January 15 2015, Thursday
Social Media Code of Conduct
Posting on social media

In the past few years social media has become an important and integral part of life. IMA Social Media Code of Conduct aims to provide specific guidance on best practice behavior when working and operating within social media.
  1. Public vs Private
    1. Despite the existence of privacy options, many items published in social media are publicly accessible. Assume that no sites are fully private.
    2. Always start with the assumption that anything you write or say can be read by anyone, anywhere, at any time.
    3. Remember that the Internet has a long memory.
    4. Exercise good judgment when posting.
    5. Be aware that inappropriate conduct can negatively affect your reputation and put you in legal trouble
    6. Always ask yourself before posting “Is it the truth; is it necessary and will it bring happiness to me and the others". If the answer to any one is no, do not post it.
  2. Always be Non Judgmental
    1. Follow the principles of non violent communication
    2. Always give a reference, or communicate in the language of "quote unquote"
    3. Always give your personal opinion and not a general statement
    4. Never say he or she is rude; say what she said hurt me. Always give a benefit of doubt to other’s statement.
  3. Be transparent
    1. When commenting in a personal capacity, be open and transparent about who you work for, who you represent or who you may be speaking on behalf of.
    2. Not revealing your identity may mean engaging in covert advertising, marketing or PR activity.
    3. Be upfront that the views being expressed are personal.
    4. Always write a disclaimer: “ The views expressed are my own and do not necessarily reflect those of my employer or colleagues"
  4. Be accurate
    1. Posts should be accurate, evidence based and fact-checked and capable of substantiation.
    2. It should be true and necessary
    3. If you do make a mistake, ensure you correct it promptly.
    4. Always refer to the earlier comment because even if the erroneous comment has been deleted, someone may have saved it as an image or other format.
    5. Always have criticism backed up with solid evidence.
  5. Be professional
    1. Be professional and constructive.
    2. Use sound judgment before posting.
    3. Be polite and respectful of others opinions, especially when discussions become heated.
    4. Always respect other people’s privacy.
  6. Be fair and respectful
    1. Never post malicious, misleading or unfair content
    2. Be fair to your competitors
    3. Do not post content that is obscene, defamatory, threatening or discriminatory
    4. Do not post comments that you would not say directly to another person
    5. Consider how other people might react before you post.
    6. If you respond to published comments that you may consider unfair, always be accurate and professional.
    7. Always be authentic, constructive and respectful.
  7. Be smart
    1. Respect other people’s intellectual property: Trade mark, slogans and copyrighted material.
    2. Assume that all content online is protected by copyright.
    3. Make sure you have permission to post copyright items
    4. Attribute the work to the copyright owner where required
    5. Never use someone else’s work as your own.
    6. If you are unsure do not post the content.
  8. Be aware of confidentiality
    1. Do not disclose any information that is confidential
    2. Always follow the IMA Protecting Health Information Policy
  9. Be careful and be responsible
    1. Do not use your organization’s or a third party’s logo/s, trademarks or materials on your website/blog or in a post unless it has been cleared for public use.
  10. Always have a plan for crisis management
    1. When planning a social media campaign, a crisis management plan, including an escalation path, must be in place before commencement. This is a critical step given the possibility of negative publicity and subsequent damage to reputation if not handled in a planned and professional manner.
