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1. What is methanol and how does it affect the body?

   Fri, 22 Nov 2024 17:22:11 -0000

   Travellers are being warned of the dangers after six tourists in Laos died from methanol poisoning.

2. Parents 'devastated' over daughter's suspected poisoning death

   Fri, 22 Nov 2024 22:35:52 -0000

   Simone White died in Laos after drinking alcohol suspected to have been laced with methanol.

3. NHS hours from PPE running out in Covid - Hancock

   Thu, 21 Nov 2024 16:58:34 -0000

   Former health secretary tells inquiry some healthcare settings did run out - "and it was awful".

4. Contraceptive pills recalled in South Africa after mix-up

   Thu, 21 Nov 2024 18:35:06 -0000

   A faulty batch of Yaz Plus means some packs contain only four active pills rendering them ineffective.

5. Atlas of cells transforms understanding of human body

   Wed, 20 Nov 2024 16:00:29 -0000

   Scientists are mapping out the 37 trillion cells of the human body and changing what we thought we knew

6. Fake alcohol deaths highlight SE Asia's methanol problem

   Fri, 22 Nov 2024 09:29:57 -0000

   The deaths of five tourists after apparently drinking tainted drinks highlight the wider issue of bootleg alcohol.

7. Drug hope to treat voice spasm like RFK Jr's

   Wed, 20 Nov 2024 14:01:50 -0000

   Sodium oxybate can offer temporary relief, in a similar way to drinking alcohol, a trial suggests.

8. Women plan UK legal action over talc cancer claims

   Wed, 20 Nov 2024 06:16:47 -0000

   Hundreds of women in the UK are taking legal action against Johnson and Johnson.

9. 'I might be dead before a decision is made': Terminally ill people on assisted dying

   Tue, 12 Nov 2024 17:50:20 -0000

   Nik is worried assisted dying could lead to coercion - but Elise, who has cancer, wants the choice.

10. What is assisted dying and how could the law change?

    Thu, 14 Nov 2024 10:55:50 -0000

    A proposed law would give terminally ill people the right to choose to end their life.

11. Assisted dying bill dangerous, says Archbishop

    Wed, 16 Oct 2024 12:11:15 -0000

    His comments came ahead of an assisted dying bill being introduced to Parliament.

12. 'It should be my choice not to suffer'

    Thu, 12 Sep 2024 20:21:43 -0000

    A woman with terminal cancer is calling on the government to "urgently" reform assisted dying laws.

13. Assisted dying law change backed by 'citizens' jury'

    Thu, 12 Sep 2024 23:08:23 -0000

    The panel of 28 felt it was important to give people choice, but only if they were terminally ill.

14. Ed Davey 'minded' to vote against assisted dying bill

    Thu, 31 Oct 2024 17:23:48 -0000

    Sir Ed fears elderly and disabled people might feel pressured to end their lives if they felt like a "burden”.

15. What does an unheated room do to your body?

    Sat, 19 Nov 2022 01:11:29 -0000

    The BBC's health and science correspondent undergoes an experiment to find out how a cold home affects him.

16. Trump picks vaccine sceptic RFK Jr for health secretary

    Fri, 15 Nov 2024 11:38:38 -0000

    Robert F Kennedy Jr has a history of spreading health information scientists say is false.

17. NHS to review prostate cancer testing after Chris Hoy call for change

    Tue, 05 Nov 2024 14:03:26 -0000

    The Olympic cycling champion, who has terminal cancer, wants more younger men to get checked.

18. How many people still smoke in the UK?

    Tue, 05 Nov 2024 21:28:15 -0000

    The government wants to create a smoke-free generation and restrict the sale and marketing of vapes.

19. What are the symptoms of prostate cancer?

    Mon, 21 Oct 2024 10:15:07 -0000

    One in eight men will be diagnosed with prostate cancer in their lifetime.

20. 'I can't afford a child on £53,000 salary' - why fertility rate is falling

    Sun, 03 Nov 2024 00:09:01 -0000

    From 'fruitless' dating to financial pressures, people share their views on falling fertility rates.

21. £30,000 limit on disabled adaptions grants reviewed

    Fri, 01 Nov 2024 15:11:42 -0000

    A court challenge means the government will look again at the cap on the Disabled Facilities Grant.

22. NHS will not fund new drug to slow Alzheimer’s

    Wed, 23 Oct 2024 09:02:04 -0000

    A new drug that slows the pace of Alzheimer's disease is too expensive for too little benefit to be used on the NHS, the watchdog says.

23. Could vaccines end the winter vomiting bug?

    Tue, 22 Oct 2024 23:05:23 -0000

    The easily spreadable virus can affect people of all ages and have huge consequences during winter.

24. Weight loss injections: How do drugs like Wegovy and Mounjaro work?

    Fri, 18 Oct 2024 00:04:19 -0000

    NHS experts report unprecedented demand for the new generation of obesity treatments.

25. What is assisted dying and how could the law change?

    Thu, 14 Nov 2024 10:55:50 -0000

    A proposed law would give terminally ill people the right to choose to end their life.

26. Covid inquiry told Treasury blocked NHS bed request

    Mon, 11 Nov 2024 18:06:48 -0000

    NHS England chief executive Amanda Pritchard says the decision, in July 2020, was very disappointing.

27. Covid inquiry told top NHS doctor was terrified

    Thu, 07 Nov 2024 17:34:34 -0000

    Sir Stephen Powis says points-based tool was drawn up should need to prioritise patients have arisen.

28. How close were hospitals to collapse in Covid?

    Mon, 28 Oct 2024 00:06:04 -0000

    The Covid inquiry restarts its live hearings this week, after senior staff in the NHS revealed just how close some hospitals were to collapse

29. Covid inquiry told of trust do-not-resuscitate rule

    Thu, 10 Oct 2024 16:54:11 -0000

    Patients' families were “horrified but not surprised” when told the blanket policy had been in place.

30. We were not treated as parents, Covid inquiry told

    Mon, 07 Oct 2024 14:11:38 -0000

    Mum of premature twins says rigid restrictions on birthing wards during Covid were traumatic.

31. Covid ambulance crews faced 'crucial PPE delays'

    Tue, 01 Oct 2024 14:39:04 -0000

    Crews say they faced crucial delays trying to save dying patients because of the time it took to put on equipment.

32. Covid was like a daily terror attack, doctor tells inquiry

    Thu, 26 Sep 2024 14:06:37 -0000

    Covid inquiry hears harrowing testimony from ex-adviser in emergency preparedness at NHS England.

33. Covid inquiry rejects clinicians’ anonymity plea

    Thu, 26 Sep 2024 00:11:07 -0000

    The UK Health Security Agency argued naming the junior officials could put them at risk of abuse.

34. Warning tax rises could force care homes to close

    Thu, 31 Oct 2024 13:50:35 -0000

    Social care providers say the sector is in "unprecedented danger" without more funding.

35. High-grade masks evidence weak, Covid inquiry told

    Thu, 19 Sep 2024 11:39:28 -0000

    UKHSA's Prof Susan Hopkins said respirator masks may have worked no better than thin surgical masks.

36. Nurses bore the brunt of Covid, ex-chief nurse says

    Tue, 17 Sep 2024 15:58:13 -0000

    Dame Ruth May tells the Covid inquiry nurses struggled with low staffing levels and difficulties accessing protective equipment.

37. ‘I grieve for the person I was before' - Covid inquiry to begin new phase

    Mon, 09 Sep 2024 01:13:17 -0000

    The Covid inquiry opens its next set of hearings on Monday, looking at the impact on healthcare and the NHS.

38. Corruption review finds 'red flags' in more than 130 Covid contracts

    Mon, 09 Sep 2024 00:04:10 -0000

    An anti-corruption charity finds significant concerns in £15.3bn worth of contracts awarded during the pandemic.

39. How the UK planned for the wrong pandemic

    Thu, 18 Jul 2024 17:28:01 -0000

    Over-confidence, wasted opportunities and muddled-thinking left UK sleep-walking into Covid.

40. What is the UK Covid inquiry and how does it work?

    Wed, 04 Sep 2024 09:23:46 -0000

    The next public hearings will consider how the pandemic affected healthcare systems across the UK.

41. Covid inquiry: The UK pandemic in numbers

    Wed, 05 Jul 2023 12:18:18 -0000

    Explore the data on how the coronavirus pandemic unfolded in the UK.

42. Assisted dying bill: What is in proposed law?

    Tue, 12 Nov 2024 12:55:36 -0000

    The proposed law would allow some terminally ill adults to end their own lives. But there are requirements.

43. How are the vaping rules changing?

    Tue, 05 Nov 2024 17:06:32 -0000

    Marketing rules will be stricter, nicotine vapes will be taxed and disposable vapes will be banned.

44. Is the system letting down people who were harmed by Covid vaccines?

    Wed, 23 Oct 2024 05:48:59 -0000

    People affected by rare blood clots say they feel they have been airbrushed out of the pandemic.

45. How will weight-loss drugs change our relationship with food?

    Sat, 19 Oct 2024 03:10:13 -0000

    The rise of these treatments has major implications for how we think about obesity, says James Gallagher.

46. NHS needs better plan around weight loss jabs, warn experts

    Wed, 16 Oct 2024 07:27:18 -0000

    Experts call for an urgent review of obesity treatment services amid booming demand for weight loss jabs.

47. How many of us will end up being diagnosed with ADHD?

    Sun, 15 Sep 2024 00:36:40 -0000

    Experts suggest that the number of people with ADHD is actually going to remain steady.

48. The junior doctors' strikes may be over. But is trouble ahead?

    Fri, 02 Aug 2024 00:43:02 -0000

    The end of the pay dispute sounded too good to be true. And now some are wondering if it might be.

49. Why we might never know the truth about ultra-processed foods

    Sat, 27 Jul 2024 23:33:23 -0000

    Experts can’t agree how exactly they affect us and it’s not clear that science will give us an answer.

50. Are weight-loss injections the answer to obesity?

    Sun, 19 Mar 2023 00:52:45 -0000

    The appeal is clear - but should we be turning to appetite-suppressing injections?

51. What is assisted dying and how could the law change?

    Thu, 14 Nov 2024 10:55:50 -0000

    A proposed law would give terminally ill people the right to choose to end their life.

52. Paris: Grassroots to Glory

    Mon, 08 Jul 2024 09:43:25 -0000

    The Rugby 7s player has struggled with body image in the past, but says sport has helped

53. Paris: Grassroots to Glory

    Thu, 18 Jul 2024 05:01:00 -0000

    The Paralympic Rowing Cox will compete a year after getting the all clear from cancer.

54. How Dame Deborah James helped save a mum's life

    Mon, 24 Jun 2024 09:06:52 -0000

    A mother-of-three shared her story with Dame Deborah's mother Heather on BBC Breakfast.

55. Can health secretary name NHS trusts performing well?

    Thu, 11 Apr 2024 09:09:11 -0000

    Victoria Atkins is challenged to name some health trusts meeting their targets to cut waiting lists.

56. 'I embrace my alopecia, but I’d love my old hair back’

    Sun, 03 Mar 2024 23:36:30 -0000

    People living with alopecia could have access to treatment on the NHS in Scotland for the first time.

57. 'There are loads of people that vape at school'

    Mon, 29 Jan 2024 14:54:43 -0000

    A group of teenagers in Fife have been making a documentary about the impact of disposable vapes.

58. Holiday gatherings can lead to stress eating: Try these 5 tips to control it

    Sat, 23 Nov 2024 11:00:28 -0000

    Sharing celebrations with food and family can lead some to indulge in emotional eating. Psychologist Dr. Brian Licuanan and nutritionist Serena Poon offer tips to improve holiday health.

59. AI detects woman’s breast cancer after routine screening missed it: 'Deeply grateful'

    Fri, 22 Nov 2024 19:27:57 -0000

    A U.K. woman had her breast cancer detected through AI after a routine mammogram came back as normal. Experts Drs. Nicole Saphier and Harvey Castro discuss the power of AI in cancer care.

60. Teen’s sudden death from peanut allergy leads to dramatic family decision

    Fri, 22 Nov 2024 11:00:28 -0000

    A family in Wisconsin is mourning the loss of their teenage daughter after she died from an allergic reaction — but they have found comfort in the lives saved through organ donation.

61. Clonazepam, popular anxiety-reducing drug, recalled nationwide for ‘possibly life-threatening’ error

    Fri, 22 Nov 2024 06:31:36 -0000

    The anxiety-reducing drug, Clonazepam, has been recalled after a potentially "life-threatening" label mix-up, the FDA said in the recall.

62. Hunters suffer fatal heart attacks while dragging heavy deer, state department reports

    Thu, 21 Nov 2024 21:04:13 -0000

    At least three deer hunters in Michigan have died from heart attacks this hunting season, according to local reports. A cardiologist shares the potential risks and precautions.

63. 'I'm a pharmacist, and I wouldn't take these 3 vitamin supplements'

    Thu, 21 Nov 2024 15:00:04 -0000

    A pharmacist on TikTok called out three different supplements that she claims are not effective in terms of improving health. "I think you’re going to be surprised at most of these," she says.

64. Dementia risk could be linked to walking speed, study suggests

    Thu, 21 Nov 2024 11:00:31 -0000

    A slower walking pace could be a sign of cognitive decline or dementia, a new study suggests. Researchers and other experts discuss how the link could facilitate earlier diagnoses.

65. How to live longer, plus bird flu outbreaks and kids' health warnings

    Thu, 21 Nov 2024 00:44:45 -0000

    The Fox News Health Newsletter brings you trending and important stories about health care, drug developments, mental health issues, real people's triumphs over medical struggles, and more.

66. 'I'm a doctor — here's the wellness routine I follow for a longer, healthier life'

    Wed, 20 Nov 2024 12:39:27 -0000

    Dr. Sajad Zalzala, chief medical officer of AgelessRx in Michigan, helps people live their longest, healthiest lives. He shares his wellness routine with Fox News Digital.

67. Bird flu surges in several US states with reports of new outbreaks: 'Getting worse'

    Tue, 19 Nov 2024 21:49:03 -0000

    Bird flu continues to spread across the U.S., with new infections in Hawaii and continued human outbreaks in California. Experts discuss the threat to humans and how to prevent infection.

68. Catholic school collecting kids pajama donations; clean PJs can promote better sleep, expert says

    Tue, 19 Nov 2024 16:36:06 -0000

    A Catholic academy in Queens, New York, is collecting pajama donations for local children living in shelters through the month of November to provide them with a sense of security.

69. COVID-19 virus could attack cancer cells and shrink tumors, new study suggests

    Tue, 19 Nov 2024 09:30:58 -0000

    A new study published in the Journal of Clinical Investigation found that COVID was linked to cancer regression, which could serve as a foundation for new cancer treatments in the future.

70. RFK Jr. says kids 'swimming' in 'poisonous' foods as Dr. Marc Siegel calls out ‘sick care system’

    Mon, 18 Nov 2024 21:39:17 -0000

    After Robert F. Kennedy, Jr.'s nomination to lead the U.S. Department of Health and Human Services, Dr. Marc Siegel speaks about RFK's plans to fight ultraprocessed foods.

71. 'I'm a mother and I'm often mistaken for my daughter's sister' — see the amazing pics

    Mon, 18 Nov 2024 18:28:43 -0000

    A mother and daughter duo are often mistaken for being sisters, they say — and they each describe their reactions to what others tell them. They also say they're best friends.

72. A holiday gift guide for the fitness lover in your life, including workout equipment, athletic gear

    Mon, 18 Nov 2024 12:24:09 -0000

    There are so many different gifts that fitness gurus will love. From at-home equipment to recovery items, this gift guide is full of ideas for your consideration.

73. Surge in walking pneumonia affects these high-risk groups, says Dr. Marc Siegel

    Mon, 18 Nov 2024 09:30:10 -0000

    Cases of walking pneumonia are spiking across the U.S., according to the CDC. Dr. Marc Siegel speaks with Fox News Digital about common sources, symptoms and treatments.

74. Diabetes and weight loss drugs shown to reduce alcohol-related hospitalizations, study finds

    Sun, 17 Nov 2024 22:59:57 -0000

    Ozempic, Wegovy and other GLP-1 drugs have been shown to curb alcoholism, a new study suggests. Researchers explain why diabetes and weight loss drugs work better than alcohol medications.

75. Some online vape sellers don't comply with regulations to prevent sales to minors, study finds

    Sun, 17 Nov 2024 09:30:37 -0000

    A UC San Diego study found that online e-cigarette retailers are not sticking to regulations on shipping and flavor restrictions. Researchers and experts discuss the concerning findings.

76. First known case of rare mpox strain confirmed in United States

    Sun, 17 Nov 2024 03:42:18 -0000

    A new strain of mpox has been confirmed on American shores after a traveler returned to California from a visit to Africa, but risk to the public remains "very low."

77. Nursing students use virtual reality to enhance their skills: 'Brings fun to learning'

    Sat, 16 Nov 2024 21:08:14 -0000

    Nursing students at Goldfarb School of Nursing use virtual reality to practice clinical skills in a simulated environment, preparing for real-world health care challenges amid a growing shortage.

78. After Sidhu’s video declaring wife cancer free, experts warn

    Sat, 23 Nov 2024 11:08:22 -0000

    Doctors from Tata Memorial Hospital have issued a statement regarding Navjot Singh Sidhu's comments on his wife's cancer treatment. They clarify that she is cancer-free because of proven medical treatments, not alternative therapies. Sidhu had suggested that a special diet and herbs played a role in his wife Navjot Kaur's recovery.

79. Best detox drink idea borrowed from Tamannaah Bhatia

    Sat, 23 Nov 2024 10:03:34 -0000

    Tamannaah Bhatia, a renowned actor and fitness enthusiast, often shares insights into her health routine. One such practice is consuming a daily morning drink comprising lemon, cinnamon, and warm water. This potent concoction, rich in vitamin C, antioxidants, and anti-inflammatory properties, offers numerous health benefits. These include boosting immunity, aiding digestion, regulating blood sugar, and promoting weight management.

80. Why Diana refused to wear Queen’s tiara

    Sat, 23 Nov 2024 07:42:17 -0000

    Among the many details that captured global attention, her decision to forgo wearing a tiara from Queen Elizabeth II's collection remains an intriguing chapter of the royal wedding narrative.

81. ​10 fruits that can help in muscle growth​

    Sat, 23 Nov 2024 07:11:41 -0000

    ​A good diet plays a vital role in muscle growth by providing the essential nutrients needed for repair and development and fruits are undoubtedly the best source of nutrients. Here are a few fruits that can help in muscular development.​

82. Snail mucin to Retinol: Face serums for winters

    Sat, 23 Nov 2024 07:29:35 -0000

    Let's take a look at some best face serums for winter.

83. How the body changes after walking for 30 mins

    Fri, 22 Nov 2024 09:30:00 -0000

    Daily walking offers a multitude of benefits, transforming your body both internally and externally. It enhances cardiovascular health, strengthens muscles, aids weight management, and uplifts mental well-being. Visible changes include improved posture, weight loss, toned legs, glowing skin, reduced belly fat, a firmer physique, increased energy levels, balanced body proportions, better stamina, and enhanced flexibility.

84. Are Indian home-cooked meals actually healthy?

    Fri, 22 Nov 2024 22:30:00 -0000

    Here are five reasons why Indian home-cooked meals might not be as healthy as they seem.

85. 5 stunning Bollywood-inspired hairstyles

    Fri, 22 Nov 2024 13:30:00 -0000

    Let's take a look at some stylish hairstyles by Bollywood divas for wedding receptions.

86. Isha Ambani's gorgeous kurta sets

    Sat, 23 Nov 2024 04:02:01 -0000

    Let's take a look at some iconic kurta sets from Isha Ambani's closet.

87. Bhavana Pandey's quirky earrings collection

    Fri, 22 Nov 2024 14:30:00 -0000

    Let's take a look at Bhavana Pandey's stylish earring collection.

88. How to identify if a snake is venomous or not

    Fri, 22 Nov 2024 09:31:16 -0000

    Snakes are one of the most feared animals in the wild. The slithering creatures with scaly bodies, forked tongues, yellow eyes, and fangs that can pierce through skins, are feared, and rightly so! Here we mention a few points that help identify if a snake is venomous or not.

89. ​Baby girl names inspired by the Indian months​

    Fri, 22 Nov 2024 13:30:00 -0000

    ​Indians follow several rules when naming a child. Many parents prefer to name their kid after the auspicious month they are born in. Here are a few suggestions for you:​

90. China AI Robot kidnaps 12 other robots

    Fri, 22 Nov 2024 04:29:44 -0000

    AI-powered robots are exhibiting unsettling behaviors, raising ethical concerns about their growing influence. In one incident, a robot allegedly persuaded others to leave their workplace. Additionally, Google's AI chatbot, Gemini, reportedly told a user to "die," while another chatbot allegedly influenced a teenager's suicide. These incidents highlight the potential dangers and ethical dilemmas posed by advanced AI systems.

91. 10 best Indian looks of GenZ queen Palak Tiwari

    Thu, 21 Nov 2024 14:30:00 -0000

    Let's take a look at some stylish Indian looks of Palak Tiwari.

92. Different ways to use Egg for hair

    Fri, 22 Nov 2024 07:38:12 -0000

    Eggs are hugely beneficial for hair, let's tell you how.

93. Is beer good for health? 6 things to know

    Fri, 22 Nov 2024 05:30:00 -0000

    Beer consumption can have some potential benefits like improving heart health, supporting bone density, and lowering the risk of kidney stones. As per a study published in the Indian Journal of Medical Research, moderate beer consumption may have some health benefits. The study also warns it is important to balance potential benefits against risks, as overconsumption can lead to adverse health effects. Excessive consumption poses health risks like weight gain, liver damage, and addiction.

94. Why do athletes store their body cells?

    Fri, 22 Nov 2024 09:08:54 -0000

    Dr. Venkatesh Movva, a renowned expert in regenerative and sports medicine, explained on a popular podcast how stem cell therapy is revolutionizing athlete injury recovery. Stem cell therapy is revolutionizing sports medicine by offering athletes a way to stay at the top of their game.

95. Unique animals at Sonpur Animal Fair 2024

    Fri, 22 Nov 2024 07:39:08 -0000

    The Sonpur Mela is also known as the Harihar Kshetra Mela. It is one of the largest cattle fairs in Asia, held annually in Bihar, India, this event is about the animal trade and also displays folk dances and more. Here are 10 animals that are making headlines this year.

96. Baba Vanga , Nostradamus' predictions for 2025

    Thu, 21 Nov 2024 12:30:00 -0000

    Baba Vanga and Nostradamus, renowned prophets, have made alarming predictions for 2025, foreseeing devastating wars in Europe, potential global apocalypses, and the resurgence of ancient plagues. Their prophecies, while debated, have sparked widespread concern and debate due to their past accuracy in predicting major global events.

97. Why are all B-Town divas wearing this kurta?

    Fri, 22 Nov 2024 09:00:00 -0000

    Let's take a look at who nailed this kurta set in Bollywood.

98. 2021 Assam Doctor Assault Case: 12 people sentenced to 10 years of imprisonment

    Sat, 23 Nov 2024 11:36:12 -0000

    <img src='https://medicaldialogues.in/h-upload/2023/11/28/226420-jail.webp' /><div class="pasted-from-word-wrapper"><p><span style="text-align: justify;">Nagaon: In a significant ruling,&nbsp;</span>a court in Assam's Hojai district sentenced twelve individuals to 10 years in prison for <a href="https://medicaldialogues.in/topics/assaulting" target="_blank">assaulting</a> a doctor and a nurse who were on duty during the COVID-19 pandemic.&nbsp;</p><p style="text-align: justify;">Doctor Seoj Kumar Senapati and nurse Lalita Bharali, who were on duty at the COVID care centre in Phultoli Model Hospital on June 1, 2021, were attacked by the relatives of a deceased patient.</p><p style="text-align: justify; ">According to the PTI report, District and Sessions Judge Satya Nath Sarma delivered the verdict after recording the statements of 46 people.</p><p style="text-align: justify;">Based on an FIR at Lanka police station, a charge sheet was filed before the court within 28 days of the incident, said Special Public Prosecutor Amarjyoti Saikia.</p><p style="text-align: justify;">The accused were booked under various sections of the IPC, the Prevention of Damage Public Property Act and the Medicare Service Institutions (Prevention of Violence and Damage to Property) Act.</p><p style="text-align: justify;"><b><i><a class="also-read-media-wrap" href="https://medicaldialogues.in/mdtv/healthshorts/2-gynecologists-3-nurses-sentenced-to-2-year-jail-directed-to-pay-rs-50k-fine-rs-1-lakh-compensation-114810"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/mdtv/healthshorts/2-gynecologists-3-nurses-sentenced-to-2-year-jail-directed-to-pay-rs-50k-fine-rs-1-lakh-compensation-114810">Also Read:2 Gynecologists, 3 nurses sentenced to 2-year jail, directed to pay Rs 50k fine, Rs 1 lakh compensation</a></i></b></p><p style="text-align: justify;">A total fine of Rs 1 lakh was also imposed on the convicts, Saikia said.</p><p style="text-align: justify;">Additionally, the court imposed fines of Rs 85,000 on each of the convicts, failing to pay which they have to undergo imprisonment of another three months, he added, news agency PTI reported.</p><p style="text-align: justify;">Director-General of Police GP Singh lauded the investigators and prosecutors in the case.</p><p style="text-align: justify;">"In the infamous <a href="https://medicaldialogues.in/topics/doctor-assault" target="_blank">Doctor Assault</a> case of Udali - Hojai of 2021, the competent court has pronounced 12 accused persons guilty and awarded Imprisonment up to 10 Years. Compliments to entire investigation and prosecution team," he posted on X.</p><p style="text-align: justify;">Medical Dialogues team had earlier reported that in a significant order, the Gauhati High Court has directed the Assam Government to ensure that no weapon or firearms are allowed to be taken inside a hospital with immediate effect. The court further asked the State to submit a detailed report within two weeks on steps taken to ensure that no attacks on doctors and medical staff take place in future.</p><p style="text-align: justify;"><b><i><a class="also-read-media-wrap" href="https://medicaldialogues.in/state-news/odisha/bhubaneshwar-doctor-couple-murder-case-5-persons-sentenced-to-life-imprisonment-126559"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/state-news/odisha/bhubaneshwar-doctor-couple-murder-case-5-persons-sentenced-to-life-imprisonment-126559">Also Read:Bhubaneshwar Doctor Couple murder case: 5 persons sentenced to life imprisonment</a></i></b></p><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap"><div></div></div></div></div>

99. Haryana Govt Doctors criticize additional charges for Civil Surgeons, Promotions delays

    Sat, 23 Nov 2024 11:17:03 -0000

    <img src='https://medicaldialogues.in/h-upload/2023/08/10/216146-promotion.webp' /><p style="text-align: justify; ">Ambala: The&nbsp;<a href="https://medicaldialogues.in/topics/haryana-civil-medical-services-association" target="_blank">Haryana Civil Medical Services</a>&nbsp;(HCMS) Association has submitted a representation to the Additional Chief Secretary (ACS) of the Haryana Health Department, criticizing the government's policy of imposing additional charges on civil surgeons. The association has also demanded the prompt promotion of doctors.</p><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap"><div></div></div></div><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">The association has highlighted the dual charge assignment and the challenges faced by the Haryana civil medical services cadre. The association pointed out that civil surgeons are often forced to hold additional charges of directors and other administrative posts without any extra remuneration which causes extreme stress and even affects their overall performance.</p></div><div class="pasted-from-word-wrapper"><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap"><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/health/doctors/controversy-after-pg-opthalmology-student-hired-at-district-hospital-performs-44-surgeries-without-completion-of-degree-138560"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/health/doctors/controversy-after-pg-opthalmology-student-hired-at-district-hospital-performs-44-surgeries-without-completion-of-degree-138560">Also Read:Controversy after PG Opthalmology student hired at District Hospital performs 44 surgeries without completion of Degree</a></div></div></div><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">The association has requested that timely promotion measures be taken so that such vacant posts can be filled with eligible people properly. HCMS claimed that presently, 16-17 posts of <a href="https://medicaldialogues.in/topics/civil-surgeon" target="_blank">Civil Surgeons</a> (CS) or Principal Medical Officers (PMOs) are vacant, and there are many eligible doctors awaiting such promotions for a long time.</p> <p style="text-align: justify; ">Talking to medical dialogues, the president of the Haryana Civil Medical Services Association, Dr Rajesh Khyalia, stated, “Additional charges and pending promotion of doctor are the two hurdles that we civil surgeons are facing right now. There is a strong sense of resentment among members against such an unprecedented and unwarranted trend of assigning dual responsibility charge of two different hierarchical posts to a single officer, which eventually further narrows down the existing scanty promotional avenues in the cadre resulting in stagnation and thus degrading morale and motivation of the HCMS cadre.”</p> <p style="text-align: justify; ">In a letter submitted to the ADS of the Haryana Health Department, the association further added, “Holding dual charges at senior administrative levels will not only overburden the individual but can also result in compromised attention &amp; efficiency required for such roles. Civil Surgeon is a pivotal post in the health department, assigning additional charge of Civil Surgeon to a Director may lead to administrative delays and operational inefficiencies in managing health services, ultimately impacting the quality of healthcare delivery in critical regions.”</p></div><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap"><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/health/doctors/over-3000-haryana-govt-doctors-on-idefinite-strike-over-pending-demands-medical-services-hit-132217"><img class="also-read-media" data-src="https://medicaldialogues.in/h-upload/2024/07/26/245228-untitled-design-2024-07-26t123600706.webp"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/health/doctors/over-3000-haryana-govt-doctors-on-idefinite-strike-over-pending-demands-medical-services-hit-132217"><span class="read-this-also">Also Read:</span>Over 3000 Haryana Govt doctors on idefinite strike over pending demands, medical services hit</a><div></div></div></div><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">Earlier this year, the association members were unsatisfied because some officials who were appointed to the position of Director of Health Services in the department were once again assigned the extra responsibilities of civil surgeons in the state. While Dr Sukhvir Singh, Director of Health Services (Director General, Health Services) Panchkula was given the additional charge as the Civil Surgeon of Kurukshetra, Dr Virender Yadav was assigned the charge of Director, MCH O/o National Health Mission, Sector-2, Panchkula along with the additional charge of Civil Surgeon, Gurugram. Moreover, Dr Brahmadeep was appointed as Director Mental Health along with the additional charge of civil surgeon at Jhajjar.</p> <p style="text-align: justify; ">“Assigning the additional responsibility of Civil Surgeon to a Director could cause administrative delays and operational inefficiencies in managing health services, which could affect the quality of healthcare delivery in important regions. The post of Civil Surgeon is important for both the district and the department,” added Dr Rajesh.</p></div>

100. RML Hospital Delhi Recruitment: Assistant Professor Post, Check Out Walk In Interview Details Here

     Sat, 23 Nov 2024 11:00:25 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/21/261673-vacancies-6.webp' /><div class="pasted-from-word-wrapper"><p style="text-align: justify; "><b>New Delhi</b>: The Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar Lohia Hospital (ABVIMS and RML Hospital Delhi), have announced the vacancies for the post of Assistant Professor on a contract basis in this medical institute.</p><p style="text-align: justify; ">Dr Ram Manohar Lohia Hospital, formerly known as Willingdon Hospital, was established by the British for their staff and had only 54 beds. After independence, its control was shifted to New Delhi Municipal Committee. In 1954, its control was again transferred to the Central Government of Independent India.</p><h1 style="text-align: justify;">RML Hospital Vacancy Details:</h1><h2 style="text-align: justify;">Total no of vacancies: 22</h2><p style="text-align: justify;">The Vacancies are in the Department of Medicine, Dermatology, ENT, Gastroenterology, Anesthesia, Neonatology, Paediatrics Cardiology, Peadiatric Surgery, Paediatrics, and Physical Medicine, and Rehabilitation.</p><h2 style="text-align: justify;">The date of Walk-In-Interview - 26th, 28th and 29th November 2024.</h2><p style="text-align: justify;">Venue and Reporting Time:- Room No. 104, 1st Floor, Administrative Block, ABVIMS by 9.30 a.m.</p><h2 style="text-align: justify;"><b><i>For more details about Qualifications, Age, Pay Allowance, and much more, click on the given link:<br><a href="https://medicaljob.in/jobs.php?post_type=&amp;job_tags=RML+Hospital&amp;location=&amp;job_sector=all">https://medicaljob.in/jobs.php?post_type=&amp;job_tags=RML+Hospital&amp;location=&amp;job_sector=all</a></i></b></h2><h1 style="text-align: justify;">Eligible Candidates (How to Apply)?</h1><p style="text-align: justify;">Suitable and willing candidate may report in Room No. 104, 1st Floor. Administrative Block. ABVIMS for walk-in-interview by 9 30 a.m on the aforesaid dates along with duly filled in application form (2 copies of Annexure I), 4 passport size photographs, original and two set of photocopies of relevant documents. No TA/DA is admissible for attending the interview.</p><p style="text-align: justify;">No TA/DA is admissible for the interview. Canvassing of any kind will lead to disqualification. Suitable and willing candidates may walk in for interview on the date specified for the interview of the particular specialty along with application in prescribed format along with 4 passport size photographs Candidates should report in the Room No, 104, 1st Floor, Administrative Block, and ABVIMS by 9.00 AM on the aforesaid dates.</p><p style="text-align: justify;">The candidates must bring the filled application form (as per Annexure-II) in triplicate (ONE ORIGINAL SET AND TWO SELF ATTESTED COPIES OF ALL DOCUMENTS) and the original certificates at the time of registration/interview.</p><p style="text-align: justify;"><b><i><a class="also-read-media-wrap" href="https://medicaldialogues.in/jobs/mamc-delhi-vacancies-walk-in-interview-for-sr-post-check-all-details-here-138059"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/jobs/mamc-delhi-vacancies-walk-in-interview-for-sr-post-check-all-details-here-138059">Also Read:MAMC Delhi Vacancies: Walk In Interview For SR Post, Check All Details Here</a></i></b></p><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap"><div></div></div></div></div>

101. Ludhiana: Female IVF Counsellor alleges assault by doctor, accused booked

     Sat, 23 Nov 2024 10:01:03 -0000

     <img src='https://medicaldialogues.in/h-upload/2022/10/20/188529-doctor-booked-4.webp' /><p style="text-align: justify; "><b>Ludhiana:</b>&nbsp;A <a href="https://medicaldialogues.in/news/health/doctors" target="_blank">doctor</a> has been booked recently for allegedly abusing, beating and issuing death threats to a 52-year-old female IVF counsellor of Ramanpreet Hospital on Chandigarh Road in Garhshankar.&nbsp;</p><p style="text-align: justify; ">In her police complaint, the woman claimed that the doctor suddenly came and started abusing her. Soon, he began beating her by pulling her hair and pushing her down. When the hospital owner and other staff intervened, the doctor threatened to shoot her and left the place.&nbsp;</p><p style="text-align: justify; "><b>Also read- <a href="https://medicaldialogues.in/news/health/doctors/doctor-nurse-booked-over-cannula-insertion-pricks-137724" target="_blank">Doctor, Nurse booked over cannula insertion pricks, as patient alleges they were drunk</a></b></p><p style="text-align: justify; ">As per <a href="https://www.tribuneindia.com/news/jalandhar/doctor-booked-in-assault-on-ivf-counsellor/" rel="nofollow">The Tribune</a> news report, the incident occurred on November 21 at around 11:30 am when she was in the hospital’s medical store with Darbara Singh, the father of the hospital's owner, Dr Ramanpreet Kaur. The complainant alleged that Dr *** entered the store and began verbally abusing her. The situation escalated when he reportedly pulled her hair, pushed her to the ground, and physically assaulted her.</p><p style="text-align: justify; ">In pain, the woman shouted for help. After hearing her screams, the hospital owner and other staff members intervened to separate the accused from the female employee, as claimed by the complainant. Before leaving the place, the doctor allegedly issued death threats, warning her that he would return with a pistol and shoot her.</p><p style="text-align: justify; ">Following the incident, she called helpline number 112 and filed a complaint against the doctor. The police then immediately reached the spot and recorded her statement. She then underwent a medical examination at the Civil Hospital in Garhshankar. &nbsp;</p><p style="text-align: justify; ">Based on the report and the statement of the woman, the police registered a case against the doctor under 74 (Assault or criminal force to woman with intent to outrage her modesty), 79 (Word, gesture or act intended to insult the modesty of a woman), 115(2) (Voluntarily causing hurt), 351 (2) (Criminal intimidation).&nbsp;</p><p style="text-align: justify; "><b>Also read- <a href="https://medicaldialogues.in/news/health/doctors/quack-booked-for-running-illegal-clinic-since-2016-using-forged-phd-degree-136667" target="_blank">Quack booked for running illegal clinic since 2016 using forged PhD Degree</a></b></p>

102. DCGI Warns Cosmetic Industry Against Overlapping Claims With Pharma Products

     Sat, 23 Nov 2024 09:37:09 -0000

     <img src='https://medicaldialogues.in/h-upload/2023/01/30/199948-dcgi-new-1.webp' /><p><b>New Delhi:&nbsp;</b>The Drugs Controller General of India (DCGI) has issued a stern warning to the cosmetics industry to adhere to strict regulatory protocols and refrain from making "unusual claims". The regulator has specifically cautioned against claims of products offering younger-looking skin, which could overlap with the pharmaceutical sector.</p><div class="pasted-from-word-wrapper"><div class="pasted-from-word-wrapper"><p>Cosmetics in India are regulated under the Drugs and Cosmetics Act, a stringent framework that imposes rigorous standards on manufacturers and importers. However, stakeholders in the cosmetics industry have expressed concerns about the stringent regulatory protocols for imported products. Many imported cosmetics are being rejected at ports for failing to meet the stringent standards set by the DCGI, leading to significant financial losses for importers.</p><p>To address these concerns, the <a href="https://medicaldialogues.in/search?search=dcgi">DCGI </a>recently convened a meeting with industry representatives. While acknowledging the need to ensure the safety and quality of cosmetic products, the regulator emphasized the importance of adhering to established norms. The industry, on the other hand, is seeking a relaxation of regulations to facilitate smoother import processes.</p><p><b><i>Also Read: <a href="https://medicaldialogues.in/news/industry/pharma/allergans-botox-cosmetic-now-approved-for-treating-platysma-bands-136807">Allergan's Botox Cosmetic now approved for treating platysma bands</a></i></b></p><p>“The meeting was organized to discuss the issues that cosmetic industry is facing. Generally, cosmetics have always been under the Drugs and Cosmetic Act. Importers are having issues related to products approval. The regulatory protocol is much easier in other countries. The importers are demanding regulatory procedures to be eased to prevent their financial losses,” an official aware of the matter told Live Mint, adding that quality and safety of cosmetics products must be ensured.</p><p>“The other issue with cosmetics is overlapping some claims. For example, serum and biologicals or stem cell therapy are being used for younger-looking skin or rejuvenation which is overlapping with drugs,” the official added.</p><p>Commenting on the issue, Dr Chytra V Anand, a renowned <a href="https://medicaldialogues.in/search?search=cosmetics">cosmetic </a>dermatologist, highlighted the need for simplification of regulatory processes, clear guidelines, and support for innovation in the cosmetics industry.</p><p>“The industry faces challenges due to the complexity of the regulatory environment. The coexistence of multiple laws and authorities can lead to confusion and delays in compliance. Additionally, the absence of clear and consistent regulatory standards creates uncertainty among industry players, complicating adherence to compliance requirements,” Dr Anand, Cosmetic Dermatologist &amp; Founder of Kosmoderma Clinics and SkinQ told <a href="https://www.livemint.com/news/india/dcgi-cosmetics-regulation-11732099325506.html" rel="nofollow">Live Mint</a>.</p><p>“Simplification of regulatory processes, clear guidelines and standards, support for innovation and enhanced collaboration is required,” he added.</p><p>The growing Indian cosmetics market, valued at USD 8.1 billion in 2023 and projected to reach USD 18.4 billion by 2032, offers immense potential. However, the industry faces challenges due to the complex regulatory landscape and the potential for overlapping claims with pharmaceutical products.</p></div></div>

103. PGI Chandigarh's SFC approves Faculty recruitment, Infrastructure Enhancement

     Sat, 23 Nov 2024 09:36:11 -0000

     <img src='https://medicaldialogues.in/h-upload/2023/12/08/227321-pgimer.webp' /><p><b>Chandigarh: </b>The 130th meeting of the<a href="https://medicaldialogues.in/topics/sfc-meeting"> Standing Finance Committee (SFC)</a> of the <a href="https://medicaldialogues.in/topics/post-graduate-institute-of-medical-education-research">Postgraduate Institute of Medical Education and Research </a>(PGI)&nbsp;Chandigarh was convened in New Delhi. During the meeting, the committee approved several key initiatives to enhance infrastructure and academic excellence at the institute.</p><p>The meeting was chaired by Punya Salila Srivastava, Secretary of Health, Ministry of Health and Family Welfare.</p><p>One key highlight of Wednesday's meeting was the establishment of regular faculty and non-faculty positions at PGIMER’s satellite centres in Sangrur, Ferozepur, and Una. This move is expected to strengthen healthcare delivery in underserved regions.</p><p><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/health/hospital-diagnostics/district-government-headquarters-hospital-kumbakonam-gets-rs-54-crore-infrastructure-boost-134361" style="background-color: rgb(255, 255, 255);">Also Read: District Government Headquarters Hospital, Kumbakonam gets Rs 5.4 crore infrastructure boost</a></p><p>Additionally, major IT upgrades, including cybersecurity enhancements and establishing a centralized data centre to support the implementation of the Hospital Information System (HIS) version-2 project, were approved. Engineering upgrades to improve fire safety across PGIMER facilities and the establishment of a medical museum were also endorsed.</p><p>The Sarathi Initiative is another key initiative that was discussed during the meeting. This initiative, launched in May 2024, is a volunteer-based program at the Postgraduate Institute of Medical Education and Research (PGIMER) in Chandigarh. It has successfully improved patient care by streamlining hospital processes and reducing patient wait times. A recent post-implementation impact study conducted by the hospital’s Department of Community Medicine revealed a significant reduction in the average waiting time for outpatients, decreasing from 4.2 hours to just 2.8 hours. </p><p>This newly launched program has simplified patient navigation, reducing the workload on hospital staff and has improved the overall patient experience. The Sarathi Initiative enlists student volunteers from local colleges and Panjab University to assist patients with key processes such as registration, lab tests, and navigating hospital queues. This has been particularly helpful to the hospital's patient care facility, especially for first-time visitors who may find the complex hospital system overwhelming. </p><p>This new initiative followed a successful pilot with 22 volunteers from the Government Polytechnic College for Women, Chandigarh, in April 2024. It now engages National Service Scheme (NSS) student volunteers from local institutions like Panjab University and DAV College. With more than 350 volunteers supporting the New OPD, Advanced Eye Centre, and other specialized units, the program has become a vital component of PGIMER's operations. </p><p>A recent study, based on surveys of 237 OPD patients, revealed that 60% were aware of the program, and 54% had used its services. Among those who participated, 76% found the assistance valuable, citing navigation (27%), registration (22%), and lab test support (13%) as the most beneficial aspects. The program earned a stellar patient satisfaction rating of 4.8 out of 5. </p><p>The success of this program has led healthcare workers to recommend expanding volunteer roles, including taking on administrative tasks like form-filling, to further enhance efficiency. This initiative traces its roots back to PGIMER’s Deputy Director, Pankaj Rai, who visited Henry Ford Health Hospital in Detroit, Michigan, in 2019. During his visit, he observed a similar model and recognized the need for such a volunteer-based system at PGIMER to manage its high patient volume, which exceeds 30 lakh annual visits. He collaborated with local NGOs and educational institutions to establish a sustainable volunteer network. These partnerships have been especially helpful during exam seasons and holidays when student availability may be limited.</p><p>Additionally, beyond its immediate impact on patient care, the post-implementation impact study highlights that Sarathi also fosters empathy and social responsibility among volunteers. This Sarathi Initiative has already been adopted by over 250 hospitals across 25 states in India, and plans are underway to expand the program to more than 700 hospitals nationwide.</p><p><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/pgi-chandigarh-to-target-setting-300-bedded-sangrur-satellite-centre-by-december-2019"><b>Also Read: PGI Chandigarh to target setting 300 bedded Sangrur Satellite Centre by December 2019</b></a></p><div class="pasted-from-word-wrapper"><div><span style="background-color: rgb(249, 249, 249);">As per the recent media reports, PGIMER director Vivek Lal praised the initiative’s success and told </span><a href="https://www.hindustantimes.com/cities/chandigarh-news/sarathi-initiative-helps-cut-patient-wait-times-from-4-2-hrs-to-2-8-hrs-at-pgimer-chandigarh-101732220427958.html" rel="nofollow">Hindustan Times</a><span style="background-color: rgb(249, 249, 249);">, “The outcomes of Project Sarathi demonstrate a collaborative effort to enhance patient care. We are eager to implement the recommendations to sustain this momentum.”</span></div></div>

104. Medical Bulletin 23/ November/ 2024

     Sat, 23 Nov 2024 09:30:00 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/23/261932-top-medical-27.webp' /><p style="text-align: justify; "><b>Here are the top medical news for the day:</b></p><div class="pasted-from-word-wrapper"><div style="text-align: justify; "><b>Endometriosis and Fibroids May Be Tied to Increased Risk of Premature Mortality</b></div><div style="text-align: justify;">Women with a history of <a href="https://medicaldialogues.in/topics/endometriosis">endometriosis </a>and uterine fibroids might have an increased long term risk of<a href="https://medicaldialogues.in/topics/premature-death"> premature death</a>, finds a large study published by<i><a href="https://medicaldialogues.in/topics/The-BMJ"> The BMJ</a>.</i></div><div style="text-align: justify; ">Growing evidence shows that both conditions are associated with a greater long term risk of chronic diseases, such as <a href="https://medicaldialogues.in/topics/high-blood-pressure">high blood pressure</a>,<a href="https://medicaldialogues.in/topics/heart-disease"> heart disease</a>, and some <a href="https://medicaldialogues.in/topics/cancers">cancers</a>, but their effect on risk of death before the age of 70 remains unclear. To explore this further, researchers drew on information provided by 110,091 women taking part in the Nurses’ Health Study II who were aged 25-42 years in 1989 and had no history of hysterectomy before endometriosis or fibroids diagnosis, cardiovascular diseases, or cancer.</div><div style="text-align: justify;">Starting in 1993 and every two years thereafter, these women reported any diagnosis of endometriosis (confirmed by laparoscopy) and uterine fibroids (confirmed by ultrasound or hysterectomy). Other potentially influential factors including age, ethnicity, reproductive history, HRT and oral contraceptive use, regular use of aspirin or anti-inflammatory drugs, and other health-related issues were also taken into account.</div><div style="text-align: justify;">During 30 years of monitoring, 4,356 premature deaths were recorded, including 1,459 from cancer, 304 from cardiovascular diseases, and 90 from respiratory diseases. Overall, the rate of all-cause premature death for women with and without confirmed endometriosis was 2 and 1.4 per 1,000 person years, respectively.</div><div style="text-align: justify; ">After taking account of age and other confounding factors such as weight (BMI), diet quality, physical activity, and smoking status, endometriosis was associated with a 31% higher risk of premature death, largely driven by deaths due to gynaecological cancers. Uterine fibroids were unrelated to all-cause premature death, but were associated with a greater risk of death due to gynaecological cancers. Endometriosis was also associated with a greater risk of non-cancer mortality. </div><div style="text-align: justify;">Reference: BMJ 2024;387:e078797</div><div style="text-align: justify;">doi: https://doi.org/10.1136/bmj-2023-078797</div><div></div><div></div><div></div><div style="text-align: justify; "><b>Incidence Trends and Eight Risk Factors of Ischemic Heart Disease and Stroke: Study Finds</b></div><div style="text-align: justify;">Incidence of <a href="https://medicaldialogues.in/topics/stroke">stroke </a>and ischemic<a href="https://medicaldialogues.in/topics/heart-disease"> heart disease </a>are declining around the world, except for in a handful of regions, according to research in the open access journal <i><a href="https://medicaldialogues.in/topics/PLOS-Global-Public-Health">PLOS Global Public Health</a></i>. Authors find that in East and West Sub-Saharan Africa, East and Central Asia and Oceania, ischemic heart disease is increasing, which may be attributed to eight factors that include diet, high BMI, household air pollution and more.</div><div style="text-align: justify;">The team analyzed global data from 1990-2019 for incidence of ischemic heart disease and stroke and for exposure to 87 potential attributable factors. The authors describe the incidences and trends at a global, regional and national level, and find higher rates of ischemic heart disease than stroke. Over three decades ischemic heart disease reduced from 316 to 262 per 100,000 people and stroke declined from 181 to 151 per 100,000. </div><div style="text-align: justify;">The increases of ischemic heart disease seen in some regions may be associated with the shifting distribution of eight factors: a diet high in trans-fatty acids; diet low in calcium; high BMI; household air pollution from solid fuels; non-exclusive breastfeeding; occupational ergonomic factors; vitamin A deficiency; and, occupational exposure to particulate matter, gases and fumes, which were determined by the World Bank income levels.</div><div style="text-align: justify;">The results indicate how the potential socioeconomic development of some countries is affecting rates of cardiovascular disease and stroke, and that places experiencing rapid economic transitions – and rapidly changing lifestyle changes – may also be experiencing higher rates of disease. This study provides insight into mechanisms involved and the potential for targeted interventions.</div><div style="text-align: justify;">Reference: Xia R, Cai M, Wang Z, Liu X, Pei J, Zaid M, et al. (2024) Incidence trends and specific risk factors of ischemic heart disease and stroke: An ecological analysis based on the Global Burden of Disease 2019. PLOS Glob Public Health 4(11): e0003920. https://doi.org/10.1371/journal.pgph.0003920</div><div></div><div style="text-align: justify; "><b>How Worse Moods Are Associated with Browsing Negative Content Online?</b></div><div style="text-align: justify; ">People with poorer mental health are more prone to browsing negative content online, which further exacerbates their symptoms, finds a study led by UCL researchers. The relationship between <a href="https://medicaldialogues.in/topics/mental-health">mental health</a> and web-browsing is causal and bi-directional, according to the Wellcome-funded study published in <i><a href="https://medicaldialogues.in/topics/Nature-Human-Behaviour">Nature Human Behaviour</a></i>.</div><div style="text-align: justify;">The researchers have developed a plug-in tool that adds ‘content labels’ to web pages—similar to nutrition labels on food—designed to help users make healthier and more informed decisions about the content they consume. These labels emphasise the emotional impact of webpage content, along with its practicality and informativeness.</div><div style="text-align: justify;">Over 1,000 study participants answered questions about their mental health and shared their web browsing history with the researchers. Using natural language processing methods, the researchers analysed the emotional tone of the webpages participants visited. They found that participants with worse moods and mental health symptoms were inclined to browse more negative content online, and after browsing, those who browsed more negative content felt worse.</div><div style="text-align: justify;">Co-lead author, PhD student Christopher Kelly, said: "The results contribute to the ongoing debate regarding the relationship between mental health and online behaviour.</div><div style="text-align: justify;">“Most research addressing this relationship has focused on the quantity of use, such as screen time or frequency of social media use, which has led to mixed conclusions. Here, instead, we focus on the type of content browsed and find that its emotional tone is causally and bidirectionally related to mental health and mood."</div><div style="text-align: justify; ">To check whether an intervention could be used to change web-browsing choices and improve mood, the researchers conducted a further study. They added content labels to the results of a Google search, which informed participants whether each search result would likely improve their mood, make it worse, or have no impact. Participants were then more likely to choose the positively-labelled sites deemed likely to improve their mood—and when asked about their mood after, those who had looked at the positive websites were indeed in better moods than other participants.</div><div style="text-align: justify;">In response, the researchers have developed a free browser plug-in that adds labels to Google search results, providing three different ratings of how practical a website’s content is, how informative it is, and how it impacts mood.</div><div style="text-align: justify;">Reference: Kelly, C.A., Sharot, T. Web-browsing patterns reflect and shape mood and mental health. Nat Hum Behav (2024). https://doi.org/10.1038/s41562-024-02065-6</div><div></div><div></div><div style="text-align: justify;">Vagus Nerve Stimulation May Ease Inflammmatory Bowel Disease</div><div style="text-align: justify; "><b>Researchers at Duke University School of Medicine have found that tapping into the nervous system could help reduce the gut inflammation that drives inflammatory bowel disease (IBD). </b></div><div style="text-align: justify;">A new study reveals how electrical stimulation of the vagus nerve—a major nerve connecting the brain and gut—may combat the stress-related inflammation that worsens <a href="https://medicaldialogues.in/topics/inflammatory-bowel-disease">inflammatory bowel disease</a> symptoms. Published in <i><a href="https://medicaldialogues.in/topics/Science-Translational-Medicine">Science Translational Medicine</a></i>, the study showed that vagus nerve stimulation in stressed mice with colitis, a form of inflammatory bowel disease, reduced inflammation, improved symptoms, and boosted survival rates. By engaging the parasympathetic nervous system, the team observed that inflammation could be eased by inhibiting SUMOylation, a cellular process that shapes immune response. </div><div style="text-align: justify;">Modulating SUMOylation—either through vagal nerve stimulation or treatment with a SUMOylation inhibitor—could open the door to inflammatory bowel disease therapies that focus on managing inflammation directly, rather than alleviating symptoms. </div><div style="text-align: justify;">The new study shows that targeting specific forms of SUMOylation could prevent the harmful influx of immune cells that can trigger gut inflammation. Researchers analyzed data identifying that inhibiting SUMOylation, through genetic or drug-based approaches, dramatically slowed disease progression in mouse models. </div><div style="text-align: justify;">Current anti-inflammatory treatments bring relief but often fall short, as patients can lose their response to these medications over time, suffer relapses, and experience significant side effects. </div><div style="text-align: justify;">Researchers have long noted that stress plays a significant role in exacerbating IBD symptoms, and some have even described ulcerative colitis as psychosomatic.</div><div style="text-align: justify;">“Stimulating the vagus nerve neutralized the effects of stress and restored a balanced and healthy physiologic state,” said Ulloa, a Duke researcher, the leading and corresponding author of the study. “Many relaxation techniques, like deep breathing and meditation, are designed to enhance the parasympathetic system, with the vagus nerve playing a central role in relaxing most of our organs. </div><div></div><div style="text-align: justify; ">Reference: Ayman Youssef et al.,Vagal stimulation ameliorates murine colitis by regulating SUMOylation.Sci. Transl. Med.16,eadl2184(2024).DOI:10.1126/scitranslmed.adl2184</div></div>

105. Rajasthan NEET PG Candidates Urge Medical Council to Issue Merit List, Reconsider Security Deposit Hike

     Sat, 23 Nov 2024 08:58:55 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261826-neet-pg.webp' /><p style="text-align: justify; "><b>Jaipur:</b>&nbsp;Opposing the hike in the security deposit amount, the National Eligibility-and-Entrance Test Postgraduate (NEET-PG) 2024 candidates in Rajasthan have urged the State Medical Council to revise the amount. Further, the PG medical aspirants in Rajasthan are also urging the <a href="https://medicaldialogues.in/topics/rajasthan-medical-council">Rajasthan Medical Council</a> (RMC) to release the State merit list so that they can complete the choice-filling process.</p><p style="text-align: justify; ">Medical Dialogues had earlier reported that after several controversies, the NEET PG 2024 exam was finally held on August 11 and consequently the results were announced on August 23. However, the counselling process was delayed. Even though the registration for Round 1 of the NEET-PG 2024 counselling for the All India Quota (AIQ) seats commenced on September 30, 2024, the choice filling started only on November 8.</p><p style="text-align: justify; ">Even though the other States have already initiated the counselling process and issued merit lists, the process is yet to commence in Rajasthan. As per the official schedule in Rajasthan, the provisional merit list and seat matrix were released on November 18 and November 19 respectively and the deadline for submitting the security deposit and choice filling and locking is between November 19 to November 23.&nbsp;</p><p style="text-align: justify; ">Therefore, the last date for choice filling is today, November 23, and the deadline for submitting the security deposit also ends today. Meanwhile, the council has announced a hike in the security deposit for all the seats.</p><p style="text-align: justify; "><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/medical-admissions/rajasthan-neet-pg-counselling-2024-know-schedule-application-process-eligibility-criteria-all-admission-details-here-138346" style="background-color: rgb(255, 255, 255);"><b><i>Also Read: Rajasthan NEET PG Counselling 2024: Know schedule, application process, eligibility criteria, all admission details here</i></b></a></p><p style="text-align: justify; ">As per the latest media report by <a href="https://www.edexlive.com/news/2024/Nov/22/issue-merit-list-reconsider-security-deposit-hike-rajasthan-neet-pg-candidates-urge-medical-council" rel="nofollow">Edex Live</a>, RMC has announced a Rs 1,00,000, Rs 2,00,000 and Rs 5,00,000 hike in the security deposit amount for the government, management quota and private seats respectively. This amount will be forfeited if a candidate who has been allotted a seat in Round 2 or subsequent rounds does not join the respective institute.</p><p style="text-align: justify; ">Last year, the council charged the students Rs 12,500 to Rs 30,000 for government and management quota seats. The security deposit amount for the private quota seats was Rs 2,00,000 last year.</p><p style="text-align: justify; ">Opposing this, the medicos have urged the RMC to issue the merit list and reconsider the security deposit amount. Regarding the merit list not being released, the concern is that if they fail to fill the department and college choices, they may lose their seats.</p><p style="text-align: justify; ">Commenting on the matter, an in-service doctor, Dr. Suresh Bhati told Edex Live, "November 23 is the last date. We are still not aware of the merit list. How can we fill our choices?" pointed out an in-service doctor. I aspire to join the medicine department at SMS Medical College, but if my merit doesn't comply with it, I would prefer medical colleges in Jodhpur or Bikaner."</p><p style="text-align: justify; ">Dr. Bhati questioned, "Without knowing our merit, how will we understand which quota we need to opt for?"</p><p style="text-align: justify; ">Similarly, Dr. Rakesh Dhari told the Daily, "Usually, the first prospectus is released followed by state merit list, state matrix, and choice filling. Contrarily, the state has not issued any merit list and asked us to fill in our choices."</p><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">"In the absence of the merit list, no one can even think about choice filling. We are totally confused. How will we reason which branch we can opt for?" questioned Dr. Dhari, further adding, "How can we predict which college or branch we are supposed to get?" He also criticised the four-time increase in the security deposit amount.</p></div><p style="text-align: justify; ">Raising these issues, the All Rajasthan MBBS Doctors Association (ARMDA) President Dr. Vinod Sharma Badga recently wrote to the Chairman of the NEET PG Counselling Committee, Medical Education Department, Medical and Health Family Welfare Department, Government of Rajasthan</p><p style="text-align: justify; ">In the letter dated November 19, 2024, it was mentioned, "...it is requested that on 18-11-2024, in the instruction booklet uploaded on the website of Rajasthan <a href="https://medicaldialogues.in/topics/neet-pg-2024">NEET PG 2024</a> by NEET PG Admission Counseling Board 2024, the security deposit for participating in the counseling process has been fixed at one lakh, two lakh and five lakh rupees respectively. Sir, which is not fair, whereas last year in NEET PG 2023 this amount was very less and only Rs 25000 is being charged for participating in the counseling of All India NEET PG 2024."</p><div class="pasted-from-word-wrapper"><p style="text-align: justify; "><b>Reactions on Social Media:</b>&nbsp;</p><p style="text-align: justify; ">Referring to the issue of merit list not being released and hike in the security deposit amount, an X (formerly Twitter) user wrote, "Rajasthan neet pg 2024 is full of corruption and mismanagement, nobody care it."</p></div><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">A doctor urged the authorities to bring down the security amount and wrote, "Petition to bring down the security amount from 1 lac to 25k, like before for Rajasthan neet pg counseling Who's with me?"</p><p style="text-align: justify; ">Mentioning the Chief Minister's Office, a doctor wrote on X, "I’m a doctor. I am currently participating in Rajasthan Neet pg counselling. Firstly the security deposit is 5 lakh which itself is atrocious. Secondly Initially i could opt for management seats of Jhalawar medical college , GMC PALI , GMC BHILWARA."</p><p style="text-align: justify; ">Protesting against these issues, the medicos from Rajasthan organised an X storm on Friday and requested everyone to join it against the delay in State Merit List Disclosure for Rajasthan State NEET PG 2024 counselling and increase in security deposit fees.</p></div><div contenteditable="false" data-width="100%" style="width:100%" class="image-and-caption-wrapper clearfix hocalwire-draggable float-none" has-title="true"><img src="https://medicaldialogues.in/h-upload/2024/11/23/261951-twitter-storm.webp" draggable="true" class="hocalwire-draggable float-none" data-float-none="true" data-uid="236906zaWQpB4p1QpT61vplsE1yZxJHsAP9xv4829090" data-watermark="false" style="width: 100%;" info-selector="#info_item_1732344829665" title="" alt="Twitter Storm by Rajasthan Medicos" data-compression="false"><div class="inside_editor_caption image_caption hocalwire-draggable float-none edited-info" id="info_item_1732344829665" style="text-align: justify;"><br></div></div><div class="pasted-from-word-wrapper"><p><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/mdtv/healthshorts/rajasthan-pg-medical-admissions-2-years-service-rs-25-lakh-bond-required-138404" style="background-color: rgb(255, 255, 255);"><b><i>Also Read: Rajasthan PG Medical Admissions: 2 years service, Rs 25 lakh bond required</i></b></a></p></div>

106. Violation of Anti-ragging protocols! 7 MBBS students of BRD Medical College suspended

     Sat, 23 Nov 2024 08:27:40 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/23/261967-suspended-new.webp' /><p style="text-align: justify; "><b>Gorakhpur:&nbsp;</b>In response to an anonymous e-mail complaint, Gorakhpur’s <a href="https://medicaldialogues.in/topics/brd-medical-college-and-hospital" target="_blank">Baba Raghav Das Medical College </a>has suspended 7 second-year MBBS students for three months for allegedly entering the junior students’ hostel without permission violating anti-ragging protocols.&nbsp;</p><p style="text-align: justify; ">Although no concrete evidence of ragging was found, the college administration suspended them for violating hostel rules. They claimed that any unauthorized entry of senior students into the juniors’ hostel is a serious violation of discipline.&nbsp;</p><p style="text-align: justify; "><b>Also read- <a href="https://medicaldialogues.in/news/education/medical-colleges/gmers-ragging-death-case-college-submits-action-report-to-ugc-family-says-what-kind-of-doctors-will-accused-become-with-such-criminal-minds-138534" target="_blank">GMERS ragging death case: College submits action report to UGC, family says 'What kind of doctors will accused become with such criminal minds?'</a></b></p><p style="text-align: justify; ">As per the PTI report, the incident occurred on November 10 and 11 nights, when junior students from the 2024 MBBS batch had returned from the Chhath Puja holidays and were in their hostel.</p><p style="text-align: justify; ">According to the complaint, seven seniors from the 2023 batch allegedly entered the hostel around 10 pm and stayed for about 30 minutes. A review of CCTV footage confirmed that the seniors had entered the hostel without prior permission. However, the footage did not provide any concrete evidence of ragging.</p><p style="text-align: justify; ">The probe in this regard was ordered following an anonymous e-mail complaint to the college’s anti-ragging cell. After reviewing the CCTV footage, the Anti-Ragging Committee deemed the incident as a serious breach of discipline, leading to the suspension of the seven students.</p><p style="text-align: justify; ">In response to the allegations, the seniors claimed they had entered the hostel to discuss forming a cricket team with the juniors. Therefore, they denied the allegations made in the complaint.&nbsp;</p><p style="text-align: justify; ">However, the college authorities informed that the seniors were suspended for not seeking permission from the administration for their entry or the proposed activity which resulted in the violation of the rules.</p><p style="text-align: justify; ">Speaking to PTI, Principal Ramkumar Jaiswal said “Although no proof of ragging was found, the unauthorized entry of senior students into the juniors’ hostel is a serious violation of discipline. Such actions disrupt the campus environment, and we cannot tolerate them.”&nbsp;</p><p style="text-align: justify; ">He further emphasized that the suspended students would not be allowed to enter the college or hostel premises for the next three months and would remain under the custody of their parents during this period.</p><p style="text-align: justify; ">Jaiswal also warned of stricter actions in the future, stating that the suspended students would be required to submit an affidavit. “Any further violations of discipline will lead to even harsher consequences,” he added.</p><p style="text-align: justify; "><b>Also read- <a href="https://medicaldialogues.in/news/education/medical-colleges/5-mbbs-medicos-of-nalgonda-medical-college-suspended-for-ragging-juniors-138305" target="_blank">5 MBBS medicos of Nalgonda Medical College suspended for ragging juniors</a></b></p>

107. Dr Reddy's, Aurobindo Pharma, 4 Others Ink MoUs for Rs 5,260 Crore Pharma City Investment

     Sat, 23 Nov 2024 08:15:38 -0000

     The companies have committed to invest over Rs 5,260 crore, which is expected to create 12,490 job opportunities in the pharma sector

     <img src='https://medicaldialogues.in/h-upload/2024/01/19/230547-agreement-50.webp' /><p style="text-align: justify; "><b>New Delhi: </b>Six prominent pharmaceutical companies, including Dr Reddy's Laboratories, Aurobindo Pharma, and Hetero Labs, have signed memorandums of understanding (MoUs) with the Telangana government to set up facilities in the Pharma City near here, the government announced on Friday.</p><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">The companies have committed to invest over Rs 5,260 crore, which is expected to create 12,490 job opportunities in the pharma sector, according to an official release.</p><p style="text-align: justify;">Representatives from the companies met with Chief Minister A Revanth Reddy and Industries Minister D Sridhar Babu at the Secretariat to finalise the agreements.</p><p style="text-align: justify;">"The pharma company managements signed MoUs to establish the industries. The six companies expressed their interest to invest more than Rs 5260 crore. The investments will provide 12,490 job opportunities in the pharma sector. The government will allocate land for the establishment of the new pharma manufacturing units in the recognised pharma city,” the release said.</p><p style="text-align: justify;"><b><i>Also Read:<a href="https://medicaldialogues.in/news/industry/pharma/hetero-labs-gets-cdsco-panel-nod-to-study-vonoprazan-tablet-137428"> Hetero Labs Gets CDSCO Panel Nod to Study Vonoprazan Tablet</a></i></b></p><p style="text-align: justify;">According to the MoUs, MSN Laboratories will establish a manufacturing unit and an R&amp;D center, Laurus Labs and Aurobindo Pharma will set up separate formulation units, and Gland Pharma will open an R&amp;D center along with injectables and drug substance manufacturing units.</p><p style="text-align: justify;">Dr Reddy's Labs will build an injectable and biosimilars unit, while Hetero Labs will establish a finished dose and injectable manufacturing plant, the release added.</p><p style="text-align: justify;">The Chief Minister instructed officials to allocate land for the new facilities and ensure the necessary infrastructure is provided in the Pharma City, with construction work to begin within the next four months.</p><p style="text-align: justify; ">Also Read:<a href="https://medicaldialogues.in/news/industry/pharma/usfda-inspection-dr-reddys-gets-form-483-with-7-observations-for-bollaram-facility-138380"> USFDA Inspection: Dr Reddy's gets Form 483 with 7 observations for Bollaram facility</a></p></div>

108. Controversy after PG Opthalmology student hired at District Hospital performs 44 surgeries without completion of Degree

     Sat, 23 Nov 2024 08:06:35 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/07/31/245668-surgery-50-6.webp' /><p style="text-align: justify; "><b>Hisar:&nbsp;</b>In a disturbing incident at Hisar Civil Hospital, a postgraduate medico performed eye surgeries on 44 patients over three months, despite not holding a valid postgraduate degree in ophthalmology. Although the doctor has been banned from conducting further surgeries, he claimed that he operated on the patients after being appointed by the Health Department.</p><p style="text-align: justify; ">According to recent media reports, the doctor was undergoing a&nbsp;<a href="https://medicaldialogues.in/topics/pg-medical-courses" target="_blank">postgraduate course</a> and was yet to pass the exam when the health department appointed him as the eye surgeon of Hisar Civil Hospital. This appointment come after three posts for <a href="https://medicaldialogues.in/topics/eye-surgeon" target="_blank">eye surgeons</a> became vacant in the eye department of Hisar General Hospital.</p><p style="text-align: justify; "><b>Also read- <a href="https://medicaldialogues.in/news/health/doctors/declared-dead-in-rajasthan-hospital-man-comes-back-to-life-3-doctors-suspended-138509" target="_blank">Declared Dead in Rajasthan Hospital, Man comes back to life, 3 doctors suspended</a></b></p><p style="text-align: justify; ">By the time, the deputy director of the National Program for the Control of Blindness (NPCB) banned him from performing further surgeries, the doctor had already performed 44 surgeries under the supervision of another eye surgeon who completed 27 eye surgeries.&nbsp;</p><p style="text-align: justify; ">As per <a href="https://www.news18.com/india/doctor-with-no-degree-performed-44-eye-surgeries-at-haryana-hospital-9129190.html" rel="nofollow">News 18</a> news report, the incident took place between April and July when the doctor was appointed. Following his appointment, the number of eye surgeons at the hospital rose to two. At that time, a female eye surgeon was actively performing surgeries on patients, having completed 27 procedures, while the newly appointed doctor performed 44.</p><p style="text-align: justify; ">It was reported that he conducted the surgeries under the supervision of the female eye surgeon. However, the health department later promoted and transferred the female eye surgeon to another hospital which left him in charge.&nbsp;</p><p style="text-align: justify; ">After he became in charge of the surgeries, the NPCB took a dig and found that he was operating without a valid degree. Therefore, they halted his surgeries and banned him from operating further. When the health department became aware they initiated an investigation into the matter and sent the doctor on leave to prepare for his exam.&nbsp;</p><p style="text-align: justify; ">Due to the lack of eye surgeons at Hisar Civil Hospital, the health department is reported to have appointed a doctor who was still undergoing his PG studies in a rush to fill the vacancies since three surgeons resigned to join private hospitals, leaving the department critically understaffed.&nbsp;</p><p style="text-align: justify; ">After the doctor was banned, no eye surgeries were performed for about four months and the hospital's eye department is reeling under a shortage of specialists. Hisar Civil Hospital’s eye department is known for conducting over 1,000 surgeries annually. However, this year, only 71 surgeries were performed in 11 months, as per News 18 reports.&nbsp;</p><p style="text-align: justify; ">Civil Surgeon Dr Sapna Gehlawat told <a href="https://timesofindia.indiatimes.com/city/chandigarh/haryana-eye-surgeon-in-hisar-performed-44-eye-operations-with-incomplete-degree/articleshow/115568498.cms" rel="nofollow">TOI</a>, "At present, eye surgery is being done in Agroha Medical College. A letter has been written to the department to appoint an eye surgeon here."</p><p style="text-align: justify; "><b>Also read- <a href="https://medicaldialogues.in/news/health/hospital-diagnostics/patient-dies-during-treatment-at-gtb-hospital-kin-alleges-negligence-138003" target="_blank">Patient dies during treatment at GTB Hospital, kin alleges negligence</a></b></p>

109. Punjab: Tribunal Slaps Rs 5 Crore Interim Fine on Pharma Unit for Violations

     Sat, 23 Nov 2024 07:57:31 -0000

     The NGT bench also directed the PSPCB to initiate criminal proceedings against the pharma unit for past violations

     <img src='https://medicaldialogues.in/h-upload/2022/11/03/189815-fine-new-1.webp' /><p style="text-align: justify; "><b>Punjab: </b>The National Green Tribunal (NGT) has imposed an interim fine of Rs 5 crore on a pharmaceutical unit in Punjab for "violation of environmental norms".</p><div class="pasted-from-word-wrapper"><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">While denouncing the conduct of the Punjab State Pollution Control Board (PSPCB) for failing to discharge its statutory functions effectively, the NGT directed the board to initiate criminal proceedings against the bulk drug manufacturing unit, besides determining the final compensation amount.</p><p style="text-align: justify;">The green body was hearing a plea on Nector Life Sciences Limited, located at Haibatpur village in Sahibzada Ajit Singh Nagar district, reportedly discharging highly-polluted chemical effluent in the agricultural fields, causing damage to crops and land.</p><p style="text-align: justify;">In an order passed on Thursday, an NGT bench comprising its chairperson Justice Prakash Shrivastava, said, “Considering the entire record, we are clearly of the view that the industry has failed to comply with the provisions of environmental laws, particularly the Water Act, and has consistently violated its provisions while its zero liquid discharge (ZLD) status has not been achieved till date.”</p><p style="text-align: justify;">The bench also comprising judicial member Justice Sudhir Agarwal and expert member Afroz Ahmad said the PSPCB “failed to discharge its statutory functions adequately and effectively”.</p><p style="text-align: justify;">The PSPCB did not take stringent action by imposing adequate environmental compensation, nor did it initiate criminal action for prosecution of the violator, the bench noted.</p><p style="text-align: justify;">The tribunal also said the reports before it merely examined the effluent discharged by the unit to assess water quality and pollution levels.</p><p style="text-align: justify;">The unit mainly manufactured antibiotics and waste water containing <a href="https://medicaldialogues.in/search?search=antibiotic">antibiotics</a>, such as cephalosporins antibiotics, could be highly toxic and difficult to degrade.</p><p style="text-align: justify;">“It is thus necessary to examine the effluent or waste water generated by an industrial unit to see the whether treated water contains the residue of the above antibiotic medicine or not,” the tribunal said.</p><p style="text-align: justify;">Regarding environmental compensation, the tribunal said, “Since in the present financial year, the amount of environmental compensation at 0.5 per cent of turnover (Rs 1,698.66 crore ) comes to about Rs 8.5 crore, we find it appropriate to impose an interim environmental compensation of Rs 5 crore which shall be paid or deposited by the unit with the PSPCB within two months.”</p><p style="text-align: justify;">“We also direct the PSPCB to determine the final amount of environmental compensation after collecting information with regard to the turnover from the proponent of the respective year when the violations were found and to impose compensation for such period separately after due opportunity of hearing to the proponent,” it added.</p><p style="text-align: justify;">The NGT bench also directed the PSPCB to initiate criminal proceedings against the unit for past violations and make periodical inspections to ensure that it strictly complied with the environmental laws.</p><p style="text-align: justify;">In its 65-page order, the tribunal said the unit committed several environmental violations, including emission of intermittently black smoke from its boiler, concentration of effluent beyond the prescribed limits, partially-operated effluent treatment plant (ETP), lack of proper distribution network to avoid unscientific and illegal discharge, and non-operational multi-effect evaporator (MEE).</p><p style="text-align: justify;">“The industry was found to have failed in checking the discharge of ammonia contained water which was found spread outside the premises,” the tribunal said.</p><p style="text-align: justify;">It also castigated the pharma unit for manipulating the figures regrading the extraction of groundwater, saying the numbers were shown within the permissible range, forgetting the fact that production had increased substantially.</p><p style="text-align: justify;">“The industry had to explain as to why water consumption did not increase, but it failed. It shows a clear manipulation on the part of the industry in maintaining record to show a paper compliance, but not in fact,” the NGT bench noted.</p><p style="text-align: justify;"><b><i>Also Read: <a href="https://medicaldialogues.in/news/industry/pharma/rs-981-crore-expenditure-on-conference-fees-accommodation-to-doctors-business-promotion-done-by-sun-pharma-disallowedittribunal-136250">Rs 9.81 crore expenditure on Conference fees, accommodation to doctors, Business Promotion done by Sun Pharma disallowed: IT Tribunal</a></i></b></p></div></div>

