eMedinewS5th August 2014, Tuesday

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

Women above 65 to take extra care of their health

  • Women aged 65 and above should take low dose aspirin routinely to prevent heart attack and paralysis.
  • All women are urged to exercise a minimum of 30 minutes per day, but women who need to lose weight or maintain weight loss are now advised to engage in 60 to 90 minutes of moderate-intensity activity on most, or preferably all, days of the week.
  • A heart–healthy diet should be rich in fruits, whole grains and fiber foods with a limited intake of alcohol and sodium.
  • Saturated fat should be reduced to less than 7 percent of calories.
  • Women at very high risk for heart disease should try to lower their LDL ("bad") cholesterol to less than 70 mg/dL.
  • Women aged 65 and over should consider taking low–dose aspirin on a routine basis, regardless of their risk.
  • Aspirin has been shown to prevent both heart attacks and stroke in this age group.
  • The upper dose of aspirin for high–risk women is 325 mg per day.
  • Hormone replacement therapy, selective estrogen receptor modulators nor antioxidant supplements such as vitamins C and E should be used to prevent heart disease.
  • Folic acid should also not be used to prevent cardiovascular disease.
  • Women should eat oily fish or some other source of omega–3 fatty acids at least twice a week.
  • Women should not only quit smoking but should use counseling, nicotine replacement or other forms of smoking cessation therapy.

News Around The Globe

  • According to a new observational study in the journal Molecular Psychiatry, major life stressors like divorce or caring for an elderly parent are associated with significant acceleration of cellular aging over a relatively short period of time. However, adoption of healthy behaviors for example eating a healthy diet, regular exercise and getting enough sleep may lessen this effect.
  • Analysis of data from two prospective studies in Annals of the Rheumatic Diseases shows that women who are overweight or obese with BMI of 25 or higher, particularly those who acquire the excess weight by late adolescence, have a 35% increased risk for developing rheumatoid arthritis (RA). The risk for developing seropositive RA, considered more severe increased by almost 50% in these women.
  • In the Europe Stop TKI (EURO–SKI) trial reported in the Journal of Clinical Oncology, researchers have found that 30% of patients with chronic myelogenous leukemia (CML) who stopped imatinib treatment experienced musculoskeletal pain associated with imatinib in various parts of the body. The authors suggest that these findings mean that patients who stop therapy should continue to be followed for adverse events.
  • In a new study from the US reported in the journal Mayo Clinic Proceedings, researchers have found that the majority of hospitalized patients who tested positive for C. difficile did so outside the hospital or within the first 72 hours of hospitalization. C. difficile infection has traditionally been associated with hospitals and other inpatient healthcare settings, affecting mainly older adults with multiple comorbid conditions.
  • Findings from a new study in Arthritis Care and Research have confirmed that people with fibromyalgia (FM) can experience objective impairments in cognitive and executive function independent of depression. According to authors, these patients often complain of ‘Fibro–fog’, a cluster of cognitive disorders not always reflected in poor test-based performance, but which strongly interferes with work and daily life. Cognitive dysfunction has been added to the list of diagnostic criteria for FM by the American College of Rheumatology.

Rabies News (Dr A K Gupta)

If for some reason, IDRV cannot be given in deltoid region, what are the alternative sites?

IDRV can be given in deltoid region, suprascapular, anterior abdominal wall and the upper part of thigh.

Cardiology eMedinewS

  • Major European and US societies have published new guidelines for the cardiovascular management of patients undergoing noncardiac surgery. These recommendations also clarify the role of beta–blocker therapy in the post–DECREASE era saying that beta–blockers are not recommended in patients without clinical risk factors, given that the drugs do not decrease the risk of cardiac complications and "may even increase this risk."
  • A study reported online in Arthritis Research & Therapy has suggested that in patients with psoriasis and psoriatic arthritis, aortic vascular inflammation was associated with sacroiliitis on CT imaging among patients.

Pediatrics eMedinewS

  • Early diagnosis and treatment of severe combined immune deficiency (SCID) or "bubble boy" disease has a favorable effect on survival. A new study from Boston Children’s Hospital, Division of Pediatric Hematology–Oncology, Massachusetts has suggested that infants with SCID who are diagnosed and receive hematopoietic cell transplant at age 3.5 months or earlier have a 94% probability of survival. While the survival rate in older infants who receive a transplant before the onset of a first infection is 90%. The findings of the stud were published in the New England Journal of Medicine.
  • In an update of its recommendations, the American Academy of Pediatrics (AAP) states that palivizumab prophylaxis for respiratory syncytial virus (RSV) should be limited to infants born before 29 weeks’ gestation and to infants with chronic illness such as congenital heart disease or chronic lung disease. The updated recommendations are published in the August issue of Pediatrics.

