eMedinewS9th November 2013, Saturday

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);
For updates follow at
www.facebook.com/Dr KKAggarwal

FDA Puts Trans Fat on the way out of the market

The FDA has taken the first step toward eliminating the use of partially hydrogenated oils –– the main dietary source of artificial trans fat–– in processed foods.

The FDA made a preliminary determination that the oils "are not generally recognized as safe for use in food" and should be eliminated, FDA Commissioner Margaret Hamburg, MD, said.

Trans–fat has no place on the table, and this step will help make the diets of Americans safer.

As per FDA trans fat consumption has declined from about 4.6 grams per day in 2003 to about 1 gram a day in 2012 due to increasing awareness.

However many products still contain trans fat –– such as certain desserts, microwave popcorn, and frozen pizza.

The Institute of Medicine has concluded that there is no safe level of trans fat consumption and that intake should be as low as possible.

As per CDC removing partially hydrogenated oils from processed foods could prevent as many as 20,000 additional heart attacks and up to 7,000 additional coronary deaths each year.

Further removal of trans fats will also likely nudge down rates of diabetes, obesity and other conditions as well.

Before the FDA issues a final determination, however, the public and industry will have the opportunity to provide comments for 60 days both about the need to remove trans fat from foods and about how long food manufacturers would need to remove trans fat from various types of products.

Such an action would not apply to naturally occurring trans fat found in some meat and dairy products.

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
Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

Why do we ring the bell in a temple?

sprritual blog

The vibrations of the ringing bell also produce the auspicious primordial sound ‘Om’, thus creating a connection between the deity and the mind. As we start the daily ritualistic worship (pooja), we ring the bell, chanting:

Aagamaarthamtu devaanaam

gamanaarthamtu rakshasaam

Kurve ghantaaravam tatra

devataahvaahna lakshanam

"I ring this bell indicating the invocation of divinity, So that virtuous and noble forces enter (my home and heart); And the demonic and evil forces from within and without, depart."

cardiology news

The Great Fire and the Little Water

Among the Aztec people of Mexico, it is said that a long time ago there was a great fire in the forests that covered our Earth. People and animals started to run, trying to escape from the fire. Our brother owl, Tecolotl, was running away also when he noticed a small bird hurrying back and forth between the nearest river and the fire. He headed towards this small bird.

He noticed that it was our brother the Quetzal bird, Quetzaltototl, running to the river, picking up small drops of water in his beak, and then returning to the fire to throw that tiny bit of water on the flame. Owl approached Quetsal bird and yelled at him: "What are you doing brother? Are you stupid? You are not going to achieve anything by doing this. What are you trying to do? You must run for your life!"

Quetzal bird stopped for a moment and looked at owl, and then answered: "I am doing the best I can with what I have."

It is remembered by our Grandparents that a long time ago the forests that covered our Earth were saved from a great fire by a small Quetzal bird, an owl, and many other animals and people who got together to put out the fire.

News Around The Globe


  • A new systematic review has identified nine variables associated with whether athletes will return to sport after undergoing anterior cruciate ligament (ACL) repair. These include: higher postoperative quadriceps strength; less knee effusion; less pain; fewer episodes of instability; greater tibial rotation; lower kinesiophobia; higher athletic confidence; higher preoperative knee self–efficacy; and higher preoperative self–motivation.
  • Testosterone therapy in veterans –– both those who had coronary artery disease and those who didn’t –– was associated with increased risk of mortality, myocardial infarction, and ischemic stroke, a retrospective cohort study found. The absolute rate of events was 19.9% in a group that did not receive testosterone therapy compared with 25.7% in the group that did, with an absolute risk difference of 5.8% (95% CI, 1.4% to 13.1%) 3 years after the cohort underwent coronary angiography.
  • Sugar intake was not associated with nonalcoholic fatty liver disease (NAFLD) in a population of overweight men who were otherwise healthy. In the study reported in the journal Gastroenterology, overweight men who consumed high–fructose or high–glucose diets did not see significant increases in insulin resistance (increase of 0.8 in a homeostasis model assessment versus 0.1), serum concentration of uric acid (22 mu–mol/L versus 23 mu–mol/L), concentration of hepatic triacylglycerol, or body weight.
  • Major depressive disorder (MDD) is the second leading cause of disability worldwide and a major contributor to the burden of suicide and ischemic heart disease, according to new data published online in November 5 in PLoS Medicine. The findings stem from the latest Global Burden of Disease (GBD) study and highlight the importance of including depressive disorders as a global health priority.
  • Total deaths worldwide from cirrhosis and liver cancer rose by 50 million per year over 2 decades, according to the first–ever WHO study of liver disease mortality. The liver disease–specific findings from the WHO Global Burden of Disease Study were presented at the Liver Meeting 2013.

