Medinews e-Newsletter - August 2009 - A service from the IJCP Group of Publications
Editorial 
In This Issue...
Dr K K Aggarwal
Dear Colleagues,
 
The recent campaign by a leading national daily, from 17th to 21st August against Private Sector is uncalled for and has caused more harm to patient-doctor relationship. This should be condemned.
 
Swine flu issue again gave us a different lesson where the media became our scientific and technical teacher, a development which is not in the interest of the society. The recent two deaths from Swine flu in Delhi should not be a cause of so much concern, as deaths may occur even with the routine flu.
 
Elections for DMC are to be held on October 4 this year. I am contesting for the elections as a member of the FAITH team along with Dr Sanjiv Malik, Dr Ramesh Dutta, Dr IP Dhalla, Dr Chander Prakash, Dr H S Kukreja, Dr Ashwani Dalmia and Dr Vinod Khetarpal.
 
Regards
Dr KK Aggarwal
 

Lesson of the weekSMS Collection

 

DMC: Have faith in FAITH

Faith is the symbol of your team for the current DMC election led by Dr Sanjiv Malik, Past National President IMA. The team comprises of dynamic and vibrant DMA leaders. Following are the names of your representatives: Sitting President Dr Naresh Chawla; five Past Presidents Dr KK Aggarwal, Dr Ramesh Dutta, Dr IP Dhalla, Dr Chander Prakash, Dr H S Kukreja), two Sitting Secretaries Dr Ashwani Dalmia and Dr Vinod Khetarpal.

 

Heart Care Foundation of India ties up with many institutions for heavy discounts

The Heart Care Foundation of India in collaboration with the below mentioned companies facilitates the common masses of some basic medical necessities at a very much discounted rate. All the branded drugs at 50 % discount at Helpline Pharmacy 18/4 Yusuf Sarai New Delhi. Every blood test at 50% discount at Dr A Lalchandani Path Lab II/J36 Central Market Lajpat Nagar I. There will be a 25% discount on Professional Indemnity Insurance charges (Dr Mutreja 9811517345). Also Pacemakers will be given away at just 40,000, non DES stents for 15,000 and DES stents at 35,000 Rupees.

 

IOC Heart Check Up Camp successfully organized
The Heart Care Foundation of India successfully concluded the Indian OIL Azadi from Heart Diseases Camp at C 599 Defense Colony, Acharya Sushil Muni Ashram on the 16th August just a day after Independence in order to free Indians again from the heart diseases. It was a day long free heart check up. Inaugurating the camp, Mr. Sudhir Bhalla Executive Director Indian Oil Corporation said that the emphasis should be on lifestyle changes so that heart diseases could be prevented. Several selfless doctors rendered free cardiac consultations and ECG. Blood tests including lipid profile, sugar, creatinine, SGPT, uric acid and hemogram were carried out. Besides the free check ups, the camp also offered 50% discounts on all branded drugs (Helpline Pharmacy, Yusuf Sarai). Another 50% discounts also given on all the pathological investigations (Dr Lachandani Lab, Lajpat Nagar). Over 750 people got their heart check up done at the camp. Dignitaries who attended the camp were Mr. Ajit Pathak Chief Manager Corporate communications Indian Oil and Dr. Acharya Sadhvi Sadhnaji Maharaj. The event was co-organized by Omegatone Omega 3 fish oils. Like beta-blockers, fish oils are known to reduce cardiac mortality.
 
IOC Camp
 
Heart Check up at BSNL Dil Ka Darbar

The unique BSNL Dil Ka Darbar is all set to happen on the 6th September at MAMC auditorium. The event is being organized on the lines of Mughal Darbar. Therefore it offers an opportunity to all the heart patients to get their queries answered and also get a highly subsidized treatment. In the Darbar all the branded drugs, path labs, pacemakers and stents would be given at 50% of their actual cost. The Omegatone Fish Oil heart camp at the Darbar will be the special feature of the Darbar.

