(incorporating eIMA News)
23rd March 2016
Editorial (Dr SS Agarwal, Dr K K Aggarwal)
FDA to ban powdered medical gloves
The US FDA has announced a proposal to ban most powdered gloves.

They pose an unreasonable and substantial risk of illness or injury to health care providers, patients and other individuals who are exposed to them, which cannot be corrected through new or updated labelling.

The proposed ban applies to powdered surgeon’s gloves, powdered patient examination gloves and absorbable powder for lubricating a surgeon’s glove.

“This ban is about protecting patients and health care professionals from a danger they might not even be aware of,” said Jeffrey Shuren, M.D., director of FDA’s Center for Devices and Radiological Health. “We take bans very seriously and only take this action when we feel it’s necessary to protect the public health.”

Powder is sometimes added to gloves to help make it easier to put them on and take them off; however, powdered gloves are dangerous for a variety of reasons. In particular, aerosolized glove powder on natural rubber latex gloves, but not on synthetic powdered gloves, can carry proteins that may cause respiratory allergic reactions. Although powdered synthetic gloves do not present the risk of allergic reactions, these devices are associated with an extensive list of potentially serious adverse events, including severe airway inflammation, wound inflammation, and post-surgical adhesions, which are bands of fibrous scar tissue that form between internal organs and tissues. These side effects have been attributed to the use of glove powder with all types of gloves.

As these risks cannot be corrected through new or updated labeling, the FDA is moving forward with the proposal to ban these products, which – if finalized – would ultimately remove them from the marketplace completely.

In making the determination that these products are dangerous and present an unreasonable and substantial risk.
The FDA has determined that the banning standard would not apply to powdered radiographic protection gloves. Non-powdered surgeon gloves and non-powdered patient examination gloves will also not be included in the ban and will remain Class I medical devices. 
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Medicolegal Corner
eMedi Quiz
a. Keep the client’s knee on the affected side bent for 6 hours.
b. Apply pressure to the puncture site for 30 minutes. 
c. Check the client’s pedal pulses frequently. 
d. Remove the dressing on the puncture site after vital signs stabilize.
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eWellness: 5 tips to reduce salt in your diet
  1. Make reading food labels a habit. Sodium content is always listed on food labels. Sodium content can vary from brand to brand, so compare and choose the lowest sodium product...Read more

eSpiritual: More about Debts
Hindu scriptures have talked about three types of Hrin (debts) – Dev Hrin, Pitra Hrin and Rishi Hrin. God or the devtas gave us the consciousness, parents gave us our body and teachers gave us the knowledge or intellect...Read more

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A sage presented a prince with a set of three small dolls. The prince was not amused. “Am I a girl that you give me dolls?” He asked...Read more
eMediNexus Specialty Weekly Newsletters
Second Opinion Required

Dr Alagappan Lakshmanan - 50 yrs old diabetic woman has a salty taste in mouth all the time for about 3 years.She says that she is unable to live with that. What might be the reason for that? 
Press Release
World Tuberculosis Day: Rally held by the Indian Medical Association to spread awareness about TB
New Delhi, March 22, 2016: An awareness rally was organized by the Indian Medical Association today to raise awareness about the prevention, management and treatment of TB. World Tuberculosis Day is observed annually on March 24. The rally started at the IMA house and was carried on in and around ITO. It saw participation of IMA members, students and the general public. 
India is the country with the highest burden of TB. It is estimated that about 40% of the Indian population is infected with TB bacteria, the vast majority of whom have latent rather than active TB. The World Health Organization (WHO) statistics for 2014 give an estimated incidence figure of 2.2 million cases of TB for India out of a global incidence of 9 million. The estimated TB prevalence figure for 2014 is given as 2.5 million.

Each year 12 lakh (1,200,000) Indians are notified as having newly diagnosed TB. In addition at least 2.7 lakh (270,000) Indians die. Some estimates calculate the deaths as being twice as high. TB can affect any age, caste or class but cases are mainly poor people and mostly men. Slum dwellers, tribal populations, prisoners and people already sick with compromised immune systems are over-represented among the cases, compared to their numbers in the population. Children comprise 40% of the population but are currently under-diagnosed in India.
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Yoga for Health
Effects of alternate nostril breathing on heart rate variability. 
Immediate effects of alternate nostril breathing on heart rate variability in non practitioners of yogic breathing are very different from the long term influence of yogic breathing on HRV, which show a predominant...more
Forbes Quote of the Day
“Self-pity is our worst enemy, and if we yield to it, we can never do anything wise in the world.” Helen Keller
Dilemmas Answered
A 45-year-old male came with cognitive dysfunction. His B12 levels were normal. He has been on omeprazole 20 mg for 10 years. What can be the reason? Can a heartburn drug cause cognitive problems?

A new study has shed light on one of the long-term effects of proton pump inhibitors (PPIs). They help reduce the amount of stomach acid made by glands in the lining of the stomach. Research published recently online in JAMA Neurology showed that there may be an association between chronic use of PPIs and an increased risk of dementia.
IMA Updates
IMA Starts Nodal center for adverse drug reactions

IMA PvPI Initiative has started a nodal center at IMA headquarters. All IMA members can now report adverse reactions to drugs, vaccines, medical devices, Blood products and herbal products at IMA PvPI helpline 9717776514, open Monday to Friday 9-5.30PM
IMA Polio Dates
  • April 1st: tOPV would not be available after this date.
  • April 11th: bOPV would be available in private market but it is not to be opened or used before 25th April.
  • April 25: IMA Polio Switch Day, when tOPV would be completely withdrawn and replaced by bOPV in both routine immunization and polio campaigns.
  • 9th May: IMA National Validation Day when India would be declared free of tOPV. 

IMA Satyagraha - https://www.youtube.com/watch?v=UV1zCH33BlU

Dr Good Dr Bad And Make Sure
Quizzes and Cases
eIMA News Update
Digital IMA
The Indian Medical Association (IMA) presents a series of weekly webcasts for the benefit of the Indian medical profession, engaging you with the latest in advocacy efforts for doctors, through an interactive exclusive digital webcast partnership with eMediNexus.
Next Webcast: 24th March 2016
Topic: Awareness on Tuberculosis & New Initiatives 
Faculty: Dr KK Chopra, Director, New Delhi TB Centre, New Delhi.