Ministry: 3 dengue deaths, 303 cases - Trinidad & Tobago Express Newspapers
- Ministry: 3 dengue deaths, 303 cases Trinidad & Tobago Express Newspapers
- Another dengue death, 303 infected TT Newsday
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- Mosquito-borne diseases on the uptick: Survivors urge public to heed warnings TT Newsday
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1 year 3 months ago
Medical News, Health News Latest, Medical News Today - Medical Dialogues |
Breaking News: Supreme Court Directs NTA to Publish Entire NEET 2024 Results masking candidates' identities
New Delhi: While considering the pleas seeking cancellation of the National Eligibility-and-Entrance Test Undergraduate (NEET-UG) 2024 examination, the Supreme Court today (July 18) directed the National Testing Agency (NTA) to publish the marks obtained by the candidates in the NEET 2024 exam.
However, the Apex Court bench comprising the Chief Justice of India clarified that the marks should be published while ensuring that the identity of the students is masked.
"The results should be declared separately city and centre- wise. Results will be uploaded by 5PM tomorrow," ordered the Apex Court bench noting that this was important to ensure whether the paper leak was confined to the centres in Patna and Hazaribag or was more widespread.
The bench has listed the matter for further hearing noting that "we have to finalise by Monday." Further, the Court has also sought to view the case diary of Patna Police.
Recently, the Union Government relied on the analytics of NEET-UG 2024 results conducted by IIT Madras to argue that there was no abnormality or "mass malpractice" in the undergraduate medical entrance test.
What Happened at the Hearing on 18th July, 2024:
The counsel for the petitioners pointed out that CBI was supposed to file its status report. Responding to this, the CJI pointed out that the investigation is going on therefore "If what CBI has told us is revealed, it will affect the investigation. People will become wise..."
At this outset, the CJI pointed out to the petitioners' counsels that they would have to show that the leak was so "systematic" and affected the entire examination to warrant the cancellation of the entire exam.
"If we accept your wider submission, we would like your assistance on which are the lines on which the investigation must happen," noted the CJI.
The petitioners' counsel further stressed on the importance of declaring the results of 1 lakh students who are going to be admitted to the government and private medical colleges.
When the Court questioned regarding the number of available seats, the counsel for the petitioners submitted that 56,000 seats are there in the Government medical colleges and 52,000 seats are there in the private medical colleges.
At this outset, the CJI observed that merely because out of 23 lakh students only 1 lakh will get admitted to the medical colleges, the Court could not order a re-examination. Responding to this, the counsel highlighted that the stake was of only one lakh people and not the remaining 23 lakh.
Justice Pardiwala sought to know at this outset, out of the 1 lakh eight thousand, who are likely to get admitted, how many approached the Supreme Court as petitioners. The Counsel for petitioners submitted that NTA could give the data.
Senior Advocate Hegde informed the Court that some who are within the 1 lakh eight thousand students approached the Court since they want government seats.
When the CJI questioned about the minimum mark received by the petitioners, the Solicitor General, appearing for the Government, submitted that there are 131 students who do not fall within 1 lakh 8 thousand, who want a re-test and there are 254 petitioners who are within the 1 lakh 8 thousand, who are opposing the re-test.
At this outset, the CJI questioned about the cut-off mark for the 56,000 (government seats) and the 1 lakh eight thousand students who might get admitted to the medical colleges.
Advocate Sanjay Hegde informed the Court that anybody who scores more than 50 percentile qualifies the test. 164 is the cut-off mark and about half the petitioner have the qualification to be allotted a seat. He further pointed out that admission is a dynamic process and some many not opt for medicine and go to IIT. In that case, the figures may come down.
Advocate Hooda, appearing for the petitioner, submitted that one of the directors of IIT Madras is a member of the Governing Body of the NTA and they have run the data analytics taking the entire number. He further argued that IIT Madras report cannot be relied upon.
When the CJI questioned if the analytics has to be done on the restrictive figure of 1 lakh eight thousand, Advocate Hooda for the petitioner submitted that there is a conflict of interest since IIT Madras Director was a member of the governing body of NTA.
However, the Solicitor General refuted this claim calling it "factually wrong". When the CJi questioned who conducts IIT JEE, the SG informed that this year IIT Madras conducted it.
The CJI sought to confirm if the IIT Chairman was the ex-officio member of the NTA governing body, the counsel for NTA argued that the Governing body had no role in the conduct of the exam. When the CJI asked if this time IIT Madras Director was ex-officio member of NTA governing body, the SG submitted that he had deputed somebody else to attend the meetings and argued that the question of bias might not arise.
At this outset, the Court sought to look at the report of the IIT Madras. Referring to the report, Advocate Hooda for the petitioners submitted that NTA and Govt are attributing two reasons for the exponential inflation in marks- one, there was a reduction of syllabus and two, increase in candidature. He argued that the reply did not give a full disclosure.
He also pointed out that there was both an increase and decrease in the syllabus. Advocate Hooda argued that NTA and Government and the IIT report were not talking about the increase in the syllabus.
Referring to the report, Advocate Hooda for the petitioners argued that the curve was no indication that there was no abnormality because the data was too large, which could not be caught. He further argued that with such a large data of 23 lakg, granular variations could not be seen.
Advocate Hooda further submitted that there were 571 cities and the report said that the toppers were evenly spread. However, the data they provided was only of 17 students. "Why are they shying away? If they have run it for top 100, they should give for top 100 and not just 17," he argued.
On this, the Solicitor General argued that the chart showed that out of students who secured the first 100 ranks. Advocate Hooda questioned why data of only 17 toppers were given.
Taking note of these arguments, the CJI asked the SG, "If you have a break up of top 100 rank, you can give. Which are the cities from which they are?" Responding to this, the NTA counsel referred to the table on top 100 rankers and submitted that the NTA affidavit annexed the details of top 100 ranks.
The SG pointed out that the purpose was to show that the toppers were spread over, just to show that there was no abnormal spike in any particular centre.
Advocate Hooda referred to one Hardayal School from Bahadurgarh where 6 people topped the exam. He pointed out that NTA never disclosed that the question paper taken from Canara Bank was distributed.
He further pointed out that while the entire country was given papers from SBI, in Hardayal, school paper from Canara Bank was given. He claimed that the principal said that the instruction was that let the students do Canara bank paper. He also argued that everyone in the school got grace marks and because of the extra marks, 6 people got 720 marks and two students from the same centre got 718 marks.
