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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 …

4th July 2011, Monday

Simple Cotton Swab Slashes Post–Surgical Wound Infections

In a sentinel trial, Cedars–Sinai Medical Center surgeon Dr Shirin Towfigh showed that painless and gentle probing of a wound with a dry cotton swab after surgery dramatically reduced infections in post–operative incision sites: only 3 percent of patients who had the daily probings contracted infections compared to 19 percent of those who didn’t –– a rate more than six times higher than that of the study group.

Surgical site infections most commonly occur when patients have "dirty" or contaminated wounds, such as after trauma, bowel surgery, or perforated appendicitis.

Wound probing allows contaminated fluid trapped within soft tissues to drain, reducing the bacterial burden while maintaining a moist environment needed for successful wound healing. Besides greatly reducing incision infections, painless probing with the cotton swab resulted in less post–operative pain for patients and significantly shorter hospital stays (five vs. seven days). Patients also had better cosmetic healing of their incisions and –– unsurprisingly –– higher satisfaction with their outcomes.

As reported in the Archives of Surgery, all study participants had undergone an appendectomy for a perforated appendicitis. Half of the 76 patients in the prospective, randomized trial had their incisions loosely closed with staples, then swabbed daily with iodine (the control group). The study group had their incisions loosely closed. Then, their wounds were probed gently between surgical staples with a dry, sterile cotton tip applicator each day.

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

Artesunate for severe malaria

For treatment of nonpregnant adults and children with severe falciparum malaria, start IV artesunate. (Lancet 2010;376:1647)

  eMedinewS Audio PostCard

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

Medical News of the Day

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

World No Tobacco Day

Mr. & Mrs. Tobacoo was a unique campaign of HCFI on World No Tobacco Day 2004. In the Photo: Former Miss India Manpreet Brar along with Dr K. K. Aggarwal, President, Heart Care Foundation of India, garlanding the photo of the deceased Mr Tobacco.

Dr K K Aggarwal
    National News

Honoraria for anganwadi workers doubled

The Cabinet Committee on Economic Affairs on Thursday approved doubling the honoraria for anganwadi workers from Rs 1,500 to Rs 3,000 per month and for anganwadi helpers and workers of mini–AWCs from Rs 750 to Rs 1,500 per month under the ICDS Scheme. This doubling of honoraria would result in additional financial burden of Rs 3479.83 crore per annum of which the Centre will contribute 90 percent or an estimated Rs 3131.85 crore. The decision will benefit 11.71 lakh AWWs, including Workers of Mini–AWCs and 10.97 lakh AWHs. It will be effective from April 1, 2011 in all States and UTs. This would also go a long way in motivating the honorary work force for delivering services in a committed way. The CCEA, chaired by PM Manmohan Singh, also asked Ministry of Women and Child development to carry out operational modifications for better implementation of ICDS. (Source: The Pioneer, June 30, 2011)

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

    International News

(Dr Monica and Brahm Vasudev)

EUROPACE: MRI safe for use with implanted devices

Performing MRIs in patients who have pacemakers or implantable cardioverter–defibrillators (ICDs) not specially designed for use in that environment appears to be safe, a single–center study showed. (Source: Medpage Today)

Some RA drugs may prevent diabetes

For people with psoriasis or rheumatoid arthritis, some of the drugs they take may also reduce the risk of type 2 diabetes, researchers reported. In a large retrospective cohort, hydroxychloroquine (Plaquenil) and tumor necrosis factor (TNF) inhibitors appeared to cut the risk of diabetes compared with a suite of other anti–rheumatic drugs, according to Daniel Solomon, MD, of Brigham and Women’s Hospital in Boston, and colleagues. On the other hand, methotrexate (sold under various brand names) showed a trend toward protection that did not reach significance, Solomon and colleagues reported in the June 22/29 issue of the Journal of the American Medical Association.(Source: Medpage Today)

Obesity fills in for smoking as major killer

Obesity is a central factor in mortality among women who have never smoked, especially those in lower social classes, researchers reported. Class differences in who smokes have been shown to increase social inequalities in all–cause mortality, according to Carole Hart, PhD, of the University of Glasgow in Glasgow, Scotland, and colleagues. But in a long–running cohort study among women who had never smoked, obesity stepped up to the plate as a cause of inequalities in mortality, Hart and colleagues reported online in BMJ. (Source: Medpage Today)

FDA Panel votes to yank Avastin’s breast cancer indication

An FDA advisory committee has voted unanimously, 6–0, that Genentech’s bevacizumab (Avastin) should no longer be approved to treat metastatic HER2–negative breast cancer. The Oncologic Drugs Advisory Committee was convened at the drugmaker’s request to appeal the FDA’s earlier decision to remove bevacizumab’s indication to treat locally recurrent or metastatic HER2–negative breast cancer. The committee endorsed that decision after voting unanimously that the drug does not work and is not safe. (Source: Medpage Today)

(Dr GM Singh)

FDA Advisors issue updated recommendations on HPV Vaccination

The Advisory Committee on Immunization Practices (ACIP) has released updated guidelines on vaccinating young people against human papillomavirus. Among the recommendations, published in MMWR:

  • A three–dose series of either the quadrivalent (Gardasil) or bivalent (Cervarix) HPV vaccine should be given to girls starting at age 11 or 12, although girls as young as age 9 may start the series.
  • Females aged 13 to 26 who have not been vaccinated or who have not finished the three doses should receive the complete series (remaining doses can be given after age 26 if necessary).
  • The quadrivalent vaccine may be given to males aged 9 through 26 to help protect against genital warts, but the ACIP does not recommend routinely doing so.
    Fitness Update

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

A supportive work environment may be the key to increasing exercise behavior

According to the American Institute for Preventive Medicine, worksite wellness programs are highly beneficial because they enhance employee productivity and morale while decreasing healthcare costs and absenteeism. Researchers at the San Diego State School of Public Health conducted a study to evaluate the effects of worksite programs and policies. They studied a group of 1,313 adults who worked outside the home. They were surveyed on the degree of physical activity promotion present in their working environment (i.e., a gym, worksite health programs, motivational emails, the availability of lockers and showers). Subjects also wore accelerometers for seven days to assess total moderate to vigorous physical activity and reported their total activity at work (or using work facilities) as well as total recreational activity via the International Physical Activity Questionnaire. Researchers found that people who had a highly supportive environment at work not only exercised more but engaged in increased levels of leisure time activity while they were away from work.

    Twitter of the Day

@DrKKAggarwal: #AJCC: Patients with AF treated to a heart rate < 80 per minute had less risk of adverse cardiovascular… http://fb.me/18AeDOMTK

@DeepakChopra: There is no salvation for those who can’t play the fool. Laughter is comfort with paradox & contradicton

    Spiritual Update

Science behind Hanuman Chalisa

In the Bhagavata Purana, the Five Siddhis of Yoga and Meditation are described as below:

  • Tri–kala–jñatvam: Knowing the past, present and future
  • Advandvam: Tolerance of heat, cold and other dualities
  • Para citta adi abhijñata: Knowing the minds of others and so on;
  • Agni arka ambu visa adinam pratist ambhah: Checking the influence of fire, sun, water, poison, and so on
  • Aparajayah: Remaining unconquered by others
    An Inspirational Story

(Dr GM Singh)

The kind and the peace contest

There once was a king who offered a prize to the artist who would paint the best picture of peace. Many artists tried and submitted their work. The king looked at all the pictures. There were only two he really liked, and he had to choose between them.

One picture was of a calm lake, perfectly mirroring the peaceful, towering mountains all around it. Overhead was blue sky with fluffy, white clouds. It was the favorite of all who saw it. Truly, they thought, it was the perfect picture of peace.

The other picture had mountains, too, but these were rugged and bare. Above was an angry sky from which rain fell and in which lightening played. Down the side of one mountain tumbled a foaming waterfall. A less peaceful picture would be difficult to imagine.

But when the king looked closely, he saw beside the waterfall a tiny bush growing in a crack in the rock. In the bush a mother bird had built her nest. There, in the midst of the rush of angry water, sat the mother bird on her nest in perfect peace. Which picture would you have selected? The king chose the second picture. Do you know why?

"Because," explained the king, "peace does not mean to be in a place where there is no noise, trouble, or hard work. Peace means to be in the midst of all these things and still be calm in your heart. This is the real meaning of peace."

Lesson: Real peace is in your heart.

    Pediatric Update

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

Vitamin A–rich diet

Vitamin A–rich foods include the following:

  • Liver
  • Beef
  • Chicken
  • Eggs
  • Whole milk
  • Fortified milk
  • Carrots
  • Mangoes
  • Orange fruits
  • Sweet potatoes
  • Spinach, kale, and other green vegetables

Eating at least 5 servings of fruits and vegetables per day is recommended in order to provide a comprehensive distribution of carotenoids.

A variety of foods, such as breakfast cereals, pastries, breads, crackers, and cereal grain bars, are often fortified with 10–15% of the RDA of vitamin A.

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    Did You Know

(Dr Uday Kakroo)

Nine out of every 10 living things live in the ocean.

    Contrary Proverbs

(Mr Vipin Sanghi)

The pen is mightier than the sword. BUT actions speak louder than words.

    Legal Question of the Day

(Dr MC Gupta, Advocate)

Q. Should private hospitals be exempted from obtaining a drug licence from the Drug Controller?


1. This question has been answered in the "Drug Licence Case" decided by a division bench of the Kerala High Court at Ernakulam on 29–11–1999 and titled as QPMPA v. State of Kerala, 29–11–99,

2. The prayer in the petition by the main petitioner "Qualified Private Medical Practitioners’ Association" along with about 30 private hospital owners was "to quash the circular of the Drugs Controller directing the petitioners who are running private hospitals, to take out a licence under Section 18 of the Drugs and Cosmetics Act, 1940".

3. The petitioners based their case mainly on the ground of discrimination. The contention advanced by the petitioners was that since hospitals run by the Government and local bodies are exempted from the purview of the Act as per clause 5–A of Schedule K of the Drugs and Cosmetics Rules, 1945, there is no justification on the part of the Drugs Controller in insisting the petitioners to take out a licence which amounts to hostile discrimination and arbitrary treatment.

The High Court observed as follows to the above:
"Pharmacies which are attached to private hospitals cannot by any stretch of imagination be said to be similar to pharmacies attached to hospitals run by Government or local bodies which are manned by qualified personnel(s) and subject to strict Governmental control. In fact, the drugs stored in hospitals run by Government and local bodies are subjected to periodical inspection by officers of Government who are also the licencing or the controlling authorities under the Act. That apart, hospitals run by Government and local bodies are functioning in authorised premises under the control of qualified registered pharmacists who are accountable to the Government for all the drugs stored and distributed by them. As already noticed, they are also under the supervision and control by the authorities under the Act. On the contrary, the addresses of premises of many private hospitals are not disclosed and they are not accountable to the Government for the drugs stored and distributed by them. Therefore, pharmacies in private hospitals cannot equate themselves with pharmacies in Government hospitals and hospitals run by local bodies in the matter of supervision and control."

4. A second argument of the petitioners was that "the State having exempted registered medical practitioners from provisions of the Act, the petitioners were being discriminated in the matter of taking out a licence."

The High Court observed as follows to the above:
"Here again, we are of opinion that the submission is untenable. A private hospital which caters to the prescriptions of several doctors storing huge quantity of drugs, cannot be equated with a registered medical practitioner who administers and supplied drugs for emergency purposes to his own patients only by storing limited quantity of such drugs or ‘physician’s sample’ for distribution. Further, under Section 18 of the Act, we are of the opinion that even a registered medical practitioner who indulges in sale of drugs across the counter, will certainly be liable to take out a licence under the Act and will not be saved by the exemption engrafted in Clause 5 of Schedule K. Therefore, we are satisfied that the impugned circular issued by the Drugs Controller directing the petitioners who are running private hospitals to take out a licence under Section 18 of the Act for sale or storage of drugs is one issued in public interest, viz., to safeguard the public from the dangers of spurious, substandard and time expired drugs."

