Editor-in-Chief eMediNexus – Dr KK Aggarwal
5th January 2019
Quit, or patch up!

SB Easwaran

Should e-cigarettes, nicotine patches, other nicotine-replacement therapies, and heat-not-burn (HNB) tobacco products be encouraged? Are they less harmful than smoking and traditional ways of taking tobacco? The current tobacco debate, as always, is between the hard line and pragmatism. Both sides have cogent arguments in this suspicion-ridden contest, clouded by the shadow wars staged by big tobacco and pharma lobbies.

Among those in India who argue for a pragmatic approach is leading cardiologist Dr KK Aggarwal, a Padma Shri and former president of the Indian Medical Association (IMA). "If a patient tells me he smokes, I tell him he must quit. As a doctor, my ethics dictate that I do that - and I always advise young people to never consume tobacco in any form....read more

Law on Euthanasia in India

Dr KK Aggarwal & Advocate Ira Gupta

Life and death as concepts have invited many a thinker, philosopher, writer and physician to define or describe them. Swami Vivekananda expects one to understand that life is the lamp that is constantly burning out and further suggests that if one wants to have life, one has to die every moment for it. One may like to compare life with constant restless moment spent in fear of extinction of a valued vapour; and another may sincerely believe that it is beyond any conceivable metaphor. Death is complicated and life is a phenomenon which possibly intends to keep away from negatives that try to attack the virtue and vigour of life from any arena. In spite of all the statements, references and utterances, be it mystical, philosophical or psychological, the fact remains, at least on the basis of conceptual majority, that people love to live – whether at eighty or eighteen – and do not, in actuality, intend to treat life like an -autumn leaf....read more

Practice Updates

Clinical trial to develop breath test for multiple cancers launched

Researchers have launched a clinical trial to develop a breath test, analysing molecules that could indicate the presence of cancer at an early stage. The Cancer Research UK Cambridge Centre is running the PAN Cancer trial for Early Detection of Cancer in Breath... read more

Disabled must get insurance benefit even when parents are alive: SC

NEW DELHI: The Supreme Court on Thursday said that insurance policy taken by parents or guardians for disabled child should be allowed to mature after 55 years of age of proposer against the present practice of giving lump sum payment to disabled dependent only in the event of death of the guardian..... read more

NIH study implicates hyperactive immune system in aging brain disorders

In a study of fruit flies published Jan 2, 2019 in Cell Reports, researchers say that the body’s immune system may play a critical role in the damage caused by aging brain disorders. Altering the activity of Cdk5 resulted in the death of dopamine releasing neurons, especially in the brains of older flies. ....read more

Non-adherence to a gluten-free diet increases risk of nutritional deficiencies in children

According to a study reported in Clinical Gastroenterology and Hepatology, children with celiac disease in the US are not being adequately followed up for adherence to a gluten-free diet, a crucial component for their treatment and protection against intestinal damage..... read more

Severe air pollution affects the productivity of workers

A study from the National University of Singapore (NUS) published Jan 3, 2019 in the American Economic Journal: Applied Economics has shown that exposure to air pollution over several weeks reduces employee productivity besides the adverse effects on health.... read more

Size alone is not an indication for surgical resection of thyroid nodules

Large cytologically benign thyroid nodules do not have high rates of malignancy or false-negative rates and clinical observation should be considered, as per a meta-analysis published online December 14, 2018 in the journal Thyroid. Patients with large, cytologically benign thyroid nodules need not undergo immediate surgical resection, ... read more

The five most addictive substances in the world

Cocaine: It directly interferes with the brain's use of dopamine to convey messages from one neuron to another. In essence, cocaine prevents neurons from turning the dopamine signal off, resulting in an abnormal activation of the brain's reward pathways. In experiments on animals, cocaine caused dopamine levels to rise more than three times the normal level..... read more

Top 5 Infectious Disease Concerns to Watch in 2019

Ask any infectious disease specialist or preventionist what his or her biggest fear is and chances are antibiotic resistance is high on that list. "Antimicrobial resistance is an important public health threat. Higher rates of antimicrobial resistance have several deleterious effects, ... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
1. Hb < 13.5 g/dL or hematocrit (HCT) < 41.0% represents anemia in men
2. Hb < 12.0 g/dL or < 36.0%, respectively, represents anemia in women.
3. Differences may also exist between races, in older adults, and in athletes.
4. All of the above
Lifestyle Updates
Inspirational Story 1: The lucky starfish
Inspirational Story 2: Small Victories
People with diabetes must consume soft drinks in consultation with a specialist as a way of harm reduction
Soft drinks may contain over 10% sugar content
New Delhi, 4th January 2019: A recently published study has indicated that drinking diet soda may increase the risk for proliferative diabetic retinopathy. This is a severe type of diabetic eye disease that can lead to blindness. The study evaluates the link between soft drink consumption and microvascular complications of diabetes. Consuming more than four cans, or 1.5 litres, of diet soft drinks per week was associated with a twofold increased risk of having proliferative diabetic retinopathy.

Traditional soft drinks today have over 10% sugar and sweets have 30% to 50% sugar. Any sweet has minimum of 30% sugar but if made of

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