There is significant deterioration in the respiratory mechanics at night in the COPD patients.Evening bronchodilator treatment was clinically beneficial in these patients and resulted in sustained overnight improvements in dynamic respiratory mechanics and inspiratory neural drive compared with placebo.
The study demonstrates a substantial prevalence of H. influenzae in children affected with acute otitis media. The study also provides data on overall up-to-date trend on antibiotic susceptibility of H. influenzae in children.
The study demonstrated that vitamin D deficiency (VDD) was prevalent in under-5 children, dwelling in slums in Mumbai, India. Sun-exposure, male gender, and calcium and vitamin D supplementations during infancy may be protective against VDD among under-five children.
Luteal phase supplementation with oral natural micronized progesterone sustained release formulations was effective and well tolerated and might be a good alternative to conventional formulations due to once-daily convenient dosing in women with unexplained infertility undergoing IUI.
The results of this network meta-analysis of real-world evidence support the GINA recommendation that SMART should be considered as an ideal choice in the treatment of moderate to severe asthma, irrespective of the dose of ICS used in the formulation. SMART was associated with significant reduction in the risk of severe exacerbation in adults with moderate to severe asthma.
Hypertonic saline nasal irrigation is associated with mild side effects and a superior clinical efficacy as compared to isotonic saline nasal irrigation in the treatment of chronic rhinosinusitis. Hypertonic saline nasal irrigation significantly improved the nasal symptoms and ciliary movement, but demonstrated no significant difference in imaging findings and smell improvement.
This talk explains various novel therapies in the treatment of metastatic HER2+ breast cancer from monoclonal antibodies , Tyrosine Kinase inhibitor and Antibody Drug Conjugate and various future therapies.Dr Ashish Singh
The present study determined the impacts of oral tenofovir disoproxil fumarate 300 mg/emtricitabine 200 mg (TDF/FTC) on demand verses daily PrEP regimens on their coverage of condomless anal intercourse (CLAI) in men who have sex with men (MSM). The study showed that both daily and on-demand PrEP provided similar coverage of sex acts, which were tolerated and accepted by MSM.
This study presents the 5-year long-term results of EORTC-NCIC trial evaluating survival outcomes with radiotherapy with concomitant and adjuvant temozolomide versus radiotherapy alone in patients with glioblastoma. The study showed that combined initial treatment for glioblastoma with temozolomide and radiotherapy improves survival compared with radiotherapy alone.
Gastroesophageal reflux (GER) related symptoms are a major cause of parental concern and referrals at all ages. Here is an infographic on the recent ISPGHAN guidelines that has been framed to inform Indian pediatricians regarding current recommendations on diagnosis and management of gastro-esophageal reflux disease (GERD).
BCG strains – TICE and RIVM were associated with better recurrence-free survival outcomes as compared to Connaught when administered with a maintenance protocol in intermediate-/high-risk non-muscle invasive bladder cancer patients (NMIBCs). The findings confirmed the importance of re-TUR in intermediate-/high-risk NMIBCs and is associated with longer progression-free survival and RFS outcomes. TICE had superior RFS outcomes than the other strains after stratifying for re-TUR.
Individuals with metabolically healthy obesity are at a substantially higher risk of obesity-related outcomes as compared with individuals with metabolically healthy non-obesity as well as those with metabolically unhealthy non-obesity. Weight management should therefore be recommended in obese individuals irrespective of their metabolic status.
The findings of this exploratory analysis suggested lamotrigine to be effective for treating the core symptoms of depression in patients with acute bipolar depression.
Treatment with tenofovir alafenamide and tenofovir disoproxil fumarate for 24 weeks in women with high viral load, demonstrated similar efficacy in reducing the HBV DNA to levels associated with minimal transmission risk in infants who receive complete passive-active immunoprophylaxis.
Tamsulosin as medical expulsive therapy is more effective in reducing the stone expulsion time with lesser need for analgesics than tadalafil in the treatment of distal ureteral calculi.
This post hoc analysis demonstrated adjunctive BRV to be effective and generally well tolerated in adults with focal seizures, irrespective of the number of previous ASMs.
Carvedilol/ivabradine have a proven chemical-pharmaceutical quality and are considered an approvable fixed-dose combination. Both carvedilol and ivabradine are well known, established substances, which are used as a combination in clinical practice. The clinical data on concomitant use are considered sufficient to support the fixed-dose combination in patients with CHF who are on a stable fixed dose regimen with both monocomponents. Combining ivabradine to carvedilol in patients with stable IHF or patients with systolic HF in sinus rhythm with heart rate >70 bpm is associated with better heart rate reduction, improvement of quality of life, and reduced rehospitalization.
Sublingual grass pollen immunotherapy for 2 years did not result in any significant improvements in nasal response to allergen challenge after 1 year of discontinuation as compared to placebo in patients with moderate-to-severe seasonal allergic rhinitis.
Casirivimab and imdevimab are human, non-competing, high-affinity, IgG1 (immunoglobulin G1)-neutralising monoclonal antibodies produced by recombinant DNA technology and are to be administered together either intravenously or subcutaneously. Each antibody targets a different region of the S-proteins of SARS-CoV-2 and, hence, prevents interaction of the S-proteins with the ACE-2 receptors, leading to inhibition of infectivity of the host cells.
Most physicians focused on the prevention of asthma symptoms over exacerbations. ICS/formoterol was the preferred symptom reliever as per the GINA report. The survey findings demonstrated a lack of awareness and understanding of MART dosing among physicians. There is a need for improved education and strategies to implement GINA recommendations effectively in real-world clinical practice.
The FIGARO-DKD trial demonstrated that as compared with placebo, treatment with finerenone improved the CV outcomes in patients with T2DM and CKD.
This patient education sheet provides information on Psoriatic arthritis disorder- its causes, risk factors, symptoms, complications, management and treatment options.
This input provides a manual guidance with instructions to perform various Hand exercises especially pertaining to small joints of hands and wrist for rheumatoid arthritis (RA) patients and highlights benefits of these exercises to improve fine movements and joint function of RA patients.
This input provides a manual guidance with steps and positions instructions to perform various types of Ankylosing spondylitis exercises, highlighting the importance and benefits of physiotherapy and exercises in AS which may aid patients to keep the spine strong and flexible, improve posture, and improve their muscle strength.
This patient education sheet provides information on Ankylosing spondylitis disease- its causes, risk factors, symptoms, complications, management, and treatment options.
Amongst patients with POAG, a thrice-a day regimen of a fixed-dose combination of timolol/dorzolamide provided superior IOP reduction as compared with a twice-a day regimen, without any additional safety concerns.
The permit study demonstrated long-term perampanel treatment to be effective and generally well tolerated in patients with focal epilepsy in everyday clinical practice.
Fluticasone nasal steroidal spray (FNSS) was associated with a rapid relief of clinical symptoms within 2 days as compared to 1 week with levocetirizine in patients with allergic rhinitis (AR). FNSS demonstrated a better safety profile than levocetirizine, making it a better choice in the treatment of AR.
BRAAVE study is the randomized phase 3 study evaluating efficacy and safety of switching to fixed-dose combination of B/F/TAF vs continuing baseline regimen (SBR) in virologically suppressed adults. The study demonstrated that switching to B/F/TAF from a variety of baseline suppressive regimens was efficacious and safe.
This study compared the pharmacological effects of teriparatide on collapse progression of nontraumatic osteonecrosis of femoral head (NOFH) and to compare these effects with alendronate. The study showed that the treatment with teriparatide resulted in lesser collapse progression of the femoral head than that by alendronate.
Nebulization with 3% hypertonic saline solution significantly reduced the severity of respiratory distress as well as the length of hospital stay and increased the time of sleep at night as compared with 0.9% saline solution among children with acute bronchiolitis.
Intravenous (IV) iron sucrose therapy significantly increased haemoglobin, serum ferritin and other haematological parameters in pregnant women with moderate anaemia. The side effects with IV iron sucrose therapy were negligible and can be a better alternative to intramuscular therapy due to injection related side effects.
This study compared efficacy and safety of lenvatinib plus everolimus combination and single-agent lenvatinib with the standard dose of single-agent everolimus in patients with metastatic renal cell carcinoma who had disease progression after one previous VEGF-targeted therapy. The study demonstrated highest level of efficacy is associated with the combination regimen of lenvatinib plus everolimus, consisting of a contribution from each single agent.
In his talk, Doctor gives the KPIs around quality control in biopsy & PGT from an Embryologist’s perspective.
In her talk, doctor shares data on various KPIs that set IVF lab benchmark.
In his talk, doctor elaborates on the role of culture media that is at the centre of all ART procedures & related quality control factors.
The present study is the retrospective analyses evaluating efficacy of single dose zoledronic acid treatment in patients with transient osteoporosis of hip (TOH). Treatment with single-dose intravenous zoledronic acid was associated with early pain relief and complete reversal of TOH. None of the patients progressed to avascular necrosis at their last follow-up.
Nasal irrigation with 0.9% saline along with intranasal corticosteroid (INS) and antihistamine demonstrated greater improvements in the symptoms as compared to INS and antihistamine only in the patients with allergic rhinitis (AR). Along with efficacy, nasal saline irrigation is safe, cost effective and convenient to use, making it a potential adjunct therapy in the treatment of AR.
Latest guidelines on imaging are now available for pulmonologists. This webcast is an attempt to provide guidance to the viewers on how to request and interpret HRCT reports. Moreover, advanced technologies in Imaging in chest diseases are discussed in length by the experts in this PURVIEW.
In Obstructive Airway Disease management – poor inhalation technique leads to poor clinical outcomes. This PURVIEW webcast entails guidance to viewers as to how to correct inhalation technique, how to choose the right inhalers and novel drug delivery systems available in Indian scenario.
This is case-control study compared serum vitamin D levels among males with androgenetic alopecia (AGA) and healthy controls. The mean serum 25-(OH)D level significantly differed between patients and controls. The severity of AGA showed a positive correlation with the serum vitamin D levels.
The present study evaluated efficacy and safety of cefpodoxime empirical treatment in adult patients with acute upper respiratory tract infections. The study found that treatment with cefpodoxime was associated with high cure rates for acute maxillary sinusitis and acute tonsilopharyngitis and a favorable safety and tolerability profile.
Administration of vaginal micronized progesterone at the start of luteal phase improved the pregnancy success rates in a strictly defined cohort of women with recurrent pregnancy loss (RPL). The authors of this study recommend molecular analysis of luteal phase endometrium to identify the women who can be benefitted the most with vaginal progesterone given from the start of the luteal phase.
The study demonstrated that long-term adjunctive treatment (up to 36 months) with lacosamide was effective, safe and well-tolerated in epilepsy patients with uncontrolled focal seizures.
In his talk, doctor provides his experience of medical therapy with dienogest in adolescent girls and reproductive age-group women with endometriosis.
NEBUFLO is an active mesh nebulizer that converts liquid medication into aerosol/mist that can easily be inhaled by patients. It is portable, easy to clean, and offers hassle free usage. It is a suitable option for patients with respiratory disorders on nebulization at home, hospital, clinics & nursing homes. NEBUFLO device package comes with main unit, medication cup, mouthpiece, face mask & adapter.
The present randomised controlled study compared efficacy of gatifloxacin and ceftriaxone in patients with uncomplicated enteric fever. The study found no difference in outcomes between patients receiving gatifloxacin and ceftriaxone.
PCOS is an endocrine disorder commonly presenting with irregular periods, hirsutism, infertility and also a link to metabolic abnormalities such as type 2 diabetes, insulin resistance and obesity. The booklet gives a brief on the disorder with focus on clinical efficacy of the COC containing cyproterone acetate & ethinylestradiol as well as the insulin sensitizing effects of inositols.
The efficacy, safety and immunogenicity profile of the biosimilar ranibizumab formulation was comparable with that of the innovator reference product. The biosimilar may thus be considered as a viable alternative for the innovator product for treating neovascular (wet) AMD.
This leaflet gives information about benefits of breastfeeding for mother and baby, optimal time and positions as well as importance of nutrition.
This post hoc analysis of the EMPA-REG OUTCOME trial demonstrated that amongst T2DM patients with established ASCVD, significant benefits of empagliflozin treatment in terms of reduced risk of HHF, CV death/HHF, and CV death were evident within weeks of treatment initiation and were sustained over a long-term.
Reliever therapy with as-needed budesonide-formoterol (BUD-FORM) was superior to as-needed terbutaline and significantly reduced the rate of severe exacerbations and demonstrated similar efficacy to BUD maintenance in terms of symptom control and lung function in adolescents with mild asthma. As-needed BUD-FORM can be considered as an ideal alternative in adolescents with mild asthma, which can avoid daily maintenance treatment.
Long-term treatment with obeticholic acid (OCA) was effective and well tolerated and improved the levels of ALP, ALT, and AST, irrespective of baseline ALP and total bilirubin in patients with primary biliary cholangitis (PBC).
Highlights from EULAR virtual congress 2020 conference regarding latest advances and updates in the field of rheumatology.
The findings of the study revealed that 25 µg of vaginal misoprostol at 4 hours intervals is safer and more effective cervical ripening and labor induction agent than oxytocin.
The study demonstrated that adjunctive therapy with perampanel provided long-term seizure control in Indian patients. The efficacy and safety outcomes of perampanel remained similar for Indian and non-Indian patients.
Prostate-specific membrane antigen (PSMA)-targeted endoradiotherapy/radioligand therapy (PRLT) with small-molecule, urea-based agents labeled with the β-particle–emitting radionuclide lutetium-177 (177Lu) is highly effective and safe in the treatment of castration-resistant prostate cancer (CRPC). PRLT was associated with relatively high number of prostate-specific antigen (PSA) responders coupled with low rate of severe toxicity. This systematic review and meta-analysis might be valuable to the clinicians who can balance the risks and benefits of this novel therapy in CRPC.
This study provides first head-to-head comparison on the efficacy and safety of three PGAs for treating patients with POAG or NTG. The study demonstrated tafluprost, travoprost and latanoprost to have similar efficacy and safety profile as a first-line treatment for glaucoma.
According to this post hoc analysis of the EDICT study, insulin secretion predicts the need for insulin therapy at the time of T2DM diagnosis, irrespective of the antidiabetic treatment. A cut-off of 1.7 for CPEP120/CPEP0 may have a valuable role in individualizing glucose-lowering therapy in patients with new-onset T2DM and poor glycemic control.
The subgroup analysis of the GALACTIC-HF trial demonstrates that the therapeutic benefits of omecamtiv mecarbil increase progressively with the decreasing EF in patients with HFrEF. Patients with more severe HF may thus derive greater clinical benefits from cardiac myosin activator therapy.
Afebrile infants with acute otitis media (AOM) have a low incidence of invasive bacterial infections and adverse events. Outpatient management of such patients without diagnostic testing may thus be a feasible alternative.
Self-administered 400 microg of vaginal misoprostol 12 to 24 hours before hysteroscopy significantly reduced the force required to dilate the cervix and reduced the pain with no serious side effects. Misoprostol can be considered for cervical priming since its inexpensive, easy to use and safe.
Posterior nasal neurectomy (PNN) with or without pharyngeal neurectomy (PN) is safe and effective bringing about similar improvements in symptoms and quality of life in patients with allergic rhinitis (AR). Combined PNN and PN is a better surgical treatment option than PNN alone in AR patients with chronic coug
The present study is a systematic review evaluating long-term efficacy and safety of alendronate in adults with avascular osteonecrosis. The findings suggests alendronate use for adult AVN, particularly with early stage and small necrotic size.
Long-term treatment with obeticholic acid (OCA) is associated with durable improvements in ALP, ALT, AST and GGT as well as stabilization of normal bilirubin in patients with primary biliary cholangitis (PBC), irrespective of age or sex.
In his talk, doctor describes the embryo culture environment and their significance in IVF practice.
The group discusses embryo fragmentation, its pathophysiology & probable causes, scoring system and probable management.
In his talk, the speaker gives an overview of embryo culture system and effects of OIL, the key component, on temperature, pH & osmolality, the differences between heavy & light oils, QC tests for oil toxicity screening & how can one minimize associated risks.
The 2 experts give their views on which is the best method for embryo incubation, the advantages & disadvantages of each with relevant & supporting clinical data.
In his talk, doctor aims to demonstrate physiologic concentrations of O2 for oocytes & embryos, O2 utilization by embryos & its role in embryo gene expression & metabolism, and, finally, human IVF in low v/s high O2.
BREVACTA study evaluated long-term efficacy and safety of subcutaneous tocilizumab (TCZ-SC) every 2 weeks (q2w) over 2 years in patients with rheumatoid arthritis who have an inadequate response to disease-modifying antirheumatic drugs (DMARD). The study showed that efficacy and safety of TCZ-SC q2w were maintained over 96 weeks.
Expert’s views on cough in children; common cause of cough, identification of cause of cough based on clinical representation, red flags & associated risk factors.
This sub-analysis of the COMPASS trial demonstrated that patients with chronic CAD or PAD treated with rivaroxaban-aspirin combination had a reduced risk of all-cause and CV-specific mortality as compared to those treated with aspirin alone.
Dr Arindam Pande talks about case of recent hospitalisation for AMI
Dr Arindam Pande talks about the case of patient having hypertension with discomfort & fatigue.
Dr Arindam Pande talks about case of patient having heart failure with reduced ejection fraction
The efficacy of as-needed fluticasone furoate (FF) in terms of nasal symptoms and quality of life was similar to the regular use of FF in patients with moderate to severe persistent perennial allergic rhinitis. Although the cumulative dose of intranasal corticosteroid in the FF-as-needed group was half as compared to the FF-regular group, the symptom control was probably less sustained throughout the 6 weeks of treatment.
Information about general measures to manage fungal infections of the skin and nails, hygiene tips, how to prevent its spread.
The salvage ureteroscopy (URS) after previous unsuccessful shockwave lithotripsy (SWL) had similar stone free rates, duration of surgery and postoperative complications, demonstrating comparable efficacy and safety to primary URS.
This study evaluated efficacy of long-term intermittent azithromycin therapy in reducing the frequency of exacerbation in severe chronic obstructive pulmonary disease (COPD). Results showed that long-term intermittent azithromycin therapy was associated with significant reductions in acute exacerbations and was well tolerated.
The findings of this study revealed that a higher indoor bacterial diversity in early life might lower the risk of allergic rhinitis later in childhood. This analysis demonstrates environment-dependent heterogeneity in the associations with inhalant atopy and suggests that specific constituents of the diversity might be relevant.
The present study compared efficacy and safety of lipid based topical formulation of minoxidil and finasteride with minoxidil alone in patients with androgenetic alopecia. The study showed clinically significant improvement with combination in terms of hair growth as compared to minoxidil (5%) alone.
Perampanel was an effective and safe add-on drug for treating patients with FOS, particularly those affected with FBTCS.
This study evaluated efficacy and tolerability of a 3-day course of azithromycin in adults with mild to moderately severe community acquired pneumonia. The study showed that 3-day course of azithromycin is an effective first-line treatment for adults with mild to moderately severe community acquired pneumonia
Patients with mild asthma previously treated with short-acting β-agonists (SABA) alone and randomized to as-needed budesonide-formoterol had fewer severe exacerbations than those on twice daily budesonide. As-needed inhaled corticosteroid (ICS)-formoterol should be preferred to as-needed SABA alone in patients whose asthma is controlled on maintenance low-dose ICS. Both these low dose ICS therapies are associated with significant reduction in exacerbations and hence are safer than switching to SABA-only treatment.
In his talk, doctor focusses on the importance of pH, various factors affecting pH, measuring right pH and what can happen if pH is wrong.
The neuropeptides especially the substance P (SP), vasoactive intestinal peptide (VIP) and calcitonin gene-related peptide (CGRP) play vital roles in the pathogenesis of allergic rhinoconjunctivitis (ARC). The nasal neurotransmitters and neuropeptides might have more important roles in allergic diseases than those of ocular origin.
SUMMACTA Trial evaluated long-term efficacy and safety of subcutaneous tocilizumab versus intravenous TCZ, including switching formulations, in patients with rheumatoid arthritis (RA) and inadequate response to disease-modifying antirheumatic drugs. The study reported long term efficacy and sustained ACR responses with subcutaneous tocilizumab over 96 weeks.
This real-world study demonstrated that intravitreal ranibizumab injections improved the BCVA and CMT in patients with nAMD when administered using a treat and extend protocol for 3 years. The clinical benefits of ranibizumab were similar to that of intravitreal aflibercept.
The study demonstrated that HbA1c levels are associated with SA. Routine use of HbA1c along with tradition CV risk factors can help in better identification of asymptomatic individuals at high risk of SA
Asthma does not seem to be a potential premorbid condition in Covid-19 patients as per the findings of this systematic review. There is a possibility that the clinicians and researchers are not accurately describing the premorbid conditions in patients with COVID-19 and this could worsen the prognosis of Covid-19 patients.
The study demonstrated perampanel to be effective and safe for adult and pediatric epilepsy patients. The effectiveness achieved at 12 months was maintained at 24 months and even at 36 and 48 months.
Dr. Sudipta talks on appropriate dosages for colistin, the last resort antibiotic in immunocompromised patients , in IV and nebulization and also highlights usage in current scenario.
The current network meta-analysis (NMA) offers most mature and robust comparisons with respect to overall survival (OS) outcomes of treatment with darolutamide, enzalutamide and apalutamide in high-risk non-metastatic castration-resistant prostate cancer. Darolutamide demonstrated highest efficacy and safety as compared to the other 2 drugs. However, enzalutamide had the highest efficacy in patients with PSA-DT ≤ 6 months. Heterogeneity with respect to study design, maturity, cohort characteristics and follow-up duration should be considered in the interpretation of the current NMA.
In her talk, doctor concentrates on temperature & temperature tolerance as a factor in the process of oocyte maturation, fertilization and embryo development.
In his talk, doctor briefs about the importance of osmolarity in IVF and the impact low or high osmolarity can have on the embryo.
The prevalence of AF varies widely across the global. Despite the high risk of stroke associated with AF, the use of antithrombotics is less common in countries with poorer income setting.
The present study evaluated safety and immunogenicity of the ChAdOx1 nCoV-19 vaccine in people with HIV (PLHIV) in a well characterised UK cohort. The study demonstrated that ChAdOx1 nCoV-19 vaccine given as prime-boost dosing given 4–6 weeks apart was well tolerated and produced equivalent immune responses in people living with HIV who are well controlled on ART compared with a similar adult population without HIV. These findings suggested that no dose adjustment is required in PLHIV on ART with CD4 counts >350 cells/µl.
Long-term supplementation with oral natural micronized progesterone sustained release (NMP SR) formulations is effective and safe in high-risk pregnancies with risk factors for bad obstetric history or preterm birth. The preferred dose of NMP SR was 300 mg, initiated between 16 to 26 weeks and continued upto 34 weeks. Long-term supplementation with NMP SR was well tolerated with no adverse health outcomes.
This leaflet gives information about common signs and symptoms most women face during pregnancy, including, nausea, vomiting, acidity, constipation, dizziness, etc. and their management in a patient-friendly language.
This leaflet gives information about what basic self-care one should follow and how, e.g. hygiene, sex, travel, work and weight gain in a patient-friendly language.
This leaflet gives information about importance of nutrition and key nutrients before and during pregnancy as well as after delivery for the woman and her infant in a patient-friendly language.
This leaflet gives information about few health problems some women may experience during pregnancy, and few alert signs that call for immediate attention of the doctor, in a patient-friendly language.
This leaflet gives information about key things to remember after delivery, such as breastfeeding, contraception, nutrition, exercise, follow-up visit and infant care.
This leaflet gives information about benefits of, things-to-follow while and when to stop exercising during pregnancy.
Expert views on cough in children; its types & assessment.
Laparoscopic ureterolithotomy (LUL) followed by percutaneous nephrolithotomy (PNL) demonstrated superior stone-free rates and lesser need for auxiliary procedures as compared to shock-wave lithotripsy (SWL) and ureteroscopy (URS) and seems to be the most effective surgical modality in the treatment of large upper ureteric stones.
The present study is a 96-week resistance analysis of AMBER and EMERALD trials, evaluating efficacy and safety of darunavir/cobicistat/emtricitabine/tenofovir alafenamide (D/C/F/TAF) in HIV -1 adults patients. The 96-week treatment with D/C/F/TAF once-daily single tablet regimen showed no treatment-emergent darunavir, primary PI or tenofovir RAMs were observed in the HIV-1 in treatment-naïve and -experienced adults living with HIV-1.
This study demonstrated that continuous glucose monitoring may improve glycemic control in type-2 diabetes mellitus patients treated with basal insulin without prandial insulin.
Dr Walke provides simple solutions such as printing pregnancy profile or format of pre-op investigations, flowcharts, etc. to tackle forgetfulness in clinical practice.
Dr Walke talks about how maintaining OPD records can help in defending a case in favour of the doctor, if relevant.
Dr Walke talks about obstetric emergencies such as haemorrhage, amniotic fluid embolism, shoulder dystocia, birth injuries, sudden IUFD, etc. and the related medicolegal aspects.
According to the findings of the study, prolonging DAPT beyond 1 year in ESC/EACTS guideline-endorsed high thrombotic risk patients, reduced the risk of MACCE without any increase in the risk of bleeding when compared with DAPT ≤1 year.
Smoking did not negatively impact the quality of life and atopic inflammatory markers in patients with allergic rhinitis (AR). The serum IL-33 levels were significantly lower in smokers as compared to non-smokers, which probably explains the lack of symptoms cautioning smokers of the harmful effects of smoking.
The present study confirmed the frequent coexistence of GERD and FC in children. Appropriate treatment of FC may alleviate the symptoms of GERD in this patient population.
Dr Patel provides efficacy and importance of PGT/PGS in IVF and shares her experience in conditions such as male factor, recurrent failure, miscarriage, advanced age, etc.
Dr Patel shares details of MACS, a technique routinely used in clinical immunology and haematology and its indications of use.
Dr Patel shares protocol of using PRP injection in case of refractory endometrium with a history of 3 failed IVF cycles
Dr Patel gives an inclusion and exclusion criteria as well as methods for ovarian rejuvenation, including her experience at the centre.
Dr Patel gives options such as ACCUVIT protocol, changing the protocol, ovarian rejuvenation, donor eggs to treat poor responders.
Dr Walke provides suggestions such as taking consent, having a Neonatologist, documentation, etc. to safeguard oneself in case of instrumental deliveries.
Dr Walke gives brief on how one can defend a medicolegal case of obstetric emergency by confirming stock of life saving drugs & their expiry, ensuring oxygen cylinder is full and equipment are checked, etc.
Indacaterol/Glycopyrronium (IND/GLY) treatment was associated with lower incidence of acute exacerbations and slowed down the decline of FEV1. IND/GLY did not increase the incidence of adverse cardiovascular events and has an adequate safety profile.
Treatment with tenofovir disoproxil fumarate (TDF) might be associated with increased risks of bone loss and renal deficits as compared to entecavir (ETV) in patients with chronic hepatitis B.
The study demonstrated that amongst children undergoing assessment for GER, presence of salivary pepsin A was associated with GER episodes even in presence of acid suppression.
This systematic review and meta-analysis demonstrates lamotrigine to be safe and effective add-on therapy for treating focal epilepsy in children and adolescents.
Indacaterol/glycopyrronium (IND/GLY) demonstrated better efficacy with respect to lung function, health-related quality of life, dyspnea, rescue medication use and exacerbations in current smokers as well as ex-smokers as compared with salmeterol/fluticasone (SFC). The differences were generally more prominent in current smokers suggesting that smoking might decrease the effects of SFC.
The present study compared the clinical efficacy of procedure for prolapse and hemorrhoids with traditional surgery for outlet obstructive constipation. The study results showed that procedure for prolapse and hemorrhoids is a better choice for treatment of outlet obstructive constipation caused by internal rectal prolapse with circumferential hemorrhoids when compared to the traditional surgery.
Most pulmonologists are up to date and understand the relevance of the changes in GINA reports from 2019 and are willing to include them in their clinical practice. Nevertheless, dissemination and implementation of GINA novel management strategy is still warranted.
Treatment with delayed-release oral mesalazine resulted in significant clinical and statistical improvements in quality of life of patients with moderately and mildly active ulcerative colitis (UC) by 3 weeks, with further improvement at 6 weeks. Daily mesalazine dose did not predict QoL improvement. Patient’s clinical response to therapy was a predictor of improved QoL.
Large volume low pressure nasal saline irrigation (LVLP NSI) combined with fluticasone propionate (FP) was effective and could be a new line of therapy for the treatment of pediatric acute rhinosinusitis, either by itself or combined with standard therapy.
