(incorporating eIMA News)
2nd March 2016
Editorial (Dr S S Agarwal, Dr K K Aggarwal)
Antenatal steroids at 34 to 37 weeks of preterm birth
For pregnant women who will deliver at 340/7th to 366/7th weeks of gestation (late preterm) by scheduled cesarean, one should administer the first course of antenatal corticosteroids.
Antenatal corticosteroids given at 23 to 34 weeks of gestation to women at risk for preterm delivery reduce the incidence and severity of respiratory distress syndrome in offspring delivered within 7 days of administration. Steroids have not been administered after 34 weeks.
Recently, the Antenatal Late Preterm Steroids (ALPS) Trial randomly assigned women at 340/7th to 365/7th weeks of gestation at high risk for late preterm birth to receive a first course of antenatal betamethasone or placebo and found that the frequency of a composite outcome of neonatal respiratory problems was reduced in the betamethasone group.
Do not administer steroids in women who have received a course of antenatal corticosteroids earlier in pregnancy or in whom delivery at 340/7th to 366/7th weeks is uncertain.
Also, avoid steroids in women attempting vaginal delivery.
(Source: Uptodate)
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1.Reduced energy production.
2. Decreased production of 2,3-bisphosphoglycerate.
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Premature heart disease is when heart disease occurs before 55 years in men and 65 years in women. In premature heart disease, the prevalence of dyslipidemia (high cholesterol levels without symptoms) is 75-85%.... Read more

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Inspirational Story: A box of kisses

Some time ago, a man punished his 3-year-old daughter for wasting a roll of gold wrapping paper. Money was tight and he became infuriated when the child tried to decorate a box to put under the Christmas tree. Nevertheless, the little girl brought the gift to her father the next morning and said, "This is for you, Daddy.” He was embarrassed by his earlier overreaction, but his anger flared again when he found the box was empty.... Read more
Second Opinion Required

Press Release
IMA to set up an independent ethics committee to evaluate and grant proposals
for clinical research by medical practitioners 
New Delhi, March 01, 2016: The last ten years have seen a steep rise in the number of clinical research studies in India. The biopharmaceutical majors world over are turning toward India, given its rich technical resource pool, ease of patient recruitment, and sheer diversity inherent in our country's genetic texture. However, the migration of international clinical trial projects to India have brought concerns about the quality of clinical research, sighting timelines for regulatory approval, deficiencies found in the functioning of the ethics committees, and an unethical approach to the recruitment of trial subjects. As a result of the stringent associated laws, clinical research has mostly been restricted to institutes and has been out of the reach of individual medical practitioners. 

Given this, the Indian Medical Association has now initiated the set up of an Independent Ethics Committee of IMA which would not only help all private practitioners who are presently not associated with any institute initiate clinical trials, get the necessary approvals and guidance, but also ensure the safety and rights of the patients involved. The committee will comprise of a total of 20 members from across fields including research, sociology, theology, health care, communications, social sector as well as education. 
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IMA Updates
IMA Polio Dates
  • April 1st: tOPV would not be available after this date.
  • April 11th: bOPV would be available in private market but it is not to be opened or used before 25th April.
  • April 25: IMA Polio Switch Day, when tOPV would be completely withdrawn and replaced by bOPV in both routine immunization and polio campaigns.
  • 9th May: IMA National Validation Day when India would be declared free of tOPV. 

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The Indian Medical Association (IMA) presents a series of weekly webcasts for the benefit of the Indian medical profession, engaging you with the latest in advocacy efforts for doctors, through an interactive exclusive digital webcast partnership with eMediNexus.

Next Webcast:
3rd March 2016
Topic: Common Skin Disorders
Faculty: Dr Rajat Kandhari and Dr Pikun Gangwani