June 8  2015, Monday
eMedinewS
editorial
5 foods that fight high cholesterol
Dr KK Aggarwal
  • Oats give you soluble fiber. Add a banana or some strawberries to get more soluble fibers.
  • Beans are especially rich in soluble fiber. They also take a while for the body to digest, meaning you feel full for longer after a meal.
  • Nuts: Eating almonds, walnuts, peanuts and other nuts is good for the heart. Eating 2 ounces of nuts a day can slightly lower LDL by about 5%. Nuts have additional nutrients that protect the heart in other ways.
  • Foods fortified with sterols and stanols. Companies are adding them to foods ranging from margarine and granola bars to orange juice and chocolate. They’re also available as supplements. Getting 2 grams of plant sterols or stanols a day can lower LDL cholesterol by about 10%.
  • Fatty fish. Eating fish 2 to 3 times a week can lower LDL in two ways: by replacing meat, which has LDL–boosting saturated fats and by delivering LDL–lowering omega–3 fats.
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First of its kind Jan Aushadhi Medical Store at the Indian Medical Association to make affordable healthcare a reality
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News
  • Breast cancer patients with low extracellular domains of human epidermal growth factor receptor 2 (HER2) are less likely to benefit from trastuzumab, suggests new research published online in the Journal of the National Cancer Institute.
  • Mandibular advancement devices improved the number of apneas and hypopneas, but did not improve daytime sleepiness or quality of life, compared with placebo, reported a single-blind randomized study of patients with snoring or mild to moderate obstructive sleep apnea published in JAMA Internal Medicine.
  • Metformin, in addition to lowering blood sugar, may also reduce the risk of open-angle glaucoma, reported a study published in JAMA Ophthalmology.
  • Transcranial direct current stimulation (tDCS) may improve short-term memory in people with schizophrenia, suggested a small study published online in Clinical Schizophrenia and Related Psychoses.
  • In patients with diabetic nephropathy, reductions in albuminuria are greater when CCX140-B, a novel selective chemokine receptor inhibitor, is added to standard care, suggests a phase 2 proof-of-concept trial presented at the European Renal Association–European Dialysis and Transplant Association 52nd Congress.
Dr KK Spiritual Blog
Spiritual prescriptions: Namaskar and Namaste

We are virtually nobodies, while the Cosmos is the Ultimate Being

While greeting any one in Hindu culture, one takes the name of GOD, the supreme Brahma. It reminds us that we are nothing, everything is GOD.

This traditional greeting of India has a deeper spiritual meaning. It signifies non–arrogance or negation of ego.

NAMASKAR is made of three words: NAMAH + OM + KAR

NAMAH means NOT ME. It is a negation of one’s identity and hence of one’s ego or arrogance. It signifies that I am nothing.

OM is the sound of life, the primordial sound of nature. In Vedic language, it signifies soul, the spirit or the GOD.

KAR means shape/form of or manifestation of.

OMKAR therefore signifies manifestation of OM, the UNIVERSE, the cosmos, BRAHMA, SHIVA or GOD. OMKAR is omnipresent and omnipotent.

NAMASKAR therefore indicates that I am nothing, while OMKAR is everything. It also denotes respect to the one you say Namaskar. That I am nothing and you are GOD. In Vedantic text we are taught to give respect to atithi (atithi devo bhava).

Try to get angry, when you bow to say namaskar. You cannot, because the body posture does not allow you to do so. For an angry posture you must have expansion of the chest wall and not the flexion of the chest wall.

Other schools of thought

NAMASKAR= NAM + AS + KAR

NAM is the root form of NAMAH and has the same meaning as NAMAH - NOT ME. (I am nothing).

AS means "To Be" or "To Exist" … a word derived from Astitva which means existence.

KAR means doer or one who makes or creates. For example, KAR can be seen in the words Kalakar, Chitrakar, Karmkar, Charmkar. In the above words, the suffix kar leads to the meaning of one who creates work.

ASKAR therefore means the creator of all that exists, the GOD.

