eMedinewS 19th July 2013, Friday

Dr K K 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; Editor in Chief IJCP Group, National Vice President Elect, Indian Medical Association; Hony. Visiting Professor (Clinical Research) DIPSAR; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10-13); 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);
For updates follow at
www.twitter.com/DrKKAggarwal
www.facebook.com/Dr KKAggarwal

Supreme Court quashed: Common Entrance Examination for Medical College admissions.

The Supreme Court of India on Thursday quashed the National Eligibility cum Entrance Test (NEET) for admission for medical colleges. It was a single entrance cum eligibility exam for admission in all medical colleges in India. Giving a verdict in 2:1 majority, the Supreme Court held that the Medical Council of India has no power to conduct single entrance exam and force it on the Government and Private medical colleges.

The Supreme Court, however, made it clear that its verdict will not affect the admissions which have taken place.

The Bench said that the MCI notification was in violation of Article 19, 25, 26, 29 and 30 of the Constitution.

19. Protection of certain rights regarding freedom of speech, etc.-

(1) All citizens shall have the right-
(a) to freedom of speech and expression;
(b) to assemble peaceably and without arms;
(c) to form associations or unions;
(d) to move freely throughout the territory of India;
(e) to reside and settle in any part of the territory of India; _13(and)_14* * * * *
(g) to practise any profession, or to carry on any occupation, trade or business.

Right to Freedom of Religion

25. Freedom of conscience and free profession, practice and propagation of religion.-


(1) Subject to public order, morality and health and to the other provisions of this Part, all persons are equally entitled to freedom of conscience and the right freely to profess, practise and propagate religion.

(2) Nothing in this article shall affect the operation of any existing law or prevent the State from making any law-
(a) regulating or restricting any economic, financial, political or other secular activity which may be associated with religious practice;
(b) providing for social welfare and reform or the throwing open of Hindu religious institutions of a public character to all classes and sections of Hindus.

Right to Freedom of Religion

26. Freedom to manage religious affairs.-


Subject to public order, morality and health, every religious denomination or any section thereof shall have the right-
(a) to establish and maintain institutions for religious and charitable purposes;
(b) to manage its own affairs in matters of religion;
(c) to own and acquire movable and immovable property; and
(d) to administer such property in accordance with law.

Cultural and Educational Rights

29. Protection of interests of minorities.-


(1) Any section of the citizens residing in the territory of India or any part thereof having a distinct language, script or culture of its own shall have the right to conserve the same.

(2) No citizen shall be denied admission into any educational institution maintained by the State or receiving aid out of State funds on grounds only of religion, race, caste, language or any of them.

Cultural and Educational Rights

30. Right of minorities to establish and administer educational institutions.-


(1) All minorities, whether based on religion or language, shall have the right to establish and administer educational institutions of their choice.

_20 (1A) In making any law providing for the compulsory acquisition of any property of any educational institution established and administered by a minority, referred to in clause (1), the State shall ensure that the amount fixed by or determined under such law for the acquisition of such property is such as would not restrict or abrogate the right guaranteed under that clause.)

(2) The State shall not, in granting aid to educational institutions, discriminate against any educational institution on the ground that it is under the management of a minority, whether based on religion or language. 21(* * *)

....Read More

Diabetes Management in Ramadan

  • During Ramadan, diabetics who chose to fast should be educated about how to adjust their medications and be prepared to break the fast if necessary.
  • During the lunar-based month of Ramadan, Muslims abstain from eating, drinking, smoking, or using oral medications from predawn to sunset.
  • Followers will typically eat just after sunset and again before dawn.
  • In general, fasting is not recommended for people with diabetes. The practice increases the risk for both hypoglycemia from lack of food and hyperglycemia resulting from cutting back too far on medication in attempts to avoid hypoglycemia. Hyperglycemia can also occur if patients overeat after sundown.
  • If the period of fasting is longer and the two meals are eaten close together, this can be tricky.
  • Islamic law does not require fasting when it would create a physical danger.
  • Fasting is especially risky for those with type 1 diabetes, for pregnant women, and for children. However, patients with well-controlled type 1 diabetes who use insulin pumps can often accomplish fasting by adjusting their basal infusion rates and monitoring their blood glucose levels frequently.
  • For patients with type 2 diabetes taking medications other than insulin or sulfonylureas, the risk for hypoglycemia is low. However, because of the prohibition against taking oral medication during daylight hours, patients who usually take metformin 3 times daily should take two-thirds of the dose at the sunset meal and one-third at the predawn meal.
  • Long-acting sulfonylureas should be avoided.
  • Once-daily sulfonylureas should be taken at the sunset meal.
  • For patients taking twice-daily sulfonylureas, the usual dose should be taken at the evening meal and half the usual dose before the predawn meal. One can also skip the predawn dose altogether.
  • The very short-acting insulin secretagogues repaglinide or nateglinide can be taken before each of the meals.
  • No adjustments are needed for thiazolidinediones, alpha-glucosidase inhibitors, incretin-based therapies, or bromocriptine.
  • Basal insulin doses should be reduced by about 30% to 40%. Patients who are on either mixed or intermediate-acting insulins should switch to basal insulin.
  • The usual dose of rapid-acting insulin should be taken before the sunset meal. The predawn dose of rapid-acting insulin can be cut to half or omitted.
  • Frequent monitoring is the key. Patients should be advised to break their fast if the blood sugar drops below 70 mg/dL. If it rises above 250 mg/dL — particularly for patients with type 1 diabetes — they should also break their fast and take insulin.
  • Patients should be cautioned against overeating after breaking the fast.
  • Moderation is the trick. Don't overfill an empty stomach.
  • Patients should be counseled about avoiding dehydration as much as possible.
  • Also adjust BP medicines during Ramadan

....Read More

cpr10 Mantra 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.”


VIP's on CPR 10 Mantra Video
eMedinewS
Ringtone - CPR 10 Mantra Hindi

Ringtone - CPR 10 Mantra English

sprritual blog Learn to live in the Present

The death of noted Supreme Court Lawyer and Immediate Past President of Law Asia, Mr. G L Sanghi made me revisit many of the Vedic laws. During the mourning ritual days with the family and friends, I noticed many talking about their experiences with Late Mr. Sanghi. Many of them were repenting that why they did not spent more time with Mr. Sanghi when they last interacted with him.

Death is inevitable and so is its certainty. It is unavoidable and uncertain. When it will come, no one knows. Sudden death (death occurring within one hour of the onset of symptoms in an otherwise normal individual) is quite common. In 40-70 years age group, sudden deaths are known due to cardiac arrest, prominent examples are Vinod Mehra, Amjad Khan, Sanjeev Kumar and Devang Mehta.

One of the Vedic laws says that one should learn to live and enjoy every moment of his or her life as one is not aware what is going to happen in the next moment. One should enjoy life as if you may not get the same time again. There is a description in Mahabharata where all the brothers start celebrating when to one of the queries Yudhishtira replied that this work would be done after a few days. The enjoyment was because Yudhishtira never spoke a lie and his answer was certain that all the brothers along with Yudhistira are going to live at least for few more days till that work is done.

Living in the present is also called conscious living. Practically it means concentrating all your five senses: taste, smell, see, touch and hear in the present on the object of concentration. People who live in the present cannot worry about the past or fear about the future.

During the phase of conscious living, when one is living in the present, one loses track of time. One often experiences these in life. Imagine how time passes when you are deeply engrossed in a four star rated movie (very good films) or are meeting a childhood friend after a long time.

Living in the present means being aware of what is happening, what you are doing, feeling and thinking. It is being conscious of your thoughts and focusing them on the present. In this way one looks at situations as they are, without interpreting them with our past experiences. One sees things as they are, without being influenced by fears, anger, desires or attachments.

