August 31   2015, Monday
Study finds association between TV watching and pulmonary embolism
Dr KK AggarwalIn a study that included more than 86,000 people in Japan who were followed for about 20 years, the risk of pulmonary embolism was 6.49 times higher for people who spent 5 hours or more in front of the tube compared with people who watched TV less than 2.5 hours a day (P < 0.05), said Toru Shirakawa, an undergraduate public health research fellow at Osaka University.

In reporting his findings at a press conference at the annual meeting of the European Society of Cardiology, Shirakawa said that the greatest risk was observed in people ages 40-59. In the overall population of 40–79 years, however, the risk still was 2.36 times greater for people watching TV for 5 hours or more. (Medpage Today)
Hygiene and Health awareness Programme conducted by Sathy IMA at BAVN ( Bannari Amman Vidhya Nikethan ) school, Sathyamangalam, Erode ( Dt ), Tamil Nadu. on 29 / 08 / 15
A new study reveals that months before tumors are visible on hospital scans, a "mutation-tracking" blood test can pick up valuable signs of a cancer's return. The findings are published online in Science Translational Medicine.

Obstetrics and Gynecology

Growth hormone treatment has sustained effects against problems associated with osteoporosis for years after it is stopped in postmenopausal women, suggests a new study published in The Journal of Clinical Endocrinology & Metabolism.

Obstetrics and Gynecology

Firstborn women with a younger sister are more likely to be overweight or obese, suggests a new study published in the Journal of Epidemiology & Community Health.

New research suggests that people who go on to develop dementia can start losing awareness of their memory problems up to 3 years before the condition arises. The findings are published in Neurology.

Infectious Diseases
New research finds that Ebola can survive in detectable concentrations in wastewater for 8 days. The finding, published in Environmental Science & Technology Letters, has implications for the disposal of contaminated liquid waste during epidemics and outbreaks.
Cardiology eMedinewS

Focus should shift from calorie counting to promoting the nutritional value of foods to substantially cut illness and death from cardiovascular disease and curb the rising tide of obesity, suggest experts in an editorial published in the online journal Open Heart.

Blood pressure control can be improved among patients with severe intolerance to antihypertensive medication by using medicines in unconventional ways and treating patients with a 'stepped care' approach, suggests a new study published in the Journal of Clinical Hypertension. The novel strategy involves fractional dosing with tablets (halving or quartering pills), liquid formulations of antihypertensive drugs and patch formulations of antihypertensive drugs, besides use of unlicensed drugs that lower BP.
Pediatrics eMedinewS
Obstetrics and Gynecology

Children born to mothers with low levels of thyroid hormones during pregnancy are 60% more likely to do badly in arithmetic tests when they reach school age as compared to children born to mothers with normal levels of the hormone, suggested a study published in the European Journal of Endocrinology.

Sleep disorders

New research, published online in the Journal of Clinical Endocrinology & Metabolism, suggests that the sleep biology of boys and girls aged 9 to 15 were especially sensitive to light at night compared to older teens. Researchers noted that taking a gadget to bed could really hurt their sleep.
Dr KK Spiritual Blog
Facts about Soul and the Spirit
  • Energy is the raw material of the universe.
  • Information is the organization of energy into reproducible patterns.
  • Consciousness is living information and energy (living energized information)
  • Consciousness is, therefore, intelligence.
  • Intelligence is information and energy that has self–referral or the ability to learn through experiences and the ability to reinterpret and influence one’s own information and energy states.
  • Consciousness is live, advanced, software–driven energized information.

    Closest example: Advanced computer software which can type, correct, interpret, edit and store spoken or read information.
Scientific awareness on personal hygiene and prevention from obesity among school going children, N. P. COEDU, Sr. Sec. School, Moti Bagh, New Delhi-28-8-15
Make Sure
Situation: An adult undergoing bronchoscopic biopsy developed infective endocarditis.
Reaction: Oh my God! Why was IE prophylaxis not given?
Lesson: Make sure, that all procedures of the respiratory tract that involve incision or biopsy of the respiratory mucosa include prophylaxis for IE.
Dr Good Dr Bad
Situation: An 80-year-old male patient with acute heart attack was posted for reperfusion therapy.
Dr Bad: Chew 300 mg aspirin.
Dr Good: Chew 300 mg aspirin and 75 mg clopidogrel.
Lesson: Start clopidogrel 75 mg as opposed to prasugrel for patients older than 75 years of age who are treated with fibrinolytic therapy.