5. The High Court further observed—"However, we make it clear that the drugs stored in emergency/casualty/duty rooms attached to private hospitals will stand exempted from the provisions of the Act relating to obtaining of licence."

6. My comments:

a. The above judgment seems to be on the correct lines. The court has interpreted the law correctly.

b. The second contention of the petitioners was almost frivolous. They are expected to be aware of Regulation 6.3 of the Indian Medical Council (Professional conduct, Etiquette and Ethics) Regulations, 2002, reproduced below:

"6.3 Running an open shop (Dispensing of Drugs and Appliances by Physicians): A physician should not run an open shop for sale of medicine for dispensing prescriptions prescribed by doctors other than himself or for sale of medical or surgical appliances. It is not unethical for a physician to prescribe or supply drugs, remedies or appliances as long as there is no exploitation of the patient. Drugs prescribed by a physician or brought from the market for a patient should explicitly state the proprietary formulae as well as generic name of the drug."

c. It has become a big business now–a–days to make money through drug trials in respect of drugs which have not been approved for this purpose. Such trials are often conducted clandestinely and the chances of this are more in private hospitals having their own pharmacies storing such unapproved drugs without any control.

    IJCP Special

Dr Good Dr Bad

Situation: A type 1 diabetic came with A1C of 7.2%.
Dr Bad: Its ok.
Dr Good: You need better control.
Lesson: Blood sugar control can minimize risks for retinopathy, nephropathy and neuropathy in both type 1 and type 2 diabetes, and cardiovascular disease in type 1 diabetes.

Make Sure

Situation: A patient developed fainting attack after sublingual nitrate.
Oh my God! Why was the systolic murmur missed on auscultation?
Lesson: Make sure that patient with left ventricular outflow tract (LVOT) obstruction are not given sublingual nitrates.

    SMS of the Day

(Ritu Sinha)

A ‘No’ uttered from the deepest conviction is better than a ‘Yes’ merely uttered to please, or worse, to avoid trouble. Mohandas Gandhi

    GP Pearls

(Dr Pawan Gupta)

Interpretation of CURB 65 score:

  • 0–1: Probably suitable for OPD treatment
  • 2: Hospital supervised treatment
  • ≥3: In hospital as severe pneumonia

(BMJ 2008;336(7658):1429–33)

    Medicolegal Update

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

Keep chemicals safely, use chemicals safely and dispose left–over chemicals and empty containers safely

  • Do keep medicines, cleaners and pesticides where children cannot see or reach them.
  • Do not keep chemicals you no longer need.
  • Do not put chemicals in containers that once contained food or drink; people may eat or drink the chemicals by mistake.
  • Do use medicines, cleaners, pesticides and other chemicals in the right way, and use the right amount neither more nor less. Read the label and follow carefully the instructions for use.
    A person who cannot read it should find someone who can. It may be dangerous to use chemicals from unlabeled containers. Ask the supplier for another container with a label.
  • Do find out whether it is better to bury or burn the chemicals you want to get rid of. Choose a place to bury or burn chemical waste where there will be as little danger as possible to the people living nearby or to the environment.
  • Do find out from environmental health officers or community leaders the local arrangements for getting rid of chemical waste. Seek professional advice about how to get rid of large amounts of unwanted chemicals.
  • Do not use empty bottles, cans or other containers that have been used for storing chemicals to store or cook food or drink. Do not give them to children to play with.
  • Do not leave left–over chemicals or empty containers where children might find them.
  • Do not throw left–over chemicals or empty containers near a river, pond or spring. Chemicals might get into the water and poison fish, or poison people or animals that drink the water or wash in it. This may also happen if chemical waste is poured into drains that empty into waterways.
    Vitamins—Open Secrets revealed

(Dr Jitendra Ingole, MD Internal Medicine)

Vitamin D important for good pregnancy outcome

Pregnant women should consume more vitamin D than experts currently recommend, according to a new study. Current guidelines for daily vitamin D intake during pregnancy range from 200-400 IU/day, the amount found in most prenatal vitamins. For decades, doctors have worried that too much vitamin D during pregnancy could cause birth defects, and under current guidelines anything over 2,000 IU/day is still considered potentially unsafe for anyone, not just pregnant women. That much vitamin D is not only safe during pregnancy, the researchers say, but doubling it may actually reduce the risk of complications.

