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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

 

eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

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

 
  Editorial …

15th June 2011, Wednesday

Non–violent communication makes one a good leader

One of the main reasons for any conflict is engaging in "violent communication" every day. A violent communication is based on judgment and not observations. A violent communication can be in thoughts, action, speech or writings. A non–violent communication, on the other hand, is either based on observations or on individualized opinions. These observations or opinions are always written or spoken as quote–unquote.

"Congress calls Anna Hazare ‘unelected tyrant’ (TOI)"

"Hazare team targets ‘arrogance of power’ (Calcutta Telegraph)"

"Threat to democracy is from unelected tyrants, says Congress (TOI)"

These are few of the latest headlines in the media that reflect a war of words and hence, violent communication between the Government and Anna Hazare team.

If we look at the current scenario, both Baba Ramdev earlier and now the Anna Hazare team are violently communicating through the media.

The three ‘Cs’ of violent communication are: Criticize, condemn and complaint.

Using violent communication is expected of a politician, in this age of Kalyuga, but for a Satyagrahi team or a saint to communicate in such a manner is beyond comprehension.

Most of the recent statements of Anna Hazare team, through media, press conferences and during their Satyagraha demonstrations, have used phrases that give an impression of violent communication.

A medical perspective on this is that reading a violent communication incites negative feelings in the heart of the readers, which can produce emotions of anger.

Any righteous fight, which is based on violent communication like criticism, condemning and complaining will soon lose its credibility.

When Anna Hazare first started his movement, he began on a positive note based on the Gandhian philosophy of non violence. Here, one must bear in mind that violence does not only stand for riots, it also denotes violence in speech and thoughts.

The general public joined Anna Hazare in large numbers, especially the younger generation, in his non violence approach to anti corruption. His non violent approach won the attention of the general public, media and the government and a committee was soon constituted. But, since then, the communication to the public by the Anna Hazare team has not been based on the principles of non violence.

In Sat Yuga and Treta Yuga, when majority of the people were truthful and there was Ram Rajya, there too were people like Ravana and his team, who though in minority, still created hell for the society. Similarly, the Dwapar Yuga, the era of Lord Krishna, had people like Kansa. Likewise, in Kal Yuga, when there is a majority of Ravanas and Kansas, we are bound to have Satyugi people, even though in minority. Just as Ravana and Kansa created havoc for the society in their respective eras, in Kal Yuga too, some Satyugi people, even if in minority, can create havoc for the Kalyugi people in majority.

After the death of Bhagwan Sai Baba, many people began thinking of Anna Hazare as another Avtar to lead this Satyugi minority population.

Whether a person is a Satyugi or Kalyugi is decided by presence of some or all the four characteristics as mentioned in Srimad Bhagwad: Truthfulness (Satya), selfless hard work (Tap), positive thoughts (purity) and daya & daan (Charity).

  • If all the four characteristics are present, the person is a Satyugi.
  • If truthfulness is absent, the person is a Tretyugi
  • if both truthfulness and hard work are absent, one is a Dwaparyugi
  • When only Daan & Daya are present, the person is a Kalyugi.

To become a Satyugi in today, one should follow the principles of communicating the non–violent way.

If Anna Hazare group continues to communicate violently, they will lose their credibility in the public.

Saam Daam Dand Bhed is taught and practiced as a fundamental principle in politics. It is understandable that politicians in power will try to instigate Anna Hazare so that he responds using violence in his speech and in this way lose his credibility in the public.

And this is what has been happening over the last few days. Everyday we are witnessing members of his team attacking the government with violence in their speech and Team Anna responding in a similar vein. Anna Hazare should realize that public sympathy lies with Anna Hazare; it is he who is respected as a Gandhian and not his team mates. If they continue using violent communications, this movement will lose its importance and impact.

Is somebody listening?

