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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 …

13th June 2011, Monday                                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

Science behind 10 incarnations of Lord Vishnu and the current anti–corruption movement

As stated by Advaita (Non–dualism) philosophy, God is within us and therefore we all need to acquire the qualities of the 10 incarnations of Lord Vishnu to become a perfect person. These 10 incarnations also tell us about the 10 levels of awareness a person can have. Lord Vishnu is known as preserver of the universe and all his 10 incarnations teach us the principles of ‘doing’ in order to become a perfect human being.

The 10 Avtars of Lord Vishnu (Dashavtars) are as: Fish (Matsya Avtar); the Tortoise (Kurma Avtar); Boar (Varaha Avtar); Man–lion (Narsingha Avtar); Dwarf (Vaman Avtar); Parshuram Avtar, Rama Avtar, Krishna Avtar and, Buddha Avtar. The tenth, Kalki Avtar is yet to come.

All these incarnations have a scientific logic.

  1. To become a perfect human being, the first quality one should acquire is that of a ‘fish’. A fish can swim against the stride which indicates that one should acquire the quality of taking independent decisions and not just follow what others say. One should not believe in mass imitation or ‘bhedcha’l and instead learn to be different from others. This principle is taught in medical teaching too that when a patient comes to you, don’t believe in the previous diagnosis but think afresh. The fish also teaches us to reverse our path in life and go back to the basics and the origin.
  2. The second quality one should acquire is that of ‘tortoise’. This has been well described in Bhagwad Gita in chapter 2 and in Srimad Bhagwad under Samundra Manthan and advocates learning the quality of ‘when to say no’ and ‘when to withdraw completely from a situation’. It is well–known that a tortoise withdraws all his four limbs, head and tail whenever he anticipates fear.
  3. The third quality to be acquired is that of ‘Boar’, who has the quality of not accepting defeat, even at the cost of his life. It talks about principles of persistence. In continuation with the first two Avtars, it means that once one has learned the qualities of taking independent decisions and when to withdraw, one should not ‘withdraw’ permanently. The Boar quality in a person means that the person should wait for the right opportunity and resume his commitment like a Boar till he achieves his goals.
  4. The next quality to be acquired is that of ‘Narsingh’ who showed that nothing is impossible on earth. That means while you are persistent in your efforts, you should follow the conviction that everything is possible on this earth. The Narsingh Avtar showed the same and found solutions to break every boon bestowed on Hiranyakashyapa.
  5. The qualities of ‘Vaman’, which are to learn qualities of Saam, Daam, Dand and Bhed i.e. to learn the art of tactics come next. Vaman (Dwarf God) used his tactics to win over Bali.
  6. Once these qualities have been acquired, one is now fit to fight for the right principles and that is when you acquire the quality of ‘Parshuram’ who was a terror for evil kings. This is also equivalent to persistently fighting with the system, leaders, politicians, king and rulers.
  7. Once you have done that you are now fit to rule the system, the righteous way i.e. to acquire all the qualities of ‘Rama’.
  8. Once you have learnt the qualities of a ruler, you should also learn the tactics used by a ruler as possessed by the next incarnation ‘Lord Krishna’
  9. The qualities of a ruler are incomplete unless one has also learnt the qualities of a preacher or a teacher and these can be learned from the incarnation of ‘Lord Buddha’. Lord Buddha depicts the humanitarian, spiritual aspects of a ruler and explains the concept that the main purpose of a ruler is to remove the sufferings of the society.
  10. The tenth incarnation of Lord Vishnu, ‘Kalki’ is yet to come and most leaders of today are trying to compete for the same. The tenth incarnation during Kalyuga will be a person who will be perfect in the above nine characteristics and will be regarded by the society as God.

In the recent past, many people have been considered with God–like qualities. A few examples are that of Maharashi Mahesh Yogi, Swami Chinmayananda, Bhagwan Rajnish, Bhagwan Sathya Sai Baba, Mahatma Gandhi, Anna Hazare and Swami Ramdev. All of them possessed some features of the nine incarnations of lord Vishnu.

