Tuesday, 19 June 2018

Overweight Patients With Knee Osteoarthritis

Overweight Patients With Knee Osteoarthritis New research shows that shedding those excess pounds can mean shedding joint pain, too. "This study adds to the evidence that weight loss is one of the few truly effective nonsurgical measures to reduce pain and improve function in overweight patients with knee osteoarthritis," noted Dr. Matthew Hepinstall, a joint specialist who wasn't involved in the new research. "As an orthopedic surgeon treating several hundred patients per year with knee osteoarthritis, I see the detrimental effects of excess body weight on a daily basis," said Hepinstall, associate director of the Center for Joint Preservation & Reconstruction at Lenox Hill Hospital in New York City. It's estimated that more than 250 million adults worldwide have knee osteoarthritis, a gradual deterioration of the joint. The new study was led by Stephen Messier of Wake Forest University and published June 18 in Arthritis Care & Research. In earlier research, Messier's team found that weight loss of 10 percent or more over 18 months led to a 50 percent reduction in pain and significant improvements in mobility for people with arthritic knees. The new study found greater weight loss led to better outcomes for those overweight or obese patients with knee osteoarthritis. In analyzing the data on 240 such patients, the researchers report that a weight loss of 20 percent or more led to an additional 25 percent reduction in pain. The patients also had continued improvements in physical function, compared to people who dropped only 10 percent of their weight over the study period. The more weight the person lost, the better they fared in terms of discomfort, overall function, the distance they were able to walk in six minutes, and their physical and mental health-related quality of life. Two measurements of knee health -- joint compression force and levels of an inflammatory marker called IL-6 -- also improved as patients shed excess pounds. "A 10 percent weight loss is the established target recommended by the National Institutes of Health as an initial weight loss for overweight and obese adults," Messier noted in a journal news release. "The importance of our study is that a weight loss of 20 percent or greater -- double the previous standard -- results in better clinical outcomes, and is achievable without surgical or pharmacologic intervention." Hepinstall acknowledged that "weight loss is easy for physicians to recommend but hard for patients to accomplish." He added, "This study reinforces the message that the typical results of weight loss are beneficial enough to justify the effort required in patients with knee osteoarthritis." (Source HealthDay) For Your Health Interest; healthcare nt sickcare Get Us IN +919766060629 App bit.ly/PRANAYA Web App bit.ly/pranayaplus

Know More About Appendix

KNOW APPENDIX The appendix sits at the junction of the small intestine and large intestine. It’s a thin tube about four inches long. Normally, the appendix sits in the lower right abdomen. The function of the appendix is unknown. One theory is that the appendix acts as a storehouse for good bacteria, “rebooting” the digestive system after diarrheal illnesses. Other experts believe the appendix is just a useless remnant from our evolutionary past. Surgical removal of the appendix causes no observable health problems. APPENDIX CONDITIONS: Appendicitis: For unclear reasons, the appendix often becomes inflamed, infected, and can rupture. This causes severe pain in the right lower part of the belly, along with nausea and vomiting. Tumors of the appendix: Carcinoid tumors secrete chemicals that cause periodic flushing, wheezing, and diarrhea. Epithelial tumors are growths in the appendix that can be benign or cancerous. Appendix tumors are rare. APPENDIX TESTS: Medical examination: The original test for appendicitis, a simple examination of the belly remains important in making the diagnosis. Changes in the abdominal exam help doctors tell if appendicitis is progressing, as well. CT scan (computed tomography): A CT scanner uses X-rays and a computer to create detailed images. In appendicitis, CT scans can show the inflamed appendix, and whether it has ruptured. Ultrasound: An ultrasound uses sound waves to detect signs of appendicitis, such as a swollen appendix. Complete blood count (CBC): An increased number of white blood cells -- a sign of infection and inflammation -- are often seen on blood tests during appendicitis. Other imaging tests: When a rare tumor of the appendix is suspected, imaging exams may locate it. These include magnetic resonance imaging (MRI), positron emission tomography (PET), and CT scans. APPENDIX TREATMENT: Appendectomy: Surgery is the only treatment for appendicitis. The doctor may use the traditional technique (one large cut) or laparoscopy (several small cuts and using a camera to see inside). Surgery is also needed to remove tumors of the appendix. If the tumor is large, it may require more aggressive surgery with removal of part of the colon. Antibiotics: While the diagnosis is in question, antibiotics treat any potential infection that might be causing the symptoms. In general, antibiotics alone cannot effectively treat appendicitis. (Source WebMd) For Your Health Interest; healthcare nt sickcare Get Us IN +919766060629 App bit.ly/PRANAYA Web App bit.ly/pranayaplus

