eMedinewS1st September 2013, Sunday

Dr K K Aggarwal Padma Shri and Dr B C Roy National Awardee

Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, National Vice President Elect, Indian Medical Association; Hony. Visiting Professor (Clinical Research) DIPSAR; 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
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Consumption of Certain Fruits Linked to Lower Diabetes Risk

Eating certain whole fruits may reduce the risk for type 2 diabetes, according to the results of 3 combined prospective longitudinal cohort studies, by Isao Muraki, PhD, MD, from the Department of Nutrition, Harvard School of Public Health, Boston, Massachusetts and published in online August 29 in BMJ.

However, juice consumption may up the risk for diabetes. To get a better assessment of the role fruit might have in diabetes risk, the investigators combined data from 3 studies: the Nurses’ Health Study (n = 66,105), Nurses’ Health Study II (n = 85,104), and Health Professionals Follow-up Study (n = 36,173).

Over the course of 3,464,641 person–years of follow–up, 12,198 participants developed type 2 diabetes. In a multivariate analysis adjusted for personal, lifestyle, and dietary risk factors for diabetes, every 3 servings of fruit per week were associated with a lower risk for type 2 diabetes.

When the researchers looked at individual types of fruit in a multivariate analysis, adjusted for the same factors, they found that 3 servings per week of some fruits were more closely associated with reduced risk than others: blueberries, grapes and raisins, apples and pears, bananas and grapefruit. Conversely, the intake of cantaloupe or fruit juice was associated with an increase in the risk for type 2 diabetes.

In a secondary analysis, the investigators found that the consumption of high glycemic load fruits was linked to a lower risk for type 2 diabetes, as was consumption of moderate glycemic index fruits. ….Read More

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 10x10 i.e. 100 per minute."


VIP’s on CPR 10 Mantra Video
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Ringtone – CPR 10 Mantra Hindi

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sprritual blog Why Puffed Rice And Not Rice Are Offered To Lord Ganesha

Lord Ganesha is shown with big tummy and craving for eating sweets (ladoo or modakas) and puffed rice.

Both sweets and rice are addicting in nature and consuming them regularly can lead to metabolic syndrome which presents with diabetes and high blood pressure. In Hindu mythology for this reason it is said to avoid eating carbohydrates atleast once in a week.

Ganesha is in each one of us depicting our inherent weakness for eating carbohydrates. To prevent metabolic syndrome Ganesha is shown to consume Bilva leaves, Durva grass juice, fruits of elephant apple and Jamun, all having anti diabetic and insulin sensitizing properties.

Ganesha is also shown to be eating puffed rice and not plain rice. Puffed rice is a safer carbohydrate than plain rice.

The importance of puffed rice is mentioned in many places in mythology. The main mention comes in Kubera Ganesha interaction in one of the Purana (Vedic message in the form of stories) story.

Kubera (the god of wealth) became proud of his wealth and invited child Ganesha for a meal. Ganesha increased his appetite so much that there was nothing else to eat. When Kubera made Shiva to intervene, Shiva gave Ganesha a handful of puffed rice, which he ate, and immediately his hunger was suppressed.

This teaches us two Vedic lessons. Firstly that handful of puffed rice given with love and eaten with devotion is more important and filling than all the wealth of Kubera flaunted to impress others.

Secondly that a man of perfection (Ganesha) has an endless appetite for experiences. Lord Shiva, the perfect Guru, alone can satisfy the hunger of such devotee by giving them a handful of “puffed rice”, representing the “baked vasanas”, burnt in the fire of knowledge’. Only when the lust is burnt up the enthusiasm for experiencing life is quietened.

The spiritual message is that one should learn to control the lust and burn it in the fire of knowledge.

In mythology the symbolic representation of rice is for lust (attachments, desires and greed) and puffed rice for baked lust. Rice is equated to lust being a carbohydrate with high glycemic index and proneness to obesity and metabolic syndrome.

Apart from carbohydrates lust can also be for sex, cigarettes, alcohol and narcotics. The answer for any lust is either to discard the lust or to think before getting indulging in it.

Medically also puffed rice is better than plain rice. Puffed rice or murmura is to rice what popcorn is to maze. Puffed rice however lacks the essential amino acid lysine and therefore is not a complete meal by itself. It is about 10 times the volume of regular rice. A cup of plain puffed rice contains only 20-25 calories. Puffed rice is recommended healthy snack and healthy fast food for preventing diabetes. It is light, dry and gives a feeling of fullness. It is also gluten-free.

In mythology puffed rice has been mentioned at many other places also.

1.When Sudama went to meet Krishna he carried puffed rice as a gift which Krishna relished. Puffed rice indicates a healthy gift and that only a person who has controlled his lust can meet Krishna the consciousness.

2.Ramakrishna has been mentioned having his first spiritual ecstasy at the age of six or seven while eating puffed rice. Spiritually again it means that only those can achieve spiritual ecstasy who have mastered lust.

3.In marriage rituals also both bride and groom are required to offer puffed rice into the fire. The spiritual message is again that both groom and bride need to leave their lust before they enter into a new relationship. This is again shown in another marriage ritual Laaja Homam where the bride with the assistance of her brothers makes offerings of puffed rice into the sacred fire.

4.In Buddhist mythology puffed rice also depicts the end “one who cannot be reborn” and puffed rice is used at funerals. Puffed rice represents rice that cannot be grown again.

….Read More

cardiology news

I Must At Least Try

In June 1985, two British mountaineers Joe Simpson and Simon Yates made the first–ever climb of the West Face of the 21,000 foot snow–covered Siula Grande mountain in Peru. It was an exceptionally tough assault – but nothing compared to what was to come. Early in the descent, Simpson fell and smashed his right knee. Yates could have abandoned him but managed to find a way of lowering him down the mountain in a series of difficult drops blinded by snow and cold. Then Simpson fell into a crevasse and Yates eventually had no choice but to cut the rope, utterly convinced that his friend was now dead.

In his subsequent book on the climb entitled "Touching The Void", Joe Simpson wrote:

"As I gazed at the distant moraines, I knew that I must at least try. I would probably die out there amid those boulders. The thought didn’t alarm me. It seemed reasonable, matter–of–fact. That was how it was. I could aim for something. If I died, well, that wasn’t so surprising, but I wouldn’t have just waited for it to happen. The horror of dying no longer affected me as it had in the crevasse. I now had the chance to confront it and struggle against it. It wasn’t a bleak dark terror any more, just fact, like my broken leg and frostbitten fingers, and I couldn't be afraid of things like that. My leg would hurt when I fell and when I couldn’t get up I would die."

The survival of Yates himself was extraordinary. That Simpson somehow found a way of climbing out of the crevasse after 12 hours and then literally crawled and dragged himself six miles back to camp, going three days and nights without food or drink, losing three stone, and contracting ketoacidosis in the process, would be the stuff of heroic fiction if it was not so true. Indeed, six operations and two years later, he was even back climbing. All because, against all the odds, he tried ...Read More

News Around The Globe

  • As–needed ranibizumab is an appropriate strategy for most treatment–naive patients with subfoveal neovascular age–related macular degeneration, suggest new 2–year data from the HARBOR trial. The long–term study shows that 93% of patients treated with as–needed ranibizumab 0.5 mg did not require monthly dosing at 24 months. Over the 24–month study period, these patients received an average of 13.3 injections. The results of the trial were presented at the 31st Annual Meeting of the American Society of Retina Specialists.
  • According to a new North American Menopause Society statement published in the September issue of Menopause, treatment of vulvovaginal atrophy (VVA) should take into account symptom severity and patient preferences. With appropriate matching of therapy and patient, VVA can be managed successfully in most cases.
  • Ketamine is a rapid, effective treatment for patients with treatment–resistant depression, new research shows. However, experts, including study investigators, believe that it is not yet ready for clinical practice but rather may lead to the development of novel medications for severe, treatment–refractory depression. This findings supports NMDA receptor modulation as a novel mechanism for accelerated improvement in severe and chronic forms of depression.
  • The TIOSPIR trial reported in an abstract released online in the New England Journal of Medicine has found that the mist version of tiotropium (Spiriva) was as safe as the dry powder formulation in terms of mortality and cardiovascular events in chronic obstructive pulmonary disease (COPD). The full report is slated to be released in conjunction with presentation at a last–minute addition to the European Respiratory Society meeting Sept. 8.
  • According to a meta–analytic review of relevant studies in JAMA August 28, a positive painful arc test and a positive external rotation resistance test in a patient with shoulder pain has a high likelihood of being rotator cuff disease (RCD). And a positive lag test (external or internal rotation) likely means a full–thickness rotator cuff tear.

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Rabies News (Dr. A K Gupta)

A pet dog died of sudden unexplained death. What should be done?

