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May 19
A solid meal after five long years!
For someone who hasn't had solid food for the last five years, 51-year-old Ravirajan looked fairly healthy. Not that he was on any fancy liquid diet, but the textile salesman admitted that he had completely lost taste for solid food in 2007. "I used to feel like vomiting every time I ate rice. Even if it went down, the pain and nausea made me put my fingers down my throat and bring it out," he recounted.

Diagnosed with HIV almost 12 years ago, the man from Krishnagiri knew that most doctors wouldn't be willing to take his medical woes seriously. When he walked into Lifeline Multispeciality Hospitals, they found that his gullet was constricted, making the passage of food difficult. "We used an endoscope and dilated it, but he was back in two months with the same problem," said Dr J S Rajkumar, chairman and chief surgeon. He came in to have his oesophagus dilated 27 times after that. It was then that doctors decided to attempt a complicated oesophageal replacement surgery on him. With HIV reducing his immunity, the fact that he wasn't eating solid food, lowered it further and reduced his possible life span.

If that isn't bad enough, doctors found that he had mouth infections, sores, ulcers and tuberculosis, making it an exceptionally risky surgery. "There were so many things that could go wrong. But luckily, we pulled through," said the surgeon, who conducted the 6-hour operation. A thoracolaparascopic surgery pulled his stomach up and attached it to his food pipe, while the degraded gullet was removed. After the surgery, doctors kept Ravi under observation for two whole days. "When he woke up, he asked for food," sobbed his wife, "I thought he was just trying to make me feel better, but he actually took the upma and feebly ate it," she added.

The fact that he can ingest food now means that his life span can be extended by at least 4-5 years.

But all that was on his mind was food. As he was wheeled out, he reached out for a cutlet,"This is heaven," he said as he broke into a smile.

May 19
Fat in red meat and butter may be bad for your brain
Eating too many foods containing "bad" fats, such as saturated fats or trans fats, is said to be unhealthy for heart.

Now, a new research from Brigham and Women's Hospital (BWH), has found one "bad" fat-saturated fat-to be associated with worse overall cognitive function and memory in women over time.

By contrast, a "good" fat-mono-unsaturated fat was associated with better overall cognitive function and memory

The research team analysed data from the Women's Health Study-originally a cohort of nearly 40,000 women, 45 years and older

The researchers focused on data from a subset of 6,000 women, all over the age of 65. The women participated in three cognitive function tests, which were spaced out every two years for an average testing span of four years. These women filled out very detailed food frequency surveys at the start of the Women's Health Study, prior to the cognitive testing

"When looking at changes in cognitive function, what we found is that the total amount of fat intake did not really matter, but the type of fat did," explained Olivia Okereke, MD, MS, BWH Department of Psychiatry

Women who consumed the highest amounts of saturated fat, which can come from animal fats such as red meat and butter, compared to those who consumed the lowest amounts, had worse overall cognition and memory over the four years of testing. Women who ate the most of the monounsaturated fats, which can be found in olive oil, had better patterns of cognitive scores over time

"Our findings have significant public health implications. Substituting in the good fat in place of the bad fat is a fairly simple dietary modification that could help prevent decline in memory," said Okereke

Okereke noted that strategies to prevent cognitive decline in older people are particularly important. Even subtle declines in cognitive functioning can lead to higher risk of developing more serious problems, like dementia and Alzheimer disease

May 18
Eating too fast could increase diabetes risk by 2.5 times
People who wolf down meals are two-and-a-half times more likely to develop type 2 diabetes, say scientists.

This could be because eating very quickly encourages weight gain, which can trigger the illness.

Scientists in Lithuania presented their finding at the International Congress of Endocrinology and European Congress of Endocrinology in Florence, Italy, the Daily Mail reported.

They looked at 702 people, including 234 who had just been diagnosed with type 2 diabetes.

They all filled in a detailed questionnaire about their lifestyles, which included sections on diets, exercise and whether they smoked.

Overweight women miss out on jobs because of 'fat discrimination'.

One question asked them if they ate faster, more slowly or at the same speed as others.

They were also measured and weighed to calculate their body mass index, which determines whether they are obese.

The researchers found that those who admitted they ate more quickly than most other people were two-and-a-half times more likely to develop type 2 diabetes.

They claimed that this trend existed even once they had accounted for other causes such as obesity, smoking, diet and a family history of the illness.

"The prevalence of type 2 diabetes is increasing globally and becoming a world pandemic. It appears to involve interaction between susceptible genetic backgrounds and environmental factors," said lead researcher Dr Lina Radzeviciene from Lithuanian University of Health Sciences.

"It's important to identify modifiable risk factors that may help people reduce their chances of developing the disease," she noted.

The scientists did not explain why eating fast appeared to be linked to type 2 diabetes.

But obesity has long been recognised as one of the main causes of the illnesses.

Previous studies have found that people who eat quickly also eat more, and consequently are more likely to be overweight.

Experts think this is because their digestive system doesn't have a chance to send a signal to the brain that it is full.

But David Speigelhalter, a professor in the public understanding of risk at Cambridge University, warned that the study was too small to be meaningful.

"This is one of those many small studies that raise an interesting question but don't prove causation. It is a huge and unjustified jump to say that eating slower reduces your risk of getting diabetes," he stated.

May 18
Dengue virus strains identified: Minister
Two virus strains - viruses 1 and 3 - were the cause behind the 16 dengue deaths reported in Tirunelveli district in the past one month, said Health Minister Dr V S Vijay. After a review meeting with local body representatives and health officials to control and prevent the spread of the disease in the district, Dr Vijay said a team from the Indian Council of Medical Research took samples of the dengue virus here and found that viruses 1 and 3 were prevalent in the district. Due to the control measures, the spread of the fever was decreasing. In a week, the situation would come under control.

Control measures taken in the Virudhunagar, Thoothukudi and Kanyakumari districts, prevented the spread of the disease in the neighbouring districts as well, the Minister said.

May 17
Scientists examine human breast milk component
A study by the University of Illinois has unravelled the strange way in which Oligosaccharides, the key component of human breast milk, protects a newborn.


It shows that Human Milk Oligosaccharides (HMO), which is found only in human milk, produces fatty acids that feed and help inhabit good bacteria in the gut of an infant.

HMO not only protects the newborn against harmful bacteria in the short term, but also strengthens the baby`s immune system so that it can protect chr
onic health problems like food allergies and asthma.

"We refer to HMO as the fibre of human milk because we don't have the enzymes to break down these compounds. They pass into the large intestine where the bacteria digests them.'

"We're curious about the role they play in the development of the breast-fed infant's gut bacteria because the bacteria found in the guts of formula-fed infants is different," says Sharon Donovan, professor in nutrition and health at the University of Illinois.

The scientists while conducting the study, obtained breast milk from mothers of preterm infants at Chicago`s Rush University Medical Centre, and the HMOs were isolated and analyzed.

"When the HMOs were introduced, the bacteria produced short-chain fatty acids, at some cases at higher levels than other pre-biotics now used in infant formula. The short-chain fatty acids can be used as a fuel source for beneficial bacteria and also affect gastrointestinal development and pH in the gut, which reduces the number of disease-causing pathogens," she said.

The study, which has been published in the April issue of the Journal of Nutrition, has for the first time, shown that HMO produces patterns of short-chain fatty acids that change as the baby gets older.

May 17
Are school bags harming your child's spine?
The charity Back Care has warned that heavy school bags could cause "an epidemic" of future back problems for the children who carry them.

Research showed that eight in 10 children in the UK regularly carry bags that are a fifth of their body weight on their backs. Dr Skew, vice-president of BackCare, said: "Children's skeletons are still developing, and having a heavy bag slung over one shoulder can exert unnatural force on the spine, muscles and attachments. Rather like exercising only one side of your body in the gym, you quickly get unilateral muscle-loading, which can cause the small muscles in the back to tighten and compress the spine."

May 16
Alternative medicines are potentially unsafe, warn experts
You should go slow if you depend too much on alternative medicines as there is no way of knowing whether they are really safe, suggests a leading expert.

Edzard Ernst, professor of complementary medicine at Peninsula Medical School in Exeter, UK, says trials into treatments such as chiropractic manipulation, acupuncture and herbal remedies too often fail to record incidents when patients suffer adverse effects.

According to Ernst, the main chiropractic treatment technique involves manual therapy, including manipulation of the spine, other joints, and soft tissues; treatment also includes exercises and health and lifestyle counselling.

While Ernst's research indicated there were conditions for which alternative medicine could be useful, he believed in most cases people should avoid going in for it. Chiropractic manipulation could even be 'lethal'", said Ernst, the Telegraph reports.

"Most people believe that alternative treatments are safe. But how sure are we that this is true," he asked. "My team conducted several investigations which revealed that, in clinical trials of alternative medicine, adverse effects tend not to be mentioned.

"Alternative medicine researchers are often enthusiastic amateurs who think that research is for the purpose of promoting their treatment, rather than testing hypotheses," said Ernst.

He and a colleague have just concluded a study, looking at reporting of adverse effects in trials of chiropractic treatment. This involves manipulation of the spine to alleviate a range of problems, according to the Journal of the New Zealand Medical Association.

Of the 60 randomised controlled trials published between 2000 and 2011, "29 failed to mention adverse effects," he said. "Previous research had demonstrated that 50 percent of patients experience adverse effects after chiropractic treatment and some can be severe, even fatal," he claimed.

Ernst has carried out similar reviews of trials into acupuncture and herbal remedies and found the degree of lack of reporting of adverse effects to be "fairly consistent." This omission had "important consequences," he said.

"Not only does it violate basic rules of publication ethics, it also means that, due to under-reporting, our knowledge of adverse effects of alternative medicine is incomplete and not reliable. If investigators fail to report, we will not know," Ernst concluded.

May 16
Efforts made to strengthen medical education
In order to overcome the human resource shortage in the health sector, the government has increased the number of medical seats at the post-graduate level in the past three years and has set up 46 new medical colleges, Union Minister for Health and Family Welfare Ghulam Nabi Azad said Friday.

