May 6  2015, Wednesday
The Science of Hygiene
Dr KK Aggarwal All of us are taught about hygienic living and this subject should be included as a chapter in the curriculum of every school. There are many different kinds of hygiene.

Respiratory hygiene: This is important to prevent cross infection, specifically, from flu and related respiratory illness. One should keep a distance of minimum 3 ft, from a person who is coughing, sneezing or singing. Most respiratory particles are more than 5 microns in size and do not travel a distance of more than 3 ft. This respiratory hygiene, however, will not prevent transmission of the tuberculosis bacteria, which are less than 5 microns and keep circulating in the area.

Hand hygiene: This is the fundamental principle for any disease prevention and the catch phrase is “before and after”, i.e. one should wash hands before and after eating food, touching any infected material, seeing a patient or after normal evacuation of stool in the morning.

Food hygiene: This means maintaining hygiene at home while cutting, serving and eating food. While cutting a vegetable, the surface or the cutting board should be clean and hygienic including the knife, hands, water, utensils etc. If that hygiene is not possible, follow the formula of ‘boil it, heat it, peel it, cook it or forget it’. This means that any food which has been boiled, heated or peeled is safe for eating. Peeling means removing the skin of a fruit such as banana or oranges.

Water hygiene: This involves drinking safe water, safe drinking glass, proper washing of glass, not washing multiple glasses in the same utensil and picking up glasses properly. People often try to pick up four glasses of water at the same time with one finger in each glass.

Sexual hygiene: This involves washing local areas before and after sexual contact.

Body hygiene: This involves 16 upchars, as mentioned in mythology. Out of these 16 basic steps, some are related to body hygiene and they involve washing feet first and then hands followed by mouth and finally the body. Washing of the feet is the most important as they are the ones which carry infections into one’s house.

Cleaning of mouth is cleaning the teeth with one finger, gums with two fingers, tongue with three fingers and palate with thumb.

Abhishekam or the snana of the body involves multiple steps. Ancient steps have been washing the body with milk water (rose water etc.) followed by rubbing with curd (soap), honey (moisturizers), ghee (oil), sugar (the drying agent) and finally with milk water again. This facilitates natural bathing and not dependent on soap.

Nail hygiene: This is also a very important hygiene, especially for food handlers, because they are responsible for causation of water and food disease. It is important that they be given typhoid vaccines and de-worming tablets every three months.

Another important hygiene to be observed at our homes is that of the servants or the help. They are often provided soap at the start of the month and they are supposed to use that bar of soap for a month. If by any chance, they lose that soap in 2-3 weeks’ time, they are apprehensive in asking the owners for soap. As a result, they may wash their hands without soap for the next 2-3 weeks, which includes washing of hands in morning.
The IJCP Family - Celebrating 25 years of excellence in medical communications
  • According to a new study presented at the American Roentgen Ray Society 2015 Annual Meeting, the correlation between radiographic evidence of a displaced enthesophyte and underlying tendon rupture can serve as a "red flag" for potential tendon injury that requires further assessment.
  • For people with type 2 diabetes, quitting smoking may lead to a worsening of glycemic control unrelated to weight gain, suggests a new study published online in Lancet Diabetes & Endocrinology.
  • Patients receiving frequent nocturnal hemodialysis have a higher mortality rate than patients receiving conventional dialysis, suggest data from the Frequent Hemodialysis Network (FHN) Nocturnal Trial published online in the American Journal of Kidney Diseases.
  • When labor is induced with a Foley catheter balloon, women deliver, on average, 10 hours sooner than when it is induced with a Cook Cervical Ripening Balloon, suggests a new retrospective study presented at the American Congress of Obstetricians and Gynecologists Annual Clinical Meeting 2015.
  • Professionals whose jobs involve a variety of challenging work tasks may be better protected from memory and cognitive decline in old age than others, suggests a new study published in Neurology.
Dr KK Spiritual Blog
More about Debts

Hindu scriptures have talked about three types of rin (debts): Dev rin, Pitra rin and Rishi rin.

