eMedinewS27th November 2013, Wednesday

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

Positive of negative personality

Just do this quiz.
Whatever comes in your mind first right it down in a piece of paper.
Read

Read

  1. LIFENOWHERE
  2. –ELL
  3. –AD
  4. –REED
  5. –RY
  6. –RIDE
  7. _AIN
  8. –OLD
  9. –EAR
  10. –IGHT
  11. –AIL
  12. –ERO
  13. –OT
  14. –O
  15. –ONKEY
  16. –ARK
  17. –AIL
  18. –OUL
  19. –ICK
  20. -ATE

Now give one mark to positive word and two negative marks to a negative word and see whether you are a positive of negative personality

Answers

  1. LIFE NOWHERE ( Negative) or LIFENOW HERE (positive)
  2. HELL (negative), Bell (positive)
  3. MAD ( negative), BAD ( negative), SAD ( negative), PAD ( positive)
  4. GREED (negative), BREED ( positive)
  5. CRY (negative), TRY (positive)
  6. PRIDE (negative), BRIDE (positive)
  7. PAIN (negative) GAIN (positive) RAIN (positive)
  8. COLD (negative), BOLD (positive)
  9. FEAR (negative), TEAR (negative) SEAR (positive)
  10. LIGHT (positive), FIGHT (Negative), NIGHT (Negative)
  11. FAIL (negative), Mail (positive)
  12. ZERO (negative), HERO (positive)
  13. NOT (negative) GOT (positive)
  14. NO (negative) GO (positive)
  15. DONKEY (negative), MONKEY (relatively positive)
  16. DARK (negative), BARK(negative) PARK (positive)
  17. FAIL (negative), MAIL (positive)
  18. FOUL (negative), BOUL (positive)
  19. SICK (negative) NICK (positive)
  20. HATE (negative) GATE (positive)

Rosiglitazone is back in the US

The FDA has loosened restrictions on the diabetes drug rosiglitazone ( under fire since 2007 because of potential cardiovascular risks) and will allow drugmaker GlaxoSmithKline to drop the TIDE trial comparing rosiglitazone to pioglitazone, the only other thiazolidinedione available.

FDA cited a re-examination of the RECORD trial as the primary reason for scaling back the prescribing limits on the drug, noting it found no increased risk of a composite of cardiovascular death, MI, or stroke with rosiglitazone.

"Given these new results, our level of concern is considerably reduced; thus, we are requiring the removal of certain prescribing restrictions," Janet Woodcock, MD, director of the FDA´s center for drug evaluation and research (CDER), said in a statement.

The drug will be indicated as an adjunct to diet and exercise for patients with type 2 diabetes, and will be available through retail and mail-order pharmacies

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

Do Your Duty With Discipline And Devotion: The Triad Represents Rama, Lakshmana And The Hanumana

sprritual blog

"Vasudaiva kutumbakam" (the whole world is one family) and "Ekam Sat Viprah Bahudavanti" (truth is one but the wise call it by various names) are two basic statements which comes from the ancient Rig Veda and form the fundamentals of Vedic philosophy.

One should do one’s duty with devotion and discipline. This principle can be remembered as the principle of three Ds.

In daily routine ‘one should remember the purpose for which one is born, which to fulfill Dharma (duty), Artha (wealth), Kama (desire) and Moksha (liberation). To achieve them, one needs to follow the four Fs: (i) Follow the teacher, (ii) Face the negative devils of the mind, (iii) Fight till the end, and (iv) Finish at the goal.

The essence of Bhagwad Gita can be summarized in one shloka (Chapter 2.48) where Krishna says to Arjuna "yogastha kuru karmani" which means ‘concentrate on actions’ (do all actions while remaining in yoga). He further says that one should take success and failure in the same stride. (yogastha: = steadfast in yoga, kuru = perform, karmani = duties or action).

To acquire spiritual health, one should follow three Ss which are: (i) Satsang (company of good people), (ii) Sadhna (hard work) and (iii) Sanskar (good deeds). Adi Shankracharya in Bhaj Govindam describes them as Satnaam or Simran (bhakti, or reciting the name of their God), Satsang (company of good people) and Seva (good karmas). Before doing any work, one should follow the principles of three Hs: (i) listen with the Head, (ii) follow the Heart to choose one of the choices and (iii) order the Hands to take an action.

The ABCs of a good professional are Availability, Behavior and Competence. Competence comes the last; the first is the availability of the professional. And than is abrupt by hands.