Dr K K Spiritual Blog

The vast power of the Spirit

Om Poornamadah
Om Poornamadah Poornamidam
Poornaat Poornamudachyate
Poornasya Poornamaadaaya
Poornameva Avasihyate"


‘The whole is whole; if you take away the whole away from the whole the whole will still remain.’ (That is infinite, this is infinite, from the infinite, the infinite has come. Having taken the infinite out of the infinite, the infinite alone remains). (In Vedanta, "That" represents superconsciousness, God or the Brahman and "This" the visible universe)

Atman, which makes up our body, is 99.99 per cent space or void and if we look at the rest, it is also nothing but space or void. This void or ‘akasha’ is what is called Brahman, God or consciousness and is a web of energized information.

This web of information of inner space called inner consciousness is the Atman or the Soul. This is connected with the outer space in the universe having a similar web of energized information called the Spirit or Brahmand.

The Spirit has been given many names by different religions: Allah, Buddha, Brahman, Christ or Wahe Guru. They all signify the same. This spirit, the energized field of information, is a powerful expression of live energy which can move faster than the speed of light. Soul is nothing but an individualized expression of the spirit.

This energy containing information in the spirit cannot be seen, felt, touched, tasted or smelt. It is beyond the perception of the five senses. One cannot destroy it with a weapon, fire, water or air. This consciousness is embedded in the space of each and every cell of the body. It is like sugar added to the milk. Once added, you cannot find it as it gets embedded with each and every drop of the milk.

Soul originates from the spirit. Each soul differs from the other by way of the subtle layer of consciousness called the ‘Sukshma Sharir’, which is controlled by the triad of actions, memories and desires.

Spirit is like the light, which is always positive and removes darkness. The basic nature of consciousness is "truth and bliss". The soul and the spirit are devoid of hatred, anger or jealousy and are full of unconditional love. They are nothing but a treasury of information about everything. This infinite information is capable of doing anything, including miracles.

It is like the flame of a candle, which can light an infinite number of candles, while still retaining its illumination to the same degree.

Deepak Chopra once said that the soul is like the voice of Lata Mangeshkar coming through a radio, and if you break the radio, you will not find Lata Mangeshkar in it. Similarly, if you cut the body into pieces, you cannot find the physical presence of the spirit. Spirit is omnipresent and any amount of Spirit taken out from it will not make any difference to it.

In religious terms, the infinite or the vastness is equated and described by the blue color, and that is one reason why most gods are represented in blue color, or are shown in the background of blue sky. This only represents the vastness and infinite character of the consciousness.

A guru explained the Spirit to his disciples by the following equation: 1 × 1 = 1, 1/1=1 or, in other words everything is One. One can also explain it by the equation that infinity when added, subtracted, multiplied or divided by infinity will result only in infinity.

This infinite potential in our minds is present in between the thoughts and can be experienced by enabling oneself to go in between the thoughts by a process called meditation. One can experience the silent gap between the thoughts either with the use of primordial sound mantra as a vehicle or by way of yoga. People who have learnt meditation and have achieved the ability to go into the silent gaps can accomplish everything in their life using the principles of intention and attention. After any intention is introduced in the silent gap, a new reality can be created.

"That which is born of the flash is a flash; that which is born of the spirit is spirit" (John)

Wellness Blog

Natural Fast Food is Good for Health

Natural fast food is good for health.

Natural fast food consists of eating fruits, vegetables, milk products, sprouts and sattu. On the contrary, unnatural fast food, also called as junk food, is bad for the health of the heart as it is made up of refined ‘bad’ carbohydrates and either animal ‘bad’ fat or trans fats.

Sattu is a grounded roasted powder of soaked pulses and cereals. It is consumed along with fruit slices, gur or milk. Green chili, lemon juice and salt can be added to add flavor.

The commonest form of sattu is grounded roasted black gram or chana. Other common variety is grounded roasted black gram with barley.

Originally, sattu was made of seven Anaja (7 cereals, millets and pulses). The seven ingredients are maize and barley (cereals), black gram, pigeon gram or Arhar, green pea, kesari dal and kulath dal (pulses).

Sattu is a high fiber diet with low sugar producing properties. It is a cooling and refreshing fast food with anti diabetic and anti–obesity properties.