Friday, 15 June 2018

Why Mental Illness Is So Hard to Spot in Seniors

Why Mental Illness Is So Hard to Spot in Seniors? “Indeed, compared with younger adults and middle-aged adults, adults over age 65 were much less likely to be asked by their primary care physician if they felt tense or anxious and were much less likely to be referred by their primary care physician for mental health specialty care,” says Dr. Susan W. Lehmann, clinical director of the division of geriatric psychiatry and neuropsychiatry and director of the Geriatric Psychiatry Day Hospital at the Johns Hopkins University School of Medicine. A more recent study of seniors receiving home health services found that 23 percent screened positive for depression, yet less than 40 percent of those people were receiving treatment for depression. There are a number of reasons why mental illness is underdiagnosed among seniors. An interesting finding of the telephone survey, Lehman says, was that older adults themselves were much less likely to perceive a need for mental health care than younger adults, so they may be less likely to bring up concerns with their primary care provider. Ageism and perceived stigma about mental health care may play a role as well. “Many older adults and their family members may incorrectly believe that depression is normal with aging,” she says. “Given the time constraints of outpatient medical appointments, the primary care provider may feel challenged to review these ongoing health conditions in a short time frame and may not feel there is time to discuss mental health concerns unless the patient brings it up.” Family and loved ones have an important role to play in encouraging a senior who may be experiencing symptoms of mental illness to receive an appropriate evaluation, Lehman says. “Speaking with the senior’s primary care provider is often the right first step,” she explains. If specialty care is recommended, loved ones can help ensure that the individual follows through with the appointment and recommended treatment. (Source. USNews Health) healthcare nt sickcare Get Us IN +919766060629 https://healthcarentsickcare.in App bit.ly/PRANAYA Web App bit.ly/pranayaplus

