eMedinewS7th November 2013, Thursday

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

All set for new constituted MCI

The desks for the new MCI elected body were cleared today by the Government of India notifying the new elected MCI members. The government also declared the nine names of its nominated members. With this, now the process of electing its office bearers starts. Ultimately, it is a victory of the truth and one is ultimately able to see the democratic process on its way.

ASCO: 5 More Cancer Practices should stop

Number 1: Appropriate antiemetics for patients on chemotherapy regimens should be based on the regimens’ risk of causing nausea and vomiting

Number 2: Use single–drug chemotherapy when treating an individual for metastatic breast cancer unless the patient needs urgent symptom relief

Number 3: Avoid using advanced imaging technologies — PET, CT, and radionuclide bone scans — to monitor for a cancer recurrence in patients who have finished initial treatment and have no signs or symptoms of cancer

Number 4: Do not perform PSA testing for prostate cancer screening in men with no symptoms of the disease who are expected to live less than 10 years

Number 5: Do not use a targeted therapy unless a patient’s tumor cells have a specific biomarker that predicts a favorable response to that therapy

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

Life after Death: The Zoroastrian Perspective

sprritual blog

‘In the Bronze Age, Prophet Zarathushtra of Iran preached a religion of moral conduct and personal responsibility. As a man lived, so would be his reward or punishment in the world to come. Zoroastrian beliefs in the resurrection, the permanence of the soul and eternal life, have influenced all religions that followed.

In the ‘Gathas,’ the Prophet in his own words speaks of how Good Thoughts, Good Words & Good Deeds take the soul to the Bridge of Choice or ‘Chinvat Pul, on the third day after death. While prayers are chanted on earth for the soul, it faces judgment at this crossing. For the soul which has performed well on earth and contributed to protecting this good Creation of Ahura Mazda, the Bridge widens to 9 spear lengths, while to the soul who has hurt humanity and Creation, the Bridge narrows to become a razor’s edge, impossible to cross. The metaphor of the Bridge is that we can or cannot cross to Paradise due to the choices we make when we are living. Thus our deeds are most important and our lives need to be led with responsibility.

Beyond the Chinvat Bridge lies Garothman, the House of Light & Song. The word Paradise comes from the Persian ‘Pairideza’, a beautiful garden. So Heaven is seen as a place of sweet scented breezes, flowers, light and song. There, families re–unite to live in bliss.

Zoroastrianism is a linear philosophy; we have only this life and need to live it well. There are no cycles of re birth, nor is there a Savior to take away our sins by his sacrifice. Each human is totally responsible for this life, granted to us to help the Good Creation reach perfection. There is strict justice and yet at the 'Frashokereti' or End Of third time, the whole of creation will be perfected arid purified.

The Pahlavi Books, in particular ‘The Bundahishn’, speaks of the end of time as an apocalypse, the mountains will melt and a sea of molten metal will flow across all Creation. To the good soul it will seem like bathing in warm milk, but to the wrong doers, it will be a searing purge. After this however, all being will be pure again, and time will stop. Humans will be permanently youthful, healthy and joyous. Evil, illness, hate and pain will vanish and the Glory of the Good Creation will live on forever.

cardiology news

A woman repeated a bit of gossip about a neighbor. Within a few days the whole community knew the story. The person it concerned was deeply hurt and offended.

Later the woman responsible for spreading the rumor learned that it was completely untrue. She was very sorry and went to a wise old sage to find out what she could do to repair the damage.

"Go to the marketplace," he said, "and purchase a chicken, and have it killed. Then on your way home, pluck its feathers and drop them one by one along the road."

Although surprised by this advice, the woman did what she was told.

The next day the wise man said, "Now go and collect all those feathers you dropped yesterday and bring them back to me."

The woman followed the same road, but to her dismay, the wind had blown the feathers all away. After searching for hours, she returned with only three in her hand.

"You see," said the old sage, "it’s easy to drop them, but it’s impossible to get them back. So it is with gossip.

It doesn’t take much to spread a rumor but once you do, you can never completely undo the wrong."

News Around The Globe

News

  • The Daily Telegraph reports that David Sellu, 66, a surgeon, has been jailed for two and a half years and criticized for providing "exceptionally bad" care after James Hughes, a 66–year–old father of six, died at Clementine Churchill Hospital in Harrow, a private hospital in north–west London, following a routine operation.
  • People living with AIDS/HIV (PLWHA) are at 10–fold increased risk for contracting invasive meningococcal disease (IMD), according to a 12–year epidemiologic study published online October 29 in the Annals of Internal Medicine.
  • Frequency doubling technology perimetry (FDT2) or frequency doubling matrix perimetry, a new technique to detect visual field deteriorations in glaucoma patients may not be as good as the old standard method, reports a study published in JAMA Ophthalmology.
  • Obesity may be a risk factor for Clostridium difficile infection (CDI), according to results from a retrospective cohort study of 132 cases seen at a tertiary care medical center. In a study reported in the November issue of Emerging Infectious Diseases, patients with simple community–onset infections were more than 4 times as likely to be obese as patients who had community–onset infections that came shortly after an exposure to a healthcare facility.
  • The future of cervical abnormality detection, and thus the prevention of invasive cancers, lies in testing for human papillomavirus (HPV), rather than the more established cytology screening, according to the largest study to date. In fact, HPV screening appears to offer 60% to 70% greater protection against invasive cervical cancer than cytology. The study results were published online November 2 in the Lancet.
  • Ponatinib (Iclusig), the leukemia drug has been temporarily pulled from the market by its manufacturer as requested by the FDA because of the risk for life–threatening blood clots and severe narrowing of blood vessels. Ponatinib is indicated for adults with chronic–phase, accelerated–phase, or blast–phase chronic myeloid leukemia or Philadelphia chromosome–positive acute lymphoblastic leukemia who do not tolerate or no longer benefit from other therapies, such as imatinib (Gleevec, Novartis).

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Rabies News (Dr. A K Gupta)

How are adverse reactions to ERIGs managed?

Anti–sera of equine origin may cause anaphylactic shock and thus sensitivity testing is mandatory before giving ERIG. A negative skin test must never reassure the physician that no anaphylactic reaction will occur.

cardiology news

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

  • Patients undergoing primary PCI for ST–elevation MI (STEMI) under conditions of induced hypothermia don’t benefit with smaller infarcts, at least not in general, according to the negative primary result of the CHILL–MI trial. A study presented at the TCT 2013 has suggested in post hoc analyses that the technique of rapidly cooling core body temperature by a few degrees throughout coronary stenting just might limit infarct size in patients with large anterior MIs who get to the cath lab within 4 hours of onset of symptoms.
  • The OPTIMIZE study presented at TCT 2013 has suggested that patients who took just three months of aspirin plus clopidogrel following PCI with a zotarolimus-eluting stent (Endeavor, Medtronic) faced risks of adverse events similar to those of patients who took the recommended 12 months of dual antiplatelet therapy (DAPT). The study is published in the JAMA.
cardiology news

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

  • A new study presented at the Child Neurology Society (CNS) 2013 Annual Meeting has suggested that overuse of analgesics after concussion may exacerbate concussion–related headaches or make them chronic. The researchers advise minimizing analgesics or discontinuing them when headaches continue several weeks after the concussion.
  • Symptoms of acute ischemic stroke in children appeared to be similar to those in adults, but the features of the symptoms did vary based on the age of the child and other health issues. In a study, arterial ischemic stroke presented with focal features such as facial or arm weakness or slurred speech in 85% of children, and diffuse features like headache and decreased level of consciousness presented in 61%, who were more likely to be older. Seizures were found in 29% of children, who were more likely to be younger.
cardiology news

Meditation may reduce death, heart attack and stroke in heart patients

Transcendental Meditation twice–daily helped African Americans with heart disease reduce risk of death, heart attack and stroke. Meditation helped patients lower their blood pressure, stress and anger compared with patients who attended a health education class.

African Americans with heart disease who practiced Transcendental Meditation regularly were 48 percent less likely to have a heart attack and stroke or die from all causes compared with African Americans who attended a health education class over more than five years, according to new research published in the American Heart Association journal Circulation: Cardiovascular Quality and Outcomes.

Those practicing meditation also lowered their blood pressure and reported less stress and anger. And the more regularly patients meditated, the greater their survival, said researchers who conducted the study at the Medical College of Wisconsin in Milwaukee.

The National Heart, Lung and Blood Institute funded the study. (Medline)

cardiology news

Total CPR since 1st November 2012 – 69833 trained

Media advocacy through Web Media

Diabetes mainly linked to obesity

Type 2 diabetes mellitus is strongly associated with obesity said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

More than 80 percent of cases of type 2 diabetes can be attributed to obesity.

  1. There is a curvilinear relationship between BMI and the risk of type 2 diabetes.
  2. Lowest risk is associated with a BMI below 22 kg/m2.
  3. At a BMI greater than 35 kg/m2, the relative risk for diabetes adjusted for age increases to 61. The risk may further increase by a sedentary lifestyle or decrease by exercise.
  4. Weight gain after age 18 years in women and after age 20 years in men increases the risk of type 2 diabetes.
  5. The Nurses’ Health Study, compared women with stable weight (those who gained or lost <5 kg) after the age of 18 years to women who gained weight. Those who had gained 5.0 to 7.9 kg had a relative risk of diabetes of 1.9; this risk increased to 2.7 for women who gained 8.0 to 10.9 kg.
  6. Similar findings were noted in men in the Health Professionals Study. The excess risk for diabetes with even modest weight gain is substantial.
  7. Weight gain precedes the onset of diabetes. Among Pima Indians (a group with a particularly high incidence of type 2 diabetes), body weight gradually increased 30 kg (from 60 kg to 90 kg) in the years preceding the diagnosis of diabetes. Conversely, weight loss is associated with a decreased risk of type 2 diabetes.
  8. Insulin resistance with high insulin levels is characteristic of obesity and is present before the onset of high blood sugar levels.
  9. Obesity leads to impairment in glucose removal and increased insulin resistance, which result in hyperinsulinemia. Hyperinsulinemia contribute to high lipid levels and high blood pressure.

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 71933 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

20th MTNL Perfect Health Mela

press release

Vitamin D intake associated with reduced risk for Crohn’s disease

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

The conversion of an optically pure isomer (enantiomer) into a mixture of equal amounts of both dextro and levo forms is called as:

1.Polymerization.
2.Stereoisomerization.
3.Racemization.
4.Fractionation.

Yesterday’s Mind Teaser: The primary role of chaperones is to help in:

1.Protein synthesis.
2.Protein degradation.
3.Protein denaturation.
4. Protein folding.

Answer for yesterday’s Mind Teaser: 4. Protein folding.

Correct answers received from: Dr.K.Raju, DR ABBAS VAKIL, dr. jatinderjit singh, Dr Arpan Gandhi, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, DR AVTAR KRISHAN,

Answer for 4th November Mind Teaser: 2.Hypertrophied clitoris.

Correct answers received from: Dr Arpan Gandhi

Send your answer to ijcp12@gmail.com



medicolegal update

Click on the image to enlarge

medicolegal update

Man call home. Maid answers phone. He says, "Can I speak to my wife?" She says, "No, she’s upstairs in bed with her boyfriend."

Man says, "OK, go to the hell closet and take out my shotgun. Go upstairs and kill them both." Being the loyal maid, she says, "Ok."

Five minutes later she picks up the phone and says, "Ok, they’re both dead. What should I do with the bodies?" he says,

"Throw them in the pool, and I’ll take care of them when I get home."

She says, "We don’t have a pool."

Man said, "Oh I am sorry I think it was wrong number.

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A hypertensive patient on atenolol developed erectile dysfunction (ED). Atenolol was stopped.
Reaction: Oh my God! Why did you stop the beta–blocker? You should have just switched over to nebivolol.
Lesson: Make Sure that nebivolol is used as the beta–blocker of choice in a hypertensive patient with ED (Source: Asian J Androl 2006;8(2):177–82).

medicolegal update

Forget failures. forget every thing except what you’re going to do now and do it. William Durant

medicolegal update

Dr KK Aggarwal: Sudden Cardiac Death By Dr k k Aggarwal http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Why is food that is so delicious so bad for us and yet food that is healthy for us, I just don’t like? http://tinyurl.com/kuf6zpm

medicolegal update
  1. Dear Sir, Nice Spiritual blogs. Regards: Dr Tirath

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