Meditation is nothing but a technique where one is taught how to live in the present. During meditation one is concentrating on the present, the object of concentration, with preference given to this object over the thoughts of the past or the future. In normal circumstances, a person cannot concentrate for more than 3 seconds as a new thought arises after every three seconds. A person who can concentrate on the object of concentration without interruption for at least 20 seconds is said to have learnt the initial process of meditation.

Trained yogis can concentrate without interruption from 2 minutes to few hours depending upon their level of expertise. Deepak Chopra in his book Synchrodestiny writes that when we learn to live in the present we create harmony between our inner rhythm and the rhythms of the nature, a phrase described in Vedic text as “ritam bhara pragya”. During this state of mind, one is in close contact with the nature and picks up the signals of the nature, which are often released by the nature to solve our obstacles or problems. According to Vedic texts, for all our obstacles, nature releases signals on a regular basis and we like fools ignore them as we are at that particular moment living either in the past or in the future. If we spend every minute of our life, greet every individual we meet and think that to whomsoever we are meeting it may be the last meeting we will never regret in future.

This also explains the phrase we learnt in our childhood: “kal kare so aaj kar, aaj kare so abs; pal mein parlay hoyegi, bahuri karega kab.”

Living in the present is sometimes referred to as mindfulness. It also is propagated as a Buddhist concept, and is now incorporated into most stress management programs. If we live our lives mindfully, we will get more out of life.

While living in the present one should distinguish between “importance and urgency”. We often let life slip away by confusing these two concepts. Important tasks are those, which we place value on. On the other hand urgent tasks are those, which someone tells us to do right away. While we are busy with a task with an urgent deadline, we may be missing a much more important task. ....Read More

cardiology news

Power of thought: Hitting unseen target

The yogi Raman was a true master of the art of archery. One morning, he invited his favorite disciple to watch a display of his skill. The disciple had seen this more than a hundred times before, but he nevertheless obeyed his teacher. They went into the wood beside the monastery and when they reached a magnificent oak tree, Raman took a flower which he had tucked in his collar and placed it on one of the branches.

He then opened his bag and took out three objects: his splendid bow made of precious wood, an arrow and a white handkerchief embroidered with lilacs.

The yogi positioned himself one hundred paces from the spot where he had placed the flower. Facing his target, he asked his disciple to blindfold him with the embroidered handkerchief. The disciple did as his teacher requested.

‘How often have you seen me practice the noble and ancient sport of archery?’ Raman asked him. ‘Every day,’ replied his disciple. ‘And you have always managed to hit the rose from three hundred paces away.’

With his eyes covered by the handkerchief, the yogi Raman placed his feet firmly on the ground, drew back the bowstring with all his might – aiming at the rose placed on one of the branches of the oak tree – and then released the arrow.

The arrow whistled through the air, but it did not even hit the tree, missing the target by an embarrassingly wide margin. ‘Did I hit it?’ said Raman, removing the handkerchief from his eyes.

‘No, you missed completely,’ replied the disciple. ‘I thought you were going to demonstrate to me the power of thought and your ability to perform magic.’

‘I have just taught you the most important lesson about the power of thought,’ replied Raman. ‘When you want something, concentrate only on that: no one will ever hit a target they cannot see.’ ...Read More

