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Editor-in-Chief eMediNexus – Dr KK Aggarwal
Editor-in-Chief eIMANews - Dr Ravi Wankhedkar
24th March, 2018
It is time to revisit the ‘GTN’ approach to end TB

Dr KK Aggarwal, Recipient of Padma Shri

TB is a preventable and curable disease and yet despite advances in TB care, India continues to have the highest burden of both TB and MDR TB patients and accounts for about a quarter of the global TB burden. An estimated 1.3 lakh incident multi-drug resistant TB patients emerge annually in India, which includes 79000 MDR-TB Patients estimates among notified pulmonary cases. India bears second highest number of estimated HIV associated TB in the world (TB India 2017).

Globally, the incidence of TB has been declining at about 2% per year. But, this decline is not enough to achieve the first 2020 milestone of the End TB Strategy and the target of ending the TB epidemic by 2030 under the Sustainable Development Goals (SDG 3). TB cases have to decline by 4-5% to achieve this target..... read more

Top News

Today is World TB Day: “Wanted: Leaders for a TB-free world”

World TB Day is observed annually on March 24 to raise public awareness about tuberculosis (TB) and its health, social and economic consequences. The day also marks the discovery of the TB bacillus by Dr Robert Koch in 1882..... read more

Breaking News

Should I be concerned about Yellow Fever Epidemic in Brazil?

A yellow fever outbreak that began a year and a half ago in Brazil is spreading further, with additional cases since last July in the Brazilian states of Sáo Paulo, Minas Gerais and Rio de Janeiro, plus several cities in Bahia State. WHO began recommending yellow fever vaccination for all travelers and residents of these areas in January, but since then, 10 travelers have contracted the disease—all unvaccinated—and four died.... read more

Out Patient ORS Protocol

No IV in mild dehydration in adults Oral hydration is a low-cost, evidence-based solution hospitals can implement to treat adults with mild rehydration.
The suggested protocol is for people with mild dehydration from diarrhea, vomiting, morning sickness but not for people who have major electrolyte imbalances, such as kidney disease. Also oral rehydration should not replace IV fluids in patients with moderate or severe dehydration or in those unable to take liquids orally but is ideal for patients with pharyngitis, gastroenteritis, and upper respiratory tract infections..... read more

Practice Updates

Grilling and other high-temperature cooking may raise risk of high BP

People who eat grilled, broiled, or roasted beef, chicken or and fish more than 15 times/month are at a 17% higher risk of developing hypertension compared to those who eat such foods less than 4 times a month, according to preliminary research presented March 21, 2018 at the American Heart Association’s Epidemiology and Prevention.... read more

Youths treated for nonsuicidal self harm are likely to die from suicide within a year

New research published online March 19, 2018 in the journal Pediatrics has shown that youths treated for deliberate but non-suicidal self-harm, such as cutting, were more than 25 times as likely than demographically matched peers to die from suicide within the following year..... read more

Menopausal hormone therapy helps maintain the brain

Taking menopausal hormone therapy soon after menopause to relieve symptoms may also benefit the brain, according to a study published online March 21, 2018 in the journal Neurology. Women who took estradiol via skin patches maintained brain volume in the dorsolateral prefrontal cortex, an area of the brain that assists with memory,... read more

Some patients on thyroid hormone replacement experience symptoms despite normal thyroid hormone levels

Some patients on replacement thyroid hormone (LT4 or levothyroxine) may have more comorbidities and lower quality of life than those who do not take the hormone, a large population-based study presented March 20, 2018 at ENDO 2018, the 100th annual meeting of the Endocrine Society in Chicago,.... read more

H. pylori Treatment reduces rates of metachronous gastric cancer

Patients with early gastric cancer who received treatment for Helicobacter pylori had lower rates of metachronous gastric cancer and more improvement from baseline in the grade of gastric corpus atrophy than patients who received placebo, says a study published March 22, 2018..... read more

Accidental injuries are frequent in adults with poor hearing

According to a new study published March 22, 2018 in JAMA Otolaryngology the rates of accidental leisure-related injuries were higher in adults with self-reported, poor hearing. Those with "good" or "a little trouble" hearing were at a higher risk of work-related injuries...... read more

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Lifestyle Updates
Inspirational Story 1: The Black Dot
Inspirational Story 2: Kindness with Class
Eat healthy and increase the intake of Vitamin D to avoid Crohn’s disease
This condition can be managed when diagnosed on time and by making some lifestyle changes
New Delhi, 23rd March 2018: As per recent findings published in Inflammatory Bowel Diseases, patients with Crohn’s disease should think carefully about consuming products containing sucralose and maltodextrin, as these can intensify the symptoms of the condition. These ingredients induce changes in gut bacteria and gut wall immune cell reactivity, which could result in inflammation or disease flare ups in susceptible people.

Crohn's disease is an inflammatory bowel disease (IBD). It causes inflammation of your digestive tract, which can lead to abdominal pain, severe diarrhea, fatigue, weight loss and malnutrition.

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