No cross pathy but Ayush systems and modern medicine specialists can work together
Dr KK AggarwalAll systems of medicine are different. You cannot become expert in one without studying the required course and cannot practice one without being registered with the respective council. Ayurveda is generating lot of interest worldwide and India is the heritage country of Ayurveda. The need is for both of them to work together and if we can achieve the following we can conquer the world
  • Combining principles of Panchkarma in chronic diseases and reducing the quantity and duration of allopathic drugs.
  • Combining Panchkarma and modern medicine in reversing aging and lifestyle diseases like heart, kidney diseases etc.
  • If we can reduce the duration and dose of antibiotics in modern system of medicine.
  • If we can tackle the problem of drug resistance in the country.
  • If we can find an indigenous vaccines from Ayurveda or Homeopathy etc.
Ayurveda Update in the Recent Media
  1. AMAI urges Union government to declare Ayurveda as the mainstream medicine of India: Peethaambaran Kunnathoor, Chennai; Tuesday, January 13, 2015: The Ayurveda Medical Association of India (AMAI) has urged the Ayush Department to declare Ayurveda system of treatment as the mainstream medical system of the country. The AMAI passed a unanimous resolution in this regard at its 15th state conference held at Kollam in Kerala on January 11.For Ayurveda, challenge is to keep off allopathic drugs, says PM Narendra Modi was the headline in one of the news item appeared in the Indian Express.
  2. Prime Minister Narendra Modi at the valedictory function of the 6th World Ayurveda Congress in New Delhi on November 10th said the biggest challenge for Ayurveda is the inclination of its practitioners towards prescribing allopathic drugs.
    “The biggest challenge for Ayurveda are the people who have dedicated themselves to it, but when a patient comes, often say let us start with allopathic medicine for the first three days and then move to Ayurveda. Ayurveda doctors need to be 100 per cent committed to Ayurveda,” Modi said in his address. Crosspathy is not allowed as per a Supreme Court order, but that does not stop Ayurveda practitioners from prescribing allopathic medicines.
    The PM emphasized the point that the two are not competing streams of science because one has to do with prevention and the other with cure, but there is a need for Ayurveda to be spoken about in a language that the world understands. “Medical journals should dedicate 10-20 per cent of their space to Ayurveda,” he added.
    He cited the example of the global popularity of Yoga to assert that it is possible for Ayurveda too to attain such heights, but the precondition is that people who work on it should first believe it themselves.
Dr KK Spiritual Blog
Facts about Soul and the Spirit
  1. Energy is the raw material of the universe.
  2. Information is the organization of energy into reproducible patterns.
  3. Consciousness is living information and energy (living energized information)
  4. Consciousness is, therefore, intelligence.
  5. Intelligence is information and energy that has self–referral or the ability to learn through experiences and the ability to reinterpret and influence one’s own information and energy states.
  6. Consciousness is live, advanced, software–driven energized information.
    Closest example: Advanced computer software which can type, correct, interpret, edit and store spoken or read information.
Health Check Up and CPR 10 Camp at G B S S School, No-2, Ambedkar Nagar on 19th December 2014
IMA in Social Media
https://www.facebook.com/ima.national 27867 likes
https://www.facebook.com/imsaindia 45761 likes
https://www.facebook.com/imayoungdoctorswing 241 likes
Twitter @IndianMedAssn 725 followers
Quote of the Day
Act with kindness, but do not expect gratitude. Confucius
News on Maps
CPR 10

