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13th November, 2017
Findings of DAWN trial may influence treatment of stroke
Results of the DAWN trial published in the New England Journal of Medicine shows that clot removal up to 24 hours after stroke led to significantly reduced disability for properly selected patients.
 
The international multi-center DAWN trial randomized 206 patients of acute stroke who arrived at the hospital within six to 24 hours to either standard medical therapy alone or to endovascular clot removal therapy plus standard care.
 
It is currently recommended that clot removal should be done only within 6 hours of stroke onset of stroke.

Patients were selected for the trial based on brain imaging (diffusion-weighted MRI or perfusion CT) to assess the extent of irreversible brain damage plus clinical criteria to help decide if thrombectomy would help the patient even if he/she arrives after 6 hours but within 24 hours, rather than just using the 6-hour window as the cut-off.
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1. Hardening of muscles after death.
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Inspirational Story 1: :Always remember those who serve
Inspirational Story 2: Cure for Sorrow
Urgent need to address the doctor-patient ratio in India
This will ensure adequate consultation time for each patient and avoid a possible burnout
 
New Delhi, 12 November 2017: As per a recent study, the average time that primary care consultants in India spend with patients is only about two minutes. This is in contrast with first-world countries where the consultation crosses a duration of 20 minutes.A short consultation time not only affects patient care adversely but also increases the workload and stress of the consulting physician. The IMA says the results show up in the form of spending more at pharmacies, overusing antibiotics, and sharing a poor relationship with doctors.
 
There has been a paradigm shift in the thinking of the public. There has been a corresponding paradigm shift in the dynamics of doctor-patient relationship; from paternalism to patient-centric. Today, patients want to be equal partners in decisions about their treatment with the doctor acting as a guide and facilitate decision making.
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