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Editor-in-Chief: Dr KK Aggarwal
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Editorial
CME with Dr KK
16th January, 2018
Gloves should be included in NLEM & their price should be capped

The Central Government Health Scheme (CGHS) on 14th December 2017 de-panelled Mata Chanan Devi Hospital Janak Puri Delhi for not being able to explain use of 1600 pairs of gloves and 400 syringes for a 26-day stay in in ICU in one CGHS patient. This case follows the media outcry in the Fortis case in Haryana, where a dengue patient in intensive care was billed for large number of gloves.

TIf we take this particular instance, 1600 pairs of gloves comes out to be 61 pairs of gloves per day.

In any ICU, there are three shifts of staff and everyone coming in contact with the patient is required to wear non-sterile gloves. Per patient, at least over nine nurses, three technicians, three safai Karamcharis, three resident doctors, three consultants (two treating consultants and the intensive care consultant) are involved in the treatment of that particular patient. .... read more

Special
Top News

H3N2 epidemic in USA

The Centers for Disease Control and Prevention (CDC) has declared H3N2 flu as an epidemic in US. The rate of hospitalizations for pneumonia and the flu is continuing to climb amid a CDC warning of several more weeks of significant flu activity.... read more

Practice Updates

Cerebrovascular events are common in SLE patients

In a study published January 8, 2018 in Arthritis Care & Research, cerebrovascular events were identified as the fourth most frequent neuropsychiatric event in patients with systemic lupus erythematosus (SLE) and were attributed to the disease activity itself.... read more


Sapacitabine + decitabine does not improve overall survival vs decitabine monotherapy in AML

Results of a phase III study of elderly patients with newly diagnosed acute myeloid leukemia (AML) show that the regimen of sapacitabine administered in alternating cycles with decitabine was active and well tolerated but it did not significantly improve overall survival as compared to decitabine monotherapy;... read more


Adherence to healthy diet prevents weight gain in genetically predisposed individuals

A study published online January 10, 2017 in the BMJ says that individuals who are genetically at high risk for obesity are more susceptible to the beneficial effect of improving diet quality on weight loss. These results further underline the importance of adhering to healthy dietary patterns to prevent weight gain.... read more


Incomplete revascularization in PCI increases mortality risk

Patients with percutaneous coronary interventions (PCI) with incomplete revascularization are at higher risk of mortality if they have incomplete revascularization with at least 90% stenosis, incomplete revascularization in 2 or more vessels, or proximal left anterior descending artery incomplete revascularization,... read more


Anxiety may be an early sign of Alzheimer's disease

Findings of a study published January 12, 2018 in the American Journal of Psychiatry show higher levels of amyloid beta to be associated with increasing symptoms of anxiety in in cognitively normal older adults suggesting neuropsychiatric symptoms could be an early sign.... read more


Study shows effectiveness of MR-guided focused ultrasound thalamotomy for essential tremor

Magnetic resonance-guided focused ultrasound can stably suppress essential tremor. This effect was stable and maintained at 2 years. Also, no new delayed complications were observed at 2 years in the study reported online December 9, 2017.... read more

 
Recent Updates

Organ damage changes in patients with resistant hypertension.

A new study published in the Journal of Clinical Hypertension compared effects of renal denervation and spironolactone treatments for resistant hypertension on preclinical target organ damage... read more


Primary Prevention of Stroke in Chronic Kidney Disease Patients.

A new study published in the Cerebrovascular Diseases investigated measures to primary prevention of stroke in chronic kidney disease (CKD) patients. This study entailed a search of PubMed.... read more

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Medicolegal Corner
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1. Phenytoin.
2. Valproate.
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4. Phenobarbitone.
Lifestyle Updates
 
Inspirational Story 1: :Believe in Yourself
Inspirational Story 2: God's Coffee
Need to treat people with HIV/AIDS with understanding and compassion
IDUs should use sterile injections and avoid sharing needles
 
New Delhi, 15 January 2018: Recent statistics have indicated that the prevalence of HIV in injecting drug users (IDUs) in Mizoram is about 20%. This is a percentage larger than the nationwide prevalence of 6.26% among drug-users.[1]Six states in the region account for 43.5% of IDUs who tested positive for HIV in India. The states in the region with higher than usual national prevalence among IDUs are Mizoram (19.81%), Manipur (7.66%), and Tripura (8.55%).
 
One of the major factors driving the HIV epidemic in this region is needle-sharing among IDUs. Seven northeastern states account for about 6% of all new HIV infections. To meet the goal of ‘End of AIDS’ as a public threat by 2030, India must imperatively bring the number of infections down. So far, about 79,000 new infections have been reported in 2016. This needs to be brought down to 20,000 by 2030.
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