Email OF The Day: 07/31/18

Tuesday, 31 July 2018

[www.keralites.net] MEDICAL MAFIA

MEDICAL MAFIA.....

Doctors are often criticized for prescribing unneeded tests and procedures that harm more than they help and add to medical costs that could otherwise be avoided. 12 medical tests and procedures now being questioned worldwide as unnecessary and potentially cause — sometimes harmful results to patients. Since a campaign was launched last year, more than 130 tests and procedures have been called into question by 25 medical specialty societies with more than 500,000 member doctors. "Millions of Americans are increasingly realizing that when it comes to health care, more is not necessarily better," said Dr. Christine Cassel,Â president of the ABIM Foundation. "Through these lists of tests and procedures, we hope to encourage conversations between physicians and patients about what care they truly need."

United States specialty societies representing more than 500,000 physicians developed lists of Five Things Physicians and Patients Should Question in recognition of the importance of physician and patient conversations to improve care and eliminate unnecessary tests and procedures. See the full list

12 MEDICAL TESTS TO AVOID

1. Avoid Inducing Labor or C-Section Before 39 Weeks

Delivery prior to 39 weeks is associated with increased risk of learning disabilities, respiratory problems and other potential risks. While sometimes induction prior to 39 weeks is medically necessary, the recommendation is clear that simply having a mature fetal lung test, in the absence of appropriate clinical criteria, is not an indication for delivery. (American College of Obstetricians and Gynecologists; American Academy of Family Physicians)
2. Avoid Routine Annual Pap Tests

In average-risk women, routine annual Pap tests (cervical cytology screenings) offer no advantage. (American College of Obstetricians and Gynecologists)
3. Avoid CT Scans To Evaluate Minor Head Injuries

Approximately 50 percent of children who visit hospital emergency departments with head injuries are given a CT scan. CT scanning is associated with radiation exposure that may escalate future cancer risk. CT technology exposes patients to approximately 100 times the radiation of a standard chest X-ray which itself increases the risk of cancer. The recommendation calls for clinical observation prior to making a decision about needing a CT. (American Academy of Pediatrics)
4. Avoid Stress Tests Using Echocardiographic Images

The recommendation states that there is very little information on the benefit of using stress echocardiography in asymptomatic individuals for the purposes of cardiovascular risk assessment, as a stand-alone test or in addition to conventional risk factors. (American Society of Echocardiography)
5. Avoid Prescribing Type 2 Diabetes Medication To Achieve Tight Glycemic Control

The recommendation states that there is no evidence that using medicine to tightly control blood sugar in older diabetics is beneficial. In fact, using medications to strictly achieve low blood sugar levels is associated with harms, including higher mortality rates. (American Geriatrics Society)
6. Avoid EEGs (electroencephalography) on Patients With Recurrent Headaches.

Recurrent headache is the most common pain problem, affecting up to 20 percent of people. The recommendation states that EEG has no advantage over clinical evaluation in diagnosing headache, does not improve outcomes, and increases costs. (American Academy of Neurology)
7. Avoid Routinely Treating Acid Reflux

Anti-reflux therapy, which is commonly prescribed in adults, has no demonstrated effect in reducing the symptoms of gastroesophageal reflux disease (GERD) in infants, and there is emerging evidence that it may in fact be harmful in certain situations. (Society of Hospital Medicine)
ADDITIONAL MEDICAL TESTS TO BE AVOIDED

8. Avoid Lipid Profile Tests

Lipid Profile test checks various parameters of blood, such as cholesterol (good or high density lipoprotein as well as bad or low density lipoprotein) and triglyceride levels. Several scientific papers have proven that people with high so-called "bad" LDL cholesterol live the longest and there is noow a large number of findings that contradict the lipid hypothesis that cholesterol has to be lowered at all.
9. Avoid Mammograms

Mammograms and breast screening have had no impact on breast cancer deaths and have actually been found to increase breast cancer mortality. With toxic radiation, mammogram testing compresses sensitive breast tissue causing pain and possible tissue damage. To make matters worse, the false negative and false positive rates of mammography are a troubling 30% and 89% respectively. Another concern is that many breast cancers occur below the armpits; however, mammography completely misses this auxiliary region, viewing only the breast tissue compressed between two plates of glass. Considering these drawbacks, breast thermography should be given closer consideration. Thermography is a non-invasive and non-toxic technique which can detect abnormalities before the onset of a malignancy, and as early as ten years before being recognized by mammography. This makes it much safer and potentially life-saving health test for women who are unknowingly developing abnormalities, as it can take several years for a cancerous tumor to develop and be detected by a mammogram.
10. Avoid PSA Testing

