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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; National Vice President Elect Elect, Indian Medical Association; 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

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eMediTube (videos), eMedipics, eMediSlide, eMediLaw


5th April 2013, Friday

The very purpose of a birthday

The purpose of birthday according to our mythology can be interpreted as follows:

  • A birthday is a reminder of our true purpose in life, towards which our actions should be directed. These are Dharma, Artha, Kama and Moksha. Dharma is righteousness – doing our duty; artha is righteous earning of the means to do our duty; kama and moksha represent fulfilling of desires and achieving inner happiness and liberation, respectively.
  • Each one of us has three debts to pay in our lifetime. These are: Dev Hrin, Pitra Hrin and Rishi/Guru Hrin. Our body has been given to us by our parents, they take care of us when we are young and so should we as they grow old; this is pitra Hrin. It also refers to our ancestors. Rishi/Guru Hrin is our debt to our teachers who give us knowledge and Dev Hrin is our debt to God, who has given us consciousness.

    Pitra Hrin is repaid by conducting the rituals of Shradh usually performed either on Amavasya every month or on the death anniversary or the day of death according to the Hindu calendar. Teacher’s day on 5th September is the day when Guru Hrin is repaid. We repay our debts to God through pooja and fasts.

    On our birthday, we calculate how many debts are left to be repaid.
  • When we celebrate a birthday, we light candles on the cake and blow out the candles before cutting it. But this is a western culture. Our tradition is to not blow out the candles, but to ignite them. The burning candles illuminate the darkness. They shed light on the path we ought to travel on and enlighten us. Number of candles should be 100 minus the age lived and not age lived.

So, every year on our birthday, we should contemplate on the year that has gone by and take stock of what all has been achieved or what is left unfulfilled and define new goals for ourselves.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

PPIs may be associated with a higher risk for clostridium difficile–associated diarrhea

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Prem Bhatia, the singer endorses CPR 10

Dr K K Aggarwal
    National News

Pushpanjali Medicine Update 2013

PUSHPANJALI CROSSLAY HOSPITAL in association with API Ghaziabad is organizing first round of Zonal CME of API Pushpanjali Medicine Update 2013” on 21st April 2013 (Sunday). The Conference will cover a wide range of scientific topics of relevance to Physicians and Residents in their day-to-day practice. Participants/Delegates will have an opportunity of interacting with Eminent National and International Faculty at the CPC and Q&A during the sessions learning latest and updated International best practice procedure/methods.

Venue: Hotel Radisson Blu, Kaushambi, Ghaziabad. 12.30pm onwards.

Contact: Dr. Neelesh Goyal (09810003488) at docneelesh@yahoo.co.in

For comments and archives

NEET controversy getting complicated

A CNN-IBN sting operation covering three states has exposed how five private medical and dental colleges are illegally selling post graduate seats to the highest bidders. Results for the All India NEET exam are still not out but post graduate medical seats for the academic year 2013-2014 have already been sold off.

A Supreme Court order prohibits medical colleges to reveal results of the independent entrance tests that they conduct.

Santosh Medical College in Ghaziabad, Uttar Pradesh and People's Medical College in Bhopal, Madhya Pradesh have been caught on camera asking for obscene amounts of money for seats.

Post graduate seats are sold off for crores of rupees while legitimate and qualifying students are paid lakhs for vacating them for "resale". Colleges are also hiring doctors to fudge medical inspections.

MCI and government don't have proper system to check that a particular student should not take admission in more than one college at a time.

A unique way to beat the system - get admission in the NRI quota, even if one is not an NRI. All one has to do is ensure the payment is made through a foreign account and provide an affidavit showing that the student is a ward of the foreign account holder.

For comments and archives

Indian Medical entrance test discriminatory to NRI students: Indian community bodies

Washington, April 1-- Calling a new Medical Council of India (MCI) entrance test adopted by some state governments as discriminatory to NRI students, several Indian community organisations in the US have sought its gradual implementation over two years.

The new test requirement will hamper NRI students applying for medical and dental college admission in India as there are no test centres in the US, Europe and other countries with a large NRI population, the Global Organization of People of Indian Origin said in a media release.

Other community organisations including the Global Indian Diaspora Foundation, Federation of Kerala Association of North America (FOKANA) and Federation of Malayalee Association of America (FOMA) have also written to the central and state authorities in this regard.

Asking the authorities to maintain status quo on admission of NRI students to medical and dental colleges for two years, the GOPIO said otherwise most NRI students would not be able to appear for the examination scheduled for May 5.
About 2,000 NRI students apply to MBBS and BDS admissions in India every year.

