70% of women with early breast cancer do not need chemotherapy
Medical Voice For Policy Change
MEDtalks with Dr KK Aggarwal
Clinical
Women with early-stage HER2 negative, lymph node-negative, breast cancer (1-5 cm) who would currently be treated with chemotherapy could skip the toxic treatment, a major international study TAILORx published in the New England Journal of Medicine suggests. This applies to cancers with a mid-range recurrence score (11 to 25) on a widely used gene marker test. Roughly 70 per cent of women who fit this patient profile could be spared chemotherapy.
Can a man remain conscious during CPR:
A man undergoing cardiopulmonary resuscitation, or CPR, exhibited signs of conscious awareness for 90 minutes before the medical team stopped the life-sustaining procedure, according to a new case presented Monday at the annual European Anaesthesiology Congress in Copenhagen, Denmark. (Views: The answer is yes, it happens in thump resuscitation when done in CHB)
Public health
Mayo Clinic: “Potassium is an extremely important mineral, as supported by the recent Dietary Guidelines for Americans and the Food and Drug Administration designation that K+ is a ‘nutrient of public health’ concern because of its general underconsumption across the US population.”
Harvard: “High salt intakes increase blood pressure, ultimately leading to heart disease; high potassium intakes can help relax blood vessels and decrease blood pressure. Our bodies need far more potassium each day than sodium…”
Cleveland Clinic: “Researchers found that heavy salt consumption was linked to a 20 per cent increased risk of death, while high potassium intake offered a 20 per cent risk reduction.”
The index case: is the first documented or suspected patient in the onset of an epidemiological investigation. The index case may bring awareness of an emerging outbreak.
1. Never ignore the first case of any new illness
2. If you get two or more similar cases in the same family or area
3. If you note sudden death/s of any animal or bird ring the bell
4. Human to human transmission will occur from household contacts or treating healthcare workers
5. The term primary case can only apply to infectious diseases that spread from human to human, and refers to the person who first brings a disease into a group of people.
6. "Patient Zero" is used to refer to an individual identified as the first carrier of a communicable disease in a population (the primary case), or the first incident in the onset of a catastrophic trend.
7. A known or suspected patient zero may be informally referred to as an index case for the purpose of a scientific study, such as the one-year-old boy who thought to be the source of the largest Ebola virus outbreak in history.
Dr KK Aggarwal
Padma Shri Awardee
Vice President CMAAO
President HCFI
(Abstract from newsletter)
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