eMedinewS2nd November 2013, Saturday

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

Powers of State Medical Council and Medical Council of India

The Medical Council of India and the State Medical Council are quasi–judicial bodies and have powers to take action against professional misconduct of other doctors.

In a landmark judgment of Supreme Court of India "Rajendra V. Pai Vs. Alex Fernandes and Others" on 9th April, 2002, the Double Bench of Justice R. Lahoti and Justice P. V. Reddy, said that "ordinarily this court does not interfere with the quantum of punishment in such like matters where an elected statutory body of professions has found their kinsman guilty of professional misconduct and hence not worthy of being retained in profession…"

"Debarring a person from pursuing his career for his lie is an extreme punishment and calls for caution and circumspection before being passed……"

"……we strongly feel that the punishment given to the Appellant in totality of facts and circumstances of the case is so disproportionate as to prick the conscious of the Court……"

Comments: Both the councils are statutory bodies and have the powers to take action against medical professionals for professional misconduct. Even Supreme Court does not interfere with the quantum of punishment given by the statutory bodies like the State or Medical Council of India, as per the above Supreme Court order, unless the punishment is found totally disproportionate to the misconduct."

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

Gambling in Indian Mythology

sprritual blog

• Gambling is mentioned on Diwali celebrations in the story of Mahabharata. It teaches us about taking calculated risks in life

• In Mahabharata, it teaches that excess of everything is bad. If Yudhishthira had not risked Draupadi on that day while plying dice, there would not have been a Mahabharata. The same divine dice game became a vice for that moment.

• Even if you lose while gambling, do not lose heart and take conscious–based decisions. Krishna (consciousness) saving Draupadi (material things in life) means the same.

• On the day of Diwali, one starts with new projects in life and taking calculated risks makes sense.

• Gambling on Diwali can be a symbolic game but should not become a vice.

• According to mythology, Goddess Parvati enjoyed playing dice with Lord Shiva on this day. It’s a popular saying that those who cling to virtue at this festival time, refusing to gamble, will be reborn as donkeys. This means that its foolishness to not take calculated risks in business.

• Loosing and winning is part of life and one must learn to balance the two states of mind.

cardiology news

The Importance of Having Friends

Once upon a time, a lonely hawk lived on a tree by the riverside. He was young and handsome but he had no friends. One day, he saw a beautiful she–hawk sitting on a tree and wanted to marry her but the she–hawk refused to marry him, as he had no friends.

"Will you marry me if I make three friends?" – he asked. She said that she definitely would. The hawk then went looking for friends. While flying on the other bank of the river, he saw a huge tortoise. The hawk flew down to him and said, "Dear tortoise, will you be my friend and help me in my hour of need?" The tortoise agreed to become his friend and said, "Call me whenever you need me and I shall come to your side."

The hawk also promised him his help at any time and then flew in search of the second friend. Soon, he came upon an osprey. The hawk went to it and asked her if she would be his friend and help him in time of his need. The osprey very gladly accepted his friendship and offered her help whenever he needed it.

The hawk was glad that he had made two friends. He went on searching for a third friend. He flew over the jungle and saw a tiger. Fearless as he was, he went near the tiger and requested him to be his friend. The tiger readily accepted his friendship and said, "From now onwards, I am your friend. Nobody will harm you. If anyone tries to harm you, call me and I will be there to help you."

The hawk was very happy. He thanked the tiger, flew back to the she–hawk and said, "I have made three friends, a tortoise, an osprey and a tiger. Will you marry me now?" The she–hawk agreed to marry him. Soon, their marriage took place. The three friends attended the hawk’s marriage. After some–months, she–hawk gave birth to two baby hawks. The parent hawks were very happy to have cute little babies. They lived happily in their nest.

One day, two hunters came and sat under that tree. They were tired and hungry. They had not been able to hunt any animal. They decided to catch some fish. But, they couldn’t catch even a single fish. It was getting dark and the hunters decided to spend the night under that tree. To keep themselves warm, they lit a fire. The fire soared high. The hawk–babies on the tree could not bear the heat and the smoke coming out of the fire. They started crying. The Hunters heard their cries. One of them said, "There are birds on this tree. Let us catch them. We shall roast them on the fire and eat them." The other one agreed.

