emedinews
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FIRST NATIONAL eMEDICAL NEWSPAPER OF INDIA
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  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); 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

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal
  Health Videos …
eMediTube (videos), eMedipics, eMediSlide, eMediLaw
  Editorial …

6th June 2013, Thursday

Beware of sting operations

Many news channels are looking to carry out sting operations against medical doctors.

The possible areas are:

  • Giving and taking commissions
  • Manipulating insurance data before admission
  • Admitting patient when not required to avoid court dates
  • Giving false certificates

In a public school in Delhi, when I was talking to principal, he said that 10% of the students were absent on that day. The school had received 400 medical sick certificates. We know that these are fake certificates but we are ignoring the same for the time being, he further added.

Issuing a fake certificate can be punishable under Medical Council of India under professional misconduct and under IPC with both imprisonment and fine.

MCI ACT: 1.3.3 A Registered medical practitioner shall maintain a Register of Medical Certificates giving full details of certificates issued. When issuing a medical certificate he/she shall always enter the identification marks of the patient and keep a copy of the certificate. He/She shall not omit to record the signature and/or thumb mark, address and at least one identification mark of the patient on the medical certificates or report. The medical certificate shall be prepared as in Appendix 2.

Section 197 in The Indian Penal Code, 1860: Issuing or signing false certificate.-- Whoever issues or signs any certificate required by law to be given or signed, or relating to any fact of which such certificate is by law admissible in evidence, knowing or believing that such certificate is false in any material point, shall be punished in the same manner as if he gave false evidence.

Section 193 in The Indian Penal Code, 1860: Punishment for false evidence.-- Whoever intentionally gives false evidence in any of a judicial proceeding, or fabricates false evidence for the purpose of being used in any stage of a judicial proceeding, shall be punished with imprisonment of either description for a term which may extend to seven years, and shall also be liable to fine; and whoever intentionally gives or fabricates false evidence in any other case, shall be punished with imprisonment of either description for a term which may extend to three years, and shall also be liable to fine.

In one case, a doctor was trapped by the media for giving clues how to get admitted falsely without need in order to avoid a court arrest. That person came to the doctor through another three known doctors, which was totally planted. The media was interested only in trapping the doctor if he agreed to admit the patient without an indication and the procedure for such an admission and how to fabricate a story in the emergency room.

We do come across requests for certificates to avoid an arrest or postpone a court date.

In another case, a Sai Baba devotee influenced a Government hospital medical officer through their boss to get a certificate for rest issued. He has been submitting certificates in the Court for the last many years through private doctors but this time the court ordered for a certificate to be issued by Government hospital. The Sai Baba devotee influenced the doctor by his clothes and showing the bhabhuti magic to impress both the medical officer in-charge of the Hospital and the medical officer in-charge of the Internal Medicine and without informing them that he had been getting medical certificates from private doctors in the past.

Every day we get a request from the patient not to write past history of diabetes or high blood pressure. Normally insurance companies do not take actions but if you get trapped, this is an offence.

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

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

Monitoring LFT in a patient on statins

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Excessive use of mobile phone can be injurious to your health

Padma Shri & Dr. BC Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India Addressing a press conference on the occasion of World Environment Day

 
Dr K K Aggarwal
    National News

Dengue cases up in Karnataka

BANGALORE: There's an increase in the number of dengue cases in Karnataka, according to the latest statistics released by the health and family welfare department. Fresh figures suggest that although the number of people falling prey to the disease has increased, the number of fatal cases is not alarming. "The number of suspected dengue cases has gone up to 3,882, with as many as 864 new suspected cases added to the previous day's figure. Blood samples have been collected from 2,859 such patients and 512 new samples were added on Tuesday. At least 984 cases were declared positive. Only two deaths have been confirmed by the dengue death audit committee," said BN Dhanya Kumar, director of health and family welfare, government of Karnataka. The number of cases has risen due to the onset of monsoon in the state. (Source: TOI, Jun 5, 2013)

DD Programme “Take Care Holistically”, Anchoring Dr KK Aggarwal, Telecast every Wednesday 9 AM in DD National

DD Programme “Take Care Holistically”, Anchoring Dr KK Aggarwal, every Thursday 4:30 PM in DD India

    Valvular Heart Disease Update

Aortic stenosis and mitral regurgitation are the most common valvular disorder in elderly. Risk factor for calcific aortic stenosis are same as that for atherosclerosis.

