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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


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  Editorial …

12th August 2011, Friday

From Rakshabandhan to Janmashtami – A Spiritual Yagna

India is a land of diverse faith and myriad cultures. The festival of Rakhi, though rooted in mythology and ancient Indian history, has not really been understood for what it actually represents. We recognize Rakhi as a celebration of the bond of love between a brother and a sister. But how many of us have actually thought about what this tie entails?

First and foremost, Rakhi is synonymous with purity of the relationship and purity of the self and consequently of the soul. It is not merely a thread tied on the brother’s wrist by the sister whereby the brother pledges to protect her from any worldly harm. In a broader spectrum, it is a chance to free oneself from one’s internal enemies – the vices. A man is pulled down by his negative energies and the festival of Rakhi gives him a chance to retrospect and pull out of that dark side.

This multi colored thread with multiple decorations and motifs is tied not necessarily only by one’s sister, but can be tied by any woman who shares a platonic relationship with a man. There is a complete absence of a physical relationship and has no age or space barriers between the two connected by this sacred thread. Simultaneously, it is absurd to think that a mere child or one who stays miles away would be able to offer protection to his ‘rakhi’ sister. The issue which is of prime importance here is the bond of spiritual love established between two individuals of the opposite sex.

Eight days after Rakhi, we celebrate Janmashtami. The sacred thread tied during Raksha Bandhan connects us to Janmashtami, when we celebrate the birth of Lord Krishna. In this period of eight days between ‘Purnima’ and ‘Ashtami’ we get a chance of cleansing and purifying our soul and subsequently being reborn again.

This seven–day period, symbolic of the time taken for creation of the world by God can be likened to a recreation of the self by us. This period is to be seen as a time for penance when all negativism is purged to achieve the level of pure spirit. Needless to say, all forms of ‘spiritual downers’ should be abstained from, so that a free communion, free from all hindrances, with the soul is made possible. In fact, an ideal gift to one’s sister can be the shedding of a strong vice in that person.

The message of Rakshabandhan is that of love and purity. We can see it as a thread tied on behalf of God to set us on Godly ways. The initial representation of Rakhi as a pledge to protect the sister and her right to be protected by the brother has gained wide propagation due to the fact that in Indian history and mythology there have been instances when this facet of tying a thread on a man’s wrist has been highlighted. Rani Padmavati sent a rakhi to a Muslim king to ask for help when she was besieged by enemies. In the realm of the Gods, we have Indrani tying a rakhi on Lord Indra. There is also the tradition of tying rakhi by a Brahmin to a Yajman.

The connection between Rakshabandhan and Janmashtami is highlighted keeping in view the spiritual aspect of man’s life, which is the ladder that helps him to achieve oneness with God.

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From Rakshabandhan to Janmashtami – A Spiritual Yagna

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    Photo Feature (From HCFI Photo Gallery)

National Conference on Insight on
Medico Legal Issue

Ms Priya Hingorani (Advocate) presenting her views in the National Conference on Insight on Medicoleagl Issues held on 10th July, 2011..

Dr K K Aggarwal
    National News

National Conference on Insight on Medico Legal Issues – For the First time any conference was posted live on Facebook – Twitter


Planning rail tour? Get doc’s certificate first

MUMBAI: Railway travel may change forever for India’s elderly. The Indian Railway Catering and Tourism Corporation (IRCTC) is likely to make it mandatory for every traveller above 70 years of age to have a companion for its package tours. Those in the 60–70–year age group may have to carry a medical certificate from a physician saying they are fit for the journey and are carrying all medicines required during any emergency. The undertaking must be approved by a qualified doctor, besides explicitly declaring that IRCTC should not be held responsible for his/her medical health.

(Source: TOI, Aug 10, 2011)

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

    International News

(Dr Monica and Brahm Vasudev)

IVF results no better with aspirin

Taken as a whole, the evidence does not support the use of low–dose aspirin to improve in vitro fertilization outcomes, a Cochrane review showed. In a review of 13 randomized controlled trials, low–dose aspirin did not improve the live birth rate or any of the secondary outcomes examined, Charalambos Siristatidis, MD, of the University of Athens in Greece, and colleagues reported.

(Source: Medpage Today)

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Don’t take chances with heat illness, CDC Warns

The lingering high–risk conditions for heat illness mandate special precautions for athletes and fitness enthusiasts, the CDC has warned in a public advisory. Taking steps to prevent heat illness and recognizing and responding quickly to the signs of heat–related illness afford the best protection against potentially fatal exposures to heat and humidity. "Any athlete dying from heat is a tragedy that can be prevented," Robin Ikeda, MD, of the CDC’s noncommunicable diseases and environmental health section, said in a statement. "Coaches, parents, teachers, and athletes should educate themselves on how to recognize and prevent heat–related illness." The unprecedented heat wave that has affected much of the United States has led to a mounting toll of heat–related illness and death.

(Source: Medpage Today)

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Sentinel Nodes Reliable in Head and Neck Melanoma

Sentinel lymph node biopsy for head and neck melanomas appears both prognostic and safe despite debate on both counts, researchers argued. A positive sentinel lymph node finding was the single most predictive factor for a poor outcome, with hazard ratios of 4.23 for recurrence or death and 3.33 for all–cause mortality (both P<0.0001), Carol R. Bradford, MD, of the University of Michigan Health System in Ann Arbor, and colleagues found.

(Source: Medpage Today)

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   Fitness Update

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

National Prevention Strategy

The U.S. Department of Health and Human Services (HHS) recently announced the National Prevention Strategy, an effort to engage the country in preventing illness before it starts, instead of treating it. "This is the first time we've ever had this sort of commitment from high–level government. We are now focusing on trying to change our system from a system of sickness and disease to a system of wellness and prevention," U.S. Surgeon General Regina Benjamin said in late June.

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   Twitter of the Day

@DrKKAggarwal: # emedinewS Spiritual Update Relieve stress by changing the interpretation Stress is the reaction of the body… http://fb.me/JbCnxNrg

@DeepakChopra: #CosmicConsciousness Chance necessity purpose & experimentation with possibility, in the midst of uncertainty are the essence of creativity

    Dr KK Answers

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

What is the approach to high homocysteine levels in type 2 diabetes?

Folic acid supplementation decreases homocysteine (Hcy) levels in diabetics on metformin treatment, according to a study published in the journal Diabetes Research and Clinical Practice. The study found that eight weeks of 5 mg folic acid supplementation led to a significant decrease in levels of insulin, HOMA–IR, and HbA1c (16.2%, 20.5%, and 7.5%, respectively). There was also a substantial 21.2% drop in Hcy levels and a 7.5% reduction in FBG in the FA group when compared to the placebo group.

For comments and archives

    Spiritual Update

Can the fetus in the womb listen?

There is a lot of research in modern medicine, which suggests that we should give a nickname to our child before he or she is born, talk to the baby and make the baby listen to the music.

For comments and archives

    An Inspirational Story

(Ms Ritu Sinha)

Make New Friends

Need to know how to make new friends? Having trouble making new friends? Well these little bits of advice I got off a friendship card will certainly give you a few tips on making new friends. Keep these in mind as you go out and soon you will lots of new TRUE friends. Good Luck!

  1. Don’t worry about knowing people, just make yourself worth knowing.
  2. Be friendly with the folks you know. If it weren’t for them you would be a total stranger.
  3. Friends are those who speak to you after others don’t.
  4. The reason a dog has so many friends is that he wags his tail and not his tongue.
  5. The way to have friends is to be willing to lose some arguments.
  6. Deal with other’s faults as gently as if they were your own.
  7. A friend is a person who can step on your toes without messing your shine.
  8. You will never have a friend if you must have one without faults.
  9. You can make more friends by being interested in them than trying to have them be interested in you.
  10. A real friend is a person who, when you’ve made a fool of yourself, lets you forget it.
  11. A friend is a person who listens attentively while you say nothing.
  12. A friend is someone who thinks you're a good egg even though you're slightly cracked.

…and most important…A friend is a treasure!

For comments and archives

    Pediatric Update

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

What are the recommendations for post exposure prophylaxis for contacts with a known HBsAg positive case?

Most guidelines suggest the following:

  • No treatment
  • Patient has not yet completed second 3–dose series
    • Hepatitis B immunoglobulin (HBIG) 0.06 ml/kg and
    • Hepatitis B vaccine (complete second 3–dose series)
  • Patient has completed two prior 3–dose series
    • Hepatitis B immunoglobulin (HBIG) 0.06 ml/kg
  • Test for antibody to HBsAg
  • Adequate antibody (HBsAg Positive): No treatment
  • Inadequate antibody (HBsAg Negative)
    • Hepatitis B immunoglobulin (HBIG) 0.06 ml/kg and
    • Hepatitis B vaccine booster dose
  1. If the exposed person is unvaccinated:
    • Hepatitis B immunoglobulin (HBIG) 0.06 ml/kg and
    • Hepatitis B vaccine 3 doses should be given
  2. Exposed patient with known response to vaccine
  3. Exposed patient with known failed response to vaccine
  4. Exposed patient with unknown response to vaccine

For comments and archives

    Infertility Update

(Dr. Kaberi Banerjee, Infertility and IVF Specialist)

What advice do you have for young women to prevent possible future fertility problems?

Sexually transmitted diseases (STDs) can be a major cause of future infertility, so young women should ALWAYS have protected sex. Also, women should consult with their Ob/Gyn if they have irregular menstrual cycles or have painful periods or ovulation. If your doctor is dismissive and does not offer to find a cause and solution to your problems, find a physician who will. Unfortunately, many couples’ biggest barrier to conception is an Ob/Gyn who is unfamiliar with the latest technology to treat the causes of infertility even though the woman may not presently be trying to conceive.

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    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Levels of total cholesterol, LDL and apolipoprotein B, increase significantly in women at the time of menopause thus increasing the risk factors for coronary heart disease.

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    IJCP Special

Dr Good Dr Bad

Situation: A patient with pneumonia came with mild breathlessness.
Dr Good: Admit in ward.
Dr Bad: Admit in ICU.
Lesson: The 2007 IDSA/ATS consensus guidelines identified two major criteria for direct admission to an intensive care unit: septic shock requiring vasopressor support and requirement for mechanical ventilation. The presence of either criterion requires ICU care. (Clin Infect Dis 2007; 44 Suppl 2:S27).

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Make Sure

Situation: An elderly patient with unstable angina presented with URTI and was found to be positive for Chlamydia pneumoniae infection.
Reaction: Remember to start macrolides immediately.
Lesson: Make sure to remember that erythromycin 2 g/day for 10–14 days reverses the increased risk of atherosclerosis.

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    Gyne Update

(Dr Maninder Ahuja, Secretary General IMS)

Weight loss with exercise best regimen for obese older adults

Weight loss alone or exercise alone improve physical function and ameliorate frailty in obese older adults. However, a combination of weight loss and exercise provides greater benefit than either intervention alone.
In a study, Patients were randomly assigned to a control, weight–management (diet), exercise, or weight–management–plus–exercise (diet–exercise) group. The primary outcome was the change in the score on the modified Physical Performance Test, a measure of frailty. Secondary outcomes included other measures of frailty, body composition, and quality of life. The mean scores on the Physical Performance Test increased more in the diet–exercise group (21%) than in the diet (12%) or exercise group (15%); control group scores increased by 1%. The peak oxygen consumption improved more in the diet–exercise group (17%) than in the diet (10%) or exercise group (8%). The score on the Functional Status Questionnaire increased more in the diet–exercise group (10%) than in the diet group (4%). Body weight decreased by 10% in the diet group and by 9% in the diet–exercise group.

Obesity exacerbates the age–related decline in physical function and causes frailty in older adults. Frailty is an important problem in older patients because it leads to loss of independence and increased morbidity and mortality.

(As reported in N Engl J Med 2011;364(13):1218–29).

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  Quote of the Day

(Dr GM Singh)

Every good thought you think is contributing its share to the ultimate result of your life. Grenville Kleiser


(Ms Ritu Sinha)

Don’t count your chickens before they hatch: Don’t rely on it until you’re sure of it.

    Medicolegal Update

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

Collection of blood sample in a medicolegal case

  • If the blood sample is collected to measure alcohol content, clean the site of injection with saline swab and not a spirit swab.
  • EDTA should be used as anticoagulant. Tubes with liquid EDTA/fluoride reduce the risk of hemolysis which may alter results.
  • Draw about 3–4 ml of blood sample into chemically clean evacuated tubes of 5ml. Use labels with identification codes to mark the tubes. EDTA should be used as an anticoagulant. Tubes with liquid EDTA/fluoride reduce the risk of hemolysis that may change results.
  • Add 2ml of 5% aqueous solution of sodium citrate containing 0.2% w/v of formaldehyde or 0.5% w/v of formalin solution to prevent decomposition, which may alter results.
  • Plastic vacuum tubes/Plastic vacuum gel tubes are preferred to glass tubes. If vacuum tubes are not available or tubes are opened for freely flowing samples, stoppers which do not react with blood constituents should be available.
  • Special boxes for tube transfer and storage, earmarked refrigerator/freezer must be available in hospital dealing with medicolegal cases.
  • Two, approximately 1cm × 1cm size, blood stains are formed on clean cotton cloth/gauze pieces and, after they are dry, they are transferred to a sterile 10ml injection vial. It should be properly dried, before packing to avoid decomposition and then sealed and labeled.
  • Bloodstains located on the body of an uninjured person are taken by rubbing with moistened clean cotton cloth pieces, it should be properly dried, before packing to avoid decomposition and then sealed and labeled.

For comments and archives

    Mind Teaser

Read this…………………

habirdnd = bu2sh

Yesterday’s Mind Teaser: i i dark

Answer for yesterday’s Mind Teaser: Dark under the eyes

Correct answers received from: Dr (Maj. Gen.) Anil Bairaria, Dr Chandresh Jardosh,
Dr Muthumperumal Thirumalpillai, Dr K Raju, Dr Neelam Nath, Dr Anupam, Dr Priya, Dr Shreysh.

Answer for 10th August Mind Teaser: 1. Medullary carcinoma of thyroid
Correct answers received from: Dr Nayan, Dr Madhulika Sharma, Dr Anil kumar Jain, Dr Valluri Ramarao, Dr Ragavan, Dr Anurag Julka.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr Chandresh Jardosh)

Once upon a time there was a loving couple. They were both poets and for some strange reason when they had a fight, it was very poetic. Here is a sample of an exchange between the two:

I wrote your name on sand, it was washed away.
I wrote your name in air, it was blown away.
Then I wrote your name on my heart & I got Heart Attack.

God saw me hungry, he created pizza.
He saw me thirsty, he created Pepsi.
He saw me in the dark, he created light.
He saw me without problems, he created YOU.

For comments and archives

    Drug Update

List of Approved Drug From 01–01–2011 to 30–06–2011

Drug Name
DCI Approval Date
Aspirin (EC Tablets) 75mg/75mg/150mg + Rosuvastatin (Granules) 5mg/10mg/10mg Capsules
For the treatment of dyslipidemia associated with atherosclerotic arterial disease with risk of myocardial infarction, stroke or peripheral vascular disease.
    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Gift your sister a Health Package on this Raksha Bandhan

Traditionally, we recognise Raksha Bandhan as a bond of love between a brother and a sister. Rakhi is synonymous with purity of the relationship. The tying of the rakhi also denotes the brother’s vow to protect his sister. Give your sister the precious gift of good health on Raksha Bandhan. Gift her a Health Check Up Package, said Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

Share love not sweets. Sweets are rich in trans fats and refined carbohydrates. Trans fats increase LDL or the bad cholesterol and lower HDL or the healthy cholesterol and increase the risk for diseases like heart attack, Dr Aggarwal further added. Sweets that are made of hydrogenated fats are rich in trans fats.

Also, do not gift chocolates as they are rich in sugar and saturated fats. They can be harmful to your health. Chocolates can increase the chances of fatty liver, abdominal obesity and metabolic syndrome.

Give dry fruits, gur chana, sattu, fruits instead of sweets, chocolates and cookies.

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    Readers Responses
  1. Dear Sir your editorial on Do not smoke the 1st cigarette in the first hour of waking is very informative. Dr Sudha
    Forthcoming Events

September 30th to October 2nd, 2011, Worldcon 2011 – XVI World Congress of Cardiology, Echocardiography & Allied Imaging Techniques at The Leela Kempinski, Gurgaon (Delhi NCR), INDIA

from Sept 29, 2011: A unique & highly educative Pre–Conference CME, International & National Icons in the field of Cardiology & Echocardiography will form the teaching faculty.



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