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FIRST NATIONAL DAILY 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 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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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
Re: Parliamentary Committee on Health Watch Videos

 
  Editorial …

13th July 2012, Friday

MCI has no power to grant recognition to medical colleges

The Medical Council of India (MCI) is not empowered to grant recognition to medical colleges and this power lies with the Central government, said Supreme Court bench headed by Justice Altamas Kabir.

The bench said "No provision is available under the Act relating to grant of recognition of a medical college/institution, as Section 10A speaks only of permission and not recognition". The bench set aside the Delhi High Court’s order, which held that permission granted by the Council to run a medical college amounts to recognition.

"We are unable to agree with the reasoning of either the learned single judge or the division bench of the high court in arriving at the finding that once permission had been granted under Section 10A of the Act, it would amount to grant of recognition and, thereafter, the medical college/institution, was free to enhance the number of seats without the permission either of the Council or the Central Government,"

For More editorials…

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Dara Singh an era ends

Dara Singh was my favorite. I last met him during one of my press conferences where he was the chief guest. He was a perfect healthy man at 82, a wrestler cum politician by profession.

We pay our homage to his untimely death, Untimely as we thought he would cross hundred years. Most wrestlers do not live long. As any one indulging in strenuous anaerobic exercises do so in lieu of shortened life span. The day one stops these exercises the body will give way.

We hoped that Dara Singh would break this rule. But it did not happen. My message to the young who are in show business and work on building their body should be careful and do so only under medical supervision.

He died of brain hemorrhage as per media reports.

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

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

7types of normal memory problems

Audio PostCard
 
    Photo Feature (From HCFI Photo Gallery)

Dr K.K. Aggarwal, president of the Heart Care Foundation of India and former wrestler Dara Singh during a press conference on heat stroke, organised by the Heart Care Foundation of India

 
Dr K K Aggarwal
 
    National News

Medical profession and Ethical conduct

The medical profession has come under scanner especially recently with the ethics of the fraternity being questioned. The MCI has a code of ethics, which is a code of conduct that guides the medical professional in his duty towards his patient as well as when dealing with others in the fraternity.

While constructive criticism goes a long way in the growth of the medical profession, negative professional criticism is deterrent to it and only serves to damage its credibility and integrity further in the community.

In this regard, I cite here a case that I am personally going through.

On 28th December, 2009, a 36-year-old male patient was brought dead to Pushpanjali Medical Centre, of which, I am the Group Chairman & Managing Director. The patient was a known case of Cardiac disease. He was declared dead by a team of doctors including an intensivist Dr. Haider.

The hospital did not suspect any foul play, but looking at his young age, the police was informed (Anand Vihar Police Station) by one Dr. Surender Pratap Singh, who was a Clinical Associate at the medical centre, a graduate from Russia and had been given a provisional registration by the MCI, and had also completed his internship. After investigating they too decided that there was no foul play, so no MLC was made. After 2-3 months, the wife of the deceased filed a complaint on account of death due to foul play to settle the family dispute.

A complaint was sent to Delhi Medical Council against the hospital and Dr SP Singh by Asstt.
Commissioner of the Police of the area. The DMC found no foul play after conducting an enquiry. So the case was closed with a warning to the Medical Superintendent and with a remark about Dr SP Singh not being registered with the DMC. The Health Dept. of Delhi Administration also constituted an enquiry committee and the matter was closed there with a warning, again to the Medical Superintendent.

There was a malicious campaign launched by one Dr. Pankaj Singhal claiming himself to be the whistle blower in both media and press against the Hospital and me as the Chairman of the Group. He was reprimanded by both police and the Hon’ble Delhi High Court and instructed not to continue his malicious campaign.

On the basis of exchange of mails between Dr. Pankaj Singhal, Dr MC Gupta and Dr KV Babu (later complaint to MCI was denied by both Dr MC Gupta and Dr KV Babu) on this incident MCI took suo moto cognizance of the incident and issued notice to me as the Chairman of the Group and accordingly the hearing has been fixed on 17th July, 2012.

