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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
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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 & 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

 

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1–7
DD Take Care Holistically Video 1–4 Chat with Dr KK On life Style Disorders
Health Update Video 1–15 Science and Spirituality
Obesity–Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

2nd September 2012, Sunday

NIH study finds calorie restriction does not affect survival

Study of monkeys also suggests some health benefits

Scientists have found that calorie restriction — a diet comprised of approximately 30 percent fewer calories but with the same nutrients of a standard diet — does not extend years of life or reduce age-related deaths in a 23-year study of rhesus monkeys. However, calorie restriction did extend certain aspects of health. The research, conducted by scientists at the National Institute on Aging (NIA) at the National Institutes of Health, is reported in the August 29, 2012 online issue of Nature.

Calorie restriction research has a long history. The first finding came in the 1930s, when investigators observed laboratory rats and mice lived up to 40 percent longer when fed a calorie-restricted diet. Subsequent research has cited calorie restriction as extending lifespan of yeast, worms, flies and some strains of mice. But other studies have not shown a longevity benefit. For example, in studies of certain strains of mice, calorie restriction on average had no effect on lifespan. Some of these mice actually had a shorter lifespan when given a calorie-restricted diet. To date, research does not provide evidence that calorie restriction is an appropriate age regulator in humans, the NIA investigators point out. Currently, limited human studies are under way to test the effectiveness and safety of calorie restriction in people.

The survival results in the study reported today by NIA researchers differ from those published in 2009 by NIA-supported investigators at the University of Wisconsin-Madison. The Wisconsin study followed two groups of rhesus monkeys for 20 years and found that monkeys on a calorie-restricted diet lived longer than those on a standard diet.

Beyond longevity, the parallel NIA and Wisconsin studies have reported similar beneficial health effects of calorie-restriction. Both studies found that certain age-related diseases — including diabetes, arthritis, diverticulosis and cardiovascular problems — occurred at an earlier age in monkeys on the standard diet compared to those on calorie restriction. However, this observation was not statistically significant in the NIA study. NIA researchers did find that monkeys started on calorie restriction at an early age had a statistically significant reduction in cancer incidence.

NIA researchers also found that while calorie restriction had a beneficial effect on several measures of metabolic health and function in monkeys who were started on the special diet regimen during old age (at 16 to 23 years), it did not have the same positive outcome for monkeys started on calorie restriction at a young age (less than 14 years). In the Wisconsin study, all the monkeys were 7 to 14 years when started on calorie restriction.

"These results suggest the complexity of how calorie restriction may work in the body," said NIA Director Richard J. Hodes, M.D. "Calorie restriction’s effects likely depend on a variety of factors, including environment, nutritional components and genetics."

Differences in the monkeys' meal and other nutritional factors were cited as possible explanations for NIA’s and Wisconsin’s different outcomes. Both studies used a similar percentage of calorie restriction with their intervention groups; however, the Wisconsin monkeys in both the calorie restricted and control groups were eating more and weighed more than the matched NIA monkeys.

NIA's food had a natural ingredient base, while Wisconsin opted for a purified diet. Purified diets generally lack trace dietary chemicals and minerals that could affect an animal’s health. Each ingredient of a purified diet provides a specific nutrient and minerals or vitamins must be added separately. Natural-ingredient diets have risk of variation between batches, but are considered by some to be more complete than purified diets. NIA and Wisconsin also used different sources for proteins, fat and carbohydrates, as well as different approaches to vitamin and mineral supplementation.

"There is no right or wrong nutritional approach to calorie restriction, but the differences should be considered as we try to understand the dissimilar effects of calorie restriction between the two studies," said first author Julie A. Mattison, Ph.D., facility head of NIA’s Nonhuman Primate Studies Unit, part of the Laboratory of Experimental Gerontology.

NIA researchers cited genetics as another possible reason for their differing results. NIA monkeys had a greater genetic diversity, originating from China and India. Wisconsin's monkeys came only from an Indian colony.

