March 22  2015, Sunday
editorial
Tomato reduces prostate cancer risk
Dr KK AggarwalConsumption of lycopene–containing foods, especially tomato and its products is prostate friendly. A prospective study in a cohort of over 50,000 men from the Health Professionals Follow–up Study suggests that dietary intake of lycopene is associated with a lower incidence of prostate cancer and a decreased risk of lethal prostate cancer. These effects may be mediated through inhibition of tumor angiogenesis.
eMedipics IMA,IJCP,HCFI
PADMA AWARDEES Join to defeat TB in India
News
  • Substandard vaccination has been attributed as the cause of rise in measles cases in the United States. Inappropriate vaccination makes people more vulnerable to infection.
  • It has been observed that obese females are 40% more likely to develop cancer compared to those having healthy weight. Obesity has been found to promote development of cancer of breast (postmenopausal), bowel, pancreas, esophagus, uterus (endometrium), kidney and gallbladder.
  • A recent study has found that the action of nonsteroidal anti-inflammatory drugs (NSAIDs) of reducing risk of colorectal cancer depends on gene variations. The mechanism of this reduction is not completely understood.
  • New concepts have been proposed regarding the evasion of immunity of patients suffering from tuberculosis. The concepts are believed to help in developing a vaccine for tuberculosis.
IMA,IJCP,HCFI
Dr KK Spiritual Blog
On 2nd Navratri let go your impure thoughts

Brahmacharini (Uma or Tapacharini) is worshipped on 2nd day of Navratri as the goddess who performed ‘Tapa’ (penance or continuous efforts) (Brahma – Tapa, Charini – Performer).

SHE personifies love and loyalty and provides knowledge and wisdom. Those who worship her, attain, Tap (Religious Austerity), Tyagi (Sacrifice), and Vairagya (Asceticism).

She is shown to hold Japa mala (rosary beads) in her right hand and Kamandal in left hand.

This form of Shakti as per Yoga Shastras is present in second gonad chakra (in Allopathy gonad plexus) called Svadhisthana Chakra. The bija sound for the chakras is VAM which removes attachments. In Ayurveda the 2nd Chakra represents the water element.

In mythology ‘white’ represents purity of mind; beaded rosary or japa mala represents continuous efforts (meditation and concentration) and Kamandal represents acceptance and water in it represents pure thoughts.

Kamandalu also means living an egoless state of mind. Kamandalu is a water pot made from a dry pumpkin contains nectar and is shown on the ground next to Shiva. The process of making Kamandalu has deep spiritual significance. A ripe pumpkin is plucked from a plant, its fruit is removed and the shell is cleaned for containing the nectar. In the same way, an individual must break away from attachment to the physical world and clean his inner self of egoistic desires in order to experience the bliss of the Self, symbolized by the nectar in the Kamandalu.

Spiritual mantra on the 2nd Navratri

“Purify the mind (white cloths) with continuous efforts (japa mala) by accepting the things and situations as they are (kamalandu) and building humility in the mind (egoless state)”
IMA,IJCP,HCFI
Cardiology eMedinewS
  • Heart failure is known to occur commonly in patients of type 2 diabetes. Its been proposed that diabetic medication increases the risk of heart failure in these patients.
  • Long-term results from the Ablation vs Amiodarone for Treatment of Atrial Fibrillation in Patients with Congestive Heart Failure and an Implanted ICD/CRT-D (AATAC-AF) suggest that ablation is significantly superior to amiodarone in relieving persistent AF. The results were presented at the American College of Cardiology (ACC) 2015 Scientific Sessions.
Pediatrics eMedinewS
  • Sharenting refers to the sharing of children pictures and videos on social media by their parents. Concern regarding its ill effects like digital kidnapping and cyberbullying has been raised.
  • Heart health can decline substantially with unhealthy childhood behaviors, suggests new research published in Circulation: Cardiovascular Quality and Outcomes.
IMA,IJCP,HCFI
Media
IMA,IJCP,HCFI
Events
IMA,IJCP,HCFI
Make Sure
Situation: A patient was brought to the ICU in cardiogenic shock.

Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA?

Lesson: Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of NRMI–2 trial suggest that this intervention is much better than thrombolytic therapy in such patients.
Inspirational Story
Trapped

I’m trapped, trapped inside myself, I want to get out, get out and be free. I don’t want to live in my shell, But I’m scared, scared to take away my mask.

Friends are forever letting me down, No matter how close they are. They are there if I have a problem, But when I don’t I may as well not exist.

I want someone to trust and care about me, someone to cry on and someone to listen. I want someone to love me for who I am, Not the masked me whom everyone knows.

Unfortunately none of this can ever come true, not from someone on this earth anyway. No one I know is perfect; No one I know can fulfill this.

Except…

Someone I know who is watching down on everyone of us. He has a special plane and a purpose for anyone who turns to Him. There will still be hardship and sorrow, but these will make you strong.

He can be trusted, he is ever so faithful. He cares deeply about each person on this earth. He can be cried upon, and will cry with you. He even puts each tear we cry in a bottle. He is the best listener anyone could be, And most of all He loves us for who we are, No matter what we have done.

“Who could do all this?” I hear you ask. It’s a very dear and special friend of mine called Jesus, with whom I can take away my mask and be free.
Wellness Blog
5 steps to lower Alzheimer’s risk (HealthBeat)
  • Maintain a healthy weight.
  • Check your waistline.
  • Eat mindfully. Emphasize colorful, vitamin–packed vegetables and fruits; whole grains; fish, lean poultry, tofu, and beans and other legumes as protein sources; plus healthy fats. Cut down on unnecessary calories from sweets, sodas, refined grains like white bread or white rice, unhealthy fats, fried and fast foods, and mindless snacking. Keep a close eye on portion sizes, too.
  • Exercise regularly. Aim for 2½ to 5 hours weekly of brisk walking (at 4 mph) or try a vigorous exercise like jogging (at 6 mph) for half that time.
  • Keep an eye on important health numbers. In addition to watching your weight and waistline, keep a watch on your cholesterol, triglycerides, blood pressure, and blood sugar numbers.
Medicolegal
(Contributed by Dr Sudhir Gupta, Prof & Head, Forensic Medicine & Toxicology, AIIMS)

What is World Medical Association Declaration – Principle V–Clinical Education?

The clinical component of medical education must be centered on the supervised study of patients and must involve direct experiences in the diagnosis and treatment of disease. The clinical component should include personal diagnostic and therapeutically experience with gradual access to responsibilities. An adequate relation of the numbers of students admitted for training and teaching at the bedside of the individual patient must be observed.
  • Before beginning independent practice, every physician should complete a formal program of clinical education. This program, usually of at least one year’s duration, should be characterized by a supervised increase of responsibility for the management of clinical problems.
  • The faculty is responsible for determining that students who receive the first professional degree, have acquired a basic understanding of clinical medicine the basic skills needed to be evaluated.
  • Addressing Clinical problems and to take appropriate action independently, and have the attitude and character to be an ethical physician.
Dr Good Dr Bad
Situation: A patient with severe migraine wanted to know if xylocaine drops would help.
Dr. Bad: They have no role.
Dr. Good: You can try them.
Lesson: As an intranasal spray, 2% xylocaine drops can help migraine patients.

(Copyright IJCP)
IJCP Book of Medical Records
IJCP’s ejournals
eMedinewS Humor
Miracle Car

The parents of two boys (14 and 16 year–olds) went on a trip for the weekend with friends. They left early Friday morning and the boys were left alone at home. That evening the younger boy made the suggestion that they take their dad’s car, pick up some girls and go to the local disco. The 16 year–old boy could drive a bit but was too scared.

After some nagging he gave in and off they went to enjoy the evening. When they got back to the car after a lot of discotheque, they noticed a huge dent in the rear of the car – someone must have bumped into the car and drove off.

Frantically they phoned their friends to find a panel beater/spray painter to fix their dad’s car. Finally they found one who said they must have the car at his house early next morning. The car was fixed properly and they parked it back in the garage that afternoon.

Their parents returned the next day but the boys were too terrified to say anything about the accident. The father went to get something from the garage, came back very amazed and said to the family in the lounge,

"A miracle has happened! A guy drove into the back of my car on Thursday and now it is fixed without a scratch!"
IMA,IJCP,HCFI
eMedi Quiz
All of the following conditions may predispose to pulmonary embolism except:

1. protein S deficiency.

2. Malignancy.

3. Obesity.

4. Progesterone therapy

Yesterday’s Mind Teaser: A patient using contact lens develops corneal infection. Laboratory diagnosis of acanthamoeba keratitis was established. The following is the best drug for treatment:

1. Propamidine.

2. Neosporine.

3. Ketocanazole

4. Polyhexamethylene biguanide.

Answer for yesterday’s Mind Teaser: 1. Propamidine.

Correct Answers received from: Dr Prabodh K Gupta, Prateek, Daivadheenam Jella, Dr Avtar Krishan, Dr KV Sarma.

Answer for 20th March Mind Teaser: 2. Sympathetic ophthalmia.

Correct Answers receives: Dr K V Sarma, Daivadheenam Jella, Dr Avtar Krishan.
CPR 10
Total CPR since 1st November 2012 – 101090 trained
Video of the Day
Sameer Malik Heart Care Foundation Fund
The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number or by filling the online form.
Madan Singh,
SM Heart Care Foundation Fund, Post CAG
Kishan, SM Heart Care Foundation Fund, Post CHD Repair
Deepak, SM Heart Care Foundation Fund, CHD TOF
IMA NEWS
Sonal Namaste
How should you wash your hands?

Hands being washed

Wet your hands with clean, running water (warm or cold), turn off the tap, and apply soap. Lather your hands by rubbing them together with the soap. Be sure to lather the backs of your hands, between your fingers, and under your nails. Scrub your hands for at least 20 seconds. Need a timer? Hum the "Happy Birthday" song from beginning to end twice. Rinse your hands well under clean, running water. Dry your hands using a clean towel or air dry them.
Facts about Tuberculosis (TB)
Is TB curable?
  • TB is completely curable if the prescribed drugs are taken regularly for the full duration.
RESULT OF IMA SLOGAN CONTEST ON TUBERCULOSIS
Position
SLOGAN
Name of Student
College
1
TB ko desh se hatana he to DOTS ko hame apnana hai
Swagat Kumar Khamari
 
2
"Aao milkar DOTS apnaye, aur TB ko ghar se bhagaye" (Hindi)
Sameer Singh
Hi-Tech Medical College & Hosp. Utkal University, Bhubaneswar, Orissa
3
"TB ke niyantran ka chhota sa hain raaz, jaldi karo jaanch, pura karo ilaaj"
Aamir Hussain
HIMSR (Jamia Hamdard)
4
Ek hi lakshya ek hi naara TB upchar mein DOTS sahara
Khalid Zafar
HIMSR Medical College
OTHER APPRECIABLE SLOGANS RECEIVED BY IMA HQs. FROM MEDICAL STUDENTS
RELATED TO CURE OF TUBERCULOSIS
SLOGAN
Name of Student
College
stop careless spitting, sneezing, coughing - 'Every breath counts - Stop TB now'!
Gopal Bedia
IQ City Medical College, Durgapur
It Kills you form inside out, find out what Tuberculosis is all about.
Gopal Bedia
IQ City Medical College, Durgapur
AAO Ka Ghar Hoga TB Mukt - to Desh v hoga Chinta Mukt
Aashna Shiraz
IQ City Medical College, Durgapur
"DOTS Ko Hum Apnayenge TB Mukt Susth Bharat Banayenge."
Shubham Sethy
Hi-Tech Medical Coolege & Hospital, Bhubaneswar, Odisha
"Become a Safety Hero, Make TB Zero"
V. Pavan Datta Syam Kumar
Guntur Medical College, AP
"Sarkari Yojna Ko Lagu Kare - Ao saab milke TB se Jamm Kar lade"
Shibashis Deb
Silchar Medcial College & Hospital, Silchar, Assam
Be Bold to treat the TB World
G. Poornima
Rangaraya Medical College
Use DOTS Course - B protected from TB Curse
G. Poornima
Rangaraya Medical College
TB latent? Don't let it be petent
G. Poornima
Rangaraya Medical College
Don't mild - vaccinate your child
K.Lakshmi Madhuri
Rangaraya Medical College
Rest in Peace TB - Not our loves ones whatever be
K.Lakshmi Madhuri
Rangaraya Medical College
One Hand - Keerchief - Prevents TB mischief
K.Lakshmi Madhuri
Rangaraya Medical College
Don't allow cough to make your life tough
D. Uma Sri Likhitha
Rangaraya Medical College
Open Ur mouth to roar against TB not to cough
D. Uma Sri Likhitha
Rangaraya Medical College
Prevent Poverty--- Prevent Tuberculosis
V. Ramesh
Rangaraya Medical College
Your Kiss of Affection, the Germ of Infection
T. Srinivas
Rangaraya Medical College
Win the Fight Before It sharts--Test of TB
D. Suresh
Rangaraya Medical College
Reach the TB, find treat cure TB
C. Vijay Kumar
Rangaraya Medical College
Hear - Act Learn Treat Tuberculosis
B. Mahesh
Rangaraya Medical College
A sentence remains imcomplete without a Dot, Let us aim at complete prevention of Tuberculosis with DOTS
A.Bhargav
Rangaraya Medical College
Win the fight beofre it starts end the TB before it attacks
Ch. V.N. Priyanka
Rangaraya Medical College
Join our hands together Make our country TB Force
Ch. V.N. Priyanka
Rangaraya Medical College
Vaccinate against TB Lead TB Free life
Ch. V.N. Priyanka
Rangaraya Medical College
If preventable and curable then Klhy still Existing?
R. Pratyusha
Rangaraya Medical College
Act fast to eradicate the Acid Fast (TB bacilli)
S. Monica
Rangaraya Medical College
Take BCG…. Make eradication of TB easy
Divya N
Rangaraya Medical College
Be One - See TB Effect None
M. Hima Bindu
Rangaraya Medical College
"TB se kya ghabrana TB ko kya chhupana Poora Aur Pakka Illaaj DOTS se hain Karwana"
Aamir Hussain
HIMSR (Jamia Hamdard)
2 hafte se jyada khaansi ban na jayein gale ki faansi jaanch kraao bhai jaanch kraao TB nikley to DOTS khaao
Parul Bansal
Hamdard Institute of Medical Sciences & Research
Desh Ka Katra Katra Cheekhega TB Haarega Deh Jeetega
Aakriti Gupta
Hamdard Institute of Medical Sciences & Research
TB Jaisi Bimaari Pad Na Jaaye Bhaari Jaldi Karo Kuch Taiyaari Jaan Na Lele Ye Tumhaari
Pankhuri Goya
Hamdard Institute of Medical Sciences & Research
Jan Jan Tak Pahuchana Hai Bharat Ko TB Mukt Banana Hai
Apporva Garg
Hamdard Institute of Medical Sciences & Research
TB -aab Teri Baari hai
Manish Panigrahi
Hi-Tech Medical College & Hosp. Utkal University, Bhubaneswar, Orissa
Aao TB Se ladhein, Ek Swasth Bharat gadhein
Manish Panigrahi
Hi-Tech Medical College & Hosp. Utkal University, Bhubaneswar, Orissa
India ka DOST - DOTS TB Ka Dushman - DOTS
Manish Panigrahi
Hi-Tech Medical College & Hosp. Utkal University, Bhubaneswar, Orissa
DOTS ko apnana hai, TB Ko bhagaana hai
Manish Panigrahi
Hi-Tech Medical College & Hosp. Utkal University, Bhubaneswar, Orissa
Know TB, say Taataa Byebye TB
Manish Panigrahi
Hi-Tech Medical College & Hosp. Utkal University, Bhubaneswar, Orissa
Hunt TB Down, make India-wear the Crown
Manish Panigrahi
Hi-Tech Medical College & Hosp. Utkal University, Bhubaneswar, Orissa
"Kick TB out of INDIA, be a part of healthy INDIA"
Manish Panigrahi
Hi-Tech Medical College & Hosp. Utkal University, Bhubaneswar, Orissa
"Pull in DOTS, before TB pulls out your LUNGS"
Manish Panigrahi
Hi-Tech Medical College & Hosp. Utkal University, Bhubaneswar, Orissa
"DOTS bhai amari sathi re, jakhma nirakarana amari hatare" (Oriya)
Manish Panigrahi
Hi-Tech Medical College & Hosp. Utkal University, Bhubaneswar, Orissa
"TB kills, DOTS heals"
Manish Panigrahi
Hi-Tech Medical College & Hosp. Utkal University, Bhubaneswar, Orissa
"TB marega - bharat jiyega"
Manish Panigrahi
Hi-Tech Medical College & Hosp. Utkal University, Bhubaneswar, Orissa
"Making a healthy INDIA is killing the filthy TB"
Manish Panigrahi
Hi-Tech Medical College & Hosp. Utkal University, Bhubaneswar, Orissa
"TB ko dur bhagao, bharat ki saan badhao"
Manish Panigrahi
Hi-Tech Medical College & Hosp. Utkal University, Bhubaneswar, Orissa
"TB is a Fraud, guard NDIA from the fraud"
Manish Panigrahi
Hi-Tech Medical College & Hosp. Utkal University, Bhubaneswar, Orissa
'TB ke khilaf milaiye haath, hamesha chaliye DOTS ke saath''
Shubham Sethy
Medical College & Hospital, Bhubaneswar, Odisha
TB ko naa kare sakar, DOTS ko kare hatyar''
Shubham Sethy
Medical College & Hospital, Bhubaneswar, Odisha
'TB ko kare nakam, DOTS lena hamara kam''
Shubham Sethy
Medical College & Hospital, Bhubaneswar, Odisha
IN THE HIGH COURT OF DELHI AT NEW DELHI
W.P.(C) 2353/2015
VINAYAGGARWAL and ANR .. Petitioners
Through: Mr Sandeep Sethi, Sr. Adv. with Mr Kamal Gupta and Mr Abhishek Gupta, Advs.
Versus
GOVERNMENT OF NCT OF DELHI ..... Respondent
Through: Ms Zubeda Begum, Standing Counsel with Ms Sana Ansari, Adv.

CORAM:
HON'BLE MR. JUSTICE RAJIV SHAKDHER
OR D E R
19.03.2015

CM No. 4821/2015 (by petitioners for interimdirection)

1. Ms Zubeda Begumhas reverted with instructions. She says, though the notification dated 13.03.2015 was taken out for publication in the gazette, as of now, there has been no publication in the gazette. Ms Zubeda Begum, however, says that the notification has been uploaded on the website.
2. I may only indicate that the petitioners had come to court with a plea that, even though the composition of council was complete, as the elected members as well as the nominated persons were in place, the respondents had not issued a notification to reflect this fact. The petitioners before this court are persons who were nominated by the Lt. Governor when NCT of Delhi was under President?s Rule. The notification dated 13.03.2015,

W.P.(C) 2353/2015 Page 1 of 3

which is being referred to above, does not contain the names of the petitioners herein and two other persons, who were nominated by the Lt. Governor, at the relevant point in time. By virtue of the notification dated 13.03.2015, the composition of the council has changed.

3. It will have to be examined whether the respondents could have changed the composition in the manner in which they have done without taking recourse to the relevant provisions of the Delhi Municipal Act, 1977 (in short DMC Act) and the Rules framed thereunder.
4. Mr Sethi, learned senior counsel appearing for the petitioners, has submitted that once a person is elected or nominated, he can only be removed if he attracts disqualification and disability as adverted to in Section 7 of the DMC Act. It is, therefore, the submission of Mr Sethi that the notification dated 13.03.2015 is completely illegal.
5. In my view, this aspect will have to be examined. I am also informed that it is not as if there is no council in place, as the previous council continues to operate. The concerns of the court, as to what would happen to matters presently pending, and those that may be filed in the intercession, before the council, is thus, in a sense, taken care of by virtue of the circumstance being in place. Accordingly, till the next date of hearing, notification dated 13.03.2015 is stayed.
6. List on 21.04.2015.
WP(C) 2353/2015 and CM No. 4213/2015 (interimdirections)
7. Issue notice.
8. Ms Zubeda Begumaccepts notice on behalf of the respondent. Counter-affidavit be filed within two weeks. Rejoinder, if any, be filed

W.P.(C) 2353/2015 Page 2 of 3
before the net date of hearing.

9. List on 21.04.2015.

CM No. ______/2015 (O. 6 R. 17 of CPC by petitioner)

10. Mr Sethi has brought to court the captioned application for amending the writ petition. The registry is directed to number the application.
11. Issue notice
12. Ms Zubeda Begumaccepts notice on behalf of the respondent. Reply be filed within two weeks. Rejoinder, if any, be filed before the net date of hearing.
13. List on 21.04.2015.
14. Dasti.

RAJIV SHAKDHER, J
MARCH 19, 2015

kk

W.P.(C) 2353/2015 Page 3 of 3
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Quote of the Day
If we wait until our lives are free from sorrow or difficulty, then we wait forever. And miss the entire point. Dirk Benedict.
Reader Response
  1. Dear Dr. K K, The CPR training initiative taken by you at the school level is a wonderful idea This will give the confidence to the children and they will pass on this tradition to the next generation. God bless you for taking such good initiatives. Regards, Ashok Ahooja
  2. To allow Ayush doctors to do abortions will be the most foolish thing to do. On one hand we say that doctors (qualified M.B.B.S.) doctors though not competent to do abortions and now they will allow Ayush doctors can do abortions, there cannot be more sillier decision. Regards Akshay Banerjee
PADMA AWARDEES Join to defeat TB in India
Air pollution, Malnutrition, over crowding and poor living conditions are responsible for continuing TB problem in the country. To cut the chance of transmission and prevent the spread of disease it is essential to reach all TB cases, treatment and cure. This will also prevent the emergence of drug resistance TB.

Various Padma celebrities joined hands in the ‘TB Harega Desh Jeetega’ movement. Padma awardees Ms. Uma Shankar, Shri Ashok Chakradhar, Shri Sudhir Telang, Shri Vinod Dua, Dr K K Aggarwal, Dr Madan Mohan, Dr Yash Gulati, Dr Alka Kriplani, Dr S Rawat, Dr Rajesh Grover and Dr A K Bhalla gathered under one roof and joined the TB awareness movement initiated by Indian Medical Association in association with Central TB Division under DGHS.

They collectively signed and released the message ‘TB Haarega Desh Jeetega’ and ‘Swachh Bharat Swasth Bharat TB Mukt Bharat’.

Speaking on the occasion Dr K K Aggarwal and Mr. Ashok Chakradhar said that Dr. Jagdish Prasad, Shri Pandit Birju Maharaj ji Ms. Sonal Mansingh, Ms. Geeta Chandran, Ms. Shovna Narayan and Shri Satpal Pahalwan have also joined the social movement against tuberculosis.

Today one fourth of all global TB cases occur in India every year. In 2013 twenty one lacs TB patients occurred in India. The prevalence of TB in India is 211 per lac population and i.e. 26 lacs annually. The incidence of TB per lac population is 171. The death due to TB occur in 19 per lac population. In total 2.4 lacs people die of TB in India every year.

All the Padma Awardees in a joint statement said that every celebrity in the country should dedicate each and every of their show to a social cause.

It was decided by Padma celebrity Forum that Swach Bharat Swasthya Bharat movement will be their priority as it is linked to the growth of the nation in general and the healthy environmental status in particular.

Dr. Jagdish Prasad, DGHS said that no one should ignore any cough of more than 2 weeks in duration. They further said that TB is no more a stigma. All contacts of TB patients should be checked, as they may be infectious before it clinically manifest as TB.
Rabies News (Dr A K Gupta)
What are the precautions to be taken while administering RIGs?
  • Patient should not be on an empty stomach.
  • The RIG vial should be kept outside for a few minutes, after taking it out of the refrigerator, to warm it to room/body temperature.
  • While infiltrating RIG into the bite wound, care must be taken to avoid injecting into blood vessels and nerves.
  • While injecting into the finger tips, care must be taken to avoid compartment syndrome.
  • All emergency drugs and facilities for managing any adverse reactions must be available.
  • For ERIG, keep the patient under observation for at least one hour after ERIG administration and then send home.
  • RIGs can be infiltrated even to already sutured wounds without disturbing the sutures.