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SUGAR AND PACKAGED FOOD

 Sugar,

When we hear this word we might probably be thinking of table sugar, honey, jaggery, maple syrup, brown sugar etc.

But here is the truth, there are over 50 names given to sugar by food companies. It is very easy to hide sugar in packaged foods.

 

Some common ones include high fructose corn syrup (HCFS), fruit juice concentrate, fructose, lactose, glucose, caramel, molasses, honey, jaggery, raw sugar, cane sugar, dextran, evaporated cane juice, dextrose, cane crystals, corn syrup, malt, and many more.

 

So how does one read the sugar on the food labels and decide what to buy? Here are some basic tips:

- Check the nutrition table for "Added sugar" - this should ideally be zero 

- Any ingredient that ends with "-ose" will be a sugar (eg. glucose, galactose, lactose, maltose, fructose)

- Any type of "Syrup" or "nectar" or "juice" is usually a form of sugar (eg. corn syrup,apple juice concentrate)

 

Above everything else, the one thing I always emphasize is the fact that real food is not designed to last weeks, months, and years. Anything that is forced to last that long has to have some additives to preserve it or has undergone some processing. Why do we want to consume such foods? Unless you are in a rare situation where packaged food is your only option, stick to fresh produce.

Dr Ridhima Jain

Role of Computed tomography in diagnosing common as well as uncommon causes of Obstruction and Perforation

Multidetector computed tomography (MDCT) plays a pivotal role in determining the presence of bowel obstruction and perforation and attains prime diagnostic value when it comes to uncommon causes like volvulus(whirlpool sign,reversal of SMA and SMV relationship),encapsulating peritoneal sclerosis( U shaped configuration of bowel loops, preservation of central vascular pedicle) and internal hernia(most common left paraduodenal hernia, sac-like configuration of bowel loops).It is also very sensitive when it comes to diagnosing the site of perforation which presents with different imaging findings.

