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Dr K K Aggarwal

Hydrogenated oils containing trans fats are tastier than foods cooked in plant oils. Most hydrogenated oils involve hydrogenation of palm oils. Hydrogenation increases their shelf life, makes them easier to cook and spoil less easily. French fries, microwave popcorns and food cooked by traditional halwaiis are cooked in hydrogenated trans fats.

Most commercial catered food prepared from trans fats are tasty and often people overeat by atleast 500 calories because of the taste provided by the hydrogenated oils.

Per serving, 5 grams of trans fatty acids is present in French fries, 6 gm in breaded fish burger, 5 gm in breaded chicken nuggets, 2 gm in biscuits, 2.7 gm in margarine, 2 gm in cakes, 1.6 gm in corn chips, 1.2 gm in microwave popcorn and 1.1 gm in pizza.

Four gm of trans fats are present in one parantha, 3.4 gm in one poori, 5.2 gm in one bhatura, 1.7 gm in one dosa, 6.1 gm in one tikki, 3 gm in one samosa, 2 gm in one serving of pakoda, 2.9 gm in one serving of vegetable pulao and 3.6 gm in one serving of halwa.

Just about 2.6 gm a day of trans fats, half as much contained in a packet of French fries can raise the risk of heart disease significantly.

Some trans fats occur naturally in foods, especially those of animal origin. The chemical configuration of trans fatty acids confers harmful effects, including adverse influences on blood LDL- and HDL-cholesterol concentrations. They raise LDL and lower HDL cholesterols.

By comparison, consumption of saturated fats also raises the LDL cholesterol concentration, but does not lower HDL. Thus, while saturated fats adversely affect the lipid profile, they may not be as harmful as trans fatty acids.

Trans fatty acids may also interfere with the desaturation and elongation of n-3 (omega-3) fatty acids. These are important for the prevention of heart disease and complications of pregnancy. In an analysis from the Nurses’ Health Study, for each increase of 2 percent of energy from trans fat, the relative risk for incident coronary heart disease was 1.93. There are no known physiologic benefits related to the consumption of trans fatty acids; thus, reduction in their intake makes sense.

A clue to their presence are the words “partially hydrogenated” on the list of package ingredients. Since 2006, the US Food and Drug Administration (FDA) has made it a requirement that Nutrition Facts labels portray trans fat content. FDA estimates that the average daily intake of trans fat in the U.S. population is about 5.8 grams or 2.6% of calories per day for individuals 20 years of age and older. On average, Americans consume approximately 4 to 5 times as much saturated fat as trans fat in their diet.

FDA’s label requirement is that if a dietary supplement contains a reportable amount of trans fat, which is 0.5 gram or more, dietary supplement manufacturers must list the amounts on the Supplement Facts panel. The FDA final rule on trans fatty acids requires that the amount of trans fat in a serving be listed on a separate line under saturated fat on the Nutrition Facts panel.

However, trans fats do not have to be listed if the total fat in a food is less than 0.5 gram (or 1/2 gram) per serving.

All restaurants in New York have banned all the food items which contain more than 0.5 gm of trans fats in one serving.

Guidelines

 

  • Check the Nutrition Facts panel: Choose foods lower in saturated fat,  trans fat and cholesterol.
  • Choose alternative fats. Replace saturated and trans fats in your  diet with mono- and polyunsaturated fats. These fats do not raise LDL (or “bad”) cholesterol levels and have health benefits when eaten in moderation. Sources of monounsaturated fats include olive and canola oils. Sources of polyunsaturated fats include soybean, corn, sunflower oils, and foods like nuts.
  • Choose vegetable oils (except coconut and palm kernel oils) and soft  margarines (liquid, tub, or spray) more often because the combined amount of saturated and trans fats is lower than the amount in solid shortenings, hard margarines, and animal fats, including butter.
  • Consider fish. Most fish are lower in saturated fat than meat. Some  fish, such as mackerel, sardines and salmon, contain omega-3 fatty acids that are being studied to determine if they offer protection against heart disease.
  • Limit foods high in cholesterol such as liver and other organ meats, egg yolks and full-fat dairy products, like whole milk.
  • Choose foods low in saturated fat such as fat free or 1% dairy  products, lean meats, fish, skinless poultry, whole grain foods and fruit and vegetables.