Total CPR since 1st November 2012 – 101090 trained
IMA Facebook Likes
Click here
Twitter of the Day
Dr KK Aggarwal: Raw milk not safe by Dr. K K Aggarwal http://bit.ly/173zZ6B #Health
Dr Deepak Chopra: Becoming self-aware opens the door to lasting change & empowers us to make the most nourishing choices http://bit.ly/DC_Ananda #ananda
Make Sure
Situation: An adult undergoing bronchoscopic biopsy developed infective endocarditis.

Reaction: Oh my God! Why was IE prophylaxis not given?
Lesson: Make sure, that all procedures of the respiratory tract that involve incision or biopsy of the respiratory mucosa include IE prophylaxis.
Reader Response
Very informative I could gather a lot of points. Thank you & looking forward to more such emedinews. Dr V Indira
Wellness Blog
5 Ways to Use less Salt
  1. Use spices and other flavor enhancers such as spices, dried and fresh herbs, garlic and ginger, citrus, vinegars and wine. Flavors can be black pepper, cinnamon and turmeric to fresh basil, chili peppers, and lemon juice.
  2. Use the right healthy fats — from roasted nuts and avocados to olive, canola, soybean and other oils.
  3. Searing and sautéing foods in a pan builds flavor. Roasting brings out the natural sweetness of many vegetables and the taste of fish and chicken. If you do steam or microwave food, perk up these dishes with a finishing drizzle of flavorful oil and a squeeze of citrus.
  4. Get your whole grains from sources other than bread. White bread contains salt, not just for flavor but to ensure that the dough rises properly.
  5. Shop for raw ingredients with maximum natural flavor, thereby avoiding the need to add as much (if any) sodium. (Harvard)
(Malwinder Singh Sidhu), PPS
AIG/Crime (Litigation), Punjab.
DATED: 3.12.2014


Director, Bureau of Investigation, Punjab, Chandigarh,

Copy to:-

1. IGP/NRI Wing, Punjab, SAS Nagar.
2. All Commissioners of Police in Punjab.
3. All Sr. Superintendents of Police in Punjab.
4. AIG/GRP, Punjab, Patiala.
5. SP/Incharge- State Crime Police Station, SAS Nagar.
6. SP/Incharge State Cyber Crime Police Station, SAS Nagar.

1. The ADGP/GRP, Punjab, Patiala.
2. All Zonal inspectors General of Police in the State.
3. All Range Deputy Inspector General in the State. No. 27820-63 /CR-LA-5 dated Chandigarh, the:- 2.12.2014. Subject: Civil Writ Petition No. 19472 of 2014 titled as 'Medicos' Legal Action Group Vs. Union of India & Ors.' Memo: Please refer to the subject cit. above.

2. Enclosed please find herewith copies of judgments passed by Hon’ble Supreme Court of India in Criminal Appeal Nos. 144-145 of 2004, titled as ' Jacob Mathew Vs. State of Punjab an Anr', and, Civil Appeal No. 3541 of 2002, titled as ' Martin F. D'Souza Vs. Mohd. Ishfaq'.

3. In the case of Jacob Mathew Vs. State of Punjab and Anr, Hon'ble the Supreme Court of India has passed the following directions:- ...

"Conclusions summed up
49. We sum, up our conclusions as under:-

(1) Negligence the breach of a duty caused by omission to do something which a reasonable man guided by those considerations which ordinarily regulate the conduct of human affairs would do, or doing something which a prudent and reasonable man would not do. The definition of negligence as given in Law of Torts, Ratanlal & Dhirajlal (edited by Justice G.R. Singh), referred to hereinabove, holds good. Negligence becomes actionable on account of Injury resulting from the act or omission amounting, to negligence attributable to the person sued. The essential components of negligence are three: duty; 'breach' and 'resulting damage’.

(2) Negligence in the context of medical profession necessarily calls for a treatment with a difference. To infer rashness or negligence 017 the part of a professional, in particular a doctor, additional considerations apply. A case of occupational negligence is different from one of professional negligence. A simple lack of care, an error of judgment or an accident is not proof of negligence on the part of a medical professional. So long as a doctor follows a practice acceptable to the medical profession of that day, he cannot be held liable for negligence merely because a better alternative course or method of treatment was also available or simply because a more skilled doctor would not have chosen to follow or resort to that practice or procedure which the accused followed When it comes to the failure of taking precautions what has to be seen is whether those precautions were taken which the ordinary experience of men has found to be sufficient,. a failure to use special or precautions which might have prevented the particular happening cannot be the standard for Judging the alleged negligence. So also, the standard of care, while assessing the practice as adopt. is Judged in the ll9ht of knowledge available at the time of the incident and not at the date of Mai Similarly, when the charge of negligence arises out of failure to use some particular equipment the charge would fail if the equipment was not generally available at that particular time (that is, the time of the incident) at which it is suggested should have been used

