eMedinewS25th November 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; Editor in Chief IJCP Group, National Vice President Elect, Indian Medical Association; Chairman Ethical Committee Delhi Medical Council, 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
www.facebook.com/Dr KKAggarwal

Epilepsy device

The US FDA has approved an implantable neurostimulator to reduce the frequency of seizures in patients with refractory epilepsy. The device, called the RNS System (Neuropace, Inc), detects abnormal electrical activity and delivers a remedial dose of electricity before the patient experiences seizures. It contrasts with neurostimulators for other conditions that provide continuous or scheduled stimulation. The device is implanted inside the skull under the scalp. Its 1 or 2 electrodes are situated near the patient’s seizure focus or foci in the brain.

Normal–weight Obesity

One third of men and half of women classed as nonobese based on BMI alone had a high percentage of body fat. They are 10 times more likely to have metabolic syndrome than their peers. Gauging risk based on sedentary behavior alone may be misleading. The findings, based on NHANES survey were presented at Obesity 2013: The Obesity Society Annual Scientific Meeting. BMI is potentially missing a lot of people who are at risk, since they have "normal–weight obesity," said Dr. Mark D. Peterson at University of Michigan.

TCT 2013 Update: Cardiology Trials

No Upside to Aggressive PCI in Intermediate Lesions?: A study tackling a longstanding question of when to intervene in "intermediate" coronary lesions raised eyebrows by concluding that there is no benefit to a more aggressive strategy using a cutoff of >50% vs a more conservative cutoff of >70%. The revascularization of angiographically intermediate lesion can be deferred safely said Dr Hyeon–Cheol Gwon of Samsung Medical Center, Seoul, South Korea.

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."


VIP’s on CPR 10 Mantra Video
eMedinewS
Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

An empty mind is the devil’s house

sprritual blog

There is an old saying that "Khali dimag shaitan ka ghar".

Empty mind means when you are doing nothing and Shaitan means negative thoughts. In terms of Vedic Sciences, negative thoughts mean absence of positive thoughts and they are often equated to darkness which is absence of light.

Positive thoughts always need efforts and exertions while negative thoughts are spontaneous and without exertion.

It is recommended that one should think differently and positive otherwise there will be spontaneous appearance of negative thoughts.

Darkness is spontaneous and naturally present and to bring light one has to make efforts by switching on the light or the nature has to ask the Sun to come and give the light.

cardiology news

The Importance of Having Friends

Once upon a time, a lonely hawk lived on a tree by the riverside. He was young and handsome but he had no friends. One day, he saw a beautiful she–hawk sitting on a tree and wanted to marry her but the she–hawk refused to marry him, as he had no friends.

"Will you marry me if I make three friends?" he asked. She said that she definitely would.

The hawk then went looking for friends. While flying on the other bank of the river, he saw a huge tortoise. The hawk flew down to him and said, "Dear tortoise, will you be my friend and help me in my hour of need?" The tortoise agreed to become his friend and said, "Call me whenever you need me and I shall come to your side."

The hawk also promised him his help at any time and then flew in search of the second friend. Soon, he came upon an osprey. The hawk went to it and asked her if she would be his friend and help him in time of his need. The osprey very gladly accepted his friendship and offered her help whenever he needed it. The hawk was glad that he had made two friends.

He went on searching for a third friend. He flew over the jungle and saw a tiger. Fearless as he was, he went near the tiger and requested him to be his friend. The tiger readily accepted his friendship and said, "From now onwards, I am your friend. Nobody will harm you. If anyone tries to harm you, call me and I will be there to help you."

The hawk was very happy. He thanked the tiger, flew back to the she–hawk and said, "I have made three friends, a tortoise, an osprey and a tiger. Will you marry me now?" The she–hawk agreed to marry him. Soon, their marriage took place. The three friends attended the hawk’s marriage.

After some–months, she–hawk gave birth to two baby hawks. The parent hawks were very happy to have cute little babies. They lived happily in their nest. One day, two hunters came and sat under that tree. They were tired and hungry. They had not been able to hunt any animal. They decided to catch some fish. But, they couldn’t catch even a single fish.