(Copyright IJCP)
eIMA Quiz
Which of the following is not true for malignancy of Familial Adenomatous Polyposis

a) Adrenals
b) Thyroid
c) Astrocytomas
d) Hepatoblastomas

Yesterday’s Mind Teaser: What is not true for HNPCC?

a) It is the most common hereditary colorectal cancer syndrome in USA
b) It is associated with MMR gene mutation
c) It is associated with APC mutation
d) It is associated with carcinoma colon and extraintestinal cancers

Answer for Yesterday’s Mind Teaser: c) It is associated with APC mutation

Answer for 29th August Mind Teaser: Daivadheenam Jella, Dr, Raghavendra Chakurkar, Dr Jainendra Upadhyay, B R Bhatnagar, Dr Ridu Kumar Sharma, Dr.K.Raju, Dr Poonam Chablani, Dr Avtar Krishan

Correct Answers received from: Dr Shangarpawar, Dr B R Bhatnagar, Dr Jainendra Upadhyay, Dr Poonam Chablani, Dr K Raju, Raghu Chaks.
Rabies News (Dr A K Gupta)
Is there any dietary restriction during PEP?

It is advisable to abstain from alcoholic drinks during the course of rabies vaccination as it may affect the immune response.
IJCP Book of Medical Records
IJCP’s ejournals
CPR 10
Successfully trained 113241 people since 1st November 2012 in Hands-only CPR 10
Video of the Day
Wellness Blog
5 Ways to Use less Salt
  • Use spices and other flavor enhancers such as spices, dried and fresh herbs, garlic and ginger, citrus, vinegars and wine. Flavors can be black pepper, cinnamon and turmeric to fresh basil, chili peppers and lemon juice.
  • Use the right healthy fats — from roasted nuts and avocados to olive, canola, soybean and other oils.
  • Searing and sautéing foods in a pan builds flavor. Roasting brings out the natural sweetness of many vegetables and the taste of fish and chicken. If you do steam or microwave food, perk up these dishes with a finishing drizzle of flavorful oil and a squeeze of citrus.
  • Get your whole grains from sources other than bread. White bread contains salt, not just for flavor but to ensure that the dough rises properly.
  • Shop for raw ingredients with maximum natural flavor, thereby avoiding the need to add as much (if any) sodium. (Harvard)
Quote of the Day
It is strange that those we miss the most are those we take for granted. Sir John Betjeman
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
Press Release
Prevention of water-borne diseases during the monsoon season

As the rains bring relief from the scorching summer, there's also an increased susceptibility to a lot of diseases that are common during the season. The incidence of water-borne diseases including diarrhea, typhoid, and cholerarise during the rainy reason putting the lives of many at risk.These diseases are 100% preventable, and a threat to life can be avoided with timely diagnosis and treatment of the diseases.

According to Padma Shri Awardee, Dr. KK Aggarwal, President HCFI & Honorary Secretary General, IMA, “Our body's intestinal and digestive system becomes weak during the rainy season, which makes a person highly susceptible to all kinds of infections. Keeping this in mind it is important that people takes necessary precautions. They must avoid drinking water that is not properly boiled and stored and avoid consuming food that is exposed to the surroundings for quite a long time, for instance, street food, pre-cut fruits, and vegetables. A person's diet during the monsoon season should consist of light and non-spicy food. Greasy, fried and fatty foods should also be avoided as they have heated thermal effect on our body and make us feel sluggish.”

Contamination of water and unhygienic conditions are very often the cause of many monsoon ailments. Skin conditions, asthma, and arthritis also get aggravated because of excess humidity.

