eMedinewS4th November 2013, Monday

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);
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What is the importance of Govardhan Pooja?

Mistakes of the Intellect are responsible for the disturbed state of mind. Even if the mind is under control, the intellect can disturb the mind. It is the discriminative faculty of the mind and can be very destructive. It is the main cause of ignorance. External desires and the uncontrolled five senses are responsible for it. Kama, Krodha, Lobha and Moha are the causative factors.

In mythology, Krishna won over the intellect– symbolized by the King Indra, the one who controls the indriyas and the senses. Govardhan pooja is the example of winning over the intellect. The same can only be done by one point concentration on the object of concentration. Krishna raised the mountain (the problem) on his one finger (one point determination) to save the people from heavy rains (turmoil of thoughts).

It means taking one point decision (one finger) whenever the mind is indecisive (Mountain) with multiple possibilities (rain).

Only when the mind body and soul are purified after one month Yagna (first Navratre to Diwali) one can use his or her intellect to tale one point decisions.

Govardhan pooja can also be understood by the following story.

Once a disciple asked his Guru about the difference between a girlfriend and wife. The Guru asked him to go to the tomato field and pick up the largest and most colored tomato but put a condition that once he had crossed one line he could not return back.

The disciple went and saw a large tomato in the first row. He went ahead and found a larger tomato in the next row. Thinking that the subsequent rows would have still larger tomatoes he went on further and further. In the seventh row he found a very large red tomato but in search of finding a still larger tomato he left it and went to next row only to find smaller and smaller tomatoes in the subsequent rows and ultimately came empty handed. The GURU said this is the example of search for a girlfriend.

Four days later the Guru asked the disciple to do the same exercise again. This time in the fifth row the disciple found a very large red tomato, got satisfied, plucked it and came back. When the guru asked why he did not search further, he said that that once he decided on that tomato his mental turmoil to search further stopped. It did not bother him anymore that a still larger tomato may have been ahead. The Guru said this is an example of the search for a wife.

Govardhan pooja means stopping your search at some point and being satisfied with what you get or learning to make a stop to all your desires at some point in your life.

Low fiber can cause heart artery inflammation

A new study of more than 23,000 people shows that those who consume low amounts of fiber in their diets have a higher risk of conditions such as obesity, metabolic syndrome and cardiovascular inflammation.

As per  study researcher Cheryl R. Clark, M.D., Sc.D., of the Center for Community Health and Health Equity, Brigham and Women's Hospital and Harvard Medical School, women ages 19 to 50 should get 25 grams of fiber each day, while men in the same age group should get 38 grams.

And women older than 50 should get 21 grams of fiber each day and men older than 50 should get 30.

However, the study, published in the American Journal of Medicine, showed that average dietary fiber intake was 16.2 grams each day, for all age groups and genders.

Foods such as fruits, vegetables, nuts and beans are high in fiber, while processed foods and refined grains are low in fiber.

A cup of raspberries, for instance, has 8 grams of total fiber, while an apple with skin has 4.4 grams of total fiber and a cup of lentils has 15.6 grams of total fiber.

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

Annakoot emphasizes the importance of eating mixed vegetables

sprritual blog

Annakoot festival is observed on the day of Govardhan Pooja after Diwali. There are many mythological scientific descriptions for this pooja.

1. On this day, there is a change in the season and there is also a change in the availability of fruits and vegetables in the market. On the day of Annakoot, people cook all types of outgoing and incoming vegetables and eat them. It reminds people that this is the last day for eating these outgoing vegetables for health reasons.

2. Annakoot emphasizes the importance of eating mixed vegetables. It is traditionally said that one should eat all seven colors and six tastes. Mixed vegetables provide all vitamins.

3. Annakoot is observed after Diwali. During Diwali people eat a lot of heavy food with predominant sweet taste. Eating a diet predominant in vegetables (bitter and green taste) on the day of Annakoot helps to restore the imbalance caused by heavy sugary food items eaten during Diwali.

