eMedinewS1st August 2014, Friday

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

Even the elderly should exercise

Research spanning two decades has found that older runners live longer and suffer fewer disabilities than healthy non–runners. This observation applies to a variety of aerobic exercises, including walking.

A study by authors, from Stanford University School of Medicine, published in the Archives of Internal Medicine has shown that being active reduces disability and increases survival.

There are benefits of vigorous activity late in life. Earlier many experts believed that vigorous exercise would actually harm older individuals. And running, in particular, would result in an epidemic of joint and bone injuries. But this new study proves otherwise.

Two hundred and eighty–four runners and 156 healthy "controls," or non–runners, in California completed annual questionnaires over a 21–year period. The participants were 50 years old or over at the beginning of the study and ran an average of about four hours a week. By the end of the study period, the participants were in their 70s or 80s or older and ran about 76 minutes a week.

At 19 years, just 15 percent of the runners had died, compared with 34 percent of the non–runners.

In the study, running delayed the onset of disability by an average of 16 years. It’s so important to be physically active your whole life, not just in your 20s or 40s, but forever. Exercise is like the most potent drug. Exercise is by far the best thing you can do.

One should take lessons from Yudhishthir in Mahabharata who walked till his death. However a word of caution, if an elderly is walking or entering into an exercise program, he or she should have a cardiac evaluation to rule out underlying heart blockages.

News Around The Globe

  • A UK report has revealed that more experienced clinicians are better at diagnosing pelvic inflammatory disease (PID). Researchers from Leeds Teaching Hospitals NHS Trust noted that experienced clinicians diagnosed PID in 89.7% of women they assessed compared with 70.0% for inexperienced clinicians, thereby suggesting that inexperienced clinicians may be missing 20% of cases of PID. The report was published online in Sexually Transmitted Infections.
  • According to a study published online July 28 in Diabetes, a diet low in both carbohydrates and saturated fat appears ideal for treating type 2 diabetes.
  • The overall lipid profile in patients with type 2 diabetes appears to be better with metformin treatment as compared to glipizide treatment, suggests a new study published online in Diabetes Care.
  • Motoric cognitive risk syndrome, a newly developed diagnosis that includes cognitive symptoms and slow gait in patients without dementia or mobility–related disability, is common in older adults and seems to be an early risk factor for cognitive decline, suggests a new study published online in Neurology.
  • A new study published online in Stroke has noted an association between baseline P–wave morphology and subsequent ischemic stroke risk, even after accounting for atrial fibrillation (AF). The significant association between P–wave terminal force in lead V1 (PTFV1) and subsequent ischemic stroke persisted in participants without AF, suggesting that atrial disease could cause stroke even in the absence of AF.

Rabies News (Dr A K Gupta)

What is "furious form" of rabies in animals?

The excitative phase follows the prodromal phase in some animals. The animal becomes irrational and may aggressively use its teeth, claws, horns, or hooves. The expression is one of anxiety with dilated pupils. Noise invites attack. The rabid animal roams extensively and attacks other animals, including humans and any moving object. Cats usually manifest furious type of rabies.

Cardiology eMedinewS

  • Alirocumab, a monoclonal antibody that inhibits proprotein convertase subtilisin/kexin type 9 (PCSK9), has been found to effectively reduce LDL–cholesterol levels among patients who received the investigational drug in a number of clinical trials.
  • Hormone therapy (HT) in newly menopausal women reduces vasomotor symptoms, including hot flashes, and improves some markers of cardiovascular disease (CVD); however, it has no effect on the progression of atherosclerosis, reports an article published online July 28 in the Annals of Internal Medicine.

Pediatrics eMedinewS

  • A new PhD study involving 3,000 adolescents has shown that their knee pain often termed as "growing pains" tends to carry on. Researchers noted that one in three adolescents between the ages of 12 and 19 experience pain in their knees. About 7% of the adolescents experience daily knee pain in the front of the knee. The findings were published in BMC Pediatrics.
  • A new study published in Psychological Science has stated that peers can have a significant impact on a child's language abilities, for better or worse. It was noted that while peers with strong language skills can help improve their classmates’ abilities, being in the company of peers with weak skills may hinder kids’ language development.

Dr K K Spiritual Blog

Namkaran Sanskar

In India, a person is identified by his/her name, which usually is a reflection of his/her own family. It may contain not only your maiden name but also the name of your father and your surname/caste.

When you are born, you are usually given your special name, which you carry throughout your life unless it is changed for a specific purpose. For example, the surname may change after marriage or the in–laws may change your name, specifically, when you are a girl.