"We've learned more by having two concurrent and independent studies of calorie restriction in monkeys than would have been possible by just the NIA or Wisconsin study alone. While the two studies share many of the same findings, the differences will be particularly important for helping us better understand this aging intervention," said Felipe Sierra, Ph.D., director of NIA's Division of Aging Biology.

As scientists measure the possible outcomes of calorie restriction, research is also focusing on finding the mechanisms and pathways by which calorie restriction may influence longevity and the risk of age-associated disease. "My laboratory and other researchers are looking at calorie restriction’s effects on cell metabolism, gene expression, insulin signaling pathways and other basic biological processes to pinpoint how reducing calorie intake may attenuate the negative consequences of aging. We are looking at whether compounds can mimic the effects of calorie restriction via these mechanisms," said senior author, Rafael de Cabo, Ph.D., chief of the Mechanisms and Interventions of Aging section of NIA’s Laboratory of Experimental Gerontology.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
    Constipation Update

Can constipation be a sign of underlying systemic disease?

Infrequently, constipation is the first manifestation of metabolic diseases like diabetes mellitus, hypothyroidism, hypercalcemia, heavy metal intoxication, neurologic or obstructive intestinal disease.

For comments and archives

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

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

tPA safe in pediatric stroke

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Workshop for Teachers on Proper Hygiene in schools

Heart Care Foundation of India and DAV School, Kailash Hills organized a workshop on health and hygiene for teachers

 
Dr K K Aggarwal
 
    National News

4th Dil Ka Darbar

September 23, 2012, 9:00 AM - 6:00 PM , Tal Katora Indoor Stadium, Connaught Place, New Delhi

A non stop question answer-session between all top cardiologists of the NCR region and the public. Event will be promoted through hoardings, our publications and the press.

Sikkim aims to become 'fully organic' by 2015

GANGTOK: Sikkim, which started eco-friendly farming from a small area of land about a decade ago, is set to become a fully organic state by 2015, a senior state official has said. "The entire state will be converted into a certified organic state by 2015. Our schemes and policies are well tuned to realize that goal," Sikkim Agriculture Secretary Vishal Chauhan said. According to him, structured organic farming started in the state in 2003 when the government set up the dedicated Sikkim State Organic Board to promote farm techniques that prohibit the use of manufactured synthetic fertilizers and pesticides. "Our chief minister, Pawan Chamling, had also introduced a resolution in the assembly seeking to convert entire farming in the state to organic. Now, our farming relies on techniques such as green manure, compost, biological pest control and crop rotation." Over 8,000 hectares of land was covered under organic farming between 2003 to 2009. In a bid to make the state fully organic, various state government agencies have been working in coordination.

The state government has completely stopped lifting of quota of chemical fertilizers extended by the Government of India since 2006-07 and all sales points for chemical fertilizers in public and private sector have been shut. Sikkim government has also promoted large-scale use of bio-fertilisers and provides certified manufactured organic manure to farmers as an alternative to their chemical substitures, Chauhan said. In order to provide alternatives to farmers, 24,536 rural compost units and 14,487 vermi-compost units were constructed in farmers' fields till 2009. The bio-village programme was also adopted in 2003 and around 400 villages were adopted by the state government till 2009 to benefit some 14,000 farmers and 14,000 acres of land in four districts of the state. "We have also launched the comprehensive 'Sikkim Organic Mission' as a nodal agency to implement and monitor the programme in time-bound manner. A state-level apex body with the chief minister as its chair oversees the implementation," the official said. "Under the new initiative, the government has set a target to implement fully-organic farming technique by 2015. Organic products sell at a premium, which will benefit over 50,000 families in the state and promote organic agro-tourism."

According to latest data, Sikkim produces some 80,000 million tonnes of farm products, including 45,890 million tonnes of ginger, 3,510 million tonnes of large cardamom, 2,790 million tonnes of turmeric, 4,100 million tonnes of buckwheat, 3,210 million tonnes of urad daal and 20,110 million tonnes of mandarin oranges. Significant portion of these products are already organic. (Source: TOI, Aug 20, 2012)

For comments and archives

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

 
    Valvular Heart Disease Update

What is transcatheter aortic valve replacement?

