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Editorial
Editor-in-Chief eMediNexus – Dr KK Aggarwal
20th June 2018
Children with a gaming addiction will now be able to get free NHS treatment: Will Mediclaim follow?

Dr KK Aggarwal, Recipient of Padma Shri

The World Health Organization (WHO) has listed 'gaming disorder' as a disease in ICD 11, its latest International Classification of Diseases (ICD) released on Monday. The ICD contains around 55 000 unique codes for injuries, diseases and causes of death.

The ICD-11 has defined gaming disorder as a pattern of gaming behavior ("digital-gaming" or "video-gaming") characterized by impaired control over gaming, increasing priority given to gaming over other activities to the extent that gaming takes precedence over other interests and daily activities, and continuation or escalation of gaming despite the occurrence of negative consequences. For gaming disorder to be diagnosed, the behavior pattern must be of sufficient severity to result in significant impairment in personal, family, social, educational, occupational or other important areas of functioning and would normally have been evident for at least 12 months. ... read more

Special

How to start your own medical practice

According to the World Health Organization, India needs 80,000 more hospital beds every year. Currently, the ratio between hospital beds and patients is 1:879. In such a scenario, starting a self-owned practice that bridges the gaps in patient care while using the latest technologies would be the ideal way of creating a niche for yourself in the healthcare sector.. read more

Top News

WHO releases its latest International Classification of Diseases

The World Health Organization (WHO) is releasing its new International Classification of Diseases, ICD-11. The ICD is the foundation for identifying health trends and statistics worldwide, and contains around 55 000 unique codes for injuries, diseases and causes of death. It provides a common language that allows health professionals to share health information across the globe. The ICD is a product that WHO is truly proud of," says Dr Tedros Adhanom Ghebreyesus, WHO Director-General. "It enables us.... read more

Morning Medtalks

Morning MEDtalks with Dr KK Aggarwal 20th June

Propranolol in addition to amiodarone for treatment of electrical storm: For hemodynamically stable patients with ventricular tachycardia in electrical storm, in addition to amiodarane as an antiarrhythmic co-administer propranolol rather than a beta-1 selective beta blocker.... read more

Practice Updates

Study suggests atezolizumab as first line treatment for patients with metastatic nonsquamous NSCLC

Addition of atezolizumab to bevacizumab + chemotherapy significantly improved progression-free survival and overall survival among patients with metastatic nonsquamous non–small-cell lung cancer (NSCLC) who had not previously received chemotherapy, regardless of PD-L1 expression and EGFR or ALK genetic alteration status in a study reported in the New England Journal of Medicine, June 14, 2018 online..... read more


Fluid restriction in patients undergoing major abdominal surgery does not improve disability-free survival

Restricting fluids during surgery and for 24 hours postoperatively in patients undergoing major abdominal surgery at increased risk for complications offers no advantage in improving disability-free survival compared to liberal fluid regimen in patients, according to a study published online June 14, 2018 in the New England Journal of Medicine.... read more


Female patients with colorectal cancer more at risk of developing chemotherapy side effects than men

Analysis of data from the PETACC-3 trial involving around 3000 patients with colorectal cancer treated with FOLFIRI chemotherapy regimen shows that compared to men, women were more at risk of developing treatment-emergent adverse events such as diarrhea, nausea, vomiting, stomatitis, lethargy, leukopenia, neutropenia and anemia. .... read more


Zoledronic acid does not reduce knee pain in patients with knee OA

A study presented June 15, 2018 at EULAR 2018, the Annual European Congress of Rheumatology in Amsterdam has shown no benefit of zoledronic acid infusion in reducing knee pain or bone marrow lesion (BML) size overall in patients with knee osteoarthritis over the study period of two years.... read more


Non-culprit plaque characteristics in ACS patients similar to that in patients with diabetes

Results of an intravascular optical coherence tomography study published June 15, 2018 in Cardiovascular Diabetology has shown that compared to patients with normal A1c, the non-culprit plaques in patients with acute coronary syndrome and raised A1c had more typical vulnerable features... read more


Metabolic syndrome is a strong risk factor for contrast-induced acute kidney injury

Metabolic syndrome is a strong risk factor for contrast-induced acute kidney injury (CI-AKI) in nondiabetic patients undergoing elective coronary interventions and the iodine-dose (I-dose)/CrCl (creatinine clearance) ratio in these patients is a strong predictor of CI-AKI. The study reported June 15, 2018 in Cardiorenal Medicine further suggests that clinicians should identify metabolic syndrome in patients prior to coronary intervention and calculate their I-dose/CrCl ratio..... read more


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Medicolegal Corner
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1. Criterion validity.
2. Construct validity.
3. Discriminant validity.
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Lifestyle Updates
 
Inspirational Story 1: Black or White
Inspirational Story 2: Did you know..?
Quit smoking to avoid succumbing to Rheumatoid Arthritis
A diet rich in bone healthy food is a must
 
New Delhi, 19 June 2018: A recent study has suggested that those with increased levels of gum disease are at risk of developing rheumatoid arthritis (RA). This could be a key initiator of RA-related autoimmunity. Autoimmunity in RA is characterized by an antibody response to citrullinated proteins. The oral bacterium Porphyromonas gingivalis (Pg) is the only human pathogen known to express an enzyme that can generate citrullinated proteins.

RA is a chronic inflammatory disease that affects a person’s joints, causing pain and disability and can also affect internal organs. Over long periods of time, the inflammation associated with this condition can cause bone erosion and joint deformity.

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