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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 …

22nd October 2011, Saturday

Can herbs raise blood pressure?

US FDA off late banned all plant-based herbal drugs containing Ephedrine alkaloids. Earlier FDA had issued a black box warning label to be put on every herbal product containing ephedra as under: “Use of ephedra has been associated with heart attacks, strokes, seizures and death”

Ephedrine alkaloids are adrenaline-like stimulants that can have potentially dangerous effects to the heart. FDA in the year 2004 declared that dietary supplements containing ephedrine alkaloids present an unreasonable risk of illness and injury.

Ephedrine, a naturally occurring compound found in species of ephedrine behaves much like the drug amphetamine and dexamphetamine used to stimulate energy, reduces obesity and promotes weight loss. It burns fat and hence became a popular source of anti obesity pills in the West. Another chemically related compound is phenylpropanolamine (PPA), which has been withdrawn from the US market over safety problems in view of more incidence of brain hemorrhage.

There have been 17 reported deaths attributed to herbs containing ephedrine and 800 ephedrine related injuries as per FDA. A 23-year-old Boston student reportedly died after regularly drinking a protein supplement containing ephedrine after two years due to involvement of the heart. A 35-year-old man had a heart attack after having just five capsules before a work out.

Any product, which contains ephedrine, should not be consumed with coffee, tea, cola and other stimulants. Also one should not exercise after ingesting ephedrine. The combination of exercise and ephedrine can raise the heart rate, blood pressure to dangerously high levels.

Ephedrine is present in many Indian and Chinese herbs. A few examples are bala, Ma huang, square tea, Somlata etc. Bala or Sida Cordifolia is present in many Ayurvedic preparations like Mashabaladi Kvatha, Bala Tela, etc. used for hemiplegia, paralysis, headache, sciatica and nervous conditions. Bala telam is used as a cardiac tonic. Somalata is used for respiratory conditions.

Sida Cordifolia extract used in Ayurveda contains 1% of the Alkaloid Ephedrine. Ayurveda describes it as an important anti pyretic remedy and also as an aphrodisiac.

Many other herbs can also increase blood pressure apart from Ephedra. The other common herb used in Indian practice is Licorice. Licorice contains triterpene glycosides containing glycyrrhizic acid, which can increase the sodium content of blood and raise the blood pressure. Licorice when used in high doses specifically in the form of Licorice candy can cause high blood pressure.

The high dose of Ginseng (30 mg) can also increase the blood pressure, though in smaller doses, 3-4 mg a day, it is known to lower the blood pressure.

American Academy of Family Physicians did an exercise of enlisting all the herbs which can cause blood pressure in the year 2003 and they are: Aniseed, St. Johns Wort, Capsicum, Parsley, Blue Cohosh, Vervain, Chaste Berry, Bayberry, Licorice, Ginger, Ginseng, Ephedra Pau d’Arco, Coltsfoot, Gentian, Cola alkaloids, Broom alkaloids, Calamus amines, Guarana.

Four of these herbs are used in Chinese formulary extensively and they are ma-huang, ginseng, licorice, and ginger. Licorice can raise the blood pressure by 3 to 14 mmHg.
A 5 mm fluctuation in blood pressure reading can alter the cardiac mortality and morbidity by up to 20% Most herbs however are safe if taken within the permissible limits. Both “bala and somlata” like any allopathic drug should be used within the prescribing limits.

Patients with hypertension should be very careful about keeping their blood pressure within acceptable limits, which is lower than 120/80 mmHg. This can often be accomplished with drugs as well as lifestyle management including proper diet and sufficient exercise. All patients with high blood pressure should know about these compounds and should check for their presence, if any, in dietary supplements and over the counter drugs. Similarly, every family physician in the country must keep this list on his table for a ready reference and check if a blood pressure patient is taking any herbal supplement.

