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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; 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

  Health Videos …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1–7
DD Take Care Holistically Video 1–4 Chat with Dr KK On life Style Disorders
Health Update Video 1–15 Science and Spirituality
Obesity–Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
 
  Editorial …

18th September 2012, Tuesday

Hot Cocoa for Improving Brain Cognition

In a double–blind study, elderly patients with mild cognitive impairment who consumed high or moderate levels of cocoa flavanols for 2 months had significant improvements on certain cognitive assessment tests compared with those who took in only small amounts, Giovambattista Desideri, PhD, of the University of L’Aquila in Italy, and colleagues reported online in Hypertension.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

What is the follow–up approach to a patient with acute fecal impaction?

Following management of an acute impaction, it is important to identify and eliminate potential causes of constipation. This includes discontinuing medications that cause or exacerbate constipation. For the institutionalized adult, improving availability of toileting and/or providing assistance is necessary to prevent constipation.

For Comments and archives…

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

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

Healthcare worker fatigue and patient safety

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

A non–stop Interaction between Patients and Cardiologists

The Heart Care Foundation of India announced details of the forthcoming 4th Dil Ka Darbar at a press conference. The Darbar will be held on Sunday, 23rd September, 2012 at Talkatora Stadium. The event is being organized by Heart Care Foundation of India in association with World

 
Dr K K Aggarwal
 
    National News

Two JCI–accredited organizations capture healthcare Excellence Awards in India

The Federation of Indian Chambers of Commerce and Industry (FICCI) presented its annual Healthcare Excellence Awards for 2012 on 28 August 2012. Two awards were presented to organizations accredited by Joint Commission International (JCI): Addressing Industry Issues – Narayana Hrudayalaya, Bangalore and Operational Excellence, Private Sector (>100 beds, Multi–specialty)– Fortis Hospital, Mulund (Mumbai)

For comments and archives

Man gets fresh lease of life with 10 bypass grafts at a go

NEW DELHI: In a path breaking surgery conducted by Prime Minister Manmohan Singh’s heart surgeon Dr Ramakant Panda, a patient from Ludhiana was saved from a fatal heart attack after 10 separate bypass grafts were created for blood to flow smoothly from and into the heart. The eight–hour–long procedure, conducted at Mumbai's Asian Heart Institute last week, could be the first such surgery where so many grafts were created to bypass clogged arteries. Panda and his team took 18 cm of healthy artery from the chest (left and right mammary arteries) of 55–year–old Pawan Agarwal and divided them into 10 different grafts, which were then connected to the blocked coronary artery. The grafted artery bypasses the blocked portion of the coronary artery. This creates a new path for oxygen–rich blood to flow to the heart muscle. Surgeons can bypass multiple coronary arteries during one surgery.

Dr Panda said, "I have done a maximum of eight grafts on a single patient in my entire career. This was the first time that 10 grafts were created. Most patients require just three grafts. But this patient was in seriously bad condition." Panda added, "We noticed multiple blockages in not just the three major arteries of the heart but also in its smaller branches. While we used 10 grafts to bypass blocked arteries, one artery was so badly blocked that we couldn’t create a bypass. We, therefore, additionally conducted an arterial cleansing procedure (endartectomy) to clean up the blockage."

Agarwal has been suffering from diabetes for two decades. But in August, he started experiencing severe palpitation. Upon examination by a cardiologist in Ludhiana, he was told that he was not fit for either an angioplasty or bypass surgery, as he had 90% blockages in two of the major heart arteries and another 100% damaged artery. He was diagnosed with a very advanced triple vessel coronary artery disease. He couldn’t even walk 500 metres without palpitation and reported severe left arm pain, which was increasing progressively. What was worse is that while normally the coronary artery that takes pure blood back to the heart is about 2mm in diameter, in Agarwal’s case, it was just about 1mm in diameter. Panda then decided to conduct a coronary artery bypass grafting on him — a type of surgery that improves blood flow to the heart. Coronary heart disease is a condition in which a waxy substance called plaque builds up inside the coronary arteries. These arteries supply oxygen–rich blood to the heart. Over time, plaque can harden or rupture. Hardened plaque narrows the coronary arteries and reduces the flow of oxygen–rich blood to the heart. (Source: TOI, Sept 17, 2012)

For comments and archives

4th Dil Ka Darbar

September 23, 2012, 9:00 AM–6:00 PM , Tal Katora Indoor Stadium, Connaught Place, New Delhi

A non stop question answer–session between all top cardiologists of the NCR region and the public.

