30th December 2014, Tuesday
Padma Shri, Dr B C Roy National Awardee and National Science Communication Awardee. Limca Book of Record Holder (CPR). Gold Medalist
Dr KK Aggarwal
President, Heart Care Foundation of India; Senior Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, Senior National Vice President, Indian Medical Association; Member Ethics Committee Medical Council of India, Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Limca Book of Record Holder in CPR, Chairman (Delhi Chapter) International Medical Sciences Academy (March 10–13); Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04);
For updates follow at : www.twitter.com/DrKKAggarwal, www.facebook.com/Dr KKAggarwal
The New IMA Year Starts
1st day was a different experience. Get stuck up at airport. The flight which was to take off at 7 PM took off at 10:45 PM. Reached Delhi at 12 Midnight and was redirected back to Ahmedabad.
At 3 AM we landed in a Hotel and reboarded the flight at 9 AM to reach IMA office.
The airline staff could not handle the crisis very well. And that was the learning of the day.
Today at IMA we finalized the concept of age friendly clinics and will come out with accreditation policy in three months.
Long Live IMA!!!
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National News Hospitals, nursing homes get new code of ethics Sushmi Dey, TNN | Dec 29, 2014, 04.44 AM IST IMA NEWS The Gujarat high court on Wednesday imposed a fine of Rs 10,000 each on two petitioners for filing frivolous PILs opposing former Medical Council of India (MCI) chief Ketan Desai 's election to the Gujarat University senate. Dismissing the PILs, a bench headed by the chief justice observed that the petitions lacked merit and the petitioners could not show what public interest was involved in the election or appointment of an alleged corrupt person to the university body. The court also observed that an alternate remedy was available to the petitioner, who could have filed an appropriate petition in the court instead of a PIL. The court pulled up an NRI, Dr Kunal Saha, the president of People for Better Treatment, for filing the PIL in India, while he resides in the US. The court said it was unclear as to how the petitioner was concerned about public interest of Indians when he himself is settled in Ohio. Saha has been asked to pay the amount of penalty to Indian Red Cross Society. Earlier, the court had said that if the petition was dismissed then the fine would be in dollars. In the beginning, court was inclined to do so, but at the request of the lawyer, the division bench imposed the fine in Indian rupees. After the dismissal of PIL, Saha stated, "The Gujarat HC dismissed our PIL without even looking into the petition or giving any opportunity to my counsel to argue the case." Another petitioner, a former GU senate member, Raghuveer Ghadia, was also asked to pay a fine of Rs 10,000 for filing a similar petition, because he too could not explain what was the public interest in opposing Desai's entry into GU's senate. IMA to launch age friendly clinic concept: Dr. Bhaskar Mandal from Perth Hospital, Australia will be an International Advisor. The IMA will come out with document within 3 months which will cover all the giant of Geriatric medicine. This will cover prevention of falls, elderly nutrition, control of incontinence etc. IMA to focus on end of life care: IMA will come out with a White paper on all the issues related to end of life care including DNR, advanced directive, Will, dying gracefully etc. Udyog Development Foundation from Orissa to join hands with IMA: Udyog Development Foundation of Pharmacists of India will join hands with IMA in providing medicines during any national calamity. Code of Ethics for health care providers released by IMA: In Association with Association of health care Providers of India has come out with declaration to be displayed at the reception of all Hospitals recognized by IMA and AHPI. The Code was passed by Central Council of IMA Code of Ethics for Healthcare Providers
IMA will sign an agreement with GAPIO in the forthcoming 5th Annual Conference of GAPIO to be held on 10th & 11th January in Chandigarh. Under the MoU both the Organizations will work for the benefit of the community. The National President of IMA, Dr. A.Marthanda Pillai and Hony. Secretary General, IMA will be present on the occasion. GAPIO is a brain child of Padma Vibhushan Awardee of Dr. Prathap C. Reddy. MEDICAL COUNCIL OF INDIA
Subject:- Recognised qualifications as incorporated in the appended Schedule to the I.M.C. Act,1956 and Schedule in the P.G. Medical Regulations, 2000 – Regarding. News around the Globe
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  Health Check Up and CPR 10 Camp at G B S S School, No-2, Ambedkar Nagar on 19th December 2014 
 Five Things Physicians and Patients should question Sameer Malik Heart Care Foundation Fund The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number +91 9958771177 or by filling the online form. Madan Singh, SM Heart Care Foundation Fund, Post CAG Kishan, SM Heart Care Foundation Fund, Post CHD Repair Deepak, SM Heart Care Foundation Fund, CHD TOF Total CPR since 1st November 2012 – 101090 trained CPR 10 Success Stories Ms Geetanjali, SD Public School CPR 10 Videos
IJCP Book of Medical Records IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records. If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us on :
Make Sure Situation: A patient on dialysis and on oral antacid developed aluminum toxicity. eMedinewS Humor Chess Playing Dog Twitter of the Day Dr KK Aggarwal: Diabetes is a progressive disease http://Blogz.org/A/886105 |
Dr KK Spiritual Blog
What is the difference between a smile, hug and laughter?
