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 & 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 & 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 …

1st September 2012, Saturday

Postoperative mortality: Atenolol is associated with fewer deaths than metoprolol

Perioperative beta–blockade reduces postoperative adverse cardiac events in both the short and long term, and current guidelines recommend prophylactic beta–blockade for high–risk patients undergoing noncardiac surgery.

In this retrospective study, 30–day mortality (1% in the atenolol group vs 3% in the metoprolol group; P < .001) and 1–year mortality (7% vs 13%, respectively; p < .001) differed between the 2 beta–blockers.

The investigators concluded that perioperative beta–blockade using atenolol is associated with reductions in both short– and long–term postoperative mortality compared with metoprolol.

In 2009, on the basis of evidence from many studies, the American College of Cardiology/American Heart Association updated their guidelines, stating that perioperative beta–blockade is a class IIa recommendation for patients with cardiac risk and should be considered during surgery.

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

 
    Constipation Update

When should one be concerned about constipation?

Constipation should be a cause of concern in the following situations:

  • In patients with hematochezia, weight loss of ≥10 pounds, a family history of colon cancer or inflammatory bowel disease, anemia, positive fecal occult blood tests, or the recent onset of constipation in persons without an obvious explanation. Tests indicated are blood tests (serum calcium and thyroid function tests), radiography, or endoscopy.
  • In patients without alarm symptoms, if the history and physical examination and a trial of conservative management do not reveal the cause of chronic constipation, then imaging study of the colon and rectum should be done to exclude mass lesions, strictures, megacolon, and megarectum.

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

Supreme court of India describe never events

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Workshop for Teachers on Proper Hygiene in schools

Heart Care Foundation of India and DAV School, Kailash Hills organized a workshop on health and hygiene for teachers

 
Dr K K Aggarwal
 
    National News

4th Dil Ka Darbar – September 23, 2012, 9:00 AM – 6:00 PM , Tal Katora Indoor Stadium, Connaught Place, New Delhi

Lal Thanhawla: lack of exercise and unhealthy food intake the cause of heart disease

In a message to Heart Care Foundation of India, Mr. Lal Thanhawla, Chief Minister of Mizoram said that millions of Indians suffer from heart diseases and related ailments due to lack of exercise and unhealthy food intake. Time has come for the medical fraternity to educate general masses about healthy living.

He also said that the forthcoming Dil Ka Darbar commemorating its 25 years of existence will help a large number of heart patients. The example set up by the Dil Ka Darbar will inspire other NGOs to come forward and organize similar events across the country.

Giving the details about the Dil Ka Darbar, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India said that for the first time Dil Ka Darbar will focus on joint opinion for a single patient.

Dang’s medicinal plants find place in gazetteer

SURAT: For the first time in the history of India, medicinal plants – the largest number found at one place in India – are being included in the state gazetteer, making it the property of the state. As many as 410 species of medicinal plants have been included in the gazetteer. The names are listed along with details like a disease a plant can treat, the method of use, and identification. The list is being included as a part of an article written by researcher J K Vanpariya who did a PhD on medicinal plants available in Dang. Vanpariya, 56, is currently the deputy registrar of Veer Narmad South Gujarat University. He took five years to complete his study in which knowledge of tribal naturopathy experts, known as ‘bhagats’, has been documented. "I combed Dang to find a knowledgeable person and collect information about specific plants," said Vanpariya. "The inclusion of the details in the gazetteer is an honour." Once the names are included in gazetteer, no one in the world can claim a patent on the use of the plants or its chemical characteristics, Vanpariya said. "It will help us keep the knowledge free from ownership of any one party and it will be available for use by people in future without creating any legal tangle," he said. K N Zala, research officer, the gazetteer division of the state government, said: "The results are derived after an extensive study by the researcher. It will give a stronger identity to the wealth of Dang." The gazetteer is likely to be launched in the next few days, Zala said. "It will now become a part of the official government records and will be preserved for current and future generations," added Zala. "We planned to include the complete details of medicinal plants as they are the most precious wealth of Dang," said Girish Shah, collector of Porbandar, who was the collector Dang earlier and took the initiative to include the names. "Very few people in the district have this knowledge now and we planned to conserve it." (Source: TOI, Aug 29, 2012)

For comments and archives

My Profession My Concern
By Joseph Alexander

Health Ministry to launch rural medical course despite oppositions

Notwithstanding the opposition from many sections, the Union Health Ministry has reiterated its resolve to go ahead with the proposal to introduce rural MBBS course to tide over the shortage of doctors in the rural areas.

