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Editorial
Editor-in-Chief eMediNexus – Dr KK Aggarwal
23rd June 2018
Trans fats should be banned in restaurants in India

Dr KK Aggarwal, Recipient of Padma Shri

The US FDA has recently banned the use of artificial trans fats (partially hydrogenated oils) from American restaurants and grocery store food items. The FDA had deemed trans fats as not safe in 2015 and had earmarked June 18, 2018 as the date by which manufacturers should stop adding partially hydrogenated oils to foods. However, FDA has now extended the compliance date to January 1, 2020.

Trans fats or trans fatty acids are manufactured by adding hydrogen to vegetable oil. They are a byproduct of the chemical reaction that converts liquid vegetable oil into solid margarine or shortening, which prevents liquid vegetable oils from turning rancid. The process involves high pressure, hydrogen gas, and a metal catalyst and the end-product is highly unsuitable for human consumption. .... read more

Special

Medical Tourism: World is FLAT from Healthcare Perspective

India is the most prominent destination as per the Medical Tourism Market Report: 2015 due to highest quality treatment provided at the lowest cost. In Oct 2015, the value of Indian medical tourism was estimated to be $ 3 billion and it is expected to reach $ 7 -8 billion by 2020. The number of medical tourist to India is mentioned in the table below:... read more

Top News

CDC investigates multistate cyclosporiasis outbreak in the US

The CDC is investigating a multistate outbreak of cyclosporiasis infections associated with consumption of pre-packaged Del Monte Fresh Produce vegetable trays containing broccoli, cauliflower, carrots, and dill dip. Four of the 78 cases have been hospitalized. No deaths have been reported... read more

Morning Medtalks

Morning MEDtalks with Dr KK Aggarwal 23rd June 2018

Informed Consent Should Involve the treating doctor: Medscape Excerpts: Shinal v Toms case: a 2017 decision from the Pennsylvania Supreme Court. In a 4-to-3 decision, the Supreme court ruled that a physician may not "fulfill through an intermediary the duty to provide sufficient information to obtain a patient's informed consent."... read more

Practice Updates

Improving CPR training can save more lives

A new statement "Resuscitation education science: educational strategies to improve outcomes from cardiac arrest" published by the American Heart Association (AHA) in the journal Circulation has highlights the shortcomings in education for resuscitation and says that more people will survive cardiac arrest if these are addressed. The statement also has suggestions for improvement in training on eight key elements:... read more


Add pulses to your diet to keep blood sugar levels controlled

A study published April 11, 2018 in the Journal of Nutrition analyzing four dishes - white rice only, half white rice and half large green lentils, half white rice and half small green lentils, and half white rice and half split red lentils - found that replacing half a serving of rice with lentils caused blood glucose to drop by up to 20% and replacing potatoes with lentils led to a 35 % decline in blood sugar levels in healthy adults.... read more


Viruses may have a role in Alzheimer’s disease

A study funded by NIH and published June 21, 2018 in the journal Neuron has suggested that viruses, particularly herpesviruses, may have a role in Alzheimer’s disease biology. Although the study does not show cause and effect, it shows that viral DNA sequences and activation of biological networks, the interrelated systems of DNA, RNA, proteins and metabolites may interact with molecular, genetic and clinical aspects of the disease..... read more


Reducing proteinuria reduces CKD progression in children

Analysis of data from the Effect of Strict Blood Pressure Control and ACE inhibition on the Progression of CRF in Pediatric Patients (ESCAPE) trial has shown that anti-hypertensive drugs reduced proteinuria, which reduced the risk of disease progression in children with chronic kidney disease (CKD). These findings are published June 21, 2018 online in the Journal of the American Society of Nephrology.... read more


First continuous glucose monitoring system with a fully implantable glucose sensor

The US Food and Drug Administration (FDA) has approved the Eversense Continuous Glucose Monitoring (CGM) system for use in people 18 years of age and older with diabetes. This is the first FDA-approved CGM system to include a fully implantable sensor to detect glucose and compatible mobile app, which can be worn for up to 90 days. .... read more


Eptinezumab effectively prevents migraine, says study

Results of the phase III PROMOSE-2 (Prevention of Migraine via Intravenous Eptinezumab Safety and Efficacy 2) trial presented at the American Academy of Neurology (AAN) 2018 Annual Meeting in Los Angeles show that eptinezumab 100-mg or 300-mg dose significantly reduced monthly migraine days (MMDs) over weeks 1 to 12 compared with placebo. .... read more


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Lifestyle Updates
 
Inspirational Story 2: Honesty
‘Golden period’ of post stroke rehabilitation most important
India witnesses about 1.8 million stroke cases every year
 
New Delhi, 22nd June 2018: Stroke can hit anyone irrespective of their age. While effective treatment for stroke is evolving in the country, a largely neglected area is the 'golden period' of post-stroke rehabilitation. As per estimates, there are more than 1.8 million stroke cases every year in India. Of these, about 15% percent affect people in their 30s and 40s. There is a need to create awareness on the fact that the first 90 days, also called the 'Golden Period', in post-stroke rehabilitation are vital.

Stroke or a Cerebro Vascular Accident (CVA) results from a sudden blood loss to the brain or bleeding within the brain resulting in the impairment of neurological function. Obesity, smoking, hypertension, alcohol consumption, diabetes and family history are considered some of the common factors leading to a stroke.

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