Ahmedabad hospital vandalized, Two doctors assaulted after death of patient

Ahmedabad: In yet another instance of violence against medical professionals, two doctors of a private hospital at Seventh Heaven on Sarkhej-Makarba headquarters road were allegedly attacked by the kin of a patient who died at the hospital following which one of the doctors filed an FIR in this regard.  

According to the doctor’s statement, the wife of the deceased patient arrived at the hospital with four people. They proceeded to assault the doctors while causing damage to hospital property. Furthermore, the doctors alleged that the assailants made threats of severe consequences before leaving the premises. 

The two doctors in this case have been identified as Dr Uzair Shaikh, the owner of the hospital and Dr Azharuddin Memon, his partner. 

Also read- On-Duty Doctor Allegedly Thrashed By Patient’s Kin At Bhima Bhoi Medical College

The incident took place after the wife of the patient brought him to the hospital’s emergency department after the patient fell unconscious however, Dr Shaikh could not save him with CPR (cardiopulmonary resuscitation) as he claimed that the patient was brought dead at the hospital.  

As per the TOI news report, the patient had been consulting Dr Shaikh for multiple ailments over the past three years. Khan had a complex medical history, including hypertension, heart issues, paralysis, and multiple addictions which complicated his health condition.

According to the FIR, the patient in an unconscious state was rushed to the hospital on April 4 as he suffered from breathlessness and his heart began pumping slowly. However, he was discharged from the hospital on Saturday Afternoon when his health condition improved.

Later on the same day, the patient’s condition worsened, and he was brought back to the hospital unconscious and was declared dead upon arrival. Efforts to revive Khan through CPR were unsuccessful.

After informing the patient’s wife about his death, four of his relatives, aged in their 30s and 40s, arrived at the hospital. They allegedly attacked the two doctors and vandalized hospital property.

Following the incident, Dr Shaikh filed a complaint against the four unknown accused under relevant sections of IPC which included charges- causing hurt, using abusive words, criminal intimidation, causing damage and abutment.

Acting on the complaint, the police registered an FIR and an investigation is underway. 

Also read- Viral Video: BJ Medical College Ophthalmology Resident Doctors Assaulted By Patient’s Kin

Powered by WPeMatico

Medical Bulletin 08/ April/ 2024

Here are the top medical news for the day:

Does protein intake during pregnancy affectinfants’ facial features?

A new study, published in Nature Communications, revealed a novel link between the child’s face and pregnancy lifestyle, specifically protein intake during pregnancy.

A child is expected to share facial features with their parents. However, the face is also influenced by factors beyond genetics, so-called environmental factors. Among those, lifestyle during pregnancy is an essential factor. For example, extensive alcohol consumption during pregnancy can lead to facial abnormalities in the child.

A research team led by Andrei Chagin, Professor of Molecular Medicine, the University of Gothenburg, delved into the mechanisms that control the formation of the facial bone structure during the embryonic phase. The studies revealed that a particular signalling pathway in the cells seemed to play a crucial role in shaping the face.

In the study, researchers performed a genome-wide analysis of RNA transcription from non-coding regulatory elements by sequencing the facial mesenchyme of human embryos and cross-checking the active enhancers thus identified against genes, by GWAS for the normal range human facial appearance. To assess the functional role of the pathways involved, they manipulated both genetically and pharmacologically in mice and zebrafish.Pregnant mice were given diets with high and low protein levels.

The results revealed the signaling pathway, known as mTOR which controls several cell functions, including cell division and cell survival. The researchers found that the mTOR pathway modulates the formation of facial skeletal structures in humans, mice, and zebrafish.The protein levels in the female’s diet were consistent with the activity level of mTOR in the developing face. In newborn offspring, the differences in the face were noticeable, although subtle.

“It is difficult to describe the exact effects, which can be caused by protein content in the diet during human pregnancy. But our data suggest that the mechanism is evolutionarily conserved and, from this perspective, likely serves to increase variability in the feeding apparatus, thus, allowing animals to adapt to various feeding sources in the wild. In mice, we see, for example, an enlarged nasal cavity in the offspring of mice fed a protein-enriched diet and a slightly elongated jaw in mice where the mother has eaten a low-protein diet,” said Andrei Chagin.