(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)

    Be Human Stop Child Abuse (Team IMA for CMAAO)

(http://behumanstopchildabuse.emedinews.in/)

Physical abuse and sexual abuse

Physical abuse invariably involves injury or trauma. Sexual abuse is defined as attempted sexual touching of another person without their consent and includes sexual act (rape, sodomy – oral genital and anal genital contact) or fondling. The generally accepted definition is when one engages in sexual activity in which he/she cannot give consent, unprepared for apprehension or an activity that violates law or social taboos of society. This includes fondling and all forms of oral genital, genital or anal contact with the child whether the child is clothed or unclothed as well as in touching abuses such as exhibitionism or voyeurism or involving the child in pornography.

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Meta-analysis confirms smoking cessation therapies work

A new meta-analysis of 267 studies including more than 101,000 people confirms the efficacy of nicotine replacement therapy (NRT) as well as drugs currently licensed in the United States and Europe to treat nicotine addiction. The meta-analysis also provides data on the relative efficacy of different treatments. (Source: Medscape)

Aspirin equals heparin for VTE prophylaxis

Aspirin works as well as a low-molecular-weight heparin -- dalteparin (Fragmin) -- to prevent venous thromboembolism after total hip arthroplasty, a randomized trial showed. (Source: Medpage Today)

Four healthy lifestyle behaviors lower risk of death, slow CAC progression

Adopting a healthy lifestyle, one that includes not smoking, eating right, daily physical activity, and a healthy weight, is associated with a low incidence of calcium in the coronary arteries, as well as a slower progression of coronary artery calcium as measured over a three-year period, according to the results of a new study. (Source: Medscape)

CPAP improves blood pressure in heart patients

Continuous positive airway pressure treatment, but not nocturnal supplemental oxygen, was associated with significant reductions in blood pressure in patients with established coronary heart disease (CHD) or multiple CHD symptoms, researchers reported at the Associated Professional Sleep Societies meeting. (Source: Medpage Today)

FDA says no to nonhormonal drug for hot flashes

The US Food and Drug Administration (FDA) has declined to approve Depomed Inc's new drug application for Sefelsa, an oral, twice-daily formulation of gabapentin to treat menopausal vasomotor symptoms, the company announced June 1. (Source: Medscape)

 
    Twitter of the Day

@DrKKAggarwal: Fasting good for health by Dr K K Aggarwal http://bit.ly/17XE6E7 #Health

@DrKKAggarwal: Peace is a Lifestyle https://vine.co/v/b3geUrHWpzX

 
    Spiritual Update

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

Why do we not offer Vanaspathi Ghee at the time of cremation or worship?

Vanaspati Ghee is never offered to God at the time of Aarti in the Diya or to the dead body at the time of cremation. Only pure ghee is offered.

It is considered a bad omen to offer Vanaspati ghee at the time of the last cremation ritual even though the consciousness has left the body.

For Comments and archives…

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

How is PCOS treated?

Some patients may be concerned primarily with fertility, while others are more concerned about menstrual cycle regulation, hirsutism, or acne. PCOS should be treated because of the long–term health risks such as heart disease and endometrial cancer.

  • Weight loss: Obesity is commonly associated with PCOS. Fatty tissues produce excess estrogen, which in turn contributes to insufficient FSH secretion by the pituitary gland. Weight loss improves the hormonal condition of many PCOS patients. If you are overweight, ask your physician to recommend a weight control plan or clinic. Area hospitals and support groups are also helpful. Increasing physical activity is an important step in any weight reduction program.
  • Hormonal treatment: Hormonal treatment is frequently successful in temporarily correcting the problems associated with PCOS. If treatment is stopped, however, symptoms usually reappear. If you are not trying to conceive, birth control pills may be your best hormonal treatment. Birth control pills decrease ovarian hormone production and help reverse the effects of excessive androgen levels. However, birth control pills are not recommended if you smoke and are over age 35.
  • Ovulation induction: If fertility is your immediate goal, ovulation may be induced with clomiphene citrate. Clomiphene is simple to use, relatively inexpensive, and works well to induce ovulation in many patients. Clomiphene causes the pituitary gland to increase FSH secretion. Sometimes increasing the dosage or the length of treatment is necessary. PCOS patients who are insulin resistant may ovulate when treated with metformin, which increase the body’s sensitivity to insulin.
 