 

 MTNL Perfect Health Mela
The 16th MTNL Perfect Health Mela, an annual event, by the Heart Care Foundation of India in association with various departments of Delhi Government is scheduled to begin from 3rd to 12th October 2009 at NDMC Mini Stadium Laxmibai Nagar. Some major activities of the Mela will be Harmony (interschool festival), Heritage (interdancing school festival), Karishma (training of trainees [TOT] for school teachers on first aid), Divya Jyoti (inter nursing school festival), Medico Masti (inter medical college and college festival), Anmol (festival for children with special needs), Omegatone heart check up camp, Swasthya Pavilion (general and specialty checkups). Also in the features of the program are Health Durbar (public audience with medical experts), Medline (live video conferencing between Delhi and Mumbai doctors interacting with patients). Besides these, Jaago India (media festival), Eco- festival (involving various eco school clubs), Kaviyon Ki Kushti with Ashok Chakradhar (Kavi Sammelan), Swagat (inaugural function), and Bid adieu (valedictory function), etc are some exciting events of the celebration. The Mela will also provide free education, exhibition, general and specialty checkups, ECG, Color Doppler Echocardiography and competition opportunities. Highly subsidized executive blood tests will be made available to the general public at a nominal registration fee of Rs.110/- (market cost 1500/-).
 
 
Panacea Biotec receives UNICEF award
Panacea Biotec received UNICEF award worth more than Rs 1000 crores for pentavalent vaccine: EASYFIVE.
 
Scientists may have discovered new cure for cancer
Scientists have isolated the structure of a cell signaling receptor in the blood system, which when damaged causes cancers like leukemia. The findings are the result of collaboration between a team of scientists led by Michael Parker at the St Vincent's Institute (SVI), Melbourne and Angel Lopez, at the Institute of Medical and Veterinary Science, Adelaide. Their discovery helps explain, for the first time, how this receptor is activated and may lead to the development of new cancer treatments. "Because our discovery shows precisely what the receptor looks like and also how it works, we can now begin to design new drugs to rein in the deadly abnormal blood cells," said Parker, a professor. Using cutting-edge technology, they have developed the first 3D image of the receptor's structure and will use the unique knowledge it provides to find drugs to modify its action and control diseases such as leukemia and asthma. Lopez, also a professor, said: "Leukemia is a type of cancer where an excessive number of malfunctioning white blood cells are produced. We have established the structure of a receptor that controls the actions of a blood-forming regulator called GM-CSF."
 
 
Traffic jam in brain causes schizophrenia symptoms
Scientists have not understood what causes the severe mental disorder, which affects upto one percent of the population and results in hallucinations, memory loss and social withdrawal. Schizophrenia waits silently until a seemingly normal child becomes a teenager or young adult. Then it swoops down and derails a young life. It is a severe, lifelong brain disorder. People who have it may hear voices, see things that aren't there or believe that others are reading or controlling their minds. In human and mouse brains, kalirin is the brain protein needed to build the dense network of highways, called dendritic spines, which allow information to flow from one neuron to another. They have found that without adequate kalirin, the frontal cortex of the brain of a person with schizophrenia only has a few narrow roads. The information from neurons gets jammed up like rush hour traffic on an interstate highway squeezed to a single lane. Without enough pathways, the information takes much longer to travel between neurons and much of it will never arrive. Currently the only drug treatment for schizophrenia is an antipsychotic. The drug addresses the hallucinations and calm down the patient, but does not improve their working memory. Studies show that mice with low amounts of kalirin had a poor working memory, were antisocial and hyperactive. This discovery opens a new direction for treating schizophrenia; perhaps help the symptoms.
 
 
Antidepressants in young adults linked to higher risk of suicidal behavior
Research published today on bmj.com reports that adults taking antidepressants are not at greater risk of suicidal thoughts or behavior. On the other hand, young adults less than 25 years of age are at an increased risk, comparable to that seen in children and adolescents. This prompted the FDA to include a black box warning to antidepressants in 2005 and to examine trials of antidepressants in adults to search for comparable effects. Dr Marc Stone and his collaborators from the FDA studied data on suicidal thinking and behavior from published and unpublished randomized trials on antidepressants in adults. The information was provided by eight manufacturers of antidepressant products. Records from 372 placebo controlled trials involving nearly 100,000 patients were reviewed. The results revealed eight committed suicides, 134 suicide attempts, 10 patients who had made planning without attempting suicide, and 378 patients who had thoughts about suicide but had not acted on them. The risk was highest in young patients with psychiatric disorders other than depression. These results suggested that, compared with placebo, the risks of suicidality associated with antidepressants were strongly age dependent - the risk was increased in people under 25, not affected in those aged 25-64, and reduced in those aged 65 and older. Meanwhile, the FDA has extended the suicide warning on antidepressant drugs with this new information, including the significant relation of the findings with age.
 
 
 
Red cherries can give insomniacs the much-needed sleep

Red cherries can be a cure for insomniacs because this wonder fruit can regulate the body's sleep patterns. It has been found to contain significant quantities of melatonin, the hormone needed for a restful sleep. Researchers have found that the Montmorency tart cherry is one of the few known food sources of melatonin. Melatonin is manufactured in the brain and triggers sleep, quotes the Daily Express. Lead researcher Dr Russel Reiter of the University of Texas Health Science Centre said: "Eating just a handful of Montmorency cherries will increase melatonin levels in blood, thereby improving the body?s natural sleep patterns and potentially providing other health benefits".

 

Source:www.thehindu.com/mp/2009/08/.../2009081350990200.htm

 

Temporary job loss contributes to psychological distress
Temporary workers, those lacking long-term, stable employment, seem to be susceptible to declining mental health. Amélie Quesnel-Vallée, the primary investigator at McGill University said that these so-called ''disposable'' or ''second class'' jobs strain employees' mental health, as contingent workers report more symptoms of depression and psychological distress than similarly employed workers who are not in these fixed-term positions. To reach the conclusion, the research team analyzed a sample of longitudinal records collected biennially between 1992 and 2002 from the U.S. National Longitudinal Survey of Youth 1979 (NLSY79). The NLSY79 is a survey of men and women born between 1957 and 1964 who were interviewed annually from 1979 to 1994, and biennially thereafter. The research team considered respondents' contingent (temporary) work status, depressive symptoms scores, poverty level and educational attainment.

Source:http://www.newkerala.com/nkfullnews-1-90203.html

 

Sitting down too much at work can be a health hazard
The Medicare Private funded survey found that 77% of the time spent at work involves sitting, and the other 23% of the time involves low intensity exercise, like strolling to the printer, the photocopier or the coffee shop. This makes it a health hazard, as it not only makes one fat, but also puts one at risk of diabetes and heart disease. The survey showed two-thirds of those involved in the study did two and a half hours a week of moderate-intensity exercise, such as a brisk walk or other activity that raised a slight sweat. It was seen that moderate physical activity occupied less than five percent of the time on both work and non-work days. At Blackmores head office Sydney, lab technicians and production workers regularly perform stretches and exercise, by order of management. "It increases circulation," the Daily Telegraph quoted management as saying.
 

Source:www.dnaindia.com/health/report_sitting-down-too-much-at-work-can-be-a-health-hazard_1281483 

 

Breastfeeding 'cuts breast cancer risk'
A study revealed that women with a family history of breast cancer have a lower risk of developing the disease if they have ever breastfed a child. Alison M, of Brigham and Women's Hospital, and colleagues used information from 60,075 women who had given birth and who participated in the Nurses' Health Study between 1997 and 2005. Breastfeeding history was assessed in detail on the 1997 questionnaire, and on each subsequent follow-up the women were asked to report whether they had been diagnosed with breast cancer. Through the end of the study June 2005, a total of 608 cases of premenopausal breast cancer were diagnosed, at an average age of 46.2 years. There was no association between breastfeeding and breast cancer among women without a family history. Women who did not breastfeed but used medication to suppress breast milk production also appeared to have a lower risk of breast cancer than women who neither breastfed nor used lactation suppression. Moreover, breastfeeding is associated with other multiple health benefits for both mother and child. These data suggest that women with a family history of breast cancer should be strongly encouraged to breastfeed.
 

Source:http://timesofindia.indiatimes.com/.../Breastfeeding-cuts-breast-cancer-risk/

 

Insufficient sleep likely to heighten diabetes risk
A study examined whether reduced sleep duration itself may increase the risk of developing diabetes when combined with physical inactivity and overeating. Researchers subjected a group of healthy middle-aged men and women to two controlled 14-day periods of sedentary living with free access to food and 5.5 or 8.5 hours of sleep. When the subjects had their bed time decreased from 8.5 hours to 5.5 hours they showed changes in their response to two common sugar tests, which were similar to those seen in people with an increased risk of developing diabetes. If this is confirmed by future larger studies, these results would indicate that a healthy lifestyle should include not only healthy eating habits and adequate amounts of physical activity, but also obtaining a sufficient amount of sleep.
 

Source:www.prokerala.com/news/articles/a71155.html

 

Drink blamed for oral cancer rise
Alcohol consumption has doubled since the 1950s and is the most likely culprit of oral cancer alongside smoking, says Cancer Research UK. Numbers of cancers of the lip, mouth, tongue and throat in this age group have risen by 26% in the past decade. Each year in the UK around 1800 people die from the disease. Oral cancer can be treated successfully if diagnosed early enough. The most common signs of the disease are ulcers, sores, or red or white patches in the mouth that last longer than three weeks, together with unexplained pain in the mouth or ear. Some other risk factors that may be involved in the rise of oral cancer include a diet low in fruit and vegetables, and the sexually transmitted human papillomavirus (HPV), which also causes cervical cancer. Around three-quarters of oral cancers are thought to be caused by smoking and drinking alcohol. The really lethal cocktail is drinking strong spirits and smoking - a carcinogenic double whammy for the delicate lining of the mouth and throat.
 
 
Source:news.bbc.co.uk/2/hi/health/8193639.stm

 

ECG Formulae
Clinical Implications 
P = Atrial activity (look for disorders of atria)
Q = Ventricular inactivity (fibrosis or infarction)
R = Ventricular activity (R is increased in LVH)
T = Height of T means stroke volume (Tall T is seen in bradycardia and in acute ischemic event)             
U = Hypokalemia
PR = Time taken for an impulse to travel from SA node to Purkinje fibers (not SA to AV node)
QT = Systole (Prolonged in myocarditis)
ST depression = Endocardial injury
ST elevation = Pericardial injury
QRS = Ventricular conduction time

 

MEDICOLEGAL Q & A
Q. Should doctors give consultations on e-mail or telephone?
A. If one gives consultations on e-mail or telephone, one can be liable, if there is negligence. One should try avoiding giving such consultations, unless you are following that patient, and are aware of all aspects of the case. For new cases, one should not give a prescription without seeing the patient physically.
 
 
NORMAL LAB VALUES
Anemia Profile  
 Typical Reference Intervals 
ComponentConventional UnitsRecommended SI Units
Serum Iron30-160 mmol/L5.4-28.7 mmol/L
Serum Iron binding capacity228-428 mg/dL40.8-76.7 mmol/L
Ferritin  
Male30-300 ng/mL30-300 mg/L
Female10-200 ng/mL10-200 mg/L
Serum folic acid3-16 ng/ml7-36 nmol/L
Serum Vitamins B12200-800 pg/ml148-590 pmol/L
Coomb's tests, direct, indirectNegative 
Transferrin Serum230-390 ng/dL2.3-3.9 g/L
IPC: Indian Penal Codes to know


IPC 44

Injury

The word "injury" denotes any harm whatever illegally caused to any person in body, mind, reputation or property.
 
Comments
 
In most legal terms body and mind are treated separately. IPC code clearly distinguishes injury of the body separately from the injury of the mind. Spoiling the reputation of a person is also considered as an injury to a person.

 

CLINICAL TIP

Tips to prevent jet lag

TIP

If you are traveling East

  • Try to sleep on the plane. 
  • Avoid caffeine and alcohol. Caffeine consumption can hinder rapid eye movement (REM) sleep. These should be avoided in the evening.
  • Exposure to bright light on the morning of arrival helps.

If you are traveling West

  • Try to stay awake on the plane.
  • Drink caffeinated beverages. Caffiene is useful to increase arousal. 
  • Exposure to bright light in the late afternoon of arrival helps.

 

ABCs of Diabetes

A is for the A1C test: The A1C test is a simple lab test that reflects the average blood glucose levels over the past 3 months. It is the best way to know how well the blood glucose is controlled overall. This test used to be called glycoslated hemoglobin (pronounced as he-mo-glo-bin) A1C or HbAlc. One should have this test atleast twice a year. The goal for people with diabetes must be below 6.5%.

A is also for Abdominal Circumference

Goal

 Males < 35'

Female < 32'

B is for blood pressure: The blood pressure goal for people with diabetes is below 120/80 mmHg.

C is for cholesterol: The LDL cholesterol goal for people with diabetes is below 70 mg%.
 
C
is also for Say no to Cigarettes

 

PREPARING PRESENTATION FOR A CONFERENCE

Q. Why are slide or overhead presentations important?

A. With the progress of computerization and microelectronics, presentation of educational and academic material has undergone a sea change over the last decade. Slides are not only important for presentations, they reflect the way you yourself understand the particular subject. A good orator may speak as much as he wishes to, but he would never be able to compete with the power of overhead presentations and/or slides accompanying a lesser qualified speaker. That's why visual presentations are so important these days.

 

CONFERENCE CALENDER

APIAP 2009 : 6th Asia Pacific IAP Congress 
 
August 20-23, 2009
Kochi, Kerala
www.apiap209.com
 
 
World Congress on Recent Advances in Obstetrics & Gynecology
 
September 11-13, 2009
Mumbai
www.fogsi.org/ 
 
 
XIth Annual Conference of the Pediatric Cardiac Society of India
 
October 23-25, 2009
Chandigarh
Email:info@pcsi2009.org
 
61st CSI Annual Conference
 
December 03-06, 2009
Kochi, Kerala, India
www.csi.org.in/conferences.htm
Focus: From Intervention to Prevention
 
 
ASICON 2009 : LXVIII Annual Conference of Association of Surgeons of India


December 27-30 2009
Coimbatore
www.kovaiasicon2009.com
 
APICON 2010 : 65th Annual Conference of Association of Physicians of India 
 
January 7-10 2010
Jaipur
http://cimindia.net/.

 

                    
 Dr Bad Dr Good
 
Make Sure.. 


Jokes
 

Branch

DMC: Have faith in FAITH


Heart Care Foundation of India ties up with many institutions for heavy discounts
IOC Heart Check Up Camp successfully organized
Heart Check up at BSNL Dil Ka Darbar
MTNL Perfect Health Mela
Panacea Biotec receives UNICEF award
Scientists may have discovered new cure for cancer
Traffic jam in brain causes schizophrenia symptoms
Antidepressants in young adults linked to higher risk of suicidal behavior  
Red cherries can give insomniacs the much-needed sleep
Temporary job loss contributes to psychological distress
Sitting down too much at work can be a health hazard
Breastfeeding 'cuts breast cancer risk' 
Insufficient sleep likely to heighten diabetes risk
Drink blamed for oral cancer rise
ECG Formulae
MEDICOLEGAL Q & A 
NORMAL LAB VALUES
IPC: Indian Penal Codes to know 
CLINICAL TIP 
ABCs of Diabetes
PREPARING PRESENTATION FOR A CONFERENCE
CONFERENCE CALENDER 
Dil Ka Darbar
 

Omega-3
 
MTNL Perfect Health Mela 2009
 
IJCP
 
 

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 IJCP
 


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IJCP


IJCP
 


IJCP
 


IJCP
 


IJCP


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IJCP


IJCP


IJCP
 

 
Head Office
Daryacha, 39
Hauz Khas Village
New Delhi-110016
e-mail: drkk@ijcp.com
editorial@ijcp.com
Delhi Medical Council Needs A Visionary Leadership  

Dear Colleagues,

                   The  medical profession in the country is passing through trying times. We are faced with the challenge  of positioning our country and capital city as the global capital of health. We are also faced with the reality of a society  more hostile, litigious and suspicious of the medical  profession. Every day one hears of assaults on the profession. Every hour we face the  increasing menace of quackery breathing down our necks. AND every minute we are facing the wrath of innumerable authorities unaware of the realities of the profession.

The Delhi Medical Council (DMC) as the statutory body is responsible to provide protection to its members in discharging duties; ensure that no unqualified person practises modern scientific medicine in addition to receiving complaints form public against misconduct or negligence by doctors and take disciplinary action as deemed fit.

After the recent judgment by Hon'ble Supreme Court of India, it has become mandatory for Consumer Fora, Criminal Court and the police to first refer the matter to a compeptent doctor or committee of doctors, and only after that doctor or committee report that there is  a prima facie case of medical negligence can  notice be then issued to the concerned  doctor/hospital. Most of such cases are referred to DMC for opinion.

The  role of the DMC has thus become paramount.

With the elections for DMC already scheduled, we are now going to elect our next council for a five-year-term. It is in the interest of the medical profession and the society  at large to elect a dedicated team of professionals with  proven track record; vision and a pro-active and forward looking approach. It is these elected 8 representatives (plus 1 elected from amongst DMA members) who would represent you all and take care of the interests of the profession. 

Friends, we have been approached by innumerable colleagues in Delhi to field a team which fulfills the above. In all humility we offer ourselves to represent you in the DMC for the ensuing half a  decade. It is the under mentioned group of your representatives in DMA who have been responsible for the recent enactment of 'Delhi Medicare Service Personnel & Medical Service institution  (Prevention of Violence ) Act' by Delhi Assembly as well as the recent Supreme Court judgment protecting interests of Nursing Homes &  Medical Establishment in Delhi.

 

We Commit, that if elected we shall take care of the interests of the medical profession in Delhi to the best of our abilities.

 

Foremost amongst our AGENDA would be:

 

  1. To ensure that the DMC functions in a manner most transparent, positive and profession friendly.

  2. To Provide unstinted protection to medical professionals in  Delhi in discharging their professional duties.

  3. To root out the menace of quackery from Delhi by ensuring that no unqualified person  practies modern scientific system of  medicine.To adopt practical strategies for the above rather than keep making hue and cry on paper.

  4. To adopt  profession friendly strategies and prescribe a code of ethics for regulating the professional conduct of practitioners. To constantly update the profession  on issues: Legal, statutory, ethics-related which they must know.

  5. To fight for abolition of fees for Renewal of Registration in DMC.

The date of elections would be announced shortly. We shall also communicate the same to you. We look forward to your suggestions, and indulgence in this process. It's only our active indulgence today which would carve out a better future for all of us tomorrow.

Kind Regards 

Dr. Sanjiv Malik (mob. 9810026796)

 

Dr. Naresh Chawla (mob. 9811035060) 

 

Dr. Ashwini Dalmiya (mob. 9811542055)

 

Dr. K. K. Aggarwal (mob. 9811090206)

 

Dr. Chander Prakash (mob. 9810029000)

 

Dr. I. P. Dhalla (mob. 9810745433)

 

Dr. H. S. Kukreja (mob. 9810064847)

 

Dr. Vinod Khetarpal (mob. 9811054945)

 

Dr. Ramesh Dutta (mob. 9811086688)

 

 

Contact Us at:

dmcforprofession@gmail.com 

 

Delhi Medical Council

 

 



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