June 6  2015, Saturday
eMedinewS
editorial
Alternative Therapies Lower BP
Dr KK Aggarwal A group of experts has reviewed all the existing studies and concluded that indeed there are alternative treatments for lowering blood pressure, with aerobic exercise leading the pack as far as strong evidence goes.
Other alternative treatments – namely isometric handgrip and dynamic resistance exercises and guided breathing –– also got high grades when it came to reducing high blood pressure in some patients, according to a scientific statement from the American Heart Association published online in the journal Hypertension.

"The evidence is not as strong for transcendental meditation and acupuncture, but they may help as well," said co–senior author Sanjay Rajagopalan, MD, professor of cardiovascular medicine at Ohio State University School of Medicine in Columbus.
For the report, an expert panel headed by the University of Michigan’s Robert D. Brook, MD, reviewed 1,000 studies published from 2006 to 2011. They divided the studies into three major classes of alternative treatments: behavioral therapies, noninvasive procedures and devices, and exercise. The panel did not review dietary and herbal treatments. Based on the level of evidence, they gave each an "A," "B," or "C" recommendation –– with "A" being the highest –– for implementation into clinical practice.
The panel found:
 
  • Exercise–based regimens did the best overall, with dynamic aerobic exercises getting an "A" class of recommendation, with a level of evidence of I, the highest possible.
  • Dynamic resistance exercises got a "B" and isometric handgrip exercises got a "C" grade, with levels of evidence of IIA and IIB, respectively.
  • Still, 4 weeks of isometric hand grip exercises resulted in some of the most impressive improvements in several studies –– a 10% drop in systolic and diastolic BP. However, isometric exercise should be avoided among people with severely uncontrolled hypertension (180/110 mm Hg or higher).
  • In Noninvasive procedures or devices, device–guided breathing got a "B" with a level of evidence of II. Device–guided slow breathing proved most effective in lowering blood pressure when performed for 15–minute sessions three to four times a week.
  • Acupuncture also got a "B," but its level of evidence was III, meaning no benefit.
  • Among behavioral techniques, transcendental meditation and biofeedback both received "B" grades, with IIBs for levels of evidence. Yoga got a C, with level of evidence of III, or no benefit, as did other meditation techniques.
  • The alternative approaches that work reduce systolic blood pressure by only 2 to 10 mm Hg; whereas standard doses of a blood pressure–lowering drug reduce systolic blood pressure by about 10 to 15 mm Hg.
  • Alternative approaches are best for patients with blood pressure levels over 120/80 mm Hg who can’t tolerate or don’t respond well to standard medications.
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eMedipics IMA,IJCP,HCFI
First of its kind Jan Aushadhi Medical Store at the Indian Medical Association to make affordable healthcare a reality
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News
  • In the Veteran's Affairs Diabetes Trial (VADT) of mainly older men with poor glycemic control, those who were randomized to receive about 5 years of intensive vs standard glycemic therapy had a lower incidence of cardiovascular events, but no improved survival during a median 9.8-year follow-up, new findings reveal
  • The potential exists for human infection with highly pathogenic avian influenza A H5 viruses identified in birds in the United States, the Centers for Disease Control and Prevention (CDC) warned June 2 in a Health Alert Network advisory.
  • A smartphone-based test for visual acuity is as accurate and repeatable as currently available standard visual acuity tests, according to a new study published online May 28 in JAMA Ophthalmology.
  • Patients who have undergone total hip arthroplasty have a better quality of life than those who have undergone total knee or ankle arthroplasty, suggests new research presented at the 16th European Federation of National Associations of Orthopaedics and Traumatology Congress.
  • According to data presented at the American Urological Association 2015 Annual Meeting, surgeons should resort to frailty indexes to determine how well patients will do after renal procedures, radical prostatectomy and radical cystectomy.
Dr KK Spiritual Blog
Can a mantra or sound be used as a medicine?

The answer is yes. The difference between a Mantra and a sound is that Mantra sound is an energized sound with medicinal values. There are many aspects of Mantra as a sound:
 
  1. The type of sound matters. It is well–known that chanting of vowel sounds produces interleukin–2 in the body, which has the same action as that of aspirin and works like a natural painkiller. Chanting of nasal consonants produces delta activity in the EEG and has similar action like tranquilizers. Chanting of other consonants has different actions in the body. For example, chanting of LUM reduces fear, VUM reduces attachments, RUM reduces doubt, YUM increases love, HUM increases truthfulness and AUM non–judgmental activities.
  2. Mantra sounds can be vibratory or non–vibratory. Vibratory sounds use nasal consonants and vibrate bones beginning from mandible, spine, and the automatic plexus lying along the spine. Chanting of nasal consonants leads to a parasympathetic state.
  3. Chanting of mantra is associated with reduced respiratory rate, which leads to parasympathetic state of the body. Ideally, the respiratory rate should be reduced to 4 per minute and then continue it for next 20 minutes i.e. 80 breaths in 20 minutes. This can be done by chanting, for example, the whole Gayatri mantra in one respiratory cycle.
  4. How one chants also matters. The yogic way of chanting is when the mind is in mantra or the chanting. This leads to deeper relaxation.
  5. Understanding the meaning of the Mantra you chant also matters. If you do understand the meaning, the chanting benefits will be more. Foreigners do not understand the meaning of Indian Mantras but yet they get benefits. But if they chant with understanding the meaning of the Mantra, the health benefits will be more.
  6. Chanting a mantra with its meaning in the mind invokes the power of intention. It’s like getting connected to any search engine on the internet and typing your query. Your consciousness in the body is the internet and the intention the search button.
  7. Chanting a mantra with its meaning in the mind also results in emotions and expressions, which have an added advantage.
  8. Overtone chanting has additional benefits. The new sound heals not only those who are chanting but also those who are listening and bystanders.
  9. Group chanting is more powerful. If 1% population chants together, rest 99% also gets the benefits.
  10. One can also do distance healing by chanting at a far distance. The only way one can explain this is by understanding consciousness as an internet cum social site model. Each one of us has our page in the internet (soul) as well as a page in the cloud internet (spirit). All our pages are connected with every person in this earth through the cloud internet. People can chant at a distance and their audio file with intent automatically gets posted on their soul internet and the cloud internet. The person for whom we pray by chanting gets the benefit whenever he is connected to the cloud internet.
  11. During chanting, the mind may be distracted. Continuously chanting of Mantra for 12 seconds means concentration, 12×12 seconds is contemplation and 144×144 seconds is meditation. So by concentrating on the object of concentration, the mantra, one can avoid diversion of the mind.
  12. The intensity or the loudness of the chanting sound also matters. Higher the loudness, less will be the effects. Japa meditation involves two hours of Mantra chanting to get the benefit. In a non Japa meditation, these benefits can be acquired in 20 minutes. Thoughtless chanting is more powerful than verbal Mantra chanting. Vipasana is chanting without Mantra where you are just aware of the breath and one has to do this type of meditation for hours together to get the benefit.
  13. During Chautha or Teravi (mourning period), Mantras or prayers are chanted for one hour. This helps relax the mind, shifts one from sympathetic to parasympathetic mode. In the initial 15 minutes, there is sympathetic overactivity and the person is restless. As the time passes, parasympathetic state takes over and by the time one hour is over, parasympathetic state is at its full blown activity and at that time getting connected to cloud internet is easier.

    Only those who are connected to the dead person and want to get distressed attend the full one hour of Chautha ceremony. These people have empathy for the deceased person. Those who wish to express sympathy, mostly show up before or after the Chautha ceremony to complete their formality.

    In Chautha, we say that Bhagwan Uski Aatma Ko Shanti De. God will forgive him only if the soul is destressed, which can happen only if there are some non–fulfilled desires and these desires will always be linked to a particular person. Therefore, only those who have guilt will feel that the deceased person’s soul is not at rest.

    In a Chautha ceremony, one can only remove this guilt in the parasympathetic phase towards the end of the Chautha ritual and seeks forgive and forgiveness.
  14. In different religions, this has different implications. In Hinduism, we only attend Chautha of whom we know but in Islam people attend the mourning ceremony of people whom they not even know. They believe in mass prayers and pray for the soul of the deceased person. In Islam this mass prayer message gets written on the cloud internet and has mass effect in the community.

    In Islam, a person usually says Mein khuda se tumhare liye dua mangunga. It is possible for them as they offer Namaz five times in a day and when they ask for Dua for someone they put the intent in the cloud internet which can be retrieved by others.

    In Christians, it is different. The dying patients or the relatives ask the doctors and others to pray with them and not only for them.
Media
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Cardiology eMedinewS
  • Newly released joint recommendations from the European Society of Cardiology Heart Failure Association (ESC-HFA), the European Society for Emergency Medicine, and the US Society for Academic Emergency Medicine stress the importance of quickly diagnosing and treating acute heart failure. The consensus paper calls for the addition of an urgent time element to acute HF care and also provides an algorithm for more streamlined management of the disease. The recommendations were published online in the European Heart Journal.
  • In patients hospitalized with community-acquired pneumonia, those who had an in-hospital cardiac event—MI or atrial fibrillation—were more likely to die from any cause or have another cardiac event—cardiac death, nonfatal MI, or stroke—during a median 17.4-month follow-up, suggested a small Italian study published online in the American Journal of Cardiology.
Wellness Blog
Eating junk food: It’s in the brain

When it comes to eating junk food one may blame the brain. Addiction is a disease and the same has been proved by a study.