My Profession My Concern

Bayer plea against Natco dismissed

The Intellectual Property Appellate Board on Friday rejected a petition of pharma major Bayer Corporation, seeking a stay on an order of the Controller of Patents, granting compulsory licence to the Hyderabad–based Natco Pharma Limited, a generic drug maker, for a drug used to treat liver and kidney cancer, reports R Sivaraman in the Hindu.

On March 9, the Controller of Patents, Mumbai, granted the first–ever compulsory licence to Natco to make sorofenib tosylate, a generic version of Bayer’s high–priced anti–cancer drug Nexavar.

Indian patent law allows grant of a compulsory licence to an applicant if the patented drug is not available to the public at a reasonable price.

Bayer obtained a patent in India in 2008 for Nexavar, which cost Rs. 2.8 lakh for a pack of 120 tablets, equivalent to a month’s dosage. Natco was told to sell the pack at Rs. 8,800. As per the licence conditions, Natco had to pay a six per cent royalty to Bayer from its net sale and manufacture.

In its petition, Bayer said Cipla was selling its product Soranib, at a maximum retail price of Rs.6,840 for one month’s treatment — a much lesser price, in fact, than Natco’s — thereby creating an overall anti–competitive environment. Bayer also argued that its drug was made available at Rs. 30,000 to patients on the recommendation of the oncologist.

For comments and archives

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

 
    Valvular Heart Disease Update

What are the contraindications to surgery in aortic stenosis?

With certain high risk patient exceptions, valve replacement should not be performed for isolated severe AS in asymptomatic patients. The threshold for surgery may be lower in such "high–risk" patients with critical valve areas of <0.75 cm2 than in those with valve areas of <1.0 cm2 but ≥0.75.

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

For comments and archives

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Obesity risk increases, T2D risk decreases with gene variant

British researchers have demonstrated that mutations in the tumor–suppressor gene PTEN enhance insulin sensitivity. Reduced function of PTEN (phosphatase and tensin homolog), which encodes a protein affecting cell growth and metabolism, is known to increase the risks for obesity as well as cancer. Thus, its involvement in enhanced insulin sensitivity may seem paradoxical. (Source: Medscape)

For Comments and archives…

Rheumatoid arthritis: Risk score predicts infection

Rheumatoid arthritis (RA) is associated with increased susceptibility to infections. An infection risk score developed by biostatistician Cynthia Crowson, MS, from the Mayo Clinic in Rochester, Minnesota, and colleagues can accurately predict the risk for serious infection in individual patients with RA. The authors present validation data for the new risk score in an article published online August 27 and in the September issue of Arthritis & Rheumatism. (Source: Medscape)

For Comments and archives…

Ibuprofen–famotidine combination reduces ulcer risk

A pill that combines ibuprofen and famotidine lowers the risk for ulcers caused by ibuprofen alone, a new study shows. Compared with patients taking only ibuprofen, half as many patients taking the combination drug had endoscopically observed ulcers after 24 weeks, researchers reported at PAINWeek, a conference of pain specialists. (Source: Medscape)

For Comments and archives…

FDA approves new catheter for intrathecal baclofen

The US Food and Drug Administration (FDA) has approved a new catheter (Ascenda, Medtronic Inc) for use in the delivery of intrathecal baclofen (ITB) therapy. According to the manufacturer, ITB therapy has been found in clinical trials to reduce the incidence of severe spasticity. The device is used to treat chronic, intractable pain and severe spasticity associated with cerebral palsy, multiple sclerosis, spinal cord and traumatic brain injuries, and stroke. (Source: Medscape)

For Comments and archives…

 
    Twitter of the Day

@DrKKAggarwal: Long term use of painkillers can cause kidney cancer

@DeepakChopra: How do we explain consciousness in the current scientific
paradigm?http://tinyurl.com/99hv57b

 
    Spiritual Update

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

Positive attitudes

All those out there who feel you are at your wits end wondering how things don’t ever work out for you can now relax and dwell on all those failures that life has taken you through and turn failure into success.

For Comments and archives…

 
    4th Asia Pacific Vascular Intervention Course (APVIC)
  • 4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More
  • The 4th Asia Pacific Vascular Interventional Course begins Read More
  • Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More
  • 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • 4th Asia pacific vascular intervention course Read More
  • 4th Asia pacific vascular intervention course paper clippings Read More
 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

What is the procedure of evaluating the intended parents and the gestational surrogate?

The intended parents should undergo a complete medical history and physical examination. Semen analysis should be obtained for the male partner, and an evaluation of ovarian function should be preformed for the female partner. The surrogate should undergo a complete medical history including a detailed obstetric history, lifestyle history, and physical examination. The surrogate should have an evaluation of her uterine cavity with hysterosalpingogram, sonohysterogram, or hysteroscopy. Infectious disease screening for syphilis, gonorrhea, Chlamydia, Cytomegalovirus, HIV, and Hepatitis B and C should be performed on the intended parents and the surrogate.

For Comments and archives…

 
    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

Can blood of animals be transfused to human beings?

Scientists have tried a lot but so far they are not successful. Only blood of a human being can be transfused to a human patient.

For Comments and archives…

 
    An Inspirational Story

"God Bless You" Speech

They walked in tandem, each of the ninety–three students filing into the already crowded auditorium. With rich maroon gowns flowing and the traditional caps, they looked almost as grown up as they felt. Dads swallowed hard behind broad smiles, and moms freely brushed away tears.

This class would not pray during the commencements; not by choice, but because of a recent court ruling prohibiting it. The principal and several students were careful to stay within the guidelines allowed by the ruling.

They gave inspirational and challenging speeches, but no one mentioned divine guidance and no one asked for blessings on the graduates or their families.

The speeches were nice, but they were routine; until the final speech received a standing ovation. A solitary student walked proudly to the microphone. He stood still and silent for just a moment, and then he delivered his speech –– a resounding sneeze! The rest of the students rose immediately to their feet, and in unison they said, "God bless you."

The audience exploded into applause. The graduating class found a unique way to invoke God’s blessing on their future –– with or without the court’s approval.

(Source: http://www.inspire21.com/stories/educationstories)

For comments and archives

 
   Cardiology eMedinewS

Halving meat consumption would cut heart disease, cancer rates
Read More

Use of antihypertensive drugs during pregnancy increasing Read More

 
   Pediatric eMedinewS

Growth hormone given in puberty improves height in short children
Read More

Pediatric sedation monitoring varies by provider type Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A 1–year–old child is brought with a complaint of "not gaining weight", vague symptoms and positive Mantoux test.
Dr Bad: Start a tonic.
Dr Good: Start anti–TB drugs.
Lesson: Any child below 2 years of age with positive Mantoux test has active TB unless proved otherwise and is at high risk for developing TB meningitis and miliary TB.

For comments and archives

Make Sure

Situation: An asthmatic with respiratory rate of 37 developed respiratory arrest.
Reaction: Oh my God! Why was the patient not put on the ventilator in time?
Lesson: Make sure to remember that a respiratory rate of > 35 is a warning signal to start ventilation therapy.

For comments and archives

 
  Legal Question of the Day (Dr MC Gupta)

Q. When a doctor employed in a hospital treats a patient in the hospital, the contract of service is between the doctor and the patient and NOT between the hospital and the patient. Is this statement supported by court judgments?

Ans.

  • The hospital is responsible for any medical negligence committed by its staff including the consultants. The reasons have been stated in Sh. Naresh Mehra v. Dr. A.P. Choudhary, decided by the Delhi State Consumer Commission on 31–10–2008, as follows:

    "18. We have taken a view that whenever any patient lands in any Hospital or Nursing Home, Medical Centre, his direct relationship of consumer for hiring or availing the medical services is with the said Hospital or Nursing Home or medical Centre and not with the treating Doctors and other personnel, secondly, the entire consideration in the form of expenses including the component of charges or fees of the operating Doctor and other junior Doctors and staff engaged in pre or post– operative care or any other kind of care are paid to the Nursing Home or Hospital or Medical Centre directly and thirdly that there is totality or compendium of various services including medical and those of para staff and other conveniences and the privity of contract is not with the operating or treating or attending Doctors, nurses and other staff.

    19. Thus if a patient suffers due to the medical negligence or carelessness of Doctors and staff of the Hospital or Nursing Home or Medical Centre whose services he avails against consideration, said Hospital or Nursing Home or Medical Centre alone is liable to compensate the patient as to loss or injury suffered by him and Nursing Home or Hospital or Medical Centre has independent remedy to take any kind of action against such doctors or staff but no doctor or staff has a joint or several liability qua the patient.

    20. Similarly Nursing Homes or Medical Centres or Hospitals alone are liable for the acts of omission or commission or medical negligence of visiting or consulting Doctors as the patient has no direct contract with such Doctors and services of such Doctors are availed by the Hospital or Nursing Home or Medical Centre and not the patient".
  • The above is in conformity with the legal principle of vicarious liability according to which, when negligence is committed by an employee such as a resident or nurse or a ward assistant, the responsibility lies upon the hospital which is the principal under whom they work.
  • Let us look at it more analytically. There are three essential ingredients of a contract—offer; acceptance; and, consideration. In the present case:
    • Offer to treat is made by the hospital by way of advertisements etc. and not by the physician. As a matter of fact, it is against the Code of Ethics Regulations, 2002, for a physician to advertise himself.
    • Acceptance of offer can only be made to one who makes the offer—in this case the hospital.
    • Consideration by way of advance deposit and payment of bill, prepared by the hospital, is made to the hospital and not the physician.

