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CME with Dr KK
20th January, 2018
Cuff inflation hypertension

Some home blood pressure measuring instruments, particularly ones that are less expensive, require the patient to manually inflate the cuff.

When the cuff is manually inflated, the muscular activity used to inflate the cuff can acutely raise the BP by as much as 12/9 mmHg, an effect that dissipates within 5 to 20 seconds.

A person with flu is most contagious one day before the onset of symptoms and 5-7 days after becoming sick. After exposure to the virus, symptoms appear within 1 to 4 days.

eMedinews Tip

Inflate the cuff to 30 mmHg above systolic pressure
Allow the sphygmomanometer to fall 2 to 3 mmHg per heartbeat.... read more

Breaking News

Td vaccine to be a part of the Universal Immunisation program from the last quarter of 2018

NTAGI’s recommendations of replacing existing TT vaccine doses under country’s UIP with Td vaccine has been accepted by the MoHFW. Technical specifications of Td vaccine have been finalized. The reason for replacement is due to the epidemiological shift of diphtheria cases to higher age groups.

Hepatitis A vaccine not be included in UIP

The vaccine is recommended for epidemic control and individual use.
It will not be included in the UIP.

Top News

Dengue, Scrub Typhus Major Causes behind ICU admissions for tropical fever patients in the Country

Dengue, scrub typhus, encephalitis and malaria have been identified as the prime causes for ICU admissions of tropical fever patients in India, revealed a study recently. In the multicentre study, 34 ICUs across India and 456 critically ill adults and children were assessed. It was noted that dengue was the most common reason for ICU admission. Other patients admitted to ICU were due to scrub typhus, encephalitis,... read more

Researchers take step towards a better flu vaccine

Current flu vaccines seem not to be very good as they only reduce illness by between one third and two thirds. However, they do prevent death and prevent many people from becoming sick enough to need hospitalization. Flu viruses are known to mutate all the time and therefore, people need a new flu vaccine every year..... read more

Practice Updates

Cuffless Blood Pressure Monitoring

A simple, inexpensive device that makes use of a light sensor to measure blood pressure (BP) through the index finger could offer a flexible and stress-free replacement for cuff-based BP measurement, suggests a new study published in JACC: Basic to Translational Science.... read more

Changes in Bone Markers May Predict Fracture Reduction With Anti-resorptive Drug

A meta-regression analysis of 14 clinical trials, published online in the Journal of Bone and Mineral Research, suggests that treatment-related changes in bone formation markers predict vertebral-fracture reduction with anti-resorptive drug therapy. Drugs that prevent and treat osteoporosis are known to cause short-term changes in bone-turnover markers,... read more

Urinalysis Accurately Diagnoses UTI in Febrile Infants

Urinalysis is highly sensitive and specific in diagnosing urinary-tract infection (UTI) in febrile infants, suggests a large study published in the journal Pediatrics. Researchers conducted secondary analysis of data from a prospective study of febrile infants. Data was analyzed for more than 4,100 infants age 60 days or younger.... read more

Liquid Biopsy Shows Promise for Colon Cancer

A liquid biopsy could detect circulating tumor cells (CTCs) associated with colorectal cancer with an overall accuracy approaching 90%, suggested a study presented at the Gastrointestinal Cancers Symposium. The test's accuracy varied according to the stage of the disease,... read more

Biologics Seem to be the Best for Psoriasis Patients

A Cochrane meta-analysis noted that all major treatment classes reviewed were more effective than placebo for moderate to severe psoriasis; however, biologic agents appeared to be the most efficacious. Evaluation of data from 109 studies revealed that anti-IL17, anti-IL12/23, anti-IL23, and anti-TNF alpha drugs were superior for achieving PASI 90 status (90% reduction in Psoriasis Area... read more

Recent Updates

Impact of weight gain after smoking cessation on myocardial infarction and stroke

According to a prospective cohort study published in the European Heart Journal that sought to determine the relation between smoking cessation, post-cessation body mass.... read more

Effect of autologous CD34+ cell therapy on exercise capacity, angina frequency and mortality in refractory angina

AS autologous CD34+ (auto-CD34+) cells appear to be an attractive option for treating refractory angina, a patient-level pooled analysis of randomized double-blinded trials compared... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
1. To always wash my hands between patients
2. To never attempt to induce an abortion
3. To never attempt to operate to remove kidney stones
4. To teach medicine to the sons of my teacher
Lifestyle Updates
Inspirational Story 1: :Trust Your Relationship
Inspirational Story 2: Believe in Yourself
Indians put away treating bone-related problems
Studies indicate that knee pain is the most common bone problem in India
New Delhi, 19th January 2018: While India has witnessed an increase in life expectancy thanks to advances in medical science and technology, what is also increasing is the number of people leading sedentary lifestyles and eating food that is unhealthy. All this has contributed to an increase in the number of obesity cases and as a natural corollary, given a rise to orthopedic problems. Knee pain seems to be the most common problem.
Other kinds of problems experienced by people include shoulder and hip pain. However, joint pain can affect any part of the body — from the ankles and feet to shoulders and hands. Joint pain could be due to age-related osteoarthritis or auto-immune rheumatoid arthritis or injury to the ligaments, bursae, or tendons surrounding the joint.
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