(incorporating eIMA News)

January 28 2016, Thursday



Do not travel if you are pregnant: IMA Alert

Pregnant women should avoid traveling to countries at risk of mosquito-borne Zika virus transmission, which is strongly suspected of causing microcephaly. In hard-hit Brazil there is a possible link between the virus and Guillain-Barré syndrome. The list of countries in the travel alert issued by the CDC is as follows:

  • The 14 countries and territories earlier identified in Central and South America and the Caribbean are Brazil, Colombia, El Salvador, French Guiana, Guatemala, Haiti, Honduras, Martinique, Mexico, Panama, Paraguay, Suriname, Venezuela and the Commonwealth of Puerto Rico.
  • The CDC added 8 countries and territories to the list; of these, six are in the Caribbean and South America: Barbados, Bolivia, Ecuador, Guadeloupe, Saint Martin, and Guyana and the two Cape Verde and Samoa, break the geographic pattern. Cape Verde is off the coast of Africa while Samoa is in Polynesia.
To Read More or Comment, Click Here

Breaking News 

Botox gets FDA nod for lower limb spasticity

Govt expands coverage of Jan Aushadhi scheme

Video of the day

Dr K.K Aggarwal in conversation with Dr M. Khalilullah on Syncope

 Live Conference Updates 

Live Conference Updates - APICON 2016

Cases of the Week

Gastrointestinal - Henoch schonlein purpura with upper gastrointestinal haemorrhage in adult

Surgery - Unusual presentation of lipoma: A case report

Ophthalmology - Corneal-scleral melting in a diabetic patient


Specialty Updates

Cardiology Update - Heart attack statement on women

Infectious Disease Update - CDC releases guidelines on Zika virus infection in infants

Psychiatry Update - New depression screening guidelines released

Diabetes Update - A new campaign to raise prediabetes awareness in the US

Pediatrics Update - Oral propranolol effectively reduces infantile hemangioma

Gastroenterology Update - Fecal immunochemical test screening effective at 4 years


Photo Quiz - Spot The Diagnosis


A 39-year-old presented with purulent nasal discharge, dyspnea, cough and hemoptysis. Examination revealed raised purpuric eruptions on lower limb and bilateral nodular infiltrates on chest X-ray. BP: 170/100, ESR: 110/hr. Increased creatinine level. Hematuria. Proteinuria. Temp: 100.4o F. What is your provisional diagnosis for this case?


Is it a good practice for any nation to gift its neighboring country ambulances while ignoring the fact that it has acute shortage of the same back home?


IMA Polio Dates:

  • April 1st: tOPV would not be available after this date.
  • April 11th: bOPV would be available in private market but 
Read IMA JIMA Online:
Watch YouTube Video On IMA Satyagraha
Participate In IMA Poll On ART Bill



eWellness - Economy - class syndrome

eSpiritual -  Why Spirituality is Friendly to wellbeing

Inspirational Story - The Acorn Planter

HUMOR -  Old age secret 

Legal Quote - Is it legally necessary for a physician to display his registration number while issuing a payment receipt?

Bioethical issues in medical practice - Blood transfusion to a Jehovah’s Witness follower



Controlling cholesterol levels can help regress heart disease


New Delhi, January 27, 2016: High blood cholesterol is one of the major risk factors for heart disease. In fact, the higher your blood cholesterol level, the greater your risk for developing heart disease or having a heart attack. When there is too much cholesterol (a fat-like substance) in your blood, it builds up in the walls of your arteries. Over time, this buildup causes "hardening of the arteries" so that arteries become narrowed and blood flow to the heart is slowed down or blocked. The blood carries oxygen to the heart, and if enough blood and oxygen cannot reach your heart, you may suffer chest pain. If the blood supply to a portion of the heart is completely cut off by a blockage, the result is a heart attack.

Typically if someone is diagnosed with cardiovascular ailments when they are below the age of 55 years (men) and 65 years (women) they are believed to be suffering from premature heart disease. “In such patients, the prevalence of dyslipidemia, a condition characterized by high cholesterol levels without any evident symptoms is about 75-85%”, said Dr. SS Agarwal, National President IMA & Padma Shri Awardee Dr. K K Aggarwal, President, Heart Care Foundation of India and Honorary Secretary General IMA.

A few points, which each one of us must know about cholesterol, include:

  • High blood cholesterol itself does not cause symptoms; so many people are unaware that their cholesterol level is too high.
  • Cholesterol lowering is important for everyone--younger, middle age, and older adults; women and men; and people with or without heart disease.
  • Lipid profile means measuring total Cholesterol, Triglycerides, LDL, HDL, VLDL and Non HDL Cholesterol. VLDL cholesterol is calculated by dividing value of triglycerides by five. LDL cholesterol is calculated by total cholesterol – HDL cholesterol – VLDL cholesterol
  • A standard serum lipid profile consists of total cholesterol, triglycerides, and HDL-cholesterol and rest are calculated values.
  • Foods of plant in origin contain no cholesterol. Almonds and nuts contain no cholesterol.
  • Food liquid at room temperature contains unsaturated fat. Food solid at room temperature is either saturated or a transfat.
  • Transfat increases bad cholesterol and reduces good cholesterol. Saturated vanaspati ghee increases bad cholesterol but does not reduce good cholesterol levels in the body.
  • A 1% rise in cholesterol leves can raise the chances of heart attack by 2%. 1% reduction of good HDL cholesterol increases the chances of suffering from a heart attack by 3%.
  • One yellow of an egg contains cholesterol equivalent to 10 tea spoon full of butter.
  • Regular exercise can increase the levels of good cholesterol in your body
  • Keep your total cholesterol lower than 160mg%. LDL is bad cholesterol and should be kept as low as possible, keep it lower than 80 mg/dl. HDL is good cholesterol, keep it more than 40mg%
  • Lipid profile is done on 8 -12 hours fasting (no calories) to minimize the influence of postprandial hyperlipidemia. Fast for 12 hours to get accurate readings of LDL ("bad" cholesterol), HDL ("good" cholesterol), and triglyceride levels. Avoid drinking alcohol for at least 24 hours before the test.
  • Serum total and HDL-cholesterol can be measured in fasting or nonfasting individuals. There are only small clinically insignificant differences in these values when measured in the fasting or non-fasting state.  So for calculation of Non HDL cholesterol no fasting is required.
  • Having suffered from a flu or another illness shortly before the blood test can have a dramatic effect on ones cholesterol levels.
  • High levels of alcohol or carbohydrates taken in the last week can raise triglyceride
  • An underactive or overactive thyroid can affect cholesterol levels.
  • If there is a strong family history of heart disease, first Lipid profile should be done at the age of 5. If lipid profile is normal, is should be repeated every 5 years.
  • Blood lipid levels may exhibit mild seasonal variation with a peak in total cholesterol level in the winter and a trough in the summer.  Amplitude of seasonal variation of total cholesterol concentration is 3.9 mg/dL in men and 5.4 mg/dL in women.
  • The total cholesterol can vary by 4 to 11 percent within an individual due to multiple factors including stress, minor illness, and posture.