eMedinewS
28th September 2014, Sunday

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

Promote heart healthy environments

On World Heart Day 29th September 2014, pledge for heart–healthy environments, to reduce the burden of cardiovascular disease, which includes heart disease and stroke, the world’s number one killer. At least 80% of premature deaths from heart disease and stroke could be prevented by addressing risk factors such as tobacco use, harmful use of alcohol, salt intake, physical inactivity and raised blood pressure.

Too often, the onus for lifestyle changes is put on the individual; stop smoking, eating an unhealthy diet and not exercising. However, what is often forgotten is that many people don’t always have opportunity to make the right choice due to the confines of their home, work, school or community environments.

For example:

  1. People who live in urban areas are often exposed to increased fast food outlets and advertising
  2. In developing countries, billions of people face unsafe cooking environments, e.g. nearly 3 billion people cook food and heat their homes with traditional cookstoves or open fires, facing high exposure to smoke and fuels. This results in 4 million premature deaths every year
  3. Unsafe outdoor spaces can lead to a more sedentary lifestyle; in urban areas, too few neighborhoods have good street lighting, continuous and connected sidewalks, and a variety of shops, services, parks, schools and workplaces within walking distance of homes
  4. Health systems in many poorer countries have not kept pace with the explosion in rates of CVD and as such, people in more rural areas do not always have access to health services to advise them on heart health and access to the right medicines.

    On this World Heart Day, all national and international leaders should make the ‘heart choice’ not the hard choice" and create an atmosphere, which is heart–friendly.

Initiatives

  1. In Bogotá, every Sunday and on public holidays, the main streets are closed off to encourage people to be physically active. 10% of the population take part and are two times more likely to meet physical activity guidelines than those who don’t get involved
  2. In New York City, the Department of Transport created pedestrian zones in Times Square along with other areas in New York. As a result, pedestrian volume increased by 11% and there was a 49% drop in vacant storefronts in Union Square
  3. In Bangkok, an expressway called the Ploenchit Expressway was built to reduce traffic congestion. In the process of building the expressway, there were 623 acres of empty space.

    The government invested in developing this space into community health centers, sports facilities and IT centers.
  4. In Paris, the mayor announced the launch of a pilot programme to ban tobacco use in one of the City of Light’s parks. This is a significant step in creating smoke–free public spaces.

    Let’s join the WHO ‘25 by 25’ goal of reducing premature mortality caused by CVD by at least 25% by the year 2025.

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

News Around The Globe

  • Among older patients with longstanding type 2 diabetes, those who received about 4 years of intensive blood-pressure–lowering therapy as opposed to usual care had a lasting drop in their risk of MI, stroke, or death 6 years later, according to the new results from the follow-on of the ADVANCE study. In contrast, after receiving intensive glucose-lowering therapy for about 4 years, the patients did not have any lasting survival or cardiovascular benefits, but they did have a lower risk of end-stage renal disease
  • "It has long been thought that the dorsolateral prefrontal cortex helps to keep automatic, or knee-jerk, reactions in check," study senior author Peter Hall, from the University of Waterloo in Ontario, Canada, explained in a news release. "We discovered that when you temporarily dampen the operation of this particular part of the brain, strongly ingrained and quite universal preferences for high-calorie foods start to hijack people's thought patterns and even their eating patterns."
  • Swiss researchers have modified an automatic wristwatch, attached it to a pig’s heart, and successfully harvested more than enough energy from this constantly beating muscle to create the first battery-less pacemaker of its kind. The feasibility study was presented at the annual congress of the European Society of Cardiology, and Dr. Sylvia G. Priori of NYU Langone Medical Center, New York, said that it “could revolutionize how the devices are made.”
  • Treating mild hypertension with drugs has unclear benefit and adds exorbitant sums to national healthcare expenditures, experts write in an article published online September 14 in BMJ.
National News

Heart disease more likely in six out of 10 women

TNN | Sep 25, 2014, 11.38 PM IST

MUMBAI: Younger women are fast losing their immunity to heart diseases due to a shift in lifestyle patterns. A multi–city study has found out that six out of 10 women are more likely to develop cardiovascular diseases (CVD) by the age of 35.

Women in Mumbai particularly showed a marginally increased proneness to heart diseases, compared to 11 other metro and non–metro cities. Seventy percent women above the age of 35 in the city were prone to heart ailments, with the main contributing factors being bad lifestyle, inappropriate diet and physical inactivity. Smoking and diabetes have also emerged as factors responsible for taking away hormonal immunity from pre-menopausal women.

The three–year study based on health parameters of 51,700 women revealed that heart diseases are not only setting in early but also attacking more aged 35-44. Among the 72% women at risk of heart disease 25% were aged 35–44. "The study busts the myth that women are not vulnerable to heart problems," said Dr Shashank Joshi, endocrinologist, Lilavati Hospital. "CVD in women are caused due to low HDL (good cholesterol) and high BMI," he added. At least 77% women were obese or overweight, while 89% had low or borderline HDL levels.

The study underlined how housewives and working women are equally at risk to suffer heart ailments. Housewives at risk of CVD, however, were more likely to be overweight than working women, and more prone to diabetes too. Interestingly, working women were found to be less physically active than housewives.

On 4th Navratri Be Happy In All Situations

Kushmanda is worshipped on the fourth day of Navratri. SHE shines brightly with a laughing face.

Out of eight hands (Ashtabhuja) in her four arms, she carries weapons like bow, arrow, discus and mace. In other three hands, she holds a lotus, a beaded rosary and a Kamandalu. In the remaining hand, she carries a jar of nectar.

SHE rides on Lion. Rosary represents her power to bless her devotees with Ashtasiddhi (eight types of studies or wisdom sources) and Navanidhi (nine types of wealth). In Ayurveda, SHE represents the control over the air element.

In Yoga Shastra, SHE represents the heart or Anhata Chakra with the Bija sound YAM.

Spiritual mantra on the 4th Navratri

One should continuously (beaded rosary) control the air (anahata plexus) within us 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), keep smiling in both acceptable and difficult situations (smiling face) and killing the negative energies by using discus (power) when needed.

Rabies News (Dr A K Gupta)

What does humanizing your dog means?

  • Talking to your dog like he/she is a person.
  • Treating your dog like he/she is a person.
  • Allowing dogs to do what they want because it will hurt their “feelings.”
  • Dressing them up in little doggie clothes.

Remember, humanizing your dog is fulfilling your own human needs, not your dogs. Humanizing dogs does more harm than good.

Cardiology eMedinewS

  • A healthy diet, moderate alcohol consumption, a smaller waist circumference, and not smoking may each be independently associated with a lower risk of MI, suggested a large cohort study of healthy Swedish men. When these four lifestyle behaviors were combined with physical activity, individuals who adhered to all five healthy practices had an 86% lower risk of MI when compared with a high–risk group of individuals who didn’t adhere to any to healthy behaviors. The study is published in the September 30 issue of the Journal of the American College of Cardiology.
  • The US Food and Drug Administration (FDA) announced that a safety study of the asthma drug omalizumab suggests that it poses a slightly elevated but serious risk for heart attacks and ministrokes known as transient ischemic attacks.

Pediatrics eMedinewS

  • A study evaluating the risk associated with age of onset (AO) of drinking and delay to first intoxication in a high–school sample reported that both an early AO and a quick progression to drinking to intoxication were associated with high–school student alcohol use and binge drinking. The study will be published in the October 2014 online–only issue of Alcoholism: Clinical & Experimental Research.
  • A study published in the Journal of the American Academy of Child and Adolescent Psychiatry has pointed that children who were conceived either less than 1 year or more than 5 years after the birth of their prior sibling were more likely to be diagnosed with autism than children conceived following an interval of 2–5 years.

Quote of the Day

Luck is what happens when preparation meets opportunity. Seneca

Men for the sake of getting a living forget to live. Margaret Fuller

The secret of a good sermon is to have a good beginning and a good ending; and to have the two as close together as possible. George Burns

It is one of the blessings of old friends that you can afford to be stupid with them. Ralph Waldo Emerson

Inspirational Story

The perfectionist sculptor

A gentleman once visited a temple under construction where he saw a sculptor making an idol of God. Suddenly he noticed a similar idol lying nearby. Surprised, he asked the sculptor, "Do you need two statues of the same idol?"

"No," said the sculptor without looking up, "We need only one, but the first one got damaged at the last stage." The gentleman examined the idol and found no apparent damage. "Where is the damage?" he asked. "There is a scratch on the nose of the idol." said the sculptor, still busy with his work. "Where are you going to install the idol?" The sculptor replied that it would be installed on a pillar twenty feet high.

"If the idol is that far, who is going to know that there is a scratch on the nose?" the gentleman asked. The sculptor stopped his work, looked up at the gentleman, smiled and said, "I know it and God knows it!"

Moral: The desire to excel should be exclusive of the fact whether someone appreciates it or not. Excellence is a drive from inside, not outside. Excel at a task today – not necessarily for someone else to notice but for your own satisfaction.

IMA News

  • There is a misuse of antibiotics leading to multi-drug resistant strains. Situation has become all the more serious as bugs have become resistant to most of the prevalent antibiotics including carbapenems. IMA has started a multi pronged strategy involving health professionals, pharmaceuticals Govt, private and international agencies to eradicate this menace. To educate our doctors and medical students, in association with Indian Pediatric Association, IMA has constituted an Advisory Committee with experts from WHO, USAID, Public and Pvt Sectors to prepare a module on "Rational Antibiotic Practices". TOT workshops and CMEs will be arranged throughout the country. During the Advisory Committee Meeting, it was also decided to observe September 28 to October 5 as Antibiotic Awareness Week.
  • Sub: Celebrations of World Heart Day on 28th September, 2014: World Heart Day is celebrated on 29th September every year. It is a unique opportunity to draw worldwide attention to a subject of major importance of global health. This year the theme of World Heart Day is "Live – Work – Play". DMA is organizing a full day program on 28th September 2014, Sunday as follows:
    • 4.00pm to 5.30pm: Public Interaction by Panel of Eminent Cardiologists with Dr K K Aggarwal as its moderator
    • 5.30pm to 5.45pm: Key Note address by Sh. Shatrughan Sinha, MP (Former Union Health Minister) on Hazards of Smoking
    • 5.45pm to 6.15pm: Inaugural Session - Chief Guest Sh. Shatrughan Sinha ; Inauguration by - Dr. Jagdish Prasad, DGHS; Guest of Honour - Dr. Deepak Tempe, Dean MAMC
    • 6.15pm to 9.15pm: CME Programme

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

Psoriasis patients may be at an increased risk for type 2 diabetes, and the risk appears to be greatest among patients with severe psoriasis.

Compared with the general population, patients with mild psoriasis had a 49% increased risk of developing diabetes, and individuals with severe psoriasis had a 2.13-fold increased relative risk when compared with the general population, said Dr Ole Ahlehoff, post-doctoral fellow in cardiology at Copenhagen University Hospital Gentofte at the European Society of Cardiology meeting.

ePress Release

Beware of food poisoning in Navratra

Its Navratra time again when people eat food made from kuttu and singhara flours. However, if the flour left over from last year is used, it can cause food poisoning, said Padma Shri, Dr B C Roy National Awardee and DST National Science Communication Awardee, Dr KK Aggarwal President Heart Care Foundation of India and MTNL Perfect Health Mela and Sr National Vice President Indian Medical Association.

Food poisoning is common. One in five episodes of diarrhea is likely to be due to a food poisoning. Each person, on an average has diarrhea once or twice per year. An average person will have a food poisoning once every 3 to 4 years.

Always consider a food-borne illness when a patient presents with a mixture of gastrointestinal symptoms such as nausea, vomiting, abdominal pain, diarrhea and fever.

Botulism and some types of shellfish poisoning can present with paralysis; ciguatera fish poisoning or scombroid with headaches and tingling; amnesic shellfish poisoning with amnesia, hepatitis A or E and Listeria monocytogenes with meningitis or spontaneous abortion.

More than 200 known agents are capable of food poisoning (microbial causes, chemicals and other agents). Five organisms account for 90 percent of the deaths, most notably Salmonella spp. About 1.2% persons have complications such as intestinal perforation or invasive illness. Listeriosis, Shiga toxin producing E. coli and non typhoidal Salmonella are particularly associated with severe morbidity.

eMedi Quiz

All of the following statements regarding bioavailability of a drug are true except:

1. It is the proportion (fraction) of unchanged drug that reaches the systemic circulation.
2. Bioavailability of an orally administered drug can be calculated by comparing the Area under Curve after oral and intravenous (IV) administration.
3. Low oral bioavailability always and necessarily means poor absorption.
4. Bioavailability can be determined from plasma concentration or urinary excretion data.

Yesterday’s Mind Teaser: All of the following drugs act on cell membrane, except:

1. Nystatin
2. Griseofulvin
3. Amphotericin B
4. Polymixin B

Answer for yesterday’s Mind Teaser: 2. Griseofulvin

Correct answers received from: Dr.K.V.Sarma, Daivadheenam Jella, Dr Avtar Krishan, Dr Periasamy Subarayan

Answer for 25th September Mind Teaser: 1. Phenytoin

Correct answers received from: Dr.K.V.Sarma

Send your answer to ijcp12@gmail.com

eMedinewS Humor

Start at the very beginning...

When the new patient was settled comfortably on the couch, the psychiatrist began his therapy session. "I'm not aware of your problem," the doctor said. "So perhaps, you should start at the very beginning." "Of course." replied the patient. "In the beginning, I created the Heaven and the Earth..."

Science Lesson

Miss Jones had been giving her second–grade students a lesson on science. She had explained about magnets and showed how they would pick up nails and other bits of iron. Now it was question time, and she asked, "My name begins with the letter ‘M’ and I pick up things. What am I?" Little Johnny in the front row proudly said, "You’re a mother!"

emedipicstoday emedipics

Blood donation Camp: Delhi BJP chief Mr Satish Upadhyay donates blood. Home Minister Mr Rajnath Singh blesses him.

mela_brochure
Self-Assessment-Quiz

 

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Zee News – Health Wealth Shows

Alcohol

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Lifestyle change can reduce aging

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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 with stable angina with heart rate 80 per minute was put on Ivabradine
Dr Bad: Continue it
Dr Good: Stop it
Lesson: Ivabradine has not shown to be an anti angina drug. [N Engl J Med 2014.]

 

Make Sure

Situation: A patient with acute chest pain died before reaching the hospital.
Reaction: Oh my God! Why was water-soluble aspirin not given?
Lesson: Make sure that at the onset of acute heart attack and chest pain, water–soluble aspirin is chewed to reduce chances of sudden death.

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

(Dr. K K Aggarwal, Padma Shri and Dr. B C Roy National Awardee; Editor eMedinewS and President Heart Care Foundation of India)

Not disclosing the names of doctors in the surgical team may be deficiency of service

Recently, the Kerala State Consumer Disputes Redressal Commission presiding members M.K. Abdulla Sona and A. Radha directed the Travancore-Cochin Medical Councils-Kerala (TCMC-K) to instruct all doctors to display their medical council registration numbers on their signboards and quote the register numbers in all prescriptions and all case sheets. The commission said that using the registration number in the doctors’ prescriptions, case-sheets and signboards would help patients to get all information about the doctor including their competency and possessed the required qualifications.

The commission said that the patient/consumer has the right to know the details of each doctor who accompanied the leader of the surgical team, including the anaesthesiologist. Any denial of this would be considered a deficiency of service and an unfair trade practice under the provisions of the Consumer Protection Act.

medicolegal update
  1. Dear Sir, Congratulations for the new initiative...Heart Care Foundation Fund. Regards: Dr Kannan

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