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Editor-in-Chief eMediNexus – Dr KK Aggarwal
25th November 2018

The high costs of healthcare: Necessary vis-a-vis unnecessary costs

Dr KK Aggarwal, Padma Shri Awardee

An elderly patient with loss of consciousness was admitted in a corporate hospital in NCR. The patient’s hospital stay was for less than 48 hours and the total bill amounted to more than one lakh.

Let’s take a look at just a very small part of the bill - biochemistry. Among other lab investigations (and other modalities), the patient underwent kidney profile, liver function tests, lipid profile and thyroid profile. The total cost of these tests was Rs 9780/-.... read more

Top News

National Blood Transfusion Council (NBTC) advisory for blood banks and potential blood donors to prevent Zika virus infection in the country by blood transfusion

All blood banks in the country should ensure following precautions:
1. Blood banks strictly adhere to donor selection criteria and do proper donor screening. Blood banks must ask for travel history to ensure that individuals returning from outbreak zone are not accepted for blood donation till 120 days of return. These donors must be symptom free during this period prior ... read more

WHO and EU commit to work together to accelerate progress on health

Dr Tedros Adhanom Ghebreyesus, Director-General of WHO has completed a series of meetings with President Juncker and senior European Commission officials. He also signed a joint statement with the European Parliament. Dr Tedros commended ... read more

Morning Medtalks

Morning MEDtalks with Dr KK Aggarwal 25th November 2018

WHO felicitates Nepal for trachoma elimination, rubella control: The WHO on 22 November 2018, felicitated Nepal for eliminating trachoma, a neglected tropical disease that leads to blindness, as a public health problem, and for controlling rubella that causes serious and irreversible birth defects. “Nepal’s remarkable achievements ... read more

Practice Updates

Study shows clinical benefit of treating low-risk stage-1 hypertension

Korean National Health Insurance Database Analysis published in the December 2018 issue of the journal Hypertension has shown that the BP associated with the lowest risk of all-cause mortality was 120 to <130 mmHg (systolic BP) and 70 to <80 ... read more

B12 deficiency is common in patients on metformin

Vitamin B12 should be monitored in patients with diabetes on metformin to avoid peripheral neuropathy, suggests a study presented Nov. 21, 2018 at the Society for Endocrinology BES 2018 conference in Glasgow. The study found that 64% of ... read more

Deceased-donor acute kidney injury is not associated with kidney allograft failure

Use of kidneys from deceased donors with acute kidney injury (AKI) appears safe in multiyear follow-up and could make many more organs available for transplant, according to a multicenter study published Nov. 20, 2018 in Kidney International... read more

Both divide-and-conquer and stop-and-chop techniques efficient in the learning curve for cataract surgeons

A study comparing two popular nuclear disassembly techniques for cataract surgeons in training concluded that both divide-and-conquer and stop-and-chop techniques are efficient in the learning curve. Stop and chop dissipates less energy in harder nuclei... read more

A multimodal program may reduce job stress among ICU nurses

In this randomized clinical trial including 198 ICU nurses in France, the prevalence of job strain (assessed by a questionnaire that included psychological demand and decision latitude evaluation) was significantly reduced at 6 months among nurses in ... read more

RSSDI 2018 Updates

Pathophysiological Rationale for Combination Therapy vs. Conventional Stepwise Treatment Approach : Dr Ambrish Mithal

  • "The ominous octet”: Decreased incretin effect, increased lipolysis, increased glucose reabsorption, decreased glucose uptake, increased hepatic glucose production, neurotransmitter dysfunction, increased glucagon secretion, decreased insulin secretion... read more

SUs Revisited : Dr Rajesh Marya

  • Data suggest that treatment with SUs leads to 0.5-2% HbA1c reduction compared to other therapies. Current literature does not support the notion that SUs are harmful to b-cell mass or function. On the contrary, SUs appear to improve b-cell secretory capacity when used early in the course of T2DM. Glimepiride seems to enhance b-cell secretion/mass. ... read more

Future Treatments for Diabetes From Concept to Care : Dr Shashank Joshi

  • Omarigliptin: It is not an extended release formulation; the mechanism of action is same as q.d siblings. The difference is in the duration of meaningful DPP-4 inhibition (gap between two doses: 168 hours for omarigliptin and 24 hours for sitagliptin; it has been launched in Japan and is currently the largest selling qw gliptin in Japan... read more

Clinical Challenges of Diabetes in Older People: Goals of Care : Dr Sanjiv Shah

  • The prevalence of diabetes is rising in the >65 year-old age group.
  • Diabetes in older people poses several challenges. The challenges include heterogeneity, hypoglycemia risk, complications, polypharmacy, sparse clinical data and different goals of therapy... read more
eMedi Humor
Medicolegal Corner
eMedi Quiz
1. Absolute alcohol.
2. Ultra violet rays.
3. Chlorine releasing compounds.
4. Ethylene oxide gas.
Lifestyle Updates
Inspirational Story 1: The Old Man and the Rose
Inspirational Story 2: Success depends upon maturity!
Tune into a parasympathetic lifestyle to counter insomnia
About 93% Indians are sleep deprived due to various reasons including lifestyles
New Delhi, 24 November 2018: A recent research has indicated that undergoing surgical menopause may worsen insomnia in women. Surgical menopause is often accompanied by more psychological and physical difficulties and nearly 20% of post-menopausal women reported sleep disturbances. Research has linked insomnia to high blood pressure, congestive heart failure, diabetes and other ailments.

Insomnia is trouble falling asleep. One of its forms, called sleep-maintenance insomnia, is difficulty staying asleep, or waking too early and struggling to get back to sleep. It gives rise to worry over not getting enough sleep, which further interferes with sleep, creating a vicious cycle.

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