eMedinewS 28th June 2013, Friday

     Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal

Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); National Vice President Elect Elect, Indian Medical Association; 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); Editor in Chief IJCP Group & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at
www.twitter.com/DrKKAggarwal
www.facebook.com/Dr KKAggarwal

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 10x10 i.e. 100 per minute.”

eMedinewS
Ringtone - CPR 10 Mantra Hindi

Ringtone - CPR 10 Mantra English

From the Desk of Editor in Chief

Do’s and Don’ts in flood disaster

  1. Do not drink dirty water. Boil it or put chlorine or iodine into it before consuming.
  2. Sprinkle medicine in dirty water.
  3. Destroy all food contaminated by flood water.
  4. Beware of insects and poisonous snakes which may have entered the house along with the flood.
  5. Make sure that your electricity is not leaking or you may get electrocuted.
  6. Follow the principle of boil it, cook it, peel it, heat it or forget it.
  7. Check the sewage system so that it does not get mixed with drinking water.

.....Read More

Health risks from dead bodies are negligible

The health risks of dead bodies are dangers related to the improper preparation and disposal of cadavers.

As per WHO In situations where there are large numbers of deaths following a disaster dead or decayed human bodies do not generally create a serious health hazard, unless they are polluting sources of drinking-water with faecal matter, or are infected with communicable diseases. In most smaller or less acute emergency situations therefore, families may carry out all the necessary activities following a death, where this is customary practice .....Read More

sprritual blogUnderstanding who we are…………..

The classical description of ‘who we are comes’ from Adi Shankaracharya’s Bhaja Govindam, where he says that even the wife refuses to touch the same physical body after death, with which she has been fondling all these years and if she touches it, a ritual bath has to be taken. This means physical body is not what we are. If we weigh physical body before and after death there will be no difference. The life force also called consciousness or atman has no weight, shape or dimensions. In Bhagavad Gita, Krishna in Chapter 2 describes its characteristics as “fire cannot burn it, air cannot dry it, weapons cannot cut it, and water cannot wet it. It is omnipotent, omnipresence and omniscient”. ...Read More

Dr K K Blogspot

cardiology news
pediatrics news
wellness blog

Women who eat lot of meat prone to weight gain

Women who eat a lot of meat are apt to weigh more than those who do not. Previous studies have consistently shown that vegetarians are lighter and have a lower body mass index than their omnivorous counterparts. .... Read More

cmaao

Situation: A child was sexually abused by an acquaintance of adolescent age.
Dr. Bad: It cannot happen.
Dr. Good: This is usual.
Lesson: Perpetrators of sexual abuse are usually male, and often trusted adult acquaintances.
Read More

press release

New Drug for ED

eheartcarenews

Why do doctors not live long? (Dr K K Aggarwal)

When I was the President of Delhi Medical Association in 2005, we wanted to make a list of doctors who were 80 years old and above. We had a hard time finding them. We could collect only 22 doctors. Today, we have 40000 ...Read More

MTNL Perfect Health Mela to extend for over a month on the theme Disaster Management and Practice etiquette-based medicine

This year’s MTNL Perfect Health Mela will have its activities extending over a month. Announcing this in a press conference, Padma Shri and Dr B C Roy National Awardee Dr. KK Aggarwal President Heart care Foundation of India said that the activities will start on 29th September World Heart Day with a Dil ka Darbar and end on 31st October with CPR Utsav at DPS Mathura Road. The main traditional mela will be held at Constitution Club of India from 23rd-26th October which will have exhibitions, competitions, entertainment, checkups and workshops about all aspects of health incorporating all pathies under one roof. ...Read More

News Around The Globe

  1. As per a new John Hopkins Report, the odds of getting migraine are 80% greater in obese people compared to normal weight people.
  2. There is accumulating data to suggest that post-traumatic stress disorder is linked with future heart attacks.
  3. As per a study published in JACC, heart failure patients are more likely to be diagnosed with cancer than the general population and the cancer is associated with a large access risk of death.
  4. According to population-based study with up to 20 years follow-up, young man with melanoma are 55% more likely to die than their family counterparts.
  5. Look AHEAD trial has shown that after a minimum follow up of 9.6 years the research fail to show that weight loss did not risk the cardiovascular in overweight or obese adults with diabetes. So weight loss does have a long term benefits but nor reduction of cardiac mortality.
  6. For women ages 21 to 24 years with atypical squamous cells of undeterminant sequence on cervical cytology repeat cytology at 12 months rather than performing human papillomavirus testing or colposcopy.

Triple therapy as good as biologics in rheumatoid arthritis

A triple drug therapy is as effective as biologics for patients with active rheumatoid arthritis who fail to respond to methotrexate. The triple therapy of sulfasalazine, hydroxychloroquine, and methotrexate. The findings was reported in European League Against Rheumatism Congress 2013 and published in New England Journal of Medicine.

NSAID prescriptions for pain out of control

In alarming number of heart patients are being prescribed NSAIDs for joint pains. Remember NSAID increases the risk of deaths and heart attacks with both long and short term use. The new guidelines substitute paracetamol for NSAID especially diclofenac. The recommendation was made at in European League Against Rheumatism Congress 2013

Cola can cause potassium loss

There are cases on record where prolonged and heavy use of cola drinks can cause hypokalemia. This can also happen because of potassium wasting osmotic diarrhea due to indigestible high-fructose syrup and osmotic diuresis due to large glucose load. This can also cause GT prolongation in ECG.

Pioglitazone banned

The government has banned pioglitazone , analgin and anti-depressant deanxit.

  1. Pioglitazone can cause heart failure and increases the risk of bladder cancer, analgin has been discarded the world over on grounds of patient safety. Deanxit, is a harmful combination, which has been long banned even in Denmark, its country of origin.
  2. Govt has banned all drugs prohibited for sale in other countries like the US, the UK, EU and Australia.
  3. The drugs are banned under Section 26A of the Drugs and Cosmetics Act, 1940 with immediate effect.
  4. Deanxit is a combination of Flupenthixol and Melitracen.
  5. Under the Drugs and Cosmetic Rule 30-B, the import and marketing of any drug the use of which is prohibited in the country of origin, is banned in India.
  6. In the case of pioglitazone too, France has already taken it off the shelves, while in the US it is sold with a boxed warning. The warning emphasizes that it may cause or worsen heart failure, and its use for over a year may be associated with an increased risk of bladder cancer.
  7. Earlier this month, the ministry had suspended sale of dextropropoxyphene, sold as Wockhardt's Proxyvon, a widely-used pain-killer.

eMedipics

today emedipics

MTNL Perfect Health Mela to extend for over a month on the theme Disaster Management and Practice etiquette-based medicine

Dr. KK Aggarwal President Heart Care Foundation of India, Mr Vinod Kumar, GM Marketing MTNL, Delhi; Mr Deepak Chanduka, GM Marketing MTNL Corporate; Dr. N V Kamath, and Dr. K S Baghotia from DHS; Dr. N K Yadav MHO MCD South, Dr. Ramesh Kumar, CMO NDMC and Dr Shally Kamra, CMO, PNDT

Celebrity guest for the event Pandit Jwala Prasad a music legend released the dates and the theme.

Valvular Heart Disease Update

Spontaneous echo contrast is also seen in the right atrium and right ventricle in patients with right heart failure.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What is surgical sperm retrieval?

Sperm are usually present in the reproductive tract of spinal cord-injured men. Microsurgical epididymal sperm aspiration (MESA), percutaneous epididymal sperm aspiration (PESA), testicular sperm extraction (TESE), and percutaneous testicular sperm aspiration are examples of techniques that are used for men with acquired or congenital obstructions along their reproductive tract. Compared to MESA and TESE, the percutaneous methods have the advantage of not requiring an incision into the scrotum; however, MESA is the technique with the lowest amount of contamination with blood cells, and the method that is most likely to obtain sufficient amounts of fluid for immediate use with ICSI as well as for sperm cryopreservation.

Rabies Update (Dr. A K Gupta)

What is the clinical course of rabies in animals?

The clinical course of rabies in animals is divided into three phases:

• Prodromal,
• Excitative
• Paralytic

However, the signs are variable and the lengths of phases may be irregular.

medicolegal update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

Doctor must record dying declaration in terminally injured patient

Under section S.32 of Indian Evidence Act a written or oral statement of an injured/sick dying person is called dying declaration, it must be recorded by Read More

ijcp book of medical records
medicolegal update

Can a cardiologist be penalized for wrong diagnosis in ER?

A: In a Supreme Court Judgment, Martin F. D'Souza vs Mohd Ishfaq (3541 of 2002) dated 17.02.2009 Justice Markandey Katju and G S Singhvi observed

“2…..the higher the acuteness in an emergency and the higher the complication, the more are the chances of error Read More

dr good dr bad

Situation: Should we overtreat hypothyroidism?
Dr. Bad: You can do it.
Dr. Good: It is harmful.
Lesson: Over replacement with T4 is discouraged as it can cause subclinical hyperfunctioning of the thyroid gland leading to Read More

make sure

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.

quote of the day

Never fear shadows... that always means there is a light shining somewhere. Jonathan Santos

twitter of the day

Dr KK Aggarwal: Eating fast food can cause liver damage http://bit.ly/14JxRjo #Health

Dr Deepak Chopra: "Is there scientific proof of the spiritual world?" consciousness http://bit.ly/14JxRjo #Health

emedinews humor

For weeks a six-year old lad kept telling his first-grade teacher about the baby brother or sister that was expected at his house.

One day the mother allowed the boy to feel the movements of the unborn child. The six-year old was obviously impressed, but made no comment. Furthermore, he stopped telling his teacher about the Read More

reader response

Preparation of disaster management is just like emergency drugs tray in operation theatre. Most of the drugs of the tray are there only to be replaced after expiry but when they are needed there is no substitute. Just like a fire extinguishing machine in a lift or staircase, where it has been lying for years but when it is needed then it saves lots of life. IMA Banaras Branch

An Inspirational Story

I’ll never forget the night in 1946 when disaster and challenge visited our home.

My brother, George, came home from football practice and collapsed with a temperature of 104 degrees. After an examination, the doctor informed us it was polio. This was before the days of Dr. Salk, and polio was well known in Webster Groves, Missouri, having killed and crippled many children and teenagers.
............Read More

eMedi Quiz

Read this…………………

When using oral anticoagulation with warfarin, INR Should Be Maintained Between......

A.1-2
B.2-3
C.3-4
D.4-5

Yesterday’s Mind Teaser: All of the following can precipitate pemphigus in a genetically predisposed individual, except....

A. Thiols
B. Phenols
C. Tannins
D. Gliadin

Answer for yesterday’s Mind Teaser: D. Gliadin

Correct answers received from: DR. MOIZ Mithaiwala, Raghavendra Singh, Dr Bitaan Sen & Dr Jayashree Sen, rajeev ardey, Dr Sana Khanam, Dr.K.Raju, Dr.K.V.Sarma, Tukaram Pagad, Dr Pankaj Agarwal, DR AVTAR KRISHAN.

Answer for 26th June Mind Teaser: A.Patient with SLE

Correct answers received from: Muthumperumal Thirumalpillai, DR AVTAR KRISHAN, Tukaram Pagad.

Send your answer to ijcp12@gmail.com

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Forthcoming Events



Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Name
Date
Time
Place
Duration
Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

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