eMedinewS29th July 2014, Tuesday

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

Malaria

  • Malaria is transmitted by the bite of a female anopheles mosquito.
  • The mosquito bite occurs mainly between dusk and dawn.
  • Malaria can also be transmitted through blood transfusion, or via sharing of contaminated needles.
  • Bed nets are good against malaria as the major malarial vectors bite during the night.
  • The behavior of the mosquitoes may differ. Some may prefer to rest indoors and feed indoors in the night. Some may prefer to rest and feed outdoors earlier in the day.
  • Preventive therapy of malaria can be instituted during pregnancy in high risk areas.
  • The malarial mosquito feeds every third day compared to the dengue mosquito, which feeds three times in a day.
  • Unlike the malarial mosquito, the dengue mosquito bites during the day.
  • Malarial fever presents with chills, especially during afternoon.
  • Spraying of the indoor residential walls and ceiling is effective against mosquitos.
  • DDT is widely used as indoor residential spraying.
  • DDT should not be applied more than once or twice in a year on the walls.
  • Mosquito contact with DDT surface would generally save from lethal exposure outside the house.
  • Public must know that spray may require rearrangement of the furniture. Walls may become streaked with chemical treatment and residual odor from DDT.
  • The other alternative is malathion spray.

News Around The Globe

  • Results of a new meta–analysis suggest that shift workers, especially males, may be at greater risk of type 2 diabetes. Researchers at Huazhong University of Science and Technology in China noted that compared with working normal office hours, any period of shift work was associated with a 9% increased risk of developing diabetes.
  • A first–of–its–kind study by researchers from the University of California–Irvine and Michigan State University suggests that sleep deprivation could increase susceptibility to false memories. The study is published in the journal Psychological Science.
  • Expert rheumatologists, dermatologists and patient representatives from Europe and North America have formed the Psoriatic Arthritis Forum, and have come up with recommendations to fight psoriatic arthritis. The recommendations have been published the journal Arthritis Care and Research.
  • Statins significantly reduce a patient’s risk of developing Barrett’s esophagus, suggests a new study published in Gastroenterology. Obese patients experienced the highest level of risk reduction with statin use, reported the study.
  • Individuals with vitamin D deficiency are at higher risk of schizophrenia, suggests a new study in the Journal of Clinical Endocrinology & Metabolism. Researchers noted that about 65% of patients with schizophrenia had vitamin D deficiency.

Rabies News (Dr A K Gupta)

If for some reason, IDRV cannot be given in deltoid region, what are the alternative sites?

IDRV can be given in deltoid region, suprascapular, anterior abdominal wall and the upper part of thigh.

Cardiology eMedinewS

  • A study published in the journal Health Psychology has revealed that persistent sleep troubles after a divorce might increase blood pressure.
  • University of Iowa researchers have identified a biomarker that could serve as the first simple blood test to reliably predict that a pregnant woman may develop preeclampsia, at least as early as 6 weeks into the pregnancy. The research was published online in the American Heart Association’s journal, Hypertension.

Pediatrics eMedinewS

  • A new study published in the journal Child Development has noted that having strong reading skills as a child predicts higher intelligence levels as a young adult. Researchers noted that twins with better early reading ability than their identical sibling would be better at reading as they grew older, and would also score higher than their twin on general intelligence tests.
  • A study published in the journal Nature has revealed that the age at which girls reach puberty is decided by a small subset of genes they inherit from one parent. Researchers found that one parent may more profoundly affect puberty timing in their daughters than the other parent.

Dr K K Spiritual Blog

Should there be a mourning room in the hospital?

In a survey conducted by Heart Care Foundation of India of 400 people from all walks of life, 90% of the people wanted that wishes of the dying person and dead body should be respected in the hospital setting. They said that doctors should be more compassionate and emphatic at the time of declaring a patient dead.

Unless people are expecting a death, death usually comes as a shock to the family members. It is expected that the relations may be in agony, pain and even anger. Every hospital should have a mourning room where the relatives should be made to sit, counseled and death declared.