Dr K K Aggarwal
Group Editor in Chief
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    Changing Practice – Resource which has changed practice in last one year

Metformin safer than other type 2 diabetes drugs

In a Danish cohort study, glimepiride, glibenclamide, glipizide, and tolbutamide were associated with an increased risk of all–cause and cardiovascular death compared with metformin, Tina Schramm, MD, of Copenhagen University Hospital, and colleagues reported in the European Heart Journal.

Metformin should be the primary drug of choice in type 2 diabetes. Schramm and colleagues assessed data on all Danish patients given an insulin secretagogue or metformin between 1997 and 2006. A total of 107,806 patients were followed for up to 9 years, with a median of 3.3 years. Glimepiride was the most used agent. Compared with metformin, all insulin secretagogues were associated with a higher risk of all–cause mortality in patients who didn’t have a prior MI: There was also an increased risk of death for those who did have a previous heart attack. However, there were no differences between metformin and gliclazide or repaglintide for either group of patients. Overall, the results were similar for other outcomes for both groups of patients, with the sulfonylureas and meglitinides carrying an increased risk of both cardiovascular death and a composite endpoint of MI, stroke, or cardiovascular death.

 
    eMedinewS Audio PostCard

CKD Update: Treatment of CKD

Dr KK Aggarwal Speaks on
‘Treatment of CKD’

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

2nd eMedinewS Revisiting 2010

Winners of eMedinewS Musical Night Awards on the dias at the 2nd eMedinewS Revisiting 2010.

 
Dr K K Aggarwal
 
    National News

Found! Indus Valley brain surgeons

If you thought surgery is a modern era phenomenon, think again. Researchers have claimed that brain surgical practice was prevalent even 4,300 years ago — in the Indus valley during the Harappa culture! Their claim is based on the surgical procedure, known as trepanation, discovered in one Harappan male skull kept in the Palaeoanthropology Repository of the Kolkata–based Anthropological Survey of India. The skull was discovered in the 1930s during excavations in Harappa. "The first unequivocal case of ancient brain surgical practice, known as trepanation, was observed 4,300 years ago in a Bronze Age Harappan skull," said AR Sankhyan, a palaeoanthropologist from the ASI in the latest edition of the Indian journal, Current Science.

After intensive study, Sankhyan, who collaborated with GR Schug, a bioarcheologist from the US–based Appalachian State University, found that the trephined hole is just on the right superior temporal line at the terminus of the traumatic line. "A clear rim of 3 mm width at the internal border of the hole is the evidence of osteogenesis or healing, indicating that the victim survived for a considerable time after the operation," Sankhyan added. Thus, trepanation was practised as a common means of surgery during the Bronze Age in the Indian subcontinent, which could have been a precursor to the later Ayurvedic surgical practices followed in ancient India as well, the researchers concluded. In fact, such trepanations were found in a skull of Neolithic age which was recovered a decade ago from Burzahom in the Kashmir Valley—a first case from the Indian subcontinent which shows that the trepanation had been the oldest craniotomic surgical procedure practised by mankind since the Stone Age by way of drilling or cutting through the skull vault of a living or recently deceased person. (Source: The Pioneer, June 11, 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

(Dr Monica and Brahm Vasudev)

Roundworms carried by pets can cause blindness

Ocular toxocariasis, though rare, causes blindness in seven out of 10 of those affected by it, typically children, according to a national survey conducted by the CDC. The agency identified 68 cases during a one–year period, and of the 30 for whom clinical data were available, vision loss occurred in 25 patients (83%) and was permanent in 17 (68%), the agency reported in the June 10 issue of Morbidity and Mortality Weekly Report. (Source: Medpage Today)

Lab Notes: New approaches in sepsis

Back door to sepsis control

Taking a step back from directly attacking inflammatory triggers could hold the key to treating sepsis, according to researchers from the University of Michigan. Rather than a direct inhibitor of inhibitor of interleukin 6 (IL–6), the researchers went after the first responders in an immune response –– dendritic cells –– and identified a microRNA that makes them turn on IL–6 production. In a mouse model, knocking down this microRNA, called miR–142–3p, influenced IL–6 levels and reduced deaths from sepsis. These results reported in Blood suggest the approach could treat other difficult inflammatory diseases, such as juvenile rheumatoid arthritis, inflammatory bowel disease, and graft–versus–host disease, the researchers suggested in a press release. But they cautioned that much additional development is needed. (Source: Medpage Today)

Mending a broken heart, the stem cell way

The heart may contain the seeds of its own recuperation after heart attack, if research in mice applies to humans, researchers are reporting in Nature. In the animals, new cardiac muscle cells developed and integrated with existing tissue after treatment with thymosin beta–4, a peptide known to restore vascular potential to adult progenitor cells, according to Paul Riley, PhD, of University College London in London, England, and colleagues. The catch is that the cells have to be primed with the substance before the injury, the researchers noted. But in clinical practice, Riley said in a statement, it might be possible for people at high risk of heart attack to take something similar to thymosin beta–4 as a precaution. Then a booster dose after an event would allow the heart to repair itself. (Source: Medpage Today)

UN summit sets realistic target to combat AIDS

NEW DELHI: A global United Nations’ summit on AIDS, attended by Union health minister Ghilam Nabi Azad, has set two major targets: eliminate new HIV infections among children and put 15 million HIV–infected on life–saving anti retroviral treatment by 2015. World leaders, who have gathered in New York, launched on Friday a global plan to achieve both these targets apart from keeping HIV positive mothers alive. "We believe that children everywhere can be born free of HIV by 2015. Their mothers can also remain healthy,’ said Michel Sidibé, executive director of UNAIDS, adding that "This new global plan is realistic. It is driven by the most affected countries." In 2009, approximately 370, 000 children were born with HIV — almost all of them in low and middle–income countries. Under the Global Plan, the goal would be to reduce this figure by 90% in another four years. All 22 countries, which have the highest burden of new HIV infections among children, have contributed to the development of the plan, and signed up to implement it. The key elements of the Global Plan include ensuring that all pregnant women have access to quality life–saving HIV prevention and treatment services for themselves and their children, HIV, maternal health, newborn and child health and family planning programmes work together and deliver quality results. (Source: TOI, June 11, 2011)

 
    Fitness Update

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

Fit doctors more likely to recommend exercise, research says

Fit doctors are more likely to recommend physical activity to their patients, according to new research presented last week at the American College of Sports Medicine’s 58th Annual Meeting and Second World Congress on Exercise is Medicine. From 2005 to 2010, a research team tracked the health of 577 freshman medical students in Colorado and found students who said physical activity counseling was highly relevant in their future clinical practice were more likely to be fit themselves. Physical fitness was determined by waist circumference, body mass index, fasting glucose levels and lipid profiles, in addition to the 20–meter shuttle run test. The attitudes toward physical activity counseling were gauged through students’ answers to "How relevant do you think it will be in your future medical practice to counsel your patients on physical activity?" and "I will have the ability to counsel my patients more credibly and effectively if I am physically active."

Eighty percent of students agreed that advising patients about exercise was relevant. This group was 1.7 times more likely to exhibit healthy levels of cardiorespiratory fitness and 3.2 times more likely to have normal triglycerides levels than their peers who did not believe physical activity counseling would be relevant in their future practice. "Previous evidence indicates that nearly two–thirds of patients would be more willing to become physically active if their doctors advise it, and these patients find an active, healthy doctor’s advice more credible and motivating," said lead researcher Felipe Lobelo, M.D., Ph.D. "It is critical for current and future doctors to understand the public health importance of providing physical activity counseling to every patient."

 
    Twitter of the Day

@DrKKAggarwal: No point working so hard to provide for the people you have no time to spend with.

@DeepakChopra: Emotional well–being is sustained through healthy relationships & freedom from emotional toxins such as hostility, fear, guilt, depression.

 
    Spiritual Update

Science behind Hanuman Chalisa

How to get maximum benefit of chalisa

One can get the benefit by many ways

Understanding its mythological meaning following it in life. In Dwait philosophy believers Hanumana is GOD and different from us. We worship him to give us some of his powers

 
    An Inspirational Story

(Dr Prachi Garg)

1. Once, all villagers decided to pray for rain. On the day of prayer all the people gathered but only one boy came with an umbrella…

This is Faith

2. When you throw a baby in the air, she laughs because she knows you will catch her…

This is Trust

3. Every night we go to bed, without any assurance of being alive the next morning but still we set the alarms in our watch to wake up…

This is Hope

4. We plan big things for tomorrow in spite of zero knowledge of the future or having any certainty of uncertainties…

This is Confidence

5. We see the world suffering. We know there is every possibility of same or similar things happening to us. But still we get married…

This is Overconfidence!!

 
    Pediatric Update

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

Some drugs that alter thyroid function

  • Dopamine (even short–term)
  • Dobutamine
  • Octreotide
  • High–dose glucocorticoids: Prednisone (>20mg/day), hydrocortisone (>100mg/day), dexamethasone (>4 mg/day)
  • Furosemide and some NSAIDS displace T4 from binding proteins, decreasing serum T4 levels.
 
  Do You Know

(Dr Uday Kakroo)

Tourists visiting Iceland should know that tipping at a restaurant is considered an insult!

 
    IJCP Special

Dr Good Dr Bad

Situation: A 70–year–old elderly diabetic patient had HbA1c of 7%.
Dr. Bad: This is poor control of diabetes.
Dr. Good: This value is ok.
Lesson: European Diabetes Working Party guidelines for elderly type 2 diabetes patients consider frailty, recommending a conservative target (HbA1c <8%). Tight glycemic control for such patients increases the risk of hypoglycemia and significant functional decline.

Make Sure

Situation: A patient with diabetes shows deteriorating kidney function.
Reaction: Oh my God! His HbA1c is very high?
Lesson: Make sure that strict glycemic control is maintained in patients with type 2 diabetes in order to delay vascular complications.

 
  SMS of the Day

(Dr GM Singh)

Adding nicotine patches to usual treatment reduces agitation in newly admitted patients with schizophrenia who smoke.

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  GP Pearls

(Dr Pawan Gupta)

Iron supplements can be potentially harmful when prescribed on assumption of anemia but are useful to reduce oxidative stress and improve antioxidant status when given in therapeutic doses along with folic acid.

 
    Medicolegal Update

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

How should the sample of saliva be collected in a medicolegal case?

A saliva sample is required to be collected and preserved in the cases of oral sex, rape/acquaintance rape/date rape, sodomy, sexual assault/drug induced sexual assault such as the molestation, inappropriate touching, Forced oral contact or kissing, child sex abuse, sexual torture or any other form of allegation where exchange of saliva is anticipated on medical examination by the examining doctor.

  • The written/implied consent for examination and collection of evidence from the women alleging sexual assault must be obtained by the doctor as per section 164 A of CrPc. However, the consent is not required under section 53 CrPc of India for examination and collection of evidences from the alleged arrested person accused of sexual assault.
  • Dried saliva should be collected by the doctor by a swab of normal saline.
  • Saliva is collected in a test tube, diluted with an equal volume of normal saline and placed in a boiling water bath for about 10 minutes for destroying enzymes which inactivates blood group substances, allowed to cool and transferred to a clean, sterile bottle, and it must be properly sealed and labeled before handing over.
  • Saliva-tinged clothing must be preserved/dried properly sealed and labeled for further investigation
 
  Vitamins—Open Secrets revealed

(Dr Jitendra Ingole, MD Internal Medicine)

Vitamin D Miracles

During the last ten years, researchers have made a number of exciting discoveries about vitamin D. They have ascertained, for example, that vitamin D is an antioxidant that is a more effective antioxidant than vitamin E in reducing lipid peroxidation and increasing enzymes that protect against oxidation.

  1. Vitamin D deficiency decreases biosynthesis and release of insulin. Glucose intolerance has been inversely associated with the concentration of vitamin D in the blood. Thus, vitamin D may protect against both type 1 and type 2 diabetes.
  2. The risk of senile cataract is reduced in persons with optimal levels of D and carotenoids. PCOS (Polycystic Ovarian Syndrome) has been corrected by supplementation of D and calcium. Vitamin D plays a role in regulation of both the "infectious" immune system and the "inflammatory" immune system.
  3. Low vitamin D is associated with several autoimmune diseases including multiple sclerosis, Sjogren’s syndrome, rheumatoid arthritis, thyroiditis and Crohn’s disease.
  4. Osteoporosis is strongly associated with low vitamin D. Postmenopausal women with osteoporosis respond favorably (and rapidly) to higher levels of D plus calcium and magnesium.
  5. Vitamin D deficiency has been mistaken many a times for fibromyalgia, chronic fatigue or peripheral neuropathy.
  6. Infertility is associated with low vitamin D.
  7. Vitamin D supports production of estrogen in men and women.
  8. PMS has been completely reversed by addition of calcium, magnesium and vitamin D.
  9. Menstrual migraine is associated with low levels of vitamin D and calcium.
  10. Breast, prostate, skin and colon cancer have a strong association with low levels of D and lack of sunlight. Activated vitamin D in the adrenal gland regulates tyrosine hydroxylase, the rate-limiting enzyme necessary for the production of dopamine, epinephrine and norepinephrine. Low D may contribute to chronic fatigue and depression.
  11. Seasonal Affective Disorder (SAD) has been treated successfully with vitamin D. In a recent study covering 30 days of treatment comparing vitamin D supplementation with two-hour daily use of light boxes, depression completely resolved in the D group but not in the light box group.
  12. High stress may increase the need for vitamin D or UV–B sunlight and calcium.
  13. People with Parkinson’s and Alzheimer’s have been found to have lower levels of vitamin D.
  14. Low levels of D, and perhaps calcium, in a pregnant mother and later in the child may be the contributing cause of "crooked teeth" and myopia. When these conditions are found in succeeding generations it means the genetics require higher levels of one or both nutrients to optimize health.
  15. Behavior and learning disorders respond well to D and/or calcium combined with an adequate diet and trace minerals.
 
    Mind Teaser

Read this…………………

Distribution of blood flow is mainly regulated by the:

1. Arteries
2. Arterioles
3. Capillaries
4. Venules

Yesterday’s Mind Teaser: Twelve patients with fever and a generalized vesicular or pustular eruption were admitted to the hospital over the previous 2 days. After an initial investigation, it is deemed that the cases are highly suspicious for smallpox. Which of the following smallpox vaccination strategies is most likely to have the best risk/benefit ratio?

A. National mass vaccination program
B. Ring vaccination and containment
C. Vaccination of immediate family only
D. Vaccination of the index cases

Answer for yesterday’s Mind Teaser: B. Ring vaccination and containment

Correct answers received from: Dr Rakesh Bhasin, Dr K Raju, Dr Muthumperumal Thirumalpillai, Doraisami Sundaram, Dr Neelam Nath, Dr Jainendra Upadhyay, Dr Anil Bairaria.

Answer for 13th June Mind Teaser: One of the women was a doctor!
Correct answers received from: Dr Neelam Nath, Dr U Gaur, Dr Manjesha, Dr YJ Vasavada, Dr Pramod M Kulkarni, Dr Raju Kuppusamy, Dr Anupam Sethi Malhotra, Dr Chandresh Jardosh, Chander Mohan Mehta, Dr Parvesh Sablok.

Send your answer to ijcp12@gmail.com

 
    Medi Finance Update

(Dr GM Singh)

What is future contract and how does it work?

The futures market is a centralized marketplace for buyers and sellers from around the world who meet and enter into futures contracts. Pricing can be based on an open cry system, or bids and offers can be matched electronically. The future contract is a type of financial contract or derivative instrument in which two parties agree to transact a set of financial instruments or physical commodities for future delivery at a particular price. If you buy a futures contract, you are basically agreeing to buy something that a seller has not yet produced for a set price. But participating in the futures market does not necessarily mean that you will be responsible for receiving or delivering large inventories of physical commodities – remember, buyers and sellers in the futures market primarily enter into futures contracts to hedge risk or speculate rather than to exchange physical goods. That is why futures are used as financial instruments by not only producers and consumers but also speculators.