If facilities are available post–mortem of the dog for confirmation of rabies is required. If not possible, (or if the post mortem proves rabies) all those who came in contact with the saliva of the animal (directly or through its fomites) should be given PEP.

cardiology news

Intense lifestyle changes and metformin both helped modify lipid particles in patients with type 2 diabetes, presumably improving their cardiovascular risk profile, according to a new study reported online in the Journal of Clinical Endocrinology & Metabolism. In a subgroup analysis of the Diabetes Prevention Program, patients who were randomized to either metformin or to an intense lifestyle intervention had lower levels of various particles of low–density lipoprotein (LDL) cholesterol, and increases in high-density lipoprotein (HDL) particles. According to Ronald Goldberg, MD, principal investigator of the Diabetes Research Program at the University of Miami, these findings demonstrate that the same therapies used to slow the onset of diabetes also may help allay the risk of heart disease.

Valvular Heart Disease News

Although a varinfectious endocarditis ty of microorganisms can cause infective endocarditis, streptococci and staphylococci specinfectious endocarditis s are the most common pathogens associated with infective endocarditis in children.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

cardiology news
  • An examination of nearly 1 million birth records revealed a 3–fold increased risk for tetralogy of Fallot among infants whose mothers took fluconazole in the first trimester, according to a study published in the August 29 issue of the New England Journal of Medicine.
  • Lens–sparing vitrectomy to correct early degrees of retinal detachment results in excellent lens clarity and vision in the majority of infants with retinopathy of prematurity, according to the largest reported case series in the world. Success rates for retinal reattachment with a single surgery were approximately 89% for infants with stage 4A retinopathy, in which retinal detachment has started to occur, but the detachment has spared the macula. For those with stage 4B retinopathy, when retinal detachment involves the macula, success rates were 60%.
cardiology news

High BP in pregnancy increases risk for future atherosclerosis

Women who have hypertension during pregnancy are at increased risk of developing atherosclerosis when they are older.

In a study published in the journal Hypertension, Dr. Siamak Sabour, of the University Medical Center in Utrecht, the Netherlands, said that hypertension in pregnancy acts as a kind of "nature’s cardiovascular stress test" showing proneness to future disease.

Gestational hypertension leads to 57% increased risk of calcification

Gestational hypertension normally resolves following birth, and blood pressure returns to normal. But women with elevated blood pressure during pregnancy are at higher risk of hypertension, diabetes, and cardiovascular disease later in life. Sabour and colleagues evaluated 491 healthy postmenopausal women selected from participants enrolled in the PROSPECT (Predictors of Response to Cardiac Resynchronization Therapy) study from 1993–1997. Women with a history of gestational hypertension had an almost 60% increased risk of having coronary calcification several decades later compared with women who had normal blood pressure during pregnancy. The relationship held for women who had mild elevations in blood pressure during pregnancy as well as for those who developed preeclampsia — a more serious complication of pregnancy characterized by very high blood pressure, edema, and risk of organ damage.

Hypertension during pregnancy should be an alert for women.

"Up until now it has been assumed that high blood pressure subsides after pregnancy, and there was no structured follow–up of the women who experienced it.

Hypertensive disorders are common in pregnancy, affecting 2% to 35% of all pregnancies, and ranking among the leading causes of maternal and perinatal morbidity and mortality worldwide. Preeclampsia or gestational hypertension associated with proteinuria is particularly linked with an increased risk for adverse pregnancy outcomes for both the mother and the fetus.

cardiology news

Chief Minister of Delhi Smt. Sheila Dikshit to host a dinner for CMAAO India conference faculty

Smt. Sheila Dikshit, Chief Minister of Delhi will be hosting an invited limited faculty dinner at CM’s residence on 12th September at 8pm. The invitees will include the international and national faculty of CMAAO India conference.

cardiology news

Total CPR since 1st November 2012 – 62980 trained

CPR Classes 62980

Media advocacy through Print Media

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Media advocacy through Web Media

When Constipation May be a Serious Problem 30th August

NETLOG, FREEPRESS RELEASE, PRLOG, FREEPRESSINDEX , AFRICANNEWSWIRE

TB more dangerous than FLU 29th August

NETLOG, FREEPRESS RELEASE, PRLOG, AFRICANNEWSWIRE

Do not ignore transient brain dysfunction

TIA or transient ischemic attack or mini paralysis is a brief episode of neurologic dysfunction caused by lack of blood supply in the focal brain or eye, with clinical symptoms typically lasting less than one hour, and without evidence of acute infarction or brain attack, Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India & MTNL Perfect Health Mela and National Vice President elect IMA.

It is a neurological emergency; its early recognition can identify patients who may benefit from preventive therapy or from surgery of large vessels such as the carotid artery.

The initial evaluation of suspected TIA and minor non disabling ischemic paralysis includes brain imaging, neurovascular imaging, and a cardiac evaluation. Laboratory testing is helpful in ruling out metabolic and hematologic causes of neurologic symptoms.