Two areas of the brain have to work together to give the self–control to reject unhealthy foods. California Institute of Technology researchers used MRI to scan the brains of volunteers as they looked at photos of dozens of types of foods and decided which ones they’d like to eat. They found significant differences in the brain activity between people who had self–control in terms of making food choices and those with no self–control.

An area of the brain called the ventromedial prefrontal cortex is involved in all value–based decisions. When ventromedial prefrontal cortex activity decreases, a person will probably reject an item, whereas increased activity means they’ll probably choose it.

The study published in the journal Science found that in people with no self–control, the ventromedial prefrontal cortex seemed to take into consideration only the taste of a food.

In people with good self–control, another area of the brain called dorsolateral prefrontal cortex becomes active and modulates the basic value signals so that the self–controllers also incorporate health considerations into their decisions.

The study showed that ventromedial prefrontal cortex is active during every decision and that the DLPFC is more active when a person is using self–control.
Pediatrics eMedinewS
  • Bullying during adolescence is associated with a higher risk of depression in young adulthood, suggests a new study published in The BMJ.
  • Use of antidepressant medication during the late stages of pregnancy may increase the risk of persistent pulmonary hypertension in the newborn, suggests a new study published in JAMA.
Make Sure
Situation: A patient was brought to the ICU in cardiogenic shock.

Reaction: Oh my God! Why didn’t you take him for emergency angiography and subsequent PTCA?

Lesson: Make Sure to perform an emergency diagnostic angiography and mechanical revascularization with PTCA in patients of cardiogenic shock. Results of National Registry of Myocardial Infarction 2 (NRMI–2) trial suggest that this intervention is much better than thrombolytic therapy in such patients.
Dr Good Dr Bad
Situation:A patient came with an eGFR value of 25. 

Dr. Bad: You need immediate dialysis.

Dr. Good: Hold on till proper investigations are done.
 
Lesson: According to a study published in Canadian Medical Association Journal, starting dialysis too soon can be associated with high mortality (CMAJ. 2011 Jan 11;183(1):47-53).

(Copyright IJCP)
eMedinewS Humor
Salesman to Policeman

A salesman, tired of his job, gave it up to become a policeman.

Several months later, a friend asked him how he liked his new role.

"Well," he replied, "the pay is good and the hours aren’t bad, but what I like best is that the customer is always wrong."
Events
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IJCP Book of Medical Records
IJCP’s ejournals
CPR 10
Total CPR since 1st November 2012 – 101090 trained
Video of the Day
eMedi Quiz
The following separation technique depends on the molecular size of the protein:

1. Chromatography on a carboxymethyl cellulose column.
2. Iso-electric focusing.
3. Gelfiltration chromatography.
4. Chromatography on a diethylaminoethly cellulose column.

Yesterday’s Mind Teaser: An enzyme involved in the catabolism of fructose to pyruvate in the liver is:

1. Glyceraldehyde-3-phosphate dehydrogenase.
2. Phosphoglucomutase.
3. Lactate dehydrogenase.
4. Glucokinase.

Answer for yesterday’s Mind Teaser: 1. Glyceraldehyde-3-phosphate dehydrogenase

Correct Answers received from: Dr Jainendra Upadhyay, Dr Poonam Chablani, Dr.K.Raju, Dr.K.V.Sarma, Daivadheenam Jella, Dr. G. Madhusudhan. Dr Avtar Krishan

Answer for 4th June Mind Teaser: c. Nail psoriasis

Correct Answers received: Tukaram Pagad, Dr.K.V.Sarma, Dr.MadhuSudhan G, Dr Avtar Krishan, Daivadheenam Jella, Dr Nikhil Mohanty
Quote of the Day
Perfection is not attainable, but if we chase perfection we can catch excellence.

Vince Lombardi
Inspirational Story
The Gift from God

It was a warm summer day when God placed it in her hands. She trembled with emotion as she saw how fragile it appeared. This was a very special gift that God was entrusting to her. A gift that would one day belong to the world. Until then, He instructed her, she was to be its guardian and protector. The woman said she understood and reverently took it home, determined to live up to the faith God had placed in her.