Get to know recent updates in the Global Initiative for Asthma (GINA) 2021 guidelines for pediatric asthma, which has now recommended the use of formoterol/budesonide in children as maintenance and reliever therapy (MART)
This study evaluated preventive effect of S. boulardii on antibiotic-associated diarrhoea development in patients with antibiotic-associated diarrhoea on antibiotic therapy. Results showed that Saccharomyces boulardii resulted in reduced antibiotic-associated diarrhoea in hospitalized patients.
A very high pregnancy rate of 71.1% was demonstrated by a novel formulation which could be a promising first-line oral treatment for female infertility.This innovative product contains standardized chasteberry extract, standardized green tea extract along with antioxidants, amino acids, vitamins and minerals.
Fluticasone propionate aqueous nasal spray (FP ANS) 200 µg once daily in the morning is safe and effective therapy for perennial allergic rhinitis (AR). FP ANS 200 µg once daily is as effective as FP 100 µg twice daily or beclomethasone dipropionate 168 µg twice daily for the treatment of perennial AR.
This study demonstrated lacosamide to be effective and safe in pediatric patients with epilepsy, resulting in substantial reduction in seizure frequency.
The findings of this meta-analysis demonstrate that permanent sacral neuromodulation (SNM) is not only beneficial in patients with various neurogenic lower urinary tract dysfunctions (nLUTDs) but also has high overall success rates, similar to idiopathic patients. SNM was found to be safe in such patients. However, prospective trials with more vigorous study designs and/or registries are warranted before definitive conclusions can be drawn.
This large-scale study demonstrates no increased risk of lower limb amputation with SGLT-2i other antidiabetic drugs in T2DM patients. T2DM patients with PAD had an increased risk of amputation.
AF patients with concomitant LD have a high risk for major adverse events. Treatment with OAC in such patients is clinically beneficial.
This post hoc analysis of the CANVAS program demonstrated that T2DM patients using diuretics at baseline had greater reduction in the incidence of MACE when treated with canagliflozin.
The findings of the study suggest that the combination of an antibiotic and a bronchosecretolytic such as azithromycin and acetylcysteine may be useful in the treatment of chronic OME in pediatric patients.
The study demonstrated sOPP to be a determinant of RVD. Furthermore, treatment with D/T or B/T significantly improved RVA in POAG patients experiencing RVD while on timolol 0.5% alone.
The pharmacokinetic/
This long-term study demonstrated safety and efficacy data of brivaracetam to be safe, effective and well-tolerated for treating focal or generalized onset seizures in patients with uncontrolled epilepsy.
This study provides real-world evidence on the efficacy and safety of brivaracetam in patients with different epilepsies.
In his talk, doctor gives a perspective of iron deficiency anaemia burden in women, and especially the importance of nutrition, such as iron, folic acid, etc. from conception, through pregnancy, to lactation.
This infographic summarises the key points of the STOIC study and outlines the benefits of administering inhaled budesonide in early COVID-19 infection.
The results obtained in the Poise trial on efficacy, safety and tolerability of obeticholic acid (OCA) can be reproduced in real-world conditions in patients with primary biliary cholangitis (PBC). Patients with cirrhosis had lower tolerability and might need optimization of pruritus control before starting OCA and during the treatment. OCA therapy might benefit patients with overlap PBC-autoimmune hepatitis (PBC-AIH), who demonstrated higher ALT reduction at 6 months compared with patients with pure PBC.
This Indian study demonstrated that prophylactic treatment with intracameral moxifloxacin reduced the incidence of post-cataract surgery endophthalmitis in rural Indian setting.
In this video, the speaker has discussed cases relevant to long bone tumours.
In this video, the speaker has discussed cases relevant to pathological fractures.
In this video, the speaker has discussed different theories of bone metastasis and associated complications along with relevant cases.
In this video, the speakers have discussed the cases relevant to osteoporotic fractures.
Erlotinib is a tyrosine kinase inhibitor indicated for Lung and Pancreatic cancer. This input describes Erlotinib administration & possible side effects.
In this video, the speakers have discussed about patient selection for TKR, pre-operating planning, TKR in Valgus & Varus Knees, postoperative stiffness & patient dissatisfaction after TKR.
ANACO study identified preoperative and intraoperative risk factors contributing to anastomotic leak and postoperative morbidity and mortality after colon resection for cancer. The study found that preoperative nutritional status and the stapled technique were the risk factors were associated with clinically relevant anastomotic leak after elective right colectomy for cancer. Moreover, age of the patient, determines the risk of mortality, while the laparoscopic approach seems to reduce the postoperative morbidity.
The study evaluated the efficacy of a 15% Vitamin C, 1% Vitamin E, and 0.5% Ferulic acid serum in improving postoperative wound healing by evaluating the decrease in downtime and molecule markers, after the fractional ablative laser resurfacing procedure, in a photodamage split-face model .The study found that vitamin C, E, and ferulic acid correlated with the clinical effect of wound healing with a specific molecular mechanism of action. Moreover, it increased the clinical healing in patients during the initial days after the laser induced injury.
This sub-study of the CREDENCE trial demonstrates that the benefits of canagliflozin in terms of reduced risk of heart failure and cardiovascular death are consistent across broad range of patient subgroups.
This study compared efficacy and safety of 2% mupirocin ointment with 2% fusidic acid ointment in patient with primary impetigo. The study reported similar clinical success with mupirocin and fusidic acid in patients with primary impetigo.
This large-scale and long-term Indian study provides valuable insights on the changing pattern of fungal species. The findings may improve the management of mycotic keratitis in India.
Triple therapy with budesonide/glycopyrrolate/formoterol fumarate (BGF) 320 resulted in reduction of all-cause mortality compared with glycopyrrolate/formoterol fumarate (GFF), in patients with moderate to severe COPD and a history of exacerbations. Triple therapy with BGF 320 lowered, but not significantly, the risk of death compared with budesonide/formoterol fumarate (BFF). There was no significant difference in the risk of death with triple therapy containing a lower dose of inhaled corticosteroid (BGF 160) versus the dual therapy comparators.
HERA Trial compared the long-term outcomes of trastuzumab treatment for 1-year verses 2 -year in women with HER2-positive early breast cancer. The study showed that 1 year of adjuvant trastuzumab after chemotherapy for patients with HER2-positive early breast cancer significantly improved long-term disease-free survival.
This meta-analysis demonstrated a 5% risk of postoperative urosepsis among patients undergoing ureteroscopy for treatment of stone disease. Older age, diabetes mellitus, ischemic heart disease, preoperative stent placement, a positive preoperative urine culture, and longer procedure time were independently associated with increased postoperative urosepsis risk. These findings will help the urologists with preoperative risk stratification before ureteroscopic procedures.
In this video, the speaker has discussed the approaches to reduce chronic postoperative pain in orthopedic surgeries.
In this video, the speaker has discussed the approaches to reduce acute postoperative pain in orthopedic surgeries.In this video, the speaker has discussed the approaches to reduce acute postoperative pain in orthopedic surgeries.
In this video, the speaker has discussed about the cases relevant to periprosthetic fractures around knee & Hip.
In this video, the speakers have discussed about all the aspects of lumbar degenerative disc disease such as symptoms, diagnosis, management, etc. with the help of relevant cases.
In this video, the speakers have discussed about the various complications arising due to hyperuricemia focussing on renal and orthopaedic aspects.
In this video, the speaker has discussed the evidences and recommendations relevant to Viscosupplementation and multimodal approach for osteoarthritis.
In this video, the speaker has discussed about expectations of a doctor from consumer forum and guidelines of supreme court while handling the medico-legal cases along with some relevant cases.
In this video, the speaker has discussed about risks and benefits to be considered for osteoporosis treatment discontinuation and need of restart of therapy.
Brivaracetam should be considered as an add-on therapy for partial epilepsy, uncontrolled on 2-3 antiepileptic drugs. And also, it should be use in patient with epilepsy having irritability, elderly diabetic & hypertensive with chronic renal failure. It is well tolerated with less behavioural side effects and minimal drug interaction. Provide effective seizure control and seizure freedom with improved quality of life in patients with partial epilepsy.
Brivaracetam has higher SV2A affinity and goes faster to brain. It has a good tolerability and safety and shows improvement in behavioral & psychiatric adverse events following the switch from levetiracetam to brivaracetam.
Brivaracetam has higher SV2A affinity and goes faster to brain. It has a good tolerability and retention rate 60-70% after 6 months. Improvement in psychobehavioral adverse events following the switch from levetiracetam to brivaracetam in about 60% cases. Provide effective seizure control and seizure freedom.
The Union health ministry on 22nd April 2021 issued a revised “Clinical Guidance for Management of Adult COVID-19 Patients”. This guideline issued by AIIMS, ICMR-COVID-19 National Task Force and the Joint Monitoring Group (DGHS) under the ministry discusses preventions and cures for all kinds of COVID-19 patients - mild, moderate and severe. It also advises on the usage of drugs which remain in high demand amid the COVID-19 pandemic.
ToGA trial evaluated efficacy and safety of trastuzumab added to chemotherapy for first-line treatment of advanced gastric or gastro-oesophageal junction cancers with overexpression of HER2. The study showed that addition of trastuzumab to chemotherapy significantly improved overall survival compared with chemotherapy alone.
The study demonstrated rizatriptan to be effective and safe treatment of acute migraine attacks in patients receiving prophylactic treatment with topiramate.
Montelukast 10 mg is a safe and effective systemic treatment of both upper and lower airways in patients with both asthma and allergic rhinitis in a real-life setting.
Brivaracetam should be considered as an add-on therapy for partial epilepsy, uncontrolled on 2-3 antiepileptic drugs. It is not associated with serious systemic adverse effects, well tolerated with less behavioural side effects and minimal drug interaction. Provide effective seizure control and seizure freedom with improved quality of life in patients with partial epilepsy.
In this video, the speaker has discussed about management of open fractures and relevant cases.
In this video, the speaker has discussed a case on PFN intertan for comminuted intertrochanteric fracture of femur.
In this video, the speaker has discussed a case on traumatic paraplegia with sphincter involvement.
In this video, the speaker has discussed about complications during TKA due to severe deformities and relevant cases.
More than a crore of patients have recovered in India after new CoVID-19 infection. After recovery many complications in and outside lung are observed. This webcast is dedicated to an expert talks on how to tackle post CoVID complications.
A protocol based on daily monitoring of C-reactive protein levels may allow early interruption of antibiotic therapy in a higher proportion of critically ill patients, without an effect on total antibiotic consumption. However, more studies are warranted to assess the clinical and microbiological relevance of this finding.
Treatment with tenofovir alafenamide fumarate (TAF) was a feasible, well-tolerated, and safe alternative in chronic hepatitis B virus infected patients who are treated with tenofovir disoproxil fumarate, entecavir, lamivudine and adefovir. TAF was effective in maintaining significant viral suppression and higher alanine aminotransferase (ALT) and aspartate aminotransferase (AST) normalization rates 6 months after switching to TAF.
Safety analysis of SYGMA 1 and SGYMA 2 studies demonstrated that as-needed budesonide-formoterol anti-inflammatory reliever therapy was well-tolerated in patients with mild asthma with no new safety concerns. Budesonide-formoterol has a similar safety profile to that of daily budesonide.
The present randomized controlled trial conducted in healthy volunteers examined the effects of the probiotic Saccharomyces boulardii CNCM I-745 (SB), the antibiotic amoxicillin-clavulanate (AC) and the combination on the composition of healthy subjects’ microbiota and gut-related side effects associated with a commonly used antibiotic AC. The study showed that that antibiotic therapy with AC led to substantial alterations of the microbiota of healthy subjects.
Choice of an AED for the treatment of epilepsy in children depends on various aspects including efficacy, safety, impact on behavior and learning, and existing co-morbidities. Levetiracetam is an effective adjunctive therapy in treatment of childhood epilepsy and well tolerated with minimal side effects.
Management of epilepsy depends on various factors including comorbidity, type of seizure and concomitant medication. Proper diagnosis and management lead to improvement in 2/3rd of the epilepsy patients. Proper diagnosis includes identification of true seizure, identifying type of seizure and syndrome associated with it.
This post hoc analysis of the EMPA REG OUTCOME trial demonstrated that although, SGLT-2 inhibitors are associated with an initial dip in eGFR in T2DM patients, this initial dip dose not impact the CV and renal benefits of SGLT-2 inhibitor treatment.
The present study is 5-year follow-up analysis of STAMPEDE Trial that studied the outcomes of bariatric surgery effects on diabetes – related endorgan disease. The study showed that bariatric surgery was superior to intensive medical therapy in terms of glycemic control, weight reduction, medication reduction, improvement in lipid levels, and quality of life.
In mild asthma, even a single day with increased SABA use is an indicator for increased short-term risk of severe exacerbation. As-needed budesonide-formoterol is associated with a reduction in the short-term risk of severe exacerbations after a single day of higher use (more than two as-needed inhalations), even when overall use is infrequent. The frequency of exacerbations and subsequent risk of sever exacerbations and the need for oral corticosteroids is reduced with as-needed budesonide-formoterol as compared to as-needed SABA.
Epilepsy occurs due to abnormal firing of neuron. In elderly it is associated with significant morbidity and mortality. Treatment in elderly is challenging as they are on multiple drugs. Hence the monotherapy AED treatment is recommended at low dose with drug having minimal drug interactions.
Multiple New targets has been identified and targeted to disrupt the HIV-life cycle. Dolutegravir based regimens are currently the preferred first line ART in WHO guidelines. Cardiovascular, Renal, Diabetes, Neurocognitive effects, Cancers, and Liver disorders are the Non-AIDS causes of morbidity/mortality in India.
The efficacy of both fluticasone propionate + azelastine nasal spray and fluticasone propionate nasal spray were comparable in relieving symptoms in patients with persistent allergic rhinitis. Fluticasone propionate and azelastine nasal spray resulted in significant reduction of symptoms such as nasal obstruction, nasal discharge and nasal itching when compared with fluticasone propionate alone.
This noninferiority trial evaluated whether antimicrobial treatment with amoxicillin–clavulanate for 5 days rather than using the standard 10-day regimen would result in similar outcomes and reduce the risk of antimicrobial resistance among children with acute otitis media. The study showed that reduced duration treatment for 5 days was less effective than standard-duration treatment for 10 days in children 6 to 23 months of age with acute otitis media.
The study showed that combination of levetiracetam and lacosamide not only enhanced the therapeutic effectiveness for treating patients with partial refractory seizures, but also had improved retention rate and quality of life over a period of 6 months.
The presents study evaluated efficacy and safety of switching older people with HIV to bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF). The 48 weeks results showed that switching to B/F/TAF was effective and well tolerated through 48 weeks in virologically suppressed adults aged > 65 years
The results of the survey demonstrated vaginal administration as the preferred route for luteal phase support (LPS). The emerging use of the oral route confirms the expected shift in clinical practice as a result of recent evidence showing a reassuring safety score of oral progestins. There is a trend towards extended LPS in ART cycles with fresh embryo transfer despite the lack of evidence supporting the continuation of luteal support until 12 weeks' gestation, highlighting the difference between evidence-based medicine and real-life practices.
Patients hospitalized with ADHF are burdened with higher prevalence of MR. higher severity of MR was associated with an increased risk of 1-year mortality, particularly in patients with LVEF <50%
Escitalopram belongs to class of selective serotonin reuptake inhibitors. It is effective at lower dose compared to citalopram. Also, has good efficacy which significantly improves the depressive symptoms with minimal drug interaction and better tolerability profile.
It can be concluded that the use of CSE 1034 of ceftriaxone, sulbactam, and ethylenediaminetetraacetic acid is an effective option for the treatment of MDR nosocomial infections including pneumonia and cUTI.
This Indian study demonstrated levetiracetam to be an effective alternative to fosphenytoin for treating pediatric patients affected with benzodiazepine resistant status epilepticus.
There were no clinically meaningful differences in the efficacy, safety, pharmacokinetics, pharmacodynamics, and immunogenicity between the first global biosimilar omalizumab and reference product. Omalizumab biosimilar might be a good alternative to reference product in patients with moderate to severe persistent asthma.
The ragweed-induced seasonal allergic symptoms were significantly aggravated by diesel exhaust particles (DEP). Fexofenadine HCl was well tolerated and effective in alleviating pollen-induced, air pollution-aggravated allergic rhinitis symptoms.
Local salvage therapies after radiation recurrent prostate cancer (PCa) negatively impact the continence, lower urinary tract symptoms and sexual functions. Despite these adverse consequences, there are oncological benefits associated with use of local salvage therapy post radiation failure in select patients. The decision to use local salvage therapies should be made with the informed patient in a shared decision working process.
This first-of-its-kind study demonstrated the clinical benefits of zinc supplementation in children hospitalized for pneumonia. The findings suggest that zinc supplement be initiated in such patients irrespective of baseline zinc status.
Heart failure is a life - threatening disease. Incidence and prevalence rates of heart failure are rising due to population, epidemiological and health transitions. A significant proportion of this burden may be preventable with better screening, early identification and treatment of major risk factors.
In his talk, the doctor shares clinical insights and published data on urinary and recombinant gonadotropins in IVF to help make individualized choices easier.
AST -to-platelet ratio index (APRI) and GLOBE score are useful in predicting the risk of liver-related complications in primary biliary cholangitis (PBC). Treatment with obeticholic acid reduces the risk of liver-related complications in patients with PBC.
In this video, the speaker has discussed diagnosis of metal allergy in patients undergoing joint replacement surgery and role of golden knee in the same.
The study demonstrated PEG 3350 to be better than lactulose for treating functional constipation in pediatric patients, including those aged below 2 years
The analysis of this study from the SABINA program demonstrated that a significant proportion of asthmatic patients use at least three SABA canisters per year across Europe, despite the different healthcare and reimbursement policies of each country.
The present study evaluated treatment responses to ciprofloxacin and azithromycin following challenge with a fully sensitive strain of S. Typhi in healthy volunteers. The study showed that azithromycin effectively treated typhoid fever, however longer durations of bacteraemia and fever clearance times were observed when compared with ciprofloxacin treatment.
The efficacy of mirabegron was similar to that of antimuscarinics among older adults with overactive bladder. Mirabegron had a favorable safety profile and the safety outcomes typically associated with anticholinergic burden, were less frequently observed in patients treated with mirabegron.
Amongst patients with HFrEF, sacubitril/valsartan treatment improved the ANP levels. Improvement in ANP levels in turn was associated with improved cardiac remodelling.
Dr Aziz Khan talks about the role of MRA in cardiovascular protection
Dr Aziz Khan talks about the case with long standing hypertension diagnosed as HFpEF.
The study demonstrated a positive linear association between pre-diagnosis BMI and microvascular complications in patients with T2DM. The study further highlighted the importance of weight loss for lowering the risk of microvascular complications.
The present study evaluated efficacy, safety, and tolerability of amoxicillin/clavulanic acid (875 mg/125 mg) and clindamycin (150mg) in the treatment of acute odontogenic infection with or without abscess. The study showed that amoxicillin/clavulanic acid administered twice daily for 5–7 days was found to be noninferior or “comparable” to clindamycin administered four times daily.
This is a phase 3 randomised, open-label, non-inferiority study comparing the efficacy and safety of lenvatinib versus sorafenib as a first-line treatment for unresectable hepatocellular carcinoma. The study showed that lenvatinib was non-inferior to sorafenib in terms of overall survival in untreated advanced hepatocellular carcinoma.
This randomized controlled study evaluated the association between depth of anaesthesia and postoperative cognitive dysfunction (POCD) in elderly patients undergoing abdominal surgery . The study found that compared to light anaesthesia , deep anaesthesia under total intravenous anaesthesia was associated with a reduced incidence of short‐term POCD and decreased release of inflammatory cytokines in elderly patients undergoing abdominal surgery .
Worsening of kidney function is a major contributor towards the risk of HF in patients with hypertension. Choosing an antihypertensive that would prevent eGFR decline would cut down the risk of HF in such patients.
The present study evaluated early administration of azithromycin, started prior to the onset of severe lower respiratory tract illness (LRTI) symptoms, prevent the progression of these episodes in preschool children with severe intermittent wheezing in the context of RTIs. The study found that azithromycin started at the earliest signs of an RTI was effective in significantly reducing the risk of experiencing progression to severe LRTI along with reducing symptom severity during episodes of severe LRTI.
The study demonstrated oxcarbazepine and levetiracetam monotherapy to be effective in reducing seizure frequency in children with BECTS, though the former was more efficacious than the later. Oxcarbazepine also exhibited improvement in certain cognitive and intellectual parameters of the children.
The fluticasone propionate and azelastine hydrochloride combination nasal spray was clinically more effective in suppressing allergic rhinitis (AR) symptoms as compared to fluticasone alone.
Lower TIR was associated with an increased risk of all-cause and CV mortality among patients with T2DM. TIR thus appears to be valid measure of glycemic control that may also serve as an indicator of adverse clinical outcomes in T2DM patients.
In this video, the speaker has discussed role of Viscosupplementation in management of young osteoarthritis.
Sometime, is becomes difficult to diagnose and treat the patients with atypical pneumonia. This session will talk on different methods and investigation to diagnose a case of atypical pneumonia.
This session will help to understand, how to evaluate the prognosis of CAP patients in order to avoid further consequences and if needed change the treatment strategy.
Due to advancement in the medical science, we have many treatment modalities to treat the patient of CAP. This session will throw a light on various treatment strategies in order to cure the patients with CAP
The diagnosis of CAP is mainly based on clinical findings and investigations to channelize the treatment protocol. This session will discuss various aspects of diagnosing a case of CAP.
The patient of CAP comes with different signs and symptoms and many times it becomes difficult to curtailed down to one specific disease. This session will give insights on clinical manifestation of CAP.
There are different microorganisms which are causative for the development of CAP. This session will talk on such pathological organisms.
This session will throw a light on prevalence of pneumonia in the community along with risk factors for the development of pneumonia
This session will help to understand about various investigations needed in order to diagnose different respiratory ailments.
Amongst critically ill pediatric patients with MDR GNB-associated VAP, treatment with inhaled plus IV colistin yielded clinical and microbiological outcomes similar to that of colistin IV alone. Nevertheless, the former resulted in a shorter time to bacterial eradication.
The fixed-dose combination of myoinositol 550 mg, D-chiro-inositol 13.8 mg, L-methyl folate 0.1 mg, vitamin D3 400 IU and chromium picolinate 100 mcg as orange-flavoured chewable tablets, demonstrated a high ovulation and conception rate in PCOS women. The study product demonstrated significant decreases in serum testosterone and hirsutism, reduction in body mass index and increase in serum progesterone levels. This study product was well tolerated and could be considered as a promising first-line comprehensive oral management therapy for PCOS.
This is the first head-to-head non-inferiority comparison of tofacitinib monotherapy versus tofacitinib in combination with methotrexate in rheumatoid arthritis patients with a previous inadequate response to methotrexate. The study found that tofacitinib plus methotrexate was non-inferior to adalimumab plus methotrexate.
Long-term treatment (≥24 months) with rifaximin 550 mg, twice daily was associated with reduced risk of hospitalizations in patients in remission from recurrent hepatic encephalopathy. Treatment with rifaximin for 24 months or longer was well tolerated and did not increase the rate of adverse events.
Depression and anxiety disorder commonly occur together, and they have high severity of illness and significantly impair work functioning and quality of life. Generally, escitalopram, desvenlafaxine, sertraline are commonly utilized to manage depression and anxiety.
Antiepileptic drugs are the mainstay treatment of epilepsy. Management of epilepsy depends on various factors including comorbidity, type of seizure and concomitant medication. Levetiracetam is a novel AED with wide safety profile is effective in diverse epilepsy. Lamotrigine is also commonly used AED because of better tolerability profile in partial and generalized epilepsy.
AED used to treat women with epilepsy should have following criteria including it should be effective, should be broad spectrum and used in wide range of epilepsy, it should not interfere with hormonal balance and not induce ovarian changes. Most Commonly used drug in WWE is lamotrigine because of better tolerability and safety profile.
Levetiracetam is widely used in the treatment of several types of epilepsy. In children, LEV is approved for use of adjunct treatment for partial epilepsy and generalized tonic clonic. LEV has become an attractive choice because of its lack of hepatic metabolism, minimal drug interactions, activity against several seizure types.
This study demonstrates levetiracetam monotherapy to be effective, tolerable and safe option for treating pediatric patients with focal and generalized seizures.
BGF MDI was efficacious, well tolerated, and could be a more appropriate treatment than the corresponding dual therapies for symptomatic patients with moderate to very severe COPD, irrespective of exacerbation history.
The results of this worldwide survey are encouraging as there is a clear shift towards a more unified and evidence-based clinical approach to LPS in IVF cycles, as compared to the earlier survey done in 2009. Although there is no firm evidence supporting the continuation of LPS after the demonstration of fetal heart-beat on ultrasound, this seems to be common practice to continue LPS for upto 10 weeks of gestation by the majority of assisted reproduction centres across the world.
This post hoc analysis of the EMPA REG OUTCOME demonstrated consistent cardiovascular benefits of empagliflozin, independent of baseline LDL-C levels.
This study did not demonstrate any clinically significant benefits in the severity of urinary incontinence at 24 months between women randomized to electromyographic biofeedback pelvic floor muscle training (PFMT) or to PFMT alone. Routine use of electromyographic biofeedback with PFMT for women with stress or mixed urinary incontinence should not be recommended as it did not confer any additional benefit.
The present study evaluated progression-free survival among patients with iodine-131–refractory thyroid cancer who received lenvatinib as compared with those who received placebo. The study showed significant improvements in progression-free survival and the response rate among patients receiving lenvatinib.
This symposium focuses on exacerbation prevention as an important goal in obstructive airways disease management, with a reality check on the burden of OADs in India and how these can be overcome with novel therapeutic options.
Epilepsy is a group of disorder characterized by two or more unprovoked seizures. Levetiracetam is a newer AED with wide safety margin and minimal interactions with other antiepileptics. Also, it increases the rates of seizure freedom, has significant higher retention rate and is generally well tolerated compared to traditional AED.
Major depressive disorder is severe mood disorder associated with significant morbidity and mortality. SSRIs are commonly utilized to manage depression and anxiety. Escitalopram as an antidepressant has good efficacy which significantly improves the depressive symptoms with minimal drug interaction with better tolerability profile.
Migraine is a chronic neurological disorder, typical symptoms includes throbbing or pulsatile headache with moderate to severe pain that intensifies with movement or physical activity. Rizatriptan is commonly used in treatment of migraine and is associated with a higher degree of patient satisfaction than other migraine-specific agents, with rapid pain relief, ease and tolerability being important reasons for patient preference. The treatment also results in overall improvement in Quality of life.
Major depressive disorder is severe mood disorder with symptoms of low mood, less self-esteem, weight changes and is associated with significant morbidity and mortality. Escitalopram as an antidepressant has good efficacy which significantly improves the depressive symptoms with minimal drug interaction and good tolerability profile.
Lacosamide enhances the slow inactivation of voltage-gated sodium channels resulting in the stabilization of hyperexcitable neuronal membranes. Add on lacosamide provides effective seizure control and is generally well tolerated when used as a first add on therapy across a broad age range of AEDs.
Antiepileptic drugs are the mainstay treatment of epilepsy. Levetiracetam is a novel AED with wide safety profile and minimal drug interactions. Also, it has significantly higher retention rate and better seizure control compared to traditional AED.
Levetiracetam is a newer AED with wide safety margin and minimal interactions with other antiepileptics. It increases the rates of seizure freedom and is generally well tolerated. Also, has significantly higher retention rate and better seizure control compared to traditional AED.
Epilepsy is common neurological disorder and the most common cause includes brain pathology ex: tumour, stroke, haemorrhage or infection or metabolic disorder. AED are the mainstay of epilepsy management. Commonly used drugs include levetiracetam, phenobarbitone, lamotrigine. Levetiracetam is effective in diverse epilepsies, and the evidence shows that it increases the rates of seizure freedom and well tolerated without major adverse effects.
Lacosamide enhances the slow inactivation of voltage-gated sodium channels resulting in the stabilization of hyperexcitable neuronal membranes. Add on lacosamide provides effective seizure control and is generally well tolerated when used as a first add on therapy across a broad age range of AEDs.
Management of epilepsy depends on various factors including comorbidity, type of seizure and concomitant medication. Levetiracetam is effective in diverse epilepsies, and the evidence shows that it increases the rates of seizure freedom and well tolerated without major adverse effects. Also, has significantly higher retention rate and better seizure control compared to traditional AED.
Epilepsy is common neurological disorder associated with unprovoked seizure. Antiepileptic drugs are the mainstay treatment of epilepsy. Lacosamide enhances the slow inactivation of voltage-gated sodium channels resulting in the stabilization of hyperexcitable neuronal membranes. Add on lacosamide provides effective seizure control and is generally well tolerated
Lacosamide is a third generation AED which enhances the slow inactivation of voltage-gated sodium channels resulting in the stabilization of hyperexcitable neuronal membranes. Add on lacosamide provides effective seizure control, minimal drug interaction and is generally well tolerated.
