Editor-in-Chief eMediNexus – Dr KK Aggarwal
16th April 2019
Specifics vs general: Ask for specific test and not the complete panel of tests to reduce treatment costs

Dr KK Aggarwal, Padma Shri Awardee

Evidence-based medicine has become the norm today. Laboratory tests are now greatly relied upon in the diagnosis of a condition, its treatment and follow up.

Most often, we ask for liver function tests (LFTs), kidney function tests (KFTs) or a lipid profile as a whole, for instance, without mentioning the specific test/s in the panel. This is the general practice and it is done quite possibly to avoid legal consequences

In lipid profile, total cholesterol or high-density lipoprotein (HDL) cholesterol may be the only tests required. If HDL is low, then triglyceride (TG) level is high. High TGs indicate serum lipemia.....read more

Some key facts about levothyroxine use for hypothyroid patients

Dr KK Aggarwal, Padma Shri Awardee

Levothyroxine is routinely used as the primary form of thyroid hormone replacement in the management of hypothyroidism. It is absorbed in the small intestine; bioavailability in the euthyroid person is 70-80%.

  • Peak absorption is achieved at approximately 2 hours after oral ingestion; this can be delayed to 3-4 hours if it is ingested simultaneously with interfering medications, supplements, or some foods/drinks.....read more
Video Of The Day : Unity in diversity
Practice Updates

Countries and civil society push for greater transparency and fairer prices

At a global forum on fair pricing and access to medicines, delegates from governments and civil society organizations called for greater transparency around the cost of research and development as well as production of medicines, to allow buyers to negotiate more affordable prices..... read more

CDC issues food safety alert for multistate outbreak of salmonella infections linked to pre-cut melons

The CDC has issued a food safety alert about a multistate outbreak of Salmonella infections linked to pre-cut melons supplied by Caito Foods, LLC. On April 12, 2019, Caito Foods, LLC, recalled pre-cut watermelon, honeydew melon, cantaloupe, and fruit medley products containing one of these melons that were produced at the Caito Foods, LLC, facility in Indianapolis, Indiana..... read more

AIIMS to start registry of all orthopedic implant surgeries

The All India Institute of Medical Sciences (AIIMS), Delhi, will start a registry of all orthopedic implant surgeries done at the hospital to keep track of surgical outcomes such as revision procedures, infection rate, etc. It could act as a reference point for a national registry that the Union health ministry began..... read more

Short rest periods improve learning new skills

In a study of healthy volunteers, National Institutes of Health researchers found that our brains may solidify the memories of new skills we just practiced a few seconds earlier by taking a short rest. The improvements made during the rest periods added up to the overall gains the volunteers made that day. Moreover, these gains were much greater than the ones seen after the volunteers returned the next day to try again,....read more

Diesel exhaust filtered of its tiny particles may worsen allergy-induced lung impairment

A study published April 12, 2019 in the American Journal of Respiratory and Critical Care Medicine has shown some surprising results. It found that air pollution from diesel engines may worsen allergy-induced lung impairment more when tiny particles are filtered from the exhaust than when they are not....read more

Medical Voice

1.Researchers may be closing in on a way to check athletes while they're alive for signs of a degenerative brain disease that's been linked to frequent head blows. Experimental scans found higher levels of an abnormal protein tied to the disease in a study of former National Football League players who were having mood and thinking problems.

2.Estimates from WHO indicate that globally, the number of people with depression exceeds 300 million in 2018. Depression is ranked by WHO as the single largest contributor to global disability (7.5 per cent)..... 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
Inspirational Story 2: A little monkey and man
A 3 dimensional approach to Management of Diabetes
Blood pressure measurement may vary with conditions
At least three readings are a must for a more accurate diagnosis
New Delhi, 15 April 2019: As per recent research, isolated single measurement has wrongly classified over 63% of individuals as ‘hypertensive’. Researchers now recommend a minimum three blood pressure (BP) readings in a single visit for a more accurate diagnosis. The study highlights the need for repeated measurements during a clinic or screening visit to reduce inaccurate classification of a patient’s true BP, resulting in wrong diagnosis and unnecessary treatments and its associated costs.

Research by the American Heart Association has indicated that crossing the legs or even talking can have a significant impact on BP reading and identifies seven common errors that can lead to inaccurate blood pressure readings.

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