At first she barely let it out of her sight, protecting it from anything she perceived to be harmful to its well- being; watching with fear in her heart when it was exposed to the environment outside of the sheltered cocoon she had formed around it. But the woman began to realize that she could not shelter it forever. It needed to learn to survive the harsh elements in order to grow strong. So with gentle care she gave it more space to grow...enough to allow it to grow wild and untamed.

One day she became aware of how much the gift had changed. It no longer had a look of vulnerability about it. Now it seemed to glow with strength and steadiness, almost as if it were developing a power within. Month after month she watched as it became stronger and more powerful, and the woman remembered her promise. She knew deep within her heart that her time with the gift was nearing an end.

The inevitable day arrived when God came to take the gift and present it to the world. The woman felt a deep sadness, for she would miss its constant presence in her life. With heartfelt gratitude she thanked God for allowing her the privilege of watching over the precious gift for so many years. Straightening her shoulders, she stood proud, knowing that it was, indeed, a very special gift. One that would add to the beauty and essence of the world around it. And the mother let her child go.
Rabies News (Dr A K Gupta)
Is age of the biting dog important in transmission of rabies?

No. Neither the age nor the breed or sex of the dog is important in transmission of rabies.
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
First of its kind Jan Aushadhi Medical Store at the Indian Medical Association to make affordable healthcare a reality
Inaugurated today at the IMA headquarters at IP Estate in New Delhi, the store will offer over 118 commonly used drugs at a 80-90% lesser price than the market value

 New Delhi, June 05, 2015: Revolutionizing the city’s healthcare scenario, Indian Medical Association today launched a first ever IMA Jan Aushadhi Medical Store at its headquarters it IP Estate in New Delhi. The store will offer over 118 commonly used drugs in their generic forms at a 80-90 % lesser cost than its market value. The inauguration of the IMA Jan Aushadhi Medical Store was done by Shri Hansraj Gangaram Ahir, Hon’ble Minister of State for Chemicals and Fertilizers.

The typical monthly medical expense for a heart patient on the following prescription is Rs 1337/-. The same if purchased from the IMA Jan Aushadhi Medical Store will cost Rs 147/- pm. 

Prescription: Ramipril 5 mg 8am, telmisartan 40 mg 8pm, clopidogrel 75 mg 8 pm, omeprazole 20 mg 8pm, glimeperide 2 mg at 8am,  and atorvastatin 10 mg at 8pm
 

Inaugurating the centre Sh. Ahir congratulated IMA for the initiative and said “supplying quality drugs at affordable prices can reduce the monthly expenditure of a common man and substantially reduce his financial burden”.

All the medicines being offered at the IMA Jan Aushadhi Medical Store have been approved by the Jan Aushadhi Department of the Govt. of India and quality controlled by the Bureau of Pharma Public Sector Undertakings of India. The store will remain open from 9.30 am to 6.30 pm on all working days of the week. A full-time qualified pharmacist will not only dispense drugs at the store but also counsel the patients about the drug- drug and drug- food interactions and report adverse events.

 Speaking on the occasion, Dr SS Agarwal President-Elect, Padma Shri Awardees Dr. A Marthanda Pillai, National President and Dr KK Aggarwal, Hony. Secretary General, Indian Medical Association who jointly initiated the programme said, “With the existence of a large gap in the socio-economic set up of our country and the ever-increasing disease prevalence due to lifestyle factors; affordable health care for all is an urgent need and necessity. The Indian Medical Association believes that cheaper quality branded drugs must to provided to the masses to help reduce the healthcare budget burden every family has to face in today’s day and age. The IMA Jan Aushadhi Medical Store will help in drastically bringing down the monthly amount spent by families on essential life-saving drugs such as painkillers, fever medicines, diabetes controlling medicines amongst others. We hope that through this initiative we can really help make a difference to the lives of the common people".

 “Once successful, all State Branches of IMA will be requested to open similar centers at their premises. General practitioners across the NCR will also be requested to buy drugs from IMA Centre and dispense it to their patients,” added Dr. KK Aggarwal.

