Address: 39 Daryacha, Hauz Khas Village, New Delhi, India. e-Mail: drkk@ijcp.com , Website: www.ijcpgroup.com

Dr K K Aggarwal

Dr KK Aggarwal
Dr BC Roy Awardee
Sr Physician and Cardiologist,
Moolchand Medcity
President, Heart Care
Foundation of India
Gp Editor-in-Chief,
IJCP Group
Delhi Medical Council
Director, IMA AKN Sinha Institute (08-09)



emedinews is now available online on www.emedinews.in and www.emedinews.org

 12th January Tuesday 2010

 Dear Colleague,


Lohri: Adieu to Winters: "TIL TADAKE; DIN JHATAKE"


Means 'Good bye to Til or Sesame', (which is used excessively in winters) and 'welcome to longer days' (which signify the dawn of summer)


Lohri the festival of bonfire falls on 13th January. The earth, farthest from the sun at this point of time, starts its journey towards the sun, thus ending the coldest month of the year, Paush, and announcing the start of the month of Magh and the auspicious period of Uttarayan - January 14 to July 14 ("Uttar" North and "ayan" movement towards). Uttarayana is considered to be the holiest half of the year. In Bhagavad Gita, the Lord says, "I am Uttarayana among the ayanas."


Unlike other Indian festivals, Lohri reflects less of religion than culture. It is more a heritage of the agrarian Indian society than a felicitation of some Indian God.


Lohri is also the time to  say good bye to winter foods. The lohri ritual starts at sunset when people circle around (parikrama) the bonfire and throw puffed rice, popcorn and other munchies into the fire, shouting "Aadar aye dilather jaye" (May honor come and poverty vanish!). This slogan coincides with the start of the harvesting season in North India.


After the parikrama, people exchange greetings and gifts, and distribute prasad comprising of five items: til, gajak, jaggery, peanuts, and popcorn followed by the traditional dinner of makki-ki-roti (multi-millet hand-rolled bread) and sarson-ka-saag (cooked mustard herbs). Eating of til (sesame of seeds) and rorhi (jaggery) is considered to be essential on this day.


Lohri therefore is the last day of eating heat producing winter foods. This is what the ritual of throwing these items in the bonfire is. It also signifies that from the day of lohri these items are for worship and to be taken in small amount like a prasadam and not as major part of the meals.


The bonfire or the artificial source of heat, to many, is embarked with festivity and supposedly the last need for heat for the season after which the warmth would come from the sun most naturally.


As per ayurveda the six months of Uttarayana( AdanaDry Season) consists of Sisira, Vasanta and  Grisma periods (Late winter, spring, summer). Bitter, pungent and astringent tastes are dominant in the soil. During the late winter chances of asthmatic attacks, vata imbalance, dryness of the body etc are more.  During full moon in this period there occur maximum chances of vata emergencies liken heart attacks and stroke.


The Daksinayana  (6 months, Visarga – Wet Season) consists of Varsa, Sarad, Hemanta ( Rainy, autumn, early winter). Sweet, sour, salt tastes are dominant in the soil.


Early (wet ) vs late (Dry) winter

Winter therefore can be divided into wet and dry winter. Wet winter is characterized by fall in temperature along with high humidity. Environmentally, one observes fog and smog during this season. Dry or late winter on the other hand is characterized by absence of fog, smog and presence of chilly airy winds.


Most of the hypothermia illnesses will occur in dry late winter. The transition phase between wet and dry winter is on Lohri. In terms of Ayurveda, it means shifting from Kapha to Vata atmosphere. The onset of dry winter is also the time for accelerated movement disorders in the body. Accelerated hypertension, arrhythmias, PAT, brain hemorrhage, heart attack etc. all occur at the start of dry late winter.


Unpublished compilation of data has also shown that maximum temporary pacemakers are also put during this season. The correct lifestyle in this season is defined in Ayurveda and it involves reducing consumption of stringent, bitter and pungent foods.