Saturday, 9 June 2018

Adrenal Function & Tests

Adrenal Function & Tests The body has two adrenal glands, one located above each kidney. Hormones secreted by these endocrine glands help to regulate many body processes. Measuring blood and urine levels of adrenal hormones, including the following, is often the first step in diagnosing a variety of disorders associated with adrenal gland dysfunction. Adrenal Hormone Tests: Aldosterone controls salt, potassium, and water balance in the body and helps to regulate blood pressure. Overproduction (hyperaldosteronism) or underproduction (hypoaldosteronism) of this hormone may be caused by tumors or other abnormalities within the adrenal glands (primary; e.g., adrenal cancer) or may result from problems outside the adrenals (secondary). Both blood levels and urinary excretion of aldosterone may be measured. CORTISOL Cortisol is a glucocorticoid hormone that helps to control the metabolism of carbohydrates, proteins, and fats; mediate the body’s response to stress; and regulate the immune system. Oversecretion of cortisol, most often caused by a benign adrenal tumor, results in Cushing’s syndrome. Undersecretion may indicate a form of adrenal insufficiency known as Addison’s disease. Both blood levels and urine levels (known as free cortisol) are usually measured. 18-Hydroxy Cortisol 18-Hydroxycortisol, a product of cortisol metabolism, is an unusual steroid produced in excessive amounts in patients with primary hyperaldosteronism. Measuring blood levels of this hormone can help to determine whether primary hyperaldosteronism is caused by a tumor called adrenal adenoma, or by overgrowth (hyperplasia) of adrenal tissue; levels are significantly higher in people with an adenoma. DHEA-S DHEA-S, or dehydroepiandrosterone-sulfate—a sex hormone (androgen) synthesized by the adrenal gland—is a precursor to testosterone. In women, the adrenal glands are the major, and sometimes only, source of androgens. Elevated DHEA-S levels are associated with virilism (male body characteristics), hirsutism (excessive hair growth), amenorrhea (absence of menstruation), and infertility. Adrenal abnormalities such as tumors may lead to abnormally high DHEA-S levels. Purpose of the Adrenal Hormone Tests: To evaluate patients with suspected dysfunction of the adrenal glands. To aid in the diagnosis and evaluation of adrenal abnormalities, such as Cushing’s syndrome, Addison’s disease, adrenal adenoma, or adrenal hyperplasia. DHEA-S may be measured to determine the cause of hirsutism, amenorrhea, or infertility in women and to evaluate precocious puberty in children. Blood tests: A sample of your blood is drawn from a vein, usually from the inside of the elbow or the back of the hand, and sent to a laboratory for analysis. Urine tests: To accurately assess urinary excretion of aldosterone, cortisol, and 18-hydroxycortisol, timed urine specimens are collected in a special container over a 24-hour period. Once urine collection is complete, label the container with your name, date, and time of completion and return it as instructed by your doctor. (Source Health Communities) For More Info & Testing Visit : https://healthcarentsickcare.in/product/book-test/ For Your Health Interest; healthcare nt sickcare Get Us IN +919766060629 healthcarentsickcare.in App: bit.ly/PRANAYA Web App: bit.ly/pranayaplus

Tuesday, 5 June 2018

World Environment Day & Health

WORLD ENVIRONMENT DAY 5TH JUNE 2018 India is hosting World Environment Day 2018 With Theme "Beat Plastic Pollution" World Environment & Health For Economic Development A healthy population is essential for economic development. The poorest people on the planet tend to suffer most from the health effects from exposures to environmental hazards like air pollution and impure water. In turn, disease and disability related to polluted environments slows and blocks economic development. In addition to its toll on human suffering, illness carries a significant financial burden in the form of healthcare expenditures and lost productivity. For example, unhealthy children often cannot attend or perform well in school, and unhealthy adults cannot work or care for their families. How does economic development affect environmental health? Economic development has led to tremendous improvements in people’s well-being, but often at the expense of the environment. Industrialization has contributed to pollution of air and water, changing dietary patterns, and shifting patterns of transportation and land use. Exposures to air and water pollutants directly increase disease. Similarly, dietary changes and decreased levels of physical activity, resulting from transportation and other work and lifestyle changes, are contributing to global epidemics of obesity, diabetes, and associated diseases. Globalization and the large geographic scale over which rapid industrialization is occurring make these environmental health problems global health problems. What is sustainable development? Sustainable development is frequently defined as development that meets the needs of present generations without compromising the ability of future generations to meet their own needs. As evidence of the harm to health and well-being from widespread environmental degradation and global climate change grows, communities and governments are placing greater emphasis on assuring that economic development is achieved in a sustainable way. How can environmental health be integrated into sustainable development? Protecting and creating healthy environments is a critical component of sustainable development. Environmental health can be integrated into sustainable development by: Improving environmental quality for the poorest populations with the greatest burden of environmental diseases, by reducing exposures to air pollution in homes and villages from biomass burning, and providing clean water and sanitation Identifying efforts to address environmental problems that can also provide health benefits. For example, creating environments that encourage biking and walking for transportation reduces greenhouse gas and toxic air pollution emissions (environmental benefit) and increases physical activity (health benefit). Recognizing that some policies, practices, and technologies designed to promote sustainability and economic development may have unintended adverse environmental health effects, and attempting to prevent or mitigate these before they are implemented. (Source NIH) For Your Health Interest healthcare nt sickcare Get Us IN +919766060629 healthcarentsickcare.in App: bit.ly/PRANAYA Web App: bit.ly/pranayaplus