Given below is a list of some of the medicines which will be available at the IMA Jan Aushadhi medical store and their prices as compared to that available in the market:
 
Category
Name
of Tablet
Stren
gth
Num
ber
Cost (Rs)
Mar
ket Cost (Rs)
Pain
Killer
Aceclofenac
100 mg
10
5.25
30
Tranq
uiliser
Alprazolam
0.25mg
10
1.86
10.7
Antibiotic
Amoxycillin + clavulanic acid
625 g
6
41.26
150
BP
Drug
ATENOLOL
50 mg
10
4.30
23.10
Anti Chole
sterol Drug
Atorvastatin
10 mg
10
6.21
66
Blood
thinner
Clopidogrel
75 mg
10
15
50
Typhoid
Drug
Cefixime
200 mg
10
58
126
Anti-
Diarrheal
Cipro + Tinidizole
500+
1000
10
38
106
Anti-
Fungal
Fluconazole
150 mg
10
30
161
Anti-
Diabetic
Glimepiride
2 mg
10
3
66
Allergy
Montelukast + Levocetirizine
10+5
10
14
90
Fever
Nimesulide
100 mg
10
3.42
42
Ant Acid
Omeprazole
20 mg
10
8
77
Heart Failure
Ramipril
5 mg
10
7
96
BP
Telmisartan
40 mg
10
10
94

Adding to this, guest of honours, Shri Sudhansh Pant, Joint SecretaryMinistry of Chemicals & Fertilizers, Dr. G N Singh, Drugs Controller General India and Shri Injeti Srinivas, Chairman, National Pharmaceutical Pricing Authority in a joint statement said, “The IMA Jan Aushadhi Medical Store will go a long way in reducing the healthcare burden of our country. Affordable and accessible health care for all is of uttermost importance to the Indian Government and associated policy-makers and we congratulate the Indian Medical Association on this commendable initiative. We hope to see the success of this model in New Delhi and then see it being implemented in all the National State branches across the country. This will also help build a sense of confidence amongst people about the safety and efficacy of relatively cheaper generic drugs as compared to the more expensive ones. “   

Other dignitaries present of the occasion were Dr Vinay Aggarwal Past President IMA, Dr V K Monga, Sh Kuldeep Chopra, Dr Ajay Lekhi, Dr S B Sheshank, Dr Sharad Aggarwal, Dr N V Kamat, Dr R P Vashisht, Dr KK Kalra, Dr Girdhar Giani, Dr Bipin Batra, Dr A C Dhariwal, Dr K N Tewari, Dr P K Sharma, and Dr R N Tandon
Malpractices and corruption in recently concluded MCI Election for one post from Maharashtra RMP category
June 1, 2015

To,
Shri. Narendra Modiji
Hon’ble Prime Minister
Govt. of India
NEW DELHI

Subject : Malpractices and corruption in recently concluded MCI Election for one post from Maharashtra RMP category.

Respected Sir,

I am Dr. Ashok Adhao Patron Indian Medical Association (IMA), Maharashtra State. I am past State and National President of IMA. Presently I am practicing as General Surgeon in the city of Nagpur, Maharashtra State.
I take this opportunity to congratulate you on completion of one successful year as Prime Minister of India. Nowadays all people are busy in analyzing your success in last one year. But I desist myself and all my friends from doing so as one year is too short to judge a Prime Minister. But everybody agrees and are impressed by your method of governance. Your very different and special path finding views on various subjects impresses one and all. Everybody feels the change and appreciate also. I am that way a very small person and should not take much of your valuable time. I wish all the best for all your future ventures to take India towards newer heights.

You must be thinking why I am writing directly to Prime Minister of India ? Whenever in frustration, I discuss my case with my BJP friends, they finally request me, why you don’t approach Shr. Narendra Modiji ? They are very confident that you look into all the matters, whichever have been brought to your notice. We all believe in your leadership. We voted Shri. Nitinji Gadkari in Lok Sabha Elections and all BJP MLAs including Shri. Devendra Fadnvis Chief Minister of Maharashtra in Assembly Elections of Maharashtra State.

I contested the MCI Election for One Post from RMP category of Maharashtra State. From the very beginning the Returning officer started favouring one candidate Dr. Girish Maindarkar. Following points briefly describe how the malpractices were done by the Returning Officer and Dr. Girish Maindarkar.

Malpractices, malafied intention and corrupt practices by Dr. P.H. Shingare, DMER (Director Medical Education and Research) and Returning Officer during recently conducted MCI election for one post from Maharashtra RMP (registered Medical Practitioners) category.

1. IMA wanted physical ballot.
With past experiences, we know malpractices do happen in postal ballot elections. IMA through Dr. Milind Naik objected to postal ballot in the High Court. Hon’ble High Court immediately gave relief by interim order in favour of physical ballot. Unfortunately, the Returning officer and Dr. Girish Mainderkar, one of the candidates wanted postal ballot only for the reasons best known to them. They intervened with five lawyers and then Hon’ble High Court ruled in favour of postal ballot, taking the plea of election rules.
This shows they were planning for conspiracy since that time only, so the insistence for postal ballot.

2. Making my nomination invalid. They tried their level best to eliminate IMA’s official candidate. Dr. Girish Mainderkar objected on my nomination form and returning officer immediately accepted his objection and my nomination was made invalid. On flimsy ground my nomination form was rejected. I have approached Hon’ble High Court, where Judges found it valid and gave ruling in my favour.

3. Not accepting any of our requests, which would have made the election fair and transparent. Our suggestions for self attested ID proof to be made compulsory for all voters as done elsewhere was not accepted (in recently held MP state MCI election and Homoeopathy Council elections voter had to compulsorily put his self attested identity proof in the outer envelope). We requested for prepaid postage and self addressed envelope for sending back the ballot papers to the returning officer, which was also not accepted.

4. Conspiracy in printing improper and confusing declaration form. If anybody compares the prescribed declaration form in the election rules of MCI and what the Returning Officer supplied, you will immediately agree that original prescribed form is very clear. Our Returning officer made it deliberately unclear and confusing, so that our innocent and honest voters will not write anything after the elector name and will not write their registration number, so as to make the ballot invalid.
IMA candidate got nearly 15,000 votes, but this improper and confusing declaration form made nearly 5,500 votes invalid. Highly educated voters from IMA side only made this mistake. Other candidate was knowing the trick and took all precautions to complete the declaration form of his all voters in his CPS office with the help of his clerks. No Declaration form from his side got invalid (as claimed by his own representatives).
We made unsuccessful representation to the Returning officer (copy attached). We requested him not to cancel the ballot papers on the ground of incomplete declaration form as the form itself is confusing and not properly printed. But because of pre-decided conspiracy, he has not agreed to the same. We also pleaded that in any way the ballot paper envelope is separate and nobody will know, who the voter has voted. In this way we will not punish the voter for his fault, because basically our declaration form is faulty.

5. Proper record of postal ballots was not kept. In spite of all our request, he has never made serious efforts to maintain the record of all the movements of postal ballots. He has never given proper reply to our queries/representations also. It has been reliably learnt that the Returning officer’s office has handed over nearly 4000 ballots from office itself to other candidate. We are taking all efforts to prove these malpractices.

6. Bulk posting exposed. Dr. Girish Mainderkar and his associates have posted approximately 9000 ballots from Dadar post office in bulk. Big news was there in news paper also. We have taken strong objection on this, as the MCI Election Rules No.17 do not allow bulk posting. We requested the Returning officer to separate the ballot papers, posted in bulk from Dadar post office and make them invalid. But again as a part of conspiracy, he turned down the request and made these ballots valid. Further RTI inquiry, clearly states that these ballots were posted in bulk and it is done by 6 non medical persons (CPS employees). Further analysis of the ballots clearly shows that the ballots are wrongfully collected from the places all over Maharashtra and also outside the Maharashtra State (RTI proof attached for your perusal). We have made proper complaint of this to State Govt. and Govt. of India.

7. No action taken by returning officer: Bulk posting got exposed. We made immediate complaint about this. News about bulk posting also appeared in Bold in all news papers in Mumbai (paper cuttings attached). Dr. Milind Mane, MLA of Maharashtra Legislative Assembly, who is also a voter in this election, raised the privilege motion on the assembly floor during the assembly session. After discussion, it was directed by the chairman of the assembly to keep these ballot papers posted in bulk separately. However, the returning officer refused to act on these suggestions.

8. We lodged FIR in Matunga police station: We immediately rushed and filed FIR in Matunga police station regarding illegal bulk posting of ballots from Dadar post office. Dadar post office comes under the jurisdiction of Matunga police station (copy of FIR attached). Senior police officer suggested the returning officer to file the FIR himself so that cognizance of this malpractice can be immediately taken. Unfortunately, returning officer refused to comply and did not lodge FIR. As per the constitution, it is the responsibility of returning officer to check the malpractices, but he ignored his duty.

9. All ballot papers were collected and all voting and filling of declaration form done by CPS employees. As written in the RTI reply from Dadar post office the blank ballot papers were collected from all over places and brought to the CPS office and the CPS employees voted and filled the ballot papers in their own handwriting and even signed the declaration form themselves. As usual the conspiracy between the Returning officer and Dr. Girish Mainderkar (Chairman CPS) prevented the Returning officer to check the signature and registration number of all the voters even after our repeated requests.
The names which appear in the RTI reply of Dadar post office are Mr. Ajit Panpatil, Mr. Rahul Karande, Mr. Suresh Ghanekar and Mr. Pramod Vinjade, are all employees of CPS offce Mumbai (photocopy of muster roll of CPS Mumbai is attached)

10. Tampering of ballot papers: There are many more malpractices like tampering the ballots of other candidate has been noticed. For example applying whitener on the X mark in front of my name and making fresh X mark against his own name. So nearly 600 votes were invalid in this way, which were genuinely in my favour.

