eMedinewS28th June 2014, Saturday

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

Fat intake and risk of coronary heart disease

Guidelines have always recommended reducing intake of saturated fats to reduce the risk of coronary heart disease; whereas, intake of polyunsaturated fatty acids (PUFAs) is said to have a protective effect on the heart. But, findings from a recent meta–analysis of prospective observational studies published in Ann Intern Med 2014 Mar 18;160(6):398–406 do not support cardiovascular guidelines that recommend restricting total saturated fats and increasing the intake of PUFAs.

The meta–analysis included 32 observational studies (n = 530,525) of fatty acids from dietary intake; 17 observational studies (n = 25,721) of fatty acid biomarkers and 27 randomized, controlled trials (n = 103,052) of fatty acid supplementation.

In the observational studies, relative risks for coronary disease were 1.02 for saturated, 0.99 for monounsaturated, 0.93 for long–chain omega–3 PUFAs, 1.01 for omega-6 PUFAs and 1.16 for trans fatty acids when the top and bottom thirds of baseline dietary fatty acid intake were compared. Corresponding estimates for circulating fatty acids were 1.06, 1.06, 0.84, 0.94 and 1.05, respectively.

A heterogeneous association between individual circulating fatty acids and coronary disease was observed but the meta–analysis suggested a decrease in coronary heart disease when omega–3 PUFAs were consumed in higher amounts. However, a beneficial effect of the omega–6 PUFAs is still doubtful.

While the authors do not propose avoiding saturated fats, they do affirm that foods that are rich in saturated fats are less healthy as compared to foods that contain saturated foods in lower amounts. They further state that there is insufficient evidence to support choosing low fat dairy fat products. But, they support the recommendation that consumption of trans fats should be reduced.

Reference

  1. Chowdhury R, Warnakula S, Kunutsor S, et al. Association of dietary, circulating, and supplement fatty acids with coronary risk: a systematic review and meta–analysis. Ann Intern Med 2014 Mar 18;160(6):398–406.

eMedinewS team congratulates its Editor–in–Chief Dr KK Aggarwal on being awarded the IMA AMS Dr R K Menda Memorial Oration

Dr KK Aggarwal will be awarded the prestigious IMAAMS Dr RK Menda Memorial Oration at the National AMSCON 2014. The Oration on ‘How to Respond to Complaints of Medical Negligence’ will be delivered on 29th June at Kolkata.

News Around The Globe

  • The US Food and Drug Administration (FDA) has approved the marketing of the first wearable, motorized device to assist people with paraplegia due to a spinal cord injury sit, stand, and walk with assistance from a companion. The device, ReWalk, consists of a fitted metal brace that supports the legs and part of the upper body, motors supplying movement to the hips, knees, and ankles, a tilt sensor, and a computer and power supply worn on the back.
  • The Infectious Diseases Society of America (IDSA) has updated its 2005 guidelines for the diagnosis and treatment of skin and soft tissue infections (SSTIs), which have increased because of the spread of methicillin–resistant Staphylococcus aureus (MRSA). The new recommendations are published online June 18 in the journal Clinical Infectious Diseases.
  • The Centers for Disease Control and Prevention (CDC) has recommended a new approach for HIV testing in laboratories. Adopting the new recommendations will lead to HIV diagnosis as much as 3 to 4 weeks earlier than the previous testing approach.
  • A structured animal–assisted intervention (AAI) program could improve social behaviors in elderly patients with dementia, reports a new research. The research revealed that nursing home residents with dementia who attended weekly therapy sessions that included dog visits for 6 months had significantly longer periods of verbal communication, physical contact, and attentiveness than when they participated in a similar program without the dogs. The results were presented at the International Congress of the Royal College of Psychiatrists (RCPsych) 2014.
  • Overweight and obese patients taking 2 doses a day of a novel, biocompatible hydrogel that is not systemically absorbed, exhibited a significant decrease in their body weight, reported a new proof–of–concept study. The findings were presented at the ICE/ENDO 2014.

Rabies News (Dr A K Gupta)

What is the incubation period in animals?

The incubation period in dogs and cats is 10 days to 6 months; most cases become apparent between 2 weeks and 3 months. In cattle, an incubation period from 25 days to more than 5 months has been reported (in vampire bat–transmitted rabies).

Cardiology eMedinewS

  • The US FDA has completed its safety review of olmesartan in diabetic patients, stating that there is no clear evidence of increased cardiovascular risk associated with the angiotensin–receptor blocker (ARB).
  • The US FDA has granted "breakthrough–therapy designation" to idarucizumab, an investigational fully humanized antibody fragment (FAB), intended to be used as an antidote for dabigatran etexilate mesylate. A phase 1/2 study of idarucizumab, released at last year’s American Heart Association Scientific Sessions, had shown that the agent can produce immediate, complete, and sustained reversal of dabigatran–induced anticoagulation in healthy human volunteers, with no off–target toxicity.

Pediatrics eMedinewS

  • The Advisory Committee on Immunization Practices (ACIP) experts have unanimously endorsed AstraZeneca’s FluMist nasal spray over influenza shots for healthy children aged 2 to 8 years.
  • The randomized controlled UKALL 2003 trial has revealed that children with acute lymphoblastic leukemia (ALL) who test positive for minimal residual disease (MRD) could possibly benefit from stronger postremission therapy; however, they might also experience more toxicity. The study was published online in the Lancet Oncology.

Dr K K Spiritual Blog

Why do we never eat a breakfast of onion?

Anything which cannot be taken as a full meal is not good for health and either should not be taken or taken in a small amount. For example, we never eat a breakfast of onion or garlic or radish. These are the items, which either should not be taken or eaten only in small quantity only as an accompaniment to the main meal. Onion is good for health and has anti–cholesterol and also blood thinning properties, yet it is consumed only in small quantity. In Vedic language, onion has both rajasik and tamasik promoting properties, which make a person more aggressive and dull.

Wellness Blog

Heart disease starts in youth

Autopsy studies of young people who died in accidents have shown that by the late teens, the heart blockages, the kind of lesions that cause heart attacks and strokes are in the process of developing The best opportunity to prevent heart disease is to look at children and adolescents and start the preventive process early. More than a third of children and adolescents are overweight or obese.

The first signs that men are at higher risk of heart disease than women appear during the adolescent years despite the fact that boys lose fat and gain muscle in adolescence, while girls add body fat.

Between the ages of 11 and 19, levels of triglycerides, a type of blood fat associated with cardiovascular disease, increases in the boys and drops in the girls. Levels of HDL cholesterol, the "good" kind that helps keep arteries clear, go down in boys but rise in girls.

Blood pressure increases in both, but significantly more in boys. Insulin resistance, a marker of cardiovascular risk, which is lower in boys at age 11, rises until the age of 19 years.

Any protection that the young women have for cardiovascular protection can be wiped out by obesity and hence obesity in girls at any cost should be handled on priority.

Inspirational Story

A Touching Story from a Father

My wife called, ‘How long will you be with that newspaper? Will you come here and make your darling daughter eat her food?’

I tossed the paper away and rushed to the scene. My only daughter Sindu looked frightened.

Tears were welling up in her eyes. In front of her was a bowl filled to its brim with Curd Rice. Sindu is a nice child, quite intelligent for her age. She has just turned eight. She particularly detested Curd Rice. My mother and my wife are orthodox, and believe firmly in the ‘cooling effects’ of Curd Rice! I cleared my throat, and picked up the bowl.

‘Sindu, darling, why don’t you take a few mouthful of this Curd Rice? Just for Dad’s sake, dear.’

Sindu softened a bit, and wiped her tears with the back of her hands.

‘OK, Dad. I will eat – not just a few mouthfuls, but the whole lot of this.’

But, you should…’ Sindu hesitated. ‘Dad, if I eat this entire curd Rice, will you give me whatever I ask for?’

Oh sure, darling’… ‘Promise?……… ‘Promise’.

I covered the pink soft hand extended by my daughter with mine, and clinched the deal.

‘Ask Mom also to give a similar promise’, my daughter insisted.

My wife put her hand on Sindu’s, muttering ‘Promise’. Now I became a bit anxious.

‘Sindu dear, you shouldn’t insist on getting a computer or any such expensive items. Dad does not have that kind of money right now. OK?–

‘No, Dad. I do not want anything expensive’.

Slowly and painfully, she finished eating the whole quantity.

I was silently angry with my wife and my mother for forcing my child to eat something that she detested. After the ordeal was through, Sindu came to me with her eyes wide with expectation. All our attention was on her.

‘Dad, I want to have my head shaved off, this Sunday!’ was her demand.

‘Atrocious!’ shouted my wife, ‘A girl child having her head shaved off? Impossible!’ ‘Never in our family!’ my mother rasped.

‘She has been watching too much of television. Our culture is getting totally spoiled with these TV programs!’

‘Sindu darling, why don’t you ask for something else? We will be sad seeing you with a clean–shaven head.‘

‘No, Dad. I do not want anything else’, Sindu said with finality.

