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Editor-in-Chief eMediNexus – Dr KK Aggarwal
 
4th December 2018
The four stages of dysglycemia-based chronic disease: A new diabetes chronic disease care model

Dr KK Aggarwal, Padma Shri Awardee

The American Association of Clinical Endocrinologists (AACE) has introduced a dysglycemia-based diabetes chronic disease care model in a position statement published in the November 2018 issue of the journal Endocrine Practice.

The dysglycemia-based chronic disease (DBCD) care model acknowledges that diabetes exists as a continuum and it is not just a distinct disease characterized by hyperglycemia....read more

Top News

Self-testing for HIV is getting high marks in Zimbabwe

With the support of UNITAID and Population Services International (PSI), Zimbabwe has implemented self-testing through the STAR initiative, which has distributed more than 645,000 kits to date in the country. Zimbabwe has seen large increases in testing among three key groups as a result of self-testing: men,... read more

Jan Aushadhi shops can replace branded drugs with generics

To promote low-cost generic medicines, the government’s top drug regulatory board has allowed Jan Aushadhi Kendras - which are like fair price shops for medicines under the Pradhan Mantri Bharatiya Janaushadhi Pariyojana - to substitute doctor’s prescription with a generic brand. On Thursday, the Drugs Technical Advisory Board cleared a proposal to amend a rule under the... read more

Morning Medtalks

Morning MEDtalks with Dr KK Aggarwal 4th December 2018

A new "Heart Attack Rewind" campaign from FSSAI: A new mass media campaign calling for the elimination of industrially produced trans fat in the food supply has been launched by the Food Safety and Standards Authority of India (FSSAI). Entitled “Heart Attack Rewind,” the 30 second public service announcement... read more

Practice Updates

Triple therapy improves lung function in COPD patients

Use of triple therapy resulted in a lower rate of moderate or severe exacerbations of COPD, better lung function, and better health related quality of life than dual therapy or monotherapy in patients with advanced COPD, as per a systematic review and meta-analysis published online ... read more


Tazarotene gel non inferior to microneedle therapy for post-acne scarring

Tazarotene gel, 0.1%, is a novel treatment approach for atrophic postacne scarring, with an efficacy and tolerability comparable to microneedle therapy, as reported in JAMA Facial Plastic Surgery, online Nov. 15, 2018.... read more


Music improves social communication in children with autism spectrum disorder

In a study of 51 children with autism spectrum disorder reported in Translational Psychiatry, those who were randomly assigned to receive 2 to 3 months of an improvisational music intervention had significantly higher communication scores than those who received a nonmusic intervention. ... read more


Diabetes predicts long-term mortality post-CABG surgery

In an observational cohort study performed in a large tertiary medical center over a period of 11 years, diabetic and non-diabetic patients have similar in-hospital mortality rates. Survival rates of diabetic patients start to deteriorate 3 year after surgery. The study published Nov. 29, 2018 in Cardiovascular Diabetology... read more


Rapid decline in lung function increases risk of heart disease

A rapid decline in lung function (FEV1 and FVC), assessed by serial spirometry is associated with a higher incidence of subsequent cardiovascular disease (CVD), particularly incident heart failure (HF). Rapid decline in FEV1 was most prognostic in the first year of follow-up and it was also... read more

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Medicolegal Corner
eMedi Quiz
1. Lateral thoracic vein.
2. Internal thoracic vein.
3. Hemiazygos vein.
4. Vertebral venous plexus.
Lifestyle Updates
 
Inspirational Story 1: Keep moving!
Inspirational Story 2: Believe in Yourself
Doctors should take measures to reinforce patient trust in them
Communication between doctors and patients is a two-way street
 
New Delhi, 3rd December 2018: A recently conducted survey has revealed that about 60% to 80% of people were not forthcoming with their doctors about information that could be relevant to their health. Besides lying about diet and exercise, more than a third of the respondents in the survey did not speak up when they disagreed with their doctor’s recommendation. Another common scenario was failing to admit they did not understand their clinician’s instructions. Research indicates that some people lie to doctors to avoid being judged. Others may be simply too embarrassed to tell the truth or just do not want to be lectured about how bad certain behavior is.

Speaking about this, Padma Shri Awardee, Dr KK Aggarwal, President, HCFI, said, “Communication between the doctor and patient is a two-way process; both should be open to each other. Communication is the very basis of doctor-patient relationship and often, also the root cause of many disagreements between them.

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