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Editor-in-Chief eMediNexus – Dr KK Aggarwal
Editor-in-Chief eIMANews - Dr Ravi Wankhedkar
16th February, 2018
Dr Bawa-Garba Case will increase antibiotic misuse

Dr K K Aggarwal,Recipient of Padma Shri

“A six year old boy is admitted to the Children’s Assessment Unit (CAU) at Leicester Royal Infirmary following a referral from his GP. Jack Adcock, who had Down's syndrome and a known heart condition, had been suffering from diarrhea, vomiting and had difficulty breathing.

Dr Hadiza Bawa-Garba was a specialist registrar in year six of her postgraduate training (ST6) with an 'impeccable' record. She had recently returned from maternity leave and this was her first shift in an acute setting. She was the most senior doctor covering the CAU, the emergency department and the ward CAU that day. She saw Jack at about 10.30am. Jack was receiving supplementary oxygen and Dr Bawa-Garba prescribed a fluid bolus and arranged for blood tests and a chest x-ray. At 10.44am the first blood gas test was available and showed a worryingly high lactate reading. The x-ray became available from around 12.30pm and showed evidence of a chest infection. .... read more

Special
Top News

Health Ministry approves MCI proposal to amend the Screening Test Regulations 2002

A common National Entrance Exam viz. National Eligibility cum Entrance Test has been made mandatory for admission to all medical courses in the country. Indian students can also pursue medical education abroad and have to qualify a Screening Test called Foreign Medical Graduates Exam (FMGE), for registration to practice in India after obtaining primary medical qualification (MBBS) overseas. It has come to notice that medical institutions / Universities of foreign countries admit Indian students without proper assessment or screening of.... read more


Attacks on doctors in Kerala: IMA seeks action

THIRUVANANTHAPURAM: The state branch of the Indian Medical Association has asked health minister K K Shylaja to take strict action against those who are attacking the doctors in the state. In a complaint given to the minister on Wednesday, IMA state secretary Dr N Sulphi urged the government to take stern action against those who attacked the doctors in Kodungallur and vadakara recently.... read more

Practice Updates

Balance exercises may help people with multiple sclerosis

A special program that involves balance and eye movement exercises may help people with multiple sclerosis (MS) with their balance problems and fatigue, according to a study published online January 31, 2018 in Neurology. The exercises included balancing on different surfaces and while walking,.... read more


Exercising during chemotherapy for breast or colon cancer has long-term benefits

Exercising during adjuvant (post-surgery) chemotherapy helps people engage in more physical activity years later. Four years later, people with breast or colon cancer who had participated in an 18-week exercise program while receiving chemotherapy engaged in physical activity 142 minutes per week or 20 minutes per day more,... read more


Risk factors for sleep apnea during pregnancy

Frequent snoring (three or more nights per week), older maternal age, and being overweight or obese are risk factors for sleep apnea during pregnancy, says a study published February 13, 2018 in the American Journal of Obstetrics and Gynecology..... read more


Study finds no cognitive decline with long-term use of PPIs

A prospective analyses of survey data of repeated cognitive assessments and proton pump inhibitor (PPI) exposure of 2,346 middle-aged individuals (average age 57; the Middle Aged Danish Twin study, MADT) over 10 years and 2,475 older individuals (average age 75; the Longitudinal Study of Aging Danish Twins (LSADT).... read more


Following hand hygiene protocols can lower mortality in nursing homes

According to a new study published in the February 2018 issue of the American Journal of Infection Control, strictly following hand hygiene protocols lowered mortality and antibiotic prescription rate in the intervention group in nursing home residents..... read more


Exercise may prevent psychosis in high-risk youth

Results from a pilot study in 12 adolescents and young adults, at ultrahigh risk for psychosis, who participated in a supervised aerobic exercise regimen showed improvements in clinical, social, and cognitive domains as well as changes in brain function in regions affected by psychosis..... read more

Pediatrics Updates

Prevalence and risk factors for functional constipation in adolescents.

The goal of a recent study published in the Archives of Disease in Childhood was to determine the prevalence and risk factors for functional constipation (FC) in adolescents. This cross-sectional study selected adolescents in the age-group of 10-18 years, from 11 secondary schools in the southern part of Nigeria..... read more


Cost-effectiveness of sacral neuromodulation for chronic refractory constipation in children.

A recent study published in Colorectal Disease assessed the cost-effectiveness of sacral neuromodulation (SNM) relative to conservative treatment in children and adolescents with constipation refractory to conservative management. This study included children and adolescents aged 10-18 years.... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
1 Strain all urine
2 Ambulate
3 Remain on bed rest
4 Ask for medications to relax him
Lifestyle Updates
 
Inspirational Story 1: :The goose story – teamwork lesson
Inspirational Story 2: A Child's Love
People working in irregular shifts at a higher risk of acquiring Type 2 diabetes
Inculcating healthy eating habits at the outset can help in averting this condition
 
New Delhi, 15 February 2018: According to a recent study, people working irregular or rotating shifts with usual night shifts were 44% more likely to have Type 2 diabetes. In addition, compared to day workers, all shift workers were more likely to have Type 2 diabetes, except for permanent night shift workers. WHO statistics indicate that the global prevalence of diabetes has nearly doubled since 1980, rising from 4.7% to 8.5% in the adult population. The majority of people with diabetes are affected by Type 2 diabetes.
 
Type 2 diabetes is typically brought on by poor eating habits, too much weight and too little exercise. In this condition, the cells cannot use blood sugar (glucose) efficiently for energy. This happens when the cells become insensitive to insulin and the blood sugar gradually gets too high.
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