AMSA India Issue Ten AMSA India Newsletter Issue Ten AMSA India Newsletter
Autumn: art de l'adaptabilité Le New Norm World AIDS Day World Diabetes Day Universal Children's Day
AMSA India Newsletter
Issue Ten
Issue Ten
Issue Ten
REVISTA MEDICOS
RM 10
AMSA India Newsletter
AMSA India Newsletter
The DECA- Issue
Issue T
5
LETTER FROM RC
LETTER FROM SEC & EDITOR 6
12
CONTENTS
EDITORIALS
FROM OUR READERS
10
EDITORIAL BOARD 31
DIVE DEEP KOFFEE WITH WITH INTERNA-KING TIONAL ARTHUR TEAM
ADAPTI BILITIE PUZZLE
37
QUESTIO SEQUESTIA
ART BY OUR READERS
81
ETICIA PERGUNTAS
39
8-9
86 CREDITS
EVENTS BY AMSA INDIA JOURNEY TO QUIZATHLON
97
112
OUR PARTNERSHIPS 114
98
100
5,2,7; 7,2,1; 14,3,3; 19,2,11; 24,15,2; The Ottendorf code, Lets see you decode. 25,2,11; 33,1,9; 29,1,1; 28,3,1
Asian Medical Students' Association- India
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28
NEW BREAKTHROUGHS
AMSA india about us.
AMSA India represents Indian medical students interests in all the spheres of our society and thus provides an excellent platform for empowerment. The activities involve medical students in participating in various national and international conferences, academic bonanzas and philanthropic work. The directive of our organization is to inform, educate and counsel every medical student of India. The international activities Conference EAMSC are (January/February), AMSC (Conference: July/August) and AMSEP (Student exchange).
about AMSA
INTERNATIONAL
AMSA was officially founded in Manila, Philippines in the year 1985, it is an active, dynamic and exciting student-led, not-for-profit and non-political organization with 27 member associates and observer nations. AMSA's vision is knowledge, action, friendship i.e. to share knowledge, undertake activities and social services and create international and inter continental friendships that lasts forever.
ASIAN MEDICAL STUDENTS' ASSOCIATION
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The lingering question kept me up I wonder till I'm wide awake I wonder till I'm wide awake Two a.m., who dowith you love? (Spanish+English) title soul of Now I'm pacing back and forth, wishing you were acing back and forth, wishing you were Iat my door wonder till I'm wide awake medicine in words of a poet: I'd open up and you would say, hey I'd open up and you would say, hey back Now I'm pacing and forth, wishing you were at my door It was enchanting to meet you I'd open up and you would say, heyIt was enchanting to meet you All I know is I was, enchanted to meet you I know is I was, enchanted to meet yo It was enchanting to meetAll you This night is sparkling, don't you let go is I was, enchanted to meet This you night is sparkling, don't you let it g All Iitknow Not to brag but the gospel truth we say wonder struck, blushing all the way Thishome night is sparkling, don't you it go struck, blushing all the way ho I'm let wonder 'll spend forever wondering if you knew I'm wonder blushing all the way homeforever play Newsletter is thestruck, mirror of an organization's I'll spend wondering if you knew I'll spend forever wondering if you knew This night is flawless, don't you let it go This does night isis flawless, don't you let it go Every detail of what organization told This night is flawless, don't you let it go m wonder struck, dancing around all alone I'm wonder struck, dancing around all alo I'm wonder struck, dancing around all alone we unfold Besides,ifall future plans of organisation 'll spend forever wondering youthe knew I'll spend forever wondering if you knew I'll spend forever wondering if you knew I was enchanted to meet you Not only a mirror , the meaning of "medicos" is not lost I was enchanted to meet you s me praying that this was the very firstI was pageenchanted to meet you is me praying the very firs is me praying thatcrosswords this wasThis the very first page that this from questions and to interviews all was we got Not where theclinical story lineThis ends Notagain where the story line ends Not where the story line ends ughts will echo yourNo name, until I see you less than awill democracy, our organization stands My thoughts willagain echo your name, until I see y My thoughts echo your name, until I see you e the words I held back, as I was leaving too soon These are the words back, as I was too soon These areleaving the I held back, as I was leaving members , ofI held members and forwords members I was enchanted toby meet you I was enchanted to meet you I was enchanted to meet you lease don't be in love with someoneThat's else what makes it grand Please don't be in love with someone Pleaseelse don't be in love with someone e ease don't have somebody waiting on you Please don't have somebody waiting on you your love and is indeed craved Please don't have somebody waiting on lease don't be in love with someone else feedback is what Please don't be in love with someone else Please don't bepaved. in love with someone e ease don't have somebody waiting you have because inonunison are the trails ofon success Please don't somebody waiting you Please don't have somebody waiting on This night is sparkling, don't you let it go This night is sparkling, don't you let it go wonder struck, blushing all theI'm way homestruck, blushing all the way Thishome night is sparkling, don't you let it g wonder 'll spend forever wondering if youI'llknew wonder spend forever wondering ifI'm you knew struck, blushing all the way ho This night is flawless, don't you letThis it gonight is flawless, don't you I'll letspend it go forever wondering if you knew m wonder struck, dancing around alone struck, I'mallwonder dancing around all alone This night is flawless, don't you let it go ASIAN MEDICAL STUDENTS' ASSOCIATION 'll spend forever wondering if youI'llknew spend forever wondering ifI'm youwonder knew struck, dancing around all alo
Revista medicos : Hardest to bid adios
R
evista Medicos
Priyansh Nathani Letter from Regional Chairperson, AMSA-India 2020/21
Dear Readers,
Letter from Regional Chairperso n AMSAIndia 2020-21
With the first vaccines being deployed, we surely have reached the stage we were hoping for. Science didn’t fail to deliver in such difficult times. COVID-19 pandemic has affected every country, every individual regardless of their socio-economic status across the globe, and the best way to ensure we walk through this pandemic and ahead together is by ensuring equitability and with a sense of empathy & comradery. Despite hitting every sector of the society, people from each sector adapted to the changing nature of the pandemic and its effects and accepted the new norms for survival. Healthcare systems have been struck hard. Novel strategies and protocols are being developed and implemented for safe and accessible healthcare to all, with necessary contributions from every stakeholder. In this edition of our quarterly newsletter, in lines with our theme ‘Autumn: art de l'adaptabilité’, get the opportunity to go through some great articles as shared by our members and other sections on how to do the best we can, as future healthcare professionals, to cope up from this pandemic by adapting to the 'Le New Norm!' I would like to thank our Secretary of Newsletter, Asmitha Reddy & Editor of Newsletter, Anushree Rai and our entire editorial board for the wonderful coverage of AMSA India’s 3rd quarter and I'm grateful to our members for their valuable submissions featured in this edition. I wish you all a very happy year ahead ! Stay Safe. Stay Healthy. VIVA AMSA ! Best wishes, Priyansh Nathani RC, AMSA India
Asmitha P. Reddy Letter from Secretary, Newsletter, AMSA-India 2020/21
Dear Readers,
Dear Readers, Dear Readers,
We at AMSA have always made it our goal to ‘grow and expand’ and we are on the path to becoming with all theIndia support enthusiasm from reaching our members and ititonly With everyone day, AMSA hasand grown bigger we andreceive stronger, heights like looks never like a upward ride from here on. As part of a new team with AMSA India, we in the Executive Board before. With the wonderful and innovative ventures MERSA, PHRD and various other want to give everyone wonderful opportunities and having a newsletter which can circulate in India departments have brought, the potential of AMSA India is being unravelled before all its and beyond India is one way to do so. As for the first time ever we are featuring articles beyond members. India, specifically AMSA Indonesia and AMSA Thailand!
With thattobeing said, surely hastenure, been Issue a tough 2020 and we have gotten through itWith only Bringing you the firstitissue of this #8 Pandemics: Foregoing and Forthcoming. this edition we hope to debunk anyteam circulating myths andreaders. rumours about theifcurrently widespread with the help of the editorial and you avid So first all, I would like to COVID-19 Pandemic. We also hope to bring to your attention the advances that have been made in thank our sincere readers and contributors for keeping us motivated by not only keenly the field for of medicine felt time of theinputs pandemic. waiting the nextduring issuethis butshort also but for long sending in their and articles. All these things have given us the much needed push to keep going even in the time of this pandemic It was a pleasure to be able to work with a talented and enthusiastic team like the current Editorial and wewehave out year, victorious. Board havethus with come us for this and I thank each and every one of them for all their innovative ideas and hard work that’s been put into to make this newsletter release this Quarter. We were Secondly, I would like to thank team at AMSA India for us keep thereceived magazine overwhelmed with submissions for my the Newsletter this term and areletting so blissful to have all of them, so in case you don’t see your submission, feelpoints disheartened, it’sThank just because we had going and giving us all the support we needdon’t at all of time. you Priyansh a lot of talent and innovative entries.AMSA India for the constant support and motivation, I Nathani -Regional Chairperson
would also take this opportunity to thank my personal cheerleader and a dear friend I would like to thank my wonderful team for all their effort and ideas that they have contribute to Anushree Rai- Editor Newsletter for being therethis at all points of timenot andhave making the newsletter, withoutofthis brilliant group of people newsletter would beenthis a issue look spectacular and raising it's standards to heights we never imagine it to reach. success. I would also like to thank Priyansh Nathani- Regional chairperson, for the support he has
shown and for letting me take this opportunity to be a part of this team. I would also like to thank the Editorworking along with me, without whose constant support And the lastAnushree but not Rai thefor least, My Beloved Editorial team for putting in their timeand and commitment this the newsletter wouldn’t be possible. I would like to send a huge-shout to all the effort to make Deca-Issue a wish come true, without these marvellousout five people contributors and the passionate readers who are keenly waiting for the release of this issue, and you wouldn't be reading this Newsletter right now. we hope you love the newer and revitalised issue of Revista medicos
Best Regards, Asmitha P Reddy Asmitha SecretaryPofReddy newsletter, AMSA India 2020/21 - AMSA India 2020/2021 Secretary Newsletter
Anushree Rai
Letter from Editor, Newsletter, AMSA-India, 2020/21 Dear DearReaders, Readers, With enormous new ventures like MERSA Methodologies, Public health events and massively successful membership drive, AMSA-India has been working harder each day, to provide exciting new opportunities to its members! Being one of the leading students medical association in India, we are well aware of our responsibilities while catering to a diversified audience of medical students Pan-India and beyond. And as a step towards achieving the same holistically, we, the editorial board of AMSA-India have tried to cater the needs of the bibliophiles and intellectuals by incorporating literary and illustrative endeavors by our members and curated a visually appealing and reader friendly Issue for this quarter! This January, Seasons’ Greetings! This fall, while contemplating the panoply of the fall colors and the leaves dropping, let us remind ourselves to cherish lives. Acknowledging that our comfort and joy are not synonymous, with appreciation for our unique coping skills amidst a pandemic and global climatic crisis. Let us decide to do the best we can, wherever and whenever, by adapting to the Le New Norm. However, due to obvious constraints in space and time, we weren't able to incorporate all the works from our skillful members, but you know what they say, keep trying till you accomplish it :) Lastly, we've worked tirelessly to carry forward the legacy established by the previous editorial board, supervised by Srinidhi Muruggapan and Asmitha P. Reddy. I'd also like to express my special gratitude to Priyansh Nathani, Regional Chairperson, AMSA-India, 2020/21 for believing in me and supporting me throughout the curation of the issue. In the end, i'd like to extend warm thanks to the entire editorial team, Samneet, Sriharmendar, Vignesh, Sanjali and Shaswat for working diligently and enthusiastically towards the goal of providing our readers with new, unique and improved content. Newer sections like editorials and make your choices are a few instances of the efforts put into curating the newsletter. However, even with the best put efforts, we believe that there will always be a scope of improvement in the work that we do, so I'd request all the readers to please fill the feedback form which will help us in knowing better about your expectations from us. Lastly, If you're a member of AMSA-India, and wish to seek a feedback on your articles, or have any ideas pertaining to the newsletter then here's what you can do, send an e-mail to editor@amsaindia.in and attach your work or suggestion. Best Regards, Anushree Rai, Editor, Newsletter, AMSA-India 2020/21
THE EDITORIAL BOARD SHASHWAT MISHRA 2ND
YEAR
A CARING AND FUN-LOVING HUMAN STUDYING IN DR RAM MANOHAR LOHIYA INSTITUTE OF MEDICAL SCIENCES, LUCKNOW. HE MAKES SURE EVERYBODY ELSE IN THE ROOM ALSO IS HAVING FUN, AT ALL TIMES WITH HIS WITTY HUMOR.
SAMNEET SINGH 2ND
YEAR
A STUDENT OF DAYANAND MEDICAL COLLEGE , LUDHIANA. AMALGAMATION OF IDEAS WITH RHYTHM IS HIS PASSION AND AS THEY SAY BREVITY IS THE SOUL OF WIT, HE FEELS POETRY ADORNS AND ABRIDGES THE CONTENT NEVERTHELESS MAKES THE CRUX UNADORNED.
VIGNE 2ND
A STUDENT MEDICAL MADRAS, T WITH A H ZEAL OF MEDIC ENGINEE PRESENTL INTERNSHIP INTELL
AMSA-INDIA 2020/21 SANJALI DHARAMSHI 4TH
YEAR
A STUDENT OF VYDEHI INSTITUTE OF MEDICAL SCIENCES AND RESEARCH CENTER JUST TRYING TO MAKE A LITTLE DIFFERENCE IN THE LIVES OF PEOPLE.
ESH M YEAR
FROM MADRAS L COLLEGE, TAMIL NADU. HUMONGOUS BLENDING CINE AND RING, HE IS Y DOING HIS IN ARTIFICIAL LIGENCE.
SHRIHARMENDER KANT 2ND
YEAR
A STUDENT OF AIIMS, RISHIKESH WHO DRAWS CREATIVE INSPIRATION FROM FANTASTICAL DREAMS AND EXTRACTS COLOUR PALETTES FROM THE BURGEONING LIFE ALL AROUND, NO WONDER SHE'S ONBOARD THE DESIGN CREW OF AMSA INDIA NEWSLETTER .
NEW BREAKTHROUGHS AIRTHINGS WAVE PLUS It is an indoor air quality detector connected to an app having sensors for humidity, temperature, VOCs, CO2 and air pressure. It is the first of its kind having a radon detection technology, the leading cause of lung cancer for non-smokers in United States.
PATHSPOT
PathSpot aims to fight the spread of food borne illness by using a light-based detection algorithms to scan people’s hands for contamination. The device is also being used in restaurants to ensure employees’ hands are free of pathogens
SANKU DOSIFIER
like E. coli.
Sanku's award-winning dosifier allows millers to ‘dose’ their flour with the exact ratio and precise amount of essential nutrients needed for a healthy diet into the flour during the milling process, with the potential to end micronutrient malnutrition globally through inclusive fortification. Helping end the nutrition inequity.
Asian Medical Students' Association- India
SAATHI PADS Saathi invented these sanitary napkins to increase access to the products of women in certain parts of India in an environmentally friendly manner. These pads are made from banana fibers purchased from local farmers and are 100% biodegradable.
GRAPHENE FACE MASKS The face masks contain laserinduced graphene that has the ability to kill bacteria and viruses. The graphene layer has antibacterial properties and can generate heat when exposed to sunlight. It is hoped that the masks could help reduce the viral transmission and infection during the current COVID-19 pandemic.