The study looked only at women in their second trimester and beyond, and it’s not yet clear whether high doses of vitamin D are safe earlier in pregnancy, when organs are formed and the fetus is especially vulnerable to birth defects. In the study, 500 women who were at least 12 weeks pregnant took either 400, 2,000, or 4,000 IU of vitamin D per day. The women who took 4,000 IU were least likely to go into labor early, give birth prematurely, or develop infections. Taking supplements is the only practical way to consume that much vitamin D. "You can’t drink that much milk," Hollis says. "You take prenatal vitamins for other things, but the amount (of vitamin D) in a prenatal vitamin is useless." The findings are a sign that current vitamin D guidelines are far too low, says Elisa Ross, MD, a staff physician at the Cleveland Clinic Institute of Women’s Health, in Ohio. "In the olden days, we thought vitamin D could be associated with certain birth defects and may cause more calcium to build up in the women’s blood. If this study is confirmed—which I am hoping it will be—it will increase the amount of vitamin D we recommend." (Source: Journal of Bone and Mineral Research)

    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

BUN:Creatinine ratio

BUN:Creatinine ratio is usually >20:1 in prerenal and postrenal azotemia, and <12:1 in acute tubular necrosis. Other intrinsic renal disease characteristically produces a ratio between these values.

    Mind Teaser

Read this…………………

What ends in a ‘w’ but has no end?

Yesterday’s Mind Teaser: poFISHnd

Answer for Yesterday’s Mind Teaser: Big fish in a little pond

Correct answers received from: Dr. Anupam Sethi Malhotra, Dr. H.L. Kapoor, Dr. T. Samraj, Dr Muthumperumal Thirumalpillai, Dr Priyanka Sharma, Dr Jainendra Upadhyay, Dr Y. J. Vasavada, Dr Neelam Nath, Dr Rashmi Chhibber, Dr Anil Bairaria , Dr Chandresh Jardosh

Answer for 2nd July june Mind Teaser: 1. Return of left ventricle and right ventricle to normal size.
Correct answers received from: Dr Saroj, Dr Abul, Dr Srikanth, Dr Anupam, Dr Prachi

Send your answer to ijcp12@gmail.com

    Medi Finance Update

(Dr GM Singh)

If the employer does not deduct tax and employee also does not pay his due tax, who will be held responsible for tax payment?

The ultimate responsibility to pay tax rests on the person who has earned income. Thus, ultimately the employee is responsible to pay the taxes and interest for delay in such payment (if any). However, the employer will be liable for interest and penalty for failure to deduct tax.

   Laugh a While

(Dr. Prabha Sanghi)

In a Restaurant window: "Don’t stand there and be hungry; come on in and get fed up."

    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
DCI Approval Date
Clebopride (as Malate)
(1.)Tablets…0.5 mg Ph. Eur.
(2.)Syrup…0.1 mg/ml Ph. Eur.
(3.)Injection…1 mg/2ml Ph. Eur.
For the treatment of various disorders associated with altered gastrointestinal motility like non–ulcer dyspepsia (NUD) and/or chronic gastritis, gastro-esophageal reflux disease (GERD), nausea and vomiting of organic or functional origin.
    IMSA Update

International Medical Science Academy (IMSA) Update

Treatment of rheumatoid arthritis

In a 12–week study, atorvastatin (20 mg/d) significantly increased regulatory T cells (Treg) numbers and restored their suppressive function in the rheumatoid arthritis (RA) patients, and this may be relevant in the modulation of uncontrolled inflammation in this disorder.

