eMedinewS7th July 2014,Monday

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

Diet for heart disease prevention with special reference to edible oils

  • Food of plant in origin contains no cholesterol. Only animal food has cholesterol, therefore, all oils which are plant in origin will have zero cholesterol while animal fat like Desi Ghee (cow or buffalo) will have cholesterol.
  • Any fat which is saturated will be solid at room temperature and the one which is unsaturated will be liquid at room temperature. All plant oils, therefore, will be unsaturated and Desi Ghee, Butter will be saturated. When an unsaturated liquid oil is hydrogenated, it becomes hydrogenated oil, solid at room temperature and therefore, will be saturated.
  • Unsaturated oils can be poly–unsaturated or mono–unsaturated. Mono–unsaturated oils are heat stable and the oils can be reused after frying or boiling. Boiled Poly unsaturated oils on the other hand will oxidize on heating and may not be suitable for reuse.
  • Omega 3 fatty acid in unsaturated oils is the key for cardiovascular prevention. The N3:N6 ratio is the one which classify various oils. More N3 means more Omega 3 fatty acid.
  • When choosing unsaturated oils, a blend of oils is better than single oil and, if one oil has to be used, then it is preferred to be mono-unsaturated. A single oil is used should be mustered oil, groundnut oil or olive oil. A recent study has shown Mediterranean diet which involves consumption of pure virgin olive oil in adequate amount can cause regression of heart diseases. Virgin olive oil has also been shown to dissolve gallbladder stones. There are blend of oils available which are a mix of poly and mono–unsaturated oils and if they have more N3:N6 ration, they can be consumed from healthy point of view.
  • Trans fats are the biggest culprit (hydrogenated oils). Saturated fat increases LDL bad cholesterol while trans fat increase LDL bad cholesterol and simultaneously reduce good HDL cholesterol. It is better to consume desi ghee than vanaspati ghee.
  • Moderation and variety is the answer. One should not consume more than ½ kg of ghee, oil, butter in a month which means 3 teaspoon full in a day. I recommend a mix of unsaturated oils, saturated oils and butter in a day with a maximum 3 tea spoon full (15 ml).
  • One should not re–fry or deep fry food articles. One should use non–stick pans for reducing the amount of oil in cooking. The smaller pieces of vegetables you cut while cooking the more will be available surface area and more will be oil consumption. One should boil the vegetables and cook them to reduce the amount of oil required for cooking.
  • There are some medicines available which are Lipase inhibitors which are called cheating drugs and they do not allow fat to be observed if you take any excess in parties. As per naturopathy, consuming a glass of water with lemon after half an hour of eating food may help in washing of the fat lined on the intestinal lining.
  • A 1% rise in bad cholesterol increases the chances of heart attack by 2% and 1% reduction in good HDL cholesterol reduces the chances of heart attack by 3%.

News Around The Globe

  • Researchers at the Duke University Medical Center in Durham, North Carolina have noted in their study that combination treatment with varenicline and bupropion may help smokers quit who fail to respond to the nicotine patch. The study was published online in American Journal of Psychiatry.
  • A systematic review and meta–analysis, published in Diabetologia, suggests that combined aerobic and resistance training, in comparison with either alone, is best for controlling both blood sugar and blood fat profiles among people with type 2 diabetes.
  • A type of psychotherapy that combines cognitive behavioral approaches with elements targeting trauma and interpersonal skills has the potential to reduce seizures and improve psychiatric symptoms like depression and anxiety in patients with psychogenic nonepileptic seizure, suggests a new pilot study published online July 2 in JAMA Psychiatry.
  • In patients with early esophageal cancer, preoperative chemoradiotherapy does not appear to improve overall survival, but it does increase postoperative mortality, reports a phase 3 study published online in the Journal of Clinical Oncology. The finding is in contrast to results from previous studies in this patient population, which have shown a benefit.
  • A new research, to be published in the journal Nature, has revealed that an unusual variant of a gene involved in regulating the body’s production of hemoglobin became widespread in Tibetans after they moved onto the high–altitude plateau several thousand years ago. This variant allowed them to survive despite low oxygen levels at elevations of 15,000 feet or more. This version of the gene came from Denisovans, a mysterious human relative that went extinct 40,000–50,000 years ago.

