adminMorning Health Talk ;
New Delhi, May 2nd, 2018 :
Clinical
With rumours of carcass (dead animal) meat being sold to the public doing the rounds of Kolkata, citizens have shifted their protein preference from meat to fish on Sunday. Except for spores based disease like anthrax all are practically killed by proper roll boiling or cooking. Disease which can soared are salmonella, E Coli, Listerioa, C Jejuni, Yersinia, Staph, C Botulinium, Norovirus and Mycotoxin.
Following foods need to be cooked thoroughly before eating: poultry, pork, offal, including liver, burgers, sausages, rolled joints of meat and kebabs. When cooking burgers, sausages, chicken, and pork, cut into the middle to check that the meat’s no longer pink, the juices run clear and it’s steaming hot throughout.
The safest option is to fully cook food in your oven and then put the cooked food on the barbecue. But if you’re only cooking on the barbecue beware of undercooking meat and spreading germs from raw or undercooked meat on to food that’s ready to eat. In this situation make sure the coals are glowing red with a powdery grey surface before you start cooking, as this means they’re hot enough; frozen meat is fully defrosted before you cook it and you turn the meat regularly and move it around the barbecue to cook it evenly.
A 51 years old female had LAD 100% and RCA 70%. Should she go for CABG or RCA stenting?
CABG is indicated in Left Main lesions, 3 vessel disease coronary artery disease particularly with a reduced left ventricular ejection fraction (usually <40 percent) and 2 vessel disease with more than a 75 percent stenosis in the left anterior descending artery proximal to the first major septal artery. We preferred CABG here as LAD was dependent on RCA and if you only open RCA without touching LAD can be harmful in long run.
Buclizine, a widely recommended appetite stimulant for picky eaters, is likely to be prohibited for sale in India.
Public Health
Food safety: Keep the refrigerator colder than 40°F (4.4°C) and the freezer below 0°F (-18°C)
Crackers, granola and cereal have been found positive for glyphosate residue, a carcinogen in USA.
Biologic drugs for psoriasis were associated not only with improved skin condition but, as an added bonus, reduced atherosclerotic plaque burden.
(Youssef Elnabawi, BS, a medical student at Tufts University School of Medicine in Boston and Medical Research Scholar Program Fellow at the NIH, at the annual conference of The Society for Cardiovascular Angiography and Interventions).
AMR
Ayurvedic antibiotic: Potash alum (Fitkari)
Two new studies by Diana Aga, PhD, Henry M. Woodburn Professor of Chemistry in the University at Buffalo College of Arts and Sciences found that both advanced anaerobic digestion and reverse osmosis filtration do not fully remove antibiotics from manure.
IMA
IMA delegation led by Dr Ketan Desai, Immediate Past President of World Medical Association, consisting of Dr Ajay Kumar, Dr Vinay Aggarwal and Dr Ravi Wankhedkar attended the 209th Council meeting of world medical association held at Riga, Latvia from 25th to 28th April 2018. Common issues of fraternity worldwide were discussed: Maintaining the Autonomy of Profession & Self-Regulation vis a vis government control and the role of non-doctors e.g. nurses, pharmacists etc taking over the role of primary care physician replacing qualified doctor were discussed at length.
IMA will be hosting the International Conference on Person Centric Medicine in Nov 2018 in New Delhi.
Geneva Declaration – Physicians Pledge adopted by WMA and it is expected that in all official functions it should be read out at the start of function.
Dr KK Aggarwal
Padma Shri Awardee
Vice President CMAAO
President HCFI
