TO IMPROVE FUNCTIONING OF LEFT BRAIN

1. Analyse and sole a technicl problem.
2. Understand a budgt / financial report .
3 . Calculatu your salary per minute /
second.
4 . learn a new comouter programme.
5 . Define goals for next year.
6 . Prepare a ‘Time log’
7 . Organise yore filing system/desk.
8 . Prepare ‘To Do List; tick off.
9 . Plan aproject and execute in stages.
10 .Be on time fore appointments.

11. Write detailed job description
12. Use logics, probabilities, data in decision – making.
13 . Find out how a machine (frequently used) works.
14 . Review rationally a recent impulsive decision.
15 . Write down all aspects of a practical retirement life.
16 . Play logic games.
17. Asseemble a model kit by following instructions.
18. Prepare personal budget. (with expenses every day)
19 . Prepare personal property list.
20 . Prepare list of allitems in home.
21 . Organise books, files, audio tapes, medicines at home category – wise.
22. prepare a family tree.
23. Find out a mistake in your bank pass book, hotel bills, etc.
24. Keep things neat and tidy in proper places.
25. Write down expiry dates of driving licence, insurance, etc.
26. Find out meaning of some generally used terms.
27. Write down advantages and disadvantages of a product/decision and quantify them.
28. jog.
29. Complete jobs in time.

Let’s talk about inner beauty care. True beauty begins from the inside out. Outer beauty will only appear when you’ve practiced beauty within.

Knowing how and what to eat, can make a huge difference in how you feel. Improper eating habits can cause depression, overweight, illness and an overall lethargy.

Change your eating and exercising habits. You can do this. Do not try to change everything at once, unless you are just one of those rare individuals that can do that.

Beauty care starts with our diet. Diet does not mean just losing weight. Diet means the food you put in your daily eating habits.

1)A rule of thumb for eating habits are…don’t eat more calories than you consume. Don’t go one single day without doing something extra and physical for at least 30 minutes per day. This can be three ten minute walks. Or 30 minutes of vigorous aerobics, or 12 minutes of weight lifting and 18 minutes of walking.

2) Water, you need water. Try to add at least 4 more glasses of water to your daily diet. The rule of thumb for water is 8 glasses per day; and one extra for every ten pounds overweight you are.

3) Fats, you need to know about fats. There are different kinds of fats. Some fats are better for you than others. A rule of thumb on fats is, stay away from hydrogenated fats. These are fats that solidify. They are in store bought cakes, cookies, crackers, chips and even in bran muffins. Read the labels.

Choose fats that are polyunsaturated or fats such as olive oil. And, eat some fish to get some omega-3 fats. Carbohydrates – Are your immediate fuel source. An average is about 55 percent of your diet in carbohydrates. So, a rule of thumb is, figure your protein grams, get around 25% fat per day, and the rest would be in carbohydrates. The heavier you are, the more protein you need the less carbohydrates you will need.

4) Fats - try not to exceed more than 25 percent fat in your daily diet. 30 is fine, too. That does not mean you can’t have a junk food fast food hamburger… it just means that if you do eat that 55 percent fat burger that you are going to have to cut down on other fat filled foods for the rest of the day to balance it out.

5) Fiber – work up to getting 25 grams of Fiber per day

6) Protein - averages about 20 percent. Divide weight by 2.2 and multiply that by .8 to get the kilograms. For men it is averages as one gram per each kilogram of weight. So, a man would divide their weight in pounds 2.2 then multiply that by .10

7) Add bran to your cereals for extra fiber. Do add it in your baking. You need to balance your diet with vegetables and fruits, too. Try adding different colors to your plate. Maybe an orange yam, and some green beans, to add color. The more variety of food colors, bring more variety of vitamins. Eat more raw foods.

Remember, exchange things, add things, and do it gradually and remember, live all things in life in moderation and soon you will be bouncy and vibrant and well on your way to living BEAUTIFULLY!

We Homoeopaths have been claiming about curing the diseases among ourselves since ages, but conveniently forgetting how to convince the other school of science i.e. allopathic world now claiming to be a modern science. This modern science with the help of other pharmaceutical companies and the world of electricity along with other measures like C.T. SCAN, MRI, 2-D, ECHO including angiography proving themselves as a part of their own world whereas it is totally false.

