January 10 2015, Saturday,
editorial
(…Contd.)

IMA in the social front...
Dr IMA shall, in course of time, emerge as a Public Health Giant. This is a social responsibility that IMA undertakes. Though all our activities are socially committed, IMA proposes to plan and implement programmes where its social commitment is the real motivator.
(…Contd.) Read More ...
eMedipics
IMA,IJCP,HCFI
editorial
Lowering BP No Help in Acute Stroke
Dr KK AggarwalUse of antihypertensive drugs to lower systolic blood pressure by close to 13% as part of acute treatment of ischemic stroke did not reduce early mortality or disability compared with patients who did not receive antihypertensive therapy.

At 14 days after randomization, there were 683 events among patients who received early aggressive antihypertensive therapy versus 681 events in the control group and at 3 months, there were 500 additional events in the treatment arm versus 502 among controls, said Jiang He, MD, PhD, of Tulane University School of Public Health in New Orleans.

The findings from China Antihypertensive Trial in Acute Ischemic Stroke (CATIS) were reported at the American Heart Association scientific sessions and the results were simultaneously published online by the Journal of the American Medical Association. (MedPage)
IMA,IJCP,HCFI
 
Quote of the Day
By failing to prepare, you are preparing to fail. Benjamin Franklin
News on Maps
CPR 10
Total CPR since 1st November 2012 – 101090 trained
Trauma Care
Road traffic accident related trauma is the prime cause of death among the most productive population between 18-45 years. Safe transportation and on-the spot ACLS measures go a long way in reducing morbidity and mortality. Trauma Care Committees will be formed to initiate first aid centres and rapid transport facilities at every 15 to 50 KM along highways with public and private Trauma Care hospitals. ACLS training will be imparted to paramedical staff and police force.
East Delhi man succumbs to swine flu
Thursday’s death takes the toll to two this season
Delhi has reported its second death due to swine flu this season with a young adult from East Delhi succumbing to the virus in a private hospital on Thursday. Doctors across the city had warned the public about the rising number of swine flu cases, following the death of a 42-year-old woman from Uttam Nagar who had earlier this week succumbed to HIN I virus. Charan Singh, Additional Director in-charge of Public Health, Health Department said: “The death of this young adult in East Delhi on Thursday has taken the toll to two.”

Delhi has reported 30 swine flu cases this week, with eight new cases being reported on Thursday. The city had reported 38 cases last year. Sixteen fresh cases have been reported this week from areas including Madangir, Sangam Vihar, Greater Kailash-I, JNU campus, Laxmi Nagar, Rajouri Garden, Masjid Moth of South Delhi and Chhattarpur.

While two patients have been admitted at Safdarjung Hospital, the rest are being treated at various private hospitals in the city.

Meanwhile, for uniform reporting and to avoid over and under diagnosis of swine flu, the Indian Medical Association (IMA) has recommended that all members of the Association get themselves tested only from government accredited laboratories.

“In Delhi, only three private labs are accredited for swine flu testing,” said Dr. K.K. Aggarwal, honorary secretary general, IMA. He added that the Card Rapid Test is not reliable and should not be used to diagnose H1N1 cases.

“Only rRT-PCR test is reliable and should be used to diagnose H1N1 flu and this technology is available only in selected laboratories. The samples to be sent for the tests are throat and nasal swabs. No blood test is available for H1N1 diagnosis. The test report may take up to 24 hours to be available,” he noted.

IMA recommends swine flu testing only for patients who have flu-like symptoms with breathlessness or in pregnant ladies with flu-like symptoms. These are the patients who may require hospital admission.

Dr. Arpit Jain, senior consultant, Internal Medicine, Artemis Hospitals said: “Swine flu is more common in winters, but it does not mean that it can’t occur in other seasons. The flu virus survives best in cold and dry conditions, such as those found indoors in the winter. During winters, people spend more time indoors and breathing each other’s air, leading to increase transmission.” Persons under heightened risk from the virus include those with chronic medical condition (like chronic kidney, liver or heart disease, diabetes, asthma, chronic bronchitis), those of 65 years of age or older, children younger than 5 years and pregnant women.