News Around The Globe

  1. Facts about cervical cancer
    • Cancer of the uterine cervix is the third most common cancer diagnosed and cause of death amongst gynecologic cancers in the world. In India, it is number one cancer in the rural areas.
    • The lifetime risk of developing cervical cancer is 0.76%.
    • The mean age of diagnosis of Cervical Cancer is 48 years.
    • Human pepilome virus is known for development of cervical cancer and can be detected in 99.7% cases of cervical cancer.
    • The risk factors are early onset of sexual activity, multiple sexual partners, high risk partner, history of sexually transmitted infections, immune suppression, history of valvas vaginal squamous neuplozia.
    • Oral contraceptives used is associated with increased risk of cervical cancer.
    • Cigarette smoking is associated with increased risk of squamous cell cancer but not edenocarcinoma.
    • Early cervical cancer is usally asymptomatic.
    • The commonest symptom when person has abnormally vaginal bleeding including post quital bleeding and vaginal discharge.
    • Lesion may or may not be visible for pulpable by physical examination.
    • The diagnosis of cervical cancer is established by biopsy.
    • Symptomatic women without a visible lesion and those who have abnormal cervical setology should undergo colposcopy with directed biopsy and, if necessary, diagnostic conization.
    • Following treatment of early stage cervical cancer, distant metastases or multiple recurrence sites develop in 15 to 61 percent of cases, usually within the first two years of completing treatment.
    • Recurrent cervical cancer presents as disease isolated to the pelvis (locoregional recurrence) or with disease involving other organs or outside the pelvis. If a vaginal recurrence is suspected, the area of concern should be biopsied to prove recurrent disease.
    • All patients suspected of recurrent disease should undergo positron emission tomography (PET)/computed tomography (CT) for evaluation of local and distant disease.
    • For patients with a local recurrence, go for surgical resection if they are appropriate surgical candidates based on tumor recurrence, age, and comorbidities. In select patients, surgical resection may present a curative option. Patients who are not surgical candidates should receive chemoradiation, if they have not been previously undergone pelvic or intravaginal radiation.
    • For women presenting with disease limited to the nodes (ie, para-aortic and/or supraclavicular nodes), some experts prefer to treat with systemic chemotherapy. Others prefer to administer radiation therapy (RT) (with or without chemotherapy). A choice between them depends on institutional practice and patient preferences.
    • For women presenting with isolated metastatic disease (ie, to the lung or liver), we suggest surgical resection if they are appropriate candidates. These patients may achieve a sustained clinical remission following resection of disease.
    • For women with recurrent cervical cancer, those who are not surgical candidates, and those who present with metastatic disease, our approach is as follows:
      • Go for first-line treatment with chemotherapy plus bevacizumab rather than chemotherapy alone. However, the costs of therapy may require scrutiny in comparison to the benefits and risks of incorporating bevacizumab in this setting, especially in underdeveloped areas.
      • Go for a platinum-based combination rather than a non-platinum based regimen or single agent cisplatin.
    • Go for cisplatin plus paclitaxel rather than other platinum-based regimens (Grade 2C). Carboplatin plus paclitaxel is a reasonable alternative, particularly for patients who are poor candidates for cisplatin (eg, due to pre-existing renal failure) and patients previously treated with cisplatin-based chemoradiation.
    • For patients who progress following first-line chemotherapy and those who are not candidates for combination therapy, go for single agent chemotherapy. A choice among active agents must be tailored to the individual patient, with consideration to prior therapies received, residual toxicity, and performance status.
    • For patients who are symptomatic due to vaginal metastases or other lesions, go for radiation therapy for palliation.

  2. As per the doctors, it was insecticide which caused the food poisoning in Bihar. The speculation is the insecticide was either in the food or cooking oil. The meal included rice, lentils, soya and potatoes. Organophosphorus poisoning by inhaling, eating or absorption from skin surface. The toxic oil syndrome was the name given to a disease outbreak in Spain in 1981 which killed over 600 people. It was initially thought to be due to Colza oil but later was linked to organophosphorus poisoning through tomatoes. In this case, it will be unusual for the poisoning to occur if the utensils in which the Khichri was made contained some organophosphorus compound. It can only occur in fruits and vegetables. One has to investigate to know what was involved in the poisoning rice, lentils, soya or potatoes.

  3. As per a new speculation the surrogacy market in India is worth $ 2 billion a year.

  4. As per a study published in July issue of JAMA for patients with in-hospital cardiac arrest requiring vasopressors, adding vasopressin and steroids to epinephrine improved outcomes compared with epinephrine alone.