A PSA blood test looks for prostate-specific antigen, a protein produced by the prostate gland. High levels are supposedly associated with prostate cancer. The problem is that the association isn't always correct, and when it is, the prostate cancer isn't necessarily deadly. Nearly 20 percent of men will be diagnosed with prostate cancer, which sounds scary, but only about 3 percent of all men die from it. The PSA test usually leads to overdiagnosis — biopsies and treatment in which the side effects are impotence and incontinence. Moreover, there is some evidence which suggests that biopsies and treatment actually aggravate prostate cancer. During a needle biopsy, a tumor may need to be punctured several times to retrieve an amount of tissue that's adequate enough to be screened. It is believed that this repeated penetration may spread cancer cells into the track formed by the needle, or by spilling cancerous cells directly into the bloodstream or lympathic system.
11. Avoid Routine Colorectal Cancer Screening

Colorectal cancer screening often results in unnecessary removal of benign polyps which are of no threat to patients and the risks of their treatment or removal far exceed any benefit. The evidence is insufficient to assess the benefits and harms of computed tomographic colonography and fecal DNA testing as screening modalities for colorectal cancer.
12. Avoid DEXA

Dual energy X-ray absorptiometry (DEXA or DXA) in a technique developed in the 1980s that measures, among many things, bone mineral density. The scans can determine bone strength and signs of osteopenia, a possible precursor to osteoporosis. Limitations abound, though. Measurements vary from scan to scan of the same person, as well as from machine to machine. DEXA doesn't capture the collagen-to-mineral ratio, which is more predictive of bone strength than just mineral density. And higher bone mineral density doesn't necessarily mean stronger bones, for someone with more bone mass will have more minerals but could have weaker bones.
Meanwhile, the ABIM effort is gaining momentum and more financial support from key players. The Robert Wood Johnson Foundationannounced it has awarded $2.5 million to "fund medical specialty societies and regional health improvement collaboratives to work in specific communities to raise awareness of potential overuse of medical care."

"Reducing the overuse of health care resources is a critical part of improving quality of health care in America," said Dr. Risa Lavizzo-Mourey, the Robert Wood Johnson Foundation's president and chief executive officer. "We want to see what can happen when this work is targeted in specific geographic regions and are pleased to help increase the tangible impact of the Choosing Wisely campaign.

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[www.keralites.net] KADENJA OIL

KADENJA OIL FOR FRACTURE, FRACTURE PAIN, JOINT PAIN, ARTHRITIS ETC.
Spreading a smile across many faces by relieving them off their pain was the basic motto of our founder proprietor Late Sri. Kadenja Thyampanna Bhandary. His dream is being fulfilled by his grandson, our current proprietor respected "Mr. K. Mohandas Rai", Under the able guidance of our visionary, Mr. K. Mohandas Rai, the company has touched new heights and is functioning successfully. He has set up the manufacturing unit of the pain relieving oils at Adyar in conformity with good manufacturing practices prescribed by the Directorate of Indian Systems of Medicine and Homeopathy. He has accommodated all the latest hi-tech machinery, refineries and other equipment in his manufacturing unit in order to offer consumers the best and extremely effective pain relieving oils. Our business setup is under the name and style of "SRI NITHYANANDA AUSHADHALAYA" and is a registered entity, sold under a registered Trade Mark which includes the facial profile of the Founder Sri. K. Thyampanna Bhandary.
The unit is being constantly upgraded, keeping in view the current trends in manufacturing and without compromising on the basic principles of Ayurveda. Currently, the unit has been upgraded with new technical staff - Dr. S. Sudhindra Rao, B.A.M.S., Ms. Saritha R. Bhandary, B. Pharm and Sri. Prabhakar Alva, B.Sc., as Quality Control in-charge and as Production in-charge. As per the requirements of Schedule "T" for GMP Compliances, the firms had necessary infrastructure, staff, in-house testing laboratory and has conducted GMP Training for the staff from experienced Technical Consultants. The factory building is located In Devika Nagar in Adyar Village on the left side of Mangalore - Bangalore Highway, exactly 10 Kms away from Mangalore and constructed in a place where there is no open sewage, drain, public lavatory or any factory which produces disarguable or obnoxious odour or fumes or excessive dust or smoke. The oil is available all over Karnataka and Mumbai. The sales outlet is located in Noella Building at Hampankatta, Mangalore.