 
    Laugh a While

(Dr. GM Singh)

Fact of life: One woman brings you into this world crying & The other ensures you continue to do so for the rest of your Life!

 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name

Indication

DCI Approval Date

Drosperinone + Ethinylestradiol tablets Same as approved

For the treatment of moderate acne vulgaris in adult females, who have no known contraindications to oral contraceptive therapy, and have achieved menarche. It should be used for the treatment of acne only if the patient desires an oral contraceptive for birth control.

09.10.10

 
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

Laparoscopic Sleeve Gastrectomy : FAQs

How much weight loss can one expect after surgery?

Typically, the heavier the patient, the more weight he/she will lose. Most patients lose about 50–60% of their excess weight within the first two years.

 
    IMSA Update

International Medical Science Academy (IMSA) Update

Acute otitis media and influenza

Children receiving live attenuated influenza vaccine (LAIV) had a high level of protection against influenza–associated AOM when compared with placebo or trivalent inactivated influenza vaccine (TIV). This was most evident in children older than 2 years, for whom LAIV is indicated. LAIV recipients who contracted breakthrough influenza illness despite vaccination developed AOM at a significantly lower rate than did unvaccinated children who developed influenza.

 
    Public Forum

(Press Release for use by the newspapers )

Total Lunar Eclipse: Allopathy, Ayurveda and Vedanta differ in their interpretations on its implications on health

Different Pathies differ in their approach to the lunar eclipse. While Allopathy is silent, Ayurveda and Vedic text enumerate certain precautions, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India and Devendra Mishra, Vedic Expert, Delhi University. They were interacting with the audience in a function organised by Zee Manthan.

A total and the longest lunar eclipse of the 21st century will take place on June 15, 2011. It is the first of two total lunar eclipses in 2011, the second will occur on December 10. It is a relatively rare central eclipse where the moon passes in front of the center of the Earth’s shadow. The last lunar eclipse closer to the center of the earth's shadow was on July 16, 2000. The next central total lunar eclipse will be on July 27, 2018.

The total lunar eclipse in India will be visible on the night of June 15 up to early morning of June 16 in Delhi, Jaipur Amritsar, Chandigarh, Dehradun, Jammu, Jalandhar, Shimla, Srinagar and in other places in North India. The time in Delhi and other regions is from 11:53 PM on June 15 to 03:32 AM early morning on June 16, 2011 – as per Indian standard time, covering duration of 3 hours and 40 minutes.

Myths and Facts

  1. Watching a lunar eclipse does not damage the eyes. On the other hand, looking at the sun directly without appropriate protection, during a solar eclipse, can cause severe temporary injuries of the retina.
  2. There is no mention of harmful effects of eclipse on pregnancy in Allopathy literature.
  3. In Mexico and in many parts of India there is a belief that pregnant woman are in danger of having a baby with a harelip during a solar eclipse. There is no such belief concerning lunar eclipse.
  4. Ayurveda indirectly mentions it under ‘air space vikrity’ (disorders) and writes that the effect of these disorders on pregnancy can lead to a child being born blind or one with low body energy. It also says that the child may be born with dog and elephant characteristics. It does not mention the word ‘eclipse’ anyplace.
  5. Ayurveda and Dharma Shastra both direct pregnant ladies to take precautions; one should observe these precautions as otherwise the fear of giving birth to an abnormal child can itself cause abnormalities in the child. Hence, those who have faith or fear that eclipse can harm pregnant ladies should take precautions.
  6. Lunar eclipse may be associated with exacerbation of mental illnesses. In a study from the Institute of Psychiatry & Human Behaviour, Goa, a significant trend was observed for greater numbers of patients with non–affective psychoses on full moon days and on days of visible lunar eclipse, but no pattern was observed for mania or depression. (Indian J Psychiatry 1999 Jan;41(1):60–5).
  7. There are some studies, which talk about the effects of full moon on rise in blood pressure, pulse and abnormal mental behavior and have linked them to high tides in the ocean.
  8. The traditional Ekadashi vrata (fast) three days before and fast on the day of full moon are advocated in Indian mythology to tame or control the mind, which is likely to get disturbed during full moon and lunar eclipse time.
  9. The ritual of observing Nirjala Ekadashi three days before the current lunar eclipse on full moon day with vrata is also done with the belief that it prevents mental disturbances during full moon and during lunar eclipse by removing excess water from the body.
  10. More mosquitoes may breed during a lunar eclipse. In a study of mosquitoes in coastal marshland site in Chambers County, TX done in 1989, it was shown that the density of certain species of the mosquitoes Aedes, Anopheles, Culex, and Psorophora increased during the lunar eclipse and decreased when the full moon was exposed. (J Am Mosq Control Assoc 1994 Jun;10 (2 Pt 1):222–4)
  11. In another study Dr. Thornton has shown that dogs reject food while an eclipse was in progress.
  12. There are many Vedic beliefs on this subject: Eclipse has been mentioned in Shikshapatri where Bhagwan Swaminarayan says that at the time of a solar or lunar eclipse in areas where it is seen, one should stop all activities, and meditate or chant the name of God in a purified state. After the eclipse, one should take cold bath with the clothes one is wearing and then make donations according to their means (Shik 86/87). One should also not eat 12 hours before the solar and 9 hours before the lunar eclipse begins. One can drink water. One should not offer meals to God during this pre–eclipse period but can perform aarti and pray. One should get rid of extra cooked food after the solar or lunar eclipse and also not touch anything such as clothes, food, personal items, etc. during the eclipse.
  13. The only scientific explanation for the above is that during a lunar eclipse, the atmosphere behaves like amavasya (new moon) on purnima (full moon) day. Therefore one needs to take precautions of both purnima (observe fast to prevent mental disturbances) and of new moon or amavasya (to prevent causalities occurring due to darkness in the outside atmosphere). Also, on the full moon day, there may be windy and dusty air in the atmosphere. With a possible dark, windy and dusty atmosphere on lunar eclipse (full moon day), dust may settle on the food or clothing. This may be the reason why food that has been kept for 9 hours before the eclipse and till the eclipse is over. The same may hold true for dirt–filled clothing, which one is supposed to wash after the eclipse is over.
 
    Readers Responses
  1. This article (Hunger Striker) is beyond compare because this is not only interesting but also important for every person. Thanks a lot respected sir for this article: Manoj Kumar Bhatt.
  2. Thanks sir for this wonderful article. I will like to know from you about the clinical management of hunger striker in hospital, it will be of great help for the people like me. Your expert knowledge will be of great help, because starting fluid in starving patent can lead to many complications, if you could guide us. Dr Sundeep Nigam.
  3. Dear Sir, thanks for brushing our brains with recent medico–surgico–humoro knowledge with the added flavor of legal and mythological aspects. Nowadays, everybody is worried about corruption. It’s like volcano. Erruption of volcano of corruption has taken place since long time but its lava and ashes were neither so hot nor widly spread as it covered the whole world today. Let us search the root cause of its erruption. In my view, there are two main factors, Population and unemployment responsible to build the extensive pressure for the eruption of the corruptio volcano, mainly in our country. Govt. is least interested to calm it. Two socio-yoga anti corruption fire brigades named Anna H. & Swami R. came forward to abolish the corruption volcano with great enthusiasm & with hundreds and thousands of followers but political dhobipat turned their efforts into major failure. The lava of corruption is rising more & more and our leaders are laughing on anticorruption squad. Rajendra Varshney.
 
    Forthcoming Events

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 ..>

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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

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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
medifilmfestinhealthmela@gmail.com

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