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Editor-in-Chief eMediNexus – Dr KK Aggarwal
 
31st July 2018
Should aspirin be discontinued preoperatively in patients undergoing non-cardiac surgery?

Dr KK Aggarwal, Recipient of Padma Shri

• If the patient is on aspirin for primary prophylaxis, then discontinue aspirin for 5 to 7 days before the surgery. Restart as soon as the perioperative risk of major bleeding has passed.

• If the patient is on long-term aspirin for secondary prophylaxis, continue aspirin in patients with prior PCI with stenting and those undergoing carotid endarterectomy, unless the risk of major bleeding is thought to be high (POISE-2 trial) or the surgery involved is not likely to have bleeding controlled by homeostasis (prostate surgery, intra ocular surgery, intra cranial surgery).. ....read more

Top News

National Viral Hepatitis Control Program launched

"With this initiative, Government is strongly committed to work towards elimination of viral hepatitis by 2030." This was stated by Shri JP Nadda, Union Minister of Health and Family Welfare as he launched the National Viral Hepatitis Control Program to mark the World Hepatitis Day, 2018. At the function, he also released the Operational Guidelines for National Viral ... read more

Morning Medtalks

Morning MEDTalks with Dr KK Aggarwal 31st July 2018

NABH entry level accreditation extended for one year Circular No. IRDA/HLT/REG/CIR/146/07/2016 DT.29.7.2016: the due date to get the entry level NABH certification was July, 2018 and the same has been extended for one more year. INSURANCE REGULATORY AND DEVELOPMENT AUTHORITY OF INDIA Ref: IRDAI/HLT/GDL/C IR/114/07/2018/ 27th July, 2018 To All Insurance Companies and Third Party Administrators Re: Modified Guidelines on Standards and Benchmarks for hospitals in the provider network On examining the extent of compliance to the standards and benchmarks specified, in supercession of Clause (a) and Clause (b) of Chapter IV of Guidelines on Standardization in Health Insurance issued vide Circular Ref: IRDA/HLT/REG/CIR/146/07/2016 dated 29th July, 2016, the following modified Clause (a) and Clause (b) are issued. ... read more

Practice Updates

Study suggests paclitaxel + ART as initial treatment of advanced Kaposi's sarcoma

Findings of a study presented at the 22nd International AIDS Society in Amsterdam suggest combination of paclitaxel and ART as a standard of care for initial treatment of advanced Kaposi's sarcoma. Progression-free survival at 2 years with oral etoposide + ART, bleomycin and ... read more


Ultrasound-defined digit flexor tenosynovitis predicts subsequent RA in early arthritis

Ultrasound-defined digit flexor tenosynovitis was an independent predictor for data for development of subsequent rheumatoid arthritis (RA) in patients with early inflammatory arthritis more than the presence of anti–citrullinated protein antibody and ultrasound-defined joint .. read more


AAP issues guidance on counseling children at risk for infertility and sexual function concerns

AAP has published a first of its kind report on counseling in children at risk for infertility and sexual function concerns in the August 2018 issue of Pediatrics. The report includes recommendations on how to have developmentally appropriate conversations with young patients and says that counseling about fertility and sexual function is essential and should begin with .. read more


Study identifies haplotype predisposing to highest risk for childhood nephrotic syndrome

Children who carry the HLA haplotype HLA-DRB1*08:02-HLA-DQB1 (odds ratio: 3.60) have the highest risk of developing childhood nephrotic syndrome, while children who carry the haplotype HLA-DRB1*13:02-HLA-DQB1*06:04 (odds ratio: 0.10). These findings were published online July ... read more


Long working hours are a modifiable risk factor for diabetes

Women who work 45 hours or more each week were 63% more likely to develop incident diabetes in comparison to women working 35 to 40 hours in a week, says a study involving 7065 Ontario workers followed for 12 years published in BMJ Open Diabetes Research & Care online ... read more

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Lifestyle Updates
 
Inspirational Story 1: Military story: True friend
Inspirational Story 2: Bank account
Monsoon fever can be deceptive and dangerous
Any medication should be taken only in consultation with a specialist
 
New Delhi, 30 July 2018: The number of those with fever and other associated conditions increases during monsoons in India, indicate statistics. However, in this season, any episode of fever should not be taken lightly as there may be many diseases responsible, the commonest being viral, malaria, dengue, or Chikungunya. Awareness need to be created on identifying the warning signals and getting expert help at the earliest to avoid comorbidities.

With the monsoon, varsharitu starts in India. In Ayurveda, it is the time for aggravation of Vata or the movement functions in the body. While this is a time to rejoice, it is also imperative to take certain precautions, especially in children, failing which they can become susceptible to a host of diseases and infections.

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