August 17  2015, Monday
eMedinewS
editorial
How to cut back on added sugar
Dr KK AggarwalMany of the "healthy" foods you eat such as energy bars, fruit juices, and flavored yogurt contain sugar. The first step is to read labels carefully and opt for products that are low in sugar.

The American Heart Association recommends keeping calories from added sugars under 100 calories a day (24 grams, or 6 teaspoons) for women and under 150 calories (36 grams, or 9 teaspoons) for men.

Giving up juices and soft drinks can be tough, but here are few ways to get started:
  • Make your own. Start with plain sparkling water or tap water. Add a flavoring that strikes your fancy. Here are a few options: an ounce or two of 100% fruit juice; a slice of lemon, lime, orange, or grapefruit; a sprig of fresh mint; a few raspberries.
  • No frills coffee and tea. A small dash of sugar or artificial sweetener and milk is okay, but go easy on the extras like flavored syrups and whipped cream.
  • Transition to "diet" beverages. Sugar–free sodas and other soft drinks can help you transition away from sugar–sweetened beverages. (HealthBeat)
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Forthcoming DST school camps
  • Mt Abu School, Rohini Sector 5, on 19th August
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Cardiology eMedinewS
Cardiology
Neurology

Mild hyponatremia, even within the normal sodium range, as well as hypernatremia are both associated with increased risk of cardiovascular disease and mortality in older men with no history of coronary heart disease, heart failure, or stroke, suggests the British Regional Heart Study published online in Nutrition, Metabolism and Cardiovascular Diseases.

Low-Normal Serum Sodium Identified as a Risk Factor for CVD/Death
More evidence has emerged that mild hyponatremia, even within the normal sodium range, as well as hypernatremia are both associated with increased risk of cardiovascular disease and mortality in older men with no history of coronary heart disease, heart failure, or stroke, the British Regional Heart Study indicates.1

The study was published online August 5, 2015 in Nutrition, Metabolism and Cardiovascular Diseases. "Electrolyte disorders are common in the elderly," lead author Dr Goya Wannamethee (University College London, UK) told heartwire from Medscape in written correspondence.

Neurology
Endocrinology

When used to normalize a man's testosterone levels, testosterone supplementation can reduce the risk of myocardial infarction (MI), stroke, and all-cause mortality, suggested a large new retrospective study of a Veterans Affairs (VA) population. The findings are published online in the European Heart Journal.

No Cardiovascular Risk Seen in Latest Testosterone Study
When used to normalize a man's testosterone levels, testosterone supplementation can reduce the risk of myocardial infarction (MI), stroke, and all-cause mortality, a large new retrospective study of a Veterans Affairs (VA) population indicates.

"The risks (and) benefits depend on the profile of the patient rather than the therapy itself," principal investigator Rajat Barua, MD, PhD, emphasized to Medscape Medical News.
Dr KK Spiritual Blog
Eating foods in their natural form is always better

An elephant is obese, eats sugarcane and yet does not develop diabetes. I am sure if he is given 10% sugar drinks everyday or made to eat 30% sugar containing sweets, he too would end up with diabetes.

The natural form of sugarcane is eating sugarcane in its raw form, the second form is sugarcane juice, third is gur (jaggery), fourth is shakkar and fifth is white sugar.

The more you eat foods in their natural form, more the health benefits you will get from that food.

Food is Brahmin and contains the same consciousness as you have. Refined food loses its consciousness and is not beneficial to the health.

Similarly, wheat flour with bran is better than flour without bran, which is better than suji, which is better than maida. Maida (refined flour) is the final product and if taken every day, it can cause heart disease, diabetes and high blood pressure.
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Reader Response
Dear sir, very informative news. Reagrds: dr kapil
Wellness Blog
Clot dissolving therapy or angioplasty in early acute heart attacks

Outcomes are comparable between primary removal of clot in heart artery with stent angioplasty and clot dissolving drugs in patients with ST–elevation heart attacks who present early.

