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  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04); Editor in Chief IJCP Group of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR

 

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  Editorial …

19th July 2011, Tuesday

What is the difference between a freedom fighter and a terrorist?

In his reaction to one of my Blogs, Vivek Kumar from Bangalore raised a point about the difference between a freedom fighter and a terrorist. Was the freedom fighter Chandrashekhar Azad not labeled a terrorist by the British?

There is a very thin yet a clear–cut line which separates the freedom fighter from the terrorist. This is decided by the collective consciousness of the people. It’s the perception of the people which differentiates the two.

Let us take the example of Kashmir. If the collective consciousness of the people of Kashmir wants to get separated from India and thus gain independence, then anybody fighting for the cause would be labeled as a freedom fighter by them, if not the same would be labeled as a terrorist. In such a situation, it becomes the duty of the ruling government to change the perceptions of the people or it would be labeled as a struggle for freedom.

During the British rule, the British called the freedom fighters as terrorist. A person who works against Government policy would be labeled as terrorist by any ruler.

Any activity done on the name of Dharma and religion would also be labeled terrorist activity by most.

Dharma, Artha, Kama and Moksha are the basic purposes of one’s life. It means earning and working righteously to fulfill the intense desire for inner happiness.

The word Dharma means to hold together. Any act which holds all the people together is "dharma". If an act by an individual holds all people together it would become a righteous act or full of Dharma and in the context of above will be labeled as an act done for fighting for the freedom. And the same act if has not been able to hold people together, will become an act of terrorism.

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Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

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

What is the difference between a freedom fighter and a terrorist?

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

National Conference on Insight on
Medico Legal Issues

Dr HK Chopra, was felicitated at the National Conference on Insight on Medico legal issues.

 
Dr K K Aggarwal
 
    National News

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

http://blogs.kkaggarwal.com/?p=1134
http://twitter.com/#!/search/medicolegal
https://www.facebook.com/pages/Insight–on–Medicolegal–Issues/247091668637671

30 Baya Weaver nests sighted in Bhitarkanika Park

The Forest officials of Bhitarkanika National Park have recently sighted about 30 Baya Weavers’ nests in the coconut trees located at Dangamala Crocodile Research Centre within the park, informed Durga Charan Sahu, Ranger of Kanika forest block. The population of Baya Weaver bird is now dwindling. According to Sahu, the Baya Weaver (Ploceus philippinus) is found across South and Southeast Asia. They inhabit in grasslands, cultivated areas, scrubs and secondary growths usually near fresh or brackish water. They are widespread and common within their distribution area but are prone to local, seasonal moment.

The Baya Weavers are sparrow sized (15 cm) and both males and females resemble female house sparrows. They have a stout conical bill and a short square tail. Non–breeding males and females look alike, dark brown streaked fulvous buff above, plain, unstreaked, whitish fulvous below, eyebrows long buffy, bill horn coloured and no mask. Breeding males have a bright yellow crown, dark brown mask, blackish brown bill. Their upper parts are dark brown streaked with yellow, with a yellow breast and cream buff below, stated Sahu.

The breeding season of the Baya Weavers is monsoon. They nest in colonies of up to 20–30, close to the source of food, nesting material and water. Baya Weavers are best known for their elaborately woven nests. These pendulous nests are retort shaped, with a central nesting chamber and a long vertical tube that leads to a side entrance to the chamber. The nests are woven with long strips of paddy leaves, rough grasses and long strips torn from palm fronds. Each strip can be between 20 and 60 cm in length, the forest official informed. (Sources: The Pioneer, July 16, 2011)

For comments and archives

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)

Guillain–Barre risk low to nonexistent after H1N1 Vax

If there was an elevated risk of developing Guillain–Barré syndrome after receiving an adjuvanted, monovalent influenza A (H1N1) vaccine during the 2009 pandemic, it wasn’t raised by much, a European study showed. After accounting for influenza–like illnesses/upper respiratory tract infections and seasonal influenza vaccination, the pooled risk estimate for the neurological disorder following vaccination was 1.0 (95% CI 0.3 to 2.7), according to Miriam Sturkenboom, PhD, of Erasmus University Medical Center in Rotterdam, the Netherlands, and colleagues. (Source: Medpage Today)

For comments and archives

New cardiac risk score for South Asians

A newer cardiac risk score that expands on the classic Framingham assessment model could be more relevant for profiling the South Asian population, which has been estimated to be at increased risk of heart disease, Seshasayee Narasimhan, cardiology consultant with the University of Alberta, Edmonton, Canada, has said. The Framingham tool, if applied as it is, could lead to an underestimation of the risk among South Asians who make up 25 per cent of the global population and also contribute to about 60 per cent of the global cardio–vascular disease burden, Dr. Narasimhan told The Hindu. The cardiologist, an alumnus of the Stanley Medical College (the 1992 batch), has reviewed epidemiological evidence and built on cardiac risk profiling from various parts of the world to put together a new score that factors in the ethno–genetic traits believed to make South Asians more vulnerable to ischemic heart disease.

Dr. Narasimhan advocates an expanded Framingham scale that goes beyond the basic criteria — age, gender, total cholesterol, smoking, HDL cholesterol, systolic blood pressure — to include eight more parameters such as a revised Body Mass Index (18.5 per 23 instead of the conventional 22–26 range), reduced adiponectin and lipoprotein and raised levels of homocysteine and apolipoprotein (ApoB100). According to Dr. Narasimhan, the key features of heart disease in a country like India is that the onset of acute coronary syndrome happens much earlier (under 40 years of age) than in the Western population, besides its presentation as a severe and diffuse coronary artery disease.
(Source: http://www.thehindu.com/health/article2230920.ece, Jul 16, 2011)

For comments and archives

Positivity lets you age successfully

Ageing is something that bothers most of us. Nothing is more frightening than waking up with more wrinkles and fine lines all over our face. But the truth is we all will age at some point of time.

Now, a new German study has shed light into how the brain can help us age successfully. Ageing successfully has been linked with the positivity effect’, a biased tendency towards and preference for positive, emotionally gratifying experiences. Now, Dr. Stefanie Brassen and her colleagues explain how and when this effect works in the brain. They studied this effect by using neuroimaging to evaluate brain engagement in young and old adults while they performed a specialized cognitive task that included supposedly irrelevant pictures of either neutral, happy, sad or fearful faces. During parts of the task when they didn't have to pay as much attention, the elderly subjects were significantly more distracted by the happy faces.

When this occurred, they had increased engagement in the part of the brain that helps control emotions and this stronger signal in the brain was correlated with those who showed the greatest emotional stability. Integrating our findings with the assumptions of life span theories we suggest that motivational goal–shifting in healthy aging leads to a self–regulated engagement in positive emotions even when this is not required by the setting," said author Dr. Stefanie Brassen. The study is published in Biological Psychiatry. (Source: TOI, Jul 15, 2011)

For comments and archives

 
    Fitness Update

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

Foods to avoid or eat more of for losing weight

It’s no mystery that your waistline is influenced by how much food you eat, but the seemingly straightforward advice to "eat less and exercise more" is not so clear–cut when you compare the amount of calories found in a bag of potato chips to a bowl of vegetables.

Harvard School of Public Health researchers may just have the answers to what foods to avoid and what to eat more of for losing weight. In a study published in The New England Journal of Medicine, they documented the foods with the strongest associations for packing on weight or losing it. The researchers combined data from diet and lifestyle questionnaires from 120,877 people—50,422 women from the Nurse’s Health Study, 47,898 women from the Nurse’s Health Study II, and 22,557 men from the Health Professionals Follow–Up Study. Over a 20–year period (from 1986 to 2006), the authors took body weight measurements every four years. Consistent with the national trend, the average weight gain of the study participants was 3.35 pounds and 2.4 percent of body weight during each four–year period, which equated to a total weight gain of an average of 16.8 pounds at the conclusion of the study.

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: #IJMD Radiographic interpretation and diagnosis of dental impactions have always posed a great challenge to the… http://fb.me/155QwylgK

@DeepakChopra: #CosmicConsciousness Your physical form was conceived in a wave of desire. Desire is pure potentiality seeking manifestation.

 
    Spiritual Update

There are seven types of leaders

There are only two types of people in the community: leaders or followers. Most of us are followers with only a few amongst us with leadership qualities. A leader is the symbolic soul of a group who acts as a catalyst for change and transformation. The group may be a family, business, political part

For comments and archives

 
    An Inspirational Story

(Dr Prachi)

Treasures to be thankful for

A man was exploring caves by the seashore. In one of the caves he found a canvas bag with a bunch of hardened clay balls. It was like someone had rolled clay balls and left them out in the sun to bake.

They didn’t look like much, but they intrigued the man, so he took the bag out of the cave with him. As he strolled along the beach, he would throw the clay balls one at a time out into the ocean as far as he could.

He thought little about it, until he dropped one of the clay balls and it cracked open on a rock. Inside was a beautiful, precious stone!

Excited, the man started breaking open the remaining clay balls. Each contained a similar treasure. He found thousands of dollars worth of jewels in the 20 or so clay balls he had left. Then it struck him.

He had been on the beach a long time. He had thrown maybe 50 or 60 of the clay balls with their hidden treasure into the ocean waves. Instead of thousands of dollars in treasure, he could have taken home tens of thousands, but he had just thrown it away!

It’s like that with people. We look at someone, maybe even ourselves, and we see the external clay vessel. It doesn’t look like much from the outside. It isn’t always beautiful or sparkling, so we discount it. We see that person as less important than someone more beautiful or stylish or well known or wealthy. But we have not taken the time to find the treasure hidden inside that person.

There is a treasure in each and every one of us. If we take the time to get to know that person, and if we ask God to show us that person the way He sees them, then the clay begins to peel away and the brilliant gem begins to shine forth.

May we not come to the end of our lives and find out that we have thrown away a fortune in friendships because the gems were hidden in bits of clay. May we see the people in our world as God sees them.

http://www.inspire21.com/stories/generalstories

For comments and archives

 
  Ask a Question

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

Should Valproate be avoided during the first trimester of pregnancy?

A: Yes. The American Academy of Neurology recommends in a "Practice Parameter" update appearing in Neurology.

  1. Women with epilepsy who take antiepileptic drugs have twice the risk for delivering babies with Apgar scores under 7.
  2. Valproate is associated with increased risk for congenital malformations.
  3. Avoiding valproate, phenobarbital, and phenytoin during pregnancy may reduce the risk for poor cognitive outcomes (all are class D drugs), while carbamazepine (class C) "probably does not produce cognitive impairments."
  4. Monotherapy for epilepsy is preferable to polytherapy, if possible, to reduce poor cognitive outcomes.
For comments and archives
 
    Pediatric Update

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

Useful tests to differentiate the causes of hepatomegaly

  • Febrile agglutinins (typhoid fever, brucellosis)
  • Monospot test (infectious mononucleosis)
  • Serum iron and iron–binding capacity (hemochromatosis)
  • Serum copper and ceruloplasmin (Wilson disease)
  • ANA analysis (lupoid hepatitis, collagen disease)
  • Stool for occult blood (metastatic malignancy)
  • Stool for ova and parasites (amebic abscess, cysticercosis and other parasites)
  • Bone marrow examination (hemolytic anemias, leukemia, myeloid metaplasia)
  • GI series and barium enema (metastatic neoplasm)
  • Sonogram (hepatic cyst, gallstones, abscess)
  • Laparoscopy (cirrhosis, metastatic neoplasm)
  • Liver biopsy (cirrhosis, hepatitis, metastatic carcinoma)
  • Serum α–fetoprotein (hepatoma)
  • Mitochondrial antibody titer (biliary cirrhosis)
For comments and archives
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  Did You Know

(Dr Uday Kakroo)

Strawberries are the only fruits whose seeds grow on the outside.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Comprehensive Metabolic Description

The Comprehensive Metabolic Panel (CMP) is a frequently ordered panel of tests that gives your doctor important information about the current status of your kidneys, liver, and electrolyte and acid/base balance as well as of your blood sugar and blood proteins.

For comments and archives

 
  Contrary Proverbs

(Mr Vipin Sanghi)

Too many cooks spoil the broth. BUT Many hands make light work.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with PUO needed blood cultures.
Dr. Bad: Take two blood cultures at four hours apart.
Dr. Good: Timing does not make a difference.
Lesson: There is no relationship between timings of specimen collection and likelihood of a positive blood culture. There is no difference in yield whether blood samples for culture are drawn simultaneously or at intervals spaced within 24 hours period. For comments and archives

Make Sure

Situation: A 62–year–old–diabetic with coronary artery disease, on treatment for the same, comes for follow up.
Reaction: Oh my God! Why did not you put him on antioxidants?
Lesson: Make Sure to add antioxidants to the prescription because of their free radical scavenging and other beneficial effects. For comments and archives

 
  SMS of the Day

(Dr GM Singh)

Choose for yourselves this day whom you will serve… But as for me and my house, we will serve the LORD.

 
    Medicolegal Update

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

Cite the source of the evidence in medical literature

For a document to serve as legitimate evidence in a trial it must exist in the public domain. The degree to which a medical document/literature/book validates the point you are making depends upon the reliability of the document. The author of a document is a witness that you are calling upon to testify.

  • To constitute valid medical testimony, the witness must be identified.
  • Conventions for citing sources are somewhat dynamic. However, at a minimum you should identify the individual, institution, or publication that authored the document and the publication date.
  • When it is not otherwise evident, you ought to make a quick reference to the qualifications of the author to lend an air of credibility to the document. Although it is not necessary to read additional information into the records, you must be prepared to provide a complete bibliographic citation if called upon to do so by the court of law or cross lawyer.
 
    Mind Teaser

Read this…………………

house prarie

Yesterday’s Mind Teaser: Q: The infectious disease society of America has defined cystitis as

a. More than 105 bacteria per millilitre
b. More than 103 bacteria per millilitre
c. Less than 105 bacteria per millilitre
d. Less than 107 bacteria per millilitre

Answer for Yesterday’s Mind Teaser: b. More than 103 bacteria per millilitre

Correct answers received from: Dr Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Dr Anil Bairaria, Dr sabita P, Dr SK Bansal, Dr K Raju.

Answer for 17th July Mind Teaser: Drop in the bucket
Correct answers received from: Dr Anupam Sethi Malhotra, Dr Rakesh Bhasin, Dr KV Sarma, Dr Sudipto Samaddar, Dr Pramod M Kulkarni.

Send your answer to ijcp12@gmail.com

 
    Medi Finance Update

(Dr GM Singh)

How do I make a nomination?

Nomination can be made either at the time of making an investment or subsequently at any time. If the nomination is not made at the time of application for units, a nomination form can be used for making the nomination subsequently. It must give details of the folio in which the nomination is sought to be made and the names and address of the nominees and relationship with the investor. A folio can have up to three nominees. The investor making the nomination can also specify the percentage allocation of the investment to each nominee. The nomination form must be signed by all the holders of the folio.

A nomination can be created, cancelled or changed any number of times by the investors who made the original investment. It does not imply additional cost to the investor. Joint holding in a folio will take precedence over nomination. If the folio has joint holders, then on the death of the first holder, the units will pass on to the other holders, in order of holding, and not to the nominee.

 
    Laugh a While

(Sudesh Nirwan)

Compromising does not mean you are wrong and your wife is right. It only means that the safety of your head is much more important than your ego!

 
    Drug Update

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

Drug Name
Indication
DCI Approval Date
Beclomethasone Dipropionate IP 100mcg + Formoterol Fumarate Dihydrate BP Eq. to Formoterol Fumarate 6 mcg Metered Dose Inhaler
For the treatment of bronchial asthma where use of inhaled corticosteroid therapy is found appropriate
05.01.11
 
    Public Forum

(Press Release for use by the newspapers)

Get your Press release online (English/Hindi/Audio/Video/Photo)

East and West, the Combination is the Best

The very fact our body has a receptor for each and every drug means that the body has the capacity to produce that drug, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

He said that western modern science has no match in diagnosis, acute management and surgical procedures but when it come to prevention and lifestyle management one need to adopt to holistic approach.

Holistic medicine is founded on three pillars of timeless wisdom: Meditation, Ayurveda, and Yoga. Meditation demonstrates a reduction in stress, anxiety, emotional turbulence, chronic pain, depression, insomnia, and confusion in only a few days. The result is a calmer, more relaxed, happier, more centered, and more fulfilled person. Stress is today considered as number one killer and is responsible for the causation of most diseases.

All doctors in their practice should incorporate stress management. The aim should be to bring a patient back into a stage of harmony between physical health and mental health. Anger; hostility and aggression are the newly discovered established risk factors for the causation of heart disease. Yoga is the union of mind with the body and is not just doing asanas.

Most people believe that aging is universal but there are biological organisms that never age. Most people believe that aging is painful and we know that pain is from diseases that are preventable, not from aging. By consciously using our awareness, we can influence the way we age biologically. One can tell his body not to age. For comments and archives

 
    Readers Responses
  1. Terrorist ki kya psyche. They are criminals and anti nationals. They should be behind bars. No psychoanalysis is needed. Vivek Kumar, Varanasi.
 
    Forthcoming Events

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

from Sept 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.

...more

………………………………………………………………

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 Hamdard 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

...more

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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 Pawan Gupta (drpawangupta2006@yahoo.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta