emedinews
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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
 
  From the Desk of Editor–in–Chief
Dr KK Aggarwal

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

 

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eMedinewS Presents Audio News of the Day

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

Photos of 1st Mega Ajmer Health Camp 2012

 
  Editorial …

25th April 2012, Wednesday

Maintain good health by sleeping 7 to 9 hours

Health is not mere absence of disease but a state of physical, mental, social, spiritual, environmental and financial well–being. Children should be given exposure to all aspects of health including financial health and spiritual health.

Internationally now it has been shown that 7 to 9 hours of sleep is necessary to achieve optimal health. This is particularly important for students, who often enjoy late night parties. Remember the formula: 8 hours for oneself (sleep and hygiene), 8 hours of studies and 8 hours for the social life and family.

Childhood obesity is the new epidemic of the society and can only be controlled by right education in school children. They should refrain from fast food that is served at parties as it is not good for health. These fast foods, also called junk food, are a combination of refined flour and cheese, with or without sugar, which are harmful.

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 on

How to be Happy and Healthy part 2

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Workshop on How to be Happy and Healthy

A two–day workshop on Stress Management and "How to be happy and healthy" was inaugurated by Sh. Rakesh Mehta, State Election Commissioner, Delhi & Chandigarh. Also present on the occasion were Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India and members from Brahma Kumaris organization.

Other organizations which participated in the event were IMA New Delhi Branch, IMA Janak Puri Branch, IMA North Zone Branch and IMA South Delhi Branch.

 
Dr K K Aggarwal
 
    National News

Average BP falls across world, rises in India

NEW DELHI: Blood pressure might be dipping across the world but in India, it has risen. The World Health Organisation says the average BP went down by 2.7mm mercury among women globally, while increasing by 2.4mm mercury in India. In men, it decreased by 2.3 mm mercury globally in the past three decades but in India it went up by 2.2 mm. mercury. Nearly 139 million Indians were suffering from high at the end of 2008 – 14% of the global burden of uncontrolled hypertension. Researchers attending the World Congress on Cardiology said on Saturday that a 25% increase in high BP screening in 19 developing countries including India would reduce the number of cardiovascular disease events and deaths that occur each year by up to 3%. The study by the Harvard School of Medicine found that screening an additional 25% of the population would lead to an increase of more than 10% in the rate of appropriate treatment of hypertension in high–risk individuals. (Source: TOI, Apr 22, 2012)

For Comments and archives

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

 
    International News

Lung cancer screening wins more support

Consensus is starting to build that long–time smokers should have annual CT–based screenings to reduce lung cancer mortality, a researcher said here. A series of studies suggesting a mortality reduction in high–risk current and former smokers who underwent screening –– capped by last year’s report from the National Lung Screening Trial (NLST) –– has built a case in favor of screening, which is still officially discouraged in primary care, said James Jett, MD, of National Jewish Medical Center in Denver, at the annual meeting of the American College of Physicians. (Source: Medpage Today)

For comments and archives

Oral HCV combo effective for genotype one

An all–oral treatment regimen for hepatitis C had high response rates among patients with a hard–to–treat type of virus, a researcher reported. (Source: Medpage Today)

For comments and archives

Colonoscopy no help in finding melena source

Colonoscopy had a lower–than–expected yield when used after a negative upper endoscopy in stable patients with melena, researchers found. (Source: Medpage Today)

For comments and archives

FDA Warns of Aliskiren Combos

The FDA warned Friday against combining the blood pressure medication aliskiren (Tekturna) with ACE inhibitors and angiotensin receptor blockers (ARBS) in patients with diabetes or renal impairment. The warning, which will be accompanied by a label change, is based on results from the terminated ALTITUDE study, which found an increased risk of adverse events in high–risk patients taking the direct renin inhibitor as an add–on to other anti–hypertensive medications. Diabetic patients who mix the drugs are at risk of renal impairment, hypotension, and hyperkalemia, the FDA said in a statement. Patients with moderate to severe renal impairment (glomerular filtration rate <60 mL/min) should also avoid the potentially lethal combinations. Medications that contain aliskiren include: (Source: Medpage Today)

  • Amturnide (aliskiren hemifumarate, amlodipine besylate, and hydrochlorothiazide)
  • Tekturna (aliskiren hemifumarate)
  • Tekturna HCT (aliskiren hemifumarate and hydrochlorothiazide)
  • Tekamlo (aliskiren hemifumarate and amlodipine besylate)
  • Valturna (aliskiren hemifumarate and valsartan). Valturna will no longer be marketed after July 2012

For comments and archives

 
    Twitter of the Day

@DrKKAggarwal: Lost time is never found again.

