emedinews
Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  From the Desk of Editor–in–Chief
Dr KK 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; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; National Vice President Elect Elect, Indian Medical Association; 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1 to 7
DD Take Care Holistically Video 1 to 9 Chat with Dr KK On life Style Disorders
Health Update Video 1 to 15 Science and Spirituality
Obesity to Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

1st November 2012, Thursday

Add fluid to prevent contrast kidney damage

Renal complications caused by contrast dye can be reduced in at-risk patients by using a sliding scale of fluid volume expansion in individuals undergoing PCI, reports Somjot Brar, MD, MPH, of the University of California, Los Angeles at the 2012 Transcatheter Cardiovascular Therapeutics meeting at Miami, USA.

The sliding-scale for hydration calls for additional hydration for at-risk individuals. They are with a glomerular filtration rate (GFR) < 60, diabetes, age >75, hypertension or a history of congestive heart failure.

The hydration schedule is guided by the left ventricular end diastolic pressure.

  1. Left ventricular end diastolic pressure (LVEDP) < 13: Give 5 mL/kg/hour of 0.9% saline hydration.
  2. LVEDP 13-18: Give 3 mL/kg/hour.
  3. LVEDP > 18: Give 1.5 mL/kg/hour

Hydration at that level is continued for all patients until 4 hours post procedure.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

Irritable bowel syndrome with predominant constipation (IBS-C) is characterized by abdominal pain with altered bowel habits. These patients may or may not have slow colonic transit or dyssynergia, and many have visceral hypersensitivity. Abdominal pain in IBS can vary but should not be associated with weight loss, rectal bleeding, anemia, and should not be nocturnal or progressive. Patients may note diarrhea, constipation, or both.

For Comments and archives…

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

Proton–pump inhibitors to carry
warning about C

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

19th MTNL Perfect Health Mela to focus on revival after sudden death

The forthcoming 19th MTNL Perfect Health Mela being organized by Heart Care Foundation of India jointly with Health Department, Government of NCT Delhi.

 
Dr K K Aggarwal
    National News

Heart Care Foundation of India to be in Limca Book of Records – trains 1010 people in CPR 10: Continuous Compression-only CPR in one session.

Heart Care Foundation of India will create an Indian record by training 1010 students and teachers in one session in Continuous Compression-only CPR called CPR-10. The event will be at Birla Vidya Niketan School on 1st November 2012. Two hundred human dummies will be used for the training.

For comments and archives

My Profession My Concern

Quality control

Removal of retained products of conception: For incomplete abortion, if bleeding continues, the ANM and staff nurse can perform only digital evacuation of products of conception. However the staff nurse can use MVA under the supervision of the Medical Officer.

For comments and archives

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

 
    Valvular Heart Disease Update

Severity of aortic stenosis

Based upon a variety of hemodynamic and natural history data, clinicians generally grade the severity of stenosis as mild, moderate, severe, or critical

  • Mild: Valve area exceeds 1.5 cm2
  • Moderate: Valve area of 1.0 to 1.5 cm2
  • Severe: Valve area less than 1.0 cm2

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

For comments and archives

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Taclonex approved for body plaque psoriasis

The US Food and Drug Administration (FDA) has approved calcipotriene and betamethasone dipropionate topical suspension, 0.005%/0.064% (Taclonex, LEO Pharma Inc), for the treatment of body plaque psoriasis in adults. "A once-daily application makes (calcipotriene and betamethasone topical suspension) an effective, first-line choice of treatment for a significant number of psoriasis patients," said Alan Menter, MD, founder of the International Psoriasis Foundation, in a company news release, noting scalp psoriasis as a previously approved indication. (Source: Medscape)

For comments and archives

Dieting results persist if weight maintenance taught first

It is an age-old challenge: How to keep weight off after shedding pounds on a successful diet. Now researchers at Stanford University in Palo Alto, California, have come up with a promising new approach to that problem — one that seems to yield impressive results. The approach is based on the idea that maintaining weight loss may require a whole different set of skills than losing weight. (Source: Medscape)