For the last 20 years, Indian medical colleges have been giving admission to NRI students based on NRI quota on the basis of equivalent certificate from the education section of the Indian missions and the Association of Indian Universities, GOPIO said.

However, this year, MCI has implemented a centralised National Eligibility and Entrance Test (NEET) for MBBS and BDS admission in India. The Kerala government is the latest one to adopt it, it said.

Since the MCI announcement of the new national entrance test was made only in January 2013, there is not enough time to prepare for the test for NRI students in the current academic year as no clear examination guidelines are available yet, GOPIO said.

NRI students from the US, South America, Canada, Australia, Africa and Europe also have difficulty in taking the test unlike students in the Middle East who have examination centres available in Saudi Arabia and Dubai, it said. (Source: TOI)

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

    Be Human Stop Child Abuse (Team IMA for CMAAO)


Categories of emotional or psychological abuse

  • Rejecting – Refusing to acknowledge the child's worth and the legitimacy of his/her needs; refusing to show affection
  • Isolating – Denying the child normal social experiences and peer/familial relationships, creating a sense in the child that he/she is "alone in the world"; some parents may lock the child in a bedroom, closet, basement, or attic away from normal familial interaction
  • Terrorizing – Verbal assault/threatening of the child or his or her loved ones or objects; making the child feel unsafe; creating a climate of fear; convincing the child that "the world is capricious and hostile." Weapons may be used to further terrorize the child.
  • Ignoring – Psychological unavailability to the child, depriving him or her of essential stimulation and interaction; emotional starvation; lack of protection from danger

For comments and archives

    Valvular Heart Disease Update

When can bypass surgery be combined with aortic valve replacement?

There are two settings in which aortic valve replacement and coronary artery bypass graft surgery (CABG) intersect:

  • Patients who are candidates for aortic valve replacement in whom coronary angiography demonstrates significant coronary artery disease that could be corrected at the time of valve replacement.
  • Patients who are candidates for CABG who also have AS that might be corrected at the same surgery.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

    International News

(Contributed by Dr Monica and Brahm Vasudev)

WHO: Banning trans fats is good health policy

Policies aimed at reducing levels of trans fats in food can be effective without increasing levels of total fat, a systematic review showed. (Source: Medpage Today)

For comments and archives

Allopurinol: Severe cutaneous reactions rare but serious

Allopurinol remains the mainstay treatment for gout or nephrolithiasis but occasionally produces severe cutaneous reactions (SCARs), according to Seoyoung C. Kim, MD, MSCE, from Brigham and Women’s Hospital, Boston, Massachusetts, and colleagues. (Source: Medscape)

For comments and archives

Study: 'Low-T' linked to RA risk

Lower testosterone levels predicted an increased risk of a subtype of rheumatoid arthritis (RA) in men, results of a case-control study showed. (Source: Medpage Today)

For comments and archives

Menopausal women: Exercise, housework may help sleep

Physical activity, including household chores, is associated with reports of a good night's sleep among menopausal women with vasomotor symptoms, according to results from a study published online March 25 in Menopause. (Source: Medscape)

For comments and archives

New bird flu strain jumps to humans

Two new cases -- and one more death -- have been reported in the H7N9 avian influenza outbreak in several eastern provinces of China. The new cases bring the total so far reported to nine, with three deaths, according to the official Xinhua news agency. Health officials are scrambling to understand the outbreak, the first time the avian H7N9 influenza A has been known to infect humans. (Source: Medpage Today)

For comments and archives

   Twitter of the Day

@DrKKAggarwal: Male baldness indicates heart disease risk Male pattern baldness is linked to an increased risk of coronary... http://fb.me/1bd0GKzFP

@DeepakChopra: Sinner & saint are states of mind. Being is beyond both #CosmicConsciousness

    Spiritual Update

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

The Vedic returns

It’s time to file the Vedic returns. On 31st March we must have filed our non Vedic financial returns. Vedic returns are to be filed with our consciousness. Thus contains the sum total and a complete account of negative and positive deeds. ………More

    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

Is counseling necessary for the surrogate and the intended parents?

Counseling of surrogates is intended to provide the surrogate with a clear understanding of the psychological issues related to pregnancy. With the assistance of a mental health professional (MHP), the gestational surrogate, and her partner should explore issues such as managing a relationship with the intended parents, coping with attachment issues to the fetus, and the impact of a gestational surrogacy arrangement on her children and her relationships with her partner, friends and employers. The intended parents should be counseled regarding their ability to maintain a respectful relationship with the surrogate. The surrogate, the intended parents, and the MHP should also meet to discuss the type of relationship they would like to have.

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

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

Q: What are the various types of blood donations?

