Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist 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

  Editorial …

28th April, 2011, Thursday                                eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

Sai Baba’s Maha Samadhi

This raises questions in our minds about methods and rituals of disposal of dead bodies. As doctors we must know these rituals and respect the sentiments of the family and of the society.

1. Bhoo Samadhi (burial underground)
2. Jal Samadhi (water burial)
3. Agni Dah (cremation) or Agni Samadhi
4. Body being consumed by vultures and other birds or beasts
5. Body being preserved in caves
6. Mummifying the body
7. Samadhi in Yoga

  1. Antyeshti or Hindu final funeral rites, is an important sacrament of Hindu society. It is well described in Garuda Purana.
  2. About 4000 years before, human bodies were either exposed to the elements of nature, and to the birds, or buried in the earth, in a river, and sometimes a cave or an urn. Centuries later, cremation became the usual mode of disposal of the dead bodies, with certain exceptions (infants, yogis, sadhus etc)
  3. Cremation is done with the notion that the soul cannot enter a new body until its former one has totally disappeared, and cremation was considered the fastest way to expeditiously dispose of the dead bodies.
  4. Hindu customs: Body of a child under 28 months is buried and not cremated. In some castes bodies of children up to the age of 3 years are buried.
  5. Mortal bodies of sanyasins are buried. This is Boo samadhi.
  6. The Parsi way of disposing of the dead is by keeping the corpse on serrated platforms on terrace of the Towers of Silence (known as the dakhmas) to be eaten away by vultures and other carnivorous birds. This was the Parsi way of showing respect to the environment, by not burying the cadaver which defiles earth, nor sully the fire by cremating the dead. For Parsis, the fire is holy and is revered in their temples.
  7. Hindus avoid converting major part of land into a graveyard. Cremation is the best method of disposal of a dead body, with due respect, honor and affection. This is agni samadhi. "Väyur Anilam Amritam, Athedam Bhasmäntam Shariram, Om Krato Smara Kritam Smara, Krato Smara Kritam Smara" (Sri Ishopanishad 17)

    Väyuh—air of life; anilam—total reservoir of air; amritam—indestructible; atha—now; idam—this; bhasmäntam—after being turned to ashes; shariram—body; om—O Lord; krato—O enjoyer of all sacrifices; smara—please remember; kritam—all that has been done by me; smara—please remember; krato—O supreme beneficiary; smara—please remember; kritam—all that I have done for You; smara—please remember.

    This translates as: ‘Let this temporary body be burnt to ashes, and let the air of life be merged with the totality of air. Now, O my Lord, please remember all my sacrifices, and because You are the ultimate beneficiary, please remember all that I have done for You.’
  8. Hinduism: All five elements must get to the five elements of the nature. Every Hindu longs to die on the banks of the Ganges River so that their body can be cremated and the ashes deposited in the river or ashes (bones) are respectfully collected from the cremation place and immersed in a nearby holy water with appropriate respect. (After Agni samadhi, Jal samadhi is also done).
  9. Those persons, who are accidentally carried away by water, and if their bodies could not be found out, it is honor to say that they have attained Jal samadhi.
  10. No post death obsequial rituals are done for a person who has met with a violent and unnatural death like an accident, suicide, murder, jumping into water, falling from a height, being killed by an animal etc. For these no mritakam (impurity) is observed by the family members and they become purified immediately upon the disposal of the corpse which is cremated without any rituals.

Samadhi in Yoga: Samadhi is discussed in the first part of Yoga Sutras called Samadhi–pada. Samadhi is Sanskrit word for "complete meditation." Samadhi is the state of being aware of one’s existence without thinking. Three intensities (depths) of Samadhi are usually understood

  • Savikalpa Samadhi refers to the initial (beginning) state of Samadhi.
  • Nirvikalpa Samadhi is the end result.
  • Staying in Nirvikalpa Samadhi is effortless but even from this condition one must eventually return to ego–consciousness. However, it is entirely possible to stay in Nirvikalpa Samadhi and yet be fully functional in this world. This condition is known as "Sahaja Nirvikalpa Samadhi."

Nirvikalpa Samadhi is a preparatory step to Maha Samadhi and serves as extreme uplifting of all body vibration and leads to complete healing of karmic wounds to the open doors to God and divine love for further progress on your way to God.

Maha Samadhi, literally meaning great samadhi is the word for a realized yogi's conscious departure from the physical body at death. It is the final conscious abandoning of the physical body.

Jeeva Samadhi: Enabling the physical body to be placed in a tomb in jeeva samadhi at will, in a state of suspended animation, where the blood circulation and the breathing have stopped but a luminous pranic energy keeps the body–cells alive, with the possibility of the siddha dematerializing the body in the tomb and materializing it outside in a completely different locality and living out an extended span of life for several years.

Source(s): (C. Sri Vidya Rajagopalan)








Dr KK Aggarwal
Editor in Chief
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    Changing Practice – Resource which has changed practice in last one year

Meningococcal vaccination

In late 2010, the Advisory Committee on Immunization Practices (ACIP) recommendations for meningococcal vaccination were modified to recommend that adolescents be vaccinated ideally at age 11 or 12, with a booster at age 16. In addition, a two–dose primary series two months apart was recommended in individuals with persistent complement component deficiency or functional or anatomic asplenia, as well as for adolescents with HIV infection. (February 18, 2011)


  1. Centers for Disease Control and Prevention (CDC). Updated Recommendations for Use of Meningococcal Conjugate Vaccines ––– Advisory Committee on Immunization Practices (ACIP), 2010. MMWR Morb Mortal Wkly Rep 2011;60:72.
  eMedinewS Audio PostCard

CKD Update

Dr KK Aggarwal Speaks on
‘High risk groups’

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

World Earth Day 2011

Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal presented Distinguished Service Award to Admiral MM Chopra, Chairman, DPS, Mathura Road on 21st April on the occasion of World Earth Day.

Dr K K Aggarwal
    National News

Stress Management – A New Prospective

Dr K K Aggarwal shall address on the theme “Stress Management – A New Prospective” on 29th April 2011 (Friday) at the Lok Kala Manch, 20, Institutional Area, Lodhi Road, New Delhi from 6:30 pm to 7: 45 pm.

Bird flu still entrenched in India, 5 other countries: FAO

United Nations body FAO has said the contagious Avian flu virus H5N1, which causes bird flu, still remains firmly entrenched in India and five other countries because of unhygienic trade practises. "…the virus remains firmly entrenched in Bangladesh, China, Egypt, India, Indonesia and Vietnam," Food and Agriculture Organisation (FAO) said in a statement. "Eliminating the highly pathogenic H5N1 avian influenza virus from poultry in the six countries where it remains endemic will take 10 or more years," it added. (Source: The Economic Times, Apr 22, 2011)

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

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC)

Healthy juices

Carrot + Ginger + Apple: Boost and cleanse our system.
Apple + Cucumber + Celery: Prevent cancer, reduce cholesterol, and eliminate stomach upset and headache.
Tomato + Carrot + Apple: Improve skin complexion and eliminate bad breath.
Bitter gourd + Apple + Milk: Avoid bad breath and reduce internal body heat.
Orange + Ginger + Cucumber: Improve skin texture and moisture and reduce body heat.
Pineapple + Apple + Watermelon: To dispel excess salts, nourishes the bladder and kidney.
Apple + Cucumber + Kiwi: Improve skin complexion.
Pear + Banana: Regulate sugar content.
Carrot + Apple + Pear + Mango: Clear body heat, counteract toxicity, decrease blood pressure and fight oxidization.
Honeydew + Grape + Watermelon + Milk: Rich in vitamin C + Vitamin B2 that increase cell activity and strengthen body immunity.
Papaya + Pineapple + Milk: Rich in vitamin C, E, Iron. Improve skin complexion and metabolism.
Banana + Pineapple + Milk: Rich in vitamins. Prevent constipation.

(Dr Monica and Brahm Vasudev)

CKD linked to heart problems in elderly patients

Chronic kidney disease is common among Americans over 80 years of age and is often linked with heart disease, according to a study published in the April 21 online issue of the Clinical Journal of the American Society of Nephrology.

High fat diet may reverse kidney damage caused by diabetes

A high–fat ‘ketogenic’ diet may reverse the kidney damage caused by diabetes, as per a study published online by the journal PLoS One.

