eMedinewS26th January 2014, Sunday

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

eMedinewS wishes you a Happy Republic Day

eMedinewS Congrates and Salutes all Padma Awardee Doctors of the year 2014

Padma Bhushan

Dr. (Smt.) Neelam Kler, Medicine– Neonatology, Delhi

Padma Shri

Dr. Ramakant Krishnaji Deshpande, Medicine – Oncology, Maharashtra
Prof. (Dr.) Pawan Raj Goyal, Medicine – Chest Disease, Haryana
Prof. Amod Gupta, Medicine – Opthalmology, Haryana
Prof. (Dr.) Daya Kishore Hazra, Medicine, Uttar Pradesh
Prof. (Dr.) Thenumgal Poulose Jacob, Medicine – Vascular Surgery, Tamil Nadu
Prof. (Dr.) Shashank R. Joshi, Medicine – Endocrinology, Maharashtra
Prof. Hakim Syed Khaleefathullah, Medicine – Unani Medicine, Tamil Nadu
Dr. Milind Vasant Kirtane, Medicine – ENT Surgery, Maharashtra
Dr. Lalit Kumar, Medicine – oncology, Delhi
Dr. Mohan Mishra, Medicine, Bihar 
Dr. M. Subhadra Nair, Medicine – Gyneacology, Kerala
Dr. Ashok Panagariya, Medicine – Neurology, Rajasthan
Dr. Narendra Kumar Pandey, Medicine – Surgery, Haryana
Dr. Sunil Pradhan, Medicine – Neurology, Uttar Pradesh
Dr. Ashok Rajgopal, Medicine – Orthopaedics, Delhi
Dr. Kamini A. Rao, Medicine – Reproductive Medicine,Karnataka
Dr. Sarbeswar Sahariah, Medicine – Surgery, Andhra Pradesh
Prof. Om Prakash Upadhyaya, Medicine, Punjab
Prof. (Dr.) Mahesh Verma, Medicine– Dental Science, Delhi
Dr. J.S. Titiyal, Medicine– Opthalmology, Delhi

Worse Outcomes for Off–Hours MI

Studies have suggested that patients with acute MI have poorer outcomes when they arrive at night or on the weekend, possibly related to delays in treatment or staffing issues.

Henry Ting, MD, of the Mayo Clinic in Rochester, Minn., and colleagues set out to get a better idea of the magnitude of the relationship by pooling data from 48 studies with a total of nearly 1.9 million patients.

Off–hours presentation was associated with a significant increase in the likelihood of dying either in the hospital or within 30 days of the event.

Although the relative increase was small, the authors calculated that one out of every 27 in–hospital deaths and one out of every 29 deaths within 30 days could be avoided if the issue with off-hours presentation could be resolved.

Part of the association could be related to treatment delay, as the likelihood of receiving percutaneous coronary intervention within the recommended 90 minutes was significantly lower at night and on the weekend.

Air pollution and ACDS

Giulia Cesaroni, MSc, of the Lazio Regional Health Service in Rome, and colleagues turned to the ESCAPE project to examine whether long–term exposure to different types of air pollution is associated with greater risks of acute coronary syndromes.

They performed a meta-analysis of 11 European cohorts from five countries that included a total of 100,166 people who did not have a history of coronary disease at baseline. Through an average follow–up of 11.5 years, 5.1% had an acute MI or developed unstable angina.

In the fully adjusted model, only one type of air pollution –– particulate matter measuring less than 10 µm (PM10) –– was associated with a risk of events. For every 5 μg/m3 increase in the estimated annual exposure, there was a 12% greater risk of having an acute coronary syndrome.

Particulate matter measuring less than 2.5 μm (PM2.5) and PM10 were both associated with greater risks of acute events in analyses limited to exposures below the annual European limits for the two pollutants of 25 and 40 μg/m3, respectively.

Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV 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."

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

Why is touching another person with the foot considered an act of misdemeanor?

sprritual blog

All human beings in Vedic literature are considered GOD. Therefore touching another with the feet is akin to disrespecting the divinity within him or her. This calls for an immediate apology, which is offered with reverence and humility.

cardiology news

The value of sincerity of purpose

A story is told of a man who approached three workers who were doing the same job. "What are you doing?" he asked each one of them separately and got different answers. "I am cutting the stones" replied the first. "I am earning my livelihood," replied the second. "I am building a mosque" replied the third. Each of the three workers saw himself linked to a different purpose.