A: There are three types of blood donors:

  • Professional donors: These are people who sell their blood for money. Under no circumstances, should professional donors be allowed to give blood. They sell their blood, which is of very poor quality and can transmit very dangerous diseases to the recipient. It is illegal to take blood from any professional donor.
  • Replacement donation: The healthy relatives and friends of the patient give their blood of any group in the blood bank. The required number of units of the same blood group as that of their patient is given from the stocks available in the blood bank. This is called replacement donation.
  • Voluntary donation: Here, a donor donates his blood voluntarily. His blood can be used for any patient even without revealing his identity. This is the BEST TYPE of blood donation where motivated human beings donate their blood in an act of high human selfless service or Nishkama Seva.

For comments and archives

   An Inspirational Story

The world is a wonderful place

A true story, happened in 1892 at Stanford University:

An 18-year-old student was struggling to pay his fees. He was an orphan, and not knowing where to turn for money, he came up with a bright idea. He and a friend decided to host a musical concert on campus to raise money for their education.

They reached out to the great pianist Ignacy J. Paderewski. His manager demanded a guaranteed fee of $2000 for the piano recital. A deal was struck and the boys began to work to make the concert a success.

The big day arrived. But unfortunately, they had not managed to sell enough tickets. The total collection was only $1600.
Disappointed, they went to Paderewski and explained their plight. They gave him the entire $1600, plus a cheque for the balance $400. They promised to honour the cheque at the soonest possible.

“No,” said Paderewski. “This is not acceptable.” He tore up the cheque, returned the $1600 and told the two boys: “Here’s the $1600. Please deduct whatever expenses you have incurred. Keep the money you need for your fees. And just give me whatever is left”. The boys were surprised, and thanked him profusely.

It was a small act of kindness. But it clearly marked out Paderewski as a great human being.

Why should he help two people he did not even know? We all come across situations like these in our lives. And most of us only think “If I help them, what would happen to me?” The truly great people think, “If I don’t help them, what will happen to them?” They don’t do it expecting something in return. They do it because they feel it’s the right thing to do.

Paderewski later went on to become the Prime Minister of Poland. He was a great leader, but unfortunately when the World War began, Poland was ravaged. There were more than 1.5 million people starving in his country, and no money to feed them. Paderewski did not know where to turn for help. He reached out to the US Food and Relief Administration for help.

The head there was a man called Herbert Hoover — who later went on to become the US President. Hoover agreed to help and quickly shipped tons of food grains to feed the starving Polish people.

A calamity was averted. Paderewski was relieved. He decided to go across to meet Hoover and personally thank him. When Paderewski began to thank Hoover for his noble gesture, Hoover quickly interjected and said, “You shouldn’t be thanking me Mr. Prime Minister. You may not remember this, but several years ago, you helped two young students go through college. I was one of them.” The world is a wonderful place. What goes around comes around!

Source: http://academictips.org/blogs/the-world-is-a-wonderful-place/

For comments and archives

   Cardiology eMedinewS

Exercise not a 'shocker' for HF patients with ICD Read More

Carvedilol superior to metoprolol in MADIT-CRT analysis Read More

   Pediatric eMedinewS

Sleep disordered breathing takes toll on kids Read More

Air pollution linked to neural tube defects Read More

    Rabies Update

Dr. A K Gupta, Author of "RABIES - the worst death", Joint Secretary, Association for Prevention and Control of Rabies in India (APCRI)

What are monoclonal antibodies?

Monoclonal antibodies (mAb) are important reagents used in biomedical research, in diagnosis of diseases, and in treatment of such diseases as infections and cancer. These antibodies are produced by cell lines or clones obtained from animals that have been immunized with the substance that is the subject of study. The cell lines are produced by fusing B cells from the immunized animal with myeloma cells.

    IJCP Special

Dr Good Dr Bad

Situation: A patient with fever and joint pain came with rash.
Dr Bad: This is a drug allergy.
Dr Good: It looks like Chikungunya.
Lesson: Rash is present in 30% of cases with Chikungunya.

Make Sure

Situation: A patient with dengue fever developed shock.
Reaction: Oh my God! Why did you ignore the blood pressure of 90/80?
Lesson: Make sure that a pulse pressure of less than 20 is not ignored, it is an impending sign that the patient is going into shock.

