February 9  2015, Monday
editorial
All about tea
Dr KK Aggarwal
When we speak of tea, it is commonly assumed to be black tea with milk and sugar. However, the word ‘Tea’ means any herb. This means even hot Tulsi water is Tulsi tea or hot mint water is Mint tea. Herbs that can be converted into tea are jasmine tea, lemon tea, lemon grass tea, masala tea, sounf tea etc.

When the decoction of the leaves and the water is reduced to 50% on boiling, it is called Kadha. Black tea without milk and sugar is much healthier than black tea with milk and sugar. Classical tea without sugar and milk has an astringent taste. But according to Ayurveda, this is good for health as it reduces Kapha imbalance. When sugar and milk is added, both of which have sweet taste, they neutralize the weight reducing and kapha-relieving properties of the black tea. Therefore, milk or sugar should not be added to tea. For the purpose of taste, one can add Gur or jaggery or artificial plant sweetener Stevia.

Black tea is also a mild diuretic and increases urination as it contains caffeine, which is also a stimulant and that is the reason why tea is used to remain awake. In this regard, coffee is stronger than tea. When taken in moderation, black tea is good for the heart and overall health. If one has to choose amongst various teas then jasmine, lemon and lemongrass teas are better than others.

In Ayurveda, there are different teas for different personalities. Therefore, you can get Vata-pacifying tea, pitta-pacifying tea and kapha-pacifying tea.
eMedipics

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CPR 10 Training Camp NDMC

News Around the Globe
  • Pregnancies diagnosed with preeclampsia in the preterm period have a very high relative risk for fetal death, according to findings of a population-based cohort study published online February 4 and in the March issue of Obstetrics & Gynecology.

     

  • Exposure to acute flares of rheumatoid arthritis significantly increases the risk of cardiovascular diseases, according to findings from a population-based cohort study conducted by Dr. Elena Myasoedova and her associates and published in Annals of the Rheumatic Diseases.
  • Prednisone may speed the time to clinical stability among patients hospitalized for community-acquired pneumonia (CAP), a new trial has found. Time to stability dropped from 4.4 days in a placebo group to 3 days in patients given the drug, according to findings published online January 18 in The Lancet.
  • Optimal use of modern contraceptives could avert an estimated 15 of 16.7 million unwanted pregnancies each year in 35 low- and middle-income countries, according to a demographic health survey. Saverio Bellizzi, MSc, from the World Health Organization, Western Pacific Regional Office, Manila, Philippines, and coauthors report their findings online February 3 in Human Reproduction.
  • Results from a new randomized controlled trial presented at the American Society of Nephrology 35th Annual Dialysis Conference suggest that increasing the hours of hemodialysis each week does not affect quality of life, but it does have a positive influence on other parameters, including blood pressure.

Dr KK Spiritual Blog
Astik Vs Nastik

Traditionally, people believe that Nastik are people who do not go to temples or related places of worship. They also do not believe in God.

To differentiate between Astik and Nastik, we need to first understand the concept of Sanatan Dharma and Arya Samaj Dharma. People who believe in Sanatan Dharma consider God as separate from the self and worship him in the form of an idol. They believe in Dualism theory.

Arya Samaj followers do not do idol worship and believe in non–dualism and treat God and self as one.

Arya Samajis, therefore, will not go to a temple where the idols of Gods are placed. Being an Arya Samaji does not mean that the person is Nastik.

The word Nastik means someone who does not believe in God at all, therefore, he or she also does not believe in self as God is nothing but self. In medical sciences, these are the people who have no insight and will usually be suffering from depression and loss of self–esteem.
IMA,IJCP,HCFI

Cardiology eMedinewS
  • 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, according to the results of a large analysis published in the BMJ.
  • About one in three adults would risk losing time off the end of their lives to avoid taking a daily pill to prevent cardiovascular disease, suggests a survey of individuals professionally recruited for such a study. The sample included a mix of people, more than half of them women, some of whom were taking daily medications already, while others were not. Moreover, about one in five respondents said they would pay at least $1000 if it meant not taking a daily pill for the rest of their lives, in the analysis published February 3, 2015 in Circulation: Cardiovascular Quality and Outcomes.

Pediatrics eMedinewS
  • In children with comorbid conditions, invasive pneumococcal disease causes higher morbidity and mortality, according to a surveillance study published online February 2 in Pediatrics. Furthermore, many cases are caused by serotypes not included in current conjugate vaccines.
  • If a headache is a kid's only symptom after minor blunt head trauma, it poses little risk of a clinically important brain injury, according to a new post-hoc analysis published online February 2 in Pediatrics. According to Dr Peter Dayan, the lead author, "This strongly suggests that CTs are not indicated in most children with headaches and no other signs or symptoms of (traumatic brain injury) after blunt head trauma, and a period of observation may be warranted before CT decision-making."

