2. In another study, of 692 female surgeons, 290 (42.0%) had a pregnancy loss, more than twice the rate of the general population.
*Female surgeons operating 12 or more hours per week during the last trimester of pregnancy were at higher risk of major pregnancy complications
3. Female surgeons had fewer children and were more likely to delay having children because of surgical training.
Incidence of postpartum depression and musculoskeletal problems were also higher in them #MedTwitter#Doctors doi.org/10.1001/jamasu…
4. Female surgeons have first pregnancies later in life, fewer children, and report more issues with infertility. Assisted reproductive technology is implemented more often by female surgeons than the general population doi.org/10.1016/j.jamc…
5. Conclusions
*Women physicians, especially surgeons, face multiple challenges with respect to marriage, pregnancy, child birth and fertility.
*There is a need for major culture change at workplace, with greater support from colleagues and management to mitigate these problems.
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Carefully observing a patient walk 20 steps gave clue to diagnosis
1. 1995- I was a first year MD Medicine PG at CMC Vellore.
35-yr old Rami from Midnapore had got admitted with fever of unknown origin of 6 months duration. No cause had been identified despite extensive tests.
2. It was a hectic day with 8 new patients admitted from emergency. It was past midnight, when I managed to examine Rami. During examination, she took a washroom break, for which she walked about 20 steps in all. After she returned to her bed, she was breathless . #Medtwitter
3. She was unable to talk in complete sentences. Her pulse rate was 140/min. High #pulse rate could be partly explained by #fever, but it was beyond what was expected for a fever of 102 degrees Fahrenheit (pulse rate can rise by 10 beats/minute per degree rise in temperature).
2. The association between head injury and death over long-term was dose-dependent.
111% higher risk of death was noted with two or more head injuries as compared to 66% higher risk of death after one head injury.
3. Those with mild head injury had 2.12 times higher risk of death as compared to those with no history of head injuries.
The risk of death increased to 2.87 times, if the head injury was moderate, severe or penetrating (as compared to those with no head injuries).
1. Alcohol consumption is one of the important modifiable risk factors for stroke in young adults.
A study was conducted in Korea to determine the association between alcohol & stroke.
2. Of 1536668 patients (mean age 29.5 years, 71.5% male, and median follow-up of 6-years), 3153 experienced an incident stroke (incidence rate, 0.37 per 1,000 person-years).
Adults who consumed more than 105 g/week of alcohol had higher risk of stroke, especially brain hemorrhage
3. Conclusion
Young adults who engaged in moderate-to-heavy drinking demonstrated a higher risk for incident stroke, especially hemorrhagic stroke n.neurology.org/content/100/5/…
A young woman who would repeatedly experience the smell of burning incense (when in reality none burnt) 1. It was nearing the end of a busy OPD, when 27-year-old Radha was brought for consultation, accompanied by her husband and mother-in-law. They all looked anxious. #MedTwitter
2. Radha married Raj a year ago. All went well until three months after marriage and the family was very happy.
One day at 11 PM, Radha started complaining that someone is burning incense at home, when all were actually sleeping. They considered it a dream & asked her to sleep.
3. These episodes increased in frequency and occurred 3-4 times every week. She would complain of burning incense smell at different times of day or night, and these symptoms would last only a few minutes.
Her family thought it's a God's message to her to pray with more devotion
Does habitual #Coffee consumption increase the blood pressure (BP)?
1. Coffee is the most widely consumed drink (after water) and coffee lovers need clarity whether it is safe in all aspects. Does it raise the BP? Is coffee safe for people with hypertension (high BP)? Let us see
2. No added risk of high BP
The results of numerous studies and meta-analyses indicate that "moderate and habitual coffee consumption does not increase" and may even reduce the risk of developing arterial #hypertension. doi.org/10.1007/s11906…
3. Coffee can be safely consumed by people with high BP
Moderate "habitual coffee consumption in hypertensive persons does not increase the risk of uncontrolled blood pressure" and may even reduce the risk of death from any cause.
HbA1c screening in adults can significantly reduce the time to diabetes diagnosis
1. HbA1C (glycosylated hemoglobin) is a marker of average plasma glucose during the previous 8-12 weeks.
An HbA1c of 6.5% is recommended as the cut point for diagnosing #diabetes. #MedTwitter
2. In a recent population-based study in UK, HbA1c screening in adults aged 40–70 years reduced the time to diabetes diagnosis by a median of 2.2 years compared with routine clinical care. link.springer.com/article/10.100…