emedinews
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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
 
  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 (07–08c); 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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eMedinewS Presents Audio News of the Day

Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of Doctor’s Day Celebration

 
    Nobility of Medical Profession …

Dr KK Aggarwal on Doctor Bhagwan Hai ya Shaitan Watch Video
ASAR–Aamir Khan & Dr KK Aggarwal on Satyamev Jayate Watch Video
Docs vs Aamir Khan Headlines today 9th June 2012 7.30pm Watch Video
Justice A P Shah on Medical Profession Part 1 Watch Video
Justice A P Shah on Medical Profession Part 2 Watch Videos
Nobility of Medical Profession – Panel Discussion part 1 Watch Videos
Nobility of Medical Profession – Panel Discussion part 2 Watch Videos
Nobility of Medical Profession – Panel Discussion part 3 Watch Videos
Nobility of Medical Profession – Panel Discussion part 4 Watch Videos

 
  Editorial …

11th July 2012, Wednesday

The hidden burden of high blood pressure

Hypertension generally doesn’t cause any outward signs or symptoms. Yet it silently damages blood vessels, the heart, kidneys, and other organs. It isn’t a disease. It is a sign that something is wrong in the body. In some people with hypertension, the culprit is a narrowing of the arteries supplying the kidneys (renal artery stenosis), or an overactive thyroid gland (hyperthyroidism) or adrenal glands (aldosteronism). When these are treated, blood pressure drops back to normal. More often, though, doctors find no underlying cause for high blood pressure. This condition is called essential hypertension.

High blood pressure imposes an up–front burden in people who know they have it and who are working to control it. It adds to worries about health. It alters what you eat and how active you are, since a low–sodium diet and exercise are important ways to help keep blood pressure in check. Some people need medication and may need to take one or more pills a day, which can be a costly hassle.

There are long–term consequences, too. High blood pressure contributes to the development of stroke, heart attack, heart failure, and kidney disease. In the United States, it directly accounts for about 60,000 deaths a year and contributes to another 300,000.

Then there are hidden burdens. Perhaps because of all the ways hypertension interferes with health, the average life span for people with it is five years shorter than it is for those with normal blood pressure. A team of Spanish researchers has tallied up another hidden drain of high blood pressure — its effect on survival and rehospitalization after someone is admitted to the hospital for a heart problem.

These researchers looked at the 1,007 men and women admitted to the hospital over a 10–month period for any potentially heart–related problem. These ranged from chest pain and fainting to heart attack, heart failure, atrial fibrillation, and pericarditis. In this group, 69% had been diagnosed with high blood pressure before being admitted to the hospital. Each person was followed for one year. At the end of that time, 17% of those with high blood pressure had died, compared with 9% of those with normal blood pressure. Rehospitalization for a cardiac problem followed the same pattern: 31% of those with high blood pressure, and 18% of those without (American Journal of Cardiology, published online, Aug. 24, 2011).

There is a lot a person can to do help keep it in check, and even prevent it from occurring in the first place. The National Heart, Lung, and Blood Institute; the Centers for Disease Control and Prevention; and the American Heart Association offer these recommendations:

  • Achieve and maintain a healthy weight for your height.
  • Exercise regularly.
  • Eat a diet that is rich in fruits, vegetables, and whole grains.
  • Limit sodium intake to under 2,300 milligrams a day (one teaspoon of salt), and get plenty of potassium (at least 4,700 mg per day) from fruits and vegetables.
  • Drink alcohol in moderation, if at all.
  • Reduce stress.
  • Monitor your blood pressure regularly, and work with your doctor to keep it in a healthy range.

(Source Harvard HealthBeat)

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
    eMedinewS Audio PostCard

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

Yuvi’s illness – Mediastinal Seminoma

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Seminar on Health and Happiness

Seminar on Health and Happiness was organised jointly by Heart Care Foundation of India and Bharatiya Vidya Bhavan at Bharatiya Vidya Bhavan on 5th July, 2012.

 
Dr K K Aggarwal
 
    National News

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
2. Scene/s where medical care and approach has been depicted incorrectly, or
3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to re build the image of the medical profession.

Pediatricians concerned over wheat allergy

JAIPUR: Pediatricians from Haryana, UP and Rajasthan have expressed concern over growing incidence of wheat allergy among children in the country. According to PGI Chandigarh’s senior pediatrician Dr BR Thapa, nearly 1 crore of the total population is suffering from celiac disease, which is wheat allergy. Experts from different states shared their experience on treating celiac disease and other common disorders among children at Ped Gastro Update 2012 organized in the city on Sunday. Indian Academy of Pediatrics, Jaipur and Fortis Escorts hospital organized the event which focused on jaundice in children, gastroesophageal reflux and nutritional management in persistent diarrhoea. The doctors discussed the effects of longevity (more than 14 days) of jaundice among infants as it could affect other parts of the body. Coimbatore pediatrician Dr John Mathai said it is not right to put restriction on food to a child suffering from jaundice. Home–made food should be continued as without food the child would become weak. (Source: TOI, Jul 9, 2012)

For comments and archives

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

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

X–rays predict worsening of knee arthritis

The annual rate at which middle–age women develop knee osteoarthritis (OA) is fairly low, but progression is common when x–ray changes in the joint are already present, a community–based cohort study found. (Source: Medpage Today)

For comments and archives

FDA approves genetic test for KRAS mutation in CRC patients

The US Food and Drug Administration (FDA) has approved the therascreen® KRAS RGQ PCR Kit to be sold as a companion diagnostic test for cetuximab (Erbitux). In addition, the FDA has simultaneously approved a new indication for cetuximab, to be used in combination with FOLFIRI (irinotecan, 5–fluorouracil, and leucovorin) as a first–line treatment in patients with metastatic colorectal cancer who have epidermal growth factor (EGFR)–expressing and KRAS wild–type tumors. (Source: Medscape)

For comments and archives

Older women may be at risk for pulmonary HTN

Of patients with systemic hypertension but preserved ejection fraction, those with pulmonary hypertension tended to be older and female, a retrospective study found. (Source: Medpage Today)

For comments and archives

Cranberry for UTI more than folk remedy?

Drinking cranberry juice or taking cranberry capsules or tablets was associated with a protective effect against urinary tract infection, a systematic review found. (Source: Medpage Today)

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Nobility of Medical Profession – Panel Discussion part 4
http://www.youtube.com/watch?v=Qu8FMMbR5Dw

@DeepakChopra: Is it possible that the justices saved themselves as well as the Affordable Care Act? tinyurl.com/828qosu

 
    Spiritual Update

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

Doctors are God later and human beings first

Doctors are regarded as God because their primary job is to save the life of a patient. In fact, they are the messengers of God to look after the health of the sick person. But, Doctors are God later and human beings first.

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)

4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More

The 4th Asia Pacific Vascular Interventional Course begins Read More

Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More

4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More

Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty
Read More

4th Asia pacific vascular intervention course Read More

4th Asia pacific vascular intervention course paper clippings Read More

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What do you understand by recurrent pregnancy loss?

Recurrent pregnancy loss is a disease that is distinct from infertility, defined by two or more failed pregnancies. After three or more losses, a thorough evaluation is warranted. Although approximately 25% of all recognized pregnancies result in miscarriage, less than 5% of women will experience two consecutive miscarriages, and only 1% experience three or more.

For comments and archives

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

(Dr Sanjay Chaudhary, Medical Director, Chaudhary Eye Centre, Dr Pallavi Sugandhi, Consultant Ophthalmologist, Cornea & Refractive surgeon, Chaudhary Eye Centre)

Myth: An entire eye can be transplanted.
Fact: Only the cornea is used for transplantation.

For comments and archives

 
    An Inspirational Story

(Ashish Raj)

Why it hurts to be a doctor

When a child is selected for MBBS he/she is darling of everybody, but the moment one clears MBBS the whole attitude of society changes. The society adds 20 years to the age of doctor the moment one enters the profession and one has to live and behave like a person of 40 year of age.

