25th December 2014, Thursday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and National Science Communication Awardee. Limca Book of Record Holder (CPR). Gold Medalist

Dr KK Aggarwal

President, Heart Care Foundation of India; Senior Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, Senior National Vice President, Indian Medical Association; Member Ethics Committee Medical Council of India, Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Limca Book of Record Holder in CPR, Chairman (Delhi Chapter) International Medical Sciences Academy (March 10–13); 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);
For updates follow at :  www.twitter.com/DrKKAggarwal, www.facebook.com/Dr KKAggarwal

eMedinewS Wishes all its readers a Merry Christmas

India slashes health budget

The government has ordered a cut of nearly 20 percent in its 2014/15 healthcare budget due to fiscal strains, putting at risk key disease control initiatives in a country whose public spending on health is already among the lowest in the world, reports Reuters. More than 60 billion rupees, or $948 million, has been slashed from their budget allocation of around $5 billion for the financial year ending on March 31.

India spends about 1 percent of its gross domestic product (GDP) on public health, compared to 3 percent in China and 8.3 percent in the United States. The United Nations estimates about one third of the world's 1.2 billion poorest people live in India.

The move reflects the government's struggle to achieve its 2014/15 fiscal deficit target of 4.1 percent of GDP.

The retrenchment could also derail an ambitious universal healthcare programme that Modi wants to launch in April. The plan aims to provide all citizens with free drugs and diagnostic treatments, as well as insurance benefits. The cost of that programme over the next four years had been estimated at 1.6 trillion rupees ($25 billion). The health ministry officials had been expecting a jump in their budget for the coming year, in part to pay for this extra cost.

In addition to the healthcare budget, the finance ministry has also ordered a spending cut for India's HIV/AIDS programme by about 30 percent to 13 billion rupees ($205.4 million). India had the third-largest number of people living with HIV in the world at the end of 2013, according to the U.N. AIDS programme, and it accounts for more than half of all AIDS-related deaths in the Asia-Pacific.

The move by the government is a retrograde step. The country should try cordial relationship with neighboring countries so that health and education budget is not compromised at the cost of increasing the defense budget. IMA will peruse the government to roll back.

For the time being at the IMA we will try to bring in a campaign to reduce the disease burden by 25-50% via implementing preventive and swachh bharat swasthya bharat movement.

National News

  • “Rational Use of Antimicrobial – Indian Perspective” involving Clinical Infectious diseases experts was launched today by Shri Luv Verma, Health Secretary, Ministry of Health & F.W, GoI at Jacaranda-II, India Habitat Centre, New Delhi.
  • On 24th December 1986, Consumer Protection Act came into force in India. Since then this day is celebrated as ‘National Consumer Day’.
  • AHPI (an association of 10,000+ hospitals) is holding its annual conclave at Hyderabad on 23-24th February 2015 at Hotel Marriott.


  • The 43rd meeting of IMA National TB cell will be convened at 3.00pm on the 28th Dec. 2014, at the venue of the National conference in Ahmedabad.
  • Points for deliberations and discussions, during the ensuing 75th meeting of the Central Council of IMA to be held at Ahmedabad, Gujarat
    • IMA Accreditation of Scientific Programmes
    • Menace of Quackery: Govt. Sponsored Quackery; Proposed Medical Termination of Pregnancy Act (Amendment) Bill - Stand of IMA
    • IMA's viewpoints and stand on Crosspathy
    • The Recognition of New Systems of Medicine Bill 2014
    • Requests for provision of resources to file Court cases by national IMA HQs all over the country
    • Code of Medical Ethics: IMA Code of Ethics for Healthcare providers; Right to protest by the Medical Profession
    • Consumer Protection Act: Medical Negligence, Compensation & Insurance; Defensive medical practice, Fixation of medical charges by the Govt.
    • IMA Role in rational use of Antibiotics: IMA Guidelines to its Members; Need to prevent unnecessary promotion of newer antibiotic molecules by Pharma. Companies; Steps to check Over the Counter (OTC) sale of Schedule "H" Drugs by pharmacists
    • Need for protocols for organizing Medical & Surgical Camps
    • Opinion of the Society about doctors
    • IMA's role in Swachh Bharat Abhiyan - Swachh Medical Centre
    • Separate Funds at IMA HQs for natural calamities
    • IMA as a Trade Union
  • Corporate medical establishment culture is brought by these businessmen and political combined group through which they are looting government and rich people. All poor people are still going to government sector. But government tries to control government doctors. They cannot control drug prices, cannot control prices of other instruments or parts used in different surgeries. There is no method to control or government does not want to control as getting about 1500 crore of rupees for election from pharma companies every election. The government wants to control about 2 lakhs doctors but cannot keep about 20 persons to control the drug prices. I think IMA should do something for it. but it is also not possible as IMA is also controlled by money and those who are making lot of money from this profession: Dr N K Gupta