3. A professional may be held liable for negligence on one of the two findings: either he was not possessed of the requisite skill which he professed to have possessed, or, he de not exercise, wnY7 reasonable competence the given case, the skill which he old possess. The standard to be applied for Judging, whether the person charged has been negligent or not, would be that of an ordinary competent person exercising ordinary skill in that profession. It is not possible for every professional to possess the highest level of expertise or skills in that branch which he practices. A highly skilled professional may be Possessed of better qualities, but that cannot be made the basis or the yardstick for fudging the performance of the professional proceeded against on indictment of negligence

(4) The test for determining medical negligence as laid down in Bolam’s case (1957) 1 W.L.R. 582 holds good in its applicability in India.
(5) The Jurisprudential concept of negligence differs in civil and criminal law. What may be negligence in civil law may not necessarily be negligence in criminal law. For negligence to amount to an offence, the element of mens rea must be shown to exist. For an act to amount to criminal negligence, the degree of negligence should be much higher i.e. gross or of a very high degree. Negligence which is neither gross nor of a higher degree may provide a ground for action in civil law but cannot form the basis for prosecution.

(6) The word gross' has not been used in Section 304A of IPC, yet it is settled that in criminal law negligence or recklessness, to be so held, must be of such a high degree as to be 'gross’, The expression 'rash or negligent act' as occurring In Section 304A of the PC has to be read as qualified by the word grossly’.

(7) To prosecute a medical professional for negligence under criminal law It must be shown that the accused did something or failed to do something which in the given facts and circumstances no medic, profession, in his ordinary senses and prudence would have done or failed to do. The hazard taken by the accused doctor should be of such a nature that the injury which resulted was most likely Imminent

(8) Res ipsa loquitur is only a rule of evidence and operates in the domain of civil law specially. cases of torts and helps in determining the onus of proof in actions relating to negligence. It cannot be pressed in Service for determining per se the liability for negligence within the domain of criminal law. Res ipsa loquitur has, if at all, a limited application in trial on a charge of criminal negligence.

50. In view of the principles laid down hereinabove and the preceding discussion, we agree with the principles of law laid down in Dr. Suresh Gupta's case MANU/SC/0579/2004: 2004 CriL13870 and re-affirm the same. Ex abundant, cautela, we clarify, that what we are re-affirming are the legal principles laid down and the law as stated in Dr. Suresh Gupta's. case. We may not be understood as having express, any opinion on the question whether on the facts of that case the accused could or could not have been held guilty of criminal negligence as that question is not before us. We also approve of the passage from Errors, Medicine and the Law by Alan Merry and Alexander McCall Smith which has been cited with approval in Dr. Suresh Gupta’s case (note vide Para 27 of the report).

Guidelines – re: Prosecuting medical Professions

51. As we have noticed hereinabove that the cases of doctors (surgeons and physicians) being subject, to criminal prosecution are on an Increase. Sometimes such prosecutions are filed by Private complainants and sometimes by police on an FIR being lodged and cognizance taken. The invest/gating officer and the private complaint cannot always be supposed to have knowledge of medical science so as to determine whether the act of the accused medical professional amounts to rash or negligent act within the domain of criminal law under Section 304A of IPC. The criminal process once initiated subjects the medical professional to serious embarrassment and sometimes harassment. He has to seek ball to escape arrest, which may or may not be granted to him. At the end he may be exonerated by acquittal or discharge but the loss which he has suffered in his reputation cannot be compensated by any standards.

52. We may not be understood as holding that doctors can never be prosecuted for an offence of which, rashness or negligence an essential ingredient. All that we are doing is to emphasize the need for care and caution in the interest of society for, the service which the medical profess/en renders to human beings is probably the noblest of all, and hence there a need for protecting doctors from frivolous or unjust prosecutions. Many a complainant prefers recourse to criminal process as a tool for pressurizing the medical professional for extracting uncalled for or unjust compensation. Such malicious proceedings have to be guarded against.