After the death is declared, the treating doctors, nurses and hospital staff must sit with the patient’s relatives, counsel them, tell them about the sequence of events before death and also counsel them about how to handle the dead body. People also want to know the cause of death so that similar thing may not happen to another person in the family.

They also want to know if the body is infectious or not and what rituals to be avoided if the body is infectious. They also like to know about how to preserve the dead body till cremation.

They may also like to know whether a postmortem is required to know exact cause of death, which can help future family members of the family.

Wellness Blog

Cough Hygiene

  • When you cough or sneeze, you tend to expel out respiratory waste, which can be droplets (larger than 5 microns) or airborne droplet less than 5 microns; both have different implications.
  • Droplets remain suspended in the air only for a limited period and exposure of less than 3 feet is usually required for human to human transmission of droplet–borne respiratory organisms. In flu, this distance can be up to 6 feet. The examples of droplet infections are patients with meningitis, influenza, rubella (German measles) etc.
  • No precautions need to be taken by a person, who is 6–10 feet away from the patient but if a person is sitting or working even at a distance of 3–6 feet, the non–coughing person should wear simple mask.
  • In contrast, airborne droplet nuclei, which carry respiratory secretions smaller than 5 microns can remain suspended in the air for extended period and can cause infections to people who are standing even more than 10 feet away. The example of airborne droplet nuclei infections are TB, measles, chickenpox and SARS.
  • Patients with these diseases require to be placed in an isolation room and all those people who are looking after these patients must use a safe N95 mask.
  • In normal house with open windows, there is a constant exchange of air, which prevents spread of infections but in rooms with air conditioners (ACs) with no air exchange, the infections can spread from one person to another.
  • When sitting in an air conditioned atmosphere, the setting of the AC should be such that the same air is not circulated and fresh air is allowed to exchange. Split ACs, therefore, are more dangerous than the window ACs.
  • In an office with split AC installed, if one of the employees is suffering from any of the droplet nuclei disease, he/she can transmit infection to others. Therefore, patients with confirmed TB, measles, chickenpox and SARS should not be allowed to work in offices with split ACs.

Inspirational Story

True Treasure

My daughter saw a colorful rainbow the other day after a thunderstorm. She called to me to look out the window and see it as well. Looking at it I was amazed at how its beauty could still uplift my middle–aged heart. As I gazed upon it, I also remembered one of the very first times I ever saw a rainbow as a boy.

I had been sitting in the house for an hour waiting impatiently for the rain to stop so I could go out and play. It had been pounding on the roof incessantly and I thought it would never end. When it finally did stop I raced outside and was greeted with the glorious sight of a rainbow curving across the sky. I had just recently heard the old legend of leprechauns hiding a pot of gold at the end of a rainbow. Excited, I looked to where the rainbow seemed to be touching the ground in the far distance. I started to quickly run down the railroad tracks near our house in search of that elusive treasure. The quicker I ran, though, the more the rainbow began to fade. Finally, I found myself running as fast as I possibly could, but it was too late. By the time I got there the rainbow and its pot of gold were gone.

Sadly that wasn’t the last time I found myself chasing after false treasure. Over the years I ran after fame, success, money, and even relationships that I thought would bring me the happiness I always wanted. None of them did, however. It took me a long time to find the true treasure that doesn’t rust, break, fade, or flee. That treasure is the love of God and it is free to all. I welcomed this treasure into my heart, soul, and life and shared it with others as well. The funny thing too was that the more love I gave away, the more love I had within me.

God loves you so much. He is forever ready to light up your life with the rainbow of His love. Accept His treasure with joy, share it with everyone, and grow richer everyday.

ePress Release

The Health Effects of the Climate Change

The sudden change in climate with stormy rains will cause more attacks of asthma, dengue and malaria, said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association.

