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Checking excessive medical investigations

Sir,
This is a welcome step that cardiologists of AIIMS are going to start a movement against excessive and expensive medical investigations to get a cut on referring patients. The Society for Less Investigative Medicine (SLIM) will draw up guidelines for investigations and procedures related to cardiology and will sensitise doctors from other disciplines  to draw up similar guidelines from their own fields to frame a readily available checklist for different kinds of diagnostic tests and procedures.
It has been reported that researchers in Europe and USA have concluded that General health checkups have no effect on total mortality due to cardiovascular diseases and cancer . In UK such dubious practices invite  action from the General Medical Council but Medical Council of India has taken no action in this regard so far. Of late conscientious doctors have risen to the occasion to discharge their responsibility to the society and the patients so that they are not taken for a ride by greedy members of their own fraternity who want to make easy money at the cost of helpless patients.
Yours etc…
Pragya Mahajan
On e-mail

India has potential to become top chemical exporter: Official

VADODARA, July 4:  India’s chemical industry has an immense potential to become a reliable exporter of quality products, a top government official said as he stressed on the need for companies in the sector to comply with environmental norms for sustainable growth.
Inderjit Pal, Secretary, Department of Chemicals and Petrochemicals, appreciated the contribution of the chemical industry to the Indian economy and at the same time also emphasised the need to ensure that companies grow in a sustainable manner with due regard to environmental concerns.
Pal was speaking at a meeting here last evening organised by industry representatives, who will be holding their mega event “India Chem 2014” in Mumbai in October. The meet was called to take stock of preparations for the largest event of chemicals and petrochemical industry in India.
The chemicals industry is expected to grow at 11 per cent per annum and reach a size of USD 224 billion by 2017 from the current USD 108.4 billion, the representatives said.
Speciality chemicals is the fastest growing segment in the industry. These are high value, low-volume chemicals known for their end-use applications and performance enhancing properties, the senior IAS officer said.
There is an immense potential for increasing consumption within the country and make India a reliable exporter of quality chemicals, he added.
“India Chem is an important platform for networking, exchange of ideas, creation of awareness of new products & technologies, and exploration of possibilities for enhancement of trade,” Pal said.
The event provides an excellent opportunity for the industry to showcase its capabilities and strengths to the world. “The focus for this year’s event will be on growth with emphasis on sustainability and green chemistry,” he said.
Speaking to PTI on margins of the meeting, Pal said the work on setting up a Petroleum, Chemicals and Petrochemical Investment Region (PCPIR) at Dahej in adjoining Bharuch district, about 90km from Vadodara, is in the final stages of implementation.
The project, approved in 2009, seeks to attract investments worth Rs 70,000 crore, he added.
Addressing the gathering, Deepak Mehta, Chairman of FICCI Committee on Chemicals Industry, spoke about delay in getting approval from environmental authorities for setting up units. (PTI)

Sustainable Land Resources Management

Dr.Banarsi Lal and Dr.Shahid Ahamad
Land and water are the two basic resources which are under intense pressure from increased population and degradation has already set in at many fragile watershed ecosystems. These two natural resources management greatly affect the social and economic structure of our villages and whole nation. It is expected that we need to produce about 64 per cent more of present level of agricultural production to feed the estimated 800 million population upto2020.The problems in management of these resources are continuous soil erosion and runoff inflicting permanent damage to the land and water systems. Soil erosion, the displacement of soil particles from soil surfaces is a serious problem in our country. This process ultimately loses the productivity of soil as a whole causing some other problems like environmental issues. But soil erosion enriches valley bottoms and forms the rich plains. Although erosion is considered as a natural process but it is also caused by human beings. The activities like deforestation, farming of slopes, road construction, overgrazing etc. increase soil erosion. Soil erosion can be a slow process but it can be very fast causing serious loss of topsoil. Many nutrients and organic matter of soil is lost by soil erosion. The loss of topsoil certainly affects the production of crops. It affects the surface water quality and the drainage system of soil is also disturbed.
Total geographical area in India is 329 million hectares, out of which 68 million hectares is critically degraded and another 107 million hectares is severely eroded. A total of 175 million hectares is subjected to serious erosion problems such as wind, water, water logging, soil alkalinity, and salinity etc. It is expected that about 61 per cent of soil is displaced from one place to another. In steep land farming areas such as Western Ghats, topsoil losses are very high. An unscientific way of farming in sloppy lands may cause large scale soil loss by erosion. High intensity of monsoon rainfall on steep slopes contributes to high erosion rates. Soil conservation programmes have been disseminated by the Government and also Non-Governmental agencies in our country. Major objective of soil conservation is to keep everything in the soil in its place. It manages the soil erosion and process of sedimentation. In the past most of the cases slowed down and trapped soil loss and runoff by the use of mechanical barriers. The focus was on the physical problems of the soil such as soil texture, slope, soil depth etc. than the needs of social, cultural and economic circumstances of the land users. It has been observed that the people are having less knowledge for improving the agronomic and biological measures to reduce soil loss and to increase the soil productivity. Land husbandry is a philosophy for the natural resources management. Like animal husbandry or crop husbandry, land husbandry is equally important as a concept of management of land resources. Better land husbandry represents a shift in emphasis away from soil conservation for its sake to a more holistic approach.
It has been perceived that traditional soil conservation is not enough for sustainable production. Soil fertility needs to be restored in order to allow a satisfactory and early return on the capital and labour invested. So there is need of improved sustainable production through different land management practices. Land husbandry considers management of soil, water and vegetation as an integrated approach. For example, frequent failures to several water management schemes are attributed to the non-consideration of the interrelationships between soil, water and biomass. A new strategy needs to be developed taking into account the needs of those in direct charge of the land. By improving the overall soil conditions for plant growth, better conservation of water and soil can be achieved. Better land husbandry is more relevant when the land is under active crop production. These apply to land use, crop management, tillage methods, integrated nutrient management etc .Land husbandry relies strongly on agronomic and biological methods in combination with a realistic soil management .The intensity of the soil conservation treatments depends primarily on the steepness of the slope. The establishment or maintenance is very important. The physical characteristics of erodable soils can be improved with mulching materials. There are certain concepts in land conservation. These are (a)Loss of productivity is equally important than the loss of soil.(b)Land degradation should be prevented before it arises, instead  of attempting to cure it afterwards.(c)Crop yields are reduced due to shortage of water than by soil erosion. So the emphasis should be given on water conservation than soil conservation. (d)Runoff can be prevented by increasing infiltration. (e)Soil and water conservation should be promoted as an integral part of a productive farming.(f)In order to increase the fertility of soil, organic matter should be added in soil.(g)Soil conservation activities should be bottom up rather than top down in approach. People participation is must in the soil conservation activities. (h)Indigenous technical knowledge of the farmers in soil conservation should also be encouraged. Farmers can adopt the technologies which are available on subsidies basis. It has been observed that when the implementing agencies withdraw from scene, these technologies are not sustained or likely to fail in long run.
In rain fed farming it has been observed that crop yields are reduced due to shortage of water than by loss of soil. Therefore, more attention should be paid on rainwater harvesting. In India mostly the rainfall occurs in 3-4 months. So, water conservation is very important in these months. The water stored in these 3-4 months can be utilized throughout the year. Soil and water conservation are always considered together. Reduction in surface run-off by changes in land management or by structures helps to conserve water. Many water conservation activities conserve soil also. Contour bunds can be used to conserve the soil and water by increasing infiltration and percolation. Water and land are linked together and this linkage may cause water problems in a watershed. Water is an integral part of land use. Also land use influences water characteristics by water partitioning at the soil surface and in the subsoil and by the role of water as a carrier of solutes and sediments.
An integrated approach should be taken to land water and its uses to avoid undesirable effects from human activities. An economic development is always associated with proper management of water resources. Water is an excellent monitoring mechanism and it is the best index of watershed management. Shortage of water is experienced in many sectors. Scarcity of good quality water would be a major challenge in the new millennium. In India water is mainly consumed for agricultural purposes while the water use would increase by 3-4 times for domestic sector and 7-8 times for industrial sector. A part of water demand can be met through better management practices like water conservation and water harvesting. Basically water flow is a top-down process because gravity determines the direction of water flow.  Most of the soil conservation programmes emphasize on land degradation than on the top-down approach in recommending and disseminating practices. Soil conservation programmes that aim to reduce land degradation problems need long-term bottom-up approach. It should be remembered that erosion is a consequence of how land and its vegetation are managed and not itself the cause of soil degradation. Thus, prevention of land degradation is more important than attempting to develop a cure afterwards. For the long-term ecological stability and economic potential of the entire watershed, better land husbandry practices should be planned with people participation.