Now instead of finding their fault and weak points which either way does not matter to them, but, does matter to them when a Homoeopath brings a cure in his own scientific way, though acceptable to the homoeopathic and the human kind still mockingly discarded by the world of Allopathy with the help of few words which is applicable to the literal world but not to the scientific world. Alas! We Homoeopaths too have been succumbing to these words SPONTENEOUS, TRANSIENT and REMISSION. Moreover we Homoeopaths are to be held totally responsible to these allegation because we have yet to retaliate the world of Allopathy in their own language.

Convincing ourselves is a matter of negligence, moreover our world of Homoeopaths have been complicating the scientific reasoning by manipulating the theories given by master to benefit their own selves, in the bargain we Homoeopaths have been doubly claimed to be quack, that is why to prove our science as an absolute authentic science, I have picked up a topic called DIABETIC FOOT (Gangrene).

To emphasis more, let me make it clear while treating Diabetic Foot cases for 20 years, I have come to the conclusion that most of the homoeopathic teachers or a lecturers glamorizes Homoeopathy beyond it?s limitations, which in fact gives more room to suspicion. How? Instead of speaking our true limitations, which is the quality of allopathic world at least in books, which is mostly not found among we recent Homoeopaths (qualified Homoeopaths). In 20 years I have yet to come across a single case of true Diabetes Mellitus being cured by Homoeopathy other than the stress induced one?s may be mental or physical stress. But this has been a hot topic among we Homoeopaths, thus the cause of destruction of homoeopathic world . Exactly it is this mistake of we Homoeopaths has all the more encouraged the allopathic world to tease the Homoeopaths as a quack, but look at the divine gift that Homoeopathy cures all the complications of diabetes. In other words instead of running after one topic Diabetes Mellitus (which is not curable as per our master, may be palliative.. THE CHRONIC MIASMA / PSORA AND PSEUDO-PSORA by J.HENRY ALLEN M.D. page No. 68) The exact page reads this:

and pick up bad name to our science, let us follow the various complications of diabetes and bring glory to our science. Among all of them Diabetic Foot and Gangrene being not only unique but also very interesting and convincing to everybody in the world. Interestingly the version is exactly opposite to the world of Allopathy, they treat diabetes or rather control it, but helpless with various complication of it.

To end up this subject Diabetic Foot and Gangrene can be taught for 3-6 months to every homoeopathic student, specially the skill of manipulating the foot wound (Surgically) in diabetics. This skilful art of Homoeopathy I wish to spread among the other world of Homoeopaths. To speak the truth and teach the limitation of both sciences, which in turn gives authenticity to Homoeopathy, also respect to every Homoeopath. I have devised my own approach to cure Diabetic Foot and Gangrene.

I combine Homoeopathy, Surgery and Insulin. Let us all not forget Homoeopathy brings and maintains blood supply to the limbs through Collaterals arteries when the prime artery or arteries are blocked.

Above all this should enlighten every Homoeopath, Surgeon and Physician that the combination of the 3 services does not antagonize but may harmonize therapy in certain difficult conditions like Diabetic Foot and Gangrene.

P.S. By Homoeopaths I do not mean each and everyone but most of them.

Dr. Prabhakar Shetty L.C.E.H. (Bom.)
Consultant Homoeopath
(Specialised in Diabetic Foot & Gangrene)
SAI DIABETIC FOOT (GANGRENE) NURSING HOME
1 / Kanti Mahal, Telli Galli, Opp. Hotel Imperial Palace, Andheri (East),
Mumbai – 400 069.
Phone: 91-22 – 2684 2436 / 2684 0255
Time: 11.30 a.m. to 1.30 p.m. & 5.00 p.m. to 7.00 p.m.
Sunday: Closed.
Wednesday: 5.00 p.m. to 7.00 p.m. (By Appointment only)
Web Site www.diabeticfootgangrene.com e-mail sdfoot@vsnl.com

An analysis based on computerized simulation models suggests that the lifetime risk of cancer associated with radiation exposure from a computed tomography (CT scan) coronary angiography varies widely, with the risk greater for women and younger patients, according to a study in the July 18 issue of JAMA.

Coronary artery disease (CAD) is the leading cause of death in men and women in the United States, accounting for 1 in 5 deaths, and a major cause of health care expenditures, with annual costs estimated at $142 billion, according to background information in the article.

