#Kims Clinical Nutrition

[kims-trivandrum]

Best Clinical Nutrition Hospital in Trivandrum, India | KIMSHEALTH Hospital

The department of Clinical Nutrition at KIMSHEALTH is centred around helping patients maintain a healthy lifestyle and remain fit.

We provide customized, guideline-based dietary plans for patients, keeping in mind their health problems and nutritional requirements. Ours is a multidisciplinary approach, the dieticians at KIMSHEALTH provide crucial support to all specialties by assessing, monitoring and optimizing the nutritional status of patients, including those who require Ryles tube feeding.

The Nutrition and Dietetics department offers Nutrition care management to hospitalized patients through multidisciplinary nutrition support. Our team helps patients in all areas and has a close link with medical nursing, F&B, and Pharmacy department as well as other therapy sessions.

Procedures & Treatments

● Individualized diet prescriptions and advice to patients.

● Providing special nutritional care for critical cases

● Tube feedings involving Ryles tube, nasojejunal tube and PEG feeds. It is ensured that each patient’s food requirement is fulfilled completely with the necessary calories, protein, fat, fibre and suitable nutrients in the feed formulation.

● Customized diet, hygienically prepared and served to all in-patients based on their medical requirements.

● Diet counselling for clients coming for an executive diabetic health check-up.

● Antenatal nutritional counselling for everyone especially gestational diabetes.

● Community nutrition program, talks on food and health, awareness sessions on nutrition.

● Nutrition support services for corporates and industrial houses.

● Providing dietary advice for healthy living.

● Identifying and treating malnutrition — creating awareness on the risks of malnutrition and helping them maintain their health. This would help in speedy recovery when illness occurs and thus lessen the need for hospitalization.

● Evaluating the nutritional needs of a patient — identifying nutrition problems and assessing nutritional status, improve health for prevention of disease.

● Nutrition screening at admission

● Nutrition assessment and development individual nutrition care Plan c in 24 hours

● Nutrition support team approach is given to the high-risk nutrition, Malnourished, Ryler tube feeding, Institute care (ICU) Surgical, Postoperative, oncology, Nephrology, Burns, Idepato, Neuro, Pediatrics, High risk, Obstetrics etc.

● Specialized dietitians give nutrition counselling and handouts at the time of discharge

[immensediabetesclinics]

Leading Hospitals for Diabetes Management in Hyderabad: Where to Find the Best Care

Hyderabad, a city renowned for its cutting-edge medical facilities, offers a range of top-tier hospitals specializing in diabetes management. Effective diabetes care requires a multidisciplinary approach, incorporating expert medical advice, comprehensive treatment plans, and ongoing support. In this blog, we will explore some of the leading hospitals in Hyderabad for diabetes management, highlighting their unique offerings, specialties, and why they stand out as the best options for diabetes care.

Why Specialized Diabetes Management is Crucial

Diabetes is a complex and chronic condition that can lead to severe complications if not managed properly. Specialized diabetes management involves not just controlling blood sugar levels, but also addressing potential complications such as heart disease, kidney problems, nerve damage, and vision issues. Leading hospitals in Hyderabad provide a holistic approach to diabetes care, ensuring patients receive comprehensive treatment and support tailored to their specific needs.

Top Hospitals for Diabetes Management in Hyderabad

Immense Diabetes & Thyroid Clinic in Hyderabad

Dr. Deepthi V Kareti is a highly regarded Consultant Diabetologist and the founder of Immense Diabetes & Thyroid Clinic in Hyderabad. With a profound dedication to diabetes and thyroid care, Dr. Deepthi combines extensive clinical expertise with a compassionate approach to patient management. She specializes in crafting personalized treatment strategies that prioritize patient well-being and long-term health outcomes. Dr. Deepthi's commitment to excellence in healthcare, coupled with her emphasis on holistic wellness and patient education, has earned her a reputation as a trusted healthcare provider in Hyderabad's medical community.

Apollo Hospitals, Jubilee Hills

Specialty: Comprehensive diabetes care, including Type 1 and Type 2 diabetes, gestational diabetes, and complications management.

Services: Advanced diagnostics, personalized treatment plans, lifestyle counseling, insulin therapy, and continuous glucose monitoring.

Why Choose: Apollo Hospitals in Jubilee Hills is known for its state-of-the-art facilities and expert team of endocrinologists, diabetologists, and dietitians. Their integrated approach ensures that all aspects of diabetes management are covered, providing patients with a seamless and effective treatment experience.

Yashoda Hospitals, Secunderabad

Specialty: Advanced diabetes management and endocrinology.

Services: Comprehensive diabetes care, including diagnostic services, medication management, lifestyle modification programs, and specialized care for diabetes-related complications.

Why Choose: Yashoda Hospitals stands out for its patient-centric approach and emphasis on early detection and prevention of complications. Their multidisciplinary team collaborates to create personalized care plans that address the unique needs of each patient.

KIMS Hospitals, Secunderabad

Specialty: Full-spectrum diabetes care and endocrinology services.

Services: Diabetes diagnosis and treatment, insulin pump therapy, diet and nutrition counseling, exercise programs, and education on diabetes self-management.

Why Choose: KIMS Hospitals offers a holistic approach to diabetes care, focusing on patient education and empowerment. Their comprehensive services ensure that patients receive the support they need to manage their condition effectively and prevent long-term complications.

AIG Hospitals, Gachibowli

Specialty: Integrated diabetes care and endocrinology.

Services: Advanced diagnostics, individualized treatment plans, lifestyle counseling, and management of diabetes complications such as neuropathy, retinopathy, and nephropathy.

Why Choose: AIG Hospitals is renowned for its cutting-edge technology and innovative treatment approaches. Their focus on patient-centered care ensures that each patient receives personalized attention and tailored treatment plans designed to improve their overall health and well-being.

Continental Hospitals, Nanakramguda

Specialty: Comprehensive diabetes and metabolic disorders care.

Services: Comprehensive diabetes management, including diagnosis, medication, diet counseling, exercise programs, and education on diabetes care.

Why Choose: Continental Hospitals provides a multidisciplinary approach to diabetes management, with a team of experts dedicated to helping patients achieve optimal health. Their emphasis on preventive care and lifestyle modification makes them a top choice for diabetes management in Hyderabad.

Comprehensive Diabetes Management: Key Components

Effective diabetes management involves a combination of medical treatment, lifestyle changes, and ongoing support. Leading hospitals in Hyderabad offer the following key components of comprehensive diabetes care:

Detailed Assessment and Diagnosis

Initial consultation with a detailed review of medical history and lifestyle.

Comprehensive diagnostic tests, including blood glucose monitoring, HbA1c tests, lipid profile, and other relevant investigations.

Personalized Treatment Plans

Tailored medication regimens to manage blood sugar levels effectively.

Insulin therapy and advanced treatments, including insulin pump therapy and continuous glucose monitoring (CGM).

Lifestyle and Nutritional Counseling

Customized diet plans to help manage blood sugar levels and maintain a healthy weight.

Exercise recommendations to improve insulin sensitivity and overall health.

