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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
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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 June 2013, Sunday

Why do doctors not live long?

When I was the President of Delhi Medical Association in 2005, we wanted to make a list of doctors who were 80 years old and above. We had a hard time finding them. We could collect only 22 doctors. Today, we have 40000 members in Delhi Medical Council and the picture has still not changed. We have only one doctor in the city, who has completed 100 years and those who are 80 and above are again only few in number.

I personally feel that doctors live less number of years than non-doctors. One reason is professional hazards. The factors responsible are:

  • The stress level of doctor is much higher than the stress levels in non-doctors in other professions.
  • Stress level has increased in the city of Delhi since the introduction of the Consumer Protection Act.
  • The decision of Delhi Medical Council and Medical Council of India to suspend license on deficiency of service has also increased the stress in doctors. They always pray that if the patient has a complaint, he approaches the Consumer Court and not the Council.
  • Smoking and alcohol is not unknown in doctors.
  • Metabolic syndrome and pot belly obesity is again very common in doctors.
  • Diabetes and heart disease are also equally common.
  • Surprisingly, the incidence of coronary artery disease, angioplasty, stenting and bypass surgery in Cardiologists too is not less.
  • Doctors are more susceptible to hospital-acquired infection, tuberculosis, hepatitis B, hepatitis C, HIV as professional hazards.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

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

Vitamin D intake associated with reduced risk for Crohn’s disease

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Ethics of Life and Super Achiever Award

Dr KK Aggarwal during prize distribution on “Ethics of Life” on June 8 at India Habitat Centre.

 
Dr K K Aggarwal
    National News

By 2028, India to get past China as most populous country

New Delhi: India would pip China as the world’s most populated country in the world by 2028, says a United Nations population report released on Thursday, as reported in HT. It would also have one of the worst sex ratios, the report said. The report based on new fertility data says that India’s population would increase till 2050, and then decline to be around 1.54 billion by the turn of the century. China would enter the downturn in population from 2025 onwards and would lose its top spot to India in 2028. The elderly would be the reason for India’s rising population with the fertility rate per woman expected to fall below 2 in 2050 to 1.84 by 2100. It would result in the proportion of the children below the age of 14 to fall by about 10 percentage points between 2013 and 2050. The population will still rise as life expectancy would increase from 64.9 years in 2013 to 80.6 years in 2100 and would be just one percentage point below the global average. (Source: Hindustan Times, June 13, 2013)

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

    Valvular Heart Disease Update

Progressive fibrocalcific stenosis requiring surgery eventually occurs in over 75 percent of patients with bicuspid aortic valve.

(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)

    Be Human Stop Child Abuse (Team IMA for CMAAO)

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

Sexual Harassment and Punishment

A person is said to commit sexual harassment upon a child when such person with sexual intent,—

  1. Utters any word or makes any sound, or makes any gesture or exhibits any object or part of body with the intention that such word or sound shall be heard, or such gesture or object or part of body shall be seen by the child; or
  2. Makes a child exhibit his body or any part of his body so as it is seen by such person or any other person; or
  3. Shows any object to a child in any form or media for pornographic purposes; or
  4. Repeatedly or constantly follows or watches or contacts a child either directly or through any means; or
  5. Threatens to use, in any form of media, a real or fabricated depiction through electronic, film or digital or any other mode, of any part of the body of the child or the involvement of the child in a sexual act.

Explanation: Whoever commits sexual harassment upon a child shall be punished with imprisonment of either description for a term which may extend to three years and shall also be liable to fine.

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Laparoscopic ventral hernia repair safe in obese patients

Laparoscopic ventral hernia repair has significantly increased compared with open surgery. In addition to being safe, this type of repair is associated with a shorter length of stay and lower cost of care among obese patients, according to the findings of a retrospective cohort study. (Source: Medscape)

Broken bones a signal to screen women for abuse

One in six women treated at fracture clinics reported being victims of domestic violence over the preceding 12 months, and one in 50 said their current injuries were caused by a partner, according to a large, multinational study. (Source: Medpage Today)

Endoscopes still dirty after manual cleaning

In a study that measured the cleanliness of endoscopes used at 5 hospitals across the United States, 3 of 20 flexible gastrointestinal endoscopes used for screening were found to harbor unacceptable levels of bacteria. The findings were presented at the Association for Professionals in Infection Control and Epidemiology (APIC) 2013 Annual Meeting. (Source: Medscape)

Overweight women risk delivering baby early

The risk of preterm delivery increased significantly in women who were overweight or obese at conception, a large retrospective cohort study showed. (Source: Medpage Today)

2 Pradaxa doses beat warfarin in Afib

Considering both efficacy and safety, both the 110-mg and 150-mg doses of dabigatran (Pradaxa) had a net clinical benefit compared with warfarin in patients with atrial fibrillation, researchers found. (Source: Medpage Today)

 
    Twitter of the Day

@DrKKAggarwal: Diabetics should not smoke The health hazards of cigarette smoking in the general population are well-known. In... http://fb.me/2pVapGr9H

@DeepakChopra: Listening to Your Ego, or Your True Self? http://www.linkedin.com/today/post/article/20130614202310-75054000-listening-to-your-ego-or-your-true-

 
    Spiritual Update

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

Why do We Offer Food to God in Every Pooja?

We follow a ritual of offering ‘bhog’ to the deity we worship. The ritual also involves sprinkling water all around the place where we sit down to eat food. Many people have advocated that the sprinkling of water is related to preventing ants and insects from approaching the food. But in spiritual language there is a deeper meaning of these rituals.

For comments and archives

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

Does obesity affect the chance of getting pregnant with treatment and having a healthy baby?

There is growing evidence that many complications of pregnancy for the mother (gestational diabetes, preeclampsia,) and her baby (birth defects) are increased in obese women. In addition, obese women have an increased chance of a cesarean section for delivery.

 
    An Inspirational Story

The Secret of Success!

A young man asked Socrates, an ancient Greek philosopher, the secret of Success. Socrates told the young man to meet him near the river the next morning. They met. Socrates asked the young man to walk with him toward the river.

When the water got up to their necks, Socrates took the young man by surprise and ducked him into the water. The man struggled to get out but Socrates was strong and kept him under water until he started turning blue.

The young man struggled hard and finally managed to get up. The first thing he did was to gasp and take a deep breath.

Socrates asked, “What did you want the most when you were under the water?” The man replied “Air”.

Socrates said: “That’s the most secret to success. When you want success as badly as you want air, you will get it. There is no other secret”.

Reflection: A burning desire is the starting point of all accomplishments. Just like a small fire cannot give much heat, a weak desire cannot produce great results…

For comments and archives

 
    Cardiology eMedinewS

Low vitamin D causes high BP, study shows Read More

 
    Pediatric eMedinewS

Old head injury delays recovery from concussion 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 signs of rabies in dogs/cats?

  • Any change in normal behavior suggesting either undue aggression or depression.
  • Running aimlessly and attacking others without provocation.
  • Becomes too drowsy and withdraws to a corner.
  • Change in voice/bark.
  • Excessive salivation.
  • Refusal to feed or eating objects like stone, paper, wood, metal pieces etc.
 
    IJCP Special

Dr Good Dr Bad

Situation: A patient wanted to know at what time he should take his thyroid medicine.
Dr. Bad: Take it at any time.
Dr. Good: Take it on empty stomach and at least an hour before breakfast.
Lesson: If you take it bedside, the TSH level may fall low.

Make Sure

Situation: A patient on 10 units of insulin developed hypoglycemia with 11 units of insulin.
Reaction: Oh my God! Why was additional insulin given?
Lesson: Make sure that insulin dose is calculated correctly. The formula is 1500/total daily dose. The value will be the amount of sugar fluctuation with one unit of insulin.

 
    Quote of the Day (Dr GM Singh)

Whether you believe you can do a thing or believe you can’t, you are right. Henry Ford

 
   Mind Teaser

Read this…………………

The pain management nurse assesses a 67-year-old patient for reports of episodic, sudden-onset and right-sided facial pain. The patient describes the pain as fleeting, electric-like and triggered by light touch and brushing of the teeth. The pain management nurse suspects:

1. Facet syndrome.
2. Myofascial pain syndrome.
3. Temporomandibular disorder.
4. Trigeminal neuralgia.

Yesterday’s Mind Teaser: Biofeedback is a therapy used to:

o Develop psycho-physiologic self-regulation.
o Enhance drug delivery.
o Increase release of serotonin.
o Promote neuronal regeneration.

Answer for Yesterday’s  Mind Teaser: Develop psycho-physiologic self-regulation.

Correct answers received from: .........

Answer for 14th June Mind Teaser: Morning fatigue, widespread body pain, and focal tenderness.

Correct answers received from: ...........

Send your answer to ijcp12@gmail.com

 
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   Laugh a While (Dr GM Singh)

Physics

A college physics professor was explaining a particularly complicated concept to his class when a pre–med student interrupted him.

"Why do we have to learn this stuff?" one young man blurted out.

"To save lives," the professor responded before continuing the lecture.

A few minutes later the student spoke up again. "So how does physics save lives?"

The professor stared at the student for a long time without saying a word. Finally the professor continued.

"Physics saves lives," he said, "because it keeps certain people out of medical school."

 
    Medicolegal Update

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

UK Clinical negligence law – Bolam – v – Friern Hospital Management Committee 1957

Sir Liam Donaldson – "Patients deserve to receive quality healthcare"

  • UK Clinical negligence law defines negligence as any act or omission which falls short of a standard to be expected of "the reasonable man."
  • It is necessary to show that whatever the Doctor did or did not do fell below the standard of a reasonably competent Doctor in that field of medicine.
  • In the leading case of "Bolam – v – Friern Hospital Management Committee 1957" it was stated that a doctor must act in accordance with a practice, which is accepted as proper by a responsible body of men
  • There are several acceptable ways of doing something and this may mean that there is no negligence if an alternative method is chosen.
  • The fact that another person would not have done things in the same way does not automatically mean that there was clinical negligence.
  • The Doctor will be able to defend the compensation claim successfully, if it can show that a responsible body of reputable Doctors in the relevant field would have acted in a similar manner.
  • This means that a judge will hear evidence from experts and decide whether the actions taken were appropriate.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

Patients with acidity should avoid chocolates and peppermint

Persistent acidity is usually due to reflux of acid from the stomach into the food pipe. Mild cases of acidity reflux can usually be managed with lifestyle and dietary modifications along with antacids, H2 blockers and proton pump inhibitors.

However, patients in whom lifestyle management along with empirical treatment is unsuccessful or who have symptoms suggestive of complicated diseases should undergo endoscopy to rule out cancer of the food pipe, a condition linked with persistent acidity. This was stated by Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA.

He said that symptoms that may suggest complicated disease include loss of appetite, loss of weight and difficulty in swallowing food, bleeding and signs of systemic illness.

Lifestyle changes for reflux involve elevation of head and of the body, avoidance of food before sleep and avoidance of food which makes the food pipe valve lax. The examples of such foods include fatty food, chocolates, peppermint and excessive intake of alcohol.

Hurry, worry and curry are the three main factors for causing acidity apart from alcohol and smoking. People with acidity should consume less of fermented, sour, salty and pungent foods.

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 54572 people since 1st November 2012.

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 10x10 i.e. 100 per minute.”

 
    Readers Responses
  1. Dear KK ji, excellent article about new mobile illnesses. The latest DSM 5 has classified internet addiction and mobile addiction as a disease entity like alcoholism and gambling. Dr. R. Mani, Chennai.
 
    Forthcoming Events

ZOONOSIS – 2013-Conference on Prevention of Diseases
Communicable from Animals to Human

Saturday, 6th July, 9.30 am – 5 pm

Venue: New Delhi

(All About Flu, Malaria, Dengue, Chikungunya, Japanese Encephalitis, Rabies, Neurocysticercosis, Leptospirosis, Food Allergies etc.)

For Free Registration:

Email: rekhapapola@gmail.com
Phone: 9899974439 (Rekha Papola), 9810301261 (Dr Uday Kakroo)

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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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, Dr Usha K Baveja