Editor in Chief Dr KK Aggarwal, Padma Shri Awardee                                                                               Dated:09 January,2020

Study suggests early intervention in hyperkalemia can cut mortality by half

In the study, researchers reviewed around 115000 patients and found that the mortality rate was significantly reduced in such patients.

New York : A new study has suggested that correcting high potassium levels immediately in patients suffering from hyperkalemia can cut the mortality rate in the population by half.

The study was published in the journal called American Journal of Emergency Medicine In the study, researchers reviewed around 115000 patients and found that the mortality rate was significantly reduced in such patients....read more

CMAAO warns Asian citizens travelling China over mystery pneumonia outbreak

Asians travelling in China should avoid animals and contact with sick people as the country grapples with a mystery pneumonia outbreak, the CMMAO, confederation of Medical Associations of Asia and Oceania warned.

The viral illness was first reported last week in Wuhan, a central Chinese city with a population of over 11 million, and has since grown to at least 59 cases, said Dr KLK Aggarwal President CMAAO....read more

Science behind Training and Development

Training in any field requires gaining knowledge, skills and positive mental attitude towards the object of learning. Knowledge is everything about what and why. In Yoga, it correlates with the Gyan (Gnana) Marg. The skill is all about how to do it and correlates with Karma Marg. A positive mental attitude is linked to willingness to do any work or in other words one’s Astha in that action. In Yoga, it is synonymous with Bhakti Marg. ....read more

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Family medicine is the backbone of the healthcare delivery system: Dr Raman Kumar
ET Healthworld- Shahid Akhter

Family Physicians: Global Trends - The role of family physicians has already been recognised globally after the second world war. If you look at UK where the NHS and similar trends have evolved in the US, where family physicians provide services to the community and they are covering almost 90 percent of their needs. In all of Western Europe, family medicine is the backbone of the whole medical education as well as the healthcare delivery system. Now, this trend is spreading across all the global regions and we see strong family physicians movement in the Middle East, African countries, Latin American countries and even in India, we see that it is happening now and it has been largely accepted by the policymakers that we need family physician system over here also. If you look at the trends, after the 70s and 80s, the role of general practitioners and family physicians was on the decline. In India, we have largely seen the trend of hospitals and tertiary care development, but gradually both from the public and policymakers' perspective, we see there is a huge need because the country has a population of around 1.3 billion. We also have large morbidity and that cannot be totally addressed by hospitals only. We have to have family physicians in the community as well. Currently, we have around 1 million registered doctors and previously the majority of them used to be general practitioners, but now the trend is changing and this is going to reverse again.

Do not prescribe Nimesulide for kids below 12 yrs: Pharma vigilance body
The Hitavada

Programme of India (PvPI) has directed medical practitioners across the country not to prescribe Nimesulide for children under 12 years of age. PvPI has appealed the doctors to take all necessary precautions to avoid such mishappenings and to promote rational use of medicines. PvPI has issued the advisory to medical practitioners after receiving a serious case of Nimesulide induced Steven’s-Johnson Syndrome in a child. Nimesulide was inappropriately prescribed for a 10-year-old male child who contracted Steven’s-Johnson Syndrome, a rare and serious disorder of skin and mucous membranes. It is usually a reaction to a medication or an infection. In the said case, the drug was inappropriately prescribed in a 10-year-old boy. The patient had no medical history. The indication for tablet Nimesulide is used for fever and cold. The dose used was 100 mg twice a day orally. Therapy was given on December 25, 2019 and treatment was discontinued the next day. The patient had been experiencing Steven’s-Johnson Syndrome since December 26, 2019. The medical practitioner who prescribed Nimesulide to the paediatric patient reported adverse event related to the drug to regional pharmacovigilance centre (RPC). The case was reported to PvPI by RPC. In India, the use of Nimesulide has already been banned in patients below 12 years of age by the Ministry of Health and Family Welfare since February 2011.

Nurture talented students: Doctor
The Times of India- TNN

Nagpur: In this day and age, it is important to identify talent in the youth, encourage them and provide them opportunities to nurture their skills, said neurologist Dr Chandrashekhar Meshram, in an interview organized by Vidarbha Hindi Sahitya Sammelan at Mor Bhavan, Sitabuldi, on Wednesday. He was interviewed by littérateur Sagar Khadiwala as part of ‘Samvad’ series which serves as a medium to interact with prominent personalities from various fields. Meshram said, “Smartphones and TVs inhibit creative aptitude of people. They are silent killers. Advent of this technology is impacting all aspects of our life and there are barely any face-to-face conversations these days.” Revisiting his childhood, he said, “My father was in health care sphere and he asked me to follow suit. I did my pre-medical studies from Institute of Science and MBBS from Government Medical College.” “I was advised that lakhs of people have done MBBS, so if I wish to enhance my credibility, I need to attain the highest education in my stream. As I was interested in mathematics, I went for neurology as it requires logical thinking,” he said. Speaking about the medical field in the periphery of Nagpur, Meshram said, “The dynamics between doctors and their patients and interpersonal relationship between doctors is better in Nagpur than in any other city as there is considerable interaction among everyone. I lived in Mumbai for a while but could not adapt to the fast-paced lifestyle where social life was negligible.” When Khadiwala enquired about the cure for increasing cases of memory loss in senior citizens, Meshram said, “Research is still on in neurology. Memory loss usually occurs due to old age or deficiency of vitamin B12, generally in vegetarians, which causes dementia. As life expectancy increases, susceptibility to such diseases rises.”

Ayurvedic doctor held for molesting woman in Rajkot
The Times of India- TNN

A doctor was arrested on Tuesday night for allegedly molesting a woman at Raiya Chowkadi in Rajkot. According to police, the accused Dr Prakash Parmar, an ayurvedic doctor, had allegedly molested the woman who had come to his clinic for the treatment of her two-year-old daughter. “Parmar allegedly grabbed the survivor’s hand while checking her daughter, and asked her to have physical relationship with him. The survivor complained to her family members, who went to Parmar’s clinic and created a ruckus there. Following which one of the patients there called up the police,” said an official from University police station. At the University police station, the survivor lodged the complaint against Parmar, who was later arrested. (The victim's identity has not been revealed to protect her privacy as per Supreme Court directives on cases related to sexual assault)