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Editorial (Dr SS Agarwal, Dr K K Aggarwal)
24th July 2016
CDC & AAP update recommendations for infants with Zika virus infection​ 
The American Academy of Pediatrics (AAP) and the Centers for Disease Control and Prevention (CDC) and have updated recommendations for the clinical evaluation and management of infants suspected of having Zika infection and those who have congenital Zika virus infection. These recommendations followed an expert level meet on July 21 to discuss revisions to the last CDC recommendations, released in February 2016.
The three main areas touched were evaluation of infants with suspected or confirmed congenital Zika virus infection, outpatient care and follow-up for symptomatic infants with congenital Zika virus infection, and outpatient care and follow-up for infants without apparent abnormalities at birth.
Infants suspected to have congenital Zika infection
  • Infection is considered to be possible or confirmed if infant PCR or IgM testing results are positive (final recommendations on this awaited).
  • A comprehensive physical examination should include careful head circumference measurement and assessment of length, weight, and gestational age; and evaluation for neurologic abnormalities, dysmorphic features, liver or spleen enlargement and the presence of rash or other skin lesions.
  •  A hearing screen per universal screening and a cranial ultrasound should be done before discharge.
  • The infant should be examined within a month of birth by a pediatric ophthalmologist.
  • A complete blood count to check for thrombocytopenia should be done.
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A 33-year-old male from Kolkata asked:
My SGPT level is 73, SGOT is 34, Bilirubin is 1.20, Triglycerides level is 180. Are these level are very abnormal and please suggest how to lower down the SGPT and Triglycerides level.
Dr. Preethy, General Physician, replied:
Normal SGPT level ranges from 7 to 56 units. High levels of SGPT in the blood may indicate liver problems and damage, but they may also be elevated due to strenuous activity... read more
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Sexual activity in patients with cardiovascular disease
New Delhi, July 23, 2016: "Heart patients and paralysis survivors can resume usual sexual activity as soon as they feel that they are ready and comfortable with the idea", said Padma Shri Awardee Dr KK Aggarwal - President Heart Care Foundation of India (HCFI) and Honorary Secretary General IMA.

After recovery from a heart attack or stroke, patients may feel depressed, which is normal, and in 85% of cases it goes away within three months. If a person can walk one kilometre or climb two flights of stairs without any discomfort in the chest or breathlessness, he or she can resume normal sexual activity without any cardiac risk.
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