TIA or minor non disabling ischemic paralysis is associated with a high early risk of recurrent paralysis. The paralysis risk in the first two days after TIA is approximately 4 to 10 percent. Immediate evaluation and intervention after a TIA or minor ischemic reduces the risk of recurrent stroke.

Risk factor management is appropriate for all patients. Currently viable strategies include blood pressure reduction, statins, antiplatelet therapy and lifestyle modification, including smoking cessation.

For patients with TIA or ischemic stroke of atherothrombotic, lacunar (small vessel occlusive), or cryptogenic type, antiplatelet agents should be given.

For patients with atrial fibrillation and a recent ischemic stroke or TIA, the treatment is blood thinners.

For patients with carotid blockage surgery is needed.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on" Hands only CPR" of 63000 people since 1st November 2012.

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."

today emedipics

A CPR 10 Training Camp was organized by Heart Care Foundation of India to train the students of Modern School Noida on 14th August

press release

Dr KK Aggarwal speaks on CKD Definition Diagnosis

today video of the dayDr KK Aggarwal on Costly Treatment

Dr KK Aggarwal on Sleeping Disorder

Dr KK Aggarwal on Doctors Day SAHARA SAMAY News

eMedi Quiz

Read this…………………

An infant is hospitalized for treatment of inorganic failure to thrive. Nurse Faith is aware that the nursing action is most appropriate for this child?

a. Encouraging the infant to hold a bottle
b. Keeping the infant on bed rest to conserve energy
c. Rotating caregivers to provide more stimulation
d. Maintaining a consistent, structured environment

Yesterday’s Mind Teaser: Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants. At what age is the diagnosis of SIDS most likely?

a. 1 to 2 years
b. 1 week to 1 year, peaking at 2 to 4 months
c. 6 months to 1 year, peaking at 10 months
d. 6 to 8 weeks

Answer for yesterday’s Mind Teaser: a. 1 to 2 years

Correct answers received from: DR AYYAVOO ERODE, Dr.K.Raju, Dr. P. C. Das, Dr.K.V.Sarma, DR.BITAAN SEN & DR.JAYASHREE SEN, dr anil sarin, Dr Jainendra Upadhyay, Narahari Kandakatla , DR ARPAN GANDHI, Dr Pankaj Agarwal, Dr.Chandresh Jardosh, DR AVTAR KRISHAN, daivadheenam, Dr Kanta Jain, Dr pooja khullar, Dr. Parul Chopra Buttan, Dr. P. C. Das, Dr pooja khullar

Answer for 30th August Mind Teaser: b. 1 week to 1 year, peaking at 2 to 4 months

Correct answers received from: Dr. Laxman kumar, DR. SUSHMA CHAWLA, Narahari Kandakatla

Send your answer to ijcp12@gmail.com




medicolegal update

Click on the image to enlarge

medicolegal update

Married Couple and Fairy A married couple in their early 60s was celebrating their 40th wedding anniversary in a quiet, romantic little restaurant.

Suddenly, a tiny yet beautiful fairy appeared on their table. She said, ‘For being such an exemplary married couple and for being loving to each other for all this time, I will grant you each a wish.

The wife answered, ‘Oh, I want to travel around the world with my darling husband.’

The fairy waved her magic wand and – poof! – Two tickets for the Queen Mary II appeared in her hands.

The husband thought for a moment: ‘Well, this is all very romantic, but an opportunity like this will never come again.

I'm sorry my love, but my wish is to have a wife 30 years younger than me.’

The wife and the fairy were deeply disappointed, but a wish is a wish.

So the fairy waved her magic wand and poof!… The husband became 92 years old.

The moral of this story: Men who are ungrateful should remember… fairies are female too!

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient with diabetes shows deteriorating kidney function.
Reaction: Oh my God! His HbA1c is very high!!
Lesson: Make sure that strict glycemic control is maintained in patients with type 2 diabetes in order to delay vascular complications.

medicolegal update

If the looser keeps his smile, the winner will lose the thrill of victory.

medicolegal update

Dr KK Aggarwal: Sudden Cardiac Death By Dr k k Aggarwal http://bit.ly/16wknsh #Health

Dr Deepak Chopra: Mainstream science is dismissive, when faced with the notion of mind outside the brain. Could science be wrong? http://tinyurl.com/l6x3eo4

medicolegal update

Dear Sir, emedinews provides useful information. Regards: Dr Jignesh

Forthcoming Events

29thSeptember–Dil Ka Darbar at NDMC Convention Centre, CP New Delhi

20th Perfect Health Mela from 18th Oct to 22nd Oct at different locations

20th Perfect Health Mela from 23rd Oct to 27th Oct at Constitution Club of India

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