  5. As per a study published in European Heart Journal skipping blood pressure medicine may raise risk of paralysis.

  6. A JAMA study has shown that obesity is linked to high coronary calcium.

  7. As per a study published in Circulation if the hospital follow six-step plan it can cut heart failure readmissions. The six plans are:
    • Having nurses supervise medication plans.
    • Scheduling follow-up appointments before patients leave the hospital.
    • Collaborating with other hospitals to develop consistent strategies for reducing readmission.
    • Developing systems to forward discharge information to the patient's primary care doctor.
    • Contacting patients on all test results received after they are discharged.
    • Forming partnerships with community physicians or physician groups.

  8. A 30 years study published in JAMA has shown that the risk of heart disease rises the longer someone is obese. Each year obesity was associated with about 2 to 4% higher risk of sub-clinical heart disease.
  9. SC quashes common entrance test for admission in medical colleges

NEW DELHI: The Supreme Court on Thursday quashed the National Eligibility cum Entrance Test (NEET) for admission in medical colleges as reported in TOI. The NEET is a single entrance-cum-eligibility-test for admission in all medical colleges in India. By a two to one majority, the apex court held that the Medical Council of India had no powers to conduct single entrance examination and force it on government and private medical colleges. The admission already made through NEET this year will not be disturbed, said Chief Justice Altamash Kabir and justice Vikramjit Sen, who formed majority in a 3-judge bench. Justice A R Dave dissented, saying the NEET was valid and it was good for the students and society at large.

The court's decision came on 115 petitions challenging the MCI notification on NEET for admission to MBBS and post-graduate medical courses conducted in colleges across the country.

On May 13, the court had lifted the bar on declaration of results of examinations that had already been conducted and said the admission process could go ahead.It had modified its December 13, 2012 order by which it had stated that MCI, Dental Council of India, as well as the states, universities and other institutions, will be entitled to conduct their respective examinations for MBBS, BDS and post-graduate courses but shall not declare their results until further orders. The bench had earlier directed transfer of all petitions pending in various courts to it by January 15, this year. (Source: TOI, Jul 18, 2013)

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Happy reading…

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

What is prolactin?

Prolactin is a hormone produced by your pituitary gland, the gland that sits at the bottom of the brain. Though prolactin plays a role in the growth and development of your breasts, its primary function is in milk production after a child is born. It is present in small amounts throughout your bloodstream (including in men), kept under control by another hormone called a prolactin inhibiting factor (dopamine). When you become pregnant, however, prolactin levels increase significantly.

Rabies News (Dr. A K Gupta)

Is age of the biting dog important in transmission of rabies?

No. Neither the age nor the breed or sex of the dog is important in transmission of rabies.

cardiology news

Six-step plan may cut HF readmissions

Hundreds of millions of dollars could be saved if hospitals implemented six strategies aimed at reducing heart failure readmissions, a large national sample of hospitals revealed.

Individually, the six strategies had a modest but still significant size effect ranging from 0.34 to 0.18 percentage points change in risk-standardized 30-day readmission rate (RSRR), wrote Elizabeth Bradley, PhD, of Yale University, and colleagues in the study published online in Circulation: Cardiovascular Quality and Outcomes. ...Read More

Combo Tx helps in inpatient cardiac arrest

For patients with in-hospital cardiac arrest requiring vasopressors, adding vasopressin and steroids to epinephrine improved outcomes compared with epinephrine alone, a randomized trial showed.

Patients in the combination group were more likely to have a return to spontaneous circulation lasting at least 20 minutes (83.9% versus 65.9%, odds ratio 2.98, 95% CI 1.39-6.40), according to Spyros Mentzelopoulos, MD, of Evaggelismos General Hospital in Athens, Greece, and colleagues.

They also were more likely to be discharged with a favorable neurological status (13.9% versus 5.1%, OR 3.28, 95% CI 1.17-9.20), the researchers reported in the July 17 issue of the Journal of the American Medical Association.

