eMedinewS24th July 2014, Thursday

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

Operation Jonk

The current exposure of nine diagnostic establishments in the city in a sting operation by News Nation, News channel, has been taken seriously both by the Health Ministry and Medical Council of India. The Ethics Committee of MCI has registered complaints against all the nine diagnostic centers and will hear the each one of them on merit and take disciplinary decisions, if found guilty. Even IMA has condemned and issued an advisory that it is against cuts and commission and will not support any doctor if they are found indulging in any unethical activity.

Following are the violation of code of conducts which can be applicable if a doctor is found taking or giving commission and cuts.

MCI Ethics Regulations

1.7 Exposure of Unethical Conduct: A Physician should expose, without fear or favour, incompetent or corrupt, dishonest or unethical conduct on the part of members of the profession.

6.1 Advertising:

6.1.1 Soliciting of patients directly or indirectly,by a physician,by a group of physicians or by institutions or organizations is unethical drug.

6.4 Rebates and Commission:

6.4.1 A physician shall not give, solicit, or receive nor shall he offer to give solicit or receive, any gift, gratuity, commission or bonus in consideration of or return for the referring, recommending or procuring of any patient for medical, surgical or other treatment. A physician shall not directly or indirectly, participate in or be a party to act of division, transference, assignment, subordination, rebating, splitting or refunding of any fee for medical, surgical or other treatment.

6.4.2 Provisions of para 6.4.1 shall apply with equal force to the referring, recommending or procuring by a physician or any person, specimen or material for diagnostic purposes or other study/work. Nothing in this section, however, shall prohibit payment of salaries by a qualified physician to other duly qualified person rendering medical care under his supervision.

7.19 A Physician shall not use touts or agents for procuring patients.

8. PUNISHMENT AND DISCIPLINARY ACTION

8.1 It must be clearly understood that the instances of offences and of Professional misconduct which are given above do not constitute and are not intended to constitute a complete list of the infamous acts which calls for disciplinary action, and that by issuing this notice the Medical Council of India and or State Medical Councils are in no way precluded from considering and dealing with any other form of professional misconduct on the part of a registered practitioner. Circumstances may and do arise from time to time in relation to which there may occur questions of professional misconduct which do not come within any of these categories. Every care should be taken that the code is not violated in letter or spirit. In such instances as in all others, the Medical Council of India and/or State Medical Councils have to consider and decide upon the facts brought before the Medical Council of India and/or State Medical Councils.

News Around The Globe

  • Uterine cancer is estimated to be present in 27 of 10,000 women undergoing minimally invasive hysterectomy with morcellation, suggests a study published online July 22 in JAMA.
  • The World Health Organization (WHO) has released new HIV guidelines at the 20th International AIDS Conference in Australia. According to the new guidelines, men who have sex with men, sex workers, injection drug users, transgender individuals, and people in prisons are among the groups targeted for prevention and treatment.
  • A case report published online July 21 in the Annals of Internal Medicinehas revealed that two patients with HIV who achieved transient remission after bone marrow transplant experienced viral load rebound after stopping antiretroviral (ART) medication. Researchers pointed that graft–vs–host disease may have played a role in the viral rebound.
  • Women who receive the bivalent HPV16/18 vaccine report lower rates of vulvar human papillomavirus (HPV) infection, suggests a new study published online in The Journal of Infectious Diseases. The study authors noted that vaccine efficacy at the vulva was 54.1%, compared with 45.8% at the cervix.
  • A study published online in the Journal of Clinical Investigation has reported that a single injection of kisspeptin–54 can induce egg maturation in women undergoing in vitro fertilization therapy. Researchers reported that eggs matured using the novel method can be fertilized in vitro and transferred to the uterus resulting in a successful pregnancy.

Rabies News (Dr A K Gupta)

Are there any survivors of human rabies?

Till date only seven survivors have been recorded. These patients survived not due to any specific anti–rabies therapy but following intensive life support and excellent nursing care. These patients survived for variable periods with residual neurological deficits. All the survivors had paralytic form of rabies and majority had history of some anti–rabies vaccination in the past.