CATALOG DNA DATA WRITER CATALOG’s DNA writer uses human DNA as an inspiration for storing information. The device prints data on blank, synthetic DNA strands and was recently able to print and store 16 gigabytes of English version of Wikipedia in about 12 hours.
Asian Medical Students' Association- India
Well researched and especially curated by the editorial board members for the readers, to realize
the harsh realities from the editorial point of view
EDITORIALS Fall is the time to recall and stand back tall How climate change is affecting human beings Man made Industrial Epidemics Immunity boosters, oldage and climate change Psychological Tricks to play on the mind
FALL IS THE TIME TO RECALL AND STAND BACK TALL SAMNEET SINGH
As Henry enters the home, the old willow tree in the
garden
shedding knowing
facing
its he
the
leaves
has
main
like
given
his
an
gate old
best
looked man
in
his
happy
retiring
,
adulthood.
Seeing that he couldn't stop himself from sitting down under the tree and sipping his coffee and thinking "I wonder why would a tree be so happy shedding
"..we are all locked up in our homes or rather been sneaking out with fear in our minds. This old willow who itself was a sign of sadness ,losing its leaves must be a strong hearted guy to regrow them every single time."
leaves
and
thoughts
of
re-growing
them, wouldn't it be really hard?"
It's
been
homes
months
or
rather
we been
are
all
locked
sneaking
out
up
with
in
our
fear
in
our minds. This old willow whom itself was a sign of
sadness,
hearted
losing
guy
Wondering
to
what
its
leaves
regrow gave
them it
the
must every
be
a
strong-
single
resilience,I
voice:
Asian Medical Students' Association- India
time.
hear
a
Been seven long months I see This has been the longest happiness spree I saw you sneaking out late nights, months back Seven months no Swiggy bringing the night snack For me by nature, is to observe and adapt I would complain mother nature Why like you I couldn't react Being willow I am known for sadness They never know, I witness the love's madness
Just like you I ask isn't it hard to regrow Was it hard for you as you now rush back to college door I saw that car stay alone for weeks Wasn't it hard for you to give up, travel freaks? Movies in theatres to watch parties under me Did it pain to give up them Henry? From planning birthday parties at the beginning of fall
"Don't blame me for being so blunt Being a willow ,sadness is all I grunt"
Did it hurt to hear your zoom birthday call From you riding a bike at a speed so fast To you and dad walking, laughing at shadows cast Don't blame me for being so blunt Being a willow, sadness is all I grunt But if you knew what I say is both
Asian Medical Students' Association- India
It's sadness chunks you see in the happiness broth You ask me is it hard to regrow Losing and growing isn't a choice , it's a solution though Change is what underlies adaptation A Train is never meant to stay at the station Our lives likewise are bound to transform We better adapt and stay up strong!!
Maybe it's the reason why this phase is called fall. It's not just the trees, we all do lose and regrow and it's been a long time since we have been giving up habits one after another and yet again in an unending chain.
Late
night
party
animals
now
turning
into
morning
persons
,movie
maniacs
watching sceneries and trees, travel freaks just moving from one corner of the house to another. Why is it we have to change
in our lives? , We were good
back then and now all we could do was stay indoors
or go out with thousands
of restrictions. But as I think I realise that as dead and futile are those yellow leaves,
some
of
habits
we
had
were
equally
dead
and
Nature
ripped
us
of
those habits. That's why lockdown, for sure, felt good in the beginning. But lives were meant to be beyond
Netflix and Chill but looking at the willow
I
still realise, "At times it's not what we want to do but what we have to do, for there is always a perfect planner overhead planning and controlling our lives"
But as I think I realise that as dead and futile are those yellow leaves, some of the habits we had were equally dead and Nature ripped us of those habits. That's why lockdown, for sure, felt good in the beginning.
Asian Medical Students' Association- India
IS NATURE TO BE BLAMED EVERYTIME ? VIGNESH M.
Pandemic! Cyclone! Earthquake! Tsunami! And every other threat nature has imposed on us! We all show our unity and humanity in tackling these hard times and helping peer humans. But there is another aspect, which we totally forget and barely consider to Man has lost the
show the same unity and humanity.
capacity to foresee or forestall. He will end by destroying the Earth -Albert Schweitzer
Apart from bomb blasts and hijacks that happen out of human rage, there are many incidents that occur due to mere carelessness of people, yet menace human
lives.
Among
them,
major
jeopardy
is
Industrial accidents. It is a harsh reality that many of us are aware only about the Chernobyl and Bhopal Tragedy on hearing this fancy term, yet these are only a drop in the sea of disasters that happened already. Though the number of tolls per industrial disaster is minimal when compared to that of a natural disaster, the frequency of these incidents and the amount of misery, both physically and psychologically, that an
Asian Medical Students' Association- India
individual and his family undergo is way too high than the natural ones. Apart from a human being suffered, the effect if these accidents on the environment
are
incomparable,
sometimes
polluting the natural resources, including the air and drinking water, for several years. Another important reason for the increased toil connected How is it possible that the most intellectual
with these incidents is the carelessness in constructing and maintaining these facilities and
creature to ever walk
the reduced preparedness to handle the accident
the planet Earth is
when it occurs. Lack of proper protocol prepared
destroying its own
by either the government or the industrial firms to
Home? -Jane Dodall
follow when such a disaster occurs is a major black mark that is threatening the lives of both the people and the environment. The list of the industrial disasters ever documented is countless and beyond the scope of this editorial. But we have tried to expose the major industrial accidents of our country that went as the hot topic of the media during the outbreak.
Asian Medical Students' Association- India
Bombay Docks Explosion April 1944 Deaths: 1300+ Injurred: 80k+
Tughlakabad Gas Leak May 2017 Injured: 200+ school students
Bhopal Gas Tragedy December 1984 Deaths: 2250+ Injured: 500k+
Korba Chimney Collapse September 2009 Deaths: 40+ Injured: 100+
Kanpur Ammonia Gas Leak, March 2017 Injured: 100+ trapped inside including farmers
Mayapuri Radiological Accident April 2010 Level 4 on 7 of the International Nuclear Events Scale
NTPC Power Plant Explosion November 2017 Deaths: 30+
Meghalaya Mining Accident December 2018 15+ were trapped, 5 lived, but only 2 bodied retrieved
To many more threats to the environment and life due to human negligence‌
Asian Medical Students' Association- India
PSYCHOLOGY TRICKS TO PLAY ON THE MIND SHASHWAT MISRA
You cannot always control every situation or its outcome, but what you can control is your reaction to it. Asian Medical Students' Association- India
The mind is beautiful yet scary, it can be our best friend and our worst enemy. However, it is a myth that we do not have conscious control over how our brain behaves. Contrary to popular belief, our brains are not the absolute master of the body, but the brain itself relies of several other parameters of the body. In a situation where you feel anxious or angry, where you feel like you've lost control the following tips can help you : 1) Breathe : In a state of anger or anxiety, we tend to take shallow and quicker breaths to maintain a positive feedback loop of our flight or fight response. Taking long and deep breaths, will disrupt this loop and help calm us. 2) Admittance : Denial of how your mental framework is will only exacerbate it. Accepting how you're feeling and allowing yourself to feel it can help you understand it. 3) Reflect : This is a continuation of admittance, reflection helps to break down the irrationalities in our thought process. While this may be particularly hard to do, especially in a state where one is in an agitated state of mind, it definitely helps to calm oneself down. 4) Change your surroundings : In a situation which makes one agitated, it's important to take time away from that setting. Removing yourself from a situation agitating you might help in calming you down. 5) Vent : Bottling things up has never helped anyone. Everyone needs a steam valve, and these valves can come in different forms and shapes. It might be talking to someone, exercise, music or penning down your thoughts. It's highly subjective and varies from person to person but is ultimately universally helpful. 6) Get Professional Help : Sometimes situations might get too heavy for anyone to handle alone, and this threshold is largely subjective. Getting professional help is a necessity when one feels like they're in a situation which they cannot handle alone anymore. We all have our own battles to fight, and there's no shame in getting professional help to tame a storm which we can't face alone.
Asian Medical Students' Association- India
GOT NO CHILL (literally!)
SHRIHARMENDAR KANT
Climate change is not just about carbon dioxide levels and melting polar ice caps. It is about our public health and protecting our Earth for future generations.-Mike Quigley When one thinks of the word ‘Greenhouse Effect’, an image of a distraught polar
bear,
clinging
compulsively
on
flashes
in
to
a
our
small
mind.
A
ice
raft,
graphic
amid so
a
melted
familiar
yet
glacier so
ocean
foreign.
We
humans often fail to put the climate crisis in the context of our own health. A change in global temperatures has far-reaching repercussions on our healthnot
just
physical
degradation
has
but
also
already
mental.
become
The
upshot
apparent
to
of
us,
rampant
environmental
manifesting
itself
in
the
accelerating rate of vector-borne diseases, infections due to contaminated food and water and fights over the meagre resources ensuing in poor mental health.
A
report
decade
by was
World
Meteorological
hottest
to
be
Organisation
measured
and
this
has year’s
shown
that
wildfires,
the flood
past and
extreme heat have added to the woes of millions already grappling with the pandemic.
Another
report
by
experts
states
that
heat-related
deaths
increased by 54% in the elderly over the past two decades.
Asian Medical Students' Association- India
have
An
editorial
published
in
Lancet
draws
attention
to
the
common
denominators between climate change and zoonotic pandemics like the one we are currently facing. Let us probe deeper into the calamitous backwash of climate change on our well-being with the following pointers:
Rise in vector-borne diseases- A warmer and wetter climate will serve as a breeding ground and accelerate the transmission of diseases such as malaria, dengue, elephantiasis and yellow valley fever. Toxic algal blooms- Warmer water bodies will upsurge algal growth, polluting drinking water supplies and leading to cholera outbreaks. Higher temperatures of freshwater can also increase Naegleria fowleri and Cryptosporidium. Heat Stress- It can severely affect vital organs and can cause permanent disability. The global increase in temperatures will decrease the productivity of our workforce, loss of jobs and economic slump. Food scarcity- FAO estimates about 189.2 million people afflicted by undernourishment in India which is expected to increase manifold with climate change. Extreme weather conditions- Climate change leads to bizarre weather patterns like frequent droughts, floods, hurricanes and cyclone. Drought leads to plummeting nutritional status, increase in mortality rates and predisposition to several other diseases. Floods waters can bring in a slew of communicable disease pathogens such as cholera, hepatitis A and E and diarrheal disease.· Psychological impacts- A study by CDC suggests ties between increasing temperature and suicides. Loss of crops, jobs and livelihoods and migration can lead to a loss of community belongingness with long term negative impacts on mental health We have reached the tipping point for climate actions and a failure on our part to address climate issues will put insurmountable pressure on the healthcare system to deal with the numerous diseases due to climate change. It’s time we questioned the quality of health and well -being that our forthcoming generation will inherit from us. So long we haven’t colonized Mars or Moon, this little blue pearl is a treasure to be taken care of.
Asian Medical Students' Association- India
IMMUNITY SANJALI DHARAMSHI An important note: No supplement, diet, or lifestyle modification — aside from physical distancing, also known as social distancing, and practicing proper hygiene — can protect you from developing COVID-19 or any other disease. The strategies outlined below may boost your immune health, but they don’t protect specifically against COVID-19.
AGING CHANGES IN IMMUNITY As you grow older, your immune system does not work as well. The following immune system changes may occur: The immune system becomes slower to respond. This increases your risk of getting sick. Flu shots or other vaccines may not work as well or protect you for as long as expected. An autoimmune disorder may develop. This is a disease in which the immune system mistakenly attacks and destroys healthy body tissues. Your body may heal more slowly. There are fewer immune cells in the body to bring about healing. The immune system's ability to detect and correct cell defects also declines. This can result in an increased risk of cancer.
Asian Medical Students' Association- India
IMMUNITY BOOSTERS CITRUS FRUITS Vitamin C is thought to increase the production of white blood cells, which are key to fighting infections and is a good antioxidant.
RED BELL PEPPERS Besides boosting your immune system, vitamin C may help you maintain healthy skin. Beta carotene, which your body converts into vitamin A, helps keep your eyes and skin healthy.
BROCCOLI Broccoli is supercharged with vitamins and minerals. Packed with vitamins A, C, and E, as well as fiber and many other antioxidants, broccoli is one of the healthiest vegetables you can put on your plate.
GARLIC Garlic’s immune-boosting properties seem to come from a heavy concentration of sulfur-containing compounds, such as allicin.
GINGER Ginger may help decrease inflammation, which can help reduce a sore throat and inflammatory illnesses. Ginger may help with nausea as well.
SPINACH Spinach made our list not just because it’s rich in vitamin C — it’s also packed with numerous antioxidants and beta carotene, which may both increase the infection-fighting ability of our immune systems.
KIWI kiwis are naturally full of a ton of essential nutrients, including folate, potassium, vitamin K, and vitamin C.
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IMMUNITY BOOSTERS YOGURT Yogurt can also be a great source of vitamin D, so try to select brands fortified with this vitamin. Vitamin D helps regulate the immune system and is thought to boost our body’s natural defenses against diseases.
ALMONDS Vitamin E, a fat-soluble vitamin, which means it requires the presence of fat to be absorbed properly. Nuts, such as almonds, are packed with the vitamin and also have healthy fats.
SUNFLOWER SEEDS Sunflower seeds are full of nutrients, including phosphorous, magnesium, and vitamins B-6 and E and selenium.
TURMERIC This bright yellow, bitter spice has also been used for years as an antiinflammatory in treating both osteoarthritis and rheumatoid arthritis. Curcumin, present in turmeric is an antiviral and immune booster.
GREEN TEA Both green and black teas are packed with flavonoids, a type of antioxidant. Where green tea really excels is in its levels of epigallocatechin gallate (EGCG), another powerful antioxidant, and also a good source of the amino acid Ltheanine, which aids in the production of T cells.
PAPAYA Papaya is another fruit loaded with vitamin C. Papayas also have a digestive enzyme called papain that has anti-inflammatory effects and also have decent amounts of potassium, magnesium, and folate, all of which are beneficial to your overall health.
CLIMATE CHANGE AND IMMUNITY Global warming is capable of inflicting more harm than we think it does. According to a recent study, heat waves can reduce the body's immune response to flu. Climate change may affect the future of vaccinations and nutrition, suggests recent study. The climatic phenomenon is predicted to reduce crop yields and nutritional value, as well as widen the ranges of disease-spreading insects. However, the effects of heat waves on immunity to influenza had not been studied before.
Climate change can affect human health in two main ways: first, by changing the severity or frequency of health problems that are already affected by climate or weather factors; and second, by creating unprecedented or unanticipated health problems or health threats in places or times of the year where they have not previously occurred.
Although the impacts of climate change have the potential to affect human health in the United States and around the world, there is a lot we can do to prepare for and adapt to these changes—such as establishing early warning systems for heat waves and other extreme events, taking steps to reduce vulnerabilities among populations of concern, raising awareness among healthcare professionals, and ensuring that infrastructure is built to accommodate anticipated future changes in climate. Understanding the threats that climate change poses to human health is the first step in working together to lower risks and be prepared.
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EXTREME WEATHER EVENTS El Nino
DISEASE TYPE Vector-borne disease
MAIN FINDINGS Increasing outbreaks of emerging diseases were linked to El Nino event. Outbreaks and epidemic of malaria were positively connected with El Nino events in many regions.
La Nina
Water-borne disease
The risk of symptoms associated with diarrhoea is twice the previous when exposed to southern California coastal waters during an El Nino winter.
