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Dr K K Aggarwal

Caffeine�Alcohol combination in paralysis

By Dr K K Aggarwal
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A drug caffeinol containing caffeine and alcohol may help stroke patients recover.

In a small study at Texas Health Science Center in Houston, 60% of stroke patients who were given the drug, had no or minimal disability when they were discharged from the hospital. In contrast, only 26% of stroke survivors given standard therapy with tissue plasminogen activator, or tPA, fared that well.

Caffeinol contains about as much caffeine as 5 to 7 cups of good, strong New Orleans coffee and the equivalent of two shots of alcohol.

The study involved 100 people who had suffered an ischemic stroke. All received intravenous tPA; 10 were also given an infusion of caffeinol. Caffeinol allows cells to tolerate reduced blood flow longer, thereby giving tPA a longer opportunity to do its action.

Will these findings be applicable to heart attack? Only time will tell as heart attack treatment is also done with tPA.

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  1. Lack of sleep is the most common cause. Too little restful sleep can also lead to mood changes and anxiety, which in turn can contribute to memory impairment.
  2. Many drugs can affect memory, which includes tranquilizers, antidepressants, blood pressure drugs and anti–allergic drugs.
  3. Low functioning thyroid can affect memory.
  4. Drinking too much alcohol can interfere with short–term memory.
  5. Stress and anxiety can lead to memory impairment. Both can interfere with attention and block the formation of new memory or retrieval of old memories.
  6. Forgetfulness can be a sign of depression or a consequence of it.
  7. If you are vegetarian, vitamin B12 deficiency can loss memory impairment.
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Typhoid fever is caused by a bacteria Salmonella typhi and is transmitted through the ingestion of food or drink contaminated by the feces or urine of infected people. Flying insects feeding on feces may occasionally transfer the bacteria through poor hygiene habits and public sanitation conditions. Though the cases occur all through the year, the number is higher during the summer and rainy seasons. Symptoms usually develop 1 to 3 weeks after exposure, and may be mild or severe. They include high fever, malaise, headache, constipation or diarrhea and enlarged spleen and liver. A healthy carrier state may follow acute illness. Typhoid fever can be treated with antibiotics. However, resistance to common antimicrobials is widespread. Healthy carriers should be excluded from handling food. Sanitation and hygiene are the critical measures that can be taken to prevent typhoid.

  1. Typhoid does not affect animals and therefore transmission occurs only from human to human.
  2. Typhoid can only spread in environments where human feces or urine are able to come into contact with food or drinking water.
  3. Careful food preparation and washing of hands are crucial to preventing typhoid.
  4. Typhoid fever in most cases is not fatal.
  5. Prompt treatment of the disease with antibiotics reduces the case–fatality rate to approximately 1%.
  6. When untreated, typhoid fever may persist for 3 weeks to a month.
  7. Resistance to common antibiotics is now common.
  8. Typhoid that is resistant to common antibiotics is known as multidrug-resistant typhoid (MDR typhoid).
  9. Ciprofloxacin resistance is an increasing problem, especially in the Indian subcontinent and Southeast Asia.
  10. Azithromycin is a new drug for drug–resistant typhoid.
  11. Typhoid vaccine taken every three years is the best preventive approach.
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  1. Low functioning thyroid is a new epidemic of the society affecting more than 3% of people. If thyroid function is low, it causes weight gain, loss of energy, cold intolerance and menstrual irregularities in women.
  2. All people who are aged 50 and above should have their thyroid profile (TSH test) done to look for thyroid deficiency.
  3. In younger people, or in cases of infertility, menstrual irregularity, pregnancy, weight gain, one should check for thyroid deficiency.
  4. Iodized salt should be used to prevent thyroid deficiency.
  5. Non–iodized salt is only used in two conditions: firstly in patient with thyroid inflammation and secondly, while doing Jalneti in naturopathy, a yoga–related nasal wash technique.
  6. Even mild thyroid deficiency in pregnancy can affect the growth of fetus; hence, dose requirement of thyroid medicine is much higher in pregnancy than in non–pregnancy.
  7. In the elderly, the dose of thyroid medicine to be started is always low as compared to one in the adults.
  8. If thyroid deficiency is untreated, osteoporosis (thickening of bone) and/or atrial fibrillation (irregular and fast heart rate) may result. Osteoporosis can cause recurrent fractures and atrial fibrillation may cause brain paralysis.
  9. In Allopathic medicine, thyroid deficiency is treated by synthetic T4 hormone replacement. In TFSP, thyroid extracts are available, which contain both T4 and T3 potential drugs.
  10. In Ayurveda, thyroid stimulant drugs are available but they are effective only if some amount of thyroid gland is available.
  11. As per Ayurveda, eating soya and drinking water from copper vessel is good for thyroid.
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Typhoid fever

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , | | Comments Off

Typhoid fever is caused by a bacteria Salmonella typhi and is transmitted through the ingestion of food or drink contaminated by the feces or urine of infected people.

Flying insects feeding on feces may occasionally transfer the bacteria through poor hygiene habits and public sanitation conditions. Though the cases occur all through the year, the number is higher during the summer and rainy seasons. Symptoms usually develop 1 to 3 weeks after exposure, and may be mild or severe. They include high fever, malaise, headache, constipation or diarrhea and enlarged spleen and liver. A healthy carrier state may follow acute illness. Typhoid fever can be treated with antibiotics. However, resistance to common antimicrobials is widespread. Healthy carriers should be excluded from handling food. Sanitation and hygiene are the critical measures that can be taken to prevent typhoid.

  1. Typhoid does not affect animals and therefore transmission occurs only from human to human.
  2. Typhoid can only spread in environments where human feces or urine are able to come into contact with food or drinking water.
  3. Careful food preparation and washing of hands are crucial to preventing typhoid.
  4. Typhoid fever in most cases is not fatal.
  5. Prompt treatment of the disease with antibiotics reduces the case-fatality rate to approximately 1%.
  6. When untreated, typhoid fever may persist for three weeks to a month.
  7. Resistance to common antibiotics is now common.
  8. Typhoid that is resistant to common antibiotics is known as multidrug-resistant typhoid (MDR typhoid).
  9. Ciprofloxacin resistance is an increasing problem, especially in the Indian subcontinent and Southeast Asia.
  10. Typhoid vaccine taken every three years is the best preventive approach.
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Sugar, not salt contributes to the majority of the hypertension risk associated with processed food and a reduction in the consumption of added sugars and, in particular, processed foods may translate into decreased rates of hypertension as well as decreased cardiometabolic disease.

James J. DiNicolantanio, PharmD, from Saint Lukes Mid America Heart Institute in Kansas City, Missouri, and Sean C. Lucan, MD, MPH, from Albert Einstein College of Medicine in Bronx, New York, published their review of epidemiological and experimental studies in the journal Open Heart. They concluded that high-sugar diets may make a significant contribution to cardiometabolic risk.

Highly refined processed foods should be replaced by natural whole foods.

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Exercise impact on the knee

By Dr K K Aggarwal
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Different exercises produce different impact on the knee joints. The best and safest exercises causing minimum impact on the knee for patients post knee replacement or knee arthritis are walking, biking, hiking, riding an exercise bike, riding an elliptical trainer and walking on the treadmill. In sports one can play doubles tennis and not singles. One can also participate in downhill or cross–country skiing. The maximum stress–producing exercises are jogging and golf swings.

Impact

  1. Biking generates the least force, producing impact of about 1.3 times the person’s body weight.
  2. Treadmill walking was next best, producing forces of 2.05 times the body weight.
  3. Walking on level ground generated forces of 2.6 times the body weight.
  4. A game of tennis produces forces of 3.1 to 3.8 times the body weight; serving produces the highest impact.
  5. Jogging produced forces of 4.3 times body weight.
  6. Golf swings produces forces of 4.5 times body weight on the forward knee and 3.2 times body weight in the opposite knee.
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Cant avoid anger: Take aspirin

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | Comments Off

Emotionally stressful events, and more specifically, anger, immediately precede and appear to trigger the onset of acute heart attack. Episodes of anger are capable of triggering the onset of acute heart attack and aspirin can reduce this risk. People who cannot control their anger should ask their doctors to consider taking aspirin.

The Onset Anger Scale identified 39 patients with episodes of anger in the 2 hours before the onset of heart attack. The relative risk of heart attack in the 2 hours after an episode of anger was 23. Regular users of aspirin had a significantly lower relative risk (1.4) than nonusers (2.9). Anger in response to stress is also of particular importance for the development of premature heart attack in young men. An episode of anger may also trigger an acute heart attack in the next 2 hours.

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