eMedinewS
2nd December 2014, Tuesday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and National Science Communication Awardee. Limca Book of Record Holder (CPR). Gold Medalist

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

It's time for the MCI to act on the disclosure of Dr Kapoor

Reference a report " Doctors get lakhs to pose as faculty at Medical Council of India checks: Rema Nagarajan, TNN | Nov 30, 2014, 01.30AM IST" where it is mentioned that " A senior doctor can reportedly earn as much as Rs 5-6 lakh within a couple of days just for showing up for a medical college inspection and pretending to be a faculty member....."

It's an important and appreciable whistle blowing news. The Ethics committee of MCI is already investigating hundreds of such complainants. Most who are posing as fake faculty are getting debarred for 2-5 years.

We congratulate Dr Mukul Kapoor, Director of Anaesthesia in Saket City Hospital for coming forward for the disclosure. MCI Ethics Committee should call him and punish the guilty.

The MCI should investigate his email immediately. “Obviously, the medical college knew in advance about the so-called 'surprise inspection' and was getting ready to place bogus faculty through these consultants. So they have been tipped off from within the MCI system. The fraud positioning of faculty and personnel has become such an open corruption that they are not even scared of sending such emails."

News Around The Globe

  • A new study has shown that an antibody drug, MPDL3280A, can make it easier for the immune system to find and destroy cancer cells in patients with advanced bladder cancer. The early results of the trial are so promising that the Food and Drug Administration (FDA) have granted the investigational drug "breakthrough therapy designation status.”
  • New research suggests that patients diagnosed with gout face a lower risk of developing Alzheimer's disease (AD) compared with people without gout. The findings were presented at the annual meeting of the American College of Rheumatology.
  • A vaccine for Ebola is one step closer to the clinic with a small phase I clinical trial reporting that in healthy volunteers, the vaccine candidate yielded immune responses similar to those that protected nonhuman primates in preclinical studies. The report is published online in the New England Journal of Medicine.
  • Hypocomplementemic urticarial vasculitis (HUV) is an uncommon systemic vasculitis with various clinical manifestations for which an optimal therapeutic strategy is yet to be defined, suggests a report from the French Vasculitis Study Group. The report is published in Arthritis & Rheumatism.
  • An FDA advisory committee urged the agency to modify labels of certain formulations of corticosteroids in an attempt to make epidural injections safer. The committee voted 15-7 in favor of calling so-called "particulate" steroids contraindicated for epidural injection because they appear to carry greater risk of adverse neurological effects than "nonparticulate" agents.

66th Annual Conference of Cardiological Society of India (CSI) -2014

HCM

Dr KK Spiritual Blog

Negative thoughts are absence of positive thoughts

Darkness cannot be removed physically; it can only be removed by switching on the light or going from the dark into the sunlight or lighting a fire. Similarly, negative thoughts are absence of positive thoughts.

In Bhagavad Gita also it has been said that during Uttarayana with longer days, the first half at full moon, in the presence of light or agni, one acquires more positive thoughts as compared to Dakshinayana, before Amavasya or no moon or in absence of light.

Bhagavad Gita also says that whatever you think the whole life, you think at the time of death and at the time of death you have positive thoughts, you are likely to get Moksha. This may be the reason why in Hindu mythology it is said that just before the death, we should light a diya or chant in front of agni (fire) so that the dying person’s thoughts become positive.

In computer language, it is explained that when you open a file repeatedly, it becomes a priority file and comes in search engine on priority as compared to other files.

Inspirational Story

Be Positive

Father: "I want you to marry a girl of my choice." Son: "I will choose my own bride!"

Father: "But the girl is Bill Gate's daughter." Son: "Well, in that case... ok"

Next Father approaches Bill Gates. Father: "I have a husband for your daughter."

Bill Gates: "But my daughter is too young to marry!" Father: "But this young man is vice-president of the World Bank."

Bill Gates: "Ah, in that case... ok" Finally Father goes to see the president of the World Bank.

Father: "I have a young man to be recommended as your vice-president." President: "But I already have more vice-presidents than I need!"

Father: "But this young man is Bill Gate's son-in-law." President: "Ah, in that case... ok"

This is how business is done!!

Moral: Even if you have nothing, you can get anything. But your attitude should be positive.

Rabies News (Dr A K Gupta)

Is washing of animal bite wound(s) essential?

The risk of rabies reduces by about 50% by just washing of wounds and application of antiseptics.

The maximum benefit of the wound washing is obtained when the fresh wound is cleaned immediately. It is important to remove saliva containing rabies virus at the site of bite by physical or chemical means. This can be done by prompt and gentle but thorough washing with ordinary soap or detergent and flushing the wound with running tap water for at least 15 minutes.

Washing of the wound must be done as long as the wound is raw; irrespective of the time elapsed since the exposure. Care must be taken not to disturb the scab, if formed.

After washing with water and soap, disinfectants like Povidone Iodine or Surgical Spirit must be applied.

In extraneous circumstances, other alcoholic (>40%) preparations like Rum, Whisky or aftershave lotion may be applied on the wound. If soap or antiviral agent is not available, the wound should be thoroughly washed with water.

Cardiology eMedinewS

  • The Journal of the American Medical Association published the results of the HARMONIZE trial looking at zirconium cyclosilicate (ZS-9), stating that the drug reduced serum potassium to normal levels within 48 hours, and that all tested doses of the drug resulted in lower potassium levels for up to 28 days.
  • A new post hoc analysis of the TOPCAT trial of spironolactone in patients with heart failure with preserved ejection fraction (HFPEF) has shown that the aldosterone antagonist appears to produce benefit in patients enrolled in the Americas but not in those from Russia/Georgia, which could be explained by the vast differences in baseline characteristics between the different populations. The data were presented at the American Heart Association (AHA) 2014 Scientific Sessions.

Pediatrics eMedinewS

  • Children whose fathers had inflammatory joint disease and used disease-modifying anti-rheumatic drugs (DMARDs) were not at increased risk of congenital abnormalities or other adverse outcomes, reported a new study published online in Arthritis and Rheumatology.
  • Brain volumes in children with multiple sclerosis (MS) were smaller than in those without the disease due to a lack of age-expected brain growth and progressive atrophy, suggests new research published in Neurology.

Quote of the Day

  • Many people love in themselves what they hate in others. E. F. Schumacher

Wellness Blog

Why is My Nose Bleeding?

Nosebleed is a common problem, occurring in up to 60 percent of the general population and is often because of a respiratory illness or dry conditions. Nasal drying is common in the hot summer months because of the extreme temperature and dry air due to use of air conditioners.

Here are some typical reasons for nosebleeds:

  • Nasal allergies
  • Blowing your nose too hard or trying to remove something from inside the nose
  • A result of “popping” the ear
  • Nasal exposure to chemicals
  • Frequent sneezing or having an upper respiratory infection
  • Use of nasal spray or a blood-thinning drugs, such as aspirin
  • Inhaling air that is extremely dry or cold
  • Having recent surgery on the nose or elsewhere on the face
  • Breaking the nose or a similar injury
  • Uncontrolled blood pressure

Bleeding can be controlled by direct pressure i.e. compression of the nostrils rasping the alae distally so all mucosal surfaces are opposed. Direct pressure should be applied continuously for at least five minutes, and for up to 20 minutes. The patient should be encouraged not to check for active bleeding. Patients who are properly instructed may control their bleeding while the evaluation gets underway.

Other maneuvers include bending forward at the waist while sitting up (to avoid swallowing blood), placing a plug of cotton wool or gauze into the bleeding nostril (sometimes coated with antibiotic ointment), expectorating out blood that accumulates in the pharynx and a cold compress applied to the bridge of the nose.

These maneuvers also should be taught to high-risk patients for use at home. Many ENT specialists recommend initial treatment with two puffs of oxymetazoline to hasten hemostasis.

ePress Release

Maintain good health by sleeping 7 to 9 hours

Health is not mere absence of disease but a state of physical, mental, social, spiritual, environmental and financial well being, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India. He said that children should be given exposure to all aspects of health including financial health and spiritual health.

Quoting a study, Dr. Aggarwal said that internationally now it has been shown that 7 to 9 hours of sleep is necessary to achieve optimal health. Taking into consideration the New Year parties, which many children attend, he appealed to the students to take at least 7 to 9 hours of sleep which can be remembered by the formula: 8 hours for oneself (sleep and hygiene), 8 hours of studies and 8 hours for the social life and family.

Childhood obesity is the new epidemic of the society and can only be controlled by the right education in school children. Dr Aggarwal asked the children to refrain from fast food as it is not good for health and instead they should opt for foods that are natural during the New Year party time. It’s the unnatural fast food or what is called junk food, which is harmful. Junk food is a combination of maida and cheese, with or without sugar.

Dr. Aggarwal said teachers, parents and doctors should be the role model to the society and should practice what they preach.

emedipicstoday emedipics

Health Check Up and CPR 10 Camp at Navjeevan Sarvodaya Kanya Vidyalaya 3rd November 2014

Self-Assessment-Quiz

 

expert_choice
press release

Monitoring LFT in a patient on statins

video of day

Other Blogs

Video Library

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

Kishan, SM Heart Care Foundation Fund, Post CHD Repair

Deepak, SM Heart Care Foundation Fund, CHD TOF

Total CPR since 1st November 2012 – 101090 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 10–second episodes of chest pain.
Dr. Bad: It is classical angina.
Dr. Good: It is non–cardiac chest pain.
Lesson: Cardiac pain is never less than 30 seconds.

Make Sure

Situation: A patient with diabetes shows deteriorating kidney function.
Reaction: Oh my God! His HbAIc is very high?
Lesson: Make sure that strict glycemic control is maintained in patients with type 2 diabetes in order to delay vascular complications.

eMedinewS Humor

One Parachute

In a plane that’s about to crash, there are three passengers: the wisest man on earth, a student, and a politician. When they find out that the plane is about to go down and there is only one parachute between the three of them they debate about who would sacrifice his life for the country and who will jump to safety.

The politician says he’s responsible for running the country, so of course, he should be the one to jump. The wise man says he's got to serve mankind, so he should be the one who jumps. The student says he is the future, and he should be the recipient of the parachute. As the kid speaks, the wise man grabs the bag and leaps wildly out of the plane. The politician is astounded, but the student remains calm. "Why are you so calm? We’re both about to die!" exclaims the politician.

The student replies, "Well wisdom just leapt out with my school bag, so the future can hang on to politics and feel safe."

Twitter of the Day

Dr KK Aggarwal: Heart patient should take aspirin unless contraindicated
Dr Deepak Chopra: Love does not manipulate, convince, cajole, beg or seduce. It is the power & magnificence of surrender.

eMedi Quiz

High resolution computed tomography of the chest is the ideal modality for evaluating:

1. Pleural effusion.
2. Interstitial lung disease.
3. Lung mass.
4. Mediastinal adenopathy.

Yesterday’s Mind Teaser: The extent to which ionisation of a drug takes place is dependent upon pKa of the drug and the pH of the solution in which the drug is dissolved. Which of the following statements is not correct?

1.pKa of a drug is the pH at which the drug is 50% ionized.
2.Small changes of pH near the pKa of a weak acidic drug will not affect its degree of ionisation.
3.Knowledge of pKa of a drug is useful in predicting its behaviour in various body fluids.
4.Phenobarbitone with a pKa of 7.2 is largely ionized at acid pH and will be about 40% non-ionised in plasma.

Answer for yesterday’s Mind Teaser: 4.Phenobarbitone with a pKa of 7.2 is largely ionized at acid pH and will be about 40% non-ionised in plasma.

Correct answers received from: Dr Rakesh Sharma, Daivadheenam Jella, Dr Lalit Nayak, Dr B R Bhatnagar, Dr Jainendra Upadhyay.

Answer for 29th November Mind Teaser: 2. Tricuspid valve.

Correct answers received from: Tukaram Pagad, Dr K V Sarma, Dr Shabina Ahmed, Dr B B Aggarwal, Dr Poonam Chablani, Dr Gopal Shinde, Dr Bitaan Sen, Dr Jayashree Sen, Dr Rakesh Sharma, Dr Avtar Krishan.

Send your answer to email

medicolegal update

(Contributed by Dr MC Gupta, Advocate)

Q. The government of Uttar Pradesh has not granted permission for doing autopsies in government medical colleges while the autopsies are routinely being carried out by MBBS doctors employed in the Provincial Medical Service in UP. What should be done?


Ans.

  • This is unusual. There must be some reason. It is for the medical college faculty to find the reason.
  • Performing an autopsy for the police is work done for the police. Redressal of a wrong can be asked only when a wrong has been done or a right has been denied. Medical college faculty cannot demand work from the police department.
  • The government medical college faculty has a right to demand autopsy work if as per the terms and conditions of service, the job of the faculty involves performing, supervising and teaching how to do autopsies. It is a right of the faculty to demand autopsy work for which it was employed. To secure this right, the faculty should send a proper legally drafted representation to the government, on the basis of which a writ petition may be filed if the government does not act.
  • The above representation/writ petition should be so drafted as to include the MCI as a party because it is the MCI which inspects medical colleges and grants them recognition.
medicolegal update
  1. Dear Sir, Very Informative news. Regards: Dr Shantanu

eMedinewS Special

1. IJCP’s ejournals (This may take a few minues to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)