emedinews
Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL 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 (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04); Editor in Chief IJCP Group of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR

 

eMedinewS Presents Audio News of the Day

Photos and Videos of 2nd eMedinewS – Revisiting 2010

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

 
  Editorial …

25th June 2011, Saturday

Soon, six months jail for disclosing the health status of a person

As per the new proposed Right to Privacy Bill, doctors and hospitals cannot disclose the health status of a person. If they do, they could face imprisonment up to six months and/or a fine of up to Rs 1 lakh.

In the Bill, bugging someone's office or residence, or illegally intercepting telephone calls is being made a serious offence attracting up to five years of imprisonment and a fine of Rs 1 lakh. The Bill defines right to privacy and includes in it confidentiality of communication, family life, bank and health records, protection of honour and good name and protection from use of photographs, fingerprints, DNA samples and other samples taken at police stations and other places.

The Bill also moots the establishment of a Data Protection Authority of India that will investigate complaints about alleged violations of data protection.

Leaking information is also a professional misconduct in MCI Act. As per Medical Council of India Code of Ethics Section Clause 7.14, "The registered medical practitioner shall not disclose the secrets of a patient that have been learnt in the exercise of his/her profession except – i) in a court of law under orders of the Presiding Judge; ii) in circumstances where there is a serious and identified risk to a specific person and/or community; and iii) notifiable diseases. In case of communicable / notifiable diseases, concerned public health authorities should be informed immediately." However, the MCI Act does not define all secrets of patient.

This is equally true in America. As per American Medical Association Code of Ethics (Opinion 5.05) “The information disclosed to a physician by a patient should be held in confidence. The patient should feel free to make a full disclosure of information to the physician in order that the physician may most effectively provide needed services. The patient should be able to make this disclosure with the knowledge that the physician will respect the confidential nature of the communication. The physician should not reveal confidential information without the express consent of the patient, subject to certain exceptions which are ethically justified because of overriding considerations.

When a patient threatens to inflict serious physical harm to another person or to him or herself and there is a reasonable probability that the patient may carry out the threat, the physician should take reasonable precautions for the protection of the intended victim, which may include notification of law enforcement authorities. When the disclosure of the confidential information is required by the law or the court, it is the duty of the doctor to inform the patient about the same.

When a doctor is summoned by the court, he or she should disclose the minimal information required by the law and not volunteer additional information.

The AMA Code of Ethics Opinion 5.051 also talks about confidentiality of medical information after death. As per their ethics, the law does change about confidential information where the person is alive or death. Even the post mortem report is confidential information and should not be leaked to any unauthorized relation of the patient. It is the duty of the doctor who is treating a patient to ask the patient about possible names to whom he can disclose about his sickness and to what extent. In the Prabha Manchanda case, Supreme Court of India has clearly decided that even a mother has no right to give extended consent for her daughter who happens to be under anesthesia. In America, confidentiality is defined under the HIPAA Privacy Act.

The privacy rules require a doctor to make reasonable efforts to limit the amount of protected health information of the doctor used or disclosed to the minimum amount that is necessary to accomplish purpose of use or disclosure. Under the HIPAA Private Rules, a hospital is not supposed to announce the name of a patient in the OT list containing the name of a person in open or accessible to the public or disclose any information by which a third person may be able to know that a particular person is undergoing surgery or a medical treatment in the hospital. In no way the diagnosis or reasons of the disease should be disclosed to an unauthorized relation or a person. A doctor should not share the patient information with the patient’s family or friends if the patient has asked the doctor not to or if the treating doctor believes, in his or her professional judgment, the disclosure would be inappropriate.

The privacy rules, however, allow the doctor to share patient’s information with the patient’s family members or friends so long the information is limited, the information directly relevant to that person’s involvement in patient’s care. For example, a doctor may tell a person living with the patient that the patient needs plenty of rest and lots of fluids or that the patient need to be checked twice daily.
A doctor is not supposed to share more information than the person needs to assist with the patient’s care.

HIPAA also prohibits doctor providing patient’s list to any representative or a device provider as this would automatically leak the patient’s disease condition to an unwanted person.

MCI Act (1.3) also talks about maintenance of medical records:

1.3.1 Every physician shall maintain the medical records pertaining to his / her indoor patients for a period of 3 years from the date of commencement of the treatment in a standard proforma laid down by the Medical Council of India and attached as Appendix 3.

