Editorial
Editor-in-Chief eMediNexus – Dr KK Aggarwal
 
16th May 2019
Breaking news: EXTEND expands thrombolysis window to up to 9 hours after stroke

Dr KK Aggarwal, Padma Shri Awardee

Using perfusion imaging to identify patients with salvageable brain tissue following ischemic stroke is the key to extending the window for thrombolysis out to 9 hours.

The results of the EXTEND trial show that more patients presenting between 4.5 and 9 hours treated with tPA (alteplase) under these conditions achieved a score of 0 or 1 on the modified Rankin scale (indicating no deficits or minimal deficits, respectively) than those give placebo.

The EXTEND trial is published in the May 9 issue of The New England Journal of Medicine. The results were first presented at the International Stroke Conference (ISC) in Hawaii earlier this year.....read more


Vedic health: S and H sibilants

Dr KK Aggarwal, Padma Shri Awardee

In mantra or Akshar Yoga there is a special mention of sibilants of the HS sounds.

In the first week of May, I was in Antigua for the GAPIO meeting and found that the GAPIO meet was full of energy. The people in the meet had some S/h or H in their names. To name a few they were Dr Sanku, Dr Sibal, Dr Sudhir, Dr Krishan, Dr Ramesh, Dr Shankar, Dr Sharma, Dr Singhal, Dr Sheth and Dr Hemadhri.

This was a coincidence, but it reminded of a Vedic saying that it's the people who make any organization vibrant....read more

Video Of The Day : Women and Heart
Practice Updates

Healthy lifestyle helps reduce the risk of dementia – WHO guidelines

People can reduce their risk of dementia by getting regular exercise, not smoking, avoiding harmful use of alcohol, controlling their weight, eating a healthy diet, and maintaining healthy blood pressure, cholesterol and blood sugar levels, suggest new guidelines issued by the World Health Organization (WHO). WHO Director-General, Dr Tedros Adhanom Ghebreyesus, said, “In the next 30 years, the number of people with dementia is expected to triple..... read more


Heart deaths up for first time in 5 decades in UK

Deaths from heart and circulatory diseases among people under 75 are on the rise for the first time in 50 years, suggest UK figures. The British Heart Foundation (BHF) says increasing rates of diabetes and obesity are responsible in part. In 2017, there were 42,384 deaths in under-75s from heart and circulatory conditions, up from 41,042 in 2014. The charity says that the historic pace of progress in reducing these deaths has slowed to a near standstill...... read more


Global Platform for Disaster Risk Reduction

The Global Platform for Disaster Risk Reduction is a biennial multi-stakeholder forum established by the UN General Assembly to review progress, share knowledge and discuss the latest developments and trends in reducing disaster risk. The Global Platform for Disaster Risk Reduction is a critical component of the monitoring and implementation process of the Sendai Framework for Disaster Risk Reduction (2015-2030)..... read more


Antibiotics after Assisted Vaginal Delivery Reduce Infections

A blinded, randomized, placebo-controlled trial, published online May 13 in The Lancet, suggests that prophylactic antibiotic administration within 6 hours of assisted vaginal delivery can considerably reduce infection rates in the 6-week post-delivery period. ....read more


Gaps in Diabetes Prevention Advice, Activities

Diabetes prevention measures are under-utilized in the United States, suggest new data published online in JAMA Network Open. Both the US Preventive Services Task Force and American Diabetes Association recommend screening and lifestyle counseling to achieve weight loss and reduce diabetes risk in high-risk adults. Yet, the research found major gaps in provision of advice and referrals for diabetes prevention for adults at increased risk for type 2 diabetes,....read more


CDC creates interactive training for diagnosis, management of Rocky Mountain spotted fever

The Centers for Disease Control and Prevention (CDC) has created a first-of-its-kind education module to help clinicians recognize and diagnose Rocky Mountain spotted fever (RMSF), a sometimes serious and fatal disease spread by the bite of an infected tick. "Rocky Mountain spotted fever can be deadly if not treated early – yet cases often go unrecognized because the signs and symptoms are similar to those of many other diseases,"....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

Medical Voice

Doctors' unusual prescription: Go and ride bicycles

London: A new programme in Wales will allow family doctors to offer patients an unusual prescription for better health: bicycles.

The pilot programme, the first such initiative in Britain, according to the health board that is leading it, reflects an effort by medical professionals around the world to give patients alternatives to drugs, in order to avoid side effects and improve cost efficiency. .... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
1. Temperature.
2. Partial pressure of CO2
3. 2,3 diphosphoglycerate (DPG) level
4. Oxygen affinity of hemoglobin.
Lifestyle Updates
 
Inspirational Story 1: The Starfish
Both active and passive smoking are major risk factors for hypertension: HCFI
High blood pressure can lead to several health complications and even premature death
 

New Delhi, 15th May 2019: Recent research has suggested that passive smoking at home or work is linked with a 13% increased risk of hypertension. Living with a smoker after age 20 may be associated with a 15% greater risk. Exposure to passive smoking can lead to hypertension over time with men and women equally affected.

High blood pressure accounts for almost 10 million deaths around the world. The need of the hour is to raise awareness on the fact that smoking is a leading risk factor for this condition and therefore,

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