Transcatheter aortic valve replacement is a potential option for patients with severe symptomatic aortic stenosis who are considered inoperable for surgical aortic valve replacement.

(Experts: Dr Bhabha Nanda Das and Dr Ganesh K Mani, Dr. Yugal Mishra, Dr Deepak Khurana, Dr K S Dagar and Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh)

For comments and archives

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Rosacea may have a bacterial cause

Accumulating evidence suggests that rosacea is a bacterial disease caused by the overproliferation of Demodex mites in the skin, according to the findings of a literature review by Stanishaw Jarmuda, BS, from the University of Medical Sciences in Poznan, Poland, and colleagues. They presented their findings in an article published online August 29 in the Journal of Medical Microbiology. (Source: Medscape)

For comments and archives

FDA approves Tbo-Filgrastim for neutropenia

The US Food and Drug Administration (FDA) has approved tbo-filgrastim (Sicor Biotech) for the treatment of severe neutropenia associated with use of chemotherapy in nonmyeloid malignancies. Filgrastim is a granulocyte colony-stimulating factor (G-CSF) analog used to stimulate the proliferation and differentiation of granulocytes. Two forms of filgrastim are already available in the US — one injected daily (Neupogen, Amgen) and a pegylated form injected once per chemotherapy cycle (Neulasta, Amgen). The newly approved tbo-filgrastim is a biosimilar version of Neupogen, for which the patent will expire in the US next year. (Source: Medscape)

For comments and archives

CSF markers aid in dementia, Parkinson's dx

Levels of five proteins in cerebrospinal fluid can distinguish among different types of dementias and also among conditions that resemble Parkinson's disease, researchers said. (Source: Medpage Today)

For comments and archives

New option for constipation: FDA approves linaclotide

The US Food and Drug Administration (FDA) approved the drug linaclotide (Linzess, Ironwood Pharmaceuticals) today for the treatment of chronic idiopathic constipation and irritable bowel syndrome with constipation (IBS-C) in adults. The drug, a capsule intended for once-daily oral administration, is a guanylate cyclase type-C (GC-C) agonist. Linaclotide binds to the GC-C receptor locally in the intestine, with no measurable blood plasma concentrations, resulting in an increase in both intracellular and extracellular concentrations of cyclic guanosine monophosphate (cGMP), the manufacturer says. (Source: Medscape)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: CDC: New Recommendations for Treating
Gonorrheahttp://blog.kkaggarwal.com/2012/08/cdc-new-recommendations-for-treating-gonorrhea/

@DeepakChopra: The universe is a living organism with a body mind & soul

 
    Spiritual Update

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

Relaxation therapy

  1. Relaxation techniques share two components: the repetitive focus (on a word, sound, prayer, phrase, body sensation, or muscular activity) and adoption of a passive attitude (towards intrusive thoughts.)
  2. They induce relaxation response characterized by decreased arousal and diminished sympathetic activity (decreased heart rate and lower blood pressure).

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)
  • 4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More
  • The 4th Asia Pacific Vascular Interventional Course begins Read More
  • Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More
  • 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • 4th Asia pacific vascular intervention course Read More
  • 4th Asia pacific vascular intervention course paper clippings Read More
 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What are the success rates of Egg Donation?

The success rates of egg donation depend on many factors but are generally independent of the age of the recipient. Success rates compiled by the CDC for the year 2000 show the average live birth rate per transfer of 43% for all egg donor programs. The major risk for donor egg programs is multiple gestations. In 2000, of the 3,436 pregnancies conceived with egg donation 2,992 resulted in a live birth. Of these, the multiple pregnancy rate was 40% with 36.6% being twins and 3.7% being triplets or greater. Because many of the pregnancies miscarry before the actual number of fetuses can be determined, the percentage of multiple pregnancies may actually be higher.

For comments and archives

 
    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Procedure for requesting uncrossmatched blood

  • In life-saving emergency requirement of blood components, it is always preferable to communicate to the blood bank In-charge/technician on duty, on phone before sending such a request.
  • Notify the Blood bank by phone that uncrossmatched blood is required. In the meantime send requisition form with all the required information. If the patient is unknown, then communicate that to blood bank.
  • Send properly labeled blood samples.
  • As soon as the emergency is over, complete all documentary formalities.