Corona

pandemic   covid

Being Cardiorespiratory therapist, I want to share my views on COVID-19 Pandemic, that affects the Respiratory system. The most common complication in severe COVID-19 patients being severe pneumonia, but other complications may include Acute Respiratory Distress Syndrome (ARDS), Sepsis and Septic Shock, Multiple Organ Failure, including Acute Kidney Injury and Cardiac Injury, which are more prevalent in at-risk groups including Older Age (> 60 years) and those with Co-morbid Diseases such as Cardiovascular Disease, Lung Disease, Diabetes and those who are Immunosuppressed . we don't have enough evidences on the exact line of treatment and also the vaccinations are under trial now. But as and how we see the cases, we will getter a better idea of the sequelae and in time we can definitely come up with something more precise and work accordingly as we have been doing for H1N1 and other infectious diseases in the past. For now, as and how we come across the patients, depending on the severity of the cases and the underlying co morbities, we can use our treatment techniques and protocols accordingly which may include: 1.Positioning, 2. Bronchial hygiene, 3. Respiratory facilitation, 4. Deep breathing exercises, 5. Active Cycle of Breathing 6. Techniques to improve lung volumes, 7.Autogenic drainage, etc, and can be performed at any stage of the diseases depending on the need of the cases and where they are appropriate and safe to perform, abiding by the protective guidelines of the health authorities. But prior to that we need to consider the recommendation by WHO which states that 'Acutely unwell confirmed or suspected COVID-19 patients should NOT be routinely referred to physiotherapy. There are currently no reports that suggests COVID-19 patients have high secretion loads requiring intensive respiratory physiotherapy/airway clearance. Physiotherapy intervention is likely to be of limited benefit in the acute stages and most beneficial use of physiotherapy resources will be to facilitate the treatment and discharge of non-infected patients as well as training and supporting our colleagues in managing the acutely unwell. Physiotherapists will have a role in the rehabilitation of COVID-19 patients who have not returned to their functional baseline once they are no longer acutely unwell. The WHO recommends limiting the number of Health Care Workers who are in contact with suspected and confirmed COVID-19 patients and to limit the number of persons present in the room to the absolute minimum required for the patient’s care and support' NOW THIS IS WHAT IS THE NEED OF THE HOUR Primarily, Physiotherapists, especially Cardiorespiratory Physiotherapists, may find themselves in a position to reduce the workload in emergency departments and/or divert staff to contribute to the care of hospitalised COVID19 cases. - Educate and spread the awareness about the condition and the symptoms by spreading all that is valid by WHO or local/ National Health authorities. - Practice, Promote and Teach Infection control - Try to promote the Importance and techniques of breathing exercises in healthy and elderly individuals (will post it in the next post for reference) to keep their lungs healthy and to improve their aerobic capacity as well. - Give home exercise programs, including breathing and chest expansion exercises, to the people in lockdown or in isolation - Now here it is very important to understand first that what kind of breathing exercises are needed for a particular patient. As we all know, that breathing exercises differ according to a person's comorbities. So start consulting online for such patients. -Dealing with isolation can lead to multiple other health issues so educate and counsel your patients about how to deal with it physically and mentally. 'Tele Rehabilitation' is something I strongly promote and Recommend at this hour so that we don't deprive our patients from any necessary Physiotherapy consultation. Chest Physiotherapists have always worked at risk and at the frontline with other medical professionals in treating multiple ailments including highly infectious diseases, so even now, when and where needed, we will deliver our best to the society. Regards Dr Ridhima Jain (PT ) Being Cardiorespiratory therapist, I want to share my views on COVID-19 Pandemic, that affects the Respiratory system. The most common complication in severe COVID-19 patients being severe pneumonia, but other complications may include Acute Respiratory Distress Syndrome (ARDS), Sepsis and Septic Shock, Multiple Organ Failure, including Acute Kidney Injury and Cardiac Injury, which are more prevalent in at-risk groups including Older Age (> 60 years) and those with Co-morbid Diseases such as Cardiovascular Disease, Lung Disease, Diabetes and those who are Immunosuppressed . we don't have enough evidences on the exact line of treatment and also the vaccinations are under trial now. But as and how we see the cases, we will getter a better idea of the sequelae and in time we can definitely come up with something more precise and work accordingly as we have been doing for H1N1 and other infectious diseases in the past. For now, as and how we come across the patients, depending on the severity of the cases and the underlying co morbities, we can use our treatment techniques and protocols accordingly which may include: 1.Positioning, 2. Bronchial hygiene, 3. Respiratory facilitation, 4. Deep breathing exercises, 5. Active Cycle of Breathing 6. Techniques to improve lung volumes, 7.Autogenic drainage, etc, and can be performed at any stage of the diseases depending on the need of the cases and where they are appropriate and safe to perform, abiding by the protective guidelines of the health authorities. But prior to that we need to consider the recommendation by WHO which states that 'Acutely unwell confirmed or suspected COVID-19 patients should NOT be routinely referred to physiotherapy. There are currently no reports that suggests COVID-19 patients have high secretion loads requiring intensive respiratory physiotherapy/airway clearance. Physiotherapy intervention is likely to be of limited benefit in the acute stages and most beneficial use of physiotherapy resources will be to facilitate the treatment and discharge of non-infected patients as well as training and supporting our colleagues in managing the acutely unwell. Physiotherapists will have a role in the rehabilitation of COVID-19 patients who have not returned to their functional baseline once they are no longer acutely unwell. The WHO recommends limiting the number of Health Care Workers who are in contact with suspected and confirmed COVID-19 patients and to limit the number of persons present in the room to the absolute minimum required for the patient’s care and support' NOW THIS IS WHAT IS THE NEED OF THE HOUR Primarily, Physiotherapists, especially Cardiorespiratory Physiotherapists, may find themselves in a position to reduce the workload in emergency departments and/or divert staff to contribute to the care of hospitalised COVID19 cases. - Educate and spread the awareness about the condition and the symptoms by spreading all that is valid by WHO or local/ National Health authorities. - Practice, Promote and Teach Infection control - Try to promote the Importance and techniques of breathing exercises in healthy and elderly individuals (will post it in the next post for reference) to keep their lungs healthy and to improve their aerobic capacity as well. - Give home exercise programs, including breathing and chest expansion exercises, to the people in lockdown or in isolation - Now here it is very important to understand first that what kind of breathing exercises are needed for a particular patient. As we all know, that breathing exercises differ according to a person's comorbities. So start consulting online for such patients. -Dealing with isolation can lead to multiple other health issues so educate and counsel your patients about how to deal with it physically and mentally. 'Tele Rehabilitation' is something I strongly promote and Recommend at this hour so that we don't deprive our patients from any necessary Physiotherapy consultation. Chest Physiotherapists have always worked at risk and at the frontline with other medical professionals in treating multiple ailments including highly infectious diseases, so even now, when and where needed, we will deliver our best to the society. Regards Dr Ridhima Jain (PT ) corona

covid   pandemic

Corona

this is pandemic     it is  not going to finish soon

we have to live with this

human will develop immunity against this

vaccine will develop

no specefic drug can be evolved

te have to develop imminity

change of life style   social distancing    sanitizer     masks    gloves     are must  in near future

 