Rabies News (Dr A K Gupta)

Can a rabies vaccine be given to a pregnant woman?

Following animal bite, rabies vaccine can be given to a pregnant woman. Medical termination of pregnancy should not be done as a routine clinical practice.

Cardiology eMedinewS

  • Eating almonds can reduce the risk of heart disease by keeping blood vessels healthy, reports a new study by researchers from the Aston University in Birmingham, UK. Researchers noted that almonds significantly increase the amount of antioxidants in the blood stream, reduce blood pressure and improve blood flow.
  • Scientists at Abertay University in the UK have grown miniature beating human hearts in which they can induce heart disease, enabling them to test newly developed drugs. This is the first time it has been possible to coax disease in a lab–grown heart, reported lead researcher Prof. Nikolai Zhelev.

Pediatrics eMedinewS

  • Unhealthy food choices that have bad consequences in real life are shown in a positive light by television programs aimed at children, an analysis of broadcast output has pointed. The research, into TV shown to kids in England and Ireland, has been published in the BMJ journal Archives of Disease in Childhood.
  • A new study has shown that emotional and behavioral problems are apparent even at relatively low levels of lead exposure in preschool children, and they increase with rising blood lead levels. The study is published in JAMA Pediatrics.

Dr K K Spiritual Blog

Spiritual Prescriptions: Satsang

Satsang is a common household word and is often held many residential colonies. Traditionally, Satsang meant the regular meeting of a group of elderly or women of an area with a common intention of attaining inner happiness or peace through Bhajans or devotional songs for a particular God or Gods. In Satsang, people realize that it is the Self, communing with Self.

The Sanskrit word ‘Satsang’ literally means gathering together for guidance, mutual support or in search of truth. It may involve talking together, eating together, working together, listening together or praying together.

Most scriptures describe Sat and asat. They discriminate that this world is maya (asat) and God is Divine. Furthermore, they state that maya is not yours; Divine is yours.

Sang means to join, not just coming close, but to join. And how do you join? Only with love, which acts as glue. So Satsang is: Sat—Divine. Sang—loving association. In non–traditional Satsang, people verbally express themselves to others in an uninhibited way. Here, each participant talks free of judgment of others, and self. In this way, each person is able to see many viewpoints, which may serve to diminish the rigidity of their own.

Satsang is one way of acquiring spiritual well–being. Many scientific studies have shown that when mediation or chanting is done in groups it has more benefits than when done individually. Maharishi Mahesh Yogi once said that if 1% of the population meditates or chants together it will have a positive influence on the entire society.

Satsang also helps in creating a network of people with different unique talents. Satsangi groups are often considered in a very deep–rooted friendship.

Adi Shankaracharya in his book Bhaja Govindam also talks about satsang in combination with sewa and simran and says that together the three can make one acquire spiritual well– being. Nirankaris and Sikhs also give importance to satsang and in fact every true Sikh is supposed to participate in the Gurudwara on a regular basis.

Chanting of mantra or listening to discourses in a satsang helps to understand spirituality through gyan marga. Group chanting continued on a regular basis is one of the ways of meditation mentioned in the shastras. It shifts consciousness from sympathetic to the parasympathetic mode.

The medical educational programs of doctors of today can be called medical satsangs as whatever is discussed is for the welfare of the society. However meetings held to discuss implanting a blast couldn’t be called a satsang.

Satsang also inculcates in us, one of the laws of Ganesha, the law of big ears, which teaches everyone to have the patience to listen to the others.

In satsang, nobody is small or big, everybody has a right to discuss or give his or her views. Over a period of time, most people who regularly attend satsang, start working from the level of their spirit and not the ego.

Wellness Blog

Diagnosis of hypertension in childhood requires repeated BP measurements

One needs to confirm presence of hypertension based on three blood pressure measurements at separate clinical visits.

Normative BP percentiles are based upon data on gender, age, height, and blood pressure measurements from the National Health and Nutrition Examination Survey and other population–based studies.

In a study initial BP measurement was normal (below the 90th percentile), pre–hypertensive (systolic or diastolic BP between the 90th or 95th percentile) and hypertensive (systolic or diastolic BP ≥95th percentile) in 82, 13, and 5 percent of children.

At follow–up, subsequent hypertensive measurements were observed in only 4 percent of the 10,848 children who had initial hypertensive values. In the cohort, the overall prevalence of hypertension was 0.3 percent.

Source: Lo JC, Sinaiko A, Chandra M, et al. Prehypertension and hypertension in community–based pediatric practice. Pediatrics 2013;131:e415.

Inspirational Story

Hiding their weaknesses and highlighting their strength

There was a King who had only one eye and one leg. He asked all the painters to draw a beautiful portrait of him. But none of them could because how could they paint him beautifully with the defects in 1 eye and 1 leg.

Eventually one of them agreed and drew a classic picture of the King. It was a fantastic picture and surprised everyone.

He painted the King aiming for a hunt. Targeting with one eye closed and one leg bent …

Moral: Why can’t we all paint pictures like this for others.

Hiding their weaknesses and highlighting their strength....!!!!

ePress Release

Rabies is not caused by bites of small rodents like rats

Inaugurating a daylong conference on Zoonotic diseases control on World Zoonosis day 2014, Prof M L Madan said that Zoonoses should be a separate subject in the medical curriculum in all pathies like MBBS, Homoeopathy, Ayurveda, Unani etc.

Prof. Madan is credited with the world’s First in–vitro fertilized (test tube) Buffalo calf "PRATHAM" and innovating this technology among bovines for which he has received worldwide scientific acclaim.

In his welcome address, Padma Shri, Dr B C Roy National Awardee and DST Science Communication National Awardee and President Heart Care Foundation of India said humans are usually an accidental host and acquire the disease through close contact with an infected animal, who may or may not be symptomatic. Children are at highest risk for infection because they are more likely to have close contact with pets.

Dr Aggarwal said that pets are responsible for transmission of an extensive array of bacterial, fungal, and parasitic zoonotic pathogens. The route of transmission can be through the saliva (bites or contaminated scratches), feces, respiratory secretions, direct contact, or by the animal acting as a vehicle and source of tick or flea exposure. Although pets have been implicated in transmission of zoonoses to their owners, risk of transmission from contact with pets is low and may be further reduced by simple precautions.

The daylong conference is organized annually by Millennium India Education Foundation, Heart Care Foundation of India, and ICAR Ministry of Agriculture & Cooperation Govt. of India to commemorate World Zoonosis Day.

About 150 people from medical profession, veterinary sciences, MSWs and people directly involved with animal care attended this conference.

Speaking on the occasion, Dr Uday Kakroo Director Millennium India Education Foundation & Advisor Heart Care Foundation of India said that outbreaks of diseases communicable from animals to human commonly referred to as Zoonoses, have been traced to human interaction with and exposure to animals at fairs, petting zoos and in other settings. In fact for many human diseases the human is actually an accidental victim and dead end host. Elaborating on it Dr Kakroo said that of the 1415 human pathogens, 868 (61%) originate from animals and many of them have established in humans.

Guest of Honor Dr A C Dhariwal Director National Vector Borne Disease Control Ministry of Health & FW Govt of India said that animals are playing vital role as carriers of many vector–borne diseases like Japanese Encephalitis where pigs are carriers of JE Virus etc. Adoption of common preventive measures at both veterinary and medical sectors is need of the day.

Experts who spoke on different diseases of Zoonotic nature included: Dr P K Uppal; Dr M P Yadav; Dr Lal Krishna; Dr A K Bhatia; Dr P P Gupta; Dr Jyoti Misri; Dr Shoorvir Singh Yadav; Dr Baldev R. Gulati; Dr Rajinder Kumar Bhardwaj and Dr Rishendra Verma.

