eMedinewS20th February 2014,Thursday

Dr K K AggarwalPadma 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; Chairman Ethical Committee Delhi Medical Council, 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
www.facebook.com/Dr KKAggarwal

Restricting salt in diet can lower heart disease risk

Restricting salt in the diet can lower the risk of developing heart disease by 25 percent and the risk of dying from heart disease by 20 percent

Dietary intake of sodium among Indians is excessively high. Among hypertensive individuals, lowering sodium is quite well established to lower blood pressure, but now it has been shown that reducing salt also has an effect on cardiovascular disease.

According to a Harvard Medical School study published in British Medical Journal, when people with pre hypertension (blood pressure more than 120/80 and lower than 140/90), reduced their salt intake by about 25 to 35%, they were 25% less likely to develop cardiovascular disease 10 to 15 years after the trial ended. There was also a 20 percent lower death rate from cardiovascular disease among those who cut their salt consumption.

Salt restriction is best achieved by avoiding salted, salt cured and salt smoked foods such as lunch meat, hot dogs, ham, olives, pickles and regular salted canned foods, and other prepared foods, which often use more salt than homemade equivalents. Foods we would never think of as salty, such as breakfast cereals, cookies, and even some soft drinks, often contain copious additions of sodium.

WHO recommends limiting the salt intake to less than 5 grams per day.

Dr K K Aggarwal on Zee TV

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

What a Doctor should know about a Christian patient?

sprritual blog

Christians believe in the doctrine of the holy trinity which affirms that there are only three persons in one God – Father, son (Jesus Christ) and Holy Spirit.

Christians believe that Jesus is both fully divine and fully human. The basic tenet of Christianity is Jesus. By his life, death and resurrection (return to divine), he has broken the bonds of death and one eternal life for all.

Christians strive to develop unconditional love and care for others. Jesus provided a different model of suffering and the sufferings are the means of redeeming human mind. Some Christians consider their sufferings as punishment for sin. Christians believe in prayers, rituals, meditation and formal religious services.

Some people choose to fast on particular religious holy days. Catholic Christians fast and abstain from eating meat on Ash Wednesday and Good Friday. Some abstain from eating meat on all Fridays of the year but hospitalized or ill patients are excused from these rituals.

Death is seen in Christianity as a natural part of life. Some Christians welcome death as an opportunity to realize union with the God. Christians belief in the afterlife is based on the resurrection of the Christ. The family, friends, priests or ministers pray or sit at the bedside of the dying person.

cardiology news

An Honest Man

This is a story of a young man named Ping, who lived in a far away country and a King who was getting old and he needed to find a successor. So, the King devised a way to find his successor who would have courage and be honest. The King sent out a tiny seed to all the young men in the country.

Now, this seed was to be planted and nourished to the best of each young man’s ability. Ping really wanted to be the new King. When he received his seed he went out and obtained a very beautiful pot, fertile soil and planted his seed. He watered it and nurtured it and watched it. BUT, nothing happened.

He moved his plant to another area with more sun, thinking it needed a different light. He watched it and watered it and nourished it and still, nothing happened. He went to his father and asked him what he could do. His father suggested putting it into another container and continues to nurture it.

Still nothing! He was so disappointed and the time was drawing near, to go before the King and present his plant. The day finally arrived to present his plant to the King and Ping was so embarrassed, because everyone there had beautiful plants. Some had beautiful flowers, some with beautiful green foliage and they all were so very beautiful.

He was so embarrassed and disappointed that he sat in the back with his empty pot so he wouldn’t be noticed. The King started to look over all of the plants and he was not smiling. In fact he was frowning. He kept looking and all at once he saw Ping's empty pot and he called Ping up to the stand.

And the King announced to all the men that Ping will be the next King. The King said Ping would be the next best King because of his honesty. The King also expressed his disappointed and sad that there were so many dishonest men.

The King continued to tell the men that he had boiled all of the seeds before he sent them out, and so none of the seeds would grow. You see, the King wanted someone with courage and someone that was honest to take over his Kingdom and he found it in Ping.