The hawks heard them and were really worried about the safety of their babies. The she–hawk suggested that they seek help from their friends. The hawk went to the osprey and told her his problem. The osprey said, "Go home and protect your babies. I shall tackle with the hunters." The osprey dived into the river and then flew over the fire. The water from her wet feathers fell on the fire. She repeatedly dived into the river and flew over the fire. The water from her feathers put off the fire.

The hunters decided to light the fire again; however, as soon as they lit the fire, again the osprey put it off. In the meantime, the hawk went to get help from the tortoise. When the tortoise heard about the hawk’s problem, he said to him, "Do not worry dear friend, I will be there in no time and tackle the hunters in my own way. Go and protect your family."

The hawk flew to the tree and the tortoise reached the tree. He went quite close to where the hunters were sitting and trying to light the fire again. The hunters saw the tortoise and one of them said, "Look there is a huge tortoise. Let’s forget about the hawks and catch this tortoise."

The other hunter agreed and said, "Let’s tear our shirts and make a rope. We shall tie its one end to the tortoise and other to our waists. Then we will pull the tortoise with all our strength." The other hunter liked the idea. Soon, they make a rope out of their shirts. They tied one end of the rope to the tortoise’s legs. Then, trying the other end to their waist, they could not pull the tortoise. The tortoise’s strength was much greater than the two hunters were together.

The tortoise pulled the two men into the water. Once, inside the water, it was very easy for the tortoise to drag them. With great efforts, they cut the rope that was tied to their waist and swam back to the bank. They were now feeling very cold. They had lost their shirts. They thought of making a fire again. Seeing them collecting leaves and twigs, the hawk was worried again. He flew to the forest and called his third friend, the tiger. He found the tiger at the edge of the forest. When the tiger heard the hawk’s problem, he immediately rushed towards the riverbank.

The hunter had now lighted the fire and one of them was preparing to climb the tree to get the hawk babies. Just then, the tiger reached the tree. Seeing the tiger, the hunters ran from there and never came back again.

The hawk thanked all his three friends for their kind and timely help. He also realized that it is very important to have at least a few friends. The female–hawk was very wise in advising the hawk to make friends before marrying him.

News Around The Globe

News

  • The Society of Integrative Oncology (SIO) recently published guidelines for integrative medicine in lung cancer in the journal Chest, which were developed in accordance with American College of Chest Physicians (ACCP) evidence–based clinical practice guidelines. The SIO guidelines recommend mind–body therapies as part of a multidisciplinary approach to reduce anxiety, mood disturbance, sleep disturbance, and acute or chronic pain, and to improve quality of life. Acupuncture or related techniques can be used as an adjunct treatment option for nausea and vomiting related to chemotherapy or radiation therapy, and for cancer–related pain and peripheral neuropathy.
  • Data on both identical (monozygotic) and fraternal (dizygotic) twins from the comprehensive birth–to–death registries in Denmark, Finland, Norway, and Sweden show that a man whose monozygotic twin has prostate cancer has a 32% risk for the disease himself, whereas a dizygotic twin whose brother has prostate cancer has only a 16% risk. The estimated heritability of prostate cancer — the degree to which genes contribute to risk — was 58% (95% confidence interval, 52 – 63), which is the highest for any malignancy studied. The findings were reported at the American Society of Human Genetics 63rd Annual Meeting.
  • Fewer than one third of physicians are following current recommendations and giving exercise advice to patients with osteoarthritis or sciatica, according to a balanced factorial experiment among 192 primary care physicians in the United States.
  • A new observational study published online October 15 in the International Journal of Clinical Practice that followed men with hypogonadism taking testosterone for 5 years — the longest treatment duration to date — showed improvements in lipids, blood pressure, and blood glucose levels, thereby ameliorating a number of components of the metabolic syndrome.
  • The American Society of Clinical Oncology (ASCO) has released another list of oncology practices that should be stopped because they are either not supported by evidence or are wasteful. The "top 5 list" of recommendations from ASCO is part of the Choosing Wisely campaign, an initiative of the American Board of Internal Medicine (ABIM) Foundation. The 2013 list addresses a wide range of practice issues: the use of antiemetic drugs; chemotherapy in metastatic breast cancer; advanced imaging in disease surveillance; prostate–specific antigen (PSA) testing in prostate cancer; and targeted therapies. The list was published online October 29 in the Journal of Clinical Oncology.