Make Sure
Situation: A patient on ACE inhibitor developed angioneurotic edema.
Reaction: Oh my God! Why was ACE inhibitor continued?
Lesson: Make sure that patients on ACE inhibitors are advised to watch for symptoms of urticaria and stop the drug immediately in case swelling of lip, face or tongue develops (Br J Clin Pharmacol 1999;48(6):861–5).
Event
IMA,IJCP,HCFI

Medicolegal

(Contributed by Dr MC Gupta, Advocate)

Please answer the following questions:

 
  • Is it medicolegally correct for a pathologist to give an opinion on a laboratory report to the patient or discuss/explain the report if the patient so requests?
  • Can a pathologist, when consulted by the patient, directly advise further pathology investigations on the basis of other pathological reports so as to reduce the time for proper diagnosis/treatment in the interest of the patient (such as advising urine culture on finding pus cells in urine)? 

A.
  • In response to the first question, we should not be unnecessarily tagged to the word "medico–legal". Your question is simply this "Is it against law for a pathologist to give opinion on a pathological report at the request of the patient?" The answer is obvious. It is not against any law.
  • In response to the second question also the same principle applies. The answer is "the pathologist can advise".
  • Please note that the patient may potentially allege later that the above opinion/advice resulted in damage to him and may claim damages from the pathologist. At that time the pathologist cannot repudiate the claim by saying that no fee was charged for rendering such opinion/advice.
  • A sound legal approach is as follows:
    • It is better for the pathologist to tell the patient that he should discuss the issue with his treating physician or should ask the treating physician to discuss the issue with the pathologist.
    • If any opinion or advice is rendered by the pathologist, he should feel free to charge fee for the same. This would decrease the tendency to seek/give free advice. The system of charging fee would, to some extent, compensate for any compensation for which the pathologist may be held liable later.
Dr Good Dr Bad
Situation: A senior citizen with an insurance of one lakh came for admission.
Dr. Bad: You should opt for a Rs. 1000/- room.
Dr. Good: Take any room you want.
Lesson: The 1% room rent clause is not applicable to senior citizens.
IJCP Book of Medical Records

IJCP’s ejournals
IMA,IJCP,HCFI

Inspirational Story
Pickup in the Rain

One night, at 11:30 PM, an older African American woman was standing on the side of an Alabama highway trying to endure a lashing rain storm. Her car had broken down and she desperately needed a ride. Soaking wet, she decided to flag down the next car. A young white man stopped to help her – generally unheard of in those conflict–filled 1960s. The man took her to safety, helped her get assistance and put her into a taxi cab. She seemed to be in a big hurry! She wrote down his address, thanked him and drove away.

Seven days went by and a knock came on the man’s door. To his surprise, a giant console color TV was delivered to his home. A special note was attached. It read: "Thank you so much for assisting me on the highway the other night. The rain drenched not only my clothes but my spirits. Then you came along. Because of you, I was able to make it to my dying husband’s bedside just before he passed away. God bless you for helping me and unselfishly serving others."

Lessons
  • Offer help to anyone who needs it
  • Thank others for helping you.
  • If you help someone. Someone will help you.

eMedinewS Humor

Skeleton in the Closet

A very large, old, building was being torn down in Chicago to make room for a new skyscraper. Due to its proximity to other buildings it could not be imploded and had to be dismantled floor by floor.

While working on the 49th floor, two construction workers found a skeleton in a small closet behind the elevator shaft. They decided that they should call the police.

When the police arrived they directed them to the closet and showed them the skeleton fully clothed and standing upright. They said, "This could be Jimmy Hoffa or somebody really important."

Two days went by and the construction workers couldn't stand it anymore; they had to know who they had found. They called the police and said, "We are the two guys who found the skeleton in the closet and we want to know if it was Jimmy Hoffa or somebody important."

The police said, "It’s not Jimmy Hoffa, but it was somebody kind of important."

"Well, who was it?"

"The 1956 Blonde National Hide–and–Seek Champion."

Wellness Blog
Artificial Sweeteners in Sweets May Be Harmful

The American Heart Association and the American Diabetes Association have issued a joint scientific statement giving a cautious recommendation to the use of nonnutritive sweeteners to help people maintain a healthy body weight and for diabetics to aid glucose control.