11. Ballot papers not posted to all eligible voters:

Maharashtra Medical Council had informed names and addresses of 79030 registered Medical Practitioners, eligible to vote to the Returning officer. However, RTI reply from GPO Mumbai clearly points that returning officer has only posted 53000 ballots which were booked through mailer M/S D.J. Corporation as registered letters. as against 79030 eligible voters (copy of RTI from GPO and MMC attached). Thus there exists gross discrepancy between legitimate electoral roll and number of postal ballots dispatched. This clearly indicates that ballot papers were not dispatched to 26030 eligible voters.
The act of the Returning Officer is thus the mockery of democratic process and not stand to the trust and mandate of the Central and State Govt., who had reposed trust for conduct of this election in a fare and transparent way on him.

Sorry for the long boring tale, but for me and medical fraternity future, it is very important. I have already made appeal to Ministry of Health and Family Welfare, Govt. of India as prescribed in MCI Election Rules. I mate personally to Shri J.P. Naddaji on 20th April 2015. He ordered immediate inquiry into the matter. But unfortunately nothing concrete happened so far. I came to know that some under Secretary at MOH is corruptly working in favour of the Returning officer and the candidate. I am trying to bring this conspiracy to the notice of the Health Minister Shri. J.P. Naddaji. Respected Sir, if you give an appointment I am ready to personally meet you in Delhi with all the evidences or you may direct me see any of your active functionary in PMO.

Thanking you,
Dr. Ashok Adhao
MBBS, MS
- Patron IMA Maharashtra State
- Past National President, IMA HQ
Dr Dang's Lab gets extension for operating from the same premises ( D1 Hauz Khas) for another two months. (till 29th August)
Violence against Doctors
IMA/MP/2014-15/DHAR/108                                         Date: 05 June 2015

To,

Dr. Prafulla Verma,

President, IMA Dhar Branch,

123, Silver Hill Colony,
Dhar – 454 001 (M.P.)
Mo. 9425307018

Subject: Violence against Doctors

Dear Dr. Verma,

The members of IMA are shocked and pained at the incident of Mob violence against Dr. Uday Kulkarni, Honorary Secretary, IMA Dhar Branch.

I have spoken to Shri Rajesh Kumar Hingankar, Superintendent of Police, Dhar regarding the above incident and demanded to take appropriate action against the culprits under Doctor Protection Act and Mob Violence. He has informed that three offenders have been arrested and search for other offenders are in progress. He also assured full cooperation of Police Department in this case.

Kindly keep us informed for day to day progress of the case and contact me for any assistance.

With kind regards,

Yours Sincerely,

Dr. R.K. Pathak

Honorary State Secretary

IMA MP State Branch, Jabalpur

Copy to:

Dr. K.K. Agrawal, Honorary Secretary General, IMA
I.M.A. House, Indraprastha Marg, New Delhi – 110
IMA Prevention of Diabetic Blindness Program
A first-ever, Akal High Altitude Diabetes and Diabetic Blindness Awareness Cycling expedition 2015, is being organized under the joint auspices of the Indian Medical Association (Control of Diabetic Blindness Program),  the All India Ophthalmological Society (Diabetic Blindness Awareness Project) and Akal Eye Hospital Jalandhar.

 The Expedition will start from Manali on 6th June, 2015 and will reach Leh on 16th June, 2015. It will pass through some of the highest passes in the world including Taglang La, Baralacha La, Lachulung La, Rohtang La and Khardungla.

 The team comprises of Dr Balbir Singh Bhaura Medical Director cum Chief Eye Surgeon, Akal Eye Hospital, Dr Satbir Singh Bhaura, Consultant, Akal Eye Hospital and Mr Narinder Singh, Secretary Advance Vision Foundation and two assistants.

 The team would carry out diabetes screening and awareness about blindness at each stopping place. The needy people would be given free medicines and glasses.

Dr NSD Raju

Chairman IMA Project Control of Diabetic Blindness in India, Chairman AIOS Diabetic Blindness Awareness Program, Past President All India Ophthalmological Society
5 truths about protecting your eyes
Of your five senses, which one are you most afraid of losing? If you're like most people, your answer is your ability to see. Because our eyesight is so precious, it's no wonder that myths abound about what can damage our eyes — and what can protect them. Here, we debunk five common myths — and tell you how to truly keep your eyes healthy.

Myth: Doing eye exercises will delay the need for glasses.

Fact: Eye exercises will not improve or preserve vision or reduce the need for glasses. Your vision depends on many factors, including the shape of your eyeball and the health of the eye tissues, neither of which can be significantly altered with eye exercises.

Mail Today

"..... Meanwhile, the Indian Medical Association (IMA) has also requested the Union Ministry of Health and Family Welfare to instruct the withdrawal of Maggi noodles from the market till it is given a clearance by the investigative agencies.

The medical association has also demanded from the government that the investigating agency must be able to differentiate whether a particular batch of the product was adulterated or the whole of the product was adulterated.

"It is the duty of the government to ensure that the general public receives quality food in the market," Dr KK Aggarwal from IMA told Mail Today.
Indian Medical Association calls for ban on Maggi until proven safe to consume
NEW DELHI: A day after Delhi suspended sales of Maggi noodles for 15 days, the doctors' body Indian Medical Association (IMA) urged the Centre to impose a temporary ban on the sales of Swiss foodmaker Nestle's product, till a clearer picture on its exact safety profile emerges.

 In a letter to the Union Health Minister JP Nadda on Thursday, IMA, which represents over 2.5 lakh doctors across the country, said: "It is suggested that batches of Maggi should be withdrawn from the Indian market with immediate effect. Marketing of Maggi should be allowed only after getting clearance from investigating agencies".

 KK Aggarwal, secretary-general of IMA told ET, "If samples drawn from multiple batches of Maggi noodles have been found to be violating quality norms, then it is best to pull it out from the markets till the reports across labs have proven it safe for consumption".

 Aggarwal said it is important to understand whether the quality issue affects only one batch and is a onetime violation or does it affect different batches and is more systemic. If all the tests have drawn samples from a single batch, then the Centre should order a recall of that particular batch, he added. 

In a press conference at Shimla, Nadda said that the Centre has asked for a report from all the state governments on Maggi and the reports are expected by Thursday, after which the health ministry would take a decision on it. 

"Nestle India is cooperating fully with the authorities who are conducting further tests and has submitted product samples for independent analysis," the company said in a statement on its website even as its stock continued the downslide and plunged 3% on Thursday at BSE.

While Uttarakhand took the call after finding monosodium glutamate (MSG) content in Maggi samples, Gujarat Health Minister Nitin Patel was quoted as saying that the state has found higher lead than prescribed limits and MSG in some samples tested.  .. 

Medical council starts probe into Bengal cricketer's death
Following allegation of foul play and medical negligence, the West Bengal Medical Council (WBMC) has initiated a probe into the death of Bengal cricketer Ankit Keshri, who died of injuries sustained in on-field collision, an official said on Thursday
1000 more stores to be opened under "Jan Aushadhi Scheme"
The Government proposes to soon open 1000 more stores under the ‘Jan Aushadhi Scheme’ to make available quality generic medicines at affordable prices through these special outlets. Speaking at a function organised by the Indian Social Responsibility Network (ISRN) a facilitation network to build the corporate social responsibility (CSR) space in India, at New Delhi, the Union Minister of State, Ministry of Chemicals and Fertilisers, Shri Hansraj G. Ahir said that these stores will be opened for the underprivileged who would be provided medicines at a price of 60-70% less than the market price. The Minister said that his Ministry is working on opening 1000 stores under the ‘Jan Aushadhi Scheme” on a single day. He said that the stores will be renamed, rebranded and will increasingly involve B. Pharma and M. Pharma qualified unemployed populace.
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Letter to Editor
To,

Dr K K Aggarwal
Padma Shri.
National Science Communication &
Dr B C Roy National Awardee.
Honorary Secretary General, IMA.
Respected Sir,

Greetings from All India Ophthalmological Society.

We congratulate IMA on this initiative to provide quality drugs at cheaper prices under the IMA Jan Aushdhi Generic Drug Store Initiative in IMA HQ New Delhi. We wish you all the best and we certainly hope that this goes a long way in serving the patients. Based on the success of this, all state and local IMA's can also start this initiative at their level. We are also taking up this idea from you and see if we can implement this in the ophthalmic sector. Wishing you all the best once again.

Regards,
Dr. Debasish Bhattacharya
President
All India Ophthalmological Society
president@aios.org
www.aios.org

Reader Response
Sir, Your concern for Environment is well appreciated. Please add "formula feeding" in the list of pollutants which affects all the five elements of Nature. Let all health care provides stop recommending formulas. Thanks, Dr Muthuswami A. Chettinad, Tamilnadu.
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