Regular Monitoring and Follow-ups

Routine check-ups to monitor blood sugar levels and adjust treatment plans as needed.

Continuous glucose monitoring for real-time insights into blood sugar fluctuations.

Education and Support

Patient education programs to enhance understanding of diabetes management.

Support groups and counseling services to address the emotional and psychological aspects of living with diabetes.

Management of Diabetes Complications

Specialized care for managing complications such as neuropathy, retinopathy, nephropathy, and cardiovascular issues.

Early detection and preventive measures to avoid complications.

Conclusion

Finding the right hospital for diabetes management is crucial for effective and comprehensive care. The leading hospitals in Hyderabad offer a range of services and expertise to help patients manage their diabetes effectively. Whether you are newly diagnosed or have been living with diabetes for years, these hospitals provide the support and treatment you need to achieve optimal health and well-being.

Choosing a hospital with specialized diabetes care ensures that you receive holistic treatment from a team of experts dedicated to your health. With the right care and support, you can take control of your diabetes and lead a healthy, fulfilling life.

[prnlive]

Gary Null’s Show Notes

12 08 22 P

If you listen to Gary’s show, you know that he begins with the latest findings in natural approaches to health and nutrition. Here we make some of those findings available each weekday to subscribers to the Gary Null Newsletter.

Healthy plant-based diets associated with lower colorectal cancer risk in men

Kyung Hee University, South Korea, November 28, 2022

Eating a plant-based diet rich in healthy plant foods—such as whole grains, vegetables, and legumes—and low in unhealthy plant foods—including refined grains, fruit juices, and added sugars—is associated with a lower risk of colorectal cancer in men. The findings are published in the open access journal BMC Medicine.Jihye Kim, the corresponding author, said, “Colorectal cancer is the third-most common cancer worldwide, and the risk of developing colorectal cancer over a lifetime is one in 23 for men and one in 25 for women. Although previous research has suggested that plant-based diets may play a role in preventing colorectal cancer, the impact of plant foods’ nutritional quality on this association has been unclear. Our findings suggest that eating a healthy plant-based diet is associated with a reduced risk of colorectal cancer.” Researchers from Kyung Hee University, South Korea found that among a population of 79,952 American men, those who ate the highest average daily amounts of healthy plant-based foods had a 22% lower risk of colorectal cancer, compared to those who ate the lowest amounts of healthy plant foods. However, the authors did not identify any significant associations between the nutritional quality of plant-based diets and colorectal cancer risk among a population of 93,475 American women. Jihye Kim said, “We speculate that the antioxidants found in foods such as fruits, vegetables, and whole grains could contribute to lowering colorectal cancer risk by suppressing chronic inflammation, which can lead to cancer. As men tend to have a higher risk of colorectal cancer than women, we propose that this could help explain why eating greater amounts of healthy plant-based foods was associated with reduced colorectal cancer risk in men but not women.” The authors found that the association between the nutritional quality of plant-based diets and colorectal cancer risk among men varied by race and ethnicity. Among Japanese American men, colorectal cancer risk was 20% lower for those who ate the highest amount of healthy plant foods per day than for those who ate the lowest amount. Among white men, those who ate the highest amount of highest amount of healthy plant foods had a 24% lower colorectal cancer risk than those who ate the lowest amount. The authors did not identify any significant associations between plant-based diets and colorectal cancer risk among African American, Latino or Native Hawaiian men.

Green Mediterranean diet reduces twice as much visceral fat as traditional Mediterranean diet

Ben-Gurion University of the Negev (Israel), November 28, 2022

Following the green Mediterranean diet significantly reduces visceral adipose tissue, a type of fat around internal organs that is much more dangerous than the extra “tire” around your waist. Recently, researchers compared the green Mediterranean diet to the traditional Mediterranean diet and a non-Mediterranean healthy diet in a large-scale clinical interventional trial—the DIRECT PLUS. Subsequent analysis found that the green Mediterranean diet reduced visceral fat by 14%, the Mediterranean diet by 7% and the non-Mediterranean healthy diet by 4.5%. The study was published in BMC Medicine. Reducing visceral fat is considered the true goal of weight loss, as it is a more important indicator than a person’s weight or the circumference of their waist. Visceral fat aggregates over time between organs, and produces hormones and poisons linked to heart disease, diabetes, dementia and premature death. The DIRECT-PLUS trial research team was the first to introduce the concept of the green Mediterranean diet. This modified Mediterranean diet is further enriched with dietary polyphenols and is lower in red/processed meat than the traditional Mediterranean diet. On top of a daily intake of walnuts (28 grams), the participants consumed 3-4 cups of green tea/day and 100 grams (frozen cubes) of duckweed green shake/day. The aquatic green plant duckweed is high in bioavailable protein, iron, B12, vitamins, minerals, and polyphenols and substituted meat intake. The team has shown in previous studies that the green Mediterranean diet has a variety of salutary effects ranging from the microbiome to age-related degenerative diseases. A group of 294 participants took part in the 18-month long trial. “A 14% reduction in visceral fat is a dramatic achievement for making simple changes to your diet and lifestyle. Weight loss is an important goal only if it is accompanied by impressive results in reducing adipose tissue,” notes Dr. Hila Zelicha.

Are older women being over-screened for cervical cancer?

University of Illinois at Chicago, November 28, 2022

A new study published in JAMA Internal Medicine suggests that women over the age of 65 may be undergoing unnecessary cervical cancer screenings and that more public health data is needed on the utilization of cervical cancer screening-associated services among older women to prevent potential harm and unnecessary costs.

The study, which is authored by experts from the University of Illinois Chicago, the University of California San Francisco and the U.S. Centers for Disease Control and Prevention, looked at Medicare claims data from 1999 to 2019 for fee-for-service care for women over the age of 65.

The analysis showed that in 2019 more than 1.3 million women received cervical cancer screening-associated services, such as a Pap test, colposcopy, and other cervical procedures after age 65. While these services cost more than $83 million, the researchers concluded they were of “unclear clinical appropriateness.”

“Cervical cancer screening and other preventive services are among our most important tools for keeping people healthy throughout life, but screenings should also follow evidence-based guidelines to prevent overspending, potential complications and patient discomfort,” said study co-author Dr. Hunter Holt, assistant professor of family and community medicine at the University of Illinois Chicago.

According to recommendations and guidelines from the U.S. Preventive Services Task Force, the American Cancer Society and the American College of Obstetrics and Gynecology, women considered to be of average risk can stop undergoing routine cervical cancer screening once they reach the age of 65 if they have had adequate prior screening. “The decision to end cervical cancer screening for women after age 65 requires review of past screening results and related medical history. This process can promote cervical cancer prevention and prevent harms and costs from unnecessary tests and procedures,” said Jin Qin, study co-author and epidemiologist in CDC’s Division of Cancer Prevention and Control.

The researchers say that the high rates of screening among older women is potentially concerning.

“It could be that women are getting screened when they do not need to, or that these women are considered to be at higher-than-average risk, for example, because they have not been adequately screened prior to 65. We do not want to see either of these things and unfortunately, there is not enough public health data to shed light on the causes,” said Holt, who is also affiliated with the University of Illinois Cancer Center at UIC.

Chemotherapy could increase disease susceptibility in future generations

Washington State University, November 28, 2022

A common chemotherapy drug could carry a toxic inheritance for children and grandchildren of adolescent cancer survivors, Washington State University-led research indicates.

The study, published online in iScience, found that male rats who received the drug ifosfamide during adolescence had offspring and grand-offspring with increased incidence of disease. While other research has shown that cancer treatments can increase patients’ chance of developing disease later in life, this is one of the first-known studies showing that susceptibility can be passed down to a third generation of unexposed offspring.

“The findings suggest that if a patient receives chemotherapy, and then later has children, that their grandchildren, and even great-grandchildren, may have an increased disease susceptibility due to their ancestors’ chemotherapy exposure,” said Michael Skinner, a WSU biologist and corresponding author on the study.

Given this study’s implications, the researchers recommend that cancer patients who plan to have children later take precautions, such as using cryopreservation to freeze sperm or ova before having chemotherapy.

In the study, researchers exposed a set of young male rats to ifosfamide over three days, mimicking a course of treatment an adolescent human cancer patient might receive. Those rats were later bred with female rats who had not been exposed to the drug. The resulting offspring were bred again with another set of unexposed rats.

The first-generation offspring had some exposure to the chemotherapy drug since their fathers’ sperm was exposed, but researchers found greater incidence of disease in not only the first- but also the second-generation, who had no direct exposure to the drug. While there were some differences by generation and sex, the associated problems included greater incidence of kidney and testis diseases as well as delayed onset of puberty and abnormally low anxiety, indicating a lowered ability to assess risk.

The results of the researchers’ analysis showed epigenetic changes in two generations linked to the chemotherapy exposure of the originally exposed rats. The fact that these changes could be seen in the grand-offspring, who had no direct exposure to the chemotherapy drug, indicates that the negative effects were passed down through epigenetic inheritance.

Saffron can fight liver cancer, reveal UAE researchers

United Arab Emirates University, November 20, 2022

It may be an expensive spice but you cannot put a label or price on health, said Professor Amr Amin who has researched a breakthrough in the properties of saffron in fighting liver cancer.

Professor Amin from Cellular & Molecular Biology at United Arab Emirates University said that researchers have investigated and found saffron to have anti-liver cancer properties.

“Safranal, a major biomolecule of the golden spice saffron arrests and stops the cancer cell division at two different stages,” he said.

The UAE researchers have been working on this project since 2011 when they first published the research in the Hepatology Journal.

The study suggests a novel mechanism of anti-proliferative activity of safranal against human liver cancer cells.

“This molecule could serve as a novel and/or adjuvant drug to treat liver cancer,” said Dr Amin.

The findings are now also published in a Nature journal Scientific Reports.

“The ingredient works in two ways; it stops cell division and promotes cell death,” he explained.

Prof Amin and colleagues concluded that safranal exerts its anticancer effect in HepG2 cells by inhibiting DNA repair, resulting in increased DNA damage.

Japanese researchers say that ultrasound therapy can be used to treat patients with dementia

Tohoku University (Japan), November 20, 2022

A new therapy based on ultrasound waves might be able to improve the cognitive powers of patients suffering from Alzheimer’s disease and other forms of dementia. According to an article on the Tohoku University news page, the approach improved the condition of mice with symptoms similar to human dementia.

In their experiment, the Tohoku University research team sent low-intensity pulsed ultrasound (LIPUS) waves through the brain of the mice. They found that the waves improved the creation of blood vessels and the rate of regeneration of nerve cells.

Furthermore, the treatment did not cause any notable side effects on the mice. The results led the researchers to believe that they can replicate their experimental success in actual human patients one day.

“The LIPUS therapy is a non-invasive physiotherapy that could apply to high-risk elderly patients without the need for surgery or anaesthesia, and could be used repeatedly,” explained TU researcher Hiroaki Shimokawa.

The Tohoku researchers applied LIPUS therapy to the whole brain of mice with symptoms that resemble those of Alzheimer’s disease or vascular dementia. They did this three times a day, with each session lasting for 20 minutes.

The mice that simulated vascular dementia underwent surgery that reduced the amount of blood that reached the brain. These animals underwent LIPUS treatment on the first, third, and fifth days after that surgery. Meanwhile, the mice that modeled Alzheimer’s disease got 11 LIPUS treatments over a three-month-long trial period.

By the end of the experiment, the researchers found that LIPUS activated genes involved with the cells that made up the inner lining of blood vessels. Furthermore, an enzyme that promoted blood vessel formation displayed increased activity, as did a protein which helped nerve cells grow.

Based on their findings, whole-brain LIPUS therapy can help alleviate the symptoms of certain forms of dementia by encouraging the development of cells that are normally affected by the condition. The technique is currently undergoing initial clinical trials that will determine its efficacy and safety.

[capaimagines]

kim seungmin - bet

Pairing: Kim Seungmin x Reader | Genre: fluff | Warnings: none | WC: 820 words

Request: Seungmin helping you, a med student, study for exams?? like he makes sure you're drinking water and helps with your notes and gently convinces you to go to bed when it gets late, and he tells you how proud he is 🤗💛💛

Being a med student certainly wasn’t easy. Anyone and everyone knows that. The amount of hours spent doing clinicals, studying, test taking, etc. Finding time just to grab yourself some coffee became hard, especially when it was time for exams.

You were a med student so you knew how important nutrition was for your body and brain. You knew that getting an amicable amount of sleep a night was needed for you to keep functioning properly, but you couldn’t help it when exam season came around, you seemed to forget all of that important stuff and focus entirely on your studies.

The first time exams came around when you had just moved in with your roommates, they were rightfully concerned when you didn’t leave your room for two weeks. That they hadn’t seen you in person for fourteen days. Obviously, they thought you had died or something because they hadn’t heard a peep from you, but thankfully, once your best friend was able to pick the lock to your door, they found you hunched over your desk studying away.

Since then, your roommates were more diligent in making sure you took breaks. Especially around exam times. Seungmin was one of your roommates and he was a wonderful friend and person. He learned early on that knocking on your door would result in nothing, instead, having a key made to be able to open the door whenever he pleased.

It was nearing three in the morning and he saw the sliver of light from under your door. He sighed, walking back to his room to grab his key and entered into your room. Just as he expected, he found you—barely awake—hunched over your books and furiously writing notes. He grabbed the pen from your hand and you sent him a glare. He only sighed as he saw your red eyes and dark bags.

“Bed." Was all he said and you groaned, getting up and shuffling to your bed. You fell down face first on the mattress and he laughed, turning you over and pulling the covers over you, “You’re not getting up until noon, understood?” He said and you hummed, eyes already closed on your way to dreamland. He shut your lights off and took your books back to his room with him just in case you tried to wake up and continue studying.

The next day you woke up feeling more refreshed than you had the past few days and you sent a silent thanks to Seungmin for that. Once you had settled at your desk to continue slaving away over your books, Seungmin was once again beside you, pulling them away, “You need to eat! We’re going to go to your favorite café. C’mon!” He pulled you up and when you tried to protest he only sent you a glare that had you sighing dramatically and throwing a hoodie over your head.

“You need to get out every once in a while, you know. Get some sun on you. You're paler than a Casper,” Seungmin teased as you shoved your breakfast into your mouth. This really was your favorite café and you couldn’t remember the last time you actually sat down and had a proper meal, “How’s studying going though?” He asked, taking a sip of his coffee.

You wiped your mouth and shrugged, “Same as always. Just worried about forgetting everything or something.” He smiled at you and reached over to pat your hand.  

“Please. The Y/N I know is going to pass with flying colors.” You smiled at him and thanked him quietly. Seungmin really was the best cheerleader you could ask for. He never forced you to not study, but he always made sure that you were taking care of yourself in those times.

“How about we make a bet?” He asked with a smirk. You let out a laugh and rolled your eyes. 

“You and your bets. Hit me.” You couldn’t tell how nervous he was, but inside Seungmin felt like he was melting.  

“If you pass, I get to take you on a date,” your cheeks heated up and your mouth fell open a little bit. You had always had a small crush on him, but you truly never thought he would feel the same or that it would go anywhere.

“A-and if I don’t pass?” You stuttered out and Seungmin pretended to think for a moment. 

“Well, we both know that you’re going to pass anyways, but if you don’t, then you take me on a date.” Your cheeks were probably the color of cherries by now and the butterflies in your stomach were taking away your appetite. However, you weren’t one to back away from a bet. Curse your competitive nature. 

“You’re on, Kim,” you said, holding your hand out for him to shake.

 He chuckled, grabbing your hand in his and shaking it, “I’m looking forward to it, L/N.”

[angry-ahkari]

“It’s okay if people want to be vegan but they shouldn’t brainwash their kids.”

This is a common statement among non vegans. Maybe you’ve even uttered it yourself. People should not push their beliefs on their child, that’s just not fair to them. I totally agree. Let’s step back, look at this objectively and examine two possible scenarios and outcomes that almost every parent has experienced.

Scenario One

Child - “Mommy, Daddy, what are we having for dinner?”

Parent - “Chicken.”

Child – “Like the bird?!”

Parent – “Yes.”

Child – “It doesn’t look like a chicken.”

Parent – “That’s because it’s dead.”

Child –(possibly starting to cry) – “Dead? That’s sad, I don’t want to eat a dead chicken. Why is it dead?”

Parent – “Sweetie we have to eat dead animals in order to be healthy. They will help you grow big and strong. It’s just like the lion in the wild that eats a zebra. It’s sad that the zebra has to die but if it doesn’t then the lion will. We are like the lion.”

The child then slowly begins to eat dinner. This scenario likely happens several more times before they are conditioned to eating animal flesh and stop asking.

Scenario Two

Child – “Mommy, Daddy, what are we having for dinner?

Parent – “Chick pea and vegetable stir fry.”

Child – “Where does it come from?”

Parent – “It grows in the ground. That’s where we get our food.”

Child – “Thanks for dinner! What’s for dessert?”

Now which one of these scenarios involves “brainwashing?” Need a hint? One of these scenarios involves lying to the child and one involves telling the truth. Telling a child that they need to eat dead animal flesh in order to be healthy is a scientific fallacy.

The Academy of Nutrition and Dieticians, the American Heart Association, the British Nutritional Foundation, US Department of Health and Human Sciences and many other non biased leading health associations state that a plant based diet is appropriate for optimal health through all stages of life. Even the US Department of Agriculture, which the animal agriculture industry spends millions if not billions of dollars lobbying, shares this view. The Mayo Clinic, which is widely considered to be a leader in medical research states, “Drastically reducing or even eliminating animal based foods is healthier, not more risky!” The leading cardiologist in the United States Dr. Kim Williams eats only plants and recommends a plant based diet to his patients. How much more evidence do you need? So when your child asks you a question you are given two options. You could tell the truth or you could lie. I think by now it is clear which option involves pushing a view on a child. Most children are born compassionate, they don’t want to see harm done to others. They must be conditioned to lead a life of unnecessary violence that involves killing others to put on their plate. Why try to teach them to ignore their instinct to be kind to others? Most people say that they wish for a more peaceful world and yet they are teaching their children the opposite. There IS a more peaceful option. Now ask yourself why you feel the need to lie to your child. Is it for you or for the child? Think about the last time you accused a vegan of “brainwashing” their child and look at how you teach yours. Maybe next time you will decide to tell the truth. CREDIT: Ben Le Roi 🌱🌱🌱

[tutyayilmazz]

USAG does something good! I hope

"Assisting young athletes in building essential life skills to help them succeed beyond their athletic careers is invaluable,” said Kranz. “At USA Gymnastics, we have a responsibility to our members to help them achieve their goals. My 14 years of working at a children’s hospital ingrained in me that the lifelong health and wellness of the child must be the primary focus. Too often the most important part of an athlete’s health – maintaining overall wellbeing – is neglected. My vision is to shift this narrative by proactively addressing the wellness of each member of our organization. I’m excited to join USA Gymnastics at a critical point in time when there is an urgency and a high-level mandate for real change, and I’m thrilled to help drive these changes forward.”

Kranz has more than 25 years of experience in physical therapy and sports medicine, with a focus on sports nutrition, positive coaching, and sports psychology. Most recently, she served as the Director of Sports Medicine and Orthopedic Surgery Services and Neurosurgery at Children’s Hospital of The King’s Daughters where she reinforced the program’s mission to promote athlete wellness and injury prevention with a variety of educational programming and a large offering of injury prevention/wellness classes for youth. Kranz also served as a physical therapist and clinic director at Physiotherapy Associates, where she provided physical therapy for the LPGA Tour’s professional golfers and treated a full caseload of orthopedic and sports medicine clients utilizing exercise, manual therapy, and modalities.

[obeziteyeson]

VİRÜSLERE KARŞI EN ETKİLİ İLAÇ, ilaç olmadığı halde, C VİTAMİNİDİR.

Prof. Dr. Canan Karatay yazısı.

YAŞADIĞIMIZ CORONA VİRÜSÜ SALGINI SIRASINDA C-VİTAMİNİNİN

YERİ SON DERECE ÖNEMLİDİR

C –VİTAMİNİNİN virüsleri öldürdüğü senelerden beri bilinmektedir.

1. Bir çok bilimsel çalışmada C-VİTAMİNİNİN % 100, yani kesin olarak VİRÜSLERİ öldürdüğü gösterilmiştir.

2. Bu nedenle ÇİN’in Şangay Eyaleti Üniversite Hastahanesinde, MAO ve ark.

C-VİTAMİNİ yoğun bakım ünitesinde, CORONA Virüsünün neden olduğu gerek sepsis gerek akut solunum yetersiliği TEDAVİSİ için başarıyla kullanılmıştır.

MAO ve arkadaşalarını özetle C_VİTAMİNİ kullanıkları hastalarda sonuçlarını şu şekeilde açıklamışlardır.

A. Hastalarda ölüm görülmemiştir.

B. Hastalarda hiç bir yan etki görülmemiştir.

C. Yoğun bakımd kalma süreleri çok kısalmıştır, hastalar iyilikle erken taburcu olmuşlardır.

D. Hastaların durumuna göre Yüksek doz 10.000-25.000 mgr damar yoluyla verilmiştir. 7-10 gün süreyle bu uygulama yapılmıştır.

E. 30 Uzman, 300 corona pnömonisinde uygulamıştır.

CORONA VİRÜS PNÖMONİSİNE BAĞLI AKUT AKCİĞER HASARI

C-VİTAMİNİ PERFÜZYONU İLE DÜZELEBİLMEKTEDİR!

İLGİLELERE ACİLEN DUYURULUR

BİLİMSEL KAYNAKLAR AŞAĞIDA VERİLMİŞTİR:

Chinese Journal of Infectious Diseases, 2020,38. (2020-03-01)

BB

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C-VİTAMİNİ:

Ascorbic acid attenuates lipopolysaccharide-induced acute lung injury

BJ Fisher, IM Seropian, D Kraskauskas… - Critical care …, 2011 - journals.lww.com

Objective: Sepsis-induced lung injury is a persisting clinical problem with no direct therapy. Recen.

Alıntılanma sayısı: 74 İlgili makaleler 8 sürümün hepsi

[HTML] nih.gov

[HTML] Intravenous vitamin C as adjunctive therapy for enterovirus/rhinovirus induced acute respiratory distress syndrome

AA Fowler III, C Kim, L Lepler, R Malhotra… - … journal of critical care …, 2017 - ncbi.nlm.nih.gov

… critically ill patients and found a significantly lower incidence of acute lung injury and multiple …

oxygen and nitrogen species appears to be critical for attenuating lung injury[22] … bilateral opacities

(Figure (Figure1).1). Arterial blood gas testing revealed severe hypoxemia while …

Alıntılanma sayısı: 17 İlgili makaleler 7 sürümün hepsi

[PDF] hindawi.com

Intravenous vitamin C administered as adjunctive therapy for recurrent acute respiratory distress syndrome

A Bharara, C Grossman, D Grinnan, A Syed… - … reports in critical care, 2016 - hindawi.com

… studies, infusing high dose intravenous vitamin C into critically ill patients with severe sepsis

[4 … an interventional agent in humans was supported by the Aubrey Sage McFarlane acute lung

injury fund, the VCU Johnson Center for Critical Care and Pulmonary Research, and …

Alıntılanma sayısı: 11 İlgili makaleler 12 sürümün hepsi

[PDF] semanticscholar.org

Mechanisms of attenuation of abdominal sepsis induced acute lung injury by ascorbic acid

BJ Fisher, D Kraskauskas, EJ Martin… - … of Physiology-Lung …, 2012 - physiology.org

… AJP-Endo; AJP-GI; AJP-Heart; AJP-Lung; AJP-Regu; AJP-Renal; AJP (1898-1976); J Appl Physiol;

J Neurophysiol; Physiol Genomics; Adv Physiol Educ; … Advanced Search. 1. Sign in. American

Journal of Physiology-Lung Cellular and Molecular PhysiologyVol. 303, No …

Alıntılanma sayısı: 76 İlgili makaleler 10 sürümün hepsi

[HTML] nih.gov

Therapeutic targeting of acute lung injury and acute respiratory distress syndrome

TJ Standiford, PA Ward - Translational Research, 2016 - Elsevier

… In an ex vivo perfused human lung model, infusion of clinical grade, cryopreserved … human MSC

administration involving up to 60 subjects with moderate-severe ARDS (Stem … Precision medicine

in acute critical illness will be dependent on a more coherent understanding of …

Alıntılanma sayısı: 96 İlgili makaleler 7 sürümün hepsi

… acid, gamma-linolenic acid and antioxidants in the prevention of new pressure ulcer formation in critically ill patients with acute lung injury: A randomized, prospective …

M Theilla, P Singer, J Cohen, F DeKeyser - Clinical Nutrition, 2007 - Elsevier

… It may prevent their progression in severe (Grade 3) existing pressure ulcers … with

eicosapentaenoic acid and gamma-linolenic acid in ventilated patients with acute lung injury …

acid, gamma-linolenic acid, and antioxidants in patients with acute respiratory distress syndrome …

Alıntılanma sayısı: 164 İlgili makaleler 11 sürümün hepsi

[HTML] atsjournals.orgFull View

[HTML] Oxidative stress and acute lung injury

CW Chow, MT Herrera Abreu, T Suzuki… - … journal of respiratory …, 2003 - atsjournals.org

… potential therapeutic targets (1, 5). In essence, these syndromes reflect severe injury leading

to … factor that stimulates transcription of many different cytokines involved in acute inflammation,

and … depression of the immune response, that are clearly detrimental to acutely ill patients …

Alıntılanma sayısı: 342 İlgili makaleler 12 sürümün hepsi

[HTML] oup.com

Dietary flaxseed supplementation ameliorates inflammation and oxidative tissue damage in experimental models of acute lung injury in mice

P Kinniry, Y Amrani, A Vachani… - The Journal of …, 2006 - academic.oup.com

… nutrients have been implicated in the protection against lung diseases, such as chronic obstructive

pulmonary disease (5), ARDS … reactive oxygen species production and oxidant stress have been

implicated in the etiology of acute and chronic lung injury, the therapeutic or …

Alıntılanma sayısı: 97 İlgili makaleler 10 sürümün hepsi

[PDF] researchgate.net

[PDF] Immature lung and acute lung injury

P Zoban, M Cerny - Physiological research, 2003 - researchgate.net

… is to emphasize the potential importance of reducing mechanical insult on acutely diseased lungs …

growing structures are sensitive to uncontrolled oxidative stress which produces severe tissue

compromise … In rat model of acute hyperoxic lung injury, increased MMP-2 and MMP …

Alıntılanma sayısı: 47 İlgili makaleler 9 sürümün hepsi

[PDF] rcjournal.comFree from Publisher

Hyperoxic acute lung injury

Prof. Dr. Canan Karatay

📜✒🔍

[ketopurepills-blog]

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[itsmaranutragarcinia-blog]

MaraNutra Garcinia : Suppresses The Appetite Level And Unwanted Hunger Pangs

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[topinfo12]

KIMS Doctor Bags Best Faculty Award

The Best Faculty Award at the International Scientist Awards on Engineering, Science and Medicine went to Dr. C. Mohan Rao, Dept. of Pulmonary Medicines, KIMS. VD GOOD Professional Association organized the program.

Dr. Rao, a pass-out from the MKCG Medical College and Hospital MBBS in 1978 and a pass out from the SCB Medical College and Hospital MD in 1989, has been right at the forefront of promoting medical education while being long associated with I.G.H. Rourkela. He has created and carefully nurtured a complete galaxy of pulmonary physicians in DNB at I.G.H. Rourkela. He served as the anchor in Rourkela Steel television Health File programme for dissemination of medical knowledge among doctors while serving as the former President of IMA Rourkela in 2013-14 and Life Member of API, Rourkela. In the year 1998, he addressed the federation of Indian Chamber of Commerce and Industry on Direct Observed Short Course Chemotherapy at New Delhi as part of a delegation.

Dr. Rao has also gone through highly advanced training in the year 2013 on Intervention Pulmonology in CNC Vellore. He is the name behind bringing Clinical Application of Medical Thoracoscope in the state of Odisha in 2013. Besides these accomplishments, Dr., Rao has also gone through leadership training in Management Training Institute at Ranchi.

Post superannuation in the year 2015, Dr. Rao joined as Associate Professor in Hi-Tech Medical College Hospital Rourkela. Subsequently, the large scale academic ambience at KIMS, Bhubaneswar attracted him and he joined the institute in February, 2017. Since then, there’s no looking back for him. Till date, he has published around 15 papers in varied journals. Most notable papers among them all are the ones in the British Journal of Nutrition; and on Covid in Critical Care topic in the Journal of Association of Physicians of India in the year 2021. This was in coalition with the Regional Medical Research Centre, Bhubaneswar. Dr. Rao, an ardent and honest promoter of medical understanding and knowledge dissemination, has been the greatest reviewers of the Journal of Pharmaceutical Research.

[behealthy99]

The #1 Breakfast Habit for Weight Loss, Says Dietitian — Eat This Not That

New Post has been published on https://behealthy99.com/the-1-breakfast-habit-for-weight-loss-says-dietitian-eat-this-not-that/

The #1 Breakfast Habit for Weight Loss, Says Dietitian — Eat This Not That

The #1 breakfast habit to get into if you want to lose weight is, drumroll please… simply, eating breakfast, says Kim Rose, RDN, CDCES, a registered dietitian nutritionist and certified diabetes care and education specialist in Central Florida.

“Many of my clients skip breakfast and eat a meager lunch thinking they are ‘being good’ when that just makes losing weight harder,” she says. “By dinnertime, they are famished and graze on everything in sight and continue well into the night.”

When Rose educates her clients on why eating a well-balanced breakfast every day can help them drop pounds, and if they adopt that habit, they usually have much more success.

Related: 15 Twists on Classic Breakfast Recipes

Why eating breakfast supports weight loss.

Shutterstock

Making a habit of eating breakfast offers a number of health benefits.

Eating a healthy, well-balanced breakfast gives you the energy to tackle the day.

First of all, breakfast refuels your body and brain after a nighttime fast. That’s why what you choose to eat for breakfast is as important a decision as choosing to have breakfast.

You want a well-balanced breakfast that includes all three macronutrients—protein, fat, and carbohydrates—to deliver energy slowly over the course of the morning.

“That sets the stage for your eating the rest of the day,” Rose says. “If you eat a substantial breakfast, you’ll modify your calorie intake the rest of the day and be less inclined to constant snacking. Plus, you’ll have the opportunity to burn off those calories all day long instead of consuming them at night when your body is winding down and you’re more likely to store those calories.”

RELATED: 19 High Protein Breakfasts That Keep You Full

Breakfast fuels your brain so you can make smart food decisions.

“Contrary to popular belief, carbs are good for you; they are your brain’s preferred source of energy,” says Rose. “So, carbohydrates should be a part of every breakfast.”

Significant research done on school children has documented the negative impact not eating a well-balanced breakfast has on kids’ academic performance. And the same is likely true for us adults. A Finnish study published in the American Journal of Clinical Nutrition suggests that eating eggs for breakfast regularly enhances cognitive function in middle-aged men.

How to build the perfect breakfast.

Shutterstock

Since she stresses that the composition of breakfast is important for weight loss, we asked Rose to give us her favorite quick-and-easy recipe for a morning meal that contains the three macronutrients: Avocado toast with an over-easy egg on top.

“You get lean protein from the egg, healthy fat from avocado, and carbohydrates and fiber from whole-grain toast,” she says. “Easy. Mash up some avocado on the toast, add a fried egg on top, and sprinkle on black pepper, smoked paprika, and some salt. It’s quick and filling.”

But what if there’s no time to cook?

We’re busy people, especially in the morning. How do you make eating a good breakfast a habit when you’re running out the door and only have time to grab a premade muffin? “In the morning we have a lot of easily accessible carbohydrates that are low in fiber and have added sugars, so I recommend the law of addition,” explains Rose. “Ask yourself, ‘what macronutrient can I add to that muffin to make it more of a well-balanced meal?’ Maybe some no-sugar peanut butter or some fruit or a hard-boiled egg.”

Most dieters operate with the law of subtraction. Better to use the law of addition. Boil a half dozen eggs on Sunday, so you have them ready for the week.” Or blend up a whey protein smoothie for breakfast. For a full diet program based on whey and plant-based protein smoothies complete with delicious recipes, check out our book The 7-Day Smoothie Diet by the editors of Eat This, Not That!

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[healiapp]

Figs are edible fruit that comes from the species, Ficus carica. They are members of the mulberry family and originate from the Mediterranean and western Asia areas. They have long been used in traditional medicine as a mild laxative, cough reliever, and diuretic.* Figs and their leaves are excellent sources of dietary fiber, vitamins and minerals, amino acids, and several bioactive compounds such as polyphenols. Research suggests that figs and their extracts could offer potential benefits for vascular, heart, diabetes, skin, and cancer. Other studies indicate that Ficus carica paste accelerates colonic transit time and improves constipation.** Find recipes like fresh fig focaccia, flaxseed, fig and walnut crackers, and fig sidecar, in your @healiapp now. *Mawa, S., Husain, K., & Jantan, I. (2013). Ficus carica L. (Moraceae): Phytochemistry, Traditional Uses and Biological Activities. Evidence-based complementary and alternative medicine : eCAM, 2013, 974256. https://doi.org/10.1155/2013/974256 ** Baek, H. I., Ha, K. C., Kim, H. M., Choi, E. K., Park, E. O., Park, B. H., Yang, H. J., Kim, M. J., Kang, H. J., & Chae, S. W. (2016). Randomized, double-blind, placebo-controlled trial of Ficus carica paste for the management of functional constipation. Asia Pacific journal of clinical nutrition, 25(3), 487–496. https://doi.org/10.6133/apjcn.092015.06 

[theyoganews]

TheYogaNews.com:Koko Face Yoga Instructors & Clients Live 052321

New Post has been published on https://theyoganews.com/2021/10/24/theyoganews-comkoko-face-yoga-instructors-clients-live-052321/

TheYogaNews.com:Koko Face Yoga Instructors & Clients Live 052321

Talah Tamimi is a health coach based in Dubai, UAE passionate about face yoga/facial exercises as an alternative to staying and feeling young. You can find more info at https://consciousliving.me/

BOVISAJ is a digital Face Fitness platform that offers online classes designed to connect people from all over the world. Come and lift up your face and mind with our online workout classes. You can register on the BOVISAJInstagram account https://www.instagram.com/bovisaj/?hl=en

#FaceYoga #KokoFaceYoga #KokoHayashi

♡FREE download our Face Yoga App https://kokofaceyoga.com/app

♡FREE download the face yoga paper https://kokofaceyoga.com/yoga-poses

♡Face Yoga 101 available at Amazon Prime Video (available in USA and UK) https://kokofaceyoga.com/videos

♡Products introduced (incl the pillows & sugar oil that I often mention) https://www.amazon.com/shop/kokohayashi https://kokofaceyoga.com/products

♡Koko Face Yoga Instructor Certification https://kokofaceyoga.com/certification (certification for medical professionals is available too)

♡Instagram http://instagram.com/kokohayashi/

♡TikTok https://vm.tiktok.com/J1V8dEx/ @KokoFaceYoga

♡Facebook http://www.facebook.com/KokoFaceYoga/

♡Pinterest

♡Business inquiry smile@kokofaceyoga.com (For exercise questions, please ask AI Koko and/or consider taking my private sessions. http://www.kokofaceyoga.com/sessions/)

What is Koko Face Yoga? Koko Face Yoga is a great natural solution to regain your youthful appearance, a.k.a. natural alternative to botox or plastic surgery! We wake up sleeping facial muscles in the face to lift up the skin and relax over-working facial muscles for wrinkle reduction.

– Voted #1 Popular Yoga Class at The Yoga Expo Los Angeles – Has celebrity clients such as Kim Kardashian – Featured at “Shark Tank”, “Good Morning America” and more!

Medical Doctors that I have collaborate with: Dr. Mike Mew from MEWING, Dr. Patel at California Skin Institute, Dr. Yoko at Dr. Yoko Beaut Terrace Clinical, Dr. Afzali at Lifetime Dental and Dr. Carolyn at Hawaii Natural Medicine, Dr. Mona at Holistic Integrated Dental Medicine and more!

My Media Appearance: Shark Tank, Keeping Up With The Kardashians, Good Morning America, Magic for Humans (Netflix), Pop Sugar, ELLE, Vogue, Fox News, CBS Morning News, InStyle, Little Women LA, Access Hollywood, KTLA Morning News, KUSI Morning News, and more!

Brands that I have collaborated with: Drunk Elephant, ipsy, Athleta, Popsugar, HUM Nutrition, Lorna Jane, Uruoi Skincare, and more!

What is Face Posture? In addition to the exercises, I HIGHLY focus on the importance of moving the facial muscles properly for daily facial activities, such as resting face, drinking, eating, smiling, yawning, etc, because face exercises are important and effective, but they are done in a short time. In general, you should be doing the exercises only 3-5 minutes per day. So if you are moving the muscles in an unfavorable way for your daily facial activities, you won’t see good results.

What are the 2 kinds of facial muscles? For example, every time you raise your eyebrows and forehead up, the muscles remember the motion and show as lines (muscle memory). Every time you squint and cause 11th lines between eyebrows, they stay there even when you are not squinting. They are some overworking muscle examples. The other muscles are categorized as sleeping muscles, which mean that they just start sagging with age and gravity. For example, eye area, cheeks and neck muscles are sitting there and unless you strategically, consciously workout, they start sagging and cause unnecessary wrinkles.

How old am I? 42 years old as of 2021 March.

How did I get interested in Face Yoga? At the age of 27, I was advised to add an implant by a doctor, so did it, because the doctor told me that it can be easily removed if I don’t like it. Unfortunately, the chin got distorted and I didn’t like it, so obviously had it removed, but the chin has never been the same as before. It is distorted to the side (asymmetrical chin), which made me realize that I should have pursued more natural alternatives such as Face Yoga!

Any questions? I really appreciate your comments and read all of them, but cannot answer there. So if you want to be answered by us, please email smile@kokofaceyoga.com AI Koko is a great way to find answers too. If the robot cannot answer, we will answer. Arigato! Video Rating: / 5

[bloghealthcom]

Nuốt pin ở trẻ em – Những điều nên biết Update 07/2021

Bài viết Nuốt pin ở trẻ em – Những điều nên biết Update 07/2021 được chia sẻ bởi website Blog-Health #bloghealth #suckhoe #lamdep #sinhly

Bài viết của Bác sĩ Lê Văn Quảng - Bác sĩ Tai - Mũi - Họng - Khoa Ngoại tổng hợp - Bệnh viện Đa khoa Quốc tế Vinmec Nha Trang

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Bé nuốt pin nếu không được xử lý kịp thời sẽ đe doạ đến tính mạng. Thậm chí nhiều phương pháp truyền miệng lấy pin bị mắc kẹt trong cơ thể của trẻ không những không có tác dụng mà ngược lại khiến tình trạng trở nên trầm trọng hơn. Những thông tin trong bài viết dưới đây sẽ có ích cho bạn khi xử lý tình huống trẻ con nuốt pin.

1. Tổng quan trẻ con nuốt pin

Trong thời đại ngày nay, việc sử dụng rộng rãi và đa dạng các thiết bị điện tử phổ biến dùng pin cũng đồng thời làm tăng nguy cơ xảy ra sự cố nuốt pin ở trẻ nhỏ. Đặc biệt là các loại pin nhỏ, hình dẹt, hay hình cúc áo. Việc quản lý, đánh giá và xử trí các tình huống này ngay từ ban đầu là hết sức thiết yếu trước khi có được những can thiệp y tế chuyên sâu.

Một điều may mắn là hầu hết (khoảng 97% các trường hợp) thường chỉ có triệu chứng nhẹ hoặc hầu hết là không cần phải can thiệp y tế.

Hầu hết pin đi qua đường tiêu hóa mà không xảy ra sự cố gì. Thông thường, chỉ khi cục pin bị mắc kẹt trong vòm họng, hầu họng, khí quản, thực quản hoặc đường tiêu hóa sẽ dẫn đến tổn thương cục bộ gây loét, thủng hoặc hình thành lỗ rò. Tổn thương có thể là cấp tính hay muộn, và các di chứng lâu dài có thể xảy ra vài ngày đến vài tuần sau đó.

Hầu hết, các trường hợp nuốt pin xảy ra ở trẻ dưới 6 tuổi. Một đối tượng thường gặp nữa là người già hơn 60 tuổi, đặc biệt là những bệnh nhân mắc chứng sa sút trí tuệ...

2. Cơ chế tổn thương trẻ nuốt pin

Một số cơ chế gây tổn thương được đưa ra bao gồm hoại tử mô do chèn ép tại chỗ, ăn mòn do rò rỉ chất liệu trong pin, nhiễm độc kim loại nặng và phóng điện trực tiếp.

Khi pin dẹt được đặt trong môi trường axit như trong đường tiêu hóa, một phản ứng điện hóa xảy ra dẫn đến sự hòa tan của cực âm. Quá trình này tạo ra một dòng điện, dẫn đến sự điện phân và hoại tử hóa lỏng.

Pin đĩa mắc kẹt trong dạ dày, ăn mòn và phân mảnh. Sự ăn mòn và phân mảnh xảy trong dạ dày hơn 48 giờ. Khoảng 3% pin đĩa bị phân mảnh trong đường tiêu hóa, và 10% cho thấy các ảnh hưởng nặng nề hơn tại các vị trí nếp gấp niêm mạc dạ dày.

Các tổn thương và di chứng nghiêm trọng thường do pin tắc nghẽn tại thực quản, hầu họng. Pin lithium thường gây tổn thương nặng nề hơn do điện dung của pin cao, gây tổn thương mô nhiều hơn.

Trẻ nuốt pin có thể bị tổn thương tại thực quản và hầu họng

3. Hướng dẫn xử trí căn bản trong trường hợp nghi ngờ nuốt pin

Trường hợp trẻ nuốt pin, ba mẹ tuyệt đối không kích thích gây nôn như móc họng, cho uống các thuốc gây nôn... Đồng thời, phụ huynh có thể cho uống mật ong ngay lập tức và trên đường đến bệnh viện trong trường hợp trẻ >12 tháng tuổi trở lên (vì mật ong không an toàn cho trẻ dưới một tuổi). Pin được nuốt trong vòng 12 giờ trước (vì nguy cơ thủng thực quản đã tăng lên sau 12 giờ).

3.1. Cách sử dụng mật ong

Uống 10ml (2 thìa cà phê) mật ong, cứ 10 phút/lần, tối đa là 6 liều.

Có thể sử dụng đa dạng các loại mật ong khác nhau, như mật ong thương mại hay mật ong tự nhiên

Lưu ý: Mật ong KHÔNG thay thế việc lấy ngay cục pin bị mắc kẹt trong thực quản. Mật ong chỉ giúp làm chậm sự phát triển của tổn thương pin đến cơ thể.

3.2. Tại sao phải cho mật ong?

Mật ong được sử dụng để bao bọc pin và ngăn chặn sự tạo ra hydroxit cục bộ. Do đó làm chậm quá trình bỏng kiềm đối với các mô lân cận. Hiệu quả dựa trên một nghiên cứu năm 2018 (Anfang và cộng sự) đánh giá tác dụng bảo vệ trong phòng nghiệm và thực nghiệm của các chất lỏng khác nhau trong thực quản của mật ong và sucralfate (Carafate®). Cả mật ong và sucralfate (Carafate®) đều ngăn ngừa hiệu quả sự gia tăng pH do pin gây ra và giảm độ sâu của tổn thương thực quản.

Ngoài việc cho mật ong, bạn KHÔNG cho bệnh nhân ăn gì cho đến khi chụp X-quang nhằm loại bỏ dị vật thực quản. Nếu bệnh nhân không có triệu chứng, hãy dành 5 phút để kiểm tra chi tiết loại pin, kích thước, mã/loại của nhà sản xuất, nhằm xác định chính xác nhất có thể thông tin cụ thể của viên pin.

Mật ong được sử dụng giúp giảm tổn thương thực quản do trẻ nuốt pin gây ra

Nếu bệnh nhân dưới 12 tuổi, cố chụp X-quang ngay lập tức để xác định vị trí của pin. Pin nằm trong thực quản có thể gây bỏng nghiêm trọng trong vòng ít nhất là 2 giờ. Bệnh nhân có pin trong thực quản ban đầu có thể không có triệu chứng, nhưng sau đó có thể gây ra thương tích nghiêm trọng hoặc tử vong, đặc biệt là ở trẻ em dưới 1 tuổi.Nếu bệnh nhân> 12 tuổi và đường kính pin> 12 mm hoặc không rõ, hãy chụp X-quang ngay lập tức để xác định vị trí của pin.Nếu bệnh nhân> 12 tuổi và viên pin có kích thước ≤ 12 mm, không cần chụp X-quang để xác định vị trí pin nếu đáp ứng tất cả các điều kiện sau:

Bệnh nhân hoàn toàn không có triệu chứng kể từ khi uống pin.

Chỉ nuốt 1 viên pin

Không nuốt/ăn các vật liệu từ tính kèm theo

Pin đã được xác định một cách đáng tin cậy dựa trên mã nhà sản xuất hoặc phép đo của một ô giống hệt nhau và đường kính <12 mm.

Không có tiền sử phẫu thuật thực quản trước đó, hẹp / chít hẹp thực quản, rối loạn nhu động hoặc bệnh thực quản khác.

Bệnh nhân (hoặc người chăm sóc) đáng tin cậy, có năng lực về mặt tinh thần và đồng ý báo cáo các triệu chứng phát triển trước khi sử dụng pin hoặc trong tháng tiếp theo nếu quá trình chuyển hóa không được ghi lại và hiểu tầm quan trọng của việc nhanh chóng tìm kiếm đánh giá các triệu chứng có thể liên quan đến việc uống pin.

Ba mẹ không nên sử dụng thuốc nhuận tràng khi bé nuốt pin vì không hiệu quả hoặc dung dịch điện phân polyethylene glycol vì hiệu quả chưa được chứng minh và không biết dung dịch có tăng cường điện phân hay không.

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Tài liệu tham khảo

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Ruhl D, Cable B, Rieth K. Emergent treatment of button batteries in the esophagus: evolution of management and need for close second-look esophagoscopy. Ann Otol Rhinol Laryngol 2014; 123:206. 3. Gohil G, et al. Accidental button battery ingestion presenting as croup. Laryngol Otol 2014; 128:292–295.

Jump C, Anupindi S, Peranteau W, et al. Extensive thoracic injury from button battery ingestion. J Pediatr Gastroenterol Nutr 2016; 62:e24.

Simonin M, D’Agostino I, Lebreton M, et al. Bilateral vocal palsy following coin cell lithium battery ingestion: a case report and review. Eur J Pediatrics 2013; 172:991–993.

Litovitz T, Whitaker N, Clark L, et al. Emerging battery-ingestion hazard: clinical implications. Pediatrics 2010; 125:1168–1177.

&& National Capital Poison Center. Button battery ingestion statistics from National Poison Data System. https://ift.tt/2TVkL5Z [Accessed 15 June 2017]. The trending of epidemiologic data is invaluable in evaluating the impact and dangers of battery ingestion on a national level.

& Kramer R, Lerner D, Lin T, et al. Management of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee’ North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Endoscopy Committee. J Pediatr Gastroenterol Nutr 2015; 60:562–574. The study represents a consensus guideline from experts in the field of endoscopy to aid in the management of patients with battery ingestions.

Litovitz T, Whitaker N, Clark L. Preventing battery ingestions: an analysis of 8648 cases. Pediatrics 2010; 125:1178–1183.

&& Jatana K, Rhoades K, Milkovich S, et al. Basic mechanism of button battery ingestion injuries and novel mitigation strategies after diagnosis and removal. Laryngoscope 2017; 127:1276–1282. This recent animal study identifies the exact mechanism of mucosal injury and proposes mitigation efforts that may be employed in the future.

Lisi, G., Illiceto, M., Romeo, E., Lauriti, G., Faraci, S., Lombardi, G., Dall'Oglio, L. and Chiesa, P., 2018. Esophageal Retained Lithium Battery in Children Younger than 6 Years. Pediatric Emergency Care, Publish Ahead of Print.

Sheikh A. Button battery ingestions in children. Pediatr Emerg Care. 1993 Aug;9(4):224-9.

source https://blog-health.com/nuot-pin-o-tre-em-nhung-dieu-nen-biet/