4. In mythology it is also said that on this day, a mountain heap is created of all the cooked vegetables, eaten and distributed. It also indicates that from now onwards, one should eat only light food and distribute the leftovers.

cardiology news

A Poor Young Boy and the Dog

A few days ago I landed at the Bombay Airport (India) and took a cab to my scheduled destination in South Bombay. I was enjoying the busy traffic with people rushing in every possible directions then we got stranded at a very busy intersection.

As we waited for the signal to turn green, my eyes met up with a poor young boy, about 12 years old. He removed a piece of bread from his pocket and took a bite. As he was about to take his next bite, a stray dog wagged his tail looking at him. Without hesitation, he sat down and put the bread on the road for the dog to eat.

The dog sniffed the bread and walked away. The boy waited until he was sure the dog was gone then he picked up the bread and ate it! My heart cried and wanted to walk up to the boy but before I could open the door the signal turned Green and our car drove away. I kept thinking about the boy and later during my evening meal I realized that I was thinking of approaching the boy but never did, I could have stopped the car and walked up to him which again I never did.

All I did was "thinking" and this poor little boy who had only one piece of bread without any hesitation sharing it with the dog, though he himself seemed to be very hungry.

I learnt one of the biggest lessons in my life which that boy taught me without a conversation. He taught me to share with love and happiness. I am so blessed to have learnt this beautiful lesson from my ‘little unknown master’. It is my moral duty to share this incident with all my friends across the globe and be blessed with happiness.

Thank you friends for making this world a beautiful place to dwell.

News Around The Globe

News

  • Pregnancy and breastfeeding may improve pain and urinary urgency symptoms in more than half of women with interstitial cystitis bladder syndrome, according to the results of a new study presented at the American Urogynecologic Society (AUGS) 34th Annual Scientific Meeting.
  • People with hyperthyroidism have an increased risk of cardiovascular disease even after successful surgical treatment. In a population–based cohort study in Finland, hyperthyroid patients had a 50% elevation in hospital admission for a range of cardiovascular causes compared with controls. And even after thyroidectomy, the difference persisted for several types of cardiovascular disease.
  • In a study presented at the annual meeting of the American College of Rheumatology, patients with early rheumatoid arthritis who continued to have moderate disease activity at 6 months and 1 year were almost twice as likely to subsequently develop radiographic progression compared with those in persistent remission at those two time points. Among patients whose Disease Activity Scores in 28 joints (DAS28) during the first year were between 3.2 and 5.1, the odds ratio for radiographic structural damage at 3 years was 1.95.
  • In a 14–week crossover study, patients with fibromyalgia who were taking antidepressants found that their pain was successfully managed with pregabalin (Lyrica), with least squares mean pain scores of 4.84 versus 5.45 (placebo).
  • Vitamin D deficiency is linked to first episodes of psychosis (FEP). A study of almost 140 participants in the United Kingdom showed that those who were presenting to a psychiatric in–patient facility with an FEP had significantly lower levels of vitamin D than did their age-matched, healthy peers.

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Rabies News (Dr. A K Gupta)

What should be done if the ID injection fails, that is, spills out or goes subcutaneous?

The WHO recommends that in cases where the wheal over the skin is not formed then the patient should receive another dose of vaccine at a site nearby. If the IDRV fails in any one of the sites after two attempts, then the vaccine must be given by IM route and the remaining doses of the schedule given by IM route only.