High blood pressure

salt     worry and anger 

added sugar   even soft  drinks

loneniness 

lack of sleep

lack of potassium intake      which is rich in vegetables and fruits

pain   finfer bites    electric socks

herbal supplements   ginseng   bitter orange

thyroid problems   hypo or hyper

pee      not passing urine within 3 hours

antidepressants 

nasal drops

dehydration   lack of water in body

contraceptives     birth control pills

too much talking

pain killers      aapiris and brufen

Coffee

only maximum 2-3 cups only

help ful in chronic renal disease

mood stimulant

feeling better

reducing weight

Industrial chemicals food toxins

common industrial chemicals seep into food from plastic gloves  dyes papers card board coatings soaps even from  converter belts and gloves 

PHTHALATES  is the culprit chemical 

cheese   meat   burgers are culprit   DHED   is the chemical   children develop diabetes and allergies

plastic containers-----BISPHANOIDS   is th culprit      canned food   and beverges are n ot safe 

microwave  not safe

the above affacts  suppress the immunity    romote obesity  and disrupts the endocrine system  and  thyroid 

mother thyroid affacts  the fetal brain growth

chemicals added to colors and flavours and preservatives  may not be safe

nitrate  and nitrite    in preservatives  for  meat preservatives   causes   GIT and nervous system cancers

 

PROTECTION  AND ADVICE

 buy fresh or frozen  fruits  and vegetables

stay away from processed meats --especially during pregnancy 

Avoid plastics unless they are labelled BIOBASED  OR GREENWARE

DO NOT MICROWAVE FOOD OR BEVERGES (N INCLUDING INFANTS  FORMULA  AND PUMPED HUMAN MILK  IN PLASTIC CONTAINERS . aLSO  AVOID PUTTING PLSTICS IN THE dishwater , instead use glasscontainers

wash hands throughly before and after touching foodand clean all fruits and vegetablesthat can not be peeled

 

Interstitial lung disease

pigeons dropping  harbour a fungus which hardends the lung tissue and causing interstitial lung disease 

harbouring the pigeons are at risk of developing interstitial lung disease

School home work

to much of schooll home work is bad for health of kids and their developments 

they experienced physical symptoms of stress, such as headaches, exhaustion, sleep deprivation, weight loss, and stomach problems.

more than two hours of homework per night is counterproductive

 

teachers should not only should be serious  about  study home work  rather psychological, mental  and skill .development in their home work

Good healthy diet food nutrious

dark greeny greens      greentea   legumes    yoguurt    ginger   turmaric   avocodo   mushrooms  seawwd   sweet potato   sallmon    olive oil      garlic    nuts and seeds  eggs   berries    are good nutrients  which have good  minerals  vitamins  fibers and  antioxidats    are esteemed   superfoods

TYPE III diabetes

patients with diabetes  may develop alzheimer.s and dementia   called   TYPE  III diabetes

60% of diebetics     develop  this complication

females are more prone for this      

pathology  is because of inflammation     and  which delop    vascular dementia 

 

Mood and memory

caffine   ginseng   fishoil   vitamin  D    green  tea    magneseum      turmeric   and   yogurt   are good  food supplemts for  sharping your   memory   and   for mood elevators

Muscle cramps

foods  good    for people  who have muscle cramps

 

banana, swwt potato  milk  melon   water melon   nuts  orange and tomato

Proteins

proteins are good for muscles building/ muscle weakness and muscle soarness  and for liver

proteins are availble in following foods

beef     chicken   whey   soy  canned tuna   salmon   Turkey breasts  Eggs  Parmasen cheese   milk   greek yogurt

Grapes juice extract

grapes are beneficial in heart disease, peripheral arterial insuffecency  , gastritis and  peptic ulcer, acts as antioxidatnts, in urinary infections, fungal diseases

SERUM IRON TESTSERUM IRON:

SERUM IRON:

The primary role of the test is to check for  abnormally high or low levels of iron in the blood.

 Low levels could indicate that a person is not consuming enough iron in their diet or that their body is not processing iron correctly.

Some causes of low iron levels :

  • bleeding in the gastrointestinal tract
  • bleeding anywhere else in the body
  • pregnancy 
  • anemia

 

Some causes of high iron levels:

  • chronic liver disease, such as  liver necrosis, hepatitis
  • iron poisoning( too more than recommended iron supplements)
  • hemolytic anemia where there is  abnormal breakdown of red blood cells 

Above are the possible causes of low or high serum iron levels. 

 

Vitamin B1 thiamine defecency

https://www.healthline.com/nutrition/thiamine-deficiency-symptoms?utm_source=Sailthru%20Email&utm_medium=Email&utm_campaign=authoritynutrition&utm_content=2018-05-18

Fat free low salt and sugar free diet is mantra for good health
Congenital Anomaly

Ribs

Vitamin B12

food 

Spotter Radiology

Congenital Anamoly

CT Chest - Spot Diagnosis

CT Chest - Spot Diagnosis

Alveolar Proteinosis