...Read More

Valvular Heart Disease News

The prevalence of mitral valve prolapse is estimated at 0.6 to 2.4 percent.

(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)

cardiology news

Birth defect risk doubles for cousin couples: Study

Children whose parents are cousins run more than double the risk of being born with a congenital abnormality, although the overall rate of such birth defects remains low, according to new research findings. ...Read More

Juvenile dermatomyositis may be triggered by UV exposure

Sunlight, the first noninfectious environmental factor identified in juvenile myositis, alters autoantibody expression and may shift the disease phenotype from muscle only (myositis) to involvement of skin as well as muscle (dermatomyositis). ...Read More

cardiology news

Consuming artificial sweeteners can cause heart disease

Consumption of non-caloric, artificially sweetened beverages is associated with an increased risk for chronic lifestyle diseases according to Susan E. Swithers, PhD, a professor of behavioral neuroscience at Purdue University in West Lafayette, Indiana, published online July 10 in Trends in Endocrinology & Metabolism.

Frequent consumers of these sugar substitutes may be at increased risk of excessive weight gain, metabolic syndrome, type 2 diabetes, hypertension and cardiovascular disease.

This risk is independent of baseline body mass indexes.

Another earlier study found that children of normal weight who consume artificially sweetened beverages may have decreased weight gain compared with those who consume sweetened beverages.

In another study, overweight and obese adults who substituted water or artificially sweetened beverages for sweetened beverages had no greater weight loss at 6 months than an attentional control group.

Artificially sweetened beverages intake was not associated with improved fasting glucose, but water intake was ...Read More

cardiology news

A meta-analysis of qualitative studies identified the following expectations of women in regard to assessment for Intimate partner violence

  • Healthcare professionals who are nonjudgmental and compassionate
  • Assurance of confidentiality
  • Recognition of the complexities of violence and the difficulty of a quick resolution
  • Avoidance of “medicalizing” the issue
  • Discussion that is not rushed or hurried
  • Confirmation that the violence is undeserved
  • Supportive listening and feedback to bolster the patient’s confidence
  • Ability to progress at their own pace
  • No pressure to disclose, leave the relationship, or press charges
  • Shared decision-making and respect for the patient's decisions ...Read More
cardiology news
  1. 9th July: HCFI Executive Meeting

EBook

CPR 10 Training Camp, EPFO, 30th May 2013

CPR 10 Camp - Police Training Center Najafgarh

Camps

CPR Classes: Persons trained (52)

CPR VIP Sensitization

Total CPR since 1st November 2012 – 54572 trained

6th July: Zoonosis Conference: 52

Video Chats and uploads

Symposium on Prayer, Faith, Meditation and healing Part 9

Symposium on Prayer, Faith, Meditation and healing Part 8

Symposium on Prayer, Faith, Meditation and healing Part 7

Symposium on Prayer, Faith, Meditation and healing Part 6

Symposium on Prayer, Faith, Meditation and healing Part 5

Symposium on Prayer, Faith, Meditation and healing Part 3

Symposium on Prayer, Faith, Meditation and healing Part 2

Symposium on Prayer, Faith, Meditation and healing Part 1

CPR 10 training was given to 1001 students learnt CPR at Bal Bharti Public School, Dwarka

Seven Steps to Patient Safety

What patient expect on doctor – A survey

MTNL Perfect Health Mela to focus on Disaster Management & Doctor patient relationship

Dr AK Aggarwal Speaks on Workshop on Patient Safety

Dr RN Makroo on Blood Safety

Prof (Dr) Usha Gupta on Medication Safety

Dr N V Kamath DHS on Patient Care

The five C’s of five a day in selecting fruits and vegetables

The current recommendation is to eat 5 or more servings of fruits and vegetables daily to prevent cancer and heart disease. Fruits and vegetables contain vitamins, minerals, phytochemicals and antioxidants and are low in calories. Those with the most color – dark green, red, yellow, and orange – have the most nutrients. Carrot, Celery, Cantaloupe, Cucumber and Corn are the five "C" which can be incorporated in the five-a-day diet. As per Ayurveda, one should mix all seven colors and six tastes when choosing fruits and vegetables.

