Editor-in-Chief eMediNexus – Dr KK Aggarwal
10th May 2019
NLEM drug shortages: There should be a centralized system for reporting drug shortages

Dr KK Aggarwal, Padma Shri Awardee

The National List of Essential Medicines (NLEM) contains drugs that are considered to be most effective and safe to meet the most important needs in a health system. The drugs are selected on the basis of the disease burden in the country including what is of immediate concern. Medicines in NLEM are listed with reference to all levels of healthcare: Primary (P), Secondary (S) and Tertiary (T).

The list was last updated in 2015, which now contains a total of 376 medicines. In 2016, cardiac stents were added to the list.

Shortages of drugs, especially those in the NLEM, therefore are a cause of concern. ....read more

How do we define dreams?

Dr KK Aggarwal, Padma Shri Awardee

Mandukya Upanishad talks about four types of sleep and four types of consciousness.

The first is the awake state, where one interacts with all the senses. Second is the dream state of consciousness, which is REM sleep and sympathetic in nature. Deep non-REM sleep is the third state where the body is resting in a parasympathetic state.

The fourth is restful alertness or turya state of consciousness, where one is connected to the soul consciousness in an extreme degree of parasympathetic state......read more

Video Of The Day : Science of Mantra Sound
Practice Updates

Nursing staff are vital for making progress towards universal health

The Pan American Health Organization (PAHO) called on countries to invest in nurses to improve their availability, distribution and roles in order to advance towards universal health at the launch of the Strategic Directions for Nursing in the Region of the Americas..... read more

Pregnancy-related deaths can occur up to a year after delivery

Pregnancy-related deaths can occur up to a year after a woman gives birth – but whenever they occur, most of these deaths are preventable, according to a new CDC Vital Signs report. Of the 700 pregnancy-related deaths that happen each year in the United States, nearly 31% happen during pregnancy,.... read more

WHO warns over spread of measles in Europe

Measles outbreaks will continue to spread in Europe without a robust response, the World Health Organization (WHO) warned as it urged countries in the region to vaccinate vulnerable populations, reported CNN. There were 34,300 cases recorded in the region in the first two months of 2019,.... read more

Emergency treatment guidelines improve survival of people with severe head injury

Findings from the Excellence in Prehospital Injury Care (EPIC) Study involving more than 21,000 people published May 8, 2019 in JAMA Surgery show that training emergency medical services (EMS) agencies to implement prehospital guidelines for traumatic brain injury (TBI) may help improve survival ....read more

Avoid grapefruit juice with QT-prolonging medications

A study published May 8, 2019 in HeartRhythm has confirmed that grapefruit juice prolongs the QT interval and hence should be avoided by patients on QT-prolonging medications or who have long QT syndrome ....read more

IDEJ Update

Indian Diabetes Educator Journal (IDEJ), 1st of its kind in India aims to keep the members of diabetes care team abreast with concepts of DSME (Diabetes self-management education) and DSMS (Diabetes self-management support). IDEJ has set a new benchmark in educating the diabetes educators about evolving the concept of DSME- reaching to more than 25000 through Digital and Print Medium..... read more

Medical Voice

Perfusion imaging may guide thrombolysis up to 9 hours after onset of stroke: EXTEND

The time to initiate intravenous thrombolysis for acute ischemic stroke is generally limited to within 4.5 hours after the onset of symptoms. This treatment window may be extended in patients who are shown to have ischemic but not yet infarcted brain tissue on imaging.

The EXTEND trial is a multicenter, randomized, placebo-controlled trial involving patients with ischemic stroke who had hypoperfused but salvageable regions of brain detected on automated perfusion imaging .... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
1. Femur neck
2. Scaphoid
3. Talus
4. Calcaneum
Lifestyle Updates
Inspirational Story 1: A little Monkey and Man
Inspirational Story 2: Two Frogs in the Milk
Breastfeeding for up to first six months is a gateway to good health for the child: HCFI
Colostrum or the first milk is akin to “liquid gold” and boosts immunity

New Delhi, 9th May 2019: Feeding breastmilk to premature babies during the first month of life appears to stimulate more robust brain growth, as per a recent study. It indicated that cerebral white matter showed significantly greater levels of a molecule similar to glucose for babies fed breast milk, compared with babies who were fed formula.(1) Research also suggests that babies who are exclusively breastfed for at least two months stand a lesser chance of Sudden Infant Death Syndrome (SIDS).

Only 54.9 % children under the age of six months have been exclusively breastfed, according to the latest National Health and Family Survey (NHFS-4).

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