eMedinewS7th September 2014, Sunday

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

For TB control prevent diabetes in the community

If you want to control TB, prevent diabetes in the community, especially in India where rates of TB are amongst the highest and where the incidence of type 2 diabetes is rising sharply.

As per a WHO report published online September 4 in The Lancet Diabetes & Endocrinology, patients with either diabetes or TB need to be cross–checked for the other disease.

Fifteen percent of adult TB cases worldwide are already attributable to diabetes, with more than 40% occurring in India and China alone.

Diabetes can go undiagnosed for a long period, so it makes sense to do proactive screening for diabetes in all patients with TB. Conversely, diabetes should be on the clinical radar when caring for people with TB.

News Around The Globe

  • Aound 200 experts convened by the World Health Organization (WHO) concluded after a 2–day meeting at WHO headquarters in Geneva that blood–derived therapies and convalescent serum may be used for the treatment of Ebola virus disease, and that blood transfusions from Ebola survivors might prevent or treat Ebola infection in others.
  • Researchers have developed a new tool that can accurately identify patients with chronic migraine (CM). The screening questionnaire, called the ID–CM, can potentially be used by physicians or by patients themselves. The data was presented recently at the PAINWeek.
  • The ReCharge study, published in the September 3 issue of JAMA, has pointed that vagal nerve blockade therapy may be associated with more weight loss in obese patients than a sham control device. Researchers noted that participants with vagal nerve blockade lost 9.2% of their body weight compared with a 6.0% loss in the sham group.
  • A novel glucose monitoring system, Abbott’s Freestyle Libre, has been licensed for use in the European Union and received the CE Mark on September 3. The system monitors interstitial tissue glucose levels every minute via a disposable round sensor, with a small catheter inserted under the skin, worn on the back of the upper arm for up to 14 days.
  • Use of certain antimicrobial agents may be associated with an increased risk of hypoglycemia in older patients on sulfonylureas, suggests a new study published online September 1 in JAMA Internal Medicine.

Rabies News (Dr A K Gupta)

Can a rabies vaccine be given to a pregnant woman?

Following animal bite, rabies vaccine can be given to a pregnant woman. Medical termination of pregnancy should not be done as a routine clinical practice.

Cardiology eMedinewS

  • The ATLANTIC study has shown that giving ticagrelor to STEMI patients in the ambulance en route to a PCI–capable hospital does not improve coronary reperfusion preprocedure, but can potentially reduce the early risk of stent thrombosis. The findings were presented recently at the European Society of Cardiology 2014 Congress.
  • Two–year results from the FAME–2 study have shown that PCI is superior to medical therapy for the reduction of hard clinical end points in patients with stable coronary artery disease. Researchers stressed that PCI is superior to medical therapy as along as fractional flow reserve (FFR) is used to guide treatment decisions. The data has been presented at the European Society of Cardiology (ESC) 2014 Congress.

Pediatrics eMedinewS

  • New international standards for fetal growth and newborn size, published in The Lancet, provide the first accurate measurements of ideal growth and development from conception to birth. The new standards represent a healthy pattern of growth that is desirable for all fetuses and newborns, irrespective of the ethnic origin.
  • An article published in the September issue of Annals of Allergy, Asthma and Immunology, has suggested that it is more probable that childhood obesity contributes to asthma, although the connection is complex and has many factors.

Dr K K Spiritual Blog

Low Self Esteem

Low self esteem is opposite of ego. Supportive psychotherapy is often used to treat depression by improving self esteem.

Low self–esteem always develops when one compares their skill or knowledge with somebody else. We often forget that for passing marks, we only need 50%. One who passes with 50% is a good student.

But the same person, when compares himself or herself with a student who has got 90%, he or she feels that his education was inferior as he was not as competent as others.

Remember that one is required to possess average degree of knowledge and skill and not the maximum degree of skill and knowledge. In the society, one needs to possess only average degree of skill and knowledge.

For example, if a person has passed MBBS with 50% marks, he or she is allowed to practice medicine with full powers and respect. There may be chances when a person who is 90 percentile may be able to take some better decisions but the same does not make him a superior doctor.

The fundamental principle in self–esteem is to make a person proud of his personal knowledge and skills and also to bring out his or her uniqueness.

Passion and profession are two different things. We should judge an individual from is passion and not profession.

Wellness Blog

Do not replace saturated fat with refined carbohydrates: white sugar, white rice and white maida may be more harmful

It is wrong to say eat less fat; the real message should be eat more fresh fruits and vegetables.

White advocating low–fat diets it is easier for patients to understand advice given in terms of foods e.g., "Eat more fresh fruit" rather than nutrients or "Reduce your intake of fat to less than 30 percent of your total energy intake."

