DTR LEARNING HINDI

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Antibiotics for Respiratory Infections Do Not Reduce Complications, Except Pneumonia
Prescribing antibiotics for respiratory tract infections rarely averts complications, although they may be effective in preventing pneumonia among older patients with chest infections, according to an analysis of British patient records published in BMJ online Oct. 19.
The analysis of more than 3 million records from 162 British practices over 10 years found that the risk of mastoiditis after otitis media, peritonsillar abscess after sore throat, and pneumonia after upper respiratory infection was too low to justify antibiotics (BMJ 2007 Oct. 19 [Epub doi:10.1136/bmj.39345.405243.BE]). The researchers from University College London and the British Health Protection Agency calculated that more than 4,000 otitis media, sore throat, or respiratory tract infections would need to be treated to avert a single complication.


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The diagnosis of Henoch-Schönlein purpura requires a small-vessel biopsy to confirm the presence of IgA, Dr. Thomas G. Cropley said at the 21st World Congress of Dermatology in Buenos Aires.
IgA deposits in vessel walls along with prominent extracutaneous manifestations are the hallmarks of Henoch-Schönlein purpura, a specific type of small-size vessel vasculitis that is the most common vasculitis syndrome in children, often occurring after a respiratory tract infection.
In recent years three different sets of classification criteria have been proposed, the oldest of which does not list IgA deposition among its diagnostic criteria. In 1990 the American College of Rheumatology published its Classification of Henoch-Schönlein purpura (Arthritis Rheum. 1990;33:1114-21), which requires four diagnostic criteria:
– Palpable purpura, defined as slightly raised “palpable” haemorrhagic skin lesions not related to thrombocytopaenia;
– Age less than 20 years at disease onset;
– Bowel angina, or diffuse abdominal pain, which might include bloody diarrhoea;
– Presence of granulocytes in vessel walls.

/////////////////////What is SUDC?Sudden Unexplained Death in Childhood (SUDC) occurs in children over the age of twelve months. The cause of death remains unexplained after thorough case investigation including: examination of the death scene, performance of a complete autopsy, and a review of the child's and family's medical history. SUDC is a diagnosis of exclusion given when all known and possible causes of death have been ruled out.We have never heard of SUDC. Is this something new?
SUDC is not new, but it is very rare. Sudden unexplained death in childhood (SUDC) is rare, with a reported incidence in the United States of 1.3 deaths per 100,000 children, compared to 57 deaths per 100,000 live births for SIDS in 2002. It is not surprisingly, therefore, that there is very little known in the medical literature about SUDC.


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LIFE STILL HAS A MEANING
If there is a future there is time for mending Time to see your troubles coming to an ending.
Life is never hopeless however great your sorrow If you’re looking forward to a new tomorrow.
If there is time for wishing then there is time for hoping When through doubt and darkness you are blindly grop-ing.
Though the heart be heavy and hurt you may be feeling If there is time for praying there is time for healing.
So if through your window there is a new day breaking Thank God for the promise, though mind and soul be ach-ing,
If with harvest over there is grain enough for gleaning There is a new tomorrow and life still has meaning.
(Courtesy Indiavilas.com)


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