Cardiology eMedinewS

  • A novel study published July 21 in JAMA Internal Medicine has stated that the use of catheter–based thrombolysis along with anticoagulation does not significantly reduce the risk of death among patients with lower–extremity deep vein thrombosis (DVT) in comparison with anticoagulation alone. Researchers noted that catheter–based thrombolysis may be associated with an increased risk of adverse outcomes.
  • A new study has suggested that patients who develop atrial fibrillation (AF) following cardiac surgery have early risk of stroke; however, the risk does not persist long–term. Researchers suggested that the findings may have implications for the duration of anticoagulation therapy needed to treat AF in these patients. The study is published July 21 in the Canadian Medical Association Journal.

Pediatrics eMedinewS

  • Parental death in childhood or adolescence is associated with increased all–cause mortality in early adulthood, suggesting genetic and other factors, reports a Scandinavian cohort study published online July 22 in PLoS Medicine.
  • A study from Germany has revealed that babies of women with anxiety disorders are more likely to cry excessively. The study is published online in Archives of Disease in Childhood.

Dr K K Spiritual Blog

Did all Gods suffer before death?

Most Gods and spiritual gurus had suffered in their last days. Lord Krishna had a nonhealing wound, Jesus Christ was crucified, Bhagwan Rajneesh had an infectious disease, Swami Chinmayanand had low functioning heart, Maharshi Mahesh Yogi had heart and pancreatic disease, Satya Sai Baba was put on a ventilator etc.

When they were God–like personalities, why did they suffer in their last days?

The answer to this comes from Vedic knowledge within the concept of rebirth. Vedanta says that the very fact that we are born means that in the last birth we did not attain moksha or liberation. In other words, this means that there were some sufferings yet to be faced. You are born to face those sufferings. When you face the last suffering, there are high chances that that suffering may be your last suffering before liberation.

Most Gods or saints who died in a phase of suffering may mean that they did not attain liberation. A person who dies suddenly or unnaturally would mean that he would have to take rebirth to face more sufferings. According to me, terminal sufferings are good from spiritual point of view.

Wellness Blog

Smoking makes you 5 years older

Men have a greater chance of dying then women, and smoking increases any adult's risk of death just as if five years were suddenly added to their age.

  • For men who have never smoked, heart disease presents their greatest risk for death at any age, exceeding the odds of dying from lung, colon and prostate cancer combined.
  • Male smokers face a lung cancer risk that is greater than the odds of heart disease taking their lives after age 60, and is tenfold higher than the chance of dying from prostate and colon cancer combined.
  • The chances of dying from heart disease and breast cancer are similar for nonsmoking women until age 60, when heart disease becomes a greater risk.
  • For female smokers, dying from lung cancer or heart disease is more likely than dying from breast cancer after age 40.

 

Inspirational Story

9 Rules for Staying Positive

Below are 9 rules in order to stay positive and live a stress–free life:

  1. I must develop the power of not looking back in the past to read the old chapters of life again and again because I cannot go back to my past to fix things. Whatever has happened has happened. Now is the time to review the lessons learnt once and then focus on to improve my present and future.
  2. I have to stay away from negative souls, which means I have to avoid spending time with people doing backbiting, criticizing, cursing, complaining, conspiring, corrupting and complicating.
  3. I have to stop judging others for their actions. I must mind my own business instead of interpreting their actions and commenting in negative way. Thinking and speaking about others pollutes my thoughts and steals my peace of mind.
  4. I must develop the habit of gratitude, which means that at the end of each day I must refresh the fact that I am better than billions of the people of the world. Being healthy, not in debt, sleeping on the bed, eating 3 times a day and using internet are the great blessings billions of people don't enjoy. People possessing high level of gratitude strengthen positive powerful thoughts.
  5. I must spend time in reading good books, visiting websites on positivity, liking Facebook pages containing quotes and reading inspirational stories on daily basis. This will help remove negative impurities from my personality and empower my positive personality trait.
  6. I must stop being explosive and reactive to people and situations. I must stay positive about other’s feelings and respect their opinions because every soul is unique in thinking so I should avoid imposing my thoughts to others. I must confess the fact that I can be wrong at times so understanding other's perspective and being empathic is very important for me to avoid building stress reducing my self-positivity-index.
  7. I must be positive about my circumstances even if they are not so good. I have to understand the fact that time does not stop so I have to start taking the necessary actions to expedite the change process. One thousand plans cannot be equal to the power of one great step taken right now!!!
  8. I must of focus on spiritual awakening acts such as frequent attacks of smiling, loss of ability in conflicts, loss of ability to judging others, ability to react to things as they happen instead of living in fears and so on.
  9. I must focus on improving the quality of my thoughts because quality of thoughts determines the level of peace of mind.

