Night shifts increase breast cancer risk, especially for nurses

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Night shifts increase breast cancer risk, especially for nurses

  • Night shifts increase breast cancer risk, especially for nurses: A meta-analysis confirms a positive association between long-term night shift work and an increased overall risk for cancer in women, particularly breast cancer. In North America and Europe, working the night shift was associated with a 32% increased risk for breast cancer. Night nurses were found to have a “remarkable” 58% increased risk. For every 5 years a woman spent working nights, breast cancer risk increased by 3.3%. The review, published online January 8, 2018 in Cancer Epidemiology, Biomarkers & Prevention, was led by Xuelei Ma, PhD, from the West China Medical Center of Sichuan University, Chengdu. Hence, long-term night shift workers should undergo regular physical examinations and screenings for cancer.
  • IMA sends Rs 50-crore legal notice to motivational speaker. The Indian Medical Association (IMA) has sent a legal notice to a “motivational speaker” for allegedly referring to doctors as “murderers in white coats” and projecting them in bad light on an online public platform. Stating that the video posted on YouTube has caused a loss of reputation to medical professionals, the doctors body has claimed Rs 50 crore in damages for defaming them. The association has also sought an apology from the speaker and the removal of the video from the Internet, IMAs KK Aggarwal said. Its national president Ravi Wankhedkar said the video will further worsen the doctor-patient relationship. The speaker in the video – Indian Medical System Ki Asliyat – purportedly describes how doctors allegedly mislead patients to make money and meet test and surgery targets.

He has allegedly referred to doctors as “safed coat ke khooni lootere (murderers in white coats).” Following the IMA action, the Delhi Medical Association (DMA), too, has sent a notice to the speaker while the Jaipur Medical Association has approached a court. “Our client has been shocked and surprised to see the impugned video as the same contains several false, and baseless averments and is a result of incorrect and grossly irresponsible publicising/posting,” the DMA notice read. “The impugned video is not only a glaring case of incorrect posting based on utter conjectures and surmises, having no rational basis whatsoever but the same has been published with malafide intent to adversely affect and besmirch the name and repute of the medical professional of our country,” it read (PTI | Jan 9, 2018, 22:17 IST, New Delhi).

  • ICMRs guidelines to address vitamin D deficiency in children: ICMR has come out with new regulatory guidelines saying that Indian children should have a daily intake of 400 to 1000 IU and 600 to 1000 IU of vitamin D for children less than a year and u to 18 years respectively. But as per Indian experts, similar oral dosing of vitamin D concentration has not had the desired effect on the Indian children. In India oral doses of up to 2000 IU per day are barely able to maintain vitamin D sufficiency. A dose of 60,000 IU achieved vitamin D sufficient status in only 47% girls at the end of one year.
  • MRI not dangerous for those with pacemakers: Patients who have permanent pacemakers or implantable cardioverter-defibrillators are often denied the opportunity to undergo MRI because of safety concerns. New research in the New England Journal of Medicine argues such safety concerns are incorrect and outdated. These concerns exist because of previous case reports in which appropriate protocols were not followed. Nazarian and a team of researchers performed a prospective, nonrandomized study of 1,509 patients to assess the safety of MRI at a magnetic field strength of 1.5 Tesla. 58 percent had a pacemaker and 42 percent were fitted with an implantable cardioverter-defibrillator; no devices were considered “MRI-conditional.” In total, no long-term, clinically relevant adverse events were reported during the study. But in nine MRI exams a patient’s device reset to a backup mode—a finding that was transient in eight of the nine instances.

Precautions

o    Use 1.5-tesla magnet

o    Limit specific absorption rate to 1.5 W/kg for a maximum of 30 minutes

o    Informed consent

o    Stand-by cardiologist and pacemaker technician

Dr K K Aggarwal
Vice President Confederation of Medical Associations of Asia and Oceania
President Heart Care Foundation of India
Group Editor in Chief IJCP Group
Immediate Past National President IMA

Night shifts increase breast cancer risk, especially for nurses

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Integrating Ayush with other medicine systems will encourage quackery and disintegrate AYUSH

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The IIPH has also come out in opposition of this clause in the NMC Bill, which is just one of the many clauses that are not in the interest of the medical profession

New Delhi, 12 January 2018: The Indian Institute of Homoeopathic Physicians (IIHP) recently opposed the proposed bridge course for Ayush doctors in the National Medical Commission Bill (NMC), 2017. Calling it a retrograde step, the IIHP indicated that such a move is highly detrimental to homeopathy in the long run.

As per Dr Ramjee Singh, President of the Homeopathic Council and Dr RK Manchanda, Director General of CCRH, Homeopathy is a full medical system by itself and is capable of handling diseases independently.

The proposed NMC, among other things, is not ‘medical’ in nature as it allows the mixing of ‘Ayush’ with ‘modern medicine’. Combining the two in the same treatment by the same doctor will constitute a new treatment and hence necessitate a trial, which would require the approval of the ethics committee.

Clause 49 of the Bill states that a joint meeting of the NMC, the Central Council of Homoeopathy, and the Central Council of Indian Medicine should be held at least once in a year “to enhance the interface between Homoeopathy, Indian Systems of Medicine and modern systems of medicine”.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, President Heart Care Foundation of India (HCFI) and Immediate Past National President Indian Medical Association (IMA), said “Such unscientific mixing of medical systems is not in the best interest of people. It will pave the way for backdoor entry of qualified quacks to medical field. Such a provision will only do more harm than good. The bridge course will only encourage quackery, which is already one of the major issues faced by the medical fraternity today. It will take away the purity of each system of medicine. To expect students of another system of medicine to clear a bridge course and become adept at a totally different field is nothing short of absurd.”

The joint sitting, may, by an affirmative vote of all members present and voting, decide on approving specific bridge course that may be introduced for the practitioners of Homeopathy and of Indian Systems of Medicine to enable them to prescribe such modern medicine at such level as may be prescribed.

Adding further, Dr Aggarwal, who is also Vice President, Confederation of Medical Associations of Asia and Oceania, said, “It is time that the powers-that-be took urgent notice of this crisis and acted accordingly. The medical profession is currently facing the darkest hour. Not only are patients slowly losing faith in doctors and the profession as such, but are also becoming violent against doctors with the slightest provocation. This bill is only an addition to these existing woes and will exacerbate the situation for the medical fraternity and the students of medicine.”

It is not the first time that the government has made such a move. In 2005, the then Union health minister, Dr Anbumani Ramadoss, tried unsuccessfully to bring about a legislation to dissolve the MCI and set up another council under the control of the Health Ministry, which was rejected. That scenario is repeating itself today, with the difference that the union cabinet has given its approval to the draft NMC. The Parliament has a larger role to play in protecting the interest of the medical profession of the country. It is time to act.