February 7  2015, Saturday
editorial

Stress may increase smoking habits
Dr KK Aggarwal
Stress increases the risk of heart attack by pushing people toward bad habits. A British study published in the Journal of the American College of Cardiology suggests that people with psychological stress had a 50 percent increased risk of a cardiovascular disease event over the follow–up period.

The reasons were higher smoking rates and low exercise levels of individuals who were stressed.

In the study over a seven year follow–up period, incidence of cardiovascular events –– heart attacks, stroke, bypass surgery and the like –– was 50 percent higher among the people with a high level of depression and anxiety when compared to happier people. Smoking and lack of physical activity explained about 63 percent of the increase, with smoking alone responsible for 41 percent.

Alcohol intake explained less than 2 percent of the increase, with high blood pressure assigned 13 percent of the blame. All such patients should be treated with combined physiological approaches with intensive lifestyle changes to reduce modifiable risk.
 
eMedipics

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Health Check Up and CPR 10 Camp at St.Mathews Public School, 9th April 2014

News Around the Globe
  • The following three simple steps can help you sleep better. (Source: Harvard)
    • Cut down on caffeine: Caffeine drinkers may find it harder to fall asleep than people who don't drink caffeine. Once they drift off, their sleep is shorter and lighter. For some, a single cup of coffee in the morning means a sleepless night. That may be because caffeine blocks the effects of adenosine, a neurotransmitter thought to promote sleep. Caffeine can also interrupt sleep by increasing the need to urinate during the night. People who suffer from insomnia should avoid caffeine as much as possible, since its effects can endure for many hours. Because caffeine withdrawal can cause headaches, irritability, and extreme fatigue, it may be easier to cut back gradually rather than go cold turkey. Those who can't or don't want to give up caffeine should avoid it after 2 p.m., or noon if they are especially caffeine-sensitive.
    • Stop smoking or chewing tobacco: Nicotine is a central nervous system stimulant that can cause insomnia. This potent drug makes it harder to fall asleep because it speeds your heart rate, raises blood pressure, and stimulates fast brain wave activity that indicates wakefulness. In people addicted to nicotine, a few hours without it is enough to induce withdrawal symptoms; the craving can even wake a smoker at night. People who kick the habit fall asleep more quickly and wake less often during the night. Sleep disturbance and daytime fatigue may occur during the initial withdrawal from nicotine, but even during this period, many former users report improvements in sleep. If you continue to use tobacco, avoid smoking or chewing it for at least one to two hours before bedtime.
    • Limit alcohol intake: Alcohol depresses the nervous system, so a nightcap may seem to help some people fall asleep. However, alcohol suppresses REM sleep, and the soporific effects disappear after a few hours. Drinkers have frequent awakenings and sometimes frightening dreams. Alcohol may be responsible for up to 10% of chronic insomnia cases. Also, alcohol can worsen snoring and other sleep breathing problems, sometimes to a dangerous extent. Even one drink can make a sleep-deprived person drowsy. In an automobile, the combination significantly increases a person's chance of having an accident.
    • You can also improve the amount and quality of your sleep by getting regular physical activity and creating and sticking to a regular sleep schedule and routine.
  • More than 600 events in over 100 countries marked the celebration of World Cancer Day yesterday. This year's theme "Not Beyond Us" highlighted existing solutions across the continuum of cancer that are within our reach to help diminish the global disease burden.
  • Although procalcitonin testing can help detect degrees of bacterial infection, including sepsis, compliance seems to be low and algorithms have had a negligible impact on the guidance of appropriate antibiotic therapy, suggests new research presented at the Society of Critical Care Medicine 44th Critical Care Congress.
  • A study comparing bariatric surgical procedures for severe obesity suggests that biliopancreatic diversion with duodenal switch results in better weight loss and metabolic outcomes in comparison with Roux-en-Y gastric bypass, but it is also associated with more adverse events. The study is published online February 4 in JAMA Surgery.
  • Celiac disease may be at the root of some women's problems with infertility, suggests new research from India, published online in the Journal of Clinical Gastroenterology. Researchers say that women who do not have a ready explanation for their failure to conceive should be screened for celiac disease.

Dr KK Spiritual Blog
Who is a Good Teacher?