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Rabies News (Dr. A K Gupta)

Is there a one–shot ARV? Is there any ARV that offers lifelong protection?

There is no single dose vaccine or a vaccine that gives lifelong immunity.

cardiology news

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

  • Young and middle–aged women with diabetes have a significantly increased risk of coronary artery disease (CAD), according to the results of a new analysis published online October 31, 2013 in Diabetes Care. Although younger women were less likely to develop CAD than men if they didn’t have diabetes, the presence of diabetes upped their risk to the point where it equaled their male counterparts, report investigators. Dr Rita Kaylani, Johns Hopkins University, Baltimore, MD, the lead researcher said that while women have a far lower risk of heart disease in the absence of diabetes than men, diabetes effectively equalizes the risk by gender.
  • Treating obstructive sleep apnea (OSA) modestly brought down some measures of resistant hypertension beyond what blood pressure medications could achieve alone. In a small randomized trial reported in the November issue of Chest, 6 months of continuous positive airway pressure (CPAP) treatment cut daytime ambulatory blood pressure by 6.5/4.5 mm Hg whereas it rose by 3.1/2.1 mm Hg among controls on medical therapy alone.
cardiology news

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

  • Fine–tuning the ketogenic diet can have a modest effect on seizure control in children with refractory epilepsy. The retrospective study found that adjusting diet and changing medications had similar benefits and were helpful in meeting seizure control expectations in about 1 in 5 children. The study findings were presented at the Child Neurology Society (CNS) 2013 Annual Meeting.
  • According to a study presented at the annual meeting of the American Association for the Study of Liver Diseases, use of high–dose steroids as an adjuvant treatment after hepatoportoenterostomy for pediatric biliary atresia did not help prevent the need for liver transplantation. Of the 70 children assigned to receive corticosteroids following hepatoportoenterostomy, 58.6% achieved a total bilirubin of < 1.5 mg/dL at 6 months with his or her native liver vs 48.6% of the 70 children who were treated with placebo, for an adjusted relative risk of 1.14 in both the intention–to–treat analysis and in the per–protocol analysis. In the secondary endpoint, survival with the native liver at 24 months was 58.7% with steroids and 59.4% with placebo.
cardiology news

Reduce liquids to reduce weight

When it comes to losing weight, cut down on liquid calories rather than food.

"Weight loss from liquid calories is greater than loss of calorie intake from solid food, as per Dr. Liwei Chen, an assistant professor of epidemiology at the School of Public Health at the LSU Health Science Center in New Orleans, in the American Journal of Clinical Nutrition.

Body is able to self–regulate its intake of solid food. If you eat too much solid food at lunch, you’ll tend to eat less at dinner. But the same self–regulation is not in place for what you drink. The body does not adjust to liquid calories, so over time, you gain more weight.

Cutting back on calories from sugary drinks – by only one serving per day – can account for nearly two-and-a-half pounds of lost weight over 18 months.

