Yogurt may help prevent hypertension

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People who ate at least the equivalent of one serving every three days were 31% less likely to develop high blood pressure than those who ate no yogurt at all, Huifen Wang, PhD, of Tufts University in Boston, and colleagues found. An even stronger effect was seen among individuals who were not taking antihypertensive drugs, according to their analysis of the Framingham Heart Study Offspring Cohort reported at the American Heart Association’s High Blood Pressure Research meeting in Washington, D.C, reports Medpage.

HC Relief For Doctors Using USG Machines

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The Bombay high court has allowed portable ultrasonography machines to be taken to patients’ home for any purpose other than sex determination. However, this will be subject to installation of the silent observer (SIOB), a device which monitors scans done by USG machines, reports Times of India.

A division bench of Chief Justice Mohit Shah and Justice Nitin Jamdar was hearing a petition filed by three Mumbai-based cardiologists and an anaesthetist challenging the BMC’s order restraining them from taking the machines outside the clinics/hospitals, where the machines are registered.

Their petition said Pre-conception and Pre-natal Diagnostic Techniques Act (PCPNDT) relates to restrictions on genetic clinics/ institutions and doctors who deal with sex determination. Also, the Act and all government orders should be restricted to doctors operating within that field only. “You cannot have a statute dealing with genetics applying to doctors dealing with cardiology or anaesthesia or anything other than genetics,” argued their counsel J P Cama.

He said other forms of medicines like cardiology, anaesthesia and vascular surgery also require the portable machines. “Any restriction you impose must be upon those doctors who deal with sex determination.

You cannot expect a cardiology patient to go to a clinic or hospital in emergency,” said Cama. The judges asked what is the guarantee that the machine will not be misused.

“How do we ensure you will not misuse it?” asked Justice Shah. Allaying the court’s apprehension, Cama said his clients are willing to have the SIOB installed in their machines and have it certified by BMC medical officer. “It (SIOB) will guard against its misuse,” said Cama.

The judges, in their order, said the doctors can take their machines out of the clinics/hospitals where such machines are registered subject to installation of a SIOB and verification by the chief medical officer of BMC.

Endocrine Society issues Hypertriglyceridemia Guidelines

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  • The Endocrine Society Guideline for the assessment of patients with hypertriglyceridemia recommends that the diagnosis be based on fasting triglyceride levels.
  • At least every 5 years, adults should be screened for hypertriglyceridemia as part of a lipid panel.
  • To facilitate assessment of cardiovascular risk, mild and moderate hypertriglyceridemia, defined as triglyceride levels of 150 to 999 mg/dL, should be diagnosed, as this condition may be a risk factor for cardiovascular disease.
  • Patients with severe and very severe hypertriglyceridemia, defined as triglyceride levels of more than 1000 mg/dL, should be considered to be at risk for pancreatitis.
  • Patients with hypertriglyceridemia should undergo evaluation for secondary causes of hyperlipidemia, such as endocrine conditions and medications, and treatment should be focused on such secondary causes.
  • Patients with primary hypertriglyceridemia should be assessed for a family history of dyslipidemia and cardiovascular disease, as well as for other cardiovascular risk factors including central obesity, hypertension, abnormalities of glucose metabolism, and liver dysfunction.
  • For patients with moderate hypertriglyceridemia, the treatment goal should be a non–high-density lipoprotein cholesterol level in agreement with NCEP-ATP guidelines.
  • For patients with mild to moderate hypertriglyceridemia, first-line therapy should be lifestyle interventions including physical activity. A combination of diet modification and pharmacotherapy may also be considered.
  • For patients with moderate to severe hypertriglyceridemia, treatment with fibrates, niacin, and/or omega-3 fatty acids alone or in combination with statins should be considered.
  • A fibrate should be used as a first-line agent in patients with severe or very severe hypertriglyceridemia, in addition to reduction of dietary fat and simple carbohydrate intake.
  • Statins should not be used as monotherapy for severe or very severe hypertriglyceridemia, but they may be useful for the treatment of moderate hypertriglyceridemia when indicated to modify cardiovascular risk.

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