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Photos and Videos of 4th eMedinewS – RevisitinG 2012 on 20th January 2013

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  Quote of the Day (Dr GM Singh)

A total commitment is paramount to reaching the ultimate in performance. Tom Flores

    Mind Teaser

Read this…………………

A 3-month-old infant just had a cleft lip and palate repair. To prevent trauma to the operative site, nurse Aljon should do which of the following?

a. Give the baby a pacifier to help soothe him
b. Lie the baby in the prone position
c. Place the infant’s arms in soft elbow restraints
d. Avoid touching the suture line, even to clean

Yesterday’s Mind Teaser: An infant, age 8 months, has a tentative diagnosis of congenital heart disease. During physical assessment, Nurse Jasmine measures a heart rate of 170 beats/minute and a respiratory rate of 70 breaths/minute. How should the nurse position the infant?

a. Lying on the back
b. Lying on the abdomen
c. Sitting in an infant seat
d. Sitting in high Fowler’s position

Answer for yesterday’s Mind Teaser: c. Sitting in an infant seat

Correct answers received from: Dr Bharat Bhushan Aggarwal, Tukaram Pagad, Dr KV Sarma,
Dr Raghavendra Jayesh, Prabha Sanghi, Dr Pankaj Agarwal, Dr BB Gupta, Dr Thakor Hitendrsinh G,
Dr (Maj. Gen.) Anil Bairaria, Dr Jella, Dr Jainendra Upadhyay, Dr Chandresh Jardosh, Dr pawan Mehta, Muthumperumal Thirumalpillai, Dr Avtar Krishan, Dr kanta Jain.

Answer for 3rd April Mind Teaser: b. Fluid intake should be approximately equal to the urine output.

Correct answers received from: Dr pawan Mehta, Muthumperumal Thirumalpillai, Dr Avtar Krishan,
Dr kanta Jain.

Send your answer to ijcp12@gmail.com

    Laugh a While (Dr GM Singh)

Tom had this problem of getting up late in the morning and was always late for work. His boss was mad at him and threatened to fire him if he didn't do something about it. So Tom went to his doctor who gave him a pill and told him to take it before he went to bed. Tom slept well, and in fact, beat the alarm in the morning. He had a leisurely breakfast and drove cheerfully to work. "Boss", he said, "The pill actually worked!" "That's all fine" said the boss, "But where were you yesterday?

    Medicolegal Update

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

What is the vegetative state?

  • Vegetative state is the complete absence of behavioral evidence for self or environmental awareness
  • There is preserved capacity for spontaneous or stimulus–induced arousal, evidenced by sleep–wake cycles i.e. patients are awake, but have no awareness. This means that the patients appear awake.
  • They have normal heart beat and breathing, and do not require advanced life support to preserve life and cannot produce a purposeful, co–coordinated, voluntary response in a sustained manner, although they may have primitive reflexive responses to light, sound, touch or pain.
  • They cannot understand, communicate, speak, or have emotions and are unaware of self and environment and have no interaction with voluntary passage of urine or stools. They sleep and awaken. As the centers in the brain controlling the heart and breathing are intact, there is no threat to life, and patients can survive for many years with expert nursing care.
  • The following behaviors may be seen in the vegetative state:
    • Sleep–wake cycles with eyes closed, then opened. Patient breathes on his/her own; spontaneous blinking and roving eye movements; produce sounds but no words; visual pursuit following an object with his/her eyes; grimacing to pain; changing facial expression; yawning; chewing jaw movements swallowing of own spit; no purposeful limb movements; arching of back; reflex withdrawal from painful stimuli; brief movements of head or eyes toward sound or movement without apparent localization or fixation; startles with a loud sound.

Almost all of these features consistent with the diagnosis of permanent vegetative state were present during the medical examination of Aruna Shaunbag. Behavior suggestive of a minimally conscious not vegetative state observed during the examination.

For comments and archives

    Public Forum

(Press Release for use by the newspapers)

Noted Singer Prem Bhatia launches CPR 10

In a special function, Mr Prem Bhatia, noted singer endorsed CPR 10 Mantra and said that everybody should learn CPR 10.

Padma Shri & Dr. BC Roy National Awardee, Dr KK Aggarwal, President, Heart Care Foundation of India, who was also present on the occasion said that every celebrity should learn CPR 10 not only because they are role model but also because thousands and lakhs of people are linked to them.

Mr. Bhatia said that he always wanted to be a hotelier but ended up being a singer. He does 4 hours of riyaz (practice) every day.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 31865 people since 1st November 2012.

Dr. Aggarwal said that the CPR 10 mantra is "Within 10 minutes of death (earlier the better), at least for at least 10 minutes, longer the better (adults 25 minutes and children 35 minutes), compress the centre of the chest of the deceased person continuously (uninterrupted) and effectively (1½inch) with a speed of 10x10 = 100 per minute.” Over 35000 people have already been trained in CPR 10.

    Readers Response
  1. Dear Sir, thanks for providing useful information. Regards: Dr Jaya
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