eMedinewS 2nd August 2013, Friday

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; 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

Excerpts of a meeting on Artificial Fruit Ripening held at Department of Food Safety, Government of Delhi

The meeting was chaired by Sh. K J R Burman, Secretary cum Commissioner Food Safety, Delhi Government and was attended by Dr. KK Aggarwal, President Heart Care Foundation of India; Dr. Ram Asrey from IARI, Dr. R.K. Sarin from Forensic Dept Delhi Government, Dr. S.K. Manocha from FICCI, Dr. Sanjay Rajput and Dr. J.S. Chauhan from SIIR apart from officials from Department of Food Safety.

  • To meet demands, 90% of the fruits in the market today are using artificial ripening methods.
  • Ripening agents allow many fruits to be picked prior to full ripening, which is useful, since ripened fruits do not ship well. For example, bananas are picked when green and artificially ripened after shipment after being treated with ethylene. Catalytic generators are used to produce ethylene gas simply and safely. Ethylene sensors can be used to precisely control the amount of gas.
  • Climacteric fruits (papaya, banana and mango) are able to continue ripening after being picked, a process accelerated by ethylene gas.
  • Non-climacteric fruits can ripen only on the plant and thus have a short shelf life if harvested when they are ripe. Examples are grapes, jamun, kinnu, lemon and citrus fruits.
  • Calcium carbide is also used for ripening fruits artificially. Calcium carbide reacts with water to produce acetylene, which acts as an artificial ripening agent. Industrial–grade calcium carbide may contain traces of arsenic and phosphorus, which makes it a human health concern. The use of this chemical for this purpose is illegal in India. Calcium carbide releases phosphine gas, arsine gas, acetylene gas and all of them are toxic to the body.
  • Natural ripening of fruits occurs from inner to outer layer, while artificial ripening starts from the surface to the inner areas. Therefore, naturally ripened mango will be sweeter in the center and the artificially ripened fruit will be sweeter on the surface.
  • Iodine can be used to determine whether fruit is ripening or rotting by demonstrating if the starch in the fruit has turned into sugar. For example, a drop of iodine on a slightly rotten part (not the skin) of an apple will turn a dark–blue or black color, since starch is present. If the iodine is applied and takes 2–3 seconds to turn blue/black, then the process has begun but is not yet complete. If the iodine stays yellow, then most of the starch has been converted to sugar.
  • Storage of potatoes at 10–12°C with CIPC treatment is helpful in providing the consumers potatoes, which are not sweet in taste, during the summer and rainy seasons.
  • Ethylene is also a gaseous plant hormone. Early examples of the human utilization of ethylene to enhance fruit ripening include the ancient Egyptian practice of gashing figs to enhance ripening responses.

    The ethylene produced by the injured fruit tissue triggers a broader ripening response. Similarly, the ancient Chinese practice of burning incense in closed rooms with stored pears (ethylene is released as an incense combustion by–product) stimulates ripening of the fruit.

    The idiom ‘one bad apple spoils the barrel’ is based upon the effect of one apple ripening (or rotting) and emitting ethylene which accelerates the ripening and senescense of apples stored with it. Another idiom is ‘Kharbuje ko dekh kar kharbuja rang badalta hai’.
  • Strategies to minimize fruit exposure to external sources of ethylene and treatments for managing the internal ethylene concentration are the key to commercial optimization of storage life and eating quality of many fruits.
  • Respiration is a process of oxidative breakdown (catabolism) of complex molecules into simpler molecules, yielding energy, water, carbon dioxide and simpler molecules needed for other cellular biochemical reactions required for ripening. The respiration rate per unit of fruit weight is (as a general rule) highest in immature fruit, with the respiration rate declining with age. Thus respiration rate of fruit is an indicator of overall metabolic activity level, progression of ripening and potential storage life of the fruit (i.e. a low respiration rate means that the energy reserves will take longer to be consumed and the fruit can be stored for longer).

    Some fruits show a significant variation to the pattern of declining respiration rate during their ripening. They exhibit a distinct increase in respiration rates (a respiratory climacteric) of varying intensity and duration, commensurate with ripening. Fruit that exhibit this characteristic increase in respiration rate are classified as ‘climacteric’ whereas fruits that follow the pattern of steadily declining respiration rate through ripening are classified as ‘non–climacteric’.