The doctor is only made for service to mankind and to do charity. So amount charged as professional fee is always more.

Even on slightest acquaintance doctor is not expected to charge otherwise one is labelled money minded and arrogant.

The doctor is expected to be available round the clock and treat the patient despite his/her personal problems.

All the patients should be cured otherwise doctor is negligent. Any Tom, Dick and Harry can threaten, abuse, misbehave or damage property of hospital/clinic with impunity without any fear of law as patient is always the aggrieved party.

If any investigation is advised and it comes out to be normal, instead of patient being happy it is alleged that doctor is getting unnecessary investigations done for ulterior motives. If investigation is not advised and some mishap occurs the doctor is hauled in the court of law for being negligent.

If any tragedy occurs it is highlighted in media with catchy captions to ruin the reputation of doctor without verifying the facts.

All RMPs and unregistered practitioners write doctors in front of their name. All physiotherapist, naturopaths and even lab technicians write doctors and prescribe medicines. To common people they are only doctors and their misdeeds are contributing to the bad name to this noble profession.

If a doctor prescribe drugs of local companies or cheap drugs it is alleged that one is prescribing substandard medicines for personal gains while many times cheaper substitutes are prescribed according to economic condition of patient.

Only doctors are forced to work in rural and government hospitals to get the degree. In no other profession this is mandatory. No lawyer is ever asked to work in Gram Panchayats, no engineer is asked to work in various rural projects of the government.

The government wants that doctors should not work and settle in foreign countries but there is no such demand and proposed restrictions on IIM/IIT graduates.

As per NCHRC Bill, for a doctor doing any occupation other than medicine is misconduct. Why single out us? Are we not the free citizens of India?

Clinical Establishment Act gives power to District authorities to impose fine up to Rs 5 lakh and even closure of clinic. There is no such law for any other profession.

We do not decide prices of drugs. MRP printed on generic and branded medicine is almost same. But there is substantial difference on MRP and actual cost of generic medicines and surgical items e.g. IV cannula, IV fluids, crepe bandages etc. Why is the government allowing inflated MRP printed? The fault of Govt. is projected by media as fault of doctors to increase the misconception about doctors making money unethically.

Our case!

Medical profession is recognized as a business by law. We don’t get space for clinics/hospitals as subsidized rates, rather we are charged more. We give electricity bill, house tax etc on commercial rates.

We have to deal with many govt agencies, face harassment from them as they consider that doctors are the softest target, e.g. Development authorities, Municipal authorities, Fire department, Labour department, Income tax, Pollution department, to name a few.

We invest the maximum time; 6 years to get the basic qualification. Compared with any profession, this is 2 to 3 years more; also compare the money that we get at that time with other professions.

We work under maximum mental tension as we are accountable, have emotional attachment with our patients, work for long and even odd hours, working even when we are not well. The threat of violence and litigation looms around us all the time and even harassment by Govt. agencies is routine. No doubt, why biology sections in most of schools are shutting off?

The double standards on the part of Society in general and government in particular defy all logic. On the one hand they charge us everything at maximum commercial rate, impose different type of taxes selectively and in return they want charity from us in the name of noble profession. This unilateral expectation of society really hurts. Why are only doctors expected to work selflessly? We don’t deny that there are some black sheep in medical profession but which profession is without black sheep. We are also part of a society whose moral values are going down very rapidly.

What can be done!

  1. It is only the faith of people that is the saving grace. The response of treatment depends upon faith of patient on treating doctor. Any act which weakens this faith (as recently in a TV programme) is doing irreparable harm to doctor–patient bond and causes immense disservice to society in long run. It is most unfortunate and should be avoided.
  2. Unqualified medical practitioners and physiotherapists should not be allowed to write doctor in front of their name and prescribe medicines.
  3. The government should make clear drug policy and MRP written on generic drugs/surgical items should be actual cost and not the inflated price.
  4. Media should exercise restraint in reporting mishaps (medical accidents) to increase their TRPs.
  5. We should identify black sheep amongst us and report to authorities to take necessary actions as per law. IMA should have a complaint cell to register complaints against doctors from general public and process them.
  6. IMA should start scheme like JAGO PATIENT JAGO to increase awareness in society about medical profession.
  7. Last, we should introspect ourselves; we have taken oath to alleviate pain of society and should do everything to this cause. OUR PAIN COMES LAST, but at least we expect the society to treat us with dignity.