Azad told a meeting here of the parliamentary consultative committee attached to his ministry: "In the last three years alone, the number of post-graduate seats has increased by more than 9,100. The number of post-graduate seats available in this academic year is 22,194 as against 13,043 in the year 2008-09."

According to the Health Ministry, the existing doctor-patient ratio is one doctor for 2,000 patients and the target is one doctor per 1,000 people. India has nearly 7.5 lakh registered doctors, of whom 5.5 lakh are in active service.
Apart from this, from 2009-12, 46 new medical colleges have been set up.

"These strides have been made possible because of the concerted efforts made by the ministry to facilitate and overcome the issue of shortage of human resources," Azad said.

The minister also said that the nursing profession is being given top priority and a series of initiatives are being taken to bridge the shortage of nurses in the country.

"The ministry has sanctioned, during the last two years, 132 Auxiliary Nursing and Midwifery (ANM) and 137 General Nursing and Midwifery (GNM) schools all over the country, particularly in the un-served and under-served districts. These 269 schools will produce an additional 20,000 nurses every year," Azad stated.

Azad recounted that to standardize paramedical education across the country, one National Institute of Paramedical Sciences (NIPS) is being set up at Delhi and eight Regional Institutes of Paramedical Sciences (RIPS) will be coming up at Chandigarh, Lucknow, Bhopal, Hyderabad, Coimbatore, Bhubaneswar, Patna and Aurangabad.

India at present has nearly 10 lakh registered nurses, of whom only 40 percent are in active service.

May 15
Infrared light 'stops eye damage'
People with careers that expose them to bright or or artificial light, such as construction workers, fishermen, welders or actors, could be pre-treated with infrared light to reduce vision damage, say researchers.

A team at Australia's Vision Centre has found that treating eyes with gentle infrared light can help prevent the damage caused by subsequent exposure to bright light.

In their research, the researchers have shown that pre-treatment with near infrared light prevents a build-up of scar tissue in the retina causing subsequent harm to sight.
"There's a group of cells that look after our vision and work behind the scenes called Muller cells. They act to protect the retina by clearing toxins and inducing healing whenever there is injury to the vision cells.

"However, their protection is a double-edge sword for the eyes. When the retina comes under extreme stress, as when it is exposed to intensely bright light and loses a large number of vision cells, the Muller cells can overreact by multiplying and forming scar tissue behind the retina.

"We found that the treatment with mild NIR successfully inhibits the Muller cells from multiplying and forming scar tissue," the researchers said in a release.

Team leader Dr Krisztina Valter added: "Technically, our results showed that 670 nm light pretreatment ameliorates lightinduced changes in the expression of Muller-cell specific markers for structure, stress, metabolism and inflammation.

"Our findings indicate that it may be possible to pre- treat someone who knows that they will be exposed to bright lights and so reduce the potential damage it can cause."

May 15
Waist Less Than Half Of Height Helps You Live Longer
A new study reveals that waist-to-height ratio (WHtR) is a significantly better predictor of cardiometabolic risk than waist circumference (WC) and body-mass index (BMI). In addition WHtR takes account of differing heights, therefore making it the best proxy to use across all countries.

Findings from the study, conducted by Dr. Margaret Ashwell and Sigrid Gibison, are being presented at the 19th European Congress on Obesity in Lyon, France.

The researchers examined 31 studies involving around 300,000 participants that used specificity and sensitivity analysis for evaluating the discriminatory power of anthropometric indices in individuals with type 2 diabetes, metabolic syndrome, high blood pressure, abnormal body fat levels, and general cardiovascular outcomes (CVD).

They found that compared with BMI, WHtR had considerably greater discriminatory power. WC and WHtR also improved discrimination of adverse outcomes by 3% and 4-5%, respectively, compared with BMI.

Furthermore, WHtR was found to be considerably better for diabetes, CVD, hypertension and all outcomes in men and women compared with WC, and also better than BMI and WC at detecting cardiometabolic risk factors in both sexes. As a result WHtR should be considered as a screening tool.

The average proposed values, i.e. the first risk level for people of different ethnic backgrounds, calculated from the study size for both men and women was 0.5, which was determined in a separate analysis of suggested WHtR cut-off values from the people's specificity and sensitivity analysis. In other words, in order to avoid increasing risk of these adverse risk factors "Keep your waist circumference to less than half of your height." According to Ashwell, if a second level of increased risk is needed, keep your waist to below 60% of height (0.6).

WC and BMI both require differing values to be considered for different ethnicities, thus making things considerably more difficult than they need to be. The UK's National Institute for Health and Clinical Excellence are currently considering new guidelines on WC. However, Ashwell states that this would be a waste of resources, as using WHtR instead would be a one-size fits-all approach. This approach is gaining support in a variety of countries, including the UK, USA, Australia, Japan, India, Iran, and Brazil.

Dr Ben Rickayzan and Professor Les Mayhew, from Cass Business School, City University, London, UK, estimate that a 30-year-old non-smoking man could increase his life expectancy by up to 14% if his WHtR is 0.7 and by up to one third if his WHtR is 0.8.

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