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Dr k k Aggarwal Special

CMAAO Coronavirus Facts and Myth Buster: ChAdOx1 nCoV-19 and transverse myelitis

Dr KK Aggarwal, President CMAAO
13th September 2020
With input from Dr Monica Vasudev
1. AstraZeneca had voluntarily halted a randomized clinical trial of its coronavirus vaccine after a volunteer developed transverse myelitis (NY Times). 2. Phase 1/2, single-blind, randomized controlled trial at five trial sites in the UK of a chimpanzee adenovirus-vectored vaccine (ChAdOx1 nCoV-19) expressing the SARS-CoV-2 spike protein compared with a meningococcal conjugate vaccine (MenACWY) as control. 3. We presume that the team has confirmed that the case was not in the control arm... Read more »
Dr k k Aggarwal

World COVID Meter 12th September: Acute manageable immunogenic thrombogenic inflammatory viral disease pandemic

Dr KK Aggarwal, President CMAAO, HCFI and Past National President IMA
13th September 2020
Cases: 1M April 2, 2M April 15, 3M April 27, 4M May 8, 5M May 20, 6M May 30, 7M June 7, 8M June 15, 9M June 22, 10M June 29th, 11M July 4, 12M July 8, 13M July 13, 14M July 17, 15M July 23, 16M July 25, 17M July 29, 18M August 1, 19M August 6, 20M August 10, 21M August 16, 22M August 19, 23M August 21, 24M August 27, 25M August 30, 26M September 3, 27M September 7, 28M September 10. Ground Zero: Wuhan - in live animal market or cafeteria for animal pathogens: 10th January; Total cases are based on RT PCR, 67% sensitivity. Coronavirus Cases: 28,647,471, Deaths: 919,512, Recovered: 20,570,938... Read more »
Dr k k Aggarwal

Significance of periportal thickening on magnetic resonance imaging for diagnosing hepatic fibrosis in infantile cholestasis

13th September 2020Gastroenterology Hepatology Multispeciality
Neonatal cholestasis, if left untreated, can advance into liver cirrhosis and end stage liver disease in infancy due to chronic hepatocyte and biliary tree injury. Few cases also warrant liver transplantation. Hence, it is crucial to conduct a non-invasive investigation of hepatic fibrosis in infants with... Read more »

Hypertension Update

Dr k k Aggarwal

Early management of hypertension is important for cardiovascular benefits

13th September 2020 Hypertension
Hypertension is one of the primary cardiovascular (CV) risk factors. Blood pressure (BP) lowering treatments can reduce the occurrence of myocardial infarction, stroke, heart failure and CV and all-cause mortality. The detection of high BP is an important step in any CV prevention strategy with excellent health benefits... Read more »
Zinc Update

Synergistic interactions of zinc deficiency in infants and children

13th September 2020Allergy & Immunology Multispeciality
More than half a million deaths each year in infants and children under the age of 5 years is estimated due to deficiency of zinc. This review article will describe mild-to-moderate zinc deficiency that would include growth vacillating, discrepancies in immune function and changed integrity and function of the gastro-intestinal tract... Read more »

News From All Specialities

WHO cautions against Ebola spread in DR Congo and beyond

13th September 2020 Business and Medicine Pathology & Lab Medicine
The spread of Ebola is rising in a western province in the Democratic Republic of the Congo (DRC), raising fears that the disease could reach neighboring Republic of Congo and also the capital, Kinshasa, cautioned the World Health Organization (WHO). The outbreak in Equateur Province started in early June... Read more »
Practice Updates

100% rise in COVID-19 recovery rate in last 29 days: Health ministry

13th September 2020 Pathology & Lab Medicine Pulmonary Medicine
NEW DELHI: Despite an unparalleled increase in COVID-19 cases, there has been a 100% surge in recovered patients in the last 29 days, sated the Union Health Ministry. The ministry stated that there has been a 100% hike in patients recovered and discharged in the past 29 days... Read more »

Even children with no symptoms can spread COVID-19, says CDC

13th September 2020 Pathology & Lab Medicine Emergency Medicine
Even children with mild or no symptoms can spread COVID-19, suggest contact tracing data from three Utah child care facilities. Twelve children, including an eight-month-old baby, contracted COVID-19 in a child care facility and spread it to at least 12 people outside the facilities. According to the data,...Read more »

Infectious COVID-19 Can Persist in GI tract for Weeks

13th September 2020 Business and Medicine Emergency Medicine
In a first, investigators have detected active and prolonged infection of SARS-CoV-2 virus in the gastrointestinal (GI) tracts of people with confirmed COVID-19. Stool tests have been found to be positive among people with no GI symptoms, and in some cases up to 6 days...Read more »

New Anemia Tied to Crohn’s Disease but Not Ulcerative Colitis Risk

13th September 2020Pathology & Lab Medicine Pharmacists
Patients with anemia of new onset were shown to have an increased risk of developing Crohn's disease (CD), but not ulcerative colitis, in a population-based study by South Korean researchers. Men were more at risk compared to women. Researchers suggested that anemia could serve... Read more »

Medicolegal Corner

Some patients ask for a bill for the drugs supplied by the registered medical practitioner. Should they be given a bill?

13th September 2020
According to Clause 3.7.1 of the Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002, “a physician shall clearly display his fees and other charges on the board of his chamber and/or the hospitals he is visiting. Prescription should also make clear if the Physician himself dispensed any medicine.”...Read more »

eMedi Humor

Railroad engineer

13th September 2020
A man was complaining to a railroad engineer. What’s the use of having a train schedule if the trains are always late?
The railroad engineer replied, "How would we know they were late, if we didn’t have a schedule?"...Read more »

eMedi Quiz

At the end of a balanced anaesthesia technique with non-depolarizing muscle relaxant, a patient recovered spontaneously from the effect of muscle relaxant without any reversal. Which is the most probable relaxant the patient had received?

13th September 2020
1. Pancuronium. 2. Gallamine. 3. Atracurium...Read more »

Lifestyle Updates

eWellness: A few tips on how to stay healthy during the winter months

13th September 2020
• Don’t stress your heart, regularly step out in sunlight and indulge in adequate amounts of aerobic exercise.
• Don’t indulge in high-intensity workouts; excessive exhaustion can overstress your heart. Take rest breaks so that you don’t feel too tired suddenly while walking. ... Read more »

eSpiritual: Think differently in mythology

13th September 2020
• Lord Ganesha’s elephant head depicts that one should use his/her wisdom before taking any decision.
• Vishnu’s first incarnation, fish, symbolizes need to learn to swim in the opposite direction.
• Brahma’s five heads mean to use all five senses before taking any decision...Read more »

Inspirational Story: The history of ‘APRONS’

13th September 2020
The kids today do not understand what an apron is. The major use of Grandma’s apron was to protect the dress underneath because she had a few. Also, it was easier to wash aprons than dresses and aprons used less material. But more than that, it served as a potholder to remove hot pans from the oven...Read more »

Medical Voice

Symptomatic but negative? Must retest: Health minister to states

13th September 2020
NEW DELHI: Amid a record single-day surge of over 95,000 new cases of Covid-19 on Wednesday, the Centre has again urged all states and Union Territories to mandatorily retest all those found to be symptomatic negative in rapid antigen tests (RAT). The retests are to be done through the more reliable...Read more »


Medical voice

Doctors Survey

Question 1 : Which of these courses would you pay for - You can select multiple options
How to modernize clinic
Growing your digitize you clinic and practice...
Medical voice

How Corona Aware Are You

Question 1 : How confident are you that you could recognize and respond to a potential coronavirus case?
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From Other Newsletter



Aquatic Therapy for Duchenne Muscular Dystrophy

Duchenne muscular dystrophy (DMD) is a rare disorder known to cause progressive loss of motor abilities, for instance walking. Standard treatment for DMD includes physiotherapy. People with DMD are often unable to perform certain activities on the ground... Read more »


Age-specific incidence of allergic and non-allergic asthma.

Onset of allergic asthma has a strong association with childhood, but only a few studies have analyzed the relationship between the incidence of asthma from childhood to late adulthood and allergy. A new study published in BMC Pulmonary Medicine assessed....Read more »


Vitamin A intake linked with lower skin cancer risk: Study

Intake of vitamin A may be associated with a lower risk of a common type of skin cancer, a study claims. The study of about 125,000 Americans found that people with the highest intake of vitamin A lowered their risk of squamous cell skin cancer by around 15 per cent.... Read more »

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