April 29  2015, Wednesday
editorial
Do not ignore transient brain dysfunction
Dr KK AggarwalTransient ischemic attack or TIA or mini paralysis is a brief episode of neurologic dysfunction caused by lack of blood supply in the focal brain or eye, with clinical symptoms typically lasting less than one hour, and without evidence of acute infarction or brain attack It is a neurological emergency and early recognition can identify patients who may benefit from preventive therapy or from surgery of large vessels such as the carotid artery.

The initial evaluation of suspected TIA and minor non disabling ischemic paralysis includes brain imaging, neurovascular imaging, and a cardiac evaluation. Laboratory testing is helpful in ruling out metabolic and hematologic causes of neurologic symptoms.

TIA or minor non disabling ischemic paralysis is associated with a high early risk of recurrent paralysis. The risk of paralysis in the first two days after TIA is approximately 4 to 10 percent.

Immediate evaluation and intervention after a TIA or minor ischemic reduces the risk of recurrent stroke. Risk factor management is appropriate for all patients. Currently viable strategies include blood pressure reduction, statins, antiplatelet therapy and lifestyle modification, including smoking cessation.

For patients with TIA or ischemic stroke of atherothrombotic, lacunar (small vessel occlusive), or cryptogenic type, antiplatelet agents should be given. For patients with atrial fibrillation and a recent ischemic stroke or TIA, the treatment is blood thinners. For patients with carotid blockages, surgery is needed.
IMA,IJCP,HCFI
eMedipics IMA,IJCP,HCFI
Heart Care Foundation of India, a leading national non-profit organization celebrated World Earth Day jointly with Indian Medical Association, the Ministry of Earth Sciences, Govt. of India
News
  • The effects of a disaster, terrorist attack, or other public health emergency can be long-lasting, and the resulting trauma can reverberate even with those not directly affected by the disaster.
  • The concept that depression is a result of low brain serotonin levels and that selective serotonin reuptake inhibitors (SSRIs) are an effective treatment for the disorder is a myth, suggests a UK psychiatrist in an editorial published online in the BMJ.
  • A study presented at the Liver Congress 2015 suggests that alcohol abuse has a significant, often underappreciated role in the morbidity associated with chronic hepatitis C infection, and can confound cost–benefit assessments of direct-acting antiviral agents.
  • Women with inoperable early-stage endometrial cancer survive longer if their treatment includes brachytherapy (BT) rather than external beam radiotherapy (EBRT) alone, suggests a new analysis of the National Cancer Institute's Surveillance, Epidemiology and End Results (SEER) database. The data were presented at the European Society for Radiotherapy and Oncology (ESTRO) 3rd Forum.
  • A high prevalence of inflammatory abnormalities in the knee joints of healthy older adults has been identified on ultrasound, suggesting that inflammation likely contributes to impairment of joint function with age, suggests new research published in Rheumatology.
IMA,IJCP,HCFI
Did You Know?
Every day, about 10 people die from unintentional drowning. Of these, two will be children aged 14 or younger. Drowning is the sixth leading cause of unintentional injury death for people of all ages, and the second leading cause of death for children ages 1 to 14 years.
Post-earthquake PTSD
  • The one-year prevalence of posttraumatic stress disorder (PTSD) is 3.5 to 6 percent in the US general adult population.
  • Earthquake can result in PTSD.
  • Differences in neuroanatomy, neurotransmitters and brain functioning have been found in individuals with the disorder.
  • Symptoms: Marked cognitive, affective and behavioral responses to stimuli reminding them of trauma they experienced, e.g., flashbacks, severe anxiety, and fleeing or combative behavior. They compensate for this intense arousal through avoidance, emotional numbing, and diminished interest in people and activities.
  • PTSD is commonly accompanied by comorbid psychiatric conditions: depression, substance use disorders and somatization.
  • Diagnostic criteria: Experiencing or witnessing a severe, traumatic event resulting in symptoms in each of four categories (intrusion, negative alteration in mood and cognitions, avoidance, and arousal); social or occupational impairment; and symptoms and impairment lasting at least one month after the trauma
  • Diagnosis of PTSD is made only after a month has passed since the traumatic event.
  • Prior to that, PTSD-like symptoms and functional impairment are diagnosed as acute stress disorder. (Uptodate)
IMA,IJCP,HCFI
Dr KK Spiritual Blog
Why are most temples located in faraway places?