News Around The Globe

  • The antidepressant citalopram (Celexa, Forest Laboratories) reduces agitation in older patients with Alzheimer's disease (AD), but at the expense of increased cardiac adverse effects and mildly reduced cognition, a new randomized trial shows.
  • Idiopathic pulmonary fibrosis (IPF) diagnosis in the absence of the tell–tale honeycombing pattern on radiology might not always require surgical lung biopsy. In a study in Lancet Respiratory Medicine, a high–resolution CT pattern of possible usual interstitial pneumonia without honeycombing had 94% positive predictive value for idiopathic pulmonary fibrosis when compared with lung biopsy (79 of 84 cases confirmed histologically).
  • The chance of a clinically significant infection after ambulatory surgery is relatively small; nonetheless, outpatient surgery related infections account for roughly one in five healthcare-associated infections, as per a report in the Feb. 19 issue of the Journal of the American Medical Association. That seeming contradiction is explained by the fact that ambulatory surgery accounts for more than 63% of all operations in the U.S., so the absolute number of affected patients is large, according to Claudia Steiner, MD, of the Agency for Healthcare Research and Quality in Rockville, Md·, and colleagues.
  • Patients undergoing laparoscopic hysterectomy do not need mechanical bowel prep, according to a new study published online February 4 in Obstetrics and Gynecology. According to lead author Dr. Matthew Siedhoff, of the University of North Carolina at Chapel Hill, mechanical bowel preparation can be skipped before laparoscopic hysterectomy as it does not seem to make any difference in terms of visualization for the surgeon.
  • Rheumatoid arthritis (RA) has continued to have higher mortality rates compared with the general population, and these have not improved since 1990, researchers report in an article published online February 4 in Arthritis Care & Research.

CPR 10 success stories

1. Hands–only CPR 10 English

2. Hands–only CPR 10 (Hindi)

3. Ms Geetanjali, SD Public School Successful Story

4. Success story Ms Sudha Malik

5. BVN School girl Harshita does successful hands–only CPR 10

6. Elderly man saved by Anuja

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Rabies News (Dr. A K Gupta)

Do newborn or neonates or infants require smaller volume/lesser dosage of rabies vaccine?

All modern rabies vaccines have a uniform dosage for all age groups.

cardiology news

White Rice Most Dangerous

  • White rice is much more dangerous in terms of glycemic index than white bread. It has glycemic index of 102.
  • We often tell people not to take a cola drink but they end up in eating white bread. The glycemic index for white bread is 100% and that for cola drink is 90%.
  • Traditional Indian drinks like Rooh Afza, Khas Khas may also contain more than 10% sugar.
  • The recommended sugary drink does not contain more than 2–3% sugar, which is the amount present in oral rehydration solution.
  • People leave a cola drink and take mashed potato which has glycemic index of more than that of a cola drink (102 versus 90).
  • Pizza has a glycemic index of only 86. So it is better to eat pizza than fried white rice or taking white bread.
  • Table sugar has a glycemic sugar of 84 and jam of 95.
  • French fries have a glycemic index of only 95.
  • To avoid refined carbohydrates in diet, if one has to choose than most dangerous is white rice, followed by white bread and then comes white sugar.
  • Most people add sugar in food and snacks because sugar is preservative. Less the sugar earlier the food will be spoiled.
cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

The US Preventive Services Task Force has issued a new draft document recommending against screening for carotid artery disease in asymptomatic adults. This "D" recommendation ("discourage the use of this service") is a reaffirmation of similar recommendations issued by the USPSTF in 2007. The draft document, as well as an evidence report supporting its conclusions are open for public comment until March 17.

cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

Magnetic resonance imaging (MRI) may predict cognitive development in children and adolescents in a way that standard cognitive tests alone cannot, a new longitudinal study from Sweden shows. The reason, the authors say, is that anatomical and functional MRI can differentiate frontoparietal cortical activity, which is involved in current working memory, from subcortical basal ganglia and thalamus activity, which is involved in future cognitive development.

cardiology news

Total CPR since 1st November 2012 – 86664 trained

Media advocacy through Web Media

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press release

Vegetables & fruits lower chances of getting some cancers

Vegetables and fruits help lower your chances of getting head, neck, and breast, ovarian and pancreatic cancers. Even one additional serving of vegetables or fruits could help lower the risk of head and neck cancer. The more fruits and vegetables you can consume, the better.

Quoting an international Study from National Cancer Institute, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President IMA said that those who eat six servings of fruits and vegetables per 1,000 calories have a 29% decreased risk relative to those who have 1.5 servings. In the study, after adjusting the data to account for smoking and alcohol use – known head and neck cancer risk factors – the researchers found that those who consumed the most fruits and vegetables had the lowest risk for head and neck cancers. Vegetables appeared to offer more cancer prevention than fruits alone did. Adding just one serving of fruit or vegetables per each 1000 calories consumed daily resulted in a 6% reduction of risk.

In another study, broccoli and soy protein were found to protect against the more aggressive breast and ovarian cancers. When consumed together, digesting broccoli and soy forms a compound called di-indolylmethane (DIM). In lab experiments, the researchers found that DIM could affect the motility of breast and ovarian cancer cells, which could help keep cancers from spreading. Soy, acts like estrogen and is a nutritious, healthy food, and should be eaten in moderation.

Yet another study compared intake of flavonols to their risk of pancreatic cancer. Flavonols are protective compounds found in fruits and vegetables, such as onions, apples, berries, kale and broccoli. Those who had the highest consumption of flavonols reduced their risk of pancreatic cancer by 23%. The benefit was even greater for people who smoked. Smokers with high levels of flavonols reduced their risk of pancreatic cancer by 59%.

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 86664 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."

emedipicstoday emedipics

Heart Care Foundation of India trained school children at Mayur Public School,IP Extension in cardiac first aid including how to revive a dead person after sudden cardiac death.

press release

Ventilator–associated tracheobronchitis

vedio of day

today video of the dayHeart disease starts in youth

Cholesterol tips released

Padma Shri & Dr B C Roy National Awardee, Dr KK Aggarwal on Tackling tension headaches

eMedi Quiz

A patient using contact lens develops corneal infection. Laboratory diagnosis of acanthamoeba keratitis was established. The following is the best drug for treatment:

1. Propamidine.
2. Neosporine.
3. Ketocanazole
4. Polyhexamethylene biguanide.

Yesterday’s Mind Teaser: Early stage of trauma is characterized by:
1. Catabolism
2. Anabolism
3. Glycogenesis.
4. Gluconeogenesis.

Answer for yesterday’s Mind Teaser: 4. Gluconeogenesis.

Correct answers received from: Dr. V.P. Thakral, Dr Shashi Saini, Dr.K.Raju, Drjella, Tukaram Pagad, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr Ajay Gandhi, Anil Tandon, DR Ayyavoo Erode, Dr Avtar Krishan, Dr B K Agarwal, DR Arpan Gandhi, Dr Monica Gandhi, Muthumperumal Thirumalpillai, Dr Ashok Jain, Dr.K.V.Sarma

Answer for 18th February Mind Teaser: 4. Vernal keratoconjunctivitis

Correct answers received from: Dr Chandresh Jardosh

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update
medicolegal update

A very good looking man walks into a singles bar, gets a drink and has a seat. During the course of the evening he tries to chat with every single woman who walks into the bar, with no luck.

Suddenly a really ugly man, and I mean R–E–A–L–L–Y ugly man walks into the bar. He sits at the bar, and within seconds he is surrounded by women.

Very soon he walks out of the bar with the two of the most beautiful women you ever saw.

Disheartened by all this, the good looking man asks the barman, 'Excuse me, but that really ugly man just came in here and left with those two stunning women – what’s his secret? He’s as ugly as sin and I’m everything a girl could want but have not been able to connect all night – What’s going on?’

‘Well,‘ Said the Barman, ‘I don’t know how he does it, but he does the same thing every night. He walks in, orders a drink, and just sits there licking his eyebrows…’

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: A patient with Chikungunya had persistent joint pain.
Reaction: Oh my God! Why was hydroxychloroquine not given?
Lesson: Make sure that all patients with post Chikungunya arthritis are treated with hydroxychloroquine to reduce disability.

medicolegal update

The ingredients of health and long life are great temperance, open air, easy labour and little care. Sir Philip Sidney

medicolegal update

Dr KK Aggarwal: Diabetes is a progressive disease http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Eat only when you feel hungry. Notice and feel your hunger. This is conscious eating http://bit.ly/WAHF_Am #WAYHF

Forthcoming events

Date: Saturday 2PM-Sunday 3PM, 26–27 April 2014
Venue: Om Shanti Retreat Centre, Bhora Kalan, Pataudi Road, Manesar
Course Directors: Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal and BK Sapna
Organisers: Heart Care Foundation of India. Prajapati Brahma Kumari Ishwariye Vidyalaya and eMedinews
Facilities: Lodging and boarding provided (one room per family or one room for two persons). Limited rooms for first three hundred registrants.
Course: Meditation, Lectures, Practical workshops
Atmosphere: Silence, Nature, Pyramid Meditation, Night Walk
Registration: SMS– Vandana Rawat – 9958771177, rawat.vandana89@gmail.com
SMS – BK Sapna 9650692204, bksapna@hotmail.com

Note: Donation in Favor of Om Shanti Retreat Centre will be welcomed

medicolegal update
  1. Namaskar to Dr KK. You are doing a great service to the medical community. You deserve the best. Rgds: Dr Nanu Singh

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