emedinews
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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
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  From the Desk of Editor–in–Chief
Dr KK Aggarwal

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

 

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1–7
DD Take Care Holistically Video 1–4 Chat with Dr KK On life Style Disorders
Health Update Video 1–15 Science and Spirituality
Obesity–Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

23rd August 2012, Thursday

Inadmissibility of Expenses Incurred in Providing Freebees to Medical Practitioner By Pharmaceutical And Allied Health Sector Industry

CBDT CIRCULAR NO. 5/2012 (F. NO. 225/142/2012–ITA.II), DATED 1–8–2012

It has been brought to the notice of the Board that some pharmaceutical and allied health sector Industries are providing freebees (freebies) to medical practitioners and their professional associations in violation of the regulations issued by Medical Council of India (the ‘Council’) which is a regulatory body constituted under the Medical Council Act, 1956.

2. The council in exercise of its statutory powers amended the Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002 (the regulations) on 10–12–2009 imposing a prohibition on the medical practitioner and their professional associations from taking any Gift, Travel facility, Hospitality, Cash or monetary grant from the pharmaceutical and allied health sector Industries.

3. Section 37(1) of Income Tax Act provides for deduction of any revenue expenditure (other than those failing under sections 30 to 36) from the business Income if such expense is laid out/expended wholly or exclusively for the purpose of business or profession. However, the explanation appended to this sub–section denies claim of any such expense, if the same has been incurred for a purpose which is either an offense or prohibited by law.

Thus, the claim of any expense incurred in providing above mentioned or similar freebees in violation of the provisions of Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002 shall be inadmissible under section 37(1) of the Income Tax Act being an expense prohibited by the law. This disallowance shall be made in the hands of such pharmaceutical or allied health sector Industries or other assesse which has provided aforesaid freebees and claimed it as a deductible expense in its accounts against income.

4. It is also clarified that the sum equivalent to value of freebees enjoyed by the aforesaid medical practitioner or professional associations is also taxable as business income or income from other sources as the case may be depending on the facts of each case. The Assessing Officers of such medical practitioner or professional associations should examine the same and take an appropriate action.

This may be brought to the notice of all the officers of the charge for necessary action."

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal

Doctors report medically puzzling cases

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Seminar on Health and Happiness

A seminar was organized jointly by Heart Care Foundation of India and Bharatiya Vidya Bhavan.

 
Dr K K Aggarwal
 
    National News

Govt proposes free supply of essential drugs

NEW DELHI: To make health care more affordable, the government proposes to launch an initiative for free supply of essential medicines in public health facilities. "The government proposes to start an initiative for free supply of essential medicines in public health facilities in the country aiming to provide affordable health care to the people by reducing out of pocket expenses on medicines," Health and Family Welfare Minister Ghulam Nabi Azad said told Rajya Sabha today. In written reply, he said the drugs would be supplied by district warehouses through an IT-enabled supply chain managements system. "The initiative will be part of the 12th Plan Proposal. There is an initial provision of Rs 100 crore in the budget of 2012–13," Azad said. To a question on prevalence of tuberculosis, Minister of State for Health and Family Welfare Sudip Bandyopadhyay said, "The estimated prevalence of all forms of TB has declined from 586 per 1,00,000 population in 1990 to 249 per 1,00,000 as per Global TB Control Report published by WHO." So far as TB prevalence is concerned, India ranks 15th from the bottom among the 22 high burden countries arranged from descending order, Bandyopadhyay said. (Source: The Economic Times, Aug 21, 2012)

For comments and archives

Doctors report medically puzzling cases

AHMEDABAD: Dhaneshwar Nagda recently suffered medical illness which did not respond to the any medication. He complained of severe abdomen pain, vomiting and later started experiencing difficulty in breathing. Even as doctors pumped him with standard emergency protocol drugs, his breathlessness collapsed and he had to be put on a ventilator. When his condition worsened, doctors pulled out all stops and gave him wide range of drugs in the hope of revival. Later, antivenin was administered as a last ditch attempt despite there was no history of snakebite. Miraculously, Nagda started recovering and the next day he was put off the ventilator as his breathing stabilized. Snake named Indian krait is posing medical teasers for many doctors in the intensive care units of the hospitals where the patient does not report snakebite but later responds to antivenin. This is because the snake is also known to produce an anesthetic agent because of which the person does not realize that a snake has bitten him unless he sees a snake in his surrounding. "I have recently treated three complicated cases of snakebites where the patients did not report of it. One of them had become extremely critical and was on the ventilator for eight days in a comatose condition. When no drug worked, we administered antivenin and the boy started recovering from the next day. It was miraculous. Later we found a snakebite mark on him but the boy did not recall any episode with the reptile", said critical care specialist Dr Rajesh Mishra. Mishra says that Indian krait snakebite can put a medical professional in a fix as people do not feel the bite. "Pain begins later along with other symptoms. If the antivenin is not given in time, patients slip into coma", said Dr Mishra. (Source: TOI, Aug 22, 2012)

