Editor in Chief Dr KK Aggarwal, Padma Shri Awardee

Dated: 28th June, 2019

Addiction Terms

Harvard: People sometimes confuse the words tolerance, physical dependence, and withdrawal. These terms are not interchangeable, though they are related:

  • Tolerance means that, over time, a person will need larger doses to get the same effect first experienced with smaller doses. Because tolerance to some side effects does not occur, people with tolerance often face worsening side effects as they take larger and larger doses.

  • Physical dependence means that the body gets used to having the substance or activity and "misses it" if it's taken away. People with physical dependence who stop using their object of dependence or who decrease their dose might develop uncomfortable withdrawal symptoms.

  • Withdrawal refers to a range of typical symptoms that vary depending on the substance or activity in question, but they often reflect the opposite of the high. How long withdrawal symptoms last and how severe they are depends on which substance (or activity) a person uses, at what dose, and for how long. The fear of withdrawal symptoms sometimes makes people nervous about stopping or lowering their dose. That's sometimes true even for people who no longer derive pleasure from their object of addiction.

Non-Profit Hospitals & CEOs make the main profits

I was sent an important piece of information by one of my senior colleagues and when I went through it, it made sense. Even in India, in the so-called trust “not for profit” hospitals, the main take away is by the top ranking two or three non-medical executives including the marketing team distributing pay offs.

Can’t doctors run hospitals? They had been running them all these years......read more

Lok Sabha to discuss the issue of “unauthorized pathological labs and diagnostic centers” today

The Lok Sabha admitted unstarred question no.1274 regarding “unauthorized pathological labs and diagnostic centers” asked by Shri Manoj Kotak.

This question will be answered by the Minister of Health & Family Welfare today.

The questions that have been raised are:

  • Whether government is aware about the mushrooming of diagnostic centers in country including Mumbai, which are functioning without having requisite infrastructure and qualified staff......read more

You Cannot Hate Strangers

You can only hate somebody whom you have loved. Hatred, therefore, is withdrawal of love.

Love is the opposite of fear and not hate. Most of us assume that love and hatred are opposite to each other but hatred is withdrawal of love and manifestation of fear; it’s not opposite.

In spirituality, you cannot have love and fear together. Love means being in touch with your consciousness. Love is total absence of fear.....read more

Current Temperature Status and Warning for next five days

Heat Wave and Temperature Observed Yesterday (Past 24 hours from 0830 hrs IST of 26 June, 2019 to 0830 hrs IST 27 June, 2019)

Heat Wave:

No heat wave conditions observed.

Maximum Temperature:

Maximum temperatures were markedly above normal (5.1°C or more) at most places over Bihar and Jharkhand; at many places over Vidarbha; at a few places over East Madhya Pradesh, Chhattisgarh and Odisha and at isolated places over West Madhya Pradesh and Gangetic West Bengal;appreciably above normal (3.1°C to 5.0°C) at most places over Marathawada; at a few places over Uttarakhand and Punjab and at isolated places over Jammu & Kashmir, Himachal Pradesh, Uttar Pradesh, East Rajasthan, Madhya Maharashtra and Sub- Himalayan West Bengal & Sikkim; above normal (1.6°C to 3.0°C) at most places over Lakshadweep; at many places over Saurashtra & Kutch and North Konkan & Goa; at a few places over Nagaland, Manipur, Mizoram & Tripura and at isolated places over Tamilnadu & Puducherry. Yesterday, the highest maximum temperature of 43.6°C was recorded at Churu (West Rajasthan).

Temperatures Recorded at 1430 Hours IST of yesterday, the 27 th June, 2019

  • Gwalior(West Madhya Pradesh) recorded the maximum temperature of 41.0°C

  • Temperatures recorded at 1430 hours IST of yesterday rose by 1-4°C in most parts over Coastal Andhra Pradesh; in many Parts over Gujarat region and Rayalaseema; in few parts over East Uttar Pradesh, Interior Karnataka and Tamilnadu & Puducherry and in one or two pockets of West Uttar Pradesh, Madhya Pradesh, Telangana, Coastal Karnataka and Assam & Meghalaya.

Healthcare News Monitor

Kerala is India’s healthiest state; UP, Odisha worst: Niti Aayog

ET Healthworld-Sushmi Dey

New Delhi: Kerala remains at the top of the heap among larger states in terms of various health parameters, followed by Andhra Pradesh and Maharashtra. Uttar Pradesh, Odisha and Bihar are the worst performers, according to Niti Aayog’s latest health index released on Tuesday. Haryana, Rajasthan and Jharkhand top the charts based on incremental performance.

The health index – which took into account 23 health indicators during 2015-16 (base year) to 2017-18 (reference year) – depicts huge disparities across states and UTs. The report, prepared by Niti Aayog in collaboration with the health ministry and with technical assistance from World Bank, has three categories – larger states, smaller states and Union territories – to ensure comparison among similar entities.

Among the smaller states, Mizoram ranked first in overall performance while Tripura and Manipur were the top two states in terms of incremental performance. Sikkim and Arunachal Pradesh registered the biggest decline in overall health index scores. Among the UTs, Chandigarh ranked first in overall performance, while Dadra and Nagar Haveli improved the most.

Pharma D holders can prefix Dr, govt clarifies in RS

The Times of India- Chaitanya Deshpande

Minister of state for health and family welfare Ashwini Kumar Choubey, in reply to a question raised in the Rajya Sabha on Tuesday, said that Pharma D degree holders are entitled to use Dr prefix as per law as they spend a significant time in hospitals during their six-year degree course. However, they will be considered as clinical pharmacists and not medical doctors following the global standards. “Pharma D course is of six years duration. Every student is posted in hospital for 50 hours in each of the second, third and fourth year of the course. In the fifth year, there is a ‘clerkship’ where the student is required to daily attend the ward routed half a day. In the sixth year, a student undergoes internship in a 300-bed hospital,” stated the response given by Choubey on a starred question raised by V Vijaysai Reddy, Rajya Sabha member of YSR Congress Party from Andhra Pradesh. “The Pharmacy Council of India (PCI) has been receiving demands for recognizing Pharma D equal to clinical pharmacists. In 2012, the PCI directed the universities to use ‘Doctor of Pharmacy’ in the provisional as well as final degree pass certificates in respect of students passing Pharma D (Doctor of Pharmacy) course and to Dr prefix before the names of such students,” the minister stated. Office bearers of Pharma D Association have claimed that the answer is a clear clarification from the government on the Dr prefix row. “We have been following this issue on all platforms from the last three years. The health ministry has finally given a clear go ahead for us to use the Dr prefix. Recently, we had meetings with members of academic councils of various universities. Most universities have agreed to issue certificates with Dr prefix to all of us,” said Vinayak Ghayal, president of Doctor of Pharmacy Association of Maharashtra.

IIT team to mount devices on 200 cluster buses to check air pollution

ET Healthworld- Ritam Halder

New Delhi: IIT-Delhi will put up pollution monitoring mechanisms atop 200 cluster buses to gauge the air quality across the city during different times of the day in the peak pollution period of September to February. The sensor-based devices will be installed through a partnership with Delhi Integrated Multi-Modal Transit System (DIMTS). “Each bus makes 16 trips daily, covering different routes — each 30-40km long. This deployment will collect particulate matter (PM) data across different terrains, weather and times of the day,” said Rijurekha Sen, an assistant professor at computer science department. An analysis of the data can provide remarkable insights into the different factors affecting PM, added Sen, the lead investigator. “These factors can be further ranked to suggest remedial actions and devise appropriate PM control policies.” Aerogram, a low-cost device), will be used to measure and understand different factors contributing to the rise in particulate matters, she said. “We will start mounting the units in August. By midSeptember, we are hoping to ready 150-200 buses.” Sen is working on the project under the aegis of Centre of Excellence for Research on Clean Air, which provided the Rs 5-lakh seed money for the initial pilot. Science & Engineering Research Board (SERB) of the Union science and technology department has given Rs 1.3 crore for the project under the IMPRINT scheme.

‘Dist hospitals in 11 states, UTs lack cardiac care unit’

The Times of India- Sushmi Dey

District hospitals of as many as 11 states and UTs, including Uttar Pradesh, Telangana and most north-eastern states, have no functional cardiac care units (CCUs), the health index released by Niti Aayog shows raising an alarm about absence of health infrastructure to treat cardiovascular diseases – the leading cause of deaths in India. Deaths due to cardiovascular diseases rose from 13 lakh in 1990 to 28 lakh in 2016. Tamil Nadu, Maharashtra, Haryana, Odisha and some smaller states and UTs like Goa, Chandigarh, Dadra and Nagar Haveli and Puducherry made significant improvement in setting up CCUs between 2015-16 and 2017-18. However, the number of these units in district hospitals declined in Rajasthan and Karnataka, according to the report. “A functioning CCU is an important indicator of the ability of the health system to provide life-saving and critical procedures and intervention” it said. II and III cities cannot reach metros to access a cathlab and get primary angioplasty. Therefore, a CCU is a must in every district hospital to at least provide a thrombolysis for dissolution of blood clot. This is like a first aid to save life of a heart attack patient,” he said. India has witnessed a startling rise in prevalence of cardiovascular diseases which increased by over 50% from 1990 to 2016. The contribution of these diseases to total deaths and disease burden in the country has almost doubled in the past 25 years. Heart disease and stroke together contributed to 28 % of total deaths in India in 2016 —compared with 15% in 1990. Heart disease contributed over 17% and stroke 7% of total deaths.

Baarvi pass finds MBBS certificate on train, treats 90,000 patients over 9 years!

India Today- Sikar

Rajasthan police has arrested a man fraudulently practising as a doctor in a hospital in Sikar district of the state. The accused, identified as 44-year-old Man Singh Baghel, does not hold a medical degree and studied only till 12th standard. He was arrested from a hospital in Palsana area of Sikar, where he was employed for five months earning a salary of Rs 1 lakh a month. Police said Baghel had been practising as a doctor for nine years and has duped over 90,000 patients in Uttar Pradesh and Rajasthan. He told the police that he began practising in Agra without holding any degree. Five years ago, Baghel told police, he accidentally found a medical degree belonging to one Dr Manoj Kumar while travelling in a train in Mathura. Instead of informing the police, Baghel forged Kumar's degree replacing his photograph with his own to boost his bogus claim of being a doctor. According to police, Baghel saw an advertisement about requirement of a doctor in the Sikar hospital last year and applied for the job that promised a salary of Rs 1 lakh. He appeared for an interview and was selected. Police have now recovered the copy of forged degree that Baghel submitted to the hospital when he applied for the job. Police said that the hospital authorities started to receive complaints about Baghel's treatment after a few months of joining. In one case, Baghel's treatment led to deterioration of the condition of a heart patient, who had to be referred to another hospital.