    An Inspirational Story

Don't Give the Fish, teach them to catch it

Today I visited my bank in order to deposit a cheque for a due payment to a company. The procedure was quite simple but I thought of cross checking it with the teller so as to avoid cheque bounce back. The teller being a fresh employee (I judged it from the face look and the communication approach) wasn't sure about it. She called her manager for assistance. The manager, a nice ethical young man, elaborated the details about the form filling which I understood and thanked him for. However I noticed that while the manager was explaining to me, the teller got busy in something else and didn't pay attention to her manager neither the manager asked her to listen vigilantly to understand the procedure.

Well, I completed my work in bank and ponder that the manger had taken the corrective methodology instead of preventive methodology. Hence there is a big time chance that the teller would call her manager again in future and every time the manager will have to leave his desk, come to the teller point and explain the same procedure to more customers in future which he could have avoided by teaching the procedure to the ‘right person’, the teller. This extra work would cause disturbance in his routine work and waste his precious time to complete the jobs which he has been primarily hired for!!!

This whole situation reminded me of a good quote which says, “Give a man a fish and you feed him for the day; teach a man how to catch fish and you feed him for a life time.” And this is why I said earlier, that the teller will ask her manager again (asking for the fish) because the manager didn't teach to 'catch the fish'

So my friend this is where the power of being visionary and proactiveness come into play… that is to see the future now and make the right moves … and this is where Stephen Covey suggests us ‘to begin with the end in mind’

For comments and archives

 
   Cardiology eMedinewS

Gestational diabetes may signal future risk Read More

 
   Pedia News

Sleep disorders when kids have night terrors 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)

If RIG is inadequate to infiltrate extensive wounds, what should be done?

If RIG is inadequate to infiltrate extensive wounds, the RIG should be diluted with normal saline. This is a particular issue in children, whose body weight may be small in relation to the size and number of wounds.

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient had a strong family history of cancer.
Dr. Bad: Just get regular check ups.
Dr. Good: Take low dose aspirin.
Lesson: A new observational analysis published online in the Lancet reports that long–term daily aspirin may prevent cancer deaths (Lancet 2011 Jan 1;377(9759):31–41).

Make Sure

Situation: A patient with acid peptic disease was denied any painkiller for his distressing illness.
Reaction: Oh, my God! Why did you not give him nimesulide?
Lesson: Make sure to prescribe nimesulide as it is safe in acid peptic disease.

 
  Quote of the Day (Dr GM Singh)

Laughter is the closest distance between two people. Victor Borge

 
    Mind Teaser

Read this…………………

When assessing a patient for possible side effects related to acetaminophen (Tylenol), the pain management nurse asks the patient about the use of:

1. Alcohol
2. Marijuana
3. Opioids
4. Tobacco

Yesterday’s Mind Teaser: When assessing a patient's cultural beliefs about pain, the pain management nurse asks about:

a. A family history of pain.
b. Home remedies used to treat pain.
c. The frequency of visits to health care facilities.
d. The patient's dietary preferences.

Answer for Yesterday’s Mind Teaser: (b) Home remedies used to treat pain.

Correct answers received from: Dr. B.R.Bhatnagar, Dr kanta jain, DR AYYAVOO ERODE, Dr. Bharat Bhushan Aggarwal, Dr.(Maj. Gen.) Anil Bairaria, Dr Monica Gandhi, DR ARPAN GANDHI, Dr.K.V.Sarma, Dr Jainendra Upadhyay, Yamini Alsi, Dr. Thakor Hitendrsinh G, Deepali Chatterjee, Dr.Chandresh Jardosh, Dr K P Chandra

Answer for 4th June Mind Teaser: Medicate the patient for pain.

