emedinews
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  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); National Vice President Elect Elect, Indian Medical Association; 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 & Hony. Visiting Professor (Clinical Research) DIPSAR

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

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  Editorial …

16th May 2013, Thursday

India unveils rota virus vaccine

Indian scientists unveiled an affordable vaccine (a dollar a vaccine) against a deadly diarrhea-causing virus, Rota virus that kills some 100,000 children in India every year. Rota virus is globally responsible for some 453,000 deaths annually. Rota virus is blamed for causing up to 884,000 hospitalizations a year in India, at a cost to the country of 3.4 billion rupees.

K Vijayaraghavan, Secretary of India's Department of Biotechnology said it was a product of international cooperation. For the first time Indian scientists have taken a vaccine from the earliest discovery to every stage of development.

The vaccine named Rotavac will be manufactured by Hyderabad-based Bharat Biotech. Each vaccination consists of three doses.

Each dose of licenced vaccines from GlaxoSmithKline and Merck costs around 1,000 rupees.

Dr M K Bhan pioneered the project after local scientists discovered a localized rotavirus 23 years ago in a New Delhi hospital.

This vaccine would prevent 25 percent of all diarrheal admissions. More than 300,000 babies die within 24 hours of being born in India each year from infections and other preventable causes.

NIH has also congratulated the Program for Appropriate Technology in Health (PATH), Bharat Biotech International, Ltd., and the scientists, government and people of India on the important results from the ROTAVAC rotavirus vaccine study.

An oral vaccine, Rotavac will be administered to infants in three dose course at the age of 6, 10 and 14 weeks. It will be given along with routine immunizations recommended at these ages.

Why a Rota vaccine?

  1. Rotavirus is the single most important viral cause of severe gastroenteritis in children.
  2. Centers for Disease Control and Prevention (CDC), the American Academy of Pediatrics (AAP), the American Academy of Family Physicians (AAFP), the European Society for Paediatric Infectious Diseases, and the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition, recommend universal immunization of infants against rotavirus disease.
  3. The two currently available oral vaccines for the prevention of rotavirus disease are pentavalent human-bovine reassortant rotavirus vaccine (RV5, PRV, RotaTeq) and attenuated human rotavirus vaccine (RV1, HRV, Rotarix). These vaccines have different doses and schedules for administration.
  4. Whenever possible, the rotavirus vaccine series should be completed with the same vaccine product, but vaccination should not be deferred if the product used for previous doses is not known. This problem will not come once the Indian vaccine is available.
  5. Rotavirus vaccine is contraindicated in infants who are allergic to any of the ingredients of the vaccine, those who had an allergic reaction after a previous dose and those with a history of intussusception.
  6. The vaccine should not be administered to infants with immunodeficiency.
  7. RV1 is contraindicated in infants with a history of severe hypersensitivity reaction to latex, but RV5 may be administered to such infants.

    Conditions that are precautions for administration of rotavirus vaccine include acute moderate or severe illness, preexisting chronic gastrointestinal disorder, and receipt of blood products.

What is the rotavirus?

  1. When a virus infects the intestines and causes diarrhea and vomiting it is called “viral gastroenteritis.”
  2. Rotavirus is a virus that can infect the intestines and cause diarrhea and vomiting.
  3. In children, rotavirus is the most common cause of viral gastroenteritis.
  4. Children can get a rotavirus infection if they touch an infected person or a surface with the virus on it, and then do not wash their hands or when they eat foods or drink liquids with the virus in them.
  5. If people with a rotavirus infection don’t wash their hands, they can spread it to food or liquid they touch.
  6. Adults can also be infected, but rotavirus infection is much more common in children.
  7. A rotavirus infection commonly causes vomiting, diarrhea that is watery (but not bloody) and fever.
  8. If the child has vomiting or diarrhea, his or her body can lose too much water leading to dehydration.
  9. Symptoms of dehydration can include fewer wet diapers, or dark yellow or brown urine; no tears when a child cries; a dry mouth or cracked lips; eyes that look sunken in the face and a sunken fontanel (a fontanel is a gap between the bones in a baby’s skull).
  10. When babies are dehydrated, the fontanel on the top of their head can look or feel caved in.
  11. Call your child’s doctor or nurse if your child has any symptoms of dehydration; has diarrhea or vomiting that lasts longer than a few days; vomits up blood, has bloody diarrhea, or has severe belly pain; is passing urine much more than usual; hasn’t had anything to drink in a few hours, or can’t keep fluids down; hasn’t needed to urinate in the past 6 to 8 hours (in older children), or hasn’t had a wet diaper for 4 to 6 hours (in babies and young children)
  12. Most children do not need any treatment, because their symptoms will get better on their own.
  13. It is important to make the child drink enough fluids so that he or she does not get dehydrated. You will know that you are giving your child enough fluids when his or her urine looks pale yellow or clear, or when the baby has a normal amount of wet diapers.