The STREAM study found that stent angioplasty is the best if it can be done within one hour of presentation to the hospital and in those who presented within three hours of chest pain and stent angioplasty cannot be done in one hour, there was no difference between the two treatments (stent angioplasty of clot dissolving drugs) in the primary composite end point of major adverse cardiovascular events at 30 days.
Pediatrics eMedinewS
Diabetes
Obesity
A new study suggests that vitamin D offers no benefits to obese teens in terms of heart health or diabetes risk. Additionally, the findings published in Pediatric Obesity, suggest that vitamin D could even increase levels of cholesterol and triglycerides.

Vitamin D supplements offer limited benefit to obese teens A new study suggests that vitamin D offers no benefits to obese teens in terms of heart health or diabetes risk. Not only that, but the findings of the study suggest that vitamin D could even increase levels of cholesterol and triglycerides.
The study, published in Pediatric Obesity, is part of a series conducted by researchers from the Mayo Clinic investigating obesity in childhood.
Make Sure
Situation: A patient with dengue fever developed shock.
Reaction: Oh my God! Why was the blood pressure 90/80 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.
Dr Good Dr Bad
Situation: A patient with burns came with severe pain.
Dr Bad: It is bad sign.
Dr Good: It is a good sign.
Lesson: Pain indicates that the nerves are intact.

(Copyright IJCP)
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CPR 10
Successfully trained 113241 people since 1st November 2012 in Hands-only CPR 10
Rabies News (Dr A K Gupta)
Can RIGs be safely injected into already infected animal bite wounds?

RIGs can be safely injected into already infected animal bite wounds following proper wound cleansing and administration of appropriate antibiotics.
Video of the Day
Sameer Malik Heart Care Foundation Fund
The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number or by filling the online form.
Madan Singh, SM Heart Care Foundation Fund, Post CAG
Kishan, SM Heart Care Foundation Fund, Post CHD Repair
Deepak, SM Heart Care Foundation Fund, CHD TOF
eIMA News
New model of care (Pre-emptive care model)
News
Anesthesiology
(Critical Care Psychiatry)
Surgical patients who listened to music were significantly less anxious and more satisfied postoperatively compared with those who did not, reported a systematic review and meta-analysis of data from 72 trials. These patients also needed less pain medication and reported significantly less pain, reported an article published online August 12 in the Lancet.

Psychiatry
The first study of its kind has revealed that the omega-3 fatty acids found in fish oil may be effective for reducing the risk of psychosis. The study was published in Nature Communications.

Diabetes/Endocrinology
(Cardiovascular)
A new weighted cardiometabolic disease staging system (CMDS) can identify adults at high risk for developing diabetes, suggests new research published online in the Journal of Clinical Endocrinology & Metabolism. Researchers suggested that to optimize benefit-risk ratio and cost-effectiveness, more aggressive weight loss interventions, such as intensive lifestyle/behavioral therapy and weight loss medication, would be targeted to those patients with higher risk scores for future diabetes and cardiovascular disease.

Gastroenetrology
A study published in the Journal of Clinical Gastroenterology suggested that celecoxib monotherapy causes less small intestinal mucosal injury than combination therapy with loxoprofen and the proton pump inhibitor (PPI) lansoprazole.

Oncology
(Geriatrics)
A study examining the effectiveness of chemotherapy in two large groups of patients - one with breast cancer and the other with colon cancer - concludes that, except for one particular combination treatment, chemotherapy may not prolong life for breast cancer patients over the age of 80. The findings are published in the Journal of American Geriatrics Society.

Chemo unlikely to prolong survival in older breast cancer patients
A study that examines the effectiveness of chemotherapy in two large groups of patients - one with breast cancer and the other with colon cancer - concludes that, except for one particular combination treatment, chemotherapy may not prolong life for breast cancer patients over the age of 80.
However, for men and women with colon cancer, the study comes to a different conclusion. Here, it finds that chemotherapy remains effective up to the age of 89.
eBOOKs
Kindly sign this petition: For allowing parliament to function
Link: https://www.change.org/p/members-of-parliament-political-parties-parliament-to-function-urge-all-political-parties-to-have-a-collaborative-and-consultative-process-in-the-parliament

Tiny url to pass on to other members: http://tinyurl.com/qff68sf

To sign, we can login through Facebook or email account on the right hand side.

