RNI No. DELBIL/2012/45560 Monthly Newspaper Vol - 2, Issue - 12 DL(E)-20/5415/2012-14 June 1st - 30th, 2014 • ` 10/- • New Delhi

Health news delivered daily at drugtodayonline.com Ph.: (011) 22792078, 22792554 DRUG TODAY MedicalMedicalMedical TimesTimesTimes Medical City P2 Medical pharmacy P4 Medical Review P6 DTMT Exclusive P14 Dearth of equipment: Draft new rules in place to Special review on World No Biological clock: Time to Hospitals put on notice amend D&C rules 1945 Tobacco Day (May 31, 2014) listen to body’s rhythm

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scan now Drug Today Mart Electropathy in practice even In UP, dirty flows as MoHFW has reservations Ganga sans STPs MK SINGH In what could be a major viola- Only 17 of 742 cities of state boast of sewage treatment plants tion of the rules prescribed by the Union Health Ministry, it has BS RAWAT Gorakhpur, Bijnor, Badaun, Ali- come to light that almost 2 to 3 LUCKNOW garh, Jaunpur, Rai Bareli, Pratap- lakh ‘doctors’ are practicing elec- garh, Shahjahanpur, Mathura, Fi- tropathy or electrohomeopathy. ttar Pradesh Pollution rozabad, Faizabad, Pilibhit, Etah, It is learnt through an RTI query Control Board (UPPCC) Etawah, Baghpat, Bahraich and filed by Chikitsa Sansar, a health is a statutory body en- Hardoi have yet to come up with advocacy group, that 100 to 150 trusted with the powers sewage treatment plants. colleges are offering a full-time Uto deal with the pollution prob- In the absence of sewage treat- four-year course in electropathy lems of the state under the Envi- ment plants, untreated sewage sans recognition. ronmental Protection Act, 1986. was discharged in various rivers Electrohomeopathy is a study But, the board seems to have no passing through the outskirts of of natural science, anatomy, control over polluting industrial cities directly before being flown physiology, pathology, chemistry units and the local authorities. into big rivers like Ganga and Ya- and botany focusing on supposed In a reply to an RTI query filed muna. therapeutic power of electricity by a Rohini-based activist, RH lahabad, Mirzapur, Farukhabad, As regards other related infor- in botanical extracts. Or, it can be Bansal, environment and public Kanpur, Ghaziabad, Lucknow, mation such how many plants explained as a derivative of ho- relations officer in UPPCC, Om Sultanpur, Bulandshahr, and are non-operational and perfor- meopathy that relies on remedies Prakash, revealed that out of 742 Meerut have sewage treatment mance of 17 plants, the environ- from non-poisonous plants. towns and cities of the state, only plants (STP). ment officer expressed his inabil- “Electropathy or electrohome- 17 including Agra, Etawha , Man- He further informed that sev- ity to provide the information. opathy is not recognised by the puri, Mathura, Varansi, Noida, eral other cities including Mo- He said all the details could be Health Ministry as a system of Saharanpur, Mujaffarnagar, Al- radabad, Azamgarh, Bareilly, Continued on P 8 medicine. The ministry is not in a position to support any clinical practice by any person/institu- tion anywhere in the country as New Health Minister vows transparency the concerned Bill for the same is under active consideration by the DTMT NETWORK “cure” in India’s national health policy. Government”, read the RTI reply, Dr Vardhan assured ways to revitalise transpar- a copy of which is available with After taking charge of his min- ent administration. “My administration would be the DTMT. istry, the new Health and 100 per cent transparent,” he said, adding that he Speaking to DTMT, Ashok Family Welfare Minister would work hard to improve the overall health Khandelwal of Chikitsa Sansar Dr Harsh Vardhan said his system in the country. discloses that those enrolled priority would be to em- The Minister said the focus of his ministry would with these colleges are getting phasise “prevention” over Continued on P 8 Continued on P 3 WHO effect: Delhi L-G constitutes high-powered panel to check pollution

ROHIT KUMAR

In the wake of WHO’s report on pollution in which Delhi is dubbed as the most polluted city in the world, the Lieutenant Governor Najeeb Jung has on May 16 constituted a high-powered committee to look into pollution levels in the city. The panel will specifically look into pollution caused by growing number of vehicles on the roads of the National Capital and pollution levels in Yamuna because of outpouring of industrial and sewer waste in river. The L-G has asked the committee to examine all aspects of pollution, its causes, its levels, and steps required to check pollu- tion in the city of Delhi. As per the directions issued to the committee, they are required to suggest both long term measures to be adopted to the tackle the issue of pollution in Delhi. The panel has to submit a comprehen- sive report with viable solutions to check pollu- tion in the city within one month. The panel will be chaired by Chief Secretary and will Special CP (traffic), Delhi Police, Com- missioner (Transport) and Additional Secretary (DPSS) as its members. Post WHO report, the L-G chaired a meeting over the issue last week after which the depart- ments concerned were directed to take adequate measures to check corruption. Following direc- tions, the Delhi Pollution Control Committee is- sued notices to 112 stainless steel picking units in Wazirpur industrial area for discharging untreat- ed toxic waste into the Yamuna. “We cannot allow for pollution to grow un- checked. It is our responsibility to provide a healthy environment to our citizens,” said Jung. If we have to ensure health of our cities, we will have to take stern steps against pollution and pol- luting units, he added. DRUG TODAY MEDICAL TIMES 2 Medical City 1st - 30th June 2014, New Delhi

Dearth of equipment: Civic grievance cells Raid on wholesale drug market; hit roads in Delhi-6 16 samples lifted from chemists CIC puts hospitals of DTMT NETWORK DTMT NETWORK in 24 hours. Insulin car- NEW DELHI Congested streets and NEW DELHI tridges meant for hospital lanes add to the woes of supply were also found in The North Delhi Municipal In a surprise raid on the stocks of the chemists the Capital on notice Corporation (NDMC) has the residents and visitors wholesale drug market at in “grey market”. The of- set up eight citizen service The condition gets worse Bhagirath Place, 16 drug ficials disclosed that there BS RAWAT centers to address public during monsoon samples were lifted from were cases where instruc- NEW DELHI grievances about sanita- eight chemist shops for tions on MRPs on tablets tion and cleanliness. The cross verification with the chemists for sale. and injections were delib- The government hospitals in Delhi drew civic body largely covers from 8:30 to 9:30 am in manufacturers as per the “Insulin and Tetanus erately erased. a sharp criticism from Central Informa- densely populated Old winters. If the complaints directions of Lt Governor injections required to be The team also found tion Commission (CIC) for several glaring Delhi areas where prob- are not addressed proper- Najeeb Jung. kept under 2-8 degree Cel- that numerous drugs were shortcomings like unavailability of ultra- lems of sanitation and ly, they can contact Zonal The raiding team com- sius were found lying in found to be not up to the sound and x-ray machine, generators and cleanliness are a matter of Assistant Commissioner prised 18 drug inspector, open outside the shops,” mark and around 16 sam- CCTV cameras came to light through a grave concern. of City Zone at his office, assistant drug controller an officials said. ples of different medicines complaint filed by a Delhi-based RTI ac- As business hub of the Aruna Asif car parking. and 20 police personnel. Such callousness on including antibiotics were tivist RH Bansal. city Old Delhi is frequent- Services can be sought at According to the team, the part of the chemists seized for quality test at Information Commissioner M Sridhar ed by businessmen and ward numbers of the area. a number of “major vio- towards sensitive drug Drug Testing Laboratory. Acharyulu last week gave the Delhi Gov- tourists from across the The list of services cent- lations” were found in formulations can prove Authorities hinted at ernment 30-day ultimatum to furnish all country and abroad. Con- ers are as ward no. 79, near manufacture and sale fatal for diabetic patient. suspension and cancel- the details on availability and condition gested streets, lanes and at Netaji Subhash Marg, of drugs. Besides, drugs Insulin stocks worth of Rs lation of licenses as pe- of ultrasound and X-ray machines in vari- bylanes add to the woes of Hardayal Library. Ward meant for beneficiaries of 6 lakh kept in such crude nal action against those ous hospitals in the Capital. had launched a project to procure these the residents and visitors no.66/80, Bagh Deewar Employees State Insur- manner were seized dur- drug involved in serious RH Bansal, the complainant, painted a equipments on a public private partner- alike. The condition gets near Katra Neel at Chandni ance Corporation (ESIC) ing the raid. Notices were violation of quality norms. grim picture of government hospitals in ship (PPP). There has, however, been no worse during monsoon Chowk. also found their way to issued to eight wholesal- Besides they can initiate the National Capital in a report to Central movement since. “The PPP is at the stage when the waterlogging and War no.67/80 Paiwa- the stocks of the private ers and told to respond prosecution against them. public information officer (CPIO) and Di- of development, in broad parameters,” traffic jams create hurdle lan road near Dariba Kal. rectorate of Health Services, Delhi Gov- said an official in Health Department. in smooth traffic. Ward no. 81 room number ernment. According to the report, 99,188 An audit report revealed that budgetary The NDMC has taken 30 zonal office, city zone. abortions were carried out in Delhi Gov- and expenditure control in the hospitals the initiative to provide Ward no. 82 Haus Qazi, Shops in 17 more clinics shut down in ernment hospitals in last five years. He were inadequate which meant that money a timely and effective re- near tanga stand. Ward no. wondered how these hospitals could con- earmarked for heads like ‘Machinery and dressal of the public griev- 83 Prem Naryan road at Delhi raided fresh crackdown on quacks duct so many abortions without the basic Equipment’, ‘Supplies and Material’ and ances on civic amenities. Sita Ram market. Ward no. paraphernalia. ‘salaries’ were left underutilised. Registration of complaints 84 Chandni Mahal. Ward to check DTMT NETWORK CIC and Human Right Commission The report further said, “The OPD ser- will be from 7:30 to 9:00 no. 86 Lal Kuan Bazaar NEW DELHI might have pulled up the government vices were affected due to shortage of am during summers and near Hamdard dispensary. adulteration hospitals. However, there is no change medical equipment, medicines, injections, In fresh crackdown on in the condition of these hospitals. Ul- infrastructure and medical support items. DTMT NETWORK quacks operating in trasound machines and radio-diagnostic The Emergency Departments were not the National Capital, equipments still continue to be conspicu- providing required services due to lack of Municipality-run As part of its drive against Delhi Medical Associa- ous by their absence. essential equipment, medicines and ad- sweet shops and general tion (DMC) has filed FIR Earlier, the Delhi Health Department equate staff,” it said. stores indulging in unfair against 17 illegal clinics. medical college business practices includ- These so-called doctors ing adulteration, the De- were running a flourishing partment of Food Safety medical business in the PGC closure order to Satyam in a shambles conducted a surprise in- city without proper degree DTMT NETWORK spection across Delhi. or diploma in medicine. Adulteration of non-ed- The DMC gave this infor- Hospital over death of patient Delhi’s first municipality-run medical college at Hindu ible ingredients in sweets mation to DTMT on April Rao Hospital is in a shambles just 10 months after it and spices and adding 30 while reviewing its DTMT NETWORK shall take two months pregnant and was started with all fanfare.. Affiliated to Indraprastha unhygienic and unnatural campaign against quack- immedi- admitted in the Satyam University, the medical college has hit a roadblock colours to them has been a ery. The Public Grievance ate action Hospital on May 13, 2012. with the Medical Council of India (MCI) refusing to re- matter of concern for long Earlier, city’s Health De- Commission (PGC) has against She was died in the same new its licence for the new academic session 2014-15. time in National Capital as partment conducted sur- Sarkar, Mangal Mal, Swa- issued closure order to Sastyam evening on way to another A survey conducted by the DTMT found deficiencies also the entire nation. prise raids on these clinics pan Biswas, RK Nandi from the Satyam Hospital, Sec- Hospi- hospital in the locality. in the infrastructure such as laboratories, class rooms A team of 12 food safety following which the DMC south and south-west area. tor-16, Rohini, Delhi, for tal for its The deceased’s husband and faculty. The facilities available at the institution officers along with ten ordered their closure. GK Mitra,Ranjan Kumar causing death by criminal Kamini Solanki closure. Dhiraj Solanki in its com- are well below standards. Students of the last academ- police officials randomly “The orders were issued Gosh, Manoj Kumar, Vi- negligence while treat- The ATR furnished by DMC plaint has highlighted ic year still did not have lecture theatres. Classes were selected and raided the on/after the quacks failed kash Sharma, Sunil Kumar ing a patient in violation has clearly mentioned that the death of his wife with being conducted in the lecture halls of the nursing col- shops and took samples of to reply to a notice issued from north-west Delhi. of Delhi Nursing Homes ‘quack’ RN Tiwari, being negligence. He said that lege. The fifth floor of the administrative block houses yellow chilly power, chaat to them by the DMC. It Raj Kumar Mishra, MK Registration Act. The PGC holder of Ayurveda and his wife dies due to wrong three classrooms where microbiology, community masala and cashew nuts was found that they were Vedkar from Prem Nagar, asked the Directorate of Unani Chikitsa Parishad, treatment given by the medicine and pathology subjects are taught. from the grocery shops at working in the city with- Central Delhi. Praveen Health Services (DHS) to was neither qualified nor Satyam Hospital. It was For the rest, the college carved out space in other Netaji Subhash Place, Wa- out having registered with Aman Kamal in Mayapuri act against the hospital im- allowed to practice allopa- totally negligence and his buildings such as the ward block. As for the staff, both zirpur and Ranibagh being the Council,” said Dr Anil in West. mediately and ensure its thy system of medicine wife was murdered by the teaching and auxiliary, many posts are lying vacant. sold as spices. Bansal, chairman of DMC. Dr Girish Tyagi Secre- closure. and that the DMC had in- hospital. This is because most of the contractual staff left for The officers also collect- Names of the quacks, tary, DMC, has also ap- In its order, the commis- formed the police to pros- The complainant told permanent jobs elsewhere. There is shortage of para- ed samples of colourful la- who have been ordered to proach “Delhi Medical As- sion accused the hospital ecute him under Sec. 27 of that her wife’s condition medical staff as well. doos from sweet vendors shut down their clinics, are sociation that if they found of wrong treatment given DMC Act. deteriorated and the doc- The college failed to recruit permanent faculty and to check their edible qual- as follows: these clinics as still opera- by a quack to complain- A criminal case has al- tors delayed to examine settled for temporary contractual teachers many of ity and quantity of colours Ashok Kumar, SK Das, tional they can intimate ant’s wife Kamini Solanki. ready been registered his wife. This increased whom are retired employees from AIIMS, Maulana used to produce them. TK Das, BN Pal, Hardhan with DMC”. Member (Wholetime) of against RN Tiwari. In complications and result- Azad Medical College and Lady Hardings Medical Col- the commission SK Jain spite of lapse of over four ed in Kamini’s death. lege.What is more, its facilities too have been down- said that the explanation months; no action has Many other such peo- sized. given by the hospital au- been taken against the ple across the country too A DTMT team found that the college which was thorities on the death of hospital by the DHS. Police have been facing similar started in July 2013 has no office for its dean, Dr Rani Kamini was not satisfac- officers who investigated problems, but little seems Kumar even as a huge sign board of the dean office tory. the case had also given de- to be happening to bring put up on a deserted building where cows and dogs The commission ob- tails of the quack and the about a permanent solu- can be seen resting. Office files, computers and other served that the DHS hospital. tion. Many patients ap- equipment are lying unused in deserted rooms. An should take necessary ac- Reacting to the notice, a proaching these doctors officer at the college disclosed that since there was tion against the hospital doctor of the hospital said expect medical treatment no furniture for the staff they do not come for duty based on the ATR filed by the commission had is- with all the knowledge and regularly. DMC and the status report sued closure notice even skill that the doctor pos- Despite several efforts, Dr Rani Kumar, the dean filed by the police. It fur- after the hospital carried sesses to bring relief to could not be reached for the comment. ther said instead of delay- out all the recommenda- his medical problem. But However, surprisingly students of the college ap- ing the issue, based on the tions made under the Delhi they soon realize that they peared to be unperturbed by the state of affairs. “At technicality of awaiting a Nursing Registration Act. were in trouble with wrong present, we don’t have a building, but study-wise we reply from DMC, the DHS Kamini Solanki, 34, was treatment. aren’t facing any problem,’’ said a student. Dengue induced thrombocytopenia: problems and promises

Dengue viruses, mosquito sible to become infected by a decrease in platelet materials have increased PTAFR gene expression borne members of the Fla- by dengue multiple times count below 100000 per in many countries in the by 15 & 13.42 folds that viviridae family, are the because the virus has mm3 from the baseline world, mostly because further boost the platelet causative agents of den- four different serotypes. and haemoconcentration, plant derived drugs are count by increasing meg- gue fever. Dengue is the Although each infections characterized by an in- commonly considered to akaryocytic production. most important emerging confers lifelong immunity crease of haematocrit 20% be less toxic and side ef- It can also prevent viral disease of humans in that particular serotype, or more, is detectable be- fects than synthetic dose. platelet destruction in that in recent decades has a subsequent infection fore the subsidence of fe- Carica papaya is a mem- the blood and thereby become a major public with a different serotype ver and the onset of shock. ber of the Caricaceae and increase the life of the health concern. increases the risk of con- Patients with known or is a dicotyledonous, po- platelet in circulation. Dengue is found in tracting the much deadlier suspected dengue fever lygamous, and diploid N. Ahmad et al. carried a tropical & sub-tropical form known as Dengue should have their platelet species. In various clinical study to investigate the regions around the world, Haemorrhagic fever. count and Haematocrit studies it has been docu- potential of Carica papa- predominately urban and The symptoms of den- measures daily from the mented that Carica papa- ya leaves extracts against semi-urban area. It is es- gue fever include high third day of illness until ya leaves juice significant- Dengue fever in 45 year timated that there are fever, rash and a severe 1-2 days after deferves- ly accelerates the rate of old patient bitten by car- between 50 and 100 mil- headache (Dengue triad). cence increase in platelet count rier mosquitoes. lion cases of dengue fever Additional symptoms in- Till now there is no ap- among patients with den- It was observed that the and about 500000 cases clude severe joint and proved vaccine drug gue Fever and dengue PLT count increased from of Dengue Haemorrhagic muscular pain (breakbone against this dengue virus, Haemorrhagic Fever. 55X103 /μL to 168X103 / fever each year which re- fever), nausea, vomiting therefore there is an ur- CarIca papaya is a rich μL, WBC from 3.7X103/μL quire hospitalization. and eye pain. The clinical gent need of development source of complex bio- to 7.7X103/μL and NEUT Dengue fever is spread course of dengue has an of alternative solutions for chemical constituents from 46.0% to 78.3% Car- through the bite of an in- abrupt onset followed by dengue. including flavonoids, gly- Ica papaya could be used fected Aedes aegypti mos- three phases, namely, the Several plants species cosides, alkaloids, glu- as an additional or as a quito. The first symptoms febrile phase, the critical have been reported with tathione & glucosinolates complementary drug in of the disease appear in phase and the recovery anti-dengue activity. Re- that helps boost the num- dengue fever, accelerates about 5-7 days after the phase. It is during the crit- cently, the use of alter- ber of platelets by stimu- the increased in platelet infected mosquito bites a ical phase that thrombo- native medicine and the lating bone marrow. C. pa- count, and shorten the healthy person. It is pos- cytopenia, characterized consumption of plant paya increases ALOX-12 & hospitalization period. DRUG TODAY MEDICAL TIMES 1st - 30th June 2014, New Delhi Medical Institutions 3

Biometric attendance to discipline health officials Radhika mishra porting to duty late in the tual employees, who are an order to observe as of former Chief Minister NEW DELHI morning despite orders in thousands in the health “Punctuality & Cleanliness Arvind Kejriwal and many to ensure punctuality and institutions, old attend- Fortnight” from May 12 to senior bureaucrats were The Directorate of Health discipline by Delhi Chief ance system will be fol- 24 wherein senior DHS of- deployed for the parlia- services, Delhi Govern- Secretary, the decision to lowed. ficers have been asked to mentary elections. Now ment, claimed to have introduce attendance ma- After receiving confir- implement the guidelines. that the polls are over in installed bio-metric ma- chine was taken.” mation from all of the Special secretary to Lt. Delhi, every official will chines in the offices of Dr Kamat asked all CD- departments, the Govern- Governor also made have to report to their CDMOs and all govern- MOs to inspect at least ment will float a tender for surprise visits to the office mother branch,” said a ment dispensaries in the four dispensaries in a biometric machines to be of the CDMO (North) and senior official in health National Capital to ensure week to address the con- installed by the end of this notice has been issued to department. “effective functioning” of cerns of punctuality, year. However, the pace of all the absentees and late- This correspondent vis- healthcare system. sanitation, availability of surprise raids on different work will depend on the comers by the Directorate. ited several dispensaries DHS Director Dr NV Ka- medicine and other fa- dispensaries to enforce new Government in the “Former Law Minister and health centers of Del- mat said, “As officials and cilities to the public. DHS the guidelines. Capital,” he added. Somnath Bharti had or- hi Government but found employees have been re- officers are also making “However, for contrac- Recently, the DHS issued dered installation of such that biometric attend- machines. The pro- ance system have yet to cess was suspended be installed in most of the after the resignation offices.