"Though the proposal for the Bachelor of Rural Health Care (BRHC) course has been prepared in consultation with Medical Council of India (MCI), a few associations like Indian Medical Association (IMA) have not welcomed the proposal. Nonetheless, in order to address the serious concern of availability of human resources in health sector in rural areas, the government is committed to introduce the course, with inbuilt safeguards," a senior official of the Ministry said.

The course aims to generate a cadre of healthcare providers who by the virtue of the way they are chosen, trained, deployed and supported would be motivated to live in and provide comprehensive healthcare in rural areas at sub–centre level, he said.

The proposal has been put on hold for some time now after many professional bodies raised objections. The MCI has already prepared the syllabus for the course and submitted to the Health Ministry. The MCI, on direction from the Ministry, had also held consultations with the stakeholders.

The proposed course will be of 3–years duration with 6–months of internship and is proposed to be taught in the district hospitals and is especially designed for those who have completed their schooling and passed their qualifying examination from notified rural areas of the district.

The State of Assam and Chhattisgarh have introduced the short term rural medical course in the recent past through their State Legislations. While in Assam the course is continuing, in Chhattisgarh the same has been discontinued on account of litigation.

On its part, the Health Ministry has also offered financial support to the State Governments to start minimum of 50 medical schools for launching the BRHC course during the current financial year. The final volume of financial assistance, especially in the high focuses States, will be worked out later.

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

Should surgery be done in elderly patients with aortic stenosis?

Elderly patients have poorer preoperative status and higher operative mortality with aortic valve replacement. However, those who survive the perioperative period often do well and have marked improvement in quality of life.

When aortic valve replacement is indicated, a bioprosthetic valve is generally preferred to a mechanical valve in elderly patients in whom life expectancy is shorter than the expected function life of the bioprosthesis

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

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

‘Calling’ helps docs treat tough conditions

Primary care physicians who felt "called" to practice medicine were more likely to be satisfied helping patients with difficult–to–treat conditions such as nicotine and alcohol addiction as well as obesity, researchers found. (Source: Medpage Today)

For comments and archives

ESC: Energy drinks may not be all bad

Energy drinks can offer some benefits for a young, healthy heart, Italian researchers said at the European Society of Cardiology meeting. (Source: Medpage Today)

For comments and archives

Early surgery for sigmoid volvulus may be safe and effective

Early elective surgery for sigmoid volvulus should be encouraged because it is associated with lower morbidity and mortality, as well as a lower incidence of recurrence, than conservative treatment, according to the findings of a retrospective study. Omid Yassaie, MBChB, from Tauranga Hospital in New Zealand, and colleagues presented their findings in an article published online August 24 in the ANZ Journal of Surgery. (Source: Medscape)

For comments and archives

ESC: Psoriasis may be diabetes risk factor

Psoriasis patients may be at an increased risk for type 2 diabetes, and the risk appears to be greatest among patients with severe psoriasis, researchers reported at the European Society of Cardiology meeting. (Source: Medpage Today)

For comments and archives

 
  Twitter of the Day

@DrKKAggarwal: Hot Cocoa for Improving Brain
Cognitionhttp://blog.kkaggarwal.com/2012/08/hot–cocoa–for–improving–brain–cognition/

@DeepakChopra: The universe is a living organism with a body mind & soul

 
    Spiritual Update

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

Acupressure and Acupuncture

NIH and FDA in USA a decade ago declared in a consensus statement that acupuncture is not an experimental therapy but a sound medical technique comparable in effectiveness to common conventional medical treatments for certain clinical conditions, such as nausea and pain (1).

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 are gonadotropins?

