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New Delhi, August 29, 2018
No aspirin in diabetes. In the ASCEND trial, aspirin significantly reduced the risk for serious vascular events by 12% but also significantly increased the risk for major bleeding by 29%. No effect on gastrointestinal or any other cancer was seen. Aspirin is not needed in patients with good control of blood sugar, blood pressure and cholesterol and in nonsmokers (European Society of Cardiology (ESC) 2018 Congress; also published simultaneously in the New England Journal of Medicine).
Compounded drugs: The US FDA has proposed excluding three substances from a list of ingredients that could be used to manufacture compounded medications in bulk for use by hospitals and doctors’ offices. Compounded medications are custom-made medications that traditionally were formulated by pharmacies for specific patients. Those substances included vasopressin, bumetanide and nicardipine hydrochloride.
Pre-authorisation for health insurance claims under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) will be completed and communicated to the hospital within 30 minutes. The pre-authorisation stage is a provisional sanction that would keep a check on any false claims where people avail health insurance despite them not being essential because the money will be reimbursed. The PMJAY scheme will have set guidelines for pre-authorisation and the process will be mandatory for 636 of the 1,350 packages offered.
Medical apathy: A ward boy at a government hospital in Kanpur, Uttar Pradesh was seen treating a woman with head-injury on the floor outside the emergency ward. The doctor in charge allegedly said that he was tending to other patients at the hospital when the ward boy started to treat to the injured woman. He added that strict action will be taken against the ward boy for starting the treatment in such unhygienic condition as the floor outside the hospital. Anything more than first aid cannot be provided by unqualified persons (TOI).
Made from Jatropha crop, the fuel has been developed by the CSIR-Indian Institute of Petroleum (IIP), Dehradun, SpiceJet said. Around 20 people, including officials from aviation regulator DGCA and SpiceJet, were in the test flight. The duration of the flight was around 25 minutes, according to an airline executive.
Video to watch: TEDx Talk
Dr KK Aggarwal: Modern day doctor-patient relationship
https://www.youtube.com/watch?
Dr KK Aggarwal
Padma Shri Awardee
Vice President CMAAO
President HCFI