To prevent dehydration

  1. Give your baby or young child an “oral rehydration solution (ORS). You can buy this in a grocery store or pharmacy. If your child is vomiting, you can try to give him or her a few teaspoons of fluid every few minutes. Oral rehydration solution works better than juice, because juice sometimes makes diarrhea worse.
  2. Continue to breastfeed your baby, if he or she is still breastfed.
  3. Do not give your child medicines to stop diarrhea (anti-diarrhea medicines). These medicines can make the infection last longer.
  4. If the child has a severe infection and gets dehydrated, he or she might need to be treated in the hospital.

Rotavirus infection be prevented

  1. All babies are given a vaccine to prevent the rotavirus infection.
  2. If your child has a rotavirus infection, you can prevent spreading the infection by: washing your hands with soap after you change your child’s diaper; not changing your child’s diaper near where you prepare food; putting diapers in a sealed bag before you throw them out and cleaning the diaper changing area with alcohol or with a bleach and water mixture.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal on

Obesity reduces life expectancy

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Dr KK Aggarwal on World Laughter Day on 5th May 2013 in Rohini

 
Dr K K Aggarwal
    National News

IJCP Book of Medical Records is the first and the only credible site with Indian Medical Records. The records cover the first or the maximum in the health field.

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.
Our website is: http://ijcpbookofmedicalrecords.com

The rules for submitting the records are available on our website.

Results of the ROTAVAC Rotavirus Vaccine Study in India

NIH: We congratulate the Program for Appropriate Technology in Health (PATH), Bharat Biotech International, Ltd., and the scientists, government and people of India on the important results from the ROTAVAC rotavirus vaccine study

For Comments and archives…

IAP to create infection-free environment for children

12 workshops to train 500 paediatricians and health professionals under Safe Injection Environment campaign in six months.
In view of creating a safer environment for children across the country, the Indian Academy of Pediatrics (IAP) is launching a nationwide Safe Injection Environment (SIE) Campaign. The campaign aims at training over 500 paediatricians and health professionals from across the country in safe injection practices and protect children from infectious diseases. Injections are the most commonly used procedure of administering vaccines, medicines and other related medication across the world. A child is introduced to injections when he is only a few days old by means of immunisation, which accounts for only about 5 per cent of the total number of injections a person is administered with. The rest 95 per cent are for therapeutic reasons. Healthcare professionals often re-use syringes or needles, assuming that they are safe. They also recap the needles after use and throw the bodies of the syringes into a single container. Such practices need to be rectified. They need to be trained in sanitisation and other safe practices.

According to WHO estimates, 42 per cent of the Hepatitis C and 33 per cent of Hepatitis B cases can be attributed to such unsafe practices. Under the SIE campaign, IAP, which is the premier association of pediatricians in the country, will be conducting city-based training workshops in 12 locations across the country. The nationwide campaign will represent IAP members from five zones — East, West, North, South and Central. On May 12, the safe injection environment module was rolled out nationally.