    To find out whether a fruit is respiring or not, one can either use a respirometer which can measure the carbon dioxide outcome or one can put a fruit in a polythene bag and tighten it and look for presence of vapors on the surface after one hour.
  • Low temperature modulates the ripening of kiwifruit or banana in an ethylene–independent manner, suggesting that fruit ripening is inducible by either ethylene or low temperature signals.
  • Ethylene gas ripening can be detected by phenolphthalein test.
  • Arsine and phosphine gas can be deposited on the surface of the fruit.
  • Other natural ripening methods are by putting them in rice, straw (bhusa), wheat etc.
  • Everyone should know that gases produced by ripening can worsen or cause asthma in children.
  • Gama radiation technology is used in fruits either for disinfection or delaying the ripening process so that they can be exported.

....Read More

New India Assurance company has decided to stop charging additional premium for those with diabetes and hypertension under its revised health insurance policy.

  1. The state-owned insurer has also withdrawn a clause from its policy that excluded cover for ailments caused by tobacco consumption. The new health insurance policy, however, continues to exclude cirrhosis of lever caused by alcoholism. The earlier practice of having a four-year cooling period for pre-existing conditions will continue. This means that if a diabetic buys a policy, the coverage for diabetes related hospitalization will begin only after four years.
  2. Several US and Canadian companies have stopped clinical trials in India following an amendment to the rules which makes it mandatory for companies and educational institutions to meet all medical expenses of those who volunteer for clinical trials.

    The new Drugs and Cosmetics (First Amendment) Rules, 2013, states that for an injury/illness, occurring to a clinical trial subject, he or she shall be given free medical management as long as required. "This does not specify what type or cause of injury. Thus a trial participant may be involved in a traffic accident or assaulted by someone, but under the open-ended clause, the trial sponsor has to cover all costs.

    Another clause calls for financial compensation to be paid over and above costs of medical management in the case in the event of any illness, considered trial-related. But there is no clarity on what constitutes trial-related injury. Again any medication cannot work all the time. A person whose cancer was not stopped from progressing may claim compensation under this clause even though the treatment was effective during the trial.

    We must also make a distinction between death of a patient during a clinical trial and death due to clinical trial. Patients who participate in clinical trials already have a disease which could be mild or serious. The death of a patient in a clinical trial could be due to various reasons, including a natural progression of the disease, new diseases, age-related disorders, or an unrelated complication. Patients who participate in a clinical trial receive greater degree of medical care than they would have under regular treatment because of the high level of investigations and patient management that a clinical study protocol requires.

    According to the ministry of health, 89 deaths were attributed to clinical trials between 2005 and 2012 of which compensation was paid in 82 cases. (TOI excerpts)
  3. Less than a fortnight after rejecting pleas for lowering the age of juveniles from 18 years to 16 years in heinous crimes, the Supreme Court on Wednesday agreed to hear a PIL arguing that a juvenile's culpability should be determined on his mental maturity rather than physical age. Additional solicitor general Siddhartha Lutheran opposed the PIL and informed a bench of Chief Justice P Sathasivam and Justices Rojana P Desai and Ranjan Gogoi that on July 17, the apex court had decided a bunch of petitions rejecting pleas to lower the age of juveniles to 16 years.

....Read More

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 10x10 i.e. 100 per minute."


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

Ringtone – CPR 10 Mantra English

sprritual blog Spiritual Prescription: Yoga Nidra

Many people in the East and the West are attracted to yogic practices, for they think they can find a solution to every problem therein; be it physical, mental, emotional or spiritual. Hence, much importance is attached to relaxation techniques that one thinks might help a person in easing the tension caused due to chronic stressful lifestyle. Yoga Nidra is one such wonderful technique, not only for physical or mental relaxation but also for preparing the mind for spiritual discipline. It concerns mainly with pratyahara (withdrawing senses from sense–objects) and dharana (concentration).

It is to be understood that ordinary sleep is not complete relaxation, for tension and stress cannot always be resolved completely in ordinary sleep. Yoga Nidra is qualitatively different relaxation. It is a ‘sleep’ where all the burdens are thrown off to attain a more blissful state of awareness, and hence it is a relaxation much more intense than ordinary sleep.

