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Editor-in-Chief eMediNexus – Dr KK Aggarwal
8th December 2018
Guidelines may underestimate the harms of statins: Follow person-centric approach

Dr KK Aggarwal, Padma Shri Awardee

A new modelling study involving persons aged 40 to 75 years with no history of cardiovascular disease (CVD) suggests that 10-year risk thresholds used in current guidelines to prescribe statins for primary prevention of CVD are probably substantially too low.

A new study published online Dec 3, 2018 in the Annals of Internal Medicine has suggested that instead of 7.5% to 10% 10-year risks one should use 14% risk thresholds where the benefits of statins exceed the harms...read more

Air pollution should now be labelled as a “potentially modifiable” risk factor

Dr KK Aggarwal, Padma Shri Awardee

It seems that the issue of air pollution is here to stay. Now, a study reported in The Lancet Planetary Health has attributed one in every eight deaths in India to air pollution, which is now believed to contribute to more disease burden than smoking. This study is the first comprehensive estimates of deaths, disease burden, and life expectancy reduction associated with air pollution in each state of India by the India State-Level Disease Burden Initiative.

India is home to about 18% of the world population, but it has a disproportionately high 26% of the global premature deaths and disease burden due to air pollution. Over half of the 12.4 lakh deaths in India attributable to air pollution in 2017 were in persons younger than 70 years. .read more

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Around The Globe

Health benefits far outweigh the costs of meeting climate change goals

Meeting the goals of the Paris Agreement could save about a million lives a year worldwide by 2050 through reductions in air pollution alone. The latest estimates from leading experts also indicate that the value of health gains from climate action would be approximately double the cost of mitigation policies at global level,... read more

Routine use of micronutrient supplements for prevention of chronic disease is not recommended

The Academy of Nutrition and Dietetics has cautioned against the routine and indiscriminate use of dietary supplements in an updated position paper, published online November 20 in the Journal of the Academy of Nutrition and Dietetics. The ... read more

WHO creating panel to study implications of gene editing

On Monday, the WHO said that it is creating a panel to study the implications of gene editing after a Chinese scientist controversially claimed to have created the world’s first genetically-edited babies. "It cannot just be done without clear guidelines," the head of ... read more

Low-income, rural kids at higher risk for second- or third-hand smoke exposure

Infants and toddlers in low-income, rural areas may be at higher risk for second- and third-hand smoke than previously reported, according to a study supported by the National Institutes of Health. Approximately 15 percent of children in the study tested ... read more

FDA takes new action to advance the development of reliable and beneficial genetic tests that can improve patient care

The US Food and Drug Administration has taken a significant step forward in driving the efficient development of novel diagnostic technologies that scan a person’s DNA to diagnose genetic diseases and guide medical treatments... read more

Emergency contraception requests may be sign of domestic abuse

Women who were victims of domestic violence and abuse were more than twice as likely to have a medical consultation for emergency contraception. The study reported Dec. 3, 2018 in the British Journal of General Practice says that primary care consultation for... read more

Drive detects over 2,000 ‘hidden’ TB patients in Maharashtra

PUNE: As many as 2,057 individuals have been identified with active tuberculosis (TB) during the mass community screening campaign conducted in the state’s 36 districts. An intensive door-to-door campaign to detect unreported TB cases across the state was ... read more

Vitamin D deficient newborns at an increased risk of future schizophrenia

Newborns with vitamin D deficiency have an increased risk of schizophrenia later in life, as reported in Scientific Reports. Newborns with vitamin D deficiency had a 44% increased risk of being diagnosed with schizophrenia as adults compared to those with... read more

Hypertonic-saline inhalation improves lung function in infants with cystic fibrosis

Preventive inhalation with hypertonic saline initiated in the first months of life was safe and well tolerated, and resulted in improvements in lung clearance index and weight gain in infants with cystic fibrosis. Additionally, those infants who received hypertonic... read more

Medicolegal Corner
Inspirational Story 1: The important things in life
Lighter Reading
eMediHumor : Final Countdown
A man hasn't been feeling well, so he goes to his doctor for a complete checkup. Afterward, the doctor comes out with the results.
"I'm afraid I have some very bad news," the doctor says. "You're dying, and you don't have much time left."

1. 25,000 IU/ml
2. 1 lakh IU/ml
3. 3 lakh IU/ml
4. 5 lakh IU/ml
Patient-centric harm reduction healthcare approach is the need of the hour to improve health outcomes
Healthcare practitioners should consider variability in every individual to tailor treatment plans accordingly
New Delhi, 7 December 2018: Research indicates that in India, out-of-pocket expenses make up for most of the health financing mix, in turn driving catastrophic expenditure for individuals. This results in a significant economic burden on marginal sections of the population further creating barriers to appropriate health seeking behavior. Harm reduction is gaining popularity as a public health strategy to reduce the potential risks associated with health behaviors.

The need of the hour is to adopt a patient-centered and harm reduction approach to treatment in India. The concept of “Individualization” -- inherent in the science of homeopathy -- recognizes every patient to be different from the other, even if they have the same disease and individualizes treatment for every person.

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