Advocate Hooda demanded that NTA and Government required to come clean on that. "First they said there was delay in distribution. When they were caught, then they said we are having a re-exam and don't go into the issue of grace marks. The question who they gave grace marks to 1563 odd people has not been examined by this court."
He further claimed that NTA held a re-exam to hush up the matter. Responding to this, the CJI observed, "that issue has attained finality. This Court has upheld the re-examination."
The counsel for the petitioner submitted that in the first instance, they indulged in pick and choose to identify the 1563 candidates. Arguing that Bahadurgarh was a classic example, Advocate Hooda pointed out that these students got a chance to appear in the retest again.
When the CJI questioned out of the 1563 candidates how many made it to one lakh eight thousand, Advocate Hooda submitted that this question was not answered.
"Out of top hundred, AP got seven, Bihar seven, Gujarat seven, Haryana four, Delhi three, Karnataka 6, Kerala 5, Maharashtra 5, TN 8, UP 6, WB 5...So it appears that the spread in the top hundred marks is distributed across the country, 12 states and one UT," observed the CJI.
Responding to this, the Solicitor General submitted that the first 100 rankers were spread across 95 centres located in 56 cities within 18 States/UTs.
When the CJI asked to confirm if 67 students secured 720/720 marks, the SG submitted that the number reduced after the re-test held for 1563 candidates. Thereafter the CJI asked how many of them were in 1563 candidates. NTA responded by saying that 44 toppers were in that list. NTA counsel submitted that 44 were given the marks for the questions having one extra answer as per the NCERT booklet.
"As matter stands now, 61 students get 720/720, out of whom 44 are students who got extra marks for the two correct options for a question. So the number really is 17.," the CJI noted at this outset.
The CJI also sought to know how many students sought to change their centres in the entire exam. Responding to this, the counsel for NTA said that the candidates change centres in the name of corrections. Therefore, during that process, only the possibility of changing happens. "We will never know it. As of now system doesn't catch that," the NTA counsel submitted.
In this regard, the NTA counsel informed the Apex Court that 15,000 students utilised the window for corrections. The CJI questioned that among the 15,000, how many changed their centres and for how many days, the window was open.
The CJI also sought to know if while filing the application forms, the candidates have to opt for the city or the centre. When NTA informed that the Candidates are given he option of the cities, the CJI observed, "So what they can change is only the city. No candidate can choose the centre. Centre is alloted by the system."
NTA informed the Court that the Centre allotment happens only two days before the exam and therefore, nobody knows which centre was going to be allotted.
In response to the CJI's query of how many candidates corrected the fields within the window, Advocate Hooda submitted that the window for new applications in April 9 & 10 and the NTA and Govt claimed that it was based on an order of Rajasthan HC. However, the HC order was only for one candidate.
NTA informed that 15,000 new applications were received and further submitted that regarding the change of centre, the petitioners have focused only on Godhra.
"Do we have any data on how many students, out of one lakh eight thousand, had changed their cities? We would like to see the distribution and was the change to any of the suspected areas?" questioned the CJI
The CJI also sought to know if there was any skew between those who registered between April 9 and 10? The Chief Justice also sought to know, "If the HC order was only for one student, how did you open the window for 15,000 new students? Out of those 15,000 students, how many are there in the one lakh eight thousand?"
At this outset, Advocate Mathews Nedumpara for the petitioners submitted that the only issue that required to be considered if re-test was required. However, the CJI observed that the ongoing discussion was the very heart of the issue.
When Advocate Nedumpara referred to the IIT Report as "a lie", the CJI objected to this saying "Don't just use adjectives against a premier institute. Give us core facts."
After the lunch break, the CJI also asked the NTA counsel about the Rajasthan HC order which the NTA cited to open a new window for fresh applications and questioned if the concerned order was for one candidate only.
Responding to this, the SG informed the bench that after receiving several representations, it thought the window should be open as a student-friendly measure.
"This order was only for one student who didn't pay fee. And what does NTA do? ...allows every one to apply," observed the CJI.
At this outset, the SG informed the Apex Court that they received 15,000 new registrations and out of those 15,094 students, only 44 will get admission to one lakh eight thousand students, who might secure MBBS admission.
The NTA counsel submitted that 12,000 of these 15,000 students failed the test and the Solicitor General submitted that the window was not opened to help anyone in particular, but it was a pro-student measure and only 44 out of the new registrations will get admissions. Further, the Solicitor General argued that the IIT report did not show Jaipur, because there was no increase in the number of toppers compared to last year.
Meanwhile, Advocate Hooda for the petitioners referred to the IIT report and submitted that there was an inflation of marks. He submitted that the number of students who scored between 550 to 720 increased by 77,000.
At this outset, the CJI asked the NTA how many students appeared in the exam in 2022. NTA informed that 17 lakh 64 thousand five hundred seventy appeared in 2022 and 20,38,526 students appeared in 2023. The number increased to 23,33,297 students who appeared in 2024. Taking note of this, the CJI observed that between 2022-2024, the number of candidates increased by 33%.
When the CJI referred to the NTA's argument that there was a reduction in the syllabus, Advocate Hooda submitted that there was a corresponding increase in the syllabus. He relied on a document to support his contention. He further submitted that the increase in the number of candidates in the 550-720 range was five-fold compared to previous years. He referred to it as a "red flag".
The CJI, therefore, asked for concrete document and Advocate Hooda relied on the document showing the increase in syllabus. He showed the topics increased in subjects and submitted that the candidates were notified about this only 5 months ahead of the exam.
Regarding the chain of custody, Advocate Hooda submitted that their case was that question papers were dispatched to the centres on April 24 through a private courier company. It reached the SBI and Canara banks on 3rd May.
The CJI noted that those papers were sent to the SBI/Canara Bank branches in the 571 cities. Noting that they were dispatched on April 24 and received on May 3, the CJI observed that the time gap was about 9 days.
Explaining the system, the SG informed that two printing presses were there for two papers and confirmed that these two printing presses started distributing papers between April 24-28 for the cities.
The Solicitor General further submitted that CBI has investigated the entire chain from the printers to the centres- how there was sealing, GPS tracking, digital lockers, etc and claimed that there is a 7-layer safety system.
Advocate Hooda pointed out that for Hazaribagh the dispatch was on April 28 and added that the trunk containing papers was found travelling on an e-Rickshaw on the 3rd May in Hazaribagh under the open sky and it was received by the Principal of the School, who was later arrested by CBI.
