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Editor-in-Chief eMediNexus – Dr KK Aggarwal
Editor-in-Chief eIMANews - Dr Ravi Wankhedkar
13th April 2018
Suspected chemical attack in Syria
Key principles in management of exposure to chemical warfare agents

Dr KK Aggarwal, Recipient of Padma Shri

Syria has been in the midst of a civil war for many years now. Most recently, in a suspected chemical attack, around 500 patients presented to health facilities exhibiting signs and symptoms consistent with exposure to toxic chemicals during the shelling of Douma on Saturday, said the WHO. All affected people showed signs of severe irritation of mucous membranes, respiratory failure and disruption to central nervous systems. More than 70 people sheltering in basements have reportedly died, with 43 of those deaths related to symptoms consistent with exposure to highly toxic chemicals.

WHO has demanded immediate unhindered access to the area to provide care to those affected, to assess the health impact and also to deliver a comprehensive public health response. ... read more

Top News

WHO and UNICEF issue new guidance to promote breastfeeding in health facilities globally

WHO and UNICEF have issued new ten-step guidance to increase support for breastfeeding in health facilities that provide maternity and newborn services. Breastfeeding all babies for the first 2 years would save the lives of more than 820 000 children under age 5 annually. The Ten Steps to Successful Breastfeeding underpin the Baby-friendly Hospital Initiative, which both organizations launched in 1991. The practical guidance encourages new mothers to breastfeed and informs health workers how best to support breastfeeding. The en steps to successful breastfeeding are … (WHO, April 11, 2018)..... read more

Breaking News

The suspected chemical attack in Syria has affected over 500 people, says WHO

As per WHO, over 500 people may have been affected by a suspected chemical attack last week on Syrias rebel-held town of Douma. The symptoms included respiratory failure, severe irritation of mucous membranes and disruption to the central nervous system. WHO said more than 70 people taking shelter in basements reportedly died in the attack, with 43 of those deaths related to symptoms consistent with exposure to toxic chemicals. Two health facilities were also affected. ..... read more


Morning Medtalks

Morning Medtalks with Dr KK Aggarwal 12th April 2018

Padma Awardee Dr Balram Bhargava has been appointed the new DG ICMR and Secretary of the Department of Health Research. Patients often record their visits on their smart phones. Ten percent patients recorded their visit, with or without permission, according to research from the Dartmouth Institute for Health Policy. Its been said that often doctors speak fast but patients listen slow, often failing to comprehend and retain important information. Patients cant always remember all the crucial instructions being conveyed to them. ..... read more

Practice Updates

Exposure to smoke from wildfires increases risk of heart emergencies in elderly

Exposure to smoke from wildfires was associated with increased rates of emergency room visits for heart- and stroke-related illness such as ischemic heart disease, irregular heart rhythm, heart failure, pulmonary embolism and stroke besides respiratory illness, especially among adults age 65 and older, according to new research April 11, 2018 in the Journal.... read more


US FDA permits marketing of AI-based device to screen for diabetic retinopathy

The US Food and Drug Administration has permitted marketing of the first medical device 'IDx-DR' to use artificial intelligence to detect greater than a mild level of diabetic retinopathy in adults who have diabetes. If the images are of sufficient quality, the software provides the doctor with one of two results:... read more


Age at menopause affects memory

Entering menopause at a later age may be associated with a small benefit to your memory years later, according to a study published in the April 11, 2018, online issue of Neurology. Among the study participants who experienced menopause naturally, women who had later menopause had higher verbal memory scores, remembering 0.17 additional words per year..... read more


ADA adds updates to 2018 Standards of Medical Care in Diabetes

The ADA has revised the definition of hypoglycemia in Section 6 - Glycemic Targets and Section 14 - Diabetes Care in the Hospital of the 2018 Standards of Care to align with the three levels of hypoglycemia as defined in the Consensus Report published in December 2017. ... read more


The first case of severe thunderclap headache reported

The case of a 34-year-old man with no significant medical history who presented to the emergency room (ER) after an episode of thunderclap headache has been reported online April 9, 2018 in BMJ Case Reports. He had competed in a hot pepper contest where he ate one ... read more


Exparel gets FDA go-ahead for pain relief post-shoulder surgery

The US Food and Drug Administration (FDA) has approved a supplemental new drug application for bupivacaine liposomal injectable suspension (Exparel, Pacira Pharmaceuticals Inc) for use as an interscalene brachial plexus nerve block to provide regional analgesia following shoulder surgery in adults..... read more

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1. Kala azar with portal hypertension.
2. Portal hypertension of unknown etiology.
3. Chronic liver disease with portal hypertension.
4. Portal hypertension due to extrahepatic obstruction.
Lifestyle Updates
 
Inspirational Story 1: Height of perfection
Inspirational Story 2: Military story: True friend
Risk of cardiovascular complications are more in postmenopausal women
Women should not ignore common symptoms, particularly palpitations
 
New Delhi, 12th April 2018: Menopause can increase the risk of developing cardiovascular diseases, according to a recent study. The transition to menopause in women is marked by other health effects as well, including hot flashes and depression to vascular aging, which is typically seen as artery stiffening and endothelial dysfunction. As the estrogen levels fluctuate and decline during this time, it becomes imperative to monitor vitals parameters in women.

More than one in three female adults has some form of cardiovascular disease. An overall increase in heart attacks among women is seen about 10 years after menopause. Heart disease is the leading killer in women although it is traditionally thought to be a man’s problem.

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