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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
Dr KK Aggarwal

From the Desk of Editor in Chief
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


14th August, 2010, Saturday

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

3rd meeting of Padma Awardees Doctors

The 3rd meeting of Padma Awardees Doctors of NCR was held on 13th August 2010. The Guest Speaker was Mr. Prithiraj Chavan, Minister of Science & Technology, Govt of India.

The meeting was attended by: 
Dr. A. K. Grover, Dr. Arvind Lal, Dr Ashok Vaid, Dr. A S Soin, Dr. Devendra Triguna, Dr Harsh Mahajan, Dr.J.M.Hans, Dr. K.K.Aggarwal, Dr. Kalyan Banerjee, Dr  Kamleshwar Prasad, Dr. K.K.Sethi, Dr.  Madan Mohan, Dr.  N.P.Gupta, Dr.  P.S.Maini, Dr.  Prem Kakkar, Dr.  P.K Sethi, Dr.  Raman Kapoor, Dr.  D K. Bhargava, Dr.  Ranjeet Rai Chaudhary, Dr. S.P.  Aggarwal, Dr. S.K.Sama, Dr. Shiv Sareen, Dr Yash Gulati. ( Names alphabetical)
 
The following is the gist: 

  1.  Every 3rd vaccine is produced in India.
  2. Open source drug discovery (OSDD) is a CSIR Team India Consortium with global partnership with a vision to provide affordable health care to the developing world. 4000 top scientists including 10% from US have joined hands to solve one defined problem. In this joint research, entire intellectual property is shared. Out of 4000, 700 scientists are from India.
  3. The Ministry has made traditional knowledge digital library where everything about Indian system of  medicine has been locked, written down coded and translated. With the 60 million data coded by Indian Government, nobody can, no more patent Indian products in their country as you can not patent what is already known.
  4. In 1989, India opted out of human genome project but now the whole human genome has been decoded within a period of three months signifying the technical advances in our country.
  5. The Government of India through the Ministry of Human Resources Development has established 5 Indian Institutes of Science Education & Research where teaching and education is totally integrated with state-of-art research nurturing curiosity and creativity in an intellectuality vibrant atmosphere of research.
  6. Tata Institute of Fundamental Research (TIFR) is an autonomous institute under the umbrella of the Department of Atomic Energy of the Government of India. Basic Research is done in Physics, Chemistry, Biology, Mathematics and Computer Science.
  7. The Government is associating with Tata Group to run a 350 bedded hospital in Bhopal where Bio-Technology Department will provide clinical research and Tata will provide healthcare.
  8. National Centre for Biological Science located in Bangalore is a part of TIFR with a mandate for doing fundamental research in the frontier areas of biology.
  9. The Prime Minister has declared 2010-2020 as the Decade of Innovation.
  10. The Ministry has found that black pepper increases the efficacy of Anti TB drugs.
  11. The Government is working and producing low cost diagnostic, maintaining quality assurance and producing indigenous medical devices.
  12. Stanford India Bio-Design aims at training next generation of medical technology innovators in India. This is facilitated through a fellowship, internship and events. This highly competitive programme is directed towards Indian citizens who have an interest in the innovations and early stage development of new medical technologies including medical devices. During the fellowship 50% of  the period is at Stamford University.
  13. Under the Stamford Programme, the Ministry is also short listing 4 to 5 wild ideas and then making them viable involving financial and marketing experts and ultimately making it a bankable product.
  14. The time has come for the IIT’s to have their own medical colleges so that an integrated research can take place.
  15. 2.5 crore students take board exam every year. The Government is collecting data of the top 1% and asking them if they are interested in research and basic science and for that 1 million dollar has been earmarked. The Government is finding that bright people from rural areas are taking interest in such venture.
  16. We need accountability in research. The Government needs to produce indigenous high quality implants and disposables.
  17. The research in private sectors must be respected by the Government at par with the Government organizations.
  18. 75% of the R&D budget in India is from public fund and 25% by the private fund out of which 50% is the contributed by the pharma group.
  19. The faculty in the govt. set up should be allowed to make a company so that their research and patents can be compensated. 50% of their patent money can be shared by the Government of India.
  20. The research should be need and assessment based. The example is China where in two areas they put 390 scientists on job and developed a hepatitis C vaccine ahead of US.
  21. In the Government set up to prevent private migration separate caps should be there in salary for clinical work, teaching and research. Extra money should be given for teaching assignments and conducting research.
  22. To promote research there should be a centralized agency which is available free of cost for analyzing data, conducting statistical analysis, improving English and for writing articles in standard international format.
  23. Only 3% of health budget is for Ayurveda with practical no research.
  24. The Government is bringing a bill for sharing of Intellectual Property & Bio Technology Regulatory Authority Bill.
  25. Lok Sabha Channel can be used to promote research in India, lectures to Member of Parliaments can be televised. 
  26. Only 1% of GDP is on research and development. The Prime Minister has a plan to make it 2%.
  27. Out of 6 lacs school and colleges, Government is promoting science projects and best of each is being given an award of Rs. 5 to 10,000.
  28. All is not ok with NABH & NABL. The labs should be standardized and provide 100% quality work.
  29. If the Government is promoting researchers in India how will they tackle 50% reservation in then?
  30. In every Government set up clinical trial wings need to be established.
  31. In research universities should not be neglected.
  32. The incentive should be given for people taking research after 10+2.
  33. Ayurveda is the 5000 year old science and needs a proper research and development wing. One should remember that Allopathic drugs are the third most common cause of death.

Dr KK Aggarwal
Editor in Chief
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Photo Feature

 

Third Padma awardees meet was held at India International Center on 12 Aug 2010. In the center Minister of Science and Technology Mr Prathviraj Chavan.

 

Dr k k Aggarwal

 

News and Views

WHO declares end to H1N1 pandemic (Dr Brahm Vasudev and Monica Vasudev)

The WHO has declared the H1N1 flu pandemic over, a little more than a year after a spring flood of cases prompted a global effort to curb its wildfire transmission. WHO Director–General Margaret Chan said that the new H1N1 virus has largely run its course. But that doesn’t mean that the so–called swine flu is gone, because countries like New Zealand are now grappling with local outbreaks. Based on experience with past pandemics, we expect the H1N1 virus to take on the behavior of a seasonal influenza virus and continue to circulate for some years to come.

Some stroke patients stop taking their medications three months after discharge

Within three months of being hospitalized for an acute stroke, nearly one quarter of patients stop taking at least one of the drugs prescribed to prevent further cardiovascular problems, according to a study which interviewed 2,598 individuals. The study is published in the Archives of Neurology.

Some heart failure patients fail to receive recommended prescriptions

According to the paper in the Archives of Internal Medicine, use of the ACE inhibitors and angiotensin receptor blockers increased from 34 percent in 1994 to 45 percent in 2002, but decreased to 32 percent by 2009, while beta blockers use went from 11 percent in 1998 to 44 percent in 2006, but dropped to 37 percent by 2009.

Anesthetic ketamine may help relieve major depression

According to a study published in the Archives of General Psychiatry, ketamine may provide almost instant relief in some of the most troublesome cases of bipolar depression. It has been known for several years that small doses of the drug, ketamine, can relieve major depression. This study by researchers at the National Institute of Mental Health is the first to demonstrate efficacy in patients with treatment–resistant bipolar depression.

 

Legal Column

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

Forceful/artificial feeding and hunger strike–what is the role of doctor?

It has been observed that generally the hunger strikers do not wish to die but it cannot be ruled out that some may be prepared to do so to achieve their aims. The doctor needs to ascertain the individual’s true intention, especially in collective strikes or situations where peer pressure may be a factor. An ethical dilemma for doctor arises when hunger strikers who have apparently issued clear instructions about not to be resuscitated reach a stage of cognitive impairment. The principle of beneficence urges physicians to resuscitate them but respect for individual autonomy restrains physicians from intervening when a valid and informed refusal has been made. An added difficulty arises in custodial settings because it is not always clear whether the hunger striker’s advance instructions were made voluntarily and with appropriate information about the consequences. I faced such a dilemma in the Medha Patekar hunger strike case at Jantar Mantar in Delhi. Such situations are resolved in India by police by arresting the hunger strikers under Section 309 IPC for attempting to commit suicide and the doctor treast the person to save the life as a legal obligation with ethical precaution that it should be restricted and limited only for life saving.

 

Experts’ Views

Interesting Tips in Hepatology & Gastroenterology

(Dr. Neelam Mohan – Director Pediatric Gastroenterology, Hepatology and Liver Transplantation Medanta Medicity)

Chronic pancreatitis

The causes of chronic calcific pancreatitis are as follows:

• Juvenile tropical pancreatitis
• Hereditary pancreatitis
• Hypercalcemia
• Hyperparathyroidism
• Hyperlipidemia
• Cystic fibrosis
• Hemachromatosis
• Idiopathic

Question of the day

After deciding to initiate bolus insulin twice–daily, how do you begin and at what dose? (Dr GM Singh)

A stepwise strategy can be used with a single daily prandial injection of a rapidly–acting insulin administered before the meal that leads to the highest blood glucose excursion. Additional doses can be added at other meals as necessary if postprandial glucose remains >180 mg/dL at mid–morning and >140 mg/dL 2 hours after lunch or dinner. Recommended starting doses of pre-meal rapidly acting insulins generally range from 5 to 10 U, or approximately 0.15 U/kg.

