Email OF The Day: 03/18/18

Sunday, 18 March 2018

[www.keralites.net] All thsse Tests Necessary?

M.d. Hegde is with PK Pal.
Moderator · 54 mins

ALL THESE MEDICAL TESTS NECESSARY????

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.

Source: http://www.wakingtimes.com/…/12-medical-tests-and-procedur…/

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[www.keralites.net] PAPAYA FOR VANCER

M.d. Hegde is

Moderator · 38 mins

PAPAYA IS A STOREHOUSE OF CANCER-FIGHTING LYCOPENE

The gorgeous Fruit Papaya.... Make sure that you have some as often as possible. Read all about it.

Papaya was the only studied food found to halt breast cancer. Scientists studied 14 plant foods commonly consumed in Mexico to determine their ability to halt breast cancer cell growth. These included avocado, black sapodilla, guava, mango, prickly pear cactus (nopal), pineapple, grapes, tomato, and papaya. They also evaluated beta-carotene, total plant phenolics, and gallic acid contents and antioxidant capacity. They found that only papaya had a significant effect on stopping breast cancer cell growth. (International Journal of Food Science and Nutrition, May issue).

Papaya is a store-house of cancer-fighting lycopene. The intense orangey-pink colour of papaya means it is chock full of cancer fighting carotenoids. Not only beta carotene, but lycopene is found in abundance. The construction of lycopene makes it highly reactive towards oxygen and free radicals. Scientists at the University of Illinois think this anti-oxidant activity contributes to its effectiveness as a cancer fighting agent.
Epidemiological studies have indicated an inverse relationship between lycopene intake and prostate cancer risk. They showed that oral lycopene is highly bio available, accumulates in prostate tissue, and is localised in the nucleus of prostate epithelial cells. In addition to antioxidant activity, other experiments have indicated that lycopene induces cancer cell death, anti-metastatic activity, and the up-regulation of protective enzymes. Phase I and II studies have established the safety of lycopene supplementation. (Cancer Letter, October 8, 2008).

Prostate cancer was the subject of a study in Australia that looked at 130
prostate cancer patients and 274 hospitalized controls. The scientists found that men who consumed the most lycopene-rich fruits and vegetables such as papaya were 82% less likely to have prostate cancer.. In this study, green tea also exerted a powerful anti-cancer effect. When lycopene-rich foods were consumed with green tea, the combination was even more effective, an outcome the researchers credited to their synergy. ( Asia Pacific Journal of Clinical Nutrition, 2007). ****

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Isothiocyanates found in papaya restore the cell cycle to eliminate cancer.
Organo-sulphur compounds called isothiocyanates are found in papaya. In animal experiments, isothiocyanates protected against cancers of the breast, lung, colon, pancreas, prostate, as well as leukaemia, and they have the potential to prevent cancer in humans. Isothiocyanates have shown themselves capable of inhibiting both the formation and development of cancer cells through multiple pathways and mechanisms. (International Journal of
Oncology, October, 2008).

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Researchers in Japan clarified the mechanisms of action in a type of isothiocyanate found in papaya known as BITC, which underlies the relationship between cell cycle regulation and appropriate cell death. When cancerous cells die on schedule, they are no longer a problem.

The researchers established that BITC exerted cancer cell killing effects that were greater in the proliferating cells than in the quiescent cells. Cancer cells that are proliferating are much more dangerous than cancer cells that are in a state of dormancy. (Forum of Nutrition, 2009).

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Enzymes from papaya digest proteins including those that protect tumours.

The fruit and other parts of the papaya tree, also known as the paw paw tree, contain papain and chymopapain, powerful proteolytic enzymes that
facilitate chemical reactions in the body. They promote digestion by helping to break down proteins from food into amino acids that can be recombined to produce protein useable by humans. Proteolytic enzymes protect the body from inflammation and help heal burns. They do a good job of digesting unwanted scar tissue both on the skin and under its surface. Being a proteolytic enzyme, papain is able to destroy intestinal parasites, which are composedB mostly of protein. To rid the body of intestinal parasites, half a cup of papaya juice can be alternated each hour for twelve consecutive hours with the same amount of cucumber or green bean juice.
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Research has shown that the physical and mental health of people is highly dependent on their ability to produce proteins they can use effectively.

However, as people age, they produce less of the enzymes needed to effectively digest proteins from food and free needed amino acids. They are left with excessive amounts of undigested protein which can lead to overgrowth of unwanted bacteria in the intestinal tract, and a lack of available amino acids. Eating papaya after a meal promotes digestion, and helps prevent bloating, gas production, and indigestion.. It is quite helpful after antibiotic use to replenish friendly intestinal bacteria that were the casualties in the war against the unwanted bacteria.. When the intestinal tract is well populated with friendly bacteria, the immune system is strengthened, and can protect better against flu and cancer..

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Papaya contains fibrin, another useful compound not readily found in the plant kingdom. Fibrin reduces the risk of blood clots and improves the quality of blood cells, optimising the ability of blood to flow through the
circulatory system. Fibrin is also important inB preventing stokes.

Proteolytic enzymes containing fibrin are a good idea for long plane rides to minimize the potential of blood clots in the legs. People who sit at a desk all day might want to use proteolytic enzymes too. Proteolytic enzymes are able to digest and destroy the defence shields of viruses, tumours, allergens, yeasts, and various forms of fungus. Once the shield is destroyed, tumours and invading organisms are extremely vulnerable and easily taken care of by the immune system. Undigested proteins can penetrate the gut and wind up in the bloodstream where they are treated by the immune system as invaders. If too many undigested proteins are floating around, the immune system becomes overburdened and unable to attend to the other tasks it wasB meant to do. Proteolytic enzymes can digest these rogue proteins, freeing up the immune system.
****

Let's ensure a slice of papaya every day in our diet. Papaya juice will be great.

Have a great day.....along with a slice of papaya.

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[www.keralites.net] 30 foods that beat the heat

30 Foods that beat the heat

1 Cardamom (Elaichi)
Look no further than your cup of elachi chai for an instant cooldown. Cardamom, an original Indian spice, is commonly used in Ayurveda for almost any ailment from halitosis to digestion and has wonderful detoxifying properties to effectively cool down even the most hot-headed days. Africa, jealous much?

2. Peaches
Dried peaches are advisable for those who are anaemic and over-fatigued," says New Delhi-based nutritionist, Dr Sonia Kakar. They also fight high cholesterol. Eat them with the skin for breakfast to get your requirement of vitamin A, vitamin B2 and potassium and everything will be just peachy!

3. Apricot
If you're prone to skin breakouts or acne in the summer, apricot's your man.. err fruit. "They provide the body with iron, vitamin C, potassium and fibre," says Dr Kakar. Pack a handful to the gym and enjoy them as a great pre- or post-workout snack.

4. Mango
Skip Katrina's aamsutra adverts and focus on the real fruit. Chilled mangoes are the juiciest way to cool off, but if you're looking for a bit of spice, try this: Unripe mangoes are a rich source of pectin and when steamed and juiced with cumin (jeera) and salt, they provide an excellent remedy for heat strokes and exhaustion in summers.

5. Butter milk
Butter milk can kick diet soda's ass. "It is one of the healthiest bracers in hot summer months as it is the residue left behind after the fat in milk has been churned to produce butter," says Mumbai based nutritionist Niti Desai. Glug a glass a day to avoid dehydration and avoid digestion issues..

6. Watermelon
There's a reason this fruit holds a lot of water to its name: Super-sized and super-packed with nutritional goodies such as iron, potassium, beta carotene and vitamin C, watermelon has 95 per cent water content.. "It also helps treat kidney, bladder and digestive problems and can be drunk as juice or directly eaten," says Desai.

7. Corn
Nothing elevates work stress more than a malfunctioning air conditioner. So pop some corn. It's a good source of pantothenic acid, which provides vitamin B to lower stress levels. Dr Kakar recommends boiling corn for a snacker or a lunch takeaway as it lowers cholesterol levels and is high in essential carbs.

8. Soybeans
Traditional Chinese medicine proves soybeans are great natural coolants. "Rich in protein, they help prevent nasty summer colds," says Dr Kakar. Add some to caramel custards, kheer or payasam to lower bad cholesterol levels. Soy far, Soy cool!

9. Oyster
Even if the world's not your oyster, make this shellfish a part of your summer meals. Already established as an aphrodisiac, oysters contain phytochemicals that wipe out the toxins that encourage sweating. But heed these pearls of wisdom: They're best consumed fresh and should not be bought from stores where they're sold in bags and bowls.

10. Gooseberry (Amla)
Eat enough and this gooseberry might give you goosebumps instead of sweat stains. "Not only is amla a great refresher, it'll also reverse the ageing effects of the strong Indian sun and give you added stamina for gym sessions," says Ritika Samaddar, dietician, Max Healthcare. "It strengthens the heart, hair and different glands in the body, as well and can be drunk at any time of the day."

11. Grapefruit
Here's a reason to pick up some grapefruit instead of the classic orange: Its low sodium content and high fat-blasting enzymes help aid weight loss. This 18th century hybrid fruit also sports high concentrations of reservatrol, a compound that boasts of anti-aging, anti-cancer and anti-inflammation properties. Its high water content will keep you hydrated throughout the hot summer months.

12. Muskmelon
Nothing beats this lady's melons-we mean Mother Nature, not Pam Anderson. "Muskmelon's high water content helps prevent heatrelated disorders," says Samaddar. Freeze muskmelon cubes and blend with milk, OJ and sugar for a summer drink.

13. Bananas
Spicy lunches giving a heart burn as hot as hell? Have a banana split minus the ice cream and chocolate sauce. The potassium content in this summer fruit has a cooling effect on the stomach and also aids in digesting that hot butter chicken curry. It also cuts stress levels, so munch one if you've got a heavy deadline coming up.

14. Capsicum
Cap off summer lethargy with capsicum-it is excellent for cardiovascular health and lowering BP levels. It also up metabolism levels and is a great aid in the war against weight gain. Last, but not least, it helps fight off diabetes, a disease has that been on the up, especially for Indian men.

15. Mushroom
Vegetarians can now breeze through their protein content with some fungi. Mushrooms are a great source of selenium, animal protein and contain zero cholesterol and fats. They're also low on carbs, so chop some up in your sandwiches and give the meat a rest!

16. Asparagus
The French hit the nail on the head-Asparagus in French is asperge, which is slang for 'penis'. Not only does it have a phallic structure, "it also contains high levels of folic acid and calcium that can help reduce birth defects,"says Samaddar. Try to have these stems steamed so they don't lose flavour and vitamins.

17. Bottle gourd (Lauki)
Here's to gourd health! If your stomach piping is facing some stoppage due to water shortage, eat some lauki--easy to digest, it is effective against constipation and other digestive disorders to have your plumbing up and running in no time! It also delays premature greying in all areas.

18. Sugarcane
Sink your teeth into a juicy stem to fight off post-lunch sleepiness when the sun is at its fi ercest. Not only does its high sugar content provide a great energy boost, it also helps strengthen the gastrointestinal system. A glass of sugarcane juice is enough to fortify a meal skipped at any time during the day.

19. Apple
An apple a day and you know what they say… Not only do apples help fortify hydration levels, they are also an excellent source of fibre and iron. "Don't peel the skin away; it contains six times more antioxidants than the flesh!" warns Dr Kakar.

20. Lychee (Litchi)
"We don't realise it, but the fluctations in temperature between day and night in summer are a major cause of low energy levels," says Dr Kakar. "This in turn opens the body to a host of diseases and aches, all of which can be overcome by eating lychees"- high in water content, they are a powerful coolant and also help prevent internal blood clots and severe cell damage. Lychees have also been proven to reduce strokes to up to 50 per cent in heart patients," adds Dr Kakar.

21. Lemonade
Adage or not, lemonade or nimbu paani, is still one of the healthiest and most refreshing summer drinks from the time of your grandparents and beyond. Freshly prepared, this coolant lowers your risk of cancer and heart diseases and helps cure respiratory problems. Sip through a straw to avoid damaging your teeth-its acidic properties can ruin the outer enamel.

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22. Tuna Fish
There's nothing fishy about this study: Eating tuna five or more times per week can reduce risk of heat strokes by 52 per cent. It also contains essential omega-3 fatty acids and is easily available. Stick to the fresh variety over the tinned as it has better nutrition value, which is lost when the fish is canned.

23. Pomegranate
If you're looking to get ripped, swig a glass of pomegranate juice post your workout. The reason: Excessive sweating in the gym during the summer retards the muscle-recovery process due to lack of fluids. Pomegranates aid muscle recovery, so make 'em your little red pills to stronger pillars and steer clear of nasty steroids.

24. Cucumber
The phrase "cool as a cucumber" is not without merit-this vegetable's high water content reduces heat and inflammation. Adding a crunchy cool cucumber to your salads is a good way to increase your fibre intake as it comes naturally prepackaged with the extra fluid you need when consuming more fibre."Grind cucumber and add mint leaves for a refreshing drink," suggests Samaddar.

25. Raspberries
We're not asking you to buy that flavour of lip balm, just eat the real thing to avoid heat stroke. Raspberries are also high in beta-carotene and work well for the convalescent, over-fatigued or depressed . Sub sugar with fresh raspberries in a creamy millet porridge for a naturally sweetened breakfast treat.

26. Olives
The health benefits of olives are not Greek to you. Born of the Mediterranean basin (where people are reputed to live the longest) olives are easy to digest and therefore, ideal for warding off summer diseases. "They help strengthen the immune system and also lower blood pressure," says Samaddar says." Add finely chopped olives to your favourite tuna or chicken salad recipe to add flavour."

27. Basil
Fresh juice from basil leaves acts as a natural cleanser and sunscreen for your face. (Drink it, don't smear it over your face and roam the streets like a weird alien.) The easiest way to eat these leaves is just add them as garnishing to a pizza, soups and curries or throw them in a stir-fry.

28. Coconut
"Coconut helps protect the body from harmful free radicals that promote premature ageing and degenerative diseases. It relieves stress on the pancreas, therefore reducing symptoms associated with pancreatitis," adds Dr Kakar. Freshen up with a glass of coconut water to stay hydrated and younger, longer.

29. Mint (Pudina)
An online research and an organic living guide, The Global Centre, found that mint can be the best remedy for bad breath. It can also serve as a cooling spice, especially in the dog days of summer. Add mint to your salad or beverage, such as tea or lemonade, to add that extra cooling effect to your taste buds.

30. Papaya
Even John Abraham's good looks can be dimmed by summer sweat on his mug. But it's papaya to the rescue for you-its vitamin E content minimises the formation of wrinkles and delays the ageing process. The papain enzyme works as a great skin renewal agent by removing dead skin and revealing fresh, glowing skin.. Already headed to the grocer's, aren't you?