emedinews
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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  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 & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; National Vice President Elect Elect, Indian Medical Association; 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1 to 7
DD Take Care Holistically Video 1 to 9 Chat with Dr KK On life Style Disorders
Health Update Video 1 to 15 Science and Spirituality
Obesity to Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

17th November 2012, Saturday

Sudden Cardiac Death Risk a Family Matter

Relatives of young sudden cardiac death victims appear to have a greater risk of cardiovascular disease than the general population, a Danish study by Mattis Flyvholm Ranthe, MD, of the Statens Serum Institute in Copenhagen showed. The risks were particularly high in relatives younger than 35, the researchers reported online in the European Heart Journal.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

Dietary interventions: Soluble fiber, especially psyllium may offer benefits to stool frequency and stool consistency. There are less data to support the value of insoluble fiber. Bran, a form of insoluble fiber, is probably the most commonly used fiber. But, soluble fiber, specifically psyllium, is a better choice (Am J Gastroenterol 2005;100:S1-S4).

For Comments and archives…

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

White rice linked to diabetes in Asians

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Over 2000 school children participated in Inter-Eco Club Competitions

Over 2000 school children participated in Inter-Eco-Club Competitions such as cartoon making, paper bag painting, creating the best out of waste, yoga and aerobics.

 
Dr K K Aggarwal
    National News

Dear Colleague, Let’s celebrate New Year by learning CPR-10 and saving the life of a person

Watch English or Hindi Video @http://emedinews.in/videos/cpr/index.html

Dr K K Aggarwal

Only 6 states on course to meet UN goals on Infant Mortality Rate

Despite significant improvement in infant mortality rates over the years, only six states in India are on course to meet the UN millennium development goal of 26 deaths per 1,000 live births. This is one of the conclusions of the Infant and Child Mortality India Report released by the National Institute of Medical Sciences (NIMS), the Indian Council of Medical Research (ICMR) and the UNICEF India Country Office. The six states which are likely to meet the goal by 2015 are Kerala, Tamil Nadu, Maharashtra, Punjab, Himachal Pradesh and West Bengal. Analyses of data from the Sample Registration System (1978-2010) and three rounds of National Family Health Surveys conducted in the years 1992-93, 1998-99 and 2005-06 show that under-five mortality rate (U5MR) stagnated in the 90s and then started declining again in the last decade. It fell to 118 in 1990, 93 in 2000 and 59 in 2009. Though the U5MR has always been lower in urban areas, the rate of decline in urban areas has been slower than in rural areas in the last two decades, narrowing the gap. “Accelerating child survival calls for new approaches to child mortality that goes beyond disease-programme and sector-specific approaches,” said Dr V M Katoch, Director General Indian Council of Medical Research and Secretary, Department of Health Research, Government of India. The study provides evidence on key social and economic determinants of U5MR like the impact of maternal education on child survival. The report also highlights the fact that births to adolescent mothers bear a significant risk child death; so are those born within 2 years of the previous pregnancy. (Source: Indian Express, Nov 16 2012)

For comments and archives

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

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

 
    Valvular Heart Disease Update

Sudden death can occur in children with aortic stenosis due to a bicuspid aortic valve, especially during and immediately after exertion. In older adults with a bicuspid valve, the risk of sudden death is related to the presence of severe aortic stenosis.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

For comments and archives

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Drug works for retinal vein occlusion

The newest anti-vascular endothelial growth factor (VEGF) drug in ophthalmology improved eyesight for patients with central retinal vein occlusion (CRVO), although efficacy diminished with a move to as-needed dosing, researchers said at the American Academy of Ophthalmology meeting. (Source: Medpage Today)S

Wider fibrate use urged in mild to moderate CKD

A new meta-analysis shows that fibrate therapy improves lipid profiles and prevents cardiovascular events in people with chronic kidney disease (CKD), cutting CV deaths by 40%. The findings also show that despite increasing serum creatinine--a long-known side effect of fibrates--the drug class caused no harm to the kidneys in the long run and may even provide some renal benefits, say Dr Min Jun (George Institute for Global Health, Sydney, Australia) and colleagues in their paper published online October 17, 2012 in the Journal of the American College of Cardiology. (Source: Medscape)

Dialysis patients live longer with CABG vs DES

Researchers from the US Renal Data System (USRDS) have shown that Medicare patients on dialysis who need cardiac revascularization have better 1-year survival if they receive drug-eluting stents (DES), but their long-term survival was better if they received a coronary artery bypass graft (CABG). Charles Herzog, MD, director of the Cardiovascular Special Studies Center of the USRDS and professor of medicine at the University of Minnesota, Minneapolis, reported these findings here at Kidney Week 2012. (Source: Medscape)

 
  Twitter of the Day

@DrKKAggarwal: Do Not Take More than 4 Grams Paracetamol in A Dayhttp://blog.kkaggarwal.com/2012/11/do-not-take-more-than-4-grams-paracetamol-in-a-day/ …

@DeepakChopra: With practice, like developing a muscle, your ability to BE STILL and BE ONE with the STILLNESS will come. http://tinyurl.com/ble5goz

 
    Spiritual Update

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

Mini-Relaxation Exercises: When you’ve Got One Minute

1. Place your hand just beneath your navel so you can feel the gentle rise and fall of your belly as you breathe. Breathe in. Pause for a count of three. Breathe out. Pause for a count of three. Continue to breathe deeply for one minute, pausing for a count of three after each inhalation and exhalation.

For comments and archives

 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What are the factors affecting fertility?

Age is not the only factor that affects fertility. Problems with your partner or any gynecologic or medical problems may affect your chances of conception.

Gynecological conditions: Conditions, such as uterine fibroids and endometriosis may progress with age and affect your fertility. Exposure to sexually transmitted diseases can also affect your fertility.

Fertility in the aging male: As men age, their testes tend to get smaller and softer, and sperm morphology (shape) and motility (movement) tend to decline. In addition, there is a slightly higher risk of gene defects in their sperm. Aging men may develop medical illnesses that adversely affect their sexual and reproductive function.

For comments and archives

 
    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Primary reason for transfusing blood

  • To restore or maintain oxygen supply to body tissues
  • To prevent massive blood loss e.g. traumatic accidents
  • To treat blood disorders e.g. anemia
  • To treat hemolytic disease of the newborn (pregnant women develop antibodies that destroy the red blood cells of the newborn)

For comments and archives

 
    An Inspirational Story

God's embroidery

When I was a little boy, my mother used to embroider a great deal. I would sit at her knee and look up from the floor and ask what she was doing. She informed me that she was embroidering. I told her that it looked like a mess from where I was. As from the underside I watched her work within the boundaries of the little round hoop that she held in her hand, I complained to her that it sure looked messy from where I sat. She would smile at me, look down and gently say, "My son, you go about your playing for awhile, and when I am finished with my embroidering, I will put you on my knee and let you see it from my side." I would wonder why she was using some dark threads along with the bright ones and why they seemed so jumbled from my view. A few minutes would pass and then I would hear Mother's voice say, "Son, come and sit on my knee." This I did only to be surprised and thrilled to see a beautiful flower or a sunset. I could not believe it, because from underneath it looked so messy.

Then Mother would say to me, "My son, from underneath it did look messy and jumbled, but you did not realize that there was a pre-drawn plan on the top. It was a design. I was only following it. Now look at it from my side and you will see what I was doing." Many times through the years I have looked up to my Heavenly Father and said, "Father, what are You doing?" He has answered, "I am embroidering your life." I say, "But it looks like a mess to me. It seems so jumbled. The threads seem so dark. Why can't they all be bright?" The Father seems to tell me, "'My child, you go about your business of doing My business, and one day I will bring you to Heaven and put you on My knee and you will see the plan from My side."

Author Unknown

For comments and archives

 
  Cardiology eMedinewS

Eating Before Lipid Test OK Read More

New US Stats on Chagas heart failure show outlook is grim Read More

 
  Pediatric eMedinewS

Early stress linked to weaker brain connections, anxiety Read More

Tocilizumab shows promise for juvenile idiopathic arthritis Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with FUO was put on trial of anti–tuberculosis treatment.
Dr. Bad: Continue it.
Dr. Good: The trial is not recommended.
Lesson: Patients with FUO should not have empiric antibiotic started solely to treat fever. Rifampin used in therapeutic trial for TB may suppress staph bone infection or diminish the ability to detect organism causing endocarditis.

For comments and archives

Make Sure

Situation: A patient with LBBB in ECG developed acute pulmonary edema.
Reaction: Oh my God! Why was underlying low cardiac function not suspected?
Lesson: Make sure all patients with LBBB (left bundle branch block) undergo Echo to rule out ejection fraction. This may not be true for RBBB.

For comments and archives

 
    Legal Question of the Day (Dr M C Gupta)

Q. What are the legal implications of the MCI not recognising a PG degree awarded by a medical college?

Ans.

A. There cannot be a general answer to this question. The answer will depend upon the facts and circumstances of each case.

B. An illustrative case is that in respect of the MS (Surgery) degree awarded to students studying at Dayanand Medical College, Ludhiana. This degree was not recognised for many years. One of the affected students was Dr. Gill who proceeded against the MCI. The reason for proceeding against the MCI was that the latter held that the degree of MS (Surgery) degree awarded to students studying at Dayanand Medical College, Ludhiana, was not recognised. The case went up to the SC. Recently, the degree has been recognised by the MCI.

C. The chronological developments in this case are given below:

  1. Dr. Sukhwinder Singh Gill filed a WP in the P&H HC, which ruled in his favour.
  2. The MCI came in appeal before a division bench of P&H HC. The appeal titled as Medical Council of India v. Dr. Sukhwinder Singh Gill and another was decided on 24-7-2002 against the MCI. Para 2 of the judgment is reproduced below:

    “2. The petitioner has filed the present CM. No. 6727 of 2004 seeking an order restraining respondents No. 1 and 2 from raising any objection regarding the validity of the Post Graduate qualification of the applicant-petitioner during the pendency of the writ petition. When this application came up for hearing on 14.5.2004, it was argued by the counsel for the Medical Council of India that the application is not maintainable as no such direction could be issued during the pendency of the writ petition. According to the learned counsel, this would amount to allowing the writ petition. Faced with this situation, learned counsel for the petitioner sought an adjournment to file a better affidavit setting out the irreparable loss which would be caused to the petitioner, if the order dated 19.3.2004 is not suitably modified. The petitioner has filed the affidavit on 17.5.2004. When the matter came up for hearing, relying on the observations made by this Court in the aforesaid order dated 19.3.2004, Mr. Guglani has vehemently argued that the aforesaid order does not require any modification. In the affidavit which has been Filed by the petitioner, it has been stated that the applicant-petitioner has been working as Senior Lecturer in the Department of Surgery at Government Medical College and Hospital, Chandigarh respondent No.3 since September 20, 200l till date. A list of 12 doctors is given in paragraph 6 who are similarly situated as the petitioner having under gone the three years course of studies at the Dayanand Medical College and Hospital, Ludhiana who have been admitted to the further speciality course in Surgery known as MCH at various Hospitals and Institutions. It is further stated that the decision of the SLP may take a number of years by which time the applicant-petitioner would become over age for any government job. The dream of the applicant-petitioner of becoming a successful Surgeon, after obtaining the degree of Master of Surgery by further advancing his career by higher qualification and serving the public in the prestigious Government institutions would be shattered permanently. In 1998, the applicant-petitioner had not imagined that the degree for which he had successfully studied would be questioned by the Medical Council of India.”
  3. MCI filed an appeal/SLP in the SC. Dr. Gill filed his reply/counter-affidavit in the SC.
  4. My client Dr. Suman Gupta, who had also passed MS from DMC, wanted to get impleaded in the SLP. He gave me the SLP and Dr. Gill’s reply for perusal and wanted my legal opinion and also wanted to know what additional pleas could be taken by him in his reply as a respondent.
  5. My legal opinion rendered on 5-2-2004 is reproduced below. (It is being reproduced here in the interest of legal education/awareness amongst doctors. Otherwise I would not have revealed it. It is obvious that it has no sensitive or personal information concerning my client.)

    ********

    OPINION DATED 5-2-04 REGARDING MEDICAL COUNCIL CASE—Dr. MC Gupta, Advocate

    PART I

    OPINION IN THE SLP CASE MEDICAL COUNCIL OF INDIA V. DR. SUKHVINDER SINGH GILL (DR. SUMAN GUPTA’S IMPLEADMENT APPLICATION IS PENDING IN THE CASE)

    1) The counter-affidavit filed by Dr. Sukhvinder Singh has missed many points and needs to be strengthened by additional pleadings in the affidavit by Dr. Suman Gupta if the application for impleadment is granted.

    2) The additional pleadings are given below. These assail the action of the appellant against the respondent no. 1 under different headings—ONE, being violative of constitution; TWO, being contrary to judicial and legal procedure; THREE, being against justice and fair play and public good.

    3) VIOLATION OF CONSTITUTIONAL PROVISIONS:

    A) Discrimination among equal students (Article 14)—Even though all students of MS course pursue same curriculum and syllabus and read same books and are taught by similarly qualified teachers and are declared successful after appearing in the same examination conducted by the same university by same examiners who set the same question paper, including practical examination, for all, yet students who studied in Dayanand Medical College, Ludhiana, are discriminated by with-holding recognition to their MS degree.

    B) Discriminatory rules by two different state medical councils (Article 14)-- Punjab Medical Council recognizes the MS degree of doctors who studied at Dayanand Medical College, Ludhiana, but Delhi Medical Council does not recognize the same.

    C) Discrimination between equal doctors (Article 14)--Doctors registered in one state can practice throughout India in terms of section 15 (2) (b) of Indian Medical Council Act, 1956. Consequently, in a situation where two doctors studied at Dayanand Medical College, Ludhiana, together and passed MS together, but one of them got registered with Punjab Medical Council and the other with Delhi Medical Council, then the former would entitled to practice in Delhi as a surgeon but the latter would not be so entitled.

    D) Arbitrary action by MCI (Article 14)—The Punjab University is a government university recognized under the University Grants Commission Act, 1956, and is expected and presumed to confer degrees only upon those found deserving of the same and, therefore, the administrative action taken by the Indian Medical Council by refusing to recognize a valid degree granted by a valid university is arbitrary and violative of Article 14.

    E) Arbitrary action by state (Article 14)—Impleaded defendant Dr. Suman Gupta is recognized by UOI as a qualified surgeon as is evident from the fact that he worked as a surgeon for 3 years at the prestigious Safdarjang Hospital, Delhi, which is directly under the Central Ministry of Health and Family Welfare, from …………… to ……………, as also from the fact that the Foreign Assignment Cell, Ministry of External Affairs, at the recommendation of the Ministry of Health and Family Welfare, registered his name for an assignment as a surgeon to other countries. It is purely arbitrary that while the Central Ministry of Health and Family Welfare recognizes the MS degree of the impleaded petitioner, an institution established by the said Ministry under its control, namely, the Indian Medical Council, which is state within the meaning of article 12, does not recognize the same.

    F) Violation of Article 19 (1) (g)—It is a Constitutional right to practice any profession or to carry on any occupation, trade or business. The action of the appellant in not granting recognition to the MS degree earned by the respondent means that he is debarred from practicing his profession which is in clear violation of his fundamental right.

    G) Violation of Article 21—Right to life includes right to livelihood. The action of the appellant in preventing the respondent from practicing as a surgeon means that he is prevented from earning livelihood, which is violative of the fundamental right granted under article 21.

    4) VIOLATION OF JUDICIAL AND LEGAL PROCEDURE AND JURISPRUDENTIAL PRINCIPLES--

    A) Misjoinder of parties—The appellant has not impleaded parties which are material to the dispute, namely, Punjab University, Dayanand Medical College, Ludhiana, Punjab Medical Council (and, in case of Dr. Suman Gupta, Delhi medical Council), the Punjab Government and the Union of India. It is for the university, not the respondent, to counter the stand of the appellant that the MS degree awarded to the respondent by the University is not valid. Similarly, it is for Dayanand Medical College, Ludhiana, not the respondent, to counter the stand of the appellant that they were not authorized to admit and teach students for the MS course. The facts concerning the University and the College are not within the knowledge of the respondent and it is against justice and fair play to ask him to prove that he was validly was admitted to the course, or that the course was validly conducted or that the degree was validly awarded. Similarly, it is for the Punjab Medical Council to state and prove that they have refused to endorse the MS degree of students enrolled in MS course at Dayanand Medical College, Ludhiana. The Punjab Government is a necessary party because both Punjab Medical Council and Punjab University function under the Punjab Government and are controlled by it and the Punjab Government cannot be allowed to play with the career of people of the state by giving education to bona fide students, at great cost to the students and the public exchequer, but denying to them the fruits of such education. The Union of India is a necessary party because the appellant MCI is controlled by the UOI and hence it is the duty of the UOI to ensure that no injustice is done to the respondent and other citizens through the direct or indirect actions of the State. It is further stated that both UOI and State of Punjab are necessary parties because “medical education and universities” are covered under entry 25 of list III under Article 246 while medical profession is similarly covered vide entry 26.

    B) Estoppel—The appellant MCI is stopped from not recognizing the MS degree of Punjab University awarded to students who have studied at Dayanand Medical College, Ludhiana, because the appellant has known all along that such students were being admitted and taught at the said college and were being examined and declared successful by the said university but the appellant never issued either any public notice advising students not to join the said course at the said college, nor did it send any notice in this regard to the said college or university. The appellant cannot now turn around after almost 20 years and declare that the postgraduate degrees of all those doctors who specialized as surgeons are unrecognized and, hence, non est. Even Respondent no. 2, PGI Chandigarh, permitted respondent no. 1 to appear in the entrance examination for admission to superspeciality course of M. Ch. on the strength of his possessing a valid MS degree not once or twice but thrice in the past.

    C) Non-application of mind and inconsistent stand on the part of MCI—The appellant has taken totally inconsistent stand, showing non-application of mind, at different times as regards non-recognition of MS degree of Punjab University awarded to about 100 students who have studied at Dayanand Medical College, Ludhiana, during past 20 years. On the one hand, it states that such degree is not a recognized postgraduate qualification in surgery, but, on the other hand, it has implicitly recognized them as duly qualified surgeons as is clear from the fact that the appellant has never taken action against them in terms of regulation 7 (20) of the Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002, made under section 20A read with section 33 (m) of the Indian Medical Council Act, 1956. Regulation 7 (20) reads as follows:

    “Chapter Seven: MISCONDUCT--

    7 (20). A physician shall not claim to be specialist unless he has a special qualification in that branch”.


    It is submitted that when the stand of the appellant in case of a large number of doctors similarly placed as the respondent, who are openly practicing as surgeons in various government institutions in senior positions under the very nose of the appellant for two decades, clearly shows implicit recognition of their MS degree, the appellant cannot arbitrarily and without application of mind take a different and opposite stand in case of the respondent.

    5) VIOLATION OF EQUITY, JUSTICE, FAIR PLAY AND PUBLIC GOOD—Law has to operate for the benefit of society, not against it. When citizens have obtained postgraduate medical qualifications after years of hard work and have been trained as surgeons by a reputed university and are functioning as such in reputed institutions and rendering invaluable services to public in a country where health facilities are meager, by no cannon of morality or law can they be deprived of their hard earned degrees or means of livelihood or chance to serve the society through the means at their command. The clock just cannot be put back and the appellants cannot be allowed to take unilateral illegal decisions and spoil the careers of a large number of doctors, including the respondent.
  6. It is clear that the MCI later decided to recognise the MS (Surgery) degree at DMC, Ludhiana, pursuant to the above proceedings.
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  Quote of the Day (Dr GM Singh)

Cheerfulness is the principle ingredient in the composition of health. Arthur Murphy

 
    Mind Teaser

Read this…………………

Eddie, 40 years old, is brought to the emergency room after the crash of his private plane. He has suffered multiple crushing wounds of the chest, abdomen and legs. It is feared his leg may have to be amputated. When Eddie arrives in the emergency room, the assessment that assume the greatest priority are:

A. Level of consciousness and pupil size
B. Abdominal contusions and other wounds
C. Pain, Respiratory rate and blood pressure
D. Quality of respirations and presence of pulses

Yesterday’s Mind Teaser: When doing colostomy irrigation at home, a client with colostomy should be instructed to report to his physician:

A. Abdominal cramps during fluid inflow
B. Difficulty in inserting the irrigating tube
C. Passage of flatus during expulsion of feces
D. Inability to complete the procedure in half an hour

Answer for Yesterday’s Mind Teaser: B. Difficulty in inserting the irrigating tube

Correct answers received from: Dr PC Das, Dr KV Sarma, Dr Thakor Hitendrsinh G, Dr Chandresh Jardosh, Muthumperumal Thirumalpillai, Dr kanta jain, Prabha Sanghi.

Answer for 15th November Mind Teaser: B. Everything he ate before the operation but will avoid those foods that cause gas

Correct answers received from: Dr KV Sarma, Dr Chandresh Jardosh.

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

Mum: If you wash your face, Sammy, you can have one slice of chocolate cake. But if you wash your neck, too, you can have two slices.
Sammy: What if I have a bath?

 
    Medicolegal Update

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

Exhumation of corpse without legal order is criminal offence – Indian Penal Code

The Autopsy Surgeon/Forensic Expert and Magistrate should be present along with the concerned police official with the order of court; however, the local police official should be called if exhumation is carried out.

  • Exhumation should be conducted preferably in the morning hours after proper sunrise.
  • More than two times of the digging area should be screened off.
  • The grave/place of cremation for which the order has been passed should be identified properly/authentically by police officer; an estimation of number of persons, whether single, double or multiple body/bodies should be made so that adequate arrangements can be done in advance.
  • The burial should be removed in layer of about 10cm and the condition of soil, water, any plantation growth, ants, cockroaches, and smell should be noted.
  • After removal of dirt above the dead body, it should be photographed from all corners in the original position found.
  • A drawing should be made of graveyard/depth and state of decomposition/skeletal remains of the body.
  • The dead body/its remains should be transferred in a plastic sheet covered with a cloth sheet.
  • Sample of soil, burial cloth, and any material found in grave, loosen hair/teeth/nail/should be collected and photographed.
  • The body should be shown to close relatives for identification.
  • The dug grave should be kept as it is for further burial after autopsy.
  • All the available details should be provided to the doctor with request to conduct the postmortem examination with any specific instruction or query related with forensic/medical examination to find out age, cause of death, details of injury, any poisoning, time since death etc.
  • Videographs of all procedure must be done.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

Fasting before a lipid profile test may not be necessary

It may not be necessary to fast overnight before a routine cholesterol profile check said Padma Shri and Dr B C Roy national Awardee Dr KK Aggarwal, President Heart Care Foundation of India quoting a large community-based population study suggested done by Christopher Naugler, MSc, MD, of the University of Calgary in Alberta and published in the Nov. 12 issue of the journal Archives of Internal Medicine.

In the study, the mean cholesterol subclass levels varied by less than 2% for total cholesterol and good HDL cholesterol, by less than 10% for calculated bad LDL cholesterol and by less than 20% for triglycerides.

Fasting is often inconvenient for patients and discourages compliance with routine screening programs.

On the other hand, eating before a cholesterol test can highlight insulin resistance, which is associated with worse post meal lipid clearance. High triglyceride levels after eating are predictors of insulin resistance. Total and good HDL cholesterol values do not change with food.

Current guidelines suggest that blood samples for lipid profiles should be obtained after a 9- to 12-hour fast. This requirement is not always practical for patients, who rarely present in a fasting state.

 
    Readers Response
  1. Thank u very much, Sir for your daily update. I open my mail now almost daily to read eMedinewS. CPR10 will be friendlier for a lay person. Dr. Sulochana Rajani, MD, DGO ICF/Chennai.
 
    Forthcoming Events

Seminar on "Mind and Body in Health and Harmony in Asian Systems of Medicine"

Date: December 11-13, 2012
Venue: India International Centre, New Delhi
Themes of the Workshop: Anatomy, Philosophy, Diagnostics and imbalances, Therapeutics and treatments, Understanding Mind-Body relationships and Preventive and Promotive aspects in the traditional systems of medicine

 
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