eMedinewS5th January 2014, Sunday

Dr K K AggarwalPadma 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
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Breast Milk to Get Iodine to Infant

Giving one–time iodine dose to new mothers in iodine–poor regions is superior to a direct dose to the infant in terms of providing the child with adequate iodine for at least 6 months, according to new research published online November 22 in Lancet Diabetes & Endocrinology. The WHO and International Council for the Control of Iodine Deficiency Disorders recommend that new mothers in such regions receive one annual iodine capsule of 400 mg and exclusively breast–feed their infant for at least 6 months. If the child is not able to be breast–fed or to receive iodine–fortified complementary food, a lower concentration — a one–time dose of 200 mg as iodized oil or a daily dose of 90 µg as potassium iodide — is recommended to be administered directly to the infant.

Smoking

  1. Cigarette smoking is a leading preventable cause of death in the country.
  2. Six million deaths occur worldwide because of smoking.
  3. 50% of smokers are expected to die because of tobacco–related illnesses.
  4. The three most important cigarette–related illnesses, which can cause death, are heart diseases, lung cancer and chronic obstructive pulmonary (lung) disease (Chronic bronchitis or Asthma of the adult).
  5. Smoking cessation is associated with substantial health benefits.
  6. Smoking cessation can lead to reduced risk of heart diseases, cancer and COPD.
  7. Quitting smoking can help even after development of smoking–related heart diseases, cancer or COPD.
  8. Stopping smoking before age 40 is associated with a larger benefit than stopping it at later stage.
  9. Smoking exaggerates bone loss and is a risk factor for hip fracture. Cigarette smoking is responsible for more than 10% of heart blockage diseases all over the world.
  10. Cigarette smoking is responsible for 33% of all cardiac deaths.
  11. Quitting smoking after age 60 is still associated with lower risk of deaths compared to older.
  12. Smoking cessation is also associated with reduced risk of paralysis.
  13. Smoking cessation also reduces the progress of blockages in the leg vessels.
  14. Smoking is associated with premature aging in women.
  15. Even in smokers older than 80 years, quitting smoking reduces mortality.
  16. Quitting smoking means no smoking for three years.
  17. Bidi smoking is as bad as cigarette smoking.
  18. 18. Tobacco chewing is as bad as cigarette smoking.
Dr K K Aggarwal on Zee TV Dr K K Aggarwal on Zee TV

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 mantra
VIP’s on CPR 10 Mantra Video
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Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

Think positive and think different

sprritual blog

The Mantra to acquire spiritual health is to think positive and differently. Positive thinking produces positive hormones and takes you from sympathetic mode to parasympathetic mode. When you think different, it gives you several opportunities and from multiple options available, you can ask your heart to choose one of them.

Thinking positive was a message given by Lord Buddha and thinking different by Adi Shankaracharya.

The candle light march, which was held to fight for justice in the Jessica Lal murder case, has been picked up by most of the protest campaigns because it was positive and different.

I have seen three examples in my life where I used this and prolonged the life of those persons.

My grandfather–in–law at the age of 85 thought it was time to go but when we made him work positively and differently, he died at the age of 100 years. He was asked to teach youngsters law, write to Prime Minister everyday on certain issues and find matrimonial matches for the youngest persons in the family.

In other two cases, one was suffering from terminal prostate cancer and the other had terminal brain cancer. The first one lived for 10 years and the other is still alive.

Both were told that they had a very early cancer and that was cured by a surgery.

When you think different, it creates creativity and when it is with positive attitude, it is accepted by all.

cardiology news

Never leave the mind vacant

An empty mind is the devil’s workshop. All evil actions start in a vacant mind. Keep your mind occupied in something positive, something worthwhile. Actively follow a hobby. Do something that holds your interest. You must decide what you value more: money or peace of mind. Your hobby, like social work or religious work, may not always earn you more money, but you will have a sense of fulfillment and achievement.

Even when you are resting physically, occupy yourself in healthy reading or chanting of God’s name.

News Around The Globe

News

On Dec 17 the Indian Health Minister declared that MBBS students applying for admission to PG medical courses from 2015–16 will have to undertake a compulsory one–year rural posting at a public health centre (PHC), to ‘give back’ to the society.

Assault on Solapur doctor: HC asks Maharashtra Police act against
Indian express:

Taking note of the fact that the three policemen who allegedly assaulted a doctor early morning on December 31 have not yet been arrested, though there was a clear case against them, Bombay High Court Chief Justice Mohit Shah directed the DCP (crime) to take immediate action. The case will now be heard at 3 pm.

Dr Prashant Patil of Dr Vaishampayan Memorial Government Medical College, Solapur, was assaulted by police inspector Arun Waikar, sub inspector Nitin Chowgule and constable Krishnath Surwase at around 2.21 am on December 31. The three policemen demanded that Dr Patil attends to a women patient even after the duty doctor informed them that he was attending to a patient having grievous injuries to his head.