Artists often change their names to those which may reflect their profession. A classical example is Rajesh Khanna, who changed his name from Jatin to Rajesh, which was easier for the public to recall.

A name for a baby is chosen on any of the following grounds:

1. The priest, as per the horoscope, decides the sound present in the universe and that Akshar (Alphabet) is given to the family to choose a name beginning with that Akshar.

2. Sometimes, the name of the baby may be chosen depending upon the auspiciousness of the day he/she was born, e.g. a baby body born on Krishna Janmashtami, may be named ‘Krishna’ by the family after Lord Krishna.

3. If the parents have vowed a Mannat to a deity, then they may name their child after one of the many names of that deity. For example, if parents have taken a Mannat from Vaishno Devi, their baby girl may be named as one of the forms of Goddess Durga or Parvati.

4. People may also choose similar names for their children, e.g. Ramesh, Mahesh and Suresh.

5. People may also keep the name of the child in the form of known pairs. If the name of the first child is Luv, the parents may like to name the second child as Kush, especially when the parents have twins. Other examples are Karan Arjun, Sita and Gita etc.

6. Sometimes, parents name their child after their favorite celebrity. For example, if someone is a big fan of Sachin Tendulkar, he may name his child Sachin. Sachin Tendulkar himself was named after the noted Hindi film music director Sachin Dev Burman by his father, who was a great fan of SD Burman.

Name has a lot of significance as Akshar in Sanskrit has a vibration and if that positive vibration matches with the vibrations of universe at the time of your birth, it helps in healing.

Normally, it is expected that you live up to your name. For example, if your name is Durga, you are expected to know all about Maa Durga and try to adopt characteristics of Durga.

Therefore, everyone is expected to know the literal meaning of his or her name and try to follow a lifestyle that is consistent with your name. For example, if you are named Ram, you are not expected to act like Ravana.

Namkaran Sanskar or the naming ceremony is a complete ceremony and is one of the 16 sanskars. It is both a social and legal necessity. As the naming process creates a bond between the child and the rest of the community, it is considered auspicious.

Some people name their child before he/she is born but a Namkaran Sanskar is usually performed on the 12th day after birth but it may vary from religion to religion and custom to custom.

The formal ritual involves a Namkaran puja, which is held at their home or a temple where the priest offers prayers to all the Gods, Navagrihas, five elements, Agni and the ancestors. The horoscope of a child is made and is placed in front of the idol of the deity for blessings. With the baby in the lap of the father, the chosen name of the child is whispered in the right ear.

Some people name child on the 101st day of the birth and still some others choose the first birthday to name their child.

The name of the child also entails certain etiquettes as it reflects a person. You cannot take the name of a person with disrespect. If you abuse a name it means you have abused a person.

Wellness Blog

Every arthritis is not the same

Every arthritis is not the same. While osteoarthritis, also called as green arthritis, may require only painkillers and rehabilitation exercises, the red inflammatory arthritis called rheumatoid arthritis can end up with serious deforming complications if not treated early and aggressively.

Any arthritis in young women of child-bearing age should not be ignored, especially if it is worse in the morning and improves by movement. Most of them will have high platelet count on blood examination. These patients require aggressive treatment with disease–modifying drugs within days of the onset of symptoms and diagnosis. Approximately 1–2% of population may have this type of disease.

Osteoarthritis, on the other hand, is a disease of 50+ age group and is due to wear and tear of various joints in the body and break down of the cartilage cushion in the joints. It mainly affects the weight–bearing joints like the knees, hips, neck and lower back joints. Inflammation is not a major feature of osteoarthritis. The experts said that another form of joint disorder is due to gout which is never seen in people below 40 years of age and is almost never seen in young women before the onset of menopause unless there is a known underlying kidney disease and never seen in children.

The progression of osteoarthritis can be arrested with appropriate exercises, weight reduction and preventing posture and movement that worsen the disease.

Typical wear and tear of osteoarthritis is caused by sitting cross legged, doing Padmasana, squatting, other non physiological postures, sitting on low level surface like floor and low chairs, doing push ups, going up and down on stairs, etc.

Most yoga postures should be done under medical supervision and should follow with a counter yoga exercise.

Most patients of serious arthritis end up with treatment with other systems of medicines or with quacks.

Inspirational Story

I’m Glad I Got Sick

Twenty–seven years ago I got sick. The reason I can remember the date so well is because being sick is what caused me to choose my future wife. She was just a good friend, but because she came over to my apartment, brought me medicine, and made me breakfast, I thought for the first time "what a super wife she will make for someone."

