Morning Medtalks with Dr KK Aggarwal

April 14, 2018
Morning Medtalks with Dr KK Aggarwal
New Delhi, April 14,2018:

The Delhi high court has warned civic authorities that it will order stringent penal action against senior officials if there are deaths in the capital due to dengue and chikungunya. This is what the courts will have to do if the government doers not do their job.

In Jan 2017 last year National Consumer Disputes Redressal Commission held that a malaria death caused by mosquito bite is an accident, and directed the insurer to honour its policy to a widow.

Consumption of drinks with a high sugar content, including soft drinks and fruit juices, is associated with an increased risk for all-cause mortality and mortality from coronary heart disease in middle-aged adults, particularly those who are overweight or low-income. REGARDS study showed that those who consumed the highest amounts of sugar-sweetened beverages and fruit juices had as much as two times the risk of dying of coronary heart disease as those consuming the lowest levels of the sugary beverages. No association was seen between consuming the highest amounts of food with high sugar content and mortality.

The latest research shows that probiotics may offer benefits against a range of health conditions, including allergies, arthritis, asthma, cancer, depression, heart disease, and gastrointestinal (GI) problems. Probiotics may even help with weight loss!  There are different strains of probiotics offering different health benefits. For example, L. acidophilus has been shown to support healthy digestion and immune function, while B. longum blocks unfriendly bacteria and yeast.
Patient has a right to know the credentials of their doctors. The CHENNAI high court has suggested to the MCI to display number of attempts by doctors in examinations in the website and also in the hospital/clinic concerned so that patients would know the doctor’s performance. Justice S Vaidyanathan in support of his observation said the MCI will have to take a decision and ensure that the number of attempts made by doctors will have to be displayed in the website and also in the hospital/clinic concerned, in order to enable patients to know performance of the doctor as a student.

As per a new research in Circulation: Genomic and Precision Medicine genetic testing for CYP2C19 mutations can be used to guide anticoagulant treatment after stent placement. Patients with the mutations who received 1 of 2 clopidogrel alternatives compared to clopidogrel were more than 3 times less likely to die or have a myocardial infarction, stroke or other major complications 12 months after treatment. Major complications occurred among 27% of patients taking clopidogel with the genetic mutations, compared to 8% of patients with the mutations who received the alternative medications. Clopidogrel is less effective in patients with mutations on CYP2C19 gene, than in patients without the mutations.
Every glass of wine or pint of beer over the daily recommended limit will cut half an hour from the expected lifespan of a 40-year-old. The paper, published in the Lancet medical journal, says five standard 175ml glasses of wine or five pints a week is the upper safe limit – about 100g of alcohol, or 12.5 units in total. More than that raises the risk of stroke, fatal aneurysm (a ruptured artery in the chest), heart failure and death.

Omega-3 fatty acid supplements taken orally proved no better than placebo at relieving symptoms or signs of dry eye, according to the findings of a well-controlled trial funded by the NIH. The condition affects an estimated 14 percent of adults in the United States. The paper was published online April 13 in the New England Journal of Medicine.

The Haryana government is likely to implement the central Clinical Establishments  Act, 2010, by the end of this month. Rules were being finalised that will introduce a cap on prices for various treatments at private hospitals having more than 50 beds.

Maximum temperatures are recorded below normal over most parts of the country and the present synoptic conditions indicates, rise in maximum temperatures over Northwest, Central and West India by 2-4°C during next 4-5 days, however Heat wave conditions would not occur over any part of the country during next 4-5 days.

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