Epilepsy is a group of disorder characterized by two or more unprovoked seizures. Levetiracetam, carbamazepine and lamotrigine are commonly used in pregnant women with epilepsy because of its minimal effect on fetus and minimal fetal malformations compared to other AEDs.
Depression and anxiety disorder commonly occur together, and they have high severity of illness and significantly impair work functioning and quality of life. The major cause of depression and anxiety is low level of serotonin. Generally, SSRI such as escitalopram, desvenlafaxine are commonly used to manage depression and anxiety.
Depression is a severe mood disorder associated with significant morbidity and mortality. Worldwide, 17% of people are likely to experience major depression during their lifetime; especially prevalent in patients with cardiovascular disorders. Treatment with escitalopram decreases heart rate, improve sleep quality, and decrease blood pressure and is an effective option in patients with depression and comorbid hypertension.
Epilepsy is a neurological disorder characterized by unprovoked seizures. The causes of epilepsy includes injuries, infections metabolic disorder, stroke or traumatic brain injury. Commonly used AED in practice are phenobarbitone, levetiracetam, lamotrigine and lacosamide.
The doctor talks about various modes of contraception currently available in India and the importance of tailoring these options, based on woman’s profile, context and method profile, to improve the chances of adherence.
The doctor sheds light on some alarming statistics related to abortion and what the IPC, MTP and POCSO act mention in their rules and regulations regarding the same.
This post hoc analysis of PROVE-HF study demonstrated benefits of sacubitril/valsartan in terms of reverse cardiac remodelling and improved NT-proBNP and health status in patients with heart failure and reduced ejection fraction. Benefits of treatment were consistent in patients with and without diabetes.
Epilepsy is a group of disorder characterized by two or more unprovoked seizures. Levetiracetam is a novel AED with wide safety margin and minimal interactions with other antiepileptics. It increases the rates of seizure freedom and is generally well tolerated. It also has significantly higher retention rate and better seizure control compared to traditional AED.
Epilepsy is a group of disorder characterized by two or more unprovoked seizures. Levetiracetam is a novel AED with wide safety margin and minimal interactions with other antiepileptics. It increases the rates of seizure freedom and is generally well tolerated. It also has significantly higher retention rate and better seizure control compared to traditional AED.
Epilepsy is a group of disorder characterized by unprovoked seizures. Lamotrigine is an important AED in treatment of epilepsy as it has broad efficacy, long term effectiveness, well tolerable and favourable pharmacokinetics properties. It is commonly used AED in pregnant women because of its minimal effect on foetus and minimal foetal malformations compared to other AEDs
Depression and anxiety are common comorbid condition, with 35-60% of patients with depression having an anxiety disorder. They have high severity of illness and significantly impair work functioning and quality of life. Escitalopram, desvenlafaxine, sertraline are commonly utilized to manage depression and anxiety.
Bipolar disorder is a chronic mental disorder with repetitive cycles of mania/hypomania as well as depressive episodes. Lamotrigine is an effective option for the management of bipolar disorder, most significantly for its role in the prophylaxis of mood episodes and it is relatively safe and effective option for maintenance treatment in women with bipolar disorder and also effective in long term therapy.
Rizatriptan shows the quickest onset of action, with high efficacy levels at two hours. Also, its efficacy is improved with early use during migraine attacks. It is associated with a higher degree of patient satisfaction than other migraine-specific agents, with rapid pain relief, ease and tolerability being important reasons for patient preference.
In his talk, the doctor briefs on the hyperperandrogenism aspect of PCOS, and the established efficacy of OCPs in its management.
The present study evaluated serum levels of ferritin, folate, vitamin B12, zinc, thyroid-stimulating hormone and vitamin D in patients complaining of diffuse hair loss. The study found that serum ferritin and vitamin D levels in patients with diffuse hair loss were significantly low compared to healthy individuals.
This secondary analysis of the PROVE HF trial demonstrated that initiation of sacubitril/valsartan treatment in HFrEF patients was associated with a rapid improvement of the KCCQ-23 scores; which in turn correlated with NT-proBNP levels.
The antihistamine-leukotriene receptor antagonist (AH-LTRA) combination therapy resulted in greater beneficial effects on composite nasal symptoms, rhinorrhea, and sneezing compared to AH alone in patients with allergic rhinitis (AR). Patients with perennial AR were most responsive to AH-LTRA.
Bronchial hyperresponsiveness, asthma control status and quality of life improved after 12 weeks treatment with nasal saline irrigation (NSI) in children with allergic rhinitis and asthma. NSI seems to be a promising adjunctive option as it is a safe, simple and effective procedure.
Colistin appeared to be effective and safe in very low birth weight infants affected with methicillin-drug resistant gram negative bacteria. Such patients may require close monitoring of renal function and electrolytes while on colistin treatment.
Triple therapy with budesonide, glycopyrrolate, and formoterol was associated with a lower rate of moderate or severe COPD exacerbations and better health-related quality of life than dual therapy with glycopyrrolate–formoterol or budesonide–formoterol.
Levetiracetam is a novel AED with wide safety margin and minimal interactions with other antiepileptics. It is effective in diverse epilepsies, and the evidence shows that it increases the rates of seizure freedom and well tolerated without major adverse effects.
Radiosurgery is precisely focused radiation beams to treat tumors and other problems in the brain, spine and other parts of the body and reduces side effects also. Laser interstitial thermal therapy is an adjuvant treatment for intracranial lesions that are treatment refractory or in deep or eloquent brain.
Depression is major mood disorder with low mood, insomnia/hypersomnia, loss of energy, weight loss lasting for more than 2 weeks. Physical, psychotherapy and pharmacotherapy are three major categories of management of depression. SSRI and SNRI are mainstay of depression management.
Migraine is common neurological disorder occurring in different phases including prodrome, aura, headache and postdrome phase. Triptans is 5HT 1B/1D receptor agonist which causes cerebral vasoconstriction and reduces pain which can be given by nasal, oral and subcutaneous route. Rizatriptan and Zolmitriptan shows the quickest onset of action, with high efficacy levels at two hours
Depression and anxiety are common comorbid condition, with 35-60% of patients with depression having an anxiety disorder. Escitalopram monotherapy and in combination with clonazepam has good antidepressant effect which significantly improves depressive symptoms and has good tolerability profile in managing depression patients with comorbid anxiety
Depression and anxiety disorder commonly occur together, and they have high severity of illness and significantly impair work functioning and quality of life. Generally, escitalopram, desvenlafaxine, sertraline are commonly utilized to manage depression and anxiety
Epilepsy is neurological disorder characterized by unprovoked seizure and are divided into focal and generalized epilepsy. It significantly reduces the quality of life. Patients with status epilepticus are primarily treated with benzodiazepine, post that treated with phenytoin, fosphenytoin, levetiracetam or IV midazolam if the seizure are not controlled.
This study evaluated the antidepressant effect of lamotrigine vs. oxcarbazepine when combined with escitalopram in patients with co-existing epilepsy and depression. The study also evaluated the impact of both the combinations on the quality of life of the patients.
Diabetes mellitus and depression are major public health issues and depression was associated with a 60% increase of type 2 diabetes while type 2 diabetes was associated with 15% risk of depression. Escitalopram is effective in terms of controlling symptoms of depression without any adverse impact on glycemic parameters when used in depression patients with diabetes mellitus.
PD is a devastating disorder of the human nervous system and the second most common progressive chronic neurodegenerative disease. Amantadine has an effective antiparkinsonian effect and is well-tolerated. It appears to improve dyskinesias, also has a mild benefit on the motor symptoms of PD. It is an effective agent both in early and advanced PD.
Lamotrigine is an important AED in treatment of epilepsy as especially in women with epilepsy it has broad efficacy, long term effectiveness, well tolerable and lack of cognitive impairment. It can be an ideal AED in pregnant women because of its minimal effect on fetus and minimal fetal malformations compared to other AEDs.
Depression and anxiety are common comorbid condition, with 35-60% of patients with depression having an anxiety disorder. Escitalopram monotherapy and in combination with clonazepam has good antidepressant effects which significantly improves depressive symptoms and has good tolerability profile in managing depression patients with comorbid anxiety.
Migraine is common neurological disorder occurring in different phases including prodrome, aura, headache and postdrome phase. Triptans is 5HT 1B/1D receptor agonist which causes cerebral vasoconstriction and reduces pain which can be given by nasal, oral and subcutaneous route. Commonly used triptans are rizatriptan, sumatriptan and zolmitriptan.
Schizophrenia is a serious lifelong disorder affecting behaviour, thought and cognition. Psychosocial rehabilitation is important for independent level of optimal functioning & better Quality of life. The 2nd generation antipsychotics such as olanzapine, risperidone, Amisulpride are commonly used drug as they reduce both negative and positive symptoms of schizophrenia with better tolerability profile.
Depression and anxiety disorder commonly occur together, and they have high severity of illness and significantly impair work functioning and quality of life. Generally, escitalopram, desvenlafaxine, sertraline are commonly utilized to manage depression and anxiety.
Epilepsy is common chronic neurological disease characterized by unprovoked seizure. Levetiracetam is a novel AED with wide safety profile with minimal drug interactions. Also, has significantly higher retention rate in patients and better seizure control compared to traditional AED.
Challenges in neurosurgery includes maintaining a modern, efficient, and responsive educational program for neurosurgery; the challenge of maintaining the boundaries of neurosurgical practice and preventing the incursion of subspecialty groups into the performance of neurosurgical procedures. Social stigma about the neurological disease leads to poor access to neurosurgical procedure.
Major depressive disorder is severe mood disorder associated with significant low mood for more than 2 weeks. Depression can be managed both by psychotherapy and pharmacotherapy. Psychotherapy involves cognitive behavioural therapy. Pharmacotherapy includes use of various antidepressants such as selective serotonin receptor inhibitors and tricyclic antidepressants.
Migraine is a chronic neurological disorder with pulsatile headache of moderate to severe intensity. Rrizatriptan and Zolmitriptan shows the quickest onset of action, with high efficacy levels at two hours also its efficacy is improved with an early use within migraine attacks. They are associated with a higher degree of patient satisfaction, with rapid pain relief, ease and better tolerability
In his talk, the doctor elaborates on the rising burden of insulin resistance and the associated hyperinsulinemia in PCOS, and thereby highlights the role of myoinositol and d-chiroinositol in its management.
A substantial proportion of type-2 diabetes mellitus with chronic kidney disease (CKD) have a rapid progression of CKD. Prompt identification of this high-risk subgroup is critical to address their unmet therapeutic needs.
This study is the first randomized, controlled trial in an antiretroviral-naive population that evaluated the efficacy of reduced doses of both tenofovir disoproxil fumarate (TDF) and efavirenz (EFV) for the treatment of HIV-1 infection. This 48-week study showed that lower doses regimen of both TDF and EFV was non-inferior to the standard dose regimen of TDF 300 mg plus lamivudine (3TC) 300 mg, and EFV 600 mg.
The present study describes the outcomes of endoscopic vacuum therapy (E-VAC) as a rescue treatment in refractory anastomotic leak and perforation after gastro-oesophagal surgery. The study reported complete healing of the leak/perforation, without the need for further treatments suggesting E-VAC therapy as a safe option for leak management.
Radical Cystectomy compared to intravesical BCG immunotherapy for high-risk Non-Muscle Invasive Bladder Cancer – is there a long-term survival difference?
Depression is a severe mood disorder that affects individuals of all ages and is associated with significant morbidity and mortality. Worldwide, 17% of people are likely to experience depression and it is especially prevalent in patients with cardiovascular disorders. Escitalopram is commonly used in depression with comorbid hypertension as it decreases heart rate, improve sleep quality, and decrease blood pressure.
Diabetes mellitus and depression are major public health issues and depression was associated with a 60% increase of type 2 diabetes while type 2 diabetes was associated with 15% risk of depression. Escitalopram is effective in terms of controlling symptoms of depression without any adverse impact on glycemic parameters when used in depression patients with diabetes mellitus.
Depression and anxiety are common comorbid condition, with 35-60% of patients with depression having an anxiety disorder. Escitalopram monotherapy and in combination with clonazepam has good antidepressant effects which significantly improves depressive symptoms and has good tolerability profile in managing depression patients with comorbid anxiety.
Depression and anxiety disorder commonly occur together, and they have high severity of illness and significantly impair work functioning and quality of life. Generally, escitalopram, desvenlafaxine, sertraline are commonly utilized to manage depression and anxiety. Escitalopram monotherapy and in combination with clonazepam significantly improves depressive symptoms and has good tolerability profile.
Lacosamide enhances the slow inactivation of voltage-gated sodium channels (VGSCs) resulting in the stabilization of hyperexcitable neuronal membranes. Add on lacosamide provides effective seizure control and is generally well tolerated when used as a first add on therapy across a broad age range of AEDs.
Lamotrigine has an important AED in treatment of epilepsy as it has broad efficacy, long term effectiveness, well tolerability, favourable pharmacokinetics properties and lack of cognitive impairment. It can be an ideal AED in pregnant women because of its minimal effect on fetus and minimal fetal malformations compared to other AEDs.
Epilepsy is a group of disorder characterized by two or more unprovoked seizures. Levetiracetam is a newer AED with wide safety margin and minimal interactions with other antiepileptics. Also, it increases the rates of seizure freedom and is generally well tolerated compared to traditional AEDs.
Bipolar disorder is a chronic mental disorder with repetitive cycles of mania and depressive episodes. Lamotrigine is an effective option for the management of bipolar disorder, most significantly for its role in the prophylaxis of mood episodes and it is relatively safe and effective option for maintenance treatment in women.
AEDs are the mainstay of the treatment of epilepsy. Review diagnosis if seizure is not controlled and evaluate patients every 3 months. Lamotrigine is effective option in women with epilepsy. It is recommended to initiate monotherapy at low dose to evaluate drug interaction and side effect profile.
Major depressive disorder is severe mood disorder associated with significant morbidity and mortality. Escitalopram as an antidepressant has good efficacy which significantly improves the depressive symptoms with minimal drug interaction with better tolerability profile.
Escitalopram leads to a significant improvement of overall quality of life as well as overall pleasure and satisfaction with life which makes them very effective in the treatment of depression. It also provide better efficacy and safety compared to other antidepressants.
Antiepileptic drugs are the mainstay treatment of epilepsy. Levetiracetam is a novel AED with wide safety profile with minimal drug interactions. Also, has significantly higher retention rate and better seizure control compared to traditional AED.
Depression is a severe mood disorder with a lifetime prevalence of 16.5% in the adult population. Treatment with escitalopram results in a significant improvement of quality of life, improved sleep, enjoyment and satisfaction in patients with MDD which makes it very effective option for the treatment of depression.
Bipolar disorder is a chronic mental disorder with repetitive cycles of mania/hypomania as well as depressive episodes, resulting in marked impairment in overall functioning and quality of life. Psychotherapy is an important aspect of bipolar management. Lamotrigine is an important pharmacologic option for the management of bipolar disorder as it is relatively safe and effective option for maintenance treatment.
Epilepsy is third most common neurological disorder characterized by two or more unprovoked seizures. Levetiracetam is a newer AED with wide safety profile with minimal drug interactions. Also, has significantly higher retention rate and better seizure control compared to traditional AED.
Bipolar disorder is a common psychiatric disorder with repetitive cycles of mania and depressive episodes. Lamotrigine is an effective option for the management of bipolar disorder, most significantly for its role in the prophylaxis of mood episodes and it is relatively safe and effective option for maintenance treatment.
Lamotrigine is an anticonvulsant which is an effective mood stabilizer commonly used for the management of bipolar disorder. It plays and important role in the prophylaxis of mood episodes and it is relatively safe and effective option for maintenance treatment in women with bipolar disorder in the reproductive age group and also pregnant women.
Major depressive disorder is severe mood disorder associated with significant morbidity and mortality. Escitalopram as an antidepressant has good efficacy which significantly improves the depressive symptoms. It has minimal drug interaction and better tolerability profile compared to other antidepressants.
Depression and anxiety are common comorbid condition, with 35-60% of patients with depression having an anxiety disorder. Escitalopram monotherapy and in combination with clonazepam has good antidepressant effects which significantly improves depressive symptoms and has good tolerability profile in managing depression patients with comorbid anxiety.
Epilepsy is a group of disorder characterized by two or more unprovoked seizures. Levetiracetam is a novel AED with wide safety margin and minimal interactions with other antiepileptics. Another AED lacosamide as an add on provides effective seizure control and is generally well tolerated when used as a first add on therapy across a broad age range of AED.
Lacosamide is approved as add on therapy in partial onset seizure. It block sodium channels, enhancing slow inactivation of neuronal membrane. It significantly reduces seizure frequency with high rate of longterm seizure freedom. Also, has minimal drug interaction and safer to use.
Epilepsy is a common neurological condition affecting 1-2% of population. Lacosamide is a newer AED which enhances the slow inactivation of voltage-gated sodium channels resulting in the stabilization of hyperexcitable neuronal membranes. Add on lacosamide provides effective seizure control and is generally well tolerated when used as a first add on therapy across a broad age range of AEDs.
Rapid up-titration of lacosamide seems to be a feasible option in appropriate clinical conditions and may be particularly beneficial for epilepsy patients at high risk of short-term seizure recurrence.
Partial-gland high-intensity focused ultrasound (HIFU) was safer than whole-gland HIFU, and they had similar oncological outcomes. More prospective randomized controlled trials are warranted to assess the benefits of HIFU for the treatment of prostate cancer.
Diagnosing and categorization of epilepsy type is important for management of epilepsy. The commonly used epilepsy drugs in different types of epilepsy are phenobarbitone which effective in partial seizure; levetiracetam, Briveracetam, clobazam are also commonly used for the management of partial and generalized seizure.
Depression is severe mood disorder characterized by low mood, weight changes, insomnia or hypersomnia. Depression and anxiety are common comorbid condition, with 35-60% of patients with depression having an anxiety disorder. Escitalopram monotherapy and in combination with clonazepam has good antidepressant effects which significantly improves depressive symptoms and has good tolerability profile.
Stroke is the second leading cause of death worldwide. In case of haemorrhagic stroke, urgent craniotomy, evacuation of hematoma and decompression is recommended. Mechanical thrombectomy and IV thrombolysis is recommended in patients with ischemic stroke.
Epilepsy is a group of disorder characterized by two or more unprovoked seizures. Lacosamide enhances the slow inactivation of voltage-gated sodium channels resulting in the stabilization of hyperexcitable neuronal membranes. Add on lacosamide provides effective seizure control and is generally well tolerated when used as a first add on therapy across a broad age range of AEDs.
Stroke is the second leading cause of death worldwide. Immediate airway, breathing and circulation is required in patients with stroke. In case of haemorrhagic stroke, craniotomy, evacuation of hematoma and decompression is recommended. Mechanical thrombectomy and IV thrombolysis is recommended in patients with ischemic stroke.
Bipolar disorder is a chronic mental disorder with repetitive cycles of mania/hypomania as well as depressive episodes. Lamotrigine is an effective option for the management of bipolar disorder, most significantly for its role in the prophylaxis of mood episodes and it is relatively safe and effective option for maintenance treatment in women.
Assessment of head injury can be done by Glasgow comma scale which evaluates the severity of head injury. During head injury management, airway and circulation are managed immediately to avoid secondary injuries. If patient has large occlusion, ICH or hematoma, craniotomy is planned to remove the clot.
Lacosamide enhances the slow inactivation of voltage-gated sodium channels resulting in the stabilization of hyperexcitable neuronal membranes. Add on lacosamide provides effective seizure control and is generally well tolerated when used as a first add on therapy across a broad age range of AEDs.
Depression and anxiety disorder commonly occur together, and they have high severity of illness and significantly impair work functioning and quality of life. Generally, escitalopram, desvenlafaxine, sertraline are commonly utilized to manage depression and anxiety.
The preferred choice of drugs in neonatal seizure and infants are benzodiazepines such as midazolam, diazepam, lorazepam. The drugs used in infantile spasm are carbamazepine, oxcarbazepine and levetiracetam as they have less drug interaction with other drugs and effective in broad spectrum of different epilepsy types.
Major depressive disorder is severe mood disorder associated with significant morbidity and mortality. The commonly used SSRI for depression management is Escitalopram. As an antidepressant it has good efficacy which significantly improves the depressive symptoms with minimal drug interaction and better tolerability profile.
Epilepsy is a group of disorder characterized by two or more unprovoked seizures. Lamotrigine is an important AED in treatment of women with epilepsy as it has broad efficacy, long term effectiveness, well tolerable and favourable pharmacokinetics properties. It is commonly used AED in pregnant women because of its minimal effect on fetus and minimal fetal malformations compared to other AEDs.
Levetiracetam is a newer AED with wide safety profile with minimal drug interactions and has significantly higher retention rate and better seizure control compared to traditional AED. Add on lacosamide provides effective seizure control and is generally well tolerated when used as a first add on therapy across a broad age range of AEDs. Lamotrigine is commonly used in WWE because of minimal foetal malformation.
Antiepileptic drugs are the mainstay treatment of epilepsy. Lacosamide enhances the slow inactivation of voltage-gated sodium channels (VGSCs) resulting in the stabilization of hyperexcitable neuronal membranes. Add on lacosamide provides effective seizure control and is generally well tolerated when used as a first add on therapy across a broad age range of AEDs.
Choice of an AED for the treatment of epilepsy in infants and children depends not only on the efficacy of the agent but also in safety, impact on behavior and learning, and existing patient co-morbidities. LEV has become an attractive choice in children because of its lack of hepatic metabolism, minimal drug interactions, activity against several seizure types.
Major depressive disorder is severe mood disorder associated with significant morbidity and mortality. Escitalopram as an antidepressant has good efficacy which significantly improves the depressive symptoms with minimal drug interaction and has better tolerability profile.
Epilepsy is a group of disorder characterized by two or more unprovoked seizures. Lamotrigine is an important AED in treatment of epilepsy as it has broad efficacy, long term effectiveness, well tolerable and favourable pharmacokinetics properties. It is commonly used AED in pregnant women because of its minimal effect on fetus and minimal fetal malformations compared to other AEDs.
This is a randomised, double-blind, multicentre, phase 3 trial evaluating 144-week efficacy and safety of fixed-dose combination bictegravir, emtricitabine, and tenofovir alafenamide versus dolutegravir-containing regimens for initial treatment of HIV-1 infection. The findings showed that bictegravir, emtricitabine, and tenofovir alafenamide continued to be non-inferior to dolutegravir-containing regimens at week 144.
This study demonstrated reduction in the miscarriage rates after DHEA supplementation in women with diminished ovarian reserves (DOR). Miscarriage rates after DHEA supplementation not only were lower than in an average national IVF population but were comparable to rates reported in normally fertile populations. Low miscarriage rates, comparable to those of normal fertile women, are indicative of the possible beneficial effect of DHEA on embryo ploidy.
Treatment with nintedanib resulted in a slower rate of progression of interstitial lung disease and a significantly lower annual rate of decline in forced vital capacity, irrespective of the fibrotic pattern in high resolution computed tomography scan as compared to placebo. Diarrhea was a common adverse event reported by the patients receiving nintedanib.
Epilepsy is a group of disorder characterized by two or more unprovoked seizures. Epilepsy management depends on type of seizure and individual patients. Lacosamide is effective in patient with partial epilepsy. Levetiracetam and lamotrigine is effective in women with epilepsy in childbearing age bcz of minimal drug interaction and better tolerability profile.
Besides diagnosis and treatment, in LUTS/BPO, comprehensive assessment of patient’s illness, preference & expectations needs equal attention. Such patient centric approach may further improve drug adherence and some unmet needs in this area, potentially reducing complications and cost.
Depression and anxiety are common comorbid condition, with 35-60% of patients with depression having an anxiety disorder. Escitalopram monotherapy and in combination with clonazepam has good antidepressant effects which significantly improves depressive symptoms and has good tolerability in managing depression patients with comorbid anxiety
Major depressive disorder is severe mood disorder associated with significant morbidity and mortality. Escitalopram as an antidepressant has good efficacy which significantly improves the depressive symptoms with minimal drug interaction with better tolerability profile.
Epilepsy is a chronic neurological condition which affects over one million women of childbearing age. Lamotrigine and levetiracetam are effective in childbearing age and pregnant women because of its minimal effect on foetus and less drug interaction with oral contraceptive. Also, both drugs are safe and better tolerability profile
Diabetes mellitus (DM) and depression are major public health issues. Depression could facilitate the onset of diabetes through disturbances in eating behaviours and drug induced weight gain. Escitalopram is effective in terms of controlling symptoms of depression without any adverse impact on glycemic parameters when used in depression patients with diabetes mellitus.
Escitalopram as an antidepressant is associated with high therapy continuity, high efficacy, adherence due to high tolerability and reduced risk of relapse. It is an effective first line option in the management of patients with MDD.
Choice of an AED for the treatment of epilepsy in infants and children depends not only on the efficacy of the agent but also in safety, impact on behavior and learning, and existing co-morbidities. Levetiracetam is effective in children with epilepsy because of minimal drug interactions, activity against several seizure types and with possible no evident side effect
Epilepsy is a group of disorder characterized by two or more unprovoked seizures. levetiracetam is a novel AED with wide safety margin without any requirement for serum drug monitoring, and minimal drug interactions with other antiepileptics. It significantly increases the rates of seizure freedom and well tolerated without major adverse effects
Bipolar disorder is a chronic mental disorder with repetitive cycles of mania/hypomania as well as depressive episodes. Lamotrigine is an important pharmacologic option for the management of bipolar disorder, most significantly for its role in the prophylaxis of mood episodes, also it is relatively safe and effective option for management of BD
Management of epilepsy in adults depends on various factors including comorbidity, type of seizure and concomitant medication. Levetiracetam is effective in diverse epilepsies, and the evidence shows that it increases the rates of seizure freedom and well tolerated without major adverse effects. Also, it has an advantage in pregnant women as it decreases risk of congenital malformation.
The patient with head injury is classified as mild moderate and severe head injury by Glasgow comma scale. During head injury management, airway and circulation are managed immediately to avoid secondary injuries. If patient has large occlusion, ICH or hematoma, craniotomy is planned to remove the clot.
Rare lung diseases are rare but integral part of for pulmonary medicine. Many young clinicians need guidance on how to differentiate and treat various Rare Lung Diseases. Also, there are new updates on Chronic Hypersensitivity Pneumonitis. This PURVIEW is an opportunity as it entails discussions on broad spectrum of Rare Lung Diseases and their management.
Children with epilepsy have higher rates of learning difficulties. Hence, the treatment should be individualized for children with epilepsy. Selection of AEDs depends on patients, type of seizure, drug interaction and comorbidity. Levetiracetam, clobazam, topiramate are the common AEDs preferred in children.
Dementia is major cause of disability in late life. The prevalence of dementia is 6-8% in patient above 65 years of age and 30% or more in patient aged 80 years and above. Donepezil and Rivastigmine are the commonly used drug to treat dementia with minimal drug interaction and better tolerability profile than other drugs
OCD is disease with obsession and compulsion in which patients has doubts, suspicions and repetitive actions. Psychotherapy and CBT is important aspect of managing OCD. SSRI are commonly used medication to supress the symptoms of OCD.
Lamotrigine is effective in patients with bipolar disorder with superior efficacy, better tolerability and is safer to use. It is more effective in depressive phase compared to maniac phase and usually recommended for maintenance treatment of bipolar disorder.
This large-scale Indian study demonstrated a high risk of acute respiratory infection due to indoor pollution in children aged below 5 years. Policies that would cut down the exposure to indoor air pollution are warranted.
Dr Uday Jadhav talks about the case of a patient with myocardial infarction and dyspnoea.
Dr Uday Jadhav talks about the case of hypertensive patient diagnosed as HFpEF.
Dr Uday Jadhav talks about chronic HFrEF and acute decompensation.
Dr Uday Jadhav talks about the role of cardiac fibrosis markers in heart failure.
Results of the SENSCIS trial demonstrated that nintedanib had a lower annual rate of decline in forced vital capacity among patients with interstitial lung disease (ILD) associated with systemic sclerosis as compared to placebo. There was no other clinical benefit observed for other manifestations of systemic sclerosis. Nintedanib treatment had a safety profile similar to that observed in patients with idiopathic pulmonary fibrosis, with diarrhea being the most common adverse event.
In a real-world clinical setting, the fixed dose combination of oral cefixime (400 mg) and moxifloxacin (400 mg) was effective in improving all symptoms in patients with lower respiratory tract infections without causing any adverse event.
Varicocele repair increased the pregnancy and live birth rates irrespective of the semen analysis result. Varicocele treated azoospermic men had higher sperm retrieval success rate. Varicocele repair might benefit infertile men prior to joining a fertility program.
