eMedinewS17th June 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

3 diet changes to help lower cholesterol levels (Harvard)

If you have high cholesterol (a total cholesterol level of 240 milligrams per deciliter of blood or above), taking steps to lower it can greatly reduce your chances of having a heart attack. For every 10% drop in your cholesterol level, your heart attack risk falls by 20% to 30%.

  • Choose healthy fats. Avoid saturated fats, which increase unhealthy LDL levels, and steer clear of trans fats, which both raise LDL and lower protective HDL. Instead, substitute healthier unsaturated fats found in fish, nuts, and vegetable oils.
  • Go with whole grains. Whole–grain breads, pastas, and cereals help prevent a blood sugar roller coaster and make you feel full longer. Many of these foods contain fiber, which can help lower LDL levels.
  • Make other healthy choices. Eat more fruits and vegetables. Ideally, substitute these for processed foods and sweets. Choose fat–free milk instead of whole milk. Opt for low–fat yogurt and pick brands that are not loaded with sugar.

(NOTE: Dear Reader kindly go through correction in my 16th june editorial)

News Around The Globe

  • The oral diabetes drug classes – thiazolidinediones (TZDs) and sulfonylureas – both appear to increase the risk for fractures compared with metformin, reports a large database analysis. The findings were presented at the American Diabetes Association (ADA) 2014 Scientific Sessions.
  • A novel study presented at the American Diabetes Association (ADA) 2014 Scientific Sessions has shown that vaccinating people against hepatitis B may prevent the development of diabetes, at least in some individuals. Of the patients without a prior history of diabetes, those previously vaccinated with hepatitis B had a 52% reduction in the risk for subsequent diabetes compared with individuals not vaccinated.
  • A study presented at the European League Against Rheumatism (EULAR) Congress 2014 has suggested that erectile dysfunction (ED) is common and quite severe in men suffering from gout, and that all men with gout should be screened for the presence of ED.
  • Using the American Diabetes Association (ADA)–recommended body mass index (BMI) cut point of >25 kg/m2 to screen for diabetes may miss out on the identification of 1 in 5 Asian Americans who are diabetic, reports new research presented at the American Diabetes Association 2014 Scientific Sessions. A BMI cut point of >24 may be more appropriate.
  • A study presented at the American Diabetes Association (ADA) 2014 Scientific Sessions revealed that transplanted pancreatic islets from female donors outperformed those from male donors in recipients with type 1 diabetes. Researchers noted that those who received islets from female donors had significantly higher C–peptide levels, greater insulin secretion, and lower average glucose levels post–transplant, compared with recipients of male donor islets.

Rabies News (Dr A K Gupta)

What is "paralytic form" of rabies in animals?

Paralytic or dumb rabies refers to animals in which the behavioral changes are minimal or absent and the disease is manifested mainly by paralysis. This is first manifested by paralysis of the throat and masseter muscles, often with profuse salivation and inability to swallow. Dropping of lower jaw is common in dogs. The animals are not vicious and rarely attempt to bite. The paralysis progresses rapidly to all parts of the body leading to coma and death follows in a few hours.

Cardiology eMedinewS

  • Prescribing statins according to the new ACC/AHA guidelines seem to provide limited benefit for additional cost, especially in low–risk individuals newly eligible for statins, among them some diabetes patients, reported researchers at the American Diabetes Association (ADA) 2014 Scientific Sessions. It appears that statin use is not cost–effective in a significant proportion of the target populations, as recommended in the new guidelines.
  • Patients with Sjögren’s syndrome may have a greater risk for heart attack and stroke as compared to people in the general population, and the risk appears to be highest in the first year after diagnosis, reported a new population–based study presented at the European League Against Rheumatism (EULAR) Congress 2014.

Pediatrics eMedinewS

  • A retrospective chart review of 340 pediatric patients with type 1 diabetes screened at diagnosis or yearly for celiac antibodies (as suggested by guidelines), found that a third of those with positive antibodies were not detected until after 5 years past diagnosis. Thus more frequent screening in the first 5 years after type 1 diagnosis and beyond 5 years is needed. The findings were presented at the American Diabetes Association (ADA) 2014 Scientific Sessions.
  • Teens trying to act cool in early adolescence may be more likely than their peers who do not act cool, to experience an array of problems in early adulthood, reported a decade–long study by researchers at the University of Virginia, published in the journal Child Development.

Dr K K Spiritual Blog

What is charity?

