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

Salt shakers should carry tobacco-style health warning label

Dr KK Aggarwal, Recipient of Padma Shri

In an endeavor to reduce dietary salt intake, a position statement published earlier this week in the Journal of Clinical Hypertension suggests that salt sold in supermarkets for consumption and salt shakers in restaurants should be required to carry a front-of-pack, tobacco-style health warning.

This position statement requests that governments require health warnings on packages of sodium chloride (salt) sold for consumption and sodium dispensers. The warning label should be clearly visible and easily readable, indicating that consumption of excess sodium is a health risk and advising consumers to use less sodium....read more

The first FDA-approved oral GLP-1: A new treatment for type 2 diabetes?

Dr KK Aggarwal, Recipient of Padma Shri

Semaglutide (Rybelsus) has been approved by the US FDA as the first glucagon-like peptide (GLP-1) receptor protein treatment for adults with type 2 diabetes, along with diet and exercise. However, it is not recommended as the first choice of drug for treating diabetes. Also, it is not meant for use in patients with type 1 diabetes and people with diabetic ketoacidosis.

Administration: To be taken at least 30 minutes before the first food, beverage or other oral medication of the day, with no more than 4 ounces of plain water....read more

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Practice Updates

340 kids suffering from TB adopted in Meerut

Meerut: With UP accounting for 20% of total notified tuberculosis (TB) cases in India, the state has started taking steps to help eradicate the disease by 2025. Taking a cue from UP governor Anandi Ben Patel who adopted a Lucknow girl suffering from TB, her staff adopted 21 other children, undertaking the responsibility of providing them with nutritious... read more

FDA approves first treatment for children with rare diseases that cause inflammation of small blood vessels

The U.S. Food and Drug Administration has approved Rituxan (rituximab) injection to treat granulomatosis with polyangiitis (GPA) and microscopic polyangiitis (MPA) in children 2 years of age and older in combination with glucocorticoids. It is the first approved treatment for children with... read more

Shift work tied to poor mental health

People who work night shifts or varied schedules that disrupt their sleep may be more likely to develop depression than individuals with 9-to-5 jobs, a research review suggests. Researchers examined data from seven previously published studies of work schedules and mental health involving a total of 28,438 participants.... read more

Why being an optimist is good for your heart

People who look at life from a positive perspective have a much stronger shot at avoiding death from any type of cardiovascular risk than pessimistic people, according to a new meta-analysis of nearly 300,000 people published in JAMA. "We observed that an optimist had about a 35% lower risk of major heart complications,... read more

Vegetarians have higher risk for stroke, lower heart disease risk

People who follow vegetarian or vegan diets may have lower odds for heart disease but higher chances of having a stroke, compared to meat eaters, a large UK study suggests. Researchers followed 48,188 middle-aged adults without any history of heart attacks or strokes for about 18 years. Overall, 2,820 people developed coronary artery disease,... read more

Bariatric surgery may compromise mental health

Bariatric surgery may exacerbate underlying mental health issues or lead to new presentations, suggested a new study of almost 25,000 patients undergoing the procedure for the first time. Over the 10-year study period, this group of Australian patients experienced a nearly fivefold increase... read more

Insulin Degludec fails to best Glargine in CONCLUDE study

Insulin degludec (Tresiba, Novo Nordisk) didn't reduce overall hypoglycemic events compared with insulin glargine U300 (Toujeo, Sanofi) in a head-to-head trial of the two second-generation basal insulins in more than 1600 patients with type 2 diabetes. But degludec was associated with lower rates of nocturnal and severe hypoglycemia than its rival in the study.... 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

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Medicolegal Corner
eMedi Quiz
a) Majority of splenic abscesses result from hematogenous spread from other sites.
b) Both Gram positive and gram negative organisms are responsible for abscess of spleen.
c) Splenomegaly (enlargement of spleen) is present in most of the patients.
d) Two–thirds of the splenic abscess are solitary in adults.
Lifestyle Updates
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