The message to reduce fat has been translated by food manufacturers and consumers into a potentially harmful set of food choices.

Instead of replacing high–fat foods with naturally low–fat foods with other benefits, such as fruits, vegetables, legumes, and whole grain foods, consumers have often increased their consumption of low–fat or "fat–free" varieties of naturally high–fat foods, such as fat–free snack or junk foods.

The result is an increase in refined carbohydrates which lower good HDL–cholesterol concentrations with a possible increase in the incidence of type 2 diabetes and obesity, and failure to gain the benefits of more.

Inspirational Story

Deadlines and Details

"I love to think about God"…

A simple statement by a simple child. Children keep things simple (Matthew 11:25). Life has yet to confound or confuse them with deadlines and details. Oh, but to be a child again. No hurries, no worries. Inquisitive and curious about everything from earth worms to wrinkled hands. The "whys" and "how come" questions seem unending.

A weary mother wonders if they ever will. Sure enough, they do. And when they do, she wonders where the time went.

She looks down one day and sees the wrinkled hands her children wondered about. The earth worms that stirred awe in them then, bore them now. Vacation Bible school is a misty memory. Swing sets and park slides suddenly slip into nostalgia. Right before her eyes, just a blink, and little lives change. Paychecks, peer pressure, and drug driven parties are now their problems and priorities. The children that knew not a worry in the world are at this instant in the middle of it. She prays the world doesn’t get the best of her oldest or give its worst to her youngest. Oh, but to have the questions asked again.

Hindsight allows her to see that her weary, worried, and hurried ways simply weren't worth it. It was optional. It was a choice. And she sees that because it was, they must have been watching. Perhaps it was the harsh tone or the infrequent hugs following so many frustrating days at work. Why? How come? She is pained by the questions. Their questions are hers. What they must have felt, she feels. Her empty nest isn’t a syndrome some self–help book can better. Alone she sits, loathing self–centeredness. Every ill–spoken word and the words that should have been beg for answers. It has finally hit home and her heart is breaking because they no longer are.

The phone rings and she lets it go unanswered. Moments later it rings again and cautiously she decides to answer. Her prayer is answered. The world hasn’t won.

Her son’s voice has gotten deeper and his first love has too. "Mom?" he utters with questioning inflection. She stills her spirit to prepare to answer. "I still love to think about God."

A simple statement by still your child.

Listen to your children. Why? How come? Very simply. Weary, worried, and hurried ways simply aren’t worth it. By the way, a lot of sage is in the tender mercies of mouths of mere babes.

ePress Release

Over 500 Cardiologists and Physicians attend the 4th Innovations in Cardiology Summit

Renowned experts including Dr Naresh Trehan, Dr Rajneesh Kapoor, Dr KK Aggarwal Dr Miroslaw Ferenc and Dr Yogesh Varma discuss latest trends and innovations in the treatment of heart disease

Reinforcing its commitment to revolutionizing the approach towards the treatment of heart disease, Medanta Medicity, India’s leading multi–specialty hospital and its Senior Director of Interventional Cardiology, Dr Rajneesh Kapoor organized the fourth Innovations in Cardiology Summit at the Oberoi Hotel in Gurgaon today. Over 500 leading cardiologists and physicians attended the summit from across the globe. The key discussions at the summit included the latest techniques and procedures in Interventional Cardiology including echocardiography, electrophysiology and clinical cardiology.

Started in 2011, the Innovations in Cardiology Summit is one of the leading platform’s that India has to offer for doctors and key industry influencers to come together and discuss new developments in Interventional Cardiology. The educational content, renowned national and international faculty participation and academic integration of regional thought leaders was one of the key highlights of the meeting this year.

In his inaugural address, Dr Naresh Trehan, Chairman and Managing Director of Medanta Medicity, Gurgaon said, "In the past decade, the Indian healthcare sector has witnessed a complete transformation. We are now a hub of technological innovations, advanced research projects and world–class medical services. The Innovations in Cardiology Summit is an opportunity for experts from all over the world to come together, share their experiences; and overall make treatment in India safer, more effective and at par with our western counterparts".

Adding to this, Dr Rajneesh Kapoor, Organizing Secretary of the IIC Summit 2014 and Senior Director, Interventional Cardiology, Medanta Medicity said, “In today’s day and age, an increasing number of people are suffering from heart disease due to common lifestyle factors such as stress, unhealthy eating habits and the dependence on substances like alcohol and cigarettes. Given this scenario, there exists an urgent need not only raise awareness about preventive factors, but also to find solutions to revolutionize treatment. Towards this endeavor, we came up with the concept of the Innovations in Cardiology Summit in 2011, to provide key influencers a platform to discuss, debate and share the major advancements and issues in the field of cardiac care".