Vector-borne disease
Chikungunya fever epidemic related to the drought incurred by La Nina. La Nina year produced an epidemic of West Nile fever and Japanese encephalitis.
Water-borne disease
Risk increased across diarrhoea symptom during a La Nina winter.
Quasi-Biennial Oscillation (QBO)
Vector-borne disease
QBO has been found to be linked to the incidence of Ross River virus in south-eastern Queensland.
Heatwaves
Vector-borne disease
Heatwave was associated with outbreak of West Nile fever in Israel in 2000.
Air-borne disease
Heatwave contributes to the increased morbidity and mortality from infectious respiratory diseases.
Water-borne disease
Diarrheal diseases are frequent during drought especially in refugee camps.
Vector-borne disease
Drought has been found to be associated with hantavirus pulmonary syndrome (HPS).
Drought
Increased West Nile virus risks follow the drought. The risk for transmission of St. Louis Encephalitis virus would increase, during the droughts. The Chikungunya fever epidemic may be associated with droughts.
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A Dive With Prince Arthur Hola adventurers who have been travelling with us since our last edition!! After exploring space travel, we are back with another adventurous ride, but this time into the deep sea. And yes, this section is dedicated to our crazy DC fans who felt disappointed with our last Marvel edition!! Explore the deep sea adventures and the associated changes in our body along with Prince Arthur of Atlantis and his regent Vulko! Prince Arthur
Vulko
I’m excited as we are finally going for a deep dive Yaaay! But Uncle Vulko could you explain to me the changes in the breathing pattern that happens to our breathing pattern as we are going underwater?? Sure my Prince! As we descend down, there will be an increase in ventilation due to the arterial and alveolar pCO2 changes. But what about the Oxygen levels Uncle, does it affect my body in any way? Due to the pressure differences, the pO2 also increases along with pCO2. Prolonged exposure to high O2 damages the airway epithelium and smooth muscle and causes bronchiolar and alveolar membrane inflammation.
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But uncle, all these changes can lead to serious consequences right! You are right Arthur! Increased O2 tension can ultimately lead to pulmonary edema, atelectasis, fibrin formation, and lung consolidation. But don’t worry, if we follow the proper technique and dive slowly, we could prevent the serious consequences!! Ohh fine Uncle, but I’m feeling a bit lethargy, drowsy and fatigue – similar to that of taking several glasses of Martini Arthur! What you are feeling is termed the Martini effect – a side effect of Nitrogen Narcosis. It is said that every 15 m descent into deep sea is equivalent to the consumption of 1 additional drink of martini. In severe cases, it may even lead to loss of consciousness. Uff, So many gases to remember!! But uncle, do you know anything! Looks like my body is adapted to this environment, I don’t feel the discomfort I had when I started diving. Yeeey! Finally, I can go for a swimming race with the fishes here. Haha! This is due to a phenomenon called misnomer saturation my prince! During an extended dive the body’s tissues gradually equilibrate with the highpressure gases that one has been breathing. Oh my gosh! I totally forgot that I have my online classes now! Uncle we need to hurry up to the surface now! No my Prince! Please calm down, if we ascend up hurriedly, due to the rapid change is the pressure you could experience decompression sickness which leads to serious consequences like arterial embolization in various organs including the brain
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Thank God! You have reminded me at the correct time, I will ascend up slowly to prevent the serious consequences!! But Uncle, I have learnt in my school that the pressure of air and water is different. So, as we ascend up, will this pressure change affect us?? You are right my Prince!! As we ascend up, there is fall in barometric pressure which leads to fall in alveolar pCO2 and pO2 which ultimately leads to fall in arterial pO2. Do you know what happens next Arthur??
No uncle! Please don’t keep the suspense, I’m eagerly waiting to hear….
Do you guys know the answer to break his suspense!! Let us know at newsletter@amsaindia.in so that we will convey it to Prince Arthur!! Catch us back at the next issue for another exciting adventure up in the sky!
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Koffee with Samarvir Jain Samarvir Jain was appointed as the Vice Overall Chairperson Internal 20/21 in AMSA International. He started as a National Officer of IT, to be later appointed in the Organising committee of EAMSC 2020, after which he applied for the post of Director of IT AMSA India. Following this along with several other achievements under his belt he was appointed at the post he is at today. Samarvir feels that AMSA feels like a family more than an organization, which gave him the platform to grow as a person! Best moments in AMSA-India you would like to share with members Starting from the very Beginning, the best moment in AMSA was when I was awarded with best ‘National officer for first quarter’. According to the ritual the best National officer is also invited in the National Executive Board Meeting (NEBM) along with other Executive Board Committee for tenure 2019-20. Second one was EAMSC 2020 where I was representing both AMSA India (Academic Delegate) as well as AMSA International ( as Director of Information Technology for tenure 2019-2020). I was very proud to announce our AMSA India App launch there. I met so many of my new friends. Third is when I was invited to represent AMSA along with various biggest Organisations like Operation Smile, IFMSA, American Medical Student Association as a speaker for ‘pathways to reopen medical school in current COVID Scenario' And lastly, the best moment is when I was elected as Vice-Overall Chairperson Internal (VOCI) for tenure 2020-2021. To be Honest if AMSA wouldn’t have been in my life, I wouldn’t have improved myself to the extent that I have now. AMSA has groomed me both personally and professionally. I was very shy and introvert person but during the whole journey with AMSA I have overcome my shyness and introvert nature. Professionally, AMSA has taught me the importance of team work and loyal friendships which I have developed during my whole journey of AMSA. I have learnt to keep my personal and professional life separate. I have learnt the importance of time and how to manage my time more effectively with busy schedule of Academics.
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How do you want members to be more involved/contribute towards AMSA India and International?
AMSA India and AMSA International both provides members the various opportunities like exchanges and research opportunities where members can participate and enhance their knowledge and make new friends throughout the world. Other than this, AMSA provides you with various leadership opportunities where you can learn more about how to lead AMSA in various disciplines and how these run by students. Contributing in AMSA International is not just about improving your CV, it is much more than that. The qualities, the etiquettes and the patience which members are going to learn is much more than building CV. What changes have you brought to AMSA International with the position that you hold right now, and what do you hope to achieve by the end of your tenure? My Job as Vice-Overall Chairperson Internal deals with the supervision of internal department which includes Chief Editor of JAMSA, Chief Editor of eNewsletter, Director of Academics, Director of IT & Collaborating with Senior Officers which includes Overall Chairperson, Vice-Overall Chairperson Internal, Vice Overall Chairperson External, General Secretary & General Treasurer. The work done by me is leading the makeover of AMSA International in web which includes development of AMSA International Wikipedia page, Google Billboard presence and making of new AMSA International website. I have Established new formal system for AMSA International which is Workplace by Facebook. Along with SOs, we have finished up with new constitution for AMSA International. Along with this we established seedership groups where chapters are divided among Me, VOCE & OC to establish the communication with our chapters and help them when they need us. The upcoming projects include revamping eNewsletter, Research collaboration department. What is one Quote or saying you want people to go by? AMSA is not just an organisation, it’s emotion.
Asian Medical Students' Association- India
Koffee with Oshin Puri Oshin has been appointed as the Chief Editor of the Journal of Asian Medical Students’ Association at AMSA International 2020-21! J-AMSA is an international, peer reviewed, open-access student led biomedical research journal. His first research abstract being selected for Oral presentation at International Medical Students’ Research Conference, PCM, Bangkok, Thailand motivated him to take the motto of AMSA forward and help medicos round the country gain knowledge, take action and develop friendships. He was appointed as the Assistant Vice Overall Chairperson (Internal) in AMSA India. He wishes to make J-AMSA the first choice for students to submit their research work and gain international recognition!
Share with us something about your aspirations as a medical student. Right from when I became a medical student, I got that tag, I really wanted to be a Surgeon. That's because I love skilled work more than brain work. Surgery is more about using your hands, skills and dexterity. As of now, I would like to go ahead being a neurosurgeon. I want to continue as a researcher rather than a surgeon, in the field of neurosciences and contribute something to this noble profession. One country you dream to practice medicine in, and why? I Decided to pursue the USMLE (United States Medical Licensing Exam) too early in my career. Exploring Robotic and other forms of advanced surgical techniques that a surgeon in the US learns is something I want to go through. I want to do residency there and get trained as a surgeon, so that I know every bit and part of the way a surgery can be done. Be it a laparoscopic, robotic, by the time we pass MBBS, many other categories of surgeries will arise and I want to learn them all. I'm not sure where do I want to practice as a practitioner, but I'm sure about residency and training there.
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How has your journey with AMSA been so far and what would you recommend our members to take away from AMSA India? I must say that this question is very close to my heart because I have so many medical students' organisations and there's something unique that AMSA has. AMSA goes by that caliber. I joined AMSA in August 2019, as a general member and started exploring certain activities which were organised such as, I applied for AMSC Thailand, participated in MediNexus and I just kept on exploring. I must say that AMSA was the first place from where I got my first conference to present my research paper, it was IMRC Thailand, organised by AMSA Thailand. The whole process of applying and getting selected, enjoying the moment and being an international presenter, it was that moment that AMSA became so close to my heart. The biggest thing I was telling everyone was that I became the AVOCI directly from a general member. I got to know so many more people from all parts of India as Executive Board members, as National Officers, as State heads, as College heads and then the environment that developed in AMSA where no one is a senior or a junior. I started to work for the research department of AMSA India. We made out the structure for MERSA, which, very kindly, the executive board helped me to implement. After seeing my research interests, Priyansh also supported me to become the chief editor of J-AMSA International. The way the application process went forward, it was again just mesmerizing how even in AMSA International, my capabilities and plans were outweighed than my experience. It's all about learning, growing and remaining connected. What changes have you brought to AMSA International with the position you hold right now and what do you intend to achieve by the end of your tenure? As of now J-AMSA doesn't charge any publication fee even though it's read in 30 countries! Although I might add that the indexing is not very strong and that is something that I hope to improve by the end of my tenure and I'm already working on it. We've even gotten a positive response from crossref today itself! All our board members have personal IDs on our domain, where you can contact the editors for guidance! We have also quintupled the size of our board this year. I'm also hoping to change the submission process and to make it easier for the author. What is one quote or saying, by which you want people to go by? The one thing I believe in is taking decisions with a calm mind, considering all the pros and cons. A calculated decision helps to prevents regrets in the future.
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Koffee with Khushman K. Bhullar On the 8th of August, 2020 Khushman was appointed as the Director of Public Health at AMSA International. She manages these responsibilities with the hope that she can unite all AMSA Chapters to work for joint focus areas of public health, working towards bringing in more public health opportunities internationally. When did you join AMSA and how did you come across AMSA-India and what motivated you to join AMSA? 8th July , 2018 - First day of AMSC Malaysia 2018 - First time I got to know about AMSA from my seniors who were delegates at this conference, during my first year finals. Fascinated & Intrigued by the academic, social & cultural persona of the conference, I was determined to be a part of AMSA & finally, one month later, I officially became the 19th AMSA-India member in my medical school. AMSA-India opened a whole new door of opportunities for me & challenged me to learn, grow & evolve. I finally got the opportunity to be a part of the Executive Board of AMSA India as the Secretary of Marketing & Sponsorships in May 2019. Having attended AMSC 2019 in Singapore & getting selected for the Travel Application Grant To Organising AMSEP Japan in August 2019 & being a part of Organising Committee of EAMSC 2020 in New Delhi To Attending the National Executive Board Meeting of AMSAIndia in June 2019; The Executive board became my family and AMSA my home in the very first year of joining this wonderful organisation. What is the one thing that you’d want people to know before they join AMSAIndia? Before you join AMSA India, I want you to know that it’s not just an organisation but a family of like-minded and passionate medical students coming together from various parts of the country to build bonds & new friendships, learn new things & grow academically and become empowered to take action and contribute towards the well-being of the medical fraternity in particular and community as a whole.
Asian Medical Students' Association- India
What is your current position in AMSA India and International and what are the responsibilities that come with it? I am currently the Vice Overall Chairperson External (VOCE) at AMSA India and the Director of Global Health (DoGH) at AMSA International. As the VOCE, I supervise a team of 4 secretaries, 11 National Officers and 12 Liaison Officers. We manage all types of external collaborations ranging from short term community partners for public health projects to long term academic partners for various kinds of events. We have successfully completed execution of 50+ Memorandums of Understanding (MoUs) with zero terminations. DoGH, a transition from the Director of Public Health (DoPH), was a relatively newer position in the beginning but we gradually evolved with the roles entailing it. AMSA Global Health committee consists of 20 National Directors of Public & Global Health (N-DoPGHs) from 15 AMSA Chapters supervised by the International DoGH, that’s me and the Advisory Board led by Senior Advisor Dr.Khor Swee Kheng. The GHOC (Global Health Organising Committee) consisting of sub-teams of various directors is responsible for organising various Global Health Trainings aimed at training our members in global health issues, policies and equip them with the resources and opportunities to partake in international discussions and events. What changes have you brought to AMSA International with the position that you hold right now, and what do you hope to achieve by the end of your tenure? The Public Health Subsidiary of AMSA International has undergone scope expansion to include Global Health, thus refitting it to the Global Health Subsidiary of AMSA International. We have re-strategised and restructured the subsidiary and we now have a designated Global Health Calendar and the Global Health Organising Committee responsible for successful execution of our planned activities. By the end of this tenure, I hope to have successfully empowered and activated all 15 Chapter Teams in contributing towards their Local Public Health as well as successfully completing the planned activities on Global Health Calendar and launch of our subsidiary’s flagship programme Asian Medical Students’ Outreach Programme (AMSOP). What is one Quote or saying you want people to go by? Small Acts, when multiplied by the efforts of thousands of young minds together, hold the power to transform the Global Community.
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Adaptabilitie' Puzzle 1
2
3
4 5
6
7
8 9
10
11
12
Asian Medical Students' Association- India
Across 3. Prophylactic drug to prevent Pneumocystis pneumonia in AIDS patients. 5. Drug which must be included in all first line regimens of HAART. 6. Most common Hepatitis associated with HIV infection (no gaps). 7. HbA1c stands for which hemoglobin. 10. Drug for Diabetes Mellitus which combats insulin resistance as well as decreases glucose production and increase glucose uptake, and won't cause weight gain. 11. A condition in which blood sugar is high, but not high enough to be type 2 diabetes.
Down 1. It is used to prevent parent to child transmission of HIV (Vertical Transmission). 2. Characteristic lesion observed in diabetic nephropathy. 4. An AIDS defining malignancy. 8. This Diabetes is an example of an autoimmune disorder. 9. HAART involves the combination of at least how many anti retroviral drugs (in words) 12. Gold standard method for confirmation of HIV diagnosis. Can you guys solve this crossword? Let us know at newsletter@amsaindia.in to win exciting prizes!
Asian Medical Students' Association- India
LITERARY WORKS FROM OUR READERS
In this section, we present to you the best picked literary works on Le new Norm, HIV and Diabetes by our readers!
JANUARY
2021
|
ISSSUE
10
DIABETES: A LIPOPHILIC LEGACY DR. AVI SINGH
ABOUT THE AUTHOR:
Dr.
Avi
Singh
is
an
intern
at
Government medical college, Amritsar. With a belief that Work
and
Passion
are
two
sides
of
a
coin,
one
giving
purpose to life, and the other- a meaning, he dreams to bring the best of both worlds together. A 'Scientific Artist' , an avid traveller & an enthusiastic writer- he believes our privelages & Accomplishments are Purposeful only if passed on.
