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25th march 2010, Thursday
1. The scientists have demonstrated the utility of nucleic acid amplification (NAA) testing for diagnosis of tuberculosis in a large public health setting. The recent recommendations from the CDC also supports that NAA testing be performed on at least one respiratory specimen from patients with suspected pulmonary TB.1
In a trial of 328 patients with active pulmonary TB randomized to receive moxifloxacin or isoniazid (in addition to rifampin, ethambutol and pyrazinamide), comparable rates of sputum culture negativity after eight weeks were observed (55 and 60 percent). Moxifloxacin is a suitable alternative for patients who are intolerant of INH or infected with INH–resistant Mycobacterium tuberculosis. Fluoroquinolones should be used only in persons with intolerance of or resistance to first–line agents.2
Dr KK Aggarwal
Laughter the best medicine
Intensivist: "Did you take the patient’s temperature?"
Formulae in Critical Care
Venous oxygen content (CvO2)
Milestones in Orthopedics
Harold A sofield (1900–1987), pioneered the operative fixation of fractures of hip by performing the first nailing of a femoral neck fracture in chicago area.
Metal rods can be surgically inserted in the long bones to improve strength, in patients of osteogenesis imperfecta, a procedure developed by Harold A. Sofield, MD, at Shriners Hospitals for Children in Chicago. In 1959, with Edward A. Miller, MD, Sofield wrote a seminal article describing a solution that seemed radical at the time: the placement of stainless steel rods into the intramedullary canals of the long bones to stabilize and strengthen them. His treatment proved extremely useful in the rehabilitation and prevention of fractures; it was adopted throughout the world and still forms the basis of orthopedic treatment of osteogenesis imperfecta.
Mistakes in Clinical Practice
Abbreviations with a period following (mg. or mL.): Omit period and use (mg or mL). The period is unnecessary and could be mistaken as the number 1 if poorly written.
Lab Test (Dr Naveen Dang)
Beta 2 microglobulin is used to help evaluate the severity and prognosiso of multiple myeloma, leukemia, or lymphoma, to distinguish between kidney disorders and to detest kidney damage.
List of Approved drug from 1.01.2009 to 31.10.2009
ZEN IMMUNE–FACT SHEET
Zen Immune Beauty helps improve the brittleness of nails and increase the hair tensile strength, thus preventing hair loss. It stimulates regeneration of hair roots, helps prevention of comedone formation and post comedone skin scarring in acne vulgaris.
Advertising in eMedinewS
eMedinewS is the first daily emedical newspaper of the country. One can advertise with a single insertion or 30 insertions in a month. Contact: firstname.lastname@example.org or email@example.com
Will be organized at Maulana Azad Medical College, New Delhi on July 4, 2010, Sunday to commemorate Doctors’ Day. The speakers, chairpersons and panelists will be doctors from NCR, who have been past and present Padma awardees.
The second eMedinewS–revisiting 2010 conference will be held at Maulana Azad Medical College, New Delhi on January 2, 2011. The event will have a day–long CME, Doctor of the Year awards, cultural hungama and live webcast. Suggestions are invited.
NATIONAL SEMINAR ON STRESS PREVENTION (17–18 April). Over 400 registrations already done.
A Stress Prevention Residential Seminar cum spiritual retreat with Dr KK Aggarwal and Experts from Brahma Kumaris will be organized from April 17–18, 2010.
Co–organizers: eMedinews, Brahma Kumaris, Heart Care Foundation of India, IMA New Delhi Branch and IMA Janak Puri Branch, IMSA (Delhi Chapter)
Venue: Om Shanti Retreat Centre, National Highway 8, Bilaspur Chowk, Pataudi Road, Near Manesar.
Timings: On Saturday 17th April (2 pm onwards) and Sunday 18th April (7 am–4 pm). There will be no registration charges, limited rooms, kindly book in advance; stay and food (satvik) will be provided. Voluntary contributions welcome. For booking e–mail and SMS to Dr KK Aggarwal: 9811090206, firstname.lastname@example.org BK Sapna: 9811796962, email@example.com
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Azad overrules IMA’s objections to rural MBBS course : By Prashant K. Nanda
"The IMA has three problems with the plan," a senior health ministry official told IANS. "They want to call the new medical institutions for rural doctors as ‘schools’ and not colleges, as planned by the ministry. They are also opposed to naming these four–year courses as degrees. The IMA wants these to be called diplomas and not degrees, as a normal MBBS course is of five–year duration," the official said.
"The doctors’ association also wants a separate registration for these rural doctors," the official added. However, the health minister has rejected their demands.
"The minister listened to their problems patiently but told them that there is no conflict of interest with the regular doctors. The changes as demanded by the IMA will not be incorporated," the official added.
Bachelor of Rural Health Care (BRHC), popularly called Rural MBBS, is a four–year course for rural students who will work in health sub–centres and primary health care centres.
Azad has often raised the issue of shortage of doctors in India. "A whopping 80 percent of the doctors are serving just 20 percent of the population. The doctor–patient ratio is not encouraging," Azad said in a function Wednesday and reiterated that there is a need for more doctors in villages.
According to the medical education regulator, the Medical Council of India, rural doctors are the need of the hour. "They cannot do surgeries but can treat 300 different types of ailments that rural Indians face regularly," MCI president Ketan Desai told IANS.
"I am in favour of rural doctors. Those sitting in cities like Delhi and Mumbai cannot understand the trauma of villagers and how they suffer without any medical attention," Desai added.