eMedinewS20th June 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

Pollution and Diabetes

Today India is the diabetic capital of the world. The number of diabetics diagnosed every year is also increasing.

If we go back to the era of Ramayana and Mahabharata, we find none of the Devtas or Asurs suffering from diabetes. Though diabetes does get a mention in Ayurveda, the incidence and prevalence in Indian society was very low.

Today diabetes is considered to be a lifestyle disease and is linked to potbelly obesity. Lord Ganesha and Kuber both had potbelly obesity yet did not suffer from diabetes. Lord Ganesha had uncontrolled appetite to eat sweets and yet he had no diabetes and same comes from one of his prayer which talks about why people in that era did not suffer from diabetes. Following is a gist of one of my write–ups on the same:

"Gajananam Bhoota Ganadi Sevitam; Kapittha Jambu phalasara bhakshitam; Umasutam Shoka Vinasha karanam; Namami Vighneswara pada pankajam".

The Mantra means

a. "Oh Elephant–faced, worshiped by the existing beings, of all living beings, tasting the elephant apple (kaith) and jambolana (jamun), the Son of Uma, destroyer of grief, I bow to the lotus feet of Ganesha who is lord of all."

b. Or Gajananam (the big tummy one worshipped by all) Bhoota (Durva grass and Bilva patra used for worshipping Ganesha) Ganadi (in equal quantity) Sevitam (if consumed); Kapittha (Kaith) Jambu (Jamun) phalasara (fruits) bhakshitam (to be consumed); Umasutam (son of Uma) Shoka (diseases) Vinasha karanam (get rid of); Namami (I bow to) Vighneswara (destroyer of grief) pada pankajam (feet of lord)"

The mantra talks about four medicinal herbs: Durva grass and Bilva patra ( Bel leaves) used for Ganesha worship; fruit of elephant apple (Kaith) and fruit of Jambolona ( or Jamun). All four have anti diabetic properties and can be mixed in equal quantity and prepared as a medicinal juice.

Medically Durva grass (Cynodon dactylon) has been shown to possess anti diabetic, cholesterol owering, immune-modulatory, DNA protective, aphrodisiac, male fertility, anti cancer and anti inflammatory activities. Similarly Bilva Patra has both anti diabetic and fertility promoting properties.

Elephant apple (Limonia acidissima) also named as Wood Apple, Elephant Apple, Monkey Fruit, Curd Fruit, Koth Bel, Kaitha and Kath Bel, has been shown to possess strong anti diabetic properties.

Jamun (Syzygium cumini) also has DNA protective, anti oxidant and anti diabetic properties and is an essential ingredient of most anti diabetic Ayurveda preparations.

Apart from the above, two things have also happened in the current Kaliyuga era which deviates from the Vedic era. Firstly, environmental pollution and secondly people have adopted to eat carbohydrates on a daily basis and there is also a shift of complex carbohydrates to refined carbohydrates.

Environmental pollution, especially with high particulate matter PM 2.5 exposure, is linked with diabetes. Any particulate matter of less than 2.5 micro m3 in size can get absorbed from respiratory system, enter into the blood and release pro–inflammatory products leading to endothelial dysfunction and resultant diabetes and heart disease.

As per WHO, the air content of PM2.5 should be less than 10 μg/m3 but in India the levels are always more than 60 μg/m3 as 60 μg/m3 concentration has been accepted as normal in India. That means that an Indian is already six times more exposed to PM2.5 particulate.

In India, we can see values as high as 300–400 μg/m3 in selected areas on a daily basis. Constant exposure to PM 2.5 particulates leads to endothelial dysfunction, one of the major factors for increasing diabetics.

As per Chandok Upanishad, food is Brahman. Food contains same consciousness as that of human body. Fruit remains alive for upto 40 minutes after they are plucked from the tree unless they are refrigerated or frozen at the same time. A fruit without consciousness is a dead food and does not have protective nutritional value. PM2.5 particulates can also gets absorbed in the fruits, reducing its nutritional value.

If the same food is also devoid of consciousness, it will not be able to prevent and protect human being from various diseases.

To prevent oneself from diabetes, therefore, one should avoid eating refined carbohydrates, omit carbohydrates 80 days in a year from diet and avoid exposure to high PM2.5 pollution matter (which can be checked from the website), exercise more and try to eat a diet full of fruits and vegetables which are live, locally grown and seasonal.

News Around The Globe

Women who regularly eat steaks, burgers, and other sources of red meat during their premenopausal years may be at increased risk for breast cancer compared with women who rely on poultry, fish, eggs, nuts, and legumes for their protein requirements, reports a new study published online June 10 in BMJ.

A cohort study published online June11 in JAMA Surgery has suggested that the Frailty Index (FI) has the potential to independently predict in-hospital complications and adverse discharge outcomes in geriatric trauma patients and might facilitate risk stratification in these patients. Compared to those without frailty, those with frailty had more than two-fold increased odds of having in-hospital complications and adverse discharge disposition.

A new study conducted by researchers at the Department of Neurology, Radboud University Medical Center, Nijmegen, The Netherlands has shown that compared with the standard individual doctor visit, a single group medical appointment could modestly improve the quality of life for patients with chronic neuromuscular disorders. The study is published online June 18 in Neurology.

A federal-funded phase 3 study has revealed that pancreatic islet-cell transplants have done away with the need for insulin treatment in more than half of a subgroup of type 1 diabetes patients who experienced frequent severe hypoglycemia. The findings from the study were presented at the American Diabetes Association (ADA) 2014 Scientific Sessions.

The American College of Gastroenterology has issued new clinical guidelines to assist physicians and other healthcare providers better manage drug-induced liver injury (DILI). The guidelines were published online June 17 in the American Journal of Gastroenterology. The clinical guideline provides an extensive algorithm for evaluation of suspected DILI, progressing from abnormal liver enzymes to thorough history and physical with complete review of medications and supplements, to calculation of the R-value.

Rabies News (Dr A K Gupta)

If for some reason, IDRV cannot be given in deltoid region, what are the alternative sites?

IDRV can be given in deltoid region, suprascapular, anterior abdominal wall and the upper part of thigh

Cardiology eMedinewS

A study conducted at the Emory University in Atlanta, Georgia has stated that depression may be particularly harmful to the heart in younger women. Researchers noted that more than 25% of women aged <55 years who underwent coronary angiography and were depressed were much more likely to die of heart disease, suffer a myocardial infarction (MI), or require revascularization. The study appeared online June 18 in the Journal of the American Heart Association.

A study, recently presented at the American Diabetes Association (ADA) 2014 Scientific Sessions revealed that LDL–cholesterol was not useful to predict the risk for a fatal or nonfatal cardiovascular disease (CVD) event during a 7–year period in patients with type 1 diabetes. On the contrary, the total/HDL–cholesterol ratio was a more reliable risk marker.

Pediatrics eMedinewS

A novel research has suggested that children with a history of penicillin allergy can be safely and reliably skin tested with only penicillin G. This approach could be a useful alternative to penicilloyl–polylysine (PPL). The findings have been published online in the Annals of Allergy, Asthma and Immunology.

Alterations in the development of the amygdala during childhood may significantly affect the development of anxiety problems, reports a new study published in the current issue of Biological Psychiatry. Study authors noted that children with high levels of anxiety had enlarged amygdala volume and increased connectivity with other brain regions associated with attention, emotion perception, and regulation, compared to children with low levels of anxiety.

Dr K K Spiritual Blog

Get What You Give

A son and his father were walking on the mountains. Suddenly, his son falls, hurts himself and screams: "AAAhhhhhhhhhhh!!!"

To his surprise, he hears the voice repeating, somewhere in the mountain: "AAAhhhhhhhhhhh!!!"

Curious, he yells: "Who are you?" He receives the answer: "Who are you?"; and then he screams to the mountain: "I admire you!";the voice answers: "I admire you!"

Angered at the response, he screams: "Coward!". He receives the answer: "Coward!".

The boy is surprised, but does not understand. Then the father explains: "People call this ECHO, but really this is LIFE. It gives you back everything you say or do. Our life is simply a reflection of our actions. If you want more love in the world, create more love in your heart. If you want more competence in your team, improve your competence. This relationship applies to everything, in all aspects of life. Life will give you back everything you have given to it. (shared by Man Mohan Mundra)

Wellness Blog

Most Uncontrolled Asthmatics Think They Are Controlled

Two thirds of patients with uncontrolled asthma think their disease is well under control. Asthmatics on proper medicines can not only live a normal life but also reduce their future complications.

Uncontrolled asthmatics invariably end up with right heart complications due to persistent lack of oxygenation in the blood.

Dr. Eric van Ganse, of University of Lyon, France, in a study published in the Annals of Allergy, Asthma, and Immunology, examined 1,048 subjects with inadequate asthma control. When asked how they would rate their asthma control over the past 14 days, over 69 percent considered themselves to be completely or well controlled. Failure to perceive inadequate asthma control was more likely to be found in patients between the ages of 41 and 50 years.

The reasons are:

  1. Most asthmatics fail to perceive their level of disease control and with an uncontrolled state they often feel that their asthma is under control.
  2. In severe asthma low blood oxygen levels might impair a person’s ability to assess their own breathing difficulty.
  3. The notion of asthma control seems poorly understood by asthmatic patients.
  4. Mild to moderate asthma limits the activities of a person and they over a period of time take that as their normal limits.

Inspirational Story

The Mango Tree

Once upon a time, there lived a big mango tree. A little boy loved to come and play around it every day. He climbed to the tree top, ate the mangoes, took a nap under the shadow… He loved the tree and the tree loved to play with him.

Time went by… The little boy grew, and he no longer played around the tree. One day, the boy came back to the tree with a sad look on his face. "Come and play with me," the tree asked the boy.

"I am no longer a kid, I don’t play around trees anymore." The boy replied, "I want toys. I need money to buy them." "Sorry, I don’t have money… but you can pick all my mangoes and sell them so you will have money."

The boy was so excited. He picked all the mangoes on the tree and left happily. The boy didn’t come back. The tree was sad. One day, the boy grown into a man returned. The tree was so excited. "Come and play with me," the tree said.

"I don’t have time to play. I have to work for my family. We need a house for shelter. Can you help me?" "Sorry, I don’t have a house, but you can chop off my branches to build your house." So the man cut all the branches off the tree and left happily. The tree was glad to see him happy but the boy didn’t come back afterward. The tree was again lonely and sad.

One hot summer day, the man returned and the tree was delighted. "Come and play with me!" The tree said. "I am sad and getting old. I want to go sailing to relax myself. Can you give me a boat?" "Use my trunk to build your boat. You can sail far away and be happy."

So the man cut the tree trunk to make a boat. He went sailing and didn’t come back for a long time. Finally, the man returned after he had been gone for so many years. "Sorry, my boy, but I don’t have anything for you anymore. No more mangoes to give you." The tree said.

"I don’t have teeth to bite," the man replied. "No more trunk for you to climb on." "I am too old for that now," the man said. "I really can’t give you anything… the only thing left is my dying roots," the tree said with sadness. "I don’t need much now, just a place to rest. I am tired after all these years," the man replied. "Good! Old tree roots are the best place to lean on and rest. Come sit down with me and rest."

The boy sat down and the tree was glad and smiled.

Moral: The tree in the story represents our parents. When we are young, we love to play with them. When we grow up, we leave them and only come back when we need help. Parents sacrifice their lives for us.

ePress Release

Blood sugar goals

Correction and prevention of low blood sugar is beneficial to hospitalized patients, 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.

For most non–critically ill hospitalized patients with diabetes, one should have a target blood sugar of <180 mg/dL. In non–critically ill hospitalized patients, lower blood glucose levels may decrease the risk of poor clinical outcomes, but also increase the risk of hypoglycemia. A reasonable sugar goal to avoid low blood sugar is to achieve fasting blood glucose concentrations not less than 90 to 100 mg/dL.

Preventing a Peptic Ulcer

An ulcer is a breakdown in the lining of the stomach or the first part of the small intestine. A type of bacterial infection is the most frequent cause, but lifestyle factors may also raise the risk said Dr Aggarwal.

One may follow these preventive steps that may ward off a peptic ulcer:

  1. Limit alcohol to no more than two drinks daily.
  2. Stop smoking or chewing tobacco.
  3. If you need to take painkillers, avoid anti–inflammatory drugs (NSAIDs) such as naproxen, ibuprofen or aspirin.
  4. Consider, with your doctor’s approval, paracetamol instead.

eMedi Quiz

Which of the following is a basic teledermatology tool?

a.videoconference
b.hybrid teledermatology
c.store–and–forward teledematology
d. mobile teledermatology

Yesterday’s Mind Teaser: Which of the following is not true about papular pruritic eruption in HIV infection?

a. It is one of the earliest manifestations of HIV infection.
b. It is an HIV–specific cutaneous manifestation.
c. Arthopod bites have been postulated to be one of the causative factors.
d. It does not serve as a cutaneous marker of underlying immune status.

Answer for yesterday’s Mind Teaser: d. It does not serve as a cutaneous marker of underlying immune status.

Correct answers received from: Dr Avtar Krishan, Muthumperumal Thirumalpillai, Tukaram Pagad, Dr P C Das.

Answer for 18th June Mind Teaser: a. Most of the children present with clinical symptoms during the neonatal period.

Correct answers received from: Raju Kuppusamy, Dr Poonam Chablani, Dr Jainendra Upadhyay, Pradip Das.

Send your answer to ijcp12@gmail.com

Zee News – Health Wealth Shows

Alcohol
Cancer Prevention
Depression
Paralysis
Pneumonia
Potbelly Obesity
Sudden Cardiac Death
Safe Drugs
Safe Holi
Vitamin D
Vitiligo
Fluid Intake

 

Total CPR since 1st November 2012 – 94595 trained

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 Success Stories

Ms Geetanjali, SD Public School
Success story Ms Sudha Malik
BVN School girl Harshita
Elderly man saved by Anuja

CPR 10 Videos

cpr 10 mantra
VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

emedipicstoday emedipics

Heart Care Foundation of India announces the dates and program of the 21st MTNL Perfect Health Mela.

press release

Day care PCI is the future

video of day video of day

 

IJCP Book of Medical Records

IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records.

If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us on :

 

Make Sure

Situation: A chronic smoker developed cancer of lung.
Reaction: Oh my God!! Why was he not screened earlier for cancer of lung?
Lesson: Make sure that all chronic smokers are given an option for lung cancer screening with low dose spiral CT.

eMedinewS Humor

Upset is Unhealthy

The mother of a problem child was advised by a psychiatrist, "You are far too upset and worried about your son. I suggest you take tranquilizers regularly."

On her next visit the psychiatrist asked, "Have the tranquilizers calmed you down?"

"Yes," the boy’s mother answered.

"And how is your son now?" the psychiatrist asked.

"Who cares?" the mother replied.

Quote of the Day

Man’s troubles are rooted in extreme attention to senses, thoughts, and imagination. Attention should be focused internally to experience a quiet body and a calm mind. Buddha

 

Twitter of the Day

Dr KK Aggarwal: You can reverse heart disease Every cell in the body eventually dies and is replaced by a new cell. Every (cont) http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: Brain, body, universe & all our ideas about them exist in consciousness alone http://tinyurl.com/lkz8hq4

 

Forth Comming Event

Announcement

Call for Free Registration

4th annual conference Zoonosis 2014
Sunday 6th July 10am–2 pm followed by Lunch

Venue; Indian Medical Association HQs, IMA House, ITO New Delhi

Objective: To discuss about prevention of diseases communicable
from animals to human.

Who can take part: Medical Practitioners,Veterinary Practitioners, Animal Owners/Breeders, NGOworking with animal care etc.

Experts will be from Veterinary/Medical sectors

All participants will be given certificate of participation.

Organizers: Heart Care Foundation
of India, Millennium India Education
Foundation,CAR (Ministry of Agriculture Govt.of India,

Register at :
rawat.vandana89@gmail.com/
drkakroo@gmail.com
or Call: Vandana 9891673085/Dr Kakroo 9810301261

 

medicolegal update

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  1. Dear Sir, Very Informative news. Regards: Dr Karan
cardiology news

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