For comments and archives

Climate change adding sting to mosquito bite, says WHO report

NEW DELHI: The warning is ominous — climate change and global warming will make vector-borne diseases like dengue and malaria- already causing havoc in the country more lethal. A landmark report on climate change and health, published by the World Health Organization on Monday, said that in the last 100 years, the world has warmed by approximately 0.75 degree Celsius. Over the last 25 years, the rate of global warming has accelerated, at over 0.18 degree Celsius per decade. Global health will suffer a loss of $2 billion-$4 billion per year by 2030 due to climate change. Global warming, which has occurred since the 1970s, caused over 1.4 lakh excess deaths annually by 2004. "Many of the major killers such as diarrhoeal diseases, malnutrition, malaria and dengue are highly climate-sensitive and are expected to worsen as the climate changes," said WHO. It added, "Malaria is strongly influenced by climate. Transmitted by Anopheles mosquitoes, malaria kills almost one million people every year. The Aedes mosquito vector of dengue is also highly sensitive to climate conditions. Studies suggest that climate change could expose an additional 2 billion people to dengue transmission by the 2080s." (Source: TOI)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: 19th MTNL Perfect Health Mela from 1st November to 11th November 2012

@DeepakChopra: Embrace the unpredictable and unexpected. It is the path to the infinitely creative in you.

 
    Spiritual Update

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

Why don’t we touch papers, books and people with our feet?

In every traditional Gurukul, no studies begin without chanting the following:

Saraswati namasthubhyam
Varade kaama roopini
Vidyaarambham karishyaami
Sidhirbhavatu me sadaa

For comments and archives

 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What is ovarian tissue cryopreservation?

Doctors are experimenting with a procedure to freeze the tissues from a woman’s ovary. The ovaries produce eggs. In this procedure, doctors cut the tissue from one of your ovaries into thin slices. These slices are then frozen. After your cancer treatment, the doctors can place a slice of thawed ovarian tissue back into your body. The tissue does not need to go back where it came from in order to start producing eggs. You may need to be treated with fertility hormones in order for this tissue to produce an egg. Once the tissue produces an egg, your doctor will retrieve it and fertilize it in the laboratory. After your doctor places the subsequent embryo into your uterus, you may be able to get pregnant. There are some disadvantages to this procedure. You will need to have surgery several times. It also is dangerous if you have cancer of the ovary. If the tissue has cancer and is placed back in your body, the cancer could spread.

For comments and archives

 
    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

What is the composition of blood?

Blood mainly contains a fluid called plasma, in which cellular elements are suspended. Three types of cells namely red blood cells or RBCs, white blood cells or WBCs and tiny platelets form the cellular element.

For comments and archives

 
    An Inspirational Story (Ms Ritu Sinha)

The lucky starfish

Once a man was walking along a beach. The sun was shining and it was a beautiful day. Off in the distance he could see a person going back and forth between the surf's edge and the beach. Back and forth this person went. As the man approached, he could see that there were hundreds of starfish stranded on the sand as the result of the natural action of the tide.

The man was stuck by the apparent futility of the task. There were far too many starfish. Many of them were sure to perish. As he approached, the person continued the task of picking up starfish one by one and throwing them into the surf.

As he came up to the person, he said: "You must be crazy. There are thousands of miles of beach covered with starfish. You can't possibly make a difference."

The person looked at the man. He then stooped down and picked up one more starfish and threw it back into the ocean.

He turned back to the man and said: “It sure made a difference to that one!”

For comments and archives

 
    Cardiology eMedinewS

Omega-3 improves working memory in healthy young adults Read More

Women who quit smoking do live longer Read More

 
    Pediatric eMedinewS

Brain hemorrhage less deadly in kids Read More

End-stage renal disease linked to high BMI when younger Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with insulin resistance developed MCA infarction.
Dr. Bad: Both are not related.
Dr. Good: They are related in terms of persistent arterial occlusions.
Lesson: A prospective, observational, longitudinal study in consecutive acute ischemic stroke patients presenting with middle cerebral artery (MCA) occlusion who received intravenous thrombolysis concluded that high insulin resistance may be associated with more persistent arterial occlusions and worse long-term outcome after acute ischemic stroke thrombolysis (Diabetes Care 2011 Nov;34(11):2413-7).

