Editorial
Editor-in-Chief eMediNexus – Dr KK Aggarwal
 
17th April 2019
Who is a specialist?

Dr KK Aggarwal, Padma Shri Awardee

In the Allahabad High Court

Petition : The petitioner Dr N Rastogi has filed this writ petition challenging the order dated 16.01.2017 passed by MCI holding the petitioner to be guilty of professional misconduct, and her name has been directed to be removed from the State Medical register and Indian Medical register for a period of one year.

That the specialised qualification DGO has been incorrectly construed not to be based on a valid certificate. The Diploma was obtained in 2007. There is no requirement of any additional registration of recognized and registerable degrees. He cited a decision of the Apex Court in case of Dr. B.L. Asawa Vs. State of Rajasthan and others, (1982) 2 Supreme Court Cases 55.....read more


Can VOT be a feasible alternative strategy to DOT for treatment of TB?

Dr KK Aggarwal, Padma Shri Awardee

DOTS (Directly Observed Therapy Short Term) as a strategy (where the patient has to take the TB medication in the presence of a DOTS agent) has been successfully adapted in TB control programs worldwide, including India. Although, it can be administered in home settings as well, there is still some inconvenience involved with DOTS, both to the patient and the healthcare provider, which may affect adherence to treatment.

Video-observed therapy (VOT) has been explored as a possible alternative to DOT. The World Health Organization (WHO) also recommends VOT as an alternative to DOT to improve treatment adherence when the video communication technology is available and can be appropriately organized and operated by health-care providers and patients....read more

Video Of The Day : Unity in diversity
Practice Updates

Today is World Hemophilia Day: "Outreach and Identification"

World Hemophilia Day is observed annually on April 17 by the World Federation of Hemophilia (WFH). It is an opportunity to help people with bleeding disorders live healthier, longer and more productive lives by educating and empowering them through knowledge sharing, information exchanges, education and training..... read more


A global measles crisis' is well underway, say UNICEF & WHO

Noting a 300 per cent surge in the number of measles cases during the first three months of this year, compared to the same period last year, two UN agency heads declared on Monday that we now stand “in the middle of a global measles crisis”...... read more


Researchers 3D-print heart from human patient's cells

Researchers have 3D-printed a heart using a patient's cells, providing hope that the technique could be used to heal hearts or engineer new ones for transplants. "This is the first time anyone anywhere has successfully engineered and printed an entire heart replete with cells, blood vessels, ventricles and chambers," Professor Tal Dvir of Tel Aviv University's School of Molecular.... read more


Canagliflozin shown to be renoprotective in type 2 diabetes patients with CKD

In patients with type 2 diabetes and stage 2 or 3 kidney disease, the risk of kidney failure and cardiovascular events was lower with once daily oral canagliflozin 100 mg than with placebo group at a median follow-up of 2.62 years, according to the results of the phase III CREDENCE trial (Canagliflozin and Renal Events in Diabetes with Established Nephropathy Clinical Evaluation) trial....read more


Many heart attack patients do not need ICU care, suggests study

Many patients who suffer a type of heart attack known as an ST-elevation myocardial infarction (STEMI) are treated in the intensive care unit (ICU), despite a relatively low risk of developing a complication requiring ICU care,....read more


Esophageal reflux is common post-sleeve gastrectomy

Findings of a new systematic review and meta-analysis reported in the Annals of Surgery, online March 1, 2019 show a 19% overall increase in the prevalence of esophageal reflux after sleeve gastrectomy....read more

Medical Voice

1. Cardiogenic shock survival rates jumped after FDA approval of the Impella percutaneous heart pump, Abiomed's quality assurance database showed. (Diagnostic and Interventional Cardiology)

2. Low adherence to oral anticoagulation in atrial fibrillation was highlighted along with growing evidence on the risk-benefit ratio of left atrial appendage occlusion in a review article in Mayo Clinic Proceedings...... 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

eMedi Humor
Medicolegal Corner
eMedi Quiz
A: Between 40 and 50 billion.
B: Between 30 and 40 billion.
C: Between 20 and 30 billion.
D: Between 50 and 60 billion.
E: Between 60 and 70 billion.
Lifestyle Updates
 
Inspirational Story 1: Weakness or Strength?
A 3 dimensional approach to Management of Diabetes
Lower doctor-to-patient ratio is a major cause for burnout among healthcare professionals
Deficit of 6 lakh doctors in India is alarming
 
New Delhi, 16 April 2019: India has a shortage of an estimated 600,000 doctors and 2 million nurses, say scientists who found that the lack of staff who are properly trained in administering antibiotics is preventing patients from accessing live-saving drugs. Even when antibiotics are available, patients are often unable to afford them. High out-of-pocket medical costs to the patient are compounded by limited government spending for health services, according to the report by the U.S.-based Center for Disease Dynamics, Economics & Policy (CDDEP).

There is 1 government doctor for every 10,189 people (WHO recommends a ratio of 1:1000), or there is a deficit of 600,000 doctors, and the nurse-to-patient ratio is 1:483, implying a shortage of two million nurses.

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