Attempts to improve the diagnosis of this disease has led to the development of noninvasive methods for CAD diagnosis, including the 64-slice computed tomography coronary angiography (CTCA; combines multiple X-ray images with the aid of a computer to produce cross-sectional views of the heart and coronary arteries). It has been predicted that CTCA may emerge as the diagnostic test of choice for patients with intermediate pretest probability of disease, yet there are little data on its associated cancer risk from exposure to radiation.

Andrew J. Einstein, M.D., Ph.D., of the Columbia University College of Physicians and Surgeons, New York, and colleagues conducted a study to estimate the lifetime attributable risk (LAR) of cancer incidence associated with radiation exposure from a 64-slice CTCA, and to determine how this risk is influenced by patient age, sex, and scan protocol. The recent Biological Effects of Ionizing Radiation (BEIR) VII Phase 2 report provides a framework for estimating LAR of cancer incidence associated with radiation exposure from a CTCA by using a computational model and integrating the most current data available on health effects of radiation.

Lifetime cancer risk estimates for standard cardiac scans varied from 1 in 143 for a 20-year-old woman to 1 in 3,261 for an 80-year-old man. Use of simulated electrocardiographically controlled tube current modulation (ECTCM; a dose reduction strategy that reduces radiation during part of the cardiac cycle) decreased these risk estimates to 1 in 219 and 1 in 5,017, respectively. Estimated cancer risks using ECTCM for a 60-year-old woman and a 60-year-old man were 1 in 715 and 1 in 1,911, respectively. A combined scan of the heart and aorta had higher LARs, up to 1 in 114 for a 20-year-old woman. The highest organ LARs were for lung cancer and, in younger women, breast cancer.

?In this study, we observed a marked variation by age, sex, and scan protocol for cancer risk associated with radiation exposure from CTCA,? the authors write. ?The results of this study suggest that CTCA should be used particularly cautiously in the evaluation of young individuals, especially women, for whom alternative diagnostic modalities that do not involve the use of ionizing radiation should be considered, such as stress electrocardiography, echocardiography, or magnetic resonance imaging. If CTCA is considered as an alternative to invasive coronary angiography, the risks and benefits of each test require consideration.?

Mayo Clinic researchers discovered it is safe — and much more convenient and less costly — for many patients to undergo coronary angiography and elective valve surgery on the same day, it is reported in the current issue of Mayo Clinic Proceedings.

?We have developed a protocol to allow patients to safely have coronary angiography on the same day as their elective surgery,? says David Holmes Jr., M.D., a cardiologist at Mayo Clinic and one of the study authors. ?For patients, we are providing quality care and saving them the time and money it takes to make two trips to the hospital for the test and then surgery.?

The impact of this research could be significant: Nearly 48,000 heart valve replacement or repair surgeries were registered with the Society of Thoracic Surgeons National Database in 2005, the researchers point out.

Coronary angiography, which is recommended preoperatively for all patients who are considered at risk for coronary artery disease, is frequently done several days or even weeks before surgery; the patient goes home and then returns for surgery. With coronary angiography, a dye is injected into the blood vessels through a thin, flexible tube; the dye or contrast medium allows the physician to see narrowing or blockage.

One of the primary concerns of performing coronary angiography the same day as surgery is the risk of acute kidney failure, an independent predictor of death after cardiac surgery; mortality rates have been reported as high as 44.4 percent to 63.7 percent, the researchers report. The dye used in angiography is associated with radiocontrast-induced nephropathy, which can cause kidney failure.

When worsening kidney function occurs, serum creatinine levels begin to increase after 24 to 72 hours, peak within three to five days and return to normal within another three to five days, thus the reason for the delay between the angiography and surgery, Dr. Holmes says.

To make it possible to do angiography and surgery on the same day and largely diminish the possibility of renal failure, Mayo physicians use other contrast agents. They minimize the total amount of contrast and carefully screen patients at risk for kidney disease. Different agents are used based on the patient?s kidney function, Dr. Holmes says.

?In addition, deciding which patients may benefit from this streamlined approach is dependent on careful patient assessment and collaboration between the cardiologist and cardiovascular surgeon,? he says.

Mayo researchers evaluated the medical records of 226 consecutive patients who had undergone cardiac catheterization on the day of elective valve repair or replacement between August 2000 and August 2004. The average age of the patient was 65 years old and 33 percent were female. Of the 226, angiography showed that 28.3 percent had severe enough coronary artery disease to also require bypass surgery, in addition to valve surgery. One patient died within 30 days following surgery, and four of the patients had transient renal failure.