AIIMS students raise funds for orphans In a noble gesture, the MBBS under- graduate students of All India Institute of Medical Sciences (AIIMS) organsied a medical exhibition for schoolchildren of Delhi to raise funds for education of orphans. Equipment from various depart- ments, micro- scopic specimens and specimens of the human organs both pathologi- cal and anatomical were showcased in the exhibition at Jawaharlal Nehru Auditorium of the AIIMS. The exhibition was held under the aegis of Parivartan, an NGO formed by undergraduate medical students of AIIMS in Janu- ary this as a social service wing of the AIIMS Students Union. Students from various schools of the National Capital attended and en- joyed the exhibition by paying a nominal entrance fee of Rs 150. The medical stu- dents have also held a seminar to guide students on prepa- ration for admission to AIIMS. — DTMT

Electropathy . . . Continued from page 1 degrees through an agent by paying mere Rs 10,000 to 15,000 and are practicing electrohomeopathy without having proper knowledge. Moreover, these practitioners are also prescribing allopathic medi- cines though they are not eligible to do so. All this is happening despite the fact that the Un- ion Health Ministry has clarified that the electropa- thy is not recognized as a system of medicine. The need of the hour is to ask the Government to first make it scientifically validate the practice in some research centers. Besides, an autonomous council of the same should be in place for a deep analysis of the system, according to Khandelwal. “In the absence of stringent government regula- tions, quacks of this system are mushrooming in the country. Mere constitution of a council will not help as this will give these quacks an opportunity to register themselves and go on practicing it with impunity. To restrain or scan them the Government must develop a mechanism to scan them through exams”, stated Khandelwal. Those who are dabbling in this system have con- tested the claim made by the ministry saying the right of electrohomeopath practitioners are well protected under article 19(1)(g) of Constitution of India. Since electropathy is working with the aim of promotion, development and research, at this stage no law can be enacted by the Parliament to restrain it. The gravity of the matter can be gauged from the fact that of the one lakh practitioner, only five are found to be qualified with proper knowledge of electropathy. This situation exists because it does not come under the purview of either the central or any state government medical Act. In the absence of a proper law to govern this sys- tem, the worst sufferer are those villagers who often get trapped by the machinations of quacks. While recognition to this system is still under considera- tion of the ministry, there seems to be no light at the end of the tunnel for the practitioners of this system of medicine, said Khanelwal. Though there is no law supporting electrohomeo- path, several high courts have ruled that the practi- tioners need not register themselves under Indian Medical Council Act 1956. Besides, the Madras High Court has given a judg- ment regarding using of the prefix ‘doctor’ by them saying “those who are using electrohomeopathy system of medicine have right to use the word ‘doc- tor’ before the name by representing the symbol “EH” (electrohomeopathic). DRUG TODAY MEDICAL TIMES 4 Medical Pharmacy 1st - 30th June 2014, New Delhi

Appointments NGO seeks clarification Legal Column Situatrion vacant on row over Schedule medical Can a person sell drug REQUIRED nurses, Optom- Required pharma experience H1 drugs through memo etrist, Optical salesman, OT boy and girl for telemarketing in the name of my firm Technician, Computer operator, From Alcare Laboratories DTMT NETWORK Receptionist contact: Dr Lak- 43/1, Najafgarh Road, Nangloi, hotia, E-544 Greater Kailash-II, Delhi-41, Ph.: +91 9350584478 without my knowledge New Delhi, Walk in between 10 Chikitsa Sansar, an eminent health ad- to 1 pm. Mobile No: 9312255311 Required 1. Medical Rep- vocacy group, has submitted a memo- Query: If a wholesaler sells stocks/bill a register specially maintained for the ersentive-Fresher/Experienced randum to the President, Prime Minister to somebody in my firm’s name with- purpose if the particulars are recorded URGENT: Himalaya Meditek, Hy- Both on All-Over India Basis. Office (PMO), Union Health Secretary, out my knowledge, can I take action in any other register specially main- derabad requires Pharma Market- Please Contact Ruth Biotech The Drug Controller General of India against him, if so, under which law. Also tained. ing Executive Contact: 9391083353, Pvt. Ltd. (DCGI) and to some members of Parlia- suggest some safeguards? A wholesaler has the right only to sell 04032951917 K-14/4 Street No-16, Gangotri ment to clear the air on the controversy email: [email protected] —Pradip the drug on his own bill/invoice. He Vihar,West Ghonda, Bhajanpura over Schedule H1 drugs across India. has no right to sell the drug on the bill/ Delhi, Mob. No 9212799026 HelpLab Healthcare Pvt. Ltd. The Central Government though has (Mr. Kamal Kant) 9312621173 According to Drugs & Cosmetics Act invoice of the others. If any person sells (An ISO 9001:2008 certified already enacted a law to restrain circu- 1940 and Drugs & Cosmetics Rules the drug on the name of other firm or company) reputable name in lation of the Schedule H1 drugs, many 1945, Rule 65(5)(3)(i) records of pur- person, it is an offence. In this case, the pharma companies, requires impediments still persist in the way of chase of a drugs intended for resale or firm has to investigate the matter and Marketing Manager for West implementing its provisions. are sold by wholesale shall be main- collect the evidence that any person Bengal, South India, West In- As per the rules prescribed by the dia & North India. Very attrac- tained by the licensee. Such records selling/billing the drug for someone, in tive Package! Also vacancy Government, any Registered Medical in any fictitious doctor’s name, it might shall be maintained with all the de- this situation the firm has also a rem- Sanat Products Ltd. is looking for Export Manager. Expe- Practitioner can prescribe the medi- hamper the business of other honest tails namely the date of purchase, the edy to take action against the person for young and dynamic can- rienced person may contact cine but the bone of contention is that chemists. name, address and number of relevant who is selling drug on others name. didate for the post of Medical on email id [email protected] yardsticks Maharashtra and some other “If any person makes a bill in the name licenses held by the person from whom He can also lodge an FIR with the po- Representative. or dial 8010181028. HelpLab states employ for registration, says the of a fictitious doctor, how income tax Position: Medical Sales Execu- he has purchased the drug, the name lice for proper investigation in the mat- Healthcare (P) Limited Plot No: tive memorandum. department/drug department can take of the drug, the quantity and the batch ter. The firm has to use the unique code 1122 Rithala, New Delhi - 85, Age: Below 30 Years As per the rule any person having a necessary action as per the records of number and the name of the manufac- along with a bar code on the label of Phone: 011-27041151, 27041150 Qualification: B. Pharma/Sci- degree in any system of medicine and the patients”, asked the memorandum. turer of the drug. his product and on his invoice for our email: [email protected], ence Graduate is registered with the government are The memorandum vehemently con- [email protected] Under Rule 65(5)(3)(ii) the purchase protection. Experience: Fresher/1-2 years allowed to practice in that system only, tested that “suppose a patient routinely bills including cash or credit memos REQUIRED Medical Representa- Salary: Attractive/As per In- but in Maharashtra and some other needs a Schedule H1 or x drugs or does shall be serially numbered by the licen- dustry norms tive (Mr) with exp. Reqd. for a states, Ayurveda and homeopathy prac- so in an emergency, in such a situation see and maintained by him in a chron- RAMESH CHAND, ADVOCATE Locations: Delhi, Chandigarh, cosmetic Co. to generate sales of titioners are allowed to practice allopa- whether the drug will not be available to ological order. Nationally acclaimed expert on Ambala, Hoshiarpur, Revari, Ant-Agening Product among thy while other states don’t allow the him/her or h/she has to consult a doc- Drugs and Cosmetics Act (1940) Agra, Jhansi, Durg, Raipur, Am- Under Rule 65(8) notwithstanding any- Dermatologists/Skin Care Clinics [email protected] bikapur. same. What is the current status and tor by giving a fee of Rs 100 to 1,000 for thing contained in this rule shall not be in Del/NCR. Attractive Sal+Incvs! Mob-09810129898 Contact: HR Department Ph. which order (state government or state having a medicine which barely costs necessary to record any particulars in Call:09971180519 Send court) is supposes to consider. Rs10. This will give a chance to a practi- CV:[email protected] 01164562817, However, it is an irony, still many peo- tioner to gain more.” (The views expressed in this column are those of email: [email protected] the author and do not necessarily represent the REQUIRED field staff at Delhi, Sanat Products Limited ple don’t know about the Schedule H1 Recently, the Union Health Ministry views of, and should not be attributed to, Drug U.P. & U.K. We are a fast grow- 3rd Floor, Sagar Plaza, District drugs and only pharmacists have the has notified some drugs including habit Today Medical Times.) ing pharmaceutical company Centre, Laxmi Nagar, Delhi right to maintain the H1 drugs register. forming drugs under Schedule H1 by operating in Delhi, U.P. & Ut- - 110092 Phone No: 91-011- In many parts of the country there is making it mandatory for chemists to For any legal query you can write us at: tarakhand. As part of our field 22518794/95/96 dearth of MBBS doctors. In this situa- give those drugs against the prescrip- Website:www.sanat.co.in [email protected] expansion we require territory tion, if a chemist prescribes the H1 drug tions of a regular medical practitioners. manager and A.S.M (experience www.sunova.in min. 1 year). Eligible candidate email: [email protected] , are required to contact Mr Deep- [email protected] ak Babbar (08130819191) & Mr A Draft new rules in place Bhattacharya (09873053048) Required (i) Sales, Marketing Decks cleared for 21 of 22 clinical trials and Appointment of Franchisee Would You Like to Start Career As all over India, (ii) Office coor- to amend Drugs and DTMT NETWORK However, these propos- Novartis, Cyclosporine Pratibha, plerixafor so- Medical dinator for overall administra- als were already recom- from Aurobindo Phar- lution from sanofi, reti- tive responsibilities. Minimum Cosmetics Rules 1945 The Apex Committeemended by the New Drug ma, Algeron from Biocad, gabine from hetero labs Representative? work experience 2-3 years. constituted by the Union Advisory Committee prior Masitinib Mesylate from crofelmer from glenmark Work With Us… We Nurture Location: New Delhi, Address: DTMT NETWORK nent injury the quantum Health Ministry for clini- to placing it before the Maya clinicals, Asenapine pharma have got the ap- Your Development !!! Eastern Healthcare, 321, DLF of compensation shall cal trials has cleared the technical committee. from Parexel, Perampanel proval for the trial. Tower IV, 15 Shivaji Marg, New The Union Ministry of commensurate with the decks for clinical trials in The apex committee de- and E2007 from PPD are Of the approved pro- Delhi-110015. Bion Health and Family Wel- nature of the non-perma- India of 21 new proposals liberated on details of the among many drugs which posals, 11 are for the global Therapeutics (I) Pvt. Ltd. Contact: M: +91-9818402350, P: +91-11-45052432, 32952828, fare, through a gazette nent injury, loss of wages against 22 to ascertain ef- proposals and agreed to have been approved for clinical trial, four are of If you are Fresh B. Pharma or 43085208 notification, has in- and transportation. ficacy of some drugs. the recommendations of clinical trials. new drugs and the re- B. Sc. Graduate … Young, En- formed that it has drafted In schedule Y relating The Technical Commit- the technical committee Besides, recombinant maining is of fixed dose thusiastic, Dynamic & Result- Required Male/Female Mar- rules to amend the Drugs to clinical trial with re- tee in its 13th meeting had which had cleared 21 out human chorionic gon- combination along with oriented with Pleasing Person- keting Representatives and and Cosmetics Rules, spect to the responsibili- evaluated the 22 propos- of 22 proposals for clinical adotropin from bharat biological recombinant. ality and willing to build a ca- Managers, for Field Work and 1945 with respect to clini- ties of the sponsors the als for clinical trials keep- trials. serums, rituximab from However, in the case of reer in Pharmaceutical sales… Back Office Work for a Pharma cal trials. earlier clause IV shall be ing in view risk versus NT 201 from Siro Clin- Dr Reddy, trastuzumab Ifetroban from Max Nee- You Apply… We Respond… Company for Pan India Work. The proposed new rules substituted with the new benefit to the patients, in- pharm, Fluocinolone Ace- from reliance life science, man, the apex committee Contact: Candidates Please Send Your Visit: www.bionindia.co.in CV to [email protected]. drafted after consultation proposal which says- any novation vis-a-vis existing tonide Intravitreal Insert smofkabiven peripheral recommended resubmis- Email: [email protected] Or Call at Cronus Biotech Ltd. with the Drugs Technical report of the serious ad- therapeutic option and from Excel Life sciences, from fresenius kabi, nadi- sion of the proposal along For more details call: 040- 9825702421. Advisory Board conform verse event, after due unmet medical need in the Ranibizumab & Biosimi- floxacin from wockhardt with the opinion of phar- 23235533 / 23235588 / to the powers conferred analysis shall be for- country. lar adalimumab from ltd, tizanidine from Dr macologists. 8885564568 (10AM to 6PM) REQUIRED: A pharma sales ex- by section 12 and 33 of warded by the sponsor to ecutive with two to three years the Drugs and Cosmetics the licensing authority as Required Area managers and of experience in a reputed com- Act 1940. If the new rules referred to in clause (b) of Medical Representatives for pany who is capable of work- are incorporated into the rule 21, chairman of Crackdown on erring drug WHO cautions India Delhi Region in ELIS Pharma- ing independently in the field / the Act it will be called the ethics committee and ceuticals India Pvt. Ltd. Please marketing office, Hyderabad as the Drugs and Cosmetics the head of the institu- retailers and wholesalers send your resumes to queries. H.O. Persons having experience (Third Amendment) Rules tions where the trial has DTMT NETWORK against falsified [email protected] or call with pharma distributors will 9213641114. 2014. been conducted within also be considered. Apply with “In the case of an injury fourteen calender days of Acting tough against drug retailers and wholesalers over required manager for fol- all details regarding education, anti-malaria drugs experience, salary drawn etc occurring to the subject the occurrence of the se- noncompliance of the rules prescribed in the Drugs and low up our company- Arunabh during the clinical trial, rious adverse event”. Cosmetics Act, the Food and Drug Administration of Ma- DTMT NETWORK Batch number 1833, Pharma, Delhi Contact No. 981 to: sansillformulations@yahoo. 1288868,9810188080,09212277 com he or she shall be given However, in sub para- harashtra, Nagpur division cancelled as many as 364 33587Q, 4400Q1 from Riv- 152 free medical manage- graph 3 relating to the drug licences of retailers and 12 of wholesalers for the The World Health Organi- opharm Laboratories in ment as long as required responsibilities of the in- year 2013-14. zation (WHO) has brought Cameroon, Biochemie in or till such time it is es- vestigators, it is said that, The stringent move came following an inspection of to the notice of the Indian Ghana and Welders Far- tablished that the injury “ in case the investigator 4,190 retailers along with 1265 wholesalers by FDA offi- drug regulatory authority masotiske in Liberia re- DISCLAIMER is not related to the clini- fails to report any seri- cial last year. An official report released by the FDA said the three separate falsified spectively has been came The Printer, Publisher, Editor, and owners of cal trial, whichever is ous adverse event within it has gained an overall performance of 79.25 per cent the anti-malarial medicines under scanner by the WHO. the DTMT are not responsible for any claims earlier”, as per the new the stipulated period , he previous year. There are 4,574 retail and 2,315 wholesale which have been discov- Besides, the letter said made by the advertisers. TheDTMT shall not in proposed sub rule 1 in the shall have to furnish the medical stores in the division. ered in West and Central all of these products have any way be held liable for any consequences in rule 122 DAB. reason for the delay to A state FDA official said since there has been a lot of Africa. These falsifies med- been intentionally falsified the event such claims are not honoured by the The sub rule 2 of the the licensing authority awareness among common people, the department re- icines came from Cam- and are circulating within advertisers. notification said that in along with the report of ceived three to four complaints every day during the last eroon, Ghana and Liberia. the formal and informal Readers are, therefore, requested to sat- case there is no perma- the serious adverse event. financial year. In a letter to Mr RK Jain, supply chains. Dr Me- isfy themselves with appropriate inquiries Additional Secretary & nabde has asked the drug before venturing to send money, incur ex- Director General (Cen- regulatory authority to en- tral Government Health hance the vigilance mech- penses, act on medical recommendations DTAB in favour of direct supply of Scheme), Dr Nata Menab- anism within the supply or entering into any commitment in rela- de, the WHO country of- chains for these specific tion to any advertisement published in this ficer or representative for batches. publication. oxytocin to veterinary hospitals India, stated that in Cam- In Cameroon, the mat- eroon, Sulfadoxine/Py- ter came to light by a non- MK SINGH health and livestock health and rimethamine BP from Riv- government organization The drug is being widely used in that there should be a complete ban opharm Laboratories, in (NGO) in June 2013 after Ruling out complete ban on oxy- dairy industry despite there being on the circulation of this hormone, Ghana, Quinine Sulphate tracing the medicine at a tocin in the country, the Drug Tech- added Gandhi. from Biochemie GmnH wholesaler. Following the nical Advisory Board (DTAB), the a ban on its sale, except by a Following the recommendation, and in Liberia, Quinine laboratory testing which apex authority on technical matters prescription from a registered Secretary, Health had placed the Sulphate of Welders Far- revealed less than 2 per on drugs, proposed that the drug matter before the DTAB and after a masotiske are the drugs cent of the API, WHO is- formulations containing oxytocin medical practitioner marathon deliberation the technical found to be falsified. sued a warning to the Af- shall be supplied only to the regis- board has concluded that the drug “None of the medicines rican counterpart request- tered hospitals for human or veteri- drug make cows barren early in life, is already a prescription drug and were manufactured by the ing increased vigilance nary use and nursing homes only but also lowers the life span of the can be sold only under the prescrip- companies named on the for this batch. Moreover, DTAB has proposed some key animal thus causing economic loss tion of registered medical practi- labels. Two of the medi- Rivopharm Laboratories changes in the Drugs and Cosmetics to the owner in the long run. tioner. cines contain less than 2 have confirmed that they Rules, 1945 for manufacture of for- The drug is being widely used in However, the board has also con- percent of the active phar- have not manufactured mulations of the said drug to check dairy industry despite there being ceded that the drug as such has a maceuticals (API) ingredi- this product over the last- misuse of Oxytocin injection. a ban on its sale, except by a pre- definite role in the medical field ent and analysis is awaited 15years. As per the D&C rules the manu- scription from a registered medi- both for humans and animals and concerning the third. In August 2013, the Food facturer of bulk oxytocin drug shall cal practitioner. However, various as such the legitimate manufac- All three products are and Drug Authority of supply the active pharmaceutical states have raised concern over ille- ture and sale of the drugs cannot be contained in tubs of 1000 Ghana have discovered drug only to the manufacturers li- gal manufacturing and sale of crude stopped. tablets designed for hos- the medicine in a hospi- censed. oxytocin. Keeping in mind its medical need pitals and clinics. The labe- tal which latter proved to In this regard Maneka Gandhi, Moreover, most dairies use this the board said that in emergency ling on all three products be falsified. Following the BJP MP, had written to Secretary, hormone on milch animals twice a in rural or remote areas, the drug was in english and french laboratories testing and Ministry of Health and Family Wel- day, regardless of the fact that the could only be obtained from the re- having spelling mistakes, analysis the Ghana FDA fare. She had drawn the attention drug might find its way into the milk tail outlets only. The misuse of the moreover they also show has issued an alert and re- of the ministry towards misuse of obtained. Ingestion of such milk can drug for milking purpose is how- a previous WHO Essen- call the drug from the mar- oxytocin which she said was lead- cause serious hormonal complica- ever a matter of concern and is re- tial Drugs Program logo ket. It has been established ing to a substantial loss of livestock tions in consumers. So the misuse quired to be stopped for the health (no longer in use by the that Biochemie no longer in the country. Not only does this of oxytocin is critical for human of the livestock, noted the DTAB. WHO)”, said the letter. exist under this name. DRUG TODAY MEDICAL TIMES 1st - 30th June 2014, New Delhi Medical Paramedical 5

Going beyond call of duty earned GB Pant nurse rare honour BS RAWAT to GB Pant Hospital includes in-service management of the clinic that was visited seminars on health issues and can be seen nursing education, development of nursing by over 3,000 persons. She was admired by working out at emergency department, tak- This is not the first time Lucy Patrick Simon, manual and pocket handbook. In an article international sportspersons and medical ing the training and more. In the hospital, a nurse at GB Pant Hospital, New Delhi, re- published in British Journal of Nursing, she teams for her knowledge and professional- she plays a big part in emergency operations ceived scroll of recognition. But, this re-des- wrote on prevention and management of ism. She also inspired subordinates with her where safety is top priority. ignation incorporates new, more stringent needle stick injuries. leadership and management skills. GB Pant Hospital’s neurologist Dr Vinod standards of patient outcomes. Speaking about her journey into the pro- Just few months after the games were over, Puri calls Lucy a dedicated and loyal sister, Sister Lucy is among the four employees of fession, Lucy recounts: “I took up nursing she got promotion and was made a nursing trustworthy, honest and hardworking. the hospital who received the scroll of rec- as a career at the age of 16 after my father in charge in newly opened emergency de- “She consistently goes ‘above and beyond’ ognition at the inaugural ceremony of the died of heart attack. His untimely demise partment of the hospital. in her duties... she does work as a team play- golden jubilee of the GB Pant Hospital. Of impelled me to take up a nursing course at In 2011, she, along with 35 others across er within the whole emergency department the other three recipients of the award, two St Stephen’s Hospital and later a job at the the country, received the National Florence and reaches beyond her position at the front are doctors and one lab technician who not Pant Hospital. Nursing as a profession is im- Nightingale Award from the President for her to be sure work smoothly for patients, nurs- only excelled in their respective professions mensely gratifying.” industriousness. es and doctors,” said Dr Puri. but also infused team spirit in their fellow Lucy’s determination, dedication and cour- MSc in nursing from Rajkumari Amrit Kaur workers. age to provide heart care to the emergency Lucy Patrick Simon College of Nursing, Lucy knows how to stay n Honour came to him as a pleasant The honour, which came to her as a pleas- patients was recognised and appreciated, focused and balance work, emergency, and surprise-P 11 ant surprise, has yet to sink in the humble for which she was conferred the best award. with the growth in health infrastructure,” she his volunteering responsibili- nurse of the hospital who is in charge of This is the second award of her life for her said. ties at the hospital. As a nursing emergency department. She received the specialisation in patient care like cardiology, Starting her career at the hospital on June in charge, she genuinely cares award from Vice-President of India Mohd brain, neurology and endoscopy. 1, 1987 as a nursing sister, Lucy had the privi- for the well-being of patients. Hamid Ansari for her contribution to growth “People respect you if you work honestly. A lege to work as nurse-in-charge in the poly- She goes above and beyond his and development of the hospital. patient’s satisfaction is the best reward for clinic during Commonwealth Games 2010. brief to help the patients. Lucy has achieved a lot in a short span our work. As far as the profession is con- Her extraordinary interpersonal and com- Lucy has participated in sev- of her career. Her significant contribution cerned, the demand for nurses has shot up munication skills helped her in the efficient eral national and international Midwife to nightingale – a DMC bars allopaths from prescribing saga of service, dedication Unani and Ayurvedic medicines