For comments and archives

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    Cardiology eMedinewS

The hidden burden of high blood pressure Read More

Western Food Increasing Diabetes Read More

 
    Pediatric eMedinewS

Vesicoureteral reflux screening of no help in some infant candidates Read More

Kids breathe better with dog in the house Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with heart failure came for cardiac evaluation.
Dr. Bad: Go for Echo test.
Dr. Good: Go for Tissue Doppler Echo test.
Lesson: A patient with heart failure must go for Tissue Doppler Echo Test for evaluation of diastolic functions.

For comments and archives

Make Sure

Situation: A patient on ACE inhibitor developed angioneurotic edema.
Reaction: Oh my God! Why was ACE inhibitor continued?
Lesson: Make sure that patients on ACE inhibitors are advised to watch for symptoms of urticaria and stop the drug immediately in case swelling of lip, face or tongue develops (Br J Clin Pharmacol 1999;48(6):861–5).

For comments and archives

 
    Legal Question of the Day

(Dr. S. K. Roy Chaudhary)

Who signs the death certificate in anesthetic deaths? Is it the surgeon, anesthetist or both?

Actually nobody signs the death certificate. The term used is ‘Withholding of death certificate’. Death certificate will be issued by the autopsy surgeon. Police is to be informed by the surgeon in all cases of death during surgery. Actually we do not specify it as ‘anesthetic death’, we call it death during operation/anesthesia i.e. death after the patient is taken into the operation theater and before he has completely recovered from the effect of anesthesia, which is usually taken to mean about 24 hours. The exact cause of death and fixing of liability is to be decided by the judicial process taking into consideration all evidences including autopsy report.

For comments and archives

 
    Health News Bulletin

Time bomb to fight heart disease developed

Deccan Herald

New Delhi: Researchers have developed a veritable "time bomb", a nanocontainer, which can increase the effectiveness of treatments against cardiovascular disease and reduce side effects. Many people die of cardiovascular disease caused by atherosclerosis each year. Treatment options are currently available to people who suffer from the disease but no drug can target solely the diseased areas, often leading to generalised side effects. Intravenous injection of a vasodilator (a substance that dilates blood vessels), such as nitroglycerin, dilates both the diseased vessels and the rest of our arteries. Blood pressure can thus drop, which would limit the desired increased blood flow generated by vasodilatation of diseased vessels and needed for example during a heart attack. But the Nano containers developed by the researchers from UNIGE, HUG and the University of Basel have the ability to release their vasodilator content exclusively to diseased areas.

 
  Quote of the Day

(Dr GM Singh)

Worry does not empty tomorrow of its sorrow; it empties today of its strength. Corrie ten Boom

 
  Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

Creatinine clearance

This test calculates the amount of blood that is being filtered by the kidneys in 24 hours. It measures the amount of creatinine in the blood and urine to help evaluate the kidneys’ filtering ability. Since the amount of creatinine produced depends on muscle mass, some calculations also use a correction factor in order to take into account the patient’s height and weight.

Indication: When there may be a problem affecting the function of the kidneys or another disease, such as congestive heart failure.

  • Low creatinine clearance rate can occur when there is decreased blood flow to the kidneys: as may occur with congestive heart failure, obstruction within the kidney, or acute or chronic kidney failure. High creatinine in blood levels means decreased ability of the kidneys to clear creatinine and other wastes out of the blood. Then creatinine clearance will be decreased in the urine.
  • Increased creatinine clearance rate is occasionally seen during pregnancy, exercise and with diets high in meat.
  • Patients with only one functional kidney will usually have normal creatinine clearance rates as the functional kidney will increase its rate of filtration.
 
    Mind Teaser

Read this…………………

A student nurse is assigned to a client who has a diagnosis of thrombophlebitis. Which action by this team member is most appropriate?

A. Apply a heating pad to the involved site.
B. Elevate the client’s legs 90 degrees.
C. Instruct the client about the need for bed rest.
D. Provide active range–of–motion exercises to both legs at least twice every shift.

Yesterday’s Mind Teaser: A client with chronic heart failure has been placed on a diet restricted to 2000mg of sodium per day. The client demonstrates adequate knowledge if behaviors are evident such as not salting food and avoidance of which food?

A. Whole milk
B. Canned sardines
C. Plain nuts
D. Eggs

Answer for yesterday’s Mind Teaser: B. Canned sardines

Correct answers received from: Dr Sushma Chawla, Rajiv Kohli, Anupam Sethi Malhotra, Yogindra Vasavada, Dr prabha sanghi, Dr Thakor Hitendrsinh G, Dr PC Das, Dr Pankaj Agarwal, Raju Kuppusamy, Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay, Dr Prabodh Kumar Gupta, Dr Chandresh Jardosh,
Dr LC Dhoka, Dr Avtar Krishan, Dr (Maj. Gen.) Anil Bairaria.

Answer for 9th July Mind Teaser: a) A Beautiful Mind

Correct answers received from: Dr Chandresh Jardosh, Dr LC Dhoka, Dr Avtar Krishan, Dr (Maj. Gen.) Anil Bairaria.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

New Husbands Store

A store that sells new husbands has opened in New York City, where a woman may go to choose a husband.

Among the instructions at the entrance is a description of how the store operates:

You may visit this store ONLY ONCE! There are six floors and the value of the products increase as the shopper ascends the flights.

The shopper may choose any item from a particular floor, or may choose to go up to the next floor, but you cannot go back down except to exit the building!

So, a woman goes to the Husband Store to find a husband. On the first floor the sign on the door reads:

Floor 1 – These men Have Jobs. She is intrigued, but continues to the second floor, where the sign reads:

Floor 2 – These men Have Jobs and Love Kids. ‘That’s nice,’ she thinks, ‘but I want more.’ So she continues upward. The third floor sign reads:

Floor 3 – These men Have Jobs, Love Kids, and are Extremely Good Looking. ‘Wow,’ she thinks, but feels compelled to keep going.

Floor 4 – These men Have Jobs, Love Kids, are Drop–dead Good Looking and Help with Housework.

‘Oh, mercy me!’ she exclaims, ‘I can hardly stand it!’ Still, she goes to the fifth floor and the sign reads:

Floor 5 – These men Have Jobs, Love Kids, are Drop–dead Gorgeous, Help with Housework, and Have a Strong Romantic Streak.

She is so tempted to stay, but she goes to the sixth floor, where the sign reads:

Floor 6 – You are visitor 31,456,012 to this floor. There are no men on this floor. This floor exists solely as proof that women are impossible to please.

Thank you for shopping at the Husband Store.

 
  Microbial World: The Good and the Bad They Do

(Dr Usha K Baveja, Prof. and Senior Consultant Microbiology, Medanta – The Medicity, Gurgaon)

MMR vaccine and autism

There have been reports in the media linking autism to administration of the MMR vaccine. This was based on a small study (based on 12 children) and larger studies have failed to establish such a link. Among the findings in such studies reported by CDC are:

  • There is no indication that measles vaccine contributes to the development of long-term neurological damage, including educational and behavioral deficits.
  • There is no difference in the prevalence of autism among children born before the introduction of the MMR vaccine in Sweden and those born after the vaccine was introduced.
  • In a 1999 study of 498 children with autism in the UK, it was found that the age at which they were diagnosed was the same regardless of whether they received the MMR vaccine before or after 18 months of age or whether they were never vaccinated. The first signs or diagnoses of autism were not more likely to occur within time periods following MMR vaccination than during other time periods. Also, there was no sudden increase in cases of autism after the introduction of MMR vaccine in the UK. Such a jump would have been expected if MMR vaccine was causing a substantial increase in autism.