Correct answers received from: Dr Pankaj Agarwal, Yamini Alsi

Send your answer to ijcp12@gmail.com

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

Photos of Doctor’s Day Celebration

 
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    Laugh a While (Dr GM Singh)

Law of Random Comfort Seeking

A cat will always seek, and usually take over, the most comfortable spot in any given room.

 
  Medicolegal Update

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

How is death finally certified?

Permanent and irreversible stoppage of respiration, circulation and brain function, the so called ‘Tripod of life’

  • Generally the practicing doctor diagnoses death by auscultation; but, this can be difficult in cases of excessive fat, emphysema, apex beat below the rib, poorly beating heart and shallow diaphragmatic respiration. All these conditions dampen conduction of heart sound to body wall.
  • Diagnosis of recent death is also very difficult whenever the death of the person has not been observed. When a doctor is called to certify a patient ‘as dead’ that is brought by ambulance, he must insist that the body be removed to a well lit room where he can carry out his examination.
  • Even though the condition is satisfactory, there can be error during examination. The signs of life can be detected by special methods like oscilloscope, ECG and EEG etc.
  • It can never be assumed that attempted resuscitation is pointless. On the other hand, resuscitative measures should always be continued for half an hour.
  • In cases of electric shock, asphyxia particularly drowning and drug overdose, resuscitative measures should always be done
  • There is segmentation of blood in retinal blood vessels in ophthalmoscopic examination. If still there is little doubt, the patient should be taken to intensive care unit for further investigation of heart and brain function.

(Ref: Dr. PC Dikshit Head (MAMC) MD LLB, Textbook of Forensic Medicine, Peepee Publisher)

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

26% doctors suffer from severe mobile phone-induced anxiety: Excessive use of mobile phone can be injurious to your health

While people are concerned about cancer, which still remains a controversial issue, there are other future health problems caused by use of mobile phones especially smart phones. Prolonged use of mobile phone can cause neck pain, dry eyes, computer vision syndrome, anxiety (ringxiety), phobias (nomophobia) and insomnia.

Addressing a press conference on the occasion of World Environment Day, Padma Shri & Dr. BC Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India; Dr. Narendra Saini Secretary General Indian Medical Association; Dr. Sanjay Gupta, Senior Orthopedic Surgeon at Moolchand Medcity; Dr. J Nagpal Sr. Psychiatrist and Padma Shri Awardee and Dr. A K Grover Sr Eye Specialist Ganga Ram Hospital said that in India, the hazards of radiation are much more than in the West because of active and passive mobile phone radiations and also because of combined use of other radiations such as from computers, microwaves and frequent x-ray done by doctors.

Fifty crore people in the world use mobile phones. These phones release low power radio frequency waves, which transmit radio frequency radiations from 500-800 mGH through the antenna placed near the head.

Heart Care Foundation of India conducted a survey, which included 25 nurses of one hospital, 25 office staff of one public company, 25 media desk executives of one electronic TV media house and 87 family physicians from all across Delhi. The observations were as follows:

Use of Smart phones

  • Ten percent office staff, 20% nurses and 60% media house desk executives and 31% family physicians used smart phones. Amongst family physicians, 11.5% spent < 30 minutes on their smart phone daily; 7% 30-60 minutes; 3% 60-90 minutes; 2% 90-120 minutes; 4% 120-240 minutes and 9% > 240 minutes.
  • 80 % office staff, 80% nurses, 80% media desk executives and 41% family physicians are on Face book. Amongst family physicians, 26% used it for less than 15 minutes; 7% 15-30 minutes; 9% between 30-60 minutes; 2% between 60-90 minutes and 5% more than 120 minutes. 25% family physicians connected to Face book from their phones.
  • 20 % office staff, 30% nurses, 70% media desk executives and 25% family physicians have a Twitter account. Among family physicians, only 50% used it regularly and 25% used it daily. Of the daily users, 90% used it for less than 5 minutes.
  • Only 7% family physicians blogged.
  • Thirty-six percent family physicians retrieved emails from their phone.

