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Editor-in-Chief eMediNexus – Dr KK Aggarwal
11th September 2018
Give vitamin D in patients with painful diabetic neuropathy

Dr KK Aggarwal, Recipient of Padma Shri

Patients with type 2 diabetes and painful diabetic peripheral neuropathy have lower vitamin D (25-hydroxyvitamin D) levels compared to patients with type 2 diabetes who do not have neuropathy or have painless neuropathy and healthy controls as shown in a study published in Diabetic Medicine.

Painful diabetic peripheral neuropathy is a distressing and disabling condition. These findings therefore assume clinical significance because many patients with type 2 diabetes have painful diabetic neuropathy and what’s more, many patients are undiagnosed. And, for the first time, the researchers corrected for confounding factors of seasonal sunlight and physical activity.

People with type 2 diabetes were grouped into three in the study: Those with painful diabetic peripheral neuropathy, those with painless diabetic peripheral neuropathy and those who did not have diabetic peripheral neuropathy. Seasonal sunlight exposure and daily activity were assessed in all study participants. Levels of 25-hydroxyvitamin D were measured during the summer more

Video Of The Day : Who is a Teacher
Top News

800,000 people commit suicide every year, says WHO

Every year, close to 800,000 people commit suicide, the second leading cause of death amongst people aged 15-29 in 2016. Suicides happen in all countries and regions, whether rich or poor. However, most occur in low and middle-income countries, which accounted almost four-fifths of global suicides in 2016... read more

Morning Medtalks

Morning MEDTalks with Dr KK Aggarwal 11th September 2018

TEDx Video: Doctor-patient relationship:
Home BP monitoring improves control of hypertension and reduces treatment costs. People with high BP are more likely to get it under control if they record their BP readings at home and share them with their healthcare provider. At-home monitoring combined with doctor visits gives providers a better sense of patients’ true blood pressure readings by avoiding white coat HT and masked HT, leading to more individualized treatment and better control of ... read more

Practice Updates

Adopting lifestyle changes reduces need for anti-hypertensive drugs

Hypertensive patients reduced the need for antihypertensive medications within 16 weeks after making lifestyle changes, including healthier eating and regular exercise, as per a study presented Sept 8, 2018 at the American Heart Association's Joint Hypertension 2018 Scientific Sessions in Chicago. Patients who were eating the DASH diet and participating in the weight .. read more

Patients with sepsis at higher risk of stroke, heart attack post-discharge

Findings of a study of more than one million published September 10, 2018 in the CMAJ show that patients with sepsis are at increased risk of stroke or heart attack in the first 4 weeks after hospital discharge. Risk was highest in the first 7 days after discharge, with more than 26% of ... read more

Shorter hospitalization duration with laparoscopic pancreatoduodenectomy

Results from the single center PADULAP randomized controlled trial show that compared to open surgery, laparoscopic pancreatoduodenectomy is associated with a shorter length of stay (17 days vs 13.5 days respectively) and a more favorable postoperative course while maintaining... read more

Combination of rituximab and lenalidomide effective in patients with advanced untreated follicular lymphoma

Efficacy results were similar with rituximab + lenalidomide and rituximab + chemotherapy followed by maintenance therapy with rituximab in both groups among patients with previously untreated advanced follicular lymphoma, as reported September 6, 2018 in the New England Journal of Medicine. The rate of confirmed or unconfirmed complete response at 120 weeks was similar in ... read more

Acute critical illness increases risk of kidney complications and death

Persons who have no previous underlying kidney disease are at risk of developing kidney complications, chronic kidney disease (CKD) and end-stage renal disease (ESRD) as well as death in the event of an acute critical illness. Septicemia and septic shock were the strongest risk... read more

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Medicolegal Corner
eMedi Quiz
A. Notify his physician.
B. Take his vital signs again in 15 minutes.
C. Take his vital signs again in an hour.
D. Place the patient in shock position.
Lifestyle Updates
Inspirational Story 1: Too good not to share
Inspirational Story 2: Doctor’s Service!
Arsenic poisoning can lead to many health complications
It is one of the 10 chemicals classified by WHO as a public health concern
New Delhi, 10 September 2018: About 15 years ago, scientists discovered the presence of high levels of arsenic in Madhusudankati, an agricultural village about 14 km from the border with Bangladesh. Deep inside India’s arsenic territory, the shallow groundwater in the village had about 1,000 micrograms (mcg) per litre arsenic in places. The prescribed safe level by WHO is 10 mcg per litre. When such water is consumed for years, either directly or through the food chain, the mineral damages organs like the skin, kidneys and lungs.

The most visible symptom of arsenic poisoning is a classic blotchy pattern on the skin, known as raindrop pigmentation. In the absence of safe water, this can develop into hyperkeratosis - dark crusts on palms and soles, which can further get infected and make it painful to work. Eventually, the skin can turn cancerous.

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