53. Statutory Rules or Executive Instructions incorporating certain guidelines need to be framed and issued by the Government of India and/or the State Governments in consultation with the Medical Council of India. So long as it is not done, we propose to lay down certain guidelines for the future which should govern the prosecution of doctors for offences of which criminal rashness or criminal negligence is an ingredient. A private complaint may not be entertained unless the complainant has produced prima face evidence before the Court in the form of a credible opinion given by another competent doctor to support the charge of rashness or negligence on the part of the accused doctor. The investigating officer should, before proceeding against the doctor accused of rash or negligent act or omission, obtain an independent and competent medical opinion preferably from a doctor government service qualified that branch of medical practice who can normally be expected to give an impartial and unbiased opinion applying Bolam's test to the facts collected in the investigation. A doctor accused of rashness or negligence, may not be arrested in a routine manner (simply because a charge has been leveled against him). Unless his arrest is necessary for furthering the investigation or for collecting evidence or unless the Investigation officer feels satisfied that the doctor proceeded against would not make himself available to face the prosecution unless arrested, the arrest may be withheld.

Case at hand

54. Reverting back to the facts of the case before us, we are satisfied that all the averments made in the complaint, even if held to be proved, do not make out a case of criminal rashness or negligence on the part of the accused appellant. It is not the case of the complainant that the accused-appellant was not a doctor qualified treat the patient whom he agreed to treat. It is a case of non-availability of oxygen cylinder either because of the hospital having faded to keep available a gas cylinder or because of the gas cylinder being found empty. Then, probably the hospital may be liable in civil .w (or may not be -- we express no opinion thereon) but the accused appellant cannot be proceeded against under Section 304A IPC on the parameters of Bolam's test."

4. Similarly, In the case of Martin F. D'Souza Vs. Mohd. Ishfaq, the Hon’ble Supreme Court has passed the directions as under:- …… "124. It must be remembered, that sometimes despite their best efforts the treatment of a doctor falls. For Instance, sometimes despite the best effort of a surgeon, the patient dies. That does not mean that the doctor or the surgeon must be held guilty or medical negligence, unless there is some strong evidence to suggest that he is.”…..

5. It is hereby directed that the directions issued by the Hon’ble Supreme Court of India, in the abovesaid Criminal Appeal Nos. 144-145 of 2004, titled as 'Jacob Mathew Vs. State of Punjab an Anr, and Civil Appeal No. 3541 of 2002, titled as 'Martin F. D'Souza Vs. Mohd. Ishfaq', be circulated to all the SHOs and Investigating Officers under your jurisdiction, for meticulous compliance of the same.

Encl: As above.

For Director Bureau of Investigation, Punjab, Chandigarh
Minutes of Meeting held at IMA Headqurters on 12 Jan 2015

Chaired by Dr. K.K. Aggarwal Hony Secy Gen

Attended by Mr. Joachim Theis and Ms. Dora Giusti (UNICEF), Dr. R.N. Tandon, Dr. Rajeev Seth, Hamsa and Mr. V.K. Verma

The meeting was held to discuss future plans for the IMA-UNICEF Project for Training of Trainers on Child Sexual Abuse (CSA Prevention and Response for Medical Professionals).

The following points were discussed and agreed upon:

  1. In terms of the training, the ToT is being conducted by UNICEF Faculty and IMA. However, further training is to be done by those trained at these ToTs; this will be done through the IMA network. Those trained in the ToTs will be requested to take an exam at the end of the training period (tentatively April/May 2015), on passing which they will receive a certificate from IMA certifying them as IMA National Faculty. The exam will be based on the trainings and on the standard reading material (Power Points and Manual) provided to the participants of the ToTs. After this, they will be qualified to take further trainings on CSA in their own region or anywhere in the country, and to charge up to Rs. 3000/- as fees for taking this training (optional).
  2. UNICEF offered that they can explore a partnership with IMA in states in which they are present and that the respective state office can cooperate with state offices of IMA to ensure that the trainers in that state are given the technical and other support necessary to conduct further trainings.
  3. In terms of networks, it was discussed that two Whatsapp groups and a Google Group would be created in order to ensure that those trained in the IMA-UNCEF trainings had a forum to remain in contact with and to thereby interact with each other. This forum would also be used for knowledge and information updates, whereby an email update on CSA will be sent every week through the Google Group.
  4. Ms. Giusti informed that the Monitoring and Evaluation exercise would be conducted between April and June 2015 and that a consultant would be engaged for that. The questionnaires (pre and post-test filled) by all the participants at the ToTs would be analyzed and included in the evaluation.
  5. Dr. Aggarwal stated that he would be organizing another ToT in Delhi irrespective of the programme budget and that participants would be selected on a national basis. The training will be held for 8 hours at IMA Headquarters.
  6. Dr. Aggarwal requested that a Questionnaire on CSA Awareness be prepared with the assistance of the expert group members, for the Media, doctors, and medical students.
  7. He also stated that the Medical Council of India (MCI) must be involved in medical college workshops and that he would arrange for a circular to be passed for medical colleges to depute one person each to attend the workshops.
  8. In addition to this, it was decided that a date would be mutually agreed on in the next two days between UNICEF and IMA for the Press Conference.
Insertion of new Chapter IA
8. After Chapter I of the principal Act, the following Chapter shall be inserted, namely:-
No clinical trial without permission.
4A.(1) No person, sponsor, clinical research organisation or any other organisation or investigator, shall conduct any clinical trial in respect of a new drug, investigational new drug, notified category of new medical device and investigational new medical device, new cosmetic, bioavailability or bioequivalence study of any new drug, in human participants except under, and in accordance with, the permission granted by the Central Licensing Authority in such form and manner as may be prescribed. (2) Subject to the provisions of sub -section (1), no person shall initiate or conduct any clinical trial unless it is approved by the Ethics Committee constituted under section 4E in such manner as may be prescribed. (3) New drug shall continue to be a new drug for the purposes of this Act for such period as may be prescribed. (4) The fee for the purposes of this section shall be such as may be notified by the Central Government.
IJCP’s ejournals
  • Indian Journal of Clinical Practice
  • Indian Journal of Multidisciplinary Dentistry
  • Asian Journal of Diabetology
  • Asian Journal of Critical Care
  • Asian Journal of Clinical Cardiology
  • Asian Journal of Obs & Gyne
  • Asian Journal of Paediatric Practice
  • Asian Journal of Ear Nose and Throat
IMA in the News
  • http://www.deccanherald.com/content/452986/indian-medical-association-bring-major.html
  • http://www.dailypioneer.com/nation/dma-organises-57th-annual-meet.html
  • http://timesofindia.indiatimes.com/city/aurangabad/Follow-ethical-practices-med-council-tells-docs/articleshow/45847618.cms
  • http://www.medindia.net/news/prevent-swine-flu-by-adhering-to-cough-and-respiratory-regimen-145621-1.htm
  • http://www.mumbaimirror.com/mumbai/others/Docs-meet-attorney-general-demand-cap-on-compensation-in-medical-negligence-cases/articleshow/45877051.cms
Video of the Day
Dr K K Aggarwal head on with Arnab Goswami of Times Now on MCI Issues
h t t p : / / w w w . t i m e s n o w . t v / D e b a t e -
Heart Care Foundation of India announces the Mrs Abheeta Khanna Oration on Excellence in Sports and Health
Betiyan Hain Anmol, Bachao Dil Se, Medanta joins hands with Heart Care Foundation of India
Rabies News (Dr A K Gupta)
Is there any dietary restriction during PEP?