Most temples represent God or the spirit or the deity located in the temple or mandir situated in an area at the outskirts of the city. A spiritual atmosphere is one that is devoid of pollution and which promotes rajasik or tamasik behavior. The silence of the spiritual atmosphere reduces the internal noise and helps us onward in our inner journey. The inner journey of being in touch with one’s consciousness requires detachment from worldly pleasures and the withdrawal of the five senses of the body

To be in touch with one’s consciousness one needs to bypass the disturbed state of consciousness controlled by emotion, memories and desires, through mind, intellect and ego. This bypass usually requires a prolonged period of persistence and undertaking the inward journey devoid of external stimuli. The parikrama, which means "the path surrounding something", incorporating many long walks helps to detoxify the mind and thus shifts the consciousness from a disturbed state to an undisturbed, calm state.

A long walk not only offers physical benefits but one also gets the benefits of nature as one’s inner stimuli are exposed to the outer stimuli during the parikrama. The person is often required to walk bare foot on natural ground, inhale pure air and concentrate and listen to the sounds of the nature, birds and trees. This proximity to nature helps in the inward spiritual journey and shifts one from the sympathetic to parasympathetic mode described by lowering of blood pressure and pulse rate. The final happiness invariably comes from within us at the time of final darshan when a person invariably closes his eyes and experiences God within his heart.

Most temples today are being constructed in residential colonies and provide a holy atmosphere to people right at their doorstep. However, they do not have the same spiritual significance and benefits as a temple located at the outskirts of a city.

There is no way a person can go to a temple in the vicinity of his house and detoxify his mind as this can hardly be achieved in minutes unless you are a siddha yogi, and if you are one, you need not go to a temple as the temple is within you.

In Vedic texts, it has been clearly mentioned that to acquire powers and inner happiness, rishi, munis were also required to do tapasya for months and years together. This tells us that spiritual well–being is acquired over an extended period of time as the process of detoxification is a long drawn process. Cars and other vehicles should not be allowed near temples as the basic motive is to have a pollution–free atmosphere and to give time and space for the mind to detoxify.
Cardiology eMedinewS
  • Patients with atrial fibrillation, especially women, may be at significant risk for a non-ST-segment-elevation MI (NSTEMI), suggests a new analysis from the Atherosclerosis Risk in Communities (ARIC) study published online in Circulation.
  • A very early and more intensive rehabilitation program seems to be associated with a reduced likelihood of achieving a favorable outcome at 3 months vs. usual care, reported the first large-scale randomized trial of rehabilitation therapy in patients with acute stroke published online in The Lancet.
Pediatrics eMedinewS
  • In children who experienced out-of-hospital cardiac arrest, survival and cognitive outcomes were not significantly better with therapeutic hypothermia than with normothermia, suggested new research presented at the Pediatric Academic Societies 2015 Annual Meeting.
  • According to a new study in the Journal of the American Academy of Child & Adolescent Psychiatry, parents play a vital role in early diagnosis. Most of them pick up on signs of autism in their child long before clinicians do. In the study of more than 300 families, many parents of children at high risk of autism reported concerns about their child as early as 6 months of age, and that these concerns were predictive of autism.
Make Sure
Situation: A patient died after receiving penicillin injection.
Reaction: Oh my God! Why was anaphylaxis not suspected?
Lesson: Make sure that each time a patient is given penicillin injection, anti-anaphylaxis measures are available.
Dr Good Dr Bad
Situation: A patient with fever and joint pain came with rash.
Dr Bad: It’s a drug allergy.
Dr Good: It looks like Chikungunya.
Lesson: Rash is present in 30% of cases with Chikungunya.

