emedinews
Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04); Editor in Chief IJCP Group of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR

 

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eMedinewS Presents Audio News of the Day

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

Photos of 1st Mega Ajmer Health Camp 2012

 
  Editorial …

20th March 2012, Tuesday

Depression made easy (HealthBeat)

Depression can take many forms.

  • Major depression: You feel constantly sad or burdened, or you lose interest in all activities, even those you previously enjoyed. This holds true nearly all day, on most days, and lasts at least two weeks. During this time, you also experience at least four of the following signs of depression:
    • A change in appetite that sometimes leads to weight loss or gain
    • Insomnia or (less often) oversleeping
    • A slowdown in talking and performing tasks or, conversely, restlessness and an inability to sit still
    • Loss of energy or feeling tired much of the time
    • Problems concentrating or making decisions
    • Feelings of worthlessness or excessive, inappropriate guilt
    • Thoughts of death or suicide, or suicide plans or attempts.

      Other signs can include a loss of sexual desire, pessimistic or hopeless feelings, anxiety, and physical symptoms such as headaches, unexplained aches and pains, or digestive problems.
  • What is dysthymia: It refers to a low-level drone of depression that lasts for at least two years in adults or one year in children and teens. While not as crippling as major depression, its persistent hold can keep you from feeling good and can intrude upon your work, school, and social life. Unlike major depression, in which relatively short episodes may be separated by considerable spans of time, dysthymia lasts for an average of at least five years.

    If you suffer from dysthymia, more often than not you feel depressed during most of the day. You may carry out daily responsibilities, but much of the zest is gone from your life. Your depressed mood doesn’t lift for more than two months at a time, and you also have at least two of the following symptoms:
    • Overeating or loss of appetite
    • Insomnia or sleeping too much
    • Tiredness or lack of energy
    • Low self–esteem
    • Trouble concentrating or making decisions
    • Hopelessness.

      Sometimes an episode of major depression occurs on top of dysthymia; this is known as double depression.
  • What is bipolar disorder? It includes one or more episodes of mania, characterized by high mood, grandiose thoughts, and erratic behavior. It also often includes episodes of depression. You would also experience at least three of the following symptoms:
    • Grandiose ideas or pumped–up self–esteem
    • Far less need for sleep than normal
    • An urgent desire to talk
    • Racing thoughts and distractibility
    • Increased activity that may be directed to accomplishing a goal or expressed as agitation
    • A pleasure–seeking urge that might get funneled into sexual sprees, overspending, or a variety of schemes, often with disastrous consequences.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

 
  eMedinewS Audio PostCard

Stay Tuned with

Depression made easy (HealthBeat)

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Yadien, the musical concert

Suhaib Ilyasi producer, director and the host of India’s first reality TV show, India's Most Wanted was felicitated in Yadien, the musical concert was organized in the memory of Legendary Ghazal Maestro Shri Jagjit Singh Ji. The evening was organized by Heart Care Foundation of India, Humkhayal and eMedinewS.

 
Dr K K Aggarwal
 
    National News

The Union Budget 2012

The Finance minister has softly and quietly increased the tax burden of every citizen while the relief allowed and concessions given are only marginal and cosmetic.

  • Service tax rate has been enhanced from 10% to 12% making an effective increase of 2.06% and service tax net has been extended to cover all services except 17 negative list items and exemptions provided for 34 services.
  • General rate of excise duty has been increased from 10% to 12%.
  • Measures to check generation and use of unexplained money:
    • Unexplained money, credit and other income to be taxed at 30% flat and rates for penalty on concealment of income increased.
    • Source of source in case of amounts credited in share capital accounts of closely held company, onus shifted to the assessee company.
    • Compulsory reporting of foreign assets.
    • For foreign assets, past assessments can be reopened upto 16 years
    • 1% TDS introduced on transfer of certain immoveable properties.
    • On cash purchases of jewellery or bullion above Rs.2 lakhs, tax at source to be collected by the seller @ 1.03%.
  • For Capital Market:
    • Reduction of STT on delivery transactions reduced from 0.125% to 0.1% which shall be offset by increase in service tax on brokerage.
  • For Development of Small and Medium Enterprises and other industries:
    • Exemption on sale of residential property allowed if consideration is invested as equity capital of a manufacturing company for purchase of new plant and machinery.
    • Investment linked deduction allowed @ 150% of capital expenditure incurred in business of cold chain, warehousing (Food), Hospitals, fertilizers and affordable housing
  • Other taxing pains and cosmetic gains are:

