Editor-in-Chief eMediNexus – Dr KK Aggarwal
15th June 2019

Clinical Practice Guidelines 2019

Dr KK Aggarwal, Recipient of Padma Shri

Acute lower gastrointestinal bleeding: 10 Key Takeaways

This year, the British Society of Gastroenterology released clinical practice guidelines on the diagnosis and management of acute lower gastrointestinal bleeding published online April 8, 2019 in the BMJ.

Here are 10 key takeaways from the guidelines.

  1. Patients who present with low GI bleeding should be first categorized as unstable (shock index >1) or stable. The Oakland score can be used to categorize stable bleeds as minor or major. Patients with minor self-terminating bleed (Oakland score ≤8) can be discharged for urgent outpatient investigation, if there are no indications for hospitalization. But patients with major bleed should be hospitalized for colonoscopy on the next available list....read more

Evaluate gait speed as a 'vital sign' to predict prognosis in older adults with blood cancers

Dr KK Aggarwal, Recipient of Padma Shri

Gait speed is an easily obtained 'vital sign' that accurately identifies frailty and predicts survival and unplanned hospital visits regardless of age, cancer or treatment type, or other factors among older patients with hematologic cancers, according to a new study published June 5, 2019 in the journal Blood. This association was found to be strongest in those with non-Hodgkin lymphoma.

For every 0.1 meter per second decrease in gait speed, the risk of dying, unexpectedly going to the hospital, or ending up in the emergency room increased by 22%, 33% and 34%, respectively.

Every 5 kg decrease in grip strength was associated with worse survival), but not hospital or ED use....read more

Video Of The Day : Uttarayana & Health
Practice Updates

Tamil Nadu: Patient with suspected Nipah infection still critical

PUDUCHERRY: The 53-year-old resident of Cuddalore district, who was admitted to Jipmer with symptoms akin to that of Nipah infection on Sunday, continues to be in a critical state. "The patient was admitted in a semiconscious state on Sunday. He continues to be critical. His condition neither worsened nor improved. He is responding only to a painful stimulus," said Jipmer medical superintendent A S Badhe. ... read more

Collaboration between France and WHO to realize the vision of the WHO Academy

Emmanuel Macron, President of the French Republic and Dr Tedros Adhanom Ghebreyesus, WHO Director-General met at WHO Headquarters in Geneva and signed a Declaration of Intent to establish the WHO Academy that will revolutionize lifelong learning in health. The Academy aims to reach millions of people with innovative learning via a state-of-the-art digital learning experience platform at a campus in Lyon.... read more

One-in-five suffers mental health condition in conflict zones: UN figures

More than one-in-five people living in conflict-affected areas suffers from a mental illness, according to a new report based on UN figures, prompting the World Health Organization (WHO) to call for increased, sustained investment in mental health services in those zones. Around 22 per cent of those affected, suffer depression, anxiety or post-traumatic stress disorder, according to an analysis of 129 studies published in The Lancet.... read more

New Guidelines Issued on Sexually Transmitted Infections

Updated guidelines on sexually transmitted infections (STIs) address a number of dermatologic manifestations that are not always included in recommendations from other specialty groups, delegates heard at the World Congress of Dermatology 2019.... read more

TAVR on Bicuspid Valves May Carry Early Risks

People with bicuspid aortic stenosis had an early disadvantage for stroke after getting transcatheter aortic valve replacement (TAVR) with a balloon-expandable valve, researchers found from the TVT Registry. While post-TAVR mortality rates were similar between Sapien 3 recipients with two- and three-leaflet anatomy, early stroke was more common with bicuspid valves before reaching statistical equivalency at 1 year. ... read more

Medical Voice

Prostate cancer and heart attack share common risk factors

A healthy diet rich in fruits and vegetables and regular physical activity are imperative Cancer of the prostate has the same risk factors as that of heart blockages and both are linked to high saturated fat intake. With an increase in heart patients, there is also a corresponding increase in the number of prostate cancer patients in the society. ... 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

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Lifestyle Updates
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Time to enact a Central Act for violence against doctors
Increasing violence against doctors necessitates urgent action
New Delhi, 14th June 2019: Junior doctors in West Bengal are on a strike since Tuesday after two of their colleagues were attacked and seriously injured at the NRS Medical College and Hospital in Kolkata. The Indian Medical Association (IMA) has directed the members of all its state branches to stage protests and wear black badges on Friday. In the light of rising incidents of violence against doctors, there is a need to encourage positive communication.

A survey by the Indian Medical Association (IMA) had revealed that nearly 75% of doctors in India have faced some form of violence or threat of violence at some point in their careers.

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