As Swami Satyananda Saraswati (Preface to "Yoga Nidra", 1982, Bihar School of Yoga, Monghyr, Bihar, India) says: ‘When awareness is separate and distinct from vrittis – mental modifications, when waking, dreaming and deep sleep pass like clouds, yet awareness of Atman remains, that is the experience of total relaxation. That is why, in Tantra, Yoga Nidra is said to be the doorway to samadhi!’

Neurophysiologic Basis

There is no doubt about the close relation between the body and the brain. Various centers in the brain control, modify, and affect our bodily functions. In fact, there is a center in the brain for every action, whether willful or reflex, physical or mental. Experimental data has identified many such specific centers. Stimulation of these centers leads to the related actions, be they motor or sensory, secretory or emotive, affective or cognitive. Thus, we have a holographic representation of the body on the brain.

To put it more concretely, it is a proven fact that the left half of the body is represented in right half of the brain and vice versa. As far as the muscular actions are concerned, the representation is in an ‘upside down manner’ in motor area of pre–central gurus of the brain. Thus, at the top of this part of brain, the lowest portion of our body, –foot– is represented. Then comes ankle, leg (calf), knee, thigh, hip, trunk, shoulder, arm, elbow, wrist, palm, fingers, thumb, neck, jaw, face, eyes, ears, tongue, taste, swallowing, etc. The same thing is applicable for sensations. Stimulation of brain centers of sensory cortex evokes sensations on the opposite half of the body.

Yoga Nidra Practice

In Yoga Nidra, exactly the opposite process is followed to make the brain centers active by focusing awareness on the parts of the body in a definite sequence. Thus, the person tries to stimulate various parts of the brain by focusing the awareness on the corresponding parts of the body. By ‘awareness’ is meant ‘attitude of witness’ towards physical or mental state of the body.

The Technique Usually it takes from 20–40 minutes to complete one Yoga Nidra session. The procedure is carried out by first doing a few asanas –practicing a few postures. Then the person lies on his or her back in totally relaxed posture (shavasana –posture simulating dead body). Eyes are lightly closed, arms are kept with palms facing upwards, fingers are half lifted from the ground, and breathing is natural and quiet.

Resolve or sankalpa

Before the rotation of awareness, the aspirant should make a positive resolve about the aims in life. The wordings should be clear and precise. It is not expected that the ‘sadhaka’ makes minor resolves like, ‘I will give up smoking, or alcohol, or tobacco’, but he or she should think of something higher. A few resolves can be:

a) I will awaken my spiritual potential,
b) I will be successful in my all undertakings,
c) I will achieve total health, or
d) I will be a positive help in spiritual progress of others, etc.

1. Rotation of Awareness

After the resolve one can begin the rotation of awareness. The person has to just visualize the part of the body mentioned in the instructions – it can be a teacher or a tape–recorder. The student/person must not move any part of his body. Quickly and corresponding with the instructions, he or she has to shift his or her awareness from one part to the next. The aspirant should not imagine the next part before the instructor mentions it. The whole process should be a pleasurable one and not a burden. There should not be any anxiety or expectation.

The usual pattern is to start focusing awareness in the following sequence:

First on the right side in sequence – the thumb, fingers (one by one), palm of the hand, then the wrist, the forearm, the elbow, arm, shoulder, right side of the back, hip, thigh, knee, leg, ankle, foot, great toe, and other toes of the right foot.

The same sequence is repeated for the left side.

And then the awareness is focused on the proximity of the body with the carpet (ground) – back of the head, shoulders, back and spine, thighs, heel. Next the awareness is brought to the front of the body–surface – face, brow, eyes, nose, lips, mouth, ears, chin, neck, chest and abdomen.

2. Awareness of the breath

After rotation of the consciousness in such a sequence, focusing the attention on the act of breathing completes the physical relaxation. One simply maintains the awareness of breath, either at the nostril or to its passage through the navel and throat. It is claimed that the process, in addition to concentration of mind, assists in "pratyahara" withdrawing the sense centers from their objects of sensations.

3. Feelings and Emotions

Next comes relaxation at the level of feelings and emotions. A conscious attempt is made to bring the intense physical and emotional feelings to the memory; they are re–experienced or re–lived and then effaced. Usually this is practiced with two opposite pairs of feelings like hot and cold, lightness and heaviness, pain and pleasure, joy and sorrow, etc. Relaxation at the emotional level and building up a strong will power are the two major outcomes of this procedure.

