Editor-in-Chief eMediNexus – Dr KK Aggarwal
1st February 2019
NEJM study provides evidence of greater efficacy of e-cigarettes vis-á-vis conventional NRTs

Dr KK Aggarwal, Padma Shri Awardee

One of the most pressing unanswered questions in public health has been "Do e-cigarettes actually help smokers quit?"

The first, large rigorous assessment now answers this question.

A study, published Wednesday in the New England Journal of Medicine, found that e-cigarettes were nearly twice as effective as conventional nicotine replacement products, like patches and gum, for quitting smoking, reports New York Times. The success rate was 18% among the e-cigarette group, compared to 9.9% among those using traditional nicotine replacement therapy.

The study was conducted in Britain and funded by the National Institute for Health Research and Cancer Research UK. For a year, it followed 886 smokers assigned randomly to use either e-cigarettes or traditional nicotine replacement therapies. Both groups also participated in at least four weekly counseling sessions, an element regarded as critical for success....read more

E-cigarettes to assist with smoking cessation

Dr KK Aggarwal, Padma Shri Awardee

Excerpts from an editorial published January 30, 2019 (Belinda Borrelli and George T. O’Connor; DOI: 10.1056/NEJMe1816406).

  • The prevalence of tobacco smoking in the United States has declined to 14.0% but still exceeds 25% among high-risk subgroups (1,2).
  • Electronic cigarettes (e-cigarettes) are not approved by FDA for smoking cessation, but Americans trying to quit smoking use these products more frequently than FDA-approved cessation aids (3)....read more
Practice Updates

e-Learning Course on Health Financing Policy for universal health coverage

The first e-learning course on health financing policy for universal health coverage has now been launched. This e-learning course comprises six modules which cover the core functions of health financial policy as conceptualised by WHO. Each module is divided into a number of sub-topics. This is a foundational course which targets participants of various levels of experience and expertise.... read more

FDA approves first generic Advair Diskus

The US Food and Drug Administration has approved the first generic of Advair Diskus (fluticasone propionate and salmeterol inhalation powder) for the twice-daily treatment of asthma in patients aged four years and older and maintenance treatment of airflow obstruction and reducing exacerbations in patients with chronic obstructive pulmonary disease (COPD). Three strengths have been approved:... read more

Exercise may improve thinking skills in people as young as 20

Regular aerobic exercise such as walking, cycling or climbing stairs may improve thinking skills not only in older people but in young people as well, according to a study published in the January 30, 2019, online issue of Neurology.... read more

Mental health disorders common following mild head injury

A new study published in JAMA Psychiatry reveals that approximately 1 in 5 individuals may experience mental health symptoms up to six months after mild traumatic brain injury (mTBI), suggesting the importance of follow-up care for these patients. Scientists also identified factors that may increase the risk of developing post-traumatic stress disorder (PTSD) and/or major depressive disorder following mild ...read more

In-hospital MI linked to high mortality risk

The occurrence of acute myocardial infarction (MI) during hospitalization for other medical conditions is not uncommon and is linked to a significantly increased risk for poor outcomes, with 1-year mortality rates as high... read more

Bone and joint infections are treatable with oral antibiotics

Oral antibiotic therapy was noninferior to intravenous antibiotic therapy when used during the first 6 weeks for complex orthopedic infection, as assessed by treatment failure at 1 year, according to results published online January... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
1) Spanish disease
2) Polish disease
3) American disease
4) Italian disease
Lifestyle Updates
Inspirational Story 1: The Duck and the Devil
Inspirational Story 2: Always Remember Those Who Serve
A budget that addresses the ‘medical poverty trap’ is the need of the hour
Government should introduce limit of 8 lakh for EWS for insurance cover
New Delhi, 31st January 2019: Statistics indicate that about 55 million Indians were pushed into poverty in a single year because of having to fund their own healthcare. Another 38 million of them fell below the poverty line due to spending on medicines alone, as per a study published in the British Medical Journal. Health expenditure is considered catastrophic if it constitutes more than 10% of overall household consumption or income.

There is an urgent need to reduce health inequity in India. This has been addressed in the National Health Policy 2017 as a key policy principle, which states Reducing inequity would mean affirmative action to reach the poorest.

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