Let us take the example of Swami Ramdev, the latest in the list. He shows that he possesses the quality of a fish (took an independent and a reverse government view); of tortoise (he withdrew from Ramlila Grounds at night in the disguise of female); of boar (he persisted in his agitation even after) and of Narsingh Avtar (he is trying to win an impossible agitation).

However, he probably lacks the other qualities of Vishnu. As per Anna Hazare media statement, he is weak in his tactics, though like ‘Parshuram’ he is fighting against the evil rulers and the government. Also, in today’s scenario one would not like to equate him as having the qualities of Rama, Krishna or Buddha. He has no reputation of being a good ruler. Despite being a Sanyasi, his speech in the media lacks humility, compassion and love. His language is full of criticism, complaints, and condemning, qualities unheard of in Rama, Krishna or Buddha. He is one person who is trying to change the system, but with his efforts the system can change only up to a limit.

In terms of mythology we will have to wait for another Kalki Avtar from amongst us who will not only change the system but will also be accepted universally as a Godman and will satisfy all the nine qualities of incarnations of Lord Vishnu.

Swami Ramdev vs Anna Hazare

We, as medical professionals have closely watched two movements against corruption: one led by Anna Hazare and the other by Swami Ramdev. I had expressed earlier that we should have someone like Anna Hazare or Baba Ramdev in the medical profession too, who would be able to fight corruption in the medical system. Corruption in the medical profession is rampant and is increasing day by day and will continue to increase till the medical education system is changed with no capitation fee allowed.

Scientifically, both the movements led by Anna Hazare and Baba Ramdev were different from each other. Anna Hazare, an independent low–profile Gandhian philosopher started the anti corruption movement practically with no followers across the nation. He started the movement for a cause without spending any money. He acquired the goodwill and support of youth and the intellectuals all across the country to the extent that the government got a scare and tried to patch–up with him. He followed the ways of both Dharma and Righteousness.

On the contrary, Baba Ramdev created lot of hype before starting his movement, gathered momentum amongst his followers, most of who were from lower middle class, non youth population and spent crores of rupees for his proposed agitation. He started his Satyagraha on a false note cum permission at Ramlila Grounds, running a Yoga Shivir as a cover up.

When he began his agitation, he himself was alleged to be a controversial figure for having collected mammoth property and money in a short period of time and investments of his close followers in over 200 companies. In his agitation, media was with him by default and not with their soul. In his movement, Anna Hazare was also not with him. He was probably used as a chess pawn by the opposition parties.

But, one wrong move by the government reversed all the calculations. It united the opposition into one and united both Anna Hazare and Baba Ramdev, who till now were heading separate movements. Will this union bring about a new ‘Jaiprakash Narayan’ era and bring the combined opposition in the power in 2014, only time will tell.

Medically, the allopath medical system has never supported Baba Ramdev as he is one Yogacharya and Ayurvedacharya who has been commercializing and advertising his teaching. He is very well aware that commercialization and advertisements in any system of medicine is illegal. He has been buying his yoga slots on TV and advertising commercial pharma and herbal companies, establishments and products. He has been alleged to collect money in the disguise of donations. Many have been alleging that most of the donations he has received have been in cash and from the black money of the donors.

The medical profession may oppose Baba Ramdev as an Ayurvedic Yoga practitioner but will definitely support him for his anti–corruption movement.

We as medical professionals should not lag behind in supporting this movement provided the movement is righteous and does not end up with individual gains or ego clashes.

But at the same time, we should be cautious that some day in the future would not bring ‘Anna Hazare minded’ people who have their own agendas.

