January 30 2015, Friday
editorial
Eat 20 almonds or 15 cashews or 30 peanuts every day
Dr KK Aggarwal People who ate a 1–ounce serving of nuts each day showed a 20 percent reduced risk of dying from any cause over three decades, compared to those who didn’t eat the tasty snacks, as shown a study published in the Nov. 21 issue of the New England Journal of Medicine by Dr. Charles Fuchs, director of the Gastrointestinal Cancer Center at the Dana–Farber Cancer Institute in Boston.

Prior studies suggest health benefits like a lower risk of heart disease and type 2 diabetes and lower cholesterol, among other health outcomes. Nuts are nutrient-dense foods. They contain unsaturated fatty acids, fiber, vitamins, minerals and antioxidants.

One–ounce serving was equal to about 16 to 24 almonds, 16 to 18 cashews or 30 to 35 peanuts.
eMedipics
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IMA Mediation, Conciliation & Grievances Redressal Cell
News
  • New Canadian public-health guidelines on obesity strongly recommend that primary care clinicians measure body mass index (BMI) and offer structured behavioral weight-loss interventions to obese adults at high risk for type 2 diabetes. The guidelines are published online January 26 in CMAJ.
  • On a 10% protein diet, diabetic adults exhibited increased sensitivity to insulin suppression of proteolysis, but inadequate stimulation of protein synthesis, resulting in a lower net nitrogen balance than patients who ate a 17% protein diet, pointed a new study published in Clinical Nutrition. The study thus suggests that it is especially important for people with type 2 diabetes to eat enough protein.
  • Updated best practice recommendations for the emergency treatment of acute-onset, severe hypertension during pregnancy and the postpartum period, by the American College of Obstetricians and Gynecologists Committee on Obstetric Practice, include the addition of nifedipine as a first-line therapy. The updated opinion is published in the February issue of Obstetrics & Gynecology.
  • A new study provides the strongest evidence that anticholinergic drugs may increase the risk for dementia in older adults. The study is published online in JAMA Internal Medicine on January 26.
  • In a new study, researchers found an association between the use of erectile dysfunction (ED) drugs after radical prostatectomy and biochemical recurrence. The study was published in the February issue of the Journal of Urology.
Dr KK Spiritual Blog
Eating foods in their natural form is always better

An elephant is obese, eats sugarcane (ganna) and yet does not develop diabetes. I am sure if he is given 10% sugar drinks everyday or made to eat 30% sugar containing sweets, he too would end up with diabetes.

The natural form of sugarcane is eating ganna, the second form is sugarcane juice, third is gur (jaggery), fourth is shakkar and fifth is white sugar.

The more you eat foods in their natural form, more the health benefits you will get from that food.

Food is Brahmin and contains the same consciousness as you have. Food, which is more refined will loses its consciousness and is not beneficial to the health.

Similarly, wheat flour with bran is better than flour without bran, which is better than suji, which is better than maida. Maida is the final product and if taken every day, it can cause heart disease, diabetes and high blood pressure.
Cardiology eMedinewS
  • Patients who undergo coronary artery bypass graft surgery and require red blood cell transfusion either during the procedure or after it -- or both, have a significantly greater risk of developing pneumonia infections. For those patients who required six or more blood transfusions, the pneumonia risk rises 14-fold compared with those patients who get through surgery without need for transfusion, said Donald Likosky, PhD, head of the section of health services research at the University of Michigan, Ann Arbor at the annual meeting of the Society of Thoracic Surgeons
  • The FDA approved the first right ventricular assist device delivered percutaneously, device maker Abiomed announced. The Impella RP system is indicated for circulatory assistance for up to 14 days in children or adults who develop acute right-side heart failure or decompensation following left ventricular assist device implantation, myocardial infarction, heart transplant, or open-heart surgery.
Pediatrics eMedinewS
  • Delivering small amounts of colostrum to the posterior oropharynx improves immune markers and reduces sepsis rates in extremely premature infants, suggests a new study published online January 26 in Pediatrics.
  • After tonsillectomy, ibuprofen in combination with acetaminophen provides safe, effective analgesia for children, suggests a new trial published online January 26 in Pediatrics. In contrast, morphine can cause life-threatening oxygen desaturation in certain children, and therefore its use should be avoided.
Make Sure
Situation: A patient with dengue died.
Reaction: Oh my God, why was he not given adequate fluids?
Lesson: Make Sure that all patients with dengue are given fluids to correct intravascular dehydration.
Medicolegal
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Dr Good Dr Bad
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IMA NEWS
Launch of IMA Rise and Shine Web Lecture Series
 