A novel type of contrast-enhanced magnetic resonance angiography is highly accurate in identifying blockages in the arteries that carry blood to the brain, according to a study in the February issue of Radiology.

“Contrast-enhanced MR angiography provided highly accurate information about the supra-aortic arteries,” said Kambiz Nael, M.D., research fellow and radiology resident at the David Geffen School of Medicine at UCLA in Los Angeles. “MR angiography produced results comparable to the gold standard of digital subtraction angiography (DSA) and multidetector computed tomography (CT) angiography. In addition, this technology produced images with higher resolution over a larger field of view in a shorter amount of time than previous contrast-enhanced MR angiography techniques,” he said.

Arterial occlusive disease consists of narrowed or blocked arteries. It commonly affects the supra-aortic arteries, which supply blood to the brain, and is a leading cause of stroke. Currently DSA is the reference standard for evaluating these arteries. However, in 2.5 percent of cases DSA can cause a mini-stroke, and, in rare instances, permanent neurological damage. Therefore, CT and MR angiography are increasingly being used to diagnose arterial occlusive disease. As technology has improved, MR angiography offers advantages over CT, particularly because it delivers no ionizing radiation to the patient.

“MR angiography, using a small quantity of MRI dye injected into a vein in the arm, can produce detailed images of the arteries supplying the brain and can detect even minor degrees of narrowing or blockage. It does not involve exposure to x-rays and is widely regarded as a very safe, painless test,” Dr. Nael said.

The researchers studied 80 patients (44 men and 36 women) with suspected arterial occlusive disease to compare the performance of contrast-enhanced MR angiography to DSA and CT angiography. Two independent readers evaluated the images. Blockages were detected with MR angiography in 208 (reader 1) and 218 (reader 2) segments of artery, which correlated significantly to the DSA and CT findings. In addition, MR angiography proved highly accurate (94 to 100 percent) for detecting blockages of over 50 percent, and image quality was rated sufficient to excellent for 97 percent of the arterial segments evaluated.

“This procedure should be highly cost effective for clinical use, because of the speed and modest dose of contrast required,” Dr. Nael said. “In the absence of contraindications to MRI, I would recommend MR angiography over DSA and CTA for routine use?avoiding increased risk of mini-stroke and radiation exposure.”

Dr. Nael predicts that in most cases, contrast-enhanced MR angiography could replace other diagnostic techniques for evaluation of all the arteries that supply blood to the brain.

“As the technology evolves, MR angiography will likely become even faster and more powerful,” he said.

Even in challenging cases, CT angiography (CTA) offers an accurate and rapid diagnosis for blunt trauma victims who may have aortic or great vessel injury negating the need for more invasive procedures, according to a recent study conducted by radiologists at the University of Washington and the Harborview Injury Prevention and Research Center in Seattle, WA.

CTA is commonly used to rule out blunt aortic and intrathoracic great vessel injuries, but sometimes the results are indeterminate, said Marla Sammer, MD, lead author of the study. When the results are indeterminate, a subsequent catheter angiography is usually performed.

“Aortic injury is a significant cause of morbidity and mortality following blunt trauma, especially motor vehicle collisions. If aortic injury is not diagnosed quickly, morbidity and mortality are significantly increased,” CT angiography offers a much more rapid diagnosis than traditional catheter aortography, and it is noninvasive. Given these potential significant benefits, we undertook this study to determine if patients can be spared catheter angiogram when the CT angiogram is indeterminate for aortic injury,” Dr. Sammer said.

The study consisted of 72 patients who had bleeding and other injuries around the aorta who underwent both CTA and invasive catheter angiography. The CTA results were noted as being indeterminate. Of the 72 patients, no aortic injuries were missed by CTA.

Our study adds to the growing evidence that catheter angiography may be unnecessary in cases where the CT angiogram is indeterminate for aortic injury,” Dr. Sammer said.

“If CT angiography is used alone, the patient can be spared an invasive catheter angiogram, risks of which include vascular injury, hemorrhage, infection, and even death,” said Dr. Sammer. “Furthermore, since patients with suspected aortic injury often have multiple other life threatening injuries, the time that would be spent performing the catheter angiogram can be used instead to more rapidly diagnosis and treat other injuries.

CT angiography (CTA) has a nearly 100% detection rate in acute ruptured, cerebral aneurysms, according to a recent study conducted at the Health Sciences Center in Winnipeg, Canada.

The study consisted of 171 patients with acute subarachnoid hemorrhage (SAH) who underwent preoperative 3D CTA.

CTA correctly detected the ruptured aneurysm in 170 cases when compared to intraoperative findings, Bijal Patel, MD, lead author of the study. Of the 22 cases where there was more than one aneurysm, CTA correctly identified the ones that were ruptured every time. According to the study, the sensitivity of CTA was 99.4% in detecting the ruptured aneurysm in the setting of acute SAH. ?In the one case where CTA initially did not demonstrate the ruptured aneurysm, the study was severely degraded with motion artifact,? said Dr. Patel.

?While CTA provides detailed information on the features of the aneurysm, its true accuracy in the clinical setting could only be determined when compared to surgical findings,? said Dr. Patel ?As in our institution and undoubtedly many others, it is the standard of practice to follow a confirmed SAH with a CTA. We felt it was important to perform a study that would evaluate the utility of CTA as the primary diagnostic investigation in detecting acute ruptured cerebral aneurysms using correlation with intraoperative findings,? said Dr. Patel.

?Although we were expecting CTA to demonstrate a high detection rate for acute ruptured aneurysms, we were not expecting the accuracy to be as high as it was. From the results of our study we concluded that CTA provides prompt and accurate diagnostic and anatomic information with a 99.4% detection rate in acute ruptured aneurysms,? said Dr. Patel. ?In cases of multiple aneurysms CTA is able to discern the ruptured one accurately. Furthermore, a positive CTA in the setting of acute spontaneous SAH is sufficient for intraoperative treatment planning,? he said.

The full results of this study will be presented as an electronic exhibit Monday, May 7, through Thursday May 10 during the American Roentgen Ray Society?s annual meeting in Orlando, FL.

Stroke is a leading cause of hospital admission among older adults. Yet more hospital readmissions after stroke are for pneumonia or for heart disease than for another stroke, according to a study published in the June 2007 issue of the journal Stroke. This finding may alter the standard medical management of post-stroke patients.

?Few stroke patients survive five years without a readmission to the hospital. Common wisdom has been that patients who have had a stroke are likely to return to the hospital for treatment of another stroke. Our study found that, surprisingly, the most common reasons for readmission to the hospital were non-neurological, with pneumonia or other respiratory problem leading the list of reasons,? said the study?s first author, Dawn M. Bravata, M.D., Indiana University School of Medicine associate professor of medicine.

The researchers followed 2,603 stroke patients discharged from the hospital and found that more than half had died or been readmitted to a hospital at least once during the first year after discharge. And by five years out, almost 9 out of 10 stroke survivors had died or been readmitted to a hospital. These readmissions were more than twice as likely to be for pneumonia as for another stroke.

?Physicians treating stroke patients need to continue focusing on preventing a recurrence of stroke. We now see that, in addition, we should also be thinking about the other conditions that are causing hospital readmission in this vulnerable group,? she said.

Dr. Bravata, who is an investigator with the Center on Implementing Evidence-based Practice at the Roudebush VA Medical Center in Indianapolis, currently is working on a follow-up study to see whether certain interventions, such as pneumonia and influenza vaccinations, can lower hospital readmissions for stroke patients.

?These readmissions are an enormous burden on patients, families and the health-care system. We may have a previously unrecognized window of opportunity beginning when the patient is first hospitalized for stroke to decrease the likelihood for hospital readmission,? Dr. Bravata said.

Rutgers University plant scientists are truly into something hot – They are working with a research laboratory named for the late Tabasco? Pepper Sauce heir, John S. McIlhenny, and built with a gift from the trust he established, the Coypu Foundation. The lab is part of the Pennington Biomedical Research Center, a campus of the Louisiana State University system. At this facility, researchers collaborating with Rutgers colleagues will investigate whether plant extracts can cut risk factors for heart disease, stroke, diabetes or other serious illnesses.

An $8 million, five-year botanical research grant from the National Institutes of Health (NIH) will enable Rutgers plant scientists to collaborate with Pennington researchers in forming the NIH Center for Botanicals and Metabolic Syndrome, one of five newly funded NIH dietary supplement research centers.

Center researchers will study the effects of plant extracts on metabolic syndrome, a collection of risk factors that predispose a person to potentially life-threatening disorders. Common risk factors include obesity, hypertension and high insulin levels. In combination, the risk factors can produce a whole – the syndrome – that is truly greater than the sum of its parts.