For comments and archives

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

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

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Gallbladder polyp size can guide treatment

The follow–up strategy for patients with gallbladder polyps should be based on the size of the lesions, which can influence progression and malignancy potential, British researchers advised. (Source: Medpage Today)

More evidence links common parasite to suicidal behavior

Individuals infected with the Toxoplasma gondii (T gondii) parasite are at significant risk for later suicide attempts, new research suggests. A cohort study of 84 adults from Sweden showed that those who had been infected with T gondii were 7 times more likely to participate in nonfatal, self–directed violence compared with their counterparts who had not been infected. (Source: Medscape)

Burnout a bigger problem for docs than for others

Burnout is significantly more common in physicians –– particularly for those on the front line of care –– than it is among the general U.S. work force, researchers found. Some 37.9% of physicians said they experienced burnout symptoms and 40.2% said they were dissatisfied with their work–life balance, versus 27.8% of those in the general U.S. work force experiencing burnout symptoms and 23.2% who said they felt overworked, a significant difference (P<0.001 for both), according to Tait Shanafelt, MD, of the Mayo Clinic, and colleagues. The study also found that healthcare professionals practicing in fields providing front–line care, such as emergency medicine, were at significantly greater risk than other fields for burnout (P≤0.02 for all front–line specialties compared with other specialties), the researchers reported online in the Archives of Internal Medicine. (Source: Medpage Today)

Statins may lower risk for pancreatitis

Despite opposing results from early observational studies, a new meta–analysis suggests that statins may reduce the risk of developing pancreatitis among patients with normal to slightly elevated triglyceride levels. Findings from the study, conducted by David Preiss, MD, PhD, from BHF Glasgow Cardiovascular Research Centre in the United Kingdom, and colleagues, were published in the August 22/29 issue of JAMA. (Source: Medscape)

Monoclonal antibody works in severe asthma

The monoclonal antibody mepolizumab (Bosatria) was able to reduce exacerbations in patients with severe eosinophilic asthma, researchers found. (Source: Medpage Today)

COPD staging needs fine tuning

Although the 2011 Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease (GOLD) intended to provide a staging system for chronic obstructive pulmonary disease (COPD), a new study has found that patient categorization varies according to which of 2 disease scales is used. The results will be presented on September 3 by MeiLan King Han, MD, from the division of pulmonary and critical care at the University of Michigan in Ann Arbor, at the European Respiratory Society (ERS) Annual Congress in Vienna, Austria. The study evaluated whether the instrument used to measure symptoms affects patient placement and whether subgroups correspond to actual patient symptoms, and was published online August 18 in the Lancet Respiratory Medicine, a new journal that will launch early in 2013. The GOLD criteria of disease severity places patients into 1 of 4 categories according to symptoms, history of exacerbation episodes, and percent of forced expiratory volume in 1 s (FEV1%). The researchers found small but significant differences in GOLD classification, depending on whether they used the modified Medical Research Council (mMRC) dyspnea scale or the St. George’s Respiratory Questionnaire (SGRQ) to measure symptoms. (Source: Medscape)

 
    Twitter of the Day

@DrKKAggarwal: Heart risks detected by age 7 in overweight kids Children at risk of future obesity should be examined for body… http://fb.me/1jRRhpF6e

@DeepakChopra: Thoughts are probability waves from the conditioned mind that shape everyday reality. True creativity comes from pure consciousness.

 
    Spiritual Update

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

Vedanta Laws

  1. For every action, there is an equal and opposite reaction.
  2. Knowledge proceeds from the known to the unknown. This is the basic law of learning.
  3. Yesterday’s miracles are today’s science and today’s miracles will be tomorrow’s science.

For comments and archives

 
    4th Asia Pacific Vascular Intervention Course (APVIC)
  • 4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More
  • The 4th Asia Pacific Vascular Interventional Course begins Read More
  • Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More
  • 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • 4th Asia pacific vascular intervention course Read More
  • 4th Asia pacific vascular intervention course paper clippings Read More
 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

How do doctors diagnose and treat sexual dysfunction?

