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Daily Morning Round with Dr K K Aggarwal

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Dr K K Aggarwal    18 February 2018

  1. Feeling tired is not normal. Getting older may mean you have less endurance than you used to, and you may feel tired sometimes, just like anyone else, but if you are experiencing long-lasting daily fatigue, there could be an underlying medical cause.
  2. A group risk-reduction intervention that uses role-playing, videos, games, and skill-building exercises to promote knowledge about HIV/AIDS, positive coping, and problem-solving skills for high-risk teens in the juvenile justice system, showed great potential for reducing sexual risk-taking. The findings were published in Health Psychology and funded by the National Institute on Minority Health and Health Disparities (NIMHD), part of the National Institutes of Health. [Preventing HIV/AIDS Among Teens]
  3. Healthcare professionals might soon be bringing on the bling in the workplace, as UK and Chinese researchers designed copper-covered uniforms to help fight bacteria. University of Manchester, working with counterparts from several universities in China, have created a ‘durable and washable, concrete-like’ material made from copper nanoparticles. They’ve also developed a method of bringing this composite to textiles such as cotton or polyester, a world first
  4. The U.S. Food and Drug Administration on Friday declined to approve Apricus Biosciences Incs Vitaros, a cream to treat erectile dysfunction, for the second time in a decade, sending the companys shares down more than 70 percent before the opening bell.
  5. U.S. drug regulators want to let drug makers test Alzheimer’s disease treatments on patient’s years before the disease shows outward signs, and could approve the therapies based on subtle biological signals rather than proof they alleviate symptoms
  6. Globally, more than one in 10 patients develops a surgical-site infection after a gastrointestinal operation. Rates vary widely, with overuse of antibiotics in poorer countries likely contributing to higher prevalence. "Worldwide, large amounts of antibiotics were consumed to prevent and treat surgical-site infections," said Dr. Ewen Harrison, one of the researchers. "Yet, in a fifth of cases, the causative microorganism was resistant to the pre-surgery antibiotics given, and this increased to one of three cases in low-income countries," 
  7. About 10% of the general population has symptoms that meet Rome IV criteria for functional dyspepsia, according to a new study of adults in the U.S., Canada and the UK.
  8. About 15% of adults taking ibuprofen or other NSAIDs like aspirin, naproxen, celecoxib, meloxicam and diclofenac exceed the maximum recommended daily dose for these drugs [Medscape]
  9. The replacement of microbial communities in the lower intestine -- also known as the "microbiome" -- has been successfully used to treat conditions such as Crohns disease, for example. Genetically modified microbial communities have also been used to produce anti-cancer compounds.
  10. Do you know: “In the whole life of a pig, the amount of antibiotic that the pig would get via feed would fit in (a) water bottle cap.”
  11. U.S scientists have discovered a new antibiotic family discovered from dirt (samples of soil). The discovery could represent a step forwards in the quest to find new types of antibiotics and antimicrobials. Called malacidins (or metagenomic acidic lipopeptide antibiotic-cidins), can destroy several types of bacteria, including those resistant to most existing antibiotics, including Methicillin-resistant Staphylococcus aureus (MRSA). Malacidins are a class of chemicals made by non-pathogenic bacteria found in soil that can kill some Gram-positive type bacteria.
  12. Safety Tips from a senior police officer Inspector Manoj Kumar

Delhi police week celebrations

• Most Rag pickers in Delhi are from Bangla Desh and are an organised group.

• Never through empty boxes, empty shopping bags etc in your garbage. The rag pickers would identify that you have done a lot of shopping that day

• Jewellery is hard cash. You do not show your hard cash on the roads. Wear Jewellery only in functions and not on the roads.

• In Delhi most people are educated and intelligent. Think twice before you say: "bechara"

• Do not travel or drive alone 10pm to 6am on the roads

• Never stop your car in areas with no habitation or light in the night

• Vishwasghaat Wahin Hota hai Jahan Vishwas hota hai

• Never indulge in road rage: say sorry and come out

• People walking aimlessly in any colony should be dealt with suspicion: they may be identifying places for future crime

• Never put cash or jewellery at house

• Never take out a Rs 2000 note from your pocket from a bundle of notes. It tells people that you have a habit of carrying cash

• At home never give someone ready cash on spot, always say I will get it from bank and give you after a few hours

• Always keep one room in the house out of reach of the maid servants

• Always know your neighbours

• Never keep any expensive items in the car visible to people

• Never keep your bags open in public places especially in temples, cremation places, prayer meetings etc.

• Thieves may look like normal people, well dressed and speaking fluent English

• Gold and cash once stolen will get distributed or melted within no time

• Do not have friendship with unknown people even if they behave very friendly

• Do not accept any prasad from any stranger

13. 5 Km IMA CYCLE RALLY: 11th March all IMA branches at 7.00am at  all branches.  Subject IMA End TB yatra.

14.  A study of new varenicline users found that the incidence of cardiovascular events was 34% higher during the 12-week treatment period than in the year before or after use [American Journal of Respiratory and Critical Care Medicine (online, 20 December 2017)

15. ASCO believes that cancer clinical trials are vital to inform medical decisions and improve cancer care and that all patients should have the opportunity to participate.

16. Patient and family caregivers should receive timely and up-to-date education about immunotherapies, their mechanism of action, and the clinical profile of possible irAEs prior to initiating therapy and throughout treatment and survivorship.

17. The Delhi Medical Council (DMC) has slapped a show-cause notice to Max Hospital in Patparganj over an alleged case of medical negligence and overcharging for treatment. 

18. A family from Shahgund area of North Kashmir’s Baramulla District assembled at Press Colony here and protested against the authorities of hospital and alleged that the infant died after doctors injected him with a newly procured vaccine.

19. Researchers from Colorado and Florida have found that a drug commonly used to control blood pressure could have another use: preventing and treating type 1 diabetes. The new research at the University of Colorado Anschutz Medical Campus in Aurora — will be published in The Journal of Clinical Investigation. 60 percent of those who are at risk of the condition possess a molecule called DQ8 — which previous research has linked to the onset of type 1 diabetes. Blocking the DQ8 molecule could be one way of preventing type 1 diabetes. Methyldopa blocked DQ8 molecule.

20. single fathers have higher mortality, and demonstrates the need for public health policies to help identify and support these men,” said lead author Maria Chiu, researcher at the University of Toronto in Canada.

21. The National Consumer Dispute Redressal Commission (NCDRC) has held that the insurance company is liable to pay claim even if a vehicle is stolen by its driver only.

22.  USA: The Center for Disease Control says flu season could be reaching its peak. That means we can soon be seeing a decline in the amount of flu cases across the country.

23. The Madras High Court has directed the Centre to act on the recommendations made by the MCI on accommodating 144 students of a now-defunct private medical college in any other state-run institute within a week.

24. 37-year-old Rosangela Almeida dos Santos’ death certificate said that she went into cardiac arrest before dying from ‘septic shock’ on January 28 and was buried the next day. People living near the cemetery when they heard muffled screams coming from the burial spot 11 days later on February 9, 2018. They immediately alerted her family who smashed the stone tomb which had been nailed shut. Unfortunately, it was too late. By the time the family prised open the coffin, she was already dead. As reported by Metro, the nails around the sides of the coffin lid had been pushed upwards, and there were scratches and blood on the inside. She had suffered injuries on her hands and forehead and it appeared as though, she had tried to claw her way out. Storypick.com

25. Dr Bawa-Garba Case:  Let’s Revise Sepsis in tomorrows emedinews

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