Treatment options, apart from the usual treatment of any flu like illness through paracetamol tablet and cough syrups, an antiviral tablet oseltamivir (Tamiflu) is prescribed in some cases. Another antiviral drug zanamivir is available in inhaler form. It is used less frequently. “Flu is diagnosed when a person suffers from cough and cold. Only sore throat is not a sign of flu. Flu patients do not require antibiotics. Unless cough and cold are associated with breathlessness, it does not require admission,” added Dr. Anil Bansal, a Delhi Medical Association member. Source:
Medicolegal
IMA,IJCP,HCFI
Make a safe green corridor for every medical life-threatening emergency: IMA
IMA has reacted to recent front page news stories where the police created a ‘green corridor’ to transfer a live heart to a particular hospital for a heart transplant surgery. Congratulating the police, Honorary Secretary General Indian Medical Association and Padma Shi Awardee Dr K K Aggarwal said that the attempt by the police is commendable. But he also raised a very pertinent question, “Every citizen in cardiac arrest or any other medical emergency has the right to be transported uninterrupted to the nearest hospital at the earliest without the traffic obstructing the way. So, why should such arrangements be made only for heart transplant cases? It appears that because such efforts get front page coverage, hence, all efforts are made for such cases.”

IMA, a collective consciousness of over 2.5 lakh doctors feels, that there should be a toll-free number in every state and whenever there is a life-threatening emergency on the road; clear traffic should be arranged so that the patient can be shifted promptly to nearby medical help.

When routinely such arrangements can be made for a VIP car or delegation, then why not for a person, who is dying, said Dr A Marthanda Pillai, National President Indian Medical Association.

IMA suggests that in case of any emergency, the nearest PCR should accompany the ambulance or the victim’s vehicle.

Remember even after death a life can be saved if a person can reach the nearest medical help within four minutes where facilities for electric shock are available and basic CPR has failed. Source:
IMA NEWS
To

Sri Dr. K. K. Aagarwal
Hony. Secretary General
IMA HQs
New Delhi

Dear Sir,

On 7th January 2015 at 9:30 am I took over as Hony. Secretary of IMA AMS HQs from Dr. E. Prabhavathi, Dr. N. Appa Rao Garu Chairman National Leaders Forum blessed me after performing pooja to Lord Ganesha, Goddess Saraswathi and Mahalaxmi Devi. All IMA leaders participated in this function and blessed me.

After taking over as IMA AMS Secretary I promised the following.

1. To increase IMA AMS Life membership strength, those states that do not have any membership, I want to go and discuss with the state President and Secretary so that some more members should be involved and work for IMA AMS.

2. To increase the IMA AMS Fellowship and Professorship.

3. To conduct CMEs and Orations in all over the country i.e., in 29 States of India.

4. I introduced all the office bearers of the IMA AMS for 2014–2016; I want their Co-Operation during these two years I want to keep the flag of IMA AMS on the top of IMA.

5. After wards breakfast was served, I took suggestions from all the people how to improve the position of IMA AMS HQs.

6. Lastly I discussed with the members regarding the introducing of new courses in IMA AMS. Thanking You,

With Regards

Dr. P. Pulla Rao
Hon. Secretary, IMA AMS Hqrs,
#102, IMA Building, Esamia Bazar,
Koti, Hyderabad - 500 027.

Cell: 9848034519,
Off Phone: 040-24740015
THE DRUGS AND COSMETICS (AMENDMENT) BILL, 2015
(f) “Central Licensing Authority” for the purposes of this Act means the Drugs Controller General of India;

(g) “clinical trial” means -
(i) in respect of drugs, any systematic study of new drug or investigational new drug or bioavailability or bioequivalence study of any new drug in human participants to generate data for discovering or verifying its clinical, pharmacological, including pharmacodynamic and pharmacokinetic, or adverse effects with the objective of determining safety, efficacy or tolerance of the drug;

(ii) in respect of cosmetics, the systematic study, including dermatological study of any new cosmetic on human participants to generate data for discovering or verifying its adverse effects with the objective of determining safety, efficacy or tolerance of the cosmetic;

(iii)in respect of medical devices, the systematic clinical investigation or study of an investigational medical device or a new medical device in, or on human participants to assess the safety or performance or effectiveness of the medical device;

(h)“clinical trial protocol” means a document containing background, objective, rationale, design, methodology including performance, management, adverse event, withdrawal and statistical consideration of a clinical trial;