It was getting dark and the hunters decided to spend the night under that tree. To keep themselves warm, they lit a fire. The fire soared high. The hawk–babies on the tree could not bear the heat and the smoke coming out of the fire. They started crying. The Hunters heard their cries. One of them said, "There are birds on this tree. Let us catch them. We shall roast them on the fire and eat them." The other one agreed.

The hawks heard them and were really worried about the safety of their babies. The she–hawk suggested that they seek help from their friends. The hawk went to the osprey and told her his problem.

The osprey said, "Go home and protect your babies. I shall tackle with the hunters."

The osprey dived into the river and then flew over the fire. The water from her wet feathers fell on the fire. She repeatedly dived into the river and flew over the fire. The water from her feathers put off the fire. The hunters decided to light the fire again; however, as soon as they lit the fire, again the osprey put it off.

In the meantime, the hawk went to get help from the tortoise. When the tortoise heard about the hawk’s problem, he said to him, "Do not worry dear friend, I will be there in no time and tackle the hunters in my own way. Go and protect your family." The hawk flew to the tree and the tortoise reached the tree. He went quite close to where the hunters were sitting and trying to light the fire again. The hunters saw the tortoise and one of them said, "Look there is a huge tortoise. Let’s forget about the hawks and catch this tortoise."

The other hunter agreed and said, "Let’s tear our shirts and make a rope. We shall tie its one end to the tortoise and other to our waists. Then we will pull the tortoise with all our strength." The other hunter liked the idea. Soon, they make a rope out of their shirts. They tied one end of the rope to the tortoise’s legs. Then, trying the other end to their waist, they could not pull the tortoise. The tortoise’s strength was much greater than the two hunters were together.

The tortoise pulled the two men into the water. Once, inside the water, it was very easy for the tortoise to drag them. With great efforts, they cut the rope that was tied to their waist and swam back to the bank. They were now feeling very cold. They had lost their shirts. They thought of making a fire again.

Seeing them collecting leaves and twigs, the hawk was worried again. He flew to the forest and called his third friend, the tiger. He found the tiger at the edge of the forest. When the tiger heard the hawk’s problem, he immediately rushed towards the riverbank.

The hunter had now lighted the fire and one of them was preparing to climb the tree to get the hawk babies. Just then, the tiger reached the tree. Seeing the tiger, the hunters ran from there and never came back again.

The hawk thanked all his three friends for their kind and timely help. He also realized that it is very important to have at least a few friends. The female–hawk was very wise in advising the hawk to make friends before marrying him.

News Around The Globe

News

  • The US Food and Drug Administration (FDA) has approved sorafenib (Nexavar, Bayer) for the treatment of metastatic differentiated thyroid cancer. The drug’s new use is intended for patients with locally recurrent or metastatic, progressive differentiated thyroid cancer that no longer responds to radioactive iodine treatment.
  • The American College of Obstetricians and Gynecologists and the Society for Maternal–Fetal Medicine have issued guidelines on the use of chromosomal microarray analysis (CMA) in prenatal testing. The guidelines were published in the December issue of Obstetrics and Gynecology.
  • The most common type of endometrial cancer occurred almost 80% more often in postmenopausal women who regularly consumed sugar–sweetened drinks as compared with women who consumed none, a large cohort study showed. The prevalence of estrogen–dependent endometrial cancer increased steadily and significantly with self–reported weekly servings of sugar–sweetened drinks, boosting the hazard by 78% among women who consumed four or more servings a week.
  • A program of exercise therapy helped patients with hip osteoarthritis (OA) avoid total hip replacement surgery. Patients who had both an educational program and exercise had a 44% decrease in the need for hip replacement compared with those who attended the educational sessions and didn't participate in the exercise program.
  • The US Food and Drug Administration (FDA) approved the protease inhibitor simeprevir (Olysio, Janssen Pharmaceuticals) to treat chronic hepatitis C infections. Simeprevir is the third protease inhibitor for hepatitis C to hit the market. Boceprevir (Victrelis, Merck) and telaprevir (Incivek, Vertex Pharmaceuticals) received FDA approval in 2011. The new drug is indicated for adults with compensated liver disease, including cirrhosis, who have yet to receive treatment for hepatitis C, or who have not responded well to previous treatments.

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Rabies News (Dr. A K Gupta)

What should be done to a pet dog that is bitten by a stray dog?

If a pet dog is bitten by a stray dog, wounds should be thoroughly washed and povidone iodine should be applied. Consult a veterinarian for anti–rabies vaccination.

cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • Using fractional flow reserve (FFR) during diagnostic catheterization led to a change in treatment strategy in almost half of the patients in a large French database but, importantly, did not radically alter the proportion of patients undergoing revascularization or being managed medically. Dr Eric Van Belle (University Hospital, Lille, France) presented the registry results earlier this week at the American Heart Association 2013 Scientific Sessions; the study was published simultaneously in Circulation.
  • People suffering from symptomatic peripheral artery disease, endovascular stenting followed by a supervised exercise program produces better relief from intermittent claudication and pain–free walking than exercise therapy alone, as per results from the Endovascular Revascularization and Supervised Exercise (ERASE) trial presented at the American Heart Association (AHA) 2013 Scientific Sessions.
cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • The European Medicines Agency’s (EMA’s) Committee for Medicinal Products for Human Use (CHMP) has recommended granting marketing authorization for dolutegravir (Tivicay, ViiV Healthcare) combined with other antiretroviral drugs for the treatment of HIV in adults and adolescents aged 12 years and over. Dolutegravir can be used to treat adults with and without resistance to the integrase class and adolescents without resistance to the integrase class.
  • Measuring the size and connectivity of the amygdala may accurately predict anxiety levels in young children — even before they have been diagnosed with a disorder, a new imaging study shows. Participants, all between the ages of 7 and 9 years, who had larger basolateral amygdalae had significantly higher scores on an anxiety checklist than those who had smaller amygdalae. In addition, stronger functional connections between the amygdala and other brain regions associated with emotion regulation were significantly linked to high anxiety levels.
cardiology news

Food poisoning with rice dishes

Staph and Bacillus cereus can cause acute food poisoning within 6 hours of ingestion of food. B. cereus is likely when rice is the culprit.

  • B. cereus is able to persist in food processing environments due to its ability to survive at extreme temperatures as well as its ability to form biofilms and spores.
  • B. cereus has been recovered from a wide range of foods, including rice, dairy products, spices, bean sprouts and other vegetables.
  • Fried rice is an important cause of emetic–type food poisoning associated with B. cereus
  • The organism is frequently present in uncooked rice, and heat–resistant spores may survive cooking.
  • Cooked rice subsequently at room temperature can allow vegetative forms to multiply, and the heat–stable toxin that is produced can survive brief heating such as stir frying
  • Two distinct types of toxin–mediated food poisoning are caused by B. cereus, characterized by either diarrhea or vomiting, depending on which toxin is involved. The diarrheal toxin is produced by vegetative cells in the small intestine after ingestion of either bacilli or spores. The emetic toxin is ingested directly from contaminated food. Both toxins cause disease within 24 hours of ingestion.
  • The emetic syndrome is caused by direct ingestion of the toxin.
  • The number of viable spores and vegetative bacteria that produce diarrheal toxin is reduced by heating, although spores associated with emetic toxin are capable of surviving heat processing.
  • Cereulide is heat stable and resistant to gastric conditions.
  • The ingested toxin itself may therefore cause disease despite sufficient heating to kill B. cereus.
  • The emetic syndrome is characterized by abdominal cramps, nausea, and vomiting. Diarrhea also occurs in about one–third of individuals. Symptom onset is usually within one to five hours of ingestion, but it can also occur within half an hour and up to six hours after ingestion of contaminated food.
  • Symptoms usually resolve in 6 to 24 hours.
  • Rice–based dishes in particular have been implicated in emetic toxin mediated disease, usually as a result of cooling fried rice dishes overnight at room temperature followed by reheating the next day.
  • The infective dose of cereulide required to cause symptoms is 8 to 10 micrograms per kilogram of body weight.
cardiology news

Total CPR since 1st November 2012 – 71933 trained

Media advocacy through Web Media

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, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

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 71933 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 10×10 i.e. 100 per minute."

today emedipics

CSR Activity by Heart Care Foundation of India on the Diabetes Day

press release

Daily aspirin to prevent heart disease may increase risk of GI or cerebral bleeding

today video of the day20th MTNL Perfect Health Mela Press Conference with Marwadi Yuva Manch, Faridabad

20th MTNL Perfect Health Mela Press Conference at Marwah Studio, Noida

Cultural Evening at IMA

eMedi Quiz

The conversion of an optically pure isomer (enantiomer) into a mixture of equal amounts of both dextro and levo forms is called as:

1.Polymerization.
2.Stereoisomerization.
3.Racemization.
4.Fractionation.

Yesterday’s Mind Teaser: The primary role of chaperones is to help in:

1.Protein synthesis.
2.Protein degradation.
3.Protein denaturation.
4. Protein folding.

Answer for yesterday’s Mind Teaser: 4. Protein folding.

Correct answers received from: Dr. PC Das, DR AVTAR KRISHAN, Dr Chandresh Jardosh, Dr Jainendra Upadhyay, daivadheenam jella, DR ABBAS VAKIL

Answer for 23rd November Mind Teaser: 3.Racemization.

Correct answers received from: DR ABBAS VAKIL

Send your answer to ijcp12@gmail.com



medicolegal update

Click on the image to enlarge

medicolegal update

A Dishonest Honest Man

One evening a man walked into a fast–food chicken place and bought a nine–piece bucket of chicken. He took his chicken to the park for a romantic dinner under the moonlight with his lady.

Upon reaching into the bucket, however, he received a surprise. Instead of chicken he discovered what was apparently the restaurant’s night deposit – some nine thousand bucks. The young man brought the bucket back to the store and asked for his chicken in exchange for the money.

The manager, in awe of the young man’s honesty, asked for his name and told him he wanted to call the newspaper and the local news station to do a story on him. He would become a local hero, an example of honesty and morality that would inspire others! The hungry man shrugged it off, "My date’s waiting. I just want my chicken."

The manager’s renewed amazement over the young man’s humility almost overwhelmed him. He begged to be allowed to tell the story on the news. At this the honest man became angry with the manager and demanded his chicken.

"I don’t get it," the manager responded. "You are an honest man in a dishonest world! This is a perfect opportunity to show the world that there are honest people still willing to take a stand for what is right. Please, give me your name and also the woman’s name. Is that your wife?"

"That’s the problem," said the young man. "My wife is at home. The woman in the car is my girlfriend. Now let me have my chicken so I can get out of here.

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient with prosthetic heart valves (bioprosthetic) developed infective endocarditis.
Reaction: Oh my God! Why was he not given infective endocarditis prophylaxis?
Lesson: Make sure that all patients with prosthetic heart valves (bioprosthetic or homograft) are given infective endocarditis prophylaxis.

medicolegal update

With ordinary talent and extraordinary perseverance, all things are attainable. Thomas Foxwell Buxton

medicolegal update

Dr KK Aggarwal: Bed netting is of little help to prevent dengue http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Consciousness is the subjective ground of all experience. If there is reality outside of consciousness it is unknowable #CosmicConsciousness

Forthcoming events

5th eMedinews Revisiting 2013

(a day long single hall medical conference on 2013 happenings, followed by doctors of the year 2013 awards)

Sunday 19th January 2014, Maulana Azad Medical College Auditorium

Dilli Gate Delhi, 10 am-6 pm


Dr KK Aggarwal
Padma Shri and Dr B C Roy National Awardee President

Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman

Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

5th eMedinewS Revisiting 2013
The 5th eMedinewS–revisiting 2013 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 19th 2014.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2013. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. Lunch will be provided.

Register at: rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

5th eMedinewS Doctor of the Year Awards
Nominations invited for 5th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2013.

pls send his/her Biodata at: emedinews@gmail.com

medicolegal update
  1. Dear Sir, Excellent Contents. Regards: Dr Sharad

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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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