      Hence, there is no way that there can be a legal contract between the physician and the patient.

For comments and archives

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Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of Doctor’s Day Celebration

 
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  Quote of the Day (Dr GM Singh)

One moment of patience may ward off great disaster. One moment of impatience may ruin a whole life.

 
  Lab Update (Dr Arpan Gandhi and Dr Navin Dang)

CBC test

The CBC (complete blood count) test may be performed under many different conditions and to assess many different symptoms or diseases. The results can reflect problems with fluid volume (such as dehydration) or loss of blood, problems with RBC production and destruction, or help diagnose infection, allergies, and problems with blood clotting.

MCV, MCH, and MCHC values reflect the size and hemoglobin concentration of individual cells, and are useful in diagnosing different types of anemia.

 
    Mind Teaser

Read this…………………

A thoracentesis is performed on a chest–injured client, and no fluid or air is found. Blood and fluids is administered intravenously (IV), but the client’s vital signs do not improve. A central venous pressure line is inserted, and the initial reading is 20 cm H2O. The most likely cause of these findings is which of the following?

A. Spontaneous pneumothorax
B. Ruptured diaphragm
C. Hemothorax
D. Pericardial tamponade

Yesterday’s Mind Teaser: BRIDGE
                                      w t r
                                      a e

Answer for Yesterday’s Mind Teaser: Bridge over troubled water

Correct answers received from: Dr Parimal Shah, Dr Sagar Tucker, Dr PC Das, Dr (Maj. Gen.) Anil Bairaria, Raju Kuppusamy, YJ Vasavada, Dr BB Aggarwal, Dr Chandresh Jardosh.

Answer for 16th September Mind Teaser: B. Urine output of 30 to 50 ml/hr.
Correct answers received from: Dr K Raju, Dr Chandresh Jardosh, Dr Ajay Gandhi, Dr Neelima Singh,
Dr KV Sarma, YJ Vasavada, Dr A K Jalewa, Dr Thakor Hitendrsinh G, Muthumperumal Thirumalpillai, Dr BB Aggarwal, Dr P Narayanasamy, Dr Pankaj Agarwal, Dr Vishal D Wahane.

Send your answer to ijcp12@gmail.com

 
  Rabies Update (Dr. A. K. Gupta, Author of "RABIES - the worst death")

1. When is World Rabies Day observed?

"World Rabies Day" is on 28th September.

2. Why do dogs always keep their mouth open with tongue protruding out?

Dogs do not sweat through the skin. They exchange most of their heat through the mouth, and extend the tongue to increase the surface exposed to the air.

3. What is the latest (2012) news about rabies disease?

  • Study of passive immunity in the prevention of rabies discusses the advances in passive immunoprophylaxis, most notably the shift from the recommended polyclonal human or equine immunoglobulin to monoclonal antibody therapies. The first rabies–specific monoclonal antibodies are undergoing clinical trials, so passive immunization might finally become an accessible, affordable, and routinely used part of global health practices for rabies.
  • A report on use of a reduced (4–dose) vaccine schedule for post exposure prophylaxis to prevent human rabies summarized new recommendation and updates previous recommendations of the Advisory Committee on Immunization Practices (ACIP) for post exposure prophylaxis (PEP) to prevent human rabies.
  • Human rabies can be very effectively prevented, and animal control is an important component in reducing the public health risk to humans. Dog rabies can be eliminated by well established control methods and routine dog rabies vaccination programs.
 
    Fitness Update (Rajat Bhatnagar, MonaVie, www.mymonavie.com/sonraj)

Equinox executive says fitness is a fraud

September 12th, 2012: When Equinox announced last month that Sarah Robb O’Hagan would take over the new post of president of the company, I thought that Equinox’s racy ad campaigns from photographer Terry Richardson would go away. However, recent tweets seem to indicate that I thought wrong. Photos in the ad campaigns, which are displayed on Equinox’s website and inside Equinox club walls, including one displayed outside the kids club, depict both men and women as sexual objects and have little in them related to fitness. I thought a female president of a company, who also is a wife and mother of three, would stop the use of these photos.

Then, I read a New York Times profile of Bianca Kosoy, the executive creative director of Equinox who hired Richardson for the ad campaigns. In the profile, Kosoy said, "I never work out. I think fitness is a fraud. That’s why I try to make it look like fashion."

Well, after seeing that quote, I thought for sure that Robb O’Hagan, who came to Equinox from PepsiCo/Gatorade, would make a change. How can you have your executive creative director saying in the Times that fitness is a fraud when your business is built on helping people get fit?

A few days later, I saw that Robb O’Hagan, who is active on Twitter, re–tweeted the Times story on Twitter and gave it her endorsement. Not only that, but Kosoy thanked Robb O’Hagan on Twitter, and the two exchanged pleasantries, saying they were looking forward to working with each other. The ad campaigns, keep in mind, have the approval from the man at the top, Equinox CEO Harvey Spevak, who told the Times, "Bianca’s unique vision blurs the traditional lines between fashion and fitness." That much is true. But what do you think? Should Equinox continue with the racy ads? Do they bother you? Would you be OK with your creative director saying in a major newspaper that fitness is a fraud?

 
    Laugh a While (Dr GM Singh)

Two elderly gentlemen from a retirement centre were sitting on a bench under a tree when one turns to the other and says: "Slim, I’m 83 years old now and I’m just full of aches and pains. I know you’re about my age. How do you feel?"
Slim says, "I feel just like a newborn baby."
"Really? Like a newborn baby!?"
"Yep. No hair, no teeth, and I think I just wet my pants."

 
  Medicolegal Update

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

What is rape trauma syndrome?

  • Rape trauma syndrome describes that rape survivors go through fear experienced during a sexual assault particularly violent sexual assault. Each victim has their own experience; but there are common characteristics the victims possess. These characteristics are the direct result of the fear inherent in sexual assault.
  • The acute phase lasts from a few days to a few weeks after an assault. It is a response to a complete disruption of one’s life and the humiliating experience of being sexually assaulted. The acute phase produces as many responses as there are survivors. Some survivors may cry, others may laugh, and still others may be completely silent. It is important that there is no "wrong" way to cope with the immediate after effects of sexual trauma. During the acute phase, survivors may feel disbelief or in some way frozen. It has also been described as if survivors "left their body," forever being unable to reconnect with the woman or man who was raped. Survivors may feel humiliated, confused, dirty, ashamed, or in some way at fault for the assault; especially in the case where the assailant was an acquaintance. Physical concerns may arise during the acute phase as well. These concerns may be the direct result of the assault or fear of the possible physical ramifications of the assault i.e. pregnancy or STDs.
  • Following the acute phase is the Reorganization Phase where the survivor attempts to reorganize her life. This phase invites a myriad of emotions such as fear, anxiety, denial, and most of all the loss of security. The shattering of security as well as trust is inherent in sexual assault. This loss of the fundamental need for security wreaks havoc on the survivor’s life. The feeling of being unsafe looms over the survivor causing a heightened state of anxiety, difficulty with intimate relationships, and overcautious such as constantly checking one’s surroundings.
  • Chronic reactions to sexual assault include the inability to find peace at the level of soul. Sexual assault can change the individual forever as well as the world as they know it. The end result is a constant state of turmoil in thought process. At times, the survivor may not even recognize what is happening within. Sexual assault causes the body to be an unfriendly environment leading the survivor to at times feel dirty and ashamed. These feelings cause the individual to disconnect from their body entirely. Without a connection to their body, the survivor is unable to listen to internal states which assist her in navigating through the world. This contributes to a feeling inherent in many survivors, the feeling of being "lost." The patient needs close monitoring/treatment by doctor and counselors.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

50% of adverse drug reactions can be prevented

Over 50% of all adverse drug reactions treated in hospitals and emergency care are preventable, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President, Heart Care Foundation of India, Dil Ka Darbar to be held on 23rd September at Talkatora Stadium and MTNL Perfect Health Mela.

Many preventable drug reactions like drug overdoses and internal bleeding associated with the improper use of blood thinners and painkillers are life–threatening especially in the elderly. There are many reasons for these reactions and may include poor coordination of care, lack of time and knowledge among health professionals, and lack of patient education, according to Swedish researchers, who conducted a meta–analysis of 22 studies. Human error is inevitable, and therefore systems must be made to reduce the error. The study concluded that:

  • In outpatient setting, the frequency of preventable adverse drug reactions resulting in hospitalization or emergency treatment is 2% and of these 51 percent are preventable.
  • In the elderly, 71 percent of drug reactions are preventable.
  • In admitted patients the frequency of harmful drug reactions is 1.6 percent and 45 percent of them are preventable.
  • A third of preventable adverse drug reactions are life–threatening.
 
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