ePress Release

Monsoon reduces the immunity of the body

After the hot summers, monsoons are welcomed by all, but it comes with many diseases as the immunity of the body is reduced. The diseases associated with monsoon are malaria, dengue, Chikungunya, jaundice, gastrointestinal infections like typhoid and cholera, 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. Apart from these, viral infections like cold and cough are also common.

Patients with Chikungunya, typically have joint pain that is relieved by flexing the limbs. Dengue, if not adequately managed, can be fatal in 1–4% of cases. Chikungunya, though not fatal, can cause chronic debilitating joint pains lasting for years. Management of dengue involves fluid resuscitation and not platelet resuscitation. If enough fluids are given, mortality can be reduced. The mortality period usually starts when the fever subsides. Inappropriate misuse of anti fever medicines can precipitate bleeding in dengue patients.

The water that gets collected due to rain becomes a breeding ground for mosquitoes. Contamination of drinking water is common. It is important to drink clean and pure water to prevent diarrhea and gastrointestinal infections.

Walking in dirty water during rainy season leads to numerous fungal infections, which affect toes and nails. Diabetic patients have to take care of infections, which affect toes, and nails. Diabetic patients have to take a special care of their feet. Always keep the feet dry and clean. Avoid walking in dirty water. Keep shoes, socks and raincoats dry and clean.

Precautions have to be taken to prevent dampness and growth of fungus (mold) on and around the house were asthmatic patients are living. Avoid fumigation in case of asthmatic patients.

Worms from underground comes to the surface and contaminate the surface vegetables. In the presence of weak digestive fire, this can cause gastric disturbances. It is because of this reason that community lunches and marriage are prohibited in this season. One should eat light foods. Consuming barley, rice and wheat is good. Water should be boiled before use. Adding ginger and green in daily diet is helpful. Eating warm food is the rule.

Self-Assessment-Quiz

 

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 – 96458 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 and CPR 10 Camp at NP Primary School, Rama Krishna Marg–16th July 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: A patient on dialysis and on oral antacid developed aluminum toxicity.
Reaction: Oh my God! You should have put him on magaldrate preparations?
Lesson: Make sure to remember that magaldrate preparations do not cause aluminum toxicity in patients undergoing dialysis.

eMedinewS Humor

A traffic slogan: Don’t let your kids drive if they are not old enough–or else they never will be.

Quote of the Day

The hardest battle you are ever going to fight is the battle to be just you. Dr. Felice Leonardo Buscaglia

Twitter of the Day

Dr KK Aggarwal: Stress may increase smoking habits http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra:What keeps life fascinating is the constant creativity of the soul

eMedi Quiz

The following separation technique depends on the molecular size of the protein:

1.Chromatography on a carboxymethyl (CM) cellulose column.
2.Iso–electric focusing.
3.Gelfiltration chromatography.
4.Chromatography on a diethylaminoethly (DEAE) cellulose column.

Yesterday’s Mind Teaser: An enzyme involved in the catabolism of fructose to pyruvate in the liver is:

1.Glyceraldehyde–3–phosphate dehydrogenase.
2.Phosphoglucomutase.
3.Lactate–dehydrogenase.
4.Glucokinase.

Answer for yesterday’s Mind Teaser: 1.Glyceraldehyde–3–phosphate dehydrogenase.

Correct answers received from: Dr.Bitaan Sen & Dr.Jayashree Sen, Dr.K.V.Sarma, Dr Poonam Chablani, Dr Jainendra Upadhyay, Deepali Chatterjee, Daivadheenam Jella, Dr Avtar Krishan, Dr B K Agarwal

Answer for 22nd July Mind Teaser: a. Videoconference

Correct answers received from: Dr Poonam Chablani, Dr Prakash Khalap,

Send your answer to ijcp12@gmail.com

medicolegal update

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medical querymedical query

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 Sushma
cardiology news

Media advocacy through Web Media

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