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News around the Globe

  • People whose lungs displayed signs of emphysema in computed tomography (CT) scans were at greater mortality risk, even those without airflow obstruction or without chronic obstructive pulmonary disease (COPD), according to a population-based study. Elizabeth C. Oelsner, MD, MPH, from Columbia University in New York City, and colleagues report their findings in an article published in the December 16 issue of the Annals of Internal Medicine. (Medscape)
  • People with blood type O are less likely to develop type 2 diabetes than those with rarer blood groups. Results from the large, prospective epidemiological study were published online December 18 in Diabetologia by epidemiology researcher Guy Fagherazzi, PhD (Paris-South University, Villejuif, France) and colleagues.
  • Europe's top court ruled on Thursday that obese people can be considered as disabled, but stopped short of saying that obesity was a condition that needed specific protection under European anti-discrimination laws.
  • Artificial sweeteners made headlines in September, when researchers reported in Nature that aspartame, sucralose, and saccharin cause blood glucose abnormalities in mice and some humans. The changes in glucose tolerance seem to be driven by the gut microbiome and can be reproduced in germ-free mice by giving them gut microbes from a person who has consumed the sweeteners.
  • The results of the PURE study were presented at the Word Congress of Cardiology in May and published in an article in the New England Journal of Medicine in August. The PURE article suggests that moderate (as opposed to low) sodium intake may be best for CVD prevention.
  • A high level of cynical distrust — for example, believing that no one cares much what happens to you and that it's safer not to trust anybody — is associated with a higher risk for dementia, and the association is not entirely explained by depressive symptoms. The study was published online May 28 in Neurology.
  • Regular intake of naproxen entails more CV risk than ibuprofen, according to an analysis of NSAID use among participants in the Women's Health Initiative. Regular intake of ibuprofen, in fact, did not seem to involve any elevation in CV risk. The analysis, published July 8 in Circulation: Cardiovascular Quality and Outcomes, also saw a complicated relationship between aspirin and most other NSAIDs. It suggested that concomitant aspirin may alleviate the increased CV risk long associated with selective inhibitors of COX-2 such as celecoxib, but not the risk from others, such as naproxen.
  • The FDA said clinicians should stop prescribing combination prescription pain relievers that contain more than 325 mg of paracetamol citing the risk for liver damage.
  • FDA lowered the recommended starting dose of the sleep aid eszopiclone.
  • Two drug and two device approvals made headlines this year: The FDA approved the inhaled human insulin product Afrezza to improve glycemic control in adults with type 1 and type 2 diabetes.
  • The FDA has approved a first-in-class insomnia drug called suvorexant.
  • FDA has granted clearance of the first device to help improve quality of sleep in patients with restless legs syndrome.

Dr KK Spiritual Blog

Sacrifice a goat and clear the board exam: It’s scientific

"Students in tribal–dominated Jhabua district in Madhya Pradesh and adjoining villages in Gujarat believe that sacrificing goat can make them pass an exam. Ranapur, 45 km from Jhabua, an idol of Baba Dongar, a tribal god is making all wishes come true. Here, photocopies of exam admit cards are tied around trees and in return for their entreaties coming true, the supplicants promise to offer the god a goat, a hen or a bottle of liquor. Some 500 animals are sacrificed here every day and there are more than a dozen such priests who do the slaughtering."

The above story is published in TOI and is correct as per mythology provided one understands the mythology.

In mythology riding means controlling and sacrificing means killings and animals are symbolized by human natures and behaviors.

For example, mouse is a vahan of Ganesha and means that to overcome obstacles one need to control one’s greed. Similarly, owl is the vahan of Laxmi and symbolizes that for righteous earning one should be able to control one’s foolishness.

Goats and Rams represent sexuality and sexual desires and lambs represent purity and innocence.
Goat is mentioned in mythology both as a symbol and as a vehicle of Gods. In the Samkhya system Prakriti is depicted as a female goat (Mother Nature). The color of goat is red, black or white representing Sattva, Rajas, and Tamas.

The vehicle of Goddess Kali is a black goat. Agni rides Mesha, a ram. Kubera, the God of wealth, also has a ram as his vehicle. A ram is an uncastrated adult male sheep.

Performing a sacrifice during exams means controlling your tamas or inertia and rajas or aggression, and controlling your sexual desires (uncastrated males).

Brahmacharya in mythology is a period where you are supposed to keep your sexual deviations and other desires under control. So a goat sacrifice does not mean physical killing of goat but killing of goat-like activities within you.

Uniform Code for Pharmaceuticals Marketing Practices (UCPMP)

F. No. 5/3/2009-PI-I/PI-II (Voi.III) Government of India
Ministry of Chemicals & Fertilizers
Department of Pharmaceuticals
***** Shastri Bhawan, New Delhi-110 001
Dated, the 12th December, 2014


Subject: Uniform Code of Pharmaceuticals Marketing Practices (UCPMP)-

reg. Sir,

Iam directed to refer to this Department's letter of even number dated 19.03.2012 on the subject mentioned above and to enclose a copy of the Uniform Code of Pharmaceuticals Marketing Practices (UCPMP) prepared by the Department of Pharmaceuticals based on the comments/inputs received from various stakeholders on the draft UCPMP.

The UCPMP is to be voluntarily adopted and complied with by the Pharma
Industry for a period of six months w.e.f 01.01.2015. It would be reviewed thereafter on the basis of the inputs received.

Yours faithfully,
Under Secretary to Govt. of India
Tele: 23071162
Telefax: 23385765

Uniform Code for Pharmaceuticals Marketing Practices(UCPMP)

This is a voluntary code of Marketing Practices for Indian Pharmaceutical Industry for the present and its implementation will be reviewed after a period of six months from the date of its issue. If it is found that it has not been implemented effectively by the Pharma Associations/Companies, the Government may consider making it a statutory code.

1. General Points

1.1 A drug must not be promoted prior to receipt of the marketing approval by the competent authority, authorizing its sale or supply.

1.2 The promotion of a drug must be consistent with the terms of the marketing approval.

1.3 Information about drugs must be up-to-date, verifiable and accurately current knowledge or responsible opinion.reflect

1.4 Information about drugs must be accurate, balanced, fair, objective, and must not mislead either directly or by implication.

1.5 Information must be capable of substantiation.

1.6 Substantiation that is requested pursuant to para 1.5 above must be provided without delay at the request of members of the medical and pharmacy professions including the members of those professions employed in the pharmaceutical industry.

2. Claims & Comparisons

2.1 Claims for the usefulness of a drug must be based on an up-to-date evaluation of all the evidence.

2.2 The word "safe" must not be used without qualification and it must not be stated categorically that a medicine has no side effects, toxic hazards or risk of addiction.

