eMedinewS25th December 2013, Wednesday

Dr K K AggarwalPadma 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

GSK Stops Paying Doc Speakers: A Tipping Point?

On Monday GlaxoSmithKline became the first major drug company to go public that they will stop paying doctors for speaking. The company also announced several other monumental changes to its sales and marketing practices worldwide, including ending individual sales targets for drug representatives and paying physicians to attend medical conferences.

In the early 2000s, a couple of companies began to publicly disclose their payments and gifts to doctors. By the time the Sunshine Act was passed in 2010, making the practice mandatory starting earlier this year, almost a dozen companies were doing it.

This ends paying healthcare professionals to speak on its behalf about products or diseases to audiences who can prescribe or influence prescribing.

This also stops provision of financial support directly to individual healthcare professionals to attend medical conferences, and instead funding education through unsolicited, independent educational grant routes.

This also ends compensation for sales representatives based on individual sales targets, and instead evaluate and reward them for their technical knowledge and quality of service.

Dr K K Aggarwal on Zee TV

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

Never Hurt Ego of a Person

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It is a well known Vedic fact that if you hurt the ego of a person, he will never forgive you, especially, if you have insulted or implicated him in character assassination, cast implications, financial embezzlement or in public, you call a woman as old or a man as impotent.

For example, if I hurt the ego of a chowkidar, then the next time a patient comes to the hospital gate and enquires where Dr. KK Aggarwal is, he only has to whisper, "Which Aggarwal, whose cases never survive?"

Also never hurt the ego of a person who is drunk. Under the influence of alcohol, a person loses his capacity to judge persons and situations. If you provoke him, he can be destructive and aggressive.

cardiology news

Do not procrastinate and never regret

Do not waste time in protracted wondering "Should I or shouldn’t I?"

Days, weeks, months, and years may be wasted in that futile mental debating. You can never plan enough because you can never anticipate all future happenings. Value your time and do the things that need to be done. It does not matter if you fail the first time. You can learn from your mistakes and succeed the next time. Sitting back and worrying will lead to nothing. Learn from your mistakes, but do not brood over the past. DO NOT REGRET. Whatever happened was destined to happen only that way. Why cry over spilt milk.

News Around The Globe

News

  • Dietary supplements account for nearly 20 percent of drug–related liver injuries that turn up in hospitals, up from 7 percent a decade ago," reports The New York Times.
  • FDA approved United Therapeutics’ treprostinil for pulmonary arterial hypertension. The drug had been denied approval twice.
  • Michiaki Takahashi, MD, who developed the chickenpox vaccine, has died at 85.
  • Janet Rowley, MD, who linked cancer to genes, has died at 88.
  • Kidney tubules from stem cells: Researchers have discovered a cocktail that causes stem cells to turn on genes expressed in kidney cells in the same order as during kidney development. Investigators differentiated human embryonic stem cells and induced pluripotent stem cells into cells expressing genes and markers of the intermediate mesoderm according to a JASN article.
  • Obesity linked to higher risk of kidney disease: Research published online in American Journal of Kidney Diseases suggests that obesity may be linked to a higher risk of kidney disease.
  • Modest weight loss may help reduce heart risks in middle–aged women: Medscape reported that research published online in the Journal of the American Heart Association indicated that middle–aged overweight or obese women who sustained any weight loss at two years had reduced total cholesterol and non–HDL–cholesterol levels
  • Diabetes News: Gum disease treatment in diabetes patients didn’t help cut "their blood sugar in a study of 500 people, in contrast to "findings from smaller trials that suggested treating one ailment would improve the other." The study was unveiled today in the Journal of the American Medical Association.

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Rabies News (Dr. A K Gupta)

How is rabies transmitted?

Rabies is transmitted by infected secretions. Most commonly, transmission to humans takes place through exposure to saliva following a bite by an infected animal. Rabies virus can be excreted in saliva, urine, nasal discharge and respiratory secretions.

cardiology news

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

  • Metformin provides modest short–term BMI reduction benefits: A systematic review of metformin for treating obesity in children not diagnosed with diabetes found that the drug provides a statistically significant but very modest reduction in BMI when combined with lifestyle interventions over the short term. (JAMA Pediatrics review)
  • New recommendations for hypertension in elderly: The New York Times reported that "new guidelines suggest that people over 60 can have a higher blood pressure than previously recommended before starting treatment to lower it." The guidelines committee, "composed of 17 academics, was tasked with updating guidelines last re–examined a decade ago." The recommendations were "published online on Wednesday in The Journal of the American Medical Association.
cardiology news

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

  • Peanuts, tree nuts during pregnancy may lower kids’ risks: Children may have a significantly lower risk for peanut or tree nut allergy if their nonallergenic mothers ate peanuts or tree nuts at least 5 times a week in peripregnancy, according to an article published online December 23 in JAMA Pediatrics. The study results support current guidelines for maternal diets.
  • Low B12 linked to orthostatic tachycardia in adolescents: Vitamin B12 deficiency in adolescents may cause sympathetic nervous system baroreceptor dysfunction, leading to postural orthostatic tachycardia syndrome (POTS), according to a clinical study published online December 23 in Pediatrics.
cardiology news

Don’t ignore women’ health

Women are not diagnosed or treated as aggressively as men. Even though more women than men die of heart disease each year, women receive only 33% of all angioplasties, stents and bypass surgeries; 28% of implantable defibrillators and 36% of open–heart surgeries, according to the National Coalition for Women with Heart Disease.