ROHIT KUMAR DTMT NETWORK tion of medical practitioner under the Act will NEW DELHI be an offence. Any person who falsely assumes In Bhagwata Gita, Lord Krishna that he is a practitioner as defined in clause (k) asks Arjuna to act as a matter of If you are dependent on Ayurvedic medicines of section 2 and practices Bhartiya Chikitsa (In- duty without being attached to the prescribed by allopath, think again before tak- dian system of medicine), shall be punishable fruits of activities to attain the Su- ing your next dose. Your doctor could be as ig- with rigorous imprisonment which may extend preme. This fact is borne out by ex- norant about Ayurvedic medicines as you are. up to three years and with fine which may ex- periences of great people but also This is the reason the Delhi Medical Council tend up to Rs 50,000. ordinary mortals. Sooner or later (DMC) has issued a circular to heads of health He said no cross-pathy practice is allowed for commitment and dedication to institutions and the allopathic doctors to im- any medical practitioner unless such person one’s work pays and when it does mediately stop prescribing Unani and Ayurveda is also registered in that system in which he is it gives immense pleasure and sat- medicines. practicing. isfaction. The circular especially warns health This is precisely the experience institutions in the National Capital of a woman from Bihar who has against practicing and prescribing been selected for Florence Night- Martha Dodray Ayurvedic drugs like LIV52, Cystone, ingale Award 2014, the highest Septilin, M2 Tibe, Amiycure DS, Neri, international honour for a nurse. Country will honour me for my Amycordial Martha Dodray achieved this hon- role in polio immunisation cam- Practicing traditional medicine our through service she rendered paign,” said Martha. without required qualification to do on the wounded and sick, disabled Martha Dodray is a tribal native so is a punishable offence under Delhi and civilian victims of a conflict or of Palamu district of neighbour- Bhartiya Chikitsa Parishad Act, 1998. disaster with exceptional and de- ing Jharkhand in her mid-40s. She The trespass into a prohibited zone votion. is currently posted as a midwife at is liable to prosecution under Section Her exemplary pioneering ser- Kusheshwarsthan primary health 15(3) of the Indian Medical Council vice in the areas of public health centre in the state’s Darbhanga Act, 1956. Any who does so shall be or nursing education paid her off district. charged under sections 419A, 420, of in the end. She was selected for the Recounting her struggle, Martha the IPC. rare honour for her contribution to said she had worked hard to en- The Commission has ordered that a eradication of polio in the country. sure that every child is adminis- copy of this interim recommendation The award carries Rs 50, 000 and tered the proverbial two drops (of also be pasted at the notice board of a merit certificate and is given on polio vaccine) in the most inacces- every hospital, sub district hospitals, the occasion of International Nurs- sible areas. She would walk sev- primary health centres, dispensaries es Day as a mark of recognition of eral kilometers each day to reach and other health institutions of the the meritorious service rendered remote areas to administer polio state, so that the general public, par- by nurses and nursing profession- vaccine to hundreds of children, ticularly patients, are made aware als in the country. The award is in- mostly belonging to the poorest of about the fact. stituted in the memory of English the poor. The circular came in response to a social reformer Florence Nightin- Last November, Dodray was complaint about the allopathic doc- gale, who is considered founder of honoured at the Global Leadership tors prescribing Unani and Ayurveda modern nursing. Awards Dinner of 2013 hosted by medicines. Registrar, DMC, Dr Girish “I am gal that the President of the the UN Foundation. Tyagi told DTMT that false assump- Subscribe NOW! Yes, I wish to subscribe to Drug Today Medical Times Enter my subscription for

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Watermelon: Benefits surpass taste Stress can worsen Cadaver donor effect of allergies RICHA SINGH water content of a watermelon saves sinking will typically increase along DTMT NETWORK Some fruits are real fun to with ripening, and a fully rip- eat, watermelon is definitely ened watermelon will be over Stress doesn’t make allergies, but it can trigger al- liver patient one. With mouthwatering 90% water in terms of weight, lergy symptoms and thereby make them worse. sweet juice, flavour to relish and water is one of the heavi- Your allergies are bad enough on their own. How- BS RAWAT and taste so delectable espe- est components in any food ever, your irritation or discomfort may become even cially during sweltering hot Second, look for a watermel- worse due to stress. But for an obscure cadaver donor, Tilak Raj, summer, watermelon stands on with a relatively smooth Reason: Overtime stress can cause chemical chang- a patient of chronic liver infection, would out among fruits irresistibly rind that is slightly dulled on es in your body that may affect your immune have been dead man today. He is thanking favourite fruits. But, little is top. The bottom or “underbel- system. These chemical changes may his stars for the turn of events which led to known about its health ben- ly” of a watermelon is the spot make your body even more sensi- his successful treatment and recovery. efits. where it was resting on the tive to substances that trigger your A resident of Palbal, Haryana, Tilak Raj, Watermelon not only ground. If that “ground spot” allergies. When this happens, al- 40, returned home hale and hearty after quenches your thirst but also is white or green, the water- lergy symptoms may flare up more successful liver transplant at Indraprastha re-revitalise your body for the Health (beta carotene), Im- µg in tomatoes. Studies sug- melon is unlikely to be fully easily. Apollo Hospital New Delhi. The operation day’s work with anti-oxidant mune Support, Wound Heal- gest that lycopene offer cer- ripe. A fully ripened watermel- There are two types of symptoms, is a step towards lycopene and vitamin-A. Don’t ing & Prevents Cell Damage tain protection to skin from on will often have a ground namely hives and hay fever. providing the best miss the flavour of summer (vitamin-c). harmful UV rays. spot that has turned creamy Hives: Those raised red and often itchy in healthcare to with sliced pieces of water- Watermelons are an excel- How to select and store- If yellow in color. spots on your skin usually indicate patients the hos- melon in your daily diet. lent source of several vita- you are purchasing a pre-cut To store an uncut wa- an allergic reaction of some sort, but pital promised, Of late, a number of studies mins: vitamin A, which helps watermelon that has already termelon, keep it at room they also may be triggered by stress. according to the have been carried out to de- maintain eye health and is an been sliced into halves or temperature,If it’s kept in a If your rash is related to stress, man- Apollo authorities. termine the health benefits the antioxidant; vitamin C, which quarters, choose the flesh that room that stays around 55 to aging stress may help reduce out- His wife, watermelon has for humans. helps strengthen immunity, is deepest in color and lacks 60 degrees Fahrenheit, an un- breaks. Meenakshi, said, All the studies have come out heal wounds, prevent cell any white streaking. If the wa- cut watermelon should stay Hay fever: This may make your runny nose, itchy “It was no less with some very promising re- damage, enpromote healthy termelon is seeded, the seeds fresh for up to 10 to fourteen eyes and sneezing worse, and due to the stress-in- than a miracle sults. teeth and gums; and vitamin should also be deep in color, days. duced hormone cortisol and its effect on that a cadaver Watermelon is beneficial in B6, which helps brain func- or white. To store cut watermelon so immune system, hay fever symptoms donor surfaced at Cardiovascular & Bone Health tion and helps convert protein When purchasing a whole, it stays its freshest, securely could be worse for a longer period a time when we (lycopene), Reduces Body Fat to energy. uncut watermelon, there are cover the cut end and place of time. Doctors suggest that those were badly in need of one to save the life of (amino acid), Anti-inflamma- Watermelon is also the several features to you’ll want it in the refrigerator. Or, cut who suffer from allergy should try my husband.” tory & Antioxidant Support source of carotenoid pigment, to evaluate. The first is its the watermelon flesh from to de-stress themselves and recom- She recalls how in the beginning she did (cerotenoids), Diuretic & Kid- lycopene and indeed, superior weight. A fully ripened water- the rind and place it in an air- mend techniques such as meditation not realise that her husband had some kind ney Support (natural diuret- to raw red tomato. 100 g of melon will feel heavy for its tight container. Either way, the and deep breathing. They also want of health problem. And when he was diag- ic), Muscle & Nerve Support fresh melon provides 4532 µg size. Heaviness in a watermel- watermelon should last 2 to 3 them to quit smoking and caffeine and spare time nosed with the liver infection after suffering (potassium), Improves Eye lycopene, whereas only 2573 on is a good thing because the days in the refrigerator. for fun and relaxation and adopt a healthy lifestyle. from the disease for many years, it was a bolt from the blue for the family. “At times he used to get bouts of insom- nia which gradually led to compounding Genetic signature his health problems. As a precaution, I took Curcumin: The story so far in oral him for a jaundice test which diagnose that can be a boon for his bilirubin was much higher than usual. We took him for other lab for further tests, cancer and pre-cancerous lesions however, the results were the same. Hence, TB patients we took him to the nearby hospital for the treatment,” Meenakshi recounted her or- DTMT NETWORK Oral Cancer is the sixth most lesion), but none have proved oral leukoplakia, 25 patients 24.64mm to 39.40mm). The deal. common form of cancer world- curative or reduced the mor- with oral sub-musous fibro- oral leukoplakia, sub-mucous The doctor at the hospital kept him on Nearly 8-20 per cent of deaths caused by wide. Its incidence is particu- bidity significantly. sis & 25 patients with lichen fibrosis and lichen planus were medication for a while, but his condition tuberculosis (TB) occur in children. Most larly high in India, other Asian Extensive research with- planus, as well as 25 normal cured in almost the same pe- remained unchanged, rather became more of these deaths are attributed to delay in countries, and in certain places in the past half century has healthy individuals were in- riod of time. critical with the passage of time. diagnosis and treatment. Researchers have in the western hemisphere, indicated that Curcumin cluded. In another clinical study Eventually, he was referred to Apollo Hos- found solution to this problem in the DNA. e.g. parts of France and Brazil, (diferuloylmethane) exhibits The mean & median values of Curcumin demonstrate anti-fi- pital, where senior liver transplant consult- A team of researchers have discovered a where smoking and alcohol anti-oxidant, anti- serum and salivary brotic effect in TGF-β1 induced ant Dr Subash Gupta diagnosed him with genetic signature in the blood of children consumption are major risk inflammatory and vitamins C and E myofibroblast from Human liver infection. with the disease, which they say opens the factors. In India, the chewing pro-apoptotic ac- showed increases, oral mucosa. Curcumin has With this revelation his family went on doors to a “quick and easy” diagnostic test. and smoking of tobacco prod- tivities. It has been while MDA and been found to inhibit prolif- hunt for liver donor. Many prospective do- According to the research, TB is notori- ucts in various forms is pri- demonstrated that 8-OHdG showed eration of fibroblasts and my- nors were examined but no suitable donor ously tricky to diagnose in children. When marily responsible for the high Curcumin downreg- decreases in oral ofibroblast, disrupts the cell was found even as the patient’s condition it is diagnosed, the disease is often in its prevalence of Oral Cancer and ulates STE (Khaini) leukoplakia, sub- cycle, induces apoptosis and kept deteriorating. He was put on a ventila- late stages and has already spread to the pre-cancerous lesions includ- or NNK-induced mucous fibrosis,decreases the generation of tor. brain and other organs, increasing the risk ing sub-mucous fibrosis, oral NF-KB & COX-2 in lichen planus pa- collagen type I & III in myofi- After finding him little better, Dr Subash of death. leukoplakia & Lichen planus. oral pre-malignant tients one week broblast. Gupta processed with further medication. From more than 30,000 genes in the hu- The World Health Organiza- and cancer cells in after intake of Cur- The FDA has approved Cur- Meanwhile, a cadaver donor was traced to man genome, the team found that they tion (WHO) has estimated that vitro. Curcumin also mediates cumin, as compared to before cumin as “generally regarded Ahmedabad and the patient was rushed to were able to distinguish TB from other dis- 90 per cent of cases in India its-anti-pre cancer activities by treatment in all precancerous as safe”. No toxic effects have the city by air ambulance where Dr Subash eases by looking at only 51 genes and seeing among men attributable to increasing levels of vitamins C patients. Pain scores and size been observed at doses up to Gupta and his team performed a successful whether these were activated or suppressed. chewing and smoking habits. and E in saliva, preventing lipid of lesions in oral leukoplakia, 8g/day. The safety of Curcum- operation. “What we now need is collaboration from A wide range of treatment mo- peroxidation and DNA damage. sub-mucous fibrosis and li- in, combined with its potential After the transplant, Raj was shifted to ICU biotechnology and industrial partners to dalities both medical and sur- Balwant Rai et al carried a chen planus improved signifi- efficacy and low cost, makes it for a few days before discharging him from turn these findings into a simple, rapid and gical have been proposed spe- study to investigate the poten- cantly. In addition, in sub-mu- an ideal therapeutic drug for the hospital. Now, he is leading a normal affordable test for TB that can be used in cifically for Oral Sub-mucous tial of Curcumin in pre-cancer- cous fibrosis mouth opening oral cancer and pre-cancerous healthy life. hospitals worldwide,” said Researcher. fibrosis (major pre-cancerous ous lesions. 25 patients with recovered significantly (from lesions.

KNOW YOUR ENEMY : Ageing faster? Blame it on your lifestyle

e all Long ago, a famous Roman glycation end-products are also Moreover, smoking or spend- Wmust slave rightly said that to do two linked to heart disease and dia- ing a lot of time around a smoker have heard things at once is to do neither. betes. can lead to Vitamin C depletion our parents Stress from multi-tasking and Excessive coffee or alcohol in the body, causing the body to complain juggling working can act as a act as dehydrators to the body. become dry and develop wrin- that we are huge age accelerator. This can Processed carbohydrates (like kles. Research has also shown half as ac- trigger the release of free radi- pasta, bread, and baked goods) that the chronic, sleep-deprived tive as they cals, which can damage cells. can damage skin’s collagen, and show more evidence of sleep Madhuri Shukla were at our Moreover, multitasking boosts cause wrinkles. ageing, such as fine lines and age. Theythe level of stress-related hor- Vegetables rich in Vitamin A drooping, and have a slower must have heard the same re- mones (cortisol, and C such as broccoli and spin- skin recovery from sun damage. frain from their parents. While adrena- ach, fruits such as tomatoes, Thankfully we Indians have growing old is a normal process, line) watermelon and guavas enough melanin to protect us our everyday habits can age us rich in lycopene, whole from sun’s harmful rays, but that faster than we think. grains, does not mean that we should Blame it on sudden shoot not take care of our skin. The up in incidence of non-com- collagen and elastin-forming municable diseases thanks to agents of the skin are prone to modern-day sedentary lifestyle, UV damage, whereby they can stress and unhealthy diets. Ac- become defective, making the cording to experts, one in every skin sag and droop or even lead four person, above the age of 30, to skin cancer in severe cases. is suffering from hypertension Most importantly, don’t be today. Occurrence of diabetes couch potato! If you exercise among adults is approximately only when you see your fat pic- 8 per cent even in rural popu- tures, then beware! You would lation, while it is around 15 per hate ageing skin and wrinkles to cent in urban adults. Similar is go with your flab. Several stud- the case with coronary heart and wears down our systems low-fat dairy, and lean protein ies have proved that regular fit- diseases. through biochemical friction, can help fight inflammation and ness and exercise goes a long Signs and signals include ten- prematurely aging us. In the keep you looking your best. way in prolonging life span. dency to become easily tired, long run, these signs may be- It’s not just what we eat. We Age-related diseases can be changes in sleeping patterns, come a major neurological also need to take care of what warded off by improving flex- decreased memory, skin and problem. is going on the outside. Use of ibility, lowering cortisol levels, hair changes such as wrinkles, We can look older in the mir- harsh soaps and cheap cosmet- increasing beneficial hormones brown spots on the skin, loss of ror for the simple reason, having ics can result in skin becoming and controlling blood pressure. skin elasticity, graying of hair crap on our plate. Poor eating less elastic and developing fine As per the American College of and hair loss. habits and intake of junk food lines, wrinkles and even droop- Sports Medicine, 30 minutes of The main culprit is our daily loaded with trans fats can raise ing. Excessive use of cleansers activity daily is recommended. routine. How we look at what LDL “bad” cholesterol and lower and scrubs offer instant gratifi- A few lifestyle changes reduce age and what would be our life HDL “good” cholesterol. Sugar cation in the form of tight, clean, the signs of ageing but a cherry span, depends majorly on what’s can cause inflammation, early squeaky-smooth skin, but over- on the cake is wearing a bright on our plate every day, how and cognitive and physical decline doing it ultimately erodes the smile, which will never fail to in particular when we sleep, as and cause premature ageing. barrier layer, exposing the skin give your face a more youthful well as what we do when we are What’s more, these inflamma- to bad bacteria and excessive appearance. Keep happy and awake. tory end-products or advanced dryness. stay young! DRUG TODAY MEDICAL TIMES 1st - 30th June 2014, New Delhi Medical Voice 7

FROM THE EDITOR’S DESK Organ donation – truly a death defying act Polls usher in new era of democracy At a time when we are dead and gone, we don’t need them anymore. But our one noble Bread & butter to fore, health not far behind gesture cheer up many a heart, writes Dr Muneet Kaur Sahi he outcome of the 2014 Lok Sabha elections has taken political rgan Transplantation is one of the relatives are agreeable, the process of or- Specialist healthcare professionals that Tpundits by surprise. The resounding victory of the BJP, in which Ogreatest advancements of modern gan donation is undertaken and vital or- determines which organs and tissues are it won 282 seats and ensured 336 seats for the National Democratic science which saved many a life. In fact, gans like heart, lungs, liver, pancreas and suitable. Alliance (NDA) led by it, out of the total strength of 543 in the Lower it was included in top-five miracles of kidneys are removed for transplantation. Organ donation is a gift of a lifetime House of Parliament, in the wake of strong anti-incumbency wave the last century. But for organ donation, In case of corneas, retrieval can be which saves lives of people suffering against the Congress-led ruling UPA that reduced the Opposition to a transplantation of organs would not have done up to six hours after cardiac stand- with organ disease. For example, kid- status of irrelevance, was though a foregone conclusion, nobody, not been possible. still. Other tissues like heart valves, skin, ney disease can require people to be on even the BJP, had anticipated. Even an assessment in passing of the Organs can be donated by living in- bone and cartilages can be removed up dialysis in hospital for up to 6 hours a overwhelmingly decisive mandate in favour of the saffron party it is dividuals, after natural death and after to 48 hours after death. However, in a day, several days each week, before their “brain death”. warm country like India, it is advisable organs finally give up and they die. Af- clear that what mattered to the voter is real issues of bread and butter. The Government of India has rec- to do it sooner. An upper limit of 12 to 24 ter organ donation, recipients can leave If this is the case, can health issues remain far behind? In this context, BJP’s commitment to ognised brain death as a legal form of hours can be followed. hospital and return to their families, improve the quality and lower the cost of healthcare is worth mention. death in 1994 and passed a law to this ef- In its manifesto, the party laid enormous stress on the need for a holistic care system uni- fect – Transplantation of Human Organs versally accessible, affordable and effective and drastically. It further said that the over- (THO) Act. This legislation was enacted to Brain death is a very arching goal of healthcare would be to provide ‘Health Assurance to all Indians and to re- streamline the activities of living trans- tragic situation and the duce the out of pocket spending on health care’, with the help of state governments. What’s plants especially kidneys. Ever since this only positive outcome more, the party speaks of radical reforms in the healthcare system with regard to national Act was passed, it has been possible to healthcare programs and delivery, medical education and training and financing of health- undertake multi-organ transplant activ- can be organ donation care. All this augurs well for the country’s healthcare system which needs to be galvanised ity from brain dead donors in the country. before the machines are Brain death usually occurs when there to make it robust and purposeful. is internal brain haemorrhage and the switched off. Usually, the Among the many firsts in this election is the fact that the electorate, this time around, expanding hematoma cuts off the blood organ donation request is changed the pattern of voting. This is the first time they voted on the promise of good gov- supply to vital sections of the brain thus ernance and development, which have never been election issues in the past. Through the starving it of oxygen and glucose and made at the time interval verdict, Indian electorate refused to be swayed by sentimental issues or bite the bait of leading to death. Bleeding can happen between the diagnosis doles thrown at him in the form of freebies. With one stroke, he not only rejected caste and due to a spontaneous rupture of an an- of brain death and communal politics, but also spurned at the populist schemes the outgoing UPA-govern- eursysmal artery within the brain or ment hurriedly introduced at the time of elections. more commonly due to a severe head in- discontinuation The credit for this phenomenal transformation in the voting pattern goes to one man – Nar- jury that occurs in a road traffic accident. of the ventilator endra Damodar Modi. He single-handedly ensured absolute majority for his party through Diagnosis of this condition is clinical and most doctors in intensive care units are a hectic whirlwind campaign he ran on his personal terms bringing forth the issues that familiar with the condition. The process of organ donation and their work and their lives. It’s the same have never been on the election menu. His singular achievement is that he changed the As we all know the brain is the master transplantation requires coordination for people suffering with liver, heart and dynamics of democratic governance forever. Modi’s victory has brought forward the real conductor that directly or indirectly con- between different teams operating al- all major organ disease. issues of governance and development, which so far remained relegated to the background. trols the functioning of the body. Hence, most simultaneously and sometimes in By taking the decision to donate your So irresistible was his clarion call for change that support poured in from unexpected quar- once the brain dies everything is lost. different locations. It may require get- organs upon death you can help some- ters which had previously neither any stake in him, nor his party. This was possible only Normally, in death as we understand, the ting surgeons from different specialities one see again, improve quality of life, through the aspirations he appealed to. By doing so he has taken a calculated risk that no heart comes to a halt first and the brain together for both donor and recipient keep a family from having to grieve the political leader has ever dared to. He held the interests of the common man above every- cells die within a few minutes due to lack surgery. loss of a loved one... There’s so much thing else. Now that he is on the hot seat of prime minister, whether he will be able to fulfil of blood circulation. But in case of brain There is no age limit to becoming a do- that one can do with this altruistic and the promises he has made is another matter. But, one thing is for sure, real democracy is death, the reverse takes place. nor. A person’s physical condition, not noble decision, and quite frankly, it’s not Brain death is a very tragic situation age, is the deciding factor. Organs and like that we need them when we are dead here to stay. And the aam admi is the real winner in this changed scenario and will con- and the only positive outcome can be tissues from people in their 70s and 80s anyway! tinue to be so forever. As for healthcare, it is given that a nation’s development is incom- organ donation before the machines are have been transplanted successfully. A So, go ahead! Picking up your donor plete without a robust healthcare system. The incumbent Government and Prime Minister switched off. Usually, the organ donation virology screening is required in all po- card and become an organ donor today. elected in the name of development cannot ignore such a vital facet of development if they request is made at the time interval be- tential donors to prevent possible trans- want to be in the reckoning politically? After all, this is not their first election, nor is it tween the diagnosis of brain death and mission of disease from donor to recipi- The author is transplant coordinator at the going to be the last. discontinuation of the ventilator. If the ent. Ultimately, it is the decision of the MOHAN Foundation Quote of the month History makers

Sir Chandrasekhara Venkata Raman Albert Einstein

Good character is not formed in a Sir Chandrasekhara Venkata Raman (November 7, Albert Einstein (March 14, 1879-April 18, 1955) was a German-born 1888-November 21, 1970) was an Indian physicist whose theoretical physicist. He developed the general theory of relativ- week or a month.“ It is created little by ground breaking work in the field of light scattering earned ity, one of the two pillars of modern physics (alongside quantum little,“ day by day. Protracted and pa- him the 1930 Nobel Prize for Physics. He discovered that mechanics). He is best known for his mass-energy equivalence when light traverses a transparent material, some of the de- formula E = mc2 (which has been dubbed “the world’s most fa- tient effort is needed to develop good flected light changes in wavelength. This phenomenon is mous equation”). He received the 1921 Nobel Prize in Physics “for character. now called Raman scattering and is the result of the Raman his services to theoretical physics, and especially for his discovery Effect. In 1954, he was honoured with the highest civilian of the law of the photoelectric effect”. The latter was pivotal in es- — Heraclitus award in India, the Bharat Ratna. tablishing quantum theory.

Readers are welcome to write to us on any health and PERSONALITY OF THE MONTH medicine related issue. We will be glad to publish the same on merit after suitable editing. I take every crisis as an opportunity: Dr DK Sharma You may email us at — [email protected] various departments and delivering crisis as an opportunity for the future. Visit us at drugtodayonline.com Being a premier health centre of the country, results every time and all the time. DTMT: Doctors are leaving AIIMS All India Institute of Medical Sciences (AIIMS) The very fact that I am contributing in for private institutions to earn more remains under constant pressure all the time. any way, big or small, in achieving the money. What measures do you want Expectations from it are high, so are stacks goals of AIIMS is most satisfying and to take to check this trend? LETTERS TO THE EDITOR loaded against it. Dr DK Sharma, the medical rewarding experience. DDKS: Brain drain from the institution superintendent of the prestigious institute, has DTMT: What efforts AIIMS has is just one per cent. This cannot be unenviable task at hand. He is not only seized undertaken to improve quality patient checked like the way other countries IHBAS failed to stand up to its reputation of the challenges in front of him and has pulled care? do. Yet for doctors, association with up his socks to confront them head on. DDKS: Poor patients are not denied AIIMS remains the pride of place. Sir, Dr Sharma is a man of many parts. His care for want of money. Efforts are This is the reason everybody from It is shocking to note that as many as 420 patients died and contribution to community welfare through on to accommodate in the OPD, the health medical fraternity aspires 351 were missing from IHBAS (DTMT May 2014). What was various national programmes, teaching and casualty and wards as many patients to join the AIIMS for high quality the Government doing for all these years? There are many research in the field of medicine are widely as possible without compromising tertiary care services. mental hospitals like IHBAS all over the country. But, Delhi appreciated. He has served as chairman of on the quality of care. Expansion, DTMT: Decision to deploy some staff hospitals, which are regarded the best for treatment, have various committees of AIIMS as well as other organisations besides Pollution renovation and acquisition of latest at Jhajjar campus on rotation basis is failed to even protect their patients. Control Committee under the Ministry of Health and Family Welfare, Delhi. technology are constantly underway said to have worsened the staff crisis Mentally challenged people cannot live at home and due to to aid the efforts of the personnel. at the Delhi AIIMS. What is your take? Dr Sharma has many awards and honours to his name including fellow of proximity to UP a large number of such patients are brought This has, however, made us victim DDKS: The issues being raised are International Medical Sciences Academy and WHO fellowship in training on here by their relatives with the hopes that they will be treated health care financing. As medical superintendent of the AIIMS since 2005, Dr of our own efficiency as many more part of teething trouble associated Lalit patients are flocking to the institute with any new service and it will be under better conditions than at home. But here the story is Sharma has seen many ups and downs. In an exclusive interview with completely different. The government and administration Mishra, Editor of DTMT, Dr Sharma spoke about the challenges of running the and making our task all the more sorted out as we are in the process is very lax in providing them safe sanctuary. I congratulate institute and how he could be able to meet them. challenging. of hiring new staff. The laboratory DTMT: During your stint at the and pharmacy services have been DTMT for highlighting the plight of these people. hospital, what have you done to outsourced to HLL which issues free Drug Today Medical Times: Give us a they wanted me to do by opting improve patient satisfaction and generic medicines to patients in Delhi Deepak Kaushik, Ghazibad glimpse of your journey so far, right hospital management as a career. quality of service? campus also. from schooling to the administration Besides, I was conscious of societal DDKS: We have improved support DTMT: What is your vision to the A touching story of AIIMS? sensitivities and was concerned services like sanitary, security etc., institution? Dr DK Sharma: My father, as an about the welfare of the people. While reduced waiting time, ensured more DDKS: 15 years down the line, I would Sir, engineer in a government department, doing residency in AIIMS, I came to patient-friendly infrastructure and like to see AIIMS grow up to be The story of young scientists, ‘Medical research: Labor of love had a transferable job. Yet, I spent know that India needs public health expanded the operation to serve more another Harvard. goes unrewarded’, (DTMT May 2014) was touching. It gives an major portion of my childhood professionals and not specialists. people. insight into the predicament of young scientists who happen in Model Town, Hansi, Haryana. I Hence, I decided to switch over to DTMT: What is the most challenging RAPID FIRE to be the future of the country. If they are not paid adequately, was good in academics right from hospital administration. aspect of your job? it wouldn’t inspire others to enter the field of research. the beginning. After schooling, I DTMT: What difficulties do you face DDKS: Several aspects of running an FAV DISH What I have noticed in this newspaper, apart from health, joined the prestigious Pt BD Sharma while striving for better healthcare? institution like AIIMS are challenging. North Indian, primarily vegetarian medicines, doctors and nurses, is that you are regularly com- Post Graduate Institute of Medical DDKS: We have cared for many The most difficult task, according to food ing up with the issues of other paramedical staff. It is great, Sciences, Rohtak in 1984 for MBBS patients in terrible conditions. With me, is managing faculty members. keep it up! course. In 1987, I did a diploma the mandate the society has rendered These are brilliant minds. Each one

in Psychiatric Management from in us we strive hard to provide is an authority in his/her own field. Ranchi and then Master in Hospital comprehensive healthcare services to Though it is a positive quality, it Gourav Rana, Indore Administration from AIIMS in 1991. all patients. However, there might be makes them even more difficult to A service to the underdog I joined the AIIMS the same year as some deficiencies due to the extreme manage, administratively speaking. MHA Resident. My younger sister patient load against limited resources. DTMT: What is your strategy to get Sir, is chief dental surgeon at Railway The increased waiting period and over the crisis the institute is going I never knew about the scheme for needy patients suffering Hospital Delhi. Unfortunately, I have decreased patient-doctor ratio is through of late? FAV HOLIDAY DESTINATION from life threatening diseases and cannot afford the cost of lost my brother in an accident. causing a reduced patient satisfaction. DDKS: I take every crisis as an Summer’s: Some hill stations DTMT: What prompted you to choose DTMT: What are the challenges and opportunity. I look dispassionately Winter’s: Sea side as decided by treatment before reading it in your newspaper. As per your hospital administration as a career? rewards of working with AIIMS? at what can be done, what should be children news item, this scheme is a great help. Payment of Rs 2 to 3 DDKS: My father and teachers, DDKS: Multidisciplinary hospitals like done and what needs to be done and lakh for saving the life of a poor cannot be better than any- who had monitored my academic AIIMS are bound to be under constant then decide on the future course of thing. journey closely since my college days, pressure and require multipronged action. I try to provide committed This information has given me a hope. Now, I will inform oth- motivated me to do something for approach to resolve day-today issues. leadership and also be a team ers about it. In villages, a large numbers of people die due to the society. Since they had a towering The major challenges we face is member and bring all stakeholders non-availability of money. I thank DTMT for doing a service influence on me I precisely did what with regard to coordination among on a common platform to use the to the underdog. Rajeev Sharma, Delhi DRUG TODAY MEDICAL TIMES 8 Medical Nation 1st - 30th June 2014, New Delhi

Carry forward 11th Plan ICMR projects Vice-President stresses expansion to 12th Plan: HPC to Health Ministry of public healthcare system DTMT NETWORK plating on organising NEW DELHI conferences by several DTMT NETWORK toxicology, metabolic and chronic departments. The hospital Working in common disease specific areas in different geographical disease, nutrition monitoring sur- Vice-President M Hamid also brings out a coffee Stressing on the need to continue locations, to bring out disease specific document with vey, studies on chronic arthopa- Ansari underlined the need table book covering his- the research projects carried out thy, and role of cytokines in chi- for substantial expansion tory and evolutions of the of 11th Five-Year Plan during the current status, research towards eradication of leishmaneasis, kungunya infection are recom- and strengthening of the institute over the last five 12th Plan, a report of High Power filariasis, paraginomosis and lung fluke amoms many others are the mended for discontinuation in the public sector healthcare decades and will organise Committee (HPC) under the chair- 12th Plan. system to meet the health a paining competition. manship of Prof. PN Tondon said research activities extended to the 12th Plan The committee however praised needs of people living in GB Pant specialises in it will help Indian Council of Med- some major efforts of the insti- rural and urban areas. neurology and neurosur- ical Research (ICMR), the apex re- Plan should be continued in the undertaken by the institute has tute like increasing interaction Speaking at the golden Hamid Ansari gery, cardiology and cardi- search institution in the country, 12th Plan or dissolved forthwith not been projected adequately to with State Health Departments jubilee function of Govind ac surgery, gastro and gas- in moving forward the knowledge and in case they are to be contin- reach out to a wider audience. It through establishing a number of Ballabh Pant Hospital here tive postage stamp on the tro surgery and psychiatry. generated for the welfare of the ued, is there a need for improve- quite often emerged that many field units especially in less devel- on April 30, Ansari said, hospital at Rashtrapati It also has one of the best society. ment, phasing expenditure in 12th technologies evolved by the insti- oped regions in the country like “Bulk of the population Bhavan Auditorium. anesthesia centre in neuro Besides, looking at the accom- Plan for each component of the tute have not been adopted by the Rayagada and Kalahandi district today relies upon private At the function, the Pres- and cardiac anesthesia. plishments and achievements scheme should be taken into con- state governments. There is a need of Odisha, Car Nicobar Island and sector health providers ident said that the GB Pant The laboratory services of the institute over the last 100 sideration. of synergy and commercialisation north eastern region etc. paying up amounts that Hospital’s expansion plans here are remarkable par- years, the committee recom- Diagnostic and other support of the promising leads for the ben- The committee notes that the they cannot afford be- anticipate current and fu- ticularly of pathology and mended that it should be equated for the new H1N1 infection, for- efit of the society. present report on ICMR perfor- cause of the inadequate ture demands for world microbiology. There are with an autonomous institution mulating draft Bill for the Depart- Working in common disease mance in the 11th plan was actuat- reach of the public sector.” class healthcare services. free beds in general wards under the Department of Health ment of Health Research, expand- specific areas in different geo- ed on account of the fact that cur- On the occasion, the Pointing out that en- and paid bed at a very Research (DHR) on the line with ing research initiatives to medical graphical locations, to bring out rently ICMR is one of the schemes Vice-President presented a hanced facilities will con- nominal rates in nursing CSIR-DSIR, ICAR-DARE. colleges and launching of flagship disease specific document with being run through the budget of scroll of recognition to Dr tribute to raising academic homes i.e. private wing of The HPC was constituted by programmes like Vector-Borne current status, research towards DHR. The committee is cogni- S Padmavati, Dr M Khali- and service standards, he the hospital. the Ministry of Health and Fam- Disease Science Forum, Tribal eradication of leishmaneasis, fila- zant of the idea of an independ- lullah, sister Lucy Patrick said he was looking for- The hallmark of the in- ily Welfare to evaluate the perfor- Health Research Forum, transla- riasis, paraginomosis and lung ent review of ongoing schemes Simon and technician ward to early realisation of stitute has remained the mance of the ICMR with reference tional research and special sup- fluke amoms many others are the and draws support from the need Kirtiballalbh Kandpal for these initiatives. only tertiary centre in en- to the research activities initiated port to medical colleges among research activities extended to the to avoid inadequate synergy or a the growth and develop- In a press statement, Dr tire India which offers free during 11th plan. others are the major achieve- 12th Plan. lack of synergy between various ment of the hospital. Daljit Singh, professor of services for serious illness Besides, the committee was en- ments made by the ICMR during However, some programmes ministries, resulting in duplica- A souvenir was also re- neurosurgery, said several including placement of trusted with the task to evaluate the 11th plan, said the report. like research on use of fish on tion of efforts and sub optimal uti- leased on the occasion public lectures will be held free cardiac valves, stents, whether the schemes of the 11th However, HPC felt that the work mosquito control, research on lisation of Government resources. covering various aspects in the hospital premises to neuroangiographic pro- of growth of each depart- educate patients and care cedures, coling of aneu- ment over the last five dec- giver over several aspects rysm, instrumentations for ades. of diseases and preven- spine surgery , complex Lab exclusively Earlier in the day, Presi- tions over several months. gastro and gastro surgi- ADR monitoring centres for UP, dent Pranab Mukherjee He informed that the cal procedures , epilepsy for drug resistant released a commemora- hospital is also contem- surgery etc. Bihar and Jharkhand set up tuberculosis DTMT NETWORK 3024. Meanwhile, AMCs have DTMT NETWORK Dr Mahesh Verma first recipient of NCC has organised two taken a proactive role to dis- NEW DELHI In an effort to obtain data on seminate this in a local daily to Padma Shri from dental science Adverse Drug Reaction (ADR), Continuing Medical Education reach this system in every nook Approximately two to three million the Indian Pharmacopoeia (CME) on PvPI for the and corner of the country, added people in India are suffering from DTMT NETWORK dental science, and making greater ef- Commission (IPC), working as healthcare professionals in UP Dr Kalaiselvan. tuberculosis (TB). The country bears NEW DELHI forts at community.” a National Coordination Center He informed that the NCC will a disproportionately large burden With this honour, Dr Verma joins the (NCC) for Pharmacovigilance The first one was organised at organise its first brainstorming of the tuberculosis incidence world- Prof (Dr) Mahesh Verma, Dental Science ranks of the most honoured doctors in Program of India (PvPI), has set UP Rural Institute of Medical session on 30 May 2014 at IPC, over. Considering this problem, The principal, Maulana Azad Medical Col- the country. He is the lone recipient of up 18 more Adverse Drug Moni- Gaziabad, on the challenges be- National Institute of Tuberculosis lege, has received the 2014 Padma Shri the coveted award in field of dental sci- toring Centers (AMC), 14 in Uttar Sciences and the second at JN ing faced by coordinators of ADR and Respiratory Diseases (NITRD) award from President Pranab Mukherji ence. Pradesh, three in Bihar and one Medical College of AMU monitoring centers from the has opened center of excellence for at a ceremony held in the ornate Ashoka Dr Verma was the first doctor to bring in Jharkhand. states of Uttar Pradesh, Bihar, diagnosis of TB. Hall of the Rashtrapati Bhavan in New about dental awareness through his With a brief to monitor safety Jharkhand, Odisha and Chhatis- The NITRD has launched the TB Delhi, Apri26. team in the form of dental health mela of the medicines across the The first one was organised garh in reporting of ADRs. center in collaboration with Becton, The award was given to Dr Verma for organised every year in the city. country the AMCs have been at UP Rural Institute of Medi- In UP, AMCs have been estab- Dickinson & Company (BD) to train transforming the college, which was The award is also recognition of the entrusted with the task to report cal Sciences and the second at lished in GSVM Medical College lab technicians, microbiologist and started as a small dental school, into a dental sciences and its contribution to- incidence of ADR to NCC-PvPI JN Medical College of Aligarh of Kanpur, Institute of Medical chest physicians for tuberculosis premier centre for dental treatment that wards healthcare services and the rapid on a regular basis. Currently, Muslim University. Besides, one Science of Banaras Hindu Uni- diagnosis. The training will continue caters to 1,200-1,500 people daily. scientific advances made in the field of there are 150 AMCs working for CME on PvPI was organised at versity, MLN Medical College round the year. “I’m deeply honored and humbled dental care. the purpose. Ranchi Institute of Medical Sci- in Allahabad, Dr Ram Manohar Collaboration workshops, semi- by the honour conferred on me by the In the year 2008, Dr Verma received Dr Speaking to DTMT, Dr V Ka- ences (RIMS). Lohia Institute of Medical Sci- nars and training programmes will President of India,” Dr Verma said in a BC Roy Highest National Medical Award laiselvan, Principle Scientific A large number of clinicians, ence, Lucknow, Central Drug be conducted along with operation- statement, adding, “but I also realise the and other awards and fellowships from Officer, IPC, said that the NCC pharmacists, nurses and senior Research Institute, Lucknow, al research to expand the utility of responsibility of living up to this honour many national and international organi- is laying special emphasis on officials from respective state Santosh Medical University, Ga- rapid TB culture systems as well as by redoubling my efforts to further in sations and academic bodies. increased ADR reporting by the Health and Medical Education ziabad among others. evaluate upcoming TB diagnostics AMCs established in these three Department attended the event. Apart from UP, Indira Gandhi upcoming technologies. states. In addition, NCC and AMCs Institute of Medical Sciences NITRD medical superinten- With an aim to create aware- of these states are very active and All India Institute of Medical dent and HOD Microbiology Dr Now, helpline for young mothers ness in the public the NCC has in convincing people about the Science, Patna and Lord Buddha VP Myneedu said, “BD and NITRD organised two Continuing Medi- importance of ADR reporting to Koshi Medical College, Saharsa have been associated with liquid- DTMT NETWORK process, our main focus cal Education (CME) on PvPI for the stakeholders through PvPI in Bihar and RIMS in Ranchi based diagnosis of TB. This associa- on empowering women, to the healthcare professionals in newsletter or through its toll are the other established AMCs tion has taken one step ahead with A helpline number has help them cope with these UP. free helpline number 1800 180 centers. the NITRD commitment to on-site been launched at national challenges and provide a trainings, workshop and evaluation level exclusively for young strong emotional support projects and studies of new tech- mothers to provide them for wholesome experi- nologies.” with emotional and medi- ence,” said chief operating “India has made great progress in cal assistance. Issues such officer of Fortis Mamma Paddle your way to healthy life TB control over the last few years, as fear and anxiety during Mia. but Revised National Tuberculosis pregnancy, miscarriage The helpline will also PAROMA BHATTACHARYA “Cycling gives your heart, blood vessels and lungs Control Program (RNTCP) is invest- and breastfeeding related riage. It was an initiative assist in reducing fears quite a feeling and work out,” said Dr J Ghosh, a ing in building the laboratory facili- problems will be part of by Fortis Mamma Mia, a attached to breastfeed- With obesity hitting almost all age groups, the only general physician. ties, which is still a challenge,” said helpline support. fitness, wellness and infor- ing by answering queries way out is to remain fit, that too, in the most natu- Perhaps the aforementioned health benefits are Dr Sanjay Sarin, regional director of Administered by experts mation solution for mater- of mothers. The helpline ral way possible. Most doctors and health experts the reason why cycling is catching up with young Global Health Asia pacific. in the field of gynaecology nity and child care. number +91-9643822920 across the world emphasise on cy- people these days. And it is quite evident from the The center has also conducted and paediatrics, the hel- “Birth process is not an will be operational from cling than running or walking. emerging cycling clubs all around. The younger training on culture and isolation of pline will offer all neces- easy task and we know the 10 am to 60 pm daily and “Cycling has become quite generation is falling in love with the saddle and the Mycobacterium TB which is a five- sary assistance to couples problems and challenges it also has a call-back ser- a loved sport among young paddle. day course. who have suffered miscar- women face during this vice for night hours. as well as middle aged Howsoever busy they might be in their lives, they groups. My husband also are all finding time to gear it up, if not everyday cycles it up on weekends at least on weekends. Take it as a simple exercise, and it gives him immense physical workout or adventure sport; it keeps up Dirty flows Ganga in UP E-governance Vardhan priority pleasure,” said Ameeta Nag- your health equation beyond doubt. Health experts Continued from page 1 Continued from page 1 pal, a resident of Nehru Place. A say cycling is one exercise that doesn’t tire people Danish study conducted over and one feels refreshed and pepped up. obtained from Nagar Vikas Vibhag, Jal Nigam, be on e-governance system to bring proportions among the young. 14 years with 30,000 people “It helps increasing cardiovascular fitness and Nagar Nigam, Vikas Pradhikaran Departments about transparency and thereby The Health and Family Welfare aged 20 to 93 years found muscle strength along with joint mobility. This is of these cities. check corruption at source. Ministry is expected to evolve an that regular cycling one exercise I recommend for all people having As per available information, almost one-fifth Spelling out his ministry’s priori- action plan on a campaign to pro- protected people obesity problem,” added J Ghosh. of the sewage treatment plants in the state are ties, he said he would address the mote safe, nutritious and locally from heart The Gen-X finds its way out to get something new “non-operational”, leaving millions of liters of available disease. out of cycling. Neha Kataria, a victim of depression, untreated water either sink into the ground as foods after says cycling helped her get out of boring daily rou- a potential pollutant of ground water or is dis- consultation tine and gave her a new way of life. charged into natural drainage system causing with state “It will sound funny but cycling has really benefit- pollution in downstream areas. governments. ted me to fight work related stress in the past two According to sources, everyday 2,900 million Promotion years. I believe it can be a personal feeling but it re- litres of sewage was being discharged into the of Yoga and ally helped. Initially, I used to cycle one hour daily, Ganga, way above the capacity of the sewage physical ex- but soon scaled up the hours to three. treatment plants while it alone provides water to ercises is It helped me deal with stress as it helped me di- over 40 per cent of India’s population in 11 states. also high on vert my attention and be focused”. In fact, cycling In a survey, DTMT team found that thousands agenda of the is found to be really effective for patients diag- of residents of these cities and villages, living new health nosed with cancer and diabetes. alongside sewage drains, especially the ones minister. It increases metabolism. The list of situated in the vicinity of these dirty rivers fac- Dr Vardhan benefits doesn’t end here. Cycling ing different type of diseases from the foul smell expressed helps in shedding those extra ki- emanating from these drains. concern at los in our body is a palpable fact Residents and NGOs complain that the au- the way the but add to this, in the process thorities in the pollution control board never Reproduc- it aids in building up your took action against the cities on non-STP de- tive and stamina and strength. It spite several representations. The state has the Child Health Dr Harsh Vardhan after assuming charge of office strengthens and tones your capacity to treat only 16.4 per cent sewage. All Project, the calf and thigh muscles. STP cities have treatment capacity lower than growing cases of diabetes, heart National TB Control Programme So, get a bicycle if you their sewage generation. diseases, occupational diseases and National Disease Control Pro- don’t have one or wipe An overpopulated state like UP needs to focus and ailments connected to seden- gramme had been under-funded. the dust off the old one on three key areas – untreated sewage, industri- tary lifestyles. The problem of over- He said over the next few days, he standing in a corner of your al pollution and the ecological flow of the rivers, consumption of ‘fast foods’, trans- would be meeting ministry officials verandah. but it fairs badlyh on all the three fronts. fat food, etc. is assuming menacing to plan out his focus area. DRUG TODAY MEDICAL TIMES 1st - 30th June 2014, New Delhi Medical Nation 9

Unicef reaches out to 400 schools in Child’s waist size can predict Assam with its ‘WASH’ programme metabolic diseases BS RAWAT rising in developing coun- above which the risk for DTMT NETWORK were accompanied by Sarva Shik- NEW DELHI tries, including India. Ab- MS increases. GUWAHATI sha Abhiyan, Assam team working dominal obesity is also on The global WC cutoff under the WASH in Schools com- Abdominal obesity in chil- the rise and is associated for obesity in children, As part of its plan to scale up its ponent of Child Friendly Schools dren is directly related to with metabolic syndrome proposed by the Na- WASH (water, hygiene and sani- and Systems Programme. adult lifestyle diseases – (MS),” said Dr Archana tional Health and Nutri- tation) programme, Unicef has Interacting with the teach- obesity, diabetes and hy- Dayal Arya, Paediatric En- tion Examination Survey decided to bring over 400 gov- ers, Murat Sahin, global advisor, pertension – a multi-cen- docrinologist of Sir Ganga (NHANES), USA, is 90th ernment schools in Assam in its WASH in Schools, Unicef, New tre, cross-sectional study Ram Hospital, New Delhi percentile. Previous Indi- ambit. York, said, “ The visit to these done on 10,842 children and co-author of the study. an studies have suggested A high-level team consisting of schools show how integrating in five Indian cities, Delhi, “The syndrome in chil- a cutoff of 75th percentile members of the Assam Sarba Sik- critical behaviours such as hand Chennai, Kolkata, Pune dren has been defined as to screen children for MS. sha Abhiyan (SSA) Mission, state washing, into the world’s largest and Raipur. It suggests the presence of high tri- Dr Anuradha Khadilkar, Government and the Unicef visit- Mid-Day meals program can bring cut-off values of waist cir- glyceride levels in blood, consultant paediatri- ed primary schools in rural areas amazing results for children.” cumference can be used low HDL cholesterol cian, Jehangir Hospital, of Kamrup district of Assam, to re- Functional WASH infrastruc- as screening for metabolic (good cholesterol), in- Pune and corresponding view the strategic intervention of tures in schools have a far reach- syndrome (MS) in chil- creased fasting blood glu- author of the study said, group handwash with soap before ing impact, enabling children to dren. cose levels, high systolic “We found that primary mid-day meals. internalize related behaviours The study has been ac- blood pressure and high or essential hypertension, Children participating in hand washing programme A Unicef team will pay a field and influence their families and cepted for publication in waist circumference,”, Dr commonly seen in adults, visit to two lower primary schools the WASH programme initiated worked together over the last few communities to adopt hygienic The Journal of Pediatrics Archana added. is becoming common in of Kamrup district tomorrow to two years ago. So far we have cov- years. We have nurtured a com- practices. was carried out in Jehan- review implementation of the ered 100 schools and plan to scale munity of ProPlaneteers who are Moreover,diseases such as diar- gir Hospital, Sir Ganga programme in the institutions. it up to 320 more government concerned about the environ- rhoea, intestinal worms and res- Ram Hospital (Delhi), As part of the DHAAL (Daily schools,” said Dr Tushar Rane, ment and through them, we have piratory infections lead to school Apollo Gleneagles Hos- Handwashing for an Ailment-free Chief of Field Office, Unicef, As- touched the lives of many vulner- absenteeism, increased drop-out pitals (Kolkata) and Ekta 3.3 per cent Life ) – fit for school project, team sam. able communities,” said Singh. rates and impact on children’s Institute of Child Health children members had an opportunity to Harkirat Singh, managing di- The corporate partnership has physical and cognitive develop- (Raipur). see the low-cost and high impact rector, Woodland, was also part helped reach out to over 20,000 ment as well as education attain- The study said chil- in India innovations demonstrating group of the team. The company’s Cor- children across the country over ment. dren in the age group of handwashing with soap before porate Social Responsibility wing the past three years and sets the The visiting team also reviewed 2-5 years should have a suffering mid-day meals. These are being ’Proplanet’ has been supporting way forward for similar corporate other key WASH in School inter- waist circumference not from implemented under the Sanitation WASH (Water, Sanitation and Hy- engagement initiatives support- ventions being implemented un- exceeding 20.59 inches, and Hygiene (WASH) in schools giene) in Schools programme of ing access to safe drinking wa- der the Right of Children to Free similarly in the 6 to 9 age high blood initiative. Unicef since 2011 and has raised ter and sanitation for children in and Compulsory Education (RTE) group boys should be less pressure: “We visited Sajjanpara Lower over 1.25 crore rupees towards schools. Act, 2009. These include three than 24.96 inches while it Primary School under Rani Block the programme. The delegation interacted with crucial components viz. Availa- is 25.0 inches for girls. Study and Dahali Lower Primary School “Unicef has been a strong part- teachers, School Management bility of safe drinking water, good Boys in the age group of under Rampur block in Kamrup ner to our sustainability initiative Committees, students, mothers’ quality functional toilets for girls 10 to 14 years should have district to review the progress of ‘ProPlanet’ and both of us have group during the field visit and and boys, and handwashing. a waist circumference of less than 30.55 inches while it is 30.51 inches for “It is shocking to see children, who are obese or girls, and in the 15 to 17 children as young as six overweight. Therefore it is Osteoarthritis: Need to Six mobile dental clinics hit Delhi roads age group the boys should with diseases like hyper- very essential for them to In a major initiative towards improving access to rural areas adjoining Delhi-NCR have central circumfer- tension, diabetes mellitus change their lifestyle and strengthen aging knees with integrated oral health, Maulana Azad Institute of Dental Sciences (MAIDS) has ence of less than 34.05 and abnormalities in the lose weight”. launched six mobile dental vans. inches while it is 33.50 lipid profile. In this study They should be encour- Lieutenant Governor of Delhi, Najeeb Jung flagged off the mobile clinics from the inches for girls. we found 350 children aged to participate in RICHA SINGH MAIDS premises. The launch was held under the aegis of National Health Mission The study also said that suffering from hyperten- outdoor sports and other HYDERABAD (NMH) of the Central Government and Delhi State Health Mission (DSHM), GNCT of the waist circumference sion,” said Dr Archana. physical activities. Chil- Delhi Government. of a child can be helpful The International Dia- dren should also cut down In India, there is a general lack of awareness and neg- Under the mobile dental clinics scheme, which will initially cover North East dis- in predicting if he is suf- betes Federation’s defini- on the intake of high calo- ligence towards healthcare. This reflects in attitude of tricts, two mobile dental clinic and four IEC (Information, Education and Communi- fering from metabolic dis- tion of the MS in children rie foods with junk food patients towards osteoarthritis. Many doctors have ob- cation) mobile dental vans will work, covering six identified dispensaries. eases. includes waist circumfer- and a high fat diet,” added served that women wait longer to pursue knee replace- Each mobile clinic is fully equipped with dental operatory along with provision for “In my daily practice, ence (WC) as a criterion Khadilkar. ment surgery then men do, postponing it till they can no infection control and sterlisation, electrical back up, biomedical waste disposal and I am seeing many chil- for the diagnosis of MS in The study found that 3.3 longer stand the pain. water tank for storage and waste water disposal. dren who are suffering children. per cent or 358 children Srikara Hospital along The treatment provided will be free of cost and will be suitable for physical- from adult lifestyle dis- With reference to WC out of the total 10,842 with medical fraternity ly and mentally challenged groups, schools, maternity and child care, Geriatric eases, primarily because percentiles, it is easy to were suffering from has come together to sections. —DTMT of obesity. The disease is identify the cutoff level hypertension. create awareness about osteoarthritis. Women constitute 60 per cent of those osteoarthritis Rs 597 crore sanctioned for health HP regulator lifts ban on patients in the country who undergo total knee Wockhardt’s formulation replacement which is research during 12th Plan period points to the serious- DTMT NETWORK of the product, hence the ness of the malady. DTMT NETWORK courage health research personnel suspension was revoked Describing osteoar- (non-resident Indians (NRIs), person Wockhardt Ltd, a ge- on April, 26. thritis, Joint and knee Union Finance Ministry has ap- of Indian origin (PIOs), overseas citi- neric drugmaker, said Confirming the can- replacement orthopedic surgeon and CMD of Srikara proved Rs 597 crore for Central zens of India serving abroad to come that the drug regulator of cellation of suspension, Hospital Dr Akhil Dadi said, “Osteoarthritis of the knee is Sector Scheme of Department of back to their nation for undertaking Himachal Pradesh has re- Wockhardt said the state the most common cause of disability and is a disease of Health Research and for human re- research in identified areas. It has a voked suspension it had regulator has lifted the age that afflicts more women than men”. source development for health re- separate component specifically for imposed on the manu- ban and it would continue “General physicians sometimes advise patients to wait search during the 12th Plan period training of women scientists who facture and sale of a com- to make and sell the prod- as long as they can before going for knee replacement to streamline prevailing health re- have had break in their carrier bination drug for pain uct. as they think it is a once-in-lifetime surgery that should search across India. In the scheme, there is a provision treatment. The company has not last an average of 15-20 years. However delaying surgery The scheme is aimed at creating a to support brilliant medical doctors/ Last week, the firm given any reason for the beyond a point can limit the quality of life of patients be- pool of talented health research per- vide training with state-of-the-art scientists of Indian origin from all was restrained from the ban or its revocation, cause how they function before surgery indicates their sonnel in the country by upgrading technologies. Development and im- over the world who wish to return manufacturing, selling but when it disclosed the performance afterward,” he added. skills of faculty of medical colleges, plementation of online web-based to India to take up research position and distribution of fixed suspension on April 23, it With the advancement in technology there are knees mid-carrier scientists, medical stu- courses on health research is also in the Indian Council of Medical Re- dose combination of Di- said the product contrib- made of newer material like oxidised zirconium that last dents etc by specialised training in in the pipeline and is an important search or other medical college/in- cyclomine Hydrochlo- uted less than 3 percent longer, up to 30 years, after implantation. priority areas of health research in component of the scheme. stitute to pursue the objective. ride IP 10mg, Tramadol of the consolidated sales Just 10 to 15 years ago, knee replacement was a last leading national and international The scheme will be beneficial to The priority area of research identi- Hydrochloride IP 50mg of the company in the fi- resort. But no longer so. Today the situation is different institutions. regular employees of government fied for this purpose include toxicol- and Acetamenophen IP nancial year ended March with the age of women affected by osteoarthritis coming The aim of the scheme is also to en- medical colleges, private institu- ogy, genomics, proteomics, geriatrics, 325mg. 31. down drastically. It is now looked as an option to main- courage the trainees to develop and tions/NGO and scientists in regu- stem cell research, clinical trial, good The state’s drug regu- When the patent pro- tain active lifestyle. take up research projects on critical lar employment in the universities, clinical practices, biotechnology, ge- lator said it had some tection for a brand-name “Is important to understand her pain and if there are national and local health problems medical colleges, recognised re- netics, operational research, health doubts over the ‘safety drug expires generic ver- things that she is no longer able to do then a visit to the and to provide financial assistance search and laboratories and profes- informatics, medical ethics, health and efficacy’ of the prod- sions of the drug can be surgeon is the order of the day,” Dr Dadi urged to patients’ to institutions for up-gradation of sional bodies and associations. economics, and any other area that uct, therefore, a report offered for sale if the FDA families. infrastructure to enable them to pro- The scheme is also intended to en- need support. was sent to the Drug Con- agrees; “generic drugs troller General of India are usually cheaper than (DCGI). brand-name drugs” After investigation, the Wockhardt shares rose DCGI found no problem 8.5 per cent to Rs 703.10 Risk of heart attack increases during hot summers with ‘safety and efficacy’ on Monday. Radhika mishra which takes thousands of lives Tips for heart patients during summer is cardiovascu- Most people know that ex- lar Shock, sometimes known as tremely hot summer can make n Avoid going out in the blazing sun or cardiovascular Insult but per- us sick. Around 400 people die heat when possible. If going outside, keep haps more popularly known by from heat stroke in India every to the shade and go out early in the morn- the name of its primary cause of year. Heat stroke occurs when ing or evening; “Dehydration”. the body is unable to regulate n Visit air-conditioned or cool places such According to Dr Lal, cardio- its temperature. The body’s tem- vascular insult occurs when the perature rises rapidly, sweating as shopping centres, libraries or cinemas; body is dehydrated plunges into mechanism fails, and the body n In your home, if you don’t have air a state of shock. Dehydration is unable to cool down. conditioning, keep shades or drapes drawn is not a unique condition, but Summer is a dangerous time and blinds closed on the sunny side of your is a situation that is often ig- for older people especially heart home, but keep windows slightly open. Try nored especially at the sub clini- patients. They need to be espe- not to use the oven. Turn lights off or turn them down low; cal stage which is just enough cially careful when it’s not only n If you can afford it, install air conditioning – fans aren’t enough in hot conditions; dehydration to be a potential hot but also humid, for their n problem but not enough to chances of having heart attack Have a cool bath or shower every now and then or cool down with cool, wet towels; cause severe symptoms. increases in extreme conditions, nWear loose fitting, light clothing. In a vast majority of dehy- says Dr Purushottam Lal, an dration victims the first symp- interventional cardiologist and Celsius they began to rise again. like a constant, moderate, tem- their hearts don’t have the same toms are often fatal. The trag- the director of Metro Hospitals According to Dr Lal, humidity perate and dry environment. ability to adapt. edy could have been avoided by and Heart Institute, Noida. also increases the risk of heart In hot conditions, there could In the hot summer, older peo- simply increasing the intake of This has been seen time and attack. A heart attack is more be other contributing factors ple need to take precautions, es- water. again that heart attacks were likely when this extreme con- such as dehydration, and/or pecially if they have a history of Human body requires be- more likely in very hot tem- dition sustains for a long time. falls in blood pressure while heart problems or risk factors tween 48 and 64 oz of water perature – and affected mainly It is more likely if it has been standing outside in the heat like smoking, high blood pres- every day. In addition, the min- people over 70. As the weather preceded by a week of extreme – heat stroke in other words. sure, raised cholesterol, obesity, erals lost due to perspiration go turns warmer they dropped in condition, not just an isolated Older people are more at risk and/or diabetes. much further than simply so- frequency. But, over 23 degrees day. In other words, we seem to because their metabolism and One particular heart condition dium and potassium. DRUG TODAY MEDICAL TIMES 10 Medical Nation 1st - 30th June 2014, New Delhi

PMT Scam: 130 Govt looks other way, landfills poison environs

Munna Bhais ROHIT KUMAR society, have no option but to site,” she said. many time catches in the gar- dawn to dusk risking exposure live in the toxic atmosphere and Thousands of scavenging bage.” to the hazardous chemicals. At andfills in and around Delhi suffer the vagaries of city life si- birds can be seen swarming over According to environmental- times, they set the waste on fire out of college Lhave become a major cause lently. The price they pay in the these landfills in search of food ists, nearly 20 per cent meth- by carelessly throwing burn- of concern for health and hy- form of health and hygiene is from the waste. Complaints of ane gas emissions in India are ing beerie and cigarette butts or giene as well as environment. enormous. residents of Ghazipur village caused by landfills. It is a highly burning match sticks. Huge tracts of land in Okhla, Despite repeated assurances in east Delhi went unheeded by inflammable gas and can be ex- Mustafa, who has spent years Bhalswa and Ghazipur, a satel- from the government, the land- civic authorities. The promise to plosive when exposed to air. scouring these dumps in search lite town of the National Capi- fills have not been shifted to find alternative site for the land- An SDMC official said waste of cast-off bottles, metal and tal and a part of Delhi National alternative sites. The promises fill has yet to be fulfilled. The of construction and demolition even human hair, says, “I am Capital Region (NCR), have made by successive govern- residents are left to bear with like bricks, concrete, wood and not afraid of the chemicals and turned into monstrous dump ments to do so and make the the foul smell. The area has a rubble should not reach these gases. If I was, I would not have yards where all the waste, both surroundings conducive to hu- population of nearly 20,000. landfills but should be recycled. been a rag picker. It’s a profes- harmless and hazardous, is man habitat have all turned out They call themselves lucky to In western countries like UK, US sional hazard. I am proud of the recklessly disposed off with- to be scripts written on thin air. have survived the polluted sur- and Singapore 70 percent gar- job for the simple reason that out taking into account conse- They were forgotten no sooner roundings but feel it would be bage is recycled, he added. with this work at hand I don’t quences thereof. than they are made. The moun- very difficult for their children Rag pickers seem to be only need to beg for a living.” No wonder, these landfills tains of garbage stayed put. to live under these conditions. beneficiaries of these gar- pose grave danger to both Minakshi, Mayor of East Delhi These trash mountains leach bage dumps. They serve them health and environment. Peo- Municipal Corporation (EDMC) out toxic liquids; emanate nox- as a source of livelihood for DTMT NETWORK ple living in the vicinity of these under which the Ghaziabad ious fumes. Contaminated water them. They search for plastic, BHOPAL sites have started complaining landfill falls, ruled out its shift- with poisonous chemicals has iron, paper and bricks in the of many a health problem. Sur- ing saying there was neither an caused diseases like jaundice, garbage with bare hands, In a case reminiscent of Bollywood block buster Munna rounded by poisonous atmos- alternative site for garbage, nor asthma, TB and skin problems. without gloves Bhai MBBS, in which the central character assayed by phere they not only inhale nox- the state is ready to give any Ashwini, 41, a dairy owner of and masks, popular actor Sanjay Datt forces a professional doctor to ious gases emanating from the land for this purpose. However, the area bemoans: “This garbage from appear for medical entrance examination on his behalf, a hazardous waste but are also she has a alternative plan to dis- has made our lives miserable. big PMT racket came to light. made to drink toxic ground wa- pose of the waste in future. Health problems are worsen- In the wake of alleged rigging of pre-medical test (PMT) ter contaminated by the harm- “We are planning to give 1,300 ing by the day. During monsoon conducted by the Madhya Pradesh Professional Exami- ful waste. tonne garbage to Ghazipur season, the entire village is nation Board (MPPEB) in 2011 and 2012, admission of However, the hapless resi- power plant which will filled with foul smell. over 130 candidates to various medical colleges were dents, who are poor convert the garbage It releases cancelled. Furthermore, probe into similar examinations and underprivileged into power. This way, methane gas conducted in previous years has not been ruled out. wretched of the at least, there won’t be which fire So far, the Board has cancelled admissions of 439 can- additional garbage didates from PMT 2013, 328 candidates from 2012 PMT, to dump at this 98 from 2011 PMT and 90 candidates from 2010 PMT. Many other recruitments including that of teachers, sub- inspectors and low rank posts in forest department have faced similar fate. A state Government source disclosed that the Board has already issued orders in this regard and criminal investi- gation is on. The modus operandi employed by the candidates to cleared the PMT was to arrange qualified candidates as resource persons, manipulated seating arrangements in collusion with MPPEB officials, used unfair means. Though top official of the Board and Special Task Force are tight-lipped over the scam, in which senior officials and few others have been arrested, sources said further investigation is expected to spill the beans. “Further investigations may see that sitting doctors are expelled,” sources said. Four-month-old baby survives rare Vocational training centres for Delhi The sources alleged that MPPEB’s Exam Controller Dr Pankaj Trivedi and Chief System Analyst Nitin Mahindra, infection called meconium ingestion DTMT NETWORK ment’s Women and Child sway Camp, Dilshad Gar- who are already facing probe and legal action, are in- NEW DELHI Development department den, Lajpat Nagar and Jail volved with the candidates in the racket. DTMT NETWORK faeces of a newborn) with- from the critical condition and TATA Power Delhi Road for implementation An IPS officer RK Shivhare is also an accused in the MUMBAI in two hours of his birth. he was in ever since he was In a move ensure gain- Distribution Limited. of all activities related admission to post-graduate medical courses besides the Medically speaking, born, had a shock when he ful employment for un- The WCD initiative is for with child rights and pro- police recruitment scam in Madhya Pradesh. He was re- Four-month-old Krishna, Krishna’s survival was mi- was handed a bill of Rs 12 derprivileged children welfare and rehabilitation tection under Integrated cently sent to jail by a local court here after his police who is under treatment raculous, said doctor, who lakh by Surya Hospital in in the city, a tripartite of underprivileged boys Child Protection Scheme remand ended. Shivhare surrendered before the Special for meconium ingestion treated him. “We had to Santa Cruz. As though this agreement was signed and girls. (ICPS) at district level. Task Force (STF) on April 21 and was sent to judicial cus- at a local hospital ever use every known medicine was not enough the poor for establishment of six Giving details about Director (WCD) also tody. since he was born, left the and method to revive him”. man was given another vocational training-cum- the agreement, Director stated that surprise in- Similarly, Dhanraj Yadav, former Officer on Special Duty ICU on April 28. It took “We tried every method bill of Rs 9 lakh for various tutorial centres in Delhi WCD, Saumya Gupta in- spections were made (OSD) to the Madhya Pradesh Governor Ram Naresh Ya- the child 50 days to sta- to its best and it worked, medicines was induced on for children, adolescent formed that the locations by Principal Secretary dav, a Bahujan Samajwadi Party leader Radha Raman bilise before periodically thankfully, the child has him. girls and women associ- of the centers are Narela, (WCD) to ICDS kitchens Ahirwar misused their official positions and have already falling ill. normal vision, hearing “We could only pay Rs ated with anganwadi cen- Sultanpuri B1 block, Sul- etc. been arrested in connection with two other recruitment Born in VN Desai Hos- and no neurological prob- 2 lakh with the help of tres under the Integrat- tanpuri P4 block, Wazipur And follow up action is examinations conducted by the Board in the state. pital on December 17, the lem.” Doctor said. NGOs,” Hanumantha said. ed Child Development industrial area, Rohini being initiated for bring- Yadav was arrested in connection with the police exam- infant showed signs of ex- Krishna’s grandfather, “We were asked to trans- Scheme (ICDS). and Kirti Nagar. ing about improvement ination recruitment exam of 2012, Ahirwar was booked treme breathing problem Hanumantha, a sewer- fer him to Surya Hospital The agreement was Ms Gupta said four in functioning of angan- for rigging teachers’ recruitment examination conduct- as he had ingested meco- age worker with the BMC, as the civic hospital didn’t signed by the Ministry of District Child Protection wadis and delivery of ser- ed by the Madhya Pradesh Professional Examination nium (the dark green sub- though was excited by the have a NICU bed,” Hanu- Women and Child Devel- Units (DCPUs) have been vices to women and chil- Board in 2011. stance forming the first recovery of his grandson mantha added. opment, Delhi Govern- made functional at King- dren under ICDS. Launched in 2013, K’nataka Govt’s much-hyped Parkinson’s: Surgery on 15-year-old Rajiv Arogyasri Scheme is still a non-starter holds out a ray of hope for many DTMT NETWORK weaker and the individual It is not a unique achieve- S AFSHAN AZHAR exchequer Rs 120 crore annually, ered under the Rajiv Arogyasri 2013, this special scheme, billed may assume an unusual ment as similar such proce- BANGALORE as many as 1.1 crore beneficiaries scheme. as first-of-its-kind in the country, Successful brain surgery posture. dures are carried out regu- could avail treatment for major With the introduction of this would enable all APL cardholders on 15-year-old suffering Asked about DBS sur- larly for other Parkinson’s ‘Rajiv Arogyashri’, a new health illnesses in specialised hospitals. scheme for APL families, the en- to avail subsidised treatment not from Parkinson’s diseases gery, Dr Aditya Gupta, As- disease patients at older scheme launched by the state Explaining about the scheme, tire population of the state would exceeding Rs 1.5 lakh per year in in Mumbai’s Jaslok Hospi- sociate Director Neuro- ages at a number of hospi- Government for APL card hold- Minister for Health and Family have been covered under one or super-speciality hospitals listed tal brought a ray of hope surgery Head, Functional tals in India. Our team has ers with all fanfare last year is still Welfare UT Khader said it would the other healthcare scheme. by the government. Only 10 per for a number of patients af- Neurosurgery Medanta experience of more than a non-starter. Un- provide healthcare benefits to Karnataka is the only state to en- cent of the total cost, Rs 1.5 lakh, fected by onset of Parkin- Institute of Neurosciences, 200 DBS surgeries for di- der the scheme, persons who are unable to sure universal health coverage will have to be paid by the pa- son’s at a young age. The described it as a common verse indications, includ- which costs afford treatment for ma- for its people. tients. At present, Vajpayee Arog- surgery called ‘Deep Brain operation. ing 2 unique applications the state jor illnesses. The scheme However, state Government’s yasri, a similar scheme, is in place Stimulation’ (DBS) entails He said DBS surgery is for epilepsy,’ he added. has already got the go- efforts to provide quality medi- to benefit BPL cardholders in the placing electrodes in those a well established ahead from the state cal treatment at low rates at state. parts of the brain that pro- therapy for a diseases cabinet. empanelling various hospitals But, implementation of the duce symptoms associated classified as “Move- Increase your However, families failed to materialise due to lack scheme is delayed since it is fac- with Parkinson’ disease. ment Disorders”, the covered under the ESI, of enthusiasm on the part of ing teething trouble. Out of the During the surgery, the commonest examples business prospects Rashtriya Swasthya corporate-funded hospitals. The 80 private hospitals empanelled young boy named Hiteshu being Parkinson’s dis- upto Bima Yojana, Yeshas- Suvarna Arogya Suraksha Trust under the scheme, nine – one in was kept awake so that ease and dystonia. vini scheme, Vajpayee (SAST) entrusted with the task of Dharwad and the remaining eight doctors could decide just It typically starts Arogyasri scheme implementing the scheme cited in Bangalore – opted out of the where to place the elec- around 50 years of 100% and Health frequent transfer of Health and partnership with the Govern- trodes. After the operation age, and those patient Insurance Family Welfare Department of- ment citing ‘low package rates’ the boy was behaving nor- in whom it starts ear- Scheme ficers and also the Lok Sabha which they said would reduce mal. He sent SMSes and ate lier are classified as will not elections as reason for delay in their profits and affect their func- sandwich. “young onset Parkin- be cov- implementation. tioning. Dr Pettarusp Wadia, who son’s disease”. A total of 150 hi-tech hospitals Being empanelled under the mapped Hiteshu Dave’s While juvenile onset have been empanelled in Karna- government scheme would mean brain said it was a case of of Parkinson’s disease taka, Andhra Pradesh and Maha- that all hospitals will have to fol- juvenile-onset Parkinson is extremely rare, the Book your rashtra. The Government will low a standard rate even though disease. Those who are suf- surgical procedure advertisment today!!! reimburse the treatment surgical procedure rates differ fering from Juvenile Par- followed was fairly cost to hospitals. The from hospital to hospital. The Ra- kinson’s disease could be standard, as is done scheme will be appli- jiv Arogyasri scheme applies to cured by Deep Brain Stim- for an older patient Call us at 9971995818 or cable to patients suf- 447 surgical procedures. ulation, he added. with the same disease. Write to us at — [email protected] fering from problems Executive Director of Suvarna This disease, related to cardiac, can- Arogya Suraksha Trust P Bore which typical- cer, renal, burns, neo- Gowda said that eight other hos- ly hits people natal and neurological pitals which had earlier backed over 50, gradu- Notice problems. out from the scheme, changed ally strips away Readers are recommended to make appropriate enquiries Under the scheme, people their decision and agreed to be motor abilities, and seek appropriate advice before sending money, incur- are eligible to avail free admis- part of the scheme because the leaving them ring any expenses, acting on medical recommendations or sion to a hospital, food, medicine, number of patients in their hos- with a slow entering into any commitment in relation to any advertise- investigation, treatment and pitals had reduced considerably. and awkward ment published in this publication. TheDrug Today Group other expenses. Even though five They felt that higher number of gait, rigid limbs, doesn’t vouch for any claims made by the Advertisers of months have elapsed since the admissions would compensate tremor, shuf- products and services. The Printer, Publisher, Editor and announcement of Rajiv Arogyas- for lowering of rates. Treatment fling and a lack Owners of Drug Today Group publications shall not be held ri, it is yet to be implemented in packages were finalised in con- of balance. The liable for any consequences, in the event such claims are the State. As per the government sultation with specialists from muscles of a not honoured by the Advertisers. order issued on November 23, government and private sectors. person become DRUG TODAY MEDICAL TIMES 1st - 30th June 2014, New Delhi Medical Nation 11

Lone tertiary hospital a picture of neglect

BS RAWAT “The demand for a refrigerator UTTARKASHI (UTTARAKHAND) has been pending as we need it Right or left orientation is for preserving medicines and vac- The Uttarkashi District Hospital cinations,” said a senior paediatri- was established by Uttarakhand cian. just a matter of preference Government for excellence in Doctors privately acknowl- RICHA SINGH Coren “The left-hander clinical care to infants including edge that children with acute syndrome”. those who are born prematurely, complications like diar- t is a curious quirk of In a note of caution, at 37 weeks gestation or earlier, rhea, typhoid and Ihuman nature that psychologist said, “We facing health problems or require Enteric fever are most of us prefer using are not implying that us- surgery. UTTARAKHAND at high risk and our right hand, while a ing one’s left hand caus- Though the health centre is usu- State of Healthcare should not be minority of around 10 es risk of earlier death.” ally ill equipped to deal with any the last one decade. ly. So, a full-fledged allowed to share per cent prefers using However, they found that medical case leave alone emer- Speaking about the state of the paediatric Intensive Care beds, but such is the their left – a ratio that re- left-handers were more gencies, it happens to be the only hospital, chief medical officer of Unit and equipment are required state of affairs at the mained relatively stable than five times are likely tertiary hospital in the district that Uttarkashi said,“There is neither on urgent basis. After much de- hospital that children throughout human his- handedness” for a lack to die in accidents, often caters to local population with nursery nor incubator facility here lay, the hospital authorities had prone to infections are tory. of preference). With that while driving. children of 0-15 years age group. for ill children. As many as 16,304 recently procured different kinds forced to share beds. Experts remain un- clarified, here are three Finally, the conclusion What is more, its facilities too have deliveries were conducted in the of equipment for the children’s “Most of the time one bed is sure how handedness myths about left-handers drawn was that there is been downsized. last five years with a single bed ward but these continue to remain shared by three children, all suf- emerges in a developing and handedness. no proof to back the the- A survey by the DTMT revealed in a single labour room. The bed dumped in one corner of the store. fering from serious ailments. The child. In fact, they are still Myth 1: Left-handers are ory that people who are the following facts about the hos- is available to patients on priority A handful of doctors and nursing pressure on the hospital to admit struggling to give a plau- more introverted, intel- left handed will die ear- pital: basis.” staff are struggling hard to keep patients is immense and we are sible and cogent explana- ligent and creative. lier then right-handers. The hospital is deficient of staff. Nursery is necessary resource the hospital running and have forced to make adjustments,” said tion to the persistence of Fact: Psychologists, on One reason behind this About 13 posts of child and woman and complements healthcare pro- been regularly trying to procure the nurse. the ratio between right the basis of a research, myth is that left-handers specialists are lying vacant since fessionals attending to infants. It better equipment and medicines. But just adding more equipment and left-handers. Against concluded that Left- and live in a world designed long. Most of the contractual nurs- provides diagnostic imaging, nu- But their voices go unheard. The in the hospital would not reduce this backdrop, a number right-handers did not for right-handers and ing staff left the hospital after they trition, respiratory, surgical, social doctors and nurses say that their neonatal death rate significantly of cultural myths have differ on any personal- they face more perils in got permanent jobs elsewhere. work, pastoral care and subspe- demand for a refrigerator, nebu- unless Neonatologists from out- woven around the differ- ity factor. However, there a world dominated by the There is shortage of 16 paramedi- cialty services. But unfortunately, liser and ventilators were ignored side the district would be deployed ences between left and was a tendency for peo- right-handed. cal staff. the hospital lacks in this basic fa- and instead warmers and infusion immediately. DTMT hope con- right-handers. ple with a weaker prefer- Myth 3: Left-handers are The hospital is facing an acute cility. pumps were sent to them which cerned authorities will take it seri- Here we shall give you ence for either hand (i.e. persecuted. shortage of space and beds. It is It provides care to approxi- are redundant for the children’s ously to help the patient of a small a low down on myths and the mixed-handed) to be Fact: There’s no doubt working in the same capacity for mately 3,390 infants annual- ward. town in a best way. facts about handedness. more introverted. As for left-handers have had There really is no such IQ, one research found a rough time in the thing as strict left or right no link with handedness. past. Many were forced handedness. Most people Myth 2: Left-handed to use their right hand, Honour came to GB Pant GB Pant gears for year-long can do something with people have shorter life and across many cul- golden jubilee celebrations their weaker hand. span in comparison to tures there’s a deep Hospital technician as A more important dis- their right handed coun- bias towards right be- tinction might be the terparts. ing good and left bad. DTMT NETWORK strength of preference Fact: The early death Researchers have found a pleasant surprise NEW DELHI we have for one hand, be myth originates from a no evidence to suggest it left or right (research- 1988 Nature paper by Di- that left-handers are a DTMT NETWORK plied after a brief pause, The Govind Ballabh Pant Hospital here is gearing up for ers use the term “mixed- ane Halpern and Stanley stigmatised minority. NEW DELHI “Well, I think I was nomi- year-long celebrations to commemorate its golden ju- nated for the award for bilee from April 30. According to the organisers of the Ever since he received my hard work and dedi- celebration, President Pranab Mukherji will be releasing scroll of recognition for cated service to the hos- a commemorative stamp to mark the occasion. In the his contribution to growth pital. Being a team man I evening, Men hate physical, women emotional infidelity and development of the always take along all my Vice-President Hamid Ansari will be chief guest at a DTMT NETWORK Gobind Ballabh Pant Hos- colleagues and work in an function to be held on April 30 evening. He will present pital from Vice-President atmosphere of team spirit a scroll of recognitions to some of the distinguished fac- A new research has revealed that women hate unfaithfulness or betrayal more than of India Mohd Hamid An- to provide quality lab care ulty members and employees for their contribution to the losing physical relationship. However, both men and women have different takes on sari, Kirti Ballab Kandpal to patients.” growth and development of the hospital. issues like emotional infidelity, loyalty and sexual infidelity. is flooded by accolades. Describing winning the A souvenir will also be released on the occasion cover- The study was conducted to determine how people feel about the sexual However, the honour, award as a very hum- hospitals in recognition ing various aspects of growth of each department over or emotion- al infidelity. Scientists from Kansas State University, which came to him as a bling experience for him, for his service. Just two the last five decades. the US re- cruited 477 adults includ- ing 238 men and 239 pleasant surprise, has yet he said, “Though it is a days after in 2010 he got In a press statement, Dr Daljit Singh, professor of neu- women and asked them numerous ques- to sink in the humble lab recognition for all the ef- another promotion and rosurgery, said several public lectures spread over sev- tions on a variety of topics that includ- technician of the hospital fort I put in to realise the was made a technician eral months are being held in the hospital premises to ed relationships and cheating. who is in charge of micro- goals of my department, and in charge of the lab educate patients and care giver over several aspects of The study con- biology laboratory. it could not have come department. diseases and preventions. cluded that sexual Kandpal, who worked about without the coop- A graduate from Dayal He informed that the hospital also contemplating on infidelity was at GB Pant Hospital with eration of my colleagues. Singh Evening College, organising conferences by several departments. The hos- relatively more dedication for 38 years, The award is a motiva- Kandpal knows how to pital will bring out a coffee table book covering history distressing than said: “I had not expected tion for me to work even stay focused and how to and evolutions of the institute over the last five decades emotional infi- the honour to come my harder to improve the balance work, lab, and his and will organise a paining competition. delity scenarios way. Hence, when my services.” volunteering responsibili- Besides serving the local population, the Pant Hospital for men, but on name was called out at Starting his career at the ties at the hospital. As a caters to the needs of a large number of people from oth- the other hand the function I got a pleas- hospital on January 16, lab technician he genu- er states who constitute about 35 per cent of its patients. women were ant surprise.” 1976 as a nursing orderly, inely cares for the well- The hospital specialises in neurology and neurosurgery, more con- On being asked what he Kandpal was promoted being of others. He goes cardiology and cardiac surgery, gastro and gastro surgery cerned about thinks could have won to be lab assistant in 1988, above and beyond his and psychiatry. It also has one of the best anesthesia cen- their emotion- him this honour, he re- 12 years after joining the brief to help others. tre in neuro and cardiac anesthesia. al infidelity. Healthy eating habits keep you hale and hearty

DR ARTI MILIND SATHE Hence, please dedicate those ten which might cause stomach dis- to weight problems or one may minutes for food. Chewing it for order. Also, avoid speaking on eat very slowly or hurriedly in Right type of food in right quan- right duration, slowly but stead- sad, unpleasant and instigating the process leading to stress on tity at right time is perfect man- ily is vital to enjoy a good feast subjects while eating as this is digestion. Smoking and drink- tra for healthy life. In Vedas, aa- as this is the first step to ensure related to digestion. ing alcohol should always be har or diet is defined in a very digestion. Never take heavy food avoided before, after and during broad term. In these scriptures, Never drink water just before throughout the day or for lunch mealtime. food is considered precious and taking food lest it would lead to and dinner as it can cause stom- It is better to have minimum described as the one whose sight dilution of digestive juice. Also, ach pain, heaviness, gastric trou- three hours gap between two is pleasant whose smell is nice do not drink water frequently ble and uneasiness or lead to consecutive food intakes. Some and taste is satisfying. So, while while eating, just take one or vomiting, headache, burning in people are used to eat something having food, be it breakfast, two sips at the most for the same chest. It might also cause sour or or the other every 1-2 hours or lunch or dinner, spare a thought reason. Suppose your stomach is bitter taste in mouth. Heavy food just at the sight of attractive food for the following considerations. divided into four parts, two parts can be taken in the morning or items. If the food already eaten However hectic the schedule should be dedicated to food, one afternoon at the most so that it is in the process of digestion, the might be, taking out ten minutes to liquid and one to proper mix- can be digested properly during next intake slows down the di- to have food and water is always ing and movement of the food the day. Dinner should always be gestion and it is likely that noth- oppos- able. intake. Drink water either half light or easily digestible. ing would be digested properly. an hour before or one hour after Always take sumptuous meal Similarly, salad or fruits should food. as food containing carbohy- be eaten before taking cooked Have food at a clean place, drates, proteins, fats, minerals food as there is difference in di- in a clean plate, spoon and and water since all these to- gesting time of both types of food bowls and with clean hands. gether are necessary to carry i.e. uncooked and cooked food. Do not eat while you are out different body function and Once in a while, you may sa- angry, emotional, under biochemical reactions. Intake of vour fast food items, but eve- stress or crying. All these only one type of food i.e. only ryday meal should never be re- things can affect your in- carbohydrates, only proteins or placed by them. Frequent tea or take, either excess or little, only fats, is not advisable. coffee breaks should be avoided and the digestion. Maintaining body weight or as it may develop acidity, consti- If you talk too much while looking slim is good but not at pation, weight gain and gastric eating, you may inadvert- the cost of food alone as is seen problems. ently inhale unnecessary air people, especially young girls, Always try to eat freshly pre- avoid food completely to get that pared food. pencil-thin figure, which leads Positive thinking and positive to insufficient nutrient supply to attitude in everything is a must. the body which leads to dan- Mental stress is bound to cause gerous consequences includ- digestive trouble. So, spare at ing anorexia. least five minutes for medita- It is best to avoid food tion and doing pranayam in right at very cold or very hot form everyday by sitting quietly. temperatures as it We are very particular about causes stress on diges- fuel in our cars or bikes. The tive process. Also, do same way, we should be particu- not read books, news- lar about this body fuel, shouldn’t paper, watch televi- we? sion, play on mobile It is never too late. Take care. or work on comput- ers while having food The author is a practitioner of as one cannot know Naturopathy, Acupuncture and how much quantity of biochemic treatments food is taken leading M-9920526995 DRUG TODAY MEDICAL TIMES 12 Medical Latest 1st - 30th June 2014, New Delhi

Urinary incontinence: Patients share First-of-its-kind study portal for medical students launched pre and post treatment experience DTMT NETWORK professionals and an over- of big shots of the medi- seas associate who initi- cal faculty in the country BS RAWAT Rs.90,000, on the uterus - with “It is easy to build a medical ated the move to pave the who would agree to asso- age uterus starts becoming weak college, but very difficult way for self-study in post- ciate and offer these ser- Indu, Maya Devi and Saroj are due to pregnancies and other gy- to have quality teaching graduate medical students. vices to the medical and among 13 women who have un- naic issues - which restores the faculty,” said Dr (Major) The content of the portal dental students is also in dergone successful treatment of normal anatomy of pelvic organs. Madhu of Macula Health- will be generated by a team the pipeline. In the com- urinary incontinence through new All patients are doing fine at care, Bangalore. The doc- of 100 experts from medi- petitive world of today, surgical technique. They came three months follow up. They have tor along with his team cine and 80 from dentistry. our aim is to bring the together to meet with doctors at been relieved of their symptoms including Dr Jithendra Besides the content, the best talents to share their Safdarjung Hospital, New Delhi, and are able to do all normal ac- has successfully launched team of experts will be knowledge with the aspir- for an interaction programme. tivities with no fear of urinary leak ‘entrancebook’, an online supposed to develop their ing doctors. The hospital invites patients to without any medications. These study portal for medical unique questions for the Over the last two years, share their experience with oth- results reported very encouraging. and dental PG students. examinations. the Macula Healthcare, ers in front of the media. Patients Medical experts note that fe- Speaking to DTMT, Dr At the preliminary stage, which is a hospital and often find solace in the stories of male ‘Urge Incontinence’ is prob- Madhu said, “The vision the online study portal consultancy firm, did an those who understand what they ably one of the biggest health behind this portal is to will target six types of ex- intensive research on are experiencing. On this occa- problems in the elderly. Every create a platform for ex- ams through the portal. In healthcare academia and sion too, patients recounted their Dr Anup Kumar with his patients who have successful recovered from urinary incontinence third elderly women suffers from perts and students who future it has intends to ex- found that medical col- experiences of a condition that incontinence – a problem that could reach out to the plore more exams with re- leges have mushroomed led them to involuntary passing method the urge urinary incon- en during last two month through often limits the quality of life of masses by making best use spect to the feedback from within a short span of of urine and the treatment which tinence of Indu could be treated CESA-VASA. He planted a mesh those affected so considerably of technology at an afford- the student community. time. So, they have started gave confidence and hope to effectively and now is doing fine around their uterus to relieve that many hardly ever leave their able price. The objective is Dr Madhu further said thinking differently and many patients. and going through a three-month them of the nagging symptoms. house. to bring down the cost of that the idea is to create launched the online por- The interaction programme follow-up. She has been relieved Dr Kumar said the procedure While stress incontinence is healthcare education as a strong platform to con- tal www.entrancebook. held in the presence of the Medi- of her symptoms and is able to do used in the patients involves plac- considered curable, thus far there we believe in cost-based nect students and teach- com, which the firm says cal Superintendent Dr BD Athani all normal activities with no fear ing a special mesh anteriorly on has been no effective treatment accounting.” ers across the country and is the first of its kind in the saw doctors interacting with the of urinary leak without any medi- cervix, laterally through Utero- of ‘Urge Incontinence’. “It was Backed by healthcare even beyond. A network country. patients and delivering a compre- cations. sacral ligaments and posteriorly considered incurable. Till date the hensive health talk on urinary in- In the similar condition, Maya on sacrum, thus restoring the available options were medicines continence. Devi, another patient, said she anatomical restoration of pelvic and an injection. Medicines show Indu, 50, started suffering from had almost stopped going outside organs. response in limited number of pa- urge or mixed urinary inconti- her house for fear of urinating in “After the mesh is placed in the tients and that too only till medi- NDMC inaugurates new lab to nence soon after marriage. She clothes and used to urinate al- uterus the normal anatomy is re- cation is continued. Once medi- visited many hospitals in Delhi, most 20 times a day. But now, she stored due to which it does not put cations are stopped, symptoms but to no avail. Finally, she took an urinates just six times a day and pressure on bladder. It ensures recur. Similarly, the injection gives check mosquito breeding appointment of Dr Anup Kumar, has no problem in controlling the that there is no need to go for uri- response in 60 per cent patients head of department of urology urge. nation frequently,” said Dr Anup but that too short-lived for only DTMT NETWORK the lab. Epidemiology, clinical research, and renal transplant of Vardhman “Now I face no complication or Kumar. six to seven months with each in- NEW DELHI vector biology and control, climate and Mahaveer Medical College. follow-up medication,” said Maya. The procedure involves placing jection costing Rs.14,000 (two in- malaria, mosquito taxonomy, and in- With the cervico sacropexy- Dr Anup Kumar and his team a special mesh, imported from jections are required per patient),” Effectiveness of malaria chemoprophy- secticide resistance in aedes, anopheles vagino sacropexy (CESAVASA) used a kind of surgery on 13 wom- Germany and costing close to said the physician. laxis is variable depending on patterns and culex mosquitoes. of drug resistance, bioavailability and The centre will help in early detection compliance with medication, and no of aedes mosquito to prevalent disease similar preventive measures exist for in Delhi. Therefore the menace of mos- Now, a kit to test sperm ‘Blood 4 India’ mobile app launched other mosquito-borne diseases such as quitoes will be checked before it bites dengue, chikungunya etc. the citizen. quality at home DTMT NETWORK nation with just a click of ‘Blood 4 India’ helps you In view of this, the addi- An official in the centre KARNAVATI (Ahmedabad) smart phone,. become a Good Samaritan. tional commissioner of the informed the DTMT that the DTMT NETWORK from the comfort and pri- “After downloading this It will also let you ascer- North Delhi Municipal Cor- expansion of the lab will be vacy of their own homes,” After successful making App on any smart phone, tain availability of blood poration (NDMC) Mayank for Elisa test. The Elisa kit is Visiting frequently at path researcher Greg Sommer, consultation with medical you can register yourself of your group near your Sharma inaugurated a latest a good tool for the diagnosis labs and hospitals to know who co-developed the de- specialists available to the area anywhere in India,” lab, Centre for Entomology of dengue virus infection. In about sperm quality may vice, was quoted as saying. poor and needy patients he added. and Disease Surveillance in recent years, different rapid come to an end as a new Sommer worked as a free of cost in Andhra Describing blood as life, PH Lab Building, near Par- immunoassays for the de- device has been discov- staff scientist at Sandia Pradesh, Delhi, Vidarbha Togadia equated blood liament Street Metro Station, tection of anti-dengue virus ered to confirm men’s fer- National Laboratories in and Pune in Maharash- donation to gift of life. opposite Civil Lines Police antibodies have been de- tility status. the US. tra, India Health Line He said registering on Station on April 25, 2014. veloped. It has become the most widely One-third of infertility However, most of the has launched a dedi- ‘Blood 4 India’ a person “The lab will perform cutting-edge re- used serological test for the diagnosis of cases can be attributed to fertility solutions today cated mobile app ‘Blood will ensure greatest pu- search in both field and laboratory-ori- dengue virus infection, providing high male problems, including are only for women. Trak- 4 India’ for all those “who nya (good deed) and joy of ented topics. It will cover basic, applied degrees of sensitivity and specificity. low sperm count. This fer- Fertility is expected to either want to donate or saving lives. and operational aspects of malaria and At present, this system is an invaluable tility-test kit allows men highlight the importance seek blood in emergency”. India Health Line aims other vector-borne infectious diseases. tool for the surveillance of dengue fever, to test their sperm quality of sperm quality in con- At a ceremony organ- at collecting blood for The lab-based studies will be held here, dengue hemorrhagic fever, and dengue from the comfort of their ception. ised to launch the scheme, as a proud blood donor. various blood banks all with inputs from the field units as well,” shock syndrome. home. The scientists, whoDr Pravin Togadia, presi- Similarly, you can also over the country through Dr AK Rawat, Deputy Health Officer, “Another future plan of the lab is im- Aptly named TrakFertil- founded a start-up Sand- dent of the India Health register yourself if you its annual blood dona- NDMC informed DTMT. pregnation of bed nets. More use of ity, the portable device al- stone Diagnostics Inc to Line and famous cancer need blood and find the tion drive. In the last drive, He said the lab will touch three dis- impregnated bed-nets in the ‘moisture- lows men to learn about develop the device, said surgeon, informed that donors through this App,” over 40,000 bottles of tinct living things — malaria parasites, laden’ areas offer a dismissal ground for their sperm counts within the kit would be available anybody can register as Togadia said. blood were collected and vectors and human beings. Diverse as- the spread of vector-borne diseases,” he minutes. “It allows men to for consumers next year, a proud blood donor or “Don’t wait till emer- made available to hospi- pects of these three are being handled in said. test and track their fertility Daily Mail reported. seeker of blood across the gency. Registering on tals and blood banks.

Crossword Hints Amazing Facts

Across „„ An adult has fewer bones then baby. We start off life 1 Battle strategist’s with 350 bones but because bones fused together During Pregnancy last flip-flop left as during growth we end up with 206 as adults. is (5, 3, 3) „„ morning sickness 9 Author’s objective Human nose is not as sensitive as dog's but it can is a matter of concern holding frogman remember 50,000 different scents. back (4, 5) „„ Every square inch of skin on the human body has 10 Invalid living in TM about 32 million bacteria on it,but fortunately ,vast Tab. Virginia estate (5) RaRadd--prpreegg 11 Excellent meal with of them are harmless. only one serving of „„ The acids in human stomach are so strong that it Doxylamine Succinate 10 mg + pepper (5) Pyridoxine HCl 10 mg + Folic Acid 2.5 mg 12 Cry from a fighter can dissolve razor blades. plane spotted in „„ The human brain operates on about the same pow- Indian city (5, 4) er needed to light a 10 watt light bulb. Controls nausea & vomiting 13 Birds sitting in the during pregnancy museum (4) „„ One out of every 5000 thousand babies are born Taking the Pyridoxine & 14 I give up—answer without anus. Folic Acid early in pregnancy remains most cryp- prevents certain birth defects „„ tic (10) Solution on page 16 The longest time period recorded without blinking Pyridoxine prevents convulsions during pregnancy 19 Metal nuts I misplaced right one time is 30 hours and 12 minutes. before the deadline (4-6) Folic Acid supports DNA „„ Every human being have a unique smell,unique fin- 20 Three errors describing tip synthesis & helps in new cell 6 Except for the front part, gerprint and unique tongue print. formation during pregnancy of propeller blade (4) 22 Our French partner in dismal yard is full of holes (5) „„ 300 million cells die in the human body every min- politics? Just the opposite! ute and day and adult produces about 300 billion (3, 6) 7 Shade of white, for example, marginally glamorizes hot new cells daily. Assured 25 Because of “Endless Love”, pleasent morning for example, you stripped (3, spot (8) 8 Doctor broods about fore- „„ The life span of a human hair is 3-7 years on aver- 2) age. 26 Legs storing energy for most of Oberlin students sports (5) leaving school (8) „„ Women heart beats is faster then men,women heart 27 Five art movies train actor 15 What a cat supposedly has brought about: Russian ruler beats about 78 beats per minute, and the male heart (3, 6) beats about 70 beats per minute. 28 Elected offcials surrounded meeting American composer by Hurricanes Ann and (4, 5) Abby, e.g. (4, 7) 16 Sees pros blending coffee drink (8) Sudoku Corner Down 17 Some Girl Scout cookies 1 Goes back and forth speak- with non-kosher greases (8) Trade enquiries welcome. Financially sound parties may 18 Absorbs me into organiza- How to play contact for Monopoly rights/ Franchise/ PCD base distributorship ing disclaimers (6) 2 Fix the speech of cardinal tion of misers (8) 21 Unexpectedly says “Rocky is Fill in the grid so that every hori- introducing university bish- zontal row every vertical column op (5) bald” (2-4) 22 An Englishman’s title sound- and every 3 x 3 box contains the 3 Sell a most unusual horror digits 1 to 9, without repeating ed dark (5) novel (6, 3) the numbers in the same row, 23 Star of My Cousin Vinny: Corporate O ce : 402, NamrataCorp Society,orate O 274, ce Sher-E : 402, Punjab Nam Society,rata AndheriSociety (E), 274, Mumbai-400093 Sher-E-Punja / 10-96/B,b So Gokhaleciety, A Nager,ndhe Ramanthapur,ri (E) Mumb Hyderabad-500048ai-400093 4 Save any “radical liberal” column or box. DelhiDelh O cei O ce : 252 : Kailash252 K aHouse,ilash Kotla,Hou sMayure, Ko Vihartla, M Phase-1,ayur V Delhi-110091ihar Phase-I, Delhi-110091 Volume One (5) Email : [email protected] / [email protected] Special Forces soldier (4, 4) You can’t change the digits already Email : radisun2005@redimail.com / [email protected] 24 Craving the unflled role in Call us today, 09818368181 or 09868171928 5 Acknowledge everything given in the grid. Every puzzle has Call us today, 09818368181, 09868171928 or 09971758181 An 9001 : 2000 Certified Company that hurts (5) Fiddler on the Roof (5) one solution. DRUG TODAY MEDICAL TIMES 1st - 30th June 2014, New Delhi Medical Globe 13

World bodies call for action plan to RareRare DiseasesDiseases save women and children in SE Asia Xeroderma Pigmentosum

DTMT NETWORK measures, Dr Poonam Khetra- 1990 to 50 per 1000 live births in Kathmandu, Nepal pal Singh, WHO regional director 2012 in the WHO South-East Asia for South-East Asia, said that in Region. Alarmed over the appalling an ideal world not even a single Reduction in the maternal mor- health condition of wom- mother; newborn or a child would tality ratio (MMR) from 590 per en, infants and children in die due to a preventable cause. 1,00,000 live births in 1990 to South-East Asian coun- For the betterment of healthy so- 200 per 100 000 live births in tries, , the WHO, Unicef ciety, it is mandatory to give bet- 2010 is one of the most significant and UNFPA have made ter healthcare services to mothers achievements over the past dec- a joint appeal to the re- and newborns. ade in the Region (World Health spective governments to “There are several challenges Statistics 2013). ensure survival and im- that have affected progress in Two countries of the Region proved quality of life for maternal and child health. Low received the UN Secretary Gen- each women, newborn and public investments in health, high eral’s award in 2010: Bangladesh child. out-of-pocket expenses, inade- for progress towards achieving A survey conducted in 2012 quate number and distribution of Millennium Development Goal showed that 76,000 mothers health workers with the necessary (MDG) 4, and Nepal for progress had died during pregnancy and skills-mix are some of them. We towards achieving MDG 5. While childbirth in South-East are losing children and new moth- MDG 4 aims to reduce child mor- Extreme sensitivity to sunlight: A girl suffering from Xeroderma pigmentosum Asia Region. An esti- ers at unacceptable rates and is- tality, MDG 5 targets reduction in mated 1.8 million sues, such as gender imbalance, maternal mortality by 2015. children below early marriage and adolescent Overall progress towards MDGs eroderma pigmentosum (XP) is a of varying severity and varying age of the age of five pregnancy, suboptimal birth spac- 4 and 5 in the region has been var- Xrare disorder, defined by extreme onset. Thus, the complete De Sanctis- years and 1 ing, inadequate water and sanita- iable, and has been uneven among sensitivity to sunlight, resulting in sun- Cacchione syn-drome is present in only million new- tion facilities, are contributing to and within countries. Even in burn, pigment changes in the skin and a very few cases, but several patients have borns died in these deaths,” she added. countries that have achieved the greatly elevated incidence of skin can- one or more neurological features. 2012. As per the United Nations Inter- MDG targets, there are subpopu- cers. About 60 per cent of affected indi- XP has been found in all continents Stressing on agency Group estimates (2013), lations or geographic areas that viduals show an exaggerated and pro- and across all racial groups. Consistent the need for under-five mortality declined have higher mortality than the longed sunburn response. with autosomal recessive inheritance, preventive from 118 per 1,000 live births in national average. In a minority of cases there are neuro- males and females are similarly affected. logical abnormalities of varying sever- Estimates made in the 1970’s suggested ity. Historically, the disorder was classi- an incidence in the USA of 1 in250, 000 fied as “classical XP” (skin abnormalities and in Japan of 1 in 20,000. Plenary Session of the 67th World only) and the De-Sanctis-Cacchione A more recent survey in Western Eu- Indian doctors in UK syn-drome with skin abnormalities and rope suggests approximately 2.3 per Health Assembly concludes in Geneva extreme neurological degeneration. million live births. Anecdotally, the in- practice under shadow At present, the latter term is rarely cidence in North Africa and the Middle DTMT NETWORK medicines, vaccines, and advanced medi- used as it is evident that there is a wide East, where there is a high level of con- of statutory bar cal technologies for combating various range of neurological abnormalities sanguinity, is substantially higher. The Plenary Session of 67th World Health diseases and the value and importance of DTMT NETWORK Assembly, 2014 on “The link between cli- traditional medicine and need of experi- LONDON mate and health” concluded. The session ence and knowledge-sharing for securing was attended by CK Mishra, Additional public health needs were the key areas Indian doctors are at least four times more likely Secretary (health), Ministry of Health and that need to be focused. E-cigarettes help quit smoking: Study to be struck off from practising in UK than medi- Family Welfare on behalf of Speaking on the cos trained locally, this is the conclusion one can Government of India. present state of DTMT NETWORK thors, smoking claims the authors write, “e-cig- draw from the latest official figures on the num- The World Health Assem- health in the coun- more than 6 million peo- arettes appear to reduce ber of medics given yellow card in the country. bly is the annual meeting of try, he said in India, A new research has ple a year people glob- craving and withdrawal According to statistics procured from the General WHO’s 194 member states health is given a claimed that e-cigarettes ally. The consumption of associated with abstinence Medical Council (GMC), in the past five years, 117 doc- and is its highest decision- central position in could help people quit tobacco causes cancer, in smokers while toxicity tors trained in India and Pakistan have been barred making body. It sets out the the national plan, smoking. According to its from working. Organization’s policy and running from 2012 findings, those who use The figures add up to around 1 in 1,000 doctors who approves its budget. to 2017. The coun- electronic cigarettes are are trained in UK being struck off during that period as Speaking on the occasion, try is successful in 60 per cent more likely against 1 in 250 of those trained in India, and 1 in 350 Mishra said addressing achieving remark- to succeed in quitting the of those from Pakistan. The country with the largest climate change is not just able reductions in habit than those who use number of doctors removed from the UK register is an issue of international Maternal Mortality will power in nicotine re- India, followed by Pakistan, Egypt and Nigeria. agreements or econom- Rate, Infant Mortal- placement therapies. Between them, the four countries account for 1 in 6 ics costs as it is a choice of ity Rate, Neo-Natal E-cigarette is a battery- medics working here and doctors from overseas over- what kind of world we all Mortality Rate and powered device which all now make up 1 in 3 medics working in the UK, Daily want to live in. the Total Fertility simulates tobacco smok- Telegraph reported. The revelations are being seen as He said that there is ma- Rate, following stra- ing by producing a vapor further proof of discrimination within the system by jor challenge for the public tegic investments that resembles smoke. It the British Association of Physicians of Indian Origin health community to identify best indi- made under the National Rural Health generally uses a heating (BAPIO). vidual and local strategies as there is lack Mission. element known as an at- heart disease, and stroke testing suggests that they The country with the largest number of doctors re- of coherence globally in terms of clear Also India has been successful in the omizer that vaporises a and leads risk factor for are much safer to the user moved from the UK register is India. public health messages about climate eradication of polio. India has recently liquid solution. premature death. Over the than ordinary cigarettes.” The group had recently lost its high court legal ac- aimed at populations in general. constituted a Steering Committee of ex- Solutions usually con- last few years, e-cigarettes In the US, use of e-ciga- tion claiming overseas doctors, especially from the In- He emphasised the need for technol- ports on health related issues pertaining tain a mixture of propyl- greatly increased in popu- rettes among smokers has dian sub-continent, who wanted to become GPs were ogy transfer as a means to empower de- to air pollution which comprises two sub- ene glycol, glycerin, nico- larity, despite the fact they increased from 2 per cent being discriminated against. However, the judge had veloping countries, the important role of groups on household air pollution and tine, and flavorings, while are largely unregulated. in 2010 to over 30 per cent hailed their “moral victory” as he stressed the need to generic medicines, need for appropriate outdoor air pollution. We are committed others release a flavoured “By providing a vapor in 2012, and the study au- address differentials in the system. international policy space to facilitate eq- to carry this forward to a logical conclu- vapor without nicotine. containing nicotine with- thors note these rates are “We have been fighting against discrimination uitable access to affordable, quality, safe sion, he added. According to study au- out tobacco combustion,” similar in the UK. for years. On the one hand, the government has ap- proached BAPIO to help with recruitment of Indian doctors to plug the shortage in their emergency de- partments and on the other they refuse to step in WHO alarm over alcohol as death toll reaches record 3.3 million in 2012 when unfair claims are made on their competency, said BAPIO president Dr Ramesh Mehta. DTMT NETWORK caused by alcohol and to protect popu- ity health care and are less protected by Most recently, Health Education England revealed a lations from the negative health conse- functional family or community net- programme to recruit at least 50 trainee doctors via Increasing consumption of alcohol has quences of alcohol. works, he added. video-link interviews from India to tackle shortages in raised an alarm as it may lead to worst It added there “was no room for satis- The global status report on alcohol and the country's Accident and Emergency (A&E) depart- health problems in future. According to faction”, warning that drinking too much health covered 194 countries and looked ment. Patient groups had expressed alarm at this re- WHO’s a latest finding, more than 3 mil- kills more men than women, raises peo- at alcohol consumption, its impact on cruitment process, which bypasses certain language lion died of taking alcohol in 2012. ple’s risk of developing more than 200 public health and policy responses. and other tests for overseas doctors. WHO said that governments need to diseases, and killed 3.3 million people in It found that some countries have tak- be more active in limiting the damage 2012. en some concrete steps to protect peo- Nearly every person in ple from harmful drinking that include the world aged 15 years increasing taxes on alcohol, limiting its or older drinks 6.2 liters availability by raising age limits and regu- of pure alcohol per year. “We found that globally about 16 per- lating marketing. But less than half popula- cent of drinkers engage in ‘binge-drink- WHO said that more countries needed Delhi tion -38.3 percent-drinks, ing’ which causes most harm to health, to take similar actions. Spreading aware- so those who do drink on said director for mental health and sub- ness of the damage alcohol can do to LOOKING FOR average 17 liters of pure stance abuse at the WHO. people’s health and screen for those who alcohol a year, said WHO Alcoholism generally affects poor com- may need earlier intervention to cut down reports. munity more due to the lack of qual- or stop. App detects signs of autism in children

DTMT NETWORK ical students. then redirected to a toy Kolkata “The software can auto- being shaken on the right US scientists have discov- matically analyze a child’s side. ered a new app that can de- eye gaze, how he walks and Clinicians count how Hyderabad tect early signs of autism motor behaviors for signs long it takes for the child’s in children. The software that are distinct from typi- attention to shift in re- Mumbai that traces and records cal development,” said the sponse to the changing newborns’ activity during app’s developer, an assis- stimulus. In all of the tests, Chennai filmed autism screening tant professor of pediatrics the person administering bangalore tests. This app has been at University of Minnesota them not only controls the developed by researchers in the US. stimulus, he or she also of Duke University. These signs would signal counts how long it takes Full time/freelance journalists in Delhi, Mumbai, Bangalore, Chennai, Hyderabad & According to the scien- to doctors that they need for the child to react. Kolkata for our pan India level English monthly medical newspaper. Science tists, the software is also to refer a family to a spe- The new programme al- background will be preferred. more accurate than med- cialist for a more detailed lows testers to forget about ics who are not autism evaluation, he added. taking measurements ‘DRUG TODAY MEDICAL TIMES’ experts and bet- The research mainly while also providing more ter than concentrated on three accuracy, recording reac- Interested candidates can contact at: med- behavioral tests that can tion times down to tenths help identify autism in of a second. Scientists be- (011) 22792554, 22792078 very young kids. In one lieve the technology could Or test, an infant’s attention also be useful in schools as E-mail at: [email protected], Website: http://drugtodayonline.com is drawn to a toy being way of screening children shaken on the left side and for autism. DRUG TODAY MEDICAL TIMES 14 DTMT Exclusive 1st - 30th June 2014, New Delhi

…tick… tock… tick… keep up the rhythm of health RICHA SINGH rhythm counts off the days, another sengers they produce seem part of the brain acts like the hour to coordinate the timing Light t might surprise you to hand on a watch. This timekeeper re- of wakefulness, arous- Light striking your Guide to better health Iknow that your brain sides in a nugget of nerve cells with- al, and the stages of eyes is the most influ- has an inbuilt clock – a in the brain stem, the area that con- sleep. ential factor. The circadian How to use your body’s natural clock to fight illness clock that keeps ticking trols breathing, blood pres- The body rhythm disturbances and and achieve maximum health? off all the time to remind sure, and heartbeat. sleep problems that affect up Certain brain structures and chemicals produce the you of your schedule. Both Fluctuating to 90 per cent of blind people states of sleeping and waking. This internal clock, humans and animals are activity demonstrate the impor- which gradually establishes itself dur- programmed by nature to do in the ing the first months of life, controls things according to a predeter- tance of light to sleep/ the daily ups and downs of bio- mined schedule set by the biologi- wake patterns. logical patterns, including body cal clock. But, unlike animals we temperature, blood pressure, humans have been delegated some and the release of hormones. discretionary powers by nature. If you look When allowed to run natu- Ideally, we too need to sleep rally our body clock operates at night, work during the around, you will find that on a cycle of just over 24 hours. day, eat, play and do the the entire universe is mov- It controls everything from the entire routine chorus ac- time it is easiest to exercise (early cording to a schedule, ing according to a known or un- even- ing) to the time you are most like to but most of us de- known scheduled. The earth and all have a heart attack (in the morning) or stroke (between viate from it only 6 am and 8 am or 6 pm and 8 pm). to repent later in living and nonliving things on it follow One of the most important ways in which the body life. a timeline set by nature, humans are no clock works is by triggering the production of hor- And those who mones such as the stress hormones adrenalin and cor- abide by the schedule exception. However, while other creatures tisol produced by the adrenal glands, and melatonin, a do so not due to their are programmed to adhere to law of na- hormone secreted during darkness by the pineal gland habit or work regime in the brain, which helps regulate sleep cycles. or convenience. It is ture on impulse, humans have discretion. However, modern life style and driven by the body Follow the biological clock – an inbuilt shift work has become issues of clock. Even if we don’t concern because they are the know what time it is, time machine in the body that guide primary cause of disruption we still do things in us through a routine – to health and of the body clock which leads a cycle that go run in to many health issues in long circles all the time – happiness, or follow it in breach run. Specially, youngsters 24/7/30/365. only to repent later in life, who are fond of late-night This biological clock partying or engaged with 24/7 is an internal regulator the choice is yours. work schedule are face many a responsible health problem like sleeping dis- for vari- orders, stress, insomnia etc. ous cy- Time Disruption to rhythms clical As a person reads Frequent flyers generally experience a condition re- known as jet lag with its attendant symptoms of fatigue, clock, follows work and Graphics by Somesh Kumar Mishra spons- disorientation and insomnia. A number of other disor- es in train schedules, and de- ders, for example bipolar disorder and living mands that the body remain clock mainly some sleep disorders are associ- things. alert for certain tasks and nerve cells works on three factors, ated with irregular or patho- Both social events, there is cog- and the chemical mes- namely light, time and melatonin. logical functioning of circa- plants and nitive pressure to stay dian rhythms or biological animals on schedule It acts as a regulating switch, pushing the body clock for- clock. show daily, Melatonin: Disruption to rhythms in monthly, yearly, wards or backwards. Melatonin production falls as we get older, which may the longer term is believed and other rhythmic explain why younger people find it easier to drop off and to sleep longer without to have significant adverse changes in a genetically pro- interruption. health consequences on pe- grammed manner. The tick and tock of your body clock holds numerous implications for your ripheral organs outside the There are patterns of brain wave health. When we are well, body rhythms work in synchrony, like a finely-tuned brain, in particular in the develop- activity, hormone production, cell orchestra. Illness, travel across multiple time zones, and shift work schedules of- ment or exacerbation of cardiovascular disease. regeneration, and other biological ten throw body rhythms out of tune. LED lighting suppresses melatonin production five activities linked to this 24-hour Doctors have started acknowledging the concept of body clock while ascertain- times more than normal production. Depression symp- cycle. These daily rhythms are ing what’s wrong with their patients, ordering tests and prescribing medication toms from long term nighttime light exposure can be called circadian rhythms. and other treatments. undone by returning to a normal cycle. As the circadian

shifts, you can help yourself get good sleep by keeping your bedroom dark and Resign to a routine Back to basics: Early to bed, early to rise quiet and by taking good care of yourself overall. In some cases, prescription medi- cine or over-the-counter supplements for a healthy and BS RAWAT the predominant testing modality for ob- of cardiovascular diseases and Diabetes may help. Here are some tips on sleeping structive sleep apnea (OSA), forcing sleep and are further fuelling these epidemics. well when you do this type of shift work: According to doctors, body clock plays a specialists to evaluate our practice mod- Societies are collectively mounting mas- Some people, no matter what they do, happy life vital role in your health and fitness levels. els. sive sleep debts in order to support our have trouble falling asleep at night and People who consistently fail to get enough It is critical to ensure that insurance current lifestyles further adding to the being up early during the day. ROHIT KUMAR sleep are at a higher risk of chronic dis- coverage and reimbursement policies for problem. Scenario is particularly worse This may or may not cause problems ease. Experts consider sleep disorders to sleep medicine services are implement- in metro cities. for them. It depends on their lifestyle and In today’s hectic life most of us do not find it easy be illnesses that have reached to epidem- ed equitably so that patients receive the The biggest bottlenecks are lack of work or school schedule. If you are one of to respond to the demands of body clock. Thanks ic proportions. highest quality of care. awareness and focus about sleep in gen- those night owls, there are things you can to the busy schedule, eating, working and sleeping Treating sleep on a priority basis is a A new study suggests that people with eral and about sleep disorders both in the try so that you fall asleep earlier and sleep patterns have not been the same as they used to be must to prevent a number of chronic obstructive sleep apnea (OSA) are per- general public and medical fraternity. The through the night. in the past. With the passage of time lifestyle has medical conditions. We all have some ceived to appear more alert, more youth- other problems are lack of trained man- To promote human health, we need changed drastically. Physical activity, especially of sense of the relationship between sleep ful and more attractive after at least two power in the specialty. not only eat healthy foods, but also more those living cities and towns, has been reduced to and our ability to function throughout the months of continuous positive airway A new study claims that working nights importantly to keep a healthy lifestyle, bare minimum. day. After all, everyone has experienced pressure (CPAP) therapy. can disrupt gene activity after only three which includes avoiding sleeping late and One needs to sleep, wake up and eat at the right the fatigue, bad mood, or lack of focus Sleep disorders have rightly being la- days – and the health dangers are thought eating at night. time for healthy and happy life. But, the question that so often follow a night of poor sleep. beled as the next big ‘Asian epidemic’. to include an increased risk of breast Animals on a high-fat diet display meta- arises, how anyone can abide by a set 24/7 timeta- The field of sleep medicine is undergo- There is evidence to suggest that more cancer, type 2 diabetes and heart attacks. bolic problems associated with obesity. ble in today’s life and time when everything except ing its own transformation around the than 30 per cent of the population suffers Does it worry nocturnal workers? And are The problems are worsened in animals work is irrelevant and hence unscheduled. glove. In some regions of the Asia, out of from one or the other sleep problem. there any advantages? whose circadian clocks in immune cells Akshita Aggarwal, a Delhi-based dietician said, center sleep testing (OCST) has become Sleep disorders interact with epidemic If you work the night shift or rotate are disrupted. “Body clock dictates all major reflexes like hunger, sleep, motion and digestion. In terms of nutrition, a balanced diet consumed in line with our body clock will ensure good digestion, better assimila- tion, good blood circulation and elimination of lethargy or tiredness.” The better tomorrow that is never welcome in life Our basal metabolic rate, commonly known as MK SINGH bells toll in neighbourhood temple or open and enjoy the serenity of nature in morose mornings after great evenings. BMR, is highest in the morning. So consuming church toll, muezzin of local full bloom. In the contrary, we remain In an era of science and technology, we foods rich in protein and carbohydrates and low ill definitely do it from tomorrow… mosque call the faithful, it indoors unmoved and unim- seem to outsmart Mother Nature follow- or moderate in fat in breakfast is advisable. Lunch “Wit’s my promise … I have decided is time to go out in the pressed. For us, it is always ing its laws in breach only to lament later should have moderate protein and carbohydrate that from the next sunrise on, I in life: “Had we followed the rule, they while fat should be as less as possible and dinner will wake up early and follow the would have better off and would not should always be light as by dinnertime, should daily routine in accordance with have ended up losers.” not go beyond 8 pm, our BMR tappers down to the biological clock…” The mantra for healthy and happy lowest. We hear such monosyllables life is not a formula of rocket science Apart from proper and timely diet, what is need- quite often. But, such commit- that can’t be adhered to. Rather, it is ed to follow the biological clock is physical activ- ments hardly translate into ac- as simple as is mentioned in nursery ity. However, being physically fit is a challenge tion. We make these promises to rhyme: “Wake up early, take your these days. Due to busy schedules and sedentary ourselves, our family members, meals at time and go to bed in the lifestyle, people in general do not get enough time friends or fiancé, but the next same day”. But what we do practi- for physical activity. Mobility in today’s world has morning… cally is exact opposite of what the been reduced to bare minimum. “...Let me enjoy my sweet sleep poem tries to convey. Once out of At dawn when most creatures are out in the open for now... Let me start it from to- school, nobody takes such small to recharge their energies for the day, most of us re- morrow...” but cardinal principles of living seri- main indoors either lying on the bed or ensconced But this ephemeral ‘tomor- ously. in the cozy comfort of sofas waiting for morning row’ never comes, in At every point of time, our body has newspaper. We start the day late, and try to bal- fact, never is welcome. a specific requirement. It might be food, ance this by working late. With such routine, we Thanks to laxity we work, relaxation or anything else. Gen- are following the body clock in breach. The need is are endowed with, erally, we tend to substitute the desired to find ways to keep ourselves mobile during our all good things requirement with something incom- waking hours with small activities if not big. in life are al- patible with the demand of the Abhishek Aggarwal, HR and Training manger, ways unwelcome. situation. Take the example of Rejuvenation and fitness group, Delhi, said, “For Gone are the marriage. In the past, people maintenance of fit and happy lifestyle, exercise is days when people used to marry early in life. a must. It helps adhere to body clock. Spot running would wake up with But today, late marriage is and morning walk not only keeps us physically fit the chirping of birds the norm, so late that at a but also create positive vibes which keep us in and do everything in time when people who are cheerful mood all through the day. As for an office- accordance with the supposed to be playing with goer, he/she must ensure physical movement of at demands of nature till their grandchildren have to do least five minute in an hour.” their last breath. When so with children of their own. DRUG TODAY MEDICAL TIMES 1st - 30th June 2014, New Delhi Medical Business 15

Industry expects decisive push to Online clinic for health needs of teenagers RICHA SINGH seek professional medical help from tors and valuable health data can be the comfort of their homes.” stored with virtual healthcare center. healthcare reforms under Modi A major initiative has been taken Adolescence is a time for biological The company is offering its services by Credihealth, the leading online and psychological changes in teen- in Delhi, Mumbai, Bangalore, Gur- BS RAWAT impacted growth. The movement of healthcare information service pro- agers, and this phase may make it dif- gaon, Noida and planning to expand clinical trials out of India should be vider, towards integrating healthcare ficult for parents to identify warning its services to the rest of India within A resounding victory for the BJP led arrested. and improving access to teenagers’ signs. With the launch of teen clinic, few months. National Democratic Alliance (NDA) Fortis Healthcare executive health issues by launching an online teenagers and in the Lok Sabha elections while on chairman Malvinder Mohan Singh teen clinic –’Credihealth.com’. their parents the one hand gave a big boost to the said that clear majority will allow The teen clinic has been launched will get help business sentiments in the country the government take difficult but in collaboration with top doctors and to deal with in general, evoked lot of expectation right decisions required to unleash hospitals of metropolitan cities. the turbulent from the Health Sector in particular growth and move the country and These clinics will enables teenag- teenage years. on the other. the economy into a higher orbit. ers and parents to avail online health Equipped Health industry hopes that the new “Clearly there are also great expec- services and provide the most reli- with latest Government under the stewardship tations from the new Government able, comprehensive, updated and technology, of Narendra Modi, who spearheaded Dr Prathap C Reddy Dr Naresh Trehan and I think they will have the room validated information for teenagers patients can BJP’s poll campaign and was instru- medical education and take decisive and the freedom to be able to deliver about their health needs. log on to the mental in the party’s return to power steps to remove barriers of accessi- on their promises. I wish them all Credihealth teen clinic caters to website and with biggest-ever mandate, will em- bility, cost and quality that continue success,” said Singh. teen problems like acne, puberty, consult and bark on health reforms through bold to plague India’s healthcare system.” Medanta-Medicity CMD Dr Naresh teenage obesity, sexual health, addic- take appoint- and decisive policies. Stressing on the need to declare Trehan said, “My only request to Mr tion to alcohol and provides a plat- ments with The health industry expressed the health a national priority, Dr Reddy Modi is to give us a decent knowl- form for smart healthcare choices. any doctor. hope that the new government at the said inclusive economic growth in- edgeable health minister who could They will help teenagers and their Credihealth Centre with a clear majority will be herently demands a first-rate health- lend an ear to our grievances. All parents to hire services of the doc- mobile appli- able to push through health reforms care system, one that is affordable these years the health industry has tors appointment or seek a second cation is avail- with right earnest without having to and accessible. been neglected by successive gov- opinion, online. able on mo- be at the mercy of allies. They expect An equally urgent need, he said is ernments at the Centre. We hope this Co-founder of Credihealth India, bile platforms the ruling alliance to take up infra- to make the direct tax code and GST time around, the budgetary allow- Ravi Virmani, said, “We are helping like android structure development on prior- a reality, early on. He assured the ance to health will be enhanced from people make more informed deci- and iphones. ity basis to revive the health sector Central administration all possible the usual 3 per cent.” sions by giving a vast breadth and The applica- growth. support in building a more robust Terming the results as a “dawn of depth of information on symptoms tion will help “The new government,” Apollo healthcare system. new hope for all Indians”, Cadilla and treatment options. This ensures users to have Hospitals group chairman Dr Prat- According to Satish Reddy, chair- Pharmaceuticals CMD Dr Rajiv Modi cost assessment and price compari- quick and in- hap C Reddy said, “needs to drasti- man, Dr Reddy’s Laboratories, clarity said, “We wish the new government son at one place. We run virtual clin- stant connec- cally increase public spending on is needed on the pricing policy and a takes the India growth story fur- ics that give our users the facility to tivity to doc- health, create a roadmap for uni- more collaborative regulatory envi- ther and works towards making the versal health coverage, corporatise ronment to address issues that have economy more vibrant.” More drug regulators, labs at ports to ensure global standards in the offing

world standards in two-three years and will even match the US in three- five years,” Dr Singh said. India’s regulators including DCGI along with state level FDAs have all gathered here at the ‘ iPHEX’. Joint Secretary in the Commerce Ministry, Mr Sudhanshu Pandey, told the media that the Union Govern- ment is following a “zero tolerance” policy for ensuring that India not only maintains but further strength- ens its ranking in the world pharma- ceuticals market. He said these measures on quality assurance are even more important when a big opportunity would be un- folding in the off-patent generics in the next few years. “More than 160 drugs will go off-pat- ent till 2018 …” he said. When asked about some concerns, Mr Pandey made it clear that “Government stands by its zero tol- A stall of Drug Today Medical Times at iPHEX erance policy. When it comes to human lives, DTMT NETWORK tries thronged the exposition. Ad- Indian laws are the MUMBAI dressing a press conference held toughest,” he asserted. after inauguration of the ‘iPHEX’, Dr Chairman of the The Indian Government will more GN Singh, Drugs Controller General Pharmaexcil Mr than double the number of regula- (India), said the Central Government Ashutosh Gupta said tors in three years and set up state- will be sending over Rs 3,000 crore the industry and of-the-art testing labs at ports to en- in the next three years (under the the Government are sure that pharmaceuticals and drugs 12th Plan) towards enhancing the ca- working in tandem to exports shipments meet global qual- pacity of the regulators both at the increase spending on ity standards following a zero toler- Centre and state levels. the Research and De- ance policy for any laxity, senior offi- He said while the number of regu- velopment. cials from the Health and Commerce lators will increase to 1,000 from The industry has Ministries said at the international 500 at the Central level, as many as also been in touch exhibition for pharma and health- 3,000 regulators will be deployed at with the government care ‘iPHEX’ which concluded here state level. In India, the regulatory seeking special pack- on May 23. system works at the dual level – Cen- age for the small and A strong message was sent on the tral and state. medium enterprises third and concluding day of the “India’s reference system (for drug under the Technology event when buyers from 125 coun- testing and IP) will be at par with Upgradation Fund.

10 years in pharma business Monichem Healthcare comes of age DTMT NETWORK P Madhusudan Reddy, both there are around 100 employ- of whom have more than 25 ees while the field force com- Monichem Healthcare Pvt. years of rich pharmaceutical prises a rare blend of talent Ltd., a pharmaceutical com- experience behind them, the and experience. Most of the pany diversified into three key company is relentlessly striv- staff has the previous experi- segments namely, dermatol- ing to surpass its short-term ence of working with leading ogy, pediatric and general, has goal of Rs 100 million by 2014 companies. This helped the come of age completing 10 in the ethical marketing seg- company establish itself in the years of existence at the health ment. market sooner than later. capital of India, Hyderabad. Monichem has some am- All the employees are suffi- Headed by two illustrious bitious growth plans for its ciently motivated in a profes- directors, T Sridhar Reddy and 10th anniversary especially sional and cordial atmosphere introduction of at the company. The company newer concepts could be able to retain all its Disclaimer: in dermatology, committed employees for long cosmetic, pediat- owing to its human touch. We exercise due care, diligence and ric and pain man- With a sound financial caution in publishing the news and agement seg- health, the company is carry- articles. None of the report or arti- ments. Its prod- ing forward its expansion plan cles constitute any form of advice, ucts are manu- in right earnest and is poised recommendation or arrangement factured at one of for a high growth in the years the best facilities to come adhering to its motto by us. Readers are requested to available in the of Quality First… make their own research and en- country adher- Monichem has a presence quiries prior to making any invest- ing to stringent in Seemandhra, Telangana, ment or other decisions. We are not manufacturing Tamilnadu , Pondicherry and liable for any claim of loss or dam- practices. Maharashtra and plans to ex- ages suffered by any person due to The strengthpand to other strategic states such decisions solely based on our of the company by the end of 2015 where there reports or articles. lies in its human is good growth potential. resources. In all Watch out for Monichem!!! DRUG TODAY MEDICAL TIMES 16 Medical Mix 1st - 30th June 2014, New Delhi

Model prescription seeks to break doctor-chemist nexus

MK SINGH their weight and sex. sale of prescription drugs on prescription sildenafil citrate can be prescribed only by BAMS followed by subsequent qualifica- In an effort to save the common man only among many. an Urologist, Psychiatrist, Endocrinologist, tion, MBBS MD or BAMS MD), registration It has been found that quite often patients from the strong mafia of chemist shops and To achieve its objectives in letter and Dermatologist or Venerologist. Letrozole number, address of doctor, contact, date of have to struggle hard to find prescribed doctors, it has been clearly instructed that spirit, the FDA felt it imperative to enforce can be prescribed by a cancer specialist only. prescription, doctor’s signature and date, medicine. More often than not they give while prescribing medicine doctors should uniform prescription format commensu- Meanwhile, the FDA has said that, doc- stamp, prescription serial number, Rx-su- up their hunt either because of high prices not recommend or mention the name of the rate with legal provisions. A committee has tor’s full name, qualification (for say. MBBS/ perscription should be mention compulsory. or non-availability of the medicine in their chemist shops. been constituted under the chairmanship of area. With a view to resolve these issue and While drafting the prescription, it has Mahesh Zagade, IAS and Commissioner of improvise existing medical practices, the been deliberated that the average longevity FDA in July last. Food and Drug Administration (FDA) of Ma- The draft format, a harashtra has come up with a formula. copy of which is avail- The FDA has brought a Model Medicine able with the DTMT, Prescription Format meant for the doctors says, “Do not print and patients in the state. To make the model names of more than prescription format patient-centric, the FDA one doctor on the Commissioner instructed all doctors in the prescription, a doctor state prescribe drugs with generic names should not use another and he/she shall ensure that there is a ra- doctor prescription tional prescription and rational use of drugs. pad even with her/his To support his case, he quoted the Indian consent, if a doctor’s Medical Council Regulation, 2002 under In- types her/his prescrip- dian Medical Council Act 1956 under code tion on a computer of medical ethics which reads: “Every phy- she/he must ensure sician should as far as possible prescribe that he/she issue it drugs with generic names and he/she shall with her/his full recog- ensure that there is a rational prescription nisable dated signature and rational use of drugs”. in ink”. Apart from this, the prescription shall of citizen in Maharashtra has gone up from Welcoming the move, Dr Anil Kumar, sen- bear the name of medicine as a generic 53.8 years to 73.4 years in the last four dec- ior cardiologist from Mumbai, said, “We name and if the prescriber is not sure about ades due to positive attribute to healthcare are already following the 90 per cent of the generic name he shall add following in- and judicious use of medicine. However, draft format. But, there is a need to incorpo- struction on the prescription “or any other if administered improperly the impact of rate many more measures for a healthy and cheaper generic medicine as per choice of medicine on human body and mind can be happy society. For instance, the number of patient”, above her/his signature. catastrophic on patients. doctors should be increased, infrastructure Since health is a state subject, if imple- To prevent such a situation, the FDA Ma- of hospitals should be improved, and quan- mented successfully, it might become a harashtra over the last two years has initiat- tity of blood banks and the way they func- precedence to follow by the other states. ed far-reaching comprehensive measures to tion in the rural areas should be stream- Keeping in mind the helplessness of the safeguard citizens’ health through stringent lined among others.” patient while consuming medicine, the FDA implementation of patient-centric provi- The FDA has also said that certain medi- said the prescription must invariably bear sions in Drugs and Cosmetics Act 1940, like cines can be supplied on the prescription the strength of the patient with respect to presence of pharmacist in retail drug store, by specific specialist only. For example, Children on fast track to ill health, courtesy lifestyle

PAROMA BHATTACHARYA report came in she felt ground able in the market in many dif- gasping for breath along with slipping from under her feet. To ferent brands could also be a throat problem to rheumatic If parents advise their wards her horror her child was diag- culprit. As children, most of us heart disorder in children. against eating junk food outside, nosed with acute heart problem.” have been fed on Cerelac, Forex Meena Sachdev, mother of they do not do so without a rea- “The disease was almost life- et al that claim to be substitute school-going kid from Defence son. Going by the steady rise in threatening and if proper care to mother’s milk. But, recent Colony, blames academic pres- cases of heart ailments among wasn’t taken, he could meet with studies have revealed that the sure. She said, “There is so much children these days, it is the situ- any eventuality. Luckily her son preservatives in these baby pressure on the children that ation does not seem to be reas- responded to treatment and in foods have their own pros and they hardly get time for play suring. If anything it is the eating now fully recovered,” Neeta said, cons and adversely affect the or other recreational activities. habits to blame for this trend. adding, “A heart disease is no body and brain. Rather than eating adequate Researching the subject, I longer restricted to old-age, even Dr Ramakrishna Balasubra- homemade food, they prefer fast zeroed in on a story of young a child as young as eight-year- manium, a Delhi-based cardi- food to save time. This eventu- woman who discovered to her old can have it. I have learnt this ologist, gave us a shock when ally takes a toll on their health.” chagrin that her eight-year-old the hard way.” he said even unborn babies in For some heart problems, Bal- son had a heart disease. If anything, the trend firmly the womb can have heart risk asubramanuim says medication Recounting her trauma, Neeta points to one aspect of our ex- depending on the lifestyle the of children should continue till Bhargava, a resident of Kis- istence – fast changing lifestyle parents adopt. recovery. Once the problem re- hangarh, Vasant Kunj, she told of younger generation, in which “I always advise my patients cedes, the child can stop taking RNI No. DELBIL/2012/45560 me that her son would often get junk food is a norm rather than to avoid a series of junk food. It the medicine. However, in other Published by Poonam Mishra for and on behalf of Drug Today Medical Times, 252, Kailash House, Kotla, Mayur Vihar –I, Delhi -110 091 trapped into cough phenom- exception. While some parents remains for a while and during cases, medicine needs to be con- Ph No.: (011) 22792078, 22792554, Fax No.: (011) 22759677 and printed at India Offset Printers, X-36, Okhla Industrial Area, Phase-II, Delhi - 110 020 Email - [email protected] enon as he didn’t have much im- caution their wards against fast pregnancy it affects the unborn tinued for many years or even Editor: Lalit Mishra munity. But last year, when the food, many others, who fail to as well. Children are either ad- for lifetime. © All rights reserved. Reproduction in whole or in part without written permission of the publisher is strictly prohibitedWe have taken every possible see the lurking danger in it, learn care to avoid errors. Since this publication is being sold on the condition and understanding that information given herein is merely for reference, it cough unusually aggravated, she dicted to congenital heart dis- In most cases, lifestyle chang- must not be treated as an authority of or binding in any way on the writers, editors, publisher, and printer and sellers who do not owe any responsi- took him to a doctor, other than it later the hard way like Neena. ease or a rheumatic heart issue es will help children control bility for any damage or loss to any person. All disputes are subject to the exclusive jurisdiction of competent court and forums in Delhi/NCR only. the usual family doctor, who pre- The risk is not confined to fast which occurs after high fever”. their high blood pressure which For the use only of a registered Medical Practitioner or a hospital or a Laboratory scribed some tests. When the test food alone. The baby food avail- Researchers trace irritation, is a trigger for heart ailments. For inquiries call us at : 09971523292 Jokes

n A Hindi Songs & their Medical Meanings Jiya Jale Jaan Jale,Raat Bhar Dhuan Chale -FEVER Tadap Tadap Ke Is Dil Se Aah Nikalti Rahi -HEART ATTACK Suhani Raat Dhal Chuki,Na Jaane Tum Kab Aoge -CONSTIPATION Bidi Jalayle Jigar Se Piya Jigar Ma Badi Aag Hai -ACIDITY Tujh Mein Rab Dikhat Hai,Yaara Main Kya Karoon -CONTRACT Tuje Yaad Na Meri Aayi Kisi Se Ab Kya Kehana -ALZHEIMER's Mann Dole Mera Tann Dole -VERTIGO Tip-Tip Barsa Pani,Pani Ne Aag Lagyi -URINARY INFECTION Dil Dhadak-Dhadak Ke Keh Raha Hai -HYPERTENSION Aaj Kal Paaon Zameen Par Nahi Padte Mere -CORN ON FEET Haay-Re-Haay Neend Sudoku solution Nahi Aaye -INSOMNIA Batana Bhi Nahi Aata,Chupana Bhi Nahi Aata -PILES And Sabse Mast Lagi Aaj Saawan Ki Phir Wo Jhadi Hai -LOOSE MOTION

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