Each one was to that extent, different from others, although all worked alike and were engaged in the same task.

Our two hands with which we work are in no sense different from the hands of any other person.

The value of what we do depends upon the quality of the inner purpose in our heart with which we do our work.

News Around The Globe

News

"Learning ABC of ECG" A workshop with Dr. K K Aggarwal, Sunday 2nd February, 2014, 8am to 10am at Moolchand Auditorium. Organizer: Dr K K CME Group. (Dr. Pawan Gupta: 09813193071) Note: The workshop will discuss ‘How to read an ECG, normal versus abnormal, dangerous signs in ECG’.

  • Radiation before surgery could boost survival in patients with mesothelioma, according to a report by Canadian researchers published online January 17 in the Journal of Thoracic Oncology. The study showed that using hemithoracic intensity–modulated radiation therapy (IMRT) before extrapleural pneumonectomy (EPP) is feasible and could prolong survival.
  • Belgian researchers report that patients whose sleep–disordered breathing improves with oral appliance therapy may still have residual excessive sleepiness (RES).
  • Lurasidone (Latuda, Takeda Pharma A/S), a serotonin dopamine antagonist, has received a positive opinion from the European Medicines Agency’s Committee for Medicine Products for Human Use (CHMP) for the treatment of schizophrenia in adults aged 18 years and older. It is approved in the United States for the treatment of schizophrenia in 2010 and for the treatment of bipolar depression in 2013. One of the reported advantages of the atypical antipsychotic is that it has fewer metabolic side effects than other agents in its class, including weight gain and changes in measures of glycemic control.
  • Drug regulators in the European Union (EU) have recommended approving omalizumab (Xolair, Novartis, Genentech) as an add–on therapy for patients with chronic spontaneous urticaria (CSU), according to an announcement of the European Medicines Agency (EMA). Omalizumab already is approved in the EU as an add–on therapy for allergic asthma.
  • From 2005 through 2011, in–hospital adverse event rates declined significantly among hospitalized Medicare patients with acute myocardial infarction (MI) or congestive heart failure, but not for patients with pneumonia or patients requiring surgery, according to an article published online January 22 in the New England Journal of Medicine. According to researchers, the declines in patients with MI and heart failure may have occurred because those conditions have been the focus of numerous initiatives to improve care over those years.

CPR 10 success stories

1. Hands–only CPR 10 English

2. Hands–only CPR 10 (Hindi)

3. Ms Geetanjali, SD Public School Successful Story

4. Success story Ms Sudha Malik

5. BVN School girl Harshita does successful hands–only CPR 10

6. Elderly man saved by Anuja

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Rabies News (Dr. A K Gupta)

What are the various types of modern anti–rabies vaccines?

These are:

  • Purified vero cell rabies vaccine (PVRV)
  • Purified chick embryo cell vaccine (PCECV)
  • Human diploid cell vaccine (HDCV)
  • Purified duck embryo vaccine (PDEV)
cardiology news

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

  • Ischemic stroke may be added to the list of health risks already associated with the recreational street drug spice, a team of neurologists from the University of South Florida (USF), in Tampa, suggests. In a new report published in the December 10 issue of Neurology, the authors discuss the cases of 2 young and previously healthy siblings aged 26 and 19 years who experienced acute ischemic stroke shortly after smoking the Schedule I synthetic marijuana known as spice. Imaging results suggested the strokes may have been embolic. All tests to determine whether they were genetically predisposed to developing blood clots were negative.
cardiology news

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

  • The incidence of candidiasis in neonatal intensive care units has decreased since 1997, according to a new study in Pediatrics. The authors suggest that this decline is the result of better use of antifungals as well as more conservative use of broad–spectrum antibiotics among infants.
  • A new study from Germany reports that adolescent girls with anorexia nervosa may be able to safely participate in outpatient treatment. While outpatient treatment for anorexia nervosa is not common in many countries, researchers found that adolescent girls who took part in a day–treatment program didn’t do any worse than those who stayed at a hospital for months of therapy. In many European countries, treatment for moderate and severe anorexia nervosa requires a lengthy stay in a hospital. In the U.S. inpatient treatment typically lasts about a month and is followed by some type of outpatient treatment that’s matched to the individual's degree of illness. The study is reported in The Lancet.
cardiology news

Coffee Consumption Reduces Mortality

The largest prospective cohort study evaluated the impact of coffee consumption on all–cause mortality and involved 229,000 men and 173,000 women, who were followed for up to 13 years.

