emedinews
Head Office: E–219, Greater kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
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 (07–08); 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

 
  Editorial …

14th March, 2011, Monday                                eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

Rise in heart diseases

When we were students in the medical college, way back from 1975 to 1983 we hardly saw patients with acute heart attack but today when we go to our medical college, the ICU is full of patients with acute heart attack. Moreover, we see that women and younger people are increasingly getting heart attacks. Something has happened in the last three decades.

When I came to Delhi in 1983, a survey conducted at that time showed that the incidence of heart diseases in Delhi was 33 per thousand. The same has now increased to 110–140 per thousand. Heart disease has practically increased three times in the last three decades.

Besides heart diseases, other diseases like diabetes, hypertension, paralysis, obesity, abdominal obesity, depression, anxiety, certain types of cancers are also on the rise. There is a shift from cancer of cervix to the cancer of breast in women and cancer of oral cavity to cancer of lung in men in urban areas. This shift is related to the rise in heart diseases in these populations.

The level of stress, smoking and consumption of alcohol have remained much the same in the past decades. What then are the risk factors?

Among the major risk factors are lack of exercise and change in dietary lifestyle. There has been substantial shift from mustard oil to trans fats; from eating at home to eating out; from eating whole wheat flour made of bajra, jwar, ragi and wheat flour to maida (refined flour); from gur to shakkar to white sugar and from brown rice to white rice.

Today it is practically a luxury to get brown rice, bajra or jwar. The heavy consumption of refined carbohydrates in the diet combined with more consumption of animal fat and lack of exercise leads to a syndrome called metabolic syndrome which is responsible for the new epidemic in the society. Metabolic syndrome can be diagnosed by looking at the person’s tummy. Such individuals will invariably be having an abdominal circumference of more than 80 cm in women and 90 cm in men and this abdominal obesity is linked with diastolic blood pressure more than 85, HDL good cholesterol less than 40, triglycerides of more than 160 and high levels of fasting insulin, serum creatinine and uric acid in the blood.

This condition is also associated with wall thickness in the neck artery, the earliest marker of heart blockages and neck artery blockages.

Today, most of the doctors say that being an Indian is a risk factor for heart diseases. But the genetic predisposition has not changed in the pre and post British era. What has changed is that we have stopped following our traditional rituals that were engraved in our mythology.

The stopping of observing a weekly Friday fast has led to not eating gur–chana on every Friday and consequently to iron deficiency anemia in the society. Not observing the ritual of sunbath and eating sesame seeds in the months of Magh, Vaishakh and Kartik has led to the epidemic of vitamin D deficiency and osteoporosis in the society. Not observing a ritual of weekly fast and not eating cereals 75 days in a year has led to the epidemic of heart diseases in the society.

The ritual of not doing homa or yagna in house has led to breeding of malaria, dengue, chikungunya mosquitoes in our homes during the susceptible months.

The wild animals living in jungle do not get heart attack but a lion in the zoo, a rabbit in the laboratory and a dog in a house may suffer a heart attack. This is because they are made to live a lifestyle which is that of human beings. If we live in accordance with the laws of nature, we are not likely to get heart attack.

Heart attack cannot be gifted or accepted as a gift. It takes minimum 10–20 years of acting against the laws of the nature to end up getting a heart attack.

The prevention of heart attack can be understood by the Formula of 80. If we follow this, we are not likely to get heart attack till we cross the age of 80. This formula entails keeping sugar, bad LDL cholesterol, fasting sugar, lower blood pressure, heart rate, abdominal circumference all below the value of 80 and walking 80 minutes every day at a speed of 80 steps per minute, eating food not more than 80 gm or 80 ml of calorie food, to laugh 80 times in a day, doing 80 cycles of pranayama, not drinking alcohol more than 80 ml in a day of 80 gm in a week and not to smoke as it may end up with Rs. 80,000 hospital bill. One should also keep the lung function and kidney function more than 80%.