(i) “Cosmetic” means any article intended to be rubbed, poured, sprinkled or sprayed on, or introduced into, or otherwise applied to, the human body or any part thereof for cleansing, beautifying, promoting attractiveness, or altering the appearance, and includes any article intended for use as a component of cosmetic or new cosmetic;
The Year in Medicine 2014: News That Made a Difference
3. World's First Baby Born After Uterine Transplant

A 36-year-old woman who received a uterus transplant from a live donor in 2013 gave birth to a healthy baby boy in September 2014, according to an article published online October 6 in The Lancet. "Our success is based on more than 10 years of intensive animal research and surgical training by our team and opens up the possibility of treating many young females worldwide that suffer from uterine infertility," said lead author Mats Brännström, MD, professor of obstetrics and gynecology at the University of Gothenburg, Sweden. The report raises several important medical and ethical questions. (Source: Medscape)
News around the Globe
  • Using a series of new techniques, researchers have isolated a novel antimicrobial compound called teixobactin, just the first in a new class of antibiotics. Teixobactin is safe and effective and does not appear to induce antimicrobial resistance. The report is published online January 7 in Nature.
  • A diagnosis of cancer, particularly lung, pancreatic, or colorectal cancer, seems to be associated with an increased short-term risk for stroke, points a new study published online January 7 in the Annals of Neurology.
  • Women with posttraumatic stress disorder (PTSD) have a two-fold increased risk of developing type 2 diabetes compared with those without the disorder, suggests new research published online January 7 in JAMA Psychiatry.
  • Active negative-pressure peritoneal therapy with the ABThera temporary abdominal closure device may reduce systemic inflammation after abbreviated laparotomy, suggests new research from Canada published online in Annals of Surgery.
  • Women trying to get pregnant through assisted reproduction technology (ART) are at low risk for complications, suggests a new study published in the January 6 issue of JAMA. Researchers noted that patients were at highest risk for moderate or severe ovarian hyperstimulation (OHSS), which peaked at 153.5 (95% confidence interval, 146.0 - 161.3)
    per 10,000 autologous cycles.
Media
IMA,IJCP,HCFI
Inspirational Story
The Little Wave

The story is about a little wave, bobbing along in the ocean, having a grand old time. He’s enjoying the wind and the fresh air, until he notices the other waves in front of him, crashing against the shore. "My God, this terrible", the wave says. "Look what’s going to happen to me!"

Then along comes another wave. It sees the first wave, looking grim, and it says to him: "Why do you look so sad?" The first wave says: "You don’t understand! We’re all going to crash! All of us waves are going to be nothing! Isn’t it terrible?"

The second wave says: "No, you don’t understand. You’re not a wave; you’re part of the ocean."
Rabies News (Dr A K Gupta)
What is the mode of action of IDRV?

The deposition of approved modern rabies vaccine (or antigen) in the layers of dermis of skin stimulates the immunoreceptive Langerhan cells present within the dermis. Subsequently the antigen is carried by antigen presenting cells via the lymphatic drainage to the regional lymph nodes and later to the reticuloendothelial system eliciting a prompt and highly protective antibody response. Immunity is believed to depend mainly upon the CD 4+ T– cell dependent neutralizing antibody response to the G protein. In addition, cell–mediated immunity has long been reported as an important part of the defense against rabies. Cells presenting the fragments of G protein are the targets of cytotoxic T– cells and the N–protein induced T helper cells. The immune response induced by IDRV is adequate and protective against rabies.
Cardiology eMedinewS
  • Declines in activity level as measured by accelerometer predicted deterioration in scores on tests of attention and executive function over just 12 weeks in a mixed population with reduced- or preserved-ejection-fraction heart failure (HF), suggests new research published January 5 in the Journal of Cardiac Failure.
  • Patients presenting to the hospital with acute MI (AMI) complicated by cardiogenic shock fare significantly better when treated with an invasive revascularization strategy that includes PCI or CABG surgery than with a conservative management strategy, suggests a new analysis published online in the American Journal of Medicine.
eMedi Quiz
An increase in which of the following parameters will shift the O2 dissociation curve to the left.
1. Temperature.
2. Partial pressure of CO2
3. 2,3 DPG concentration.
4. Oxygen affinity of hemoglobin.


Yesterday’s Mind Teaser: The parameters of sensitivity and specificity are used for assessing:
1.Criterion validity.
2.Construct validity.
3.Discriminant validity.
4.Content validity.

Answer for yesterday’s Mind Teaser: 1.Criterion validity.
Correct Answers received from: Dr Avtar Krishan
Answer for 8th Jan Dec Mind Teaser: 4.X-ray diffraction.
Correct Answers receives: Dr. Rakesh Sharma Nohar, Dr Avtar Krishan, Dr Jainendra Upadhyay, Daivadheenam Jella
Sameer Malik Heart Care Foundation Fund
The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number or by filling the online form.
Madan Singh,
SM Heart Care Foundation Fund,
Post CAG
https://www.youtube.com/watch?v=Mc3kKDXKWvs
Kishan, SM Heart Care Foundation Fund,
Post CHD Repair
https://www.youtube.com/watch?v=OTEG7toVkAQ
Deepak, SM Heart Care Foundation Fund,
CHD TOF https://www.youtube.com/watch?v=rjOel0aaqt0
Video of the Day
Dr K K Aggarwal head on with Arnab Goswami of Times Now on MCI Issues
h t t p : / / w w w . t i m e s n o w . t v / D e b a t e -
WhistleblowerDumped/videoshow/4468283.cms

Heart Care Foundation of India announces the Mrs Abheeta Khanna Oration on Excellence in Sports and Health
https://www.youtube.com/watch?v=6Ktz5-iUINE

Betiyan Hain Anmol, Bachao Dil Se, Medanta joins hands with Heart Care Foundation of India
https://www.youtube.com/watch?v=TGEGauzE0kg
IMA in the News
  • East Delhi man succumbs to swine flu: The Hindu
  • Offer double salary to rural doctors, says IMA: Deccan Herald
  • IMA writes to PM for Better lab technology: Millennium Technology
  • IMA to develop a model health village: Amar Ujala
  • IMA to develop a model health village: Rajasthan Patrika
  • IMA to develop a model health village: National Duniya
  • IMA not against Ayurveda: Pillai: Navodaya
  • IMA to make medical facilities available in village: Deshbandhu
  • Dr Pillai: IMA to develop a model health village: Virat Vaiabhav
  • IMA to develop a model health village: Pillai: Mahamedha
  • IMA to develop a model health village: Hindustan Express
IMA in Social Media
https://www.facebook.com/ima.national 27791 likes
https://www.facebook.com/imsaindia 45662 likes
https://www.facebook.com/imayoungdoctorswing 235 likes
Twitter @IndianMedAssn 710 followers
http://imahq.blogspot.com/
http://www.ima-ams.org/
http://www.imacgpindia.com/
http://www.imacgponline.com/
http://www.ima-india.org/ima/
www.indianmedicalassociation.info
Events
IMA,IJCP,HCFI
IMA to develop a Model Health Village – Dr. A. Marthanda Pillai
Addressing his first Press Conference, Padma Shri Awardee, Dr. A. Marthanda Pillai, National President, IMA said that under Aao Gaon Chalen Project of IMA, IMA will come out with a Model IMA Health Village in the coming year, which can be replicated at a national level, both by the Govt as well as NGOs including IMA branches.

Explaining further, Dr. Pillai said that the Model Health Village will have all parameters met within a year as defined by Millennium Development Goals.

The Conference was co-addressed by Padma Shri Awardee, Dr K K Aggarwal, Hony. Secretary General, IMA. In a joint statement, Dr. Pillai and Dr. Aggarwal said that IMA has written to all its 1700 branches to follow Hon’ble Prime Minister, Shri Narendra Modi’s initiative of Swachh Bharat, Swasth Bharat movement. The IMA officials feel that 20% of the disease burden can be reduced if all the doctors in our country are sensitized to have their medical establishments follow hygienic principles and they in turn motivate their patients to follow the principals of respiratory, food, water and hand hygiene. The IMA officials said that they have requested each of its 1700 branches in the country to nominate 9 Medical Icons of their area to lead this campaign in the coming year.

IMA also showed concern about the inclusion of Cross pathy in the National Health Policy, which has been put by the MoHFW, Govt. of India on its website. Under this National Health Policy, the Govt is envisaging training AYUSH doctors for a limited period of time and allowing them to become midcare health providers.

IMA holds the view that it is not against AYUSH as a branch taking the front position and wants AYUSH to progress in their respective fields. However, IMA is against AYUSH doctors practicing modern system of medicine, as it will cause more harm than benefit to the patients.

IMA has already taken opinion of Joint Commission International (JCI) & National Accreditation Board for Hospitals (NABH) and is of the view that Indian Hospitals will never be able to provide quality and safe service to patients if half-baked AYUSH doctors are allowed to practice modern system of medicine.

If the Govt. goes ahead in this venture, it is a possibility that the JCI and NABH may not give accreditation to most of the hospitals, which may affect medical tourism in the country. IMA, on the other hand, welcomes the Govt. move of making healthcare as a Fundamental Right. However, IMA made a very strong statement that “Nobody in India should die of illness, which is preventable or just because he/she cannot afford it”.

IMA in the statement also said that Govt. should also ensure their commitment of 5% of GDP as budgeted expenditure for their health care budget.

IMA expressed concern about the Govt.’s recent reduction of health budget and its spectacle to increase the GDP from 2.5% to 5% may not actually happen.

IMA’s statement is very clear of providing affordable and quality drugs to each and every person. Therefore, a public distribution system has to be in place, which IMA will support.

Today we have 75,000 Resident Doctors who are waiting for their PG and there are only 6500 rural medical vacancies, which is less than 10% of the total vacancies.

IMA feels that it can help the Govt. of India and be a link between young doctors and the Govt. and help them in filling 6500 vacancies if the Govt provides the following to these doctors:-
• A salary which is twice the normal salary as a hardship allowance.
• A free decent accommodation at the PHCs.
• Security and safety of the persons posted in the PHCs.
• Free basic drugs and investigations, as promised by the Govt. under Universal Health coverage.
• 10% extra marks in their PG entrance examinations if they complete one year of rural service IMA will issue them a one-year certificate of training in Rural Medicine, Rural Surgery and in Public Health, which can help them to upgrade their biodata.

IMA is of the view that if no vehicle can run on the road without insurance, similarly, health insurance should be compulsory and the same should be provided by the Govt. for those who cannot afford it.

Regarding medical education, IMA is of the view that the curriculum should be revised in every 7 years and IMA should a part of the revision process. Soft skills should be included in the curriculum. IMA wants 10% of the medical curriculum to include Mental Health & Bio Ethics. Regarding legal medicine, IMA is of the view that doctors should not come under CPA because this is a different profession. If doctors come under the purview of CPA, then they will have to be allowed to advertise, have marketing agents and do all activities, which will no more make this profession a noble one.

‘To err is human’ for this every doctor goes for indemnity insurance. But doctors want this compensation to be capped and IMA is of the opinion that a Medical Tribunal on the lines of CAT should be established by the Govt., which will take care of the responsibilities presently undertaken by MCI and CPA.

IMA is also launching its Grievance Redressal & Mediation Cell, where patients will be able to approach IMA for their redressals.

IMA will also launch many projects like Care of Elderly, Trauma Care, Waste Disposal, National Initiative for Safe & Sound against noise pollution and Reduction in maternal and infant mortality and Initiative for mental health. Source:
Dr Good Dr Bad
IMA,IJCP,HCFI
Greetings & Happy New Year
Dear colleagues

Greetings & Happy New Year

Indeed it gives me immense joy and happiness to thank you all for your cooperation & support extended to me during my tenure as the Hon. Secretary of IMA CGP Hqrs 2013-14.

With clear guidance & stewardship of Prof. Dr. S. Arulrhaj as the Chief Patron and with the Co-operation of Deans Dr. Pulla Rao and Hyderabad friends & Dr. Anil Pachnekar & Maharashtra friends and the IMA CGP teams consisting of Dr. A. Raja Rajeshwar & Dr. Jayalal & Dr. Ravi Shankar & the National Presidents Dr. K. Vijayakumar & Dr. Jitendra Patel and Hon. Secretary General, Dr. Narendra Saini, Hon. Finance Secretary, Dr. Ajay Gambhir and Dr. Appa Rao and other office bearers, we were able to deliver & succeed in many areas. I thank all of them.

Four mega events namely, WONCA 2014, All India Convention of Young Doctors 2013, GPCON 2013 & GPCON 2014, which happened in this two-year period were tell-tale evidence of great teamwork. The fascinating & enjoyable IMA CGP Tours to United States of the America, Dubai & Abu Dhabi and Shanghai, Beijing in China, are still fresh in our memories.

The two new courses like PGDEM with George Washington University & IPPC with Sydney University took off with good responses along with MRCGP and are going on well in New Delhi, Madurai, Chennai and Hyderabad Centers.

Steep increase of membership with elegant Neck Tie for members and more number of members admitted as Fellows in our college, showcased our strength and potential.

IMA CGP Online & IMA Evarsity is the dream project of our college in collaboration with MEdRC of Hyderabad & Martin Luther Christian University, Shillong. The first five courses Diploma in Family Medicine, Fellowship in Family Medicine, Fellowship in Diabetes Mellitus Fellowship in Primary Care Cardiology, Certificate in Primary Care Radiology Certificate in Genetic Counselling, launched now in this platform are attracting candidates slowly & steadily. Our team has done a lot of brain work & spent lot of time & energy in bringing out this wonderful & high-profile academic work ever in IMA Plat form.

I also thank my Tamilnadu IMA Colleagues President Dr. L.P. Thangavelu, Dr. M. Balasubramanian, Dr. C.N. Raja & other office bearers for their excellent coordination & support for the Hqrs and my secretariat staff Mrs. Sumathi, Mr. Kodiswaran and Mr. Mohamed Jaffer Sadiq for their untiring work.

Friends, I enjoyed working as the Hon. Secretary of IMA CGP for the two years communicating to hundreds of people every day, doing big works with big dreams. I wish my successor Dr. A. Raja Rajeshwar and Dean Dr. E. Prabhavathi and all the new office bearers all the very best & assure my continuous contribution for the college.

With Kind Regards
Dr. K.M. Abul Hasan
Imm. Past Secretary, CGP IMA HQ
10 Innovations in Medicines
6. Stroke Care Goes Mobile
In stroke management, as the saying goes, "time is brain." The earlier that patients are treated, the better chance they have at recovery. The past few years have seen numerous studies exploring means of providing earlier post-stroke care, particularly prehospital care on mobile stroke units. A new study published in JAMA Neurology reported that ambulance-based stroke management results in a higher percentage of patients receiving intravenous thrombolysis within the so-called "golden hour," the first 60 minutes from symptom onset. Also, while negative, the Field Administration of Stroke Therapy-Magnesium phase 3 clinical trial (FAST-MAG) trial, looking at whether prehospital administration of magnesium is neuroprotective, demonstrated that prehospital stroke treatment is possible among a large network of emergency departments, ambulances, and EMTs. (Source: Medscape)
Dr KK Spiritual Blog
Significance of Lighting a Lamp in Any Worship

Deepajyothi parabrahma
Deepa Jyotir Janaardanah
Deepo harati paapaani
Sandhyaa deepa namostute


I prostrate to the dawn/dusk lamp; whose light is the Knowledge Principle (the Supreme Lord), which removes the darkness of ignorance and by which all can be achieved in life.

Light symbolizes knowledge, and darkness, ignorance. Knowledge removes ignorance just as light removes darkness. The purpose of any ritual is to remove internal darkness and attain some knowledge.

Vedic literature recommends lighting a lamp daily as a part of puja ritual. Some do it once at dawn, others twice a day – at dawn and dusk ; while some let the lamp light continuously (akhanda deepa). No auspicious functions can commence without lighting of the lamp and the same is to be maintained right through the occasion.

Knowledge is a lasting inner wealth by which all outer achievement can be accomplished. By lighting the lamp we bow down to knowledge as the greatest of all forms of wealth. Knowledge about the self is the greatest wealth. It goes around achieving inner happiness by burning the negativity of mind full of lust and ego.

The traditional oil lamp defines this spiritual significance. The oil or ghee symbolizes our vasanas (lust) and negative tendencies (the wick & the ego). When lit by spiritual knowledge, the vasanas get slowly exhausted and the ego too finally perishes. The flame of a lamp always burns upwards signifying that only that knowledge should be acquired that takes us towards higher ideals.
Wellness Blog
Nine modifiable risk factors for heart attack

The majority of known risk factors for heart attack disease are modifiable by specific preventive measures.

Nine potentially modifiable factors include smoking, dyslipidemia, hypertension, diabetes, abdominal obesity, psychosocial factors, regular alcohol consumption, daily consumption of fruits and vegetables and regular physical activity. These account for over 90 percent of the population attributable risk of a first heart attack.

In addition, aspirin is recommended for primary prevention of heart disease for men and women whose 10–year risk of a first heart attack event is 6 percent or greater.

Smoking cessation reduces the risk of both heart attack and stroke. One year after quitting, the risk of heart attack and death from heart disease is reduced by one–half, and after several years begins to approach that of nonsmokers.

A number of observational studies have shown a strong inverse relationship between leisure time activity and decreased risks of CVD. Walking 80 minutes in a day and whenever possible with a speed of 80 steps per minute are the current recommendations.
Pediatrics eMedinewS
  • Boys and girls with attention-deficit/hyperactivity disorder (ADHD) exhibit differences in brain structure that are consistent with observed differences in clinical presentation between the sexes, suggests a new imaging study published in the January issue of NeuroImage: Clinical.
  • The average duration of protection against pertussis after diphtheria-tetanus-acellular pertussis (DTaP) immunization is only about three years, pointed a review and meta-analysis published online January 5 in Pediatrics.
Make Sure
Situation: A patient of pulmonary Koch’s taking ATT complained of numbness in fingers and toes.
Reaction: Oh my God! I forgot to prescribe vitamin B complex.
Lesson: Make sure to prescribe B–complex vitamins (especially vitamin B6) in patients talking ATT to prevent neuropathy. Addition of antioxidants and multivitamins also boost the immune system
eMedinewS Humor
Coffee Dilemma
A man and his wife were having an argument about who should brew the coffee each morning.
The wife said, "You should do it, because you get up first, and then we don’t have to wait as long to get our coffee".
The husband said, "You are in charge of the cooking around here and you should do it, because that is your job, and I can just wait for my coffee."
Wife replies, "No you should do it, and besides it is in the Bible that the man should do the coffee."
Husband replies, "I can’t believe that, show me."
So she fetched the Bible, and opened the New Testament and shows him at the top of several pages, that it indeed says: "HEBREWS"
Twitter of the Day
Dr KK Aggarwal: Poor hygiene habits may lead to Typhoid fever http://Blogz.org/A/885847

Dr Deepak Chopra: The same thing that roots life in suffering also leads to the way out of suffering: self-awareness http://bit.ly/DC_Ananda #ananda
Press Release of the Day
IMA wants state-of-the-art forensic labs in every state

Indian Medical Association is the collective consciousness of more than 2.5 lakh doctors in India. The association has expressed concerned about the forensic lab facilities available in the country and has written to the Health Minister and Prime Minister of the country in this regard, where it has asked the Govt. to establish state of the art forensic labs in every district in the country.
Citing the death of Sunanda Pushkar in a letter written to the ministry, Honorary Secretary General and Padma Shri Awardee, Dr K K Aggarwal said that it took over a year after the incident for the police to file a case of murder.
Furthermore, the report of the medical board of AIIMS said that they do not have all the facilities for forensic examination and the viscera needs to be sent abroad for further testing.

“This only means that the country does not have a single lab for complete forensic exam and had it not been such a high profile case, the matter would have been closed as a case of suicide. Thousands of such cases of murder today might be getting closed as suicidal cases,” said Dr Aggarwal.

With a soaring crime rate in the country, every state has a right to have a state-of-the art forensic report. Why should there be a need to send samples to other states or even outside the country for forensic examination?

Dr A Marthanda Pillai, President IMA also asked the health ministry to treat this matter on priority and let the Association know what steps are being taken in this regard.
IJCP Book of Medical Records
IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records.
If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us at: www.ijcpbookofmedicalrecords.com
  • First person and NGO to trained Maximum Number of Police People trained in Hands only CPR10 in one day
  • "First NGO and doctor to provide "hands on training" to 11543 people in "Hands Only CPR 10" in one day.
  • First individual doctor and NGO to provide "hands on training" to 8913 females in "Hands Only CPR 10" in one day.
Reader Response
The warning is a good decision sir. But they are leading glorious practices with all allopathic drugs. They use 3rd generation cephalosporins and amoxiclav for cold and cough for example. I request you to stop or inform someone in power to stop this. Heard PHC doctors can give notice about unauthorized allopathic drug use. But as IMA members we should have meeting involving PHC doctors and encourage them to take action against these people. Kumaragoud Patil
IJCP’s ejournals
  • Indian Journal of Clinical Practice
  • Indian Journal of Multidisciplinary Dentistry
  • Asian Journal of Diabetology
  • Asian Journal of Critical Care
  • Asian Journal of Clinical Cardiology
  • Asian Journal of Obs & Gyne
  • Asian Journal of Paediatric Practice
  • Asian Journal of Ear Nose and Throat