In the mean time Delhi administration on the direction of the Hon’ble Court reconstituted an enquiry and again ended the matter by issuing a warning to the centre that any employee joining the Centre should be duly informed to the Health Department.

My view is that one cannot be harassed unduly for taking a position. Such persecution and vicious attempts by few professionals against some of their colleagues should be stopped. It only generates ill will and animosity and damages the reputation of one’s professional colleague.

The medical profession has been maligned enough. We should strive to rise above such petty acts and work to rebuild the image of the medical profession.

Dr. Vinay Aggarwal
Chairman
Pushpanjali Group of Health Institutions

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.

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)

Continuous disinfectant spray limits airborne pathogens

A continuous aerosol spray with a nontoxic alcohol–free disinfectant can control airborne pathogens in patient areas of hospitals and in laboratories. (Source: Medscape)

For comments and archives

ASE REWARD: Diagnoses tallied for ambitious remote–echo project in India

The team of physicians and sonographers who used handheld echo to screen patients in a remote corner of rural India––or helped read those images from locations around the globe––now have some solid numbers in hand that attest to the feasibility and potential impact of their project. Dr Partho Sengupta (Mount Sinai Medical Center, New York, NY) was one of the leaders of the ambitious ASE Global: Focus on India project in January, as reported by heartwire. Volunteer physicians and sonographers who traveled to India for the project screened more than 1000 subjects using handheld scanners, then uploaded images to a "cloud," where they were accessed and reviewed by experienced physicians in other participating countries. For healthcare workers who participated in the project, it was immediately clear that they were seeing a high burden of untreated and often undiagnosed cardiovascular diseases. Last week during the American Society of Echocardiography (ASE) 2012 Scientific Sessions, Sengupta presented hard numbers on what, precisely, that project turned up. The follow–up analysis, dubbed ASE Remote Echocardiography With Web–based Assessments for Referrals at Distance (ASE–REWARD), included diagnostic information on 1030 rural Indians screened by nine sonographers over the two–day project in January. (Source: Medscape)

For comments and archives

HPV cotesting safe for HIV+ women

A cohort of HIV–infected women had no cases of histologically confirmed high–risk cervical neoplasia during follow–up after negative cotesting for human papillomavirus (HPV) infection, investigators reported. (Source: Medpage Today)

For comments and archives

Diabetics face four times greater TB risk

A third of the world’s population, living in developing countries, carry a dormant tuberculosis (TB) bug, which remains a lifelong risk. But the risk of TB breaking out is four times as likely if a person also suffers from diabetes, says recent research out of the University of Copenhagen. As a diabetic, a person is five times as likely to die during tuberculosis treatment. The growing number of diabetics in Asia and Africa increases the likelihood that more people will succumb to and die from tuberculosis in the future. (Source: The Pioneer, 10 July 2012)

For comments and archives

 
   Twitter of the Day

@DrKKAggarwal: Dr Karan Singh on Health & Happiness – Heart Care Foundation of India & Bharatiya Vidya Bhavan……http://www.youtube.com/watch?v=DmKUtDpj7k8

@DeepakChopra: Randomness is another word for creativity

 
    Spiritual Update

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

Try to get what you like and try to like what you get

Most people get frustrated when they do not get what they desire. The frustration can manifest as anger, jealousy or irritation, which can ultimately cause much more damage to the person. The law of nature is that you get what you deserve and not what you desire.

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 is egg (oocyte) cryopreservation?

Freezing a woman’s eggs is also a new and experimental procedure. You will take medications that make you produce many eggs. This takes 2 to 3 weeks. But unlike embryo cryopreservation, the eggs are not fertilized before they are frozen. Eggs that survive the freeze-thaw process will then be fertilized in the laboratory with the partner’s or donor sperm. Embryos that develop will be placed in your uterus.

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: Corneal transplantation is not effective and successful in Indian eyes.
Fact: Corneal transplantation is effective in all eyes, if performed under optimal conditions.

For comments and archives

 
   An Inspirational Story

(Ms Ritu Sinha)

A date

After 21 years of marriage, my wife wanted me to take another woman out to dinner and a movie. She said I love you but I know this other woman loves you and would love to spend some time with you.