Reference:Xie, M., et al. (2024). The level of protein in the maternal murine diet modulates the facial appearance of the offspring via mTORC1 signaling. Nature Communications. doi.org/10.1038/s41467-024-46030-3.

Intermittent fasting may protect gut health as we age, finds study

In a new study presented at the annual meeting of the American Physiology Summit, researchers from the Arizona College of Osteopathic Medicine at Midwestern University in Downers Grove reported that intermittent fasting may also help protect the gastrointestinal system — mainly the small intestine — as it ages.

Intermittent fasting is a timed schedule of eating at certain periods of time and then withholding food for an extended duration, a period known as fasting, when a person abstains from eating.Some of the more popular patterns of intermittent fasting include time-restrictive eating, where the fast lasts 12, 14, or 16 hours, and the eating period stretches over the remaining hours of the day, or the 5:2 method, where a person consumes only 500 calories for 2 days of the week and then eats normally for the remaining 5 days.In addition to weight loss, recent studies show that intermittent fasting may offer other health benefits, such as protection against type 2 diabetes, cardiovascular disease, and cancer, as well as against gastrointestinal issues, such as inflammatory bowel disease (IBD)Trusted Source and ulcerative colitis.

In the study, researchers used a mouse model that they had genetically modified to accelerate ageing. One group of mice had food available at all times, while the other group only had access to food during alternating 24-hour cycles. They focused on a specific part of the small intestine called the jejunum, responsible for continuing food digestion and absorbing nutrients and water from food so it can be used in other areas of the body.

After 8 months, scientists found that the mice on the fasting plan gained less weight and had structural changes in their small intestines associated with better glucose control and decreased inflammation. They also observed that improvements in the health and appearance of the small intestine were more pronounced in female mice than in male mice.However, scientists found that the impact of intermittent fasting on blood sugar levels was stronger in male mice than in female mice.

“Our study suggests that intermittent fasting is a beneficial dietary practice to control weight gain, improve blood glucose levels, and promote positive intestinal effects by reducing inflammation and oxidative stress while altering intestinal structure,” said Spencer Vroegop, a second-year student at the Arizona College of Osteopathic Medicine at Midwestern University and first author of this study. “Our study suggests that an intermittent fasting diet may help prevent these age-related changes by returning the jejunum to a ‘younger’ version of itself.”

Reference: Annual Meeting: The American Physiology Summit

Does exercise help prevent age-related issues?

A recent animal study from researchers in the Department of Internal Medicine at the University of Utah in Salt Lake City investigated the role of DNA damage in blood vessels and the ageing cardiovascular system.

The findings will be presented at The American Physiology Summit — the annual meeting of the American Physiological Society.

Our risk of heart disease and other cardiovascular problems increases as we age. Commonly, this is due to atherosclerosis — a build-up of fatty substances on the lining of blood vessels.As these plaques grow, they narrow the vessels, increasing the risk of cardiovascular events like heart attacks or strokes. Previous research has shown that exercise can significantly reduce the risk of atherosclerosis. Even exercise during older age can slow plaque buildup and improve cardiovascular outcomes.

In the study, researchers observed 15 male mice for 4 weeks in a cage with a running wheel. They assigned them to three categories based on how far they ran each day:high-running, moderate-running and low-running.At the end of the study, the scientists collected tissue from the animals’ aortas — the blood vessel that carries blood from the heart. They looked at different sections of the aorta, which are exposed to varying levels of shear stress.In particular, they focused on two types of cells:endothelial cells, which line the inside of blood vessels, vascular smooth muscle cells, which sit within blood vessel walls. Further, they evaluated the cells’ DNA damage and assessed how well their telomeres functioned.

The analysis showed that increased physical activity was associated with less DNA damage and better telomere function in endothelial cells but not vascular smooth muscle cells. Furthermore, this study added to the growing evidence that exercise may benefit health by defending against DNA damage and protecting telomere function.

