eMedinewS23rd November 2013, Saturday

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; 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.twitter.com/DrKKAggarwal
www.facebook.com/Dr KKAggarwal

Eat 20 almonds or 15 cashews or 30 peanuts every day

People who ate a 1–ounce serving of nuts each day showed a 20 percent reduced risk of dying from any cause over three decades, compared to those who didn’t eat the tasty snacks, as shown a study published in the Nov. 21 issue of the New England Journal of Medicine by Dr. Charles Fuchs, director of the Gastrointestinal Cancer Center at the Dana–Farber Cancer Institute in Boston.

Prior studies suggest health benefits like a lower risk of heart disease and type 2 diabetes and lower cholesterol, among other health outcomes. Nuts are nutrient-dense foods. They contain unsaturated fatty acids, fiber, vitamins, minerals and antioxidants.

One–ounce serving was equal to about 16 to 24 almonds, 16 to 18 cashews or 30 to 35 peanuts.

Harvard 4 simple ways to boost your energy

  1. Pace yourself: Keep going, but don’t risk overtaxing yourself. Instead of burning through all your battery life in two hours, spread it out between morning tasks, afternoon tasks, and evening activities — with rest and meals between.
  2. Take a walk or a nap: However, if you have trouble sleeping at night, napping can make the insomnia worse. If that’s the case for you, get moving instead. Get up and walk around the block, or just get up and move around. If you are not an insomniac, enjoy that 20–to30–minute power nap.
  3. Skip most supplements. There is no evidence that they works.
    • DHEA: There is no evidence that DHEA offers any real benefits.
    • Iron. Iron only improves energy if you are clearly deficient.
    • B vitamins. It is true that B vitamins (B1, B2, B6, B12) help the body convert food into the form of energy that cells can burn, but taking more B vitamins doesn’t supercharge your cells.
  4. Fuel up wisely. A sugary bakery roll delivers plenty of calories, but your body tends to metabolize them faster, and then you can end up with sinking blood sugar and fatigue. You’ll maintain a steadier energy level by eating lean protein and unrefined carbohydrates. Try low–fat yogurt with a sprinkling of nuts, raisins, and honey.

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."


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

Spiritual Prescription: You are born with a quota use it judicially

sprritual blog

Everyone is born with a passport with a defined battery life to live up to 100 years after which one has to go back to renewal or recharging of the batteries.

If the battery is overused or misused and is depleted early, one may have to go back prematurely for recharging, but this time when one comes back, he or she may come back with a different body which may not be the human one. There are 64 lakh Yonis as described in the Vedic literature.

According to the Vedic description, if one dies prematurely there are chances that the rebirth will not be in the same species.

To live up to the time period defined at the time of birth by Dharmaraja, one has to follow the principles as described in Yogashastra.

The main principle is the principle of moderation and variety. It says that everything has to be used, if not used will get rusted and if overused well undergo wear and tear. The classical example is that GOD had made uterus in the women for producing a child; if the same organ is not used at al it will produce a fibroid and if overused it may end up in a cancer.

When using the principles of moderation and variety when should remember that each one of us is born with a fix quota of everything, a quota of diet, respirations, heart rate and thoughts.

According to swara yoga one is born with predefined number of respirations to be taken during life. If one consumes them early he will depart for refueling early from the life. To reduce the respiratory rate is therefore the basis of postponing aging and prolonging life. Stimulation of the parasympathetic nervous system by learning and practicing pranayama, which is slower and deep breathing, does the same.

One breathes 15 times a minute or 21600 breaths in a day, or 7884000 (78.84 lakhs) a year or 788400000 (78.84 crores) during life (assuming it to be 100 years). Some yoga books say that a person is born with 33 crore breaths, the same if taken at the rate or 15 per minute would last for 42 years.

In fact Pranayama originated on the concept that the breaths of each one of us are numbered, that our life–span is dependent on how many times we shall breathe in a given life, and that, as a consequence of this fact, we must reduce the number of breaths so as to live longer.

In Gorakshapaddhati (I.93), it is written that "Due to fear of death even Brahma, the Lord of creation, keeps on practicing pranayama and so do many yogis and minis. It is recommended that a student of yoga must always control his breath."

Hathayoga–pradipika (II.39) also writes: ‘All the gods including Lord Brahma became devoted to the practice of pranayama because they were afraid of death. We the mortals should follow the same path and control the breath."