Chief Editor

Dr KK Aggarwal




Balaglitazone trial encouraging, says Dr Reddy's
Dr Reddy's Lab announced its three phase trials of balaglitazone, an insulin sensitizer to treat diabetes. It succeeded in reducing HbA1c or glycoslated hemoglobin that shows the glucose level in blood. The trial was carried out with Rheoscience, a subsidiary of Nordic Bioscience. The drug also showed its efficacy on edema, fasting plasma glucose and weight gain. It was conducted on 409 patients over 26 weeks. In preclinical studies, balaglitazone also reduced edema and weight gain by lowering fat accumulation.

Although statin therapy is effective at lowering low-density lipoprotein (LDL) cholesterol levels, it has no effect on high-density lipoprotein (HDL) cholesterol levels. Nearly 50 percent of new statin users may require additional therapy to achieve optimal lipid levels, according to a study in the Dec. 15 issue of the American Journal of Cardiology

Bacteria make the Artificial Blood Vessels of the Future: The cellulose produced by bacteria could be used for artificial blood vessels in the future as it carries a lower risk of blood clots than the synthetic materials currently used for bypass operations, reveals a thesis from the Sahlgrenska Academy at the University of Gothenburg, Sweden. [Dr Vivek chhabra]

Dr Good Dr  Bad:
Situation: A patient was not responding to amlodipine 5 mg.
Dr Bad: I will increase the dose
Dr Good: Switch to other drug.
Lesson: A patient who is relatively unresponsive to one drug has almost a 50% likelihood of becoming normotensive on a second drug. Thus, in a patient who has little or no fall in BP after an adequate dose of drug 1, switching to (rather than adding) drug 2 and, if this is ineffective, switching to drug 3 may allow 70-80% of patients with mild hypertension to be controlled with a single agent. [Arch Intern Med 1995;155:1757.]

Make Sure:
Situation: Patient with uncomplicated gonorrhea was not responding.
Reaction: Oh My God! Why did I advise ampicillin to this patient
Mkae sure to know that cure can be elicited by administering oral doxycycline to patients with uncomplicated gonorrhoea.

Mile Stone:
Linda B Buck is an American biologist best known for her work on the olfactory system. She and Richard Axel won the 2004 Nobel Prize in Physiology or Medicine for their work on olfactory receptors.

Laughter the best medicine
Do you mind telling me why you ran away from the operating room? the hospital administrator asked the patient.
"Because the nurse said, "Don't be afraid! An appendectomy is quite simple."
"So?" exclaimed the man. "She was talking to the doctor!!!!"

Mnemonic to Know
Ejection Systolic Murmurs: SAPS:

Quote: He who refuses to embrace a unique opportunity loses the prize as surely as if he had failed.[William James]

Emedinews Try This: It works: Float the medicine right down
Because pills have a tendency to float,  have the patient place a capsule in the mouth, take a mouthful of water, look down and swallow. Usually the capsule floats to the back of the throat and can be effortlessly swallowed without gagging.

Conference Calendar
53rd All India Congress of Obstetrics and Gynecology
January 19-22, 2010
Venue: Guwahati, Assam

62nd Annual National Conference of Indian Psychiatric Society
January 17-20, 2010
Venue: B.M. Convention Center, Jaipur

Formula to know
VLDL cholesterol = Triglycerides /5

Manage your time
The shortest way to do many things is to do only one thing at a time. [Sir Richard Cecil]

FDA approves higher-dose flu vaccine for older adults
The US FDA approved Fluzone High-Dose, an inactivated influenza virus vaccine manufactured by Sanofi Pasteur on December 23, 2009. The vaccine is indicated for use in persons aged 65 years and older for the prevention of disease caused by influenza virus subtypes A and B. Fluzone High-Dose promoted an enhanced immune response in comparative clinical studies with Fluzone in older individuals. The manufacturer is required to conduct further studies to verify that Fluzone High Dose will decrease the occurrence of seasonal influenza disease after vaccination. Fluzone High-Dose is administered as a single injection in the upper arm and is available in single-dose prefilled syringes without preservative. 