For comments and archives

Make Sure

Situation: An 18-year-old girl complained of purulent nasal discharge, nasal congestion, pain in the cheek and upper teeth for last 10 days. CT scan showed maxillary sinusitis.
Reaction: Remember to give macrolides.
Lesson: Make sure to remember that clarithromycin 500 mg twice-daily for 7 days is not only effective in maxillary sinusitis but also in other sinusitis.

For comments and archives

 
    Legal Question of the Day (Dr MC Gupta)

Need, purpose, efficacy and changes needed in the PC & PNDT Act

There is lot of criticism about the PC&PNDT Act. Some critiques want it to be scrapped on the ground that it has resulted in harassment of doctors and has led to corruption and has been ineffective in improving the sex ratio. Others agree with the grounds of criticism but want the Act to be amended rather than scrapped. Let us examine the issue.

Q. What is wrong with the PC&PNDT Act and Rules?

Ans. The following sections and rules are not proper:

Section 2(p) is badly drafted. It reads—

“(p) “sonologist or imaging specialist” means a person who possesses any one of the medical qualifications recognized under the Indian Medical Council Act, 1956 or who possesses a postgraduate qualification in ultrasonography or imaging techniques or radiology;”

The above means that a person having an MBBS degree is a “sonologist or imaging specialist” in terms of the Act.
Section 21 regarding appeal needs to be modified. The existing section 21 is reproduced below:

21. Appeal. The Genetic Counselling Centre, Genetic Laboratory or Genetic Clinic may, within thirty days from the date of receipt of the order of suspension or cancellation of registration passed by the Appropriate Authority under section 20, prefer an appeal against such order to—

(i) the Central Government, where the appeal is against the order of the Central Appropriate Authority; and

(ii) the State Government, where the appeal is against the order of the State Appropriate Authority, in the prescribed manner.”

The following modifications are needed;

i) The appellate mechanism needs to be well- defined. If an appeal fails, the accused would be tried by a magistrate who can award punishment up to imprisonment for 3 years for the first offence and up to 5 years for a subsequent offence in terms of section 23 of the Act. It is highly inappropriate that a proper appellate mechanism should not be prescribed. It is necessary that the appellate body hearing the appeal should specify that such a body should include at least three experts, one each from the fields of law, gynecology and radiology. The vagueness as regards the composition of the appellate authority vague, leaving it to the whims and fancies of the government, is a sure recipe to arbitrariness. As a matter of fact such vagueness is responsible for the low prosecution rate in the courts. Proper legal scrutiny at the appellate stage would minimise the incidence of failed prosecutions.

ii) The appellate mechanism is currently split and presented in parts at two places, namely, section 21 and rule 19. The provisions of section 21 and Rule 19 should be clubbed together.

iii) Appellate authority, on its satisfaction, should be given the power to stay the impugned order of the lower authority.

d. Section 23(2) of the Act, which was introduced in 2003, needs to be modified.

It reads—

“2. The name of the registered medical practitioner shall be reported by the Appropriate Authority to the State Medical Council concerned for taking necessary action including suspension of the registration if the charges are framed by the court and till the case is disposed of and on conviction for removal of his name from the register of the Council for a period of five years for the first offence and permanently for the subsequent offence.”
The existing section 23(2) is inappropriate for the following reasons:

i) It is unfair and against basic principles of law to punish a person merely on the framing of charges without the charges having been proved and without the accused having been convicted. It is irrational and even violative of Article 21 to suspend the medical licence of the accused merely on the framing of charges.

ii) It is against the provisions of the Indian Medical Council (Professional conduct, Etiquette and Ethics) Regulations, 2002. They do not empower a medical council to suspend the registration even before the medical council has found the medical practitioner to be guilty. It amounts to unnecessary and unwarranted and uncalled for interference with the independent functioning of the medical council.

iii) It is possible that an accused against whom charges have been framed may be acquitted by the trial court or, if he is convicted by the trial court, he may be acquitted by the appellate court. The suspension of medical licence during the duration from the time of framing of charges till acquittal would amount to irreparable damage to the accused by way of causing loss of earning and reputation to him. This is patently unconstitutional and illegal.

iv) There should have been no need at all for section 23(2) because the medical council is already empowered to take necessary action in such cases under Regulations 75 and 7.6.

v) When one statute/statutory body already exist to ascertain and award the type and quantity of punishment as per due procedure already exist, it should not be proper or permissible to interfere with this and to empower another statute to ascertain and award the type and quantity of punishment to be awarded.

vi) Section 23(2) of the Act is violative of Article 20(2) of the Constitution.

In view of the above, the existing section 23(2) should be modified and replaced by the following:

“2. The name of the registered medical practitioner shall be reported by the Appropriate Authority to the State Medical Council concerned for taking necessary action”.

Section 28-- As per the existing scheme of law, a court can take cognizance of the offence on the complaint of the Appropriate Authority in terms of section 28(a) of the Act. There is no provision in the Act that the order/decision of the AA shall not attain finality if an appeal has been filed against it. Such a provision is a basic legal requirement. An example of such a provision is section 24 of the consumer Protection Act, 1986, reproduced below:

“24. Finality of orders. — Every order of a District Forum, the State Commission or the National Commission shall, if no appeal has been preferred against such order under the provisions of this Act, be final.”
The result is that instances are known when proceedings have been initiated in the court on the basis of the order/decision of the AA which has been appealed and quashed by the Appellate Authority. This leads to unnecessary harassment of the sonologist concerned.

Rule 3(3), as amended in 2012, reads—

“(3) Each medical practitioner qualified under the Act to conduct ultrasonography in a genetic clinic/ultrasound clinic/imaging centre shall be permitted to be registered with a maximum of two such clinics/centers within a district. The consulting hours for such medical practitioner, shall be clearly specified by each clinic/centre”.

The implications of the above rule are as follows:

i) An ultrasonologist under the Act shall be permitted to be registered with a maximum of two such clinics/centres within a district.

Such restriction is unreasonable for the following reasons:

ONE—Because it is unconstitutional to confine a person to work in only a restricted area. He may be young and dynamic and willing to work 18 hours a day to earn enough to make both ends meet. He may like to work in four centres. His professional freedom and activities cannot be curtailed arbitrarily.)

TWO—Because an ultrasonologist attached to a centre may be not available because of any reason and the patients in the centre might need ultrasound diagnostic services but would be deprived of the same even if another person might be available for the peculiar reason that such other person is not registered with that centre.

THREE—Because it is against the IMC Act, 1956, which says that an RMP can work anywhere throughout India without any restriction.)

ii) Though the language of the sub-rule (3) is not clear in this regard, it appears that a person shall not be permitted to be registered in more than one district.

Such restriction is unreasonable for the following reasons:

ONE-- It is unconstitutional to confine a person to only one district. This is an attack on his freedom guaranteed by the constitution. This is particularly relevant to those living near district boundaries. For example, Delhi has eleven districts. A doctor living in one district can reach any other district in 15 to 60 minutes.

TWO--There is nothing in the PC&PNDT Act or Rules that bars one from working in two districts. The rules made in this regard have to follow the Act itself. Rules cannot be against the Act or the Constitution.

THREE—Because it is against the IMC Act, 1956, which says that an RMP can work anywhere throughout India without any restriction.)

iii) A restriction has been imposed upon consulting hours of a registered sonologist who will have to clearly specify the same.

Such restriction is unreasonable for the following reasons:

ONE—Because emergency situations can arise any time in a health facility or a hospital or a nursing home where an emergency ultrasound may have to be done as per good medical practice in the interest of the patient.

TWO—Because it will be against public good. A patient may have to get an ultrasound done in an emergency but the ultrasonologist may not be available outside specified fixed hours. It is essential that an ultrasonologist should be available on call 24 hours a day.

The new Rule 3(3) has been challenged in Bombay High Court.

Rule 5—In terms of an amendment in 2012, the non-refundable application fee for grant of registration has been increased from Rs. 3000-4000/- to Rs. 25000-35,000/-. There is no reason why such a huge fee should be charged. Moreover, such fee is non-refundable if the registration is refused. This amounts to fleecing of money from the intending applicants. The notification raising the fee needs to be withdrawn.

Rule 6—This rule concerns grant of registration. Sub-rule 6(5) reads as follows:

“(5) Grant of certificate of registration or rejection of application for registration shall be communicated to the applicant as specified in Form B or Form C, as the case may be, within a period of ninety days from the date of receipt of application for registration.”

This rule needs to be modified as follows—

“(5) Grant of certificate of registration or rejection of application for registration shall be communicated to the applicant as specified in Form B or Form C, as the case may be, within a period of ninety days from the date of receipt of application for registration. If no such communication is made within a period of ninety days, the application would be deemed to have not been rejected and the certificate of registration would be deemed to have been granted.”

Rule 8 -- This rule concerns re- registration. The requirements for re- registration are needlessly elaborate. The renewal process should be simplified because the Centre has been under observation of the AA for the last at least 5 years.

Rule 10(1A) – It states as follows—

“Any person conducting ultrasonography/image scanning on a pregnant woman shall give a declaration on each report on ultrasonography/image scanning that he/she has neither detected nor disclosed the sex of foetus of the pregnant woman to anybody. The pregnant woman shall before undergoing ultrasonography/image scanning declare that she does not want to know the sex of her foetus.”.

Rule 10(1A), inserted in 2003, is bad and unrealistic and shows non-application of mind. It requires the ultrasonologist “shall give a declaration on each report on ultrasonography/image scanning that he/she has neither detected nor disclosed the sex of foetus of the pregnant woman to anybody”. This is a wrong and impossible and unreasonable requirement imposed upon the ultrasonologist. It is wrong and impossible and unreasonable because most ultrasonologists feel that anybody who gives such a declaration is either not examining the foetus fully from head to toe or he is telling a lie that the sex of the foetus has not been seen. The facts are that:

i) When an ultrasound examination is done, the ultrasonologist is required and expected to examine the foetus fully from head to toe and it is highly probable that the sex of the fetus would be visible to the ultrasonologist during such examination.

ii) When an ultrasound examination is done, at times, the sex of the foetus stares at him the moment he starts the procedure and puts the traducer upon the patient/pregnant lady.

iii) The consequences of the above are that, in effect, a large number of such declarations are false and the law forces doctors to make false declarations. In the alternative, if doctors want to abide by the law, the only way to do so is to stop doing ultrasonography on pregnant women, which would be against the interests of the society.

 
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    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

Laboratory testing for alcoholism

  • Gamma–glutamyl transferase (GGT): A liver enzyme that is increased by heavy alcohol intake and by many other conditions that affect the liver.
  • Mean corpuscular volume (MCV): Measures the size of red blood cells; usually measured as part of a complete blood count (CBC); the MCV may increase over time in those who are heavy drinkers but may also be affected by many other conditions.
  • Comprehensive metabolic panel (CMP) or liver panel: Groups of tests used to evaluate organ and liver function. Magnesium can be low in those who are alcoholic due to insufficient dietary intake.
  • Folate test: With alcohol abuse, less B12 and folate are absorbed and more are excreted from the kidneys.
  • Toxicology screen or blood alcohol level (ethanol test): To determine if a person has been drinking alcohol recently, but do not diagnose alcoholism.
 
  Quote of the Day (Dr GM Singh)

Whether you think you can or think you can’t, you’re right. Henry Ford

 
    Mind Teaser

Read this…………………

I am the owner of a pet store. If I put in one canary per cage, I have one bird too many. If I put in two canaries per cage, I have one cage too many. How many cages and canaries do I have?

Yesterday’s Mind Teaser: Here is a series of numbers. What is the next number in the sequence?

1
11
21
1211
111221
312211
13112221

Answer for Yesterday’s Mind Teaser: The next number in the sequence is 1113213211, because the rule for creating the next number is to simply describe the previous number. The first number is 1, or 1 (one) 1, so you get 11. To describe 11, you have two 1's, or 21. Now you have one 2 and one 1, so the next number is 1211. The solution is to simply continue describing the previous number using only numbers.

Correct answers received from: Dr PC Das, Dr Suresh Arora, Dr Thakor Hitendrsinh G, Dr KV Sarma,
Mannalal Bhansali, Dr AK Kela, Dr K Raju, Dr Jainendra Upadhyay, Dr Kanta Jain, Dr Chandresh Jardosh,
Dr Avtar Krishan, Dr Thakur Om Prakash Singh.

Answer for 29th October Mind Teaser: B. Elevated ST segments

Correct answers received from:
Dr Jainendra Upadhyay, Dr Kanta Jain, Dr Chandresh Jardosh, Dr Avtar Krishan, Dr Thakur Om Prakash Singh
.

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

A kangaroo kept getting out of his enclosure at the zoo. Knowing that he could hop high, the zoo officials put up a 10-foot fence. He was out the next morning, just sauntering around the zoo. A 20-foot fence was put up. Again he got out.

When the fence was 40 feet high, a camel in the next enclosure asked the kangaroo, “How high do you think they’ll go?”

The kangaroo said, “About a thousand feet, unless somebody locks the gate at night!”

 
    Medicolegal Update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

Exhumation of corpse – America

In America corpses are exhumed when there is a need to identify a body or to establish cause of death like in the case of suspected homicide.

  • The remains of President Zachary Taylor were exhumed in 1991 to determine whether or not he had been poisoned, and the famous outlaw Jesse James’s grave was excavated to prove that it was his body in the coffin. In addition, archaeological investigations often involve exhumation.
  • Under modern law, courts usually do not allow exhumation unless there are substantial and compelling reasons to do so.
  • In a landmark U.S. Supreme Court decision Justice Cardozo stated, "The dead are to rest where they have been lain unless reason of substance is brought forward for disturbing their repose."
  • Three general principles govern the law of disinterment in the United States. First, it is presumed that a "decently buried" body should remain undisturbed where it was placed unless good reason is given to do so. Second, disinterment is considered the private concern of the immediate family and the cemetery. Third, if there is disagreement among the close relatives regarding a proposal for exhumation the matter is adjudicated by a court of equity. The court considers (in order of importance) the wishes and religious beliefs of the deceased (if these can be determined), the wishes of the spouse of the deceased, the opinions of other close relatives, and the policies and regulations of the cemetery when determining if exhumation should be allowed.
  • California Labor Code stipulates that if it is suspected that a person has died as a result of injuries sustained in the course of his employment, the investigating appeals board may require an autopsy and, if necessary, the exhumation of the body for the purposes of autopsy. However, in accordance with the rules of equity, the close relatives can, if they wish, prevent the state (i.e., California) from either exhuming the body or performing the autopsy.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Medico Masti at MTNL Perfect Health Mela

In the forthcoming 19th MTNL Perfect Health Mela being organized at Constitution Club of India from 7th to 11th November, 2012, Heart Care Foundation of India will be organizing Medico Masti – a youth festival. Various competitions will be held for students from medical colleges, nursing colleges as well as science and art colleges. The event will be coordinated by Amity International, Maulana Azad Medical College and DIPSAR and supported by Muzaffarnagar Medical College. The competitions will include poster making, slogan writing and stage competitions will be on choreography, fashion show and dance competitions.

Speaking at the event, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India said that a pound of prevention is better than a kilogram of cure. Prevention must start in the youth. Dr. Aggarwal said that Heart Care Foundation of India recommends that:

  1. By age 20, one should get a comprehensive executive blood checkup done, especially for blood sugar, lipid and blood pressure.
  2. Right sexual education should be imparted at entry to college life to prevent deadly sexually transmitted diseases.
  3. The youth must be taught to walk 80 minutes a day and walk briskly for 80 minutes a week. Walking should be at a speed of 80 steps per minute.
  4. The youth must learn to reduce the intake of trans fats, white sugar, white maida and white rice in their diet. They must also learn to cook and enjoy food to healthy way of life with minimal salt.
 
    Readers Responses
  1. Dear Sir, fabulous work. Regards: Dr Ratan
 
    Forthcoming Events


19th MTNL Perfect Health Mela 2012 Programme

Dr K K Aggarwal
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    Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta