Editor-in-Chief eMediNexus – Dr KK Aggarwal
22nd May 2019
Steroids not superior to placebo in patients with mild persistent asthma and low sputum eosinophils

Dr KK Aggarwal, Padma Shri Awardee

NIH: Inhaled steroids are often used to treat people with mild persistent asthma, but now a new study suggests that mild persistent asthma can be managed safely without daily steroid use.

The study of patients with mild persistent asthma found that inhaled steroids were no more effective than placebo in nearly three-fourths of the study patients, all older than age 12. Inhaled steroids were better than placebo for a subset of the patients who had high levels of eosinophils, in their sputum, but they represented about a fourth of patients enrolled in the trial.

The study funded by the National Heart, Lung, and Blood Institute (NHLBI), part of the National Institutes of Health was published online on May 19 in the New England Journal of Medicine (NEJM)......read more

Kidney stones: Dilution is the solution to the pollution

Dr KK Aggarwal, Padma Shri Awardee

The lifetime risk of kidney stones among adults in the US is around 9%, and apparently global warming may be increasing this risk. As the temperature rises and climate becomes warm, humans are more likely to get dehydrated, which increases the risk of stone formation.

There are four major types of kidney stones: calcium oxalate/calcium phosphate, uric acid, struvite (magnesium ammonium phosphate) and cystine.

Dehydration is a risk factor for all stones, regardless of the type of stone. A person who is prone to kidney stones should be careful to maintain good hydration. ...read more

Practice Updates

World governments urged to condemn doctors' sentences

The World Medical Association has called on all governments to condemn the recent prison sentences against leaders of the Turkish Medical Association. The WMA is demanding that the Turkish Government immediately annuls the convictions and prison sentences that were handed down to the Turkish physicians for issuing a press release claiming that 'War is a Public Health Problem'..... read more

Ebola threat still 'very high' in DRC, warns WHO chief

The risk of Ebola spreading in the Democratic Republic of the Congo remains "very high", said the chief of the World Health Organization (WHO), Tedros Adhanom Ghebreyesus, on Monday. The warning came after a recent spike in the number of infections due to the virus in the unstable north-eastern part of the country..... read more

WHO announces four new goodwill ambassadors for promoting global health

WHO, on May 20, announced the appointment of four new goodwill ambassadors from the fields of sports, politics and community mobilization to promote healthier lives, stronger health workforces and improved mental health globally. The new ambassadors include Alisson Becker, goalkeeper of the Brazilian national and Liverpool football teams,... read more

Belgian doctors recommend against vegan diet for kids

Belgium's Royal Academy of Medicine recommended last week that children, teens, pregnant women and nursing mothers do not follow a vegan diet. An estimated 3% of Belgian children follow this type of vegetarianism that excludes meat, eggs, dairy products and all other animal-derived ingredients, according to the academy's statement. The academy stated that the eating plan is "restrictive," creates "unavoidable".... read more

Liposuction rise linked to gym wear trend

An increasing number of women are seeking liposuction, possibly to get a body that looks good in trendy gym clothing, suggested a leading cosmetic surgeon. Rajiv Grover, from the British Association of Aesthetic Plastic Surgeons, says latest UK data suggest that procedures have gone up 12% in a year, from 2,039 in 2017 to 2,286 in 2018. .... read more

FDA Approves Midazolam Nasal Spray for Seizure Clusters

The US Food and Drug Administration (FDA) has approved midazolam nasal spray for the acute treatment of intermittent, stereotypic episodes of frequent seizure activity (seizure clusters, acute repetitive seizures) that are distinct from a patient's usual seizure pattern in epilepsy patients aged 12 or above.....read more

Even Moderate Exercise May Reduce Risk for Liver-Related Death

Engaging in mild physical active may lower the risk of liver-related mortality, revealed researchers at the annual Digestive Disease Week. Across two 26-year prospective studies, patients with the highest quintile of physical activity had a 51% lower risk of dying from liver disease compared with sedentary adults after adjusting for age, BMI, diabetes,....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

People with calcium stones should not cut back dietary calcium

It may be surprising, but results of a randomized clinical trial show that people with calcium kidney stones should not cut back on dietary calcium. In fact, they should consume the recommended daily allowance of calcium (1,000 mg/day for women younger than 50 years old and men younger than 70, and 1,200 mg/day for women over 50 and men over 70)..... read more

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Most diabetics unaware of their condition: HCFI
People with risk factors such as a family history of diabetes must take precautions at an early age

New Delhi, 21st May 2019: A large-scale population-based study has found that only half the Indian adults in the most productive age group (15-49 years) are aware that they suffer from diabetes. Only one-fourth of those diagnosed and treated have their blood sugar under control. In light of the poor level of awareness, treatment and control, the need of the hour is to focus on primary prevention and screening efforts. This will help reduce the burden and impact of diabetes in India.

According to the WHO, there are about 62 million people living with diabetes in India, a number that is projected to increase to 70 million by 2025.

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