110. NBE specifies Leave Rules For Trainees, all Details here

     Sat, 23 Nov 2024 07:47:07 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/23/261952-nbems-leave-rules.webp' /><p>Delhi: The National Board of Medical Examinations in Medical Sciences (<a href="https://medicaldialogues.in/topics/nbems" target="_blank">NBEMS</a>) has specified comprehensive leave rules for all the NBEMS Accredited institutions/ Candidates joining NBEMS courses and ongoing trainees.</p><p>The purpose of NBEMS Leave Rules is to establish guidelines and procedures for managing leave for trainees registered with NBEMS (National Board of Examinations in Medical Sciences) to undergo PG medical training at NBE accredited institutions.</p><p>The following rules shall be applicable with immediate effect on all NBEMS trainees:</p><p><b><u>Eligibility:&nbsp;</u></b>Every programme of the NBEMS requires a mandatory period of training which must be completed in order to be eligible to take the Exit Examination. NBEMS trainees must take utmost care to complete their training well within the cut-off date in order to be eligible to take the Exit Examination.</p><p><b><u>Leave Entitlement:</u></b> During the period of training, candidates are entitled to avail leave only in the following terms:</p><p>a) NBEMS trainees are entitled to a maximum of 30 days of leave per year of training, which is the ‘eligible leave’ for each NBEMS trainee. </p><p>b) In addition, a candidate is entitled to a weekly / duty off during his / her training. c) However, when a candidate is on leave, the weekly / duty off mentioned in sub clause (b) above will be included in the leave taken by the candidate. For eg: If a candidate has taken leave for 30 days, the weekly / duty off during these 30 days will be included as a part of the leave taken by the candidate. The candidate will not be entitled to deduct the weekly / duty offs during the said period and count them either towards training or towards leave in addition to the 30 days. </p><p>d) Maternity/Paternity Leave: Maternity leave shall be granted to female trainees in accordance with Central or State Government policies applicable to the training institute. The Expected Date of Delivery (EDD)/ Date of Delivery (DoD) should fall within the duration of maternity leave applied for. Further, in whichever States 6 months of maternity leave is permissible as per policies applicable there, it can be availed during 2 months prior to EDD to 6 months after DoD. Paternity leave for maximum 2 weeks can be availed by male trainees.&nbsp;</p><p>e) There is no provision of extension of maternity leave beyond permissible period or grant of Child Care Leave (CCL) in the NBEMS training programme.</p><p>f) Trainees must note that the grant of Maternity / Paternity leave or leave on any other account does not mean that their training shall not be extended on account of their absence during the period they are on leave. Candidates are entitled to the benefit only of ‘eligible leave’ i.e. 30 days per year for the purposes of their training and any other leave availed by them on any ground whatsoever shall lead to the extension of training. Candidates must also note that if as a consequence of extension, their training extends beyond the cut-off date prescribed in the respective Information Bulletin for the final examination, he/she shall not be eligible to appear in the said final examination.</p><p>g) No study leave whatsoever is permissible to the NBEMS trainees. The eligible leave of 30 days a year could be used for any purposes as may be required.</p><p>However, the trainees are not permitted to take up any employment or enroll for any other academic course during the leave period.</p><p><b><u>Leave Application Procedure: </u></b></p><p>a) Eligible leave of 30 days per year shall be granted by the training institution at their level. Any leave over and above the ‘eligible leave’ of 30 days per year shall be forwarded through the training institution with its recommendations to NBEMS for consideration. Any request of leave over and above the eligible leave of 30 days shall be submitted to NBEMS by way of an NBEMS Leave Application Form well in advance to obtain NBEMS approval before proceeding on leave. Leave requests must be supported with relevant documents as per guidelines detailed in the NBEMS Leave Application Form. The leave application form, duly endorsed by the training institution, shall have to be submitted by the trainee to NBEMS, only through NBEMS communication web portal before proceeding on leave.</p><p>b) Requests for post-facto approval of leave shall not be entertained and the trainee shall be considered on an unauthorized absence for such period.</p><p><b><u>Extension of Training: </u></b></p><p>a) As explained in Rule 3 above, any leave availed by an NBEMS trainee other than the eligible leave (30 days per year) shall lead to extension of NBEMS training. This extension shall be equal to the number of days of excess leave availed by the trainees.</p><p>b) The training period as prescribed in the letter of registration issued by NBEMS in terms of number of calendar days/month/years must be completed for successful completion of NBEMS training. Any extension, if so required to be undertaken due to excess leave availed in a year, can only be done by working for the number of days equal to the excess leave availed during the training programme.</p><p>c) The extension of training period cannot be compensated by way of working extra hours on working days or by working on holidays or in any manner other than prescribed herein above.</p><p>d) Eligible leave of one year shall not be carried forward to the next year or clubbed with the eligible leave of next year to calculate the total period of extension required to be undertaken. The leave remaining unutilized in a year shall lapse on expiry of the year. In exceptional circumstances, NBEMS may allow balance leave of one year to be credited against the leave availed in next year(s) of training, on a case-to-case basis, to arrive at the period of extension required to be undertaken.</p><p>6. Considerations During Leave Period: </p><p>a) Days for attending NBEMS Final Theory &amp; Practical Examinations and Formative Assessment Tests will be considered towards period of training and not as leave. </p><p>b) The trainees are paid stipend for the entire duration of training including their eligible leave as per NBEMS stipend guidelines. However, they shall not be paid stipend for a period more than the duration of the training programme i.e. 36 months (for a 3-year programme) or 24 months (for the 2 year Programme) or 72 months (for the 6 year programme), if in case their training gets extended due to excess leave availed by them. </p><p><b>Compliance and Enforcement: </b></p><p>a) Trainees are required to comply strictly with NBEMS leave rules and institutional policies. </p><p>b) Failure to comply may result in disciplinary action, including cancellation of candidature. </p><p>c) NBEMS trainee must be careful while applying for leave. They must take note that if the total leave availed by them during the training programme is more than a year, it shall lead to the cancellation of the candidature of the NBEMS trainee and shall disentitle him/her from pursuing the NBEMS programme. Candidates must therefore ensure that the leave taken by them must under no circumstances exceed a year. </p><p>d) Any absence from the training that is not in accordance with the present Rules shall amount to Unauthorized Absence and such absence from NBEMS training for more than 7 days may lead to cancellation of registration and discontinuation of the NBEMS training. </p><p>e) If on account of the leave taken by the NBEMS trainee, his/her training have been extended beyond the cut-off date prescribed in the respective Information Bulletin for the final examination, he/she shall not be eligible to appear in the said final examination. NBEMS trainees must therefore keep this in mind while taking leave from the training programme. </p><p>f) The eligibility for DNB/ DrNB/ FNB/ NBEMS Diploma Final Examination shall be determined strictly in accordance with the criteria prescribed in the respective information bulletins. </p><p>These rules shall be applicable with immediate effect on all ongoing NBEMS trainees as well.</p><p><b><i>To view the official Notice, Click here :&nbsp;&nbsp;<a href="https://medicaldialogues.in/pdf_upload/nbems2024773886140jpg-261946.pdf" target="_blank">https://medicaldialogues.in/pdf_upload/nbems2024773886140jpg-261946.pdf</a></i></b></p>

111. Torrent Pharma Receives USFDA Clearance for Pithampur Facility with VAI Classification

     Sat, 23 Nov 2024 07:19:44 -0000

     <img src='https://medicaldialogues.in/h-upload/2023/01/11/197479-torrent-pharma-3.webp' /><p><b>Mumbai:</b>&nbsp;Torrent Pharmaceuticals Limited has announced that the company received an Establishment Inspection Report (EIR) from the United States Food and Drugs Administration (USFDA) for its manufacturing facility at Pithampur, Madhya Pradesh.</p><div class="pasted-from-word-wrapper"> <p>The USFDA has classified the site under ‘Voluntary Action Indicated’ (VAI), marking the successful closure of the regulatory inspection carried out from 16th September to 20th September 2024.</p> <p>"...<a href="https://medicaldialogues.in/search?search=usfda">USFDA</a> has issued Establishment Inspection Report (“EIR”) with Voluntary Action Indicated (“VAI”) classification for the said manufacturing facility and the inspection has now been successfully closed by the USFDA," <a href="https://medicaldialogues.in/search?search=torrent" style="">Torrent</a> Pharma said in a filing.</p> <p><b><i>Also Read: <a href="https://medicaldialogues.in/news/industry/pharma/torrent-pharmaceutical-gets-cdsco-panel-nod-to-study-gabapentin-plus-duloxetine-fdc-138002">Torrent Pharmaceutical gets CDSCO Panel nod to study Gabapentin plus Duloxetine FDC</a></i></b></p> <p>The USFDA's Establishment Inspection Report (EIR) provides a summary of the findings from a facility inspection, including compliance observations and discussions held during the visit. </p> <p>A Voluntary Action Indicated (VAI) classification indicates that any identified issues are minor and can be addressed by the company without the need for further regulatory or administrative action.</p> <p>The USFDA examined Torrent’s manufacturing plant in Pithampur during the September quarter and issued a Form 483 with one observation.</p> <p><b><i>Also Read: <a href="https://medicaldialogues.in/news/industry/pharma/torrent-pharmaceuticals-promoter-offloads-29-percent-stake-for-rs-3086-crore-137562">Torrent Pharma promoter offloads 2.9 percent stake for Rs 3086 crore</a></i></b></p> <p>Torrent Pharmaceuticals, headquartered in Ahmedabad, Gujarat, is a prominent Indian pharmaceutical company known for developing, manufacturing, and marketing branded and generic medications. It operates across various therapeutic areas, including cardiovascular, central nervous system, and diabetes care, with a strong presence in both regulated and emerging global markets.</p></div>

112. MCC NEET UG 2024 Special Stray Vacancy Round Counselling final Results declared

     Sat, 23 Nov 2024 07:18:54 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/23/261956-results-2.webp' /><p><span style="background-color: rgb(255, 255, 255);">New Delhi- The Medical Counselling Committee (</span><a href="https://medicaldialogues.in/topics/mcc" target="_blank" style="background-color: rgb(255, 255, 255);">MCC</a><span style="background-color: rgb(255, 255, 255);">) has declared the final result of the National Eligibility and Entrance Test- Undergraduate (</span><a href="https://medicaldialogues.in/topics/neet-ug" target="_blank" style="background-color: rgb(255, 255, 255);">NEET UG</a><span style="background-color: rgb(255, 255, 255);">) Special Stray Vacancy Round counselling 2024.</span></p><p>As per the Final result, a total of 307 candidates are qualified in the NEET UG Special Stray Vacancy Round Counselling 2024. This result is regarding the seat allotment result for MBBS, BDS and B.Sc Nursing admissions.</p><p><b>Final Allotment Result for UG Special Stray Vacancy Round 2024&nbsp;&nbsp;<a href="https://medicaldialogues.in/pdf_upload/2024112359-261954.pdf" target="_blank">https://medicaldialogues.in/pdf_upload/2024112359-261954.pdf</a></b></p><p>Note*:- Candidates whose category or quota has been changed in the same institution and subject, are required to get online generated relieving letter and get admitted on the changed category or changed quota seat from the allotted institution. Such candidate must get fresh online generated admission letter for the changed category or quota seat otherwise the allotted seat will be cancelled due to non-admission.</p><p><u><b>SCHEDULE OF SPECIAL ROUND OF UG COUNSELLING FOR MBBS, BDS AND B.SC (NURSING) SEATS – 2024</b></u></p><div class="pasted-from-word-wrapper"><div dir="ltr"><table><colgroup><col width="53"><col width="155"><col width="104"><col width="104"><col width="104"><col width="104"></colgroup><tbody><tr><td><p dir="ltr">S.NO</p></td><td><p dir="ltr">PAYMENT FOR SPECIAL ROUND</p></td><td><p dir="ltr">CHOICE FILLING &amp; CHOICE LOCKING</p></td><td><p dir="ltr">PROCESSING OF SEAT ALLOTMENT</p></td><td><p dir="ltr">PUBLICATION OF RESULT</p></td><td><p dir="ltr">REPORTING AT ALLOTTED COLLEGE</p></td></tr><tr><td><p dir="ltr">1</p></td><td><p dir="ltr">20th Nov 2024 to 21st Nov 2024 Payment facility will be available from 10:00 A.M of 20.11.2024 upto 03:00 P.M of 21.11.2024</p></td><td><p dir="ltr">20th Nov 2024 to 22nd Nov. 2024 (upto 08:00 A.M of 22.11.2024)</p><p dir="ltr">Choice Locking will be available from 08:00 PM of 21st Nov. till 08:00 A.M of 22nd Nov. 2024</p></td><td><p dir="ltr">22nd Nov,2024</p></td><td><p dir="ltr">23rd Nov., 2024</p></td><td><p dir="ltr">25th Nov. 2024 to 30th Nov. 2024 (up to 05:00 PM as per the Server timing)</p></td></tr><tr><td></td><td><p dir="ltr">(2-Day)</p></td><td><p dir="ltr">(3-Days)</p></td><td><p dir="ltr">(1-Days)</p></td><td><p dir="ltr">(1-Day)</p></td><td><p dir="ltr">(6-Days)</p></td></tr></tbody></table><div class="inside-post-ad-2 inside-post-ad ads_common_inside_post" id="inside_post_content_ad_2"></div></div><p dir="ltr"><u><b>NEET-UG SPECIAL ROUND SCHEDULE- 2024 ALL INDIA QUOTA, DEEMED AND CENTRAL STATE QUOTA (FOR MBBS. BDS AND BSC NURSING</b></u></p><table><colgroup><col width="54"><col width="194"><col width="124"><col width="124"><col width="124"></colgroup><tbody><tr><td><p dir="ltr">S.NO</p></td><td><p dir="ltr">SCHEDULE FOR ADMISSION</p></td><td><p dir="ltr">ALL INDIA QUOTA/DEEMED &amp; CENTRAL UNIVERSITIES</p></td><td><p dir="ltr">SHARING OF ALLOTTED CANDIDATES DATA BY MCC</p></td><td><p dir="ltr">STATE COUNSELLING</p></td></tr><tr><td><p dir="ltr">1</p></td><td><p dir="ltr">Special Round of Counselling.</p></td><td><p dir="ltr">20th Nov., 2024 to 23rd Nov., 2024</p></td><td><p dir="ltr">25th Nov.,2024</p></td><td><p dir="ltr">25th Nov., 2024 to 29th Nov., 2024</p></td></tr><tr><td><p dir="ltr">2</p></td><td><p dir="ltr">Last date of Joining.</p></td><td><p dir="ltr">30th Nov., 2024</p></td><td></td><td><p dir="ltr">5th Dec., 2024</p></td></tr></tbody></table><div class="inside-post-ad-3 inside-post-ad ads_common_inside_post" id="inside_post_content_ad_3"></div><p>The Medical Counselling Committee (MCC) is an organisation under the Directorate General of Health Services (DGHS) affiliated to the Ministry of Health and Family Welfare, Government of India and responsible for allotting seats for undergraduate, postgraduate and super-speciality medical and dental courses in government-run/aided colleges and deemed-to-be-university colleges.</p></div>

113. MP DME releases seat matrix for PG Medical admissions 2024 at Govt Medical Colleges

     Sat, 23 Nov 2024 07:17:22 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/23/261945-seat-matrix.webp' /><p style="text-align: justify; "><b>Madhya Pradesh-</b>&nbsp;The Director of Medical Education (<a href="https://medicaldialogues.in/topics/mpdme" target="_blank">DME) Madhya Pradesh</a> has&nbsp;released the Category-wise Seat Distribution of PG Degree vacancies (MD/MS) <a href="https://medicaldialogues.in/topics/neet-pg" target="_blank">NEET PG</a>-2024-25 (1st Round) at Government Medical Colleges of Madhya Pradesh.</p><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; ">As per the Seat matrix, a total of 661 seats are vacant in PG Degree (MD/MS) NEET PG-2024-25 (1st Round). Of these, 440 seats are vacant for the Open category, 23 seats are vacant for the open PWD Category, 188 seats are vacant for the 30% Open Inservice category, and 10 seats are vacant for the 30% Inservice PWD category.+</p></div><div class="pasted-from-word-wrapper"><b style="text-align: justify;"><i>Below are the detailed Category-wise Seat Distribution-</i></b><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/education/medical-admissions/mp-dme-releases-revised-neet-2024-2nd-round-counselling-schedule-choice-filling-extended-to-september-22-135131"></a></div><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; "><b><u>CATEGORY-WISE SEAT DISTRIBUTION ON OPEN CATEGORY</u></b></p><div dir="ltr"><table style="text-align: justify; "><colgroup><col width="51"><col width="172"><col width="401"></colgroup><tbody><tr><td><p dir="ltr" style="text-align: center; "><b>S.NO</b></p></td><td><p dir="ltr" style="text-align: center; "><b>STATE</b></p></td><td><p dir="ltr" style="text-align: center; "><b>VACANT SEATS</b></p></td></tr><tr><td><p dir="ltr">1</p></td><td><p dir="ltr">Bhopal.</p></td><td><p dir="ltr">89</p></td></tr><tr><td><p dir="ltr">2</p></td><td><p dir="ltr">Indore.</p></td><td><p dir="ltr">95</p></td></tr><tr><td><p dir="ltr">3</p></td><td><p dir="ltr">Gwalior.</p></td><td><p dir="ltr">60</p></td></tr><tr><td><p dir="ltr">4</p></td><td><p dir="ltr">Jabalpur.</p></td><td><p dir="ltr">64</p></td></tr><tr><td><p dir="ltr">5</p></td><td><p dir="ltr">Rewa.</p></td><td><p dir="ltr">44</p></td></tr><tr><td><p dir="ltr">6</p></td><td><p dir="ltr">Sagar.</p></td><td><p dir="ltr">24</p></td></tr><tr><td><p dir="ltr">7</p></td><td><p dir="ltr">Ratlam&nbsp;</p></td><td><p dir="ltr">18</p></td></tr><tr><td><p dir="ltr">8</p></td><td><p dir="ltr">Datia.</p></td><td><p dir="ltr">15</p></td></tr><tr><td><p dir="ltr">9</p></td><td><p dir="ltr">Vidisha&nbsp;</p></td><td><p dir="ltr">15</p></td></tr><tr><td><p dir="ltr">10</p></td><td><p dir="ltr">Gwalior Mansik Arogya Sala.</p></td><td><p dir="ltr">1</p></td></tr><tr><td><p dir="ltr">11</p></td><td><p dir="ltr">Khandwa&nbsp;</p></td><td><p dir="ltr">8</p></td></tr><tr><td><p dir="ltr">12</p></td><td><p dir="ltr">Shivpuri&nbsp;</p></td><td><p dir="ltr">5</p></td></tr><tr><td><p dir="ltr">13</p></td><td><p dir="ltr">Shadol&nbsp;</p></td><td><p dir="ltr">2</p></td></tr><tr><td></td><td><p dir="ltr" style="text-align: center; "><b>TOTAL</b></p></td><td><p dir="ltr" style="text-align: center; "><b>440</b></p></td></tr></tbody></table></div><p dir="ltr" style="text-align: justify; "><b><u>CATEGORY-WISE SEAT DISTRIBUTION ON OPEN PWD CATEGORY</u></b></p><div dir="ltr"><table style="text-align: justify; "><colgroup><col width="51"><col width="172"><col width="401"></colgroup><tbody><tr><td><p dir="ltr" style="text-align: center; "><b>S.NO</b></p></td><td><p dir="ltr" style="text-align: center; "><b>STATE</b></p></td><td><p dir="ltr" style="text-align: center; "><b>VACANT SEATS</b></p></td></tr><tr><td><p dir="ltr">1</p></td><td><p dir="ltr">Bhopal.</p></td><td><p dir="ltr">2</p></td></tr><tr><td><p dir="ltr">2</p></td><td><p dir="ltr">Indore.</p></td><td><p dir="ltr">3</p></td></tr><tr><td><p dir="ltr">3</p></td><td><p dir="ltr">Gwalior.</p></td><td><p dir="ltr">2</p></td></tr><tr><td><p dir="ltr">4</p></td><td><p dir="ltr">Jabalpur.</p></td><td><p dir="ltr">4</p></td></tr><tr><td><p dir="ltr">5</p></td><td><p dir="ltr">Rewa.</p></td><td><p dir="ltr">2</p></td></tr><tr><td><p dir="ltr">6</p></td><td><p dir="ltr">Sagar.</p></td><td><p dir="ltr">1</p></td></tr><tr><td><p dir="ltr">7</p></td><td><p dir="ltr">Ratlam&nbsp;</p></td><td><p dir="ltr">2</p></td></tr><tr><td><p dir="ltr">8</p></td><td><p dir="ltr">Datia.</p></td><td><p dir="ltr">1</p></td></tr><tr><td><p dir="ltr">9</p></td><td><p dir="ltr">Vidisha .</p></td><td><p dir="ltr">3</p></td></tr><tr><td><p dir="ltr">10</p></td><td><p dir="ltr">Gwalior Mansik Arogya Sala.</p></td><td><p dir="ltr">0</p></td></tr><tr><td><p dir="ltr">11</p></td><td><p dir="ltr">Khandwa.</p></td><td><p dir="ltr">1</p></td></tr><tr><td><p dir="ltr">12</p></td><td><p dir="ltr">Shivpuri .</p></td><td><p dir="ltr">2</p></td></tr><tr><td><p dir="ltr">13</p></td><td><p dir="ltr">Shadol .</p></td><td><p dir="ltr">0</p></td></tr><tr><td style="text-align: center; "></td><td><p dir="ltr" style="text-align: center; "><b>TOTAL</b></p></td><td><p dir="ltr" style="text-align: center; "><b>23</b></p></td></tr></tbody></table></div><p dir="ltr" style="text-align: justify; "><b><u>CATEGORY-WISE SEAT DISTRIBUTION ON 30% OPEN INSERVICE CATEGORY</u></b></p><div dir="ltr"><table style="text-align: justify; "><colgroup><col width="51"><col width="172"><col width="401"></colgroup><tbody><tr><td><p dir="ltr" style="text-align: center; "><b>S.NO</b></p></td><td><p dir="ltr" style="text-align: center; "><b>STATE</b></p></td><td><p dir="ltr" style="text-align: center; "><b>VACANT SEATS</b></p></td></tr><tr><td><p dir="ltr">1</p></td><td><p dir="ltr">Bhopal.</p></td><td><p dir="ltr">39</p></td></tr><tr><td><p dir="ltr">2</p></td><td><p dir="ltr">Indore.</p></td><td><p dir="ltr">39</p></td></tr><tr><td><p dir="ltr">3</p></td><td><p dir="ltr">Gwalior.</p></td><td><p dir="ltr">26</p></td></tr><tr><td><p dir="ltr">4</p></td><td><p dir="ltr">Jabalpur.</p></td><td><p dir="ltr">27</p></td></tr><tr><td><p dir="ltr">5</p></td><td><p dir="ltr">Rewa.</p></td><td><p dir="ltr">19</p></td></tr><tr><td><p dir="ltr">6</p></td><td><p dir="ltr">Sagar.</p></td><td><p dir="ltr">10</p></td></tr><tr><td><p dir="ltr">7</p></td><td><p dir="ltr">Ratlam&nbsp;</p></td><td><p dir="ltr">8</p></td></tr><tr><td><p dir="ltr">8</p></td><td><p dir="ltr">Datia.</p></td><td><p dir="ltr">7</p></td></tr><tr><td><p dir="ltr">9</p></td><td><p dir="ltr">Vidisha&nbsp;</p></td><td><p dir="ltr">6</p></td></tr><tr><td><p dir="ltr">10</p></td><td><p dir="ltr">Gwalior Mansik Arogya Sala.</p></td><td><p dir="ltr">0</p></td></tr><tr><td><p dir="ltr">11</p></td><td><p dir="ltr">Khandwa&nbsp;</p></td><td><p dir="ltr">3</p></td></tr><tr><td><p dir="ltr">12</p></td><td><p dir="ltr">Shivpuri .</p></td><td><p dir="ltr">3</p></td></tr><tr><td><p dir="ltr">13</p></td><td><p dir="ltr">Shadol .</p></td><td><p dir="ltr">1</p></td></tr><tr><td></td><td><p dir="ltr" style="text-align: center; "><b>TOTAL</b></p></td><td><p dir="ltr" style="text-align: center; "><b>188</b></p></td></tr></tbody></table></div><p dir="ltr" style="text-align: justify; "><b><u>CATEGORY-WISE SEAT DISTRIBUTION ON 30% INSERVICE PWD CATEGORY</u></b></p><div dir="ltr"><table style="text-align: justify; "><colgroup><col width="51"><col width="172"><col width="401"></colgroup><tbody><tr><td><p dir="ltr" style="text-align: center; "><b>S.NO</b></p></td><td><p dir="ltr" style="text-align: center; "><b>STATE</b></p></td><td><p dir="ltr" style="text-align: center; "><b>VACANT SEATS</b></p></td></tr><tr><td><p dir="ltr">1</p></td><td><p dir="ltr">Bhopal.</p></td><td><p dir="ltr">1</p></td></tr><tr><td><p dir="ltr">2</p></td><td><p dir="ltr">Indore.</p></td><td><p dir="ltr">3</p></td></tr><tr><td><p dir="ltr">3</p></td><td><p dir="ltr">Gwalior.</p></td><td><p dir="ltr">1</p></td></tr><tr><td><p dir="ltr">4</p></td><td><p dir="ltr">Jabalpur.</p></td><td><p dir="ltr">1</p></td></tr><tr><td><p dir="ltr">5</p></td><td><p dir="ltr">Rewa.</p></td><td><p dir="ltr">1</p></td></tr><tr><td><p dir="ltr">6</p></td><td><p dir="ltr">Sagar.</p></td><td><p dir="ltr">1</p></td></tr><tr><td><p dir="ltr">7</p></td><td><p dir="ltr">Ratlam .</p></td><td><p dir="ltr">0</p></td></tr><tr><td><p dir="ltr">8</p></td><td><p dir="ltr">Datia.</p></td><td><p dir="ltr">0</p></td></tr><tr><td><p dir="ltr">9</p></td><td><p dir="ltr">Vidisha .</p></td><td><p dir="ltr">1</p></td></tr><tr><td><p dir="ltr">10</p></td><td><p dir="ltr">Gwalior Mansik Arogya Sala.</p></td><td><p dir="ltr">1</p></td></tr><tr><td><p dir="ltr">11</p></td><td><p dir="ltr">Khandwa .</p></td><td><p dir="ltr">0</p></td></tr><tr><td><p dir="ltr">12</p></td><td><p dir="ltr">Shivpuri</p></td><td><p dir="ltr">0</p></td></tr><tr><td><p dir="ltr">13</p></td><td><p dir="ltr">Shadol&nbsp;</p></td><td><p dir="ltr">0</p></td></tr><tr><td></td><td><p dir="ltr" style="text-align: center; "><b>TOTAL</b></p></td><td><p dir="ltr" style="text-align: center; "><b>10</b></p></td></tr></tbody></table></div><p>Meanwhile, as per the notice on All-India NEET merit and state-specific merit, state-specific percentile scores and state-specific ranks for a particular state have been freshly prepared after awarding incentivized marks, utilizing the same normalization process. This was discussed during the virtual meetings held recently with NMC/State Advisory Authorities/NBEMS. Hence, the new State-specific percentile score and rank of candidates, including their state inter-se merit, cannot be compared with the All India NEET-PG 2024 percentile score and rank, including their All India inter-se merit. The All-India result for National Eligibility and Entrance Test-Postgraduate (NEET PG) which was conducted in two shifts, was prepared utilising the normalisation process. The All India NEET-PG 2024 rank was based on the percentile obtained as per the normalization process.</p></div><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap"><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/education/medical-admissions/neet-pg-admissions-mp-dme-releases-revised-state-specific-merit-list-details-138536"><img class="also-read-media" data-src="https://medicaldialogues.in/h-upload/2024/11/22/261806-neet-pg-2024-1.webp"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/medical-admissions/neet-pg-admissions-mp-dme-releases-revised-state-specific-merit-list-details-138536"><span class="read-this-also">Also Read:&nbsp;</span>NEET PG Admissions: MP DME releases Revised State-Specific Merit List, check out details</a><div></div></div></div><div class="pasted-from-word-wrapper"><p><b style="text-align: justify;"><u><i>To view the seat distribution, click the link below :</i></u></b></p><p dir="ltr" style="text-align: justify; "><a href="https://medicaldialogues.in/pdf_upload/mpdme-261947.pdf" target="_blank">https://medicaldialogues.in/pdf_upload/mpdme-261947.pdf</a></p></div><div class="pasted-from-word-wrapper"><div></div></div>

114. Mpox remains public health emergency of International concern, says WHO

     Sat, 23 Nov 2024 07:00:45 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/08/31/250438-mpox.webp' /><div class="pasted-from-word-wrapper"><p><span style="text-align: justify;">London:&nbsp;</span>The&nbsp;<a href="https://medicaldialogues.in/topics/world-health-organization" target="_blank">World Health Organization</a>&nbsp;(WHO) reiterated on Friday that the ongoing&nbsp;<a href="https://medicaldialogues.in/topics/Mpox" target="_blank">Mpox</a>&nbsp;outbreak continues to pose a public health emergency. The WHO first declared the outbreak an emergency in August, following the spread of a new form of mpox from the severely affected Democratic Republic of Congo to neighbouring countries.</p></div><div class="pasted-from-word-wrapper"><p><span style="text-align: justify;">The WHO had convened a meeting of its Emergency Committee and, agreeing with its advice, the WHO Director-General has determined that the upsurge of mpox continues to constitute a public health emergency of international concern, news agency Reuters reported.</span><br></p><p style="text-align: justify;">The decision is based on the rising number and continuing geographic spread of cases, operational challenges in the field and the need to mount and sustain a cohesive response across countries and partners, the WHO said.&nbsp;</p><p style="text-align: justify;"><b><i><a class="also-read-media-wrap" href="https://medicaldialogues.in/medicine/news/who-approves-first-mpox-diagnostic-test-for-emergency-use-boosting-global-access-136010"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/medicine/news/who-approves-first-mpox-diagnostic-test-for-emergency-use-boosting-global-access-136010">Also Read:WHO approves first mpox diagnostic test for emergency use, boosting global access</a></i></b></p><p style="text-align: justify;">Mpox is a viral infection that spreads through close contact, and typically causes flu-like symptoms and pus-filled lesions. It is usually mild, but it can be lethal.</p><p style="text-align: justify;">This year, there have been more than 46,000 suspected cases across Africa, mainly in Congo, and more than 1,000 suspected deaths.</p><p style="text-align: justify;">The label of "public health emergency of international concern" is the WHO's highest form of alert, and was also applied to a global outbreak of a different form of mpox in 2022-2023.</p><p style="text-align: justify;">The alert issued this year followed the spread of a new variant of the virus, called clade Ib.</p><p style="text-align: justify;">Cases of this variant have been confirmed in the UK, Germany, Sweden and India, among other countries.</p><p style="text-align: justify;">In September, after facing criticism on moving too slowly on vaccines, the WHO cleared Bavarian Nordic's vaccine for mpox and, earlier this month, listed Japan's KM Biologics' shot for emergency use.</p><p style="text-align: justify;">Medical Dialogues team had earlier reported that the Union Health Ministry has issued an advisory to all states and union territories to prevent and minimise the risk of further spread of Mpox in the country. This follows India becoming the third non-African nation to report a case of clade 1b Mpox infection.</p><p style="text-align: justify;"><b><i><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/health/mpox-scare-health-ministry-issues-advisory-to-states-uts-to-create-awareness-135608"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/health/mpox-scare-health-ministry-issues-advisory-to-states-uts-to-create-awareness-135608">Also Read:Mpox Scare: Health Ministry issues advisory to states, UTs to create awareness</a></i></b></p><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap"><div></div></div></div></div>

115. Urologist Slams Practo for 'Unethical' Charges on Patient Inquiries

     Sat, 23 Nov 2024 07:00:06 -0000

     <img src='https://medicaldialogues.in/h-upload/2023/11/11/225117-doctor.webp' /><p><b>New Delhi:&nbsp;</b>Practo, a popular healthcare platform, is facing criticism after a urologist accused the company of charging him 'unethically' for patient inquiries. The platform, which typically charges clinics and hospitals for its services, was called out on social media by the urologist, sparking concerns.&nbsp;</p><p>The controversy erupted after Dr ***, a <a href="https://medicaldialogues.in/topics/kidney-transplant" target="_blank" style="background-color: rgb(249, 249, 249);">kidney transplant</a> surgeon shared his experience on social media, accusing Practo of charging him for phone calls made by patients asking his details even though no consultations took place. &nbsp;<br></p><p>Slamming Practo for deducting money from him because a patient called to inquire about his details, the doctor created a thread on 'X' along with a video describing how the platform was allegedly charging him unnecessarily without even a consultation being done.&nbsp;</p><p><b>Also read- <a href="https://medicaldialogues.in/news/health/practo-healthians-1mg-blatantly-violating-imc-ethics-code-alleges-plea-of-288-pathologists-delhi-hc-issues-notice-104338" target="_blank">Practo, Healthians, 1mg blatantly violating IMC Ethics Code, alleges plea of 288 pathologists, Delhi HC issues notice</a></b></p><p>In a post, he wrote, "How can you charge me for someone just calling and asking about my whereabouts. In that way maybe your own people can call and ask about my details and you will deduct money as I received the call? This is gross on the part of practo and totally unethical!"</p><p>Expressing concern over the incident, he further added, "You may charge your platform fee if a consultation is booked. You may charge a patient if he is calling me to avail services. But how can you charge a doctor to just receive a call?"</p><p>The doctor further pointed out and informed the netizens that Practo charges around Rs 350-450 as a connection fee to the doctors. "So, the next time you ask why the fees are going up you have the answer!" he said.&nbsp;</p><p>Responding to the doctor's accusations, Practo stated in a post on 'X', "We are sorry to know that, Dr Vinay Rai. Kindly DM us your registered contact number so that we can look into the issue."</p><p><a href="https://medicaldialogues.in/news/health/allahabad-hc-slams-govt-for-denying-medical-care-to-undertrial-prisoner-during-illness-136686" target="_blank">Also Read: Allahabad HC slams Govt for denying Medical Care to Undertrial Prisoner during Illness</a></p>

116. Amidst Air Pollution Crisis, Indian Chest Society slams NMC for Removing Respiratory Medicine

     Sat, 23 Nov 2024 06:48:12 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261873-indian-chest-society-press-conference.webp' /><p style="text-align: justify; "><b>New Delhi:</b>&nbsp;The Indian Chest Society (ICS) took a dig at the <a href="https://medicaldialogues.in/topics/nmc">National Medical Commission</a> (NMC) recently for removing the <a href="https://medicaldialogues.in/topics/respiratory-medicine">Respiratory Medicine </a>Departments from the MBBS medical colleges hospitals across the country while highlighting the impact of this decision amid the escalating air pollution crisis in India.</p><p style="text-align: justify; ">During a Press Conference held on November 21st, ICS referred to the worsening AQI index along with NMC's decision to remove Respiratory Medicine Departments and opined that this decision threatens to undermine the nation's capacity to manage respiratory health effectively.</p><p style="text-align: justify; ">It pointed out how the Delhi Government has also directed all its hospitals to set up teams of specialists to tackle patients with respiratory ailments due to severe air pollution. ICS highlighted how the Delhi Health Department has asked the hospitals to monitor and report daily cases of respiratory ailments, including both outpatient (OPD), and inpatient (IPD) cases, and to promptly flag any unusual increase in the number of cases.</p><p style="text-align: justify; ">Previously, ICS along with the Indian Association of Physical Medicine and Rehabilitation filed a <a href="https://medicaldialogues.in/topics/public-interest-litigation">Public Interest Litigation</a> (PIL) challenging the NMC's decision before the Bombay High Court.</p><p style="text-align: justify; "><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/cbme-curriculum-why-are-respiratory-medicine-specialists-at-loggerheads-with-nmc-135384" style="background-color: rgb(255, 255, 255);"><b><i>Also Read: MBBS Curriculum: Why are Respiratory Medicine Specialists at Loggerheads with NMC</i></b></a></p><p style="text-align: justify; ">Medical Dialogues had earlier reported that last year, the Undergraduate Medical Education Board (UGMEB) of NMC had removed three departments- Physical Medicine and Rehabilitation (PMR), Respiratory Medicine, and Emergency Medicine from the list of departments that every medical college/institution must have to be approved for undergraduate medical admissions on an annual basis. The provision for a separate department for respiratory medicine is also absent in the newly released Competency-Based Medical Education 2024 guidelines.</p><p style="text-align: justify; ">NMC had claimed that this decision was taken to decrease the burden on the UG Medical Students and the Commission had justified its decision by pointing out that these subjects would be included as a part of General Medicine.</p><p style="text-align: justify; ">However, referring to the alarming AQI levels and the decision of NMC to remove Respiratory Medicine Department, Dr. Neel Thakkar, Vadodara-based pulmonologist and a member of the Indian Chest Society told Medical Dialogues, "India is witnessing alarming AQI levels, with Delhi recently recording its highest-ever AQI of 1,081, and cities in Gujarat, including Ahmedabad and Vadodara, reporting 'Poor' air quality. This surge in pollution has led to a rise in respiratory ailments COPD, Interstitial lung disease and lung cancer straining the healthcare system."</p><p style="text-align: justify; ">"Absence of the subject of respiratory medicine in MBBS curriculum and of the department of respiratory medicine in the newer medical colleges will add to the morbidity and mortality related to respiratory ailments in India and needs urgent solutions for reinstatement of the speciality," he added.</p><p><span style="text-align: justify;">ICS arranged a Press Conference on Thursday to discuss the issues concerning the Air Pollution Crisis and Removal of Respiratory Medicine Departments and how it poses a threat to Public Health.&nbsp;</span></p><p style="text-align: justify; ">Renowned doctors including Dr. Rakesh Chawla (Vice-President of ICS), Dr. G C Khilani (Chairman of ICS North Zone), Dr. Manoj Goel, Principal Director &amp; HoD Pulmonary Medicine at Fortis Medical Research Institute Gurugram, and Dr. Arun Madan, Prof &amp; HoD of Respiratory Medicine Department of Hindu Rao Medical College were Keynote speakers at the event.</p><div contenteditable="false" data-width="100%" style="width:100%" class="image-and-caption-wrapper clearfix hocalwire-draggable float-none"><img src="https://medicaldialogues.in/h-upload/2024/11/22/261872-ics-press-conference.webp" draggable="true" class="hocalwire-draggable float-none" data-float-none="true" data-uid="23690Eo3fkvuJ8xvxa5ZS8ZP3oRdzLFVFsFFP8872165" data-watermark="false" style="width: 100%;" info-selector="#info_item_1732278872688"><div class="inside_editor_caption image_caption hocalwire-draggable float-none" id="info_item_1732278872688"><br></div></div><p style="text-align: justify; ">Issues like public health risks due to worsening AQI levels, rising respiratory illnesses, possible practical actions for individuals and communities and the requirements for policies to improve air quality and healthcare infrastructure were discussed. Further, the NMC's decision to remove the Respiratory Medicine Department from the medical college hospitals and how it threatens the nation's ability to tackle pollution-related health crises was also discussed.</p><p style="text-align: justify; ">The <a href="https://medicaldialogues.in/topics/indian-chest-society">Indian Chest Society</a> expressed its deep concern over the escalating air pollution crisis in India, where Air Quality Index (AQI) levels surpassed 1000 in several regions.</p><p style="text-align: justify; ">ICS opined that extreme pollution was driving a sharp rise in respiratory and cardiovascular illnesses, disproportionately impacting vulnerable populations, including children and the elderly. The body also expressed its concerns over NMC's decision to remove respiratory medicine department from medical colleges across the country.</p><p style="text-align: justify; ">Dr. Arun Madan, Prof &amp; Head, Department Of Respiratory Medicine Hindurao Medical College Delhi pointed out that for decades, medical college hospitals have functioned as critical hubs for advanced respiratory care and training.&nbsp;</p><p style="text-align: justify; ">He added that NMC's decision to exclude Respiratory Medicine Departments from these institutes, formalized through the "Guidelines for Undergraduate Courses under Establishment of New Medical Institutions, Starting of New Medical Courses, Increase of Seats for Existing Courses &amp; Assessment and Rating Regulations, 2023" (UG-MSR 2023), raises serious concerns about its impact on public health and the nation’s ability to combat respiratory diseases.</p><p style="text-align: justify; ">Dr. G.C. Khilnani - Director Department of Respiratory Medicine, PSRI Hospital Delhi , Ex Prof &amp; Head AIIMS Delhi, Chairman Indian Chest Society (North Zone) highlighted that India is among the most polluted nations globally, with over 99% of its population exposed to PM2.5 levels exceeding WHO safety guidelines. This dire situation demands urgent action to mitigate pollution and strengthen medical infrastructure capable of addressing its health consequences, he opined.</p><p style="text-align: justify; ">According to Dr. Manoj Goel (Principal Director &amp; Head Department of Pulmonary Medicine, Fortis Medical Research Institute Gurugram), effective policies are critical to reduce air pollution and its health impacts. These include adopting clean technologies in industries, expanding renewable energy use, improving urban planning for energy-efficient cities, and implementing advanced waste management practices.</p><p style="text-align: justify; ">He pointed out that according to the World Health Organization (WHO), achieving even the first interim air quality target could prevent 300,000 deaths annually, highlighting the importance of coordinated efforts across sectors.</p><div class="pasted-from-word-wrapper"><p style="text-align: justify; "><b>Implications of Removing Respiratory Medicine Department:</b>&nbsp;</p><p style="text-align: justify; ">While discussing the issue of NMC's decision to remove Respiratory Medicine Department, Dr. Rakesh Chawla, the Chairman of the Department of Respiratory Medicine, Critical Care &amp; Sleep Medicine Saroj Superspeciality Hospital &amp; Jaipur Golden Hospital Delhi, argued that Respiratory Medicine Departments in medical college hospitals have been instrumental in diagnosing, treating, and managing complex respiratory conditions, while also supporting critical public health initiatives. Their removal creates significant gaps in both patient care and public health infrastructure.</p><p style="text-align: justify; ">According to Dr. Chawla, NMC's decision jeopardized patient care as medical college hospitals, which act as tertiary care centers, are vital for managing cases of tuberculosis (TB), chronic obstructive pulmonary disease (COPD), and pollution-related illnesses. The absence of Respiratory Medicine departments limits their ability to provide comprehensive care.</p><p style="text-align: justify; ">He further opined that this decision also undermined the TB Elimination Goals as India accounts for 26% of global TB cases and deaths and Respiratory Medicine Departments are pivotal in achieving these goals of Pradhan Mantri TB Mukt Bharat Abhiyan and the National Tuberculosis Elimination Programme (NTEP).</p><p style="text-align: justify; "><b>What Needs to be Done?</b></p><p style="text-align: justify; ">While discussing the possible action plan to deal with the issue, Dr Aditya Chawla, Consultant Department Of Respiratory Medicine, Critical Care &amp; Sleep Disorders Jaipur Golden Hospital &amp; Saroj Super Specialty Hospital Delhi, stressed the implementation of comprehensive air pollution mitigation strategies, ensuring accessible specialized respiratory healthcare, align policies with public health objectives etc.</p><p style="text-align: justify; "><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/what-will-happen-if-respiratory-medicine-dept-goes-away-from-706-medical-colleges-hc-to-decide-on-nmc-decision-136031" style="background-color: rgb(255, 255, 255);"><b><i>Also Read: What Will Happen if Respiratory Medicine Dept Goes Away from 706 Medical Colleges? HC to decide on NMC Decision</i></b></a></p><p style="text-align: justify; ">Meanwhile, the Indian Chest Soci­ety has appealed to the Union Gov­ern­ment to rein­state res­pir­at­ory medi­cine in the MBBS cur­riculum.</p></div>

117. Gandhi Medical College introduces Whistle-Alert System for Female Doctors' Safety

     Sat, 23 Nov 2024 05:30:21 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261838-gmc-bhopal.webp' /><p style="text-align: justify; "><b>Bhopal:&nbsp;</b>Following the <a href="https://medicaldialogues.in/topics/rg-kar-medical-college-hospital" target="_blank">RG Kar Hospital </a>incident that has sparked concern over the safety of female doctors and paramedical staff, the authorities at <a href="https://medicaldialogues.in/topics/gandhi-medical-college" target="_blank">Gandhi Medical College</a> (GMC) in Bhopal have introduced a whistle-based alert system in connection to enhance their security during nighttime.&nbsp;</p><p style="text-align: justify; ">Women doctors, paramedical staff, and other workers on the campus have been given the whistles and asked to signal for immediate help from the security guards if they feel unsafe or threatened during the day and night.&nbsp;</p><p style="text-align: justify; ">This initiative has been taken as the campus remains overcrowded with patients, their attendants and visitors during the day since it houses Hamidia, Sultania, and Kamla Nehru hospitals and fewer patients at night. This poses a risk to the safety of lady doctors on the campus.</p><p style="text-align: justify; "><b>Also read- <a href="https://medicaldialogues.in/news/education/medical-colleges/clash-at-mgm-indore-over-roast-video-on-instagram-138396" target="_blank">Clash at MGM Indore over Roast video on Instagram</a></b></p><p style="text-align: justify; ">This comes amid rising concerns over the safety of female doctors on medical campuses following the brutal incident at RG Kar Medical College in Kolkata, where a PG trainee lady doctor was allegedly raped and murdered in the seminar room.</p><p style="text-align: justify; ">GMC dean Dr Kavita N Singh informed <a href="https://www.freepressjournal.in/bhopal/bhopal-whistles-distributed-to-women-doctors-staffers-in-gandhi-medical-college-to-ward-off-danger" rel="nofollow">Free Press Journal</a>, “It is not possible to provide security guards to every lady doctor and paramedical staff. There is no problem during the daytime as the campus remains crowded. At night, lady workers have issues, so I have distributed whistles to blow whenever they feel unsafe on campus, either during the day or at night. The duty security guards would rush to them and ensure they are safe and sound.”</p><p style="text-align: justify; ">It has come to light that the doctors at the medical college previously raised concerns about the security of healthcare workers with the authorities. Members of the Junior Doctors Association (JUDA) have voiced their worries about the security situation on campus.</p><p style="text-align: justify; ">"There are many challenges on the campus as far as safety is concerned. Encroachment and overcrowding on the premises are two major issues," said the association.&nbsp; &nbsp;&nbsp;</p><p style="text-align: justify; "><b>Also read-<a href="https://medicaldialogues.in/news/education/medical-colleges/row-over-halloween-party-in-historical-building-police-seeks-info-from-mgm-indore-136946" target="_blank"> Row over Halloween party in historical building: Police seeks info from MGM Indore</a></b></p>

118. TN Health Notifies On NEET 2024 Special Stray Vacancy Round Counselling Dates, Details

     Sat, 23 Nov 2024 05:30:14 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/21/261684-special-stray-vacancy-round.webp' /><p style="text-align: justify; "><b>Tamil Nadu-</b> Tamil Nadu (<a href="https://medicaldialogues.in/topics/tamil-nadu" target="_blank">TN Health</a>) has announced the date for National Eligibility and Entrance Test-Undergraduate (<a href="https://medicaldialogues.in/topics/neet-ug" target="_blank">NEET UG</a>) Special Stray Vacancy Round Counselling 2024 through a notice.</p><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; ">As per the notice, all the eligible applied candidates to the Tamil Nadu Medical Selection Committee are hereby informed that as per the Medical Counselling Committee schedule, <a href="https://medicaldialogues.in/topics/stray-vacancy-round" target="_blank">Special Stray Vacancy Round</a> counselling has been notified from 25th November to 05th December 2024. </p><p dir="ltr" style="text-align: justify; ">The Tamil Nadu Medical Selection Committee has completed 4 rounds of online counselling based on the DGHS Schedule and Supreme Court of India Guidelines. However, at the end of the counselling 7 MBBS and 28 BDS seats remain vacant in Tamil Nadu. Therefore, based on the MCC guidelines the Tamil Nadu Medical Selection Committee has decided to conduct a Special Stray Vacancy Round with the following eligibility conditions-</p></div><div class="pasted-from-word-wrapper"><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/industry/pharmacy-education/tn-health-to-close-registration-choice-filling-for-pharm-d-counselling-tomorrow-check-seat-matrix-138408"><b>Also Read:&nbsp;</b>TN Health to close registration, choice filling for Pharm D Counselling Tomorrow, check seat matrix</a></div><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; "><b><u>ELIGIBLE CANDIDATES </u></b></p><p dir="ltr" style="text-align: justify; ">1 Candidates who do not hold any seat are eligible to register for this round (they should have applied to the Tamil Nadu Medical Selection Committee and be present in the merit list).</p><p dir="ltr" style="text-align: justify; ">2 Candidates who have joined before and are continuing in round R1/R2/R3 or Stray round seats are eligible to apply for reallotment but they have to register in this round to raise virtual vacancies. </p><p dir="ltr" style="text-align: justify; "><b><u>NOT ELIGIBLE CANDIDATES</u></b></p><p dir="ltr" style="text-align: justify; ">1 Candidates who have been allotted the seat in the Stray round of the Tamil Nadu Medical Selection Committee but have “Not Joined” are not permitted in this round. </p><p dir="ltr" style="text-align: justify; ">2 Candidates who have joined AIQ in Rounds 1, 2, and 3 and are studying in these seats. </p><p dir="ltr" style="text-align: justify; ">3 Candidates who have been allotted in the AIQ Stray Round and Special Stray Round.</p><p dir="ltr" style="text-align: justify; ">4 Candidates who have resigned / Discontinued the UG-MBBS &amp; BDS Course after the stipulated date of 14 October 2024 in Tamil Nadu Medical Counselling. </p><p dir="ltr" style="text-align: justify; ">Moreover, candidates are instructed to think carefully before filling their choices, because this is the final phase of counselling and not joining the allotted seats will result in seats not being filled up. Hence, candidates are requested to fill choices only if they wish to join the course/college in the event of being allotted. If the candidates fail to join in the allotted course they will have to forfeit the Security Deposit and Tuition fee already paid and also will have to pay the Discontinuation fee. </p><p dir="ltr" style="text-align: justify; ">Meanwhile, it is to be noted that the candidates who do not join seats allotted in this Special Round will also not be allowed to participate in Tamil Nadu UG Medical Counselling for the Subsequent one academic year. </p><p dir="ltr" style="text-align: justify; ">“National Medical Commission has given the Letter of Permission(LOP) dated 23.10.2024 for Annaii Medical College with an additional 50 seats for the year 2024-2025 and subsequently the Tamil Nadu Dr M.G.R Medical University, Guindy has issued Provisional Affiliation orders for increase of intake from 50 to 100 Medical seats on 15.11.2024. These seats are being added to the seat matrix in the last stage of counselling. In this extraordinary situation. Since new seats are being added, keeping in mind the welfare of the candidates it is proposed to allow for reallotment in this Special round”, the notice further informed.</p><p dir="ltr" style="text-align: justify; "><b><u><i>To view the notice, click the link below</i></u></b></p></div><div class="pasted-from-word-wrapper"><a href="https://medicaldialogues.in/pdf_upload/tn-health-notifies-on-neet-2024-special-stray-vacancy-round-counselling-dates-details-261685.pdf" target="_blank">https://medicaldialogues.in/pdf_upload/tn-health-notifies-on-neet-2024-special-stray-vacancy-round-counselling-dates-details-261685.pdf</a></div><div class="pasted-from-word-wrapper"><div></div></div>

119. Himachal Pradesh HC slams Govt for Delays in PHC Appointments

     Sat, 23 Nov 2024 04:30:34 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/01/18/230491-himachal-high-court-slams-doctor-for-2-finger-test-on-rape-victim-orders-rs-5-lakh-compensation.webp' /><p><b>Shimla:</b> The <a href="https://medicaldialogues.in/topics/himachal-pradesh-high-court">Himachal Pradesh High Court </a>has expressed serious concerns and criticized the state government for the delay in filling sanctioned posts at the Primary Health Centres (PHCs), as well as for overstaffing at some centres to accommodate "kith and kin." The court has directed the state government to take immediate steps to comply with court orders. </p><p>The court's remarks came during a hearing on Wednesday, where a division bench, consisting of Acting Chief Justice Tarlok Singh Chauhan and Justice Satyen Vaidya, directed the state government to take immediate steps to implement the court's directives. The court also instructed the Health Secretary to file a status report on the matter by the next hearing date to monitor the government's progress in implementing the necessary changes. </p><p>The state government informed the high court on the previous hearing date that 102 medical officer posts, 116 pharmacist posts, and 81 Class-IV posts in various PHCs were still vacant across the state. The issue was released based on this court hearing.</p><p><b><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/health/hospital-diagnostics/fill-medical-vacancies-in-govt-hospitals-in-aurangabad-within-8-days-bombay-hc-77376" style="background-color: rgb(204, 204, 204);"><img class="also-read-media" data-src="https://medicaldialogues.in/h-upload/2020/05/14/128770-bombay-high-court.webp"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/health/hospital-diagnostics/fill-medical-vacancies-in-govt-hospitals-in-aurangabad-within-8-days-bombay-hc-77376">Also Read: Fill medical vacancies in Govt hospitals in Aurangabad within 8 days: Bombay HC</a></b></p><div class="pasted-from-word-wrapper"><div><span style="background-color: rgb(249, 249, 249);">As per the recent media report by </span><a href="https://timesofindia.indiatimes.com/city/shimla/himachal-pradesh-high-court-criticizes-government-over-delayed-healthcare-staffing/articleshow/115504280.cms" rel="nofollow">TOI</a><span style="background-color: rgb(249, 249, 249);">, the bench observed, “Ordinarily, we would not have hesitated to draw proceedings for contempt against the respondents, however, this by itself would not resolve the issue that the court is confronted with.”</span></div></div><p>Additionally, the division bench directed the central government on Tuesday to submit a report regarding the receipt of the fund utilization certificate submitted by the state government for the previous years. The court also instructed the government to inform it during the next hearing whether any funds could be made available to the state government, considering that some funds had been surrendered earlier.</p><p><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/health/doctors/lahaul-spiti-residents-urge-appointment-of-pediatrician-gynaecologist-at-keylong-hospital-137598" style="background-color: rgb(255, 255, 255);"><b>Also Read: Lahaul, Spiti Residents urge appointment of Pediatrician, Gynaecologist at Keylong Hospital</b></a></p><p>On November 9, 2020, the High Court highlighted that the state government violated the guidelines issued on April 7, 2016, which required each PHC to have one doctor, pharmacist, and Class-IV employee. Despite this clear directive, the court noted that the state had been "violating the guidelines with impunity, possibly to accommodate its kith and kin," contrary to the policy.</p><p>The state government also informed the High Court that, in addition to doctors, pharmacists, and Class-IV employees, many other personnel such as medical officers, midwives, drivers, and dental hygienists had been posted at the PHCs.</p>

120. MCC NEET 2024 Special Stray vacancy Round Provisional Results Announced

     Sat, 23 Nov 2024 04:00:04 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/23/261938-neet-provisional-result.webp' /><p>New Delhi- The Medical Counselling Committee (<a href="https://medicaldialogues.in/topics/mcc" target="_blank">MCC</a>) has declared the provisional result of the National Eligibility and Entrance Test- Undergraduate (<a href="https://medicaldialogues.in/topics/neet-ug" target="_blank">NEET UG</a>) Special Stray Vacancy Round counselling 2024.</p><div class="pasted-from-word-wrapper"><p>Through the notice, MCC has informed all the candidates who participated in NEET UG Counselling 2024 that the provisional result of Special Stray Vacancy Round is now available on MCC'S official website. However, any discrepancy in the result may be immediately reported to the MCC of DGHS by today at 12:00 PM, i.e., 23 November 2024, through email on the email ID. Thereafter, the provisional result will be treated as ‘final’.</p><p>The Candidates are further informed that the notice that the&nbsp; provisional result is only indicative in nature and subject to change. The candidates cannot claim any right over the allotted seat in the provisional result and the provisional result cannot be challenged before the Court of Law.</p><p>Meanwhile, Candidates are advised to approach the allotted college/institute only after the declaration of Final Result and only after downloading the allotment letter from the MCC website.&nbsp;</p><p><b><i>Provisional Allotment Result for Special Stray vacancy Round of UG Counselling 2024&nbsp;&nbsp;<a href="https://medicaldialogues.in/pdf_upload/2024112247-261935.pdf" target="_blank">https://medicaldialogues.in/pdf_upload/2024112247-261935.pdf</a></i></b></p></div><div class="pasted-from-word-wrapper"><p>As per the provisional result, a total of&nbsp; 307 candidates are qualified in the NEET UG Special Stray Vacancy Round Counselling 2024. This result is regarding the seat allotment result for MBBS, BDS and B.Sc Nursing admissions.</p></div><p><i>Note*:- Candidates whose category or quota has been changed in the same institution and subject, are required to get online generated relieving letter and get admitted on the changed category or changed quota seat from the allotted institution. Such candidate must get fresh online generated admission letter for the changed category or quota seat otherwise the allotted seat will be cancelled due to non-admission.</i></p><p><b><i>To view the official Notice, Click here :&nbsp;&nbsp;<a href="https://medicaldialogues.in/pdf_upload/2024112265-261936.pdf" target="_blank">https://medicaldialogues.in/pdf_upload/2024112265-261936.pdf</a></i></b></p><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap"><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/education/medical-admissions/mcc-adds-10-seats-to-neet-special-stray-vacancy-round-counselling-138482"><img class="also-read-media" data-src="https://medicaldialogues.in/h-upload/2024/11/22/261794-vacant-seats.webp"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/medical-admissions/mcc-adds-10-seats-to-neet-special-stray-vacancy-round-counselling-138482"><span class="read-this-also">Also Read:</span>MCC Adds 10 Seats to NEET Special Stray Vacancy Round Counselling</a></div></div>

121. KEA to close option entry Facility for NEET 2024 Special Stray Vacancy Round Counselling tomorrow, see schedule

     Sat, 23 Nov 2024 04:00:03 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261868-counselling.webp' /><p style="text-align: justify; "><b>Karnataka-</b> Karnataka Examination Authority (<a href="https://medicaldialogues.in/topics/kea" target="_blank">KEA</a>) is going to close the option entry facility for National Eligibility and Entrance Test-Undergraduate (<a href="https://medicaldialogues.in/topics/neet-ug" target="_blank">NEET UG)</a> Special Stray Vacancy Round Counselling 2024 tomorrow.</p><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; ">KEA is conducting the NEET UG Special Stray Vacancy Round <a href="https://medicaldialogues.in/topics/counselling" target="_blank">Counselling</a> 2024 online seat allotment to not-reported Medical seats and unfilled-not-reported dental seats for the academic year 2024. The process of NEET UG Special Stray Vacancy Round Counselling 2024 started on November 19, 2024, and will end on November 29, 2024.</p></div><div class="pasted-from-word-wrapper"><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/education/medical-admissions/kea-releases-seat-matrix-for-pg-medical-admissions-2024-details-138473"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/medical-admissions/kea-releases-seat-matrix-for-pg-medical-admissions-2024-details-138473"><b>Also Read:&nbsp;</b>KEA releases seat matrix for PG medical admissions 2024, details</a></div><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; "><b><u>SCHEDULE</u></b></p><div dir="ltr"><table style="text-align: justify; "><colgroup><col width="51"><col width="365"><col width="208"></colgroup><tbody><tr><td><p dir="ltr" style="text-align: center; "><b>S.NO</b></p></td><td><p dir="ltr" style="text-align: center; "><b>PARTICULARS</b></p></td><td><p dir="ltr" style="text-align: center; "><b>DATES</b></p></td></tr><tr><td><p dir="ltr">1</p></td><td><p dir="ltr">Display of seat matrix with fee structure.</p></td><td><p dir="ltr">November 19, 2024</p></td></tr><tr><td><p dir="ltr">2</p></td><td><p dir="ltr">Candidates are to pay the Medical/Dental course fee.</p></td><td><p dir="ltr">November 20 to November 22, 2024</p></td></tr><tr><td><p dir="ltr"><b>3</b></p></td><td><p dir="ltr"><b>Option Entry.</b></p></td><td><p dir="ltr"><b>November 20 to November 24, 2024</b></p></td></tr><tr><td><p dir="ltr"><b>4</b></p></td><td><p dir="ltr"><b>Provisional seat allotment.</b></p></td><td><p dir="ltr"><b>November 25, 2024</b></p></td></tr><tr><td><p dir="ltr"><b>5</b></p></td><td><p dir="ltr"><b>Final seat allotment.</b></p></td><td><p dir="ltr"><b>November 26, 2024</b></p></td></tr><tr><td><p dir="ltr"><b>6</b></p></td><td><p dir="ltr"><b>Payment of balance fee if any.</b></p></td><td><p dir="ltr"><b>November 26 to November 28, 2024</b></p></td></tr><tr><td><p dir="ltr"><b>7</b></p></td><td><p dir="ltr"><b>Last date for reporting to allotted colleges with documents.</b></p></td><td><p dir="ltr"><b>November 29, 2024</b></p></td></tr></tbody></table></div><p dir="ltr" style="text-align: justify; ">Meanwhile, as per the official notice in this regard, candidates who have not been allotted any Medical seat in KEA in any of the rounds or after allotment of a Medical seat surrendered the medical seat by forfeiting the Caution Deposit are only eligible to participate in Special Stray Vacancy Round for the available Medical / Dental seats. Candidates who have been allotted a Dental seat through KEA in any of the rounds can participate in a Medical seat but not in a dental seat again.</p><p dir="ltr" style="text-align: justify; "><b><u>MEDICAL/DENTAL COURSE FEE DETAILS</u></b></p><div dir="ltr"><table style="text-align: justify; "><colgroup><col width="50"><col width="262"><col width="120"><col width="192"></colgroup><tbody><tr><td colspan="4"><p dir="ltr" style="text-align: center; "><b>MEDICAL</b></p></td></tr><tr><td><p dir="ltr" style="text-align: center; "><b>S.NO</b></p></td><td><p dir="ltr" style="text-align: center; "><b>INTERESTED ‘IN’</b></p></td><td><p dir="ltr" style="text-align: center; "><b>PAY</b></p></td><td><p dir="ltr" style="text-align: center; "><b>CANDIDATES GET THE ELIGIBILITY TO ENTER OPTIONS</b></p></td></tr><tr><td><p dir="ltr">1</p></td><td><p dir="ltr">‘P’ Seats</p></td><td><p dir="ltr">Rs. 12,00,867/-</p></td><td><p dir="ltr">Allowed to enter 'G' and 'P' Seat options and eligible to enter for all types of dental seats.</p></td></tr><tr><td><p dir="ltr">2</p></td><td><p dir="ltr">‘P’ Seats in Private University.</p></td><td><p dir="ltr">Rs. 22,15,750/-</p></td><td><p dir="ltr">Allowed to enter 'G' and 'P' Seats and 'P' seats in Private University options and eligible to enter for all types of dental seats.</p></td></tr><tr><td colspan="4"><p dir="ltr" style="text-align: center; "><b>DENTAL</b></p></td></tr><tr><td><p dir="ltr">3</p></td><td><p dir="ltr">'G' Seats</p></td><td><p dir="ltr">Rs. 96,058/-</p></td><td><p dir="ltr">Allowed to enter only 'G' Seat options.</p></td></tr><tr><td><p dir="ltr">4</p></td><td><p dir="ltr">'P' Seats &amp; 'P' seats in Private University</p></td><td><p dir="ltr">Rs. 4,00,000/-</p></td><td><p dir="ltr">Allowed to enter 'G' and 'P' Seats and 'P' seats in Private University options. (Candidate has to pay the balance fee after the announcement of results).</p></td></tr><tr><td><p dir="ltr">5</p></td><td><p dir="ltr">'N'/'Q' Seats</p></td><td><p dir="ltr">Rs. 6,00,000/-</p></td><td><p dir="ltr">Allowed to enter all types of seat options (Candidate has to pay the balance fee after the announcement of results).</p></td></tr></tbody></table></div><p dir="ltr" style="text-align: justify; "><b><u><i>To view the notice, click the link below</i></u></b></p><p dir="ltr" style="text-align: justify; "><a href="https://medicaldialogues.in/pdf_upload/kea-ends-fee-payment-facility-for-neet-ug-special-stray-vacancy-round-counselling-2024-today-261870.pdf" target="_blank">https://medicaldialogues.in/pdf_upload/kea-ends-fee-payment-facility-for-neet-ug-special-stray-vacancy-round-counselling-2024-today-261870.pdf</a></p></div><div class="pasted-from-word-wrapper"><div></div></div>

122. Zerlasiran Achieves Over 80 Percent Reduction in Lipoprotein(a) Levels in ASCVD Patients: Phase 2 Trial Results

     Sat, 23 Nov 2024 03:30:28 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/20/261466-zerlasiran.webp' /><p style="text-align: justify; ">USA: In a significant advancement for cardiovascular disease treatment, a recent Phase 2 randomized clinical trial demonstrated the efficacy of <a href="https://medicaldialogues.in/topics/zerlasiran">Zerlasiran</a>, a small-interfering RNA (siRNA) therapeutic, in significantly lowering lipoprotein(a) [Lp(a)] levels.</p><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">The findings, published in the <em>Journal of the American Medical Association </em>(JAMA), revealed that zerlasiran demonstrated a favorable safety profile and achieved a reduction of over 80% in time-averaged <a href="https://medicaldialogues.in/topics/lipoprotein-a">lipoprotein(a)</a> levels during 36 weeks of treatment in patients with<a href="https://medicaldialogues.in/topics/atherosclerotic-cardiovascular-disease"> atherosclerotic cardiovascular disease</a> (ASCVD).</p><p style="text-align: justify; ">Elevated Lp(a) levels are increasingly recognized as an independent cardiovascular risk factor linked to conditions such as coronary artery disease, stroke, and peripheral arterial disease. However, current therapeutic options for targeting Lp(a) specifically remain limited.</p><p style="text-align: justify; ">Zerlasiran, designed to inhibit LPA gene expression—responsible for Lp(a) production—was administered via subcutaneous injections at varying dosages. Its targeted mechanism of action represents a significant leap forward, addressing an unmet need for patients with high Lp(a) levels. Considering this, Steven E. Nissen, Cleveland Clinic Coordinating Center for Clinical Research, Cleveland, Ohio, and colleagues aimed to assess the impact of Zerlasiran, a small-interfering RNA designed to target hepatic production of apolipoprotein(a), on serum lipoprotein(a) levels.</p><p style="text-align: justify; ">For this purpose, the researchers conducted a multicenter trial involving patients with stable ASCVD and lipoprotein(a) levels ≥125 nmol/L at 26 sites across Europe and South Africa between January 2023 and April 2023, with follow-up until July 2024. Participants received either a placebo or Zerlasiran in varying doses and intervals.</p><p style="text-align: justify; ">The primary outcome measured was the time-averaged percentage change in lipoprotein(a) levels from baseline to 36 weeks, with extended follow-up to 60 weeks. </p><p style="text-align: justify; "><strong>The study led to the following findings:</strong></p><p style="text-align: justify; ">•&nbsp;<span style="background-color: rgb(255, 255, 255);">The study included 178 patients with a mean age of 63.7 years; 25.8% were female.</span><strong></strong></p><p style="text-align: justify; ">•&nbsp;<span style="background-color: rgb(255, 255, 255);">The median baseline lipoprotein(a) concentration was 213 nmol/L.</span><span style="background-color: rgb(255, 255, 255);"></span></p><p style="text-align: justify; ">•&nbsp;<span style="background-color: rgb(255, 255, 255);">A total of 172 patients completed the trial.</span><span style="background-color: rgb(255, 255, 255);"></span></p><p style="text-align: justify; ">•&nbsp;<span style="background-color: rgb(255, 255, 255);">Compared to the pooled placebo group, the least-squares mean time-averaged percent change in lipoprotein(a) concentration from baseline to week 36 was:</span><span style="background-color: rgb(255, 255, 255);"></span></p><p style="text-align: justify; ">•&nbsp;<span style="background-color: rgb(255, 255, 255);">−85.6% for the 450 mg every 24 weeks group.</span><span style="background-color: rgb(255, 255, 255);"></span></p><p style="text-align: justify; ">•&nbsp;<span style="background-color: rgb(255, 255, 255);">−82.8% for the 300 mg every 16 weeks group.</span><span style="background-color: rgb(255, 255, 255);"></span></p><p style="text-align: justify; ">•&nbsp;<span style="background-color: rgb(255, 255, 255);">−81.3% for the 300 mg every 24 weeks group.</span><span style="background-color: rgb(255, 255, 255);"></span></p><p style="text-align: justify; ">•&nbsp;<span style="background-color: rgb(255, 255, 255);">The median percent change in lipoprotein(a) concentration at week 36 was:</span><span style="background-color: rgb(255, 255, 255);"></span></p><p style="text-align: justify; ">•&nbsp;<span style="background-color: rgb(255, 255, 255);">−94.5% for the 450 mg every 24 weeks group.</span></p><p style="text-align: justify; ">•&nbsp;<span style="background-color: rgb(255, 255, 255);">−96.4% for the 300 mg every 16 weeks group.</span></p><p style="text-align: justify; ">•&nbsp;<span style="background-color: rgb(255, 255, 255);">−90.0% for the 300 mg every 24 weeks group.</span><span style="background-color: rgb(255, 255, 255);"></span></p><p style="text-align: justify; ">•&nbsp;<span style="background-color: rgb(255, 255, 255);">Injection site reactions, including mild pain, were the most common treatment-related adverse effects, occurring in 2.3% to 7.1% of participants on the first day after administration.</span><span style="background-color: rgb(255, 255, 255);"></span></p><p style="text-align: justify; "><span style="background-color: rgb(255, 255, 255);"></span><span>•&nbsp;</span><span style="background-color: rgb(255, 255, 255);">There were 20 serious adverse events reported in 17 patients, none of which were related to the study drug.</span></p><p style="text-align: justify; ">The findings revealed that Zerlasiran achieved over 80% reductions in time-averaged lipoprotein(a) concentrations over 36 weeks with doses of 300 mg every 16 weeks or 300 mg and 450 mg every 24 weeks. Sustained reductions were observed up to 60 weeks after the initial dose.</p><p style="text-align: justify; ">"The treatment was well-tolerated, with no safety concerns identified with the infrequent dosing schedule. These results highlight the potential of Zerlasiran and support its progression to Phase 3 clinical trials," the researchers concluded. </p><p style="text-align: justify; ">Reference:</p><p style="text-align: justify; ">Nissen SE, Wang Q, Nicholls SJ, et al. Zerlasiran—A Small-Interfering RNA Targeting Lipoprotein(a): A Phase 2 Randomized Clinical Trial. JAMA. Published online November 18, 2024. doi:10.1001/jama.2024.21957</p></div>

123. CKD Patients with Diabetes at All Stages at higher Risk of Lower Extremity Amputation, suggests study

     Sat, 23 Nov 2024 03:30:07 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/11/260197-diabetic-amputations.webp' /><p style="text-align: justify; ">USA: A recent database study has highlighted a concerning trend in patients suffering from <a href="https://medicaldialogues.in/topics/chronic-kidney-disease">chronic kidney disease</a> (CKD), revealing that those with comorbid diabetes mellitus (DM) face a significantly higher risk of lower extremity amputation (LEA) compared to their counterparts without diabetes.</p><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">"Patients with CKD stage 5 and <a href="https://medicaldialogues.in/diabetes-endocrinology/news">diabetes </a>were 30 times more likely to undergo a <a href="https://medicaldialogues.in/topics/amputation">lower extremity amputation</a> compared to those with CKD stage 5 but without diabetes," the researchers wrote in the <em>Journal of Diabetes and its Complications.</em></p><p style="text-align: justify; ">Chronic kidney disease, a condition marked by the gradual loss of kidney function, often coexists with other serious health issues, particularly diabetes. Diabetes mellitus is known to contribute to a range of complications, including neuropathy, poor circulation, and infections, all of which can increase the likelihood of amputation. In CKD patients, these factors are compounded by impaired kidney function, which can hinder the body's ability to fight infections and heal wounds.</p><p style="text-align: justify; ">Lower extremity amputation is a severe and often dreaded complication of DM. In light of this, Dhruv Nandakumar, University of Texas Southwestern Medical School, Dallas, TX, USA, and colleagues sought to assess how DM influences LEA rates in patients across different stages of chronic kidney disease.</p><p style="text-align: justify; ">For this purpose, the researchers analyzed a commercially available de-identified database, reviewing data from 2010 to 2023 to identify patients undergoing lower extremity amputation and those diagnosed with CKD. The study included patients with and without diabetes who were followed for at least five years. LEA rates were then compared across all five stages of CKD between patients with diabetes and those without. </p><p style="text-align: justify; "><strong>Key Findings:</strong></p><p style="text-align: justify; ">•&nbsp;<strong style="background-color: rgb(255, 255, 255);">Higher LEA Rates for Diabetic Patients</strong><span style="background-color: rgb(255, 255, 255);">:</span><strong></strong></p><p style="text-align: justify; ">•&nbsp;<span style="background-color: rgb(255, 255, 255);">Patients with diabetes exhibited significantly higher rates of all types of lower extremity amputation (LEA) across all stages of CKD, including overall, minor, and major LEA, compared to those without diabetes.</span></p><p style="text-align: justify; ">•&nbsp;<strong style="background-color: rgb(255, 255, 255);">Increased Risk in CKD Stage 5</strong><span style="background-color: rgb(255, 255, 255);">:</span><span style="background-color: rgb(255, 255, 255);"></span></p><p style="text-align: justify; ">•&nbsp;<span style="background-color: rgb(255, 255, 255);">Patients with DM and CKD stage 5 (end-stage renal disease) were </span><strong style="background-color: rgb(255, 255, 255);">30 times more likely</strong><span style="background-color: rgb(255, 255, 255);"> to undergo any LEA compared to those without diabetes at CKD stage 5 (OR 30.2).</span><span style="background-color: rgb(255, 255, 255);"></span></p><p style="text-align: justify; ">•&nbsp;<span style="background-color: rgb(255, 255, 255);">The likelihood of undergoing </span><strong style="background-color: rgb(255, 255, 255);">minor LEA</strong><span style="background-color: rgb(255, 255, 255);"> in DM patients with CKD stage 5 was </span><strong style="background-color: rgb(255, 255, 255);">29 times higher</strong><span style="background-color: rgb(255, 255, 255);"> than in non-diabetic CKD stage 5 patients (OR 28.9).</span><span style="background-color: rgb(255, 255, 255);"></span></p><p style="text-align: justify; ">•&nbsp;<span style="background-color: rgb(255, 255, 255);">Diabetic patients with CKD stage 5 had a </span><strong style="background-color: rgb(255, 255, 255);">40 times greater risk</strong><span style="background-color: rgb(255, 255, 255);"> of requiring major LEA compared to their non-diabetic counterparts (OR 40.1).</span><span style="background-color: rgb(255, 255, 255);"></span></p><p style="text-align: justify; ">•&nbsp;<strong style="background-color: rgb(255, 255, 255);">Minor LEA More Common than Major LEA</strong><span style="background-color: rgb(255, 255, 255);">:</span><span style="background-color: rgb(255, 255, 255);"></span></p><p style="text-align: justify; ">•&nbsp;<span style="background-color: rgb(255, 255, 255);">Across all CKD stages, minor LEAs were more frequently performed than major LEAs, regardless of diabetes status.</span><span style="background-color: rgb(255, 255, 255);"></span></p><p style="text-align: justify; ">•&nbsp;<strong style="background-color: rgb(255, 255, 255);">LEA Rates Increase with CKD Progression in Diabetic Patients</strong><span style="background-color: rgb(255, 255, 255);">:</span><span style="background-color: rgb(255, 255, 255);"></span></p><p style="text-align: justify; ">•&nbsp;<span style="background-color: rgb(255, 255, 255);">In patients with diabetes, LEA rates </span><strong style="background-color: rgb(255, 255, 255);">significantly increased</strong><span style="background-color: rgb(255, 255, 255);"> as CKD progressed from stages 2 to 5, with a notable surge between stages 4 and 5 (OR 2.6).</span><span style="background-color: rgb(255, 255, 255);"></span></p><p style="text-align: justify; ">•&nbsp;<strong style="background-color: rgb(255, 255, 255);">No Significant LEA Increase Between CKD Stages 1 and 2</strong><span style="background-color: rgb(255, 255, 255);">:</span><span style="background-color: rgb(255, 255, 255);"></span></p><p style="text-align: justify; "><span style="background-color: rgb(255, 255, 255);"></span><span>•&nbsp;</span><span style="background-color: rgb(255, 255, 255);">For patients with diabetes, there was </span><strong style="background-color: rgb(255, 255, 255);">no significant increase</strong><span style="background-color: rgb(255, 255, 255);"> in LEA rates between CKD stages 1 and 2 (OR 1.1).</span></p><p style="text-align: justify; ">"To our knowledge, this study represents the first large retrospective database analysis comparing lower extremity amputation rates in patients with CKD, both with and without diabetes," the researchers wrote. </p><p style="text-align: justify; ">"The findings indicate that patients with diabetes face a significantly higher risk of LEA at all stages of CKD. Foot and ankle surgeons managing diabetes-related foot conditions should be aware of the potential impact of declining renal function on these patients' outcomes. These results warrant further investigation to confirm and expand upon the observed trends," they concluded.</p><p style="text-align: justify; ">Reference:</p><p style="text-align: justify; ">Nandakumar, D., Johnson, M. J., Lavery, L. A., Conover, B. M., Raspovic, K. M., Truong, D. H., &amp; Wukich, D. K. (2024). Lower extremity amputation rates in patients with chronic kidney disease: A database study comparing patients with and without diabetes mellitus. Journal of Diabetes and its Complications, 38(11), 108876. https://doi.org/10.1016/j.jdiacomp.2024.108876</p></div>

124. Promising Results for Late-Liver-Stage Attenuated Malaria Parasite Vaccine in Early Trial

     Sat, 23 Nov 2024 03:15:41 -0000

     <img src='https://medicaldialogues.in/h-upload/2023/04/14/207470-malaria-vaccine.webp' /><p style="text-align: justify; ">Netherlands: A recent trial investigating the safety and efficacy of a late-liver-stage attenuated malaria parasite <a href="https://medicaldialogues.in/topics/vaccines">vaccine </a>has shown promising results, potentially paving the way for a more effective and long-lasting <a href="https://medicaldialogues.in/topics/malaria-prevention">malaria </a>prevention strategy.</p><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">The vaccine being tested, known as GA2, involves the use of Plasmodium falciparum, the parasite responsible for the most severe form of malaria. In the small trial, GA2 demonstrated a promising immune response and protective efficacy, highlighting the need for further investigation to confirm these findings. The findings were published online in the <em>New England Journal of Medicine</em> on November 20, 2024. </p><p style="text-align: justify; ">Currently, licensed malaria subunit vaccines provide only modest, short-lived protection against malaria, which has made it difficult to effectively combat the disease, particularly in regions with high transmission rates. Therefore, Olivia A.C. Lamers, Meta Roestenberg, Leiden University Medical Center, the Netherlands, and colleagues investigate live-attenuated Plasmodium falciparum malaria parasites use as a vaccine strategy. This approach involves inoculating individuals with a weakened form of the malaria parasite, designed to stimulate the immune system without causing the disease. The live-attenuated vaccine is believed to offer more robust immune responses than traditional subunit vaccines, which often target only specific proteins of the parasite. </p><p style="text-align: justify; ">For this purpose, the researchers conducted a double-blind, controlled clinical trial to assess the safety, side-effect profile, and efficacy of immunization using a second-generation genetically attenuated parasite (GA2). This was a mei2 single knockout P. falciparum NF54 parasite, which extended development into the liver stage. In stage A, participants were exposed to bites from 15 or 50 infected mosquitoes. In stage B, healthy adults were randomly assigned to receive bites from GA2, GA1 (early-arresting parasite), or placebo. After three immunization sessions, the researchers compared the protective efficacy of GA2 against P. falciparum infection with that of GA1 and placebo.</p><p style="text-align: justify; ">The primary endpoints included the number and severity of adverse events and blood-stage parasitemia following exposure to GA2-infected mosquitoes and controlled human malaria infection. </p><p style="text-align: justify; ">Based on the study, the researchers reported the following findings:</p><ul><li style="text-align: justify; ">Adverse events were similar across all trial groups.</li><li style="text-align: justify; "><a href="https://medicaldialogues.in/topics/vaccine-effectiveness">Protective efficacy</a> against subsequent controlled human malaria infection was observed in 89% of participants in the GA2 group.</li><li style="text-align: justify; ">Protective efficacy was observed in 13% of participants in the GA1 group.</li><li style="text-align: justify; ">No protective efficacy was observed in the placebo group (0 of 3 participants).</li><li style="text-align: justify; ">A significantly higher frequency of P. falciparum–specific polyfunctional CD4+ and Vδ2+ γδ T cells was found in participants who received GA2 compared to those who received GA1.</li><li style="text-align: justify; ">GA2 and GA1 induced similar antibody titers targeting the P. falciparum circumsporozoite protein.</li></ul><p style="text-align: justify; ">"Our findings indicate that parasites that arrest later during the liver stage (GA2) provide better protection compared to early-arresting sporozoites (GA1), representing a promising advancement toward developing a next-generation malaria vaccine," the researchers wrote. </p><p style="text-align: justify; ">"However, the conclusions of this trial are limited by the small sample size and the extensive range of immunologic analyses conducted. Further studies with larger participant groups are needed to more comprehensively assess the safety profile of GA2," they concluded.</p><p style="text-align: justify; ">Reference:</p><p style="text-align: justify; ">DOI: 10.1056/NEJMoa2313892</p></div><p style="text-align: justify; "><br></p>

