eMedinewS26th April 2014,Saturday

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

Misdiagnoses All Too Common: 1 in 20 US Adult Patients

5% of US patients receiving outpatient care, or 12 million patients annually are misdiagnosed, and half of these medical errors could be harmful, according to a population–based estimate by Dr Hardeep Singh, from the Houston Veterans Affairs Center for Innovations in Quality, Effectiveness and Safety.

The contribution of the cancer misdiagnoses to the overall estimate was small, but potent, because delayed cancer diagnoses are thought to be the "most harmful and costly types of diagnostic error in the outpatient setting," and can have a ripple effect on such issues as malpractice claims.

News Around The Globe

National Interventional Council (NIC)
April 25th to 27th, Hotel Le Meridien, Kochi.

  • A new observational study of 3 large US cohorts has noted that subjects who increased their coffee intake by around one–and–a–half cups a day had an 11% lower risk for type 2 diabetes over the following 4 years, in comparison with people who did not change the amount of coffee they drank. The study is published online April 24 in Diabetologia.
  • The latest guidelines from the American College of Obstetricians and Gynecologists (ACOG) regarding HIV in women have recommended lowering the age for screening and using preexposure prophylaxis (PrEP) in women at highest risk to prevent transmission. The guidelines have been published in the May issue of Obstetrics & Gynecology.
  • The Committee on Obstetric Practice of the American College of Obstetricians and Gynecologists (ACOG) has reported that there is no evidence of a link between induction of labor and autism spectrum disorders (ASDs). The committee has therefore recommended against a change in the current guidance for labor induction and augmentation. The committee’s opinion has been published in the May issue of Obstetrics & Gynecology.
  • A novel analysis has revealed that a conservative management approach to unruptured brain arteriovenous malformations (bAVMs) is superior to interventional treatment in terms of long-term outcomes in patients followed for up to 12 years. The study is published in the April 23 issue of JAMA.
  • The US FDA has recently approved a molecular test for human papillomavirus (HPV) DNA as a first-line screening tool for cervical cancer. The cobas HPV test has been approved to screen women ≥25 years of age for infection with 14 high–risk HPV strains, including HPV 16 and 18.

Rabies News (Dr A K Gupta)

What is pre–exposure vaccination?

Pre–exposure (Prebite) vaccination means immunization before the bite.

Cardiology eMedinewS

  • According to a new study, patients with high cholesterol levels prescribed statins have increased their caloric intake by nearly 10% and their intake of fat by 14% over the recent 10–year period. On the contrary, no changes in eating habits have been observed among statin nonusers.
  • A new study has reported that birth weight <2.8 kg and being breastfed for less than 3 months could possibly increase the risk of elevated levels of the cardiovascular disease biomarker C–reactive protein in young adults. The study was published online in the Proceedings of the Royal Society Series B: Biological Sciences.

Pediatrics eMedinewS

  • A recent research from Australia has stated that the trivalent influenza vaccine may be effective in children as young as six months old. The vaccine was tested in children aged six months to five years and the results revealed that viral effectiveness was higher among children under age two (85.8% and 85.5%, respectively, against the control groups). The study is published online April 21 in Pediatrics.
  • Researchers at the Diabetes Research in Children Network (DirecNet) have reported that youth with type 1 diabetes exhibit abnormal plasma glucagon responses to mixed meal tolerance tests within two years after diagnosis. The findings thus suggested that dysregulation in glucagon secretion appears early in the course of disease.

Dr K K Spiritual Blog

Why do we adore Tulsi?

Yanmule sarvatirhaani
Yannagre sarvadevataa
Yanmadhye sarvavedaascha
Tulsi taam namaamyaham


I bow down to the tulsi, At whose base are all the holy places, At whose top reside all the deities and In whose middle are all the Vedas.

There is a Sanskrit saying about tulsi: "tulanaa naasti athaiva tulsi" that which is incomparable in its qualities is the tulsi.

It is one of the most sacred plants. It is the only pooja samigri which can be washed and reused.

Satyabhama once weighed Lord Krishna against all her legendary wealth. The scales did not balance till a single tulsi leaf was placed along with the wealth on the scale by Rukmini with devotion. Thus tulsi played the vital role of demonstrating that even a small object offered with devotion is more important than all the wealth in the world.

Tulsi symbolizes Goddess Lakshmi. Those who wish to be righteous and have a happy family life worship the tulsi. Tulsi is married to the Lord with all pomp and show as in any wedding. This is because according to another legend, the Lord blessed her to be His consort.

Tulsi leaf has great medicinal value and is used to cure various ailments, including the common cold. It has detoxifying properties and is used in all spiritual fasts including the satynarayana katha where 1000 tulsi leaves are added to the water for pooja and later consumption.

  1. Tulsi is added in every charnamrat (holy Prasad) as it has anti septic properties and the Prasad does not get infected.
  2. Tulsi vivah (marriage) starts the marriage season in Kartik month. Tulsi seeds are known to induce and promote fertility.

Wellness Blog

All about tea

When we speak of tea, it is commonly assumed to be black tea with milk and sugar. However, the word ‘Tea’ means any herb. This means even hot Tulsi water is Tulsi tea or hot mint water is Mint tea. Herbs which can be converted into tea are jasmine tea, lemon tea, lemon grass tea, masala tea, sounf tea etc.

When the decoction of the leaves and the water is reduced to 50% on boiling, it is called Kadha. Black tea without milk and sugar is much healthier than black tea with milk and sugar. Classical tea without sugar and milk has an astringent taste. But according to Ayurved, this is good for health as it reduces Kapha imbalance. When sugar and milk is added, both of which have sweet taste, they neutralize the weight reducing and kapha-relieving properties of the black tea. Therefore, milk or sugar should not be added to tea. For the purpose of taste, one can add Gur or jaggery or artificial plant sweetener Stevia.

Black tea is also a mild diuretic and increases urination as it contains caffeine, which is also a stimulant and that is the reason why tea is used to remain awake. In this regard, coffee is stronger than tea. When taken in moderation, black tea is good for the heart and the health. If one has to choose tea then jasmine, lemon and lemongrass teas are better than others.

In Ayurveda, there are different teas for different personalities. Therefore, you can get Vata–pacifying tea, pitta–pacifying tea and kapha–pacifying tea.

Inspirational Story

Mother’s Day

A man stopped at a flower shop to order some flowers to be wired to his mother who lived two hundred miles away. As he got out of his car he noticed a young girl sitting on the curb sobbing.

He asked her what was wrong and she replied, "I wanted to buy a red rose for my mother and I don’t have enough money." The man smiled and said, "Come on in with me. I’ll buy you a rose." He bought the little girl her rose and ordered his own mother’s flowers.

As they were leaving he offered the girl a ride home. She said, "Yes, please! You can take me to my mother." She directed him to a cemetery, where she placed the rose on a freshly dug grave.

The man returned to the flower shop, canceled the wire order, picked up a bouquet and drove the two hundred miles to his mother’s house.

ePress Release

Suspecting stroke and heart attack risk without tests

Carotid bruit, an unusual, harsh sound a doctor can hear when passing a stethoscope over the main artery to the brain could indicate an increased risk of heart attack and death from heart disease and stroke, 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.

The sound is caused by turbulent blood flow due to buildup of fatty deposits in one of the two arteries that carry blood to the front and middle part of the brain. It is usually regarded as a possible indicator of increased risk of stroke.

An analysis of 22 studies involving more than 17,000 patients and published in The Lancet found that people with carotid bruits were more than twice as likely to have heart attacks or to die of cardiovascular disease.

However patients who do not have carotid bruit may have other evidence of cardiovascular disease.

Physicians should routinely listen for possible carotid bruits when doing a physical examination of people who are middle–aged or older.

Studies have shown that there is a link between the risk of stroke and of coronary heart disease.

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 88972 people since 1stNovember 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."

eMedi Quiz

Which of the following is not a post transcriptional modification of RNA?

1. Splicing.
2. 5’ Capping.
3. 3’ polyadenylation.
4. Glycosylation.

Yesterday’s Mind Teaser: Injury to radial nerve in lower part of spiral groove:

1. Spares nerve supply to ex tensor carpi radialis longus.
2. Results in paralysis of anconeus muscle.
3. Leaves extension at elbow joint intact.
4. Weakens pronation movement.

Answer for yesterday’s Mind Teaser: 3. Leaves extension at elbow joint intact.

Correct answers received from: Dr Jainendra Upadhyay, drpoonamchablani, Dr.K.V.Sarma, Daivadheenam Jella, Dr Ajay Gandhi, Dr Avtar Krishan, Dr B K Agarwal, Devinder Kumar, Dr A K (jain)Diwaker,

Answer for 24th April Mind Teaser: 1. Transitional

Correct answers received from: Devinder Kumar,Dr A K (jain)Diwaker,

Send your answer to ijcp12@gmail.com

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 – 88972 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

World Earth Day Celebration at DAV Public School, RK Puram, New Delhi.

press release

Skin care

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: An elderly patient with unstable angina presented with URTI and was found to be positive for Chlamydia pneumoniae infection.
Reaction: Remember to start macrolides immediately.
Lesson: Make sure to remember that erythromycin 2 g/day for 10–14 days reverses the increased risk of atherosclerosis. Sero–epidemiological studies have shown a strong association between C. pneumoniae infection and atherosclerosis in patients with cardiovascular disease.

eMedinewS Humor

Repairs

When a guy’s printing on his printer began to grow faint, he called a local repair shop where a friendly man informed him that the printer probably needed only to be cleaned. Because the store charged $50 for such cleanings, he told him he might be better off reading the printer’s manual and trying the job himself.

Pleasantly surprised by his candor, he asked, "Does your boss know that you discourage business?" "Actually, it’s my boss’s idea," the employee replied sheepishly. "We usually make more money on repairs if we let people try to fix things themselves first."

Quote of the Day

Nature loves you ten times more than a mother loves her newborn. – Sri Sri Ravi Shankar

 

Twitter of the Day

Dr KK Aggarwal: Bed netting is of little help to prevent dengue http://youtu.be/NMIK16PyBrY?a via @YouTube
Dr Deepak Chopra: Emotional intelligence begins when you feel what you feel without labels or evaluation.

 

medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Editor, Nice information. Regards: Dr Kartik
cardiology news

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