Date of webcast
8th February 2015
Time of webcast
11:00 AM - 11.30 AM
Mode
Live webcast http://www.ima-india.org/ima/
Opening remarks:
Dr K K Aggarwal, Honorary Secretary General, IMA - 2 minutes
Introduction of President IMA and Chairman Apollo Hospitals Group
Dr. Anupam Sibal, Group Medical Director, Apollo Hospitals - 3 minutes
Presidential Address
Dr. Marthanda Pillai, National President – IMA - 7 minutes
Leadership Qualities: My personal Journey and Healthcare challenges
Dr. Prathap C Reddy, Chairman Apollo Hospitals Group - 15 minutes
Concluding Remarks and Thanks
Dr. K K Aggarwal - 3 minutes
IJCP Book of Medical Records
IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records.

If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us at: www.ijcpbookofmedicalrecords.com
  • First person and NGO to trained Maximum Number of Police People trained in Hands only CPR10 in one day
  • "First NGO and doctor to provide "hands on training" to 11543 people in "Hands Only CPR 10" in one day.
  • First individual doctor and NGO to provide "hands on training" to 8913 females in "Hands Only CPR 10" in one day.
IJCP’s ejournals
  • Indian Journal of Clinical Practice
  • Indian Journal of Multidisciplinary Dentistry
  • Asian Journal of Diabetology
  • Asian Journal of Critical Care
  • Asian Journal of Clinical Cardiology
  • Asian Journal of Obs & Gyne
  • Asian Journal of Paediatric Practice
  • Asian Journal of Ear Nose and Throat
eMedinewS Humor
Requesting a three day pass

An Israeli soldier who just enlisted asked the Commanding Officer for a 3–day pass.

The CO says "Are you crazy? You just join the Israeli army, and you already want a 3–day pass? You must do something spectacular for that recognition!"

So the soldier comes back a day later in an Arab tank!

The CO was so impressed, he asked "How did you do it?"

"Well, I jumped in a tank, and went toward the border with the Arabs. I approached the border, and saw an Arab tank. I put my white flag up; the Arab tank put his white flag up. I said to the Arab soldier, "Do you want to get a three–day pass? So we exchanged tanks!"
Twitter of the Day
Dr KK Aggarwal: Smoking and ulcerative colitis http://bit.ly/15QdVeB #Health

Dr Deepak Chopra: Your only identity is I AM undefined and infinite. Any label you give yourself limits yourself
Rabies News (Dr A K Gupta)
Does strain of virus used in rabies vaccine play a role in eliciting the required response?

Response to rabies vaccination is a unique mix of specificities to rabies virus antigens. Antibodies develop out of intrinsic host responses and in response to extrinsic factors such as the amount of antigen given, type of antigen, and route of exposure or vaccination. There may be substantial variation in the neutralizing activity and quantity of rabies virus neutralizing antibodies (RVNA) produced. Therefore, the strain of virus used in antirabies vaccine plays a role in eliciting the required response.
CPR 10
Total CPR since 1st November 2012 – 101090 trained
eMedi Quiz
All of the following infections are often associated with acute intravascular hemolysis except:

1. Clostridium tetani.
2. Bartonella bacilliformis.
3. Plasmodium falciparum.
4. Babesia microti.

Yesterday’s Mind Teaser: A patient has been allegedly bitten by cobra snake. The venom in such a bite would be:

1. Musculotoxic.
2. Vasculotoxic.
3. Cardiotoxic.
4. Neurotoxic.

Answer for yesterday’s Mind Teaser: 4. Neurotoxic.
Correct Answers received from: Daivadheenam Jella,
Dr Avtar Krishan, Dr Poonam Chablani, Dr KV Sharma,
Dr Saminathan, Chennai.
Answer for 28th Jan Mind Teaser: 4. Dessication of a dead body.
Correct Answers receives: Dr Poonam Chablani, Dr KV Sharma, Daivadheenam Jella, Dr Avtar Krishan, Dr Jainendra Upadhyay, Raju Kuppusamy, Dr Saminathan.
Video of the Day
Dr K K Aggarwal head on with Arnab Goswami of Times Now on MCI Issues
h t t p : / / w w w . t i m e s n o w . t v / D e b a t e -
WhistleblowerDumped/videoshow/4468283.cms
Heart Care Foundation of India announces the Mrs Abheeta Khanna Oration on Excellence in Sports and Health
https://www.youtube.com/watch?v=6Ktz5-iUINE
Betiyan Hain Anmol, Bachao Dil Se, Medanta joins hands with Heart Care Foundation of India
https://www.youtube.com/watch?v=TGEGauzE0kg
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
https://www.youtube.com/watch?v=Mc3kKDXKWvs
Kishan, SM Heart Care Foundation Fund,
Post CHD Repair
https://www.youtube.com/watch?v=OTEG7toVkAQ
Deepak, SM Heart Care Foundation Fund,
CHD TOF https://www.youtube.com/watch?v=rjOel0aaqt0
News around the Globe
  • “Echocon: Delhi & NCR 2015" on February 15, 2015 organized by `IAE Delhi & NCR'. 8.40 am – 9.05 am: Legal issues in echocardiography: Beware & save your skin. Speaker: Dr K K Aggarwal.
  • ECHO DELHI 2015 will be held on March 14-15, 2015 at India Habitat Centre Delhi. It is a unique case-based thematic conference inter-weaving clinical cardiology with imaging with particular mention of echocardiography. Everybody is a faculty and welcome to present one or more cases in a prescribed format. There is no time limit for your presentation as long as there is interest from audience.
  • Prime Minister Narendra Modi on Monday said the government is ready to accept suggestions made by a joint working group with the US on intellectual property rights (IPR).
  • The 15th annual general body meeting of the Ayurveda Medical Association of India (AMAI) has decided to set up ‘speciality clinics for women’s health’ all over Kerala in order to develop ‘Prasoothi Thantra’ section (obstetrics and gynaecology) of the traditional system. With this motto, the association has started to hold training programmes for selected Ayurveda lady doctors and a treatment protocol has been prepared by experts in the field. The pilot study was conducted in Kollam district and it proved successful, according to sources from the association. (Pharmabiz.com)
  • India is home to the largest child population in the world, with almost 41 % of total population under 18 years of age. However, there has been a steady rise in sexual crimes against children. According to study by Ministry of Women & Child Development in 2007, over half of the children surveyed reported having faced some form of sexual abuse. Doctors, nurses and other health professionals are important stakeholders in the prevention and response to sexual violence against children…………………………to continue. Dr D S Bhullar, MD
IMA NEWS
Medscape Family Physician Lifestyle Report 2015

Compared with other American workers, US physicians suffer more burnout, according to a national survey.(1) Burnout is defined as loss of enthusiasm for work, feelings of cynicism, and a low sense of personal accomplishment. In Medscape's Physician Lifestyle Report 2013, 43% of family physicians responded that they were burned out. This year that number went up: 50% reported burnout. An editorial published in the Journal of General Internal Medicine reported burnout rates ranging from 30% to 65% across specialties, with the highest rates of burnout incurred by physicians at the front line of care, such as emergency medicine and primary care physicians.(2) The 2015 Medscape survey results reflect this same pattern, with the highest burnout rates found in critical care (53%) and emergency medicine (52%), and with half of all family physicians, internists, and general surgeons reporting burnout.
 

IMA,IJCP,HCFI

10 Worst Medical Treatment Dangers 2015

Clinical Alarm Hazards


For the fourth consecutive year, clinical alarm hazards remain number one on ECRI's list. Several reported deaths and cases of severe patient harm may have been prevented with more effective practices. This year, ECRI highlights alarm configuration practices, including determining which alarms should be enabled, selecting the alarm limits to use, and establishing default alarm priority levels. Examples of poor practices include failing to reset the medical device to the default limits when a new patient is connected to it, choosing inappropriate limits for monitored parameters, and selecting alarm priority levels that don't match the severity of the condition and the required speed of response. Thus, an alarm for a condition that requires immediate attention should not be set to activate at a low priority.
 
Media
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Inspirational Story
Girl and the Plants

A little girl was enjoying the beauty of the garden in her home. Her father had a good collection of rare and exotic plants. He grew them with tender care.

The girl was fascinated by a plant full of fine and fragrant flowers. She went near the plant and enjoyed its beauty and the fragrance of its fine flowers. Suddenly she noted that the plant was growing in a heap of filth. She could not tolerate the presence of dirt at the bottom of the plant with such fantastic flowers.

She conceived a plan to clean the plant. She pulled the plant with all her might and uprooted it. She then carried it to the tap and washed the shoot and roots in running tap–water till all traces of dirt were washed away. She then placed the plant on a clean stone and went away, thinking that she had done a great deed indeed.

