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Editorial

Dr k k Aggarwal Special

CMAAO Coronavirus Facts and Myth Buster: Thrice weekly antigen test or once weekly RT PCR

Dr KK Aggarwal President CMAAO, HCFI
23rd March 2021
Multispeciality
With input from Dr Monica Vasudev
Amount of virus: When an individual is initially infected with SARS-CoV-2 (day 0), a minute amount of the virus starts replicating inside them until it becomes so abundant that it cannot be contained. The infected individual thus becomes infectious and can spread the virus to others. This transition to becoming infectious usually occurs around day 3. By about the fifth day, infected individuals usually reach peak contagiousness. The person’s immune systems start containing the situation, and from day 5 onward, the amount of virus starts declining. After nearly a week of contagiousness, by about day 9, the virus is repressed. Viral particles continue to remain for weeks or months but are no longer a threat to others...Read more »
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Dr k k Aggarwal

World COVID Meter 22nd March 2021: Acute manageable immunogenic thrombogenic inflammatory contagious novel viral disease pandemic

Dr KK Aggarwal, President CMAAO, HCFI and Past National President IMA
23rd March 2021
Multispeciality
CMAAO: In susceptible high-risk (pro-inflammatory and/or pro-coagulative) individuals, reactogenic vaccines can trigger transient thrombo-inflammation lasting first few (up to four) days. COVID Vaccine: non-replicative, non-repetitive dose, spike gene mRNA/spike gene DNA to mRNA/whole killed virus, reactogenic vaccine 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,...Read more »
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Dr k k Aggarwal

Risk factors and prognostic markers of drug-induced liver injury in patients with stevens-johnson syndrome/toxic epidermal necrolysis

23rd March 2021 Gastroenterology Hepatology Multispeciality
Stevens–Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) most commonly includes liver and skin. However, drug reactions can rarely influence both organs concomitantly. Further studies are required to determine clinical features, risk factors, and prognostic markers of drug-induced liver injury (DILI) in patients with SJS/TEN... Read more »
Important
Cough Update

Use of Hydrocodone/Chlorpheniramine, a Prescription Opioid Antitussive Agent for the Treatment of Cough

23rd March 2021 Allergy & Immunology Multispeciality
Hydrocodone/chlorpheniramine is a prescription opioid licensed in the USA for the relief of cough and upper respiratory symptoms associated with allergy or cold was previously contraindicated in children aged < 6 years. An article published in Drugs – Real World Outcomespresented findings from a benefit-risk review of hydrocodone/chlorpheniramine use as an antitussive agent in patients aged 6 to < 18 years... Read more »

News From All Specialities

124.5 million doses of COVID-19 vaccines administered in U.S., says CDC

23rd March 2021 Pathology & Lab Medicine Business and Medicine
A total of 124,481,412 doses of COVID-19 vaccines were administered in the United States as of Sunday morning, reported the U.S. Centers for Disease Control and Prevention. The figure includes Moderna, Pfizer/BioNTech and Johnson & Johnson vaccines as of 6 a.m. ET (1000 GMT) on Sunday... Read more »
Win-Col

India witnesses sharpest weekly rise in COVID-19 cases

23rd March 2021 Emergency Medicine Pathology & Lab Medicine
India recorded the sharpest increase in COVID-19 cases this week, as the number of infections rose by 67% and 1 lakh cases more than the previous week were registered in the country. The COVID-19 related death toll for the week also increased by 41%, recording a nine-week high of 1,239. The fatality rate; however,... Read more »
Win-Col

Mumbai to roll out mandatory COVID-19 tests in crowded places

23rd March 2021 Pathology & Lab Medicine Pulmonary Medicine
Mumbai is set to roll out compulsory COVID-19 tests in crowded places as India faces a surge in cases. According to the local government, rapid tests would be done randomly in crowded places, like shopping centers, train stations, etc., and refusal to be tested will amount to offence. The rapid antigen tests will be mandatory in crowded places starting 22 March... Read more »
Win-Col

Lockdown due to COVID-19 negatively affected mental health of teenagers, says study

23rd March 2021 Pathology & Lab Medicine Pulmonary Medicine
A new study suggests that the lockdown imposed to check the spread of the novel coronavirus in March 2020 took a toll on mental health of teenagers. The CS Mott Children's Hospital National Poll on Children's Health at Michigan Medicine noted 46% of parents reported that their teen has shown signs of a new or worsening mental health... Read more »
Win-Col

COVID-19 Tied to Atypical Thyroid Inflammation

23rd March 2021 Pathology & Lab Medicine Pharmacists
People experiencing inflammation of the thyroid gland during acute COVID-19 disease may continue to have subacute thyroiditis months later even if thyroid function normalizes, reveals new research. Additionally, the thyroiditis appears to be different from the thyroid inflammation that is caused by other viruses, said Ilaria Muller,... Read more »

Medicolegal Corner

Important

What procedure and safeguard is to be followed if there is no advance medical directive?

23rd March 2021
In the landmark judgment titled as “Common Cause versus Union of India, 2018 (5) SCC 1 passed by the Hon’ble Constitution Bench of 4 Judges of the Supreme Court of India, it has held that: 192. It is necessary to make it clear that there will be cases where there is no Advance Directive. The said class of persons cannot be alienated... Read more »
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eMedi Humor

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Rolls Royce

23rd March 2021
Three men were waiting to go to heaven. St Peter was at the gate and said, "However good you were to your wife that is the vehicle you will get in heaven". The first guy comes up to the gate and says, "I never, ever cheated on my wife and I love her". So St. Peter gives him a Rolls Royce... Read more »
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eMedi Quiz

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A vitreous aspirate has been collected in an emergency at 9 pm. What advice would you like to give to the staff on duty regarding the overnight storage of the sample?

23rd March 2021
1. The sample should be kept at 4°C.
2. The sample should be incubated at 37°C.
3. The sample should be refrigerated deep freezer... Read more »

Lifestyle Updates

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eWellness: All about tea

23rd March 2021
Tea is commonly thought of as black tea with milk and sugar. However, the word ‘tea’ refers to any herb. When Tulsi is boiled in water, it makes Tulsi tea; hot mint water makes mint tea. Several different herbs can be used to make different varieties of teas, such as jasmine tea, lemon tea, lemon grass tea, masala tea, sounf tea, etc... Read more »
Spiritual

eSpiritual: What is the importance of life force?

23rd March 2021
A physical body becomes useless once the life force is gone. The same body, which was lovable to everyone, becomes a liability after death. Everyone wants to dispose it as early as possible as keeping a dead body at home is considered a bad omen. During the transfer of dead body from one place to another nobody... Read more »
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Inspirational: Heaven and Hell

23rd March 2021
A holy man was having a conversation with the Lord one day and asked him what Heaven and Hell were like. The Lord showed the holy man two doors. He opened one of the doors for the holy man to look inside. He saw a large round table in the middle of the room with a large pot of stew in its center,... Read more »

Survey

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... Read more » 
Medical voice

How Corona Aware Are You

Question 1 : How confident are you that you could recognize and respond to a potential coronavirus case?
Very confident
Moderately confident... Read more » 

Medbytes

From Other Newsletter

Recovery Digest

Orthopedics

US dietary advisory committee recommends no added sugar until two years of age

A US government advisory group has issued its first-ever set of dietary guidelines for infants and toddlers. The plan from the 2020 Dietary Guidelines Advisory Committee recommends that children under two years of age should not be given any added sugar. It further states that infants should be fed only breast milk for the first six months, where possible... Read more »

Nephrology

Orthopedics

Accelerated versus delayed renal replacement therapy: What should you go for?

While some recommend to initiate renal replacement therapy (RRT) as soon as severe acute kidney injury, on the other hand some advocate a delayed strategy wherein they suggest waiting until the patient develops an indication for dialysis.... Read more »

Pediatrics

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Impact of Moisturizing Skincare on Skin Barrier Function in Infants

Newborn skin is dry and undergoes significant changes in sebum. These changes are known to cause problems such as diaper dermatitis, seborrheic eczema and prickly heat in more than 50% of newborns. Routine bathing and moisturizer use are some of the preventive measures for such conditions in newborns... Read more »

Orthopaedic

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Effect of Cissus quadrangularis on fracture union in a young male - Case report

Cissus quadrangularis is rich in anabolic steroids, calcium, and phosphorus. Stem extracts of the herb are often used for early repair of fractures. In a case report published in the International Journal of Research in Orthopaedics, authors assessed the effect of C. quandrangularis in advancing fracture union and reduction in pain and swelling... Read more »
 

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