cardiology news

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

  • Prolonged dual antiplatelet therapy (DAPT) after percutaneous coronary intervention did not have any clinical benefit –– and may have increased bleeding –– in two randomized trials of patients with mostly stable coronary artery disease presented at the Transcatheter Cardiovascular Therapeutics meeting. In a trial of patients who received the Endeavor zotarolimus–eluting stent, the 1–year rate of all–cause death, myocardial infarction, stroke, or major bleeding was 5.8% with 12–month DAPT and 6% with 3–month DAPT, a difference that met criteria for noninferiority. In another trial of patients randomized to stop DAPT at 1 year or continue for up to 18 months more, prolonged DAPT did not improve clinical outcomes and increased the rate of minor or major bleeding (1.9% versus 0.5%.
  • The superiority of aggressive medical management over similar treatment plus stenting in patients with a stroke or transient ischemic attack (TIA) resulting from stenosis of a major intracranial artery has now been extended to up to 4 years. The new, longer–term results of the Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis (SAMMPRIS) trial were published online October 26 in the Lancet.
cardiology news

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

  • Children born to mothers with systemic lupus erythematosus have twice the risk for autism spectrum disorders (ASD) as those whose mothers are unaffected, a Canadian researcher reported at the annual meeting of the American College of Rheumatology. In multivariate analyses that adjusted for potential confounders, offspring of mothers with lupus had a hazard ratio for ASD of 2.31, which was "substantial" and statistically significant. However, the absolute risk is small, at 1.4% versus 0.6%, and women with lupus shouldn't be alarmed as per the researchers.
  • Almost 90% of children with appendicitis remained surgery–free during the first 30 days of a nonoperative protocol. In a small prospective study, two of 30 patients required an appendectomy, one because of acute appendicitis and one who had a carcinoid tumor during the initial hospital stay. Patients treated by the nonoperative protocol had a longer initial hospital stay but returned to school and to normal activities significantly faster that did children who underwent appendectomy.
cardiology news

Tobacco Products in Urine – A Marker of Passive Smoking

In homes where at least one parent smokes, the infants have 5.5 times higher levels of a nicotine product, called cotinine, in the urine than infants of non–smokers. Cotinine is formed as the body tries to get rid of the nicotine in inhaled smoke.

According to study published in the Archives of Diseases in Childhood, sleeping with smoker parents is a known risk factor for sudden infant death syndrome. One of the reasons for the same could be proximity of the infant to parent’s clothing or other objects contaminated with smoke particles.

The study consisted of 104 twelve–week old infants. Of these, 71 of them had one parent who smoked; there were 33 infants whose parents did not smoke.

If the mother smoked, the chances of the infant’s urine containing nicotine products were four times higher than in non smoking parents. With the father smoking, the chances of having nicotine products in the urine of the infant were two times than of a non smoking parent.

The study also showed that sleeping with smoker parents or sleeping in lower temperature rooms was associated with increased nicotine products in the urine of the infants.

Higher nicotine products in the urine were also observed in colder times of the year indicating more closed door smoking during this period of the year.

cardiology news

Total CPR since 1st November 2012 – 69833 trained

Media advocacy through Web Media

Vegetarian diet and Soya Products help reduce BP

Ingestion of a vegetarian diet may reduce systolic blood pressure by 5 mmHg. A 5 mm reduction in blood pressure may reduce the risk of heart disease by 21%. This was stated by Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India.

One major feature of a vegetarian diet that may affect blood pressure is the amount of dietary fiber, with an increased amount being associated with decreased systemic pressures. Various studies have shown benefits with dietary fiber intake on blood pressure.

Vegetarians, in general, have lower blood pressure levels and a lower incidence of hypertension and other cardiovascular diseases. Experts postulate that a typical vegetarian’s diet contains more potassium, complex carbohydrates, polyunsaturated fat, fiber, calcium, magnesium, vitamin C and vitamin A, all of which may have a favorable influence on blood pressure.

More significant reductions were observed in older (greater than 40 years) and hypertensive individuals.

Soya is good for high blood pressure because it is naturally high in potassium and low in sodium. Potassium and sodium are electrolytes, and a high–potassium, low–sodium diet promotes a healthy blood pressure.