Internal dissent plagues Congress

Kalyani Shankar
The Congress party is facing a crisis of leadership. While the murmurs after the humiliating defeat in the 2014 Lok Sabha polls began soon after, it has not died down as is seen from statements coming from senior leaders like A K Antony or Digvijaya Singh. There are others who express their dismay privately. The party simply cannot brush aside them, as there is weight in what they say.
Eyebrows were raised when the usually quiet Antony revived the much-needed introspection recently by acknowledging “there appears to be slight erosion in people’s faith in secularism of the Congress. This has to be examined. It is vital for the party to regain the faith of the people to move forward.”  Coming from a senior leader like Antony who has been tasked to head the committee to go into the reasons for the party’s failure and suggest way forward, the party has to sit up and debate the issue. Antony himself is a credible Congress leader hailing from the minority community.  Close on its heels another senior leader Digvijay Singh added to the debate saying that the Congress had always fought ideological battles in the country but  “sometimes what happens is that people do the politics of convenience in their lust for power. This damages the Congress.”
The Congress party tried to make the 2014 polls as secular versus communal debate but the BJP too successfully did the same in a different manner, while the Congress failed miserably. The Congressmen are waiting for a proper forum to vent their feelings and only an AICC session or a Chintan Shivir could provide it.
Many Congressmen feel that right now the party is rudderless and directionless because of the continuous drubbing in Assembly and the Lok Sabha polls in recent years. The prospects are dim in the ensuing elections to Haryana and Maharashtra. So they are looking for a miracle to revive and be relevant.
This is not the first time the Congress is facing such a crisis. In 1967 after the big rout came the 1969 split, Bangladesh war and “Garibi Hatao” slogan. The second crisis was the emergence of the Janata Party government in 1977 after the emergency.  The Indira Congress was born soon after. A decade later, in 1989, the Congress was routed once again yielding place to the V.P. Singh led National Front government.  After Rajiv Gandhi’s assassination P V Narasimha Rao ran a minority government for five years but lost the elections in 1996. Two years later Sonia Gandhi stepped out of her home to save the Congress and attempted a re- invention of the party choosing a coalition path and brought the party to power for ten years.
Why should there be so much despair in the party? Getting just 44 seats in the recent polls has demoralised the workers. First of all, the Congressmen have realised that the Gandhi family magic alone will not get them votes and they have to think of newer ways. While the contemporary India has been changing vigorously, the Congress’s dynasty-fixation looks not only archaic but also out of tune with the voters.  The Congress is now looking to ‘Priyanka Lao Desh Bachao’ as a last straw.
Secondly, the party has realised that Rahul Gandhi is not the answer as he had proved to be inadequate in leading the party. Digvijay Singh has given a new spin to Rahul’s leadership by stating the young Gandhi does not have the temperament of a ruler. In that case why is he in politics?
Many privately criticise Rahul’s lack of interest in leading the party in Parliament or on the streets. Some strongly feel that unless he changes his style of functioning and become a 24/7 politician he cannot be effective. So they expect him to change himself before changing the party, interact more with the party leaders and workers and choose the right man for the right job instead of continuing with his failed experiments in reforming the party. He might have attempted these with good intentions but the party is not yet ready to absorb them.
Secondly, Antony’s remark on secularism shows the need to have a re-look at the secularism card.  The present stand has even damaged the party as some think that it is leaning towards the minorities at the cost of the majority. What the party needs is an ideological reboot to get things right. There is a crisis of identity and it has to restore credibility on all fronts – organisational, social and political.
The third is an out of box thinking and to look for new ideas like ‘Garibi Hatao’ or ‘Aam aadmi’ instead of coming up with the populist polices like the MGNREGA, as people no longer want patronage politics.
The fourth is that there should be involvement at all levels. The meetings of the party’s highest decision making body, the Congress Working Committee are few and far between. The chief ministers’ conclaves have virtually been abandoned. And the party has failed to revive itself in key states like UP, Bihar, Tamil Nadu or West Bengal, which account for over one third of the Lok Sabha seats. It does not have to look far as the reports of Uma Shankar Dikshit and Antony committee reports are gathering dust at 10 Janpath. In short there is need for reinvention of the Congress like the Labor Party in England did. Even Sonia had managed to re -invent by changing the rules of the game earlier.
But can the Congress reinvent itself once again? Does it have the determination, consistency and single mindedness to do it?  The Congressmen are betting on Sonia Gandhi again and expect her to lead the party from the front as well as figure out what should jell with the public this time. (IPA)

Strong army necessary for peace, says Modi

SRINAGAR: Prime Minister Narendra Modi today said he has accorded highest priority to the modernisation of defence forces as strong security was necessary for an atmosphere of peace, amity and harmony in the country.

He was addressing a ‘Sainik Sammelan’ in Badami Bagh Army headquarters here on a day’s visit to J&K.

Praising the valour and courage of the soldiers, the Prime Minister asserted that self-reliance in defence offset manufacturing was essential for the security of the nation.

Strong armed forces are necessary for an atmosphere of peace, amity, harmony and brotherhood in the country, and that is the foundation on which India would achieve new heights of development, Modi said.

He said today the world was looking at India with hope and we can interact on equal terms with all developed countries.

The spirit of sacrifice and selflessness of the defence forces was an inspiration for all Indians and this spirit would ensure their victory at all times, the Prime Minister said.

He said the people of India trusted them and believed that no power on earth could defeat them.

The Prime Minister reiterated his Government’s commitment to building a National War Memorial in memory of soldiers who had laid down their lives for the motherland.

He said the welfare of the armymen and their families was the concern and collective responsibility of all Indians and his Government would take all good decisions in the interest of the jawans.

Earlier, the Prime Minister paid homage at the martyrs’ memorial at Badami Bagh cantonment.

He also wrote in the visitors’ book at the memorial and visited the nearby 1,200-year-old Shiva Temple. (AGENCIES)

Modi pitches for self-reliance in defence production

SRINAGAR: Making a strong pitch for self- reliance in defence production, Prime Minister Narendra Modi today said this is needed to make the country completely secure from any threat.

In his brief speech at the ‘Sanik Samelan’ here, the Prime Minister spoke about encouraging defence production in the country and said it was important for securing the borders of the country, official sources said here.

Modi was quoted by sources as saying that his Government will make every effort to keep the “jawan smiling”.

If a jawan is smiling, he will be able to “serve our motherland in more better way”, the sources quoted him as saying.

Modi, during his tenure as Chief Minister of Gujarat, had spoken about making the country self reliant in defence production and also enable it to export defence equipment to other nations.

“In Gujarat, we have made a small effort in this regard. In our engineering colleges we are working towards starting a subject related to defence manufacturing,” he had said last year on the 15th anniversary of Pokhran nuclear tests.

Later, the Prime Minister let go his security and interacted with the soldiers. He was seen walking past everyone and greeting them with “Jai Hind”.

Modi assured the jawans that their worries will be taken care by the Government which will make all steps to make their lives much better.

Ahead of his speech, Army Chief-designate Lt Gen Dalbir Singh Suhag welcomed the Prime Minister and spoke about various issues related to army jawans.

Earlier, Modi paid tribute to the martyrs who laid down their lives while protecting the borders in J&K.

He laid a floral wreath at the War Memorial at the Srinagar-based Chinar Corps of the Army in Badamibagh Cantonment here.

Others present at the function were state Governor N N Vohra, state Chief Secretary M I Khanday, Director General of Police K Rajendra and top army officials. (AGENCIES)

Language of bygone era of no use: India to Pak on J&K

NEW DELHI, July 4:
Making it clear that J&K is and will be its integral part, India today hit back at Pakistan’s claim of it being a “disputed territory” and said the language of a bygone era does not help anyone.
India said Prime Minister Narendra Modi and his Pakistani counterpart Nawaz Sharif have adopted a “forward-looking approach”.
“It does not pay to speak the language of the past. It does not pay to look into the rear-view mirror. Prime Minister (Modi) and Prime Minister Nawaz Sharif have adopted a forward- looking approach and it is on that approach that we are focused on. The language of a bygone era does not help anyone,” External Affairs Ministry spokesperson told reporters here.
He was replying to Pakistan needling India yesterday ahead of Modi’s first visit to J&K as Prime Minister by harping that Kashmir was a “disputed territory”.
Asked about the timing of Pakistan’s statement, the spokesperson said “J&K is an integral part of India. The Prime Minister of India can visit any part of India anytime he desires. This is not for me to comment on what others say. It is for them to explain to you”.
Explaining India’s position, he said “our position is that J&K remains and will remain an integral part of India. As regards the language of a bygone era, it does not serve anybody, any purpose to look into the rear view mirror and speak in terms of which are not in consonance with what Prime Minister and Prime Minister Nawaz Sharif are working towards”.
Pakistan Foreign Office spokesperson Tasnim Aslam had yesterday said “we do not accept the so-called accession of the State of J&K to India. Kashmir is not an integral part of India. Our position is that J&K is a disputed territory”. (AGENCIES)

North India to benefit from Uri power project: Goyal

 

URI, July 4: With the 240 MW Uri-II power plant becoming operational today, Union Power Minister Piyush Goyal today said the electricity generated here would benefit north Indian states, including Jammu and Kashmir, Delhi, Uttar Pradesh, Rajasthan and Delhi.

As Prime Minister Narendra Modi inaugurated the project, Goyal tweeted that he was “personally very excited about the project and the positive multiplier effects it will trigger”.

“It will also provide much-needed power to Northern grid, giving relief to the common man in Uttar Pradesh, Rajasthan, Himachal Pradesh, Delhi, Punjab, Haryana, Uttarakhand and Chandigarh,” Goyal tweeted.

Congratulating state-run NHPC’s team, Goyal said “the power generated will benefit Jammu and Kashmir immensely and give an impetus to the local economy and create employment for locals”.

Reminiscing his childhood experience of visiting a dam, he tweeted: “My last visit to a dam was in 1979, after my Class X exams, on a trip to Bhakra Nangal Dam with my father, Shri (sic) Vedprakash Goyal.”

A memorandum of understanding between the Centre and J&K was signed on July 20, 2000 during the Vajpayee-led NDA regime.

The power project was to be completed in June last year, but the inauguration had to be postponed after NHPC found a lot of slit near head as well as at the rear tunnel during the mandatory pre-testing.

Uri-II will help NHPC to increase its power generation capacity to 1,920 MW from five projects in the state. The other four projects are 690-MW Salal, 480-MW Uri-I, 390-MW Dulhasti and 120-MW Sewa-II. (AGENCIES)

PM announces upgradation of KV school in Uri

 

SRINAGAR, July 4: In an impromptu decision, Prime Minister Narendra Modi today announced upgrading of Kendriya Vidyalaya School in Uri area to higher secondary level.

The PM’s announcement came in response to a demand put forth by the local residents to this effect.

“Modi announced the upgradation of local KV school from high school to higher secondary level after inaugurating the 240-MW Uri-II power project,” an official spokesman said.

The spokesman said admission for the higher secondary level of classes would be started from the coming session.

Addressing the gathering, Modi said J&K is on the path of development and progress, the spokesman said. (AGENCIES)

PM inaugurates Uri hydroelectric project

SRINAGAR, July 4: Prime Minister Narendra Modi today inaugurated the 240-Megawatt Uri-II Hydro Electric Project (HEP) located near the Line of Control in Baramulla district of Kashmir.

The Prime Minister dedicated the power project to the nation in presence of Governor N N Vohra, Chief Minister Omar Abdullah and top officials of National Hydroelectric Power Corporation (NHPC).

This is the second power project on the Jhelum river in Uri area and is located downstream of 480-MW Uri-I HEP, which is already operational.

The Uri-II HEP has a concrete gravity dam which is 52-metre high and 157-metre long with four spillways of nine metres each.

The 4.23-km head race tunnel carries water from the dam to the power house, which has four units of 60 MW each designed to generate 1,124 million units of electricity in a year.

The work on the power project was completed in time despite a massive earthquake striking the area on October 8, 2005 – two weeks after Hindustan Construction Company (HCC) started work on it.

“Overcoming challenges has always been a speciality of our engineers. We triumphed over every obstacle posed by difficult geographical conditions and freezing temperatures,” Chief Operating Officer of HCC Ambuj Jain said. (AGENCIES)