eMedinewS
14th October 2014, Tuesday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and National Science Communication Awardee. Limca Book of Record Holder (CPR). Gold Medalist

Dr KK Aggarwal

President, Heart Care Foundation of India; Senior Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, Senior National Vice President, Indian Medical Association; Member Ethics Committee Medical Council of India, Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Limca Book of Record Holder in CPR, Chairman (Delhi Chapter) International Medical Sciences Academy (March 10–13); 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);
For updates follow at :  www.twitter.com/DrKKAggarwal, www.facebook.com/Dr KKAggarwal

New Guidelines on Bowel Prep for Colonoscopy

The US Multi-Society Task Force on Colorectal Cancer has published new consensus guidelines aimed at raising the preparation compliance goal to at least 85%, reports Medscape.

Inadequate bowel preparation has serious consequences, including lower adenoma detection, longer procedural time, and shorter intervals between examinations, the task force writes in an article published in the October issue of Gastroenterology.

David A. Johnson, MD, head of gastroenterology at the Eastern Virginia Medical School, Norfolk, and colleagues conducted a systematic review of medical literature published between January 1980 and August 2013, as well as published articles and abstracts presented at national meetings. 

They chose 1980 as the first year because that was when the US Food and Drug Administration (FDA) approved the polyethylene glycol–electrolyte lavage solution–based preparation.

The new task force guidelines have been vetted and approved by the American College of Gastroenterology, American Gastroenterological Society, and American Society of Gastrointestinal Endoscopy governing boards.

Adequate Preparation

  • Preparation should be sufficient to allow polyp detection greater than 5 mm.
  • If deemed inadequate during colonoscopy, examination should be repeated with a more aggressive preparation regimen within 1 year.
  • If deemed adequate, follow guidelines for screening.

Dosing and Timing

  • Use a split-dose cleansing agent.
  • A same-day regimen is acceptable for split–dose, especially for afternoon procedures.
  • The second dose should begin 4 to 6 hours before the procedure begins.

Diet during Cleansing

  • Either low–residue or full liquids until the evening before procedure.

Patient Education

  • Provide patients with oral and written instructions.
  • Ensure appropriate support is in place.

Quality of Preparation

  • Assess adequacy after all appropriate efforts to clear residual debris.
  • Measure rate of adequacy routinely.

FDA-Approved Preparations

  • Consider the patient's medical history, medications, and prior procedures when selecting approved regimens.
  • Use a split-dose regimen of 4 L polyethylene glycol–electrolyte lavage solution.

Over-the-Counter Preparations

  • Regardless of agent, use a split-dose regimen.
  • Use caution for certain populations, such as patients with chronic kidney disease.

Adjuncts

  • Routine use of adjunctive agents is not recommended.

Patient Preference/Willingness

  • Split-dose is associated with greater willingness compared with day-before regimen.
  • Low-volume agents are associated with greater willingness to undergo a repeat procedure.

Specific Populations

  • Insufficient evidence to recommend specific preparation regimens for elderly, children, and adolescents.
  • Sodium phosphate (NaP) preparations are not recommended in children younger than 12 years or with risk factors for medication complications.
  • Avoid NaP use in patients with known or suspected inflammatory bowel disease.
  • Consider using additional bowel purgatives in patients with risk factors for inadequate preparation.
  • Use low-volume or extended-time delivery in patients after bariatric surgery.
  • Direct pregnant women to use tap water enemas.
  • Insufficient evidence to recommend specific regimens in patients with a history of spinal cord injury.

Salvage Options

  • Large–volume enemas can be used for patients presenting with brown effluent despite complying with preparation regimen.
  •  
  • Through-the-scope enema can be considered especially for patients who receive propofol sedation.

(Source: Gastroenterology. 2014;147:903-924) 

Split-dose lavage: Split-dose lavage refers to administration of half of the preparation the evening prior to the colonoscopy and the second half the morning of the colonoscopy. The timing of the morning dose should take into account how long the patient needs to fast prior to the procedure. The American Society for Anesthesiology (ASA) guidelines state that prior to a procedure, patients should fast a minimum of two hours following clear liquid ingestion or six hours for a light meal. If split-dose lavage is being used, patients should consume their morning dose five hours prior to the procedure. For patients with early morning procedures, this may require that the patient take the morning dose as early as 2 AM.

Same-day preparation: For patients undergoing afternoon procedures, same-day preparations have also been studied and appear to be effective and better tolerated than full–dose or split–dose preparations. The regimen can be either the morning of the colonoscopy (at 7 AM and 10 AM), or starting the day prior to the colonoscopy (at noon, 5 PM, and 8 AM the morning of the colonoscopy).

21st MTNL Perfect Health Mela 2014

7th Asia-Pacific Heart Rhythm Scientific Session New Delhi, India

It is our great pleasure to invite you to participate in the 7th Asia Pacific Heart Rhythm Society Scientific Session (APHRS 2014) scheduled to take place in New Delhi, India, from October 29 to November 1, 2014.