When the CJI questioned how did the petitioners formulate that the leak was widespread and systemic, Hooda submitted that there was a systemic failure in conducting the exam by NTA and this failure was multi-dimensional. He claimed that the transportation of question paper got compromised, and for 6 days the papers remained in the hands of a private courier company. He also alleged that the question papers were transported in an e-rickshaw in Hazaribag and instead of being taken it to the bank, the E-richshaw driver took it to the school.
Advocate Hooda further claimed that photographs of the e-rickshaw showed carrying the papers and pointed out that the school Principal was arrested for the part of the leak and the said principal was part of the NTA and city coordinator.
To prove his argument that dissemination of the leaker paper happened on May 3 itself, Advocate Hooda relied on the evidence of Telegram videos that showed that the solved papers were being circulated on May 4 itself.
At this outset, NTA submitted that it was a doctored video. The Solicitor General submitted that Telegram channel has an inbuilt feature that if there is a change, it will be reflected and from that it was known that the video was circulated after the exam.
Opposing this claim that the Telegram video was doctored, Advocate Hooda submitted that the date and time they show was not a date and time which can appear in a Telegram channel. He submitted that it was a watermark and it was not a date and time.
When Advocate Hooda claimed that the question papers were transported in an e-rickshaw without any guard, the Solicitor General submitted that those were OMR sheets and not question papers.
Referring to the statement recorded by the Bihar Police of an accused, Advocate Hooda argued that the statement showed that the paper leak happened on May 4th. When CJI questioned if they got 161 statements, Advocate Hooda submitted that statements were getting circulated on social media and pointed out that in the counter-affidavit, they said that it was not a certified copy of 161 statement and therefore should be discarded from the evidence. Responding to this, the SG submitted that the translation of the statement was not accurate.
While considering the question when the leak happened, the Court observed that either the paper was leaked before the custody of banks i.e. before May 3rd or the leak happened when the papers left the banks and were bound for the center.
"Alternative hypothesis that leak happened in custody of banks is possible according to you, which means May 3. Between May 3 and May 5 is a long interval.." observed the CJI
When the CJI asked when the leak took place, the Solicitor General submitted that there was no leak that took place. The CJI, therefore, asked when the breach took place. The SG responded by saying that it was in a particular centre, between 8.02 AM to 9.23 AM when a person went inside, photographed the papern and came out
"Assuming that happens, according to you that students got papers at 10.15 AM. There are 180 questions. Is it possible that between 9.30 and 10.15 that there are problem solvers and putting them to students in 45 minutes?" questioned the CJI.
The Solicitor General submitted that there were 7 solvers and they divided 25 students each. The questions were jumbled and so the students were made to memorize.
"The whole hypotheses that entire paper was solved in 45 minutes and given to students is too far fetched," observed the CJI.
Thereafter, the CJI questioned when the paper left the vault at the bank and at what time it reached the centre. The Solicitor General Submitted that the students only got 2 hours to memorise the questions and that is why out of 18 students, only one student was possibly getting admission. The SG assured that the concerned students would face debarment. He also submitted that the total number of such students would not cross 150.
At this outset, the CJI questioned about the distance between Patna and Hazaribagh and the SG submitted by saying that one gang member, who was at Hazaribagh sent it by WhatsApp and their model was not to allow the students to take photographs. He further submitted that the parents gave post-dated cheques over and above advance. They knew that if the leak got widespread, the exam would get cancelled. So they asked the students to keep out their mobile phones.
"What is worrying us is, how much was the period between the breach occurred and the exam? If the time period is 3 days, obviously there is a greater danger," observed the CJI, adding that "Does somebody pay 75,000 for 45 minutes?"
The CJI, thereafter, asked Advocate Hooda to inform about any material indicating a similar method was replicated outside Hazaribagh and Patna. While the SG denied of the existence of any such material, Advocate Hooda submitted that in Godhra, it was agreed that the Geogrpahy lecturer Tushar Bhatt will fill the blank OMR sheets. Common sense says a geography teacher cannot solve it unless he has the paper leaked.
However, the CJI observed that in Godhra, they were arrested before. In this regard, the SG submitted that no one from Godhra was getting admission. Observing that Godhra had nothing to do with paper leak, the CJI further questioned about how many candidates from Godhra came within the last candidates, how many of them had changed centres etc.
When the CJi observed Godhra to be a localised issue, Advocate Hooda submitted that the paper footprint did not confine to Patna, it travelled. "In Godhra, students had no opportunity. There is no wrongdoing eventually. The process was that the centre-in charge will fill in the blanks and not that they memorize. But that was prevented ultimately," observed the CJI, adding that Godhra could not be placed at the same level as Patna or Hazaribag.
"Then we are only left with the statistics....can we cancel the entire examination on that sole basis?" the CJI asked. Responding to this, Advocate Hooda for the petitioner submitted that the conspiracy was hatched a month ago.
The CJI took note of the submission of the Government that the beach occurred in Hazaribagh school and the Patna breach was linked to Hazaribagh. When the CJI sought to know how the breach was linked to Patna, the SG submitted that a gang member was there in Patna and the Gang ensured that they purchased a new mobile with new SIM so that there was no further leak.
Meanwhile, the CJI questioned if the paper could be solved within 45 minutes. "Primary breach happens in Hazaribagh. Solving happened in Hazaribagh and sent to Patna. All happened in 45 minutes?" questioned the CJI.
Referring to the Patna FIR, Advocate Sanjay Hegde submitted that as per the FIR, the leak happened on May 4th. Thereafter, the CJI sought to view the case diary of Patna Police.
The CJI inquired about the number of centres in Hazaribagh, the number if students at those centres, and how many of them would fall in the admission qualification.
"Admittedly, there is a breach in Hazaribagh and Patna. We want to know how many students qualify?" questioned the CJI.
Responding to this, NTA informed the bench that the number was 80.
The CJI observed that it would take up the matter for further hearing on Monday at 10.30 Am, so that it could be concluded by noon. It also sought a copy of the Bihar police report.
When the counsel for the petitioners sought a stay on the counselling, the Solicitor General opposed this by saying that the Counselling would take two to three months and it would start on July 24 or so.
Advocate Hooda urged the Court to direct NTA to declare the entire results. However, the SG opposed this by saying that entire results are not published as it is the personal property of the students. At this outset, the CJI suggested declaring the results with dummy roll numbers in a sequence centre-wise.