Namaskar therefore has the same meaning: I am nothing everything is the GOD.

Other meanings
  • Some people interpret NAMAH as "I Bow to". Ultimately the deeper meaning remains the same. I bow to GOD. Here you are considering the other person as GOD, which is one of Mahavakyas from Chandogya Upanishad in Sam Veda, "Tat Tvam Asi" (you are that).
  • "I salute the Almighty within you." The true Namaste gesture is accompanied by bowing the head and shoulders slightly. This is a gesture that lessens our sense of ego and self–centeredness, requiring some humility to do it well. Shaking hands can be quite an arrogant event.
  • It is a sign of respect and peace
  • I bow to the God in you; I love you and I respect you, as there is no one like you."
  • The word ‘Namo’ can be split into ‘Na’ + ‘Mama’ – meaning ‘Not mine’.
  • In Ahirbudnya Samhita, Siva explains the meaning of Namah in three ways:
    • Stula Artha: Gross etymological derivation referring to the inherent nature of the Jeeva as Sesha. Bowing the body is acceptance of the greatness of the one bowed to; when done with the eight angas (limbs), it is ‘Sashtanga’ and is the perfect Namas.
    • Sukshma Artha: Subtle meaning as seen in ‘Nirukta’ when it refers to bowing in thought, word and deed with an understanding of the bowing to be a Sadhyopaya (means).
    • Para Artha: Supreme meaning derived from the Shastras thus: NA indicating the Upaya; MA indicating its importance and S indicating Bhagavan, the Siddhopaya (goal).
NAMASTE

Namaste = NAMAH + TE
Namah means Not Me
Te means "they".
The literal meaning of NAMASTE hence is "Not me, they". The word they refer to "GOD".

NAMASTE = that the doer of everything is not me but the Gods.

Other ways of greetings
  • Ram–Ram
  • Jai Shri Krishna
  • Hare Krishna
  • Jai Shri Ram
  • Jai Siya Ram
  • Sikhs say Sat Shri Akal, which means that Truth is the God and is timeless.
  • Sikhs also say Wahe Guruji Ka Khalsa, Wahe Guruji Ki Fateh. This is a declaration that the ultimate victory will be of the Guru and his followers.
  • Muslims say Khuda Hafiz, which means Khuda is the Protector.
Cardiology eMedinewS
  • A new study testing the performance of the heart in athletes with right ventricular arrhythmias, published in the European Heart Journal, suggests that problems in the way the right ventricle works become apparent only during exercise and cannot be detected when an athlete is resting.
  • The European Society of Cardiology (ESC) warn that all forms of smoking are bad for the heart, with smoking of all types being the strongest risk factor for cardiovascular disease. The ESC spokesperson warned that waterpipe smoking, or shisha and hookah, may be associated with greater toxin exposure than a cigarette.
Media
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Pediatrics eMedinewS
  • Despite the fact that 56% of the children with autism spectrum disorder (ASD) used dietary supplements, especially multivitamin/mineral formulations, the supplements did not correct the most common micronutrient deficits seen in these children, those of vitamin D, calcium, potassium, pantothenic acid and choline, suggested a new study published in the Journal of the Academy of Nutrition and Dietetics.
  • Children with epilepsy who have had brain surgery have a higher chance of struggling academically following their surgery. The study is published in the June 2015 edition of the journal Epilepsy & Behavior.
Make Sure
Situation: A patient with diabetes shows deteriorating kidney function.
Reaction: Oh my God! His HbA1c is very high!
Lesson: Make sure that strict glycemic control is maintained in patients with type 2 diabetes in order to delay vascular complications.
Dr Good Dr Bad
Situation: A person who worked in paint industry had to be tested for blood lead levels
Dr Bad: Take capillary blood
Dr Good: Take venous blood
Lesson: For routine monitoring of occupational exposure to lead, venous blood sampling is preferable to earlobe capillary blood sampling.

(Copyright IJCP)
eMedinewS Humor
You should write more legibly

As an English professor, my father would often write little notes on student essays. Often he worked late, and as the hours passed, his handwriting deteriorated.