Some of the new developments in the field of Cardiology in the recent past have included the development of low cost Indian made stents, CT imaging for Aortic Aneurysm and the availability of newer Cardiac Biomarkers.

The IIC conference also featured a special session on medico–legal aspects conducted by the President of Heart Care Foundation of India and the Senior National Vice President of the Indian Medical Association Dr KK Aggarwal. During his session he spoke about how cases of medical malpractice in Cardiology have been increasing in India due to the lack of proper communication. While guiding doctors on ways to safeguard themselves he said, "Whatever you advise your patients, execute it, document it and preserve it for transparency and honest conduct is key".

Giving an International perspective, Dr Miroslaw Ferenc, Senior Interventional Cardiologist and the Director of Intensive Care Unit at the University Heart Centre Bad Krozingen, Germany said, "It is an extremely proud moment for me to be given an opportunity to present my paper at the Innovations in Cardiology Summit 2014. India as a country has such great potential to become the next leader in innovative medicine and I am happy that Dr Rajneesh Kapoor and his team have taken a step in this direction. The IIC Summit is a great platform that allows both National and International doctors to share best practices in the field of cardiac treatment. I look forward to many more such conferences in the future".

Also speaking on the occasion, Dr Yogesh Varma, Head of Cardiology, GMC, Bhopal said, "The Innovations in Cardiology Summit is a great opportunity for doctors who belong to smaller cities in India to interact with leading National and International experts and present their views on new developments in the field. Cardiac treatment in India has evolved such a great deal over the years and has great potential in the future. I look forward to getting many more such collaborative opportunities in the future".

Other leading doctors who conducted sessions at the conference included renowned names such as Dr K K Aggarwal, Dr Khalilullah, Dr T S Kler, Dr R R Mantri, Dr V K Chopra, Dr B Kalra and Dr Rajiv Parakh.

– Ends –

About the IIC Summit

The Innovations in Cardiology (IIC) Summit is one of India’s leading Interventional Cardiology conferences. Since its inception in 2011, the IIC SUMMIT has grown year after year. The objective of the Summit is to discuss and analyze all the issues related to innovations of cardiology and come out with best practices, which can be implemented in the best way to improve healthcare. The educational content, renowned national and international faculty participation and academic integration of regional thought leaders has been one of the key highlights of this meeting.

eMedi Quiz

Which of the following is present intracellularly in muscle cells?

1. Insulin.
2. Corticosteroid.
3. Epinephrine.
4. Glucagon.

Yesterday’s Mind Teaser: The buffering capacity of a buffer is maximum at pH equal to:

1. 0.5pKa.
2. pKa
3. pKa+1
4. 2pKa

Answer for yesterday’s Mind Teaser: 2. pKa

Correct answers received from: Dr Jainendra Upadhyay, Dr Avtar Krishan, Daivadheenam Jella.

Answer for 4th September Mind Teaser: Vertebral venous plexus.

Correct answers received from: Dr K Raju, Dr Jainendra Upadhyay, Dr Avtar Krishan.

Send your answer to ijcp12@gmail.com

Self-Assessment-Quiz

 

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Zee News – Health Wealth Shows

Alcohol
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Total CPR since 1st November 2012 – 98440 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

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CPR 10 Videos

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For TB control prevent diabetes in the community

press release

Why BP should be kept

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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 dengue fever developed shock.
Reaction: Oh my God! Why was the blood pressure 90/70 ignored?
Lesson: Make sure that a pulse pressure of less than 20 is not ignored. It is an impending sign that the patient is going into shock.

eMedinewS Humor

Interview with Chris Gayle’s son

Beta, which standard are you in?

–SIX And how far is your school?
– At a distance of 10 SIXES from home.

Okay, tell me how much is a dozen?
– 2 SIXES

How many months are in a year?
– 2 SIXES

How many days are in a month?
– 5 SIXES

Umm… ok, I wanna talk to your father, can you give me his no?
– SIX SIX SIX SIX SIX SIX SIX SIX SIX SIX!

Quote of the Day

"Be rich to yourself… and poor to your friends." Juvenal

Twitter of the Day

Dr KK Aggarwal: Heart Care Foundation of India to focus on youth health education during the 21st MTNL Perfect Health Mela http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: The spirit is the part of us. It is eternal, unchanging, pure, unlimited potential #CosmicConsciousness

   
medicolegal update

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medicolegal update

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  1. Best of luck and all the good wishes for the smooth sailing through this honorous responsibility. I wish you are instrumental and able to the IMA clear of all the negative virtues and propaganda ::: Dr. K.G .Singla.
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