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Editorial (Dr SS Agarwal, Dr K K Aggarwal)
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5th September 2016
Wishing a Very Healthy & Happy Birthday to Our Group Editor-in-Chief, Dr KK Aggarwal

Differentiating Chikungunya from dengue
 
Chikungunya and dengue are both acute febrile illnesses characterized by fever, myalgia and lethargy. Some patients may also have maculopapular rash, nausea, vomiting, and headache.
 
Distinguishing features of chikungunya include potentially debilitating bilateral polyarthralgia and, in some cases, arthritis.
 
Although these signs and symptoms may assist in differentiating dengue and chikungunya, clinicians should include both illnesses in their differential diagnosis of patients with acute febrile illness.
 
Dengue should be ruled out in patients with acute febrile illness and suspected of having dengue or Chikungunya.
 
Evaluate patients for the warning signs of severe dengue such as persistent vomiting, severe abdominal pain, tachycardia, restlessness, hypotension, narrow pulse pressure. If present, patients should be hospitalized for close monitoring and management.
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Stress management programs for heart patients are a must
 
New Delhi, September 04, 2016: Drugs such as beta-blockers and psychosocial interventions can reduce the physiologic response to some forms of stress.
 
In patients with known coronary disease, the cardioprotective effect of beta blockers with regard to heart attack and sudden cardiac death are partly due to a diminution of catecholamine and hemodynamic-induced endothelial damage and a rising of the threshold for ventricular fibrillation.
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