Morning Medtalks with Dr KK Aggarwal

New Delhi, March 17,2018: Morning Health Talk

1. NATHEALTH: 1.2 lac wellness centers in India in the first phase will not have MBBS doctors [Alok Kumar]

2. NATHEALTH : Ayushman Bharat, the government insurance system must have transparent insurance reimbursement system or no private sector will involve in PPP model

3. A study by scientists from the State University of New York has found that more than 90% of bottled water worldwide, including India, contains tiny pieces of plastic.

4. Polypropylene, used to make plastic bottle caps, was the most common polymeric material (54%) found in the samples while nylon was the second most abundant (16%).

5. Topical antibiotics can be used in the treatment of mild, moderate or severe acne, and should not be used as monotherapy in an effort to reduce resistance development (ie, use topical antibiotics only when combined with topical BP and/or a topical retinoid). Orally administered antibiotics are recommended for moderate-severe inflammatory acne. Similarly, oral antibiotics are not recommended as monotherapy and are best used concomitantly with topical BP or a topical retinoid product, or both.

6. The Central Drug Standards Control Organization (CDSCO) is contemplating cancelling licenses of Wockhardt Ltd, Mascot Health Series Pvt. Ltd and Ambic Aayurchem Ltd for allegedly selling drugs without conducting safety trials, thereby risking the lives of patients.

7. Mascot health and Wockhardt are being probed for launching and marketing an anti fungal Fixed Dose combination (FDC) -Itraconazole 100 mg and Terbinafine 250 mg tablets in the market without conducting any safety trials.

8. FDC-Teneligptin Hydrobromide Hydrate 20 mg+Metformin Hcl 500 mg +Pioglitazone Hydrochloride 15 mg. Globally this combination is not approved. [Livemint]

9. Member-countries of the World Health Organisation (WHO) South-East Asia Region, including India, on Wednesday committed to intensifying efforts to eradicate tuberculosis by 2030.

10. The Delhi high court on Wednesday expressed concern over sporadic reports of dengueand chikungunya at the beginning of this year, wondering what will happen when the monsoon draws near.

11. Zika virus alert for Myanmar upgraded: Symptoms of Zika include a rash, pain in the joints, and conjunctivitis lasting four to seven days.

12. More than 37 million Americans, or 17% of the adult population, reported binge drinking — defined as consuming four or more drinks in one sitting for women, or five or more for men — at least once in 2015, according to the report. Many people binge drank far more frequently than that: The average number of episodes per binge drinker was 53, which is roughly one per week. Binge drinkers consumed an average of about seven drinks per session

13. Chennai TOI: Chennai: As the state awaits a Clinical Establishment Act, which will make licencing of all hospitals, clinics, nursing homes and labs mandatory, the Tamil Nadu medical council (TNMC) is in the process of chalking out minimum standards for them.

14. ANI: Medical service in Visakhapatnam remains to be critical as junior doctors, led by Andhra Pradesh Junior Doctors Association (APJUDA), staged a silent protest for the ninth consecutive day on Friday, seeking an early settlement of their demands.

15. Carl Lavie, MD says that LDL bad cholesterol goals will probably never go away.

16. What are “Diseases of the Heart”: The National Center for Health Statistics USA tabulated mortality of “Diseases of the Heart.” The term is commonly used in its statistical publications and its compilation of the leading causes of death. This category groups diseases containing words referring to the “heart” and includes: Acute Rheumatic Fever/Chronic Rheumatic Heart Diseases; Hypertensive Heart Disease and Hypertensive Heart and Renal Disease; Coronary Heart Disease and Other Heart Diseases – includes heart failure. “Diseases of the Heart” is not equivalent to “Total Cardiovascular Disease,” which the American Heart Association prefers to use to describe the leading causes of death. “Diseases of the Heart” represents about three-fourths of “Total Cardiovascular Disease” mortality.

17. Januzzi : Diabetes increases the risk for heart failure, and when a person has heart failure and they have diabetes, they do worse.

18. The prevalence of obesity in US adults was 19.4% in 1997 and increased steadily to 31.4% in 2017. Likewise, the prevalence of diagnosed diabetes went from 5.1% in 1997 to 9.5% in 2017.

19. Trending in the opposite direction, the number of current adult cigarette smokers, defined as those who had smoked more than 100 cigarettes in their lifetime and now smoke every day or some days, fell from 24.7% to 14.1%.

20. ‘One size of diet does not fit all’ was the core message from experts who have penned the 2018 Diabetes UK evidence-based nutrition guidelines for the prevention and management of diabetes, at the Diabetes UK Professional Conference 2018.