December 2018
From the Desk of Group Editor in Chief
Dr KK Aggarwal
The American College of Cardiology (ACC) has issued an expert consensus decision pathway that outlines and standardizes tobacco-cessation treatment. The document is published online December 6 in the Journal of the American College of Cardiology. .... READ MORE

American Family Physician
Nathan P. Falk, Scott W. Hughes, Blake C. Rodgers
Chronic asthma is a major health concern for children and adults worldwide. The goal of treatment is to prevent symptoms by reducing airway inflammation and hyperreactivity. Step-up therapy for symptom control involves initiation with low-dose trea.... READ MORE

American Family Physician
Practice Guidelines
Low back pain occurs in most persons living in the United States and has been shown to have high costs, health care–related and indirect (e.g., missed work days, reduced efficiency at work and home), totaling about $100 billion in 2006. Often, manage.... READ MORE

American Family Physician
Photo Quiz
A persistent rAsh on the bAcK, chest, And Abdomen A 62-year-old woman presented with an erythematous, pruritic, expanding rash on her back, chest, and left lower abdomen (Figures 1 and 2). It appeared two months earlier and did not improve with co.... READ MORE

ENDOCRINOLOGY
Pragati Kapoor, Pankaj Kumar, Ak Kapoor
Obesity is one of the most important health risks of our times especially owing to modern lifestyle. An association between hypothyroidism and weight gain is well-documented and that thyroid hormones (THs) play a key role in regulating energy homeo.... READ MORE

OBSTETRICS AND GYNECOLOGY
Pratibha Vishwakarma, Priya Mohan, Kundavi Shankar, Thangam R Varma
In vitro fertilization (IVF) is one of the most comprehensively registered interventions in clinical medicine. IVF is regarded as safe with very few complications. We report a woman who developed acute renal failure due to compression of both ureter.... READ MORE

PEDIATRICS
Dhan Raj Bagri, Rk Gupta, Priyanshu Mathur
Celiac disease is an immune-mediated disease due to gluten and related prolamins in genetically susceptible individuals. The only option of treatment is lifelong gluten-free diet (GFD). Strict adherence to GFD may be difficult in children and adole.... READ MORE

MEDICOLEGAL
KK Aggarwal, Ira Gupta
Heart Care Foundation of India (HCFI) had filed one RTI Application dated 22.01.2018 with National Pharmaceutical Pricing Authority, Department of Pharmaceuticals and also with Drug Controller General of India, Ministry of Health and Family Welfare .... READ MORE

CONFERENCE PROCEEDINGS
Doctors are ignoring their own health. The burnout, depression and suicide rate amongst doctors continues to rise..... READ MORE

AROUND THE GLOBE
The US Food and Drug Administration (FDA) has alerted healthcare providers and patients about the serious complications that can occur when using medications not approved for use with implanted pumps that deliver medication into the spinal fluid to t.... READ MORE

Spiritual Update
KK Aggarwal
A Temple, Gurudwara or a Masjid can also beunderstood by studying the concept of computerinternet-based virtual e-communication. The physical body can be compared to that of computer hardware and the subtle body with three application softwares of a .... READ MORE

Lighter reading
Lighter Side of Medicine
This guy is walking with his friend, who happens to be a psychologist. He says to this friend, “I’m a walking economy.” The friend asks, “How so?”.... READ MORE

SURGERY
Ashok Kumar Sharma, Renu, Sandeep Singh Mavi
Appendicular mucocele is a rare but well-described clinicopathological diagnosis. It denotes dilatation of the appendix due to luminal obstruction by mucinous secretions. We report a case of a 71-year-old male patient with chronic kidney disease on.... READ MORE

Expert's View
Satish DA, Radhika VK, Aparna AD
Fenticonazole Fenticonazole is an imidazole antifungal agent used to treat fungal infections of the vagina (Vulvovaginal candidiasis). It is active against a range of organisms including dermatophytes, Malassezia furfur and Candida albicans. It is.... READ MORE

Inspirational Story
Jerry was the kind of guy you love to hate. He was always in a good mood and always had something positive to say. When someone would ask him how he was doing, he would reply, “If I were any better, I would be twins!”.... READ MORE

MEDICAL VOICE FOR POLICY CHANGE
kk aggarWal*, ira gupta†
Heart Care Foundation of India (HCFI) had filed one RTI Application dated 22.01.2018 with National Pharmaceutical Pricing Authority, Department of Pharmaceuticals and also with Drug Controller General of India, Ministry of Health and Family Welfare a.... READ MORE

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American Family PhysicianAmerican Family PhysicianAmerican Family PhysicianENDOCRINOLOGYOBSTETRICS AND GYNECOLOGYPEDIATRICSMEDICOLEGALCONFERENCE PROCEEDINGSAROUND THE GLOBESpiritual UpdateLighter readingSURGERYExpert's ViewInspirational StoryMEDICAL VOICE FOR POLICY CHANGE