Remember if a person can walk for 2 km or climb two flights of stairs without breathlessness, he is practically fit from cardiac point of view and the chances of heart attack are less in the next five years.

To prevent heart attack, one not only needs to follow the Formula of 80 but it is also important to get an annual medical checkup done with focus on lipid profile, blood pressure, fasting sugar, serum creatinine, neck artery wall thickness, treadmill test etc.

Dr KK Aggarwal
Editor in Chief
drkkaggarwal Dr K K Aggarwal on Twitter
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  eMedinewS Audio PostCard

 Treating Diabetes Post 2010

Dr Ambrish Mithal speaks on
Which drug would you choose? (contd)

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Medifinance Conference on Portfolio Management for Doctors and update on Budget 2011
 

A day long Medifinance Conference was organized by by eMedinewS in association with Heart Care Foundation of India at TB Association, Lodhi Road on 13th March 2011. In the inaugural function  Dr NV Kamat, Director Health Services; Chief Guest of the function Dr Acharya Sadhvi Sadha Ji Maharaj; Sh BNS Ratnakar GM (North India), Central Bank of India; Mr. Subhash Lakhotia, Tax Guru; Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal..

 
Dr K K Aggarwal
 
    National News

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

Invest more in female health workers: NGO

NEW DELHI: Save the Children, an NGO has called for greater investment in female health workers as essential to saving mothers’ and children's lives. "Every year, close to two million children die before their fifth birthday, and around 67,000 women die annually from complications related to pregnancy and childbirth — but investment in women as community health workers can play a major role in dramatically reducing these figures," said a statement issued by the organisation here to mark International Women’s Day. It is estimated that globally, 74 per cent of mothers’ lives could be saved if they had access to a skilled health worker at delivery and emergency obstetrics care for complications, and 63 per cent of children under the age of five could be saved if all children were to receive a full package of essential healthcare, which includes skilled birth attendance, immunisation, and treatment for pneumonia, diarrhoea and malaria. "Women community health workers can be the heroes of their communities. A community health worker can take her knowledge, vital medicines and care where they are needed most — her own village. She is able to support her friends and neighbours even in hard–to–reach rural areas. What’s more, she becomes an empowered woman within her community, becoming a wiser advocate for health," said Shireen Vakil Miller, Director of Advocacy, Save the Children. (Source: The Hindu,Mar 09, 2011)

 
    International News

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

Fighting colds by swimming

Regularly visiting swimming pools has been proven to reduce the number and intensity of colds, in news that is likely to spur on Swimfit users this winter. Experts from North Carolina conducted tests on 1,002 adults aged between 18 and 85 years old over 12 weeks. They discovered that the ones who went swimming at least five times a week experienced cold–like symptoms almost half as much as those who exercised no more than once a week. Furthermore, it was revealed that the severity of these colds was on average 31 per cent lower for the most physically active people. The researchers suggested that colds were being warded off by a temporary rise in the body’s immune system, which occurred every time the participants exercised. Ian Freeman is an exercise scientist for the ASA, which is the governing body for swimming in England. "Your immune system actually dips during exercise but then raises to a higher level over time," he explained. "Exercise like swimming is fantastic for reducing stress which helps maintain a healthy body."

(Dr Monica and Brahm Vasudev)

Kidney disease can lead to heart disease, and vice versa

In Nov. 2010, the Frequent Hemodialysis Network Daily Trial (NCT00264758) found that increasing hemodialysis to six times week from the standard three times improved heart health. Learn more at http://www.nih.gov/news/health/nov2010/niddk–20.htm. The Chronic Renal Insufficiency Cohort study (NCT00304148) is following nearly 4,000 adults to identify factors associated with rapid progression of kidney disease and the development or worsening of heart disease. The Chronic Kidney Disease Biomarker Discovery and Validation Consortium is developing blood and urine tests to better predict patients who will have rapid progression of kidney disease or worsening of heart disease.

Things you can do to protect your kidneys and help family and friends protect theirs

  • If you have diabetes, high blood pressure, or a family history of kidney failure, get your blood and urine checked for kidney disease.
  • At your next family gathering, talk to loved ones with diabetes and high blood pressure about getting tested for kidney disease.
  • Learn how to keep your kidneys healthy.
  • Educate your faith–based community about the kidney connection.
  • Use spices, herbs and sodium–free seasonings in place of salt.
  • For those recently diagnosed with kidney disease, find out about the basics of kidney disease and what it means for you.
  • Learn about the different treatment options for kidney failure.
  • Health care professionals: Learn more about two key markers for chronic kidney disease: urine albumin and estimated glomerular filtration rate.
  • Become an organ donor.
  • "Like" the NKDEP, Make the Kidney Connection Facebook page.
 
    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.

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)

 
    IJCP Special

An Inspirational Story
(Contributed by Dr Anupam Sethi Malhotra)

The Empty Soap Box

One of the most memorable case studies on Japanese management was the case of the empty soap box, which happened in one of Japan’s biggest cosmetics companies. The company received a complaint that a consumer had bought a soap box that was empty.

Immediately the authorities isolated the problem to the assembly line, which transported all the packaged boxes of soap to the delivery department. For some reason, one soap box went through the assembly line empty. Management asked its engineers to solve the problem. Post–haste, the engineers worked hard to devise an X–ray machine with high- resolution monitors manned by two people to watch all the soap boxes that passed through the line to make sure they were not empty.

No doubt, they worked hard and they worked fast but they spent whoopee amount to do so. But when a workman was posed with the same problem, he did not get into complications of X–rays, etc but instead came out with another solution. He bought a strong industrial electric fan and pointed it at the assembly line. He switched the fan on, and as each soap box passed the fan, it simply blew the empty boxes out of the line.

Moral of the story: Always look for simple solutions. Devise the simplest possible solution that solves the problem. So, learn to focus on solutions not on problems. If you look at what you do not have in life, you don't have anything; if you look at what you have in life, you have everything.

 
    Infertility Update

(Dr. Kaberi Banerjee, Director Precious Baby Foundation, banerjee.kaberi@gmail.com)

What are the ethical issues associated with infertility and its treatment?

  • High–cost treatments are out of financial reach for some couples.
  • Debate over whether health insurance companies should be forced to cover infertility treatment.
  • Allocation of medical resources that could be used elsewhere
  • The legal status of embryos fertilized in vitro and not transferred in vivo.
  • Pro–life opposition to the destruction of embryos not transferred in vivo.
  • IVF and other fertility treatments have resulted in an increase in multiple births, provoking ethical analysis because of the link between multiple pregnancies, premature birth, and a host of health problems.
  • Religious leaders’ opinions on fertility treatments.
  • Infertility caused by DNA defects on the Y chromosome is passed on from father to son. If natural selection is the primary error correction mechanism that prevents random mutations on the Y chromosome, then fertility treatments for men with abnormal sperm (in particular ICSI) only defer the underlying problem to the next male generation.
 
    Gastro Update

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

What is the role of corn starch in diet for GSD ?

In GSD as gluconeogenesis or/and glycogenolysis are affected, it causes periods of hypoglycemia very frequently if glucose intake is interrupted even for short durations. Corn starch provides for sustained glucose release making it an ideal canditate for diet in GSD. The sustained glucose levels after intake of corn are because of its structure and glycemic index. Thus avoiding the hypoglycemia in between the meals in the GSD patients.

 
    Medicolegal Update

(Dr Sudhir Gupta, Asso Professor, Forensic Medicine & Toxicology, AIIMS)

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."
 
    Legal Question of the Day

(Dr MC Gupta, Advocate)

Q. What are the important guidelines for medicolegal work in hospitals? Can the MLC examination and report preparation be done without the person’s consent? What is the time frame in which the MLC report should be completed? What about an interim MLC report?

Ans.

A. The important guidelines as given in the "Hospital Manual" published in 2002     by the Directorate General of Health Services, MOHFW, GOI, in Appendix V      titled "The guidelines for medico–legal work—Pages 192–193" are given     below along with their serial no. given therein:

1. All the cases coming to the casualty shall be entered in the concerned     casualty register.
2. Cases of suspected accident, poisoning, burns, comatosed or brought dead     persons should invariably be made a medico–legal case. In a case where    the condition is not serious and the CMO does not suspect any foul play the    fact should be recorded in the casualty register with reasons under   (patient’s) signature. However, detailed findings and treatment administered   should always be recorded in the casualty register.
3. All MLC cases should be entertained after they are either registered with     the police post of the hospital or after the police is informed.
4. All medicolegal papers must be stamped MLC.
5. In emergency, first aid treatment should promptly be given before     documentation or other medico–legal formalities.
9. Two copies of the MLC report shall be prepared (three in cases of      suspected poisoning). Original copy will be handed over to the concerned      police officer and duplicate will be kept in safe custody.
10. CMO who examines the case first is responsible for completion and handing      over the MLC report within 48 hours to the police. Preliminary or interim      report should not be given to anyone.
11. The columns in the MLC form must be properly filled in and mention must       be made about proper identification marks, consent, brief history, general       physical examination, specific comments like nature and age of injuries,      type of weapon used or nature of poisoning suspected, investigations      advised and material preserved and handed over to the police.
18. Before discharge of MLC cases the police must be informed about the       same.
20. In case of death of an admitted MLC case, police is to be informed and the      body handed over to them.
B. Whether the MLC examination and report preparation be done without the     person’s consent is a matter to be examined as per the following legal and     general principles:
a. When a physician approaches a person in the course of his medical duty,     the approach basically remains the same whether he is a medico–legal or     non–medico–legal case. The medical priciples or the code of professional     ethics does not vary depending upon the legal status. The only difference     is that documentation has to be as per strict standards in a legal case.
b. In accordance with the above, a doctor cannot forcibly examine or treat a     patient whether he be a medico-legal case or not. The only exception is     when a physician does so under orders of the court or under provisions of     law.
c. If a person refuses to get medically examined in connection with a crime,     this fact should be noted in the MLC and that part of the MLC should be     completed which is permissible without consent. Let us not forget that a     good part of such examination can be done by inspection alone which     should be possible without applying force. It is for the court to draw any     adverse inference as per law in the event of such refusa.
d. In case of a person who has been arrested by the police, sections 53 and     54 the Criminal Procedure Code, reproduced below, apply:

53. Examination of accused by medical practitioner at the request of police        officer.

(1) When a person is arrested on a charge of committing an offence of such a      nature and alleged to have been committed under such circumstances that      there are reasonable grounds for believing that an examination of his      person will afford evidence its to the commission of an offence, it shall be      lawful for a registered medical practitioner, acting, at the request of a      police officer not below the rank of sub–inspector, and for– any person      acting in good faith in his aid and –under his direction, to make such all      examination of the person arrested as is reasonable necessary in order to      ascertain the facts which may afford such evidence, and to use such      force as is reasonably necessary for that purpose.

(2) Whenever the pet-son of a female is to be examined under this section,      the examination shall be made only by, or under the supervision of, a      female registered medical practitioner.

Explanation. In this section and in section 54, "registered medical practitioner means a medical practitioner who possesses any recognized medical qualification as defined in clause (l) of section 2 of the Indian Medical Council Act, 1956 (102 of 1956), and whose name has been entered in a State Medical Register.

54. Examination of arrested person by medical practitioner at the request of the arrested person.
"When a person who is arrested, whether on a charge or otherwise, alleges, at the time when he is produced before a Magistrate or at any time during, the period of his detention in custody that the examination of his body will afford evidence which will disprove the commission by him of any offence or which Magistrate shall, if requested by the arrested person so to do direct the examination of' the body of Such person by a registered medical practitioner unless the Magistrate considers that the request is made for the purpose of vexation or delay or for defeating the ends of Justice."

C. As mentioned above, the MLC report should be completed and given to the police within 48 hours. Preliminary or interim report should not be given to anyone.

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  Docconnect Dr Veena Aggarwal
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    Obesity Update

Dr. Parveen Bhatia and Dr. Pulkit Nandwani

What are the main causes of obesity in adult women?

Several factors contribute to the likelihood of obesity in adult women. The main causes are:

  • Hormonal effects: Hormonal imbalances contribute significantly to fluid retention rates. The hormone estrogen helps to determine body fat distribution. Scientific studies indicate that younger women who have higher estrogen levels tend to carry excess weight around the bottom, hips and thighs. Unfortunately, abdominal fat is a higher risk factor for certain serious health issues. Insulin, the hormone closely related to blood glucose, directly impacts fat retention, since it encourages fat storage and inhibits the hormones that are used for fat metabolism.
  • Unhealthy eating habits: The most remarkable and noticeable cause is eating unhealthy food. The lifestyle and the intake of fast food have led many women gain immense weight. Usually, men and women earn in most of the families and hence there is shortage of time for women. Eating out often also leads to weight gain and eventually results in obesity as well.
  • Genetic factors: There are some genetical factors that also work behind making people obese.
  • Slow metabolism: Women have slower metabolism and hence weight reduction is slow in women as compared to men.
  • Lack of physical activities: Unless there is regular physical activity involved, calories will not burn. This results in weight gain and if the situation continues, men and women become obese.
  • Side effects of medicines: Certain medications result in weight gain like some BP and diabetes medications.
  • Psychological aspects: Some women are depressive in nature and hence eat casually and more often which results in obesity.
  • Lack of sleep
 
    Lighter Side of Reading

Mind Teaser

Read this…………………

GR 12" AVE

Yesterday’s Mind Teaser: Why was Dr Who’s ‘Tardis’ so called?
Answer for yesterday’s Mind Teaser: It’s an acronym – Time And Relative Dimensions In Space.

Correct answers received from: Dr Prachi, Dr Anupam, Dr Shweta, Dr Anita, Dr Sasmeer, Dr Kaushal

Answer for 11th March Mind Teaser: Maine
Correct answers received from: Dr Chandresh Jardosh, Dr.Tara Natarajan, Dr Manjesha

Send your answer to ijcp12@gmail.com

————————————

Laugh a While
(Contributed by Dr G M Singh)

Man receives telegram: Wife dead – should be buried or Cremated?
Man: Don't take any chances. Burn the body and bury the ash.

 
    Useful Website

(Dr Surendernikhil Gupta)

KidSurvival

MDG 5 and family planning

http://www.childsurvival.net/?content=com_articles&artid=362

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Creatinine clearance

Creatinine clearance test is a calculation of 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: 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: 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.
 
    Medi Finance Update

BDO Budget Snapshot 2011–12
(Saurabh Aggarwal)

Customs
Proposed Indirect Tax Amendments In Brief

  • Self Assessment system being introduced in Customs duty payment and assessment
  • All clearances from SEZ into DTA are being exempted from SAD provided they are not exempt from the levy of VAT/Sales in DTA
  • Time Limit for claiming refund of duty & interest reduced from one year to six months
  • E-filing of entry of imported goods and exported goods introduced and Commissioner of Customs to allow filing of entry in any other manner when it is infeasible to present electronically
  • Multiple duty rates of 2%, 2.5% and 3% are being unified at median rate of 2.5%
  • Amendment introduced in the Customs Tariff Act to reduce the anti–dumping duty imposed on a article anti or an importer

CenVat/Credit

  • Following important definitions amended in CENVAT Credit Rules, 2004:
  • Input: Defined to include, inter alia, all goods used in a factory by the manufacturer and goods used for providing any output services. Specific exclusions also provided which do not qualify as "Input" to avail Credit
  • Input Service: Definition aligned with "Inputs" such that goods that do not qualify as "input" do not qualify as "input service". Expression "activities relating to business" has been deleted which will have major impact in terms of restrictive availment of CENVATCredit
 
    Drug Update

List of approved drug from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Armodafinil uncoated tablet ..50/150/250mg
To improve wakefulness in patients with excessive sleepiness associated with treated obstructive sleep apnea (OSA), shift work sleep disorder (SWD) or narcolepsy.
23/04/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Ovarian carcinoma

‘Triple negative’ phenotype has important implications for clinical management of patients with ovarian cancer. ‘Triple negative’ epithelial ovarian cancer (TNEOC) accounts for about 15% of epithelial ovarian carcinoma. This specific subtype tends to exhibit more aggressive characteristics and a worse prognosis. ‘Triple negative’ phenotype is traditionally referred to as a specific subtype of breast cancer negative for estrogen receptor, progesterone receptor and HER2 expression.

(Ref: Liu N, Wang X, Sheng X. ‘Triple negative’ epithelial ovarian cancer and pathologic markers for prognosis. Curr Opin Obstet Gynecol 2011 Feb;23(1):19–23).

(Dr Vinay Sakhuja)

Latin Quotes

Ab equines pedibus procul recede

Keep at a good distance from a horse’s heels.

 
  Quote of the Day

(Dr GM Singh)

Relationships are like a stapler, easy to attach but difficult to detach and if you try to detach them, it leaves the paper damaged.

 
    Readers Responses
Dear Dr Aggarwal, It is not the Supreme Court who is going to take action, it is nature who finally takes a decision: Regards: Kartar.
 
    Public Forum

(Press Release for use by the newspapers)

A daylong Medi-finance Conference Inaugurated

Inaugurating a daylong Medifinance Conference "Budget 2011", Dr N V Kamat Director Health Services said that it is very important for doctors to know all about financial health as 80% of the health sector today is catered by the private sector.

Chief Guest of the function Dr Acharya Sadhvi Sadha Ji Maharaj said that financial health should be incorporated under the definition of health.

Sh BNS Ratnakar GM (North India) from Central Bank of India, guest of honour said that the medical treatment is costly and it is only a doctor who can plan cost effective treatment for a patient.

The conference was organized by eMedinewS in association with Heart Care Foundation of India at TB Association, Lodhi Road. The speakers included Mr. Subhash Lakhotia, Tax Guru; Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India and Editor–in–Chief eMedinewS. Ms Renu Jain Regional Manager Health from LIC, Mr M K Doogar from Doogar & Assoc. & MiEF, Sr representative from CholaMandalam co., Mr Arun Kishore & Mr Tarun Kumar both renowned Chartered Accountants, Mr Anil Wadhwa and Mr Rajiv Mahendru Insurance consultants, Mr Pahuja from ICICI Prudential also participated in the event.

The experts said that in old age, the insurance companies may not cover for the full treatment and hence it is important for a person to plan for the old age.

Unfortunately, in India, the treatment loans are not available from the banks and treatments like liver transplants may cost Rs.15 lakhs to Rs. 20 lakhs and Rs. 40,000 to Rs. 50,000 maintenance therapy per month. Even multiple angioplasty may end up in cost of Rs. 7 to 9 lakhs.

Either the patient should take multiple mediclaim policies so as to cover a treatment cost over Rs. 10 lakhs or he should invest in such a way that he has enough money for his health in old age.

Over 8% of the population in India today is elderly. A large number of them are also cross the age of 80 years.

The experts said that the government should withdraw the service tax on high end medical treatment as the same is already costly and beyond the reach of the common man. Cost burden on tax invariably will have to be paid by the patient and not by the doctors. It is likely that a 5% increase in service tax, another 5% will be added by the medical establishment to cover the cost for filing of service tax return. The amount of money one puts into mediclaim the equivalent amount of money should be invested in equity or mutual funds to cover the cost of OPD treatments.

The experts said that while buying any drug, one should insist on a cash memo to prevent buying fake medicines. For saving 4% of VAT, one may end up in buying fake drugs.

 
    eMedinewS Special

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

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

 
    Situation Vacant

Vacancy for a post of Senior Resident in Pediatric ICU at Medanta – The Medicity Hospital, Sector –38, Gurgaon.
Interested candidates may please contact: drneelam@yahoo.com/9811043475.

*Eligibility: Post MD/DNB/DCH

 
    Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

CME on Pediatric Hepatology – 2011

In Association with Gastroenterology Chapter of IAP

Date: March 26–27, 2011; Venue: 2nd Floor, Auditorium, Medanta – The Medicity, Sector 38, Delhi NCR, Gurgaon – 122001, Haryana Organizing Chairperson Dr Neelam Mohan, Director, Department of Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta – The Medicity No registration fee. Prior registration is must For More information please contact: Dr Sakshi Karkra – 09971018789 Dr Avinal Kalra – 09717840850 Dr Mahinder S Dhaliwal – 09999669415 Ms Karuna – 09899996682

For detailed scientific program, click

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World Fellowships of Religions and Perfect Health Parade

First ever Conference which will talk about science behind all Religions, Dharmas and Pathies under one roof
Subject: Global Warming, Ethnic Crises, How to be Healthy
Date: Sunday 3rd April, 2011;Venue: Maulana Azad Medical College Auditorium, New Delhi;Time: 8 AM – 4 PM

Parade through tableaus to be flagged off at 10 am from outside MAMC to move till 5 pm on different predefined routes in Delhi to create awareness about health matters.

Parade Route: Vikas Marg – Shahdara – Seemapuri – Guru Tegh Bhadur Hospital – Seelampur Pusta – Gandhinagar, to ISBT Kashmiri Gate – Civil Lines – Delhi University North Campus – Azadpur – Punjabi Bagh – Mayapuri – Raja Garden – Janakpuri – Tilak Nagar – Tihar Jail Road – Delhi Cantt. – R.K Puram – Munirka – IIT Gate – Panchsheel Park – Chirag Delhi Flyover – Nehru Place – Modi Mill Flyover – Ashram – Nizamuddin – Sunder Nagar – Pragati Maidan – ITO – finally culminate at Maulana Azad Medical College at 4pm.

Full day conference on ethnic crisis and global warming. Pre lunch session to be addressed by religious representatives who would talk on what each religion has to say. Post lunch to be addressed by doctors from all streams of medicinal practice (allopathy, ISM)
Register: rekhapapola@gmail.com

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National Seminar On Stress Prevention (7th–8th May 2011).

A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris will be organized from May 7–8, 2011.

Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch, IMSA (Delhi Chapter)

Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.

Timings: On Saturday 7th May (2 pm onwards) and Sunday 8th May (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9899974439, emedinews@gmail.com, rekhapapola@gmail.com; BK Sapna: 9811796962, bksapna@hotmail.com

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XVIth World Congress on Cardiology, Echocardiography & Allied Imaging Techniques
 
 
Date: September 30 – October 02, 2011; Venue: The Leela Kempinski, Delhi (NCR)
 September 29, 2011: A unique & highly educative Pre –Conference CME
 
 International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
Confirmed 55 international faculties.
 
 Highlights of Congress
 
·         Plenary sessions on clinical & interventional cardiology, echocardiography              
·         Interesting debates
·         State –of – the – art lectures
·         Clinical case discussion
·         Multiple sessions on interesting case studies
·         Orations
·         Case study competition, oral and poster presentation sessions
·         Aim is to provide an excellent teaching material of practical importance to help in clinical decision making, with an in-depth discussion on various topics
                                       
            For further details contact any of the following:
 Dr (Col ) S.K. Parashar, President, e-mail: drparashar@yahoo.com, Mob: 09810146231                                
Dr Rakesh Gupta, Secretary General, email:jrop2001@yahoo.com, Mob: 09811013246
Conference Manager, Kyoni Destination, Management India, e- mail: worldcon2011@in.kyoni.com
 
Avail early bird registration.
For more   information visit congress website: www.worldcon2011.org

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ICC Cricket World Cup 2011

http://www.cricbuzz.com/cricket–schedule/series/228/icc–world–cup–2011

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