    a) Taxing pains
  • Share premium collected by closely held company over and above the fair value to be taxed in the hand of the recipient company as income.
  • Alternate minimum tax @ 18.5% earlier applicable on companies and LLP now made applicable to all other tax payers.
  • Exemption in respect of maturity claims of insurance policies issued after 1st April 2012 made taxable if the annual premium exceeds 10% of sum assured.
  • Related party transactions beyond certain limit to be at Arm’s length and fair price to be ascertained by transfer pricing officer.
  • Provisions of presumptive tax u/s 44AD not applicable to professionals, on commission and brokerage income and to agency business.
  • Insurance premiums after 1st April 2012 allowable u/s 80C only if not in excess of 10% of sum assured.

    b) Cosmetic Gains:
  • Deductions allowed:
    • Rs.5000/– for preventive health check up.
    • Rs.10000/– for interest earned on savings bank account.
  • Rates of income tax for individual/HUF have been revised as under

Income

Tax payable

Gain

Earlier

Now

Upto Rs.2 lakhs

Rs.2000/–

Nil

Rs.2000

Upto Rs.5 lakhs

Rs.32000/–

Rs.30000

Rs.2000

Upto Rs.10 lakhs

Rs.152000/–

Rs.130000

Rs.22000

Thereafter tax rate is same at 30% as before.

No special/preferential rates of tax for women.

There is no change in the rates of tax applicable to corporates.

  • Limit for tax audit cases enhanced:
    • For Business turnover from Rs.60 lakhs to Rs.100 lakhs
    • For professional income from Rs.15 lakhs to Rs.25 lakhs
  • No disallowance and no penalty for non deduction and non payment TDS if the tax on income is paid by the recipient and ITR is filed, however interest only is payable.
  • Other changes:
  • Vodafone transaction brought within the ambit of tax net by adding explanations with retrospective effect without changing the substantive provisions of income tax act
  • With this lackluster budget:
  • There shall be in overall increase in prices of all goods and services.
  • Interest rates regime shall continue to be at high levels in order to control inflation.
  • Industrial growth shall be stalled as high rates of interest are counter productive.
  • Projected GDP Growth may not be achieved in 2012–13.
  • There shall be some growth in capital market on its own but not on account of budget.
  • Foreign investments (FDI) inflow may not be at the expected levels.

    This is for your information and for planning/arranging your tax affairs for the ensuing year.

For comments and archives

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

 
    International News

REGARDS study identifies demographic diet patterns

Location, gender, race, income, and age are all associated with differences in diet that may help explain differences in cardiovascular health. At EPI|NPAM 2012, the Epidemiology and Prevention/Nutrition, Physical Activity and Metabolism Scientific Sessions 2012, Dr Suzanne Judd (University of Alabama–Birmingham) presented results of the REasons for Geographic And Racial Differences in Stroke (REGARDS) study of demographic patterns in Americans’ diets.). (Source: Medscape)

For Comments and archives…

Balloon catheter recalled

The FDA has issued a Class I recall –– the agency’s strictest –– for a balloon dilation catheter because of a potential for airway obstruction. The Acclarent Inspira AIR Balloon Dilation System, size 18 × 40 mm, may fail to deflate or may deflate slowly, which can block a patient’s airway until the device is removed or deflated. Prolonged obstruction may cause temporary or permanent impairment or death, an FDA statement said. The recalled devices have the product code BC1840A and were manufactured from March 2011 to June 2011. (Source: Medpage Today)