Here are a few tips to prevent water-borne diseases this monsoon:
  • Drink only filtered/boiled water
  • Store water in a clean container
  • Water jars/containers should be washed daily
  • Always wash hands before and after preparing food or eating, likewise, children should be taught about the importance of washing their hands effectively and regularly
  • It is mandatory to wash one’s hands with soaps or use hand sanitizers after using washroom, changing a child's diaper, or after visiting unclean and infection prone areas such as public washrooms, hospitals
  • Consume warm and home cooked foods and avoiding consuming street food
  • Wash food thoroughly before cooking.
  • Always keep foods/beverages covered
  • Make sure that the pipes and tanks that supply water to your house are properly maintained and clean
  • Travelers should only drink bottled water and avoid uncooked food.
  • People suffering from water-borne diseases should not go to work until fully recovered to avoid spreading the infection
  • One must avoid ice made from tap water
  • Freezing does not kill the organisms that cause diarrhea. Ice in drinks is not safe unless it has been made from adequately boiled or filtered water
  • Alcohol does not sterilize water or the ice. Mixed drinks may still be contaminated.
  • Hot tea and coffee are the best alternates to boiled water
eIMA News
Mangaluru: Doctors Lead Protest against Assault and Vandalism

Mangaluru: Doctors and nurses from Mangalore took out a protest march from Netaji Yellappa Hospital to Rani Abbakka Circle at Ulllal in response to the assault and vandalism Incident at Yenepoya Medical College ICU the night of 17 Aug 2015.

The Protest was organised by Indian Medical Association(IMA) and Association of Medical Consultants, Mangalore (AMC). Indian Dental Association also supported the protest. The Protest march received good support from senior doctors of all specialties with active support and participation of the Indian Dental Association. Nurses from various hospitals also joined the protest.

The Protest was addressed by Dr Satish Bhat from AMC and Dr Bharath Shetty IDA President. The Presence of Senior Doctors, Dr Mukund, Dr Prabhakar, Dr Polnaya, Dr Rajesh Shetty, Dr Manjunath Rai, Dr Deepak Rai, Dr Ganapathi Bhat, Dr Kishore Kumar, Dr Ravi Vaswani, Dr Tajuddin showed the solidarity among the medical fraternity.

The Protest concluded at Rani Abbakka circle where a strong united message was given by Dr Bharath Shetty about the violence against medical staff and warned of serious agitation if this attitude of inactivity continues by the legal and administrative authorities.

