Editor-in-Chief eMediNexus – Dr KK Aggarwal
10th July 2019

Courts should make guidelines and leave it to the medical boards and not handle the cases themselves?

Dr KK Aggarwal & Advocate Ira Gupta

Now and then women approach the courts for termination for pregnancy on medical grounds. Instead of approaching the courts, the government should come out with clear cut guidelines, based on which the medical board can take a decision in such cases.

Like in MCI ethics regulation 6.7 "...the question of withdrawing supporting devices to sustain cardio-pulmonary function even after brain death, shall be decided only by a team of doctors and not merely by the treating physician alone..."

The following two cases illustrate this....read more

Diagnostic testing of concurrent suspected dengue or Zika in symptomatic patients

Dr KK Aggarwal, Recipient of Padma Shri

The United States Centers for Disease Control and Prevention (CDC) has issued updated guidance for diagnostic evaluation of Zika and dengue virus infection in symptomatic patients. According to the guideline, nucleic acid amplification tests (NAATs) are the preferred method of diagnosis for patients with suspected dengue or Zika virus disease.

The key recommendations are:

  • For symptomatic nonpregnant persons, dengue and Zika virus NAATs should be done on serum collected ≤7 days after symptom onset. A positive NAAT in symptomatic persons with possible exposure to dengue and Zika virus typically provides evidence of acute infection, and no antibody testing is indicated. ...read more
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Practice Updates

After Bihar, Assam on Alert for Japanese Encephalitis Outbreak

GUWAHATI: Following nearly 170 deaths from Acute Encephalitis Syndrome in just two months in Bihar, Assam is now on alert for a Japanese Encephalitis outbreak. At least 57 people have died in the last three months from Japanese Encephalitis and 234 positive cases have been reported in the state in this fresh outbreak.... read more

Giving Up Alcohol Boosts Mental Health in Women

For women, quitting drinking may be associated with a significant improvement in mental health, suggested a study published online in the Canadian Medical Association Journal.

The findings come from a comparison of two population-based cohorts, which together comprised more than 40,000 people. In both cohorts, lifetime abstainers reported the highest levels of mental well-being at baseline, but women who started out as moderate drinkers and quit during the 4-year study period... read more

Heart Defect-Cancer Link Present Already in Youth

The association between congenital heart disease (CHD) and cancer is observed in young people too, and it's not just from radiation exposure, researchers found. People with CHD included in a Swedish registry showed more than double the risk of cancer compared with healthy controls when followed up to age 41 (1.9% vs 0.9%, HR 2.24, 95% CI 2.01-2.48), according to a report published online in JAMA Network Open. ... read more

Varied Bedtimes Tied to Obesity, Diabetes, High Blood Pressure

People who don't consistently get the same amount of sleep or go to bed at the same time each night may be more likely to develop health problems like obesity, high blood pressure, high cholesterol and diabetes, a recent study suggests. The study found that compared to people who had less than one hour of variation in sleep duration, people whose sleep duration varied by 60 to 90 minutes were 27% more likely to have metabolic syndrome.... read more

Restrictive approach to blood cell transfusions safe for heart surgery patients

In a recent clinical trial of higher risk patients undergoing cardiopulmonary bypass surgery, a restrictive approach to blood cell transfusions resulted in fewer transfusions without putting patients at increased risk of acute kidney injury. The results were consistent in patients with and without chronic kidney disease before surgery.... read more

Medical Voice

Budget Highlights: Income-tax (Part 1)

1.The threshold limit for reduced tax rate of 25% in case of domestic companies has been increased from Rs. 250 crores to Rs. 400 crores. Thus, a domestic company whose total turnover or the gross receipt in the previous year 2017-2018 does not exceed Rs. 400 crore shall be taxable at the rate of 25%.... 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

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Lifestyle Updates
Inspirational Story 1: Helping Yourself
Inspirational Story 2: A Million Dollar Lesson
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