eMedinewS 20th July 2013, Saturday

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

NEET controversy update: MCI to appeal in NEET matter

Some oncoming issues:

  1. What will happen to common exam on DNB?
  2. Why common board exam in 10th and 12th?

MCI is likely to appeal against the apex court order on NEET.

Following is the gist of Dr Dave’s order.

  1. The order was passed in hurry with one of the judges passing it on the last day of his retirement.
  2. Prior to preparation of the draft judgment, no discussion was held on the subject by the three judges.
  3. Sections 19A and 20 of the MCI Act permit the MCI to prescribe the minimum standards of medical education.
  4. Section 33 of the MCI Act also empowers the MCI to make regulations to carry out the purposes of the Act.
  5. It is a matter of sound common sense that to have doctors well-versed in the subject of medicine and having proficiency in their field, we should have suitable and deserving students who should be imparted good medical education and there should be strict supervision over the education system so as to see that the students who are not up to the mark or are not having the highest standards of education are not declared successful at the examinations.
  6. Three should be effective regulations at three different stages
    1. The first stage is the admission of the students to medical colleges: The students who are admitted to the medical course should be suitable and should have the right aptitude so that they can be shaped well into the medical profession after being imparted proper education.
    2. The second stage is with regard to determination of syllabus and the manner of imparting education: MCI should see that proper medical training is given
    3. Finally, the examinations, which the students have to pass to prove their worth as successful students should also be strictly regulated.
  7. NEET to be conducted under the supervision of the MCI, standards of the students at the stage of their admission to the medical colleges would be regulated.
  8. Every one understands the importance of quality of input, when something is to be produced, manufactured or developed. Even when one thinks of manufacturing any article, the manufacturer is conscious about the quality of the input and he would invariably select the best input i.e. such raw material so as to make his final product excellent. The principle is not different in the field of education. If an educational institution wants an excellent output in the nature of a well-trained, well educated, well groomed professional, the institution must see that suitable and deserving students having an aptitude for becoming good doctors are admitted to the medical college.
  9. If among all good students, there are students who are not up to the mark, who are lagging behind in their studies, who are weak in studies, it would not be possible to educate or groom such students effectively and efficiently.
  10. A weak student may lag behind due to his lower level of grasping or education or training.
  11. It becomes the duty of the regulating authority to see that quality of the students at the stage of admission is thoroughly examined and only deserving and suitable students are given admission to the medical colleges so as to make them suitable members of a noble profession upon completion of their studies.
  12. MCI has introduced the NEET for this purpose only.
  13. NEET is a nationwide common examination to be held at different places in the country so that all students aspiring to have medical education can appear in the examination and ultimately, on the basis of the result of the examination, suitability and eligibility of the students for admission to the medical profession can be determined.
  14. This system is a part of regulation whereby entry to the field of medical education is regulated in such a way that only eligible and suitable students are given admission to medical colleges.
  15. If NEET is conducted under the supervision of the apex professional body, it would inspire confidence in the system and in that event, the selection of the students for admission to the medical profession would be on merit based selection.
  16. No extraneous consideration would come into play in the process of selection.
  17. The process of selection would not be influenced by irrelevant factors like caste and creed, community, race, lineage, gender, social or economic standing, place of residence – whether rural or urban, influence of wealth or power; and admission would be given only to the students who really deserve to be well qualified physicians or dentists.
  18. Thus, there would not be any discrimination or influence in the process of selection.
  19. Though the students can be selected only on the basis of their merit, it would be open to the States to follow their reservation policy and it would also be open to the institutions based on religious or linguistic minority to select students of their choice, provided the students so selected have secured minimum marks prescribed at the NEET.
  20. From and among those students, who have secured prescribed qualifying marks, the concerned institutions, who want to give priority to the students belonging to a particular class or caste or creed or religion or region, etc. would be in a position to give preference to such students in the matter of their admission to the concerned medical college. Thus, the purpose with which the Articles 25, 26, 29, and 30 are incorporated in our Constitution would be fully respected and implemented.
  21. Centralization of the selection process under holding the NEET would help the students to appear at the examination from any corner of our nation.
  22. The result of the examination would be published at the same time on one particular day and with the same standard.
  23. There would not be any problem with regard to equalizing marks and merits of different students passing different examinations from different regions or states or universities or colleges.
  24. The process of selection would be equal, fair, just and transparent.
  25. All the students would be in a position to compete from a common platform and the test will have credibility in the eyes of the students and the society.
