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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 …

30th August 2011, Tuesday

Ganesha, the Stress Management Guru

If Lord Krishna was the first counselor who taught the principles of counseling, Lord Ganesha taught us the principles of stress management. We should worship Lord Ganesha and follow his principles whenever we face any difficulty or are stressed out.

The elephant head of Ganesha represents that when in difficulty, use your wisdom, intelligence and think differently. It can be equated to the Third Eye of Lord Shiva. Elephant is the most intelligent animal in the kingdom. Here wisdom implies to thinking before speaking. Lord Buddha had also defined that one should not speak unless it is necessary, is based on truth and is kind.

The big elephant ears of Lord Ganesha signify listening to everybody (taking opinions) when in difficulty. Elephant ears are known to hear long distances.

Elephant can also see a long distance and in terms of mythology the elephant eyes of Ganesha represent acquiring the quality of foreseeing when in difficulty. The elephant mouth of Ganesha represents speaking less so that more time can be given to ears to listen

The big tummy of Ganesha represents retaining and digesting all information gathered by hearing to people in difficulty.

The trunk represents to use one’s power of discrimination to scrutinize gathered information. It also indicates to do both smaller and bigger things by oneself. Elephant trunk can pick up a needle as well as break a tree.

The broken and unbroken tooth of Ganesha represent being in balance both in loss and gain. One should not get upset if the task is not accomplished and also not get excited if the task is accomplished.

In times of difficulty, Ganesha also teaches us not to lose strength and control one’s attachments, desires and greed. The four arms of Ganesha represent strength. Ropes in two hands indicate attachments, Laddu or Sweet in one hand represent desires and mouse represents greed. Riding over the mouse indicates controlling one’s greed.

Ganesha is worshiped either when one’s task is not getting accomplished or when a new work is initiated. In both situations, these principles of Lord Ganesha need to be inculcated in one’s habits

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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

Ganesha, the Stress Management Guru

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    Photo Feature (from the HCFI Photo Gallery)

National Conference on
Insight on Medicolegal Issue

Dr N K Bhatia presented his views on 100% voluntary blood donation in the recently concluded National Conference on Insight on Medicolegal Issue.

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


Be a vegetarian, keep cancer at bay

HYDERABAD: Let your plate be colourful. Fill it with fruits and vegetables. This piece of advice comes from Dr Kalpagam Polasa, head of the Food and Drug Toxicology Research Centre, National Institute of Nutrition, Hyderabad, who added that fruits and vegetables could be the protection needed against cardiovascular diseases and several types of cancers. Dr Polasa gave a talk on ‘Nutrition – the role of vegetables and fruits in chronic disorders’ during the golden jubilee regional symposium–2011 of the National Academy of Medical Sciences (India) in Hyderabad on Friday. While fruits and vegetables are a part of the weight loss diets, they are also rich source of vitamins, minerals and dietary fibre. "Five to seven servings of fruits and vegetables per day per person are highly desirable," said Dr Polasa who has 85 papers published in national and international journals to his credit. (Source: TOI, Aug 27, 2011)

For comments and archives

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

    International News

(Dr Monica and Brahm Vasudev)

80% of Indians don’t use essential drugs

An average Indian suffering from heart attack or stroke is seven times less likely to receive the inexpensive aspirin – the most commonly used anti–platelet drug – and 20 times less likely to receive statins than an average Canadian. In a first–of–its–kind study to quantify use of effective low–cost drug treatments for heart disease and stroke – anti–platelet drugs mainly aspirin, Beta blockers, angiotensin–converting–enzyme (ACE) inhibitors or angiotensin–receptor blockers (ARBs) and statins – scientists have found that four out of five patients from low–income countries like India, Bangladesh and Pakistan "reported receiving none of these essential drugs". Presented at the European Society of Cardiology Congress in Paris and published in the British medical journal Lancet, the study involved 1, 53, 996 adults from 17 countries. Around 5,650 participants reported prior coronary heart disease and 2,292 stroke. Around 29,000 Indians were part of the study. (Source: TOI, Aug 29, 2011)

