(incorporating eIMA News)
30th March 2016
Editorial (Dr SS Agarwal, Dr K K Aggarwal)
Type 2 diabetes is reversible
Type 2 diabetes is potentially reversible using 8-week, very low-calorie diet followed by careful weight management. According to an online report published March 21, 2016 in the journal Diabetes Care by Dr Sarah Steven of Newcastle University, UK, at the time of diagnosis, everyone should be told that type 2 diabetes is potentially reversible by way of substantial weight loss.
In the study, 30 overweight diabetics reduced their weight following an 8-week mostly liquid diet of 600 to 700 calories a day and 40% of them achieved an average fasting plasma glucose level of less than 126 mg/dL.
This can be equated to medical bariatric surgery.    
Subjects were allowed to eat non-starchy vegetables and drink at least 2 liters per day of calorie-free beverages and to maintain normal activities.
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Top News
Practice Updates
Annals of Internal Medicine Update: ACP issues position paper to check rising cost of drugs 
Lighter Reading
Medicolegal Corner
eMedi Quiz

A)     INH and Rifampicin
B)      INH and Streptomycin
C)      INH and Ethambutol
D)     INH and Pyrazinamide
Photo Quiz
Webcast & Video of the Day
Lifestyle Updates
eWellness: Tips for Boosting Memory
  1. Follow routines, such as leaving your car keys, glasses, and cell phone in the same place every day so that finding them becomes a "no brainer."...Read more

A physical body becomes useless once the life force is gone. The same body, which was lovable to everyone, becomes a liability after death. Everyone wants to dispose it as early as possible as keeping a dead body at...Read more

Inspirational Story: Get what you give
A son and his father were walking on the mountains. Suddenly, his son falls, hurts himself and screams: “AAAhhhhhhhhhhh!!!” To his surprise, he hears the voice repeating, somewhere in the mountain:...Read more
eMediNexus Specialty Weekly Newsletters
Second Opinion Required
Dr Aditya Saraf -  hypertensive 56 yr male complains of difficulty initiating micturition, terminal dribbing and nocturia, pesence of microscopic haematuria,, prostate gland was non-tender, hard, enlarged and irregularly nodular, with loss of the midline sulcus; what action would you take? 

Dr Dharmendra Kumar - in a case of acute pancreatitis which investigations are of diagnostic but not of prognostic value?

Dr Kanan Banerji - 69 yr old female pt has glomerular filtration rate of 65 mL/min/1.73 m2; a renal biopsy reveals nodular glomerulosclerosis, microalbuminuria for 1 yr; what is differential diagnosis do you look at?
Dr Shweta Jain - a 70 yr old male complained of near syncope and SOB. No chest pain. Slow pulse. Later diagnosed STEMI. But does STEMI not always have chest pain or SOB?
Press Release
What is Chronic Obstructive Pulmonary Disease and how does it affect your lungs?

As per the WHO reports, more than 65 million people are suffering from moderate to severe COPD in India
India’s population accounts for a significant percentage of COPD mortality, which is estimated to be amongst the highest in the world, coming down to about 556,000 in case of India (>20%) out of a world total of 2,748,000 annually
New Delhi, 29th March 2016: COPD or chronic obstructive pulmonary disease has been characterized as one of the most common lung disorders. Individuals suffering from COPD develop chronic bronchitis, which causes them to develop a persisting cough with mucus. Additionally they may suffer from emphysema, which stimulates lung issues in an individual over time. In this disease, a person suffers from a restricted flow of air to the lungs causing them to develop one or both the diseases.  

Coming to the causes, smoking has been talked about as one of the most prominent causes for the development of COPD among the population. It is because more than a third of the population in India consumes tobacco products and other variety of alternatives. While cigarettes and chewable tobacco products are common in urban areas, the rural population smokes conventional tobacco alternatives like bidi, hookah, and chillum. COPD is prevalent among individuals who don’t smoke or consume tobacco products as well. In such cases, the lack of a protein called alpha-1 antitrypsin can stimulate emphysema. Apart from this, factors like excessive exposure to gasses that harm the lungs, air pollution affecting the quality of breath and lack of proper ventilation can worsen the health of lungs.
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Yoga for Health
Yoga and arterial stiffness in the elderly with increased pulse pressure

Yoga program offered was more effective than brisk-walk in reducing arterial stiffness along with BP in elderly individuals with increased pulse pressure. Yoga can also significantly reduce sympathetic activity and improve endothelial function with enhancement in bioavailability of nitric oxide (Complement Ther Med. 2015 Aug;23(4):562-9).
Forbes Quote of the Day
IMA Updates
IMA TB Initiative 
IMA Starts Nodal center for adverse drug reactions

IMA PvPI Initiative has started a nodal center at IMA headquarters. All IMA members can now report adverse reactions to drugs, vaccines, medical devices, Blood products and herbal products at IMA PvPI helpline 9717776514, open Monday to Friday 9-5.30PM
IMA Lybrate Initiative: Ask the Specialist & others 
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. 

IMA Satyagraha - https://www.youtube.com/watch?v=UV1zCH33BlU

Dr Good Dr Bad And Make Sure
eIMA News Update
Digital IMA
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: 31st  March 2016