Dr KK Aggarwal
Editor in Chief
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    Changing Practice – Evidence which has changed practice in last one year

Treatment for solid tumor bone metastases

The new recommendation is to use an osteoclast inhibiting agent to reduce the risk of skeletal complications in patients with bone metastases from a wide variety of solid tumors, including breast and prostate cancer. For most patients who do not have multiple myeloma, start denosumab as the preferred agent (Grade 2A). (December 20, 2010)

  eMedinewS Audio PostCard

HIV Update

Dr Nalin Nag Speaks on
‘Investigations before initiating ART’

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Conference on Importance of Health in Religion Inaugurated by Mayor of Delhi

New Delhi: Sunday, 12 June 2011:  Inaugurating a daylong conference on ‘Importance of Health in Religion’, Smt. Prof. Rajni Abbi ji, Mayor Delhi said that the word Dharma means to live together and the purpose of every religion is to uphold the Dharma or the society. She called on all religious leaders to work together in harmony with each other for the betterment of the society.

Dr K K Aggarwal
    National News

‘YouTube Box Office’ launched

NEW DELHI: To catch the latest blockbuster, you no longer have to splurge in a multiplex. Just log on to YouTube. The online video sharing site on Tuesday launched ‘YouTube Box Office’ where movie buffs can watch a premium blockbuster every month absolutely free of cost on the new channel. Kick–starting the initiative will be the latest hit ‘Band Baaja Baaraat’, starring Ranveer Singh and Anushka Sharma. It will also feature other popular movies which users can watch for free from the YouTube catalogue of movies which include over 1500 titles, including regional language films. (Source: TOI, June 8, 2011)

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

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

Creative ways to be active

In the community

  • Adopt a highway, park, or street. Pick up trash as you walk.
  • Walk in holiday parades, ethnic festivals, and charity fund–raising events.
  • Explore the activities offered at your temple. If nothing is available, start a walking club that meets immediately following the weekly service.

(Dr Monica and Brahm Vasudev)

Potential new target for smoking cessation without weight gain

A new study uncovers a brain mechanism that could be targeted for new medications designed to help people quit smoking without gaining weight. This research, funded by the National Institute on Drug Abuse (NIDA), part of the National Institutes of Health, shows that a specific subclass of brain nicotinic receptor is involved in nicotine’s ability to reduce food intake in rodents. The average weight gain after smoking is less than 10 pounds, but fear of weight gain can discourage some people who would like to quit.

In the study, to be published in the June 10 issue of Science, researchers found that a nicotine–like drug, cytisine, specifically activated nicotinic receptors in the hypothalamus — a brain center that controls feeding. This resulted in the activation of a circuit that reduced food intake and body fat in a mouse model. This effect was very specific, since a drug that prevented cytisine from binding to its hypothalamic receptors blocked the reduction in food intake.

FDA warns against use of high–dose simvastatin

The FDA has recommended that the highest approved dose of simvastatin – 80 mg – be used only in those patients who have already been taking it for at least 12 months without signs of myopathy. That dose should not be used in new patients, the agency said.

Urine test can detect cancers early

A simple urine test can help detect cancers of the gut, stomach and pancreas much earlier than existing procedures. Researchers have identified key proteins in the urine of patients with advanced cancers which could be instrumental in diagnosing the disease even before their symptoms show up. Only around 10 per cent of people with cancers of the upper gastrointestinal tract live after five years of diagnosis. This is because these aggressive cancers are often diagnosed at an advanced stage. The research compared and analysed urine samples from patients with upper gastrointestinal cancers with that of their cancer–free counterparts to identify thousands of proteins, according to an Edinburgh statement. They then pinpointed six particular proteins which were present in 98 per cent of the cancer cases but absent in almost 90 per cent of samples from patients without cancer, reports the journal Proteomics–Clinical Applications. The researchers then narrowed molecules down to the two proteins – S100A6 and S1009 – most likely to appear in samples from cancer patients. (Source: TOI, June 10, 2011)

Alternatives to antibiotics in sight

Figures released by the World Health Organisation (WHO) show that in 2010, nearly half–a–million people were infected with a strain of tuberculosis (TB) which is resistant to many antibiotics. As a result, one–third of those infected died. The WHO attributes the growing spread of resistant pathogens (micro–organisms that cause diseases) to the indiscriminate use of penicillin and other antibiotics.

