Editor in Chief Dr KK Aggarwal, Padma Shri Awardee

Boost your energy

1.Pace yourself. Instead of burning through all your "battery life" in two hours, spread it out among morning tasks, afternoon tasks, and evening activities — with rest and meals in between.

2.Take a walk or a nap. There's nothing more satisfying than a short power nap when you're pooped out. However, if you have trouble sleeping at night, know that napping can make insomnia worse. If that's the case for you, get moving instead. Get up and walk around the block, or just get up and move around. If you are not an insomniac, though, enjoy that 20- to 30-minute power nap.

3.Skip most supplements. You may have heard about energy-boosting or "anti-aging" supplements. There is no evidence they work.

o DHEA. There is no evidence that DHEA offers any real benefits, and the side effects remain a question mark.

o Iron. Iron only improves energy if you are clearly deficient, which a doctor can check with a blood test. Otherwise, you don't need to take it — and getting too much iron can be harmful.

o B vitamins. It is true that B vitamins (B1, B2, B6, B12) help the body convert food into the form of energy that cells can burn, but taking more B vitamins doesn't supercharge your cells.

4.Fuel up wisely. A sugary roll from the bakery delivers plenty of calories, but your body tends to metabolize them quickly, and then you can end up with sinking blood sugar — and fatigue. You'll maintain a steadier energy level by eating lean protein and unrefined carbohydrates. Try yogurt with a sprinkling of nuts, raisins, and honey. Your body will take in the carb-fiber-protein mix more gradually. Don't skip meals, either. Your body needs a certain number of calories to get through the day's work. It's better to space your meals out so your body gets the nourishment it needs all through the day. ( Source Harvard News Letter)

Morning Medtalks with Dr KK

1. Duke University researchers : Among the folks who had Alzheimer's there was a significant reduction in the density of the blood vessels in the superficial layer of the retina compared to controls and those with mild cognitive impairment. The findings were reported March 11 online in Ophthalmology Retina, a publication of the American Academy of Ophthalmology.

2. Further evidence that statin use increases the risk for the development of type 2 diabetes has been published, with the work showing that the risk is particularly high in people who are overweight, obese, or have prediabetes. Findings from the prospective, population-based study were published onlineMarch 5 in the British Journal of Clinical Pharmacology

3. For older patients undergoing treatment for hypertension, having a systolic blood pressure (SBP) lower than 130 mmHg is linked to additional cognitive decline, especially in those with complex health problems. The study, by Sven Streit, MD, PhD, Institute of Primary Health Care, University of Bern, Switzerland, and colleagues, was published online March 11 in Annals of Family Medicine.

4. The threat of pandemic influenza is ever present and the threat of a global pandemic is imminent, according to the World Health Organisation. The WHO released a Global Influenza Strategy for 2019-2030 aimed at protecting people in all countries from the threat of influenza.

5. The World Health Organisation has issued a call for action after publishing a report warning that children are now being exposed to more online junk food ads than ever before. The global body is calling for greater oversight and restrictions on the use of digital marketing to target children with unhealthy products, warning that regulators are ill-equipped to deal with the problem in their current form

6. The risk of diabetes rose by about 16 percent for an increase of 10 microgrammes per cubic metre in long-term PM2.5 particle exposure, researchers from Fuwai Hospital in Beijing and Emory University in the US found in a study published online by Environment International last week.

7. A section of the media has reported that a seven year old boy from Malappuram District of Kerala is suffering from a West Nile Virus (WNV), a mosquito-borne disease, mostly reported in the continental United States.

Dated: 15 th March, 2019

Current Temperature Status and Warning for next 24 hours.

Heat Wave and Temperature Observed Yesterday (Past 24 hours from 0830 hrs IST of 14 th March to 0830 hrs IST of 15 th March, 2019)

Heat Wave:

.Yesterday, No heat wave conditions were observed.

Temperatures Recorded at 1730 Hours IST of 14th March, 2019:

Maximum Temperature

• Temperature’s more than 40.0°C were recorded at isolated places over Rayalaseema and Tamilnadu. (Annexure-1).

• Maximum temperatures were appreciably above normal (3.1°C to 5.0°C) at a few places over Assam & Meghalaya, Odisha and Coastal Andhra Pradesh; at isolated places over Vidarbha, Kerala and Tamilnadu & Puducherry; above normal (1.6°C to 3.0°C) at most places over Rayalaseema; at a few places over East Uttar Pradesh, Jharkhand, West Bengal & Sikkim, Coastal Karnataka, Telangana and Lakshadweep; at isolated places over Konkan & Goa, Madhya Maharashtra and Interior Karnataka. They were markedly below normal (-5.1°C or less) at many places over Haryana, Chandigarh & Delhi; at a few places over Himachal Pradesh and Punjab; at isolated places over Jammu & Kashmir; appreciably below normal (-3.1°C to -5.0°C) at a few places over Rajasthan, Gujarat and Andaman & Nicobar Islands; at isolated places over East Uttar Pradesh and Bihar; below normal (-1.6°C to -3.0°C) at a few places over East Madhya Pradesh and near normal over rest parts of the country. (Annexure-2).

• Yesterday, the highest maximum temperature of 40.3°C was recorded at Tirupathi (Rayalaseema) over plains of the country

Heat Wave Warnings for Next 24 hours(From 0830 hrs IST of 14th to 0830 hrs IST of 15th March 2019):-


304 applicable or not

Patiala: The local police booked a doctor for medical negligence that had resulted in the death of a 20-year old woman. The deceased, Nisha Rani, was admitted to a private clinic on August 29, 2017. Nisha was undergoing treatment for pregnancy at the clinic, but the doctor, Ashu Gupta, refused further treatment when the health of the patient deteriorated. She was then rushed to Government Rajindra Hospital where she gave birth to a dead baby. Almost after a week she also died, the police said. The police booked the case under Section 304.

What is Section 304 in The Indian Penal Code

304. Punishment for culpable homicide not amounting to murder.—Whoever commits culpable homicide not amounting to murder shall be punished with 1[imprisonment for life], or imprisonment of either description for a term which may extend to ten years, and shall also be liable to fine, if the act by which the death is caused is done with the intention of causing death, or of causing such bodily injury as is likely to cause death, or with imprisonment of either description for a term which may extend to ten years, or with fine, or with both, if the act is done with the knowledge that it is likely to cause death, but without any intention to cause death, or to cause such bodily injury as is likely to cause death.

Components of 304

1. Intention to cause death:

2. the knowledge that it is likely to cause death,

What the police has to ascertain: The doctor intentionally refused to treat the patient knowing very well that not treating may lead to death of the patient

Referring a serious patient or inability to treat and referring a patient is not negligence

Management of acute heart attack: 2019 Clinical Practice Guidelines from the Canadian Cardiovascular Society/Canadian Association of Interventional Cardiology

Regionalization of STEMI care

Within 10 minutes: first medical contact (FMC) to ECG and diagnosis

The development of a heart attack network of care that incorporates the use of prehospital catheterization laboratory activation, single-call patient transfer protocols, and in-field bypass of non-PCI centers to minimize FMC-to-device times for patients who are treated with primary PCI (pPCI)

The use of protocols to minimize time to fibrinolysis as well as the development of a formal relationship with a PCI center to enable adjunctive PCI for patients who are treated with fibrinolysis within a STEMI ( ST elevation MI) network....read more

Delhi high court: Why can't hospitals have account for CSR donations?

NEW DELHI: Why shouldn't hospitals have a separate account to receive donations under Corporate Social Responsibility, Delhi high court sought to know on Wednesday.

Taking suo motu cognisance of a letter sent by former Indian Medical Association (IMA) president Dr KK Aggarwal, a bench of Chief Justice Rajendra Menon and Justice A J Bhambhani asked the Centre and the AAP government why the court's 2014 guidelines in this regard were still lying in cold storage.....read more


Vedic principles behind cognitive behavior therapy