February 14  2015, Saturday
Dr KK Aggarwal New Delhi, the 29th September, 2014
G.S.R. 701(E).—The following draft rules which the Central Government proposes to make, in exercise of the powers conferred by clause (i) of sub-section (2) of section 33 read with section 26A of the Drugs and Cosmetics Act, 1940 (23 of 1940), on the recommendation of the Drugs Technical Advisory Board, is hereby published for the information of all persons likely to be affected thereby; and notice is hereby given that the said draft rules shall be taken into consideration on or after the expiry of a period of forty-five days from the date on which the copies of the Gazette of India containing this notification is made available to the public;

The objections and suggestions, if any, received from any person with respect to the said draft notification within the period so specified shall be taken into consideration by the Central Government;

The objections and suggestions, if any, may be addressed to the Under Secretary (Drugs), Room No. 523-A, Ministry of Health and Family Welfare, Government of India, Nirman Bhawan, New Delhi – 110011.

Draft Rules
  1. Short title and commencement.—(1) These rules may be called the Prohibition of Use of Polyethylene Terephthalate or Plastic containers for primary packaging of drug formulations for using in certain cases Rules, 2014.
    They shall come into force after a period of one hundred and eighty days from the date of its final publication in the Official Gazette.
  2. Prohibition of use of Polyethylene Terephthalate in liquid oral formulations for primary packaging of drug formulations.—No manufacturer shall use the Polyethylene Terephthalate or Plastic containers in liquid oral formulations for primary packaging of drug formulations for paediatric use, geriatric use and for use in case of pregnant women and women of reproductive age group. s
  3. Penalty for contravention.—Any manufacturer who contravenes the provisions contained in rule 2 shall be liable to penalty under the provisions of the Drugs and Cosmetics Act, 1940.
Printed by the Manager, Government of India Press, Ring Road, Mayapuri, New Delhi-110064 and Published by the Controller of Publications, Delhi-110054 ????
Heart Care Foundation of India partners with IMA to help save girl children on the 1st anniversary of its project the Sameer Malik Heart Care Foundation Fund
News Around the Globe
  • Researchers from the University of Surrey in the UK have found that 25% of a driver's total exposure to pollutant nanoparticles can come from passing through intersections controlled by traffic lights. Signalized traffic intersections had the highest levels of pollution, attributable to the frequent changes in driving conditions. Remaining in the same place for a period of time and revving up to move quickly when the lights changed resulted in high particle number concentrations.
  • A new study, with a follow-up period of almost 20 years, from UK has found that serum levels of an amino acid are strongly associated with the risk for type 2 diabetes in South Asian men, potentially offering a target for novel treatments and prevention strategies. Increases in serum levels of tyrosine are associated with a 50% increased risk for diabetes in South Asian men, compared with an increase of just 10% among Europeans.
  • Low-value items on Choosing Wisely (CW) lists may be diverting attention from procedures that truly drive up costs, according to authors of a new study in JAMA Internal Medicine. They found that although cardiac stress testing before low-risk surgeries was rarely being done before the CW effort launched, seven specialty societies included it on their lists of top procedures to watch for overuse.
  • French researchers report in the American Journal of Gastroenterology that in patients with Lynch syndrome, colonoscopy with chromoscopy can detect adenomas that may be unseen with standard colonoscopy. Lynch syndrome is a genetic predisposition to colon cancer
  • A 43-patient Spanish cohort study in Seminars in Arthritis & Rheumatism has found tumor necrosis factor (TNF) inhibition with etanercept is relatively safe and quite effective over the long term for refractory systemic lupus erythematosus (SLE).
Conventional + SHR technology of hair removal: A unique combination, Dr Rasya Dixit
The diameter of hair is proportional to thermal relaxation time (TRT).
  • Thinner hair: TRT shorter, so high fluence should be delivered in shorter time, hence, more powerful machine needed
  • Thicker hair: TRT longer, so longer pulse duration needed.
  • High fluence indispensable for permanent hair reduction. It is important to choose a machine which has a combination of high power, good range of pulse duration and range of fluences.
  • Conventional Diode technology: 810 nm wavelength, single pass over the treatment area, spot size is 1.2 X 1.2 cm, more painful and more side effects due to high fluence.
  • SHR technology: High power, high repetition rate with low fluence (slow rise of temperature at the hair bulge and papilla area), low fluence so less pain, less side effects, safe in darker skin types, in-built cooling for better patient compliance and lower side effects.
  • Laser is applied perpependicular to skin; energy is delivered after full contact. Continue with 10% overlap.
  • Look out for erythema, pain, blistering: these are signals to adjust fluence.
  • Complications: Pain/ Discomfort during treatment, blisters/ vesicles and crusting, hyper- and hypopigmentation, secondary infection, paradoxical hypertrichosis – Reactive hair
  • The diameter of hair is proportional to thermal relaxation time (TRT).
  • Thinner hair: TRT shorter, so high fluence should be delivered in shorter time, hence, more powerful machine needed
  • Thicker hair: TRT longer, so longer pulse duration needed.
  • High fluence indispensable for permanent hair reduction. It is important to choose a machine which has a combination of high power, good range of pulse duration and range of fluences.
  • Conventional Diode technology: 810 nm wavelength, single pass over the treatment area, spot size is 1.2 X 1.2 cm, more painful and more side effects due to high fluence.
  • SHR technology: High power, high repetition rate with low fluence (slow rise of temperature at the hair bulge and papilla area), low fluence so less pain, less side effects, safe in darker skin types, in-built cooling for better patient compliance and lower side effects.
  • Laser is applied perpependicular to skin; energy is delivered after full contact. Continue with 10% overlap.
  • Look out for erythema, pain, blistering: these are signals to adjust fluence.
  • Complications: Pain/ Discomfort during treatment, blisters/ vesicles and crusting, hyper- and hypopigmentation, secondary infection, paradoxical hypertrichosis – Reactive hair
High Speed Hair Removal
Dr Sushil Tahiliani, Mumbai
  • Two approaches to treatment of ‘Unwanted’ Hair: Causal (pharmacological, surgical) and reduction of visible hair (physicomechanical, pharmacological).
  • The theory of ‘Selective Photothermolysis’ was described by Rox Anderson & Parrish in the journal ‘Science’ in 1983.
  • ChillTip™ Contact Cooling advantages: Enhanced safety (superior epidermal protection is achieved) and increased comfort (pain and discomfort are significantly reduced by continuously cooling the skin).
  • Ideal wavelength for hair removal ranges from 750-800 nm (minimal collateral damage + high melanin absorption). Optimal wavelength for dark skin treatment (deep penetration, low collateral damage due to low melanin absorption) 1060nm-1064nm
  • Device related factors that affect outcomes: Fluence, wavelength, spot size, pulse width, skin cooling
  • Patient related factors that affect outcomes: Skin color, anatomical region, hair color and diameter, depth of follicle.
  • Absolute lack of hair in treated area for the patient’s lifetime is an unrealistic goal.
  • ‘Permanent’ hair loss is a significant decrease in no. of terminal hair that is stable for greater than the growth cycle duration of hair in that area
  • Anagen/Telogen cycling has no significant impact on laser induced response.
  • Any laser device can induce temporary hair loss (fluence of 5 J is sufficient); effect lasts for 1-3 months.
  • Permanent hair reduction is fluence dependent
  • Permanent hair reduction leads to destruction as well as miniaturization
  • Contraindications: Active infection, eyebrows/areas near eyes, thin, vellus hair, depigmented hair
Session 1
Session 1 of the CME focused upon hair removal lasers like high-speed hair removal lasers based upon vacuum assisted and inmotion technology & diode lasers and Q switched Nd-Yag lasers. Dr. Vindhya Pai, the hall co-ordinator did a great job and stalwarts of the field like Dr Ganesh Pai, Dr Sushil Tahhiliani, Dr Ziv Karni and Dr Jagdish Sakhiya kept the audience enthralled with their oratory and technical skills. There were two patients each for the hair removal laser demonstration, and it was shown that large area hair reduction like chest and back could be treated with as much ease as the smaller areas like face. Helios Q switched Nd Yag laser treated many conditions ranging from melisma to tattoos. The wide screen telecoverage of the procedures going on in the OT were well appreciated as the procedures could be clearly appreciated, and doubts could be cleared by the audience within the OT, as well as in the auditorium. The live workshop was a success with vast interaction between audience and faculty.
Session 2
Session 2 was co-ordinated by Dr Anusha Pai, another rising star in the laser field. The QS NdYag laser, which is much in focus, was discussed upon in detail. Dr Shehnaz Arsiwala conversed upon QS NdYag beyond 1064. The same was demonstrated by Dr Swapnil Shah on patients with melisma and freckles. The intricacies of the combined effect of conventional and SHR laser technology were discussed by Dr Rasya Dixit, whereas Dr Puneet Saraogi effortlessly demonstrated the same. As expected the audience interaction was profound and enthusiastic. Skin tightening and body shaping is in vogue nowadays, with the increasing consciousness even among the general population about an hour glass figure or a six pack figure, depending upon the gender. Dr Ganesh Pai gave a scintillating talk on Laser approach for skin tightening and body shaping by unique advanced Radiofrequency and US technology. Dr. Poonam Negi was the charismatic demonstrator, who carried out the procedures, simultaneously answering numerous questions with ease and poise.
Session 3
After a sumptuous lunch, session 3 started off with fractional CO2 laser- acupulse technology by Dr Ganesh Pai, following which he himself, along with Dr Anusha Pai demonstrated the laser and its uses. The laser was lovingly called as “non-vegetarian” laser as it cuts the skin, and eats it off. Nitty gritties of various fractional laser machines were dwelled upon. Comparison of treatment response with fractional CO2 and dermarolling was done, with an analogy to motor car versus bullock cart.

Dr. Urmila Nischal spoke upon fractional CO2 with Microneedling fractional Radiofrequency , followed by a demo of the same by Dr K C Nischal. Monopolar /bipolar RF treatment differences were mentioned, bipolar being more uniform though more superficial. Fractional CO2 improves the action of bipolar RF and causes wonders for conditions like lax skin, striae, open pores and wrinkles. The combined treatment makes it possible to treat all skin types and a variety of conditions involving the epidermis as well as dermis.
Session 4
The final workshop session was co-ordinated by Dr Gatha Upadhya with panache, and focused on acne vulgaris. Dr Ziv Karni gave an illuminating talk on Laser for Acne vulgaris and 4D lift technology, whereas Dr Malvika Kohli demonstrated the same. Dr Amala Kamat discussed botulinum toxin in detail, beginning with structure, effects, adverse effects, anatomy of facial musculature and mechanism of injection, with emphasis on its cosmetological uses; Dr Neetu Rajdeo did a live demonstration on patients, patiently showing the various muscles of expression, how to mark the injecting points and the way of injecting the toxin. The final talk of the day was on fillers, a popular and instantaneous beautifying procedure, gaining in popularity day by day. Dr Bhavini Lodaya lectured on the different types of fillers, while Dr Rekha Sheth carried out the demonstration and fielded the audience questions.
Dr KK Spiritual Blog
Namkaran Sanskar
In India, a person is identified by his/her name, which usually is a reflection of his/her own family. It may contain not only your maiden name but also the name of your father and your surname.
When you are born, you are usually given your special name, which you carry throughout your life unless it is changed for a specific purpose. For example, the surname may change after marriage or the in–laws may change your name, specifically, when you are a girl.
Artists often change their names to those which may reflect their profession. A classical example is Rajesh Khanna, who changed his name from Jatin to Rajesh, which was easier for the public to recall.
A name for a baby is chosen on any of the following grounds:
  1. The priest as per the horoscope decides the sound present in the universe and that Akshar (Alphabet) is given to the family to pick up a name starting with that Akshar.
  2. Sometimes, the name of the baby may be chosen depending upon the auspiciousness of the day he/she was born, e.g. a baby body born on Krishna Janmashtami, may be named ‘Krishna’ by the family after Lord Krishna.
  3. If the parents have vowed a Mannat to a deity, then they may name their child after one of the many names of that deity. For example, if parents have taken a Mannat from Vaishno Devi, their baby girl may be named as one of the forms of Goddess Durga or Parvati.
  4. People may also choose similar names for their children, e.g. Ramesh, Mahesh, and Suresh.
  5. People may also keep the name of the child in the form of known pairs. If the name of the first child is Luv, the parents may like to name the second child as Kush, especially when the parents have twins. Other examples are Karan Arjun, Sita and Gita etc.
  6. Sometimes, parents name their child after their favorite celebrity. For example, if someone is a big fan of Sachin Tendulkar, he may name his child Sachin. Sachin himself was named after the noted Hindi film music director Sachin Dev Burman by his father, who was a great fan of SD Burman.
A name has a lot of significance as Akshar in Sanskrit has a vibration and if that positive vibration matches with the vibrations of universe at the time of your birth, it helps in healing.
Normally, it is expected that you live up to your name. For example, if your name is Durga, you are expected to know all about Maa Durga and try to adopt characteristics of Durga.
Therefore, everyone is expected to know the literal meaning of his or her name and try to follow a lifestyle that is consistent with your name. For example, if you are named Ram, you are not expected to act like Ravana.
Namkaran Sanskar or the naming ceremony is a complete ceremony and is one of the 16 samskars. It is both a social and legal necessity. As the naming process creates a bond between the child and the rest of the community, it is considered auspicious.
Some people name their child before he/she is born but a Namkaran Sanskar is usually performed on the 12th day after birth but it may vary from religion to religion and custom to custom. The formal ritual involves a Namkaran puja, which is held at their home or a temple where the priest offers prayers to all the Gods, Navagrihas, five elements, Agni and the ancestors. The horoscope of a child is made and is placed in front of the idol of the deity for blessings. With the baby in the lap of the father, the chosen name of the child is whispered in the right ear.
Some people name child on the 101st day of the birth and still some others choose the first birthday to name their child.
The name of the child also entails certain etiquettes as it reflects a person. You cannot take the name of a person with disrespect. If you abuse a name it means you have abused a person.
Cardiology eMedinewS
  • According to a new study presented at the International Stroke Conference (ISC) 2015, older patients without diabetes or kidney disease who have a systolic blood pressure (SBP) of 140 to 149 mm Hg have a risk for stroke higher than that of similar patients with a SBP under 140 mm Hg and a risk similar to that of patients with a level of 150 mm Hg and over.
  • In ambulatory older adults aged 65 years or older without AF at baseline, circulating troponin T levels appear to be significantly associated with incident atrial fibrillation, according to recent findings published in Heart Rhythm.
Pediatrics eMedinewS
  • The American Academy of Pediatrics released updated measles guidelines online in response to the national outbreak of the disease. The new guidelines from the academy's Red Book: 2015 Report of the Committee on Infectious Diseases feature changes in the evidence required for measles immunity, the use of immune globulin, vaccination for healthcare personnel, and the management of patients with HIV infections and other susceptibilities.
  • Pediatric atopic dermatitis was linked with key features of metabolic syndrome, including central obesity and high blood pressure, in a multicenter prospective case-control study in JAMA Dermatol. 2015;151;144-152. Given the findings, clinicians should routinely measure body mass index and waist circumference in children with atopic dermatitis (AD), said Dr. Jonathan I. Silverberg of Northwestern University, Chicago, and his associates.
Make Sure
Situation: A patient with cough of more than 4 weeks duration came with blood in his sputum.
Reaction: Oh my God! Why was TB not suspected earlier?
Lesson: Make sure that all patients with cough of more than 3 weeks duration are investigated for TB.
(Dr M C Gupta, Advocate)

Q. The Police brings the medical case file of a victim to an FMT specialist and requests him to issue a medicolegal injury report on the basis of treatment record without the consent of the victim/patient. Should the FMT specialist issue such a report?

Ans. In my opinion, the FMT specialist can certainly give a written medicolegal expert opinion in this situation stating clearly therein that it is an opinion based upon medical record brought for his perusal and that it does not amount to a Medico–Legal Injury Report. The question of consent does not arise in case of expert opinion based on records.
Dr Good Dr Bad
Situation: A pregnant diabetic came with A1c 7%.
Dr Bad: Very good control.
Dr Good: You need further control.
Lesson: The A1C goal is <6 % for individual patients with type 1 diabetes and during pregnancy.

(Copyright IJCP)
IJCP Book of Medical Records
IJCP’s ejournals
Twitter of the Day
Dr KK Aggarwal: Long term use of painkillers can cause kidney cancer http://youtu.be/NMIK16PyBrY?a via @YouTube
Dr Deepak Chopra: Eat only when you feel hungry. Notice and feel your hunger. This is conscious eating http://bit.ly/DC_Ananda #ananda
CPR 10
Total CPR since 1st November 2012 – 101090 trained
Rabies News (Dr A K Gupta)
What is pre–exposure vaccination?
Pre–exposure (Prebite) vaccination means immunization before the bite.
Video of the Day
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 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,

IMA suggestions for the National Budget on Health Spending
  1. Health budget should be 6% of GDP.
  2. Central funding should contribute to at least 60% of government spending on health.
  3. Primary level health care should be made free for all citizens.
  4. Since many of the factors like protected water, sanitation, nutrition, shelter, drug manufacturing and quality assurance etc related to health indices are dealt with different ministries, budget allocation to related ministries should be increased under the above heads.
  5. Rs 50,000/- crores should be earmarked for “Cure in India Project”. This project to be earmarked for creating awareness and promoting indigenous manufacturing of kits, reagents and biomedical equipment/devices.
  6. Provision to be made for “Indian Health Act 2015” where a single window registration system should be done for medical establishments. At present 72 such registrations are required.
  7. Rs 50,000/- crores to be set apart for promoting digital health.
  8. Health care should be declared as a service sector.
  9. Health Care Establishments should be given infrastructure status.
  10. List of Life saving equipments should be expanded and completely exempted from all taxes and duties.
  11. Rs 50000/- crores should be earmarked for
    1. Promoting Medical, Drug and Public Health Research by setting up “Medical Research Parks” across the country in line with the Techno parks.
    2. CME programmes for health care providers for updating the medical knowledge and recent advances.
  12. Just like aided schools, “Aided Hospitals” should be promoted. In turn such hospitals should provide 15% free service to the poor.
    1. Subsidy in electricity, water, building tax.
    2. Interest-free loans for starting new hospitals, nursing homes, dispensaries and clinics in rural areas.
    3. Health care providers should be given subsidy for solar power and digital health.
    4. 10 year moratorium for repayment of loans.
  13. Financial provision should be made for starting government medical colleges.
    1. In rural areas where no health facility is available.
    2. In states / districts where government medical colleges are not available proportionate to the population.
  14. Special fund should be allocated to solve the problem of non availability of doctors in PHCs /CHCs. These PHCs /CHCs should be considered as special / difficult PHCs /CHCs. Special privileges should be provided like
    1. The salary for medical personal should be three times in these difficult PHCs / CHCs.
    2. Just like railway colonies nearby railway stations, colonies for medical personals including schools, shops and other common facilities should be provided.
    3. Services of nearby practicing doctors in the private sector should be utilized on a retainership basis.
    4. Reservation for PG admission should be given for those doctors working in difficult PHCs and CHCs.
  15. Every doctor/clinical establishment providing charity services should have tax exemption for the amount spend on charity.

Webinar Registration

Looking at present scenario of swine-flu, IMA Bhavnagar in association with Helatheventz.com presents a Webinar for All Branches of IMA and All Medical Colleges of India on Latest Update on Swine Flu 25th February.

All those who are interested to joint webinar, should register on following link

Webinar Registration

Dr Chinmay Shah
Secretary, IMA Bhavnagar, Gujarat


Child Sexual Abuse: Prevention & Response

Vulnerability of Children to Sexual Abuse
  • Due to their age and being experientially immature paired with the fact that children are still developing socially and emotionally, children can be easily confused, controlled and coerced.
  • Most of them would not be able to interpret or understand an adult’s intent.
  • Children give unconditional love and seek attention and affection. In addition to this, socio-cultural norms mandate that children respect and listen to adults.
  • A person, who intends to commit a sexual offence against a child, or to groom so as to abuse that child sexually, would be able to take advantage of all these factors.
  • If the child is an adolescent, his or her vulnerability increases as they are curious, rebellious and easily aroused.
Dr DS Bhullar

IMA Initiative for Safe Sound

Chairman: Dr. K.A. Seethi

National Co-ordinator: Dr. C. John Panicker

Systemic effects
  • Increase in heart rate
  • Blood sugar increase
  • Changes in respiratory rate
  • Hypertension.
  • Peptic ulcer, Hyperacidity
  • Asthmatic attacks
  • Heart attacks
  • Changes in pregnancy
  • Giddiness in Meniere’s

Effects on hearing
  • Temporary threshold shift
    • Exposure to short duration loud sound.
  • Permanent threshold shift
    • Exposure to continuous loud sounds.
  • Presbyacusis
    • Old age deafness is a cumulative effect
  • Tinnitus
  • Effects depend on
    • Loudness, nature of sound,
    • Duration and time distribution,
    • Total exposure in the lifetime.
Clinician – Patient Communication Vinay Sharma, New Delhi

Non Verbal Communication

The main difference between a senior clinician and a novice is the ability to perceive and interpret non-verbal behavior.

• 5000 hand gestures
• 20,000 facial expressions

If the body language is not right, patients do not listen to what the doctor is saying. Use the acronym SOFTEN for nonverbal communication:

S: Smile
O: Open posture
F: Forward lean
T: Touch
E: Eye contact
N: Nod (vertical)

Medscape Family Physician Lifestyle Report 2015

History of Marijuana Use by Speciality

In this survey, family physicians, at 20%, are tied with dermatologists and internists and are ranked toward the low end of the list of physicians who report ever having used marijuana. Emergency medicine physicians report the highest history of marijuana use (31%), followed by plastic surgeons, orthopedists, and psychiatrists at 29%. The least likely to have ever used marijuana are nephrologists (15%), endocrinologists (16%) and rheumatologists (17%). Marijuana use among specialties does not appear to be related to reported burnout.



Inspirational Story

Give Others their Happiness

Once a group of 50 people was attending a seminar.

Suddenly the speaker stopped and started giving each one a balloon. Each one was asked to write his/her name on it using a marker pen. Then all the balloons were collected and put in another room.

Now these delegates were let in that room and asked to find the balloon which had their name written, within 5 minutes. Everyone was frantically searching for their name, colliding with each other, pushing around others and there was utter chaos.

At the end of 5 minutes no one could find their own balloon.

Now each one was asked to randomly collect a balloon and give it to the person whose name was written on it.

Within minutes everyone had their own balloon.

The speaker began––– Exactly this is happening in our lives. Everyone is frantically looking for happiness all around, not knowing where it is.

Our happiness lies in the happiness of other people. Give them their happiness; you will get your own happiness.

And this is the purpose of human life.

Is this not what you are looking for?
Wellness Blog
Long–term use of painkillers can cause kidney cancer

A study published in the journal Archives of Internal Medicine has shown that people who regularly take painkiller drugs like ibuprofen or naproxen are 51 percent more likely to develop kidney cancer. There is no increased risk from taking aspirin or paracetamol.

The mechanism through which painkillers could cause kidney disease is the inhibition of prostaglandin synthesis with resulting papillary and tubular injury and ultimately damage to DNA.

The study analyzed data from 77,525 women in the Nurses’ Health Study and from 49,403 men in the Health Professionals Follow–up Study. The risk was related to the duration of use of the painkillers. There was a decrease in the risk by 19% if the painkiller was used for less than four years. There was a 36 per cent increase in risk of kidney cancer for people who used them regularly for 4 to 10 years. The risk increased almost three times for those who used these drugs regularly for 10 years or more.

The good news is that kidney cancer is uncommon so the risk is small for average users.

Two other important causes of kidney cancer are obesity and smoking. So people on painkillers should not smoke and should also keep their weight under control to prevent kidney cancer.

Quote of the Day

Anger: an acid that can do more harm to the vessel in which it is stored than to anything on which it is poured. Lucius Annaeus Seneca

IMA in Social Media

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Reader Response
  1. Dear Sir, I wish to inform you that polythene is already banned in our state. And people are not at all using them. Thanks, yours sincerely, Dr. Anil Ohri, Professor, Hon' Gen Secretary IMA (HP).
  2. Respected Dr Aggarwal, I express my heartiest gratitude towards IMA and UNICEF for organizing an excellent workshop for TOT on Child Sexual Abuse Prevention and Response at Mumbai on 17 and 18 Jan 2015. Sir, the event was very informative and we got to learn so many new concepts. The arrangement was also excellent and we are so happy with Mr. Verma and Dr. Tandon for the excellent hospitality. Thanks for the Travel allowance cheque. Hope to meet for further follow up and some new projects. Regards, Sincerely: Dr Sofiya Ansari.
  3. The most important reason why Ayush doctors can't use MTP pills also is: Supreme Court has issued the guidelines that one can use drugs of their own speciality so if there is any medical treatment for unwanted pregnancy in Homeopathy or alternative medical sciences then they can use it for the purpose. Using allopathic medicines would be against the Supreme Court ruling. Dr Manisha Jhawar

IMA Videos

News on Maps

IMA Humor

A 92 year–old man went to the doctor to get a physical. A few days later the doctor saw the man walking down the street with a gorgeous young lady on his arm. At his follow up visit the doctor talked to the man and said, "You’re really doing great, aren’t you?" The man replied, "Just doing what you said Doctor, ‘Get a hot mamma and be cheerful’." The Doctor said, "I didn’t say that. I said you got a heart murmur. Be careful."

eMedi Quiz

A primigravida at 37 week of gestation reported to labor room with central placenta previa with heavy bleeding per vaginum. The fetal heart rate was normal at the time of examination. The best management option for her is:

1. Expectant management.
2. Cesarean section.
3. Induction and vaginal delivery.
4. Induction and forceps delivery.

Yesterday’s Mind Teaser: A hemodynamically stable nulliparous patient with ectopic pregnancy has adnexal mass of 2.5 x 3 cm and beta-hCG titre of 1500 mIU/ml. What modality of treatment is suitable for the patient?

1. Conservative management.
2. Medical management.
3. Laparoscopic surgery.
4. Laparotomy.

Answer for yesterday’s Mind Teaser: 2. Medical management.

Correct Answers received from: Dr Jainendra Upadhyay, Dr Avtar Krishan, Daivadheenam Jella, Dr KV Sarma, Daivadheenam Jella.

Answer for 12th Feb Mind Teaser: 2. Punch biopsy.

Correct Answers receives: Dr KV Sarma, Dr Avtar Krishan.

Press Release of the Day

Heart Care Foundation of India partners with IMA to help save girl children on the 1st anniversary of its project the Sameer Malik Heart Care Foundation Fund

Together they will provide 32 free surgeries to young girls suffering from heart disease and who otherwise cannot afford treatment

Marking the successful completion of one year of its key project, the Sameer Malik Heart Care Foundation Fund, Heart Care Foundation of India today announced its partnership with the Indian Medical Association towards the cause of saving the gril child. Under this partnership, IMA will help identify and adopt 32 girl children from across the country suffering from congenital heart disease, in need of surgical intervention but who are unable to afford the treatment. The Sameer Malik Heart Care Foundation Fund was launched a year back with the basic ideology of ensuring that no person dies of a heart disease just because of their economical background.

Addressing the Press Conference, Padma Shri Awardee, President, Heart Care Foundation of India and Hony. Secretary General, IMA, Dr K K Aggarwal said, “Out of every 1000 live births, one child is born with congenital heart disease. Despite the fact that in today’s day and age surgery in children with complex heart disease is absolutely safe, every year about 78,000 infants born with congenital heart disease in India die due to lack of medical care. We at Heart Care Foundation of India believe that no person, irrespective of their financial status deserves to die just because they can’t afford treatment. Through the Sameer Malik Heart Care Foundation Fund, in the last one year we have been able to provide the best possible financial and technical assistance needed for the cure of any form of cardiac problems to almost 279 patients. We hope to continue our endeavour of making a difference to the society in the future through the newly forged partnership with IMA.”

In the past one year, Sameer Malik Heart Care Foundation Fund has successfully helped 279 patients from the underprivileged section of the society. It has supported surgeries of 103 patients and averted surgeries of 176 people. The breakup of the surgeries includes 43 Congenital Heart Disease, 18 Valve Replacement, 11 Stent, 14 Bypass surgeries, 4 pacemakers and 10 Angiography. All surgeries were performed at the best hospitals of Delhi NCR. 38 surgeries were done in Medanta – The Medicity, 42 surgeries were done in National Heart Institute, 7 surgeries were done in G.B. Pant Hospital, 4 surgeries were done in in Ram Manohar Lohia Hospital, 3 surgeries were done in Fortis and 9 surgeries were done in All India Institute of Medical Sciences.

Speaking on the alliance with HCFI, Dr. L.P. Thangavelu, National Vice President, IMA, said, “IMA is proud to be associated with Sameer Malik Heart Care Foundation Fund, a noble initiative of Heart Care Foundation of India and together we will strive towards ensuring that not a single person is devoid of the basic right to live a healthily life. Communication has been sent to all the State Presidents and Secretaries of IMA to adopt one child each in the next 3 months.”

Mr. Harish Malik, one of the key supporters of the fund said, “We are glad that the fund has been successful in bringing a difference in the lives of hundreds of people. With each life saved, Sameer continues to live in our hearts.”

The patients who have benefitted from the fund were present at the conference as special guests. Other dignitaries who were present were Dr. R.N.Tandon, Hony. Finance Secretary, IMA and Mr. Vivek Kumar, Trustee, Heart Care Foundation of India.

The helpline number +919958771177 for the Sameer Malik Heart Care Foundation Fund is open from Monday to Saturday from 9 AM to 5 PM. Individuals who wish to apply online can download the application form from the website, http://heartcarefoundationfund.heartcarefoundation.org/. An expert committee comprising of notable individuals would assess all applications received by the fund. Once sanctioned, the funds would be directly deposited in the bank account of the medical establishments treating the patient.

About the Editor

National Science Communication and Dr B C Roy National Awardee, Honorary Secretary General IMA, Immediate Past Senior National Vice President IMA, Professor of Bioethics SRM University, Sr. Consultant Medicine & Cardiology, Dean Board of Medical Education, Moolchand, President Heart Care Foundation of India, Chairman Legal Cell Indian Academy of Echocardiography, Editor in Chief IJCP Group of Publications & eMedinewS, Member Ethics Committee Medical Council of India (2013-14), Chairman Ethical Committee Delhi Medical Council (2009-14), Elected Member Delhi Medical Council (2004-2009), Chairman IMSA Delhi Chapter (March 10- March13), Director IMA AKN Sinha Institute (08-09), Finance Secretary IMA (07-08), Chairman IMAAMS (06-07), President Delhi Medical Association (05-06)