The present study is the pooled analysis of two phase III studies, ATLAS and FLAIR, that compared efficacy and safety of monthly intramuscular (IM) injections of long-acting (LA) cabotegravir (CAB) + LA rilpivirine (RPV) to the oral current antiretroviral regimen (CAR). The study showed that monthly IM injections of CAB + RPV LA are noninferior to CAR in maintaining HIV-1 virologic suppression in treatment-experienced participants.
Epilepsy management depends on efficacy, safety and pharmacokinetic profile of AED, seizure type and patient characteristics. It is recommended to start monotherapy, if there’s in adequate response to the monotherapy the add on drug can be included in management. Lamotrigine, levetiracetam, lacosamide are commonly used drug in focal epilepsy
Migraine is headache disorder which is more common in female occurring at younger age. The first line drugs for chronic migraine includes sodium valproate, propranolol. In case of acute migraine, the first line medication includes ibuprofen, aspirin and triptans including rizatriptan and zolmitriptan.
According to the findings of this Saudi Arabian study, lacosamide was effective and well-tolerated in patients with focal epilepsy.
Depression is a mental disorder associated with persistent low mood. Depression and anxiety disorder commonly occur together, with high severity of illness which significantly impair work functioning and quality of life. SSRI and psychotherapy is the recommended choice of therapy for treating depression and comorbid condition.
AEDs are the mainstay for epilepsy management. Compared to conventional AEDs, newer AEDs are better tolerated and safer to use in epilepsy patients. Amongst newer AEDs, levetiracetam is the novel drug with wide safety margin, does not require serum drug monitoring and has no/minimal drug interaction with other AEDs.
In epilepsy, despite the availability of many antiepileptic drugs (AEDs) more than 30% of patients continue to experience seizures and have drug-resistant epilepsy which can be eased by Precision medicine (PM) which is tailoring of medical treatment to the individual characteristics of each patient. In epilepsy, the precision medicine can be used for medical treatments that target specifically the mechanisms responsible for the manifestations of the disease in individual patients to reduce seizures.
Schizophrenia is disorder of thought, perception and behaviour with or without cognitive functioning. The 2nd generation antipsychotics such as olanzapine, risperidone, Amisulpride are commonly used drug as they reduce both negative and positive symptoms of schizophrenia with better tolerability profile. Schizophrenia patient with aggression and suicidal tendency usually requires hospitalization.
According to NICE guidelines, the choice of antidepressants should be based on side effect profile, patient preference and previous patient exposure. SSRI are commonly used as first line for treatment of depression in adults and children. Amongst them, escitalopram is commonly preferred SSRI because of better efficacy and safety profile.
Lacosamide enhances the slow inactivation of voltage-gated sodium channel and it is available as tablet and injection formation. Initially, the administration is started as 50 mg/day. As an AED it provides effective seizure control and is generally well tolerated when used as a first add on therapy across a broad age group.
Epilepsy majorly consist of 2 types: generalized and focal. The aim of management is to reduce the seizure frequency and preventing seizure. Oxcarbazepine, lamotrigine, levetiracetam are commonly used first line antiepileptic drugs. Recently approved lacosamide is the most commonly used add on AED for epilepsy management.
Migraine is most common headache disorder which is diagnosed with certain clinical criteria including unilateral or bilateral headache which last from 4 -72 hours and pain is usually pulsated. Most common differential diagnosis is tension type headache, secondary headache, trigeminal autonomic cephalgia which needs to be diagnosed for the correct management.
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Recognizing the widening “treatment gap,” the ASBMR developed a consensus of a broad multi-stakeholder coalition regarding several aspects of Osteoporosis treatment.
Few facts about common myths related to hair.
A LIVE symposium on ‘Breath of Fresh Air in OAD’, with a focus on the importance of preventing exacerbations in OAD management. This symposium aims to provide clinical perspectives on understanding pathogenesis of OAD exacerbations, highlighting the various triggers, patient factors and their interactions leading to exacerbations and discuss various preventive measures available with newer therapies and drug delivery systems to reduce the burden and impact of exacerbations on the patient.
Depression is a mood disorder characterised by persistent low mood. Mild depression can be treated by psychotherapy; however, moderate and severe episodes of depression require pharmacotherapy. SSRIs are recommended as first line treatment in managing depression and the response can be evaluated at intervals before up titrating the dose.
The dilemma of selection of right antipsychotic in the real world revolves around a medication that shows efficacy, tolerability and is safer to use. It is recommended to initiate treatment with monotherapy and up titrate the dose before initiating polytherapy. Olanzapine and respiredone are the first choice in overweight patient.
OCD is a disease with obsession and compulsion in which patients has doubts, suspicions and repetitive actions. Psychotherapy and CBT are important for managing OCD. SSRI are recommended as the first line medication to supress the symptoms of OCD.
Migraine treatment should be initiated as soon as the migraine attack starts. CGRP antagonist, CGRP monoclonal antibodies are the new emergent therapies in migraine. CGRP antagonist including erenumab injection is found to be effective in migraine management with no major side effects.
Sacubitril/valsartan exhibited generally consistent efficacy and safety across various dose levels in hemodynamically stabilized patients with ADHF. Sacubitril/valsartan should therefore be broadly initiated in-hospital and continued post-hospitalization even in patients who may not tolerate early up-titration to the target dose.
The doctor talks about errors in ART labs and how setting these key performance indicators can be beneficial to check performance and to maintain standard, assure quality and benchmark against established standards.
According to this first-of-its kind study conducted in pediatric population, loading dose of colistin improved the overall efficacy without any adverse impact on the renal function (vs. no loading dose) in critically ill children affected with severe nosocomial infections.
In this webinar, the doctor briefs about effectiveness of a dynamic quantification tool - the HDP GESTOSIS score - to screen hypertensive disorders of pregnancy.
The present study evaluated Saccharomyces boulardii (SB) as a possible therapeutic intervention in acute rotavirus diarrhoea in Indian children. The study showed that SB 250 mg orally twice a day for 5 days given during an acute episode of rotavirus diarrhoea in children aged under five resulted in significant shortening in the diarrheal duration and duration of hospitalization without any adverse events.
The present study compared the efficacy and safety of intravenous levofloxacin (LVFX) at 750 mg per day for 5 days with an intravenous/oral regimen of LVFX at 500 mg per day for 7–14 days in the treatment of patients with complicated urinary tract infection and acute pyelonephritis. The study showed that two therapies had similar clinical efficacy, microbiological efficacy, and tolerance.
This large-scale study demonstrated very low rate of loop diuretic (LD) dose down-titration in chronic HF patients, depicting the high discordance between ‘real-world’ HF practice patterns and guidelines. Clinicians should attempt LD dose down-titration in stable euvolemic patients.
In her talk, the doctor gives brief on the nuances of ICSI, including sperm morphology and motility, and indications of and advances in IMSI.
Lacosamide appeared to improve depression and anxiety symptoms in patients with focal refractory epilepsy. This effect was independent of the seizure control effect of lacosamide.
Treatment with letrozole was associated with high resolution rate and better safety profile as compared with a chemotherapeutic agent such as methotrexate in the medical treatment of ectopic pregnancy.
rFSH prefilled syringe was safe, effective and non-inferior to rFSH pen for ovarian stimulation in infertile women undergoing in-vitro fertilization-embryo transfer.
The results of this first North American and European study showed no unexpected safety concerns and a similar safety profile of mirabegron add-on therapy to that expected for the individual monotherapies in men with overactive bladder symptoms associated with benign prostatic hyperplasia receiving tamsulosin.
The efficacy and safety of once-daily (OD) dosing of mesalazine was comparable to twice-daily (BD) dosing in patients with ulcerative colitis. Since ulcerative colitis requires long-term treatment, OD dosing regime can be more convenient than BD dosing regime.
In the first session, doctor elaborates on how placenta accreta is emerging as one of the biggest obstetric Challenge and how it can be managed optimally. In the panel discussion, the moderator takes us through various case scenarios of effectively managing bleeding in late pregnancy, such as, due to abruptio placentae, placenta previa, vasa previa and rupture uterus.
Treatment with omalizumab resulted in significant improvements in endoscopic, clinical, and patient-reported outcomes in severe chronic rhinosinusitis with nasal polyps (CRSwNP) with inadequate response to intranasal corticosteroids. Omalizumab was safe and well tolerated in all the patients.
In his talk, the doctor elaborates on impact of air quality of ART lab in the IVF outcomes, volatile organic compounds and their management, as well as latest developments.
The present study compared lapatinib plus capecitabine with capecitabine alone in women with progressive, HER2-positive, locally advanced or metastatic breast cancer. The study showed that lapatinib plus capecitabine was superior to capecitabine alone in women with HER2-positive advanced breast.
Rivaroxaban is a potent, selective, orally active direct inhibitor of the activated serine protease Factor X (FXa), which plays a central role in the blood coagulation. It has good bioavailability (80%), is highly protein-bound, and has few drug interactions.
Nintedanib 150 mg twice a day demonstrated acceptable safety profile and was associated with reduction in the decline in lung function, with fewer acute exacerbations and preserved quality of life in patients with idiopathic pulmonary fibrosis.
This webcast provides the detailed place in therapy of Liposomal Amphotericin B for the management of invasive fungal infections (IFIs) in hematological patients who are at the highest risk to get infected with IFIs.
In this webinar, the doctor talks about history of IVF, where do we stand in terms of PGT and current trends in PGT.
Administration of meropenem by continuous infusion improves drug exposure in plasma and epithelial lining fluid (ELF) in critically ill patients with nosocomial pneumonia. The highest licensed dose of 6 g/day (2 g/8 h) seemed to be necessary to achieve an optimal coverage in ELF for all susceptible isolates (MIC ≤ 2 mg/L) in patients with conserved renal function. An alternative therapy should be considered in the treatment of nosocomial pneumonia caused by gram-negative bacteria with a MIC greater than 2 mg/L.
This is one of the first studies that clinically validated MII-pH testing and ascertained its ability in guiding clinical management in children with suspected GERD. Treatment decisions guided by MII-pH testing were associated with improved symptom and QOL in children.
The doctor gives perspectives whether preimplantation genetic testing (PGT) is meant for all patients undergoing IVF, starting with its advantages and disadvantages and what does evidence say about PGT in IVF.
The study demonstrated that a fixed-dose combination of gatifloxacin/prednisolone eye drops was as effective as the non-fixed combination of individual agents for preventing infection and inflammation in patients undergoing phacoemulsification and IOL implantation.
This trial compared the combination of letrozole plus lapatinib with letrozole plus placebo as first-line treatment of patients with HR-positive MBC, including a population with known HER2- positive tumours. Results showed that letrozole-lapatinib combination was well tolerated and produced a clinically meaningful improvement in several efficacy endpoints.
Epilepsy occurs due to abnormal firing of neuron. In elderly it is associated with significant morbidity and mortality. Treatment in elderly is challenging as they are on multiple drugs. Hence the monotherapy AED treatment is recommended at low dose with drug having minimal drug interactions such as levetiracetam, brivaracetam.
Lacosamide is a newer antiepileptic drug (AED) approved for as an adjunct for partial seizure which modulates sodium voltage gated channel. It reduces seizure frequency when given with another AED at dose of 400-600 mg a day. It is also well tolerated drug and has comparable efficacy with conventional AEDS.
Epilepsy is the most common neurological disorder and the most common cause in elderly patients includes stroke related seizure, dementia and trauma. The preferred drugs for managing elderly patients with epilepsy includes levetiracetam and lamotrigine as they are well tolerated and have less drug interactions. AEDs which also acts as depressants should be avoided in elderly patient.
Pre-treatment with mifepristone followed by misoprostol was more effective than misoprostol alone in the management of missed miscarriage. Mifepristone and misoprostol combination treatment increased the chance of successful miscarriage and reduced the need for surgical intervention.
In this panel discussion, the moderator and panelists try to bust myths and misconceptions associated with contraception, thereby ensuring optimal usage and protection against unwanted pregnancy.
In this talk, the doctor briefs on how contraception can pose a challenge in women with medical disorders and elaborates the WHO medical eligibility criteria for contraceptive use.
The doctor highlights various aspects of Indian penal code, MTP act and POCSO act in association with safe abortion.
The doctor elaborates on how the pandemic gave rise to challenges in accessing contraception, opportunities and solutions in obtaining the same.
In this talk, the doctor elaborates on how a practicing gynaecologist can ensure safe abortion with the help of components laid in comprehensive abortion care guidelines.
The doctor highlights the huge unmet need for modern contraceptives in India; existing and newer contraceptive options along with their advantages and disadvantages.
Treatment for 8 weeks with fluticasone was as effective as mometasone in patients with moderate-to-severe allergic rhinitis and resulted in a significant improvement in the total nasal symptom score, with no significant difference between the two.
The present study evaluated whether administration of azithromycin during an acute bronchiolitis (AB) event reduces subsequent wheezing and hospital readmissions. The 6 months follow-up results indicated that azithromycin at the time of admission for AB showed relevant protection for recurrence of wheezing 3 months after hospitalisation for AB.
The doctor talks about current fertility preservation techniques and options for both, males and females, and what is the future of this procedure.
This study highlights that colistin is erroneously blamed for nephrotoxicity and nephrotoxicity rates may be over-estimated as AKI is common in sepsis and independent of drugs used to treat sepsis. There is no statistical difference in nephrotoxicity observed in patients receiving colistin compared to those receiving βL- βLIs or carbapenem.
Lacosamide exhibited no adverse impact on the lipid profile in patients with newly diagnosed epilepsy.
Nintedanib reduced the decline in forced vital capacity (FVC), which is consistent with a slowing of disease progression in patients with idiopathic pulmonary fibrosis (IPF). The most frequent adverse event reported by the nintedanib groups was diarrhea, which led to discontinuation of the study drug in less than 5% of patients.
The present study is the pooled analysis of studies LEAP 1 and LEAP 2 that compared efficacy and safety of lefamulin with moxifloxacin for treatment of community-acquired bacterial pneumonia. The analysis showed that lefamulin achieved a similar clinical response as moxifloxacin.
The present study compared the outcomes of endoscopic and surgical drainage in patients with chronic pancreatitis. The 2-year follow-up results suggested that surgical drainage was more effective than endoscopic treatment.
A simple, low-cost quality intervention bundle can significantly increase appropriate antimicrobial prescribing and appropriate investigations and reduce the duration of the total antibiotics.
In this panel discussion, the moderators and panelists shed light on important factors that can affect the pregnancy rates in IVF.
Uncut Roux-en-Y gastrojejunostomy after distal gastrectomy is still the essential treatment for gastric cancer. The present study evaluated the safety and feasibility of enhanced recovery after surgery (ERAS) for total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy. Findings showed that perioperative administration of the ERAS concept showed obvious advantages when intraoperative parameters, postoperative clinical indicators, and postoperative stress responses were analysed.
This sub-group analysis of the PARADIGM HF study demonstrates under-usage of ICD in patients with HFrEF despite reduction in sudden cardiac death. Sacubitril/valsartan reduced the risk of SCD in this patient subgroup regardless of the use of ICD.
Epilepsy is a group of disorder characterized by two or more unprovoked seizures. The speaker mentioned that Levetiracetam as an AED has wide safety margin and minimal drug interactions with other antiepileptics. Also, it increases the rates of seizure freedom and is generally well tolerated.
Major depressive disorder is a severe mood disorder associated with significant morbidity and mortality. Escitalopram as an antidepressant has good efficacy which significantly improves the depressive symptoms with minimal drug interaction and improved QoL.
Epilepsy is the third most common neurological disorder. The most common cause in elderly includes stroke related seizure followed by dementia & trauma. The management in elderly requires adequate evaluation of pharmacokinetic properties of AED & non-AEDs for the correct dosing regimen to reduce the side effects of AEDs and better efficacy.
The global burden of disease has found both depression and panic to rank very high in terms of its disabling impact on individual. SSRI are preferred drug because of simplicity of use and generally safer and tolerable profile which enhance compliance in the patients.
Epilepsy in elderly poses both diagnostic and therapeutic challenges to the individual. Some important differentials to be considered in elderly includes syncope, stroke, metabolic disturbances. Treatment is challenging because of associated comorbidity and drug interactions which needs to be considered during treatment.
This sub-study of the DREAMS study demonstrates that increasing severity of dry eye disease leads to decreased work productivity and activity level and has a negative economic impact.
This real-world study conducted in Taiwan, demonstrated lacosamide to be effective and safe in patients with focal impaired awareness seizures and/or secondarily generalized seizures
According to sub analysis of VERIFY trial early aggressive combination with vildagliptin and metformin provides greater and durable glycaemic control in YOD patients (who face a very long duration of disease) compared to metformin alone.
This subgroup analysis of the PIONEER-HF trial demonstrated sacubitril/valsartan to be equally effective and safe in African-American and non-African-American patients with acute decompensate heart failure.
Many common factors increase or decrease absorption of iron. Knowing these factors may help avoid mistakes one makes while taking iron supplements, and thereby help improve the haemoglobin concentration.
Amongst children with acute diarrhoea, low dose zinc (10 mg and 5 mg per day) was non-inferior to high dose zinc (20 mg/day) in terms of duration of diarrhoea and mean number of stools. The use of lower doses was associated with lower risk of vomiting.
According to WHO, headache accounts for top 10 disability worldwide. CGRP antagonist, CGRP monoclonal antibodies and 5HT 1F receptors are the new emergent therapies in migraine. Botox is an additional option for severe treatment of migraine.
As per the results of this diagnostic study, the new urine-based DNA mutation detecting test is a promising alternative for the detection of recurrence in patients with non-muscle-invasive bladder cancer.
This is a prospective, randomized study evaluating the effect of preoperative administration of paracetamol (PARA), ibuprofen (IBUP), or aceclofenac (ACEC) on the success of maxillary infiltration anaesthesia in patients with irreversible pulpitis. The study showed significant improvement in the efficacy of maxillary infiltration anaesthesia with preoperative administration of PARA, IBUP, and ACEC in patients with irreversible pulpitis
Ibuprofen (400 mg) and aceclofenac (100 mg) were found to be effective in controlling postoperative swelling, pain and trismus after surgical removal of impacted lower-third molars. Alleviation of pain and trismus was found to be better with ibuprofen as compared to aceclofenac. Both the drugs had comparable efficacy with respect to control of facial swelling.
Emzumab is omalizumab 150mg powder for subcutaneous injection. This Emzumab monograph captures efficacy studies, safety data, how to reconstitute Emzumab, dose calculators and much more.
This study identifies various risk factors associated with progression of visual field in primary open angle glaucoma patients. The study further demonstrates that adding dorzolamide rather than brinzolamide to timolol significantly reduced the risk of progression.
Tamsulosin and Solifenacin combination improves Prostate & OAB symptom scores and QOL scores as compared to Tamsulosin alone.
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Silodosin, a selective α1A-adrenoceptor antagonist, is a safe option that yields relief and improves health-related QoL in patients suffering from nocturia in BPH.
Amongst patients undergoing surgical extraction of the third molar, intramuscular ketorolac had a better pre-emptive analgesic effect over diclofenac sodium. Immediate post-operative pain free period did not differ significantly between the two groups.
The present study compared the efficacy of Saccharomyces boulardii and lactic acid-producing probiotics in acute paediatric diarrhoea. The study data suggest that Saccharomyces boulardii is more effective than lactic acid-producing probiotics in children six months to 5 years of age.
Compassionate use of remdesivir in pregnant and postpartum women hospitalized with severe Covid-19 was associated with high clinical recovery rates and was safe and well tolerated.
Triple therapy with the once-daily combination of TFC (tiotropium/formoterol/ciclesonide) resulted in improvements in pulmonary function and health status in patients with chronic obstructive pulmonary disease (COPD). The effects were more pronounced in non-smokers as compared with smokers, suggesting that non-smokers with COPD might benefit from added treatment with inhaled corticosteroid.
The ADVANCE trial compared the efficacy and safety of a triple-therapy combination of emtricitabine and dolutegravir plus either of two tenofovir prodrugs - tenofovir alafenamide fumarate or tenofovir disoproxil fumarate against the tenofovir disoproxil fumarate, emtricitabine and efavirenz. The results of this study confirmed the 48-week efficacy and safety data.
Amongst patients with T2DM and CKD, canagliflozin treatment was associated with early, sustained reductions in albuminuria that were independently associated with lower incidence long-term kidney and CV outcomes. Monitoring albuminuria during canagliflozin treatment is important to track kidney and CV prognosis.
This is the long-term extension study that evaluated efficacy and safety of tocilizumab monotherapy in patients who were part of the AMBITION study. The 5-year results confirm the continued efficacy and safety of TCZ as monotherapy in patients with active rheumatoid arthritis.
This is the first study to measure the effects of physical activity interventions that begin before bariatric surgery and continue postoperatively. The study compared two levels of interventions with bariatric surgery alone in promoting physical activity and structured, bout-related exercise. The study showed that patients in exercise counselling group had more steps and bout-minutes/week than standard care and pedometer group, demonstrating that combining self-monitoring, education, and a collaborative approach to exercise promotion can be effective.
The 3-year interim analysis of the ongoing POISE trial demonstrated long-term efficacy and safety of obeticholic acid in patients with primary biliary cholangitis who are intolerant or inadequately responsive to ursodeoxycholic acid. Treatment with obeticholic acid resulted in improvements in markers of cholestasis and liver enzymes.
In this keynote lecture, the doctor talks about evolution of infertility management and journey of IVF in India and the pioneering work of Dr. Subhas Mukherjee in the field of IVF.
It’s a case based discussion on different aspects of smile design principles. With the special mention on, why the smile design principles are important to know and what is the application of it in the field of dentistry.
Dr P K Hazra talks about the case of hypertensive patient with discomfort and fatigue diagnosed as HFpEF.
Dr P K Hazra talks about the importance of the time of initiation of MRA in HFrEF patients.
Dr P K Hazra talks about the use of MRA therapy across the HF continuum.
Dr P K Hazra talks about when to start different therapies in heart failure.
Dr P K Hazra talks about the evolution of different heart failure therapies.
This study determined the rates of intra-operative hyponatraemia development post use of hypotonic intravenous fluids in children undergoing minor elective surgical procedures. The study showed a comparable risk of developing hyponatremia in healthy children managed with hypotonic or parenteral maintenance solutions intraoperatively
Key highlights in Genitourinary cancer of the European Society of Medical Oncology (ESMO) 2020 Virtual Congress held from 19th to 21st September 2020.
Key highlights in Lung cancer of the European Society of Medical Oncology (ESMO) 2020 Virtual Congress held from 19th to 21st September 2020.
Amongst children with uncomplicated appendicitis, an initial non-operative strategy with antibiotics alone was successful in substantial proportion of patients compared with an urgent surgery approach. Patients treated with the former approach had fewer disability days at one year.
Treatment for 2 months with calcium orotate resulted in two-fold increase in the serum calcium levels, highly significant increased physical activity and symptomatic relief as compared to calcium carbonate + vitamin D3 in postmenopausal osteoporotic women. Treatment with calcium orotate was safe and well tolerated.
Treatment with remdesivir shortened the time to recovery in adults who were hospitalized with Covid-19 and had evidence of lower respiratory tract infection as compared to placebo.
Treatment with dupilumab was effective in reducing polyp size, sinus opacification, and symptom severity and was well tolerated in adults with chronic rhinosinusitis with nasal polyps (CRSwNP). Adding dupilumab to daily standard of care for patients with severe CRSwNP might be a good alternative.
DISCOVER Study is the first active-controlled, phase 3, non-inferiority trial comparing a new regimen for pre-exposure prophylaxis; emtricitabine and tenofovir alafenamide (F/TAF) with the current standard-of-care regimen, emtricitabine and tenofovir disoproxil fumarate (F/TDF). The study showed that F/TAF has non-inferior efficacy and has more favourable effects on bone mineral density and biomarkers of renal safety versus F/TDF when used as PrEP in HIV prevention.
The study explores the role of tear-film assessment using the lipid layer thickness (LLT) evaluation in patients with meibomian gland dysfunction (MGD) across various age groups. LLT evaluation is a valuable screening tool for MGD.
The current study demonstrated that oxcarbazepine had lower adverse drug reaction (ADR) profile as compared to carbamazepine and should be preferred over the latter as the first-line antiepileptic. The study also hints on using a lower than recommended dosage for both the medications considering the ADRs even at a low dosage.
The novel exhalation delivery system with fluticasone (EDS-FLU) resulted in significant improvements in all 4 diagnostically defining disease symptoms, polyp grade, and quality of life in patients with chronic rhinosinusitis with nasal polyps.
Artificial urinary sphincter implantation in women with stress urinary incontinence provided satisfactory long-term functional outcomes and is an effective treatment option after failure of first-line therapy.
Imbalance of antioxidant system correlates with the severity of age-related macular degeneration (AMD). Incorporating healthy lifestyle (healthy dietary habits supplemented with physical activity) may help restore the antioxidant balance and delay the progression of AMD.
This study provides a first head-to-head comparison on the long-term efficacy, safety and tolerability of three antiepileptic dugs in patients with newly diagnosed focal epilepsy.
Nebulized glycopyrrolate (GLY) 25 mcg BID and 50 mcg BID significantly reduced the risk of clinically important deterioration in patients with moderate-to-severe COPD. Treatment with GLY prevented clinically meaningful worsening in forced expiratory volume in 1 sec (FEV1) and patient-reported health status.
This is the first phase III trial on postoperative adjuvant chemotherapy in which the duration of oral 5-fluoropyrimidine drug for colorectal cancer was directly compared. The study showed that adjuvant chemotherapy with capecitabine for 12 months had substantial clinical impact compared to 6 month capecitabine.
This study compared the efficacy and safety of ciprofloxacin for 7 Days versus 14 Days in women with acute pyelonephritis. The findings showed that community-acquired acute pyelonephritis in women can be treated successfully and safely with oral ciprofloxacin for 7 days and even in older patients and those with a more severe infection.
This first-of-its-kind, large-scale, real-world study demonstrated that amongst T2DM patients, treatment with SGLT2i or GLP-1RA was associated with a lower risk of adverse kidney outcomes vs. DPP4i or SU.
According to this meta-analysis, sacubitril/valsartan, as compared with ACE inhibitors or ARBs, was associated with reduced risk of all-cause and CV mortality in patients with HFrEF and of HF hospitalization in patients with HFrEF and HFpEF.
Calcium orotate was associated with significantly higher oral bioavailability than calcium carbonate; Rapid, early and higher rate and extent of absorption compared to calcium carbonate; Substantially and significantly greater increases in serum calcium concentration, greater DAUC for serum calcium increment, and greater decreases in iPTH than equimolar amounts of calcium from supplements based on calcium carbonate.
This study is the first phase 3 randomised trial evaluating whether the mXELIRI regimen is non-inferior to the standard FOLFIRI regimen, with or without bevacizumab in both regimens, as second-line therapy for patients with metastatic colorectal cancer. The results showed that mXELIRI with or without bevacizumab is non-inferior and well tolerated to FOLFIRI with or without bevacizumab in terms of overall survival.
This tool helps in calculating colistin loading and maintenance doses for the patients as per the guidelines.
Treatment for 12 months with obeticholic acid, administered either with ursodiol or as monotherapy, in patients with primary biliary cholangitis resulted in significant decreases in alkaline phosphatase level, total bilirubin level, and other biochemical markers of disease. Obeticholic acid was associated with an increased incidence of pruritus, which was dose-dependent.
Combined administration of telmisartan/amlodipine 80/5 mg and rosuvastatin 20 mg significantly reduced blood pressure and improved lipid control in hypertensive patients with dyslipidemia. The combination may help achieve the therapeutic goal of higher compliance over the long term.
Major depressive disorder is a severe mood disorder associated with significant morbidity and mortality. Escitalopram as an antidepressant has good efficacy. It significantly improves the depressive symptoms with minimal drug interaction with better tolerability profile.
Migraine is a common neurological disorder occurring in different phases including prodrome, aura, headache and postdrome phase. Triptan is 5HT 1B/1D receptor agonist which causes cerebral vasoconstriction and reduces pain. It can be given by nasal, oral and subcutaneous route.
The gastrointestinal tolerability of ferrous ascorbate containing 16:84 iron:ascorbic acid ratio was better than the conventional formulations containing 13:87 or 20:80 ratio of iron and ascorbic acid respectively, resulting in 30% reduction in the gastrointestinal side effects and 50% reduction in epigastric burning sensation. The absorption of the test product was found to be better than the conventional formulations.
Young-onset diabetes or prediabetes increased CVD risks and all-cause mortality in long-term. This long-term risk for CVD incidence and all-cause mortality could be reduced with recovery of hyperglycaemia.
Ceftriaxone plus sulbactam plus EDTA significantly reduced the efflux pump expression and can be considered as an alternative in treating the E coli infections with efflux over expressed strains. EDTA disodium increases the susceptibility of E coil efflux over expressed strains by inhibiting efflux pumps
The intranasal spray containing azelastine hydrochloride (AZE) and fluticasone propionate (FP) offered significantly better, more rapid and more complete symptom control as compared to AZE monotherapy in Russian patients with moderate-to-severe seasonal allergic rhinitis or rhinoconjunctivitis.