The other woman that my wife wanted me to visit was my MOTHER, who has been a widow for 19 years, but the demands of my work and my three children had made it possible to visit her only occasionally. That night I called to invite her to go out for dinner and a movie.

"What’s wrong, are you well," she asked? My mother is the type of woman who suspects that a late night call or a surprise invitation is a sign of bad news. "I thought that it would be pleasure with you," I responded. "Just the two of us." She thought about it for a moment, and then said, "I would like that very much."

That Friday after work, as I drove over to pick her up I was a bit nervous. When I arrived at her house, I noticed that she, too, seemed to be nervous about our date. She waited in the door with her coat on. She had curled her hair and was wearing the dress that she had worn to celebrate her last wedding anniversary. She smiled from a face that was as radiant as an angel’s. "I told my friends that I was going to go out with my son, and they were impressed, "she said, as she got into the car." They can't wait to hear about our meeting".

We went to a restaurant that, although not elegant, was very nice and cozy. My mother took my arm as if she were the First Lady. After we sat down, I had to read the menu. Large print. Half way through the entries, I lifted my eyes and saw Mom sitting there staring at me. A nostalgic smile was on her lips.

"It was I who used to have to read the menu when you were small," she said. "Then it’s time that you relax and let me return the favor," I responded. During the dinner, we had an agreeable conversation – nothing extraordinary, but catching up on recent events of each other’s life. We talked so much that we missed the movie. As we arrived at her house later, she said, "I’ll go out with you again, but only if you let me invite you." I agreed.

"How was your dinner date?" asked my wife when I got home. "Very nice. Much more so than I could have imagined," I answered. A few days later, my mother died of a massive heart attack. It happened so suddenly that I did not do anything for her. Sometime later, I received an envelope with a copy of a restaurant receipt from the same place mother and I had dined.

An attached note said: "I paid this bill in advance. I wasn’t sure that I could be there; but nevertheless, I paid for two plates – one for you and the other for your wife. You will never know what that night meant for me. I love you, son."

At that moment, I understood the importance of saying in time: "I LOVE YOU!" and to give our loved ones the time that they deserve. Nothing in life is more important than God and your family. Give them the time they deserve, because these things cannot be put off till "some other time."

For comments and archives

 
  Ask Dr KK

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

When should a foreign body be removed from the esophagus?

Any esophageal foreign body obstruction should be treated endoscopically within 24 hours. Disk batteries pose the highest risk for caustic injury and perforation. Luminal abnormalities must be excluded at the site of obstruction, usually through follow–up endoscopy.

People differ in their approach with respect to the management of a foreign body that has reached the stomach. Some will go for wait–and–watch approach for passage of even large 2–5 cm oval or 6–10 cm long and sharp objects. Most endoscopists will remove foreign–body larger than 2 cm in circular diameter and/or more than 6 cm long, as these are deemed unlikely to pass the pyloric channel and duodenal sweep, respectively. Sharp objects in the stomach carry a risk for complication if left untreated and it is advisable to remove them endoscopically.

 
   Cardiology eMedinewS

3 simple recommendations to rule out ACS Read More

When to start and stop aspirin for cancer and heart prevention Read More

 
   Pediatric eMedinewS

PG–13 movies tied to kids’ smoking Read More

Spanking, slapping kids linked to subsequent mental illness Read More

 
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    IJCP Special

Dr Good Dr Bad

Situation: A patient on HCQS developed high fever.
Dr Bad: Its classical malaria.
Dr Good: Rule out other causes.
Lesson: HCQS is hydroxychloroquine and effective against malaria.

For comments and archives

Make Sure

Situation: An alcoholic reacted to disulfiram.
Reaction: Oh my God! Why was the drug given to him?
Lesson: Make sure that the use of disulfiram is reserved for individuals, who are highly motivated to maintain abstinence, and are either treatment-adherent or take the medication in a supervised setting.

For comments and archives

 
    Legal Question of the Day

(Dr MC Gupta)

Q. What are the effects, implications and comments regarding the PC&PNDT (Amendment) Rules, 2012?

Ans.

  • The effect of the the PNDT (Amendment) Rules, 2012, notified Vide gazette notification dated 4–6–2012, is as follows:
    • Sub–rule (3) has been added to Rule 3 as follows:

      (3) "Each medical practitioner qualified under the Act to conduct ultrasonography in a genetic clinic/ultrasound clinic/imaging centre shall be permitted to be registered with a maximum of two such clinics/centres within a district. The consulting hours for such medical practitioner shall be clearly specified by each clinic/centre,"
    • Application fee as per Rule 5(a) and 5(b) has been enhanced from Rs. 3000/– and 4000/– to Rs. 25000/– and 35000/– respectively.
  • The implications are as follows:
    • An ultrasonologist under the Act shall be permitted to be registered with a maximum of two such clinics/centres within a district.
    • Though the language of the sub–rule (3) is not clear in this regard, it appears that a person shall not be permitted to be registered in more than one district.
    • The consulting hours for such medical practitioner shall be clearly specified by each clinic/centre.
    • The application fee for seeking registration under the Act has been raised eight–fold.
  • The comments/questions that arise are as follows:

    Qn 1: Is it reasonable to restrict a person to work only in two centres?

    Ans. It is not reasonable for the following reasons:
    • Because it is unconstitutional to confine a person to work in only a restricted area. He may be young and dynamic and willing to work 18 hours a day to earn enough to make both ends meet. He may like to work in four centres. His professional freedom and activities cannot be curtailed arbitrarily.
    • Because an ultrasonologist attached to a centre may be not available because of any reason and the patients in the centre might need ultrasound diagnostic services but would be deprived of the same even if another person might be available for the peculiar reason that such other person is not registered with that centre.
    • Because it is against the IMC Act, 1956, which says that an RMP can work anywhere throughout India without any restriction.

      Qn 2: Is it reasonable to restrict a person to work only in one district?

      Ans. It is not reasonable for the following reasons:
    • It is unconstitutional to confine a person to only one district. This is an attack on his freedom guaranteed by the constitution. This is particularly relevant to those living near district boundaries. For example, Delhi has nine districts. A doctor living in one district can reach any other district in 15 to 60 minutes.
    • There is nothing in the PC&PNDT Act or Rules that bars one from working in two districts. The rules made in this regard have to follow the Act itself. Rules cannot be against the Act or the Constitution.
    • Because it is against the IMC Act, 1956, which says that an RMP can work anywhere throughout India without any restriction.

      Qn 2: Is it reasonable to restrict a person to work in a place only during specified hours?

      Ans. It is not reasonable. Such restrictions might be reasonable in certain specified situations the interest of public good and safety (such as restrictions on the number of hours a minor can be employed in industry). Such restrictions are not reasonable in case of ultrasound because of the following reasons:
    • Because no safety issues are involved;
    • Because emergency situations can arise any time in a health facility or a hospital or a nursing home where an emergency ultrasound may have to be done as per good medical practice in the interest of the patient.
    • Because it will be against public good. A patient may have to get an ultrasound done in an emergency but the ultrasonologist may not be available outside specified fixed hours. It is essential that an ultrasonologist should be available on call 24 hours a day.
  • COMMENT
    • An ultrasound machine is an important diagnostic instrument for various types of ailments and emergencies. An ultrasound machine costs around Rs. 10–90 lakhs. It seems the cheaper portable machines are no longer allowed under the Act/Rules/instructions issued by PNDT authorities. A hospital, after purchasing a machine worth Rs. 50 lakh, has to now engage three radiologists in 8–hourly shifts to provide round the clock services. That would increase the staff requirement and the salary budget. Moreover, radiologists willing to work in 8-hour shifts simply may not be available. A possibility also remains that the fixed hours for a radiologist may be 8 a.m. to 4 p.m. and he may not be available during 12 to 2 p.m. and the concerned PNDT authority may as well demand an explanation from the centre as to why the radiologist was not available even though the time displayed is 8 a.m. to 4 p.m.
    • The rule could not have been made without it having been approved by the senior doctors working in the family Welfare Department of the MOH. It is a sad commentary on them as doctors that they could not think of the pitfalls mentioned above and acted no better than paid clerks at the behest of IAS secretaries and semi–educated politicians.
  • SUGGESTIONS
    • The issue of working in a place only during specified hours can be tackled in the following manner:
      • Let the centre try to get registered by submitting an application in terms of section 18(2) of the Act, specifying therein the consulting hours as follows: "The doctor will be on call duty and will be available as and when he is called".
      • If the registering authority refuses to accept this as a proper answer and rejects the application in terms of section 19(2), the applicant would be entitled to file a WP in the HC against such rejection.
      • The ground taken in the WP will be that the rule is violative of Article 19(1)(g) and places an unreasonable restriction on carrying out the profession, occupation, trade or business. My hunch is that if argued properly, the HC will decide in favour of the petitioner.
    • The issue of enhancement of the application fee can be tackled in the following manner:
      • The first step—IMA or a radiologists’ association or a nursing home owners’ association should send a legally drafted representation to the ministry of Health, GOI, against such increase.
      • The second step—If the MOH does not take action, file a WP.
      • The grounds taken in the WP will be:
        • The increase in fee has to have a rational basis. There is no rational reason for the increase from 3000–4000 to 25000–35000.
        • The fee is non–refundable in terms of Rule 5(1). The government cannot be allowed to loot the public in this manner.
        • This will lead to an increase in charges to consumers and will thus be an anti–people act.