Monday, 4 June 2018

Know Gallbladder & Function Tests

Know Gallbladder & Function Tests The gallbladder — a sac located near the liver that serves as a storage space for bile — can be stricken with various problems, such as gallbladder cancer or inflammation (called cholecystitis). Gallstones are also a common gallbladder problem, and infection can occur if the gallbladder remains blocked by a gallstone or continues to be inflamed. Gallbladder disease is the term used to describe many of these maladies that can plague the gallbladder. But in many forms of gallbladder disease, a person may have no symptoms — up to 90 percent of people with gallstones, for example, don't have any symptoms at all. Gallbladder Function Test: Gallbladder problems are often symptomless. But if suspicious symptoms like abdominal pain appear, diagnostic tests can pinpoint the gallbladder as the culprit. Liver tests (LTs), which are blood tests that can show evidence of gallbladder disease. A check of the blood's amylase or lipase levels to look for inflammation of the pancreas. Amylase and lipase are enzymes (digestive chemicals) produced in the pancreas. A complete blood count (CBC), which looks at levels of different types of blood cells such as white blood cells. A high white blood cell count may indicate infection. The use of ultrasound testing which uses sound waves to image and make a picture of the intra-abdominal organs including the gallbladder. An abdominal X-ray, which may show evidence of gallbladder disease, such as gallstones. A computed tomography (CT) scan constructs a detailed X-ray images of the abdominal organs. A HIDA scan. In this test, a radioactive material called hydroxy iminodiacetic acid (HIDA) is injected into the patient. The radioactive material is taken up by the gallbladder to measure gallbladder emptying function. This test also is referred to as cholescintigraphy. Magnetic resonance cholangiopancreatography (MRCP), which uses magnetic resonance imaging (MRI) to produce detailed pictures. Endoscopic retrograde cholangiopancreatography (ERCP), a procedure in which a tube is placed down the patient's throat, into the stomach, then into the small intestine. Dye is injected and the ducts of the gallbladder, liver, and pancreas can be seen on X-ray. Get Your Liver Function,Amylase,Lipase And CBC Done at ₹ 1120.00 https://healthcarentsickcare.in/ For Your Health Interest; healthcare nt sickcare Get Us IN +91 9766060629 healthcarentsickcare.in App : bit.ly/PRANAYA Web App: bit.ly/pranayaplus

Saturday, 2 June 2018

Know Pancreas & Its Function Tests

What are Pancreas Function Tests? Pancreas function tests are used to assess the health of the exocrine pancreas, typically by assessing the levels of certain enzymes or digestive products in blood, feces, or urine. Why do I need a Pancreas Function Test? Pancreas function tests are most commonly used to diagnose chronic pancreatitis. These include tests which document exocrine or endocrine gland insufficiency and tests which instead measure gradations of decreased secretory capacity. What are the Types of Pancreas Function Tests and How are they Performed? Blood Tests Blood tests can evaluate the function of the gallbladder, liver, and pancreas. Levels of the pancreatic enzymes amylase and lipase can be measured. Blood tests can also check for signs of related conditions, including infection, anemia (low blood count), and dehydration. A tumor marker called CA 19-9 may be checked if pancreatic cancer is suspected. Secretin Stimulation Test Secretin is a hormone made by the small intestine and It stimulates the pancreas to release a fluid that neutralizes stomach acid and aids in digestion. The secretin stimulation test measures the ability of the pancreas to respond to secretin. This test may be performed to determine the activity of the pancreas in people with diseases that affect the pancreas (for example, cystic fibrosis or pancreatic cancer). During the test, a health care professional places a tube down the throat, into the stomach, then into the upper part of the small intestine. Secretin is administered by vein and the contents of the duodenal secretions are aspirated (removed with suction) and analyzed over a period of about two hours. Fecal Elastase Test The fecal elastase test is another type of pancreas function test. The test measures the levels of elastase, an enzyme found in fluids produced by the pancreas. Elastase digests (breaks down) proteins. In this test, a patient’s stool sample is analyzed for the presence of elastase. Computed Tomography (CT) Scan with Contrast Dye This imaging test can help assess the health of the pancreas. A CT scan can identify complications of pancreatic disease such as fluid around the pancreas, an enclosed infection (abscess), or a collection of tissue, fluid, and pancreatic enzymes (pancreatic pseudocyst). Abdominal Ultrasound An abdominal ultrasound can detect gallstones that might block the outflow of fluid from the pancreas. It also can show an abscess or a pancreatic pseudocyst. Endoscopic Retrograde Cholangiopancreatography (ERCP) In an ERCP, a health care professional places a tube down the throat, into the stomach, then into the small intestine. Dye is used to help the doctor see the structure of the common bile duct, other bile ducts, and the pancreatic duct on an X-ray. If gallstones are blocking the bile duct, they may also be removed during an ERCP. Endoscopic Ultrasound In this test, a probe attached to a lighted scope is placed down the throat and into the stomach. Sound waves show images of organs in the abdomen. Endoscopic ultrasound may reveal gallstones and can be helpful in diagnosing severe pancreatitis when an invasive test such as ERCP might make the condition worse. A biopsy or sampling of the pancreas may also be possible with this type of ultrasound. Magnetic Resonance Cholangiopancreatography (MRCP) This kind of Magnetic Resonance Imaging (MRI) can be used to look at the bile ducts and the pancreatic duct. What are the Pancreas Function Test Normal Values? Enzymes are proteins produced by the body to do a particular job. The pancreas produces amylase to break down carbohydrates in food into simple sugars. The pancreas makes lipase to digest fats into fatty acids. Sugars and fatty acids can then be absorbed by the small intestine. Some amylase and lipase can be found in saliva and in the stomach. However, most of the enzymes made in the pancreas are released into the small intestine. The values of pancreas function test include normal amylase levels of 23-85 U/L (some lab results go up to 140 U/L) and lipase levels of 0-160 U/L. Pancreatitis suspected amylase levels are > 200 U/L and lipase levels are > 200 U/L. When the pancreas is damaged, these digestive enzymes can be found in the blood at higher levels than normal. Amylase or lipase results more than three times normal levels are likely to mean pancreatitis or damage to your pancreas. However, in rare cases, there can be significant damage to the pancreas without abnormal amylase or lipase levels. In these cases, abdominal pain is the most common symptom. Early in the course of damage to the pancreas, amylase or lipase levels may also be normal. What Causes Abnormal Lipase Levels During Pancreas Function Test? Lipase levels may be abnormally high if someone is experiencing: Acute pancreatitis, sudden inflammation of the pancreas chronic pancreatitis, long-term inflammation of the pancreas Pancreatic cancer Severe Gastroenteritis or Stomach Flu Cholecystitis, inflammation of the gallbladder Celiac disease, an allergy to gluten Duodenal Ulcer Macrolipasemia HIV infection Abnormal levels of lipase may also exist in people with Familial Lipoprotein Lipase Deficiency. Drugs that may affect the levels of lipase in your bloodstream are the same ones known to affect the levels of amylase. What Does It Mean If My Lipase and Amylase are High? When levels of lipase and amylase are higher than normal it may indicate pancreatic injury or another disease. Lipase levels alone can’t determine the severity of an acute pancreatitis attack. When these test results are abnormal, you may need other tests such as an ultrasound, CT scan, MRI scan, and endoscopy. 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