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

National Medical Commission: Thank you for the solidarity shown: Strike called off

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Why IMA opposed the Bill

  • It’s not National as it does not represent all states. Vice chancellors are appointed by Governors and not states.
  • It’s not Medical as it mixes Ayush with modern medicine. Combining Ayush with modern medicine will be a trial and therefore Ayush doctors will leave Ayush, and Ayush mixed with modern medicine will be a potential threat to patients.
  • It’s not a Commission as it has no provision for developmental grant.
  • It’s not Representative as there is no representation of doctors from every state.
  • It’s not Community-friendly: Medical education will become costly, patients redressal with commission against state medical council order will go.
  • It’s undemocratic: The proposed commission will include mostly nominated central government members.
  • It will increase corruption: Powers only with three members in board; commission has only appellant powers, MAR board to have one non medical member, only 0-40% seats will have fee restriction, fine from 1/2 to 10 times, full powers to central government.
  • It is non MBBS-friendly: Those students who pass by grace and fail in licentiate exam will not be allowed to practice. It’s something like you pass the test series but if you fail in one T 20 match; you are out of cricket for that year. Imagine a girl getting married who has passed MBBS but cannot practice
  • It’s not evidence-based: Mixing of Ayush with modern medicine is not evidence-based medicine.
  • It’s not autonomous as the commission has regulatory as well as directional powers.
  • It’s not IMA friendly: As all stakeholders have not been called for discussions.

IMA National President has given a call to end the strike.

IMA hopes that the standing committee will award a patient audience to IMA to take care of all objections of the Association to the Bill.

Dr KK Aggarwal

Padma Shri Awardee Vice President CMAAO Group Editor-in-chief IJCP Publications

President Heart Care Foundation of India

Immediate Past National President IMA

IMA Mission Pink Health launched

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This mission will incorporate Aao School Chale, Aao Gaon Chale, Anemia-free India, Welcome the Girl Child, and Adolescent health

New Delhi, 28 December 2017: The Annual Central Council Meeting of the IMA was held in Mumbai on the 28th of December 2017. The event saw the swearing in of Dr Ravi Wankhedkar as the National President of the IMA for the year 2018. IMA Mission Pink Health was also launched during the event, which went on to address various issues plaguing the medical profession today including the recently approved National Medical Commission (NMC) Bill and the need for professional autonomy.

Installing Dr Ravi Wankhedkar as the new National President IMA, immediate Past President of World Medical Association, Dr Ketan Desai, said, “The medical profession is facing the toughest challenge today and the time has come for everyone to introspect.” Delivering the second IMA Founder’s Day Oration, he said that doctors are different and cannot compare themselves with other professions. They need to be transparent and honest.

Dr KK Aggarwal, Padma Shri Awardee, who delivered the 1st Dr Ketan Desai Medical Statesman of the Highest Order Oration said, “Every doctor needs to file his or her financial return every year and that should include all types of wealth as mentioned in mythology under the head ‘ashta lakshmi’. These are ‘Adi Lakshmi: net return’, ‘Dhana Lakshmi: the monetary gains’, ‘Dhanya Lakshmi: agriculture health’, Dhairya Lakshmi: courage’, ‘Santana Lakshmi: new projects’, ‘Vijaya Lakshmi: the achievements’, Gaja Lakshmi: the HR strength’, and ‘Vidya Lakshmi: the gain in knowledge’. Monetary gain is only one of the eight wealth parameters.”

Dr Aggarwal also raised concerns on the incoming NMC Bill, which will take away the autonomy of the medical profession. Regulators need to have autonomy and be independent of the administrators. The NMC will be a regulator appointed by the administrators under their direct control.

Giving the first Late Dr VCV Pillai oration, Dr Ravi Wankhedkar, who also took over as the 89th National President of IMA, said, “My focus will be on community and public health education. A major emphasis will be on Mission Pink Health which will incorporate Aao School Chale, Aao Gaon Chale, Anemia-free India, Welcome the girl child, and Adolescent health.”

Dr R N Tandon, Honorary Secretary General, IMA, said,” Jiska Koi Nahi Uska IMA is the time-tested slogan of IMA. IMA members thus have the task of guiding everyone irrespective of their financial status.”

The IMA has added the following in the last one year.

  • New medical emblem for doctors to differentiate MBBS doctors from non-MBBS doctors
  • IMA self-regulation code
  • A one-day educational event on TB with over 1000 doctors in March 2018
  • IMA policy on preventing antibiotic resistance
  • IMA restoration guidelines
  • IMA declaration of pollution as public health emergency
  • IMA policy on writing NLEM drugs and capping the prices of non-NLEM items
  • New guidelines on criminal prosecution of doctors
  • IMA no incentive policy (no cuts, no commissions, no referral fee without service)
  • IMA accreditation of clinics, less than 50-bedded medical establishments and educational programmes
  • Aao School Chalen on 5th of every month
  • IMA One Drug-One Price-One Company policy

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