One day a student came to him after class with an essay that had been returned. "Mr. McDonald," he said, "I can’t make out this comment you wrote on my paper." My father took the paper and, after studying it, sheepishly replied, "It says that you should write more legibly."
Events
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eMedi Quiz
The parameters of sensitivity and specificity are used for assessing:

1. Criterion validity.
2. Construct validity.
3. Discriminant validity.
4. Content validity.

Yesterday’s Mind Teaser: The substances present in the gall bladder stones or the kidney stones can be best identified by the following technique:

1. Fluorescence spectroscopy.
2. Electron microscopy.
3. Nuclear magnetic resonance.
4. X-ray diffraction

Answer for yesterday’s Mind Teaser: 4. X-ray diffraction
Correct Answers received from: dr poonam chablani, Dr.K.Raju, Dr Pandit Hantodkar, Dr K C Sharma, Dr Shangarpawar, Daivadheenam Jella, Dr Avtar Krishan
Answer for 6th June Mind Teaser: 3. Gelfiltration chromatography.
Correct Answers received: Tukaram Pagad, Dr.K.V.Sarma, Dr.MadhuSudhan G, Dr Avtar Krishan, Daivadheenam Jella
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IJCP Book of Medical Records
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CPR 10
Total CPR since 1st November 2012 – 101090 trained
Video of the Day
Sameer Malik Heart Care Foundation Fund
The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number or by filling the online form.
Madan Singh, SM Heart Care Foundation Fund, Post CAG
Kishan, SM Heart Care Foundation Fund, Post CHD Repair
Deepak, SM Heart Care Foundation Fund, CHD TOF
eIMA News
  • Health officials in Orange County, CA, have confirmed three cases of campylobacteriosis infection associated with consumption of raw goat milk distributed by Claravale Farm of San Benito County, CA. All three patients are young children younger than 5. One patient was hospitalized, and all of them are expected to recover.
  • In an investigation update posted Friday, June 5, the U.S. Centers for Disease Control and Prevention (CDC) reported that unopened frozen ground tuna products tested by the Arizona State Public Health Laboratory, working with the Maricopa County (Phoenix) Environmental Services Department, had found Salmonella Newport in one sample and Salmonella Weltevreden in another sample.
  • According to the health department in Daviess County, Indiana, Campylobacter cases have been reported in several children younger than 2 in the Odon and Montgomery areas of the county. Some of the cases have been linked to drinking unpasteurized, or raw, milk, reports the Washington Times Herald.
    Many children with asthma are also allergic to peanuts, but are unaware of it, according to results from a study presented here at the American Thoracic Society 2015 International Conference.
  • According to a new study of professional cleaning service employees, fumes from cleaning products used at work such as bleach, glass cleaner, detergents and air fresheners can make existing asthma worse. The asthma-related symptoms were exacerbated and the reduced lung function lasted until the morning after exposure, in some cases getting worse with time (Occupational and Environmental Medicine).
  • A group of US societies has issued new guidance to doctors on when they should refer patients for diabetes self-management education. The joint position statement has been released by the ADA, the American Association of Diabetes Educators (AADE), and the Academy of Nutrition and Dietetics, in collaboration with the National Diabetes Education Program (NDEP). It was published online June 5 in Diabetes Care and presented in a press briefing here at the American Diabetes Association (ADA) 2015 Scientific Sessions.
  • Noninvasive biomarkers such as serum C-reactive protein (CRP), fecal calprotectin, and stool lactoferrin have the potential to diagnose inflammatory bowel disease (IBD), but endoscopy remains the gold standard, according to a new report in the American Journal of Gastroenterology, online May 12
  • Results from the Research in Arthritis in Canadian Children Emphasizing Outcomes (ReACCH-Out) study suggest that most juvenile idiopathic arthritis (JIA) cases can be controlled with current therapies, but nearly half of patients who achieve inactive disease had flares within a year, and most of those required intensification of the treatment regimen. The findings are published online May 18 in the Annals of the Rheumatic Diseases.

    Sleep disturbances and psychosocial factors can affect quality-of-life outcomes in patients with implantable cardioverter defibrillators (ICDs), suggests new research presented at the Heart Failure Congress 2015 of the European Society of Cardiology Heart Failure Association.
  • According to new findings presented at the American Society of Clinical Oncology's annual meeting in Chicago, scalp hypothermia, defined as 50% hair loss or less, before, during, and shortly after chemotherapy infusion was successful in 70.3% of the treated women with breast cancer, while 94% of the control group lost more than 75% of their hair.
  • A low-intensity statin plus a bile acid sequestrant reduced LDL cholesterol levels by 0% to 14% more than moderate-intensity statin monotherapy in high-risk patients with hyperlipidemia, according to Kimberly Gudzune, MD, MPH, of Johns Hopkins University School of Medicine, and colleagues.
  • Researchers say they have taken the first steps in creating artificial replacement limbs that could be used for transplantation in the future. Massachusetts General Hospital scientists have developed bioartificial rat forelimbs with functioning vascular and muscle tissue. (The term "bioartificial" means using biomaterials and cells to make replacement organs or limbs.) The scientists believe this process could one day work in primates -- including humans -- as well. The researchers reported their findings online recently in the journal Biomaterials. (Medline)
  • Writing in the June 5 issue of Science, researchers describe a new technology that can test for more than 1,000 viral strains at the same time -- using one drop of blood.
Heart disease in women
Contrary to popular understanding, the effects of CVD are often worse in women than in men:
  • Younger women who have a heart attack have higher mortality than men of the same age.
  • Women with diabetes have higher CVD mortality than men with diabetes.
  • Immediately following stroke, women are more likely to experience serious problems compared to men.
  • Yet women are more likely than men to be under-diagnosed and under-treated.
IMA’s first Jan Aushadhi medical store launched in Delhi
Indian Medical Association’s (IMA) first-ever Jan Aushadhi Generic Drug (JAGD) Store was inaugurated on 5 June 2015 at its headquarters in IP Estate, New Delhi.

The store will offer over 118 commonly used drugs at a 10 to 20 percent lesser price than market value.

The store was launched by the Union Minister of State for Chemicals and Fertilizers Hansraj Gangaram Ahir.

The pharmacist at the store will not only dispense drugs at the store but also counsel patients about the drug-drug and drug-food interactions and report adverse events.

All medicines, which will be offered at the IMA’s, the country’s largest non-government organisation of doctors, JAGD store have been approved and quality controlled by the Bureau of Pharma Public Sector Undertakings of India (BPPI) under the aegis of Department of Pharmaceuticals.

Jan Aushadhi Campaign

The Jan Aushadhi Campaign was launched by Union Ministry of Chemicals & Fertilizers and Steel to ensure access to quality Medicines and Health Care for all. It was launched on 23 April 2008 and the first Jan Aushadhi Store with the active participation of the CPSUs namely, IDPL, HAL, BPC was opened on 25 November 2008 at Shastri Bhawan, New Delhi.(Source: Jagran Josh)
http://www.jagranjosh.com/current-affairs/ imas-first-jan-aushadhi-medical-store- launched-in-delhi-1433581240-1

Govt. launches Jan Aushadhi medical store in Delhi

Minister of State for Chemicals and Fertilizers Hansraj Gangaram Ahir on Friday inaugurated the Jan Aushadhi Generic Drug Store at Indian Medical Association (IMA) headquarters here.

Minister of State for Chemicals and Fertilizers Hansraj Gangaram Ahir on Friday inaugurated the Jan Aushadhi Generic Drug Store at Indian Medical Association (IMA) headquarters here.

Ahir said that Jan Aushadhi Yojana would be re-launched in the month of August 2015 in a big way. He said that about 1000 Stores of Jan Aushadhi would be opened to provide quality generic medicines at affordable rates to the entire population of the country.

The Minister hailed the efforts of the Indian Medical Association (IMA) in opening the Jan Aushadhi Stores in their premises and expressed hope that they would help in creating awareness among the doctor’s community to prescribe generic medicines.

