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Dr KK Aggarwal

From the Desk of Editor in Chief
Padma Shri and Dr B C Roy National Awardee

Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; 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); Editor in Chief IJCP Group of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR

  Editorial ...

1st October, 2010, Friday

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

Commonwealth games and Chaturmas

For the last many weeks we have seen a flurry of negative coverage of the Commonwealth Games. Out of 1000 tiles if one tile is broken, it is the front page news of a national newspaper. Similarly, if one bathroom was found to be dirty and defective, it again finds place on the front page. Everyone is looking for shortcomings in Commonwealth Games preparation.
According to Vedic literature, one should not look for good people; instead one should look for good in every person. One could have viewed the forthcoming Commonwealth Games in a different positive perspective. Astrologically and vedically where did one go wrong? Was it due to the fact that the Games are being organized during Chaturmas?
Chaturmas constitutes 4 months of rainy season comprising of Sawan, Bhado, Ashwin and Kartik. During this period, marriages are prohibited and one is not supposed to do any auspicious work. If Pandits had been consulted they would probably have advised the government not to hold the Commonwealth Games during Chaturmas.
Chaturmas starts with end of Uttarayan and start of Dakshinayan, which is characterized by depletion of earth energy as the sun is farthest from the earth. Negative energies are abundant in the environment including in everybody’s mind. In Vedic language, it is described as "Devtas are sleeping and Asuras are wide awake". It is believed that if marriages take place during this season there will be more divorces and if agreements are signed during this period there will be more disputes.
Most of the festivals and rituals during Chaturmas are related to cleansing the minds of the community from all negativities. The Monday fasts of Shravan month, devoted to Lord Shiva, are observed to remove negativity of the mind in order to complete the pending works. Nag Panchami is celebrated in this period to learn self control and taming the ego. Krishna Janmashtami during this period signifies learning of the 8 limbs of yoga. (Krishna was the 8th son of Devki and Vasudeva). Ganesh Chaturthi teaches us how to remove obstacles in our life by following the stress management principles of Lord Ganesha. Shradhs are observed to remove negativity of the mind regarding the memories of our ancestors. Navaratras are celebrated to purify mind and to win over the Tamas (Kumbhkaran), Rajas (Meghnath) and Ego (Ravana).
One thing common during Chaturmas is the use of one or the other form of grass; Doob Grass in Ganesh Chaturthi; Kush Grass during Shradh and Wheat Grass during Navaratras. These grasses when taken in the form of juices have medicinal value and help reduce the negativities of the mind.

Dr KK Aggarwal
Editor in Chief
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  Photo Feature (from the HCFI Photo Gallery)

Inauguration of the 2nd BSNL Dil Ka Darbar

The 2nd BSNL Dil Ka Darbar was held on Sunday 26th September 2010 at MAMC Auditorium, New Delhi to commemorate the World Heart Day. Sh K.C.G.K. Pillai Principal General Manager Finance BSNL lit the inaugural lamp.
In the photo
(Right to left): Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President HCFI; Sh K.C.G.K. Pillai and Dr Uday Kakroo.

Dr K K Aggarwal
  IMSA Update

International Medical Science Academy (IMSA) Update

Lipid therapy in type 2 diabetes mellitus

The ACCORD Lipid trial in high–risk patients with diabetes showed no decrease in a composite cardiovascular endpoint in patients treated with fenofibrate plus simvastatin compared with simvastatin alone.
(Reference: Ginsberg HN, et al. Effects of combination lipid therapy in type 2 diabetes mellitus. N Engl J Med 2010;362:1563)

  National News

IMA Election (for a CHANGE)

Emedinews requests all its readers to support our editor Dr. K.K. Aggarwal, Padma Shri and Dr. B C Roy National Awardee who is contesting for the post of Vice President of the National Indian Medical Association (IMA). Members of Central Council of IMA, Working Committee Members, Presidents and Secretaries of IMA in addition to all office bearers are the voters in this election. Dr. Aggarwal is well–known for his work in the field of academics.

Television and Crime Reporting – A new book which can be given as a gift

This book was released on 30th September at India International Centre by Mehmood Farooqui, Anusha Rizwi (Directors of Peepli Live). The event was chaired by Shri Ashok Chakradhar, a noted poet and media academician. The book talks about nuances of crime reporting which give references to electronic media. The book also lays emphasis on handling and understanding media during crisis. This book is beneficial for all those who want to understand various secrets of media. The book is available in both paperback and hardbound format. The foreword of the book has been written by Mr. Rajdeep Sardesai. Costing Rs.200/– the book can be a good Dussehra/Diwali/New Year gift this year.