Smile is a sign of joy while hug is a sign of love. Laughter on the other hand is a sign of inner happiness. None is at the level of mind or intellect. All come from within the heart.
They are only the gradations of your expressions of your happiness. It is said you are incomplete in your dress if you are not wearing smile on your face.
Hug comes next and laughter the last. Laughter is like an internal jogging and has benefits like that of doing meditation.
But be careful we must know when not to laugh. The most difficult is to laugh at our own self.
Uniform Code for Pharmaceuticals Marketing Practices (UCPMP)
PENALTY PROVISIONS
Once it is established that a breach of code has been made by a company, the committee can propose one of the following decisions against the alleged company to the Head of the Association for action:
- To suspend or expel the company from the Association.
- To reprimand the company and publish details of that reprimand.
- To require the company to issue a corrective statement in the media (covering all media) which was used to issue promotional material textual & audio visual; details of the proposed content and mode and timing of dissemination of the corrective statement must be provided by the company to the committee for approval.
- To ask the company to recover items from the concerned persons, given in violation of the code as stipulated in clauses 6 and 7; details of the action taken must be provided by the company in writing to the Committee.
Review of Decisions of the Complaints:
- If a party to the complaint is dissatisfied with the decision of ECPMP, it may request for review of the decision from AECPMP. Any party requesting a review of a decision of ECPMP shall notify the same to the Head of the Association.
- The complainant or the respondent company may file a review application for review against a ruling of ECPMP and the ruling of the review committee (AECPMP) shall be final.
- A review by the complainant must be notified within five working days of the notification of the ruling of ECPMP and the review should be lodged within ten working days of notification of the ruling of ECPMP.
- Where the respondent company appeals for review, it must give notice of appeal within five working days of notification of the ruling of ECPMP and must lodge the review within ten working days of notification of the ruling of ECPMP.
- Where review is asked by the complainant, the respondent company shall give comments on the reasons given by the complainant for the review within ten working days and these comments will be circulated to the members of the review committee(AECPMP) and the complainant.
- Where review is asked by the respondent company, the complainant shall give comment on the reasons given by the respondent company for the review within ten working days and these comments will be circulated to the respondent company and to the members of the review committee (AECPMP).
- If AECPMP decides that there is a breach of code, the respondent company will provide a written undertaking within five working days that the promotional activity or use of the material in question and any similar material (if not already discontinued or no longer in use) will cease forthwith and that all possible steps will be taken to avoid a similar breach of the Code in the future. If the decision of the committee is about the recovery of items given in violation of the code, the company will inform the action taken in this regard within fifteen (15) working days. This undertaking must be signed by the managing director or chief executive or equivalent of the company or with his authority and must be accompanied by details of the actions taken by the company to implement the undertaking, including the date on which the promotional material was finally used or appeared and/or the last date on which the promotional activity took place.
- The final decision of AECPMP and the corrective statements/actions taken by the concerned company shall be uploaded on the website of the Association.
Finally, the Managing Director/CEO of the company is ultimately responsible for ensuring the adherence to the code and a self declaration, in the format given in annexure shall be submitted by the executive head of the company within two months of date of issue of UCPMP and thereafter within two months of end of every financial year to the Association for uploading the same on the website of the Association. The same must be uploaded on the website of the company also.
Annexure
A. Self-Declaration by Executive Head of the company regarding compliance to the Uniform Code For Pharmaceuticals Marketing Practices, to be made within two months of issue of the code
"This is to declare that ... .... .. ... .(name of the company), Headquarters at
. .... . .... .... .... , will comply with the provisions laid down in the Uniform Code for Pharmaceuticals Marketing Practices."
Name and Designation
Seal of the company
B. Self-Declaration by Executive Head of the company regarding compliance to the Uniform Code For Pharmaceuticals Marketing Practices, to be made within two months of end of every financial year:
'This is to declare that ..... .. . . . . . .(name of the company), Headquarters at
..... ... . .... .. . .. , has complied with the provisions laid down in the Uniform Code for Pharmaceuticals Marketing Practices. This declaration is for the financial year... ..... . "
Name and Designation
Seal of the company
Inspirational Story
Believe in Yourself
Believe in yourself and you can achieve, things you never thought possible, Believe in yourself and you can discover talents new, that lie away hidden
Believe in yourself and you can reach, new heights that you thought unscalable, Believe in yourself and you can solve, problems that defy any solution
Believe in yourself and you can conquer, any situation, however difficult, Believe in yourself and you can make, the most complicated things seem simple
Believe in yourself and you can learn, the skills of gaining knowledge from experience, Believe in yourself and you can enjoy, the beauty in nature's abundance
Believe in yourself and you can perceive, new depths your senses can apprehend, Believe in yourself and you can perform way beyond your expectations
Believe in your goal and work towards it with determination and dedication, Believe in yourself and output enhance by contributing to a given situation
Believe in yourself and you'll feel blessed, as God's very own special creation.
Rabies News (Dr A K Gupta)
If a person is on antimalarials or steroids or taking immunosuppressant drug, what is the schedule for rabies vaccine?
The vaccine on Day 0 (first injection) must be doubled and given at two sites (deltoids or thigh in young children). In category II exposures, it is recommended to administer even RIGs along with vaccine. Rest of the schedule is same as for any other patient.
Cardiology eMedinewS
- Evaluating how nitrite can improve conditions such as hypertension, heart attack and stroke, researchers have suggested that deoxygenated hemoglobin is indeed responsible for triggering the conversion of nitrite to nitric oxide, a process that affects blood flow and clotting. The research is published in a paper online ahead of print in the February issue of the Journal of Biological Chemistry.
- Rare mutations in a gene called APOA5 increase a person's risk of having a heart attack early in life and also raise the levels of triglyceride-rich lipoproteins, suggests a new research published in the journal Nature.
Pediatrics eMedinewS
- Children born prematurely show differences in a subtle but important aspect of memory - the ability to form and retrieve memories about context, such as what, when, and where something happened, suggests a new study published in the journal Child Development. The study reported that the hippocampus region of the brain is also smaller in children born prematurely.
- A new longitudinal study has found that behavioral inhibition that persists across early childhood is associated with social anxiety in adolescence, but only among youth who were insecurely attached to their parents as infants. The study is published in Child Development.
Quote of the Day
Health is the greatest gift, contentment the greatest wealth, faithfulness the best relationship. Buddha
Wellness Blog
Impact of exercise on the Knee
Different exercises produce different impacts on the knee joints. The best and safest exercises causing minimum impact on the knee for patients’ post knee replacement or knee arthritis are walking, biking, hiking, riding an exercise bike, riding an elliptical trainer and walking on the treadmill. In sports, one can play doubles tennis and not singles. One can also participate in downhill or cross-country skiing. The maximum stress-producing exercises are jogging and golf swings.
Impact
- Biking generates the least force, producing impact of about 1.3 times the person's body weight.
- Treadmill walking was next best, producing forces of 2.05 times the body weight.
- Walking on level ground generated forces of 2.6 times the body weight.
- A game of tennis produces forces of 3.1 to 3.8 times the body weight; serving produces the highest impact.
- Jogging produced forces of 4.3 times body weight.
- Golf swings produces forces of 4.5 times body weight on the forward knee and 3.2 times body weight in the opposite knee.
ePress Release
Laboratory testing in swine flu
Not all individuals suspected to have H1N1 influenza A, or swine flu, need to have the diagnosis confirmed, particularly if the illness is mild, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Honorary Secretary General Indian Medical Association.
The recommended test for suspected cases is real-time reverse transcriptase (RT)-PCR for influenza A, B, H1 and H3, which is generally performed at a state health department laboratory.
To establish the diagnosis of pandemic H1N1 influenza A, an upper respiratory sample (nasopharyngeal swab, nasal swab, throat swab, combined oropharyngeal/nasopharyngeal swab, or nasal aspirate) should be collected.
Who should be tested?
Individuals with an acute febrile respiratory illness (temperature 100ºF or higher and recent onset of at least one of the following: rhinorrhea or runny nose, nasal congestion, sore throat, or cough) or sepsis-like syndrome should be tested for H1N1 influenza A. Those who require hospitalization or those who are at high risk for severe complications should be tested on priority.
Specimens to be collected: To establish the diagnosis of pandemic H1N1 influenza A, an upper respiratory sample (nasopharyngeal swab, nasal swab, throat swab, combined oropharyngeal/nasopharyngeal swab, or nasal aspirate) should be collected. In intubated patients, an endotracheal aspirate should also be obtained.
Swabs with a synthetic tip (e.g., polyester or Dacron) and an aluminum or plastic shaft should be used. Swabs with cotton tips and wooden shafts are not recommended. Swabs made of calcium alginate are not acceptable. The collection vial in which the swab is placed should contain 1 to 3 mL of viral transport media. Specimens should be placed in viral transport media and placed on ice (4ºC) or refrigerated immediately for transportation to the laboratory. Once the samples arrive in the laboratory, they should be stored either in a refrigerator at 4ºC or in a -70ºC freezer. If a -70ºC freezer is not available, they should be kept refrigerated, preferably for =1 week. Specimens should be shipped on dry ice to the state public health laboratory.
Recommended tests
The recommended test to confirm the diagnosis of H1N1 influenza A virus is real-time reverse transcriptase (RT)-PCR for influenza A, B, H1, and H3. The rapid influenza antigen tests may also be used to evaluate patients suspected of having H1N1 influenza A. However, results should be interpreted with caution. Diagnosis of H1N1 influenza A infection can only be confirmed with the RT-PCR or culture.
Certain rapid influenza antigen tests that are commercially available can distinguish between influenza A and B viruses. Thus, a patient with only influenza B virus infection would not be suspected of having pandemic H1N1 influenza A virus infection. In contrast, a patient with a positive rapid antigen test for influenza A may be considered a probable case if he or she meets the other criteria. A negative rapid influenza test does not exclude infection.
eMedi Quiz
Isotopic response is seen in scars of which of the following conditions?
a. Orolabial herpes
b. Herpes genitalis
c. Pyoderma gangrenosum
d. Eosinophilic pustular folliculitis
Yesterday’s Mind Teaser: Formation of antibody against acetyl choline receptor in pemphigus can be explained by
a. Desmoglein compensation theory
b. Antibody excess prozone phenomenon
c. Anti-idiotypic
d. Epitope spreading phenomenon
Answer for yesterday’s Mind Teaser: d. Epitope spreading phenomenon
Correct answers received from: Dr Jaydev, Dr Krishna, Dr Pankaj, Dr Kapil, Dr KP Sharma, Dr Trpti.
Answer for 27th December Mind Teaser: b. Medina-Ramirez reaction
Correct answers received from: Dr Krishna, Dr Surya.
Send your answer to 
Click on the image to enlarge
Click on the image to enlarge
Letter to Editor
Subject: Heartiest Congratulations for being elected as Hon. Secretary General of Indian Medical Association for the year 2014-16
Dear Dr K K Aggarwal
Heartiest Congratulations for being elected as Hony Secretary General of Indian Medical Association for the year 2014-16.
The success of big associations like IMA depends largely upon the vision and the mental strength of the Secretary General. He, in the real sense, is the chief executive officer who prepares the agenda of the organization and executes the decision of the Governing Body. I have at many forums raised the question of decline in the dignity of the medical profession, which is being projected as the most corrupt profession. We need to introspect to create clean image and project our Charitable Services and the nobility of our profession.
We need to highlight the achievements and the services rendered by the doctors individually and at the community level, for the prevention and eradication of fatal and morbid diseases and to manage the after math of riots and major accidents.
I would like that 2015 “Doctors Day” Celebrations be done at all-India Level as ‘centenary year’. Patients and public at large need to remember their doctors who have served them. Doctor’s Day observance should not remain restricted to a few programmes organised by the medical fraternity in auditorium and wish each other.
I am certain that under your leadership and during your tenure, IMA will fight out and achieve better status and dignity for the medical profession.
More thoughts in next mail!
Wishing you very successful years ahead
Prof. (Dr.) Madan Mohan
- Dear Dr KK Aggarwal, Vanakkam, Congratulations on your official take-over as our national Hon Secy General. Thanks for your sms saying that you are going to perform Rudrabhisheka with 11 Pundits and receive blessings by different religious gurus...Good beginning... Today’s edition of eMedinewS has good details of the new circular regarding Pharma promotions. Spiritual blog about sacrifices are thought provoking. Please keep up the good work. Happy New Year. Regards: Dr LVK Moorthy, PP IMA TNSB
- Dear Dr KK, congratulations once again on being elected as Hony. Secy General IMA Hq, we will definitely join on 28th as well on 30th. For reporting of communicable diseases, the best method is email, kindly get this process started. Kindly inform whether HIV positive has to be reported or not & to which agency. Dr V K Goyal
eMedinewS Special
1. IJCP’s ejournals (This may take a few minues to open)
- Indian Journal of Clinical Practice (June 2014)
- Indian Journal of Multidisciplinary Dentistry (Vol. 1, No. 3)
- Asian Journal of Diabetology (Vol. 16, No. 4)
- Asian Journal of Critical Care
- Asian Journal of Clinical Cardiology (February 2014)
- Asian Journal of Obs & Gyne (Vol. 3, July–September 2013)
- Asian Journal of Paediatric Practice (Vol. 16, No. 3)
- Asian Journal of Ear Nose and Throat
- IJCP’S Medinews
2. eMedinewS audio PPT (This may take a few minutes to download)
3. eMedinewS audio lectures (This may take a few minutes to open)