Some time back after retuning from a free health check–up camp, I met a Professor of Cardiology from Lucknow and started boasting that I saw 100 patients free today. He said do not get excited. Charity is a positive, but still not the absolute positive, unless it is done without any motive or done secretly. He said that you were honored on the stage; you got blessings from the patients and people talked about you in positive sense. It was an investment in the long run and not an absolute charity. When you serve never get honour on the stage by the people to whom you are serving. If you get that then it is like give and take. The purpose of life should be to help others without any expectations.

Understanding helping others

When you help others, it should not end up in harming somebody else. If you help even if it is unconditional, if you end up in promoting no.2 by superseding another senior person who deserves is not a help as the person to whom you are helping will give you one blessing but the person to whom you have harmed will give you 10 curses. Ultimately you end up with minus 8 points. Helping other means that you should give happiness to you, to the persons you have helped and also to others to whom you have not helped.

Helping always pays

The difference between American and Indian models is that Indians always think of now and do not invest in future. Americans always plans for the future. When we help somebody, we want that the same person should expect you by helping you when you are in need in a shorter run. But charity does not believe in that. Your job is to help others and negate your negative past karmas. You never know, may be decades later you get a help from a person to whom you helped decades earlier. Help should never be linked to returns.

Wellness Blog

OTC drug does not mean it can be taken without a doctor’s advice

An over–the–counter antacid is often used to relieve mild cases of heartburn or acid reflux. Though they are available without a doctor’s prescription they should be taken only under a doctor’s advice.

As per American Academy of Family Physicians

  • There are different types of antacids that work in different ways.
  • One should talk to the doctor before taking an antacid.
  • To manage an ulcer, an antacid may need to be taken in conjunction with an antibiotic.
  • If one needs more calcium to help strengthen bones, one should prefer an antacid that contains calcium carbonate.
  • In some, antacids may have minor side effects such as nausea, headache, diarrhea or constipation.
  • One should read the label carefully to make sure that one is not allergic to any of the ingredients.
  • People with kidney disease may not be able to take all types of antacids.
  • An antacid may interact with other medications.

Inspirational Story

The Mango Tree

Once upon a time, there lived a big mango tree. A little boy loved to come and play around it every day. He climbed to the tree top, ate the mangoes, took a nap under the shadow… He loved the tree and the tree loved to play with him.

Time went by… The little boy grew, and he no longer played around the tree. One day, the boy came back to the tree with a sad look on his face. "Come and play with me," the tree asked the boy.

"I am no longer a kid, I don’t play around trees anymore." The boy replied, "I want toys. I need money to buy them." "Sorry, I don’t have money… but you can pick all my mangoes and sell them so you will have money."

The boy was so excited. He picked all the mangoes on the tree and left happily. The boy didn’t come back. The tree was sad. One day, the boy grown into a man returned. The tree was so excited. "Come and play with me," the tree said.

"I don’t have time to play. I have to work for my family. We need a house for shelter. Can you help me?" "Sorry, I don’t have a house, but you can chop off my branches to build your house." So the man cut all the branches off the tree and left happily. The tree was glad to see him happy but the boy didn’t come back afterward. The tree was again lonely and sad.

One hot summer day, the man returned and the tree was delighted. "Come and play with me!" The tree said. "I am sad and getting old. I want to go sailing to relax myself. Can you give me a boat?" "Use my trunk to build your boat. You can sail far away and be happy."

So the man cut the tree trunk to make a boat. He went sailing and didn’t come back for a long time. Finally, the man returned after he had been gone for so many years. "Sorry, my boy, but I don’t have anything for you anymore. No more mangoes to give you." The tree said.

"I don’t have teeth to bite," the man replied. "No more trunk for you to climb on." "I am too old for that now," the man said. "I really can’t give you anything… the only thing left is my dying roots," the tree said with sadness. "I don’t need much now, just a place to rest. I am tired after all these years," the man replied. "Good! Old tree roots are the best place to lean on and rest. Come sit down with me and rest."

The boy sat down and the tree was glad and smiled.

Moral: The tree in the story represents our parents. When we are young, we love to play with them. When we grow up, we leave them and only come back when we need help. Parents sacrifice their lives for us.

ePress Release

Can diabetes be ward off ?

Adhering to Mediterranean diet, rich in fruits and vegetables and low in animal products, may protect one against developing type 2 diabetes 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.

The diet emphasizes olive oil, vegetables, fruits, nuts, cereals, legumes and fish, and deemphasizes meat and dairy products. It is a healthy eating plan that seems to help in the prevention of heart disease.

In the study published in the British Medical Journal, researchers tracked the diets of 13,380 Spanish university graduates with no history of diabetes. Participants filled out a 136–item food questionnaire, which measured their entire diet (including their intake of fats), their cooking methods and their use of dietary supplements. During an average of 4.4 years of follow–up, the team found that people who adhered to a Mediterranean diet had a lower risk of developing type 2 diabetes. In fact, those who stuck very closely to the diet reduced their risk by 83 percent.

