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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 …

26th October 2011, Wednesday

Healthy Diwali

You are happy only when you are healthy. Therefore wish all your patients and colleagues a healthy Diwali

Diwali the festival of inner Purnima on outer Amavasya

Diwali is celebrated on the day of Amavasya but the festival is symbolized by inner happiness, lighting or Purnima.

Moon in mythology is symbolized by cool positive thoughts. Normally on the day of Amavasya one encounters negatives thoughts and on the day of Purnima positive thoughts.

Diwali is the only day in a year where one experiences positive thoughts on the day of Amavasya, hence some people believes Diwali symbolizes Diwali with inner Purnima and out Amavasya. Diwali celebrations also coincide with the terminal phase of Chaturmas, the four months of negative state of mind. The purification process in Chaturmas starts with 1st Navratre falling on Amavasya. During these nine days one undergoes mind, body and soul detoxification by not thinking negative, doing positive things and acquiring soul based knowledge.

The mind, body detoxification during Navratre ends with killing of Tamas (Kumbhkaran), Rajas (Meghnath) and ego (Ravan) and of consciousness (Rama) over the evil. These benefits do not lead to inner Moksha or happiness until 20 days, the day of Diwali. In order to continue getting benefits of Navratre one needs to fast with positive state of mind every fourth day till Diwali.

On Sharad Purnima, the fast involves thinking positive with a cool mind to get health benefits. Four days later, on Karvachauth again, one fasts and worships the Moon with positive thoughts and acquires longevity benefits. Four days later on Ahoi Asthami again, one worships the moon and the stars with positive thoughts and acquires fertility benefits. On the day of Dhanteras one acquires a win over the fear of death (Yama). On this day, the fast involves deeper meditation (samundra manthan) to get all the benefits of Samadhi.

At the end of the meditation in the state of Samadhi, one gets in touch with the consciousness or the God, the insight gets illuminated and a person experiences bliss, a state of ecstasy of inner happiness and that is what is called experiencing inner Purnima on the day of outer Amavasya and the festival is celebrated as Diwali.

Let us all worship this Diwali as a state of positive mental state. This one month of purification of thoughts helps one in combating the depression phase seen in winter. Diwali is the only Amavasya where one does not do Shradh pooja. On Diwali Amavasya (falling in Chaturmas) one is allowed to start any new project. Even deaths on this Amavasya are considered auspicious (unlike on other Amavasya days).

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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

Diwali the festival of inner Purnima on outer

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

18th MTNL Perfect Health Mela 2011 – MTNL Perfect Health Mela Ends- Valedictory Funtion

The mela was a perfect picnic spot for public to understand everything about health. The mela was full of infotainment and a right mix of fun and education.

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


India closest ever to eradicating polio: Govt

Only one polio case has been detected in the country in the past nine months, making it the longest polio–free period ever since eradication efforts were launched. Now closest ever to eradicating polio, the government has decided to treat any fresh case of polio as a "public health emergency" in order to achieve polio eradication from India at the earliest. "For the first time no case of polio has been reported from Uttar Pradesh (since April 2010) and from Bihar (since September 2010). No case of type 3 polio has come up for over a year," the Health Ministry said in a statement on the eve of the World Polio Day in New Delhi on Sunday. A report of the Independent Monitoring Board for Polio constituted by the World Health Organisation also says India looks set to stop transmission of wild polio virus by year–end. India is the only endemic country that stands this chance. The disease is considered eradicated if no polio case is reported for three consecutive years. (Source: Indian Express, Oct 24 2011)

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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)

IDSA: Copper covering may cut hospital infection rates

Equipping hospital rooms with copper surfaces decreased the risk of acquiring an infection by 45%, researchers reported here. The finding comes after a previous study that showed that copper surfaces –– such things as bed rails and table tops –– harbor significantly lower numbers of microbes than standard materials, according to Cassandra Salgado, MD, of the Medical University of South Carolina in Charleston. (Source: Medpage Today)

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IDSA: ‘New Drugs for Bad Bugs’ Focus of Campaign

Inappropriate use of antibiotics has led to the rise of bacteria that are resistant to many drugs and –– in some cases –– all available medications. And there are few new drugs on the horizon. The Infectious Diseases Society of America’s 10 by 20 campaign aims to get 10 "new drugs for bad bugs" on the market by 2020. (Source: Medpage Today)

For comments and archives

IDSA: Oral bacteria may signal pneumonia risk

Oral bacteria may signal which patients are likely to develop healthcare–associated pneumonia, a researcher said here. In a small study, there was a sharp divergence between the composition of oral bacteria of ventilated intensive care patients who developed healthcare–associated pneumonia and those who did not, according to Samit Joshi, DO, of Yale University in New Haven, Conn. (Source: Medpage Today)

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IDSA: Oral fungi offer clue to candidiasis therapy

A study of the oral microbes in healthy and HIV–positive people has led to a new possibility for management of candidiasis, a researcher reported here. Members of one yeast genus, Pichia, were never found in the same mouth as those of the genus Candida and vice versa, according to Mahmoud Ghannoum, PhD, of Case Western Reserve University in Cleveland. The finding suggested that Pichia could inhibit Candida species, Ghannoum said during a featured oral presentation at the annual meeting of the Infectious Diseases Society of America. (Source: Medpage Today)

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    Twitter of the Day

@DrKKAggarwal: I posted 144 photos on Facebook in the album "21st October 2011, Divya Jyoti, the inter-nursing Festival" http://fb.me/1mVsNINjv

@DeepakChopra: Science vs Spirituality Part One: The Eternal Warhttp://bit.ly/pOqcam

    Spiritual Update

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

Samudra Manthan: The Churning of the Ocean on Dhanteras

Many of us know the story of ‘Sagar Manthan’ or the churning of the ocean. The story goes like this.

Once Indra lost his kingdom due to the disrespect he showed to sage Durvasa. He approached Lord Vishnu who advised him to seek the help of the demons to churn the ocean of milk (Ksheer Sagar), so that he and Devas could partake the Amrita (ambrosia) which would make them immortal and help them regain their lost kingdom.

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    An Inspirational Story

(Ms Ritu Sinha)

The Swamis and the Mysterious Light

A long time ago, there were two swamis who lived in two neighboring caves. They spent most of their time in deep meditation, except the time they ate or were visited by devotees. The people who came to visit them revered the two swamis, and enjoyed listening to them and being in their proximity. They sought their company, since they always felt more peaceful and happy when near them, and also for a long time after they went away.

One cave was dark, as caves usually are, but in the other one there was sometimes a peculiar golden light illuminating the cave. It was not strong, but enough to be noticed and to mildly illuminate the cave. The phenomenon of the light bewildered the visitors, but they could not come to an agreement about the causes of the light. Both swamis were rather silent most of the time, and did not want to discuss the phenomenon of the light.

The company of the swamis aroused calmness and peace in the visitors. Their minds slowed their incessant chatter, and they experienced a pleasant inner peace and inner happiness. The visitors admired both swamis, but believed that the one living in the illuminated cave possessed supernatural powers and was more advanced. He certainly appeared to them as a mysterious person.

One day a great sage was passing by a near village, and being recognized by the villagers, one of them approached him and said: "Great master, we have a question to ask. There is a mystery which you might solve for us." "I will be glad to help you, if I can", answered the sage. "There are two swamis living here on the hill…", the villager started to recount. "Yes, I know", answered the sage, "and you inquire about the light in the cave." "Yes, great master, that is true. It is something that has been a riddle for us. Can you please tell us also, if the swami in the lighted cave is more advanced, and if he really possesses supernatural powers?"

"Pay attention to your inner self and not to outer phenomena. The outside world always changes, but inner self is constant. When in the presence of a teacher, listen to what he says and be aware of the influence of his words on you. Watch yourself, and see whether under his influence you become calmer and more peaceful, and your thoughts, at least for a while, slow down their mad race." "Yes most revered master", said one of the devotees, "but please enlightens us on the mysterious light." The sage sat down, and started to explain: "Sometimes, when one works intensively on the spiritual path, and concentrates and meditates a lot, various phenomena may occur around him, such as lights, sounds or visions. This is not supernatural. The mind has a creative power, and when concentrated, can produce various phenomena even unintentionally." "It does not mean that one is more advanced than the other. Not all minds produce these things. Some do, and some don’t."

"Some of the people who produce these lights may be aware of the light, and some may not. It depends on their psychic sensitivity. So it is also with the people who watch them. Not all see this light. In any case, it has nothing to do with whether one swami is more advanced or less advanced than the other one."

"Thank you great master, you have solved for us this great mystery", exclaimed the devotees of the swamis, who were standing by, deeply relieved and happy to understand the mystery that has been troubling them for a long time.

For comments and archives

    Fitness Update

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

7 Tips for staying hydrated

We’ve heard for years that eight glasses of water daily is the minimum necessary to keep healthy. Drink the minimum and see clearer skin, better sleep, and a faster metabolism. We’re warned of impending dehydration without at least eight glasses. But, the tide has turned, away from liquid nutrition toward examining your daily diet, including what you eat, as well as what you drink.

Here are seven tips for staying hydrated:

  1. How much water you need depends upon your weight, activity and the climate. If it’s hot, and you’re exercising, then you’ll surely need more water than when you’re sitting at a computer all day.
  2. Fresh fruits and vegetables add fluid to your diet. Lettuce is 97 to 98 percent water, as is watermelon. Other good "fluid sources" include carrots (88 percent water), fresh tomatoes (93 percent water) and fresh celery (94 percent water).
  3. Since cooking vegetables decreases the fluid content, eat a big, fresh salad every day, and at least two servings each of fruit and other vegetables.
  4. Age may dictate your need for water because as you get older, you are less sensitive to body losses and your sense of thirst.
  5. Clinical evidence shows that people with a history of kidney stones can lower their risk of reoccurrence by increasing their fluid intake.
  6. Don’t be afraid of tap water. Municipal water companies produce high quality products and have more stringent regulations than bottled water. So try to bring a water bottle with you so you can fill up throughout the day.
  7. In terms of weight loss, drinking water will not cause you to lose weight, it is a great tool to help when you’re on a program to lose weight. Drinking water between meals can help curb your appetite, as will snacking on water–filled fresh vegetables and fruit.

Finally, if you find plain water a bit boring, consider adding some lemon or lime slices to make it go down easier.

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    Healthy Driving

(Conceptualized by Heart Care Foundation of India and Supported by Transport Department; Govt. of NCT of Delhi)

Various medical conditions and diseases such as diabetes, epilepsy, heart disease, eyesight problems, sleep disorders, etc. can affect the ability of a person to drive safely. So can treatment for these conditions. Drivers with medical conditions are more likely to die or suffer more serious injuries in an accident. Hence, it is very important that all drivers are medically fit to drive. Just as a regular physical check–up is important for health, so is a check–up for driving fitness… after all, ‘Prevention is better than Cure.’

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    Malaria Update

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

What the National Drug Policy of India says

What is the treatment of severe malaria cases?

Severe malaria is an emergency and treatment should be given as per severity and associated complications which can be best decided by the treating physicians. Before admitting or referring patients, the attending doctor or health worker, whoever is able to do it, should do RDT and take blood smear; give a parenteral dose of artemisinin derivative or quinine in suspected cerebral malaria cases and send case sheet, details of treatment history and blood slide with patient.

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    Medicine Update

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

What is the role of spirometry in diagnosis of asthma?

While spirometry offers objective and sensitive criteria, by no means are these specific to a diagnosis of asthma. Spirometric findings are thus, to be interpreted in concert with the clinical setting. In children below 7–8 years, spirometry is difficult to perform. It is technician–dependent and reproducibility of test results is poor. Spirometric results only reflect the lung function on the day of testing and may thus be normal since asthma is a dynamic condition. The procedure is expensive and the equipment is not widely available.

For all these reasons, the consensus group of Indian Academy of Pediatrics feels that spirometry has a very restricted role in the diagnosis of asthma in the Indian setting. However in a typical case, an obstructive defect is present in the form of normal forced vital capacity (FVC), reduced FEV1 and reduced forced expiratory flow more than 25–75% of the FVC (FEF 25–75). The flow–volume loop can be concave. Documentation of reversibility of airway obstruction after bronchodilator therapy is central to the definition of asthma. FEF 25–75% is a sensitive indicator of obstruction and may be the only abnormality in a child with mild disease.

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  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Tests for Adrenal Insufficiency & Addison’s Disease

Aldosterone. Blood or urine aldosterone levels are measured to help diagnose Addison’s disease – to determine whether the adrenal gland is producing aldosterone. If the levels are low, it is another indication that the patient may have a primary adrenal insufficiency.

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    IJCP Special

Dr Good Dr Bad

Situation: A patient with positive malaria came with severe thrombocytopenia.
Dr Bad: This is classical malaria.
Dr Good: Also investigate for dengue.
Lesson: Malaria and dengue may co exist in the same patient.

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Make Sure

Situation: A patient with dengue developed acute lung injury after platelet transfusion.
Reaction: Oh my God! Why were platelets transfused?
Lesson: Make sure that no platelets are transfused unless there is significant spontaneous bleeding.

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  Quote of the Day

(Dr GM Singh)

Most of the important things in the world have been accomplished by people who have kept on trying when there seemed to be no hope at all. Dale Carnegie


Run out of steam: To be completely out of energy.

    Mind Teaser

Read this…………………

Q. Which one of the following statements is true regarding water reabsorption in the tubules?

1. The bulk of water reabsorption occurs secondary to Na+ reabsorption.
2. Majority of facultative reabsorption occurs in proximal tubule.
3. Obligatory reabsorption is ADH dependent.
4. 20% of water is always reabsorbed irrespective of water balance.

Yesterday’s Mind Teaser: In California, you cannot take a picture of a man with a wooden leg. Why not?

Answer for yesterday’s Mind Teaser: You can’t take pictures with a wooden leg. You need a camera to take pictures.

Correct answers received from: Dr Shirish Singhal, Dr HL Kapoor, Dr K Raju, Dr Chandresh Jardosh,
Dr Jainendra Upadhyay, Dr Fiza, Dr Mahak, Dr Shagun, Dr Rashi.

Answer for 24th October Mind Teaser: c) Surgery is almost always required to correct small bowel syndrome.
Correct answers received from: Dr KV Sarma, YJ Vasavada, Dr Anupam, Dr Priti, Dr Shyam, Dr Jaiveer, Dr Kanak.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr Chandresh Jardosh)

Sharing Wisdom

A Rabbit runs, jumps & lives only for 15 years!
A Turtle doesn’t run, does nothing, yet lives for 300 years!

    Medicolegal Update

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

The sound wave is elicited when there is impact and injuries on skull

There are two types of impacts on skull and the sound wave elicited by the impact. The first at the site where the force is applied, the second where the advancing segments of the accelerated brain are brought suddenly to rest by the forces that resist its forward motion.

  • Medical professionals today rely on a number of different types of equipment every day, from heart defibrillators to IV pumps to CT scans to automated breathing apparatuses. When any of these devices fail, the results can be disastrous, resulting in the injury or death of a patient.
  • When the medical devices fail, as all machines generally have a tendency to do, the risks have major consequences and are dangerous for human health.
  • Medical equipment failure can result from both manufacturing defects or human error i.e. it was used incorrectly by the medical staffer involved and the concept of product liability develops.
  • Medical professionals should keep a constant eye on the equipment/s to ensure that it is working properly and be adequately trained to use the device safely.
  • A register of maintenance of medical equipment must be maintained with signature of all stake holders for record. Failure to do so is a form of negligence that places the hospital and its staff at liability.

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    Public Forum

(Press Release for use by the newspapers)

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

Beware of noise pollution

Everyday noise exposure over time has an impact upon our ability to hear and on the degree of hearing loss that develops. Constant exposure to loud noise can cause high frequency sensory neural hearing loss said Padmashri and Dr B C Roy national Awardee Dr KK Aggarwal President Heart Care Foundation of India.

Noise pollution causes direct mechanical damage to cochlear inner ear structure.

The international guidelines for noise exposure are defined – people who are continuously exposed to a noise level of greater than 85 dB must be under hearing conservation programme and should be provided hearing protection.

An exposure of 90 dB (which is equivalent to the noise made by a power lawn mower or passing motorcycle) is allowed for 8 hours, 95 dB for 4 hours, 100 dB only for 2 hours, 105 dB ( power mower) for one hour and 130 dB for (live rock music) 20 minutes.

Listening to music at 110 to 120 decibels damages hearing in less than an hour and a half.

A short blast of loud noise can cause severe to profound sensorineural hearing loss, pain, or hyperacusis (pain associated with loud noise). This usually involves exposure to noise greater than 120 to 155 dB.

Hearing protection in the form of muffs or plugs is highly recommended anytime a person is exposed to loud noise.

The manufacture and sale of fire crackers generating a noise level of more than 125 dB at 4 meters distance from the point of bursting are prohibited.

Most unregulated large bombs can produce a noise of more than 125 dB.

A normal conversation is about 60 dB.

Many personal stereo systems at maximum level are over 100 dB. Rock concerts and firecrackers can be 140 dB and higher. Noise levels need to reach 120 dB to 140 dB to become uncomfortable or painful.

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    Readers Responses
  1. Breast cancer awareness ke videshi funde india mein nahi chalenge, na to education hai na paisa, sahi kaam karana hai to chalo gaon chale in various programmes of rotary, ima and lions club, baate kare at village level in gram panchayat and phc level. Ye sub mass screening and selfpalpation ke funde delhi, bombay ke liye theek hai, IMA allahabad branch is already doing this chalo gaon chale project in a nice way
    vivek kumar, Varanasi, vice president IMA, UP state
    Forthcoming Events

GP CON 2011

National Conference of IMA CGP
Date: October 29th–30th, 2011
Venue: Savera, Chennai
IMA CGP HQ is organizing a two day CME, Group discussion and Workshop pertaining to Family Medicine Concept, Which will be a "Reincarnation" of the traditional Family Doctor Concept in India.
More details Contact Conference Secretariat, Dr TN Ravisankar,
email:imacgp.chennai@yahoo.com; website:imacgpindia.com

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