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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 ...

3rd October 2010, Sunday

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

The science behind Shraadh

Today is the 10th day of Shraadh. The Shraadhs begin on the first day of Ashwin, the 3rd month in Chaturmas and is dedicated to memories of our ancestors.

The ritual involves remembering the day our said ancestor died, calculating the tithi of that day and matching it with the Shraadh tithi. The Shraadh ceremony is observed on the matching tithi. Shraadh ceremony involves observing a satvik fast on that day, remembering the said ancestor and donating food and clothes liked by that ancestor. The ritual also involves doing tarpan (offering water) using kush grass and black Sesame seeds.

If we look at the scientific aspects, Shraadh is supposed to take away the stress, related to the death of the ancestor, as a trigger. It takes care of "anniversary disorder" and "adjustment disorder". It is well known that remembering the death of an ancestor triggers the underlying stress leading to anxiety and/or a panic reaction.

Both Sesame seeds and kush grass in Ayurveda are known to reduce negative tendencies in the mind. One should take kush grass juice and Sesame seeds during Shraadhs. Consuming them rids one off negative thoughts about the death of our near and dear ones.

Though there is no scientific study in Allopathy as yet but it is a time–tested fact in Vedic literature. Allopathic researchers should work on this fact.

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

2nd BSNL Dil Ka Darbar: Special Focus on Sudden Cardiac Death

In the photo:
Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India demonstrating the technique of CPR (cardiopulmonary resuscitation) to the public at the 2nd BSNL Dil Ka Darbar held on 26th September 2010 at Maulana Azad Medical College.

Dr K K Aggarwal
  IMSA Update

International Medical Science Academy (IMSA) Update

Caffeine and shift workers

A systematic review of 13 randomized trials of persons with jet lag or shift work disorder has shown that caffeine significantly improve concept formation, reasoning, memory, orientation, attention, and perception when compared to placebo.

(Reference: Ker K, et al. Caffeine for the prevention of injuries and errors in shift workers. Cochrane Database Syst Rev 2010;5:CD008508).

  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.

Vote for E.T.H.I.C.A.L. working in IMA : Effective·  Transparent·  Honest·  Innovative·  Cost efficient·  Altruistic (Humane)·  Logical

Choose Honesty And New Growth Everyday: VOTE AND SUPPORT: THE   PANEL   FOR     C.H.A.N.G.E.

Delhi’s 80+ most dependent on their children, says survey

In the Capital, senior citizens above the age of 80 have the highest financial dependency on their children at 90 per cent, according to the findings of a survey by HelpAge India called the “Economic & Health Survey on India’s Oldest Old (80 +)”. The survey also revealed that around 23 per cent of Delhi’s Oldest Old (persons aged over 80) have no source of income. That’s the second highest after Mumbai, where the figure is around 28 per cent. The survey included 417 women and 416 men in eight cities in India, including Delhi, Mumbai, Patna and Chennai. The survey was released on the eve of the International Day of Older Persons or World Elders’ Day which is celebrated worldwide on October 1. (Source: Indian Express)


VOTE FOR   THE   PANEL: C.H.A.N.G.E. (National IMA Elections)
1. National President Elect (10-11): Dr. Premanand Ambali
2. Hony. Secretary General: Dr. Ashish Sabharwal
3. National Vice President Elect: Dr. K.K. Aggarwal, Dr. Amrik Singh Arora, Dr. Naresh Chawla, Dr. Suresh Verma
4. Hony. Finance Secretary: Dr. Ramesh Kumar Datta
5. Hony. Joint Secretary: Dr. Arvind Chopra, Dr. Ashok Kumar Hans, Dr. H.S. Kukreja              
6. Hony. Joint Finance Secretary: Dr. Umesh Chandra Bansal
7. Hony. Assistant Secretary: Dr. R. Shridhar, Dr. Surinder Pal Singh Bedi
8. Director, AKNSI: Dr. Rajiv Dhir 

  International News

(Dr Monica and Brahm Vasudev)

Healthy lifestyle habits, reduced cancer risk

Cancers of the uterus, esophagus, pancreas, kidney, gallbladder, breast, and colon –– are linked to being overweight according to research from the American Institute of Cancer Research. Evidence is accumulating that watching your weight, avoiding junk food and getting exercise reduce your chances of getting cancer significantly.