Confession is one of the ways of detoxification of the mind. It has its roots in Hindu mythology but today it is mainly practiced in Christian religion as a hardcore ritual. Among Christians one usually goes to a Church and confesses to the Bishop without disclosing his or her identity.

In Hindu mythology, confession is a routine spiritual practice. People can confess to their Guru, to their God in the temple or their mentor. Confession can also be done to a plant (Peepal tree), an animal (dog or a cat) or the birds. It is a common saying that taking a dip in  Yamuna orGangaremoves all your sins. The dip in water involves a ritual of confessing a guilt every time we make a dip.

Giving food to  birds is also a way of confession where with each offering one does a confession. The easiest way to confess is three minutes of free writing which can be done every night. One can tear off the paper after writing. The free writing involves writing  from the heart and not giving time for the mind to think.

Earlier people used to confess and de-stress their emotions by writing in a diary or making a folder in the computer and writing. However, the best confession is to meditate which is equivalent to reformatting the hard disk and removing viruses and corrupt files from our body computer. Meditating with intent to get rid of guilt washes them over a period of time.

Confession involves the process of forgiving and forgetting. Forgiving is at the level of mind and forgetting is at the level of heart.

A high-salt diet may increase the risk of developing gastric and duodenal ulcers. High concentrations of salt in the stomach can induce gene activity in the ulcer-causing bacterium, Helicobacter pylori, causing it to become more virulent. Bacterial cells exposed to increased salt exhibited striking morphological changes. Cells become elongated and form long chains.

Salt restriction also reduces the diastolic blood pressure by 2-8 mmHg. A WHO report, issued international guidelines, which said that reducing salt intake would be a cost-effective way to reduce the risk of developing high blood pressure directly and reducing the risk of heart attack and stroke indirectly. The report recommends people to reduce consumption of sodium to less than 2 gm per day for each person. Common salt is chemically called Sodium Chloride (NaCl).

About 2.5 gm of table salt contains one gm of sodium. This would mean that about 5 gm of table salt is the current recommended level of consumption per day.

According to a report published from the All India Institute of Medical Sciences in the year 2000, the average intake of salt inIndia was 10 gm per day for each person. This would amount to about 4 gm of sodium. The current recommendations suggest reducing this consumption by half.

A research study conducted by researchers at Harvard Medical School and published in the recent edition of the British Medical Journal, found that reducing salt intake by 25% reduced the risk of developing heart disease by 25% and reduced the chance of death from heart disease by 20%.

In 2002, the WHO estimated that globally about 62% of strokes and about 50% of heart attacks were attributable to high blood pressure.

Adding a pinch of salt to milk to keep it fresh for longer time, is a common Internet tip for the population but traditional Ayurveda teaching goes against it. According to the Charak Samhita, too much of pipalli, alkali and salt are bad for health. Ayurveda totally prohibits taking salt with milk.

1.      As per Yoga Sutras of Patanjali, anger management involves thinking opposite at that moment of anger.  Or at the time of anger, one should learn to be in silence and take deep breaths.

2.       As per Lord Buddha, during anger, one should think differently.

3.      As per Adi Shankracharya, anger management involves thinking positive at that moment.

4.       As per Dr. Deepak Chopra, one  should get in touch with his anger, identify the nature of anger and take some action to express and release the anger which may mean throwing stones at the ocean, using a plastic bat to beat the pillow. Physical activity is extremely powerful way to let go and express anger. Swimming, dancing, yoga, cycling or even brisk walking helps.

5.      As per Osho, indulging in physical activity like dancing is the best way of managing anger.

6.      Even drinking a glass of water can help.

7.     Shouting (not at the person) and fowling can also be tried.

8.      Remember it is the person who is angry who gets health hazards and not the person with whom he is angry unless the person is instigated and becomes counter angry.