"The petitioners have submitted that it would be appropriate if the results of the NEET-UG 24 exam is published on the website so as to bring about some transparency in the centre-wise..." ordered the Apex Court.
When the Solicitor General said that the centre needed to be masked, the CJI ordered NTA to publish the marks obtained by students in NEET -UG exam 24 exam while making sure that the identity of the students are not revealed.
"We direct the NTA to publish the marks obtained by students in the NEET-UG 24 exam while ensuring that the identity of the students is masked..." ordered the CJI.
When the SG objected to the Centre being published, the CJI noted, "What is happening is..the fact that there is a leak at Patna and Hazaribag is admitted..the question papers had been disseminated. We want to ensure whether this was confined to those centres or widespread. Students are at a handicap because they don't know results. We want the students identity to be masked but let us see centre wise what was the mark pattern."
"The results should be declared separately city and centre- wise. Results will be uploaded by 5PM tomorrow," CJI further added in the order.
When the SG observed that Centre-wise should be deferred, the CJI responded by saying, "No, we have to finalise by Monday."
Previous Details of NEET Hearing Before Supreme Court:
Medical Dialogues had earlier reported that while considering the pleas seeking NEET UG retest, the Supreme Court on July 11 had noted that undoubtedly the NEET paper leak took place and the sanctity of the exam was compromised.
"The fact that there was a leakage of question papers cannot be disputed. Now, what is the consequence of that leak would depend on the nature of that leak," the Chief Justice had earlier observed.
Asking the Centre and NTA to identify the red flags, the bench had hinted at the possibility of holding a limited retest for the beneficiaries of the paper leak
Also Read: No doubt NEET PAPER LEAK took place, Sanctity Was Compromised: Supreme Court
1 year 3 months ago
Editors pick,State News,News,Delhi,Medical Education,Medical Admission News,Notifications
Another dengue death, 303 infected - TT Newsday
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Senators expand hookah ban
Santo Domingo.- The Dominican Senate has approved the first reading of a bill that aims to strengthen the prohibition of hookah use in public and private spaces. The initiative, presented by Senator Virgilio Cedano from La Altagracia, seeks to expand the scope of the ban to better protect the health and environment.
Santo Domingo.- The Dominican Senate has approved the first reading of a bill that aims to strengthen the prohibition of hookah use in public and private spaces. The initiative, presented by Senator Virgilio Cedano from La Altagracia, seeks to expand the scope of the ban to better protect the health and environment.
The proposed legislation modifies Article 3 of Law 16-19, which currently prohibits the use of hookahs in closed, covered places, vehicles, squares, parks, stadiums, and other areas where people gather for recreational or sporting purposes.
The bill highlights the risks associated with hookah smoke, which contains toxic substances such as carbon monoxide, heavy metals, and polycyclic aromatic hydrocarbons. These harmful emissions can have severe health consequences for vulnerable individuals, including older adults, pregnant women, and children who are often exposed to secondhand smoke in public places.
This effort follows a similar move by the mayor of Higüey in La Altagracia province, Karina Aristy, who banned the use of vapers, hookahs, and alcohol consumption in squares and parks in her municipality last June. The new bill aims to take a similar approach nationwide, promoting a safer and healthier environment for all citizens.
1 year 3 months ago
Health
PAHO/WHO | Pan American Health Organization
PAHO & USAID celebrate 30 years of collaboration and recommit efforts to ensure the health of all people in the Americas
PAHO & USAID celebrate 30 years of collaboration and recommit efforts to ensure the health of all people in the Americas
Oscar Reyes
17 Jul 2024
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Oscar Reyes
17 Jul 2024
1 year 3 months ago
Younger women are being diagnosed with breast cancer. But better screening practices can save more lives. - Atlanta Magazine
- Younger women are being diagnosed with breast cancer. But better screening practices can save more lives. Atlanta Magazine
- Health expert discusses breast cancer in younger women 9News.com KUSA
- When Should You Get Tested For Breast Cancer? Expert Shares Signs To Look Out For, Cost, And More Times Now
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Medical News, Health News Latest, Medical News Today - Medical Dialogues |
Add on topical 0.05% cyclosporine A to post-refractive surgery treatment can reduce inflammation dry eye disease symptoms: Study
Recent research showed that adding topical 0.05% CsA eye drops to conventional therapy greatly improved ocular surface stability after FS-LASIK. The new approach increased anti-inflammatory effects and hastened recovery; therefore, it looked promising as a new adjunct treatment for post-LASIK patients. A study on this was published in Eye and Contact Lens by Zhao Lu and co-authors.
FS-LASIK is one of the most common refractive surgeries aimed at correcting vision; however, instability on the ocular surface in the postoperative stage may reduce recovery and raise discomfort to patients. Topical antibiotics, corticosteroids, and artificial tears are conventionally applied medications for such patients. The current study evaluated whether the addition of 0.05% CsA eye drops would promote ocular healing and reduce inflammation after FS-LASIK.
Sixty-six patients (eyes) undergoing FS-LASIK were randomized into two groups. Group I (33 eyes) received conventional treatment: topical levofloxacin, fluorometholone, and artificial tears. Group II (33 eyes) received the same conventional treatment plus 0.05% CsA eye drops twice daily for three months. The key outcome measures were the Ocular Surface Disease Index, numerical rating scale, tear break-up time, Schirmer I test, corneal fluorescein staining, conjunctival lissamine green staining, corneal sensitivity, and corneal nerve morphology. The inflammatory levels of cytokines in tears were measured with the Luminex assay. Patients had to be assessed preoperatively and at 1 and 3 months postoperatively.
The key findings of the study were:
• The study revealed significant improvements in the CsA group compared to the conventional treatment group.
• OSDI Scores: Improved more significantly in the CsA group.
• TBUT: Longer tear break-up time in the CsA group.
• LG Staining: Lower lissamine green staining scores of the lower conjunctiva in the CsA group.
• Corneal Sensitivity: The CsA group recovered better.
• Corneal Nerve Fiber Total Branch Density: This was higher in the CsA group.
• Regarding inflammatory cytokines, INF-γ, IL-10, and IL-6 levels were much more abated in the CsA group than the other measured cytokines, indicating a stronger anti-inflammatory response.
• No significant differences were noted between the two arms with regard to NRS, SIt, and CFS scores.