IAP will be engaging with local government officials to leverage them as key influencers for the training programmes. Talking about the significance of the SIE campaign, Dr Sailesh Gupta, Secretary General, Indian Academy of Pediatrics, said, "According to a 2004 INCLEN study on injection practices, about 63 per cent of all injections administered in India are unsafe. Unsafe injection practices are a crucial reason behind spread of various diseases such as hepatitis. When it comes to children's health, the importance of safe injections cannot be over-emphasised." IAP recently released the Safe Injection Guidelines, which talks comprehensively about the current situation analysis, science behind injection techniques, the Do's and Don'ts to ensure Safe Injection Practices. These have been developed by a group of experts from IAP and are also available on their website for wider dissemination. (Source: Indian Express, May 14 2013)

For Comments and archives…

DD Programme “Take Care Holistically”, Anchoring Dr KK Aggarwal, Telecast every Wednesday 9 AM in DD National

DD Programme “Take Care Holistically”, Anchoring Dr KK Aggarwal, every Thursday 4:30 PM in DD India

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

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

    Be Human Stop Child Abuse (Team IMA for CMAAO)

(http://behumanstopchildabuse.emedinews.in/)

All about child sexual abuse

  1. Sexual abuse occurs primarily in preadolescent children.
  2. It is more often in girls.
  3. Perpetrators are usually males.
  4. They are known to the victims.
  5. Most of the complaints that are possible indicators of sexual abuse are nonspecific.

For Comments and archives…

    Valvular Heart Disease Update

Mitral stenosis in the elderly

Valvular mitral stenosis is rarely seen in elderly patients. Mitral obstruction may be produced by protuberant mitral annular calcification (MAC). It is present in 6% of the elderly population.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Clusters of new coronavirus add to concern

Close contact can spread the novel coronavirus hCoV-EMC, but there's still no evidence of sustained human-to-human transmission, the World Health Organization says. (Source: Medpage Today)

For Comments and archives…

Maternal inflammation linked to autism in offspring

Findings indicating a significant association between increasing levels of maternal C-reactive protein (CRP) and the risk for autism spectrum disorder (ASD) were reported at the 12th Annual International Meeting for Autism Research (IMFAR). (Source: Medscape)

For Comments and archives…

3 questions help docs predict pain course

Asking three simple questions of patients with non-inflammatory musculoskeletal pain improved primary care physicians' ability to predict which patients would still be in pain 6 months later, a study found. The three questions the physicians asked were: (Source: Medpage Today)

  • When was the last time you were free of pain for a month or more?
  • In the last month, has this pain interfered with your daily activities?
  • Have you had pain anywhere else in the last month?

For Comments and archives…

Simple tool stratifies mortality risk in type 2 diabetes

Researchers have created an online mortality-risk calculator for patients with type 2 diabetes, which stratifies patients into low, medium, or high risk of dying from any cause within 2 years. By plugging in values for 9 readily available patient characteristics — age, body mass index (BMI), diastolic blood pressure, LDL cholesterol, triglycerides, HDL cholesterol, urine albumin-to-creatinine ratio, antihypertensive treatment, and insulin therapy — a physician can quickly determine whether a patient has a high risk for death. (Source: Medscape)

For Comments and archives…

H7N9 pandemic? Not yet but still worrisome

The H7N9 avian influenza now circulating in China has two of the three characteristics of a pandemic virus, according to a prominent infectious diseases expert. (Source: Medpage Today)

For Comments and archives…

 
    Twitter of the Day

@DrKKAggarwal: Can a person be revived even after ten minutes? http://blog.kkaggarwal.com/2013/05/can-a-person-be-revived-even-after-ten-minutes/ …

@DrKKAggarwal: No fundamental physical substance is the basic building block of the universe. The essential stuff of the universe is thinking non-stuff

 
    Spiritual Update

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinews)

The Skill Of Controlling Anger

Cynicism is one of the recognized major risk factor for causation of coronary artery disease (blockages in the channels supplying blood to the heart). And anger, jealousy and irritability form the triad responsible for this.

For Comments and archives…

 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What is the difference between a surrogate and a gestational carrier?

A surrogate is a woman who agrees to become pregnant using your partner’s sperm and her own egg. The child will be genetically related to the surrogate and your partner, and the surrogate will give you and your partner the baby after delivery.

A gestational carrier is an option for women who have had a hysterectomy but still retain their ovaries, or for women who should not become pregnant due to medical reasons. If you use a gestational carrier, your eggs are fertilized by your partner’s sperm and the resulting embryo is placed in the uterus of the carrier. You and your partner will be genetically related to the child, but the carrier will not. She will give the baby to you and your partner at birth.

 
    An Inspirational Story

The Hotel Clerk

One stormy night many years ago, an elderly man and his wife entered the lobby of a small hotel in Philadelphia, USA. Trying to get out of the rain, the couple approached the front desk hoping to get some shelter for the night.

