Editor in Chief Dr KK Aggarwal, Padma Shri Awardee

Dated: 30th June, 2019

Long work hours over many years increase risk of stroke

A new study from France found people who regularly worked long hours had a higher risk of stroke, especially if they worked those hours for 10 years or more, says a study published in the journal Stroke. The association seemed stronger for people younger than 50.

Long work hours were defined as working more than 10 hours for at least 50 days a year.

The study reviewed data from CONSTANCES, a French study group with 143,592 participants that started in 2012. Part-time workers and those who had strokes before working long hours were excluded from the study. Overall, 29% reported working long hours and 10% reported working long hours for a decade or more.

  • 1,224 participants had strokes.

  • Those who worked long hours had a 29% greater risk of stroke.

  • Those who worked long hours for 10 years or more had a 45% greater risk.

Inquiry ordered after pregnant woman dies in south Kashmir: Where can be the error?

Authorities have ordered an inquiry after a pregnant woman died at Maternity and Children Hospital Sherbagh in south Kashmirs Anantnag district, even as the police took cognisance of the case. Shobi Jan (25) wife of Mohd Hussain Bhat of Sarnal Anantnag died on Tuesday (June 25). She walked into the hospital on the morning of June 25 (Tuesday). She was asked to take tea and snacks before her delivery which according to the family was fixed at 2 p.m. by the doctors. However, no doctor turned up at the scheduled time.

A female attendant observed that there was no movement of foetus inside the womb and she rushed to inform the doctors. There was no response from the doctors ill 11 pm when she was taken to labour room where no one from the family was allowed to enter. She was taken to operating theater at around 3 a.m.......read more

Negative serology not a reliable indicator of mucosal healing in celiac disease

Do not use negative serology as a reliable indicator of mucosal healing in patients with celiac disease who have persistent symptoms. Instead perform endoscopic biopsies to evaluate healing, recommends the American Gastroenterological Association (AGA) in a clinical practice update on the role of serology and histology in monitoring celiac disease.

The key recommendations are:

  • Serology is a crucial component of the detection and diagnosis of CD, particularly tissue transglutaminase-immunoglobulin A (TG2-IgA), IgA testing, and less frequently, endomysial IgA testing.

  • Thorough histological analysis of duodenal biopsies with Marsh classification, counting of lymphocytes per high-power field, and morphometry is important for diagnosis and for differential diagnosis. A strongly positive TG2-IgA combined with a positive endomysial antibody in a second blood sample increases the positive predictive value for CD to virtually 100%.......read more

Is time and place of death pre-defined?

Some gurus teach that the time and place of death is predefined and some do not. I personally feel that life and respiration are predefined and not day and time of death.

It is something like - water in a sponge will become empty when every drop of water comes out but it does not matter how much time it takes to come out. It is therefore possible to postpone or prolong the fulfillment of Prarabhdha Karma and postpone death......read more

Current Temperature Status and Warning for next five days

Heat Wave and Temperature Observed Yesterday (Past 24 hours from 0830 hrs IST of 28 June, 2019 to 0830 hrs IST 29 June, 2019)

Heat Wave:

No heat wave conditions observed.

Maximum Temperature:

Maximum temperatures were markedly above normal (5.1C or more) at a few places over East Uttar Pradesh; at isolated places over West Uttar Pradesh and Bihar; appreciably above normal (3.1C to 5.0C) at many places over Jharkhand; at a few places over Uttarakhand, Tamilnadu, Puducherry & Karaikal, Kerala & Mahe and Madhya Pradesh; at isolated places over Himachal Pradesh, Haryana, Chandigarh & Delhi, Coastal Andhra Pradesh, Vidarbha, Odisha and Gangetic West Bengal; above normal (1.6C to 3.0C) at most places over South Interior Karnataka; at many places over Rajasthan, Telangana and Rayalaseema; at a few places over Marathawada and at isolated places over Saurashtra & Kutch and Lakshadweep. Yesterday, the highest maximum temperature of 44.3C was recorded at Churu (West Rajasthan).

Temperatures Recorded at 1430 Hours IST of Yesterday, the 29th June, 2019

  • Churu(West Rajasthan) recorded the maximum temperature of 44.0C

  • Temperatures recorded at 1430 hours IST of yesterday rose by 1-5C in most parts over Punjab, Haryana, Delhi & Chandigarh, East Madhya Pradesh and Arunachal Pradesh; in many Parts over Assam & Meghalaya; in few parts over Jammu & Kashmir, East Uttar Pradesh and Sub Himalayan West Bengal & Sikkim and in one or two pockets of Gangetic West Bengal, Orrisa and Tamilnadu & Puducherry.

Healthcare News Monitor

Japan court orders compensation for kin of leprosy patients

ET Healthworld-AP

Tokyo: A Japanese court ordered the government on Friday to pay 370 million yen ($3.4 million) in damages to the relatives of former leprosy patients over a segregation policy that severed family ties and caused long-lasting prejudice. Kumamoto District Court ruled that the segregation violated the human rights of the patients and their relatives.

The 561 plaintiffs demanded 5.5 million yen ($52,000) each for financial and psychological suffering because of bullying and discrimination in education, jobs and marriage.

The court ruled that the government failed to stop the segregation until 1996, decades after leprosy, also known as Hansen's disease, became curable in the late 1940s. More than 12,000 leprosy patients were kept at 14 isolated sanatoriums across the country, and many were also forcibly sterilized. About 1,500 remain at the facilities today with their ties to families and society severed.

In the ruling, Judge Kotaro Endo said Japan's parliament, through legislative negligence, destroyed the families and caused tremendous damage to their lives.

At Chennai general hospital, treatment is free, not drinking water

The Times of India

A tanker fills a plastic tank on the premises of the Rajiv Gandhi Government General Hosp... CHENNAI: "Take another helping of rice if you like but there is no drinking water," the health care worker screamed while serving lunch to patients in a ward of the Rajiv Gandhi Government General Hospital. The city's premier hospital does not provide drinking water to its patients or those accompanying them. "Patients have been asked to take water from a tank outside the hospital or buy Rs 10 bottles of water from Amma Unuvagam," said Sankaran S, a daily wage worker, whose wife has been admitted to the women's ward. Health workers said the hospital is water-starved. "We don't have it flowing in the toilets all through the day. Sometimes, when the taps run dry, we fill water in large drums so patients can flush. It's not just patients and their family, staff working here do not have drinking water. Most of us bring water bottles from home," said a member of the staff. The attendants, who wait at the lounge that has no air-conditioning, fan or windows, say summer has never been cruel. "We came here as we cannot afford treatment at a private hospital. While treatment here is free, we have been spending lots of money for food and water," said R Rajender, whose relative is being treated. The water that comes in pipes doesn't taste like drinking water and it smells bad.

IMA to organise prog on ending violence against doctors

Business Standard- PTI

The Indian Medical Association will organise a mass awareness program on the need to end violence against doctors on the occasion of 'National Doctors' Day' celebrated on July 1.The step assumes significance as a recent nationwide strike by medical practitioners against assault on doctors had left the health care services in tatters. They were protesting against assault on their colleagues in West Bengal by relatives of a patient who died during treatment The IMA will organise the program in its 1,700 branches spread across the country involving different sections of the society. The apex medical body demanded that the government declare hospitals as 'safe zones' and put in place a three-layered security, install CCTV cameras and restrict visitors. The fear of violence is still present in all medical colleges and major hospitals. All the local branches and individual members of IMA have sent an appeal to Prime Minister Narendra Modi and Union Home Minister Amit Shah, demanding enactment of a central legislation to check violence against the medical fraternity, officials said. "Health care violence has its origin in lack of infrastructure and inadequate human resources. Issues of medical profession involving doctor-patient relationship and effective communication also play an important role," said Narendra Saini, former secretary general of IMA.

Gaya hospital gears up for Japanese encephalitis outbreak

The Times of India- Sheezan Nezami

Twenty additional beds have been added in the paediatrics department of Anugrah Narayan Memorial Magadh Medical College and Hospital (ANMMCH) at Gaya to deal with cases of Japanese encephalitis (JE), which normally breaks out in the district with commencement paddy cultivation and onset of monsoon. Even leaves of doctors and hospital staff have been cancelled. ANMMCH superintendent Dr Vijay Krishna Prasad said a separate ward with required facilities has been created. "We have procured necessary medicines in sufficient quantity. Leaves of paediatricians, anaesthesiologists and paramedical staff stand cancelled till the next order," Dr Prasad added. The hospital has 10 paediatricians and eight junior residents. Apart from 20 additional beds, there are ten more beds in the paediatrics department. "JE vaccines are available in all government hospitals and primary health centres and parents should get their children up to the age of 15 years vaccinated," said Dr Nigam Prakash Narayan, former head of PMCH paediatrics department.