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Editor-in-Chief eMediNexus – Dr KK Aggarwal
9th September 2018
CDC recommends against routine CT scan in children with concussion

Dr KK Aggarwal, Recipient of Padma Shri

A CT scan of the head should not be routinely done for diagnostic purposes in children with mild traumatic brain injury (TBI), often referred to as concussion, says the Centers for Disease Control and Prevention (CDC) in its recently published guidelines on the “Diagnosis and Management of Mild Traumatic Brain Injury Among Children” published online September 4, 2018 in JAMA Pediatrics.

The 19 sets of clinical recommendations cover various aspects of mild TBI including diagnosis, prognosis, and management of mild TBI, which are applicable to healthcare providers in all practice settings. It also outlines specific actions that they can take to help the patients and their parents.

The guideline includes five key practice changing recommendations:

• Do not routinely use imaging to diagnose mild TBI in children.
• Use validated, age-appropriate symptom scales to identify children with mild TBI at low risk for intracranial injury in whom head CT is not indicated, as well as children who may be at higher risk for clinically important ICI and thus may warrant head CT scan. more

Top News

PAHO launches virtual course on suicide prevention for primary healthcare workers

The Pan American Health Organization (PAHO) will launch a virtual course, "Preventing self-harm/suicide: Empowering primary healthcare providers", in celebration of World Suicide Prevention Day, which will take place on 10 September. The course, which is free, self-directed and available in English on PAHO’s Virtual Campus for Public Health, seeks to strengthen the capacities of primary healthcare professionals in identifying, evaluating and improving the ... read more

Morning Medtalks

Morning MEDTalks with Dr KK Aggarwal 9th September 2018

Practice changing guidelines: Give vitamin D in patients with painful diabetic neuropathy. Lower vitamin D levels are found in patients with painful diabetic peripheral neuropathy (DPN) compared to those with painless DPN, patients with diabetes without any neuropathy, and healthy people. The findings have major clinical significance because painful DPN is distressing and disabling. 25% of DPN patients have pain and most are undiagnosed and suffer in silence because they believe it is just part of the aging process," said lead author Solomon Tesfaye, MD, ... read more

Practice Updates

FDA approves new dose for buprenorphine and naloxone sublingual film for opioid dependence

The US Food and Drug Administration has approved Cassipa (buprenorphine and naloxone) sublingual film (applied under the tongue) for the maintenance treatment of opioid dependence. This action provides a new dosage strength (16 mg/4 mg) of buprenorphine and naloxone... read more

CDC issues influenza guidance to travelers

The CDC has advised people who have flu symptoms - fever, cough, sore throat, runny/stuff nose, body aches, headaches, chills, fatigue, and sometimes diarrhea and vomiting – to stay home, don’t travel, and avoid contact with other people except to get medical care. Everyone .. read more

Children with food insecurity are at risk of developing high blood pressure

Children and teenagers with uncertain or limited access to nutritional foods, known as food insecurity, are more likely to have high blood pressure (14.4%) than children with secure access to food (11.6%), according to a study presented September 6, 2018 at the American Heart Association’s Joint Hypertension 2018 Scientific Sessions. Food insecurity was a risk factor ... read more

Homelessness adversely affects health and development of a child

According to a study published September 3, 2018 in the journal Pediatrics, both prenatal and postnatal homelessness were associated with a significantly higher number of hospitalizations and worse health, including developmental risks than those families that had never been homeless. The earlier and longer the duration of homelessness, the greater the toll it took on a ... read more

More daytime sleepiness linked to the risk of Alzheimer's disease

Analysis of data from the Baltimore Longitudinal Study of Aging (BLSA) show individuals who reported more daytime sleepiness were nearly three times more likely to have brain deposits of beta-amyloid years later compared to those who did not report daytime sleepiness. The study published September 5, 2018 online suggests that adequate sleep may be a way to help prevent ... read more

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Lifestyle Updates
Inspirational Story 1: Sharpen the axe
Inspirational Story 2: Height of perfection
More than 34% Indians do not get enough physical activity
Lack of exercise can lead to various health complications over time
New Delhi, 08 September 2018: According to a recent study by the World Health Organization (WHO), about 34% of Indians - 24.7% male and 43.9% females- are not active enough to stay healthy. Globally, more than 1.4 billion adults are at risk of diseases from not doing enough physical activity. The study also notes that there is no improvement in global levels of physical activity since 2001. If the current trends continue, the 2025 global activity target of a 10% relative reduction in insufficient physical activity will not be met.

Lack of exercise can increase the risk of health conditions such as cardiovascular diseases, Type 2 diabetes, dementia, and some cancers, over time. This coupled with unhealthy eating patterns and family history of diseases can exacerbate the situation even further.

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