These products should be considered like a nicotine patch. They are appreciably better than the real product (sugar), but not part of an optimal diet.

The statement, published in both Circulation and Diabetes Care on July 9, 2012, warns that sweeteners are helpful only as long as people don’t eat additional calories later as compensation.

The term nonnutritive sweeteners cover six sweeteners including aspartame, acesulfame K, neotame, saccharin, sucralose, and plant–derived stevia. These nonnutritive substances have zero calories.

Two things may happen in terms of compensation

1.Physiological, where the body might be expecting more calories and so the individual may be hungrier and therefore may eat more

2.Psychological, where the individual thinks they are allowed to eat more sugar-rich food because they had a diet soda instead of a full–sugar soda.

When people use sweeteners there is compensation. The key is how much? Partial compensation is ok but people often completely compensate or even overcompensate, so these sweeteners have to be used smartly to be successful. Compensation seems less of a problem when these sweeteners are consumed in beverages as opposed to food.

People don’t really notice the lack of calories in a diet soda and so don’t tend to eat more, whereas if they consume a low–calorie foodstuff, they do tend to eat more as compensation.

Its better when sweeteners are used in beverages and not sweets or other foods.
One is not completely sure about the safety of these products, because their long–term use in humans has not been studied fully.

However, the artificial sweeteners on the market are almost certainly safer than consuming large amounts of sugar, which has definite harm when consumed in large amounts.

This harm, particularly when consumed in beverage form such as soda, includes increases in risks of obesity, diabetes, cardiovascular disease, and gout.

A concern, though, is that just replacing sugar with artificial sweeteners leaves a person, especially children, conditioned to high levels of sweetness, which is likely to influence their food choices adversely.

Twitter of the Day

Dr KK Aggarwal: First BP should be checked at age three
http://youtu.be/NMIK16PyBrY?a via @YouTube
Dr Deepak Chopra:: The universe works by itself as does your body. All striving is interference http://bit.ly/DC_Ananda #ananda

CPR 10

Total CPR since 1st November 2012 – 101090 trained

Quote of the Day

The greatest gift you can give another is the purity of your attention. Richard Moss

Reader Response

Dear Sir, Thanks for the nice information: Regards: Dr Jatin

eMedi Quiz

In post-operative intensive care unit, five patients developed post-operative wound infection on the same day. The best method to prevent cross infection occurring in other patients in the same ward is to:

1. Give antibiotics to all other patients in the ward.
2. Fumigate the ward.
3. Disinfect the ward with sodium hypochlorite.
4. Practice proper hand washing.

Yesterday’s Mind Teaser: Heat labile instruments for use in surgical procedures can be best sterilized by:

1. Absolute alcohol.
2. Ultra violet rays.
3. Chlorine releasing compounds.
4. Ethylene oxide gas.


Answer for yesterday’s Mind Teaser: 4. Ethylene oxide gas.

Correct Answers received from: Dr KV Sarma, Dr Avtar Krishan, Daivadheenam Jella,

Answer for 7th Feb Mind Teaser:: 4. Bronchogenic carcinoma

Correct Answers receives: : Daivadheenam Jella, Tukaram Pagad, Dr Avtar Krishan, Dr M Mahesh, Dr Jainendra Upadhyay
Press Release of the Day
His and Her Heart Disease
Medical research is confirming that, even in heart disease, men and women share a lot of risk factors, said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K Aggarwal, President Heart Care Foundation of India and Honorary Secretary General IMA. However, there are some important differences as reported in Harvard News Letter.
  1. Smoking: Cigarette smoking tops the list of lifestyle risk factors for men and women alike. But for women who take birth control pills, smoking increases the risk of heart attack and stroke even more.
  2.  Cholesterol: Levels of ‘bad’ LDL cholesterol above 130 mg/dL are thought to signal even greater risk for men, while levels of ‘good’ HDL cholesterol below 50 mg/dL are seen as greater warnings for women. High triglyceride levels (over 150 mg/dL) are also a more significant risk factor for women.
  3.  High blood pressure: Until age 45, a higher percentage of men than women have high blood pressure. During midlife, women start gaining on them and by age 70, women, on average, have higher blood pressure than men
  4.  Inactivity: Only about 30% of Americans report getting any regular physical activity, but men tend to be more physically active than women, with the greatest disparities in the young (ages 18 to 30) and the old (65 and older).
  5.  Excess weight: Being heavy has long been thought to set one on the road to heart disease, but the location of the extra pounds may be more important than their number. Abdominal fat, which releases substances that interfere with insulin activity and promote the production of bad cholesterol, is more toxic than extra padding on the hips. Many health authorities consider a waist measurement of 35 inches or more for women and 40 inches or more for men as a more precise indicator of heart disease risk than body mass index.
  6.  Diabetes: Diabetes more than doubles the risk of developing heart disease for both men and women; however, diabetes more than doubles the risk of a cardiac death in women, while raising it to 60% in men
  7.  Metabolic syndrome: Having any three of the five features of metabolic syndrome – abdominal obesity, high blood pressure, high triglycerides, low HDL cholesterol, and high blood sugar or insulin resistance – is riskier for women than for men, tripling the risk of a fatal heart attack and increasing the chance of developing diabetes 10–fold. The combination of a large waist and high triglycerides is especially toxic to women
  8.  Psychosocial risk factors: The depth of the heart–head connection is still being plumbed, but there’s enough evidence to implicate certain factors as contributors to heart disease, such as chronic stress, depression, and lack of social support. Neither sex fares better than the other overall, but research indicates that some factors predominate in men and others in women
  9.  Stress is an equal–opportunity burden. Women are twice as likely to be depressed as men and to suffer more from emotional upheaval. In fact, the reported cases of ‘broken heart syndrome’ – the sudden, but usually reversible, loss of heart function after an intense emotional experience – are almost exclusively in older women. Anger and hostility have long been cited as risk factors in men, but that’s probably because most studies of heart disease excluded women. It’s well documented that men are more likely to lack social support – especially after retirement – than are women.
  10.  Inflammation: Chronic inflammation is now thought to set the stage for the deposition of atherosclerotic plaque. Women have much higher rates of conditions that often lead to persistent, low–grade inflammation. For example, lupus more than doubles the risk of heart attack and stroke for women.

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
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)
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
 
Strength training exercises should not cause pain while you are doing them. If you experience significant pain, stop doing it! When performing an exercise, stick with a range of motion that feels comfortable. Over time, try to gradually extend that range.
Medscape Family Physician Lifestyle Report 2015
 
Family Physicians Burnout and Weight

According to the most recent CDC report, the prevalence of obesity in 2011-2012 was about 35%, a rate that has remained relatively unchanged since 2003. The 2013 JAMA Internal Medicine study of lifestyle behaviors in healthcare workers showed little differences in rates of overweight or obesity between the healthcare professionals studied and their patients. Physicians who reported their body mass index (BMI) in the Medscape survey do better than the general public, but a significant number are overweight or obese. Among the burned-out group, 55% confessed to being overweight to obese (40% and 15%, respectively) compared with 45% of those who were not burned out (36% overweight, 8% obese). These numbers have not budged since the 2013 report.
10 Worst Medical 10 Worst Medical Treatment Dangers 2015
 
Cybersecurity Problems
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)
 
IMA RISE and SHINE
Soft Skill Learner's Program
Every Wednesday
IMA Head Quarters: IMA House, Indraprastha Marg, New Delhi-110 002
 
Date
Program
Time
Participant
Fees
2/11/2015
Decision making
2-6 pm
50
Free for IMA Members and by invite
2/26/2015
Leadership skills
2-6 pm
50
Free for IMA Members and by invite
3/4/2015
Effective management of time
2-6 pm
50
Free for IMA Members and by invite
3/11/2015
Public speaking
2-6 pm
50
Free for IMA Members and by invite
3/18/2015
Creative problem solving
2-6 pm
50
Free for IMA Members and by invite
3/24/2015
Business etiquette
2-6 pm
50
Free for IMA Members and by invite
4/1/2015
Personality development
2-6 pm
50
Free for IMA Members and by invite
4/8/2015
Emotional Intelligence
2-6 pm
50
Free for IMA Members and by invite
4/15/2015
Presentation skills
2-6 pm
50
Free for IMA Members and by invite
4/22/2015
Creative thinking
2-6 pm
50
Free for IMA Members and by invite
4/29/2015
Communication Skills
2-6 pm
50
Free for IMA Members and by invite
IMA NEWS
 
IMA NATIONAL LEADERS MEET PROGRAM
Implementation of Swasth Bharat Abhiyan in health sector

IMA plans to have hospitals free of bio-medical wastes through a common facility

Situation analysis
  • Per bed biomedical wastes: 250 grams per day
  • Total Bed strength in the country: 28.89 Lakhs (Central Bureau of Health Intelligence)
  • Total biomedical waste generated per day in country: 7.22 Lakh Kilograms
  • Existing facilities for managing biomedical waste in a professional manner:
  • Only a few states have proper biomedical waste management systems, even in these states, total beds are not covered, for example in Delhi only about 50% of the beds are covered properly. 
Why and How?
  • To reduce hospital acquired infection, for clean hospital environment and prevention of multi drug resistant organisms, scientific biomedical waste disposal is essential
  • The process begins at the bed side of the patient where the waste has to be categorised, segregated and disposed in different containers. Needle has to be burned before disposal.
  • All these process goes a long way in universal precautions against infectious diseases and hospital acquired infections.

 

Drug resistance

 

  • Newer antibiotic molecules have not been discovered in last 30 years, only modifications of the existing molecules have been tried out. Multidrug resistant microbials is a real threat. The recent New Delhi metallo-beta-lactamase 1 strain is a stark example. So the need for scientific biomedical waste disposal needs no further emphasis.
  • IMA Kerala state has pioneered a centralised biomedical disposal concept and is effectively carrying this out, covering the total bed strength of the state- both private as well as government.

The operational part

  • Free land has to be acquired from government for this purpose
  • Bio medical waste management unit should be declared tax free

Components of the plant

For 15,000 beds, the biomedical waste production= 250gm per bed * 15,000 beds= 3750 kg

  • Autoclave
    • At 200 kg per autoclave per cycle of 90 minutes(including preparation and rest period), 2 autoclaves and one stand-by is required
  • Incinerator
    • One Incinerator can autoclave 250kg per hour; at this rate (10 hrs per day working)- two incinerators plus one stand-by is required
  • Effluent treatment plant- One
  • Shredding unit- One
  • Hydraulic compressor- One
  • Recycling Unit/sell for recycling
  • Needle pits
Land requirement
Minimum 5 acres of land

Financial requirements
  • Minimum 3 crore investment apart from land
  • Loan facility should be available

Financial feasibility
  • At INR 10 per day, for 15,000 beds, for one month, 45 lakhs is the expected revenue
  • Running cost: INR 6 per bed
    • Vehicle
    • Electricity
    • Water
    • Diesel
    • Man power
    • Financial cost
  • Profit: 18 lakhs per month
  • Income from sale of scrap: 500,000 per month, for 15,000 beds, approx
  • If the running is outsourced, 80% of the profit goes to the agency (except scrap, 20% to IMA; approximately 8.6 lakhs, amounting to 1 Cr profit per year
  • Headquarters share: 50%, amounting to 50 Lakhs per year
IMA in the News
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News
Dr Navin C Nanda honored with the award of an honorary degree of Doctor of Science

Dr Navin C Nanda honored with the award of an honorary degree of Doctor of Science D.Sc (Med) from the Rajasthan University of Health Sciences at their Convocation on February 2, 2015 in Jaipur, Rajasthan, India. The Award, given for the first time to a foreigner, was bestowed by Hon’ble Kalyan Singh, the Governor of Rajasthan and the Chancellor of the University. Later by the Hon’ble Smt. Vasundhara Raje, the Chief Minister of Rajasthan. Dr Nanda received a similar honorary degree of D.Sc from Turkey in July last year.

Press Release
IMA members to offer 10% discount to elderly citizens

In a national office bearers and all state presidents and secretaries meeting chaired by Dr A Marthanda Pillai IMA National President it was decided that all IMA members in the country will be requested to give 10% discount to all citizens above the age of 65.

It was also agreed that similar discounts will be offer to all girl child born in the country.

Giving the details Dr K K Aggarwal honorary secretary general IMA said that IMA has a special program welcome the girl child. Similarly the elderly needs to be taken care off as they need special attention.

The two days meeting held in Delhi was attended by over 100 IMA leaders from cross the country.
Media
IMA,IJCP,HCFI

Rabies News (Dr A K Gupta)

What are the precautions to be taken while administering RIGs?
 
  • Patient should not be on an empty stomach.
  • The RIGs vial taken out from the refrigerator should be kept outside for a few minutes to warm it to room/body temperature.
  • While infiltrating RIGs into the bite wound, care must be taken to avoid injecting into blood vessels and nerves.
  • While injecting into finger tips, care must be taken to avoid compartment syndrome.
  • All emergency drugs and facilities for managing any adverse reactions must be available.
  • For ERIG, keep the patient under observation for at least one hour after ERIG administration and then send home.
  • RIGs can be infiltrated even to already sutured wounds without disturbing the sutures.