Health and Medical Care Tips
After Iran, it is India’s turn to report totally resistant strain of tuberculosis.
The report published in Clinical Infectious Diseases journal on Dec 21, 2011 by Dr Udwadia et al and comes from Hinduja hospital and medical center in Mahim, Mumbai, reported four cases of this strain.
The strain is called Totally Drug Resistant (TDR).
That makes it resistant to every known drug and it is untreatable. [Read more...]
Over last twenty years, there has been increased use of negative pressure pumps in order to seal wound dressings and remove edema, or fluid buildup and in turn enhance wound healing.
Smith & Nephew’s new device PICO is a single-use negative pressure wound therapy system has been cleared by FDA and offers advantages to clinicians and patients both.
The website mentions [Read more...]
Med Care Tips wishes all its readers a very very happy new year. May it bring health and prosperity.
Take care.
Ingredients
How To Make? [Read more...]
Following is a clinical photograph of a diabetic person’s ankle with a non healing ulcer. The person had poor diabetes control
Ulcer Over Ankle Medial Aspect
With control of diabetes and surgical toileting, the wound healed.
The United States Food and Drug Administration has approved once-daily dosing for darunavir boosted with ritonavir for use in adult patients with HIV with no resistance to the protease inhibitor.
Source: Medscape Daily News
Nao gastric tubing is used for many purposes which may be to provide the feed in patients who for any reasons could not be fed through the mouth or to aspirate the gastric content as in poisoning or during neck surgery for better localization of the esophagus.
While the process needs to be individualzed in every patient, I thought it is good have a video explaining the basics in insertion of nasogastric tube.
See my note at the end after you finish your video.
Note
The position of the Ryle’s tube can also be confirmed by auscultating the stomach by placing the stethoscope over the area below xiphisternum.
A syringe would push air through the outer end of the tube and a loud audible air entry is heard by the stethoscpoe.
A new study published in Sleep has suggested that loud snoring and sleep difficulties may predict development of the metabolic syndrome, a key risk factor for cardiovascular disease.
The study included 812 participants in the community-based Heart Strategies Concentrating on Risk Evaluation study. Two thirds of participants were women, and 36% were African American. [Read more...]
A new analysis has shown that patients older than 80 years with acute ischemic stroke perform better when treated with intravenous thrombolytic therapy than when left untreated.
It further stresses that the older patients would derive similar benefits from thrombolytic therapy as younger patients and are not at significantly greater risk for intracranial bleeding. [Read more...]
Short course chemotherapy is the treatment of TB using a combination of new antitubercular drugs in a fixed regime for a set duration. These regimes have shortened the duration of treatment of TB from the 12-18 months of old regimes using streptomycin, isoniazid, thiacetazone or PAS to 6-9 months.
These new regimes with nearly 100 percent cure rates are much more potent than the older regimes and fewer relapses are reported with them. Their potency, shorter duration of treatment and fewer relapse rates make them a very cost effective treatment of choice for TB.
The regimes essentially consist of treating TB in two phases.
Initial intensive phase (for rapid killing)
Several drugs are given in the initial intensive phase to rapidly reduce the bacillary population in the tubercular lesion. This results in the destruction of drug resistant mutants in the bacterial population and prevents their selective proliferation. In addition, the rapid killing also results in very early sputum conversion, which dramatically reduces the risk of transmission of infection.
A tubercular lesion has four different types of bacilli:
Group 1: Rapidly growing, active bacilli (most bacilli in the lesion belong to this group)
Group 2: Those in the acidic environment inside cells and in cavitary walls.
Group 3: Semidormant bacilli which show occasional spurts in growth (mostly responsible for relapses)
Group 4: Few dormant bacilli. (no drug is yet available against this group)
Each of the 4 drugs used in the initial intensive phase acts on different populations in the tubercular lesion. [Read more...]
A new study has based on surveillance data has reported that the prevalence … [Read More...]
Albuminuria occurs when kidneys start leaking albumin into the urine due to … [Read More...]
A study from Japan has reported the having diabetic retinopathy and/or … [Read More...]
A new research published in online journal BMJ open has reported that young … [Read More...]
According to a March 2013 survey conducted by ad agency WPP’s Kantar … [Read More...]
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