Editor-in-Chief eMediNexus – Dr KK Aggarwal
13th July 2019

Cardiac arrest and death during elective stenting

Dr KK Aggarwal, Recipient of Padma Shri

No surgery is safe. In every so-called safe surgery, one should take consent about unexpected complications and chances of death on the table or proximal optimization technique (POT) stenting.

A new European registry analysis presented at the Congress of the European Association of Percutaneous Cardiovascular Intervention (EuroPCR) 2019 has identified high rates of unexpected cardiac arrest and death in patients undergoing elective percutaneous coronary intervention (PCI).

An analysis of more than 113,000 elective cases performed at high-volume PCI centers shows that 330 patients arrested during PCI, or one per 344 procedures....read more

Botulinum toxin, a new treatment for endometriosis-associated chronic pelvic pain?

Dr KK Aggarwal, Recipient of Padma Shri

(NIH): According to results published in Regional Anesthesia & Pain Medicine, treating pelvic floor muscle spasm with botulinum toxin may relieve pain and improve quality of life. The study was conducted by scientists at the National Institute of Neurological Disorders and Stroke (NINDS), part of the National Institutes of Health.

In the study, women with surgically treated endometriosis who were generally taking hormones to suppress menses, but who continued to experience pain and had pelvic floor muscle spasm, initially received injections of botulinum toxin or saline as part of a placebo-controlled clinical trial, targeting areas of spasm. At least one month after the masked study injection, 13 participants chose to receive open-label botulinum toxin injections in areas that remained in spasm and were then followed for at least four months. These patients were described in the current study at the NIH Clinical Center....read more

Practice Updates

Mass measles vaccination campaign begins in Ebola-hit DR Congo province

Health workers have started a massive measles vaccination campaign in north-east Democratic Republic of the Congo (DRC), a region that's in the grip of the second deadliest Ebola virus outbreak on record. UN Children's Fund UNICEF said on Thursday that it aims to inoculate 67,000 children in Ituri province. ... read more

Most US adults favor lowering nicotine levels in cigarettes

Most US adults-including 8 in 10 cigarette smokers-favor requiring cigarette makers to lower nicotine levels in cigarettes so that they are less addictive, according to a new report published by the Centers for Disease Control and Prevention (CDC) in the American Journal of Preventive Medicine.... read more

Are sugary drinks causing cancer?

Sugary drinks, including fruit juice and fizzy pop, may increase the risk of cancer, suggest French scientists. The link was suggested by a study, published in the British Medical Journal, that followed more than 100,000 people for five years. The study concluded that drinking an extra 100 ml of sugary drinks a day - about two cans a week... read more

ICD-11 Fails to Capture Psychiatric Patients' 'Lived Experience'

Diagnostic descriptions for schizophrenia and other mental health disorders in the 11th edition of the International Classification of Diseases (ICD-11) don't always mirror patients' "lived" experience, new research shows.... read more

Blood Eosinophil Count, Smoking Status Predict ICS Response in COPD

Assessment of patient blood eosinophil count and smoking status may help optimize treatment with inhaled corticosteroids (ICS), a post-hoc analysis of the pivotal IMPACT trial noted. Prospective modeling of blood eosinophil count as a continuous measure, rather than a single cut-off eosinophil threshold, showed greater response to ICS in terms of exacerbation reduction with increasingly ... read more

Medical Voice

Sri Lanka eliminates measles

New Delhi, 9 July 2019: The World Health Organization has announced that Sri Lanka has eliminated measles, interrupting transmission of the indigenous virus that causes the killer childhood disease. "Sri Lanka's achievement comes at a time when globally measles cases are increasing. The country's success demonstrates its commitment, and the determination of its health workforce and parents to protect children against measles,"... 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

eMedi Humor
Medicolegal Corner
eMedi Quiz
1. Loss of rounded contour of shoulder.
2. Loss of sensation along lateral side of upper arm.
3. Loss of overhead abduction.
4. Atrophy of deltoid muscle.
Lifestyle Updates
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Inspirational Story 2: I Tried to Climb the Mountain Today
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