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19th October, 2017
Emedinews wishes all its readers a very happy and healthy Deepawali
 
WMA TB & HIV-AIDS Resolutions revised in coordination with IMA
 
Dr KK Aggarwal
In the recently concluded Annual General Assembly in Chicago held from October 11-14, 2017, the World Medical Association (WMA) passed two resolutions on Tuberculosis (TB) and HIV-AIDS, after undergoing major revisions.
 
Indian Medical Association (IMA) volunteered to be the coordinating national medical association for these resolutions. This was only the right thing to do given the high prevalence of the two diseases in the country and hence, of great public health concern to us.
 
India accounts for one-fourth of the global TB burden, including MDR TB, as reported in Global TB Report 2016. And, India is among the top three countries with the highest number of people living with HIV. The total number of people living with HIV in India is estimated at 21.17 lakhs (17.11 lakhs-26.49 lakhs) (India HIV Estimation 2015 report). Of these, only 14 lakh are diagnosed.
 
As the coordinating national medical association for both these resolutions, suggestions from all member national medical associations were sent to IMA, who compiled and finalized the resolutions, which were then passed by the recent Assembly at Chicago.
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Video Of The DayWhy Celebrate Diwali
Top News
Today is World Osteoporosis Day: "Love Your Bones, Protect Your Future"
World Osteoporosis Day observed every year on October 20 aims to raise global awareness of the prevention, diagnosis and treatment of osteoporosis and related bone diseases. The day also calls on the general public to take early action to protect their bone and muscle health, in order to enjoy a good quality of life and independence in the future. The theme for this year is "Love Your Bones, Protect Your Future".
 
Today is World Statistics Day: "Better Data, Better Lives"
The World Statistics Day highlights the role of high-quality official statistical information in analysis and informed policy decision-making in support of sustainable development. It also reflects the importance of sustainable national statistical capacity to produce reliable and timely statistics and indicators measuring the progress of a country. The theme this year is "Better Data, Better Lives".
Practice Updates
Relatively few kidney patients need to start dialysis after undergoing TAVR
 
A new study published October 16, 2017 in JACC: Cardiovascular Interventions suggests that the rate of patients with chronic kidney disease undergoing transcatheter aortic valve replacement (TAVR) who eventually need to start dialysis is relatively low. Among patients with stage 3 CKD, 2.2% had newly started dialysis 30 days after surgery, whereas in patients with stages 1 and 2 CKD, 0.7% had started dialysis after 30 days.

On-and-off fasting helps fight obesity, says study
 
Up to 16 weeks of intermittent fasting without otherwise having to count calories helps fight obesity and other metabolic disorders, according to an animal study reported October 17, 2017 in the journal Cell Research. This benefit was evident after only six weeks. Intermittent fasting in mice helped to kick-start the animals' metabolism and to burn fat by generating body heat.

High score on Endometriosis Fertility Index indicates better fertility prognosis in endometriosis
 
Endometriosis fertility index is a strong predictor of live births following surgical resection of moderate and severe endometriosis, says a new study reported in the journal Human Reproduction, online September 29, 2017. The study further says that women with a high EFI score have better fertility prognosis compared to women with a low score, who need to be referred promptly to assisted reproductive technology.

Delafloxacin has comparable efficacy as vancomycin-aztreonam in acute bacterial skin infections
Findings of a phase III trial reported online October 5, 2017 in the Journal of Antimicrobial Chemotherapy show that delafloxacin, an anionic fluoroquinolone, was statistically non-inferior to vancomycin-aztreonam at 48-72 h following the start of therapy and was well tolerated as monotherapy in the treatment of acute bacterial skin and skin structure infections.

Hospital admission for epilepsy is a risk factor for schizophrenia
 
A study presented October 16, 2017 at ANA 2017, the 48th Annual Meeting of the American Neurological Association in San Diego has suggested a prior hospitalization for epilepsy as a major risk factor for subsequent re hospitalization for schizophrenia compared with previous admission for other medical reasons.
 
eMedi Humor
As an English professor, my father would often write little notes on student essays. Often he worked late, and as the hours passed, his handwriting deteriorated. One day a student came to him after class with an essay that had been returned. "Mr. McDonald," he said, "I can't make out this comment you wrote on my paper." My father took the paper and, after studying it, sheepishly replied, "It says that you should write more legibly."
Medicolegal Corner
Can a doctor publish photographs or report an interesting case that he has come across in his  practice?
 
Regulation 7.17 of MCI Code of Ethics clarifies this issue as follows: "A registered medical practitioner shall not publish photographs or case reports of his/her patients without their permission, in any medical or other journal in a manner by which their identity could be made out. If the identity is not to be disclosed, the consent is not needed."
eMedi Quiz
A post-operative complication of mastectomy is lymphedema. This can be prevented by 
A. Ensuring patency of wound drainage tube
B. Placing the arm on the affected side in a dependent position
C. Restricting movement of the affected arm
D. Frequently elevating the arm of the affected side above the level of the heart
Lifestyle Updates
 
eWellness: A slight move is all that matters

Middle-aged women who move around more in their daily life have lower levels of intra-abdominal fat, a risk factor for heart disease.

A minor modification in daily routine: Reducing the time watching TV or increasing the walk time to work can make a difference in the long-term health.
 
Visceral fat is a hot topic because of metabolic syndrome, which predisposes people to diseases.
 
Intra-abdominal fat, or the fat that wraps around the organs in the abdomen and chest, tends to accumulate at midlife and can contribute to developing diabetes, hypertension and heart disease. The fat around the organs is known to be more related to heart disease and diabetes. A woman does not need to appear outwardly heavy to have a potentially troublesome extra "tire" around her organs.
 
Exercise for long has been known to reduce the amount of intra-abdominal fat.
ESpiritual: Diwali The Festival of Inner Purnima on Outer Amavasya

Diwali is celebrated on the day of Amavasya but the festival is symbolized by inner happiness, lighting or Purnima.
Moon in mythology is symbolized by cool positive thoughts. Generally, one encounters negatives thoughts ly on the day of Amavasya and positive thoughts on the day of Purnima. 

Diwali is the only day in a year where one experiences positive thoughts on the day of Amavasya, hence some people believes Diwali symbolizes Diwali with inner Purnima and outer Amavasya.

Diwali celebrations also coincide with the terminal phase of Chaturmas, the four months of negative state of mind.
The purification process in Chaturmas starts with the first Navratra falling on Amavasya. During these nine days one undergoes mind, body and soul detoxification by not thinking negative, doing positive things and acquiring soul-based knowledge.

The mind-body detoxification during Navratras ends with killing of Tamas (Kumbhakarna), Rajas (Meghnath) and ego (Ravan) and of consciousness (Rama) over the evil.

These benefits do not lead to inner Moksha or happiness until 20 days, the day of Diwali. In order to continue getting benefits of Navratras one needs to fast with positive state of mind every fourth day till Diwali.

On Sharad Purnima, the fast involves thinking positive with a cool mind to get health benefits. Four days later, on Karvachauth again, one fasts and worships the Moon with positive thoughts and acquires longevity benefits. Four days later on Ahoi Ashtami again, one worships the moon and the stars with positive thoughts and acquires fertility benefits. On the day of Dhanteras one acquires a win over the fear of death (Yama). On this day, the fast involves deeper meditation (Samudra manthan) to get all the benefits of Samadhi.

At the end of the meditation in the state of Samadhi, one gets in touch with the consciousness or the God, the insight gets illuminated and a person experiences bliss, a state of ecstasy of inner happiness and that is what is called experiencing inner Purnima on the day of outer Amavasya and the festival is celebrated as Diwali.

Let us all worship this Diwali as a state of positive mental state. This one month of purification of thoughts helps one in combating the depression phase seen in winter.

Diwali is the only Amavasya where one does not do Shraadh pooja.  On Diwali Amavasya (falling in Chaturmas) one is allowed to start any new project. Even deaths on this Amavasya are considered auspicious (unlike on other Amavasya days).

(Disclaimer: The views expressed in this write up are my own).

Inspirational: Tears of Happiness

Once there lived two brothers who lost their parents at an early age. They worked together on their family farm.
Some years later, the elder married and had a family with two children, while the other was still single. They worked hard together in the day and at the end of each day they shared their produce equally.

One day while the single brother was working in the fields, he thought to himself, "It's not right that we share equally everything. I’m alone and my needs are simple. My brother has a big family. He needs much more." With that in mind he took a sack full of grains and slowly went to his brother's barn and placed the sack quietly. He did so every night.

Meanwhile, the married brother thought to himself, "It's not right that we share everything equally. After all, I'm married and I have my wife and children to look after me in years to come. My brother has no family and no one can take care of his future. He really should have a bigger share." So each night he took a bag of grain and put it into his brother's barn quietly.
This went on and both men were puzzled for months because their grain never dwindled.

Then one night, on the way to each other's barn, the two brothers coincidentally met and they found out what was happening all these years!

They dropped their bags, cried and embraced one another with tears of happiness.
Better be safe than sorry during the festival of lights
Those with cardiac and respiratory ailments should be particularly careful
Eating and drinking should be healthy and in moderation, with adequate physical activity
 
New Delhi, 18 October 2017: Diwali, the festival of lights and harbinger of prosperity and cheer, is characterized not just by this. It is also that time of the year when health risks escalate. From the ghee-laden sweets to the pollution-inducing crackers, there is a lot to think about in terms of one's health. According to statistics, the annual carbon dioxide emissions from fireworks is 60,000 tonnes. The IMA says that this is not only to the environment but also to the health. Add to this the sweets and savories and alcohol binge, and one's weight is sure to catapult. 
 
Diwali is that time of the year when people lose track of their eating, drinking, and fitness habits. Apart from this, noxious gases such as carbon monoxide from crackers can be detrimental for those with asthma or heart ailments.
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