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Morning Medtalks with Dr KK Aggarwal 11th May

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Dr K K Aggarwal    11 May 2018

Clinical

  1. Eating 12 eggs in 1 week was apparently not tied to an increase in cardiometabolic risk factors among people with type 2 diabetes (T2D), according to Diabetes and Egg (DIABEGG) study.
  2. Researchers at the University of Illinois at Urbana-Champaign has shown the health benefits of walnuts wrinkly shell, and they published their results in The Journal of Nutrition. Walnut intake increases levels of FaecalibacteriumRoseburia, and Clostridium. These three bacteria produce a metabolic byproduct called butyrate, which has been shown to improve colon health.
  3. The number of disease cases from mosquitoes, ticks and fleas tripled in the United States from 2004 to 2016
  4. Tick-borne diseases: Anaplasmosis/ehrlichiosis, Babesiosis, Lyme disease, Powassan virus, Spotted fever rickettsiosis and Tularemia
  5.  Mosquito-borne diseases: California serogroup viruses, Chikungunya virus, Dengue viruses, Eastern equine encephalitis virus, Malaria plasmodium, St. Louis encephalitis virus, JE, West Nile virus, Yellow fever virus, Zika virus
  6. Why some people get beaten by mosquitos more than other: Adults, obese, after exercise, more respiratory rate, skin bacteria etc: watch https://www.youtube.com/watch?v=RIFD1KslyVo&feature=youtu.be / https://www.youtube.com/watch?v=AqIllCxn4YE
  7. Cyclosporine A used to treat rheumatoid arthritis and Crohns disease, as well as to prevent the body from rejecting transplanted organs. As a side effect, it also triggers hair growth.

AMR

Scientists have shown that using wastewater from dairy farms for soil irrigation can enhance the presence of antibiotic resistance genes in soil. The antibiotics most frequently detected in the dairy wastewater samples were lincomycin, chlortetracycline, monesin, oxytetracycline, and sulfadimethoxine.

In UTI when antibiotics are needed, the shortest course that is likely to be effective should be prescribed to reduce the risk of antimicrobial resistance. It might be more appropriate to get a back-up prescription to be used only if symptoms do not improve within 48 hours or if they worsen rapidly or significantly at any time.

Weather 10th

  1. Heat Wave:
  2. Heat wave conditions has been observed at one or two pockets over Vidarbha.
  3. Temperatures Recorded at 1730 Hours IST of 09th May, 2018:

Maximum Temperature

  1. Températures more than 40.0°C is recorded at most parts of Madhya Pradesh, Chattisgarh, Vidharbha, Telangana, Madhya Maharashtra, Marathwada and Gujarat Region; at many parts of East Uttar Pradesh interior Odisha, Rayalaseema and Saurashtra & Kutch.
  2. Maximum temperature departures as on 09-05-2018:  Maximum temperatures were appreciably above normal (3.1°C to 5.0°C) at isolated places over Vidarbha and south Madhya Maharashtra; above normal (1.6°C to 3.0°C) at most places over Marathwada; at many places over Bihar; at a few places over Saurashtra & Kutch, Konkan & Goa, Coastal Karnataka and north Odisha; at isolated places over Madhya Pradesh and Gangetic West Bengal and  near normal over rest of the country.
  3. The highest maximum temperature of 46.7°C  recorded at Bramhapuri (Vidarbha)

Minds Vision

We might not be able to be the best, but we can always be better than the rest. ( Dr Avdesh)

Research

  1. J Am Coll Cardiol. 2015 Jun 2;65(21):2279-87: Indoor exposure to fine particulate matter (PM2.5) from outdoor sources is a major health concern. The researchers conducted a randomized, double-blind crossover trial among 35 healthy college students in Shanghai, China, in 2014. These students lived in dormitories that were randomized into 2 groups and alternated the use of true or sham air purifiers for 48 h with a 2-week washout interval. They measured 14 circulating biomarkers of inflammation, coagulation, and vasoconstriction; lung function; blood pressure (BP); and fractional exhaled nitric. Air purification resulted in a 57% reduction in PM2.5 concentration, from 96.2 to 41.3 μg/m3, within hours of operation. Air purification was significantly associated with decreases in geometric means of several circulating inflammatory and thrombogenic biomarkers. Systolic BP, diastolic BP, and fractional exhaled nitrous oxide were significantly decreased by 2.7%, 4.8%, and 17.0%.

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