It is a full breakfast, mid day or lunch meal and has minerals and vitamins.

Sattu drink can be sweetened by adding gur or honey, sour by adding lemon and salted by adding black or rock salt. Roasting is one of the best forms of cooking. Sattu is both a fast food and a soft drink for the summer but healthy.

The so–called energy drinks available in the market are harmful as they contain three times the caffeine content of coffee or tea.

Inspirational Story

It Pays to be Patient

Once there was a rich man who fell seriously ill. He sold all his belongings just to cure his illness. After he became healthy, he realized that he had nothing left. He had difficulties feeding himself, but he thought that in no time things would be back to normal again, he would be rich again.

He waited for a long, long time but nothing happened. His life was dreadful and so he decided that if he took his own life, it would be over. So he did.

While on his way to hell, he met two angels who were carrying a heavy load. He asked them where they were going.

After their long explanations, this man realized that the two angels were coming to him. The heavy load they were carrying was a bag full of money. But since he was no longer alive, he wouldn't be able to receive it.

ePress Release

When Constipation May be a Serious Problem

While most instances of constipation may not be serious, some cases of infrequent or difficult bowel movements need evaluation by a doctor said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association.

Heart Care Foundation of India offers this list of warning signs:

  1. You’re constipated for the first time
  2. Constipation occurs for you very infrequently.
  3. You’ve been treating constipation at home with more fiber, fluids and exercise for at least three weeks, but have no improvement.
  4. You have abdominal pain.
  5. You have bloody stools.
  6. You have unexplained weight loss.
Self-Assessment-Quiz

 

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Health Check Up Camp Sonipat, 27th July 2014

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Treating vitamin D deficiency in the country

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Make Sure

Situation: In an STD clinic, a 23–year–old heterosexual male presenting with dysuria and urethral discharge was prescribed azithromycin to cover a suspected Chlamydia trachomatis infection.
Reaction: Oh my God! Why didn’t you advise the same treatment for his partner also?
Lesson: Make sure that in such cases, it is essential that both the partners are treated.

eMedinewS Humor

For crying out loud

With all the new technology regarding fertility, an 88–year–old woman was able to give birth to a baby recently. When she was discharged from the hospital and went home, various relatives came to visit.

"May we see the new baby?" one of them asked. "Not yet," said the mother. "I‘ll make coffee and we can visit for a while first."

Another half hour passed before another relative asked, "May we see the new baby now?"

"No, not yet," said the mother. A while later and again the guests asked, "May we see the baby now?"

"No, not yet," replied the mother.

Growing impatient, they asked, "Well, when can we see the baby?"

"When it cries!" she told them.

"When it cries?" they gasped. "Why do we have to wait until it cries?"

"Because, I forgot where I put it."

Quote of the Day

I got the bill for my surgery. Now I know what those doctors were wearing masks for. James H Boren

Twitter of the Day

Dr KK Aggarwal: Avoid chocolate for heartburn By Dr K K Aggarwal http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: In my stillness I am the eternal possibility…… In my movement I am the cosmos

eMedi Quiz

Central nervous system manifestations in chronic renal failure are a result of all of the following, except:

1. Hyperosmolarity.
2. Hypocalcemia.
3. Acidosis.
4. Hyponatremia.

Yesterday’s Mind Teaser: Which of the heart valve is most likely to be involved by infective endocarditis following a septic abortion?

1. Aortic valve.
2. Tricuspid valve.
3. Pulmonary valve.
4. Mitral valve.

Answer for yesterday’s Mind Teaser: 2. Tricuspid valve.

Correct answers received from: Dr Swati Surana, Dr Prakash Khalap, Dr R R Vijayakumar, Dr P C Das, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr K P Chandra, Dr Gopal Shinde, Dr Chandresh Jardosh, Daivadheenam Jella, Dr Avtar Krishan, Dr Meenakshi, Dr Swatisurana.

Answer for 3rd August Mind Teaser: d. All of the above

Correct answers received from: Dr Sushma Chawla, Dr K Balan.

Send your answer to ijcp12@gmail.com

medicolegal update

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  1. Dear Sir, Thanks for the news. Regards: Dr Shantanu

Forthcoming Events

HSICON 2014

Dear Colleague,

Hypertension Society of India is organizing its "23rd Annual Conference HSICON–2014" to be held on 9th & 10th August, 2014 at Kempinski Ambience Hotel, Near Yamuna Sports Complex, New Delhi

Dr. N. P. Singh                          Dr. Neeru P. Aggarwal

Organizing Chairperson               Organizing Secretary

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