The USDA Food Guide ‘MyPlate’ recommends that half of the plate should be fruits and vegetables, with the vegetable portion being slightly bigger than the fruit section.

Fruits, vegetables and grain products that contain fiber, particularly soluble fiber, may help reduce the risk of coronary heart disease. Fiber-containing grain products, fruits and vegetables also reduce the risk of some cancers, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal President Heart Care Foundation of India and MTNL Perfect Health Mela.

Tips for safe eating

  1. Snack with raw vegetables instead of potato chips.
  2. Add fruits in breakfast.
  3. Eat salads when you go out for lunch.
  4. Prefer juice instead of a usual coffee, tea or soda.
  5. Wash fruits and vegetables with water and scrub with a dish brush when appropriate.
  6. Throw away the outer leaves of leafy vegetables, such as lettuce and cabbage.
  7. Peel and cook when appropriate, although some nutrients and fiber may be lost when produce is peeled.
  8. Avoid fruits and vegetables that look brownish, slimy or dried out. These are signs that the product has been held at an improper temperature
  9. Wash cutting boards with hot water, soap and a scrub brush to remove food particles.
  10. Wash hands with warm water and soap for at least 20 seconds before and after handling food, especially fresh whole fruits and vegetables and raw meat, poultry and fish. Clean under fingernails, too.

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.” ...Read More

today emedipics

Doctor Day Celebration

On the occasion of Doctors Day, a CME was organized by IMANDB, eMedinewS and Heart Care Foundation of India on 29th June 2013 at IIC, New Delhi

press release

PPIs may be associated with a higher risk for clostridium difficile–associated diarrhea

today video of the dayDr KK Aggarwal on NEWS 24

Dr KK Aggarwal on Monsoon Take Care

CPR Utsav 6th April 11543 Male Female Trained in 1 day

eMedi Quiz

Read this…………………

Nurse Ted is administering I.V. fluids to an infant. Infants receiving I.V. therapy are particularly vulnerable to:

a. Hypotension
b. Fluid overload
c. Cardiac arrhythmias
d. Pulmonary emboli

Yesterday’s Mind Teaser: Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for 2 days. On assessment, Nurse Ernie detects dry mucous membranes and lethargy. What other finding suggests a fluid volume deficit?

a. A sunken fontanel
b. Decreased pulse rate
c. Increased blood pressure
d. Low urine specific gravity

Answer for yesterday’s Mind Teaser: a. A sunken fontanel

Correct answers received from: Dr. V.P. Thakral, DR P K SAHU, Dr Prakash Khalap, DR HUSAINALI VAKIL, Dr.K.V.Sarma, DR.BITAAN SEN & DR.JAYASHREE SEN, DR ARPAN GANDHI, Dr gajveer singh, Dr. Thakor Hitendrsinh G, daivadheenam jella, Anil Bairaria, Dr Pankaj Agarwal, rajeev ardey, Tukaram Pagad, Dr Jainendra Upadhyay, Abhay Naik, Dr B K Agarwal, DR SANTHAKUMARI, Dr Nageshwar Rao, Dr.K.Raju, DR AVTAR KRISHAN, DR Chandresh Jardosh, Rajanish Shetty, dr murugan, Dr CB Kumar, Rameshwar prasad

Answer for 17th July Mind Teaser: b. A new cast is needed every 1 to 2 weeks

Correct answers received from: rajeev ardey, Tukaram Pagad, Dr Jainendra Upadhyay, Muthumperumal Thirumalpillai, DR Chandresh Jardosh, Rajanish Shetty

Send your answer to ijcp12@gmail.com




eMedi Apps



medicolegal update

(Dr. K K Aggarwal, Padma Shri and Dr. B C Roy National Awardee; Chairman Legal Cell Indian Academy of Echocardiography; Chairman Ethical Committee Delhi Medical Council; Editor eMedinewS and President Heart Care Foundation of India)

Can a doctor with DM degree be punished but not an MD or MBBS for the same error of judgment?

