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Morning Medtalks with Dr KK Aggarwal

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Dr KK Aggarwal    03 March 2018

  1. Occupational exposure to diesel exhaust is associated with a higher risk for amyotrophic lateral sclerosis (ALS) among men. Truck drivers, service station attendants, and others with the highest level of exposure to diesel exhaust while on the job at least 10 years in the past were 46% more likely to be diagnosed with ALS than those with no exposure [Medscape]
  2. In Cognitive Fitness, a NEW online course from the experts at Harvard Medical School, youll get a 6-step, easy-to-follow plan that helps you boost your brain health, and maintain and improve your memory as you age.
  3. Results of a recent animal study show that Pterocarpus marsupium extract (vijay saar) lowers diabetic rats blood glucose and HbA1c levels while increasing their levels of insulin. [Journal of Dietary Supplements]
  4. The appointments committee of the Cabinet has appointed current National Pharmaceutical Pricing Authority chairman Bhupendra Singh to the National Authority for Chemical Weapons Convention in the cabinet secretariat "in the rank and pay of additional secretary", according to a notification on Wednesday. It is unclear who would succeed him as the new chairman of NPPA.
  5. A bench of Acting Chief Justice Gita Mittal and Justice C Hari Shankar warned the authorities of contempt action if they did not ensure safety of doctors.
  6. Union Health Minister J P Nadda today said the government had formulated a national policy for "rare diseases", while asserting that the process of preparing a registry of such diseases was already initiated.
  7. New data cast doubt on the validity of a US Food and Drug Administration (FDA) advisory against coprescribing triptans and antidepressants due to an increased risk for serotonin syndrome.
  8. It only happens in India is not true. Research from Public Health England shows that 23.1% of prescriptions for antibiotics primary care are inappropriate
  9. AMA President‏ @amapresident : AMA will not stand by and let @Bupa, anyone else introduce managed care. The care provided to Australian patients will not be dictated by a £10bn multinational, nor any company with any plan for vertical integration and/or interference with the doctor-patient relationship.
  10. Alternative Medicine: Refers to therapies that are used in place of conventional care.
  11. Complementary: therapies are used in conjunction with mainstream medical therapies. Examples include massage, support groups, guided imagery, biofeedback, and hypnosis.
  12. Folk: medicine refers to therapies that are provided by family or group members as part of a family or cultural tradition for example "cold" foods for "hot" illnesses, religious or ritual healing practices (coining or sand painting), and using chicken soup to treat upper respiratory infections.
  13. Integrative: medicine refers to the integration of CAM therapies into mainstream medical practice based upon evidence of safety and effectiveness. For example, a doctor recommends ginger or acupuncture for nausea for a patient who does not want to take an antiemetic medication.
  14. Holistic: medicine refers to the care of the whole patient (body, mind, emotions, spirit, and relationships) in the context of his or her values, beliefs, culture, and community. Holistic medicine is closely related to comprehensive care. Examples of holistic medicine include promotion of literacy, screening for depression or alcohol use in family members, assessment of spirituality, and promotion of housecleaning to reduce allergic symptoms
  15. Do you know that of the 6.3bn tonnes of plastic waste produced since the 1950s only 9% has been recycled and another 12% incinerated. The rest has been dumped in landfills or the natural environment. Often, as with disposable coffee cups, drinks bottles, sweet wrappers and other packets that account for much of the plastic produced. If the stuff ends up in the sea, it can wash up on a distant beach or choke a seal. Exposed to salt water and ultraviolet light, it can fragment into “microplastics” small enough to find their way into fish bellies. From there, it seems only a short journey to dinner plates.
  16. The US Food and Drug Administration has approved this two-drug combination as a single pill, dolutegravir-rilpivirine, for patients just like this, with no history of virologic failure.
  17. Diabetes is currently divided into: type 1 diabetes (approx. 10 per cent), type 2 diabetes (85-90 per cent) and a number of less common diseases such as LADA, MODY and secondary diabetes. However, the researchers suggest a new set of subgroups: [The Lancet Diabetes & Endocrinology.]Group 1, SAID (severe autoimmune diabetes): essentially corresponds to type 1 diabetes and LADA (latent autoimmune diabetes in adults), and is characterised by onset at young age, poor metabolic control, impaired insulin production and the presence of GADA antibodies.Group 2, SIDD (severe insulin-deficient diabetes): includes individuals with high HbA1C, impaired insulin secretion and moderate insulin resistance. Group 2 had the highest incidence of retinopathy.Group 3, SIRD (severe insulin-resistant diabetes): is characterised by obesity and severe insulin resistance. Group 3 had the highest incidence of kidney damage - the secondary disease producing the highest costs to society.Group 4, MOD (mild obesity-related diabetes): includes obese patients who fall ill at a relatively young age.Group 5, MARD (mild age-related diabetes): is the largest group (about 40%) and consists of the most elderly patients.
  18. In 1998, Congress passed the Aviation Medical Assistance Act, which tries to protect medical "Good Samaritans" who heed an airplane call. The Act protects physicians, nurses, physician assistants, state-qualified EMTs and paramedics: "An individual shall not be liable for damages in any action brought in a Federal or State court arising out of the acts or omissions of the individual in providing or attempting to provide assistance in the case of an in-flight medical emergency unless the individual, while rendering such assistance, is guilty of gross negligence or willful misconduct."
  19. Older adults who develop hearing loss are more likely to experience greater cognitive decline and develop dementia than their counterparts without hearing problems, according to a meta-analysis recently published online by JAMA Otolaryngology — Head and Neck Surgery.
  20. Uber is driving deeper into health care by offering to take patients in every U.S. market where it operates to their next medical appointment. The ride-hailing service said Thursday its Uber Health business will handle rides set up by doctor’s offices or other health care providers and then bill that business, not the patient, for the service. The company said rides can be set up within a few hours or days in advance. Patients won’t need access to a smartphone to use the service.
  21. Children born to women who take metformin may have an increased risk of being overweight or obese, according to new data from two Norwegian studies.

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