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Editorial (Dr SS Agarwal, Dr K K Aggarwal)
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13th  August 2016
Management of arthritis in Chikungunya  
The osteoarticular problems in Chikungunya fever usually resolve within 1 to 2 weeks; but, in about 20% of patients they may take longer, while they may persist for months in less than 10% cases. In about 10% patients with Chikungunya, the swelling disappears and pain subsides, but recurs with every other febrile illness for many months. Each time the same joints get swollen, with mild effusion and symptoms persist for 1 to 2 weeks after the fever is resolved. Complement mediated damage and intracellular persistence of the virus have been implicated in occasional studies. In patients with persistent joint swelling, metatarsal head may be destroyed. 

The management plan may be finalized in major hospitals, but the follow-up and long-term care must be done at a domiciliary or primary care level.  
  • A short course of steroids may be useful as an immunologic etiology is suspected. 
  • Patient should be monitored for adverse events and the drug should not be continued indefinitely to prevent adverse effects. 
  • Even though NSAIDS produce symptomatic relief in majority of individuals, care should be taken to avoid renal, gastrointestinal, cardiac and bone marrow toxicity. 
  • Cold compresses may alleviate joint symptoms. 
  • Disability due to Chikungunya arthritis can be evaluated and monitored using a standard scale.
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CPR must be learnt by one and all - lessons learnt from the temporary revival of legendary cricketer Hanif Mohammad​
New Delhi, August 12, 2016: Legendary Pakistani Cricketer Hanif Mohammad was brought back to life after being clinically dead for six minutes. He, unfortunately, passed away due to old age complications a little later. What seemed like a miracle to the public is a medical routine. He was brought back to life through the process of CPR, a life-saving technique that is easy to learn and can be performed by anyone.

“40% of all sudden cardiac events are revivable with simple hands only CPR10, and the same can be increased to 60% using external electric shock machines called AED. It should be mandatory for all public places to have AEDs and large scale public training sessions must be held on Hands-only CPR 10. We at the Heart Care Foundation of India (HCFI) in the past two years have already trained over 1.5 lakh individuals including 100% of the Delhi Police PCR van staff that was trained in association with IMA”, said Padma Shri Awardee Dr KK Aggarwal, Honorary Secretary General IMA & President HCFI. 
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