1.3.2. If any request is made for medical records either by the patients / authorized attendant or legal authorities involved, the same may be duly acknowledged and documents shall be issued within the period of 72 hours.

The Act also clarifies that the records can only be given to the patient of the authorized attendant or legal authorities.

Dr KK Aggarwal
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  Changing Practice – Evidence which has changed practice in last one year

Artesunate for severe malaria

For treatment of nonpregnant adults and children with severe falciparum malaria, start intravenous artesunate (in areas where intravenous artesunate of reliable quality is readily available), rather than intravenous quinine.

 
  eMedinewS Audio PostCard

Padma Shri & Dr BC Roy National Awardee
 Dr K K Aggarwal

Audio Medical News of the day

Audio PostCard
 
    Photo Feature (from the HCFI Photo Gallery)

Medifinance Conference

A Medifinance conference was organized by eMedinewS in association with Heart Care Foundation of India at TB Association, Lodhi Road on 13th March 2011 where the focus of discussion was Portfolio management for doctors and the Budget for the year 2011.

 

 
Dr K K Aggarwal
 
    National News

NIV receives blood samples from Bihar

PUNE: The Pune-based National Institute of Virology (NIV) received four samples of blood, urine and fluid surrounding the brain and spine of children infected with a viral infection from Bihar on Wednesday. Twenty-six children have died of a mysterious illness in Muzaffarpur, Sheohar and adjoining districts of Bihar in the last few days. The children were all in the age group of two-and-a-half to six years. "Prima facie, these are cases that fall under Acute Encephalitis Syndrome (AES), characterised by inflammation of the brain. Fatalities in AES are very high. Globally, the cause in 40 to 50 per cent of encephalitis cases is never ascertained. The Chandipura virus, which occurred in Nagpur, also caused similar illness and fatality," A C Mishra, director of NIV told TOI. (Source: TOI, June 23, 2011)

ASHAs to deliver contraceptives at home

NEW DELHI: Focusing on population stabilisation and meeting the unmet demands of contraceptives, the mission steering group (MSG) of the National Rural Health Mission (NRHM) on Tuesday decided to utilise Accredited Social Health Activists (ASHAs) for delivery of contraceptives at the homes of beneficiaries. For this, ASHAs can charge Re. 1 for a pack of 3 condoms, Re. 1 for an Oral Contraceptive Pill (OCP) cycle and Rs. 2 for an Emergency Contraceptive Pill (ECP) from the beneficiaries. Citing global evidence that home visits for neonatal care by community health workers were associated with reduced neonatal mortality, the MSG — the highest decision-making body of the NRHM — decided to provide a performance-linked incentive of Rs. 250 to ASHAs for reducing the infant mortality rate. The proposed schedule of home visit for institutional delivery is 6 home visits on days 3, 7, 14, 21, 28, and 42 to assess the newborn as well as to ensure post-partum care of mother. In the case of home delivery, a total of 7 home visits will be required as ASHA should be present at the birth or visit the mother and baby as soon as possible within the first 24 hours and on subsequent specified days. (Source: The Hindu, Jun 22, 2011)

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

(Dr Monica and Brahm Vasudev)

Your pillow is the breeding ground for pests, diseases

You may never want to use them after reading this: Your pillow is the perfect breeding ground for gruesome array of pests and diseases, scientists say. According to a study by The Barts and The London NHS Trust, up to a third of the weight of your pillow could be made up of bugs, dead skin, dust mites and their faeces. And the condition of pillows in hospitals is even worse as they are the ideal breeding grounds for undesirables ranging from the superbugs MRSA and C.diff to flu, chicken pox and even leprosy, the scientists said. But the problem of bugs in pillows is not confined to hospitals, said study author Dr Arthur Tucker, a clinical scientist at St Barts and the London Hospitals. “While some of the bugs will only be found lurking in hospitals or in tropical climes, others will be making themselves at home in the comfort of your bed,” he said. (Source: Indian Express, Jun 23 2011)

Group expands on possible cell phone cancer link

For the second time in less than a month, an international cancer research group has aired its concerns about the cancer-causing potential of radiofrequency electromagnetic fields (RF-EMF) emitted by cell phones and other devices. The International Agency for Research on Cancer (IARC) affirmed its classification of RF-EMF as "possibly carcinogenic to humans," following the recommendations of a panel convened in May to assess available information on RF-EMF and cancer. In a summary published online in The Lancet Oncology, the IARC singled out cell phones for particular attention, as the World Health Organization did last month following the IARC panel's week-long meeting in Lyon, France. (Source: Medpage Today)

IUDs safe, should be used more, ACOG suggests

Intrauterine devices (IUDs) are a safe means of contraception for almost all healthy women and teens, including those who have never given birth, according to a new practice bulletin from the American College of Obstetricians and Gynecologists (ACOG). (Source: Medpage Today)

FDA Update

FDA approves generic levofloxacin

The FDA has approved the first generic versions of the antibiotic levofloxacin (Levaquin) for patients 18 and older. The drug is indicated to treat mild, moderate, or severe bacterial infections of the skin, sinus, kidney, bladder, and prostate caused by certain germs. It is also used to treat people exposed to inhalational anthrax and some bacterial infections that cause bronchitis and pneumonia.

 
  Fitness Update

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

Virtual gym leads to weight loss

Health clubs might have a new and unconventional rival to fear: virtual gyms. Indiana University researchers recently conducted a study and found that participants who watched virtual versions of themselves working out lost just as much weight during a 12-week period as those who worked out in an actual gym.

Participants spent at least four hours per week in a real or virtual gym and learned about nutrition, physical activity, changing habits and how to benefit from social support. Members of both groups lost an average of 10 pounds and had similar decreases in body fat. Those exercising virtually could watch their likenesses work out with the help of a trainer, using a weight loss program called Club One Island on Second Life, an interactive 3D virtual reality site that allows users to create avatars.“It's counterintuitive, the idea of being more active in a virtual world, but the activities that they do in a virtual world can carry over into the real world,” says assistant professor Jeanne Johnston, who led the study. Although the weight-loss results were the same, the study found an interesting difference between the two groups. Members of the group that exercised virtually reported positive changes in behaviors such as healthy eating and physical activity, whereas the participants who worked out in a real gym reported no changes. “The virtual world program was at least as beneficial as the face-to-face program and in some ways, more effective,” Johnston says. “It has the potential to reach people who normally wouldn't go to a gym or join a program because of limitations, such as time or discomfort with a fitness center environment.”

“It takes away that barrier of ‘a club isn't right for me,’” says Celeste DeVaneaux, CEO of Club One Island. Many members of the virtual club have found that they enjoy moving again and work out in real life while their avatars exercise on the computer, she adds. Initially, some traditional health club operators had concerns that the site would take away business, but the opposite seems to be happening. DeVaneaux says she has heard of many members joining fitness facilities after using the program because they feel more comfortable working out after watching their avatars do it. “I think it will drive more members to traditional health clubs than it will ever take away,” she says.

 
  Twitter of the Day

@DrKKAggarwal: zSHARE - Dr K K Aggarwal in Aradhana Zee UP Ashad Month Part 1. http://www.zshare.net/audio/91811543927a333f/

@DeepakChopra: Be sure you aren't influenced too much by stress, emotion, or the heat of the moment. Be above the drama of the situation.

 
    Spiritual Update

Science behind Hanuman Chalisa

The energized software in a person called soul can be equated to the data in three hard discs - Brahma, Vishnu, Mahesh with respective data of creativity, doer and winding up. The spirit, Brahma or the God in the atmosphere can be equated to a super internet portal - www.GOD.com. The same in the form of soul in a person can be equated to www.god.com.

 
    An Inspirational Story

(Dr Anupam Sethi Malhotra)

Giving blood

Many years ago, when I worked as a transfusion volunteer at Stanford Hospital, I got to know a little girl named Liza who was suffering from a disease and needed blood from her five-year-old brother, who had miraculously survived the same disease and had developed the antibodies needed to combat the illness. The doctor explained the situation to her little brother, and asked the boy if he would be willing to give his blood to his sister. I saw him hesitate for only a moment before taking a deep breath and saying, "Yes, I'll do it if it will save Liza."

As the transfusion progressed, he lay in bed next to his sister and smiled, as we all did, seeing the color returning to her cheeks. Then his face grew pale and his smile faded. He looked up at the doctor and asked with a trembling voice, "Will I start to die right away?"

Being young, the boy had misunderstood the doctor; he thought he was going to have to give her all his blood.

Lesson: True brotherly love exists.

 
    Gyne Update

(Dr Maninder Ahuja, Secretary General IMS)

What is VIA?

Cervical cancer, the second most commonly diagnosed cancer among women worldwide, can be a preventable disease. Although Pap smear remains the most common screening test for cervical cancer, many less developed countries do not have adequate resources to implement cytology-based prevention programs. An alternative, low-cost test, visual inspection using acetic acid (VIA), has emerged for use in low-resource settings where it can be performed by auxiliary health professionals. VIA is similar to colposcopy in that acetic acid is applied and any acetowhite lesion is visualized, although with VIA there is no magnification.

3-5% acetic acid is applied to cervix with cotton swab or sprayed with syringe and wait for 1 minute and then observe with naked eye for any white lesion. If there is any positive finding then either a targeted biopsy or colposcopy can be done depending on the facilities available or if done by ANM can be referred for follow up to a higher centre.

 
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    Rabies Update

(Dr AK Gupta, Author of "RABIES – the worst death")

Name the rabies-free countries in the world.

There are about 59 countries that do not report rabies.

Few countries are free of rabies as a result of their privileged geographical situation and the strict application of stringent legislation. Such countries include Australia, New Zealand, Japan, Hong Kong, Singapore, Great Britain, Antarctica, Malaysia, Guyana, Jamaica, Uruguay, Bahrain, Qatar, Scandinavia, Spain, Portugal, Fiji, and Papua New Guinea.

In India, the islands of Andaman and Nicobar and Lakshadweep are free of rabies. The islands of Lakshadweep are also free from dogs (WHO-APCRI, 2004).

Can rabies be transmitted to doctor/assistants conducting postmortem of a person who died of rabies?

Rabies cannot be transmitted to doctors/assistants conducting postmortem of a person who died of rabies. This is because the virus is dead in a dead person within about 20-30 minutes in tropical conditions.

 
    Infertility Update

Dr. Kaberi Banerjee, Director Precious Baby Foundation

How long should a woman continue to try fertility treatments before choosing another option?

This is a personal decision based on each couple’s needs and resources. Drs. Yakov Epstein and Helane Rosenberg offer some excellent advice on making this decision in their book, "Getting Pregnant When You Thought You Couldn’t." They introduce an exercise called "moving the line." At each phase of treatment, you draw a hypothetical line about how far you’ll go, and then focus on treatment to that point. But you give yourself permission to move the line should it be appropriate. This enables couples to focus on where they are right now without worrying about next steps that may never need to be taken.

 
  Did You Know

(Dr Uday Kakroo)

Your tongue is the only muscle in your body that is attached at only one end.

 
  Legal Question of the Day

(Dr MC Gupta, Advocate)

Can a hospital withhold a test report because of unpaid bill?

The question is a bit vague. I will try to analyse and answer it. I can think of only three instances where a hospital having its own laboratory gives out lab reports in respect of:

  • Its own patients under treatment: Withholding of test reports can be construed as deficiency in treatment of a patient under the care of the hospital. Hence the hospital should not withhold report.
  • Persons who are not the patients of the hospital but get the tests done under a health check-up scheme offered to public in general: Withholding the test report may not be construed as deficiency in treatment of a patient under the care of the hospital. However, if the report is grossly abnormal or indicative of the need for urgent danger or treatment, it is better for the hospital to disclose the report. Non-disclosure may be actionable under various legal provisions, including the CPA because, after all, the person is a consumer.
  • Persons who are not the patients of the hospital but whose samples are collected by some other doctor/hospital against payment received directly and in their own name by the doctor/hospital concerned, but the samples are later sent to the testing hospital by the collecting doctor/hospital under terms of payment settled between the sender and the tester: The testing hospital owes no responsibility/liability to the patient concerned.
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    IJCP Special

Dr Good Dr Bad

Situation: A diabetic patient was diagnosed with sarcopenia.
Dr.Bad: It is related to diabetes.
Dr. Good: It is not related to diabetes.
Lesson: In the Korean Sarcopenic Obesity Study, type 2 diabetes was associated with increased risk of sarcopenia. These characteristics may contribute to physical disability and metabolic disorders in older adults with diabetes. (Diabetes Care 2010 Jul;33(7):1497-9)

Make Sure

Situation: A patient who had multiple blunt traumas on his abdomen is admitted for management. Reaction: Oh my God! Why did you not do a peritoneal lavage?
Lesson: Make sure to perform a peritoneal lavage in patients of multiple blunt traumas to exclude peritoneal hemorrhage from ruptured abdominal organs as the peritoneal reaction is often mild and a thorough clinical examination is not possible.

 
  SMS of the Day

(Dr GM Singh)

If you wish success in life, make perseverance your bosom friend, experience your wise counselor, caution your elder brother and hope your guardian genius. Joseph Addison

 
  GP Pearls

(Dr Pawan Gupta)

75 to 100 mg per day aspirin for long term use lowers mortality from several cancers other than colorectal cancers. (Lancet 2011:377:3-4)

 
    Medicolegal Update

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

The Transplantation of the Human Organs Act

Authority for removal of human organs in cases of unclaimed bodies in hospital or prison

  • As per the Act, in the case of a dead body lying in a hospital or prison and not claimed by any of the near relatives of the deceased person within 48 hours from the time of death of the concerned person, the authority for removal of human organs from the dead body may be given, in the prescribed form, by the person In charge, for the time being, of the management of the hospital or prison, or by an employee of such hospital or prison authorized in this behalf by the person in charge of the management or control thereof.
  • No authority shall be given under sub-s (1) of the act if the person empowered to give such authority has reason to believe that any near relative of the deceased person is likely to claim the dead body even though such near relative has not come forward to claim the body of the deceased person within the time specified under sub-s(1)
 
  Vitamins – Open Secrets revealed

(Dr Jitendra Ingole, MD Internal Medicine)

How much vitamin B12 to be given ? Oral or injectable ?

There are many forms of B12 (Cobalamin) available as commercial preparations. They include Cyancobalamin, Methylcobalamin) Which form is better? Now, this is something interesting to know because, many a times we do not actively seek to look into which form of cobalamin a given Vitamin Tablet contains.

Only two forms are active in the body, methylcobalamin and adenosylcobalamin. Cyanocobalamin must be converted in the body to either methyl or adenosyl cobalamin by the enzymatic removal of a cyanide molecule. (The amount of cyanide produced during this process is very small but still could be problematic which may cause nausea / bloating sensation); whereas the body can immediately use supplements of methylcobalamin. Thus, it is evident that if available, preparations containing methylcobalamin would be preferable. (Ref. Tsao CS and Myashita K. Pathobiology 1993;61(2):104-8)

 
  Lab Update

(Dr Arpan Gandhi and Dr Navin Dang)

Electrolyte Panel (Na, K, Cl, CO2)

An electrolyte panel is a blood test that measures the blood levels of electrolytes (sodium, potassium, chloride) and carbon dioxide in your blood.

Electrolytes are minerals, such as sodium and potassium that are found in the body. They keep your body's fluids in balance and help keep your body working normally, including your heart rhythm, muscle contraction, and brain function.

 
    Mind Teaser

Read this…………………

Dry mouth during antidepressant therapy is caused by blockade of:

1. Muscarinic acetylcholine receptors
2. Serotonergic receptors
3. Dopaminergic receptors
4. GABA receptors

Yesterday’s Mind Teaser: ENDSSDNE

Answer for Yesterday’s Mind Teaser: Making ends meet

Correct answers received from: Dr Jainendra Upadhyay, Dr Sudipto Samaddar, Dr Rakesh Bhasin,
Dr Pramod M Kulkarni, Dr Manoj Swaminathan, Dr Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, Doraisami Sundaram, Dr K Raju, Anil Bairaria, Dr Sumit Mehndiratta.

Answer for 23rd June Mind Teaser: Sideburns
Correct answers received from:Dr Pranab Dey, Dr B B Aggarwal.

Send your answer to ijcp12@gmail.com

 
    Medi Finance Update

(Dr. GM Singh)

Industry specific funds provide an opportunity to capitalize on the strength of a particular sector of the economy. Investing a significant portion of your portfolio in one industry can be risky, especially if that industry falls on hard times. However, the upside can be equally as good if the industry performs well. (We have seen this in the technology sector.)

 
    Laugh a While

(Dr. GM Singh)

Annoying Parrot

A lady was walking down the street to work and she saw a parrot on a perch in front of a pet store. The parrot said to her, "Hey lady, you are really ugly."

Well, the lady is furious! She stormed past the store to her work. On the way home she saw the same parrot and it said to her, "Hey lady, you are really ugly." She was incredibly ticked now. The next day the same parrot again said to her, "Hey lady, you are really ugly." The lady was so ticked that she went into the store and said that she would sue the store and kill the bird. The store manager replied, "That's not good," and promised he wouldn't say it again.

When the lady walked past the store that day after work the parrot called to her, "Hey lady." She paused and said, "Yes?"

The bird said, "You know."

 
    Drug Update

List of Approved Drug From 01.01.2010 TO 31.8.2010

Drug Name

Indication

DCI Approval Date

Pazopanib (as Hydrochloride) film coated Tablets 200mg / 400mg

For the treatment of patients with advanced renal cell carcinoma.

16.10.10

 
    IMSA Update

International Medical Science Academy (IMSA) Update

BP control in type 2 diabetes

The randomized ACCORD BP trial compared systolic blood pressure targets of <120 or <140 in patients with type 2 diabetes at high risk for cardiovascular events. There was no significant difference in the primary composite cardiovascular endpoint, but there were more adverse events with the lower BP goal.

 
    Public Forum

(Press Release for use by the newspapers)

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

Doctors’ Day Special

Strengthen your Heart

Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal, President, Heart Care Foundation of India of India advised people to take care of their heart. He gave few tips to do so.

  1. Follow Dr. KK Aggarwal’s ‘Formula of 80’ i.e. keep your pulse rate, lower blood pressure, fasting sugar, abdominal circumference and bad cholesterol levels all below 80. To achieve these, walk 80 minutes a day with a speed of 80 steps per minute; eat less – not more than 80 gm or 80 ml of caloric food; do 80 cycles of pranayams in a day, avoid alcohol and if one does drink, do not consume more than 80 ml in a day.
  2. After the age of 30, get an annual medical checkup done with exercise treadmill test every three years.
  3. Eat in moderation and take a variety of food consisting of seven colours and six tastes.
  4. Avoid using trans fats. Trans fats increase bad cholesterol and reduce good cholesterol. Hydrogenated oil is an example of trans fat.
  5. Avoid three ‘whites’ in your diet - white maida (refined flour0, white sugar and white rice - or consume only in minimum amounts. They are known to cause abdominal obesity, which is a risk factor for heart diseases.
  6. Do not smoke or consume tobacco in any form as it increases the chances of heart attack, paralysis and erectile dysfunction.
  7. Do not ignore any symptom, which is unusual, unexplained and is detected for the very first time.
  8. Do not ignore any chest pain, burning or discomfort in the centre of the chest which is diffuse in nature and lasts for more than 30 seconds.
  9. If a heart attack is suspected, then one should chew 300 mg of water-soluble aspirin and immediately rush to the nearest heart hospital.
  10. All heart patients should remember that sudden cardiac death is reversible in the first 10 minutes. For this, remember Dr. KK Aggarwal’s 'Formula of 10' i.e. within 10 minutes of death, for the next 10 minutes, one should compress the chest with a speed of 10 x 10 = 100 per minute. This can revive more than 75% of the patients.
  11. Heart patients too can lead a normal physical, mental and sexual life.
  12. Presence of heart blockages in the heart does not mean that a person requires angioplasty or surgery. The indication for them is failure of adequate medical treatment to provide the wanted risk-free quality of life.
  13. Following traditional Indian customs and rituals can help reduce chances of heart attack. The weekly fast of not consuming cereals can be adopted by all of us to reduce risk of metabolic syndrome, which develops due to insulin resistance because of eating a carbohydrate-rich diet, especially one that contains refined carbohydrates, on a daily basis.
 
    Readers Response
  1. Dear Dr. MC Gupta, Congratulation for your article on registration of Punjab Medical Council. In Australia as per rule every health provider must renew registration every year with evidence of CME training..they also review if there has been any mistake, unethical practice, or any complaint by patients. Hence doctors are conscious of their duty. In India also medical council should make compulsory re registration every year or two after taking examination. This will improve skill of doctors of our country. Govt should be strict about Ayurveda, Homeopathy, Naturopathy, bone setters, compounders and such practising Allopathy. I will be pleased and inspired by your valuable comments. Dr. Taiyab H. Saherwala.
 
    Forthcoming Events

National Conference on "Insight on Medico Legal Issues"
Date: Sunday, 10th July, 2011
Venue: Auditorium, Chinmaya Mission, 89, Lodhi Road, New Delhi–110003

eMedinewS and Heart Care Foundation of India are jointly organizing the first-ever National Conference on "Insight on Medico Legal Issues" to commemorate "Doctors’ Day".
The one–day conference will provide total insight into all the medicolegal and ethical issues concerning the practicing doctors. Both medical and legal experts will interact with the delegates on important issues.
You are requested to kindly register in advance as seats are limited. There will be no registration fee. You can register by sending your request at rekhapapola@gmail.com or at 9899974439.

For Programme
Details <Click here>

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September 30th to October 2nd, 2011, Worldcon 2011 – XVI World Congress of Cardiology, Echocardiography & Allied Imaging Techniques at The Leela Kempinski, Gurgaon (Delhi NCR), India

from Sept 29, 2011: A unique & highly educative Pre–Conference CME, International & national icons in the field of cardiology & echocardiography will form the teaching faculty.
• Provisional Scientific Program at http://worldcon2011.org/day1.html
• Provisional program for Pre Congress CME at http://worldcon2011.org/Pre_Conference_CME.html
• Abstract submission at http://worldcon2011.org/scientificprogram.html
• Important dates at http://worldcon2011.org/importantDates.html
• Congress website at http://www.worldcon2011.org
• Entertainment – Kingdom of Dreams at http://worldcon2011.org/Pre_Post_Tours.html

Key Contacts
Dr. (Col.) Satish Parashar, President Organizing Committee, + 91 9810146231
Dr. Rakesh Gupta, Secretary General, + 91 9811013246

Congress Secretariat: Rajat Khurana, C–1 / 16, Ashok Vihar – Phase II, Delhi 110 052, INDIA., Phone: + 91–11–2741–9505, Fax: + 91–11–2741–5646, Mobile: + 91 9560188488, 9811911800,
Email: worldcon2011@gmail.com, jrop2001@yahoo.com, worldcon2011@in.kuoni.com

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Medifilmfest (1st International Health Film Festival in Delhi)

October 14–23, 2011, As part of 18th MTNL Perfect Health Mela 2011(Screening of films October 14–17, Jury Screening at Jamia Hamdarad University Auditorium October 18–19, award winning films at TalKatora Stadium October 19–23, 2011)
Organized by: Heart Care Foundation of India, World Fellowships of Religions, FACES, Bahudha Utkarsh Foundation and Dept of Health and Family Welfare Govt of NCT of Delhi.
Entries Invited: from feature films, Ad Films, Serials, Documentary Films, Cartoon Films, Animation Films, Educational films; films on Yoga, Siddha, Ayurveda, Unani, Homeopathy; Indigenous Healing, Films promoting the Bio–cultural Diversity, Medical Tourism, Visual and Medical Anthropology, Gender sensitization, awareness drive on socio–medical issues and health journalism. The films can be of variable durations (0–1 minute, upto 3 minutes, upto ten minutes, upto 45 minutes and upto an hour and beyond).
Separate entries are also invited for "factual mistakes in feature films concerning health". This can be in the form of 1–5 minutes footages.

Categories:Competitive category/ Non Competitive category/ Special screening
Sub Categories:

1. General: Documentaries, animation films, corporate films, Ad films, TV health programs/reports, health chat shows.

2. Special: Short instances of "depiction of wrong health messages" through the films.

Subjects: Health, disease, sanitation, yoga, spiritual health, environment, social issues, food, better living, Indigenous healing, medical tourism, visual & medical anthropology, gender sensitization, health journalism. Duration: 0–10 seconds; <30 minutes, 30–60 minutes, 1–3 hours. Language: English or Hindi, or sub tilled in English/Hindi. Fee: No fees from participants. Entry to the film show free. Format: Any format duly converted into DVD (compatible to the latest players/systems) Boarding, Lodging and Travel Expenses: Own, the participants may raise their own sponsorships

For details contact: Dr KK Aggarwal/Dr Kailash Kumar Mishra/Mr M Malik at
medifilmfestinhealthmela@gmail.com

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