    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Preventing electrical deaths in monsoon

Do not use 2 pin electrical appliances: they can be dangerous

In countries like India where 2–pin electrical appliances are still used, it is common to see 3–5 people dying every day due to electrocution in major cities. Most of these deaths are preventable. Like fire, electricity is a good servant but a bad master. Therefore, it has to be used properly, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

Even if an electrical death occurs an electrocuted dead body can be revived within 10 minutes by using the conventional principles of cardiopulmonary resuscitation using the Formula of 10 where within 10 minutes of cardiac death for the next 10 minutes, compress the heart of that person at a speed of 100 per minute. Obviously, first the electrical source needs to be disconnected.

Most deaths in India are due to misuse of earthing. In India, earthing can be procured either from the city source or made indigenously at home by digging a deep hole in the earth.

Follow these Dos and Don’ts about earthing to prevent electrocution deaths:

  1. Earthing is a thick wire attached to the top hole of a 3–pin electrical socket.
  2. In any electrical circuit, green wire is for earthing, black for neutral and red for live wire. Earthing lead by convention is kept green so that it can be identified easily.
  3. Normal electricity is generated when the live wire is connected to the neutral wire. Live with earth wire will also give the electrical current. There will be no current when the earth wire is connected to the neutral wire.
  4. Earthing is a safety outlet, which allows leaking electricity to be conducted away harmlessly and not through the body.
  5. Earthing needs to be checked every 6 months because it deteriorates with time and weather, particularly during the rainy season. A check can be carried out using an ordinary tester on the body of the appliance.
  6. A test lamp can also check that earthing is proper. One can light bulb with live and earth wire. If the bulb fails to light while connecting live and earth socket it means the earthing is defective.
  7. People tend to take earthing lightly and often misuse it.
  8. Live and earth wires are sometimes untied together for temporary connection, which can be dangerous to life.

Following are the general precautions, which people should take to prevent electrical hazards:

  1. Make sure that you have proper earthing connection in the house.
  2. Always remember the green wire, without it, do not use any electrical appliances especially if it is touching any water surface. Water enhances conductivity; extra precautions therefore should be taken, while handling appliances, under wet conditions.
  3. 2–pin plugs with no earthing arrangements should not be used and in fact should be banned.
  4. While using 3–pin plugs, make sure all 3 wires are connected and the pins are not defective.
  5. Do not use matchsticks to hold wires in the socket.
  6. Do not touch any wire without ensuring that power supply is switched off.
  7. Do not use the earth wire to replace the neutral wire.
  8. All joint wires should be properly insulated with proper insulated tapes and not with sellotape or Band–Aids.
  9. Before using geyser water, it should be switched off.
  10. Do not use heater plates with exposed wire for cooking purpose.
  11. Use dry rubber slipper at home.
  12. Use mini circuit breaker (MCB) and earth leak circuit breaker (ELCB) facilities at home.
  13. Metallic electrical appliance should not be kept near a water tap.
  14. Using rubber mats and rubber leggings in the desert cooler stand can insulate electrical appliance.
  15. Use only recommended resistance wires and fuses.
  16. Earthing should be checked every 6 months.
  17. Any ordinary tester can check the presence of leaking electricity.
  18. Wrap cloth around the handle of the refrigerator
  19. Read the set of instructions attached with every electrical appliance.
  20. Accidental electric deaths occur more often in India due to the use of 220 V than in the US, where 110V is used.
  21. AC current is more dangerous than DC. An AC current of more than 10 MA causes tetanic muscular contractions making it impossible for a hand grasping an energized object, to free itself.

In case of electrocution, proper resuscitation is necessary. The mains should be switched off or wires disconnected using a wooden material and cardiopulmonary resuscitation should be started immediately. In a clinically dead patient, a thump in the center of the chest from a distance of one foot may alone revive a person.

In severe electrocution, clinical deaths occur within 4–5 min., therefore time to act is limited. Do not wait for the victim to be taken to the hospital. Act there and then.