PG diploma in neuro audiology

Mysore All India Institute of Speech and Hearing (AIISH) will start a super-specialty multidisciplinary post-graduate diploma programme in neuro audiology.The course is aimed at imparting advance knowledge on research in behavioral and electrophysiological evaluation of the hearing nerve and central auditory system. Students who have obtained a bachelor's degree in speech and hearing or MBBS or masters in clinical/experimental/cognitive psychology are eligibility to join the course. It also aims to build research skills and expertise in this area. The programme recognized by the University of Mysore will be launched by UoM V-C Talawar on Friday. (Source: The Times of India)

  International News

(Dr Monica and Brahm Vasudev)

Overweight, obese men without metabolic syndrome are still at increased risk for diabetes

Overweight or obese men are at increased risk for diabetes even in the absence of the metabolic syndrome, according to a study published online Sept. 17 in the journal Diabetes Care.

Many drugs pulled from US market since 1995 involved heart complications

Half of the 21 drugs pulled from the market in the U.S. for safety reasons since 1995 involved heart complications, a finding that is spurring Congress and doctors to call for closer government review of side effects.

Amgen recalls anemia drug epoetin alfa due to glass flakes

Amgen Inc. has recalled some batches of anemia drugs Epogen (epoetin alfa) and Procrit. The drugs sold by Johnson & Johnson have been recalled due to concerns they may contain glass flakes that are very thin. Amgen said the issue came about as a result of the interaction of the medications with glass vials.

New cancer drugs sparking fresh debate about value of extending life by a few months

Many new drug treatments, such as Dendreon Corp.’s prostate cancer therapy Provenge (sipuleucel–T) or stomach cancer drug Gleevec (imatinib mesylate), cost nearly $100,000 a year, sparking fresh debate about how much a few months more of life is worth.

  Hepatology Update

Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta Medicity

Define neonatal cholestasis

Neonatal cholestasis is defined physiologically as a measurable decrease in bile flow, pathologically as the histologic presence of bile pigment in hepatocytes and bile ducts and clinically as the accumulation of bilirubin, bile acid and cholesterol in blood and extrahepatic tissue.Neonatal cholestasis refers to conjugated hyperbilirubinemia > 1mg% when total serum bilirubin is <5mg% or >20% of the total serum bilirubin, if the total serum bilirubin is >5mg% in a newborn/infant, with passage of high colored urine ,with or without clay colored stools.

  Infertility Update

Dr. Kaberi Banerjee, Infertility and IVF Specialist Max Hospital; Director Precious Baby Foundation

What is a typical IVF calendar ?

The sequence of events depends on the treatment protocol that has been planned for you. Usually OPD-based injections are started on Day 20 of previous menses, further gonadotrophins with follicular monitoring and blood tests start from 2nd day of menses for about 10 days. You may need daycare admission for oocyte retrieval as you will be administered anesthesia. Two days later you will come back for Embryo transfer which is an OPD USG-guided procedure. In a different protocol, stimulation starts from Day 2/3 of period and collection is done around day 15 after 10- 12 days of stimulation.

  Gastro Update: Question of the Day

Can IBD occur in the children or in the elderly? (Dr Arun Thakur, Patna)

Most cases of ulcerative colitis and Crohn’s disease have their onset between ages 15 and 40. Some suggest a bimodal age distribution for both disorders with a second peak between age 50 and 80. It is not clear whether this second peak relates to greater susceptibility to disease with increased age, the late expression of an earlier environmental exposure or to confusion with underlying vascular disease. Approximately 20% of patients with IBD develop symptoms as children or teenagers (younger than age 18). The development of IBD early in life has implications that are not encountered in adults.
(Suggested reading: Ekbom A, et al. The epidemiology of inflammatory bowel disease: A large, population–based study in Sweden. Gastroenterology 1991;100:350).

  Medicolegal Update

Dr Sudhir Gupta, Associate Professor, Forensic Medicine & Toxicology, AIIMS

What are the shock waves in bullet injury?

When bullets produce tracks in dense tissues, such as muscle, liver, spleen and blood, the tissues are compressed ahead of the track by a compression wave, in the form of a shock wave of spherical form. Tissue damage can also be produced at a considerable distance away from the original bullet track. Thus, the urinary bladder, stomach and colon may be ruptured in high velocity wounds situated at a remote distance from the abdominal cavity itself. The site of the permanent local track is marked by tissues which have been totally destroyed, and this is similar to low–velocity bullets. Surrounding this is a layer of necrotic debris caused by the temporary cavitation effect and secondary missiles, highly contaminated by micro–organisms. A variable thickness layer of live tissue surrounds the zone of necrosis, consisting of an inner portion which will prove to be non–viable as a result of the injuries sustained, and an outer portion that will remain viable provided that optimum conditions are provided for healing. Around this zone is normal tissue.

  Medi Finance Update

If a doctor gives service to his family or relatives then is it taxable?

Yes, if income is generated.

  Drug Update

List of drugs prohibited for manufacture and sale through gazette notifications under Section 26a of Drugs & Cosmetics Act 1940 by the Ministry of Health and Family Welfare 

 Drugs prohibited from the date of notification

Fixed dose combinations of vitamins with anti-inflammatory agents and  tranquilizers.

  Lab Update

TB Skin Test (Dr Arpan Gandhi and Dr Navin Dang)

  • Also known as: Purified Protein Derivative; PPD; Mantoux; Latent tuberculosis infection test
  • To help determine whether or not you may have been exposed to and become infected with the Mycobacterium tuberculosis bacteria.
  IJCP Special

Dr Good Dr Bad

Situation: A patient came with recurrent headache.
Dr. Bad: It is a sinus headache.
Dr. Good: It may be migraine.
Lesson: Sinus headache is commonly diagnosed by clinicians and self–diagnosed by patients, but acute or chronic sinusitis appears to be an uncommon cause of recurrent headaches, and many patients presenting with sinus headache turn out to have migraine or, less often, TTH (tension type headache).

Make Sure

Situation: A diabetic patient with BP of 130/90 developed acute heart pain.
Rection: Oh My God! Why was his BP not kept below 120/80.
Lasson: Make sure Make sure all patients with diabetes should have a goal BP of less than 120/80.

Quote of the Day (Dr.G.M.Singh)

"Life’s battles don’t always go to the stronger or faster man, but sooner or latter the man who wins is the man who thinks he can." Vince Lombardi

  Mind Teaser

Read this…………………


Answer for yesterday’s Mind Teaser: "I am bigger than you."

Correct answers received from: Dr Anurag Jain, Dr Chandresh Jardosh, Dr Virender Prakash Gautam, Dr.K.P.Rajalakshmi, Dr G.Padmanabhan, Dr. Vishal Bansal, Dr R S Bajaj, Dr Aruna Tyagi, Dr. Rohini, Deepti Katyal Uppal, Dr.K.V.Sarma

Answer for 29th Sept Mind Teaser is: "Parallel bars".
Correct answer received from: Dr Virender Prakash Gautam,  Dr U Gaur.

Correct answer received for 27th September from Dr.Satish Gunawant.

Send your answer to ijcp12@gmail.com

  Humor Section

Joke (Dr. GM Singh)

A young blonde was on vacation in the depths of Louisiana. She wanted a pair of genuine alligator shoes in the worst way, but was very reluctant to pay the high prices the local vendors were asking. After becoming very frustrated with the "no haggle" attitude of one of the shopkeepers, the blonde shouted, "Maybe I’ll just go out and catch my own alligator so I can get a pair of shoes at a reasonable price!" The shopkeeper said, "By all means, be my guest. Maybe you’ll luck out and catch yourself a big one!" Determined, the blonde turned and headed for the swamps, set on catching herself an alligator.
Later in the day, the shopkeeper is driving home, when he spots the young woman standing waist deep in the water, shotgun in hand. Just then, he sees a huge 9 foot alligator swimming quickly toward her. She takes aim, kills the creature and with a great deal of effort hauls it on to the swamp bank. Lying nearby were several more of the dead creatures. The shopkeeper watches in amazement.
Just then the blonde flips the alligator on it’s back, and frustrated, shouts out, "Damn it, this one isn’t wearing any shoes either!"

You are an Indian if you ( Anuj Goel)
Always standing next to the two largest size suitcases at the Airport.

  An Inspirational Story

I went to a party Mom, I remembered what you said.
You told me not to drink, Mom, so I drank soda instead.
I really felt proud inside, Mom, the way you said I would.
I didn’t drink and drive, Mom, even though the others said I should.

I know I did the right thing, Mom, I know you are always right.
Now the party is finally ending, Mom, as everyone is driving out of sight.
As I got into my car, Mom, I knew I’d get home in one piece.
Because of the way you raised me, so responsible and sweet.

I started to drive away, Mom, But as I pulled out into the road,
The other car didn’t see me, Mom, and hit me like a load.
As I lay there on the pavement, Mom, I hear the policeman say,
"The other guy is drunk," Mom, and now I’m the one who will pay.

I’m lying here dying, Mom… I wish you’d get here soon.
How could this happen to me, Mom? My life just burst like a balloon.
There is blood all around me, Mom, and most of it is mine.
I hear the medic say, Mom, I’ll die in a short time.

I just wanted to tell you, Mom, I swear I didn’t drink.
It was the others, Mom. The others didn’t think.
He was probably at the same party as I. The only difference is, he drank
And I will die.

Why do people drink, Mom? It can ruin your whole life.
I’m feeling sharp pains now. Pains just like a knife.
The guy who hit me is walking, Mom, and I don’t think it’s fair.
I’m lying here dying and all he can do is stare.

Tell my brother not to cry, Mom. Tell Daddy to be brave.
And when I go to heaven, Mom, Put "GOOD BOY" on my grave
Someone should have told him, Mom, Not to drink and drive.
If only they had told him, Mom, I would still be alive.

My breath is getting shorter, Mom. I’m becoming very scared.
Please don’t cry for me, Mom. When I needed you, you were always there.
I have one last question, Mom, before I say good bye.
I didn’t drink and drive, so why am I the one to die?
(Contributed by Dr Vasant Shenoy)

  Readers Responses
  1. I wish to thank our dear Dr KK Aggarwal, Padma Shri and Dr B C Roy National Awardee, for preparing and mailing this very informative and interesting national [daily] emedical newspaper. I must appreciate the content and the tremendous amount of effort and caliber behind it. My best regards to Dr KK Aggrawal and his team. Shivrup Tiwari, ormer GM Corp PR BHEL and Secretary General PRSI
  Public Forum

(Press Release for use by the newspapers)

 Masti at MTNL Perfect Health Mela

The Over 30 colleges including Medical, Pharmacy, Homeopathy and Business schools will be participating in Medico Masti, an inter college festival, in the forthcoming MTNL Perfect Health Mela being organised by Heart Care Foundation of India in association with various Departments of Delhi Government, NGOs and public sector undertakings from 23rd to 31st October at NDMC Grounds Laxmi Bai Nagar New Delhi. 

Giving the details Padma Shri and Dr BC Roy National Awardee Dr. K K Aggarwal, President, Heart Care Foundation of India, said that the right way to motivate and change the lifestyle of the youth is to pass on health ‘sutra’ messages to them. In Medico Masti events like fashion show, choreography, western dance, Indian dance, classical dance, T-shirt painting, pot painting, mehendi, etc will be organised. Over 2000 youth students from various colleges will be participating in non-stop competitions where prizes will be given on the spot.  The event will be held on Saturday 30th October.

  Forthcoming Events

CPLD 2010: Dept. of Gastroenterology & Human Nutrition, AIIMS and Dept. of Gastroenterology, PGIMER, Chandigarh are jointly organizing a conference on Current Perspective in Liver Diseases (CPLD) on 15th and 16th October at AIIMS, New Delhi.

eMedinewS Events: Register at emedinews@gmail.com

17th MTNL Perfect Health Mela 2010 Events: Venue: NDMC Ground Laxmi Bai Nagar, New Delhi 24th October, Sunday: Perfect Health Darbar, Interaction with top Medical experts of the city from 8 AM to 5 PM
30th October, Saturday: eMedinewS Update from 8 AM to 5 PM
29th October, Friday: Divya Jyoti Inter Nursing College/ School Competitions/ Culture Hungama
30th October, Saturday: Medico Masti Inter Medical College Cultural festival from 4 PM to 10 PM
31st October, 2010, Sunday: Perfect Health Darbar, An interaction with top Cardiologists

Dr. Sood Nasal Research Foundation Announces

Rhinology Update 11th to 15th November
22nd National Endoscopic Sinus Surgery Course on 11th & 12th November, 2010 2010 at Dr. Shroff’s Eye & ENT Hospital, New Delhi
Cadaveric Sessions on 13th November, 2010 at Lady Hardinge Medical College.
33rd All India Rhinoplasty Course, on 14th & 15th November, 2010, at Metro Hospital, Preet Vihar, Vikas Marg, New Delhi.

For information contact: Dr. V P Sood, Course Chairman, Ear, Nose & Throat Center, 212, Aditya Arcade, 30, Community Center, Preet Vihar, Vikas Marg, Delhi–110092 (India). Tel: 011–22440011, 42420429. E–mail:drvpsood@gmail.com,vpsood@drsoodnasalfoundation.com
Website: www.drsoodnasalfoundation.com

eMedinews Revisiting 2010

The 2nd eMedinewS – revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, Cultural Hungama and Live Webcast. Suggestions are invited.

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