emedinews
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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  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 and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; 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 of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR

 
  Editorial …

17th February, 2011, Thursday                                eMedinewS Presents Audio News of the Day

View Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

Health hazards of ammonia

  • At room temperature, ammonia is a colorless, pungent–smelling gas and is lighter than air.
  • At minus 28 degrees Fahrenheit (–33 degrees Celsius), ammonia becomes a liquid.
  • In water, most of the ammonia changes to ammonium ion, NH4+.
  • Ammonia is an essential element for plant, animal and human life. It is found in water, soil and air, and is a source of much needed nitrogen for plants and animals.
  • Most of the ammonia in the environment comes from the natural breakdown of manure, dead plants and animals. Man–made sources of ammonia include fertilizers, power plants, mobile sources and other manufacturing emissions.
  • Ammonia levels in the air as low as 5 parts per million (ppm) can be recognized by odor. An average person detects ammonia by odor at around 17 ppm.
  • According to the World Health Organization, continuous exposure to 25 ppm of ammonia in the air does not result in a significant increase in blood levels of ammonia in the body.
  • According to the Occupational Safety and Health Administration, the least amount of ammonia which is found to irritate the eyes, nose and throat of the most sensitive individuals is 50 ppm.
  • There is no evidence that ammonia causes cancer.
  • There is no evidence that exposure to the levels of ammonia found in the environment causes birth defects or other developmental effects.
  • Because ammonia is present in the human body at all times, no long–term health effects from inhalation exposure to low levels of ammonia would be expected.
  • Because ammonia is a respiratory tract irritant, persons who are hyperreactive to other respiratory irritants, or who are asthmatic, may be expected to be more susceptible to inhalation of high concentrations of ammonia.
  • When ammonia enters the body as a result of breathing, swallowing or skin contact, it reacts with water to produce ammonium hydroxide. This chemical is very corrosive and damages cells in the body on contact.
  • Ammonia is corrosive. The severity of health effects depends on the route of exposure, the dose and the duration of exposure. Exposure to high concentrations of ammonia in air causes immediate burning of the eyes, nose, throat and respiratory tract and can result in blindness, lung damage or death. Inhalation of lower concentrations can cause coughing, and nose and throat irritation.
  • To reduce the effects from exposure to ammonia, it is important to wash eyes and skin as quickly as possible with large amounts of water. There is no antidote for ammonia poisoning, but ammonia’s effects can be treated, and most victims recover. People who experience serious signs and symptoms (such as severe or constant coughing, or burns in the throat) may need hospital care.
  • Ammonia is a strong, colorless gas. If the gas is dissolved in water, it is called liquid ammonia. Poisoning may occur if you breathe in ammonia. Poisoning may also occur if you swallow or touch products that contain very large amounts of ammonia.
  • GIT: When swallowed, ammonia can cause abdominal pain, vomiting and gastritis.
  • Contact with skin: Can cause irritation and burns.
Dr KK Aggarwal
Editor in Chief
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  eMedinewS Audio PostCard

 2nd eMedinewS revisiting 2010

Revisiting the Year 2010 with Dr KK Aggarwal New guidelines for pneumococcal vaccine in adults

Audio PostCard
 
  Quote of the Day

(By Dr GM Singh)

"Do not be deceived: God cannot be mocked. A man reaps what he sows. The one who sows to please his sinful nature, from that nature will reap destruction; the one who sows to please the Spirit (God’s Spirit), from the Spirit will reap eternal life."

 
    Photo Feature (from the HCFI Photo Gallery)

2nd eMedinewS Revisiting 2010

A Lively Cultural Evening marked the end of the 2nd eMedinewS Revisiting 2010 held at Maulana Azad Medical College on 9th January 2011.

 
Dr K K Aggarwal
 
    National News

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology

Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

My Views on Health Budget – 2011

Prof. Dr. S. Arulrhaj, MD, FRCP (Glasg) Sundaram Arulrhaj Hospitals, Imm. Past President, CMA, UK, Past National President, IMA – New Delhi, 145/5B, Jeyaraj Road, Tuticorin – 628 002 www.drsarulrhaj.com

The Health Care sector in India is a key sector poised for substantial growth in the coming years. The Indian healthcare industry currently stands at US $ 35 billion and has a future potential to reach over US $ 75 billion by 2012 and an estimated US $ 150 billion by 2017.

