Healthcare

A Complete Guide to take transfer in MBBS Internship

Taking transfer in internship of MBBS may very confusing and difficult for passed out medical student. I have concluded the easiest steps to get internship abroad of your college. For which I wasted so much of time as nobody was to help me in this guidance. So I thought why should I not write an article to help my fellow juniors to get transfer under 10 days.

Note: Always remember wherever someone require documents it should be good photo copy and not the original one, they may ask to see the original but it should be returned to you.

Step 1: Get to know where you want to take transfer, for this it is very important to verify that the college or hospital where you’re taking transfer is permitted by Medical Council of India (MCI). You can go through their website and see this list LINK:

Step 2: From your college first work you need to do is to get your provisional registration as soon as you get your passing certificate from your college. It depends on state to state to verify and finalize the provisional registration, in my state (MP) was online, while in UP it is to be written and done in physical form.

Step 3: Go to your state Directorate of Medical Education (DME) office and write an application, which is to be submitted in the counter and its photocopy that will be stamped to show your proof you giving with date. In this application you need to request an Non Objection Certificate (NOC) from DME regarding from X college to Y college and the date of joining. Attaching your passing certificate and provisional registration.

Step 4: After few days you will get letters from DME to respected:
There are two cases you want to change your internship in the same state (case A) or in some other state (case B).
You will be provided with request letters to provide NOC from:
a) MCI, New Delhi (only in case B)
b) Parent college
c) Parent university
d) College/Hospital where you want transfer

Step 5: College and University NOC
It depends on college to college, some give this NOC easily, other will charge you some fees for leaving your college. It is essential to see your bond while you joined your medical college.
For college NOC you have to give application with attached photocopy documents required by the officer. It will be signed by the Dean of the college and then provided to you in physical form as provisional NOC of college.
Again this has to be forwarded to your university with same application and copies work by you as soon as you get NOC from college.

Step 6: MCI NOC (For case B only)
Since you’re applying transfer to other state it is necessary to get permission from MCI, Dwarka, New Delhi. They need the following documents:
a) Request letter with communication address
b) Copy of NOC from parent college (Annexure 1)
c) Copy of NOC from parent university (Annexure 2)
d) Copy of MCI permitted transferee college/hospital (Annexure 3)
e) Copy of provisional registration of your state
f) Copy of your passport (only in case of applying internship abroad)
g) A demand draft of Rs. 1000/- in favour of Secretary, Medical Council of India payable at New Delhi (any nationalized bank).

Step 6: Transferee College/Hospital NOC
Here the game begins of the other side. Like I am telling you for the case B as they will ask you to get formalities as per the rule of their states.
Like in the case state UP where I took transfer, the hospital wrote a letter to DME to allow us to give admission from other state.
When you give an application with attached notary and other photo copy documents, including NOCs and passing certificate. They will provide you two letters with different mentioning. One for Department of Medical Health (DMH) of State and other to keep for yourself and that it will be used later.

Step 6: DMH NOC Letter
After getting letter from DME to request to DMH. You need to write an application again to DMH just like DME. They also need documents photo copy of NOCs similar to DME. They will provide you 3 letters.
One is supposed to give at State Medical Council for the provisional registration.
Second to the transferee college or hospital.
Third to be given to you for yourself.

Step 7: State Medical Council Registration
After all these work, it is must to get a provisional registration done to the state where you’re doing for. You need to download the form from the state council website and then submit to their office in the capital city.
In case of interstate it may take a lot of days as the verification takes to much time to get from other state. So it is advised to go or send someone at parent state medical council for quick verification.
Here again photo copy of documents required:
a) Provisional Registration copy of Parent medical college state.
b) Hometown CMO Registration Attested
c) Original letter of DME (mentioned in Step 5)
d) Original letter of DMH (mentioned in Step 6)
e) All MBBS prof marksheets
f) Highschool marksheet
g) Your Adhar Card

When you give all these attested with your form, they will ask you to pay fees (Rs. 1000 in state of UP) and provide you a receipt and on site letter that is required to give at tranferee medical college or hospital for taking complete admission.
On other side you need to apply an NOC/verification of documents in parent council to be sent on transferee state council. It may take 15 days or more.
In MP state it takes NOC to apply online and need 3 documents:
a) Provisional Registration
b) Copy of Internship Transfer Order
c) Completion of Rural Bond Certificate or a certificate of non bonded candidate

Step 8: Joining of Transferee College/Hospital
After all this work you will go to your office of transferee medical college or hospital from where you get request letter for DME in the step 6.
You need to give a joining request letter attached with letter of DME, DMH and state council permission letter.
They will finally give you joining to their hospital departments and you can officially continue your internship there.

Thanks for reading. Please read and share to everyone who is interested to take transfer from their medical college to do internship. 

 

How Yoshinori Ohsumi work on Autophagy will change Medical Science?


On 3rd October 2016, a Japanese scientist Professor Yoshinori Ohsumi, Ph.D has been awarded Nobel Prize for Medicine for his study in mechanism of autophagy.

Autophagy, the word itself means self-eating. It is an essential conserved lysosomal degradation pathway that controls the quality of the cytoplasm by eliminating protein aggregates and damaged organelles. It begins when double membraned autophagosomes engulf portions of the cytoplasm, which is followed by fusion of these vesicles with lysosomes and degradation of the autophagic contents.

autophagy

In simple words, It is the process that cells use to destroy and recycle cellular components.
A recycling program – junk cell components are stored and the useful parts comes out to generate the energy or build new cells.

By the acknowledgement of this mechanism of autophagy, many gates will open for the approaches of treating diseases by further research works.

1. Cancerous cell growths can be prevented, that is the major life threatening disease of developed nations, as the survival rate is very low and unreasonable most of the times.

2. Fight against infections of  pathogenic microorganisms, will be great as most of the biology underpinning infectious diseases can be controlled.

3. Maintenance of a healthy metabolism,  It allows cells to degrade large molecules into basic building blocks, which are used as energy sources.

4. Neurodegenerative illnesses, Dementia (caused by tau), Parkinson’s disease (alpha-synuclein), Huntington’s disease (mutant huntingtin) and other age- related disorders.

5. Diabetes Mellitus Type 2, an endocrine disease due to genetical or sedentary lifestyle getting more common in our India will be prevented by autophagy.

6. Development of Drugs, Intense research is underway to develop drugs that can target autophagy to treat various other diseases.

7. Regenerate Protein Inside Body: Because of this machinery now we’re able to rely on some of our own proteins, maybe the damaged proteins or the long-lived proteins, and they are recycled with this sophisticated machinery so that we can sustain and we survive.

Point of care testing (POCT)

Point of care testing (POCT) can be defined as the provision of a test when the result will be used to make a decision and to take appropriate action, which will lead to an improved health outcome. The basic objective of POCT is to produce a result swiftly yet reliably.

According to Accreditation Canada POCT refers to “any testing conducted outside a lab, in a hospital, in a clinic or by a health care organization providing ambulatory care. This includes testing performed at sites outside the traditional lab dedicated to medical biology, near where care is delivered to the client. POCT results may lead to a change in the care of the client. It ranges between three levels of complexity, from simple procedures such as glucose testing, moderate‐complexity procedures including provider performed microscopy procedures like used in TB or high‐complexity procedures such as influenza testing.”

The healthcare system is changing so quickly. Everyone has to run at that high speed just to keep up. Having a good health is just like happiness, can’t remain constant and whomsoever looking to maintain the status quo should not be in or go into healthcare as a profession. The change process shows no sign of slowing down.

In fact, all aspects of this field are moving equally fast like automobile industries, various new technologies like robotics and information technologies (IT). IT boosted so much in recent decade. Economics is also improving as well etc. It is no wonder that POCT is moving quickly ahead as one of the major approaches to solving what seems to be the major challenge that is how to do more with less.

What is the purpose of POC and why it is important?

1. The result of POCT is so quick that it can be done within seconds, to minutes to a few hours while the patient waits. At least result should be given on the same day depended on the complexity range of the diseases.

2. It provides rapid turn-around results that affects the clinical management of referral system, follow up of patient, treatment decisions and decision to discharge the patient.

3.The results of POCT are very useful in clinical decision making for any doctor. As the final diagnosis helps doctor to take appropriate action for the treatment without any further delay.

4. It is convenient for the patients and care providers as well. It mainly derives from the fact that the diagnostic process is achieved with in the same clinical encounter. And the patients do not have to come back for testing or go far away for some testing in medical laboratory.

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Common POCTs are:
Blood-glucose testing,
Electrolytes analysis,
Rapid coagulation testing (PT/INR, Alere, Microvisk Ltd),
Rapid cardiac markers diagnostics (TRIAGE, Alere)
Drugs of abuse screening,
Urine strips testing,
Pregnancy testing,
Faecal occult blood analysis,
Food pathogens screening,
hemoglobin diagnostics (HemoCue),
Infectious disease testing
Cholesterol screening (cholesterol, VLDL, LDL)

SUPPLEMENTARY FOOD FOR INFANTS

At no other time of life food is so important as in the first year of life (infancy). The kind, amount and sanitation of this food as well as the manner of feeding require particular attention which plays dividends in the form of a healthy, happy to baby. The nutrient requirements are high per unit of body weight because of rapid growth. In fact, in no other period of life growth is so rapid as in infancy.

Every mother is aware of that food prepared for adults are not always suitable for infants. But most of mothers do not realise that foods suitable for them can be easily prepared. They go for expensive baby foods which are sometimes beyond their reach.
Satisfactory foods can be planned and prepared for infants and children at home without using much expensive food stuffs.

We all know that breast milk is best food for the baby. But after 6 months, breast milk alone is not sufficient to meet the growing needs of the infants. Certain other food need to be provided  along with breast milk so as to supplement the short fall in the nutrients. The right time to start with supplements is after six months as per the guidelines. If we start too early, the child always at an increased risk of diarrhoea and if too late there is a constant fear of malnutrition.
Please note: Breast feeding has to be continued with supplementary foods.

The texture of consistency of the supplements can be modified according to the age of the infants, thus providing them with liquid supplements between 8-12 months. Liquid supplements include fruit juice, vegetable soups, soupy dal and cattle milk. In early stafes awe can start  with half ounce and gradually this amount can be increased upto 3 ounces per feed.

As the child grows, from liquid supplements there is a gradual transition to semisolid foods. The semisolid foods are mostly porridges made out of the stable food of the community (wheat, rice, maize, jowar, etc) These cereals are generally cooked with milk and sugar.  Some commonly used porridges are ‘Dalia’, ‘Rice Kheer’, ‘Suji Kheer’, ‘Ragi Kanjee’, ‘Sabudana Kheer’ etc. The porridge should be such that the child can swallow it easily. To ensure that the porridge is not thick and to reduce its build ARF (Amylase Rich Food) is added to porridge.

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The ARF is nothing but flour obtained from germinated grain like wheat, bajra, jowar, maize etc. Germinated grain flour contains a lot of amylase which makes the porridge soft , thin and easy to eat. Grains can be germinated, drained in Sun, powdered and the stored in air tight containers. Quarter to half tea-spoon of ARF powder can be added to the cooked porridge  when it is still hot (around 70*C). Other than porridge, boiled and mashed and given as such where as had fruits like apple, pineapple, peaches, banana etc. need to be first stewed and mashed before being served. Boiled dals, egg yolk, boiled fish and meat can also be given along with a little salt and butter.

When the baby starts teething around 8 months, it is the right time to introduce thick solid foods. The foods which were boiled and mashed earlier should now be just boiled and cut into small pieces. Boiled rice and small pieces of chapaties may also be given. Hard and crunchy foods are liked by the infants during the time of teething biscuits, toast, rusk, raw carrot, apple, cucumber are ideal food items for the child to chew.

Various food mixtures prepared from cereals, pulses, fruits,  nuts, animals foods, vegetables, milk and its products during this period. It has been noticed that children who are brought up on a variety of foods lives healthier and have much healthier tastes than those of brought up just milk and biscuits, fruits juice and vitamins. A mixed diet will not only upgrade the protein quality but will also prevent the development of vitamin and mineral deficiencies. By the age of one year the baby can take all solid foods. In fact the child can eat all the foods prepared for family meals.

Most of the problems of food acceptability in children being around one year of age. The problem in fact starts with the mother, who thinks the child should be well fed and tried to feed the child more food that its  needs. The mother should have patience and should help the child in developing good food habits gradually. Learning is a slow process and here the child learning to eat new foods one after the another.
So, have patience, be supportive and the result will be happy, healthy baby.

 

 

India, the country of road accidents

Do you know? India has the highest number of road accidents in the world.

Every hour, 40 people under the age of 25 die in road accidents around the globe.

India stands out miserably in the latest World Health Organisation’s (WHO) “Global Road Safety Report-2015” with an estimated 2,07,551 deaths on roads and around 4.5 lacs crashes. That is actually much more than the number of people killed in all our wars put together.
In 2015, one person dies every 4 minutes in roads accidents in India, according to NGO ‘Indians for Road Safety’.
People left injured were also the highest levels since the recording in India with 4.8 lacs injured people, some of them even faced permanent disability.
According to the WHO, this is the second most important cause of death for 5 to 29 year old ones after is road accident. A 16-year-old has 3 times the crash risk of an 18-year-old and 7 times the crash risk of a 25-year-old.

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“In New Delhi, the capital of India, frequency of traffic collisions is 40 times higher than the rate of London, the capital of the United Kingdom.”

Among 53 mega cities of India, capital city Delhi itself registered the highest number of fatalities Delhi with 2,199. That is like 6 lives end on Delhi’s roads everyday!
Chennai second recorded 1,046 such deaths
Bhopal ranked third with 1,015
Jaipur fourth with 844 lost lives

fatboyke (Luc)Photo URL    : http://www.flickr.com/photos/fatboyke/2668411239/

1. Safety Education & Good Roads:
One should know and follow traffic rules obediently. Uneducated people don’t know about the rules and the educated people ignores them. Preference to pedestrians and children should be first. As per Indian standards, left side should be chosen.
Caution signs should be placed. Government should provide good fund and management for the maintenance of road. Generous luminescence in the dark, street lights in working condition. Cross roads and speed breakers should be made in risky areas.

2. Safety Measurements:
Cars should be driven with seat belts as they protect body parts including brain and spinal cord. It is estimated 15,000 lives are saved each year in USA with the help of wearing seat belts.
Bikes should be only allowed on the roads if the person is wearing a well certified helmet. Youngsters avoid wearing to look cool and adventurous. End up buried under the grave. Helmet saves up to about 50% of cranial injuries.
Government should favor compulsory cars with airbags, ABS (anti-breaking system), fog lamps and rear defogger glasses.
There should be rule of not allowing kids to the age of 15 to be allowed to sit even in co-passenger seat with driver. It is followed in some countries but not in India.

3. Enforcement of Laws:
License should be strictly given after a road test under an official and it should be retested after a period of 5 years at least for renewal. Speed limit, medical fitness tests, compulsory seat belt and helmet rule should be applied. 
There should be strict laws against
a) bad driving,
b) taking and texting on mobile phones,
c) crossing the speed limit,
d) roadside alcohol and drugs intake checkup,
e) illegal street racing, and
f) under-age driving (below 18)

4. Preventive Care with Medical & Rehabilitation Facilities
The person who faced minor or major accident should be provided with ambulance to the nearest hospital for the management of any trauma. Hospital should provide fully specialized Intensive Care Unit (ICU) and Intensive Critical Care Unit (ICCU) facilities can save the life of the person.
Other than that if the person get impairment or disability, he or she should be rehabilitated to avoid being a handicap person. This include medical, social, psychological and occupational rehabilitation.

5. Psychological factors should be avoided
One should not drive in any of these following conditions:
a) Lack of experience with driving a vehicle.
b) Trying to be adventurous and taking raking risks.
c) Impulsive behavior or mood.
d) Defective judgmental behavior.
e) Delay in decision taking.
f) Ability of poor perception.
g) Driving with family dysfunction.
h) Alcohol or any other drug addiction.

Dedicated to my cousin Ankit who lost his life last month on road accident. May the lord rest his soul in peace.

References: TOI, NDTV, Hindu, K.Park’s Preventive & Social Medicine

OMG! This is the condition of health facilities in India

‘India spends less of its GDP on health than some of the world’s poorest countries.’

A single government hospital serves an estimated 61,000 people in India, with one bed for every 1833 people, new official data shows. In undivided Andhra Pradesh, every government hospital serves over 3 lakh patients while in Bihar, there is only one bed for every 8800 people.

Union Minister for Health J.P. Nadda released the National Health Profile 2015 prepared by the Central Bureau for Health Intelligence (CBHI) in September 2015 along with officials of the Ministry, the Directorate General of Health Services and the CBHI.

Every government allopathic doctor serves a population of over 11,000 people, with Bihar and Maharashtra having the worst ratios. The number of qualified allopathic doctors registered with medical councils fell in 2014 to 16,000, or less than half the previous year’s number; the data was however provisional, CBHI officials said.

India now has cumulatively 9.4 lakh allopathic doctors, 1.54 lakh dental surgeons, and 7.37 lakh AYUSH (Ayurvedic, Yoga, Unani, Siddha, Homeopathy) doctors of whom more than half are Ayurvedic doctors.
India’s 400 medical colleges admit an estimated 47,000 students annually.

According to World Health Organization, doctor patient ratio should be minimum one doctor for 1000 people. But in India there is only one doctor per 1,700 citizens which is increasing rapidly.
The Union Health Ministry figures claim that there are about 6-6.5 lakh doctors available, India would need about four lakh more by 2020—50,000 for PHCs; 0.8 lakh for community health centres (CHC); 1.1 lakh for 5,642 sub-centres and another 0.5 lakh for medical college hospitals.

Health expenditure per capita (in USD) of India is only $61 (around 4,000 INR) that is even less than poor countries like Haiti, Cambodia and Zambia.
World Health Organization statement that countries should spend 5 percent of national income on health care services. As per 2012 GDP India is only spending 1.3 per cent while developed countries like US and the UK spending 15 per cent and 8.5 per cent, respectively. Though as per the latest 12th Five-Year Plan India aims for 3 per cent till 2017.

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The Centre’s share of total public expenditure on health has fallen over the last two years, and India spends less of its GDP on health than some of the world’s poorest countries. Among all States, undivided Andhra Pradesh had the highest public expenditure on health in 2012-13. Goa and the north-eastern States spent the most on health per capita while Bihar and Jharkhand spent the least.

Out-of-pocket private expenditure on health has risen steadily over the years, with the cost of medicines, followed by that of hospitalisation accounting for the largest share of the household expenditure. Absolute spending, as well as its share in total non-food expenditure, rises with income levels. Kerala spends the most privately on health.

India is having Human Development Index (HDI) of only 0.609 that is even worse than poor African countries like Guyana & Namibia. Best countries are Norway and Australia that having HDI of 0.944 and 0.935 respectively.

Source: The Hindu & Wikipedia

Can you pass the salt please?

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Evidence shows that people of South Asian descent are at higher risk of high blood pressure and coronary heart disease (CHD). It has been predicted that people of South Asian descent are 30-40% more likely to die prematurely from CHD compared to the average UK population.(2,3) People of South Asian origin are also six times more likely to have diabetes than the average UK population, which doubles the risk of stroke (4) and are 3 -5 times more likely to suffer from end stage renal failure which can be exacerbated by high blood pressure – See more at: Salt and people of South Asian descent.
Indians consume about 3.7 grams of sodium, corresponding to about 9.3 grams of salt per day. This is nearly twice the amount recommended by the WHO. The positive side is that salt consumption has declined slightly in India between 1990 and 2010. There are major regional variations around this average.

Poor people use more of salt to make  their small amount of food tasty. Rich get more salt through fast food and packaged food.

It is estimated that hypertension in India will rise from 140 million people in 2008 to nearly 215 million by 2030 with increased risk of premature heart attacks, strokes and kidney disease. A national salt reduction  programme in India is set to target reductions in blood pressure, heart disease and stroke.

Evidence has shown that a number of health conditions are caused by, or exacerbated by, a high salt diet. Although the strongest evidence is for the effect that a high salt diet has on blood pressure, stroke and heart disease, there is also a wide body of evidence indicating a link between salt consumption and other conditions.
Salt has been linked to:
High Blood Pressure
Cardiovascular Disease (stroke, heart disease and heart failure)
Kidney Disease & Kidney Stones
Obesity
Osteoporosis
Stomach Cancer
Water retention/bloating
Salt is also thought to exacerbate the symptoms of:
Diabetes
Meniere’s Disease
Asthma
Alzheimer’s.

Indian Cuisine and Salt:

Indian cuisine in general, has excess salt. The reason being, Indian cuisine has a heavy load of spices, the spice levels in our food masks the effect of salt. Hence we keep adding salt about 40% more in excess than needed for a particular dish, when cooked sans those spices. This is the reason why in Indian cuisine we tend to add excess salt. Sometimes, people start adding salt even without tasting their food.

The next reason why Indians have excess salt in our food is that, our taste buds are tuned that way. If you gradually add less salt, your taste buds will adjust (it takes about 3 weeks) and you will not notice the difference.

Few food items in particular, that we consume on an everyday basis which has high salt content are:
Pickles, chutneys, sauces and ketchups, papads, chips and salted biscuits, savoury items, cheese and salted butter, canned foods (vegetables, dals & meats), bakery products, ready made soup powders, dried salted fish, Chinese food, salted nuts etc. Butter and ghee are both high in salt and fat. Cut these out of your cooking by replacing them with olive or rapseed oil, or use unsalted versions.

A reduction in salt consumption even by 1g in diet daily may help decrease the incidences of death, say University of California-San Francisco researchers at the American Heart Association’s 49th Annual Conference on Cardiovascular Disease Epidemiology and Prevention. The researchers say that a 3g a day reduction in salt intake could result in 6% fewer cases of new heart disease, 8% fewer heart attacks, and 3% fewer deaths.

How to reduce salt in your food?

Check nutritional information on food labels before you buy a product. Look for the amount of salt (sodium, Na), monosodium glutamate (MSG), baking soda or soda (sodium bicarbonate), baking powder, sodium benzoate, sodium sulfite, sodium nitrite, etc. present in the product. Understand the meaning of the label:

Low sodium/salt: Less than 120mg sodium/100g of food or not more than half the sodium content of the regular food (whichever is less).
Reduced sodium/salt: Up to 75% of the sodium content of the regular food.
Lightly salted: At least 90mg sodium/100g of food less than regular food and less than 600mg of sodium/100g.
Do not keep salt shaker on the dining table.
Choose fruits and vegetables as snacks, rather than salty snack foods.
Choose fresh, frozen or canned food items without added salts or of reduced salt variety. There are many products available with reduced levels of salt or with no added salt.
Select unsalted nuts or seeds.
Eat less salty foods like chips, pretzels, crisps, salted nuts, salty cheeses, soy sauce, pickles, Bikaneri bhujia, chicken broth, processed meat and fish.
Buy fresh, (plain) frozen or canned vegetables without added salt. Rinse canned vegetables to eliminate some of the added salt.
Select unsalted, fat-free broths, bouillons or soups.
Select fat-free or low-fat milk, yogurt and cheese with low sodium.
Add spices, herb, garlic and lemon juice in cooking instead of salt to enhance the taste and flavor of your food. Use only half the amount of salt recommended in a recipe.
Reduce eating pickles, they are high in salt.
Buy ready to eat meals with reduced salt. Do not buy packaged foods that contain more than 120mg of sodium per serving.
Avoid using sauces, such as mayonnaise and ketchup, as these are often high in salt.
Choose fresh or frozen fish, shellfish, poultry and meat most often. They are lower in salt than most canned and processed options.
Some drugs contain high amounts of sodium. Look for it.
Source: Quora

This is how you can prevent breast cancer!

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Today breast cancer is one the most dangerous disease in women after skin and lung cancer  among women. Etiologically depends upon geographical location, genetically, oestrogen access. It is more common in urban areas of India and developed nations. It’s more often in left breast than the right and is bilateral in about 4% cases.

As per statistics development of invasive breast cancer is 12% over the course of her lifetime of US women. About 25% of all cancers among women and causes approximately 20% of all cancer deaths.

In 2015, an estimated 231,840 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S., along with 60,290 new cases of non­invasive (in situ) breast cancer. Around 40,290 women will die from breast cancer.

Breast cancer is now the most common cancer in most cities in India, and 2nd most common in the rural areas. It is most common among post­menopausal women of 50­60 years of age. It is even possible to have development of breast cancer in men but it very rare for like 0.2% of cases.


source: breastcancerindia.net

For around 85% of breast cancers occur in women who have no family history of breast cancer. These occur due to genetic mutations that happen as a result of the aging process and life in general, rather than inherited mutation in genes.

There is no such way to prevent this breast cancer but sill there are few measurements that can lower the chances. It can be possible changing few risk factors that one can keep under it control by changing the lifestyle and diagnosing at earliest stage as possible.

1. Drink less or better avoid
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Alcohol is not only destroys you liver and kidneys. It is also associated with an increased risk of breast cancer. So it is better to limit the intake to no more than one drink a day, regardless of type of liquor.

2. Avoid smoking
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Smoking is often associated to COPD (Chronic Obstructive Pulmonary Disease) and Lung Cancer. But according to scientific researches that long­term smoking also increase the risk of breast cancer in some women due to presence of carcinogens.

3. Maintain your weight and eat healthy
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Risk of breast cancer after menopause has been recorded higher in obese women. Increase your healthy lifestyle by fresh fruits and vegetables, eat lean protein and avoid processed food, carbs and fried meal. Choose vegetarian dishes over non­veg.

4. Stay physically active and strong
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According to research that increased physical activity, even when begun later in life, reduces the risk by about 10 to 30 percent. All it takes is moderate exercise like a 30­minute walk five days a week to get this protective effect. So it is better to stay fit, do workout, stay healthy and live healthy.

5. Breast feeding
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Good news! If you’re a mother and have a recent delivery of an angel. You will be secure from breast cancer for a year with breast feeding your child. It not only acts as nectar for the baby but also there is some natural ability to get cancer by rid of this. Higher risk in unmarried an nulliparous women than in married and multiparous women. But also some women with first childbirth at the late age of over 30 are in greater risk.

6. Avoid Hormone Therapy
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Long term use of OCP (oral contraceptive pills) has been suspected to predispose to breast cancer. Menopausal hormone therapy increases risk for breast cancer. If you must take hormones to manage menopausal symptoms, avoid those that contain progesterone and limit their use to less than three years. So avoid unless it has been prescribed by a doctor.

7. Have regular check­ups

If you are at high risk for breast cancer, such as having a particular gene like a BRCA gene, or have a strong family history or have had high­risk benign breast disease in the past, talk with your doctor about other options like mammography, MRI, xeroradiography, thermography, FNAC and ultrasound screenings.

Many of the times It is noticed that the patient comes at later stage of the cancer and it becomes quite difficult and less possibilities to cure it. It is always advisable to have regular check­ups in hospital. You need to follow­up and talk frankly this about to your doctor.

Sources:
http://www.cancer.gov/
https://www.fredhutch.org
https://breastcancerindia.net
Robbins & Cotran Pathologic Basis of Disease
Harsh Mohan ­ Textbook of Pathology

Five keys to safer food


According to World Heath Organisation (WHO) unsafe food is linked to the deaths of an estimated 2 million people annually – including many children. Food containing harmful bacteria, viruses, parasites or chemical substances is responsible for more than 200 diseases, ranging from diarrhea to cancers.
This year on World Heath Day, the new campaign is for food safety. This is a shared responsibility. It is important to work all along the food production chain – from farmers and manufacturers to vendors and consumers.
So here are the five keys to safer food offer practical guidance to vendors and consumers for handling and preparing food as per WHO:
Key 1: Keep it clean

It is always necessary to clean your hands before handling, preparing and cooking food. Wash your hands after using toilet, with a good antiseptic soap. Wash and sanitize all the surfaces and equipment used in preparation of meal. And make sure you are protecting your kitchen areas and food from insects, pests, and other birds and animals. All the things above will let dangerous infectious micro-organisms away from food that are found in soil, water, animals and people. It usually carries through hands, clothes, utensils and animals.
Key 2: Separate raw and cooked food
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It is recommended to keep raw and cooked foods separate reduces the risk of cross contamination. Cross contamination is used to describe the transfer of bacteria from sources such as raw meat or poultry, food handlers, animals and refuse to a high risk food, e.g. cooked meat products, dairy products, egg dishes (high protein foods). Hence you must keep separate utensils and containers for raw and cooked food.
Key 3: Cook food thoroughly

Some cooked dishes contain ingredients that may have harmful bacteria. Cooking foods thoroughly will help to destroy these bacteria. It is important to check that meat, chicken, fish or egg dishes are cooked thoroughly. Always eat fresh food and make heat above 70*C while cooking to make safer for consumption. Also keep reheating thoroughly time after time.
Key 4: Keep food at safe temperatures

Never leave cooked food at room temperature for more than 2 hours. It is recommended to keep in refrigerator below 5*C promptly all cooked and perishable food as it avoid micro-organisms for further multiply; although some grows normally. But keep in mind storing food too long even in refrigerator is not safe. As we all know serving main course hot makes it tasty but it also it slow down or even stops the growth of micro-organisms. So keep it piping hot more than 60*C before serving it.

Key 5: Use safe water and raw materials

In modern world it become must to have a water purifier at home now. Reverse Osmosis (RO) purifier is one of the best in market as dangerous micro-organism and chemicals in water is getting more common. Besides water, choose foods processed for safety, such as pasteurized milk. Prefer farm fresh wholesome food over canned and supermarket. Toxic chemicals may be formed in damaged and mouldy foods. Always wash and peel before eating it raw. Do not use food beyond its expiry or best before date.