It is advisable to abstain from alcoholic drinks during the course of rabies vaccination as it may affect the immune response.
Cardiology eMedinewS
  • Statin benefits in reducing major vascular events are about the same in women as in men when adjusted for predicted cardiovascular risk, suggests a large meta-analysis published online in the Lancet.
  • Anatomical characteristics of atherosclerotic plaque may provide additional information beyond the extent of coronary stenosis in the prediction of ischemia in patients with stable coronary artery disease, suggests a new study published January 12, 2015 in JACC: Cardiovascular Imaging.
Pediatrics eMedinewS
  • In children with latent tuberculosis (TB), 3 months of combined therapy with isoniazid and rifapentine is safe and as effective as 9 months of isoniazid alone, suggests a study published online January 12 in JAMA Pediatrics.
  • Many teens wrongly think light or occasional smoking is not bad for them, reported an analysis of a nationwide youth survey published online January 12 in Pediatrics.
eMedinewS Humor
Absent–minded professor

One of the world’s greatest scientists was also recognized as the original absent–minded professor. One day, on board a train, he was unable to find his ticket. The conductor said, "Take it easy. You'll find it." When the conductor returned, the professor still couldn’t find the ticket. The conductor, recognizing the famous scientist, said, "I’m sure you bought a ticket. Forget about it."

"You’re very kind," the professor said, "but I must find it, otherwise I won’t know where to get off."
Dr Good Dr Bad
IJCP Book of Medical Records
IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records.
If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us at: www.ijcpbookofmedicalrecords.com
  • First person and NGO to trained Maximum Number of Police People trained in Hands only CPR10 in one day
  • "First NGO and doctor to provide "hands on training" to 11543 people in "Hands Only CPR 10" in one day.
  • First individual doctor and NGO to provide "hands on training" to 8913 females in "Hands Only CPR 10" in one day.
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 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 https://www.youtube.com/watch?v=rjOel0aaqt0
Inspirational Story
A Most Important Lesson

During my second month of nursing school, our professor gave us a pop quiz. I was a conscientious student and had breezed through the questions, until I read the last one: "What is the first name of the woman who cleans the school?"

Surely, this was some kind of joke. I had seen the cleaning woman several times. She was tall, dark–haired and in her 50s, but how would I know her name? I handed in my paper, leaving the last question blank. Just before class ended, one student asked if the last question would count toward our quiz grade.

"Absolutely," said the professor. "In your careers, you will meet many people. All are significant. They deserve your attention and care, even if all you do is smile and say ‘hello’." "I’ve never forgotten that lesson. I also learned her name was Dorothy.

Moral: Every person no matter who it is should be considered equal... something that we all forget so easily. To value a person regardless of their status is the highest noble work.
eMedi Quiz
The cells belonging to the following type of epithelium are provided with extra reserve of cell membrane:

1. Transitional
2. Stratified squamous
3. Stratified cuboidal.
4. Stratified columnar.

Yesterday’s Mind Teaser: A 30-year-old man came to the outpatient department because he had suddenly developed double vision. On examination it was found that his right eye, when at rest, was turned medially. The most likely anatomical structures involved are:

1. Medial rectus and superior division of oculomotor nerve.
2. Inferior oblique and inferior division of oculomotor nerve.
3. Lateral rectus and abducent nerve.
4. Superior rectus and trochlear nerve.

Answer for yesterday’s Mind Teaser: 3. Lateral rectus and abducent nerve.

Correct Answers received from: Tukaram Pagad, Daivadheenam Jella, Dr Avtar Krishan, Dr Poonam Chablani, Dr K Raju.

Answer for 13th Jan Mind Teaser: 3.Pain sensation on the contralateral side.

Correct Answers receives: Dr Avtar Krishan, Tukaram Pagad, Raju Kuppusamy.
News around the Globe
  • There is insufficient evidence to determine the effectiveness of long-term opioid therapy for improving chronic pain, but emerging data point towards a dose-dependent risk for serious harms, such as overdose, mortality, and possibly fractures and cardiovascular events, suggests a new review published online January 13 in Annals of Internal Medicine.
  • Many patients with locally advanced rectal cancer can be cured without surgery, suggests data from a nonrandomized retrospective outcomes study that was presented during a presscast held in advance of the 2015 Gastrointestinal Cancers Symposium in San Francisco.
  • Saxagliptin is a reasonable choice of glucose-lowering agent for type 2 diabetes patients who also have mild to moderate renal failure, suggests a new analysis of the Saxagliptin Assessment of Vascular Outcomes Recorded in Patients with Diabetes Mellitus (SAVOR)-TIMI 53 study. The results are published in Diabetes Care.
  • A US Food and Drug Administration (FDA) advisory committee has voted against approval of desmopressin to reduce urine voiding in adults who awaken two or more times a night to urinate.
  • Atypical antipsychotic medications may be associated with an increased risk for fractures and falls in the elderly, suggests new research published online January 12 in JAMA Internal Medicine.
Commemorative stamp marks the 15th anniversary of India’s first successful liver transplant at the Apollo Hospitals
The Govt. of India released a commemorative stamp to mark the 15th anniversary of India’s first successful liver transplant at the Apollo Hospitals, New Delhi. This prestigious honour has been approved and made available by the Dept. of Posts, Philately Section, Ministry of Communication and Information Technology, Govt. of India in recognition of the contribution of the program to the progress in the field of transplantation in the country.

Dr The Apollo Solid Organ Transplant Program remained the busiest program in the world in 2014 for the 3rd consecutive year. In 2014, the Apollo Group performed 1530 solid organ transplants of which 425 were liver transplants. In 2014, Apollo Delhi performed 1068 solid organ transplants of which 307 were liver transplants. Thus, Apollo Delhi continued to remain the busiest solid organ transplant centre in the world for the 3rd consecutive year.

Prof. Anupam Sibal
The Year in Medicine 2014: News That Made a Difference
8. Hypertension Guidelines: Which Ones to Follow?

The release of the long-awaited JNC 8 guidelines in December 2013 seemed to raise more questions than it answered, especially as other groups also released guidelines, or will be releasing guidelines soon. The most hotly contested change appears to be the decision to "ease up" on systolic blood pressure targets in people older than 60. (JNC 8 also backs away from the recommendation that thiazide-type diuretics should be initial therapy in most patients, suggesting an ACE inhibitor, angiotensin-receptor blocker, calcium-channel blocker, or thiazide-type diuretic is a reasonable choice.) Other groups and experts have contested the guidelines throughout this year, both in print and during at least one conference. (Source: Medscape)
Press Release of the Day
Low cost Medicare the answer

Create guidelines for low cost medicare, said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Honorary Secretary General Indian Medical Association.

Dr Aggarwal said that while it is important to provide latest costly drugs and new advanced technologies to the ones who can afford, it is equally important to provide standard but low cost medical treatment to the majority. In such a situation, costly tests should be done only when it is necessary and not just to complete the paper formalities.

He showed concern that the newer drugs being introduced in the market are costly and may be beyond the reach of a common man. Every effort should be made not to use unnecessary antibiotics so as to avoid unnecessary development of resistant organisms.

Momentum is building for an array of incentives for doctors and hospitals to provide higher-quality medical care. Some health plans are using quality-of-care disincentives by refusing to pay for care related to complications from certain types of medical errors.

The genome-wide association studies have identified genes associated with type 2 diabetes, multiple sclerosis, and resistance to HIV infection, to name a few examples.

Sequencing a genome—identifying all the chemical base pairs of someone’s genes—is getting a lot faster and cheaper. Scientists can now shatter the DNA of the genome into millions of pieces and simultaneously sequence the letters. Then, computers knit the data into a single sequence. Within a decade, the price of sequencing a genome may drop to $1,000. Cheap genome sequencing may soon usher in a new era of personalized medicine, with health advice and medical treatments tailored to each individual’s genes.