Arm Exercise Help Regain Walking Ability in Stroke Patients

A study published in the journal of Neurophysiology shows that arm exercises helps stroke patients improve their walking ability even weeks and months after the occurrence of stroke. The researchers at the University of British Columbia, Canada did the study on a group of adults who were prone to stroke in the period of 7 months and 17 years before the commencement of the study.

Arm Exercise Help Regain Walking Ability in Stroke Patients

A training session was organized and the physical abilities of the volunteers was measured before and after the training which included a six minute walk daily to measure the distance covered in that time, 10 meter walk with a timer on to find out how fast a person can cover the distance and finally again another timer based activity which included getting up from a seated position, walking 10 meters and coming back the same distance.

The researchers also checked the stretch reflexes, electrical activity in muscles in wrists and lower legs through walking and cycling tests.

The researchers observed that the participants show good improvement in their performance particularly in the time up and go test. There was no notable improvement in grip strength of participants but the participants showed less tightness in muscles after their cycling trial.

Even their nerve activity levels showed improvement during the arm cycling task. As per the researchers, it also activated inter-limb networks and contributed to rhythmic walking coordination. In short, the arm nerved activated and helped in improving the spinal chords functioning in areas affected by stroke like legs.

The researchers added that these results are a positive sign about improvements in walking ability even afters years of having a stroke. The researchers did say that walking improvement could not be compared to other training modalities, arm training did play a significant role in human locomotion rehabilitation.

The department of physiotherapy was established in 2003 at RajaRajeswari Medical College and Hospital to cater to the preventive, creative, therapeutic and rehabilitation needs of the rural people need was felt to impart the much needed physiotherapy vocational and rehabilitation training programme.

Another Step Towards Preventing Heart Disease – A Vaccine To Lower Cholesterol Levels

The word cholesterol has always been able to raise eyebrows of people because the rising levels of cholesterol is a factual indicator of growing heart disease. While there has been a lot of research and development in the field of cardiac study, here is some further news around the same. Well, lowering cholesterol for a healthy heart is a known fact. We all know how high levels of low density lipo-protein (LDL), also known as bad cholesterol can lead to a stroke due to atherosclerosis or the build up of plaque in the arteries thereby clogging them.

Now, we have this vaccine named Ato4A that has the ability to lower cholesterol levels in the body. It is a cholesterol lowering vaccine by nature and its role is to induce the antibodies production against an enzyme by name PCSK9 responsible for preventing the LDL cholesterol clearance from blood. It apparently attacks the PCSK9 enzyme and reduces the buildup of LDL cholesterol.

Preventing Heart Disease

The vaccine has already been experimented on mice. After feeding the mice with high cholesterol based western food for a while in order to increase atherosclerosis. The findings clearly showed some amazing results.
While the total lowering in cholesterol was a whooping 53%, the reversal of the atherosclerotic damage to blood vessels was a startling 64% and reduction in the biological markers of blood vessel inflammation by 21-28%. The researchers also found that the antibodies were functional throughout the study with increased levels of concentrations towards the end of it.

The PROCESS
Now, the PCSK9 protein is responsible for blocking the LDL cholesterol receptors. Due to this our body fails to get rid of this Cholesterol from blood. When the vaccine Ato4a is injected in the body it starts producing antibodies that in turn block the PSCK9’s function. As a result the activity of LDL cholesterol receptors increases.

A notable difference though between the conventional vaccines and Ato4A is that usually the antibodies in conventional vaccines are only specific to foreign bacterial and viral proteins. While Ato4A induces antibodies against body proteins.

Thus, as per researchers the next step was to take the study forward to human beings and see how the results fare. If it works then surely, this discovery of sorts is going to help fight heart diseases and stroke more effectively in the times to come.

Dr. H. P. Prabhuswamy, MBBS, MS, M. CH, FICC, FIACS, Cardiac Surgery, Professor & HOD, Dept. of CTVS, RRMCH and team conducted a Minimally Invasive Cardiac Surgery.

5 Supplements Women Need After 30

Many a times, lost in responsibilities around office or home, family or kids women forget about personal health or keep ignoring them. Till women are in the twenties, body is younger and fitter and hence copes in a better way. But, post 30 as you are nearly knocking door of your middle age, is when you really need to look into your bodily needs.
After 30 there are a lot of changes that occur in a women’s body and are more visible after 35 years of age. These include changes in menstrual cycles, urinary incontinence, fibroids, pregnancy difficulties, prominent signs of aging, slow metabolism, but to name a few.

5 Supplements Women Need After 30As per experts and specialists supplements can work well in maintaining the balance of nutrients required by the body.

Vitamin D
Vitamin D as we all know helps in a lot of ways that include immunity building, genes regulation, cancer prevention, bone health and more. The best, easy and affordable source of Vitamin D is sunlight. Sitting in the sunlight with minimal clothing for an hour can work well for your body. If not than Vitamin D supplements is the alternative.

Anti- Oxidants
It is in the mid or late thirties that women start noticing fine lines as well as thinning of skin. But, this process of aging can be slowed down with the help for a few minerals and vitamins together known as anti-oxidants. In order to boost immunity besides slowing aging women need to take in atleast 15 mg of Vitamin E. Further taking in 75 mg of Vitman C, which facilitates in vitamin E absorption and Vitamin A for protection against sun damage and eye

protection.
Omega 3 fatty acids/ fish oil
As per doctors, our body needs 3 gms of omega 3 fatty acids per day. These help in keeping our joints health, weight management, keeping our blood fats normal and optimizing brain function. As these are essential fats and our body cannot make them taking mercury free supplements are advisable.

