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Editorial (Dr SS Agarwal, Dr K K Aggarwal)
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24th December 2016
Top 10 Advances in Cardiology (AHA)
 
1.    In selective high-risk groups, additional therapies help prevent a second stroke: Previous research has shown that to prevent a second stroke, "aggressive medical management"- treating and controlling high cholesterol, high blood pressure and blood sugar, as well as lifestyle behaviors such as smoking cessation and exercise - is better than stenting. But a study, SAMMPRIS, published in JAMA identified a subgroup of patients at higher risk for a recurrent stroke despite this medical management - and who need stenting. Investigators found that high-risk patients included those who had an old stroke in the area of the blockage, a new stroke or were not on a statin at the time they joined the study.
 
2.    New possibilities for treating women with heart attacks: The study, in the American Heart Association’s journal, Circulation: Cardiovascular Imaging, found that women had a type of plaque thought to be vulnerable throughout the blood vessels, while in men, they were mostly found in the earliest part of the artery. The way plaques "broke" often was different as well. Men had larger size plaques even though the women in the study had more cardiovascular risk factors.
 
3.    More options for valve replacements in the elderly: In high risk patients with aortic valve stenosis, treatment means either open-heart surgery or transcatheter aortic valve replacement. This study, which focused on older patients, compared surgery and TAVR by looking at the survival and stroke rates of intermediate-risk patients. The research, published in the New England Journal of Medicine, showed the rates were similar and that use of either procedure would produce similar outcomes.
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Practice Updates
GI symptoms persist post-gastric bypass surgery for morbid obesity
Study shows less favorable outcomes with shorter duration antibiotics 
High-sensitivity cardiac troponin identifies individuals at risk of CHD
Absorb Everolimus-Eluting Bioresorbable Scaffold safe and effective for patient with diabetes 
Improved progression-free survival with icotinib in NSCLC patients with brain metastases
Discovery of a new target to block tumorigenesis in colorectal cancer
Importance of surface proteins of dendritic cells: study
Alleviation in vaccine associated pain by application of an anaesthetic cream
Association between gum disease and rheumatoid arthritis
Repeated flare-ups of atopic dermatitis triggers the irreversible and long-term immune system overreaction
Pregnancy associated with long-lasting changes in a mother's brain
Role of gut bacteria in treatment of children with IPEX syndrome
Consequences of childhood abuse and neglect are observed in adulthood
Association between ultraviolet B exposure and incidence of myopia
Levetiracetam associated adverse effects in pediatric population: study
Conference Updates

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Lifestyle Updates
 
Inspirational Story 1: Emotional management
 Inspirational Story 2: Saying Grace in a Restaurant! 
Press Release
Emotional management Steps to freedom from back pain

Chronic lower back pain is a serious condition and can significantly hamper the quality of life for sufferers. Some lifestyle and preventive practices can help.

New Delhi, Dec 23, 2016: The level of quality of life of those suffering from chronic back pain is a serious issue of concern at the global scale, as well as in our country. In India, 60% of population has suffered from lower back pain at some point in their lives. 
 
Low back pain limits mobility, restricts movement and interferes with normal functioning. For some patients the condition can get so severe that it can lead to lifelong pain and permanent disability. Some approaches can be adopted to reduce the severity of or cure chronic back pain.
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IMA Updates