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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
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  Editorial …

13th June 2013, Thursday

Fish Medicine for asthma

The fish cure for asthma is back in the news. The Bathini Goud family, living in Hyderabad, claim that they can cure asthma by making people swallow a 2-inch live fish filled with medicine. They claim that they have been using this treatment for over 160 years.

As per their claim the medicine is stuffed inside the mouth of a live murrel fish, 5-6 cm in size. This fish with medicine is slipped into the mouth of the asthmatic patient, which can easily be swallowed as the fish is slippery. This needs to be taken for three consecutive years.

The medicine is administered on a specific day Mrigashira Kanthi Nakshatra, which normally coincides with arrival of monsoon rains in the first or second week of June. Three doses are given to the patients after every 15 days.

The Goud family never discloses ingredients of their drug. They provide the medicine free of cost. Some people went to the Court of the Andhra Pradesh on 27.01.2013 but the court declined to interfere and pass any orders regarding the administration of substances popularly known as Fish Medicine. They reasoned that although the treatment had no medicinal value, analysis had shown the samples to not be harmful. They said that "if people flock to have a substance out of faith the courts cannot interfere".

My opinion

Asthma is classified as mild intermittent asthma, moderate persistent asthma and severe persistent asthma. The distinction between intermittent and mild persistent asthma is important because current guidelines for moderate persistent asthma call for initiation of daily control medicine. For moderate persistent asthma, the preferred long-term controller is low-dose inhaled steroid.

Mild intermittent asthma is the largest segment of asthmatic patients and they do not require long term treatment. These are the people who may never require steroid inhalers. Over a period of time, these asthmatics may show improvement. Many mild intermittent asthmatics who are allergic to a particular protein may improve over a period of time.

Homeopaths, Ayurveda physicians, naturopaths and others who claim that they can cure asthma, they work only on patients with mild intermittent asthma. If they can demonstrate their results in severe asthma, then their methods can be believed to be of use.

The very fact that anybody has claimed does not mean that it is not scientific or scientifically validated. If they can prove their claim, there is no reason why they should not get Noble Prize. We have seen a similar claim by a person who gives a medicine for jaundice in Chandni Chowk and another person in Agra who claims that the can cure any type of cancer with a herb mixed with Bakri ka doodh (goat milk).

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

Rapid flu test more accurate when positive

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Excessive use of mobile phone can be injurious to your health

A press conference was organised by Heart Care Foundation of India on the occasion of World Environment Day.

 
Dr K K Aggarwal
    National News

Rough road ahead for organ donors

MUMBAI: The Centre has been enforcing more bureaucratic hurdles and adding to the trauma of donor's family members, instead of simplifying the process for organ donation as reported by TOI. The latest draft of national guidelines for organ transplant says forensic departments of government hospitals will play a vital role in organ donation. Experts, on the other hand say that grieving relatives may have to wait longer first, for busy, overworked forensic experts from understaffed departments to turn up for the donor operation at the transplant centre and, second, for the donor's post-mortem to be completed at a different centre. The centre's plan is to introduce an all-India transplant programme, along the lines of the American one. The draft for the Transplantation of Human Organs Act, put up on the website of the Union ministry of health and family welfare for feedback, says forensic doctors need to be present during organ retrieval operations to check whether organs are suitable for retrieval. Next, the body will be taken to a government-designated centre for post-mortem.

Commenting on the new Transplantation of Human Organs Act, Dr Bharat Shah, a pioneer in deceased donor kidney transplant in India and founder of the NGO Narmada Kidney Foundation, said "There are several problems with the new plan. There are not as many forensic doctors who can be present during organ retrieval. As more peripheral centers get recognized as non-transplant organ retrieval centers, it may become difficult for limited number of forensic doctors to attend organ retrieval operation. Further, more time will be lost coordinating to get forensic doctor to the organ retrieval center. The result will be that deceased donor transplant (DDT) program which has not picked up after so many years, will further suffers. If the center wants to follow American system, it should follow in all respects. America has several non-transplant organ retrieval centers and several forensic doctors who can be present". The forensic doctors do not possess the expertise to decide whether organs are suitable for retrieval. This will be another hurdle for our already poor DDT program, added Dr Shah further. The govt. should involve those transplant doctors (both in public and private hospitals) who are active in transplant program and who understand the difficulties that patients of end stage organ failure have to go through. (Source: TOI, June 11, 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

Calcific or degenerated aortic valve disorder is the most common valvular reason in the elderly.

(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/)

Child Maltreatment

  • Physical abuse
  • Sexual abuse
  • Emotional abuse
  • Child neglect
 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Low blood sugar, dementia set vicious cycle in diabetes

In older patients with diabetes, cognitive impairment increases the risk of hypoglycemia, and hypoglycemia raises their risk of dementia, a prospective study found. (Source: Medpage Today)

Low diastolic pressure linked to brain atrophy

Shrinkage in subcortical regions of the brain was greater in patients with low baseline diastolic blood pressure in a prospective study, researchers said. (Source: Medpage Today)

Retractable needle reduces stick injuries

Using a retractable steel needle instead of a resheathable needle decreased the rate of accidental needle-stick injuries by almost half among nurses and phlebotomists at a large hospital in New York City. (Source: Medscape)

Standard postop care reduces pneumonia risk

The incidence of postoperative pneumonia and unplanned intubation decreased following implementation of a standardized postoperative care program, investigators reported. (Source: Medpage Today)

CDC releases new H7N9 testing recommendations

Only patients who meet specific exposure criteria and have respiratory illness severe enough to require hospitalization should be tested for H7N9 influenza, according to a June 7 Health Update from the Centers for Disease Control and Prevention (CDC). The update also directs practitioners to report only confirmed and probable cases of human infection with H7N9 to the CDC. (Source: Medscape)

 
    Twitter of the Day

@DrKKAggarwal: Heart disease starts in youth by Dr K K Aggarwal bit.ly/17rKYIW #Health

@DrKKAggarwal: Do you have an addictive pattern in your life? tinyurl.com/lqndlvp #TheRabbitHole

 
    Spiritual Update

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

Why do we adore Tulsi?

Yanmule sarvatirhaani
Yannagre sarvadevataa
Yanmadhye sarvavedaascha
Tulsi taam namaamyaham

I bow down to the tulsi, At whose base are all the holy places, At whose top reside all the deities and In whose middle are all the Vedas.

For Comments and archives…

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

Who are egg donors?

There are several ways of obtaining donor oocytes (eggs).

  • Anonymous donors: women who are not known to the recipient. Donors maybe recruited through established egg donation programs, or may be identified through agencies.
  • Known or directed donors: women who are known to the recipient. The donor is generally a close relative or friend. In some instances, recipients advertise directly for donors in newspapers or on the Internet. In these circumstances, the recipient couple and the donor are known to each in a limited way, having met without an intermediary program or agency.
  • IVF programs: women undergoing IVF may agree to donate their excess egg to infertile patients. This source of donors is limited, probably because of the perceived coercive nature of the donation if the women are offered a financial discount on their own IVF cycle.
 
    An Inspirational Story

Give Your Best to Relationships

A boy and a girl were playing together. The boy had a collection of marbles. The girl had some sweets with her.

The boy told the girl that he will give her all his marbles in exchange for her sweets. The girl agreed. The boy kept the biggest and the most beautiful marble aside and gave the rest to the girl. The girl gave him all her sweets as she had promised.

That night, the girl slept peacefully. But the boy couldn’t sleep as he kept wondering if the girl had hidden some sweets from him the way he had hidden his best marble.

Moral of the story: If you don’t give your hundred percent in a relationship, you’ll always keep doubting if the other person has given his/her hundred percent.

This is applicable for any relationship like love, employer-employee relationship etc. Give your hundred percent to everything you do and sleep peacefully.

For comments and archives

 
   Cardiology eMedinewS

Higher LV mass after preeclampsia predicts later hypertension
Read More

 
   Pedia News

Childhood asthma raises risk for adult sleep apnea 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)

How is rabies transmitted?

Rabies is transmitted by infected secretions. Most commonly, transmission to humans takes place through exposure to saliva following a bite by an infected animal. Rabies virus can be excreted in saliva, urine, nasal discharge and respiratory secretions.

 
    IJCP Special

Dr Good Dr Bad

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

Make Sure

Situation: A patient with dengue died.
Reaction: Oh my God, why was he not given adequate fluids?
Lesson: Make Sure that all patients with dengue are given fluids to correct intravascular dehydration.

 
  Quote of the Day (Dr GM Singh)

Try to know everything of something and something of everything. Henry Brougham

 
    Mind Teaser

Read this…………………

Which medication is the best choice to treat breakthrough pain for a patient who is currently receiving methadone, 10 mg, every 8 hours?

1. Methadone
2. Immediate release morphine
3. Sustained release morphine
4. Transdermal fentanyl

Yesterday’s Mind Teaser: Which nonpharmacologic intervention is difficult to use with older adults who are cognitively impaired?

1. Aromatherapy
2. Distraction
3. Guided imagery
4. Heat application

Answer for Yesterday’s Mind Teaser: Guided imagery

Correct answers received from: Dr K Raju, Dr PK Sahu, Tukaram Pagad,
Dr Ayyavoo ERODE, BB Gupta, Dr PC Das, Dr Raghavendra Jayesh, Dr Gajveer, Dr Bharat Bhushan Aggarwal, Dr KV Sarma, Dr Chandresh Jardosh, Dr Jainendra Upadhyay, Dr Pankaj Agarwal, Dr Thakor Hitendrsinh G, Dr Arpan Gandhi,
Dr Avtar Krishan, Muthumperumal Thirumalpillai.

Answer for 11th June Mind Teaser: “I will take my medication at breakfast.”

Correct answers received from: Dr Chandresh Jardosh, Dr Thakor Hitendrsinh G, Dr Avtar Krishan, Muthumperumal Thirumalpillai Dr Ayyavoo ERODE.

Send your answer to ijcp12@gmail.com

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

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    Laugh a While (Dr GM Singh)

A doctor worked at a mental hospital. He wanted to take some patients to a ballgame, worked months to get them to follow simple commands, and finally decided they were ready.

When the star spangled banner played he said: "Stand up nuts" and they stood. When it was over he said: "Sit down nuts" and they sat. When a player got a hit he said: "Cheer nuts" and they cheered. When the umpire made a bad call he said: "Boo nuts" and they booed. He decided it was safe to leave them with his assistant and left to get a hot dog. He came back to a near riot. He asked his assistant what in the world happened. He said: "Everything was fine 'til some vendor came be and yelled 'peanuts'."

 
  Medicolegal Update

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

What is the August 5, 2005 Supreme Court judgment on medical negligence?

Cases of doctors being subjected to criminal prosecution are on an increase. Sometimes such prosecutions are filed by private complainants and sometimes by police on an FIR being lodged and cognizance taken.

  • The investigating officer and the private complainant cannot always be supposed to have knowledge of medical science so as to determine whether the act of the accused medical professional amounts to rash or negligent act within the domain of criminal law under Section 304–A of IPC.
  • The criminal process once initiated subjects the medical professional to serious embarrassment and sometimes harassment.
  • He has to seek bail to escape arrest, which may or may not be granted to him.
  • At the end he may be exonerated by acquittal or discharge but the loss which he has suffered in his reputation cannot be compensated by any standards.
  • We may not be understood as holding that doctors can never be prosecuted for an offence of which rashness or negligence is an essential ingredient.
  • All that we are doing is emphasizing the need for care and caution in the interest of society; for, the service which the medical profession renders to human beings is probably the noblest of all, and hence there is a need for protecting doctors from frivolous or unjust prosecutions.
  • Many a complainant prefer recourse to criminal process as a tool for pressurizing the medical professional for extracting uncalled for or unjust compensation. Such malicious proceedings have to be guarded against.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Watch What You Eat

There's little hard evidence that a diet rich in tomatoes and the tomato antioxidant lycopene can ward off cancer said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India. FDA experts lay out in great detail the evidence that tomato consumption is not linked to any reduction risk of tumors of the prostate, ovary, stomach and pancreas in the Journal of the National Cancer Institute.

People who manage to reduce their waistlines may also lower their risk for diabetes and heart disease. A study published in the journal Diabetes Care has shown that men and women whose waistlines expanded by 3 inches or more over nine years were at increased risk of developing metabolic syndrome. In contrast, women who shed just an inch or more from their midsections had a lower risk of developing metabolic syndrome than women whose waistlines stayed the same. However, people can be normal weight based on BMI yet have a large waist. These individuals are at risk of metabolic syndrome.

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. Dear Sir, Your editorial is very informative. Regards:Dr Shipra
 
    Forthcoming Events

ZOONOSIS – 2013-Conference on Prevention of Diseases
Communicable from Animals to Human

Saturday, 6th July, 9.30 am – 5 pm

Venue: New Delhi

(All About Flu, Malaria, Dengue, Chikungunya, Japanese Encephalitis, Rabies, Neurocysticercosis, Leptospirosis, Food Allergies etc.)

For Free Registration:

Email: rekhapapola@gmail.com
Phone: 9899974439 (Rekha Papola), 9810301261 (Dr Uday Kakroo)

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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  Towards Well Being

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  Dil Ki Batein

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  Pesticides Safely

 
    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