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Editor-in-Chief eMediNexus – Dr KK Aggarwal
29th November 2018
Nicotine replacement therapy across the globe

Dr KK Aggarwal, Padma Shri Awardee

Nicotine replacement therapy (NRT) is used to relieve nicotine withdrawal symptoms by providing nicotine without the use of tobacco, while the smoker breaks the behavior of cigarette smoking. NRT is effective for smoking cessation.

Many smokers worry that they will become dependent on NRT, but nicotine dependence rarely occurs, especially with the long-acting patch (USPSTF 2015). Smokers may also worry that nicotine causes cancer, which it does not.

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Top News

HC gives lease of life to kid with rare disease

New Delhi (TOI): Delhi high court recently came to the rescue of a toddler suffering from one of the rarest ailments, a congenital degenerative disease that afflicts just two people in every 1.3 billion and entails a monthly treatment cost of Rs1.25 lakh. Justice Najmi Waziri said the Aam Aadmi Party government would foot the expenses involved in the medication and domiciliary care of the two-and-half-year-old child... read more

Microbes in space: concerns raised about bacteria in the ISS

Five strains of the bacterium Enterobacter recovered from areas on board the International Space Station (ISS) have been identified, with researchers urging further careful research to determine whether continuous exposure to microgravity could induce potentially dangerous mutations. In a paper published in the journal BMC Microbiology, a team led by Nitin Singh and Daniela Bezdan from the Biotechnology and Planetary Protection Group at the Jet Propulsion Laboratory of the ... read more

Morning Medtalks

Morning MEDtalks with Dr KK Aggarwal 29th November 2018

Democratic Republic of the Congo begins first-ever multi-drug Ebola trial: The Ministry of Health of the Democratic Republic of the Congo (DRC) has announced that a randomized control trial has begun to evaluate the effectiveness and safety of... read more

Practice Updates

New clinical practice guidelines on use of IV fluids for children

The American Academy of Pediatrics (AAP) has published clinical practice guidelines on maintenance intravenous fluids in children in surgical (postoperative) and medical acute-care settings, including critical care and the general inpatient ward online Nov. 26, 2018 in the journal... read more

Endurance training associated with healthy aging

A randomized, controlled study examining the differential effects of endurance, interval and resistance training on telomerase activity and telomere length concluded that endurance training and interval training (IT) but not resistance training (RT), increased telomerase activity and ... read more

ACC recommendation on CV risk reduction in patients with type 2 diabetes and ASCVD

Cardiologists should consider adding a glucose-lowering drug proven to have cardiovascular benefits for patients with type 2 diabetes and established atherosclerotic cardiovascular disease (ASCVD) to reduce risk in these patients, according to consensus recommendations from the... read more

Deltoid muscle echogenicity may help detect unrecognized diabetes in patients with shoulder pain

A study presented at the Radiological Society of North America annual meeting in Chicago has suggested that the echogenic appearance of the deltoid muscle may detect unrecognized diabetes in patients complaining of shoulder pain, with good. The positive predictive value was ... read more

Improve hand hygiene and patient decolonization may prevent transmission of Staph aureus ST5 in ORs

A study published Nov. 27, 2018 in the American Journal of Infection Control found that intra-operative Staph aureus ST 5 isolates are a more pathogenic strain that are associated with increased risk of transmission and infection in ORs. Also, patient skin surfaces and healthcare ... read more

RSSDI 2018 Updates

Novel Biomarkers in Diabetic Complications - Dr Sudha Vidyasagar

  • Novel biomarkers may help in detecting diabetic complications much earlier than traditional ones. They may predict incidence and progression of these complications. Transferrin, albumin, IgG, NGAL, NAG, TNF-a, IL-1b, IL-18, VEGF are some of the novel biomarkers in diabetic nephropathy. Systemic subclinical and vascular inflammation has been shown to ... read more

Etiopathogenesis and Management of Diabetic Heart Failure - Dr Dheeraj Kapoor

  • Heart failure (HF) in patients with diabetes is still under-recognized and misdiagnosed. Untreated or undertreated HF has very poor prognosis.... read more

Prevention of Diabetes: Is It Possible? -Dr GD Ramchandani

    • The Indian Diabetes Prevention Program (IDPP): Both lifestyle modification and metformin significantly reduced the incidence of diabetes in Asian Indians with impaired glucose tolerance (IGT). There was no added benefit from combining them.... read more

Positioning SGLT2 Inhibitors in Diabetes Treatment Algorithm - Dr Ambrish Mithal,

  • According to the AACE 2018 guidelines, SGLT2i are recommended over other AHAs.... read more
eMedi Humor
Medicolegal Corner
eMedi Quiz
1. "I will chew sugarless gum and mints."
2. "I will drink carbonated beverages."
3. "I will take my medication at breakfast."
4. "I will use a humidifier at bedtime."
Lifestyle Updates
Inspirational Story 1: Keep Your Dream
Inspirational Story 2: The Cross Room
Childhood trauma can trigger post-traumatic stress disorder in adulthood
Lifestyle changes can help avoid symptoms and alleviate stress
New Delhi, 27 November 2018: Recent research has suggested that weight gain may be fueling the rise in childhood asthma. Obese youngsters may be more likely to develop the lung condition than children of a healthy weight. About 23% to 27% of new asthma cases could be directly attributable to obesity. Pediatric asthma is among the most prevalent childhood conditions and comes at a high cost to patients, families and the larger health system.New Delhi, 28 November 2018: Researchers have found a link between trauma in childhood and psychotic experiences at the age of 18. The latter refers to any abnormal experiences such as hearing voices or feelings of paranoia. The study they conducted revealed that about 25% to 60% of the young people who reported psychotic experiences would not have developed these if they had not been exposed to trauma such as bullying, domestic violence or emotional neglect as a child.

About 5% of the population have psychotic experiences at some point in their life. These can lead to further mental health issues and this makes it important to understand the role of trauma in increasing this risk.

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