eMedinewS4th June 2014, Wednesday

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

Road safety should be taken up on priority by the Government

Union Minister for Rural Development Gopinath Munde died in a road accident on his way to the airport in New Delhi.

We have witnessed deaths of prominent politicians in road accidents in previous years.

  • Former Delhi CM and Union labour minister Sahib Singh Verma died in a road accident in 2007 on the highway while returning to Delhi from Jaipur.
  • In 2000, senior Congress leader Rajesh Pilot died in a road accident in Dausa, about 50 km from Jaipur.
  • In 1994, former President, Giani Zail Singh died following a car crash on the Fatehgarh Sahib–Chandigarh highway.

All these politicians died within a radius of 250 km. Their deaths were sudden and unexpected.

Postmortem report suggests that Gopinath Munde died of cervical cord injury and liver injury with collection of blood in the peritoneal cavity.

The cervical "whiplash" syndrome is caused by a traumatic event with an abrupt flexion/extension movement to the cervical spine. Symptoms of whiplash include severe neck pain, spasm, loss of range of motion in the neck i.e. unable to move your neck or turn your head and headache, especially at the back of the head (occipital headache).

The most common causes of spinal cord injury are trauma; car accidents being the most common, either when a person is riding as a passenger in the car or is struck as a pedestrian followed by falls, sports accidents, assault.

Generally, the higher up the level of the injury to the spinal cord, the more severe the symptoms. Cervical cord injury is fatal only when fracture occurs at C1 and C2.

If politicians too are not immune to road traffic accidents, then what about the general public? This means that the general public is not safe.

The growth in the economy of India has seen an almost parallel and an impressive rise in the number of vehicles on the roads. And this number keeps on increasing daily, which translates into greater risk of accidents, increased pollution etc. India has a poor record of road safety with one of the highest road traffic accident rates in the world.

In The Global status report on road safety 2013, the WHO has cited road traffic injuries as the eighth leading cause of death globally. By the year 2030, road traffic deaths are projected to become the fifth leading cause of death unless urgent action is taken.

The major contributing factors to this high road traffic accident rate are speeding, drunk driving, lack of use of safety helmets, seat belts and child restraints in vehicles. Inefficient law enforcement has only compounded the problem.

Road traffic accidents are a preventable cause of disability and death.

  • There is an urgent need for the government to formulate and enforce legislation to address these major causes of road accidents.
  • Enforcement of speed limits, laws related to drunken driving is essential.
  • Wearing a seat belt for drivers, the front seat occupants as well as the rear seat occupants should be made compulsory.
  • The road infrastructure should be made safer for vehicles and the pedestrians as well.
  • There should be regular and effective road safety education campaigns to develop a safe driving behavior. Distracted driving i.e. talking on the phone, texting, talking to a passenger, eating, etc. should be avoided. These activities take the driver’s attention away from the road.

The tragic death of Shri Gopinath Munde again highlights the need for an urgent and a concerted action on the part of the government and the general public.

News Around The Globe

  • An article published online May 26 in JAMA Internal Medicine has shown that low–dose estradiol and low–dose venlafaxine are both effective and well–tolerated, in comparison with placebo, as treatments for vasomotor symptoms (VMS) in peri– and postmenopausal women.
  • A phase II trial has reported that a new oral phosphate binder aimed at replenishing iron stores in patients with chronic kidney disease (CKD) and anemia not yet on dialysis, is effective and well tolerated. The novel compound increased the levels of transferrin saturation after 12 weeks of treatment from 22% to 32%, and levels of serum phosphate decreased significantly from 4.5 to 3.9 mg/dL.
  • A study has found that people are more likely to commit suicide in the overnight hours than during the daytime or evening. The findings possibly explain why sleep disturbance has been found to be a risk factor for suicidal ideation and behavior. The study was presented June 3 at SLEEP 2014: Associated Professional Sleep Societies 28th Annual Meeting.
  • People with asthma may be at increased risk from secondhand smoke exposure while riding in the close quarters of a vehicle, reports a new research. These subjects may be twice as likely to have asthma compared to those who are not exposed. The study has been published in the journal Tobacco Control.

Rabies News (Dr A K Gupta)

What are the limitations of polyclonal serum (RIG)?

Difficulties associated with the use of Polyclonal Serum (RIG) samples might consist of:

  • Batch–to–batch variation
  • Risk related to the use of human blood products. Because HRIG preparations are of human origin, they need to be treated to minimize the risk of transmission of infectious agents.
  • Difficulties in finding immune donors during sudden mass exposures might lead to a low availability of RIG.
  • Because of discontinued ERIG production by international manufacturers, supply of ERIG relies on regional production.
  • The use of ERIG has raised ethical issues and has been condemned by animal protection groups.

Cardiology eMedinewS

  • A study presented at the 2014 European Congress on Obesity has revealed that combining body mass index (BMI) and waist–to–height ratio (WHtR) may better identify which overweight and obese individuals are at highest risk for cardiovascular disease and diabetes than either measurement alone.
  • The MODE and SAMBA studies have provided some evidence that an HDL mimetic, CER–001, might be successful in reducing the burden of atherosclerosis in patients with genetic lipid abnormalities. Both the studies were presented at the European Atherosclerosis Society 2014 Congress (EAS 2014).

Pediatrics eMedinewS

  • The US Food and Drug Administration (FDA) has approved palonosetron HCL injection for the prevention of chemotherapy–induced nausea and vomiting (CINV) in children aged 1 month to less than 17 years.
  • A new study conducted in Nigeria has pointed that keeping babies out in the sun but protected from harmful UV rays is an effective and affordable option for treating neonatal jaundice in resource–poor settings. The study has been published online in Pediatrics.

Dr K K Spiritual Blog

Relieve stress by changing the interpretation

Stress is the reaction of the body or the mind to the interpretation of a known situation. Stress management, therefore, involves either changing the situation, changing the interpretation or taming the body the yogic way in such a way that stress does not affect the body.

Every situation has two sides. Change of interpretation means looking at the other side of the situation. It is something like half glass of water, which can be interpreted either as half empty or half full.

Studies have shown that anger, hostility and aggression are the new risk factors for heart disease. It has been shown that even recall of anger can precipitate a heart attack.

Many studies have shown that when doctors talk positive in front of unconscious patients in ICU, their outcome is better than those if doctors talk negative.

The best way to practice spiritual medicine is to experience silence in the thoughts, speech and action.

Simply walking in the nature with silence in the mind and experiencing the sounds of nature can be as effective as 20 minutes of meditation. Twenty minutes of meditation provides the same physiological parameters as that of 7 hours of deep sleep.

Wellness Blog

Duration of CPR may be a factor in kids’ survival

Some children with in–hospital cardiac arrest can benefit from longer duration of cardiopulmonary resuscitation (CPR), a study has found. In the study among survivors, neurological outcome was favorable for the majority of patients.

Of the 3,419 children included in the study, 28% survived to hospital discharge, and 16.6% of these survivors had CPR longer than 35 minutes, according to Renée Matos, MD, MPH, of the University of Pittsburgh School of Medicine, and colleagues. A total of 60% of these survivors with longer–duration CPR achieved a favorable neurologic outcome, they reported in the study published Jan. 21 in Circulation: Journal of the American Heart Association.

In the mid–1990s, authorities considered pediatric CPR futile beyond 20 minutes’ duration or when more than two doses of epinephrine were provided.

Even though longer–duration CPR can benefit some children, the reality is that after the first 15 minutes of CPR, survival rate declines rapidly. Survival decreased by 2.1% for every minute of chest compressions over 15 minutes.

When CPR was longer than 35 minutes, those in the Surgical Cardiac category had the best survival to hospital discharge rate (25%), followed by, Medical Cardiac –– 21%; General Surgical –– 13%; General Medical –– 10% and Trauma –– 8%. ([Medpage today)

Inspirational Story

Senior Greeter…

Charley, a new retiree–greeter at Wal–Mart, just couldn’t seem to get to work on time.

Every day he was 5, 10, 15 minutes late. But he was a good worker, really tidy, clean–shaven, sharp–minded and a real credit to the company and obviously demonstrating their "Older Person Friendly" policies.

One day the boss called him into the office for a talk.

"Charley, I have to tell you, I like your work ethic, you do a bang–up job when you finally get here; but your being late so often is quite bothersome."

"Yes, I know boss, and I am working on it."

"Well good, you are a team player. That’s what I like to hear."

"Yes sir, I understand your concern and I’ll try harder."

Seeming puzzled, the manager went on to comment, "It’s odd though you’re coming in late. I know you’re retired from the Armed Forces. What did they say to you there if you showed up in the morning so late and so often?"

The old man looked down at the floor, then smiled.

He chuckled quietly, then said with a grin, "They usually saluted and said, ‘Good morning, Admiral, can I get you a coffee, sir?’

ePress Release

Road safety should be taken up on priority by the Government

Union Minister for Rural Development Gopinath Munde died in a road accident on his way to the airport in New Delhi. We have witnessed deaths of prominent politicians in road accidents in previous years.

  • Former Delhi CM and Union labour minister Sahib Singh Verma died in a road accident in 2007 on the highway while returning to Delhi from Jaipur.
  • In 2000, senior Congress leader Rajesh Pilot died in a road accident in Dausa, about 50 km from Jaipur.
  • In 1994, former President, Giani Zail Singh died following a car crash on the Fatehgarh Sahib–Chandigarh highway.

All these politicians died within a radius of 250 km. Their deaths were sudden and unexpected. If politicians too are not immune to road traffic accidents, then what about the general public? This means that the general public is not safe, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President Elect IMA.

The growth in the economy of India has seen an almost parallel and an impressive rise in the number of vehicles on the roads. And this number keeps on increasing daily, which translates into greater risk of accidents, increased pollution etc. India has a poor record of road safety with one of the highest road traffic accident rates in the world.

In The Global status report on road safety 2013, the WHO has cited road traffic injuries as the eighth leading cause of death globally. By the year 2030, road traffic deaths are projected to become the fifth leading cause of death unless urgent action is taken.

The major contributing factors to this high road traffic accident rate are speeding, drunk driving, lack of use of safety helmets, seat belts and child restraints in vehicles. Inefficient law enforcement has only compounded the problem.

Road traffic accidents are a preventable cause of disability and death.

  • There is an urgent need for the government to formulate and enforce legislation to address these major causes of road accidents.
  • Enforcement of speed limits, laws related to drunken driving is essential.
  • Wearing a seat belt for drivers, the front seat occupants as well as the rear seat occupants should be made compulsory.
  • The road infrastructure should be made safer for vehicles and the pedestrians as well.
  • There should be regular and effective road safety education campaigns to develop a safe driving behavior. Distracted driving i.e. talking on the phone, texting, talking to a passenger, eating, etc. should be avoided. These activities take the driver’s attention away from the road.

The tragic death of Shri Gopinath Munde again highlights the need for an urgent and a concerted action on the part of the government and the general public.

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 88972 people since 1stNovember 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 10x10 i.e. 100 per minute."

eMedi Quiz

Immediately after cholecystectomy, the nursing action that should assume the highest priority is:

A. encouraging the client to take adequate deep breaths by mouth
B. encouraging the client to cough and deep breathe
C. changing the dressing at least BID
D. irrigate the T–tube frequently

Yesterday’s Mind Teaser: What is the best reason for the nurse in instructing the client to rotate injection sites for insulin?

A. Lipodystrophy can result and is extremely painful
B. Poor rotation technique can cause superficial hemorrhaging
C. Lipodystrophic areas can result, causing erratic insulin absorption rates from these
D. Injection sites can never be reused

Answer for yesterday’s Mind Teaser: C. Lipodystrophic areas can result, causing erratic insulin absorption rates from these

Correct answers received from: Dr K V Sarma, Dr Monica Gandhi, Dr Arpan Gandhi, Dr Pankaj Agarwal, Dr Poonam Chablani, Daivadheenam Jella, Muthumperumal Thirumalpillai, Dr Ajay Gandhi, Dr Avtar Krishan, Dr A K (jain) Diwaker, Dr Pradip Kumar Das, Dr Avtar Krishan

Answer for 2nd June Mind Teaser: c. Indinavir

Correct answers received from: Dr Avtar Krishan, Dr Bitaan Sen &
Dr Jayashree Sen, Dr Prakash Khalap.

Send your answer to ijcp12@gmail.com

Zee News – Health Wealth Shows

Alcohol
Cancer Prevention
Depression
Paralysis
Pneumonia
Potbelly Obesity
Sudden Cardiac Death
Safe Drugs
Safe Holi
Vitamin D
Vitiligo
Fluid Intake

 

Total CPR since 1st November 2012 – 88972 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)

emedipicstoday emedipics

Health Check Up Camp at Universal Public School, 11th April 2014

press release

Longer CPR efforts may improve survival chances

video of day video of day

 

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 :

 

Make Sure

Situation: A patient with suspected pneumonia and normal x–ray died 12 hours after admission.
Reaction: Oh my God! Why were antibiotics not started?
Lesson: Make sure that all patients with suspected pneumonia are given antibiotics at the first suspicion as x–ray can be normal in the first 24 hours.

eMedinewS Humor

Free drinks for everyone

One night, a drunk comes stumbling into a bar and says to the bartender: "Drinks for all on me including you, bartender." So the bartender follows the mans orders and says: "That will be $36.50 please." The drunk says he has no money so the bartender slaps him around and throws him out.

The next night the same drunk comes in again and orders a drink for everyone in the bar including the bartender. Again the bartender follows instructions and again the drunk says he has no money. So the bartender slaps him around and throws him out.

On the third night he comes in, the drunk orders drinks for all except the bartender. "What, no drink for me?" replies the bartender. "Oh, no. You get violent when you drink."

Quote of the Day

Two things that define SUCCESS in LIFE: The way you manage when you have nothing & way you behave when you have everything!

 

Twitter of the Day

Dr KK Aggarwal: High BP in Pregnancy Increases Risk for Future Atherosclerosis http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Awareness exists at the core of all material objects from atoms to galaxies #CosmicConsciousness

 

Forthcoming events

Announcement

Call for Free Registration

4th annual conference Zoonosis 2014
Sunday 6th July 10am–2 pm followed by Lunch

Venue; Indian Medical Association HQs, IMA House, ITO New Delhi

Objective: To discuss about prevention of diseases communicable
from animals to human.

Who can take part: Medical Practitioners,Veterinary Practitioners, Animal Owners/Breeders, NGOworking with animal care etc.

Experts will be from Veterinary/Medical sectors

All participants will be given certificate of participation.

Organizers: Heart Care Foundation
of India, Millennium India Education
Foundation,CAR (Ministry of Agriculture Govt.of India,

Register at :
rawat.vandana89@gmail.com/
drkakroo@gmail.com
or Call: Vandana 9891673085/Dr Kakroo 9810301261

 

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  1. Dear Sir, Thanks for the information. Regards: Dr Kalpana
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