  26. The students would be benefited because they will not have to appear at different places on different days at different examinations for the same purpose.
  27. The cost of appearing at the NEET would be much less as the aspiring students will not have to purchase several expensive admission forms and will not have to travel to different places.
  28. The apprehension that the minority institutions or the educational institutions belonging to special classes would be adversely affected because of the introduction of the NEET is not well founded. The policy with regard to the reservation can be very well implemented if the NEET is introduced because the NEET would determine standard or eligibility of a student who is to be imparted education in the field of medicine. The institution imparting medical education will have to see that the student to be admitted is having minimum standard of suitability and the institution will be at a liberty to select a student of its choice if it wants to promote a particular class of persons. By admitting suitable and deserving students having an aptitude for becoming doctors, the religious institutions would be in a position to have better doctors for fulfilling their objective.
  29. Moreover, the policy with regard to reservation for certain classes, followed by the States would also not be adversely affected. From the deserving eligible students, who have procured qualifying marks at the NEET and who belong to the reserved classes would be given preference so as to fulfill the policy with regard to reservation. Thus, the students belonging to the reserved classes would also not suffer on account of holding the NEET.
  30. The MCI has power to regulate. Meaning of the word `to regulate' would also include controlling entry of undeserving or weak students into the profession, who cannot be groomed in normal circumstances as good physicians or doctors or dentists. The term `regulate’ would normally mean to control something by means of rules or by exercise of control over a system.
  31. The above question has been rightly answered by this court in the case of Dr. Preeti Srivastava and Another vs. State of M.P. and Others (1999) 7 SCC 120 to the effect that norms of admission will have a direct impact on the standards of education. This court has observed that the standards of education in any institution or college would depend upon several factors and the caliber of the students to be admitted to the institutions would also be one of the relevant factors. Moreover, in view of entry 25 of List III of the Seventh Schedule to the Constitution, Union as well as the States have power to legislate on the subject of medical education, subject to the provisions of entry 66 of List I of the Seventh Schedule, which deals with determination of standards in institutions for higher education. In the circumstances, a State has the right to control education, including medical education, so long as the field is unoccupied by any Union legislation. By virtue of entry 66 in List I to the Seventh Schedule, the Union can make laws with respect to determination of standards in institutions for higher education. Similarly, subject to enactments, laws made with respect to the determination of standards in institutions for higher education under power given to the Union in entry 66 of List I of the Seventh Schedule, the State can also make laws relating to education, including technical education and medical education. In view of the above position clarified in the case of Dr. Preeti Srivastava (supra), the NEET can be conducted under the supervision of the MCI as per the regulations framed under the Act. As stated hereinabove, Section 33 of the Act enables the MCI to make regulations to carry out the purposes of the Act and therefore, conducting the NEET is perfectly legal.
  32. In para 36 of the judgment delivered in the case of Dr. Preeti Srivastava (supra), this Court has held that for the purpose of maintaining standards of education, it is very much necessary to see that the students to be admitted to the higher educational institutions are having high caliber and therefore, in the process of regulating educational standards in the fields of medicine and dentistry also the above principle should be followed and the apex professional bodies should be permitted to conduct examinations in the nature of the NEET.
  33. Similar question with regard to having a common test had arisen for admitting students aspiring to become veterinary surgeons. The question was whether it was open to the apex body of the said profession to conduct a common entrance test. Ultimately, the issue had been resolved by this court in the matter of Veterinary Council of India vs. Indian Council of Agricultural Research, (2000) 1 SCC 750. This court, after considering several issues similar to those which have been raised in these petitions, held that it was open to the concerned regulatory Council to conduct a common entrance test.
  34. So far as the rights guaranteed under Article 19(1)(g) of the Constitution with regard to practicing any profession or carrying on any occupation, a trade or business, are concerned, it is needless to say that the aforestated rights are not unfettered.
  35. Article 19(6) of the Constitution permits the State to enact any law imposing reasonable restrictions on the rights conferred by Article 19(1) (g) in relation to the professional or technical qualifications necessary for practicing any profession.
  36. Rights guaranteed to the petitioners under the provisions of Articles 25, 26, 29 and 30 would not be violated by permitting the NEET. It is always open to the petitioners to select a student subject to his being qualified by passing the examination conducted by the highest professional body.
  37. The apprehension that autonomy of the petitioner institutions would be lost if the NEET is permitted is not true. The Government authorities or the professional bodies named hereinabove would not be creating any hindrance in the administrative affairs of the institutions. Implementation of the NEET would only give better students to such institutions and from and among such highly qualified and suitable students, the minority institutions will have a right to select the students of their choice.

Justice Dave’s final remarks

  1. in my opinion, it cannot be said that introduction of the NEET would either violate any of the fundamental or legal rights of the petitioners or even adversely affect the medical profession. In my opinion, introduction of the NEET would ensure more transparency and less hardship to the students eager to join the medical profession. Let us see the consequence, if the apex bodies of medical profession are not permitted to conduct the NEET. A student, who is good at studies and is keen to join the medical profession, will have to visit several different States to appear at different examinations held by different medical colleges or institutes so as to ensure that he gets admission somewhere. If he appears only in one examination conducted by a particular University in a particular State and if he fails there, he would not stand a chance to get medical education at any other place. The NEET will facilitate all students desirous of joining the medical profession because the students will have to appear only at one examination and on the basis of the result of the NEET, if he is found suitable, he would be in a position to get admission somewhere in the country and he can have the medical education if he is inclined to go to a different place. Incidentally, I may state here that learned senior counsel Mr. Gupta had informed the Court that some medical colleges, who are more in a profiteering business rather than in the noble work of imparting medical education, take huge amount by way of donation or capitation fees and give admission to undeserving or weak students under one pretext or the other. He had also given an instance to support the serious allegation made by him on the subject. If only one examination in the country is conducted and admissions are given on the basis of the result of the said examination, in my opinion, unscrupulous and money minded businessmen operating in the field of education would be constrained to stop their corrupt practices and it would help a lot, not only to the deserving students but also to the nation in bringing down the level of corruption.
  2. For the aforestated reasons, I am of the view that the petitioners are not entitled to any of the reliefs prayed for in the petitions. The impugned notifications are not only legal in the eyes of law but are also a boon to the students aspiring to join medical profession. All the petitions are, therefore, dismissed with no order as to costs.

....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.”


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sprritual blog Spiritual Prescriptions - Prefer Meditation and Not Medication

Meditation and not medication should be the first line of treatment for most lifestyle disorders.

The very fact that our body has a receptor for each and every drug means it has the capacity to produce that drug. God never made these receptors for pharmacological agents or drugs.

The key lies in achieving the undisturbed state of consciousness, which can be obtained by either controlling the disturbed state of mind or bypassing it by using the mantra.

The subject of spiritual medicine should be included in schools, colleges and medical sciences.

Confession and communication are two easy modules of controlling the disturbed state of mind.

As darkness is absence of light, negative thoughts are absence of positive thoughts. To reduce negative thoughts, one should inculcate positive thoughts, actions and behaviors.

One cannot hate a stranger. One can only hate a person whom he or she has loved. Hatred is therefore withdrawal of love, and it can only be removed by bringing the love back.

By the process of meditation, it has been shown that diseases like diabetes, high blood pressure, heart disease, paralysis, asthma and acid-peptic disease can be kept under control with out or with minimal medicines. ....Read More

cardiology news

Rafting

By good fortune, I was able to raft down the Motu River in New Zealand twice during the last year. The magnificent four-day journey traverses one of the last wilderness areas in the North Island.

The first expedition was led by "Buzz", an American guide with a great deal of rafting experience and many stories to tell of mighty rivers such as the Colorado. With a leader like Buzz, there was no reason to fear any of the great rapids on the Motu.

The first half day, in the gentle upper reaches, was spent developing teamwork and co-ordination. Strokes had to be mastered, and the discipline of following commands without question was essential. In the boiling fury of a rapid, there would be no room for any mistake. When Buzz bellowed above the roar of the water, an instant reaction was essential.

We mastered the Motu. In every rapid we fought against the river and we overcame it. The screamed commands of Buzz were matched only by the fury of our paddles, as we took the raft exactly where Buzz wanted it to go.

At the end of the journey, there was a great feeling of triumph. We had won. We proved that we were superior. We knew that we could do it. We felt powerful and good. The mystery and majesty of the Motu had been overcome.

The second time I went down the Motu the experience I had gained should have been invaluable, but the guide on this journey was a very softly spoken Kiwi. It seemed that it would not even be possible to hear his voice above the noise of the rapids.

As we approached the first rapid, he never even raised his voice. He did not attempt to take command of us or the river. Gently and quietly he felt the mood of the river and watched every little whirlpool. There was no drama and no shouting. There was no contest to be won. He loved the river.

We sped through each rapid with grace and beauty and, after a day, the river had become our friend, not our enemy. The quiet Kiwi was not our leader, but only the person whose sensitivity was more developed than our own. Laughter replaced the tension of achievement.

Soon the quiet Kiwi was able to lean back and let all of us take turns as leader. A quiet nod was enough to draw attention to the things our lack of experience prevented us from seeing. If we made a mistake, then we laughed and it was the next person's turn.

We began to penetrate the mystery of the Motu. Now, like the quiet Kiwi, we listened to the river and we looked carefully for all those things we had not even noticed the first time.

At the end of the journey, we had overcome nothing except ourselves. We did not want to leave behind our friend, the river. There was no contest, and so nothing had been won. Rather we had become one with the river.

It remains difficult to believe that the external circumstances of the two journeys were similar. The difference was in an attitude and a frame of mind. At the end of the journey, it seemed that there could be no other way. Given the opportunity to choose a leader, everyone would have chosen someone like Buzz. At the end of the second journey, we had glimpsed a very different vision and we felt humble - and intensely happy. ...Read More

News Around The Globe

  1. As per a study presented at Alzheimer’s Association International Conference a diet rich in vegetables, legumes and nuts and low in fat help in protecting against cognitive decline in older person.
  2. As per a study published in PLoS One, July Edition, 2% of the painkillers prescriptions by doctors are obtained by drug addicts for their recreational use and resale on the street. Doctor should be careful before prescribing injectable pain killers on an OPD basis.
  3. A study published in New England Journal of Medicine has shown that low dose CT-scan to screen the high risk patient for lung cancer is far more effective at preventive lung cancer deaths than scanning those of low risk.
  4. A study published in Journal of Clinical Endocrinology and Metabolism has shown that perfluorinated chemicals present in carpets, cosmetics, fabrics, paper coatings can lead to thyroid problems.
  5. Too little vitamin D may hasten disability as you age according to a study published in Journal of Clinical Endocrinology and Metabolism.
  6. A report from Weill Cornell published in the journal Stem Cell shows that even if medical tests are normal, smokers whose lung appear healthy may still have damaged airways with characteristics similar to cell found in aggressive lung cancer.
  7. In a study published in the journal Hypertension, July Edition, has shown that obesity and access salt intake are associated with the elevated blood pressure in children 8 to 17 years.
  8. A new NIH study has shown that anti-HIV drugs are not linked to children language delays.
  9. As per a Harvard recommendation eating slowly can reduce weight ideally one should spend at least 20 minutes for each meal.
  10. As per Harvard recommendation skipping breakfast can lead to obesity.

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

What are the factors affecting fertility?

Age is not the only factor that affects fertility. Problems with your partner or any gynecologic or medical problems may affect your chances of conception. There are other conditions, such as uterine fibroids and endometriosis that may progress with age and affect your fertility. Exposure to sexually transmitted diseases can also affect your fertility.

Rabies News (Dr. A K Gupta)

We often hear that the patient died of rabies but the biting dog was still alive. Is it possible?

It is not possible.

cardiology news

Successful PCI tied to smaller infarcts

For patients with large, anterior ST-segment elevation MIs (STEMIs), successful reperfusion following primary percutaneous coronary intervention (PCI) is associated with smaller infarcts and better clinical outcomes at 30 days (INFUSE-AMI trial). The median infarct size was 16.7% of the left ventricular mass in patients with a myocardial blush grade of 2 or 3 after angioplasty and 19.5% in those with a grade of 0 or 1 (P=0.002). (Source: Medpage Today) ...Read More

Obesity duration linked to atherosclerosis and its progression

According to findings from the long-running Coronary Artery Risk Development in Young Adults (CARDIA) trial, more years of life spent with a body-mass index (BMI) in the "obese" range is associated with more subclinical atherosclerosis and more progression of coronary calcium during those years. The trial is reported in the July 17, 2013 issue of JAMA. (Source: Medscape) ...Read More

Valvular Heart Disease News

Mitral valve prolapse is classified as primary (sporadic or familial forms; no other identifiable disease) or secondary (associated with identifiable connective tissue disorder or associated with other non-myxomatous mitral valve disease).

(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

Neonates: Trend toward less-invasive approaches

Premature infants are less likely to receive invasive medical care these days than they would have 13 years ago, according to results from a study published online July 15 in Pediatrics. The study examined how neonatal and obstetric care practices have changed between 2000 and 2009. (Source: Medscape) ...Read More

Elevated BP on the rise in US children aged 8 to 17 years

The risk for elevated blood pressure (BP) among children and adolescents rose 27% during a 13-year period, according to a population-based study published online July 15 in Hypertension. Obesity and excess salt intake were associated with elevated BP. (Source: Medscape) ...Read More

cardiology news

Can Iron pills make schoolchildren ill?

Yesterday 21 kids had to be rushed to hospitals across Delhi after they were given iron and folic acid tablets during a government drive against anemia. The children, aged 9 to 17 years, had severe stomachache, nausea and vomiting.

Govt. defense

  • These are common side-effects found in 1% of cases.
  • Around 18 lakh pills were administered.
  • Around 200 students took ill across the city but most of them did not need hospitalization.
  • Pills were given under a central scheme launched on Monday.
  • Delhi government is following the guidelines laid down by the Union Health Ministry and the drugs are formulated as per government of India's specification which is in use countrywide.
  • The drugs provided under the programme were manufactured in June 2013 with expiry date in May 2015 and the drugs have been pre-tested at a government-approved laboratory.
  • About 56% of Indian girls and 30% of boys suffer from anemia, primarily a deficiency of essential micronutrients because of poor nutrition. As part of the government programme, around 100mg of elemental iron and 500mg of folic acid would be given to boys and girls. They would also be screened for anemia.

eMedinews Comments

  • Estimates are that up to 50 percent of patients complain of nausea, constipation, diarrhea, epigastric distress and/or vomiting after taking various oral iron preparations.
  • 100 mg dose in children may be high as the first dose.
  • Anyway, the police will investigate about the quality of iron pills.

Treatment options for such patients

  • The patient may take an iron preparation containing a smaller dose of elemental iron, or switch over from ferrous sulfate to ferrous gluconate, or switch from a tablet to a liquid preparation, the dose of which (44 mg elemental iron per 5 mL) can be easily titrated by the patient
  • Patient may slowly increase the dose
  • The iron may be taken with meals, although this will decrease absorption somewhat.

...Read More

cardiology news

Intimate partner violence

Short surveys for practicing clinicians

Several variations of short questions have been developed for use in the course of a patient visit. Following tools have high sensitivity and specificity:

  • HITS (Hurt, Insult, Threaten, Scream) (English and Spanish versions)
  • STaT (Slapped, Threatened, and Throw)
  • HARK (Humiliation, Afraid, Rape, Kick)
  • CTQ-SF (Modified Childhood Trauma Questionnaire–Short Form)
  • WAST (Woman Abuse Screen Tool) ...Read More
cardiology news
  1. 16th 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 (103)

13th July: CPR Molchand

14th July: CPR Molchand

15th July: CPR Moolchand

16th July: CPR Moolchand

17th July: CPR Moolchand

18th July: CPR Moolchand

18th July: CPR 10 Training DTC Head Quarter

19th July: CPR Moolchand

CPR VIP Sensitization

Total CPR since 1st November 2012 – 54675 trained

Video Chats and uploads

Dr KK Aggarwal on NEWS 24

Dr KK Aggarwal on Monsoon Take Care

Dr KK Aggarwal on Danger of Epidemics (Uttarakhand Disaster)

1308 students learnt CPR at Abhinav Public School, Rohini

CPR Utsav 6th April 11543 men and women Trained in 1 day

Dr KK Aggarwal on 4 REALNEWS JUNE 26 2013 On Uttarakhand Disaster

Symposium on Prayer, Faith, Meditation and healing part 9

Symposium on Prayer, Faith, Meditation and healing Part 8

What not to do in snake poisoning

In the monsoon season, snake bites are common. Most of these bites are by non-poisonous snakes. In a country like India, most people are misled by Bollywood movies showing a typical hero saving the heroine by giving an incision and then sucking the poison. This is what should not be done, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and MTNL Perfect Health Mela.

Dr. Aggarwal said that methods such as incision, oral sucking, mechanical sucking devices, Cryo Therapy, surgery and electric shock therapies have been widely used but are medically not recommended.

A common misconception shown in the movies is that one should apply tourniquet, suck out the poison and spit it out. Medically, this approach is strongly discouraged as it can damage the nerves, tendons, blood vessels and lead to infections.

Venom removed by suction is minimal and clinically does not prevent snake bite complications. Many studies have shown that mechanical suction device reduces the total body venom burden only by 2%.

The first aid involves removing the patient from the vicinity of the snake. Keep patient warm, rested and reassured. The wound should be cleaned with soap and water. One should not give drugs and alcohol as it may confound with clinical assessment. Efforts should be made to identify the snake and the patient should be transported to the nearest medical facility as quickly as possible.

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 54675 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

Heart Care Foundation of India organized a CPR 10 Camp with Delhi Transport Department (DTC) HQ, ITO on 18th July 2013

press release

Five Things Physicians and Patients should question (Part 3)

today video of the dayDr KK Aggarwal on No Tobacco on P7 News

Dr KK Aggarwal on Monsoon Take Care

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

eMedi Quiz

Read this…………………

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

Yesterday’s Mind Teaser: 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

Answer for yesterday’s Mind Teaser: a. Hypotension

Correct answers received from: Dr Prakash Khalap, Dr. SUSHMA Chawla, Dr. Thakor Hitendrsinh G, DR ABBAS VAKIL, Dr.Bitaan Sen & Dr.Jayashree Sen, Dr Rajeev Ardey, Dr. V.P. Thakral, Dr Pankaj Agarwal, Dr.K.Raju, Dr Jainendra Upadhyay, Dr.Nageswara Rao Patnala, Prabha Luhadia, DR SANTHAKUMARI, DR AVTAR KRISHAN, Muthumperumal Thirumalpillai, Dr.Chandresh Jardosh, drpksahu, daivadheenam jella, Dr. Sajeev Kumar, Dr B K Agarwal

Answer for 18th July Mind Teaser: a. A sunken fontanel

Correct answers received from: drpksahu, daivadheenam.jella, saroj dhingra

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)

How does the council ensure that the doctors provide continuous quality care?

We know about patients’ rights but what about patients’ responsibilities?

Do doctors need to get immunized by law?

How does the council ensure that the doctors provide continuous quality care?

medicolegal update

Customer: Hi, good afternoon, this is Martha, I can't print. Every time I try, it says 'Can't find printer'.

I've even lifted the printer and placed it in front of the monitor, but the computer still says he can't find it...

medicolegal update
medicolegal update

Situation: A pregnant lady wanted to observe Ramadan fasts.
Dr. Bad:
Go ahead
Dr Good:
Read More

Situation: An uncontrolled diabetic wanted to observe Ramadan fasts.
Dr. Bad: You can go ahead
Dr. Good: Read More

Situation: A diabetic wanted to know if he could fast.
Dr. Bad:
You can do it
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 NRMI–2 trial suggest that this intervention is much better than thrombolytic therapy in such patients.

medicolegal update

Mediocrity knows nothing higher than itself, but talent instantly recognizes genius. Arthur Conan Doyle

medicolegal update

Dr KK Aggarwal: East and West, the Combination is the Best
http://bit.ly/1aBeL42 #Health

Dr Deepak Chopra: What's Happening Inside? My Linkedin article http://tinyurl.com/q3sfaq4

medicolegal update

There is no way you can ban sex and prostitution. It is global, most important is health education about sexually transmitted diseases. Details about HIV and sexually transmitted diseases should be displayed at these joints. Vivek Kumar, Varanasi.

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

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