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Editorial
CME with Dr KK
13th January, 2018
DESSOLVE III trial shows no clear advantage of bioresorbable polymer stents
  • DESSOLVE III trial shows no clear advantage of bioresorbable polymer stents. The trial randomly assigned nearly 1400 patients to a sirolimus-eluting bioresorbable polymer stent or an everolimus-eluting durable polymer stent. After 12 months, there was no difference in the rate of the composite end point, which included cardiac death, target-vessel myocardial infarction, or clinically indicated target lesion revascularization (Lancet. 2017). Based on this and other randomized trials showing no clear advantage of bioresorbable polymer stent materials, yet higher cost and less long-term experience compared with durable polymer stents, no one should implant bioresorbable polymer drug-eluting stents outside of clinical trials or registries.
  • Idarucizumab is a monoclonal antibody fragment against dabigatran that can reverse the anticoagulant effect within minutes. A preliminary report suggested good efficacy in patients with dabigatran-associated bleeding or those undergoing emergency surgery. In a new report of over 500 patients treated with idarucizumab, most had cessation of bleeding or underwent surgery without abnormal bleeding (N Engl J Med. 2017; 377:431).... read more
Special
Breaking News

Kerala Govt. permits prisoners in State Jails to donate their organs to close relatives

Kerala Government has decided to permit prisoners in State Jails to donate their organs to close relatives, but with certain conditions. Decision was taken at Cabinet meeting chaired by CM Pinarayi Vijayan.... read more

Top News

National Road Safety Week 2018, January 11-17

The National Road safety week is being observed from 11th of January to the 17th of January this year. The objectives of the week are to promote road safety measures in the community, to reduce the incidence of road accidents, road accident death and injury cases by applying the road safety measures and to encourage all travelers on roads... read more


Malappuram DMO recommends legal action against naturopathy hospital after woman death

(TNN) The medical authorities in Malappuram have recommended a strong legal action against a Naturopathy hospital in Manjeri in the district, after a 23-year-old woman died at the hospital within hours of delivery through alternative birthing method. The report says that the death of woman happened due to the clear medical negligence from the part of Bachelor of Naturopathy and Yoga (BNY) qualified doctor.... read more


Pathology labs may face shortage of ‘competent’ people to sign reports

(The Hindu, PT Jyothi Datta): Pathology labs across the country may face a shortage of “competent” people to sign lab reports, cautions Girdhar Gyani, Director-General, Association of Healthcare Providers (India). His concern stems from a recent Supreme Court directive that allows only medical practitioners with a post-graduate qualification in pathology to countersign a medical lab report.... read more

Practice Updates
Deficiency of iodine may reduce chances of conception

Women with moderate to severe iodine deficiency may take longer to achieve a pregnancy, compared to women with normal iodine levels, according to a study by NIH researchers published January 11, 2018 in the journal Human Reproduction....read more


Short postoperative bladder catheterization period effective for repair of simple urinary fistula

The WHO has recommended a 7–10 day period of bladder catheterization to allow complete healing following surgical repair of a simple obstetric urinary fistula. Currently the length of catheterization is not standard and ranges from 5 to 42 days....read more


Prescription opioid cough & cold medicines now to be used only in adults aged 18 years and older

In a drug safety communication, the US FDA has said that it will no longer allow the use of prescription opioid cough and cold medicines containing codeine or hydrocodone in children younger than 18 years old because the serious risks of these medicines outweigh their potential benefits in this population. These products will now be labeled for use only in adults aged 18 years and older,...read more


ACIP recommends third dose of mumps vaccine during an outbreak in high risk persons

Persons previously vaccinated with two doses of a mumps virus–containing vaccine who are identified by public health authorities as being part of a group or population at increased risk for acquiring mumps because of an outbreak should receive a third dose of a mumps virus–containing vaccine to improve protection against the disease and related complications. ...read more


New guidelines on duration of contact precautions for acute-care settings

New recommendations regarding discontinuation of contact precautions at the individual patient level in acute care hospitals employing contact precautions for one or more of the following organisms: MRSA, VRE, C. difficile and multidrug resistant Enterococci,..read more


Hiatal repair during laparoscopic sleeve gastrectomy for obesity improves acid reflux

Repair of hiatal hernia improves symptoms of gastroesophageal reflux in patients undergoing laparoscopic sleeve gastrectomy for obesity, according to a study published online December 12, 2017 in Surgical Endoscopy....read more

 
eMedi Humor
Medicolegal Corner
eMedi Quiz
1. Temperature.
2. Partial pressure of CO2
3. 2,3 DPG concentration.
4. Oxygen affinity of hemoglobin.
Lifestyle Updates
 
Inspirational Story 1: : The Little Wave
Inspirational Story 2: Promise Yourself
Integrating Ayush with other medicine systems will encourage quackery and disintegrate AYUSH
The IIPH has also come out in opposition of this clause in the NMC Bill, which is just one of the many clauses that are not in the interest of the medical profession
 
New Delhi, 12 January 2018: The Indian Institute of Homoeopathic Physicians (IIHP) recently opposed the proposed bridge course for Ayush doctors in the National Medical Commission Bill (NMC), 2017. Calling it a retrograde step, the IIHP indicated that such a move is highly detrimental to homeopathy in the long run.
 
As per Dr Ramjee Singh, President of the Homeopathic Council and Dr RK Manchanda, Director General of CCRH, Homeopathy is a full medical system by itself and is capable of handling diseases independently.
The proposed NMC, among other things, is not ‘medical’ in nature as it allows the mixing of ‘Ayush’ with ‘modern medicine’. Combining the two in the same treatment by the same doctor will constitute a new treatment and hence necessitate a trial, which would require the approval of the ethics committee.
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