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Editor-in-Chief eMediNexus – Dr KK Aggarwal
18th November 2018
New ACC/AHA/HRS clinical practice guidelines on bradycardia and cardiac conduction delay: Top 10 Take-Home Messages

Dr KK Aggarwal, Padma Shri Awardee

Recently, the American College of Cardiology (ACC), the American Heart Association (AHA) and the Heart Rhythm Society (HRS) have jointly released a guideline for the evaluation and treatment of patients with bradycardia and cardiac conduction disorders.

Bradycardia has been defined in the guideline as a heart rate of less than 50 beats per minute, compared to a normal heart rate of 50-100 beats per more

Guest Editorial
Delhi High Court: Advisory dated 28.08.2018 of central government banning ENDS is not binding on states/UT

Advocate Ira Gupta

In the matter titled as “Piush Ahluwalia versus Union of India” the Hon’ble High Court of Delhi vide order dated 14.11.2018 has held that the advisory dated 28.08.2018 issued by the Central Government is not binding and it would be open to the respective states and union territories to take an informed decision in this regard. The Hon’ble Court has further held that the petitioner is at liberty to challenge any action that may be taken by the State Governments/Union Territories in accordance with more

Top News

Preventing mother-to-child transmission of Chagas disease: From control to elimination

The World Health Organization (WHO) is shifting its focus towards active screening of girls and women of childbearing age to detect the presence of Trypanosoma cruzi, the causative parasite of Chagas disease. Recent evidence demonstrates that diagnosing and treating women of this age group before pregnancy can effectively prevent congenital transmission.... read more

Morning Medtalks

Morning MEDtalks with Dr KK Aggarwal 18th November 2018

Choosing Wisely: Questions parents should ask about their hospitalized child's antibiotics: The American Academy of Pediatrics (AAP), as part of the Choosing Wisely® campaign, wants to protect hospitalized children from the effects of antibiotic resistance by providing a list of recommendations to serve as a starting point of conversation for physicians and patients.... read more

Practice Updates

A new drug to treat travelers’ diarrhea

The US Food and Drug Administration (FDA) has approved Aemcolo (rifamycin), an antibacterial drug indicated for the treatment of adult patients with travelers’ diarrhea caused by noninvasive strains of Escherichia coli, not complicated by fever or blood in the stool.... read more

Use of green space as a treatment

“I'm interested in the idea of green space as a drug, as a treatment,” said Eugenia South, MD, of the University of Pennsylvania, discussing her study that converted vacant lots in Philadelphia into green space and examined the mental health effects on local residents. The study reported July 20, 2018 in JAMA Network Open found that among people exposed to a community-based ... read more

Inhaling deodorant spray to get "high" can be fatal

The BMJ has reported a case of a 19 year old man under treatment for ketamine and cannabis abuse and who relapsed. In a bid to get high, he put a towel over his head and inhaled the spray from a deodorant. He quickly became hyperactive, before going into cardiac arrest and collapsing. Basic life support and six rounds of defibrillation failed to revive him and he was admitted to intensive care where he was put into an induced medical coma. His condition did not... read more

Different types of physical activity offer varying protection against heart disease

New research, presented at the ACC Latin America Conference 2018 in Lima, Peru, found that while all physical activity is beneficial, static activities—such as strength training-were more strongly associated with reducing heart disease risks than dynamic activities like walking and cycling. Patients who did both types of physical activity had better outcomes than patients who ... read more

Long-term exposure to road traffic noise may increase obesity risk

Long term exposure to road traffic noise is associated with increased risk of obesity, as per a study published in Environment International online Nov. 16, 2018. A 10 dB increase in mean noise level was associated with a 17% increase in obesity.... read more

ESICON 2018 Updates

Endocrine Disruptors Impacting Daily Lives: Prof Shashank R Joshi, Mumbai

In our everyday life, we breathe, eat and live in an environment which has a huge impact due to environmental disruption by chemical substances. It's linked not only to diabetes, obesity and carcinogenic risk, but also to a host of endocrine disorders. Banning plastic in some states as well as better waste disposal systems in public health in some parts of India are .... read more

Time 2 Do More in India: Dr Ambrish Mithal and Dr Päivi Maria Paldánius

Time 2 Do More in Diabetes Project Mission: To identify barriers in improving the treatment of type 2 diabetes mellitus (T2DM) and understand ways these can be overcome; understand clinical inertia and to what extent it constitutes a barrier to improving care in T2DM or chronic disease management, and to explore perceptions ... read more

Diagnosis and Management of Pheochromocytoma: Prof Karel Pacak, USA

Pheochromocytomas (PHEOs) are chromaffin - neural crest cell tumors characterized by catecholamine production and catecholamine metabolites (metanephrines/methoxytyramine) secretion.... read more

An Endocrinologist’s Perspective of Life: Dr Manoj Chadha, Mumbai

"Experience is not what happens to a man, it is what a man does with what happens to him" -Aldous Huxley An Endocrinologist is faced with many challenges in life; admission to DM program, finding a right partner, dilemma between academic post vs. consulting practice, setting up a clinic, managing a balance between work and family. ... read more

Predictors of Osteoporotic Fractures: Strengths and Weaknesses: Prof Nikhil Tandon, New Delhi

Predictors of osteoporotic fractures include: bone mass - bone mineral density (BMD); clinical risk factors (CRFs) - FRAX (fracture risk assessment tool); bone microarchitecture -Trabecular bone score (TBS). BMD correlates strongly with fracture risk and is a useful tool for treatment monitoring. However, it has a poor sensitivity as ... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
1. Protein S deficiency.
2. Malignancy.
3. Obesity.
4. Progesterone therapy.
Lifestyle Updates
Inspirational Story 1: Promise Yourself
Inspirational Story 2: The lucky starfish
Oral cancer spreads its grip on India, tobacco among the biggest risks
In the last 6 years, its incidence has increased by about 114%
New Delhi, 17 November 2018: The number of cancer cases in India has gone up in the last six years by 15.7% according to the Indian Council of Medical Research’s National Institute of Cancer Prevention and Research. This year alone, about 11.5 lakh cancer cases were reported across the country, as against 10 lakh in 2012. Cancers of the lip and oral cavity, in particular, increased by a whopping 114% in the six-year period.

Oral cancer is cancer that develops in any part of the mouth, including the lips, tongue, cheeks, sinuses, pharynx, hard and soft palate, etc. Tobacco use is one of the biggest risk factors for oral cancer. These include cigarettes, cigars, pipes, chewing tobacco, as well as snuff. People who consume large amounts of alcohol also have a higher risk of neck and head cancer...

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