9.  Reminder by someone to stay calm can help

10.  In anger never hurt the ego of some one. Hurting ego is the biggest mistake one can do.

Post anger management

1.       As per Vedic Science, time is the best healer; just leaving the situation reduces anger.

2.       One must analyze the situation and act and not react

3.       If one is at fault one must confess and seek forgiveness.

 

Add Fiber To The Diet Only Slowly

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Fiber is a plant substance that is required for a healthy diet. Lots of fiber is needed each day to help reduce the risk of heart disease, improve digestion, prevent constipation and maintain a healthy body weight.

Fiber can be found in fruits, whole grains and vegetables. Most adults should eat at least 20 to 35 grams of fiber every day; though the doctors say most people only eat about half as much. It’s best to slowly increase the fiber in your diet instead of piling it on all at once. A sudden increase in fiber intake can cause abdominal discomfort.

Fiber intake should be at least 14 grams per 1000 calories daily; higher fiber intake may improve glycemic control. Saturated fat should be less than 7 percent of calories and there should be minimal trans fat. Total cholesterol should be less than 200 mg daily.

There is an average fall of 1.2/1.3 mmHg blood pressure with average 10 gram intake of fiber.

Certain soluble fibers (psyllium, pectin, wheat dextrin and oat products) reduce bad LDL cholesterol. Every gram increase in soluble fiber reduces LDL cholesterol by an average of 2.2 mg/dL. The message is incorporation of greater amounts of fiber, in which carbohydrate is derived from unprocessed whole foods.


 

Once somebody asked Lord Buddha, “after meditating for years, I have not been able to gain anything.” Then Lord Buddha asked, “Did you lose anything?” and the disciple said, “yes, I lost my anger, desires, expectations and ego.” Buddha smiled and said, “That is what your gain is by meditating.”

To be happy, one must learn to let go the following:

1.      One should let go the desires. In Amarnath Ki Yatra, Lord Shiva firstly let go the Bull which represents the sexual desires. In Hanuman ki Lanka yatra, desires are represented by Samhiki which was a creature who used to catch birds by their shadow. Hanuman killed the desires. So, it is possible to kill your desires.

Again in Ramayana, desires are linked to Rajsic mind and in mythology, Meghnath represents the Rajsic mind. Meghnath was killed by Lakshman, the determined mind.

Therefore, one should let go the desires by killing them by focused concentration of the mind on the desires.

2.      Let go your expectations. In Amarnath Ki Yatra, the second thing which Lord Shiva discarded is moon which in mythology is symbolized by letting go of expectations.

3.      Let go your ego. In mythology, ego represents Kansa inKrishna era and Ravana in Rama era. Both were killed byKrishna and Rama respectively who symbolized the consciousness.

Ego can never be killed by the mind and only can be killed by the consciousness (conscious based decisions).

Ego is also represented by Sheshnaag and we have Lord Shiva and Lord Vishnu both having a Sheshnaag each with a mouth downwards indicating the importance of controlling one’s ego.

One should let go his or her ego but also remember never to hurt somebody’s ego. Hurting somebody’s ego in terms of allegations of sexual misconduct, financial corruption or abusing one’s caste is never forgotten and carries serious implications.

In Hanuman Ki Lanka Yatra, ego is represented by Sursa and Hanuman managed her by humility and not by counter ego. In Naag Panchami also, we worship Naag the ego by folded hands and by offering milk.

4.      Let go your inaction. One should learn to live in the present. In Hanuman Ki Lanka Yatra, Hanuman first meetsMenakMountain which indicates destination to rest. One  should never do that and willfully divert his or her mind towards action.

5.      Let go your attachments. Let go your attachments to your close relations and the worldly desires. In Amarnath Ki Yatra, Lord  Shiva first leaves Bully desires, moon (expectations), sheshnaag (ego) and then he gives up Ganesha and worldly desires (five elements). In mythology, this is practiced as detached attachment and in Bhagavad Gita is equated to Lotus. In Islam, detached attachment is practiced in the form of Bakra Eid.

6.   Let go your habit of criticizing, complaining and condemning people:  One should always practice non-violent communication and speak which is truth, necessary and kind. One should not criticize, condemn or complain about people, situation and events.

