Editor-in-Chief eMediNexus – Dr KK Aggarwal
20th April 2019
Compassion is the hallmark of a good doctor

Dr KK Aggarwal, Padma Shri Awardee

Sir William Osler said, “Care more for the individual patient than for the special features of the disease. . . . Put yourself in his place . . . The kindly word, the cheerful greeting, the sympathetic look - these the patient understands.

Compassion is the hallmark of a good doctor. The question then arises - what is compassion?

Compassion is “a deep awareness of the suffering of another coupled with the wish to relieve it” and is based on the concept of helpfulness. Five elements of compassion have been described: recognizing suffering, understanding the universality of human suffering, feeling for the person suffering,....read more

Rule out other causes of anemia before initiating ESAs in cancer patients

Dr KK Aggarwal, Padma Shri Awardee

The American Society of Clinical Oncology (ASCO) and the American Society of Hematology (ASH) have updated their clinical guideline for the use of erythropoiesis-stimulating agents (ESAs) in patients with cancer. The guideline also advises blood transfusion as a treatment option in these patients. Some key recommendations are:

  • ESAs may be offered to patients with chemotherapy-associated anemia whose cancer treatment is not curative in intent and hemoglobin (Hb) is < 10 g/dL.
  • Do not offer ESAs for chemotherapy-associated anemia to patient in whom cancer treatment is curative in intent....read more
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Practice Updates

Stress, overtime, disease, contribute to 2.8 million workers’ deaths per year: UN

Stress, excessively-long working hours and disease, contribute to the deaths of nearly 2.8 million workers every year, while an additional 374 million people get injured or fall ill because of their jobs, the UN labour agency, ILO, said on Thursday..... read more

EXID, a rare paradoxical response to ART

Scientists have identified a rare, paradoxical response to antiretroviral therapy (ART) known as extreme immune decline, or EXID. Five individuals evaluated at the National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health, experienced a significant .... read more

Missing breakfast + late-night dinner is a deadly combination

People who skip breakfast and eat dinner near bedtime have worse outcomes after a heart attack, suggests a new research published April 18, 2019 in the European Journal of Preventive Cardiology. People with the two eating habits had a 4-5 times higher likelihood of death, another heart attack, or ... read more

Exercise in the morning to gain better results

A new study published April 18, 2019 in Cell Metabolism has found that exercising at the correct time of day - around mid-morning - results in more oxygen in the cells and a more rejuvenating effect on the body. These results suggest daily timing as a critical variable for metabolic benefits from exercise ....read more

Preschool children with chronic constipation are often picky eaters

In the first study of its kind in the US, researchers found that normally developing preschool children with chronic constipation have underlying sensory issues that contribute to their difficulties with toileting behaviors. These children are often picky eaters who might be overly sensitive to food textures, tastes, or odors. They also might have an exaggerated response to noises, bright lights, ....read more

Medical Voice

1.Diabetic nephropathy is defined by an eGFR of 30 to < 90 mL/min/1.73 m2 and modest proteinuria of > 300 mg per gram of creatinine.

2.Most ST-segment elevation MI (STEMI) patients received unnecessary intensive care after undergoing uncomplicated primary percutaneous coronary intervention (PCI) in 2011-2014, Medicare data indicated. ..... 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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Medicolegal Corner
eMedi Quiz
A. Iron in liver
B. Copper in liver
C. Magnesium
D. all of above
Lifestyle Updates
Inspirational Story 2: Making a difference
Nutritional deficiency should be addressed at a young age
Inadequacy of vitamins and minerals can directly hamper the immune system

New Delhi, 19 April 2019: As per a new study titled Inadequate zinc intake in India: past, present and future, rising carbon dioxide levels can accelerate zinc deficiency in crops and thus in human consumption. It states that inadequate zinc intake has been rising in India for decades, causing tens of millions of people to become newly deficient in it. The highest rate of inadequate zinc intake is concentrated mainly in the southern and northeastern states with rice-dominated diets: Kerala, Tamil Nadu, Andhra Pradesh, Manipur and Meghalaya.

Zinc has a critical role to play in the human immune system. Inadequate levels of zinc can result in serious health consequences, particularly in young children, who are more susceptible to malaria, diarrheal diseases, and pneumonia.

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