Later her father came to the garden and saw the uprooted plant. Its flowers and leaves had wilted and the plant had almost died in the scorching sun. His little daughter ran to him to exhibit her achievement. 'I have cleaned it, Daddy, she reported innocently. It was placed in dirty soil. Now it is clean.

The father showed her how her treatment had almost killed the plant. He told her that he had collected the filthy soil and placed it to cover the plant’s roots as it was the best medium to grow that plant. It could grow up healthily and produce fine flowers only if grown in filthy soil. She was sad that the plant had suffered and withered by her cleaning. Flash: Pain, poverty and illness may cause agony in our life. Sight of successful persons may make us depressed and envious. A great gardener mixes the right soil for each plant. In the same way God provides each of us with the best environment required for optimum spiritual growth. But it may appear to be unpleasant to us and we may even complain to God about our plight.
Quote of the Day
I got the bill for my surgery. Now I know what those doctors were wearing masks for. Jomes H Boren
MCI NEWS
Conduct of Entrance Examination for NRI students for admission in MBBS
course Regarding

Sir/Madam,

I am directed to state that the matter with regard to the admissions of students in the MBBS course under NRI quota was placed before the Executive Committee of the Council at its meeting held on 16/12/2014. The Committee noted that the Hon’ble Supreme Court in P.A. Inamdar’s case -(2005) 6 SCC 537 in Para 131
has held as under:
-
“...A limited reservation of such seats, not exceeding 15%, may be made available to NRIs depending on the discretion of the management subject to two conditions. First, such seats should be utilized bona fide by NRIs only and for their children or wards. Secondly, within this quota, merit should not be given a complete go-by...”

The reading of the aforesaid would show that the Hon’ble Supreme Court has held that in admissions under the NRI quota, merit cannot be compromised. According to Regulation 5 of the Graduate Medical Education Regulation,1997, the selection of students to a medical college shall be based solely on the merit of the candidate. Further, Regulation 5(ii) of the Graduate Medical Education Regulation,1997, stipulates that in States having more than one University/Board/Examining Body, a competitive entrance examination should be held, so as to achieve a uniform evaluation for the reason that there should be variation of standards at qualifying examinations conducted by different agencies The Committee further noted that NRI students apply to individual medical colleges in different States.

These students can be from more than one country and therefore, necessarily would have taken qualifying examinations from different Boards/examining bodies.
It is, therefore, essential to have a uniform evaluation of their academic ability-marks so as to make a proper merit list. Therefore, the principle embodied in Regulation 5(ii) will also be attracted to admissions being made in the NRI category. Hence, it is compulsory to have an Entrance Test for NRI students so as to determine their inter-se merit in order to enable them to exercise preference for admissions to the various medical colleges. Since NRI students are normally making applications on Statewise basis, it may even be feasible to have the test individually for each State so that there can be a common merit list for NRI students who apply to that particular State. In view of the aforesaid position, the Executive Committee of the Council has decided that from the Academic Year 2015-16 onwards all admissions in NRI category shall be on merit which shall be determined through the Common Entrance Test.

Accordingly all concerned are directed to ensure that admissions in NRI category are made through a Common Entrance Test (CET) from a merit list drawn from the CET, from the Academic Year 2015-16.

Yours faithfully,
Sd/
-
(Dr. Reena Nayyar)
Secretary I/c
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Reader Response
  1. Thanks sir, I got new update medical science around world, continuous it. Thanks once again…………….
  2. Sir, Thanks for your very good and great work, many thanks: Dr Saminathan, Chennai
Wellness Blog
Do not ignore breakfast

Taking a good breakfast made of carbohydrates and lean protein, can help lessen cravings and hunger during the rest of the day, which can lead to significant weight loss.

A research by Dr. Daniela Jakubowicz, a clinical professor at Virginia Commonwealth University and an endocrinologist at the Hospital de Clinicas Caracas in Venezuela has shown that sedentary, obese women lost almost five times as much weight on the "big breakfast" diet as did women following a traditional, restrictive low–carbohydrate diet. While treating obese people we need to treat carb cravings and hunger.

On waking up in the morning, the body is primed to look for food. The metabolism is revived up, and levels of cortisol and adrenaline are at their highest. The brain needs energy right away, and if one doesn’t eat or eats too little, the brain needs to find another fuel source. To do this, it activates an emergency system that pulls energy from muscle, destroying muscle tissue in the process. Then when you eat later, the body and brain are still in high–alert mode, so the body saves energy from the food as fat.

Also the levels of the brain chemical serotonin are highest in the morning and the craving levels are at the lowest and you may not feel like eating. As the day wears on, serotonin levels dip, and you get cravings for chocolate or cookies, and such similar foods. If you eat these foods, your serotonin levels rise, and your body begins to associate good feelings with them, creating an addictive cycle.

The high protein, carbohydrate mix in breakfast gives the body the initial energy boost it needs in the morning. Throughout the rest of the day, the meals are made up of protein and complex carbohydrates, like vegetables. Because protein is digested slowly, you won’t feel hungry.

If you have to eat chocolate or candy, eat them in the morning because having them when serotonin levels are high, they won’t taste as good, and the brain won’t feel the same serotonin boost. This will eventually help cut down on cravings. Eating breakfast with high glycemic foods may be harmful. After eating cereal or a doughnut, the blood sugar and insulin levels spike. Once that blood sugar is used up, you’ll still have excess insulin circulating, which makes you hungry and makes you crave carbohydrates.
IMA Videos
News on Maps
The Year in Medicine 2014: News That Made a Difference
Companies Paying for Egg Preservation

Apple and Facebook offered this year to start paying for the cost of oocyte cryopreservation as an elective benefit for their female employees. Some gynecologists and fertility experts applaud the move as a way to provide women with the ability to choose when they want to have children. Others, however, are more cautious, saying there is insufficient evidence to support the procedure's widespread use (Source: Medscape)
Press Release of the Day
IMA Mediation, Conciliation & Grievances Redressal Cell

IMA has constituted an “IMA – Mediation, Conciliation & Grievances Redressal Cell”, which will meet twice on 1st and 3rd Saturday every month. The Cell will listen to and dispose of complaints from patients.

Addressing a press conference, Padma Shri Awardee Dr A Marthanda Pillai, National President IMA and Padma Shri Awardee Dr K K Aggarwal, Hony Secretary General IMA said that 90% of the patient-doctor disputes are due to improper communication.

IMA has written a letter to all its 1700 Local Branches and 30 State Branches to open IMA MEDIATION, CONCILIATION & GRIEVANCES REDRESSAL CELL in their respective State/Local Branch and meet twice in a month to mediate between patients and doctors.

The Cell has been created with the objective of providing a platform and mechanism for amicable and peaceful settlement of any dispute between a patient and doctor member of IMA.

Upon receiving a complaint by IMA from an aggrieved person, the same shall be handed over to the committee who shall issue notice of the said complaint to the concerned doctor member with directions to file their response.

The committee shall obtain the consent of both the parties in writing in the prescribed form before the proceedings.

The committee shall pass an award on the basis of settlement arrived between the parties out of their mutual will and choice, free from any pressure and influence.

If no settlement can be reached between the parties, then the matter shall be closed by the committee subject, however, to the condition that all the records of the case shall be kept confidential and consigned to records.

The committee will only facilitate in arriving at a decision to resolve the disputes and it shall not impose any settlement or decision on the parties.

The complaint will be settled within 90 days. The committee shall attempt to facilitate voluntary resolution of the dispute between the parties and shall assist them in identifying issues, reducing misunderstandings, clarifying priorities and exploring all possibilities of amicable compromise but in any case the committee shall not impose any terms of the settlement upon the parties.

The Committee will include Doctors, an Advocate and a social person of eminence as members.

The conference was co addressed by Dr Harish Grover Chairman of the cell and Dr R N Tandon Finance Secretary IMA.
About the Editor
Dr K K Aggarwal
Padma Shri, National Science Communication and Dr B C Roy National Awardee, Honorary Secretary General IMA, Immediate Past Senior National Vice President IMA, Professor of Bioethics SRM University, Sr. Consultant Medicine & Cardiology, Dean Board of Medical Education, Moolchand, President Heart Care Foundation of India, Chairman Legal Cell Indian Academy of Echocardiography, Editor in Chief IJCP Group of Publications & eMedinewS, Member Ethics Committee Medical Council of India (2013-14), Chairman Ethical Committee Delhi Medical Council (2009-14), Elected Member Delhi Medical Council (2004-2009), Chairman IMSA Delhi Chapter (March 10- March13), Director IMA AKN Sinha Institute (08-09), Finance Secretary IMA (07-08), Chairman IMAAMS (06-07), President Delhi Medical Association (05-06)