A good teacher is the one who follows the principles of listening first, teaching in detail till confusion arises and then teaching with reasoning while going into the minutest details and finally summarizing the ‘take–home’ messages.
This is how Lord Krishna discoursed to Arjuna in Bhagavad Gita. In the first chapter, he only listens, in the second, he gives detailed counseling and from chapters 2 to 17, he gives reasoning and in 18th chapter, he revises.
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Cardiology eMedinewS
  • The CHADS2 index, developed to assess stroke risk in patients with atrial fibrillation, can also predict postoperative atrial fibrillation in noncardiac patients undergoing thoracic or vascular surgery, reported a study presented at the Society of Critical Care Medicine 44th Critical Care Congress.
  • Waiting until a patient's systolic blood pressure exceeds 150 mm Hg before intensifying antihypertensive medication is associated with an increased risk of acute cardiovascular events and death, suggests a large analysis published online February 5 in the BMJ.

Pediatrics eMedinewS
  • The findings from the Coronary Sinus Reducer for Treatment of Refractory Angina (COSIRA) phase 2 trial have revealed that those who had the Reducer implanted into their coronary sinus had significantly reduced symptoms and improved quality of life 6 months later, compared with patients who underwent a sham procedure. The findings are published in the February 5 issue of the New England Journal of Medicine.
  • Patients with spondlyarthritis not exposed to NSAIDs had a higher risk of congestive heart failure compared with patients on any NSAID, reported a new study published in Arthritis Care and Research. The increased risk was likely due to increased baseline comorbidities and physician choice, not to use NSAIDs in these patients.

Make Sure
Situation: Doctor, this patient has developed acute renal failure.

Reaction: Oh my God, I forgot that he was on furosemide. I gave him a full dose of amikacin.

Lesson: Make sure, before calculating the dose of aminoglycoside (amikacin) that furosemide and other loop diuretics, which enhance its nephrotoxicity are not being given.
Event
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Media
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Medicolegal

(Contributed by Dr MC Gupta, Advocate)

Q. I worked in a private medical college for two and half years as assistant professor. There was no written contract. I was selected for a government job. I resigned from the previous job with a request to relieve me immediately and to give me relieving certificate. No such certificate was given. I joined the government job. What should I do to get the experience certificate?

A.
  • Written contract is not a must. An oral contract is legally valid.
  • You should send them a written request, under your signature but drafted by a lawyer, to give you the experience certificate. A properly drafted request would have high chance of being successful. If the previous employer ignores your request, you will be sure to get the required relief through court.
  • If you are forced to go to the court, it may be advisable to make the State government; the University; and, the MCI as co–respondents. A good lawyer would take care of this when drafting the request/representation for you.

Dr Good Dr Bad
Situation: A patient with severe migraine wanted to know if xylocaine drops would help.

Dr. Bad: They have no role.

Dr. Good: You can try them.

Lesson: As an intranasal spray, 2% xylocaine drops can help migraine patients.

(Copyright IJCP)
IJCP Book of Medical Records

IJCP’s ejournals
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Inspirational Story

Height of perfection

The earth rotates on its axis at 1000 miles an hour; if it did so at 100 miles an hour, our days and nights would be ten times as long as they are now and the hot sun would have burnt up our vegetation during each long day while in the long night, any surviving sprout would freeze.

The slant of the earth, tilted at an angle of 23 degrees give us our Seasons. If it had not been so tilted, vapors from the ocean would move north and south piling up for us continents of ice.

If our moon were, say, only 50 thousand miles away instead of its actual distance, our tides would be so enormous that twice a day, all continents would be submerged and even the mountains would be eroded away.

If the crust of the earth had been only 10 feet thick, there would have been no oxygen without which human and animal life would have perished.

Had our oceans been a few feet deeper, carbon dioxide and oxygen would have been absorbed and no vegetable life could have existed.

If our atmosphere had been thinner, some of the meteors, now burned in space by the million every day would be striking all parts of the earth, starting fire everywhere.

