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Morning Medtalks with Dr KK Aggarwal

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Dr KK Aggarwal    19 March 2018

  1. Prescribe fluoroquinolones only when absolutely necessary. 20% of prescriptions are written for uncomplicated urinary tract or respiratory infections that do not require antibiotic treatment.
  2. WRIC has linked quinolones to tendon ruptures, nerve damage and psychological problems.
  3. FDA black box warning advise the quinolones should be reserved for patients where no other treatment options exist
  4. Quinolones drugs are strong enough to kill anthrax.
  5. A new study in the Journal Vaccine by health researchers from India, France and Germany has found that a single dose of Human Papillomavirus vaccination, against cervical cancer, provides lasting protection just as the two or three-dose regimen.
  6. A shortage of pathologists for proper diagnoses is inhibiting progress on universal health coverage, a new Lancet series has highlighted. They estimate there is just one pathologist for every one million patients in sub-Saharan Africa, a ratio 50 times lower than in high-income countries. China, with one pathologist for every 130,000 patients, needs extra 70,000 pathologists to reach levels similar to the UK or US.
  7. People on primitive diets running around the jungle have very low LDL levels and dont have cardiovascular events [Steve Nissen, MD, of the Cleveland Clinic, Ohio]
  8. The biggest benefit in LDL lowering is seen when patients with very high levels get down to moderate levels — even dropping from 200 to 100 mg/d [4S trial].
  9. Culture First: Nonsterile sites specimen: refer to anatomic sites in which colonizing organisms ("normal flora") may be present. Specimens from these sites are typically contaminated with colonizing bacteria ("normal flora"). Examples include sputum, throat swabs, wound swabs, and genital swabs. These specimens also generally contain human cells such as epithelial cells and white blood cells.
  10. Nikethamide or coramine is a stimulant which mainly affects the respiratory cycle. It was used in the mid-twentieth century as a medical countermeasure against tranquilizer overdoses, before the advent of endotracheal intubation and positive-pressure lung expansion.
  11. Three different respiratory stimulants are dimeftine, nikethamide and prethcamide
  12. No paucity of funds for health insurance scheme, says health minister
  13. A high level of cardiovascular physical fitness in middle-aged women is associated with 90% reduction in dementia risk in later life [March 14 Neurology]
  14.  A cannabinoid type 2 receptor agonist, LY2828360, that failed to ease osteoarthritis pain in a clinical trial may be useful in opioid addiction [February issue of Molecular Pharmacology].
  15. The US FDA said that consumption of kratom is linked to 44 deaths and that from a scientific standpoint, the substance is an opioid, not a harmless plant.
  16. Low-dose naltrexone holds promise for treating chronic pain associated with a wide range of conditions, including fibromyalgia and myalgic encephalomyelitis/chronic fatigue syndrome [UAB]
  17. IMA Cycle Yatra Update

From Kanyakumari to Delhi the cycle yatra started on 12th Jan and will reach Delhi on 24th March and they will join Doctors Mahapanchayat on 25th March. The Team members are Dr Noel Britto- Secretary IMA Cycling Club, Mr Sanjay Soni and Mr Aamir Khan

From Kolkatta to Delhi the Cycle Yatra started on 17th March and they will also reach on 24th to Delhi on 24th March. The team members are Mr Shubham Shankpal and Mr Manish Shinde.

From Mumbai to Delhi the cycle Yatra started on 18th from Mumbai and they will also reach Delhi on 24th March. The team members are Dr Chinmay Shah, Dr Darshan Shukla, Dr Yash Dave, Dr Brijesh Suthar and Dr Deep Shah.

From Amritsar to Delhi and it will start on 21st March and they will reach Delhi on 24th March

The team members are Mr Gaurav Wadge and Mr Chaube

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