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Editor-in-Chief eMediNexus – Dr KK Aggarwal
27th November 2018

Harm reduction 4: The new science of Precision Medicine

Dr KK Aggarwal, Padma Shri Awardee

Precision medicine, functional medicine, person-centric medicine, person-centered medicine are all new terms in clinical medicine practice today. They focus on treating the patient as a whole and not just the disease alone.

A classical modern medicine doctor would ask "What is my patient suffering from?" but the functional medicine doctor would ask "Who is my patient?"

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Top News

Gujarat tops in implementing Ayushman Bharat

NEW DELHI: Two months after the launch of Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana, Gujarat has emerged as the top performer of the Centre’s ambitious health financing scheme. As of November 23, the state accounted for around 26% of the total number of hospital admissions cleared under the scheme so far.... read more

Early HIV diagnosis means successful treatment

Late diagnosis of HIV remains a challenge across the WHO European Region. Every second newly diagnosed person has already reached an advanced stage of the infection. In the European Union/European Economic Area, the latest data from 2017 show that almost 90% of AIDS diagnoses happened within just 90 days of the HIV diagnosis. This indicates that the majority of these AIDS cases could have been avoided with early diagnosis.... read more

Morning Medtalks

Morning MEDtalks with Dr KK Aggarwal 27th November 2018

Ebola in Congo now infecting newborn babies, says UN. The World Health Organization says a worrying number of the newest Ebola cases amid Congo’s ongoing outbreak are in patients not usually known to catch the disease: babies. In an update published this week, the U.N. health agency reported 36 new confirmed ... read more

Practice Updates

Use of tanning bed increases risk of second melanoma

According to a retrospective study reported in the Journal of the American Academy of Dermatology, 56% of patients exposed to artificial ultraviolet radiation (arUVR) were diagnosed with a second primary melanoma within 1 year of their first diagnosis ... read more

Lipoprotein levels may inform timing of aortic valve replacement

The higher the plasma levels of certain lipoproteins and their components, the faster the progression of calcific aortic valve stenosis among people with mild-to-moderate jets -- with no threshold found for this relationship. Valve stenosis was more likely to progress ... read more

Nonsurgical approaches as effective as surgery in patients with Gleason 9-10 prostate cancer

For prostate cancer patients with aggressive, Gleason 9-10 disease, treatment with aggressive radiotherapy (MaxRT) plus hormone therapy was at least as effective as an aggressive surgical approach (MaxRP) in a retrospective study reported in JAMA Oncology. The ... read more

Risk of falls with trazadone similar to that with atypical antipsychotics

Trazadone, which is often used as an alternative drug is also associated with similar risk of falls and major fractures as antipsychotics in seniors with dementia, according to new research in CMAJ (Canadian Medical Association Journal) reported online published .. read more

Obese children, unlike obese adults, do not have more pain after surgery

While obese adults often report more pain after surgery, the same does not appear to be true for obese children, according to the largest study of its kind presented at the Anesthesiology 2018 annual meeting in San Francisco. The findings suggest the current protocol for managing pain in children after surgery – in which dosing is based .. read more

RSSDI 2018 Updates

GLP-1 Analogue: Extra Glycemic Benefits - Dr SK Sharma, Jaipur

  • GLP-1 agonists are preferred in management of T2DM, weight reduction; they are free of hypoglycemia (used as second-line therapy as add-on + an insulin sensitizer such as metformin; as third-line therapy as add-on therapy to pre-.. read more

Pathophysiology of Macrovascular Impact of Psoriasis in Diabetes -Dr Aastha Chawla, Bikaner

  • Prevalence of diabetes has been shown to be high in psoriasis patients. Studies have demonstrated a higher prevalence of diabetes in patients who have psoriasis, independent of traditional diabetes risk factors such as age, gender, obesity, HT and ... read more

Alarming Signs of Diabetic Kidney Disease - Time for a Nephrologist? -Dr Arvind Gupta, Jaipur,i

  • Physicians should be able to recognize alarming signs early in the course of the disease, and give appropriate treatment, or do timely referral to the Nephrologist. This can result in a substantial reduction in morbidity and .. read more

Managing Diabetes in Low Resource Settings- Dr Mayur Patel, Ahmedabad

  • WHO recommendations: 1. Point of care devices can be used in diagnosing diabetes if laboratory services are not available. ... read more
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Lifestyle Updates
Inspirational Story 1: Go the extra mile to be successful.
Inspirational Story 2: Success depends upon maturity!
Adequate pre- and post-delivery care for the mother can prevent low-birth weight in infants
Significant decline in low infant birth weight since 2017 in India
New Delhi, 26 November 2018: A recent study of about 8,000 Indian women who gave birth between 2004 and 2005 and 2011 and 2012 (India Human Development Survey) has revealed a strong association between adverse birth outcomes and sanitation access, gender-based harassment and physical labor. Spending than two hours per day fetching water was associated with low birth weight. Open defecation or sharing a toilet within the building was associated with greater chances of low birth weight or preterm birth.

Several homes in low-income countries do not have private toilet facilities or a private drinking water source. Women and girls have to thus bear the added burden of fetching water from outside, often walking to longer distances. All this can be physically stressful and lead to low birth infants in expectant mothers.

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