For comments and archives

Six new genes found that trigger diabetes

CHENNAI: Scientists have found six new genes that trigger diabetes mellitus in South Asians. These genes are responsible for the early onset of diabetes in South Asians, including Indians. Scientists from the UK collaborated with doctors in India, Singapore, Pakistan, Mauritius and Sri Lanka on the study. This is the first time studies have been conducted in South Asia, where more than 55 million people have diabetes, a majority of them from India and China. So far, scientists have discovered 42 genes associated with diabetes but all these studies were done on Europeans. Although unhealthy diet, obesity and physical inactivity put people to risk of diabetes, doctors say South Asians have genes that make them susceptible to the disorder. "There is no other reason why South Asians should get diabetes in their 40s when Europeans get it in only in their mid or late 50s," said Chennai–based diabetologist Dr V Mohan, who was part of the study. (Source: TOI, Aug 29, 2011)

For comments and archives

Apixaban prevents strokes, boosts survival in Afib patients

Compared with warfarin treatment, atrial fibrillation patients treated with the investigational factor Xa inhibitor apixaban had fewer strokes or embolic events, fewer major bleeding events, and were less likely to die during an average of almost two years of treatment, researchers said. Those results emerged from the 18,201–patient ARISTOTLE study, which was published online today by the New England Journal of Medicine. (Source: Medpage Today)

For comments and archives

In–school screening picks up mental health issues

School–based mental health screening identifies troubled kids and helps get them into care, researchers found. A screening program in Wisconsin high schools found that nearly 20% of those assessed had mental health conditions, and about three–quarters of these students weren’t currently receiving treatment, Mathilde Husky, MD, of Columbia University, and colleagues reported in the September issue of the Journal of the American Academy of Child & Adolescent Psychiatry. This "highlights the extent of unmet need and reinforces the importance of proactive screening as a means of uncovering previously unidentified individuals at risk," they wrote. (Source: Medpage Today)

For comments and archives

    Fitness Update

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

Studies show 15 minutes of daily exercise makes a big difference

It’s still no excuse to slack off. Regular exercise strengthens muscles, reduces the risk of some diseases and promotes mental well–being. The more exercise, the better. But not everyone has the time or willpower. So researchers set out to find the minimum amount of physical activity needed to reap health benefits. The findings by a study in Taiwan suggest just 15 minutes of moderate exercise a day can lead to a longer life.

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    Twitter of the Day

@DrKKAggarwal: #IJCP Autism not caused by vaccines Some vaccines can cause some adverse effects, including seizures and brain… fb.me/19STmCKXV

@DeepakChopra: #CosmicConsciousness I am is infinite. I am Deepak is finite. Minus all your labels you remain the infinite being.

    Dr KK Answers

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

How to get rid of gas in the stomach?

  1. Eat slowly, chewing your food thoroughly
  2. Exercise regularly to help keep food moving.
  3. Deal with your stress.
  4. Don't drink through a straw, and sip your beverages rather than gulp them.
  5. Avoid or limit consumption of foods and drinks that cause you discomfort.
  6. Avoid foods that contain sorbitol or other sugar alcohols (found in drinks, candy, gum and breath fresheners)
  7. Drink plenty of fluids to help move food through the colon.
  8. Substitute rice for grains that produce gas.
  9. If you are lactose–intolerant, try avoiding dairy product.
  10. Use spices that are known to prevent or relieve gas such as asafetida, ginger, fennel, turmeric, peppermint, coriander, chamomile and sage.