 

Public Forum (Press Release for use by the newspapers)

Azadi from Diseases

15th August should not only be a reminder of independence from the British but a commitment on a yearly basis to eradicate one more disease said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India & MTNL Perfect Health Mela. Every year efforts should be made to start a ‘Quit’ India Movement for a particular disease.

The International Task Force for Disease Eradication in 1992 identified six "eradicable" or "potentially eradicable" infectious diseases. These are dracunculiasis, poliomyelitis, mumps, rubella, lymphatic filariasis, and cysticercosis. In 2002, measles was added to this list.

Of these only guinea worm disease or dracunculiasis has already been eradicated from India.

Malaria, yellow fever, and yaws eradication programmes of earlier years were unsuccessful but they contributed greatly to a better understanding of the biological, social, political, and economic complexities of achieving the ultimate goal in disease control. In early 1997, WHO listed leprosy, onchocerciasis (River blindness), and Chaga’s disease as being candidates for elimination" as public health problems within ten years".

Its time for us to form an India force and start working on eradicable diseases.

Dr Aggarwal further pointed out that an effective cardiovascular control program should be strengthened all over the country as heart attacks are not known to occur in wild animals.

 

Conference Calendar

Neuro Trauma 2010

19th Annual Conference of NeuroTrauma Society of India
Date: August 19–22, 2010
Venue: Hotel Taj Coromandel, Nungambakkam, Chennai, Tamil Nadu.

 

An Inspirational Story

Be a ‘"human being" instead of a "human having"

So often we try to create our identity with what we have, with our possessions and our position, yet our identity is actually created by our behavior, by what we do and more importantly by how we do what we do. What really matters is not what you have got or the position that you hold, but who you are and how you behave.

We have become a society where we tend to measure a person’s status by their possessions and their position. We no longer measure them by their contribution to society. This has created an enormous pressure to constantly flaunt the trappings of "success," the material things that create the impression of status.

Yet the very drive to constantly acquire the trappings of "success" creates a problem. The problem of spending money that you don't have, to buy things that you don’t need, so that you can impress people that you don’t like.

This leads to constant insecurity, firstly can I afford these things and secondly, what if someone gets something bigger, better, faster, brighter. You sacrifice your peace of mind for the illusion of material comfort and power.

We have to learn to do more with less. Realize that your personality is more important than your possessions. Realize that what you do is more important than what you’ve got. Realize that how you do what you do is more important than what you do.

Your actions have a greater influence on your reputation than the position you hold or the possessions you accumulate. The one thing that you take with you where ever you go, is you. Make sure that you are worth taking along.

Realize that all possessions and positions are transient, here today gone tomorrow. Think of all the changes that have already taken place in your life. The only constant is "you".

So choose to "Be a ‘Human Being’ instead of a ‘Human Having’".

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IJCP Special

Dr Good Dr Bad

Situation: An anemic diabetic came for advice on foot care.
Dr Bad: Don’t worry. Just keep your sugar controlled.
Dr Good: You are at risk of ulcers.
Lesson: Male gender, previous foot ulcer, peripheral vascular disease, lack of frequent foot self–examination and peripheral neuropathy were significant factors for foot ulceration. Longer diabetes duration, poor glycemic control, anemia and presence of infection also had an impact on outcome of the disease. (Prim Care Diabetes 2009 Sep 22. {Epub ahead of print}.)

Make Sure

Situation: A patient of gross ascites presents with complaints of difficulty in breathing on lying down.
Reaction: Oh my God! Why did you drain so much ascitic fluid?
Lesson: Make sure, to evaluate the patient thoroughly and only moderately tap the ascitic fluid since overenthusiastic tapping can be life–threatening.

Quote of the Day

Life is like a tennis match, "if you want to win, serve well, return well, play cool and remember you start with love all". Paramjeet Singh

SMS of the Day

"Some MEN join army because they…

"Some MEN join army because they are single and they love WAR."
"Others join army because they are married and they love PEACE"

Dr Chandresh Jardosh

Are you fit to fly?

Screening questions

  1. Length of the journey
  2. History of tolerating prior air travel
  3. Conditions of the destination, eg, altitude, public health risks, and access to medical care.
 

International Medical Science Academy Update (IMSA)

Chronic kidney disease

In a trial of 385 children with chronic kidney disease, intensified blood pressure control with a targeted goal of a 24–hour mean arterial pressure below the 50th percentile compared with conventional blood pressure control resulted in a slower progression of CKD. All patients were initially treated with ramipril. These results support aggressive target goals for BP control in children with CKD.

Reference

  1. Estrada CR Jr, Passerotti CC, Graham DA, et al. Nomograms for predicting annual resolution rate of primary vesicoureteral reflux: results from 2,462 children. J Urol 2009;182:1535.
 