Coffee consumption may not be linked to hypertension risk

According to a study published in the American Journal of Clinical Nutrition, coffee consumption may not be linked to hypertension risk. Investigators looked at data from six different studies. The researchers found that the risk of developing hypertension did not differ between individuals who drank more than five cups daily and those who consumed only small amounts.

    IJCP Special

Dr Good Dr Bad

Situation: A 19–year–old male with malaria, vomited all 4 tablets of chloroquine after 20 minutes of swallowing them.
Dr Bad: Ask him to take 4 tablets again after sometime.
Dr Good: Reassure him and go ahead with further treatment.
Lesson: Chloroquine is absorbed within 15 minutes and hence need not be repeated if vomiting occurs later than 15 minutes of ingestion.

Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia with 11 units of insulin.
Reaction: Oh my God! Why was additional insulin given?
Lesson: Make sure that insulin dose is correct. The formula is 1500/total daily dose. The value will be the amount of sugar fluctuation with one unit of insulin.

    An Inspirational Story

(Dr Prachi Garg)

The Value Of A Smile:)

The value of a smile is priceless, yet it is the cheapest, easiest, most rewarding and most sincere gift to anyone that crosses your path. A smile makes a person’s day, anybody’s day, even a stranger’s day. A smile is infectious. Start infecting people with your smile today.

A smile is nature’s best antidote for discouragement. It brings rest to the weary, sunshine to those who are sad, and hope to those who are hopeless and defeated. A smile is so valuable that it can’t be bought, begged, borrowed, or taken away against your will. You have to be willing to give a smile away before it can do anyone else any good.

So if someone is too tired or grumpy to flash you a smile, let him have one of yours anyway. Nobody needs a smile as much as the person who has none to give.

    Pediatric Update

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

What is the classical presentation of appendicitis in a child?

  • Pain begins in peri–umbilical or epigastric region, due to appendiceal distension and referred pain.
  • Pain localizes to the RLO as the parietal peritoneum in the area becomes irritated.
  • Anorexia and nausea occur almost uniformly after the pain.

The classical presentation occurs in only 50% of patients.

    Medicolegal Update

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

DNA Test reliability – Accreditation of lab must be proven

The Nobel Prize winning inventor of PCR, Kary Mullis, said that he does not think that genotyping should be used for forensics, except as one piece of the puzzle.

The reliability and acceptability of DNA test result rests on the accuracy of the samples of DNA that are collected for analysis. Poor collection procedures, improper storage of samples and mishandling of samples/false results are the leading causes for errors in DNA testing. The credentials of scientist/accreditation of laboratory must be carefully scrutinized before the legal use of DNA report by law enforcement agency.

  • Samples may be rejected in the lab because the swab is contaminated in such a fashion that makes it impossible to obtain usable DNA samples from it. Sample may be contaminated if it is dropped on the floor or counter, or used accidentally by people who are not trained or even semi trained individuals who are unaware of the intricacies of DNA science. Such samples should be disposed of and a fresh swab should be used.
  • The swab collection method is an important part of proper tracking and identification of the sample. This is not a failure of the swab, but of the people who handle the swab. It must be correctly identified and tracked through the system to make sure that it is not confused with other samples that may be in the lab. All swabs come with a bar–coded container that they are placed in.
  • Embedding a tiny RFID chip in the swab itself may further help to track and identify the swab.
    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

The Risk/Benefit Equation

Is surgery safe?

All forms of control, whether medical or surgical, have defined risks. For a patient who also has other metabolic disease, like obesity, high blood pressure or high cholesterol and lipids, surgical treatment of type 2 diabetes and other metabolic disease may be achieved with relative safety through bariatric surgery. Decision for surgery should be taken after consultation with family doctor, an endocrinologist or diabetologist and Bariatric surgeon to help make a reasonable choice.

One of the key issues for using any therapy is how safe it is. A recent paper published in the New England Journal of Medicine showed the risk of death from bariatric surgery procedures is about the same as it is for gallbladder surgery. The risk of complications is higher than the risk of death. When a person has type 2 diabetes and other medical problems, there is some risk to surgery. Surgery should be undertaken after full medical control of hyperglycemia. No surgical procedure is without risk, but risk can be managed. Recognizing the need to work as a multidisciplinary team that includes endocrinologists and surgeons is an initial step in addressing the issues and opportunities that surgery offers to diabetes care.