Soya can be good for high blood pressure when you eat it as an alternative protein source to unhealthy meats. Soya-based meat substitutes, such as veggie burgers, veggie bacon and meatless cold cuts, can be higher in fiber and lower in sodium than animal–based meat products. They can lower your risk for heart disease because they are lower in saturated fat. However, soya does not contain the long–chain omega–3 fatty acids that are found in fatty fish and shellfish; these may lower your blood pressure, according to the Linus Pauling Institute.

Even though soya is low in unhealthy saturated fat, some soya products are high in total fat and calories, and as a result will contribute to weight gain if you eat too much. Losing weight if you are overweight, or maintaining your current weight if you are already at a healthy weight, improves your chances of lowering your high blood pressure.

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

20th MTNL Perfect Health Mela

press release

FDA OKs first drug–eluting stents for use in MI

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

Decreased glycolytic activity impairs oxygen transport by hemoglobin due to:

1.Reduced energy production.
2.Decreased production of 2,3–bisphosphoglycerate.
3.Reduced synthesis of hemoglobin.
4.Low levels of oxygen.

Yesterday’s Mind Teaser: The primary defect which leads to sickle cell anemia is:

1.An abnormality in porphyrin part of hemoglobin.
2.Replacement of glutamate by valine in B–chain of HbA.
3.A nonsense mutation in the B–chain of HbA.
4.Substitution of valine by glutamate in the a–chain of Hba.

Answer for yesterday’s Mind Teaser: 2.Replacement of glutamate by valine in B–chain of HbA.

Correct answers received from: DR.A.K.GAJJAR, Dr MONICA GANDHI, Dr Arpan Gandhi, Khurshid Alam

Answer for 2nd November Mind Teaser: 3.NADPH cytochrome P–450–reductase.

Correct answers received from: Dr G.sahadevudu

Send your answer to ijcp12@gmail.com



medicolegal update

Click on the image to enlarge

medicolegal update

Gynecologist: A man who works and operates in another man’s field

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: Doctor, this patient has developed acute renal failure (ARF).
Reaction: Oh my God, I forgot that he was on furosemide. I gave him full dose of amikacin.
Lesson: Make sure, before calculating the dose of aminoglycoside (amikacin) that furosemide and other loop diuretics, which enhance its nephrotoxicity are not being given.

medicolegal update

A crust eaten in peace is better than a banquet partaken in anxiety. Aesop

medicolegal update

Dr KK Aggarwal: Relaxation during work http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Are we alone in the universe? Take a quick trip through the cosmos as I explore this eternal question. #CosmicConsciousness

Forthcoming events

GFIMS&R

Venue: Gold Field Institute of Medical Sciences & Research, Ballabgarh, Faridabad
Date: November 14, 2013
Time: 2.00 pm to 4.00 pm

Program Details
Floral welcome
Lighting of lamp & Saraswati vandana (Recorded):
Introduction: Dr Jasveer Singh 
Welcome: Dr (Col) Parduman Singh, Principal GFIMS&R       
Blessings: Dr Shashi Adhlakha, Secretary GFIMS &R 
Felicitation: Padma Shri Dr K K Aggarwal and Dr (Mrs) Veena Aggarwal, Dr Gajinder Goyal
Keynote Address on CPR: Padma Shri & Dr B C Roy National Awardee Dr K K Aggarwal, Eminent cardiologist, Moolchand Medcity, New Delhi
Demonstration of BLS of CPR by already trained persons (Medicos & Non Medicos) under guidance of Dr Nirupama Bansal    
Emergency of Cardiac arrest: Dr Gajinder Goyal, DM Cardiologist
Concluding remarks and Vote of thanks: Dr Jasveer Singh    

medicolegal update
  1. Dear Editor, Beware of eye injury this Diwali, Even a small particle of a cracker, if not removed by copious irrigation with water, can cause serious trouble: watering, pain, redness, irritation, and vision disturbance...even corneal ulcer and ultimately reduced vision or blindness. So, if in doubt about the presence of such a foreign body on cornea, don't delay referring the case to an ophthalmologist. Dr. Narendra Kumar

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medicolegal update

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