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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
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  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 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 …

8th February, 2011, Tuesday                                eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

Saraswati Vandana

Saraswati = one who gives the essence (sara) of the true self (swa)

Sanskrit Mantra

Yaa Kundendu tushaara haaradhavalaa, Yaa shubhravastraavritha|
Yaa veenavara dandamanditakara, Yaa shwetha padmaasana||
Yaa brahmaachyutha shankara prabhritibhir Devaisadaa Vanditha|
Saa Maam Paatu Saraswatee Bhagavatee Nihshesha jaadyaapahaa||

English Translation

"May Goddess Saraswati, who is fair like the jasmine-colored moon, and whose pure white garland is like frosty dew drops; who is adorned in radiant white attire, on whose beautiful arm rests the veena; whose throne is a white lotus; and who is surrounded and respected by the Gods protect me. May you fully remove my lethargy, sluggishness, and ignorance."

Saraswati Vandana is the first ritual performed whenever we hold any educational seminar. She represents the Goddess of knowledge. In Vedantic terms ‘knowledge’ means knowing about true self or the consciousness.

The Goddess Saraswati is incarnated as a lady figure sitting on a lotus. She has four hands. She holds the sacred scripture (Vedas) in one hand and a lotus or a rosary in the other. With the third and the fourth hands she plays the Indian flute or veena, and sometimes a PEACOCK is shown standing nearby.

Worshipping Saraswati means, adhering to its principles in day–to–day life. When these principles are applied for self–realization these are called INTERNAL principles and when applied for external knowledge (for example, your profession), these are EXTERNAL principles. In both situations the basic principles are the same.

In the process of learning or teaching, the first thing is the TRUTH. Lotus with its white color and the white cloths of Ma Saraswati in Vedic symbolic language represent TRUTH. What one learns or teaches has to be TRUTH– and FACT–based. It has to be true to one’s consciousness. One has to get firmly established in it. One has to make TRUTHFULNESS as a vehicle for the journey towards acquiring knowledge.

For acquiring self–happiness (true knowledge) or seeking the acquired knowledge about any subject, one can use either of the two pathways; firstly, the path of knowledge (Gnana Marg) and secondly the path of duty, devotion and discipline’ (Bhakti Marga).

The path of knowledge is important but the most difficult. By reading Vedas alone (for internal) or text books (for external), one cannot acquire the full knowledge. If this was true, no schools or colleges were required and one could have learnt sitting at home. Books and Vedas form the basis for everything but alone they are not sufficient. This path of knowledge is shown by the Goddess holding the sacred Vedic book made of palm leaves (a small book) in her left hand.

The second path of learning is the path of doing your duty with devotion and discipline. This basically means listening carefully to the person giving a lecture (teacher or Guru) and sticking to what is said as discipline. With the single pointed devotion to what has been learnt, one can master the subject. The Goddess playing the Veena in two hands represents this path. Just as while playing or listening to the veena, you get absorbed in it, similarly during any learning or teaching act, you must get absorbed in it. This is the easiest path to acquire knowledge, as hardly any intellect is required (the earlier path is totally dependent on the intellect).

Once one has acquired the knowledge, implementation of the third and the last path of Karma (Karamyoga) can complete the process of learning.

It is saying ‘what you listen – you forget, what you speak – you remember; and what you do – you learn’. Practicing with detachment to its fruits, using the principles of actions, contemplation (doing it again and again at same time) and repeated attempts (again and again over time) makes one perfect.

The Goddess holding the rosary in the right hand represents the path of action (contemplation and repeated actions). In the symbolic representation of the Goddess, the Veena is shown as a big object compared to rosary or the Vedas which convey that the listening of the seminar with full concentration and devotion is more important than reading about the subject or later implementing it.

The four hands have varied interpretations. It means strength and control over the mind, intellect, ego and consciousness.

One cannot create anything unless one has the knowledge of how and what to create. Knowledge is the fundamental prerequisite for creation. In Hindu mythology Brahma represents the creative force. Knowledge and Creation being inseparable, Saraswati is symbolized as being the wife of Brahma.

The peacock is symbolized by vastness (blue color) and loss of ego or pride (vanity). While learning (which is a vast subject) one must become egoless, then only the true learning will be acquired.

Saraswati has been compared to a mother as a mother looks after all the sons with equality. In learning and teaching, one has to treat everyone as equal and give more importance to the weakest students.

Some times she is shown to be sitting on swan which means ‘VIVEK’ or developing the power of discrimination between good and bad. The teacher must have those qualities of what to include in a presentation and what not to include.

If one starts thinking that I know more than the teacher, or the teacher starts behaving as if he is the ultimate, what one gets is a limited knowledge. Learning is an everlasting process and one has to shed his or her ego in this process.

After the Saraswati Vandana in any seminar, it is customary to light a lamp. It means, to initiate the learning process, which is nothing but removal of darkness or ignorance from our mind. Lighting the lamp here means removing the darkness.

Remember two Vedic principles while learning or teaching and ask the following four questions to your mind while making a presentation:

  • Is it necessary?
  • Is it the truth?
  • Will it add to the knowledge of others?
  • Has it helped me in my day–to–day Karmic life?

If the answer to any of the above is no, do not include it in your presentation.

Dr KK Aggarwal
Editor–in–Chief
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  eMedinewS Audio PostCard

  2nd eMedinewS revisiting 2010

Revisiting the Year 2010 with Dr KK Aggarwal
Antiageing, now a possibility

Audio PostCard
 
  Quote of the Day

(Dr GM Singh)

Man needs his difficulties because they are necessary to enjoy success. ~ Abdul Kalam

 
    Photo Feature

Kudos to IJCP Group

Casebook of Dermatology, a book published by IJCP Group of Publications, was released during the inauguration of DERMACON 2011 at Leisure Valley Garden, Gurgaon.
In the Photo:Dr Hashmukh J Shroff (Editor), Dr Veena Aggarwal (Joint MD and Group Executive Editor, IJCP Group), Mr Nilesh Aggarwal (Director, IJCP Group).

 
Dr K K Aggarwal
 
    National News

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology

Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

Poseidon Study’ to map common ailments in India

CHENNAI: A unique nation–wide study to map the most common ailments for which people visit doctors in India has been scheduled for February 1. The ‘Poseidon Study’, based on an internationally–validated methodology, will have 12,000 doctors (general physicians and paediatricians) from 22 States record the complaints of over five lakh patients who visit them on Tuesday. Doctors will fill out the Poseidon form which will then be sent to the Chest Research Foundation, a Pune–based autonomous research organisation co–ordinating the massive exercise. Speaking to The Hindu, Sundeep Salvi, Director– Chest Research Foundation, said, "This is for the first time in India that a study would involve such a large population, as data from over 5, 00,000 patients is estimated to be obtained for the sample. We’ve named the study after Poseidon, the Greek God of the oceans and storms, as the study will throw up for the first time a wealth of information on health trends in India." The study would be significant in establishing the most common ailments affecting the people of India, the various disease hotspots (if any) and age–specific trends, Dr. Salvi explained. This information can then help understand the list of ‘priority’ diseases that need attention, and gear up infrastructure, and medical education to adequately address these issues. According to Dr. Salvi, the results would be available in about three months’ time. (Source: The Hindu, Feb 01, 2011)

 
    International News

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC http://www.isfdistribution.com)

Exercise more effective than angioplasty

Angioplasty is the most common procedure performed in heart disease or heart attack patients. It involves using a stint to widen arteries clogged with plaque or arthrosclerosis. Researchers announced at an annual meeting of the European Society for Cardiology that exercise could be more effective than angioplasty to reduce heart disease. German researchers referenced a study where they found that nearly 90 percent of heart patients who rode stationary bikes regularly were free of heart problems one year after they started their exercise regimen. Among patients who had an angioplasty instead, only 70 percent were problem-free after a year. They concluded that exercise may be more effective at warding of heart problems than the procedure, and are conducting yet another study to further substantiate their claim.

(Dr Monica and Brahm Vasudev)

FDA approves drug to reduce preterm birth risk

Hydroxyprogesterone caproate injection (Makena), a synthetic form of the hormone progesterone, has been approved by the US FDA to reduce the risk for preterm delivery before 37 weeks of pregnancy in women with singleton pregnancy and who have a history of at least one spontaneous preterm birth. Its not to be used in women with multiple pregnancy or other risk factors for preterm birth.

Texting improves kid’s literacy skills

Scientists have claimed that children who are fluent at text messaging have better literacy skills than youngsters who do not use mobile phones. Researchers discovered that rather than destroying their use of English, texting improves children’s ability to recognise rhymes and speech patterns. The ten–year study, funded by the British Academy, examined the effect of the use of text messages on eight to 12–year–olds. Researchers found children as young as five who used mobile phones are better at understanding rhymes and syllables in speech. Psychologist Dr Clare Wood, who led the study at Coventry University, said the use of abbreviations, commonly used in text messaging, helped in the development of children's reading and writing skills. (Source: The Times of India, Feb 5, 2011)

FDA approves iPhone diagnostic radiology application

The FDA has approved the first diagnostic radiology application for the iPhone and the iPad. It said that the application could be used to view results of CT, MRI, and PET scans on the mobile devices and use those images to make diagnoses. But it also cautioned that the application was not intended to replace full workstations and is indicated for use only when there is no access to a workstation.

Gene test spots high–risk prostate cancer

A four–gene signature accurately distinguished high–risk prostate cancer from low–risk disease in a series of experiments involving mice and human tumor specimens. In studies involving archived human prostate cancer specimens, the test demonstrated 83% accuracy for identifying cancers that led to fatal metastatic spread. Combining the test result with Gleason score increased the accuracy to 90%, researchers reported online in Nature. The results indicate the test has potential to help reduce unnecessary treatment of prostate cancer by distinguishing indolent disease that can be followed with observation from more aggressive cancer that requires treatment, according to lead investigator Ronald DePinho, MD, of Dana–Farber Cancer Institute in Boston. (Medpage Today)

 
    Infertility Update

Dr. Kaberi Banerjee, Director Precious Baby Foundation

How many people are affected by infertility?

Estimates are that one in six couples are affected by some degree of infertility. However, this number may be very misleading. Many couples choose to lead child–free lives rather than seek treatment for their infertility; such couples are rarely included in infertility estimates. Others suffer recurrent pregnancy losses which are, in a way, a form of infertility and are not technically considered "infertile" because they are able to conceive. INCIID (InterNational Council on Infertility Information Dissemination) is in the process of creating a survey designed to provide new insights about who is infertile, what kinds of infertility they are experiencing, what kinds of treatments have been successful for specific diagnoses, and much more. This survey will be conducted online, and is expected to be a source of important clinical information for practitioners as well as consumers.

For queries contact: banerjee.kaberi@gmail.com

 
    Pediatric Update

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

What are the effects of CMV infection in older children/adults?

In older children and adults CMV causes only a mild flu-like illness. When clinical manifestations are present, they include:

  • Malaise
  • Fever
  • Generalized Lymphadenopathy
  • Hepatosplenomegaly

Patients who are immunocompromised may develop extremely serious sequelae of infection, including chorioretinitis and pneumonitis.

 
    Medicolegal Update

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

Is an approval of clinic for MTP required?

Vide Regulation 7, no entry shall be made in any case–sheet, operation theatre register, follow–up card or any other document or register (except the admission register) maintained at any hospital or approved place indicating there in the names of the pregnant woman and reference to that woman shall be made therein by the serial number assigned to such woman in the admission register.

No place shall be approved under clause (b) of section 4,

  • unless the government is satisfied that the termination of pregnancies may be done therein under safe and hygienic conditions; and
  • unless the following facilities are provided therein, viz., an operation table and instruments for performing abdominal and gyanecological surgery; anaesthetic equipment, resuscitation equipment and sterilization equipment; Drugs and parenteral fluid for emergency use.

The Chief Medical Officer of the district may, if he is satisfied after such verification, enquiry or inspection, as may be considered necessary that termination of pregnancy may be done under safe and hygienic conditions, at a place, recommend the approval of such place to the government.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Lactate Dehydrogenase Serum

Also known as: LD, Lactate dehydrogenase, Lactic dehydrogenase, Total LDH, and LDH isoenzymes.

This test helps identifying the cause and location of tissue damage in the body and to monitor its progress. Increased levels of LDH and changes in the ratio of the LDH isoenzymes usually indicate some type of tissue damage. Raised levels of LDH may be seen with:

  • Cerebrovascular accident (CVA, stroke)
  • Drugs: anesthetics, aspirin, narcotics, procainamides, alcohol
  • Hemolytic anemias
  • Pernicious anemias (megaloblastic anemais)
  • Infectious mononucleosis (Mono)
  • Intestinal and pulmonary infarction
  • Kidney disease
  • Liver disease
  • Muscular dystrophy
  • Pancreatitis
  • Lymphoma or other cancers

Low and normal levels of LDH do not usually indicate a problem. Low levels can be seen when a patient ingests large amounts of vitamin C).

 
    Medi Finance Update

Investments

  • No investment in equity shares is safe.
  • A real estate investment is always viable. However, it is tough and one should be able to judge the right locality and the cash involved.
  • One should not have an Abhimanyu approach in investing, i.e. know how to enter, but don’t know how to get out of it.
 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Olopatadine 5mg + Ambroxol 30mg tablets
For the management of cough in adult patients only
05/03/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Exercise blood pressure and cardiovascular outcome

A study of over 4800 asymptomatic normotensive individuals found that a hypertensive response to treadmill testing was associated with an increased risk for cardiovascular death.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with erectile dysfunction came with chest pain.
Dr Bad: Its non cardiac.
Dr Good: This pain can be cardiac in origin.
Lesson: Men who present with erectile dysfunction may be at higher risk for subsequent development of cardiovascular events.

Make Sure

Situation: A patient with pygenic meningitis developed complications.
Reaction: Oh My God! Why were antibiotics not given when the meningitis was suspected?
Lesson: Make sure that first dose of antibiotics is given at the time meningitis is suspected.

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Our Contributors
  Docconnect Dr Veena Aggarwal
  Docconnect Dr Arpan Gandhi
  Docconnect Dr Aru Handa
  Docconnect Dr Ashish Verma
  Docconnect Dr A K Gupta
  Docconnect Dr Brahm Vasudev
  Docconnect Dr GM Singh
  Docconnect Dr Jitendra Ingole
  Docconnect Dr. Kaberi Banerjee
  Docconnect Dr Monica Vasudev
  Docconnect Dr MC Gupta
  Docconnect Dr. Neelam Mohan
  Docconnect Dr. Naveen Dang
  Docconnect Dr Prabha Sanghi
  Docconnect Dr Prachi Garg
  Docconnect Rajat Bhatnagar
  Docconnect Dr Sudhir Gupta
 
    Lighter Side of Reading

An Inspirational Story
(Contributed by Dr Prachi Garg)

The Old Man and the Durian tree

An old man aged over 80 years old. He was planting a durian tree when he was observed by a neighbor. (A durian is a thorny fruit with a very pungent smell. It is known as the King of Fruits and is very popular in South East Asia)

The neighbor asked the old man "Do you expect to eat durian from that tree?" The durian tree will take about 8 to 10 years to bear fruit. The old man rested smilingly on his spade. He said "No, at my age I know I won’t. All my life I have been enjoying durians but never from a tree I have planted before. I wouldn’t have had durians if other men have not done have not done what I am doing now. I am just trying to pay the other men who planted durians for me." No wonder he is so happy.

We should be GIVERS first and GETTERS second in everything we do. We will not only get what we want but will actually be really happy in the end. Because we need to sow first before we can reap.

For whatever a man sows that and that only is what he will reap.

………………………………

Mind Teaser

Read this…………………

Why is half of 5 equal to 4?

Yesterday’s Mind Teaser: revirdtaes
Answer for Yesterday’s Mind Teaser: back seat driver

Correct answers received from: Dr Rakesh Bhasin, Dr Meera Rekhari Dr H.L. Kapoor, Dr Chandresh Jardosh, Dr Neelam Nath, Dr Anil Bairaria

Answer for 6th February Mind Teaser: Put ‘the past’ behind ‘you’
Correct answers received from: Dr Chandresh Jardosh, Dr Neelam Nath, Dr Rashmi Chhibber, Dr Raju Kuppusamy

Send your answer to ijcp12@gmail.com

………………………………

Laugh a While
(Contributed by Dr Chandresh Jardosh)

The world’s thinnest book has only one word written in it: "Everything"; and the book is titled: "What Women Want!"

………………………………

Knowledge is amusing

JOURNAL is a diary that tells about ‘Journey for a day’ during each Day’s business.

 
    Readers Responses
  1. To The Editor, Emedinews, Sir, a doctor has been dismissed at AIIMS on being charged for molesting an eight year old boy who had a Brain surgery, just 5 days ago. May be health minister is right, may be all the media is always on the lookout to depict Doctors as the worst villains in this land. Is the story believable? Maybe not, maybe yes. But a senior resident in a research hospital is not so senior for the average patient. It may/may not apply to this case but patients get an opium high in bullying/fault finding in doctors. This applies more to the lower income group of patients. We cannot take any blackmailing tactics, reverse exploitation etc. Make the patient and relatives an equal party responsible for treatment, be as transparent to the point of catching a cold, otherwise nobody can save us from being labeled bad despite the best efforts put in by us after years of hard work. Sorry there is no place for poverty pornography, because we are not doing page 3 charities. Dr. Neelam Nath, New Delhi
 
    Public Forum

(Press Release for use by the newspapers)

Rise in blood pressure during mental stress is a strong predictor of plaque progression.

Rise in blood pressure during mental stress is a strong predictor of plaque progression, said Senior Consultant Moolchand Medcity and President Heart Care Foundation of India Dr. KK Aggarwal, Padma Shri & Dr. B.C. Roy National Awardee.

Therefore, in every patient with carotid plaques, mental stress test should be done and if positive, these patients should be put on plaque stabilizing drugs. If the plaque is stabilized, one can reduce the chances of heart attack and paralysis.

Presence of plaque in the neck artery in asymptomatic person is highly indicative of a future heart attack or paralysis. Plaque can be measured by using high resolution ultrasound in any echocardiography laboratory. Plaque progress along the neck artery 2.4 times faster than they thicken.

 
    Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

Workshop on Fetal and Paedatric Echocardiography Pre and perinatal management of heart disease

13th February 2011, Sunday, Moolchand Medcity

  1. Fetal Echocardiography–How to get it right: Dr Vandana Chaddha
  2. Fetal Cardiac Spectrum– abnormal cases with interactive session: Dr Vandana Chaddha
  3. Neonatal Cardiac Cases– Hits and misses inetractive session: Dr Savitri Srivastava
  4. Intima Media Thickness and Plaque Volume, New Marker for Atherosclerosis Regression: Dr KK Aggarwal

8th World Fellowship for Religions and the 11th Perfect Health Parade

Sunday 2nd April 2011., Maulana Azad Medical College Dilli Gate, New Delhi, Time: 8 am to 6 pm

An annual event by WFR and Heart Care Foundation of India and eMedinewS to earmark WHO day

Conference on Global warming and ethnic crises involving all pathies and all religions. This is will be a daylong conference to be held at Maulana Azad Medical College, which will have panel discussions on above topics. The 6–8 hr conference will have two sessions firstly involving the religious scholaras and secondly involving the medical experts from all pathies.

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