On Thursday, Maharashtra Association of Resident Doctors (MARD) had announced a state–wide strike demanding action against the policemen.

While rapping the state government, Chief Justice Shah questioned why a case under cognizable and non-bailable section of the Maharashtra Medicare Service Persons and Medicare Service Institutions (Prevention of Violence and Damage or Loss to Property) Act of 2010 was not applied by the higher authorities.

"So many patients are suffering and this is not in their (doctors) interest. It is in the interest of public at large," pointed out Chief Justice Shah while urging the state government to take immediate action. The court was of the view the protest by the association in protest of the assault be called off.

The state government had informed the Chief Justice Shah earlier that the case was going to be transferred to the state Crime Investigation Department (CID) during the course of the day. “The police authorities are not in a position to explain why they did not arrest Patil and take the CCTV footage in the morning of December 31,” remarked Chief Justice Shah.

Before passing the order, Chief Justice Shah had a look at the CCTV grab showing the assault by the three policemen on Dr Patil. When the judge asked advocate appearing for the state Prajakta Shinde whether the policemen had been suspended, she replied in the affirmative.

The members of the Maharashtra Association of Resident Doctors (MARD) were also present in the court. Dr Santosh Wakchore, its president for the central region and other members pleaded before the court that the three policemen be arrested before the case is transferred to the state CID. Taking cognizance of matter, Chief Justice Shah ruled, "The DCP (crime) Solapur is directed to take immediate action and invoke Section 3, 4 of the said Act before the investigation is transferred to the state CID."

This is what happens in civil hospital to a male resident doctor

This is what happens despite Prevention of violence against Medicare Establishment and Personal Acts. (Source Dr Neeraj Nagpal)

CPR 10 success stories

1. Hands–only CPR 10 English

2. Handsonly CPR 10 (Hindi)

3. Ms Geetanjali, SD Public School Successful Story

4. Success story Ms Sudha Malik

5. BVN School girl Harshita does successful handsonly CPR 10

6. Elderly man saved by Anuja

  • Manual cleaning and high–level disinfection in an automated endoscope reprocessor (AER) may not reliably prevent transmission of multidrug–resistant bacteria by endoscopes used in endoscopic retrograde cholangiopancreatography (ERCP), according to a field investigation report published in the January 3, 2014, issue of the Morbidity and Mortality Weekly Report.
  • The investigational humanized monoclonal antibody romosozumab (Amgen and UCB Pharma) increases bone mineral density (BMD) and bone formation and reduces bone resorption in postmenopausal women with low bone mineral density, as per findings of a phase 2, multicenter, randomized, placebo–controlled study in the New England Journal of Medicine.
  • Finnish researchers report in JAMA that more than half of all women surveyed reported having persistent pain, and a large proportion of respondents said the pain was moderate or severe a year after surgery for breast cancer. Of 860 women surveyed, 34.5% reported having no pain 12 months after surgery, 49.7% said they had mild pain, 12.1% reported moderate pain, and 3.7% said their pain was severe.
  • Manual and mechanically–assisted chest compressions showed no differences in 4–hour survival or neurological outcomes in patients with out–of–hospital cardiac arrest. In a study in JAMA, compared with manual cardiopulmonary resuscitation (CPR), pneumatic device–assisted chest compressions with defibrillation during compressions had statistically similar outcomes for 4–hour survival.
  • The American Academy of Neurology (AAN) has issued evidenced–based recommendations on screening for, diagnosing, and treating psychiatric disorders in individuals with multiple sclerosis (MS). According to the authors, if these disorders are not detected and treated, they can worsen functioning and quality of life, interfere with adherence to treatments for MS and increase the risk of suicide.

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Rabies News (Dr. A K Gupta)

Do antibodies from rabies vaccination cross an intact blood–brain barrier?

No. Antibodies from vaccination do not cross an intact blood–brain barrier.

cardiology news

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

  • A new study in the journal Neurology has shown herpes zoster (shingles) to be an independent risk factor for transient ischemic attack (TIA) and myocardial infarction (MI) in all adults up to 24 years after an acute episode, and for stroke as well, although only among people whose HZ occurred when they were under 40 years of age. The authors suggest that people who are found to have risk factors for vascular disease should be vaccinated to prevent herpes zoster, which in itself is a severe disease, though it’s not clear yet whether the vaccine will prevent stroke.
  • Women with high blood pressure are at higher risk than men for vascular disease, according to a study published in the journal Therapeutic Advances in Cardiovascular Disease. Results showed that compared with men who had the same level of high BP, the women in the study had 30–40% more vascular disease. Physiologic differences in the cardiovascular systems of women, such as the levels and types of hormones involved in regulating BP were also observed, which according to the researchers could affect the severity of heart disease.
cardiology news

