Editor-in-Chief eMediNexus – Dr KK Aggarwal
10th February 2019
Do patients stop dying when doctors go on strike? Quality comes at a price

Dr KK Aggarwal, Padma Shri Awardee

Last week I read a Lancet study, which said that 21 lakh people in low and middle-income nations die within 30 days post- surgery. Around 3.13 crore surgical procedures are performed worldwide each year. The number of post-operative deaths globally is 42 lakhs and 7.7% of these deaths occur within 30 days of surgery.

This is a surprising amount of mortality, which occurs following elective surgery.

Post-surgery deaths are greater in number than what is attributed to any other cause of death globally, except ischemic heart disease and stroke. At present, around 4.8 billion people worldwide lack timely access to safe and affordable surgery. There is an annual unmet need for 143 million procedures in low- and middle-income countries. It is projected that an expansion of surgical services to address unmet need would increase total global deaths to 61 lakh annually....read more

Towards antibiotic stewardship: Reducing antibiotic duration
7 days non-inferior to 14 days of antibiotic therapy for uncomplicated Gram-negative bacteremia

Dr KK Aggarwal, Padma Shri Awardee

In patients hospitalized with uncomplicated Gram-negative bacteremia, an antibiotic course of 7 days was non-inferior to 14 days, according to a randomized, multicenter trial published in Clinical Infectious Diseases, an official journal of the Infectious Diseases Society of America (IDSA).

The study conducted in three centers in Israel and Italy examined 604 hospitalized patients with uncomplicated i.e. afebrile and hemodynamically stable for at least 48 hours, gram-negative bacteremia (mostly Enterobacteriaceae). The patients were randomized to antibiotic treatment for 7 days and 14 days....read more

Practice Updates

Today is World Pulses Day

Following the success of the International Year of Pulses (IYP) campaign in 2016, the United Nations declared 10th February as the World Pulses Day.
It is a new opportunity to increase public awareness of the nutritional benefits of eating pulses. Pulses are more than just nutritious seeds;... read more

FAO: 10 reasons why you should opt for pulses

1. Pulses are naturally low in fat and contain no cholesterol, which can contribute to reducing the risk of cardiovascular diseases.
2. Pulses are also low in sodium. Sodium chloride (or salt) is a contributor to hypertension and can be avoided by consuming foods with lower sodium levels such as pulses. ... read more

8 new medical devices notified as drugs

Vide a gazette notification dated 8th February, 2019, the Ministry of Health and Family Welfare has specified 8 devices intended for use in human beings as “drugs” with effect from the 1st day of April, 2020. The devices are:.... read more

Measles in Europe: record number of both sick and immunized

More children in the WHO European Region are being vaccinated against measles than ever before; but progress has been uneven between and within countries, leaving increasing clusters of susceptible individuals unprotected, and resulting in a record number of people affected by the virus in 2018. In light of measles data for the year 2018 released today,....read more

Health Ministry conducts 8th round of National Deworming Day campaign

The Ministry of Health and Family Welfare (MoHFW) conducted its eighth round of National Deworming Day (NDD) on Feb. 8, 2019. This key program initiative is implemented with an objective to reduce the prevalence of Soil Transmitted Helminths (STH) or parasitic intestinal worms so that they are no longer a public health problem.... read more

High-risk sexually transmitted HPV virus associated with increased risk of heart disease

Infection with high-risk strains of the human papillomavirus (HPV), which have been linked to cancer, might increase the risk of heart and blood vessel or cardiovascular disease, especially among women with obesity or other cardiovascular risk factors, according to new research published February 7, 2019 in Circulation Research. In this study... read more

Medical Voice

Complex Type 2 Diabetes or Type 2 diabetes and cardiovascular disease

Number of patients with diabetes is rising in India and the number of people with prediabetes is rising even more rapidly. In future we will be seeing more and more diabetic patients with heart attacks.
People with diabetes already have established blockages and are among the highest-risk patients for having a heart attack.... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
1. It is the proportion (fraction) of unchanged drug that reaches the systemic circulation.
2. Bioavailability of an orally administered drug can be calculated by comparing the Area under Curve (0- ) after oral and intravenous (IV) administration.
3. Low oral bioavailability always and necessarily mean poor absorption.
4. Bioavailability can be determined from plasma concentration or urinary excretion data.
Lifestyle Updates
Inspirational Story 1: Emotional management
Inspirational Story 2:Temper Control
Wearing helmets and seat belts are harm reduction strategies
About 88% reduction in head and brain injury can be achieved through this
New Delhi, 9th February 2019: India lost 1,47,913 people to road crashes in 2017, of which 48,764 were on two-wheelers, 26,869 were car crash victims, 20,457 were pedestrian deaths, and 3,559 were cyclists. This roughly amounts to an average of over 400 deaths every day on Indian roads. As India observes the Road Safety Week till the 10th February 2019, there is a need to revisit the practice of wearing helmets and make it mandatory.

Statistics indicate that preventing head injuries by wearing a bicycle helmet reduces the risk of brain injury. A 2009 systematic review of five case-control studies found that helmets

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