Wayne Dyer: The highest form of ignorance is when you reject something you do not know anything about.

Most of us often condemn people without knowing their capabilities and label them as unmatchable to us. One should also let go habit of gossiping as it is a form of violent communication.

7.  Let go your habit of blaming others – One should learn to take the responsibilities and people believe in team work. Good leader is the one who learns to be responsible in life.

8.  Let go your habit of need to be always right – It is a form of ego. Remember in arguments either you can win arguments or relationships. One should always try to win relationship and not arguments.

9.  Let go your need to control situation, event and people – Learn to accept people as they are. The world is won by those who let this habit go.

10.  Let go your habit and need to impress others – This is also a type of ego where we always want appreciation.

11.  Give up your belief that you cannot do it  – Remember ‘IMPOSSIBLE’ is ‘I M POSSIBLE’. A belief is not an idea held by the mind but it is a mind that holds the mind. (Elli Roselle).

12.  Give up your resistance to change –  Remember change is the only constant which will happen and always welcome it. Joseph Campbell once said that one should follow one’s bliss and will open doors to your where there are only walls.

13.  Let go your fear and let go all negative thoughts. Remember, the mind is a superb instrument if used rightly. It becomes very destructive if used badly. (Eckhant Tolle).

 14.  Let go your habit of excuses

 15.  Let go being in the past.

Nosebleeds is a common problem, occurring in up to 60 percent of the general population and is often because of a respiratory illness or dry conditions. Nasal drying is common in the hot summer months because of the extreme temperature and dry air due to use of airconditioners.

Here are some typical reasons for nosebleeds:

 Nasal allergies

  • Blowing your nose too hard or trying to remove something from inside the nose
  • A result of “popping” the ear
  • Nasal exposure to chemicals
  • Frequent sneezing or having an upper respiratory infection
  • Use of nasal spray or a blood-thinning drug, such as aspirin
  • Inhaling air that is extremely dry or cold
  • Having recent surgery on the nose or elsewhere on the face
  • Breaking the nose or a similar injury
  • Uncontrolled blood pressure

Bleeding can be controlled by direct pressure i.e. compression of the nostrils rasping the alae distally so all mucosal surfaces are opposed. Direct pressure should be applied continuously for at least five minutes, and for up to 20 minutes. The patient should be encouraged not to check for active bleeding. Patients who are properly instructed may control their bleeding while the evaluation gets underway.

Other maneuvers include bending forward at the waist while sitting up (to avoid swallowing blood), placing a plug of cotton wool or gauze into the bleeding nostril (sometimes coated with antibiotic ointment), expectorating out blood that accumulates in the pharynx and a cold compress applied to the bridge of the nose.

These maneuvers also should be taught to high-risk patients for use at home. Many ENT specialists recommend initial treatment with two puffs of oxymetazoline to hasten hemostasis.

 

Seminar on contrast echocardiography held

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The Board of Medical Education, Moolchand Medicity, organised a Medical Education Programme for the doctors on ‘Contrast Echocardiography’.

 

First Working Group meeting to “Create Awareness about valvular heart diseases” held

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Heart Care Foundation of India has announced a new initiative “Creating Awareness about valvular heart diseases”. The meeting was moderated by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India.

 

 

 

Bimaare Ek Ilaj Anek

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All pathy consensus organized by Heart Care Foundation of India in association with All India Radio

 

 

 

When I see a spiritual Guru as a patient I always request them to give me some Seekh (blessing). Once one of my anesthetist colleague brought a spiritual Guru to me and when I asked him for a seekh, he said 4 words, “Suno, Samjha, Jaano, Karo”. Later I realized that it was the best blessing I could have got from a spiritual Guru as a lifetime spiritual earning. These four words also describe what Lord Krishna said to Arjuna in Bhagavad Gita about his disciples.

Suno Samjho Jaano Karo means hearing, listening, wisdom and karma. Hearing is at the level of physical body and mind, listening is at the level of intellect and wisdom is at the level of soul. Most of the times, we hear and don’t listen and, therefore, we forget. Listening means using your intellect to understand and follow its meaning. The same is incomplete unless it is directed to the wisdom which means that the knowledge gets switched to your consciousness forever.

