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Editorial (Dr K K Aggarwal)
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30th December, 2017
Exercise may improve memory in patients with mild cognitive impairment

A practice guideline released by the American Academy of Neurology (AAN) has recommended exercise for patients with mild cognitive impairment (MCI) as part of approach to managing symptoms. The guidelines endorsed by the Alzheimer’s Association say that exercising twice a week may improve thinking ability and memory in such patients.

 

Mild cognitive impairment is a medical condition that is common with aging. While it is linked to problems with thinking ability and memory, it is not the same as dementia. However, there is strong evidence that MCI can lead to dementia. Hence, early diagnosis of MCI is important.

Other major recommendations include:

  1. Evaluation of patients with MCI for modifiable risk factors, functional impairment including behavioral/neuropsychiatric symptoms (Level B)..... read more
Special
Top News

National Strategic Plan on HIV/AIDS

The National Strategic Plan on HIV/AIDS and Sexually Transmitted Infections (STI), 2017-24 was released on World AIDS Day. The aim is to achieve elimination of mother-to-child transmission of HIV and Syphilis as well as elimination of HIV/AIDS related stigma and discrimination by 2020. On prevention of new infections,... read more

Practice Updates
FDA permits marketing of device to treat diabetic foot ulcers

The US Food and Drug Administration (FDA) has permitted the marketing of the Dermapace System, the first shock wave device intended to be used in the treatment of chronic, full-thickness diabetic foot ulcers with wound areas measuring no larger than 16 cm2 (about the size of a soda can top) which extend through the epidermis, dermis, tendon, or capsule, ...read more

Topiramate during pregnancy increases risk of cleft palate

Taking topiramate during the first trimester increased the risk of cleft lip or palate in the baby by 3-folds, says a study published online December 27, 2017, in the journal Neurology. The risk increased with higher dose of topiramate compared to taking a lower dose....read more

Social determinants of health play a key role in outcomes, says ACOG

The American College of Obstetricians and Gynecologists (ACOG) has released a new Committee Opinion highlighting the importance of social determinants of health and cultural awareness in the delivery of reproductive health care. It says that “recognizing the importance of social determinants of health can help ...read more

Study shows long-term safety and effectiveness of MiStent SES

Five-year outcomes from the DESSOLVE I and II trials published December 26, 2017 in the journal EuroIntervention show the long-term safety and effectiveness of a sirolimus-eluting stent (MiStent SES) with a bioabsorbable coating with low rates of five-year major adverse cardiac events (MACE),...read more

Adherence to healthy dietary guideline improves well-being of the child

Findings from the IDEFICS study show an association between higher adherence to healthy dietary guidelines and better well-being. Higher adherence to healthy dietary guidelines was also found to be associated with fewer emotional and peer problems at follow-up, regardless of the body weight of the child....read more

Standardized evaluation of critically ill patients

The NHS in England has adopted National Early Warning Score (NEWS) 2 as the early warning system to standardize the evaluation of hospitalized patients who are critically ill, including those with sepsis, detection of clinical deterioration and initiating a timely clinical response....read more

 
eMedi Humor
Medicolegal Corner
eMedi Quiz
a. Potassium level of 3.5 mEq/L
b. Hematocrit of 35%
c. Blood glucose level of 200 mg/dL
d. White blood cell (WBC) count of 20,000/mm3
Lifestyle Updates
 
Inspirational Story 1: : The Seed of Honesty
Inspirational Story 2: Promise Yourself
Postpartum depression is a serious condition and may require treatment
Awareness should be created among new mothers on how to cope with this condition
 
New Delhi, 29 December 2017: Recent research has indicated that a protein regulating a system in the brain that mediates physiological response to stress may be responsible for depression in women during and after pregnancy. The study demonstrated the involvement of the neuroendocrine system that mediates physiological response to stress, called the hypothalamic-pituitary-adrenal (HPA) axis, which is normally suppressed during and after pregnancy.
 
About one in five new mothers are affected by postpartum depression. This condition leads to anxiety, severe fatigue, inability to bond with children, and suicidal thoughts in mothers. It has also been associated with developmental problems in infants.
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