I took her out to eat in Nashville, Tennessee for helping me get over the flu. After that we became even better friends, but still no thought of marriage. A few months later I was going to take a new job in the Atlanta area with a Community College, so Cathy helped me pack up boxes to get ready to leave. We had a great time that day and had lunch together. Near the end of that day I noticed a few tears in Cathy's eyes, so I asked what was wrong.

She said, "I don’t know if I can live without you, you are my best friend." I said, "I know, I’ve been thinking the same thing." That day we decided to get married and we have been married ever since. We have had our tough times as many others have had, but we are still BEST FRIENDS!

When I get to the family unit in my Health class and we talk about marriage …I always tell this story. My students seem to love it because they learn for the first time that giving, sharing and caring about others is all that really matters in life, and that sex, looks, money and other things are secondary.

By the way, my wife is 12 years younger than me, and she is beautiful. Coaches constantly kid her about marrying me; they say she must be blind. We have 2 beautiful children, but we still have dates on every week–end.

Cathy is the greatest thing (other than becoming a Christian) that has ever happened to me! She is a fantastic mother, and the best wife a coach could ever have. THANK GOD I GOT SICK 27 YEARS AGO!!

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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."

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Make Sure

Situation: An elderly patient with unstable angina presented with URTI and was found to be positive for Chlamydia pneumoniae infection.
Reaction: Start macrolides immediately.
Lesson: Make sure to remember that erythromycin 2 g/day for 10–14 days reverses the increased risk of atherosclerosis.

eMedinewS Humor

You should write more legibly

As an English professor, my father would often write little notes on student essays. Often he worked late, and as the hours passed, his handwriting deteriorated. One day a student came to him after class with an essay that had been returned. "Mr. McDonald," he said, "I can’t make out this comment you wrote on my paper."

My father took the paper and, after studying it, sheepishly replied, "It says that you should write more legibly."

Quote of the Day

We must use time wisely and forever realize that the time is always ripe to do right. Nelson Mandela

Twitter of the Day

Dr KK Aggarwal: Relieve Stress by Changing the Interpretation http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: In every perceived failure or setback is the seed of success. http://bit.ly/DC_Ananda #ananda

ePress Release

Besan or gram flour has health benefits

If you are in doubt that your food may be the cause of your illness, try substituting one food each day. To begin with, it is best to use besan foods (gram flour) in place of wheat flour foods, 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.

People suffering from celiac disease cannot digest a protein called gluten which is found in barley and wheat flour. This gluten triggers immune system in patients to damage small intestine villi. As a result, patient cannot absorb nutrients from food and remains malnourished which could lead to anemia, weight loss and fatigue. Celiac disease patients suffer from fat malabsorption.

A gluten–free diet is also recommended for patients with wheat allergy, dermatitis herpetiformis, multiple sclerosis, autoimmune disorders, autism spectrum disorders, ADHD and some behavioral problems.

Gluten–containing cereals are wheat, barley, rye, oats and triticale (hybrid of wheat and rye). Gluten is also present as a food additive in the form of a flavoring, stabilizing or thickening agent.

In these conditions, one should switch over to gluten–free foods. The best alternative is to shift from wheat flour to gram flour (besan).

eMedi Quiz

Holgene’s phenomenon is seen due to which component:

a. Benzylpenicilloyl
b. Procaine
c. Crystalline
d. Benzathine penicillin

Yesterday’s Mind Teaser: Injury to radial nerve in lower part of spiral groove:

1. Spares nerve supply to extensor carpi radialis longus.
2. Results in paralysis of anconeus muscle.
3. Leaves extension at elbow joint intact.
4. Weakens pronation movement.

Answer for yesterday’s Mind Teaser: 3. Leaves extension at elbow joint intact.

Correct answers received from: Raju Kuppusamy, Jainendra Upsadhyay, Dr Chandresh Jardosh, Daivadheenam Jella, Dr Avtar Krishan.

Answer for 30th July Mind Teaser: 1. Transitional

Correct answers received from: Dr Abbas Vakil, Dr PC Das, Prabha Sanghi, Dr K Raju, Dr Poonam Chablani, Dr Vaishali Parmar, Dr Jainendra Upadhyay, Dr KV Sarma, Dr Raghavendra Jayesh, Dr Chandresh Jardosh, Daivadheenam Jella, Dr Gopal Shinde, Dr Avtar Krishan, Dr Prakash Khalap, Dr Jayashree Sen, Dr Bitaan Sen.

Send your answer to ijcp12@gmail.com

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