Schizophrenia is a serious lifelong disorder affecting behaviour, thought and cognition Psychosocial rehabilitation is important for independent level of optimal functioning & better Quality of life. The key characteristics of successful rehabilitation depends on integrative care & active involvement of multiple caregivers.
Antiepileptic drugs are the mainstay treatment of epilepsy. Levetiracetam is a novel AED with wide safety profile with minimal drug interactions. Also, has significantly higher retention rate and better seizure control compared to traditional AED.
Depression and anxiety disorder commonly occur together, and they have high severity of illness and significantly impair work functioning and quality of life. Escitalopram, desvenlafaxine and sertraline are commonly utilized to manage depression and anxiety.
Empirical treatment with cefpodoxime resulted in high cure rates and clinical improvement in patients with acute maxillary sinusitis and acute tonsillopharyngitis. The favorable safety and tolerability profile seem to make cefpodoxime an empirical choice in adult Egyptian patients with acute upper respiratory tract infections.
Amoxicillin is the drug of choice in patients ‘at risk’ of developing bacteremia following dental extractions (BDE). Moxifloxacin seems a promising safe alternative for the prevention of BDE when beta-lactams are not indicated.
Key highlights in Breast cancer of the European Society of Medical Oncology (ESMO) 2020 Virtual Congress held from 19th to 21st September 2020.
The present study assessed whether the frequency of postoperative infectious and inflammatory complications in patients treated with placebo is greater than those treated with antibiotic after extraction of an impacted mandibular third molar. The study showed that postoperative treatment with amoxicillin/ clavulanic acid was efficacious in preventing complication.
Epilepsy is recurrent unprovoked seizure that requires accurate identification along with its type for the management and prognosis of patient. Lacosamide is widely used add on antiepileptic as it provides synergistic epilepsy control and controls the seizures.
Dr P P Mohanan talks about the case discussion on acute MI with fatigue and dyspnoea.
Dr P P Mohanan talks about the case of hypertensive patient with discomfort and fatigue diagnosed as HFpEF
Dr P P Mohanan talks about the case of chronic HFrEF patient now hospitalized for acute decompensation.
Dr P P Mohanan talks about the importance of MRAs in heart failure.
Treatment with ethinyl estradiol + cyproterone acetate had better clinical outcomes than metformin with respect to control of menstrual cycle regulation and hyperandrogenism. Metformin, on the other hand, showed beneficial effects on serum lipids; improving glucose tolerance; reducing body weight and improve conception in PCOS cases.
Patients suffering from diabetes are 3 times more likely to have depression, also more likely to have diabetic burnout affecting physical &mental health. Escitalopram effectively manages depression and comorbid diabetes by increasing serotonin level and insulin level improving glycaemic controls, also in long term improve HB1AC levels.
Deep brain stimulation is recent advancement in psychiatry utilized in several disorder that involves electric stimulus which is minimally invasive, safe, adjustable and reversible nerve involvement technology.
This first-of-its-kind survey conducted among ophthalmologists associated with AIOS presents the current practice patterns of ophthalmologists in India for prevention of endophthalmitis following cataract surgery.
Schizophrenia is common psychiatric disorder treated by typical and atypical antipsychotic. Atypical antipsychotics such as olanzapine, risperidone, quetiapine and aripiprazole are recommended for the patient with agitation, aggression, acute psychotic symptoms and prophylaxis. The efficacy and side effect of antipsychotics aids clinicians in choosing right antipsychotic.
Amongst patients with focal seizures, levetiracetam can be a good adjunctive to carbamazepine or phenytoin when patients fail to achieve adequate seizure control with monotherapy
This post hoc analysis of TRANSITION study demonstrated a rapid and significant reduction in NT-proBNP, and favourable outcomes in patients with ADHF when sacubitril/valsartan was initiated in-hospital. Early in-hospital initiation of sacubitril/valsartan maybe beneficial in this patient subgroup.
The present study evaluated the safety, feasibility, and clinical efficacy of enhanced recovery after surgery (ERAS) in patients undergoing radical gastrectomy. The study demonstrated that ERAS was associated with significant clinical and economic benefits in gastric cancer patients undergoing radical gastrectomy.
Both ketorolac and the combination of ketorolac plus tramadol/acetaminophen showed good control of pain following the third molar surgery, the pain difference between the two was small and not relevant clinically. Use of combination was associated with extra cost and increased adverse events.
In India, providing In-person healthcare is challenging, given the large geographical distances and limited resources. Telemedicine can provide an optimal solution in pedaitric practice in these times as it allows pediatricians to deliver their services for diagnosis, treatment of diseases, for research, evaluation, and for continuous education with the help of information and communication technologies. Find out more views from an expert panel about the advantages of telemedicine in pediatric practice.
In India, providing In-person healthcare is challenging, given the large geographical distances and limited resources. In this type of scenario, telemedicine can provide an optimal solution as it allows health care professionals to deliver their services for diagnosis, treatment of disease, for research, evaluation, and for continuous education with the help of information and communication technologies. Find out more views from an expert panel about the practice of telemedicine and its advantages.
The systematic review and meta-analysis demonstrates 0.03% bimatoprost to be more effective for controlling IOP compared to 0.005% latanoprost 0.004% travoprost in patients with POAG and OHT. However, 0.005% latanoprost is better tolerated in patients with POAG or OHT.
Triple therapy with once-daily combination of tiotropium, formoterol and ciclesonide (TFC) significantly improved pulmonary function, symptoms, and quality of life in patients with chronic obstructive pulmonary disease (COPD), irrespective of their smoking history. The effects were more pronounced among non-smoker COPD patients, indicating a beneficial effect of adding inhaled corticosteroid to the bronchodilators.
COPD and cardiovascular diseases commonly coexist. In these patients, use of appropriately dosed bronchodilators is safe. In fact, optimized COPD therapy in high-risk patients reduces both respiratory and cardiac mortality.
This case-based session addresses many practical aspects in daily COPD management. Both the international and Indian experts shared their experience and highlighted how evidence can be translated in daily practice to optimize COPD management.
This study evaluated the efficacy and safety of zoledronic acid with or without methotrexate for the prevention and treatment of bone destruction rheumatoid arthritis(RA) patients. The study showed that zoledronic acid has a synergistic effect when combined with methotrexate, inhibiting RA disease activity, reducing fracture risk, and improving quality of life in RA patients with secondary osteoporosis.
Combined ultrasound (US) with radiography offers promising result for the diagnosis of obstructive ureteric stone in patients presenting with acute flank pain to the emergency department. The combined modality approach might reduce the need for computed tomography (CT) scan, thereby reducing the radiation exposure to the patient.
The newly developed highly purified HP-HMG preparation was non-inferior to the conventional HP-HMG in the number of oocytes retrieved in women undergoing IVF using the GnRH antagonist protocol. The clinical efficacy and safety profile of this formulation was comparable to the conventional preparation.
Allergic disorders like allergic rhinitis (AR) and urticaria are now being recognised as global health problems affecting millions of children worldwide. Although not life-threatening, the consequences of these conditions are not trivial. Antihistamines targeting the histamine H1 receptor play an important role in improving and maintaining the quality of life of patients. Despite having efficacy, 1st generation antihistamines are not preferred instead 2nd generation oral antihistamines are recommended as first line treatment for allergic diseases. Take a view of the excerpt to know the reasons why first generation antihistamines are a less preferred option.
Allergic disorders like allergic rhinitis (AR) and urticaria are now being recognised as global health problems affecting millions of children worldwide. Although not life-threatening, the consequences of these conditions are not trivial. Allergies impose a substantial socio-economic burden on patients, their families and society and they have a negative impact on patient's quality of life. Find out the expert's opinion on the epidemiology and impact of these disorders in children.
The present study compared the outcomes of early stoma closure with conventional stoma closure following bowel surgery. The study showed that early stoma closure was not associated with an increased risk of postoperative complications and leads to better a quality of life.
Warfarin remains the gold standard oral anticoagulant (OAC) in the Indian clinical practice. In the era of newer OACs, warfarin still has wider real world clinical use.
This study evaluated the efficacy of oral third generation cephalosporin-cefixime given as a single dose to outpatients with a confirmed community-acquired infection. The study showed that cefixime demonstrated good efficiency in patients with community-acquired infections suffering from acute otitis media, lower respiratory tract infections and in uncomplicated urinary tract infections.
This updated systematic review and meta-analysis demonstrated that use of glucose lowering drugs or strategies reduced the risk of fatal and non-fatal atherosclerotic events in individuals with type-2 diabetes mellitus or at risk of the disease.
This review provides you a brief insight on useful predictors in analysing the presence of detrusor overactivity in male patients with lower urinary tract symptoms.
ENSURE was the first and largest trial to prospectively investigate erlotinib versus chemotherapy in a broad Asian population. The study showed that erlotinib provides a statistically significant improvement in progression-free survival compared with gemcitabine/cisplatin in Asian patients with epidermal growth factor receptor mutation-positive non-small-cell lung cancer patients.
The present study evaluated the efficacy and safety of Er: Glass laser used in combination with topical 5% minoxidil versus 5% minoxidil alone for the treatment of male androgenetic alopecia. The study demonstrated that treatment with combination therapy resulted in superior clinical outcomes of hair growth compared to monotherapy.
In the era of increasing resistance of Antibiotics, how High Dose of Minocycline plays a pivotal role to manage gram negative Bacilli. Dr Vishnu Rao an Infectious Disease expert from Apollo Hyderabad shares his experience of High Dose Minocycline in the current era & how dose optimization of Minocycline IV Is the need of the hour .
Sacubitril-valsartan treatment was associated with improvement in indices of vascular compliance as ascertained by echocardiographic evaluation. The echocardiographic biomarkers can be potentially used to assess the effectiveness of sacubitril-valsartan in HFrEF patients.
A webinar on long term effectiveness of viscosupplementation with various types of Intra-articular Hyaluronic acid in Osteoarthritis in maintaining functional improvement of the knees.
Amongst glaucoma patients, those with NTG prominently exhibit signs of vascular dysfunction. Hence a combination of conventional and advanced assessment techniques may be important to understand the role of non-IOP-related factors associated with NTG in these patients.
This is the first study from India which reports that full dose of pirfenidone ie 2400mg/d offers a significant survival advantage in idiopathic pulmonary fibrosis (IPF) patients. About 42% of the study subjects tolerated the full dose of pirfenidone (2400 mg/day), while 29.6 of the study subjects tolerated a dose of 1800-2400mg/day.
This Webcast focuses on the role of Enzalutamide, a second generation androgen receptor inhibitor for the treatment of men with metastatic prostate cancer. It covers advances in management of mCRPC and mCSPC and provides practical tips while prescribing Enzalutamide. The speaker also covers decision making algorithm in management of metastatic prostate cancer.
The present randomized clinical trial studied the effect of remdesivir vs standard care on clinical outcomes at 11 Days in patients with moderate COVID-19 patients. The study showed that the 5-day course of remdesivir had a statistically significantly better clinical status compared with those randomized to standard care at 11 days after initiation of treatment in patients with moderate disease.
The LACONORTE study provides real-world data on the efficacy and safety of lacosamide when used as a first add-on therapy for treating patients with focal onset epilepsy.
This is the largest study that provides a direct comparison of vitamin K antagonists and direct oral anticoagulants used for the management of patients with chronic thromboembolic pulmonary hypertension, following pulmonary endarterectomy.
The mortality rate of patients with COVID-19 under mechanical ventilation is high. Treatment with remdesivir resulted in improved survival outcomes in these patients.
Antihistaminics should be the first choice of treatment in patients with allergic rhinitis (AR). Montelukast should be combined with antihistaminics in resistant AR cases.
Allergic disorders like allergic rhinitis (AR) and urticaria are now being recognised as global health problems affecting millions of children worldwide. Although not life-threatening, the consequences of these conditions are not trivial. Various guidelines recommend second generation oral antihistamine as first line treatment for symptomatic control of these disorders. Take a look at the expert's opinion stating these guideline recommendations on treatment of AR and urticaria in children.
Allergic disorders like allergic rhinitis (AR) and urticaria are now being recognised as global health problems affecting millions of children worldwide. Although not life-threatening, the consequences of these conditions are not trivial. Second generation oral antihistamines are preferred choice in treatment of such diseases. Bilastine is a most modern, second-generation antihistamine approved for use in children with allergic rhinoconjunctivitis and urticaria. It has the highest number of desired features for a modern antihistamine according to international ARIA guidelines. Take a look at the expert's comments on various positive attributes and efficacy of bilastine.
Allergic disorders like allergic rhinitis (AR) and urticaria are now being recognised as global health problems affecting millions of children worldwide. Although not life-threatening, the consequences of these conditions are not trivial. Second generation oral antihistamines are preferred choice in treatment of such diseases. Bilastine is a most modern, second-generation antihistamine approved for use in children with allergic rhinoconjunctivitis and urticaria. It has been shown to have an efficacy similar to that of other second-generation oral H1 antihistamines and an excellent safety profile with minimal sedative effect. Take a look at opinion of an allergy expert on various safety aspects of bilastine in children.
There are conflicts in terms of what is recommended for diagnosis of airway diseases and what is currently practiced. This lecture highlights important clinical aspects to optimize diagnosis and monitoring of airway diseases in current era.
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This study provides you a brief insight on the efficacy and safety of intravesical BCG instillations when used in patients with Non-Muscle-Invasive Bladder Cancer, presenting with asymptomatic bacteriuria (ABU).
According to the findings of the CREDENCE trial, canagliflozin rendered protection against renal and cardiovascular outcomes in type-2 diabetes mellitus patients with albuminuric chronic kidney disease.
Degarelix was non-inferior to goserelin in achieving and maintaining testosterone suppression at castrate levels with an acceptable safety profile during 1-year treatment in the Chinese patients with prostate cancer. Treatment with degarelix resulted in improved disease control, indicated by significantly higher prostate-specific antigen progression-free survival (PSA-PFS).
Random-start controlled ovarian stimulation (COS) was as effective as conventional-start COS in fertility preservation in cancer patients. Random-start COS significantly decreased the total time for an IVF cycle without affecting the oocyte yield, maturity or competence. This protocol would minimize delays and allow more patients to undergo fertility preservation and still proceed with cancer treatment within 2–3 weeks.
EURTAC is the first prospective head to- head phase 3 study comparing the efficacy and safety of first-line erlotinib with platinum-based chemotherapy in non-Asian patients with advanced NSCLC and EGFR mutations. The study showed that erlotinib could improve median progression-free survival in European patients with EGFR mutation-positive NSCLC compared with standard chemotherapy.
According to this post hoc analysis of the CANVAS program, use of canagliflozin vs. placebo, along with other background antihyperglycemic agents (AHA) was associated with a lesser likelihood of initiating insulin or new AHA in T2DM patients.
Canagliflozin reduced the risk of renal and CV events consistently across a broad range of eGFR including an eGFR of 30 to <45 ml/min per 1.73 m2. These findings support the use of canagliflozin even in T2DM patients with a lower eGFR.
According to the post hoc analysis of the CANVAS Program, canagliflozin, when added to glucagon like peptide-1 receptor agonist (GLP1 RA) exerted a synergistic impact on the intermediate cardiometabolic markers in T2DM patients.
The CANVAS Program demonstrates that canagliflozin reduces the risk of CV events in type-2 diabetes patients who are at high risk of CVD.
In the era of increasing resistance of Antibiotics, how High Dose of Minocycline plays a pivotal role to manage gram negative Bacilli. Dr Chandrashish Chakravarty a Critical Care expert from Apollo Kolkata shares his experience of High Dose Minocycline in the current era & how dose optimization of Minocycline IV Is the need of the hour .
In this video, the speaker has discussed complexity of tibial plateau fracture fixation along with case discussion.
Dr Vijay Chopra talks about benefits of MRA in heart failure management.
Dr Vijay Chopra talks about the importance of the time of initiation of MRA.
Dr Vijay Chopra talks about the role of spironolactone in HFpEF patients.
Dr Vijay Chopra talks about the role of eplerenone in heart failure.
In the era of increasing resistance of Antibiotics, how High Dose of Tigecycline plays a pivotal role to manage gram negative Bacilli. Dr RP Gupta a Critical Care expert from Neuro One Hospital , Trichy shares his experience of High Dose Tigecycline in the current era & how dose optimization of Tigecycline IV Is the need of the hour .
The post hoc analysis of PARAGON-HF study demonstrated renal benefits of sacubitril/valsartan vs. valsartan alone in patients with HFpEF. Patients treated with sacubitril/valsartan had reduced risk of renal events and attenuated eGFR decline vs. those treated with valsartan.
The present prospective, multicenter, randomized open-label, 2-arm, phase-3 trial compares the 48-week virological efficacy of two drug regimens containing abacavir/lamivudine plus either raltegravir twice a day or darunavir/r once a day in HIV pastients with advanced disease. The 48 weeks results showed that the rate of virologic success was higher than 65% in both arms with a median CD4 cell count >200/μL at week 48.
There was no evidence on standard of care antibiotic regimen being non-inferior to meropenem for treating critically ill premature infants with late onset sepsis (LOS). Meropenem should therefore be reserved for neonates who would more likely have Gram-negative LOS.
Fluid overload is responsible for structural and functional alterations in diabetes patients with non-dialysis dependent stage 5 CKD. Early evaluation of structural and functional cardiac abnormalities and volume status in such patients is therefore crucial.
Omalizumab therapy significantly improved the lung function and decreased the blood eosinophil counts in adolescents with moderate-to-severe uncontrolled asthma. The results of this post hoc analysis highlight the potential effect of omalizumab therapy in adolescents whose asthma is not controlled with the current therapies and the need to optimize treatment early in the disease course.
A webinar to discuss the current concepts in Infertility treatment. IVF Experts present lectures on current concepts of ART Prework & Negative FNAC followed by a panel discussion on Obstetrics Complications in ART pregnancies.
A live Webinar to discuss the current concepts in Infertility treatment. IVF Experts will present lectures on current concepts of ART Prework & Negative FNAC in azoospermia followed by a panel discussion on Obstetrics Complications in ART pregnancies.
The present single-center retrospective trial gives a comparison between efficacy of Hydrodistension and Pentosan polysulfate combination vs. Pentosan polysulfate monotherapy based on the aspects of compliance and therapeutic outcomes in female IC/BPS patients.
Majority of pediatric patients with eosinophilic esophagitis remain in histological and clinical remission when treated with proton pump inhibitors (PPIs) for one year. The treatment with PPIs was found to be safe in this patient population.
Favipiravir is a novel antiviral approved in 2014 by Japan for the treatment of novel or re-emerging pandemic influenza virus infections. In the wake of the pandemic it has been repurposed for use in patients with COVID-19. This booklet is a compilation of the most frequently asked questions on the use of Favipiravir in COVID-19
Favipiravir is a novel antiviral approved in 2014 by Japan for the treatment of novel or re-emerging pandemic influenza virus infections. In the wake of the pandemic it has been repurposed for use in patients with COVID-19. This product monograph provides an overview of the available pharmacokinetics and clinical studies evaluating the safety and efficacy of favipiravir in patients with COVID-19
The SWISS trial is a randomized double-blind study that compared the symptom resolution effect of diclofenac with norfloxacin in women with uncomplicated lower urinary tract infection. The study showed that diclofenac was inferior to norfloxacin in terms of symptom resolution.
A practical insight into the evolving role of favipiravir in the current times.
With the evolving science of nebulization with respect to current pandemic, using the preferred patient-device interface like mouthpiece would decrease wastage of exhaled aerosol during nebulization. This would increase pulmonary drug deposition and also increase safety profile of inhaled medication.
With the evolving science of nebulization with respect to current pandemic, cleaning and disinfection of nebulizer accessories after each use is the most important and integral of nebulization as it would safe guard the health of doctors, patients, caregivers and bystanders.
With the evolving science of nebulization with respect to current pandemic, adherence to nebulization is most important aspect for optimal therapy through safe nebulization.
With the evolving science of nebulization with respect to current pandemic, patients can continue to use nebulization at home as prescribed by their physician. Performing nebulization at home safely is the need of the hour.
The current pandemic scenario has impacted ophthalmology in many ways. In the background of reduced patient load, dwindled revenues, infection risk, IPC protocols, etc. this would be an ideal time to facilitate the integration of quality standards to improve our practice image, branding and patient satisfaction.
In the management of STEMI in India, pharmacoinvasive strategy involving thrombolytics is the preferred therapy in cases of delays in primary PCI. Third generation thrombolytics such as tenecteplase offer ease of administration with single bolus IV dose.
The rate of recurrent Pseudomonas aeruginosa (PSA) infections in allogeneic hematopoietic cell transplantation (allo-HCT) recipients is high. The findings suggest that a targeted antibiotic treatment for a minimum duration of 14 days might prevent recurrent infections. However, more prospective studies are warranted to confirm these findings and define the optimal duration of treatment to prevent infection recurrence.
The combination nasal spray containing azelastine hydrochloride (AZE) and fluticasone propionate (FP) had a more rapid onset of action of 5 mins and was more effective than monotherapies of loratadine and intranasal FP in patients with allergic rhinitis (AR).
In the era of increasing resistance of antibiotics, high dose of minocycline plays a pivotal role to manage gram negative Bacilli. Dr Sanjith Saseedharan, a Critical Care expert from S.L Raheja Mumbai, shares his experience of High Dose Minocycline in the current era & how dose optimization of Minocycline IV Is the need of the hour .
Androgen-receptor-axis-targeted (ARAT) agents improve the overall survival outcomes in patients with metastatic castration-sensitive prostate cancer. The findings of this meta-analysis discourage the concurrent or sequential use of both docetaxel and an ARAT agent regardless of the tumor volume or other factors.
This article gives you an insight on persistence of overactive bladder (OAB) and urgency urinary incontinence (UUI) in patients with post-prostate incontinence (IPT) with an emphasis on discrepancies in surgical intervention vs radiation.
The present trial compared the efficacy and safety outcomes of remdesivir 5 Days verses 10 Days in treatment of patients with severe Covid-19 disease
The study demonstrates the benefits of lamotrigine in terms of alleviating clinical symptoms and improving cognitive function in patients with depression of recurrent bipolar disorder. This effect of lamotrigine may be mediated by alteration of serum inflammatory cytokines levels.
Bacteria have been identified as the main cause of pulp infection and periapical disease. This trial explained the role of octenidine as a root canal disinfection in the management of dental pulp infection due to Staphylococcus epidermidis.
An association between alterations in the oral cavity and systemic health has been widely proven. Oral disorders can be an expression of gastrointestinal disease. This study talks about the prevalence of oral manifestations among pediatric GERD patients.
Posttreatment endodontic pain has been reported in 25%–40% of all endodontic patients. Effective management of endodontic pain represents a continuing challenge. This trial explained the role of pre-treatment medication in controlling post endodontic pain
Impacted third molar extraction involves both soft and bone tissue trauma and may result in an acute inflammation with intense discomfort as well as pain. This study compared the efficacy of two different analgesics, Tramadol and Ketorolac after impacted mandibular third molar surgery.
Adolescents are at increased risk for caries and gingivitis. This study explained the impact of an interactive power toothbrush on plaque removal and its compliance among population.
This study explores the various bacterial isolates in patients with odontogenic infection and its antibiotic susceptibility to different antibiotics which are routinely used as prophylaxis in such types of infection in odontology.
The present study tested the hypothesis that preoperative education and breathing exercise training delivered within six weeks of surgery by physiotherapists reduces the incidence of postoperative pulmonary complication after upper abdominal surgery.
Guidance on lifestyle modifications and dietary habits to improve the overall lipoprotein profile.
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Guidance to reduce lipid levels by lifestyle changes.
Dr Tiny Nair talks about the real benefits of MRA in SCD reduction.
Dr Tiny Nair talks about the right time to start with MRA.
Dr Tiny Nair talks about benefit of MRA depending on phenotype.
Dr Tiny Nair talks about various benefits of MRA's other than neuro hormones in heart failure patients.
Dr Tiny Nair talks about various benefits of MRA's other than diuresis in heart failure patients.
This substudy of the PARAGON-HF study demonstrates the favorable impact of sacubitril/valsartan vs. valsartan alone on various biomarkers related to ECM homeostasis in patients with HFpEF.
Switching over to esomeprazole therapy is associated with greater patient satisfaction and better symptom control in primary-care patients receiving proton pump inhibitor (PPI) therapy for gastro-oesophageal reflux disease (GORD).
The pregnant and reproductive aged non-pregnant women infected with SARS-CoV-2 had comparable clinical course and outcomes. The results of the study demonstrated no associations between pregnancy and severity of COVID-19, virus clearance time, and length of hospital stay. There was no evidence supporting vertical transmission of COVID-19 in the late stages of pregnancy, including vaginal delivery.
In patients treated with warfarin, dose-response to warfarin among patients is highly variable and depends on interpatient differences. Dose titration is based on periodic monitoring for assessing patient’s prothrombin time (PT) and International Normalized Ratio (INR) in order to ensure safety and efficacy of warfarin.
OPTIMAL is the first prospective head-to-head phase 3 study to examine the efficacy and safety of first-line erlotinib versus platinum doublet chemotherapy in patients with advanced NSCLC whose tumours harbour activating mutations in EGFR
This study presents the 1-years results of Giant-Cell Arteritis Actemra (GiACTA) trial that investigated whether tocilizumab resulted in higher rates of sustained glucocorticoid-free remission of giantcell arteritis than placebo through a period of 52 weeks.
In the management of STEMI in India, pharmacoinvasive strategy is the preferred therapy in cases of delays in primary PCI. Third generation thrombolytics such as Reteplase and Tenecteplase offer benefits like bolus dose and lesser bleeding events compared with streptokinase.
In the management of STEMI in India, pharmacoinvasive strategy is the preferred therapy in cases of delays in primary PCI. Third generation thrombolytics such as Reteplase and Tenecteplase offer benefits like bolus dose and lesser bleeding events compared with streptokinase.
In the management of STEMI in India, pharmacoinvasive strategy is the preferred therapy in cases of delays in primary PCI. Third generation thrombolytics such as Reteplase and Tenecteplase offer benefits like bolus dose and lesser bleeding events compared with streptokinase.
In the management of STEMI in India, pharmacoinvasive strategy is the preferred therapy in cases of delays in primary PCI. Third generation thrombolytics such as Reteplase and Tenecteplase offer benefits like bolus dose and lesser bleeding events compared with streptokinase.
In the management of STEMI in India, pharmacoinvasive strategy is the preferred therapy in cases of delays in primary PCI. Third generation thrombolytics such as Reteplase and Tenecteplase offer benefits like bolus dose and lesser bleeding events compared with streptokinase.
In the management of STEMI in India, pharmacoinvasive strategy is the preferred therapy in cases of delays in primary PCI. Third generation thrombolytics such as Reteplase and Tenecteplase offer benefits like bolus dose and lesser bleeding events compared with streptokinase.
In the management of STEMI in India, pharmacoinvasive strategy is the preferred therapy in cases of delays in primary PCI. Third generation thrombolytics such as Reteplase and Tenecteplase offer benefits like bolus dose and lesser bleeding events compared with streptokinase.
Topical CAI had a beneficial impact on ocular hemodynamics with increased ocular blood flow velocities and reduced vascular resistance in the primary retinal circulation, central retinal and short posterior ciliary arteries.
In this webinar conducted in collaboration with FOGSI, AMOGS & ICOG, the eminent panelists emphasize on one of the most challenging topics - “Nutrition” - to optimize women’s health via Nutriconnect.
Combination of letrozole and clomiphene citrate (CC) was associated with significantly higher ovulation rates than letrozole alone in women with polycystic ovarian syndrome (PCOS). Combination therapy may be an alternate low-risk, low-cost infertility treatment with superior ovulation rates.
In this video, the speaker has discussed complexity of unstable trochanteric fractures and tips and tricks for its fixation along with case discussion.
Amongst high-risk patients who underwent complex PCI, DAPT >12 months lowered the risk of ischemic events without any increase in bleeding risk as compared with DAPT ≤ 12 months. Long-term DAPT may favorably impact risk-benefit ratio in such high-risk population.
Presence of CVD (heart disease and stroke) and CKD lead to increased mortality and increased direct medical costs in diabetes patients over a period of 10 years. This adverse impact was additive and non-overlapping for any combinations of these diseases.
An Indian study presented at ATTD 2020 measured effectiveness of Digital Therapeutics WellthyCare in T2DM patients. Study showed significant reduction in blood glucose level indicating integrated personalised care can be effective tool for improving self-management, thereby enabling better glycemic control.
A mother may use one of several positions to hold her baby while breastfeeding. There is no one "best" position for every baby and mother; the best position is one that is comfortable for both and allows the baby to latch-on, suckle, and swallow easily. Here are some tips that can help a new mother to understand these positions in a lucid manner.
Watch eminent experts to know more about Urinary Tract Infection, the highly prevalent condition affecting females of all ages; and to understand the most effective way of management.
The present study evaluated the clinical effect of zoledronic acid in patients with cervical spondylosis and osteoporosis after anterior cervical discectomy and fusion surgery.
Use of povidone-iodine irrigation was associated with a 9-fold increased likelihood of penile prosthesis infection. The results demonstrated significant reduction in the infection rates when the irrigation solution was changed from povidone-iodine to vancomycin/gentamicin among men undergoing penile prosthesis placement in both primary and revision cases.
Global Experts in Heart Failure emphasize the importance of multidisciplinary approach for Heart Failure. They recommend the use of NT Pro-BNP as a biomarker for Heart Failure in high risk patients. They also recommend the essential pharmacological agents for the management of HF and the concerns associated with ARNI and how to address them.
Global Experts in Heart Failure emphasize the importance of multidisciplinary approach for Heart Failure. They recommend the use of NT Pro-BNP as a biomarker for Heart Failure in high risk patients. They also recommend the essential pharmacological agents for the management of HF and the concerns associated with ARNI and how to address them.
Global Experts in Heart Failure emphasize the importance of multidisciplinary approach for Heart Failure. They recommend the use of NT Pro-BNP as a biomarker for Heart Failure in high risk patients. They also recommend the essential pharmacological agents for the management of HF and the concerns associated with ARNI and how to address them.
Global Experts in Heart Failure emphasize the importance of multidisciplinary approach for Heart Failure. They recommend the use of NT Pro-BNP as a biomarker for Heart Failure in high risk patients. They also recommend the essential pharmacological agents for the management of HF and the concerns associated with ARNI and how to address them.
Global Experts in Heart Failure emphasize the importance of multidisciplinary approach for Heart Failure. They recommend the use of NT Pro-BNP as a biomarker for Heart Failure in high risk patients. They also recommend the essential pharmacological agents for the management of HF and the concerns associated with ARNI and how to address them.
Global Experts in Heart Failure emphasize the importance of multidisciplinary approach for Heart Failure. They recommend the use of NT Pro-BNP as a biomarker for Heart Failure in high risk patients. They also recommend the essential pharmacological agents for the management of HF and the concerns associated with ARNI and how to address them.
Global Experts in Heart Failure emphasize the importance of multidisciplinary approach for Heart Failure. They recommend the use of NT Pro-BNP as a biomarker for Heart Failure in high risk patients. They also recommend the essential pharmacological agents for the management of HF and the concerns associated with ARNI and how to address them.
Global Experts in Heart Failure emphasize the importance of multidisciplinary approach for Heart Failure. They recommend the use of NT Pro-BNP as a biomarker for Heart Failure in high risk patients. They also recommend the essential pharmacological agents for the management of HF and the concerns associated with ARNI and how to address them.
Global Experts in Heart Failure emphasize the importance of multidisciplinary approach for Heart Failure. They recommend the use of NT Pro-BNP as a biomarker for Heart Failure in high risk patients. They also recommend the essential pharmacological agents for the management of HF and the concerns associated with ARNI and how to address them.
The bacteriological and clinical efficacy of ceftriaxone, sulbactam, and disodium EDTA (AAE) in combination with colistin was significantly better than meropenem + colistin in the management of various nosocomial MDR Gram-negative infections. A significant proportion of patients who failed to respond to meropenem responded well to the AAE therapy highlighting the new hope to spare carbapenems.
Any critical error, body mass index (BMI) < 25 kg/m2 and high modified Medical Research Council (mMRC) were independent risk factors for frequent exacerbations in patients with chronic obstructive pulmonary disease (COPD). COPD patients, especially frequent exacerbators should be carefully monitored and educated about correct handling of inhaler devices.
Dimethyl fumarate demonstrated a sustained long-term efficacy and safety in patients with relapsing remitting multiple sclerosis who continued the treatment for 11 years.
This is a randomized control a trial comparing the efficacy of once-weekly ciprofloxacin with that of daily norfloxacin for the prevention of spontaneous bacterial peritonitis in liver cirrhosis patients with ascites
A child’s physical, mental, emotional and social health are important and they contribute to his/her well-being. Keeping a child healthy and well is always a priority of any parent. Here are some ways in which a parent can improve their child’s well-being.
This double-blind, randomized controlled trial investigated whether normal saline or a balanced crystalloid has distinct effects on vasopressor use in patients undergoing major abdominal surgery.
A fixed dose combination of dorzolamide/timolol rather than brinzolamide/timolol maybe a preferred choice in patients with primary open angle glaucoma and normal tension glaucoma, as the former provided better reduction in the intraocular pressure and was better tolerated than the latter.
The present study compared the effectiveness and safety profile of metronidazole and tinidazole in the treatment of amebic liver abscess.
With increasing awareness on the need for Accreditation and many eye care organisations starting their journey for NABH Accreditation, this webinar is the 1st Part of a two webinar series designed to convey the needs of Accreditation, step-by-step guidelines for implementation, infrastructure needs, hospital infection control guidelines, etc. in a nut shell by eminent NABH assessors.
The recently released ESC guidance document explains management encompassing the spectrum of CV care during the COVID-19 pandemic. Individuals with CV risk factors and established CV and cerebrovascular disease are a more vulnerable population when suffering from COVID-19.
Remdesivir was superior to placebo in shortening the time to recovery in adults hospitalized with Covid-19. The benefit was most apparent in patients with a baseline ordinal score of 5 (requiring oxygen).
Oral sildenafil appears to be a promising medication to treat persistent pulmonary hypertension in newborns in settings when nitric oxide is unavailable.
Cataract Kaleidoscope is an interactive webinar on how to deal with complex cataract surgery and manage complications. This event has roped some of the best cataract surgeons of the country who will discuss the various surgical scenarios through their instructive videos. This program brings to table, the most relevant and practical tips for managing complex cataract surgery.
This talk discusses the newer paradigms in COPD management, with focus on nebulised glycopyrrolate.
The 2020 CLSI Guidelines on Polymyxins have changed the MIC cutoffs, wherein it has removed sensitivity cutoff and just provides Intermediate and resistant cutoffs. The guidelines suggest the dosages which are to be followed for both colistin and polymyxin B and mentions use of these molecules in combination only.
A case based discussion on Management of Urosepsis in young patient.
Efficacy of pentosan polysulfate for the treatment of interstitial cystitis/bladder pain syndrome: results of a systematic review of randomized controlled trials
This webinar discusses the clinical efficacy and safety of Omalizumab use over the last 2 decades across the globe, while also getting insights from Indian experts on the perspective of use of Omalizumab in Indian patients.
In the era of increasing resistance of Antibiotics, how High Dose of Minocycline plays a pivotal role to manage gram negative Bacilli. Dr Senthur Nambi an Infectious Disease specialist from Chennai shares his experience of High Dose Minocycline in the current era & how dose optimization of Minocycline IV Is the need of the hour.
Fluticasone furoate was safe and effective in treating Japanese children (age 2 to <15 years) with perennial allergic rhinitis. The medication was generally well-tolerated and most of the children had low systemic exposure to the medication with 12 weeks of treatment.
Treatment with esomeprazole 20 mg once daily significantly achieved relief of nighttime heartburn symptoms and improved sleep quality, work productivity and functionality in patients with moderate-to-severe nighttime heartburn and gastro-esophageal reflux disease-related sleep disturbances.
This prospective, randomized, split-face, controlled study assessed the efficacy of a combination serum containing vitamin C, vitamin E, and ferulic acid as an adjuvant to QSNL laser treatment among patients with environment-induced lentigine and melasma.
The GnRH antagonists were associated with lower risk of overall mortality, cardiovascular and musculoskeletal events as compared to agonists, according to the data based from trials with a short-term duration. The incidence of adverse events and injection site reaction rates were lower with GnRH agonists. The PSA progression, serious adverse events and drop-out rates were similar with both these forms of androgen deprivation therapy.
The long-acting beta-2-receptor agonist (LABA) and long-acting muscarinic antagonist (LAMA) combination therapy was associated with reduced risk of exacerbations and hospitalizations in chronic obstructive pulmonary disease (COPD) patients who complain of dyspnea and/or exercise intolerance as compared to LABA or LAMA monotherapy
Tips on breathing exercises for COPD patients.
Informative patient education material highlighting the fact that frequent and chronic cough in children could be a sign of asthma.
Tips on diet for the COPD patients.
Informative patient education material to know more about chronic obstructive pulmonary disease (COPD).
Informative patient education material for better asthma management.
Vildagliptin with/without metformin as an add-on to insulin was effective in demonstrating good glycemic control and was well-tolerated, without any hypoglycemic events.
Mexiletine is a class 1B antiarrhythmic agent, which blocks the sodium channels and is indicated in suppression of ventricular arrhythmias. The Mexiletine FAQ booklet describes complete information of pharmacology and clinical usage of mexiletine in the management of ventricular arrhythmias.
In this webinar, Dr. Manoj Kumar Sahu, who is a renowned Gastroenterologist, Hepatologist and Advanced Therapeutic Endoscopist, helps us better understand the clinical approach adopted for management of rectal bleeding.
In this webinar, prominent gastroenterologist Dr. Ajay K. Jain will help us better understand how to avoid mistake and improve diagnosis in managing ulcerative colitis patients.
The speakers in this video explain about the new technique i.e. spinal endoscopic technique for Lumbar Transforaminal Interbody Fusion and its advantages over conventional surgical procedures.
In the pharmacological therapy for ventricular tachycardias (VT), mexiletine, a class IB agent, is preferred as add-on therapy in recurrent VTs despite standard treatment. A case report demonstrated the role of mexiletine in VT storm associated with myocardial infarction.
In the pharmacological therapy for ventricular tachycardias (VT), mexiletine, a class IB agent, is preferred as add-on therapy in recurrent VTs despite standard treatment. A case report demonstrated the role of mexiletine in VT storm associated with myocardial infarction.
In the pharmacological therapy for ventricular tachycardias (VT), mexiletine, a class IB agent, is preferred as add-on therapy in recurrent VTs despite standard treatment. A case report demonstrated the role of mexiletine in VT storm associated with myocardial infarction.
Key highlights in Hepatocellular Carcinoma of the American Society of Clinical Oncology (ASCO) 2020 Virtual Conference held from 29th to 31st May 2020.
This Webcast provides overview on usage of the New Antiviral Remdesivir introduced for treatment of COVID – 19 and Challenges in the management of COVID – 19 patients.
Semi-Line workshop on patented PCNL technology SUPERPERC.
This is a prospective, randomized, double-blind control trial evaluating the efficacy of platelet‑rich plasma with and without topical 5% minoxidil and compared with placebo and standard treatment in male‑type baldness
Various studies have taken a closer look at asthma & COPD and the comorbidities associated with them. Cardiovascular disorders have been found to be commonly associated with these obstructive airway diseases. This webinar explores the cardio-pulmonary linkage better and attempts to discuss how comorbidities impacts patient outcomes.
In this talk, Dr. Dasgupta explains the pleiotropic role of Interleukin-6 (IL-6) in Giant cell arteritis (GCA) pathogenesis, clinical benefits & therapeutic efficacy of Tocilizumab (IL-6 inhibitor) for treating GCA. Published data demonstrated that tocilizumab enables sustained remission with rapid glucocorticoid tapering over 6 months in GCA patients.
Glaucoma diagnosis and treatment is often difficult and not straightforward. “Glaucoma Crossfire Season 1” presents some challenging case studies in glaucoma management and will guide the practitioner to take informed decisions in various clinical situations.
The results of this small-scale study demonstrated a significant clinical improvement amongst patients hospitalized for COVID-19 when they were treated with compassionate use remdesivir for 10 days.
The results did not show statistically significant clinical benefits with the use of remdesivir in patients hospitalized for severe COVID-19. Nevertheless, there was a numerical reduction in time to clinical improvement in patients treated earlier with remdesivir.Remdesivir was well tolerated with no new safety concerns identified.
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Efficacy of Solifenacin in relieving symptoms of OAB and information on its safety, tolerability and effects on cognitive function in elderly population.
The OPTIMSE trial demonstrates that reducing antihypertensive medication in elderly (aged 80 years and above) with SBP lower than 150 mmHg while on more than one antihypertensive medications, may not change the blood pressure substantially.
Daily dose of 10 mg montelukast resulted in an improvement in the common symptoms of allergic rhinitis (AR). The improvement in symptom severity score was maximum in sneezing and least in rhinorrhea.
The present study evaluated whether enzalutamide prolongs survival in men with castration-resistant prostate cancer after chemotherapy.
A substantial proportion of left ventricular thrombi patients receive off-label direct oral anticoagulants (DOACs). The RED VELVT study demonstrates a high risk of stroke and systemic embolism with DOACs vs. warfarin, thus challenging the off-label use of DOAC for this indication.
The present study evaluated the effect and safety of the current trend of increasing time interval between the end of chemoradiotherapy and surgery (< 10 weeks vs ≥ 10 weeks) on postoperative morbidity and pathological outcomes in patients with locally advanced rectal cancer patients
Various studies have said that Nebulization is not a Viral Aerosol Generating Procedure since the droplets are from the machine and not from the patient. However, sharing of nebulization accessories like facemask and mouthpiece is an unhygienic practice with a high-risk potential of spreading infection. This webinar talks about Nebulization therapy in the current era.
Global Experts in Heart Failure emphasize the importance of multidisciplinary approach for Heart Failure. They recommend the use of NT Pro-BNP as a biomarker for Heart Failure in high risk patients. They also recommend the essential pharmacological agents for the management of HF and the concerns associated with ARNI and how to address them.
Global Experts in Heart Failure emphasize the importance of multidisciplinary approach for Heart Failure. They recommend the use of NT Pro-BNP as a biomarker for Heart Failure in high risk patients. They also recommend the essential pharmacological agents for the management of HF and the concerns associated with ARNI and how to address them.
Global Experts in Heart Failure emphasize the importance of multidisciplinary approach for Heart Failure. They recommend the use of NT Pro-BNP as a biomarker for Heart Failure in high risk patients. They also recommend the essential pharmacological agents for the management of HF and the concerns associated with ARNI and how to address them.
Global Experts in Heart Failure emphasize the importance of multidisciplinary approach for Heart Failure. They recommend the use of NT Pro-BNP as a biomarker for Heart Failure in high risk patients. They also recommend the essential pharmacological agents for the management of HF and the concerns associated with ARNI and how to address them.
Global Experts in Heart Failure emphasize the importance of multidisciplinary approach for Heart Failure. They recommend the use of NT Pro-BNP as a biomarker for Heart Failure in high risk patients. They also recommend the essential pharmacological agents for the management of HF and the concerns associated with ARNI and how to address them.
Global Experts in Heart Failure emphasize the importance of multidisciplinary approach for Heart Failure. They recommend the use of NT Pro-BNP as a biomarker for Heart Failure in high risk patients. They also recommend the essential pharmacological agents for the management of HF and the concerns associated with ARNI and how to address them.
This webcast provides an overview on etiology of UTI complications & management of Urosepsis. Management of complicated UTIs with judicious use of antibiotics & understanding the antimicrobial stewardship in Urology.
A combined therapy of myoinositol (MI) and D-chiro inositol (DCI) in physiological plasma ratio (40:1) might be useful as the first line approach in PCOS overweight patients, who need to control insulin levels and increase ovarian MI content, reducing the risk of developing a metabolic disease.
The ARTEMIS-1 study demonstrates the efficacy of midazolam-nasal spray (MDZ-NS) to safely treat seizure clusters in epilepsy patients aged above 12 years in an outpatient setting.
Key highlights in Prostate Cancer of the American Society of Clinical Oncology (ASCO) 2020 Virtual Conference held from 29th to 31st May 2020.
One of the most difficult decisions in a pediatric cataract is to take decision on the IOL power, the webinar would provide an opportunity to learn from the experts the correct way to calculate the IOL power in children
In this video, the speaker has discussed complexity of terrible triad and tips and tricks for its fixation along with case discussion.
The nasal spray containing azelastine hydrochloride (AZE) and fluticasone propionate (FP) was safe and offered better symptomatic improvement as compared to AZE monotherapy in patients with allergic rhinitis (AR).
A smartwatch app may identify atrial fibrillation (AF) patients, based on an irregular pulse notification. Although the probability of receiving an irregular pulse notification was low, 84% of these notifications were concordant with AF.
Chronic disease place a tremendous burden on the patient and the caregiver. Management of the disease often begins at the diagnosis and ends with a prescription by the clinician. Yet for the patient and the caregiver, treatment is only the beginning of the management of the disease. There is a great deal of strain felt by the families of these patients to accommodate the needs of the sufferer. Watch this webinar to understand ways to extend care and support to patients beyond treatment.
This is the prespecified interim analysis and final analysis of overall survival in the PROSPER trial. PROSPER trial evaluated the efficacy and safety of enzalutamide compared to placebo in men with nonmetastatic, castration-resistant prostate cancer who were continuing to receive androgen-deprivation therapy.
This first-of-its-kind study compared the efficacy and safety of LY IGlar vs. IGlar in Indian and East Asian T2DM patients. The outcomes for this study population were generally similar to those observed in the total population of the ELEMENT 5 study.
This study compared the clinical and mycological cure rates of terbinafine with itraconazole in patients with tinea corporis and tinea cruris.
This is a 48-week subgroup analysis of evaluating the efficacy and safety of FTC/ TAF by the class of coadministered third agent (boosted PI vs unboosted third agent). In this study, FTC/TAF demonstrated high efficacy in along with renal and bone safety advantages regardless of the class of coadministered third agent
Hear from a leading Paediatric Pulmonologist on use of ICS LABA in pediatric asthma. A Guidline based approach in treating Uncontrolled Asthma.
This is a single-center propensity score matching study comparing surgical and survival outcomes of laparoscopic versus open distal pancreatectomy for pancreatic ductal adenocarcinoma (PDAC). The findings suggest LDP as feasible and safe for PDAC treatment
Key highlights in Colorectal Cancer of the American Society of Clinical Oncology (ASCO) 2020 Virtual Conference held from 29th to 31st May 2020.
After 2 years of treatment, tenofovir alafenamide (TAF) was as effective as tenofovir disoproxil fumarate (TDF) in suppressing hepatitis B virus (HBV) replication with no documented virologic resistance and associated with a better renal and bone safety profile as compared to TDF.
This large-scale Indian study demonstrates that use of intracameral (IC) moxifloxacin following M-SICS significantly reduces the rate of post-operative endophthalmitis. IC moxifloxacin is therefore recommended for endophthalmitis prophylaxis following M-SICS.
Switching to silodosin is an effective and safe therapy in yielding relief from LUTS due to BPH and improving quality of life in patients with unsatisfactory treatment response to other alpha 1 blockers.
Functional constipation (FC) is a common childhood problem. Polyethylene glycol (PEG) is a safe and effective option for long-term maintenance treatment for childhood FC. The treatment should be initiated immediately after disimpaction to avert FC relapse.
Serum progesterone is not likely to be a good biomarker for determining pharmacokinetics or dosing of vaginal progesterone in pregnancy for preterm birth prevention.
In this video, the speaker has discussed the importance of surgical technique-nailing in distal femoral fracture cases.
Statistics enables the clinician to form reasonable and accurate inferences from collected information, and sound decisions in the presence of uncertainty. Statistics are key to preventing errors and biases in medical research. This webinar will cover the key concepts of statistics and their applications in clinical practice.
Glycopyrrolate/formoterol fumarate metered dose inhaler (GFF MDI) 18/9.6 μg improved the pulmonary function and reduced the risk of exacerbations as compared to monotherapies and placebo in patients with moderate-to-very severe COPD. The benefits were greater in subgroups of patients with higher symptom burden and those with an exacerbation history.
Several disorders are well recognized as causes of secondary osteoarthritis. Interventions on modifiable risk factors improve not only the symptoms of Osteoarthritis but also affect the osteoarthritic joint as a whole.
A case based discussion on Management of recurrent UTI in young patient.
The current issue summarizes on how to measure blood pressure correctly for the management of hypertension from International Society of Hypertension (ISH) global clinical practice guideline for hypertension 2020.
This issue summarizes the lifestyle interventions recommended for the management of Hypertension by the ISH-global clinical practise guideline for hypertension -2020.
This issue highlights the role of lipid analyses for CV disease risk estimation for good therapeutic approach in primary prevention settings.
Current time is the time of transition and chaos. With face to face social interactions changing into virtual one, people are also battling loneliness. Eminent psychiatrists across the country talk about how to help patients cope with loneliness.
The treatment of women of child-bearing age with epilepsy is very challenging. The antiepileptic drugs have impacts on various factors including body weight, fertility, sexual functions, pregnancy etc. which should be considered before initiating the treatment in these patients.
Treatment with tenofovir disoproxil fumarate (TDF) for over 10 years was well tolerated, safe, and effective in patients with chronic hepatitis B (CHB) infection. TDF was effective in suppression of viral replication without development of resistance in CHB patients.
The present study reports the 2-year results of DASISION Trial that compared safety and efficacy of dasatinib versus imatinib in newly diagnosed chronic myeloid leukaemia (CML)- chronic phase (CP) The study showed that dasatinib demonstrated faster and deeper responses compared with imatinib in patients with newly diagnosed CML-CP.
Key highlights in lung cancer of the American Society of Clinical Oncology (ASCO) 2020 Virtual Conference held from 29th to 31st May 2020.
Key highlights in renal cell carcinoma of the American Society of Clinical Oncology (ASCO) 2020 Virtual Conference held from 29th to 31st May 2020.
Among the antiarrhythmic drugs, mexiletine, a class IB agent, has safer electrophysiological properties. This makes it effective drug, as an add-on to standard therapy, in the management of recurrent ventricular tachycardia.
Among the antiarrhythmic drugs, mexiletine, a class IB agent, has safer electrophysiological properties. This makes it effective drug, as an add-on to standard therapy, in the management of recurrent ventricular tachycardia.
Among the antiarrhythmic drugs, mexiletine, a class IB agent, has safer electrophysiological properties. This makes it effective drug, as an add-on to standard therapy, in the management of recurrent ventricular tachycardia.
Among the antiarrhythmic drugs, mexiletine, a class IB agent, has safer electrophysiological properties. This makes it effective drug, as an add-on to standard therapy, in the management of recurrent ventricular tachycardia.
Among the antiarrhythmic drugs, mexiletine, a class IB agent, has safer electrophysiological properties. This makes it effective drug, as an add-on to standard therapy, in the management of recurrent ventricular tachycardia.
Among the antiarrhythmic drugs, mexiletine, a class IB agent, has safer electrophysiological properties. This makes it effective drug, as an add-on to standard therapy, in the management of recurrent ventricular tachycardia.
The efficacy of l-arginine was comparable to tadalafil in the mild-erectile dysfunction (ED) population with a lower incidence of AEs. Combination therapy with both tadalafil 5 mg and arginine 2.5 grams once a day was superior to monotherapies alone in overall cohort and in patients with mild and severe ED.
Though intermittent exotropia remains one of the common type of strabismus seen in our country, lot of confusion remains in managing these patients starting from the target angle to be treated to the postoperative exercises, unilateral versus bilateral surgery and recurrences.
The speaker discusses the recent advances in the diagnosis and medical management of male infertility.
Challenges occur in every segment. Experts in ophthalmic fraternity discuss challenging cases in cataract, cornea & refractive surgeries.
Experts discuss the general anesthesia practices for eye setups post current pandemic situation.
In this webinar, doctor has explained various telemedicine guidelines, elements to be considered before beginning along with do’s and don’ts’ of teleconsultation.
Medical profession has its own ethical parameters and code of conduct. In this webinar, doctor has explained need of medicolegal laws during current different practical scenario.
DUs are a major clinical concern in SSc patients, occurring in 30% of the patients every year. This booklet summarizes the management of digital ulcers
Pregnancy represents an enormous cardiovascular challenge for patients with pulmonary hypertension (PH). Notably, PH is four times for more frequently encountered in women, with approximately 80% of the PH patients being in the childbearing age). This booklet summarizes the physiological changes in pregnancy and risk of PAH, followed by treatment approach in pregnant patient with PAH.
Pulmonary hypertension (PH) due to left heart disease (PH-LHD) is an emerging health concern, with increasing hospital admissions. PH-LHD is the most seen subset of PH, resulting from left ventricular dysfunction (systolic and/or diastolic) and/or valvular heart disease (VHD). This booklet summarizes the pathophysiology, diagnosis and management of PH-LHD.
Data from the REVEAL (Registry to Evaluate Early and Long-term PAH Disease Management) registry shows that hospitalization is an important outcome in PAH. Patients who were hospitalized for PAH are more likely to be re-hospitalized and have worse survival at 3 years than those who were not hospitalized. This booklet summarizes the clinical evidence of newer therapies like macitentan and ambrisentan plus tadalafil and its impact on hospitalization in patients with PAH.
In recent years, there has been a marked improvement in the treatment of pulmonary arterial hypertension (PAH) due to the development of targeted therapies, including the use of upfront combination therapy. This booklet summarizes clinical evidence on upfront combination therapies and its benefits in patients with PAH.
PAH in CHD has increasingly become a topic of discussion especially in center’s dealing with PAH patients. This booklet summarizes general aspects of including pathophysiology, types of PAH-CHD and management.
Although treatment advances have improved survival times from 2.8 years to 9 years from the time of diagnosis, PAH remains incurable. Risk assessment is thereby, recommended to guide treatment decisions and potentially improve morbidity and mortality. This booklet summarizes the clinical benefits observed by various studies that have followed risk stratification for treatment decision.
The ophthalmic fraternity is passing through unprecedented times. During and after the lockdown period, we should be able to tackle the various challenges. This webinar by a team of eye consultant will focus on these pertinent points.
In this video, the speakers have discussed the cases on complications arising due to osteoporosis during total knee replacement surgery.
Discussion from eminent faculty on diagnostic evaluation of patients with PH, emerging concepts, medical management of PH in 2020 & Cardiopulmonary rehabilitation in PAH.
Diabetes patients have a worse ocular surface damage as compared to no-diabetics, as evident form the ocular staining and conjunctival impression cytology tests. Dry eye assessment should therefore be essentially incorporated in the routine ocular assessment of diabetes patients.
Treatment of pneumonia with amoxicillin and cefpodoxime resulted in a similar response to therapy and the difference was not statistically significant. Both the groups showed a significant improvement in mean body temperature, respiratory rate and wheeze.
The results of the FLAME study showed that COPD patients with more severe health impairment and greater symptom burden at baseline experienced more exacerbations. The efficacy of indacaterol/glycopyrronium in reducing exacerbations was better as compared to salmeterol/fluticasone.
Key highlights in Breast cancer of the American Society of Clinical Oncology (ASCO) 2020 Virtual Conference held from 29th to 31st May 2020.
The speaker provides an extensive overview of various ART protocols as well as risk, importance and management of OHSS.
The ADVANCE trial compared the efficacy and safety of a triple-therapy combination of emtricitabine and dolutegravir (DTG) plus either of two tenofovir prodrugs - tenofovir alafenamide fumarate (TAF) or tenofovir disoproxil fumarate (TDF) against the local standard-of-care regimen of TDF - emtricitabine - efavirenz. The 48-week results showed that DTG, combined with TAF or TDF, was noninferior to the standard of- care regimen.
Various studies have determined that Nebulization is not a Viral Aerosol Generating Procedure since the droplets are from the machine and not from the patient. However, sharing of nebulization accessories like facemask and mouthpiece is an unhygienic practice with a high-risk potential of spreading infection. This webinar talks about Nebulization therapy in the current era.
IBS is one of the common GI disorders that significantly affects a patients quality of life. This talk will help to virtually approach IBS patients and provide them with the care they need.
Good nebulization practices are set of recommendations to perform nebulization in the most safe and effective way.
Levetiracetam has comparable efficacy and safety vs. carbamazepine as monotherapy for treating partial seizures. Nevertheless, levetiracetam leads to greater improvement in quality of life and can thus be considered as a better option over carbamazepine for partial seizures.
In this webinar, prominent gastroenterologist Dr. Malay Sharma will explain role of EUS in esophageal cancer including the applications, challenges, and limitations of EUS in the management of this disease.
In the era of increasing resistance of Antibiotics, how High Dose of Minocycline plays a pivotal role to manage gram negative Bacilli. Dr Dipnarayan Mukherjee and Infectious Disease specialist from Kolkata shares his experience of High Dose Minocycline in Meningitis & how the bactericidal action of High Dose Minocycline is the need of the hour.
Interventions on modifiable risk factors improve not only the symptoms of knee Osteoarthritis (OA) but also affect the osteoarthritic joint as a whole. Optimal management of knee OA should include, where possible, modification of risk factors through targeted interventions.
Initial salvage radiation therapy (SRT) prior to salvage hormone therapy (SHT) is beneficial in patients with prostate-specific antigen failure after radical prostatectomy and prolongs the time to treatment failure of bicalutamide as compared to SHT alone.
In this talk, Dr. B. S. Ramakrishna highlights the usage of probiotics in the treatment of IBS.
In this talk, Dr. B. S. Ramakrishna highlights the usage of antibiotics in the treatment of IBS.
In this talk, the doctor gives an overview of the indications, steps, concerns and advances in ICSI along with surgical videos for better clarity.
The world is passing through unprecedented times. This webinar focuses on the health of ocular surface and on the basic OT protocols.
Key highlights in hemat-oncology of the American Society of Clinical Oncology (ASCO) 2020 Virtual Conference held from 29th to 31st May 2020.
Integration of the echocardiographic parameters such as tricuspid annular plane systolic excursion (TAPSE), tricuspid regurgitation (TR) grade and inferior vena cava (IVC) was effective in stratifying the risk for all-cause mortality in pulmonary arterial hypertension (PAH) patients.
Hear from a leading Paediatrician how he manages Acute asthma in children, at his clinic, without a nebulizer.
The Ophthalmic fraternity is passing through unprecedented times. It becomes a necessity to come together to find ways and means of basic practice measures when it comes for Phakic IOLs that includes scope & post-operative evaluation.
Landmark trials like EMGT have shown that glaucoma patients may progress despite controlled intraocular pressure (IOP). Apart from IOP, ocular perfusion pressure/ low ocular blood flow (OBF) has been identified as an independent risk factor in glaucoma progression. This webinar focused on the role of OBF in glaucoma progression, how comorbid conditions may affect OBF, and role of medications in improving OBF and decreasing progression.
Pediatric Eye Trauma is one of the common case found in pediatric ophthalmologist OPD. This topic/presentation will demonstrate a wide spectrum of cases and their surgical management. Measures & precaution will be demonstrated during critical surgery cases of pediatric trauma. It is mainly video assisted skill transfer presentation to understand the pediatric anterior segment trauma.
Treatment of allergic rhinitis with 20 mg bilastine did not significantly impair the cognitive functions in individuals who require constant attention and are exposed to hypobaric hypoxia.
This study aimed to address whether higher dose of amoxicillin will lead to more rapid improvement. The study showed that acute bacterial sinusitis adults were more likely to improve rapidly when treated with immediate-release high dose of amoxicillin/clavulanate than with standard dose but not when treated with extended-release HD.
In this talk, the doctor provides various challenges and modalities to manage ovarian hyperstimulation syndrome, a serious complication associated with ART.
Dr N Murali Krishna highlights the current recommendations from guidelines on the screening, measurement and diagnosis of Hypertension. Moreover, he also touches upon the role of ambulatory BP measurement and out of office BP measurement, the goals of management, the choice of pharmacotherapy and the use of single pill combinations in the pharmacological management of Hypertension.
Irrespective of recent RCT demonstrating no effect of L rhamnosus GG in acute gastroenteritis, the current systematic review showed that L rhamnosus GG reduced the duration of diarrhoea and hospitalization in inpatients. These findings should be viewed in the context of the high heterogeneity and methodological limitations of the included trials.
The present issue provides the Intervention strategies as a function of total CV risk and untreated LDL levels suggested by ESC 2019 guidelines. These interventions will help patients with moderately high LDL-C( ≥160mg/dl) and high LDL-C (≥190mg/dl) levels to reduce the ASCVD risk.
The present issue provides the various CV risk categories recommended by ESC for the management of Dyslipidemia -2019. These risk categoires will help to identify those at high risk and prioritize their management strategies.
Hand hygiene is a great way to prevent infections. Cleaning hands at key times with soap and water or hand sanitizer is one of the most important steps one can take to avoid getting sick and spreading germs to those around you. CDC recommends washing hands with soap and water whenever possible but if unavailable, using a hand sanitizer with at least 60% alcohol can help avoid getting sick and spreading germs to others. Help your child's parents know when and how to clean their (and the child's) hands with hand sanitizier that will give them the best chance of preventing sickness.
Kangaroo care (KC) is a method of developmental care for babies using skin-to-skin contact with the parent. This method provides many parent-infant benefits. In developing countries, KC for low-birthweight infants has been shown to reduce mortality, severe illness, infection and length of hospital stay. Though the focus of KC was once on premature babies, recent research has shown that it has many benefits for all babies. Know how to do KC and its benefits.
Breast milk is the natural first food for babies; it provides all the energy and nutrients that the infant needs for the initial months. WHO and UNICEF have recommended initiation of breastfeeding within the first hour of life. While breastfeeding is a natural act, it is also a learned behaviour for both baby and mother. Here are some simple tips the new mothers can follow that will help in successfully breastfeeding their baby.
The currently available pharmacological treatments for osteoporosis are predominantly anti-resorptive. These inhibit osteoclast-mediated bone loss and therefore reduce bone turnover, and increase BMD because bone formation is permitted and bone resorption is inhibited. Teriparatide is a first in class, anabolic agent with a unique mechanism that results in increased bone formation.
This 5-year study evaluated the distribution and antibiotic sensitivity of bacterial isolates from ocular specimens with suspected microbial infections.
This study evaluates the invitro performance of the Revolizer at various inspiratory flow rates and the consistency of drug delivery across doses.
The present study assessed whether teriparatide (TP) could reduce refracture risk in osteoporotic vertebral compression fracture patients after vertebroplasty (VP) by comparing the radiological and clinical outcomes of cemented vertebrae with TP with those without TP. The study showed that TP treatment resulted in higher body heights and fewer refractures than VP alone, with comparable clinical outcomes 1 year after VP.
The Scandinavian Cohort Study provides real-world data on the risk reduction of renal events in T2DM patients newly treated with SGLT2 inhibitors vs. an active comparator (DPP-4 inhibitors).
The present issue summarizes the optimal recommendations for the management of hypertension from International Society of Hypertension (ISH) global clinical practice guideline for hypertension 2020.
Prevalence of LUTS in general population and gender-wise preponderance and age-group wise trend.
Causes of LUTS other than BPH and the differential diagnosis of BPH in a patient with LUTS.
Antibiotic Stewardship is necessary in the ICU & should be comprehensive as compared to other wards. ICU patient have high chances of developing antibiotic resistance if not used judiciously.
Watch this web series on Severe Asthma (2 parts) to know the evolution in the understanding of Biologics in Severe Asthma Management. Especially, Omalizumab is widely available in India and is getting acceptance increasingly due to its better clinical outcomes, safety and cost effectiveness in Severe allergic asthma management.
The present study compared the 3 regimens (azithromycin vs cefaclor vs amoxicillin) for the treatment of tonsillitis in children. The study demonstrated that 3 days of therapy with azithromycin at a dose of 10 mg/kg per day once daily showed an effective tendency for the treatment of paediatric tonsillitis with a lower occurrence rate of adverse reactions.
Evaluation of intravesical Bacillus Calmette–Guerin (BCG) treatment on outcomes of patients with T0 after repeat Transurethral resection of bladder mass (re-TURBT) with high-risk NMIBC.
The present issue summarizes the essential recommendations for the management of hypertension from International Society of Hypertension (ISH) global clinical practice guideline for hypertension 2020.
This eCME focuses on latest developments on the diagnosis and management of IPF
This eCME focuses on latest developments on the diagnosis and management of chronic hypersensitivity pneumonitis (cHP) including the role of mycophenolate mofetil in cHP.
Long-term treatment with 2 mg daily dienogest significantly reduced chronic pelvic pain and represents a promising medication for the long-term management of endometriosis. Dienogest also improved the quality of life and sexual function in women with endometriosis-associated pain.
The long-term treatment until menopause with 2 mg dienogest was well tolerated in women with symptomatic adenomyosis and could be a potential alternative in some patients, especially those with type 2 adenomyosis, to avoid hysterectomy.
Ciclesonide is a nonhalogenated synthetic ICS available in an extra fine formulation that has been approved for the treatment of persistent asthma. The extra fine formulation ensures that the drug not only reaches the central airways but also the peripheral airways, which is a major site of inflammation. As a result, the entire bronchial tree is targeted and minimal deposition occurs in the oropharynx which considerably improves the safety of the formulation. This monograph summarises the unique pharmacological properties & clinical evidences of Ciclesonide for the management of asthma. It also aims to discuss how this drug might be our answer to the quest for obtaining an ideal corticosteroid having optimum efficacy & high safety with the advantage of once daily dosing.
Organ donations are gradually increasing in India which is resulting in major focus on this. It is necessary to take utmost precautions for these set of immunocompromised patients who are susceptible to most infections due to low immunity.
Foracort Synchrobreathe is a novel breath-actuated inhaler with a dose counter. This booklet provides detailed information about the technical aspects of the inhaler and data from in-vitro and clinical studies to substantiate the effectiveness and patient benefits of formoterol/budesonide combination in Synchrobreathe inhaler.
Renal replacement is a challenging therapy & it is important to understand the etiology of the condition. Organ transplant is a very delicate & important procedure which requires utmost care as the patients becomes immunocompromised lifelong.
Swine Flu in the ICU patients is a very critical condition & it is important to understand the right Clinical Therapy. It’s vital to understand the patient category like Pregnancy. Flu prevention is an important way to reduce patients length of stay in the ICU.
Patients in the ICU are very critical & it is important to understand the right way to interpret the diagnostic reports & vital parameters; based on which the patient can be treated correctly. This will ensure decrease the patient’s stay in the ICU.
Expert talk by leading haematologist, Dr. M B Agarwal on Role of 2nd generation TKI in CML with focus on Dasatinib.
This study demonstrated the noninferiority of the novel combination of ceftriaxone, sulbactam, and disodium ethylenediaminetetraacetic acid (CSE) to meropenem in patients with complicated urinary tract infections (cUTIs) including acute pyelonephritis. CSE might be a potential alternative to carbapenems in patients with cUTIs including the infections caused by extended spectrum β lactamase producing gram-negative microorganisms.
The efficacy of ciclesonide (CIC) as a step-down therapy was significantly higher than budesonide (BUD) in patients well controlled on combination therapy. CIC had better drug adherence than BUD.
This webinar helps in understanding ciclesonide as a molecule. it’s unique properties and it’s therapeutic use in OAD management is discussed.
Inferior oblique surgeries are commonest surgeries after horizontal muscle surgeries in strabismus. This webinar discusses the various indications of the surgery and the effect of inferior oblique surgery on primary position, secondary position, torsion and unilateral surgeries.
Amongst T2DM patients, a six-month dose of 0.2 U/kg/day basal insulin yields effective glycemic control, states the post hoc analysis of the ORBIT trial. The study further identifies the patient characteristics that influence the basal insulin dose at six months.
The present randomized controlled trial assessed whether laparoscopic appendectomy for complicated appendicitis effectively reduces the incidence of postoperative complications and improves various measures of postoperative recovery in adults in comparison with open appendectomy. The study showed that laparoscopic appendectomy for complicated appendicitis is safe and feasible.
Atrial fibrillation (AF) patients who receive oral anticoagulants (OAC) should receive antiplatelet (AP) therapy only if clearly indicated for cardiovascular condition such as ACS, CAD and carotid occlusive disease. The study challenges the practice of coprescribing OAC plus AP in absence of a clear indication for AP in newly diagnosed AF patients.
It is imperative to re-think the way aerosol therapy is being practiced with a mindset shift from the rampant use of nebulizers to an alternative form of drug delivery. GINA and WHO Guidelines have recommended to avoid the use of nebulizers to reduce risk of transmitting viral infection. pMDI + Spacer is the first line of therapy for acute cases as per GINA, has been shown to be equivalent to nebulizer at a much lower dose, it is preferred by patients and requires minimal maintenance.
Allergic rhinitis (AR) is an organ-specific manifestation of allergic disease. It is rarely found in isolation and frequently has numerous associated comorbid disorders. AR is therefore part of a spectrum of allergic disorders that can profoundly affect the well being and quality of life of a child. Because AR is part of a systemic disease process, its management requires a coordinated approach rather than a fragmented, organ-based approach. Take a look at this comprehensive overview on comorbidities of AR in children.
Urethral stricture is an oft-encountered complication in a urologic setting faced, in conjunction with both common and uncommon causes. Thus, urethroplasty is a much-needed and highly differentiating tool in a practicing urologist’s surgical armamentarium. Know more on the art, skill and science of urethroplasty from a world-renowned and masterful exponent of this technique.
Adult epilepsy patients can be successfully switched from traditional sodium channel blockers (SCB) to lacosamide. Lacosamide exhibited similar efficacy as traditional SCB with a benefits of lower risks of hepatic enzyme induction and idiosyncratic adverse effects.
In this webinar, prominent gastroenterologist Dr. AS Puri helps us better understand how to manage ulcerative colitis patients who are either dependent on or refractory to steroid therapy by employing real-life case studies.
Learn about Refractive Cataract Surgery from eminent Ophthalmologists.
DOS Monthly webinar for knowledge upgradation of doctors, organized by Delhi ophthalmology society and Centre for sight.
This eCME focuses on the management of chronic thromboembolic pulmonary hypertension.
This eCME elaborates on CTEPH pathophysiology, risk factors, early diagnosis and prevention.
This eCME focuses on various management aspects beyond drugs like rehabilitation, exercise training and deconditioning, importance of vaccinations and prevention of infections and empowerment of both patients and parents in the caring of PH patients
This eCME focus on radiological modalities and imaging findings in the evaluation of pulmonary arterial hypertension.
This eCME briefly summarizes on various aspects of CTD-ILD including early diagnosis and management.This eCME briefly summarizes on various aspects of CTD-ILD including early diagnosis and management.
This eCME summarizes the various interventions for pulmonary hypertension
This eCME summarizes the etiology and pathobiology of PH in patients with underlying left heart disease.
DASISION study compared the efficacy and safety of dasatinib (100mg once daily), with that of imatinib (400 mg once daily) in patients with newly diagnosed chronic-phase chronic myeloid leukemia. The study demonstrated significantly higher and faster rates of complete cytogenetic response and major molecular response compared with imatinib.s
This webinar helps relook at aerosol therapy in the current situation with a focus on various inhaler devices including pMDI + spacer, BAIs for management of acute conditions and home management of OADs.
This webinar helps relook at aerosol therapy in the current situation with a focus on various inhaler devices including pMDI + spacer, BAIs for management of acute conditions and home management of OADs.
This webinar helps relook at aerosol therapy in the current situation with a focus on various inhaler devices including pMDI + spacer, BAIs for management of acute conditions and home management of OADs.
This webinar helps relook at aerosol therapy in the current situation with a focus on various inhaler devices including pMDI + spacer, BAIs for management of acute conditions and home management of OADs.
This webinar helps relook at aerosol therapy in the current situation with a focus on various inhaler devices including pMDI + spacer, BAIs for management of acute conditions and home management of OADs.
Presenting a multidisciplinary panel discussion on the new normal in respiratory practice. The panel covers the potential changes in delivering respiratory care in today’s scenario.
Expert talk by Dr. Dilip Walke on telemedicine for oncologists.
Expert talk by Dr. Dilip Walke on telemedicine for oncologists.
Expert talk by Dr. Dilip Walke on telemedicine for oncologists.
Expert talk by Dr. Dilip Walke on telemedicine for oncologists.
Expert talk by Dr. Dilip Walke on telemedicine for oncologists.
The Ophthalmic fraternity is passing through unprecedented times. It becomes a necessity to come together to find ways and means of precaution & safety for us, our associated healthcare teams & our patients.
Moses mode of Holmium laser lithotripsy was associated with significantly lower stone fragmentation/pulverization time and lower procedural time as compared to regular mode. The lower pulverization time could be related to lower retropulsion of stones with the Moses technology.
Enterotoxigenic Escherichia coli (ETEC) is the major bacterial pathogen causing acute watery diarrhea in children from countries of the developing world. ETEC diarrhea induces changes in immune responses in children. Although, zinc supplementation has been thought to improve immunity, limited data is available on its effect on immune responses in children with diarrhea due to ETEC. Take a glance at findings of a study evaluating immunological effect of zinc on children with ETEC diarrhoea.
Diagnosis of cough poses a common dilemma during consultations at primary care settings in India. A diagnostic strategy which involve step-by-step approach for the diagnosis and management of cough could bring in greater accuracy in the clinical assessment of cough and accelerate the process of appropriate referrals to specialty care.
This webcast provides overview about role of fosfomycin in VAP, sepsis and bacterial meningitis infection. Pharmacokinetics activity and adverse effects of this molecule are also discussed here.
Dr. Sujeet Rajan shares tips on respiratory practice and explains about precautionary measures/safety measures to be ensured by doctor community.
Dr. Sujeet Rajan explains the role of peak flow meter as a home monitoring tool for asthma management.
Despite the advances made in the management of obstructive airway diseases, achieving optimum control of asthma and COPD is still a challenge in the real world scenario with issues like suboptimal adherence to therapy, incorrect inhaler technique, over reliance on relievers and complex treatment regimens. This session focuses on advances and development of novel patient-centered approaches including customizing and simplifying intervention regimens, identifying barriers to device usage and improving adherence.
Silodosin has 583-fold higher selectivity for the alpha-1A subtype than alpha-1B subtype, thus is more uroselective than tamsulosin. Silodosin improves symptoms of BPH from the early stage of administration, both in new patients and those who have previously received tamsulosin.
Clinical pearls on disease understanding, diagnosis, treatment and referral in LUTS.
Home nebulisation is frequently prescribed for management of chronic airway diseases and is a valuable modality for elderly patients, having difficulties with hand-held inhalers, or having comorbidities. This panel discussion focusses on the changing perspectives and practices in home nebulization.
Provides an overview on minocycline use against CRE infection.
Provides an overview on how minocycline be used as a empiric therapy in acinetobacter cases
Provides an overview on safe use of minocycline over colistin
Provides an overview on how minocycline scores over colistin in VAP or HAP.
Provides an overview on tetracycline in Septicaemia cases.
Provides overview on use of minocycline in acinetobacter infection.
The ophthalmic fraternity is passing through unprecedented times. During and after the lockdown period, we should be in a position to tackle the various challenges, most importantly in glaucoma therapy. This webinar by a team of eye consultants will focus on these pertinent points.
The chronic pseudomonas infections are associated with the worsening of lung function. Early detection is necessary as some antibiotics may be useful in preventing the chronic infection. Although, most effective treatment yet to be determined, nebulized antibiotics can be a good option.
This randomized controlled trial investigated oxycodone preemptive analgesia in children undergoing endoscopic plasma total adenotonsillectomy. The study showed that oxycodone 0.1 mg/kg preemptive analgesia in combination with sufentanil postoperative analgesia was effective in the study population.
This handy resource guide briefly summarises the prevalence of idiopathic pulmonary fibrosis (IPF), its risk factors, diagnosis and clinical evidence showing that pirfenidone slows the disease progression in IPF.
Current concepts in Infertility treatment are discussed in this webinar. IVF Experts talk on current concepts of endometrial receptivity, ART Prework & Using Gonadotropins in daily practice; this is followed by a panel discussion on Obstetrics Complications in ART pregnancies.
Infantile esotropia is one of the common types of strabismus. Though an early surgery, helps with the early restoration of the visual axes, it would also lead to a better outcome in terms of binocular vision and function. However, there have been proponents of late surgery since they believe that the binocular vision would not be recovered and the child may require more than a single surgery and a late surgery may actually help but reducing the total number of surgeries.
In this video-based interactive webinar, speakers shared pearls for phacoemulsification in complex cataracts cases. Surgical tips for managing soft to rock-hard cataract, white, traumatic cataract, small pupil, floppy iris, and zepto precision nano-pulse cataract surgery in white intumescent cataract and pediatric cataract cases. Pearls for managing posterior capsule rent and difficult cases scenario were also discussed.
This webinar helps relook at aerosol therapy in the current situation with a focus on various inhaler devices including pMDI + spacer, BAIs for management of acute conditions and home management of OADs.
This e-RTD discusses the latest CLSI update on polymyxins and its implications in clinical practice.
Given the current scenario, it is essential to understand the emerging role of tele-medicine and tele-consultation in India. This session deals with the upcoming concepts in tele-medicine, and the medico-legal aspects which every doctor should be aware of.
Bronchiectasis is a heterogenous disease with multiple aetiology. There are around 100 potential cause for the pathophysiology of bronchiectasis. Finding of right treatment to right patient depending upon clinical practice is the basis of treatable traits.
Allergic rhinitis (AR) is a very common disease with a steadily increasing prevalence. It has a significant impact on the quality of life with a high economic burden on the affected person. Currently there are many potent and high quality drugs available for the treatment of AR. However, there are certain beliefs and dis-belief’s pertaining to AR and its management. This presentations elaborates on such myths of AR and presents the real facts with supporting evidences.
The study demonstrates that six-month zinc supplementation is a feasible and effective strategy for preventing growth retardation in children aged 6-24 months.
Gastroesophageal reflux (GERD) is a common presenting complaint in children and as such is complicated to manage, as symptoms are diverse and often difficult to interpret. Accurate diagnosis, appropriate management strategies, and timely referral to specialist are important principles in the effective management of GERD. However, there is a scarcity of literature and lack of published guidelines on GERD in children from India. Here are the results of a practice-based survey that was conducted amongst Indian paediatricians to obtain the disease trends, its diagnosis and management.
Levetiracetam does not impact the lipid profile and thyroid functioning in children with epilepsy as compared with carbamazepan which may lead to thyroid dysfunction. Levetiracetam monotherapy may thus be advantageous over carbamazepan in pediatric epilepsy patients.
The ophthalmic fraternity is passing through unprecedented times. This time is very important to use online medical journal to complete the research and exams. This webinar by a team of eye surgeons will focus on these pertinent points.
Optimized Medical Therapy (OMT) slows down the atherosclerotic disease, decreases future events of myocardial infarction, and longitudinally decreases mortality. OMT is as effective as revascularization strategy in management of stable CAD patients with moderate-severe
The novel intranasal spray containing azelastine hydrochloride and fluticasone propionate offered rapid, effective and sustained symptom control in Swedish patients with AR in a real-world setting, evaluated by visual analog scale as per the MACVIA-ARIA- endorsed language of AR control. The results were consistent irrespective of the disease severity, phenotype, age class or treatment history.
Treatment with pirfenidone resulted in significant improvements in objective 24-hr cough counts and subjective measures of cough in patients with idiopathic pulmonary fibrosis (IPF). These findings are of clinical significance to the IPF patients.
This is a prospective, randomized and controlled trial evaluating the effect of the modified long-axis in-plane ultrasound technique (M-LAINUT) in guiding radial artery cannulation. The study demonstrates that M-LAINUT can increase the first and total radial artery cannulation success rates, reduce the number of attempts, and shorten the total cannulation time in adults.
Respiratory hygiene is an infection prevention measure to decrease the transmission of respiratory illness like influenza, RSV, whooping cough or common cold. Even when a person is perfectly healthy, it’s important to practice proper cough and sneeze etiquettes. Here are some tips on simple hygiene practices your patients can take to prevent the spread of respiratory infections.
Patients have different opinion regarding duration of antibiotics use during the exacerbations. Some may prefer for longer duration and some for shorter. Due to unavailability of data comparing shorter and longer course of antibiotic, guidelines prefer to use antibiotics for 14 days during acute exacerbation.
In bronchiectasis, eradication treatment regimens for P. aeruginosa may vary, but some evidence suggests that use of inhaled antibiotics along with intravenous antibiotics achieve greater clearance of P. aeruginosa than intravenous antibiotics alone.
Understanding the etiology of Interstitial cystitis -Bladder Pain syndrome & UTI complications & taking necessary precautions against Urosepsis. How to treat complicated UTIs with judicious use of antibiotics & understanding the antimicrobial stewardship in Urology.
Pulmonary rehabilitation plays a vital role in improving symptom, thereby enhancing health-related quality of life in patients with chronic obstructive pulmonary disease. By improving pulmonary rehabilitation setup in Indian clinical practice, there would be enhanced QOL of COPD patients.
In this talk, the doctor gives a framework of changing concept of PCOS, from gynaecological curiosity to multiple system endocrinopathy, and a practical approach to management of PCOS associated infertility.
This eCME summarizes the key insights from Pro Kerala registry (from India) and compares with registries from western world.
This eCME focuses on various management armamentarium for PH.
This eCME focuses on various tools for early diagnosis of PAH in patients with underlying rheumatological diseases.
This eCME focuses on medical management of PH due to underlying left heart disease.
Allergic rhinitis is a common condition in children. Second generation oral antihistamine are first line treatment for allergic diseases. Bilastine is most recent antihistamine approved by DCGI, India. Take a look at the expert’s opinion about bilastine and its use in children.
Global Experts in Heart Failure recommend the use of NT Pro BNP as a tool for diagnosis and prognosis in Heart Failure. They recommend the use of Beta Blockers and ACEi/ARBs in all patients and up titrate to the maximally tolerated doses. They also recommend to switch from ACEi/ARBs to ARNI in patients who are worsening in spite ACEI/ARBs.
Global Experts in Heart Failure recommend the use of NT Pro BNP as a tool for diagnosis and prognosis in Heart Failure. They recommend the use of Beta Blockers and ACEi/ARBs in all patients and up titrate to the maximally tolerated doses. They also recommend to switch from ACEi/ARBs to ARNI in patients who are worsening in spite ACEI/ARBs.
Global Experts in Heart Failure recommend the use of NT Pro BNP as a tool for diagnosis and prognosis in Heart Failure. They recommend the use of Beta Blockers and ACEi/ARBs in all patients and up titrate to the maximally tolerated doses. They also recommend to switch from ACEi/ARBs to ARNI in patients who are worsening in spite ACEI/ARBs.
General protocol for following up with patients with BPH or LUTS.
Recommendation for Serum PSA test to Geriatric patients coming with other conditions such as Neurological, cardiological etc.
Diagnosis of patients with BPH symptoms but urine doesn’t show anything.
Pooled analysis of 3 phase III clinical trials demonstrated that treatment with pirfenidone reduces the risk of nonelective respiratory-related hospitalization over the course of 1 year in patients with idiopathic pulmonary fibrosis.
Salmeterol/Fluticasone is a widely-used ICS/LABA combination across the world for the treatment of asthma. This study discusses the efficacy of Salmeterol/Fluticasone in the Indian Population.
The small airways are known as the silent zone of the lungs and yet is a site of significant obstruction in asthma and COPD. This clinical booklet answers the key practice oriented questions related to small airways disease , it’s diagnosis and management with extra fine formulation of beclomethasone-formoterol, straight from the experts.
Superficial fungal Infections are caused by dermatophytes, also known as tinea. Tinea is a common fungal infection that can affect the skin, nails and hair. Tinea infection has a variety of clinical manifestations and affects all age groups, ranging from tinea pedis in adults to tinea capitis in pre-pubertal children.
Understanding the etiology of UTI complications & taking necessary precautions against Urosepsis. How to treat complicated UTIs with judicious use of antibiotics & understanding the antimicrobial stewardship in Urology.
Understanding the etiology of UTI complications & taking necessary precautions against Urosepsis. How to treat complicated UTIs with judicious use of antibiotics & understanding the antimicrobial stewardship in Urology.
As a childless couple approaches a fertility specialist, it is important to screen them to find out the reason of infertility and subsequently decide a process. Since there are various processes within fertility management, this session covers about various indications that makes patients suitable for IVF procedure.
Allergic rhinitis (AR) and asthma are both chronic heterogeneous disorders, with an overlapping epidemiology of prevalence, health care costs and social costs in quality of life. This presentation elaborates on the shared components of AR and asthma and also discusses about the challenges as well as the management approach in the patients with such co-existence.
Allergic rhinitis (AR) is considered as a major global health problem. Management of AR continues to revolve around allergen avoidance, medications that provide symptomatic relief, anti-inflammatory therapies, and AIT. This presentation elaborates on the recent advances in AR management including intranasal antihistamines and novel methods of deliveries etc. which continue to be the mainstay of therapy for AR.
Gastroesophageal reflux disease (GERD) is a common problem in children and it has been linked to multiple extraesophageal manifestations. Athough given the inherent unreliability in obtaining data from young patients exists, recent evidence has suggested that children with GERD face increased risk for otologic disease. Explore in detail about the findings on association between GERD and otlogic impairment in children….
Thyroid cancer is relatively uncommon compared to other cancers. This input describes the risk factors, symptoms, diagnosis and over all treatment for thyroid cancer. Also described are the ways to reduce the risk of thyroid cancer and early diagnosis.
Allergic rhinitis is an extremely common condition in children, affecting 10-40% of the young population worldwide, and around 10-20% in India. It is responsible for far more debilitation and interference with daily life of a child. However, data pertaining to its prevalence, diagnosis and management in Indian children, is scarce. Thus, a practice based survey was carried out amongst Indian paediatricians to obtain epidemiological aspects and trends in diagnosis and management. Take a glimpse at the results.
Read about how various lifestyle modification advices can improve quality of life of BPH patients and how delivering them in a structured rather than unstructured way helps much more.
Pharmacological therapy for ventricular tachycardias includes drugs like beta blockers, amiodarone as first-line agents in acute and chronic settings. Mexiletine, a class IB agent, is preferred as add-on therapy in recurrent VTs associated with ischemic cardiomyopathy, despite standard treatment.
Ophthalmic imaging is an integral part of the work of all ophthalmic departments. It allows the clinician to record the findings from clinical ocular examination in an objective, reproducible, transmissible and durable manner. Many ophthalmic imaging devices also facilitate identification of anatomical and disease features that are not readily visible with standard examination techniques and enable sophisticated quantitative analyses. As a result, ophthalmic imaging is essential to the diagnosis, treatment, and long-term monitoring of many ocular conditions.
Glaucoma has become the most frequent cause of irreversible blindness worldwide. An early diagnosis and management is essential to prevent glaucoma progression and vision loss in patients. This webinar, by a team of expert glaucoma specialists, will focus on the latest diagnostic techniques like OCT as well as practical tips for medical management of glaucoma. Also, it will highlight upon the laser procedures for managing primary angle closure disease.
A correct inhaler technique is required for the medication to reach the lungs, while using a pressurized-metered dose inhaler (pMDI). Patients who cannot master inhaler technique will benefit from adding a spacer. Spacers are intended to make inhalers easier to use and deliver medication more efficiently.
Spacer devices are add-on devices to be used with pMDI which help to overcome the co-ordination issues with pMDIs and help to extend the benefits of aerosol therapy across ages. This note provides details on advantages of spacers, benefits of pMDI+spacer therapy as an effective alternative to nebulizers, the right technique of usage and maintenance of spacers.
Let your patients Get Relief from Asthma………Today & Everyday. This simple Do’s and Don’ts poster for your patients will let them Breathe Freely…All Day Long.
Zinc supplementation shortened the time to discharge in children hospitalized for diarrhea. The benefits were evident in children aged 1-59 months, irrespective of their nutritional status.
This talk provides overview on use of flucytosine and key principles for safely using it in various infections like cryptococcal meningitis and candida.
For a patient with severe asthma the major cost burden is hospitalization due to an exacerbation, which can substantially increase the annual healthcare cost. Additionally, there is increased burden of high dose medications, oral steroids and the associated side effects with quality of life also being compromised. Omalizumab therapy helps to improve all these and thus reduces the cost of therapy significantly in long run.
Many patients on Omalizumab therapy for treatment of Severe Allergic Asthma tend to discontinue therapy due to high cost. This video highlights the benefit of Omalizumab therapy even after it is discontinued, post 1 to 1.5 years of administration. Hence, it is important to consider long term benefits and continue therapy as per the Drs advice.
This is the first equivalence study of antibiotics administered postoperatively in a large pediatric cohort. The study compared the safety profile of intracameral moxifloxacin (IC-Mox) ophthalmic solution 0.5% to subconjunctival antibiotics (SCAbs) in pediatric patients undergoing lens-related surgeries. Findings suggest that IC-Mox can be used safely in children for reducing the risk of endophthalmitis after cataract surgery.
This eCME focuses on newer updates on echocardiographic evaluation of PAH.
This eCME focuses on exercise training and its positive impact on general wellbeing of the patients with PAH.
This eCME focuses on indications, advantages and limitations of cardiac catheterization.
This eCME focuses on newer treatment strategies for improved clinical outcome and survival in patients diagnosed with pulmonary arterial hypertension.
Common cold, just as the name suggests, is one of the most common illnesses, and is a leading cause of doctor visits and missed days from school days in children. There is no proven treatment or prevention method for the common cold. Even a medication that is only partially effective in the treatment and prevention of the common cold could markedly reduce morbidity and economic losses due to this illness. Zinc has been evaluated as cold remedy in various studies. Take a glance at the evidence showing effect of zinc on common cold in children.
The latest CLSI 2020 guidelines are released which have given breakpoints for different antibiotics. Some revisions in the breakpoints have been discussed for molecules like Colistin, Fosfomycin & Minocycline. Experts from microbiology & Infectious Disease have put forward their views in the abstract.
Osteoporosis is preventable and treatable. However, being a silent disease, many people remain undiagnosed and go on to experience a fracture. Hence, possibility of osteoporosis and associated fracture risk can be considered based on the presence of co-medications increasing its risk.
Osteoporosis is preventable and treatable. However, being a silent disease, many people remain undiagnosed and go on to experience a fracture. Hence, possibility of osteoporosis and associated fracture risk can be considered based on the presence of conditions increasing its risk.
Microbial keratitis is a potentially vision threatening condition that requires prompt diagnosis and treatment to prevent untoward outcomes. The experts in the webinar would be presenting diagnosis and management of types of microbial keratitis and their approach towards the treatment of non-resolving keratitis.
Webinar on Medico-legal aspects and issues that an obstetric doctor could potentially experience in an obstetric emergency case, and how to deal with it.
Management of over active bladder and checking Urine flow and PVR volume.
Management of over active bladder.
Expert talk by Dr.Dilip Walke on Telemedicine for Oncologists.
TANGO I is a phase 3, multicenter, randomized, double-blind, double-dummy, active-control trial that compared efficacy and adverse events of meropenem-vaborbactam vs piperacillin-tazobactam for treatment of complicated urinary tract infection, including acute pyelonephritis. The demonstrated noninferiority of meropenem-vaborbactam for the treatment of complicated urinary tract infection.
Recent global estimates indicate that over a quarter of children under 5 years of age are stunted. Zinc is known to play a critical role in biological processes including cell growth, differentiation and metabolism. Deficiency in this micronutrient restricts childhood growth and decreases resistance to infections. This contribute significantly to morbidity and mortality in young children. Here are some evidences on the role of zinc supplementation in growth enhancement of children in zinc deficiency endemic area.
Cough is the second most common symptom reported by Chronic obstructive pulmonary disease (COPD) patients, which leads to significant distress and associated with adverse outcomes. This presentation consists of information about the role of cough in COPD, it mechanism and the relationship between cough and COPD exacerbations.
Osteoarthritis (OA) is the most common form of arthritis and is a major cause of debilitation for affected individuals. One of the nonsurgical options for the symptomatic management of OA is intra-articular injection of hyaluronic acid (HA), also referred to as viscosupplementation. A number of HA products, with distinct compositions, are available for the treatment of knee OA. These products are differentiated by their source of HA and method of production; the MW of the active ingredient; the amount, concentration, and injection volume per dose; and the number of injections per course of therapy, ranging from a single administration to up to 5 weekly intra-articular injections. As per the studies, non-animal stabilized HA is effective in reducing pain and improving function in patients with noninflammatory, mild-to-moderate knee OA.
In this talk, the doctor elaborates on telemedicine in India and the medicolegal aspects around it.
This is the 5th installment of self-paced e-learning modules course on 'Ocular blood flow and its relevance in glaucoma progression'. This module highlights the role of various anti-glaucoma medications in improving ocular blood flow in glaucoma patients and its impact in progression.
The ophthalmic fraternity is passing through unprecedented times. During and after the lockdown period, we should be in a position to tackle the various challenges, most importantly infection control. This webinar by a team of eye surgeons, NABH assessors and infection control will focuses on these pertinent points.
Pneumonia is a leading cause of morbidity and mortality in children less than 5 years age. Zinc is an important micronutrient that supports normal functioning of immune system. Chronic zinc deficiency in children can result into impaired immune function, leading to susceptibility to infections. Zinc supplementation has been found to have prophylactic as well as therapeutic role in childhood acute respiratory tract infections including pneumonia. View the slide set to know more.
Poorly controlled asthma is a staggering challenge in Indian scenario. Especially, a case based approach for treating Severe Asthma is the need of the hour. Based on the phenotype of the patient suffering from severe asthma the treatment strategy also changes. This webcast is an excellent feed to address this challenge.
In this talk, the doctor gives an overview of basic but important principles while approaching a couple to investigate and manage their infertility.
This is the 4th installment of self-paced e-learning modules course on 'Ocular blood flow and its relevance in glaucoma progression'. This module highlights the non-IOP risk factors for glaucoma like myopia, age, diabetes, hypertension, migraine. and provides an evidence-based approach for blood flow as predictor of glaucoma progression.
GLYCOHALE respules containing glycopyrrolate, is a newly developed long-acting muscarinic antagonist to be given via a high efficiency mesh nebulizer. Glycopyrrolate has been approved for the long-term maintenance treatment in COPD patients. Glycopyrrolate can be used to treat COPD as a monotherapy, as well as in combination with other drugs. The introduction of GLYCOHALE respules provides a valuable treatment option with the ease of a nebulizer for the chronic pharmacological management of COPD patients.GLYCOHALE is indicated for the long-term maintenance treatment of airflow obstruction in patients with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and/or emphysema.
This eCME focuses on the emerging role of antifibrotics in the management of progressive fibrotic interstitial lung diseases.
This eCME focuses on CT Imaging in interstitial lung diseases, how to secure the diagnosis especially the fibrosing ILD including chronic hypersensitivity pneumonitis and how computer aided diagnostics will change the reporting in future.
Asthma is one of the most common chronic diseases of childhood. The old concept of asthma being same type and can be treated the same way has limited progress in management of this disease. Here are some of the recent important developments in the diagnosis and management of pediatric asthma.
“Bisphosphonate holiday” is recommended in postmenopausal women with osteoporosis who are found to have low-to-moderate risk of fractures after taking bisphosphonates for 3 to 5 years.
This clinical practice guideline can be applied to a postmenopausal woman when considering the management of her osteoporosis. In addition to women with low-moderate fracture risk, women at high risk as being eligible for drug therapy are also considered in this.
Dr Frank Ruschitzka, an expert in heart failure shares his views on the global trends in management of heart failure.
Dr Frank Ruschitzka, an expert in heart failure shares his views on the global trends in management of heart failure.
Dr Frank Ruschitzka, an expert in heart failure shares his views on the global trends in management of heart failure.
Dr Frank Ruschitzka, an expert in heart failure shares his views on the global trends in management of heart failure.
Dr Frank Ruschitzka, an expert in heart failure shares his views on the global trends in management of heart failure.
Dr Frank Ruschitzka, an expert in heart failure shares his views on the global trends in management of heart failure.
Dr Frank Ruschitzka, an expert in heart failure shares his views on the global trends in management of heart failure.
Dr Frank Ruschitzka, an expert in heart failure shares his views on the global trends in management of heart failure.
Dr Frank Ruschitzka, an expert in heart failure shares his views on the global trends in management of heart failure.
This is the 3rd installment of self-paced e-learning modules course on 'Ocular blood flow and its relevance in glaucoma progression'. This module highlights advantages and disadvantages of various ocular blood flow measuring techniques with focus on color doppler imaging and OCT angiography.
This slide set provides a step wise diagnosis and management for difficult to treat and severe asthma patients, including the role and selection of appropriate biologics.
Know about the benefits to the patient and surgeon by this forward-looking technique as compared to conventional BPH surgical techniques.
Eye pain can have a variety of causes. It has a myriad of symptoms ranging from sharp pain in the eye to mild discomfort or itching in the eyes. As the spectrum of symptom presentation varies with eye pain, the cause of these pains may vary from very simple refractive errors to potentially sight threatening disorders like glaucoma and uveitis. The experts would be presenting their viewpoints on different clinical aspects of ocular pain.
In this talk, the doctor elaborates on the various factors responsible for negative IVF outcomes and how to manage these patients effectively.
IOP, we know is the main risk factor as well as the only modifiable factor in glaucoma today. Are there any other factors that we can identify & act on to prevent progression of Glaucoma? Yes, you'll be surprised how small things can alter the course of glaucoma in some patients. Add value to your Glaucoma practice by learning about these through this webinar.
In this talk, the doctor gives an overview of how to schedule IUI & IVF cycles making use of various hormonal options throughout the menstrual cycle.
Learning to use the toilet is an important milestone for children. A challenge to consistent toilet training is constipation which is a very common condition in children. Parents often have questions about how to proceed with training in case of constipated children. Here are some tips which will help them.
This study demonstrates a high burden of morbidity and mortality in the first year of life in infants with persistent pulmonary hypertension of newborn. The study also identifies various risk factors associated with adverse clinical outcomes in this patient subgroup.
The anatomic and functional relationship between upper and lower airways has been the object of great interest. Knowledge of respiratory diseases affecting both, the nose and lungs has helped us understand that these two parts of the respiratory system form a unique entity. This is commonly referred to as one airway one disease. Here is a glimpse of the factors supporting this concept.
The present cross-sectional study assessed the associations between mean ocular perfusion pressure (MOPP)and several variables including body mass index, comorbid medical conditions and various ocular parameters in a population-based sample. The findings suggest that migraine and elevated intraocular pressure increases the risk of low MOPP and this may have a causal relationship with impaired optic nerve head blood flow.
Evidence for ocular perfusion pressure as an independent risk factor for glaucoma progression. How low OPP/Blood Flow & impaired autoregulation impact glaucoma progression.
The CLSI 2020 latest guidelines have been released which have made some changes in the breakpoints of key antimicrobials. This webcast discussed about the key changes in the guidelines and how it would help to fight antimicrobial resistance.
The study showed that tamsulosin reduces nocturnal polyuria due to BPH by decreasing night time urine production over the long term. Probable underlying mechanism is by tamsulosin increasing daytime urine production by increasing daytime renal blood flow, which is deficient in NP patients.
Treatment with vibegron was associated with a significant reduction in the number of urgency urinary incontinence (UUI) episodes/d and significant increase in voided volume/micturition in patients with overactive bladder, including those with severe UUI, with response rate of more than 50%. Vibegron could be a useful therapeutic option in OAB patients with UUI.
The GINA 2020 strategy report represents important new recommendations for the management of asthma. The GINA guideline aims at reducing the risk of exacerbation and decreasing the frequency of symptoms of asthma.
Nebulized glycopyrrolate has well-tolerated safety profile in COPD patients for 48 weeks. Data from this study supports the use of nebulized glycopyrrolate as a potential additional treatment option to physicians for the management of COPD patients.
Nebulized glycopyrrolate has good efficacy and acceptable safety profile in COPD patients. Data from this study supports the use of nebulized glycopyrrolate as a potential additional treatment option to physicians for the management of COPD patients.
Bilastine is used in management of Allergic Rhinoconjunctivitis and Urticaria. Tested and trusted World wide by 104 countries. It is approved by DCGI, European and Japanese regulatory bodies.
Know about the urological and andrological complications of diabetes mellitus and their underlying pathophysiological mechanisms.
Maintaining hand hygiene is one of the best ways to protect oneself and the family from getting sick. Here are some tips your patients can follow on "when to wash his/her hands" to stay healthy.
Approach to status Post Prostatectomy with LUTS.
Artificial tears are commonly used for symptomatic treatment of dry eye disease (DED). The current study compared the efficacy and safety of two preservative-free lubricant eye drops; Osmodrops (carboxymethylcellulose 0.5%, glycerine 0.9%; Cipla Ltd.) and OptiveTM (carboxy1methyl cellulose 0.5%; Allergan Inc.) in patients with mild to moderate DED. The study concluded that both eye drops were found to be effective in decreasing the OSDI score and improving tear film stability in patients with mild to moderate dry eye symptoms.
This study discusses the in – vitro performance of the Huf Puf Kit which comprises of a anti-static spacer + mask and is a ready to use Kit for asthmatic children.
This study discusses the in – vitro performance of the Huf Puf Kit which comprises of a anti-static spacer + mask and is a ready to use Kit for asthmatic children.
The 2019 GINA strategy report represents the most significant change in asthma management in over 30 years. The 2019 GINA report includes important new recommendations for treatment of mild asthma and severe asthma.
It is observed, after a period of 72 h of initial stabilization, 83% of hospitalized patients would be unnecessarily receiving IV antibiotics, increasing the treatment costs by 200% in the case of some classes of antibiotics and prolonging hospital stay. IV to oral switch therapy, is a strategic component of an antimicrobial stewardship program to improve antibiotic use in hospitals. Find out how to identify the ideal candidtate, the ideal antibiotic and the benefits of switch therapy.
Eosinophilic esophagitis (EoE) is a chronic immune-mediated inflammatory disorder with its incidence and prevalence widely rising in all age groups including children. Treatment strategies include medical and dietary therapies. A clinical approach to EoE begins with an increased awareness of the disease and its manifestations.
Eri-001 study is a multicentre observational trial evaluating the safety and efficacy of eribulin monotherapy in different lines of therapy in locally advanced or MBC patients. The study showed that eribulin was a safe and effective treatment option for patients with advanced breast cancer
Dr Scott D Solomon, an Expert in Heart Failure shares his views on the global trends in management of heart failure.
Dr Scott D Solomon, an Expert in Heart Failure shares his views on the global trends in management of heart failure.
Dr Scott D Solomon, an Expert in Heart Failure shares his views on the global trends in management of heart failure.
Dr Scott D Solomon, an Expert in Heart Failure shares his views on the global trends in management of heart failure.
Dr Scott D Solomon, an Expert in Heart Failure shares his views on the global trends in management of heart failure.
Dr Scott D Solomon, an Expert in Heart Failure shares his views on the global trends in management of heart failure.
Dr Scott D Solomon, an Expert in Heart Failure shares his views on the global trends in management of heart failure.
This recent, peer-reviewed study determines the various advantages of TEmt device over monthly Foley catheterization.
Know how diabetes mellitus causes urological diseases and the underlying pathophysiological mechanisms responsible for it.
The latest CLSI 2020 guidelines are released, which have given breakpoints for Minocycline against Carbapenem Resistant Enterobacteriaceae (CRE). Minocycline should be tested against CRE as it has a susceptibility rate of more than 65%. CRE being one of the major hurdle in ICU, Minocycline could be a vital & an affordable treatment regimen.
Know about the various advantages of this technique and the modality it utilizes and importantly, how it could benefit your patients, from a recent, peer-reviewed study.
The present key trial is the first prospective study comparing the quadratus lumborum block (QLB) with transversus abdominis plane block (TAPB) for pain relief in patients undergoing laparoscopic colorectal surgery. The study showed that QLB is a more effective postoperative analgesia as it reduces sufentanil consumption compared to the TAPB in patients undergoing laparoscopic colorectal surgery
Know how to carry out these useful tests as well as the manoeuvres to increase their diagnostic ability in an outpatient setting.
In the era of increasing resistance to antibiotics, high dose of minocycline plays a pivotal role in managing gram negative bacilli. The need for using high dose minocycline over usual dose is been depicted in this infographic.
Understanding the etiology of UTI complications & taking necessary precautions against Urosepsis. How to treat complicated UTIs with judicious use of antibiotics & understanding the antimicrobial stewardship in urology.
Know about the benefits of Moses Holmium Lithotripsy.
The present randomised controlled trial evaluated the effects of the use of chlorhexidine compared to routine oral care in edentulous geriatric inpatients. The study findings showed that the use of chlorhexidine in the oral care was associated with a positive effect in reducing oral colonisation when compared to routine oral care of edentulous geriatric patients.
A substantial proportion of STEMI patients are treated with primary PCI beyond the recommended time frame (late pPCI). Implementing a pharmacoinvasive strategy at acute stage improved the five-year survival vs. the late pPCI and should be preferred when early pPCI is not feasible.
Importance of Risk stratification and Medical Management of Pulmonary Hypertension in practice
This input gives a brief on symptoms, triggers and complications of nasal allergy. Correct usage of nasal spray is also explained.
This is the 6th World Pulmonary Hypertension Symposium update on Hemodynamic definitions and updated classification of Pulmonary Hypertension.
This monograph describes the role of Flucytosine tablets in the management of invasive cryptococcal infections and some Candida spp. infections.
This eCME discusses new evidence regarding use of Isoniazid preventive therapy (IPT), Co-trimoxazole preventive therapy (CPT) and Fluconazole pre-emptive therapy in people with advanced HIV disease.
The present meta-analysis assessed the efficacy of prophylactic antibiotic treatment in acute pancreatitis. Results showed that prophylactic antibiotics in patients with acute pancreatitis reduced incidence of non-pancreatic infection and urinary tract infection. No benefits were seen in rates of infected pancreatic necrosis, mortality, surgical intervention, pneumonia, positive blood culture, and fungal infection.
The present trial evaluated the efficacy and safety of tigecycline monotherapy vs imipenem/cilastatin among hospitalized Chinese patients with cIAIs. The study demonstrated that tigecycline monotherapy was effective for the treatment of cIAIs.
This webcast provides us a brief overview on role of intravenous fosfomycin in VAP, UTI and sepsis, its efficacy, safety and susceptibility against resistant pathogen and drugs with which it can be used as combination therapy.
The webcast focusses on newer buzz in lung cancer i.e. Immunotherapy in lung cancer, EGFR Mutant lung cancer and Small cell lung cancer (SCLC).
There were no significant differences in the lipid and glucose metabolism in the patients of prostate cancer treated with degarelix and leuprolide after 6 months of androgen deprivation therapy. The patients treated with degarelix had significantly lower follicle-stimulating hormone levels.
In patients with small to mid-sized prostates, holmium laser enucleation of the prostate (HoLEP) was associated with longer operation time, less drop in hemoglobin levels, less blood transfusion, shorter hospital stay and shorter catheterization time as compared to transurethral resection of prostate (TURP). Superior long-term clinical outcomes were demonstrated by HoLEP in urodynamic parameters.
This is the first study to validate the IDSA/ATS guideline recommendations for the duration of antibiotic treatment among patients with CAP. The study demonstrated that the duration of antibiotic treatment based on clinical stability criteria can be safely implemented in hospitalized patients with CAP.
In this video, the speaker has discussed the trends in osteoporosis management in India.
This comparative trial assessed the efficacy of amoxicillin versus amoxicillin-clavulanate in preventing infectious complications after the surgical removal of the retained third molar. Findings showed both the antibiotics had similar efficacy in the prevention of infection, however, amoxicillin/clavulanate produced significantly more gastrointestinal discomfort.
This randomized controlled trial evaluated the effects of home intravenous (IV) versus oral antibiotic therapy on complication rates in children undergone appendectomy for perforated appendicitis. The study found that oral antibiotic therapy had equivalent outcomes and incurred fewer charges than IV antibiotics in studied population.
The montelukast-fexofenadine group had a significant decrease in the total nasal symptom score as compared to montelukast-levocetirizine group. However, montelukast-levocetirizine group had a lesser cost-effectiveness ratio as compared to montelukast-fexofenadine group.
Treatment with bilastine was effective in relieving pruritus associated with urticaria and other skin diseases and was safe and well tolerated.
Tadalafil daily was associated with better efficacy than on-demand tadalafil in men with erectile dysfunction after at least 24 weeks of treatment. Daily tadalafil was also safe and well tolerated, with a lower incidence of treatment-emergent adverse events as compared to on-demand tadalafil.
This is the first randomized-controlled clinical study that assessed the adjunctive effect of the metronidazole– amoxicillin antibiotic combination in the treatment of GAP. The findings indicated that metronidazole– amoxicillin the antibiotic combination resulted in clinically significant short-term improvements in clinical parameters.
This webcast provides us a brief overview on role of intravenous fosfomycin in VAP, UTI and sepsis, its efficacy, safety and susceptibility against resistant pathogen and drugs with which it can be used as combination therapy.
Sepsis is a medical emergency. Timely identification and taking the necessary steps is of utmost importance. Hence training and updating paramedics on sepsis plays important role since they are the primary care takers for their patients in hospitals.
The survival outcomes associated with addition of docetaxel to androgen deprivation therapy (Doc-ADT) were superior compared to maximum androgen-blockade (MAB) and ADT-alone in the treatment of patients with metastatic hormone-sensitive prostate cancer in China. Doc-ADT also was the most cost-effective treatment.
Newly diagnosed type 2 diabetes mellitus patients treated with an early combination therapy of vildagliptin plus metformin experience greater clinical and long-term glycemic durability benefits vs. those treated with standard-of-care initial metformin monotherapy or late combination therapy, according to the VERIFY trial.
According to the trial, prasugrel was associated with a greater reduction of composite of death, MI and stroke at one year without increased incidence of major bleeding events compared to ticagrelor in ACS patients for whom invasive evaluation was scheduled.
This retrospective cohort study assessed the effect pNPWT on the incidence of wound infections and other wound complications in patients undergoing elective open major CAWR. The study reported that use of pNPWT significantly reduced the rates of postoperative wound infections in the studied population.
This is first in vivo study employing a range of molecular and microscopy techniques to study the effect cadexomer iodine on microbial load of chronic non-healing diabetic foot ulcers (DFUs) complicated by biofilm. The study demonstrated that cadexomer iodine can reduce the microbial load and concomitant reductions in wound proteases in chronic DFUs complicated by biofilm.
Significant percentage of patients with severe allergic asthma (SAA) have blood eosinophil counts >300 cells/µl. The efficacy of omalizumab therapy is similar in high and low eosinophil subgroups.
Revolizer, a novel DPI, is preferred by more than 75% study population in India, states a recent study. Click Here to read more on ease‑of‑use, preference, confidence, and satisfaction with Revolizer, a novel dry powder inhaler, in an Indian population.
This article sheds light on the scenario of inhalation devices in India in terms of physician’s knowledge on inhaler devices, barriers faced while prescribing inhalers, selecting a particular inhaler device and training on inhaler devices.
A recent systematic review and meta-analysis from 95 publications revealed that more than three-fourths of adult patient population do not use PMDIs incorrectly. Click Here to read more on this study published by the COPD foundation.
Antifungals use in the ICU should be a different as compared to other wards. Suboptimal dosing of azoles is resulting in increase in resistance apart from treatment failure. ICU patient drug exposure may be influenced by altered drug distribution & clearance.
In this video, the speaker has discussed the important parameters, complications and their stepwise management in case of polytrauma.
In this video, the speaker has discussed the complications and algorithmic approach for managing periprosthetic joint infection.
Addition of enzalutamide to androgen deprivation therapy (ADT) significantly prolonged the overall survival and radiographic progression-free survival outcomes as compared to placebo plus ADT in patients with metastatic castration-sensitive prostate cancer. Treatment with apalutamide was safe and did not increase the incidence of adverse events as compared to placebo plus ADT.
Budesonide-formoterol used as needed was superior in preventing exacerbations in adults with mild asthma compared to as-needed albuterol.
In this video, the speaker has discussed the complications in managing femoral neck fracture and its solution.
According to the large-scale ELFIN trial, enteral bovine lactoferrin supplement did not reduce the risk of late onset infections in very preterm infants. The findings do not support the routine use of lactoferrin to reduce late onset infections in this population.
Currently, many doctors are still not giving the required loading doses of colistin for treating their patients due to nephrotoxicity concerns. This case based discussion is to help discuss the importance of given loading doses to the patients to manage their patients effectively and also talks about the issues with improper dosing.
This article provides details on various factors which influence the correct choice of inhaler device that will help improve patient adherence to treatment and increase the success of overall disease management.
Prevalence of small airways diseases in asthma patients is between 50 – 60%, including patients with normal FEV1, and patients with little or no proximal airflow obstruction.
Correct inhaler technique is important in achieving good clinical outcomes for patients with asthma and COPD. This article provides details on how to train patients effectively to overcome the errors committed and correct the inhaler technique.
Good inhaler technique is essential to maximize the benefits of inhaled medications and improve outcomes for the patient. This article provides guidance on how to optimize inhaler technique in patients by specifically focusing on the common errors reported.
Extra-fine Beclomethasone/Formoterol causes rapid bronchodilation and it is well tolerated in patients with asthma.
Extra-fine Beclomethasone/Formoterol combination is as efficacious as Budesonide/formoterol for treatment of asthma.
This is the first large study of eribulin use among real-world metastatic triple-negative breast cancer patients treated in the US. In this study, researchers observed no reduction in clinical benefits of eribulin therapy or changes in the safety or intolerability profile when used either early or late in the course of treatment.
Treatment with bilastine 20 mg was safe in elderly patients with allergic rhinoconjunctivitis and/or urticaria with a low incidence of treatment emergent adverse events (TEAEs). These findings were consistent with the safety profile of bilastine and incidence of AEs reported in previous studies and mentioned in the approved summary of product characteristics.
The combined intranasal formulation containing azelastine hydrochloride (AZE) and fluticasone propionate (FP) was superior to AZE in offering rapid and more complete symptom relief in patients with moderate to severe seasonal allergic rhinitis
The study demonstrates that a moderate weight loss (≥5%) in type-2 diabetes patients within a year of the disease diagnosis cuts down the risk of cardiovascular events over a period of 10 years.