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Rabies News (Dr. A K Gupta)

What should be done to a person who has consumed milk of a rabid animal?

If a person has consumed milk of a rabid animal, counseling should be done. If counseling is not effective, then PEP by IM or ID route or as a last resort, a course of PEP (only vaccine) should be given.

If the milk is boiled or heated then only counseling or at the most a course of PEP should be given only due to compulsions in medical practice in Indian setting.

cardiology news

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

  • Radial access for percutaneous coronary interventions (PCI) appears to be as safe as femoral approach even for women, who are disadvantaged by smaller artery size, as reported at the Transcatheter Cardiovascular Therapeutics meeting. In a trial of 1,787 women, the bleeding rate for those randomized to transradial PCI was 2.9% versus 1.2% (P=0.12) for those whose physicians used the femoral approach, which led the data safety monitoring board for the SAFE–PCI trial to conclude after just 1,120 patients were randomized and 446 had undergone the procedure that the trial was "unlikely to show a difference at the planned sample size.
  • Intraprocedural stent thrombosis is rare during percutaneous coronary intervention, but it strongly predicts adverse events over the next month, as per a sub–analysis of the CHAMPION–PHOENIX trial reported at the Transcatheter Cardiovascular Therapeutics meeting. In nearly 11,000 patients with angiographic data, intraprocedural stent thrombosis –– defined as new or worsening thrombus at the time of the stenting –– occurred in 0.8. Patients who developed the complication, however, had a significantly elevated risk of major adverse cardiovascular events both at 48 hours and 30 days.
cardiology news

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

  • Nearly half of pediatric influenza deaths occur in otherwise healthy children, according to an 8–year Centers for Disease Control and Prevention study published online October 28 in Pediatrics. According to the authors, these data reveal that any child can be at risk of influenza–associated death regardless of age or high–risk medical conditions and support the recommendation that all children ≥6 months of age receive annual vaccination.
  • Researchers have identified a number of rare mutations in a gene called KSR2 (kinase suppressor of Ras 2) that appear to be associated with having a slow metabolism and may help explain why some young children become severely obese. The study was published online October 24 in Cell. The authors recommend screening for potential genetic causes in patients with severe obesity, particularly when it begins in early childhood (before age 10 years).
cardiology news

Vegetables & fruits lower chances of getting some cancers

Vegetables and fruits help lower your chances of getting head, neck, and breast, ovarian and pancreatic cancers. Even one additional serving of vegetables or fruits could help lower the risk of head and neck cancer. The more fruits and vegetables you can consume, the better.

Quoting an International Study from National Cancer Institute Those who eat six servings of fruits and vegetables per 1,000 calories have a 29% decreased risk relative to those who have 1.5 servings. In the study, after adjusting the data to account for smoking and alcohol use – known head and neck cancer risk factors – the researchers found that those who consumed the most fruits and vegetables had the lowest risk for head and neck cancers. Vegetables appeared to offer more cancer prevention than fruits alone did. Adding just one serving of fruit or vegetables per each 1000 calories consumed daily resulted in a 6% reduction of risk.

In another study, broccoli and soy protein were found to protect against the more aggressive breast and ovarian cancers. When consumed together, digesting broccoli and soy forms a compound called di–indolylmethane (DIM). In lab experiments, the researchers found that DIM could affect the motility of breast and ovarian cancer cells, which could help keep cancers from spreading. Soy, acts like estrogen and is a nutritious, healthy food, and should be eaten in moderation.

Yet another study compared intake of flavonols to their risk of pancreatic cancer. Flavonols are protective compounds found in fruits and vegetables, such as onions, apples, berries, kale and broccoli. Those who had the highest consumption of flavonols reduced their risk of pancreatic cancer by 23%. The benefit was even greater for people who smoked. Smokers with high levels of flavonols reduced their risk of pancreatic cancer by 59%.

cardiology news

Total CPR since 1st November 2012 – 71933 trained

Media advocacy through Web Media

Beware of Diwali Hazards

Diwali, the festival of lights can be hazardous to people, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President, Heart Care Foundation of India.