Dr Ullas Shetty, Dr Vikram Shetty, Dr Prakash Harischandra, Dr Abhijith Shetty, Dr Vishal, Dr Najeeb Behzaad were also present in the protest and coordinated the event. Nursing, Paramedical and Hospital administration staff from all the hospitals and institutions participated in the protest. Click here
  • Long midday naps were associated with lower blood pressure, while a daily espresso habit and depression were linked to worse control in hypertension, observational studies suggested. The studies were presented here at the European Society of Cardiology meeting. (Medpage today)
  • Patients who have no evidence of obstructive coronary artery disease (CAD) experience at least as great a burden of angina following an MI as those with obstructive CAD, affecting one in four such patients over a follow-up interval of 1 year, according to two large contemporary multicenter MI registries reported in the European Heart Journal—Quality of Care and Clinical Outcomes.
  • Britni R. Belcher, PhD, MPH, a cancer prevention fellow at the National Institutes of Health's National Cancer Institute and assistant professor of preventive medicine at the University of Southern California, and colleagues suggest that for children who engage in long periods of sitting, taking short walking breaks can reduce their blood glucose, insulin, and free fatty acid levels without increasing subsequent total energy intake. Dr Belcher said, "Sustained sedentary behavior after a meal diminishes the muscles' ability to help clear sugar from the bloodstream that forces the body to produce more insulin, which may increase the risk for beta cell dysfunction that can lead to the onset of type 2 diabetes.” (August 27 in the Journal of Clinical Endocrinology and Metabolism)
  • Union Health Minister J P Nadda urged nations to work together and carve out mechanisms of partnerships to reach Sustainable Development Goals (SDGs) even as 22 countries including India pledged to speed up their efforts to end preventable child and maternal deaths. Through the 'Delhi Declaration', which was signed at the end of a two-day 'Global Call to Action Summit 2015' by health ministers and heads of country delegations from 22 countries, the nations committed to hold themselves accountable to this commitment through a joint platform monitoring. SDGs are a proposed set of targets relating to future international development and they will replace the Millennium Development Goals (MDGs) once they expire at the end of 2015. They include a wide range of issues including health. (The Economic Times, 28 Aug, 2015)
  • Physiological gynecomastia is common in pubertal boys and appears to be associated with increased levels of insulinlike growth factor-1 (IGF-1) and pubertal growth, but not with a shift in the balance between estrogen and testosterone, as reported in a study published online August 19 in the Journal of Clinical Endocrinology and Metabolism by Mikkel G Mieritz, MD, a PhD student working in the department of growth and reproduction, Rigshospitalet, University of Copenhagen, Denmark, and colleagues.
  • A large study covering over 20 years of data from Quebec by Kaberi Dasgupta, MD, MSc, an associate professor of Medicine at McGill University in Montreal, Quebec has found that men whose partners had a history of GDM in pregnancy had a relative risk increase of 33% of developing diabetes themselves in the 13 years that followed. The study is to be published in the September issue of Diabetes Care.
  • Delhi saw 332 deaths daily in 2014 compared to 266 in the preceding year. Of this, 61.50% deaths took place in hospitals and the rest (38.50%) at home. The data is part of the annual report on registration of births and deaths in Delhi in 2014. Septicemia (8.92%) and tuberculosis (5.83%) were the biggest causes of death in hospitalized patients followed by diseases of pulmonary circulation and other forms of heart disease (4.07%) and shock (3.91%). Of the total deaths reported in 2014, 62.17% were male and 37.83% female. In 2012 and 2013, the percentage of institutional deaths caused due to septicemia was 7.32% and 8.25%, respectively. Tuberculosis deaths for the corresponding period stood at 4.60% and 4.75%, respectively. (Source: TOI, Aug 28, 2015)
  • Dr. Maverakis, of the University of California, Davis, School of Medicine, Sacramento, and colleagues report that a combination of intralesional interleukin (IL)-2, imiquimod, and topical retinoid prompted a complete local response in patients with cutaneous metastatic melanoma, and might improve survival, according to a small retrospective study in the Journal of the American Academy of Dermatology.
  • The effects of sleep deprivation on physician performance has stimulated hot debate for years. A new study by Anand Govindarajan, MD, from the Institute for Clinical Evaluative Sciences and the Department of Surgery, Mount Sinai Hospital, Toronto, Ontario, Canada, and colleagues shows that whether a surgeon works the night before performing surgery does not change the risk for adverse outcomes. According to authors, "These data suggest that calls for broad-based policy shifts in duty hours and practices of attending surgeons may not be necessary at this time." (August 26 issue of the New England Journal of Medicine)
  • Can’t live without your phone? US researchers have developed a questionnaire that can determine if you suffer from nomophobia or a fear of being without your mobile phone. Caglar Yildirim, a PhD student in human computer interaction at the Iowa State University (ISU), and Ana-Paula Correia, an associate professor in ISU's School of Education, have identified four dimensions of this modern-day phobia. In the study, published in the journal Computers in Human Behavior, study participants were asked to respond to statements on a scale of 1 (strongly disagree) to 7 (strongly agree). Total scores were calculated by adding the responses to each item. The higher scores corresponded to greater nomophobia severity. (Source: TOI, Aug 28, 2015)
  • Findings of a study, "Hurricane Katrina: Maternal Depression Trajectories and Child Outcomes," published recently in Current Psychology reveal that about 10 percent of mothers experienced chronic, persistent depressive symptoms two years after Hurricane Katrina slammed into the Gulf Coast, killing more than 1,800 people, displacing hundreds of thousands and causing widespread damage estimated at more than $100 billion.
  • Only 50 to 70 percent of primary care physicians could answers that fit with CDC guidelines when asked how they would care for hypothetical patients who might have been exposed to Ebola. Also, those who were least likely to encounter an Ebola patient - based on their location and characteristics of their patients - were most likely to choose overly intense management of patients actually at low risk. The results of the survey, conducted by a team of Massachusetts General Hospital (MGH) investigators in late 2014 and early 2015, have been published online in the Journal of General Internal Medicine.
2.5 lakh IMA registered doctors to be tech-trained
New Delhi, India: In a bid to enable more than 2.5 lakh registered doctors effectively use technology, the Indian Medical Association has signed on a digital partner.

The partner Lybrate, a mobile healthcare communication and delivery platform, will coach doctors across 30 states and 1,700 branches about the use of technology for better communication with the patients and how to increase their presence across geographies, diminishing the boundary barriers.

“In India, shortage of doctors is a major issue, apparent from the doctor-patient ratio which is abysmally low at 1:1700. Lybrate saw the solution in technology to fix the issue of doctors’ crunch in the country and solve the problem of inaccessibility of healthcare experts,” IMA said.

“The lack of clear guidelines as well as the absence of technical know-how among the medical fraternity have resulted in a slower growth of m-health and e-health space in India. Given the size and vastness of our country, the scope of digital healthcare is immense and if implemented in the right way, it can help solve many problems faced by the sector. We are extremely happy to come along with Lybrate as our digital partner and hope that together we can work towards making healthcare accessible to the people of India,” Padma Shri Awardee Dr A Marthanda Pillai, National President, IMA and Padma Shri Awardee, K K Aggarwal, Secretary General, IMA, said in a joint statement.
Don't let dengue get the better of you, here's how!
Lately, dengue cases are on the rise in Delhi and other cities in India. The disease, that is caused by a family of viruses and transmitted by mosquitoes (aedes aegypti), can even claim life. Over 250 cases of dengue were reported last week, taking the total number of cases to 530 this year.

With cases shooting up — over 470 cases in August alone – it’s important proper prevention techniques are followed by people. For the reason, the disease spreads due to virus, there is no particular medicine or cure for the same.

Symptoms of Dengue fever
  • Muscle pain
  • Swollen lymph nodes
  • Headache
  • Fever (1 to 2 weeks)
  • Exhaustion
  • Rashes
Speaking about this, Padma Shri Awardee Dr. KK Aggarwal, President HCFI & Honorary Secretary General IMA said, “What most people do not realize is that the dengue mosquito breeds in fresh clean water as opposed to dirty drains. Thus, people living in clean urban surroundings are more at risk of acquiring the disease. People must ensure that they do not let water accumulate in their houses, wear full-sleeve clothing and use mosquito repellents during the monsoon season when the incidence of the disease is the highest.

Prevention is always better than cure. In case of being diagnosed with dengue, people must not panic, consume ample amounts of fluids since the dangers of dengue lie in dehydration and must only get a platelet transfusion if their platelet counts are below 10,000 or there is active bleeding. Unnecessary transfusion can cause more harm than good."

The risk of complications is in less than 1% of dengue cases and, if warning signals are known to the public, all deaths from dengue can be avoided. The onus of prevention lies in the hands of each person. We must not let mosquitos breed around our houses, wear full sleeve clothes while going out and use mosquito repellent in the monsoon season.

Here are some of the precautions
  1. Keep buckets empty, so that they do not collect excess water.
  2. Use mosquito repellents regularly, mainly on exposed areas. Camphor can also be used.
  3. Keep the trash covered
  4. Plant tulsi inside house. It's a natural and very effective way to keep mosquitoes at bay.
  5. Keep coolers clean. You must sprinkle a teaspoon of diesel or petrol inside it.
  6. Ensure your doors and screens don't have holes for mosquitoes to pass through
Inspirational Story
A Most Important Lesson

During my second month of nursing school, our professor gave us a pop quiz. I was a conscientious student and had breezed through the questions, until I read the last one: "What is the first name of the woman who cleans the school?"

Surely, this was some kind of joke. I had seen the cleaning woman several times. She was tall, dark–haired and in her 50s, but how would I know her name? I handed in my paper, leaving the last question blank. Just before class ended, one student asked if the last question would count toward our quiz grade.

"Absolutely," said the professor. "In your careers, you will meet many people. All are significant. They deserve your attention and care, even if all you do is smile and say ‘hello’." "I’ve never forgotten that lesson. I also learned her name was Dorothy.

Moral: Every person no matter who it is should be considered equal... something that we all forget so easily. To value a person regardless of their status is the highest noble work.
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IMA Humor
Absent–minded professor

One of the world’s greatest scientists was also recognized as the original absent–minded professor. One day, on board a train, he was unable to find his ticket. The conductor said, "Take it easy. You'll find it."

When the conductor returned, the professor still couldn’t find the ticket. The conductor, recognizing the famous scientist, said, "I’m sure you bought a ticket. Forget about it."

"You’re very kind," the professor said, "but I must find it, otherwise I won’t know where to get off.
Reader Response
Dear Sir, Thanks for enriching our knowledge. Regards: Dr Shubham
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