Scientists at the Fraunhofer Institute for Cell Therapy and Immunology IZI in Leipzig have found an alternative to the established antibiotics. In the future, anti–microbial peptides (part of protein chain) will take up the battle against pathogens, they said. "We have already identified 20 of these short chains of amino acids which kill numerous microbes, including enterococci, yeasts and moulds, as well as human pathogenic bacteria such as Streptococcus mutans, which is found in the human oral cavity and causes tooth decay," according to a Fraunhofer statement. "The spectrum of efficacy of the tested peptides includes not only bacteria and moulds but also lipid–enveloped viruses. Another key factor is that the peptides identified in our tests do not harm healthy body cells," says Andreas Schubert, group manager at Fraunhofer IZI. (Source: TOI, June 10, 2011)

    Twitter of the Day


@SanjivChopra: Looking forward to our debates http://amzn.to/kU5JH6

    Spiritual Update

Hanuman Chalisa

Siyavara Ramachandra Ki Jaya, Pavana Suta
Hanumanaa Ki Jaya, Umapati Mahadeva Ki Jaya

Meaning: Glories to Sita Rama, glories to lord Hanumana, son of the wind, and glory to Shiva Mahadeva, husband of Uma!

Spiritual Significance: By regular Pranayama one gets all the health benefits of (conscious based decisions (Rama), control over Prana Vayu (Hanumana) and control over Shiva–Shakti, the energized information (Shiva and Uma).

    An Inspirational Story

(Dr Chandresh Jardosh)

Six Principles of life

  1. No point using limited life to chase unlimited money.
  2. No point earning so much money you cannot live to spend it.
  3. Money is not yours until you spend it.
  4. When you are young, you use your health to chase your wealth; when you are old, you use your wealth to buy back your health. Difference is that, it is too late.
  5. How happy a man is, is not measured by how much he has but how little he needs.
  6. No point working so hard to provide for the people you have no time to spend with.

Remember this: We come into this world with nothing, and we leave this world with nothing!

    Pediatric Update

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

Causes of hepatomegaly in neonates and children

  • Infections: TORCH infections, hepatitis viruses and EBV and malaria.
  • Metabolic: Galactosemia, lipid storage disorders, e.g. Gaucher’s disease.
  • Neoplastic: Leukemia, lymphoma and hepatoblastoma.
  • Hematological: Sickle cell anemia and thalassemia.
  • Cardiovascular: Congestive cardiac failure and tricuspid regurgitation.
  • Miscellaneous: Schistosomiasis, toxins, sepsis, polycystic kidneys and liver.
  • Drugs: Antituberculous medications.
    Do You Know

(Dr Uday Kakroo)

To make half a kilo of honey, bees must collect nectar from over 2 million individual flowers.

    Infertility Update

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

What are the treatment options for infertility?

Medical treatment of infertility generally involves the use of fertility medication, medical device, surgery, or a combination of the following.

  • If the sperms are of good quality and the mechanics of the woman’s reproductive structures are good (patent fallopian tubes, no adhesions or scarring), physicians may start by prescribing a course of ovarian stimulating medication. The physician may also suggest using a conception cap cervical cap, which the patient uses at home by placing the sperm inside the cap and putting the conception device on the cervix, or intrauterine insemination (IUI), in which the doctor introduces sperm into the uterus during ovulation, via a catheter. In these methods, fertilization occurs inside the body.
  • If conservative medical treatments fail to achieve a full term pregnancy, the physician may suggest the patient undergo in vitro fertilization (IVF). IVF and related techniques (ICSI, ZIFT, and GIFT) are called assisted reproductive technology (ART) techniques. ART techniques generally start with stimulating the ovaries to increase egg production. After stimulation, the physician surgically extracts one or more eggs from the ovary, and unites them with sperm in a laboratory setting, with the intent of producing one or more embryos. Fertilization takes place outside the body, and the fertilized egg is reinserted into the woman’s reproductive tract, in a procedure called embryo transfer.
  • Other techniques are e.g. tuboplasty, assisted hatching, and preimplantation genetic diagnosis.
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    IJCP Special

Dr Good Dr Bad

Situation: A type 1 diabetic came with A1C of 7.2%.
Dr Bad: Its ok.
Dr Good: You need better control.
Lesson: Blood sugar control can minimize risks for retinopathy, nephropathy and neuropathy in both type 1 and type 2 diabetes, and cardiovascular disease in type 1 diabetes.

