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Editor-in-Chief: Dr KK Aggarwal
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CME with Dr KK
4th January, 2018
New ACC/AHA guidelines: Treat high BP early at 130/80 mm Hg rather than 140/90
  • Seventeen people across 13 states, including one person in New York, have been affected by an E. coli diarrhea outbreak, according to the US Centers for Disease Control and Prevention (CDC).
  • What were the findings of the DUNE study (Meneghini et al) of achievement of individualized glycated hemoglobin (HbA1c) targets of 7.0% to 7.5% after 12 weeks of treatment with basal insulin in a real-world setting? The DUNE study had a large, real-world population of patients either newly initiated on basal insulin or who had taken it for less than 12 months. Only 27.4% of patients achieved the individualized HbA1c set by their physician, even though at 7.0% to 7.5% the targets were not stringent. This finding was consistent with other real-world data and highlights the lack of effective titration of insulin in the real world. A key finding was that participants who experienced symptomatic hypoglycemia were more likely to achieve their HbA1c target than those who did not.
  • A comparison of the 2016 US Preventive Services Task Force (USPSTF) recommendations for statin therapy and the 2013 ACC/AHA Guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults,
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Top News

NPPA fixes retail prices of 14 formulations

In a notification posted on its website, the National Pharmaceutical Pricing Authority (NPPA) has fixed retail prices of 14 formulations under the Drugs (Prices Control) Order, 2013 as below. These include drugs used to treat type 2 diabetes, hypertension, and high cholesterol among others.... read more

Indian Institute of Homeopathic Physicians does not want a bridge course

Even the Indian Institute of Homeopathic Physicians does not want a bridge course. We should arrange similar letters from other Ayuh Associations.
The President IMA Andhra Pradesh & Telangana
Subject: National Medical Commission Bill Regarding -
Dear Sirs,
It has been brought to our notice by members of our Organization in Andhra Pradesh & Telangana regarding the NMC Bill introduced in the Parliament by replacing the existing MCI.... read more

Practice Updates
Kidney disease is a risk factor for incident diabetes

Diabetes is a well-recognized risk factor for kidney disease. Now, a study published December 11, 2017 in the journal Kidney International has suggested that patients with kidney disease may also develop diabetes if progression toward kidney failure is not treated in more

Children with alopecia areata and F/H of thyroid disease should be screened for thyroid function

A study reported December 1, 2017 in JAMA Dermatology has recommended that children with alopecia areata and a history of Down syndrome, personal history of atopy, a family history (f/h) of thyroid disease, or clinical findings (goiter) suggestive of potential thyroid dysfunction should be screened for thyroid more

Hysterectomy done alone is associated with increased health risks in the long-term

Doing a hysterectomy with ovarian conservation, especially for women who undergo hysterectomy before 35 years of age, is associated with a significantly increased risk of several cardiovascular diseases and metabolic conditions, more

Surgeons prone to work-related musculoskeletal injury

Results of a systematic review and meta-analysis published online December 27 in JAMA Surgery show that surgeons and medical interventionalists are especially at high risk for work-related musculoskeletal disorders attributed to standing in awkward, static positions for long hours, more

Inhaled long-acting bronchodilators increase heart disease risk in COPD patients

New use of inhaled long-acting bronchodilators (long-acting ß2-agonists [LABAS] or long-acting antimuscarinic antagonists [LAMAS]) in patients with chronic obstructive pulmonary disease (COPD) is associated with 1.5-fold increase in the risk of cardiovascular disease (CVD) within a month of starting more

Cognitive behavioral therapy improves insomnia symptoms in menopausal women

Cognitive behavioral therapy (CBT) is an effective first-line treatment in healthy menopausal or postmenopausal women with symptoms of insomnia and moderately bothersome vasomotor symptoms such as hot flashes, suggests a new study published online November 20, 2017 in the journal more

Recent Updates
The association between varicocoeles and vascular disease.

A new study published in Andrology sought to determine the association between varicocele and incident medical comorbidities. This study identified 4459 men with varicoceles... read more

Serum Fetuin-B increases the risk of insulin resistance in obese adults.

A new study published in the Journal of Diabetes aimed to explore the correlation of serum Fetuin-B to intrahepatic triglyceride (IHTG) content, and the association of Fetuin-B.... read more

Risk of Attention-Deficit/Hyperactivity Disorder in Children with Atopic Dermatitis.

The goal of a recent study published in Acta Dermatovenerologica Croatia was to explore the risk for Attention-Deficit/Hyperactivitydisorder (ADHD) in a population of patients.... read more

The Impact of Changes in Psoriasis Area and Severity Index by Body Region on Quality of Life.

A recent study published in Acta Dermatovenerologica Croatia aimed to assess the impact of changes in the Psoriasis Area and Severity Index (PASI) scores by body region on quality of Life (QoL) more

eMedi Humor
Medicolegal Corner
eMedi Quiz
1.Chromatography on a carboxymethyl (CM) cellulose column.
2. Iso-electric focusing.
3. Gelfiltration chromatography.
4. Chromatography on a diethylaminoethly (DEAE) cellulose column.
Lifestyle Updates
Inspirational Story 1: : Take Time
Inspirational Story 2: The Chinese Farmer
Cancer is very much a preventable condition
Being aware of the symptoms and making lifestyle changes is imperative
New Delhi, 03 January 2018: A recent study has indicated that cancer cells alter the body clock to boost tumor growth and survive conditions that would kill normal cells. Cancer cells need to make larger than normal amounts of nucleic acids and protein to replicate and for the tumor to grow and spread. Cancer cells have developed the capability to use the unfolded protein response (UPR) to slow protein synthesis when needed, to handle the backlog of misfolded proteins. This helps them survive in conditions that would kill normal cells, found the study.
There are about 2.5 million people living with cancer in India and over 7 lakh new cases get registered every year. Of all the various types of cancer, those of the oral cavity and lungs in males and cervix and breast in females account for about 50% of all related deaths in the country.
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