Study finds health care utilization is increased in high-risk children who have a sleep disorder

The risk of increased health care utilization among children with a chronic medical condition is higher for those who also have a sleep disorder, according to a new study that examined Medicaid claims data.

Powered by WPeMatico

More than 18,000 excess tuberculosis cases in the US attributable to structural racism: Study

A robust analysis of national tuberculosis (TB) surveillance data found continuing, persistent disparities in TB incidence among U.S.-born racial and ethnic minorities, despite an overall decrease in cases observed during the analysis period. The authors conclude that structural racism is largely to blame. The analysis is published in Annals of Internal Medicine.

Powered by WPeMatico

Lower levels of albuminuria associated with increased risk for chronic kidney disease progression and kidney failure

A study of patients with chronic kidney disease (CKD) found a substantial excess risk for CKD progression and kidney failure as albuminuria (protein in the urine) increased, even at levels below 30 mg/g. These findings raise questions about the best time to start treatment to reduce protein in urine, and whether lowering albumin levels further could improve health outcomes in people with CKD who already have relatively low levels of albumin in their urine. The findings are published in Annals of Internal Medicine.

Powered by WPeMatico

Little guidance exists for treating inpatients with asymptomatic high blood pressure, review finds

A systematic review of 14 clinical practice guidelines found that guidance on inpatient management of elevated blood pressure (BP) without symptoms is lacking. According to the authors, this lack of guidance may contribute to variable practice patterns. The review is published in Annals of Internal Medicine.

Powered by WPeMatico

A Texan has contracted H5N1 bird flu: CDC calls threat to public ‘low’

An unnamed person in Texas had been diagnosed with the H5N1 avian flu after close contact with infected dairy cattle, the U.S. Centers for Disease Control and Prevention reported Monday.

Powered by WPeMatico

5 Epilepsy Myths Debunked by Neurologist – Dr Rahul Chawla

Epilepsy is a neurological disorder characterized by
recurrent, unprovoked seizures.

Seizures are sudden, uncontrolled electrical disturbances in
the brain that can manifest in various ways, depending on the part of the brain
affected.

A seizure is the event. Epilepsy is the disease associated
with spontaneously recurring seizures.

Operational Definition of Epilepsy (ILAE 2014)

Epilepsy is a neurological disorder characterized by
recurrent, unprovoked seizures; defined by any of the following conditions:

1. A least two unprovoked (or reflex) seizures occurring
>24 h apart.

2. One unprovoked (or reflex) seizure and a probability of
further seizures similar to the general recurrence risk (at least 60%) after
two unprovoked seizures, occurring over the next 10 years.

3. Diagnosis of an epilepsy syndrome.

There have been a lot of misconceptions in India regarding
epilepsy. Here are 5 Common myths around Epilepsy:

MYTH 1

Epilepsy is caused
by Evil Spirit. It is a Mental Illness.

FACT

  • Epilepsy is a neurological condition.
  • Epilepsy affects mental health and patients may
    have coexisting mental health issues, but it’s not a mental illness.

MYTH 2

Epilepsy Can Be Cured by Home Remedies

FACT

  • Epilepsy requires anti-seizure medications, which
    have to be taken after consultation with a neurologist or physician.
  • Epilepsy cannot be cured by home remedies or
    alternative therapies alone.

MYTH 3

Epilepsy is Contagious

FACT

  • Epilepsy is not contagious.
  • It’s a neurological disorder, not an infectious
    disease.

MYTH 4

Epilepsy Medications Are Addictive

FACT

  • Epilepsy medications are not addictive.
  • Epilepsy medications can effectively control
    seizures, allowing people to lead normal lives.

MYTH 5

Epilepsy requires patients to take life-long medications

FACT

  • The duration of treatment depends on the
    etiology.
  • The duration is likely to extend if the patient
    has seizure despite taking anti-epileptic medication and requires escalation of
    medications.
  • Certain genetic epilepsy syndromes may warrant
    life-long anti-epileptic treatment.

Patients with well controlled seizure and normal EEG and MRI
Brain after 3 years are candidates for tapering and cessation of anti-seizure
medications under supervision.

Epilepsy is a treatable condition. It is important to find
the cause for epilepsy and treat for desired time duration. If not treated,
recurrent seizures predispose patients to status epilepticus, which is a life-threatening
condition.

Patients with uncontrollable epilepsy are also at risk for
SUDEP (sudden unexpected death in epilepsy patients). Hence, it is necessary to
be under regular follow up and strict compliance to medications to be ensured.

Disclaimer: The views expressed in this article are of the author and not of Medical Dialogues. The Editorial/Content team of Medical Dialogues has not contributed to the writing/editing/packaging of this article.

Powered by WPeMatico

Alembic Pharma ropes in Manish Kejriwal as Independent Director

Mumbai: Alembic Pharmaceuticals Limited has appointed Manish Kejriwal as an Independent Director of the company for the period of five consecutive years effective from March 31, 2024. Kejriwal brings over 30 years of experience in private equity investments and is currently the founder and Managing Partner of Kedaara Capital.

Prior to founding Kedaara Capital, Kejriwal served as the head of the India office of Temasek Holdings Pte. Ltd., managing all investments and activities. He also held a prominent role as a Partner at McKinsey & Company, Inc., where he co-founded “The Private Equity Practice” and authored influential reports such as the “NASSCOM McKinsey reports.”

Kejriwal holds an AB degree in Engineering Sciences from Dartmouth College and an MBA from Harvard University, where he graduated with high distinction as a Baker Scholar. He currently serves on the boards of Bajaj Finserv Limited, Bajaj Holdings Investment Limited, various Kedaara investee companies, and K Raheja Corp Investment Managers Private Limited.

An active member of the Young Presidents’ Organization (YPO) and a Young Global Leader (YGL) recognized by the World Economic Forum, Kejriwal is deeply involved in education initiatives, including the United World College movement and Ashoka University. He has authored articles on private equity in India, featured in leading publications, and is a sought-after speaker at conferences worldwide.

Read also: Alembic Pharma Gets CDSCO Panel Nod to Study FDC Carbidopa, Levodopa ER Capsule for export purpose only

Alembic Pharmaceuticals Limited is a vertically integrated research and development pharmaceutical company, has been at the forefront of healthcare since 1907. Headquartered in India, Alembic is a publicly listed company that manufactures and markets generic pharmaceutical products all over the world. Alembic’s state of the art research and manufacturing facilities are approved by regulatory authorities of many developed countries including the US FDA. 

Read also: Alembic Pharma Slashes the Price of Tofastar by 50% for Benefit of Rheumatoid Arthritis Patients

Powered by WPeMatico

How to Elevate Metabolic Health with Exercise Snacks? – Dr Arvind Bhateja

In the hustle and bustle of our daily lives, finding time for a full workout can be challenging. However, there’s good news for those who crave a healthier lifestyle without sacrificing precious time – the exercise snack. These bite-sized bursts of activity might be the secret ingredient to enhancing your metabolic health says Dr. Arvind Bhateja.

Why Vigorous Physical Activity Matters?

In the pursuit of good metabolic health, vigorous physical activity stands out as a powerful ally. The key lies in its ability to kick-start your metabolism, prompting the body to burn calories more efficiently. As we engage in these short, intense bursts of movement, our muscles demand increased energy, leading to a cascade of metabolic reactions that ultimately contribute to improved overall health.

The Art of the Exercise Snack

Unlike traditional workouts that demand dedicated time slots, exercise snacks are mini-sessions designed to seamlessly fit into your daily routine. Whether it’s a quick sprint up the stairs, a brisk walk around the block, or a series of jumping jacks during a work break, these micro-workouts can be tailored to your schedule.

The beauty of exercise snacks lies in their flexibility. No need for elaborate equipment or a gym membership – just a willingness to move. Incorporating these bite-sized sessions into your routine ensures that even the busiest individuals can prioritize their health without feeling overwhelmed.

Fueling Fat Oxidation and Mastering Glucose Control

One of the remarkable benefits of exercise snacks is their impact on fat oxidation and glucose control. The brief but intense nature of these bursts challenges the body to tap into its fat stores for energy, promoting fat metabolism. This, in turn, contributes to weight management and a leaner physique.

Moreover, regular bouts of vigorous activity enhance insulin sensitivity, helping regulate blood sugar levels. For those concerned about diabetes or simply aiming to maintain stable energy throughout the day, exercise snacks provide a natural and accessible solution.

Incorporating Exercise Snacks into Your Lifestyle

Now that the benefits are clear, the next step is to seamlessly integrate exercise snacks into your daily life. Consider taking the stairs instead of the elevator, opting for a brisk walk during lunch, or engaging in a quick set of bodyweight exercises at home. The key is to find opportunities throughout the day to move and elevate your heart rate.

Remember, consistency is key. Aim for at least three to five exercise snacks per day, ensuring that they become a natural part of your routine. Over time, these small efforts add up to significant improvements in metabolic health, leaving you feeling energized and revitalized.

The exercise snack is not just a fleeting trend but a practical and effective approach to achieving good metabolic health. By embracing these bite-sized bursts of activity, you can seamlessly infuse vitality into your daily routine, promoting fat oxidation, optimizing glucose control, and ultimately crafting a lifestyle that prioritizes your well-being.

So, lace up those sneakers and start snacking your way to a healthier, more vibrant you!

Disclaimer: The views expressed in this article are of the author and not of Medical Dialogues. The Editorial/Content team of Medical Dialogues has not contributed to the writing/editing/packaging of this article.

Powered by WPeMatico

South Korea Doctors’ Strike: President Says Won’t back down over medical reforms

Seoul: Amid the South Korean doctors’ protest against the government for over a month now, President Yoon Suk Yeol vowed on Monday not to back down in the face of vehement protests by doctors seeking to derail his plan to drastically increase medical school admissions, as he called their walkouts “an illegal collective action” that poses “a grave threat to our society.” 

About 12,000 medical interns and residents in South Korea have been on strike for six weeks, causing hundreds of cancelled surgeries and other treatments at university hospitals. In support of their action, many senior doctors at their teaching schools have also submitted resignations though they haven’t stopped treating patients.

According to the AP news agency, Public surveys show that a majority of ordinary South Koreans support the government plan. But observers say many people are increasingly fed up with the protracted confrontation between the government and doctors, threatening to deal a blow to governing party candidates ahead of next week’s parliamentary elections.

In a nationally televised address, President Yoon Suk Yeol said adding 2,000 medical students is the minimum increase needed to address a shortage of physicians in rural areas, the military and essential but low-paying professions like paediatrics and emergency departments. Yoon said South Korea’s doctor-to-patient ratio — 2.1 physicians per 1,000 people — is far below the average of 3.7 in the developed world.

“Increasing the number of doctors is a state project that we can’t further delay,” Yoon said.

Yoon urged the striking doctors to return to work, saying they have a responsibility to protect people’s lives in line with the local medical law. He also said the government remains open to talks if doctors come up with a unified proposal that adequately explains their calls for a much smaller increase in the medical school enrollment quota.

“I can’t tolerate an attempt to carry through their thoughts by force without due logic and grounds,” Yoon said. “The illegal collective action by some doctors has become a grave threat to our society.”

Yoon said the recruitment plan won’t lead to lower earnings for doctors, citing what he called expected increases in national income and demand for medical services in the fast-ageing society. He said the average income of South Korean doctors is the highest in the developed world.

Later Monday, the Korean Medical Association, which represents doctors in South Korea, criticized Yoon for repeating what his government has already argued to support the recruitment plan.

“It was an address that brought us greater disappointment because we had high hopes” for some changes in the government’s position, Kim Sung-geun, a spokesperson for KMA’s emergency committee, told reporters.

Yoon said the government is taking final administrative steps to suspend the licenses of the strikers but added he doesn’t want to punish the young doctors. This implies that his government is willing to soften punitive measures on the strikers if they return to work soon.

Yoon recently ordered officials to pursue “a flexible measure” to resolve the dispute and seek constructive consultations with doctors at the request of ruling party leader Han Dong-hoon.

It’s unclear if the government and doctors can find a breakthrough to settle their standoff anytime soon. Last week, KMA elected Lim Hyun-taek, a hardliner who has called for a decrease in the medical school admission cap, as its new chief.

After his election Tuesday, Lim said that doctors can sit down for talks with the government if Yoon apologizes and dismisses top health officials involved in the recruitment plan. Lim also threatened to launch an all-out fight if any doctors received punitive steps over their recent protests. 

Also read- Medical School Admission Seats: South Korea’s Medical Professors Announce To Join Protests

What could be the reason behind the doctors’ protest?

South Korea has a universal healthcare system funded by a public health insurance system though most doctors work in private practices and hospitals are usually privately owned.

As per the Jagran news report, the current working conditions in the medical field in South Korea are causing dissatisfaction among junior doctors. They feel that the compensation they receive does not adequately reflect the long hours they work, and they are urging the government to prioritize addressing these urgent concerns rather than focusing on increasing the number of doctors in the country.

The government plans to increase admissions to medical schools by 2,000 starting in 2025 from 3,000 now to fill what it projects to be a large shortfall of doctors by 2035.

Some medical professionals pointed out that the government’s plans will do little to fix the near-term situation as they lack proper measures to shore up essential services and rural areas grappling with a deepening shortage of doctors. It also takes around 10 years for a doctor to be fully trained.

According to a Reuters report, junior doctors or trainees typically work 80 to 100 hours, five days a week – meaning up to 20 hours a day. Protesting doctors said these working conditions need to be addressed by hiring more senior staff and not increasing the number of trainees or junior doctors.

The five biggest hospitals in Seoul — Seoul National University Hospital, Seoul Asan Medical Center, Samsung Medical Center, Severance Hospital and Seoul St. Mary’s Hospital — play a key role in providing medical care for patients in critical conditions.

Doctors counter that schools can’t handle such an abrupt increase in students and that it would eventually hurt the country’s medical services. But critics say, doctors, one of the best-paid professions in South Korea, are simply worried that the supply of more doctors would result in lower future incomes.

The striking junior doctors represent a fraction of the total doctors in South Korea — estimated at 115,000 by Yoon and 140,000 by a doctors’ association. But in some major hospitals, they account for about 30% to 40% of doctors, assisting qualified doctors and department chiefs during surgeries and other treatments while training.

Doctors say the government enrollment plan lacks measures to resolve key medical issues such as how to increase the number of physicians in some key but unpopular professions. They say newly recruited students would also try to work in the capital region and high-paying fields like plastic surgery and dermatology. They say the government plan would also likely result in doctors performing unnecessary treatments due to increased competition.

Also read- South Korea Doctors Strike: Health Ministry Notifies 2 Doctors Of License Suspension

Powered by WPeMatico

Faridabad optometrist crushed to death by speeding tractor

Gurgaon: In an unfortunate incident, a 24-year-old optometrist from Faridabad lost her life in an accident after a tractor collided with her scooter from behind and crushed her.

According to the police, the driver reportedly collided with the doctor’s scooter from the rear. Consequently, she was thrown off and the driver purportedly drove his truck over the deceased. 

In response to the accident, the police arrested the accused on Sunday based on a complaint filed by the deceased father who demanded stringent action against the accused. However, he has been released on bail after being produced in court the same day.

Also read- Tragic: 2 Second-Year MBBS Student Dies In Bike Accident In Coimbatore

In his complaint, the father said, “The tractor was being driven in a rash manner. Immediately after the accident, the driver fled from the spot. Please initiate stringent legal action against him.”

As per a TOI news report, the doctor aged 24 was on her way home from the hospital with her father who was riding a bike a few metres behind her when the incident occurred around 4 pm on Saturday in sector 55. 

Following the accident, the doctor’s father along with local police, rushed Saifi to a nearby hospital where she was declared dead on arrival by the doctors.

Later, an FIR was registered under sections 304A (causing death due to rash or negligent act) and 279 (rash driving on a public way) of the Indian Penal Code (IPC) at the Sector 58 police station.

ASI Anil Kumar from the Sector 58 police station told The Daily, “The accused confessed to have driven negligently. He fled the spot but passersby were able to note down the vehicle registration number and passed it on to the police.”

An investigation into the case is underway. 

Also read- Doctor, 2 Others Killed After Car Collides With Electric Pole In UP

Powered by WPeMatico