For comments and archives

 
    Fitness Update (Rajat Bhatnagar, MonaVie, www.mymonavie.com/sonraj)

Relatives’ level of activity and encouragement related to fitness among European adolescents

It is well accepted that higher levels of physical fitness and activity among children and adolescents are associated with better health outcomes. Recently a study in the Journal of Sports Science looked at the impact exercise habits and encouragement of physical activity by relatives and close friends could have on markers of fitness. The study used data from adolescents participating in the Healthy Lifestyle by Nutrition in Adolescents (HELENA) study in Europe on over 3,200 adolescents and assessed physical fitness using three measures: cardiorespiratory fitness, speed and agility, and muscular strength.

Authors found that exercise habits and encouragement from family and peers was associated with higher levels of fitness among adolescents. More specifically, having family members with higher levels of activity and who also encouraged activity was associated with higher levels of cardiorespiratory fitness. In addition, having a mother or sister who was regularly active was associated with greater muscular strength and a father who encouraged physical activity was linked to higher levels of fitness in all three areas. These findings suggest that, to encourage fitness in children and adolescents, parents should be active themselves and encourage their children to engage in active pursuits.

For comments and archives

 
    An Inspirational Story (Dr Prabha Sanghi)

Think

There was a blind girl who hated herself because she was blind. She hated everyone, except her loving boyfriend. He was always there for her. She told her boyfriend, 'if I could only see the world, I will marry you.'

One day, someone donated a pair of eyes to her. When the bandages came off, she was able to see everything, including her boyfriend.

He asked, “Now that you can see the world, will you marry me?” The girl looked at her boyfriend and saw that he was blind. The sight of his closed eyelids shocked her. She hadn't expected that. The thought of looking at them the rest of her life led her to refuse to marry him.

Her boyfriend left in tears and days later wrote a note to her saying: “Take good care of your eyes, my dear, for before they were yours, they were mine.”

This is how the human brain often works when our status changes. Only a very few remember what life was like before, and who was always by their side in the most painful situations.

For comments and archives

 
    Cardiology eMedinewS

PCI in stable CAD of limited benefit Read More

Renal denervation may benefit certain heart patients Read More

 
    Pediatric eMedinewS

Silent DVT common, but maybe not risky, in kids with central venous lines Read More

Flunarizine does not prevent cognitive impairment in children with infantile spasms Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A 16–year–old female was diagnosed to have calcific lesions in the ventricles on a CT scan.
Dr Bad: This is a typical case of neurocysticercosis.
Dr Good: This is not neurocysticercosis.
Lesson: Calcification in neurocysticercosis is seen only in the parenchyma and not in ventricles or cisterns.

For comments and archives

Make Sure

Situation: An 18–year–old girl complained of purulent nasal discharge, nasal congestion, pain in the cheek and upper teeth for last 10 days. CT scan showed maxillary sinusitis.
Reaction: Remember to give macrolides.
Lesson: Make sure to remember that clarithromycin 500 mg twice–daily for 7 days is not only effective in maxillary sinusitis but also in other sinusitis.

For comments and archives

 
    Quote of the Day (Dr GM Singh)

An apology is the superglue of life. It can repair just about anything. Lynn Johnston

 
    Legal Question of the Day (Dr M C Gupta)

Q. I am a professor, Forensic Medicine & Toxicology (FMT), in a private medical college. On the complaint of the parents of a girl who left her home and married a boy, the police have registered a case under the Prohibition of Child Marriage Act, 2006. The girl, along with her father-in-law has approached me to give an opinion regarding her age. Can I give such opinion?

Ans.

  1. If you are an expert and somebody wants your expert opinion, you are free to do so unless there is a legal impediment. The only legal impediment can be the administrative system/service rules applicable to you.
  2. It is advisable that you should ask the persons concerned to submit a written application addressed to your employer who should then form a board of experts to give the opinion. It would be up to him to include you in the board and to charge the fees for the services rendered and to remunerate the board members for the service provided as per the rules of the institution.