Again, the sun has a surface temperature of 12,000 degrees Fahrenheit and our earth is just far away so that this ‘eternal fire’ warms us just enough and not too much. If the sun gave off only half of its present radiation, we would freeze and if it gave half as much more, we would roast.
Think & Ponder over the creation of God…

eMedinewS Humor

A woman customer called the Canon Help Desk with a problem with her printer.

Tech support: Are you running it under windows?

Customer: "No, my desk is next to the door, but that is a good point. The man sitting in the cubicle next to me is under a window, and his printer is working fine."

Wellness Blog

Vaccination for elderly

The best gift to your grandparents is to get them vaccinated if they have not been vaccinated earlier.
  • Annual influenza or flu vaccine is recommended for all persons aged 6 months and older.
  • Pneumonia vaccine should be given to all adults aged 65 years and older.
  • Tetanus Toxoid should be given to all irrespective of age after every 10 years.
  • A single dose of herpes zoster vaccine is recommended for adults aged 60 years and older regardless whether they have had a previous episode of herpes zoster. The vaccination begins at 60 years of age.
  • Hepatitis B vaccine should be given to all if they have not been vaccinated earlier.
  • All diabetics aged 60 years or older should be vaccinated for hepatitis B. This recommendation is based on increased need for associated blood glucose monitoring in long term care facilities.
  • All patients with chronic liver diseases should also be given the Hepatitis B vaccine.

Twitter of the Day

Dr KK Aggarwal: Dr K K Aggarwal: Relaxation during work http://bit.ly/15QdVeB #Health

Dr Deepak Chopra: Are we alone in the universe? Take a quick trip through the cosmos as I explore this eternal question. http://bit.ly/15QdVeB #Health

CPR 10

Total CPR since 1st November 2012 – 101090 trained

Quote of the Day

It does not matter how slowly you go as long as you do not stop. Confucius

Reader Response

Dear Sir, Very Informative news. Regards: Dr Kartik

eMedi Quiz

Which one of the following conditions may lead to exudative pleural effusion?

1. Cirrhosis.
2. Nephrotic syndrome.
3. Congestive heart failure.
4. Bronchogenic carcinoma.

Yesterday’s Mind Teaser: An anxious mother brought her 4 year old daughter to the pediatrician. The girl was passing loose bulky stools for the past 20 days. This was often associated with pain in abdomen. The pediatrician ordered the stool examination which showed the following organisms. Identify the organism.

1. Entamoeba histolytica
2. Giardia lamblia
3. Cryptosporidium
4. E. coli

Answer for yesterday’s Mind Teaser: 2. Giardia lamblia

Correct Answers received from: Daivadheenam Jella, Dr Avtar Krishan, Raju Kuppusamy

Answer for 4th Feb Mind Teaser: 2. Whole blood.

Correct Answers receives: Dr Jayshree, Dr Mirnal, Dr Kartik, Dr Shrey.

Press Release of the Day

Besan or gram flour has health benefits

If you are in doubt that your food may be the cause of your illness, try substituting one food each day. To begin with, its best to use besan (gram flour) in place of wheat flour said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association.

People suffering from celiac disease cannot digest a protein called gluten, which is found in barley and wheat flour. Gluten triggers immune system in patients to damage small intestine villi. As a result, patients cannot absorb nutrients from food and remain malnourished, which could lead to anemia, weight loss and fatigue. Celiac disease patients suffer from fat malabsorption.

A gluten-free diet is also recommended for patients with wheat allergy, dermatitis herpetiformis; multiple sclerosis, autoimmune disorders, autism spectrum disorders, ADHD, and some behavioral problems.

Gluten-containing cereals are wheat, barley, rye, oats and triticale. Gluten is also present as a food additive in the form of a flavoring, stabilizing or thickening agent.

In these conditions one should switch over to gluten-free foods. The best alternative is to shift from wheat flour to gram flour (besan).

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

Rabies News (Dr A K Gupta)

Do antibodies from rabies vaccination cross an intact blood–brain barrier?

No. Antibodies from vaccination do not cross an intact blood–brain barrier.
Video of the Day

About the Editor

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

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IMA NEWS
WMA condemns use of doctors in Saudi Arabia flogging

The use of doctors to assess prisoners’ fitness for being flogged in Saudi Arabia has been strongly condemned by the World Medical Association.

In a letter to the King of Saudi Arabia, the WMA President Dr. Xavier Deau calls for a halt to the flogging of Raif Badawi and his immediate release.

He adds: ‘Our attention was also drawn on a standard procedure in Saudi Arabia whereby doctors are required to assess prisoners’ fitness before they are flogged. By doing so, doctors are required to participate in the enabling of the sentence and therefore in acts of torture and other cruel, inhuman or degrading treatments. This is a flagrant violation of a fundamental principle of medical ethics “Do no harm”. We therefore condemn unreservedly this standard practice and are determined to fully support doctors who refuse to participate in it.’

Dr. Deau says the WMA is very concerned by the sentence imposed on Mr Badawi of 10 years in prison and 1,000 lashes. He said Mr Badawi is a prisoner of conscience detained solely for exercising his right to freedom of expression.

‘The flogging imposed on Mr Badawi constitutes a form of grave cruel, inhuman and degrading treatment that the WMA condemns strongly as a blatant violation of human dignity and human rights. It cannot be justified under any political, military, religious or other cause.’

Dr Deau concludes: ‘We are therefore calling on you to put an immediate stop to any further flogging of Raif Badawi and to release him immediately and unconditionally, as he is a prisoner of conscience.’
THE WORLD MEDICAL ASSOCIATION, INC.
Document AM 2014/Nuclear Weapons/Oct2014

no:

Title: PROPOSED REVISION OF THE WMA STATEMENT ON NUCLEAR WEAPONS
Original:

English
Destination: 2014 Associate Members Meeting
WMA General Assembly, Durban 2014
Durban ICC
Durban, South Africa
8-11 October 2014
Action(s)
required:

For
Consideration
Note: This statement was adopted by the 50th World Medical Assembly, Ottawa, Canada, October 1998 and amended by the 59th WMA General Assembly, Seoul, Korea, October 2008. This revision is proposed by the Junior Doctors Network.
The WMA declarations of Geneva, of Helsinki and of Tokyo make clear the duties and responsibilities of the medical profession to preserve and safeguard the health of the patient and to consecrate itself to the service of humanity. The WMA considers that it has a duty to work for the elimination of nuclear weapons.

Therefore the WMA:
  • Condemns the development, testing, production, stockpiling, transfer, deployment, threat and use of nuclear weapons;
  • Requests all governments to refrain from the development, testing, production, stockpiling, transfer, deployment, threat and use of nuclear weapons and to work in good faith towards the elimination of nuclear weapons;
  • Advises all governments that even a limited nuclear war would have catastrophic effects on the world’s food supply and would put a significant proportion of the world’s population at risk from a nuclear famine; and
  • Urges all National Medical Associations to use the available educational resources to educate the general public about this overwhelming threat to public health, and
  • Requests all National Medical Associations to join the WMA in supporting this Declaration and to urge their respective governments to work to ban and eliminate nuclear weapons.
IMA NATIONAL LEADERS MEET PROGRAM
7TH FEB
 
 
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Dr A M Pillai
 
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Dr C M Bhagat
 
 
 
8TH FEB
 
 
08:00: - 08:15
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Dean
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Leadership Qualities
Dr Prathap Reddy
12:00 - 12:15
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12.15 -1.00
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Dr A M Pillai
01: 00- 01:30
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1.30 2.30
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Dr K K Aggarwal
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Sh A R Kohli
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open house
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sum up
 
 
 
IMA National Health Scheme
Emblem, Constitution & Byelaws
Adopted on 27th December 2014 in the Central Council of IMA at Ahmadabad, Gujarat
  1. Title:- The Scheme shall be known as “IMA National Health Scheme” (IMA NHS)
  2. Registration :- It shall function as an activity of National IMA and managed by IMA National Health Scheme as per rules & Byelaws of the Scheme
  3. The National IMA Health Scheme was passed in the central council by a resolution dated 28th December 2012.
  4. Commencement of the Scheme:- The Scheme will start function from 07 February 2015.
  5. Aims and Objectives of the Scheme
    To provide financial assistance to the members and his/her spouse, child (ren) and parent(s) on the event of hospitalization, diagnosis and management of the following diseases:-
    1. Heart Disease:- Angioplasty, Bypass Surgery and Valve replacement Surgery.
    2. Renal Failure, Haemodialysis, Renal Transplantation,
    3. All Malignant diseases
    4. Brain Tumours
    5. Hip and Knee replacement surgery.
    6. Spine and disc surgery
    7. Cerebrovascular accidents
    8. Road Traffic and other accidents
    9. Other major illness requiring hospitalization approved by the scrutinizing committee appointed by the IMA National President
  6. Beneficiaries
    1. Benefits of the scheme shall be available only to the member and his / her spouse , child(ren) and parent(s), if the member has paid the membership subscription of his and his/ her spouse child(ren) and Parent(s).
    2. In the event of death of a member, the spouse, child (ren) and parents can opt as a beneficiary member of the scheme.
    3. Such a beneficiary member shall not have any other right including the right to contest or to vote.
  7. Eligibility for Membership:-
    1. Life member of IMA.
    2. Member should be below the age of 80 years at the time of joining.
  8. Admission Fee. For members / Spouse / Parents
    1. Below age of 35 yrs Rs. 1000.00
    2. Below age of 45 Yrs but above 35 Yrs Rs. 1250.00
    3. Below age of 55 Yrs but above 45 Yrs Rs. 1750.00
    4. Below age of 60 Yrs but above 55Yrs Rs. 5000.00
    5. Below age of 65 Yrs but above 60 Yrs Rs. 7000.00
    6. Below age of 70 Yrs but above 65 Yrs Rs. 8000.00
    7. Below age of 80 Yrs but above 70Yrs Rs. 10,000.00
      For child (ren) of members
      Child (ren) below the age of 25 Yrs Rs. 1000 .00
  9. Annual Membership Subscription
    Every member/ beneficiary member Rs 500.00
    Out of Rs 500/- annual membership fee Rs 300/- will go to National IMA account and Rs 200 to Scheme.
  10. Financial Assistance Contribution (FAC) Every Member / beneficiary member / Child (ren) shall pay the following amount.
    1. Children below 25 yrs Rs. 2500.00
    2. Below the age of 55 yrs Rs. 3000.00
    3. Above 55 and below 60 yrs Rs. 5000.00
    4. Above 60 and below 65 yrs Rs. 7000.00
    5. Above 65 and below 70 yrs Rs. 8000.00
    6. Above 70 and below 80 yrs Rs. 10000.00

      When a member / Spouse / Child(ren) / Parents first join the scheme they should pay the Admission fee, Annual membership fee and Advance financial assistance contribution at the rate mentioned above. Prescribed application form along with the admission fee, Annual membership subscription and Advance Financial Assistance Contribution drawn in favour of the scheme “IMA National Health Scheme” by A/C .Payee draft payable at the secretary’s office has to be sending to the Hony. Secretary’s office. No cash or money order will be accepted. Admission fee is onetime payment, Annual membership subscription and advance financial assistance contribution shall be paid every year.
  11. Member’s Disqualification:-
    1. If a member /beneficiary member fails to pay the Financial Assistance Contribution within 30 days of the demand notice sent by the office, he/she shall be treated as a defaulter and he/she shall pay fine of Rs 50/- per month or part thereof. If the default continues beyond the period of 60 days, then a notice by registered post with acknowledgement shall be issued to such a member at his/her expense and if such member does not pay the dues within 30 days of the receipt of such a notice, membership shall be terminated forthwith.
    2. If a member furnishes any wrongful information in his/ her application form or any provisions of this scheme and he/she tries to obtain any wrongful benefit under the scheme ,after giving him/her an opportunity of being heard before the managing committee ,and if his/her explanation is not found satisfactory. The managing committee of the scheme shall have the right to terminate the membership of the member concerned without any benefit. He/She shall not be eligible for any further enrollment in the scheme and all amount paid by him/her will be forfeited
  12. Benefits of the Scheme:-
  13. (a). This scheme is entitled to be helpful to the members /beneficiary members to meet the heavy expenses for the management of coronary heart disease and surgical management of valvular heart diseases, management of renal failure, management of cancer, brain tumours involving surgical treatment and joint replacement surgery for hip and knee joints, spinal surgery, Trauma and diseases requiring admission causing expenditure above Rs. 5000.00.

    1, Coronary Heart Disease;- Bypass surgery and angioplasty required for the treatment of coronary heart disease and valvular heart disease surgery will be covered under this scheme .Upper limit will be Rs. 2 Lakhs/year.
    2. Renal Failure:- Regular haemodialysis or renal transplantation required in the management of chronic irreversible failure of both the kidneys will be covered under the scheme .Upper limit is Rs 2 lakhs/year.
    3. Cancer:-, Surgery, Radiotherapy and chemotherapy required for the treatment of all cancers will be covered under the scheme. Upper limit will be 2 Lakhs/year.
    4. Management of Brain Tumour:- Surgery, Radiotherapy and chemotherapy required for the treatment of brain tumours will be covered under the scheme. Upper limit will be Rs. 2 Lakhs/year.
    5. Major Surgeries:-Surgery for knee and hip joints, spinal stenosis and disc surgery, or other major surgeries will be covered by the scheme with an upper limit of Rs one lakhs/year.
    6. Other diseases:-Any serious diseases requiring hospitalization will be covered with an upper limit of Rs 50,000/- per year.
  14. Scrutinizing Committee of the scheme:-
    It has the power of discretion to fix the upper limit of reimbursements for various medical conditions/ surgical/diagnostic procedures after considering the existing expenses of treatment in side India.
    1. Diagnosis and treatment costing less than Rs.5000/ will not be covered under this scheme
    2. It is mandatory that member have to submit original papers as well as attested Photo copies of treatment certificate, Discharge summery breakup of bills – Professional charges, cost of medicine and investigations etc and any other documents upon which a claim is based within 60 days of discharge from hospital. The member shall also give additional information and assistance as the scheme may require in dealing with any claim. If a claim in any manner fraudulent or supported by any fraudulent means of device (whether by a member or any other person acting on his/her behalf), the scheme shall not be liable to make any payment and may lead to termination of membership if the scrutinizing committee feels it is purposefully done for monetary gains from the scheme. Original bills and papers will be given back to the member after verification.
    3. Permissible reimbursement will be reimbursed within 90 days from the submission of the original bills, papers and other documents upon which the claim is based. After verifying all the facts as prescribed by the managing committee, all payment shall be made by A/c Payee cheque. Managing committee will have the discretion to pass / reject payment of bill in cases where they are not satisfied about the genuineness of the bills.
    4. Members will be given reimbursement of 75% of total amount of the bill not exceeding the sum limited to each diseases.
    5. A member will get a maximum of benefit of Rs.2 Lakhs in one year.
    6. Private hospitals have to apply for being included in the list of a recognized institution.
    7. The managing committee is empowered to add or alter or delete the name of the list of institutions for treatment.
    8. However, cost of treatment of members /beneficiary members shall be reimbursed regardless of whether they are recognized or not, provided the managing committee have not debarred them under any circumstances for any fraudulent action s made in record / s given to members / beneficiary members.
    9. No advance payment will be made to the members
    10. Managing committee of the schemes hall be empowered to decide about the claims on the above diseases. Central working of National IMA shall be the appellate body. No disputes can be challenged in any court of law.
    11. Members of the scheme, who joins before the age of 55 years will get benefit only after completion of one year of joining the scheme.
    12. Members who join after completion of 55 years of age will get benefit only after completion of 2 years of joining the scheme.
    13. Charges of engaging a special nurse or attendant will not be reimbursed.
    14. Expense incurred on travel or ambulance will not be allowed
    15. Food ,laundry and telephone bills will not be reimbursed
    16. Treatment in other systems other than Modern Medicine will not be allowed.
    17. The following bills of charges will not be reimbursed: cost of cosmetic treatment including dental procedures, cost of external appliances like spectacle, hearing aids etc.
    18. Room rent up to Rs. 1000/- will only be considered for reimbursement
  15. Management of the Scheme:- Office of the scheme will function at Thiruvananthapuram. The scheme shall be managed by the Managing Committee. The Managing Committee shall consist of:- National President - Ex- officio member. Hony. Secretary General - Ex –officio Member
    1. Chairman
    2. Vice Chairman
    3. Hony. Secretary
    4. Hony. Treasurer
    5. Hony. Joint Secretary
    6. Thirty state co-coordinators
    7. Founder chairman and Founder Secretary
  16. Vigilance Officer – Hony. Finance secretary National IMA
  17. Scrutinizing committee shall be nominated by the National President. The members of the committee shall be from different specialties including an anesthetist to a maximum of 7 members. The chairman, Secretary, and treasurer shall also be the member of scrutinizing committee. The secretary shall be the convener of the committee. The scrutinizing committee shall scrutinize the claim as per the bye law and decide on the amount of reimbursement. In case of doubt / difference of opinion the matter shall be referred to the managing committee.
  18. Election of office bearers
    All the office bearers shall be elected from the members of the scheme by the Central Council. The term of office of the office bearers shall be 3 years
  19. The office of the scheme will be at the place of the Hony. Secretary, at Thiruvananthapuram
  20. Managing Committee:- It shall meet at least meet thrice a year. The quorum of Managing committee shall not be less than four. If quorum is not sufficient then reconvene the meeting after 15minutes.
  21. Function of the Managing Committee:-
    The managing committee shall run the day to day functioning of the scheme. It shall receive the minutes, reports and accounts of the scheme and pass it. The Managing Committee shall receive the reports of the scrutinizing committee, empanelment committee and all other committees appointed. Management committee can decide regarding the policy of disbursement and /or investment of the funds and all other matters subject to ratification by the CWC and Central council.
  22. Duties of the chairman:- The chairman shall conduct all the meetings of the managing committee. In the absence of chairman, the vice chairman shall conduct the meeting.
  23. Duties of the Secretary:-
    The secretary shall carry out the day to day function of the scheme and shall implement the decision taken by the managing committee. He/ she shall be in overall charge of the membership enrollment, collection and routine administration and besides other duties and function specified by the managing committee. Joint secretary shall help the secretary in all routine works and perform the duties of the secretary in his absence.
  24. Duties of Treasurer:- The Treasurer shall maintain day to day accounts of the scheme, submit the accounts for the approval of the managing committee. He shall submit a statement of audited account to the managing committee of the scheme, the Central Working committee and Central Council of IMA. He shall prepare a budget for the next year.
  25. Duties of the state coordinators: -
    State coordinators shall assist the secretary in membership enrollment, dues collection and claim disbursement in their respective States.
  26. Duties of Vigilance officer:- Before each Managing Committee the vigilance officer shall audit the accounts and submit the reports to the managing committee.
    25 The audited account of the scheme shall be presented to the Managing Committee, National Finance Committee, Central Working Committee and the Central council.
    26 Accounts and Audit :-
    1. A separate Bank account shall be opened in any nationalized / Scheduled Bank in the name of the Scheme and shall be operated jointly by Hon. Secretary and Treasurer.
    2. The financial year of the scheme shall be from 1st April to 31st March
    3. The Managing Committee shall approve account submitted by the office bearers duly audited by the chartered accountant of the scheme.
  27. Appellate Body: - If any member is aggrieved by the decision of the scrutinizing committee he can appeal to the managing committee. 28. Dissolution;-
    1. In any eventuality there should not be any liability to IMA.
    2. If it becomes impossible to carryout the objectives of the scheme, the scheme can be dissolved by a decision of the CWC and Central council.
    3. Any remaining asset shall be transferred to National IMA to be used for charitable purposes

      Jai IMA Jai Hind
NABH Update
 
NABH Safe certification program enables health care organizations in upgrading their infection control practices thereby ensuring quality care for their patients.
Tip of the day for safe and effective strength training
 
Don't exercise too long and do not choose too much weight. It's important to rest muscles for at least 48 hours between strength training sessions.
10 Worst Medical 10 Worst Medical Treatment Dangers 2015
 
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As the trend toward networking and connectivity of medical devices grows, so does the increase in the vulnerability of these devices to malware and malicious attacks. ECRI Institute is not aware of any patient harm resulting from a device being hacked. Still, there have been some worrisome incidents: Devices that became infected with malware caused a hospital to temporarily shut down its catheterization lab. Many healthcare organizations have had to inform patients that protected health information had been released inappropriately or even stolen.
(Source: Medscape)
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