Editor-in-Chief eMediNexus – Dr KK Aggarwal
26th February 2019

Medical Negligence: A Cross to Bear

Dr KK Aggarwal, Recipient of Padma Shri

Do surgeries where swabs and instruments are left inside the body of a patient fall under the ambit of criminal negligence and how have courts adjudicated in such matters?

Recently, two doctors at Nizam's Institute of Medical Sciences in Hyderabad were booked under Sections 336 and 337 of the Indian Penal Code for alleged medical negligence after surgical forceps were found in the abdomen of a woman who had undergone surgery last year. The forceps were surgically re­moved. Such cases where swabs and scissors are left behind after an operation are often reported in the media. Is this willful negligence or carelessness?

A retained surgical instrument is any item inadvertently left behind in a patient's body in the course of surgery. As a preventable medical error, it occurs more frequently than "wrong site" surgery and it incidence has a reported rate of 0.01-0.001 percent. Of these, swabs make up 70 percent of the cases and the remainder, surgical instruments.....read more

Vaccine travel advice: It's time to have a National Vaccine Travel Advisory

Dr KK Aggarwal, Recipient of Padma Shri

The CDC regularly updates its Travel Health Notices and issues Travel Advisories, which inform American travelers about current health situations to specific international destinations on its website.

India is home to large variety of infectious diseases, which are endemic in different parts of the country.

So, when Americans and other international travelers are advised by their national public health bodies to take certain vaccines when traveling to India, why do we not have a National travel advisory for vaccines in place for interstate travel or when we travel from urban India to rural India?...read more

Practice Updates

HIV infections in US could be reduced by up to 67% by 2030

New HIV infections in the United States could be substantially reduced by up to 67% by 2030 if ambitious goals for HIV care and treatment are met and targeted prevention interventions for people at risk for HIV are rapidly scaled up, according to a study published Feb. 22, 2019 in the journal AIDS and Behavior. Achieving this goal would require the percentage of people diagnosed with HIV who are receiving care.... read more

Monthly buprenorphine injections effective for opioid use disorders

The Lancet has reported online Feb. 19, 2019 that the long-acting buprenorphine formulation BUP-XR, a monthly extended-release injection, is more effective than placebo in helping patients struggling with addiction to opioids. Most of the participants achieved abstinence from opioids, relief of withdrawal symptoms,.... read more

Understanding Liability Risks and Protections for Pediatric Providers During Disasters

A new policy statement “Understanding liability risks and protections for pediatric providers during disasters” from the American Academy of Pediatrics (AAP) recommends that pediatric providers strive to understand their own liability risks, protections and limitations during disasters and develop a disaster readiness plan in order to be poised to respond when disaster strikes.... read more

Exercise and sleep deprivation increase risk of allergic reactions in peanut allergies

Preliminary results from the study first presented at the 2019 Annual Meeting of the American Academy of Allergy, Asthma & Immunology (AAAAI) indicate that both exercise and sleep deprivation have a significant impact on the threshold of reactivity in people with peanut allergies and puts them at a higher risk .... read more

Yoga is an effective antihypertensive lifestyle therapy, says meta-analysis

Yoga is a viable antihypertensive lifestyle therapy that produces the greatest BP benefits when breathing techniques and meditation/mental relaxation are included, concluded a Systematic Review and Meta-analysis published Feb. 6, 2019 in the Mayo Clinic Proceedings.... read more

Push up capacity is an inexpensive tool to assess risk of heart disease

A 10-year longitudinal study published February 15, 2019 in JAMA found that participants who were able to complete more than 40 push-ups had a significant reduction in incident cardiac event risk compared with those completing fewer than 10 push-ups. Push-up capacity is a no-cost, fast, and simple measure that may be a useful and objective clinical assessment tool... read more

Medical Voice

Get TSH done in an elderly if

Unexplained high cholesterol: High cholesterol is sometimes the only evidence of an underactive thyroid in an older person. Heart failure: Reduced blood volume, weaker contractions of the heart muscle, and a slower heart rate due to low thyroid hormone can contribute to heart failure. .... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
1. Pleural effusion.
2. Interstitial lung disease.
3. Lung mass.
4. Mediastinal adenopathy.
Lifestyle Updates
Inspirational Story 1: Don't Sweat the Small Stuff
Inspirational Story 2: A Pillow and a Blanket
Clean water, air, and food are imperative in reducing harm and diseases such as encephalitis
There is a lack of awareness about this disease among people
New Delhi, 25 February 2019: As per estimates by the Encephalitis Society, about 80% of the general public has not heard of the term 'Encephalitis' or do not know what it means. About 500,000 persons are affected by this condition annually worldwide and it can affect any age, sex, or ethnicity. Despite treatment, death rates remain high and survivors can have a residual physical and behavioral impairment, epileptic fits, memory issues, poor concentration and understanding and social problems.

Japanese Encephalitis is the main cause of brain inflammation (viral encephalitis) in Asia. Fatality rates for severe infections according to the WHO

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