eMedinewS5th October 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

Coronavirus is not a global emergency

As per an alert by World Health Organisation, the Middle East respiratory syndrome coronavirus (MERS) is not a public health emergency of international concern.

So far the deadly SARS–like virus has infected 82 people and killed 45 of them.

WHO said that the current situation is serious and of great concern but does not constitute the public health emergency of international concern at this moment.

Cases so far have been reported in Jordan, Kuwait, United Arab Emirates, Britain, France, Italy and Tunisia.

Millions are expected to travel to Mecca for Haj pilgrimage but Saudi authorities have cut down the number of Visas this year citing safety concern over expansion work at the Mosque site.

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

The Science behind Training and Development

sprritual blog

Training in any field requires gaining knowledge, skills and positive mental attitude towards the object of learning.

The knowledge is everything about what and why. In Yoga, it correlates with the Gyan (Gnana) Marg. The skill is all about how to do it and correlates with Karma Marg.

The positive mental attitude is linked to willingness to do any work or in other words, one’s Aastha in that action. In Yoga, it is synonymous with Bhakti Marg.

In the Bhagwad Gita, Lord Krishna talks about all the principles of management including how to train and develop an individual.

The development teaches and increases one’s intelligence quotient (IQ), physical quotient (PQ), emotional quotient (EQ) and moral quotient (MQ).

cardiology news

The Seeker of Truth

After years of searching, the seeker was told to go to a cave, in which he would find a well. ‘Ask the well what is truth’, he was advised, ‘and the well will reveal it to you’. Having found the well, the seeker asked that most fundamental question. And from the depths came the answer, ‘Go to the village crossroad: there you shall find what you are seeking’.

Full of hope and anticipation the man ran to the crossroad to find only three rather uninteresting shops. One shop was selling pieces of metal, another sold wood, and thin wires were for sale in the third. Nothing and no one there seemed to have much to do with the revelation of truth.

Disappointed, the seeker returned to the well to demand an explanation, but he was told only, ‘You will understand in the future.’ When the man protested, all he got in return were the echoes of his own shouts. Indignant for having been made a fool of – or so he thought at the time – the seeker continued his wanderings in search of truth. As years went by, the memory of his experience at the well gradually faded until one night, while he was walking in the moonlight, the sound of sitar music caught his attention. It was wonderful music and it was played with great mastery and inspiration.

Profoundly moved, the truth seeker felt drawn towards the player. He looked at the fingers dancing over the strings. He became aware of the sitar itself. And then suddenly he exploded in a cry of joyous recognition: the sitar was made out of wires and pieces of metal and wood just like those he had once seen in the three stores and had thought it to be without any particular significance.

At last he understood the message of the well: we have already been given everything we need: our task is to assemble and use it in the appropriate way. Nothing is meaningful so long as we perceive only separate fragments. But as soon as the fragments come together into a synthesis, a new entity emerges, whose nature we could not have foreseen by considering the fragments alone.

News Around The Globe

20th MTNL Perfect Health Mela Programme Brouchure

The Immune System of the Soul

October 17, 2013, Siri Fort Auditorium

Organised by Brahma Kumaris


In this fast paced world, where we all are running in the rat race to acquire all sorts of gadgets, luxuries and comforts of life, and have actually forgotten about our ‘being’, our ‘soul’ per se. None of us have the time to sit back and ponder on the very basic questions which arise even in a small child’s mind, as in who we are? Where we have come from? What is the purpose of our being? How our soul dwells in our daily activities? How can we charge up our soul or what makes it low? Do we actually listen to our inner/soul’s voice? If yes, there is still some hope, and if not, then what happens to our inner voice in return? All of us are bothered about materialistic possessions and all we care about is that we should be free from physical ailments. Does that suffice our existence? The answer is NO, as emotional ailments take its toll when we stop caring about our soul or the inner voice. To answers these questions and to help people get enlightened, Mike George, an author, spiritual leader and management consultant, has organized a workshop titled ‘The Immune System of the Soul’ which will take you to a journey from awareness to realization and finally to transformation. The workshop is scheduled on October 17, 2013, 6–8 PM at Siri Fort Auditorium, Delhi. Come and be a part of this divine experience.

News

  1. The nonmotor manifestations of Parkinson’s disease –– including GI and urinary problems, cognitive decline, sleep difficulty, and pain –– pose a substantial burden to patients, often being prominent before the motor problems develop. In a retrospective audit of 517 patients presented at the World Parkinson Congress, 23% were graded as having a severe nonmotor symptom burden even as the Hoehn–Yahr scale of motor decline was moderate, at a median score of 2.4. The nonmotor symptom burden was very severe in 21% of patients, yet their Hoehn–Yahr scale score was a median of 2.9, which is not considered advanced from a motor perspective.
  2. As per a new study, Gel caps containing concentrated fecal microbes stopped recurrent Clostridium difficile infection and were well–tolerated by recipients. Among patients with more than three episodes of recurrent C. difficile infection who could not tolerate jejunal catheter or suffered anal incontinence, a single dose of an oral suspension of fecal microbes delivered through several dozen 0.47 mL gel capsules resolved all but one of the recurrent infections with no instances of vomiting after capsule ingestion. Thomas Louie, MD, of the University of Calgary in Alberta, Canada, and colleagues presented their findings at the IDWeek meeting.
  3. Allergic conjunctivitis signs were reduced most effectively by a cold compress (CC) combined with artificial tears (ATs) or epinastine hydrochloride (EH) drops, according to a randomized, masked clinical trial of 18 individuals allergic to grass pollen. Paramdeep S. Bilkhu, BSc, from the Ophthalmic Research Group, Life and Health Sciences at Aston University in Birmingham, United Kingdom, and colleagues published their findings online September 24 in Ophthalmology.
  4. "Profound" cognitive problems often persist after a stay in the ICU, leaving patients with the equivalent of a blow to the head or early Alzheimer’s disease. In a study reported in the Oct. 3 issue of the New England Journal of Medicine, one year after discharge, 34% of patients had cognitive scores similar to those with moderate traumatic brain injury and 24% had the equivalent of mild Alzheimer’s disease. The deficits were seen across ages and were strongly linked to duration of delirium in the ICU. Pratik Pandharipande, MD, MSCI, of Vanderbilt University Medical Center in Nashville, Tenn., and colleagues suggest that Physicians need to not only recognize that memory problems could stem from prior ICU stay but also proactively fight delirium in the ICU to prevent these deficits that keep patients from getting back to normal.
  5. High–dose fish oil added to a "treat to target" regimen of conventional disease–modifying treatment in early rheumatoid arthritis (RA) was associated with improved outcomes as reported online in Annals of the Rheumatic Diseases. Among patients receiving fish oil in conjunction with triple therapy with methotrexate, sulfasalazine, and hydroxychloroquine, the likelihood of treatment failure at 1 year was lower than for those given triple therapy alone, according to Susanna M. Proudman, MD, of the University of Adelaide in Australia, and colleagues. In addition, the rate of remission was significantly greater in the fish oil group than among controls.

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Rabies News (Dr. A K Gupta)

There are different strains of rabies viruses in different parts of the worlds. Are all anti–rabies vaccines effective against all these strains of viruses?

All anti–rabies vaccines are considered protective against different strains of rabies viruses in different parts of the world.

cardiology news

When used off–guideline, myocardial perfusion imaging didn’t hold significant predictive value for cardiovascular events, a study showed, perhaps due to few events in the low–risk population studied in community practice. An abnormal finding in a scan that didn’t fit appropriate use criteria was associated with 2.3– to 11.8–fold odds of subsequent major adverse cardiac events, but with wide confidence intervals, Rami Doukky, MD, of Rush University Medical Center in Chicago, and colleagues found. Appropriate or uncertain single photon emission CT (SPECT) perfusion scans held consistently significant hazard ratios of 3.1 to 3.7 for events, they reported here at the American Society of Nuclear Cardiology meeting and simultaneously online in Circulation: Journal of the American Heart Association.