For comments and archives

    Spiritual Update

Four types of learners: which one are you

The best description of four types of devotees comes from Bhagavad Gita where Krishna says to Arjuna (7.16) &n.. “Chaturvidha bhajante mam janah sukrtino rjuna. Arto jiijnasurarthasthi jnani cha bharatasabha:”

For comments and archives

    An Inspirational Story

(MS Ritu Sinha)

Temper Control

There once was a little boy who had a bad temper. His father gave him a bag of nails and told him that every time he lost his temper, he must hammer a nail into the fence. The first day the boy had driven 37 nails into the fence. Over the next few weeks as he learned to control his anger, the number of nails hammered daily, gradually dwindled down. He discovered it was easier to hold his temper than to drive those nails into the fence. Finally the day came when the boy didn’t lose his temper at all. He told his father about it and the father suggested that the boy now pull out one nail for each day that he was able to hold his temper.

The days passed and the young boy was finally able to tell his father that all the nails were gone. The father took his son by the hand and led him to the fence. He said "you have done well, my son, but look at the holes in the fence. The fence will never be the same. When you say things in anger, they leave a scar just like this one. You can put a knife in a man and draw it out. It won’t matter how many times you say I’m sorry, the wound is still there."

Make sure you control your temper the next time you are tempted to say something you will regret later.

For comments and archives

    Gastro Update

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

Interesting Tips in Hepatology & Gastroenterology

Chronic pancreatitis is characterized by pancreatic inflammation and fibrosis, the endpoint of which is destruction of pancreatic parenchyma with eventual loss of exocrine and endocrine function. It is a syndrome of destructive inflammatory condition that encompasses the many sequelae of long standing pancreatic injury. Thus acute pancreatitis is an event, whereas chronic pancreatitis is a process.

For comments and archives

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)


The 17–hydroxyprogesterone (17–OHP) test is done to detect congenital adrenal hyperplasia (CAH), a group of inherited disorders caused by specific gene mutations and associated with cortisol–related enzyme deficiencies.

For comments and archives

    IJCP Special

Dr Good Dr Bad

Situation: A female with past history of DVT needed an OC prescription.
Dr Bad: Start OC patch (transdermal).
Dr Good: You cannot be on OCs.
Lesson: There is a possibility of an increased risk of venous thromboembolism in oral contraceptive patch users.

For comments and archives

Make Sure

Situation: A patient of pulmonary Koch’s taking ATT complains of numbness in fingers and toes.
Reaction: Oh my God! I forgot to prescribe vitamin B complex.
Lesson: Make sure that in patients talking ATT (including INH) B–complex vitamins (especially vitamin B6) are prescribed to prevent neuropathy. Addition of antioxidants and multivitamins also boost the immune system.

For comments and archives

  Quote of the Day

(Dr Chandresh Jardosh)

A wise physician said …

I have been practicing medicine for 30 years and I have prescribed many things but in the long run I have learned that the best medicine for the human creature is LOVE !

Someone asked, if it doesn’t work? He smiled and answered, "Increase the dose !!"

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Bend over backwards: Do whatever it takes to help. Willing to do anything.

  G P Pearls

(Dr Pawan Gupta)

Widal test is controversial and has low sensitivity. Culture–positive cases have been reported with Widal–negative and likewise, Widal–positive cases have not grown salmonella in culture. However, Typhidot M is a better way to diagnosis typhoid both IgG and IgM. The higher incidence of malaria interferes with serological diagnosis of typhoid and can lead to overdiagnosis of typhoid.

  Medicolegal Update

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

What is a coup lesion of brain?

The brain Injury is due to movements of the brain in relation to the skull or distortions of the skull.

  • The flax cerebri and tentorium divide the cranial cavity into three communicating compartments and have a partly restraining effect on brain movements.
  • Injuries likeContusion and lacerations of the brain seen in vehicular accidents and falls from heights are caused by the application of violence to the head and may occur with or without external injury to the scalp and fracture of the skull.
  • Injuries may be seen superficially anywhere on the surface of the brain, though the commonest site is the outer surface of the parietal and temporal lobes or deep within the brain substance,and are associated with hemorrhages limited in small areas or multiple hemorrhages diffused largely within the brain tissues. They are also associated with disturbances of cerebrospinal fluid circulation.
  • These injuries, also known as coup lesions, are commonly found under the site of application of the blow, but are also sometimes found particularly during autopsy on the surface of the brain diagonally opposite the site of impact, and are called countercoup injuries.
  • Coup injuries are most commonly found on the frontal lobes and near the tips of the temporal and frontal poles, rarely on the occipital poles. They are usually severe injuries.

(References modi’s medical jurisprudence 25th edition)

For comments and archives

    Mind Teaser

Read this…………………

The most common malignant neoplasm of infancy is:

1. Malignant Teratoma
2. Neuroblastoma
3. Wilms’ tumor
4. Hepatoblastoma

Yesterday’s Mind Teaser: In a child, non–functioning kidney is best diagnosed by:

1. Ultrasonography
2. IVU
3. DTPA Renogram
4. Creatinine clearance

Answer for Yesterday’s Mind Teaser: 3. DTPA Renogram

Correct answers received from: Dr Ragavan Pallipalayam Sivaramakrishnan, Dr Pramod M Kulkarni,
Dr YJ Vasavada, Dr Neelam Nath, Dr Chandresh Jardosh, Dr G Padmanabhan, Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay, Anil Bairaria, Dr Pramod M Kulkarni, Dr K Raju, Dr Raghavendra Singh, Dr Valluri Ramarao.

Answer for 28th August Mind Teaser: 3. Non–contrasts CT scan of the abdomen.
Correct answers received from: Dr YJ Vasavada, Dr G Padmanabhan.

Send your answer to ijcp12@gmail.com

    Laugh a While

(Dr. GM Singh)

In a mathematics class the teacher told the student that minus * (times) minus –*– = + and also NO + NO = Yes. So, a boy was pressed to go to toilet. He then asked the teacher, "Excuse me, sir, can I use the toilet?" The teacher said, "No." The student asked again, "Excuse me, sir, can I use the toilet?" The teacher said, "NO." Immediately student stood up to go to the toilet, the teacher was surprised and said, "Where are you going?" He said, "Toilet." The teacher asked him, "Why?" He said, "NO + NO = yes, so since you said NO two times I know you mean yes." So the class burst into laughter.

    Drug Update

List of Approved Drug From 01–01–2011 to 30–06–2011

Drug Name
DCI Approval Date
Metformin HCl IP 500mg + Alpha Lipoic Acid USP 200mg Tablet
For the treatment of patients with diabetic polyneuropathy
    Public Forum

(Press Release for use by the newspapers)

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When not to ignore constipation

While most instances of constipation may not be serious, some cases of infrequent or difficult bowel movements need to be evaluated by a doctor said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India, and MTNL Perfect Health Mela.

Constipation is one of the most common gastrointestinal complaints. Those reporting constipation most often are women and adults ages 65 and older. Pregnant women may have constipation, and it is a common problem following childbirth or surgery.

Constipation occurs when the large colon absorbs too much water or if the colon’s muscle contractions are slow or sluggish, causing the stool to move through the colon too slowly. As a result, stools can become hard and dry.

Common causes of constipation

  1. Not enough fiber in the diet
  2. Lack of physical activity
  3. Some drugs
  4. Pregnancy
  5. Elderly
  6. Abuse of laxative
  7. Ignoring the urge to have a bowel movement
  8. Dehydration
  9. Underlying cancer
  10. Depression

Heart Care Foundation of India provides the following list of warning signs:

  • You’re constipated for the first time
  • You have been treating constipation with house hold remedies for three weeks with no improvement.
  • You have associated abdominal pain.
  • You have associated bloody stools.
  • You have associated unexplained weight loss.

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    Readers Responses
  1. Dear Sir, I have been getting emedinews and find it useful in providing practical answers to the medical situations practitioners face in their clinical practice. Dr Prachi
    Forthcoming Events

18th MTNL Perfect Health Mela

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


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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