2.3 The word "new" must not be used to describe any drug which has been generally available, or therapeutic indication which has been generally promoted, in India for more than 12 months.

2.4 Comparisons of drugs must be factual, fair and capable of substantiation. In presenting a comparison, care must be taken to ensure that it does not mislead by distortion, by undue emphasis, omission or in any other way.

2.5 Brand names of products of other companies must not be used in comparison unless the prior consent of the companies concerned has been obtained.

2.6 Other companies, their products, services or promotions must not be disparaged either directly or by implication.

2.7 The clinical and/or scientific opinions of members of healthcare professionals must not be disparaged either directly or by implication.

emedipicstoday emedipics

Health Check Up and CPR 10 Camp at GB S School, Khan Pur, New Delhi, on 27th November 2014

video of day
press release

Ventilator–associated tracheobronchitis

Sameer Malik Heart Care Foundation Fund

The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number +91 9958771177 or by filling the online form.

Madan Singh, SM Heart Care Foundation Fund, Post CAG

Kishan, SM Heart Care Foundation Fund, Post CHD Repair

Deepak, SM Heart Care Foundation Fund, CHD TOF

Total CPR since 1st November 2012 – 101090 trained

cpr10 Mantra The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."

CPR 10 Success Stories

Ms Geetanjali, SD Public School
Success story Ms Sudha Malik
BVN School girl Harshita
Elderly man saved by Anuja

CPR 10 Videos

cpr 10 mantra
VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)


IJCP Book of Medical Records

IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records.

If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us on :


Dr Good and Dr Bad

Situation: A patient with Mediclaim of 2 lakhs of seven years duration needed a claim of Rs. 2.2 lakhs.
Dr. Bad: You will have to pay Rs. 20,000/- from your pocket.
Dr. Good: You can claim cumulative bonus.
Lesson: Sum insured under the policy shall be progressively increased by 5% for each claim–free year of insured subject to maximum accumulation of 10 claim–free years of insurance.

Make Sure

Situation: A 14 year–old girl suffering from dysmenorrhea wanted an analgesic for her pain.
Reaction: Oh my God! Why was aspirin given!
Lesson: Make sure to remember that aspirin is contraindicated in children.

eMedinewS Humor

A blonde gets pulled over for speeding by a blonde cop. The blonde cop comes up to the window and says: "Show me your license". The blonde driver says: "It's on the back of the car."

The blonde cop says: "No, the one with your picture on it." So the blonde driver looks through her purse and finds a mirror and says: "Oh, here it is" and hands it to the cop.

The blonde cop looks at the mirror and says: "Well, if I had known you were a cop I wouldn't have pulled you over."

Twitter of the Day

Dr KK Aggarwal: Do not eat more than 5 grams of salt in a day
Dr Deepak Chopra: #God is the invisible aspect of existence that makes the visible aspect possible #FutureofGod

Ask Dr KK

Dr KK, Kindly clarify whether all tuberculosis cases are to be reported (of any organ) or only cases of pulmonary Kochs? Dr V K Goyal

For the purpose of case notification, a TB case has been defined as follows: A patient diagnosed with at least one sputum specimen positive for acid fast bacilli, or Culture-positive for Mycobacterium tuberculosis, or RNTCP endorsed Rapid Diagnostic molecular test positive for tuberculosis OR a patient diagnosed clinically as a case of tuberculosis, without microbiologic confirmation, and initiated on anti-TB drugs.

For the purpose of this notification, healthcare providers will include clinical establishments run or managed by the Government (including local authorities), private or NGO sectors and/or individual practitioners.

Inspirational Story

The Begging Bowl

The king was coming out of his palace for his morning walk when he met a beggar. He asked the beggar, "What do you want?" The beggar laughed and said, "You are asking me as though you can fulfill my desire!" The king was offended. He said, "Of course I can fulfill your desire. What is it? Just tell me." And the beggar said, "Think twice before you promise anything."

The beggar was no ordinary beggar; he was the king’s past life master. He had promised in that life, "I will come and try to wake you in your next life. This life you have missed but I will come again." But the king had forgotten completely -- who remembers past lives? So he insisted, "I will fulfill anything you ask. I am a very powerful king, what can you possibly desire that I cannot give to you?" The beggar said, "It is a very simple desire. You see this begging bowl? Can you fill it with something?" The king said, "Of course!" He called one of his viziers and told him, "Fill this man’s begging bowl with money."

The vizier went and got some money and poured it into the bowl, and it disappeared. And he poured more and more, and the moment he would pour it, it would disappear. And the begging bowl remained always empty. The whole palace gathered. By and by the rumor went throughout the whole capital, and a huge crowd gathered. The prestige of the king was at stake. He said to his viziers, "If the whole kingdom is lost, I am ready to lose it, but I cannot be defeated by this beggar." Diamonds and pearls and emeralds, his treasuries were becoming empty. The begging bowl seemed to be bottomless.

Everything that was put into it -- everything! -- Immediately disappeared, went out of existence. Finally it was the evening, and the people were standing there in utter silence. The king dropped at the feet of the beggar and admitted his defeat. He said, "Just tell me one thing. You are victorious - but before you leave, just fulfill my curiosity. What is the begging bowl made of?" The beggar laughed and said, "It is made up of the human mind. There is no secret. It is simple made up of human desire."

This understanding transforms life. Go into one desire -- what is the mechanism of it? First there is a great excitement, great thrill, adventure. You feel a great kick. Something is going to happen; you are on the verge of it. And then you have the car, you have the yacht, you have the house. You have the woman/man, and suddenly all is meaningless again. What happens? Your mind has dematerialized it. The car is standing in the drive way, but there is no excitement anymore. The excitement was only in getting it. You became so drunk with the desire that you forgot your inner nothingness. Now the desire is fulfilled, the car in the drive way. The woman/man in your bed, the money in your bank accounts - again excitement disappears. Again the emptiness is there, ready to eat you up. Again you have to create another desire to escape this yawning abyss.

That's how one moves from one desire to another desire. That's how one remains a beggar. Your whole life proves it again and again -- every desire frustrates. And when the goal is achieved, you will need another desire. The day you understand that desire as such is going to fail, and comes the turning point in your life. The other journey is inwards. Move inwards, and come back home.

Selected New Drugs Approved in the US in 2013–2014

Generic Name

Trade Name



Approval Date

Umeclidinium and vilanterol

Anoro Ellipta


Long-term maintenance treatment of airflow obstruction in patients with COPD

December 2013



Takeda Pharmaceuticals America, Lundbeck

Treatment of MDD in adults

September 2013



Bristol-Myers Squibb, AstraZeneca

Adjunct to diet and exercise to improve glycemic control in adults with DM2

January 2014




Treatment of athlete's foot, jock itch, and ringworm caused by Trichophyton rubrum and Epidermophyton floccosum in patients aged = 18 years

November 2013



Gilead Sciences

Treatment of CHC infection

December 2013

Medico Legal

Warning is not a punishment but censure, which is the mildest form of penalty

In M. Basheer Ahmad and Ors. vs R. Govindarajulu, decided on 2 December, 1981, and reported as (1982) 2 MLJ 307, the Madras High Court held as follows—
“7. The Tribunal erred in concluding that the mere warning would amount to punishment which is totally incorrect because of the number of rulings of this Court.”

In State Of M.P. And Anr. vs I.A. Qureshi, decided on 4 January, 1996, and reported as (1998) 9 SCC 261, the Supreme Court held as follows--

“6. Shri S.S. Khanduja, the learned counsel appearing for the respondent, has, however, placed reliance on the Note in the said circular which reads as follows:
"Note.--The nature of the departmental enquiry should be either to exonerate the delinquent officer on the basis of the fads of the case or to award some punishment; the departmental enquiry should never end in the form of only giving warning to the delinquent officer because this does not come within the purview of the punishment. If due to some reasons, it is necessary to give only warning to the delinquent officer then competent authority will have to give reasons as to why it is necessary to give only warning to the delinquent officer.

