Delhi HC quashes FIR against couple for child labour and asks to plant 100 trees

The Delhi High Court quashed a FIR against a couple, who had employed a minor for household work, and directed them to plant 100 trees and pay One lakh 50 thousand rupees to the victim, reports PTI.

Justice Najmi Waziri said, the trees shall be of deciduous indigenous variety with a nursery age of three-and-a-half years and a height of at least six feet.

An, FIR was lodged at the Rajouri Garden police station in the national capital for the offences of voluntarily causing hurt, unlawful compulsory labour under the IPC and the Juvenile Justice (Care and Protection of Children) Act.

It was alleged that the minor was brought to Delhi by the two agents, apparently with the consent of the victims father.

I personally feel most of the judgments should go the social service way as an award. In most case of medical profession also this should be the way. CSR is now compulsory for corporates and ISR (individual social responsibility) can be promoted using this methodology. MCI ethics regulations 8.2 gives provision for the same to the councils.

MCI Code of ethics

8.2 “ …………………… If the medical practitioner is found to be guilty of committing professional misconduct, the appropriate Medical Council may award such punishment as deemed necessary or may direct the removal altogether or for a specified period, from the register of the name of the delinquent registered practitioner……………………..”

If you are a Vegan, lacyo-ovo vegetarian or lacto vegetarian take B12 supplement

Lacto-ovo vegetarian – Eggs, milk, and milk products (lacto = dairy; ovo = eggs) are included, but no meat is consumed.

Lacto-vegetarian – Milk and milk products are included in the diet, but no eggs or meat are consumed.

Vegan – All animal products, including eggs, milk, and milk products, are excluded from the diet. Some vegans do not use honey and may refrain from using animal products such as leather or wool. They also may avoid foods that are processed or not organically grown.

Vit B 12 is present in many animal-based foods but not in plant-derived foods. Some vitamin B12 may be ingested from soil present on plants or from milk or eggs.

People who consume a vegan or strict vegetarian diet generally should take supplemental vitamin B12 to ensure adequate stores. This is especially important in women who are pregnant or may become pregnant since the developing fetus also requires adequate vitamin B12.

People who consume a vegan diet should be supplemented with vitamin B 12 (at the RDA of 2.4 micrograms/day) if they do not consume other fortified food products (such as cereals).

Lactoovovegetarians and lactovegetarians should also consider supplementation with Vit B 12.

Reasonable options in such patients are to recommend a daily multivitamin.

BP not getting controlled?

Resistant hypertension: BP that remains above goal despite concurrent use of three antihypertensive agents of different classes, one of which should be a diuretic.

What to do?

1. Identify and reverse possible contributing factor: weight loss if overweight, regular exercise, a low-salt diet, and moderation of alcohol intake.
2. Secondary causes: Refer
3. Treat obstructive sleep apnea if present
4. Withdraw drugs that may be contributing to hypertension.
5. Drug treatment: Combinations of three or more drugs. (AF: beta blocker or non-dihydropyridine calcium channel blocker). No AF three-drug regimen of an ACE inhibitor or AR blocker, a long-acting calcium channel blocker and a long-acting thiazide diuretic (chlorthalidone).
6. e GFR < 30 mL/min per 1.73 m2: Add loop diuretic, such as furosemide or torsemide
7. Persistent uncontrolled BO despite the above three-drug regimen: Add spironolactone 12.5 mg/day and titrate up to, but not above, 50 mg/day. Monitoring K if chlorthalidone and spironolactone are used.
8. Who cannot tolerate spironolactone, eplerenone and amiloride are alternatives.
9. Still high BP: add a vasodilating beta blocker or long-acting, centrally acting agent clonidine
10. Still resistant: direct vasodilator such as hydralazine for women or minoxidil for men may be used.
11. If the patient is on hydrochlorothiazide switch to chlorthalidone and then add other drugs, as necessary.
12. If the current regimen includes a drug not from the three recommended drug classes first add them and watch