For comments and archives

 
    Health News Bulletin

Low vitamin levels making Delhiites sick

Mail Today, Neetu Chandra

New Delhi: Are you feeling depressed and weak, experiencing lapses in memory or losing your appetite? You could be suffering from vitamin B12 deficiency. Scores of people in Delhi, owing to poor dietary habits stemming from stressful lifestyles, are suffering from vitamin B12 deficiency with women and vegetarians leading the pack, a study by GB Pant Hospital shows. The findings, along with similar findings of studies carried out by other hospitals in the past, have been submitted to the Union health ministry. "We have been receiving reports from hospitals and health associations drawing the government’s attention to vitamin B12 deficiency in a major chunk of the city’s population. This is an important issue. It has been suggested that tests to detect vitamin B12 deficiency should be included in routine check- ups," Dr Jagdish Prasad, director general of health services, said. The deficiency of vitamin B12, vital for metabolism and production of red blood cells that carries oxygen to body parts and tissues, affects all age groups. Symptoms include fatigue, numbness of hands and feet, memory loss, irritability, depression, gastrointestinal disorders and, in extreme cases, dementia. Barring the last, as the other symptoms are of a general nature and usually ignored, it becomes difficult to detect the deficiency. The study found that in the 21– 40 age– group, vitamin B12 levels were less than 200pg/ ml. It should be more than 350 pg/ ml in a healthy person. People in the 41– 60 age– group were found to have less than 350 pg/ ml vitamin B12.

 
  Quote of the Day

(Dr GM Singh)

Your imagination is your preview of life’s coming attractions. Albert Einstein

 
    Lab Update

(Dr Navin Dang and Dr Arpan Gandhi)

AFB Culture

Positive AFB cultures identify the particular mycobacterium causing symptoms, and susceptibility testing on the identified organism gives the doctor information about how resistant it may be to treatment.

  • Positive AFB smear or culture several weeks after drug treatment has started may mean that the treatment regimen is not effective and needs to be changed. It also means that the person is still likely to be infectious and can pass the mycobacteria to others through coughing or sneezing.
  • Negative AFB culture means that someone does not have an AFB infection or that mycobacteria were not present in that particular specimen (which is why multiple samples are often collected). Cultures are held for six to eight weeks before being reported as negative. If someone has TB, the infection may be in another part of the body and a different type of sample may need to be collected. A negative culture several weeks after treatment indicates that the TB infection is responding to drug treatment and that the person is no longer infectious.
 
    Mind Teaser

Read this…………………

A client receiving heparin sodium asks the nurse how the drug works. Which of the following points would the nurse include in the explanation to the client?

A. It dissolves existing thrombi.
B. It prevents conversion of factors that are needed in the formation of clots.
C. It inactivates thrombin that forms and dissolves existing thrombi.
D. It interferes with vitamin K absorption.

