Editor-in-Chief eMediNexus – Dr KK Aggarwal
4th August 2019

Losing the golden hour

Dr KK Aggarwal, Recipient of Padma Shri

What does it say about health care if even celebrities don't get critical first aid?

Reproduced from: https://indianexpress.com/article/opinion/columns/losing-the-golden-hour-timely-healthcare-india-5873843/

Will we get timely healthcare when we need it is a question often asked by people in India. The answer, unfortunately, is no. Cardiac arrest revival needs to be done within four minutes, angioplasty in a heart attack needs to conducted within 90 minutes and a road traffic accident victim needs to be provided on the spot first aid within 10 minutes and the victim's vital parameters should stabilise in an hour. Advanced ambulance care needs to reach the victim within four minutes. But even in Delhi, a patient cannot get such care.

The right to health and right to timely medical care is a fundamental right under Article 21 of the Constitution. But are we getting timely medical care? The December 16, 2012 rape victim, for example, was transferred from Munirka to Safdarjung Hospital - a distance of 6.2 km allegedly covered in 45 minutes - without any help....read more

Perivascular fat attenuation index is predictive of future cardiac events in patients with chronic skin conditions

Dr KK Aggarwal, Recipient of Padma Shri

(NIH): Treating underlying inflammatory conditions may reduce the risk of cardiovascular diseases. A new study published online in JAMA Cardiology found that anti-inflammatory biologic therapies used to treat moderate to severe psoriasis can significantly reduce coronary inflammation in patients with the chronic skin condition.

The researchers analyzed 134 patients, from an ongoing, prospective cohort study at NIH, the Psoriasis Atherosclerosis Cardiometabolic Initiative cohort, who suffered moderate to severe psoriasis and had not received biologic treatment for at least three months before starting on the study's therapy. Fifty-two of these patients were treated with topical or light therapies only and served as the control group...read more

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Practice Updates

Improving health service monitoring of high-risk populations seeks to prevent new HIV infections

A new tool has been launched by the Pan American Health Organization (PAHO) that aims to help health services in Latin America and the Caribbean better monitor the health of those at high risk of contracting HIV in order to prevent the infection. The ‘monitoring framework for HIV services for key populations' tool, launched at the 10th IAS Conference on HIV Science (IAS 2019) in Mexico City, is a new way of monitoring;... read more

Doctors sound alarm about rapidly spreading, deadly, drug-resistant fungus

A drug-resistant fungus discovered in Japan in 2009 is spreading around the world at an alarming rate. Candida auris outbreaks often happen in hospitals and other places where those with weakened immune systems reside. The fungus can live on walls and other surfaces like furniture for weeks at a time, creating a major, yet invisible, threat.... read more

FDA approves first therapy for rare joint tumor

The U.S. Food and Drug Administration granted approval to Turalio (pexidartinib) capsules for the treatment of adult patients with symptomatic tenosynovial giant cell tumor (TGCT) associated with severe morbidity or functional limitations and not responsive to improvement with surgery... read more

New Alzheimer's Blood Test 94% Accurate

A new blood test to detect brain changes suggestive of early Alzheimer's disease (AD) has moved one step closer to reality and could be a "game changer" for the field. Researchers found that measuring the ratio of ß-amyloid (Aß) 42 and Aß40 in blood using a high-precision assay is 94% accurate in diagnosing brain amyloidosis, using amyloid PET or CSF phosphorylated (p-tau) 181/Aß42 as reference standards.... read more

New ADA Update: Liraglutide for Youth; Technology Issues

Updates to the American Diabetes Association's (ADA's) Living Standards of Medical Care in Diabetes incorporate the recent approval of liraglutide for youth with type 2 diabetes, new cardiovascular outcomes trial (CVOT) data for dulaglutide, and new consensus recommendations for "time-in-range" using continuous glucose monitoring (CGM).... read more

Medical Voice

A suspected case of monkey malaria detected

A native of Bareilly is suspected to have been diagnosed with ‘monkey malaria' in Almora district hospital, the spotlight has again shifted to research on the deadly disease which could not be completed in a year, reports the Times of India yesterday.

The patient is suspected to have contracted the infection from a rare malaria parasite — Plasmodium knowlesi, which is usually found in monkeys.... 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
1. At least one cup of fruit or vegetables.
2. One cup of fruit and one cup of vegetables.
3. One cup of fruit and 1 1/2 cups of vegetables, for a total of 2 1/2 cups.
4. Two cups of fruit and two cups of vegetables.
5. Four to five cups of fruit and vegetables.
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