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15th March 2010, Monday
The Rishis knew how to prevent metabolic syndrome
Metabolic syndrome is characterized by pot belly obesity, hyperinsulinemia, insulin resistance, high triglyceride levels and low good HDL cholesterol. A metabolic syndrome patient is susceptible to develop diabetes, hypertension and premature atherosclerosis.
Today India is facing an epidemic of metabolic syndrome. Being an Indian is now considered a risk factor for metabolic syndrome. Than why metabolic syndrome was not present in the society in ancient vedic times. The reason probably lies with our Rishis and Munis who created preventive rituals, which we have stopped following. They included observing weekly fast, an extra monthly fast on full moon and additional nine days fast each before winter and summer during navratras.
A typical fast includes not eating grains on the day of fast. The grains prohibited were wheat flour and white rice. The permissible grains were ‘singhara’ flour and/or ‘kutu’ flour. In medical language, the fast can be described as eating less quantity (one meal a day) and avoiding carbohydrates all together or only eating non refined carbohydrates with low glycemic index. This is what we as medical professionals are advocating today to all our patients to prevent or treat metabolic syndrome. Both ‘kutu’ and ‘singhara’ flour have low glycemic index. The typical fast also include consuming fruits, leaves or drinking milk. All these foods are metabolic syndrome–friendly.
Eating less is also depicted in the spiritual practice as ‘bhog’. We offer ‘bhog’ to God and not feed God, thereby emphasizing the need for eating less.
Laughter the best medicine: Actual medical record
Patient has left his white blood cells at another hospital.
Formulae in Critical Care
Conversion of lbs into kg
Milestones in Ortho: PERCIVAL POTT (1714–1788)
Best known for the fracture that bears his name, Pott’s fracture, as he was the first to give a good description of this ankle fracture.
Mistakes in Clinical Practice
Give specific instructions. "Use as directed" is not appropriate.
1–7 April Prostate Disease Awareness Week: Prostate SMS of the Day (Dr Anil Goyal)
Transabdominal USG in BPH should be done to determine size of prostate gland and its effects on bladder and kidneys. USG should be done with full bladder and also after voiding to know postvoid residual urine.
Lab test (Dr Navin Dang)
Levels of total cholesterol, LDL and apolipoprotein B, increase significantly in women at the time of menopause thus increasing the risk factors for coronary heart disease.
List of Approved drug from 1.01.2009 to 31.10.2009
ZEN IMMUNE–FACT SHEET
ZENIMMUNE SLIM IS KNOWN TO HELP PREVENT PLAQUE FORMATION IN THE BLOOD VESSELS AND FACILITATE IMPROVED BLOOD CIRCULATION.
Advertising in eMedinewS
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Will be organized at Maulana Azad Medical College, New Delhi on July 4, 2010, Sunday to commemorate Doctors’ Day. The speakers, chairpersons and panelists will be doctors from NCR, who have been past and present Padma awardees.
The second 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.
NATIONAL SEMINAR ON STRESS PREVENTION (17–18 April) . Over 300 registrations done already.
A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris will be organized from April 17–18, 2010.
Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch
Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.
Timings: On Saturday 17th April (2 pm onwards) and Sunday 18th April (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: 9811090206, firstname.lastname@example.org BK Sapna: 9811796962, email@example.com
Also, if you like emedinews you can FORWARD it to your colleagues and friends. Please send us a copy of your forwards
Doctor Pharma Relationship: What the media has reported
Stiffer rap for gift-taking docs (Sanchita Sharma, Hindustan Times)
The Medical Council of India (MCI) has prescribed a bitter pill that all doctors must now swallow. Doctors found accepting gifts from pharmaceutical companies will face punishment ranging from a fine to at least one year of licence-suspension. More serious violations such as endorsing a pharmaceutical product could result in permanent removal of the doctor's name from the medical register, effectively ending the doctor's career.
To add shame to pain, the Council plans to publish on its website the doctor's name, that of the pharma company, nature of offense and punishment. The proposals were finalised by the MCI at a meeting on Friday and sent to the health ministry for its approval. "Even if the name of a doctor is restored on the medical register after the period of punishment, the record that such a case had happened and that the doctor was punished would be available on the website for the public to scrutinize," said MCI president Dr Ketan Desai.
The MCI first moved against pharma freebies for medicos in January, banning doctors from accepting gifts, travel facilities or hospitality of any kind from the drug industry. The latest move fixes the quantum of punishment for violations. For gifts worth Rs 1,000-Rs 5,000, doctors will only be censured. That would mean that gifts worth up to Rs 1,000 would be acceptable but those up to Rs 5,000 would attract censure. The council has been holding meetings since January to reach a consensus on the quantum of punishment, something that was proving difficult as members could not come to an agreement.
1. Gifts/Travel/Expenses/Cash Hospitality: upto 5000 (censure); upto 10,000 (3 months suspension); upto 50,000 ( 6 months suspension); Upto 1 lac (1 year suspension), over 1 lac (more than 1 year suspension).
2. Violation of regulation regarding pharma sponsored medical research ( First time censure, therefater removal from medical register for period dependent on violation)
4. Violation of professional autonomy while dealing with pharma company ( Firt time censure, therefter removal from medical register)
5. Any public endorsemenbt of drug/product (firts time censure, therefater removal from medical regsiter)
Dr Sanjiv Chopra Faculty Dean at Harvard to talk in Delhi on Leadership
Title of Talk: Leadership for the 21st Century: The Ten Tenets of Leadership
1. Discuss the qualities of great leaders.
Leadership Talk Description
In this talk Dr. Sanjiv Chopra will discuss historic figures such as Mahatma Gandhi, Florence Nightingale, and Winston Churchill, as well as contemporary leaders, and examine what makes them effective. What are some of the qualities and attributes of the great leaders? What is leadership, and can it be taught or is it something you’re born with? It’s a subject I’ve been fascinated with. He will assert that great leaders listen will, they have empathy, they dream big, they’re resilient, they have a sense of purpose. The possess humility and humor, they also have integrity and great people skills.
Dr. Sanjiv Chopra will examine whether Adolf Hitler, who was certainly a charismatic figure and fiery orator, was a great leader. He will discuss 10 Tenets of Leadership, and I believe anyone who follows these tenets will be on the path to becoming a better leader. Leaders occur in all walks of life, and one can lead at many different levels.
About Sanjiv Chopra, M.D., MACP
Dr. Sanjiv Chopra is Professor of Medicine and Faculty Dean for Continuing Medical Education at Harvard Medical School, and Senior Consultant in Hepatology at the Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Dr. Chopra has scores of publications. He has four books to his credit. His books have been translated into several languages including Portuguese, Japanese, Italian and Czech.
Dr. Chopra is Editor-in-Chief of the Hepatology Section of UpToDate, the most widely used electronic textbook in the world (subscribed to by an estimated 300,000 physicians worldwide).
Dr. Chopra has received a number of teaching awards:
1. The George W. Thorn Award presented by the Brigham and Women’s Hospital Housestaff, Harvard Medical School in 1985 for his outstanding contribution to clinical education
Dr. Chopra serves as the Course Director of several CME courses including seven annual Current Clinical Issues in Primary Care (PriMed) conferences held in collaboration with UCLA, Johns Hopkins, Baylor College of Medicine, University of Miami, Northwestern University and Columbia Presbyterian College of Physicians and Surgeons. In addition to directing these conferences, he delivers several lectures, moderates a number of sessions and has served as a Keynote speaker on several occasions. Each of the PriMed conferences are attended by 4,000 – 8,000 clinicians.
Dr. Chopra has had a life long passion in educating clinicians and lay people. He has conducted scores of workshops on Success and Life Principles. He has given a number of Keynote addresses on the topic of Leadership – “Leadership for the 21st Century: The Ten Tenets of Leadership” to wide acclaim in the United States and several countries abroad.