The contempt authority while considering the punishment of warning (which is not punishment as such) will consider the facts and circumstances under which the warning has been given to the concerned officer and will state that whether this warning comes within the definition of punishment or not and then only will either grant the promotion or refuse the promotion."

7. The submission of Shri Khanduja is that "censure" is only a recorded warning and does not constitute punishment and, therefore, the directions contained in the circular in relation to imposition of minor penalty would not apply and the Tribunal was justified in giving the directions for opening of the sealed cover and for giving effect to the recommendations of the DPC.

8. We are unable to accept the said contention of Shri Khanduja. "Censure" cannot be equated with a warning since under Rule 10 of the M.P. Civil Services (Classification, Control and Appeal) Rules, 1966, "censure" is one of the minor penalties that can be imposed on a government servant. It cannot, therefore, be said that the penalty of censure which was imposed on the respondent in the departmental proceedings was not a penalty as contemplated in the circular dated 2-5-1990. Once it is held that a minor penalty has been imposed on the respondent in the departmental proceedings, the direction given in the said circular would be applicable and the sealed cover containing recommendations of the DPC could not be opened and the recommendations of the DPC could not be given effect because the respondent has not been fully exonerated and a minor penalty has been imposed. The respondent can only be considered for promotion on prospective basis from a date after the conclusion of the departmental proceedings.” (Source Dr M C Gupta)

Rabies News (Dr A K Gupta)

Do newborn or neonates or infants require smaller volume/lesser dosage of rabies vaccine?

All modern rabies vaccines have a uniform dosage for all age groups.

Cardiology eMedinewS

  • Ambulatory blood pressure (BP) monitoring predicts long-term cardiovascular outcomes independent of office BP screening measurements and might improve screening accuracy, suggested an updated systematic review for the US Preventive Services Task Force (USPSTF) published online December 23 in the Annals of Internal Medicine.
  • Routine clinical physical activity assessment may provide health care providers with additional information about their patients' cardiometabolic risk factors for heart disease, suggests a new study from Kaiser Permanente published online in Preventing Chronic Disease.

Pediatrics eMedinewS

  • Having a depressed mother during elementary or middle school increases the likelihood that as a teen, the child will engage in risky behaviors, suggests new research published online December 22 in Pediatrics.
  • A new study reports that the nuclei of cells in children affected by the extremely rare disease progeria are poor at breaking down and disposing of defective proteins, and that an antioxidant present in broccoli appears to give the protein-clearing system a boost, potentially reducing the effects of the disease. The study is published in the journal Aging Cell.

Quote of the Day

Action makes more fortune than caution. Charlotte Whitton

Wellness Blog

Hookah as bad as smoking

An hour of puffs from a hookah packs the same carbon monoxide punch as a pack–a–day cigarette habit.

Hookahs have grown in popularity in recent years and Hookah bars have appeared in cities all over the world that allow people to smoke these water pipes.

Users inhale tobacco smoke after it bubbles through water, a process that some people think filters toxins from the tobacco.

In a study published in the Journal of the American Medical Association, Hammond and a student recruited 27 students who smoked water pipes for an hour on three different evenings in April 2006. Another five students did not smoke the hookahs but stayed in the room with those who did. The participants abstained from water pipe smoking for 84 hours before taking part in the study; the bowls of their water pipes were filled with water and 10 grams of Al Fakher mu'assal tobacco, and then heated with charcoal.

Researchers monitored carbon monoxide in the breath of the participants both before and after the experiment using a machine designed to detect if people are smokers.

The exhaled carbon monoxide in participants was an average of 42 parts per million, higher than that reported in cigarette smokers (17 parts per million). The study also found that carbon monoxide levels grew in the room where the subjects smoked hookahs and might reach environmentally unhealthy levels, as determined by the federal government, during longer sessions.

Smoking a water pipe for 45 minutes produces 36 times more tar than smoking a cigarette for five minutes.

ePress Release

Diet rich in whole grains can prevent heart attack, paralysis, obesity & diabetes

Diets rich in whole grains, fruits and vegetables can prevent heart attack, paralysis, obesity and diabetes, said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association.

Dr. Aggarwal said that there are four major types of diets. First is a healthy diet consisting of fruits, vegetables and legumes. The second is western or Swedish diet full of red meat, processed meat, poultry meat, rice, pasta, eggs, fried potatoes and fish. The third type is alcohol based with wine, liqueur, beer and snacks. The fourth type of diet is sweet taste diet consisting of sweet baked foods, candy, chocolates, jam and ice cream.

It is only a healthy diet, which is associated with reduced risk of heart attack.

A low risk behavior is characterized by high intake of whole grains, fish, vegetables, fruits and legumes, moderate alcohol consumption, along with not smoking, being physically active and being relatively thin.

Enlightening about bird flu, Dr. Aggarwal said that it is better to be a vegetarian but those who cannot, should not fear as even if one eats an infected bird or diseased chicken, he or she is not going to get an infection if it has been properly cooked.

eMedi Quiz

Bacitracin acts on:

1. Cell Wall
2. Cell Membrane.
3. Nucleic Acid.
4. Ribosome.

Yesterday’s Mind Teaser: Which of the following is not a post transcriptional modification of RNA?

1. Splicing.
2. 5' Capping.
3. 3' polyadenylation.
4. Glycosylation.

Answer for yesterday’s Mind Teaser: 4. Glycosylation.

Correct answers received from: Dr K Raju, Dr K V Sarma, Dr Jainendra Upadhyay, Dr Rakesh Sharma, Dr Avtar Krishan.

Answer for 23rd December Mind Teaser: 2. Corticosteroid.

Correct answers received from: Raju Kuppusamy, Dr Avtar Krishan.

Send your answer to email

medicolegal update

Respected Dr KK Aggarwal Sir

  • Thanking you for a very well informing write up about the limitation of concept of health in modern medicine. Certainly Ayurved or Vedas have detailed an explicit concept of health. Sushruta has mentioned very well regarding medical ethics, conduct of physician and expectation of society along with quality of hospitals.
  • In Delhi, in my opinion, instead of MHO any medical officer of nearest dispensary or an online system should be in place for reporting.
  • As regards appendicitis, since the advent of ultrasound, I have noticed that most doctors have stopped palpating or inspecting the abdomen even for small ailments .after doing ultrasound. I have to mention about hyperesthesia in Scarpa’s triangle or rebound tenderness; even in perforation and acute intestinal obstruction (where ultrasound have limited role only history and clinical examination is more important); delaying treatment increases sufferings of patient. Thanks, Dr. Gyan Prakash Aggarwal
  • An amendment was made in the Disability Act to keep thalasemic kids in disable category but upto time not presented in parliament, we request you to put pressure on Social welfare ministry to pass the said amendment, which is lying since 2012. Ravinder Dudeja

Letter to the Editor

Respected Dr KK Aggarwal Sir

  • Information about use of ferric carboxymaltose in CKD patient is very informative. Many a time it is found that the patient dies because of edema contributed by uncorrected anemia.
  • As regards private medical colleges it is seen they have poor infrastructure of education. They fleece the students, in different ways. Many of our district and civil hospitals have a much better infrastructure. Govt could have just upgraded them instead of allowing private medical colleges. It smells of some fishy nexus between owners of schools, MCI and bureaucracy.
  • Unfortunately Individual practitioners and small nursing home are fading not from metros but also from B class cities. So treatment is becoming unapproachable for a common man.

    Dr Gyan Prakash Aggarwal

eMedinewS Special

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