eMedinewS
27th September 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

today emedipics
Spiritual Guru and renowned International author, Dr Deepak Chopra launches Heart Care Foundation of India’s new initiative – the Sameer Malik Heart Care Foundation Fund

21st MTNL Perfect Health Mela Programme Brochure
www.emedinews.in/PHM/mela_brochure_2014/

News Around The Globe

  • An analysis published online Sept. 24 in Rheumatology found that people who use nonsteroidal anti-inflammatory drugs (NSAIDs) had an 80 percent higher risk for potentially deadly venous thromboembolism. The study only showed an association between use of the painkillers and higher clotting risk; it did not prove cause-and-effect. The researchers analyzed the results of six studies involving more than 21,000 cases of VTE.
  • Patients in chronic pain take a virtual laundry list of drugs and supplements. An important place to start with in such patients is to look closely at that laundry list for any red flags for interactions — and if the list is any longer than about 5 items, that's a red flag in itself, said David Kiefer, MD, during an invited talk here at the American Academy of Pain Management (AAPM) 25th Annual Clinical Meeting.
  • The American College of Obstetricians and Gynecologists (ACOG), the American Institute of Ultrasound in Medicine (AIUM), and the Society for Maternal-Fetal Medicine (SMFM) have developed new guidelines for calculating the estimated due date (EDD) in order to help correct the current variability in the calculation of pregnancy due dates and gestational age and facilitate consistent care of pregnant women and their babies. The guidelines will be published in Obstetrics & Gynecology and the Journal of Ultrasound in Medicine.
  • An intervention specifically targeting symptoms of complicated grief is superior to a treatment used for depression, a new study shows. Researchers noted that adults with complicated grief who received 16 sessions of complicated grief treatment (CGT) had more than twice the response rate 5 months later than those who received 16 sessions of interpersonal psychotherapy (IPT). The study was published online September 24 in JAMA Psychiatry.
  • Varicose veins can be treated with foam, laser, or surgery and all treatments have a similar clinical efficacy (venous clinical severity score), and all are equally able to improve general patient quality of life at 6 months, suggests a new study published online September 25 in the New England Journal of Medicine. Of note, complications (e.g., lumpiness, skin staining, and numbness) were less frequent after laser treatment.
National news
  • There will be a lecture on Arthritis is Curable for General Physicians by Dr (Lt Gen) Ved Chaturvedi, MD, DM (Rheumatology) on 12th Oct 2014 (Sunday, 5 PM) at Army Hospital (Research & Referral), Dhaula Kuan, New Delhi. Kindly join.
  • National AMS South Zone conference is planned to be held at Calicut, Kerala on 11th and 12th of October 2014.

Dr K K Spiritual Blog

On 3rd Navratri control your fire and negative energies

Chadraghanta is worshipped on the third day of Navratri. SHE is shown with golden skin and riding a tiger. She is depicted with ten hands and 3 eyes with a crescent moon on the head. Eight of HER hands display weapons. The rest two are in the mudras or gestures of boon giving and stopping harm (Varada and abhay mudra) indicating protection.

Out of her eight hands, five hold:

1&2. Bow and arrow (to bend, focus, one point determination. The bow and arrow also represent energy. Holding both the bow and arrow in one hand indicates control over both potential and kinetic energies)

Trishul (balance)

Sword (sharp intelligence)

Mace (power to destroy the evil).

Rest three hands fold:

Rosary (tapas)

Lotus (detached attachment)

Kamandalu (acceptance).

In Ayurveda, SHE represents the control over the fire element. In Yogashastra SHE represents the solar or Manipura Chakra with the Bija sound RAM.

Sound of her bell terrifies demons as well as all enemies. SHE represents protector and bravery.

Spiritual mantra on the 3rd Navratri

One should continuously (beaded rosary) control the fire (solar plexus) within by using our sharp intelligence (sword) and balancing the mind (Trishul) by focusing on one point (arrow and bow), practicing detached attachment (lotus), accepting things as they are (Kamandalu) and killing the negative energies by using gada (power) when needed.

Rabies News (Dr A K Gupta)

How are adverse reactions to ERIGs managed? Anti–sera of equine origin may cause anaphylactic shock and thus sensitivity testing is mandatory before giving ERIG. A negative skin test must never reassure the physician that no anaphylactic reaction will occur.

