Editor in Chief Dr KK Aggarwal, Padma Shri Awardee                                                                                  Dated:27 October,2019

Medical students and physicians need to practice with empathy in caring for patients, says new WMA President

Medical students and physicians are becoming so exposed to the science of medicine that they are forgetting the emotional needs of their patients, according to the new President of the World Medical Association.

Dr. Miguel Jorge, in his inaugural Presidential speech at the WMA’s annual Assembly in Tbilisi, Georgia, said most of the students entering medical school did so because they said they wanted to help people who were suffering. But studies showed that when they left medical school, they were usually less sensitive to the patient’s needs than when they started. ‘What happened in between?’, he asked. ‘One possible reason is that students, during their medical education, are more and more exposed to the biological nature of illnesses than to the social environment surrounding their patients and the development of diseases. They also are not adequately taught to take into consideration the emotional aspects of those they are assisting’.

Dr. Jorge, Director of the Brazilian Medical Association and Associate Professor of Psychiatry at the Federal University of São Paulo, said that a good physician needs to be able to put him or herself in the place of their patients, trying to feel as they feel, in order to better understand their needs.

‘In medical care, it is as essential to have empathy as it is to be able to examine the patient from the outside. We all hear that medicine is both science and art but, in the last few decades, the practice of medicine is more and more reflecting an emphasis just on its scientific nature.

‘A competent physician is not a good mechanic of the human body, but someone who equally combines technical excellency with being close to their patients, respecting their dignity, and showing them empathy and compassion’.

Dr. Jorge said that physicians had to learn how to use the new tools provided by the progress of medical science and developments such as social media to improve the physician-patient relationship and not allow themselves to move away from communicating with their patients. He added that physicians working under difficult circumstances often cannot do what they consider to be the best for their patients due to the scarcity of resources. But he emphasized that they can accomplish at least partially their mission if they give a little more time and show empathy and attention to their patients.

Chiranjivi Hriday HCFI PHM Consensus: Campaign 35 for sudden cardiac death

  The most common cause of sudden cardiac death in patients younger than 35 years with structurally normal heart is a fatal arrhythmia.

  In athletes younger than 35 years of age, structural heart disease (hypertrophic cardiomyopathy, anomalous origin of a coronary artery, arrhythmogenic right/left ventricular cardiomyopathy) is a common cause of sudden cardiac death.

 Nonpreserved ejection fraction (EF) systolic heart failure (EF less than 35%) is a common cause of sudden cardiac arrest. ....read more

Diwali – The Festival of Inner Purnima and Outer Amavasya
Diwali is celebrated on the day of Amavasya, but the festival is symbolized by inner happiness, lighting or Purnima.

In mythology, the moon symbolizes cool positive thoughts. Purnima is marked by positive thoughts, whereas amavasya is predominantly marked by negatives thoughts. Since, there is darkness all around, amavasya is usually considered inauspicious. However, Diwali is the only day in a year where one experiences positive thoughts on the day of Amavasya.Hence, it is believed that the festival of Diwali denotes inner Purnima and outer Amavasya. ....read more

How to Improve Your Soul Profile?
Answer the following questions.

1. What is my purpose of life?

2. What is my contribution going to be for my friends and family?

3. Three instances in my life when I had my peak experiences. ....read more

Healthcare News Monitor

CSIR develops genome sequencing of over 1000 Indians
ET Healthworld-PTI

New Delhi: The Council of Scientific and Industrial Research has done genome sequencing of 1,008 Indians and it can help couples detect if they have any genetic issue that can imperil their offsprings, Science and Technology Minister Harsh Vardhan said on Friday. The IndiGen initiative of genome sequencing of 1,008 people across the country has come out with 55 variants of population in the country.
Genome sequencing is the process of figuring out the order of DNA nucleotides, or bases, in a genome.
Speaking on the development, Vardhan said genome data would be important for building the knowhow, baseline data and indigenous capacity in the emerging area of precision medicine. CSIR Director Shekhar Mande said the outcomes of the IndiGen will be utilised towards understanding the genetic diversity of a population scale, making available genetic variant frequencies for clinical applications and enabling genetic epidemiology of the diseases. The whole data and knowhow for the analysis of large-scale genomic data is expected to enable evidence and aid in the development of technologies for clinical and biomedical applications in the country.

New Delhi: Micro-level pollution plans put into action
ET Healthworld- Paras Singh

New Delhi: To control the worsening air quality, local bodies are focusing on enforcing micro-level pollution control plans at 13 hotspots identified by Delhi Pollution Control Committee (DPCC). Joint teams of DPCC, South Delhi Municipal Corporation, PWD, traffic police and DSIIDC have been set up for each vulnerable point. “The mandate of these teams includes identification and clean-up of plastic dumps and garbage, C&D dumping sites, repairing road patches and increasing challans at traffic congestion points. The four hotspots under SDMC’s jurisdiction are Punjabi Bagh, RK Puram, Dwarka and Mayapuri,” said an official. Inadequate implementation of the micro-level action plan for the 13 hotspots was also raised in the PMO’s review meeting. Central Pollution Control Board (CPCB) inspection teams had also visited these hotspots in August. “Daily action taken reports are now being generated with specific timelines,” the official said.

IRDAI offers relief to morbidly obese
TNN- Umesh Isalkar

Pune: The Insurance Regulatory and Development Authority of India (IRDAI) has included bariatric or weight-loss surgery under the insurance cover from October 1, offering respite to morbidly obese people avoiding the procedure over cost factor despite having a health cover. The move is set to benefit many patients as prevalence of obesity in the country ranges from 8-38% in rural areas and 15-30% in urban settings. “Barring a few, the surgery was not covered by many insurance firms as it was considered a cosmetic procedure rather than a life-saving treatment,” experts said. After the IRDAI’s latest guidelines, every insurance company in the country will have to offer the cover to policyholders who have sought the health insurance policy on or after October 1, 2019. The existing policy holders will be able to avail the benefit from October 1, 2020.

Govt issues norms for nanopharmaceuticals
The Times of India- Sushmi Dey

NEW DELHI: Aiming to promote nanotechnology-based research, while also ensuring safety of medicines coming out of it, the government has rolled out guidelines to regulate nano-pharmaceutical products. The ‘Guidelines for Evaluation of Nanopharmaceuticals in India’ – released by the department of science and technology on Friday - are expected to aid research towards development of new nano-formulations that are more efficacious, less toxic and safer than conventional drugs. physiochemical and biological nature, and other aspects, including the background data available on the raw material - active pharmaceutical ingredient (API) or nanocarrier, the regulatory status in other countries, etc. At present, there are no globally accepted uniform guidelines for nano-pharmaceuticals. Though these products are not completely new drugs but are more efficacious than the conventional pharmaceutical products because of their nanotechnology-based delivery mechanisms.