God or the devtas gave us the consciousness, parents gave us our body and teachers gave us the knowledge or intellect.

In Vedic language, our body is a mix of mind, body and soul which can be equated to three rins of mind (teachers), body (parents) and soul (Rishi & Gods). In computer language, this can be equated to operational software (God), application software (teachers) and computer hardware (parents).
Cardiology eMedinewS
  • A new review highlights a significant number of adverse events with the off-label use of the Lariat (SentreHEART) snare device for the exclusion of left atrial appendage in patients with atrial fibrillation. The findings are published online May 4 in JAMA Internal Medicine.
  • Although both physicians and nonphysician clinicians in a primary-care setting provide comparable quality of overall care to outpatients with cardiovascular disease (CVD), the scores are actually quite low for both groups, suggests new research from a Veterans Affairs (VA) population presented at the American Heart Association Quality of Care and Outcomes Research (QCOR) 2015 Scientific Sessions.
Pediatrics eMedinewS
  • The effectiveness of the Tdap vaccine for pertussis decreases substantially among adolescents after 2 to 4 years, suggests a study published online May 4 in Pediatrics.
  • Almost half of patients with juvenile idiopathic arthritis (JIA) treated with etanercept achieved a state of minimal disease activity after 1 year of treatment, with younger patients having increased likelihood for the same, suggests new research presented at the Annual Meeting of the British Society for Rheumatology.
Make Sure
Situation: A patient on dialysis and on oral antacid developed aluminum toxicity.

Reaction: Oh my God! You should have put him on magaldrate preparations?

Lesson: Make sure to remember that magaldrate preparations do not cause aluminum toxicity in patients undergoing dialysis
Dr Good Dr Bad
Situation: A diabetic patient was diagnosed with sarcopenia.

Dr. Bad: It is related to diabetes.

Dr. Good: It is not related to diabetes.

Lesson: In the Korean Sarcopenic Obesity Study (KSOS), type 2 diabetes was associated with increased risk of sarcopenia. These characteristics may contribute to physical disability and metabolic disorders in older adults with diabetes (Diabetes Care. 2010 Jul;33(7):1497-9).

(Copyright IJCP)
Inspirational Story
If and When Planted

What is "if and when" planted? The short stories below are examples of planting "if and when".

Karen, one of my coworkers was stressed about where she was living. She hated the apartment she was in and complained every day about it. One day over coffee, I asked her why she didn’t look for another apartment – it seemed like an easy solution to me. Karen’s reply to this was, "I will look for another apartment when I come back from vacation."

Sam hated his job. He dreaded getting up in the morning. He hated the work he was doing and it started to take a toll on him. He had a love for photography and was currently taking a two–year course to obtain his certificate. Every night he complained about his work. After listening to his complaints for a month, I asked him why he didn’t finish his course and start a small business doing photography on the weekends. His reply, "if only I had more time to finish my course. When I finish my course I will start a business."

Sarah had saved all her life and now was retired and living comfortably. The house she bought had a dishwasher in it; however, the dishwasher was old and didn’t work. She hated doing dishes, and every time we visited with her she complained about doing the dishes. One night, I asked her, "Why don’t you buy a new dishwasher Sarah."

Her reply, "I have been thinking about it, if they would only come on sale I would."

Larry worked for a company that allowed early retirement. Larry had both the years of service and his age, which allowed him to retire, but at a reduced pension. He was having difficulty coping with all the changes that were being made in his work. He had a couple of mild attacks, not a heart attack but similar to one. He called me and we talked for hours. I was worried about the stress of his job and the effects it was having on his health. "Why don’t you retire Harry? Do something that you have always wanted to do," I asked. Harry’s reply to my question was, "If only I was older then I would get my full pension." I got bolder in my conversation with him, "But Harry, you have your house paid off, you have no bills, the kids are grown up. You could sell your house and downsize, it really is not worth your health is it? Harry then said, "When the summer comes maybe I will."

All of these stories have the same theme running through them. There is a proverb that says it all: If and when were planted, and nothing grew."

Now a year later, Karen is still living in the apartment she hates! Sam is still complaining about his job and still has not finished his course! Sarah is still washing dishes! Larry is still working and his health is not what it used to be!

The sad part of all of these stories is that all of these people had a lot of stress in their lives that they could have taken action to reduce. But, all of them defeated themselves by thinking "if" or "when". Life is too short for "if’s and when's".

The next time you are in a stressful situation and you find yourself saying or thinking – "if or when" – remember the saying, "If and when were planted and nothing grew!"

Change your thinking and take action, so that you can reduce your stress right now.
Wellness Blog
Weight gain after quitting smoking does not increase the risk of heart disease

In a study published in Journal of American Association, researchers from Switzerland have shown that in non–diabetics, weight gain after quitting smoking does not take away the cardiovascular benefits of quitting smoking.

There is a net cardiovascular benefit of smoking cessation despite subsequent weight gain. Smoking cessation is always beneficial for smokers.

People gain 6 to 8 pounds of weight after quitting smoking. In the study, quitting smoking was also linked with a decreased risk of heart attack or cardiac death compared to smokers.
eMedi Quiz
All of the following muscles are grouped together as muscles of mastication except:

1. Buccinator.
2. Masseter.
3. Temporalis.
4. Pterygoids.

Yesterday’s Mind Teaser: All of the following are examples of traction epiphysis, except:

1. Mastoid process.
2. Tubercles of humerus.
3. Trochanters of femur.
4. Condyles of tibia.

Answer for yesterday’s Mind Teaser: 4. Condyles of tibia.

Correct Answers received from: Daivadheenam Jella, Dr Shangar Pawar, Dr Avtar Krishan, Dr KV Sarma, Raju Kuppusamy, Dr G Madhusudhan.

Answer for 4th May Mind Teaser: 2.Iliohypogastric

Correct Answers received: Dr Poonam Chablani, Dr KV Sarma, Dr K Raju, Dr Madhusudhan G.
eMedinewS Humor
Daughter in College

Did you hear about the banker who was recently arrested for embezzling $100,000 to pay for his daughter’s college education?

As the policeman, who also had a daughter in college, was leading him away in handcuffs, he said to the banker, "I have just one question for you. Where were you going to get the rest of the money?"
Reader Response
I think this is old Hippocratic thought of not to advertise..... should change with time. If I have skills... how will people know? Sanjay Yadav
Quote of the Day
If you have controlled your mind you are the conqueror of the whole world. Swami Sivananda
Rabies News (Dr A K Gupta)
What is "furious form" of rabies in animals?