  • Healthcare spending in India is 3.4% of its total spending. Developed nations spend 12-17% in Health.
  • In India, education spending is 12.7% of its total spending. Developed nations spend 15-16% on education.
  • In India, military spending is 18.6% of its total spending. Developed nations spend 12-21% on military.

So, when we can match the developed nations in Military and Education expenditure, why not in Health?

Health Budget has been marginally increased; from Rs. 19,534 for 2009 – 2010 to Rs. 22,300 crore in 2010-2011. Of this, Rs. 2766 crore major expenditure will be on conducting annual security to prepare the Health profile of all Districts under NRHM.

Developed nations spend 7-9% of GDP on Health. In India, Health Expenditure has not gone beyond 1.05% of GDP. The UPA Government had promised to take this spending to 2-3% of GDP.

Despite her rapid economic growth, India’s Health Indices are the world’s worst. Almost half of children in India suffer from a level of malnutrition which in some places is worse than sub-Saharan Africa. More than 50 % of women suffer from anemia and the average life expectancy at birth of an average Indian is about 64 years, at least 15 years lower than those in developed countries. Even neighboring Sri Lanka has achieved a life expectancy of 75 years and IMR of 12.

A WHO survey has indicated that out of a list of 175 countries, India ranks 171st in terms of GDP spend on Healthcare; in term of private sector spending on Healthcare, India ranked 17th. In developed countries, the quality of Health care is assured by the Bed:Population ratio. It is 7:1000 in developed nations and 1:1000 in India. A massive US $ 80 billion investment is required to bring the Quality of Health Care to the level, which matches that in the developed nations. Every new bed creates employment for 5 personnel directly and about 25 personnel indirectly. There is a huge requirement for healthcare workforce in India.

Analysis of the highlights of this year budget shows just an extension of same policies with marginally higher spend. Even health budget of States are going lower and lower.

Health budget expectations

  1. Health system of any country must be as below:
    I. Public Health System              Safe water
                                                 Adequate sanitation
                                                 Preventing pollution of air & water
                                                 Transport & communications
                                                 National Disease Control and Eradication Programmes e.g.:
                                                 TB, Polio etc

    This must be done immediately and the system must be on even after reaching to ideal Indices for surveillance.

    II. Primary Care: Both rural and urban Indians must be given 100% primary care by Qualified
        Doctors. Health Delivery system both in the Public & Private Sector must be strengthened

    III. Secondary & Tertiary care centers: Well developing & need monitoring for Quality Health
         Care.


    Steps I and II must be strengthened and spending therein must be increased. In India, step I and II are lacking and spending is more on step III. Hence, health system is growing without strong foundation, which is not healthy.

    Government expenditure in budget to Public premier institutions of Health of the Nation shows a reduction of 5-11%. This must increase. In today’s environment, when salaries have gone up, such a reduction shows that the Government is giving less and less space to the public sector. The Private sector will come in and fill up these spaces.
  2. Over 80% of Healthcare in India is with Private Sector
    The long standing demand of the Health care Industry is to get the ‘Infrastructure Status’ This will facilitate hospitals to get funds for expenses. The tax benefits then offered to the private sector will promote International standard of Health Care in India. The commerce as well as health ministries have been in favor of this move but this “Infrastructure status” has not been granted in this year budget too.
  3. We need policy stimulus to enhance spending on Medical Education, Health Care infrastructure and indigenous production of Medial Equipments.
  4. The Rashtriya Swasthya Bima Yojana scheme is going strongly through different states one by one. Other directional steps by GOI must be on Medical insurance to provide “Universal Health Insurance” for BPL population. This needs an extensive workup with Insurance sector players.
  5. Health-friendly Minimum Standards guidelines on Medical Establishments across the country are needed to promote Quality healthcare. Of course, this has to be done in collaboration with health care industry leaders in the private sector and Indian Medical Association (IMA), the largest representative of Doctors in India.
  6. Fifty percent of the income from Tobacco must be spent to prevent and treat COPD and lung cancer; likewise, 50% of the income from Alcohol sale must be spent to prevent Alcohol-related road accidents, Liver damage and NCD.
  7. Right to Education has come. Right to food is on the anvil. Right to Health is not being even talked about. Health must be a fundamental right of Indian citizen.

