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Dr KK Aggarwal 15 July 2018
Electric cars safe for pacemaker patients
Morning MEDtalks with Dr K K Aggarwal 15th July 2018
The current study by Lennerz and colleagues published online April 24 in the Annals of Internal Medicine suggest that electric cars do not promote clinically significant EMI among patients with CIEDs (cardiac implantable electronic devices)
The study of 108 patients with CIEDs and one of Europes 4 most popular electric cars showed no evidence of EMI with the CIEDs under a variety of different conditions. In the study participants had their CIED optimized to detect EMI. They were then exposed to one of 4 fully electric cars, which were selected because they are the most popular electric cars in Europe.
Testing was completed in 3 parts. First, participants sat in the front seat of the vehicle as it ran on a roller test bench. Next, study participants charged the car in which they sat. Finally, they drove the cars on open roads.
Levels of exposure were well within those set by the International Commission on Non-Ionizing Radiation Protection (ICNIRP), which are limited to public exposure of 200 µT and professional exposure of 1000 µT, for a varying 50-Hz sinusoidal current.
In the current study, the maximum electromagnetic force generated even in the worst-case scenario was 116.5 µT along the charging cable, which is still well within the standards laid down by ICNIRP.
Essay-competition-for-medical-students
ICMR has invited entries from Under Graduate and Post Graduate medical students for ICMR Essay Competition 2018. Topics are (i) Innovation in Medicine: New Ideas for Translation (ii) Gandhi & Health: Celebrating 150 Years. Three cash prizes each with a First Prize of Rs.1 Lakh, Second prize of Rs 50,000/- and Third prize of Rs 25,000/- Enteries by 15th August.
Dental Council proposes to MCI to conduct three-year MBBS bridge course for BDS graduates
Dental Council of India has made a proposal to the Medical Council of India to undertake a three-year MBBS bridge course for the BDS graduates.
The Council has also made one proposal for starting a one year fellowship program for MDS doctors in any specialty. DCI plans to give a period of three years to those who do PhD in their own MDS specialty by which after one year as lecturer they can be promoted as a reader.
As per the new law regarding courses in dental sciences, all the institutions need to be affiliated to a medical college. From the academic year 2019, with a view to curb mushrooming growth of dental colleges, the recently introduced rule that no new dental colleges will be sanctioned if they are not affiliated to medical colleges will be strictly implement.
Dental council has also suggested that all the state governments should appoint a dental surgeon in every public health centre as bad oral hygiene is the root cause of many ailments and the rural people have very poor oral health practices. There is also a need to set up independent dental directorates in states. (pharmabiz)
Vegan and vegetarian diets help lower HbA1c and cholesterol levels
It also improves other cardiometabolic risk factors in middle-aged, overweight people controlling their type 2 diabetes with medications, say authors in the journal Clinical Nutrition.
False elevation of creatinine
Drugs or diagnostic agents that adversely affect renal function is a frequent cause of worsening renal function. Among patients with CKD, common offenders include aminoglycoside antibiotics (particularly with unadjusted doses), NSAIDs, and radiographic contrast material.
Certain drugs also interfere with either creatinine secretion or the assay used to measure the serum creatinine. These include cimetidine, trimethoprim, cefoxitin, and flucytosine. In these settings, there will be no change in the true GFR; the clinical clue that this may have occurred is the absence of a concurrent elevation in the blood urea nitrogen. ( urea = BUN x 2.14)
High- moderate vs low intensity statin therapy
High Intensity statins lowers bad cholesterol by > 50%. Examples are Atorvastatin 40-80 mg or Rosuvastatin 20-40 mg
Moderate intensity statins will lower bad cholesterol by 30-50%. Examples are Atorvastatin 10-20 mg, Rosuvastatin 5-10 mg, Simvastatin 20-40 mg, Pravastatin 40-80 mg, Lovastatin 40 mg, Fluvastatin 40 mg BD, Pitavastatin 2-4 mg
Low intensity statins will lower bad cholesterol by < 30% and examples are Simvastatin 10 mg, Pravastatin 10-20 mg, Lovastatin 20 mg, Fluvastatin 20-40 mg BD, Pitavastatin 1 mg
Protocol in diabetes
Medscape ten recommendations for preventing cancer
The guidelines focus on 10 core elements that, taken together, should markedly reduce the risk for cancer among individuals.
Participate in survey on inflammatory bowel disease:
https://docs.google.com/forms/d/e/1FAIpQLSedaDx2iXiwU1vBpYdU6ebfCap-7PYAPSqXRJTeg8ULvNOcLg/viewform
Dr KK Aggarwal
Padma Shri Awardee
Vice President CMAAO
President HCFI
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