eMedinewS 7th July 2013, Sunday

     Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal

Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); National Vice President Elect Elect, Indian Medical Association; 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); Editor in Chief IJCP Group & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at
www.twitter.com/DrKKAggarwal
www.facebook.com/Dr KKAggarwal

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

From the Desk of Editor in Chief



A Tribute to my friend, Shri Anil Jaju

On Friday night, my friend Shri Anil Jaju passed away. My association with him goes back for over thirty years. He was the Founder Director of Heart Care Foundation of India.

In his passing, not only did I lose a dear friend, we as a community also lost an inspiring mentor and a health reformer. A true karmayogi, he regarded work as worship for the whole society. He always lived his life according to his belief that activities for the mankind should be the responsibility of each and every person.

Vedanta explains that we are not just our physical body. We are also mind, intellect and the soul. The soul or the consciousness is the source of happiness or ananda. The attainment of happiness is not through material things, but through righteous conduct (dharma).

When the body dies, the soul is still alive. It never dies. The soul is omnipresent, omniscient and omnipotent.

Our purpose of life should be to stay alive after death. It’s our actions or conduct that will keep us alive in the hearts of people.

Through his actions, ideals and conduct, Shri Anil Jaju has left a tremendous impact on the lives of many and so he will always remain with us. ...Read More

sprritual blog Medical Profession Follows Krishna and Not Rama

Teachings from both the epics of our country are practically taught to every child during school age. The first being Ramayana and the second being Mahabharata. Ramayana depicts Lord Ram as the savior of truth and a person who lives in an atmosphere of truthfulness till the end. Ramayana probably is a reflection of the collective consciousness of satyuga where the majority of the people believed in truthfulness.

Then came the treta yuga and the dwapara yuga where the definition of dharma (to hold people together) changed as per the collective consciousness of the people. In Mahabharata, Lord Krishna teaches us that you have to live with truthfulness but speaking a lie can be your dharma in special situations. He said that a lie which can save somebody’s life without affecting any other person may be spoken and a truth, which can hurt somebody if spoken and is not going to harm anybody if not spoken may not be spoken.

Today we are living in Kalyuga and Krishna of today is every medical doctor treating a patient. For the interest of the patient and the society if doctors were to follow the principles of Rama, miseries would have increased. We as medical professionals are taught the example of Krishna and not Rama. We are taught that our utmost duty is the comfort of the patient. In doing so we are taught not to tell a dying person that he is going to die or not to tell a cancer patient that he is going to die in the next two to three months. ...Read More

cardiology news
pediatrics news
wellness blog

Pain Management

  • Pain is a common occurrence in day-to-day life and should be managed well. ...Read More
cmaao

Facts

  • The term ‘intimate partner violence’ describes actual or threatened psychological or physical or sexual harm by a current or former partner or spouse.
  • Read More
press release

One can predict acute lung injury

eheartcarenews

CPR VIP Sensitization (Dr K K Aggarwal)

3rd July: Dharmender Kumar Special Commissioner Crime Police

World Zoonosis Day Celebrated

On the occasion of the World Zoonosis Day, a day-long conference was organized at IMA Hall by Heart Care Foundation of India, Millennium India Education Foundation and Indian Council for Agricultural Research, Govt. of India.

In his message, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that zoonosis is any infectious disease that is transmitted by animals, both wild and domestic, to humans. Zoonoses constitute 60% of known human infections. Seventy-five percent of emerging pathogens of zoonotic diseases are typically endemic and occur in natural foci. Some of them such as rabies, anthrax, bird flu, SARS, etc. may be potentially life-threatening ...Read More

News Around The Globe

Shri Anil Jaju Director of Heart Care Foundation Passes Away

Shri Anil Jaju Director Heart Care Foundation of India passed away at 8:30 PM on 5th July 2013 due to a sudden cardiac arrest. Anil Jaju was the Director of the Foundation and made an immense contribution to the Foundation’s Community Services.

He was the Past President of Maheshwari Club, an Industrialist and a renowned Social Worker. He always lived his life according to his teaching that activities for the mankind should be the responsibility of each and every person.

On his death, Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India said that we have lost a great mentor and health reformer. We will keep his work and guidance alive forever for mankind.

Decisive victory for AMC

(Dr. Shivkumar. S. Utture, Past President IMA Mumbai Branch, Executive Comm. Maharashtra Medical Council)

In High Court, IRDA informs withdrawal of circular restricting insurance claims from NH less than 15 beds.

Initial Eliquis effective for preventing recurrent VTE

An oral fixed-dose therapy to treat venous thromboembolism (VTE) demonstrated noninferiority to treatment with a combination of subcutaneous and oral drugs, investigators in a large multinational trial reported. (Source: Medpage Today)

Pre-pregnancy diabetes ups MRSA risk

Women who have diabetes before becoming pregnant are at increased risk for developing methicillin-resistant Staphylococcus aureus (MRSA) infection during hospitalization for labor and delivery, a national study found. (Source: Medpage Today)

Device offers cluster headache relief

A small, implanted electrostimulator helped about 25% of patients with frequent cluster headaches obtain virtually immediate and complete relief from acute attacks, researchers said at the International Headache Congress. (Source: Medpage Today)

Drug patch gets OK for severe Alzheimer's

The FDA has expanded the indication for transdermal rivastigmine to include patients with severe Alzheimer's disease. (Source: Medpage Today)

LymphoSIGHT detects MRD not found with conventional methods

A novel investigational high-throughput sequencing technology, known as the LymphoSIGHT (lymphocyte sequencing of immunoglobulin and T-cell receptors) platform, is comparable to a more conventional but cumbersome method of detecting minimal residual disease (MRD) in patients with acute lymphoblastic leukemia (ALL), according to a study presented here at the 18th Congress of the European Hematology Association (EHA). (Source: Medscape)

eMedipics

today emedipics

Doctor Day Celebration

On the occasion of Doctors Day, a CME was organized by IMANDB, eMedinewS and Heart Care Foundation of India on 29th June 2013 at IIC, New Delhi

Valvular Heart Disease Update

Underlying atherosclerosis

The presence of underlying coronary or aortic atherosclerosis affects the treatment and outcome of elderly patients in whom surgery is considered for valvular disease. The 2006 ACC/AHA and the 2007 European Society of Cardiology guidelines on the management of valvular heart disease included recommendations for coronary angiography in patients undergoing valve surgery, which would include all elderly patients.

(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)

Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

How is the recipient couple evaluated?

The physician should obtain a comprehensive medical history from both partners.

  • In addition, the female assessment will include a comprehensive gynecologic history and complete physical exam. From a laboratory perspective, the female should have an assessment of ovarian reserve, when appropriate, with at minimum, a measurement of day 3 follicle–stimulating hormone (FSH) blood levels, blood type and Rh, and rubella and CMV. A Pap smear and cultures for Neisseria gonorrhea and Chlamydia trachomatis should be obtained. The female partner should have an evaluation of her uterine cavity with a hysterosalpingogram (HSG), sonohysterogram (SHG), or hysteroscopy. If the female recipient is over the age of 45 years, a more thorough evaluation with assessment of cardiac function, risk for pregnancy–induced hypertension and gestational diabetes should be considered.
  • The male assessment will include a semen analysis. The intended recipient couple should be screened for syphilis, hepatitis B and C, HIV–1 and HIV–2.

Rabies Update (Dr. A K Gupta)

If vaccination is required for a person bitten by a vaccinated dog, then why vaccinate the dog at all?

Vaccinating the pet dog is primarily to protect it against contracting rabies following bites by stray rabid dogs/animals. No veterinary vaccine offers 100% protection against rabies. Rabies is enzootic in our stray animal/dog population. The facility of protective antibody titer test (in vaccinated dog) is available only at a few centers in the country. The facility to quarantine the bitten vaccinated pet is limited and difficult. In view of the above facts and practical realities, rabies being 100% fatal, we take no chances and start PEP (immunization) in the bitten person and presume the vaccinated dog to be incubating rabies (and infective) and simultaneously observe the dog.

However, in extremely rare situations exception to the above thumb rule can be made at the professional discretion of the treating physician.

medicolegal update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

Doctor is neither a detective nor a curtain between injured/sick alleged criminal and police or judiciary.

  • The primary and absolutely transparent duty of a doctor/hospital is . Read More
ijcp book of medical records
medicolegal update

What are the laws applicable regarding advertising by a cardiologist?

Ans: The following laws are applicable

A: MCI 6.1 Advertising: 6.1.1 Soliciting of patients directly or indirectly, by a physician, by a group of physicians or by institutions or organisations is unethical. Read More

dr good dr bad

Situation: A patient with hypothyroidism had low levels of free T3 and freeT4.
Dr. Bad: Take a combination of synthetic T3 and synthetic T4.
Dr. Good: Take only synthetic T4.
Lesson: T4 is a prohormone with very little intrinsic activity. T4 is converted into T3 in the body. As a result, the serum Read More

make sure

Situation: An elderly patient with unstable angina presented with URTI and was found to be positive for Chlamydia pneumoniae infection.
Reaction: Remember to start macrolides immediately.
Lesson: Make sure to remember that erythromycin 2 g/day for 10–14 days reverses the increased risk of atherosclerosis.

quote of the day

Good manners sometimes means simply putting up with other people's bad manners. H. Jackson Brown, Jr.

twitter of the day

Dr KK Aggarwal: Even the dead body needs respect New Delhi, 4th July, 2013: Moderating a session organized by All India (cont) http://bit.ly/14JxRjo #Health

Dr Deepak Chopra: "You only know real meditation after you are awakened by transmission from a real master." Is this true?
http://bit.ly/14JxRjo #Health

emedinews humor

A housewife goes to an optometrist and says: Lately I’m seeing grocery items smaller than they appeared till recently. I think I need a change of my eyeglasses.

The optometrist after examining her eyes for refraction and finding no change in dioptric values observes: Manufacturers of grocery items, rather than increasing Read More

reader response

In Eastern UP, Ayush doctors are providing medical facilities and services to seventy-five percent of the population. In most hospitals, they are the backbones as junior doctors and medical officers; hence this issue is to be tackled carefully. They can be registered under a different para or some via media has to be found out. Vivek Kumar, Varanasi.

An Inspirational Story

MBA and the fisherman

An American businessman was at a pier in a small coastal Mexican village when a small boat with just one fisherman docked. Inside the small boat were several large yellow–fin tuna. The American complimented the Mexican on the quality of his fish and asked how long it took to catch them.

The Mexican replied only a little while. ............Read More

eMedi Quiz

Read this…………………

An infant, age 8 months, has a tentative diagnosis of congenital heart disease. During physical assessment, nurse Jasmine measures a heart rate of 170 beats/minute and a respiratory rate of 70 breaths/minute. How should the nurse position the infant?

a. Lying on the back
b. Lying on the abdomen
c. Sitting in an infant seat
d. Sitting in high Fowler’s position

Yesterday’s Mind Teaser: The most common manifestation of cutaneous adverse reaction to food is.......

A. Acute urticaria
B. Pruritus
C. Flare of atopic dermatitis
D. Contact urticaria

Answer for yesterday’s Mind Teaser: A. Acute urticaria

Correct answers received from: Dr Shashi Saini, Dr ABBAS VAKIL, Muthumperumal Thirumalpillai, Dr.K.V.Sarma, Dr. B.B. Gupta, Dr Gajveer, Tukaram Pagad, Dr.(Maj. Gen.) Anil Bairaria, Dr Pankaj Agarwal, Dr Chandresh Jardosh, Dr B K Agarwal, pushpa otiv, Dr.Bitaan Sen & Dr.Jayashree Sen.

Answer for 5th July Mind Teaser: D. All the above

Correct answers received from: DR.A.K.GAJJAR, Dr.Bitaan Sen & Dr.Jayashree Sen.

Send your answer to ijcp12@gmail.com

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Forthcoming Events



Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Name
Date
Time
Place
Duration
Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

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