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Editorial (Dr SS Agarwal, Dr K K Aggarwal)
26th July 2016
Bacterial infections linked to occurrence of manic episodes
Individuals who are hospitalized with acute mania have a considerably higher rate of bacterial infections, as evident by the recent prescription of antimicrobial agents, says a new study published 17th July, 2016 in the journal Bipolar Disorders. 
Researchers analyzed recent prescription of systemic antimicrobial medications and the site of presumed bacterial infection in 234 individuals hospitalized for acute mania in either as inpatient or a day hospital. Patients hospitalized for other psychiatric disorders (n=368) vs controls (n=555) were also evaluated.
  • Patients hospitalized with acute mania had a substantially increased rate of recent antimicrobial prescription, defined as exposure within 3 days of ascertainment. 
  • Overall, 7.7% individuals hospitalized for acute mania were prescribed antibiotics vs 1.3% controls. 
  • Antibiotic prescription was associated with being on an inpatient unit vs being in the day hospital, and having increased mania symptom severity but not with other clinical ratings, demographic variables, or psychiatric medications. 
  • The recent antibiotic prescription did not have any association with hospitalization for other psychiatric disorders. The urinary tract was the most common site of infection in women, while the respiratory tract and mucosal surfaces were the most common sites in men.
Though the results did not show any cause and effect association, the authors suggest that the prevention and effective treatment of bacterial infections may be important interventions for the management of individuals with mania.
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Lybrate Question of the Day
A 30-year-old female from Noida asked:
I am 30 year old female and have a second cesarean delivery 3 months ago, now I have serious problem of hair fall, what should I do?
Dr. Jyotisterna Mittal, Dermatologist, replied:
Excessive hair fall can be due to male pattern baldness, physical illness or mental stress in the past 3-6 months, low serum ferritin or nutritional deficiency... read more
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IMA-Lybrate Initiative: An online clinic helps you expand your reach. Learn more 
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1. Spares nerve supply to extensor carpi radialis longus.
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Inspirational Story 1: The Choice
Inspirational Story 2The value of sincerity of purpose 
Press Release
The safe limit of alcohol varies from one country to another​
New Delhi, July 25th, 2016: One to two drinks a day for women, and two to four drinks a day in men, are inversely related to mortality. This was stated by Padma Shri Awardee Dr KK Aggarwal -President Heart Care Foundation of India (HCFI) and Honorary Secretary General IMA.

The definition of a "standard drink" varies in different countries. A standard drink in the US is approximately  12 to 14 g alcohol. In Great Britain, a standard drink is 8 g alcohol. In Japan, it is 19.75 g and in India is 10 grams of alcohol.
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IMA Updates
Digital IMA
Webcast Topic - Update on TB
Webcast Date  - 28th July 2016
Webcast Faculty - Dr KK Chopra, Director, New Delhi TB Centre