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

  • High–quality information for physicians on prescribing antibiotics to kids is tough to find on the Web, new findings show. Dr. Francois Dubos of Hopital Roger Salengro in Lille, France, and his colleagues report in the Journal of the Pediatric Infectious Diseases Society, that while their initial Google search using the words "antibiotics, education, children" yielded nearly 10 million hits, they wound up identifying just 10 sites targeting health care professionals that provided information on antibiotic prescribing for children. And just two of these sites, one from the Alliance for the Prudent Use of Antibiotics (APUA) and the other from the Centers for Disease Control and Prevention (CDC), got the highest possible scores on quality criteria.
  • In two separate clinical trials, researchers at Albert Einstein College of Medicine of Yeshiva University have found that periodic meetings with a lactation consultant encourages women traditionally resistant to breastfeeding to do so, at least for a few months – long enough for mother and child to gain health benefits. The results of the trials were published online in the American Journal of Public Health. The American Academy of Pediatrics (AAP) recommends exclusive breastfeeding for the first six months after birth, followed by continued breastfeeding for one year or longer as other foods are introduced.
cardiology news

Treatment of Fatty Liver

  • A 10% weight loss can improve fatty liver and possibly inflammation.
  • Metformin and ursodeoxycholic acid (UDCA) are not recommended.
  • Statins are safe in patients with fatty liver but whether they can reduce fatty liver is not known.
  • Omega–3 fatty acids have been tried
  • Pioglitazone is useful in the treatment of biopsy–proven fatty liver with inflammation
  • Vitamin E at a dose of 800 IU/day improves liver inflammation
  • Use of bariatric surgery for treatment of fatty liver is premature and should be avoided in patients with cirrhosis.
cardiology news

Total CPR since 1st November 2012 – 84073 trained

Media advocacy through Web Media

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press release

Diet rich in whole grains can prevent heart attack, paralysis, obesity & diabetes

Diets rich in whole grains, fruits and vegetables can prevent heart attack, paralysis, obesity and diabetes, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India & National Vice President IMA.

There are four major types of diet. First is a healthy diet consisting of fruits, vegetables and legumes. The second is western or Swedish diet full of red meat, processed meat, poultry meat, rice, pasta, eggs, fried potatoes and fish. The third type is alcohol based with wine, liquour, beer and snacks. The fourth type of diet is sweet taste diet consisting of sweet baked food, candy, chocolates, jam and ice cream.

Dr. Aggarwal said that it is only a healthy diet, which is associated with reduced risk of heart attack. A low risk behavior is characterized by high intake of whole grains, fish, vegetables, fruits and legumes, moderate alcohol consumption, along with not smoking, being physically active and being relatively thin.

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 84073 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."

emedipicstoday emedipics

Suraj Bhan D.A.V. Public School students learned CPR–10

press release

To err is human

vedio of day

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

A primigravida at 37 week of gestation reported to labour room with central placenta praevia with heavy bleeding per vaginum. The fetal heart rate was normal at the time of examination. The best management option for her is:

1. Expectant management.
2. Caesarean section.
3. Induction and vaginal delivery.
4. Induction and forceps delivery.

Yesterday’s Mind Teaser: A hemodynamically stable nulliparous patient with ectopic pregnancy has adnexal mass of 2.5 x 3 cms and Beta hCG titre of 1500 mIU/ml. What modality of treatment is suitable for her?

1. Conservative management
2. Medical management
3. Laparoscopic Surgery
4. Laparotomy

Answer for yesterday’s Mind Teaser: 2. Medical Management.

Correct answers received from: Dr Uma maheswari Tata, Dr K Raju, Dr Jainendra Upadhyay, SK Biswas, Dr Pankaj Agarwal, Dr Bitaan Sen & Dr Jayashree Sen, Daivadheenam, Dr ajay Gandhi, Dr Manjit Mohi, Tukaram Pagad.

Answer for 3rd January Mind Teaser: 2. Punch biopsy

Correct answers received from: Tukaram Pagad.

Send your answer to ijcp12@gmail.com

indianoil
lic
centralbank
medicolegal update

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medical querymedical query

medicolegal update
medicolegal update

Everything happens for a Reason, The hard part is finding the Reason.

medicolegal update

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medicolegal updatemedicolegal update

medicolegal update

Situation: An adult undergoing bronchoscopic biopsy developed infective endocarditis.
Reaction: Oh my God! Why was IE prophylaxis not given?
Lesson: Make sure, that all procedures of the respiratory tract that involve incision or biopsy of the respiratory mucosa include IE prophylaxis.

medicolegal update

Dreams aren’t those that you have when you are asleep, dreams are those that don't let you sleep till they are fulfilled!

medicolegal update

Dr KK Aggarwal: Shorter the waist line, longer the life line http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Photons cannot be seen but make seeing possible http://bit.ly/15QdVeB #Health

medicolegal update
  1. Dear Sir, emedinews is very informative. Regards: Dr Kanak

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