school poisoning and Spanish toxic oil syndrome of 1982

Forensic tests have confirmed presence of poisonous pesticides in the midday meal served to students of a primary school in Chhapra on July 16, leading to the death of at least 27 children. The cooking oil, used to prepare food at the school, was laced with highly toxic pesticide.

The forensic science laboratory  said the contaminated food contained monocrotophos, an organophosphate insecticide, after experts examined samples of oil from the container, food remains on the platter and remains of food items in the utensils, additional director general of police.

The peak area of the poisonous substance in the oil was more than five times in comparison to the commercial preparation used as pest control. The police are probing how and from where the poisonous substance got mixed in the oil. The postmortem report had confirmed presence of a poisonous substance in the potato-soyabean curry served to the children.

Toxic oil syndrome

Toxic Oil Syndrome or simply Toxic Syndrome (in Spanish: síndrome del aceite tóxico or síndrome tóxico) was the name given to a disease outbreak in Spain in 1981, which killed over 600 people.

The cause was traced to the consumption of colza oil that had been intended for industrial rather than food use. It had been imported as cheap industrial oil and sold as "olive oil" by street vendors at weekly street markets and was therefore used on salads and for cooking. 

The conclusion that oil was the cause for TOS is based on strong epidemiological evidence, since up to now, experimental studies performed in a variety of laboratory animals have failed to reproduce the symptoms of human TOS. None of the in vivo or in vitro studies performed with toxic-oil-specific components, such as fatty acid anilides and esters of PAP, have provided evidence that these markers are causally involved in the pathogenesis of TOS.

The fact that the first cases of the syndrome were located in Madrid, near the U.S. military base in Torrejón de Ardoz, and the secrecy surrounding the huge investigations, spread the idea of a conspiracy. 

Also, several of those affected by the TOS claim they never consumed that oil. Although the oil was mainly sold on street markets, a considerable percentage of the patients were upper class.

Another theory suggests the toxic reaction was triggered by organophosphate poisoning and covered up by the Spanish Government and the WHO.

....Read More

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 10x10 i.e. 100 per minute.”

VIP's on CPR 10 Mantra Video
Ringtone - CPR 10 Mantra Hindi

Ringtone - CPR 10 Mantra English

sprritual blog Spiritual Prescription: Who am I? - Know Your Soul Profile

“I am not my physical body, as I know, once my body dies, nobody wants to touch it.” (Adi Shankaracharya in the Bhaja Govindam)

“I am not my mind as I know whenever I am in trouble; the mind asks the heart for help” (Deepak Chopra in the Seven Spiritual Laws of Success).

“I am my consciousness which is residing in the core of my heart” (Svetasvatara Upanisad 5.8).

“This consciousness is nothing but a web of energized information situated in the void” (Chandogya Upanishad Chapter XII — the Birth of the Gross from the Subtle)

“the consciousness is timeless, has no beginning, no end, weapons cannot cut it, air cannot dry it, water cannot wet it and fire cannot burn it” (Bhagavad Gita 2.23, 24).

Each one of us has a physical profile (as defined by our height, complexion, collar number, waist size, etc.) and has a mental or ego profile. A few examples of ego profile: my bank balance, car, job designation, locality of residence, size of house, contacts, power, clothes’, etc.

Similarly each one of us also has a soul profile. We should give sometime to ourselves for knowing our soul profile and revisit it at least once in a week.

According to Deepak Chopra, to know the soul profile one should ask seven questions to his or her consciousness while sitting in a meditative poise or in state of relaxation. The answer to each question should be either in three words or three phrases.

  1. What is my purpose of life?
  2. What is my contribution going to be for my friends and family?
  3. Three instances in my life when I had my peak experiences.
  4. Names of three people who inspire me the most.
  5. Three qualities which I admire in others the most.
  6. Three of my unique talents.
  7. Three qualities I best express in my relationship.

These twenty one answers will characterize your soul profile or will be your passport for every action you perform in your life.

In day-to-day’s life, one should act from the soul profile and not from the ego profile. Soul profile cannot be manipulated while the ego profile can be.

There are only three ways of improving one’s soul profile and these are:

  1. The choices one makes should be soul-profile oriented and not ego-profile oriented. Whenever there is an opportunity for an action, ask the head for choices, then ask the heart to choose one, and finally order the hand to take action. A soul-based action is the one which is based on the truth, is necessary, and which makes the person and the people around him or her, both happy.
  2. Total clarity of vision of “What do I want” and also “What I don’t want”.
  3. Learn to enter into discontinuity of thought processes using “beej mantra” or doing primordial sound meditation 20 minutes in the morning and 20 minutes in the evening.

    These can also be equated to the eight limbs of Yoga Sutras of Patanjali, where the “choices I make” represents Yama and Niyama, “what do I want” represents Dharma and the “entering into discontinuity” represents Dhyana and Samadhi.

....Read More

cardiology news

Creative Food Art Portraits

Take a look at an apple tree. There might be five hundred apples on the tree, each with ten seeds. That's a lot of seeds!

We might ask, "Why would you need so many seeds to grow just a few more trees?"

Nature has something to teach us here. It's telling us: "Most seeds never grow. So if you really want to make something happen, you better try more than once."

This might mean: You'll attend twenty interviews to get one job.

You'll interview forty people to find one good employee.

You'll talk to fifty people to sell one house, car, vacuum cleaner, idea...

And you might meet a hundred acquaintances to find one special friend.

When we understand the "Law of the Seed", we don't get so disappointed.

We stop feeling like victims. Laws of nature are not things to take personally. ...Read More

News Around The Globe

  1. In a study of 100 older people with mean age of 84 years, there was a significant decline in computer use among the eight participants who developed MCI over 43 months of follow-up, compared with the 92 people whose cognitive skills remained stable (P=0.019), Jeffrey Kaye, MD, of Oregon Health & Science University, and colleagues reported at the Alzheimer's Association International Conference in Boston.
  2. No quota in faculty: The Supreme Court on Thursday ruled against reservation in appointment to faculty positions in super-specialty courses in medical colleges. A five-judge Constitution bench headed by CJI Altamas Kabir passed the order while allowing petitions challenging quota in faculty positions in AIIMS. Noting that the court had, in the Indra Sawhney case, advised against reservation in technical posts, the bench said it could not take a different view.
  3. Worsening metabolic control, serious diabetes complications, and the development of psychiatric conditions are the factors leading to worsened quality of life among those with type 1 diabetes in the Diabetes Control and Complications Trial(DCCT) and its long-term follow-up study.
  4. The new type 2 diabetes treatment algorithm consensus statement from the American Association of Clinical Endocrinologists (AACE), running to 48 pages, has been published online and is available for free download. It is one of the first to incorporate obesity, prediabetes, and cardiovascular risk factor management for the care of patients with type 2 diabetes, and was published initially in the March/April issue of Endocrine Practice.
  5. Thousands of postmenopausal women have died prematurely over the past decade because they avoided estrogen therapy after hysterectomy, a new analysis of the landmark Women’s Health Initiative showed.

Dr P Prasannaraj, MCI Acting Secretary

MEDICAL COUNCIL OF INDIA LIST OF OFFICERS WITH TELEPHONE NUMBERS AND E-MAIL Phone (EPBX): 25367033,25367035,25367036,25367037 Fax: 25367024,25367028 Last updated on 19th July, 2013

Sl. No . Name and Designation Section(s) handled Phone Office. (Direct)/e-mail (STD CODE 011)

25365075 25367014(Fax) secy-mci@nic.in

2. Dr. P. Prasannaraj Additional Secretary All matters related to Ethics, UG, PG superspecialty and Registration

25367040, 25367025(Fax) praj.mci@nic.in pprasannaraj@mciindia.org

3. Mrs. Simmi R. Nakra Chief Vigilance Officer All Matters related to Vigilance

25367041 cvo.mci@nic.in cvo@mciindia.org

4. Dr. Davinder Kumar Joint Secretary & Nodal Officer, Anti Ragging Committee All matters related to UG,PG, Registration Section, CME,TEQ, Med. Misc., Migration, Library and Record.

25367027 davinder.kr@nic.in medmisc@mciindia.org drdavinder@mciindia.org

5. Sh. Ashok Kumar Harit Deputy Secretary, All matters related to Administration (House Keeping, Security, RTI, MISC, Meeting, Store, Procurement, ACR, HRM, Appointments, Service Books)

25367013 admin@mciindia.org, imr@mciindia.org

6. Dr. (Mrs.) Reena Nayyar Deputy Secretary All matters related to UG Section .

32223122 reena.nayyar@nic.in ug@mciindia.org

7. Dr. (Mrs.) Anshu Sethi Bajaj Deputy Secretary All matters related to PG Section

25367323 pg.mci@nic.in assessment.mci@nic.in anshu.sethi12@nic.in pg@mciindia.org anshu@mciindia.org

8. Sh Shikhar Ranjan Law Officer    

MEDICAL COUNCIL OF INDIA - Board of Governors in Supersession of the Medical Council of India

New Delhi, the 8th July, 2013
No. 37(1)/2013 (One Time Permission)/Med./19355.—In exercise of the power conferred by section 33(fa) of the Indian Medical Council Act, 1956 (102 of 1956), the  Board of Governors in Supersession of the Medical Council of India, with the previous  sanction of the Central Government hereby makes the following Regulations, namely :
Short title, commencement and applicability:
1.       These Regulations may be called the Enhancement of Annual Intake Capacity in Undergraduate Courses in Medical College for the Academic Session 2013-14 only Regulations, 2013.
2.       These Regulations shall come into force from the date of their publication in the Official Gazette.
3.       These Regulations shall be applicable to the Medical Colleges falling within the purview of the Indian Medical Council Act, 1956 [Act No. 102 of 1956].
2. Objective:
·         To enhance the intake capacity in the existing Medical Colleges so as to augment the human resources in medicine for attaining optimum Doctor-population ratio in the nation, without compromising on the prescribed minimum standards of medical education.
3. Eligibility to make application:
(1)    The application for enhancement of annual intake capacity in the existing Medical Colleges may be made by the organizations that have established the Medical College to the Board of Governors in Supersession of the Medical Council of India. The format of application for Government and non-governmental owned Medical College is prescribed in Schedule I appended to these Regulations.
(2)    Only such existing Medical Colleges shall be eligible to apply under these Regulations that enjoy minimum ten years of standing from the date of grant of initial letter of permission by the Central Government and the MBBS qualification awarded by them stands included in the First Schedule of the Indian Medical Council Act, 1956 [Act No. 102 of 1956]. ¹
(3)    The Medical Colleges with an annual intake of 50 or more but below 100 MBBS seats shall be eligible to apply for enhancement for annual intake capacity to 100, as one-time measure.
(4)    The Medical Colleges with an annual intake of 100 or more but below 150 MBBS seats shall be eligible to apply for enhancement for annual intake capacity to 150, as one-time measure.
(5)    Such Medical Colleges that have not been granted letter of permission by the Board of Governors in Super-session of the Medical Council of India in accordance with clause 8 (1) (3) (d) of the Establishment of Medical College Regulations, 1999 [notified in the Official Gazette on 16.04.2010] and/or the person who has established the Medical College has been convicted by a Court of Competent jurisdiction in a criminal investigation initiated by the Central Bureau of Investigation or Police.
4. Procedure to make application:
1.       The eligible organizations shall make the application to the Board of Governors in Super-session of the Medical Council of India. Such Organizations shall give an Undertaking to the Board of Governors in Super-session of the Medical Council of India that on receipt of permission they shall ensure that the human resources, physical infrastructure and other resources required will be provided/augmented in accordance with the relevant Minimum Standard Requirement Annually Regulations.
2.       The application in the case of Government owned Medical Colleges shall be made by the Chief Secretary of the Government of State/Union Territory and such application shall contain the consent of affiliation from the affiliating University in respect of increase in annual intake capacity sought.
3.       The application in the case of non-government owned Medical Colleges shall be made by  the Chairperson / Vice Chairperson / Managing Trustee of the Society / Trust / Company  owning and managing the medical college and such applications shall contain the Essentiality Certificate for increase in intake capacity, issued by the Government of State/Union  Territory, consent of affiliation for increase in intake capacity from the affiliating university,  time bound programme, and Bank Guarantee as prescribed by the Regulations of the Medical Council of India.
4.       The application shall be accompanied by fee of Rs. 3.5 lakhs for the Government Medical Colleges (under Central and State Governments) and Rs.7.00 lakhs only for nongovernmental Medical Colleges to be paid by Bank Draft drawn in favour of Secretary, Medical Council of India from a Scheduled Bank.
5.       Incomplete application shall be returned by the Board of Governors in Super-session of the Medical Council of India to the applicant along with enclosures stating the deficiencies in such applications. Administrative charges of 25% of the application fee paid in such cases would be deducted and the balance of application fee would be returned to the applicant.  Only complete applications shall be processed by the Board of Governors in Supersession of the Medical Council of India.
6.       The time schedule for receipt of application for enhancement of annual intake capacity in undergraduate courses shall be in accordance with the Schedule II appended to these Regulations.
5. Grant of Permission:  
·         The Board of Governors in Super-session of the Medical Council of India shall on being satisfied that the applicant meets the prescribed norms for enhancement


Schedule II
Time-Schedule for receipt of Application for Enhancement of Annual Intake Capacity in Undergraduate Courses
Sr. No.                       Stage of Processing                                  Last Date
1.     Receipt of application by the Board of Governors in Super-session of the Medical Council of India                                           15.07.2013
2.     Return of Incomplete application                                20.07.2013
3.     Grant of Letter of Permission by the Board of Governors in Super-session of the Medical Council of India            31.07.2013 

NEET Update

1. Government has already announced that they will be filing a review petition which will in all probabilities go back to the two of the three judges who originally gave the judgment. One of them gave in favour and others against, therefore, it is likely that it will be referred to either another three bench or a larger bench of five judges.,

2. In all porbability, Delhi Medical Association or IMA will become a party to another NEET case

3. The Students Wing and the Youth Doctors’ Wing of IMA is planning a nationwide protest against this decision and wants to make all probable efforts.

4. eMedinewS is planning for a debate on how judges function in a court. eMedinews feels that when there are three judges panel which is listening to a case, they are supposed to discuss the issue in and if there is a dissent then only they should give separate judgments. In the NEET case, one of the judges said no discussion ever took place.

After effects of NEET Judgment of 18th July 2013

The Times of India, 21st July 2013:
(Established under U.P. State Act, No.9 of 2004 by U.P. State Legislature)
Approved by U.G.C. under section 2(f) of the UGC Act 1956, Approved by M.C.I.
Dasauli Kursi Road, Lucknow-226026 (U.P.) INDIA
TEEL.+91-522-2890730, 2890812, 32961117, +91-522-2890809
Email: admission@integraluniversity.ac.in www.integraluniversity.ac.in


Applications are invited for admission in M.B.B.S. course for the session 2013-14 on or before 27.07.2013. Admission will be made strictly on the basis of merit secured in the Entrance Test conducted by the University followed by Counselling. The applicant should possess necessary qualification as per norms of the Medical Council of India.

Application forms are available at the Admission Cell of the University on payment of Rs.5000/- in cash or through DD in favour of Integral University, payable at Lucknow. Forms may also be downloaded from the website of the University and submitted to the Admission Cell, Integral University, Lucknow, in person/by post, along with a DD OF Rs.5000/- (non-refundable).
1. Tuition fees amounting to Rs.1000000/- (Rs. Ten Lacs) per annum for Indian Residents and Rs.2000000/- (Rs. Twenty Lacs) per annum for Non-Resident Indians along with the bank guarantee of the same amounts respectively for subsequent years.
2. The University has not appointed any agency/consultant for the purpose of admission.

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Happy reading…

Infertility News (Dr Kaberi Banerjee, IVF expert, New Delhi)

What precautions should be carried while carrying a multiple pregnancy?

Monitoring a multiple pregnancy: Prenatal diagnosis by chorionic villus sampling can be done near the end of the first trimester to screen for Down syndrome and other genetic abnormalities. Amniocentesis is performed between 16 to 20 weeks. Many physicians perform cervical examinations every week or two beginning early in pregnancy to determine if the cervix is thinning or opening prematurely. If an exam or ultrasound shows that the cervix is thinning or beginning to dilate prematurely, a cerclage, or suture placed in the cervix, may prevent or delay premature dilatation. Tocolytic agents are medications that may slow or stop premature labor. These medications are given in hospital “emergency” settings in an attempt to stop premature labor.

Cesarean section: Vaginal delivery of twins may be safe in some circumstances. Many twins can be delivered vaginally if the presenting infant is in the head first position. Most triplets will be delivered by Cesarean section. Appropriate anesthesia and neonatal support are essential, whether delivery is performed vaginally or requires Cesarean section.

Rabies News (Dr. A K Gupta)

Do rat bite cases require rabies vaccination?

In India most rodents, rats, squirrel, rabbits, birds and bats have been found to be free of rabies. However, following exposure to mongoose, PEP is recommended. Rat bite cases do not require rabies vaccination but this is a right opportunity to start pre-exposure vaccination.

cardiology news

ADA: Heavy in kindergarten, obese by Grade 8

Kids who were overweight in kindergarten were more than five times as likely to be obese by the time they entered eighth grade as classmates of normal weight, according to a new analysis of data from a large nationally representative Early Child Longitudinal Study. (Source: Medpage Today)

Early weight gain in pregnancy may be bad start for infant

Mothers who put on too much weight early in their pregnancies have bigger, fatter babies, a new study shows. The study was published online July 8 and in the August issue of Obstetrics and Gynecology. (Source: Medscape)

Valvular Heart Disease News

Clinical examination remains the first step in diagnosis of Mitral Valve Prolapse. The non-ejection click is mobile, meaning that the timing varies with maneuvers that alter left ventricular volume. The mitral regurgitant murmur can be late systolic (early in the disease) or holosystolic (severe prolapse or flail).

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

cardiology news

Nearly half of parents know CT raises lifetime cancer risk

Nearly half of parents who visited the emergency department with a child who had suffered a head injury knew that computed tomography (CT) imaging was associated with an increased lifetime cancer risk, and 90.7% of parents wanted to know about such risk potential before CT use, according to a prospective cross-sectional study. (Source: Medscape)

Nearly half of babies have flat skull spot

Close to half of two-month-olds have "positional plagiocephaly" -- a flat spot on the back of their heads - and changes in parents' habits may be a cause. Although not thought to be medically dangerous, the flattened head shape can become permanent, which can have psychological implications for kids as they grow up, , Canadian authors suggest. (Source: Medscape)

cardiology news

Neck Artery Wall Thickness and Plaque Area – a new test to diagnose early heart diseases

Treadmill, stress echocardiography, Thallium and Angiography do not detect early blockages. Treadmill can miss blockages up to 70%; stress echocardiography up to 60%, angiography upto 40%.

Most heart attacks occur because of a plaque rupture in patients with blockages of less than 50%. If the blockage is more than 70% the patient usually presents with heart pain and not massive heart attack.

The only way to detect heart blockages before they cause symptoms or are detected in conventional tests is to measure the wall thickness of the neck artery or the leg artery. Normally, the wall thickness is less than 0.5mm. If the wall thickness is more than 0.75mm, it is suggestive of underlying heart blockages and if it is more than 1mm, it is suggestive of blockages in all three arteries of the heart.

Any thickness of more than 1mm is called as a plaque and a plaque area calculated by high resolution ultrasound is a new marker for heart blockages, progression as well as regression.

If the artery wall is thick in both the neck artery and the leg artery, it is very likely that the patient will also have blockages in the arteries of the heart.

All high risk individuals, therefore, should have their neck and leg artery wall thickness checkup done. Only 2% of patients with blockages in all three arteries of the heart have a neck artery wall thickness of less than 1mm and 94% of patients with a neck artery wall thickness of more than 1.15mm will have multiple blockages in the heart.

...Read More

cardiology news

Intimate partner violence

Short surveys for practicing clinicians —
Several variations of short questions have been developed for use in the course of a patient visit. Following tools have high sensitivity and specificity:

  1. Food should be properly cooked for the right time and at the right temperature.
  2. HITS (Hurt, Insult, Threaten, Scream) (English and Spanish versions)
  3. STaT (Slapped, Threatened, and Throw)
  4. HARK (Humiliation, Afraid, Rape, Kick)
  5. CTQ-SF (Modified Childhood Trauma Questionnaire–Short Form) 6. WAST (Woman Abuse Screen Tool)

...Read More

cardiology news
  1. 16th July: HCFI Executive Meeting


CPR 10 Training Camp, EPFO, 30th May 2013

CPR 10 Camp - Police Training Center Najafgarh


CPR Classes: Persons trained (103)

13th July: CPR Moolchand

14th July: CPR Moolchand

15th July: CPR Moolchand

16th July: CPR Moolchand

17th July: CPR Moolchand

18th July: CPR Moolchand

18th July: CPR 10 Training DTC Head Quarter

19th July: CPR Moolchand

CPR VIP Sensitization

Total CPR since 1st November 2012 – 54675 trained

Video Chats and uploads

Dr KK Aggarwal on NEWS 24

Dr KK Aggarwal on Monsoon Take Care

Dr KK Aggarwal on Danger of Epidemics (Uttarakhand Disaster)

1308 students learnt CPR at Abhinav Public School, Rohini

CPR Utsav 6th April 11543 men and women Trained in 1 day

Dr KK Aggarwal on 4 REALNEWS JUNE 26 2013 On Uttarakhand Disaster

Symposium on Prayer, Faith, Meditation and healing part 9

Symposium on Prayer, Faith, Meditation and healing Part 8

Over 50 focus only on upper blood pressure

For patients over 50, doctors only need to monitor the upper systolic blood pressure, and can ignore the lower diastolic blood pressure reading, Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal president Heart Care Foundation of India & MTNL Perfect Health Mela and National Vice President Elect IMA.

Systolic blood pressure – the top number in a blood pressure reading – is the pressure exerted at the beginning of the heart's pumping cycle, while diastolic pressure records the lowest pressure during the resting cycle of the heart. Both pressures are routinely measured when recording the blood pressure.

As per a report published in the journal The Lancet, there is such an emphasis on diastolic pressure that the patients are not getting their systolic blood pressures adequately controlled. The fact is that people over the age of 50 probably do not even need to measure diastolic – it's only the systolic blood pressure that should be the focus.

Generally, systolic blood pressure continues to increase with age, while diastolic pressure starts to drop after age 50, which is the same time when cardiovascular risk begins to rise. Therefore, there is an increased prevalence of systolic hypertension past age 50, whereas diastolic hypertension is practically nonexistent. Rising systolic pressure is the most significant factor in causing stroke and heart disease.

For people under 50, the scenario may be different. About 40 percent of adults under 40 years of age have diastolic hypertension, and about a third of those between 40 and 50 have the problem. For these patients, a continued emphasis on both systolic and diastolic blood pressures is needed. However, controlling systolic blood pressure, even among these younger patients, almost always results in adequate control of diastolic blood pressure, too.

For people 50 or older, systolic pressure is high if it is 140 mmHg or above.

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 54675 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 10x10 i.e. 100 per minute.”...Read More

today emedipics

Heart Care Foundation of India organized a CPR 10 Camp with Delhi Transport Department (DTC) HQ, ITO on 18th July 2013

press release

FDA OKs first drug–eluting stents for use in MI

today video of the dayDr KK Aggarwal on Pollution in Delhi

Dr KK Aggarwal on Hazards of Smart Phones

CPR Utsav 6th April 11543 Male Female Trained in 1 day

eMedi Quiz

Read this…………………

Nurse Wayne is aware that which finding would be least suggestive of necrotizing enterocolitis (NEC) in an infant?

a. Hepatomegaly
b. Distended abdomen
c. Gastric retention
d. Blood in the stool

Yesterday’s Mind Teaser: When developing a postoperative plan of care for an infant scheduled for cleft lip repair, nurse Elaine should assign highest priority to which intervention?

a. Comforting the child as quickly as possible
b. Maintaining the child in a prone position
c. Restraining the child’s arms at all times, using elbow restraints
d. Avoiding disturbing any crusts that form on the suture line

Answer for yesterday’s Mind Teaser: a. Comforting the child as quickly as possible

Correct answers received from: Dr PK Sahu, Dr.Bitaan Sen & Dr.Jayashree Sen, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, daivadheenam jella, Dr Kanta jain, Dr Prakash Khalap, Dr. P. C. Das

Answer for 20th July Mind Teaser: a. A sunken fontanel

Correct answers received from:Dr Simran, Dr Kartik, Dr Suman, Dr JP Singh

Send your answer to ijcp12@gmail.com

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medicolegal update

(Dr. K K Aggarwal, Padma Shri and Dr. B C Roy National Awardee; Chairman Legal Cell Indian Academy of Echocardiography; Chairman Ethical Committee Delhi Medical Council; Editor eMedinewS and President Heart Care Foundation of India)

What is medical negligence or deficiency of service?

How to use Bolum test in deciding cases regarding valid consent?

Can I complain to the council if some lab offers me commission?

Can the consent be taken a few days before the procedure?

medicolegal update

A man walks into a post office one day and sees a middle-aged, balding man standing at the counter methodically placing "Love" stamps on bright pink envelopes with hearts all over them. He then takes out a perfume bottle and starts spraying scent all over them.

His curiosity gets the better of him; he goes up to the balding man and asks him what he is doing.

The man says, "I'm sending out 1,000 Valentine cards signed, 'Guess who?'"

"But why?" asks the man.

"I'm a divorce lawyer," the man replies.

medicolegal update
medicolegal update

Metformin and Ramadan fasts.

Situation: A diabetic patient on 500 mg metformin three times a day and came for Ramadan fast advice.
Dr. Bad:
Continue metformin.
Dr. Good:
Read More

Longer acting Sulfonylurea and Ramadan fasts.

Situation: A diabetic patient was on long acting sulfonylureas wanted to go for Ramadan fasts.
Dr. Bad:
No problem go ahead.
Dr. Good: Read More

Once daily shorter acting sulfonylurea and Ramadan fasts.

Situation: A patient was on once daily short acting sulfonylurea taken at breakfast came for Ramadan fast advice.
Dr. Bad:
Continue it.
Dr. Good :
Read More

medicolegal update

Situation: A patient with diabetes shows deteriorating kidney function.
Reaction: Oh my God! His HbA1c is very high?
Lesson: Make sure that strict glycemic control is maintained in patients with type 2 diabetes in order to delay vascular complications.

medicolegal update

The greatest revolution of our generation is the discovery that human beings, by changing the inner attitudes of their minds, can change the outer aspects of their lives. William James

medicolegal update

Dr KK Aggarwal: Chaturmas: time to strengthen inner healing
http://bit.ly/12vFIfq #Health

Dr Deepak Chopra: Language creates reality. Words have power. Speak always to create joy!

medicolegal update

Thanks a lot... for the Nice Information. Regards: Dr. Satvir Chaudhry

Forthcoming Events

2nd annual Ped Neuro Conclave

Sunday, 25th August 2013.
This is an annual event hosted jointly by Fortis Escorts Hospital and IAP Jaipur. This conference is held every year and is attended by more than 200 delegates, which include Neurologists, Pediatricians, GPs and resident doctors from all over Rajasthan. Senior faculty from different institutes all over India and abroad participates and shares their knowledge and experience with the audience.

The eminent faculty includes
Dr. Pratibha Singhi, Head Pediatric Neurology, PGI – Chandigarh
Dr R K Sabharwal, Head Pediatric Neurology, Sir Ganga Ram Hospital, New Delhi
Dr. Vineet Bhushan Gupta, Sr Consultant Pediatric Neurologist, Apollo Hospital, New Delhi;
Dr Deepak Gupta, Sr Consultant Paediatric Psychiatrist, Sir Ganga Ram Hospital, New Delhi.
Venue: Jaipur Marriott Hotel
Date: Sunday, 25 August 2013 (0900-1700)
Organizing Secretary: Dr Sharad Sharma, MD (PGI), MRCPCH (UK), Fellow Pediatric Neurology (London)
Senior Consultant Pediatric Neurology, Fortis Hospital, Jaipur, Rajasthan

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Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

medicolegal update

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