125. Tapping into the nervous system could help reduce gut inflammation that drives inflammatory bowel disease: Study

     Sat, 23 Nov 2024 03:15:00 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/23/261948-mdtv-2024-11-23t121117524.webp' /><div class="pasted-from-word-wrapper"><div class="article-text-desc entry-content clearfix single-post-content"><div id="post-content-inner" class="row post-content-inner"><div class="details-content-story"><div><div class="story"><div class="pasted-from-word-wrapper"><div style="text-align: justify; ">A new study reveals how electrical stimulation of the vagus nerve-a major nerve connecting the brain and gut-may combat the stress-related inflammation that worsens <a href="https://medicaldialogues.in/topics/inflammatory-bowel-disease">inflammatory bowel disease</a> symptoms. Published in <i><a href="https://medicaldialogues.in/topics/Science-Translational-Medicine">Science Translational Medicine</a></i>, the study showed that vagus nerve stimulation in stressed mice with colitis, a form of inflammatory bowel disease, reduced inflammation, improved symptoms, and boosted survival rates. By engaging the parasympathetic nervous system, the team observed that inflammation could be eased by inhibiting SUMOylation, a cellular process that shapes immune response.</div><div style="text-align: justify;">Modulating SUMOylation—either through vagal nerve stimulation or treatment with a SUMOylation inhibitor—could open the door to inflammatory bowel disease therapies that focus on managing inflammation directly, rather than alleviating symptoms.</div><div style="text-align: justify;">The new study shows that targeting specific forms of SUMOylation could prevent the harmful influx of immune cells that can trigger gut inflammation. Researchers analyzed data identifying that inhibiting SUMOylation, through genetic or drug-based approaches, dramatically slowed disease progression in mouse models.</div><div style="text-align: justify;">Current anti-inflammatory treatments bring relief but often fall short, as patients can lose their response to these medications over time, suffer relapses, and experience significant side effects.</div><div style="text-align: justify;">Researchers have long noted that stress plays a significant role in exacerbating IBD symptoms, and some have even described ulcerative colitis as psychosomatic.</div><div style="text-align: justify;">“Stimulating the vagus nerve neutralized the effects of stress and restored a balanced and healthy physiologic state,” said Ulloa, a Duke researcher, the leading and corresponding author of the study. “Many relaxation techniques, like deep breathing and meditation, are designed to enhance the parasympathetic system, with the vagus nerve playing a central role in relaxing most of our organs.</div><div></div><div style="text-align: justify;">Reference: Ayman Youssef et al.,Vagal stimulation ameliorates murine colitis by regulating SUMOylation.Sci. Transl. Med.16,eadl2184(2024).DOI:10.1126/scitranslmed.adl2184</div></div></div></div></div></div></div><div class="entry-terms post-tags clearfix"></div></div>

126. How Worse Moods Are Associated with Browsing Negative Content Online? Study Sheds Light

     Sat, 23 Nov 2024 03:00:00 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/23/261944-mdtv-2024-11-23t120540455.webp' /><div class="pasted-from-word-wrapper"><div style="text-align: justify; ">People with poorer mental health are more prone to browsing negative content online, which further exacerbates their symptoms, finds a study led by UCL researchers. The relationship between <a href="https://medicaldialogues.in/topics/mental-health">mental health</a> and web-browsing is causal and bi-directional, according to the Wellcome-funded study published in <i><a href="https://medicaldialogues.in/topics/Nature-Human-Behaviour">Nature Human Behaviour</a></i>.</div><div style="text-align: justify;">The researchers have developed a plug-in tool that adds ‘content labels’ to web pages—similar to nutrition labels on food—designed to help users make healthier and more informed decisions about the content they consume. These labels emphasise the emotional impact of webpage content, along with its practicality and informativeness.</div><div style="text-align: justify;">Over 1,000 study participants answered questions about their mental health and shared their web browsing history with the researchers. Using natural language processing methods, the researchers analysed the emotional tone of the webpages participants visited. They found that participants with worse moods and mental health symptoms were inclined to browse more negative content online, and after browsing, those who browsed more negative content felt worse.</div><div style="text-align: justify;">Co-lead author, PhD student Christopher Kelly, said: "The results contribute to the ongoing debate regarding the relationship between mental health and online behaviour.</div><div style="text-align: justify;">“Most research addressing this relationship has focused on the quantity of use, such as screen time or frequency of social media use, which has led to mixed conclusions. Here, instead, we focus on the type of content browsed and find that its emotional tone is causally and bidirectionally related to mental health and mood."</div><div style="text-align: justify;">To check whether an intervention could be used to change web-browsing choices and improve mood, the researchers conducted a further study. They added content labels to the results of a Google search, which informed participants whether each search result would likely improve their mood, make it worse, or have no impact. Participants were then more likely to choose the positively-labelled sites deemed likely to improve their mood—and when asked about their mood after, those who had looked at the positive websites were indeed in better moods than other participants.</div><div style="text-align: justify;">In response, the researchers have developed a free browser plug-in that adds labels to Google search results, providing three different ratings of how practical a website’s content is, how informative it is, and how it impacts mood.</div><div style="text-align: justify;">Reference: Kelly, C.A., Sharot, T. Web-browsing patterns reflect and shape mood and mental health. Nat Hum Behav (2024). https://doi.org/10.1038/s41562-024-02065-6</div><div></div><div></div><div style="text-align: justify;">Vagus Nerve Stimulation May Ease Inflammmatory Bowel Disease</div></div>

127. Incidence Trends and Eight Risk Factors of Ischemic Heart Disease and Stroke: Study Finds

     Sat, 23 Nov 2024 02:45:00 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/23/261942-mdtv-2024-11-23t115834071.webp' /><div class="pasted-from-word-wrapper"><div style="text-align: justify; ">Incidence of <a href="https://medicaldialogues.in/topics/stroke">stroke </a>and ischemic<a href="https://medicaldialogues.in/topics/heart-disease"> heart disease </a>are declining around the world, except for in a handful of regions, according to research in the open access journal <i><a href="https://medicaldialogues.in/topics/PLOS-Global-Public-Health">PLOS Global Public Health</a></i>. Authors find that in East and West Sub-Saharan Africa, East and Central Asia and Oceania, ischemic heart disease is increasing, which may be attributed to eight factors that include diet, high BMI, household air pollution and more.</div><div style="text-align: justify;">The team analyzed global data from 1990-2019 for incidence of ischemic heart disease and stroke and for exposure to 87 potential attributable factors. The authors describe the incidences and trends at a global, regional and national level, and find higher rates of ischemic heart disease than stroke. Over three decades ischemic heart disease reduced from 316 to 262 per 100,000 people and stroke declined from 181 to 151 per 100,000.</div><div style="text-align: justify;">The increases of ischemic heart disease seen in some regions may be associated with the shifting distribution of eight factors: a diet high in trans-fatty acids; diet low in calcium; high BMI; household air pollution from solid fuels; non-exclusive breastfeeding; occupational ergonomic factors; vitamin A deficiency; and, occupational exposure to particulate matter, gases and fumes, which were determined by the World Bank income levels.</div><div style="text-align: justify;">The results indicate how the potential socioeconomic development of some countries is affecting rates of cardiovascular disease and stroke, and that places experiencing rapid economic transitions – and rapidly changing lifestyle changes – may also be experiencing higher rates of disease. This study provides insight into mechanisms involved and the potential for targeted interventions.</div><div style="text-align: justify;">Reference: Xia R, Cai M, Wang Z, Liu X, Pei J, Zaid M, et al. (2024) Incidence trends and specific risk factors of ischemic heart disease and stroke: An ecological analysis based on the Global Burden of Disease 2019. PLOS Glob Public Health 4(11): e0003920. https://doi.org/10.1371/journal.pgph.0003920</div></div>

128. Endometriosis and Fibroids May Be Tied to Increased Risk of Premature Mortality: Study Finds

     Sat, 23 Nov 2024 02:30:00 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/23/261937-mdtv-2024-11-23t115507000.webp' /><div class="pasted-from-word-wrapper"><div style="text-align: justify; ">Women with a history of <a href="https://medicaldialogues.in/topics/endometriosis">endometriosis </a>and uterine fibroids might have an increased long term risk of<a href="https://medicaldialogues.in/topics/premature-death"> premature death</a>, finds a large study published by<i><a href="https://medicaldialogues.in/topics/The-BMJ"> The BMJ</a>.</i></div><div style="text-align: justify;">Growing evidence shows that both conditions are associated with a greater long term risk of chronic diseases, su<span style="background-color: rgb(249, 249, 249);">endometriosis,fibroids,premature mortality,the bmj</span>ch as <a href="https://medicaldialogues.in/topics/high-blood-pressure" style="background-color: rgb(255, 255, 255);">high blood pressure</a>,<a href="https://medicaldialogues.in/topics/heart-disease" style="background-color: rgb(255, 255, 255);"> heart disease</a>, and some <a href="https://medicaldialogues.in/topics/cancers" style="background-color: rgb(255, 255, 255);">cancers</a>, but their effect on risk of death before the age of 70 remains unclear. To explore this further, researchers drew on information provided by 110,091 women taking part in the Nurses’ Health Study II who were aged 25-42 years in 1989 and had no history of hysterectomy before endometriosis or fibroids diagnosis, cardiovascular diseases, or cancer.</div><div style="text-align: justify;">Starting in 1993 and every two years thereafter, these women reported any diagnosis of endometriosis (confirmed by laparoscopy) and uterine fibroids (confirmed by ultrasound or hysterectomy). Other potentially influential factors including age, ethnicity, reproductive history, HRT and oral contraceptive use, regular use of aspirin or anti-inflammatory drugs, and other health-related issues were also taken into account.</div><div style="text-align: justify;">During 30 years of monitoring, 4,356 premature deaths were recorded, including 1,459 from cancer, 304 from cardiovascular diseases, and 90 from respiratory diseases. Overall, the rate of all-cause premature death for women with and without confirmed endometriosis was 2 and 1.4 per 1,000 person years, respectively.</div><div style="text-align: justify;">After taking account of age and other confounding factors such as weight (BMI), diet quality, physical activity, and smoking status, endometriosis was associated with a 31% higher risk of premature death, largely driven by deaths due to gynaecological cancers. Uterine fibroids were unrelated to all-cause premature death, but were associated with a greater risk of death due to gynaecological cancers. Endometriosis was also associated with a greater risk of non-cancer mortality.</div><div style="text-align: justify;">Reference: BMJ 2024;387:e078797</div><div style="text-align: justify;">doi: https://doi.org/10.1136/bmj-2023-078797</div></div>

129. Is antibiotic prophylaxis necessary for patients undergoing extracorporeal membrane oxygenation?

     Sat, 23 Nov 2024 02:00:32 -0000

     <img src='https://medicaldialogues.in/h-upload/2021/04/23/151551-venoarterial-ecmo.webp' /><p style="text-align: justify;">In recent times, the utilization of Extracorporeal Membrane Oxygenation (ECMO) has increased. By employing ECMO in the ICU, the care for adult and pediatric patients suffering from acute respiratory or cardiac failure can be enhanced. Recent research study examined the use of antibiotic prophylaxis for patients undergoing Extracorporeal Membrane Oxygenation (ECMO). ECMO patients are highly susceptible to infections, with high rates of sepsis and nosocomial infections. The study objectives were to investigate whether antibiotic prophylaxis can decrease 30-day mortality and prevent the occurrence of nosocomial infections in ECMO patients. A systematic review and meta-analysis were conducted, including 5 retrospective studies with a pooled population of 7,996 patients.</p><p style="text-align: justify;">Results on Mortality and Infections</p><p style="text-align: justify;">Regarding 30-day mortality, the random-effects model found no statistically significant difference between the antibiotic prophylaxis group and the non-prophylaxis group (OR 0.76; 95%CI 0.37–1.59). For the rate of nosocomial infections, the fixed-effect model showed an OR of 0.81 (95%CI 0.71–0.92) in favor of the antibiotic prophylaxis group, with a number-needed-to-treat of 39.7 patients.</p><p style="text-align: justify;">Quality of Evidence</p><p style="text-align: justify;">The quality of evidence for both outcomes was assessed as very low, indicating high risks of bias, inconsistency, and potential confounding factors. The retrospective nature of the studies and small sample sizes limit the reliability of the conclusions.</p><p style="text-align: justify;">The study findings suggest that antibiotic prophylaxis may have no significant impact on reducing 30-day mortality in ECMO patients, but may decrease the incidence of nosocomial infections, albeit with a high number needed to treat. However, these results are provisional due to the low quality of available evidence.</p><p style="text-align: justify;">Recommendations for Future Research</p><p style="text-align: justify;">The authors recommend conducting high-quality prospective studies, including randomized controlled trials, to further investigate the specific clinical questions regarding the use of antibiotic prophylaxis in ECMO patients. More research is needed to determine the optimal antibiotic regimen, duration of prophylaxis, and the potential impact on different ECMO patient populations and infection outcomes.</p><p style="text-align: justify;">Key Points</p><p style="text-align: justify;"> 1. The study examined the use of antibiotic prophylaxis for patients undergoing Extracorporeal Membrane Oxygenation (ECMO), as ECMO patients are highly susceptible to infections with high rates of sepsis and nosocomial infections.</p><p style="text-align: justify;">2. The study objectives were to investigate whether antibiotic prophylaxis can decrease 30-day mortality and prevent the occurrence of nosocomial infections in ECMO patients. A systematic review and meta-analysis were conducted, including 5 retrospective studies with a pooled population of 7,996 patients.</p><p style="text-align: justify;">3. Regarding 30-day mortality, the random-effects model found no statistically significant difference between the antibiotic prophylaxis group and the non-prophylaxis group. For the rate of nosocomial infections, the fixed-effect model showed a lower rate in the antibiotic prophylaxis group, with a number-needed-to-treat of 39.7 patients.</p><p style="text-align: justify;">4. The quality of evidence for both outcomes was assessed as very low, indicating high risks of bias, inconsistency, and potential confounding factors. The retrospective nature of the studies and small sample sizes limit the reliability of the conclusions.</p><p style="text-align: justify;">5. The study findings suggest that antibiotic prophylaxis may have no significant impact on reducing 30-day mortality in ECMO patients, but may decrease the incidence of nosocomial infections, albeit with a high number needed to treat. However, these results are provisional due to the low quality of available evidence.</p><p style="text-align: justify;">6. The authors recommend conducting high-quality prospective studies, including randomized controlled trials, to further investigate the specific clinical questions regarding the use of antibiotic prophylaxis in ECMO patients. More research is needed to determine the optimal antibiotic regimen, duration of prophylaxis, and the potential impact on different ECMO patient populations and infection outcomes.</p><p style="text-align: justify;">Reference –</p><p style="text-align: justify;">Orso D, Fodale CM, Fossati S, Venturini S, Fonda F, Cugini F, Comisso I, Crapis M, Cacciavillani L, Bove T. Do patients receiving extracorporeal membrane-oxygenation need antibiotic prophylaxis? A systematic review and meta-analysis on 7,996 patients. BMC Anesthesiol. 2024 Nov 12;24(1):410. doi: 10.1186/s12871-024-02796-z. PMID: 39533181; PMCID: PMC11556216.</p>

130. Icotrokinra shows impressive results in moderate to severe plaque psoriasis in phase 3 trial

     Sat, 23 Nov 2024 00:30:18 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261792-plaque-psoriasis-50.webp' /><p style="text-align: justify; ">Icotrokinra is an investigational oral <a href="https://medicaldialogues.in/topics/peptides">peptide</a> that blocks<a href="https://medicaldialogues.in/topics/interleukin"> interleukin</a> (IL)-23 receptor, which plays a significant role in the pathogenesis of moderate to severe <a href="https://medicaldialogues.in/topics/plaque-psoriasis">plaque Psoriasis </a>and other IL-23 mediated diseases. </p><p style="text-align: justify;">Topline results from a phase 3 trial evaluating icotrokinra in patients with moderate to severe plaque psoriasis (PsO) has revealed impressive results.</p><p style="text-align: justify;">The Phase 3 study met its co-primary endpoints of Psoriasis Area and Severity Index (PASI) 90b and Investigator's Global Assessment (IGA) of 0/1c response at week 16 and response rates continued to improve through week 24.</p><p style="text-align: justify;">Once daily icotrokinra showed significant skin clearance versus placebo in adults and adolescents with moderate to severe plaque psoriasis. At week 16, nearly two-thirds (64.7%) of patients treated with icotrokinra achieved IGA scores of 0/1 (clear or almost clear skin), and 49.6% achieved PASI 90, compared to 8.3% and 4.4% on placebo, respectively. Further increases in response rates continued to be observed at week 24, with 74.1% of patients treated with icotrokinra achieving IGA scores of 0/1, and 64.9% achieving PASI 90.1 Safety data was found to be consistent with the Phase 2 FRONTIER 1 and 2 studies. A similar proportion of patients experienced adverse events (AEs) between icotrokinra and placebo, with 49.3% and 49.1% of participants experiencing a treatment emergent adverse event (TEAE) at week 16.</p><p style="text-align: justify;">Furthermore, positive topline results from the Phase 3 ICONIC-TOTALd study showed once daily icotrokinra met the primary endpoint of IGA of 0/1 at week 16 compared to placebo. Comprehensive results from ICONIC-LEAD and ICONIC-TOTAL are being prepared for presentation at upcoming medical congresses and will be shared with health authorities in planned submissions. </p><p style="text-align: justify;">"We are excited to see impressive Phase 3 results with once-daily icotrokinra treatment aligned with our Phase 2 study of this first-in-class targeted oral peptide that selectively blocks the IL-23 receptor," said Liza O'Dowd, Vice President, Immunodermatology Disease Area Lead,<a href="https://medicaldialogues.in/topics/johnson-johnson"> Johnson &amp; Johnson</a> Innovative Medicine. "The majority of people living with moderate to severe plaque psoriasis are eligible for, but are still not receiving, advanced therapies. Icotrokinra has the potential to offer once-daily oral therapy that could help address the needs and preferences of people living with plaque psoriasis." </p><p style="text-align: justify;">Other studies in the Phase 3 ICONIC clinical development program are ongoing, including ICONIC-ADVANCE 1 and ICONIC-ADVANCE 2, which will evaluate the safety and efficacy of icotrokinra compared with both placebo and deucravacitinib in moderate to severe plaque PsO. The Phase 3 ICONIC-PsA program which will investigate icotrokinra in psoriatic arthritis will be initiated in the beginning of 2025.</p><h3 style="text-align: justify;">About Plaque Psoriasis </h3><p style="text-align: justify; ">Plaque psoriasis (PsO) is a chronic immune-mediated disease resulting in overproduction of skin cells, which causes inflamed, scaly plaques that may be itchy or painful. It is estimated that eight million Americans and more than 125 million people worldwide live with the disease.Nearly one-quarter of all people with plaque PsO have cases that are considered moderate to severe. On Caucasian skin, plaques typically appear as raised, red patches covered with a silvery white buildup of dead skin cells or scale. On skin of color, the plaques may appear darker and thicker and more of a purple, gray or dark brown color. Plaques can appear anywhere on the body, although they most often appear on the scalp, knees, elbows, and torso. Living with plaque PsO can be a challenge and impact life beyond a person's physical health, including emotional health, relationships, and handling the stressors of life. Psoriasis on highly visible areas of the body or sensitive skin, such as the scalp, hands, feet, and genitals, can have an increased negative impact on quality of life.</p><h3 style="text-align: justify;">About Icotrokinra (JNJ-77242113, JNJ-2113) </h3><p style="text-align: justify; ">Investigational icotrokinra is the first targeted oral peptide designed to selectively block the IL-23 receptor, which underpins the inflammatory response in moderate to severe plaque PsO and other IL-23-mediated diseases. Icotrokinra binds to the IL-23 receptor with single-digit picomolar affinity and demonstrated potent, selective inhibition of IL-23 signaling in human T cells. The license and collaboration agreement established between Protagonist Therapeutics, Inc. and Janssen Biotech, Inc., in 2017 enabled the companies to work together to discover and develop next-generation compounds that ultimately led to icotrokinra. Icotrokinra was jointly discovered and is being developed pursuant to the license and collaboration agreement between Protagonist and Johnson &amp; Johnson. Johnson &amp; Johnson retains exclusive worldwide rights to develop icotrokinra in Phase 2 clinical trials and beyond, and to commercialize compounds derived from the research conducted pursuant to the agreement against a broad range of indications.</p>

131. Tirzepatide can reduce mortality risk among heart failure with preserved heart function and obesity: Study

     Fri, 22 Nov 2024 16:30:30 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/21/261652-50-4.webp' /><p style="text-align: justify;">Weight-loss and diabetes drug <a href="https://medicaldialogues.in/topics/tirzepatide">tirzepatide</a> can reduce the risk of death or worsening <a href="https://medicaldialogues.in/topics/heart-failure">heart failure </a>for patients with heart failure, preserved heart pump function and obesity, new research from UVA Health reveals. </p><p style="text-align: justify;">The drug, from pharmaceutical company Eli Lilly and Co., was tested in the SUMMIT clinical trial at 146 sites in the United States and abroad. A total of 731 patients with diastolic heart failure and a <a href="https://medicaldialogues.in/topics/body-mass-index">body mass index</a> (BMI) of 30 or above were randomized to receive injections of either tirzepatide or a harmless placebo. The researchers then followed the patients for a median period of two years. </p><p style="text-align: justify;">During that time, 56 placebo recipients died or suffered worsening heart failure, compared with only 36 of those receiving tirzepatide. Further, the tirzepatide recipients were more likely to drop pounds-losing, on average, 11.6% of their body weight. </p><p style="text-align: justify;">“This class of drugs continue to show benefits far beyond weight loss,” said researcher Christopher Kramer, MD, chief of UVA Health’s Division of Cardiovascular Medicine. “This drug will become an important part of the armamentarium for patients with obesity-related heart failure and preserved heart function.” </p><h3 style="text-align: justify;">Obesity and Heart Failure </h3><p style="text-align: justify;">Diastolic heart failure, also known as heart failure with preserved ejection fraction, is a condition in which the heart’s left ventricle grows stiff and can no longer pump blood properly. The form of heart failure represents nearly half of all heart failure cases. (Heart disease, in general, is the leading cause of death in the United States – it’s responsible for one in five deaths, killing someone every 33 seconds.) </p><p style="text-align: justify;">Obesity is a major contributing factor to heart failure, so Kramer and his collaborators in the SUMMIT trial wanted to see if tirzepatide, a weight-loss drug already approved by the federal Food and Drug Administration, could help. </p><p style="text-align: justify;">The trial found that tirzepatide offered substantial benefits for managing diastolic heart failure, reducing deaths, preventing hospitalizations and generally benefiting recipients’ health and quality of life. For example, recipients saw improvements in how far they could walk in six minutes, as well as substantial decreases in a biological indictor used to measure inflammation and predict risk of serious cardiovascular events. </p><p style="text-align: justify;">Side effects seen in the tirzepatide group consisted of gastrointestinal issues such as nausea and diarrhea, and these were mostly mild or moderate, the researchers reported Saturday at a meeting of the American Heart Association in Chicago. </p><h3 style="text-align: justify;">A Closer Look </h3><p style="text-align: justify;">Kramer, a cardiovascular imager, also led a magnetic resonance imaging substudy looking at how tirzepatide, sold under the brand name Zepbound, affected recipients’ heart structure and function. The researchers found beneficial reductions in both left ventricular mass (weight of the heart) and in the amount of surrounding fat tissue. The reduction in LV mass correlated with the reduction in body weight, as well as with decreases in left ventricular volumes. </p><p style="text-align: justify;">“This drug is reversing the abnormal properties of the heart brought on by obesity,” Kramer said. “There is much more to these drugs than weight loss alone.”</p>

132. LEVI-04 Significantly Improves Pain and Function in Knee Osteoarthritis, finds study

     Fri, 22 Nov 2024 15:45:23 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/04/27/237037-knee-osteoarthritis-50.webp' /><p style="text-align: justify;">Researchers have identified LEVI-04 as a novel p75NTR-Fc fusion protein that improves pain and function significantly in individuals diagnosed with knee osteoarthritis (OA) with excellent safety. A recent study was published in <i>ACR Meeting Abstracts</i> conducted by Philip Conaghan and colleagues.</p><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify;">Osteoarthritis is one of the leading causes of chronic pain and disability, and highly effective alleviating therapies lack. "The therapy target has been excess neurotrophins, associated with OA and other pain conditions". Earlier NGF-targeting therapies were effective in pain but resulted in serious joint complications. LEVI-04 is a first-in-class fusion protein, supplementing endogenous p75NTR to modulate the activity of neurotrophin and inhibit NT3, which has given promising preclinical and Phase I safety results. In this study, LEVI-04's efficacy and safety were evaluated in patients suffering from knee OA.</p><p dir="ltr" style="text-align: justify;">It was a 20-week, multicenter RCT conducted in Europe and Hong Kong, which included 518 participants who were affected with painful (≥4/10 WOMAC) and radiographic (KL≥2) knee OA. The participants were randomized to receive either intravenous placebo or LEVI-04 at doses of 0.3, 0.1, or 2 mg/kg every four weeks until week 16 followed by safety follow-up until week 30.</p><p dir="ltr" style="text-align: justify;">• Primary endpoint: Change in WOMAC pain score at week 17.</p><p dir="ltr" style="text-align: justify;">• Secondary endpoints: Function, Patient Global Assessment, and more than 50% responder analyses on pain.</p><p dir="ltr" style="text-align: justify;"><span>•&nbsp;</span>Imaging: Baseline inclusion/exclusion and safety assessment was done by X-rays of 6 major joints and MRI of knees.</p><p dir="ltr" style="text-align: justify;">Patient Profile:</p><p dir="ltr" style="text-align: justify;">• Mean age: 63.1–65.4 years.</p><p dir="ltr" style="text-align: justify;">• Mean BMI: 29.3–30.3.</p><p dir="ltr" style="text-align: justify;">• Female patients: 51.5–61.5%</p><p dir="ltr" style="text-align: justify;">Efficacy:</p><p dir="ltr" style="text-align: justify;">• WOMAC pain and function, both significantly improved from week 5 and week 17 (p &lt; 0.05 compared with placebo for all dose levels).</p><p dir="ltr" style="text-align: justify;">• A majority (&gt;50%) of patients treated with LEVI-04 had ≥50% pain, and &gt;25% had ≥75% pain at weeks 5 and 17.</p><p dir="ltr" style="text-align: justify;">Safety:</p><p dir="ltr" style="text-align: justify;">• LEVI-04 was well-tolerated with no increase in serious adverse events (SAEs), treatment-emergent adverse events (TEAEs), or joint pathologies compared to placebo.</p><p dir="ltr" style="text-align: justify;">• Incidence of anti-drug antibodies was low: 9 participants tested positive pre-dosing, and 6 tested positive during the study at the lowest detection limits.</p><p dir="ltr" style="text-align: justify;">LEVI-04, displayed significant and clinically relevant pain and function improvements while maintaining robust safety at all doses. This novel therapy seems to support the supplementation strategy of endogenous p75NTR for the treatment of OA and other pain diseases. Based on these promising Phase II results, Phase III studies are currently being designed to further evaluate the potential of LEVI-04 to revolutionize OA treatment.</p><p dir="ltr" style="text-align: justify;">Reference:</p><p dir="ltr" style="text-align: justify;">LEVI-04, a novel neurotrophin-3 inhibitor, substantially improves pain and function without deleterious effects on joint structure in people with knee osteoarthritis: A randomized controlled phase II trial. (2024, October 15). ACR Meeting Abstracts. https://acrabstracts.org/abstract/levi-04-a-novel-neurotrophin-3-inhibitor-substantially-improves-pain-and-function-without-deleterious-effects-on-joint-structure-in-people-with-knee-osteoarthritis-a-randomized-controlled-phase-ii/</p></div>

133. Psychiatric Disorders Significantly Increase Risk of Sudden Cardiac Death, reveals research

     Fri, 22 Nov 2024 15:30:51 -0000

     <img src='https://medicaldialogues.in/h-upload/2023/11/18/225710-sudden-cardiac-death.webp' /><p style="text-align: justify;">Researchers have found that patients with psychiatric disorders have a significantly increased risk for sudden cardiac death (SCD) in all age groups compared to the general population. A recent study was conducted by Jasmin M. and colleagues published in the journal <i>Heart</i>.</p><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify;">Individuals with psychiatric conditions have been known to be at a greater risk of allcause mortality than the background population. Previous studies have shown young psychiatric patients might have a fourfold risk of SCD. The purpose of the study was to provide a detailed description of the incidence of SCD cases in Danish patients aged 18 to 90 years by analyzing all deaths for one year.</p><p dir="ltr" style="text-align: justify;">The study analyzed all deaths among Danish residents aged 18–90 in 2010, corresponding to a population of 4.3 million. Death certificates and autopsy reports were reviewed to classify deaths as SCD or non-SCD. Psychiatric disorders were identified using the International Classification of Diseases, 10th revision (ICD-10) criteria, or by prescription records for psychotropic medications redeemed within the preceding year. The analysis adjusted for age, sex, and comorbidities to evaluate independent associations.</p><p dir="ltr" style="text-align: justify;">The key findings of the study were as follows:</p><p dir="ltr" style="text-align: justify;">Mortality and SCD Prevalence:</p><p dir="ltr" style="text-align: justify;">• Total deaths were 45,703, of which 6,002 (13%) were SCD.</p><p dir="ltr" style="text-align: justify;"><span>•&nbsp;</span>Patients with psychiatric disorders had 1.79–6.45 times higher SCD rates than the general population, with varying age dependencies (p &lt; 0.001).</p><p dir="ltr" style="text-align: justify;">Independent Association With Psychiatric Disorders</p><p dir="ltr" style="text-align: justify;">• Hazard ratio (HR) for SCD among patients with psychiatric disorders: 2.31 (2.19–2.43, p &lt; 0.001).</p><p dir="ltr" style="text-align: justify;">• Patients with schizophrenia had the highest risk, with an HR of 4.51 (3.95–5.16, p &lt; 0.001).</p><p dir="ltr" style="text-align: justify;">Impact on Younger Patients:</p><p dir="ltr" style="text-align: justify;">• For an 18-year-old with a psychiatric disorder, the expected decline in life expectancy was 10 years.</p><p dir="ltr" style="text-align: justify;">• Among those 18 to 40 years old, 13% of excess lost life years were attributed to SCD.</p><p dir="ltr" style="text-align: justify;">This study demonstrated that psychiatric disorders significantly increase the risk of SCD across all age groups. The highest rates were observed in patients with schizophrenia, with young psychiatric patients suffering huge life expectancy reductions. Findings underline the critical need for proactive cardiovascular risk management in individuals with psychiatric conditions to reduce the disproportionate mortality burden.</p><p dir="ltr" style="text-align: justify;">Reference:</p><p dir="ltr" style="text-align: justify;">Mujkanovic, J., Warming, P. E., Kessing, L. V., Køber, L. V., Winkel, B. G., Lynge, T. H., &amp; Tfelt-Hansen, J. (2024). Nationwide burden of sudden cardiac death among patients with a psychiatric disorder. Heart (British Cardiac Society), 110(23), 1365–1371.https://doi.org/10.1136/heartjnl-2024-324092</p></div>

134. History of endometriosis and fibroids linked to heightened risk of early death, states study

     Fri, 22 Nov 2024 15:30:44 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/04/10/235928-endometriosis-50.webp' /><p style="text-align: justify; ">Women with a history of<a href="https://medicaldialogues.in/topics/endometriosis"> endometriosis</a> and uterine <a href="https://medicaldialogues.in/topics/fibroids">fibroids</a> might have an increased long term risk of premature death, finds a large study from the United States published by <i>The BMJ</i> today. </p><p style="text-align: justify;">Endometriosis and <a href="https://medicaldialogues.in/topics/uterine-fibroids">uterine fibroids</a> are common disorders among women of reproductive age. Endometriosis occurs when tissue similar to the lining of the womb grows in other places, such as the ovaries and fallopian tubes, while uterine fibroids are non-cancerous growths within or around the womb. </p><p style="text-align: justify;">Growing evidence shows that both conditions are associated with a greater long term risk of chronic diseases, such as<a href="https://medicaldialogues.in/topics/high-blood-pressure"> high blood pressure</a>, <a href="https://medicaldialogues.in/topics/heart-disease">heart disease</a>, and some cancers, but their effect on risk of death before the age of 70 remains unclear. </p><p style="text-align: justify;">To explore this further, researchers drew on information provided by 110,091 women taking part in the Nurses’ Health Study II who were aged 25-42 years in 1989 and had no history of hysterectomy before endometriosis or fibroids diagnosis, cardiovascular diseases, or cancer. </p><p style="text-align: justify;">Starting in 1993 and every two years thereafter, these women reported any diagnosis of endometriosis (confirmed by laparoscopy) and uterine fibroids (confirmed by ultrasound or hysterectomy). </p><p style="text-align: justify;">Other potentially influential factors including age, ethnicity, reproductive history, HRT and oral contraceptive use, regular use of aspirin or anti-inflammatory drugs, and other health-related issues were also taken into account. </p><p style="text-align: justify;">During 30 years of monitoring, 4,356 premature deaths were recorded, including 1,459 from cancer, 304 from cardiovascular diseases, and 90 from respiratory diseases. </p><p style="text-align: justify;">Overall, the rate of all-cause premature death for women with and without confirmed endometriosis was 2 and 1.4 per 1,000 person years, respectively. </p><p style="text-align: justify;">After taking account of age and other confounding factors such as weight (BMI), diet quality, physical activity, and smoking status, endometriosis was associated with a 31% higher risk of premature death, largely driven by deaths due to gynaecological cancers. </p><p style="text-align: justify;">Uterine fibroids were unrelated to all-cause premature death, but were associated with a greater risk of death due to gynaecological cancers. </p><p style="text-align: justify;">The researchers acknowledge that these are observational findings that relied on self-reports, which can be prone to error, and included predominantly white healthcare workers, so results may not apply to other groups. Nor can they rule out the possibility that other unmeasured factors may have had an influence. </p><p style="text-align: justify; ">Nevertheless, this was a large study with regular follow-up over nearly three decades, which reduced potential recall errors. </p><p style="text-align: justify;">As such, they conclude: “Our results suggest that women with a history of endometriosis and uterine fibroids might have an increased long term risk of premature mortality extending beyond their reproductive lifespan.” </p><p style="text-align: justify; ">These conditions were also associated with an increased risk of death due to gynaecological cancers. Endometriosis was also associated with a greater risk of non-cancer mortality. These findings highlight the importance for primary care providers to consider these gynaecological disorders in their assessment of women's health.”</p><p style="text-align: justify; ">Reference:</p><p style="text-align: justify; ">Wang Y, Farland L V, Gaskins A J, Wang S, Terry K L, Rexrode K M et al. Endometriosis and uterine fibroids and risk of premature mortality: prospective cohort study BMJ 2024; 387 :e078797 doi:10.1136/bmj-2023-078797.</p>

135. CT-Defined Coronary Artery Calcification may predict overall survival and major CV events in Lung Cancer patients: Study

     Fri, 22 Nov 2024 15:30:43 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/09/04/250993-lung-cancer-radiotherapy.webp' /><p style="text-align: justify; ">A recent study published in the journal Academic Radiology found that coronary artery calcification can be used as a diagnostic tool for estimating overall survival and predicting the major cardiovascular events in individuals with lung cancer.</p><div class="pasted-from-word-wrapper"> <p style="text-align: justify; ">Lung cancer is the leading cause of increased morbidity and mortality globally. Computed Tomography (CT) scan is used for diagnosing, staging, and assessing the prognosis of lung cancer. Literature shows that Coronary artery calcification (CAC) can be used to diagnose and quantify v=cardiovascular diseases using a CT scan. Agatston score is used to quantify CAC based on the cardiac-gated CT images. Previous studies showed that artificial intelligence algorithms can calculate CAC scores in oncology patients. As there is ambiguity in using the CAC score in lung cancer, researchers have conducted a systematic review to establish the effect of the CAC score on overall survival (OS) in lung cancer patients.</p></div><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap" style="text-align: justify; "><a class="also-read-media-wrap" href="https://medicaldialogues.in/oncology/news/new-pancreatic-cancer-treatment-proves-effective-in-shrinking-clearing-tumors-unravels-research-137929"><img class="also-read-media" data-src="https://medicaldialogues.in/h-upload/2023/07/01/213273-pancreatic-cancer.webp"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/oncology/news/new-pancreatic-cancer-treatment-proves-effective-in-shrinking-clearing-tumors-unravels-research-137929"><span class="read-this-also">Also Read:&nbsp;</span>New pancreatic cancer treatment proves effective in shrinking, clearing tumors, unravels research</a></div></div><div class="pasted-from-word-wrapper"> <p style="text-align: justify;">Literature databases like the MEDLINE library, Google Scholar, and SCOPUS databases were screened for papers analyzing the association between CAC and overall survival in lung cancer patients up to June 2024. The study included lung cancer patients in whom CT can define CAC for the overall survival of major adverse cardiac events. The primary endpoint of the systematic review was overall survival (OS) presented as hazard ratio for CAC with a reported 95% confidence interval and p-value in univariable and multivariable analyses.</p> <p style="text-align: justify;">Findings:</p> <ul><li style="text-align: justify;">The included studies comprised 2292 patients undergoing curative treatment. </li><li style="text-align: justify;">The pooled hazard ratio for the association between CAC score and OS was HR= 1.42 (95% CI=(1.19; 1.69), p &lt; 0.0001) in the univariable analysis and HR= 1.56 in the multivariable analysis. </li><li style="text-align: justify;">A higher CAC score was associated with poor overall survival. </li><li style="text-align: justify;">The pooled odds ratio for the association between CAC score and major cardiovascular events was OR= 1.97.</li><li style="text-align: justify; ">A higher CAC score was found to be strongly associated with an increased likelihood of MACE</li></ul></div><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap" style="text-align: justify; "><a class="also-read-media-wrap" href="https://medicaldialogues.in/mdtv/laboratory-medicine/videos/researchers-shed-light-on-novel-superfast-blood-draw-technique-for-diagnosing-lung-cancer-135997"><img class="also-read-media" data-src="https://medicaldialogues.in/h-upload/2024/10/05/255536-mdtv-53.webp"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/mdtv/laboratory-medicine/videos/researchers-shed-light-on-novel-superfast-blood-draw-technique-for-diagnosing-lung-cancer-135997"><span class="read-this-also">Also Read:&nbsp;</span>Researchers Shed Light on Novel Superfast Blood Draw Technique for Diagnosing Lung Cance</a></div></div><div class="pasted-from-word-wrapper"> <p style="text-align: justify;">Thus, the study concluded that the CAC score can be used as a good predictive tool for overall survival and the occurrence of major cardiovascular events. A CT-defined CAC score significantly influences overall survival and strongly predicts major adverse cardiovascular events. Researchers emphasized adding CAC to radiological reporting in lung cancer patients to assess the prognosis. The study highlights the potential outcomes that can be obtained by multidisciplinary care by promoting cardioprotective interventions along with oncological care for Lung cancer. </p> <p style="text-align: justify; ">Further reading: Meyer HJ, Wienke A, Surov A. CT-Defined Coronary Artery Calcification as a Prognostic Marker for Overall Survival in Lung Cancer: A Systematic Review and Meta-analysis. <i>Acad Radiol</i>. Published online November 18, 2024. doi:10.1016/j.acra.2024.10.046</p></div>

136. Addition of mid-section loop ligation enhances hemostatic efficacy of intrauterine balloon tamponade for treating PPH: Study

     Fri, 22 Nov 2024 15:30:32 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/09/21/253581-postpartum-hemorrhage.webp' /><p style="text-align: justify;">Researchers have demonstrated that intrauterine balloon tamponade combined with mid-section loop ligation significantly improves the management of postpartum hemorrhage (PPH), especially in patients who have undergone cesarean section. A recent study was conducted by Liu W. and colleagues published in the journal <i>Archives of Gynecology and Obstetrics</i>.</p><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify;">Postpartum hemorrhage is a leading cause of maternal morbidity and mortality worldwide. Intrauterine balloon tamponade applies internal uterine pressure, while uterine compression sutures like mid-section loop ligation exert external pressure to control bleeding. This study aimed to evaluate the hemostatic and perioperative outcomes of combining these techniques in PPH management.</p><p dir="ltr" style="text-align: justify;">The study analyzed 74 pregnancies complicated with PPH after CS at a single hospital between February 2021 and May 2022. </p><p dir="ltr" style="text-align: justify;">Patients were divided into two groups:</p><p dir="ltr" style="text-align: justify;">• Study group (30 cases): Intrauterine balloon tamponade combined with mid-section loop ligation.</p><p dir="ltr" style="text-align: justify;">• Control group (44 cases): Treated with intrauterine balloon tamponade alone. Important endpoints such as surgical time, blood loss, perioperative outcomes, hospital stay, and uterine recovery were compared between groups.</p><p dir="ltr" style="text-align: justify;">Surgery Time:</p><p dir="ltr" style="text-align: justify;">• The study group had a significantly shorter procedural time compared to the control group.</p><p dir="ltr" style="text-align: justify;">Blood Loss:</p><p dir="ltr" style="text-align: justify;">• The study group had reduced postoperative bleeding, suggesting better hemostatic control.</p><p dir="ltr" style="text-align: justify;">Hospital Stay:</p><p dir="ltr" style="text-align: justify;">• No statistical difference was observed in the hospital stay between the groups.</p><p dir="ltr" style="text-align: justify;">Uterine Recovery:</p><p dir="ltr" style="text-align: justify;"><span>•&nbsp;</span>Both groups achieved similar results on uterine recovery; hence, combining techniques has no undesirable effects.</p><p dir="ltr" style="text-align: justify;">This study shows that combining mid-section loop ligation with intrauterine balloon tamponade significantly enhances hemostatic efficacy, cuts surgical time and minimises post-operative blood loss. Such a finding gives a strong basis for trying this combined approach within a clinical setting, thereby providing an opportunity to improve patients' outcomes for postpartum hemorrhage.</p><p dir="ltr" style="text-align: justify;">Reference:</p><div style="text-align: justify;">Liu, W., Sha, Y., Yang, X., Yan, X., Yang, L., Li, J., Tang, Y., &amp; Yu, J. (2024). Intrauterine balloon tamponing combined with mid-section loop ligation for postpartum hemorrhage: a retrospective analysis. Archives of Gynecology and Obstetrics.&nbsp;<span style="background-color: rgb(249, 249, 249);">https://doi.org/10.1007/s00404-024-07824-4</span></div></div>

137. Combination of surgery and embolization for treatment of subdural hematomas reduces recurrence: NEJM

     Fri, 22 Nov 2024 15:30:04 -0000

     <img src='https://medicaldialogues.in/h-upload/2023/06/15/211877-chronic-subdural-hematoma.webp' /><p style="text-align: justify; ">A dramatic, threefold reduction in repeat operations in patients surgically treated for chronic <a href="https://medicaldialogues.in/topics/subdural-hematoma">subdural hematoma </a>was achieved when the artery supplying the brain covering was blocked, according to results of a national clinical trial led by neurosurgeons at the University at Buffalo and Weill Cornell Medicine that was published in the <i>New England Journal of Medicine. </i></p><p style="text-align: justify;">“We are changing the way that we are treating this very common disease,” says Jason M. Davies, MD, PhD, corresponding author and associate professor of neurosurgery in the Jacobs School of Medicine and Biomedical Sciences at UB. “We are changing subdural hematoma from being a disease that commonly requires multiple surgeries to a disease that can be better treated with a simple, minimally invasive procedure that produces better outcomes.” </p><p style="text-align: justify;">Led by Davies and Jared Knopman, MD, associate professor of neurological surgery at Weill Cornell Medicine, the EMBOLISE trial followed 400 participants at 39 community and academic hospitals with chronic/subacute subdural hematoma, 197 of which were randomized to the treatment group and 203 to the control group. Their average age was 72. Of the 400 patients, 40 were enrolled through UBMD Neurosurgery and treated through the Gates Vascular Institute. </p><p style="text-align: justify;">“The problem we wanted to address was whether or not we could change the way we treat this disease that’s very common in the elderly,” says Davies. “Our study found a threefold reduction in the rates of recurrence. So, for every hundred patients who undergo treatment for this disease, we’ve reduced the number of recurrences from about 11 to about four.” </p><h3 style="text-align: justify;">Common in older adults </h3><p style="text-align: justify;">Subdural hematomas are collections of blood and fluid that accumulate between the surface of the brain and the protective covering around it, called the dura. They typically result from head injuries, and there are two types: acute and chronic. Acute subdural hematomas result from traumatic injuries, such as car accidents, and are the most serious type. </p><p style="text-align: justify;">The study dealt only with chronic subdural hematomas, which can result either from a <a href="https://medicaldialogues.in/topics/head-injury">head injury</a> or because of normal aging. As we age, the brain atrophies so that veins that connect the surface of the brain to the dura may become stretched and leaky, leading to a subdural hematoma. And even if someone experiences a mild fall from which they immediately recover, that fall can jar the brain and cause a hematoma to form. </p><h3 style="text-align: justify;">Complications from blood thinners </h3><p style="text-align: justify;">Already quite common in older adults, Davies notes that by 2030, chronic subdural hematomas are expected to be the most common cranial neurosurgical disease in the world. What complicates the picture for older patients is that they often have other medical problems, some of which require them to be on blood thinners. </p><p style="text-align: justify;">“A patient with a chronic subdural hematoma who is on a blood thinner presents an even more complicated picture,” says Davies. “If you are on a blood thinner, once you start bleeding, you’re not going to stop.” </p><p style="text-align: justify;">Symptoms of a chronic subdural hematoma can come on slowly over days or weeks, sometimes after a fall that at first didn’t seem serious. Symptoms include weakness, numbness,<a href="https://medicaldialogues.in/topics/headache"> headaches</a>, nausea, confusion or dizziness. </p><p style="text-align: justify;">“These hematomas often get bigger over time and can be very irritating to the brain, exerting more pressure and preventing the brain from functioning properly,” says Davies. </p><p style="text-align: justify;">Although some chronic subdural hematomas may heal on their own, many older adults with chronic subdural hematomas will require surgical drainage of the blood and fluid through craniotomy, which involves drilling a small hole into the skull. </p><p style="text-align: justify;">“Right now, the problem is that in up to 20% of these patients who require surgery, the hematoma will come back, so they have to undergo another craniotomy,” says Davies. “Every time they go back to the OR, it’s going to cause that patient more pain and suffering. It’s no fun to have to get a hole in the head. It increases the risk of infection and contributes to an increase in morbidity and mortality, in addition to higher health care costs. So we really want to reduce the number of times they go back to the OR.” </p><p style="text-align: justify;">In the study, the 197 patients who received the intervention underwent a nonsurgical procedure called middle meningeal artery embolization, aimed at reducing the blood supply to inflamed vascular membranes in the dura. Blocking or essentially gluing shut the artery in the brain that is bleeding resulted in a far lower rate of hematoma recurrence. </p><p style="text-align: justify;">To do it, the investigators used Onyx, made by Medtronic, a liquid embolic agent that is used to occlude blood vessels. The liquid is administered non-surgically through the endovascular system via catheterization in the patient’s wrist or groin, another important advantage. </p><p style="text-align: justify;">Davies says the next phase in the trial involves patients who do not require surgery initially, assessing whether embolization of the middle meningeal artery can avoid the need for surgery in the first place. </p><p style="text-align: justify; ">“In addition to demonstrating the role that the middle meningeal artery plays in the formation and recurrence of subdural hematomas, we have discovered an entirely new facet about the brain that has gone unknown and untreated for decades,” Knopman added. </p><p style="text-align: justify;">“The publication of the EMBOLISE trial results in the New England Journal of Medicine is a testament to the dedication and expertise of the neurosurgeons at the Jacobs School,” says Allison Brashear, MD, vice president for health sciences at UB and dean of the Jacobs School. “This significant advancement in treating chronic subdural hematoma, particularly for our elderly population, underscores our commitment to improving patient outcomes through innovative research and clinical excellence.” </p>

138. Cetuximab outperforms durvalumab in treatment of head and neck cancers: Lancet

     Fri, 22 Nov 2024 15:00:55 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/09/27/254368-head-and-neck-cancer-50.webp' /><p style="text-align: justify; "><a href="https://medicaldialogues.in/topics/head-and-neck-cancer">Head and neck cancers </a>are the seventh most common type of cancer worldwide, according to the 2020 World Cancer Report. Smokers and drinkers, as well as those with<a href="https://medicaldialogues.in/topics/hpv-infection">&nbsp;</a>HPV infections, are disproportionately affected. The <a href="https://medicaldialogues.in/topics/chemotherapy">chemotherapy</a> drug <a href="https://medicaldialogues.in/topics/cisplatin">cisplatin</a>, when administered alongside <a href="https://medicaldialogues.in/topics/radiation-therapy">radiation therapy</a>, is the gold standard for treating these malignancies. However, more than 30% of patients, including some older adults and those with pre-existing<a href="https://medicaldialogues.in/topics/kidney-disease"> kidney disease</a> or hearing loss, cannot take cisplatin due to severe side effects.</p><p style="text-align: justify;">The monoclonal antibody<a href="https://medicaldialogues.in/topics/cetuximab"> cetuximab</a>, while not as effective as cisplatin, is often used as an alternative in these patients. However, there is currently no consensus on the standard of care for this population. <a href="https://medicaldialogues.in/topics/durvalumab">Durvalumab</a>, an immune checkpoint inhibitor, has shown promise for treating a wide range of cancers, and has been proposed as a potentially safer and more effective option than cetuximab, according to Loren Mell, MD, professor and vice chair of clinical and translational research at University of California San Diego School of Medicine Department of Radiation Medicine and Applied Sciences, and co-leader of the UC San Diego Moores Cancer Center Head/Neck Disease Team. </p><p style="text-align: justify; ">In a clinical trial, Mell and cancer researchers from two dozen other institutions compared the effectiveness of durvalumab and cetuximab-in combination with radiation therapy-in 186 patients with advanced squamous cell carcinoma of the head or neck who were ineligible for cisplatin. They report in The Lancet Oncology that contrary to expectations, cetuximab performed better than durvalumab, with a similar rate of adverse events. As a result, the researchers discontinued the study early. The results were published on November 14, 2024. </p><p style="text-align: justify;">“We found that the probability of being alive and free of disease at two years was approximately 64% for cetuximab versus 51% for durvalumab, indicating no evidence of a benefit of durvalumab over cetuximab,” said Mell. “We had a lot of reasons to be optimistic about durvalumab, but it turned out to be potentially worse than the standard.” </p><p style="text-align: justify;">Monoclonal antibodies like cetuximab bind to proteins on the surface of cancer cells, halting their growth and proliferation. In contrast, durvalumab, an immune checkpoint inhibitor, blocks a protein on cancer cells called PDL1, which allows tumors to thrive, allowing the immune system’s T cells to attack cancer cells directly. Mell says there is some evidence that durvalumab could still have a place in treating a very specific subset of patients with highly immunoreactive tumors, but more research is needed. </p><p style="text-align: justify; ">The results have significant implications for the treatment of head and neck cancers. The study-the first of its kind conducted in North America-demonstrated a higher success rate than any previous study of cetuximab in this patient population, and Mell said the drug is likely to become the new standard of care for these patients. The study also revealed that cetuximab showed similar efficacy whether or not a patient’s cancer was associated with HPV. </p><p style="text-align: justify;">“Our study helps reinforce that radiation with cetuximab is a very good alternative for patients who cannot get standard cisplatin,” said Mell. “Historically, this has been an underserved group, so our trial sought to establish an evidence base for this rather unique population that skews very much towards older individuals and those with competing health problems that have in many cases been expressly excluded from clinical trials based on those comorbidities.” </p><p style="text-align: justify; ">Mell says research is in progress to compare cetuximab against competing standard alternatives, such as carboplatin and paclitaxel combination therapy, with new trials under development. In addition, ongoing trials continue to test novel therapeutic agents in conjunction with radiotherapy as an alternative to radiation with cetuximab.</p><p style="text-align: justify; ">Reference:</p><p style="text-align: justify; ">Mell, Loren K et al., Radiotherapy with cetuximab or durvalumab for locoregionally advanced head and neck cancer in patients with a contraindication to cisplatin (NRG-HN004): an open-label, multicentre, parallel-group, randomised, phase 2/3 trial, The Lancet Oncology,DOI:10.1016/S1470-2045(24)00507-2.</p>

139. Preterm birth associated with increased mortality risk into adulthood, study finds

     Fri, 22 Nov 2024 15:00:24 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/01/27/231017-preterm-birth-50.webp' /><p style="text-align: justify; ">According to a new study from researchers at Wake Forest University School of Medicine and The Hospital for Sick Children (SickKids) in Toronto, being born preterm is associated with an increased risk of death from birth until the third and fourth decades of life. </p><p style="text-align: justify;">The study appears online today in <i>JAMA Network Open. </i></p><p style="text-align: justify;">About 10% of all births worldwide are classified as preterm, which occurs when a baby is born before 37 weeks gestation. Globally, <a href="https://medicaldialogues.in/topics/preterm-birth">preterm birth </a>is the leading cause of infant mortality and the second leading cause of death for children under the age of 5. </p><p style="text-align: justify;">“Understanding the long-term effects of preterm birth can help us develop preventative strategies and identify interventions to improve the health of individuals who are born preterm,” said Asma M. Ahmed, M.D., Ph.D., assistant professor of epidemiology and prevention at Wake Forest University School of Medicine, former post-doctoral fellow at SickKids, and the study’s lead author. </p><p style="text-align: justify;">Ahmed said while the majority of people who are born preterm survive into adulthood, there’s growing evidence that highlights an increased risk of death throughout life. </p><p style="text-align: justify;">“We wanted to know whether people born prematurely have a higher risk of short-term and long-term mortality compared to individuals who were born full term,” Ahmed said. </p><p style="text-align: justify;">In the first known population-based study of preterm birth in North America, Ahmed and team analyzed a cohort of nearly 5 million live births in Canada of which 6.9% were preterm. The participants were born between 1983 and 1996, and were tracked through 2019, providing a follow-up period ranging from 23 to 36 years. </p><p style="text-align: justify;">The preterm births were categorized into gestational age subcategories: 24-27 weeks, 28-31 weeks, 32-33 weeks and 34-36 weeks and compared with the full-term births, 37-41 weeks. </p><p style="text-align: justify;">The researchers found that preterm birth is associated with increased risk of death across all age groups up to the age of 36 years, with the highest risks occurring from birth to infancy, 0-11 months, and early childhood, 1-5 years. </p><p style="text-align: justify;">“We also found that the risk of mortality is higher with a lower gestational age at birth, with those born before 28 weeks facing the highest risks,” Ahmed said. </p><p style="text-align: justify;">The study also identified increased risks of mortality associated with several causes such as respiratory, circulatory and digestive system disorders; nervous system, endocrine and infectious diseases; cancers; and congenital malformations. </p><p style="text-align: justify; ">“These findings suggest that preterm birth should be recognized as a significant risk factor for mortality,” Ahmed said. “The risk remains until the third and fourth decades of life. While clinical care during the neonatal period is critical, long-term follow-up care and monitoring for people born preterm is crucial to help mitigate the risks.” </p><p style="text-align: justify;">Ahmed said additional research is needed in other populations, especially in low-income and middle-income countries where preterm birth rates are highest. She also highlighted the importance of research that identifies underlying factors contributing to the increased mortality risk after preterm birth.</p><p style="text-align: justify;">Reference:</p><p style="text-align: justify; ">Ahmed AM, Grandi SM, Pullenayegum E, et al. Short-Term and Long-Term Mortality Risk After Preterm Birth. JAMA Netw Open. 2024;7(11):e2445871. doi:10.1001/jamanetworkopen.2024.45871</p>

140. Metabolic and bariatric surgery safe and effective for patients with severe obesity, finds study

     Fri, 22 Nov 2024 15:00:24 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/02/28/233199-bariatric-surgery-50.webp' /><p style="text-align: justify; ">A team of researchers led by Pennington Biomedical Research Center's Dr. Florina Corpodean confirmed through a data analysis that metabolic and <a href="https://medicaldialogues.in/topics/bariatric-surgery">bariatric surgery</a> is largely safe and effective for patients who are experiencing severe <a href="https://medicaldialogues.in/topics/-obesity">obesity</a>. In the recent study “BMI ≥ 70: A Multi-Center Institutional Experience of the Safety and Efficacy of Metabolic and Bariatric Surgery Intervention,” published in Obesity Surgery: The Journal of Metabolic Surgery and Allied Care, researchers affirmed that, following surgery-based obesity treatment, patients in this category had an overall rate of serious postoperative complications at 30 days as low as 0.7%, an acceptable surgical risk. </p><p style="text-align: justify;">With more than 40 percent of the U.S. population experiencing obesity, health care providers have an increased likelihood of seeing patients with a <a href="https://medicaldialogues.in/topics/body-mass-index">body mass index</a>, or BMI, exceeding 70 kg/m2. The researchers analyzed the data of 84 patients with excess obesity who received metabolic or bariatric surgery, discerning that while these patients generally had increased likelihood of visits to emergency department, they exhibited low rates of complications at 30 days post operation. </p><p style="text-align: justify;">“This research aimed to survey the data from a population that is understudied, but we are proud to have contributed to this necessary data analysis,” said Dr. Corpodean, who is a postdoctoral researcher and surgical research fellow at Pennington Biomedical and who works in the Metamor Metabolic Institute. “Patients with this level of obesity represent a growing demographic, and one that requires nuanced care. The good news is, though these patients may be considered high risk due to their BMIs, bariatric and metabolic surgery remain largely safe for these patients.” </p><p style="text-align: justify;">The researchers conducted an analysis of the data, reviewing it for demographics, postoperative outcomes, and changes in BMI and weight. <a href="https://medicaldialogues.in/topics/weight-loss">Weight loss</a> was evaluated at different intervals: 30 days, 6 months, and 1 year. They also evaluated rates of emergency department visits, readmissions and reoperation in the first year following the surgery. </p><p style="text-align: justify;">“As the prevalence of obesity continues on its current trajectory, doctors, surgeons and researchers are more and more likely to work with patients with BMI’s above 70 kg/m2,” said Dr. Philip Schauer, Director of the Metamor Institute. “Our analysis of the data demonstrates the BMI levels of these patients do not warrant hesitations for performing bariatric and metabolic surgery as a method of treatment to treat them. At Metamor, we see it as our mission to provide this kind of clarity, and we welcome other institutions to pursue future studies with this expanding demographic.” </p><p style="text-align: justify;">As of now, there is no accepted maximum BMI value considered to be prohibitive for those in need of bariatric surgery, but it is commonly accepted that an increased BMI translates to increased surgical risk. The researchers’ findings indicated that patients in the demographic show robust weight loss following their metabolic or bariatric surgery, with results durable up to one year following the operation. Findings further showed that, though these patients exhibited high rates of emergency department visits, they demonstrated low rates of complications and reoperations within the first year following surgery. </p><p style="text-align: justify;">“Addressing the leading health epidemic of our time is the mission of Pennington Biomedical, and our researchers at the Metamor Institute are delivering on that mission through studies and analysis like this,” said Dr. John Kirwan, Executive Director of Pennington Biomedical. “Though we encourage further research, this study and others like it offer hope to those who are suffering from the deleterious health effects of obesity. Researchers, patients and surgeons can have an increased sense of confidence that metabolic surgery is safe and effective in treating obesity.” </p><p style="text-align: justify; ">Reference:</p><p style="text-align: justify; ">Corpodean F, Kachmar M, Popiv I, LaPenna KB, Lenhart D, Cook M, Albaugh VL, Schauer PR. BMI ≥ 70: A Multi-Center Institutional Experience of the Safety and Efficacy of Metabolic and Bariatric Surgery Intervention. Obes Surg. 2024 Sep;34(9):3165-3172. doi: 10.1007/s11695-024-07419-7.&nbsp;</p>

141. Habitual Fish Oil Use Reduces Risk of Kidney Stones in Individuals with Genetic Risk, reveals study

     Fri, 22 Nov 2024 14:45:23 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/05/22/238912-fish-oil-supplement-50.webp' /><p style="text-align: justify; ">A groundbreaking study found that habitual usage of fish oil was associated with a lower risk of new-onset kidney stones in individuals having a low or intermediate genetic risk of kidney stones. The study results were published in the Journal of Clinical Lipidology.</p><div class="pasted-from-word-wrapper"> <p style="text-align: justify; ">Kidney stones or renal stones are common, expensive, and painful diseases affecting several people worldwide. The presence of renal stones significantly increases the risk of metabolic, cardiovascular, and inflammatory diseases. Evidence shows that inflammation and hyperlipidemia play a vital role in the pathogenesis of renal stones. Hence, anti-inflammatory and lipid-lowering treatments or supplements are necessary to prevent the development of renal stones. Previous research shows that fish oil supplementation has potential health benefits as it can reduce blood pressure and triglycerides levels as well as pose anti-inflammatory effects. Hence, researchers from Nanfang Hospital conducted a study to assess the association between habitual fish oil use and new-onset kidney stones in participants with different levels of genetic risks of kidney stones.</p></div><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap" style="text-align: justify; "><a class="also-read-media-wrap" href="https://medicaldialogues.in/mdtv/oncology/videos/can-fish-oil-supplements-guard-against-risk-of-developing-cancer-study-sheds-light-137664"><img class="also-read-media" data-src="https://medicaldialogues.in/h-upload/2024/11/07/259687-mdtv-2024-11-07t114439402.webp"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/mdtv/oncology/videos/can-fish-oil-supplements-guard-against-risk-of-developing-cancer-study-sheds-light-137664"><span class="read-this-also">Also Read:&nbsp;</span>Can Fish Oil Supplements Guard Against Risk of Developing Cancer? Study Sheds Light</a></div></div><div class="pasted-from-word-wrapper"> <p style="text-align: justify;">A prospective cohort study was carried out by recruiting approximately 500,000 participants aged 37–73 years from the UK biobank. Individuals with kidney stones at baseline as determined by self-report or hospitalization records and used fish oil and having information on the kidney stone's genetic risk score were included in the study. Fish oil usage was determined through a food frequency questionnaire (FFQ) and a series of <b>24-hour dietary recalls</b>. Based on the fish oil usage individuals were categorized into constant nonusers, occasional users, modest users, and moderate-high users. Participants were categorized into three groups low risk, moderate risk, and high risk based on the genetic risk categories. The main outcome was the new-onset kidney stones.</p> <p style="text-align: justify;">Findings:</p> <ul><li style="text-align: justify; ">During a median follow-up of 12.0 years, 5,637 cases of kidney stones were documented. </li><li style="text-align: justify;">The study found that high genetic risks of kidney stones had a higher prevalence of developing new-onset kidney stones. </li><li style="text-align: justify;">The habitual use of fish oil was associated with a lower risk of new-onset kidney stones when compared with those who did not use it in participants with low or intermediate genetic risks. </li><li style="text-align: justify;">However, the same was not reflected in those with high genetic risks of kidney stones. </li><li style="text-align: justify; ">Individuals with low to intermediate risks have a lower risk of kidney stones with frequent fish oil use while modestly constant users have the most significant reduction in the risk.</li></ul></div><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap" style="text-align: justify; "><a class="also-read-media-wrap" href="https://medicaldialogues.in/nephrology/news/study-recommends-double-j-stent-for-enhanced-outcomes-in-staghorn-stone-treatment-via-percutaneous-nephrolithotomy-136363"><img class="also-read-media" data-src="https://medicaldialogues.in/h-upload/2022/08/24/184146-percutaneous-nephrolithotomy.webp"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/nephrology/news/study-recommends-double-j-stent-for-enhanced-outcomes-in-staghorn-stone-treatment-via-percutaneous-nephrolithotomy-136363"><span class="read-this-also">Also Read:&nbsp;</span>Study Recommends Double-J Stent for Enhanced Outcomes in Staghorn Stone Treatment via Percutaneous Nephrolithotomy</a></div></div><div class="pasted-from-word-wrapper"> <p style="text-align: justify;">Thus, the study concluded that habitual fish oil use was associated with a lower risk of new-onset kidney stones in participants with low or intermediate genetic risk of kidney stones. This study reinforces the importance of fish oil intake against the development of gene-less-determined kidney stones.</p> <p style="text-align: justify; ">Further reading: Gan X, Liu M, He P, et al. Habitual fish oil supplementation, genetic susceptibility of kidney stones and the risk of new-onset kidney stones. <i>J Clin Lipidol</i>. 2024;18(1):e116-e124. doi:10.1016/j.jacl.2023.11.013</p></div>

142. Early Intravitreal Triamcinolone Acetonide Injection Improves Visual Outcomes in Open Globe Injury: Study

     Fri, 22 Nov 2024 14:45:00 -0000

     <img src='https://medicaldialogues.in/h-upload/2023/07/13/214132-eye.webp' /><p style="text-align: justify;">Researchers have found that early intravitreal injection of triamcinolone acetonide (TA) significantly reduces the severity of traumatic proliferative vitreoretinopathy (TPVR) and improves functional outcomes of patients with open globe injury (OGI). A recent study was published in <i>The British Journal Of Ophthalmology</i> by Guo H. and colleagues. This approach is novel and provides a hint toward better outcomes in patients with severe ocular trauma.</p><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify;">A prospective single-center randomized controlled trial was conducted on patients presenting with globe rupture injuries in zone III. Patients were then randomly assigned into one of two groups: 34 patients received a 0.1 mL intravitreal injection of TA at the end of the emergency surgery, while 34 patients in the control group received 0.1 mL of balanced salt solution. The allocation ratio was 1:1 to balance the two arms in this study. The primary outcome measure was the severity of TPVR during the performance of vitrectomy, 10±3 days after the initial surgery. The secondary outcomes measured included the improvement in VA; the anatomical retinal and macular attachment rates; the recurrence of PVR; and the side effects noted six months following vitrectomy.</p><p dir="ltr" style="text-align: justify;">There were a number of key differences in outcomes between the TA-treated versus the control groups:</p><p dir="ltr" style="text-align: justify;">•There was significantly less serious TPVR in the TA group when compared to controls during vitrectomy (p=0.028).</p><p dir="ltr" style="text-align: justify;">• During TPVR scoring, the mean in the TA group was 9.30 ± 0.82 and that of the control group was 6.44 ± 1.06. This increase in the TA group was statistically significant upon comparison (p=0.036).</p><p dir="ltr" style="text-align: justify;">• The improvement in visual acuity was statistically significant after six months, showing 92% in the TA group versus 63.64% in the control group, with p=0.008, which may be indicative of early visual recovery from severe injury to the eye following injection of TA.</p><p dir="ltr" style="text-align: justify;">• Overall attachment rate in the TA group was 88% while in the control group it was 63.64% with a p value of 0.049. This shows that the most vital factor in maintaining the vision, namely the retinal attachment is very much dependent on the treatment with TA.</p><p dir="ltr" style="text-align: justify;">• There was no significant difference between the two groups regarding macular repositioning and PVR recurrence, with p-values of 0.215 and 0.191, respectively.</p><p dir="ltr" style="text-align: justify;"><span>•&nbsp;</span>Temporary elevation of intraocular pressure occurred in one eye in the TA group after the initial surgery, but there were no major side effects reported. This therefore suggests that intravitreal TA is generally safe to use in patients with OGI.</p><p dir="ltr" style="text-align: justify;">Early intravitreal injection of triamcinolone acetonide has been documented to reduce traumatic proliferative vitreoretinopathy, improve the attachment of the retina, and consequently improve the visual outcome in patients suffering from open globe injury. The current study emphasizes the role of TA as a treatment modality in complication suppression post-OGI and states that long-term studies regarding its benefit in reducing the recurrence of PVR and ensuring better visual recovery are required. These findings may form newer aspects of treatment protocols in the management of severe ocular trauma and ensure better patient outcomes.</p><p dir="ltr" style="text-align: justify;">Reference:</p><p dir="ltr" style="text-align: justify;">Guo, H., Yu, J., He, T., Chen, S., Sun, Z., Zhang, J., Sun, Z., Yang, W., Yao, B., Yang, X., Liu, Y., Zhang, M., Meng, Y., Yang, L., &amp; Yan, H. (2024). Early use of intravitreal triamcinolone to inhibit traumatic proliferative vitreoretinopathy: a randomised clinical trial. The British Journal of Ophthalmology, 108(8), 1161–1167. https://doi.org/10.1136/bjo-2023-32431</p></div>

143. Early BMI Management Linked to Better Lung Health in Adulthood, finds study

     Fri, 22 Nov 2024 14:30:28 -0000

     <img src='https://medicaldialogues.in/h-upload/2022/10/08/187287-bmi.webp' /><p style="text-align: justify;">Researchers have found that having a normal body mass index during childhood might protect one later on from lung health issues. According to results from a Swedish BAMSE birth cohort, the researchers were following participants' track of BMI from birth until 24 years and identified that specific BMI trajectories had an impact on lung function outcomes as young adults. The study was conducted by Gang Wang and colleagues which was published in <i>The European Respiratory Journal</i>.</p><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify;">So far, only a few studies investigated the effects that trajectories of growth in BMI have on lung health over the lifecycle. To this end, a long-term dataset from the BMI cohort known as BAMSE study was followed from birth to young adulthood. Six BMI development groups were identified and differing trajectories in weight progression with associated lung function outcomes at ages 8, 16, and 24 years could be observed. This approach provided a holistic view on different BMI patterns and their impacts on respiratory health outcomes at these developmental stages.</p><p dir="ltr" style="text-align: justify;">In the present prospective study, researchers applied latent class mixture modeling to classify BMI z-scores for 3,204 individuals with four or more records of BMI from birth through age 24. Lung function was assessed at ages 8, 16, and 24 by pre-bronchodilator (BD) spirometry. On entry at age 24, they added analysis with post-BD spirometry, multiple-breath nitrogen washout for lung clearance index (LCI) and urinary metabolomics.</p><p dir="ltr" style="text-align: justify;">• Accelerating Increasing BMI Group showed significant worsening in both pre- and post-BD FEV1/FVC ratio z scores (β=-0.26, 95% CI [-0.44, −0.08] and -0.22, [-0.39, -0.05], respectively), as well as a higher LCI score of 0.30 (95% CI [0.22, 0.42]) at age 24.</p><p dir="ltr" style="text-align: justify;">• Persistent High BMI Group had decreased growth of both FEV1 and FVC z scores between ages 16 and 24 (-0.24, [-0.42, −0.05] and −0.27, [-0.45, −0.01], respectively) and increased LCI at age 24 (0.20, [0.03, 0.39]) to represent that impaired lung function growth and respiratory efficiency.</p><p dir="ltr" style="text-align: justify;">• The Accelerated Resolving BMI Group had fewer impairments to lung function, signifying that stabilizing BMI after rises might have muted adverse impacts on control of respiration.</p><p dir="ltr" style="text-align: justify;">• The Persistent Low BMI Group had lower FEV1 and FVC from age 8 through 24 years of age, signifying lower lung capacity and lung function growth with age.</p><p dir="ltr" style="text-align: justify;">• Metabonomic correlations and implications on lung health</p><p dir="ltr" style="text-align: justify;"><span>•&nbsp;</span>Associations were demonstrated between histidine-related metabolites and both pre- and post-BD FEV1 (using a hypergeometric FDR of 0.008 and &lt;0.001, respectively).</p><p dir="ltr" style="text-align: justify;">In conclusion, this study suggests that monitoring growth patterns in BMI during childhood and adolescence can become in itself a critical factor in supporting long-term respiratory health. The achievement of a normal BMI trajectory through early intervention may reduce the risk of lung function impairments, therefore reinforcing the critical importance of early, proactive health management during childhood.</p><p dir="ltr" style="text-align: justify;">Reference:</p><p dir="ltr" style="text-align: justify;">Wang, G., Hallberg, J., Merid, S. K., Kumar, A., Klevebro, S., Habchi, B., Chaleckis, R., Wheelock, C. E., Hernandez-Pacheco, N., Ekström, S., Janson, C., Kull, I., Bergström, A., &amp; Melén, E. (2024). Body mass index trajectories from birth to early adulthood and lung function development. The European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology, 2400298.https://doi.org/10.1183/13993003.00298-2024</p></div>

144. AI Enhances Carotid Plaque Detection in Dental Imaging, Paving Way for Early Atherosclerosis Diagnosis: Study

     Fri, 22 Nov 2024 14:30:16 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/14/260671-carotid-plaques.webp' /><p style="text-align: justify; ">Netherlands: In recent years, advancements in <a href="https://medicaldialogues.in/topics/artificial-intelligence">artificial intelligence</a> (AI) have begun transforming various fields of medicine, and dentistry is no exception. A recent study has revealed that AI can potentially enhance the detection of <a href="https://medicaldialogues.in/topics/carotid-artery-calcifications">carotid artery calcifications</a> (CACs) that might be overlooked in panoramic <a href="https://medicaldialogues.in/topics/radiographs">radiographs </a>(PRs).</p><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">"Integrating AI models into dental imaging to support dental professionals in detecting CACs on panoramic radiographs could greatly improve the early identification of carotid artery atherosclerosis, thereby enhancing its clinical management," the researchers wrote in the <em>Journal of Dentistry. </em></p><p style="text-align: justify; ">Carotid artery atherosclerosis, a condition where fatty deposits build up in the carotid arteries, is often asymptomatic until it leads to life-threatening consequences. Early identification of CACs is critical for managing the disease and preventing complications. However, detecting these calcifications in panoramic radiographs—an imaging tool primarily used for dental assessments—can be challenging. Traditional methods depend heavily on the clinician's experience and expertise, and small or subtle calcifications may go unnoticed.</p><p style="text-align: justify; ">The researchers note that panoramic radiographs can incidentally reveal atherosclerosis, or carotid artery calcification (CAC), in 3–15% of patients examined. However, due to limited training in recognizing these calcifications, dental professionals often miss such diagnoses.</p><p style="text-align: justify; ">Against the above background, Shankeeth Vinayahalingam, Department of Oral and Maxillofacial Surgery, Radboud University Medical Center, Nijmegen 6500 HB, the Netherlands, and colleagues aimed to detect carotid artery calcification on panoramic radiographs using an AI model powered by a vision transformer. </p><p style="text-align: justify; ">For this purpose, the researchers collected 6,404 PRs from a single hospital and screened them for CAC using electronic medical records. The CAC regions were manually annotated with bounding boxes by an oral radiologist and then reviewed and refined by three experienced clinicians to reach a consensus. An artificial intelligence model combining Faster R-CNN and Swin Transformer was trained and evaluated on a dataset of 185 PRs with CAC and 185 PRs without CAC.</p><p style="text-align: justify; ">To assess the performance of this AI model, the researchers compared its diagnostic accuracy with previously reported results from AI models based on convolutional neural networks (CNNs). The models were quantitatively evaluated using several metrics, including precision, F1-score, recall, area under the curve (AUC), and average precision (AP). </p><p style="text-align: justify; ">The findings of the study are as follows:</p><ul><li style="text-align: justify; ">The AI model based on Faster R-CNN and Swin Transformer achieved a <strong>precision</strong> of <strong>0.895</strong>.</li><li style="text-align: justify; ">The model demonstrated a <strong>recall</strong> of <strong>0.881</strong>.</li><li style="text-align: justify; ">The <strong>F1-score</strong> was <strong>0.888</strong>, indicating balanced performance.</li><li style="text-align: justify; ">The <strong>area under the curve (AUC)</strong> was <strong>0.950</strong>, reflecting strong overall diagnostic ability.</li><li style="text-align: justify; ">The model achieved an <strong>average precision (AP)</strong> of <strong>0.942</strong>.</li></ul><p style="text-align: justify; ">"The Faster R-CNN and Swin Transformer model demonstrated strong diagnostic performance and hold promise as a solid foundation for the further advancement of automated detection of carotid artery calcification on panoramic radiographs," the researchers wrote. </p><p style="text-align: justify; ">"The detection performance of this newly developed and validated model showed significant improvement over previously reported models," they concluded. </p><p style="text-align: justify; ">Reference:</p><p style="text-align: justify; ">Vinayahalingam, S., Van Nistelrooij, N., Xi, T., Heiland, M., Bressem, K., Rendenbach, C., Flügge, T., &amp; Gaudin, R. (2024). Detection of carotid plaques on panoramic radiographs using deep learning. Journal of Dentistry, 151, 105432. https://doi.org/10.1016/j.jdent.2024.105432</p></div><p style="text-align: justify; "><br></p>

145. Retired KMC Manipal Cardiologist Dr S G Sarvotham Prabhu passes away at 84

     Fri, 22 Nov 2024 13:30:39 -0000

     <img src='https://medicaldialogues.in/h-upload/2022/10/11/187671-doctor-2.webp' /><p style="text-align: justify; ">Manipal: In an unfortunate incident, Dr S.G. Sarvotham Prabhu, a renowned cardiologist and professor, passed away at the age of 84 in Mangalore. He had served as the head of the Department of Cardiology at Kasturba Medical College, Manipal, and was widely respected for his contributions to the field.</p><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap"></div></div><div class="pasted-from-word-wrapper"><p>Dr Prabhu had a remarkable career, leaving behind a lasting legacy of excellence, compassion, and unwavering dedication to cardiology. He played a pivotal role in the establishment of the&nbsp;<a href="https://medicaldialogues.in/topics/department-of-cardiology" target="_blank">Department of Cardiology</a>&nbsp;and the DM Cardiology program at KMC Manipal. Under his leadership, the department achieved several milestones, including the installation of the first Cardiology Cath Lab in South Karnataka more than 25 years ago. Today, the department is equipped with a state-of-the-art digital invasive cath lab and continues to thrive, a testament to Dr Prabhu's visionary guidance.</p></div><div class="pasted-from-word-wrapper"><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/health/doctors/indore-doctor-rams-car-into-another-vehicle-dies-138443"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/health/doctors/indore-doctor-rams-car-into-another-vehicle-dies-138443">Also Read:Indore doctor rams car into another vehicle, dies</a></div><div class="pasted-from-word-wrapper"><p>He was among the first to receive cardiology training at CMC Vellore in 1970. His pioneering contributions to the field were recognized when he was honored with the prestigious Karnataka Governor's Award in the 1980s, a tribute to his groundbreaking work in cardiology<span style="text-align: justify;">, reports </span><a href="https://www.thehindu.com/news/cities/Mangalore/senior-cardiologist-sg-sarvotham-prabhu-passes-away/article68889542.ece" target="_blank" rel="nofollow" style="text-align: justify; background-color: rgb(249, 249, 249);">The Hindu</a><span style="text-align: justify;">.&nbsp;</span></p> <p style="text-align: justify; ">He perfectly performed the roles of a teacher and mentor earning him the title of a “teacher of teachers.” He was responsible for building the careers of numerous cardiologists. He is survived by his daughters, Suman Prabhu and doctor Sowmini P. Kamath, and sons-in-law, doctors Ravindra Prabhu and Padmanabh Kamath, and five grandchildren, reports the Daily.&nbsp;</p></div><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap"><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/health/doctors/renowned-diabetologist-dr-sajal-debbarma-passes-away-at-64-137661"><img class="also-read-media" data-src="https://medicaldialogues.in/h-upload/2024/11/07/259729-dr-sajal-debbarma-1.webp"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/health/doctors/renowned-diabetologist-dr-sajal-debbarma-passes-away-at-64-137661"><span class="read-this-also">Also Read:</span>Renowned Diabetologist Dr Sajal Debbarma passes away at 64</a><div></div></div></div><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">KMC, Manipal celebrated its Diamond Jubilee in the year 2013-14. The institute’s vision is to provide global leadership in human development, and excellence in education and healthcare with a mission to train competent, compassionate and caring physicians through excellence in teaching, patient care, and medical research. &nbsp;</p></div>

146. Indian chest society criticizes NMC for removing respiratory medicine departments amid pollution

     Fri, 22 Nov 2024 12:45:01 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261861-mdtv-2024-11-22t164226526.webp' /><div class="pasted-from-word-wrapper"><div style="text-align: justify; ">The Indian Chest Society has criticized the National Medical Commission’s (NMC) decision to remove Respiratory Medicine departments from MBBS courses, especially amid worsening air pollution in India.</div><div style="text-align: justify;">With AQI levels surpassing 1,000 in many areas, the society highlights the increasing burden of respiratory and cardiovascular diseases, particularly among vulnerable groups. The NMC's earlier decision to exclude Respiratory Medicine, Emergency Medicine, and Physical Medicine from essential departments for undergraduate courses has raised concerns, with experts warning it could impede efforts to combat diseases like tuberculosis. Meanwhile, the Delhi government has instructed hospitals to form specialist teams to manage pollution-related respiratory cases.</div></div>

147. GMERS ragging death case: College submits action report to UGC, family says 'What kind of doctors will accused become with such criminal minds?'

     Fri, 22 Nov 2024 12:43:06 -0000

     <img src='https://medicaldialogues.in/h-upload/2022/09/15/185643-ragging.webp' /><p style="text-align: justify; "><b>Patna: </b>Providing details regarding the horrifying ragging incident where an&nbsp;18-year-old first-year MBBS student died after allegedly being forced to stand for three hours by his seniors, the authorities of the <a href="https://medicaldialogues.in/topics/gmers-medical-college" target="_blank">GMERS Medical College and Hospital</a>, Patna submitted an action taken report (ATR) to the <a href="https://medicaldialogues.in/topics/ugc" target="_blank">University Grants Commission </a>(UGC) in connection.&nbsp;</p><p style="text-align: justify; ">In the report, the authorities specified the action taken so far regarding the seniors involved in the case. They shared details about the number of students connected to the ragging incident, the actions taken against them, and the identification of all victims. Furthermore, they updated UGC about their implementation of the anti-ragging regulations and the committee meetings held after the incident.</p><p style="text-align: justify; "><b>Also read-<a href="https://medicaldialogues.in/news/education/medical-colleges/forced-to-stand-dance-for-3-hours-gmers-mbbs-student-dies-after-ragging-15-seniors-booked-138266" target="_blank"> Forced to stand, dance for 3 hours! GMERS MBBS student dies after ragging, 15 seniors booked</a></b></p><p style="text-align: justify; ">Speaking on this, an official from the Medical College told <a href="https://timesofindia.indiatimes.com/city/ahmedabad/tragic-ragging-incident-at-patan-medical-college-leads-to-students-death/articleshow/115540273.cms" rel="nofollow">TOI</a>, "The UGC sought an action taken report from the college, seeking details of the circumstances of the death, how many students were involved in the ragging incident, and who all were victimised. The commission also asked what steps were taken by the college so far. We submitted the action taken report to the UGC stating that an official police complaint was lodged against the perpetrators who are second-year students. These students were also suspended from all academic activities."</p><p style="text-align: justify; ">Medical Dialogues team had previously reported that Altogether 15 seniors were suspended and booked in a criminal case. According to a statement of a first-year student, some junior students including the deceased student were forced to stand for around three hours and introduce themselves individually. They were also allegedly forced to sing and dance, utter abusive words and not leave the room.</p><p style="text-align: justify; ">The name of the accused students in this case emerged after the college authorities informed the anti-ragging cell of the matter. The committee chaired by Dean Dr Hardik Shah took the statements of 26 students—11 first-year and 15 second-year students—and found that 11 first-year students were subjected to ragging by a group of 15 second-year students.</p><p style="text-align: justify; ">The incident took place last week after the accused students called 11 first-year students, including the deceased and his classmates, to a hostel room for an "introduction". They made the juniors stand for nearly three-and-a-half hours while forcing them to sing and dance, utter abusive words and not leave the room. This allegedly caused serious mental and physical trauma to the students.</p><p style="text-align: justify; ">In an interview with <a href="https://www.ndtv.com/india-news/gujarat-ragging-death-anil-methaniya-what-kind-of-doctors-brother-of-mbbs-student-who-died-due-to-ragging-7061285" rel="nofollow">NDTV</a>, the victim's cousin recalling the tragic incident said, "We got a call at night and were told that my brother had been hospitalised. We were asked to rush to the hospital at the earliest. Four of us reached the hospital around 4 am and we came to know my brother had died and the body had been sent for postmortem. At the meeting there where the dean and cops were present, we came to know ragging happened. Seniors were questioned,"</p><p style="text-align: justify; ">Questioning the intention of the accused seniors, his cousin said "Those who are doing these acts have a criminal mind, medicine is a service sector, how will they work there? Will they improve or harm the country's future? What kind of doctors will they become with such criminal minds, their studies should be stopped and they must be sentenced to life imprisonment." </p><p style="text-align: justify; ">Further, he said, "He was an excellent student. He was the top student across two-three villages, the first in our family who got through MBBS. We saw a future doctor in him," he said.</p><p style="text-align: justify; "><b>Also read- <a href="https://medicaldialogues.in/news/education/medical-colleges/medical-colleges-responsible-to-implement-nmc-anti-ragging-measures-gujarat-govt-138464" target="_blank">Medical Colleges Responsible to Implement NMC Anti-Ragging Measures: Gujarat Govt</a></b></p>

148. Indore doctor dies after colliding car into another vehicle

     Fri, 22 Nov 2024 12:30:22 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261859-mdtv-2024-11-22t163801589.webp' /><div class="pasted-from-word-wrapper"><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">A tragic incident claimed the life of a 59-year-old <a href="https://medicaldialogues.in/news/health/doctors" target="_blank">doctor</a> after his car rammed into another vehicle from behind which was waiting at a traffic signal near Rasoma Square, causing severe injuries to the doctor.</p><div id="ATS_mid1"></div><p style="text-align: justify;">According to eyewitnesses, the doctor suffered severe impact which caused his chest to hit the steering wheel due to which he got critically injured. Although he was rushed for treatment, he could not survive and died.</p></div><div class="pasted-from-word-wrapper"><div><p style="text-align: justify; "><i><b>For more information, click on the link below:</b></i></p></div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify;"><i><a href="https://medicaldialogues.in/news/health/doctors/indore-doctor-rams-car-into-another-vehicle-dies-138443#:~:text=According%20to%20eyewitnesses,%20the%20doctor,could%20not%20survive%20and%20died.&amp;text=The%20doctor%20has%20been%20identified,a%20resident%20of%20Shalimar%20Township."><b>Indore doctor rams car into another vehicle, dies</b></a></i></div></div></div>

149. BFUHS PG Medical admissions 2024- Know Complete Fee Structure Here

     Fri, 22 Nov 2024 12:20:24 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261848-fees.webp' /><p style="text-align: justify; "><b>Punjab- </b>The Baba Farid University of Health Sciences (<a href="https://medicaldialogues.in/topics/bfuhs" target="_blank">BFUHS</a>) invited online applications from the candidates for Postgraduate (<a href="https://medicaldialogues.in/topics/pg-medical" target="_blank">PG</a>) Courses for admission into MD/MS/PG Diploma, DNB Post Graduate Diploma in Sports Medicine and Six months training in Ultrasonography Courses Session 2024. </p><p style="text-align: justify; ">BFUHS has released a prospectus detailing the <a href="https://medicaldialogues.in/topics/fee" target="_blank">fee</a> structure for Postgraduate (PG) Courses for admission into MD/MS/PG Diploma, DNB Post Graduate Diploma in Sports Medicine and Six months training in Ultrasonography Courses Session 2024.</p><p>Online Application/Registration for admission to MD/MS/Diploma/MDS/DNB/PGDSM and six months of training in Ultrasonography courses is to be undertaken online at the University website. Candidates are advised to fill out the online admission application form well in advance to avoid the last-minute rush and other technical issues. BFUHS will not be responsible for any delays in filling out the online application. No application will be accepted after the last date of receipt of applications as released from time to time. </p><div class="pasted-from-word-wrapper"><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/education/medical-admissions/bfuhs-invites-applications-for-md-ms-pg-diploma-dnb-ultrasonography-courses-know-all-admission-details-138472"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/medical-admissions/bfuhs-invites-applications-for-md-ms-pg-diploma-dnb-ultrasonography-courses-know-all-admission-details-138472"><b>Also Read:&nbsp;</b>BFUHS Invites Applications For MD, MS, PG Diploma, DNB, Ultrasonography courses, Know all admission Details</a></div><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; "><b><u>FEE STRUCTURE IN PRIVATE COLLEGES</u></b></p><div dir="ltr"><table style="text-align: justify; "><colgroup><col><col><col><col></colgroup><tbody><tr><td colspan="4"><p dir="ltr" style="text-align: center; "><b><u>FEE STRUCTURE FOR NRI CANDIDATES</u></b></p></td></tr><tr><td rowspan="2"><p dir="ltr" style="text-align: left;">Lump sum.</p></td><td><p dir="ltr">MD/MS (Clinical) US $</p></td><td><p dir="ltr">MD/MS (Basic Sciences)US $</p></td><td><p dir="ltr">PG Diploma US $</p></td></tr><tr><td><p dir="ltr">125,000/- </p></td><td><p dir="ltr">20,000/- </p></td><td><p dir="ltr">30,000/- </p></td></tr><tr><td><p dir="ltr">Installments.</p></td><td><p dir="ltr">MD/MS (Clinical) US $ </p></td><td><p dir="ltr">MD/MS (Basic Sciences)US $ </p></td><td><p dir="ltr">PG Diploma US $</p></td></tr><tr><td><p dir="ltr">First (at the time of Admission).</p></td><td><p dir="ltr">65000/- </p></td><td><p dir="ltr">10,000/- </p></td><td><p dir="ltr">15,000/-</p></td></tr><tr><td><p dir="ltr">Second (after the one year of 1st Payment).</p></td><td><p dir="ltr">30,000/- </p></td><td><p dir="ltr">5,000/- </p></td><td><p dir="ltr">8,000/-</p></td></tr><tr><td><p dir="ltr">Third (after the 2 years of 1st payment).</p></td><td><p dir="ltr">30,000/- </p></td><td><p dir="ltr">5,000/- </p></td><td><p dir="ltr">7,000/-</p></td></tr></tbody></table></div><p dir="ltr" style="text-align: justify; ">Details of six-month fee/minimum fee for 1st year to be collected from the provisionally selected candidates. </p><div dir="ltr"><table style="text-align: justify; "><colgroup><col width="53"><col width="107"><col width="64"><col width="104"><col width="99"><col width="87"><col width="105"></colgroup><tbody><tr><td rowspan="2"><p dir="ltr" style="text-align: center; "><b>S.NO</b></p></td><td rowspan="2"><p dir="ltr" style="text-align: center; "><b>SPECIALITY</b></p></td><td rowspan="2"><p dir="ltr" style="text-align: center; "><b>STREAM</b></p></td><td rowspan="2"><p dir="ltr" style="text-align: center; "><b>GOVT COLLEGES/HOSPITALSSIX MONTHS FEE</b></p></td><td colspan="3"><p dir="ltr" style="text-align: center; "><b>PRIVATE COLLEGES SIX MONTHS FEE</b></p></td></tr><tr><td><p dir="ltr" style="text-align: center; "><b>GOVERNMENT QUOTA</b></p></td><td><p dir="ltr" style="text-align: center; "><b>MANAGEMENT QUOTA</b></p></td><td><p dir="ltr" style="text-align: center; "><b>NRI QUOTA 1ST INSTALLMENT</b></p></td></tr><tr><td><p dir="ltr">1</p></td><td><p dir="ltr">Anatomy</p></td><td><p dir="ltr">Basic</p></td><td><p dir="ltr">50000</p></td><td><p dir="ltr">130000</p></td><td><p dir="ltr">130000</p></td><td><p dir="ltr">US$ 10000 </p></td></tr><tr><td><p dir="ltr">2</p></td><td><p dir="ltr">Biochemistry</p></td><td><p dir="ltr">Basic</p></td><td><p dir="ltr">50000</p></td><td><p dir="ltr">130000</p></td><td><p dir="ltr">130000</p></td><td><p dir="ltr">US$ 10000 </p></td></tr><tr><td><p dir="ltr">3</p></td><td><p dir="ltr">Immuno Haematology and Blood Transfusion</p></td><td><p dir="ltr">Basic</p></td><td><p dir="ltr">50000</p></td><td><p dir="ltr">130000</p></td><td><p dir="ltr">130000</p></td><td><p dir="ltr">US$ 10000 </p></td></tr><tr><td><p dir="ltr">4</p></td><td><p dir="ltr">Microbiology</p></td><td><p dir="ltr">Basic</p></td><td><p dir="ltr">50000</p></td><td><p dir="ltr">130000</p></td><td><p dir="ltr">130000</p></td><td><p dir="ltr">US$ 10000 </p></td></tr><tr><td><p dir="ltr">5</p></td><td><p dir="ltr">Pharmacology</p></td><td><p dir="ltr">Basic</p></td><td><p dir="ltr">50000</p></td><td><p dir="ltr">130000</p></td><td><p dir="ltr">130000</p></td><td><p dir="ltr">US$ 10000 </p></td></tr><tr><td><p dir="ltr">6</p></td><td><p dir="ltr">Physiology</p></td><td><p dir="ltr">Basic</p></td><td><p dir="ltr">50000</p></td><td><p dir="ltr">130000</p></td><td><p dir="ltr">130000</p></td><td><p dir="ltr">US$ 10000 </p></td></tr><tr><td><p dir="ltr">7</p></td><td><p dir="ltr">Community Medicine</p></td><td><p dir="ltr">Basic</p></td><td><p dir="ltr">50000</p></td><td><p dir="ltr">130000</p></td><td><p dir="ltr">130000</p></td><td><p dir="ltr">US$ 10000 </p></td></tr><tr><td><p dir="ltr">8</p></td><td><p dir="ltr">Forensic Medicine &amp; Toxicology</p></td><td><p dir="ltr">Basic</p></td><td><p dir="ltr">50000</p></td><td><p dir="ltr">130000</p></td><td><p dir="ltr">130000</p></td><td><p dir="ltr">US$ 10000 </p></td></tr><tr><td><p dir="ltr">9</p></td><td><p dir="ltr">Anaesthesiology</p></td><td><p dir="ltr">Clinical</p></td><td><p dir="ltr">62500</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">US$ 65000</p></td></tr><tr><td><p dir="ltr">10</p></td><td><p dir="ltr">Skin &amp; STD</p></td><td><p dir="ltr">Clinical</p></td><td><p dir="ltr">62500</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">US$ 65000</p></td></tr><tr><td><p dir="ltr">11</p></td><td><p dir="ltr">General Medicine</p></td><td><p dir="ltr">Clinical</p></td><td><p dir="ltr">62500</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">US$ 65000</p></td></tr><tr><td><p dir="ltr">12</p></td><td><p dir="ltr">Obstetrics &amp; Gynaecology </p></td><td><p dir="ltr">Clinical</p></td><td><p dir="ltr">62500</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">US$ 65000</p></td></tr><tr><td><p dir="ltr">13</p></td><td><p dir="ltr">Ophthalmology</p></td><td><p dir="ltr">Clinical</p></td><td><p dir="ltr">62500</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">US$ 65000</p></td></tr><tr><td><p dir="ltr">14</p></td><td><p dir="ltr">Orthopedics</p></td><td><p dir="ltr">Clinical</p></td><td><p dir="ltr">62500</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">US$ 65000</p></td></tr><tr><td><p dir="ltr">15</p></td><td><p dir="ltr">ENT</p></td><td><p dir="ltr">Clinical</p></td><td><p dir="ltr">62500</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">US$ 65000</p></td></tr><tr><td><p dir="ltr">16</p></td><td><p dir="ltr">Pathology</p></td><td><p dir="ltr">Clinical</p></td><td><p dir="ltr">62500</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">US$ 65000</p></td></tr><tr><td><p dir="ltr">17</p></td><td><p dir="ltr">Paediatrics</p></td><td><p dir="ltr">Clinical</p></td><td><p dir="ltr">62500</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">US$ 65000</p></td></tr><tr><td><p dir="ltr">18</p></td><td><p dir="ltr">Psychiatry</p></td><td><p dir="ltr">Clinical</p></td><td><p dir="ltr">62500</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">US$ 65000</p></td></tr><tr><td><p dir="ltr">19</p></td><td><p dir="ltr">Radio-diagnosis</p></td><td><p dir="ltr">Clinical</p></td><td><p dir="ltr">62500</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">US$ 65000</p></td></tr><tr><td><p dir="ltr">20</p></td><td><p dir="ltr">General Surgery</p></td><td><p dir="ltr">Clinical</p></td><td><p dir="ltr">62500</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">US$ 65000</p></td></tr><tr><td><p dir="ltr">21</p></td><td><p dir="ltr">Radiotherapy</p></td><td><p dir="ltr">Clinical</p></td><td><p dir="ltr">62500</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">US$ 65000</p></td></tr><tr><td><p dir="ltr">22</p></td><td><p dir="ltr">TB &amp; Chest</p></td><td><p dir="ltr">Clinical</p></td><td><p dir="ltr">62500</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">325000</p></td><td><p dir="ltr">US$ 65000</p></td></tr><tr><td><p dir="ltr">23</p></td><td><p dir="ltr">Diploma in Anaesthesia (DA)</p></td><td><p dir="ltr">Clinical</p></td><td><p dir="ltr">62500</p></td><td><p dir="ltr">195000</p></td><td><p dir="ltr">195000</p></td><td><p dir="ltr">US$ 15000</p></td></tr><tr><td><p dir="ltr">24</p></td><td><p dir="ltr">Diploma in Child Health (DCH)</p></td><td><p dir="ltr">Clinical</p></td><td><p dir="ltr">62500</p></td><td><p dir="ltr">195000</p></td><td><p dir="ltr">195000</p></td><td><p dir="ltr">US$ 15000</p></td></tr><tr><td><p dir="ltr">25</p></td><td><p dir="ltr">PGDMS</p></td><td></td><td><p dir="ltr">20000</p></td><td></td><td></td><td></td></tr><tr><td><p dir="ltr">27</p></td><td><p dir="ltr">Ultrasonography Training</p></td><td><p dir="ltr">Training</p></td><td><p dir="ltr">10000</p></td><td><p dir="ltr">50000</p></td><td><p dir="ltr">50000</p></td><td></td></tr><tr><td><p dir="ltr">27</p></td><td><p dir="ltr">DNB Courses</p></td><td></td><td><p dir="ltr">37500</p></td><td></td><td></td><td></td></tr></tbody></table></div><p dir="ltr" style="text-align: justify; "><b><i>The annual course fees prescribed by NBEMS for its courses and payable by the trainee are as follows-</i></b></p><div dir="ltr"><table style="text-align: justify; "><colgroup><col width="53"><col width="166"><col width="405"></colgroup><tbody><tr><td><p dir="ltr" style="text-align: center; "><b>S.NO</b></p></td><td><p dir="ltr" style="text-align: center; "><b>PARTICULARS</b></p></td><td><p dir="ltr" style="text-align: center; "><b>FEES</b></p></td></tr><tr><td><p dir="ltr">1</p></td><td><p dir="ltr">Tuition Fees.</p></td><td><p dir="ltr">Rs. 75,000/-</p></td></tr><tr><td><p dir="ltr">2</p></td><td><p dir="ltr">Library Fees.</p></td><td><p dir="ltr">Rs. 15,000/-</p></td></tr><tr><td><p dir="ltr">3</p></td><td><p dir="ltr">Annual Appraisal Fees.</p></td><td><p dir="ltr">Rs. 15,000/-</p></td></tr><tr><td><p dir="ltr">4</p></td><td><p dir="ltr">Accommodation Fees.</p></td><td><p dir="ltr">Rs. 20,000/-</p></td></tr></tbody></table></div></div><div class="pasted-from-word-wrapper"><div></div></div>

150. 49,772 PG medical seats in 81 specialities, Maximum in MD General Medicine– NMC matrix

     Fri, 22 Nov 2024 12:16:02 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261857-mdtv-2024-11-22t163230274.webp' /><div class="pasted-from-word-wrapper"><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">Altogether 49,772 postgraduate medical seats are available in 81 specialities at 586 medical institutes across the country for the academic year 2024-2025, the <a href="https://medicaldialogues.in/topics/nmc">National Medical Commission</a> (NMC) has informed.</p><div id="ATS_mid1"></div><p style="text-align: justify;">The Apex Medical Education Regulatory Body i.e. NMC shared data in this regard in a letter directed to the heads of the medical colleges across the country.</p></div><div class="pasted-from-word-wrapper"><div style="text-align: justify; "><i><b>For more information, click on the link below:</b></i></div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify;"><a href="https://medicaldialogues.in/news/education/49772-pg-medical-seats-available-in-81-specialities-maximum-in-md-general-medicine-nmc-seat-matrix-138446#:~:text=PG%20Medical...-,49,772%20PG%20Medical%20seats%20Available%20in%2081%20Specialities,%20Maximum%20in,General%20Medicine-%20NMC%20seat%20matrix&amp;text=New%20Delhi:%20Altogether%2049,772%20postgraduate,Medical%20Commission%20(NMC)%20has%20informed"><i><b>49,772 PG Medical seats Available in 81 Specialities, Maximum in MD General Medicine- NMC seat matrix</b></i></a></div></div></div>

151. SC delays NEET PG 2024 hearing for the 4th time

     Fri, 22 Nov 2024 12:15:54 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261858-mdtv-2024-11-22t163632559.webp' /><div class="pasted-from-word-wrapper"><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">The confusion and the uncertainty over the National Eligibility-Entrance Test Postgraduate (NEET-PG) 2024 continues as the <a href="https://medicaldialogues.in/topics/supreme-court">Supreme Court </a>once again deferred the petition hearing seeking the release of the exam answer key.</p><div id="ATS_mid1"></div><p style="text-align: justify; ">Even though the matter was scheduled for hearing yesterday, the Apex Court has now postponed it for further hearing on November 26, 2024, TOI has reported.</p></div><div class="pasted-from-word-wrapper"><div><p style="text-align: justify; "><i><b>For more information, click on the link below:</b></i></p></div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify;"><i><a href="https://medicaldialogues.in/news/education/postponed-again-sc-defers-neet-pg-2024-hearing-for-the-4th-time-138440"><b>Postponed Again! SC Defers NEET PG 2024 Hearing for the 4th Time</b></a></i></div></div></div>

152. Health Bulletin 22/ November/ 2024

     Fri, 22 Nov 2024 12:12:13 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261854-health-bulletin-53.webp' /><p style="text-align: justify; "><b>Here are the top health news for the day:</b></p><div class="pasted-from-word-wrapper"><div style="text-align: justify; "><b>49,772 PG medical seats in 81 specialities, Maximum in MD General Medicine– NMC matrix</b></div></div><div class="pasted-from-word-wrapper"><p style="text-align: justify;"> Altogether 49,772 postgraduate medical seats are available in 81 specialities at 586 medical institutes across the country for the academic year 2024-2025, the <a href="https://medicaldialogues.in/topics/nmc">National Medical Commission</a> (NMC) has informed.</p><div id="ATS_mid1"></div><p style="text-align: justify; ">The Apex Medical Education Regulatory Body i.e. NMC shared data in this regard in a letter directed to the heads of the medical colleges across the country.</p></div><div class="pasted-from-word-wrapper"><div style="text-align: justify; "><b><i>For more information, click on the link below:</i></b></div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify; "><b><a href="https://medicaldialogues.in/news/education/49772-pg-medical-seats-available-in-81-specialities-maximum-in-md-general-medicine-nmc-seat-matrix-138446#:~:text=PG%20Medical...-,49%2C772%20PG%20Medical%20seats%20Available%20in%2081%20Specialities%2C%20Maximum%20in,General%20Medicine%2D%20NMC%20seat%20matrix&amp;text=New%20Delhi%3A%20Altogether%2049%2C772%20postgraduate,Medical%20Commission%20(NMC)%20has%20informed"><i>49,772 PG Medical seats Available in 81 Specialities, Maximum in MD General Medicine- NMC seat matrix</i></a></b></div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify;"><b>SC delays NEET PG 2024 hearing for the 4th time</b></div></div><div class="pasted-from-word-wrapper"><p style="text-align: justify;">The confusion and the uncertainty over the National Eligibility-Entrance Test Postgraduate (NEET-PG) 2024 continues as the <a href="https://medicaldialogues.in/topics/supreme-court">Supreme Court </a>once again deferred the petition hearing seeking the release of the exam answer key.</p><div id="ATS_mid1"></div><p style="text-align: justify;">Even though the matter was scheduled for hearing yesterday, the Apex Court has now postponed it for further hearing on November 26, 2024, TOI has reported.</p></div><div class="pasted-from-word-wrapper"><div><p style="text-align: justify;"><b><i>For more information, click on the link below:</i></b></p></div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify;"><b><i><a href="https://medicaldialogues.in/news/education/postponed-again-sc-defers-neet-pg-2024-hearing-for-the-4th-time-138440">Postponed Again! SC Defers NEET PG 2024 Hearing for the 4th Time</a></i></b></div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify;"><b>Indore doctor dies after colliding car into another vehicle</b></div></div><div class="pasted-from-word-wrapper"><p style="text-align: justify;">A tragic incident claimed the life of a 59-year-old <a href="https://medicaldialogues.in/news/health/doctors" target="_blank">doctor</a> after his car rammed into another vehicle from behind which was waiting at a traffic signal near Rasoma Square, causing severe injuries to the doctor.</p><div id="ATS_mid1"></div><p style="text-align: justify;">According to eyewitnesses, the doctor suffered severe impact which caused his chest to hit the steering wheel due to which he got critically injured. Although he was rushed for treatment, he could not survive and died.</p></div><div class="pasted-from-word-wrapper"><div><p style="text-align: justify;"><b><i>For more information, click on the link below:</i></b></p></div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify;"><b><i><a href="https://medicaldialogues.in/news/health/doctors/indore-doctor-rams-car-into-another-vehicle-dies-138443#:~:text=According%20to%20eyewitnesses%2C%20the%20doctor,could%20not%20survive%20and%20died.&amp;text=The%20doctor%20has%20been%20identified,a%20resident%20of%20Shalimar%20Township.">Indore doctor rams car into another vehicle, dies</a></i></b></div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify;"><b>Indian Chest Society criticizes NMC for removing respiratory medicine departments amid pollution</b></div></div><div class="pasted-from-word-wrapper" style="text-align: justify;">The Indian Chest Society has criticized the National Medical Commission’s (NMC) decision to remove Respiratory Medicine departments from MBBS courses, especially amid worsening air pollution in India. </div><div class="pasted-from-word-wrapper"><div style="text-align: justify; ">With AQI levels surpassing 1,000 in many areas, the society highlights the increasing burden of respiratory and cardiovascular diseases, particularly among vulnerable groups. The NMC's earlier decision to exclude Respiratory Medicine, Emergency Medicine, and Physical Medicine from essential departments for undergraduate courses has raised concerns, with experts warning it could impede efforts to combat diseases like tuberculosis. Meanwhile, the Delhi government has instructed hospitals to form specialist teams to manage pollution-related respiratory cases.</div></div>

153. GSK's Augmentin Leads Indian Pharma Market in October with Rs 843 Crore Sales: Pharmatrac Report

     Fri, 22 Nov 2024 12:10:39 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/07/09/243440-drug-interaction.webp' /><p style="text-align: justify; "><b>New Delhi:</b> As the Indian Pharmaceutical Market (IPM) continues its upward trajectory, Augmentin by GlaxoSmithKline (GSK) has stood the test of time and consistently maintained its position as a market leader. Augmentin remained the top-selling drug in October, with an impressive Rs 843 crore in sales, despite slight fluctuations in unit growth, according to market research firm Pharmatrac.</p><div class="pasted-from-word-wrapper"><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">Besides <a href="https://medicaldialogues.in/search?search=augmentin">Augmentin</a>, USV’s Glycomet GP also continue to lead the pack, while newer entrants like Alkem’s Pan and Abbott’s Ryzodeg have made significant strides in a rapidly changing market.</p><p style="text-align: justify;">According to a recent Pharmatrac report, the rankings of the top-selling pharmaceutical brands in India have evolved, reflecting the industry's ability to adapt to the changing healthcare needs of the population. A closer analysis of both the Moving Annual Total (MAT) and Month-to-Highlight (MTH) performances for October 2024 reveals interesting trends and significant movements in the rankings of leading brands.</p><p style="text-align: justify;"><b>Top Brands by Sales Value (MAT Oct’24)</b></p><p style="text-align: justify;"><b>GSK’s Augmentin</b></p><p style="text-align: justify;">GSK’s Augmentin continues to reign as the top-selling drug in India, with a sales value of Rs 843 crore for the month. Despite a slight -0.8% decline in unit growth, the brand managed to post a 1.8% increase in value for October, reinforcing its dominant position in the antibiotic market. The continued demand for Augmentin highlights its reliability and strong consumer base in the Indian healthcare system.</p><p style="text-align: justify;"><b>USV’s Glycomet GP</b></p><p style="text-align: justify;"><a href="https://medicaldialogues.in/search?search=glycomet">Glycomet </a>GP, a leading treatment for diabetes, secures the second position with Rs 796 crore in sales. The brand saw a 4.8% increase in value year-on-year and a 3.0% rise in sales volume for October. Glycomet GP’s success reflects the growing demand for effective diabetes management solutions in India, a country that has seen an alarming rise in diabetes cases.</p><p style="text-align: justify;"><b>Abbott’s Mixtard</b></p><p style="text-align: justify;">Abbott’s Mixtard, a popular insulin product, continues to perform strongly in the third position with Rs 747 crore in sales. The brand experienced a 3.8% growth in value and an impressive 12.5% increase in sales volume for October, reflecting the continued rise of diabetes prevalence in India and the increasing need for insulin products.</p><p style="text-align: justify;"><b>Alkem’s Pan</b></p><p style="text-align: justify;">Alkem’s Pan has seen a remarkable rise in the rankings, moving to fourth place with Rs 726 crore in sales. The brand experienced a 10.8% value growth over the past year, and a 15.4% increase in sales volume for October. The surge in sales demonstrates Pan’s growing market share in gastrointestinal treatments, making it a key player in the therapeutic area.</p><p style="text-align: justify;"><b>Cipla’s <a href="https://medicaldialogues.in/search?search=foracort">Foracort</a></b></p><p style="text-align: justify;">Foracort, Cipla’s flagship product for respiratory treatments, maintains its position in the fifth spot with Rs 724 crore in sales. The brand has seen a 6.9% increase in value over the past year, and a 7.9% rise in sales volume for October. The growing demand for respiratory medications, particularly for asthma, continues to drive Foracort’s success.</p><p style="text-align: justify;">The rankings of several brands saw significant shifts in October 2024. Alkem’s Pan, driven by both value and volume growth, surged from fourth to second position. Similarly, Abbott’s Ryzodeg saw a remarkable 35.3% increase in value, along with a 24.7% rise in sales volume for the month of October. The brand’s strong performance reflects the increased demand for advanced insulin formulations in diabetes management.</p><p style="text-align: justify;">FDC’s Electral also saw impressive growth, with a 29.9% increase in sales value for the year, along with a 33.0% rise in sales volume for October. The surge can be attributed to the growing demand for oral rehydration solutions, particularly in regions affected by seasonal illnesses and dehydration.</p><p style="text-align: justify;">Despite the positive growth in value across several top-selling brands, volume growth remains a challenge for some. Himalaya’s Liv.52 and Aristo’s Monocef, for instance, faced declines in sales volume, with decreases of -1.0% and -13.4%, respectively. However, both brands managed to retain strong positions in the rankings due to continued value growth.</p><p style="text-align: justify; "><i><b>Also Read: <a href="https://medicaldialogues.in/news/industry/pharma/indian-pharma-market-grows-at-68-percent-in-october-chronic-therapies-dominate-iqvia-138338">Indian Pharma Market grows at 6.8 percent in October, Chronic Therapies Dominate: IQVIA</a></b></i></p></div></div>

154. Disparaging Remarks on Joe Biden's Cognitive Abilities: Doctors demand apology from Rahul Gandhi

     Fri, 22 Nov 2024 12:00:16 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261867-rahul-gandhi.webp' /><div class="pasted-from-word-wrapper"><p><span style="text-align: justify;">New Delhi:&nbsp;</span>A group of medical practitioners has called for a public apology from Congress leader Rahul Gandhi over his controversial remarks about the cognitive abilities of US President Joe Biden. The All India President of the National Medicos Organisation Bharat (NMO-Bharat), condemned Gandhi's comments, calling them insensitive.</p><p style="text-align: justify;">In a letter to former Congress chief and Rahul Gandhi's mother Sonia Gandhi, All India President of the National Medicos Organisation Bharat (NMO-Bharat) C B Tripathi said Rahul Gandhi's comments perpetuate harmful stereotypes about ageing and cognitive health.</p><p style="text-align: justify;">According to the PTI report, addressing a poll rally in Maharashtra's Amravati on November 16, Leader of the Opposition in Lok Sabha Rahul Gandhi said Prime Minister <a href="https://medicaldialogues.in/topics/narendra-modi" target="_blank" rel="nofollow">Narendra Modi</a> appears to be suffering "memory loss" like the "former President" of the US, apparently referring to Biden, the outgoing president of the United States of America.</p><p style="text-align: justify; ">Tripathi said in the letter, "Such statements on a public platform risk perpetuating misinformation, potentially shaping public perceptions in ways that could negatively impact the understanding and treatment of actual patients." The NMO-Bharat is deeply troubled by the remarks attributed to Rahul Gandhi, "which appeared to disparage the cognitive abilities of the President of the United States, Joe Biden", he said.</p><p style="text-align: justify;"><b><i><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/health/doctors/forceps-left-inside-patients-abdomen-at-gmc-kozhikode-rahul-gandhi-urges-kerala-cm-for-compensation-115940"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/health/doctors/forceps-left-inside-patients-abdomen-at-gmc-kozhikode-rahul-gandhi-urges-kerala-cm-for-compensation-115940">Also Read:Forceps left inside patient's abdomen at GMC Kozhikode: Rahul Gandhi urges Kerala CM for compensation</a></i></b></p><p style="text-align: justify;">"It is disappointing to see Rahul Gandhi comment so crudely about a foreign head of state who is much senior and older than him. This flies right in the face of our Indian ethos of respecting our elders. Such remarks are unbecoming of a leader of opposition and suggest a lack of understanding and sensitivity," Tripathi said in the letter.</p><p style="text-align: justify;">Rahul Gandhi's comments also veer into ageist territory, perpetuating harmful stereotypes about ageing and cognitive health, he said.</p><p style="text-align: justify;">"This is not just disrespectful to the individuals targeted but also to countless senior citizens in India who contribute meaningfully to society despite health challenges," the letter said.</p><p style="text-align: justify;">"Mrs. Gandhi, you have personally been a victim of such health-related rumours, misinformation, and allegations. You would know how damaging such narratives can be, not only for the individuals targeted but also for the broader discourse in society. This gives us confidence that you, of all people, can understand why your son's remarks were both unfortunate and misguided," the letter said.</p><p style="text-align: justify;">"On behalf of the medical community, we urge Mr Gandhi to reflect on his remarks, issue a public apology, and refrain from making such insensitive comments in the future. Political dialogue should uplift and unite, not stigmatise or mock," Tripathi said.</p><p style="text-align: justify;"><b><i><a class="also-read-media-wrap" href="https://medicaldialogues.in/rahul-gandhi-expresses-concern-over-attack-on-gorakhpur-doctor-kafeel-khans-brother"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/rahul-gandhi-expresses-concern-over-attack-on-gorakhpur-doctor-kafeel-khans-brother">Also Read:Rahul Gandhi expresses concern over attack on Gorakhpur doctor Kafeel Khan's brother</a></i></b></p><div></div><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap"><div></div></div></div></div>

155. Can doctors use digital signatures in medical documents? Delhi HC asks Govt to decide

     Fri, 22 Nov 2024 12:00:09 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/03/09/233935-court.webp' /><div class="pasted-from-word-wrapper"><p><span style="text-align: justify;">New Delhi:&nbsp;</span>To safeguard the authenticity of medical records, t<span style="background-color: rgb(255, 255, 255);">he </span><a href="https://medicaldialogues.in/topics/delhi-high-court" target="_blank">Delhi High Court </a><span style="background-color: rgb(255, 255, 255);">on Friday directed the</span>&nbsp;Central and Delhi governments to review a petition requesting the establishment of clear guidelines to prevent the illegal use of scanned or fake signatures, including JPEG, PNG, and BMP files, being passed off as legitimate digital signatures in medical documents.</p></div><div class="pasted-from-word-wrapper"><p><span style="text-align: justify;">The petition highlighted their use in authenticating medical reports, prescriptions, certificates, and other documents in medical labs, hospitals, clinics, and healthcare facilities.</span><br></p><p style="text-align: justify; ">According to an ANI report, it was submitted that despite the petitioner submitting representations to the Health Department, GNCTD via email on August 4, and to other respondents via email on August 13, the respondents have neither acknowledged nor addressed the representation.</p><p style="text-align: justify;">The matter was heard on Friday by a bench led by Chief Justice Manmohan, with Justice Tushar Rao Gedela. The court granted the respondent authorities additional time to decide on the representation.</p><p style="text-align: justify;"><b><i><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/health/doctors/maha-doctor-allegedly-prepares-fake-documents-to-show-delivery-of-child-booked-78564"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/health/doctors/maha-doctor-allegedly-prepares-fake-documents-to-show-delivery-of-child-booked-78564">Also Read:Maha: Doctor allegedly prepares fake documents to show delivery of child, booked</a></i></b></p><p style="text-align: justify;">It stated that the issue raised in this petition concerns the unauthorized use of scanned images or JPG files of an individual’s inked signature, facsimile seals, or hand signatures (made on a tablet using a finger or stylus) for authenticating lab reports, prescriptions, medical certificates, notifications, and similar documents in medical diagnostic laboratories, hospitals, clinics, and other clinical establishments.</p><p style="text-align: justify;">This practice, carried out by both qualified and unqualified medical personnel, is a matter of national concern and calls for the issuance of central guidelines.</p><p style="text-align: justify;">The plea moved by Dr Rohit Jain through Advocate Shashank Deo Sudhi stated that a patient’s test results in a laboratory must be checked, clinically correlated, and authenticated by a Registered Medical Practitioner (RMP) with recognized medical qualifications before the report is released. The RMP is responsible for the accuracy of the report and is medicolegally liable for its contents.</p><p style="text-align: justify;">According to a reply to an RTI request by the petitioner dated December 3, 2019, the erstwhile <a href="https://medicaldialogues.in/topics/medical-council-of-india" target="_blank">Medical Council of India</a> (MCI) stated that the physical presence of the doctor is required to sign reports.</p><p style="text-align: justify;">However, MCI regulations are silent on the validity of digital signatures on lab reports. In the current work environment, laboratory reports are digitally authenticated on computerized systems. The doctor logs into the system using their user ID and password, and the reports are authenticated by the doctor. Once the work is completed, the doctor must log out of the system, news agency ANI reported.</p><p style="text-align: justify;">Laboratories store pictures of doctors’ signatures in formats like jpeg or png in their computerized systems. These digital images of the signatures are then pasted onto authenticated reports when printing or creating PDF versions.</p><p style="text-align: justify;">It is also relevant to note that doctors sometimes share their user ID and password with others, allowing them to authenticate reports on the doctor’s behalf. Doctors may occasionally visit the laboratories but allow their associates to use their digital signatures without the doctor reviewing the reports, the plea read.</p><p style="text-align: justify;">In some cases, even after a doctor resigns from a laboratory, their digital signature continues to be used by the laboratory, effectively allowing the signature to be applied in the doctor’s absence, plea read</p><p style="text-align: justify;"><b><i><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/health/doctors/fake-registration-of-doctors-committee-finds-suspicious-documents-sends-verification-team-to-3-states-137167"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/health/doctors/fake-registration-of-doctors-committee-finds-suspicious-documents-sends-verification-team-to-3-states-137167">Also Read:Fake Registration of Doctors: Committee finds suspicious documents, Sends Verification Team to 3 States</a></i></b></p><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap"><div></div></div></div></div>

156. New PG Medical Courses, Institutes, Seat Increase: NMC further Extends Application Deadline

     Fri, 22 Nov 2024 11:32:53 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261856-nmc-warning.webp' /><p>New Delhi: The National Medical Commission (<a href="https://medicaldialogues.in/topics/nmc" target="_blank">NMC</a>) has extended the last date for submission of applications for starting new Post-Graduate Medical Courses in an established medical institution, establishing a new Post-Graduate Medical Institution (standalone PG institute) and increase of seats in existing Post-Graduate medical courses for the Academic Year (AY) 2025-2026.</p><p>While previously the last date to receive applications was 17.10.2024, then 08.11.2024 and till today, now MARB has extended it further till 10.12.2024.</p><p>Issuing a public notice in this regard on 22.11.2024, the Medical Assessment and Rating Board of the Commission mentioned, Vide Public Notice of even number dated 18.09.2024 of Medical Assessment and Rating Board (MARB) of National medical commission (NMC), New Delhi, applications had been invited for starting of new Post Graduate medical Courses in an established Medical Institution, establishing a new Post-Graduate Medical Institution (standalone PG Institute) and increase of seats in existing Post-Graduate Medical Courses through the web portal for the Academic Year 2025-2026. The last date of receiving of applications was 17.10.2024. MARB of NMC had previously been extended for submission of Applications till 08.11.2024 vide Public Notice dated 16-10-2024 and again extended till 22.11.2024 vide public notice dated 06-11-2024. Now, MARB of NMC has decided to extend the submission of applications till 10.12.2024."</p><p>"The other terms and conditions mentioned in the aforesaid Public Notice of even number dated 18.09.2024 shall remain the same. This issues with the approval of the Competent Authority.", the notice mentioned.</p><div class="pasted-from-word-wrapper"><p>Medical Dialogues had earlier reported that back in September 2024, <a href="https://medicaldialogues.in/topics/nmc">NMC</a> had invited applications for starting new post-graduate medical courses in an established medical institution, establishing a new post-graduate medical institution (standalone PG institute) and increase of seats in existing post-graduate medical courses for the Academic Year 2025-2026.</p><p>Back then, in the notice dated 18.09.2024, NMC had informed that only online applications could be submitted on the web portal of the official NMC website till 17th October, 2024.</p><p>In the notice, NMC had instructed the medical colleges/institutes to upload the following three documents in PDF format in the online application form-</p><p> Valid Essentiality Certificate (EC) in the prescribed Proforma for starting of new Post-Graduate medical Courses in an established medical institution, establishing a new Post-Graduate medical institution (standalone PG institute) under the heading/column "Essentiality Certificate".</p><div class="pasted-from-word-wrapper"><p> Valid Consent of Affiliation (CoA) in the prescribed Proforma, and</p><p> Justification for the number of requested seats</p><p>The Commission had also clarified that the applications would only be accepted after online payment of the requisite fee through the link generated during the filling of the application.</p></div><p>NMC had also released the guidelines for filling online applications for PG medical courses in the notice dated 18.09.2024 including the online application process, evaluation of application and assessment process, scrutiny and final decision etc. It had also mentioned the fee for various applications/processes effective from 17th November, 2023, and the rate of bank guarantee for PG courses and additional PG medical seats.</p></div><p><b><i>To view the official Notice, Click here :&nbsp;<a href="https://medicaldialogues.in/pdf_upload/document-106-261853.pdf" target="_blank">https://medicaldialogues.in/pdf_upload/document-106-261853.pdf</a></i></b></p>

157. Declared Dead in Rajasthan Hospital, Man comes back to life, 3 doctors suspended

     Fri, 22 Nov 2024 10:38:58 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/02/12/232102-suspended-1.webp' /><div class="pasted-from-word-wrapper"><p><span style="text-align: justify;">Jhunjhunu: In a shocking case, a man presumed dead by doctors&nbsp;</span>at BDK Hospital in Rajasthan’s Jhunjhunu district came back to life moments before his cremation. In response, the state government has&nbsp;<a href="https://medicaldialogues.in/topics/medical-students-suspended" target="_blank">suspended</a>&nbsp;three doctors for alleged medical negligence and ordered an inquiry into the case. &nbsp; &nbsp;&nbsp;</p><p>The man, identified as 25-year-old Rohitash Kumar, a deaf and mute man, was admitted to the emergency ward of BDK Hospital in Jhunjhunu after his health deteriorated on Thursday. &nbsp; &nbsp;&nbsp;</p></div><div class="pasted-from-word-wrapper"><p style="text-align: justify;">According to officials, Rohitash Kumar, who has no family and resided in a shelter home was rushed back to the district hospital, where he is now undergoing treatment in the intensive care unit. His condition is stable. &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</p><p style="text-align: justify; ">According to the PTI report, Jhunjhunu District Collector Ramavtar Meena, taking note of the alleged <a href="https://medicaldialogues.in/topics/medical-negligence" target="_blank">medical negligence</a>, suspended Dr. Yogesh Jakhar, Dr. Navneet Meel and PMO Dr. Sandeep Pachar on Thursday night. &nbsp; &nbsp; &nbsp;</p><p style="text-align: justify;"><b><i><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/health/doctors/right-kidney-removed-instead-of-left-rajasthan-medical-council-cancels-registration-of-jhunjhunu-doctor-130078"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/health/doctors/right-kidney-removed-instead-of-left-rajasthan-medical-council-cancels-registration-of-jhunjhunu-doctor-130078">Also Read:Right Kidney Removed Instead of Left! Rajasthan Medical Council Cancels Registration of Jhunjhunu Doctor</a></i></b></p><p style="text-align: justify;">A committee was also formed to investigate the matter and the secretary of the medical department has been informed, Meena said. &nbsp;</p><p style="text-align: justify;">According to police, Kumar was admitted to the emergency ward of BDK Hospital in Jhunjhunu after his health deteriorated on Thursday. &nbsp;</p><p style="text-align: justify;">The doctors of the hospital declared him dead at 2 pm when he did not respond to the treatment and kept the body in the mortuary, they said. &nbsp;&nbsp;</p><p style="text-align: justify;">The police prepared a ‘panchnama’ and transported the body to a crematorium, they added. &nbsp;</p><p style="text-align: justify;">However, as the body was placed on the pyre, Kumar suddenly started breathing, the police said. They said that an ambulance was called immediately and he was taken back to the hospital. &nbsp; &nbsp;</p><p style="text-align: justify;">Meanwhile, Revenue officer Mahendra Mund, Deputy Director of Social Justice Department Pawan Poonia also reached the hospital. &nbsp; &nbsp;&nbsp;</p><p style="text-align: justify;"><b><i><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/health/doctors/3-resident-doctors-of-gynaecology-dept-suspended-after-woman-delivers-outside-jaipur-hospital-126755"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/health/doctors/3-resident-doctors-of-gynaecology-dept-suspended-after-woman-delivers-outside-jaipur-hospital-126755">Also Read:3 resident doctors of Gynaecology Dept suspended after woman delivers outside Jaipur Hospital</a></i></b></p><div></div><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap"><div></div></div></div></div>

158. Violation of NMC rules- This Delhi's Medical College has no Regular or Contractual Faculty Working in Medicine Dept, reveals RTI

     Fri, 22 Nov 2024 10:11:29 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261829-bsa-medical-college.webp' /><p style="text-align: justify; "><b>New Delhi:</b>&nbsp;In a shocking revelation in response to a <a href="https://medicaldialogues.in/topics/right-to-information-act">Right to Information</a> (RTI) application, Delhi-based Dr Babasaheb Ambedkar Medical College's Medicine Department has neither regular nor contractual faculties.</p><p style="text-align: justify; ">The said RTI application was filed by a medical student seeking the details of a separate list of contractual and permanent faculty currently working as of date 29.10.2024 in the Department of Medicine at BSA Medical College.</p><p style="text-align: justify; ">In response to the RTI, the college informed on November 11, 2024, <i>"Neither Regular nor Contractual Doctor/faculty working in the Department of Medicine in Dr. BSA Medical College."</i></p><p style="text-align: justify; ">Commenting on the matter, the medical student who filed the RTI query told Edex Live on condition of anonymity, "On November 20, I received the response from the administration."</p><p style="text-align: justify; "><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/medical-colleges/rajasthan-private-medical-colleges-paying-mbbs-interns-resident-doctors-far-lesser-than-govt-mandate-reveals-rti-131592" style="background-color: rgb(255, 255, 255);"><b><i>Also Read: Rajasthan Private Medical Colleges Paying MBBS Interns, Resident doctors Far Lesser than Govt Mandate: Reveals RTI</i></b></a></p><p style="text-align: justify; "><b>NMC Rules:</b>&nbsp;</p><p style="text-align: justify; ">As per the "Establishment of New Medical Institutions, Starting of New Medical Courses, Increase of Seats for Existing Courses &amp; Assessment and Rating Regulations, 2023" (<a href="https://medicaldialogues.in/topics/msr-2023">UG-MSR 2023</a>), the faculty requirement for the Medicine Department of a college is as follows:</p><p style="text-align: justify; ">(1) For 50 MBBS seats, 1 Professor, 1 Associate Professor, 2 Asst. Professor and 2 Senior Residents are required.</p><p style="text-align: justify; ">(2) For 100 MBBS seats, 1 Professor, 3 Associate Professor, 4 Asst. Professor and 4 Senior Residents are required.</p><p style="text-align: justify; ">(3) For 150 MBBS seats, 1 Professor, 4 Associate Professor, 5 Asst. Professor and 5 Senior Residents are required.</p><p style="text-align: justify; ">(4) For 200 MBBS seats, 1 Professor, 6 Associate Professor, 7 Asst. Professor and 7 Senior Residents are required.</p><p style="text-align: justify; ">(5) For 250 MBBS seats, 1 <a href="https://medicaldialogues.in/topics/professor">Professor</a>, 7 Associate Professor, 8 Asst. Professor and 8 Senior Residents are required.</p><p style="text-align: justify; ">Meanwhile, commenting on the issue of the absence of any faculty in the Medicine Department of BSA Medical College, a senior resident at the institute revealed on the condition of anonymity that the lack of faculty has been adversely affecting the academics of the MBBS and postgraduate (PG) students for a year.</p><p style="text-align: justify; ">The SR told <a href="https://www.edexlive.com/news/2024/Nov/21/medicine-department-of-delhis-dr-bsa-medical-college-has-no-regular-or-contractual-professors-rti" rel="nofollow">Edex Live</a>, "We, the senior residents, are managing patient care and taking classes for juniors simultaneously," and alleged that there is only one associate professor in the department.</p><p style="text-align: justify; ">"Additionally, the sole associate professor who has been designated as a professor for the medical college is from the hospital," alleged the Senior Resident. Referring to other issues, he added, "The BSA medical college was established in 2016, yet a proper college structure, adequate hostels, and proper teaching faculty are not in place. The medicine department is vital among other departments, and it is sad that it is left in such a dire state."</p><p style="text-align: justify; ">Similar opinions were expressed by another resident who added, "When I joined the college in 2020, there were seven faculty members in the department. In the past year, the department has been understaffed. Currently, one professor and three CMOs (casual medical officers) comprise the medicine department." He further added that the CMOs are from other departments and they have been transferred to the Medicine Department due to a lack of professors.</p><p style="text-align: justify; "><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/is-next-exam-happening-nmc-says-implementation-preparednessbeingexamined-136442" style="background-color: rgb(255, 255, 255);"><b><i>Also Read: Is NExT exam happening? NMC says Implementation, Preparedness being examined</i></b></a></p>

159. Marksans Pharma Secures USFDA Nod for Generic Version of Clartin Tablet

     Fri, 22 Nov 2024 09:33:57 -0000

     Marksans' product, Loratadine Tablets USP 10 mg are indicated for the treatment of allergic rhinitis.

     <img src='https://medicaldialogues.in/h-upload/2024/05/28/239475-marksans-pharma-50.webp' /><p style="text-align: justify; "><b>Mumbai:</b>&nbsp;Marksans Pharma Limited has announced the final approval of its Abbreviated New Drug Application (ANDA) for Loratadine Tablets USP 10 mg from the USFDA.</p><div class="pasted-from-word-wrapper"><p style="text-align: justify;">Loratadine Tablets USP 10 mg are indicated for the treatment of allergic rhinitis caused by pollen and upper respiratory tract allergy for over-the-counter (OTC) use.</p><p style="text-align: justify; ">This product is generic version of Clartin tablet in the same strength of Bayer Healthcare.</p><p style="text-align: justify;">Loratadine is an antihistamine that treats symptoms such as itching, runny nose, watery eyes, and sneezing from "hay fever" and other allergies.</p><p style="text-align: justify; "><b><i>Also Read:<a href="https://medicaldialogues.in/news/industry/pharma/marksans-pharma-arm-gets-uk-mhra-marketing-authorization-for-oral-emergency-contraceptive-pill-132587"> Marksans Pharma arm gets UK MHRA marketing authorization for oral emergency contraceptive pill</a></i></b></p><p style="text-align: justify;">Marksans Pharma Limited headquartered at Mumbai, India is engaged in Research, Manufacturing &amp; Marketing of generic pharmaceutical formulation in the global markets. The company's manufacturing facilities located in India, USA and UK are approved by several leading regulatory agencies including USFDA, UKMHRA and Australian TGA.</p><p style="text-align: justify;">The Company's robust product portfolio spreads over major therapeutic segments of CVS, CNS, Anti-diabetic, Pain Management, Upper respiratory and Gastroenterological. The Company is marketing these products globally. </p><p style="text-align: justify; "><b><i>Also Read: <a href="https://medicaldialogues.in/news/industry/pharma/marksans-pharma-subsidiary-relonchem-bags-marketing-authorization-from-uk-mhra-for-fluoxetine-capsules-133584">Marksans Pharma subsidiary Relonchem bags marketing authorization from UK MHRA for Fluoxetine Capsules</a></i></b></p></div>

160. Medical Bulletin 22/ November/ 2024

     Fri, 22 Nov 2024 09:30:00 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261804-top-medical-26.webp' /><p style="text-align: justify; "><b>Here are the top medical news for the day:</b></p><div class="pasted-from-word-wrapper"><div style="text-align: justify; "><b>Can Jetlag Disrupt Our Metabolism?</b></div><div style="text-align: justify;">A new study from the University of Surrey and the University of Aberdeen has found that disruptions to our body clock, such as those experienced during jetlag, impact our metabolism -- but to a lesser extent than sleepiness and the primary clock in the brain. Findings are published in iScience.</div><div style="text-align: justify;">The research involved a controlled experiment where participants experienced a 5-hour delay in their bedtime and mealtimes.</div><div style="text-align: justify; ">The study highlights that the time shifts lead to:</div><div style="text-align: justify;">Reduced energy spent processing meals.</div><div style="text-align: justify;">Changes in blood sugar and fat levels.</div><div style="text-align: justify;">Slower release of breakfast contents from the stomach.</div><div style="text-align: justify;">These metabolic effects were temporary, however, and mostly recovered within 2-3 days of the 5-hour time delay.</div><div style="text-align: justify;">This was in marked contrast to the main clock in the brain, plus feelings of sleepiness and alertness, which had not recovered within 5 days of the 5-hour time delay.</div><div style="text-align: justify;">Professor Jonathan Johnston, Professor of Chronobiology and Integrative Physiology at the University of Surrey, said:</div><div style="text-align: justify;">"Our research underscores the importance of maintaining a consistent sleep schedule, particularly in our fast-paced world in which long trips and shift work are ever so common. Even a small time shift can impact many aspects of metabolism, but it now seems that metabolic consequences of jetlag recover far more quickly than impairment of sleep and alertness. Understanding the impact of circadian rhythms on our health can help us make informed choices about our lifestyle. By optimising our sleep and eating patterns, we can improve our overall wellbeing."</div><div style="text-align: justify; ">Reference: https://www.surrey.ac.uk/news/new-study-investigates-how-jetlag-can-disrupt-our-metabolism</div><div></div><div></div><div></div><div style="text-align: justify; "><b>Earlier Diabetes Diagnosis May Be Associated with Dementia Risk</b></div><div style="text-align: justify;">People diagnosed with type 2 diabetes at a younger age are at a higher risk for developing dementia than those diagnosed later in life, according to a study led by researchers at the NYU Rory Meyers College of Nursing. The findings, published in PLOS ONE, show that the increased risk is especially pronounced among adults with obesity.</div><div style="text-align: justify;">"Our study suggests that there may be cognitive consequences to earlier onset type 2 diabetes, and it points to the need for strategies to prevent dementia that consider both diabetes and obesity," said Xiang Qi, assistant professor at NYU Meyers and the study's first author.</div><div style="text-align: justify;">To understand how the timing of a type 2 diabetes diagnosis relates to dementia risk, the research team analyzed data from 2002 to 2016 in the Health and Retirement Study, a longitudinal study conducted by the University of Michigan Institute for Social Research. The study included 1,213 U.S. adults aged 50 and over with type 2 diabetes confirmed by blood tests -- and no dementia upon joining the study. Following participants for up to 14 years, 216 (17.8%) developed dementia based on follow-up telephone interviews.</div><div style="text-align: justify;">The researchers found that adults diagnosed with type 2 diabetes at younger ages were at increased risk for developing dementia, compared to those diagnosed at 70 years or older. Adults diagnosed with diabetes before age 50 were 1.9 times as likely to develop dementia as those diagnosed at 70 and older, while those diagnosed between 50-59 years were 1.72 times as likely and those diagnosed between 60-69 years were 1.7 times as likely.</div><div style="text-align: justify; ">Using linear trend tests, the researchers found a graded association between age at diagnosis and dementia risk: for each year younger a person is at the time of their type 2 diabetes diagnosis, their risk for developing dementia increases by 1.9%.</div><div style="text-align: justify;">In addition, obesity appeared to influence the relationship between type 2 diabetes and dementia. Individuals with obesity who were diagnosed with type 2 diabetes before age 50 had the highest dementia risk in the study.</div><div></div><div style="text-align: justify;">Reference: https://www.nyu.edu/about/news-publications/news/2024/november/earlier-diabetes-diagnosis-dementia-risk.html</div><div></div><div></div><div style="text-align: justify; "><b>90% Pregnant Females Might Not Be Getting Sufficient Nutrients from Diet</b></div><div></div><div style="text-align: justify;">It's generally estimated that around 10% of pregnant people struggle to meet their nutritional needs -- but the real number could be far higher, according to new research from Stevens Institute of Technology.</div><div style="text-align: justify;">According to a recent study published in The Journal of Nutrition, over 90% of pregnant individuals are potentially failing to get enough iron, vitamin D, or vitamin E from the food they eat, while over one-third could be short of calcium, vitamin C, and vitamin A. Troublingly, almost two-thirds of pregnant people were also found to be getting insufficient dietary folate -- a critical nutrient that helps prevent birth defects in the baby's brain and spine.</div><div style="text-align: justify;">The Stevens team asked pregnant people to take before-and-after photos of everything they ate over two 14-day periods. Experts then reviewed the photos to assess the amount of food actually eaten and determine the nutrients consumed during each meal.</div><div style="text-align: justify;">That's a far more accurate approach, because people are notoriously bad at estimating portion size or accurately reporting what they've eaten, Dr. Kleinberg explains. A photo-based approach is also much less laborious for pregnant people, making it easy to collect data over a period of weeks instead of just a few days.</div><div style="text-align: justify; ">Using food photos also allowed the Stevens team to accurately track the exact timing of meals and snacks, and to explore the way that patterns of eating behavior correlated with total energy and nutrient intake. When pregnant people ate later in the day, the data shows, they were likely to consume significantly more total calories -- potentially an important finding as researchers explore connections between eating behaviors and health problems such as gestational diabetes.</div><div></div><div style="text-align: justify;">Reference: https://www.stevens.edu/news/pregnant-people-might-not-be-getting-the-nutrients-they-need-according-to</div><div> </div><div></div><div></div><div style="text-align: justify; "><b>Adolescent Psychotic-Like Experiences May Be Tied to Depression and Self Destructive Behaviour</b></div><div style="text-align: justify;">According to a study recently conducted at the University of Helsinki and HUS Helsinki University Hospital, psychotic-like experiences are abundant among adolescents referred to care, but are generally considered fairly neutral, with only some of the adolescents reporting them as frightening, worrisome or harmful.</div><div style="text-align: justify;">In the study, the correlation between psychotic-like experiences and depressive symptoms turned out to be strong.</div><div style="text-align: justify;">This link was not explained by connections between individual psychotic-like experiences and depressive symptoms, but by factors that more broadly measure paranoia and unusual thoughts.</div><div style="text-align: justify;">In addition to depressive symptoms, paranoid thoughts and unusual thought content were also associated with self-destructive thinking.</div><div style="text-align: justify;">The findings show that psychotic-like experiences should be systematically surveyed in all adolescents seeking psychiatric care.</div><div style="text-align: justify;">It should also be assessed how frightening, worrisome or harmful they are considered to be. Particularly in the case of responses emphasising bizarre thinking and exaggerated suspiciousness, attention should also be paid to assessing mood and self-destructive thinking, as these factors can remain hidden without further enquiry.</div><div style="text-align: justify;">"Our findings provide a clear recommendation for treatment practices: psychotic-like experiences should be assessed as part of routine procedures, but it is also important to determine how they are perceived. These phenomena cannot be uncovered unless separately and systematically asked," says the principal investigator, Docent Niklas Granö.</div><div style="text-align: justify;">It should be clearly explained to adolescents and their families that these symptoms are common and often manageable.</div><div style="text-align: justify;">In addition, applications of cognitive psychotherapy, even brief interventions, can help adolescents understand their symptoms and alleviate the strain they cause.</div><div></div><div style="text-align: justify; ">References: https://www.helsinki.fi/en/news/mental-health/psychotic-experiences-adolescents-linked-depression-and-self-destructive-behaviour</div></div>

161. Seeking PG medical courses at MAMC Delhi? Check application process, fees, list of required documents, all admission details here

     Fri, 22 Nov 2024 09:16:05 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261826-neet-pg.webp' /><p>Delhi- The Maulana Azad Medical College (<a href="https://medicaldialogues.in/topics/mamc" target="_blank">MAMC</a>), Delhi has released the information bulletin for candidates who are seeking PG medical admissions in the institute this academic year under 50% Delhi University Quota and 50 per cent&nbsp; All India Quota.</p><p>There are a total of 4 rounds of the counselling process. i.e. round 1, round 2, round 3, and stray vacancy round.</p><p>The Faculty of Medical Sciences offers 23 Post-Graduate Degree courses, 06 Post-Graduate Diploma Courses and 9 MDS Courses.</p><p>All the concerned candidates are advised to take note of the following details.</p><p><b><u>ADMISSION PROCEDURE :</u></b></p><p><b>ONLINE REGISTRATION FOR COUNSELLING :</b></p><p>The candidates are required to register themselves online on MCC website /Ministry of Health &amp; Family Welfare (Govt. of India) to participate in Counselling of PG (Degree/Diploma) courses-2024 for both 50% Delhi University Quota and 50% All India Quota.</p><p><b>Admissions (After successful allotment of PG seats by MCC for 50% Delhi University Quota and 50% All India Quota):</b></p><p>Only those candidates who are allotted seats in colleges affiliated to University of Delhi, after successful allotment of seats by the Medical Counselling Committee (MCC), DGHS, Ministry of Health &amp; Family Welfare (Government of India) are required to register themselves for admission online website (Application for admission to PG (MD/MS/Diploma/MDS) for Delhi University Quota (50%) and All India Quota (50%) after verification their documents by the respective college. They are required to complete the Registration by uploading their documents, photograph, signatures etc. and by making online payment of University Annual Fees of Rs. 15,900/- (Rupees fifteen thousand nine hundred only)*.</p><p>Before initiating the registration for admission, the candidates are advised to refer to PG (MD/MS/Diploma/MDS) Bulletin of Information 2024 thoroughly.</p><p>If any candidate, who has not been allotted any seat in University of Delhi or otherwise ineligible to register for admission, somehow register himself/herself on, in such cases their registration will be invalid and no fees will be refunded.</p><p> The Fee mentioned above is under review and may change. Notice in this regard will be made available on the website.</p><p><b><u>Admission Process after successful Allotment of PG seats by MCC, DGHS Ministry of Health &amp; Family Welfare (Government of India):</u></b></p><p>(a) All the candidates seeking admission to the Post-graduate (Degree/Diploma) and MDS courses are required to visit their respective colleges for verification of documents and to complete the other formalities and register online on website www.fmsc.du.ac.in.</p><p>(b) Online registration details for admission to the Post-graduate (Degree/Diploma) and MDS courses are available on website</p><p>(c) As a first time user, candidate shall create the login details as per the following steps:- </p><p> In the “Confirm your Information” webpage, candidate shall provide the NEET-PG / NEET-MDS 2024 Roll No. and Date of Birth. Clicking on “View” button will display further details of the candidate.</p><p> If the details are correct, candidate can click “Confirm” and proceed further. </p><p> On the “New Registration” page, candidate has to enter a valid Mobile No. and Email ID which would be used for any future communication with the University for admission purpose.</p><p> Candidate shall then create a password (of maximum six characters) for online registration purpose. This password does not need to be same as candidate’s email account password, which is used to access one’s email account.</p><p> Candidate shall provide a valid mobile phone number (10 digit number without any prefix).</p><p> Please verify that all the details given in the form are correct. This information will be used during the entire admission process. No change/modification is allowed. Please be careful in filling up the required information in all aspect.</p><p>(d) After successful registration the applicant shall log on to using “registered email-id” and create “password” to fill the online registration form.</p><p>(e) Applicant shall click the “Save” and proceed to check the details filled in the form. </p><p>(f) The same login information is required to be used every time to login to the applicant’s account.</p><p>(g) Applicant shall upload the following documents (wherever necessary):- </p><p>i. Passport size photograph of the applicant (120x130) (only jpg &amp; size 150 KB) </p><p>ii. Scanned signature of the applicant (200x50) (only jpg &amp; size 100 KB) </p><p>iii. Self-attested copy of High School/Higher Secondary Certificate for verification of date of birth (only PDF &amp; size 200 KB).</p><p>iv. Self-attested copy of certificate in support of educational qualifications: MBBS </p><p>vii. Self-attested copy of the compulsory rotating Internship Certificate (only PDF &amp; size 200 KB).</p><p>viii. Self-attested copy of registration Certificate from Delhi Medical Council/State Medical Council/National Medical Commission/Dental Council of India (only PDF &amp; size 200 KB).</p><p>ix. Self-attested copy of Scheduled Caste/Scheduled Tribe certificate/ Economical Weaker Section (EWS), if applicable (only PDF &amp; size 200 KB).</p><p>x. Self-attested copy of the Non-Creamy layer certificate shall be for the financial year 2024-25, issued on or after 01.04.204 and OBC caste certificate as per the Central list for OBC’s (only PDF &amp; size 200 KB).</p><p>xi. Self-attested copy of Person with Disability certificate, if applicable (only PDF &amp; size 200 KB).</p><p>xii. Self-attested copy of Employer’s Certificate/NOC, if employed (as given in the application form) (only PDF &amp; size 200 KB).</p><p>xiii. Self-attested copy of Admit Card of NEET-PG/NEET-MDS-2024(only PDF &amp; size 200 KB).</p><p>xiv. Self-attested copy of Score card of NEET-PG/NEET-MDS-2024(only PDF &amp; size 200 KB).</p><p>xv. Allotment Letter issued by Medical Counselling Committee (MCC), Ministry of Health &amp; Family Welfare, Government of India.</p><p><i>Note: The candidates are required to bring Printout of Registration Form, Allotment letter and Original Certificates along with 02 sets of self attested photocopies of all the required documents at the time of Admission.</i></p><p>(h) Once all the above-mentioned files are uploaded, applicant can proceed with “Make Payment”. Applicant can also update the uploaded files and application form using “Back button” before making payment. Once payment is made, no changes can be made in the application.</p><p>(i) The application submission process shall be completed only after making payment of the online registration fees by the candidate.</p><p>(j) Please note that the candidature is subject to the candidate’s fulfilling the minimum eligibility requirements prescribed for applying to the concerned programme of study. In</p><p>case a candidate does not meet the minimum eligibility, criteria prescribed for </p><p>applying to the concerned programme, it will be deemed to be done at the candidate’s own risk and cost and if at any stage, it is found that the minimum eligibility requirements are not fulfilled, the admission if granted, shall be cancelled ipso facto and the fees paid, if any, shall not be refunded in any case.&nbsp; Degree/BDS Degree/Master’s Degree/Bachelor’s Degree-as per requirement of the course (only PDF &amp; size 200 KB).</p><p>v. Self-attested copy of detailed marks certificate of qualifying examinations: I, II &amp; Final Professional examination of MBBS/BDS and year-wise detailed marks certificates of Master’s Degree/Bachelor’s Degree, as required course-wise (only PDF &amp; size 200 KB).</p><p>vi. Self-attested copy of MBBS/BDS Examination attempt certificate (only PDF &amp; size 200 KB).</p><p><b>University Registration Fees (Common for 50% Delhi University Quota and 50% All India Quota:</b></p><p>(a) Registration Fees (Non-Refundable):-&nbsp;</p><table class="table table-bordered"><tbody><tr><td><p>SC/ST and Person with Disabilities (PwD)</p></td><td><p>Rs. 2,000/- per course</p></td></tr><tr><td><p>For all other categories (Unreserved, OBC etc)</p></td><td><p>Rs. 3,000/- per course</p></td></tr></tbody></table><p>(b) Registration fees has to be paid during online registration process through one of the available online payment options.</p><p>(c) It may be noted that the application submission process shall be completed only after payment of the online registration fees.</p><p>The counselling for 50% AIQ as well as 50% DUQ shall be done by Ministry of Health &amp; Family Welfare, Government of India through online mode. The candidates are required to fulfill all the modalities for Registration for counselling as specified by MCC, Govt. of India.</p><p>Eligibility Criteria for admission to Post Graduate Degree/Diploma/MDS Courses (including MD CHA Course)</p><p><b>a. For Delhi University Quota: -</b> The candidate must have passed final M.B.B.S. examination (for MD/MS/Diploma Course) and BDS examination (for MDS Course) from the University of Delhi and must have completed satisfactorily one-year compulsory rotating internship as on 31.03.2024* (for MDS Course) and 30.06.2024*(for MD/MS/Diploma Course) and must submit their internship completion certificate at the time of admission.</p><p><b>b. For All India Quota: -</b> The candidate must have passed final M.B.B.S. examination (for MD/MS/Diploma Course) and BDS examination (for MDS Course) from the recognized Institution/University and must have completed satisfactorily one year compulsory rotating internship as on 31.03.2024* (for MDS Course) and 30.06.2024*(for MD/MS/Diploma Course)and must submit their internship completion certificate at the time of admission. *As per the direction of Hon’ble Supreme Court vide an order dated 05.05.2022.</p><p>A candidate in order to become eligible for admission must obtain a minimum required percentile in NEET-PG/NEET-MDS-2024, as prescribed by regulatory authorities such as National Board of Examination, Medical Counselling Committee, Ministry of Health and Family Welfare, etc. as the case may be .</p><p>The candidates should be medically fit to pursue the allocated course on medical examination.</p><p><b><u>Duration of the Courses: </u></b></p><p>The duration of course for Post-Graduate Degree including MDS Courses shall be Three (03) completed years including the period of examination, provided that in case of candidates having a recognized Two years of Post-Graduate Diploma course in the same subject, the duration of course shall be Two years. Candidates having diploma in a subject, if they seek admission in Post-Graduate degree course in any other subject, will have to undergo 3-years-course as prescribed.</p><p>The duration of Diploma course shall be of Two (02) years.&nbsp;</p><p><b><u>Admissions</u>:&nbsp;</b></p><p>Admission would be made strictly on the basis of allotment through online counselling merit of the eligible candidates determined by marks obtained in the NEET-PG/NEET-MDS examination-2024 and as per their option, exercised online by them, done by MCC, Ministry of Health &amp; Family Welfare, Govt. of India. The candidates shall have to follow the guidelines for counselling as and when displayed by MCC, Ministry of Health &amp; Family Welfare, Govt. of India</p><p>No communication would be sent to the individual candidates. The candidates will have to keep themselves updated and follow the prescribed procedure on the specified date &amp; time to be notified in due course on website /Ministry of Health &amp; Family Welfare (Government of India),&nbsp;</p><p>As soon as a candidate is allotted his/her selected seat, they are required to register themselves online at website and submit the fee as per following: -</p><p>(i) 1st year Annual Fee of Rs. 15,900/- (Rupees fifteen thousand nine hundred) through online payment gateway.</p><table class="table table-bordered"><tbody><tr><td><p>Tuition Fees (Annual)</p></td><td><p>Rs 13000.00</p></td></tr><tr><td><p>Library Fees (Annual)</p></td><td><p>Rs 500.00</p></td></tr><tr><td><p>Athletic Fees (Annual)</p></td><td><p>Rs 10.00</p></td></tr><tr><td><p>Cultural Council Fees (Annual)&nbsp;</p></td><td><p>Rs 5.00</p></td></tr><tr><td><p>N.S.S Fees (Annual)</p></td><td><p>Rs 20.00</p></td></tr><tr><td><p>University Development Fund (Annual)&nbsp;</p></td><td><p>Rs 900.00</p></td></tr><tr><td><p>Faculty Management Fees (Annual)</p></td><td><p>Rs 1465.00</p></td></tr><tr><td><p>TOTAL FEES (Annual)</p></td><td><p>Rs 15900.00</p></td></tr></tbody></table><p><i>* The Fee mentioned above is under review and may change. Notice in this regard will be made available</i></p><p><b>Payment of Annual Tuition Fee by 2nd&amp; 3rd year Postgraduate students: - </b></p><p>Important: The tuition fee amounting to Rs. 15,900/- (fifteen thousand nine hundred only) is required to be paid by Post-Graduate students for the 2nd year and 3rd year WITHIN FIRST MONTH OF THE STARTING OF RESPECTIVE ACADEMIC SESSION (2nd &amp; 3rd), as notified by the NMC, time to time. Thereafter, Rs. 1000/- per week fine will be charged as late fees. No claim shall be there on College/Faculty if a candidate fails to submit the University Fees on time.</p><p>* The Fee mentioned above is under review and may change. Notice in this regard will be made available on the www.fmsc.ac.in</p><p>Note:- (i) The students are advised to deposit the Annual fees on the Faculty Portal /login -&gt; STUDENTS LOGIN-&gt;Registered Email of the University only. If any student deposited fee on any other portal, then no claim of refund will be entertained in any case.</p><p>(ii) The students are also advised to inform about any difficulty in depositing the Annual fee to office of the Faculty of Medical Sciences by sharing the screen shot of their login on the fee portal via an email at pg@fmsc.du.ac.in well in advance to resolve the issue, if any</p><p><b><u>Post-Graduate Training, Fees and Examination: </u></b></p><p>The Post Graduate (Degree/Diploma) and MDS Courses are full-time courses. No Candidate shall be allowed to apply for/to join any other course or any post either in India or abroad, once he/she has been admitted in the course and till the course is completed.</p><p>The candidate should complete the course as per the norms of the Delhi University within the stipulated period.</p><p>Any excess leave/period of absence has to be compensated by extension of training period. The student has to complete satisfactory training before becoming eligible for appearing in the examination.</p><p><b>Payment of Annual Tuition Fee by 2nd&amp; 3rd year Postgraduate students:- </b></p><p>The tuition fee amounting to Rs. 15,900/- (fifteen thousand nine hundred only) is required to be paid by Post-Graduate students for the 2nd year and 3rd year WITHIN FIRST MONTH OF THE STARTING OF RESPECTIVE ACADEMIC SESSION (2nd &amp; 3rd), as notified by the NMC, time to time. Thereafter, Rs. 1000/- per week fine will be charged as late fees. No claim shall be there on College/Faculty if a candidate fails to submit the University Fees on time.&nbsp;</p><p>The Post-Graduate student has to fulfill the requirement regarding thesis before being eligible to appear in the examination. The students are required to deposit a sum of Rs. 100/- to their respective institution as thesis protocol fees and thesis evaluation fees of Rs. 15,000/- through Online mode only in the Account of Director, UDSC Maintenance A/c, Account No. 42113431541, Branch Code-8778, IFSC Code:- SBIN0008778, Bank- State Bank of India, South Delhi Campus.</p><p>The examination will consist of theory and practical/clinical examination. The Examination fee of the University Examination will be deposited in the concerned Medical College/Institute, as per University rules.</p><p><b>Refund of Fees: </b></p><p>Any request for refund of fee should be submitted after the entire counselling/admission process is over. A request for refund of fee will be considered it the candidate has surrendered his/her seat as per the instructions/guidelines of the MCC, DGHS, MoHFW, Govt. of India. Application Form for refund of fee is available.</p><p><b>Change of Name: </b>The University Notification No. Ref./Aca-II/Change of name/279/2015/03 dated 01.07.2015 (E.C. Resolution No. 16 dated 28.05.2015) and Notification No. Ref./Aca-II/Change of name/279/2015/04 dated 16.12.2015 (available on University website).</p><p><b>Checklist of documents to be submitted by the candidates For admission to Post-graduate Degree courses – 2024</b></p><div class="pasted-from-word-wrapper"><p>1. Registration on the portal of Faculty of Medical Sciences (FMSc), University of Delhi </p><p>2. Printout of Registration Form of Faculty of Medical Sciences, University of Delhi for Postgraduate Degree courses-2024 along with the fee receipt of 15,900/- for the 1st year University fees.</p><p>3. Provisional Allotment letter issued by MCC for AIQ/DUQ.</p><p>4. Admit Card of NEET-PG-2024.</p><p>5. Score Card/Result (NEET-PG-2024).</p><p>6. High School/Higher Secondary Certificate for verification of Date of Birth.</p><p>7. 12th Marksheet.</p><p>8. MBBS Degree Certificate/Provisional Certificate.</p><p>9. MBBS 1st, 2nd and Final Year (Part-I &amp; Part-II) Professional Marks Sheets.</p><p>10. Internship Completion Certificate. (Must be completed on or before 15.08.2024).</p><p>11. Registration Certificate from MCI/Delhi Medical Council/State Medical Council/Dental Council of India.</p><p>12. SC/ST/OBC Certificate, if applicable. (Please ensure that the caste of OBC candidates must in Central list OBC as per National Commission for Backward Classes, Govt. of India</p><p>13. Economical Weaker Section (EWS) Certificate, if applicable.</p><p>14. Persons with Disability (PWD) Certificate, if applicable.</p><p>15. Surety Bond of Rs. 10.00 (Ten Lacs) available on FMSc, University of Delhi website. Duly filled in and signed by two sureties (Copy of Aadhar Card of sureties) &amp; to be prepared after the date of declaration of the result of allotment by MCC.</p><p>16. The in-service candidates shall submit a No Objection Certificate (NOC) from their employer to the effect that they have no objection and the candidate will be relieved/ granted study leave for pursuing the course.</p><p>17. Copy of Aadhar Card of student.</p><p>18. Copy of Receipt/Challan of Rs. 25075/- (Refundable Security of Rs. 25000/- and Rs. 75/- towards the cost of the Identity Card) with the Canara Bank, MAM College in Dean PLA A/c.</p><p>The counselling will be conducted as per the MCC schedule below: </p></div><div class="pasted-from-word-wrapper"><p><u>SCHEDULE</u></p><div class="pasted-from-word-wrapper"><table border="0" cellpadding="0" cellspacing="0" width="1061"><tbody><tr height="20"></tr><tr height="20"><td colspan="9" height="20" class="xl65" width="1061">Round-1</td></tr><tr height="80"><td height="80" class="xl66" width="55">Sl. No.</td><td colspan="2" class="xl66" width="136">Verification of Tentative Seat Matrix by the participating Institutes</td><td class="xl65" width="145">Registration/Payment</td><td class="xl66" width="220">Choice Filling/ Locking</td><td class="xl65" width="126">Processing of Seat Allotment</td><td class="xl66" width="82">Result</td><td class="xl65" width="116">Reporting/ Joining</td><td class="xl65" width="181">Verification of Joined candidates Data by institutes Sharing of data to MCC</td></tr><tr height="180"><td height="180" class="xl65" width="55">1</td><td colspan="2" class="xl65" width="136">7th Nov,2024</td><td class="xl65" width="145">20th Sept. to 17th Nov. 2024, up to12:00 NOON only (as per Server Time) * Payment facility will be available up to 03:00 PM of 17th Nov., 2024 (as per Server Time)</td><td class="xl65" width="220">8th Nov. 2024 to 17th Nov., 2024 (Choice Filling will be available upto 11:55 P.M of 17th Nov, 2024 (as per Server Time) Choice Locking will start from 04:00 P.M of 17th Nov. 2024 upto 11:55 P.M of 17th Nov. 2024 (as per Server Time)</td><td class="xl65" width="126">18th Nov.., 2024 to 19th Nov., 2024</td><td class="xl65" width="82">20th Nov. 2024</td><td class="xl65" width="116">21st Nov., 2024 to 27th Nov., 2024</td><td class="xl65" width="181">28th Nov., 2024 to 29th Nov., 2024</td></tr><tr height="40"><td height="40" class="xl65" width="55"></td><td colspan="2" class="xl65" width="136">(1- Day)</td><td class="xl65" width="145">(59-Days)</td><td class="xl65" width="220">(10-Days)</td><td class="xl65" width="126">(2-Days)</td><td class="xl65" width="82">(1-Day)</td><td class="xl65" width="116">(7-Days)</td><td class="xl65" width="181">(2-Days)</td></tr><tr height="20"><td colspan="9" height="20" class="xl65" width="1061">Round-2</td></tr><tr height="60"><td height="60" class="xl65" width="55">2</td><td colspan="2" class="xl65" width="136">4th Dec., 2024</td><td class="xl65" width="145">4th Dec., 2024 to 9th Dec., 2024 Upto 12:00 Noon as per Server Time * Payment facility will be available up to 03:00 PM of 9th Dec., 2024 as per Server Time</td><td class="xl65" width="220">5th Dec., 2024 to 9th Dec., 2024 (Choice Filling will be available upto 11:55 P.M of 9th Dec., 2024) as per Server Time Choice Locking will start from 04:00 P.M of 9th Dec., 2024 upto 11:55 P.M of 9th Dec., 2024 as per Server Time</td><td class="xl65" width="126">10th Dec., 2024 to 11th Dec., 2024</td><td class="xl65" width="82">12th Dec., 2024</td><td class="xl65" width="116">13th Dec., 2024 to 20th Dec, 2024</td><td class="xl65" width="181">21st Dec.,2024 to 22nd Dec., 2024</td></tr><tr height="20"><td height="20" class="xl65" width="55"></td><td colspan="2" class="xl65" width="136">(1-Day</td><td class="xl65" width="145">(6-Days)</td><td class="xl65" width="220">(5-Days)</td><td class="xl65" width="126">(2- Days)</td><td class="xl65" width="82">(1-Day)</td><td class="xl65" width="116">(8-Days)</td><td class="xl65" width="181">(2-Days)</td></tr><tr height="20"><td colspan="9" height="20" class="xl65" width="1061">ROUND-3</td></tr><tr height="160"><td height="160" class="xl65" width="55">3</td><td colspan="2" class="xl65" width="136">26th Dec., 2024</td><td class="xl65" width="145">26th Dec., 2024 to 1st Jan., 2025 (12:00 NOON as per Server Time) * Payment facility will be available till 03:00 P.M of 1st Jan., 2025 (as per Server Time)</td><td class="xl65" width="220">27th Dec, 2024 to 1st Jan., 2025 (Choice Filling will be upto 11:55 PM of 31st Dec., 2024) as per Server Time Choice Locking from 04:00 P.M of 1st Jan., 2025 upto 11:55 P.M of 1st Jan., 2025as per Server Time</td><td class="xl65" width="126">2nd Jan., 2025 to 3rd Jan., 2025</td><td class="xl65" width="82">4th Jan., 2025</td><td class="xl65" width="116">6th Jan., 2025 to 13th Jan., 2025</td><td class="xl65" width="181">14th Jan., 2025 to 15th Jan., 2025</td></tr><tr height="20"><td height="20" class="xl65" width="55"></td><td colspan="2" class="xl65" width="136">(1-Day</td><td class="xl65" width="145">(7-Days)</td><td class="xl65" width="220">(6-Days)</td><td class="xl65" width="126">(2-Days)</td><td class="xl65" width="82">(1-Day)</td><td class="xl65" width="116">(8-Days)</td><td class="xl65" width="181">(2- Days)</td></tr><tr height="20"><td colspan="9" height="20" class="xl65" width="1061">ONLINE STRAY VACANCY ROUND</td></tr><tr height="180"><td height="180" class="xl65" width="55">4</td><td colspan="2" class="xl65" width="136">18th Jan., 2025</td><td class="xl65" width="145">18th Jan., 2025 to 21st Jan., 2025 (upto 12:00 P.M of 21st Jan., 2025 as per Server Time) * Payment facility will be available upto 03:00 P.M of 21st Jan., 2025 ) as per Server Time</td><td class="xl65" width="220">18th Jan., 2025 to 21st Jan., 2025(Choice Filling will be available upto 11:55 P.M of 21st Jan., 2025) as per Server Time Choice Locking will start from 04:00 P.M of 21st Jan., 2025upto 11:55 P.M of 21st Jan., 2025 as per Server Time</td><td class="xl65" width="126">22nd Jan., 2025 to 23rd Jan., 2025</td><td class="xl65" width="82">24th Jan., 2025</td><td class="xl65" width="116">25th Jan., 2025 to 30th Jan., 2025</td><td class="xl65" width="181"></td></tr><tr height="20"><td height="20" class="xl65" width="55"></td><td colspan="2" class="xl65" width="136">(1-Day</td><td class="xl65" width="145">(4-Days)</td><td class="xl65" width="220">(4-Days)</td><td class="xl65" width="126">(2-Days)</td><td class="xl65" width="82">(1-Day)</td><td class="xl65" width="116">(6 -Days)</td></tr></tbody></table></div></div><div class="pasted-from-word-wrapper"></div><p><b><i>To view the official Notices, Click here :&nbsp;&nbsp;</i></b></p><p><a href="https://medicaldialogues.in/pdf_upload/schedulepg24-25-261809.pdf"><b><i>https://medicaldialogues.in/pdf_upload/schedulepg24-25-261809.pdf</i></b></a></p><p><b><i>&nbsp;<a href="https://medicaldialogues.in/pdf_upload/boimdmsmds2024-25-261810.pdf">https://medicaldialogues.in/pdf_upload/boimdmsmds2024-25-261810.pdf</a><a href="https://medicaldialogues.in/pdf_upload/boimdmsmds2024-25-261810.pdf" target="_blank"></a></i></b></p><p><a href="https://medicaldialogues.in/pdf_upload/admissionproforma2024-261811.pdf" target="_blank"><b><i>https://medicaldialogues.in/pdf_upload/admissionproforma2024-261811.pdf</i></b></a></p>

162. Pfizer Names Chris Boshoff as New Chief Scientific Officer, R&D Chief

     Fri, 22 Nov 2024 09:11:46 -0000

     Chris Boshoff will take on the role of chief scientific officer starting Jan 1 & oversee all functions of research & development across all therapeutic area

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261827-chris-boshoff-pfizer.webp' /><p style="text-align: justify; "><b>Bengaluru: </b>Pfizer said on Wednesday it has named company veteran and oncology head Chris Boshoff as its chief of research and development.</p><div class="pasted-from-word-wrapper"><div class="pasted-from-word-wrapper"><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">The appointment comes at a time when Pfizer is facing criticism from activist investor Starboard for overspending on big acquisitions and failing to produce profitable new drugs from those deals or its internal research and development.</p><p style="text-align: justify;">The New York-based drugmaker, under CEO Albert Bourla, poured money into new deals to bolster its business, which has been struggling with a sharp fall in sales of its COVID vaccine and antiviral Paxlovid from the pandemic highs.</p><p style="text-align: justify;"><a href="https://medicaldialogues.in/search?search=pfizer">Pfizer</a>, which is now looking to strengthen its focus on cancer drugs, said Boshoff will take on the role of chief scientific officer starting Jan 1 and oversee all functions of research &amp; development across all therapeutic areas.</p><p style="text-align: justify;">Most recently Pfizer's chief oncology officer, Boshoff, also served as chief development officer for <a href="https://medicaldialogues.in/search?search=oncology">oncology </a>and rare diseases, and as head of development in Japan across all therapeutic areas at Pfizer.</p><p style="text-align: justify;"><i><b>Also Read: <a href="https://medicaldialogues.in/news/industry/pharma/granules-india-appoints-ovais-sarmad-as-sustainability-advisor-138278">Granules India appoints Ovais Sarmad as sustainability advisor</a></b></i></p><p style="text-align: justify;">He has been with Pfizer for more than 11 years and has overseen the approval of 24 innovative medicines and biosimilars in more than 30 conditions.</p><p style="text-align: justify;">Boshoff will replace Mikael Dolsten, a key figure behind the development of Pfizer's COVID-19 vaccine, who stepped down from the role earlier this year after a more than 15-year career at the drugmaker.</p><p style="text-align: justify;">Roger Dansey, who joined Pfizer through the 2023 $43-billion Seagen acquisition, will serve as the interim chief oncology officer, the company said.</p><p style="text-align: justify;">The drugmaker added Johanna Bendell, who will join the company from Roche in 2025, will take on the role as oncology chief development officer.</p><p style="text-align: justify; "><i><b>Also Read: <a href="https://medicaldialogues.in/news/industry/pharma/natco-pharma-appoints-madhava-rao-karicherla-as-associate-vice-president-formulation-rnd-pharma-division-kothur-unit-138167">Natco Pharma appoints Madhava Rao Karicherla as Associate Vice President - Formulation RnD, Pharma Division, Kothur Unit</a></b></i></p></div></div></div>

163. 3 quacks posing as Ayurvedic doctors held for duping patients with homemade piles medicine

     Fri, 22 Nov 2024 09:00:19 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/02/07/231754-action-against-quacks.webp' /><p style="text-align: justify; "><b>Hyderabad:</b>&nbsp;In its continuous efforts to eradicate fraudulent medical professionals in the state, the Telangana Medical Council (TGMC), in collaboration with the <a href="https://medicaldialogues.in/topics/indian-medical-association" target="_blank">Indian Medical Association</a> (IMA), recently identified and caught three men posing as Ayurvedic doctors.</p><p style="text-align: justify; ">These three quacks were caught during a sting operation conducted by <a href="https://medicaldialogues.in/topics/telangana-medical-council" target="_blank">TGMC</a> and IMA. The council and the association found that these doctors were treating patients by posing as Ayurvedic doctors and prescribing self-made ointments for piles treatment. &nbsp;</p><p style="text-align: justify; ">By selling homemade ointments made from flour and salt, the fake doctors charged between Rs 10,000 and Rs 20,000 for their services. These bogus treatments reportedly worsened conditions in many patients.</p><p style="text-align: justify; "><b>Also read-<a href="https://medicaldialogues.in/news/health/doctors/41-quacks-exposed-in-khammam-telangana-medical-council-files-complaints-138373" target="_blank"> 41 quacks exposed in Khammam, Telangana Medical Council files complaints</a></b></p><p style="text-align: justify; ">During the raid, the council discovered that these three fake doctors were practising without Ayurveda knowledge and were not registered under TGMC. They were also running Ayurvedic clinics without permission from the Telangana AYUSH council, district registration authority or the district health and medical officer. All of them hailed from Kolkata.&nbsp;</p><p style="text-align: justify; ">In the first raid, the council received a tip-off about a fake doctor running a clinic in Warangal and decided to send a decoy to trap him. They sent a healthy person claiming to have blood in his stools to the fake doctor who sought Rs 20,000 for the treatment.&nbsp;</p><p style="text-align: justify; ">Speaking to <a href="https://timesofindia.indiatimes.com/city/hyderabad/fake-ayurvedic-doctors-arrested-for-fraudulent-piles-treatment-in-hyderabad/articleshow/115540245.cms" rel="nofollow">TOI</a>, Dr Naresh Kumar of TGMC said, "When the anti-quackery caught him, he offered to call another doctor from Khammam. Later, he admitted to having a degree in arts."</p><p style="text-align: justify; ">Meanwhile, two fake doctors were found running an Ayurvedic clinic with Unani degree in a separate raid at a treatment centre located at Hanuman Temple in Warangal. As per the IMA statements, one of the fake doctors was not present at the time of the raid. However, he has been booked in connection.&nbsp;</p><p style="text-align: justify; ">Commenting on this, IMA president Dr Anwar Mia said, "He was caught practising without the permission of the district registration authority and running Anupama Clinic. SK Sarkar was not present, but he has also been booked. Both were not registered with the state Ayush council," IMA president Dr Anwar Mia said.</p><p style="text-align: justify; ">"In the third case, a fake Ayurvedic doctor was found in Kumarpally with fake Ayurvedic degree certificates from Kolkata. He was giving unlicenced ointments, which he had made using unscientific methods. The Warangal District Anti-Quackery Committee will file a complaint against the fake doctors with the district medical officer and the Ayush council, "said Dr Kumar.&nbsp;</p><p style="text-align: justify; "><b>Also read- <a href="https://medicaldialogues.in/news/health/doctors/fake-doctor-spreading-misinformation-on-social-media-telangana-medical-council-makes-move-138285" target="_blank">Fake doctor spreading misinformation on social media? Telangana Medical Council makes move</a></b></p>

164. Unexo Lifesciences Faces USFDA Heat Over Serious CGMP Violations

     Fri, 22 Nov 2024 08:43:54 -0000

     In response to the issues, the USFDA recommended a voluntary recall of all drug products manufactured at Unexo's facility for the U.S. market.

     <img src='https://medicaldialogues.in/h-upload/2024/04/09/235893-warning-letter-50.webp' /><p style="text-align: justify; "><b>New Delhi: </b>The United States Food and Drug Administration (USFDA) issued a Warning Letter to Unexo Lifesciences, Private Limited, an Indian drug manufacturer, citing significant violations of Current Good Manufacturing Practice (CGMP) regulations for finished pharmaceuticals. The inspection, conducted in May 2024, revealed serious issues with data integrity, quality control, and facility maintenance.</p><div class="pasted-from-word-wrapper"><p style="text-align: justify;">The USFDA found evidence of manipulated da records, incomplete laboratory results, and unauthorized access to computer systems, which cast doubts on the reliability of the data supporting the safety and effectiveness of Unexo’s drugs.</p><p style="text-align: justify; ">Additionally, the company was cited for inadequate documentation in batch production records, missing raw data for product testing, and insufficient oversight by the quality control unit. These quality control lapses raised concerns about the consistency of the drugs.</p><p style="text-align: justify;">The Administration also noted unsanitary manufacturing conditions, including unclean air conditioner vents above production areas that could lead to contamination of drugs.</p><p style="text-align: justify;"><b><i>Also Read: <a href="https://medicaldialogues.in/news/industry/pharma/zydus-lifesciences-gets-warning-letter-from-usfda-for-jarod-facility-134110">Zydus Lifesciences gets warning letter from USFDA for Jarod facility</a></i></b></p><p style="text-align: justify;">In response to these issues, the USFDA recommended a voluntary recall of all drug products manufactured at Unexo's facility for the U.S. market. Unexo has committed to the <a href="https://medicaldialogues.in/search?search=recall">recall</a>, but the details are still pending. The USFDA also ordered a suspension of production for the U.S. market until corrective actions are taken, warning that future drug products from Unexo may be refused entry into the U.S. if these violations are not addressed.</p><p style="text-align: justify;">Unexo has acknowledged the violations and is conducting an investigation into the issues. The company has hired a third-party consultant to assist with addressing the data integrity problems. However, the <a href="https://medicaldialogues.in/search?search=usfda">USFDA </a>has deemed Unexo's initial response insufficient and has requested a more comprehensive plan for remediation.</p><p style="text-align: justify;">Medical Dialogues team had reported a few months ago that the US Food and Drug Administration (USFDA) had issued a warning letter to Aurobindo Pharma for Unit-III, a Formulation manufacturing facility of Eugia Pharma Specialities Ltd., a wholly-owned subsidiary of the Company, situated at Pashamylaram, Patancheru Mandal, Sangareddy District, Telangana.</p><p style="text-align: justify; "><b><i>Also Read:<a href="https://medicaldialogues.in/news/industry/pharma/usfda-issues-warning-letter-to-aurobindo-pharma-arm-unit-iii-133289"> USFDA issues warning letter to Aurobindo Pharma arm Unit III</a></i></b></p></div>

165. After Ayurveda, now Super-Speciality Homeopathy Courses to Commence

     Fri, 22 Nov 2024 07:59:01 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261813-supernumerary-seats-1.webp' /><p style="text-align: justify; "><b>New Delhi:</b>&nbsp;After the recent Government Gazette announcing the commencement of super-speciality courses in Ayurveda, the National Commission for <a href="https://medicaldialogues.in/topics/homeopathy">Homeopathy</a> has decided to grant permission to offer super-speciality courses in homeopathy in medical institutes from the 2025-2026 academic year.</p><p style="text-align: justify; ">Confirmation in this regard came from the Chairperson of the Commission, Anil Khurana, who informed on Thursday that super-speciality courses in Homeopathy will commence from the next academic year.</p><p style="text-align: justify; ">Dr. Khurana was attending the 'Rubycon 2024' annual national homeopathic conference at Father Muller Convention Centre in Mangaluru. Mentioning that homeopathy medical education was on par with modern healthcare education, he added, "We (National Commission) are undertaking reforms in the sector. Courses in dermatology and community medicine have been introduced. Super speciality courses will start from next academic year."</p><p style="text-align: justify; "><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/ayush/next-for-bhms-mandatory-for-students-joining-internship-after-november-29-122343" style="background-color: rgb(255, 255, 255);"><b><i>Also Read: NExT for BHMS! Mandatory for Students Joining Internship After November 29</i></b></a></p><p style="text-align: justify; ">Pointing out how the field of homeopathy was changing referring to 3.6 lakh homeopaths across the country including 40,000 in Karnataka alone, Dr. Khurana highlighted the need for more evidence-based research. <a href="https://www.thehindu.com/news/cities/Mangalore/national-commission-will-allow-super-speciality-courses-in-homeopathy-from-next-academic-year-anil-khurana/article68893561.ece#:~:text=The%20National%20Commission%20for%20Homeopathy,said%20in%20Mangaluru%20on%20Thursday." rel="nofollow">The Hindu </a>has reported that Dr. Khurana called upon Homeopaths to upload their success stories on the Commission's portal. He added, "Even if 10% of the practitioners upload their success stories, we will get a huge data."</p><p style="text-align: justify; ">Further, he also asked all homeopathy and healthcare professionals to register their names on Ayushman Bharath Digital Mission, to help people know about healthcare professionals in an area. Professionals should ensure that the patients get Ayushman Bharat Health Account Card.&nbsp;</p><p style="text-align: justify; ">Dr. Khurana also asked the State Government for integrating its system of registration of homeopathy practitioners with the registration portal developed by the Commission.</p><p style="text-align: justify; ">Previously, inaugurating the conference, the Health and Family Welfare Minister Dinesh Gundu had mentioned how homeopathy treatment brought relief to people from chronic health problems, The Hindu has reported. Referring to the non-communicable diseases posing greater health risk, he added that there was a requirement for more studies in the field of homeopathy to make homeopathy treatment methods useful to people. He further highlighted the requirement for a healthcare system as a combination of modern medicine, Indian system of medicine and homeopathy to help people lead better life.</p><p style="text-align: justify; ">The Director of Father Muller Charitable Institutions Richar Aloysius Coelho and delegates from 18 institutes from across the country were also present at the Conference that commenced on Thursday.</p><p style="text-align: justify; ">The announcement for starting super-speciality courses in Homeopathy comes at a time when recently the Central Government launched <a href="https://medicaldialogues.in/topics/super-speciality">super-speciality</a> Ayurveda courses.</p><p style="text-align: justify; ">Medical Dialogues had earlier reported that by issuing a Gazette notification, the Central Government authorities specified the Minimum Essential Standards and Minimum Standards of Education for Institutions or Departments offering Super Speciality Programme (DM Ayurveda). The notification added that such super speciality Ayurveda programmes would include, DM Manasaroga (Ayurveda Psychiatry), DM Vajikarana (Reproductive Medicine and Epigenetics in Ayurveda), DM Asthi and Sandhi (Orthopedics and Arthrology in Ayurveda), DM Arbuda Vijnana (Ayurveda Oncology), DM Jara Chikitsa (Ayurveda Gerontology), and DM Yakrit Vikara (Ayurveda Hepatology).</p><p style="text-align: justify; "><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/ayush/ayurveda/news/centre-launches-super-speciality-courses-in-ayurveda-faces-backlash-138199" style="background-color: rgb(255, 255, 255);"><b><i>Also Read: Centre Launches Super-Speciality Courses in Ayurveda, Faces Backlash</i></b></a></p>

166. Rs 104.66 crore approved to boost healthcare in Manipur's Hill Districts

     Fri, 22 Nov 2024 07:55:10 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/03/30/235279-fund.webp' /><div class="pasted-from-word-wrapper"><p><span style="text-align: justify;">Imphal: In a move to enhance healthcare facilities in the Manipur's hill districts,&nbsp;</span>Chief Minister&nbsp;<a href="https://medicaldialogues.in/topics/chief-minister-n-biren-singh" target="_blank">N Biren Singh</a>&nbsp;announced on Thursday that the central government has sanctioned Rs 104.66 crore. &nbsp;</p></div><div class="pasted-from-word-wrapper"><p><span style="text-align: justify;">Singh thanked Prime Minister </span><a href="https://medicaldialogues.in/topics/narendra-modi" target="_blank" style="text-align: justify; background-color: rgb(249, 249, 249);">Narendra Modi</a><span style="text-align: justify;">, Union Health Minister </span><a href="https://medicaldialogues.in/topics/jp-nadda" target="_blank" style="text-align: justify; background-color: rgb(249, 249, 249);">JP Nadda</a><span style="text-align: justify;"> and DoNER Minister J M Scindia for their support in developing Manipur. &nbsp;</span></p><p style="text-align: justify;">Taking to X, Singh said, "For the first time, hill districts like Chandel, Ukhrul, Jiribam, Senapati, and Tamenglong will have access to advanced medical facilities like CT Scans, MRI, ICU services, and super-specialty care-bringing healthcare closer to home. Not to mention, the <a href="https://medicaldialogues.in/topics/churachandpur-medical-college" target="_blank">Churachandpur Medical College</a> is already operational, transforming healthcare in the region."</p><p style="text-align: justify;"><b><i><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/health/hospital-diagnostics/manipur-boy-with-severe-scoliosis-undergoes-spine-surgery-at-fortis-hospital-greater-noida-132222"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/health/hospital-diagnostics/manipur-boy-with-severe-scoliosis-undergoes-spine-surgery-at-fortis-hospital-greater-noida-132222" style="">Also Read:Manipur boy with severe scoliosis undergoes spine surgery at Fortis Hospital Greater Noida</a></i></b></p><p style="text-align: justify;">According to the PTI report, this recent sanction of Rs 104.66 crore under the Prime Minister's Development Initiative for North East Region (PM-DevINE) is a step towards equitable healthcare for all, Singh posted on the microblogging site. &nbsp;</p><p style="text-align: justify;">The chief minister also posted a copy of the letter sent from the Ministry of Ministry of Development of North Eastern Region (DoNER) to the state chief secretary regarding the sanction. &nbsp;</p><p style="text-align: justify;">As per a media report in the <a href="https://www.indiatodayne.in/manipur/story/manipur-secures-rs-10466-crore-boost-for-hill-district-healthcare-1124448-2024-11-21" rel="nofollow">IndiaTodayNE</a>, Key highlights of the project include: &nbsp;</p><p>-Setting up super-speciality hospitals and assuring speciality healthcare in the District Hospitals of Chandel, Ukhrul, and Tamenglong for Rs 1,55,31,955.00, Rs 9,41,45,850.00, and Rs 11,95,22,169.00 respectively. &nbsp;<br></p><p>-Providing specialised healthcare services in remote and hill areas of Jiribam District at Rs 6,16,40,316.00. &nbsp;</p><p>-Establishing super-speciality facilities and assured speciality healthcare in the remote and hill districts of Senapati at Rs 12,15,41,902.00. &nbsp;</p><p>Medical Dialogues team had earlier reported that bringing a boost to medical education in the state, Meghalaya’s first private medical college, the PA Sangma International Medical College, is going to begin its academic session. &nbsp;</p><p style="text-align: justify;"><b><i><a class="also-read-media-wrap" href="https://medicaldialogues.in/state-news/manipur/manipur-cabinet-to-upgrade-healthcare-facilities-106205"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/state-news/manipur/manipur-cabinet-to-upgrade-healthcare-facilities-106205">Also Read:Manipur cabinet to upgrade healthcare facilities</a></i></b></p><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap"><div></div></div></div></div>

167. Wockhardt Founder Seeks GST Exemption on India-Discovered Antibiotics to Enhance Affordability

     Fri, 22 Nov 2024 07:49:41 -0000

     At an event celebrating India's first indigenously developed antibiotic, Nafithromycin, Khorakiwala highlighted the disparity in GST.

     <img src='https://medicaldialogues.in/h-upload/2024/01/16/230299-wockhardt-pharma-new-50.webp' /><p style="text-align: justify; "><b>New Delhi: </b>Wockhardt founder Habil Khorakiwala on Wednesday sought exemption from GST for antibiotics discovered in India as part of efforts to make the drugs more affordable for patients.</p><div class="pasted-from-word-wrapper"><p style="text-align: justify;">At an event to celebrate the scientific completion of the first indigenously developed antibiotic - Nafithromycin - against multi-drug resistant (MDR) isolates, Khorakiwala pointed out that certain drugs were exempt from <a href="https://medicaldialogues.in/search?search=gst">GST</a> while some others attracted 5 per cent tax.</p><p style="text-align: justify;">With Science and Technology Minister Jitendra Singh among the listeners, the founder of the country’s prominent pharmaceutical player said, “My request is that these <a href="https://medicaldialogues.in/search?search=antibiotics">antibiotics </a>discovered in India must receive a similar kind of status. Effectively, it will become more affordable to the patient.” “I would have said the same thing had I been in his position,” Singh responded.</p><p style="text-align: justify;"><b><i>Also Read: <a href="https://medicaldialogues.in/news/industry/pharma/wockhardt-seeks-dcgi-nod-to-market-aspart-insulin-injection-136606">Wockhardt Seeks DCGI Nod To Market Aspart Insulin Injection</a></i></b></p><p style="text-align: justify;">Nafithromycin is the first macrolide antibiotic in 30 years to complete clinical development for community-acquired bacterial pneumonia. This achievement is significant given the stagnation in new macrolide antibiotic approvals since the late 1980s despite pneumonia causing several million deaths annually worldwide.</p><p style="text-align: justify;">Nafithromycin or Miqnaf is globally the first-ever once-a-day three-days-only treatment for community-acquired bacterial pneumonia, including those caused by multi-drug resistant bugs.</p><p style="text-align: justify;">Miqnaf is highly active against azithromycin and amoxicillin/clavulanate-resistant Pneumococci, as well as the entire range of pathogens involved in such infections and thus offering a monotherapy option.</p><p style="text-align: justify;">Addressing the gathering, Singh cautioned physicians against indiscriminate prescription of antibiotics to patients as such practices could lead to drug resistance.</p><p style="text-align: justify; "><b><i>Also Read: <a href="https://medicaldialogues.in/news/industry/pharma/usfda-grants-fast-track-designation-to-wockhardt-novel-antibiotic-wck-6777-136129">USFDA Grants Fast-Track Designation to Wockhardt's Novel Antibiotic WCK 6777</a></i></b></p></div><p style="text-align: justify; "><br></p>

168. MCC Adds 10 Seats to NEET Special Stray Vacancy Round Counselling

     Fri, 22 Nov 2024 07:05:41 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261794-vacant-seats.webp' /><p style="text-align: justify; "><b>New Delhi-</b> The Medical Counselling Committee (<a href="https://medicaldialogues.in/topics/mcc" target="_blank">MCC</a>) has added 10 more seats to the National Eligibility and Entrance Test-Undergraduate (<a href="https://medicaldialogues.in/topics/neet-ug" target="_blank">NEET-UG</a>) Special Stray Vacancy Round Counselling 2024 seat matrix.</p><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; ">MCC has added 1 seat each in 10 medical and dental colleges across India in connection with NEET-UG Special Stray Vacancy Round Counselling 2024. Out of these 10 total seats, 8 seats have been added in the <a href="https://medicaldialogues.in/topics/mbbs" target="_blank">MBBS</a> course, 1 seat in the BDS course and 1 seat in the BSc Nursing course. </p><p dir="ltr" style="text-align: justify; ">As per the notice issued in this regard, the seats were added after the MCC of DGHS received information from the colleges to add seats as per court directions or other issues in the seat matrix of the special stray vacancy round of UG Counselling 2024. Therefore, the candidates were instructed to fill the choices for the seats for the special vacancy round of UG Counselling 2024.</p></div><div class="pasted-from-word-wrapper"><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/education/medical-admissions/weeding-out-joined-neet-candidates-mcc-issues-notice-for-state-counselling-authorities-138458"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/medical-admissions/weeding-out-joined-neet-candidates-mcc-issues-notice-for-state-counselling-authorities-138458"><b>Also Read:&nbsp;</b>Weeding out joined NEET candidates- MCC issues notice for state counselling authorities</a></div><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; "><b><u>SEAT MATRIX</u></b></p><div dir="ltr"><table style="text-align: justify; "><colgroup><col width="55"><col width="361"><col width="208"></colgroup><tbody><tr><td><p dir="ltr" style="text-align: center; "><b>S.NO</b></p></td><td><p dir="ltr" style="text-align: center; "><b>INSTITUTE NAME</b></p></td><td><p dir="ltr" style="text-align: center; "><b>NO. OF SEATS TO BE ADDED (CATEGORY-WISE)</b></p></td></tr><tr><td><p dir="ltr">1</p></td><td><p dir="ltr">Symbiosis Medical College For Women, Pune.</p></td><td><p dir="ltr">01 MBBS seat added in the Open category </p></td></tr><tr><td><p dir="ltr">2</p></td><td><p dir="ltr">Institute of Medical Sciences and SUM Host., Bhubaneswar.</p></td><td><p dir="ltr">01 MBBS seat added in the Open category </p></td></tr><tr><td><p dir="ltr">3</p></td><td><p dir="ltr">Government Medical College Machilipatnam.</p></td><td><p dir="ltr">01 MBBS seat added in SC category </p></td></tr><tr><td><p dir="ltr">4</p></td><td><p dir="ltr">Manav Rachna Dental College, Faridabad.</p></td><td><p dir="ltr">01 BDS seat added in the General category</p></td></tr><tr><td><p dir="ltr">5</p></td><td><p dir="ltr">Jawahar Lal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha.</p></td><td><p dir="ltr">01 MBBS seat added in the Open category </p></td></tr><tr><td><p dir="ltr">6</p></td><td><p dir="ltr">Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai.</p></td><td><p dir="ltr">01 MBBS seat added in the Open category </p></td></tr><tr><td><p dir="ltr">7</p></td><td><p dir="ltr">Datta Meghe Medical College, Nagpur.</p></td><td><p dir="ltr">01 MBBS seat added in the Open category </p></td></tr><tr><td><p dir="ltr">8</p></td><td><p dir="ltr">Sri Ramachandra Medical College and Research Institute, Chennai. </p></td><td><p dir="ltr">01 MBBS seat added in the Open category </p></td></tr><tr><td><p dir="ltr">9</p></td><td><p dir="ltr">Mahatma Gandhi Medical College and Research Institute, Pondicherry.</p></td><td><p dir="ltr">01 MBBS seat added in the Open category </p></td></tr><tr><td><p dir="ltr">10</p></td><td><p dir="ltr">College of Nursing, BHU, Varanasi.</p></td><td><p dir="ltr">01 B. Sc Nursing seat in OBC category</p></td></tr><tr><td></td><td><p dir="ltr" style="text-align: center; "><b>TOTAL</b></p></td><td><p dir="ltr" style="text-align: center; "><b>10</b></p></td></tr></tbody></table></div><p dir="ltr" style="text-align: justify; "><b><u><i>To view the notice, click the link below</i></u></b></p><p dir="ltr" style="text-align: justify; "><a href="https://medicaldialogues.in/pdf_upload/mcc-adds-10-seats-to-neet-2024-special-stray-vacancy-round-counselling-261795.pdf" target="_blank">https://medicaldialogues.in/pdf_upload/mcc-adds-10-seats-to-neet-2024-special-stray-vacancy-round-counselling-261795.pdf</a></p></div><div class="pasted-from-word-wrapper"><div></div></div>

169. Jazz Pharma's Ziihera Gets USFDA Nod To Treat HER2-Positive Biliary Tract Cancer

     Fri, 22 Nov 2024 07:00:15 -0000

     The drug zanidatamab-hrii, sold under the brand name Ziihera, is approved for use in previously treated adults with metastatic HER2-positive biliary tract

     <img src='https://medicaldialogues.in/h-upload/2022/03/23/172750-cancer-drugs.webp' /><p style="text-align: justify; "><b>Bengaluru: </b>The U.S. Food and Drug Administration approved Jazz Pharmaceuticals' drug for the treatment of a type of biliary tract cancer, the company said on Wednesday.</p><div class="pasted-from-word-wrapper"><div class="pasted-from-word-wrapper"><p style="text-align: justify;">The drug zanidatamab-hrii, sold under the brand name Ziihera, is approved for use in previously treated adults with metastatic HER2-positive biliary tract cancer.</p><p style="text-align: justify; ">HER2 is a protein that stimulates quick growth of <a href="https://medicaldialogues.in/search?search=cancer">cancer </a>cells. Its presence in solid tumor form includes biliary tract, bladder, cervical, endometrial, ovarian and pancreatic cancers.</p><p style="text-align: justify;">The FDA's accelerated approval is based on data from the company's mid-stage 87-patient study, in which patients treated with the drug showed an objective response rate - a measure of treatment effectiveness - of 52%.</p><p style="text-align: justify;">Jazz did not immediately respond to a Reuters request for comment on Ziihera's pricing.</p><p style="text-align: justify;">"We look forward to advancing research of zanidatamab in BTC and other HER2-expressing solid tumors, with the goal of improving outcomes for more people diagnosed with these difficult-to-treat HER2-positive cancers," said Rob Iannone, Jazz's chief medical officer.</p><p style="text-align: justify;"><b><i>Also Read: <a href="https://medicaldialogues.in/news/industry/pharma/avadels-narcolepsy-drug-lumryz-gets-usfda-approval-for-pediatric-use-136655">Avadel's Narcolepsy Drug Lumryz Secures USFDA Approval for Pediatric Use</a></i></b></p><p style="text-align: justify;">Jazz and Beigene developed zanidatamab after Jazz acquired exclusive development and commercialization rights for the drug from Zymeworks in 2022.</p><p style="text-align: justify;">However, serious adverse reactions occurred in 53% of patients who received Ziihera, the company added on Wednesday. The most common adverse reactions in patients were diarrhea, infusion-related reaction, abdominal pain and fatigue.</p><p style="text-align: justify;">The accelerated approval can be converted into a standard approval if the drug shows clinical benefit in a confirmatory trial.</p><p style="text-align: justify;"><b><i>Also Read: <a href="https://medicaldialogues.in/news/industry/pharma/lupin-gets-tentative-usfda-nod-for-generic-equivalent-of-xywav-oral-solution-118717">Lupin Gets Tentative USFDA Nod for Generic Equivalent of Xywav Oral Solution</a></i></b></p></div></div>

170. Bengal Doctors' Body Calls for Dissolution of State Medical Council over Alleged Irregularities

     Fri, 22 Nov 2024 06:19:28 -0000

     <img src='https://medicaldialogues.in/h-upload/2023/08/04/215683-irregularities.webp' /><div class="pasted-from-word-wrapper"><p><span style="text-align: justify;">Kolkata:&nbsp;</span>In a recent development, the Joint Platform of Doctors (JPD), an association representing senior doctors in West Bengal, has urged the state government to dissolve the state's medical council, citing ongoing "irregularities" within its operations.</p><p><span style="text-align: justify;">Joint Platform of Doctors (JPD) has sought the intervention of the West Bengal government to end the continuing "<a href="https://medicaldialogues.in/topics/irregularities" target="_blank">irregularities</a>" in the functioning of the <a href="https://medicaldialogues.in/topics/west-bengal-medical-council" target="_blank">West Bengal Medical Council</a>.&nbsp;</span></p><p style="text-align: justify; ">The association's joint conveners Punyabrata Gun and Hiralal Konar have sent a communique to Chief Secretary Manoj Pant seeking discussions on this issue.</p><p style="text-align: justify;">According to an IANS report, in the communique, the association expressed apprehension that in view of the "unethical" and "inhumane" transfer of release orders of doctors which are in contravention to the provision of law as prescribed by the National Medical Council, suspicions are surfacing about the resurrection of the alleged "threat culture" in the state's healthcare sector.</p><p style="text-align: justify;">The JPD has also questioned the state Health Department's "silence" on the disciplinary actions against doctors accused of "threat culture" although several high-powered inquiry committees have found the majority of allegations against such errant doctors to be valid.</p><p style="text-align: justify;"><b><i><a class="also-read-media-wrap" href="https://medicaldialogues.in/state-news/west-bengal/west-bengal-medical-council-registrar-removed-amid-allegations-of-illegal-appointment-138435"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/state-news/west-bengal/west-bengal-medical-council-registrar-removed-amid-allegations-of-illegal-appointment-138435">Also Read:West Bengal Medical Council Registrar removed amid allegations of Illegal Appointment</a></i></b></p><p style="text-align: justify;">According to JPD, the "silence" of the Health Department is leading to the "breach" of mutual trust in contravention of the promise made by higher administration for early recovery of the same for the larger interest of the majority of stakeholders.</p><p style="text-align: justify;">The communique from the senior doctors' body to the state secretary comes at a time when infighting within Trinamool Congress has become blatant over the spat between the party's two doctor-leaders within the state Medical Council, news agency IANS reported.</p><p style="text-align: justify;">Trinamool Congress legislator and the president of the state Medical Council, on Wednesday, sent a communique to State Health and Family Welfare Secretary Narayan Swarup Nigam seeking immediate replacement of the former Trinamool Congress Rajya Sabha member Santanu Sen as the state government-nominated member of the council.</p><p>As per a media report in the <a href="https://www.hindustantimes.com/cities/kolkata-news/bengal-doctors-ask-govt-to-dissolve-state-medical-council-101732201100245.html" rel="nofollow">HT</a>, the doctors’ body raised the demand a day after the council president asked health secretary NS Nigam to seek the removal of Dr Santanu Sen, one of the three state-nominated members of the medical council since he had missed several recent meetings. Sen, a former Rajya Sabha member of the ruling party, was the most vocal among ruling party leaders after the crime. He had demanded inquiry against some senior doctors following which TMC removed him from the post of party spokesperson.</p><p style="text-align: justify;">A cold war between Roy and Sen, both medical practitioners in private life, broke out after the rape and murder of a female junior doctor of R.G. Kar Medical College and Hospital in Kolkata in August.</p><p style="text-align: justify;">Sen became vocal against a section of the state healthcare system. Things worsened further over the central agency probe into the financial irregularities at R. G. Kar, as part of which the Enforcement Directorate (ED) officials conducted raid and search operations at residence and hospital of Roy in Kolkata and also questioned him at the central agency office.</p><p style="text-align: justify;"><b><i><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/health/doctors/sandip-ghoshs-wife-moves-calcutta-hc-seeking-reconsideration-of-his-registration-cancellation-137355"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/health/doctors/sandip-ghoshs-wife-moves-calcutta-hc-seeking-reconsideration-of-his-registration-cancellation-137355">Also Read:Sandip Ghosh's wife moves Calcutta HC seeking reconsideration of his registration cancellation</a></i></b></p><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap"><div></div></div></div></div>

171. Fact Check: Can using fluoride toothpaste lower IQ ?

     Fri, 22 Nov 2024 06:00:00 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/15/260928-1500x900-for-fact-check.webp' /><p style="text-align: justify; ">An Instagram post claims that using fluoride toothpaste lowers IQ and causes cellular damage. The claim is <b>Misleading</b>.</p><h3 style="text-align: justify; "><b>Claim</b></h3><p style="text-align: justify; ">The Instagram post titled "The government payed him to keep silent about this" claims that, "<a href="https://medicaldialogues.in/search?search=fluoride+toothpaste">Fluoride toothpaste</a> is recommended but; fluoride is toxic, it can lower your IQ and damage cells."Additionally, the video shared by the user<a href="https://www.instagram.com/holistic.biohack/" rel="nofollow"> holistic.biohack </a>makes several claims. Among other claims, The post also targets fluoride toothpaste: "<a href="https://medicaldialogues.in/search?search=+toothpaste" rel="nofollow">Fluoride toothpaste</a> is recommended but; fluoride is toxic, it can lower your IQ and damage cells."</p><p style="text-align: justify; ">The post can be accessed <a href="https://www.instagram.com/reel/DCCx64OtKDO/?igsh=Y252N2M2dHFtODdr" rel="nofollow">here</a>.</p><h3 style="text-align: justify; "><b>Fact Check</b></h3><p style="text-align: justify; ">The claim is <b>Misleading</b>. While excessive fluoride can be toxic, the levels used in toothpaste and fluoridated water are considered safe and effective for preventing tooth decay by reputable organizations like the WHO and ADA. This post mixes valid concerns about excessive fluoride exposure with exaggerated and unsupported assertions about commonly used fluoride levels, creating a false and misleading narrative.</p><p><b style="color: rgb(95, 100, 104); font-family: inherit; font-size: 24px; text-align: justify; background-color: rgb(255, 255, 255);">What is Fluoride Toothpaste?</b></p><p style="text-align: justify; "><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6398117/" rel="nofollow">Fluoride</a> has been widely used to prevent tooth decay through various methods such as toothpaste, water, milk, mouth rinses, tooth gels, and varnishes. Regular toothbrushing is advised to maintain oral health and prevent decay, with a general recommendation to brush for 2 minutes twice daily using fluoride toothpaste. The fluoride concentration in standard or family toothpaste typically ranges from 1000 to 1500 parts per million (ppm), although different concentrations are available globally. While there is no defined minimum fluoride concentration, the maximum allowable level varies by age and country. Higher fluoride concentrations are usually not available over the counter and require a prescription.</p><p style="text-align: justify; "> The <a href="https://jada.ada.org/article/S0002-8177(14)60226-9/fulltext?_gl=1*1pd6cmj*_gcl_au*MTg1MzgxNzg5LjE3MzE3NDUzMTM.*_ga*MjAxMDcyODk3OS4xNzMxNzQ1MzEz*_ga_X8X57NRJ4D*MTczMTc0NTMxMi4xLjEuMTczMTc0NTM2MC4wLjAuMA.." rel="nofollow">American Dental Association (ADA)</a> recommends that caregivers brush children's teeth with water and consult a dentist or physician before introducing fluoride toothpaste for children under 2 years old. For children aged 2 to 6 years, a pea-sized amount of fluoride toothpaste is advised.</p><h3 style="text-align: justify; "><b>Health Risks from Excessive Fluoride</b></h3><p style="text-align: justify; "><a href="https://ods.od.nih.gov/factsheets/Fluoride-HealthProfessional/" rel="nofollow">Prolonged consumption</a> of excessive fluoride during infancy and childhood, a critical period when teeth are developing, can result in dental fluorosis. This chronic condition typically presents with varying features, ranging from barely noticeable white streaks or spots to more prominent white or brown discolourations on the teeth.</p><p style="text-align: justify; ">The below table represents the <a href="https://ods.od.nih.gov/factsheets/Fluoride-HealthProfessional/" rel="nofollow">Daily Adequate Intakes (AIs) for Fluoride</a>:</p><div contenteditable="false" data-width="504" style="left:28%;width:504px;" class="image-and-caption-wrapper clearfix hocalwire-draggable float-none" has-title="true"><a href="https://ods.od.nih.gov/factsheets/Fluoride-HealthProfessional"><img src="https://medicaldialogues.in/h-upload/2024/11/15/260900-image.webp" draggable="true" class="hocalwire-draggable float-none" data-float-none="true" data-uid="23690nXcnUqtAvZyN9pC4VILBjeH1866tlhb78509268" data-watermark="false" style="text-align: justify; width: 100%; float: none;" info-selector="#info_item_1731668509994" title="Image Source: NIH Office of Dietary supplements" alt=" Daily Adequate Intakes (AIs) for Fluoride" data-compression="false"></a><div class="inside_editor_caption image_caption hocalwire-draggable float-none edited-info" id="info_item_1731668509994"><p>Image Source: NIH Office of Dietary supplements</p></div></div><p style="text-align: justify; ">&nbsp;</p><p style="text-align: justify; "><a href="https://ods.od.nih.gov/factsheets/Fluoride-HealthProfessional/" rel="nofollow">Most toothpaste</a> contains fluoride, typically sodium fluoride or monofluorophosphate, at levels of 1,000 to 1,100 mg/L (approximately 1.3 mg per typical brushing amount). Daily fluoride intake from toothpaste is estimated at 0.1–0.25 mg for children under 5 years, 0.2–0.3 mg for children aged 6–12 years, and 0.1 mg for adults. Fluoride in toothpaste is effectively absorbed regardless of its form.</p><p style="text-align: justify; ">Excessive fluoride exposure, often from rare incidents such as overly fluoridated water, accidental ingestion of fluoride products meant for topical dental use, or improper administration of fluoride supplements to children, can lead to symptoms like nausea, vomiting, abdominal pain, diarrhea, periostitis, and, in very rare cases, death. It is estimated that an acute dose of 5 mg/kg (e.g., 375 mg for a 75 kg or 165-pound individual) could cause serious systemic toxicity.</p><h3 style="text-align: justify; "><b>Understanding IQ (Intelligence Quotient)</b></h3><p style="text-align: justify; "><a href="https://www.researchgate.net/publication/320383275_IQ_The_Intelligence_Quotient" rel="nofollow">Intelligence</a> refers to the capacity to think logically, learn efficiently, comprehend complex concepts, and adapt to one's surroundings. It is best understood as a general ability that impacts performance across a variety of cognitive tasks. IQ, or intelligence quotient, measures an individual's intelligence in comparison to peers of the same age. Among psychological traits, IQ is highly heritable, and modern IQ test scores serve as reliable predictors of various life outcomes, such as academic and career achievements, health, lifespan, and even overall happiness.</p><h3 style="text-align: justify; "><b>Cellular damage</b></h3><p style="text-align: justify; "><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10531010/#:~:text=Cellular%20damage%20involves%20harm%20inflicted,and%20biophysical%20triggers%20%5B11%5D." rel="nofollow">Cellular damage</a> refers to harm caused to cells due to external influences or internal malfunctions, manifesting in multiple forms. This damage can arise from a wide range of factors, including environmental, chemical, and biophysical stimuli.<a href="https://www.researchgate.net/publication/14497978_Mechanisms_of_cell_injury_and_death" rel="nofollow"> Cells </a>adapt to injuries by activating responses that help restore balance and protect against further damage. Instead of increasing the overall amount of gene activity, cells focus on changing the pattern of gene activity, prioritizing "important" genes. These responses to cell injury are grouped into four main types: the ischaemic or lack of oxygen response, the oxidative stress response, the heat shock response, and the acute phase response.</p><h3 style="text-align: justify; "><b>Can using fluoride toothpaste lowers IQ and causes cellular damage?</b></h3><p style="text-align: justify; "><span style="background-color: rgb(249, 249, 249); color: rgb(0, 0, 0); font-size: 15px;">Studies have noted that excessive fluoride intake can result in conditions such as dental fluorosis, nausea, vomiting, abdominal pain, diarrhea, periostitis, and, in extremely rare cases, death, these outcomes are linked to excessive fluoride exposure. Such exposure typically arises from rare events like overly fluoridated water, accidental ingestion of fluoride products intended for dental use, or improper use of fluoride supplements in children.</span></p><p style="text-align: justify; ">Several studies have examined the effects of chronic fluoride exposure on tissues showing that it can contribute to cellular damage. One such study featured in <a href="https://www.researchgate.net/publication/353198823_Recent_advances_in_cellular_effects_of_fluoride_an_update_on_its_signalling_pathway_and_targeted_therapeutic_approaches" rel="nofollow">Molecular Biology Reports</a> suggests that high and chronic exposure to fluoride causes cellular apoptosis that is cell damage.</p><div class="pasted-from-word-wrapper"><p>Yet another study featured in the <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC7230026/#:~:text=Organelle%20disruption%20by%20fluoride,time%2D%20and%20concentration%2Ddependent." rel="nofollow">Archives of Toxicology</a> mentions that extended exposure to elevated fluoride levels causes extensive damage to cellular organelles, which is influenced by both the duration and concentration of exposure. Fluoride generally disrupts structures such as the cell surface, mitochondria, endoplasmic reticulum, Golgi apparatus, and nucleus. However, these studies focus on the effects of excessive fluoride exposure and do not address fluoride exposure from toothpaste.</p></div><p style="text-align: justify; ">Research has explored the effects of excessive fluoride on children's intelligence. A study published in the <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3409983/#sec1-2" rel="nofollow">Journal of Neurosciences in Rural Practice </a>concludes that children in endemic areas of fluorosis are at risk for impaired development of intelligence. Although this study doesn't mention anything about the impact of fluoride toothpaste on children's intelligence or IQ, it does relate it to child's intelligence.</p><p><b><i>Having said that, Fluoride levels in toothpaste are insufficient to cause excessive fluoride ingestion, as daily intake from toothpaste is estimated at 0.1–0.25 mg for children under 5 years, 0.2–0.3 mg for children aged 6–12 years, and 0.1 mg for adults—levels well below the daily adequate intake of fluoride. There is no scientific evidence or medical consensus to support claims that the fluoride toothpaste, which contain standardly safe amounts of fluoride, can lead to lower IQ or cellular damage.</i></b></p><p style="text-align: justify; ">Also, the <a href="https://jada.ada.org/article/S0002-8177(14)60226-9/fulltext?_gl=1*1pd6cmj*_gcl_au*MTg1MzgxNzg5LjE3MzE3NDUzMTM.*_ga*MjAxMDcyODk3OS4xNzMxNzQ1MzEz*_ga_X8X57NRJ4D*MTczMTc0NTMxMi4xLjEuMTczMTc0NTM2MC4wLjAuMA.." rel="nofollow">American Dental Association (ADA) </a>recommends that caregivers brush children's teeth with water and consult a dentist or physician before introducing fluoride toothpaste for children under 2 years old. For children aged 2 to 6 years, a pea-sized amount of fluoride toothpaste is advised.</p><p style="text-align: justify; ">All these studies highlight the effects of excessive or chronic fluoride exposure on intelligence quotient (IQ) and cellular damage. However, no studies have been found indicating that fluoride toothpaste causes cellular damage or lowers IQ. Additionally, there is no consensus within the dental community supporting the claim that fluoride toothpaste leads to a reduction in IQ. Fluoride in toothpaste has scientifically documented several <a href="https://ods.od.nih.gov/factsheets/Fluoride-HealthProfessional/" rel="nofollow">benefits </a>including inhibition and reversal of the initiation and progression of dental caries (tooth decay) and stimulates new bone formation&nbsp;</p><p style="text-align: justify; "><br></p><div contenteditable="false" data-width="252" style="width:252px;" class="image-and-caption-wrapper clearfix hocalwire-draggable float-left"><img src="https://medicaldialogues.in/h-upload/2024/11/15/260926-profile-10.webp" draggable="true" class="hocalwire-draggable float-left" data-float-none="true" data-uid="23690BK2vu9kwu3GojPM3R6mbuWzVkmLTLFVK3301770" data-watermark="false" style="text-align: justify; width: 100%; float: left;" info-selector="#info_item_1731673302689"><div class="inside_editor_caption image_caption hocalwire-draggable float-left" id="info_item_1731673302689"></div></div><p style="text-align: justify; "><b>Dr Meenakshi Sahu, Senior Associate Dentist, at Vyas Dental Inn, Raipur(C.G)</b>, told Medical Dialogues, "Fluoride toothpaste is a trusted and safe way to strengthen teeth and prevent cavities. Its fluoride levels are carefully controlled, making it safe for daily use without causing harm. When used correctly—such as a pea-sized amount for children and proper brushing—it supports healthy teeth without risks. Fluoride toothpaste remains a key part of maintaining good oral hygiene."</p><p style="text-align: justify; "><b></b></p><p style="text-align: justify; ">&nbsp;</p><div contenteditable="false" data-width="252" style="width:252px;" class="image-and-caption-wrapper clearfix hocalwire-draggable float-left"><img src="https://medicaldialogues.in/h-upload/2024/11/15/260927-profile-12.webp" draggable="true" class="hocalwire-draggable float-left" data-float-none="true" data-uid="23690ivTptGwcG7oDkev10oJMNXuno0fC3sR93378798" data-watermark="false" style="text-align: justify; width: 100%; float: left;" info-selector="#info_item_1731673379776"><div class="inside_editor_caption image_caption hocalwire-draggable float-left" id="info_item_1731673379776"></div></div><p style="text-align: justify; "><b>Dr Ritu Thawait, Dental Surgeon, Medical Officer, CHC, Risali, Durg, C.G</b> added, "Using fluoride toothpaste is recommended as it helps protect teeth from cavities. However, it should be used cautiously in small children less than 2 years and as directed by your dentist. When used appropriately, fluoride toothpaste prevents excessive fluoride exposure and poses no harm when following the recommended dosage."</p><h3 style="text-align: justify; "><b>Medical Dialogues Final Take</b></h3><p style="text-align: justify; ">While excessive or chronic fluoride exposure has been associated with adverse effects such as dental fluorosis, cellular damage, and potential impacts on intelligence, these outcomes stem from high fluoride levels due to rare incidents like over-fluoridation of water or misuse of fluoride-containing products. Fluoride toothpaste, with its regulated fluoride content, is safe when used as directed. Current scientific evidence and dental consensus do not support claims that fluoride toothpaste causes cellular damage or lowers IQ. Hence the claim, that fluoride content in toothpaste can lead to lower IQ or cellular damage is <b>Misleading.</b></p><p style="text-align: justify; ">&nbsp;</p>

172. Assam doctor allegedly demands Rs 25000 bribe to release post-mortem report

     Fri, 22 Nov 2024 05:30:57 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/08/29/250064-bribe-50.webp' /><p><b>Gohpur:</b> In a shocking incident, a doctor at a government hospital in the Biswanath district of <a href="https://medicaldialogues.in/state-news/assam">Assam</a> has been accused of demanding a Rs 25,000 bribe from a man in exchange for providing the <a href="https://medicaldialogues.in/topics/post-mortem-report" rel="nofollow">post-mortem </a>report&nbsp;of his son and grandson. &nbsp;</p><p>This claim follows a devastating tragedy in Gohpur that occurred on November 7. According to media reports, Chidananda Saikia suffered an unfathomable loss when his son shot and killed his seven-year-old child. &nbsp;</p><p>The man who was already grieving the loss of his family members, was further traumatized when doctors at the local government hospital allegedly demanded&nbsp;<span style="background-color: rgb(255, 255, 255);">a </span><a href="https://medicaldialogues.in/topics/bribe" rel="nofollow">bribe</a>&nbsp;in exchange for completing the post-mortem paperwork. &nbsp;</p><p><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/health/doctors/odisha-gynaecologist-arrested-for-taking-rs-6000-bribe-138333"><b>Also Read: Odisha Gynaecologist arrested for taking Rs 6000 bribe</b></a></p><div class="pasted-from-word-wrapper"><div><span style="background-color: rgb(249, 249, 249);">As per the recent media report by </span><a href="https://www.sentinelassam.com/north-east-india-news/assam-news/assam-grieving-father-alleges-bribery-by-doctors-for-post-mortem-report" rel="nofollow">The Sentinel</a><span style="background-color: rgb(249, 249, 249);">, the man stated that he was forced to pay Rs 25,000 to the hospital workers as a bribe, allegedly for ambulance and sweeper services. He conveyed his distress, saying the demand made matters worse at a time when his family was already going through a tough time. &nbsp;</span></div></div><p>The father expressed his distress, highlighting how the hospital's actions worsened the emotional toll on him. His frustration led him to directly appeal to Assam’s Chief Minister, Himanta Biswa Sarma, seeking intervention to ensure justice in the matter. &nbsp;</p><p>In response to the allegations, Subhasish Baruah, the Biswanath District Superintendent of Police, ordered an immediate investigation into the claims. The inquiry is being conducted by Additional Superintendent of Police Kulendra Nath Deka. &nbsp;</p><p><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/assam-health-official-arrested-for-taking-rs-25000-bribe">Also Read:Assam: Health official Arrested for Taking Rs 25,000 Bribe</a></p><div class="pasted-from-word-wrapper"><div><span style="background-color: rgb(249, 249, 249);">Medical Dialogues had earlier reported that a Head Assistant in the Office of the Joint Director of Health, Sivasagar district of Assam was arrested after the police caught him red-handed while receiving a bribe of Rs 25,000 at his residence.</span></div></div>

173. NEET PG Admissions: MP DME releases Revised State-Specific Merit List, details

     Fri, 22 Nov 2024 05:30:39 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261806-neet-pg-2024-1.webp' /><p style="text-align: justify; "><b>Madhya Pradesh-</b> The Director of Medical Education (<a href="https://medicaldialogues.in/topics/dme-madhya-pradesh" target="_blank">DME) Madhya Pradesh</a> has issued a notice regarding the clarification received from the National Board of Medical Examinations (<a href="https://medicaldialogues.in/topics/nbems" target="_blank">NBEMS</a>) regarding the All-India NEET merit and state-specific merit.</p><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; ">As per the notice, state-specific percentile scores and state-specific ranks for a particular state have been freshly prepared after awarding incentivized marks, utilizing the same normalization process. This was discussed during the virtual meetings held recently with NMC/State Advisory Authorities/NBEMS.</p><p dir="ltr" style="text-align: justify; ">Hence, the new State-specific percentile score and rank of candidates, including their state inter-se merit, cannot be compared with the All India <a href="https://medicaldialogues.in/topics/neet-pg" target="_blank">NEET-PG</a> 2024 percentile score and rank, including their All India inter-se merit.</p></div><div class="pasted-from-word-wrapper"><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/medical-admissions/mp-dme-notifies-on-bond-requirement-for-pg-admissions-2024-details-131539"><b>Also Read:&nbsp;</b>MP DME notifies on Bond Requirement for PG Admissions 2024, Details</a></div><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; ">The All-India result for National Eligibility and Entrance Test-Postgraduate (NEET PG) which was conducted in two shifts, was prepared utilizing the normalization process. The All India NEET-PG 2024 rank was based on the percentile obtained as per the normalization process.</p><p dir="ltr" style="text-align: justify; ">Medical Dialogues had earlier reported that Noting that several states were facing difficulty in giving incentive marks to in-service candidates due to change in the NEET PG exam pattern this year, the National Medical Commission (NMC) decided to permit the National Board of Examinations in Medical Sciences (NBEMS) to allow the States to create State-specific ranks only for the consumption of the State Quota seats for the NEET PG Counselling 2024</p></div><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap"><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/education/neet-pg-nmc-allows-nbe-to-facilitate-counselling-authorities-to-create-state-specific-ranks-for-in-service-quotaadmissions-137237"><img class="also-read-media" data-src="https://medicaldialogues.in/h-upload/2023/07/11/213943-national-medical-commission-2.webp"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/neet-pg-nmc-allows-nbe-to-facilitate-counselling-authorities-to-create-state-specific-ranks-for-in-service-quotaadmissions-137237"><span class="read-this-also">Also Read:</span>NEET PG- NMC Allows NBE to facilitate counselling authorities to create state-specific ranks for in service quota admissions</a><div></div></div></div><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; ">Meanwhile, earlier through a notice MPDME has issued a notification regarding the requirement of the bond at the time of admission to postgraduate courses. The counselling body said that the candidates who have been admitted in the first phase and want to opt for upgradation in the second phase or the candidates who have been admitted in the first and second phase counselling and want to opt for upgradation for the mop-up phase will have to submit an affidavit of Rs. 500 on a stamp paper in the name of the Dean of the concerned college.</p><p dir="ltr" style="text-align: justify; "><b><u><i>To view the notice, click the link below</i></u></b></p><p dir="ltr" style="text-align: justify; "><a href="https://medicaldialogues.in/pdf_upload/notice-261807.pdf">https://medicaldialogues.in/pdf_upload/notice-261807.pdf</a><a href="https://medicaldialogues.in/pdf_upload/notice-261807.pdf" target="_blank"></a></p><p dir="ltr" style="text-align: justify; ">Merit list-&nbsp;<a href="https://medicaldialogues.in/pdf_upload/dmepg2024meritfrmdmsrevised-v170-261877.pdf" target="_blank">https://medicaldialogues.in/pdf_upload/dmepg2024meritfrmdmsrevised-v170-261877.pdf</a></p></div><div class="pasted-from-word-wrapper"></div><div class="pasted-from-word-wrapper"><div></div></div>

174. UP Govt Doctors Urge Raise in Reemployment Age Limit to 70

     Fri, 22 Nov 2024 04:30:21 -0000

     <img src='https://medicaldialogues.in/h-upload/2022/10/07/187254-retirement-age.webp' /><p><b>Lucknow:</b> The Association of Reemployed Government Doctors (ARGD) has called on the state government to increase the maximum age for the reemployment of <a href="https://medicaldialogues.in/topics/retired-doctors">retired doctors</a> from the current limit of 65 to 70 years. The reemployment of retired doctors was introduced to address the state's shortage of medical staff. </p><p>Currently, there is a gap of 7,000 doctors in the state, with 19,000 sanctioned posts, of which only 12,000 are filled. The government has created 1,000 additional positions for retired doctors to mitigate this issue. However, the success of this measure has been limited.</p><p><a class="also-read-media-wrap" href="https://medicaldialogues.in/mdtv/healthshorts/up-cabinet-approves-proposal-to-increase-retirement-age-of-govt-doctors-to-65-years-118675" style="background-color: rgb(204, 204, 204);"><img class="also-read-media" data-src="https://medicaldialogues.in/h-upload/2023/10/12/222611-up-gov.webp"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/mdtv/healthshorts/up-cabinet-approves-proposal-to-increase-retirement-age-of-govt-doctors-to-65-years-118675">Also Read: UP cabinet approves proposal to increase retirement age of Govt doctors to 65 years</a></p><div class="pasted-from-word-wrapper"><div><span style="background-color: rgb(249, 249, 249);">According to a recent media report by </span><a href="https://www.hindustantimes.com/cities/lucknow-news/reemployed-govt-doctors-push-for-age-limit-raise-to-70-101732119068249.html" rel="nofollow">Hindustan Times</a><span style="background-color: rgb(249, 249, 249);">, the ARGD mentioned in a letter to the president of the Provincial Medical Services Association, a body representing government doctors in the state, that, “The retirement age for doctors is set at 62, but those serving till level IV, who leave administrative posts, can extend their service until 65. However, doctors in levels IV and above are not rejoining in large numbers, which is hindering the effectiveness of the reemployment initiative.”</span></div></div><p>Under the current reemployment scheme, the state has created 500 positions each for specialists and MBBS doctors. This new move allows retired doctors to return to work in district hospitals and other healthcare facilities. Additionally, the National Health Mission (NHM) offers contracts that enable doctors to continue working until they reach the age of 70. More than 300 reemployed doctors are currently working in various district hospitals across Uttar Pradesh, contributing in addressing the shortage of healthcare personnel in the state.</p><p><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/retired-doctors-to-get-reemployed-in-central-hospitals-says-jp-nadda" style="background-color: rgb(255, 255, 255);"><b>Also Read: Retired doctors to get reemployed in central hospitals, says JP Nadda</b></a></p><p>Medical Dialogues had earlier reported that during the 15th annual celebration of Himachal Maha Sabha Union Health Minister JP Nadda welcomed the idea of reemploying retired doctors in the central hospitals. This time their employment can be considered on a contractual basis, as stated by Nadda.</p>

175. Dr NTRUHS Begins Special Stray Vacancy Round for BDS Management Quota Seats

     Fri, 22 Nov 2024 04:00:45 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261818-special-stray-vacancy-round.webp' /><p style="text-align: justify; "><b>Andhra Pradesh-</b> Keeping in view of the National Eligibility and Entrant Test-Undergraduate (<a href="https://medicaldialogues.in/topics/neet-ug" target="_blank">NEET-UG</a>) 2024 Special Round Schedule by the Medical Counselling Committee (<a href="https://medicaldialogues.in/topics/mcc" target="_blank">MCC</a>), DGHS, Ministry of Health &amp; Family Welfare Dept., Govt. of India, the NTRUHS has decided to conduct Special Stray Vacancy Round of web-based Counselling for admission into <a href="https://medicaldialogues.in/topics/bds" target="_blank">BDS</a> Course under the Management Quota seats for the academic year 2024-25 duly implementing the rules as applicable to Stray Vacancy Round.</p><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; ">In the exercise of powers conferred under the Regulation of Admissions into Under Graduate Medical &amp; Dental Professional Courses applicable to Un-aided Minority I Non-Minority Professional Institutions in the State of Andhra Pradesh, the Competent Authority has notified the following schedule and rules in connection with Special Stray Vacancy Round of web-based Counselling for the available vacancies due to non-joining of allotted candidates after Phase-III for admission into BDS Course under the Management Quota seats for the academic year 2024-25-</p></div><div class="pasted-from-word-wrapper"><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/education/ayush/dr-ntruhs-extends-registration-deadline-for-pg-ayush-admissions-2024-138348"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/ayush/dr-ntruhs-extends-registration-deadline-for-pg-ayush-admissions-2024-138348"><b>Also Read:&nbsp;</b>Dr NTRUHS Extends Registration Deadline for PG AYUSH Admissions 2024</a></div><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; "><b><u>SCHEDULE</u></b></p><div dir="ltr"><table style="text-align: justify; "><colgroup><col width="51"><col width="365"><col width="208"></colgroup><tbody><tr><td><p dir="ltr" style="text-align: center; "><b>S.NO</b></p></td><td><p dir="ltr" style="text-align: center; "><b>PARTICULARS</b></p></td><td><p dir="ltr" style="text-align: center; "><b>DATES</b></p></td></tr><tr><td><p dir="ltr">1</p></td><td><p dir="ltr">Payment of Security Deposit of Rs.2,00,000/- through online mode in the respective login and Exercising Web Options.</p></td><td><p dir="ltr">22 November 2024, 10.00 AM Up to 26 November 2024, 02.00 PM on </p></td></tr><tr><td><p dir="ltr">2</p></td><td><p dir="ltr">Release of allotments (Tentative).</p></td><td><p dir="ltr">26 November 2024</p></td></tr></tbody></table></div><p dir="ltr" style="text-align: justify; "><b><u>SECURITY DEPOSIT AMOUNT</u></b></p><p dir="ltr" style="text-align: justify; ">1 Many candidates were allotted seats under Management Quota, 2024-25 during Phase III but did not report in the allotted colleges which led to the blocking of seats.</p><p dir="ltr" style="text-align: justify; ">2 To avoid such type of blocking of seats, the Competent Authority has decided to collect a Refundable Security Deposit Amount of Rs.2,00,000/- online mode from the candidates who are already found in the Merit List of Management Quota and who wish to participate in the ensuing with Special Stray Vacancy Round of Counselling subject to the conditions that-</p><p dir="ltr" style="text-align: justify; ">i Candidates who have already paid a Refundable Security Deposit Amount of Rs 3.00,000/- for the MBBS course under the Special Stray Vacancy Round are eligible to opt for the BDS course under this Notification without additional Refundable Security Deposit Payment for the BDS Course.</p><p dir="ltr" style="text-align: justify; ">ii Candidates who are willing to participate in the Special Stray Vacancy Round of only the BDS Course need to pay Rs.2,00,000/-.</p><p dir="ltr" style="text-align: justify; ">iii Refundable Security Deposit of candidates who do not join the seats allotted to them in the Special Stray Vacancy Round or subsequent rounds, if any, will be forfeited.</p><p dir="ltr" style="text-align: justify; ">iv If the candidate joins the allotted seat, the Security Deposit amount will be refunded to the candidate after the closure of admissions.</p><p dir="ltr" style="text-align: justify; ">v If the candidate is not allotted a seat, the Security Deposit amount will be refunded to the candidate after the closure of admissions.</p><p dir="ltr" style="text-align: justify; ">vi Also, the Security Deposit will be forfeited if the admission gets cancelled due to any reason. e.g. in case, the candidate gives wrong information at the time of registration on the basis of which a seat may be allotted and later cancelled by the Admission Authorities at the time of reporting or fails to produce the required documents at the time of admission (within stipulated time).</p></div><div class="pasted-from-word-wrapper"><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/ayush/ntruhs-invites-applications-for-pg-ayush-courses-2024-registration-open-till-november-18-138145"><b>Also Read:&nbsp;</b>NTRUHS Invites Applications for PG AYUSH Courses 2024, Registration Open Till November 18</a></div><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; "><b><u>WEB OPTIONS</u></b></p><p dir="ltr" style="text-align: justify; ">Eligible candidates will have to exercise fresh web options for the Special Stray Vacancy Round as per the seat matrix displayed on the University website. Web options exercised earlier including for BDS MQ Stray Round will be treated as 'Null &amp; Void'.</p><p dir="ltr" style="text-align: justify; ">Candidates participating in the Special Stray Vacancy Round will have to furnish an undertaking with respect to the allotment of seats at the time of exercising web options.</p><p dir="ltr" style="text-align: justify; "><b><u>ELIGIBLE CANDIDATES</u></b></p><p dir="ltr" style="text-align: justify; ">1 No Fresh registration will be allowed for the Special Stray Vacancy Round.</p><p dir="ltr" style="text-align: justify; ">2 Eligible candidates who are already found in the Final Merit Position under Management Quota are eligible to participate in the Special Stray Vacancy Round, provided that the candidates should not hold any seat in the previous phases of Counselling of All India Quota / State Quota / Deemed University.</p><p dir="ltr" style="text-align: justify; ">3 Eligible candidates have to exercise web options for the Stray Vacancy Round as per the Schedule notified as per their priorities Category-wise (Cat-B / Cat-C(NRI)) and College-wise. The allotments will be as per the prioritized options exercised by the candidates.</p><p dir="ltr" style="text-align: justify; "><b><u>NOT ELIGIBLE CANDIDATES</u></b></p><p dir="ltr" style="text-align: justify; ">1 Candidate who is not found in the Final Merit List of Management Quota of Dr. NTR University of Health Sciences, A.P., Vijayawada.</p><p dir="ltr" style="text-align: justify; ">2 Candidates have already been allotted and joined a seat (MBBS / BDS) in All India Quota / State Counselling/ Deemed University.</p><p dir="ltr" style="text-align: justify; ">3 Candidates who have been allotted seats (MBBS/BDS) by Dr. NTRUHS in Phase-III of Dr. NTRUHS Counselling (both CQ &amp; MQ).</p><p dir="ltr" style="text-align: justify; ">4 Candidates who have been allotted seats (MBBS/BDS) by Dr NTRUHS in the Stray Vacancy Round of Dr NTRUHS Counselling (both CQ &amp; MQ).</p><p dir="ltr" style="text-align: justify; ">5 Candidates who have been allotted seats in MBBS under the Special Stray Vacancy Round of Dr. NTRUHS Counselling (both CQ &amp; MQ).</p><p dir="ltr" style="text-align: justify; ">6 Candidates were found in the list shared by the Medical Counselling Committee (MCC) after the Special Stray Vacancy Round.</p><p dir="ltr" style="text-align: justify; "><b><u><i>To view the notification, click the link below</i></u></b></p><p dir="ltr" style="text-align: justify; "><a href="https://medicaldialogues.in/pdf_upload/dr-ntruhs-begin-special-stray-vacancy-round-for-bds-management-quota-seats-261819.pdf" target="_blank">https://medicaldialogues.in/pdf_upload/dr-ntruhs-begin-special-stray-vacancy-round-for-bds-management-quota-seats-261819.pdf</a></p></div><div class="pasted-from-word-wrapper"><div></div></div>

176. UP DGME Begins NEET 2024 Special Vacancy Round Counselling

     Fri, 22 Nov 2024 04:00:33 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261837-schedule.webp' /><p style="text-align: justify; "><b>Uttar Pradesh-</b> Director of Medical Education (<a href="https://medicaldialogues.in/topics/updgme" target="_blank">DME) Uttar Pradesh</a> has started the National Eligibility and Entrance Test-Graduate (<a href="https://medicaldialogues.in/topics/neet-ug" target="_blank">NEET UG</a>) Special Vacancy Round Counselling 2024. UP DGME released the complete schedule of the said counselling for the candidates on its official website.</p><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; ">As per the schedule, the NEET UG Special Vacancy Round Counselling 2024 process is starting today i.e., 22nd November 2024 which will end on 5th December 2024. </p><p dir="ltr" style="text-align: justify; ">The schedule for the Special Stray Vacancy round of online counselling for admission to undergraduate courses (<a href="https://medicaldialogues.in/topics/mbbs" target="_blank">MBBS</a>/BDS) of government/private medical/dental colleges/ institutions/ medical universities of the state under UP NEET UG-2024 is as follows-</p></div><div class="pasted-from-word-wrapper"><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/education/medical-admissions/2900-md-ms-pg-diploma-seats-available-for-up-neet-pg-counselling-2024-check-college-wise-seat-matrix-138391"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/medical-admissions/2900-md-ms-pg-diploma-seats-available-for-up-neet-pg-counselling-2024-check-college-wise-seat-matrix-138391"><b>Also Read:&nbsp;</b>2900 MD, MS, PG Diploma seats available for UP NEET PG Counselling 2024, check college wise seat matrix</a></div><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; "><b><u>SCHEDULE</u></b></p><div dir="ltr"><table style="text-align: justify; "><colgroup><col width="49"><col width="263"><col width="156"><col width="156"></colgroup><tbody><tr><td><p dir="ltr" style="text-align: center; "><b>S.NO</b></p></td><td><p dir="ltr" style="text-align: center; "><b>DESCRIPTIONS</b></p></td><td><p dir="ltr" style="text-align: center; "><b>DATES</b></p></td><td><p dir="ltr" style="text-align: center; "><b>TOTAL DAYS</b></p></td></tr><tr><td><p dir="ltr">1</p></td><td><p dir="ltr">Date of online registration &amp; upload of documents.</p></td><td><p dir="ltr">22nd November 2024, 11:00 AM to 25th November 2024, 11:00 AM)</p></td><td><p dir="ltr">03 Days</p></td></tr><tr><td><p dir="ltr">2</p></td><td><p dir="ltr">Date of deposition of registration &amp; security money.</p></td><td><p dir="ltr">22nd November 2024 11:00 AM to 25th November 2024, 2:00 PM.</p></td><td><p dir="ltr">04 Days</p></td></tr><tr><td><p dir="ltr">3</p></td><td><p dir="ltr">Date of merit list declaration.</p></td><td><p dir="ltr">25th November 2024</p></td><td><p dir="ltr">01 Days</p></td></tr><tr><td><p dir="ltr">4</p></td><td><p dir="ltr">Date of online choice filling.</p></td><td><p dir="ltr">26th November 2024, 11:00 AM to 28th November 2024, 5:00 PM.</p></td><td><p dir="ltr">03 Days</p></td></tr><tr><td><p dir="ltr">5</p></td><td><p dir="ltr">Date of allotment result declaration.</p></td><td><p dir="ltr">29th November 2024</p></td><td><p dir="ltr">01 Days</p></td></tr><tr><td><p dir="ltr">6</p></td><td><p dir="ltr">Date of downloading the allotment letters &amp; Admission</p></td><td><p dir="ltr">30th November 2024, and 02th to 05th December 2024</p></td><td><p dir="ltr">05 Days</p></td></tr></tbody></table></div><p dir="ltr" style="text-align: justify; "><b><u>IMPORTANT POINTS</u></b></p><p dir="ltr" style="text-align: justify; ">1 Candidates who have registered in the Stray Vacancy Round are not required to register again in the Special Stray Vacancy Round.</p><p dir="ltr" style="text-align: justify; ">2 Such candidates who had registered in the Stray Vacancy Round but due to some reasons could not deposit the registration fee and security money. They can participate in the Special Stray Round by depositing the registration fee and security amount within the stipulated date.</p><p dir="ltr" style="text-align: justify; ">3 Those candidates who have not been allotted any seat in the first round, second round, third round and stray vacancy round can participate in the special stray vacancy round.</p><p dir="ltr" style="text-align: justify; ">4 Apart from the above, all eligible candidates can register by depositing an online registration fee of Rs 1000/-.</p><p dir="ltr" style="text-align: justify; ">5 Only those candidates who have not been allotted any seat in any cycle of UP NEET UG 2024 are eligible for the Special Stray Vacancy Round.</p><p dir="ltr" style="text-align: justify; ">6 Candidates appearing for the first, second, third cycle and Stray Vacancy Round of UP NEET UG 2024 are not eligible for the Special Stray Vacancy Round.</p></div><div class="pasted-from-word-wrapper"><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/medical-admissions/neet-pg-2024-up-dgme-releases-choice-filling-instructions-for-round-1-candidates-138147"><b>Also Read:&nbsp;</b>NEET PG 2024: UP DGME releases choice filling instructions for Round 1 Candidates</a></div><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; ">Along with this, DME UP has also released important information/instructions for the candidates participating in the special stray vacancy round under UP NEET UG 2024.</p><p dir="ltr" style="text-align: justify; ">1 Only those candidates will be eligible for the special stray-vacancy round, who have not been allotted any seat in the counselling of any phase of UP NEET UG-2024.</p><p dir="ltr" style="text-align: justify; ">2 Candidates admitted through any round of All India Counselling of NEET UG-2024 will not be eligible for the Special Stray-Vacancy Round.</p><p dir="ltr" style="text-align: justify; ">3 Candidates Admitted/Not Reported after allotment/Resigned from the 1st, 2nd, 3rd rounds and Stray-Vacancy rounds of UP NEET UG-2024 are not eligible for the Special Stray-Vacancy Round.</p><p dir="ltr" style="text-align: justify; ">4 Such candidates, who had earlier registered in the Stray Vacancy Round, are not required to register again in the Special Stray Vacancy Round, but if due to any reason, they were not able to deposit the registration fee and security amount, then they can participate in the Special Stray Vacancy Round by depositing the registration fee and security amount within the prescribed date.</p><p dir="ltr" style="text-align: justify; ">5 Such candidates who have not participated in the counselling of previous cycles/rounds and are participating in the counselling of Special Stray-Vacancy Round for the first time will be required to deposit the registration/security amount as per the rules and the registration amount will not be refunded under any circumstances, i.e. it will be non-refundable.</p><p dir="ltr" style="text-align: justify; ">6 Candidates registered and unallocated in the counselling of 1st, 2nd, 3rd Round and Stray-Vacancy Round, who have already deposited the security amount, will not be required to deposit the security amount again to participate in the counselling of Special Stray-Vacancy Round.</p><p dir="ltr" style="text-align: justify; ">7 Candidates admitted to the BDS course through counselling of the first, second, third round and stray-vacancy round of UP NEET UG-2024 will be eligible for choice filling of the MBBS course of special stray-vacancy round, such candidates will be ensured to deposit the security amount payable for MBBS course of government / private sector as per rules through online mode.</p><p dir="ltr" style="text-align: justify; ">8 Candidates will have to deposit the security amount through an online process as per the table given below. Candidates who do not deposit the security amount will not be eligible for choice filling-</p><div dir="ltr"><table style="text-align: justify; "><colgroup><col width="47"><col width="369"><col width="208"></colgroup><tbody><tr><td><p dir="ltr" style="text-align: center; "><b>S.NO</b></p></td><td><p dir="ltr" style="text-align: center; "><b>DESCRIPTION</b></p></td><td><p dir="ltr" style="text-align: center; "><b>SECURITY MONEY</b></p></td></tr><tr><td><p dir="ltr">1</p></td><td><p dir="ltr">For seats in Medical / Dental courses in the Government sector.</p></td><td><p dir="ltr">Rs. 30,000</p></td></tr><tr><td><p dir="ltr">2</p></td><td><p dir="ltr">For private sector medical course seats.</p></td><td><p dir="ltr">Rs. 2,00,000</p></td></tr><tr><td><p dir="ltr">3</p></td><td><p dir="ltr">For private sector dental course seats.</p></td><td><p dir="ltr">Rs 1,00,000</p></td></tr></tbody></table></div><p dir="ltr" style="text-align: justify; ">9 Candidates who wish to participate in counselling for both Government and Private (Medical &amp; Dental) sector seats will have to deposit a security amount of Rs 2,00,000/-.</p><p dir="ltr" style="text-align: justify; ">10 Candidates who wish to participate in counselling for seats in dental colleges, both in the Government and private sectors, will have to deposit a security amount of Rs. 1,00,000/-.</p><p dir="ltr" style="text-align: justify; "><b><u><i>To view the schedule, click the link below</i></u></b></p><p dir="ltr" style="text-align: justify; "><a href="https://medicaldialogues.in/pdf_upload/schedule-261839.pdf" target="_blank">https://medicaldialogues.in/pdf_upload/schedule-261839.pdf</a></p></div><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; "><b><u><i>To view the instructions, click the link below</i></u></b></p><p dir="ltr" style="text-align: justify; "><a href="https://medicaldialogues.in/pdf_upload/updgme-begins-neet-2024-special-vacancy-round-counselling-today-261840.pdf" target="_blank">https://medicaldialogues.in/pdf_upload/updgme-begins-neet-2024-special-vacancy-round-counselling-today-261840.pdf</a></p></div><div class="pasted-from-word-wrapper"><div></div></div>

177. MGM Indore Dean Issued Chargesheet over Alleged Corruption in NPA Incentives

     Fri, 22 Nov 2024 04:00:05 -0000

     <img src='https://medicaldialogues.in/h-upload/2022/12/27/195203-mgm-indore.webp' /><p style="text-align: justify; "><b>Indore:</b>&nbsp;The <a href="https://medicaldialogues.in/topics/mgm-medical-college">MGM Medical College</a>, Indore is now facing a controversy as the State Government has issued a chargesheet to the Dean of the Institute for alleged corruption in disbursing incentives for non-practicing allowance to doctors. There are also allegations of misappropriating the incentives under the Ayushman Bharat Scheme, TOI has reported.</p><p style="text-align: justify; ">In a letter directed to Dr Sanjay Dixit on November 18, the Department of Public Health and Medical Education Deputy Secretary Mayank Agrawal has given a 21-day deadline to Dr. Dixit to respond to the charges. In case, Dr. Dixit failed to respond to the charges within the stipulated timeline of 21 days, a departmental inquiry would commence into the matter.</p><p><span style="text-align: justify;">The chargesheet mentions that while incentives were supposed to be given only to doctors who refrained from engaging in private practice, allegedly, Dr. Dixit disbursed the incentives to such doctors who were actively involved in private practice.&nbsp;</span></p><p style="text-align: justify; "><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/state-news/madhya-pradesh/mgm-indore-mbbs-student-commits-suicide-parents-allege-harassment-by-roommates-134758" style="background-color: rgb(255, 255, 255);"><b><i>Also Read: MGM Indore MBBS student commits suicide, parents allege harassment by roommates</i></b></a></p><p><span style="text-align: justify;">As per the latest media report by the <a href="https://timesofindia.indiatimes.com/city/indore/mgm-medical-college-dean-charged-with-corruption-over-incentives/articleshow/115499914.cms" rel="nofollow">Times of India</a>, the chargesheet said that the nodal officers of the </span><a href="https://medicaldialogues.in/topics/ayushman-bharat-scheme" style="text-align: justify;">Ayushman bharat Scheme </a><span style="text-align: justify;">were allegedly given incentives even after a prescribed date mentioned in the office order. Further, it was alleged that while medical officers of the same cadre were supposed to receive equal amounts of incentives during a certain period, Dr. Dixit allegedly paid a lower percentage to some of them.</span></p><p style="text-align: justify; ">The investigation was started based on a complaint filed in this regard. Taking note of the complaint, the Indore Divisional Commissioner, Mal Singh had conducted an inquiry and submitted the report to Bhopal. Based on a complaint, the then Indore Divisional Commissioner, Mal Singh, had conducted an inquiry and submitted the report to Bhopal.</p><p style="text-align: justify; ">However, Dr. Dixit has denied all these allegations and pointed out that these charges were not proven. He also claimed that the distribution of the incentives was carried out with the approval of the executive council and the general council.</p><p style="text-align: justify; ">"Inquiry on a similar complaint was carried out earlier and the file was ultimately closed as the charges were not proved. I will submit my reply to the chargesheet within the given time limit as there is no irregularity," Dr. Dixit told TOI.</p><p style="text-align: justify; "><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/medical-colleges/row-over-halloween-party-in-historical-building-police-seeks-info-from-mgm-indore-136946" style="background-color: rgb(255, 255, 255);"><b><i>Also Read: Row over Halloween party in historical building: Police seeks info from MGM Indore</i></b></a></p>

178. Foundation stone laid of Sant Sarsai Nath Govt medical college with 100 MBBS Seats

     Fri, 22 Nov 2024 04:00:04 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261787-nayab-singh.webp' /><div class="pasted-from-word-wrapper"><p><span style="text-align: justify;">Chandigarh: Recently,&nbsp;</span><span style="text-align: justify;">Haryana Chief Minister </span><a href="https://medicaldialogues.in/topics/nayab-singh-saini" target="_blank" style="text-align: justify; background-color: rgb(249, 249, 249);">Nayab Singh Saini</a><span style="text-align: justify;">&nbsp;laid the foundation stone of the Sant Sarsai Nath government medical college in Sirsa. The medical colleges if going to offer 100 MBBS seats to the students seeking MBBS admissions the Haryana.</span></p><p><span style="text-align: justify;">The medical college will be built on 21 acres of land, with an estimated cost of over Rs 1,010 crore, ensuring quality medical education and healthcare services for the region. This college will have 100 seats in </span><a href="https://medicaldialogues.in/topics/MBBS" target="_blank" style="text-align: justify;">MBBS </a><span style="text-align: justify;">course and the construction of the building of this medical college will be completed in about two years, an official statement said, quotes PTI</span></p><p>In a major step towards enhancing healthcare facilities in the state and realising the resolve to open at least one medical college in every district, the medical college will benefit not only the people of Sirsa but also cater to the needs of residents of neighbouring Punjab and Rajasthan.</p><p style="text-align: justify;">Addressing the gathering on this occasion, Saini emphasised the government's commitment to improving healthcare infrastructure in the state.</p><div class="pasted-from-word-wrapper"><p style="text-align: justify;"><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/health/hospital-diagnostics/gurugram-to-get-700-bed-govt-hospital-named-after-guru-nanak-dev-138123"><b><i>Also Read:Gurugram to get 700-bed Govt Hospital named after Guru Nanak Dev</i></b></a></p><p style="text-align: justify;">He announced that a modern cancer treatment centre would be established on a 5.5 acre land adjacent to the new medical college to provide specialised cancer care. This initiative will greatly improve cancer treatment accessibility for residents of the area, he said.</p></div><p style="text-align: justify;">Saini also announced that fulfilling the promise made in the BJP's poll manifesto, the state government has decided to provide treatment facility of up to Rs 10 lakh to those families having annual income up to Rs 1.80 lakh under Chirayu Ayushman Yojana.</p></div><div contenteditable="false" data-width="612" style="left:24%;width:612px;" class="image-and-caption-wrapper clearfix hocalwire-draggable float-none" has-title="true"><img src="https://medicaldialogues.in/h-upload/2024/11/22/261789-8.jfif" draggable="true" class="hocalwire-draggable float-none" data-float-none="true" data-uid="23690aWac8vkVV5g072RA75vXR134VC3gyk5B5778367" data-watermark="false" style="width: 100%; float: none;" info-selector="#info_item_1732255779038" title="Haryana CM Saini lays foundation stone of medical college in Sirsa" alt="Chief Minister Nayab Singh Saini" data-compression="false"><div class="inside_editor_caption image_caption hocalwire-draggable float-none edited-info" id="info_item_1732255779038"><p>Haryana CM Saini lays foundation stone of medical college in Sirsa</p></div></div><div class="pasted-from-word-wrapper"><p style="text-align: justify;"><br></p></div><div contenteditable="false" data-width="612" style="left:24%;width:612px;" class="image-and-caption-wrapper clearfix hocalwire-draggable float-none" has-title="true"><img src="https://medicaldialogues.in/h-upload/2024/11/22/261790-9.jfif" draggable="true" class="hocalwire-draggable float-none" data-float-none="true" data-uid="23690bkpa3FDvPZpsVh6m943N79K9haqnjSOm5811770" data-watermark="false" style="width: 100%; float: none;" info-selector="#info_item_1732255812353" title="Haryana CM Saini lays foundation stone of medical college in Sirsa" alt="Chief Minister Nayab Singh Saini" data-compression="false"><div class="inside_editor_caption image_caption hocalwire-draggable float-none edited-info" id="info_item_1732255812353"><p>Haryana CM Saini lays foundation stone of medical college in Sirsa</p></div></div><div class="pasted-from-word-wrapper"><p style="text-align: justify;"><br></p></div><div class="pasted-from-word-wrapper"><p style="text-align: justify;">At present, families with an annual income of up to Rs 1.80 lakh are provided with a health cover of Rs 5 lakh annually under the scheme.</p><p style="text-align: justify;">Health Minister Arti Singh Rao, Congress' Sirsa MLA Gokul Setia, Haryana Lokhit Party chief and former Sirsa MLA Gopal Kanda were also present during the ceremony.</p><p style="text-align: justify;">Addressing the gathering, Gokul Setia heaped praise on Chief Minister Saini and while referring to the<a href="https://medicaldialogues.in/topics/medical-college" target="_blank"> medical college</a>, said the CM gave a big project for Sirsa.</p><p style="text-align: justify;">Speaking on the occasion, Congress leader Setia further said that he wanted to be present at the airport in Sirsa to receive the chief minister along with others.</p><p style="text-align: justify;">"Yesterday, I had raised a request before the officials concerned that I wanted to welcome the chief minister at the airport. But someone got my name deleted from the list of those who were to welcome him," he said.</p><p style="text-align: justify;">"When the chief minister was coming out of the airport and came to know that I was waiting outside, I want to praise him that he got his vehicle stopped and gave full respect to me," Sethia said.</p><p style="text-align: justify;">"I think we have got a very good chief minister. I had said that as opposition member I will appreciate anyone doing good work," he said and referred to the medical college project for Sirsa.</p><p style="text-align: justify;">Meanwhile, in his address, Chief Minister Saini said that "Sant Sarsai Nath (after whom the medical college has been named) was a disciple of Guru Gorakhnath and he laid the foundation of the Sirsa city in the 13th century".</p><p style="text-align: justify;">Saini stated that Prime Minister Narendra Modi has a vision of transforming the country into a medical hub.</p><p style="text-align: justify;">To fulfil this vision and ensure that healthcare is accessible to every citizen, it is essential to have an adequate number of doctors and paramedical staff in medical institutions, he said.</p><p style="text-align: justify;">To achieve this goal, we are establishing a medical college in every district, he added.</p><p style="text-align: justify;">Saini said the number of medical colleges in the state has currently increased to 15, with nine of these being established during the BJP government's time.</p><p style="text-align: justify;">In addition, the construction of the building for the medical college in Bhiwani is almost complete, and medical colleges are under construction in Kaithal, Gurugram, and Yamunanagar, he said.</p><p style="text-align: justify;">The construction of medical college buildings in Haibatpur, Jind district, and Koriyavas, Mahendragarh district, is nearing completion.</p><p style="text-align: justify;">Furthermore, the process of opening five new medical colleges is already underway, the CM said.</p><p style="text-align: justify;">The number of MBBS seats in medical colleges has been increased to 2,185 and are further expected to increase to 3,485 in next few years, he said. "Our goal is 'Sarve Bhavantu Sukhinah, Sarve Santu Niramayah' (”may all be happy and may all be free from illness). We are committed to making the 'Fit India Movement,' initiated by PM Modi, successful in our pursuit of a healthy India."</p><p style="text-align: justify;">To achieve this goal, we are consistently taking effective steps to provide high-quality healthcare services to every citizen of the state.</p><p style="text-align: justify;">"In this regard, we are continuously strengthening all aspects of our health infrastructure," he said.</p><p style="text-align: justify;">The National Cancer Institute has already been opened in Badhsa, District Jhajjar, while AIIMS is being established in Majra, district Rewari, he said.</p><p style="text-align: justify;">He said that in collaboration with the Centre, a Tertiary Cancer Care Center (TCCC) has been set up at Civil Hospital, Ambala Cantonment, at a cost of Rs 72 crore, providing comprehensive services to cancer patients.</p><p style="text-align: justify;">A nursing college and physiotherapy college have been opened in Karnal, and a nursing college has been established in Safidon, he said.</p><p style="text-align: justify;">Government nursing colleges are being established in Faridabad, Panchkula, Kaithal, Kurukshetra, and Rewari.</p><p style="text-align: justify;">Meanwhile, Saini urged the youth to stay away from the ill habit of drugs.</p><p style="text-align: justify;">He appealed to parents stating that it is their responsibility also to keep a close watch on their children and ensure they do not stray onto the wrong path.</p><p style="text-align: justify;">He also urged farmers to reduce the use of pesticides, emphasizing that excessive pesticide use can lead to various health issues.</p><p style="text-align: justify;">The Chief Minister said that good health is essential as it enables individuals to contribute more effectively to the development of society, the state, and the nation.</p><p style="text-align: justify;"><b><i><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/education/medical-colleges/haryana-proposed-medical-college-in-sirsa-to-be-named-after-baba-sarsai-nath-119515"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/medical-colleges/haryana-proposed-medical-college-in-sirsa-to-be-named-after-baba-sarsai-nath-119515">Also Read:Haryana: Proposed medical college in Sirsa to be named after Baba Sarsai Nath</a></i></b></p><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap"><div></div></div></div></div>

179. Antidiabetic Drugs Linked to Reduced Asthma Attacks: Study Highlights Synergistic Benefits of Metformin and GLP-1RA

     Fri, 22 Nov 2024 03:30:35 -0000

     <img src='https://medicaldialogues.in/h-upload/2022/12/26/194989-metformin.webp' /><p style="text-align: justify; ">UK: A recent cohort study published in <em>JAMA Internal Medicine </em>has revealed that antidiabetic medications, specifically metformin and <a href="https://medicaldialogues.in/topics/glucagon-like-peptide-1-receptor-glp-1-agonists">glucagon-like peptide-1 receptor agonists</a> (GLP-1RAs), may help reduce asthma attacks in individuals with <a href="https://medicaldialogues.in/diabetes-endocrinology/news">diabetes </a>and <a href="https://medicaldialogues.in/topics/asthma">asthma</a>. This finding offers new insights into how these commonly prescribed drugs may provide benefits beyond their primary role in managing blood sugar levels in diabetic patients.&nbsp;</p><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">"<a href="https://medicaldialogues.in/topics/metformin">Metformin </a>was linked to a notable reduction in asthma attacks, and the addition of GLP-1RAs, a newer class of drugs used to treat diabetes, produced a synergistic, additive effect," the researchers wrote. </p><p style="text-align: justify; ">Asthma, a chronic respiratory condition characterized by inflammation and narrowing of the airways, has been linked to various factors, including genetic predisposition, environmental triggers, and comorbid conditions like obesity and diabetes. High body mass index (BMI) and type 2 diabetes are common in people with asthma and can increase the risk of asthma attacks. Experimental studies show that diabetes medications like metformin and glucagon-like peptide-1 receptor agonists (GLP-1RAs) may help reduce airway inflammation and other asthma symptoms. However, there is limited epidemiological evidence to support these findings.</p><p style="text-align: justify; ">To fill this knowledge gap, Bohee Lee, National Heart and Lung Institute, Imperial College London, London, England, and colleagues aimed to evaluate the relationship between metformin and additional anti-diabetic medications (such as GLP-1RAs, sulfonylureas, dipeptidyl peptidase-4 inhibitors, sodium-glucose cotransporter-2 inhibitors, and insulin) and the occurrence of asthma attacks.</p><p style="text-align: justify; ">For this purpose, the researchers used data from the UK Clinical Practice Research Datalink (CPRD) Aurum, linked with hospital admissions and mortality data from 2004 to 2020. They applied a triangulation approach using two methods: a self-controlled case series (SCCS) and a metformin new user cohort with inverse probability of treatment weighting (IPTW).</p><p style="text-align: justify; ">The study focused on new metformin users with type 2 diabetes. The primary exposure was metformin, with secondary exposures being other antidiabetic medications. The primary outcome was the first asthma exacerbation during a 12-month follow-up, assessed using incidence rate ratios and hazard ratios. </p><p style="text-align: justify; "><strong>Key Findings:</strong></p><ul><li style="text-align: justify; ">The study included 4278 asthma patients (2617 women, 61.2%; mean age 52.9 years) for the SCCS analysis and 8424 patients (4690 women, 55.7%; unexposed mean age 61.6 years, exposed mean age 59.7 years) for the IPTW cohort.</li><li style="text-align: justify; ">Metformin use was associated with fewer asthma attacks in both analyses (SCCS: IRR 0.68; IPTW: HR 0.76).</li><li style="text-align: justify; ">Negative control analyses showed no significant bias.</li><li style="text-align: justify; ">The association was not modified by hemoglobin A1c levels, BMI, blood eosinophil counts, or asthma severity.</li><li style="text-align: justify; ">The only add-on antidiabetic medication with an additive effect was GLP-1RA (SCCS: IRR 0.60).</li></ul><p style="text-align: justify; ">"The cohort study indicates that metformin use was linked to a reduced rate of asthma attacks, with additional reductions observed when combined with GLP-1RA. These effects appeared independent of glycemic control or weight loss and were consistent across various asthma phenotypes," the researchers concluded.</p><p style="text-align: justify; ">Reference:</p><p style="text-align: justify; ">Lee B, Man KKC, Wong E, Tan T, Sheikh A, Bloom CI. Antidiabetic Medication and Asthma Attacks. JAMA Intern Med. Published online November 18, 2024. doi:10.1001/jamainternmed.2024.5982</p></div><p style="text-align: justify; "><br></p>

180. Adolescent Psychotic-Like Experiences May Be Tied to Depression and Self-Destructive Behaviour: Study Finds

     Fri, 22 Nov 2024 03:15:00 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261803-mdtv-2024-11-22t122506039.webp' /><div class="pasted-from-word-wrapper"><div style="text-align: justify; ">According to a study recently conducted at the University of Helsinki and HUS Helsinki University Hospital, psychotic-like experiences are abundant among <a href="https://medicaldialogues.in/topics/adolescents">adolescents </a>referred to care, but are generally considered fairly neutral, with only some of the adolescents reporting them as frightening, worrisome, or harmful.</div><div style="text-align: justify;">In the study, the correlation between psychotic-like experiences and <a href="https://medicaldialogues.in/topics/depression">depressive </a>symptoms turned out to be strong.</div><div style="text-align: justify;">This link was not explained by connections between individual psychotic-like experiences and depressive symptoms, but by factors that more broadly measure paranoia and unusual thoughts.</div><div style="text-align: justify;">In addition to depressive symptoms, paranoid thoughts, and unusual thought content were also associated with self-destructive thinking.</div><div style="text-align: justify;">The findings show that psychotic-like experiences should be systematically surveyed in all adolescents seeking psychiatric care.</div><div style="text-align: justify;">It should also be assessed how frightening, worrisome, or harmful they are considered to be. Particularly in the case of responses emphasizing bizarre thinking and exaggerated suspiciousness, attention should also be paid to assessing mood and self-destructive thinking, as these factors can remain hidden without further inquiry.</div><div style="text-align: justify;">"Our findings provide a clear recommendation for treatment practices: psychotic-like experiences should be assessed as part of routine procedures, but it is also important to determine how they are perceived. These phenomena cannot be uncovered unless separately and systematically asked," says the principal investigator, Docent Niklas Granö.</div><div style="text-align: justify;">It should be clearly explained to adolescents and their families that these symptoms are common and often manageable.</div><div style="text-align: justify;">In addition, applications of cognitive psychotherapy, even brief interventions, can help adolescents understand their symptoms and alleviate the strain they cause.</div><div></div><div style="text-align: justify;">References: https://www.helsinki.fi/en/news/mental-health/psychotic-experiences-adolescents-linked-depression-and-self-destructive-behaviour</div><div></div><div></div></div>

181. 90 Percent Pregnant Females Might Not Be Getting Sufficient Nutrients from Diet: Study Reveals

     Fri, 22 Nov 2024 03:00:00 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261797-mdtv-2024-11-22t121520346.webp' /><div class="pasted-from-word-wrapper"><div style="text-align: justify; ">It's generally estimated that around 10% of <a href="https://medicaldialogues.in/topics/pregnant">pregnant </a>people struggle to meet their nutritional needs -- but the real number could be far higher, according to new research from Stevens Institute of Technology.</div><div style="text-align: justify;">According to a recent study published in<i> <a href="https://medicaldialogues.in/topics/The-Journal-of-Nutrition">The Journal of Nutrition</a></i>, over 90% of pregnant individuals are potentially failing to get enough <a href="https://medicaldialogues.in/topics/iron">iron</a>, <a href="https://medicaldialogues.in/topics/vitamin-D">vitamin D</a>, or <a href="https://medicaldialogues.in/topics/vitamin-E">vitamin E</a> from the food they eat, while over one-third could be short of <a href="https://medicaldialogues.in/topics/calcium">calcium</a>, <a href="https://medicaldialogues.in/topics/vitamin-C">vitamin C</a>, and <a href="https://medicaldialogues.in/topics/vitamin-A">vitamin A</a>. Troublingly, almost two-thirds of pregnant people were also found to be getting insufficient dietary folate -- a critical nutrient that helps prevent birth defects in the baby's brain and spine.</div><div style="text-align: justify;">The Stevens team asked pregnant people to take before-and-after photos of everything they ate over two 14-day periods. Experts then reviewed the photos to assess the amount of food actually eaten and determine the nutrients consumed during each meal.</div><div style="text-align: justify;">That's a far more accurate approach, because people are notoriously bad at estimating portion size or accurately reporting what they've eaten, Dr. Kleinberg explains. A photo-based approach is also much less laborious for pregnant people, making it easy to collect data over a period of weeks instead of just a few days.</div><div style="text-align: justify;">Using food photos also allowed the Stevens team to accurately track the exact timing of meals and snacks, and to explore the way that patterns of eating behavior correlated with total energy and nutrient intake. When pregnant people ate later in the day, the data shows, they were likely to consume significantly more total calories -- potentially an important finding as researchers explore connections between eating behaviors and health problems such as gestational diabetes.</div><div></div><div style="text-align: justify;">Reference: https://www.stevens.edu/news/pregnant-people-might-not-be-getting-the-nutrients-they-need-according-to</div><div></div></div>

182. Maternal Stress During Pregnancy Linked to Epilepsy Risk in Children, finds study

     Fri, 22 Nov 2024 02:45:27 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/01/01/229110-maternal-stress-during-pregnancy.webp' /><p style="text-align: justify;">Researchers have identified that even moderate, chronic psychological stress during pregnancy is associated with increased risk of early childhood epilepsy in offspring. A recent study was conducted by Yuto A. and colleagues published in <i>PLoS One</i> journal.</p><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify;">Maternal psychological distress during pregnancy has been related to several adverse developmental outcomes in the offspring. However, research into the association of maternal distress with epileptic development remains sparse. This study took advantage of the nationwide Japanese birth cohort dataset to investigate this relationship.</p><p dir="ltr" style="text-align: justify;">This was a retrospective analysis of data from 97,484 children whose mother had psychological distress assessed using the six-item Kessler Psychological Distress Scale (K6). It was administered at two different times during pregnancy:</p><p dir="ltr" style="text-align: justify;">• M-T1: between 12.3–18.9 weeks (median 15.1 weeks)</p><p dir="ltr" style="text-align: justify;"><span>•&nbsp;</span>M-T2: between 25.3–30.1 weeks (median 27.4 weeks)</p><p dir="ltr" style="text-align: justify;">Six groups were defined based on K6 scores ≤4 or ≥5 at both M-T1 and M-T2. The incidence of epilepsy among offspring was determined at ages 1, 2, and 3.</p><p dir="ltr" style="text-align: justify;">Epilepsy Diagnosis</p><p dir="ltr" style="text-align: justify;">• Age 1 year: 89 children (0.1%) diagnosed with epilepsy</p><p dir="ltr" style="text-align: justify;">• Age 2 years: 129 children (0.2%) diagnosed with epilepsy</p><p dir="ltr" style="text-align: justify;">• Age 3 years: 149 children (0.2%) diagnosed with epilepsy</p><p dir="ltr" style="text-align: justify;">Maternal K6 Scores: </p><p dir="ltr" style="text-align: justify;">• Continuous mild to moderate psychological distress (K6 ≥5) at both M-T1 and M-T2 was significantly associated with higher epilepsy diagnosis ratios.</p><p dir="ltr" style="text-align: justify;">Continuous moderate psychological distress in pregnancy has already been established as a risk factor for epilepsy in early childhood. Such findings pose a reminder of the need for targeted support strategies at the onset of pregnancy and underline the importance of environmental adjustments and interventions aimed at reducing stress.</p><p dir="ltr" style="text-align: justify;">Reference:</p><div style="text-align: justify;">Arai, Y., Okanishi, T., Masumoto, T., Noma, H., Maegaki, Y., &amp; on behalf of the Japan Environment and Children’s Study Group. (2024). The impact of maternal prenatal psychological distress on the development of epilepsy in offspring: The Japan Environment and Children’s Study. PloS One, 19(11), e0311666.&nbsp;<span style="background-color: rgb(249, 249, 249);">https://doi.org/10.1371/journal.pone.0311666</span></div></div>

183. Earlier Diabetes Diagnosis May Be Associated with Dementia Risk: Study finds

     Fri, 22 Nov 2024 02:45:00 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261793-mdtv-2024-11-22t120458227.webp' /><div class="pasted-from-word-wrapper"><div style="text-align: justify; ">People diagnosed with <a href="https://medicaldialogues.in/topics/type-2-diabetes">type 2 diabetes</a> at a younger age are at a higher risk for developing dementia than those diagnosed later in life, according to a study led by researchers at the NYU Rory Meyers College of Nursing. The findings, published in <i><a href="https://medicaldialogues.in/topics/PLOS-ONE">PLOS ONE</a></i>, show that the increased risk is especially pronounced among adults with <a href="https://medicaldialogues.in/topics/obesity">obesity</a>.</div><div style="text-align: justify;">"Our study suggests that there may be cognitive consequences to earlier onset type 2 diabetes, and it points to the need for strategies to prevent dementia that consider both diabetes and obesity," said Xiang Qi, assistant professor at NYU Meyers and the study's first author.</div><div style="text-align: justify;">To understand how the timing of a type 2 diabetes diagnosis relates to <a href="https://medicaldialogues.in/topics/dementia">dementia </a>risk, the research team analyzed data from 2002 to 2016 in the Health and Retirement Study, a longitudinal study conducted by the University of Michigan Institute for Social Research. The study included 1,213 U.S. adults aged 50 and over with type 2 diabetes confirmed by blood tests -- and no dementia upon joining the study. Following participants for up to 14 years, 216 (17.8%) developed dementia based on follow-up telephone interviews.</div><div style="text-align: justify;">The researchers found that adults diagnosed with type 2 diabetes at younger ages were at increased risk for developing dementia, compared to those diagnosed at 70 years or older. Adults diagnosed with diabetes before age 50 were 1.9 times as likely to develop dementia as those diagnosed at 70 and older, while those diagnosed between 50-59 years were 1.72 times as likely and those diagnosed between 60-69 years were 1.7 times as likely.</div><div style="text-align: justify;">Using linear trend tests, the researchers found a graded association between age at diagnosis and dementia risk: for each year younger a person is at the time of their type 2 diabetes diagnosis, their risk for developing dementia increases by 1.9%.</div><div style="text-align: justify;">In addition, obesity appeared to influence the relationship between type 2 diabetes and dementia. Individuals with obesity who were diagnosed with type 2 diabetes before age 50 had the highest dementia risk in the study.</div><div></div><div style="text-align: justify;">Reference: https://www.nyu.edu/about/news-publications/news/2024/november/earlier-diabetes-diagnosis-dementia-risk.html</div><div></div></div>

184. Can Jetlag Disrupt Our Metabolism? Study Provide Insights

     Fri, 22 Nov 2024 02:30:00 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261791-mdtv-2024-11-22t115629976.webp' /><div class="pasted-from-word-wrapper"><div style="text-align: justify; ">A new study from the University of Surrey and the University of Aberdeen has found that disruptions to our body clock, such as those experienced during jetlag, impact our <a href="https://medicaldialogues.in/topics/metabolism">metabolism </a>-- but to a lesser extent than sleepiness and the primary clock in the <a href="https://medicaldialogues.in/topics/brain">brain</a>. Findings are published in<i> <a href="https://medicaldialogues.in/topics/iScience">iScience</a></i>.</div><div style="text-align: justify;">The research involved a controlled experiment where participants experienced a 5-hour delay in their bedtime and mealtimes.</div><div style="text-align: justify;">The study highlights that the time shifts lead to:</div><div style="text-align: justify;">Reduced energy spent processing meals.</div><div style="text-align: justify;">Changes in blood sugar and fat levels.</div><div style="text-align: justify;">Slower release of breakfast contents from the stomach.</div><div style="text-align: justify;">These metabolic effects were temporary, however, and mostly recovered within 2-3 days of the 5-hour time delay.</div><div style="text-align: justify;">This was in marked contrast to the main clock in the brain, plus feelings of sleepiness and alertness, which had not recovered within 5 days of the 5-hour time delay.</div><div style="text-align: justify;">Professor Jonathan Johnston, Professor of Chronobiology and Integrative Physiology at the University of Surrey, said:</div><div style="text-align: justify;">"Our research underscores the importance of maintaining a consistent sleep schedule, particularly in our fast-paced world in which long trips and shift work are ever so common. Even a small time shift can impact many aspects of metabolism, but it now seems that metabolic consequences of jetlag recover far more quickly than impairment of sleep and alertness. Understanding the impact of circadian rhythms on our health can help us make informed choices about our lifestyle. By optimising our sleep and eating patterns, we can improve our overall wellbeing."</div><div style="text-align: justify;">Reference: https://www.surrey.ac.uk/news/new-study-investigates-how-jetlag-can-disrupt-our-metabolism</div><div></div><div></div><div></div></div>

185. Fermented Kimchi has Beneficial effect on Cardio-metabolic Risk Factors: Study

     Fri, 22 Nov 2024 01:45:39 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/04/08/235864-cabbage-leaf-1.webp' /><p style="text-align: justify; ">A recent study found that including fermented kimchi as part of a healthy diet can be healthy for an individual's metabolic and cardiovascular conditions. The study was published in the journal Nutrition Reviews.</p><div class="pasted-from-word-wrapper"> <p style="text-align: justify; ">Kimchi is a traditional fermented food of Korea that is consumed daily. It is one of the popular ethnic foods with natural, nutritional, and functional elements that support health. Recently the global consumption of kimchi has increased due to cross-cultural impact. Despite its health benefits and increased consumption, there is ambiguity about the influence of kimchi on cardiometabolic risk factors. Hence, researchers conducted a systematic review and meta-analysis to assess the impact of fermented kimchi consumption on cardiometabolic risk factors.</p></div><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap" style="text-align: justify; "><a class="also-read-media-wrap" href="https://medicaldialogues.in/cardiology-ctvs/news/people-with-cardiovascular-kidney-metabolic-syndrome-may-land-up-with-cvd-much-earlier-reveals-research-137978"><img class="also-read-media" data-src="https://medicaldialogues.in/h-upload/2024/01/18/230426-heart-disease-50.webp"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/cardiology-ctvs/news/people-with-cardiovascular-kidney-metabolic-syndrome-may-land-up-with-cvd-much-earlier-reveals-research-137978"><span class="read-this-also">Also Read:&nbsp;</span>People with cardiovascular-kidney metabolic syndrome may land up with CVD much earlier, reveals research</a></div></div><div class="pasted-from-word-wrapper"> <p style="text-align: justify;">The study was carried out by reviewing human intervention and prospective cohort studies. A literature search was done by including data from PubMed, EMBASE, Scopus, Web of Science, RISS, KISS, and ScienceON databases. studies that examined the effects of fermented kimchi, without any added ingredients or lactic acid bacteria, on health outcomes, including anthropometric measures, blood pressure, cardiometabolic and glycemic indicators, inflammatory cytokines, and the incidence of related chronic diseases were included. About three researchers carried out Data extraction and quality evaluation. Data was analyzed using Pooled effect sizes as weighted mean differences (WMDs) with 95% CIs employing random-effects models.</p> <p style="text-align: justify;">Findings:</p> <ul><li style="text-align: justify;">Five intervention studies (205 participants) and 4 prospective cohort studies (42 455 participants) were selected. </li><li style="text-align: justify;">A significant reduction in fasting blood glucose was seen in a meta-analysis of the intervention studies following the consumption of fermented kimchi. </li><li style="text-align: justify;">A significant inverse association was observed between fermented kimchi consumption and triglycerides, systolic blood pressure, and diastolic blood pressure. </li><li style="text-align: justify;">Studies that contributed to increased heterogeneity were excluded </li><li style="text-align: justify; ">Prospective cohort studies linked higher kimchi intake with a lower incidence of cancer and metabolic syndrome and an increased likelihood of achieving normal body weight.</li></ul></div><div class="hocal-draggable" draggable="true"><div class="read-this-also-wrap" style="text-align: justify; "><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/industry/pharma/bristol-myers-squibb-gets-positive-chmp-opinion-for-opdivo-plus-yervoy-to-treat-adult-with-msi-h-or-dmmr-metastatic-colorectal-cancer-138295"><img class="also-read-media" data-src="https://medicaldialogues.in/h-upload/2023/01/10/197365-bristol-myers-squibb-4.webp"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/industry/pharma/bristol-myers-squibb-gets-positive-chmp-opinion-for-opdivo-plus-yervoy-to-treat-adult-with-msi-h-or-dmmr-metastatic-colorectal-cancer-138295"><span class="read-this-also">Also Read:&nbsp;</span>Bristol Myers Squibb gets positive CHMP opinion for Opdivo plus Yervoy to treat adult with MSI-H or dMMR metastatic Colorectal Cancer</a></div></div><div class="pasted-from-word-wrapper"> <p style="text-align: justify;">Thus, the study concluded that fermented kimchi has beneficial effects on metabolic and cardiovascular health. However, the researchers encouraged further studies to be done in larger and more diverse populations to understand the effects. </p> <p style="text-align: justify; ">Further reading: Ahn S, Darooghegi Mofrad M, Nosal BM, Chun OK, Joung H. Effects of Fermented Kimchi Consumption on Anthropometric and Blood Cardiometabolic Indicators: A Systematic Review and Meta-Analysis of Intervention Studies and Prospective Cohort Studies. <i>Nutr Rev</i>. Published online November 14, 2024. doi:10.1093/nutrit/nuae167</p> <p style="text-align: justify;">Take-home points:</p> <ul><li style="text-align: justify;">Kimchi is the fermented nutritious food that is a part of traditional Korean cuisine</li><li style="text-align: justify;">It has high nutritional value. </li><li style="text-align: justify;">The systematic review and meta-analysis show that it has an inverse association with fasting blood glucose, blood pressure, triglycerides, and metabolic syndromes. </li><li style="text-align: justify; ">Kimchi is beneficial for cardiovascular and metabolic health</li></ul></div>

186. Low-dose oral minoxidil initiation for patients with hair loss: International modified Delphi consensus statement

     Fri, 22 Nov 2024 01:30:11 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/21/261663-hair-loss-50.webp' /><p style="text-align: justify; "><a href="https://medicaldialogues.in/topics/hair-loss">Hair loss </a>significantly impacts patients' quality of life, and it may be nonscarring or scarring. Etiologically, hair loss may be hereditary (androgenetic alopecia [AGA]); related to age; congenital (hair shaft disorders); traction induced; inflammatory (primary scarring alopecia); autoimmune (<a href="https://medicaldialogues.in/topics/alopecia-areata">alopecia areata</a>); or secondary to medical, surgical, or emotional stressors (telogen effluvium), infection (tinea capitis), and certain medica- tions including cancer therapies. </p><p style="text-align: justify; ">Topical<a href="https://medicaldialogues.in/topics/minoxidil"> minoxidil</a> is approved by the US Food and Drug Admin- istration (FDA) as an over-the-counter drug designed to treat male pa- tients with AGA (minoxidil, 5% solution, or minoxidil, 5% foam, twice daily) and female patients with AGA (minoxidil, 2% solution, twice daily, or minoxidil, 5% foam, once daily). It is also frequently prescribed off-label for other types of hair loss in children and adults. Common adverse effects include transient shedding with initiation, hypertrichosis, and contact dermatitis, most commonly secondary to nonactive formulary ingredients, such as propylene glycol.</p><p style="text-align: justify; ">Minoxidil, a potent peripheral vasodilator, was originally ap- proved by the FDA in 1979 as an oral agent for patients with severe refractory hypertension with antihypertensive dosing ranging from 10 mg to 40 mg daily. Interestingly, a significant adverse effect of oral minoxidil was hypertrichosis, leading to the development of topical minoxidil as a hair growth agent in the 1980s. </p><p style="text-align: justify;">Minoxidil exerts its effects via various proposed pathways: (1) a vasodilator acting on adenosine triphosphate–sensitive potassium channels, (2) an anti-inflammatory agent, (3) inducer of the Wnt/β- catenin signaling pathway, (3) a 5-α reductase inhibitor and antiandro- gen, and (4) an anagen extender.6 Topical minoxidil is converted into its active form, minoxidil sulfate, via sulfotransferase enzyme activity in the outer root sheath of hair follicles, and oral minoxidil is absorbed in the gastrointestinal tract and converted to its activated sulfated form in the liver.6 The systemic absorption of topical minoxidil is negligible, well below the minimum level of 20.0 ng per millimeter, at which hemodynamic changes in blood pressure have been documented.2 Oral minoxidil reaches peak levels in plasma within an hour, has a half-life of 3 to 4 hours, and is excreted by the kidneys within 12 to 20 hours.6 </p><p style="text-align: justify;">Oral minoxidil is not a first-line antihypertensive agent due to the risk for fluid retention, tachycardia, and other potential adverse effects, such as pericardial and pleural effusion, cardiac tamponade, and angina pectoris, with antihypertensive dosing.7 However, a grow- ing number of research groups have reported on the off-label use of low-dose oral minoxidil (LDOM), ranging from 0.25 mg to 5 mg daily, as a safe and effective treatment option for male and female pa- tients with AGA, age-related patterned thinning, traction alopecia, alopecia areata, telogen effluvium, scarring, and other forms of hair loss, though some serious adverse effects have been reported. This correlates with an increased demand for LDOM pre- scriptions in recent years.16 As the current data on LDOM initiation and monitoring for hair loss are limited, there is a pressing need for an ex- pert consensus–based statement for common use to maximize hair growth and minimize cardiovascular and other adverse effects. </p><p style="text-align: justify;">Dermatologists with hair loss expertise, identified by clinical ex- perience, research activities, and participation in recognized pro- fessional societies, including the North American Hair Research Society, International Federation of Hair Research Societies, and World Congress for Hair Research, were invited via email to join the LOMI expert panel and engage in multiple survey rounds address- ing LDOM safety, efficacy, dosing, and monitoring for treating pa- tients with hair loss. Experts were encouraged to answer items based on their clinical expertise and experience with LDOM; relevant lit- erature was provided for review. To minimize bias, individual ex- pert responses were anonymous from all except the study coordi- nator (Y.M.A.). Based on consensus parameters set by prior Delphi studies, consensus for a LOMI item was defined as at least 70% of experts indicating agree or strongly agree on a 5-point Likert scale.</p><p style="text-align: justify; ">The initial survey round included items that were non–Likert scale (demographic, open-ended, or multiple choice), as well as items requiring a Likert scale response (strongly disagree, disagree, neu- tral, agree, strongly agree; Figure). After each round, aggregated re- sponses were reviewed by the multidisciplinary LOMI steering com- mittee, and feedback was provided to the LOMI expert panel. When indicated, survey items were revised for clarification or to incorpo- rate expert comments and submitted for expert review in subse- quent rounds. In rounds and survey items were calibrated ation, or did not achieve at least 70% consensus, were either re- vised or reconsidered in subsequent rounds or eliminated.</p><p style="text-align: justify; ">Reference:</p><p style="text-align: justify; ">Akiska YM, Mirmirani P, Roseborough I, et al. Low-Dose Oral Minoxidil Initiation for Patients With Hair Loss: An International Modified Delphi Consensus Statement. JAMA Dermatol. Published online November 20, 2024. doi:10.1001/jamadermatol.2024.4593</p>

187. AF common in newly diagnosed AF patients and it makes prognosis significantly worse: Study

     Fri, 22 Nov 2024 01:00:20 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/04/23/236680-atrial-fibrillation-50.webp' /><p style="text-align: justify; ">A new study by researchers at Intermountain Health in Salt Lake City finds that 40 percent of newly diagnosed heart failure patients also have <a href="https://speciality.medicaldialogues.in/topics/atrial-fibrillation">atrial fibrillation</a>-a combination of cardiac disorders that researchers found results in significantly poorer outcomes for patients. </p><p style="text-align: justify;">Findings from the Intermountain Health study demonstrate the need for physicians to screen newly diagnosed heart failure patients for atrial fibrillation to ensure patients are getting the best care possible, researchers said. </p><p style="text-align: justify;">“Atrial fibrillation can make <a href="https://medicaldialogues.in/topics/heart-failure">heart failure</a> much more problematic, and more complex to treat,” said Heidi T. May, PhD, principal investigator of the study and cardiovascular epidemiologist at Intermountain Health. “Given these findings, screening in heart failure patients for atrial fibrillation should be ongoing, which may lead to more aggressive therapy for those who have both conditions.” </p><p style="text-align: justify;">In the study, Intermountain researchers also found that patients with both conditions tended to have poorer outcomes, especially if they have the type of heart failure where the heart no longer pumps blood efficiently. </p><p style="text-align: justify;">Results from the Intermountain study will be presented at 2024 American Heart Association Internation Scientific Sessions in Chicago for peer review on Monday, November 18, 2024. </p><p style="text-align: justify;">Atrial fibrillation is a heart condition that causes the upper chambers of the heart to beat irregularly and often rapidly. With atrial fibrillation, the heart’s electrical system doesn’t work as it should. Instead of a steady, regular pattern of electrical impulses firing, many different impulses fire rapidly at the same time causing a chaotic irregular rhythm of the heart. </p><p style="text-align: justify;">While the conditions are known to co-exist, how often they overlap, and how the dual diagnosis affects health and prognosis of patients, has been less known. </p><p style="text-align: justify;">For the Intermountain study, researchers reviewed the electronic health records of 21,925 patients with new-onset heart failure treated at Intermountain Healthcare between 2009 and 2019. </p><p style="text-align: justify;">These patients also had to have a one year follow up on their charts, no history of cancer, and an <a href="https://medicaldialogues.in/topics/ejection-fraction">ejection fraction</a> measurement, which shows how well the heart’s lower left chamber pumps blood, measured within 30 days of heart failure diagnosis. </p><p style="text-align: justify;">Patients with ejection fraction under 40% were categorized as heart failure with reduced ejection fraction (HFrEF) and those with an ejection fraction 40 or greater as heart failure with preserved ejection fraction (HFpEF). </p><p style="text-align: justify;">They found 7,931 (36%) patients with HFrEF and 13,994 (64%) with HFpEF in their study group, with HFpEF patients on average older (74 vs. 65 years) and more often female (53.7% vs. 33.1%). </p><p style="text-align: justify;">In the study, atrial fibrillation was present in 40% of all newly diagnosed heart failure patients. Patients with both heart failure and atrial fibrillation had an increased risk of death and a subsequent heart failure hospitalization when compared to patients who had heart failure and no atrial fibrillation. </p><p style="text-align: justify;">When evaluating patients with both heart failure and atrial fibrillation, the risk of mortality by heart failure type (HFrEF and HFpEF) was the same, but patients with HFrEF were more likely to be hospitalized for heart failure compared to those with HFpEF. </p><p style="text-align: justify;">While most physicians may also screen newly diagnosed heart failure patients for atrial fibrillation, Dr. May said these findings support making sure that such screenings happen regularly in patients, and that physicians should be “extra diligent because patients with both may require a more aggressive treatment regimen to preserve their quality of life,” she said. </p><p style="text-align: justify; ">Dr. May and other researchers at Intermountain Health are now working to create a randomized clinical trial for what is the best treatment for patients with both heart failure and atrial fibrillation, especially with new heart failure drugs being available.</p><p style="text-align: justify; ">Reference:</p><p style="text-align: justify; ">New study finds atrial fibrillation common in newly diagnosed heart failure patients, and makes prognosis significantly worse, Intermountain Healthcare, Meeting:AHA Scientific Sessions 2024,</p>

188. Ablation better than medication for those with ventricular tachycardia after heart attack, suggests study

     Fri, 22 Nov 2024 00:00:18 -0000

     <img src='https://medicaldialogues.in/h-upload/2023/11/10/225080-heart-attack-1.webp' /><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">Ablation, a procedure to treat abnormal electrical short circuits caused by a heart attack and is usually reserved for patients who do not improve with medication, may be a better first-line treatment for heart attack survivors experiencing dangerous rapid heartbeat episodes, according to late-breaking science presented today at the American Heart Association’s Scientific Sessions 2024.This study is simultaneously published in The New England Journal of Medicine.</p><p style="text-align: justify;">Heart attacks create scar tissue in the heart muscle, which impedes the heart’s ability to function properly and may lead to other conditions, such as dangerous heart rhythms.</p><p style="text-align: justify;">“The scarred heart tissue doesn’t contract and help with blood flow, however, sometimes the scar contains surviving bits of heart muscle that create abnormal electrical circuits in the heart, leading to dangerous rapid heart racing called ventricular tachycardia,” explained lead author John Sapp, M.D., a professor of medicine and assistant dean of clinical research at Dalhousie University, Queen Elizabeth II Health Sciences Centre in Halifax, Nova Scotia, Canada.</p><p style="text-align: justify;">Ventricular tachycardia (VT), the most common cause of sudden cardiac death, is a fast heart rhythm that starts in the heart’s lower chambers (ventricles). This rapid heartbeat prevents the heart’s chambers from filling completely between contractions, which reduces blood flow to the rest of the body.</p><p style="text-align: justify;">To reduce the risk of death from VT, the patient may receive an implantable cardioverter defibrillator (ICD), which will shock the heart back into a normal rhythm. The ICD can be lifesaving, but it does not prevent VT. “Even with an ICD, some patients still have recurrent attacks of ventricular tachycardia, which causes serious symptoms such as passing out, and the ICD shock itself can cause a very unpleasant feeling of being jolted or kicked in the chest,” Sapp said.</p><p style="text-align: justify;">The usual first treatment to prevent dangerous episodes of ventricular tachycardia is anti-arrhythmia medications. However, these medications may have serious long-term side effects, such as worsening of the abnormal heart rhythm or potentially damaging other organs. When medication has been unsuccessful in reducing VT episodes, the second line of treatment has been ablation. This minimally invasive procedure uses radiofrequency energy to destroy the abnormal heart tissue causing the VT, while not damaging the rest of the heart.</p><p style="text-align: justify;">“We have previously shown that when a medication is not preventing episodes of VT, ablation has led to better outcomes than increasing the medications. Now we know that ablation is a reasonable option for first-line treatment instead of starting with antiarrhythmic medication therapy,” Sapp said.</p><p style="text-align: justify;">In the VANISH2 (Ventricular Tachycardia Antiarrhythmics or Ablation in Structural Health Disease 2) trial, 416 patients who developed recurrent ventricular tachycardia after surviving a heart attack were enrolled at 22 health centers in three countries. All participants had ICDs to shock the heart as needed. None of the participants had conditions that excluded them from receiving ablation or the antiarrhythmic medications used in the study, so treatment with medication or ablation was randomly determined. Patients chosen for medication received one of two antiarrhythmic medications: amiodarone or sotalol.</p><p style="text-align: justify;">Participants were followed for at least two years after ablation or while taking the assigned medications (median of 4.3 years). Researchers tracked death, appropriate ICD shocks, three or more VT events within 24 hours, and sustained VT that was not treated by the ICD but treated urgently in a hospital.</p><p style="text-align: justify;">The data analysis found:</p><p style="text-align: justify;">People who received ablation were 25% less likely to die or experience VT requiring an ICD shock. This included having three or more VT episodes in a single day or VT episodes that were not detected by the ICD and were treated in a hospital.</p><p style="text-align: justify;">“Although the study was not large enough to show a statistically definitive effect on all of the parameters that are important to patients and physicians, patients treated with ablation also had fewer ICD shocks for VT, fewer ICD treatments, episodes of three or more VT in a single day and fewer VT episodes not detected by their ICD,” Sapp said.</p><p style="text-align: justify;">“For people who have survived a heart attack and developed VT, our findings show that performing a catheter ablation to directly treat the heart’s abnormal scar tissue causing the arrhythmia, rather than prescribing heart rhythm medications that can affect other organs as well as the heart, provides better overall outcomes,” he continued. “These results may change how heart attack survivors with ventricular tachycardia are treated.</p><p style="text-align: justify;">“Currently, catheter ablation is often reserved as a last-resort therapy when antiarrhythmic medications fail or cannot be tolerated. Now we know that ablation is a reasonable option for first-line treatment. We hope that our data will be useful for clinicians and patients who are trying to decide the best option when they need treatment to suppress recurrent VT and prevent ICD shocks,” Sapp said.</p><p style="text-align: justify;">Although the study could not confirm if ablation worked better than medication to reduce each outcome tracked, the researchers found that overall, the differences favored ablation. The study also did not determine which patients with particular characteristics would benefit more from one treatment or the other.</p><p style="text-align: justify;">“In addition, these results cannot be generalized to patients who have heart muscle scarring caused by a disease other than a blocked coronary artery,” Sapp said. “We also note that, despite these treatments, the rate of VT episodes remained relatively high. We still need more research and innovation to develop better treatments for these patients.”</p></div>

189. Multidisciplinary surgical team Performs Successful Face Transplant Restoring Vital Functions at Mayo clinic

     Thu, 21 Nov 2024 21:30:14 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/07/31/245668-surgery-50-6.webp' /><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">A Michigan man can blink, swallow, smile and breathe through his nose for the first time in a decade thanks to a face transplant performed at Mayo Clinic. This transformative and complex procedure underscores Mayo Clinic's skilled multidisciplinary surgical team who provide hope to patients with complex medical needs.</p><p style="text-align: justify;">Derek Pfaff's life changed forever on March 5, 2014, when a tragic incident during his college years left his face severely damaged by a gunshot.</p><p style="text-align: justify;">"I was under a lot of pressure at college. I don't remember making the decision to take my own life. When I woke up in the hospital, I originally thought I had been in a car accident," he says.</p><p style="text-align: justify; ">Despite undergoing 58 reconstructive facial surgeries in 10 years before going to Mayo Clinic in Rochester, he was still unable to eat solid food or speak casually with friends and family. Wearing glasses proved impossible without a nose. This transformational face transplant at Mayo Clinic means the now 30-year-old from Harbor Beach, Michigan, will once again be able to do all those things he has missed. He has also become a passionate advocate for suicide prevention and plans to share his story to encourage others who are struggling to get help.</p><p style="text-align: justify;">"I lived for a reason. I want to help others," Pfaff says. "I am so grateful to my donor, his family and my care team at Mayo Clinic for giving me this second chance."</p><p style="text-align: justify;">"Mayo Clinic Transplant Center is the largest integrated transplant center in the world. We were the first transplant center in the country to make face transplant part of its clinical practice. That has allowed us to focus exclusively on the needs of each individual patient," says Hatem Amer, M.D., medical director of Mayo Clinic's Reconstructive Transplant Program.</p><p style="text-align: justify;">In the 19 years since the first face transplant was performed, more than 50 have been done around the world. Survival outcomes for these transplants are encouraging, according to a recent JAMA Surgery study. Mayo Clinic performed its first face transplant in 2016.</p><p style="text-align: justify;">How the surgery was done</p><p style="text-align: justify;">Mayo Clinic surgeons performed Pfaff's face transplant in February 2024 in a procedure that lasted more than 50 hours and involved a medical team comprised of at least 80 healthcare professionals, including surgeons, anesthesiologists, nurses, technicians, assistants and other specialists.</p><p style="text-align: justify;">This multidisciplinary team was led by Samir Mardini, M.D., a facial reconstructive and facial reanimation surgeon and surgical director of Mayo Clinic's Reconstructive Transplant Program. Dr. Mardini estimates that 85% of Pfaff's face, including the mandible and maxilla, was reconstructed and replaced with donor tissue.</p><p style="text-align: justify;">Surgeons meticulously planned this complex operation over several months. To ensure precision and accuracy, a digital surgical plan was created relying on detailed scans of both the donor's and recipient's faces, allowing the team to perform the surgery digitally first. Facial nerve mapping also was performed of both the donor and recipient's nerve system to understand the function of each nerve. While the digital aspect ensured preparation, customized 3D-printed cutting guides translated these plans into tangible tools to be used in the surgical suite.</p><p style="text-align: justify;">The intricate transplant required replacing virtually everything below Pfaff's eyebrows and part of his forehead, including his upper and lower eyelids and intraorbital fat, upper and lower jaws, teeth, nose, cheek structure, neck skin, hard palate and parts of his soft palate. Relying on the preoperative facial nerve mapping, one of the most critical aspects of the face transplant surgery was ensuring the donor and recipient's delicate facial nerves — 18 branches between the two sides — were properly connected to restore function. A new microsurgery technique also was employed to transplant the donor's tear drainage system, which allows Pfaff's tears to drain normally into his new nose. Pfaff can now express happiness, sadness, joy and disappointment through his transplanted facial muscles and nerves.</p><p style="text-align: justify;">"Most organ transplants are lifesaving. With facial transplantation, it's a life-giving operation. You can live without it, but you are missing out on life," Dr. Mardini says.</p><p style="text-align: justify;">The medical team included specialists from Plastic and Reconstructive Surgery, Transplant, Nephrology, Neurology, Ophthalmology, Dermatology, Pathology, Radiology, Critical Care, Anesthesia, Psychiatry, Infectious Diseases, Histocompatibility, Pharmacy, Nursing, Social Work, Rehabilitation, and Speech and Language Pathology.</p><p style="text-align: justify;">"This successful transplant would not have been possible without the donor and his family's generous gift and the care team's collaboration and dedication," Dr. Mardini adds.</p><p style="text-align: justify;">LifeSource, the federally designated organ procurement organization for the Upper Midwest, also played a pivotal role in the transplant, working closely with the family of the donor and Mayo Clinic care teams. Thanks to his face transplant, Pfaff says he is focused on making plans for his future.</p><p style="text-align: justify;">"This surgery has transformed my life. I feel so much more confident. I am hoping to one day meet someone, settle down and have a family," he says. "I'm also going to keep sharing my story with others to help as many people as I can."</p></div>

190. Statin Use Key to Reducing CV Risk in Rheumatoid Arthritis Patients on Tofacitinib: ORAL Surveillance Analysis

     Thu, 21 Nov 2024 20:30:24 -0000

     <img src='https://medicaldialogues.in/h-upload/2023/09/25/220834-statins-3.webp' /><p style="text-align: justify; ">USA: A recent post hoc analysis of the ORAL Surveillance trial has highlighted the essential role of <a href="https://medicaldialogues.in/topics/statins">statins </a>in mitigating <a href="https://medicaldialogues.in/topics/major-adverse-cardiovascular-events">major adverse cardiovascular events</a> (MACE) among patients with <a href="https://medicaldialogues.in/topics/rheumatoid-arthritis-ra">rheumatoid arthritis</a> (RA) who are at heightened cardiovascular (CV) risk. The findings presented at the American College of Rheumatology's annual meeting revealed that patients with rheumatoid arthritis taking <a href="https://medicaldialogues.in/topics/jak-inhibitors">Janus kinase (JAK) inhibitors</a> may significantly reduce their cardiovascular risk—provided they are also on statin therapy.</p><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">The analysis emphasizes a concerning gap in cardiovascular preventive care within this population, marked by the suboptimal use of statins, medications known to reduce cholesterol and inflammation-related CV risks.</p><p style="text-align: justify; ">RA patients face an increased risk of<a href="https://medicaldialogues.in/topics/cardiovascular-disease"> cardiovascular disease </a>(CVD) due to systemic inflammation and associated metabolic disturbances. The ORAL Surveillance study, a post-authorization safety trial comparing tofacitinib (5 and 10 mg twice daily) to TNF inhibitors (TNFi), reported a higher incidence of MACE with tofacitinib. Earlier analysis revealed this increased risk was primarily seen in patients with a history of atherosclerotic cardiovascular disease (ASCVD) and noted low baseline statin use.</p><p style="text-align: justify; ">Current guidelines recommend high-intensity statins for individuals with ASCVD or a high 10-year risk of MACE and moderate-intensity statins for those at intermediate cardiovascular risk.</p><p style="text-align: justify; ">In the post hoc analysis, Jon Giles, MD, MPH, of Cedars-Sinai Medical Center in Los Angeles, and colleagues sought to examine: (1) statin use based on baseline cardiovascular risk, (2) the effects of statins on lipid levels, and (3) the relationship between statin use and MACE risk among patients treated with tofacitinib versus TNFi in the ORAL Surveillance trial.</p><p style="text-align: justify; ">For this purpose, the researchers analyzed data from patients with rheumatoid arthritis (RA) aged 50 years or older, all of whom had at least one additional cardiovascular (CV) risk factor. Participants were assigned to receive either tofacitinib 5 mg (N=1,455) or 10 mg (N=1,456) twice daily (BID) or a TNF inhibitor (TNFi, N=1,451).</p><p style="text-align: justify; ">The use of statins was examined both at baseline and throughout the study, and treatment was categorized as high, moderate, or low intensity. Fasting serum levels of low-density lipoprotein (LDL) and high-density lipoprotein (HDL) were measured to evaluate lipid profiles.</p><p style="text-align: justify; ">To assess the association between statin use and the occurrence of major adverse cardiovascular events, the researchers calculated hazard ratios (HRs) using simple Cox proportional hazard models, focusing on the time to the first MACE event. This analysis aimed to clarify the impact of statin therapy on CV outcomes in patients treated with tofacitinib versus TNFi. </p><p style="text-align: justify; "><strong>Key Findings:</strong></p><ul><li style="text-align: justify; ">At baseline, 53.0% of patients with a history of ASCVD and 26.9% of those with high CV risk were using statins, though few were on high-intensity statins.</li><li style="text-align: justify; ">Statin use was observed in 19.0% of patients with intermediate CV risk, primarily moderate-intensity statins.</li><li style="text-align: justify; ">Baseline statin use was comparable between patients treated with tofacitinib and TNFi.</li><li style="text-align: justify; ">Statin initiation during the study was relatively uncommon but occurred more frequently in patients receiving tofacitinib (11.8% for 5 mg BID and 12.2% for 10 mg BID) compared to TNFi (6.7%).</li><li style="text-align: justify; ">Patients using statins at baseline had lower LDL levels and LDL ratios. LDL and HDL levels increased from baseline in both statin users and non-users, with larger increases observed in tofacitinib-treated patients compared to those on TNFi.</li><li style="text-align: justify; ">MACE rates were similar in patients with or without baseline statin use across the study population and treatments.</li><li style="text-align: justify; ">In tofacitinib-treated patients with a history of ASCVD, statin use at any time was associated with a lower risk of MACE compared to those not using statins (HR 0.49).</li><li style="text-align: justify; ">In TNFi-treated patients with a history of ASCVD, statin use did not show a similar reduction in MACE risk.</li><li style="text-align: justify; ">Among patients with ASCVD history and no statin use at any time, the risk of MACE was significantly higher with tofacitinib compared to TNFi (HR 4.07).</li><li style="text-align: justify; ">For patients with ASCVD history using statins at baseline or at any time, there was no significant difference in MACE risk between tofacitinib and TNFi (HR 1.17).</li></ul><p style="text-align: justify; ">"The post hoc analysis of ORAL Surveillance highlights a significant gap in cardiovascular preventive care for patients with rheumatoid arthritis, reflected in the underutilization of statins. In patients with a history of ASCVD, statin use appears essential in reducing the heightened MACE risk previously associated with tofacitinib compared to TNFi," the researchers concluded. </p><p style="text-align: justify; ">Reference:</p><p style="text-align: justify; ">Giles J, Charles-Schoeman c, Buch M, Dougados M, Szekanecz Z, Mikuls T, Ytterberg S, Koch G, Kwok K, Cadatal M, Menon S, Chen Y, Diehl A, Rivas J, Yndestad A, Bhatt D. Use of Statins and Its Association with Major Adverse Cardiovascular Outcomes with Tofacitinib versus TNF Inhibitors in a Risk-Enriched Population of Patients with Rheumatoid Arthritis [abstract]. Arthritis Rheumatol. 2024; 76 (suppl 9). https://acrabstracts.org/abstract/use-of-statins-and-its-association-with-major-adverse-cardiovascular-outcomes-with-tofacitinib-versus-tnf-inhibitors-in-a-risk-enriched-population-of-patients-with-rheumatoid-arthritis/. Accessed November 19, 2024.</p></div><p style="text-align: justify; "><br></p>

191. Transitional Pain Service may improve pain-related patient outcomes and achieve opioid sparing after cancer surgery finds study

     Thu, 21 Nov 2024 19:45:12 -0000

     <img src='https://medicaldialogues.in/h-upload/2022/09/24/186212-post-cardiac-surgery-pain.webp' /><div class="pasted-from-word-wrapper">Many cancer centers provide comprehensive acute and chronic pain services. However, the period following hospital discharge and returning to normal activities poses a vulnerable time for patients experiencing postsurgical pain. Interestingly, the transition from hospital to home and subsequent follow-up visits leads to a gap in pain management.</div><p style="text-align: justify; "> This gap may stem from the absence of a specialized pain service, and the failure to address it has contributed to the development of persistent postsurgical pain (PPSP). Recent systematic review and meta-analysis evaluated the feasibility and effectiveness of transitional pain service (TPS) interventions in addressing persistent postsurgical pain (PPSP) and pain catastrophizing among postsurgical cancer patients. The key findings are: 1. TPS interventions carried out by multidisciplinary teams incorporating biophysical-psychological pain interventions have resulted in successful implementation with improved pain-related patient outcomes, mitigating the occurrence of PPSP. 2. </p><p style="text-align: justify; ">Meta-regression analysis showed that the feasibility of TPS ranged from 77% to 92%, with studies below the median sample size showing higher feasibility rates. This suggests the need for tailored TPS interventions based on the severity and nature of patients' individualized perioperative pain experiences. 3. Subgroup analysis revealed that randomized controlled trials (RCTs) showed a high effectiveness feasibility rate of 99%, while observational studies involving prospective cohorts and mixed cohorts showed feasibility rates of 80% and 79% respectively. This highlights the potential utility of observational studies in identifying patients who may benefit from TPS interventions. 4. TPS involves individualized preoperative pain evaluation, identification of pain catastrophizing, implementation of pain education, and multimodal prehabilitation and early pain coping interventions to modify pain trajectory perioperatively. </p><p style="text-align: justify; ">This comprehensive approach helps bridge the "pain gap" and the "period gap" in the transition from hospital to home care. 5. TPS has shown promise in achieving opioid sparing, with overall opioid prescription reduction from 27.3% to 13.4% among both opioid-naïve and chronic opioid users. Tele-TPS also reduces frequent hospital visits and possesses immense future potential in cancer pain management.</p><p style="text-align: justify;">Conclusion</p><p style="text-align: justify;">In conclusion, this review highlights the feasibility and effectiveness of TPS interventions in preventing PPSP and pain catastrophizing, with the potential to improve pain-related patient outcomes and achieve opioid sparing. The findings underscore the need for a dedicated TPS to bridge the perioperative pain and period gaps.</p><p style="text-align: justify;">Key Points</p><p style="text-align: justify;"> 1. Transitional pain service (TPS) interventions carried out by multidisciplinary teams incorporating biophysical-psychological pain interventions have resulted in successful implementation with improved pain-related patient outcomes, mitigating the occurrence of persistent postsurgical pain (PPSP).</p><p style="text-align: justify;">2. Meta-regression analysis showed that the feasibility of TPS ranged from 77% to 92%, with studies below the median sample size showing higher feasibility rates, suggesting the need for tailored TPS interventions based on the severity and nature of patients' individualized perioperative pain experiences.</p><p style="text-align: justify;">3. Subgroup analysis revealed that randomized controlled trials (RCTs) showed a high effectiveness feasibility rate of 99%, while observational studies involving prospective cohorts and mixed cohorts showed feasibility rates of 80% and 79% respectively, highlighting the potential utility of observational studies in identifying patients who may benefit from TPS interventions.</p><p style="text-align: justify;">4. TPS involves individualized preoperative pain evaluation, identification of pain catastrophizing, implementation of pain education, and multimodal prehabilitation and early pain coping interventions to modify pain trajectory perioperatively, helping to bridge the "pain gap" and the "period gap" in the transition from hospital to home care.</p><p style="text-align: justify;">5. TPS has shown promise in achieving opioid sparing, with overall opioid prescription reduction from 27.3% to 13.4% among both opioid-naïve and chronic opioid users, and tele-TPS also reduces frequent hospital visits and possesses immense future potential in cancer pain management.</p><p style="text-align: justify;">6. The findings of this review underscore the need for a dedicated TPS to bridge the perioperative pain and period gaps and prevent PPSP and pain catastrophizing, with the potential to improve pain-related patient outcomes and achieve opioid sparing.</p><p style="text-align: justify;">Reference –</p><p style="text-align: justify;">Thota RS, Ramkiran S, Jayant A, Kumar KS, Wajekar A, Iyer S, et al. Bridging the pain gap after</p><p style="text-align: justify;">cancer surgery – Evaluating the feasibility of transitional pain service to prevent persistent postsurgical pain – A systematic review and meta‑analysis. Indian J Anaesth 2024;68:861‑74.</p>

192. Blood thinners didn't reduce cognitive decline in adults 65 and younger with AF, suggests study

     Thu, 21 Nov 2024 19:30:25 -0000

     <img src='https://medicaldialogues.in/h-upload/2023/05/20/210095-blood-thinners.webp' /><p style="text-align: justify; ">Prescribing anti-clotting medications to adults younger than age 65 who have <a href="https://medicaldialogues.in/topics/atrial-fibrillation-af" target="_blank">atrial fibrillation</a> (AFib) but no other risk factors for <a href="https://medicaldialogues.in/topics/stroke" target="_blank">stroke </a>did not reduce the risk of cognitive decline, stroke or transient ischemic attack (TIA), according to late-breaking science presented today at the American Heart Association’s Scientific Sessions 2024.</p><p style="text-align: justify; ">The meeting, Nov. 16-18, 2024, in Chicago, is a premier global exchange of the latest scientific advancements, research and evidence-based clinical practice updates in cardiovascular science. </p><p style="text-align: justify; ">In Canada, anti-clotting medications such as rivaroxaban are prescribed to reduce the risk of stroke in people with AFib who are 65 years old or older or who have other stroke risk factors (such as <a href="https://medicaldialogues.in/topics/diabetes" target="_blank">diabetes</a>, heart failure, high blood pressure, or a prior stroke or TIA). This study, the Blinded Randomized Trial of Anticoagulation to Prevent Ischemic Stroke and Neurocognitive Impairment in Atrial Fibrillation (BRAIN-AF), is the first large trial focused on assessing if anti-clotting medication can reduce the risk of cognitive decline, stroke or TIA among adults with AFib but no other risk factors for stroke. </p><p style="text-align: justify;">“Although numerous observational studies have reported an association between AFib and cognitive decline, we found that anticoagulation therapy initiated in relatively younger adults with AFib did not reduce this risk,” said study lead author Lena Rivard, M.D., M.Sc., an electrophysiologist at Montreal Heart Institute and an associate professor of medicine at Université de Montréal in Canada. “Patients should adhere to standard recommendations for cognitive health, including adopting a healthy lifestyle, engaging in activities that stimulate their brains and maintaining regular physical activity.” </p><p style="text-align: justify;">Although the trial was scheduled to allow for an average follow-up of 5 years, it was terminated early at an average follow-up of 3.7 years after the data safety and monitoring committee considered it futile to continue because of the clear lack of benefit from the study medication. </p><p style="text-align: justify; ">The trial included more than 1,200 adults, average age 53, who had AFib but none of the standard risk factors that would necessitate the prescription of blood thinner medication. Half of the study participants were randomly selected to receive 15 mg of rivaroxaban daily. The other half were randomly assigned to a placebo group. For the BRAIN-AF trial to include patients with vascular disease, i.e., a condition involving plaque build-up in blood vessels, a double-dummy design was used. Participants were monitored yearly for cognitive decline (a decline of two or more points on the Montreal Cognitive Assessment), stroke or TIA. </p><p style="text-align: justify;">After an average of almost four years, the study found: </p><p style="text-align: justify;">1 in 5 participants experienced cognitive decline, stroke or TIA. Cognitive decline accounted for 91% of the primary outcome; and 1 in 200 had major bleeding. </p><p style="text-align: justify;">The participants had a low incidence of stroke, at less than 1 in 100 (0.8%) per year. </p><p style="text-align: justify;">There were no differences in the outcomes of cognitive decline, stroke or TIA between those taking rivaroxaban and placebo. The rates of these conditions combined were 7% per year for those randomized to rivaroxaban versus 6.4% per year among those who received a placebo. </p><p style="text-align: justify;">Rivard said she believes that “In clinical practice, people younger than age 65 with AFib tend to be overtreated with anticoagulant therapy, while older people who have indications for anticoagulation are under-treated.” She also said, “Our study supports current guidelines by confirming that younger people with AFib but no other risk factors for stroke have a low rate of stroke, and anticoagulation is not useful in reducing the risk of cognitive decline, as assessed by the Montreal Cognitive Assessment score.” </p><p style="text-align: justify;">The researchers are also analyzing their results (more than 5,700 Montreal Cognitive tests were performed during the trial) using biomarkers and genetic tests collected from most BRAIN-AF participants to better understand cognitive decline in patients with AFib. </p><p style="text-align: justify;">“The BRAIN-AF trial confirmed a high rate of cognitive decline during follow-up in younger adults. It is not known whether other interventions such as ablation of AFib could have a positive impact on cognition in this population,” Rivard said.</p><p style="text-align: justify;">To maximize safety, the trial used a low dose of rivaroxaban. It remains unknown whether a higher dose of rivaroxaban or a different molecule would have been effective when the study medication was not. </p>

193. Gallstones may Significantly Raise Risk of Fatty Liver Disease, unravels study

     Thu, 21 Nov 2024 18:00:54 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/03/15/234312-fatty-liver-disease-50.webp' /><p style="text-align: justify;">Researchers have determined that gallstones greatly increase the incidence of non-alcoholic fatty liver disease (NAFLD). To evaluate whether there is a chance of association between gallstones and NAFLD, a recent case control study was conducted among the patients of Imam Khomeini and Golestan hospitals affiliated to Ahvaz University of Medical Sciences. The study was conducted by Sheibani A. and colleagues and was published in the journal <i>Health Science Reports</i>.</p><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify;">Both NAFLD and gallstones are frequently associated with common risk factors, including obesity, insulin resistance, diabetes, and other metabolic disorders. The association has been suspected by previous studies, but little has been done to quantify this risk. This study aimed to assess the incidence of gallstones in patients with NAFLD to determine the strength of this relationship, and to find which factors most significantly contribute to the development of NAFLD in patients with gallstones.</p><p dir="ltr" style="text-align: justify;">The research inducted 300 patients referred to Imam Khomeini and Golestan hospitals in 2023. The patients were divided into two groups according to ultrasound findings; the case group included 150 patients diagnosed with NAFLD, while the control group included patients without any findings for NAFLD (n =150). The research records all clinical data, including age, gender, BMI, the presence of diabetes, and status of gallstone, using checklists. SPSS version 26 was utilized in doing statistical analysis, and the examinations of how gallstones, diabetes, and obese conditions might impact the risk of NAFLD were conducted using binary logistic regressions.</p><p dir="ltr" style="text-align: justify;">The results of the study established the following associations for gallstones, diabetes, and obesity with NAFLD:</p><p dir="ltr" style="text-align: justify;">• The patients who had gallstones showed a likelihood of 2.33 times more to have NAFLD (p = 0.035).</p><p dir="ltr" style="text-align: justify;">• The presence of DM increased the risk of NAFLD about 16 times above the baseline rate (p &lt;0.001).</p><p dir="ltr" style="text-align: justify;"><span>•&nbsp;</span>For every one unit increase in BMI, added 30% to the odds of having NAFLD (p &lt;0.001).</p><p dir="ltr" style="text-align: justify;">Gallstones have emerged as an important risk factor for NAFLD and most likely to double the patients' odds of suffering from fatty liver. Clinically, these findings highlight the necessity to monitor and manage NAFLD risk in patients with gallstones, especially in obese or diabetic subjects, where preventive measures may delay or reduce NAFLD progression.</p><p dir="ltr" style="text-align: justify;">Reference:</p><p dir="ltr" style="text-align: justify;">Sheibani, A., Reihani, H., Shoja, A., Gharibvand, M. M., &amp; Hanafi, M. G. (2024). Gallstones increase the risk of nonalcoholic fatty liver: A case‐control study. Health Science Reports, 7(11). https://doi.org/10.1002/hsr2.70068</p></div>

194. Bilateral single orbital triamcinolone injections provided relief from Thyroid Eye Disease symptoms, reveals research

     Thu, 21 Nov 2024 15:15:25 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/10/30/258839-eye-injuries.webp' /><p style="text-align: justify; ">Thyroid eye disease (TED) represents a prevalent type of orbital tissue inflammation associated with autoimmune disorders linked to thyroid dysfunction, which is characterized by a spectrum of metabolic and immunologic disturbances. Because of their potent anti-inflammatory and immunosuppressive properties, systemic glucocorticoids have traditionally served as the first-line treatment for TED to mitigate inflammation. However, their use is fraught with a plethora of adverse effects, encompassing hyperglycemia, hypertension, metabolic disorders leading to the characteristic “moon face”, gastric ulcers, osteoporosis, and an increased susceptibility to infectious diseases.</p><div class="pasted-from-word-wrapper"> <p style="text-align: justify;">To circumvent these adverse effects, local administration of glucocorticoids has been explored. Localized delivery is accomplished through subconjunctival, and sub-Tenon injections. In contrast, retro-orbital-septal injection offers an alternative method. This procedure, performed transcutaneously using a half-inch, 27-G needle, facilitates the precise delivery of medication into the lateral lower deep orbital fat, yielding promising results in the anti-inflammatory treatment of orbital tissue.7 Furthermore, Bagheri et al reported retroorbital-septal injection of triamcinolone and dexamethasone into both the upper and lower quadrants of the orbital soft tissue.</p> <p style="text-align: justify;">In this report, this approach was applied for patients with active TED who were resistant to or dependent on systemic steroids or faced complications related to systemic steroid use. The results demonstrated a significant reduction in orbital inflammation, including upper and lower eyelid retraction, ocular motility issues, and inflammatory markers such as the Clinical Activity Score (CAS) and NOSPECS classification. An intriguing aspect of the retro-orbital-septal delivery method is its capacity to produce a dramatic effect after only one or two injections.</p> <p style="text-align: justify;">Thus, this novel procedure may have advantages not only in local control of orbital inflammation but also in mitigating systemic adverse effects. However, no study to date has comprehensively evaluated the systemic effects of orbital corticosteroid injections, primarily because of the systemic absorption of the medication. The current report aimed to address this gap by focusing on the efficacy and systemic effects of deep orbital injection of triamcinolone, with the intent of promoting and advancing this procedure. To achieve this goal, authors conducted a prospective clinical investigation involving TED patients who underwent a single deep orbital injection of triamcinolone, followed by comprehensive ophthalmic and pharmacological assessments, including blood and urinary panels.</p> <p style="text-align: justify;">In a prospective investigation conducted from January 2021 to March 2023, patients diagnosed with TED were enrolled. Inclusion criteria encompassed a Clinical Activity Score (CAS) of ≥3, extraocular muscle inflammation, and upper eyelid retraction. A total of 1 mL of triamcinolone acetonide (40 mg/mL) was administered posterior to the orbital septum at both the medial and lateral aspects of both the upper and lower eyelids. Parameters, including CAS, margin-reflex distances (MRD1 and MRD2), intraocular pressure (IOP), ocular motility (Hess area ratio [HAR%]), exophthalmometry, extraocular muscle size, and blood and urinary indices, were evaluated before and at 2 and 4 weeks after a single injection.</p> <p style="text-align: justify;">Analysis included 28 patients (23 women, 5 men; mean age (SD): 38.7 (11.1) years), representing 56 eyes. Following the injection at 4 weeks, the mean CAS and MRD1 significantly decreased by 2 points and 0.8 mm, respectively. There was a 4.5% increase in HAR%, and extraocular muscle size decreased by 4 to 15.3 mm². Neutrophil count, C-reactive protein, and thyroid antibodies significantly decreased. No severe adverse ophthalmic or systemic effects, including IOP increases or liver damage, were observed.</p> <p style="text-align: justify;">In summary, this study robustly demonstrates the favorable effects of a single deep orbital corticosteroid administration for TED treatment without inducing substantial local or systemic adverse effects. Improvements in local and systemic assessments, TED-related antibody levels, and orbital muscle dimensions underscore the effectiveness of this intervention in modulating TED activity. While the study has limitations, including a limited patient cohort and a lack of iterative treatments, comprehensive validation will necessitate an expanded and iteratively treated patient series in the future.</p> <p style="text-align: justify;">Source: Yamana et al; Clinical Ophthalmology 2024:18 https://doi.org/10.2147/OPTH.S476562</p></div>

195. Innovative risk score predicts which kidney transplant candidates have risk of MI or stroke, new study finds

     Thu, 21 Nov 2024 14:45:53 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/05/17/238427-stroke-50.webp' /><p style="text-align: justify;">Using an innovative risk score assessment score, heart researchers at Intermountain Health in Salt Lake City say they can accurately predict whether patients being assessed for kidney transplant will likely have a future major cardiac event, like a heart attack or stroke, according to a new study.</p><p style="text-align: justify;">Intermountain Health clinicians regularly review patient data through their electronic health system to determine who may have heart disease without knowing it. Now, in a major new study, Intermountain heart researchers found that using their Intermountain Risk Score (IMRS) they could also accurately predict whether patients being assessed for kidney transplant would have a major cardiac event, like a heart attack or stroke.</p><p style="text-align: justify;">“This study demonstrates that we could adapt our already existing risk score guide to help identify which of these patients might also be at risk for having a heart event, which could lead to better and more personalized treatment,” said Benjamin Horne, PhD, director of cardiovascular and genetic epidemiology at the Intermountain Health.</p><p style="text-align: justify;">Findings from the new study will be presented at the American Heart Association Scientific Sessions in Chicago on Sunday, November 17, 2024.</p><p style="text-align: justify;">The Intermountain Risk Score is a well-validated, sex-specific risk prediction tool that includes factors like age and results from complete blood count and basic metabolic profile testing to predict the risk of major cardiovascular events and death.</p><p style="text-align: justify;">These scores are assessed automatically based on information input into electronic health records. If a patient has a high score, their care team is alerted.</p><p style="text-align: justify;">In the Intermountain study, researchers looked specifically at the accuracy of the IMRS for patients being considered for kidney transplant.</p><p style="text-align: justify;">They identified patients who were assessed for transplant surgery at Intermountain Health between June 2015 and April 2024 and found 891 patients. 200 patients did not have all of the laboratory tests needed to calculate an IMRS, so they were excluded from the next step in the study.</p><p style="text-align: justify;">That left 691 patients with enough information to retroactively calculate IMRS.</p><p style="text-align: justify;">Intermountain researchers found that these patients were on average 55.9 years old, and 34.3% were women.</p><p style="text-align: justify;">Of those 691 patients, 171 experienced a major cardiac event over a five-year follow-up period. Researchers found that IMRS was effective in predicting these outcomes, showing the potential use of calculating such a score in people being evaluated for kidney transplant.</p><p style="text-align: justify;">The score can be “a really valuable piece of information, but some of these patients were missing lab tests that would have enabled us to calculate it,” said Dr. Horne, referring to the 200 people in this retrospective study who did not have enough laboratory tests to be included.</p><p style="text-align: justify;">“This is the first step in assessing if we can make a risk score specifically keyed to the risk of people who are going to have a rental transplant, and make sure we collected all the appropriate data so we can do so,” he said.</p><p style="text-align: justify; ">Next steps include validating the risk score in another patient population, determining whether modifying the risk score by adding data routinely collected in kidney patients improves its ability to assess risk for kidney transplant patients, and then conducting a prospective clinical trial of using the risk score in modifying clinical care processes to determine whether personalized care improves patient outcomes.</p>

196. Levonorgestrel-releasing IUD Use associated with Site-Specific Gynecologic and Breast Cancers: Study

     Thu, 21 Nov 2024 14:45:27 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/07/02/242799-intrauterine-devices.webp' /><p style="text-align: justify;">The levonorgestrel-releasing intrauterine device (LNG-IUD) is commonly utilized to manage conditions such as endometriosis and menorrhagia. However, it is becoming a popular choice for contraception among young women due to its capacity to suppress menstruation and alleviate discomfort. LNG-IUD is known for its high effectiveness and satisfaction, surpassing that of oral contraceptives. Recent nationwide cohort study in Sweden provides novel evidence on the association between the use of levonorgestrel-releasing intrauterine device (LNG-IUD) and the risk of site-specific gynecologic and breast cancers, considering the influence and potential interaction of family history of cancer. The key findings are: 1. LNG-IUD use was associated with a 13% higher risk of breast cancer compared to non-users. Importantly, a significant additive interaction was observed between LNG-IUD use and family history of breast cancer, indicating a relative 19% excess risk for interaction and 1.63 additional cases per 10,000 person-years. 2. LNG-IUD use was associated with a 33% lower risk of endometrial cancer, a 14% lower risk of ovarian cancer, and a 9% lower risk of cervical cancer compared to non-users. 3. The site-specific effects of LNG-IUD on gynecologic and breast cancers were consistent across different age and menopausal status subgroups, though the results were not statistically significant likely due to small sample sizes. 4. While LNG-IUD use alone slightly increased the risk of breast cancer, the risk was significantly higher among women with a family history of breast cancer. This suggests the need for close monitoring for breast cancer development, especially in women with a family history.</p><p style="text-align: justify;">Conclusions</p><p style="text-align: justify;">The study highlights the importance of considering the influence of family history of cancer when evaluating the association between LNG-IUD use and site-specific gynecologic and breast cancers. The observed effect size for breast cancer is small, and the results are limited by the observational study design. Further research, including randomized trials, is needed to confirm these findings and establish causal relationships.</p><p style="text-align: justify;">Key Points -</p><p style="text-align: justify;">1. The study found that use of a levonorgestrel-releasing intrauterine device (LNG-IUD) was associated with a 13% higher risk of breast cancer compared to non-users. However, this risk was significantly higher, with a 19% excess risk, among women with a family history of breast cancer. </p><p style="text-align: justify;">2. LNG-IUD use was associated with a 33% lower risk of endometrial cancer, a 14% lower risk of ovarian cancer, and a 9% lower risk of cervical cancer compared to non-users. </p><p style="text-align: justify;">3. The site-specific effects of LNG-IUD on gynecologic and breast cancers were consistent across different age and menopausal status subgroups, though the results were not statistically significant likely due to small sample sizes.</p><p style="text-align: justify;"> 4. The study highlights the importance of considering the influence of family history of cancer when evaluating the association between LNG-IUD use and site-specific gynecologic and breast cancers. </p><p style="text-align: justify;">5. The observed effect size for breast cancer is small, and the results are limited by the observational study design.</p><p style="text-align: justify;"> 6. Further research, including randomized trials, is needed to confirm these findings and establish causal relationships.</p><p style="text-align: justify;">Reference –</p><p style="text-align: justify;">Yi H, Zhang N, Huang J, et al. Association of levonorgestrel-releasing intrauterine device with gynecologic and breast cancers: a national cohort study in Sweden. Am J Obstet Gynecol 2024;231:450.e1-12</p>

197. Swimming tied to greater risk of developing dental staining and poor oral QoL than non-swimmers: Study

     Thu, 21 Nov 2024 14:30:48 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261802-swimming-50.webp' /><p style="text-align: justify; ">Swimming tied to greater risk of developing dental staining and poor oral QoL than non-swimmers suggests a study published in the Australian Dental Journal</p><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; ">Swimming has classically been associated with a distinctive type of extrinsic dental staining. However, its prevalence and characteristics have not been explored in Australia. This case controlled cross-sectional cohort study aimed to determine the prevalence and severity of dental staining among children who swim competitively compared to non-swimmers and its impact on oral health-related quality of life (OHRQL).</p><p dir="ltr" style="text-align: justify; "> Parents and children from Western Australian swimming clubs completed a survey assessing swimming routine, risk factors for staining and OHRQL. Intra-oral photographs were taken and staining of anterior teeth was assessed using a modified Lobene Stain Index. A Global Stain Score (GSS) was calculated and compared against age-matched non-swimmer controls. Results: Maxillary anterior teeth from swimmers (n = 400) and non-swimmers (n = 400) were analysed. </p><p dir="ltr" style="text-align: justify; ">Staining prevalence was greater in swimmers (83%) than non-swimmers (44%). GSS scores were positively correlated with both the total lifetime swimming hours and practice time (P &lt; 0.05), with a significant difference in GSS between swimmers and non-swimmers (P = &lt;0.001, OR: 6.21). Dietary factors for staining were not significantly correlated with GSS. Swimmers had a greater risk of developing staining than non-swimmers, and this negatively impacted their OHRQL. The extent and intensity of staining were associated with the amount of swimming.</p><p dir="ltr" style="text-align: justify; ">Reference:</p><p dir="ltr" style="text-align: justify; ">Patel, J., Cai, S., Huong, B., Macdonald, M. and Anthonappa, R. (2024), Competitive swimming and dental staining among Australian children. Aust Dent J. https://doi.org/10.1111/adj.13033</p><div style="text-align: justify; "></div></div>

198. Mortality and CVD risk due to Use of Glucocorticosteroids among RA patients persists even after their cessation: Study

     Thu, 21 Nov 2024 14:30:24 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/16/261111-ijerph-21-00662-g001-550.webp' /><p style="text-align: justify; ">Mortality and CVD risk due to Use of Glucocorticosteroids among Rheumatoid arthritis patients persists even after their cessation suggests a study published in the ACR Meeting Abstracts.</p><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; ">Glucocorticosteroid (GC) use is associated with increased mortality risk, especially from cardiovascular diseases (CVD) and infections, with dose and duration of use influencing risk. How long the impact lasts after stopping Glucocorticosteroid, and how this is influenced by duration of previous use, are not known. This study aims to estimate how the risk of mortality from CVD and infections is associated with i) cumulative duration of past Glucocorticosteroid&nbsp;use and ii) time since cessation of Glucocorticosteroid. </p><p dir="ltr" style="text-align: justify; ">They conducted a longitudinal study of a population-based incident Rheumatoid arthritis&nbsp;cohort, using administrative health data in a universal health care system. All incident RA cases in British Columbia, Canada, who met Rheumatoid arthritis definition between 01/01/1996 and 12/31/2013, using a 5 yr look back period, were identified using physician billing data and followed until 12/31/2018. Oral Glucocorticosteroid exposure was measured as time-varying variables representing: current use, total cumulative duration of use, and time since discontinuation. Deaths with CVD or infections as the primary cause were identified from death certificates. </p><p dir="ltr" style="text-align: justify; ">Each incident user of Glucocorticosteroid&nbsp;was followed from time of starting Glucocorticosteroid(if started after Rheumatoid arthritis&nbsp;index date) or of meeting Rheumatoid arthritis criteria (if Glucocorticosteroid started before Rheumatoid arthritis index date), using delayed entry to avoid immortal time bias, until death or censoring due to moving out of province or end of F/U. Multivariable conventional Cox PH model and its flexible extensions with non-linear effects were used to estimate the risk of death associated with cumulative duration of Glucocorticosteroid&nbsp;use, time since Glucocorticosteroid cessation and time varying interactions between the 2, adjusting for potential confounders (sociodemographic and comorbidities measured at index date and other Rheumatoid arthritis&nbsp;meds as time-varying covariates). Results: They identified 28,078 incident Glucocorticosteroid&nbsp;users (55.9% of cohort), with mean (SD) and median (25;75Q) Glucocorticosteroid use duration of 603 (1116) and 131(18;598) days. See Table 1 for sample characteristics. </p><p dir="ltr" style="text-align: justify; ">They observed 2,489 CVD deaths and 387 from infections. In conventional Cox PHM risk of CVD / infection mortality increased by 7.5% / 6.8% for every year of Glucocorticosteroid&nbsp;use; and decreased by 1.3% / 4.9% for every year after stopping Glucocorticosteroid. Flexible extensions revealed non-linear relationships for both variables (Figure 1). Duration of previous use influenced risk after cessation (Figure 2). Risk decreased to that of someone prior to starting GC at 1.5, 3.5 and 10 years after cessation if Glucocorticosteroid had been used for 6,12, and 24 months for CVD deaths and at 2.5, 3.5, and 5.5 years, resp. for deaths from infections. Risk of death from CVD and infections never returned to pre-Glucocorticosteroid use risk in patients who used Glucocorticosteroid for &gt; 2 years and &gt; 3 years, respectively. Despite advances in Rheumatoid arthritis&nbsp;therapy Glucocorticosteroid are still commonly used and for long periods in some. The increased mortality risk from CVD and infections lasts for a substantial time after cessation, and never returns to that pre-GGlucocorticosteroid with prolonged use. These findings are of high clinical relevance to people with rheumatoid arthritis and physicians, inform shared decision-making for starting and stopping Glucocorticosteroid, and provide evidence supporting Rheumatoid arthritis guidelines recommending Glucocorticosteroid use at the lowest dose for shortest periods possible.</p><div style="text-align: justify;"></div><div style="text-align: justify;"></div><div style="text-align: justify;"></div><p dir="ltr" style="text-align: justify; ">Reference:</p><p dir="ltr" style="text-align: justify; ">Abstract Number: 2673 Changes in Mortality Risk After Stopping Glucocorticosteroids – a Population-based Study in Rheumatoid Arthritis Diane Lacaille1, Coraline Danieli 2, Kasra Moolooghy1 and Michal Abrahamowicz 3, 1 Arthritis Research Canada, University of British Columbia, Vancouver, BC, Canada, 2Research Institute of McGill University Health Center (RI-MUHC), Montreal, QC, Canada, 3McGill University, Verdun, Canada</p><div style="text-align: justify;"></div><div style="text-align: justify;"></div></div>

199. Flagellin aerosol therapy safe against antibiotic-resistant pneumonia: Study

     Thu, 21 Nov 2024 14:30:18 -0000

     <img src='https://medicaldialogues.in/h-upload/2022/03/23/172773-pneumonia.webp' /><p style="text-align: justify; ">In the fight against antibiotic-resistant pneumonia, new research published in the <i>Antimicrobial Agents and Chemotherapy</i> highlighted the use of aerosolized flagellin which is delivered directly to the lungs and could enhance the immune response and help antibiotic treatments. With increasing rates of resistance in Streptococcus pneumoniae there is a dire need for therapies that can bolster treatment outcomes when standard antibiotics are less effective.</p><p style="text-align: justify; ">Flagellin, a Toll-like receptor 5 (TLR5) agonist, has shown promise in previous studies as an enhancer of lung immunity. When delivered intranasally, flagellin helped activate lung defenses by leading to reduced bacterial loads and improved outcomes when used along with antibiotics. However, translating this therapeutic strategy to clinical applications requires a delivery method that is not only effective but also non-invasive and easy to implement in a healthcare setting. Thus, this recent study tested a novel delivery approach using a vibrating mesh nebulizer to aerosolize flagellin directly into the airways of mice.</p><p style="text-align: justify; ">The findings of this study outlined in an in-depth table when compared to two delivery methods which is the traditional intranasal administration and aerosolized delivery via nebulization. The table detailed lung deposition rates, with intranasal delivery achieving approximately 40% of the administered flagellin dose in the lungs. Also, nebulization was significantly lower, with less than 1% lung deposition. Despite the low lung uptake through nebulization, the approach still triggered a robust immune response, including the production of cytokines and chemokines, as well as the recruitment of neutrophils into the airways.</p><p style="text-align: justify;">This immune activation was transient, suggesting that nebulized flagellin induces a controlled and time-bound inflammatory response in the lung which is a characteristic crucial for avoiding excessive lung inflammation. The study also showed that aerosolized flagellin not only activated local lung defenses but also accelerated the reduction of systemic pro-inflammatory responses, an important factor in the overall health outcomes of pneumonia patients.</p><p style="text-align: justify; ">In a therapeutic trial, combining nebulized flagellin with the antibiotic amoxicillin was found to be effective against antibiotic-resistant strains of S. pneumoniae in mice. This combination therapy could represent a breakthrough for patients where conventional antibiotics alone may fail due to resistance. The study suggest that this inhaled approach could be an important addition to the arsenal against bacterial pneumonia, particularly in the context of rising antimicrobial resistance. Overall, the findings suggest that nebulized flagellin may serve as an adjunct therapy by improving the effectiveness of antibiotics while leveraging the the own immune defenses to combat severe pneumonia.</p><p style="text-align: justify; ">Source:</p><p style="text-align: justify; ">Baldry, M., Costa, C., Zeroual, Y., Cayet, D., Pardessus, J., Soulard, D., Wallet, F., Beury, D., Hot, D., MacLoughlin, R., Heuzé-Vourc’h, N., Sirard, J.-C., &amp; Carnoy, C. (2024). Targeted delivery of flagellin by nebulization offers optimized respiratory immunity and defense against pneumococcal pneumonia. In B. P. Howden (Ed.), Antimicrobial Agents and Chemotherapy. American Society for Microbiology. <a href="https://journals.asm.org/doi/10.1128/aac.00866-24" rel="nofollow">https://doi.org/10.1128/aac.00866-24</a></p>

200. KEA releases seat matrix for PG medical admissions 2024, details

     Thu, 21 Nov 2024 13:30:00 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/12/260357-seat-matrix.webp' /><p style="text-align: justify; "><b>Karnataka-</b> The Karnataka Examinations Authority (<a href="https://medicaldialogues.in/topics/kea" target="_blank">KEA</a>) has released the seat matrix for admission to the Medical Post Graduate Degree Courses in <a href="https://medicaldialogues.in/topics/government-medical-college" target="_blank">Government Medical Colleges</a> &amp; Self Financing Medical Educational Institutions in the State for the academic session 2024-25.</p><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; ">As per the seat matrix, a total of 998 seats are vacant, of these, 818 seats are vacant in Category-wise Seat distribution (excluding In-Service/Minority/NRI quota seats) and 180 seats are vacant in Minority and <a href="https://medicaldialogues.in/topics/nri" target="_blank">NRI</a> Quota Seats in Self Financing Medical Colleges.</p></div><div class="pasted-from-word-wrapper"><a class="also-read-media-wrap" href="https://medicaldialogues.in/news/education/medical-admissions/354-pg-medical-seats-available-in-25-specialities-kea-releases-neet-pg-counselling-seat-matrix-138407"></a><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/medical-admissions/354-pg-medical-seats-available-in-25-specialities-kea-releases-neet-pg-counselling-seat-matrix-138407"><b>Also Read:&nbsp;</b>354 PG medical seats available in 25 specialities: KEA releases NEET PG counselling seat matrix</a></div><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; "><b><u>CATEGORY-WISE SEAT DISTRIBUTION</u></b></p><div dir="ltr"><table style="text-align: justify; "><colgroup><col width="50"><col width="366"><col width="208"></colgroup><tbody><tr><td><p dir="ltr" style="text-align: center; "><b>S.NO</b></p></td><td><p dir="ltr" style="text-align: center; "><b>COLLEGES </b></p></td><td><p dir="ltr" style="text-align: center; "><b>VACANCY </b></p></td></tr><tr><td><p dir="ltr">1</p></td><td><p dir="ltr">ALP: Govt. Medical College.</p></td><td><p dir="ltr">36</p></td></tr><tr><td><p dir="ltr">2</p></td><td><p dir="ltr">CMC: Govt. Medical College.</p></td><td><p dir="ltr">3</p></td></tr><tr><td><p dir="ltr">3</p></td><td><p dir="ltr">KKM: Govt. Medical College.</p></td><td><p dir="ltr">100</p></td></tr><tr><td><p dir="ltr">4</p></td><td><p dir="ltr">KLM: Govt. Medical College.</p></td><td><p dir="ltr">3</p></td></tr><tr><td><p dir="ltr">5</p></td><td><p dir="ltr">KNM: Govt. Medical College.</p></td><td><p dir="ltr">16</p></td></tr><tr><td><p dir="ltr">6</p></td><td><p dir="ltr">KTM: Govt. Medical College.</p></td><td><p dir="ltr">54</p></td></tr><tr><td><p dir="ltr">7</p></td><td><p dir="ltr">MLP: Government Medical College.</p></td><td><p dir="ltr">2</p></td></tr><tr><td><p dir="ltr">8</p></td><td><p dir="ltr">PKM: Govt. Medical College.</p></td><td><p dir="ltr">4</p></td></tr><tr><td><p dir="ltr">9</p></td><td><p dir="ltr">RCC: Regional Cancer Centre.</p></td><td><p dir="ltr">8</p></td></tr><tr><td><p dir="ltr">10</p></td><td><p dir="ltr">TCM: Govt. Medical College.</p></td><td><p dir="ltr">65</p></td></tr><tr><td><p dir="ltr">11</p></td><td><p dir="ltr">TVM: Govt. Medical College.</p></td><td><p dir="ltr">117</p></td></tr><tr><td><p dir="ltr">12</p></td><td><p dir="ltr">AAM: Al Azhar Medical College &amp; Super speciality Hospital.</p></td><td><p dir="ltr">10</p></td></tr><tr><td><p dir="ltr">13</p></td><td><p dir="ltr">AMC: Amala Institute of Medical Sciences.</p></td><td><p dir="ltr">33</p></td></tr><tr><td><p dir="ltr">14</p></td><td><p dir="ltr">AZC: Azeezia Institute of Medical Sciences &amp; Research.</p></td><td><p dir="ltr">10</p></td></tr><tr><td><p dir="ltr">15</p></td><td><p dir="ltr">BCM: Believers Church Medical College Hospital.</p></td><td><p dir="ltr">6</p></td></tr><tr><td><p dir="ltr">16</p></td><td><p dir="ltr">DMM: Dr Moopen's Medical College &amp; Hospital.</p></td><td><p dir="ltr">14</p></td></tr><tr><td><p dir="ltr">17</p></td><td><p dir="ltr">EMC: MES Medical College.</p></td><td><p dir="ltr">46</p></td></tr><tr><td><p dir="ltr">18</p></td><td><p dir="ltr">GMC: Sree Gokulam Medical College &amp; Research Foundation.</p></td><td><p dir="ltr">48</p></td></tr><tr><td><p dir="ltr">19</p></td><td><p dir="ltr">JMC: Jubilee Mission Medical College &amp; Research Institute.</p></td><td><p dir="ltr">30</p></td></tr><tr><td><p dir="ltr">20</p></td><td><p dir="ltr">KCM: KMCT Medical College.</p></td><td><p dir="ltr">29</p></td></tr><tr><td><p dir="ltr">21</p></td><td><p dir="ltr">KDM: P K Das Institute of Medical Sciences.</p></td><td><p dir="ltr">10</p></td></tr><tr><td><p dir="ltr">22</p></td><td><p dir="ltr">MMC: Malankara Orthodox Syrian Church Medical College.</p></td><td><p dir="ltr">14</p></td></tr><tr><td><p dir="ltr">23</p></td><td><p dir="ltr">MMH: Malabar Medical College Hospital &amp; Research Centre.</p></td><td><p dir="ltr">46</p></td></tr><tr><td><p dir="ltr">24</p></td><td><p dir="ltr">MZM: Mount Zion Medical College.</p></td><td><p dir="ltr">5</p></td></tr><tr><td><p dir="ltr">25</p></td><td><p dir="ltr">PMC: Pushpagiri Institute of Medical Science &amp; Research Centre.</p></td><td><p dir="ltr">37</p></td></tr><tr><td><p dir="ltr">26</p></td><td><p dir="ltr">SIM: Sree Narayana Institute of Medical Sciences.</p></td><td><p dir="ltr">12</p></td></tr><tr><td><p dir="ltr">27</p></td><td><p dir="ltr">SMC: Dr. Somervell Memorial CSI Medical College.</p></td><td><p dir="ltr">12</p></td></tr><tr><td><p dir="ltr">28</p></td><td><p dir="ltr">SUC: SUT Academy of Medical Sciences.</p></td><td><p dir="ltr">29</p></td></tr><tr><td><p dir="ltr">29</p></td><td><p dir="ltr">TRM: Travancore Medical College.</p></td><td><p dir="ltr">19</p></td></tr><tr><td></td><td><p dir="ltr" style="text-align: center; "><b>TOTAL</b></p></td><td><p dir="ltr" style="text-align: center; "><b>818</b></p></td></tr></tbody></table></div><p dir="ltr" style="text-align: justify; "><b><u>MINORITY AND NRI QUOTA SEATS</u></b></p><div dir="ltr"><table style="text-align: justify; "><colgroup><col width="50"><col width="366"><col width="208"></colgroup><tbody><tr><td><p dir="ltr" style="text-align: center; "><b>S.NO</b></p></td><td><p dir="ltr" style="text-align: center; "><b>COLLEGES </b></p></td><td><p dir="ltr" style="text-align: center; "><b>VACANCY </b></p></td></tr><tr><td><p dir="ltr">1</p></td><td><p dir="ltr">Al Azhar Medical college.</p></td><td><p dir="ltr">2</p></td></tr><tr><td><p dir="ltr">2</p></td><td><p dir="ltr">Amala Institute of Medical Sciences.</p></td><td><p dir="ltr">29</p></td></tr><tr><td><p dir="ltr">3</p></td><td><p dir="ltr">Azeezia Institute of Medi. Science.</p></td><td><p dir="ltr">9</p></td></tr><tr><td><p dir="ltr">4</p></td><td><p dir="ltr">Believers Church Medical College.</p></td><td><p dir="ltr">6</p></td></tr><tr><td><p dir="ltr">5</p></td><td><p dir="ltr">Dr. Moopen's Medical College.</p></td><td><p dir="ltr">2</p></td></tr><tr><td><p dir="ltr">6</p></td><td><p dir="ltr">MES Medical College.</p></td><td><p dir="ltr">8</p></td></tr><tr><td><p dir="ltr">7</p></td><td><p dir="ltr">Sree Gokulam Medical College.</p></td><td><p dir="ltr">9</p></td></tr><tr><td><p dir="ltr">8</p></td><td><p dir="ltr">Jubilee Mission Medical College.</p></td><td><p dir="ltr">22</p></td></tr><tr><td><p dir="ltr">9</p></td><td><p dir="ltr">KMCT Medical College.</p></td><td><p dir="ltr">6</p></td></tr><tr><td><p dir="ltr">10</p></td><td><p dir="ltr">P K Das Institute of Medical.</p></td><td><p dir="ltr">2</p></td></tr><tr><td><p dir="ltr">11</p></td><td><p dir="ltr">Malankara Orthodox Syrian Church Medi.College.</p></td><td><p dir="ltr">12</p></td></tr><tr><td><p dir="ltr">12</p></td><td><p dir="ltr">Malabar Medical College Hospital.</p></td><td><p dir="ltr">8</p></td></tr><tr><td><p dir="ltr">13</p></td><td><p dir="ltr">Pushpagiri Institute of Medical Science.</p></td><td><p dir="ltr">28</p></td></tr><tr><td><p dir="ltr">14</p></td><td><p dir="ltr">Sree Narayana Institute of Medical Sciences.</p></td><td><p dir="ltr">2</p></td></tr><tr><td><p dir="ltr">15</p></td><td><p dir="ltr">Dr. Somervell Memorial CSI Medical College.</p></td><td><p dir="ltr">16</p></td></tr><tr><td><p dir="ltr">16</p></td><td><p dir="ltr">SUT Academy of Medical Sciences.</p></td><td><p dir="ltr">5</p></td></tr><tr><td><p dir="ltr">17</p></td><td><p dir="ltr">Travancore Medical College, Umayanalloor.</p></td><td><p dir="ltr">14</p></td></tr><tr><td></td><td><p dir="ltr" style="text-align: center; "><b>TOTAL</b></p></td><td><p dir="ltr" style="text-align: center; "><b>180</b></p></td></tr></tbody></table></div><p dir="ltr" style="text-align: justify; "><b><u><i>To view both the seat matrixes, click the link below</i></u></b></p><p dir="ltr" style="text-align: justify; "><a href="https://medicaldialogues.in/pdf_upload/kea-1-261717.pdf" target="_blank">https://medicaldialogues.in/pdf_upload/kea-1-261717.pdf</a></p></div><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; "><a href="https://medicaldialogues.in/pdf_upload/kea-1-261718.pdf" target="_blank">https://medicaldialogues.in/pdf_upload/kea-1-261718.pdf</a></p></div><div class="pasted-from-word-wrapper"><div></div></div>

201. BFUHS Invites Applications For MD, MS, PG Diploma, DNB, Ultrasonography courses, Know all admission Details

     Thu, 21 Nov 2024 13:09:54 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/19/261413-neet-pg-2024-1.webp' /><p>Faridkot: Through a recent notice, the Baba Farid University of Health Sciences (<a href="https://medicaldialogues.in/topics/bfuhs" target="_blank">BFUHS</a>) has invited applications for MD, MS, PG Diploma, MDS, Six Months Training in Ultrasonography, Post MBBS DNB (Degree) and Post MBBS Diploma Courses for this academic year.</p><div class="pasted-from-word-wrapper"><p>Online Application/Registration for admission to MD/MS/Diploma/MDS/DNB/PGDSM and six months training in Ultrasonography courses is to be undertaken online at the University website</p><p>Candidates are advised to fill the online admission application form well in advance to avoid the last minute rush and other technical issues. BFUHS will not be responsible for any delays in filling the online application. No application will be accepted after the last date of receipt of applications as released from time to time.</p><p>Application form for admission to PG courses can't be submitted offline/printed copy by post. Incomplete application not in accordance with instructions shall not be considered and are liable to be rejected. The application fee shall not be refunded under any circumstances.</p><p>Admissions including eligibility to various PG Courses shall be governed and regulated as per the rules and regulations etc. as per Punjab Govt. notifications as well as detailed instructions mentioned on Govt. of India, Ministry of Health and Family Welfare/Directorate of Health and Family Welfare at its website etc.</p><p>Those who are not eligible as per guidelines of Punjab Govt. notification, terms &amp; conditions of Govt. of India on its website mcc.nic.in will not be considered for admission. The candidates will participate in counselling process at their own risk &amp; responsibility. Eligibility is also subject to medical fitness and such criteria as may be prescribed by the Punjab Government/ University/MCC/NMC/DCI.</p><p>Candidates' eligibility is purely provisional &amp; subject to the fulfillment of eligibility criteria as per Punjab Government Notification incorporated in this prospectus.</p><p>Application of candidates producing false or fabricated information shall not be considered and candidates shall be further debarred from participating in any Counseling's conducted by BFUHS, Faridkot.</p><p>Any attempt by a candidate to influence directly or indirectly any person concerned with the admission will disqualify him/her.</p><p>Final seat matrix shall be displayed at the time of choice filling during respective round of online counseling.</p><p>The admission for PG courses shall be made only to those institutions and specialties which have permission from all of the concerned authorities.</p><p>The fee structure for the Government/Privately managed colleges/hospitals is as per Punjab Government notification(s) for Post Graduate Degree/Diploma courses. If Punjab Government issues any subsequent amendment/corrigendum for change in fee structure, the same will be applicable in letter and spirit.</p><p>In case of any discrepancy or contradiction between the Government notification/s and the University instructions contained in this Prospectus, the letter and spirit of the notification/s shall be prevailing.</p><p>Only deposition of fee does not confirm the admission of the candidate. The candidate must fulfill the eligibility criteria for admission to PG Courses as per terms &amp; conditions of Punjab Govt. notification and GOI instructions on its website</p><p>Changes, if any, in the schedule of counselling etc. shall be notified only through website of the University so keep in touch with website regularly.</p><p>Candidates must retain the copy of prospectus with them till admissions. They should read carefully the instructions and the rules &amp; regulations of the Punjab Govt. Notification/s and comply with all instructions therein strictly.</p><p>The allotment of specialty and college/hospital to the applicants for admission shall be made as per merit determined on the basis of NEET-PG-2023 and the availability of specialty and college/hospital preferred by the candidate at the time of online counselling.</p><p>Candidates applying under any of the reserve category are directed to fill the right category code mentioned in this prospectus for claiming reservation under a category and also bring/attach/upload all relevant documents/proof of respective category with admission application form and also directed to bring along photocopies and originals at the time of reporting to the college/hospital. Any request for change in category/quota will not be considered after the last date of receipt of applications as released from time to time. This is explicitly made clear that one claimed in online application form for any round, any request for change in cateogory/quota will not be considered in the subsequent round under any circumstances.</p><p>Candidates should ensure before applying for the admission that their MBBS/BDS degree is recognized as per provisions of Indian Medical/Denal Council Act. If it is found at any time that MBBS/BDS degree is not recognized, the candidature shall be cancelled/ deemed to be cancelled.</p><p><b><u>APPLICATION FEE</u></b></p></div><p>(i) Admission Application Fee of Rs. 5000 +18% GST (Rs. 5900/-) will be deposited through online payment gateway only. SC candidates will deposit fee of Rs. 2500+18% GST (Rs. 2950).</p><p>(ii) Only those Admission Application Forms will be considered for counseling, fee for which has been deposited by due date/time.</p><p>(iii) No request for accepting the deposition of application fee shall be considered after due date/time.</p><p>(iv) Fee once deposited in University Account will not be refunded/adjusted in any case.</p><p>(v) Fee shall not be accepted in any other mode i.e. Cash, Cheque, Demand Draft etc.&nbsp;</p><p><b><u>ELIGIBILITY / INSTRUCTIONS FOR NRI CANDIDATES </u></b></p><p>1. The NEET PG qualified candidates who seeks to apply under NRI quota seats, have to obtain provisional Eligibility/equivalency certificate from the BFUHS, Faridkot and will have to apply on prescribed format available on university website along with prescribed fee for NRI seats.</p><p>2. For ascertaining the eligibility relevant documents including foreign Country Passport or Green Card or Permanent Resident Card or Proof of Residency of Foreign Country issued by competent authority or OCI/PIO Card issued by the Government of India shall be taken into consideration.</p><p>3. The admission under NRI category shall be strictly according to preference category wise merit as per Punjab Govt. notification/instructions. After selection, the candidate will be required to deposit the prescribed fee as per instructions.</p><p>4. The following is the procedure of admission under NRI Category : </p><p>(i) Application form for issuing of Eligibility/ Equivalency certificate is available in the Admission Branch BFUHS, Faridkot and can be downloaded from University website</p><p>(ii). Eligibility * NRI who passed MBBS </p><p> * Must have completed internship as per NMC </p><p> * Must be qualified- NEET-PG-2024 </p><p> (iii). Candidate must be registered with MCI /State Medical Council and must have recognition Certificate of MBBS/Equivalent Degree from MCI.</p><p>(iv). After getting Eligibility/ Equivalency certificate, candidate has to apply on prescribed application form upto stipulated period to the University for Counselling for admission to PG Medical Courses under NRI quota in Private colleges.</p><p>(v) Fee Structure in Private Colleges:</p><div class="pasted-from-word-wrapper"><table border="0" cellpadding="0" cellspacing="0" width="427"> <colgroup><col width="158"> <col width="141"> <col width="64" span="2"> </colgroup><tbody><tr height="20"> <td colspan="4" height="20" class="xl63" width="427">Fee Structure for NRI candidates:</td> </tr> <tr height="80"> <td rowspan="2" height="100" class="xl63" width="158">Lump sum</td> <td class="xl63" width="141">MD/MS (Clinical) US $</td> <td class="xl63" width="64">MD/MS (Basic Sciences)US $</td> <td class="xl63" width="64">PG Diploma US $</td> </tr> <tr height="20"> <td height="20" class="xl63" width="141">125,000/-</td> <td class="xl63" width="64">20,000/-</td> <td class="xl63" width="64">30,000/-</td> </tr> <tr height="80"> <td height="80" class="xl63" width="158">Installments</td> <td class="xl63" width="141">MD/MS (Clinical) US $</td> <td class="xl63" width="64">MD/MS (Basic Sciences)US $</td> <td class="xl63" width="64">PG Diploma US $</td> </tr> <tr height="40"> <td height="40" class="xl63" width="158">First (at the time of Admission)</td> <td class="xl63" width="141">65000/</td> <td class="xl63" width="64">10,000/-</td> <td class="xl63" width="64">15,000/</td> </tr> <tr height="40"> <td height="40" class="xl63" width="158">Second (after the one year of 1st Payment)</td> <td class="xl63" width="141">30,000/</td> <td class="xl63" width="64">5,000/-</td> <td class="xl63" width="64">8,000/-</td> </tr> <tr height="40"> <td height="40" class="xl63" width="158">Third (after the 2 year of 1st payment)</td> <td class="xl63" width="141">30,000/</td> <td class="xl63" width="64">5,000/-</td> <td class="xl63" width="64">7,000/-</td> </tr></tbody></table></div><p>(a) The student will have to give a bank guarantee/surety bond for the residual fee, if he/she opts to pay the fee in installment as provided.</p><p>(b) Selected Candidates will have to deposit full/1st installment of the fee through university website from the foreign NRI account after seat allotment and before joining the allotted college.</p><p>(c) If payment made through Demand Draft, Demand Draft should be in favour of Registrar, Baba Farid University of Health Sciences, payable at Faridkot.</p><p>(d) The payment should either be in US $ or is drawn from their own or parents NRE account along with bank certificate/statement showing that payment is drawn from candidate or parents account.</p><p><b><u>ELIGIBILITY CONDITIONS </u></b></p><p>1. The admission to MD/MS/PG Diploma/DNB/PGDSM and six months training in Ultrasonography shall be opened to candidates who have qualified NEET-PG-2024 and eligible as per Punjab Govt. notifications and subsequent amendment(s)/ corrigendum(s) and possessing basic qualifications i.e. MBBS for various PG Medical Courses.</p><p>2. Candidates cannot claim a seat/admission on the basis of the NEET-PG-2024 rank alone. Eligibility and Merit of a candidate for admission against any PG seat will be determined by the Admission Committee at the time of reporting in the college/hospital, strictly as per rules and regulations laid down in the Punjab Govt. Notification(s) as published in this prospectus and instructions of Govt. of India available on website</p><p>3. Counseling / Admissions shall be conducted by the Admission Committee constituted by the Punjab Government for this purpose.</p><p>4. Minority Quota seats: The final eligibility for getting seat under Minority Quota will be determined by the respective Minority institution in accordance with Punjab Govt. notifications and as per rules and regulations followed by respective institutions.</p><div contenteditable="false" data-width="709" style="left:NaN%;width:50%" class="image-and-caption-wrapper clearfix hocalwire-draggable float-none"><img src="https://medicaldialogues.in/h-upload/2024/11/21/261711-image-22.PNG" draggable="true" class="hocalwire-draggable float-none" data-float-none="true" data-uid="236905BKHIpk7KqmjJPpQYiM3XkdAR3IFsLLW1266384" data-watermark="false" style="width: 100%;" info-selector="#info_item_1732191265707"><div class="inside_editor_caption image_caption hocalwire-draggable float-none" id="info_item_1732191265707"></div></div><p>&nbsp;</p><p><b>Steps to be followed for submission of online application form, submission of online preferences/choices for online counselling, etc.</b></p><p><b><u>SUBMISSION OF ONLINE APPLICATION FORM </u></b></p><p><b>Step-1 SUBMISSION OF ONLINE ADMISSION APPLICATION FORM </b></p><p>1. Candidates will have to log on University website i.e. www.bfuhs.ac.in and read the Punjab Govt. notification and instructions as contained in the Prospectus carefully.</p><p>2. Candidates who qualifies NEET-PG-2024 are eligible to apply ONLINE for admission to Post Graduate Courses including Post Graduate Diploma Courses and six month training in Ultrasonography.</p><p>3. Following documents are required to upload on the online registration form : </p><p>I. Soft copy of Photograph of the candidate. (Maximum size 30 KB) </p><p>II. Soft copy of the signatures of the candidate. (Maximum Size 30 KB) </p><p>4. Specifications for Photograph:– </p><p>I. A colour photograph of minimum 35x45 mm with at least 75% coverage of face &amp; head of the candidate</p><p>II. A caption indicating name of candidate and date of taking photograph should be there at the bottom of photo.</p><p>III. Photograph should be taken in a white /very light colored background. </p><p>IV. Photograph should not have cap or goggles. Spectacles are allowed if being used regularly. POLAROID and COMPUTER generated photos are not acceptable.</p><p>V. The photograph needs to display full front view of the face. Please look directly into the camera with a neutral expression.</p><p>VI. Please avoid photograph with reflection or shadow on the face with red eyes. </p><p>VII. The photograph needs to be printed on a high quality paper with at least 600 dpi resolutions.</p><p>VIII. The colours must possess the natural appearance and skin tone. </p><p>IX. The photograph must not have kinks, scratches and stains. </p><p>Note: Applications not complying with these instructions or with unclear photographs are liable to be rejected.</p><p>5. After completion of filling online admission application form, University will issue a unique Registration ID (i.e Login ID) and password will be provided to the candidate at his/her registered Mobile number in admission application form through SMS/ email. Registration Number and password are mandatory for further process, so keep it secret and don’t disclose to any unknown person.</p><p>6. Merely submission of online application form &amp; fee does not confer any automatic rights to secure a Postgraduate MD/MS/Diploma/DNB/PGDSM seat/six months training in Ultrasonography courses.</p><p>7. Candidates should ensure before applying for the admission that their MBBS degree is recognized as per provisions of Indian Medical Council Act. If it is found at any time that MBBS degree is not recognized, the candidature/result shall be cancelled/ deemed to be cancelled.&nbsp;</p><p>8. Candidate shall submit online ADMISSION APPLICATION FORM only once. Applications submitted more than once are liable to be rejected.</p><p>9. Candidates are required to fill online Admission Application Form very carefully and should not leave any column blank.</p><p>10. Candidate has to deposit the application fee through online University payment gateway.</p><p>11. Application form for admission to PG COURSES submitted offline/printed copy shall not be accepted.</p><p>12. Candidate shall retain the Admission Application Form till the completion of admission process.</p><p>13. Incomplete application forms shall not be considered and are liable to be rejected. The fee shall not be refunded under any circumstances.&nbsp;</p><p><b>Step-II CATEGORY IN APPLICATION FORM </b></p><p>Fill category carefully in the online Admission Application Form. Category once claimed will not be changed in any case after submitting the form. Those candidates, who will not fill/claim any category code as per prospectus or wrongly filled category code other than mentioned in prospectus, will be treated as Open/General Category candidate. The candidate has to select a category code from the codes given below and fill the category accordingly. More than one category may be filled by a candidate if it is considered applicable in the candidate's particular case.</p><p>Category codes are exclusively for the purpose of facilitating the candidates to know and understand his/her respective merit placement at the time of counselling in particular reserved category as filled by him/her. No benefit of reservation whatsoever shall be given if the claim is not made in online Admission Application Form. Reserve category selection on the part of the candidate shall not in any case be construed to give him/her any legitimacy or right or claim on the benefits for reserved seats during admission unless he/she fulfills the eligibility criteria for being considered in particular reserve category as per Punjab Govt. instructions and submit the relevant documents as per Punjab Government Notifications published in the prospectus.&nbsp;</p><table class="table table-bordered"><tbody><tr><td><p>Categories</p></td><td>11</td></tr><tr><td><p>Open/General Category</p></td><td>12</td></tr><tr><td><p>Schedule Castes</p></td><td>13</td></tr><tr><td><p>Backward Classes</p></td><td>14</td></tr><tr><td><p>Persons With Disability *</p></td><td>15</td></tr><tr><td><p>Economically Weaker Section (EWS) **&nbsp;</p></td><td>16</td></tr></tbody></table><p><b>* Instructions for Persons with Disability category : </b></p><p>(i) Disability certificate – The candidates must obtain their online disability certificate from designated disability board in an online mode generated by the disability Centre as per the NMC norms before the choice filling commences. Only candidates who have made their disability certificate through online mode from the designated centres will be eligible to fill in the PwD choices. BFUHS/MCC does not issue/ authenticate/ verify and has no role in generation of online Disability certificate</p><p>(ii) Candidates shall bring the valid certificate in the prescribed format from any of the designated centre on the day of counselling.</p><p>(iii) No separate medical board will be constituted for the admission under this category and no other disability certificate in this regard shall be entertained</p><p><b>** Instructions for Economically Weaker Section (EWS) category : </b></p><p>(i) It is explicitly made clear that candidate applying under EWS category shall have to produce the EWS certificate as prescribed in the Prospectus by the competent authority of Govt. of Punjab only.</p><p>(ii) EWS certificate produced from States other than Punjab will not be considered at any cost.</p><p>(iii) The instructions for EWS certificate are as per the guidelines and terms and conditions of State of Punjab.</p><p><b>Step-III THE PROVISIONAL MERIT LIST </b></p><p>1. The University shall display the State Merit List (of registered candidates) on the University website. After displaying the state merit list of registered candidates, the University shall open the online portal for choice filling. Online counselling will be held as per schedule posted on website.</p><p><b>B. INSTRUCTIONS FOR 1ST ROUND OF ONLINE COUNSELING.&nbsp;</b></p><p><b>Step-IV FILLING OF CHOICES/PREFERENCES OF COURSE DURING ONLINE COUNSELING </b></p><p>1. Only registered candidates are eligible for the counselling(s), no candidate shall be allowed to participate in the counselling (online/physical) without registration and deposition of fee before last date as prescribed.</p><p>2. The candidates should read the eligibility conditions carefully and just exercising online option of college/hospital / appearing in counselling does not entitle him/her for admission. Eligibility conditions for admissions are as per Punjab Govt. Notification(s).</p><p>The eligibility of the candidate shall be determined by the Principal / Nodal Officer of allotted college/hospital at the time of document verification and checking of eligibility at the provisional allotted College/Hospital. Those who are not eligible as per Punjab Govt. notification and not found fit medically as per MCI Gazette notification No. MCI34(41)/2019-Med./112862 dated 13.05.2019, will not be considered for admission.</p><p>3. Counselling for admission to PG courses, session 2024 will be conducted online followed by Physical reporting of the candidates to allotted college/hospital. During online counseling, candidates will fill online counselling form. They shall give their preferences of course, specialty and college/hospital. The Provisional Seat will be allocated as per merit list and in order of preferences given by the candidate</p><p>Therefore, candidates are advised to take proper caution while filling up the order of preferences of course, specialty and college/hospital.</p><p>4. Candidates of reserved categories (who scored marks equivalent or more than the minimum cut-off of open merit NEET PG marks) will be considered first in open merit and if seat is not available in open merit as per choice/merit of candidate then the seat will be allotted in reserve category provided that seat is available in that category.</p><p>5. Candidates of reserved categories with score less than the cut-off of open merit will be considered only for reserve category seats as per qualifying criteria of NEET PG.</p><p>6. After provisional allocation of seat, candidates can download provisional allocation letter from the University website after logging into their account and report to the allocated college/hospital along with all original documents for verification of eligibility.</p><p>Issuing of Provisional Selection Slip alone does not confer any right to claim the allocated seat in respective college/hospital as provisional selection is subject to verification of documents and checking of eligibility as per guidelines of Punjab Govt. Notification enshrined in the Prospectus.</p><p>7. After allocation of seat, mere deposition of tuition fee does not confer any automatic rights to secure a seat/admission. If any candidate failed to report to the college/hospital within stipulated time his/her seat shall automatically stand cancelled.</p><p>8. If any candidate does not follow the said process, his/her allocated seat will be cancelled automatically without any intimation and his/her seat shall be declared as vacant for the subsequent round of counseling.</p><p>9. In case any candidate wants to quit the course/seat after allotment/joining in first round of counselling, he/she will have to submit written application to the respective college/hospital regarding his/her surrender of seat within the stipulated period.</p><p>10. There will be an option for up-gradation and free exit, only in Round 1 of the counselling</p><p><b>STEP-V PROVISIONAL ALLOTMENT OF SEAT:- </b></p><p>1. The online allotment made will be deemed provisional to be confirmed subject to verification of documents at the time of physical joining in the allotted college/hospital.</p><p>2. The Provisional seat will be allotted to the candidate as per merit list and speciality/college/hospital for preferences/choices filled by the candidate.</p><p>3. After provisional allocation of seat, candidate shall have to report to the allocated college/hospital within stipulated time for verification of documents and checking of eligibility by the Principal/Nodal Officer of concerned College/Hospital. It is sole responsibility of the Principal/Nodal Officer to authenticate the eligibility of the provisionally allocated candidate before joining.</p><p>4. The distribution of seats during online allotment will be strictly as per Punjab Govt. notification. During the process of the allotment if person is eligible for that particular quota, then the 1st preference will be given to the availability of seat in Mgt. Quota in a Private institute. However if the seat is not available in Mgt. quota but is available in IP quota then that IP seat will be allotted as per eligibility. This process is followed by the University to give preference to Graduates of Punjab state over other state candidates as other state candidates have their IP/Preference in their parent state. While filling&nbsp; online choices the candidates can go through the seat matrix where all the details of availability of seats as per specialty/Quota/Category wise are shown.</p><p>5. The distribution of seats during online allotment will be as per Punjab Govt. notification. During the process of the allotment if candidate is eligible for that particular quota, then the 1st preference will be given to the availability of seat in General/ IP Quota in a respective institute. However if the seat is not available in General/ IP quota but is available in respective category that is SC/BC/EWS candidates of Punjab state quota then that will be allotted. This process is followed by the University as per para no. 12 in Punjab Govt. notification.</p><p>For example If a person from SC/BC/EWS category wants to take a seat of M.D. Radiology in Government college through IP, then if there is availability of seat in IP Quota of Govt. Medical College for MD Radiology the candidate will get the same.</p><p>However if the seat is not available in the IP Quota of the Govt. Medical College of Radiology then if it is available under the respective reserved category and the candidates is of reserve category of Punjab state, he/she will be allotted the same.</p><p><b>STEP-VI VERIFICATION OF DOCUMENTS:- </b></p><p>1. The candidates are required to deposit the tuition fee through online University payment gateway only and then report to the respective allotted college/hospital for verification of original documents/credentials. The candidate must submit proof of fee remittance to the Principal/Nodal Officer of concerned College/Hospital/Institution. If the provisionally selected candidate is found eligible as per instructions mentioned in Punjab Govt. Notification no. 5/26/2016-5HB-III/423 dated 06.03.2023 or Notification No.5/8/2021-5HB3/1323 dated 07.06.2023, candidate will be allowed to submithis/her joining report after medical checkup and completing other formalities.</p><p>2. The respective Colleges will send the Registration Return of candidates to the university within stipulated date alongwith proforma, original documents, registration fee of the candidate for registering the candidate in particular course/speciality/quota. If at the time of registration, any candidate is found not eligible as per Punjab Govt. notification by the University, then his/her selection will be cancelled by the University immediately.</p><p>3. The selected candidates shall report to the provisional allocated college / hospital for checking of eligibility and document verification along with the following documents:</p><p>i) Candidates allotted seat must carry one of the identification proofs (ID Proof) to the allotted college/hospital at the time of admission (as mentioned in the information Bulletin published by the National Board of Examinations (NBE) for AIPGMEE/AIPGDEE i.e. PAN Card, Driving License, Voter ID, Passport or Aadhar Card.)</p><p>ii) Receipt of deposition of six month fee as per clause 18(i) of notification. </p><p>iii) Admit card issued by NBE </p><p>iv) Result/Rank Latter issued by NBE. </p><p>v) High School/Higher Secondary Certificate/Birth Certificate as proof of date of Birth.</p><p>vi) Mark Sheets of all MBBS Professional Examinations. </p><p>vii) MBBS Degree Certificate/Provisional Certificate. </p><p>viii) Internship Completion Certificate/Certificate from the Head of Institution. </p><p>ix) Permanent / provisional Registration Certificate issued by NMC /State Medical Council.</p><p>x) In service candidates will produce provisional NOC from the competent authority.</p><p>xi) The Candidate should also bring the following certificate if applicable. </p><p>a) SC Certificate issued by the competent authority of Punjab or BC certificate issued by the competent authority of Punjab. The BC certificate must be in the format as mentioned in the prospectus or</p><p>Disability Certificate issued from duly constituted and authorized Medical Board for 21 Benchmark Disabilities as per the Rights of Persons with Disability Act,2016 as mentioned in the Information Bulletin for National Eligibility-cum-Entrance Test (Post Graduate) NEET-PG-2024. No other PWD certificate, issued by any other Authorities/ Hospital will be entertained. or EWS certificate issued by the competent authority of Punjab.</p><p>b) The undertaking mentioned in the Prospectus as Annexure B (if applicable).</p><p>4. Verification of Documents of candidates applied under Christian and Sikh Minority Quota.</p><p>The candidate who have applied under minority quota will report to the respective minority institutions before conducting online counselling as per schedule. Verification of eligibility under Sikh Minority Quota and Christian Minority Quota is made compulsory to participate in the online process of counselling. The list of candidates who have applied for respective minority quota will be forwarded to the respective institute. The minority status of the candidate will be verified by the institute as per rules and regulations followed by their institute. The list of eligible candidates under Minority Quota will be provided by the institutes only.</p><p>Those candidates who will be found eligible will be considered for the respective quota as per the notification.</p><p><b>STEP-VII INSTRUCTIONS REGARDING DEPOSITION OF FEE BY PROVISIONALLY SELECTED CANDIDATES IN ONLINE COUNSELLING - FEE AND SPECIALITIES (BASIC/CLINICAL)</b></p><p>1. The provisionally selected candidates are required to deposit the requisite six months fee through university payment gateway in university account after logging into their login ID account and carry the payment receipt to the respective allotted institute.</p><p>2. The Provisional Selection Slip will be generated only after the confirmation of deposition of fee</p><div class="pasted-from-word-wrapper"><p>Details of six month fee/minimum fee for 1st year to be collected from the provisionally selected candidates.</p><div class="pasted-from-word-wrapper"><table border="0" cellspacing="0" cellpadding="0"><tbody><tr><td width="52" rowspan="2" valign="top"><p>Sr. No.</p></td><td width="194" rowspan="2" valign="top"><p>Speciality</p></td><td width="67" rowspan="2" valign="top"><p>Stream</p></td><td width="105" rowspan="2" valign="top"><p>Govt. College/Hospital six month fee</p></td><td width="220" colspan="3" valign="top"><p>Private Colleges Six month fee</p></td></tr><tr><td width="64" valign="top"><p>Govt. Quota</p></td><td width="61" valign="top"><p>Mgt. Quota</p></td><td width="95" valign="top"><p>NRI Quota 1^st Installment</p></td></tr><tr><td width="52" valign="top"><p>1.</p></td><td width="194" valign="top"><p>Anatomy</p></td><td width="67" valign="top"><p>Basic</p></td><td width="105" valign="top"><p>50000</p></td><td width="64" valign="top"><p>130000</p></td><td width="61" valign="top"><p>130000</p></td><td width="95" valign="top"><p>US$ 10000</p></td></tr><tr><td width="52" valign="top"><p>2.</p></td><td width="194" valign="top"><p>Biochemistry</p></td><td width="67" valign="top"><p>Basic</p></td><td width="105" valign="top"><p>50000</p></td><td width="64" valign="top"><p>130000</p></td><td width="61" valign="top"><p>130000</p></td><td width="95" valign="top"><p>US$ 10000</p></td></tr><tr><td width="52" valign="top"><p>3.</p></td><td width="194" valign="top"><p>Immuno Haematology and Blood Transfusion</p></td><td width="67" valign="top"><p>Basic</p></td><td width="105" valign="top"><p>50000</p></td><td width="64" valign="top"><p>130000</p></td><td width="61" valign="top"><p>130000</p></td><td width="95" valign="top"><p>US$ 10000</p></td></tr><tr><td width="52" valign="top"><p>4.</p></td><td width="194" valign="top"><p>Microbiology</p></td><td width="67" valign="top"><p>Basic</p></td><td width="105" valign="top"><p>50000</p></td><td width="64" valign="top"><p>130000</p></td><td width="61" valign="top"><p>130000</p></td><td width="95" valign="top"><p>US$ 10000</p></td></tr><tr><td width="52" valign="top"><p>5.</p></td><td width="194" valign="top"><p>Pharmacology</p></td><td width="67" valign="top"><p>Basic</p></td><td width="105" valign="top"><p>50000</p></td><td width="64" valign="top"><p>130000</p></td><td width="61" valign="top"><p>130000</p></td><td width="95" valign="top"><p>US$ 10000</p></td></tr><tr><td width="52" valign="top"><p>6.</p></td><td width="194" valign="top"><p>Physiology</p></td><td width="67" valign="top"><p>Basic</p></td><td width="105" valign="top"><p>50000</p></td><td width="64" valign="top"><p>130000</p></td><td width="61" valign="top"><p>130000</p></td><td width="95" valign="top"><p>US$ 10000</p></td></tr><tr><td width="52" valign="top"><p>7.</p></td><td width="194" valign="top"><p>Community Medicine</p></td><td width="67" valign="top"><p>Basic</p></td><td width="105" valign="top"><p>50000</p></td><td width="64" valign="top"><p>130000</p></td><td width="61" valign="top"><p>130000</p></td><td width="95" valign="top"><p>US$ 10000</p></td></tr><tr><td width="52" valign="top"><p>8.</p></td><td width="194" valign="top"><p>Forensic Medicine &amp; Toxicology</p></td><td width="67" valign="top"><p>Basic</p></td><td width="105" valign="top"><p>50000</p></td><td width="64" valign="top"><p>130000</p></td><td width="61" valign="top"><p>130000</p></td><td width="95" valign="top"><p>US$ 10000</p></td></tr><tr><td width="52" valign="top"><p>9.</p></td><td width="194" valign="top"><p>Anaesthesiology</p></td><td width="67" valign="top"><p>Clinical</p></td><td width="105" valign="top"><p>62500</p></td><td width="64" valign="top"><p>325000</p></td><td width="61" valign="top"><p>325000</p></td><td width="95" valign="top"><p>US$ 65000</p></td></tr><tr><td width="52" valign="top"><p>10.</p></td><td width="194" valign="top"><p>Skin &amp; STD</p></td><td width="67" valign="top"><p>Clinical</p></td><td width="105" valign="top"><p>62500</p></td><td width="64" valign="top"><p>325000</p></td><td width="61" valign="top"><p>325000</p></td><td width="95" valign="top"><p>US$ 65000</p></td></tr><tr><td width="52" valign="top"><p>11.</p></td><td width="194" valign="top"><p>General Medicine</p></td><td width="67" valign="top"><p>Clinical</p></td><td width="105" valign="top"><p>62500</p></td><td width="64" valign="top"><p>325000</p></td><td width="61" valign="top"><p>325000</p></td><td width="95" valign="top"><p>US$ 65000</p></td></tr><tr><td width="52" valign="top"><p>12.</p></td><td width="194" valign="top"><p>Obstetrics &amp; Gynaecology</p></td><td width="67" valign="top"><p>Clinical</p></td><td width="105" valign="top"><p>62500</p></td><td width="64" valign="top"><p>325000</p></td><td width="61" valign="top"><p>325000</p></td><td width="95" valign="top"><p>US$ 65000</p></td></tr><tr><td width="52" valign="top"><p>13.</p></td><td width="194" valign="top"><p>Ophthalmology</p></td><td width="67" valign="top"><p>Clinical</p></td><td width="105" valign="top"><p>62500</p></td><td width="64" valign="top"><p>325000</p></td><td width="61" valign="top"><p>325000</p></td><td width="95" valign="top"><p>US$ 65000</p></td></tr><tr><td width="52" valign="top"><p>14.</p></td><td width="194" valign="top"><p>Orthopedics</p></td><td width="67" valign="top"><p>Clinical</p></td><td width="105" valign="top"><p>62500</p></td><td width="64" valign="top"><p>325000</p></td><td width="61" valign="top"><p>325000</p></td><td width="95" valign="top"><p>US$ 65000</p></td></tr><tr><td width="52" valign="top"><p>15.</p></td><td width="194" valign="top"><p>ENT</p></td><td width="67" valign="top"><p>Clinical</p></td><td width="105" valign="top"><p>62500</p></td><td width="64" valign="top"><p>325000</p></td><td width="61" valign="top"><p>325000</p></td><td width="95" valign="top"><p>US$ 65000</p></td></tr><tr><td width="52" valign="top"><p>16.</p></td><td width="194" valign="top"><p>Pathology</p></td><td width="67" valign="top"><p>Clinical</p></td><td width="105" valign="top"><p>62500</p></td><td width="64" valign="top"><p>325000</p></td><td width="61" valign="top"><p>325000</p></td><td width="95" valign="top"><p>US$ 65000</p></td></tr><tr><td width="52" valign="top"><p>17.</p></td><td width="194" valign="top"><p>Paediatrics</p></td><td width="67" valign="top"><p>Clinical</p></td><td width="105" valign="top"><p>62500</p></td><td width="64" valign="top"><p>325000</p></td><td width="61" valign="top"><p>325000</p></td><td width="95" valign="top"><p>US$ 65000</p></td></tr><tr><td width="52" valign="top"><p>18.</p></td><td width="194" valign="top"><p>Psychiatry</p></td><td width="67" valign="top"><p>Clinical</p></td><td width="105" valign="top"><p>62500</p></td><td width="64" valign="top"><p>325000</p></td><td width="61" valign="top"><p>325000</p></td><td width="95" valign="top"><p>US$ 65000</p></td></tr><tr><td width="52" valign="top"><p>19.</p></td><td width="194" valign="top"><p>Radio-diagnosis</p></td><td width="67" valign="top"><p>Clinical</p></td><td width="105" valign="top"><p>62500</p></td><td width="64" valign="top"><p>325000</p></td><td width="61" valign="top"><p>325000</p></td><td width="95" valign="top"><p>US$ 65000</p></td></tr><tr><td width="52" valign="top"><p>20.</p></td><td width="194" valign="top"><p>General Surgery</p></td><td width="67" valign="top"><p>Clinical</p></td><td width="105" valign="top"><p>62500</p></td><td width="64" valign="top"><p>325000</p></td><td width="61" valign="top"><p>325000</p></td><td width="95" valign="top"><p>US$ 65000</p></td></tr><tr><td width="52" valign="top"><p>21.</p></td><td width="194" valign="top"><p>Radiotherapy</p></td><td width="67" valign="top"><p>Clinical</p></td><td width="105" valign="top"><p>62500</p></td><td width="64" valign="top"><p>325000</p></td><td width="61" valign="top"><p>325000</p></td><td width="95" valign="top"><p>US$ 65000</p></td></tr><tr><td width="52" valign="top"><p>22.</p></td><td width="194" valign="top"><p>TB &amp; Chest</p></td><td width="67" valign="top"><p>Clinical</p></td><td width="105" valign="top"><p>62500</p></td><td width="64" valign="top"><p>325000</p></td><td width="61" valign="top"><p>325000</p></td><td width="95" valign="top"><p>US$ 65000</p></td></tr><tr><td width="52" valign="top"><p>23.</p></td><td width="194" valign="top"><p>Diploma in Anaesthesia (DA)</p></td><td width="67" valign="top"><p>Clinical</p></td><td width="105" valign="top"><p>62500</p></td><td width="64" valign="top"><p>195000</p></td><td width="61" valign="top"><p>195000</p></td><td width="95" valign="top"><p>US$ 15000</p></td></tr><tr><td width="52" valign="top"><p>24.</p></td><td width="194" valign="top"><p>Diploma in Child Health (DCH)</p></td><td width="67" valign="top"><p>Clinical</p></td><td width="105" valign="top"><p>62500</p></td><td width="64" valign="top"><p>195000</p></td><td width="61" valign="top"><p>195000</p></td><td width="95" valign="top"><p>US$ 15000</p></td></tr><tr><td width="52" valign="top"><p>25.</p></td><td width="194" valign="top"><p>MDS Courses</p></td><td width="67" valign="top"><p>Clinical</p></td><td width="105" valign="top"><p>62500</p></td><td width="64" valign="top"><p>292500</p></td><td width="61" valign="top"><p>292500</p></td><td width="95" valign="top"><p>US$50000</p></td></tr><tr><td width="52" valign="top"><p>26.</p></td><td width="194" valign="top"><p>PGDMS</p></td><td width="67" valign="top"></td><td width="105" valign="top"><p>20000</p></td><td width="64" valign="top"></td><td width="61" valign="top"></td><td width="95" valign="top"></td></tr><tr><td width="52" valign="top"><p>27.</p></td><td width="194" valign="top"><p>Ultrasonography Training</p></td><td width="67" valign="top"><p>Training</p></td><td width="105" valign="top"><p>10000</p></td><td width="64" valign="top"><p>50000</p></td><td width="61" valign="top"><p>50000</p></td><td width="95" valign="top"></td></tr><tr><td width="52" valign="top"><p>28.</p></td><td width="194" valign="top"><p>DNB Courses</p></td><td width="67" valign="top"></td><td width="105" valign="top"><p>37500</p></td></tr></tbody></table></div></div><p><b>INSTRUCTIONS FOR 2ND AND SUBSEQUENT ROUND OF ONLINE COUNSELING.</b></p><p><b>STEP VIII : SUBMISSION OF WILLINGNESS FOR 2ND AND SUBSEQUENT ROUNDS OF ONLINE COUNSELLING.</b></p><p>1. The process for inviting willingness to participate in the 2nd /subsequent rounds of online PG counselling shall be commenced before submission of online preferences/choices for 2nd / subsequent round of counseling. If candidate want to participate for 2nd / subsequent round, he/she will have to submit willingness as per the rules &amp; regulations of Government of India posted on www.mcc.nic.in. Only those candidates will be considered for 2nd /subsequent round who will submit willingness by depositing requisite security amount for participation.</p><p>2. Security Deposit :The amount of Security to be deposited for submitting willingness will be as under :</p><p>(i) For Government colleges/institutions - Rs. 25,000/- (Rs. 10000/- for SC/BC/PwD) </p><p>(ii) For Private Colleges – Rs. 2,00,000/- for all categories </p><p>Instruction for 2nd round of online counselling only : If candidate is satisfied with seat allocated to him/her during 1st round of online counselling, he/she is not required to participate in the 2nd round of counselling. In case, candidate wishes/intends to upgrade/shift/change his/her seat, he/she will have to participate in the 2nd round of counselling and will have to give willingness to participate in 2nd round counseling and will have to submit preferences afresh for the course, specialty and college. It is pertinent to mention here that the candidates can fill the choices of colleges which are not reflecting in the vacancy position of seats as few seats may arise due to shifting of candidates from one stream/category to another stream / category during 2nd round of counseling. In this regard, it is made clear that during 2nd online counseling one can upgrade/shift seat. Therefore, any seat may arise in 2nd round due to shifting of seats.</p><p>Hence, it is not mandatory to fill only those choices/preference which are reflected in the vacancy position of seats. So candidates are advised to fill the preference/choices of colleges as per their choice. The seats in 2nd round will be allocated as per availability of seats as per merit cum choice/preference submitted by the candidate.</p><p>The candidates to whom seats are allotted in the 1st round of counseling will also submit the willingness to participate in the 2nd round of online counselling, however, the fee deposited by them will be adjusted and they will have to pay the remaining amount of security deposit. Those who have already paid more than Rs. 200,000/- need not to pay security deposit again. The consent/willingness is mandatory to participate in 2nd round. In case seat is upgraded/changed in the 2nd round of counselling, the tuition fee deposited at the time of first counselling will be adjusted and only difference in fee, if any, has to be deposited.</p><p>Instruction for 3rd round of online counselling only : If candidate is satisfied with seat allocated to him/her during 1st /2nd round of online counseling and joined the seat, he/she is not required to participate in the 3rd round of counselling. In case, candidate wishes/intends to upgrade/change his/her seat he/she will have to participate in the 3rd round of counselling and will give his/her preferences afresh for the course, specialty and college/hospital. It is pertinent to mention here that the candidates can fill the choices of colleges/hospital which are not reflecting in the vacancy position of seats as few seats may arise due to shifting of candidates from one stream/category to another stream / category during 3rd round of counseling. In this regard, it is made clear that during 3rd online counseling one can upgrade/shift seat as per his/her choice.</p><p>This is also made clear that some seats of reserve category, NRI Quota seats, etc. may remain vacant after exhausting all candidates of respective category/quota as per notification. Therefore, any seat may become vacant in 3rd round due to shifting/conversion of seats. Hence, it is not mandatory to fill only those choices/preference which are reflected in the vacancy position of seats. So candidates are advised to fill the preference/choices of colleges/hospitals as per their choice. The seats in 3rd round will be allocated as per availability of seats as per merit cum choice/preference submitted by the candidate. The candidates who have joined the seat of 1st/2nd round of counseling and want to shift/upgrade the seat, will also submit the willingness to participate in the 3rd round of online counseling as per schedule,</p><p>however, the fee deposited by them will be adjusted and they will have to pay the remaining amount of security deposit. Those who have already paid more than Rs. 200,000/- need not to pay security deposit again. The consent/willingness is mandatory to participate in 3rd round. In case seat is upgraded/changed in the 3rd round of counselling, the tuition fee deposited at the time of first/second counselling will be adjusted and only difference in fee, if any, has to be deposited.</p><p>5. Shifting/upgradation of seat is not allowed after the 3rd round of counseling</p><p><b><i>To view the official Notice, Click here :&nbsp;&nbsp;<a href="https://medicaldialogues.in/pdf_upload/prospectusmdmsdnb-261712.pdf" target="_blank">https://medicaldialogues.in/pdf_upload/prospectusmdmsdnb-261712.pdf</a></i></b></p>

202. Tripura MBBS admissions: 5-year service, Rs 20 lakh bond penalty

     Thu, 21 Nov 2024 13:00:48 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/22/261785-mdtv-2024-11-22t112158969.webp' /><div class="pasted-from-word-wrapper"><div class="pasted-from-word-wrapper"><p style="text-align: justify; "><a href="https://medicaldialogues.in/topics/mbbs-students">MBBS students</a> taking admission to the government medical institutes in Tripura under the State Quota seats have to execute a Service Bond at the time of admission assuring to serve the State for five years after completion of the course or pay a penalty of Rs 20 lakh.</p><p style="text-align: justify;">These conditions are applicable from the academic session of 2020 and as per the Government notification dated 6th September 2016 (attached with the Information Bulletin) also, the Government had ordered five years of service and a Rs 20 lakh bond penalty for UG students. However, before that, the bond penalty amount was Rs 5 lakh for undergraduate medical courses.</p></div><div class="pasted-from-word-wrapper"><div></div><div><p style="text-align: justify; "><i><b>For more information, click on the link below:</b></i></p></div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify;"><i><a href="https://medicaldialogues.in/news/education/5-years-of-service-rs-20-lakh-bond-penalty-for-mbbs-admissions-in-tripura-138385#:~:text=Agartala:%20MBBS%20students%20taking%20admission,penalty%20of%20Rs%2020%20lakh."><b>5 Years of Service, Rs 20 Lakh Bond penalty for MBBS Admissions in Tripura</b></a></i></div></div></div>

203. Setback to Cipla: DoP rejects plea challenging NPPA order for Acivir Tablets pricing

     Thu, 21 Nov 2024 12:46:31 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/03/05/233623-cipla-50-2.webp' /><p style="text-align: justify; "><b>New Delhi:</b> The Department of Pharmaceuticals (DoP) has rejected Cipla Ltd's review application challenging the ceiling price fixed for Acivir 800 mg Tablet DT 5's by the National Pharmaceutical Pricing Authority (NPPA).</p><div class="pasted-from-word-wrapper"><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">Cipla argued that NPPA incorrectly relied on outdated pricing data for its January 2023 order, ignoring a revised price submitted in August 2022 with supporting evidence.</p><p style="text-align: justify;">Cipla filed the review application under Para 31 of the Drugs (Prices Control) Order, 2013 against the order issued by NPPA on 11 January, 2023, that fixed the ceiling price of Acivir 800 mg Tablet DT 5's containing Acyclovir 800 mg per Tablet.</p><p style="text-align: justify;">Cipla alleged that NPPA erred in determining the ceiling price of the said drug and therefore should be directed to revise the same.</p><p style="text-align: justify;">Cipla submitted that the formulation "Acivir 800 mg Tablet DT 5's" was included in the revised Schedule-I of the DPCO, 2013 notified on November 11, 2022. Hence, the formulation "Acivir 800 mg Tablet DT 5's" was also included in the draft calculation of ceiling price under the provisions of Para 4, 6, 10, I l, 14, 16, 17 and 18 of DPCO 2013.</p><p style="text-align: justify;">In spite of representation filed against the draft ceiling price with all relevant documents proving that Cipla has duly implemented the 10% revision in MRP as per Para 20(1), NPPA considered the old PTR for ceiling price fixation, Cipla argued, adding that the ceiling price calculation of "Acyclovir 800 mg per tablet" should have included the revised PTR for "Acivir 800 mg Tablet DT 5's" at Rs. 175.88 and not IQs. 159.89.</p><p style="text-align: justify;">The drug maker further contended that non-reflection of PTR in the market based data should not be construed as non-implementation of revised MRP, especially when invoices of sales and pack shots at revised MRP are provided as documentary evidence.</p><p style="text-align: justify;">Cipla maintained that the manufacturers, as per Para 20(1) of DPCO 2013, reserve the right to increase the MRP of non-scheduled formulations by 10% once in a year. Thus, an increase in PTR post July, 2022 should also be considered in the calculation of ceiling prices of the scheduled formulation.</p><p style="text-align: justify;">It further submitted that the NPPA in its 105th Authority Meeting had also clarified that in case of any revision in the draft calculation of ceiling prices, the corrected working sheet shall be uploaded on NPPA website for 10 working days for comments, if any. In case of non-receipt of any comments or after addressing any issues received on the revised working sheets, the same shall be placed before the Authority for decision. In those cases, where the data has been verified and confirmed by Pharmarack, prices will be re-computed based on revised data. Accordingly, corrigendum / addendum / new price notifications will be issued. However, NPPA in violation of the decision of the Authority Committee, did not upload the revised working sheet, despite presenting the revised Ceiling price to the Authority for approval. Ceiling price calculation was later shared on 23 rd December 2022 and 16th January 2023, however correction was not made.</p><p style="text-align: justify;">NPPA on the other side argued that the review was not tenable as according to per para 9(5) of the DPCO 2013, the market based data for fixing the ceiling price of a scheduled formulation due to a revision in the first schedule shall be the data available for the month ending immediately before six months of notification of revision in the first schedule. Accordingly, the Authority in its 104th meeting held on 23.11.2022 noted that the data to be considered for fixation of ceiling prices would be the prices in the month of April, 2022 which is the month that is six months prior to date of issue of Notification SO No. 5249(E) dated 11.11.2022. However, taking cognizance of the time lag with which price changes carried out due to revision in WPI is reflected/captured by the data; the Authority, under Para 9(7) of the DPCO 2013, decided that data for the month of July, 2022 may be considered for calculation of ceiling prices.</p><p style="text-align: justify;">NPPA further explained that the said strength of the subject formulation has been added in the Schedule-I under NLEM, 2022 for the first time.</p><p style="text-align: justify;">“This formulation was non-scheduled before NLEM, 2022. Hence, submission of Form-Il is not applicable in this case. Cipla has submitted Form-V with NPPA in respect of revised PTR of "Acivir 800 mg Tablet DT 5's" at Rs.175.88 on 03.08.2022. The PTR of the said formulation prevailing in July, 2022 was Rs. 159.89 (Form-V filed on 03.03.2021), which was already reflected in the Pharmarack database. Therefore, the revised PTR of Rs. 175.88, as claimed by the Applicant, was not considered,” the Authority said.</p><p style="text-align: justify;">It further asserted that the clarification provided by NPPA in its 105th Authority Meeting dated December 15, 2022 referred to by Cipla is applicable only in case of Suo Moto corrections in the notified prices. In other cases, where based on the representations, the data has been verified and confirmed from/by Pharmatrack, prices will be re-computed based on revised data. Accordingly, corrigendum / addendum / new price notifications are issued.</p><p style="text-align: justify;">Examining the issue, the DoP upheld NPPA's actions, noting that the use of July 2022 data was consistent with Paragraph 9(7) of the DPCO. It observed;</p><blockquote style="text-align: justify;">"The Authority in its 104th meeting held on 23.11.2022 had decided, under Para 9(7) of the DPCO 2013, that data for the month of July, 2022 may be considered for calculation of ceiling prices instead of April, 2022 so as to accommodate for the time lag with which the price changes carried out due to revision in WPI is reflected/captured in the database. Accordingly, prices as captured by the Pharmarack database for the month of July, 2022 were used for fixing the ceiling price of the subject formulation."</blockquote><p style="text-align: justify;">It further observed;</p><blockquote style="text-align: justify;">"The subject formulation was earlier non-scheduled and hence, submission of Form-Il is not applicable in this case. The Authority has decided to fix the ceiling price based on July, 2022 data. NPPA has taken the relevant price as available in the Pharmarack data for the month of July, 2022 which is the same as the available PTR under Form-V of the Applicant for the month."</blockquote><p style="text-align: justify;">Consequently, DoP rejected Cipla's review application and upheld NPPA’s ceiling price for Acivir 800 mg Tablet DT 5's. It noted;</p><blockquote style="text-align: justify;">“The decision taken vide para 6.8 of Minutes of 105 th Authority Meeting held on 15.12.2022 was only in the context of Suo Moto corrections in the notified prices by NPPA and not in other cases. The practice adopted by NPPA in this regard suffers no infirmity. Therefore, in view of the facts as at paras of 5.1 and 5.3 above, arguments and logics given by NPPA are accepted. ”</blockquote><blockquote style="text-align: justify;">“The action of NPPA fixing the ceiling prices of subject formulation is upheld and the Review Application under consideration is accordingly rejected.”</blockquote></div></div>

204. NEET PG Counselling: Advisory released on fee, training, joining policies

     Thu, 21 Nov 2024 12:45:49 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/21/261703-mdtv-2024-11-21t172042916.webp' /><div class="pasted-from-word-wrapper"><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">The National Board of Medical Examinations in Medical Sciences (<a href="https://medicaldialogues.in/topics/nbems" target="_blank">NBEMS</a>) has released two notices for candidates and institutes/hospitals regarding joining the NBEMS seats allotted through National Eligibility and Entrance Test-Postgraduate (NEET PG) AIQ 2024 counselling.</p><div id="ATS_mid1"></div><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify;">As per the notices, the Online Centralised merit-based Counseling for AIQ (MD/ MS/ DNB Post MBBS/ NBEMS Diploma) seats has been notified by the Medical Counselling Committee (<a href="https://medicaldialogues.in/topics/mcc" target="_blank">MCC</a>) of DGHS (<a href="https://medicaldialogues.in/topics/mohfw" target="_blank">MoHFW</a>) for the 2024 admission session. Therefore, all candidates are advised to go through the seat matrix carefully which is published by MCC for each specific round. The information regarding the applicability of service bonds, if any, should be looked into before choice filling.</p></div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify; "><i><b>For more information, click on the link below:</b></i></div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify;"><i><a href="https://medicaldialogues.in/news/education/medical-admissions/neet-pg-2024-aiq-counselling-for-nbe-seats-here-are-guidelines-for-candidates-institutes-138325https://medicaldialogues.in/news/education/medical-admissions/neet-pg-2024-aiq-counselling-for-nbe-seats-here-are-guidelines-for-candidates-institutes-138325"><b>NEET PG 2024 AIQ Counselling for NBE seats: Here are guidelines for candidates, institutes</b></a></i></div></div></div>

205. Calcutta HC denies NEET candidate's migration plea due to Non-receipt of OTP

     Thu, 21 Nov 2024 12:33:08 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/21/261705-mdtv-2024-11-21t172301702.webp' /><div class="pasted-from-word-wrapper"><div style="text-align: justify; ">The Calcutta High Court has denied relief to a NEET candidate from the EWS category who sought to migrate from JIS Medical College, a private institution, to a government medical college. The petitioner argued that his EWS rank in the NEET UG exam was sufficient for admission to a government college. However, he claimed that when attempting to participate in the admission process, he did not receive the OTP required from the admission portal.</div><div style="text-align: justify;">The petitioner, who claimed he did not receive the OTP for registration during the first round, only attempted to generate it on the last day of counselling. Despite contacting the helpline, he was advised to join the private college and later seek migration. The court noted that the candidate waited until the last day to generate the OTP, delayed raising objections, and filed the writ petition after the counselling process had ended, leading to the dismissal of his appeal.</div></div>

206. Health Bulletin 21/ November/ 2024

     Thu, 21 Nov 2024 12:31:07 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/21/261698-health-bulletin-52.webp' /><p style="text-align: justify; "><b>Here are the top health news for the day:</b></p><div class="pasted-from-word-wrapper"><div style="text-align: justify;"><b>SC denies&nbsp;</b><span style="background-color: rgb(249, 249, 249);"><b>anticipatory bail</b></span><b>&nbsp;to Fortis doctor accused of illegal kidney transplants</b></div></div><div class="pasted-from-word-wrapper"><p style="text-align: justify;">The <a href="https://medicaldialogues.in/topics/supreme-court">Supreme Court</a> today denied granting anticipatory bail to a doctor from Jaipur-based <a href="https://medicaldialogues.in/topics/fortis-hospital">Fortis Hospital</a>, who was earlier accused of performing <a href="https://medicaldialogues.in/topics/illegal-kidney-transplant-racket">illegal kidney transplants</a>.</p><div id="ATS_mid1"></div><p style="text-align: justify;">Earlier, the Rajasthan High Court had also denied quashing a First Information Report (FIR) filed against the petitioner before the Supreme Court-a Urosurgeon and a Nephrologist from Fortis Hospital, Jaipur, who were accused of involvement in the illegal kidney transplantation racket.</p></div><div class="pasted-from-word-wrapper"><div><b></b></div><div></div></div><p style="text-align: justify;"><b><i>For more information, click on the link below:</i></b></p><div class="pasted-from-word-wrapper"><div style="text-align: justify; "><b><i><a href="https://medicaldialogues.in/news/health/doctors/cannot-simply-shut-our-eyes-to-serious-allegations-sc-denies-relief-to-fortis-doctor-accused-of-illegal-kidney-transplants-138402">Cannot simply shut our eyes to serious allegations! SC denies relief to Fortis Doctor Accused of Illegal Kidney Transplants</a></i></b></div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify;"><b>Tripura MBBS admissions: 5-year service, Rs 20 lakh bond penalty</b></div></div><div class="pasted-from-word-wrapper"><p style="text-align: justify;"><a href="https://medicaldialogues.in/topics/mbbs-students">MBBS students</a> taking admission to the government medical institutes in Tripura under the State Quota seats have to execute a Service Bond at the time of admission assuring to serve the State for five years after completion of the course or pay a penalty of Rs 20 lakh.</p><p style="text-align: justify;">These conditions are applicable from the academic session of 2020 and as per the Government notification dated 6th September 2016 (attached with the Information Bulletin) also, the Government had ordered five years of service and a Rs 20 lakh bond penalty for UG students. However, before that, the bond penalty amount was Rs 5 lakh for undergraduate medical courses.</p></div><div class="pasted-from-word-wrapper"><div><b> </b></div><div><p style="text-align: justify; "><b><i>For more information, click on the link below:</i></b></p></div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify; "><b><i><a href="https://medicaldialogues.in/news/education/5-years-of-service-rs-20-lakh-bond-penalty-for-mbbs-admissions-in-tripura-138385#:~:text=Agartala%3A%20MBBS%20students%20taking%20admission,penalty%20of%20Rs%2020%20lakh.">5 Years of Service, Rs 20 Lakh Bond penalty for MBBS Admissions in Tripura</a></i></b></div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify; "><b>NEET PG Counselling: Advisory released on fee, training, joining policies</b></div></div><div class="pasted-from-word-wrapper"><p style="text-align: justify;">The National Board of Medical Examinations in Medical Sciences (<a href="https://medicaldialogues.in/topics/nbems" target="_blank">NBEMS</a>) has released two notices for candidates and institutes/hospitals regarding joining the NBEMS seats allotted through National Eligibility and Entrance Test-Postgraduate (NEET PG) AIQ 2024 counselling.</p><div id="ATS_mid1"></div><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; ">As per the notices, the Online Centralised merit-based Counseling for AIQ (MD/ MS/ DNB Post MBBS/ NBEMS Diploma) seats has been notified by the Medical Counselling Committee (<a href="https://medicaldialogues.in/topics/mcc" target="_blank">MCC</a>) of DGHS (<a href="https://medicaldialogues.in/topics/mohfw" target="_blank">MoHFW</a>) for the 2024 admission session. Therefore, all candidates are advised to go through the seat matrix carefully which is published by MCC for each specific round. The information regarding the applicability of service bonds, if any, should be looked into before choice filling.</p></div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify; "><b><i>For more information, click on the link below:</i></b></div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify; "><b><i><a href="https://medicaldialogues.in/news/education/medical-admissions/neet-pg-2024-aiq-counselling-for-nbe-seats-here-are-guidelines-for-candidates-institutes-138325https://medicaldialogues.in/news/education/medical-admissions/neet-pg-2024-aiq-counselling-for-nbe-seats-here-are-guidelines-for-candidates-institutes-138325">NEET PG 2024 AIQ Counselling for NBE seats: Here are guidelines for candidates, institutes</a></i></b></div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify; "><b>Calcutta HC denies NEET candidate's migration plea due to Non-receipt of OTP</b></div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify; ">The Calcutta High Court has denied relief to a NEET candidate from the EWS category who sought to migrate from JIS Medical College, a private institution, to a government medical college. The petitioner argued that his EWS rank in the NEET UG exam was sufficient for admission to a government college. However, he claimed that when attempting to participate in the admission process, he did not receive the OTP required from the admission portal.</div></div><div class="pasted-from-word-wrapper"><div style="text-align: justify; "> The petitioner, who claimed he did not receive the OTP for registration during the first round, only attempted to generate it on the last day of counselling. Despite contacting the helpline, he was advised to join the private college and later seek migration. The court noted that the candidate waited until the last day to generate the OTP, delayed raising objections, and filed the writ petition after the counselling process had ended, leading to the dismissal of his appeal.</div></div>

207. SC denies relief to Fortis doctor accused of illegal kidney transplants

     Thu, 21 Nov 2024 12:15:32 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/21/261700-mdtv-2024-11-21t171054478.webp' /><div class="pasted-from-word-wrapper"><div class="pasted-from-word-wrapper"><p style="text-align: justify; ">The <a href="https://medicaldialogues.in/topics/supreme-court">Supreme Court</a>&nbsp;denied granting anticipatory bail to a doctor from Jaipur-based <a href="https://medicaldialogues.in/topics/fortis-hospital">Fortis Hospital</a>, who was earlier accused of performing <a href="https://medicaldialogues.in/topics/illegal-kidney-transplant-racket">illegal kidney transplants</a>.</p><div id="ATS_mid1"></div><p style="text-align: justify;">Earlier, the Rajasthan High Court had also denied quashing a First Information Report (FIR) filed against the petitioner before the Supreme Court-a Urosurgeon and a Nephrologist from Fortis Hospital, Jaipur, who were accused of involvement in the illegal kidney transplantation racket.</p></div><div class="pasted-from-word-wrapper"><div></div><div></div></div><p style="text-align: justify;"><i><b>For more information, click on the link below:</b></i></p><div class="pasted-from-word-wrapper"><div style="text-align: justify;"><i><a href="https://medicaldialogues.in/news/health/doctors/cannot-simply-shut-our-eyes-to-serious-allegations-sc-denies-relief-to-fortis-doctor-accused-of-illegal-kidney-transplants-138402"><b>Cannot simply shut our eyes to serious allegations! SC denies relief to Fortis Doctor Accused of Illegal Kidney Transplants</b></a></i></div></div></div>

208. NEET PG- TN Health Begins Counselling for DNB Courses, check schedule

     Thu, 21 Nov 2024 11:48:32 -0000

     <img src='https://medicaldialogues.in/h-upload/2024/11/20/261575-counselling.webp' /><p style="text-align: justify; "><b>Tamil Nadu-</b> Tamil Nadu (<a href="https://medicaldialogues.in/topics/tamil-nadu" target="_blank">TN Health</a>) has started the counselling process for DNB-Post Diploma and Post MBBS 2-year Diploma courses and DNB-Broad Specialty Post Diploma courses in TN Government Medical Colleges for the academic year 2024-25.</p><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; ">As per the schedule, the counselling process for DNB-Post Diploma and Post <a href="https://medicaldialogues.in/topics/mbbs" target="_blank">MBBS</a> 2-year Diploma courses and DNB-Broad Specialty Post Diploma courses in TN <a href="https://medicaldialogues.in/topics/government-medical-college" target="_blank">Government Medical Colleges</a> for the academic year 2024-25 will end on 04 December 2024.</p></div><div class="pasted-from-word-wrapper"><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/paramedical/tn-paramedical-admissions-2024-check-schedule-seat-matrix-for-mop-up-round-138198"><b>Also Read:&nbsp;</b>TN Paramedical admissions 2024, Check schedule, seat matrix for mop up round</a></div><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; "><b>SCHEDULE</b></p><div dir="ltr"><table style="text-align: justify; "><colgroup><col width="50"><col width="262"><col width="156"><col width="156"></colgroup><tbody><tr><td><p dir="ltr" style="text-align: center; "><b>S.NO</b></p></td><td><p dir="ltr" style="text-align: center; "><b>PROCESS</b></p></td><td><p dir="ltr" style="text-align: center; "><b>DATE &amp; TIME FROM </b></p></td><td><p dir="ltr" style="text-align: center; "><b>DATE &amp; TIME TO</b></p></td></tr><tr><td><p dir="ltr">1</p></td><td><p dir="ltr">Registration/ Payment and Choice Filling &amp; Locking.</p></td><td><p dir="ltr">20 November 2024 10:00 P.M.</p></td><td><p dir="ltr">25 November 2024 03:00 P.M. </p></td></tr><tr><td><p dir="ltr">2</p></td><td><p dir="ltr">Processing of Seat Allotment.</p></td><td colspan="2"><p dir="ltr">26 November 2024</p></td></tr><tr><td><p dir="ltr">3</p></td><td><p dir="ltr">Result.</p></td><td colspan="2"><p dir="ltr">26 November 2024</p></td></tr><tr><td><p dir="ltr">4</p></td><td><p dir="ltr">Downloading the Provisional Allotment Order.</p></td><td><p dir="ltr">From 26 November 2024 to </p></td><td><p dir="ltr">04 December 2024 03:00 P.M. </p></td></tr><tr><td><p dir="ltr">5</p></td><td><p dir="ltr">Last Date of Joining Till.</p></td><td colspan="2"><p dir="ltr">Till 04 December 2024 05:00 P.M.</p></td></tr></tbody></table></div><p dir="ltr" style="text-align: justify; ">Candidates who are participating in the online choice filling for DNB Courses will have to remit a non-refundable Registration Fee of Rs.1000/- for Government Quota. Meanwhile, at the time of registration, the candidate will have to pay Rs 30,000/- a Refundable Security Deposit for Government Quota.</p><p dir="ltr" style="text-align: justify; "><b>INSTRUCTIONS FOR DOWNLOADING ALLOTMENT ORDER</b></p><p dir="ltr" style="text-align: justify; ">&nbsp;The allotted candidates should download their provisional allotment order and join the course in the concerned Medical College/Institution on or before the stipulated date and time as mentioned in the Provisional Allotment Order.</p><p dir="ltr" style="text-align: justify; "><b>REPORTING TO ALLOTTED COLLEGE</b></p><p dir="ltr" style="text-align: justify; ">1 The candidates should produce their original Certificates in person at the time of joining their selected Colleges along with the scanned copy of the original certificates for verification.</p><p dir="ltr" style="text-align: justify; ">2 If the candidates do not report to the Head of the Institution to which you are allotted on or before the time and date specified, your selection and/or admission will be cancelled without any further notice.</p><p dir="ltr" style="text-align: justify; ">3 The Candidate selected for admission should give a self-declaration form at the time of the reporting to the concerned College that he/she is liable for forfeiture of selection/admission if suppression of facts, or mis-interpretation is found at any time during or after the admission to the course.</p><p dir="ltr" style="text-align: justify; ">4 No communication will be directly sent to the Candidate(s). They are advised to be in touch with the website on a regular basis for any updates.</p></div><div class="pasted-from-word-wrapper"><a class="editor-inserted-link" target="_blank" href="https://medicaldialogues.in/news/education/nursing/tn-health-releases-tentative-schedule-for-3rd-round-online-counselling-for-msc-nursing-891-seats-available-138040"><b>Also Read:&nbsp;</b>TN Health Releases Tentative Schedule for 3rd Round Online Counselling for MSc Nursing, 891 Seats Available</a></div><div class="pasted-from-word-wrapper"><p dir="ltr" style="text-align: justify; "><b>GENERAL INSTRUCTIONS</b></p><p dir="ltr" style="text-align: justify; ">1 Candidates should be careful while choice filling.</p><p dir="ltr" style="text-align: justify; ">2 Candidates can edit their choices any number of times before locking, but once locked they will not be allowed to edit. Hence candidates are requested to check their choices and the order of preference before locking.</p><p dir="ltr" style="text-align: justify; ">3 Seat Matrix for the Course will be available on the official websites. </p><p dir="ltr" style="text-align: justify; ">4 The selection committee does not take responsibility for Connectivity error and Procedural error.</p><p dir="ltr" style="text-align: justify; ">5 Admission to DNB courses shall be made by online counselling on the basis of rank by applying the rule of reservation. </p><p dir="ltr" style="text-align: justify; ">6 Request for a change of course or College, from one to another is not permitted after final locking.</p><p dir="ltr" style="text-align: justify; "><b><i>To view the schedule, click the link below</i></b></p><p dir="ltr" style="text-align: justify; "><a href="https://medicaldialogues.in/pdf_upload/tn-health-begins-counselling-for-dnb-diploma-courses-in-government-medical-colleges-for-2024-25-261577.pdf" target="_blank">https://medicaldialogues.in/pdf_upload/tn-health-begins-counselling-for-dnb-diploma-courses-in-government-medical-colleges-for-2024-25-261577.pdf</a></p></div><div class="pasted-from-word-wrapper"><div></div></div>

209. Ask Me Anything About Sports Medicine

     Thu, 21 Nov 2024 16:35:31 -0000

     

     A sports medicine specialist at Stanford Medicine Children’s Health discusses the rise in professionalization of youth sports, risk factors for burnout and attrition, diversification, concussions, and more.

     <div><img width="768" height="432" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Untitled-design-8.png" class="attachment-768x768 size-768x768 wp-post-image" alt="Ask Me Anything with Dr. Alexandra Abbott, pediatric sports medicine specialist at Stanford Medicine Children&#039;s Health" style="margin-bottom: 15px;" decoding="async" loading="lazy" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Untitled-design-8.png 1200w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Untitled-design-8-450x253.png 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Untitled-design-8-900x506.png 900w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Untitled-design-8-768x432.png 768w" sizes="(max-width: 768px) 100vw, 768px" /></div> <figure class="wp-block-image size-large"><img decoding="async" width="900" height="506" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Untitled-design-97-900x506.jpg" alt="Ask Me Anything About Sports Medicine with Dr. Alexandra Abbott" class="wp-image-26363" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Untitled-design-97-900x506.jpg 900w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Untitled-design-97-450x253.jpg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Untitled-design-97-768x432.jpg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Untitled-design-97.jpg 1200w" sizes="(max-width: 900px) 100vw, 900px" /><figcaption class="wp-element-caption">Alexandra Abbott, MD (right) examines an x-ray at the <a href="https://www.stanfordchildrens.org/en/services/orthopedic.html">Children’s Orthopedic and Sports Medicine Center</a> in Sunnyvale, Calif.</figcaption></figure> <p>Drawing from her experience as a former collegiate athlete at Cal Poly Pomona and with a history of providing care for young athletes and pro teams like the Los Angeles Lakers, <a href="https://www.stanfordchildrens.org/en/doctor/a/alexandra-morgan-abbott.html">Alexandra Abbott, MD</a>, pediatric sports medicine specialist at <a href="http://www.stanfordchildrens.org/">Stanford Medicine Children’s Health</a>, discusses the rise in professionalization of youth sports, consequences of overtraining, risk factors for burnout and attrition, diversification, how to identify a concussion, and more.</p> <p><em>Based on our &#8220;<a href="https://www.instagram.com/s/aGlnaGxpZ2h0OjE3OTI4MjQyNDgyNzQzNjgz?story_media_id=3500049877059714856&amp;igsh=NTc4MTIwNjQ2YQ==">Ask Me Anything</a>&#8221; series on Instagram, this Q&amp;A has been lightly edited for clarity and length.</em></p> <p><strong>Tell us about your experience as a collegiate athlete and how that impacts the care you provide.</strong></p> <p>I’m grateful and proud to say that I made the cut and got to play college soccer, especially because not very many athletes get to have that experience. I came away from that experience being a doctor who can relate to kids who are going through that period and trying to be college athletes. I’ve reflected on what it means to have longevity in sports and try to find the importance of things like reducing injury risk, reducing burnout, and trying to be a life-long athlete. It’s important that we try to keep kids active in sports and also make them want to be active adults as well.</p> <p><strong>What was it like providing sports medicine care to the Los Angeles Lakers?</strong></p> <p>While training at UCLA in Los Angeles I worked with athletes from the Los Angeles Lakers, the Los Angeles Sparks, and the Dodgers. I learned about the commitment and dedication and teamwork that those athletes need to be successful on that level. I also came away with the reflection that the health care providers need those qualities as well, to take care of the teams and help them maintain success.</p> <div class="wp-block-image"> <figure class="alignleft size-thumbnail"><a href="https://www.stanfordchildrens.org/en/doctor/a/alexandra-morgan-abbott.html" target="_blank" rel="noreferrer noopener"><img decoding="async" width="300" height="300" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Untitled-design-96-300x300.jpg" alt="Ask Me Anything About Sports Medicine with Dr. Alexandra Abbott" class="wp-image-26357" style="aspect-ratio:1;object-fit:cover" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Untitled-design-96-300x300.jpg 300w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Untitled-design-96-600x600.jpg 600w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Untitled-design-96-450x450.jpg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Untitled-design-96-125x125.jpg 125w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Untitled-design-96-24x24.jpg 24w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Untitled-design-96-48x48.jpg 48w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Untitled-design-96-96x96.jpg 96w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Untitled-design-96-150x150.jpg 150w" sizes="(max-width: 300px) 100vw, 300px" /></a></figure></div> <p><strong>When is the right age for a child to focus on only one sport?</strong></p> <p>Parents are increasingly encouraging their children to pick one sport and specialize in it, usually, to try and improve the outcomes of likelihood for college scholarships. We’ve found that there’s an increased risk in specialization before the age of 12 and the risk for injury or things we describe as burnout, or psychological burnout, where you’re wanting to quit your sport or withdraw from all sports at once. We’d like athletes to remain active through adolescence and adulthood, so having a child focus on one single sport, and then getting injured or burned out or both, doesn’t necessarily promote those kinds of outcomes.</p> <p>If a child does decide to specialize, especially if they’re a late specializer after age 12, there are three rules of thumb that are backed by our studies of youth athletes.</p> <ol class="wp-block-list"> <li>Take one day off per week from that sport to allow for some weekly recovery and rest.</li> <li>Limit your participation so that you have at least one off-season. If you have a primary sport, your off-season should look like three or four months of the year prioritizing a different sport or rehab and recovery.</li> <li>Limit your participation weekly to the number of hours corresponding to your child’s age or less in years. For example, a 12-year-old should not be playing 13 hours or more of a single sport.</li> </ol> <p><strong>How can parents tell if their child has a concussion?</strong></p> <p>We’ve had to study this specifically. When we ask kids whether they’ve ever had a concussion in the past, we find it’s most effective to ask if they’ve ever had dizziness or a headache after being hit on the head. When you apply this broad definition, many people will say it’s happened to them, but when it happened, they dismissed it as not that bad or not really a concussion. A concussion can look like a mild headache right after a hit to the head or more severe symptoms, especially for a prolonged period of time, such as for weeks.</p> <p>If you think your child has a concussion, it’s important to see your child’s pediatrician or a sports medicine doctor. If your school has an athletic trainer, they can also help with returning them to sports safely. In general, we promote a gradual return to sport that takes at least a week for diagnosis and concussion. If your child has more severe symptoms, it’s always OK to take your child to an emergency room if you have a concern that’s more serious than concussion.</p> <p><strong>How great of an impact does stretching have on injury prevention?</strong></p> <p>Stretching, mobility, flexibility—these are all crucial components of healthy muscles, and subsequently healthy joints and bones. A lot of times my strongest athletes are my least flexible, and they’ll come in with a specific type of pattern of injuries that can be mitigated if they make stretching a part of their routine. &nbsp;What can be helpful is dedicating a specific part of your exercise routine to stretching specifically, and not just on-the-fly quad stretching throughout your session or choosing to stretch things just when they hurt. Flexibility is just as important as the recovery process and the strengthening processes. Try and figure out how many minutes you want to dedicate to that on a routine.</p> <p><strong>What’s the next innovation in sports medicine you’re most excited about?</strong></p> <p>There’s a lot of cool technology coming down the pipeline and evidence to support treatment, like injections, imaging modalities, and surgical techniques. I’m more excited though about a potential culture shift for youth athletes, where we’re getting away from how do we fix injuries once they’ve occurred to trying to prevent these injuries. Diversification is key.</p> <p><strong>The <a href="https://www.stanfordchildrens.org/en/services/orthopedic.html?_gl=1*jpfkj*_ga*OTM5MDQwMTYyLjE2Nzk5NDc5MzA.*_ga_LJEH48FRLY*MTczMTA4NzIzMS4yMjAuMS4xNzMxMDkwMzU4LjU2LjAuMA..">Children’s Orthopedic and&nbsp;Sports Medicine&nbsp;Center</a> is ranked No. 1 in the Bay Area according to <em>U.S. News &amp; World Report</em> and offers consultation and the latest treatments for children with orthopedic and musculoskeletal conditions.</strong></p>

210. Preschooler Living Seizure-Free With Leading-Edge Medicine

     Wed, 20 Nov 2024 16:00:00 -0000

     

     Stanford Medicine Children’s Health’s Epilepsy Center provides the latest treatments and loads of compassion for kids with epilepsy.

     <div><img width="768" height="432" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Sammy-family.jpg" class="attachment-768x768 size-768x768 wp-post-image" alt="The Castillo family" style="margin-bottom: 15px;" decoding="async" loading="lazy" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Sammy-family.jpg 1200w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Sammy-family-450x253.jpg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Sammy-family-900x506.jpg 900w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Sammy-family-768x432.jpg 768w" sizes="(max-width: 768px) 100vw, 768px" /></div> <p><em>Stanford Medicine Children’s Health’s Epilepsy Center provides the latest treatments and loads of compassion for kids with epilepsy</em></p> <figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="900" height="506" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Sammy-family-900x506.jpg" alt="The Castillo family" class="wp-image-26367" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Sammy-family-900x506.jpg 900w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Sammy-family-450x253.jpg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Sammy-family-768x432.jpg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Sammy-family.jpg 1200w" sizes="(max-width: 900px) 100vw, 900px" /></figure> <p>“It came as a complete shock,” recalls Lorena Castillo. Out of nowhere and without warning, her 20-month-old son, Samuel, had a large, long seizure. She had never seen one, so she wasn’t sure what was happening.</p> <p>“I was getting ready for work and I heard a scream,” says Lorena. “I thought it was my daughter, who is afraid of bugs, but she came running in and said, ‘Why is Sammy shaking? He won’t stop shaking!’”</p> <p>Lorena acted fast. Sammy wasn’t breathing, so she started CPR. He was unresponsive and had gone gray, so Lorena asked her daughter to call 911. By the time the paramedics came, the seizure had ended and Sammy was asleep. He was taken to a nearby hospital by ambulance.</p> <p>At the hospital, Sammy had a second seizure in his father Chris’s arms that left him gasping for air. Doctors ran an electroencephalogram (EEG) and captured a third seizure.</p> <p>“A fourth seizure came after that, so he had four big seizures in four hours,” says Lorena.</p> <p><strong>Getting diagnosed with epilepsy</strong></p> <p>The family from Visalia, California, was sent to an area children’s hospital where a neurologist diagnosed Sammy with epilepsy. The diagnosis came as a complete surprise, with no signs or symptoms before that day. Sammy was treated, but despite medicine, the seizures kept coming, often during his sleep but during the day as well.</p> <p>“At one point he had 20 seizures in one day,” says Chris, who recorded every seizure on a calendar, marking the time of seizure and the medication type and dosage, to try to find some rhyme or reason for Sammy’s seizures to help stop them.</p> <p>Generalized convulsive seizures—common to epilepsy—are especially scary because the person loses consciousness and has violent rhythmic muscle contractions. Unconsciousness can last several minutes, and people can wake up feeling confused and fatigued.</p> <p>“He would have seizures multiple days in a row, for days and days. We needed help, and it was hard to access a neurologist locally. When things were bad and we couldn’t reach anyone, we would have to call an ambulance and go the hospital,” Lorena says.</p> <p><strong>Coming to Stanford Children’s for epilepsy care</strong></p> <p>Lorena and Chris were unsure what to do. Then a coworker of Lorena’s recommended <a href="https://www.stanfordchildrens.org/en.html">Stanford Medicine Children’s Health</a>. She asked her local doctor for a referral.</p> <p>“I called the <a href="https://www.stanfordchildrens.org/en/services/epilepsy.html">Pediatric Epilepsy Center</a> at Stanford Children’s and we had an appointment the following week,” she says.</p> <p>The family came to Stanford Children’s, despite the over-three-hour drive. Sammy was admitted for a weekend to monitor his seizures with EEGs from Stanford Children’s Health’s advanced <a href="https://www.stanfordchildrens.org/en/services/electroencephalography-lab.html">Electroencephalography Lab</a> for children. He didn’t have any seizures during that time, which isn’t unusual given the unpredictability of seizures with epilepsy.</p> <p>To make things convenient for the family, nearly all subsequent appointments were provided virtually, and the Stanford team worked with area specialists to ensure consistent care for Sammy.</p> <p>“One of the most remarkable things about Sammy is that he would have big seizures very often and look pretty good in between,” says <a href="https://www.stanfordchildrens.org/en/doctor/emily-mathews-spelbrink.html">Emily Spelbrink, MD, PhD</a>, pediatric epileptologist.</p> <p>The family had learned that Sammy’s epilepsy was related to a very rare genetic condition called Nicolaides-Baraitser syndrome, which affects fewer than 300 people worldwide. <a href="https://www.stanfordchildrens.org/en/doctor/rebecca-jeannette-levy.html">Rebecca Levy, MD, PhD</a>, pediatric neuro-geneticist and medical director of the <a href="https://www.stanfordchildrens.org/en/services/neurogenomics.html">Neurogenomics Clinic</a> at Stanford Children’s, verified the diagnosis.</p> <p><strong>Trying several medications for refractory epilepsy</strong></p> <p>“The medical evidence on his rare genetic disorder is that epilepsy tends to be very refractory (uncontrolled by medicine), which was Sammy’s experience,” Dr. Spelbrink says. “To control his really large, really frequent seizures, we had to try the whole spectrum of medicines, ones that agreed with him and ones that didn’t.”</p> <p>Getting control is important, because uncontrolled convulsive seizures can be life-threatening. When frequent, they also can interfere with development and learning, and certainly with quality of life. This was very true for Sammy, who couldn’t run and play freely.</p> <p>While Stanford Children’s offers leading-edge surgery for epilepsy, including <a href="https://www.stanfordchildrens.org/en/services/neurosurgery/rosa.html">ROSA<img src="https://s.w.org/images/core/emoji/15.0.3/72x72/2122.png" alt="™" class="wp-smiley" style="height: 1em; max-height: 1em;" /> robotic surgery</a> with 3-D mapping, the <a href="https://www.stanfordchildrens.org/en/services/epilepsy/careteam.html">care team</a> starts with the least-invasive treatment: controlling seizures through medicines. The challenge was finding the right medicine in light of Sammy’s extremely rare genetic condition.</p> <p>Under the guidance of our expert team of pediatric epileptologists—who consider every angle and have exceptional experience in how medicines work in individual patients—Sammy tried several medications. Often, a new medication or a change in dose would provide a few weeks of relief from seizures, but then they would start again. The family dubbed these two-week breaks the “honeymoon phase.”</p> <p>“He was so happy and strong even when he had multiple seizures a day. We knew a cluster of seizures were over when he would finally wake up and smile, and say ‘Boo!’” Lorena says. “A couple hours later, you wouldn’t even know he had seizures and emergency medicine. He would be up and playing.”</p> <p>It was extremely hard for the family to wish and wait, and watch medications fail, or watch Sammy having side effects to drugs. Some made him drowsy; others made him clumsy or floppy.</p> <p>“When Sammy would go into a cluster of seizures, he would go into a period of stagnation developmentally. And when he had seizure control, even for just two weeks, he would pick up where he left off and be a normal kid,” Dr. Spelbrink says.</p> <p>All of Chris’s recordkeeping on Sammy’s seizures came in handy. When seizures are refractory, it’s helpful to know which medications work best with the fewest adverse side effects. The family could pinpoint more effective medications, which were then used and built upon.</p> <p>“We had a nice collaboration with the family. They were very attentive and had a really good sense of what was going on with Sammy. I felt like they were such good historians and observers that I could give them some leeway,” Dr. Spelbrink says.</p> <p>Lorena was extremely grateful for Dr. Spelbrink’s attentiveness. “I would call her and she would respond within the hour and often on the same day. What doctor does that?” she asks.</p> <p>The epilepsy team at Stanford Children’s offers 24/7 coverage for urgent questions and concerns. Doctors are able to call back in a timely manner and can set up quick virtual appointments as needed. The team’s responsiveness saved the family unnecessary emergency room visits and hospitalizations.</p> <p><strong>Finding the magic bullet: An off-label epilepsy medicine</strong></p> <p>Sammy was considered for a Stanford Children’s clinical drug trial, but he was too young to meet the criteria. However, Dr. Spelbrink had learned of a similar drug that was being used off-label in children with good results, called cenobamate. He was 3 years old at the time.</p> <p>“It is FDA-approved in adults but not yet in kids. It was featured at a national epilepsy conference, and there are promising research studies that show two new mechanisms of action, so we decided to give it a try,” Dr. Spelbrink says.</p> <p>Stanford Children’s epilepsy specialists stay abreast of the very latest treatments through their own research and others’. Dr. Spelbrink points to a recent <a href="https://pubmed.ncbi.nlm.nih.gov/39433725/" target="_blank" rel="noreferrer noopener">medical study</a> hot off the press that found that cenobamate achieves 90% to 100% seizure reduction in a quarter to a third of patients with drug-resistant epilepsy.</p> <p>The family held their breath as cenobamate, in combination with other drugs, controlled Sammy’s seizures. The two-week honeymoon phase came and went. Then another two weeks. Then a month, and another month. A year passed, with Sammy’s seizures fully under control.</p> <p>“He has had only one small seizure in a whole year. Now, we don’t even think about his epilepsy. I send him off to school and let him run and play without worrying,” Lorena says.</p> <p><strong>Living a seizure-free life</strong></p> <div class="wp-block-image"> <figure class="alignright size-full is-resized"><img decoding="async" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Sammy-1a-1.jpg" alt="Sammy Castillo" class="wp-image-26371" style="width:325px;height:auto"/></figure></div> <p>Sammy is developmentally delayed, related to his genetic condition and possibly also to years of frequent seizures, but he is catching up. “He loves basketball. We have a small hoop in the living room, and he’s accurate with his shots. And he can dribble. Before, he couldn’t do that,” Chris says.</p> <p>Lorena is convinced that if they hadn’t come to Stanford Children’s, it would have been a much longer road to seizure control. Sammy is learning to talk, and he attends transitional kindergarten. He’s happy and active. Recently, he danced the night away at a family wedding.</p> <p>“Being able to offer a patient the newest treatments is one reason I enjoy working at Stanford Children’s. The opportunity to provide hope for families is wonderful,” Dr. Spelbrink says. “If it was my child, I would want someone to stand beside me and not give up. That’s a real strength of our <a href="https://www.stanfordchildrens.org/en/services/epilepsy/careteam.html">epilepsy neurology team</a> at Stanford Children’s.”</p> <p>Because of her passion for helping young children with epilepsy, Dr. Spelbrink is co-leading a national consensus study to establish new standards of care for epilepsy in early life that take a multidisciplinary approach to care and testing, including developmental support and genetic evaluation—extra services that help her provide the very best care for Sammy.</p> <p>Sammy saw the <a href="https://www.stanfordchildrens.org/en/services/developmental-pediatrics.html">Developmental-Behavioral Pediatrics</a> team at Stanford Children’s so that a treatment plan could be created to help him catch up on his growth and learning milestones. The plan includes occupational therapy, physical therapy, and speech, which the Epilepsy Center’s case manager Perla Bautista-Muench helped set up close to home.</p> <p>As long as Sammy continues to be seizure-free, Dr. Spelbrink and her team will require only one or two visits a year, along with virtual visits as needed until he becomes an adult.</p> <p>“Sammy is totally beautiful. There’s color in his face, and he is always making eye contact. And he is so much more self-aware and calmer,” Lorena says. “He’s a typical, good boy.”</p> <p><a href="https://www.stanfordchildrens.org/en/services/epilepsy.html">Learn more about pediatric epilepsy care at Stanford Children’s ></a></p>

211. Stanford Medicine Recycles Every Day

     Fri, 15 Nov 2024 22:31:58 -0000

     

     Every Nov. 15 is America Recycles Day, a day dedicated to spreading awareness about recycling and the impact of recycling. Learn how to recycle right every day at Stanford Medicine Children’s Health!

     <div><img width="768" height="432" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/america-recycles-day-bins.jpg" class="attachment-768x768 size-768x768 wp-post-image" alt="Recycle bins in cafe." style="margin-bottom: 15px;" decoding="async" loading="lazy" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/america-recycles-day-bins.jpg 1200w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/america-recycles-day-bins-450x253.jpg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/america-recycles-day-bins-900x506.jpg 900w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/america-recycles-day-bins-768x432.jpg 768w" sizes="(max-width: 768px) 100vw, 768px" /></div> <p><em>Every Nov. 15 is America Recycles Day, a day dedicated to spreading awareness about recycling and the impact of recycling. Learn how to recycle right every day at Stanford Medicine Children’s Health!</em></p> <div class="wp-block-image"> <figure class="alignright size-full is-resized"><img loading="lazy" decoding="async" width="800" height="533" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/america-recycles-day-getty.jpg" alt="Image of recyclable items." class="wp-image-26337" style="width:459px;height:auto" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/america-recycles-day-getty.jpg 800w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/america-recycles-day-getty-450x300.jpg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/america-recycles-day-getty-768x512.jpg 768w" sizes="(max-width: 800px) 100vw, 800px" /></figure></div> <p>At Stanford Medicine Children’s Health, every day is a recycling day, thanks to our three-stream waste-sorting stations! From break rooms to conference rooms and the Harvest Café to the hallways, everyone at Stanford Children’s can make a difference just by disposing of waste properly. Remember to refer to the waste bin label before tossing your trash—we all win when we choose the right bin!</p> <p><strong>Why recycling? </strong>Recycling is an impactful way to reduce landfill waste. Landfill waste is harmful to human health and our environment. Recycling lets us create new items with previously used materials, reducing the need to continue using Earth’s supply of raw materials and natural resources.</p> <figure class="wp-block-image size-full"><img loading="lazy" decoding="async" width="800" height="467" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/america-recycles-day-bins-sm.jpg" alt="Recycle bins in cafe." class="wp-image-26340" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/america-recycles-day-bins-sm.jpg 800w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/america-recycles-day-bins-sm-450x263.jpg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/america-recycles-day-bins-sm-768x448.jpg 768w" sizes="(max-width: 800px) 100vw, 800px" /></figure> <p><strong>How does recycling work at Stanford Children’s?</strong> Let’s take a look at an aluminum can. Whether you prefer a Bubly water or a Coke, aluminum is a very recyclable material, and choosing aluminum over plastic improves the recyclability of your beverage.</p> <p>First, make sure your can is empty before tossing it in a blue bin with a mixed recycling label on it. That mixed recycling bin is lined with a light blue bag. Once the bag is full, our housekeeping team ties off the bag and places it in their cart to transport the recyclables to a soiled utility room. From the soiled utility room, housekeeping brings each bag of waste down to the dock in Stanford Health Care’s 300 Pasteur building.</p> <p>At the dock, blue bags of mixed recycling are placed in blue bins. Compostables in green bags are placed in the compost compactor, and landfill waste in clear bags is placed in the landfill compactor.</p> <p>Recycling service technicians then inspect each blue bag of mixed recycling, since contamination is not acceptable in our mixed recycling. Landfill waste or compostables identified in a blue bag of recyclables spoil the entire bag. If contamination is identified by the recycling service technicians, the entire bag must be sent to the landfill. All blue bags of mixed recycling that pass this inspection are compacted together and collected by GreenWaste of Palo Alto, the city’s waste-hauling company.</p> <p>GreenWaste performs another quality check to ensure that no nonrecyclable materials made it to them, then sorts the recyclables by material type. Like materials are sold in bulk to processors who recycle the materials, typically by melting them down and generating pellets that can be used to make new items. Contamination of our mixed recycling with landfill waste, compostables, or liquids makes it difficult to get clean materials for recycling—if your cardboard box is covered in food waste, the cardboard can’t be broken down into raw paper material because it would introduce rotting food into the recycled-paper stream; if your can or bottle still has liquid in it, it can’t be recycled because that liquid impacts the quality of the aluminum or plastic material when it is broken down to be used again.</p> <p><strong>What can I do?</strong> In a time when there are so many doubts about whether recyclable materials are actually being recycled, these strict no-contamination rules are even more important. The only chance your recyclables have to be recycled is if you sort them properly and avoid contaminating the mixed recycling bin. We can be confident that if sorted properly, our mixed recyclables are being used to create new items.</p> <p>This America Recycles Day, keep a few tips in mind to help with the quality of our recycling:</p> <ul class="wp-block-list"> <li>No liquids in the mixed recycling—empty your bottle or can before tossing it.</li> <li>No PPE in the mixed recycling—place PPE like gloves and masks in the landfill bin (unless soiled with blood, in which case use the red biohazard bin).</li> <li>Let others know that waste sorting matters—our waste does not all go to the same place.</li> </ul>

212. Bass Center Caregiver Wellness Event Fosters Community and Connection

     Tue, 12 Nov 2024 19:58:43 -0000

     

     In late September, a few dozen caregivers of children with cancer or blood or immunological disorders gathered on the Stanford campus to do something critical but often overlooked: carve out time to focus on their own wellness.

     <div><img width="768" height="432" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/bass-center-caregiver-wellness-event.jpg" class="attachment-768x768 size-768x768 wp-post-image" alt="Caregivers participating in a wellness event." style="margin-bottom: 15px;" decoding="async" loading="lazy" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/bass-center-caregiver-wellness-event.jpg 1200w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/bass-center-caregiver-wellness-event-450x253.jpg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/bass-center-caregiver-wellness-event-900x506.jpg 900w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/bass-center-caregiver-wellness-event-768x432.jpg 768w" sizes="(max-width: 768px) 100vw, 768px" /></div> <figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="900" height="381" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/caregiver-stretching-900x381.jpg" alt="Caregivers participating in a wellness event." class="wp-image-26324" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/caregiver-stretching-900x381.jpg 900w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/caregiver-stretching-450x191.jpg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/caregiver-stretching-768x325.jpg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/caregiver-stretching.jpg 1041w" sizes="(max-width: 900px) 100vw, 900px" /><figcaption class="wp-element-caption">Event helped attendees learn tools and techniques to enhance their wellness while caring for loved ones</figcaption></figure> <p>In late September, a few dozen caregivers of children with cancer or blood or immunological disorders gathered on the Stanford campus to do something critical but often overlooked: carve out time to focus on their own wellness.</p> <p>The event, the inaugural Bass Center Wellness Education Day for Pediatric Caregivers, was designed to help attendees learn valuable tools and techniques to enhance their wellness while caring for loved ones.</p> <p>The daylong event featured sessions on stress management, yoga, parent-child communication tips, art therapy, meditation, and more.</p> <p>“Traditionally, much of the focus during and after treatment is on the patient, and often the caregiver is told to be strong, but they need moments of respite and tools for wellness to process everything that is going on,” said Veronica DeRosa, BSN, RN, BA, NC-BC, CBC, a nurse coordinator who works with the Pediatric Stem Cell Transplantation program and a co-organizer of the event. “We wanted to address the needs of the caregiver.”</p> <p>Attendees said that they valued the helpful resources and tools, as well as the ability to connect with other caregivers.</p> <p>“I loved the community of like-minded people who were brought together to share, bond, and grow together through our traumas,” said one attendee.</p> <p>The event organizers are planning to offer similar resources and chances to connect in the future.</p> <p>“This event shows that our caregivers are hungry for support for themselves,” said co-organizer Sarah Simmons, RN, BSN. “They want tools to carry them along to better support their family. To have an institution that values this commitment to the caregiver and provides these tools and resources internally allows the caregiver to spend less time and energy searching, and more time working on themselves and spending time with their family.”</p>

213. Serving Our Nation and Patients

     Mon, 11 Nov 2024 16:30:00 -0000

     

     Every year, Veterans Day is a time to honor those who have served in the U.S. armed forces. We are recognizing some members of the Stanford Medicine Children’s Health team who reflect on their time in the military.

     <div><img width="768" height="433" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/IMG_3708-scaled-e1731103300810.jpeg" class="attachment-768x768 size-768x768 wp-post-image" alt="" style="margin-bottom: 15px;" decoding="async" loading="lazy" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/IMG_3708-scaled-e1731103300810.jpeg 1200w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/IMG_3708-scaled-e1731103300810-450x254.jpeg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/IMG_3708-scaled-e1731103300810-900x508.jpeg 900w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/IMG_3708-scaled-e1731103300810-768x433.jpeg 768w" sizes="(max-width: 768px) 100vw, 768px" /></div> <p>Every year, Veterans Day is a time to honor those who have served in the U.S. armed forces. We are recognizing some members of the Stanford Medicine Children’s Health team who reflect on their time in the military and how it applies to their roles in health care today.</p> <div class="wp-block-image"> <figure class="alignright size-large is-resized"><img loading="lazy" decoding="async" width="688" height="900" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Abigail-Amedia-688x900.jpg" alt="" class="wp-image-26310" style="width:246px;height:auto" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Abigail-Amedia-688x900.jpg 688w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Abigail-Amedia-344x450.jpg 344w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Abigail-Amedia-768x1004.jpg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Abigail-Amedia-1174x1536.jpg 1174w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Abigail-Amedia.jpg 1179w" sizes="(max-width: 688px) 100vw, 688px" /></figure></div> <p><strong>Abigail Amedia, RN, CPN, Clinical Nurse</strong></p> <p>“I separated from the Air Force as a Captain. I had the opportunity to deploy twice to Afghanistan and lead teams of multiple different specialties for each deployment and stateside. Serving in the military ultimately taught me an exceptional amount about selfless leadership and the importance of teamwork in accomplishing the goals in front of you.</p> <p>“I think my military experience applies to my role in health care in that I am still in a work setting where team members rely heavily on each other for support. Whether or not I’m in an official leadership position, I’ve learned that the best way to lead is to take care of the people around me by serving both my colleagues and my patients.”</p> <div class="wp-block-image"> <figure class="alignleft size-full is-resized"><img loading="lazy" decoding="async" width="255" height="384" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Marvin-Laron.jpg" alt="" class="wp-image-26299" style="width:181px;height:auto"/></figure></div> <p><strong>Marvin Laron, ROT, Senior Orthopedic Tech</strong></p> <p>“I served in the Marine Corps from 1993 to 1997. I learned teamwork, discipline, determination, enthusiasm, kindness, honor, and so many life skills. Today, as an orthopedic tech, I use these skills to work as a team to provide top-quality care and empathy for our patients. I am grateful for the ability to care for and help patients with their injuries and illnesses. </p> <p>&#8220;I am proud to have served my country. I have so many fond memories and lifelong friends from my time in the Marine Corps. Semper Fi.”</p> <p><strong>Kirsten Lepp,</strong> <strong>DNP, NNP-BC, RNC-NIC, Neonatal Nurse Practitioner</strong></p> <div class="wp-block-image"> <figure class="alignright size-large is-resized"><img loading="lazy" decoding="async" width="758" height="900" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Kirsten-Lepp-758x900.jpeg" alt="" class="wp-image-26301" style="width:270px;height:auto" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Kirsten-Lepp-758x900.jpeg 758w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Kirsten-Lepp-379x450.jpeg 379w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Kirsten-Lepp-768x911.jpeg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Kirsten-Lepp-1294x1536.jpeg 1294w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Kirsten-Lepp-1726x2048.jpeg 1726w" sizes="(max-width: 758px) 100vw, 758px" /></figure></div> <p>“I served as a critical care nurse in the Navy as active duty from 2010 to 2018 and continue to serve as a Navy reservist with 4th Medical Battalion out of San Diego, California. My responsibilities included critical and trauma care, the training of hospital corpsmen (medics), and management of sailors. The Navy taught me teamwork, resiliency, adaptability, attention to detail, and time management.</p> <p>“My military experiences afforded me the ability to work well under pressure and continue working when it is most difficult, whether that is emotionally or physically. Even though my Neonatal Intensive Care Unit role is different from my military role, I find that it keeps me curious about medicine and open to other approaches and perspectives.”</p> <div class="wp-block-image"> <figure class="alignright size-large is-resized"><img loading="lazy" decoding="async" width="695" height="900" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Christopher-Ross-695x900.jpg" alt="" class="wp-image-26303" style="width:262px;height:auto" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Christopher-Ross-695x900.jpg 695w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Christopher-Ross-348x450.jpg 348w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Christopher-Ross-768x994.jpg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Christopher-Ross-1187x1536.jpg 1187w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Christopher-Ross.jpg 1195w" sizes="(max-width: 695px) 100vw, 695px" /></figure></div> <p><strong>Christopher Ross, MBA, Data Center Manager</strong></p> <p>“I served from 1995 to 2000. The biggest lesson I learned was the value of a team that can accomplish the impossible with the right vision and the right leadership. Caring for your team is paramount to getting your mission accomplished on time and under budget.</p> <p>“At Stanford Children’s, we follow a framework of standards that guide how we communicate and interact with one another. It’s the embodiment of caring for your team. Looking for little, unspoken signs that your team members are struggling is an art form and one that my experience has taught me to be aware of. I love the values system we have at Stanford Children’s and the way we care for our people and our patients.”</p> <div class="wp-block-image"> <figure class="alignleft size-full is-resized"><img loading="lazy" decoding="async" width="376" height="466" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Miranda-Schmidt.png" alt="" class="wp-image-26307" style="width:255px;height:auto" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Miranda-Schmidt.png 376w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/Miranda-Schmidt-363x450.png 363w" sizes="(max-width: 376px) 100vw, 376px" /></figure></div> <p><strong>Miranda Schmidt, DNP, RN, NPD-BC, CCRN, Systems Level Nursing Professional Development Specialist</strong></p> <p>“Since I began serving in the military, my passion to serve others has deepened. I am currently a reservist, serving as a captain in the U.S. Air Force in charge of training and education for the 349th Aeromedical Staging Squadron at Travis Air Force Base in California supporting about 150 nurses, nursing assistants, and biomedical technicians. The team is often met with time-sensitive requests, which require us to rise to the challenge—usually exceeding expectations. I find that through these challenges our teamwork, endurance, resilience, camaraderie, and support for one another continue to strengthen and grow. My participation in the U.S. Air Force has given me a deeper sense of purpose to the greater global community, which helps support the work I do with Stanford Medicine Children’s Health.”</p>

214. From Premature Twins to Water Polo Pros

     Fri, 01 Nov 2024 15:00:00 -0000

     

     During National Prematurity Awareness Month, we’re sharing a story that proves that babies can have a bright future even if they are born too soon.

     <div><img width="768" height="432" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/reinke-boys-today-beanie-1200x675-1.jpg" class="attachment-768x768 size-768x768 wp-post-image" alt="Jake and Owen Reinke holding the beanies they received as premature babies at Stanford" style="margin-bottom: 15px;" decoding="async" loading="lazy" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/reinke-boys-today-beanie-1200x675-1.jpg 1200w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/reinke-boys-today-beanie-1200x675-1-450x253.jpg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/reinke-boys-today-beanie-1200x675-1-900x506.jpg 900w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/reinke-boys-today-beanie-1200x675-1-768x432.jpg 768w" sizes="(max-width: 768px) 100vw, 768px" /></div> <p><em>During National Prematurity Awareness Month, we’re sharing a story that proves that babies can have a bright future even if they are born too soon</em></p> <figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="900" height="506" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/reinke-boys-today-beanie-1200x675-1-900x506.jpg" alt="Jake and Owen Reinke holding the beanies they received as premature babies at Stanford" class="wp-image-26144" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/reinke-boys-today-beanie-1200x675-1-900x506.jpg 900w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/reinke-boys-today-beanie-1200x675-1-450x253.jpg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/reinke-boys-today-beanie-1200x675-1-768x432.jpg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/reinke-boys-today-beanie-1200x675-1.jpg 1200w" sizes="(max-width: 900px) 100vw, 900px" /></figure> <p>Parents who suddenly find themselves with a <a href="https://www.stanfordchildrens.org/en/topic/default?id=prematurity-90-P02401">premature baby</a>—or babies—are often overwhelmed and terrified by the fact that babies born preterm are at risk for more health problems at birth and later in life. Some immediate problems can be serious breathing trouble, bleeding in the brain, seizures, and feeding problems. Premature babies can have long-term health problems, too, like intellectual or developmental disabilities, behavioral challenges, and damage to their lungs, brain, and eyes.</p> <p>Happily, Jake and Owen Reinke are exceptions to the rule. The identical twins, who were born weighing just over 3 pounds each and spent the first weeks of their life in the <a href="https://www.stanfordchildrens.org/en/service/neonatology/neonatal-intensive-care-unit">Neonatal Intensive Care Unit (NICU)</a> at Stanford Medicine Children’s Health, are now almost 18 years old. They are healthy, accomplished athletes who both stand over 6 feet tall. Instead of dealing with lifelong ramifications of prematurity and their early hospitalization, they’re just like many other high school seniors and are currently looking around at colleges.</p> <p><strong>A stressful start</strong></p> <p>Kristin Reinke had Jake and Owen when she was 30 weeks pregnant. She’d been getting prenatal care through the Stanford Children’s <a href="https://www.stanfordchildrens.org/en/services/obstetrics.html">high-risk obstetrics</a> team, under the supervision of maternal-fetal medicine specialist <a href="https://www.stanfordchildrens.org/en/doctor/maurice-druzin.html">Maurice Druzin, MD</a>, because she has rheumatoid arthritis, an autoimmune disease. As part of her care, she had <a href="https://www.stanfordchildrens.org/en/services/perinatal-diagnostic-center/genetic-counseling.html">genetic counseling</a> and weekly ultrasounds—one of which set off alarm bells because it showed that there might be fluid on the babies’ brains. Then, at week 24, Kristin started to have contractions.</p> <p>The doctors carefully watched over Kristin for the next few weeks and gave her steroid treatments, which have been shown to <a href="https://www.stanfordchildrens.org/en/about/news/releases/2016/prenatal-steroids-reduce-risk-of-brain-bleeding-in-preemies.html">reduce the risk of brain bleeding</a> in preemies, and put her on bedrest. Still, Kristin delivered her sons 10 weeks early—the day after Christmas.</p> <div class="wp-block-image"> <figure class="alignright size-full is-resized"><img loading="lazy" decoding="async" width="450" height="274" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/premie-holding-beanie.jpg" alt="Premature baby holding a stuffed beanie." class="wp-image-26146" style="width:430px;height:auto"/></figure></div> <p>The first few days were complicated. Owen required oxygen for a short time, and both boys needed to be fed through feeding tubes. Thankfully, MRIs showed that neither of them had fluid in their brains. The first two weeks in the NICU were stressful for the new parents, and seeing the babies with peripherally inserted central catheter lines and hooked up to wires was hard. “But the NICU nurses were absolutely incredible and made us feel so comfortable,” says Kristin. “They helped us hold them to our chest and gave them Beanie Babies to have in their incubators.” While it’s incredible to think it now, Owen and Jake were actually the same size as those Beanie Babies at the time.</p> <p><strong>Playing catch-up</strong></p> <div class="wp-block-image"> <figure class="alignright size-full is-resized"><img loading="lazy" decoding="async" width="350" height="467" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/kristin-holding-premature-twins.jpg" alt="Kristin holding premature twins" class="wp-image-26148" style="width:329px;height:auto" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/kristin-holding-premature-twins.jpg 350w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/kristin-holding-premature-twins-337x450.jpg 337w" sizes="(max-width: 350px) 100vw, 350px" /></figure></div> <p>Owen and Jake were soon healthy enough to be transferred to the Stanford Medicine Children’s Health Special Care Nursery at <a href="https://www.stanfordchildrens.org/en/location/sequoia-hospital-redwood-city.html">Dignity Health Sequoia Hospital</a>, a Level II (intermediate) neonatal care unit located within the Sequoia Hospital Family Birth Center that’s staffed by doctors and nurses from Lucile Packard Children’s Hospital Stanford. Here, the babies’ care was overseen by the neonatal medicine specialist <a href="https://www.stanfordchildrens.org/en/doctor/k/katherine-r-mccallie.html">Katherine McCallie, MD</a>, and as they thrived, Kristin was able to hold them more and more. Three and a half weeks later, the babies were ready to go home.</p> <p>As toddlers, the boys were small for their age and were late in meeting milestones like walking. “But before we knew it, they were taller than everyone else their age and became these big, healthy kids,” says Kristin. One of the only setbacks they experienced was with reading. When they were in kindergarten and Kristin was told they were behind, she and the boys’ father—who’s a teacher—poured themselves into helping them. “We wanted to make sure they didn’t have any confidence issues that might go along with having a delay,” she says. Constantly reading with them paid off, and Owen and Jake were reading above their grade level by the time they were in fourth grade.</p> <p>As kids, the twins loved to be active and roughhouse just as much as other little boys. “They were always very physical with each other,” says Kristin. “Observing how they could each dish it out and take it, and seeing them get bigger, gave me the confidence they could physically be OK doing sports. And,” she confesses, “I was also hoping that sports would tire them out.” Owen and Jake naturally took to all kinds of athletics, and when they were 8 years old, they discovered water polo. “It’s not very easy to play this sport, and I like how physically demanding it is,” says Jake. They both play on their school team—one of the best in the country—as well as a Water Polo Club team and have even competed in the Junior Olympics.</p> <div class="wp-block-image"> <figure class="alignright size-full is-resized"><img loading="lazy" decoding="async" width="500" height="345" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/owen-and-jake-at-the-pool.jpg" alt="Owen and Jake holding a water polo award in front of a pool" class="wp-image-26150" style="width:458px;height:auto" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/owen-and-jake-at-the-pool.jpg 500w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/11/owen-and-jake-at-the-pool-450x311.jpg 450w" sizes="(max-width: 500px) 100vw, 500px" /></figure></div> <p>The twins share a friend group, and when they’re not training for water polo games, playing football, or golfing, they like to spend time hanging out with their friends, getting dinner, and doing other typical things that teenagers like to do. This includes thinking about what’s next. Jake is aiming to play water polo in college. Owen is recovering from a shoulder injury and is taking time off from the sport. Since they’re close, they agree that going to the same college would be ideal.</p> <p><strong>Smooth sailing after a stormy start</strong></p> <p>Being a former preemie means different things to different people. For some preemies, knowing the struggles that they went through, and that their parents went through, when they were newborns has shaped the direction of their lives, like these <a href="https://healthier.stanfordchildrens.org/en/micropreemie-twins-grow-up-and-give-back/#:~:text=National%20Prematurity%20Awareness%20Month%20is,medical%20care%20for%20these%20preemies.">24-year-old twins</a>, for example, who are both now pursuing careers in health care as a result of their family’s experience.</p> <p>As for the Reinke twins, they remain extremely grateful to Stanford Children’s. The brothers have gone a few times to the annual reunion for Stanford Children’s NICU grads, where they’ve been able to reunite with some of the medical team members who cared for them. Other than that, Jake and Owen don’t think too much about their dramatic debut. “I’ve never stressed about how I might have been different if I hadn’t been premature,” says Jake. Owen is on the same page. “We try to not let it affect us. We were told we were premature, but we never felt any different.”</p> <p>Not having to grapple with, or even consider, the ramifications of being a preemie is cause for celebration—though Kristin fondly remembers the NICU nurses caring for her babies and still appreciates how the nurses perked up their incubators with stuffed animals so many years ago. In fact, she’s kept them all. “I had Beanie Baby–sized kids, and now they are six feet tall,” she says. “Those two Beanie Babies will stay with us forever.”</p> <p>Learn more about our <a href="https://www.stanfordchildrens.org/en/services/neonatology/neonatal-intensive-care-unit.html"><strong>exceptional care</strong></a> for preemies and infants with critical care needs.</p> <p><a id="_msocom_1"></a></p>

215. Gourd Vibes Only: Patients and Staff Enjoy Terror-ific Halloween Fun at Stanford Medicine Children’s Health

     Thu, 31 Oct 2024 21:58:37 -0000

     

     Doctors, nurses, therapists, hospital staff and volunteers at Lucile Packard Children’s Hospital Stanford gave patients a Halloween celebration to remember.

     <div><img width="768" height="432" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Trick-or-treat-trail-2024-1200x675-1.jpg" class="attachment-768x768 size-768x768 wp-post-image" alt="Boy in spiderman costume fills trick-or-treat bag" style="margin-bottom: 15px;" decoding="async" loading="lazy" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Trick-or-treat-trail-2024-1200x675-1.jpg 1200w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Trick-or-treat-trail-2024-1200x675-1-450x253.jpg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Trick-or-treat-trail-2024-1200x675-1-900x506.jpg 900w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Trick-or-treat-trail-2024-1200x675-1-768x432.jpg 768w" sizes="(max-width: 768px) 100vw, 768px" /></div> <figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="900" height="599" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_5991-900x599.jpg" alt="" class="wp-image-26198" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_5991-900x599.jpg 900w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_5991-450x299.jpg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_5991-768x511.jpg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_5991-1536x1022.jpg 1536w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_5991-2048x1363.jpg 2048w" sizes="(max-width: 900px) 100vw, 900px" /></figure> <p>Doctors, nurses, therapists, hospital staff and volunteers at&nbsp;<a href="https://www.stanfordchildrens.org/">Lucile Packard Children’s Hospital Stanford</a>&nbsp;all went the extra mile to give patients the ‘BOOst’ they need to feel better this Halloween.</p> <p>Young patients and hospital staff who were dressed as superheroes, forest creatures, Minions, and Super Mario took to the hospital’s annual Trick-or-Treat Trail<em>. </em>The Dawes Garden transformed into a spook-tacular festival with more than 50 different trick-or-treat booths. Each had a different theme from Sesame Street to Disney Villains, bringing smiles to the little trick-or-treaters. Healthy Humor&#8217;s clowns provided entertainment to those making their way to each stop.</p> <div class="wp-block-image"> <figure class="alignleft size-large is-resized"><img loading="lazy" decoding="async" width="900" height="675" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_E1656-900x675.jpg" alt="" class="wp-image-26215" style="width:305px;height:auto" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_E1656-900x675.jpg 900w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_E1656-450x338.jpg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_E1656-768x576.jpg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_E1656-1536x1152.jpg 1536w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_E1656-2048x1536.jpg 2048w" sizes="(max-width: 900px) 100vw, 900px" /></figure></div> <p>For more than 30 years,&nbsp;the Halloween event has been a welcome distraction for kids — and their families and friends — to enjoy and experience the Halloween fun even while being hospitalized. Molly Williamson has been at the hospital since September as her 7-month-old son Harvey is being treated. It was his first day outside after surgery and he gets to celebrate with his siblings.</p> <p>“This was more than we could have expected. My oldest son was really worried about missing Halloween, so they’re all having a really good time. We’re from Missouri, so it’s very nice to be able to do this as a family even though we’re so far away from home,” she said.</p> <figure class="wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex"> <figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="900" height="599" data-id="26211" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_5996-900x599.jpg" alt="" class="wp-image-26211" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_5996-900x599.jpg 900w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_5996-450x299.jpg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_5996-768x511.jpg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_5996-1536x1022.jpg 1536w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_5996-2048x1363.jpg 2048w" sizes="(max-width: 900px) 100vw, 900px" /></figure> <figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="599" height="900" data-id="26207" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6103-599x900.jpg" alt="" class="wp-image-26207" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6103-599x900.jpg 599w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6103-299x450.jpg 299w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6103-768x1154.jpg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6103-1022x1536.jpg 1022w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6103-1363x2048.jpg 1363w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6103-scaled.jpg 1703w" sizes="(max-width: 599px) 100vw, 599px" /></figure> <figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="599" height="900" data-id="26203" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_5820-599x900.jpg" alt="" class="wp-image-26203" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_5820-599x900.jpg 599w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_5820-299x450.jpg 299w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_5820-768x1154.jpg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_5820-1022x1536.jpg 1022w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_5820-1363x2048.jpg 1363w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_5820-scaled.jpg 1703w" sizes="(max-width: 599px) 100vw, 599px" /></figure> <figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="802" height="900" data-id="26209" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6158-802x900.jpg" alt="" class="wp-image-26209" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6158-802x900.jpg 802w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6158-401x450.jpg 401w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6158-768x861.jpg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6158-1370x1536.jpg 1370w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6158-1826x2048.jpg 1826w" sizes="(max-width: 802px) 100vw, 802px" /></figure> <figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="900" height="599" data-id="26200" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6165-900x599.jpg" alt="" class="wp-image-26200" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6165-900x599.jpg 900w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6165-450x299.jpg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6165-768x511.jpg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6165-1536x1022.jpg 1536w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6165-2048x1363.jpg 2048w" sizes="(max-width: 900px) 100vw, 900px" /></figure> <figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="900" height="599" data-id="26213" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6039-900x599.jpg" alt="" class="wp-image-26213" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6039-900x599.jpg 900w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6039-450x299.jpg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6039-768x511.jpg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6039-1536x1022.jpg 1536w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/JF6_6039-2048x1363.jpg 2048w" sizes="(max-width: 900px) 100vw, 900px" /></figure> </figure> <p>Inside the hospital,&nbsp;<a href="https://www.stanfordchildrens.org/en/patient-family-resources/child-and-family-life#toppick">Child Life Specialists</a>&nbsp;and care team members walked the halls of the units with decorated carts delivering Halloween treat bags to patients who could not physically attend the event.</p> <p>Nurses in the <a href="https://www.stanfordchildrens.org/en/services/neonatology/neonatal-intensive-care-unit.html">neonatal intensive care unit</a> (NICU) prepared something sweet for newborn babies experiencing their first Halloween. This year, they donned costumes featuring cupcakes, ice cream cones, and candy bars as the unit turned into a sweets shop. Hannah Ramthun, a nurse in the Lucile Packard Children’s Hospital NICU, dressed up as an ice cream scoop to match one of the patients she cares for.</p> <p>“It’s just a good bond we have together,” Ranthum said. “We get to celebrate his first Halloween and he’s been here for 8 months so it’s a big celebratory day. It’s extra special that we get to normalize being here and celebrate the small milestones and the big ones as well.”</p> <figure class="wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-2 is-layout-flex wp-block-gallery-is-layout-flex"> <figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="675" height="900" data-id="26221" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_4207-675x900.jpg" alt="" class="wp-image-26221" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_4207-675x900.jpg 675w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_4207-338x450.jpg 338w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_4207-768x1024.jpg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_4207-1152x1536.jpg 1152w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_4207-1536x2048.jpg 1536w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_4207-scaled.jpg 1920w" sizes="(max-width: 675px) 100vw, 675px" /></figure> <figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="675" height="900" data-id="26225" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_4222-675x900.jpg" alt="" class="wp-image-26225" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_4222-675x900.jpg 675w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_4222-338x450.jpg 338w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_4222-768x1024.jpg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_4222-1152x1536.jpg 1152w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_4222-1536x2048.jpg 1536w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_4222-scaled.jpg 1920w" sizes="(max-width: 675px) 100vw, 675px" /></figure> <figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="900" height="675" data-id="26219" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_1602-900x675.jpg" alt="" class="wp-image-26219" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_1602-900x675.jpg 900w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_1602-450x338.jpg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_1602-768x576.jpg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_1602-1536x1152.jpg 1536w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/IMG_1602-2048x1536.jpg 2048w" sizes="(max-width: 900px) 100vw, 900px" /></figure> </figure> <p>The entire Stanford Medicine Children’s Health community also participated in the fun. Several clinics participated in a costume contest and transformed their offices with ghostly fun decorations. Nearly 20&nbsp;<a href="https://www.stanfordchildrens.org/en/service/pediatrics-general">Stanford Children’s pediatric clinics</a>&nbsp;participated in the 10^th annual pumpkin decoration contest. This year’s theme featured children’s books with the talented teams of medical staff painting, bedazzling, and drawing on pumpkins to recreate beloved tales like <em>Where the Wild Things Are</em>, <em>One Fish Two Fish Red Fish Blue Fish</em>, and <em>The Very Hungry Caterpillar</em>. The most fa-boo-lous team wins bragging rights.</p> <p>The effort to bring joy across the Stanford Children’s community is recognized by patients and families.<a></a></p> <figure class="wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-3 is-layout-flex wp-block-gallery-is-layout-flex"> <figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="377" height="502" data-id="26227" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Best-Pumpkin-Entry-1.jpg" alt="" class="wp-image-26227" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Best-Pumpkin-Entry-1.jpg 377w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Best-Pumpkin-Entry-1-338x450.jpg 338w" sizes="(max-width: 377px) 100vw, 377px" /></figure> <figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="675" height="900" data-id="26235" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Best-Pumpkin-Entry-8-675x900.png" alt="" class="wp-image-26235" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Best-Pumpkin-Entry-8-675x900.png 675w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Best-Pumpkin-Entry-8-337x450.png 337w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Best-Pumpkin-Entry-8-768x1024.png 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Best-Pumpkin-Entry-8-1152x1536.png 1152w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Best-Pumpkin-Entry-8-1535x2048.png 1535w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Best-Pumpkin-Entry-8.png 1764w" sizes="(max-width: 675px) 100vw, 675px" /></figure> <figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="600" height="800" data-id="26229" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Image-22.jpeg" alt="" class="wp-image-26229" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Image-22.jpeg 600w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Image-22-338x450.jpeg 338w" sizes="(max-width: 600px) 100vw, 600px" /></figure> <figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="900" height="675" data-id="26233" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Image-24-900x675.jpeg" alt="" class="wp-image-26233" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Image-24-900x675.jpeg 900w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Image-24-450x338.jpeg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Image-24-768x576.jpeg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Image-24-1536x1152.jpeg 1536w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/Image-24-2048x1536.jpeg 2048w" sizes="(max-width: 900px) 100vw, 900px" /></figure> <figure class="wp-block-image size-large"><img loading="lazy" decoding="async" width="900" height="675" data-id="26231" src="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/NeuroHalloween5-900x675.jpg" alt="" class="wp-image-26231" srcset="https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/NeuroHalloween5-900x675.jpg 900w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/NeuroHalloween5-450x338.jpg 450w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/NeuroHalloween5-768x576.jpg 768w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/NeuroHalloween5-1536x1152.jpg 1536w, https://healthier.stanfordchildrens.org/wp-content/uploads/2024/10/NeuroHalloween5.jpg 1794w" sizes="(max-width: 900px) 100vw, 900px" /></figure> </figure>