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 & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; National Vice President Elect Elect, Indian Medical Association; 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 to 7
DD Take Care Holistically Video 1 to 15 Chat with Dr KK On life Style Disorders
Health Update Video 1 to 15 Science and Spirituality
Obesity to Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

31st January 2013, Thursday

Do not talk loose or you can be booked under section 295A or 505 (2) of IPC

BJP MP Varun Gandhi had to spend four hours in judicial custody after his bail was rejected by the chief judicial magistrate, Pilibhit, in connection with a criminal case lodged against him, alleging him for making "hate speech" during the 2009 Lok Sabha elections. Later he was granted relief by an appeal in the district court. What are the IPC sections 295A and 505(2) under which he was booked? 1. 295A: Deliberate and malicious acts intended to outrage religious feelings of any class by insulting its religion or religious beliefs.-- Whoever, with deliberate and malicious intention of outraging the religious feelings of any class of 6 ( citizens of India), 7( by words, either spoken or written, or by signs or by visible representations or otherwise) insults or attempts to insult the religion or the religious beliefs of that class, shall be punished with imprisonment of either description for a term which may extend to 8( three years), or with fine, or with both.

  1. 295A: Deliberate and malicious acts intended to outrage religious feelings of any class by insulting its religion or religious beliefs.-- Whoever, with deliberate and malicious intention of outraging the religious feelings of any class of 6 (citizens of India), 7 (by words, either spoken or written, or by signs or by visible representations or otherwise) insults or attempts to insult the religion or the religious beliefs of that class, shall be punished with imprisonment of either description for a term which may extend to 8( three years), or with fine, or with both.
  2. Section 505(2) in The Indian Penal Code, 1860: Statements creating or promoting enmity, hatred or ill- will between classes.-- Whoever makes, publishes or circulates any statement or report containing rumour or alarming news with intent to create or promote, or which is likely to create or promote, on grounds of religion, race, place of birth, residence, language, caste or community or any other ground whatsoever, feelings of enmity, hatred or ill- will between different religious, racial, language or regional groups or castes or communities, shall be punished with imprisonment which may extend to three years, or with fine, or with both.

About the author: Dr K K Aggarwal is Padma Shri and Dr B C Roy National Awardee, President Heart Care Foundation of India and National Vice President Elect IMA (blog.kkaggarwal.com)

For More editorials…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

A double blind, randomized-controlled, multicentre trial concluded that PEG 3350 (0.26 (0.11) g/kg), compared with lactulose (0.66 (0.32) g/kg), provided a higher success rate with fewer side effects in children with functional constipation. PEG 3350 should be the laxative of first choice in childhood constipation (Voskuijl W, de Lorijn F, Verwijs W, et al. PEG 3350 (Transipeg) versus lactulose in the treatment of childhood functional constipation: a double blind, randomised, controlled, multicentre trial. Gut 2004;53(11):1590-4).

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

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

AHA - ACS update

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

T P J Foundation 23rd National Excellence Awards

The T P Jhunjhunwala Foundation conferred the XXIII National Excellence Awards in a well-attended ceremony in the capital on Jan 25, 2013. This year’s awards were given to Dr. HS Chhabra, Orthopedic and Spinal Surgeon; and Mrs. Shobha Deepak Singh, Director-Vice Chair of the Shriram Bharatiya Kala Kendra, Delhi. Dr. Harvinder Singh Chhabra is the Chief of Spine Services and Medical Director, Indian Spinal Injuries Centre, New Delhi. The award function was presided over by Dr. Abhishek Manu Singhvi, eminent Parliamentarian, while Shri TC Chaturvedi, former Governor Karnataka and Kerala, was the Chief Guest.

 
Dr K K Aggarwal
    National News

Invite: Hands-only CPR 10 Camp

Heart Care Foundation of India is organizing a Hands-only CPR 10 Camp today at Lady Reading Nursing Institute, Near Delhi Gate. Over 150 nurses will be trained on how to survive a person within ten minutes of death.

India may get 911-like agency

New Delhi: The Centre is examining a proposal by the Andhra Pradesh government which has recommended setting up a national emergency response agency like 911 in United States or 999 in the UK, where the police are bound by law to reach the citizen within minutes of the call. The proposal submitted to the union home ministry has driven the attention of many within the government who feel that such a move will not only help ensure ‘’accountability’’ but also instill a sense of safety and security among women and weaker sections of the society. The proposed central helpline should be backed up by the professional agencies, adequate funding and dedicated personnel for this work only, the state government has said. While such a project will require the consent from states, it will also require massive logistical support and state-of-the-art infrastructure. As MHA official conceded that a central helpline will immediately connect the missing dots in the present system where different services from lodging police complaints, medical aid, accidents, fire, reporting of harassment of women are disconnected. “In the existing system, there is scope left for the state to deflect responsibility,” the official said. (Source: Deccan Chronicle, 27th Jan 2013)

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

    Be Human Stop Child Abuse (Team IMA for CMAAO)

(http://behumanstopchildabuse.emedinews.in/)

Worldwide 15% of girls and 9% of boys are exposed to any form of sexual abuse during childhood.

 

 
    Valvular Heart Disease Update

Bicuspid valve function may be normal at birth but evolves with age.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

FDA panel votes for tighter controls on Vicodin

An FDA advisory committee voted 19 to 10 on Friday in favor of moving hydrocodone combination drugs such as Vicodin, Lortab, and Norco into the more restrictive schedule II category of controlled substances. (Source: Medpage Today)

FDA clears iPhone App for retinal images

An iPhone adapter with a companion app designed to make it easy to share high resolution images of the retinal nerve and fundus has received 510(k) clearance from the FDA. Welch Allyn's iExaminer Adapter connects an ophthalmoscope -- used to detect conditions like retinal detachment or glaucoma -- to an iPhone. The iExaminer app on the phone allows users to store the pictures to a patient file or email and print them, according to the company's website. (Source: Medpage Today)

Peginesatide rivals EPO as anemia treatment

Peginesatide taken once monthly was as safe and effective as epoetin taken 1 to 3 times per week in treating anemia suffered by patients with advanced chronic kidney disease who are undergoing hemodialysis, according to the findings of several open-label studies. (Source: Medscape)

'Napkin-ring sign' on CT identifies high-risk coronary lesions

Researchers are proposing a new way of classifying angiography findings on CT that they say may do a better job of distinguishing high-risk, unstable plaques from those that are less likely to pose acute problems. Dr Pál Maurovich-Horvat (Semmelweis University, Budapest, Hungary) and colleagues have identified a ringlike attenuation pattern of coronary atherosclerotic plaque, dubbed the "napkin-ring sign," that they say can identify advanced coronary lesions with a specificity of 99%. (Source: Medscape)

Metabolic syndrome in 40s linked to TV, exercise at age 16

Television viewing habits and leisure-time physical activity at the age of 16 years independently predicts the metabolic syndrome at age 43, according to the first prospective study to examine this. (Source: Medscape)

 
    Twitter of the Day

@DrKKAggarwal:Today's health question? A newborn declared dead but at cremation ground the newborn starting crying? What can (cont) http://tl.gd/ks994f

@Dr Deepak Chopra: How can I turn my mind off from thinking that I am getting TOO OLD for doing this or that? My ask deepak reply http://tinyurl.com/ajvbty6

 
    Spiritual Update

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

Bharat versus India

Dr. DPS Toor is a surgeon friend of mine who always says that he practices in ‘Bharat’ and not in ‘India’. He provides all surgeries @ Rs. 6,000/-.

His concept was appreciated by me and I also started dividing my society into ‘India’ and ‘Bharat’. For me, Indians are the ones who live a western lifestyle and the Bharatiya are the ones who follow the traditional Bharatiya lifestyle observing all customs and rituals.

For comments and archives

 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

Hirsutism: What are the types of hair in an adult?

Adults have two types of hair, vellus and terminal. Vellus hair is soft, fine, generally colorless, and usually short. Terminal hair is long, coarse, dark, and sometimes curly. In most women, vellus hair covers the face, chest, and back and gives the impression of "hairless" skin. In most men, terminal hair covers the face and body. Terminal hair grows on the scalp, pubic, and armpit areas in both men and women. A mixture of vellus and terminal hair covers the lower arms and legs in both men and women. If excessive hair growth is present only on your lower legs and forearms, it is not considered hirsutism and will not respond to hormonal therapy.

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

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

What’s life after liver transplantation?

Children who survive liver transplant will usually achieve a normal lifestyle despite the necessity for continuous monitoring of immunosuppressive drug levels. They attend normal school sports, activities etc. Most studies from large pediatric liver transplant centres show a patient survival of 90% at 1 yr and > 85% at 5-10 years. Usually there are no significant issues related to mortality after this. Patients usually lead a normal life. There are patients who have been operated as children / adolescents and have also produced children. Patients take part in sports, normal activities and there are examples of children who have climbed mountain peaks. Post liver transplant children have grown up into smart adults, married and produced children. However, regular follow up with doctor is a must to monitor the organ functions and side effects of immunosuppression.

For comments and archives

 
    An Inspirational Story

The horse that wanted more beauty

A cosmic god had a horse. The horse was beautiful and also it had many good qualities. But it wanted to be more perfect in every way. It especially wanted to become beauty unparalleled.

One day the horse said to the cosmic god, “O Lord, you have given me beauty. You have given me other good qualities. I am so grateful to you. But how I wish you could make me more beautiful. I would be extremely, extremely grateful if you could make me more beautiful.” The cosmic god said, “I am more than ready to make you more beautiful. Tell me in what way you want to be changed.”

The horse said, “It seems to me that I am not well proportioned. My neck is too short. If you can make my neck a little longer, my upper body will be infinitely more beautiful. And if you can make my legs much longer and thinner, then I will look infinitely more beautiful in my lower body.”

The cosmic god said, “Amen!” Then immediately he made a camel appear in place of the horse. The horse was so disheartened that it started to cry, “O Lord, I wanted to become more beautiful. In what way is this kind of outer form more beautiful?” The cosmic god said, “This is exactly what you asked for. You have become a camel.” The horse cried, “Oh no, I do not want to become a camel I wish to remain a horse. As a horse, everybody appreciated my good qualities. Nobody will appreciate me as a camel.”

The cosmic god said, “Never try to achieve or receive more than I have given you. If you want to lead a desire-life, then at every moment you will want more and more. But you have no idea what the outcome will be. If you cry for a longer neck and legs, this is what will happen. Each thing in my creation has its own good qualities. The camel is not as beautiful as you are, but it carries heavy loads and has a tremendous sense of responsibility.

For comments and archives

 
    Cardiology eMedinewS

The U.S. Food and Drug Administration Read More

 
    Pediatric eMedinewS

New guidelines for neonates exposed to HSV during delivery Read More

Antibiotics get to septic kids quicker with protocols Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A pregnant lady died.
Dr Bad: Declare her dead.
Dr Good: Deliver the infant within 5 minutes.
Lesson: "Five minute rule", the best outcome with regards to neonatal neurological outcome is most likely when delivery occurs within five minutes of maternal cardiac arrest.

Make Sure

Situation: A rape victim became pregnant.
Reaction: Oh my God! Why was emergency contraceptive not given to her?
Lesson: Make sure that all victims of rape are given an emergency contraceptive.

 
  Quote of the Day (Dr GM Singh)

Never be afraid to trust an unknown future to a known God.

 
    Legal Question of the Day (Dr. M.C. Gupta)

Q. Is it mandatory for a doctor, registered in one state medical council and practicing in other state to register in the other state medical council also? If all state medical councils are recognized by the same MCI, what is the point and need for registering in more than one state medical council?

Ans.

  1. Registration in the State Medical Register means that the person has a recognized medical qualification in terms of the respective SMC Act. Such a person is entitled to practice medicine within the state.
  2. Registration in the Indian Medical Register is done as per section 23 of the MCI Act. If a person has recognized medical qualifications in accordance with section 2(h) of the MCI Act, such a person is entitled to practice medicine anywhere within India.
  3. There may be situations when a person may be registered with the SMC but may not have his name on the IMR because he does not possess recognized medical qualifications in accordance with section 2(h) of the MCI Act. Such a person will be eligible to practice medicine within the state but not outside it.

    Hypothetical examples of such situations (not factual at present) are:
  4. The answer to your question is— “It is not mandatory for a doctor, registered in one state medical council and practicing in other state to register in the other state medical council also”.
  5. There is no need for registering in more than one state medical council. Doctors do so unnecessarily because they feel threatened by the empty threats of SMCs that the latter would take action against them for practicing in the state without being registered with the SMC even though they are registered with another SMC and, by virtue of it, have their name in the IMR.
  6. Doctors and their organizations need to know their legal rights and need to fight it out in courts, if necessary, if the SMC takes any action against them.
  7. Forcing doctors to seek multiple registrations is illegal. It is sad, unfortunate and condemnable that the IMA has not taken any action against this widely prevalent illegality.
 
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    Mind Teaser

Read this…………………

A 78-year-old man is scheduled for discharge after treatment for heart disease. His wife, who has chronic obstructive pulmonary disease, plans to care for him at home. She says that their grown children who live nearby will help. The best approach to discharge planning is to:

A. Arrange nursing home placement for the couple.
B. Consult the wife's health care practitioner about the wife's ability to care for her husband.
C. Contact the children to ascertain if they will definitely help.
D. Discuss community resources with the wife and offer to make referrals.

Yesterday’s Mind Teaser: A patient suffered a head injury 24 hours ago. During a routine hourly neurologic check, the nurse notes that the patient's speech has become slurred and that the patient now is disoriented to time and place. The nurse's first action is to:

A. Continue the hourly neurologic checks.
B. Inform the neurosurgeon of the patient's status.
C. Prepare the patient for emergency surgery.
D. Recheck the patient's neurologic status in 15 minutes.

Answer for Yesterday’s Mind Teaser: Inform the neurosurgeon of the patient's status.

Correct answers received from: Dr Kanta jain, Rajiv Kohli, DR ARPAN GANDHI, dr ajay Gandhi, Prabha Sanghi, Dr. KV Sarma, Dr. PC Das, Dr K Raju, Dr. Raghavendra Jayesh, Dr. Tamojit Chakraborty, Dr.(Maj. Gen.) Anil Bairaria, Dr Chandresh jardosh, Muthumperumal Thirumalpillai, Muthumperumal Thirumalpillai, Dr Avtar Krishan, DR B K AGARWAL, drjella

Answer for 29th January Mind Teaser: Medicate the patient for pain.

Correct answers received from: Dr.K.Raju, Dr.(Maj. Gen.) Anil Bairaria, Dr Chandresh jardosh,

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

This is how our children may end up learning the alphabets.

A – Apple
B – Blackberry
C – Chatting
D – Download
E – Email
F – Facebook
G – Google
H – Hotmail
I – iTunes
J – Java
K – Kaspersky
L – Laptop
M – Microsoft
N – Nintendo
O – Outlook
P – Playstation
Q – Quicktime
R – RapidShare
S – Skype
T – Twitter
U – USB
V – Vista
W – Wikipedia
X – XP
Y – YouTube
Z – Zorpia

 
    Medicolegal Update

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

Errors in diagnosis of Death

  • Generally, there is no difficulty in the diagnosis of somatic death by doctors. However, in some cases the heart sounds and breath sounds diminish greatly. Errors occur if proper clinical examination is not done or hurriedly done in patients with kidney failure and Cheyne–stokes respiration etc. Nevertheless, there are occasions when the distinction between death and suspended animation poses a real difficulty.
  • Suspended animation is a death–like state in which vital functions of the body are at such a low pitch that they cannot be determined by ordinary methods of clinical examination.
  • Practitioners of yoga can induce this death like state voluntarily.
  • It can be involuntarily due to: (i) Severe shock following accident (ii) Electrical shock (iii) Poisoning (barbiturate) (iv) Drowning (v) Epilepsy (vi) Sunstroke (vii) Cholera and (viii) Hysteria.
  • Suspended animation lasts for seconds to hours and distinction is not possible by ordinary clinical methods. However, methods like ECG and EEG can be used to reach a diagnosis.

(Ref: Dr. PC Dikshit, Head (MAMC) MD LLB, Textbook of Forensic Medicine, Peepee Publisher)

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Avoid Food Poisoning by thorough washing and proper cooking

Thorough washing and proper cooking of fruits and vegetables can eliminate most bacteria that cause food poisoning, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India & Vice President-Elect IMA.

Food-borne illnesses or food poisoning usually occurs due to eating food that is contaminated with bacteria or their toxins. Virus and parasites can also be cause food poisoning. People have known for long that raw meat, poultry and eggs can also harbor diseases causing microbes. But in recent years most outbreaks of food borne illnesses have been due to fresh fruits and vegetables.

Food poisoning can cause abdominal pain, nausea, headache, fatigue, vomiting, diarrhea and dehydration. Symptoms may appear several hours to several days after eating tainted food. For example, Salmonella bacteria will cause illness 12 hours to 3 days after ingestion lasting about 4-7 days.

The most common way to treat food poisoning is to drink plenty of fluids. The sickness usually subsides within a few days.

 
    Readers Responses
  1. Dear Dr. Aggarwal, IMA is big and the need of the hour is how to reduce corruption in medical health care.IMA members all over India must make practical plans with attitude of giving. India medical history is not on positive side. Let’s work for some areas to create excellence. I hope our efforts will be positive but need immediate action. Thanks, Sincerely: Dr. VN Puri.
  2. Why should hospitals not be treated as commercial ventures when they are in fact commercial ventures? The restrictions put on the medical profession, to distinguish it as a profession rather than a business, are being eroded. Hospitals aggressively advertise, openly advertise their consultants' names, offer guarantees which are not true, bargain, etc, etc. These are all accepted business practices, ethical for businesses, but not in keeping with professional ethics. So on what basis can these concessions be demanded? Moreover, when we ask for rights, what about our responsibilities? How do our organizations, which put pressure on others to get rights, make sure that malpractice is checked? What pressure is put on doctors to be professionals? Regards: Anju Virmani
 
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