(Copyright IJCP)
Events
IMA,IJCP,HCFI
eMedi Quiz
The conversion of an optically pure isomer (enantiomer) into a mixture of equal amounts of both dextro and levo forms is called as:

1. Polymerization.
2. Stereoisomerization.
3. Racemization.
4. Fractionation.

Yesterday’s Mind Teaser: The primary role of chaperones is to help in:

1. Protein synthesis.
2. Protein degradation.
3. Protein denaturation.
4. Protein folding.

Answer for yesterday’s Mind Teaser: 4. Protein folding.

Correct Answers received from: Dr Jainendra Upadhyay, Daivadheenam Jella, Arvind Diwaker, Dr G Madhusudhan, Dr Shangarpawar, Dr Avtar Krishan, Prabha Sanghi.

Answer for 27th April Mind Teaser: 1. Patient refusal

Correct Answers received: Dr Pandit Hantodkar, Dr Poonam Chablani, Dr KV Sarma, Dr K Raju, Dr Madhusudhan G.
Inspirational Story
Words of Wisdom

Words of great wisdom, The Native American Code of Ethics:
  1. Rise with the sun to pray. Pray alone. Pray often. The Great Spirit will listen, if you only speak.
  2. Be tolerant of those who are lost on their path. Ignorance, conceit, anger, jealousy and greed stem from a lost soul. Pray that they will find guidance.
  3. Search for yourself, by yourself. Do not allow others to make your path for you. It is your road and yours alone. Others may walk it with you, but no one can walk it for you.
  4. Treat the guests in your home with much consideration. Serve them the best food, give them the best bed and treat them with respect and honor.
  5. Do not take what is not yours whether from a person, a community, the wilderness or from a culture. If it was not earned or given, it is not yours.
  6. Respect all things that are placed upon this earth – whether it be people or plant.
  7. Honor other people’s thoughts, wishes and words. Never interrupt another or mock or rudely mimic them. Allow each person the right to personal expression.
  8. Never speak of others in a bad way. The negative energy that you put out into the universe will multiply when it returns to you.
  9. All persons make mistakes. And all mistakes can be forgiven.
  10. Bad thoughts cause illness of the mind, body and spirit. Practice optimism.
  11. Nature is not FOR us, it is a PART of us. They are part of your worldly family.
  12. Children are the seeds of our future. Plant love in their hearts and water them with wisdom and life’s lessons. When they are grown, give them space to grow.
  13. Avoid hurting the hearts of others. The poison of your pain will return to you.
  14. Be truthful at all times. Honesty is the test of ones will within this universe.
  15. Keep yourself balanced. Your Mental self, Spiritual self, Emotional self and Physical self – all need to be strong, pure and healthy. Work out the body to strengthen the mind. Grow rich in spirit to cure emotional ails.
  16. Make conscious decisions as to who you will be and how you will react. Be responsible for your own actions.
  17. Respect the privacy and personal space of others. Do not touch the personal property of others – especially sacred and religious objects. This is forbidden.
  18. Be true to yourself first. You cannot nurture and help others if you cannot nurture and help yourself first.
  19. Respect others religious beliefs. Do not force your belief on others.
  20. Share your good fortune with others. Participate in charity.
eMedinewS Humor
On Trial

After a trial had been going on for three days, the man accused of committing the crimes, stood up and approached the judge’s bench. "Your Honor, I would like to change my plea from ‘innocent’ to ‘guilty’ of the charges."

The judge angrily banged his fist on the desk. "If you’re guilty, why didn’t you say so in the first place and save this court a lot of time and inconvenience?" he demanded.