Drug Update

List of Approved drugs from 01.01.2010 TO 30.4.2010

Drug Name

Indication

DCI Approval Date

Cytarabine Injection 100mg Additional Packsize (20ml)

In combination with other approved anticancer drugs is indicated for remission induction in acute non–lymphocytic leukemia of adults and children. It has also been found useful in the treatment of acute lymphocytic leukemia and the blast phase of chronic myelocytic leukemia. Intrathecal administration of cytarabine is indicated in the prophylaxis and treatment of meningal leukemia.

10–Feb–10

 

Medi Finance

Q. Is any profit received from sale of property held for personal use taxable as per Income Tax Act?

Ans. Any profit from sale of personal property held for personal use is taxable as per Income Tax Act.

 

Lab Test (Dr Arpan Gandhi and Dr Navin Dang)

AFB Smear and Culture

To help identify a mycobacterial infection; to diagnose tuberculosis (TB); to monitor the effectiveness of treatment.

 

Lateral thinking

Read this………………

LU CKY

The answer for yesterday’s puzzle "Down Town"

Correct answers received from: Dr Jayashree B Keshav, In Charge – Scientific Publications, The Himalaya Drug Company; Dr Mohit Joshi; Dr Ashok Wasan; Dr R.S.Bajaj; Dr Chandresh Jardosh; Dr Suman Sinha; Dr T Muthumperumal, Dr. Akshay Bharadwaj, Director, EL-DOCS, Dr Raju Kuppusamy, Dr.R.K.Agarwal, Dr Simran Singh, Dr Shashi Chhabra, Dr Ashok Kumar

Correct answers received for 12th August Puzzle from: Dr Vijay Kansal; Dr Bhavuk Garg; Dr Sahana G V; Dr. Gitanjali Arora; Dr Rawat Purushottam Singh; Dr Girish Cally; Dr.B.N.Ganagdhar; Dr Anurag Jain

Send your answer to ijcp12@gmail.com

 

Humor Section (Dr Jagjit Singh)

Jokes

Teacher: 'I killed a person' convert this sentence into future tense.

Student: The future tense is 'u will go to jail'

Funny One Liner

Dr Jhataka in an antique shop, "Do you have anything new?"

  Readers Responses
  1. A diabetic pt visiting USA on a small visit for 2 months on tourist visa what mediclaim policy should she should opt for: Vivek Varanasi
    eMedinewS Responds: regular overseas mediclaim policy.

  2. Thanks, Dr KK Aggrawal ji, I have gone through our regular reading of the eMedinews. Doctors are now talking about corruption in CWG. We should think about the etiology, pathogenesis, risk factors, diagnosis and treatment of corruption. Gandhiji said in the ‘Experiment with Truth’ "JAISA HOGA ANNA, VAISA HOGA MANNA." So we should advise the community regarding the ‘anna’ and ‘manna.’ WE NEED PURE THINKING through SPIRITUALITY and YOGA only: Dr KP Singh, Fortis– Escort New Delhi–25.

  3. Respected Dr KK Aggarwal: First of all I congratulate you for this noble venture of creating INDIA"s first medical newspaper. One of my Papers on "CLINICAL TRIALS IN INDIA: NEED FOR BIOETHICS " got published in Oped –Health page of the North India"s biggest news paper "THE TRIBUNE". http://www.tribuneindia.com/2010/20100809/edit.htm#6 Ms.Radha Saini, MSN, RN; Fellow UICC, Geneva
  4.  Your matter is good: Dr Rahul
 

Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

5th September: 3 PM to 5 PM – A dialogue with His Holiness Dalai Lama at C 599 Defence Colony Acharya Sushil Ashram in association with Acharya Sushil Muni Ahimsa Peace Award Trust

26 th September: Sunday- BSNL Dil ka Darbar A day-long interaction with top cardiologists of the city. 8 AM - 5 PM at MAMC Auditorium, Delhi Gate.

17th MTNL Perfect Health Mela 2010 Events: Venue: NDMC Ground Laxmi Bai Nagar, New Delhi

24th October, Sunday: Perfect Health Darbar, Interaction with top Medical experts of the city from 8 AM to 5 PM
30th October, Saturday: eMedinewS Update from 8 AM to 5 PM
29th October, Friday: Divya Jyoti Inter Nursing College/ School Competitions/ Culture Hungama
30th October, Saturday: Medico Masti Inter Medical College Cultural festival from 4 PM to
10 PM
31st October, 2010, Sunday: Perfect Health Darbar, An interaction with top Cardiologists

eMedinews Revisiting 2010

The 2nd eMedinewS – revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, Cultural Hungama and Live Webcast. Suggestions are invited.

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