Beverages are categorized into eight categories

  1. Sugar–sweetened beverages (including soft drinks, fruit drinks, fruit punch, or high–calorie beverages sweetened with sugar)
  2. Diet drinks such as diet soda and other diet drinks that were artificially sweetened
  3. Milk (including whole milk, 2 percent milk, and 1 percent skimmed)
  4. 100 percent fruit and vegetable juice
  5. Coffee and tea with sugar
  6. Coffee and tea without sugar
  7. Alcoholic beverages
  8. Water with no calories

The best drinks are water, plain soda and tea/coffee with no sugar.

cardiology news

Total CPR since 1st November 2012 – 71933 trained

Media advocacy through Web Media

Inhaling diesel exhaust fumes causes heart attack or stroke

Inhaling diesel exhaust fumes causes changes in the body that may make people more prone to heart attack or stroke, said Padma Shri and Dr BC Roy National Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India.

European scientists have shown in a study that blood clots are more likely to form in otherwise healthy people exposed to relatively high amounts of diesel engine exhaust fumes for a short time. This could cause a blocked vessel, heart attack or stroke.

Diesel engines spew many times more fine pollutant particles than gasoline engines. People with heart and artery disease should stay away from traffic congestion to avoid the effects of this pollution.

The study involved 20 healthy men, aged 21 to 44 years. They breathed filtered air and also diluted diesel exhaust at a level approximating curbside exposure on a busy road.

Compared to breathing filtered air, breathing air with the diesel exhaust fumes increased clot formation by roughly 20 – 25 percent in the hours after exposure. The researchers also found an increase in platelet activation in the blood. Platelets play a major role in clotting.

The same group reported in the New England Journal of Medicine that heart attack victims showed clear differences when breathing diesel fumes. They found that the hearts of heart attack survivors were far more likely to be starved of oxygen when exercising while breathing in such fumes than when exercising in clear air.

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

In the Perfect Health Mela 2013 Shaam–e–Ghazal, a cultural night was also organised.

press release

An orange a day keeps stroke away

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

A 5–year–old boy suffering from Duchenne muscular dystrophy has to undergo tendon–lengthening procedure. The most appropriate anaesthetic would be:

1.Induction with intravenous thiopentone and N2O and halothane for maintenance.
2.Induction with intravenous protocol and N2O and oxygen for maintenance.
3.Induction with intravenous suxamethonium and N2O and halothane for maintenance.
4.Inhalation induction with inhalation halothane and N2O and oxygen for maintenance.

Yesterday’s Mind Teaser: The lumbar region of the vertebral column permits all of the following movements except:

3.Lateral Flexion

Answer for yesterday’s Mind Teaser: 4.Rotation

Correct answers received from: DR ARPAN GANDHI, DHANANJAY GAVADE, Dr Jainendra Upadhyay, Dr shashi saini, Narahari Kandakatla, Dr.K.Raju, Dr.K.V.Sarma, Dr Pankaj Agarwal, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Sangeetha Raja, Dr.G.Sahadevudu Gelivi, Dr B K Agarwal

Answer for 7th November Mind Teaser: 3.Racemization.

Correct answers received from: Narahari Kandakatla, Sangeetha Raja, Dr Avtar Krishan

Send your answer to ijcp12@gmail.com

medicolegal update

Click on the image to enlarge

medicolegal update

Teacher: Billy, stop making ugly faces at other students!

Billy: Why, ma’am!

Teacher: Because when I was a child, my parents told me that if I kept making ugly faces my face would stay that way!

Billy: Well, I can see you didn’t listen then!

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient was brought to the ICU in cardiogenic shock.
Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA?
Lesson: Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of NRMI–2 trial suggest that this intervention is much better than thrombolytic therapy in such patients.

medicolegal update

If we wait until our lives are free from sorrow or difficulty, then we wait forever. And miss the entire point. Dirk Benedict.

medicolegal update

Dr KK Aggarwal: Shorter acting calcium channel blockers linked to breast cancer http://bit.ly/15QdVeB #Health
Dr Deepak Chopra: Those who make wise choices in life should wind up happier & more successful http://tinyurl.com/kuf6zpm

medicolegal update
  1. Thanks for including the Baha'i view on "Life After Death" in your 6th November editon of e-MedinewS Dr.AK MERCHANT

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