(incorporating eIMA News)
3rd March 2016
Editorial (Dr S S Agarwal, Dr K K Aggarwal)
Air pollution can lead to preterm birth in asthmatic mothers
The ill effects of air pollution on respiratory health are well-known. Now, a study from the National Institutes of Health (NIH) says that when pregnant women with asthma are exposed to high levels of certain traffic-related air pollutants, they face a greater risk of preterm birth.

The increased risk is associated with both ongoing and short-term exposure to nitrogen oxides and carbon monoxide particularly when women were exposed to those pollutants just before conception and in early pregnancy.

An increase of 30 parts per billion in nitrogen oxide exposure in the three months prior to pregnancy increased preterm birth risk by nearly 30 percent for women with asthma, compared to 8 percent for women without asthma. Greater carbon monoxide exposure during the same period raised preterm birth risk by 12 percent for asthmatic women, but had no effect on preterm birth risk for non-asthmatics. The last six weeks of pregnancy was another critical window for women with asthma. Exposure to high levels of particulate matter — very small particles of substances like acids, metals, and dust in the air — also was associated with higher preterm birth risk.

The study was published online in the Journal of Allergy and Clinical Immunology.

People with asthma who are concerned about exposures to air pollution may want to limit their outdoor activity during periods when the air quality is forecast to be unhealthy for sensitive groups.
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Press Release
Sleep deprivation and heart disease​
New Delhi, March 02, 2016: Both sleep deprivation and sleep apnea have been linked to a higher risk of heart disease. Over time, inadequate or poor quality sleep can increase the risk of heart disease. Short–term sleep deprivation is linked with high cholesterol, high triglycerides and high blood pressure.

Sleep apnea makes people temporarily stop breathing many times during the night. Up to 83% of people with heart disease also have sleep apnea. People who are sleep deprived have slower metabolism and more difficulty losing weight. They also have the effect of not wanting to exercise or participate in other healthy habits
Poor sleep also appears to increase the amount of certain substances in your body, such as C-reactive protein, that indicate inflammation is a problem. So, inflammation, which is how the body responds to injury, infection or disease, may be part of the reason poor sleep affects your cardiovascular system. Poor sleep also causes the body to produce more stress hormones, which may contribute to cardiovascular disease.
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IMA Updates
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. 

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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.

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3rd March 2016
Topic: Common Skin Disorders
Faculty: Dr Rajat Kandhari and Dr Pikun Gangwani