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Editorial (Dr SS Agarwal, Dr K K Aggarwal)
20th May 2016
Surrogate decision makers more optimistic about prognosis than physicians: JAMA 
 
Patients' physicians and surrogate decision makers have conflicting expectations about the prognosis of critically ill patients. In a study published in the May 17 issue of JAMA, Douglas White, MD, from the Department of Critical Care Medicine, University of Pittsburgh Medical Center, Pennsylvania and coauthors report that physician-surrogate discordance about prognosis of patients in ICUs occurred in 53% (122/229).

Of the 122 instances, discordance was related to both misunderstandings by surrogates and differences in belief about the patient's prognosis in 65 instances (28%), 38 (17%) were from misunderstandings by surrogates only, 7 (3%) were related to differences in belief alone. No data were available for the remaining 12 cases. Seventy-five patients (43%) died. 
The physicians' prognostic estimates were statistically significantly more accurate than those of surrogates'. Seventy-one surrogates interviewed were more optimistic about the prognosis than physicians. The most common reasons cited for optimism were a need to maintain hope to benefit the patient (n = 34) or they felt that their patient had unique strengths not yet known to the physician (n = 24), and religious belief (n = 19).
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Lybrate Updates
 
 
A 28-year-old male from Srinagar asked:
What is cancer.  Symptoms of cancer. How can it be treated. Why it is so dangerous disease. How can we prevent this disease.

Dr. Neetu Singhal, Oncologist, replied:
Dear sir, cancer is abnormal uncontrolled growth of cells caused by some faulty gene which control the growth of cells. This faulty gene may be due to some injury...read more
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IMA-Lybrate Initiative: With an online clinic, consult patients, fix your own fees and give an additional 'ethical' boost to your earning. Learn more http://lybr.at/open-online-clinic 
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Press Release
 
The Live Love Laugh Foundation unveils awareness program on mental health
for General Physicians at a webinar hosted by IMA & HCFI
 
New Delhi, May 19, 2016: The Live Love Laugh Foundation (TLLLF), a not-for-profit organization which aims to raise awareness of mental health in India, has launched a program that's designed to assist General Physicians (GPs) work more effectively with their patients who may be going through depression or anxiety. The program called More Than Just Sad, was unveiled today by Dr. Shyam Bhat, Psychiatrist and Trustee -The Live Love Laugh Foundationat at a webinar hosted by the IMA (Indian Medical Association) in association with HCFI (Heart Care Foundation of India).

"We are pleased to launch 'More Than Just Sad', the GP (General Physicians’) awareness program on mental health, with this webinar that's being hosted by the IMA (Indian Medical Association). GPs are already involved in caring for patients with physical conditions; we believe the program we have launched today will assist them at the first level to provide the right diagnoses and guidance to patients who could be struggling to cope with mental health issues including depression, stress and anxiety,"said Deepika Padukone, Founder, The Live Love Laugh Foundation.
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Yoga for Health

Yoga and gestational diabetes 
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