Calcium, Magnesium & Iron
Calcium and magnesium help in bone building as well as producing energy and for better nerve functioning. Iron is also an essential nutrient responsible for keeping you active and protecting against infections as well as maintaining body temperature. As per experts our body requires about 18 mg per day. Though a pregnant and nursing women requires 27 mg and 9 mg per day respectively. Vitamin C and A help a lot in iron absorption.

As a busy woman, you might be occupied with umpteen activities around house, kids and family but its your health that equally matters so do take care of your health as well.

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Heartburn Meds Could Lead to Death

Taking medications or tablets is a routine exercise we follow when we suffer from heart burn. The meds are usually available over the counter without prescription and hence we have almost taken it for granted that as they are available over the counter, they are generally safe. One such med that is popular oversees, not as much in India is the proton pump inhibitor or PPI and here is some bad news involving it.

Heartburn Meds Could Lead to Death

A recent study has proved that people taking proton pump inhibitors have a greater risk of dying compared to the non consumers of the drug. The risk also includes dangerous bacterial infections and kidney disease under its possibility list of PPI consumption. The risk is associated with people taking PPI’s for a longer duration of time. Another heartburn medication that is prescribed by doctors in the USA includes H2b blocker. The comparison study between PPI and H2B blocker consumers revealed a startling result about the risk of dying within the next 5 years being 25% more in PPI consumers than H2 blockers. Also, with people who have been already taking the drug across 2 years, the risk increases upto 50% compared to the H2 blockers.

Though, it is not totally proved and the reasons behind the same are being studied further. Also, the study has covered only whites of the elderly age group and not the youngsters, so whether it affects the youngsters in the similar manner is yet not known.

Experts also stated that many a times doctors do prescribe the medication for a certain period of time only but patients take them up on a regular basis without consult or reassessment. Hence, it is advisable that people who have been prescribed theses medication for a certain duration do their reassessment at periodic intervals. It might just happen that the doctor after monitoring you, simply takes you off the PPI’s.

Well, the crux – it is advisable to avoid taking PPI medications for a longer duration of time and particularly not decide on continuing the medication or using it without prescription on your own. Doctor consult is a must before you continue taking medications like PPI.

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i-Heartscan Workshop @RRMCH

Workshop was conducted on 13th and 14th of Feb 2016 at RajaRajeswari Medical College and Hospital Bangalore by the Department of Anaesthesiology, Critical Care and Pain Medicine.

Workshop was attended by the delegates from Bangalore, Tamilnadu & Kerala.

The workshop was awarded 4 CME credit points by the Karnataka Medical Council.

 Clinical  Ultrasound:

TTE Workshops are designed for Anesthetists, Intensive Care, Emergency Department Physicians and Surgeons who wish to learn how to use Point of Care (POC) transthoracic and ultrasound guidance techniques. This course is designed to extend your experience and training in transthoracic echocardiography. iHeartScan™ is a registered name.

The goal is to strike a balance between “too little and too much” by analysing the important information needed for the critical care environment, in order to influence how to manage patients.

Haemodynamic state assessment is really the “bread and butter” of echo information. The information will be used in 90% of clinical situations to change the management. However, haemodynamic state is not enough to fully categorise the problem. Findings of haemodynamically important valve lesions such as severe aortic stenosis, will also lead us to change management.

iHeartscan is promoting the concept of limited transthoracic echocardiography to perform Haemodynamic Echocardiography Assessment in Real Time, or iHeartScan™ for short. The study should take about 5 minutes once you gain more experience through practice.

 

Faculty for the workshop were:

Mr David Canty

Senior Lecturer and Director of Ultrasound Simulation

Ultrasound Education Group, Department of Surgery

University of Melbourne

Adjunct Associate Professor

Department of Medicine, Nursing and Health Sciences

Monash University

VMO Anaesthetist

Royal Melbourne Hospital and Monash Medical Centre

 Dr Shashikanth Manikappa

MBBS,MD, DNB, FANZCA, FCA, PG Dip Echo
Director,
Anaesthesia and Perioperative Medicine,

Casey Hospital – Monash Health, Melbourne
Australia

Visiting Professor,

Raja Rajeswari Medical College & Hospital,

Bangalore, India

Honorary Clinical Senior Lecturer,

The University of Melbourne,

Melbourne, Australia

Dr.Darsim Haji

MBChB, AMC, FACEM, PhD

  • Full-time Staff Consultant Emergency Physician, Peninsula Health.
  • Senior Lecturer, Department of Surgery, the University of Melbourne.
  • Member of steering committee for Certificate and Postgraduate Diploma of critical Care Ultrasound , Ultrasound Education Group, The University of Melbourne
  • Medical International Retrieval Doctor , QBE Assist, QBE

IHeartScan Workshop Components were:

  • Pre-workshop preparation – includes eLearning tutorials and online TTE case studies.
  • Workshop workshop contains ten hours of hands-on-activity. Two hours is dedicated to each core learning area. Techniques will be demonstrated and participants will practice using the ultrasound systems. Participants will be dividing into small groups (maximum of five per group) and groups will rotate through each core learning area station.
  • Post-workshop exam – an online assessment with multiple choice questions

The core learning areas

  1. Basic Trasthoracic Imaging
  2. Haemodynamic State Assessment including Measurement of Cardiac Output
  3. Basic Assessment of Valves using 2D and Colour Flow Doppler imaging
  4. iHeartScan™ Examination
  5. iHeartScan™ Reporting and Examples

(Dr.Sahajanand)

Organizing Secretary