Smart phone addiction, a new disease

  • On an average, nurses recharged their phone battery twice in a day; media desk executives and doctors did it three times in a day.
  • Sixty-one percent doctors find someone to call as soon as they leave their office or as soon as their flight lands.
  • Seventy percent family physicians keep their cell phone with them constantly. Even at home they keep it in their pocket or right next to them.
  • 43% of them fiddle with their cell phone whenever they have downtime (even when they are not on the phone or they only have a very few minutes to kill).
  • 33% of them always feel anxious about their cell phone, especially when they are unable to use it (meeting, plane, class, church)
  • 28% of them are uncomfortable and fidgety when they are not using their cell phone.
  • 7% family physicians feel the need to talk on the phone almost all the time.
  • Sixty-three percent of family physicians sleep with their cell phone under the pillow or on a night stand right next to the bed. This number is 20-50% for nurses, office staff and media desk executives.

Nomophobia

Sixty percent of youth aged 20-30 years fear losing their mobile phone, called nomophobia; 43% of family physicians suffer from nomophobia.

Cell phone anxiety

  • 43% family physicians experienced high levels of anxiety, stress, or insecurity, whenever they were without their cell phone.
  • 50% of the mobile phone users experienced ringxiety.
  • 25% family physicians sometimes believed their phone was ringing, but when they answered it or listened longer they found that it wasn't ringing at all (phantom ringing).
  • 15% family physicians reported feeling stressed when they received their cell phone bill and then experienced shock once they actually saw the amount.
  • 22% family physicians reported being unable to resist special offers on the latest cell phone models.

Severity of anxiety

  • The mean social media addiction score (calculation based on 17 dependence questions) for doctors was 5.5. (Any score of more than 8 requires social media curfew and social media holidays along with counseling).
  • Only 6% family physicians reported feeling no anxiety at all.
  • Mild anxiety (score < 4) was present in 43% family physicians (average score 3)
  • Moderate anxiety (score 5-7) was present in 25% of family physicians (average score 6).
  • 26% family physicians had a score of > 8 indicating presence of social media addiction (average score 10).
  • The mean social media addiction score (calculation based on 17 dependence questions) was 6.3 for office staff, 9 for desk executives and 8 for nurses.

Mobile phone as a cause of conflict

  • 26% family physicians had been teased because they had their cell phone even while working out or doing some other activity.
  • 48% doctors said that their personal cell phone use had increased significantly.
  • Face book was the cause of conflict in 20 % of situations for a family conflict (second to TV).
  • 23% family physicians experienced problems at work because of their cell phone use.
  • 18% family physicians had had problems with family or friends because of the cell phone use.

Mobile phone as a cause of disturbed sleep

  • On an average, office staff spent 20 minutes, nurses 30 minutes and media house desk executives 60 minutes surfing on their smart phones on the bed.
  • 26% family physicians were disturbed by a smart phone alert in the night; 7% reported getting disturbed daily (average 3 times).
  • Only 40% doctors and 30% of nurses, hospital staff and media executives would stop using their mobile phones 30 minutes before sleep.
  • 50% mobile phone users woke up in the night because of smart phone alerts.
  • 40% people had disturbed sleep pattern because of smart phone use.

Mobile phone use while driving

Using or talking on a mobile phone while driving is more dangerous than driving under the influence of alcohol. Using mobile phone while driving reduces reaction time by 30% compared to people under the influence of alcohol and 50% compared to persons without alcohol. The reaction time under the influence of mobile phone is half a second longer. This amounts to a car traveling with a speed of 70 miles/hour to cover a distance of 46 feet before stopping.

36% doctors said that they receive emergency calls on mobile when they are driving. When they stop and answer, 20% of the calls are marketing calls enough to get frustrated and 30% of the calls are emergency calls from their patients.

Mobile phone as a cause of day time distraction

  • 32% family physicians reported being distracted by a smart phone alert during a meeting.
  • 30% of non doctors said that they got distracted in a meeting because of an SMS or email alert.

Mobile phone breaks and holidays

Only 48% family physicians took cell phone breaks while at work.

