HCFIe-Medinews A Service of IJCP Publications Pvt. Ltd.WFR
  Address:  39 Daryacha, Hauz Khas Villege, New Delhi, India. e-Mail: drkk@ijcp.com , Website: http://www.ijcpgroup.com 

Dr K K Aggarwal

Dr KK Aggarwal
Dr BC Roy Awardee
Sr Physician and Cardiologist,
Moolchand Medcity
President, Heart Care
Foundation of India
Gp Editor-in-Chief,
IJCP Group
Delhi Medical Council
Director, IMA AKN Sinha Institute (08-09)


Dear Colleague,

Congratulations to Dr  Ketan Dhirajlal Desai


Dr Ketan Desai MBBS, MS, MCH, FRCS, born on 29TH June 1957, Professor & Head, Department of Urology, B J Medical College Ahmedabad has brought laurels to the medical profession by becoming the first President of World Medical Association. He is the President, MCI and President Gujrat Medical Council. He was President IMA in 2001-02. He has served as member, governing body, National Board of Examinations and Dean, faculty of medicine, Gujarat University. He was conferred fellowship ad hominem of the Royal College of Surgeons of Edinburgh (FRCS), UK; Dr B C Roy National Award for eminent medical teacher of the country, for the year 1995; Special award to eminent medical men for distinguished achievement of highest order for the year 1996 by IMA; IMA Dr AKN Sinha National Award for distinguished services to medical profession for the year 1997 and recipient of ?President?s Gold Medal? award for outstanding contribution to Urology by Urological Society of India.

Dr K K Aggarwal

Hony Director IMAAKN Sinha Institute and Gp Editor Medinew

 Dengue Update

1.      Dengue is a notifiable illness.

2.      There are four different types of dengue fever 1, 2, 3, and 4. 

3.      A person can suffer from undifferentiated fever, dengue fever, dengue hemorrhagic fever, dengue shock syndrome (four dengue related illnesses).

4.      Retro orbital pain presenting as pain in the eyes or pressure on eye movement is characteristic of dengue related fever.

5.      A person in his life time can get four attacks of dengue fever or related illnesses.

6.      Presence of restlessness (oxygen deficiency in the brain), abdominal pain (indicating internal hemorrhage) and black stools (GI bleeding) signifies urgency. 

7.      The two dangerous clinical signs are falling systolic blood pressure and fall in pulse pressure.

8.      The mortality for dengue hemorrhagic fever and dengue shock syndrome is around 1%.

9.      There is no mortality seen in undifferentiated fever and dengue fever.

10.    During epidemics, people of all ages are involved otherwise the disease is more common in children.

11.    If dengue is reported in one house it becomes customary for the State Health Department to search for the breeding sites around 100 houses so that the disease can be curtailed there and then.

12.    Dengue and malaria are not the indices of the hygiene status of a city.  Cholera and typhoid represent the hygiene indices.

13.    Dengue mosquito, aedes, grows in fresh water collected in any place within or outside the house. 

14.    It is a day biter, prefers to bite before breakfast and after lunch, prefers human sites below elbow and below knee.

15.    Unlike anopheles (mosquito causing malaria) which bites every 3rd day, a dengue mosquito bites 4-5 times a day.

16.    While anopheles infects one person in 3 days, aedes mosquito can infect 15 persons in 3 days. 

17.    Infections from one cause life long immunity only for that strain.

18.   IgM blood test may take 5 days to become positive.  Therefore in the first 5 days all dengue tests may be negative.

19.   A platelet count of less than one lakh signifies dengue hemorrhagic fever or dengue shock syndrome. 

20.    Do not give aspirin in the suspected case of dengue as it can further disturb the platelet functions.

21.    Never panic.  There is no need for platelet transfusion unless platelet count is less than 10,000 with active bleeding.

 What is health?

 Health can be defines as H: Harmonious, E: Equilibrium, A: Aspirations, L: Longevity, T: Tranquility, H:  Happiness. (Prof. Dr. S.C. Tiwari 98105177781)

Exercise Tip

People always have excuses for why they don't exercise. But the American Diabetes Association says for every typical excuse not to get active, there's a solution:

  1. Think you do not have time. Start out exercising about 10 minutes per day.
  2. If you are too tired after a long work day, exercise in the morning before work, or during your lunch break.
  3. Do not use clothing as an excuse. Just choose clothing that  is  comfortable and footwear that fits well.
  4. You do not have to exercise with others if you are shy; take a walk by yourself, or watch an exercise class on TV or DVD.
  5. Do not fear being sore. Take it slowly and make sure you stretch, warm up and cool down.
  6. Exercise indoors -- at a mall or shopping center -- if bad or extreme weather is keeping you from staying active.
  7. Avoid boredom with exercises that you find fun and look forward to doing. Mix up your routine with different exercises.
  8. Money is no excuse, either. Go for a run or a walk, or use canned goods as weights.