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Pathetic Pancreas decided to stop their decent dance, & Insulin became my lifelong friend. Hopeless, my own cells decided not to bend their knee (insulin resistance) Helpless, my own immunity wrote down ny silent end (Autoimmunity)
Diabetes -is my lipophilic legacy & Death by sugar- my pancreatic prophecy.
My body, a glycolytic Mess. Sweet Blood flows through the plaques that line each vein; Snowflakes in my eyes (Cataract) & dead myelin around the nerves that leave my brain. (Gloves & Stockings Neuropathy)
The sugar rush sets in every time i forget an injection; & follows the cacophony of deaththe thirst, the coma, the infection. (DKA)
And the times I take too much, they say "Hypoglycemia is more dangerous."
My (Neuro-)pathetic life: now all about a balance, a balance the impossible to strike. 126: the magical number,
beyond which any silent nap maybe an eternal slumber.
Beyond which sugar is poison. & My body, a time bomb.
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The ticking- my body cannot hold no more. The injections leave their mark. & for every complaint I have, the doctors have a convenient remark: a) "Oh you've diabetes, you see" A beautiful gift from my previous pregnancy b) "You don't control your diet" & I apologize for cravings I cant control at midnight c) "You are not fit for surgery" To that, I have lost both my feet (Gangrene) Until the grim reaper asks me my last sweet wish: "Would my brain bear a stroke (CVA) ? or Shall I allow my heart to skip a beat (AMI) ?" For they said, & I know this curse shall never go. All I can is control, but never cure.
JANUARY
2021
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ISSSUE
10
HYPOCRISY AND UNEASE AROUND THE HIV CRISIS ANJALI MEDIBOINA
This year’s theme for World Aids Day is Global Solidarity, Shared Responsibility. As said by UNAIDS in their official brochure, “Eliminating stigma and discrimination, putting people at the centre and grounding our responses in human rights and gender-responsive approaches are key to ending the colliding pandemics of HIV and COVID-19”. As the initial cases of HIV were a cluster of homosexual men and injecting drug users, there was an association of this disease with homosexuality and drug abuse, and ultimately this led to the stigmatization of the patients. It is this stigma that is responsible for the initial hesitancy to take action against the disease. But that was in the 1980s, when not much was known about HIV/AIDS. Now, with the advancements in science and technology, the etiopathology has been studied and myths about the disease have been debunked. So, why is it, that even in 2020, we still find ourselves educating people about the stigma and discrimination surrounding HIV/AIDS?
Asian Medical Students' Association- India
The answer lies in the response to the problem.
For
example,
Prevention,
in
the
India, Union
at
the
Health
Global
Prevention
Minister,
Harsh
Coalition
Vardhan,
(GPC)
reaffirmed
for
HIV
India’s
commitment to achieving the 90-90-90 target across the country by the end of the current year. This means that by the end of 2020 90% of all people with HIV should become aware of their status.
What the government doesn’t realize is, internalized stigma still exists. Many people are still hesitant to get tested, for fear of being stigmatized by their community. Even if they do get tested, patients have reported fear of taking their pills in front of family and asking for transport to clinics.
It’s quite absurd to see our government setting such ambitious targets, while none of these issues are being tackled, or planned to be tackled. Furthermore, the recent shifts away from prevention and towards treatment are also alarming; there
is
less
funding
being
allocated
for
prevention,
education
and
testing;
rather, most of the focus is on treatment.
The progress India has made toward the UNAIDS target could unravelled if this disregard towards stigma and discrimination continues and the government does not realize the major threat marginalization poses. There needs to be strict reinforcement of existing policies (such as the Indian AIDS Control Programme Strategy). Stigma reduction strategies must be integrated into the educational curriculum and training of healthcare professionals.
The intersectional stigma needs to become an area of focus; only then can we hope to fully eliminate HIV/AIDS.
ABOUT THE AUTHOR IAnjali Mediboina, a third year medical student from ASRAM, Eluru, is a music aficionado with a love for reading. Having a passion for all things creative, she recently started to dabble in writing and hopes to use her voice to advocate for LGBTQ+ and Women's rights
Asian Medical Students' Association- India
JANUARY
2021
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ISSSUE
10
A PERTURBED MIND: COPING WITH DIABETES IN TIMES OF COVID-19 NIKHITA KALRA
“Sometimes life hits you in the head with a brick. Don’t lose faith.”- Steve Jobs This year has been capricious, sometimes throwing the mankind to the wolves while at others, making them grasp at straws. In such times of turmoil, everyone has been striving to surmount their fears and inner demons. Some people, like those with chronic diseases, mental disorders, or those unable to be with their families, are more vulnerable than others. One such faction is of diabetic patients, their compromised immunity and high blood glucose levels make them susceptible to COVID-19 and its associated complications. Diabetes distress is an emotional response to the threat of a life-changing illness. It is a product of emotional adjustment, and has been found to be significantly associated with glycated haemoglobin (HbA1c) level and the likelihood of an individual adopting self-care behaviours. [1] This pandemic has amplified it- the apprehension of complications of COVID-19 in diabetes, dearth of regular health check-ups, unavailability of medications. Separation from family and insecurity about future just add to the vicious cycle. A recent study in India showed that only 28% of the participants were checking their blood sugar levels regularly but 80% were consistent with their exercise and diet control.[2] Be headstrong In case of any flu-like symptoms, diabetic patients should immediately consult a doctor as inpatient care may be required. Infections lead to a higher blood glucose level and therefore, hydration becomes important.
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Regular blood glucose monitoring along with adherence to medication, exercise and a proper diet are vital to dealing with stress in the current scenario. Telemedicine has been a respite for many in times when hospitals evoke fear and anxiety, and it is a boon to be able to communicate with one’s healthcare provider. Voicing one’s thoughts is the key to conquering the constant mental tussle. It could be sharing one’s concerns with their family or simply talking out loud to oneself. Coming to terms with the fact that everyone is in the same boat can do wonders. Another coping mechanism lies in the art of being disciplined. The perks of forming a routine are manifold, it allows one to curb the bad thoughts that plague a distracted mind and focus on the present. It is imperative to shift one’s attention from the persistently increasing COVID-19 cases and the ceaseless discussion on news channels. There exist innumerable strategies, but each has to find the one that can help them tide over these murky waters. In Edmund Hillary’s words, “It is not the mountain we conquer, but ourselves.” Tenacity determines how laborious dark times are. Though it may seem easier to succumb and concede, an extra ounce of effort is all it takes to get to the finish line.
ABOUT THE AUTHOR Nikhita Kalra is a 3rd year student in Maulana Azad Medical College. She is an ardent reader and loves to write. She is always up for a jog or a game of basketball
Asian Medical Students' Association- India
JANUARY
2021
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ISSSUE
10
THE METANOIA PRAGYA CHAND
Friedrich Nietzche noticed that Autumn is more the season of the soul than of nature while F.Scott Fitzgerald believed that life starts all over again when it gets crisp in the fall. A thinker once said, ”October is about trees revealing the colours they’ve hidden all year, people have an october as well.” There has always been this preposterous commitment of humans with the act of “falling”, be it falling apart or falling together. The mellow tones of rust orange or the crisp sound of leaves crackling under you on a pavement while you are headed to the nearest coffee shop, the undeniable beauty of fall has been romanticised since time immemorial. Amidst the Pandemic and the inevitable repercussions it brought along, sapiens have taken all the hits in a stride and slowly, but steadily evolved for their betterment. Science stands witness to this remarkable ability of adaptability and to eliminate all the queries regarding it’s validity, concrete evidences exist for your understanding. he first month of the Infamous worldwide quarantine was equally detested by the multitude from all the continents. However, the gusto with which we adapted to this new Normal is commendable.
Asian Medical Students' Association- India
About the author: Pragya Chand would be a tea sommelier had not been married to medicine,A quiet human on your regular bench -outside-thelibrary vibing to James Bay,would you satiate you with her loquaciousness if felt comfortable,a selectively social goofball and a certified aesthete
The changing family dynamic, the constant hindrance in routine practices and the trauma associated with it tunnelled its way to an irrevocable outcome. Sapiens have yet again proven to be the elites by thriving in such dysphoric situations and normalising, what seemed so reprehensible, to be the new reality.”Wabi-Sabi”, a beautiful Japanese word, translates to the beauty and appreciation of things imperfect and impermanent; accepting the flow of life. Needless to say that none of us were prepared for such an enormous trauma on the face of humanity and civilization. COVID-19 has left no soul untouched and the drive with which we are rising above it is no less than a miracle. Internet has proven to be an asset in such times, nearly every business has been conducted online and kept the ship of economy from drowning. It also has stunted our ability to reason and amplifies our dependence on gizmos and gadgets. The amount of useless news that media has been feeding us is rather ridiculous. A strict self-imposed filter should be employed to preserve our mental health and sanity status if that makes sense. Even the foremost rule of disaster management instructs you to help yourselves before being a probable candidate for others. You cannot possibly pour from an empty glass, hence, self-care should be prioritised over half-hearted community service. Once you feel physically, emotionally and spiritually stable make sure you become an ally to the distressed and assist them. Must conclude by quoting my eternal favourite, John Keats, “Of noble natures, of the gloomy days, of all the unhealthy and o’erdarkn’d ways Rich with a sprinkling of fair musk-rose blooms, and such too is the grandeur of dooms We have imagined for the mighty dead, An endless fountain of immortal drink, pouring unto us from the heaven’s brink.”
Asian Medical Students' Association- India
JANUARY 2021 | ISSSUE 10
CORONA ON THE BRAIN NIROSHA SUSAN MATHEW
During the third week of March, as the pandemic coronavirus that causes Covid-19 was beginning to grip the city of Detroit, an ambulance sped through its streets to Henry Ford Hospital. Inside, a 58-year-old airline worker struggled to understand what was happening to her. Like hundreds of other Covid-19 patients flooding the city’s emergency rooms, the woman had a fever, cough, and aching muscles. But something else was happening too— something that had made her suddenly disoriented, unable to remember anything but her name. Doctors at Henry Ford tested the woman for Covid-19, and she came back positive. They also ordered CT and MRI scans. Her doctors diagnosed a dangerous condition called acute necrotizing hemorrhagic encephalopathy, or ANE. Symptoms such as headaches, confusion, seizures, tingling and numbness, the loss of smell or taste—have been bubbling up from the frontlines for weeks. Though sparse yet significant because some of these new symptoms may require a different line of treatment, one designed for the brain rather than the body.
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Right now, many doctors are trying a two-pronged approach. The first is finding antiviral drugs that can knock back how fast SARS-CoV-2 replicates. They often combine that with steroids, to prevent the immune system from going overboard and producing inflammation that can be damaging on its own. If doctors knew people had coronavirus in their brains, that would alter the equation. Unlike the lungs, the brain can’t be put on a ventilator. Pearlman's rat experiment It was observed that once in the brain, SARS-CoV spread rapidly, causing widespread nerve damage that led to the animals’ death. The virus showed a preference for neurons in certain areas, including the brainstem, which is involved in regulating involuntary respiration. And like it its genetic cousin, SARS-CoV-2 also uses ACE2 as a molecular doorway into human cells. Preliminary data suggests that the sudden olfactory deprivation happens in 30 to 50 percent of Covid-19 infections. Often, it’s one of the first symptoms to appear, suggesting SARS-CoV-2 might be latching onto and damaging smell-sensing cells inside the nose. These neurons reside in the olfactory bulbs, each one extending a branching, odorant receptor-covered arm into the nasal cavity, like the tentacles of a smell-hunting jellyfish. “Here you have this virus tugging away at the only central nervous system cells exposed to the exterior world. If there was going to be SARS-CoV-2 brain disease, you’d think everyone with olfactory sensation loss would suffer neurological disease,” says Perlman. “But there’s no evidence of that. These people lose their sense of smell and not much else. It’s very curious.”
ABOUT THE AUTHOR Nirosha Susan Mathew is a 2nd year medical student from CMC, Ludhiana, Punjab who tries to shut the constant chatter in her head by bleeding ink onto paper.
As clouds of scientific mystery and medical curiosity surround this 'pandemic of our lifetime' the only conclusive line I would like to pen down is- Look in the lungs, but don’t forget the brain.
Asian Medical Students' Association- India
JANUARY
2021
|
ISSSUE
10
DIET AND DIABETES : STOP THE SILENT KILLER SAJAL
GULATI
Did you know that Diabetes is known as the Silent Killer? To support that statement, did you know that each year 1.6 million deaths are directly attributed to diabetes? To top it all, did you know that “Diabesity� which is Diabetes along with the companionship of Obesity has been declared as an epidemic in 1994? Diabetes is a chronic, metabolic disease characterized by elevated levels of blood glucose (or blood sugar), which leads over time to serious damage to the heart, blood vessels, eyes, kidneys and nerves. Physicians have observed the effects of diabetes for thousands of years now. For much of this time, little was known about this lethal disease that caused wasting away of the body, extreme thirst, and frequent urination.
Surprisingly, Type I diabetes, which is an autoimmune disorder accounts for only 5% of the total diabetes affected patients pool, whereas the other 95% of the people are suffering from type 2 diabetes which is related to obesity. In the past three decades the prevalence of type 2 diabetes has risen dramatically in countries of all income levels. There is a globally agreed target to halt the rise in diabetes and obesity by 2025. The driving force behind the high prevalence of diabetes is the rise of obesity in the population. In today's society, it can be difficult to maintain a healthy weight. We have the combination of ample food and a sedentary lifestyle.
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This is in stark contrast to only a couple of hundred years ago, when people were more active and food supplies were not as abundant. The implication of nutrition in the management and prevention of type 2 diabetes through its effect on weight and metabolic control is essential. Nutrition and physical activity can play a huge role in keeping the blood glucose level in the target range. One may think that if affected from diabetes, one can’t enjoy their meals anymore. The good news is that one can enjoy the favourite meals now also, but in lesser quantities. The key to eating with diabetes is to eat a variety of healthy foods from all food groups such as starchy and non-starchy vegetables, fruits, whole grains, proteins , low fat dairy products such as yoghurt and cheese. Eating foods with hearthealthy fats such as from avocado, nuts and seeds. Usage of oils when cooking food instead of butter, cream, shortening, lard, or stick margarine should be implemented. Despite the challenges of nutritional research, considerable progress has been made in formulating evidence based dietary guidance and some common principles can be agreed that should be helpful to clinicians, patients, and the public.While adherence to dietary advice is an important challenge, weight management is still a cornerstone in diabetes management, supplemented with new developments, including the potential for the remission of type 2 diabetes through diet.
ABOUT THE AUTHOR Meet Sajal Gulati, a first year medical student studying at Krishna institute of medical sciences, Karad, Maharashtra. Sajal is a motivated and reliable individual with a strong work ethic and ability to work independently.
Asian Medical Students' Association- India
JANUARY
2021
|
ISSSUE
10
EFFECT OF CLIMATE CHANGE ON MENTAL HEALTH ESHWAR RAJESH
ABOUT THE AUTHOR: Eshwar Rajesh is pursuing MBBS from Madras Medical College, Chennai, India. He has an exemplary academic record and impressive extracurricular talents. He is a national level swimmer and a skydiver, winner of various quizzes and seminars in national and international level competitions. He held the Limca National Record for being the youngest advance open water scuba diver in India. He speaks 7 languages and is a certified Pianist.
Outside the lobby of Med Central Laboratories, I waited anxiously on the edge of my seat. After hours of patience, the receptionist called my name. I could feel my hands trembling while I received the report. I frantically tore open the envelope and read the report “Negative for Covid19 by RT-PCR”. Do you know what that means? This was my ticket to go home after 8 months of duty as a doctor. All I saw during the 8 months were the constantly full hospital wards and unending beeps of ICU monitors. After 12 hours of travel, I reach the Chennai airport and my driver was there to take me home. I don’t remember when I fell asleep, but I had the most beautiful dream ever My home, my family, the green neighbourhood, my favourite food and everything else that I loved. An hour later, I wake up drenched in sweat. I asked the driver if the air conditioner wasn’t working. He said that he wasn’t supposed to use it as per the Covid19 regulatory guidelines by the government. I was slightly annoyed. My hospital has a centralized air conditioning mechanism and it has been a long time since I experienced such scorching heat. I looked outside the window, the city looked all white and grey. New shopping malls, buildings, offices and so much sophistication – literally an urban jungle! There were no greens in sight and I missed them.
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In another few hours, I reached home. The neighbourhood looked different too. The roads were being dug for highway expansion and our walls were covered with dust despite my mom’s daily effort to clean it. Yes, I was immensely happy being back home but I still missed the greens.
The initial few days of my quarantine were blissfully perfect and in addition to that it started raining. No matter what the weather may be, a rainy day relaxes and soothes our soul. I missed going out and getting wet. I prayed for the rains to stay until after my quarantine was over, only to realize that it was a terrible idea. Our drainages were all clogged
due
to
the
roadworks
and
it
had
started
flooding.
My
mom’s
garden
was
decaying in the water-logged land and as each raindrop hit the ground, soil particles were displaced with no more trees to hold them in place.
Every day I looked out of the window of my room, I missed my usual ‘birdies’. I loved to hear the birds chirping and watching them on the perch getting ready to take off and fly around our house. Seems like they lost their homes. The more time I got time to myself, the more I saw. The more I saw, the more I realized what we have lost. The greens, happy rains, winged visitors and the feeling of home. I saw the greens leaving and the blues coming!
Hence, the change in climate often reflects a change in our mental state. But just like how we always hope for clearer skies, we can also look forward to a better and brighter change in our internal constitution.
The more time I got time to myself, the more I saw. The more I saw, the more I realized what we have lost. Asian Medical Students' Association- India
JANUARY
2021
|
ISSSUE
10
INTROSPECTING IN MY BRAIN -a line of thought upon the very origin of thoughts
SRILA SREENIVAS
What began as a much-anticipated short-break over the weekend for about two days went on to become a long lockdown for about 9 months; the pandemic has been a rollercoaster of emotions and by far one of the most unexpected, challenging times of the millennium.
The first few months of the lockdown were spent in complete denial of any understanding of the gravity of the circumstances. With the news filled with tragic deaths and havoc all over the world, everything seemed dark, scary, and hopeless. There was barely any time that I invested in myself and to get my life back on track. It took a long while for reality to dawn upon me that this is now the ‘new normal’. However, this realization was quickly followed by anticipation- the shift of classes to a new online platform sent me into a state of dilemma. With uncertain deadlines, and near-impossible goals, coupled with the fear of the virus, the pressure to perform as efficiently as before slowly began scrambling my brain. The more I got into it, I began to understand that my brain was having a tough time adjusting to this sudden shift not because of the rather same- old tasks, but because of the new physical and psychological environment at home.
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That is when I realised to take back the reins of control and help my brain sail through this phase by helping in creating the required ‘headspace’. Focusing less on negativity, and more on long-lost hobbies, a healthy diet, and a new-found interest in Yoga and exercise indeed helped me place my brain in a more positive space.
This period has indeed been a test to the neuroplasticity of the brain- the astonishing capacity of our brain to adapt and reorganize its structure with respect to its challenges and surroundings and challenges. As quoted by neurosurgeon David Eagleman, “the one benefit to this pandemic is that suddenly we don't get how the world works and we have to rethink things”, and this seems to be both a boon and a bane in itself. Whilst the world has now evolved into something unfound, opening new avenues for the brain to shape itself, the entire reprogramming process is more stressful in itself and needs to be supported constantly with healthy life practices and attitudes.
The real question- am I yet ready for this? And if it were to come to it, am I going to be ready to go
ABOUT THE AUTHOR Srila is a 2nd year MBBS student from ASRAMS, Eluru, Andhra Pradesh. A newly joined member of AMSA India, an avid reader and music enthusiast, she prefers days over nights, comics over classics, tea over coffee and compassion over everything.
through such testing times all over again?
The future is bleak, and so is the answer to that question. But one thing is for sure- the phenomenal manner in which the brain rewires its connections and evolves to become a better from of itself will continue to astound me, and the next time a change as severe as this forces itself into life, we can all be assured that our ever-evolving brain has got our back!
Asian Medical Students' Association- India
JANUARY
2021
|
ISSSUE
10
HOMO SAPIENS AND THEIR VIRTUE TO ADAPT ADITI GUPTA
For Humans ,when it comes to adaptation, they proved themselves innovative as well as quick-witted till date. Whether it is about the climate of ice age that they have to bear or it’s the pandemic of 2020, homo sapiens have always found a way to perform better and adapt to the contrary.
ICE AGE AND ADAPTATION 'Shortly
after
Homo
sapiens
first
evolved,
the
harsh
climate
conditions
nearly
extinguished our species,' said Professor Marean. 'Recent finds suggest the small population that gave rise to all humans alive today survived by exploiting a unique combination of resources along the southern coast of Africa.'
Thus, humans are known to cleverly use the resources around them from the time we have known our species.
Homo sapiens of the 21st century have adapted to the climate in a very innovative way though. Humans are now known of the physiological adaptions taking place in their body, whenever there is a climate change. For example, in winters humans lose more water through urine, this is now known as an adaptation with the change in climatic conditions.
CLIMATE LED EVOLUTION The climate change has played a very important role in the evolution of homo sapiens. For example, chimpanzees known to be our ancestors were with hairy body but over the centuries as the climate became favourable the homo sapiens have evolved.
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COVID AND HUMANS At
the
present
scenario
with
the
COVID-19
pandemic
humans firstly have been able to identify the disease with its causes and safety measures required. They have proved once more to keep their species safe at least
along
with
have
came
up
working
with
the
on
the
vaccine.
detection
tests
Homo
for
a
sapiens
lot
many
diseases as well as for the pandemic of 2020 too. This gave their species a chance of survival by keeping COVID negative wards safe and by keeping the COVID positive wards quarantined. Humans are up with the temporary measures to fight this pandemic but soon they will keep up with a permanent one.
HUMANS AND EXTINCTION Homo sapiens are always seen as survivors till date. With their cleverness they are known to study about their own
species
whether
its
anatomy,
physiological
mechanisms which are proof for their adaptation or the biochemical reaction in their body they are self-aware to a great extent. Any contrary change in the environment of homo sapiens
ABOUT THE AUTHOR Aditi gupta is a first year MBBS student, interested in researches and articles, and is looking for the featuring and publication for the same.
has brought up their evolution and hence adaptation.
HUMANS AND THE DIGITAL CHAOS On the path of the battle there comes challenges. The pandemic of 2020, demanded social distancing for the very
survival
of
the
species.
Though
the
advancements
brought by the humans in technological field has eased up the situations a bit, but the old times with the practices like teaching at schools, collages and social gatherings are still to be avoided. This time, led to chaos. The problems with the daily earnings of people for their livelihood came upon. The
education
of
the
students
is
completely
online
preventing them from the practical knowledge specially the case with the medical students. But what if we see, the digitalization that is brought up by us, humans as an invention that led to ease up the things. Without digitalization we had the single choice of social distancing.
The
digitalization
has
limited
our
social
distancing, without this, it would have been much harder
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condition to be dealt with.
JANUARY
2021
|
ISSSUE
10
PAIN IS NEVER RELATIVE, IT'S ABSOLUTE D I P T I
S A H A
Dipti Saha is a first year medical student in Nilratan Sircar Medical College. She is a visionary and idealistic young girl. A kind of person who even does foolish things with full enthusiasm.
Today, AIDS has become the worst medical cataclysm ever experienced by human kind. They say a single death is a tragedy, a million deaths is a statistics. So here is a tale about statistics. According to the WHO, 32 million people have died of HIV since the beginning of the epidemic. Moreover, of the 37.9 million people living with HIV today, just over 770,000 died in 2018. Death rates are highest across Sub- Saharan Africa. The HIV epidemic had a major impact on the life expectancy across Sub-Saharan Africa, death rates are only now back to pre-epidemic levels. AIDS made people die like flies. Infected people have suffered less due to HIV and more from social stigma, homophobia, and discrimination. People of South Africa describe AIDS to be worse than apartheid. The society made HIV infected people die painfully and excruciatingly.
Pas d'émotion (No Emotion) Worldwide Homophobia and HIV became a deadly mix. Headlines like “Alert over gay plague” and “The gay virus plague” made homosexuals criticize and demonize the LGBT community.
Gender
impersonation
and
social
homophobia
even
now
prevent
people from accessing vital HIV prevention, testing, treatment and care services.
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LGBT
LGBT- led CBOs are now functional in some of the most belligerent communities in the country. But until government legalize homosexuality it is hard to combat homophobia. Sanctioning laws for legalization of homosexuality is essential to encouraging societies to embrace
the
diversity
of
different
sexualities
and
open
up
access
to
essential
HIV
services.
Oui pauvreté (Yes Poverty) Drug affordability and availability became a major issue between 1993-2003. Patency issues of Antiretroviral drugs and ban of generic ARVs caused protests by 23 million African dying of AIDS as they were completely incapable of buying highly priced patent ARVs. International Activist Zackie Achmat with the help of Mandela led the protests all over South Africa. Statements like “ARV more like profit pills” and “Killed by PhRMA” made headlines. Also, many in the West feared that treating people in the Third World could cause the AIDS virus to mutant and become resistant to the drugs. A resistance which could kill Americans or kill Europeans.
ans pitié (Without Mercy)
S
In India, people think of themselves as saints and those who get HIV as sinners. Earlier no doctor wanted to touch people with HIV and no hospitals wanted to admit them. HIV patients were admitted in a little thatched roof on the side of the road. Though now they are given proper care and treatment facilities but the social stigma remains and the knowledge of AIDS/HIV continues to be surprisingly low. In rural India women carry the burdens of blame for a husband’s HIV diagnosis and women with HIV are subjected to various forms of violence and discrimination. Focus on social inequalities and awareness about
HIV/AIDS
is
the
key.
As
a
society,
we
must
work
on
clear
discussion,
broad
communication about the challenges and myths related to the disease. Breaking the social barriers to prevention and care can help us bring down HIV/AIDS.
Paix, Amour,
Bonheur (Peace, Love, Happiness) is all they need.
It is bad enough that people are dying of AIDS, but no one should die of ignorance. -- Elizabeth Taylor
Asian Medical Students' Association- India
JANUARY
2021
|
ISSSUE
10
BRACING A DIGITAL STORM CHITRA ALSE
Chitra Alse is a second-year student of BMCRI, an active member of the college’s literature and art club. She enjoys trekking and painting, and is a new member of AMSA.
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Blaring noise clouds my mind, but the room stays silent. Glaring lights and headlines turn my phone screen violent. Politics, fights, and terrifying news all around. How am I supposed to stay here, safe and sound?
My attention is the prize, and contenders vie for it. I try hard to resist, but eventually I submit. The toll on my mental health is no jokable matter; Ironically, digital reality supposedly hands my life on a platter.
Everyone has their own truths; own versions of the absolute. Misinformation reign, with power and brute. Am I supposed to differentiate right from wrong? Or do I accept the truth to which the multitude throng?
Conscious consumption of content is necessary to do. Realise that Instagram’s wooing you too. On a global level, understand that the future’s begun. Data is the new currency, and we’re the products being run. Regulations and reforms are our best path ahead. Though it’s concerning to decipher where we’re being lead.
Just because the chaos is now understood, Doesn’t mean that the problem is solved and good. The pandemonium is where my digital self will stay. But my phone will be off, and the real world is where I’ll lay.
Asian Medical Students' Association- India
JANUARY
2021
|
ISSSUE
10
PATROLLING SUGAR IKSHITA NAGAR
The
world
is
going
through
a
pandemic
caused by a previously unknown strain, with its full effects yet to be detailed. It has struck each and every life hard, but harder for some groups
like
the
aged
and
those
with
underlying comorbidities. It has been shown that
though
much
contracting
related
to
COVID-19
health
is
conditions,
not the
possible complications tend to be severe in people
with
diabetes
type
2,
obese
and
might be less true for type 1 diabetes and overweight.
Thus, it becomes essential to control already present
medical
conditions
to
improve
survival if infected with COVID-19. As per a recent study published in "Cell Metabolism", 2020: the survival rate for those with good blood sugar control was nearly 99 percent, compared
with
an
11
percent
death
rate
among those whose control was considered poor. The authors defined poor blood sugar control as tending to exceed 180 mg/dL, and wellcontrolled blood sugar as ranging from 70 to 180 mg/dL. (1)
We need to bust the myths
revolving around diabetics and COVID-19 infection. Being infected with COVID-19 does not mean that the individual will surely die. Instead, with proper glucose control, people have made it through this adverse disease.
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Type 2 diabetes is often ignored as a mild disease due to absence of short term complications, but it is a major disease affecting all systems, including weakening the immune
system.
Maintain
a
proper
diet
comprising
fresh
fruits
and
vegetables.
Exercise for at least 150 min/week, interrupt sitting periods every 30 minutes and avoid skipping exercise for more than 2 consecutive days. (2)
COVID-19 has also impacted mental health adversely. Diabetics have already been shown to have higher prevalence of mental health issues, and COVID-19 acts as an additional stress for them. Such emotional and mental stresses can negatively impact diabetes due to elevated cortisol levels.
Thus, for diabetics fighting COVID-19, it becomes essential to prevent it as much as possible. Despite well managed diabetes, they are still at a higher risk of developing complications than the general population, and thus it is essential that diabetics take every
and
all
precautions
as
per
government
guidelines,
more
than
others,
and
prevent infection with COVID-19.
Diabetics should aim to have a fasting blood sugar of less than 140 mg/dl, preferably around 70-120, and a HbA1c of less than 6.5-7%. (3) Major cause of death in diabetes has
been
poor
glycemic
control
of
patients.
Many
patients
forget
to
take
their
medication on time in hospitals, as a result of which their sugar levels get deranged. (4) Make sure to take your medications on time when in a hospital.
Even For people living with and around members with underlying health conditions, it becomes essential to take extra precautions and maintain proper distance from the vulnerable. It is important to kill the anxiety and apprehension that comes along with it. With a proper glycemic control, medications and a good mindset, preventing and coming out cured will increase many folds.
ABOUT THE AUTHOR Ikshita Nagar is a third year medical student from Netaji Subhash Chandra Bose Subharti Medical College, Uttar Pradesh. She is an avid reader, graphic designer, dreamer and achiever. She believes it is necessary to dream, but working to achieve your dreams is what matters.
Asian Medical Students' Association- India
JANUARY
2021
|
ISSSUE
10
PREVENTION OF AIDS MARIA SHARKS
It is well known fact that prevention is better than cure especially if there is no cure. Today we reflect upon the progress we have made in these years and
also
resolve
to
put
an
end
to
this
epidemic
in
the
near
future.
According to the WHO, 32 million people have died of HIV since the beginning of the epidemic. 13% Americans don’t even have any idea that they are HIV positive. It is known that young people of age 13-29 are more susceptible to this infection but anyone can acquire it. Every 9.5 min a person is tested positive for HIV. Though it can’t be cured the solution lies in its prevention and awareness. We must have regular and periodical health check-up. Encouraging and educating others to do the same. It can be prevented by: Practicing abstinence Limiting sexual partners Not sharing needles Using condom during sex Using lubrication also helps because it prevents condom from breaking
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Treatment There is no treatment till date. Best way is anti retroviral drugs- prevents replication and also slows down progress of the disease.
Life
of
a
person
often
becomes
hell
after
being
diagnosed with AIDS . The feeling of not being loved acts as a slow poison. We should remember that HIV does not make people dangerous to know so we can definitely shake hands with them or maybe give them a hugs who knows maybe they really need it. Living with AIDS is like always having a sword of Damocles over your head this disease is definitely scarier than death. It is so devastating, so messy and so pervasive that it makes you rob of each and everything which you would otherwise hold dear. It’s already bad enough that people are dying of AIDS but we should see that no one dies of ignorance. We must instill the belief among them through love and care that even they can lead a healthy and normal life
ABOUT THE AUTHOR Eshaa Chauhan is a first year medical student of GMC patiala. She is a creative sprit and loves to spend her time writing blogs and articles
In order to put pause to epidemic we must understand that we live in a completely interdependent world which means that we simply can’t escape each other, how we respond
to
AIDS
depends
on
whether
we
understand
that it is not someone else’s problem it is our problem, it is everybody’s problem each and every person on this earth
and
we
must
learn
to
take
responsibility
of
it
because if everyone is together, fulfils their responsibility than
there
literally
nothing
that
we
can’t
achieve.
To
defeat AIDs we must create awareness as nature of this pandemic requires us to act together and spread love and hope. Unity is strength and when there is teamwork and collaboration wonderful things can be achieved. We must remember that alone we can do so much little but together
we
can
together,
spread
do
so
much.
awareness,
So
love
we
and
must
hope.
all
act
Because
where there is unity there is victory and the light of unity is so strong that it has the power to illuminate the whole world.
Asian Medical Students' Association- India
JANUARY
2021
|
ISSSUE
10
RESILIENCE IN THE FACE OF DIGITAL CHAOS. NIROSHA SUSAN MATHEW
"In a digital world, there are numerous technologies that we are attached to that create infinite interruption." Tim Ferriss A microscopic virus first detected in China flipped our whole world upside down. Neither a zombie apocalypse nor an alien invasion but simple gestures of love threatened the very end of the world as we know it. For months we became trapped amidst our four walls
with
the
phone
screen
as
our
outlet.
The
numerous
apps
turned
into
curses
disguised as blessings. From online classes to the dark web, from virtual hugs to cyber bullying, from bright lights to dimming sights we all somewhere got lost in the bling of internet slowly melting our sanity in the quest of remaining relevant.
Internet and social media can precipitate insecurities and numerous mental health issues in these crazy scary times with the pressure to keep up with the everchanging social trends as well as the misinformation painted across our screens by the sold out media which would manipulate any news to create hype and gain TRP's.
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Oh you poor human, just breathe. Switch off the smart device and switch on some self care. It is completely okay to feel out of the loop for the sake of your sanity. Quit being an owl and find solace as an early bird. Turn to your loved ones when you wake up instead of burying your heads in a sea of tweets. Get lost in the curls of a child or the simmer in the morning sambhar or complain of the coffee being too strong or just meditate with your eyes shut, shutting out not just the view but also the mindless chatter. Read the books you always planned to, start journalling your deepest thoughts and finally get down to your yoga mat. Use technology for healing in the form of therapy sessions. Work on yourself and past traumas. Call up a friend instead of worthless numerous chattings. Appreciate someone using actual words and gestures not with useless likes and hearts. Hold your lover's hand instead of sliding into DM's. Learn the lost art of gratitude and of just being present in the moment. Scour through the list of thousand friends, prioritise the ones who have seen your heart bleed and still chose to stay. This is the only way to emerge from this pandemic
with
our
mind
intact
and
not
crippled
by
the
incessant
dependance
gadgets.
Just breathe humanity, just breathe, as this too shall pass. ABOUT THE AUTHOR Nirosha Susan Mathew is a 2nd year student from Christian Medical College, Ludhiana. She loves to write and talk. Words make her who she is. She is going to change the world.
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on
JANUARY
2021
|
ISSSUE
10
THE VIRUS STIGMA SWETHA MUTHU
Fear.
We've all felt it, at some point in our lives. As a child, gazing at your own shocked reflection in the splintered glass shards of your
mom's
favourite
vase
and
hearing
the
front
door
open...later; watching the teacher march through the classroom towards you and thrust his hand out for an assignment that didn't exist...craning your neck above a gaggle of teenagers, in that flash of a moment before you spot your name on the notice board.
All of which, undoubtedly raw and gut-wrenching emotions. But then there's fear: the sound of glass slipping from your mother's frail fingers and shattering into a thousand fragments as it hits the floor, half a second before her knees; a doctor solemnly handing over a report with daunting figures and words you've never seen before; waiting, with bated breath, pacing a bleak corridor, for words that will change your life forever.
Chronic illnesses affect the physical, social, and emotional wellbeing of the individual as well as all of their loved ones. Shock, confusion, and lack of awareness pile on to their fear. What follows is a state of panic, a feeling of one's life being upended, and finally, with adequate counselling and support, a grudging acceptance.
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HIV-AIDS is one of mankind's most feared diseases; despite
decades
of
extensive
research
by
the
brightest minds, we are yet to find a complete cure or
vaccine
for
this
syndrome,
leading
to
a
widespread array of myths and misconceptions that only
further
However,
alienate
recent
the
affected
medical
individuals.
advancements
have
resulted in a highly effective Antiretroviral Therapy that can curb transmission of the virus and protect the
body
against
opportunistic
pathogens
to
an
extent that, if coupled with patient compliance, can result in a near normal life expectancy with improved
ABOUT THE AUTHOR
quality of life and a general sense of well-being.
With that being said, a lifetime of pills is not the only treatment; support and guidance from friends, family members,
and
communities
play
a
vital
role
in
maintaining their emotional stability and mental wellbeing. Services that can be offered include Mental Health Therapy, Peer Support Groups, Group Therapy Sessions for men, women, and children afflicted with HIV. Such help will let those affected know that they are not alone, a simple but deep-rooted fear borne out of the very nature of humanity.
Spreading awareness that AIDS is not communicable through
ordinary
contact,
and
even
Swetha Muthu is an avid reader with a creative streak, she is passionate about public health. She believes that change can be brought along by the common people, through education and reform. Currently studying in third year at Madras Medical College, she enjoys quiet time and puppies.
transmission
through body fluids is greatly curbed by ART will help prevent alienation of the population from society. The
social
related
to
stigma its
that
routes
accompanies
of
transmission
AIDS,
largely
(sexual,
drug
infusion, and so forth) leads to the ostracizing of those
found
appalling
to
be
mentality
living that
with
must
AIDS; be
this
rapidly
is
an
erased
through awareness campaigns. At the end of the day, regardless of the manner of contracture of the disease, nobody deserved to contract the illness and thus must be treated with empathy and care instead of judgement and ignorance.
Asian Medical Students' Association- India
JANUARY
2021
|
ISSSUE
10
AIDS IGNORANCE IN MEDICAL STUDENTS MANALI SARKAR A gaggle of medical students walked in the hospital. It was their clinical postings and they had to present a patient history to the teacher
within one hour. One student spies
a patient in the far corner sitting alone. He decides
that
this
would
be
an
ideal,
cooperative patient to take the history. He relays
this
information
to
the
others
and
there is unanimous decision that they would take this patient's history.
Suddenly a nurse blocks their path midway and tells the students that the patient was diagnosed with AIDS. The students discuss among themselves on whether they want to take
the
patient's
history
anymore.
Their
previous enthusiasm has been considerably dampened. One of the student's says that there is no need to worry as they will only be taking the history which is done orally and therefore should
instead
do
it.
The
of
wasting
others
time
hesitate.
they Deep
down they know that there is no way that there is any risk of infection but the deep seated ignorant fear wins out. Finally in the end
they
patient
for
decide their
on
taking
history
a
taking.
different he
above
scenario might sound like a fictional story but it is a reality for many people living with HIV/AIDS(PLHIV).
Asian Medical Students' Association- India
Despite the continuous HIV awareness program that is inculcated from the first year, the stigma of HIV still remains. If medical students are so scared, how do we expect
the
general public to accept People living with HIV (PLHIV)?
We should remember that stigma from HIV is born from a place of ignorance, nurtured by fear and prospers in an unempathetic mentality. It affects not only the person suffering from the disease but also their family. The burden of HIV diagnosis is so much that many decide on committing suicide instead of living another day. We, as budding doctors and the future of our generation should remember to not only be empathetic, kind and compassionate to the people from AIDS but also be vigilant and make sure that any discrimination against them is nipped in the bud. As Ron Woodroof from Dallas Buyer clubs says, "Sometimes, I feel I'm fighting for a life that I just ain't got the time to live. I want it all to mean something". We can make sure that the life of these patients means something more to us and not just a random ignored patient who will never be treated properly both by society and by the medical professional.
About the author Manali Sarkar is a second year student from MGM MEDICAL COLLEGE NAVI MUMBAI. She is an avid animal lover and in her free time loves to play the keyboard and loves helping other people in need
JANUARY
2021
|
ISSSUE
10
WORLD CHILDRENS DAY RADHIKA SHIWALKAR
ABOUT THE AUTHOR Radhika Shiwalkar is a 2nd year mbbs student at GMC Ngpur.
Asian Medical Students' Association- India
I went to a nearby park yesterday and I saw two little kids on the swing, who looked pretty lonely. No friends to play with, no school to go to. I couldn’t make out their expressions because of the rather tight mask, but they were no doubt desolate and lonely. That made me realise one thing - these kids have literally lost a major year of their childhood.
That made me think- this pandemic, almost a year long now, has had a lot different impact on the kids that the adults. While most adults have predecided work to do, these kids, still in their formative years have almost half a year of proper schooling, with no hope of the schools opening soon.
Also,
kids
are
more
vulnerable
to
emotional
trauma.
And
such
a
long
period
of
uncertainty, fear and apprehension definitely has a negative impact on their mental well
being.
While
they
may
not
always
be
able
to
voice
what
they
feel,
they
undoubtedly understand enough to know that something is seriously wrong in this world, and that anything can happen to them and their family. It is really unfortunate that they had to see the dark side of the world so early in their life.
Mental
health
of
the
kids
is
an
important
issue
that
needs
to
be
tackled,
but
is
unfortunately a very ignored one as obviously it comes secondary to saving the dying people, which is takes the centre stage in the management of pandemics. The result being that kids are feeling more stress than ever, only that it is not because of tangible causes like school homework. People dying all over the world, and maybe in the family too, coupled with the fact that no one is in the safe zone, is a very detrimental realization for the kids.
Lockdown
and
immunizations consequences
diverted and in
the
health
nutrition future.
care are
facility
getting
Children
are
also
mean
ignored the
future
that
and of
basic
this the
things
can
human
have race,
like
kids’
serious and
we
definitely don’t need our kids to become emotionally unstable because of the trauma, or weak due to lack of nutrition.
While
mental
health
of
the
kids
becomes
a
secondary
priority
in
pandemics,
it
nevertheless needs to be attended to. Small steps taken by the parents can make a huge difference. Change can be brought about by spreading awareness in the society about this. And positive thing is that many such initiatives are being taken at various levels.
World Children’s Day, celebrated every year on November 20, is a good opportunity and impetus for people to come forward and come together and tackle this issue, for the betterment of our kids and the human race ultimately.
Asian Medical Students' Association- India
JANUARY
2021
|
ISSSUE
10
HUMANE TOWARDS HIV INFECTED PARMARTH ATTRI
Ever since AIDS was discovered in 1981, in the US it has continued to
astonish
mankind.
It
was
in
1989
that
the
world
saw
major
developments in the field. The U.S. Centers for Disease Control and
Prevention
Pneumocystis
issued
carinii
the
first
pneumonia
guidelines (PCP),
for
an
preventing
AIDS-related
opportunistic infection, and a major cause of illness and death for people living with AIDS. The US national commission for AIDS was created and first met.
It was noted that people were presenting a group of symptoms with a severely compromised immune system. The number of cases globally people
skyrocketed on
AIDS.
resulting
in
Governments
an
urgent
across
the
need world
for
educating
created
task
action forces to combat the epidemic, interestingly most global developments took place in 1989.
Treatment and care plans were laid down, a strategic and data oriented approach was adopted. The US alone saw 100,000 active HIV cases. Now there have been a various stigmas surrounding the disease, mostly due to lack of public knowledge
Even
now
people
associate
HIV
infection
with
having
multiple
sexual partners that is not always the case. The infection can spread in multiple ways; transfusions of infected blood, using HIV contaminated needles for various medical purposes, intravenous drug injections, by getting tattoos and piercings via contaminated needles, sexual contact with the patient and many more..
Asian Medical Students' Association- India
Sadly people don’t recognize the former causes and focus
on
judgment
of
character.
The
patient
is
shunned by the society and the family when they are needed the most. The patient’s entire dealings are associated with deep hypocrisy, as if having AIDS is not an unfortunate infectious disease but a voluntarily committed
crime.
The
medical
fraternity
should
be
educated to treat such patients with due respect and not to forget their ethics. People have to be provided with proper education on the topic, the prevention, the
means
of
spread,
the
requirement
of
urgent
medical help. It is everyone’s moral duty to collectively identify AIDS as a problem to deal with and not some social stigma. The society in general is hypocritical of HIV infection, pretending to understand the patient’s situation and not providing the necessary emotional, mental
and
victimizing Infected
financial
the
support.
patient
people
won’t
are
very
Moral
help
to
policing
and
combat
HIV.
vulnerable,
mentally,
emotionally, physically and financially.
Of
course,
being
an
opportunistic
infection,
it
has
many prophylaxis and treatment procedures, taking a complete
toll
on
the
patient.
The
patient
suffers
mentally, due to associated stigmas and accepting the grave reality of the disease. Emotionally too the patient considers themselves a burden on the society, being potential carriers of one of the world’s most fatal
infectious
diseases.
Physical
and
financial
suffering comes as an additional attachment in the case.
Covid
has
been
particularly
tough
for
HIV
ABOUT THE AUTHOR Parmarth Attri is a first year medical student from Dayanand Medical college and Hospital, Ludhiana. She is passionate about creating a change in the world. Her interests include playing basketball and painting. She has strong beliefs that every voice matters and is enough to bring a worldwide change
infected patients, with a compromised immunity and susceptibly
to
easy
infection
such
patients
are
particularly vulnerable. Covid has negatively affected the
progress
of
such
cases.
Lack
of
healthcare
facilities and trained professionals has impacted HIV progress.
Asian Medical Students' Association- India
World AIDS Day Communities Make the Difference PUNYA THAREJA
Communities; big and small; all around the world, make invaluable contribution to rattle out AIDS and the stigma glued to it. HIV AIDS has its arms wrapped over people all around the world, people of all sorts of colour, race and religion are strangled in this common thread, tied in angst, despair and suffering.
The
strong
advocacy
role
played
by
communities
in
fighting
stigma
and
spreading
awareness makes a huge difference in dealing with this pandemic syndrome. In the past couple of years we have seen diverse group of people come together, form social help groups.
People
from
completely
different
walks
of
life
join
hands
aiding
help
and
assistance towards a better lifestyle.
Community models of care are an efficient way of managing growing cohorts of HIV positive patients and to meet the UNAIDS target to end AIDS by 2030. The battle against aids is being fought in every part of the world, stretching from remote areas of south east central Africa to big developed countries like the United States.
Asian Medical Students' Association- India
Zemio , conflict prone city in central Africa has 12% more HIV positive citizens than triple the rest of the country. The establishment and effective functioning of Anti Retroviral Therapy groups in the county during the ongoing exhalation crisis gives hope to the victims in a forgotten conflict.
All efforts matter, small changes can make huge differences. The small change in law adopted by the United Republic of Tanzania is set to eliminate the chances of HIV.
Tanzania
has approved to change the law that lowers the age of consent for HIV from 18 years to 15 years and has also made self testing for HIV legal. These amendments will significantly accelerate in achievement of the 90-90-90 goal(aims by 2020 ,90% of people will know their HIV status,90% knowing their positive status will be on ART treatment and 90% of the people on ART treatment will be virally suppressed). Not only therapy and healthcare resources are being provided by the communities but mass educational sessions are conducted at large scales which have proved to yield positive results in fighting aids.
For HIV AIDS does not see a person’s age, sex or nationality, we individuals wouldn’t be bound by them too. One of the largest and most significant community fighting against aids is TransWave, made by a lesbian, gay, transgender and supported by Jamaica forum of Lesbians, Jamaica AIDS Support for Life. About 51% of Jamaican transwomen live with HIV, this support group takes charge of their ART by their personal funds. TransWave advocates strongly for all members of the community to access health care assuring holistic, non discriminatory services.
Asian Medical Students' Association- India
Healthcare
communities
of
Uganda
are
not
bound barriers or restrictions; headstrong with the
battle
against
aids
they
are
doing
everything to provide relief to not only their citizens
but
refugees. Ugandan
also
The HIV
to
suffering
work
nurse
of
of
migrants
Jedah
uniting
and
Twebaze,
AIDS
patients
moved mountains for the suffering mass. Rufas Taban and Inga Viola introduced to each other by Jedah forged a friendship by sharing their distress stories. They formed a support group called as the friendship serving group. Today the group has about 122 HIV positive Sudanese members
,
working
over
ART
treatment
with
17,000 refugees. While, Igna and Rufus do their part to make a difference, the world needs more hands of help.
The
solidarity
and
spirit
of
community
has
helped to take the AIDS movement to great lengths,
but
it’s
a
long
way
to
the
ultimate
milestone. Rethinking strategies and creating new ways to bring up change is fundamental. Empowering
new
activists,
especially
young
people, is critical. We are in the fourth decade of
the
AIDS
epidemic
and
still
there
ABOUT THE AUTHOR Punya Thareja is a 3rd semester medicine student. She'd describe herself as a young woman with a cause, as someone who confers medicine beyond academic study material. She has always been keen in learning new things, firmly holding on to the thought that knowledge increases by sharing and not by saving.
are
discrimination and stigma stricken areas. The communities need to level up by administrating zero discrimination HIV policies and services. Its time to join forces, and to be united.
While the United Nations Programme on HIVAIDS accelerates towards global action, these small communities with their contribution steer towards
change.
Communities
are
Integrated set
to
together,
make
a
the
dynamic
difference.
Asian Medical Students' Association- India
Mighty sea I am the mighty sea that flows, I protect, preserve and persevere, Harboring life throughout the years, Life wanders through my shores, Plague my subject and the ire ensues, I am a might sea that flows
I am a mighty sea that flows, Vile and scurvy creatures impinge my stores, Havoc at sea, now the pirate gloats, None can coop my quivers nor blows, The devil’s knell below echoes and echoes, I am a mighty sea that flows
ABOUT THE AUTHOR Anveshak, a second year medical student at Hassan Institute of Medical Sciences, Hassan, Karnataka. He strives towards perfection whether he's bestowed a scalpel or a pen. He is a voracious reader, blogger, wanderlust, cinephile, gamer and a good sportsperson.
Asian Medical Students' Association- India
ETHICIA PERGUNTAS A 38-year-old female on her 8th month of pregnancy is brought unconscious to the emergency department after experiencing a Major Road Traffic Accident. The necessary emergency procedures are made and the patients’ condition is brought stable and she slowly regains her consciousness.
On obtaining a medical history, it is found that Mrs Uma was diagnosed with PolyCystic Ovarian
Syndrome
(PCOS)
in
her
early
twenties.
She
had
experienced
several
miscarriages and this was the only child that reached till the 8th month. Her doctor asked her to be very careful as this might be the last time that she may conceive and it is almost impossible to plan for another pregnancy.
As it is a major RTA, on examination, you find a severe trauma to the head and she is in immediate need for neurosurgery. As of now, the baby’s vitals are normal and there is a possibility to save both the mother and child by performing the surgery.On conveying the details to Mrs. Uma, she responds to you that the baby is the only last hope for her life and she has been mentally and emotionally disturbed especially by the society for not having a baby and acquiring such a disease.
Asian Medical Students' Association- India
Having lost her husband recently, the baby is the only reason why she is still alive and pleads a promise from you not to harm the baby even if it is a life-threatening situation for her. You assure Mrs Uma that both herself and the baby will remain healthy only if she undertakes the surgery. She provides her consent for the surgery with the condition to do no harm to the baby. The surgery underwent successfully and Mrs Uma was fortunate to save both herself and the baby during the surgery. The patient is placed in an Intensive Care Unit and she hasn't regained consciousness yet. While doing a routine examination of the baby by an Ultrasound, you are shocked to notice that the baby has encircled the umbilical cord around her neck (a case of Nuchal cord) and the baby is developing hypoxia at a faster rate, and there is an immediate need of a C-section. But it was not even 24 hours that the patient had undergone a major surgery and she wouldn’t make up for another surgery. C-section was the only hope for the baby but at the same time, it is threatening the life of the patient
After sensitizing our readers with the various choices available at different situations through our previous couple of editions, we would like to hear a bit more emotional and descriptive opinion from your side regarding the case of Mrs Uma. Let us know the ethical decision that you would have made at the present situation at newsletter@amsaindia.in
Asian Medical Students' Association- India
NEURATHON 1.A 25 year old female is found to have HbA1C of 6.2% and FBS of 118mg/dL, on her routine tests. Which of the following is correct about her? A. Normal B. Impaired glucose tolerance C. Diabetes mellitus D. Maturity onset diabetes in Young 2. A recently diagnosed 55-year-old diabetic patient comes to the OPD with the signs of peripheral neuropathy. He has no present ocular symptoms. When should he be referred for retina evaluation? A. B. C. D.
When he develops ocular symptoms Immediately Never When he needs insulin for blood sugar
4. Three friends A, B and C have the following characteristics respectivelyA : multiple sex partners B : iv drug abuser C : healthcare worker Arrange them according to their risk of contracting HIV infection (efficacy of transmission route) A. A>B>C B. B>C>A C. C>A>B D. B>A>C
Asian Medical Students' Association- India
3. A 4 week pregnant lady is found to be HIV positive. What should be the next line of treatment to be followed? A. She should be asked for MTP B. ART should be started after first trimester till delivery C. ART should be started immediately, continued throughout pregnancy and lifelong D. ART should be given to the neonate after birth 5. A 4 week pregnant lady is found to be HIV positive. An on-duty nurse undergoes a needle prick injury by a needle used to draw blood from a known HIV patient. Which of the following is incorrect management of it? A. Washing hands with soap and water B. Test for viral markers after 3 months C. Reporting to the immediate supervisor and Casualty medical officer D. Administration of Tenofovir monotherapy 6. A 40 years old male is admitted for hernia surgery. The surgeon wants to know the HIV status of the patient. Which of the following NACO strategies will be used here? A. I B. IIa C. IIb D. III
Can you guys solve this neurathon? Let us know at newsletter@amsaindia.in to win exciting prizes!
Asian Medical Students' Association- India
R E K I N D E R E D
S P I R I T S Asian Medical Students' Association- India
QUESTIO SEQUESTIA Hola Amigos!! Research looks like a lot of speculated subject to work on but it's something if you have a knack for, you just have it. It doesn't need a Sherlock to find the research enthusiast in our mind nor does it need a Harvey Specter to know the ethics behind it. Not to brag but MERSA and this section are aimed to serve this purpose, but before you start with research, you got to know ,what research is? It's looking into deeper and unveiled facts and not just being curious but also implementing actions accordingly.
For instance : "You stand by a river red as red sea, you see a man in a boat eating seafood and coming to the shore in 20 minutes, he reaches the shore with prickling face ,numbness over body and inability to see"
Reading this extract ,you all could put facts together that is ,signs and symptoms and come to the answer but for the one who's got a knack for research, the first thing that strikes his mind is Why the Red sea? What could be the correlation? How did the sea bring about sickness ? What could possibly help cope it?
And for geniuses, who got it to be the case of paralytic shellfish poisoning, knack for research would put questions in head like: Why is this disease so rare? Why does this disease often go undiagnosed? Why does the fluid accumulate in alveoli in the disease? And hundreds of other questions. The key to research is "Think out of the box" because mysteries of nature are seldom found locked in trunks. Actually, alongside a knack for research, the facts to be kept in mind are like legal breaches, ethics and plagiarism issues and to give you an exposure at the undergraduate level we have tried to cover them in this half of the section.
Asian Medical Students' Association- India
Research is a very crucial aspect of exploring and at the same time, sustaining lives especially when existing modalities are futile as in pandemics but due to the gross misuse and breaches in past like the Medical experiments by Nazis, Massacre of Nanjing ,Fraud of Tuskegee, Jewish Chronic disease hospital, there had to be laws governing it.
The Nazi Experiments
Fraud Of Tuskegee
The World needed laws to prevent this inhumanity. So, Nuremberg code came into existence and gradual involvement of ethics in research as an integral part.
Asian Medical Students' Association- India
The Historical events underlying and laws implemented are as:
Credits: Rai R. et al.:Ethics in Biomedical Research
For Indian Medical Students, ICMR is the chief body laying down laws for research. General statement of ICMR relating to biomedical research in medical and related research using human beings as research participants must necessarily ensure that:
PURPOSE The purpose, of such research is that it should be directed towards the increase of knowledge about the human condition in relation to its social and natural environment and research is for the betterment of all, especially the least advantaged.
CONDUCT Research is conducted under conditions that no person or persons become a mere means for the betterment of others and that human beings who are subject to any medical research or scientific experimentation are dealt with in a manner conducive to and consistent with their dignity and well-being, under conditions of professional fair treatment and transparency.
EVALUATION Such research must be subjected to a regime of evaluation at all stages of the proposal and such evaluation shall bear in mind the objects to be achieved, the means by which they are sought to be achieved, the anticipated benefits and dangers. Principles recommended by ICMR for biomedical research are: 1)PRINCIPLE OF
ESSENTIALITY:
The research entailing the use of human participants is considered to be absolutely essential after a due consideration of all alternatives in the light of the existing knowledge in the proposed area of research. 2)PRINCIPLES OF VOLUNTARINESS, INFORMED CONSENT AND COMMUNITY AGREEMENT: Research participants are fully apprised of the research and the impact and risk of such research on the research participant and others. They have the right to abstain from further participation in the research irrespective of any legal or other obligation.
Asian Medical Students' Association- India
3)
PRINCIPLE OF
NON-EXPLOITATION:
Research participants are remunerated for their involvement in the research or experiment. Irrespective of the social and economic condition or status, or literacy or educational levels attained by the research participants kept fully apprised of all the dangers arising in and out of the research so that they can appreciate all the physical and psychological risks as well as moral implications of the research whether to themselves or others, including those yet to be born. 4)PRINCIPLES
OF PRIVACY
AND
CONFIDENTIALITY:
The identity and records of the human participants of the research or experiment are as far as possible kept confidential; and that no details about identity of said human participants, which would result in the disclosure of their identity, are disclosed without valid scientific and legal reasons which may be essential for the purposes of therapeutics or other interventions. 5)PRINCIPLES
OF PRECAUTION
AND
RISK MINIMIZATION:
Due care and caution is taken at all stages of the research and experiment to ensure that the research participant and those affected by it including community are put to the minimum risk, suffer from no known irreversible adverse effects. 6)PRINCIPLES
OF PROFESSIONAL
COMPETENCE:
The research is conducted at all times by competent and qualified persons who act with total integrity and impartiality and who have been made aware of and are mindful of, preferably through training. 7)PRINCIPLES
OF ACCOUNTABILITY
AND
TRANSPARENCY :
Research or experiment will be conducted in a fair, honest, impartial and transparent manner after full disclosure is made by those associated with the research or experiment of each aspect of their interest in the research. 8)PRINCIPLE OF THE MAXIMIZATION OF THE INTEREST AND OF DISTRIBUTIVE JUSTICE:
PUBLIC
Research or experiment and its subsequent applicative use are conducted and used to benefit all human kind and not just those who are socially better off but also the least advantaged.
Asian Medical Students' Association- India
9)PRINCIPLE
OF INSTITUTIONAL
ARRANGEMENTS:
Duty of persons connected with the research to ensure that all the procedures required to be complied with and all institutional arrangements required to be made in respect of the research and its subsequent use or application are duly made in a transparent manner. 10)PRINCIPLE
OF PUBLIC
DOMAIN:
Research and any further research, experimentation or evaluation in response to, and emanating from such research is brought into the public domain so that its results are generally made known through scientific and other publications. 11)PRINCIPLE
OF TOTALITY
OF
RESPONSIBILITY:
It is a professional and moral responsibility, for the due observance of all the principles, guidelines or prescriptions lay down generally or in respect of the research or experiment in question, devolve on all those directly or indirectly connected with the research or experiment 12)PRINCIPLE
OF COMPLIANCE:
Is a general and positive duty on all persons, conducting, associated or connected with any research entailing the use of a human participant to ensure that both the letter and the spirit of these guidelines, as well as any other norms, directions and guidelines which have been specifically laid down or prescribed.
And To conclude, "Relativity applies to physics and not Ethics" , so it's always important to be aware of ethical crease at every point of time in any research.
Asian Medical Students' Association- India
In this section, we present to you the best picked artistic works by our readers!
ARTISTIC WORKS FROM OUR READERS
Asian Medical Students' Association- India
Arnav Bansal is a first year MBBS student at Maulana Azad Medical College, New Delhi. A budding designer and web developer, he is always curious and enthusiastic to learn new things. He is an excellent team worker and believes in hard work and diligence.
Asian Medical Students' Association- India
Manvi Lamba, an enthusiastic 1st year med student from Maulana Azad medical college, is hardworking, diligant and perseverant. She has an immense love for nature and it's creatures. She loves to write articles, anecdotes and inspirational quotes.. She wants to explore the vastness of medicine and not leave any stone unturned.
Asian Medical Students' Association- India
Ikshita Nagar is a third year medical student from Netaji Subhash Chandra Bose Subharti Medical College, Uttar Pradesh. She is an avid reader, graphic designer, dreamer and achiever.
Aastha Johri is an MBBS student at Maulana Azad Medical College, Delhi who is a good footballer, amazing procrastination with high screen exposure!
Asian Medical Students' Association- India
Kanika Bhargava is a 3rd year student at Geetanjali medical college and hospital. She is doodling and doctor-ing through life.
Kunal is a medical student studying in Krishna Institute of Medicine, Karad. He is interested in becoming a Gastroenterologist. He often spends his free time developing his hobbies like swimming and playing his violin.
Asian Medical Students' Association- India
MEMES
In this section, we present to you events by various events and collaborations by AMSA-India
EVENTS BY AMSA INDIA
Asian Medical Students' Association- India
Hi-Ya!
Hi-Ya! was a national level virtual self-defense workshop conducted by the Project छलांG core team with an NWG Teammate in collaboration with CRY, with our special guests being members of the Knockout Fight Club, Delhi. The aim of the event was to promote gender equality by empowering all those joining to learn the skills of self defence, and to encourage good health through exercises to improve physical as well as mental strength. We invited Mr Mannan R Dattah, founder of Knockout Fight Club and a renowned Mixed Martial Artist, as our instructor. Registration fees of 70 Rupees (50 rupees for AMSA members) was decided upon to help our on-going fundraising venture with the reputed NGO CRY. We received 30 registrations, amounting to 1780 rupees. It was a really fun, enjoyable and empowering workshop that made us feel more confident and in-charge of our own safety. We felt that we achieved our aim of promoting sustainable development goals of gender equality and good health. Kudos to the Organisers: Aastha Johri, Rohini Pulikanti, Aakriti Sahrawat, Arpit Singh, Aiman Perween Afsar, Saundarya Monga
Asian Medical Students' Association- India
THE QUINTESSENTIAL
JOURNEY TO QUIZATHLON A festival celebrating the greatest Quizzes on the grandest and Varied Themes in the most exciting way possible, all year round for all of Indiathat's exactly what the spirit of 'The Quizathlon'. Successfully entered its 3rd year and has evolved into a Pan India phenomenon, promising Exceptional Quality & Nail biting excitementthe Quizathlon has already hosted 2 grand quiz events in 2020 itself, engaging more than 1000 Participants and generated more than 10,000 INR to have been awarded to the Greatest Quizzards nationally- its a moment of pride to share the legacy & accomplishments of this Exquisite Marathon event of Quizzes, the Quizathlon.
LEGACY OF QUIZATHLON:
1
Quizathlon (2019) (GMC, Amritsar) Organisers & Pioneers: Avi Singh, Chitwan Ghuman, Shreya Jain Humble Beginnings, yet deeply rooted & promising uncanny Quality- the first quizathlon comprised of 8 live Quizzes Ranging from topics from Harry Potter, GK and the first-ever "Hippocraticus: The Medical Quiz"
2
The 2nd Quizathlon (2020) (GMC, Amritsar) Adding oomph to the 2nd year, the 4 day festival extended to involving 12 events & quizzes, adding to the list- a FRIENDS Quiz, A Medical Dumb-charades besides the ever so awaited Marvel & Medical Quizzes.
Asian Medical Students' Association- India
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The 3rd Quizathlon (2020-21) : Battle for Glory (Pan-India Virtual Quiz Phenomenon) Quizmaster : Dr. Avi Singh Expanding to the quizathlon family to all of India with 1000+ medico Participants and quarterly quizes conducted virtually, just Elevated the level of the game by getting the best in the business compete for Glory, besides the obvious cash prizes & Major points for the National House teophy among the 4 Zonal Houses of AMSA, India
Expanding to the quizathlon family to all of India with 1000+ medico Participants and quarterly quizzes conducted virtually, just Elevated the level of the game by getting the best in the business compete for Glory, besides the obvious cash prizes & Major points for the National House trophy among the 4 Zonal Houses of AMSA, India The National Successful Quizzes include: 1. Harry Potter and the Patronus of Eternity Winner: Shreya Jain (GMC, Amritsar) 200 points (Northern Crimson Thunderjaws) Runner Up: Atharva Rele (Bharati Vidyapeeth DTU Medical College, Pune) 150 points (Western Medallion Valkyries) 2. Mission Marvel: Avengers Assemble Winner: Pulkit Atter (GMC, Amritsar) 200 points (Northern Crimson Thunderjaws) Runner Up: Devanshi Shah (Terna Medical College, Navi Mumbai) 150 Points (Western Medallion Valkyries) Stay tuned for the next edition of the Quizathlon! Choose youe Patronus wiselt & May the force be with you.
Asian Medical Students' Association- India
She First : Rise, Revive, Roar She First : Rise, Revive, Roar, a collaborative effort of Project सा य and Girl Up Muskurahat is a 7 day bootcamp for young girls to celebrate National Girl Child Day. Day 1 showcasing Feminism 101 was held on 24th January, 2021. Some key learnings were What is feminism? How can you be a feminist? What is intersectionality? What are gender norms and how to break them? Day 2 protraying Graphic Designing skills was held in 25th January, 2021. A graphic design workshop in collaboration with Girls x Tech to bridge the gender gap in technology. Some key learnings were Basics of Canva; How to create effective posters and presentations . Day 3 comprising of S.T.E.M. Part 01 held in 26th January, 2021. An introduction to the world of Science and Technology by Dr Vandana Bhalla, Associate Professor, Department of Chemistry, GNDU, Amritsar. Certain key Learnings were Introduction to Science and Technology. Day 4 showcasing S.T.E.M. Part 02 was held 27th January, 2021. An introduction to the world of Engineering and Mathematics by Dr Isha Dhiman, School of Mathematics, TIET, Patiala. Certain Key learnings were Introduction to Engineering and Maths.
Asian Medical Students' Association- India
Day 5 comprising Personality Development and Communication Skills was held on 28th January, 2021 . It was a comprehensive workshop in association with Mentorica Institute of Soft Skills Training. Certain key Learnings - Posture, body language, effective communication. Day 6 comprising Legal Literacy was held on 29th January, 2021. It was a seminar that’ll help in generating a sense of self-reliance and securing among young girls in association with Amity Legal Aid Cell. Certain key learnings were Knowledge about cyber safety laws and sexual harassment laws. Day 7 showcasing Entrepreneurship was held on 30th January 2021. It was an introduction to Entrepreneurship by Dipika Singh, Founder of She Means Business, experiential learning trainer and motivational speaker. Certain Key Learnings were Introduction to entrepreneurship and women in business through experiential learning
Asian Medical Students' Association- India
DISCOURSE Indian Academy of Geriatrics - Student Chapter in association with Public Health & Research Department of AMSA India presents “Discourse� - The International Debate Competition. We are organising an International Debate Competition in the months of January to February 2021. It will consist of a screening round and the final event. Date for India National Round is 6 Feb, 2021. Date for International Round is 20 Feb, 2021. There are 20+ Countries including India, Sri Lanka, Indonesia, Japan, Australia, Malaysia, Nepal, USA, Canada, Philippines, among others. The Participation in International event include 40+ debating participant. The Participation from India is whopping 1000+. The Partner Organisations for the Event are Association of Gerontology (India) Asian Medical Students Association (AMSA), The International Network for the Prevention of Elder Abuse (INPEA), Sri Lanka Association of Geriatric Medicine (SLAGM), Universitas Respati Indonesia (URINDO), Association of Gerontology (India), Medical Education Unit, University College of Medical Sciences (India), International Association of Geriatrics and Gerontology (Asia/Oceania) This event will give students worldwide the opportunity to interact and collaborate with each other and with pioneers and renowned professional from the geriatrics field Promote healthy competition and constructive discussion on important topics and gain an insight into the dilemmas faced by doctors on a daily basis.
Asian Medical Students' Association- India
Defeat Hepatitis B Continuing our mission to educate medical students about Viral Hepatitis Pact To Protect against Hepatitis team of the Public Health and Research Department conducted a 3 days workshop on Hepatitis. This time we were bigger, better and are worked with the absolute experts to bring a quality experience for our future leaders. Our workshop consisted of series of webinars lead by distinguished speakers allied with World hepatitis alliance and Chennai Liver Foundation. From taking a close look at liver transplant surgery to diving into the epidemiological aspects of hepatitis we had it all. Our speaker for the event Dr. Vivekanandan Shanmugam is HPB & Transplant surgeon- RPS Hospitals and Managing trustee – Chennai Liver Foundation, Board member of World Hepatitis Alliance. He has conducted LIVER SERIES – A hands on workshop on vascular suturing and Liver Surgery.
Over 200 surgeons trained in 3 years. Apart from being a faculty in many national and international workshops and conferences. Our guest speaker Dr. Ganeshkumar Parasuraman is the community physician, field epidemiologist and health system researcher.
Asian Medical Students' Association- India
Trained community physician with 10 years of professional experience in academic and public health research. Health system research, disease surveillance, epidemiology and public health informatics are the major areas of research and training. On 20th Dec we focused on Mother to Child transmission of Viral hepatitis by Dr.Vivekanandan.On 23rd Dec we covered Liver Transplantation for Viral Hepatitis with Dr.Vivekanandan.The final culmination of an incredible 2 days began on 26th of Dec with a deeply insightful talk by Dr GaneshKumar Parasuraman, Senior Scientist at the ICMR, on the heath system preparedness for the elimination of viral hepatitis, intertwined with a masterful exploration of the systemic problems that exist, and possible interventions through technology and intersectoral collaboration, that intrigued the participants to an extent that the originally 30 minute question answer session might have extended to the next day. However, what followed was an hour of striking knowledge, logic, and critical thinking, as finalists had to think on their feet as they responded to tough questions, bringing together the spheres of medicine, public health, policy, law, and ethics‌as they debated one of the most contentious questions in public health policy- the adoption of a paradigm shift- the opt out organ donation policy. The participants certainly lived up to the ultimate challenge of the workshop- to debate, confront, and defeat viral Hepatitis.
Asian Medical Students' Association- India
MEMBERSHIP DRIVE While the AMSA-India members were bouncing off the walls with their preparations for AMSACON, the response from the Membership Drive provided a huge thrust to them. Conducted between 22nd and 28th of September 2020, the Membership Drive was a huge success with 1600+ registrations from all over the nation. The state of Karnataka from the Southern zone raced the list and leaded the drive. AMSA-India wholeheartedly welcomes the members from 34 medical colleges who have united themselves in our huge family latterly. Kasturba Medical College, Mangalore and JSS Medical College, Mysuru deserves a special mention here for having the maximum number of membership. A huge shout-out to Luv Gupta, Director of Membership and development and the entire Membership and Development Department for turning out the drive to be one of the most successful membership drives despite the pandemic.
Asian Medical Students' Association- India
EAMSC 2021 Indian delegation
Asian Medical Students' Association- India
MERSA Methodologies
‘The common facts of today are the products of yesterday’s research’ – Duncan MacDonald MERSA had made its debut successful with a fun-filled research adventure during AMSACON and was contented with the constructive feedbacks from the selected 30 participants. Keeping in view of the remaining research enthusiasts who were eager for the workshop but was unfortunate the previous time, the MERSA team decided to conduct the MERSA Methodologies 1.0 – The Pre-Research workshop again, but this time with two sessions, one in the morning and the other in the evening, so that the wait of 60 participants could be gratified. The workshop was conducted between 15th and 17th of November 2020, and all the participants who attended were as successful as the previous batch in their assignments and proposal preparation. The winning teams in the proposal writing of all the three batches are featured in AMSA-India’s Instagram page along with their group mentors. On receiving an overwhelming demand for the workshop, the workshop wasg conducted again from 23rd to 25th January 2021.
Asian Medical Students' Association- India
AMSA India X Canopy Innovations We have partnered with Canopy Innovations, Inc, the No.1 medical language online training SaaS in the United States to roll out a limited number of freeof-charge Medical English Online Courses. Canopy is a breakthrough eLearning platform to iterate how we learn a language, especially in a medical setting. Its CanopyLearn eLearning app has received the innovation award from the National Institutes of Health (NIH) and has been used by over 100,000 healthcare professionals and 160 medical institutions in the U.S! Now, we are very happy to announce the pilot in India to bring the industryleading medical English online courses to our valued members. You will have the chance to go through its 40-hour, 3-levels Medical English Courses online to improve your medical terms and socio-cultural appropriate communicative skills with your patients. If you have more questions about the CanopyLearn medical English courses, please contact Canopy info@withcanopy.co
Asian Medical Students' Association- India
Clinical stimulation with virtual patients Body
Interact
students their
who
clinical
was
made
want
to
reasoning
available
keep skills
for
practicing with
virtual
patients. New self-learning solutions were made
available,
as
a
unique
way
to
compliment the lack of clinical practice we
have
all
been
facing
for
the
past
months. We were very happy to announce that
we
were
strengthening
our
partnership with Body Interact, and that our members will benefit from a special 30% discount on their products. By using the code AMSAINDIA30 for an additional 30% discount on these products to get a total discount of 50%!
Asian Medical Students' Association- India
DIABETES MELLITUS TYPE 2: Control the Silent Killer Affecting over 463 million people worldwide, Type 2 Diabetes Mellitus has emerged as a leading cause of death in adults. AMSA India brought to you a National level opportunity "Diabetes Mellitus Type 2: Control the Silent Killer". A group discussion to curb the impending epidemic In three phases: A webinar on topic of Diabetes Mellitus type 2, followed by a short Quiz based on the webinar would make a participant progress to the next round of Group Discussion. Kudos to Devesh Chandra and Aditi Arora for organizing this and having secured the first place in online social media awareness campaign against diabetes.
WHO'S THE MEDICINNAIRE"? THE MEDICINE QUIZ
WHO's THE MEDICINNAIRE, a medicine quiz, that made our neurons run till their last breath was organised by AMSA during this quarter. It aimed at giving participants a Quiz show experience at homes , with helplines to help and adrenaline rush like the hot seat gives. The Theme was Medicine and the Layout comprised of Prelims- ( Equal distribution of clinical and non clinical MCQs), Semifinals- ( Fastest finger first pattern on Zoom ) and Finals Kudos to the brains behind it :Arpit Mago and Mahima Saptarshi (National Officers Academic Council 2020-21)
ASIAN MEDICAL STUDENTS' ASSOCIATION- INDIA
National NutritionWeek
According to WHO, approximately 16.0 million (1.0%) disability adjusted life years and 1.7 million (2.8%) of deaths worldwide are attributable to low fruit and vegetable consumption. On the occasion of World Nutrition Week 2020, Amsa India presented everyone with a wonderful opportunity to disseminate information about healthy eating through a modified #passtheplatechallenge. The event consisted of a very simple set of instructions: Making a short (5-10 second) video of eating and passing the plate around containing nutritious food Posting it on either Facebook or Instagram and tagging 3-4 allied to repeat this challenge as well. Participants were encouraged to add in their own health tips and tag AMSA India as well. The following hashtags were used in the captions: #Worldnutritionweek, #Passtheplate, #Healthyfood, #Healthylife All the videos were featured on the AMSA India page on the 7th of September
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Let's Pass the Plate for a Healthy India ! ASIAN MEDICAL STUDENTS' ASSOCIATION- INDIA
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ASIAN MEDICAL STUDENTS' ASSOCIATION- INDIA
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ASIAN MEDICAL STUDENTS' ASSOCIATION- INDIA
CREDITS Research series: Samneet Singh Ethica Perguntas: Vignesh M. Ottendorf Code: Samneet Singh Crossword: Vignesh M New breakthroughs: Shaswat Misra Wilderness Medicine: Vignesh M. Interview with International team: Shashwat Misra Doodles: Samneet Singh Memes: Suhani Devgn
Content: Samneet Singh, Shashwat Mishra, Vignesh M, Design: SriHarmendar Kant, Sanjali Dharamshi, Anushree Rai Proof-reading: Asmitha P Reddy, Anushree Rai.
SOURCES
Images: Google Images, Canva Pro, Pinterest. Content: Available upon request. Asian Medical Students' Association- India
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