4. Visualization

The final stage of Yoga Nidra relates to mental relaxation. The aspirant tries to visualize the objects as described by the instruction. Usually such images and symbols are chosen which have universal significance. To quote a few: The mountain, river, ocean, temple, church, cross, saint, flower, etc.

This practice helps to develop self–awareness and helps in concentration – dharana. Rarely, even meditation – dhayana - may be the natural outcome.

5. Ending the practice

Once again the resolve or sankalpa is intently thought of or even visualized. Thus, consciously one tries to direct the unconscious mind about the goals in life. This time the unconscious is very receptive, and therefore may accept the suggestion from the conscious mind with more intensity. It is claimed that, in due course of time, depending upon the sincerity and regularity of the sadhana, the resolve bears fruit in sadhaka’s life.

Utility

Yoga nidra helps in restoring mental, emotional, and physical health by way of relaxation, and makes the mind more conducive to pratyahara – (withdrawing senses from their objects), dharana – (concentration), and meditation. Such a practice helps to harmonize two hemispheres of the brain and the two aspects of autonomous nervous system viz. sympathetic and parasympathetic. The impressions in the subconscious are brought to the surface, experienced and removed. Thus, the fixation of awareness to the body is replaced with the awareness linked to subtler aspects of Prana and spiritual dimensions. ....Read More

cardiology news

The Strength of Group Work

Once a US president went out to see the situation of the city. Somewhere a group of soldiers was trying to lift a large branch of a tree from their way. The Corporal was standing by their side instructing them to work harder, but they were unable to move it.

A stranger was riding on his horse and he observed what was going on. He said to the Corporal – "if you help them they will be able to move it. Why don’t you help them? " The Corporal replied – "That is not my job, I am the Corporal. It is their work, they should do it."

The stranger did not hesitate a moment, immediately he dismounted from his horse, and helped the group of the soldiers to move that log. This additional strength helped them to move the log. After moving it, the stranger mounted his horse and said to the Corporal – "Next time you need to move some heavy thing and you need a help, call for the Commander–in Chief" and went his way.

It was then that the men realized that the stranger was none other than George Washington – the first President of the United States, the Commander–in–Chief of the army. ...Read More

News Around The Globe

  • sprritual blog
    The kid who had his broken spine rejoined

    A 10–year–old boy, from Firozabad in Uttar Pradesh, India, fell while playing in a field and the moving blades of a tractor’s harrow went over his back cutting his vertebral column into two. After five hospitals said they could not treat him, the boy was taken to the All India Institute of Medical Sciences (AIIMS) Trauma Centre and operated right away. Doctors at the hospital managed to rejoin his broken spinal cord after performing a rare surgery lasting over eight hours. Nine months later, he is back on his feet and walking without help. AIIMS Trauma Centre chief M.C. Mishra said: ‘I have done extensive research and can conclude that it is a first–of–its–kind case in medical history. Such a case with sharp penetrating injury to the spine in a child causing complete breakage of the lumbar spine in two parts presenting with complete loss of power and sensations is extremely unusual and has not been reported in literature either.’
  • Baby food giants Heinz, Nestle and Abbott have been blatantly violating the IMS Act, (Infant Milk Substitutes, Feeding Bottles and Infant Foods Regulation of Production, Supply and Distribution Act, 1992) and Amendment Act 2003 and misleading mothers and undermining breastfeeding and natural family foods, according to the Breastfeeding Promotion Network of India (BPNI)/International Baby Food Action Network (IBFAN Asia). Putting profits before children’s health Heinz, for instance is wooing mothers to give its cereal food “Oat and Apple” at ‘4+ months’ through the label on the container and various websites. It is also offering free ‘gifts’, ‘discounts’ and even loyalty schemes to mothers for using the website, which is also banned under the law which is not only illegal but unscientific. (drbabukv via yahoogroups.co.in)
  • Diabetes Now NYC Public Enemy #2: Roughly one in nine New Yorkers carries a type 2 diabetes diagnosis, a rate that carries grim consequences as every 90 minutes a resident of the "city that never sleeps" dies from diabetes–related causes.
  • Women who had a pregnancy lasting more than 20 weeks after receiving fertility treatments did not have a greater cardiovascular risk over about the next decade compared with women who conceived without assistance. After adjustment for differences in baseline characteristics, the women who were treated for infertility had a significantly lower risk of death or hospitalization for a major adverse cardiovascular event over a median follow–up of 9.7 years according to Jacob Udell, MD, MPH, of the University of Toronto, and colleagues in the Journal of the American College of Cardiology.
  • Researchers at a Boston fertility clinic conducted a study using eggs from 121 patients, which had been scheduled to be discarded. They exposed them to different levels of BPA in the lab. One egg from each patient was exposed to the BPA, while another was left alone for comparison. Exposure to BPA caused a decrease in the percentage of eggs that matured, an increase in the percentage of eggs that degenerated, plus an increase in the amount of eggs that went through something known as spontaneous activation — when an egg acts like it’s been fertilized, but it hasn’t been.
  • Govt may enact a law to retain NEET if it fails to get positive SC review: Government is likely to seek a review of the Supreme Court judgement scrapping the common entrance test for MBBS, BDS and post–graduate courses in medical and dental colleges with the Law Ministry endorsing a proposal in this regard. The Health Ministry, unhappy with the judgement, had proposed taking "legal and legislative recourse" to retain National Eligibility–cum-Entrance Test (NEET). The Law Ministry has backed the proposal of the Health Ministry saying it was in agreement that if the split judgement was not discussed among judges, it was a fit case to seek a review. (PTI)
  • Men who were offered prostate cancer education materials designed to aid in decision-making exhibited increased knowledge about prostate cancer screening and treatment, but neither knowledge nor calmer decision-making reduced the rate of PSA testing, Georgetown University researchers report.
  • Strategies to control Clostridium difficile infection (CDI) should include further examination of outpatient and household settings and a reduction in proton pump inhibitor (PPI) use, according to an article published in the July 22 issue of JAMA Internal Medicine.
  • First-year varsity college football players –– especially linemen –– saw significant increases in blood pressure over the course of the season. And by the end of the season more than half of the players had developed either pre-hypertension or stage 1 hypertension, according to Aaron Baggish, MD, of Massachusetts General Hospital in Boston, and colleagues. But among linemen, 83% had developed either pre–hypertension or stage 1 disease, Baggish and colleagues reported online in Circulation: Journal of the American Heart Association.
  • President of IMAYAM, a Home for Terminally ill cancer patients Erode & Managing Director of City Hospital, Dr. K. M. Abul Hasan was given "Best Doctor Award" by the Tamil Nadu Medical Council, Chennai for his services rendered in the field of Medicine & Social Service. The Secretary of Health & Family Welfare Govt. of Tamil Nadu Dr. J. Radhakrishnan gave away the award and Dr. Shantharam, Vice Chancellor Tamil Nadu Dr. MGR Medical University was the Guest of Honor.

Rabies News (Dr. A K Gupta)

Can rabies vaccine be given to HIV or AIDS patient?

Rabies vaccine can be given to HIV or AIDS patient. It is recommended to administer RIGs even in category II exposures in such patients and double dose of anti–rabies vaccine must be given on day 0 of vaccination.

cardiology news
  • Results of a new meta–analysis suggest that both high and low concentrations of serum glucose are damaging to the heart. Mitsuhiko Noda, MD, PhD, of the National Center for Global Health and Medicine in Tokyo, and colleagues reported online in BMJ that low glucose levels requiring outside assistance or medical treatment were associated with a 2.05–fold elevated relative risk of cardiovascular disease. (Source: Medpage Today)
  • The number of patients with peripheral artery disease (PAD) is increasing at an alarming rate. According to a new review, more than 200 million people worldwide were living with PAD in 2010. More than two–thirds of these are living in low– and middle–income countries, including more than 55 million in Southeast Asia and 46 million in the western Pacific region. The rise in PAD has been twice as high in low–/middle-income countries (a 28.7% increase) as compared with the increase in high–income countries (13.1%). (Source: Medscape)

Valvular Heart Disease News

Intra-operative TEE, especially live 3D TEE, provides excellent diagnostic accuracy and helps surgical planning.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

cardiology news
  • Child sexual abuse is common, and pediatricians must know how to respond to it, according to new guidelines from the American Academy of Pediatrics published online July 29 in Pediatrics. These guidelines reiterate the physician's legal obligation to report abuse to the proper law enforcement or child protection agency. They also provide recommendations on how to talk to parents, how to interview children, what to include in the medical record, and what to cover during a physical examination of the child, as well as when tests should be ordered and, what tests to order, and how to protect the child's mental and emotional well-being. In addition, the guidelines emphasize the need for physicians to know what expert help is available in the community. (Source: Medscape)
  • Children who survive at least five years after an intestine transplant (ITx) are generally in good physical health, and they seem to fit in with their social group, according to new research presented at the Intestinal Transplantation Association’s 13th International Small Bowel Transplant Symposium in Oxford, UK. They are generally on low doses of immunosuppression, are steroid-free and have nutritional autonomy, although most of them grow more slowly than normal. (Source: Medscape)
cardiology news

Snoring how boring

When this irritating sound blasts through the quietness of the night it can drive the sanest of people insane – well almost! There are many couples who have divorced on this ground. It’s no joke to be accused of snoring – neither for the snorers nor for the sufferers who have to endure sleepless nights! Even the fair sex is not immune to this malady howsoever they might deny it.

The cause of snoring is air flowing through the open mouth and causing the soft palate (side area around the back of the tongue and the tonsils) to vibrate. This results in the production of sound – the snore!

Medically, snorers are found to be more prone to:

  • Heart attacks
  • Sudden death

Certain conditions can predispose to snoring. These are:

  • Enlarged tonsils or adenoids
  • Congestion in the nasal sinuses
  • Deviated nasal septum
  • Loose dentures
  • Nasal polyps
  • Sleeping on your back (causes the tongue to fall back and block the windpipe partially)
  • Aging causes the throat muscles to become flabby. This is also caused by alcohol, and certain drugs – tranquilizers, pain killers, or sedatives, all of which depress the brain and cause the muscles to be loose.

Practical remedies for this malady

  • Find the cause and treat it if snoring is due to any of the above conditions. Corrective measures should be undertaken ant it may stop snoring.
  • Sleeping on the side: The tongue does not block the airway and hence helps to prevent snoring. For this purpose a ball is stitched on the back of the night suit shirt to remind the person to sleep on the side.
  • A special anti snoring pillow can be made in which the portion under the neck is higher than the one under the head, hence extending the neck this prevents snoring.
  • Lose weight if you are overweight, especially around the belly.
  • Stop smoking as smoke irritates the nasal mucosa and the throat.
  • Sleep without dentures if you use them.
  • For the sufferers, one last line: Stuffing your ears with cotton wool (or your partner’s mouth) or sleeping in another room may be the best answer to the solution. If nothing helps – just pray to God for endurance.

...Read More

cardiology news

Paternal age and fertility

Bulk of data point to a decrease in fertility with increasing age. This may be due to a number of factors, including decreased coital frequency, reduced sexual functioning, and poorer semen quality as men age.

cardiology news

HCFI Activities

28th July: Sunday Business Seminar Hindi Bhavan, New Delhi

1st August: HCFI Executive Meet

IMA/DMA/DMC Meetings

30th July: IMA Delegation with Sheila Dikshit

EBook

CPR 10 Camp – E Book Sahodaya Sr Sec School, SDA, New Delhi

Camps

CPR Classes: Persons trained (20)

30th July: CPR 10 Moolachand (20)

Total CPR since 1st November 2012 – 56851 trained

TV and Radio Coverage

30th July: Dr KK Aggarwal on India News

Video Chats and uploads

Dr KK Aggarwal on Say No Tobacco

Dr KK Aggarwal on NEWS 24

Advocacy through Print Media

30th July: Veer Arjun

Media advocacy through Web Media

Poly Diet and Poly Drugs 1st Aug

NETLOG, FREEPRESS RELEASE, PRLOG, WEBENWSWIRE

Underactive thyroid: a marker of heart disease

Men and women with underactive or overactive thyroid without symptoms are at an increased risk of heart disease. Silent or "subclinical" thyroid dysfunction "represent a potentially modifiable –– risk factor for coronary heart disease.

Quoting a study from the University of Lausanne in Switzerland, by Dr. Nicholas Rodondi and published in Annals of Internal Medicine, Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela said that the likelihood of coronary heart disease, heart–related death and death from any cause is higher by 20 percent, 18 percent, and 12 percent, respectively, in subjects with an underactive thyroid without symptoms –– also referred to as subclinical hypothyroidism.

Their findings are based on pooled data from 12 studies identified through a search of MEDLINE (1950 to 2008). Ten of the studies involved population-based groups that included 14,449 subjects.

People with an overactive thyroid but without symptoms (silent hyperthyroidism) also had 21 percent, 19 percent and 12 percent greater odds, respectively, of heart disease, heart–related death, and death from any cause.

The screening test for thyroid is TSH blood test. The normal values are 0.3 to 3 mIU/L.

A value between 3 and 10 is considered subclinical hypoactive thyroid and a value of less than 0.3 without symptoms is considered subclinical overactive thyroid.

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 56851 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 10x10 i.e. 100 per minute."

today emedipics

Heart Care Foundation of India Organizes a CPR 10 Training camp at Sahodaya Sr Sec. School, SDA, New Delhi on 25th July 2013.

press release

Weight loss may improve sexual health of obese diabetes

today video of the dayDr KK Aggawral on Say No to Tobacco

Dr KK Aggarwal on How to Take Care of yourself during the Monsoons

Smart Phones Benefits and Hazards

eMedi Quiz

Read this…………………

When a female client with an indwelling urinary (Foley) catheter insists on walking to the hospital lobby to visit with family members, Nurse Rose teaches how to do this without compromising the catheter. Which client action indicates an accurate understanding of this information?

a. The client sets the drainage bag on the floor while sitting down.
b. The client keeps the drainage bag below the bladder at all times.
c. The client clamps the catheter drainage tubing while visiting with the family.
d. The client loops the drainage tubing below its point of entry into the drainage bag.

Yesterday’s Mind Teaser: The nurse is aware that the following findings would be further evidence of a urethral injury in a male client during rectal examination?

a. A low-riding prostate
b. The presence of a boggy mass
c. Absent sphincter tone
d. A positive Hemoccult

Answer for yesterday’s Mind Teaser: b. The presence of a boggy mass

Correct answers received from: DR SANTHAKUMARI, Dr Kanta Jain, DR ARPAN GANDHI, Dr. P. C. Das, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, daivadheenam, Dr.K.Raju, Dr. Thakor Hitendrsinh G, DR AVTAR KRISHAN, Dr B K Agarwal,

Answer for 31st July Mind Teaser: b. Tachycardia

Correct answers received from: Dr shashi saini

Send your answer to ijcp12@gmail.com




eMedi Apps



medicolegal update

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medicolegal update

"Dad, I don’t want to go to school today." said the boy.
"Why not, son?"

"Well, one of the chickens on the school farm died last week and we had chicken soup for lunch the next day. Then three days ago one of the pigs died and we had roast pork the next day."

"But why don’t you want to go today?"

"Because our English teacher died yesterday!"

medicolegal update
medicolegal update

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medicolegal update

Situation: A patient with pyogenic meningitis developed complications.
Reaction: Oh My God! Why were antibiotics not given when the meningitis was suspected?
Lesson: Make sure that first dose of antibiotics is given at the time meningitis is suspected.

medicolegal update

Never change your originality for the sake of others, because no one can play your role better than you. So be yourself, because whatever you are, YOU are the best.

medicolegal update

Dr KK Aggarwal: Poor hygiene habits may lead to Typhoid fever
http://bit.ly/12vFIfq #Health

Dr Deepak Chopra: What are the benefits of meditation? http://tinyurl.com/lptszxn @SFGate

medicolegal update

Govt should impose a strict ban on loan license propoganda distribution pharmaceutical companies ,they are responsible for drug resista nce ,they catch hold a few doctors and bribe them to write antibiotics like piperacilin with tazobactum for simple elective surgical procedures,for simple elective hydrocoele operation costliest possible antibiotic is written of these loan license companies .In rural areas these antibiotics are practiced for simple day to day infections . This the root cause of antibiotic resistance. NO hospital in smaller city is following an antibiotic protocol for surgical cases .There has to be a quality control at manufacturing level and strict protocol of using antibiotics at least in all hospitals. Dr Vivek Kumar,Varanasi

Forthcoming Events

CPR CAMPS

  1. 2nd August At Balwant Rai Mehta School, GK 2, Masjid Mor
  2. 3rd August At Sahodaya School, C–1 Sda For Delhi Police
  3. 5th August At Universal Public School, A Block, Preet Vihar

29th September–Dil Ka Darbar at NDMC Convention Centre, CP New Delhi

20th Perfect Health Mela from 18th Oct to 22nd Oct at different locations

20th Perfect Health Mela from 23rd Oct to 27th Oct at Constitution Club of India

eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

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medicolegal update


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