 Patient Tip: Before You Become Pregnant

The American College of Obstetricians and Gynecologists offers this pre-conception advice:

  1. Schedule a visit with doctor to ask questions and find out about any potential risks.
  2. Eat a healthy diet and get regular exercise.
  3. Make sure you're not overweight.
  4. Take a vitamin that contains folic acid.
  5. Avoid alcohol, tobacco and illicit drug use.
  6. If you have any chronic health problems (such as diabetes or high blood pressure), try to get them under control before pregnancy.

Can men get cancer

Men can also get breast cancer, but it is not very common. For every 100 cases of breast cancer, less than 1 is in men.

What are the symptoms of breast cancer?

When breast cancer starts out, it is too small to feel and does not cause signs and symptoms. As it grows, however, breast cancer can cause changes in how the breast looks or feels. Symptoms may include?

New lump in the breast or underarm (armpit).

Thickening or swelling of part of the breast.

Irritation or dimpling of breast skin.

Redness or flaky skin in the nipple area or the breast.

Pulling in of the nipple or pain in the nipple area.

Nipple discharge other than breast milk, including blood.

Any change in the size or the shape of the breast.

 Pain in any area of the breast.

Long-term risks of Viagra use unclear

Viagra is associated with a number of side effects, but data on long-term harms are still lacking, according to a review of 49 published studies. In the medical journal Urology, Dr. Alexander Tsertsvadze, from Ottawa Health Research Institute, Ontario, Canada, and colleagues report that men who took Viagra, also known as sildenafil, were 56 percent more likely than those given a placebo to experience any side effect. Specific side effects commonly reported by men using  Viagra were headache, flushing difficulty breathing, and vision problems. The results also show that the risk of these side effects increased as the dose of Viagra rose. The researchers say more studies are needed with longer follow up, which did not exceed 12 weeks in the studies reviewed.

Pneumonia more risky to heart patients

People who are hospitalized with bacterial pneumonia are eight times more likely to suffer heart attack or other "acute coronary syndrome" within 15 days of admission than are their peers hospitalized for other conditions, said Dr KK Aggarwal, President, Heart Care Foundation of India.

Even the patients with bacterial pneumonia are at greater risk for acute heart-related "events" in the days following admission than they are one year before or after hospitalization.

As per a research at Baylor College of Medicine in Houston, from a study which focused on 206 patients with pneumonia and 395 non-pneumonia patients, compared to control patients, pneumonia patients had 7.75-fold higher risk of suffering an acute heart-related event within 15 days of being admitted to the hospital.

Overall, 10.7 percent of pneumonia patients suffered an acute coronary heart event within 15 days of hospital admission, compared with only 1.5 percent of control patients. Further analysis showed that pneumonia patients were roughly 45-times more likely to experience an acute coronary heart syndrome in the days following their admission than either one year before or after their hospital stay.

Grapes can lower blood pressure, so can green tea, cocoa, tomatoes, almonds and walnuts

Grapes has been shown to lower blood pressure and improve heart function in lab rats fed an otherwise salty diet, as per a U.S. report published in the Journal of Gerontology said Dr KK Aggarwal President Heart Care Foundation of India.

Grapes have a direct impact on cardiovascular risk, beyond the simple blood pressure-lowering impact known from a diet rich in fruits and vegetables.

In the study some of the rats ate a diet containing a powder from red, green and purple table grapes and a high-salt diet.  After 18 weeks, the rats that ate the grape-enriched diet had lower blood pressure, better heart function, reduced inflammation throughout their bodies, and fewer signs of heart muscle damage than rats that ate a salty diet but no grapes.

Flavonoids, found in grapes, green tea, cocoa and tomatoes, could be having an effect on blood pressure. Flavonoids have been shown in other studies to have heart-health benefits.

Studies on chocolate, almond and walnut have shown similar heart benefits, including reducing inflammation in blood vessels and lowering the risk of heart attacks and stroke.

Grape powder comprised about three percent of the rats' diet. For humans, that would be about nine servings of grapes a day. One serving is about 15 grapes. (135 grapes)



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