Checking for these supplements becomes especially important in patients whose blood pressure is not getting controlled or is fluctuating.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

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

Question on HUMAN BITE

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    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011
Eco fest-Inter School Festival

18th Eco Fest, a School Eco Club’s Festival was organized at MTNL Perfect Health Mela, NDMC Grounds Laxmibai Nagar, New Delhi. Students from various school took active participation in the event .

 
mela 2011
 
    National News

Breast cancer cases in India to double by 2015

Breast cancer has overtaken cervical cancer to become the leading site of cancer in metro cities and is expected to double by 2015, experts said on Wednesday. "Breast cancer has overtaken cervical cancer to become the leading site of cancer in Delhi, Bangalore, Mumbai, Chennai, Bhopal, Ahmedabad and Kolkata with the relative proportion ranging from 21.7 percent to 28.7 per cent," said P.K. Julka, professor of Oncology, All India institute of Medical Sciences (AIIMS), New Delhi. Speaking on the occasion of the Breast Cancer Awareness Month, Julka said though the incidence of breast cancer in India per 100,000 population is significantly less compared to US, France, Denmark, Sweden, Britain, the Netherlands, Canada, Australia, Switzerland, Italy, Singapore, Brazil and Japan but the mortality is almost 50 percent of the rate. "The lifetime probability of developing breast cancer in India is one in 22 women compared to one in eight in US and other developed countries," he said. In India, the number of new breast cancer cases is about 115,000 per year and this is expected to rise to 250,000 new cases per year by 2015. Explaining the risk factors, Julka pointed to increasing age probability, lack of childbearing or breast feeding, higher hormone levels, late age of menopause, smoking, alcohol and economic status. (Source: TOI, Oct 20, 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)

Perioperative algorithm improves outcomes in cardiac surgery

Early perioperative goal-directed therapy using functional and volumetric hemodynamic measures improved multiple outcomes in cardiac surgery patients, German investigators reported at the annual meeting of the American Society of Anesthesiologists (ASA) 2011 Annual Meeting. "Goal-directed hemodynamic therapy based on an algorithm using measurements of cardiac output (CO), stroke volume variations (SVV), extravascular lung water index (ELWI), and a patient-individualized global end-diastolic volume index (GEDI) minimizes organ damage and reduces the length of ICU(intensive care unit) stay after elective cardiac surgery," said Matthias S. Goepfert, MD, from Hamburg-Eppendorf University Hospital, Germany. (Source: Medscape Medical News)

For comments and archives

New 'Return to Class' protocol for kids with concussion

There is a "Return to Play" protocol for young athletes who have suffered a concussion during a sporting activity. Now, a pediatrician in private practice in Scituate, Massachusetts, has created a "Return to the Classroom" protocol to facilitate communication between physicians and school officials on a child's readiness to get back to the classroom after a concussion. "It is so difficult to communicate information on a student-by-student basis exactly what that particular student should be doing from one week to the next because it is going to constantly change," David P. Morin, MD, who practices pediatrics in the Scituate Pediatric Group, told Medscape Medical News. "Having a protocol or guide is especially important when you take care of 50 to 60 kids who are in various stages of concussion. The schools will have 10 to 15 every week with hockey, football, soccer, basketball, lacrosse, and cheerleading," he said. Dr. Morin unveiled his new protocol here at the 2011 American Academy of Pediatrics (AAP) National Conference and Exhibition. There are 4 stages to the protocol. They are as follows:

  • Red: No school, lots of cognitive rest
  • Orange: Half-day of school; avoid taking the school bus and lugging textbooks; skip nonessential classes; no tests, homework, or quizzes
  • Yellow: Full day of school; gradual resumption of responsibilities for homework, tests, quizzes, and make-up work
  • Green: Full academic load and return to normal physical activity

The protocol stresses the importance of cognitive rest. Cognitive stimulation at home is to be limited, and children should avoid video games; computers; text messaging; cell-phone use; loud, bright environments; television; and reading. (Source: Medscape Medical News)