He further said that these stores will be opened for the underprivileged who would be provided medicines at a price of 60-70 percent less than the market price.

The Minister said that the stores will be renamed, rebranded and will increasingly involve B. Pharma and M. Pharma qualified unemployed populace.

Dr. K. K. Agarwal, Honorary Secretary General, IMA, lauded the efforts of the Centre in promoting Jan Aushadhi Scheme and providing low cost quality medicines available for all through dedicated stores. The IMA also requested the government to include generic versions of expensive medicines and medical devices like those relating to treatment of cancer, heart surgery etc., in the list of Jan Aushadhi

products http://www.financialexpress.com/article/ companies/govt- launches-jan-aushadhi- medical-store-in-delhi/80926/

Economic Times Health care page

Dr Dang's Lab gets extension for operating from the same premises (D-1, Hauz Khas) for another two months. (Till 20th August)

Economic Times Health care page: NEW DELHI:

In a relief to Delhi-based leading pathological laboratory Dr Dang's Diagnostic Centre, the Supreme Court today extended till August 20 its deadline to shut down one of its centres located in a posh residential area here.

The apex court had earlier ordered that the lab be shut down by June 28 on the ground that besides causing health hazards, the lab has been creating air and sound pollution. compliance report.

The apex court had said that both MCD and DPCC "abdicated" their statutory duties in permitting the owners to carry on with the unlawful activities.

"The conduct of the MCD and the DPCC for their inaction is highly deplorable as they have miserably failed to discharge their statutory duties on account of which there has been a blatant violation of the rule of law and thereby a large number of residents of the locality are suffering on account of the unlawful.

The court had also quashed the Regularisation Certificate issued by MCD under Mixed Land Use for running the path lab as there was a lot of "inconsistency" within the document.

The court was hearing a plea by Anirudh Kumar who had contended that it has become completely impossible for him to live on the second floor of the premises due to the sound and air pollution caused by the centre.
5 truths about protecting your eyes
Myth: Carrots are the best food for the eyes.

Fact: Carrots, which contain vitamin A, are indeed good for the eyes. But fresh fruits and dark green leafy vegetables, which contain more antioxidant vitamins such as C and E, are even better. Antioxidants may even help protect the eyes against cataracts and age-related macular degeneration. Just don't expect them to prevent or correct basic vision problems such as nearsightedness or farsightedness.

Source: Harvard News Letter
Sonal Namaste
The SAVE LIVES: Clean Your Hands annual initiative is part of a major global effort led by the World Health Organization (WHO). It includes the "My Five Moments for Hand Hygiene", which define the key moments when healthcare workers should perform hand hygiene.

This evidence-based, field-tested approach is applicable in a wide range of settings. The WHO approach recommends that healthcare workers clean their hands:
  • Before touching a patient
  • Before clean/aseptic procedures
  • After body fluid exposure/risk
  • After touching a patient
  • After touching patient surroundings
Dr Dang's Lab gets extension for operating from the same premises (D-1, Hauz Khas) for another two months. (Till 29th August)
Inspirational Story
Living and Giving

Whatever you give away today, or think or say or do will multiply about 10–fold and then return to you. It may not come immediately, nor from the obvious source but the law applies unfailingly, through some invisible force.

Whatever you feel about another, be it love or hate or passion will surely bounce right back to you in some clear (or secret) fashion. If you speak a word of praise or two about some person, soon, tens of other people will speak kind words for you.

Our thoughts are broadcasts of the soul, not secrets of the brain. Kind ones bring us happiness; petty ones, untold pain. Giving, works as surely as reflections in a mirror. If hate you send, hate you'll get back, but loving brings love nearer.

Remember, as you start this day and duty crowds your mind, that kindness comes so quickly back to those who first are kind. Let that thought and this one direct us through each day.

The only things we ever keep are the things we give away.
Wellness Blog
Sangat and smoking

Sewa, Simran and Sangat are the three principles of life as per the most Vedic literature. Even Adi Shankaracharya described Sangat as the main force for living a spiritual life.

Sangat is the company of people you live with. Living in the company of good people makes one good and the reverse is also true.

The same is now being proved in the allopathic context. A research published in the New England Journal of Medicine has shown that when one person quits smoking, than others are likely to follow. One person quitting can cause a ripple effect, making others more likely to kick the habit.
  • If your spouse stops smoking, you’re 67 percent less likely to continue smoking.
  • If your friend kicks the habit, it’s about 36 percent less likely that you’ll be smoking.
  • When a sibling gives up cigarettes, your risk of smoking decreases by 25 percent.
  • It drops by 34 percent if a co–worker in a small office quits smoking.
It’s sort of like watching dominoes. If one falls, it very quickly causes others to fall.

We should treat people in groups, rather than as individuals. Friends and family need to be involved. If you want to quit, try to get close friends and family to quit as well.

Quitting smoking may have the side benefit of improving social well-being, just as it improves physical health.
Quote of the Day
Health is the greatest gift, contentment the greatest wealth, faithfulness the best relationship. Buddha
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Reader Response
Dear Sir, very informative news. Regards: Dr Kailash
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Press Release
IMA Clinic at IMA Headquarters

After the successful launch of a Jan Aushadhi Generic Drug Store at IMA Headquarters, IMA has now started a free clinic at IMA premises. To start with, the Clinic will run 10.00 AM to 12.00 Noon.

Padma Shri Awardee, Dr A Marthanda Pilliai, National President, Indian Medical Association (IMA) and Padma Shri Awardee, Dr K K Aggarwal, Honorary Secretary General, IMA in a joint statement said that OPD will run under the project “Jiska Koi Nahi Uska IMA”.

Under this OPD not only primary care services will be provided but all those who have diagnostic problems for them second opinion will also be arranged from top specialists.

Drugs will also be available to people through Jan Aushadhi Centre at 10%-20% of the market cost.
Rabies News (Dr A K Gupta)
What are the rules every dog owner should follow?
  • The number one way to communicate to a dog that you are his pack leader is to take him/her for a Pack walk daily, where the dog is made to heel beside or behind the human who is holding the lead. This is most important for all dogs, as in a dog’s mind, the leader always leads the way.
  • A dog must not be allowed to sniff or eliminate anywhere he wishes, but only where you allow him.
  • The dog should be concentrating on following the human.
  • All humans must eat before the dogs.
  • No table scraps should be fed to the dog during a meal.
  • Feedings must be at a scheduled time.
  • Humans must not let the dog go through any doorway first.
  • When you have left the house or the room, even for a minute and come back, ignore the dog for a few minutes.
  • A simple obedience command should be given before any pleasurable interaction with the dog. A child in the house should give the commands at least once a day and reward the dog with a treat when the command is followed.
  • You should not lie on the floor to watch TV when the dog is around, as a human should never put himself in an equal or lesser height position than the dog.
  • You are the first one who greets newcomers; the dog is the last that gets attention.
  • If a dog is lying in your path, do not walk around the dog, either make the dog move or step over the dog.
  • If you establish eye contact with the dog, the dog must avert his gaze first. Tell the children not to have staring contest with the dog.
  • Dogs must not sleep in your bed.
  • Games of fetch or play with toys must be started and ended by the human.
  • Dog should not be allowed to lie on your furniture.
  • No tug–of–war, as this is a game of power and you may lose the game giving the dog reinforcement (in the dog’s mind) of top dog.
  • Dogs need to be taught ‘drop it’ or ‘release’ command.
  • Dogs should not be allowed to pull on the leash.
  • When you put the food dish down, the dog must wait until you give the "OK" to eat it.
  • Small dogs or puppies who demand to be picked up or put down should not get what they want until they sit or do another acceptable quiet behavior.
  • Dogs should never be left unsupervised with children or anyone who cannot maintain leadership over the dog.
  • Last but certainly not least... avoid emotions, when you are around your dog. Your dog can sense these emotions and will see you as weak.