Asia Pacific Heart Rhythm Society has been hosting these conferences to uphold excellence and advancement in the diagnosis and treatment of patients with heart rhythm disorders since 2008. The primary objective of these conferences is to provide opportunities to exchange scientific, medical and technological information among physicians, researchers and other partakers involved in the fields of arrhythmia and electro cardiology from across the world. APHRS 2014 will provide a platform for them to come together and contribute in enhancing international academic exchange and development in this field.

We look forward to your participation in the conference. As a special offer for all Emedinews readers, we have decided to waive off the registration fees for the conference.

To register yourself, please click on the following link
https://podio.com/webforms/9727986/708939

Best Regards,
Dr. Mohan Nair
Chairman, Organizing Committee APHRS 2014

News Around The Globe

  • Ebola Update: Cuba leads fight against Ebola in Africa: …But help will soon be coming from places other than Cuba. The US will pour in $400m, plans to build at least a dozen 100–bed field hospitals using some 4,000 troops, and has deployed 65 health officials to Liberia. Japan, the world’s fourth-richest nation, has pledged $40m and India $13m. China has chipped in around $5m, as well as a Chinese-built and staffed mobile clinic in Sierra Leone.
  • The global pharmaceuticals market is worth US$300 billion a year, a figure expected to rise to US$400 billion within three years. The 10 largest drugs companies control over one-third of this market, several with sales of more than US$10 billion a year and profit margins of about 30%. Six are based in the United States and four in Europe. It is predicted that North and South America, Europe and Japan will continue to account for a full 85% of the global pharmaceuticals market well into the 21st century. Companies currently spend one–third of all sales revenue on marketing their products – roughly twice what they spend on research and development.
  • A vaccine containing small amounts of influenza A/H7N9 antigen elicited good immune responses when mixed with a common adjuvant, suggests a new study. Researchers noted that
    2 doses of 45 μg of hemagglutinin antigen raised antibody titers only minimally, but when mixed with MF59 adjuvant, doses as low as 3.75 μg were very effective. The study was published in the October 8 issue of JAMA.
  • New research has stated that lung cancer can lie dormant for more than 20 years before turning deadly. Two papers explaining the evolution of lung cancer reveal how after an initial disease–causing genetic fault, often due to smoking, tumor cells quietly develop numerous new mutations, making different parts of the same tumor genetically unique. The research was published in the journal Science.          
  • An automated early warning and response system for sepsis developed by Penn Medicine experts has led to a marked increase in sepsis identification and care, transfer to the ICU, and an indication of fewer deaths due to sepsis. A study assessing the tool is published online in the Journal of Hospital Medicine.
  • Gastrostomy tube (G–tube) placement or other long-term enteral access devices should be withheld or withdrawn in patients with advanced dementia or other near end–of–life conditions, suggests a special report published in the OnlineFirst version of Nutrition in Clinical Practice (NCP).
  • New research published in Diabetologia shows that women who eat fried food regularly before conceiving are at increased risk of developing gestational diabetes during pregnancy.

National News

  • Union Health Minister Dr. Harsh Vardhan on Sunday assured that the government is ready to handle any kind of situation, even as Cyclone Hudhud lashed the shores of Andhra Pradesh. "A National Disaster Relief Force (NDRF) is already ready and we are ready to handle any kind of situation," said Harsh Vardhan. Director-General of the Indian Meteorological Department (IMD), LS Rathore, earlier said that even as Cyclone Hudhud crosses over Vishakhapatnam, the region will experience very heavy rain, thereby causing damage in the city. In Odisha, Rathore said that the state's southern districts will see heavy precipitation in the coming 24 to 48 hours. Earlier today, a number of buildings were damaged in Vishakhapatnam as the cyclonic storm made landfall in the city. Five diving teams have been dispatched to Srikakulam and 10 teams to low lying areas in and around Vizag for rescue and relief operations. Over four lakh people have been reportedly evacuated from the coastal areas of Andhra Pradesh and Odisha till now. (ANI)
  • Mr Ram Vilas Paswan, Minister for Consumer Affairs: It is excellent news that the Government has decided to amend the Consumer Protection Act. We request you to: 1) Exclude Doctors and hospitals from the purview of service providers as defined under the Act. Instead a Medical Injury Compensation Bill may be introduced specifically to deal with cases of alleged medical negligence. The summary process of the consumer courts in their current form is causing harm to healthcare delivery process in the country.  2) If the point no 1 is not an option then please introduce a Cap on the amount of compensation which can be claimed under the Consumer Protection Act. [Dr Neeraj Nagpal]
  • Global Association of Physicians of Indian Origin (GAPIO) is organizing its V Annual Conference on 10th & 11th January 2015 at Hotel J W Marriott, Chandigarh. Conference shall focus on the theme “Meeting the Healthcare Challenges”. We are expecting more than 300 delegates from India, USA, UK, Australia, Canada, Middle East, Africa and UAE.

