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Editor-in-Chief eMediNexus – Dr KK Aggarwal
28th July 2018
Scrub typhus in India: Do not ignore fever with black patch on the skin

Dr KK Aggarwal, Recipient of Padma Shri

Scrub typhus, also known as Tsutsugamushi disease or Chigger borne typhus or Bush typhus, is an acute febrile illness caused by Orientia tsutsugamushi (earlier known as Rickettsia tsutsugamushi), an obligate intracellular Gram-negative bacterium.

Scrub typhus is endemic to a part of the world called the “tsutsugamushi triangle”, which extends from northeast Asia to Papua New Guinea and northern Australia in the southeast, Pakistan and Afghanistan in the northwest, and the Maldives and Réunion Islands in the southwest. However, evidence has shown that scrub typhus may not be restricted to the tsutsugamushi triangle and may be present outside this endemic zone more

Top News

Today is World Hepatitis Day: "Test. Treat. Hepatitis"

World Hepatitis Day is observed annually on July 28 to bringing the world together under one single theme in order to raise awareness of viral hepatitis and how it is transmitted, strengthening prevention, screening and control of viral hepatitis and its related diseases, increasing hepatitis B vaccine coverage and integration into national immunization programs and coordinating a global ... read more

Morning Medtalks

Morning MEDTalks with Dr KK Aggarwal 28th July 2018

Prescribing medicines without diagnosis is culpable negligence: Bombay HC No telephonic consults please- You can go to Jail Press Trust of India: Observing that prescribing medicines to patients without diagnosis amounted to culpable negligence, the Bombay High Court has turned down the anticipatory bail pleas of a doctor couple booked for the death of a woman patient. The doctors have been booked by the Ratnagiri Police under section 304 of Indian Penal Code (culpable homicide not amounting to murder) after the patient died earlier this year. ... read more

Practice Updates

Aging overweight scuba divers at risk of underwater heart attack

Older and overweight scuba divers should have routine fitness assessments with their doctor, and manage risk factors that otherwise could lead to a fatal cardiac event while diving, recommends a study published July 26, 2018 in the European Journal of Preventive Cardiology. In the study, more divers (54%) had smoked cigarettes at some point vs non-divers (46%) but ... read more

A frailty index to predict survival in newly diagnosed multiple myeloma

A new "frailty index" rather than chronological age alone is more predictive of overall survival for patients newly diagnosed with multiple myeloma, according to a study published July 25, 2018 in JCO Clinical Cancer Informatics. The index includes criteria in five categories for scoring frailty: Activities of daily living (e.g., difficulty dressing or eating), chronic health conditions, functioning ... read more

If you feel lightheaded when standing up, you may have a greater risk of dementia

A new study published online July 25, 2018 in the journal Neurology says that middle-aged people who experience orthostatic hypotension may have a greater risk of developing dementia or stroke decades later... read more

Prehospital plasma during air medical transport in trauma patients at risk for hemorrhagic shock

In injured patients at risk for hemorrhagic shock, the prehospital administration of thawed plasma was safe and resulted in lower 30-day mortality and a lower median prothrombin-time ratio than standard-care resuscitation, according to a study published July 26, 2018 in the New England ... read more

Synthetic cannabinoid shown to improve agitation in patients with Alzheimer's disease

Nabilone, a synthetic cannabinoid, significantly improves agitation and aggression in patients with moderate-to-severe Alzheimer's disease as shown in a study presented at the Alzheimer's Association International Conference in Chicago. Cognition, neuropsychiatric symptoms also ... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
1. Reduced energy production.
2. Decreased production of 2,3–bisphosphoglycerate.
3. Reduced synthesis of hemoglobin.
4. Low levels of oxygen.
Lifestyle Updates
Inspirational Story 1: A box of kisses
Inspirational Story 2: Do not be jealous
Awareness on head and neck cancers is lacking in India
Tobacco remains one of the leading causes of oral cancers
New Delhi, 27 July 2018: Recent statistics indicate that oropharyngeal cancer constitutes about 10% of all head and neck cancers in India. About 20% of these cancers in India and 75% in the West can be attributed to the Human Papilloma Virus (HPV). Tobacco remains the leading cause of oropharyngeal cancer in the country.

Of late, the HPV infection has been recognized to play a major role in the pathogenesis of certain types of head and neck cancers. Having unprotected oral sex and having multiple partners are attributed as two of the main reasons for these. In this light, vaccination against HPV assumes a lot of significance.

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