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Editor-in-Chief eMediNexus – Dr KK Aggarwal
29th August 2018
Think before you prescribe

Dr KK Aggarwal, Recipient of Padma Shri

Do not give nitrofurantoin in suspected pyelonephritis

Nitrofurantoin is an effective and therefore often the first-line choice for cystitis. A 2010 update of the guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis (Clin Infect Dis. 2011;52:e103-e120) recommends against the use of nitrofurantoin when the diagnosis of cystitis is uncertain vis-à-vis pyelonephritis, because it does not achieve adequate renal tissue levels. According to the guideline, “such uncertainly may exist in the setting of cystitis symptoms accompanied by subjective fever that is not verified at the time of examination, a prolonged duration of cystitis symptoms (typically greater than 5-7 days), or vague flank pain or tenderness which is not otherwise explained”.

In such cases, a urine culture and susceptibility test should always be done and choice of antibiotic should be based on the culture and antibiotic sensitivity testing. Local community resistance prevalence, availability, cost, patient allergy and compliance history are other factors that may influence the choice of antibiotic in these more

Video Of The Day : All about Financial Health
Top News

29 states & UTs have signed MoU for implementation of Ayushman Bharat, says Health Minister

"29 states and UTs have signed the MoU and have started working on implementation of the Pradhan Mantri Jan Arogya Yojna. The pilots have started in 16 States / UTs. Other states/UTs will also start pilots before fully launching the scheme on 25th September" This was stated by Shri J P Nadda, Union Minister for Health and Family Welfare during a press conference on Ayushman Bharat - Pradhan Mantri Jan Arogya Yojna (AB-PMJAY)... read more

Today is International Day against Nuclear Tests

The International Day against Nuclear Tests is observed annually on August 29, since it was first established on December 2, 2009 at the 64th session of the United Nations General Assembly by unanimously adopting resolution 64/35. The resolution calls for increasing awareness and education “about the effects of nuclear weapon test explosions or any other nuclear explosions... read more

SpiceJet operates India's first biojet fuel flight

New Delhi, Aug 27 (PTI) SpiceJet has operated India's first test flight powered by biojet fuel, according to the airline. A Bombardier Q400 aircraft, partially using biojet fuel, took off from Dehradun and landed at the airport in the national capital. The airline said it successfully operated "India's first ever biojet fuel flight"... read more

Morning Medtalks

Morning MEDTalks with Dr KK Aggarwal 29th August 2018

No aspirin in diabetes. In the ASCEND trial, aspirin significantly reduced the risk for serious vascular events by 12% but also significantly increased the risk for major bleeding by 29%. No effect on gastrointestinal or any other cancer was seen. Aspirin is not needed in patients with good control of blood sugar, blood pressure and cholesterol and in nonsmokers (European Society of Cardiology (ESC) 2018 Congress; also published simultaneously in the New England Journal of Medicine)... read more

Practice Updates

Older patients with multiple chronic diseases benefit from care coordination

A systematic review of 25 studies published August 27, 2018 in CMAJ (Canadian Medical Association Journal) has said that care coordination involving case management, patient self-management and education of patients and providers appears to have the biggest impact on... read more

Sleeping 5 hours or less in night double the risk of heart disease

Middle-aged men who sleep 5 hours or less per night have twice the risk of developing a major cardiovascular event during the following two decades than men who sleep 7 to 8 hours, according to research presented August 26, 2018 at ESC Congress 2018... read more

ASCEND trial show no benefits of omega-3 supplements on vascular events

Analysis of data from more than 15,000 patients with diabetes but without evidence of atherosclerotic cardiovascular disease showed no significant difference in the risk of serious vascular events between those who were assigned to receive n-3 fatty acid supplementation and... read more

Pregnant and lactating women should be counseled against use of marijuana

Clinicians should counsel women who are considering becoming pregnant or are of childbearing age about the potential negative effects of maternal marijuana use on pregnancy outcomes, as well as on fetal, infant, and child neurodevelopment, according to a clinical report from the ... read more

Measuring A1c in the first trimester may identify women at risk of gestational diabetes

As per new research published online August 16, 2017 in Scientific Reports, women who develop gestational diabetes (GDM) may have impaired glucose homeostasis early in or prior to pregnancy, as indicated by their elevated first trimester HbA1c. First trimester HbA1c may help... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
1. PCSK9-ab
2. Ezetimibe
3. Fenofibrate
4. Plasmapheresis
Lifestyle Updates
Inspirational Story 1: The Comfort Zone
Inspirational Story 2: The Mouse Trap
India needs to achieve balance between quality and affordable healthcare
Medical expenditure is a cause of concern for a majority of the Indian population
New Delhi, 28th August 2018: As per a recent study by Ipsos, about 35% Indians think that the quality of medical treatment in India is poor and another 30% were disappointed with the low standard of cleanliness in medical institutes. Medical expenditure remains one of the primary concerns for people in the country which makes it imperative for further focus on making healthcare affordable for one and all.

Recent statistics indicate that the government spending on health care is Rs 1,112 per capita, which means only Rs 3 per day is spent per day for the healthcare of an average Indian. More than 60% of the registered doctors are concentrated in urban areas. India’s spending on health is currently the lowest among BRICS nations.

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