Will indemnity insurance cover all types of financial claims?

Will indemnity insurance cover for claims under mental agony?

What IPC codes are applicable to Medical Council (SMC and MCI) members and experts?

medicolegal update

A farmhand is driving around the farm, checking the fences. After a few minutes he radios his boss and says, "Boss, I've got a problem. I hit a pig on the road and he's stuck in the bull-bars of my truck. He's still wriggling. What should I do?"

"In the back of your truck there's a shotgun. Shoot the pig in the head and when it stops wriggling you can pull it out and throw it in a bush." The farm worker says okay and signs off. About 10 minutes later he radios back. "Boss, I did what you said, I shot the pig and dragged it out and threw it in a bush."

"So what's the problem now?" his Boss snapped.

"The blue light on his motorcycle is still flashing!" Read More

medicolegal update
medicolegal update

Situation: A resident wanted to know about Ramadan
Dr. Bad: No medical restrictions are required
Dr. Good: Read More

Situation: A diabetic wanted to know if he could fast.
Dr. Bad:
You can do it
Dr. Good:
Read More

Situation: A diabetic during fasting was taking his two allowed meals close to each other
Dr. Bad: It’s ok
Dr. Good: Read More

medicolegal update

Situation: A patient was brought to the ICU in cardiogenic shock.
Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA?
Lesson: Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of National Registry of Myocardial Infarction 2 (NRMI–2) trial suggest that this intervention is much better than thrombolytic therapy in such patients.

medicolegal update

If we would see the color of our future, we must look for it in our present; if we would gaze on the star of our destiny, we must look for it in our hearts. Canon Farrar

medicolegal update

Dr KK Aggarwal: High fat diet prostate cancer prone
http://bit.ly/1aBeL42 #Health

Dr Deepak Chopra: Extraordinary events suggestive of religious miracles are not part of the scientific discourse. Should they be? http://tinyurl.com/q3sfaq4

medicolegal update

Hi Dr. K K, The way you have explained Namaste and Namaskar is wonderful. Literal meanings were never known before, I am sure all those who are reading eMedinewS will get inspired by your explanation and knowledge of the subject. May God bless you. regards. Ashok Ahooja, sqn.ldr (Retd)

Forthcoming Events

2nd annual Ped Neuro Conclave

Sunday, 25th August 2013.
This is an annual event hosted jointly by Fortis Escorts Hospital and IAP Jaipur. This conference is held every year and is attended by more than 200 delegates, which include Neurologists, Pediatricians, GPs and resident doctors from all over Rajasthan. Senior faculty from different institutes all over India and abroad participates and shares their knowledge and experience with the audience.

The eminent faculty includes
Dr. Pratibha Singhi, Head Pediatric Neurology, PGI – Chandigarh
Dr R K Sabharwal, Head Pediatric Neurology, Sir Ganga Ram Hospital, New Delhi
Dr. Vineet Bhushan Gupta, Sr Consultant Pediatric Neurologist, Apollo Hospital, New Delhi;
Dr Deepak Gupta, Sr Consultant Paediatric Psychiatrist, Sir Ganga Ram Hospital, New Delhi.
Venue: Jaipur Marriott Hotel
Date: Sunday, 25 August 2013 (0900-1700)
Organizing Secretary: Dr Sharad Sharma, MD (PGI), MRCPCH (UK), Fellow Pediatric Neurology (London)
Senior Consultant Pediatric Neurology, Fortis Hospital, Jaipur, Rajasthan

eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)

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, Prof.(Dr).C V Raghuveer

medicolegal update



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