For comments and archives

 
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Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of Doctor’s Day Celebration

 
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    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

Laboratory tests for alcoholism

  • Gamma–glutamyl transferase (GGT): A liver enzyme that is increased by heavy alcohol intake and by many other conditions that affect the liver.
  • Mean corpuscular volume (MCV): Measures the size of red blood cells; usually measured as part of a complete blood count (CBC) test; the MCV may increase over time in those who are heavy drinkers but may also be affected by many other conditions.
  • Comprehensive Metabolic Panel (CMP) or liver panel: Groups of tests used to evaluate organ and liver function. Magnesium can be low in those who are alcoholic due to insufficient dietary intake.
  • Folate test: With alcohol abuse, less B12 and folate are absorbed and more are excreted from the kidneys.
  • Toxicology screen or blood alcohol level (ethanol test): To determine if a person has been drinking alcohol recently, but do not diagnose alcoholism.
 
    Mind Teaser

Read this…………………

An adult is receiving Total Parenteral Nutrition (TPN). Which of the following assessment is essential?

A. evaluation of the peripheral IV site
B. confirmation that the tube is in the stomach
C. assess the bowel sound
D. fluid and electrolyte monitoring

Yesterday’s Mind Teaser: Contractures are among the most serious long-term complications of severe burns. If a burn is located on the upper torso, which nursing measure would be least effective to help prevent contractures?

A. Changing the location of the bed or the TV set, or both, daily
B. Encouraging the client to chew gum and blow up balloons
C. Avoiding the use of a pillow for sleep, or placing the head in a position of hyperextension
D. Helping the client to rest in the position of maximal comfort

Answer for Yesterday’s Mind Teaser: D. Helping the client to rest in the position of maximal comfort

Correct answers received from: Dr (Maj. Gen.) Anil Bairaria, Dr PC Das, Dr K Raju, Dr Jainendra Upadhyay, YJ Vasavada, Dr Chandresh Jardosh, Dr BB Aggarwal, Dr Avtar Krishan, Dr Thakor Hitendrsingh, Dr Valluri Ramarao, Dr Uma Maheswari Tata.

Answer for 31st August Mind Teaser: C. Frequently observing for hoarseness, stridor, and dyspnea
Correct answers received from: Dr Satya Bhooshan Sood.

Send your answer to ijcp12@gmail.com

 
   Laugh a While (Dr GM Singh)

History of Telecommunication

After having dug to a depth of 10 feet last year, Italian scientists found traces of copper wire dating back 100 years and came to the conclusion, that their ancestors already had a telephone network more than 100 years ago.

Not to be outdone by the Italians, in the weeks that followed, a Chinese archaeologist dug to a depth of 20 feet, and shortly after, a story in the China Daily read: ‘Chinese archaeologists, finding traces of 200 year old copper wire, have concluded their ancestors already had an advanced high–tech communications network a hundred years earlier than the Italian’s.

One week later, the Punjab Times, a local newspaper in India, reported the following: After digging as deep as 30 feet in his pasture near Amritsar, in the Indian state of Punjab, Dugdeep Singh, a self–taught archaeologist, reported that he found absolutely nothing. Dugdeep has therefore concluded that 300 years ago, India had already gone wireless.

 
    Microbial World: The Good and the Bad They Do

(Dr Usha K Baveja, Prof. and Senior Consultant Microbiology, Medanta – The Medicity, Gurgaon)

Typhoid vaccines

Typhoid is a life threatening, serious illness caused by the bacterium Salmonella typhi. Typhoid is common in most parts of the world, except in industrialized Western regions, Australia, and Japan. Risk for the disease is greatest in India and other developing countries in Asia, Africa, the Caribbean, and Central and South America where sanitation is poor and there is shortfall of safe drinking water.

Transmission is via feco-oral route. Typhoid bacilli are transmitted through contaminated food or beverages or water, particularly if the same have been handled by a person who is a carrier and is shedding typhoid bacteria.

Approximately 3-5% of infected people may become typhoid carriers. They are healthy but carry and shed bacteria in the stools. These carriers pass on the typhoid bacteria/infection to other people. The most famous historical typhoid carrier was Mary Mallon, known to us as Typhoid Mary.

Clinical signs and symptoms include headache, pains in the stomach, constipation or diarrhea and a fever that may last for one or two weeks. There may be flat red rash and spleen is enlarged. Patients normally get better after about four weeks, but relapses can occur. Complications like gastrointestinal hemorrhage and perforation, heart failure and encephalitis may occur.

Effective antibiotics are available, and the prognosis in patients under treatment is usually favorable. Recovery may be followed by chronic carriage of bacilli during several months. The emergence of drug-resistant strains has created problems in treatment.

Oral as well as injectable vaccines against typhoid fever are available, which induce formation of specific antibodies. The immunity induced by typhoid vaccines is temporary and revaccinations have to be done.

 
    Medicolegal Update

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

Exhumation of corpse – America

In America, corpses are exhumed when there is a need to identify a body or to establish cause of death like in the case of suspected homicide.

  • President Zachary Taylor was exhumed in 1991 to determine whether or not he had been poisoned, and the famous outlaw Jesse James’s grave was excavated to prove that it was his body in the coffin. In addition, archaeological investigations often involve exhumation.
  • Under modern law, courts usually do not allow exhumation unless there are substantial and compelling reasons to do so.
  • In a landmark U.S. Supreme Court decision Justice Cardozo stated, "The dead are to rest where they have been lain unless reason of substance is brought forward for disturbing their repose."
  • Three general principles govern the law of disinterment in the United States. First, it is presumed that a "decently buried" body should remain undisturbed where it was placed unless good reason is given to do so. Second, disinterment is considered the private concern of the immediate family and the cemetery. Third, if there is disagreement among the close relatives regarding a proposal for exhumation the matter is adjudicated by a court of equity. The court considers (in order of importance) the wishes and religious beliefs of the deceased (if these can be determined), the wishes of the spouse of the deceased, the opinions of other close relatives, and the policies and regulations of the cemetery when determining if exhumation should be allowed.
  • California Labor Code stipulates that if it is suspected that a person has died as a result of injuries sustained in the course of his employment, the investigating appeals board may require an autopsy and, if necessary, the exhumation of the body for the purposes of autopsy. However, in accordance with the rules of equity, the close relatives can, if they wish, prevent the state (i.e., California) from either exhuming the body or performing the autopsy.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

Weekend inadequate sleep can impair health

Around one-third people sleep less than seven hours per night on weekdays or workday said Padmashri and Dr B C Roy National Awardee Dr K K Aggarwal President Heart Care Foundation of India.

Quoting a study published by National Health and Nutrition Examination Survey by CDC in 2011 Dr Aggarwal said that it is most common among individuals 20 to 59 years of age.

Those who report sleeping less than seven hours per night are more likely to report difficulty concentrating than those who sleep seven to nine hours per night.

The message is clear one should treat all days as same and inadequate sleep in week days can impair health.

 
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  1. Dear Sir, eMedinewS is providing useful information. It is like morning tea for us. Regards: Dr Anupam.
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal


Dr K K Aggarwal

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
A non stop question answer-session between all the top cardiologists of the NCR region and the public. Event will be promoted through hoardings, our publications and the press. Public health discussions
http://www.heartcarefoundation.org

TOGETHER WE CAN

RELAX *RECREATE* REJUVENATE

Weekend Retreat for Doctors on
Mind – Body – Medicine

8 (Sat) – 9 (Sun) September 2012 At Brahma Kumaris Om Shanti Retreat Centre NH–8, Bhorakalan, Pataudi Road, Bilaspur Chowk, Distt.-Gurgaon

There is NO REGISTRATION FEE but REGISTRATION is MUST
Visit us at: www.togetherwecan.in
Contact: BK Sister Sapna – M – 9650692204
E–mail: bksapna108@gmail.com

 
    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

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

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

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  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

 
    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, Dr Usha K Baveja