After adjustment for smoking status and other potential confounders, associations between coffee consumption (either caffeinated or decaffeinated) and reduced all–cause mortality were evident at relatively low levels of consumption (2 to 3 cups/day).

Compared to non–coffee drinkers, the risk of all-cause mortality among men and women who consumed 2 to 3 cups of coffee daily was 0.90 and 0.87.

The apparent benefit of coffee was similar for individuals with high levels of coffee consumption, including those who drank six or more cups of coffee per day. (UpToDate)

(Ref: Freedman ND, Park Y, Abnet CC, et al. Association of coffee drinking with total and cause–specific mortality. N Engl J Med 2012;366:1891).

cardiology news

Total CPR since 1st November 2012 – 84500 trained

Media advocacy through Web Media

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Ten ways to ease neck pain

Neck stiffness is common and can be uncomfortable enough to hamper day to day life. Ten easy steps can prevent neck pain, said Padma Shri & Dr. B C Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Senior National Vice President, Indian Medical Association.

Following are the 10 steps:

  1. Don’t stay in one position for too long
  2. Keep the computer monitor at eye level.
  3. Use the hands–free function of the phone or wear a headset.
  4. Prop your touch–screen tablet or the ipad on a pillow so that it sits at a 45° angle, instead of lying flat on your lap.
  5. Keep your prescription up to date, if you wear glasses to prevent leaning your head back to see better.
  6. Don’t use too many pillows as it can stifle your neck’s range of motion.
  7. Before you move a big wardrobe across the room, consider what it might do to your neck and back, and ask for help.
  8. Sleep well.
  9. Call your doctor if neck pain is associated with radiating pain, weakness, or numbness of an arm or leg.
  10. Also call the doctor if you have fever or weight loss associated with your neck pain, or severe pain.

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 84500 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 Camp at NDMC Premises

press release

Ventilator–associated tracheobronchitis

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

An increased incidence of cholangiocarcinoma is seen in all of the following, except:

1. Hydatid cyst of liver.
2. Polycystic disease of liver.
3. Sclerosing cholangitis.
4. Liver flukes.

Yesterday’s Mind Teaser: A 2–month–old baby with acute icteric viral hepatitis like illness slips into encephalopathy after 48 hours. The mother is a known hepatitis B carrier. Mother’s hepatitis B virus serological profile is most likely to be:

1. HBsAg positive only.
2. HbsAg and HBeAg positive.
3. HBsAg and HBe antibody positive.
4. HBV DNA positive.

Answer for yesterday’s Mind Teaser: 2. HbsAg and HBeAg positive.

Correct answers received from: Dr K Raju, Dr K V Sarma, Dr Raghavendra Singh, Arvind Gajjar, Dr Sana Khanam, Dr Bitaan Sen & Dr Jayashree Sen, Dr V P Thakral, Dr Jainendra Upadhyay, Niraj K. Gupta, Dr Avtar Krishan, Daivadheenam.

Answer for 24th January Mind Teaser: Hydatid cyst of liver

Correct answers received from: Dr Chandresh Jardosh, Dr VP Thakral, Dr Jainendra Upadhyay.

Send your answer to ijcp12@gmail.com

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medicolegal update

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Preacher’s Wish from God

A preacher went into his church and he was praying to God. While he was praying, he asked God, "How long is 10 million years to you?" God replied, "One second."

The next day the preacher asked God, "God, how much is 10 million dollars to you?"

And God replied, "A penny." Then finally the next day the preacher asked God, "God, can I have one of your pennies?" And God replied, "Just wait a sec."

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update

Situation: A patient with cough of more than 4 weeks duration came with blood in his sputum.
Reaction: Oh my God! Why was TB not suspected earlier?
Lesson: Make sure that all patients with cough of more than 3 weeks duration are investigated for TB.

medicolegal update

Always ask God to give what you deserve and not what you desire because your desires may be few but you deserve a lot.

medicolegal update

Dr KK Aggarwal: Some Alcohol Terms Dr K K Aggarwal 1. Do not start if you do not drink Limit if you take and can not stop 3. (cont) http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Life is about fulfillment. If your life isn’t fulfilled, your stomach can never supply what’s missing http://bit.ly/15QdVeB #Health

medicolegal update
  1. Dear Sir, very informative newspaper. Regards: Dr Tarun

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