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Morning Medtalks with Dr KK Aggarwal

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Dr KK Aggarwal    31 March 2018

  1. Super-gonorrhoea, Syphilis, HIV and Mycoplasma genitalium are developing resistance to antimicrobial treatments.
  2. Science Alert: Its Official: A British Man Has Contracted The First Case of Untreatable Super-Gonorrhea
  3. For most patients who meet criteria for zoster vaccination, give recombinant zoster vaccine (RZV) rather than the live attenuated zoster vaccine (ZVL)
  4. For patients who previously received ZVL, revaccinate with RZV
  5. For selected patients with symptomatic atrial fibrillation (AF) and heart failure with reduced ejection fraction, in whom antiarrhythmic drug therapy has failed, we suggest catheter ablation of AF rather than continued attempts with antiarrhythmic drug therapy or no antiarrhythmic drug therapy (CASTLE AF)
  6. For patients with an asymptomatic solid or subsolid (pure ground glass or part-solid) solitary pulmonary nodule (SPN) <6 mm, no routine follow-up is required.
  7. For women with postpartum hemorrhage diagnosed within three hours of delivery, administer tranexamic acid as a component of overall treatment
  8. For patients with ALS who have a disease duration of two years or less, are living independently, and have an FVC ≥80 percent, treat them with edaravone
  9. Patients with colon cancer that has spread to the lymph nodes usually get six months of chemotherapy after surgery but NEJM study shows that shortening treatment to three months did not affect the chance of cancer returning for many patients.
  10. The new director of the top U.S. public health agency on Thursday pledged to work to bring the nations opioid epidemic "to its knees" and said he believes the AIDS epidemic could be ended in three to seven years. Dr. Robert Redfield Jr.
  11. An recent reply by the Gurugram civic body to an RTI query by activist Mohit Khatana revealed that between 2016 and 2017, 46 cases of gross medical negligence were registered against private as well as government hospitals in the district.
  12. The junior doctor, Dr Hadiza Bawa-Garba, convicted of manslaughter by gross negligence, and subsequently stripped of her licence to practise by a High Court ruling earlier this year, has been granted an appeal against the ruling.
  13. The court did not accept the argument of the GMC that the manslaughter by gross negligence sentence should mean automatic removal from the medical register.
  14. A severed foot of a man was kept between his legs as he was lying on a stretcher at the district hospital in Uttar Pradeshs Sultanpur. Atul Pandey, 48, met with an accident while crossing the railway tracks at Karaundiya station, when his left foot was severed.
  15. A new French study in Lancet included over 1 million adults diagnosed with dementia between 2008 and 2013 & found that of 57,000 cases of early-onset dementia, 39% were due to an alcohol-related.
  16. Overall, alcohol-use disorders were associated with a three-times greater risk for all types of dementia.
  17. Although AF is classified clinically according to its duration as paroxysmal, persistent, or permanent, the risk for thromboembolism appears to be consistent among these categories.
  18. In AF the CHA2DS2VASc score—a seven-variable score consisting of age, sex, history of heart failure, hypertension, stroke, vascular disease, and diabetes—has replaced and expanded the previously used CHADS2 score
  19. The risk for stroke or systemic embolic events grows with increasing scores, and therefore oral anticoagulation should be considered in all patients with a score ≥ 2; patients with a score of 0 are at low risk.

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