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Editor-in-Chief eMediNexus – Dr KK Aggarwal
 
12th October 2018

Harm Reduction 2 : “Less harmful alternatives to tobacco”

Dr KK Aggarwal, Recipient of Padma Shri

Continuing our series on Harm reduction, we present the views of Jeannie Cameron, Founder and MD JCIC International, a UK-based strategic advocacy consultancy specializing in tobacco harm reduction. She also attended the seminar on "Harm Reduction" organized on 27th September at IIC, New Delhi.

When I spoke to her about tobacco harm reduction and e-cigarettes, this is what she had to say.

“There is a product called Swedish snus, which is like pasteurized smokeless tobacco product that you put in the mouth. Sweden has this product historically for 300 years. In Sweden, which is very good at its medical health and epidemiology, they have studied this for more than 50 years, and found zero or nil deaths from tobacco snus product. Norway, next door in Scandinavia, also has started to use this product and also found zero deaths from it. When you compare that with a country like India which has significant use of oral and smokeless (tobacco) and you have huge deaths - 30-40% of tobacco related deaths are coming from that...read more

Top News

Today is World Arthritis Day: “It's in your hands, take action”

World Arthritis Day is a global initiative of Arthritis and Rheumatism International (ARI) and managed by the European League Against Rheumatism (EULAR) to raise awareness of rheumatic and musculoskeletal diseases (RMDs)... read more

Dilemmas we often face

Short visits: Doctors are under enormous pressure to see as many patients as possible. The standard amount or time allotted for each patients is 10-12 minutes. Short visits force many doctors to concentrate on immediate biomedical issues, such as dealing with a high blood-pressure reading, rather than exploring psychosocial ... read more

Morning Medtalks

Morning MEDtalks with Dr KK Aggarwal 12th October 2018

According to the National Institute on Drug Abuse, in response to a request for comment from the website Tonic: "A previous substance use disorder is a risk factor for future development of substance use disorder (SUD)," but "It is also possible that someone who once had an SUD but doesn’t currently have one has a balance of risk and protective genetic and environmental factors that could allow for alcohol consumption without developing an AUD (alcohol use disorder)."... read more

Practice Updates

Worse outcomes for Hispanic infants with critical congenital heart disease have worse outcomes, says study

Hispanic infants with critical types of congenital heart disease had worse outcomes in their first year than do their non-Hispanic white counterparts, according to new research published October 10, 2018 in Journal of the American Heart Association. Lower maternal education and greater... read more


New ADA-EASD guidelines on type 2 diabetes emphasize on self-management programs

New guidelines from the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) recommend that a patient’s medication-taking and self-management behavior (adherence) be specifically considered as part of the decision cycle, ensuring a good match between patient and care plan. All patients should be offered access to... read more


Atrial fibrillation associated with increased risk of dementia

People with atrial fibrillation (AF) experienced a faster decline in thinking and memory skills and had a 40% greater risk of dementia than those without AF, in whom the risk of dementia was found to be 10%, according to a study published in the October 10, 2018, online issue of .. read more


Baseline severity of constipation predicts rapid progression of Parkinson’s disease

According to a study presented at the International Congress of Parkinson's Disease and Movement Disorders (MDS) 2018 in Hong Kong on Oct. 8, 2018, although constipation does not affect all patients with idiopathic Parkinson's disease at the time of diagnosis, the severity of... read more


Cardiovascular care should be emphasized in AF patients with history of cancer

Atrial fibrillation (AF) patients with a history of cancer are less likely to see a cardiologist or fill anticoagulant prescriptions, compared with AF patients who never had cancer, according to a study reported Oct. 8, 2018 in the Journal of the American College of Cardiology. By not filling... read more

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A. Inhibit bacterial growth
B. Relieve pain from the burn
C. Prevent scar tissue formation
D. Provide chemical debridement
Lifestyle Updates
 
Inspirational Story 1: Benefits of Struggling
Inspirational Story 2: Addiction to Worry
About 15% to 30% of medical students and residents suffer from depression
Doctors are not healing angels and should not be blamed for patient deaths unduly
 
New Delhi, 11 October 2018: A study conducted by the Indian Medical Association (IMA) last year found that in Kerala doctors die approximately 10 to 12 years before the average person - in India, overall, this number stands at seven years before the average person. In early 2018, about six doctors checked into the psychiatric ward at AIIMS at the same time, even as the IMA has declared physician suicides ‘a public health crisis’.

Most doctors follow a 12-hour shift including teaching, mentoring, attending to patients, and doing research work. Some attend to about 400 patients a day in healthcare facilities, some of which lack even the basic amenities and infrastructure. All this and the guilt of not being able to give enough time to patients can result in burnout, alienation, diseases, and depression over time, all of which can lead to suicides.

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