@DeepakChopra: A life of purpose reveals the purpose of life.

 
    Spiritual Update

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

The scientific aspects of prayer

It is natural for us to promise or offer to pray for someone who suffers from sickness. So many people believe in the power of prayer that it has now caught the attention of scientists and doctors.

For comments and archives

 
    Infertility Update

(Dr Kaberi Banerjee, IVF expert, New Delhi)

What about birth defects?

The goal of IVF is to help you have a healthy baby. Fertilization by inserting a single sperm into each egg, known as intracytoplasmic sperm injection (ICSI), does not increase the incidence of multiple gestation compared to standard IVF in which fertilization occurs by simply mixing sperm with the eggs. According to western figures, naturally conceived children have a 3–5% risk of birth defects, and most reports on birth defects of children conceived through IVF–ICSI show similar rates. However, some studies of babies conceived through ICSI report an increased incidence of rare defects (<1% of children born from IVF–ICSI) known as imprinting disorders (including Beckwith–Wiedemann and Angelman syndromes), a congenital malformation called hypospadias (with the urethra, the opening for urine and semen, found on the underside instead of on the end of the penis), or sex chromosome abnormalities.

For comments and archives

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

(Dr. Neelam Mohan, Director, Dept. of Pediatric Gastroenterology, Hepatology & Liver Transplantation, Medanta – The Medicity, Gurgaon)

Why is CT scan Triphasic Angiography carried out on the donor?

A CT scan triphasic angiography provides information on the vascular anatomy which is important for the surgeon to know and volumetry is performed on the donor liver by using special software, which calculates the volume of various parts of the liver.

For comments and archives

 
    An Inspirational Story

(Ms Ritu Sinha)

The Perfect Heart

One day a young man was standing in the middle of the town proclaiming that he had the most beautiful heart in the whole valley. A large crowd gathered and they all admired his heart for it was perfect. There was not a mark or a flaw in it. Yes, they all agreed it truly was the most beautiful heart they had ever seen. The young man was very proud and boasted more loudly about his beautiful heart.

Suddenly, an old man appeared at the front of the crowd and said "Why your heart is not nearly as beautiful as mine." The crowd and the young man looked at the old man’s heart. It was beating strongly, but full of scars, it had places where pieces had been removed and other pieces put in, but they didn’t fit quite right and there were several jagged edges. In fact, in some places there were deep gouges where whole pieces were missing.

The people stared – how could he say that his heart was more beautiful, they thought? The young man looked at the old man’s heart and saw its state and laughed. "You must be joking," he said. "Compare your heart with mine, mine is perfect and yours is a mess of scars and tears."

"Yes," said the old man, "Yours is perfect looking but I would never trade with you. You see, every scar represents a person to whom I have given my love – I tear out a piece of my heart and give it to them, and often they give me a piece of their heart which fits into the empty place in my heart, but because the pieces aren’t exact, I have some rough edges, which I cherish, because they remind me of the love we shared. Sometimes I have given pieces of my heart away, and the other person hasn’t returned a piece of his heart to me. These are the empty gouges – giving love is taking a chance. Although these gouges are painful, they stay open, reminding me of the love I have for these people too, and I hope someday they may return and fill the space I have waiting. So now do you see what true beauty is?"

The young man stood silently with tears running down his cheeks. He walked up to the old man, reached into his perfect young and beautiful heart, and ripped a piece out. He offered it to the old man with trembling hands. The old man took his offering, placed it in his heart and then took a piece from his old scarred heart and placed it in the wound in the young man’s heart. It fit, but not perfectly, as there were some jagged edges. The young man looked at his heart, not perfect anymore but more beautiful than ever, since love from the old man’s heart flowed into his. They embraced and walked away side by side. How sad it must be to go through life with a whole untouched heart.

For comments and archives

 
    Cardiology eMedinewS

Statin therapy prior to CABG reduces the risk of postoperative AF Read More

Smokers, globally, are less aware of CVD risks Read More

 
    Pediatric eMedinewS

Measles cases at 15–year high Read More

IVF babies may face later cardiac risks Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient wanted to know if he could buy Vigor–25 from the internet.
Dr Bad: Go ahead.
Dr Good: It can be harmful.
Lesson: The US FDA has warned that Vigor–25, a product marketed as a natural dietary supplement to enhance male sexual performance, should not be purchased or used because it contains sildenafil which may interact with nitrates and can dangerously lower blood pressure. Vigor–25, distributed by Piston Corp., is sold on Internet sites.

For comments and archives

Make Sure

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

For comments and archives

 
    Legal Question of the day

(Prof. M C Gupta, Advocate & Medico–legal Consultant)

Q. What are your views regarding the current strike by doctors in Kerala against the so called "Bonded labour order"?

Ans.

A. The referred order is posted below:

"G.O.(MS) No.533/2008/H&FWD Dated, Thiruvananthapuram, 07.10.2008

HEALTH & FAMILY WELFARE (S) DEPARTMENT

G.O.(MS) No.533/2008/H&FWD Dated, Thiruvananthapuram, 07.10.2008

ORDER

  • As per references cited, Government have issued various orders for posting of doctors who have completed various Medical Graduate/Post Graduate/Super Specialty Post Graduate courses in Government/Self Financing/Co–operative Medical Colleges in the State, as a part of the Compulsory Government service, in terms of the bond they have executed at the time of joining the Courses. As per the provisions of the prospectus for admission, the students are to execute a bond at the time of joining to the effect that they will serve the Government for a prescribed period after the completion of the course if the Government requires so.
  • Also, students who secured admission under State Quota and All India Quota in Government Medical Colleges are studying at the expense of public exchequer. Government are spending huge sums of public money for the education of all these students irrespective of whether they took admission under State Quota or All India Quota. As per the existing rules All India Quota students are also bound to do Compulsory Government Service as part of bonded service obligation. In the above circumstances, Government had ordered that all students who have signed bond at the time of joining the courses shall serve the Government for a prescribed period after the completion of the course if the Government requires so.
  • The Director of Medical Education and Director of Health Services had requested to revise on the modalities, process, terms and conditions of appointment of these doctors as a part of mandatory Government Service. The matter has been examined in detail and it has been decided to consolidate and revise various orders issued in this regard. In supersession of anything inconsistent with this order with regard to all previous orders, the Government are pleased to issue the following revised orders with immediate effect:
  • For doctors who have successfully completed the MBBS Course from Government Medical Colleges, Self Financing Medical Colleges (under Government Quota seats) and Co-operative Medical Colleges (under Government Quota seats);
    • The doctor will be appointed in public health institutions under Director of Health Services/Director of Medical Education Service as ‘SNEHITHAN/SNEHITHA Doctors’ under Compulsory Government Service for a period of one year after obtaining registration from State Medical Council. The posting at Medical College, Alappuzha will be considered as rural posting.
    • This will be applicable for all the students who are admitted through All India Quota also.
    • The candidates posted for Compulsory Government Service will be paid a remuneration of Rs.15,000/– (Rupees fifteen thousand only) per month plus rural/difficult area allowance as per norms fixed by Government/NRHM from time to time. Their payment will be made under NRHM. However, if they are posted against a sanctioned vacancy under Health Service, the sanctioned amount will be reimbursed to NRHM by Director of Health Service, from budget provision.
    • The Graduates after completing house surgency shall join the Compulsory Government Service and work for a period of one year under the health institutions of Director of Medical Education or Director of Health Service. However, the Graduates/Post Graduates can apply to any Post Graduate Degree/Diploma/DNB/Super Specialty courses before beginning or completing Compulsory Government Service. In case they get selection for PG Degree/Diploma/Super Specialty in a recognized institution in the country and DNB course in Government Medical Colleges/Government hospitals in the state they will be permitted to join the course, but will have to complete the remaining period of their compulsory service of one year soon after completion of their course. No permission will be given to those candidates joining DNB in private institutions.
  • For doctors who have successfully completed Medical PG/Diploma/DNB Course/Super Specialty Degree Courses (except service quota candidates) from Government Medical Colleges, Self Financing Medical Colleges (under Government Quota) and Co–operative Medical Colleges (under Government Quota), and have not completed/done Compulsory Government Service after MBBS.
    • The doctors will be appointed in public health institutions under Medical Education Service/Health Services.
    • Medical PG Degree/DNB Certificate Holders will be paid a remuneration of Rs. 23,000/– (Rupees Twenty three Thousand only) per month plus Rural area allowance as per norms. Super specialty Degree holders will be paid a remuneration of Rs. 25,000/– (Rupees Twenty five thousands only) per month. PG Diploma holders appointed under DHS/DME will paid a remuneration of Rs. 21,000/– (Rupees Twenty one thousands only) plus Rural area Allowance as per norms.
    • The candidates who have not successfully completed in the PG course and are posted to colleges/health institutions under Compulsory Government Service will be eligible for Rs. 15,000/– (Rupees Fifteen Thousand only) plus Rural/Difficult area allowance as per norms.
    • The above conditions will be applicable for all doctors who come through All India Quota also.
  • Doctors should normally complete Compulsory Government Service posting within a period of 12 months itself from the date fixed in the posting orders. They will be eligible for weekly off, duty off and 20 days casual leave. They will not be eligible for any other leave. That is, the doctors should complete 345 days of duty including weekly off/duty off. The State Mission Director (Arogyakeralam) will issue completion certificate for bonded obligation service based on report received from District Medical Officer/Director of Health Service/Director of Medical Education/District Programme Manager NRHM/Principals of the Medical Colleges.
  • The doctors who have completed Compulsory Government Service posting for one year will be eligible for a suitable weightage in PG entrance examination conducted by Commissioner for Entrance Examination, Kerala. The quantum of weightage will be decided by the Government later.
  • Extension or long leave exceeding 20 days Casual Leave will be given only on pregnancy/maternity related grounds. Only the Secretary to Government (H"FW) have power to sanction extension for a particular period from bonded posting on genuine and unavoidable grounds subject to the specific condition that they will complete the Compulsory Government Service after the extension period is over. The candidates who avail extension beyond 30 days shall not be eligible for weightage in PG entrance examination.
  • An amount of Rs. 5,00,000/– (Rupees Five Lakhs only) will be levied as penalty from those who violate bond conditions. In addition, violation of their bond shall invite stern disciplinary action as per Regulation 8.2 under chapter 8 of the Indian Medical Council (Professional conduct, Etiquette and Ethics) Regulation 2002. Candidates failing to fulfill the Government service within the stipulated time or extended time will not be permitted to undergo further studies in any Government institutions or enroll in Government jobs in the state. The details of such candidates will be reported to the Medical Council of India for appropriate action. In addition to this, compensation and other expenses met through public money for their studies shall be levied through revenue recovery procedures from such defaulters/sureties as fixed by the Government.
  • The candidates who have done one year of Compulsory Government Service under Bonded Obligation with Government after MBBS will not have to do Compulsory Government service again after the completion of the PG Degree/Diploma/Superspeciality Courses. However, those who could not complete or have not done Compulsory Government Service posting of one year after MBBS for any reason, will have to do the Compulsory Government Service after PG/Super specialty course for remaining part of one year obligation service. Thus the cumulative effect of Compulsory Government Service under bonded obligation shall be one year only.
  • All the students who have not done Compulsory Government Service so far have to execute a new bond agreement as per the prescribed format themselves, in a stamped paper of Rs.100 with their parents/guardians standing as sureties. The signatures of the candidates/sureties have to be attested by a Gazetted Officer of State or Central Government or Grama/Block/District Panchayat President/Municipal Chair person/Mayor or MLA or MP by countersigning in the bond agreement as a witness. The proforma of the bond is appended herewith.
  • The following guidelines will be followed regarding the posting of doctors under Compulsory Government Service as above.
    • The Director of Medical Education will furnish the list of candidates who have completed House Surgency from Government Medical Colleges with their current residential address and marks secured, to the Mission Director, NRHM and Secretary to Government (Health). Similarly, Principals of Self Financing Medical Colleges and Co-operative Medical Colleges will furnish list of students under Government Quota who have completed House Surgency in their Colleges with their current residential address and marks secured, to the Mission Director NRHM and Secretary to Government (Health).
    • Allotment of stations for Compulsory Government Service posting will be made by a Committee consisting of State Mission Director & Deputy Secretary to Government (H&FW) (Chairman), Director of Health Services and Director of Medical Education/Principals of Medical Colleges, State Programme Manager (NRHM) etc. After counseling, the doctors will be allotted to District Medical Officers as per the requirement of doctors in the field and by the Director of Medical Education for posting at Medical College, Alappuzha only as part of compulsory rural posting. In case Non–Clinical Post graduates are available for posting, they can be given posting in any of the Government Medical Colleges in the state as per the requirements.
  • Posting Orders will be issued by the Mission Director, NRHM on behalf of Government on the basis of the recommendation of the Committee after approval of the Secretary (H&FW). In case, the concerned doctor doesn’t report for posting within 15 days, the concerned District Medical Officer/Director of Medical Education/Principals shall take action against the doctor as per the bond conditions and shall report "Non Joining Report" to the Mission Director, NRHM and the Secretary (Health) immediately. The Director of Medical Education/concerned District Medical Officer/Principal will be held personally responsible in case he/she fails to take appropriate action in case of non-reporting or non-joining of the individuals.
  • The conditions specified on All India Quota students will come into force subject to the decision of Hon’ble High Court in the case pending before the Court.

    By Order of the Governor

    Dr. Vishwas Mehta

    Secretary to Government"
  • There is nothing basically wrong with the above order. There may be issues related to two things:
    • There may be scope for increase in emoluments.
    • The number of leaves appears to be too few.
  • The order is dated 2008. Why the strike now?
  • Those who are on strike have no cause. They are wrongly raising the pitch by shouting slogans that they are being treated as bonded labour. They are all literates and can read on the internet the following—

    http://www.ncpcr.gov.in/Acts/Abolition_of_Bonded_Labour_System_Act_1976.pdf

    They are advised to withdraw the strike and go back to work and not waste their time or invite legal action.

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  Microbial World: The Good and the Bad They Do

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

Transmission of blood–borne infections

Factors determining the rate of transmission of blood–borne viruses to healthcare workers include:

  • Frequency of occupational exposure (contact with blood or bloody body fluids, accidental needle sticks/sharp instrument injuries, splashes on mucous membranes)
  • Disciplines of Medicine such as Gynae and Obstetrics, Hemodialysis unit, Pathology/Microbiology, Surgery, ICUs, Emergency room, Blood bank, Clinical laboratory, Intravenous teams, Dentistry, Oral surgery, etc. are high risk.
  • Working with at risk populations (IDUs, multiply transfused, CSWs, dialysis patients)
  • Practice/non practice of standard work precautions
  • HBV immunization taken/not taken/protective anti HBs antibody titer status
  • Source infectivity (Hbe Ag–positive, HIV–positive, HCV positive, HBs Ag positive,) involved in the exposure
  • Stage of disease and condition of the patient whose blood/OPIM involved
  • Whether the post exposure prophylaxis is taken or not
  • Type of exposure (solid needle stick, hollow bore needle stick, scratch, cut, mucosal membrane splash, contact on intact skin, contact on skin with dermatitis, scratch with needle, cut with a sharp or injection of blood)
  • Amount of blood involved in the accidental exposure.

For comments and archives

 
  Quote of the Day

(Dr Anil Kumar Jain)

Prayer is not a "spare wheel" that you pull out when in trouble, but it is a "steering wheel" that directs the right path throughout LIFE.

 
  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Serum chloride

  • Increase in serum chloride is seen in dehydration, renal tubular acidosis, acute renal failure, diabetes insipidus, prolonged diarrhea, salicylate toxicity, respiratory alkalosis, hypothalamic lesions and adrenocortical hyperfunction.
  • Drugs causing increased chloride: Acetazolamide, androgens, corticosteroids, cholestyramine, diazoxide, estrogens, guanethidine, methyldopa, oxyphenbutazone, phenylbutazone, thiazides and triamterene.
  • Bromides in serum will not be distinguished from chloride in routine testing, so intoxication may show spuriously increased chloride.
 
    Mind Teaser

(Dr Anil Kumar Jain)

Read this…………………

How long did the Hundred Years War last?

Yesterday’s Mind Teaser: In which month do Russians celebrate the October Revolution?

Answer for yesterday’s Mind Teaser: November

Correct answers received from: Dr Sushma Chawla, Rajiv Kohli, Dr PC Das, Dr Deepali chatterjee, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Dr NeelamNath, Dr U Gaur Dr Thakor Hitendr sinh G, Anil Bairaria.

Answer for 23rd April Mind Teaser: Don’t tread on me

Correct answers received from: Dr Chandresh Jardosh, Dr NeelamNath, Dr U Gaur Dr Thakor Hitendr sinh G, Anil Bairaria.

Send your answer to ijcp12@gmail.com

For comments and archives

 
    Laugh a While

(Dr Prabha Sanghi)

The Doctor gave a man six months to live. The man couldn't pay his bill so the doctor gave him another six months.

 
    Medicolegal Update

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

How should biological samples and medical evidences be collected in a medicolegal case?

The analyst/doctor has a legal responsibility to retain untested biological specimen in legal cases so that another person can test it and come to an independent conclusion as to its origin.

The observation of scenes of crime, collection of human body fluids, weapons of the offence and medical examination of victim, accused, or both is required in any investigation of crime against human body such as injury, rape, murder.

The medical examination is carried out in emergency ward of hospitals and treatment of injured and dying patient remains the major focus of the treating doctor. But, in cases of crime against the human body, the medical examination and collection of biological sample/s, its documentation, packaging, and analysis have an important role and should be done by the doctor very meticulously with the high standards of science and the law in mind. These biological materials include: Blood, seminal stains, vaginal smears/slides gastric lavage, chemical substances, poison, hair, fiber, broken glasses, knives, blunt instruments/objects, firearms, bullet, live and empty cartridge cases, wads, clothing etc. This scientific biological evidence becomes legal evidence in prosecution/acquittal of case if collected correctly.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Blood Donation Lowers the Risk of Heart Attack

Government policy should change from replacement donor to 100% voluntary donor, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal, President, Heart Care Foundation of India. He said that it is possible that under the disguise of replacement donor a professional donor will enter into the system. He also said that under replacement blood donor system, a patient requiring multiple transfusions or outstation patients may find it difficult to get replacement donors.

No blood donation is 100% safe, he further added. Diseases can still be in the window period and get transmitted even if the blood tests are negative. Sophisticated blood tests detecting antigens of the organisms are not done in the country, either the tests are costly or not available in blood banks. They are also not mandatory under the national policy. Donating blood reduces the chances of heart attack. People who regularly donate blood are healthier than people who have never donated blood. One should donate blood every year either on their birthday or on the Blood Donor’s Day.

He said that blood is a precious gift, which one can give to somebody unknown. It is possible that one unit of donated blood can save multiple lives.

More than 70,000 units of blood are required in Delhi every month. More camps should be organized by non medical associations so that the shortage of blood can be taken care of.

 
    Readers Responses
  1. Govt. of Himachal Pradesh has decided to allow Ayurvedic physicians to do compulsory two months of internship in modern medicine, enabling them to prescribe allopathic medicines. IMA HP is planning to oppose this move. Are you aware of any legal pronouncements barring such a practice? Regards: Dr. Prof H.L. Kapoor.
 
    Forthcoming Events
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
http://www.heartcarefoundation.org

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

 
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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