Editor in Chief Dr KK Aggarwal, Padma Shri Awardee
Dated: 16 th April, 2019
Morning Medtalks with Dr KK
1. Cardiogenic shock survival rates jumped after FDA approval of the Impella percutaneous heart pump, Abiomed's quality assurance database showed. (Diagnostic and Interventional Cardiology)
2. Low adherence to oral anticoagulation in atrial fibrillation was highlighted along with growing evidence on the risk-benefit ratio of left atrial appendage occlusion in a review article in Mayo Clinic Proceedings.
3. Five risk factors in diabetes: elevated hemoglobin A1C, elevated LDL cholesterol, albuminuria, smoking, and elevated blood pressure.
When you should suspect C. auris?
Whenever there is a suspected or confirmed case of C. auris infection or C. auriscolonization in the hospital, the details should be notified toProf.ArunalokeChakrabarti, Professor and Head, Mycology Reference Laboratory, Department of Medical Microbiology, PGIMER, Chandigarh.
The child should sit on the toilet shortly after a meal, for 5 to 10 minutes, two to three times per day.
Toilet sitting episodes should occur at the same time each day and be timed with a timer or stopwatch
The routine should be followed every day, particularly during times of transition (eg, holidays, vacations, or weekends
The child's adherence to the program should be encouraged with positive reinforcers rather than negative reinforcers (criticism or punishment).
For children whose feet do not touch the floor sitting on a regular toilet seat, it is helpful to use a stool for foot support.
A foot support that raises the knees above the level of the hips can help relax the pelvic floor, and is particularly helpful for a child who tends to withhold stool.
Specifics vs general: Ask for specific test and not the complete panel of tests to reduce treatment costs
Evidence-based medicine has become the norm today. Laboratory tests are now greatly relied upon in the diagnosis of a condition, its treatment and follow up.
Some key facts about levothyroxine use for hypothyroid patients
Levothyroxine is routinely used as the primary form of thyroid hormone replacement in the management of hypothyroidism. It is absorbed in the small intestine; bioavailability in the euthyroid person is 70-80%.