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13th April, 2017
IMA Guideline: Whom to give oral oseltamivir in flu?
People with confirmed influenza or with influenza symptoms who are very sick or who are at high risk for influenza complications require rapid treatment.
Hence, doctors are advised to quickly treat suspected influenza with antiviral drugs in high-risk outpatients, those with progressive disease and all hospitalized patients, regardless of a negative rapid influenza diagnostic test (RIDT) and without waiting for results of reverse-transcriptase polymerase chain reaction (PCR). Treatment should not be withheld on the basis of results of RIDTs, as these tests have a high potential for false-negative results.
Tamiflu, oral oseltamivir, known as neuraminidase inhibitor has activity against both influenza A and B viruses.
Early antiviral treatment can shorten the duration of fever and illness symptoms, reduce the risk for complications from influenza, including otitis media in young children and pneumonia requiring antibiotics in adults and also reduce the mortality among hospitalized patients.
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Medicolegal Corner
eMedi Quiz
1.    Celiac disease is a large bowel disorder 
2.    It is characterized by mucosal inflammation, villous atrophy and crypt hyperplasia, which occur upon exposure to dietary gluten and which demonstrate improvement after withdrawal of gluten from the diet.
3.    Several categories of celiac disease have emerged (asymptomatic, silent (i.e., asymptomatic and no evident malabsorption or other disease manifestations), potential (i.e., positive celiac-specific serology with normal histology)). 
4.    The natural history of these various forms of celiac disease is incompletely understood. 
5.    The log-term risk of complications in patients who are asymptomatic is unclear. Such patients may also be least likely to comply with a gluten-free diet. 
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Press Release
Swine flu resurfaces in India
103 deaths reported in Pune, Nashik, Ahmedabad and 160 nationally in the past three months; prevention through hygienic practices is key according to experts

New Delhi, 12 April 2017: The first three months of the year 2017 have already seen a four-fold increase in swine flu deaths across Maharashtra. Between January 1 and April 10, more than 100 deaths have been recorded compared to a total of 25 in 2016, in major cities in the country. According to experts, 7,581 suspected cases have been reported and more than 23,000 people have been vaccinated against the H1N1 influenza.
A respiratory disease caused by influenza viruses, swine flu infects the respiratory tract leading to barking cough, decreased appetite, and nasal secretions.
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IMA Updates