Similarly one is born with a quota of heartbeats, which is an average of 70 per minute. Many studies have shown that people whose resting heart rate is higher have more chances of sudden death. The aim therefore is to keep the heart rate at a lower pace. The same can be achieved either by regular exercise, meditation, AUM Pranayama, or by meditation. In people who run marathons or participate in athletic activities, the temporary increase in the heart rate during exercise is compensated by the body by adapting the cardiovascular system in such a way that the basal heart rate reduces. The marathon runners may have a heart rate of only 50 per minute.

The less one eats the more he lives is an Yogic saying, It is said that people who eats once a day are Yogi, twice a day are Bhogi and thrice a day are Rogi. There are enough studies now, which say that 25% reduction in the calories content can increase the life span. Many studies in rodents have also shown similar effect.

The moderation in exercise is to walk 10000 steps a day. No exercise will end up with obesity and over use with osteoarthritis.

Stress is the excess of thoughts in the mind. Controlling the mind forms the basis of meditation. Samadhi is the state of no thoughts. Practicing meditation 20 minutes twice daily helps in the restrain of the mind with resultant state of Turya where the mind has controlled limited positive thoughts.

cardiology news

Beauty Tips

For attractive lips,
Speak words of kindness!

For lovely eyes,
Seek out the good in people!

For a slim figure,
Share your food with the hungry!

For beautiful hair,
Let a child run his or her fingers through it once a day!

For poise,
Walk with the knowledge you'll never walk alone!

People, even more than things, have to be restored, renewed, revived,
Reclaimed, and redeemed;
Never throw out anybody!

Remember, If you ever need a helping hand,
You'll find one at the end of your arm!


As you grow older, you will discover that you have two hands,
One for helping yourself, the other for helping others!

The beauty of a woman is not in the clothes she wears,
The figure that she carries, or the way she combs her hair!

The beauty of a woman must be seen from in her eyes,
Because that is the doorway to her heart, the place where love resides!

The beauty of a woman is not in a facial mole,
But true beauty in a woman is reflected in her soul!

It is the caring that she lovingly gives, the passion that she knows,
And the beauty of a woman with passing years–only grows!

If you send this to other women, something good will happen – you will
Boost another woman’s self esteem!

News Around The Globe

News

  • Even though overall survival is considered to be the "gold standard" for determining the effectiveness of a treatment, in the case of adjuvant cytotoxic agents for gastric cancer, disease–free survival could be an acceptable surrogate end point, as reported in November 6 issue of the Journal of the National Cancer Institute.
  • Taking oral contraceptives for more than 3 years doubles a woman’s risk for glaucoma, according to a large population–based study presented at the American Academy of Ophthalmology 2013 Annual Meeting.
  • A large, open–label study reported online in Annals of the Rheumatic Diseases found that the addition of monthly subcutaneous injections of golimumab (Simponi) to a variety of conventional disease–modifying anti–rheumatic drugs (DMARDs) led to high rates of response among patients with active rheumatoid arthritis.
  • A population–based sample of participants from the San Antonio Heart Study showed increased odds of developing diabetes among individuals who were metabolically unhealthy but of normal weight and who were metabolically healthy and obese. Patients who were metabolically unhealthy but of normal weight also had an increased risk of developing cardiovascular disease as did those who were obese but metabolically healthy.
  • A new way of estimating LDL cholesterol levels may be more accurate than the widely used Friedewald equation. The new method uses a triglyceride:VLDL ratio that varies depending on both non–HDL cholesterol and triglyceride levels. In the Friedewald equation, VLDL cholesterol is estimated as the level of triglycerides divided by 5, and that ratio is fixed. However, the triglycerides:VLDL ratio is not consistent across the range of triglyceride levels, resulting in inaccurate estimates of LDL cholesterol, particularly when triglycerides are high.

eMedinewS e–gifts to our readers

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Rabies News (Dr. A K Gupta)

What are the limitations of polyclonal serum (RIG)?

Difficulties associated with the use of Polyclonal Serum (RIG) samples might consist of:

  • Batch–to–batch variation
  • Risk related to the use of human blood products. Because HRIG preparations are of human origin, they need to be treated to minimize the risk of transmission of infectious agents.
  • Difficulties in finding immune donors during sudden mass exposures might lead to a low availability of RIG.
  • Because of discontinued ERIG production by international manufacturers, supply of ERIG relies on regional production.
  • The use of ERIG has raised ethical issues and has been condemned by animal protection groups.
cardiology news

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

  • Patients with critical limb ischemia who took statins had significantly fewer major cardiovascular events and limb amputations, a retrospective study indicated. Review of 380 patients with critical limb ischemia showed that those who had taken statins were half as likely to suffer myocardial infarction, stroke, or death from any cause (propensity–adjusted hazard ratio 0.53, 95% 0.28-0.99) compared with those not on statins. Rates of a composite of death and limb amputation were also halved in the statin–takers. The findings were reported by John R. Laird, MD, of the University of California Davis, and colleagues in the Journal of the American College of Cardiology.
  • A new meta–analysis addressing bleeding risks with the novel oral anticoagulants concludes that there is very little difference between the new drugs but that bleeding risks associated with the new agents vary substantially based on their indication for use. The findings were presented by Dr Partha Sardar (New York Medical College, NY) at the American Heart Association 2013 Scientific Sessions.
cardiology news

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

  • Infants who were given multiple courses of broad–spectrum antibiotics had a 20% increased risk of becoming obese toddlers, according to new research presented last week in a poster at Obesity 2013: The Obesity Society Annual Scientific Meeting.
  • Although babies who are born weighing less than 3.3 pounds face challenges early on, by adulthood many report doing well, according to a new study. Growing up, those kids have an increased risk of physical and mental health problems, past studies have shown. They also tend to do worse in school than their peers and have a harder time socially. But by the time they reach adulthood, many seem to have left those problems behind.
cardiology news

Use painkillers with caution in the elderly

Painkillers can cause stroke via irregular heart rhythm. Non selective non–steroidal anti–inflammatory drugs (NSAIDs) and new generation selective COX–2 inhibitors commonly used to treat inflammation are now linked to an increased risk of irregular heart rhythm called atrial fibrillation (AF), as per a Danish research of 32602 patients led by Professor Henrik Toft Sørensen at Aarhus University Hospital in Denmark.

These drugs are already linked to increased risk of heart attacks and strokes. And now through AF, the risk gets intensified for stroke and new risk added of heart failure and death.

In the study compared with non users, new users (first drug within 60 days of diagnosis) showed 40% increased risk of AF with non–selective NSAIDS and 70% increased risk with COX–2 inhibitors. This means four extra cases of AF per year per 1000 new users of non–selective NSAIDS and seven extra cases of AF per 1000 new users of COX–2 inhibitors.

The risk was highest in the elderly, patients with chronic kidney disease or rheumatoid arthritis especially on COX–2 inhibitors. NSAIDs should be used very cautiously in older patients with a history of hypertension or heart failure.

cardiology news

Total CPR since 1st November 2012 – 71933 trained

Media advocacy through Web Media

S moorei responsible for bad breath

Solobacterium moorei, a gram–positive anaerobic bacillus originally isolated from human feces has been shown to be responsible for chronic bad breath, or halitosis.

Persistent bad breath is often caused by the breakdown of bacteria in the mouth, producing foul–smelling sulfur compounds that reside on the surface of the tongue. As per Betsy Clark, State University of New York at Buffalo School of Dental Medicine, in a study of 21 people with chronic bad breath and 36 subjects without this problem, S. moorei was found in every patient who had halitosis compared with only four control subjects.

Brushing twice a day with antibacterial toothpaste and using a toothbrush with a built-in tongue scraper can eliminate chronic bad breath.

Bad oral hygiene is also associated with increased risk of heart disease said Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal, President, Heart Care Foundation of India.

Identifiable cause of bad breath is periodontal disease, gingivitis, postnasal drip, systemic illness.
Oral source of bad breath may be alleviated by:

  1. Proper dental care and oral hygiene.
  2. Gentle cleaning of the posterior portion of the dorsum tongue with a plastic tongue cleaner.
  3. Rinsing and deep gargling with an effective mouthwash. One should extend the tongue while gargling.
  4. Eating fibrous foods, especially at the breakfast.
  5. Brief gum chewing for five minutes if the mouth is dry, or after meals, especially with high protein intake.
  6. Sufficient water intake.

Antibiotics, if bacteria are present for temporary relief. One should floss their teeth properly, smell the floss between each passage and clean the malodorous sites carefully. Flossing should include cleaning the posterior surface of the back teeth as well.

Effective tongue brushing requires access to the deep posterior part of the dorsal tongue; odors often lurk 10 cm or more back from the tongue tip. The basic idea is to sweep away the mucus, desquamated cells, and other debris.

Some mouthwashes contain components that may harm soft oral tissues (e.g., alcohol, sodium dodecyl sulfate, strong oxidizing agents). The most efficacious mouth rinses for short-term use are probably those containing 0.2 percent chlorhexidine gluconate.

The best time to use a mouthwash is before bedtime since the residue of the mouth rinse may remain in the mouth for a longer period of time and have a greater effect. Also bacterial activity leading to bad breath is greatest during the nighttime, when saliva flow is practically zero and microbial activity is highest.

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 71933 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

CSR Activity by Heart Care Foundation of India on the Diabetes Day

press release

School Health Education

today video of the day20th MTNL Perfect Health Mela Press Conference with Marwadi Yuva Manch, Faridabad

20th MTNL Perfect Health Mela Press Conference at Marwah Studio, Noida

Cultural Evening at IMA

eMedi Quiz

The conversion of an optically pure isomer (enantiomer) into a mixture of equal amounts of both dextro and levo forms is called as:

1.Polymerization.
2.Stereoisomerization.
3.Racemization.
4.Fractionation.

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

1. Spares nerve supply to ex tensor 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: Dr.K.V.Sarma, Dr.K.Raju, Dr. P. C. Das, Merin Varghese, Thomas Issac, Dr. V.P. Thakral, DR ARPAN GANDHI, Dr Chandresh Jardosh, DR AVTAR KRISHAN, daivadheenam, DR.A.K.GAJJAR, kumarPrafull Chandra

Answer for 21st November Mind Teaser: 3.NADPH cytochrome P-450-reductase.

Correct answers received from: DR AVTAR KRISHAN, daivadheenam, DR.A.K.GAJJAR

Send your answer to ijcp12@gmail.com



medicolegal update

Click on the image to enlarge

medicolegal update

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."

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient with dengue fever developed shock.
Reaction: Oh my God! Why was the blood pressure 90/70 ignored?
Lesson: Make sure that a pulse pressure of less than 20 is not ignored. It is an impending sign that the patient is going into shock.

medicolegal update

Good friends care for each other… close friends understand each other… and true friends stay forever beyond words, beyond time

medicolegal update

Dr KK Aggarwal: Smoking and ulcerative colitis http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Your only identity is I AM undefined and infinite. Any label you give yourself limits yourself.

Forthcoming events

Quality Management in Healthcare Delivery

Pushpanjali Crosslay Hospital, a 350+ bedded NABH & NABL accredited multi super specialty hospital is organizing its 5th Annual Conference "PCCON 2013" in association with Indian Medical Association (East Delhi Branch & West Ghaziabad Branch) on November 23–24, 2013 at Hotel Country Inn, Sahibabad, Ghaziabad.

Chairperson : Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal
Day & Date : Sunday, 24th Nov, 2013

5th eMedinews Revisiting 2013

(a day long single hall medical conference on 2013 happenings, followed by doctors of the year 2013 awards)

Sunday 19th January 2014, Maulana Azad Medical College Auditorium

Dilli Gate Delhi, 10 am-6 pm


Dr KK Aggarwal
Padma Shri and Dr B C Roy National Awardee President

Dr Veena Aggarwal
Executive Editor IJCP Group
Organizing Chairman

Dr Pawan Gupta
Past President IMA Haryana
Organizing Secretary

5th eMedinewS Revisiting 2013
The 5th eMedinewS–revisiting 2013 conference is being held at Maulana Azad Medical College, New Delhi on Sunday January 19th 2014.

The one–day conference will revisit and discuss all the major advances in medicine in the year 2013. There will also be a live webcast of the event. An eminent faculty will speak at the conference.

There is no registration fee. Lunch will be provided.

Register at: rawat.vandana89@gmail.com/drpawangupta2006@yahoo.com

5th eMedinewS Doctor of the Year Awards
Nominations invited for 5th eMedinewS Doctor of the year Award in plain paper. Nominated by 2 professional colleagues along with details of your contributions in the year 2013.

pls send his/her Biodata at: emedinews@gmail.com
press release

medicolegal update
  1. Dear Sir, Thanks for the nice updates. Regards: Dr SP Shukla

eMedinewS Special

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Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta, Prof.(Dr).C V Raghuveer

medicolegal update

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