The Framingham Heart Study (FHS), the longest–running study of cardiovascular disease and its risk factors, is turning 65 years old next week. The study, which had its start closely linked with the cardiovascular health of US President Franklin Delano Roosevelt, examined its first patient on October 11, 1948. The history of the FHS has been highlighted in a new review published online September 29, 2013 in the Lancet by Dr Thomas Wang (Vanderbilt University Medical Center, Nashville, TN), an FHS associate when he was at Massachusetts General Hospital for the past decade, along with Dr Syed Mahmood (Harvard Medical School, Boston MA) and Drs Daniel Levy and Ramachandran Vasan (Boston University School of Medicine, MA).

Valvular Heart Disease News

Concurrent tricuspid valve surgery with chronic MR surgery

Concurrent tricuspid annuloplasty in patients undergoing mitral repair without mitral valve prolapse who have mild to moderate TR and tricuspid annular dilatation or pulmonary hypertension

(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

A large cohort study of children in the United Kingdom has suggested that disturbed sleep symptoms continue to plague young kids with autism up to adolescence. In the study, those with an autism spectrum disorder (ASD) slept 17 to 43 minutes less each night (starting when they were aged 30 months and continuing up to age 11 years) than did their healthy peers. They also had significantly more episodes of waking up more than twice a night. The study was published online September 30 in the Archives of Disease in Childhood.

Chronic tension-type headache (CTTH), which may affect up to 20% of teens, can be successfully treated without pharmacologic agents. A retrospective review of 83 adolescents diagnosed with CTTH found that osteopathic manipulation and instruction in daily mindfulness and the traditional Chinese practice of qi gong was more effective than pharmacologic therapy in relieving their headaches. The results were presented at the American Academy of Pain Management (AAPM) 24th Annual Clinical Meeting.

cardiology news

Ideal Sleep Time: Eight Hours

People who sleep less than 7 hours or more than 9 hours a night, gain more weight over a period of time and become obese as compared to individuals who log 8 hours every night.

People who want to lose weight or prevent weight gain should not only exercise and eat well, but also sleep.

In a study by Dr. Angelo Tremblay, of Laval University in Quebec City, published in the journal Sleep, the researchers followed 276 men and women for 6 years. During that time, people who averaged 5 to 6 hours of shut eye a night gained 1.98 kg more than those who slept 7 to 8 hours, while those who slept for 9 to 10 hours gained 1.58 kg more than the average–length sleepers.

Short and long sleepers also showed greater gains in fat mass and waist circumference than average–length sleepers, and were significantly more likely to gain 5 kg or more.

Getting too much or too little sleep somehow disrupts appetite control by causing a reduction in leptin, a hormone that dampens appetite, while increasing secretions of the appetite–stimulating hormone ghrelin.

Short and long sleepers were also more prone to hypoglycemia, or low blood sugar, than average sleepers, which could increase appetite as well.

cardiology news

Total CPR since 1st November 2012 – 63425 trained

CPR Classes 63425

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

Shorter the waist line, longer the life line 2nd PR

FREEPRESSINDEX LINK, FREEPRESS RELEASE, AFRICANEWSWIRE, PRLOG, BLOGZ

Bystander CPR training should be compulsory in school

The Government of India should make bystander cardiology pulmonary resuscitation (CPR) 10 training mandatory in elementary schools. CPR training should also be mandatory when getting a driving licence.

Padma Shri and Dr. B.C. Roy National Awardee, Dr KK Aggarwal, President Heart Care Foundation of India said that the forthcoming 20th MTNL Perfect Health Mela being organized from 23rd to 27th October, 2013 in Constitution Club of India will have special training camps for school children. The Mela is being organized by Heart Care Foundation of India in association with various departments of Central and Delhi Government, LIC, Central Bank of India, GAIL, and Coca Cola.

Quoting a Denmark initiative published in October issue in the Journal of the American Medical Association, Dr. Aggarwal said that with the initiatives taken by the Denmark Government, the percentage of out of hospital cardiac arrest that involved bystander CPR more than doubled from 21.1% to 44.9% over a 10–year period. Following that trend there was a significant improvement in survival at 30 days and at one year. When the bystander CPR rate is less than 21%, the 30-day survival rates are below 6%.

Dr. Aggarwal said that ever since CPR 10 programme has been initiated in Delhi by Heart Care Foundation of India, the number of survivals by the bystander has increased. We are getting success stories, which is a good trend, he further added.

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 63425 people since 1st November 2012.

The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10minutes, 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

MCI Delhi Medical State Council Meeting

press release

Smoking and obesity do not go together

today video of the dayDr KK Aggarwal Birthday 5th September

Cultural Evening at IMA

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

What percentage of your diet should fat make up?

A. About 10 percent of your daily calories.
B. About 20 percent of your daily calories.
C. About 30 percent of your daily calories.
D. About 40 percent of your daily calories.
E. There is no recommended amount of fat; you should strive to eat as little of it as possible.

Yesterday’s Mind Teaser: All of the following statement regarding management of side effects of hormonal therapy are correct except

1. Vaginal bleeding is a warning sign for possible endometrial caner or pathology in postmenopausal women on tamoxifen.
2. Fluoxetine is the "selective serotonin reuptake inhibitors (SSRI)" of choice for the management of hot flushes in women taking tamoxifen.
3. Estrogen replacement therapy is contraindicated in women with ER/PR positive breast cancer for managing hot flushes and bone loss.
4. Gabapentin is an active agent for the management of tamoxifen related hot flushes.

Answer for yesterday’s Mind Teaser: 2. Fluoxetine is the "selective serotonin reuptake inhibitors (SSRI)" of choice for the management of hot flushes in women taking tamoxifen.

Correct answers received from: Dr.K.V.Sarma, Dr. V.P. Thakral, Dr.K.Raju, Dr Pankaj Agarwal, Dr Chandresh Jardosh, Dr.Bitaan Sen & Dr.Jayashree Sen, DR AVTAR KRISHAN, Dr pooja khullar, Dr. P. C. Das.

Answer for 30th September Mind Teaser: 4. Tamoxifen may be associated with an increased risk of ischemic cerebrovascular complications.

Correct answers received from: Dr Prakash Khalap, Narahari Kandakatla, Dr.K.V.Sarma, Muthumperumal Thirumalpillai, DR AVTAR KRISHAN, Dr. P. C. Das.

Send your answer to ijcp12@gmail.com




medicolegal update

Click on the image to enlarge

medicolegal update

Doctors vs Guns

Doctors:

The number of physicians in the U.S. is 700,000

Accidental deaths caused by Physicians per year are 120,000

Accidental deaths per physician are 0.171

Statistics courtesy of U.S. Dept of Health Human Services.

Guns

The number of gun owners in the U.S. is 80,000,000

The number of accidental gun deaths per year, all age groups, is 1,500

The number of accidental deaths per gun owner is .000188.

Statistics courtesy of F.B.I.

Statistically, doctors are approximately 9,000 times more dangerous than gun owners.

Remember, "Guns don’t kill people, doctors do."

FACT: Not everyone has a gun, but almost everyone has at least one doctor.

Please alert your friends to this alarming threat immediately. We must ban doctors before this gets completely out of hand!

Note: Out of concern for the public at large, the statistics on lawyers have been withheld for fear the shock would cause people to panic and seek medical attention.

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: An 18–year–old girl complained of purulent nasal discharge, nasal congestion, pain in the cheek and upper teeth for last 10 days. CT scan showed maxillary sinusitis.
Reaction: Remember to give macrolides.
Lesson: Make sure to remember that clarithromycin (macrolide) 500 mg twice–daily for 7 days is not only effective in maxillary sinusitis but also in other sinusitis.

medicolegal update

For success, attitude is equally as important as ability. Harry F. Banks

medicolegal update

Dr KK Aggarwal: Obsessively yours: Signs That You May Have OCD http://bit.ly/15Lvpwx #Health

Dr Deepak Chopra: One of the clearest definitions of the "cosmic religious feeling" involves four key characteristics http://tinyurl.com/msf3e3r

medicolegal update

Dear Sir, Thanks for the updates. Regards: Dr Shreya

Forthcoming Events

20th Perfect Health Mela from 18th Oct to 22nd Oct at different locations

20th Perfect Health Mela from 23rd Oct to 27th Oct at Constitution Club of India

eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes 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)

Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

medicolegal update



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