Addition of 0.05% CsA eye drops to conventional medication in the post-FS-LASIK patient course obviously provided advantages for ocular surface stability maintenance. The measures of ocular health were more recovered, and the levels of inflammatory cytokines were lower in the CsA group. This strongly indicates that CsA eye drops enhance healing processes and are more potent in anti-inflammatory effects compared with the conventional medication alone.
Reference:
Zhao, L., Duan, H., Ma, B., Yang, T., Zhou, Y., Liu, Y., Chen, J., Chen, Y., & Qi, H. (2024). Impact of topical 0.05% cyclosporine A eye drops on post–femtosecond-assisted laser in situ keratomileusis ocular surface recovery: A randomized clinical trial. Eye & Contact Lens, 10.1097/ICL.0000000000001103. https://doi.org/10.1097/icl.0000000000001103
1 year 3 months ago
Ophthalmology,Ophthalmology News,Top Medical News,Latest Medical News
PAHO/WHO | Pan American Health Organization
Restringir el acceso a pesticidas y armas de fuego podría prevenir más de 120.000 muertes por suicidio en las Américas en una década
Restricting access to pesticides and firearms could prevent more than 120,000 suicide deaths in the Americas over a decade
Oscar Reyes
17 Jul 2024
Restricting access to pesticides and firearms could prevent more than 120,000 suicide deaths in the Americas over a decade
Oscar Reyes
17 Jul 2024
1 year 3 months ago
STAT+: Pharmalittle: We’re reading about Roche obesity drug data, fallout from the Menendez verdict, and more
Hello, everyone, and how are you today? We are doing just fine, thank you, especially since the middle of the week is upon us. After all, we have made it this far, so we are determined to hang on for another couple of days. And why not? The alternatives — at least those we can identify — are not so appetizing. And what better way to make the time fly than to keep busy.
So grab that cup of stimulation and get started. Our flavor today is coconut rum, for those tracking our habits. Now, though, the time has come to get busy. So please grab your own cup and dig in to the items of interest assembled below. We hope you have a wonderful day, and please do keep in touch. …
Roche reported positive early data from another of the obesity drug candidates that it picked up through an acquisition late last year, bolstering the case it could become a player in the competitive weight loss medicine field, STAT says. The company said its once-daily pill, called CT-996, led to a placebo-adjusted average weight loss of 6.1% after four weeks in patients with obesity who did not have diabetes. The reported figures came from an initial analysis of a Phase 1 trial. Roche said patients who took its experimental pill reported side effects similar to those on related drugs, namely mild to moderate gastrointestinal issues.
Around the world, patients suddenly cannot find enough of the insulins made by companies they have long relied on to do so, STAT explains. In the U.S., a Novo Nordisk decision to discontinue a product has left patients with fewer options. At the same time, patients are encountering shortages of other products from Novo and Eli Lilly. For months, pharmacies have been running out of vials of certain insulins that patients use to fill the pumps they wear on their body. Supply issues have also spread to the U.K. and South Africa. The reasons for the shortages are complex, but the diabetes community fears one factor driving the phenomenon: Insulin manufacturers may be less interested in making it.
1 year 3 months ago
Pharma, Pharmalot, pharmalittle, STAT+
JASL launches mobile healthcare service
JAMAICA AIDS Support for Life (JASL) has introduced the One Life, One Health project, a transformative effort aimed at enhancing health outcomes and raising awareness about epidemic-prone infectious diseases across Jamaica. This innovative project...
JAMAICA AIDS Support for Life (JASL) has introduced the One Life, One Health project, a transformative effort aimed at enhancing health outcomes and raising awareness about epidemic-prone infectious diseases across Jamaica. This innovative project...
1 year 3 months ago
Managing diabetes in the aftermath of a hurricane
HURRICANE BERYL has left many individuals facing numerous challenges, especially those managing chronic conditions like diabetes. Effective diabetes management becomes even more crucial in such times to prevent complications. Here are some...
HURRICANE BERYL has left many individuals facing numerous challenges, especially those managing chronic conditions like diabetes. Effective diabetes management becomes even more crucial in such times to prevent complications. Here are some...
1 year 3 months ago
Medical News, Health News Latest, Medical News Today - Medical Dialogues |
Antileukotrienes addition to H1-antihistamines may improve urticaria outcomes, reveals research
A recent study conducted by Daniel Rayner and team was found that the combination of a leukotriene receptor antagonist (LTRA), such as montelukast, with an H1-antihistamine might be considered in the treatment of urticaria, as there appears to be little to no raised likelihood of adverse effects. The findings of this study was published in The Journal of Allergy and Clinical Immunology.
The advantages and disadvantages of combining antileukotrienes with H1-antihistamines for the treatment of urticaria (hives, itch, and/or angioedema) remain unknown. As a result, in this study aimed to comprehensively compare the treatment results of antileukotrienes in conjunction with H1-antihistamines to H1-antihistamines alone for chronic and acute urticaria.
As part of updating the American Academy of Allergy, Asthma and Immunology and American College of Allergy, Asthma, and Immunology Joint Task Force on Practice Parameters urticaria guidelines, multiple databases (MEDLINE, CENTRAL, Embase, WPRIM, LILACS, IBECS, CBM, ICTRP, VIP, CNKI,FDA, Wanfang and EMA) were meticulously searched until December 18th, 2023. This included randomized controlled trials (RCTs) which evaluated antileukotrienes and H1-antihistamines versus H1-antihistamines.
Out of 34 RCTs that involved a total of 3,324 participants (both children and adults), the study found that the combination of a leukotriene receptor antagonist (LTRA) with H1-antihistamines probably provides a modest reduction in urticaria activity. The primary metric used was the 7-day Urticaria Activity Score, where the combination therapy showed a mean difference of -5.04 points when compared to just H1-antihistamines with a confidence interval (CI) ranging from -6.36 to -3.71.
Similar modest improvements were observed for itch and wheal severity, as well as the quality of life for patients. Also, the study found no significant difference in the overall adverse events between the two treatment groups, also with moderate certainty.
Overall, the finding suggest that the combination of LTRAs and H1-antihistamines would modestly improve urticaria symptoms with little to no increase in overall adverse events. While the combination appears to offer some improvement in urticaria symptoms, the benefits are modest. This extensive review underline the need for more comprehensive studies that measure symptomatic relief and also monitor for less obvious side effects.
Source:
Rayner, D. G., Liu, M., Chu, A. W. L., Chu, X., Guyatt, G. H., Oykhman, P., Cao, D. J., Moellman, J., Ben-Shoshan, M., Baker, D. R., Waserman, S., Lang, D., Sheikh, J., Mathur, S. K., Beck, L. A., Khan, D. A., Oliver, E. T., Asiniwasis, R. N., Cole, E. F., … Chu, D. K. (2024). Leukotriene receptor antagonists as add-on therapy to antihistamines for urticaria: a systematic review and meta-analysis of randomized clinical trials. In Journal of Allergy and Clinical Immunology. Elsevier BV. https://doi.org/10.1016/j.jaci.2024.05.026
1 year 3 months ago
Dermatology,Dermatology News,Top Medical News
VIDEO: Reduced chemotherapy dose decreases toxicity in acute myeloid leukemia
In this video, Eric Winer, MD, discusses the results of research into acute myeloid leukemia presented at ASCO Annual Meeting.Winer, a medical oncologist at Dana-Farber Cancer Institute, highlighted a study that examined a new therapy regimen of azacitidine and venetoclax (Venclexta, AbbVie) in patients with acute myeloid leukemia, using only 7 days of each.“By decreasing the dose of chemothera
py, one of the things that this will allow us to do is sort of decrease the toxicity, decrease the myelosuppression, and further what it will allow is less infections in the long run, especially
1 year 3 months ago
Health expert discusses breast cancer in younger women - 9News.com KUSA
- Health expert discusses breast cancer in younger women 9News.com KUSA
- When Should You Get Tested For Breast Cancer? Expert Shares Signs To Look Out For, Cost, And More Times Now
- Breast cancer is preventable Jamaica Gleaner
- Demystifying breast cancer: A geneticist's take on early detection and new hope The Times of India
1 year 3 months ago
The surprising health benefits of orgasms: From boosting your immune system to unblocking your nose
Orgasms last typically between 13 and 51 seconds in a woman but a mere six seconds in a man - but they unlock much more than the obvious benefits of sexual pleasure.
Orgasms last typically between 13 and 51 seconds in a woman but a mere six seconds in a man - but they unlock much more than the obvious benefits of sexual pleasure.
1 year 3 months ago
Proper food storage during and after a disaster
It is important to have foods stored that can be stored and consumed safely for up to 3 days post-disaster and also foods that are suitable to be stored for up to 2 weeks or more post-disaster
View the full post Proper food storage during and after a disaster on NOW Grenada.
1 year 3 months ago
Health, PRESS RELEASE, disaster, food storage, gfnc, grenada food and nutrition council
Medical News, Health News Latest, Medical News Today - Medical Dialogues |
Gujarat: 6 children die from suspected Chandipura virus since July 10
Since July 10, six children have died from a suspected outbreak of the Chandipura virus in Gujarat, with the total number of cases rising to 12, according to state Health Minister Rushikesh Patel. The virus, which causes fever, flu-like symptoms, and acute encephalitis, is transmitted by vectors such as mosquitoes, ticks, and sand flies.
Samples from the 12 patients have been sent to Pune's National Institute of Virology (NIV) for confirmation.Among the cases, four were from Sabarkantha district, three from Aravalli, one from Mahisagar, and one from Kheda in Gujarat, with additional cases from Rajasthan and Madhya Pradesh. Five of the six deaths occurred at the civil hospital where paediatricians initially suspected the virus and sent samples to the NIV for testing.
1 year 3 months ago
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Medical News, Health News Latest, Medical News Today - Medical Dialogues |
Health Bulletin 16/ July/ 2024
Here are the top health stories for the day:
Porsche crash case: Medical council seeks official documents to act against forensic headNo action has been taken so far against the head of the Forensic Medicine department and Chief Medical Officer (CMO) of Pune-based Sassoon General Hospital by the Maharashtra Medical Council (MMC) in connection with the alleged manipulation of the blood sample of the teen driver involved in the May 19 Porsche car crash case.Medical Dialogues on May 28 reported that the MMC issued notices to both doctors after taking suo moto cognizance of the matter. In the notice, the council had demanded a written explanation within seven days from the two doctors providing details for their alleged negligence following which actions were said to be taken accordingly.For more information click on the link below:Porsche Crash Case: Need Official Documents To Initiate Action Against Forensic Head, CMO Of Sassoon Hospital, Says Medical CouncilChandipura virus: six children die in Gujarat since July 10Since July 10, six children have died from a suspected outbreak of the Chandipura virus in Gujarat, with the total number of cases rising to 12, according to state Health Minister Rushikesh Patel. The virus, which causes fever, flu-like symptoms, and acute encephalitis, is transmitted by vectors such as mosquitoes, ticks, and sand flies. Samples from the 12 patients have been sent to Pune's National Institute of Virology (NIV) for confirmation.Among the cases, four were from Sabarkantha district, three from Aravalli, one from Mahisagar, and one from Kheda in Gujarat, with additional cases from Rajasthan and Madhya Pradesh. Five of the six deaths occurred at the civil hospital where paediatricians initially suspected the virus and sent samples to the NIV for testing.Supreme Court issues notice on pleas filed by NTA in NEET UG 2024 caseConsidering a batch of pleas filed by the National Testing Agency (NTA) seeking transfer of cases pending against it in various high courts on the NEET 2024 row to the top court to avoid multiplicity of litigations, the Supreme Court has issued notices to the private parties in the matter.The tagged petitions will now be heard together with the main batch on July 18th 2024, Thursday.
For more information click on the link below:
NEET 2024: Supreme Court Issues Notices On NTA's Pleas To Transfer HC Cases To SCNMC mandates tobacco cessation centers in all medical collegesAiming to reduce the practice of tobacco usage in the country, the National Medical Commission (NMC) has asked all the medical college hospitals across the country to set up "Tobacco Cessation Centres"The Commission has suggested setting up such centres as a special clinic operated by the Department of Psychiatry or other departments. Further, NMC has directed establishing such centres in the rural and urban health centres that the college has adopted for training.For more information click on the link below:All Medical Colleges To Have Tobacco Cessation Centres: NMC
1 year 3 months ago
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Medical News, Health News Latest, Medical News Today - Medical Dialogues |
NEET 2024: Supreme Court issues notices on NTA's pleas to transfer HC cases to SC
New Delhi: Considering a batch of pleas filed by the National Testing Agency (NTA) seeking transfer of cases pending against it in various high courts on the NEET 2024 row to the top court to avoid multiplicity of litigations, the Supreme Court has issued notices to the private parties in the matter.
The tagged petitions will now be heard together with the main batch on July 18th 2024, Thursday.
The NTA had submitted that several pleas seeking cancellation of the National Eligibility-and-Entrance Test–Under Graduate (NEET-UG), 2024 over allegations of question paper leak and other malpractices are pending in several high courts.
Earlier, a vacation bench had on June 14 issued notices to the parties on similar pleas by the NTA.
According to PTI report, Advocate Vardhaman Kaushik, appearing for the NTA, urged a bench comprising Chief Justice D Y Chandrachud and Justice JB Pardiwala on Monday that the fresh batch of pleas be also transferred to the apex court as they pertained to the same issue.
“Issue notice and tag,” the bench said, adding that these pleas will also be taken up together with the pending petitions on the NEET-UG row on July 18.
The NTA also urged the bench to stay the pending proceedings in various high courts. The CJI said once the Supreme Court has issued notices on transfer petitions, the high courts, procedurally, do not proceed with the hearing.
The bench asked the NTA counsel to bring this to the notice of the high courts concerned. The top court was hearing as many as five petitions seeking transfer of cases from various high courts to it, reports PTI.
Earlier, the bench had on July 11 adjourned till July 18 the hearing on a clutch of other petitions seeking cancellation, re-test and probe into alleged malpractices in the conduct of NEET-UG, 2024 as the responses of the Centre and the NTA were not received by some parties.
Medical Dialogues had earlier reported that while considering the pleas seeking NEET UG retest, the Supreme Court on Monday i.e. on July 11 had noted that undoubtedly the NEET paper leak took place and the sanctity of the exam was compromised.
"The fact that there was a leakage of question papers cannot be disputed. Now, what is the consequence of that leak would depend on the nature of that leak," the Chief Justice had observed on Monday.
Further, observing that cancelling the entire exam might affect 24 lakh students who appeared in the exam, the Apex Court bench comprising the CJI had asked the National Testing Agency and the Union Government to identify the red flags and to find out whether the paper leak took place at a systemic level and if the beneficiaries or the likely beneficiaries of the paper leak could be identified.
In this regard, the Apex Court bench had also hinted at the possibility of holding a 'limited retest' for those who were beneficiaries of the paper leak. Further, the Apex Court also sought to know from the NTA and the Govt about the actions taken to identify the beneficiaries of the paper leak.
On Monday, the Court had asked the Union Government and NTA to respond to some specific queries by Wednesday. NTA had been asked to clarify when the leak took place, the manner in which the question papers were disseminated, time duration between the leak and the exam may on 5th May etc. The Court had also sought to know from the Agency about the steps taken to identify the beneficiaries of the leak, the steps taken by NTA to identify the centres/cities where the leaks took place and the modalities followed to identify the beneficiaries ,and also how the leak was disseminated.
Apart from this, the Apex Court bench had also asked the CBI to file a status report by Wednesday. Further, the court had advised the Government to set up a multi-disciplinary committee to ensure measures to put a stop to any paper leak instances in the future. In case, such a committee has already been created, the Apex Court bench sought to know the details.
Opposing the pleas seeking a re-NEET, the Central Government in its affidavit submitted on Wednesday stated that there was neither any indication of "mass malpractice" nor a localised set of candidates being benefitted leading to abnormal scores in NEET-UG 2024.
Citing the data analytics of results of NEET-UG 2024 conducted by IIT Madras and the findings given by the experts, the Centre argued that the marks distribution followed the bell-shaped curve that is witnessed in any large-scale examination indicating no abnormality.
Centre highlighted the key findings from the IIT-Madras to assert that the integrity of the NEET-UG 2024 exam process was uncompromised. The affidavit stated that the department of Higher Education requested IIT-Madras to conduct a detailed data analysis of NEET-UG 2024 results to identify any suspected cases of malpractice and to evaluate the spread of top-performing candidates.
Accordingly, IIT-Madras analysed the top 140000 ranks for both the year 2023 and 2024 to detect any abnormalities. As per the Centre, the analysis aimed to determine if any centres or cities showed signs of undue advantage to a large number of students due to malpractices. However, the report dated July 10 revealed that there were no indications of mass malpractice of any localised set of candidates benefitting unduly. As per the report, the distribution of high marks was consistent across various cities and centres.
"The analysis shows that there is neither any indication of mass malpractice nor a localised set of candidates being benefitted leading to abnormal scores. There is an overall increase in the marks obtained by students, specifically in the range of 550 to 720 (total score). This increase is seen across the cities and centres. This is attributed to a 25% reduction in syllabus. In addition, candidates obtaining such high marks are spread across multiple cities and multiple centres, indicating a very low likelihood of malpractice," centre stated in its affidavit.
Centre stated that the IIT-Madras report, endorsed by its director, maintained that the analysis of the 2023 and 2024 NEET-UG data could lead to an inference "with confidence that there has been no abnormality, which has affected the results".
Meanwhile, the National Testing Agency (NTA), which conducts the prestigious test, also filed a separate additional affidavit in the top court and said it has carried out an analysis of distribution of marks in NEET-UG 2024 at the national, state, city and centre level.
Supporting the Centre's stand on the matter, NTA said that so far only 47 candidates (17 in Patna and 30 in Godhra) have been suspected of involvement in paper leaks and irregularities relating to the OMR sheets. NTA also affirmed that it would rely on the findings of the IIT-Madras report during the proceedings in this matter.
"This analysis indicates that the distribution of marks is quite normal and there seems to be no extraneous factor, which would influence the distribution of marks," the NTA said in its affidavit, which also gave details about the system in place for ensuring confidential printing of question papers, its transportation and distribution.
Further, the Agency also addressed the video showing a purported leak of the NEET-UG exam paper on Telegram on May 4 and declared it to be fake. "Discussions within the Telegram channel indicate that members identified the video as fake. The timestamp was manipulated to create a false impression of an early leak. Comments and discussions on social media further corroborate that the images in the video were edited, and the date was intentionally modified to suggest a May 4 leak. The screenshots highlight the fabricated nature of the claims made in the video," the NTA affidavit stated.
Meanwhile, the Central Government emphasised in its affidavit that the Ministry of Health and Family Welfare oversees the counselling process for UG seats, which will commence in the third week of July 2024.
It added that if any candidates are found guilty of malpractice, their candidatures will be cancelled during and after then counseling process and the timing of such cancellations will although affect the seat allocation, the vacant seats could still be offered in the subsequent rounds if necessary.
The Centre informed that to strengthen the exam process it has established a high-level committee of experts, headed by K Radhakrishnan, former Chairman of ISRO and Chairman, the Board of Governors, IIT Kanpur. It added that this panel will make recommendations regarding the possible measures that could enhance the transparency and robustness in future examinations conducted by the NTA.
"The committee consists of experts with extensive experience across various fields, demonstrating the necessary domain expertise required for undertaking such an exercise," Centre stated in the affidavit, adding that the committee has also co-opted two more members-professors from IIT-Kanpur.
Underscoring the Government's legislative efforts to ensure integrity in the examination, the Centre stated in the affidavit that the Parliament enacted the Public Examination (Prevention of Unfait Means) Act, 2024, which came into effect on June 21, 2024. It added that this Act provides for stringent punishments for offences related to unfair means in the public examinations, ensuring a robust framework to deter malpractices.
Meanwhile, NTA submitted before the Court about the ongoing consideration regarding the plans of replacing the mode of conduct of the examination from pen and paper mode (OMR-based) to computer-based test (CBT) mode.
"Further options are also being explored simultaneously so as to perfectly obviate the occurrence of any malpractices that may affect the sanctity and integrity of the exam. In respect to modalities to be followed for the identification of beneficiaries, it is submitted that the investigation by the CBI is already ongoing and the NTA would make inquiries from the city coordinators and other exam functionaries by seeking further information and take appropriate action," it added.
The agency further mentioned that based on the progress of the investigations, as and when the names of suspicious candidates becomes available, it can also initiate an administrative process for debarring such candidates. It also pointed out that not 67 but only 61 candidates scored 720 marks because six of them were given grace marks to compensate for their loss of time. However, in the retest, those six candidates could not score the full marks.
Also Read:NEET 2024 Hearing in Supreme Court deferred to July 18
1 year 3 months ago
State News,News,Delhi,Medical Education,Medical Admission News,Latest Medical Education News,Notifications,Latest Education News
Medical News, Health News Latest, Medical News Today - Medical Dialogues |
JAK Inhibitors Linked to Lower AMD Risk in Autoimmune Patients, suggests JAMA study
Research has shown that the rate of Age-related macular degeneration (AMD) in patients with autoimmune disorders treated with Janus kinase (JAK) inhibitors was significantly lower than in those receiving other immune-modulating drugs. JAK inhibitors may represent a new avenue of treatment against the very common eye disease. The findings of the study were published in JAMA Ophthalmology.
Age-related Macular Degeneration presents one of the surfacing enormous reasons for blindness and generally occurs in older individuals. At this point, there is no treatment for the condition with regard to the AMD dry form. JAK inhibitors were licensed by the FDA in 2011, but have been primarily used in treating cancer and autoimmune disorders. There is some new evidence from recent studies showing that inflammation and immunological pathways could be associated with the development of AMD.
A study led by Dr. Nizar Smaoui of AbbVie assessed the insurance-claimed data for probes with respect to the incidence of AMD in patients with autoimmune disorders exposed to JAK inhibitors. This research used two large administrative databases, MarketScan and Optum, from 2010-2022.
Overall, two cohorts comprising more than 29,000 subjects were included from two databases. Each JAK inhibitor patient was matched on age, sex, race/ethnicity, geography, and autoimmune diagnosis, among other factors, to a patient treated with another type of immune-modulating drug. The demographic characteristics of the cohorts were matched for the MarketScan cohort with 18,252 patients, % women, and for the Optum cohort, %. Moreover, more than % of the study subjects in both cohorts were 55 or older in age. The largest number among them was for rheumatoid arthritis treatment, with the others including psoriasis, psoriatic arthritis, and ulcerative colitis.
The key findings from the study are as follows:
• It was shown that the patients who used JAK inhibitors had a significantly lower rate of AMD compared to the ones using other drugs.
• With an aIRR of 0.51 and a 95% CI of 0.19 to 0.90, this represents a roughly 50% reduction in the MarketScan cohort.
• This was reflected in an adjusted incidence rate ratio of 0.27, with a 95% confidence interval of 0.03-0.74—nearly a 75 percent reduction—in the Optum cohort.
• The absolute risk reductions were 0.36% in the MarketScan cohort and 0.32% in the Optum cohort.
• AMD was a rare event in both cohorts. Among more than 18,000 patients in the MarketScan group, 53 new cases developed (10 in JAK inhibitor users and 43 in non-users).
• In the Optum group, 24 cases were diagnosed (three in users and 21 in non-users).
These findings permit the inference that a strong association might exist between JAK inhibitors and a reduced AMD incidence. remains there, the study could support the hypothesis that inflammation and immune pathways play a role in the pathogenesis or progression of AMD, he said. However, he then added that further clinical studies are required to confirm these results.
Dr. Sumit Sharma of the Cleveland Clinic, who was not involved in the study, found the results promising but said that the small population size and retrospective nature of the study necessarily limit the implications of such studies. He required well-designed clinical trials to explore the potential for JAK inhibitors to treat AMD, especially given both the high risk of side effects and FDA warnings about cardiovascular risks associated with these drugs.
The limitations of this study are that it was retrospective, nonrandomized, and observational. It did not educate regarding the severity of autoimmune diseases, distinguish between "wet" and "dry" forms of AMD, different JAK inhibitor products, or their indications. In addition, the data could not confirm that all patients received equivalent eye exams or that such exams were correctly coded.
Given that JAK inhibitors are associated with a risk of AMD among patients with autoimmune disorders, they could not be recommended for the treatment of AMD based on this research. Instead, solid clinical trials with less risk of side effects should be conducted in this respect.
Reference:
Hallak JA, Abbasi A, Goldberg RA, Modi Y, Zhao C, Jing Y, Chen N, Mercer D, Sahu S, Alobaidi A, López FJ, Luhrs K, Waring JF, den Hollander AI, Smaoui N. Janus Kinase Inhibitor Therapy and Risk of Age-Related Macular Degeneration in Autoimmune Disease. JAMA Ophthalmol. 2024 Jul 11. doi: 10.1001/jamaophthalmol.2024.2376. Epub ahead of print. PMID: 38990568. https://pubmed.ncbi.nlm.nih.gov/38990568/
1 year 3 months ago
Ophthalmology,Ophthalmology News,Top Medical News,Latest Medical News