    Readers Responses
  1. Dear Dr. KK Aggarwal, Nice to hear on AIR the Formula of 80 you talked about, kindly include that in e–medinews. Medical professionals need to follow that to live a Healthy life upto 80. With Regards: Dr. Parvesh Sablok.
    Forthcoming Events

National Conference on "Insight on Medico Legal Issues"
Date: Sunday, 10th July, 2011
Venue: Auditorium, Chinmaya Mission, 89, Lodhi Road, New Delhi–110003

eMedinewS and Heart Care Foundation of India are jointly organizing the first-ever National Conference on "Insight on Medico Legal Issues" to commemorate "Doctors’ Day".
The one–day conference will provide total insight into all the medicolegal and ethical issues concerning the practicing doctors. Both medical and legal experts will interact with the delegates on important issues.
You are requested to kindly register in advance as seats are limited. There will be no registration fee. You can register by sending your request at rekhapapola@gmail.com or at 9899974439.

For Programme Details

Programme Schedule 10th July MEDICO LEGAL CONFERENCE
Time Session Chairperson Moderator Speaker Topic
8 Am–8:30 Am Ethical Issues in Medical Research   Dr KK Aggarwal
Dr Girish Tyagi
8 am–8.10 am       Ajay Agrawal Rights of a patient in medical trial
8.10–8.20 am       Dr Ranjit Roy Chaudhury Ethical Issues in a medical trial
8:20–8.30 am       Priya Hingorani Statutory permits required for conducting trials
8.30–9.10 am Medical ethics and organ donations Dr N V Kamat Dr KK Aggarwal    
8.30 am–8.40 am       Dr Anoop Gupta Ethical issues in IVF practice
8.40 am–8.50 am       Dr N K Bhatia 100% voluntary blood donation
8.50 am–9.00 am       Dr Rajesh Chawla Need for do not resuscitate laws in India
9.00 am–9.10 am       Dr Neelam Mohan Ethical issues in organ transplantation
9.10 am–9.30 am Handling cases of death Mr S K Saggar
Dr Arvind Chopra
Dr KK Aggarwal
Dr Girish Tyagi
9.10 am–9.20 am       Dr S C Tewari Spiritual considerations in a dying patient
9.20 am–9.30 am       Dr G.K. Sharma Medico legal and ethical issues in post mortem
9.30 am–9.50 am Medical Insurance Mr Vibhu Talwar
Dr H K Chopra
Dr Vinod Khetrapal
Dr KK Aggarwal    
9.30 am–9.40 am       Meenakshi Lekhi Engaging a lawyer
9.40 am–9.50 am       Maninder Acharya Understanding various court procedures
9.50 am–10.20 am How to handle medico legal cases? Dr Anil Goyal
Dr Rajiv Ahuja
Ajay Agrawal
Dr Girish Tyagi
9.50 am–10.00 am       Dr M C Gupta When to do the MLC?
10.00 am–10.10 am       Dr Sudhir Gupta Checklist of MLC case
10.10 am –10.20 am       Siddarth Luthra Medico legal record keeping
10.20–10.50 am Medical Consent Dr Vinay Aggarwal
Dr P K Dave
Dr KK Aggarwal
Dr Girish Tyagi
10.20 am–10.30 am       Indu Malhotra Types of consent
10.30 am–10.40 am       Dr Manoj Singh Ideal consent
10.40 am–10.50 am       Dr N P Singh Extended consent
10.50 am–11.20 am Fallacies in acts applicable to medical profession Dr Anup Sarya
Dr Sanjiv Malik
10.50 am–11.00 am       Dr Kaberi Banerjee MTP, PNDT Act
11.00 am–11.10 am   Dr Anupam Sibal   Dr Sandeep Guleria Organ Transplant Act
11.10 am to 12.00 noon Inauguration