The MMR vaccine is relatively safe and should be given as per schedule to prevent infection and some of the serious outcomes of infections.

Currently, in some countries MMRV (measles, mumps, rubella and vaccinia virus vaccine) is being used, which additionally also prevents against chickenpox. The time schedule remains the same as for MMR vaccine.

 
    Medicolegal Update

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

The Bolam test

A restraint on the Bolam standard further disclosed in the decision made in November 1997, by the House of Lords, in Bolitho v City and Hackney Health Authority

  • The applicability of the Bolam test was affirmed but it was subject to the proviso that in cases involving the weighing of risks against benefits it could be demonstrated that the experts who had formulated their view had directed their minds to the question of comparative risks and benefits and had reached a defensible conclusion on the matter.
  • That is, before a practice could be described as being in accordance with the practice accepted as proper by a ‘responsible’ or ‘reasonable’ or ‘respectable’ body of professional opinion, the exponents of that opinion could demonstrate that such opinion had a logical basis.
  • If the courts were not convinced that a logical conclusion was reached by the medical profession, then the law would set the standard for them.
  • However, the principal qualification to this apparent revision of the Bolam standard was expressed by Lord Browne–Wilkinson when he said that "It would ‘very seldom’ be right for a judge to conclude that the genuine views of a competent medical expert were illogical… though he reserved the right to do so."

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Take care of your health in Monsoon

After the intense summer heat, the arrival of monsoon is a cause of much cheer, but it also brings along a whole lot diseases. Monsoon reduces the immunity of the body, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

The most common diseases in the monsoon are malaria, dengue, Chikungunya, jaundice including gastrointestinal infections like typhoid and cholera. Viral infections like cold and cough also make their presence felt.

Chikungunya patients, classically, have joint pains that are relieved by flexing the limbs. Dengue, if not adequately managed, can be fatal in 1 to 4 percent of cases but chikungunya, though not fatal, can cause chronic debilitating joint pains that may last for years. Dengue management involves fluid resuscitation and not platelet resuscitation. Mortality can be reduced if enough fluids are given. The mortality period usually starts when the fever subsides. Inappropriate use of anti fever medicines can precipitate bleeding in dengue patients.

The collected rainwater becomes a breeding ground for mosquitoes. Contamination of drinking water is common. It is important to drink clean and pure water to prevent diarrhea and gastrointestinal infections.

Walking in dirty water during rainy season may cause numerous fungal infections, especially of the feet.

Diabetic patients need to take special care of their feet. The feet should always be dry and clean. They should avoid walking in dirty water and keep their shoes, socks and raincoats dry and clean.

Asthmatic patients should take precautions to prevent dampness and growth of fungus (mold) on and around the house where live. Avoid fumigation in case of asthmatic patients.

During rains, worms from below the soil come up to the surface and contaminate the surface vegetables. In the presence of weak digestive fire this can cause gastric disturbances. It is due to this reasons that community lunches and marriages are prohibited in this season. One should eat light food. Consuming barley, rice and wheat is good. Water should be boiled before use. Adding ginger and green in daily diet is helpful. Eating warm food is the rule.

 
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  1. Dear Sir, Reading emedinews is very informative. Regards: Dr Jyoti
 
    Forthcoming Events
Dr K K Aggarwal

IYCNCON 2012

All are cordially invited for the 2nd National Conference of IYCF Chapter of IAP. This conference is organized by: IYCF Chapter, MOH&FW GOI, MOWCD GOI, WHO, UNICEF, IMLEA, SDHE Trust.
The theme of the conference is: "Proper Nutrition: Defeat Malnutrition – Investing in the Future"
Venue: India Habitat Centre, Lodhi Road, New Delhi – 110 003.
Date: 5th Aug 2012
For further details contact:
Conference Secretariat: Dr. Balraj Yadav, E–Mail: drbalraj@ymail.com, drvisheshkumar@gmail.com,
Ph: +91.124.2223836, Mobile: +91.9811108230

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
http://www.heartcarefoundation.org

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

 
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