Make Sure

Situation: A patient developed fainting attack after sublingual nitrate.
Reaction: Oh my God! Why was the systolic murmur missed on auscultation?
Lesson: Make sure that patient with left ventricular outflow tract (LVOT) obstruction are not given sublingual nitrates.

    SMS of the Day

(Dr GM Singh)

Three things cannot be long hidden: the sun, the moon and the truth.

    GP Pearls

(Dr Pawan Gupta)

The causative organisms of community-acquired pneumonia (CAP) and ventilator-acquired pneumonia are entirely different. In CAP, the Gram-positive bacteria have highest susceptibility to amoxycillin-clavulanate, azithromycin, lincomycin and linzolid (100%) followed by gentamicin, cefotaxime and levofloxcin (97–87%). In VAP, Gram-negative bacilli show higher suspeptibility to imipenim, meropenam (81%), followed by cefperazone + sulbactam, amikacin, cefipime (from 67–61%). MRSA are also isolated in VAP cases, which show 100% sensitivity to vancomycin and linezolid.

    Medicolegal Update

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

Management of hunger strike patient is an ethical dilemma

The doctors attending hunger strikers face a conflict between their loyalty to the government and loyalty to the patient. Primary obligation is the patient autonomy followed by health.

During the first 3–5 days of food fast the body usage energy from available glucose. After that, the liver starts processing body fat, in a process called ketosis. After a week the body enters a "starvation mode" At this point the body "mines" the muscles and vital organs for energy, and loss of bone marrow becomes life–threatening. Doctor should assess individuals’ mental capacity. This means verifying that an individual intending to fast does not have a mental impairment that would seriously undermine the person’s ability to make health care decisions. Individuals with seriously impaired mental capacity cannot be considered to be hunger strikers and they need to be given treatment for their mental as well as physical health problems rather than allowed to fast in a manner that risks their health and life.

  • A complete patient understanding of the medical consequences of fasting is critical. Consistent with best practices for informed consent in healthcare, the physician should ensure that the patient understands the information conveyed by asking the patient to repeat back what they understand.
  • A thorough examination of the hunger striker should be made at the start of the fast. Management of future symptoms, including those unconnected to the fast, should be discussed with hunger strikers. Also, the person’s values and wishes regarding medical treatment in the event of a prolonged fast should be noted.
  • The World Medical Association and Declaration of Malta on Hunger Strikers unambiguously state that force feeding is a form of inhuman and degrading treatment in its Article 21.
  • It is the responsibility of the state to monitor the health and welfare of individual, and to ensure that procedures are pursued to preserve life.
  • The therapeutic necessity from the point of view of established principles of medicine cannot in principle be regarded as inhuman and degrading and this includes force–feeding aimed at saving the life of a person
  • However the "medical necessity" must be determined by a physician seconded by another based on accepted medical standards, and force–feeding cannot be aimed at "humiliation and punishment" or inflict "physical mental and social suffering.
    Vitamins—Open Secrets revealed

(Dr Jitendra Ingole, MD Internal Medicine)

B12 deficiency requires high supplement doses

Vitamin B12 deficiency is fairly common among older people and can cause anemia, pain and depression. Supplementation with cobalamin may reverse the deficiency, however, the ideal dose when given orally is yet to be determined. A team from the University of Wageningen undertook a study in which 120 participants were given either 2.5, 100, 250, 500 or 1,000 μg (micrograms) of cyanocobalamin in capsules per day. These doses cover the full range from recommended dietary allowance in the Netherlands to the normal dose used in injections for B12 deficiency. The participants were aged 70 to 94, with an average age of 80. They were all mildly deficient in vitamin B12, with serum concentrations of 100 to 300 picomoles per liter. Their levels of methylmalonic acid (MMA, a marker for vitamin B12 deficiency) were above 0.26 µmol per liter, showing a deficiency. All of the participants received each of the experimental doses for 16 weeks, in a random order. Compliance with the medication was very high, at 98 per cent. Overall, levels of MMA and serum vitamin B12 improved with increasing doses of cobalamin. Elevated MMA was significantly reduced after 8 weeks, and remained so after 16 weeks. The percentages of participants whose MMA reduced to below 0.26umol per liter when taking 2.5, 100, 250, 500 or 1,000ug cobalamin were 21, 38, 52, 62 and 76 per cent respectively.

The researchers explain that a major knowledge gap existed over the lowest oral cobalamin dose required to normalize elevated MMA. They state that in this study, a daily dose of 647–1032 µg was the lowest dose to give 80–90 per cent of the maximum reduction in MMA. These doses led to an average reduction in MMA of 33 per cent. However, they add that diagnosing vitamin B12 deficiency is complicated due to the limitations of current techniques. The authors conclude that the lowest dose needed to normalize vitamin B12 deficiency is more than 200 times higher than the recommended dietary allowance. They add that the relevance of treating vitamin B12 deficiency in older people could be substantial, were further trials able to show benefits to cognitive functioning and depression.

    Mind Teaser

Read this…………………

Two women and two doctors walk into an ice cream parlor. They each order an ice cream cone. When their ice creams come, there is only 1 strawberry, 1 chocolate and 1 vanilla. How come they didn’t complain?

Yesterday’s Mind Teaser: A 37–year–old woman from New Mexico is admitted to the hospital with a rapidly progressive bronchopneumonia. She was feeling well until 2 days ago when she developed fever, cough, hemoptysis, dyspnea, and chest pain. Within hours of admission to the hospital, gram–negative bacilli are identified in a sputum sample. Two days after admission she is placed on a ventilator to manage respiratory failure.

Which of the following most strongly suggests the possibility that this patient’s illness is the result of a bioterrorist attack?

A. Isolation of Yersina pestis from the sputum and blood
B. The presence of inguinal buboes
C. A cluster of similar cases in previously healthy people
D. Respiratory failure

Answer for Yesterday’s Mind Teaser: C. A cluster of similar cases in previously healthy people

Correct answers received from: Dr Nishi Singh, Dr. B. B. Aggarwal, Dr Jainendra Upadhyay, Dr Muthumperumal Thirumalpillai, Dr Neelam Nath, Dr.Deepali Chatterjee, Dr Anil Bairaria, Dr Krishna, Dr Madhu

Answer for 11th June Mind Teaser: C. Myasthenia gravis
Correct answers received from: Dr Uma Gaur,Dr Sanjay Bhargava, Dr Anupama, Dr Shrish, Dr Jai, Dr Parakrat, Dr Sudesh, Dr Gimmi, Dr Ravi

Send your answer to ijcp12@gmail.com

    Medi Finance Update

(Dr GM Singh)

Can I use PAN to pay the TDS deducted into government account?

No. You are required to take a separate Tax Deduction Account Number (TAN) by making an application in form 49B with the Tin facilitation center of NSDL.

   Laugh a While

(Dr. GM Singh)

Dog names

"Nice dog. What’s its name?" I asked my friend’s 10–year old son. "Bob," he said. "And what’s your cat’s name?" "Bob." "Well, how do you keep them straight?" I asked.

"Well, one is Bob Cat and the other is Bob Barker," the boy answered. "Go ahead and tell him your rabbit’s name," his father suggested. The kid smiled and said… "Dennis Hopper."

    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
DCI Approval Date
Beclomethasone Dipropionate IP 0.025% w/w + Neomycin sulphate IP 0.5% w/w cream
Additional lower strength
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

When can the patient return to work?

Most individuals will return to work 1–2 weeks after sleeve gastrectomy surgery.

    IMSA Update

International Medical Science Academy (IMSA) Update

Treatment of rheumatoid arthritis

In a 12–week study, atorvastatin (20 mg/d) significantly increased regulatory T cells (Treg) numbers and restored their suppressive function in the rheumatoid arthritis (RA) patients, and this may be relevant in the modulation of uncontrolled inflammation in this disorder.

(Ref: Tang TT, Song Y, Ding YJ, et al. Atorvastatin up–regulates regulatory T–cell and improves clinical disease activity in patients with rheumatoid arthritis. J Lipid Res 2011 Mar 2. Epub ahead of print)

    Public Forum

(Press Release for use by the newspapers)

Conference on Importance of Health in Religion Inaugurated by Mayor of Delhi

Inaugurating a daylong conference on ‘Importance of Health in Religion’, Smt. Prof. Rajni Abbi ji, Mayor Delhi said that the word Dharma means to live together and the purpose of every religion is to uphold the Dharma or the society. She called on all religious leaders to work together in harmony with each other for the betterment of the society.

The function was organized to commemorate the 86th Birth Anniversary of Late Acharya Sushil Muni Ji Maharaj. Over 350 people participated in the conference held at Acharya Sushil Muni Ashram in Defence Colony, New Delhi.

Delivering a key note address, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal said that the philosophy of every religion is to provide a platform for physical, mental, social and spiritual health of an individual. Hinduism bases its philosophy on the concept of Lotus (Detached Attachment) and Tortoise (Withdrawal when needed). Islam is based on detached attachment and persistence. Jainism has based itself on Ahimsa, Christianity on confession and Buddhism on ‘How to reduce sufferings’. Similarly, the Bahai faith and Yahudi religion are based on peace and inner happiness. Dr. Aggarwal further said that all rituals in all religions were essentially designed to keep a person healthy and happy.

Presiding over the conference, Sardar Buta Singh ji, Former Union Home Minister, said that the basis of any religion is based on truthfulness.

Acharya Dr. Sadhvi Sadhna Ji Maharaj, President, World Fellowship of Religions said that non–violence is a fundamental principle of any religion. Non–violence does not have to be in action but also in the thoughts.

The Dharma Gurus who spoke on the occasion were Shri Imam Umar Ahmed Iliyasi ji, Mahamandaleshwar Swami Dayanand Saraswati ji, Head Granthi Gurudwara Raqab Ganj Sardar Hem Singh ji, Shri Fr. Emanuel Dyanic Dominic ji, Shri Sarvmangal Mata Ji, Shri Lama Lob Jung ji, Mahamandaleshwar Shri Sant Rasayni Babaji, Mahamandaleshwar Swami Pragyanand Ji, Egikle Isaac Malekar ji, Dr. A.K. Merchant ji, Shri Mahamantra Das Ji and Hath Yogi Kailash Nath ji.

The Dharma Gurus in a collective statement through a resolution said "To live a healthy and happy life, one need to follow the path of non–violence, compassion, detached attachment, selfless work, positive thinking and charity. Everybody should consider the universe as a single family and spread the message of brotherhood in the society. We are all trustees of our assets. Our job is only to look after them till the day we die."

The Dharma Gurus said that the basic purpose of our life is to pay for the unpaid debts of our past karmas. The very fact that basic purpose of our life is to face sufferings, every suffering should be taken as a period of experience and learning.

Every adversity should be treated as an opportunity to do something in life. We should dedicate all our works to the Almighty God and work selflessly for the betterment of the society.