For comments and archives

Optimal duration for antiplatelet Tx remains elusive

The optimal time to stay on dual antiplatelet therapy (DAPT) following percutaneous coronary intervention (PCI) remains undefined, but newer-generation stents may require less time on the medications, an analysis found. Discontinuation of DAPT following drug-eluting stent (DES) implantation ranges from 14% at 30 days to more than 80% beyond one year, suggesting the need to use a stent that appears safe with shorter DAPT duration, reported David E. Kandzari, MD, from Piedmont Heart Institute in Atlanta, and colleagues. (Source: Medpage Today)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: # MTNL Perfect Health Mela (Siri Fort Auditorium) - Special presentation by Balwant Rai Mehta Vidya Bhawan (...http://fb.me/WsHaXO2e

@DeepakChopra: :#CosmicConsciousness Neuroskeptics believe (as I do) that consciousness is not in the brain but a field that actualizes through the brain.

 
    Spiritual Update

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

Two Basic Truths of Vedanta

Two Hindu principles that symbolize the outcome of freedom of thought were conceptualized four thousand years back by unnamed Rishis in Rig-Veda which says, “This world is one family” (Vasudaiva Kutumbakam) and that “The Universal Reality is the same, but different people can call it by different names” (Ekam Sat Viprah Bahuda Vadanti).

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

Making change

Many of us do not like what we see around us but the last thing we ever do is to change it. I think that is the beginning of failure and that is why what we hate still remains around us. If you do not want the things you see around you, don't just watch and hope it will change. There must be a work plan that will determine what you are going to do to change it.

We have such an amazing power of creativity inside us to change the way things work around us. Only lazy people go about and say that is the way things have been working and that is the way they are going to continually work.

I have come to discover that things around us are dependent on our actions and inactions. What I mean is that the circumstances that we like depend solely on the things we do and the things we do not do. Do you want you country to change? Start by changing the small things around you.

Before you think too far about any small thing to change, let me help you by saying that your habit should be the first thing to change. Change what you think about and change what you talk about. Change the things that get your attention before you plan to change a nation.

Can you remember how difficult it was for you to break a habit that you desired to break some years back? Do you remember that habit of yours that you are still struggling to break? If so, then you must accept that things are not just going to change by the stroke of a magic thought.

If it is not so easy to change yourself when you want to, it is not going to be so easy to change the people around you. Many people do not find it easy to change themselves yet they want to change a nation. I think the best way I have changed people around me is that I changed myself. People are watching you. Some of them do not expect you to change so your change is going to be like a miracle to them. When you change, they will change. Just change yourself and see how many people will tell you later that you were the one who changed them.

That is one simple way young people can change their nations. Go ahead now. Do it!

For comments and archives

 
    Fitness Update

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

Facebook and texting may help in weight loss

Facebook and texting may help in weight loss

How many times per day do you check Facebook? If you're like most people, you check it more often than you would like to admit. However, checking frequently might not be a bad thing after all. New research shows that in addition to improving your social life, Facebook can improve your chances of losing weight. Researchers from the Center for Obesity Research and Education at Temple University in Philadelphia presented their data at the recent Annual Meeting of the Obesity Society.

In their study, researchers evaluated different methods of weight loss in 52 overweight college students. Participants were divided into three groups. The first group belonged to a private Facebook group where they could view podcasts, receive advice on exercise and nutrition, and interact with other members. The second group belonged to this same Facebook group, but also received personalized, motivational text messages. They also received reminders to turn in their food diaries and go to the gym. The third group received no support. After eight weeks, the participants belonging to the Facebook group lost more weight, however the ones in the group that accessed Facebook and received text messages lost significantly more.

More research needs to be done on texting, Facebook and weight loss, but researchers speculate that these methods were effective in helping students lose weight because they provide social support, which is a key element in motivating people to be more active.

For comments and archives

 
    Malaria Update

AC Dhariwal, Hitendrasinh G Thakor, Directorate of NVBDCP, New Delhi

What the National Drug Policy of India says

Severe and complicated malaria cases

Diagnosis of malaria should be confirmed at the earliest in children, as the febrile convulsions, repeated vomiting and dehydration are common if the temperature is high from any cause. Therefore, these symptoms are not necessarily indicative of severe malaria. However in routine program situations, children with such symptoms should be referred to a health facility equipped to manage severe malaria and a diagnosis of malaria should be confirmed at the earliest.

