Editor-in-Chief eMediNexus – Dr KK Aggarwal
22nd August 2019

Switching to electronic health records run the risk of information being lost or missed during the transition process

Dr KK Aggarwal, Recipient of Padma Shri

A 63-year-old retired worker was referred to a cardiologist (Dr C) after his ECG showed atrial fibrillation, who believed the fibrillation to be of recent onset and put him on amiodarone. Over the next month, amiodarone was reduced as sinus rhythm had normalized. Six months later, the patient visited his PCP and Dr C with isolated complaint of a rapid heart rate and a full feeling in his chest. He continued to take amiodarone and daily aspirin.

Six years later, the patient visited his hematologist for raised hemoglobin and complained of occasional epigastric pain with activity during one visit. The hematologist asked the patient to see Dr C thinking that the symptom could be related to the heart. A year later, the patient visited Dr C, who put the patient on a Holter monitor and the next day had him perform a stress test/ECG. ...read more

Mera Bharat Mahan 6: Chitragupta or the quantum computer

Dr KK Aggarwal, Recipient of Padma Shri

The ancient Hindus imagined a person with a supercomputer with Hindu God Chitragupta, which means Mind Fold-Secret.

Chitragupta (चित्रगुप्त, 'rich in secrets' or 'hidden picture') is assigned with the task of keeping complete records of actions of human beings on the earth. He is the God of justice. Upon their death, Chitragupta has the task of deciding heaven or the hell for the humans, depending on their actions on the earth. As per Padma Purana, Chitragupta was Manasaputra of Lord Brahma.

Advaita philosophy believes that the God is in me and hence Chitragupta is in me. ...read more

Practice Updates

'Invisible' crisis of water quality threatens human and environmental well-being: World Bank report

Deteriorating water quality worldwide is slashing the economic potential of heavily polluted areas, according to a new World Bank report, released on Tuesday. It also warns that the "invisible" crisis of water quality is threatening human and environmental well-being. In some regions, rivers and lakes are so polluted that they are literally catching fire.... read more

42% Indians misdiagnosed or miss diagnosis of hypertension

Nearly 42% Indians are either misdiagnosed or have missed diagnosis of hypertension, a study has found. Medical experts say this phenomenon leads to unnecessary medication or lack of medication, leaving patients exposed to risk factors. The blood pressure (BP) measurement study covering 18,918 Indians has revealed nearly 24% people had white coat hypertension and around 18% Indians had masked hypertension.... read more

Expert panel updates advice on BRCA cancer gene screening

Mutations in the BRCA1 and BRCA2 genes are associated with increased risks for breast, ovarian, and other cancers, but only certain women stand to benefit from genetic testing, according to updated recommendations from the U.S. Preventive Services Task Force (USPSTF). The USPSTF says that women with a personal or family history of breast, ovarian, fallopian tube, or peritoneal cancer and women whose ethnic background is associated with an increased risk of BRCA... read more

FDA Denies Approval for Duchenne Muscular Dystrophy Drug

The US Food and Drug Administration (FDA) has nixed approval of golodirsen injection (Vyondys 53, Sarepta Therapeutics) for the treatment of Duchenne muscular dystrophy (DMD), according to a statement from the manufacturer. The FDA's complete response letter (CRL) to the treatment's New Drug Application cites concerns over the risk for intravenous... read more

Thyroid Function Test Abnormalities Linked to Preterm Birth

Thyroid function test abnormalities in pregnancy, including those at subclinical levels, are linked to a higher risk of preterm birth, according to a new meta-analysis. However, there is no evidence, as yet, to indicate that treatment improves outcomes. "Among pregnant women without overt thyroid disease, subclinical hypothyroidism, isolated hypothyroxinemia,... read more

Dual Antiplatelet Therapy After Minor Stroke, TIA

Dual antiplatelet therapy should be started within 24 to 48 hours of high-risk transient ischemic attack (TIA) or minor ischemic stroke and continued for 21 days, a pooled analysis of the CHANCE and POINT trials found. Clopidogrel-aspirin treatment started quickly reduced the risk of major ischemic events over 90 days compared with aspirin alone... read more

Medical Voice

Lefamulin, a new antibiotic to treat community-acquired bacterial pneumonia

The US Food and Drug Administration has approved a new antibiotic, lefamulin (Xenleta) to treat adults with community-acquired bacterial pneumonia. It will be available for oral (600 mg every 12 hours) and IV (150 mg every 12 hours) administration with a short 5- to 7-day course of therapy. Lefamulin is a first-in-class semisynthetic pleuromutilin antibiotic indicated for CABP caused by the following susceptible microorganisms:...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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