Cardiology eMedinewS

Patients with diabetes have death rates that are similar to those with coronary artery disease (CAD) even when they fail to show abnormal myocardial perfusion single photon emission computed tomography (MPS), researchers said at the 19th Annual Meeting of the American Society of Nuclear Cardiology (ASNC).

Saxagliptin, a selective dipeptidyl peptidase-4 (DPP-4) inhibitor, appears safe for use in diabetes patients with heart failure, unless they have very advanced heart failure and concomitant renal insufficiency, suggests a new study published in the journal Circulation.

Pediatrics eMedinewS

The US Food and Drug Administration (FDA) has approved adalimumab for reducing signs and symptoms and for achieving and maintaining clinical remission in children aged 6 years and older with Crohn's disease inadequately controlled with corticosteroids or immunomodulators.    

Measuring how fast the brain responds to sights and sounds using electroencephalography (EEG) might help classify children on the autism spectrum and may help diagnose the condition

Quote of the Day

The qualities of a great man are vision, integrity, courage, understanding, the power of articulation, and profundity of character. Dwight David Eisenhower

The difficulty lies not so much in developing new ideas as in escaping from old ones- John Maynard Keynes

Never tell people how to do things. Tell them what to do and they will surprise you with their ingenuity. George S. Patton

Where there is determination there is success.

Think of all that you wanted to achieve in the past few days. Now check if you have achieved it or are still trying for it. Check if you have left anything midway. Pick out one of the things that you wanted to achieve or create an aim for yourself and think, "I am the one who is victorious and I will achieve whatever I set out to. I will not leave any task unfinished."

earlier, suggests a new study published in the Journal of Autism and Developmental Disabilities


Inspirational Story

The rose

A certain man planted a rose and watered it faithfully, and before it blossomed, he examined it. He saw the bud that would soon blossom and also the thorns. And he thought, "How can any beautiful flower come from a plant burdened with so many sharp thorns?" Saddened by this thought, he neglected to water the rose, and before it was ready to bloom, it died.

So it is with many people. Within every soul there is a rose. The God-like qualities planted in us at birth grow amid the thorns of our faults. Many of us look at ourselves and see only the thorns, the defects. We despair, thinking that nothing good can possibly come from us. We neglect to water the good within us, and eventually it dies. We never realize our potential.

Some people do not see the rose within themselves; someone else must show it to them. One of the greatest gifts a person can possess is to be able to reach past the thorns and find the rose within others. This is the characteristic of love, to look at a person, and knowing his faults, recognize the nobility in his soul, and help him realize that he can overcome his faults. If we show him the rose, he will conquer the thorns. Then will he blossom, blooming forth thirty, sixty, a hundred-fold as it is given to him.

Our duty in this world is to help others by showing them their roses and not their thorns. Only then can we achieve the love we should feel for each other; only then can we bloom in our own garden.

IMA News

  • IPC Sections applicable to book cases against quacks
  • IPC 416: Cheating by impersonation.
  • IPC 417: Punishment for cheating.
  • IPC 418: Cheating with knowledge
  • IPC 419: Punishment for cheating.
  • IPC 471: Using as genuine a forged document.
  • IPC 23,24,25: Wrongful gain, dishonesty, fraudulency
  • IPC 44: Injury.
  • IPC 420: Cheating and dishonesty
  • IPC 269, 270: Negligence act & malignant act (likely to spread infection of dangerous disease)
  • IPC 336,337,338: Act endangering life or personal safety, causing hurt and causing grievous hurt.
Indian Medical Council Act 1956: Section 15 & Section 25

IMC Act: 15. Right of persons possessing qualifications in the schedules to be enrolled

Subject to the other provisions contained in this Act, the medical qualifications included in the Schedules shall be sufficient qualification for enrolment on any State Medical Register.

Save as provided in section 25, no person other than a medical practitioner enrolled on a State Medical Register:-

a. shall hold office as physician or surgeon or any other office (by whatever designation called) in Government or in any institution maintained by a local or other authority;
b. shall practice medicine in any State;
c. shall be entitled to sign or authenticate a medical or fitness certificate or any other certificate required by any law to be signed or authenticated by a duly qualified medical practitioner:
d. shall be entitled to give evidence at any inquest or in any court of law as an expert under section 45 of the Indian Evidence Act, 1872 on any matter relating to medicine.
Any person who acts in contravention of any provision of sub-section (2) shall be punished with imprisonment for a term which may extend to one year or with fine which may extend to one thousand rupees, or with both;


25. PROVISIONAL REGISTRATION

A citizen of India possessing a medical qualification granted by a medical institution outside India included in part II of the Third Schedule, who is required to undergo practical training as prescribed under sub section (3) of Section 13, shall, on production of proper evidence that he has been selected for such practical training in an approved institution be entitled to be registered provisionally in a State Medical Register and shall be entitled to practice medicine in the approved institution for the purposes of such training and for no other purpose.


A person who has passed the qualifying examination of any university or Medical Institution in India for the grant of a recognized medical qualification shall be entitled to be registered provisionally in a State Medical Register for the purpose of enabling him to be engaged in employment in a resident medical capacity in any approved institution, or in the Medical Service of the Armed Forces of the Union, and for no other purpose, on production of proper evidence that he has been selected for such employment.

The names of all persons provisionally registered under sub-section (1) or sub-section (2) in the State Medical Register shall be entered therein separately from the names of other persons registered therein.

A person registered provisionally as aforesaid who has completed practical training referred to in sub section (1) or who has been engaged for the prescribed period in employment in a resident medical capacity in any approved institution or in the Medical service of the Armed Forces of the Union, as the case may be, shall be entitled to registration in the State Medical Register under Section 15.

MCI NEWS

The Central Bureau of Investigation on Wednesday carried out searches at the office of the Medical Council of India here and at a medical college in Thiruvananthapuram in connection with alleged corruption in the granting of recognition to the institute in Kerala. CBI sources said that searches were conducted at the residential and official premises of MCI Additional Secretary Prasanna Raj, Deputy Secretary Anshu Sethi Bajaj, ex–consultant Madhu Handa and Principal of Somervell Medical College, Samson Nessaih. It is alleged that the pending application of the college seeking post–graduate seats was processed in an unauthorised manner by MCI, the sources said. They said that the letter of permission to the college was also issued after the due date.

Wellness Blog

Give BP Drugs at Night

Blood pressure drugs should be taken at night.

Uncontrolled blood pressure can lead to heart attacks, paralysis and heart failure. Most such attacks occur in the early morning hours. Pulse, blood pressure and thickening of platelets are all higher in the early morning hours.

Controlling early morning blood pressure can reduce cardiovascular mortality.

According to a study published in the Journal of the American Society of Nephrology, among patients with chronic kidney disease and high blood pressure, taking at least one antihypertensive drug at bedtime significantly improves blood pressure control, with an associated decrease in risk for cardiovascular events.

The study included 661 patients with chronic kidney disease who were randomly assigned either to take all prescribed anti BP drugs on awakening or to take at least one of them at bedtime. Patients were followed for a median of 5.4 years; during that time, patients who took at least one BP-lowering drug at bedtime had approximately one third of the cardiac risk compared with those who took all medications on awakening.

A similar significant reduction in cardiac deaths, heart attacks and paralysis was noted with bedtime dosing. Patients taking their medications at bedtime also had a significantly lower mean BP while sleeping.

For each 5 mmHg decrease in mean sleep-time systolic upper BP, there was a 14% reduction in the risk for cardiovascular events during follow-up.

Potential explanation for the benefit of night time treatment may be associated with the effect of night time treatment on urinary albumin excretion levels. Urinary albumin excretion is significantly reduced after bedtime, but not morning, treatment.

ePress Release

Spiritual Guru and renowned International author, Dr Deepak Chopra launches Heart Care Foundation of India’s new initiative – the Sameer Malik Heart Care Foundation Fund

The project has been instituted with an aim that no one should die of heart disease just because they cannot otherwise afford treatment

New Delhi, September 26th, 2014: Heart Care Foundation of India, a leading national non-profit organization committed to making India a healthier and disease free nation todaylaunched its new initiative, the Sameer Malik Heart Care Foundation Fund. The basic ideology behind the fund is to ensure that no person dies of a heart disease just because he or she cannot afford treatment. The launch event was held on the occasion of World Heart Day in the presence of none other than renowned motivational speaker and internationally acclaimed author Dr. Deepak Chopra at the Kedar Nath Sahni Auditorium in New Delhi. Any person irrespective of their gender, religion or age can apply for the benefits of the fund by calling on its helpline number +919958771177.

Research indicates that in the National Capital of India itself, 19 patients die directly due to heart disease everyday. Several of the heart conditions are curable and death is preventable; however, not everyone can afford the treatment and hospital costs. The Sameer Malik Heart Care Foundation Fund is an attempt to bridge this disparity and provide individuals the ability to live a healthy- and disease-free life. Since the inception of the project in April 2014, over 200 patients belonging to economically weaker sections of the society have already been helped and treated. The aim is to take this number up to 600 by the end of the first year itself.

Speaking at the occasion Dr. Deepak Chopra, the New Age Motivational Guru and Internationally Acclaimed Author said, “Heart disease is becoming a global problem and its implications in a country like India where majority of the people cannot afford treatment is huge. I applaud NGOs like the Heart Care Foundation of India for playing such an instrumental role in spreading preventive health awareness in the country and providing effective solutions for the economically weaker sections of the society. The Sameer Malik Heart Care Foundation Fund is a noble project aimed at ensuring that no person dies of heart disease because they cannot afford treatment. I urge everyone to come forward and support Dr. KK Aggarwal and his team in making this a success”.

Adding to this, Dr. KK Aggarwal, Padma Shri, National Science and Communication and Dr. BC Roy Awardee and President of the Heart Care Foundation of India said, ”We at Heart Care Foundation of India are committed to raising awareness and providing effective solutions to the growing medical problems in the country. As a part of this endeavor, in addition to our two flagship projects the Perfect Health Mela, a mass health awareness module; and the Hands Only CPR campaign, a project to educate the masses about revival after sudden cardiac arrest; we have launched the Sameer Malik Heart Care Foundation Fund to help save lives of all those heart patients who cannot afford treatment. We are extremely thankful to Dr. Deepak Chopra and the Malik Family for supporting us in this cause and hope that we can continue to make a difference to the society in the future”.

An expert committee assesses all applications received by the Sameer Malik Heart Care Foundation Fund. Once sanctioned, the funds are directly deposited in the bank account of the medical establishments treating the patient. Heart Care Foundation of India provides surgeries in association with leading hospitals in the capital city such as Medanta – The Medcity and National Heart Institute for surgical treatments and also provides lodging facilities at concessional rates for outstation patients. In order to reach more patients, a mass patient screening drive will be conducted at the 21st MTNL Perfect Health Mela, another project of the NGO scheduled to be held between October 15-19, 2014 at Talkatora Indoor Stadium in New Delhi.

Commenting on its partnership with the project for the treatment of patients with congenital heart diseases, Dr. Naresh Trehan, Chairman of Medanta - The Medicity said, “In India itself 1.3 lakh children are born with congenital heart disease every year and can live a healthy life with timely surgery. Understanding the plight of the large number of people who don’t have the means to opt for this surgery, we at Medanta - The Medicity are supporting the Sameer Malik Heart Care Foundation Fund in its effort to ensure that no person dies of heart disease just because they cannot afford treatment”.

Addressing the press, Mr. Raghuvinder Kataria, a leading Entrepreneur, International Investor and the Chief Patron of Heart Care Foundation of India said, “On behalf of the Malik family and myself, I congratulate Heart Care Foundation of India on a project as noble as the Sameer Malik Heart Care Foundation Fund. With each life saved, Sameer continues to live in our hearts”.

Other dignitaries present at the occasion included Mr. Mukul Rohatagi, Attorney General of India, Mr. Satish Upadhyay, BJP Delhi President and Dr. OP Yadava, Chairman National Heart Institute.

eMedi Quiz

A lesion of ventrolateral part of spinal cord will lead to loss (below the level of lesion) of:

1. Pain sensation on the ipsilateral side.
2. Proprioception on the contralateral side.
3. Pain sensation on the contralateral side.
4. Propriception on the ispilateral side.

Yesterday’s Mind Teaser: An enzyme involved in the catabolism of fructose to pyruvate in the liver is:

1.Glyceraldehyde–3–phosphate dehydrogenase.
2.Phosphoglucomutase.
3.Lactate dehydrogenase.
4.Glucokinase.

Answer for yesterday’s Mind Teaser: 1. Phenytoin.

Correct answers received from: : Dr. PC Das, Dr Bitaan Sen, Dr Jayashree Sen, Dr KV Sarma, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, Daivadheenam Jella, Dr Avtar Krishan.

Answer for 25th September Mind Teaser: : 2. MEN II

Correct answers received from: Dr Avtar Krishan, Dr Bitaan Sen, Dr Jayashree Sen

Send your answer to ijcp12@gmail.com

emedipicstoday emedipics

Health Check Up and CPR 10 Camp at N P CO-ED Sr. Sec School, Naroji Nagar, New Delhi 15th September 2014

mela_brochure
Self-Assessment-Quiz

 

expert_choice
Zee News – Health Wealth Shows

Alcohol

press release

Varenicline go ahead in heart patients

video of day video of day

Video Library

MTNL Perfect Health Mela

Heart Care Foundation of India, a leading national non–profit organization committed to making India a healthier and disease-free nation announced the upcoming activities of the 21st MTNL Perfect Health Mela scheduled to be held from 15th – 19th October 2014 at the Talkatora Indoor Stadium in New Delhi.

Sameer Malik Heart Care Foundation Fund

The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number +91 9958771177 or by filling the online form.

Madan Singh, SM Heart Care Foundation Fund, Post CAG https://www.youtube.com/
watch?v=Mc3kKDXKWvs

Kishan, SM Heart Care Foundation Fund, Post CHD Repair https://www.youtube.com/
watch?v=OTEG7toVkAQ

Deepak, SM Heart Care Foundation Fund, CHD TOF https://www.youtube.com/
watch?v=rjOel0aaqt0

 

Total CPR since 1st November 2012 – 96458 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)


 

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 :

 

Dr Good and Dr Bad

Situation: A patient came with diastolic heart failure
Dr Good: Go for BNP test
Dr Bad: The test is not needed
Lesson: In the Treatment of Preserved Cardiac Function Heart Failure with an Aldosterone Antagonist (TOPCAT) trial, patients with symptomatic heart failure, left ventricular ejection fraction of ≥45 percent with elevated natriuretic peptide levels benefit from spironolactone therapy.

 

Make Sure

Situation: A patient with dengue fever developed shock.
Reaction: Oh my God! Why did you ignore the blood pressure of 90/80?
Lesson: Make sure that a pulse pressure of less than 20 is not ignored, it is an impending sign that the patient is going into shock.

eMedinewS Humor

Flustered

As an instructor in driver education at the local area High School, I’ve learned that even the brightest students can become flustered behind the wheel. One day I had three beginners in the car, each scheduled to drive for 30 minutes. When the first student had completed his time, I asked him to change places with one of the others. Gripping the wheel tightly and staring straight ahead, he asked in a shaky voice, "Should I stop the car first?"

 

Death on Vacation

During their vacation and while they were visiting Jerusalem, George’s mother–in–law died. With death certificate in hand, George went to the American Consulate Office to make arrangements to send the body back to the States for proper burial.

The Consul, after hearing of the death of the mother–in–law told George that the sending of a body back to the States for burial is very, very expensive. It could cost as much as $5,000.00. The Consul continues, in most cases the person responsible for the remains normally decides to bury the body here. This would only cost $150.00.

George thinks for some time and answers, "I don’t care how much it will cost to send the body back; that’s what I want to do."


The Consul, after hearing this, says, "You must have loved your mother-in-law very much considering the difference in price." "No, it’s not that," says George. "You see, I know of a case from many years ago of a person that was buried here in Jerusalem. On the third day he rose from the dead! I just can't take that chance."

Twitter of the Day

Dr KK Aggarwal:Heart Care Foundation of India to focus on youth health education during the 21st MTNL Perfect Health Mela http://Blogz.org/A/885894
Dr Deepak Chopra: We are the eyes of the universe looking at itself #CosmicConsciousness

medicolegal update

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medical querymedical query

medicolegal update
  1. Dear Dr KK Aggarwal, very informative newspaper. Regards: Dr KP Mishra

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