Gonadotropins are fertility medications given by injection. They contain follicle–stimulating hormone (FSH), which is produced naturally by the pituitary gland, alone or combined with luteinizing hormone (LH), also produced by the pituitary gland. Gonadotropins are used to induce follicular development and ovulation in women who do not ovulate. They are also used to induce development and ovulation of multiple follicles in women undergoing advanced reproductive therapies such as in vitro fertilization or superovulation and intrauterine insemination. HCG is commonly used to trigger ovulation once follicles have developed to maturity.

For comments and archives

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

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

Category of issue

Blood component can be asked in following categories of requirement:

  • Planned
  • Urgent
  • Life–saving emergency

Time taken for issue of component

  • Normally the time taken for different components in different categories differs from blood bank to blood bank due to various reasons but by generally adopted techniques, following is the time taken for different components for different categories –
Dr K K Aggarwal

*Depends on the technique, workload and any discrepancy

For comments and archives

 
    Fitness Update (Rajat Bhatnagar, MonaVie, www.mymonavie.com/sonraj)

Eating more fruits and vegetables linked to lower stroke risk

It is well recognized that a well balanced diet that includes plenty of fruits and vegetables is beneficial for health. Now, researchers are finding an association between higher intakes of fruits and vegetables and lower risk of stroke. In fact, one of the reviewers noted that an estimated 80% of strokes can be prevented by changing lifestyle factors, including nutrition.

In a review of previous studies, published in Nutrition Review, authors find that eating 3–5 servings of fruits and vegetables per day can lead to a lower risk of stroke compared to eating less than 3 servings. Given the data available, reviewers were unable to find conclusive evidence for the protective effects of other components of diet such as dairy or fatty fish, or other diet patterns such as vegetarian or vegan. It is recommended that adults consume 5 or more servings of fruits and vegetables on a daily basis.

For comments and archives

 
    An Inspirational Story (Ms Ritu Sinha)

A man must constantly exceed his level!

This inspiring story is about Bruce Lee, a legendary martial art master.

"Bruce had me up to three miles a day, really at a good pace. We’d run the three miles in twenty–one or twenty–two minutes. Just under eight minutes a mile (Note: when running on his own in 1968, Lee would get his time down to six–and–a half minutes per mile).

So this morning he said to me "We’re going to go five." I said, "Bruce, I can’t go five. I’m a helluva lot older than you are, and I can’t do five." He said, "When we get to three, we’ll shift gears and it’s only two more and you’ll do it."

I said "Okay, hell, I’ll go for it." So we get to three, we go into the fourth mile and I’m okay for three or four minutes, and then I really begin to give out. I’m tired, my heart’s pounding, I can’t go any more and so I say to him, "Bruce if I run anymore," –and we’re still running–" if I run any more I’m liable to have a heart attack and die." He said, "Then die." It made me so mad that I went the full five miles.

Afterward I went to the shower and then I wanted to talk to him about it. I said, you know, "Why did you say that?"

He said, "Because you might as well be dead. Seriously, if you always put limits on what you can do, physical or anything else, it’ll spread over into the rest of your life. It’ll spread into your work, into your morality, into your entire being. There are no limits. There are plateaus, but you must not stay there, you must go beyond them. If it kills you, it kills you. A man must constantly exceed his level."

For comments and archives

 
  Cardiology eMedinewS

Workplace prevention cuts prevalence of smoking, hypertension, and metabolic syndrome Read More

Copeptin pegged as mortality predictor in high–risk systolic HF
Read More

 
  Pediatric eMedinewS

Labas + ICS no better than ICS alone for asthma attacks Read More

Bill on AIIMS–like institutes introduced in Lok Sabha Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with Mediclaim of Rs. 2 lakhs has used a cumulative bonus of Rs. 40000 after 8 years. How much can he claim in the next year.
Dr. Bad: Same as 2.4 lakhs.
Dr. Good: It will be 10% less.
Lesson: Incase of claim under the policy in respect of insured person who has earned the cumulative bonus, the increased percentage will be reduced by 10% of claim of sum insured on the next renewal. However, basic sum insured will be maintained and will not be reduced.

For comments and archives

Make Sure

Situation: A 14 year–old girl suffering from dysmenorrhea wanted an analgesic for her pain.
Reaction: Oh my God! Why was aspirin given!
Lesson: Make sure to remember that aspirin is contraindicated in children.

For comments and archives

 
  Quote of the Day (Dr GM Singh)

For every complex problem there is an answer that is clear, simple, and wrong. H. L. Mencken

 
    Legal Question of the Day (Dr M C Gupta)

Q. Is naturopathy recognized as a system of medicine by the government?

Ans.

A. An answer given by the Health Minister in the Parliament is reproduced below:

"GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

LOK SABHA
UNSTARRED QUESTION NO 4332
ANSWERED ON 23.04.2008

ACCUPUNCTURE AS AN APPROVED SYSTEM OF TREATMENT

4332. SHRI PRALHAD VENKATESH JOSHI

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:–

(a) whether the Government proposes to acknowledge Accupuncture therapy as an approved system of treatment in the Government Hospitals; and
(b) if so, the details thereof alongwith the notification issued thereon?

ANSWER

THE MINISTER OF HEALTH AND FAMILY WELFARE(DR. ANBUMANI RAMADOSS)

(a) & (b): A Standing Committee of Experts constituted by the Central Govt. under the chairmanship of DG, ICMR recommended that Accupuncture and Hyprotherapy which qualified as modes of therapy could be allowed to be practiced by registered practitioners or appropriately trained personnel. The Committee further recommended that those considered as Mode of Therapy can be conducted as Certificate courses for registered medical practitioners to adopt these modes of therapy in their practice, whether modern medicine or Indian System of Medicine and Homeopathy.

The above recommendations of the Committee were brought to the notice of all the State Govt./UTs for compliance. A copy of Ministry of Health & Family Welfare’s letter dated 25.11.2003 in this regard, is annexed.

Annexure

No.R.14015/25/96–U&H(R)(Pt.) Government of India Ministry of Health & Family Welfare (Research Desk)

Nirman Bhavan, New Delhi Dated the 25th November, 2003

ORDER
The matter regarding grant of recognition to the various streams of alternative medicine including electropathy/electrohomeopathy, has been under consideration of the Govt. In this process Govt. has considered the orders dated 18.11.98 of the Hon’ble High Court of Delhi in CWP No.4015/96 & OM No.8468/97 which has inter–alia directed the Central/State Govts. to consider making legislation to grant of licenses to the existing and new institutes etc. to control & regulate the various ‘unrecognised’ streams of alternative medicines and also to give adequate publicity through media informing public about the ‘Respondents’ and similar other institutes not being recognized by the Govt. & affiliated with any of the Councils.

2. Government constituted a ‘Standing Committee of Experts’ under the Chairmanship of Director General, Indian Council of Medical Research and members were drawn from various fields of medicine to consider & give its recommendations to the Government on the efficacy/merits of various streams of alternative medicine and also examine feasibility of making legislation as suggested by the Hon’ble Court.

3. The Committee developed essential & desirable criteria for grant of recognition to a new stream of medicine and analysed the different streams of ‘Alternative medicine viz. Ayurveda, Siddha, Unani, Homeopathy, Yoga & Naturopathy, Electropathy/Electrohomeopathy, Acupuncture, magnetotherapy, Reiki, Reflexology, Urine Therapy/Autourine Therapy, Hypnotherapy, Aromotherapy Colour therapy, Pranic Healing, Gems & Stone Therapy and Music Therapy.

4. The Committee did not recommend recognition to any of these alternative medicines except the already recognized traditional systems of medicines, viz. Ayurveda, Siddha, Unani, Homeopathy and Yoga & Naturopathy which were found to fulfill the essential & desirable criteria developed by the Committee for recognition of a system of medicine. The Committee has, however, recommended that certain practices as Acupuncture and Hypnotherapy which qualified as modes of therapy, could be allowed to be practiced by registered practitioners or appropriately trained personnel. The Committee further suggested that all those Systems of Medicine not recognized as separate Systems should not be allowed to continue full time Bachelor and Master’s degree courses and the term "Doctor" should be used only by practitioners of Systems of Medicine recognized by the Government of India. Those considered as Mode of Therapy can be conducted as Certificate courses for registered medical practitioners to adopt these modes of therapy in their practice, whether modern medicine or Indian Systems of Medicine and Homeopathy.

After carefully examining the various recommendations of the Committee, the Government accepted these recommendations of the Committee. Accordingly, it is requested that the State/UT Govt. may give wide publicity to the decision of the Govt. They may also ensure that institutions under the State/UT do not grant any degree/diploma in the stream of medicine which have not been recommended for recognition and the term ‘Doctor’ is used by practitioners of recognized system of medicine.

This issues with the approval of Secretary(Health), Ministry of Health & FW. (Bhavani Thyagarajan) Joint Secretary"

B. At the risk of repetition, the relevant para in the above is shown below: "4. The Committee did not recommend recognition to any of these alternative medicines except the already recognized traditional systems of medicines, viz. Ayurveda, Siddha, Unani, Homeopathy and Yoga & Naturopathy which were found to fulfill the essential & desirable criteria developed by the Committee for recognition of a system of medicine. The Committee has, however, recommended that certain practices as Acupuncture and Hypnotherapy which qualified as modes of therapy, could be allowed to be practiced by registered practitioners or appropriately trained personnel. The Committee further suggested that all those Systems of Medicine not recognized as separate Systems should not be allowed to continue full time Bachelor and Master’s degree courses and the term “Doctor” should be used only by practitioners of Systems of Medicine recognized by the Government of India. Those considered as Mode of Therapy can be conducted as Certificate courses for registered medical practitioners to adopt these modes of therapy in their practice, whether modern medicine or Indian Systems of Medicine and Homoeopathy.

After carefully examining the various recommendations of the Committee, the Government accepted these recommendations of the Committee."

C. It is clear that naturopathy is recognized as a system of medicine by the government.

For comments and archives

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    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

Assessment of atherosclerosis risk: Triglycerides, Cholesterol, HDL–Cholesterol, LDL–Cholesterol, Chol/HDL ratio

All of these studies find greatest utility in assessing the risk of atherosclerosis in the patient. Increased risks based on lipid studies are independent of other risk factors, such as cigarette smoking.

 
    Mind Teaser

Read this…………………

Contractures are among the most serious long–term complications of severe burns. If a burn is located on the upper torso, which nursing measure would be least effective to help prevent contractures?

A. Changing the location of the bed or the TV set, or both, daily
B. Encouraging the client to chew gum and blow up balloons
C. Avoiding the use of a pillow for sleep, or placing the head in a position of hyperextension
D. Helping the client to rest in the position of maximal comfort

Yesterday’s Mind Teaser: If a client has severe bums on the upper torso, which item would be a primary concern?

A. Debriding and covering the wounds
B. Administering antibiotics
C. Frequently observing for hoarseness, stridor, and dyspnea
D. Establishing a patent IV line for fluid replacement

Answer for Yesterday’s Mind Teaser: C. Frequently observing for hoarseness, stridor, and dyspnea

Correct answers received from: Rajiv Kohli, Prabha Sanghi, Dr A K Chatterjee, Dr PC Das, Dr (Maj. Gen.) Anil Bairaria, Dr.K.Raju, Dr KV Sarma, Dr Chandresh Jardosh, Dr Jainendra Upadhyay, Dr Thakor Hitendrsinh G, Dr Avtar Krishan, Dr Prabodh Kumar Gupta, Dr shashi saini.

Answer for 30th August Mind Teaser: D. Fluid shift from intravascular space to the interstitial space
Correct answers received from: YJ vasavada.

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

A blond gets pulled over for speeding by a blond cop. The blond cop comes up to the window and says: "Show me your license". The blond driver says: "It’s on the back of the car."

The blond cop says: "No, the one with your picture on it." So the blond driver looks through her purse and finds a mirror and says: "Oh, here it is" and hands it to the cop.

The blond cop looks at the mirror and says: "Well, if I had known you were a cop I wouldn’t have pulled you over."

 
    Medicolegal Update

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

Pre–Natal Diagnostic Techniques (PNDT) Act 1994

Determination of fetus sex is prohibited in India

The Pre–Natal Diagnostic Techniques Act 1994 provide for the regulation of the use of pre–natal diagnostic techniques for the purpose of detecting genetic or metabolic disorders or chromosomal abnormalities or certain congenital malformations or sex–linked disorders and for the prevention of the misuse of such technique for the purpose of per–natal sex determination leading to female feticide.

  • No person referred to in Clause (2) of Section 3 shall conduct the pre–natal diagnostic procedures unless:
    • He has explained all known side and after effects of such procedures to the pregnant woman concerned;
    • He has obtained in the prescribed form her written consent to undergo such procedures in the language which she understands;
    • A copy of her written consent obtained under Clause (b) is given to the pregnant woman.
  • No person conducting pre–natal diagnostic procedures shall communicate to the pregnant woman concerned or her relatives the sex of the fetus by words, signs or in any other manner.
  • No genetic counseling center or genetic laboratory or genetic clinic shall conduct or cause to be conducted in its centre, lab or clinic, pre–natal diagnostic techniques including ultrasonography for the purpose of determining the sex of a fetus;
  • No person shall conduct or cause to be conducted any pre–natal diagnostic techniques including ultra sonography, for the purpose of determining the sex of a fetus.

For comments and archives

 
    Public Forum

Public Forum (Press Release for use by the newspapers)

Health Tip: Bloated and Gassy?

Cut down on foods that worsen symptoms of gas in the abdomen said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President Heart Care Foundation of India.

The need to burp and pass gas is normal. But some people may feel that they’re frequently bloated and gassy.

General principles

  • Foods that split equally into two produce gas e.g. pulses, red kidney beans (rajma), chickpeas etc.
  • Cook them after soaking them in water for 8–12 hours or cook them with ‘heeng’ (asafetida).
  • Foods grown over the surface if eaten raw produce gas–like feeling e.g. cauliflower, broccoli, cabbage etc.
  • Foods grown under the ground produce gas, if eaten raw or without soaking them in the water e.g. onions, radish, carrots etc.

Heart Care Foundation of India offers the following suggestions to help reduce uncomfortable gas:

  • Cut down on foods known to cause gas, such as beans, dairy products, bran and whole wheat foods.
  • Limit gas–causing vegetables such as onions, broccoli, cabbage and brussel sprouts, and fruits such as peaches, apples and pears.
  • Avoid sugary fruit drinks and carbonated soft drinks. Instead, drink water.
  • Avoid swallowing excessive air by eating slowly and chewing thoroughly.
  • Keep a diary of foods that cause gas for you, and try to avoid them.
 
    Readers Response
  1. In Vicky Donor, Dr Chadha chases Vicky to become a sperm donor. In fact we have a list of donors waiting. Dr Chadha tells Vicky about the receipients & to most of the receipients discloses the name of Vicky-it is never done in any IVF centre-Dr Avtar Krishan, Director Southend Fertility & IVF Vasant Vihar
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal


Dr K K Aggarwal
Dr K K Aggarwal


Dr K K Aggarwal

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
A non stop question answer-session between all the top cardiologists of the NCR region and the public. Event will be promoted through hoardings, our publications and the press. Public health discussions
http://www.heartcarefoundation.org

TOGETHER WE CAN

RELAX *RECREATE* REJUVENATE

Weekend Retreat for Doctors on
Mind – Body – Medicine

8 (Sat) – 9 (Sun) September 2012 At Brahma Kumaris Om Shanti Retreat Centre NH–8, Bhorakalan, Pataudi Road, Bilaspur Chowk, Distt.-Gurgaon

There is NO REGISTRATION FEE but REGISTRATION is MUST
Visit us at: www.togetherwecan.in
Contact: BK Sister Sapna – M – 9650692204
E–mail: bksapna108@gmail.com

 
    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)

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  Pesticides Safely

 
    Our Contributors

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