To conclude

  • Public Health and Primary care must be strengthened on priority.
  • Health Care Industry must get “Infrastructure status.”
  • Right to Health must be constitutional.
 
    International News

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC http://www.isfdistribution.com)

Why dark chocolate is good for heart

Dark chocolate eaten in moderate amounts weekly is associated with improved cardiovascular fitness in women, research suggests. Scientists are only beginning to understand why dark chocolate is heart healthy, but a new study offers this explanation—its rich content of cocoa antioxidant compounds, called polyphenols, could enhance activity of special proteins called sterol regulatory element binding proteins (SREBPs), which are involved in cholesterol metabolism. These activated SREBPs then bind to genes on DNA (sterol regulatory element sequences) that boost liver production of another protein called apolipoprotein A1 (ApoA1), which is the major protein component of HDL "good" cholesterol. Correspondingly, cocoa polyphenols decreased production of another protein in the liver called apolipoprotein B (ApoB), which is the major protein component of LDL "bad" cholesterol. The study also showed cocoa polyphenols induced activity of LDL receptors, allowing more cholesterol to be removed from the bloodstream.

(Dr Monica and Brahm Vasudev)

Administering tPA to patients with mild strokes may prevent disabilities, reduce costs

Mild strokes can cause disability, but people who have them usually don’t receive the clot–busting medication that is recommended for people with severe strokes. A new study presented at the American Stroke Association’s International Stroke Conference, however, suggests that giving more people the medication might prevent a lot of disability and reduce healthcare costs.

Advanced AMD associated with increased risk for intracerebral hemorrhage

According to research presented at a stroke conference, researchers have found a link between advanced age–related macular degeneration (AMD) and an increased risk for intracerebral hemorrhage (ICH).

Data suggest H1N1 pandemic may have affected epidemiology of other diseases

Athough the pandemic H1N1 outbreak of 2009/10 might have significantly reduced the incidence of endemic acute diarrhea and pertussis during the outbreak itself, a higher than expected incidence of these diseases was observed after the pandemic period, according to a study presented at the International Meeting on Emerging Diseases and Surveillance.

Diet soda consumption may be linked to increased heart risks

Research presented at the American Stroke Association International Stroke Conference suggest that diet soda consumption may be linked to increased heart risks.

 
    IMT Update

Femoral artery and carotid bulb are independent predictors of CAD extent. Insulin levels correlate with femoral IMT and CAD extent, whereas lipids correlate predominantly with carotid IMT. (Am J Cardiol 2000 Apr 15;85(8):949–52)

 
    Infertility Update

Dr. Kaberi Banerjee, Director Precious Baby Foundation

What are the most common treatments for infertility?

Unfortunately, the most common treatment prescribed by non–experts is clomiphene citrate. This is unfortunate because there is a 12–cycle lifetime maximum recommended use of clomiphene, and many physicians prescribe this drug without first testing the male partner. Further, failure to monitor the woman using clomiphene often makes its use highly questionable. In fact, it may even be counterproductive in one–third of users by causing hostile cervical mucus which can kill sperm on contact. This is not to say that clomiphene is not a wonderful and effective drug for many couples suffering from infertility. But its use should always be administered and monitored by a practitioner who is experienced at treating infertility patients. Only about 8% of couples with a barrier to pregnancy move to IVF as their treatment protocol. This means that more than 90% are assisted with other, lower tech and less expensive treatments. Such treatments range from ovulation induction drugs to IntraUterine Inseminations (IUIs) to combinations of the two.

For queries contact: banerjee.kaberi@gmail.com

 
    Pediatric Update

Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta – The Medicity

What is the role of serum IgE and radioallergosorbent test (RAST) in asthma?

These tests may help to confirm atopy, but not asthma. The various allergens have not been well standardized and skin allergy testing is cumbersome, expensive and not widely available. Results of these tests seldom contribute additionally to pharmacotherapy in managing most asthmatics. A normal total serum immunoglobulin E level does not exclude the diagnosis of asthma. Hence, these tests are not recommended routinely by the consensus group in diagnosis of asthma.

For queries contact: drneelam@yahoo.com

 
    Medicolegal Update

Dr Sudhir Gupta, Asso Professor, Forensic Medicine & Toxicology, AIIMS

The Supreme Court on medical negligence on August 5, 2005

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 facie 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 in government service qualified in that branch of medical practice
  • That 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.
 
    Useful Websites

(Dr Surendernikhil Gupta)

KidSurvival

New look on Technet21 webpage

http://www.childsurvival.net/?content=com_articles&artid=302

 
    ENT Update

Dr. Aru Handa MS, DNB (Department Co–coordinator and Senior Consultant Deptt. Of ENT Moolchand Medcity)

What are the symptoms of enlarged adenoids?

Adenoids, also called pharyngeal tonsils are normal lymphoid tissue present in the nasopharynx of all children. In some children there can be hyperplasia of the adenoids due to chronic inflammation or allergy. This leads to blockage of the nasopharyngeal space causing breathing difficulty, nasal twang in the speech, snoring, disturbed sleep and even apneas. Some kids tend to sleep with the head in the extended position as this increases the nasopharyngeal air space and allows them to breathe better. Disturbed, restless sleep with apneas leads to growth retardation. These children have frequent upper respiratory tract infections and middle ear effusions. Lack of smell and nasal blockage and frequent URIs cause loss of appetite and decreased intake.

 
    Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Aldosterone

Increased: hyperaldosterism (primary or secondary)
Decreased: adrenal insufficiency, panhypopituitarism

 
    Medi Finance Update
  • Keep a reasonable amount of liquid cash to meet your expenses. Always look at your savings account whether any surplus money is lying and learn to invest it.
  • Every individual within high income bracket should have a key man insurance policy, as it is a good investment in the long run.
  • Profit on paper has no value unless it is easily available.
 
    Drug Update

List of approved drugs from 01.01.2010 to 31.8.2010

Drug Name
Indication
DCI Approval Date
Pramipexole Di HCl monohydrate ER Tablet 0.375/0.75/1.5/3/4.5 mg
For the treatment of the sign and symptoms of idiopathic Parkinson’s disease
13/03/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Imaging blunt abdominal trauma

Two prospective observational studies identified traits that made abdominal injury unlikely, obviating the need for Multidetector computed tomography (MDCT). These traits included:

  • Glasgow coma scale =14
  • No hypotension (SBP <90 mmHg)
  • No abdominal or costal margin tenderness
  • No abnormalities on chest radiograph
  • No femur or pelvic fracture
  • Hematocrit =30 %
  • No hematuria (<25 red blood cells/high powered field)
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Our Contributors
  Docconnect Dr Veena Aggarwal
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  Docconnect Dr Aru Handa
  Docconnect Dr Ashish Verma
  Docconnect Dr A K Gupta
  Docconnect Dr Brahm Vasudev
  Docconnect Dr GM Singh
  Docconnect Dr Jitendra Ingole
  Docconnect Dr. Kaberi Banerjee
  Docconnect Dr Monica Vasudev
  Docconnect Dr MC Gupta
  Docconnect Dr. Neelam Mohan
  Docconnect Dr. Naveen Dang
  Docconnect Dr Prabha Sanghi
  Docconnect Dr Prachi Garg
  Docconnect Rajat Bhatnagar
  Docconnect Dr Sudhir Gupta
 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with positive malaria came with severe thrombocytopenia.
Dr Bad: This is classical malaria.
Dr Good: Also investigate for dengue.
Lesson: Malaria and dengue may co exist in the same patient.

Make Sure

Situation: A patient with dengue developed acute lung injury after platelet transfusion.
Reaction: Oh my God! Why were platelets transfused?
Lesson: Make sure that no platelets are transfused unless there is significant spontaneous bleeding.

Exercise tips

A well–rounded exercise program has four components: aerobic activity, strength training, flexibility training, and balance exercises. Each benefits your body in a different way.

 
    Lighter Side of Reading

An Inspirational Story
(Contributed by Dr. BR Mardia, Consultant ENT Surgeon)

You may have seen this before, but reading again will refresh your memory!

The first day of school our professor introduced himself and challenged us to get to know someone we didn’t already know. I stood up to look around when a gentle hand touched my shoulder. I turned around to find a wrinkled, little old lady beaming up at me with a smile that lit up her entire being. She said, ‘Hi handsome. My name is Rose. I’m eighty–seven years old. Can I give you a hug?’ I laughed and enthusiastically responded, ‘Of course you may!’ and she gave me a giant squeeze..

‘Why are you in college at such a young, innocent age?’ I asked. She jokingly replied, ‘I’m here to meet a rich husband, get married, and have a couple of kids…’ ‘No seriously,’ I asked. I was curious what may have motivated her to be taking on this challenge at her age. ‘I always dreamed of having a college education and now I’m getting one!' she told me. After class we walked to the student union building and shared a chocolate milkshake. We became instant friends. Every day for the next three months we would leave class together and talk nonstop. I was always mesmerized listening to this ‘time machine’ as she shared her wisdom and experience with me..

Over the course of the year, Rose became a campus icon and she easily made friends wherever she went. She loved to dress up and she revelled in the attention bestowed upon her from the other students. She was living it up. At the end of the semester we invited Rose to speak at our football banquet I'll never forget what she taught us. She was introduced and stepped up to the podium. As she began to deliver her prepared speech, she dropped her three by five cards on the floor.

Frustrated and a little embarrassed she leaned into the microphone and simply said, ‘I’m sorry I’m so jittery. I gave up beer for Lent and this whiskey is killing me! I’ll never get my speech back in order so let me just tell you what I know.’

As we laughed she cleared her throat and began, ‘We do not stop playing because we are old; we grow old because we stop playing. There are only four secrets to staying young, being happy, and achieving success. You have to laugh and find humour every day. You’ve got to have a dream. When you lose your dreams, you die. We have so many people walking around who are dead and don’t even know it! There is a huge difference between growing older and growing up. If you are nineteen years old and lie in bed for one full year and don't do one productive thing, you will turn twenty years old. If I am eighty–seven years old and stay in bed for a year and never do anything I will turn eighty–eight. Anybody! Can grow older. That doesn’t take any talent or ability. The idea is to grow up by always finding opportunity in change. Have no regrets. The elderly usually don’t have regrets for what we did, but rather for things we did not do. The only people who fear death are those with regrets..’

She concluded her speech by courageously singing ‘The Rose.’ She challenged each of us to study the lyrics and live them out in our daily lives. At the year’s end Rose finished the college degree she had begun all those months ago. One week after graduation Rose died peacefully in her sleep. Over two thousand college students attended her funeral in tribute to the wonderful woman who taught by example that it’s never too late to be all you can possibly be.

When you finish reading this, please send this peaceful word of advice to your friends and family, they’ll really enjoy it!

These words have been passed along in loving memory of ROSE.

Remember, growing older is mandatory. growing up is optional. We make a Living by what we get. We make a Life by what we give.

………………………………

Mind Teaser

Read this…………………

XQQME

Yesterday’s Mind Teaser: search
and
Answer for Yesterday’s Mind Teaser: Search high and low

Correct answers received from: Dr Shirish Singhal, Dr Chandresh Jardosh, Dr K.V.Sarma, Dr K.P.Rajalakshmi

Answer for 15th February Mind Teaser: Little House on the Prarie
Correct answers received from: Dr Vijay Kansal

Send your answer to ijcp12@gmail.com

………………………………

Laugh a While
(Dr. GM Singh)

Microsoft Logic

One of Microsoft’s finest technicans was drafted and sent to boot camp. At the rifle range, he was given some instruction, a rifle, and bullets. He fired several shots at the target. The report came from the target area that all attempts had completely missed the target. The technician looked at his rifle, and then at the target. He looked at the rifle again, and then at the target again. He put his finger over the end of the rifle barrel and squeezed the trigger with his other hand. The end of his finger was blown off, whereupon he yelled toward the target area, "It’s leaving here just fine, the trouble must be at your end!"

………………………………

Knowledge is amusing

It is impossible to lick your elbow.

5–Minute Management Course
(By Dr Mukul Tiwari)

A turkey was chatting with a bull. ‘I would love to be able to get to the top of that tree’ sighed the turkey, ‘but I haven’t got the energy.’ ‘Well, why don’t you nibble on some of my droppings?’ replied the bull. They’re packed with nutrients.’ The turkey pecked at a lump of dung, and found it actually gave him enough strength to reach the lowest branch of the tree… The next day, after eating some more dung, he reached the second branch. Finally after a fourth night, the turkey was proudly perched at the top of the tree. He was promptly spotted by a farmer, who shot him out of the tree.

Moral of the story: Bull Shit might get you to the top, but it won’t keep you there.

 
    Readers Responses
  1. Dear Sir, Thanks a lot for the useful information. Regards: Dr Prachi
 
    Public Forum

(Press Release for use by the newspapers)

Stay away from stress during examination days.

Exam stress can lead to depression and suicide. Prescriptions for anti depressant drugs, so called ‘happy drugs’ increase amongst teenagers in the age group 16–18 years in full time education during exam days. This figure crosses 20% in school population in the West. This was stated by Dr. K.K. Aggarwal Padma Shri and Dr B C Roy National Awardee and President Heart Care Foundation of India

Creating awareness about the rising problems of stress in Indian context Dr Aggarwal said that the fear of failure, fear of letting down are the two most common factors leading to suicide and depression.

Also, children indulge in drugs to keep awake during exams and end up with addictions. Anticipatory anxiety peaks before exams resulting in adverse affects on the body and mind and therefore, a sub optimal performance. Stress not only causes palpitations and tense muscles but also reduces the ability to make decisions, act or express oneself including organization of thoughts. Stress during exam makes it difficult to read and understand questions and even to recall terms and concepts.

A study has shown that 45 minutes of afternoon nap improves the declarative memory. Declarative memory is the memory of events learnt and understood earlier during the year. Not taking an afternoon nap or night sleep may cause the child end up with transient loss of declarative memory.

Free Writing Can Clear Mental Stress: By spending 30 minutes each day for four days to write out your innermost thoughts and feelings, one can significantly boost mental and physical health. In expressive writing therapy, students are encouraged to express whatever is on their mind, letting their hopes and fears flow out in a natural, unrestrained way. It’s akin to keeping a journal, but more focused on the things that might be bothering you or triggering stress. While writing, the students need not worry about the punctuations. It’s all about stepping back and thinking about things in a different way, making linkages. Writing out emotions eases stress and, in turn, boosts the immune system.

Memories of traumatic events are not suppressed by the people who have experienced them and can be clearly recalled. In a five–year study, scientists at Dalhousie University in Halifax found that pleasant events were more difficult to recall than unhappy ones.

Sleeping pills can be dangerous: Prescription sleeping pills can cause strange and potentially dangerous side effects. All the drugs in the class can produce these effects.

Short walk can help de–addict: Just 5 to 10 minutes of walk can cut cravings for cigarettes among people trying to kick the habit. According to Dr. Adrian H. Taylor of the University of Exeter, 12 out of fourteen studies reviewed by him found that a bout of physical activity reduced cigarette cravings and withdrawal symptoms compared to staying inactive. Exercise cut craving as much as chewing nicotine gum. Exercise also triples the time it takes for people to reach for their next cigarette.

Effects were seen for vigorous bouts of exercise lasting for up to 40 minutes, but even less intense 15–minute session and even five minutes of isometrics, have a significant effect. Distraction, reducing stress and boosting mood may be the reasons.

Afternoon nap: A study published in the journal Sleep, showed that a 45–minute midday nap can help boost the "declarative memory" which applies to standard textbook learning and knowledge. Sleep appears to help "set" these declarative memories and make them easier to recall.

The other type of memory is "procedural memory," which applies to skills and has no impact with the midday nap.

HCFI Tips

  • Kids should not be compared: it can lead to anger or depression in the child.
  • One should unconditionally appreciate whatever the child has achieved.
  • One should avoid giving false promises for example if you come first, you will get a bike". When that happens, "You are not yet 18 – so you can’t get a license. This time, settle for a bicycle and later we’ll get that bike". Broken promises hurt the child.
  • Avoid anger chain. For example, the father unleashes his anger on the mother (because she does not answer back), and she takes it out on the child (because of the same reason). And the child takes it out on books or studies or younger sibling or hired help at home!
  • Do not force your expectations on the child. For example, you should only become a doctor.
  • Avoid giving the child two conflicting messages like mother asks child to study and father says – "do not force him."
  • Make your child exercise daily, learn pranayama and meditation.
  • Provide your child with balanced and nutritious diet. Avoid overeating or long hunger periods. Restrict caffeine, give more water.
  • Ensure adequate sleep with a consistent schedule to improve concentration, memory and mood, it also reduces irritability.
 
    Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

Cricket world cup 2011 schedule very very creative

World Cup Schedule

http://www.cricbuzz.com/cricket–schedule/series/228/icc–world–cup–2011

Delhi Medical Council Inaugural CME on Managing Common Emergencies

Date: Sunday, February 20, 2011
Programme – 1.00 PM – 4.00 PM
1.00 PM 1.30 PM Lunch
1.30 PM 1.45 PM Inauguration
1.45 PM 4.00 PM Scientific Programme

Topics Time Speakers Chairpersons
RTA, Emerging Epidemic
1:45 PM – 2.05 PM
 
Dr MC Misra
Dr BK Dhaon, Dr Praveen Bhatia, Dr Chander Prakash
Acute Febrile Illness
2.05 PM – 2.25 PM
Dr N.P Singh
Dr OP Kalra, Dr SP Byotra,
Dr B Gupta
Haematuria – Red Alarm
2.25 PM – 2.45 PM
Dr Anil Goyal
Dr P.N Dogra, Dr. Rajeev Sood
Managing PPH – Saving Lives
2.45 PM – 3.05 PM
Dr Reva Tripathi
Dr Sharda Jain
Panel Discussion of Update of Lt. Side chest pain 3.05 PM – 3.50 PM Dr Purshottam Lal,
Dr Naresh Gupta
Dr PS Gupta, Dr K K Aggarwal, Dr Ashok Seth

Vote of Thanks: 3.50 PM – 4.00 PM

Followed by Tea

Please Note: Prior Registration is Mandatory (No Registration Charges)

For Registration e–mail to delhimedbalcouncil@gmail.com
If you are not registered with DMC you can get registered on the spot

Organization: President: Dr Arun Aggarwal, Vice President: Dr Vinay Aggarwal, Secretary: Dr Girish Tyagi, Organizing Chairman: Dr Anil Goyal, CME Committee Members: Dr Anil Bansal, Dr Manoj Singh, Dr NP Singh, Dr Praveen Bhatia

World Fellowships of Religions and Perfect Health Parade
First ever Conference which will talk about science behind all Religions, Dharmas and Pathies under one roof
Subject: Global Warming, Ethnic Crises, How to be Healthy
Date: Sunday 3rd April, 2011
Venue: Maulana Azad Medical College, New Delhi
Time: 8 AM – 4 PM
Register: rekhapapola@gmail.com

4th Study Camp on ‘Mind–Body Medicine and Beyond’
Organizer: Sri Aurobindo Ashram – Delhi Branch
Venue: Nainital Centre (Van Nivas)
Day: July 2–9, 2011

A Camp for doctors, medical students and other health professionals at its from. The camp, consisting of lectures, practice, and participatory and experiential sessions, will help the participants get better, feel better, and bring elements of mind-body medicine into their practice. The camp will be conducted by Prof. Ramesh Bijlani, M.D., former Professor, AIIMS, founder of a mind-body medicine clinic at AIIMS, and the author of Back to Health through Yoga.

For more details, contact the Ashram reception in Delhi (011–2656–7863) or e–mail Dr. Bijlani (rambij@gmail.com).

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