eMedinewS 24th July 2013, Wednesday

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.twitter.com/DrKKAggarwal
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Doctors should eat breakfast to prevent heart disease

Men who skipped breakfast had a higher risk of coronary heart disease (CHD) compared with men who did not; in addition, compared with men who did not eat late at night, those who ate late at night had a higher CHD risk.

However, these associations appeared to be mediated by body mass index, hypertension, hypercholesterolemia, and diabetes.

Men in middle age and beyond who skip breakfast or eat late at night may be at greater risk of developing coronary heart disease, researchers found.

Male health professionals who said they regularly skipped breakfast were 27% more likely to die during 16 years of follow-up, according to Leah Cahill, PhD, of the Harvard School of Public Health in Boston, and colleagues, who adjusted for diet, demographics, physical activity, television watching, and amount of sleep, reports MedPage. And those who said they ate late at night were 55% more likely to die.

Both relationships, however, fell shy of statistical significance after further adjustment for body mass index, hypertension, hypercholesterolemia, and diabetes, "suggesting that eating habits may affect risk of coronary heart disease through pathways associated with these traditional risk factors," they reported online in Circulation: Journal of the American Heart Association.

The present study provides evidence to support a recommendation of daily breakfast eating by clinicians and health authorities to prevent coronary heart disease.

Previous studies have demonstrated associations between skipping meals and excess weight, dyslipidemia, hypertension, insulin resistance and diabetes, but a possible association with coronary heart disease had not been explored.

Cahill and colleagues examined the relationship between coronary heart disease risk and skipping breakfast and other eating habits using data from the Health Professionals Follow-Up Study (HPFS), an ongoing investigation of male health professionals.

The current analysis included 26,902 men ages 45 to 82 who were free from cardiovascular disease and cancer in 1992, which served as baseline. At that point, 13% reported not eating breakfast and 0.2% said they ate late at night. Through follow-up, there were 1,527 incident cases of coronary heart disease, defined as nonfatal MI or fatal coronary heart disease.

The number of times the men ate per day was not associated with the risk of coronary heart disease, even though previous analyses of this cohort have shown relationships between eating frequency and weight gain and type 2 diabetes. ....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
eMedinewS
Ringtone - CPR 10 Mantra Hindi

Ringtone - CPR 10 Mantra English

sprritual blog Why know all the pathies

Nature exists because of the presence of five elements – Air, Water, Earth, Space and Fire. Disruption of these five elements will result in natural disasters such as volcanic eruptions, hurricanes, earthquakes, landslides, floods, forest fire, rain storms etc. Balancing these five elements, therefore, is very important. These same five elements are responsible for formation of a body and these five elements can be balanced by using the five elements of the nature through nature cure. The science which deals with balancing these five elements and using them as a part of therapy is Naturopathy.

These five elements form three humors or Doshas called Movement, Metabolism and Structure (allopathy). These are termed as Vata, Pitta and Kapha in Ayurveda and Psora, Syphilis and Sycosis in Homoeopathy. As per theDosha theory, the body has to perform three functions as to provide structure to have movement and metabolism as the main function. Imbalance of the three Doshas is responsible for disease and the science which deals with balancing the Doshas is Ayurveda.

These three Doshas in the body form seven Dhatus which are formed from the food eaten. The seven dhatus are: Rasa (Plasma), Rakta (Blood), Mamsa (Muscle), Medha (adipose tissue), Asthi (Bone), Majja (Bone marrow), and Shukra (sperms and ova). These seven Dhatus are formed in a sequence. Any impairment in this formation at any step will have dhatu formation above that step and impaired dhatus formation below that step. For example, a Dhatu dysfunction at the level of muscle (mamsa) will have normal Rasa and Rakta but impaired Medha, Asthi and Majja.

The seven dhatus form cells and the organs, which are the basis of allopathic modern medicine. Balancing of Doshas and dhatus is handled by Ayurveda.

As per modern system of medicine, human body is made up of matter. If you break the matter, it is converted into atoms, sub atomic particles – protons, electrons, neutrons, photons, quantum, energy and ultimately void in sequence. Therefore, a matter can be converted into non-matter.

Non-matter can be at the level of energy or void. The science which deals with drugs which work at the level of matter can be allopathy (drugs working at the level of receptors), homoeopathy (similarly acting drugs in tincture form) and Ayurveda.

When non matter is used as therapy in the form of energy, the science is potentized homeopathy or bharma therapy in Ayurveda. This form of therapy may have no traces of elementary substances in its formulation.

The science which deals with the void or consciousness and makes one aware of this consciousness is Yoga and Meditation.

Void is beyond energy. Energy is produced by combining various individual waves present in the void. This void with energy uses the so-called Higgs Boson particle, which attracts different waves to convert the non-matter into matter.

This void which is the potential has no dimensions or weight and can be equated to the consciousness which ultimately makes the matter.

Therefore, all the above branches of medicine work at different levels and do not compete with each other and, therefore, can be combined.

As Chanakya said, it is important for one to practice ones profession by knowing the weaknesses and strength of other competitors.

Unless at the MBBS level we are taught the strengths and weaknesses of other pathies, we will never be able to justify our pathy or justify combining it with other pathies in complicated cases.

We often make a mistake and tell a patient that this disease has no cure. This should never be said. Instead, we can say that there is no cure for this disease in my pathy or I have no cure for this disease.

Consciousness can also be understood by way of a computer. In computer language, my physical body is hardware, my Pran Vayu is electricity, Udaan Vayu is operating software, my mind is MS Word, my intellect is MS Excel, my ego is MS PowerPoint and my consciousness is the local internet connection called www.god.com/drkkaggarwal. And this page will be connected to a bigger internet in the cloud called www.GOD.com/drkkaggarwal.

This will similarly connect each one of us. Whatever I speak, a temporary Internet File is made and is posted in my page in the cloud internet. If you are connected at that particular moment, you can read my file. Therefore, all of us are interconnected with each other through the cloud consciousness called God.

The body has a receptor (lock) for each and every drug (key) and these receptors (locks) were not made by God for drugs (key) to be invented by pharmaceutical companies. The very fact that my body has a Lock means that I have an original key (drug) i.e. my body has the capacity to produce each and every that drug. My body is the largest pharmaceutical armamentarium in the world and my consciousness contains the key for each and every receptor in my body.

One can use artificial keys (pharma drugs) when the original key is lost (till it is found), key is broken (till it is reformed) or key is lost permanently (you need lifelong medication).

It is possible to combine most of the pathies provided you have read about these systems and understand them. Ayurveda can give answer to many unanswered questions in allopathy.

  1. As per Ayurveda, in acute heart attack, a Vata person will get chest pain, Pitta person will get chest burning and Kapha will get chest discomfort.
  2. As per Ayurveda, in acute rheumatoid fever, a Vata child will present with joint pain, pitta child with joint inflammation and Kapha child with joint fluid accumulation.
  3. Alcohol will cause intoxication in Vata people, liver failure in Pitta people and liver damage in Kapha people.
  4. Using the above mentioned Dhatu theory, it is possible to know which organ will be spared or which organ will be involved in a particular disease. For example, disease of Rasa and Rakta, plasma and blood disorder will have protean manifestations and we do see this in sepsis.
  5. According to Ayurveda, we have five different types of movements: Pran Vayu and Udaan Vayu (controls the brain stem reflexes); Vyaan Vayu (controls the cardiovascular movements); Samana Vayu (controls the GI movements) and Apana Vayu (controls expelling movement like urine and stool). Brain stem death, which is unexplained in Allopathy is best described in Ayurveda. Ayurveda states that Pran Vayu and Udan Vayu leave the body in brain stem death; the remaining three Vayus can stay and managed with the help of ventilator. Therefore, in a patient with brain stem death, you can have complete gastrointestinal function, normal circulation function and normal urination in the body.

Vedic philosophy

  1. As per Vedanta, stress is the reaction of the mind to interpretation of a known situation. Therefore, stress management technique involves change of interpretation (cognitive behavior therapy); preparing the body and the mind to bear the stress( yoga) and or to change the situation.
  2. The science which deals with stress management teaches us to shift from the sympathetic to parasympathetic mode and involves pranayama, meditation, relaxation techniques etc.
  3. As per Vedic text, one link between your consciousness and the physical body is the Triad of Man, Budhi and Atma (Mind, intellect and ego). Vedantic or spiritual medicine deals with managing mind, intellect and ego and shifting one from disturbed to undisturbed state of consciousness.
  4. Pranayama is the gist of Vedic treatment and involves slower and deeper breathing. It shifts one’s awareness away from the sympathetic mode of wear and tear to the parasympathetic mode, which is healing and relaxing and enables one to be in touch with the consciousness, which provide roots for self cure by producing internal environment of healing through production of natural drugs.
  5. Slower and deeper breathing can be learnt by various pranayama techniques (also called parasympathetic breathing techniques), which involve abdomino-thoracic al breathing. This procedure can be combined with various sounds to provide parasympathetic healing.
  6. In Vedic text, chanting of vowel sounds produces interleukin-2, a painkiller and the chanting of nasal consonants produces delta activity in the EEG. It is the same delta activity which is seen after one takes a tranquilizer such as Diazepam. In medical science, therefore, chanting of Aum, which is a combination of a vowel sound and a nasal consonant, will provide physical and mental healing.
  7. Quite often in Vedic scriptures, the first stage of hypnosis treatment is based on the theory that a relaxed mind is amenable for self cure. In a relaxed state of mind, you are in touch with your consciousness and whatever intent you have, it is likely that the body will try to fulfill it by producing various medical reactions. This therapy is used in Vedic science in the ways of visualization meditation which can help cure many disorders, one example being migraine.
  8. Most of our rituals were made to heal and provide natural cure. For example:
    1. Santoshi Mata Ka Vrata was observed every Friday by menstruating ladies to prevent iron deficiency anemia as they were supposed to take Gur (iron) and Chana (proteins) on an empty stomach (Vrata).
    2. The weekly Vrata of ancient times (not eating cereals once in a week) was responsible for preventing metabolic syndrome at that time.
    3. The daily Baithak in a mourning period for 13 days after the death of a near one was the original Narration Exposure Therapy.
    4. The first successful CPR was done by Savitri on Satyavan.
    5. The first successful IVF was the birth of Kartikeya.
    6. The first successful asexual reproduction was the birth of Lord Ganesha.
    7. The first successful head transplant was of Lord Ganesha
    8. The Bhagwad Gita, where Lord Krishna gives 18 sessions to Arjuna is cognitive behavior therapy. In the first session, he only listens to him, in the second session he gives detailed counseling, from third to seventeenth session, he reasons out everything, creates fear (Virat Swaroop) and yet consoles (I am with you) and in the last session, again revises what he has taught.
    9. The concept of Neti Neti again formed the basis for differential diagnosis in medical treatment.
    10. Parasympathetic breathing originated from Pranayama.
    11. The nasal wash technique practiced all over the world, once again were originated from Jalneti of yoga.
    12. The parasympathetic exercise of west today originated from traditional yoga.
    13. Haldi or curcumin today has been proven to contain tumor necrosis factor (TNF) alpha blocker. TNF promotes inflammatory response in the body.
    14. Red pepper today has been proven to contain agents that heal neuropathic pains.

I personally feel we should follow the directions of Chanakya and every pathy should be introduced in modern system of medicine so that we know the weaknesses and strengths of these pathies. Unless we know that we will not be able to justify our system of medicine. ....Read More

cardiology news

The Alphabet of Happiness

The Alphabet:

A – ACCEPT: Accept others for who they are and for the choices they’ve made even if you have difficulty understanding their beliefs, motives, or actions.

B – BREAK AWAY: Break away from everything that stands in the way of what you hope to accomplish with your life.

C – CREATE: Create a family of friends whom you can share your hopes, dreams, sorrows, and happiness with.

D – DECIDE: Decide that you’ll be successful and happy come what may, and good things will find you. The roadblocks are only minor obstacles along the way.

E – EXPLORE: Explore and experiment. The world has much to offer, and you have much to give. And every time you try something new, you’ll learn more about yourself.

F – FORGIVE: Forgive and forget. Grudges only weigh you down and inspire unhappiness and grief. Soar above it, and remember that everyone makes mistakes.

G – GROW: Leave the childhood monsters behind. They can no longer hurt you or stand in your way.

H – HOPE: Hope for the best and never forget that anything is possible as long as you remain dedicated to the task.

I – IGNORE: Ignore the negative voice inside your head. Focus instead on your goals and remember your accomplishments. Your past success is only a small inkling of what the future holds.

J – JOURNEY: Journey to new worlds, new possibilities, by remaining open-minded. Try to learn something new every day, and you’ll grow.

K – KNOW: Know that no matter how bad things seem, they’ll always get better. The warmth of spring always follows the harshest winter.

L – LOVE: Let love fill your heart instead of hate. When hate is in your heart, there’s room for nothing else, but when love is in your heart, there’s room for endless happiness.

M – MANAGE: Manage your time and your expenses wisely, and you’ll suffer less stress and worry. Then you’ll be able to focus on the important things in life.

N – NOTICE: Never ignore the poor, infirm, helpless, weak, or suffering. Offer your assistance when possible, and always your kindness and understanding.

O – OPEN: Open your eyes and take in all the beauty around you. Even during the worst of times, there’s still much to be thankful for.

P – PLAY: Never forget to have fun along the way. Success means nothing without happiness.

Q – QUESTION: Ask many questions, because you’re here to learn.

R – RELAX: Refuse to let worry and stress rule your life, and remember that things always have a way of working out in the end.

S – SHARE: Share your talent, skills, knowledge, and time with others. Everything that you invest in others will return to you many times over.

T – TRY: Even when your dreams seem impossible to reach, try anyway. You’ll be amazed by what you can accomplish.

U – USE: Use your gifts to your best ability. Talent that’s wasted has no value. Talent that’s used will bring unexpected rewards.

V – VALUE: Value the friends and family members who’ve supported and encouraged you, and be there for them as well.

W – WORK: Work hard every day to be the best person you can be, but never feel guilty if you fall short of your goals. Every sunrise offers a second chance.

X – X-RAY: Look deep inside the hearts of those around you and you’ll see the goodness and beauty within.

Y – YIELD: Yield to commitment. If you stay on track and remain dedicated, you’ll find success at the end of the road.

Z – ZOOM: Zoom to a happy place when bad memories or sorrow rears its ugly head. Let nothing interfere with your goals. Instead, focus on your abilities, your dreams, and a brighter tomorrow. ...Read More

News Around The Globe

  1. Population screening to detect Alzheimer's disease or other dementia cannot currently be recommended because of insufficient evidence that shows it offers practical benefits (Alzheimer's Association International Conference). (Source: Medpage Today)
  2. National diabetes screening recommendations based solely on a blood pressure cutoff miss more than half of patients who have undiagnosed diabetes. (Source: Medpage Today)
  3. According to researchers at the Alzheimer's Association International Conference, clinicians should pay attention when their older patients say their mental faculties have eroded, especially if they express concern about it. (Source: Medpage Today)
  4. As per a study published online July 11 in the journal Obstetrics & Gynecology, A 200-µg, controlled-release misoprostol vaginal insert reduced median time to vaginal delivery by 11.3 hours compared with another prostaglandin, but it also increased the rate of uterine tachysystole. (Source: Medscape)
  5. Whole-genome sequencing offers a means of rapid characterization of multidrug-resistant tuberculosis to guide clinical decision-making. (Source: Medpage Today)
  6. The Infectious Diseases Society of America (IDSA) and the American Society for Microbiology have issued new guidelines which address appropriate and accurate use of laboratory tests to diagnose infectious diseases (IDs). The recommendations were published online July 10 in the journal Clinical Infectious Diseases. (Source: Medscape)

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

What are the risks of tubal surgery?

The biggest risk after tubal surgery is the possible development of a tubal (ectopic) pregnancy. A tubal pregnancy is a serious health problem that is more likely to happen after tubal surgery or tubal disease. The fertilized egg does not travel to the uterus. Instead, it stays in the fallopian tube and begins to grow there. The tube is too small to hold a baby, and the tube will burst if the pregnancy continues. The mother may have internal bleeding or rarely could even die.

Rabies News (Dr. A K Gupta)

What is the incubation period of rabies in humans?

The incubation period of rabies i.e. the time interval between the exposure to virus and the onset of symptoms, is usually from 03 weeks to 03 months (rarely 04 days to 02 years). An incubation period as long as 19 years has been reported. Children are at an increased risk of a shorter incubation period because of their short stature and bites are often closer to CNS. Multiple bites to the head and neck are associated with very short incubation periods less than 1 month.

The incubation period varies with the amount of virus transmitted, virus strain, site of inoculation (bites closer to the head have a shorter incubation period), host immunity and nature of the wound.

During most of the long incubation period of rabies, the virus likely remains close to the site of viral entry. Centripetal spread to the central nervous system and spread within the central nervous system occur by fast axonal transport

People who are immunocompromised will most likely be more susceptible to rabies. Rabies is usually undetectable during the incubation period, and infections can also be difficult to diagnose when the clinical signs first appear.

cardiology news

Screening Echo no help for public at large

Echocardiographic screening for structural or valvular heart disease in the general population did not improve outcomes, a randomized study showed.

Through up to 15 years of follow-up, the rate of all-cause death was not significantly different between the screened and unscreened groups (26.9% versus 27.6%; HR 0.97, 95% CI 0.89-1.06), according to Haakon Lindekleiv, MD, PhD, of the University of Tromso in Norway, and colleagues.

There also were no differences on various secondary outcomes, including sudden death, death from any heart disease, myocardial infarction (MI), and stroke, the researchers reported online in JAMA Internal Medicine.

Heart health: Is when you eat as important as what you eat?

Men in middle age and beyond who skip breakfast or eat late at night may be at greater risk of developing coronary heart disease, researchers found.

Male health professionals who said they regularly skipped breakfast were 27% more likely to die during 16 years of follow-up, according to Leah Cahill, PhD, of the Harvard School of Public Health in Boston, and colleagues, who adjusted for diet, demographics, physical activity, television watching, and amount of sleep.

Valvular Heart Disease News

Prolapse is defined as systolic mitral leaflet displacement =2 mm above the annular plane in the parasternal or apical long axis views.

(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

First brain-wave test for ADHD approved by FDA

The US Food and Drug Administration (FDA) has approved the first brain-wave test to help diagnose attention-deficit/hyperactivity disorder (ADHD) in children and adolescents aged 6 to 17 years. The testing device is called the Neuropsychiatric EEG-Based Assessment Aid (NEBA) System. The noninvasive test, based on electroencephalogram technology, computes the ratio of theta and beta brain waves in 15 to 20 minutes. Children and adolescents with ADHD have a higher theta-beta ratio than those who do not have the disorder. (Source: Medscape)

Neonates most at risk for RSV admission

The risk of being hospitalized with a respiratory syncytial virus (RSV) infection is highest in the first 2 months of life. Within the group of children younger than 2 years -- those at greatest risk -- 1-month-olds were hospitalized with RSV at the highest rate (25.9 per 1,000), followed by 2-month-olds (14.3 per 1,000) and infants younger than 1 month (13.5 per 1,000). Combined, those 2 months and younger -- who represented 44% of all of the RSV hospitalizations in the study -- were hospitalized at a rate of 17.9 per 1,000, the researchers reported online in Pediatrics. (Source: Medpage Today)

cardiology news

Can vitamin D treat pain?

Women with dysmenorrhea who take a single high dose of vitamin D suffer much less menstrual pain and have no need of pain medications for any reason for up to 2 months says Antonino Lasco, MD, from the Department of Internal Medicine, University of Messina, Italy. One should use cholecalciferol in these patients, especially when exhibiting low plasmatic levels of 25(OH)D (25–hydroxyvitamin D). The study is published February 27 in the Archives of Internal Medicine ...Read More

cardiology news

An adolescent was being evaluated for sexual assault.

Dr. Bad: No antibiotic prophylaxis is needed.
Dr. Good: Antibiotics prophylaxis for STI is needed.
Lesson: All adolescents who have been sexually abused should receive antibiotic prophylaxis for STI (sexually transmitted infection). The decision to obtain culture prior to initiation of treatment should be made on case to case basis. ...Read More

cardiology news
  1. 23rd July: HCFI Executive Meeting

EBook

CPR 10 Training Camp, EPFO, 30th May 2013

CPR 10 Camp - Police Training Center Najafgarh

Camps

CPR Classes: Persons trained (83)

19th July: CPR Moolchand 29

20th July: CPR Moolchand 28

22nd July: CPR Moolchand 26

CPR VIP Sensitization

23rd July: Sh K J R Burman, Commissioner Food Safety, Delhi Govt.

Total CPR since 1st November 2012 – 54758 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

Advocacy through

Print Media

21st July: Saha Times

21st July: Viraat Vaibhav

22nd July: Veer Arjun

22nd July: Viraat Vaibhav

23rd July Veer Arjun

Media advocacy through Web Media

Osteoporosis is preventable and treatable 23rd July

NETLOG, FREEPRESS RELEASE, AFRICANEWSWIRE, FREEPRESSINDEX, PRLOG

Eating Disorders are contagious

Quoting a study published in the International Journal of Eating Disorders, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & and Perfect Health Mela and National Vice President Elect IMA said that eating disorders are contagious.

Dr. Aggarwal said that binge eating, fasting, diet pill use and other eating disorder symptoms cluster amongst young adolescent females.

In the study it was found that a pair of students from the same State was 4 to 10% more likely to share an eating disordered behavior compared to pairs in which each person came from a different State.

Dr. Aggarwal said that most students try to copy the eating fads of one another. The study proves why people follow each other and attempt weight loss programs even if they are not scientifically proven.

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 54758 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

Strenuous exercise may increaes risk of cardiac disorder

today video of the daySmart Phones Benefits and Hazards

Dr KK Aggarwal on Pollution in Delhi

Dr KK Aggarwal on Hazards of Smart Phones

eMedi Quiz

Read this…………………

A 2-month-old baby hasn’t received any immunizations. Which immunizations should nurse Jess prepare to administer?

a. Measles, mumps, rubella (MMR); diphtheria, tetanus, pertussis (DTP); and Hepatitis B (HepB)
b. Polio (IPV), DTP, MMR
c. Varicella, Haemophilus influenzae type b (HIB), IPV, and DTP
d. HIB, DTP, HepB; and IPV

Yesterday’s Mind Teaser: Nurse Dave is conducting an examination of a 6-month-old baby. During the examination, the nurse should be able to elicit which reflex?

a. Babinski’s
b. Startle
c. Moro’s
d. Dance

Answer for yesterday’s Mind Teaser: a. Babinski’s

Correct answers received from: Dr Prakash Khalap, DR P K SAHU, DR ARPAN GANDHI, Dr. P. C. Das, Dr. V.P. Thakral, dr. murugan.pitchumani, Dr Pankaj Agarwal, Dr.Nageswara Rao Patnala, Dr.K.Raju, Dr.K.V.Sarma, Dr(Brig) C H Gidvani, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr Avtar Krishan, daivadheenam, Dr BKAgarwal, DR.BITAAN SEN & DR.JAYASHREE SEN

Answer for 22nd July Mind Teaser: a. Hepatomegaly

Correct answers received from: Dr.K.V.Sarma, Dr BKAgarwal, DR.BITAAN SEN & DR.JAYASHREE SEN

Send your answer to ijcp12@gmail.com




eMedi Apps



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)

Can docs be booked in 304A when DMC says no negligence?

Is TB a notifiable disease?

How is TB defined for the purpose of notification?

medicolegal update

A teacher is talking to a student.

Teacher: Did your father help you with your homework?
Student: No, he did it all by himself.

medicolegal update
medicolegal update

An adolescent was being evaluated for sexual assault

Dr. Bad:
No antibiotic prophylaxis is needed.
Dr. Good:
Read More

High sugar and Ramadan fast

Situation:
A diabetic patient during Ramadan fast had a blood sugar of 260 mg/dL.
Dr. Bad:
No problem.
Dr. Good:
Read More

Mixed insulin and Ramadan fast

Situation:
A patient was on 14 units of mixed insulin (NPH + Regular 70:30) before dinner and wanted to observe Ramadan fasts.
Dr. Bad:
Continue it.
Dr. Good:
Read More

medicolegal update

Situation: A diabetic patient died of flu pneumonia.
Reaction: Oh my God! Why was flu vaccine not given?
Lesson: Make sure that all diabetics are given flu vaccine every year.

medicolegal update

Striving for excellence motivates you; striving for perfection is demoralizing Harriet Braiker

medicolegal update

Dr KK Aggarwal: Osteoporosis is preventable and treatable
http://bit.ly/12vFIfq #Health

Dr Deepak Chopra: A modern definition of consciousness that most researchers can agree upon doesn’t exist, but it's highly desirable.
http://bit.ly/12vFIfq #Health

medicolegal update

Dear KK, Your observations on pranayama are excellent. I used to tell my patients that by doing pranayama you perfuse the brain with 100% oxygen and thereby you improve your cognition and perceive things in the right perspective which would help to overcome psychological problems. Great informative news about consumption of alcohol: Dr. R Mani, Behavioural Scientist.

Forthcoming Events

25th July CPR 10 Camp and Health Camp at Sahodaya School. C Block SDA

28th July Free Health Check up Camp at Moolchand Medcity, New Delhi

29th September -Dil Ka Darbar at NDMC Convention Centre, CP New Delhi

20th Perfect Health Mela from 18th Oct to 22nd Oct at different locations

20th Perfect Health Mela from 23rd Oct to 27th Oct at Constitution Club of India

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HCFI Activities eBooks

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