The doctor will do a physical exam and ask you questions about your medical and sexual history. Important chemicals in your body, called hormones, affect your interest in and ability to have sex. Your doctor may measure your hormone levels, to make sure that they are not too high or too low. Your doctor will ask you what medications you are taking, because some medications cause problems having sex.

For comments and archives

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

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

Action for Suspected Reactions

The severity of symptoms can vary significantly and symptoms are not specific, all transfusions must be observed carefully and stopped as soon as a reaction is suspected. Inform the treating doctor as well as blood bank immediately. Send the "Transfusion Adverse Reaction Form" dully filled to blood bank.

After transfusion

Transfusion follow–up

  • The time, the volume and type of blood component given, the patient’s condition, and the identity of the person who stopped the transfusion and made the observations should be recorded after each unit of blood/blood component has been infused.
  • Never peel off labels from the blood bags and fix it on the clinical documentation (like case sheet). Instead, write the details by hand/other method.
  • It is advisable to send "Transfusion Reaction form" to blood bank after every transfusion. This form can be an integral part of compatibility certificate or other documentation.
  • Whether adverse transfusion reaction has occurred or not, this form should be sent back to blood bank properly filled up.
  • If a severe complication occurs, blood bags, tubing, and attached solutions should be returned to the transfusion service with written documentation.

Disposal of blood bag and BT set

  • Discard the used blood bag along with attached (if any) BT set as per the policy of hospital (generally it is discarded in red biohazard polythene). Ensure proper disposal of discarded material either by hospital or by outside waste management agency.
  • If blood/blood component is not used in ward by any means, these units should be sent to blood bank for proper disposal. Never discard blood/blood component in ward.

For comments and archives

 
    An Inspirational Story (Dr GM Singh)

Don't Judge the People

Please take few seconds to read this story…

A 24 year old boy seeing out from the train’s window shouted, "Dad, look the trees are going behind us!"

Dad smiled and a young couple sitting nearby, looked at the 24–year–old’s childish behavior with pity, when suddenly he again exclaimed, "Dad, look the clouds are running with us!"

The couple couldn’t resist and said to the old man, "Why don’t you take your son to a good doctor?"

The old man smiled and said…"I did and we are just coming from the hospital, my son was blind from birth, he just got his eyes today."

Moral: Every single person on the planet has a story. Don’t judge people before you truly know them. The truth might surprise you.

For comments and archives

 
    Cardiology eMedinewS

Risk of ESRD higher for men Read More

Biopsy suggested before making diagnosis of diabetic nephropathy
Read More

 
    Pediatric eMedinewS

Genetically modified rice a good vitamin A source Read More

Web information on safe infant sleep often wrong Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient came for counseling for a high risk sexual behavior.
Dr. Bad: Use condoms.
Dr. Good: Use condoms and take a pre–exposure prophylaxis pill for 7 days.
Lesson: Pre exposure prophylaxis for 7 days is now a reality.

For comments and archives

Make Sure

Situation: A diabetic patient died of flu pneumonia.
Reaction: Oh my God! Why was flu vaccine not given?
Lesson: Make sure that all diabetics are given flu vaccine every year.

For comments and archives

 
  Quote of the Day (Dr GM Singh)

Some one asked Buddha "I Want Happiness". Buddha said remove I (ego) and want (desires) you will get happiness.

 
    Legal Question of the Day (Dr MC Gupta)

Q. The Clinical Establishment Act, 2010, has been published in the gazette and notified. In view of this, I have the following questions. In case a particular state has no similar state Act on the date of gazette publication, then:

1. To what extent is the state obliged to adopt the Act?
2. Can the state modify the Act and adopt it?
3. What happens if the state does not put in place such an Act, in toto or modified?
4. Can a citizen take any action to see that the state adopts the Act?

Ans.

The answers to the four queries are as follows:

  • The state is not obliged to adopt the Act.
  • The state, if it wants, is free to modify the Act and adopt it in a modified form.
  • Nothing happens if the state does not put in place such an Act, in toto or modified.
  • If a citizen wants the state concerned to adopt the Act, only actions he can take are as follows:
    • He can persuade the legislators to adopt the CEA, 2010.
    • He can go on fast like Anna who wanted the Lok Pal Act to be passed.
 
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Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

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    Lab Update (Dr Navin Dang and Dr Arpan Gandhi)

Vitamin B1, Plasma

Thiamine, or thiamin, sometimes called aneurin, is a water–soluble vitamin of the B complex (vitamin B1), whose phosphate derivatives are involved in many cellular processes. The best characterized form is thiamine diphosphate (ThDP), a coenzyme in the catabolism of sugars and amino acids.

Thiamine deficiency can cause several problems including neurodegeneration, wasting and death. A lack of thiamine can be caused by malnutrition, a diet high in thiaminase–rich foods (raw freshwater fish, raw shellfish, ferns) and/or foods high in anti–thiamine factors (tea, coffee, betel nuts) and by grossly impaired nutritional status associated with chronic diseases, such as alcoholism, gastrointestinal diseases, HIV–AIDS, and persistent vomiting.

 
    Mind Teaser

Read this…………………

Treatment with hemodialysis is ordered for a client and an external shunt is created. Which nursing action would be of highest priority with regard to the external shunt?

A. Heparinize it daily.
B. Avoid taking blood pressure measurements or blood samples from the affected arm.
C. Change the Silastic tube daily.
D. Instruct the client not to use the affected arm.

Yesterday’s Mind Teaser: A female client is admitted with a diagnosis of acute renal failure. She is awake, alert, oriented, and complaining of severe back pain, nausea and vomiting and abdominal cramps. Her vital signs are blood pressure 100/70 mm Hg, pulse 110, respirations 30, and oral temperature 100.4°F (38°C). Her electrolytes are sodium 120 mEq/L, potassium 5.2 mEq/L; her urinary output for the first 8 hours is 50 ml. The client is displaying signs of which electrolyte imbalance?

A. Hyponatremia
B. Hyperkalemia
C. Hyperphosphatemia
D. Hypercalcemia

Answer for Yesterday’s Mind Teaser: A. Hyponatremia

Correct answers received from: Dr Anil Kela, Dr AK KELA, Dr KV Sarma, Rajiv Kohli, Rameshwar Prasad, Dr Kanta Jain, Dr Pankaj Agarwal, Dr Jainendra Upadhyay, YJ Vasavada, Dr K Raju, Dr Chandresh Jardosh, Dr Thakor Hitendrsinh G, Dr Avtar Krishan.

Answer for 21st August Mind Teaser: B. Encouraging the client to cough and deep breathe.

Correct answers received from:
Dr Sarita Badlani, Dr Anil Kela.

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

Story Begins

A local newspaper funeral notice telephone operator received a phone call. A woman on the other end asked, "How much do funeral notices cost?" "$5.00 per word, Ma’am," came the response. "Good, do you have a paper and pencil handy?" "Yes, Ma’am."

"OK, write this: ‘Fred dead."

"I’m sorry, Ma’am; I forgot to tell you there’s a five–word minimum."

"Hmmph," came the reply, "You certainly did forget to tell me that." A moment of silence. "Got your pencil and paper?"

"Yes, Ma’am." "OK, print this: ‘Fred dead, Cadillac for sale.’"

 
    Medicolegal Update

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

What is murder?

Murder is the act of killing another human being with malice, traditionally called "malice aforethought." Malice is defined as the intent to kill or to inflict bodily injury, either express or implied. If a deadly weapon is used, intent to kill will necessarily be implied by a court of law. The presumption is that if the assailant brought a deadly weapon with him/her there was intent to use the weapon. If the assailant picked up a weapon at the scene of the crime in an act of defense or in a provoked fit of rage, there might not be malice.

Murder, as defined in common law countries, is the unlawful killing of another human being with intent or malice aforethought and generally this state of mind distinguishes murder from other forms of unlawful homicide.

  • Such a manslaughter means unlawful premeditated killing of a human being by a human being
  • In the United States, the principle of dual sovereignty applies to homicide, as to other crimes. If murder is committed within the borders of a state, that state has jurisdiction.
  • In Sweden, Murder (Mord) is defined as a planned taking a life of another and punishable with imprisonment between 10 to 18 years or life.
  • However, according to the Romanian Penal Code, a person can face a penalty ranging from 10 to 25 years or life imprisonment for murder.
  • In Norway, an act of murder (mord or drap) may be either planned murder, intentional murder or murder as a result of neglect.
  • Murder is defined in the New South Wales Crimes Act 1900 as follows:
    • Under NSW law, the maximum penalty for murder is life imprisonment with a standard non–parole period of 20 years, or
    • 25 years for the murder of a child under the age of 18 years, or police official
  • In Finland, murder is defined as homicide with at least one of four aggravating factors: deliberate intent/exceptional brutality or cruelty significantly endangering public safety Committed against a public official engaged in enforcing the law.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Do not use 2 pin electrical appliances: they can be dangerous

It’s the rainy season now and with the continuing use of electrical equipments, deaths due to electrocution are quite common. About 3 to 5 persons die due to electric shock everyday in any major city during the monsoon season. Most deaths due to electric shock could be attributed to lack of awareness regarding the basic principles of electrical systems and carelessness while handling electrical equipment, said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India.

The public not only needs to be aware of the safety principles but they also should know also the inherent dangers of handling electrical equipment, along with preventive measures to reduce mishaps and methods to revive a person who has suffered an electric shock. Like fire, electricity is a good servant but a bad master. If used properly it is a boon in every day’s life and if manhandled can cause death.

The most important education required is regarding the proper use of earthing. Earthing is a thick wire attached to the top hole of a 3–pin electrical socket. Earthing leads are, by international convention, kept green so that there should be no difficulty in identifying it and pointing it out.

People need to be familiarized with the colors used on the insulation; green is for earthing, black for neutral and red for live wire. Normal electricity is generated when the live wire is connected to the neutral wire. Earth wire is a safety mechanism to remove leakage of the electrical current. Connecting live with earth wire will also give the electrical current but not when the earth wire is connected to the neutral wire.

Earthing is a safety outlet, which allows leaking electricity to be conducted away harmlessly and not through the body. It should be checked every 6 months because it deteriorates with time and weather, particularly during the rainy season. A check can be carried out using an ordinary tester on the body of the appliance.

A tester or a test lamp can easily check that earthing is proper. One can light a bulb with live and earth wire. If the bulb fails to light while connecting live and earth socket, this indicates a defective earthing. People tend to take earthing lightly and often misuse it. Live and earth wires are sometimes untied together for temporary connection, which can be dangerous to life.

Following are some Dos and Don’ts which people should note of to prevent electrical hazards:

  • Make sure that you have proper earthing connection in the house.
  • Always remember the green wire. Do not use any electrical appliances without it, especially if it is touching any water surface. Water enhances conductivity; extra precautions therefore should be taken, while handling appliances, under wet conditions.
  • 2–pin plugs with no earthing arrangements should not be used and in fact should be banned.
  • While using 3–pin plugs, make sure that all 3 wires are connected and the pins are not defective.
  • Do not use matchsticks to hold wires in the socket.
  • Do not touch any wire without ensuring that power supply is switched off.
  • Do not use the earth wire to replace the neutral wire.
  • All joint wires should be properly insulated with proper insulated tapes and not with sello tape or Band–Aids.
  • Before using geyser water, it should be switched off.
  • Do not use heater plates with exposed wire for cooking purpose.
  • Use dry rubber slippers at home.
  • Use mini circuit breaker (MCB) and earth leak circuit breaker (ELCB) facilities at home.
  • Metallic electrical appliance should not be kept near a water tap.
  • Using rubber mats and desert coolers by using rubber leggings in the stand can insulate electrical appliance.
  • Use only recommended resistance wires and fuses.
  • Earthing should be checked every 6 months.
  • Any ordinary tester can check the presence of leaking electricity.
  • Wrap cloth around the handle of the refrigerator
  • Read the set of instructions attached with every electrical appliance.

Accidental electric deaths occur more often in India due to the use of 220 V as compared to those that occur in the US, where 110V is used. AC current is more dangerous than DC. An AC current of more than 10 MA causes tetanic muscular contractions making it impossible for a hand grasping an energized object, to free itself.

In case of electrocution, proper resuscitation is necessary. The mains should be switched off or wires disconnected using a wooden material and cardiopulmonary resuscitation should be started immediately. In a clinically dead patient, a thump in the center of the chest from a distance of one foot may alone revive a person.

In severe electrocution, clinical deaths occur within 4 to 5 min, therefore time to act is limited. Do not wait for the victim to be taken to the hospital. Act there and then.

 
    Readers Responses
  1. Dear Dr KK, I fully agree with the news about incest. This is a sexual perversion and purely personal and cannot be punished under any law but the mental trauma undergone by the child is something very difficult to treat by mental health professionals. We get almost one case of incest every day in our deaddiction centre. Invariably the mother of the child does not want us to discuss with the offender, who is the father, often an alcoholic. Dr R Mani, Chennai.
 
    Forthcoming Events
Dr K K Aggarwal


Dr K K Aggarwal
Dr K K Aggarwal


Dr K K Aggarwal

Dil Ka Darbar

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

 
    eMedinewS Special

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    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