Although the traditional risk factors for coronary artery disease — such as high cholesterol, high blood pressure and obesity — have a detrimental impact in men and women, certain factors play a bigger role in the development of heart disease in women.

  • Metabolic syndrome — a combination of increased blood pressure, elevated blood glucose and triglycerides — has a greater impact on women than men.
  • Mental stress and depression affect women’s hearts more than they do men’s.
  • Smoking is much worse for women than men.
  • A low level of estrogen before menopause is a significant risk factor for developing microvascular disease.
  • Though women will often have some chest pain or discomfort, it may not be the most prominent symptom. Diffuse plaques build–up and diseased smaller arteries are two reasons why symptoms can be different in women.
  • In addition to chest pain, pressure or discomfort, signs and symptoms of heart attack in women include: Neck, shoulder, upper back or abdominal discomfort, Shortness of breath, Nausea or vomiting, Sweating, Light–headedness or dizziness and unusual fatigue.
  • Endothelial dysfunction is more common in women. In this the lining of the artery does not expand (dilate) properly to boost blood flow during activity, which increases the risk of coronary artery spasm and sudden death.
  • Results of the WISE study suggest that the commonly used treatments for coronary artery disease — angioplasty and stenting — are not the best options for women with more diffuse plaques.
  • Typical tests for coronary artery disease — angiogram, treadmill testing and others — are not reliable in women.
  • The WISE study showed that in some women, plaques accumulate as an evenly spread layer along artery walls, which is not visible using traditional testing methods.
cardiology news

Total CPR since 1st November 2012 – 83037 trained

Media advocacy through Web Media

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press release

Beware of alcohol during Christmas Eve and New Year’s celebrations

The recent statement by a former judge that it is customary to drink wine during Christmas has not gone well with the doctors. For Indian people, alcohol in any form and in any quantity has not been proven to be safe.

Thought there are western studies which link moderate consumption of alcohol with cardiovascular benefits, the only and the largest study from Jaipur in India does not approve the same, said Padma Shri & Dr. B C Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India.

Dr. Aggarwal said that in the Indian study, alcohol, even in moderate amounts, was linked with more heart attacks and high blood pressure.

No amount of alcohol is similarly safe for the liver. But in most Indians having pot belly obesity and fatty liver, alcohol can cause further damage to liver.

The recommended safe limit for alcohol is less than 30ml in one hour, not more than 60ml in a day and 3 days in a week at least of complete alcohol.

Brandy, whiskey, vodka and gin all contain 40% alcohol and have the same health implications. It is also a misconception that alcohol reduces winter–related cold and hypothermia.

Dr. Aggarwal said that as of today there is no medical indication that people could start social drinking for health benefits.

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 83037 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."

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CPR 10 Utsav 15th December 2013

press release

Avoid these foods for a healthier heart

vedio of day

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

Haemorrhage secondary to heparin administration can be best corrected by administration of:

1. Vitamin K
2. Whole blood
3. Protamine
4. Ascorbic acid

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

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

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

Correct answers received from: DR.A.K.GAJJAR, DR ARPAN GANDHI, Tukaram Pagad, Dr.Raghavendra Jayesh, Dr. Uma maheswari Tata, Dr.K.Raju, Dr Dinesh yadav, Dr. Vishal D Wahane, Dr Jainendra Upadhyay, Sangeetha Raja, Dr Chandresh Jardosh, Ravi Shanmugavel, DR AVTAR KRISHAN, Muthumperumal Thirumalpillai, Dr B K Agarwal, DR.A.K.GAJJAR, Dr Arpan Gandhi.

Answer for 23rd December Mind Teaser: 3.Gel filtration chromatography.

Correct answers received from: Muthumperumal Thirumalpillai, Dr.Dinesh Narain saksena, Dr Arpan Gandhi.

Send your answer to ijcp12@gmail.com

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centralbank
medicolegal update

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medicolegal update
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

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medicolegal updatemedicolegal update

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

Men talk of killing time, while time quietly kills them. Dion Boucicault

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

medicolegal update
  • Sir, eMedinewS is an excellent informative mail for all sections of medical fraternity. This news gives medical knowledge including other issues that we face on daily basis with boosting tips. Thanks a lot sir. For good health be a vegetarian and practice ahimsa. Lalith
  • Dear Dr. K.K. Aggarwal, I wish to congratulate you for presenting a very informative program on Stroke in the channel Zee news. Please arrange such programs for public and family physicians in future also. Dr. A.K.Srivastava, 124/X–1 Krishna Puram, Kanpur – 208007.

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