Can a stethoscope be replaced by a mobile phone? Yes! The Independent reports that the stethoscope could soon be replaced by the humdrum mobile phone. Peter J Bentley, a computer scientist at University College, London who wrote a program that turns an Apple iPhone into a stethoscope has made a major advance in medical technology and created a sensation among heart specialists. The application, called iStethoscope, was developed as a "bit of fun", and has become a runaway success after being downloaded millions of times by users across the world. [Dr Vivek Chhabra]

Punjab & Sind
Punjab & Sind Bank
Coca cola 
 Central Bank of India

(Advitorial section)

 SODIUM  META SILICATE: A Pioneer Immunity Booster
Emedinews, Revisiting 2009, conference on January 10th, 2010 saw the Launching of ZENIMMUNE POWER ( As Sodium Meta Silicate )  and other range of Quality Products  from Nuspera International Inc.USA. Aluminum Toxicity and it,s Effects on Human Body have been Widely Discussed during the Conference and the Role of Silicic Acid as Sodium Meta Silicate was Emphasised upon. Silicic Acid is a known Advanced Scientific Health Formula ( ASHF ) endorsed by the Food and Agriculture Department in USA and is Recommended to be used as a part of routine Dietary Supplementation. Apart from it,s role in Eliminiating Aluminum from our Body, Silicic acid is a Strong Immunity Booster, a Revitaliser, and known to help in reducing the Levels of LDL and VLDL , Increasing HDL Levels.Various Clinical Studies have proved,that Sodium Meta Silicate should now be a part of our Daily Health Supplementation Schedule. Being an ASHF, it has gained a Status ,to be an Important dietary ingredient of the most popular dietary supplement in the US.

DocConnect, a community portal exclusively for medical professionals

DocConnect offers advanced tools for clinic management and with this interactive portal, Doctors can stay connected with each other and with their patient community at large. It also provides the members Customized Personal Web pages which highlight the Doctor's experience, his practice information and also enables online appointment requests for the patients.

HealthHiway (www.healthhiway.com) is the services infrastructure for the healthcare ecosystem to facilitate better collaboration and seamless information sharing between Providers, Insurance companies, Doctor Practices and other service organizations, for safer and enhanced patient care. 

Advertising in emedinews

emedinews is the first daily emedical newspaper of the country. One can advertise with a singe insertion or 30 insertions in a month. Contact drkk@ijcp.com. emedinews@gmail.com   

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 Letters to the editor

1. My hearty congratulations on conducting Revisiting 09 so nicely, every lecture within the time frame! Dr. A. P. Bhatia (9811636096, Consultant Physician, East Delhi)
2.Thanks a lot KK. I really appreciate the efforts taken by you to update us individually through web cam conference. It was a great success. With regards, Dr Anil Satwik
3. Dear Dr.KK Agarwal, Sir,I would like to congratulate you & your team for pthe wonderful day on 10/01. I am sure many like me,senior doctors,would have learnt newer managements in the varied subjects & benefited by it.your daily medical news magazine is also highly informative.Thank you once again for allowing us to participate.  dr.jayashri kurup
4. Dear KK, the emedinews revisited on 10th Jan at MAMC was an excellent programme. Notably Drs Vanita Arora, Kripalani, NK Bhatia and others really prepared their lectures well and worth the time spent by us. I congratulate you on ur efforts. Keep it up. In the words of NKB you are Ved Vyasa of Medicine today, the amount of knowledge you are disseminating is commendable. KKArora
5. Sir,  I could not attend conference as its date clashed with APICON 2010. Please ensure that next time it does nt happen. Ramnik Duggal
6. Dear Sir,Thanks for the news about diabetics having cognitve difficulty.My mother is a case of  longstanding NIDDM ,is on oral hypoglycemics.For the last few years ,she has been observed to have redced cognitive ability.I would start her on statins after getting her CRP done.Regards,DR.Savera
7. Just one apple a day cuts risk of bowel cancer: Eating just one apple a day could reduce the risks of bowel cancer by more than a third, say scientists. Research shows that apples appear to have a powerful anti-cancer effect, even for people whose diet is low in other fruit and vegetables. Although it has long been believed that a wide range of fresh foods are needed to protect against cancer, the most recent study - by Polish researchers - suggests that apples provide most, if not all, of the benefit. Dr Vivek Chhabra
8. Dear Dr. K.K.,I must thank you for having organized a day long CME session which was attended by a very large number of doctors.  The Speakers were very eminent and their views were also very interesting and educative.  We learned a lot beside enjoying the evening hospitality of cultural programme and other activities. I am sure with the zeal which you have, the doctors will have manymore such CME prigrammes durirng the year.Keep doing the good work and we wish you good luck, good health and vigour throughout. Thanks once again. Ashok Ahooja and Dr. Asha Ahooja
9. Dear Dr KK,I must congratulate you on the conference quality and concept held at MAMC yesterday, Well Done! Dr Anuj Dogra MS, MCh(Lpool), FRCS(Orth)
10. I compliment you on a well organised conference. This was the general feed back from other doctors also. Our talk on lasik generated an overwhelming response. i would be nice if you could give a brief comment on SBK as the latest lasik procedure in your post conference review with mention of my add ress and phone number. Dr Sanjay Chaudhary

Eye care snippets by Dr. Narendra Kumar (OptometryToday@gmail.com): EYE EXAMINATION

The eye is a part of the body and is connected with the brain. Diseases affecting the central nervous system may affect the eyes. Diseases affecting the blood vessels of the body may affect the blood vessels of the eye. If the skin of the face is diseased, the skin of the eyelids as also the cornea may get affected.  Likewise diabetes, hypertension, poisons and toxins etc. also have ocular complications.

Examination of the eyes can be divided into

(i) objective examination and
(ii) subjective examination.

The simple battery torch can be employed as a useful instrument to examine the anterior portion of eyes objectively. Each eye is examined separately by having a close look at its various parts. Any swelling  of  the lids, generalized or localized; sticky discharge or crust at the base of eyelashes; inward turning of eyelashes; inability of the lids to close fully; and the partial or complete drooping of the upper lid, are looked for. Likewise conjunctiva lining both the inner side of the lids and the outer side of sclera is examined for the presence of inflammation, nodules, dry patch, and hemorrhage. Cornea is looked at for opacity, ulcer and foreign body.  Size, shape and reaction of the pupil to light are noticed.  Punctal opening of the sac is examined for any blockage. Rough estimation of tension is done by palpating the eye with fingers. Eye movements in various directions are noted.  Any disparity is noticed in the size of the palpebral apertures of the two eyes, and between the size of the two pupils.  Also to be noted is the position of the head.

Patient's general health should be noted and s/he should be asked if s/he suffers from any organic disease especially diabetes and/or high blood pressure.

His/her specific complaint should be asked as also his/her specific requirements. His/her nature of work, occupation, reading habits, and work surroundings should be ascertained.

Till such time when an eye disease has been excluded, correction of the error of refraction should not be done.  This is important as otherwise the necessary treatment of the underlying disease gets neglected and postponed, which in some cases  might lead  to irreparable damage. Moreover, in the presence of an ocular disease improvement in vision with glasses may at times be not possible at all.

All this is done as a matter of routine, and when it becomes a routine it takes far less time than what it may appear from the present discussion. 

The purpose of this snippet is to stress upon the importance of the matter. When any pathological condition is detected, the patient should be advised accordingly or referred for expert opinion.

If no disease is noticed, further tests are done to estimate the correct error of refraction and the optical treatment undertaken. This comes under subjective examination, and consists of the testing of vision, field of vision and colour vision.





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