Treatment studies have shown that bariatric surgery, initially developed for the treatment of morbid obesity, can improve or normalize blood sugar levels, reduce or even eliminate the need for medication, and lower the risk of diabetes–related death.

    Mind Teaser

Read this…………………

If an electric train is going 150 miles per hour north and the wind is blowing the same south, which way does the smoke blow?

Yesterday’s Mind Teaser: somewhere

Answer for Yesterday’s Mind Teaser: Somewhere over the rainbow

Correct answers received from: Dr Sudipto Samaddar, Dr Nandini Kapoor, Dr Riyazul Qamar Khan, Dr
U Gaur, Dr Rashmi Chhibber, Dr Neelam Nath, Dr Anil Bairaria.

Answer for 26th April Mind Teaser
: Eye before E, Except after See (‘i’ before ‘e’, except after ‘c’)
Correct answers received from: Dr Shweta, Dr Anupam, Dr Shreya.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr GM Singh)

Rabbi Visit

A pious man, who had reached the age of 105, suddenly stopped going to synagogue. Alarmed by the old fellow’s absence after so many years of faithful attendance, the Rabbi went to see him. He found him in excellent health, so the Rabbi asked, "How come after all these years we don’t see you at services anymore?"

The old man lowered his voice. "I’ll tell you, Rabbi," he whispered. "When I got to be 90, I expected God to take me any day. But then I got to be 95, then 100, then 105. So, I figured that God is very busy and must’ve forgotten about me, and I don’t want to remind Him!"

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Routine Stool Examination

Detection and identification of parasites: Giardia, Entamoeba histolytica (amoeba), helminth eggs, protozoa, larval worms, and segments (proglottids) of tapeworms.

    Medi Finance Update

(Dr GM Singh)

I am buying a property in India from a owner residing in USA. Should I deduct tax while making payment?

Yes, under the provisions of the Income Tax Act, where any payment is made to a Non Resident for a sum which is taxable in India, such payment cannot be made without deducting taxes. In case you have any doubt regarding the amount on which TDS is to be made, you may file an application with the officer handling non–resident taxation who will pass an order determining the TDS to be made. Alternatively, if the recipient feels that the TDS is more he may file an application with his Assessing officer for lower deduction.

    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
DCI Approval Date
Acebrophylline SR Tablet 200 mg
For the treatment of adult patients with chronic obstructive pulmonary disease (COPD) and bronchial asthma.
    IMSA Update

International Medical Science Academy (IMSA) Update


A fully human monoclonal anti–CD20 monoclonal antibody, ofatumumab, was approved by US FDA for treatment of chronic lymphocytic leukemia (CLL) that is refractory to both fludarabine and alemtuzumab.


  1. Coiffier B, et al. Safety and efficacy of ofatumumab, a fully human monoclonal anti–CD20 antibody, in patients with relapsed or refractory B–cell chronic lymphocytic leukemia: a phase 1–2 study. Blood 2008;111:1094.
  2. Kipps TJ, et al. Clinical improvement with a novel CD20 mAb, ofatumumab, in fludarabine–refractory chronic lymphocytic leukemia also refractory to alemtuzumab or with bulky lymphadenopathy (abstract). J Clin Oncol 2009;27:7043.
  3. Wierda WG, et al. Activity of ofatumumab, a novel CD20 mAb, and prior rituximab exposure in patients with fludarabine– and alemtuzumab–refractory or bulky fludarabine–refractory chronic lymphocytic leukemia (abstract). J Clin Oncol 2009;27:7044.
  Quote of the Day

(Dr GM Singh)

One resolution I have made, and try always to keep, is this: To rise above the little things. John Burroughs