An action should be based on Truth; it should be coming from consciousness and should end in internal bliss. Various Vedic literatures have termed this triad by different names like satha, chitha, ananda, and satyam, shivam sundaram.

cardiology news

A box of kisses

Some time ago, a man punished his 3-year-old daughter for wasting a roll of gold wrapping paper. Money was tight and he became infuriated when the child tried to decorate a box to put under the Christmas tree. Nevertheless, the little girl brought the gift to her father the next morning and said, "This is for you, Daddy.” He was embarrassed by his earlier overreaction, but his anger flared again when he found the box was empty.

He yelled at her, "Don´t you know that when you give someone a present, there´s supposed to be something inside it?" The little girl looked up at him with tears in her eyes and said, "Oh, Daddy, it is not empty. I blew kisses into the box. All for you Daddy."

The father was crushed. He put his arms around his little girl, and he begged for her forgiveness.

It is told that the man kept that gold box by his bed for years and whenever he was discouraged, he would take out an imaginary kiss and remember the love of the child who had put it there.

In a very real sense, each of us as humans have been given a gold container filled with unconditional love and kisses from our children, friends, family and God. There is no more precious possession anyone could hold.

News Around The Globe

News

  • The US FDA is lifting restrictions on the prescribing and use of the diabetes drug rosiglitazone (Avandia, Avandamet, Avandaryl, GlaxoSmithKline) on the basis of recent data that demonstrate no elevated cardiovascular risk.
  • A new allergy risk to a common ingredient has been identified in a recent case study that has implications for vaccination. Gelatin, often found in lunchmeats, jellies, and gummy candies, is also used in vaccines, and allergy though rare can trigger anaphylaxis (American College of Allergy, Asthma & Immunology (ACAAI) 2013 Annual Scientific Meeting).
  • Critical care is resource-intensive and limited and the burdens of futile treatment extend beyond the patients who receive it. According to Thanh Huynh, MD, from the University of California at Los Angeles, futile treatment negatively affects not only the patient who receives futile treatment, but also patients whose care is delayed or unavailable because futile treatment is being provided (Chest 2013).
  • Among patients infected with HIV, current levels of 25-hydroxyvitamin D are associated with the risk for death but not for other adverse events, according to a new study. . According to updated guidelines from the US Preventive Services Task Force (USPSTF), the evidence is insufficient to assess the balance of benefits and harms of screening by primary care providers for oral cancer in asymptomatic adults. The guidelines will be published online November 26 in the Annals of Internal Medicine.

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Rabies News (Dr. A K Gupta)

Can the vaccine be injected in gluteal region?

Rabies vaccine must not be administered in gluteal region as the gluteal fat may retard vaccine absorption resulting in delayed and lower seroconversion.

cardiology news

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

  • Much like transcatheter aortic valve implantation (TAVI), transcatheter treatment of mitral regurgitation should be carefully introduced into clinical practice, according to a document from American Association for Thoracic Surgery, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons. The document was published in the Journal of the American College of Cardiology, Annals of Thoracic Surgery, Catheterization and Cardiovascular Interventions, and the Journal of Thoracic and Cardiovascular Surgery.
  • Evaluating the characteristics of chest pain didn't seem to be of much use for the early diagnosis of acute myocardial infarction (MI) in women. A prospective, multicenter study published in JAMA Internal Medicine was conducted in over 2,400 patients that looked at 34 sex-specific chest pain characteristics, only three (8.8%), all related to pain duration and dynamics showed a sex-specific diagnostic performance.
cardiology news

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

  • Infants and toddlers with the Alzheimer's disease-associated APOE4 genotype already showed distinctive patterns of brain structure relative to other young children. In the study published online in JAMA Neurology, MRI scans carried out in 60 normally developing children, age 2 to 25 months, who carried the APOE epsilon-4 allele, showed smaller volumes of gray matter and lower white matter myelin water fraction (MWF) compared with 102 children in the same age range whose APOE genes only include the epsilon-2 and/or epsilon-3 alleles.
  • Steroid injections given to pregnant women before they deliver a premature baby may increase the risk of the child developing behavioral and emotional problems later in life. In a study published in the journal PLoS ONE, scientists found the treatment may increase the risk of mental health problems including attention deficit hyperactivity disorder (ADHD).
cardiology news

Dramatic Rise in Extensively Drug-Resistant Tuberculosis

Almost half (43.7%) of patients with multidrug-resistant (MDR) tuberculosis in 8 countries studied were resistant to at least 1 second-line drug, and 6.7% had extensively drug-resistant (XDR) tuberculosis, according to a study published online August 30 in the Lancet by Tracy Dalton, PhD, a senior service fellow in the Division of Tuberculosis Elimination at the Centers for Disease Control and Prevention in Atlanta, Georgia. MDR tuberculosis is caused by Mycobacterium tuberculosis that is resistant to at least isoniazid and rifampicin. XDR tuberculosis is caused by M tuberculosis strains that are resistant to isoniazid, rifampicin, and at least 1 drug within the fluoroquinolones and 1 antituberculosis injectable drug. Fluoroquinolones and injectable drugs are second-line antituberculosis drugs.