Dr KK Spiritual Blog

Positive Attitudes

  • Failure doesn’t mean you are a failure. But it does mean you haven’t succeeded yet.
  • Failure doesn’t mean you have accomplished nothing. It does mean you have learned something.
  • Failure doesn’t mean you have been a foolish. It does mean you had a lot of faith.
  • Failure doesn’t mean you've been discouraged. It does mean you were willing to try.
  • Failure doesn’t mean you don’t to do. It does mean you have to do it in a different way.
  • Failure doesn’t mean you are inferior. It does mean you are not perfect.
  • Failure doesn’t mean you have wasted your life. It does mean you have a reason to start afresh.
  • Failure doesn’t mean you should give up. It does mean you must try harder.
  • Failure doesn’t mean you'll never make it. It does mean it will take a little longer.
  • Failure doesn’t mean God has abandoned you. It does mean God has a better idea.

Inspirational Story

Soar like an Eagle

Did you know that an eagle knows when a storm is approaching long before it breaks? The eagle will fly to some high spot and wait for the winds to come.

When the storm hits, it sets its wings so that the wind will pick it up and lift it above the storm. While the storm rages below, the eagle is soaring above it. The eagle does not escape the storm. It simply uses the storm to lift it higher. It rises on the winds that bring the storm.

When the storms of life come upon us, like the eagle, we can rise above them and ride the winds of the storm that bring sickness, tragedy, failure, and disappointment into our lives.

What is your greatest challenge right now? Jot it down. And then let it lift you higher.

Rabies News (Dr A K Gupta)

How is RIG life saving?

Administration of anti–rabies vaccine stimulates production of neutralizing antibodies by the patient’s immune system. Protective levels of antibodies (more than 0.5 IU/ml of serum) are seen 7 to 14 days after the initial dose of vaccine (window period). Moreover when the bites are on the head, neck, face & hands, the incubation period will be shorter.

Thus the patients are vulnerable to develop rabies during this window period of 7 to 14 days. RIGs are readymade anti–rabies antibodies and provide passive immunity to rabies.

Cardiology eMedinewS

  • Individuals having a first schizophrenia spectrum episode were significantly more likely to show a host of cardiovascular and endocrinologic risk factors than the general population of similar age, suggested a new study published online in JAMA Psychiatry.
  • The US Food and Drug Administration has approved a new microbubble contrast agent for echocardiography: Lumason (Bracco Diagnostics) sulfur–hexafluoride lipid microspheres.

Pediatrics eMedinewS

  • Intravenous ibuprofen is more effective than acetaminophen administered orally or by suppository at reducing fever in children, suggests a new study presented at the American Academy of Pediatrics (AAP) 2014 National Conference and Exhibition.
  • Another research presented at the American Academy of Pediatrics (AAP) 2014 National Conference and Exhibition has pointed out that as many as 93% of splints applied to fractures in children at pediatric emergency departments and urgent care centers may be done incorrectly.

Quote of the Day

  • Anyone can give up; it’s the easiest thing in the world to do. But to hold it together when everyone else would understand if you fell apart, that’s true strength.

IMA NEWS

"Swachh Bharat - Swastha Bharat": IMA Campaign

Ideas for Collective Cleaning

  1. Neighbors should get together and lay out their neighborhood cleanliness objectives. 
  2. A cleanliness committee should be formed to make this a sustainable initiative.
  3. Cleanliness do’s and don’ts to be established and posted in multiple locations in Hindi so that Residents/Staff/Vendors/Visitors can all understand. (Include guidelines on cleaning after pet, prohibition on littering, posters, spitting) 
  4. Residents to orient their families as well as staff and vendors coming in the neighborhood. 
  5. Cleanliness Sign boards to include phone numbers of local health officer, wastage pick up agency, Resident Welfare Association/Security office, SHO, MLA with a call to action from Residents. 
  6. Collective pledge to commit certain hours a month on Cleanliness. Multiple teams can be formed with each covering 2 cleanliness days every month. 
  7. Cleanliness drive to pick up trash in the neighborhood (or some areas), clean the parks (if any) 
  8. Collective residents’ action mechanism on reporting unauthorized hawkers in the neighborhood. 
  9. Adequate garbage collection bins should be kept in the society/neighborhood. 
  10. Initiate a neighborhood beautification drive with Residents.

Mental health policy

India’s new mental health policy calls for recognition of mental disorders and a more accessible and holistic treatment of mental illnesses also pushes for decriminalisation of attempted suicide. Released on the occasion of World Mental Health Day the policy takes a fresh look at the health services being offered for mental illnesses, lays down the guidelines for mental health care, and recommends changes in the law that criminalises suicide, now considered a major cause of death among people with a mental illness. Releasing the policy, Union Health Minister Harsh Vardhan said: “The Indian Lunatic Asylum Act, 1858, and Indian Lunacy Act, 1912, ignored the human rights aspect and were concerned only with custodial issues. After Independence, it took 31 years for India to attempt the first enactment, which resulted another nine years later in the Mental Health Act, 1987. But due to many defects, the Act never came into force.” [The Hindu]

Heath Infra Structure: As on 31st March, 2014, there were 152326 Sub Centers, 25020 Primary Health Centers (PHCs) and 5363 Community Health Centers (CHCs) functioning in the country.

Global Hand Washing Day: This is a campaign to motivate and mobilize people especially children on October 15th as a Key approach to prevention of communicable diseases. This campaign was initiated to reduce childhood mortality rates related respiratory and diarrhoeal diseases by introducing simple behaviour changes of hand washing with soap. This simple accessible action can, according to research reduce the rate of mortality from these disease by almost 50%. Turning hand washing with soap before eating and after using the toilet into an ingrained habit among children is the single most effective and inexpensive way to prevent diarrhea and pneumonia. 

The Guinness Record had been created at Bangladesh in 2008 with 25,000 school children assembling in Play Ground at Dhaka and similarly on other places throughout the country totaling 52,970.   Tamil Naidu state branch has taken this task in a big way and has assured us of hand washing awareness campaign in different schools of the state reaching to approximately more than 60,000 students.

Details of Nodal officers and Identified Hospital nominated by State & U.T Health Authority for Ebola Virus Disease:

S.NO

 

STATES  &U.Ts

State Nodal Officer

(Name  & Contact Details  )

 

Hospital Identified for EVD

1

Andaman and Nicobar Islands (U.T)

Dr. Avijit Roy Deputy Director (Health) Directorate of Health Services, Port Blair –744101, Mob: 09474280024, TEL: 03192-232797, FAX: 03192-230608

G.B Pant Hospital, Atlanta Point, Port Blair, Andaman and Nicobar

2

Andhra Pradesh

Dr. S. Lakshmi Sowjanya, Assistant Professor (Medicine) Department of Medicine, King George Hospital, Visakhapatnam, Andhra Pradesh 09948811005

King George Hospital, Visakhapatnam, Andhra Pradesh

3

Cleaning

1. Dr. L. Jampa State Epidemiologist, Directorate of Health Services, Govt. of Arunachal Pradesh, Naharlagun (Mobile No. 9436055743/ 0360-2248562 (O)/0360-2248562 (F) 2. Dr. Binduk Padu Deputy Director of Health Services, Directorate of Health Services, Govt. of Arunachal Pradesh, Naharlagun Mobile No. 9436639464

General Hospital, Naharlagun, Arunachal Pradesh

4

Assam

Dr. B.C Bhagabati State Surveillance officer (IDSP), Assam , Office of Mission Director, National Health Mission, Saikia commercial complex, 2nd floor, Block-B, Christianbasti, Guwahati, Assam 09957195757, 0361-2349918 (T/F)

Gauhati Medical College and Hospital, Assam Contact Person: Dr. N. Hazarika, Unit nodal officer, 09435716628, 099571957575

5

Bihar

Dr. D.K Gupta State Nodal Officer, Disaster Management Cell, Directorate of Health Services, Vikas Bhawan, Bihar, Patna 09430057795

PMCH, Patna Contact Dr. Vijay Kumar, Asst, Professor (Microbiology), PMCH, Patna, 09430035358

6

Chandigarh (U.T)

Dr. Anil Garg State Surveillance Officer (IDSP) 4th Floor Additional Deluxe Building, Sector-9/D, Chandigarh-160009, 0172-2740408, 0172-2745802, 9417862787, 8146594949

1. General Hospital , Sec-16, Chandigarh 2. PGIMER, Sec-12, Chandigarh 3. GMCH, Sec-32, Chandigarh

7

Chhattisgarh

Dr. Vivek Choudhary Joint Director Cum Superintendent , Dr. B.R Ambedkar Memorial Hospital, Raipur 0771-2890100, 09826064727, 09827140091

1. Dr. RML Hospital, New Delhi (Dr. Sunil Saxena : 9868221090) 2. Lok Nayak Hospital, New Delhi (Dr. Naresh Kumar, Asst. Prof (Medicine), 9968604320)

8

Delhi (National Capital Territory of India) (U.T)

Dr. Charan Singh State Surveillance Officer (IDSP) & Additional Director (PH) , F-17, Karkardooma, Delhi-110032 T: 011-22305657, 08745011345, 9654100345

1. Dr. RML Hospital, New Delhi (Dr. Sunil Saxena : 9868221090) 2. Lok Nayak Hospital, New Delhi (Dr. Naresh Kumar, Asst. Prof (Medicine), 9968604320)

9

Daman and Diu (U.T)

Dr. K.Y Sultan Director , Directorate of Medical & Health Services, UT of Daman & Diu Tel : 0260-2230470, fax-2230570, 09978930867

1. Daman : Government Hospital, Daman (Contact person: Dr. Sunil Amonkar, 09879141800, 0260-2254965) 2. Diu Government Hospital, Diu. (Contact person: Dr. M.J Vaishya, Mob: 08980024720, 0287-5252377)

10

Dadar and Nagar Haveli (U.T)

Dr. D. B. Zala Microbiologist, Dadar & Nagar Haveli, UT, Medical & Public Health Department, (IDSP Section) Silvasa - 396230 Mob: 0972770927

Shri Vinoba Bhave Civil Hospital, Saily Rd, Near Civil Hospital, Bavisa Faliya, Silvassa, Gujarat 396230 Phone:0260 264 2940

11

Goa

Dr.Utkarsh Betodkar State Epidemiologist, Directorate of Health Services, Campal, Panaji, Goa 403 001 09011025052

Cottage Hospital, Chicalim Junction, Goa - 403711 (Dr. Vikas Kuvalkar, Office No: 0832-2540864, Mob. No: 9011025049)

12

Gujarat

Dr. Dinkar Raval Deputy Director (Epidemics), Epidemic Branch, Commissionerate of Health , MS & ME Block 5/3, Dr. Jivraj Mehta Bhawan, Gandhinagar-382010. Contact: Phone (o): 079-23253336 Fax: 079-23253343 Mob: 099099 66905

Civil Hospital, Ahmedabad (Contact: Dr. M.M Prabhakar, Medical Supt. 09978405057)

13

Haryana

Dr. Kamla Singh State Surveillance Officer, (IDSP) State Surveillance Unit Integrated Disease Surveillance Programme Haryana, Panchkula. 8288021869

General Hospital, Gurgaon PMO (General Hospital), Contact: 08130090521

14

Himachal Pradesh

Dr. Rajesh Guleri OSD, Health & family welfare Directorate Himachal Pradesh, Shimla-171009 Tel: 0177-2624105, Fax: 0177-2624105 09418479613,

1. Indira Gandhi Medical College, Shimla (Dr. S.S Kaushal (Principal), IGMC, Shimla, 09418025148) 2. Dr RP Govt. Medical College & Hospital, Tanda Hospital Road Kangra, (Contact: Dr. Anil (Principal), Dr. RPGMC, Tanda, 09418022382)

15

Jharkhand

Dr. Ramesh Prasad Director cum SSO (IDSP), JRHMS Building, RCH Campus, Namkum, Ranchi-834010 09431754816, 0651-2261368

RIMS, Ranchi

16

Jammu & Kashmir

Dr. Deepak Kapoor Epidemiologist/ SSO(IDSP), Jammu Division, Office of Epidemiologist, Directorate of Health Services (Jammu) 09419197338, 01912520982

Rajiv Gandhi General Hospital, Jammu (Contact: Dr. Anzum Mirza,09419256383)

17

Karnataka

Dr. P.T.Venkatesh, M.D. State Surveillance Officer & Deputy Director, State Surveillance Unit, Health & Family Welfare Commissionerate, Ananda Rao Circle, Bangalore – 560 009. Mob: 09449843151/ 9449679854

Dr. P.T.Venkatesh, M.D. State Surveillance Officer & Deputy Director, State Surveillance Unit, Health & Family Welfare Commissionerate, Ananda Rao Circle, Bangalore – 560 009. Mob: 09449843151/ 9449679854

18

Cleaning

State Nodal Officer : Shri J. Ashok Kumar, IAS Collector cum Development Commissioner & Secretary Health, UT of Lakshadweep, Kavaratti- 682555, Tel: 04896-262256 2. State Surveillance Officer Dr. K.P.Hamza Koya Director (Medical & Health Services) & Project Director (IDSP), Directorate Health Services, UT of Lakshadweep, Kavaratti- 682555, Tel :04896-262316

Indira Gandhi Hospital, Kavaratti Island, Lakshadweep

19

Kerala

Dr. Amar Fettle, State Nodal Officer (H1N1 , MERS & Ebola), State H1N1 Control Room, NRHM Office, Near General Hospital, Thiruvananthapuram, Kerala- 695035, India 09946123995, 09447451846

1. General Hospital, Kozhikode (Calicut ) (Dr Michael, Jr Cons 09847476700) 2. Govt Medical College Hospitals, Kozhikode (Calicut) (Dr Geetha M, Asst. Prof. Med, 09447229749) 3. General Hospital Trivandrum (Trivandrum) (Contact: Dr Syamsundar, Cons (Med) 09447020915, 4. Govt Medical College Hospitals, (Trivandrum) (Dr Sreekantan, Addl Prof Med 09446373737) 5. General Hospital Ernakulam, Cochin (Cochin) (Dr Vijayan, Cons ( Med), 09447664278) 6. Govt Medical College Hospitals, Ernakulam (Cochin) (Dr Joe Joseph Physician 09447029041)

20

Madhya Pradesh

Dr. Navneet Mohan Kothari Director (Public Health), PHFW, Bhopal Gas Tragedy Relief & Rehabilitation Department, Mantralaya Vallabh Bhawan, Bhopal–462004 09425122301,

1. Gajra Raja Medical College, Gwalior, [Dr. Sanjay Dhawale (Gwalior)Mob: 9329806580 2. Gandhi Medical Collage, Bhopal (Dr. Pranay Dhurvey, Mob: 9826296326) 3. MGM Medical College, Indore (Dr. Shiv Shankar Sharma Mob:94253–17105) 4. Netaji Subash Chandra Bose Medical College, Jabalpur (Dr. Deepak Varthare (Jabalpur), Asso. Prof. Medicine Dept.)

21

Maharashtra

Dr. Pradip Awate SSO (IDSP), Joint Director of Health Services (vector borne disease & waterborne disease), MF&WBD, 1ST floor, New Central Building, PUNE– 411001 (Maharashtra) 09423337556, 020– 26125792, 26122256

(A) Mumbai: 1: Trauma Care Centre Jogeshwari, Mumbai (Dr. Sashikan Wadekar, 9869246651) 2. Kasturba Hospital-Mumbai (Dr. Nitin Bavdekar : 9004115538) (B) Pune: 1. Naidu Hospital (10 beds) (Dr Francis: 9689931858) 2. B.J Medical College, Pune (Dr. Dilip Kafam-09422507937) 3. District Hospital , Pune (C) Nagpur 1. GMC , Nagpur (Dr.P.L Gattani: 9422707609) (D) GMC , Aurangabad (Dr. Mangala Borkar: 9975736850)

22

Manipur

Dr. Kh. Sasheekumar Mangang, SSO (IDSP ), Medical Directorate, Lamphel, Manipur – 795004 09612555708

Jawaharlal Nehru Institute of Medical Sciences and Hospital, Porompat, Imphal East, Manipur (Contact: Director (JNIMSH), 0385–2443142)

23

Meghalaya

Dr. R.O. Budnah, State Surveillance Officer (IDSP) & Joint Director (DHS), Meghalaya , Director of Health Services (M.I), Third Secretariat, Nokrek Building, Lower Lachumiere, Meghalaya, Shillong – 793001 09863020940, 0364– 2224354, 0364–2506498, idsp_megha@yahoo.co.in

Civil Hospital, Shillong

24

Mizoram

Dr. Pachuau Lalmalsawma, Joint DHS (FW), State Nodal Officer Directorate of Health Services, Aizwal , 0389–2313721 2319279 , 09436195535

State referral Hospital Falkawn, Aizawl District, Mizoram

25

Nagaland

Dr. Tiasunup Pongener, SNO IDSP, Dept. of Health &Family Welfare, Kohima, Nagaland Mob. No. 9436000760

Dimapur Civil Hospital, District –Dimapur

26

Odisha

Dr. Bikash Pattnaik Joint Director (PH), O/o the DHS, Odisha , 09437040564 / 09439994858, 0674–2391230

S.C.B Medical College & Hospital, Cuttack (0674–2390466 (State Health Control Room))

27

Puducherry (U.T)

Dr. T. Kumaravel State Surveillance officer (IDSP), Directorate of Health and Family Welfare Services, Victor Simonal St, Puducherry –1, 0413–2333644, 09443202831,

1. Govt. Hospital for Chest Disease, Gorimedu, Puducherry (Dr. Vasudevaiah, 09443282552) 2. JIPMER Hospital, Puducherry (Dr. Mahadevan, Dean (JIPMER), Contact Number – 0413 – 2298283)

28

Punjab

Dr Deepak Bhatia (Project Coordinator, IDSP Punjab), State Surveillance Unit, IDSP, Punjab 09914452403, 08872090029,

Guru Nanak Dev Hospital, Amritsar (Associated with Govt. Medical College) (Nodal officer for Guru Nanak Dev Hospital: 1. Dr. N.S Neki, Prof. (Medicine) 0951029128 2. Dr. J.P Attri, Asst. Prof (Anaesthesia), 09501025275 Nodal Officer for GMC: Dr Sanjeev Mahajan, Mob: 09814830325

29

Rajasthan

Dr. Aditya Atreya Room no; 323, Directorate of Medical & Health Services, Tilak Marg, C–Scheme, Jaipur, Rajasthan 09414377656,

S.M.S Medical College & Hospital, Jaipur (Dr. C.L Nawal, HoD Medicine, 09414053160)

30

Sikkim

Dr. (Mrs.) Y.D Chankapa Joint Director, Health cum SSO (IDSP) 03592-206581, 03592–232847, 817005700

1. STNM Hospital, Gangtok 2. Central Referral Hospital, Tadong

31

Tamil Nadu

Dr. K. Kolandaswamy Director (PH & PM) (Nodal Person for Tamil Nadu) 09444329907, 09003070125, Dr. S. Balasubramanian Joint Director (PH & PM) & State Surveillance Officer (IDSP) {Single point of contact} 09842819225, 09443419225,

1. Madras Medical College and Govt. Rajiv Gandhi General Hospital, Chennai-600003. (Dr.S.Ragunandanan.MD, Professor of Medicine 9840185742) 2. Trichy KAP Viswanatham Medical College and Mahatma Gandhi Memorial Govt. Hospital, Trichy–620017 (Dr.G.Sathish Kumar. MD, Senior Assistant Professor of Medicine 9842411944) 3.Coimbatore Medical College Hospital, Coimbatore–641018 (Dr.S.Usha. MD, Professor of Medicine. Cell:9865980015) 4. Madurai Medical College and Govt. Rajaji Hospital, Madurai–625 002 (Dr. S.Vadivel Murugan. MD, Prof and HoD Medicine, Cell: 9566543048.)

32

Telangana

Dr. K. Subhakar, Professor (Pulmonary Medicine), Osmania Medical College, Govt. General Hospital (Chest Hospital) Telangana, 09246157447 Dr. Raju (Supporting Officer) Joint Director (IH), O/o DPH&FW (TS), 08331808364

Gandhi Hospital , Secunderabad (Dr. Raju (Supporting Officer) Joint Director (IH), O/o DPH&FW (TS), 08331808364, 040–27505566)

33

Tripura

Dr. Pranab Chatterjee Joint Director (Family welfare & Preventive Medicine) & SSO (IDSP) 09436120711, Tel: 03812315879

Agartala Government Medical College & GBP Hospital, Agartala, Tripura. (Dr. Debashis Barman, Asst. Professor, Department of Microbiology, AGMC, 09436465794)

34

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Dr. Pranab Chatterjee Joint Director (Family welfare & Preventive Medicine) & SSO (IDSP) 09436120711, Tel: 03812315879

1. Balrampur Hospital, Lucknow (Dr. Rakesh Yadav , CMS: 09415912246, 0522-2422838, 2. Pt. Deen Dayal Upadhyay Hospital, Varanasi.

35

Uttarakhand

Dr. Kiran Bisht Joint Director (IDSP) Mob: 09411753324, Tel: 0135–2608952,

1. Base Hospital, Haldwani, Nainital [Dr. B.D Bhardwaj, C.M.S, Base hospital, 05946-255110, 2. Doon Hospital, Dehradun (Garhwal Mandal) [Dr. R.S Aswal, C.M.S, 09412036865

36

West Bengal

Dr. K.K. Poti, Joint Director (PH) Directorate of Health Services Mob: 9434067175

I.D.B.G.HOSPITAL (Teaching Hospital), 57, Beleghata Mai Road. Kolkata–700010. (1. Dr. Ucchal Kumar Bhadra. Mob: 09433006937. Land:033–2303–2201) 2. M.S.V.P:-Prof.(Dr) Shyama Prasad Mitra. 3 Sh. Alokesh Koley. Mob:-09830056291

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Heart Care Foundation of India is all set to bring health and Well-Being to Dilliwalas this festive season through its annual flagship event – the 21st MTNL Perfect Health Mela Scheduled to take place from Oct 15 – 19, 2014 at the Talkatora Indoor Stadium in New Delhi

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MTNL Perfect Health Mela

Heart Care Foundation of India, a leading national non–profit organization committed to making India a healthier and disease-free nation announced the upcoming activities of the 21st MTNL Perfect Health Mela scheduled to be held from 15th – 19th October 2014 at the Talkatora Indoor Stadium in New Delhi.

Sameer Malik Heart Care Foundation Fund

The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number +91 9958771177 or by filling the online form.

Madan Singh, SM Heart Care Foundation Fund, Post CAG

Kishan, SM Heart Care Foundation Fund, Post CHD Repair

Deepak, SM Heart Care Foundation Fund, CHD TOF

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cpr10 Mantra The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."

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Dr Good and Dr Bad

Situation: A diabetic elderly came with low HDL levels.
Dr Bad: It carries no significance in the elderly.
Dr Good: This is an important risk factor.
Lesson: Lower HDL cholesterol is an important risk factor for not only IHD but also CVD, especially in diabetic elderly individuals. (Diabetes Care 2009;32(7):1221–3.)

Make Sure

Situation: A patient of pulmonary Koch’s taking ATT complains of numbness in fingers and toes.
Reaction: Oh my God! I forgot to prescribe vitamin B complex
Make sure that in patients talking ATT (including INH) B–complex vitamins (especially vitamin B6) are prescribed to prevent neuropathy. Addition of antioxidants and multivitamins also boost the immune system.

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Widow's Future

A woman visits a fortuneteller who tells her, "Prepare yourself to be a widow. Your husband will die a violent and horrible death this year."

Visibly shaken, the woman takes a few deep breaths, steadies her voice and asks, "Will I be acquitted or will they catch me for the crime?"

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Dr KK Aggarwal: ECG not reliable marker for predicting heart disease
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Wellness Blog

  1. Fill half your plate with fruits and vegetables: Our bodies need more potassium than sodium. High sodium can contribute to high blood pressure. Fruits and vegetables are naturally low in sodium, and many fruits and vegetables are good sources of potassium. Filling the plate with them will boost your potassium and shift the sodium-potassium balance in our favor.
  2. The average person cannot detect moderate changes in sodium levels, including reductions of up to as much as 25%.
  3. Retrain your taste buds. We can shift our sense of taste to enjoy foods with lower levels of sodium. One key to success: make the changes gradually and consistently over a period of time, rather than trying to cut back by a large amount all at once.
  4. Watch out for hidden sodium. “Fresh” and “natural” meats and poultry may be injected with salt solutions as part of their processing, and manufacturers are not required to list the sodium content on the label. Some foods that are high in sodium may not taste especially salty, such as breakfast cereals, bakery muffins, energy drinks, and sports drinks. {Harvard}

ePress Release

Heart Care Foundation of India is all set to bring health and Well-Being to Dilliwalas this festive season through its annual flagship event – the 21st MTNL Perfect Health Mela

- Scheduled to take place from Oct 15 – 19, 2014 at the Talkatora Indoor Stadium in New Delhi

Heart Care Foundation of India, a leading national non-profit organization committed to making India a healthier and disease free nation is all set to open the doors to its annual flagship event – the Perfect Health Mela. A confluence of tradition and modernity, the main aim of the Mela is to create mass awareness about all aspects of health; using a consumer driven model as the medium. In it’s 21st edition, the Perfect Health Mela is being co-organized with the MCD, MTNL, SAIL and NDMC and is scheduled to take place from 15- 19th October 2014 at the Talkatora Indoor Stadium in New Delhi. The theme of this year’s event is “Swachch Bharat, Swasth Bharat”.

Catering to people from all age groups and walks of life, the Perfect Health Mela incorporates activities across categories such as health check up camps, entertainment programs, lifestyle exhibitions, workshops and competitions. The special health features of this year’s event will a live telemedicine facility being offered at the venue for the first time ever include by leading Multispecialty hospital, Medanta – the Medicity. In addition to this a Health and Heart Pavilion will be set up in association with SAIL to provide free medical check-ups and disease diagnosis tests to consumers. The Sameer Malik Heart Care Foundation Fund, an initiative by the Heart Care Foundation of India, will also provide heart surgeries at subsidized rates for the poor and needy. A special cleanliness drive will also be held to raise awareness about the importance of cleanliness and hygiene in disease prevention.

Addressing the Press Conference Padma Shri, DST National Science and Communication and Dr. BC Roy National Awardee and the President of the Heart Care Foundation of India, Dr. KK Aggarwal said “It has been Heart Care Foundation of India’s constant endeavor to continuously develop engaging and consumer driven modules to educate the masses about the importance of preventive healthcare and the Perfect Health Mela has been one of the most successful examples. This year we are moving one step forward and concentrating on actual disease diagnosis and treatment along with prevention. A special feature of this year’s event, will the availability of a live telemedicine facility through which people visiting the Mela can seek consultation from doctors at Medanta – the Medicity. I am extremely happy to have partners like SAIL, MTNL and Medanta – the Medicity, MCD and NDMC on board to help us make best use of the advancements in technology to make healthcare more accessible for all”.

Over 2-3 lakh people visit the 5-day event each year including over 7000 college and schools students who take pride in participating in various health themed competitions such as poster making, dance, theater, slogan writing and fashion shows amongst others.

Speaking on the occasion, National Awardee and the Chairman and Director of Medanta – the Medicity, Dr. Naresh Trehan said, “As our country moves on the path of development, in the medical field we primarily face two challenges. One is to seamlessly integrate medical advancements in our system to provide the highest quality of care and the other is to make medicine more accessible and affordable for all. We at Medanta – the Medicity are extremely happy to have partnered with the Heart Care Foundation of India to help provide a solution to both these problems at the Perfect Health Mela. We will not only just be providing live telemedicine facilities at the venue but have also associated with one of the NGO’s key projects the Sameer Malik Heart Care Foundation Fund to provide subsidized surgery for heart patients who can’t afford treatment. I look forward to more such partnerships with Dr. KK Aggarwal.”

Adding to this Mr. Gunjan Sinha – General Manager Corporate MTNL, Dr. PK Sharma – Medical Health Officer NDMC and Dr. S.K. Gupta Director Medical and Health Services SAIL in a joint statement said, “A healthy nation is a progressive nation. We are extremely happy to be associated with the 21st Perfect Health Mela and hope that through our joint efforts we can help make our country a healthy one”

Others present at the occasion included Dr. K.S. Baghotia Additional Director Health, D.H.S. New Delhi, Mr. Diwakar Payal, President Marketing Shree Cement Ltd., and Ms. Sujatha Kumar Director-Strategic Initiative Coca Cola and Sr. official from LIC.

To know more about the Perfect Health Mela please visit www.perfecthealthmela.com

eMedi Quiz

Bacitracin acts on:

1. Cell wall
2. Cell membrane.
3. Nucleic acid.
4. Ribosome.

Yesterday’s Mind Teaser: A 2-month-old baby with acute icteric viral hepatitis like illness slips into encephalopathy after 48 hours. The mother is a known hepatitis B carrier. Mother's hepatitis B virus serological profile is most likely to be:

1. HBsAg positive only.
2. HbsAg and HBeAg positive.
3. HBsAg and HBe antibody positive.
4. HBV DNA positive.

Answer for yesterday’s Mind Teaser: 2. HbsAg and HBeAg positive.

Correct answers received from: Daivadheenam Jella, Dr Jainendra Upadhyay, Dr.K.V.Sarma,Dr Avtar Krishan, Dr Poonam Chablani

Answer for 12th Oct Mind Teaser: b. Combination of store and forward and video conference

Correct answers received from: Dr.K.V.Sarma

Send your answer to email

medicolegal update

(Dr. K K Aggarwal, Padma Shri and Dr. B C Roy National Awardee; Editor eMedinewS and President Heart Care Foundation of India)

Giving an opinion on phone has no legal liability

No legal liability will fall upon the doctor as there is no contract between him and the patient. For negligence to be proved there has to be a duty, breach of that duty and resultant damage. In this case there will no breach of duty. Only if the specialist has charged fee for his opinion from the patient (patient can sue) or from the physician (patient and doctor both can sue), he or she is liable. If the fee has been paid by the referring physician, it will be deemed to be paid by the patient.

medicolegal update
  1. Good that you are one of the 9 icons in Swachch Bharat Swasth Bharat Abhiyan, Kindly include cleaning of Quacks who are also a big threat towards swasth Bharat. Dr. Parvesh Sablok

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