    Readers Responses
  1. Dear Dr Aggarwal, with reference to parenteral vitamin C, I would like to share with you that inj. vitamin C is not freely available. I would be glad if the author sends me the product name available in the market. We use it for alcohol disulfiram reaction and vitamin C by IV route is the treatment of choice and life–saving. Dr R Mani, Psychiatrist, Chennai.
    eMedinewS Special

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National Conference on "Insight on Medico Legal Issues"
Date: Sunday, 10th July, 2011
Venue: Auditorium, Chinmaya Mission, 89, Lodhi Road, New Delhi–110003

eMedinewS and Heart Care Foundation of India are jointly organizing the first-ever National Conference on "Insight on Medico Legal Issues" to commemorate "Doctors’ Day".
The one–day conference will provide total insight into all the medicolegal and ethical issues concerning the practicing doctors. Both medical and legal experts will interact with the delegates on important issues.
You are requested to kindly register in advance as seats are limited. There will be no registration fee. You can register by sending your request at rekhapapola@gmail.com or at 9899974439.

For Programme
Details <.. Click here ..>


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.
• Provisional Scientific Program at http://worldcon2011.org/day1.html
• Provisional program for Pre Congress CME at http://worldcon2011.org/Pre_Conference_CME.html
• Abstract submission at http://worldcon2011.org/scientificprogram.html
• Important dates at http://worldcon2011.org/importantDates.html
• Congress website at http://www.worldcon2011.org
• Entertainment – Kingdom of Dreams at http://worldcon2011.org/Pre_Post_Tours.html

Key Contacts
Dr. (Col.) Satish Parashar, President Organizing Committee, + 91 9810146231
Dr. Rakesh Gupta, Secretary General, + 91 9811013246

Congress Secretariat: Rajat Khurana, C–1 / 16, Ashok Vihar – Phase II, Delhi 110 052, INDIA., Phone: + 91–11–2741–9505, Fax: + 91–11–2741–5646, Mobile: + 91 9560188488, 9811911800,
Email: worldcon2011@gmail.com, jrop2001@yahoo.com, worldcon2011@in.kuoni.com


Medifilmfest (1st International Health Film Festival in Delhi)

October 14–23, 2011, As part of 18th MTNL Perfect Health Mela 2011(Screening of films October 14–17, Jury Screening at Jamia Hamdarad University Auditorium October 18–19, award winning films at TalKatora Stadium October 19–23, 2011)
Organized by: Heart Care Foundation of India, World Fellowships of Religions, FACES, Bahudha Utkarsh Foundation and Dept of Health and Family Welfare Govt of NCT of Delhi.
Entries Invited: from feature films, Ad Films, Serials, Documentary Films, Cartoon Films, Animation Films, Educational films; films on Yoga, Siddha, Ayurveda, Unani, Homeopathy; Indigenous Healing, Films promoting the Bio–cultural Diversity, Medical Tourism, Visual and Medical Anthropology, Gender sensitization, awareness drive on socio–medical issues and health journalism. The films can be of variable durations (0–1 minute, upto 3 minutes, upto ten minutes, upto 45 minutes and upto an hour and beyond).
Separate entries are also invited for "factual mistakes in feature films concerning health". This can be in the form of 1–5 minutes footages.

Categories:Competitive category/ Non Competitive category/ Special screening
Sub Categories:

1. General: Documentaries, animation films, corporate films, Ad films, TV health programs/reports, health chat shows.

2. Special: Short instances of "depiction of wrong health messages" through the films.

Subjects: Health, disease, sanitation, yoga, spiritual health, environment, social issues, food, better living, Indigenous healing, medical tourism, visual & medical anthropology, gender sensitization, health journalism. Duration: 0–10 seconds; <30 minutes, 30–60 minutes, 1–3 hours. Language: English or Hindi, or sub tilled in English/Hindi. Fee: No fees from participants. Entry to the film show free. Format: Any format duly converted into DVD (compatible to the latest players/systems) Boarding, Lodging and Travel Expenses: Own, the participants may raise their own sponsorships

For details contact: Dr KK Aggarwal/Dr Kailash Kumar Mishra/Mr M Malik at


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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 Naveen Dang, Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta