Editor in Chief Dr KK Aggarwal, Padma Shri Awardee

Dated: 11th May, 2019

Understanding negotiation: First No than Yes

Dr K K Aggarwal and Professor Nitin Aggarwal

SFO: DIFT and FTID are two important negotiation principles.

Door-in-the-face (DITF) technique is a compliance method commonly studied in social psychology.

The persuader attempts to convince the respondent to comply by making a large unrealistic unreasonable request that the respondent will most likely turn down, much like a metaphorical slamming of a door in the persuader's face.

The respondent is then more likely to agree to a second, more reasonable request, than if that same request is made in isolation.

It works on the basic human need of pleasing people. The subject feels guilty for having denied the first request and causing disappointment to the persuader, so when he is given a second choice (or a second chance), and a much more reasonable one at that, he finds it easier to accept it and redeem himself of his negative feelings, if you may.


1.IT department: they raise an unreasonable demand forcing you to agree to their actual reasonable demand without any interference

2.For any donation tell your project with an unreasonable cost but then ask for a small amount as donation

3.The DITF involves a set pattern?first you get a no and then you get a yes. Ms Rosy wants to go for a film in the evening and she'll be home by 9 pm. She knows that her parents won't like her staying out so late. So, she asks her parents whether she can be home by 12 am and is immediately refused. She then follows that up by requesting for a 9 pm slot and is granted permission.

4.All governments do it, raise the petrol prise or the GST by 18% and then give 10% subsidy

Foot-in-the-door (FITD) technique: The persuader begins with a small request and gradually increases the demands of each request. This is a usual bargaining in day to day life.

Both the FITD and DITF techniques increase the likelihood a respondent will agree to the second request.

WHO is establishing technical advisory group and roster of experts on digital health

WHO is establishing a global multi-disciplinary technical group to advise us on issues related to digital health.

WHO’s newly-established Digital Health Department will work to harness the power of digital health technologies and steer developments to contribute to the attainment of all people to the highest level of health through the General Programme of Work (GPW13) triple billion goals and Sustainable Development Goal 3 (Ensure healthy lives and promote well-being for all at all ages). World Health Assembly resolution WHA/71 A71 on digital health underpins this work. To support this work, WHO is establishing roster of experts in various areas related to digital health, such as strategic approaches, areas for intervention and governance structures for regulations and adoption of digital health solutions and products. Some of those experts will be selected to be part of a technical advisory group, and others may be called on to be part of specific subgroups… (WHO, May 10, 2019)

Breath analysis using eNose can diagnose inflammatory bowel disease.

Results of a pilot study reported online April 12, 2019 in Biosensors has shown that breath analysis using electronic nose (Wolf eNose) and ion mobility technology can diagnose inflammatory bowel disease (IBD).

Both technologies could consistently separate IBD and controls. Areas under the curve, sensitivity and specificity were 0.81, 0.67, 0.89, respectively, for the eNose - and 0.93, 0.87, 0.89 for the GC-IMS.

Further, both the eNose (0.88, 0.71, 0.88) and the GC-IMS (0.71, 0.86, 0.62) could separate Crohn's disease (CD) from ulcerative colitis (UC).

Current Temperature Status and Warning for next five days

Heat Wave and Temperature Observed Yesterday (Past 24 hours from 0830 hrs IST of 09 May to 0830 hrs IST 10 May, 2019)

Heat Wave:

Yesterday, heat wave conditions were observed at one or two pockets over East Uttar Pradesh, Chhattisgarh, Vidarbha and Telangana (Annexure 1 & 2).

Maximum Temperature

Maximum temperatures were appreciably above normal (3.1°C to 5.0°C) at most places over Jammu & Kashmir, Himachal Pradesh and Uttarakhand; at many places over Nagaland, Manipur, Mizoram & Tripura and Jharkhand; at a few places over Punjab, Uttar Pradesh, Gangetic West Bengal, Odisha and Coastal Andhra Pradesh; at isolated places over Bihar and Tamilnadu & Puducherry; above normal (1.6°C to 3.0°C) at most places over Haryana, Chandigarh & Delhi and Telangana; at many places over Rayalseema; at a few places over Sub-Himalayan West Bengal & Sikkim, East Madhya Pradesh and Coastal Karnataka and at isolated places over Assam & Meghalaya. Yesterday, the highest maximum temperature of 45.8°C was recorded at Brahmapuri (Vidarbha) (Annexure 1 & 2).

Temperatures Recorded at 1430 Hours IST of Today, the 10th May, 2019

  • Bramhapuri (Vidarbha) recorded the maximum temperature of 45.6°C (Annexure 3).
  • Temperatures recorded at 1430 hours IST of today have risen by 1-3°C at many parts of South Interior Karnataka; at some parts of North Interior Karnataka and Kerala and at one or two pockets of Jammu & Kashmir, Uttarakhand, Bihar, Gnagetic West Bengal, Odisha, Coastal andhra Pradesh, Saurashtra & Kucth, Madhya Maharasstra, Rayalaseema and Tamilnadu & Puducherry (Annexure 4).

Healthcare News Monitor

‘Illegal doctors a problem’

The Print

The IMA has suggested various regulatory mechanisms to the Indian government to clamp down on doctors practising illegally. “There is a mushrooming of doctors who go abroad to pursue MBBS but are not able to qualify the MCI exam once they are back. Such people are practising as quacks,” said K.K. Aggarwal, a former IMA president. “Some among them are also choosing to go for alternate professions like health business. We have been telling the government to be more strict with people who are not qualified to practice in India but some still go unnoticed and work as quacks in hospitals in villages where there aren’t any. Some of these people are also employed by hospitals as back-up doctors.”

Breastfeeding for up to first six months is a gateway to good health for the child: HCFI


Only 54.9 % children under the age of six months have been exclusively breastfed, according to the latest National Health and Family Survey (NHFS-4). There are ongoing efforts worldwide to improve the rates of breastfeeding, and the WHO has the goal of having more than half of infants worldwide being breastfed exclusively for at least six months by 2025. The need of the hour is to create wide awareness on the importance of exclusive breastfeeding for up to six months after birth. Speaking about this, Padma Shri Awardee, Dr K K Aggarwal, President, HCFI, said, "Breastfeeding is an essential requirement for infants at least up to the first 6 months. Exclusive breastfeeding can reduce chances of infections and diseases by building their immunity. However, there could be several factors that discourage women from breastfeeding: lack of designated places for women to feed the child, minimal understanding of the concept and family pressure. In addition, there are many infant feed formulations available in the market. This is sometimes projected as a healthy alternative and can be a deterrent to breastfeeding."

Pharma News

Online pharmacy Netmeds to open 12 more fulfilment centres

The Times of India

Online pharmacy Netmeds.com said on Thursday it would increase its reach to a total of 26 fulfilment centres in metros and Tier II cities in the country by 2020, in an effort to facilitate last-mile delivery of medicines in both rural as well as urban areas. Currently, Netmeds has 14 such centres across the country, which include three centres in Chennai and the rest in Bangalore, Hyderabad, Delhi, Mumbai, Kolkata, Ahmedabad, Pune, Noida, Lucknow, Raipur and Guwahati. The startup’s largest such facility is currently in Hyderabad and Kolkata, both spanning 25,000 square feet each, with each of the cities processing around 100,000 orders every month. “Our goal is to make medicines affordable and accessible to every Indian, and to reach even the most outlying corners of the country,” Netmeds.com founder and CEO Pradeep Dadha said.

Orchid Pharma resolution: NCLAT asks Centre to take action against US firm

Financial Express-Sajan C Kumar

The National Company Law Appellate Tribunal (NCLAT) has directed the Centre to take appropriate steps against US-based Ingen Capital Group, its managing director and other directors for failing to implement its approved resolution plan for Chennai-based Orchid Pharma. The NCLAT has asked the government to take up the matter with the US through the Ministry of Corporate Affairs, if the company does not have an office in India. The NCLAT, while dismissing the appeal of Ingen, has also slapped a cost of Rs 10 lakh on the company in favour of the CoC to be paid within 30 days. Ingen Capital was the successful resolution applicant for Orchid, but it failed to implement its resolution plan as approved by the committee of creditors and the Chennai NCLT. Though the company was given opportunity to deposit the upfront amount, it failed to deposit the same, leading to cancellation of the resolution plan on the request of the resolution professional. Currently, a fresh bidding for finding prospective investors for Orchid is underway.

Scientists upset by AYUSH ministry advisory

The Economic Times

The Indian research community has been rudely shaken and dismayed by an unusual "advisory" issued by the Ministry of AYUSH virtually barring non-AYUSH scientists from undertaking any research work on AYUSH drugs and treatments. The April 2 advisory categorically says that AYUSH (Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy) systems are officially recognized as "integral part of the country's healthcare delivery network" and would not like its image sullied in anyway by unfounded statements by researchers outside the AYUSH stream. The Ministry's note virtually bars non-AYUSH scientists from undertaking any research work on AYUSH drugs and treatments. It also asks editors of scientific and medical journals not to publish work of non-AYUSH researchers whose findings may likely cause "damage to the image of traditional healthcare systems".

Top Pharma Companies Are Optimizing Working Capital Efficiency to Bolster Returns | Download Quantzig’s Recent Success Story to Find Out

Business Wire

Quantzig, a leading analytics advisory firm that delivers customized analytics solutions, has announced the completion of its free resource on working capital management and its importance in the pharma industry. The on-going technological advancements and the growing competition has prompted pharma companies to focus on improving their bottom lines by redesigning their working capital management strategy. This requires businesses to leverage advanced analytics to generate a robust road map to improve profits, enhance market shares, and offer better customer experiences.

Healthcare News

India facing critical shortage of healthcare providers: WHO

The Hindu- Bindu Shajan Perrapadan

Despite the health sector employing five million workers in India it continues to have low Kerala, Punjab and Gujarat compare favourably. “Southeast Asia needs a 50% increase in healthcare manpower to achieve universal health coverage by 2030. India faces the problem of acute shortages and inequitable distributions of skilled health workers as have many other low- and middle-income countries,’’ said K. Srinath Reddy, president, Public Health Foundation of India.density of health professionals with figures for the country being lower than those of Sri Lanka, China, Thailand, United Kingdom and Brazil, according to a World Health Organisation database. This workforce statistic has put the country into the “critical shortage of healthcare providers” category. Bihar, Jharkhand, Uttar Pradesh and Rajasthan are the worst hit while Delhi,

Shortage of docs in Y’nagar, health services suffer

The Tribune-Shiv Kumar Sharma

An acute shortage of doctors and other staff is badly affecting health services in Yamunanagar district. Patients have to wait for a long time for their turn at the OPDs for doctors to examine them. Of 141 sanctioned posts of medical officer in the district, 76 are vacant in the Mukand Lal Civil Hospital, Civil Hospital, Jagadhri, community health centres and primary health centres. There is only one Deputy Civil Surgeon against eight sanctioned posts. Similarly, nine senior medical officers are working against 13 sanctioned posts. Patients are harassed due to the shortage of doctors. Bala Devi, a resident of Jagadhri, says that she is suffering from diabetes and other diseases. She visits the Mukand Lal Hospital regularly but sometimes she has to wait for a long time, as doctors are not available in the OPD.

Kakryal hospital performs complex cardiac surgeries

The Tribune

The Shri Mata Vaishno Devi Narayana Superspecialty Hospital, the tertiary care institution at Kakryal in Jammu, has performed one-of-a-kind lifesaving complex cardiac surgeries on two war veterans. Both patients were referred to the hospital for cardiac surgeries due to the high level of calcium deposits in the heart vessel walls, creating prolonged cardiac problems for them. One of the patients is 66 years old while the other is 71 years old. They underwent several tests at the hospital and were diagnosed with severe blocks in the heart which needed immediate surgical treatment. Two cardiologists Dr Nikhil Mahajan and Dr Hemant Maadan operated successfully upon the patients using the rotablation technique, which is the rarest form of surgeries for cardiac treatment.

Breast cancer can now be predicted by AI

The Hans India

One of the biggest challenges with breast cancer is the delayed diagnosis. To help doctors identify at-risk patients early, researchers are taking the help of artificial intelligence. MIT researchers have built a new deep learning model that can predict from a mammogram if a patient is likely to develop breast cancer in the future. As their official release explains, the system has been trained on mammograms and known outcomes from over 60,000 patients to learn the subtle patterns in breast tissue. The AI was able to accurately access 31 per cent of all cancer patients in its highest-risk compared to 18 per cent by traditional models. Systems like these could help doctors in early diagnosis, much before the disease actually develops.

Gujarat: Kin, police trade blame as hospital swaps bodies

The News Indian Express

The BODY of a 19-year old murder victim who died on Wednesday was exhumed from her town in Dholera Friday evening after her family members learned that the body was swapped with that of a 26-year-old pregnant woman who died during delivery on Thursday morning at V S Hospital. Mittal Jadav, the 19-year old Dalit woman, was stabbed to death by three men in broad daylight at a busy market place in Bavla in Ahmedabad district on Wednesday evening. The family buried her body on Friday morning at Dholera in Ahmedabad district after it was handed over to them at around 1 am by VS Hospital where she had been brought for treatment.

Are robot care-takers the next big thing in Indian Healthcare ? Jayakrishnan T


In recent years, the Indian healthcare sector has grown exponentially owing to the increased investment, both in public as well as private sectors. According to a report by NITI Aayog, the Indian government will increase public expenditure on healthcare from 1.1% to 2.5% GDP in the next four years and subsequently to 5% in the following five years. At present, the rising incidences of lifestyle diseases and growing demand for affordable healthcare coupled with increased role of government in healthcare investment space and emergence of technologies such as artificial learning (AI), machine learning (ML) and robotics are the major driving factors in Indian healthcare industry. The affordability and accessibility of technology is reverberating the healthcare sector in India. AI & ML is becoming increasingly sophisticated at doing what humans do, but more efficiently, quickly and at a lower cost. India produces only about 50,000 doctors every year - not nearly enough to get to minimum standards. To get to the WHO recommended minimum of a doctor patient ratio of 1:1000, India will need 2.3 million doctors by 2030 and the nurse: patient ratio is 1:483, implying a shortage of around two million nurses. Intervention of AI is not only a novelty but also prove to be a vital part for the sector. A discussion paper floated by Indian government’s Niti Aayog places healthcare among one of the focus areas for AI intervention.

Rajasthan: Dalit woman raped in Kathoomar hospital

ANI News

A Dalit woman was allegedly raped by two men at a hospital in Kathoomar. The alleged incident took place on May 7. "A woman registered a case with us saying she was raped on 7 May by a man named Ram Nivas at the Kathoomar hospital, while another man (Giriraj Prasad) aided him," Udhay Bhan, SI, Kathoomar said on Friday. According to Udhay Bhan, the woman had come to the hospital for delivery of her pregnant daughter-in-law on May 5. On May 7, a compounder named Giriraj Prasad took her to the delivery room at 8 pm on the pretext of signing some documents. Ram Nivas was already present there.

Doctors Want Law Banning Sex Determination Tests Gone, Say Don’t Put Onus to Save Girl Child on Us

News18-Rakhi Bose

Twenty-four years after the law banning prenatal sex determination was implemented, the country’s largest body of doctors, the Indian Medical Association (IMA), has sought for it to be repealed. Sex-selective abortions remain one of the biggest scourges that currently plague India, leading to a skewed male-female demographic despite several well-publicized efforts to improve the sex ratio, women's health and mortality. Sex selective abortions have led to massive variations in sex ratios, found a global study published in the journal Proceedings of the National Academy of Sciences with 10.6 missing million females in India alone.

Doctors Want Law Banning Sex Determination Tests Gone, Say Don’t Put Onus to Save Girl Child on Us

News18-Rakhi Bose

Twenty-four years after the law banning prenatal sex determination was implemented, the country’s largest body of doctors, the Indian Medical Association (IMA), has sought for it to be repealed. Sex-selective abortions remain one of the biggest scourges that currently plague India, leading to a skewed male-female demographic despite several well-publicized efforts to improve the sex ratio, women's health and mortality. Sex selective abortions have led to massive variations in sex ratios, found a global study published in the journal Proceedings of the National Academy of Sciences with 10.6 missing million females in India alone.

Indian doctors successfully treat patient of rare congenital heart disease with Transcatheter technique

Medical Dialogues- Hina Zahid

Doctors at Wockhardt hospital Maharashtra successfully operated a 9-years-old child suffering from the transportation of great arteries which is a critical but rare congenital heart disease through a single step novel cardiac surgery using Transcatheter technique. This type of surgery has been performed for the 1st time in India. Pediatric cardiac surgery team at Wockhardt Hospital Mumbai Central, Mumbai, led by Dr. Suresh Joshi, Consultant Pediatric Cardiac Surgeon, and Dr. Manish Chokhandre, Interventional Pediatric Cardiologist effectively carried out a complex procedure on a 9-year-old boy from Dhule, Maharashtra, who was suffering from congenital heart disease. Wockhardt Hospital Mumbai Central is one of the first centers in India, to have successfully performed the procedure, (which generally requires 2 operation months apart) by modifying the operation technique at first, stage so that the second stage could be done in the cath lab without surgery. The advantages it offered, straight away negates the need for 2nd operation and complications associated with it reduces the overall hospital stay. The 9-years-old child weighing 15kg, at the age of 1, was diagnosed with congenital heart disease. He was a blue baby with complaints of breathlessness and no weight gain. through a camp, Dr. Suresh Joshi and team came to know about Tejas’s condition. After evaluation, doctors revealed that the patent represented with transposition of the great arteries, which occurs during fetal growth when the baby’s heart is developing and the cause of this defect is unknown in most cases.

Less than 20% of foreign MBBS graduates qualify to work as doctors in India

The Print- Kritika Sharma

Only a fraction of those who go abroad to pursue a medical degree qualify to practice in India, data with the National Board of Examination (NBE) shows. According to the NBE data, in the past seven academic sessions, an average of only 15 per cent of students have passed the qualifying exam mandated by the Medical Council of India (MCI). The NBE conducts the Foreign Medical Graduate Exam (FMGE) for students with MBBS degrees from countries such as Russia, China, Bangladesh, Philippines, Nepal, Kazakhstan and Ukraine. The exam does not apply to MBBS graduates from the US, UK, Australia, Canada and New Zealand, who can practice in India without having to take it.

Long-term antibiotic use tied to higher CVD risk

Women in middle or late life who use antibiotics on a long-term basis have a higher risk for cardiovascular disease events. In a new research investigators followed close to 36,500 female participants in the Nurses' Health Study (NSH) who were free of CVD at baseline over an 8-year period.
After adjustment for demographic, lifestyle, medical, and medication-related covariates, they found that women 60 years or older who took antibiotics for 2 months or more had the greatest risk for CVD, but long-term use of antibiotics was also associated with increased cardiovascular risk if taken by women at midlife (40–59 years).....read more

Vedic Medicine is based on scientific evidence

Antigua GAPIO: Quite often we say that Vedic Medicine is not based on scientific evidence. But Vedas do describe six types of evidence.

1.Pratkyasha: What is seen, touched, smelt, tasted or heard; which happens before us. For example, diagnosing an acute myocardial infection by seeing an ECG

2.Anumana: which is logic based on the assumption. E.g. any study based in modern medicine based on Null hypothesis. Most modern medicine studies are based on this concept......read more


Why Do We Say Aum Shanti Thrice?