The conference ended with following messages for the public and all other stakeholders

  1. Disease that starts as a Zoonosis may have the potential to develop into a major human communicable disease.
  2. Many Zoonoses can cause very significant human morbidity and mortality.
  3. Zoonoses constitute nearly 60% of all known human infections and over 75% of all emerging pathogens.
  4. Zoonoses are typically endemic and occur in natural foci. Daily 50,000 people die from infectious diseases including "Zoonoses" (WHO)
  5. Of the 1415 human pathogens, 868 (61%) originate from animals and many of them have established in humans.
  6. Of the 175 emerging diseases, 75% are zoonotic.
  7. Man is directly or indirectly involved. Man is recipient as well donor. To prevent cross infection, social distance between man and other animal species is important
  8. High risk groups include infants, small children, pregnant women, elderly and immunodeficient patients.
  9. Anthrax, Brucellosis, TB, Q-fever, Leptospirosis, Bird Flu etc. are also known as Occupational Zoonosis.
  10. Disease transmission
    • Direct: Every day contact with animals
    • Environment: Contaminated milk, meat, fish, poultry or their product
    • Inhalation: Anthrax, TB, Rabies, Bird Flu Influenza, Swine Flu Influenza
    • Animal Bites: Rabies, Cat Scratch disease, Rat Bite fever
    • Arthropod vectors: Japanese Encephalitis, Filaria, Toxoplasmosis
  11. Host Animals responsible for transmission of diseases to human include
    • Farm animals: Cattle, Buffaloes, Sheep, Goats, Swine, Cats, Dogs, Camel, Poultry; Horses do not spread Zoonosis
    • Wild animals: Rats, Mice/rodents, Squirrels, Raccoons, Foxes, Bats, Migratory birds
    • Vectors: Mosquitoes, Ticks, Lice , Flea, House Flies, Insects
    • Laboratory animals like guinea pig, rats
    • Primates: Monkeys, Gorillas

eMedi Quiz

olfeck’s phenomenon is seen due to which component

a. joint psoriasis
b.mucosal psoriasis
c.nail psoriasis
d.pustular psoriasis

Yesterday’s Mind Teaser: A patient using contact lens develops corneal infection. Laboratory diagnosis of acanthamoeba keratitis was established. The following is the best drug for treatment:

1. Propamidine.
2. Neosporine.
3. Ketoconazole
4. Polyhexamethylene biguanide.

Answer for yesterday’s Mind Teaser: 1. Propamidine.

Correct answers received from: Dr Narahari, Dr Poonam Chablani, Dr Jainendra Upadhyay, Dr Ajay Gandhi, Dr Avtar Krishan, Bal Kishan Agarwal, Arvind Diwaker, Dr Prakash Khalap, Dr P C Das

Answer for 5th July Mind Teaser: 4. Progesterone therapy

Correct answers received from: Dr.Bitaan Sen & Dr.Jayashree Sen,

Send your answer to ijcp12@gmail.com

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!"

Self-Assessment-Quiz

 

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

Health Check Up and CPR 10 Camp at NP Co–Ed Sec. School, Babu Market–4th July 2014

press release

Longer CPR efforts may improve survival chances

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 :

 

Make Sure

Situation: A foreigner with a single loose stool developed sepsis.
Reaction: Oh my God! Why were antibiotics not started in time?
Lesson: Make sure that all foreigners are diagnosed to be suffering from Traveler’s diarrhea even if there is one single loose stool.

Quote of the Day

Happy is the man who can do only one thing; in doing it, he fulfills his destiny. Joseph Joubert

Twitter of the Day

Dr KK Aggarwal: Shorter acting calcium channel blockers linked to breast cancer http://bit.ly/HTZaj4 #Health
Dr Deepak Chopra: No regrets and no anticipation, just this moment fresh and as is.

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 newspaper. Regards:Dr Tarun
cardiology news

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