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Editor-in-Chief eMediNexus – Dr KK Aggarwal
 
20th November 2018
World COPD Day: Indoor air pollution is a major risk factor for COPD

Dr KK Aggarwal & Advocate Ira Gupta

COPD or chronic obstructive pulmonary disease is an often overlooked but serious global health threat. It is often underdiagnosed in India because spirometry, which can confirm the presence of COPD, is often not conducted during preliminary examination.

COPD is a gradually progressive disease characterized by airflow limitation. Cigarette smoking is the major etiologic factor; however, exposure to other chemical irritants also plays a role in the pathogenesis...read more

Top News

AAP issues statement to guide pediatricians in awareness and respect for global health issues

The American Academy of Pediatrics (AAP) has published a new policy statement, “The Role of Pediatricians in Global Health,” describing barriers such as poor control of infectious diseases, malnutrition, health care worker shortages, armed conflict, injuries and environmental health issues... read more

10 Tips for staying healthy during wildfires (American Thoracic Society)

1. Stay indoors with windows and doors closed. 2. Reduce physical activity. 3. Reduce other sources of indoor air pollution such as smoking cigarettes, using a wood-burning stove or frying meat. Do not vacuum anywhere in the house. 4. Use central air conditioner or filters: A home's heater set to the fan mode may be able to filter out some of the particles by "re-circulating" the indoor air through the filter. .. read more

Morning Medtalks

Morning MEDtalks with Dr KK Aggarwal 20th November 2018

Noise pollution is a rising problem in hospitals: In an editorial published Nov. 18, 2018 in the BMJ, researchers from King's College London and the University of the Arts London argue that it is a worsening problem, with levels regularly exceeding international recommendations. Dr Andreas Xyrichis, lead author said, “Even in intensive care units, which cater for the most vulnerable patients, noise levels over 100dB have been measured, the equivalent of loud music through headphones.”... read more

Practice Updates

Prednisone reduces chances of TB-associated IRIS in patients with HIV and TB coinfection

Prednisone treatment (at a dose of 40 mg per day for 14 days, then 20 mg per day for 14 days) during the first 4 weeks after the initiation of ART for HIV infection resulted in a lower incidence of paradoxical tuberculosis (TB)-associated IRIS than placebo, without... read more


Vagus nerve stimulation + upper limb rehabilitation improves arm function post-stroke

Vagus nerve stimulation paired with rehabilitation was acceptably safe and feasible in patients with upper limb motor deficit after chronic ischemic stroke in a blinded randomized pilot study published in the journal Stroke. ... read more


Study recommends surveillance for liver cancer in older patients with hepatitis B

Surveillance for hepatocellular carcinoma (HCC) should continue in patients older than 50 years, even after they have undergone 5 years of therapy for chronic hepatitis B, according to an analysis of the PAGE-B cohort presented Nov. 12, 2018 at The Liver Meeting 2018: .. read more


Increasing tumor stage is a risk factor for local regrowth of rectal cancer after watch and wait management

A study evaluating factors affecting local regrowth after watch and wait for patients with rectal cancer and a clinical complete response following chemoradiotherapy in rectal cancer found some evidence that increasing clinical T (cT) stage increases the risk of local regrowth ... read more


Modulation of gut microbiome may alleviate immunotherapy-associated colitis

Researchers have reported the first case series of immune checkpoint inhibitors-associated colitis successfully treated with fecal microbiota transplantation, with reconstitution of the gut microbiome and a relative increase in the proportion of regulatory T-cells within the ... read more

ESICON 2018 Updates

Craniopharyngioma: Genetics and management perspective - Dr Carles Gaston-Massuet

  • Craniopharyngiomas (CPs) are tumors that arise from the pituitary gland. They are of two types – Adamantinomatous (aCPs), and papillary (pCPs).
  • Genotyping tumors to identify therapeutic treatments is important.... read more

Debate: Bariatric Surgery-Are we loosing battle to surgeons?

  • There should be no battle between bariatric surgeons and Endocrinologists. We should together battle the chronic recalcitrant disease-morbid obesity and type 2 diabetes. .... read more

Medical Nutrition Therapy for Diabetes, Dr Vineet Kumar Surana

  • Medical nutrition therapy (MNT) is a therapeutic approach to treating medical conditions and their associated symptoms through the use of a specifically tailored diet devised and monitored by healthcare professionals.
  • Evidence shows adding medical nutrition therapy to be significant in preventing pre-diabetes and managing diagnosed diabetes .... read more

Diabetes insipidus: Challenges in diagnosis, Dr Joseph G Verbalis, USA

  • Diabetes insipidus is a syndrome characterized by hypotonic polyuria: 24-h urine volume>50 ml/Kg under conditions of ad lib intake; urine S.G.<1.010; absence of solute diuresis (dipstick negative for glucose).
  • Failure to meet any of the criteria given above renders further evaluation unnecessary... read more

Immune Check Point Inhibitors: Endocrine Consequences - Dr Anil Bhansali, Chandigarh

  • Evolution of immune check point inhibitors (ICPi) is a breakthrough in the management of metastatic carcinomas.
  • ICPi include CTLA-4 inhibitor ipilimumab; PD-1 inhibitors; and PDL-1 inhibitors. .. read more
eMedi Humor
Medicolegal Corner
eMedi Quiz
1. Intravenous fluids.
2. Oral rehydration therapy.
3. Intravenous fluid initially for 4 hours followed by oral fluids.
4. Plain water ad libitum.
Lifestyle Updates
 
Inspirational Story 1: Benefits of Struggling
Inspirational Story 2: The Father and His Sons
Retinopathy of prematurity can cause lifelong blindness
About 1 lakh children in India are affected by this condition
 
New Delhi, 19 November 2018: About 30,000 Indian children go blind every year due to retina-related diseases, commonly seen in premature children. Statistics indicate that as many as 1 lakh children are afflicted by Retinopathy of Prematurity (ROP) in India. Lack of screening facilities and poor referrals are two of the main challenges faced by the country when it comes to tackling the disease.

ROP is a dynamic, time-bound disease that is not present at birth. The condition afflicts the eyes of pre-term babies that have typically received intensive neonatal...

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