Editorial
Editor-in-Chief eMediNexus – Dr KK Aggarwal
 
15th March 2019
Management of acute heart attack: 2019 Clinical Practice Guidelines from the Canadian Cardiovascular Society/Canadian Association of Interventional Cardiology

Dr KK Aggarwal, Recipient of Padma Shri

Regionalization of STEMI care

  • Within 10 minutes: first medical contact (FMC) to ECG and diagnosis
  • The development of a heart attack network of care that incorporates the use of prehospital catheterization laboratory activation, single-call patient transfer protocols, and in-field bypass of non-PCI centers to minimize FMC-to-device times for patients who are treated with primary PCI (pPCI)
  • The use of protocols to minimize time to fibrinolysis as well as the development of a formal relationship with a PCI center to enable adjunctive PCI for patients who are treated with fibrinolysis within a STEMI ( ST elevation MI) network....read more
Delhi high court: Why can't hospitals have account for CSR donations?

Abhinav Garg, Durgesh Nandan Jha

NEW DELHI: Why shouldn't hospitals have a separate account to receive donations under Corporate Social Responsibility, Delhi high court sought to know on Wednesday.

Taking suo motu cognisance of a letter sent by former Indian Medical Association (IMA) president Dr KK Aggarwal, a bench of Chief Justice Rajendra Menon and Justice A J Bhambhani asked the Centre and the AAP government why the court's 2014 guidelines in this regard were still lying in cold storage.....read more

Medical Voice

1.A retrospective study in JAMA explores the association between long-term mortality and various levels of cardiorespiratory fitness. The more fit you are, the higher your level of CRF. Regular exercise, and vigorous exercise, can both boost CRF. The researchers looked at over 122,000 patients at a large academic medical center who underwent exercise testing on a treadmill, an objective measure of CRF. While the average age was 53, participants ranged in age from 18 to over 80.... read more

Practice Updates

Nearly 20 areas in Delhi earmarked on pilot basis for 'enhancing walkability' initiative

Nearly 20 places, including two main railway stations, have been chosen by urban authorities under a new initiative for 'enhancing walkability' in the national capital. The DDA recently had approved a draft policy for 'enhancing walkability' in the city, which will seek to identify vending zones, removal of encroachment from footpath,.... read more

FDA approves a new generic valsartan

The US Food and Drug Administration (FDA) has approved a new generic of angiotensin II receptor blocker (ARB), Diovan (valsartan). The FDA prioritized the review of this drug application to help relieve the recent shortage of this critical medicine as a result of multiple recalls of generic valsartan products from several manufacturers.... read more

Global 'pandemic' of fake drugs killing children worldwide

A new report published March 11, 2019 in the American Journal of Tropical Medicine and Hygiene says that the number of falsified and substandard medical products is on the rise. The report also suggests that falsified and substandard drugs for treating malaria,.... read more

What are falsified and substandard medical products?

The World Health Organization (WHO) has defined falsified and substandard medical products as follows:

  • Substandard medical products: Also called “out of specification”, these are authorized medical products that fail to meet either their quality standards or their specifications, or both....read more

Dupilumab gets FDA nod for moderate-to-severe eczema in teens

The US Food and Drug Administration (FDA) has approved dupilumab (Dupixent, Sanofi/Regeneron) for adolescents aged 12 to 17 years with moderate-to-severe atopic dermatitis poorly controlled with topical prescription therapies or when those therapies are not advisable.... read more

Systolic BP lower than 130 associated with cognitive decline in older hypertensive adults

For older patients undergoing treatment for hypertension, having a systolic blood pressure (SBP) lower than 130 mmHg is linked to additional cognitive decline, especially in those with complex health problems, says a study published online March 11, 2019 in Annals of Family Medicine.... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
1. Pemphigus vulgaris.
2. Pemphigoid.
3. Erythema multiforme.
4. Dermatitis herpetiformis.
Lifestyle Updates
 
Inspirational Story 1: A Strong Woman vs. Woman of Strength
Inspirational Story 2:Growing Deep and Strong!
Stringent environmental protection measures urgent need of the hour to save the planet from disaster
The concept of "One Health" must be reinforced across sectors
 
New Delhi, 14 March 2019: A new report by the UN has called for urgent action to save humanity from the disastrous consequences of environmental degradation. It has warned that cities and regions in Asia, middle-east, and Africa could see millions of premature deaths by mid-century if the nations fail to drastically scale up environmental protection measures. Further, the report added that water pollution alone will become the number one cause of death in the world by 2050.

The report also noted that fresh water system will see anti-microbial resistance due to pollutants.

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