Moreover, the people who tended to stick closest to the diet were those with factors that put them at the highest risk for developing diabetes, such as being older, having a family history of diabetes and being an ex–smoker. These people were expected to have a higher rate of diabetes, but when they adhered to the Mediterranean diet this was not the case.

Type 2 diabetes is typically brought on by poor eating habits, too much weight and too little exercise.
One key factor that might be responsible for the protective effect of the Mediterranean diet is its emphasis on olive oil for cooking, frying, putting on bread and mixing in salad dressings.

Preventing diabetes–TIPS

  1. Eat less
  2. Omit refined carbohydrates (white sugar, white rice and white maida)
  3. Use olive oil, vegetables, fruits, nuts, cereals, legumes and fish, and reduce meat and dairy products

eMedi Quiz

What is not true for HNPCC

a) It is the most common hereditary colorectal cancer syndrome in USA
b) It is associated with MMR gene mutation
c) It is associated with APC mutation
d) It is associated with carcinoma colon and extraintestinal cancers

Yesterday’s Mind Teaser: Prevalence of skin infections in HIV infection is approximately

a.50–60%
b.70–80%
c.90–100%
d. Extremely rare

Answer for yesterday’s Mind Teaser: c.90–100%

Correct answers received from: Dr. P. C. Das, Dr.K.Raju, Dr Poonam Chablani, Dr Jainendra Upadhyay, Dr.K.V.Sarma, Dr Pankaj Agarwal, Dr Chandresh Jardosh, Dr Avtar Krishan, Dr. P. C. Das, Daivadheenam Jella.

Answer for 15th June Mind Teaser: 2. HbsAg and HBeAg positive

Correct answers received from: Daivadheenam Jella.

Send your answer to ijcp12@gmail.com

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 – 88972 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

Health Check Up Camp at NP Boys Senior Secondary School, 10th May 2014

press release

Depression linked to paralysis

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 62–year–old diabetic with coronary artery disease, on treatment for the same, came for follow up.
Reaction: Oh My God! Why didn’t you put him on antioxidants?
Lesson: Make Sure to add antioxidants to the prescription because of their free radical scavenging and other beneficial effects.

eMedinewS Humor

Mr. Smith is Dead

A law firm receptionist answered the phone the morning after the firm’s senior partner had passed away unexpectedly.

"Is Mr. Smith there?", asked the client on the phone.

"I’m very sorry, but Mr. Smith passed away last night," the receptionist answered.

"Is Mr. Smith there?", repeated the client.

The receptionist was perplexed. "Perhaps you didn’t understand me I’m afraid Mr. Smith passed away last night."

"Is Mr. Smith there?", asked the client again.

"Ma’am, do you understand what I’m saying?", said the exasperated receptionist. "Mr. Smith is DEAD!"

"I understand you perfectly," the client sighed. "I just can’t hear it often enough."

Quote of the Day

Sunbeams out of the clouds. Faith out of all my doubt. Terri Guillemets

 

Twitter of the Day

Dr KK Aggarwal: Eating refined sugar can cause diabetes http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Why do you stay in prison When the door is so wide open–Rumi

 

Forth Comming Event

Announcement

Call for Free Registration

4th annual conference Zoonosis 2014
Sunday 6th July 10am–2 pm followed by Lunch

Venue; Indian Medical Association HQs, IMA House, ITO New Delhi

Objective: To discuss about prevention of diseases communicable
from animals to human.

Who can take part: Medical Practitioners,Veterinary Practitioners, Animal Owners/Breeders, NGOworking with animal care etc.

Experts will be from Veterinary/Medical sectors

All participants will be given certificate of participation.

Organizers: Heart Care Foundation
of India, Millennium India Education
Foundation,CAR (Ministry of Agriculture Govt.of India,

Register at :
rawat.vandana89@gmail.com/
drkakroo@gmail.com
or Call: Vandana 9891673085/Dr Kakroo 9810301261

 

medicolegal update

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medicolegal update

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medicolegal update
  1. Dear Sir, Your article on acute encephalitis syndrome endemic in Bihar was very informative.
    But, I wanted to add up one more bit of information that, this disease has been endemic in Muzaffarpur (Bihar) since 1994, and it got its justified mention in the headlines only recently. It strikes during hot and humid weather and usually abates after rainfall.
    It is not 100% fatal, if proper line of treatment is formulated and practised, then many more lives can be saved. Dr. Chandan Parashar, Surgeon, Muzaffarpur
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