“By revealing the varied responses of aortic regions experiencing different blood flow patterns and cell types to aerobic exercise,this research provides a firm ground on a detailed and customized approach to interventions for cardiovascular health,” said Jisok Lim, PhD, a postdoctoral fellow at the University of Utah and lead author of the study.

Reference:Late-life aerobic exercise reverses DNA and telomere dysfunction in non-atheroprone aortic regions with advanced age; Annual Meeting: The American Physiology Summit

Powered by WPeMatico

Kozhikode MCH ICU Sexual Assault Case: Nursing Officer rejoins duty

Kozhikode: Senior nursing officer P B Anitha resumed her duties at Kozhikode Government Medical College Hospital (GMCH) on Sunday, marking the end of her sit-in protest outside the hospital. Her demonstration was prompted by the hospital’s refusal to reinstate her despite a High Court directive.  

Anitha alleged that this denial came as a result of support to a sexual assault survivor in the ICU case. Anitha had decided to continue with a sit-in protest until the High Court’s order to reinstate her was implemented. However, reports emerged of the government’s intention to appeal against the ruling, further complicating the situation. Previously transferred to Idukki from Kozhikode, Anitha’s ordeal began when she advocated for the survivor, reports The Daily. 

The court’s decision on April 1 mandated her reinstatement, yet the hospital authorities failed to comply, citing procedural hurdles. The Director of Medical Education (DME) stated that only a government directive could authorize Anitha’s return. Now, finally, after her protest, the government has reinstated her. However, the order pointed out that the appointment would be subject to the High Court’s verdict in its review petition.

Despite being allowed back to work, Anitha remains resolute in pursuing her contempt of court petition against the government. This determination stems from the government’s review petition against the High Court’s directive to reinstate her. Talking to Manorama News, she stated, “I respect the government’s stance. I hope the court’s judgement on the government’s review petition will favour my appointment. I got six more years in service. I need to fight all the challenges till my retirement.”

The incident took place on March 18, 2023, when a young woman, recuperating from surgery in the Intensive Care Unit (ICU), was subjected to sexual abuse by a male attendant. Following the assault, six female hospital employees, in an attempt to coerce the survivor, threatened her to retract her complaint. Anitha promptly reported this misconduct to the college authorities, resulting in the suspension of the six employees.

However, repercussions followed for Anitha and other nursing officials, as they were subsequently transferred from Kozhikode as punitive measures for their cooperation with the special inquiry commission and law enforcement agencies, reports The Daily. 

Also Read: HC relief: Doctor accused of abetting former fiance’s suicide over alleged dowry demand allowed to rejoin MS Orthopaedics course

Powered by WPeMatico

MBBS Students Sexual Harassment Case: Dr BSA Assistant Professor of Pharmacology suspended

New Delhi: Lieutenant Governor V K Saxena has given the nod for the suspension of an Assistant Professor of Pharmacology from Delhi-based Dr Baba Saheb Ambedkar Medical College following allegations of sexual harassment against him during a viva examination. 

In a statement, the Delhi government said it “is very disheartening” to see that even though it was considered to be a services matter falling in the LG’s domain, it took him more than two months to take action, reports news agency PTI. 

“And, it was only when the matter was constantly raised by the Health Minister, the LG had to take this action,” it said.

Also Read:Delhi: Suspension Issue of Dr BSA Medical College principal becomes a matter of political spat

Medical Dialogues team recently reported that Delhi Chief Minister Arvind Kejriwal was under scrutiny for allegedly delaying action on a file recommending the removal of the principal of Dr Baba Saheb Ambedkar Medical College and Hospital, Delhi where female MBBS students faced sexual harassment.

The case involves an assistant professor at Dr Baba Saheb Ambedkar Medical College and Hospital, against whom a 22-year-old MBBS student filed a complaint last month, leading to a subsequent police investigation and the filing of a chargesheet.

In a note, Saxena said he has considered the proposal to suspend the assistant professor and initiate major disciplinary proceedings against him.

He said the “shocking incident of sexual harassment” took place in a medical college, so a mere transfer of the accused, as recommended by the internal complaints committee of the college, will not mitigate the “intimidating atmosphere” for the students.

“I approve the proposal of placing the officer under suspension with immediate effect, under Rule 10 of the CCS (CCA) Rules, 1965,” the LG said while stressing that the alleged act of the accused involved “moral turpitude”.

He also advised the department concerned to resubmit the proposal for the initiation of disciplinary proceedings against the accused, with due recommendations from the National Capital Civil Services Authority (NCCSA) as Delhi Chief Minister Arvind Kejriwal, who is the chairman of the panel, is currently in judicial custody.

The NCCSA deals with transfers and postings of officers. It is headed by the chief minister and comprises the chief secretary and a member secretary.

Kejriwal, who has been arrested by the Enforcement Directorate (ED) in connection with a money-laundering case linked to the now-scrapped excise policy of the Aam Aadmi Party (AAP) government, is in judicial custody till April 15.

According to a PTI report, The Delhi government said, “The unfortunate incident involving molestation of MBBS students happened on January 31 and it was immediately reported by the brave girls to the college authorities. However, the matter was intentionally put under the wraps and the complainants were being forced to take back their complaints”.

Health Minister Saurabh Bharadwaj became aware of the situation through social media nearly a month and a half later and ensured strict action would be taken. 

“That very day, the minister met the complainants along with their warden. After speaking to them, he had assured that strictest action will be ensured.

“When asked about this incident, the Health Secretary and the Chief Secretary maintained that this matter being a services comes directly under the domain of LG, therefore minister or elected government was not required to be informed,” the government’s statement said.

The matter was vigorously taken up by Bharadwaj, though initially, there was visible reluctance on the part of the chief secretary, it added.

Powered by WPeMatico

Shortage of Resident doctors! Panel suggests Compulsory 1-yr JRship at medical college from Where MBBS is Done

New Delhi: Noting huge vacancies of Junior Residents in Delhi Hospitals, the committee set up by the Delhi High Court has recommended introducing a compulsory one-year Junior-Residentship (JR ship) in the institute from where the medical students are pursuing their MBBS course.

Further, as an immediate measure, the panel has suggested giving autonomy to the government hospitals to fill up the vacant posts of Junior Residents on an ad-hoc/contractual basis.

In its interim report, submitted to the High Court, the panel noted that among the 2250 sanctioned posts of JRs, 1708 posts are filled while there are vacancies in 542 posts of JRs. Therefore, around 24% of posts of JRs are lying vacant in altogether 38 Government-run hospitals across Delhi.

Reasons for Vacant posts of JRs:

Informing that around 24% of the posts of JRs are lying vacant across Delhi Hospitals, the committee appointed by the High Court has listed the following reasons for the vacancies:

(i) The panel noted in its report that due to non-maintenance of Hierarchy system of Primary/Secondary/Tertiary centres, the tertiary centres are overburdened and doctors prefer to work in Primary centre/Secondary centres with less work/night duties/emergency duties.

(ii) As per the committee, admission to the speciality (MD) courses is another reason for the vacancies.

Immediate Measures Recommended by the Panel: 

  • Among the immediate measures to fill up the vacant JR posts in the Delhi hospitals, the committee has recommended giving autonomy to respective hospitals to fill up these posts on adhoc/contractual basis.
  • “To attract, the emoluments and other benefits for the contractual employees should be at par with the regular appointments. Filling these posts will be easier if the salary is 25% more than that of a regular employee,” it suggested in the report.
  • Further, the committee suggested extending the tenure from current one year to till replacement is available. It also recommended allowing re-employment of those who have done JR-ship before.

Short and Intermediate measures: 

Apart from the above-mentioned solutions, the committee also recommended expediting the recruitment to fill up the vacant posts. It suggested the following long-time measures to deal with the shortage:

1. Compulsory one year of JR ship in the institution from where MBBS is done like being followed in some states/Institutions.

2. Referral System to be strictly followed for Tertiary care Hospitals

3. Create posts of resident medical officers (RMOs), with 3 years post M.B.B.S. experience of having worked in emergency/casualty services or specialized areas.

Also Read: Pay Rs 1.5 Lakh for 4 hrs, Rs 4 Lakh for 12 hrs to Visiting Consultants: Panel Recommends measures to tackle huge vacancies of Specialists in Delhi

Medical Dialogues had previously reported that earlier this year, expressing displeasure over the “misleading” information provided to it on the functioning of medical equipment in GTB hospital, the Delhi High Court had advised the State to constitute a committee of doctors to examine the hospitals run by the city government to come up with a solution. These directions were issued by the Court while considering a PIL initiated by it on its own in 2017 concerning the issue of the non-availability of ICU beds and ventilator facilities in government hospitals in Delhi.

Consequently, the Delhi HC on February 13 formed a six-member committee of experts to evaluate and improve the medical facilities run by the State Government and Municipal Corporation of Delhi. The Committee recently submitted its Interim Report listing measures to fill up the vacant posts of Senior & Junior Residents, Specialists, GDMOs, Nursing Staff and Technicians.

Also Read: Improvement of health infrastructure at Delhi Govt, MCD Hospitals: HC sets up 6-member committee

Based on the HC directive, the committee filed its report with recommendations to improve the medical services in Delhi.

Powered by WPeMatico

Renowned plastic surgeon Dr Sam Chandra Bose passes away at 95

Madurai: In an unfortunate incident, Dr Sam Chandra Bose, a renowned plastic surgeon passed away in Madurai at a private hospital on Friday at the age of 95. 

He died due to lung infection and age-related illnesses and breathed his last at a private hospital on April 5. The body was present at his residence in KK Nagar, Madurai from noon on Sunday, April 7, as confirmed by family members.  

A funeral service is scheduled to take place at CSI Cathedral Church, Narimedu on April 8, with burial to follow at Thathaneri. Dr Bose is survived by his two daughters Anuradha Bose and Renu Bose and his son Vinod Bose.  

Also read- Renowned Genetic Medicine Specialist, Padma Shri Awardee Dr IC Verma No More

Dr Bose is considered one of the pioneers of plastic surgery in the country. He was born on April 4, 1929, in Nagercoil, Kanniyakumari district. He completed his MBBS from Madras Medical College, Chennai in 1953, MS – General Surgery from Madras Medical College, Chennai in 1960 and MCh – Plastic Surgery from Nagpur University. in 1967.

In 1961, Dr Bose transferred to Madurai Medical College and established the Department of Plastic Surgery in 1964. As per The Hindu news report, Dr Bose played a key role in raising awareness about the field of plastic surgery single-handedly, especially in response to the numerous burn cases documented in the area.  

A dedicated surgeon, Bose also trained hundreds of plastic surgeons in Madurai and was instrumental in making the plastic surgery department of Madurai Medical College one of the top in the country.  

The students and colleagues who had the chance to meet Dr Bose during reunion gatherings greatly admired and respected him.   

Also read- Renowned Paediatrician, Founder Of Paediatrics Department At MOSC Medical College Hospital Passes Away At 93

Powered by WPeMatico

Meet Clostridium butyricum—the bacteria that helps keep us feeling our best

Our friend here, Clostridium butyricum (also known as C butyricum), is one of the hardest working microbes living in our gut. Without its exhaustive work, we might find ourselves constantly feeling a little under the weather.

Powered by WPeMatico

France to fine patients who miss medical appointments

France is to introduce a five euro ($5.50) penalty for people who fail to turn up for millions of doctors’ appointments missed each year, the prime minister said Saturday.

Powered by WPeMatico

Traditional Japanese diet associated with less brain shrinkage in women compared to Western diet, says research

Cognitive decline and dementia already affect more than 55 million people worldwide. This number is projected to skyrocket over the next few decades as the global population ages.

Powered by WPeMatico

Stopping aspirin 1 month after coronary stenting significantly reduces bleeding complications in heart attack patients

Withdrawing aspirin one month after percutaneous coronary intervention (PCI) in high-risk heart patients and keeping them on ticagrelor alone safely improves outcomes and reduces major bleeding by more than half when compared to patients taking aspirin and ticagrelor combined (also known as dual antiplatelet therapy or DAPT), which is the current standard of care.

Powered by WPeMatico