The man looked up wide–eyed and stated, "Well, when the trial started I thought I was innocent, but that was before I heard all the evidence against me."
IMA,IJCP,HCFI
Rabies News (Dr A K Gupta)
What are the precautions to be taken while administering RIGs?
  • Patient should not be on an empty stomach.
  • The RIG vial should be kept outside for a few minutes, after taking it out of the refrigerator, to warm it to room/body temperature.
  • While infiltrating RIG into the bite wound, care must be taken to avoid injecting into blood vessels and nerves.
  • While injecting into the finger tips, care must be taken to avoid compartment syndrome.
  • All emergency drugs and facilities for managing any adverse reactions must be available.
  • For ERIG, keep the patient under observation for at least one hour after ERIG administration and then send home.
  • RIGs can be infiltrated even to already sutured wounds without disturbing the sutures.
IJCP Book of Medical Records
IJCP’s ejournals
CPR 10
Total CPR since 1st November 2012 – 101090 trained
Video of the Day
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

Kishan, SM Heart Care Foundation Fund, Post CHD Repair

Deepak, SM Heart Care Foundation Fund, CHD TOF
eIMA News
IMA Team to Nepal (as box item)
A Team of IMA members, led by Padma Shri Awardee Dr. Ashok Gupta, Former Member, Board of Governors; MCI is going to Nepal on 30th April 2015 to provide medical assistance to the earthquake hit area of Nepal. They will be back by 5th – 6th May, 2015.
From
Departure for
Departure from
Kathmandu
Kathmandu
Dr. Ashok Gupta
Mumbai
30-4-2015
6-5-2015
Dr. Kanhan Gupta
Mumbai
30-4-2015
6-5-2015
Dr. Shashank Sringarpure
Vadodara
30-4-2015
6-5-2015
Dr. Sujit Adsul
Pune
30-4-2015
6-5-2015
Mr.Amitabh J. Chaudhary
Delhi
30-4-2015
Will stay back
Dr. Mansukh Kanani
Ahmedabad
30-4-2015
5-5-2015
Dr. Bhavesh Vaghasiya
Ahmedabad
30-4-2015
5-5-2015
Dr. Girish Patel
Ahmedabad
30-4-2015
5-5-2015
Dr. Dinesh Patel
Ahmedabad
30-4-2015
5-5-2015
Dr. Shailesh Jepiwala
Ahmedabad
30-4-2015
5-5-2015
Dr. Pankaj Patel
Ahmedabad
30-4-2015
5-5-2015
Mr. Rajubhai Rabadia
Ahmedabad
30-4-2015
5-5-2015
Mr. Bharat Gharedia
Ahmedabad
30-4-2015
5-5-2015
MoU between IMA and AIMED
Association of Indian Medical Device Industry (AIMED) and Indian Medical Association (IMA) have signed a MoU to promote ‘Cure in India’ initiative for driving medical tourism within India and simultaneously promote ‘Buy Indian’ which encourages use of India manufactured devices in healthcare sector along with Indian medical expertise. Under the scheme of things, IMA will encourage medical fraternity to go ‘One Step beyond Endorsement’ for India manufactured medical devices which would be approved by IMA-based on stringent internationally accepted quality parameters. (Express healthcare)
After an earthquake: Food and Water Concerns
Emergency Water Storage and Purification

Following are recommendations for storing and purifying water supplies:
  • The minimum drinking water supply is 1 gallon per person per day. You will also need water for food preparation, bathing, brushing teeth, and dish washing. Store a 3-5 day supply of water (at least 5 gallons for each person).
  • Water should be stored in sturdy plastic bottles with tight-fitting lids. Rinsed chlorine bleach bottles work well for water storage. Plastic containers for juice and milk do not work as well because they tend to crack and leak more readily. All containers should be labeled.
  • Stored water should be changed every 6 months.
  • Avoid placing water containers in areas where toxic substances, such as gasoline and pesticides, are present. Vapors may penetrate the plastic over time.
  • Do not store water containers in direct sunlight. Select a place with a fairly constant, cool temperature.
Safe Water Sources in the Home

If you do not have enough water stored, there are sources in your home that may provide safe, clean water for drinking purposes.
  • Water drained from the water heater faucet, if the water heater has not been damaged.
  • Water dipped from the tank of the toilet (not the bowl). The water in the bowl can be used for pets. Do not use water that has been chemically treated or "blue" water.
  • Melted ice cubes.
  • Canned fruit, vegetable juice, and liquids from other canned goods.
  • Water from swimming pools and spas can be used for personal hygiene, cleaning, and related uses, but not for drinking.
Unsafe Water Sources

Never use water from the sources listed below for drinking.
  • Radiators
  • Hot water boilers (home heating system)
  • Water beds (fungicides added to the water or chemicals in the vinyl may make water unsafe for use)
Note: Remember that carbonated beverages do not meet drinking water requirements. Caffeinated drinks and alcohol dehydrate the body, which increases the need for drinking water.

Water for Drinking and Cooking

Safe drinking water includes bottled, boiled, or treated water. Your state, local, or tribal health department can make specific recommendations for boiling or treating drinking water in your area. Here are some general rules concerning water for drinking and cooking. Remember:
  • Do not use contaminated water to wash dishes, brush your teeth, wash and prepare food, or make ice.
  • If you use bottled water, make sure the seal has not been broken. Otherwise, water should be boiled or treated before use. Drink only bottled, boiled, or treated water until your supply is tested and found safe.
  • Boiling water kills harmful bacteria and parasites. Bringing water to a rolling boil for 1 minute will kill most organisms.
  • If you can't boil water, you can treat water with chlorine tablets, iodine tablets, or unscented household chlorine bleach (5.25% sodium hypochlorite). If you use chlorine tablets or iodine tablets, follow the directions that come with the tablets. If you use household chlorine bleach, add 1/8 teaspoon (~0.75 milliliter (mL)) of bleach per gallon of water if the water is clear. For cloudy water, add 1/4 teaspoon (~1.50 mL) of bleach per gallon. Mix the solution thoroughly and let it stand for about 30 minutes before using it. Treating water with chlorine tablets, iodine tablets, or liquid bleach will not kill many parasitic organisms. Boiling is the best way to kill these organisms.
Containers for water should be rinsed with a bleach solution before using and reusing. Use water storage tanks and other types of containers with caution.

Emergency Food

Keep foods that:
  • have a long storage life
  • require little or no cooking, water, or refrigeration, in case utilities are disrupted
  • meet the needs of babies or other family members who are on special diets
  • meet pets' needs
  • are not very salty or spicy, as these foods increase the need for drinking water, which may be in short supply
How to Store Emergency Food
  • A disaster can easily disrupt the food supply at any time, so plan to have at least a 3-day supply of food on hand.
  • When storing food, it is not necessary to buy dehydrated or other types of emergency food. Canned foods and dry mixes will remain fresh for about 2 years.
  • Certain storage conditions can enhance the shelf life of canned or dried foods. The ideal location is a cool, dry, dark place. The best temperature is 40 to 60°F. Keep foods away from ranges or refrigerator exhausts. Heat causes many foods to spoil more quickly.
  • Keep food away from petroleum products, such as gasoline, oil, paints, and solvents. Some food products absorb their smell.
  • Protect food from rodents and insects. Items stored in boxes or in paper cartons will keep longer if they are heavily wrapped or stored in airtight containers.
  • Date all food items. Use and replace food before it loses freshness.
How to Use Emergency Food
  • Use perishable food in your refrigerator or freezer before using food in your emergency supplies.
  • Discard cooked, unrefrigerated foods after 2 hours at room temperature, regardless of appearance.
  • Eat only foods that have a normal color, texture and odor.
  • Discard cans that bulge at the ends or that are leaking.
Preparing Food

Preparing food after an earthquake may be complicated by damage to your home and loss of electricity, gas, and water. The following items will help you to prepare meals safely:
  • Cooking utensils
  • Knives, forks, and spoons
  • Paper plates, cups, and towels
  • A manual can- and bottle-opener
  • Heavy-duty aluminum foil
  • Gas or charcoal grill; camp stove
  • Fuel for cooking, such as charcoal. (Caution: Never burn charcoal indoors. The fumes are deadly when concentrated indoors.)
Note: Do not use your fireplace for cooking until the chimney has been inspected for cracks and damage. Sparks may escape into your attic through an undetected crack and start a fire.
More Indian doctors, public health experts on way to earthquake hit Nepal
NEW DELHI: The health ministry on Monday said that it has set up a public health team drawing experts from All India Institute of Medical Sciences, Safdarjung Hospital and the ministry, which will leave for Nepal to conduct a quick assessment of health needs after the Himalayan country suffered a devastating earthquake on Saturday which has claimed over 3000 lives so far. "On the directives of the Union Health Minister Shri J P Nadda, a team comprising experts from AIIMS, Safdarjung Hospital and Public Health specialists from the Ministry is being sent to Nepal to assess the health aspects of the situation arising out of large scale morbidity and mortality," a health ministry statement said on Monday. Read more at: http://tinyurl.com/mmg7oro
Nepal Volunteers Team IMA
Dr. P. Jha
9431019270
Abhishek Mondal
Dr .S.Yadukul
9986510681
Dr Alka
9235797797
Dr Arvind Jain
9425154004
Dr B.M Alur
9448127463
Dr Barathi Subramanium
barathi2021@gmail.com
Dr Binu Lal Singh
9443152889
Dr Deepak Kothari
7722866677
Dr Dharmesh Gandhi
9822252965
Dr Gogia
9810126883
Dr Gopal Shinde
09422016113,
09869927296
Dr Jyoti Malik
9811226648
Dr K.K Chaturvedi
9425144382
Dr Kalyan Singh
kalyansingh41@gmail.com
Dr Manish Sharma
9466678311
Dr Milind S Bari
8408084040
Dr N.K.Sharma
9811763276
Dr Narotham
9440979283
Dr Param Hans Mishra
9313622552
Dr Pawan Gupta
9813193071
Dr Prem Punhani
9896707788
Dr Priya Eshpuniyani
9007038159
Dr RS Bellary
9448364161
Dr Raghavendra
9686572767
Dr Raman Kr Verma
9431293996
Dr Ramesh Boobathi
9894453929
Dr Ravi
9235797797
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8275008761
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9826060629
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9734718060
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7676067600
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9910308937
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9848146869
Dr Srinivas Deshpande
9480158750
Dr Subash Aggarwal
9810128494
Dr Sudha D Shah
9978532450
Dr Upendra
9825115538
Dr (Wg Cdr) Manisha Kukreja Bhatla
9810341314
Dr. Anil Kumar
09555470599
Dr Ashok Gupta
996 903 9292
Dr Mohit Goyal
9719417123
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9163347957
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09102118557
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07779999957
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09771424509
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9894846929
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9600939559
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9791797372
  • With a number of websites and mobile apps coming up to connect patients with doctors, the question of ethics has risen up since such online/mobile programmes may divert patients from one doctor to another and charge a fee from doctors for providing their services, which is unethical. According to the Medical Council of India (MCI) Code of Ethics Regulations, 2002, soliciting of patients directly or indirectly, by a physician, by a group of physicians or by institutions or organizations is unethical. Dr K K Aggarwal, Honorary Secretary General, Indian Medical Association (IMA), told India Medical Times, “The real world rules also apply to the digital world. For example, I cannot be paid for referring a patient, as it is not allowed. If anybody sends me a patient for money, that is not allowed. Marketing on the internet as well as advertising is not permitted in the medical profession.
What is workplace violence?
Workplace violence ranges from offensive or threatening language to homicide. NIOSH defines workplace violence as violent acts (including physical assaults and threats of assaults) directed toward persons at work or on duty. Examples of violence include the following: Threats: Expressions of intent to cause harm, including verbal threats, threatening body language, and written threats. Physical assaults: Attacks ranging from slapping and beating to rape, homicide, and the use of weapons such as firearms, bombs, or knives. Muggings: Aggravated assaults, usually conducted by surprise and with intent to rob.
Experts warn of malaria's adverse impact on reproductive
New Delhi, Apr 25 (PTI) Malaria can have a serious impact on reproductive health, experts said on the occasion of World Malaria Day today as they pointed out that, although rare, the disease can hamper semen quality in males and increase miscarriage risks in women.

When a man suffers from high-grade fever during malaria, he may develop severe azoospermia (no measurable level of sperm in semen), necrozoospermia (sperm in semen is either dead or immobile) or oligospermia (low sperm count), experts said.

However, in most of the cases, recovery occurs once the person is cured of malaria. Thus, success rates are comparatively low among couples who try to conceive around the period when the male partner is affected with malaria or has just recovered from the disease.

"Not many are aware that a parasitic disease like malaria can affect the reproductive health of both men and women. We sometimes see that quinine and chloroquine, the anti-malarial alkaloids that are used to treat the disease, impact the quality of sperm and blood levels of some reproductive hormones in males.

"In some cases, they also hamper the egg quality in females. Malaria also increases miscarriage risks. However, more research needs to be done to ascertain the exact effects of malaria on male and female infertility," said Dr Kaberi Banerjee, a leading IVF and infertility specialist.

Dr KK Aggarwal, Secretary General of Indian Medical Association (IMA), said, "The vulnerable group when it comes to malaria are children, pregnant women and the elderly.

Malaria in pregnancy can cause a low birth weight infant, abortions and premature delivery and should not be ignored and treated early.

"An unexpected abortion of this nature can cause long-term infertility in patients." Being diagnosed with malaria during pregnancy can harm both the mother and the unborn foetus. It can cause severe parasitic infection and anaemia in the foetus thus becoming a major cause of maternal mortality.

The disease can also cause premature birth or low weight, which leads to increased risk of neonatal mortality, he added.
Media
IMA,IJCP,HCFI
Wellness Blog
Tomato reduces prostate cancer risk

Consumption of lycopene–containing foods, especially tomato and its products is prostate friendly. A prospective study of a cohort of over 50,000 men from the Health Professionals Follow–up Study in J Natl Cancer Inst 2014;106(2):djt430 suggests that dietary intake of lycopene is associated with a lower incidence of prostate cancer and a decreased risk of lethal prostate cancer. These effects may be mediated through inhibition of tumor angiogenesis.
Quote of the Day
There is perhaps nothing so bad and so dangerous in life as fear. Jawaharlal Nehru
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Reader Response
Respected Hon Secretary General IMA HQ: Sir, as per directive, Members of IMA Tinsukia Branch under Assam State Branch Assembled at IMA house Tinsukia under presidentship of Dr Mohan S Konwar at 5pm on 27/04/ 2015 and stood in silence for 1 minute and paid homage to the departed souls caused by devastating earthquake in Nepal and parts of India and prayed for eternal peace in Heaven. Members also pledged to stand by the affected people and prayed for speedy recovery of the injured persons. Dr Mohan Shyam Konwar. President IMA Tinukia, Dr Prasant Agarwal, Hon. Secy IMA Tinsukia
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News on Maps
Team IMA to leave on 30th April
Team IMA to Nepal led by Padma Shri Awardee, Dr. Ashok Gupta, Former Member, Board of Governors; MCI will be leaving India on 30th April 2015 to provide medical assistance to the earthquake hit area of Nepal. They will be back by 5th – 6th May, 2015.

The team will include Dr. Kanhan Gupta from Mumabi; Dr. Shashank Sringarpure from Vadodara; Dr. Sujit Adsul from Pune; Mr.Amitabh J. Chaudhary from Delhi and Dr. Mansukh Kanani; Dr. Bhavesh Vaghasiya; Dr. Girish Patel; Dr. Dinesh Patel; Dr. Shailesh Jepiwala; Dr. Pankaj Patel, Dr. Rajubhai Rabadia and Mr. Bharat Gharedia all from Ahmedabad.

Local arrangements have been made by Heart Care Foundation of India Nepal Office, said Mr Vivek Kumar Trustee Heart Care Foundation of India.
Giving the details, Padma Shri Awardee, Prof (Dr) A. Marthanda Pillai, National President and Padma Shri Awardee, Dr K K Aggarwal, Hony. Secretary General IMA & Dr. Chetan Patel, Chairman, IMA Disaster Management Cell, IMA jointly said that the team will have super specialist in plastic surgery, orthopedics and general surgery.