Dr Marthanda Pillai,                        Dr KK Aggarwal
IMA Digital TV – Webcast Done So far
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6th August 2015 - Breastfeeding and Neonatal Skin Care

13th August 2015 - All About Vitamin D - IMA USV Initiative
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Inspirational Story
The way to feel good is to do good. The way to feel successful is to take actions that bring about success.

You cannot truly feel what you do not truly live. Be honest and authentic with yourself, with others, and with life, because anything less is just cheating yourself.

Spend this day being a unique and enthusiastic expression of life’s goodness. See how much of a positive difference you can make, and experience what a genuine, positive feeling you get from doing so.

Seek to add richness to the lives of others and be delighted at how much richness it brings into your own life. Do something good and useful just because it is the right thing to do, and discover how right it feels.

Let go of the tiresome fight to gain advantage, and direct your energy toward appreciating and creating goodness. Move beyond the need to prove yourself and focus instead on improving all of life.

Give more and more of your own unique goodness to those around you, to the world, and to life. And feel the outstanding richness as it grows increasingly abundant for you.
Quote of the Day
The greatest obstacle to discovery is not ignorance - it is the illusion of knowledge. Daniel J Boorstin
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eIMA Quiz
Which of the following is not a good approach to managing stress?

A. Talking directly to the person who is causing the stress.
B. Giving yourself a treat, like comfort food or a cocktail.
C. Accepting that there are things beyond your control.
D. Trying cognitive-behavioral therapy to learn new coping skills.
E. Working out regularly.

Yesterday’s Mind Teaser: True about Ulcerative Colitis with malignancy

a) It has a better prognosis
b) Is related to disease activity
c) Is related to duration of ulcerative coliti
d) Malignancy is more in anorectal ulcerative colitis

Answer for Yesterday’s Mind Teaser: c) Is related to duration of ulcerative coliti

Answers received from:Dr jainendra upadhya, dr kamal, dr shagun

Answer for 15th August Mind Teaser: c. Steroids

Correct Answers received from:Dr jainendra upadhya, dr kamal
eIMA Humor
Talking Clock

While proudly showing off his new apartment to friends late one night, the drunk led the way to his bedroom where there was a big brass gong.

"What’s that big brass gong for?" one of the guests asked.

"Why, that’s the talking clock" the man replied. "Watch", the man said, giving the gong an ear–shattering pound with a hammer.

Suddenly, someone on the other side of the wall screamed, "F’gosh sakes, you idiot, its 2am in the blankety–blank morning!"
Press Release
Vegetarian diet and Soya Products help reduce BP

Ingestion of a vegetarian diet may reduce systolic blood pressure by 5 mmHg. A 5 mm reduction in blood pressure may reduce the risk of heart disease by 21%. This was stated by Padma Shri Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr K K Aggarwal, President Heart Care Foundation of India and Honorary Secretary General IMA

One major feature of a vegetarian diet that may affect blood pressure is the amount of dietary fiber; with an increased amount being associated with decreased systemic pressures. Multiple meta-analyses have shown benefits with dietary fiber intake on blood pressure.

Vegetarians, in general, have lower blood pressure levels and a lower incidence of hypertension and other cardiovascular diseases. Experts postulate that a typical vegetarian's diet contains more potassium, complex carbohydrates, polyunsaturated fat, fiber, calcium, magnesium, vitamin C and vitamin A, all of which may have a favorable influence on blood pressure.

More significant reductions were observed in older (greater than 40 years) and hypertensive individuals.

Soya is good for high blood pressure because it is naturally high in potassium and low in sodium. Potassium and sodium are electrolytes, and a high-potassium, low-sodium diet promotes a healthy blood pressure.

Soya can be good for high blood pressure when you eat it as an alternative protein source to unhealthy meats. Soya-based meat substitutes, such as veggie burgers, veggie bacon and meatless cold cuts, can be higher in fiber and lower in sodium than animal-based meat products. They can lower your risk for heart disease because they are lower in saturated fat. However, soya does not contain the long-chain omega-3 fatty acids that are found in fatty fish and shellfish; these may lower your blood pressure, according to the Linus Pauling Institute.

Even though soya is low in unhealthy saturated fat, some soya products are high in total fat and calories, and as a result will contribute to weight gain if you eat too much. Losing weight if you are overweight, or maintaining your current weight if you are already at a healthy weight, improves your chances of lowering your high blood pressure.