eMedinewS22nd June 2014, Sunday

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

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 cola drinks but they eat 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 index of 84, while that of jam is 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 a preservative. Less the sugar, earlier the food will be spoiled.

News Around The Globe

  • The US Food and Drug Administration (FDA) has approved a new antibiotic tedizolid phosphate for adult patients with acute bacterial skin and skin structure infections (ABSSSI) caused by bacteria such as several Streptococcus species and methicillin–resistant Staphylococcus aureus (MRSA).
  • Results from 2 new studies, presented at the American Diabetes Association (ADA) 2014 Scientific Sessions, have put forward the significance of adopting a multidisciplinary team approach for managing diabetes-related foot complications. The studies pointed towards the importance of developing a national treatment plan for diabetic foot.
  • A panel of experts at the European League Against Rheumatism (EULAR) has put together 10 recommendations for the appropriate use of imaging for diagnosis and follow–up in patients with axial and peripheral spondyloarthritis (SpA). The recommendations were presented at the EULAR Congress 2014. The panel recommended X–ray to be the first recommendation for detection of sacroiliitis, but MRI was suggested as an alternative in young patients and patients with short symptom duration.
  • A new research has suggested that genotyping amino acids at positions 11, 71, and 74 on the HLA–DRB1 gene could possibly predict disease severity, response to treatment, and early death in rheumatoid arthritis patients. The research was presented recently at the 2014 European League Against Rheumatism (EULAR) Annual Congress.
  • A novel intention-to-treat analysis of a retrospective cohort study has found no association between metformin use and cancer risk among patients with type 2 diabetes. The findings were published online in Diabetes Care.

Rabies News (Dr A K Gupta)

Is it essential to perform skin sensitivity test prior to the administration of ERIG?

Majority of reactions to ERIG result from complement activation and are not IgE mediated and will not be predicted by skin testing.

The recent WHO recommendation states that there are no scientific grounds for performing a skin test prior to the administration of ERIG, because testing does not predict reactions and ERIG should be given whatever the result of the test.

However, skin test is mandatory to avoid any possible litigation under Consumer Protection Act in India.

Cardiology eMedinewS

  • The US Food and Drug Administration (FDA) has announced that manufacturers of testosterone products must add a general label warning about the increased risk for venous blood clots, including deep vein thrombosis and pulmonary embolism. Additionally, on June 16, the FDA also added testosterone to its FDA Adverse Event Reporting System (FAERS) database.
  • The use of MediGuide visualization and navigation system significantly limits the duration of fluoroscopy and radiation exposure during ablation of atrial flutter and atrial fibrillation. The system displays the position of an ablation catheter on prerecorded fluoroscopic images. Researchers reported at the CardioStim 2014 that the use of the system reduced the total fluoroscopy time 91% in patients undergoing ablation of atrial flutter and 42% for patients undergoing ablation of atrial fibrillation compared with standard ablation procedures.

Pediatrics eMedinewS

  • Researchers at the University of Gothenburg in Sweden have reported that children who adhere to a Mediterranean diet are less likely to be overweight or obese. Researchers presented the findings at the European Congress on Obesity.
  • A recent study conducted in Finland has shown that a common mutation in the PNPLA3 gene combined with overweight results in elevated ALAT values (an indicator of liver metabolism) in children. The findings will be published in Pediatric Obesity.

Dr K K Spiritual Blog

Panchamrit body wash

Panchamrit is taken as a Prasadam and is also used to wash the deity. In Vedic language, anything which is offered to God can also be done to the human body. Panchamrit bath, therefore, is the original and traditionally full bath prescribed in Vedic literature.

It consists of the following:

  • Washing the body with milk and water, where milk acts like a soothing agent.
  • Next is washing the body with curd, which is a substitute for soap and washes away the dirt from the skin.
  • The third step is washing the body with desi ghee, which is like an oil massage.
  • Fourth is washing the body with honey, which works like a moisturizer.
  • Last step is to rub the skin with sugar or khand. Sugar works as a scrubber.

Panchamrit bath is much more scientific, cheaper and health friendly.

Wellness Blog

Can Diabetes Be Warded Off?

Adhering to Mediterranean diet, rich in fruits and vegetables and low in animal products may protect from type 2 diabetes. The Mediterranean diet gives emphasis to olive oil, vegetables, fruits, nuts, cereals, legumes and fish and de–emphasizes meat and dairy products. It is a healthy eating plan that prevents heart disease.

In the study published in the British Medical Journal, researchers tracked the diets of 13,380 Spanish university graduates with no history of diabetes. The study participants filled out a 136–item food questionnaire, which measured their entire diet (including their intake of fats), their cooking methods and their use of dietary supplements. During an average of 4.4 years of follow–up, the researchers found that people who adhered to a Mediterranean diet had a lower risk of developing type 2 diabetes. In fact, those who very closely adhered to the diet reduced their risk by 83 percent.

Moreover, the people who tended to stick closest to the diet were those with factors that put them at the highest risk for developing diabetes, such as being older, having a family history of diabetes and being an ex–smoker. These people were expected to have a higher rate of diabetes, but when they adhered to the Mediterranean diet this was not the case.

Type 2 diabetes is typically brought on by poor eating habits, too much body weight and too little exercise. One key factor that might be responsible for the protective effect of the Mediterranean diet is its emphasis on olive oil for cooking, frying, putting on bread and mixing in salad dressings.

Tips to prevent diabetes

  • Eat less
  • Omit refined carbohydrates (white sugar, white rice and white maida)
  • Use olive oil, vegetables, fruits, nuts, cereals, legumes and fish, and reduce meat and dairy products.

Inspirational Story

Helping Yourself

Well my story starts 3 years ago. I was working in a retail store; I like to talk to everybody and know what’s going on in their lives. I remember this one girl who started working there a few months after me. I remember always seeing her. I don’t know why but for a weird reason we would never talk. We would just see each other and smile. She would always smile in a really happy way until one day when we got to work in the same department again. She smiled as if she was the happiest girl in the world. I went up to her and asked "What’s wrong with you?" She answered "Why?" I said, "I could feel you're very sad and you're always trying to hide it."

Her mouth just dropped as if I had discovered her deepest secret, so we started talking. She told me why she was feeling like that and why she was trying to hide it. Time went by and we became good friends. She’d always tell me I had changed her life in so many ways. I could not imagine. I would just smile, not really understanding what she meant by that. Today this girl is one of my best friends. I really don’t know what I would do without her. She has been there for me in every possible way a friend could be.

I guess what I’m trying to say is you never know when you’re helping yourself. I helped this girl never knowing that at the same time I was helping myself by finding a truthful friend.

So the next time you see a stranger and they look like they need someone who will listen to them, listen to what they have to say. You never know, you might just end up helping yourself.

ePress Release

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, 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. 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 blockages, surgery is needed.

eMedi Quiz

The exaggerated lepromin test seen in cases of Lucio’s phenomenon is called as:

a. Mitsuda’s reaction
b. Medina Ramirez reaction
c. Fischer’s test
d. Fernandez reaction

Yesterday’s Mind Teaser: IRIS commonly occurs after how many weeks of ART initiation
a.1–4 weeks
b.2–12 weeks
c.12–24 weeks
d. After 6 months

Answer for yesterday’s Mind Teaser: b.2–12 weeks

Correct answers received from: Dr Jainendra Upadhyay, Dr Avtar Krishan, Tukaram Pagad, Dr. P. C. Das, Daivadheenam Jella

Answer for 20th June Mind Teaser: c. Store–and-forward teledermatology

Correct answers received from: Dr Avtar Krishan, Dr Prakash Khalap, Daivadheenam Jella Dr. Bitaan Sen, Dr Jayashree Sen

Send your answer to ijcp12@gmail.com

Make Sure

Situation: A patient on ACE inhibitor developed angioneurotic edema.
Reaction: Oh my God! Why was ACE inhibitor continued?
Lesson: Make sure that patients on ACE inhibitors are advised to watch for symptoms of urticaria and stop the drug immediately if swelling of lip, face or tongue develops (Br J Clin Pharmacol 1999;48(6):861–5).

eMedinewS Humor

Wo Man

An English teacher wrote this phrase on the board and asked her students to properly punctuate it:

"Woman without her man is nothing."

MEN WROTE: Woman, without her man, is nothing.

WOMEN WROTE: Woman! Without her, man is nothing.

Quote of the Day

It is wise to direct your anger towards problems – not people; to focus your energies on answers – not excuses. William Ward

Twitter of the Day

Dr KK Aggarwal: Obesity is a disease By Dr k k Aggarwal http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra:Change begins with an idea, a hope, a dream, an individual. It can begin with you @SagesScientists Symposium http://tinyurl.com/lkz8hq4

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

A soda a day raises heart disease risk by 20%

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 :

 

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

Zoonosis 2014 9-1 PM


6 July 2014 Zoonosis 2014

Speakers Zoonotic disease in India
Dr Jyoti Misri Pr Scientist ICAR Govt of India

Inaugural address
Dr M L Madan Fmr DDG ICAR

Dr KK Aggarwal (To Moderate)

Bovine Tuberculosis and Brucellosis
Dr R Somvanshi HOD Vety Pathology IVRI Bareilly UP

Dr Rishendra Verma Jt Dir.Centre for Animal Disease Research and Diagnosis IVRI Bareilly UP

Equine Encepahalitis
Dr. Baldev Gulati Pr.Scientist National Centre for Research in Equines,Hissar Haryana

Cysticarcosis, Neurocysticercosis
Dr R Somvanshi HOD Vety Pathology IVRI Bareilly UP

Rabies, Cat Scratch Disease
Dr. Ashok Bhardwaj Asstt.Prof. SKAUST Jammu

Swine Flu, Japanese Encepahlitis
Dr.P K Uppal Fmr FAO Expert on Flu
Dr. Baldev Gulati Pr.Scientist National Centre for Research in Equines, Hissar Haryana

Bird Flu
Dr.P K Uppal Fmr FAO Expert on Flu

Mycotic Diseases

Dr.P P Gupta Fmr Dir.Research Punjab Agri Univ.

Food Borne Diseases Salmonellosis, tapeworms, teniasis

Dr.Lal Krishna
Fmr Animal Husbandry Commissioner Govt.of India.

Anthrax, Rota Virus, Carona Virus

Dr. A K Bhatia Professor & Head, Biotechnology Dept.GLA Univ. Mathura

Dr.M P Yadav Fmr Director IVRI Bareilly UP

Dr.C Bhattacharya Vety Public Health Spl. Delhi

Emerging Threats : JD,Crone's Disease,Nepha Virus,etc.

Dr.Shoorvir Singh Pr Scientist National centre for Res in Goats Makhdoom Agra

 

medicolegal update

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medical querymedical query

medicolegal update

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medicolegal updatemedicolegal update

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

Media advocacy through Web Media

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