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Editor-in-Chief eMediNexus – Dr KK Aggarwal
Editor-in-Chief eIMANews - Dr Ravi Wankhedkar
6th March, 2018
Controlling noise pollution: Always try speaking in a minimum audible volume

Dr K K Aggarwal,Recipient of Padma Shri

As per guidelines, the permissible noise levels in residential areas is 45 dB in night time and 55 dB in day time. Permissible noise limits in Silence zones are 50 dB in daytime (6am to 10 pm) and 40 dB in night time (10 pm to 6am). Silence zone is referred as areas up to 100 meters around such premises as hospitals, educational institutions and courts.

In the last three years, I have checked noise levels in CMEs organized by various bodies and found them to between 60 and 100 dB. For a proper attention span, the noise levels should be below 50 dB.... read more

Top News

WHO declares Kenya free of dracunculiasis

The World Health Organization (WHO) has certified Kenya free of dracunculiasis transmission following the recommendation of the International Commission for the Certification of Dracunculiasis Eradication (ICCDE). Kenya now becomes the 187th WHO Member State to be certified dracunculiasis-free, a major .... read more

About 19 million newborns at risk of brain damage every year due to iodine deficiency

Nearly 19 million (14%) babies born globally every year are at risk of permanent yet preventable brain damage and reduced cognitive function due to a lack of iodine in the earliest years of life, according to a new report from the UN Children’s Fund (UNICEF) and its partner, the Global Alliance of Improved Nutrition (GAIN)..... read more

Practice Updates

A positive outlook may improve outcomes for people with chest pain

In a study presented at the American College of Cardiology’s 67th Annual Scientific Session, patients who were self-described as more optimistic were 40% less likely to be hospitalized with angina or have a revascularization procedure compared with those who were not....... read more

Ramadan fasting can be safe for patients with heart failure

Ramadan fasting can be safe for patients with heart failure, according to research presented March 1, 2018 at the 29th Annual Conference of the Saudi Heart Association (SHA29) in Riyadh, Saudi Arabia. Patients with worsening symptoms were less likely to have adhered to fluid and ... read more

Gastric bypass surgery results in better glycemic control and obesity lifestyle modification

Results from the SLIMM-T2D (Surgery or Lifestyle with Intensive Medical Management in the Treatment of Type 2 Diabetes) study show that obese patients (body mass index (BMI) 36.3) treated with Roux-en-Y gastric bypass did significantly better, after three years,.... read more

Hemodialysis may reduce cerebral blood flow in older patients with kidney failure

In a group of older patients undergoing hemodialysis, cerebral blood flow declined by 10% in all brain regions that were examined, from before the start to the end of hemodialysis, says a study published March 1, 2018 in the Journal of the American Society of Nephrology suggesting a link between ... read more

Patients with opioid-induced constipation may benefit from naldemedine

Results of the double-blind phase 3 COMPOSE-3 trial show that naldemedine, a mu-opioid receptor antagonist, can relieve opioid-induced constipation in patients with chronic non-cancer pain. The trial is reported online February 6, 2018 in the journal Pain..... read more

Quadrupling dose of inhaled glucocorticoids reduces exacerbations of asthma

A temporary increase in the dose of inhaled glucocorticoids by a factor of 4 at the time of worsening asthma control resulted in fewer severe exacerbations of asthma than no increase in the dose (45% vs. 52%) as demonstrated in a study published March 3, 2018 in the New England Journal of Medicine. ... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
1. pKa of a drug is the pH at which the drug is 50% ionized.
2. Small changes of pH near the pKa of a weak acidic drug will not affect its degree of ionization.
3. Knowledge of pKa of a drug is useful in predicting its behavior in various body fluids.
4. Phenobarbitone with a pKa of 7.2 is largely ionized at acid pH and will be about 40% non-ionized in plasma.
Lifestyle Updates
Inspirational Story 1: :A Pillow and a Blanket
Inspirational Story 2: A Child's Love
Tips from HCFI to cope with exam-related stress
Remember to not compete with others and focus on your strengths instead
Parents should avoid setting unrealistic expectations on children
New Delhi, 5th March 2018: It is that time of the year again – board examinations have begun for classes 10 and 12. Both students and parents are under immense stress during this period. The expectation to excel in various subjects is not only a deterrent in preparation but also puts undue pressure on the kids.
While some amount of anxiety is helpful, it should not lead to health issues. Unrealistic expectations can cause restlessness, irritability, sadness, anxiety, and even forgetfulness. Parents should remember to not impose their expectations on children or compare them with others.
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