    Readers Responses
  1. Euthanasia is a controversial subject. It means a person who is mentally alert but in extreme pain and wants to die due to his bodily suffering. No country in the world except two or three allows it. India does not allow. I happened to come across with such a situation. I would like to narrate it. I was a General Physician doing Private practice at Sahibabad, Ghaziabad after retirement as Chief Medical Officer UP Govt. One day I was called to pay a home visit to see a patient, a very old lady. She was 94 years of age. She had two sons. Both of them had expired and she was living with her grand– and great grandchildren. She was being looked after well by them. On examination I found she was completely emaciated, could not get up her own for urination or any bodily function. I was told that she had been in this condition for the last six months. She was being fed by spoon. Her heart was well. BP was 114/76 Pulse 88/min. She had two big bed sores measuring about 3"× 3". On left side, the bed sore was so deep that even the underlying bone femur was visible. When I was examining her, for a few minutes I was alone. All had gone. Seeing me alone, with tears in her eyes she said, "Doctor I have not called you to give me the treatment and save me but to give me some injection so that I may die painlessly. Even a single minute is too heavy for me. I will be very very thankful for this obligation. My all blessings are with you." I was deeply disturbed. On one side I was seeing the sufferings of an old lady completely dependent upon others and on other side my professional duties to save her. She had an immense desire to die. I was shocked but did not agree to fulfill her desire. I just consoled her that I will do my best. I came back leaving her completely dejected and in extreme pain. After about a fortnight I came to know that she had expired. How difficult those 15 days would have been for her. I want to know the general opinion of the Doctors as to what I should have done under such circumstances. Dr. BR Bhatnagar, 9B/11 Takshila Apartment, Andheri East, Mumbai.
    Public Forum

(Press Release for use by the newspapers)

Two or more drugs may interact with each other

Two or more prescription or over–the–counter drugs interact negatively with each other and cause adverse drug reactions, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India. To reduce the risk of drug reactions, one must abide by the following guidelines:

  • Read labels carefully.
  • Understand the ingredients in each drug.
  • Understand any possible side effects the drugs can cause.
  • Before taking a drug, speak with the doctor or pharmacist if you do not understand the drug label.
  • Make sure the doctor is aware of all the drugs you are taking.
  • Do not mix pills.
  • Do not break capsules into any food or drink.
  • Do not take any medication with alcohol.
  • Do not take medication at the same time as vitamins or mineral supplements.
    eMedinewS Special

1. eMedinewS audio lectures (This may take a few minutes to open)

2. eMedinewS ebooks (This may take a few minutes to open)

Activities eBooks


  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

Pesticides Safely

  Towards Well Being


    Forthcoming Events

May 7–8, 2011, National Seminar On Stress Prevention

A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris.
Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch, IMSA (Delhi Chapter)
Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.
Timings: Saturday 7th May (2 pm onwards) and Sunday 8th May (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9899974439, emedinews@gmail.com, rekhapapola@gmail.com; BK Sapna: 9811796962, bksapna@hotmail.com


September 30 – October 02, 2011; XVIth World Congress on Cardiology, Echocardiography & Allied Imaging Techniques
Venue: The Leela Kempinski, Delhi (NCR), September 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.

Dr (Col) S.K. Parashar, President, e–mail: drparashar@yahoo.com, Mob:09810146231
Dr Rakesh Gupta, Secretary General, email:jrop2001@yahoo.com, Mob:09811013246

Congress Secretariat: Rajat Khurana, C–1 / 16, Ashok Vihar – Phase II, Delhi 110 052, India, Phone: + 91–11–2741–9505, Fax: + 91–11–2741–5646, Mobile: + 91 9560188488, 9811911800,
Email: worldcon2011@gmail.com, jrop2001@yahoo.com, worldcon2011@in.kuoni.com


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 Hamdarad 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 and Dept of Health and Family Welfare Govt of NCT of Delhi.

Entries Invited: from feature films, Ad Films, Serials, Documentary Films, Cartoon Films, Animation Films, Educational films; films on Yoga, Siddha, Ayurveda, Unani, Homeopathy; Indigenous Healing, Films promoting the Bio–cultural Diversity, Medical Tourism, Visual and Medical Anthropology, Gender sensitization, awareness drive on socio–medical issues and health journalism. The films can be of variable durations (0–1 minute, upto 3 minutes, upto ten minutes, upto 45 minutes and upto an hour and beyond).

Separate entries are also invited for "factual mistakes in feature films concerning health". This can be in the form of 1–5 minutes footages.

For details contact: Dr KK Aggarwal/Dr Kailash Kumar Mishra/Mr M Malik at


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    Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr AK 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 Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr Rajiv Parakh, Dr Sudhir Gupta.