Use of mobile phone in the Operation Theatre

In a US survey of cardiopulmonary bypass technicians published in the journal Perfusion, 50% used a smart phone during surgery, 43% in a cardiac OT, 50% talked on cell phone and 50% texted on their phones. In cardiac OT, 20% perfusionists accessed emails, 15% used internet and 3% checked or posted on social networking sites during surgery.
A similar survey conducted by Heart Care Foundation of India in one of the corporate hospital in Delhi found:

  • Ninety percent of nurses and 50% of OT technicians also reported taking calls during the surgery.
  • Ten percent doctors, 20% nurses and 50% technicians would check their messages (SMS) even during surgery.
  • No doctor or nurse tweeted during the surgery, but 50% of the technicians who have a Twitter account said that they do use Twitter and tweet during the surgery.
  • None of the doctors, nurses or technicians used their emails or accessed their Face book accounts during surgery.
  • Doctors do talk and attend to their mobile phones while surgery is going on and communicate through a nurse or a junior who works as a bridge between the surgeon and the caller.

The reason given for picking up the phone was to rule out emergency calls, but the reason for use of SMS or Twitter was boredom.

Computer vision syndrome

Computer vision syndrome is a temporary condition resulting from focusing the eyes on a computer display for protracted and uninterrupted periods of time.

Some symptoms are headaches, blurred vision, neck pain, redness in the eyes, fatigue, eye strain, dry eyes, irritated eyes, double vision, vertigo/dizziness, polyopia and difficulty refocusing the eyes. These symptoms can be further aggravated by improper lighting conditions (glare or bright overhead lighting) or air moving past the eyes (overhead vents, direct air from a fan).

Computer vision syndrome affects some 90% of the people who spend three hours or more a day at a computer.

BlackBerry thumb

Overuse of the thumb to operate a mobile device may lead to BlackBerry thumb.

BlackBerry thumb is a neologism that refers to a form of repetitive strain injury caused by the frequent use of the thumbs to press buttons on PDAs, smartphones, or other mobile devices.

It is also called wiiitis, nintendinitis, playstation thumb or cellphone thumb.

Thumb lacks the dexterity that the other four fingers have. This is especially common in those who use these devices for such activities at high speeds comparable to that of touch typing.

Symptoms of BlackBerry thumb include aching and throbbing pain in the thumb or sometimes other fingers and in the wrist.

Other diseases

  • Wii Knees, Touch-Screen Finger, Text Neck, and the dreaded Smartphone Saggy Face, Phantom Vibration Syndrome.
  • Wii knees; Tenderness or soreness in the knees from excessive use of the Nintendo Wii Fit. Similar in nature to tennis elbow.
  • Saggy face (saggy jowls, double chins and "marionette lines" often develop from the angles at which people use their trendy new mobile devices. Leaning your head to hold your mobile phone in between your face and shoulder is believed to cause facial skin and muscle to lose its elasticity more quickly than normal).

HCFI and IMA suggestions to prevent and treat mobile phone addictions

  • Face book holidays: One should take a full one week face book holiday if one is suspected to have social media addiction.
  • Electronic curfew: Everybody should have 30 minutes of electronic curfew before they sleep. (Electronic curfew means not using mobile phones and other mobile devices for 30 minutes before sleep).
  • Use mobile only when mobile.
  • Limit mobile talk time to less than 2 hours a day
  • Once the battery is discharged, call it a day for mobile use.
  • Follow the formula of "20-20-20" to prevent dry eyes: Every 20 mins, focus the eyes on an object 20 feet (6 meters) away for 20 seconds or close the eyes for 20 seconds, at least every half hour.
  • To prevent computer vision syndrome, spend less than 3 hours on a computer.
  • Using other fingers to press buttons on handheld device can prevent BlackBerry thumb.

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 54572 people since 1st November 2012.

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 10x10 i.e. 100 per minute.”

 
    Readers Response
  1. Thanking You Sir, for wonderful information. Dr. Neerav Koherwal, Incharge Hospital, IVRI - Izatnagar
 
    Forthcoming Events

Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Name
Date
Time
Place
Duration
Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

 
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    Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta