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Editorial (Dr SS Agarwal, Dr K K Aggarwal)
16th May 2016
Two new studies negate link between risk for death and weekend staffing
 
Two new studies from the UK published online May 10, 2016 in the Lancet have found no link between weekend staffing levels in hospitals to mortality.  These results are in contradiction to earlier studies, which had supported the so-called weekend effect i.e. patients admitted to hospital over the weekend are at an increased risk of death. In 2001, a study published in the New England Journal of Medicine was the first to show that patients with some serious medical conditions are more likely to die in the hospital if they are admitted on a weekend than if they are admitted on a weekday.
  • In the study on acute stroke care, researchers from the Farr Institute of Health Informatics Research at the University College London in the United Kingdom and colleagues say that the weekend effect is a simplification, and just one of several patterns of weekly variation occurring in the quality of stroke care. Four patterns of variation were identified: a diurnal pattern (thrombolysis, brain scan within 12 h, brain scan within 1 h, dysphagia screening), a day of the week pattern (stroke physician assessment, nurse assessment, physiotherapy, occupational therapy, and assessment of communication and swallowing by a sleep and language therapist), an off-hours pattern (door-to-needle time for thrombolysis) and a flow pattern whereby quality changed sequentially across days (stroke-unit admission within 4 h). One quality measure, door-to-needle time within 60 minutes, had a particularly strong link to day of week and time of day, and it was worse over nights and on weekends. This pattern could be due to loss of spare bed capacity over the weekend.
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Lybrate Updates
 
 
A 26-year-old male from Madurai asked:
Hi, I have sinus problem. How recovery is possible without any surgery. Every morning, I have running nose and that continues. What should I do? Thank u.
 
Dr. Ravindranath Kudva, Ear-Nose-Throat (ENT) Specialist, replied:
First & foremost get a ct scan of the sinuses to find out which of the sinuses are involved. Secondly a nasal endoscopic examination...read more
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Changing the way we perceive a situation can reduce stress
 
New Delhi, May 15, 2016: Stress has become an indispensable part of our lives today. While some amount of stress motivates us to be better at what we do and put in just that extra effort to achieve our goals, too much stress can have a drastic impact on our health. The modality is to change your interpretation towards the stressful situation for which one should start thinking positively and different and choose the resultant options within, which do not hurt the heart.
 
Stress promotes overindulgence in comfort foods, which are high in trans fats, sodium and sugar making us prone to obesity, diabetes, heart disease and hypertension. It encourages us to depend on evils such as smoking, alcohol/drugs and may lead to substance abuse. It causes a lack of sleep, and promotes a sedentary lifestyle. Stress may also affect our mental health, which and manifest as anxiety and depression.
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Yoga for Health

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