Once knowledge has been converted into wisdom it is of no use unless it is made use of in day to day practice.

Lord Krishna in Bhagavad Gita said that he loves those disciples who follow the above principles of converting wisdom into Karmas and then come back to me to seek answers for the difficulties faced while doing these Karmas.

Blood pressure drugs should be taken at night. Uncontrolled blood pressure can lead to heart attacks, paralysis and heart failure. Most attacks of them occur in the early morning hours. Pulse, blood pressure, thickening of platelets all is higher in early morning hours. Controlling early morning blood pressure can reduce cardio vascular mortality.

According to new research published in October 24 in the Journal of the American Society of Nephrology, among patients with chronic kidney disease and high blood pressure taking at least 1 anti BP drug at bedtime significantly improves blood pressure control, with an associated decrease in risk for cardiovascular events.

The study included 661 patients with chronic kidney disease who were randomly assigned either to take all prescribed anti BP drugs on awakening or to take at least 1 of them at bedtime. Patients were followed for a median of 5.4 years; during that time, patients who took at least 1 BP-lowering drug at bedtime had approximately one third of the cardiac risk compared with those who took all medications on awakening.

A similar significant reduction in cardiac deaths, heart attacks and paralysis was noted with bedtime dosing. Patients taking their medications at bedtime also had a significantly lower mean BP while sleeping.

For each 5-mm-Hg decrease in mean sleep-time systolic upper BP, there was a 14% reduction in the risk for cardiovascular events during follow-up.

Potential explanation for the benefit of nighttime treatment may be associated with the effect of nighttime treatment on urinary albumin excretion levels. Urinary albumin excretion is significantly reduced after bedtime, but not morning, treatment.

 

The two approaches make all the difference.

The successful people are the ones who make things easy. Take it easy is a route of escapism and follow the approach of chalta hai. When you take this approach, you do not live in the present and miss signals of the nature and opportunities of converting adversities into opportunities.

In  Mythology, Lord Krishna is shown in blue colour wearing yellow clothes which means nothing is impossible and each one of us can make it possible.

Narsingha, the fourth incarnation of Lord Vishnu also teaches us this principle that nothing is impossible.

The law of creativity in Vedanta also emphasizes on converting every adversity into opportunity. One only gains experience in life by making things happen and accepting both failures and success with the same outcome.

Frozed Plant Fat Based Deserts

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Mellorine is a low cost alternative to ice cream in which other fats are used instead of butterfat. It is produced by freezing, while stirring a pasteurized mix of milk-derived nonfat solids and animal or vegetable fat (or both). Carbohydrate sweetener flavouring ingredients are added.  Frozen desserts look and taste like ice cream and are served in identical cups, cones and sticks.

 While real ice cream is made with milk fat, frozen dessert is made with vegetable fat or edible oil. Vegetable fat contained in frozen desserts can be unsaturated or hydrogenated trans fat. While those made of unsaturated oils are safe the ones made with trans fats can raise bad cholesterol and lower god cholesterol levels leading to heart disease, stroke and diabetes. It is mandatory to mention trans fats used in packaged foods. Hydrogenated oil used is often palm oil and unsaturated oils are soybean oils.

While there is no dispute that if a doctor is spiritual, he or she often prays for the recovery of the patient, but very often a request is made by the patient to pray with him.

The extent, to which this is possible or appropriate, depends on the clinical settings and circumstances and the individual beliefs of the treating doctor. Some doctors may feel comfortable with the request while others may not. Though there is no binding but most of the times, the doctor will oblige and pray with the patient.

This request often depends upon the religion of the patient. In Christianity, this type of a request is often made by dying patient and is very important for the patient. If the doctor is not comfortable in obliging this request, he or she at least can sit by his side in silence as the patient prays.

In Islam, it is common for doctors to pray for their patients. Patients may also pray either for themselves or for other fellow patients or even for their family members.

The Hindu religion does not have any specific guidelines on doctors praying together with their patients.