eMedinewS31st August 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; 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

Use of phosphate-binding agents can reduce mortality

The use of phosphate–binding agents, singly or in combination, is associated with reduced mortality in patients with chronic kidney disease as per the results of COSMOS trial (Current management Of Secondary hyperparathyroidism: A Multicenter Observational Study).

COSMOS was a 3–year follow–up, multicenter, open–cohort, prospective study of adult chronic hemodialysis patients with no previous kidney transplant from 227 dialysis centers from 20 European countries.

The analysis, published in the July 3, 2013 issue of Kidney International, included 6,300 patients.

Patients prescribed phosphate–binding agents were found to have 29% lower all–cause mortality and 22% lower cardiovascular mortality.

All types of phosphate–binding agents were effective with three exceptions: aluminum–containing phosphate binder on its own, combinations of calcium–containing binders with aluminum, and combinations of calcium–containing binders with other phosphate binders. ….Read More

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."


VIP’s on CPR 10 Mantra Video
eMedinewS
Ringtone – CPR 10 Mantra Hindi

Ringtone – CPR 10 Mantra English

sprritual blog Let the mud settle down

Once Buddha while travelling happened to pass a lake. Buddha told one of his disciples, I am thirsty. Do get me some water from that lake there.

The disciple noticed that some people were washing clothes in the water and, right at that moment, a bullock cart started crossing through the lake. As a result, the water became very muddy, very turbid. The disciple thought, how can I give this muddy water to Buddha to drink! So he came back and told Buddha, The water in there is very muddy. I don’t think it is fit to drink.

After about an hour later Buddha asked the same disciple again to go back to the lake and get him some water to drink. This time the disciple found that the lake had absolutely clear water in it. The mud had settled down and the water was fit for drinking. So he collected some water in a pot and brought it to Buddha.

Buddha looked at the water and said, See what you did to make the water clean. You let it be … and the mud settled down on its own and you got clear water… Your mind is also like that. When it is disturbed, just let it be. Give it a little time. It will settle down on its own. You don’t have to put in any effort to calm it down. It will happen. It is effortless.

….Read More

cardiology news

The Little Wave

The story is about a little wave, bobbing along in the ocean, having a grand old time. He’s enjoying the wind and the fresh air – until he notices the other waves in front of him, crashing against the shore. "My God, this terrible", the wave says. "Look what’s going to happen to me!" Then along comes another wave. It sees the first wave, looking grim, and it says to him: "Why do you look so sad?"

The first wave says: "You don’t understand! We’re all going to crash! All of us waves are going to be nothing! Isn’t it terrible?"

The second wave says: "No, you don’t understand. You’re not a wave; you're part of the ocean." ...Read More

News Around The Globe

  • Although poorer people tended to experience migraines at a higher rate than those better–off, the rate of remission appeared to be similar across all economic groups, researchers report in the journal Neurology.
  • The novel dual endothelin–receptor antagonist macitentan (Opsumit) improved clinical outcomes in pulmonary arterial hypertension (PAH), the SERAPHIN trial reports in the Aug. 29 issue of the New England Journal of Medicine.
  • A recent Journal of Clinical Endocrinology & Metabolism study of more than 2000 adults aged 45 to 74 years found that regardless of their body mass index, people with favorable inflammatory profiles (reduced counts of white blood cells and acute–phase response proteins and higher levels of adiponectin) also tended to have healthy metabolic profiles (low blood pressure and favorable cholesterol measurements).
  • A new literature review confirms that compared with patients without migraine, those with migraine have more white matter abnormalities (WMAs), infarct–like lesions (ILLs), and volumetric changes in gray and white matter regions of the brain, although the clinical and functional significance of these lesions is still uncertain. The study is published online August 28 in Neurology.
  • A new proprietary gel formulation of mechlorethamine (Valchlor, Ceptaris Therapeutics Inc.) has been approved by the US FDA for use in the topical treatment of stage 1A and 1B mycosis–fungoides–type cutaneous T–cell lymphoma (CTCL) in patients who have already received skin–directed therapy. Mechlorethamine, commonly known as nitrogen mustard, is already approved for intravenous use in the treatment of mycosis fungoides.
  • Traditional tools for diagnosing depression fail to include symptoms common in men, which may explain why they are diagnosed with the disorder half as often as women, according to a study reported in the Aug. 28 issue of JAMA Psychiatry.
  • According to a new study published in the Journal of Bone and Mineral Research, bone strength, but not bone mineral density was negatively associated with insulin resistance. Each doubling of insulin resistance scores was significantly associated with a 0.34 to 0.4 standard deviation decrease in composite scores of femoral neck strength relative to load. But, insulin resistance scores showed no association with bone mineral density in the femoral neck.

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Rabies News (Dr. A K Gupta)

Is it essential to perform skin sensitivity test prior to the administration of ERIG?

Majority of reactions to ERIG result from complement activation and are not IgE mediated and will not be predicted by skin testing.

The recent WHO recommendation states that there are no scientific grounds for performing a skin test prior to the administration of ERIG, because testing does not predict reactions and ERIG should be given whatever the result of the test.

However, skin test is mandatory to avoid any possible litigation under Consumer Protection Act (COPRA) in India.

cardiology news

A monoclonal antibody called AMG145 reduced lipoprotein(a) by one–third in patients with familial hypercholesterolemia who were already on statins, a subanalysis of a randomized trial reports in the September issue of Circulation: Journal of the American Heart Association.

Valvular Heart Disease News

Acute infective endocarditis is a rapidly progressive fulminant disease with high spiking fevers and an increased likelihood of complications, including hemodynamic instability and heart failure. Staphylococcus aureus is the organism most commonly associated with acute infective endocarditis.

(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)

cardiology news

Updated guidelines from the US Preventive Services Task Force (USPSTF) state that simple, economical, interventions by primary care clinicians can help prevent tobacco use among children and teenagers. Two of the strongest predictors of smoking initiation in children and adolescents are parental smoking and parental nicotine dependence; other risk factors include low levels of parental monitoring, easy access to cigarettes, the perception that peers smoke, and exposure to tobacco promotions. The guidelines were published online August 26 in the Annals of Internal Medicine and in the September issue of Pediatrics.

cardiology news

Obesity reduces life expectancy

Obesity in adulthood is associated with a striking reduction in life expectancy for both men and women. Among 3457 subjects in the Framingham Study, done in the United States, those who were obese (Body Mass Index or BMI ≥30 kg/m2 at age 40 years lived 6 to 7 years less than those who were not (BMI ≤24.9 kg/m2).

Those who were overweight (BMI 25 to 29.9 km/m2) at age 40 years lived about 3 years less, and those who were both obese and smoked lived 13 to 14 years less than normal–weight nonsmokers.

The steady rise in life expectancy during the past two centuries may come to an end because of the increasing prevalence of obesity.

Being overweight during adolescence also increase the risk of premature death as an adult. The analysis of Nurses’ Health Study has shown the risk of premature death increases with higher BMIs at age 18 years. For a BMI at age 18 of 18.5 to 21.9, 22 to 24.9, 25 to 29.9, and ≥30 kg/m2, the hazard ratio for premature death were 0.98, 1.18, 1.66, and 2.79, respectively.

A prospective study from the United States, at National Cancer Institute, National Institutes of Health, Bethesda, valuated the relationship between BMI and risk of death over a maximum follow–up period of 10 years among over 500,000 men and women aged 50 to 71 years.

Among the subset of individuals 50 years of age (when prevalence of chronic disease is low) who had never smoked, an increased risk of death was associated with being either overweight (20 to 50 percent increase in those between 26.5 to 29.9 kg/m2) or obese (two– to over threefold increase in those ≥30 kg/m2).

Overweight and obesity, when analyzed together, is associated with increased mortality from diabetes and kidney disease.

Obesity, when analyzed alone, is associated with increased cardiac mortality and cancers considered to be obesity–related (colon, breast, esophageal, uterine, ovarian, kidney, and pancreatic cancer), but not with mortality from other cancers or non–cardiac mortality.

There are some recent studies which showed that obese people live longer. Overweight was shown to be associated with reduced mortality from non cancer, non–cardiovascular causes, but not with cancer or cardiovascular mortality. In them being underweight was associated with increased mortality from non cancer and non–cardiac causes, but not cancer and cardiac CVD causes.

Obesity and increased central fat are associated with increased morbidity in addition to mortality. Overweight and obese individuals have a higher relative risk of hypertension, hypercholesterolemia, and diabetes mellitus compared with normal weight individuals. The risk of hypertension and diabetes increases with increasing BMI.

In the Nurses’ Health and the Health Professionals studies, the risk of developing a chronic disease (gallstones, hypertension, heart disease, colon cancer and stroke (in men only)) increased with increasing BMI, even in those in the upper half of the healthy weight range (BMI 22.0 to 24.9 kg/m2).

Obesity is measured by using a measurement called BMI, which is calculated by dividing a person’s weight in kilograms by the square of their height in meters.

A BMI of 18.5 to 23 is considered normal (Asians). One below 18.5 is considered underweight and 25 or above is considered obese.

cardiology news

Mrs. Sheila Dikshit, Chief Minister of Delhi to inaugurate the CMAAO India conference

The CMAAO India conference will be inaugurated by Chief Minister of Delhi Smt. Sheila Dikshit on 12th September at Hotel Shangri La at 1.30pm. Dr. Naresh Trehan, CMD Medanta Medcity will be the Guest of Honour. Dr. Vinay Aggarwal, Past President, IMA will take over as CMAAO President.

cardiology news

Total CPR since 1st November 2012 – 62980 trained

CPR Classes 62980

Media advocacy through Print Media

sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping
sprritual blog Media Press Clipping Media Press Clipping Media Press Clipping

Media advocacy through Web Media

When Constipation May be a Serious Problem 30th August

NETLOG, FREEPRESS RELEASE, PRLOG, FREEPRESSINDEX , AFRICANNEWSWIRE

TB more dangerous than FLU 29th August

NETLOG, FREEPRESS RELEASE, PRLOG, AFRICANNEWSWIRE

Travel more than doubles risk of blood clots

Long distance travelers should periodically move around and stretch their legs instead of just sitting and also drink plenty of water to stay hydrated, Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India & MTNL Perfect Health Mela and National Vice President elect IMA.

Long–distance travel can lead to potentially fatal blood clots in some people and the risk grows with the length of the trip. Those at increased risk of blood clots include cancer patients, people who have recently had major surgery such as a joint replacement and women on birth control pills.

In general, travel is associated with a nearly three–fold increase in the risk of venous thromboembolism (blood clots that form in the veins), often in the legs. If such a clot dislodges and travels to the lungs, it can cause a potentially fatal condition, called pulmonary embolism.

A combination of factors including dehydration and hours of sitting in cramped conditions explains why some people develop blood clots.

A review, published in the Annals of Internal Medicine, analyzed 14 studies involving more than 4,000 cases of venous thromboembolism and found that travelers had a nearly three–fold higher risk of blood clots than non–travelers. The risk climbed along with the duration of the trip –– rising 18 percent for every two hours of any type of travel, and by 26 percent for every two hours of air travel.

But there is no reason for panic, because the absolute risk to any one traveler is still low. People who travel long distances should be aware of the risk of blood clots and learn to recognize the symptoms.

Symptoms of a blood clot in the leg include pain, warmth, swelling and redness in the limb. If the clot travels to the lungs, it may cause sudden shortness of breath, chest pain or a cough that produces blood.

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 62980 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

A CPR 10 Training Camp was organized by Heart Care Foundation of India to train the students of Modern School Noida on 14th August

press release

Obesity reduces life expectancy

today video of the dayDr KK Aggarwal on Costly Treatment

Dr KK Aggarwal on Sleeping Disorder

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants. At what age is the diagnosis of SIDS most likely?

a. 1 to 2 years
b. 1 week to 1 year, peaking at 2 to 4 months
c. 6 months to 1 year, peaking at 10 months
d. 6 to 8 weeks

Yesterday’s Mind Teaser: When caring for children who are sick, who have sustained traumas, or who are suffering from nutritional inadequacies, Nurse Ron should know the correct hemoglobin (Hb) values for children. Which of the following ranges would be inaccurate?

a. Neonates: 10.6 to 16.5 g/dl
b. 3 months: 10.6 to 16.5 g/dl
c. 3 years: 9.4 to 15.5 g/dl
d. 10 years: 10.7 to 15.5 g/dl

Answer for yesterday’s Mind Teaser: a. Neonates: 10.6 to 16.5 g/dl

Correct answers received from: Dr.K.V.Sarma, Dr Sheetal Kher, Suresh Yadav, Dr Anil Sarin, Dr Pankaj Agarwal, Dr Kanta jain, Dr Jainendra Upadhyay, Dr.Chandresh Jardosh, DR.BITAAN SEN & DR.JAYASHREE SEN, DR.NAGESWARA RAO PATNALA daivadheenam

Answer for 29th August Mind Teaser: b. Elevating the neonate’s head and giving nothing by mouth

Correct answers received from: DR.BITAAN SEN & DR.JAYASHREE SEN, DR.NAGESWARA RAO PATNALA, DR AVTAR KRISHAN

Send your answer to ijcp12@gmail.com




medicolegal update

Click on the image to enlarge

medicolegal update

My doctor sure has his share of nut cases.

One said to him, "Doctor, I think I’m a bell."
The doctor gave him some pills and said, "Here, take these — If they don’t work, give me a ring."

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient with Chikungunya had persistent joint pain.
Reaction: Oh my God! Why was hydroxychloroquine not given?
Lesson: Make sure that all patients with post Chikungunya arthritis are treated with hydroxychloroquine to reduce chances of death.

medicolegal update

If the looser keeps his smile, the winner will lose the thrill of victory.

medicolegal update

Dr KK Aggarwal: Dr K K Aggarwal: Relaxation during work http://bit.ly/16wknsh #Health

Dr Deepak Chopra: You are instantly abundant when you show thanks for what you have.

medicolegal update

Dear Sir, Marvelous explanation. Regards: Dr SP Shukla

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medicolegal update


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