“Could you possibly give us a room here?” the husband asked. The clerk, a friendly man with a winning smile, looked at the couple and explained that there were three conventions in town. “All of our rooms are taken,” the clerk said. “But I can’t send a nice couple like you out into the rain at one o’clock in the morning. Would you perhaps be willing to sleep in my room? It’s not exactly a suite, but it will be good enough to make you folks comfortable for the night.”

When the couple declined, the young man pressed on. “Don’t worry about me, I’ll make out just fine,” the clerk told them. So the couple agreed. As he paid his bill the next morning, the elderly man said to the clerk, “You are the kind of manager who should be the boss of the best hotel. Maybe someday I’ll build one for you.”

The clerk looked at them and smiled. The three of them had a good laugh. As they drove away, the elderly couple agreed that the helpful clerk was indeed exceptional, as finding people who are both friendly and helpful isn’t easy.

Two years passed. The clerk had almost forgotten the incident when he received a letter from the old man. It recalled that stormy night and enclosed a round-trip ticket to New York, asking the young man to pay them a visit.

The old man met him in New York, and led him to the corner of Fifth Avenue and 34th Street. He then pointed to a great new building there, a pale reddish stone, with turrets and watchtowers thrusting up to the sky. “That,” said the older man, “is the hotel I have just built for you to manage.” “You must be joking.” the young man said. “I can assure you I am not.” said the older man, a sly smile playing around his mouth.

The older man’s name was William Waldorf-Astor, and that magnificent structure was the original Waldorf-Astoria Hotel. The young clerk who became its first manager was George C. Boldt. This young clerk never foresaw the turn of events that would lead him to become the manager of one of the world’s most glamorous hotels.

Don’t be afraid to reach and touch someone’s life, you never know whose heart you may be touching.

For comments and archives

 
   Cardiology eMedinewS

Stent, then angioplasty, could increase the risk of stroke, suggests CREST analysis Read More

 
   Pedia News

BPA linked to drops in kids' lung function Read More

 
    Rabies Update

Dr. A K Gupta, Author of "RABIES - the worst death", Joint Secretary, Association for Prevention and Control of Rabies in India (APCRI)

What are the situations where RIG is indicated?

Following situations need RIG:

  • All Category III exposures
  • Bites by all wild animals viz. by mongoose, jackal, fox etc.
  • Even Category II exposures in immunocompromised/immunosuppressed individuals including HIV infected people and patients with AIDS
  • Category III exposures after bite by vaccinated pet animals.
  • RIGs can be used in pregnant women and lactating mothers.
 
    IJCP Special

Dr Good Dr Bad

Situation: A 39–year–old male with community–acquired pneumonia came for OPD treatment.
Dr Bad: You need admission for IV ceftriaxone therapy.
Dr Good: Take levofloxacin 500 mg orally.
Lesson: A prospective, randomized, multicenter trial of 599 adults with community-acquired pneumonia who could be treated as an outpatient or in the hospital compared the efficacy of levofloxacin (500 mg IV or orally daily) to ceftriaxone (1 to 2 g IV once or twice daily) and/or cefuroxime (500 mg orally twice daily) with or without erythromycin or doxycycline. Clinical success at 5 to 7 days after treatment was superior with levofloxacin (96%) compared with either cephalosporin arm (85%). Levofloxacin eradicated 100% of the most frequently reported respiratory pathogens and provided a >98% clinical success rate in patients with atypical pathogens. (Antimicrob Agents Chemother 1997;41(9):1965–72).

Make Sure

Situation: A patient with suspected heart attack with blood pressure of 40 mmHg with warm peripheries died?
Reaction: Oh my God! Why was a diagnosis of anaphylaxis not considered?
Lesson: Make sure all patients with warm shock are managed on the lines of sepsis or anaphylaxis. Heart attack will present as cold shock.

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Photos and Videos of 4th eMedinewS – RevisitinG 2012 on 20th January 2013

Photos of Doctor’s Day Celebration

 
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  Quote of the Day (Dr GM Singh)

Twenty years from now you will be more disappointed by the things you didn't do than by the ones you did do. So throw off the bowlines. Sail away from the safe harbor. Catch the trade winds in your sails. Explore. Dream. Discover. Mark Twain

 
  Legal Question of the Day (Dr MC Gupta)

Q. I am a faculty in FMT aged about 35 years and have an LLB degree. I enrolled for LLM by distance learning but dropped the idea for the following reasons:

i. It is a waste of time.
ii. It affected my quality time with my family.
iii. I did not find it interesting.
iv. There no added advantage of doing LLM.
v. For a doctor it is better to study medical laws by self-study than by doing LLM.

What are your comments?

Ans. My comments are as follows:

  1. I disagree for the following reasons that getting an LLM degree is a waste of time:
    1. There is not much time spent (and, hence, wasted) because it is a distance learning course and the only time spent is on reading books and not on travel etc.. The time spent on acquiring knowledge cannot be regarded as waste of time.
    2. The benefit-cost ratio is very high. The cost of the distance learning course may be Rs. 30,000/- but the cost of doing a full time 2-year LLM course in India may be Rs. 15 to 30 lakh including loss of wages.
    3. The LLM degree will help in career advancement and increase in your prestige and income in several ways.
  2. If it affects your quality family life, that is your personal outlook. But be reminded that professors of medicine have often to spend so much time on clinical work that their family life is often under stress. Nothing comes without sacrifice.
  3. If you are not interested in the subject, that is your personal issue. But that is not so because you have never stated that you were not interested in law and yet completed LLB. Being a professor, it should not be difficult for you to appreciate the importance of a PG degree in any subject.
  4. It is a questionable statement that “For a doctor it is better to study medical laws by self-study than by doing LLM”. A doctor does not have to study law if he wants to stick to medicine all the time. If he intends to move to legal medicine, he must learn law at a deeper level. I don’t really know what you mean by medical laws. The only ones I can think of is the MTP Act and the PNDT Act and the organ transplantation Act. The CPA is not basically a medical law, nor is IPC or CrPC etc. Even the MTP Act and the PNDT Act and the organ transplantation Act cannot be understood by a medical man if he does not have thorough grounding in general laws and legal principles. Studying for LLM provides a bit of grounding in general laws and legal principles.
  5. SUMMARY - You should seriously consider continuing your LLM.
 
    Mind Teaser

Read this…………………

After trying to conceive for a year, a couple consults an infertility specialist. When obtaining a history from the husband, Nurse Jenny inquires about childhood infectious diseases. Which childhood infectious disease most significantly affects male fertility?

a. Chickenpox
b. Measles
c. Mumps
d. Scarlet fever

Yesterday’s Mind Teaser: Nurse Claudine is reviewing a client’s fluid intake and output record. Fluid intake and urine output should relate in which way?

a. Fluid intake should be double the urine output.
b. Fluid intake should be approximately equal to the urine output.
c. Fluid intake should be half the urine output.
d. Fluid intake should be inversely proportional to the urine output.

Answer for Yesterday’s Mind Teaser: b. Fluid intake should be approximately equal to the urine output. Correct answers received from:

Correct answers received from: Raj Singh, Dr Preeti Gehlot, Dr Valluri Ramarao, Rajiv Kohli, Dr BB Gupta, Dr Gajveer, Dr Shashi Saini, Dr TA Sudhakar, Dr Ayyavoo Erode, Dr PC Das & Dr Mrs. S Das,
Dr Arpan Gandhi, Dr (Maj. Gen.) Anil Bairaria, Dr Avtar Krishan, Dr KV Sarma, Dr Deepali Chatterjee,
Dr Pankaj Agarwal, Dr Vineeta Pande, Dr Sushma Chawla, Dr K Raju, Dr Thakor Hitendrsinh G, Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay, Dr Sushma Chawla, Dr Jayashree Sen & Dr Bitaan Sen.

Answer for 14th May Mind Teaser: c. Bacteria are absent on urine culture.

Correct answers received from: Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay, Dr Sushma Chawla, Dr Jayashree Sen & Dr Bitaan Sen.

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

A blonde woman is terribly overweight, so her doctor puts her on a diet. "I want you to eat regularly for two days, then skip a day, and repeat this procedure for two weeks. The next time I see you, you’ll have lost at least five pounds."

When the blonde returned, she shocked the doctor by losing nearly 20 pounds.

"Why, that’s amazing!" the doctor said. "Did you follow my instructions?"

The blonde nodded. "I’ll tell you though, I thought I was going to drop dead that third day."

"From hunger, you mean?" asked the doctor.

"No, from skipping."

 
  Medicolegal Update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

Section 324 of IPC in medical practice

Section 324. Voluntarily causing hurt by dangerous weapons or means

"Whoever, except in the case provided for by section 334, voluntarily causes hurt by means of any instrument for shooting, stabbing or cutting, or any instrument which, used as weapon of offence, is likely to cause death, or by means of fire or any heated substance, or by means of any poison or any corrosive substance, or by means of any explosive substance or by means of any substance which it is deleterious to the human body to inhale, to swallow, or to receive into the blood, or by means of any animal, shall be punished with imprisonment of either description for a term which may extend to three years, or with fine, or with both".

It is the duty of the attending doctor to record all injuries, their dimension as much as possible and the body parts where the injuries are located; the nature of injury whether simple or grievous, whether caused by sharp/blunt object, age or duration of injury and vital parameters like blood pressure, pulse, respiration along with the mental status of the patient.

When an investing officer comes to the hospital, he needs some specific answers for his legal investigation and to book a case under the law of land.

  • Are the injuries present self–inflicted or fabricated? If yes, please mention the forensic justification.
  • Are there any signs/symptoms or smell of alcohol or any drug intoxication? If yes, please opine about the mental status due the influence of intoxication. Also, preserve the sample of blood.
  • Please opine if the injured or intoxicated patient is fit to give statement? If no, please give due reasons and an approximate time interval for medical re–evaluation for his/her fitness for statement.
  • Is the condition of patient critical, severe or serious? If so, the dying declaration must be recorded by attending doctor before one or two witnesses.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Porcine Whipworm Ova Safe for Treatment of IBD

Orally ingested ova of Trichuris suis, the porcine whipworm, has been found to be active in an open-label study of Crohn's disease, and in a small scale, placebo-controlled trial in patients with ulcerative colitis said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President Elect IMA.

Inflammatory bowel diseases are diseases of the affluent society. Many trials have shown that infection with parasitic worms is protective. Intestinal helminths induce Th2 cytokine release and specifically down regulate Th1 responsiveness

Administering eggs from the porcine whipworm T. suis to patients with Crohn's disease and ulcerative colitis is a safe and possibly effective treatment for inflammatory bowel disease according to a report published in the American Journal of Gastroenterology. In the open-label trial, 29 patients with refractory disease, and a Crohn's disease activity index (CDAI) of 220 to 450, ingested 2,500 T. suis ova in a beverage every three weeks for 24 weeks. By week 12, 22 patients (75.9%) experienced a decrease in CDAI of more than 100 points, or had a CDAI of less than 150. Another 18 patients (62.1%) were in remission. (Four patients withdrew early because of disease activity or pregnancy.) They observed no adverse effects or complications. In the treatment a single dose of 2500 live T. suis eggs are given orally.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 50338 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”

 
    Readers Response
  1. Dear Sir, emedinews is very informative newsletter. Regards:Dr Ketan
 
    Forthcoming Events
Dr K K Aggarwal

Enrollment for workshop

Heart Care Foundation of India under the aegis of Perfect Health Mela is organizing a series of skill workshops in the month of Oct as per the following programmes

Name
Date
Time
Place
Duration
Communication Skills 23rd October, Wednesday
8 am
Constitution Club of India
4 hours
Handling Media crisis Saturday 26th October
2 pm
Constitution Club of India
1 hour
Conflict Management 24th October Thursday
10 am
Constitution Club of India
2 hours
Organizational Behavior 24th October Thursday
8 am
Constitution Club of India
2 hours
Team Building 25th October, Friday
8 am
Constitution Club of India
2 hours
Time Management 25th October, Friday
10 am
Constitution Club of India
2 hours

The workshops will have experts interacting both theoretically and with practical demonstrations and interactions. If interested, kindly confirm your registration at rekhapapola@gmail.com. You can also forward this information to your interested friends and colleagues for a registration.

Dr KK Aggarwal
Padma Shri and Dr B.C. Roy National Awardee
President of Heart Care foundation of India

 
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  Pesticides Safely

 
    Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta