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Editor-in-Chief eMediNexus – Dr KK Aggarwal
2nd August 2018
Leaving against medical advice: DAMA vs LAMA vs DOPR

Dr KK Aggarwal, Recipient of Padma Shri

Patients leaving against medical advice are a common worldwide problem in hospitals, both in wards and emergency departments. Such patients have been variously labeled as DAMA, LAMA, absconding or DOPR. DAMA or discharge against medical advice is when the patient discharges himself from the hospital, but the discharge has not been authorized by the treating doctor.

LAMA or left against medical advice again means that the patient leaves the hospital against the advice of the doctor; but, a LAMA patient may also leave without informing or the patient may walk out of the ward. A patient who leaves the hospital without informing the ward/hospital staff can also be said to be absconding. more

Top News

Lifestyle diseases in India

According to ICMR India State-Level Disease Burden Study report “India: Health of the Nation’s States”, the estimated proportion of all deaths due to Non-Communicable Diseases (NCDs) has increased from 37.09% in 1990 to 61.8% in 2016, stated the Minister of State (Health and Family Welfare), Smt Anupriya Patel in a written reply in the Rajya Sabha.... read more

US FDA updates its watch list

The US FDA has updated its watch list, which includes 27 drugs or drug classes for which there is new safety information or possible signs of serious risk. This updation is based on serious risks/new safety information identified from the FDA Adverse Event Reporting System (FAERS)... read more

Morning Medtalks

Morning MEDTalks with Dr KK Aggarwal 2nd August 2018

DAMA vs LAMA after Stenting A new study of more than 2 million PCI procedures shows that patients who discharged against medical advice (DAMA) are uncommon but are twice as likely to be readmitted with an acute myocardial infarction (MI) as those discharged home. If DAMA patients are readmitted with MI, the mortality rate is double that of non-DAMA patients readmitted with MI... read more

Practice Updates

Iobenguane I 131 (Azedra) gets FDA go ahead for rare neuroendocrine tumors

The US Food and Drug Administration (FDA) has approved iobenguane I 131 (Azedra, Progenics Pharmaceuticals) to be administered intravenously for the treatment of pheochromocytoma or paraganglioma, which are rare neuroendocrine tumors of the adrenal gland and other tissue ... read more

A new drug to treat thrombocytopenia in adults with chronic liver disease

Lusutrombopag (Mulpleta, Shionogi Inc), a new drug for the treatment of thrombocytopenia in adults with chronic liver disease scheduled to undergo a medical or dental procedure by the US Food and Drug Administration (FDA). ... read more

Study shows fidaxomicin as a better treatment option for recurrent C. difficile infection

Results of a systematic review and network meta-analysis published online July 16, 2018 in The Lancet Infectious Diseases show fidaxomicin to be a better treatment option for recurrent Clostridium difficile infection compared to vancomycin as it provides a sustained symptomatic cure most frequently. The study recommends against metronidazole as treatment for C. difficile ... read more

Drinking alcohol while breastfeeding may reduce cognitive development in offspring

According to a new study published online July 30, 2018 in the journal Pediatrics, exposing babies to alcohol through breastmilk may reduce their cognitive abilities at 6-7 years of age. These reductions in cognitive abilities were not seen in babies who never breastfed, suggesting a ... read more

Arterial stiffness associated with increased risk of dementia in older adults

Results from the longitudinal Pittsburgh Cardiovascular Health Study-Cognition (CHS-CS) show that among adults in their 70s at baseline, higher large-artery stiffness, measured by carotid-femoral pulse wave velocity (cfPWV), independently predicted higher dementia risk over 15 ... read more

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A Submucous cleft palate
B Bifid uvula
C Significant history of nasal regurgitation as an infant
D All of the above
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Lifestyle Updates
Inspirational Story 1: Believe in Yourself
Inspirational Story 2: An interesting story
Childhood obesity a new pandemic in India especially among Delhi kids
About 10% of children in the 10 to 18 age group are diabetic
New Delhi, 01 August 2018: According to a recent survey, about 30% of children attending private schools in Delhi are obese and many of them suffer from pre-diabetic and hypertensive conditions. This alarming rise in obesity make prevention and management an urgent need of the hour. About 10% of the newly diagnosed diabetes patients are in the 10 to 18 age group.

Many school canteens in the city serve unhealthy food such as deep-fried snacks and high-sugar beverages. Most of them are also unaware of their students’ eating habits. What further complicates the situation is the presence of additional risk factors such as family history of the condition, and an unhealthy lifestyle.

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