Yesterday’s Mind Teaser: A patient with angina pectoris is being discharged home with nitroglycerine tablets. Which of the following instructions does the nurse include in the teaching?

A. "When your chest pain begins, lie down, and place one tablet under your tongue. If the pain continues, take another tablet in 5 minutes."
B. "Place one tablet under your tongue. If the pain is not relieved in 15 minutes, go to the hospital."
C. "Continue your activity, and if the pain does not go away in 10 minutes, begin taking the nitro tablets one every 5 minutes for 15 minutes, then go lie down."
D. "Place one Nitroglycerine tablet under the tongue every five minutes for three doses. Go to the hospital if the pain is unrelieved.

Answer for yesterday’s Mind Teaser: D. "Place one Nitroglycerine tablet under the tongue every five minutes for three doses. Go to the hospital if the pain is unrelieved.

Correct answers received from: Dr PC Das, Raju Kuppusamy, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, Dr Thakor Hitendrsinh G, Dr Chandresh Jardosh, Anil Bairaria, Dr Sushma Chawla.

Answer for 11th July Mind Teaser: C. Instruct the client about the need for bed rest.
Correct answers received from: Dr Shashi Saini, Dr KV Sarma, Dr Prabha Sanghi.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

There were three ladies at the obstetrician’s office, waiting to see what their results were. When the first young woman came back to the waiting room, she was very happy.

"I’m going to have a boy!" she declared. "The doctor said that if my husband was on top, I would have a boy."

When the second young woman came back, she was very happy, too. "I’m going to have a girl! The doctor said that if I was on top, I would have a girl."

Suddenly, the third young woman burst into tears. The other two tried to console her, but all she could say was "I’m going to have a puppy!"

 
    Medicolegal Update

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

What are the effects of fasting on human health?

Body, brain and nerve tissue depend on glucose for metabolism

  • Hunger strike or food fast in the first 3 days is physiological in nature and almost always does not cause harm or pathology on body and mind because the body is still using energy from reserve glucose of body. However, the feeling of hunger/hunger pain remains.
  • By the fourth day of the fast, feelings of hunger disappear altogether and hunger pains turn to severe gastric irritation. The body’s resources are used up and the liver starts processing body fat in a process called ketosis, transformation to an alternative form of energy, to produce ketone bodies.
  • These ketone bodies (acetoactate, hydroxybutyrate and acetone) along with starvation begin to cause permanent and irreversible vital organ damage of the fasting person. The fast must be broken on the fifth day to avoid permanent damage to health.
  • After a week, the body enters a starvation mode and the body "mines" the muscles and vital organs for energy, and loss of bone marrow becomes life–threatening and cause fatality.
  • Brain and nerve tissue depend on glucose for metabolism. Even though the transformation to an alternative form of energy has occurred, some parts of the brain exclusively need glucose, and protein is still needed to produce it. If body protein loss continues, death will ensue.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Sitting over 3 hours a day may reduce life expectancy

One should not sit for more than 2 hours in a day, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

Quoting a study published in BMJ Dr Aggarwal said that sitting for three hours per day or longer may reduce an individual’s life expectancy. The study calculated that limiting the time people spend sitting to 3 hours or fewer each day would increase the life expectancy of the population by two years. Cutting down TV watching to fewer than two hours each day would bump life expectancy up by another 1.4 years.

When you are sitting, your leg muscles (the largest in the body) are completely inactive, which causes problems with how you handle your blood sugar and how you handle cholesterol.

 
    Readers Response
  1. I appreciate your Medinews. Ashishraj has written very well I had great regard for Amir Khan as an actor But he has not done justice to us. A time was when our profession was the most coveted but now it is not so thanks to CPA & its misuse by unscrupulous persons. Dr. Tara Saxena, Rewari, Haryana.
 
    Forthcoming Events
Dr K K Aggarwal


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

 
    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)

HCFI
Activities eBooks

  HCFI

  Playing Cards

  Dadi Ma ke Nuskhe

  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  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, Dr Usha K Baveja