The excitative phase follows the prodromal phase in some animals. The animal becomes irrational and may aggressively use its teeth, claws, horns, or hooves. The expression is one of anxiety with dilated pupils. Noise invites attack. Rabid animals roam extensively and attack other animals, including humans and any moving object. Cats usually manifest furious type of rabies.
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
ACP Highlights: Top Studies of 2014
  • The concomitant use of sulfonylurea medications (glipizide or glyburide) with particular antimicrobials (clarithromycin, levofloxacin, trimethoprim-sulfamethoxazole, metronidazole, or ciprofloxacin) was associated with increased risk of hypoglycemia.
  • Bariatric surgery was linked to increased rates of diabetes remission and decreased rates of micro- and macrovascular complications. But the large prospective study was not randomized, and the surgical group was younger, more insulin resistant and had a higher mean body mass index.
  • Among statin users 50 to 80 years old with cardiovascular disease, niacin plus laropiprant did not reduce the incidence of major vascular events but was associated with higher rates of serious adverse events, including glycemic disturbance, myopathy, gastrointestinal distress, infections, and bleeding. "Niacin should not be routinely prescribed as an adjunct to statins," authors concluded.
  • Vitamin D and calcium supplementation reduced hip fractures and new fractures but not vertebral fractures. But the combination therapy also increased gastrointestinal and renal complications. No vitamin D dosage exceeded 800 IU/day.
  • A comparative review looked at 315 publications that reported fracture outcomes and adverse events in osteoporotic patients (though only one randomized trial looked specifically at men). Raloxifene reduced vertebral fractures in women and zoledronic acid reduced vertebral fractures in men. Raloxifene was associated with increased risk of thromboembolic events and hot flashes, and zoledronic acid with hypocalcemia.
(Source: Medpage Today)
Abducted Dr RB Choudhary from Gumla found dead
  • Dr. R. B. Chaudhary from Gumla abducted on 30/04/2015.
  • Dr. R. B. Choudhary from Gumla is found dead.
  • Agitation and Road jam by IMA
  • Urgent meeting of core committee held on 4th May at 7:30 PM
  • Joint meeting of JHASA & IMA Jharkhand held on 5th May at 3:00 PM.
  • In protest of the abduction and murder of Dr. R. B. Choudhary the IMA Jharkhand has decided that:
    1. The strike of Government doctors will continue on 5th
    2. on 5th all doctors will wear Black Ribbon.
    3. A protest march of doctors from IMA Bhawan.
    4. On 06-05-2015 all doctors throughout Jharkhand will go on strike, only emergency services will be provided to the patients.
Dr Pradeep Kumar Singh, Secy IMA Jharkhand State; Dr BP Kashyap, Joint Secy, IMA Jharkhand State, Mob 09431174937
Action against hospital superintendent over ‘bhukamp’ stickers: Minister
Friday, May 1, 2015
Patna (IANS): Action would be taken against the Darbhanga Medical College Hospital (DMCH) superintendent over the pasting of stickers of “bhukamp” on the forehead of quake victims, said Bihar Health Minister Ramdhani Singh on Friday. (Business Standard)
Team IMA reports from Nepal
The IMA (HQs) representing Medical professional across the country and its members are deeply concerned about the loss of human life and despair following the natural calamity that took place in Nepal. Several hundreds have died and thousands have been injured. This is a very sad event and we being doctors desire to relieve the pains of the affected. A call for humanity and our medical ethic always remind us to help those who are in tremendous pain.

The President, the Honorary Secretary General of Indian Medical Association (HQs) and the Disaster Management Cell of IMA (HQs), deputed a team of Specialist Doctors / Primary Care Physicians to treat the injured and save the life of affected.

The pilot team was lead by Padma Shri Awardee Dr Ashok Gupta along with a group of dedicated Specialist Doctors / Primary Care Physicians.

Tremors and aftershocks have remained the most dreadful episodes happening every day. Since the day of the major earthquake, so far there have been over 160 major tremors (above the 4 Richter scale) and over 680 minor tremors (below the 4 Richter scale). Although life is gradually returning to normal, some of the most affected areas are still cut off and not accessible. While travelling around the city and the remote areas, every corner / part of the city is still painted with the memories of the devastation.

Dr Ashok Gupta
Jharkhand Update: on 5th May an urgent meeting was called in the IMA Hall in the view of the abduction and murder of Dr. R. B Chaudhary of Gumla. It was unanimously decided to continue Black Ribbon. Total strike on 06-05-2015 including private and govt. organization. Post-mortem and emergency services spared from strike.
The 2nd Meeting of the Office Bearers of Journal of IMA scheduled to be held on 7th May, 2015 (Thursday) at IMA House, 53, Sir Nilratan Sarkar Sarani, Kolkata- 700 014 at 3.00 P.M. stands postponed till further notice. Dr. Santanu Sen. Hony. Secretary, JIMA
Dr K K Agrawal, Secretary General IMA, H.Q.
Dear Sir,

Kindly recall my discussion with you regarding Jharkhand matter. As advised by you I am sending detail as follows. Dr R B Choudhry, working as R C H officer in govt. of of Jharkhand was posted at Gumla. On 30th April, After attending Chief minister visit at Gumla, he was sitting in his clinic. Two persons came to his clinic on bike and requested Dr Choudhry for attending a serious patient. Dr Choudhry accompanied them. Actually he was Kidnapped. After few hours ransom of Rs50lacks was demanded from family of Dr Choudhry for his release. As reported kidnappers started negotiations with family.

We from IMA Jharkhand and JHSHA (Jharkhand Health services Association) approached administration at different label and even there was complete strike in the state by government doctors with support of Private Practitioners. Unfortunately on 4th May, Murdered body of Dr R B Choudhry was found in nearby forest.

Emergent meeting of IMA and JHSHA held at Ranchi held yesterday and following decision has been taken

Payment of Rs 10 chores by govt. to bereaved family.

Govt. service to dependent

Security to all doctors specially working in remote areas.

Immediate imposition of Clinic Protection Act in the state.

Transfer of D. C and S. P. of Gumla

CBI probe of this case.

Govt. doctors to continue with Strike and Private Practitioners will wear Black badges.

It was also decided to apprise you all this so that you can take up this matters with union Health minister and Health Secretary to pressurize the BJP lead state government of Jharkhand.

Sir, on dated 5th May the general body meeting held in Ranchi to decide further line of action.
We hope you will take up the matter at appropriate level
With kind Regards.
Dr Arun Kumar Singh
State President IMA, Jharkhand.
AIPMT 2015 Answer key has been leaked and the news is on internet.

There is no information about how many students were helped by these offenders, so cancellation of the candidature of such students cannot help the fair students. The C.B.S.E. has not said anything yet.

The exam must be re-organised because future of 7 Lakh student is in danger.

Ashutosh Garg
AIPMT Roll No. 50812796
Greetings from IMA-TNSB!
Do you have a state law/order allowing Ayush practitioners to prescribe modem medicine? If so please share the details including copies of the order/law.
A. In Tamil Nadu, there is No State law/order state law/order that allows AYUSH practitioners to prescribe modem medicine.

2. Are Ayush doctors allowed to manage general OPD in PHCs and above? If so, please share the number of such doctors (if available).
A. No, in our state Ayush Doctors not allowed to manage general OPD and PHCs.

3. Do you have a state law (Act) to protect hospitals and doctors from attack, like the Hospital Protection Act?
A. Yes we have Act 48 - 2008.

4. Are rules framed as per the above act?
A. No rules framed.

5. How many hospital attacks have been reported in the state after the hospital protection law was passed in the state?
A. Almost 3 to 4 attacks every month.

6. How many cases, out of all these attacks, have been registered under the above law (Hospital Protection) until now?
A. Very few cases registered; two in Kanyakumari and one in Theni District, but no further action.

7. Is there a course like SRMS/BRHC/BSc-Community Health in your state? If so, please share the details including number of institutions which run such a course. What is the total intake of candidates per year?
A. There are no such Courses.

8. What is the course structure? Which body affiliates such courses? Is it recognised by any University? If so, please share details. Are they registering with local medical councils?
A. Nil

9. How many candidates have passed such a course till now? Are anyone of them working in Government now? If so, please give an approximate number of such graduates who are employed by the Government so far?
A. Nil
Bihar Police fail to trace doctor, wife abducted three days ago
Patna, May 4, 2015, DHNS: More than 72 hours have elapsed since the abduction of prominent Gaya-based physician Dr Pankaj Gupta and his wife while they were returning from Giridh in Jharkhand, and there is still no trace of them.

Gupta’s BSNL cellphone and his wife Shubra’s Airtel mobile were switched off since the couple was believed to have been abducted near Barachatti, 35 km south-east of Gaya, purportedly by an inter-state gang active in Bihar, Jharkhand and Uttar Pradesh.

The couple was returning in their high-end Audi car after attending a wedding in Giridih on Friday afternoon when they were abducted from the same spot near Barachatti from where the gang had reportedly kidnapped Rohtas-based contractor Ravi Ranjan Singh earlier this year.

Singh, who is related to an influential bureaucrat as well as former state BJP president, was reportedly taken to UP and confined somewhere between Lucknow and Kanpur. His family is said to have paid a ransom of Rs 2 crore for his safe release.

Police officials probing the Guptas' case feel the same modus operandi has been used in this abduction, and do not rule out the involvement of someone close to the doctor.

“GT Road has CCTV cameras at all toll plazas. Other than at the Barhi toll plaza near Chouparan, no other CCTV camera has captured the Audi car. From this point, one road leads to Jharkhand while the other goes straight to Varanasi. But with no sign of the couple or the car, it is suspected that the Guptas might have been abducted in a meticulously-planned manner through a 16-wheeler goods carrier vehicle. They could have been taken to UP or Jharkhand,” a source told Deccan Herald, quoting police officials probing the matter.

Chief Minister Nitish Kumar has instructed Bihar DGP P K Thakur to ensure the Guptas' safe release, following which Zonal IG A K Ambedkar and IG (CID) Vinay Kumar are camping in Gaya.

A six-member team of police officers have been constituted to crack the case.

While Gaya City SP Rakesh Kumar has been sent to Lucknow to find out the details of the contractor's kidnapping case, the other team is zeroing in on a Jharkhand-based gang headed by Ajay Singh, whose other accomplices have recently been released from jail.

The cops are also probing the role of a gang that abducted Gujarat-based businessman Sohail Hingora from Daman and brought him to Bihar, before releasing him in the Diara area of North Bihar after a hefty sum as ransom was paid.

Bihar health minister mouths a shocker

In a huge embarrassment to Bihar Chief Minister Nitish Kumar, state Health Minister Ramdhani Singh on Monday said it was good that the kidnappers had abducted both the husband and his wife, referring to the kidnapping of Dr Pankaj Gupta and his spouse, reports DHNS from Patna.

“Normally, the husband is kidnapped. At times, a woman is abducted. But in this case, the kidnappers have abducted both the husband and the wife. They will at least stay together during their confinement,” said Ramdhani, hand-picked by Nitish to look after the health department.

The Bihar Health Service Association and the state unit of the Indian Medical Association decried the minister’s statement and issued a 48-hour ultimatum to the Nitish government for the safe release of the couple.

Modus operandi

“There are different gangs assigned with different jobs. While one gang does recce (keep tab on movements) of the ‘prey’, the other one kidnaps him/her. The third one takes the prey to an undisclosed location, while the fourth one handles the ransom amount. Once the deal is clinched, all the different gangs disperse to different States before again regrouping for another prey,” a DSP rank official explained the modus operandi to Deccan Herald on Monday.
Greeting from IMA TNSB
I would like to report that on May 2nd, IMA Tamil Nadu Chapter called for one day token Strike of all the Private Hospitals in Tamil Nadu against attack on Doctors and Hospitals. This was grand success; almost all the Private Hospitals, Corporate Hospitals and even Private Medical College Hospitals took part.. Dr RVS Surendran, State President, IMA TNSB
City docs on standby, ready to go to quake hit Nepal
Anuradha Mascarenhas | Pune | Published on: May 5, 2015 3:07 am

Pushkar Bhide did not hesitate when he saw an appeal that a local hospital in Kathmandu was in dire need of orthopaedic surgeons. The city-based doctor is already in Nepal surveying villages and identifying people who require medical attention, and cardiologist Dr Abhijit Vaidya and another team of doctors from the city will be joining him shortly.

Vaidya, who had set up a rural medical referral centre at Parandwadi near Pune and rushed its team of doctors to Latur for providing medical treatment at ten quake-affected villages, had also started training common citizens in disaster management. His team of Arogya Sena (Health army) also provided relief work in Jammu and Kashmir last year and now a team of six doctors including non-medicos will leave for Nepal on Thursday.

Dr Nitin Ketkar, a radiologist, Prof Pramod Dalvi, Mahendra Waghela, and other team members will work in the remote villages under Vaidya’s guidance. “We are planning to take medicines and equipment worth nearly Rs five lakh, including bandages, glucometers, ECG machine and others,” Vaidya added.

Meanwhile, the Indian Medical Association state unit has prepared a batch of 40 doctors ready to go to Nepal. Dr Jayesh Lele, President Elect said that they were waiting for a go-ahead from the Central team.

Presently, a total of 13 doctors from the core team is in Nepal, Dr K K Aggarwal, the honorary secretary general of the central unit of IMA, said. “Our doctors in Nepal are trying their level best to do surgeries on the injured. We are coordinating the effort and will send other doctors,” he said

In Pune, Dr Avinash Bhutkar, the city unit president of IMA, said that there was no need for a rush to send doctors to Nepal as some teams are already functional there and the entire medical and treatment process will take a while.
Sonal Namaste
Handwashing is like a "do-it-yourself" vaccine—it involves five simple and effective steps (Wet, Lather, Scrub, Rinse, Dry) you can take to reduce the spread of diarrheal and respiratory illness so you can stay healthy.
PG coaching mobile app
Dear State President / State Secretary

The Young Doctors’ Wing National Coordinator Dr KM Abul Hasan has initiated a PG coaching mobile app. This will definitely be a good move to attract young Doctors to IMA. Kindly popularize this at least in all the local branches where there is a medical college in your state.

Prof Dr A Marthanda Pillai               Dr KK Aggarwal
National President, IMA                    Hon. Secy Gen IMA
White paper on asthma paints a grim picture
The Hindu: NEW DELHI, May 5, 2015: On the eve of World Asthma Day the Indian Medical Association has on Monday noted that one should not ignore the first attack of asthma after the age of 40.

Key Findings
  • All wheezing is not asthma and all asthmatics do not wheeze
  • Only cough may be a sign of asthma
  • If you are able to speak a sentence during an asthma attack, you do not have severe asthma
  • If you get an asthma attack more than twice in the night in a month or more than twice during day time in a week, you need continuous treatment
  • All asthmatics should be questioned about symptoms triggered by common inhaled allergens, at home, school or work
  • Indoor allergens, such as dust mites, animal danders, molds, mice and cockroaches, are of particular importance
  • Food allergy rarely causes isolated asthma symptoms, although wheezing and cough can be symptoms of food-induced anaphylaxis
  • Aspirin and non-steroidal anti-inflammatory drugs may trigger symptoms of asthma in about 3 to 5% adult asthmatic patients
  • Gastric reflux is common among patients with asthma
  • Well-controlled asthma means daytime symptoms no more than twice per week and night-time symptoms no more than twice per month
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IMA observes World Asthma Day today
In a joint statement, Dr Bipul Mishra, Asthma Specialist from Pushpanjali Crosslay Hospital and Dr K K Aggarwal, Hony Secretary General, Indian Medical Association (IMA) said that both allergic and non-allergic asthma including chronic bronchitis are on the rise. Most asthmatics also suffer because of the rising pollution in the cities. Dr Bipul Mishra and Dr K K Aggarwal were interacting with doctors on the occasion of World Asthma Day.

Addressing a gathering of doctors, Dr Vinay Aggarwal, Past National President, IMA said that all asthmatics should check level of pollution from the website of Pollution Control Board and restrict their outdoor activities if the level of pollution is high.

Schools located in areas with high pollution level also need to take steps to prevent exposure of their students to environmental pollutants, which may aggravate symptoms of asthma.