Pine bark extract may not lower blood pressure, other risks for heart disease

According to a study published Sept. 27 in the Archives of Internal Medicine, pine bark extract does not lower blood pressure or other risk factors for heart disease.

Intensive lifestyle intervention may improve cardiovascular risk factors in type 2 diabetes

A study in the Sept. 27 issue of the Archives of Internal Medicine reports that an intensive lifestyle intervention led to sustained improvements in several cardiovascular risk factors among patients with type 2 diabetes.

Putting more people on statins may help reduce healthcare costs associated with treating heart disease

Scientists at Stanford University report an economic benefit to taking statins: putting more patients on the cholesterol medication may be a cost–effective way to reduce the growing burden of health–care costs associated with treating heart disease, the researchers report.

  Hepatology Update

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

When should neonatal cholestasis be suspected?

Any infant presenting beyond 2 weeks of age with jaundice and dark colored urine that stains diaper should be investigated accordingly for neonatal cholestasis. A conjugated bilirubin of more than 1.5–2 mg% is abnormal and requires careful attention and investigations.

  Infertility Update

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

What are the sociolo–cultural issues of infertility treatment?

Generally, the pressure to achieve a pregnancy soon after marriage is very strong in our society. The couple therefore gets stressed if pregnancy is not achieved within 3–4 months of marriage. They soon go and seek help either sometimes medical or very often astrological or visit their family priest. Many go to quacks who ‘treat’ them for months and sometimes years with no avail. Some go to astrologers and pandits who ‘treat’ them by asking them to wear expensive rings, eat certain food items, etc. Not only do these patients lose money, they also lose precious time. This is so because as the lady grows older, the number and quality of her eggs goes down and chances of conception even with the technologically advanced techniques like IVF fail.

  Eye Update: Question of the Day

Can the spectacle number be prevented from increasing?

As the eyeball grows, the retina moves further back in relation to the cornea and lens. Hence it is likely that a minus number may increase with age and growth. There is no medically accepted method by which this can be prevented, including use of contact lens. However, it is a fact that numbers, like height are genetically predetermined and so a child’s minus number could stop increasing suddenly at say age 12 or 14. If at that time, the child was doing natural exercises or wearing a contact lens or putting honey in the eyes or even practicing urine therapy, that particular treatment is given wide publicity by gullible parents.

  Medicolegal Update

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

Shotgun Wounds

When a shotgun cartridge is fired the pellets begin to disperse soon after the cartridge has left the weapon. This dispersion increases with the range of fire but it also depends upon the degree of ‘choking’ of the barrel of the weapon. ‘Choking’ refers to the restriction of the bores of certain shotguns at their muzzle ends. The degree of constriction is maximal in the ‘full choke’ weapon and is of lesser extent in the ‘half choke’ weapon. The purpose of the ‘choking’ device is to keep the charge of shot in a single mass for some distance before dispersion commences. In these circumstances a single large irregular lacerated wound is produced. Burning, blackening, and tattooing are seen around and in the depth of the wound. The wad is often found in the wound. As the range of fire increases to a few yards the burning, blackening, and tattooing disappear, while the charge of shot begins to spread.

  • Separate pellets entering the skin: appear around the central opening caused by the main mass of shot. In addition, an independent injury may be caused by the wad.
  • Dispersion of shot increases at greater ranges: the greater the dispersion the greater the range.
  • Actual spread depends upon the type of boring of the weapon.
  • Direction of fire of a shotgun can only be determined from the entrance wound in close range injuries.
  Medi Finance Update

Is any tax rebate available on arrears of salary received?

Ans. Yes, section 89 (1) of Income Tax Act allows rebate in respect of arrears of salary received as difference between the tax calculated on receipts basis and accrual basis by making year wise calculations.

  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 Yohimbine and Strychnine with Testosterone and Vitamins.

  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

 A single Widal test has minimal value till you see a rising titer.

  IJCP Special

Dr Good Dr Bad

Situation: A 60–year–old patient with mitral stenosis was to undergo balloon valvuloplasty.
Dr. Bad: First go for Coronary Angiography.
Dr Good: Directly go for Balloon Valvuloplasty.
Lesson: Indications for coronary angiography prior to mitral surgery are patient with chest pain, heart ischemia, coronary artery disease or patient at risk for coronary artery disease.

Make Sure

Situation: A patient with dilated cardiomyopathy developed sudden cardiac arrest.
Reaction: Oh my God! Why was ICD not given?
Lesson: Make sure that all patients below 35 years of age are considered for ICD therapy.

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

"Continuous effort, not strength or intelligence is the key to unlocking our potential." Winston Churchill

IMA Election
  Mind Teaser

Read this…………………

Must get here
Must get here
Must get here

Answer for yesterday’s eQuiz: B, C and E as each of those had CHADS2 score of 2 or more
The CHADS2 score is the most popular calculator used in clinical practice to decide which patients with non–valvular atrial fibrillation should receive anticoagulation for prevention of stroke. The following is the scoring system:
Congestive heart failure– 1 point
Hypertension– 1 point Age ≥75 years– 1 point Diabetes mellitus– 1 point Previous stroke or TIA– 2 points
Current recommendations are to anti–coagulate all patients with a score of 2 or more, as long as they have no contraindications to anticoagulation.

Correct answers received from: Dr GM Singh, Dr Prachi

Answer for 30th Sept Mind Teaser is: "Sideburns"
Correct answers received from:
Dr. K. Raju, Dr Anurag Jain

Send your answer to ijcp12@gmail.com

  Humor Section

Joke (Dr. GM Singh)
(on phone): Doc, I am having severe stomach pain. When can I come and see you?
Doctor: How about tomorrow? I’m very busy.
Patient: And if I die by that time?
Doctor: Well, you can always cancel the appointment.

You are an Indian if you (Anuj Goel)
Peel the stamps off letters that the Postal Service missed to stamp.

  An Inspirational Story

Special Orders
Horror gripped the heart of the World War I soldier as he saw his lifelong friend fall in battle. Caught in a trench with continuous gunfire whizzing over his head, the soldier asked his lieutenant if he might go out into the "No Man’s Land" between the trenches to bring his fallen comrade back. "You can go," said the Lieutenant, "but I don’t think it will be worth it. Your friend is probably dead and you may throw your own life away." The Lieutenant’s words didn’t matter, and the soldier went anyway.

Miraculously he managed to reach his friend, hoist him onto his shoulder, and bring him back to their company’s trench. As the two of them tumbled in together to the bottom of the trench, the officer checked the wounded soldier, then looked kindly at his friend. "I told you it wouldn’t be worth it," he said. "Your friend is dead, and you are mortally wounded." "It was worth it, though, sir," the soldier said. "How do you mean, ‘worth it?" responded the Lieutenant. "Your friend is dead!"

"Yes sir," the private answered. "But it was worth it because when I got to him, he was still alive, and I had the satisfaction of hearing him say, ‘Jim, I knew you’d come."

  Readers Responses
  1. Dear Dr.K.K.Aggarwal, The first thing I do on opening my laptop in the morning is to go through emedinews.It is a great compilation of science,humour and tips on everyday living.It is a wonderful concept and I wish you and your team all the very best.Keep it up. Dr.K.Raghu,Senior Consultant Haematologist,COIMBATORE 
  2. I appreciate your generosity in publishing my dissenting view in your paper. Now I am also realizing the benefit of YOGA. There is something beyond the medical science. It seems medical science has left so many unanswered questions. Your pursuit to find the anwer to these question in other pathies, Vedic sciences and Yoga will definitely help the masses and the Science itself. Dr R S Bajaj
Public Forum

(Press Release for use by the newspapers)

MTNL Perfect Health Mela to focus on ANMOL

For the sixth consecutive year, ‘Anmol’ – a festival will be organised for children with special needs in the forthcoming MTNL Perfect Health Mela, said Padma Shri and Dr BC Roy National Awardee Dr. K K Aggarwal, President, Heart Care Foundation of India.

The mela is being organised jointly with various Departments of Delhi Government, NGOs and public sector undertakings from 23rd to 31st October at NDMC Grounds Laxmi Bai Nagar.

Dr. Aggarwal and Ms. Gunjan Sanghi, coordinator of the event, said that the special children are not disabled but differently abled. If they lose one of the senses, other senses invariably become predominant. The event competitions will include dancing, singing and painting and will be held on23rd October.

Hundreds of children with special needs will participate in the event which will be judged by eminent judges.

  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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