Malaria, especially P. falciparum is a serious disease in pregnancy because with each bout of malaria, there is a reduction in hemoglobin and profound anemia may develop rapidly. They are also at high risk of abortion or intrauterine growth retardation because sequestration of parasites in placenta restricts oxygen and nutrients flow to the fetus. There is also an increased risk of stillbirth.

For comments and archives

 
    Medicine Update

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

How is hepatitis C transmitted?

The hepatitis C virus is spread primarily by exposure to blood. People may get hepatitis C by sharing needles to inject drugs, through exposure to blood in the workplace, from unsterile equipment used for body piercing, tattoos or acupuncture, exposure to dental or medical practices with poor infection control practices or by sharing personal care items including nail clippers, razors, scissors with infected people. The risk of getting this virus from a blood transfusion is minimal but still exists. All donated blood is now screened for the hepatitis C virus.

Hepatitis C has been transmitted between sex partners and among household members. However, the degree of this risk still needs to be accurately defined. An infected mother can pass HCV to her child at birth.

There is no evidence that hepatitis C virus is spread by casual contact. Sneezing, coughing and hugging do not pose the risk for hepatitis C. In addition, there is no evidence that hepatitis C virus is spread by food or water.

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  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Categories of Anemia

Microcytic/hypochromic anemia (decreased MCV, decreased MCHC)

  • Iron deficiency (common)
  • Thalassemia
  • Anemia of chronic disease (uncommonly microcytic)
  • Sideroblastic anemia (uncommon; acquired forms more often macrocytic)
  • Lead poisoning (uncommon)
  • Hemoglobin E trait or disease

For comments and archives

 
  Legal Question of the Day

(Contributed by Dr MC Gupta, Advocate)

I understand that the sale of human organs / tissues / blood is against law. Mere exhortations and appeals to people to make such donations are not very effective. What incentives can be legally given to promote organ donation?

Ans.

  1. In some countries, people who donate organs are accorded a state funeral.
  2. A more practical scheme in India may be for the government to start a scheme of one or more incentives of the following types:
    A. A special pension scheme of, say, Rs. 1000/- per month for 5-10 years, to the persons (or to their family members, if deceased), who donate their organs.
    B. A special pension scheme for those who donate blood. For example, the scheme may be on the following lines:
    --Those who donate blood five times may be paid a special pension of Rs. 200/- per month for 5 years.
    --Those who donate blood 10 times may be paid a special pension of Rs. 200/- per month for 10 years.
    --Those who donate blood 25 times may be paid a special pension of Rs. 400/- per month for 10 years.
    --Those who donate blood 50 times may be paid a special pension of Rs. 1000/- per month for 10 years.
    --Those who donate blood 75 times may be paid a special pension of Rs. 1000/- per month for 15 years.
    --Those who donate blood 100 times may be paid a special pension of Rs. 1000/- per month for 20 years.

    C. The government may reserve a preferential quota in jobs etc. or for allotment of housing etc.
    D. The government may provide free health insurance/Mediclaim policy for a specified number of years to persons donating or their specified nominee.

For comments and archives

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient came with 10–second episodes of chest pain.
Dr. Bad: It is classical angina.
Dr. Good: It is non–cardiac chest pain.
Lesson: Cardiac pain is never less than 30 seconds.

For comments and archives

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.

For comments and archives

 
  Quote of the Day

(Dr GM Singh)

At the height of laughter, the universe is flung into a kaleidoscope of new possibilities.

 
  IDIOMS

Raincheck: An offer or deal that is declined right now but willing to accept later.

 
    Mind Teaser

Read this…………………

Which of the following is not true of Gardasil?

  1. It is an HPV-6,11,16,18 VLP vaccine.
  2. ACIP recommends it for males and females aged 9 to 26 years.
  3. Pap test result does not influence the decision to vaccinate.
  4. Three doses are given for vaccination.

Yesterday’s Mind Teaser: Which one of the following is an accurate definition of the sensitivity of a screening test?

  1. The percentage of screening tests that are positive.
  2. The percentage of screening tests that are negative among patients when remain unaffected by the condition of interest after screening.
  3. The percentage of screening tests that are positive among patients who remain unaffected by the condition of interest after screening.
  4. The probability of a diagnosis of the condition of interest after a positive screening test.

Answer for yesterday’s Mind Teaser: c. The percentage of screening tests that are positive among patients who remain unaffected by the condition of interest after screening.
Correct answers received from: Dr Anil Kumar Jain, Dr Sukla Das, Dr PC Das, Dr.(Maj. Gen.) Anil Bairaria, Dr.K.Raju, Muthumperumal Thirumalpillai, T.P.Jayaraman,

Answer for 20th October Mind Teaser: A. Intravenous atropine and 2-pralidoxime chloride (2-PAM)
Correct answers received from: Dr.Ragavan Moudgalya, Dr. Sukla Das, Dr. P. C. Das, Dr.Sathiyamoorthy Veerasamy, Dr Surendra Bahadur Mathur, DR.Anil Kumar Jain, Joura, Dr AK Sharma, Dinesh Yadav

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(DR.G.M.SINGH)

What about children?

Little Bobby (seven) was in love with Little Susie (same age) who lived next door. One day, Bobby went to Susie's dad and announced (as seriously as he could), "I'm in love with Susie, and we're getting married". Amused, Susie's dad started asking questions (in the hopes to discourage the idea). Susie's dad: "Where will you live?" Bobby: "Well, Susie has a playhouse in the back yard, so we're gonna live there."

Susie's dad: "How are you going to make money to support her?"

Bobby: "Well, Susie gets 75 cents a week, and I get $1.25 a week." (pauses to think) "That should be more than enough!" Seeing that Bobby was still serious, Susie's dad asked, "Well, what about children?" Bobby perked up and quickly answered, "Oh, we have that figured out already. Whenever Susie lays an egg, I'm gonna stomp on it!"

 
    Rabies Update

(Dr A K Gupta, Author of “RABIES – the worst death” )

A vaccinated pet dog is bitten by a rabid animal. What should the owner do?

Ideally such dog should be humanely killed (put to sleep) by a veterinarian since postexposure prophylaxis is not very successful. Such dogs pose risk (source of infection) to others and if the owner (much against professional advice) goes for postexposure immunization of the dog, he should be informed of this risk.

 
    Medicolegal Update

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

Right coronary artery is called artery of sudden death since it supplies the electrical area of heart

The most common cause of sudden cardiac death in adults over the age of 40 seen in postmortem examination in approximately 100 cases randomly selected by me in the mortuary at AIIMS has been coronary artery atheroma.

  • The most common finding at postmortem examination is chronic high-grade stenosis of minimum one segment of a major coronary artery, the arteries which supply the heart muscle with its blood supply.
  • A significant number of cases also have an identifiable clot in a major coronary artery which causes transmural occlusion of that vessel.
  • In many cases out of hundreds, the clots were found in the right coronary artery supplying the electrical area of heart.
  • Death in these cases is thought to result from a period of transient or prolonged lack of blood supply in the muscle of the heart wall which induces a ventricular arrhythmia/fibrillation and no changes in the myocardium is seen during postmortem examination.
  • The absence of the histological signs of acute necrosis and a healed infarct are common findings.
  • Chronic high-grade stenosis causing previous episodes of ischemia and areas of focal fibrosis is seen histologically in the myocardium.
  • Ventricular arrhythmias may arise from a myocardium, which has been previously scarred by episodes of ischemia.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

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

Rational Prescription of Drugs

Launching a special drive at the ongoing Perfect Health Mela being organized at Laxmi Bai Nagar by organized by Heart Care Foundation of India in association with Health Department, Government of Delhi, World Fellowship of Religions, NDMC, MCD and other NGOs and public sectors from 19-23 October, Dr. K K Aggarwal, Padma Shri and Dr B C Roy National Awardee, President Heart Care Foundation of India & MTNL Perfect Health Mela said that doctors should prescribe drugs rationally.

Rational use of drug involves the identification of the correct medicine, giving in adequate dose and for the adequate period of time. Both under dose and overdose can cause drug resistance and cause serious side effects. Irrational use of drugs by quacks alone is the cause for over 1/3 death in the country which can be prevented.

Nursing Competitions Held

Divya Jyoti, the inter-nursing college/school competition, was held which included poster making, slogan writing, model display, quiz, role play.

Over 2000 nursing students of various nursing schools and colleges utilized the Perfect Health Mela venue as their community posting. They not only helped in examining & vaccinating the patients but also learnt about social counseling, stage management and many aspects of personality development. Apart from students a group of over 30 teachers coordinated the event.

Defining a nurse Dr Aggarwal said that a NURSE is noble, understanding, responsible, simple and efficient healthcare provider.

First aid classes

Hourly chest compression cardiopulmonary resuscitation classes are being held in the mela. Death is reversible provided chest compression at the rate of 100 per minute are given over 10 minutes and within 10 minutes of cardiac arrest (of clinical death).

General public need to be trained only how to do cardiac massage and they need not learn the ABCs of cardiopulmonary resuscitation in detail.

Sports drugs abuse awareness at the mela

Abuse of Anabolic Steroid can cause liver tumors, cancer, fluid retention, high blood pressure, increase in bad cholesterol and decrease in good cholesterol, acne and kidney tumors. In men they can cause shrinking of testicles, reduced sperm count, infertility, baldness, development of breasts and increased risk of prostate cancer. In women, they can cause growth of facial hair, male pattern baldness, changes in or cessation of the menstrual cycle, enlargement of the clitoris and deepened voice. In adolescents, they can cause growth retardation, premature skeletal maturation, and accelerate puberty changes. The misuse can also cause mood swings, maniac-like symptoms, depression, paranoid jealousy, extreme irritability, delusions and impaired judgment.”

Keep my Delhi Clean


Mrs. Rajni Abbi, Mayor of Delhi, hosted an evening tea party for the organizers of MTNL Perfect Health Mela 2011 at the Mayor House. The party led by the Padmashri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, was attended by over 60 people.

Addressing the gathering, Mrs. Abbi said that her priority is to keep Delhi clean. She requested all the members of Heart Care Foundation of India to motivate all people to keep their house and neighbouring roads clean and healthy. She said that for maintaining clear Delhi, people give their suggestions and complaints in the MCD Official Facebook page.

The delegation offered MCD to train MCD teachers for six minute micro yoga technique and also to start a campaign of making Delhi disability free.

Important persons who were present were Dr. N.K. Yadav, MHO, MCD; Mr. Satish Upadhyay, BJP State Vice President, Mr. Anand Bhatnagar, Mr. K Sarin, Dr. Sanjay Gupta and Dr. Manoj Kumar.

Discussions held on exercise and fitness


A special discussion was organised in the mela and participated by Padmashri & Dr. B.C. Roy National Awardeee; Dr. Sanjay Gupta, Bone and Joint Specialist; Mr. Nikit, Fashion Designer and Nancy Sood, Aerobic Trainer.

It was emphasized that school children joining competitive sports should undergo cardiac evaluation. After the age of 40, no exercise should be started without medical clearance.

Bharti Taneja visited the Health Mela

Bharti Taneja, noted beauty specialist, visited the mela and gave lecture and tips on hair and nail care. Addressing the gathering of nurses, she said that nail and hair care is very important in routine nursing care.

For comments and archives

 
    Readers Responses
  1. Thanks very much for the updates. Very useful. Latha Natarajan.
 
    Forthcoming Events

18th MTNL Perfect Health Mela

Date: 14th–18th October
Different locations in Delhi
19th–23rd October
Venue: NDMC Ground, Opp. Indira Nari Niketan Working Girls Hostel
Near Philanji Village, Laxmibai Nagar, New Delhi
Theme: Science Behind Rituals

For More Details

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    Our Contributors

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