Candles: With Diwali approaching, one should be careful of candle pollution. Candles made from beeswax or soy, although more expensive, apparently are safer as they do not release potentially harmful pollutants.

However an occasional paraffin candle and its emissions does not harm but lighting many paraffin candles daily or lighting them frequently in an unventilated bathroom around a tub, may cause problems. Pollutants from burning candles can also cause respiratory irritation and allergy. The candles, which are made from petroleum, are a source of known human carcinogens and indoor pollution.

Diwali Sweets: White sugar in sweets can lead to uncontrolled diabetes and weight gain in individuals. Adulterated khoya can upset the digestive system. Artificial coloring in sweets can cause cancer in long run. Eating chocolates can add to calories. The best gifts for Diwali are fruits and dry fruits.

Diwali Fire Hazards: Diwali should not lead to fire with resultant burns and loss of life. In case of a burn injury, the affected part should be put in the running water till burning disappears. Blisters should not be punctured, as they work like a natural dressing.

Eye injury–Particles of crackers can cause eye burn. Continuous water should be poured into the affected eye till the burning is relieved Safe dressing- If a medicated bandage is not available, then take a piece of cloth and iron it. It will work like a medicated bandage Alcohol Hazards: Diwali is often used as a festival of gambling and alcohol drinks. One should not drive after consuming more than 30 ml in one hour. While gambling one should not argue with others as someone under the influence of alcohol may cause harm.

Diwali Pollution: Patients with COPD (Adult Asthma) may worsen during Diwali. These patients should use wet clothes whenever they are exposed to smoke.

Patients with COPD (Adult Asthma) may worsen in Diwali festival and they should use wet clothes whenever they are exposed to smoke.

Noise Pollution: Excessive noise pollution during Diwali day can cause hearing loss. One should wear ear plugs to avoid noise-related ear injury. Noise pollution can also cause high blood pressure and mental irritation.

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 71933 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

Dr KK Aggarwal in an Interview on news × on Diwali Precautions

press release

Can vitamin D treat pain?

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 main enzyme responsible for activation of xenobiotics is:

1.Cytochrome P–450
2.Glutathione S–transferase.
3.NADPH cytochrome P–450–reductase.
4.Glucuronyl transferase.

Yesterday’s Mind Teaser: All of the following muscles are grouped together as muscles of mastication except:

1.Buccinator.
2.Masseter.
3.Temporalis.
4.Pterygoids.

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

Correct answers received from: .Prabha Sanghi, Arvind Gajjar, Dr. P. C. Das, Dr.Pawan Mehta, Dr.K.Raju, Dr Jainendra Upadhyay, Dr.Chandresh Jardosh, Dr Arpan Gandhi, Dr. ABBAS VAKIL., DR AVTAR KRISHAN, Dr.K.V.Sarma, Dr.K.V.Sarma, Arvind Gajjar, Dr Prakash Khalap

Answer for 31st October Mind Teaser: C. Once a year after age 21 and every two years after 30.

Correct answers received from: Dr B K Agarwal, DR AVTAR KRISHAN

Send your answer to ijcp12@gmail.com



medicolegal update

Click on the image to enlarge

medicolegal update

While the doctor was talking to me, his nurse came in and said,
"Doctor, there is a man here who thinks he’s invisible."
The doctor said, "Tell him I can’t see him."

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A 36–year–old truck driver had severe allergic rhinitis and came for treatment.
Reaction: Oh my God, why was he not prescribed azelastine nasal spray?
Lesson: Make sure to avoid oral antihistamines in persons who perform tasks like driving as they may cause sedation and drowsiness; instead prescribe azelastine nasal spray which is effective and non–sedating.

medicolegal update

First we make our habits then our habits make us. John Dryde

medicolegal update

Dr KK Aggarwal: Equipment–related failures common in Operation Theater http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: I maintain that the cosmic religious feeling is the strongest noblest motive for scientific research–Einstein #CosmicConsciousness

medicolegal update
  1. Your spiritual blogs are very enlightening, and emed news also, we want many more in future........thanks a lot for sharing. uma alluri

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