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Editor-in-Chief eMediNexus – Dr KK Aggarwal
 
30th October 2018
Oxygen supplementation should be used conservatively

Dr KK Aggarwal, Recipient of Padma Shri

Supplemental oxygen is not always indicated for acutely ill patients and giving extra oxygen to hospital patients with normal oxygen levels increases mortality, according to new recommendations published online October 24, 2018 in the BMJ, which recommends conservative use of oxygen supplementation.

• The expert panel makes a strong recommendation that if supplemental oxygen is administered, a maximum SpO2 of 96% should be ensured. Oxygen therapy should be stopped y in acutely ill medical and surgical patients already receiving oxygen therapy, with a saturation of 96% or higher.

• For patients with acute stroke or myocardial infarction, the guidelines recommend against starting oxygen therapy when levels are between 90% and 92% saturation. ...read more

Top News

10 things to know about air pollution (WHO)

1. Nine out of 10 people breathe polluted air. 2. Air pollution kills 7 million people every year, 4 million of whom die from indoor air pollution. 3. 91% of those premature deaths occurred in low- and middle-income countries, and the greatest number in the WHO South-East Asia and Western Pacific regions. ... read more

Zika Update: Zika virus detected in Gujarat

India's Zika outbreak is spreading, with officials saying on Sunday (Oct 28) that the mosquito-borne virus has been detected in the western state of Gujarat after nearly 150 cases were reported this year in neighbouring Rajasthan. Health authorities in Gujarat said a woman tested positive for Zika and was treated at a state hospital in the capital Ahmedabad, the first confirmed ... read more

Morning Medtalks

Morning MEDtalks with Dr KK Aggarwal 30th October 2018

Different aspects of the weather had variable effects on risk of MI depending on whether CCU admission was for ST-elevation MI (STEMI) or non-ST-elevation MI (NSTEMI). For STEMI and NSTEMI combined, lower daily air temperature, lower atmospheric air pressure, higher wind velocity, and shorter duration of sunshine appeared to be independent triggers among the 274,029 patients in the SWEDEHEART registry cohort. "The strongest association was observed for air... read more

Practice Updates

IV iron in high doses non-inferior to low doses in patients undergoing maintenance hemodialysis

In the Proactive IV Iron Therapy in Haemodialysis (PIVOTAL) trial, among patients undergoing hemodialysis, a high-dose intravenous (IV) iron regimen administered proactively was noninferior to a low-dose regimen administered reactively and resulted in lower doses of erythropoiesis-... read more


Lanadelumab gets marketing approval hereditary angioedema

The Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency has granted marketing approval to lanadelumab as the first monoclonal antibody for preventing recurrent attacks of the rare... read more


Prophylactic pantoprazole may be avoided in ICU patients

Findings of the SUP-ICU of more than 3000 ICU patients at risk for gastrointestinal bleeding published October 24, 2018 in the New England Journal of Medicine show that 90-day mortality, percentages of days alive without the use of life support, and numbers of patients with clinically .. read more


Depression increases the risk of inflammatory bowel disease

Depression increases the risk of inflammatory bowel disease, which may be reduced by taking antidepressants, suggests a study reported Oct. 18, 2018 in the journal Gut. Selective serotonin reuptake inhibitors (SSRI) and tricyclic antidepressants (TCAs) were protective against Crohn’s... read more


Ring with pessary support effectively relieves symptoms of pelvic organ prolapse

A single-center prospective observational study in patients with symptomatic pelvic organ prolapse concludes that a ring with pessary support is a safe and effective conservative treatment for pelvic organ prolapse. It relieves prolapse and most of the urinary symptoms and also... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
a. Additional time is needed for the patient to process the information.
b. Older adults are unable to use pain scales reliably.
c. The Pain Assessment in Advanced Dementia Scale is appropriate for the patient.
d. The patient's family is included in the education sessions.
Lifestyle Updates
 
Inspirational Story 2: The Greatest Gift is Love
Air pollution levels exacerbate in the capital once again
Children and expectant mothers at increased risk
 
New Delhi, 29th October 2018: As per a recent report called the State of Global Air 2018, pollution kills 1.1 million people in India and air pollutants are responsible for about 10.6% of all deaths in the country. Air pollution is the new tobacco and simply breathing is responsible for about 7 million people a year and harming another billion. An estimated 91% of the world’s population is exposed to air pollution, which is the world’s biggest environmental health risk, causing 4.2 million deaths from poor outdoor air and 3.8 million from household exposure from dirty cookstoves each year.

Air pollution is responsible not only for various respiratory diseases but also deaths from stroke, chronic obstructive pulmonary disease, heart disease, lung infections, and trachea, bronchus and lung cancers. For children, the risk begins in the womb and continues through the newborn and early childhood period.

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