Editor-in-Chief eMediNexus – Dr KK Aggarwal
30th June 2019

Inquiry ordered after pregnant woman dies in south Kashmir: Where can be the error?

Dr KK Aggarwal, Recipient of Padma Shri

Authorities have ordered an inquiry after a pregnant woman died at Maternity and Children Hospital Sherbagh in south Kashmir's Anantnag district, even as the police took cognisance of the case. Shobi Jan (25) wife of Mohd Hussain Bhat of Sarnal Anantnag died on Tuesday (June 25). She walked into the hospital on the morning of June 25 (Tuesday). She was asked to take tea and snacks before her delivery which according to the family was fixed at 2 p.m. by the doctors. However, no doctor turned up at the scheduled time.

A female attendant observed that there was no movement of foetus inside the womb and she rushed to inform the doctors. There was no response from the doctors ill 11 pm when she was taken to labour room where no one from the family was allowed to enter. She was taken to operating theater at around 3 a.m....read more

Negative serology not a reliable indicator of mucosal healing in celiac disease

Dr KK Aggarwal, Recipient of Padma Shri

Do not use negative serology as a reliable indicator of mucosal healing in patients with celiac disease who have persistent symptoms. Instead perform endoscopic biopsies to evaluate healing, recommends the American Gastroenterological Association (AGA) in a clinical practice update on the role of serology and histology in monitoring celiac disease.

The key recommendations are:

  • Serology is a crucial component of the detection and diagnosis of CD, particularly tissue transglutaminase-immunoglobulin A (TG2-IgA), IgA testing, and less frequently, endomysial IgA testing.
  • Thorough histological analysis of duodenal biopsies with Marsh classification, counting of lymphocytes per high-power field, and morphometry is important for diagnosis and for differential diagnosis....read more
Video Of The Day : Indoor Pollution
Practice Updates

New Motor Vehicle (Amendment) Bill proposes heavy fines on erring drivers

The government has approved the Motor Vehicle (Amendment) Bill that proposes hefty penalties for violation of traffic norms including up to Rs 10,000 fine for not providing way to emergency vehicles, Rs 10,000 for driving despite disqualification and Rs 10,000 for drunk driving. The proposals are based on the recommendations of Transport Ministers from 18 States,... read more

Health ministry adopts healthy eating practices

The Union health ministry has decided to adopt healthy eating practices and so, from now onwards, all departments under the ministry will stop serving biscuits at office meetings and replace them with walnuts, almonds, dates, roasted gram and lahiya chana -a composition of puffed rice and roasted gram. In a recent circular, the ministry said that starting immediately, "biscuits shall not be dispensed through the departmental canteen" ... read more

Misinformation and growing distrust on vaccines, 'dangerous as a disease' says UNICEF chief

Vaccines save millions of lives, and yet misinformation, limited availability and inadequate access to services have left large numbers of children in jeopardy, prompting the United Nations Children's Fund to convene a high-level UN event on Friday to “tackle the issue”.... read more

High BP in first trimester increases risk for BP disorder later in pregnancy

Elevated blood pressure in the first trimester of pregnancy, or an increase in blood pressure between the first and second trimesters, raises the chances of a high blood pressure disorder of pregnancy, according to the analysis of data from Monitoring Mothers-to-Be (nuMoM2b) published in the American Journal of Obstetrics and Gynecology.... read more

FDA approves expanded indication for avatrombopag

The US Food and Drug Administration (FDA) has approved an expansion of the use of the platelet booster avatrombopag to include adults with thrombocytopenia and chronic immune thrombocytopenia (ITP) that has not responded adequately to previous treatment.... read more

Medical Voice

NIH launches large TB prevention trial for people exposed to multidrug-resistant TB

(NIH): A large phase 3 clinical trial called PHOENIx MDR-TB (Protecting Households on Exposure to Newly Diagnosed Index Multidrug-Resistant Tuberculosis Patients) to assess treatments for preventing people at high risk from developing multidrug-resistant tuberculosis (MDR-TB) has begun.

The study is comparing the safety and efficacy of a new MDR-TB drug, delamanid, with isoniazid,... read more

IDEJ Update

Indian Diabetes Educator Journal (IDEJ), 1st of its kind in India aims to keep the members of diabetes care team abreast with concepts of DSME (Diabetes self-management education) and DSMS (Diabetes self-management support). IDEJ has set a new benchmark in educating the diabetes educators about evolving the concept of DSME- reaching to more than 25000 through Digital and Print Medium..... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
1. The source of infection is mainly clinical cases.
2. The disease is more common in dry and cold months of the year.
3. Chemoprophylaxis of close contacts of cases is recommended.
4. The vaccine is not effective in children below 2 years of age.
Lifestyle Updates
Inspirational Story 1: Love Wealth and Success?
Inspirational Story 2: Depend on Miracles
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Trust is the foundation of a doctor-patient relationship: HCFI
Modern medicine is patient centric and based on partnership
New Delhi, 30th June 2019: As per a recent study, patients who had higher levels of trust in their doctors took their blood pressure medicine 93% of the time versus 82% for those who had lower levels of trust. Additionally, having trust in the medical profession was linked to greater resilience (ability to adapt to difficult life circumstances) and better health-related quality of life. There is a need to raise awareness on the fact that doctor-patient trust is the foundation of the practice of medicine. It is a fiduciary relationship, the latter being the Latin word for "confidence" or “trust."
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