For Comments and archives…

FDA warns about mercury in skin creams

Products that list "mercurous chloride," "calomel," "mercuric," "mercurio," or "mercury" among their ingredients –– or that don’t list ingredients in English, or at all –– should not be used, the FDA warned. The alert came after the Minnesota Department of Health tested 27 products marketed as skin lighteners, finding that 11 exceeded the FDA’s allowable limit of 1 ppm of mercury compounds. (Source: Medpage Today)

For Comments and archives…

Electronic diaries can boost adherence to diet, exercise goals

Bringing the traditional daily diet diary into the iPhone age could help people fully participate in formal weight–loss programs. In a prospective, randomized trial launched in 2005, people who used a personal digital assistant (PDA) to itemize their food intake were significantly more likely than those using old–school handwritten diet diaries to meet the program’s goals for calorie and fat intake, exercise, and group meeting attendance. (Source: Medscape)

For Comments and archives…

IL6 receptor may be cause of heart disease

A protein involved in inflammation appears to play a causal role in coronary heart disease, results of two studies published online in The Lancet suggest. (Source: Medpage Today)

For Comments and archives…

 
    Twitter of the Day

@DrKKAggarwal: #IJMD Endodontic therapy has made deep inroads into every sophisticated dental practice today. Abilash et al Vol 1…http://fb.me/1lreVgmWw

@DeepakChopra: There are as many worlds as there are conscious beings & their perceptual experiences

 
    Spiritual Update

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

How can I help him?

In my recent visit to US while attending a seminar on Sages AND Scientists, I changed one of my teachings from "May I help you "to "How can I help him".

I have been advocating the phrase: May I help you "to be practiced every Saturday to become a Satya Yugi in Kaliyuga as it imparts all the principles of Satya Yuga and they are Satya (truthfulness), Tapas (selfless work), Pavitrata (purity of mind) and Daya/Daan (charity).

For Comments and archives…

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

How is hyperprolactinemia tested?

If you have absent or irregular periods, produce milk from the breasts, or experience problems getting pregnant, especially if you or your partner have any symptoms of high prolactin production, If those levels are high, your doctor generally will conduct a second test while you’re fasting and when you aren’t stressed. If levels are still high, your doctor will obtain tests to rule out thyroid and kidney problems. If the thyroid and kidneys are functioning normally, magnetic resonance imaging (MRI) or computed axial tomography (CT scan) can identify any tumor of the pituitary gland that could cause this condition.

For Comments and archives…

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

(Dr. Sujay Shad, Senior Consultant Cardiac Surgeon and Director of Heart–Lung Transplantation, SGRH)

Heart: Failure, Therapies & Transplantation

Heart Transplantation carries a unique place in history of modern science. Rightfully so, since it changes the quality and quantity of life of a Heart Failure patient, unlike any other procedure in Cardiac care.

While experimental work started with Alexis Carrel and Guthrie in 1905 with a heterotropic (different place) heart transplantation, it was as a result of experimental work by Norman Shumway and Richard Lower at Stanford that the surgical techniques for cardiac transplantation were defined and refined.

Based on these, Christian Barnard performed his famous Orthotopic Heart Transplant on Dec. 3, 1967. Our own efforts for Cardiac transplant started in the right earnest with PK Sen performing the world’s 6th transplant in Bombay on Feb 16, 1968. Our heart failure patients had to endure the dearth of a life–saving procedure for a long hiatus till 1994.

Most healthcare professionals would say that in the absence of an enabling law it wasn’t possible to undertake a heart transplant till 1994. The real tragedy of Indian Cardiac Transplant in fact commences after the THOA (Transplantation of Human Organs Act) 1994. Over a period of nearly 17 years, nearly 16 Heart Transplant Centres came up around the country and performed almost 70 Heart Transplantations.

That is just over 2 per year for the country of over a billion. It is also just over 4 heart transplants per centre. And worse of all, it is only 0.15 Heart Transplants per centre per annum, excluding AIIMS.

Tat Tvam Asi in association with eMedinewS and HCFI hopes to help change the circumstances around organ transplantation. Please join in the effort by reading along……

For Comments and archives…

Dr Sanjay Chaudhury, Medical Director, Chaudhary Eye Centre, Dr Pallavi Sugandhi, Consultant Ophthalmologist, Cornea & Refractive surgeon, Chaudhary Eye Centre

Corneal transplant– An Overview

Corneal transplant, also known as corneal grafting, is a surgical procedure where the damaged or diseased part of a cornea is replaced with corneal tissue from the deceased donor.

A Corneal transplant surgery becomes necessary when the vision deteriorates to the point where the sight can no longer be improved sufficiently with glasses or contact lenses and medical treatment may no longer be able to relieve any pain. A corneal transplantation can correct vision loss, reduce pain and improve the appearance of a diseased or damaged cornea.

Corneal blindness is one of the most common causes of blindness in India. India shoulders the largest burden of global blindness, about 3.5 million across the country with 30000 new cases being added each year.

At present, approximately 35,000 corneas are collected in the country every year, whereas 150,000 are required annually to combat corneal blindness. As a result, the patient line–up and wait to get a corneal transplant keeps getting longer with each passing day. Furthermore, the cost of cornea transplant in addition to unavailability for corneas makes it practically impossible for underprivileged people to access these medical remedies. Creating awareness amongst the masses and encouraging them to pledge their eyes for donation, therefore, is of paramount importance.

Indications of corneal transplantation are:

  • Cornea scarring, caused by infection or injury
  • Clouding or swelling of cornea
  • Thinning of cornea such as in keratoconus and other corneal degenerations
  • Corneal ulcers

To pledge your eyes or the eyes of any deceased loved one, go to the nearest eye bank and ask for a pledge form Fill this form with the correct contact details, get it signed by at least two witnesses and submit it back to the eye bank. Once you have done that, the eye bank will issue a donor card with their particulars on it. Carry this card with you all the times or keep it in a place where any family member can access it. You must also let your family know that you wish to be an eye–donor, because without their consent, the donation won’t proceed. At the time of death, the family or friends may inform the concerned eye bank. There is no maximum age limit for eye donation. Even a person with poor vision due to causes other than corneal blindness, or previous history of eye surgery can become a donor.

Even if someone is not registered with eye bank for eye donation, one can still donate eyes. The family of the deceased can contact the nearest eye bank or call 1919 (BSNL/MTNL toll free no. for eye donation) about their willingness for eye donation within six hours of time of death.

A team from the eye bank will then visit home or hospital where the demise has taken place and perform enucleation after consent of the family members.

Donating eyes does not cause any disfigurement of face and is not restricted by any religion, caste, race etc.

A single act of eye donation can give vision to two blind people and make their life meaningful, productive and normal…… So, take the pledge, donate your eyes and become a part of the noble work.

For Comments and archives…

 
    An Inspirational Story

(Ms Ritu Sinha)

SMART Goals

If you ask most people what is their one major objective in life, they would probably give you a vague answer, such as, "I want to be successful, be happy, make a good living," and that is it. They are all wishes and none of them are clear goals.

Goals must be SMART:

S––Specific. For example, "I want to lose weight." This is wishful thinking. It becomes a goal when I pin myself down to "I will lose 10 pounds in 90 days."

M––Measurable. If we cannot measure it, we cannot accomplish it. Measurement is a way of monitoring our progress.

A––Achievable. Achievable means that it should be out of reach enough to be challenging but it should not be out of sight, otherwise it becomes disheartening.

R––Realistic. A person who wants to lose 50 pounds in 30 days is being unrealistic.

T––Time–bound. There should be a starting date and a finishing date.

For Comments and archives…

 
    Fitness Update

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

Effects of Resistance Training on COPD: A Systematic Review and Meta Analysis

Chronic Obstructive Pulmonary Disease or COPD is one of the most common lung diseases. COPD can be either a chronic build up of mucus in the lungs (bronchitis), slow destruction of lung tissue (emphysema), or a combination of both. Patients suffering from COPD often experience shortness of breath, even with minimal activity and fatigue. They may also experience muscle dysfunction and loss of muscle mass as a result of prolonged deconditioning. Over the past decade, resistance training has been studied as a potential treatment option for people with COPD. The article, published in Sleep and Breathing, reviewed 14 studies that looked at the effects of resistance training on COPD.

The authors found that resistance training both clinically and significantly improved outcomes of COPD patients. Based on the findings, they concluded that exercise in the form of resistance training should be recommended in the management of COPD.

For Comments and archives…

 
   Cardiology eMedinewS

Shift Work at Increased Risk of Heart Disease Read More

MRI Safe for Most Patients with Cardiac Devices Read More

Not All Statins Equal In Patients With Acute Coronary Syndrome
Read More

 
   Pediatric eMedinewS

Peer Counseling Helps Parents and Kids Read More

Obese Kids Have Hard Time Sticking To Low–Carb Diet Read More

Vinblastine Shows Promise Against Pediatric Low–Grade Glioma
Read More

RSV Bronchiolitis In Infancy Linked To Subsequent Asthma Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient with fever was found to have SGOT > SGPT.
Dr Bad: It’s due to alcohol.
Dr Good: Rule out dengue.
Lesson: SGOT levels can also be more than SGPT in dengue.

Make Sure

Situation: A 62–year–old–diabetic with coronary artery disease, on treatment for the same, came for follow up.
Reaction: Oh my God! Why did not you put him on antioxidants!!
Lesson: Make Sure to add antioxidants to the prescription because of their free radical scavenging and other beneficial effects.

For comments and archives

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    Microbial World: The Good and the Bad they do

(Dr Usha K Baveja, Prof. and Senior Consultant Microbiology, Medanta – The Medicity)

Minimizing the harm caused by resident normal oral bacterial flora

To understand the prevention of infection of teeth and periodontal structures caused by normal resident microbial flora, we have to know about the different players in the oral cavity. These include: microbial flora, tooth and supporting structures, saliva and the diet one takes, etc. We have already discussed in our earlier columns about the microbial flora and how these harm the teeth (Dental plaque, caries and periodontal infections). Teeth and supporting structures’ well–being is determined by saliva, type of diet and hygiene.

Let us see how saliva helps. Saliva has buffering action (biocarbonates, urea and phosphates); cleansing effect (Mechanical–depends upon flow rate); antibacterial infection (salivary IgA, lactoferrins, lysozymes, peroxidase and amylase and maintenance of super saturation (Calcium, phosphate and ammonia). Saliva actually helps to maintain oral hygiene and also limits the growth of bacteria on account of presence of antibacterial substances and specific antibody.

Avoid factors which compromise the functioning of saliva. Drink adequate water. Reduce drinking coffee, tea and soft drinks. Do not chew nicotine/sugared gum; do not abuse drugs (Heroin and others), etc. Keep in mind that certain medications (Diuretics, antihypertensives, antihistamines, and bronchodilators’ etc.) can cause dryness of mouth and compromise salivary function, so increase the intake of fluids, if any such drugs are being taken.

Salivary flow can be stimulated by chewing sugar free gum as required. The improved salivary flow augments protective properties of saliva.

Commercially available mouth rinse (containing bicarbonate) can be used which increases saliva pH (better mineralization and less cariogenic activity); suppresses overgrowth of aciduric microbes (cariogenic Strept mutans) normalizes taste. Other preparations containing casein phosphopeptides with or without fluorides also reduce cariogenic activity.

For Comments and archives…

 
  Quote of the Day

(Dr GM Singh)

Success seems to be connected with action. Successful people keep moving. They make mistakes, but they don’t quit. ~ Conrad Hilton

 
  12 Most Common Technology Hazards (Part 11)

Defibrillator Failure

The FDA reports many incidents in which defibrillators failed to work properly. Often, they did not discharge during resuscitation attempts for preventable reasons, such as depleted batteries. To make sure that defibrillators are ready at a moment’s notice, hospitals must perform regular preventive maintenance and conduct daily checks recommended by the supplier.

 
  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

HIV Genotypic Resistance Testing

HIV genotypic resistance testing may be ordered when you are first diagnosed to determine whether you are infected with a strain of HIV that is known to be resistant to certain antiretroviral drugs regardless of whether you will begin treatment right away. It may also be ordered immediately before the start of therapy if a drug–resistant virus is suspected, so that immediate, appropriate therapy is possible.

 
    Mind Teaser

Read this…………………

What is not true for HNPCC (Hereditary nonpolyposis colorectal cancer)?

a) It is the most common hereditary colorectal cancer syndrome in USA
b) It is associated with MMR gene mutation
c) It is associated with APC mutation
d) It is associated with carcinoma colon and extraintestinal cancers

Yesterday’s Mind Teaser: Which of the following is a contraindication for breast–conserving surgery (BCT)?

a) Small lump to breast ratio
b) Central breast tumor mass
c) Breast tumor size less than 5 cm
d) Young age

Answer for Yesterday’s Mind Teaser: b) Central breast tumor mass

Correct answers received from: Dr Mrs S Das, Dr PC Das, Raju Kuppusamy, Dr shashisaini,
Dr Stellaselina, Dr BB Aggarwal, Dr Thakor Hitendrasinh G, Muthumperumal Thirumalpillai, Dr Jainendra Upadhyay, Anil Bairaria, Atul Soreng.

Answer for 18th March Mind Teaser: b) Origin is from mucosa from the interstitial cells of Cajal

Correct answers received from: Shipra Mahesh, Sangetha, Shalu Priya, Dr SP Nagesh.

Send your answer to ijcp12@gmail.com

 
    Laugh a While

(Dr GM Singh)

A radio conversation between a US Navy ship and Canadian officials

Canadians: Please divert your course 5 degrees south to avoid a collision.
Americans: Recommend you divert your course 5 degrees north to avoid a collision.
Canadians: Negative. You will have to divert your course 5 degrees south to avoid a collision.
Americans: This is the aircraft carrier U.S.S. Lincoln, the second–largest ship in the United States Atlantic fleet!
We are accompanied by three destroyers, three cruisers and numerous other support ships. I demand that you change your course 5 degrees north, or measures will be taken to ensure the safety of this ship!
Canadians: This is a lighthouse.

 
  Medicolegal Update

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

Summons from court of law

The word ‘Summon’ is derived from ‘subpoena’ which means under penalty.

Summon is a court document/order compelling the attendance of any witness including doctor as medical witness, in a Court of law on a particular day, time and place, for the purpose of giving evidence. It may also require him to bring with him the medicolegal report/clinical sheets/register, any medical books, medical documents etc, that he is bound by law to produce in evidence. The summon is issued under Section 61 of Criminal Procedure Code by the Court in writing, in duplicate, signed by the presiding officer of the Court and bears the seal of the Court. It is served on the witness by a police officer, by an officer of the Court or other public servant. The person should sign a receipt on the back of the other copy. It can also be served by registered post, or fixed on some conspicuous part of his residence.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Get your Press release online http://hcfi.emedinews.in (English/Hindi/Audio/Video/Photo)

Pregnant ladies should wear seat belts

Pregnant women should wear seat belts, not only to save themselves in the event of a car accident but also to save their unborn baby.

Quoting a Texas study from the American Journal of Obstetrics & Gynecology, Dr. K.K. Aggarwal, Padma Shri and Dr B C Roy National Awardee and President, Heart Care Foundation of India said that over half of all fetal losses in motor–vehicle crashes could be saved if pregnant women buckled up properly. Even if a fetus survives, premature delivery as a result of the crash can lead to low birth weight, respiratory problems and long–term physical or neurological problems.

Accourding to the researchers at the University of Michigan, the survival of the fetus was most strongly associated with the severity of the crash and how badly the mother is injured. Fetuses are 4.5 times more likely to survive if the mother is wearing the proper seat belt.

The other notable findings of the study were:

  • Regular use of seat belts by pregnant women will prevent 84 percent of fetal injuries and deaths as a result of car accidents.
  • Women in car crashes where the fetus is injured or dies are unbelted 62 percent of the time.
  • 79 percent of pregnant women who properly wore a three–point belt, with or without air bag deployment, had ‘acceptable’ fetal outcomes in less severe crashes.
  • Air bags do not seem to adversely affect fetal outcomes.
  • For pregnant women, the lap–belt portion needs to be worn low over the pelvis so if there is a crash, basically, the bony pelvis is what the seat belt is restraining rather than (having the force) transmitted to the uterus or the abdomen.
  • The shoulder belt should simply come up from the side, go between the woman's breasts, and over the shoulder.
 
    Readers Response
  1. Dear Dr. KK Aggarwal, I read your article on posting of young doctors in rural area to fill the shortage. Since last 50 years we have been trying under one or other scheme to send young doctors to village. It has not worked and it will never work. Young doctors cannot live comfortably in rural areas and hence they always find some ways to come back to city. My suggestion is that MCI should have some scheme wherein senior practicing doctors who are fed up with city life, whose children are probably married/settled, have no major social responsibilities and elect to go to some village, live in peace there and at the same time serve community. Villagers will also welcome senior members of the medical fraternity more than young dashing fresh doctors. Dr Bipin Desai. Surat
 
    Forthcoming Events
Dr K K Aggarwal

National Summit on "Stress Management" and Workshop on "How to be happy and Healthy"

Date: Saturday 2PM–Sunday 4PM, 21–22 April 2012
Venue: Om Shanti Retreat Center, Bhora Kalan, on Pataudi Road, Manesar
Course Directors: Padmashri and Dr B C Roy National Awardee Dr KK Aggarwal and BK sapna
Organisers: Heart Care Foundation of India, Prajapati Brahma Kumari Ishwariya Vidyalaya and eMedinewS
Fee: No fee, donations welcome in favour of Om Shanti Retreat Center
Facilities: Lodging and boarding provided ( One room per family or one room for two persons). Limited rooms for first three registrants.
Course: Meditation, Lectures, Practical workshops,
Atmosphere: Silence of Nature, Pyramid Meditation, Night Walk,
Registration: Rekha 9899974439 rekhapapola@gmail.com, BK Sapna 9350170370 bksapna@hotmail.com

Study Camp on ‘Mind–Body Medicine and Beyond’

16–23 June 2012, Nainital Centre (Van Nivas)

Sri Aurobindo Ashram – Delhi Branch will organize the 5th Study Camp on ‘Mind–Body Medicine and Beyond’ for doctors, medical students and other health professionals at its Nainital Centre (Van Nivas) from 16–23 June 2012. The camp, consisting of lectures, practice, and participatory and experiential sessions, will help the participants get better, feel better, and bring elements of mind–body medicine into their practice. The camp will be conducted by Prof. Ramesh Bijlani, M.D., former Professor, AIIMS, founder of a mind–body medicine clinic at AIIMS, and the author of Back to Health through Yoga and Essays on Yoga. For more details, send an e–mail to the Ashram (aurobindo@vsnl.com) or to Dr. Bijlani (rambij@gmail.com).

BSNL Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
http://www.heartcarefoundation.org

A non stop question answer session between all the top cardiologists of the NCR region and the mass public. Event will be promoted through hoardings, our publications and the press. Public health discussions

 
    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)

HCFI
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  Dil Ki Batein

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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