‘Please, Sindu, why don’t you try to understand our feelings?’

I tried to plead with her.

‘Dad, you saw how difficult it was for me to eat that Curd Rice’. Sindu was in tears. ‘And you promised to grant me whatever I ask for.

Now, you are going back on your words. Was it not you who told me the story of King Harishchandra, and its moral that we should honor our promises no matter what?’

It was time for me to call the shots.

‘Our promise must be kept.’

‘Are you out your mind?’ chorused my mother and wife.

‘No. If we go back on our promises, she will never learn to honor her own. Sindu, your wish will be fulfilled.’

With her head clean–shaven, Sindu had a round-face, and her eyes looked big and beautiful.

On Monday morning, I dropped her at her school. It was a sight to watch my hairless Sindu walking towards her classroom. She turned around and waved. I waved back with a smile. Just then, a boy alighted from a car, and shouted, ‘Sinduja, please wait for me!’

What struck me was the hairless head of that boy.

‘May be, that is the in–stuff’, I thought. ‘Sir, your daughter Sinduja is great indeed!’ Without introducing herself, a lady got out of the car, and continued,’ That boy who is walking along with your daughter is my son Harish. He is suffering from… … leukemia.’ She paused to muffle her sobs.

‘Harish could not attend the school for the whole of the last month. He lost all his hair due to the side effects of the chemotherapy. He refused to come back to school fearing the unintentional but cruel teasing of the schoolmates.
Sinduja visited him last week, and promised him that she will take care of the teasing issue. But, I never imagined she would sacrifice her lovely hair for the sake of my son! Sir, you and your wife are blessed to have such a noble soul as your daughter.’

I stood transfixed. And then, I wept. ‘My little Angel, you are teaching me how selfless real love is!’

The happiest people on this planet are not those who live on their own terms but are those who change their terms for the ones whom they love.

Life is short, the vanities of world are transient but they alone live who live for others; the rest are more dead than alive.

ePress Release

Fat intake and risk of coronary heart disease

Guidelines have always recommended reducing intake of saturated fats to reduce the risk of heart blockages whereas, intake of polyunsaturated fatty acids (PUFAs) is said to have a protective effect on the heart.

But, findings from a recent meta–analysis of prospective observational studies published in Annals of Internal medicine do not support cardiovascular guidelines that recommend restricting total saturated fats and increasing the intake of PUFAs. The study did not find any significant evidence to suggest that intake of saturated fats increased the risk of heart disease and that consumption of PUFAs, both omega 3 and 6, protect the heart.

Commenting on the study Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association said:

  • One can eat desi ghee as long as it is within limits.
  • The Foundation recommends consumption of no more than 145 ml of ghee, oil and butter in a day per person.
  • The Foundation is against consumption of trans fats.

eMedi Quiz

Isotopic response is seen in scars of which condition?

a. Orolabial herpes
b. Herpes genitalis
c. Pyoderma ganagerenosum
d. Eosinophilic pustular folliculitis

Yesterday’s Mind Teaser: IRIS commonly occurs after how many weeks of ART initiation

a.1–4 week
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. Sushma Chawla, Dr Jainendra Upadhyay Daivadheenam Jella.

Answer for 26th June Mind Teaser: c. Store-and-forward teledermatology

Correct answers received from: Dr Jainendra Upadhyay, Daivadheenam Jella, Dr Avtar Krishan, Dr KV Sarma, Prabha Sanghi, Dr Sushma Chawla.

Send your answer to ijcp12@gmail.com

Make Sure

Situation: A patient developed high altitude cerebral edema while traveling to Leh.
Reaction: Oh my God! Why was acetazolamide not started before the journey?
Lesson: Make sure all high–risk patients are given acetazolamide before they go to mountains.

eMedinewS Humor

What It Means

Five year old Becky answered the door when the Census taker came by.

She told the Census taker that her daddy was a doctor and wasn’t home, because he was performing an appendectomy.

"My," said the census taker, "that sure is a big word for such a little girl. Do you know what it means?"

"Sure! Fifteen hundred bucks and that doesn’t even include the anesthesiologist!"

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 :

 

Quote of the Day

Any man’s life will be filled with constant and unexpected encouragement if he makes up his mind to do his level best each day. Booker T. Washington

Twitter of the Day

Dr KK Aggarwal: ECG not reliable marker for predicting heart disease http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: We can affect change every day. Through our thoughts, our words, and our actions. Join me at 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

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

Media advocacy through Web Media

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eMedinewS Special

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