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[www.keralites.net] FRUITS ANS HUMAN BODY

FRUITS AND HUMAN BODY

CARROTS EYES

SLICE a carrot and it looks just like an eye, right down to the pattern of the iris.. Its a clear clue to the importance this everyday veg has for vision. Carrots get their orange colour from a plant chemical called betacarotene, which reduces the risk of developing cataracts. The chemical also protects against macular degeneration an age-related sight problem that affects one in four over-65s. It is the most common cause of blindness in Britain. But popping a betacarotene pill doesnt have the same effect, say scientists at Johns Hopkins Hospital in Baltimore

WALNUT BRAIN
THE gnarled folds of a walnut mimic the appearance of a human brain - and provide a clue to the benefits. Walnuts are the only nuts which contain significant amounts of omega-3 fatty acids. They may also help head off dementia. An American study found that walnut extract broke down the protein-based plaques associated with Alzheimers disease. Researchers at Tufts University in Boston found walnuts reversed some signs of brain ageing in rats. Dr James Joseph, who headed the study, said walnuts also appear to enhance signalling within the brain and encourage new messaging links between brain cells.

TOMATO HEART

A TOMATO is red and usually has four chambers, just like our heart. Tomatoes are also a great source of lycopene, a plant chemical that reduces the risk of heart disease and several cancers. The Womens Health Study �� an American research programme which tracks the health of 40,000 women �� found women with the highest blood levels of lycopene had 30 per cent less heart disease than women who had very little lycopene. Lab experiments have also shown that lycopene helps counter the effect of unhealthy LDL cholesterol. One Canadian study, published in the journal Experimental Biology and Medicine, said there was œconvincing vidence that lycopene prevented coronary heart disease.

GRAPES LUNGS

OUR lungs are made up of branches of ever-smaller airways that finish up with tiny bunches of tissue called alveoli. These structures, which resemble bunches of grapes, allow oxygen to pass from the lungs to the blood stream. One reason that very premature babies struggle to survive is that these alveoli do not begin to form until week 23 or 24 of pregnancy. A diet high in fresh fruit, such as grapes, has been shown to reduce the risk of lung cancer and emphysema. Grape seeds also contain a chemical called proanthocyanidin, which appears to reduce the severity of asthma triggered by allergy.

CHEESE BONES
A nice ˜holey cheese, like Emmenthal, is not just good for your bones, it even resembles their internal structure. And like most cheeses, it is a rich source of calcium, a vital ingredient for strong bones and reducing the risk of osteoporosis later in life.. Together with another mineral called phosphate, it provides the main strength in bones but also helps to ˜power muscles. Getting enough calcium in the diet during childhood is crucial for strong bones. A study at Columbia University in New York showed teens who increased calcium intake from 800mg a day to 1200mg equal to an extra two slices of cheddar - boosted their bone density by six per cent.

GINGER STOMACH
Root ginger, commonly sold in supermarkets, often looks just like the stomach. So its interesting that one of its biggest benefits is aiding digestion. The Chinese have been using it for over 2,000 years to calm the stomach and cure nausea, while it is also a popular remedy for motion sickness. But the benefits could go much further.
Tests on mice at the University of Minnesota found injecting the chemical that gives ginger its flavour slowed down the growth rate of bowel tumours

BANANA (SMILE) DEPRESSION
Cheer yourself up and put a smile on your face by eating a banana. The popular fruit contains a protein called tryptophan. Once it has been digested, tryptophan then gets converted in a chemical neurotransmitter called serotonin. This is one of the most important mood-regulating chemicals in the brain and most anti-depressant drugs work by adjusting levels of serotonin production. Higher levels are associated with better moods.

MUSHROOM EAR
Slice a mushroom in half and it resembles the shape of the human ear. And guess what? Adding it to your cooking could actually improve your hearing. Thats because mushrooms are one of the few foods in our diet that contain vitamin D. This particular vitamin is important for healthy bones, even the tiny ones in the ear that transmit sound to the brain.

BROCCOLI CANCER
Close-up, the tiny green tips on a broccoli head look like hundreds of cancer cells. Now scientists know this disease-busting veg can play a crucial role in preventing the disease. Last year, a team of researchers at the US National Cancer Institute found just a weekly serving of broccoli was enough to reduce the risk of prostate cancer by 45 per cent. In Britain, prostate cancer kills one man every hour.