Dr. Aggarwal said that untimely rain will further add to the menace of dengue, malaria mosquitoes. In areas of ongoing construction, collection of rain water will promote breeding of the mosquitoes. Aedes mosquito larvae grow faster when the temperature is between 30-32 degrees. Rain water collection will also increase cases of jaundice and typhoid.

All school children irrespective of territory, MCD, NDMC or Delhi Government, should be assigned home work to identify the breeding places. Unless it is done, dengue cases will occur even beyond Diwali, which is usually the end of dengue cases.

The change in season will also lead to the start of respiratory viral illnesses, which can worsen asthma with the anticipated Diwali pollution in the days to come.

eMedi Quiz

A 30–year–old man came to the outpatient department because he had suddenly developed double vision. On examination it was found that his right eye, when at rest, was turned medially. The most likely anatomical structures involved are:

1. Medial rectus and superior division of oculomotor nerve.
2. Inferior oblique and inferior division of oculomotor nerve.
3. Lateral rectus and abducent nerve.
4. Superior rectus and trochlear nerve.

Yesterday’s Mind Teaser: A lesion of ventrolateral part of spinal cord will lead to loss (below the level of lesion) of:

1. Pain sensation on the ipsilateral side.
2. Proprioception on the contralateral side.
3. Pain sensation on the contralateral side.
4. Proprioception on the ispilateral side.

Answer for yesterday’s Mind Teaser: 3. Pain sensation on the contralateral side.

Correct answers received from: Dr P C Das, Dr Poonam Chablani, Dr Jainendra Upadhyay, Dr K V Sarma, Uma Gaur, Daivadheenam Jella, Dr Avtar Krishan, Dr P C Das, Daivadheenam Jella, Dr Prakash Khalap.

Answer for 27th July Mind Teaser: 3. Presence of food enhances the absorption of hydrochlorothiazide.

Correct answers received from: Nandini Kapoor, Dr B itaan Sen &
Dr Jayashree Sen

Send your answer to ijcp12@gmail.com

Self-Assessment-Quiz

 

Zee News – Health Wealth Shows

Alcohol
Cancer Prevention
Depression
Paralysis
Pneumonia
Potbelly Obesity
Sudden Cardiac Death
Safe Drugs
Safe Holi
Vitamin D
Vitiligo
Fluid Intake

 

Total CPR since 1st November 2012 – 96458 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

Ms Geetanjali, SD Public School
Success story Ms Sudha Malik
BVN School girl Harshita
Elderly man saved by Anuja

CPR 10 Videos

cpr 10 mantra
VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

emedipicstoday emedipics

UNICEF celebrates a "Polio Free India" with Goodwill Ambassador Mr Amitabh Bachchan

press release

To err is human

video of day video of day

 

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 was brought to the ICU in cardiogenic shock.
Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA?
Lesson: Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of NRMI–2 trial suggest that this intervention is much better than thrombolytic therapy in such patients.

eMedinewS Humor

The International Food Shortage

Recently, a worldwide survey was conducted and the only question asked was: "Would you please give your honest opinion about the solution to the food shortage in the rest of the world?"

The survey was, not surprisingly, a huge failure. Because:

In Africa they didn’t know what "food" meant.
In Eastern Europe they didn’t know what "honest" meant.
In Western Europe they didn’t know what "shortage" meant.
In China they didn’t know what "opinion" meant.
In the Middle East they didn’t know what "solution" meant.
In South America they didn’t know what "please" meant.
And, in the USA they didn’t know what "the rest of the world" meant.

Quote of the Day

If we wait until our lives are free from sorrow or difficulty, then we wait forever. And miss the entire point. Dirk Benedict.

Twitter of the Day

Dr KK Aggarwal: Shorter acting calcium channel blockers linked to breast cancer http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Those who make wise choices in life should wind up happier & more successful
http://tinyurl.com/mwjtqcs

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update
  1. Dear Sir, Thanks for sharing the informative news. Regards: Dr Kartik
cardiology news

Media advocacy through Web Media

web mediawebmediawebmedia

eMedinewS Special

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