Most international recommendations for tuberculosis control have been developed for [MDR] tuberculosis prevalence of up to around 5%. Yet we now face prevalence up to 10 times higher in some places, where almost half of the patients with infectious disease are transmitting MDR strains of Mycobacterium tuberculosis.

According to data from the World Health Organization, 5.4% of patients with MDR tuberculosis have XDR tuberculosis.

cardiology news

Total CPR since 1st November 2012 – 75187 trained

Media advocacy through Web Media

Smoking women can increase the risk of colorectal cancer

New Delhi: 26 November 2013: Women who smoke are at twice the risk of developing cancer of the rectum and the risk goes up with the increase in number of cigarettes smoked per day, smoke duration and older age at smoking cessation, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. K K Aggarwal, President, Heart Care Foundation of India.

Quoting a study published in the Journal of National Cancer Institute, Dr. KK Aggarwal said that women should never smoke. Current smokers are 95% more likely to develop rectal cancer. Younger adults can develop colorectal cancer, but the chances increase markedly after age 50: More than 9 out of 10 people diagnosed with colorectal cancer are older than 50.

History of adenomatous polyps (adenomas) especially if they are large increase the risk of cancer.


If you have had colorectal cancer, even though it has been completely removed, you are more likely to develop new cancers in other areas of the colon and rectum. The chances of this happening are greater if you had your first colorectal cancer when you were younger.
Though the no. 1 cancer in women in urban areas is breast cancer and in rural areas is cancer of the cervix, the cancer of the rectum is on the rise.

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 75187 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

CPR 10 activity during IITF 2013

press release

Five Things Physicians and Patients should question

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 primary defect which leads to sickle cell anemia is:

1.An abnormality in porphyrin part of hemoglobin.
2.Replacement of glutamate by valine in B-chain of HbA.
3.A nonsense mutation in the B-chain of HbA.
4.Substitution of valine by glutamate in the a-chain of Hba.

Yesterday’s Mind Teaser: Decreased glycolytic activity impairs oxygen transport by hemoglobin due to:

1.Reduced energy production.
2.Decreased production of 2,3-bisphosphoglycerate.
3.Reduced synthesis of hemoglobin.
4.Low levels of oxygen.

Answer for yesterday’s Mind Teaser: 2.Decreased production of 2,3-bisphosphoglycerate.

Correct answers received from: Dr.K.Raju, Dr.K.V.Sarma, DR.DINESH NARAIN SAKSENA, arun gupta, Dr Jainendra Upadhyay, DR ARPAN GANDHI, Dr. Arvind Khanijo, daivadheenam, Dr.Jayashree Sen & Dr.Bitaan Sen, Dr Chandresh Jardosh, Sangeetha Raja, Dr.Sahadevudu Gelivi, DR AVTAR KRISHAN

Answer for 24th November Mind Teaser: 3.Racemization.

Correct answers received from: Dr.Sahadevudu Gelivi

Send your answer to ijcp12@gmail.com



medicolegal update

Click on the image to enlarge

medicolegal update

Customer: I have a huge problem. A friend has placed a screen saver on my computer, but every time I move the mouse, it disappears.

If swimming is a good exercise to stay FIT, Why are whales so FAT??

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: : A foreigner with a single loose stool developed sepsis.
Reaction: Oh my God! Why were antibiotics not started in time?
Lesson: Make sure that all foreigners are diagnosed to be suffering from Traveler’s diarrhea even if there is one single loose motion.

medicolegal update

Happy is the man who can do only one thing; in doing it, he fulfills his destiny. Joseph Joubert

medicolegal update

Dr KK Aggarwal: Shorter acting calcium channel blockers linked to breast cancer http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: No regrets and no anticipation, just this moment fresh and as is #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, emedinews provides very useful stuff. Regards:Dr Sujata

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medicolegal update

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