Justice A K Sikri, Delhi High Court

Justice Vipin Sanghi, Delhi High Court

Dr HS Risam, Board of Director, MCI

Dr P Lal, Board of Director, MCI

Dr A K Agarwal, President DMCl
12.00 noon–1.00 PM Professional misconduct and professional ethics Dr A K Agarwal
Dr. D S Rana
Dr H S Rissam
Dr KK Aggarwal
Dr Girish Tyagi
12.00–12.10 pm       Dr Sanjiv Malik Doctor-pharma relationship
12.10 pm–12.20 pm       Dr M C Gupta Advertisement and medical practice
12.20 pm –12.30 pm       Dr Navin Dang Rights of a patient
12.30 pm–12.40 pm       Dr Ajay Gambhir Rights of a doctor
12.40 pm– 12.50 pm       Dr Ashok Seth Kickbacks, touts and commercialization in medical practice
1.00 pm to 2.00 pm When it is not a negligence? Dr Prem Kakkar
Dr S K Sama
Dr O P Kalra
Dr KK Aggarwal
Dr Girish Tyagi
  Complaints of a doctor against doctor
1.00 pm–1.10 pm       Dr Girish Tyagi What is medical negligence?
1.10 pm–1.20 pm       Dr Vijay Aggarwal Medical accidents
1.20 pm–1.30 pm       Mukul Rohatgi Professional Misconduct
1.30 pm–1.40 pm       Dr K K Aggarwal How to defend a complaint?


September 30th to October 2nd, 2011, Worldcon 2011 – XVI World Congress of Cardiology, Echocardiography & Allied Imaging Techniques at The Leela Kempinski, Gurgaon (Delhi NCR), INDIA

from Sept 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
• Provisional Scientific Program at http://worldcon2011.org/day1.html
• Provisional program for Pre Congress CME at http://worldcon2011.org/Pre_Conference_CME.html
• Abstract submission at http://worldcon2011.org/scientificprogram.html
• Important dates at http://worldcon2011.org/importantDates.html
• Congress website at http://www.worldcon2011.org
• Entertainment – Kingdom of Dreams at http://worldcon2011.org/Pre_Post_Tours.html

Key Contacts
Dr. (Col.) Satish Parashar, President Organizing Committee, + 91 9810146231
Dr. Rakesh Gupta, Secretary General, + 91 9811013246

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


Medifilmfest (1st International Health Film Festival in Delhi)

October 14–23, 2011, As part of 18th MTNL Perfect Health Mela 2011(Screening of films October 14–17, Jury Screening at Jamia Hamdarad University Auditorium October 18–19, award winning films at TalKatora Stadium October 19–23, 2011)
Organized by: Heart Care Foundation of India, World Fellowships of Religions, FACES, Bahudha Utkarsh Foundation and Dept of Health and Family Welfare Govt of NCT of Delhi.
Entries Invited: from feature films, Ad Films, Serials, Documentary Films, Cartoon Films, Animation Films, Educational films; films on Yoga, Siddha, Ayurveda, Unani, Homeopathy; Indigenous Healing, Films promoting the Bio–cultural Diversity, Medical Tourism, Visual and Medical Anthropology, Gender sensitization, awareness drive on socio–medical issues and health journalism. The films can be of variable durations (0–1 minute, upto 3 minutes, upto ten minutes, upto 45 minutes and upto an hour and beyond).
Separate entries are also invited for "factual mistakes in feature films concerning health". This can be in the form of 1–5 minutes footages.

Categories:Competitive category/ Non Competitive category/ Special screening
Sub Categories:

1. General: Documentaries, animation films, corporate films, Ad films, TV health programs/reports, health chat shows.

2. Special: Short instances of "depiction of wrong health messages" through the films.

Subjects: Health, disease, sanitation, yoga, spiritual health, environment, social issues, food, better living, Indigenous healing, medical tourism, visual & medical anthropology, gender sensitization, health journalism. Duration: 0–10 seconds; <30 minutes, 30–60 minutes, 1–3 hours. Language: English or Hindi, or sub tilled in English/Hindi. Fee: No fees from participants. Entry to the film show free. Format: Any format duly converted into DVD (compatible to the latest players/systems) Boarding, Lodging and Travel Expenses: Own, the participants may raise their own sponsorships

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


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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 Naveen Dang, Dr Pawan Gupta, Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta