Your healthcare news library

Archive for September, 2014

Our products are safe, says Eu Yan Sang

 p8 3rd Eu Y_c1185246_14930_545474804

A locally available version of the product currently at the centre of scrutiny.

PETALING JAYA: A local Chinese medicine chain has said it will not remove one of its products, Bo Ying Compound, from shelves as it has not received any directive to do so.

Following news circulating on social media that the product contains high levels of lead, Eu Yan Sang Group senior manager Wong Kah Cane told theSun that the group had not received any directive to withdraw the product from the market as the US Food and Drug Administration is still conducting investigations on the matter.

“However, I wish to stress that it is still unknown whether the product that tested positive for excessive lead is the actual Hong Kong Bo Ying Compound product or a fake.

“This is because we have never exported any Hong Kong Bo Ying Compound to US, so how is it possible for them to ban something that is not being exported there?” he said, adding that all their products are produced locally and comply with all the safety requirements set by the respective health departments.

Wong further pointed out that the Hong Kong Bo Ying Compound is produced there and its manufacturing facility in Hong Kong has obtained all the relevant certificates and accreditation from the government there.

Asked if the Malaysia Bo Ying Compound is safe for consumption, Wong said that the product is manufactured locally and is safe, and that there is a slight difference in terms of its formulation as compared to the Hong Kong version.

“We wish to assure our consumers that all Eu Yan Sang products adhere to the Chinese medicine regulations imposed by the regulatory authorities in the country of origin.

“(As such), every batch of product meets the safety and quality standards for proprietary Chinese medicine set by the local health regulating bodies,” he added.

Wong revealed that the manufacturing facility in Malaysia had obtained GMP certification since 1997 and ISO9001 international accreditation 2001 to ensure all products at the facility comply with the stringent safety and quality assurance standards.

On identifying counterfeit products in Malaysia, Wong said: “The consumer can do so by looking at the product registration number or they can always check it with the Health Ministry’s website to verify the authenticity of the product.”

via Our products are safe, says Eu Yan Sang | theSundaily.

When ‘remedies’ make things worse

main_sz_3009_p18A_5cols

High-tech apparatus: HKL director Datuk Dr Zaininah Mohd Zain (left) and Dr Noor Hisham (centre) checking out medical equipment at an exhibition booth during the seminar.

KUALA LUMPUR: Soy sauce, toothpaste, butter, egg white and salt – these are just some of the things that ill-informed parents apply to burns suffered by their children.

“Parents often don’t know what to do when children are burnt or scalded and apply things which make it worse,” said Dr Mohd Yusof Abdullah, a paediatric surgeon at Hospital Kuala Lumpur’s Burn Unit.

He said administering unsterile substances could infect the wound.

“We have seen burns made worse by the application of home remedies, resulting in the cases needing surgery,” he said at the 3rd HKL Burn Seminar yesterday.

Dr Mohd Yusof advised parents and child minders to run tap water on the wound for 20 minutes.

Ice should not be used as extreme cold can cause hypothermia.

Burns are the 11th leading cause of child deaths, with those four years old and below at the greatest risk.

“Parents must supervise and monitor their children closely. Most child burn cases are preventable,” he said, adding that serious burns could take up to six months to heal.

case studies mentioned by Dr Mohd Yusof included a child who touched an electrical wire atop a commuter train, resulting in 70% of his body covered with burns.

Another involved a child who played with matches and started a fire that claimed his father’s life and left him with burns on 45% of his body.

“It is sad dealing with children, especially when changing their dressings,” he said.

The two-day HKL Burn Seminar covers various aspects of burns, including infection control and reconstructive surgery.

Health Ministry director-general Datuk Dr Noor Hisham Abdullah who opened the seminar, said HKL had received 121 burn cases so far this year, with 10 deaths.

“I hope more units will be opened at hospitals nationwide due to the increase in outpatients for burns,” he said.

via When ‘remedies’ make things worse – Nation | The Star Online.

WEB To PDF: Web Page to PDF Creation App With Tons of Features | App Saga

webtopdf

WEB To PDF
(4.5 stars with 766 Ratings)
Universal App
$3.99 Free for a limited time

 

We have featured other web page to PDF apps before, but WEB to PDF is a powerful PDF creation app with lots of useful features other apps simply don’t offer.

With Web to PDF you can easily create a PDF from an URL you enter on the address bar. However, the best features of Web to PDF are its reading, editing, and storage options. Instead of scrolling downwards to view the entire PDF, this app lets you view your PDF one page at a time. You can swipe left or right at the screen to turn pages, giving it an ebook feel. This app also lets you edit directly on the PDF file you have created. Add text or handwritten notes directly on the PDF using this app.

You also have the option to rearrange pages just by dragging each page to your desired position. Finally, this app also lets you upload your PDF files to Dropbox or send your PDFs via email so you can easily access them from anywhere.

App Screenshots

– See more at: http://appsaga.com/web-to-pdf-web-page-to-pdf-creation-app-with-tons-of-features/#sthash.D56oodQU.dpuf

via WEB To PDF: Web Page to PDF Creation App With Tons of Features | App Saga.

Yogurt-Chia Pudding Recipe – Bon Appétit

yogurt-chia-pudding-940x6003114700

INGREDIENTS

  • 2 cups plain whole-milk yogurt
  • tablespoon chia seeds
  • 1 tablespoon agave syrup, plus more
  • Cocoa nibs, sunflower seeds, and/or toasted coconut (for serving)

NUTRITIONAL INFORMATION

Calories (kcal) 110 Fat (g) 5 Saturated Fat (g) 2.5 Cholesterol (mg) 15 Carbohydrates (g) 11 Dietary Fiber (g) 1 Total Sugars (g) 9 Protein (g) 5 Sodium (mg) 55

PREPARATION


  • Mix yogurt, chia seeds, and agave syrup in a large bowl; cover and chill at least 12 hours. Serve, drizzled with more agave, if desired, and topped with cocoa nibs, sunflower seeds, and/or toasted coconut.
  • DO AHEAD: Pudding can be made 2 days ahead. Keep chilled.

via Yogurt-Chia Pudding Recipe – Bon Appétit.

Breath test for TB developed

_77785628_b2201187-tuberculosis_bacteria,_tem-spl2110475
Researchers have developed the first breath test for TB in the laboratory.

It provides rapid information on drug resistance that takes up to six weeks using standard methods, US scientists report in the journal, Nature Communications.

The bacteria emit a unique gas signature within 10 minutes of exposure to an inhaled antibiotic in rabbits.

TB infects 8.6m people each year worldwide and kills 1.3m, second only to HIV.

Early diagnosis and treatment are a priority in the global fight against TB, according to the World Health Organization.

Optimally treating somebody the best you can at the time of that single encounter, so someone can go home with the right set of tablets, would be really, really useful”

Dr Graham TimminAssociate Professor at the University of New Mexico

The new research used an inhaled form of isoniazid – an antibiotic commonly used to treat the disease – which is activated by a TB enzyme.

The test exploits the fact that this enzyme is unique to TB, said Dr Graham Timmins, Associate Professor at the University of New Mexico, US, who led the research.

“We realised that we could actually look at the conversion of isoniazid to its active form by monitoring one of the labelled gases that’s given off during its activation,” he explained.

The researchers gave a special molecularly-labelled form of isoniazid to laboratory rabbits.

In the presence of TB, labelled nitrogen gas was released from the lungs and detected by a machine called a mass spectrometer.

A positive result indicates that TB bugs are present and suggests they are susceptible to isoniazid.

Treatment options

TB is very difficult to treat, requiring at least six months of treatment with multiple drugs.

Childhood TB can be harder to detect than the adult form of the disease
The test could be particularly useful in children where sputum samples are problematic

Failure to complete treatment has contributed to the rise of multidrug-resistant TB (MDR-TB), accounting for 30% of cases in some countries.

For many years diagnosis of TB relied on a lengthy wait for the bacteria to grow in a culture of the patient’s sputum.

“If you do it by culture, it can take a month to six weeks before you get a result,” said Dr Timmins.

In the last few years a new DNA detection technique called GeneXpert has been endorsed by the World Health Organization.

From a sample of sputum it can detect whether a sample contains TB and whether it is is resistant to one of the key drugs, rifampicin, in about three hours.

But for full drug resistance information the patient has to wait longer.

“Optimally treating somebody the best you can at the time of that single encounter, so someone can go home with the right set of tablets, would be really, really useful,” said Dr Timmins.

The new breath test samples the whole lung for what is hoped will be greater sensitivity, in a wider range of patients, with results available almost instantly.

‘Clever idea’

“It’s a clever idea,” said Dr Ruth McNerney, senior lecturer at the London School of Hygiene and Tropical Medicine.

The test could “add a bit more certainty” to the diagnosis of MDR-TB, and “it’s worth pursuing, definitely,” she said.

At present the breath test only detects isoniazid sensitivity. It will therefore need to be used in combination with other tests.

“This is just the start of the program we want to instigate,” said Dr Timmins.

The next step will be to show that the tests work in humans in a clinical setting.

“Lots of good ideas fail when you put them into the clinic,” conceded Dr Timmins.

via BBC News – Breath test for TB developed.

In pictures: Mali’s motorbiking eye surgeons

An eye surgeon on a motorbike in a remote region of Mali

Eye surgeons in Mali travel long distances in extreme heat on motorbikes visiting remote villages to try and eliminate one of the leading causes of preventable blindness.

Grey line
Eye surgeon Boubacar Fomba examining a boy's eyes on a motorbike, Mali

They go from village to village and treat anyone with the advanced stages of trachoma, a bacterial infection, before it causes irreversible blindness. Trachoma is common in children and the women who care for them. It is infectious and is spread by coming into direct contact with the discharge produced from the eyes or nose of an infected person through contaminated objects such as towels. Flies also transfer the bacteria from the discharge.

Grey line
Eye surgeon Boubacar Fomba uploading information on a mobile phone

The locally trained health workers upload their findings by mobile phone to a central system. They report the number of people they screen for the disease, the surgeries they carry out, and the number of follow-up consultations they provide.

Grey line
Eye surgeon Boubacar Fomba examining Kany Doumbia' eyes in N'Korobougou, Mali

Here in the remote village of N’Korobougou, in the western region of Koulikoro, Boubacar Fomba diagnoses a 68-year-old woman with trichiasis, the advanced stage of trachoma, where the infection has become so bad that the eyelashes have turned inwards, painfully scratching the eyeball with every blink. “I started having pain and itching there about 20 years ago,” says Kany Doumbia, who earns a living through agriculture and gardening.

Grey line
Eye surgeon Boubacar Fomba in Mali

Mr Fomba is part of a team working on a Sightsavers project to tackle a backlog of advanced cases in Mali. It is hoped that the disease can be eliminated in the West African nation by the end of next year – an aim made possible largely thanks to a multi-million dollar donation by the Conrad N Hilton Foundation.

Grey line
An eye surgeon preparing for an operation - Mali

The 10 surgeons in the team work across 10 different districts, each covering between 20km (12 miles) and 30km a day and conducting at least three operations each day. Poor communities in hot and dusty climates – where access to water is poor – are most affected by the disease.

Grey line
An eye surgeon performing trichiasis surgery - Mali

During surgery the eyelid is rotated outwards, directing the eyelashes away from the eyeball – a procedure that takes as little as 10 minutes. Globally an estimated 8 million people suffer from the advanced stages of the disease and require surgery to prevent them from going blind. In Mali, an estimated 25,000 people need surgery before elimination is reached. The prevalence of the disease amongst children under nine has dropped to below 5%.

Grey line
Kany Doumbia in N'Korobougou, Mali

After the surgery, Ms Doumbia said she felt a real change because the pain she used to have had gone – and she was relieved that she would be able to continue to sell her garden produce in the nearest city, Ouelessebougou. “I had started to fear losing my sight because the pain became frequent and often my vision was blurred,” she said.

Grey line
Eye surgeon Boubacar Fomba shakes Kany Doumbia's hands in N'Korobougou, Mali

“We consult dozens of people per day,” Mr Fomba says. “And people come to us because they were recommended by other patients. That makes us feel proud.” Antibiotics are also prescribed to treat the infections – and the surgeons explain that facial cleanliness is one of the best ways to prevent the spread of the bacteria.

Grey line
An eye surgeon on a motorbike in a remote region of Mali

In the afternoon, each motorbike surgeon sets off for the next village where they will spend the night – so that another day of examinations and operations can begin early the next morning. Gallery by Javier Acebal for Sightsavers.

via BBC News – In pictures: Mali’s motorbiking eye surgeons.

Brazil releases good mosquitoes to fight Dengue fever

_77807024_tv0240462161971727

Brazilian researchers in Rio de Janeiro have released thousands of mosquitoes infected with a bacteria that suppresses Dengue fever.

The hope is they will multiply, breed and become the majority of mosquitoes, thus reducing cases of the disease.

The initiative is part of a programme also taking place in Australia, Vietnam and Indonesia.

Julia Carneiro reports from Rio.

via BBC News – Brazil releases good mosquitoes to fight Dengue fever.

Sierra Leone widens Ebola quarantine to three more districts

cloud_download1997702

Umaru Fofana is in the Sierra Leone capital, Freetown

 

Sierra Leone’s President Ernest Bai Koroma has widened a quarantine to include another one million people in an attempt to curb the spread of Ebola.

The northern districts of Port Loko and Bombali, and Moyamba in the south, will in effect be sealed off immediately.

Nearly 600 people have died of the virus in Sierra Leone and two eastern districts have been isolated since the beginning of August.

The move follows a three-day nationwide lockdown that ended on Sunday night.

New figures released by the UN World Health Organization show that 2,917 people have died in the current Ebola outbreak in West Africa, with Sierra Leone, Liberia and Guinea worst affected.

Two eastern districts have already been isolated and the extension of the indefinite quarantine means more than a third of Sierra Leone’s 6.1 million population now finds itself unable to move freely.

During Sierra Leone’s three-day curfew, more than a million households were surveyed and 130 new cases discovered, the authorities say.

A vendor stands among her goods in Freetown, Sierra Leone, Thursday, 18 September 2014There are fears the quarantine and border closures in the region could devastate the economy

President Koroma said the move had been a success but had exposed “areas of greater challenges”, which was why other areas were being quarantined.

Only people delivering essential services can enter and circulate within areas under quarantine.

line

Skills shortage:

Guinea's Red Cross health workers wearing protective suits prepare to carry the body of a victim of Ebola at the NGO Medecins Sans Frontieres Ebola treatment centre near the hospital Donka in Conakry, 14 September 2014
  • Liberia with a 4.2m population: 51 doctors; 978 nurses and midwives; 269 pharmacists
  • Sierra Leone with a 6m population: 136 doctors; 1,017 nurses and midwives; 114 pharmacists

Source: Afri-Dev.Info

Ebola drains weak health systems

line

In a televised address, the president acknowledged that the isolation would “pose great difficulties” for people.

“[But] the life of everyone and the survival of our country take precedence over these difficulties,” he said.

According to WHO, the situation nationally in Sierra Leone continues to deteriorate with a sharp increase in the number of newly reported cases in the capital, Freetown, and its neighbouring districts of Port Loko, Bombali, and Moyamba, which are now under quarantine.

Country Existing bed capacity Newly funded beds Extra beds required
SOURCE: WHO, 24 SEPTEMBER 2014
Guinea 180 0 40
Liberia 315 440 1,550
Sierra Leone 323 297 532

Despite efforts to deploy more health workers and open new Ebola treatment centres in the worst-affected countries, there was still a significant lack of beds in Sierra Leone and Liberia, with more than 2,000 needed, WHO said.

The situation in Guinea appeared to be stabilising, with up to 100 new confirmed cases reported in each of the past five weeks, but it was still of grave concern, it said.

line

Ebola virus disease (EVD)

Ebola virus
  • Symptoms include high fever, bleeding and central nervous system damage
  • Spread by body fluids, such as blood and saliva
  • Fatality rate can reach 90% – but current outbreak has mortality rate of about 70%
  • Incubation period is two to 21 days
  • There is no proven vaccine or cure
  • Supportive care such as rehydrating patients who have diarrhoea and vomiting can help recovery
  • Fruit bats, a delicacy for some West Africans, are considered to be virus’s natural host

Ebola virus: busting the myths

via BBC News – Sierra Leone widens Ebola quarantine to three more districts.

隱形殺手!小心高血壓併發中風危機

高血壓是健康的隱形殺手,調查發現,在國內65歲以上年長者,平均每14人就有1人發生過中風,且國人10大死因中,平均每46.5分鐘就有1人因腦血管疾病死亡。醫師指出,血壓的高低與發生中風,或其它心血管疾病風險,為一連續性的關係,一般而言,平均血壓每增加10mmHg,罹患中風的危險性即增加30%,因此,千萬不可掉以輕心!

高血壓是健康的隱形殺手,平均血壓每增加10mmHg,罹患中風的危險性即增加30%。

高血壓是健康的隱形殺手,平均血壓每增加10mmHg,罹患中風的危險性即增加30%。

林口長庚醫院「腦血管科主任」張健宏醫師指出,成人正常血壓為收縮壓<120mmHg、舒張壓<80mmHg,正常偏高血壓為收縮壓<120-139mmHg,或舒張壓<80-89mmHg之間;第1期高血壓是指收縮壓介於140-159mmHg,或舒張壓介於90-99mmHg之間;第2期高血壓是指收縮壓介於≧160mmHg,或舒張壓≧100mmHg。

調降血壓 需先規律服藥

臨床上,收縮壓大於140mmHg或舒張壓大於90mmHg,兩者間有一項符合,即可稱為「高血壓」,而不論是原發性高血壓,還是疾病引起的續發性高血壓,想要達到良好的血壓控制效果,最有效的方式就是按時且規律的服藥。

然而根據調查,國內平均每2位高血壓患者在經過治療後,只有1位能達高血壓控制目標;每4位高血壓伴隨糖尿病患者經治療後,僅1位可達到血壓控制目標,甚至有許多患者,一直到突然腦中風才知道自己是高血壓。

最主要原因是高血壓平日不會有特別症狀,但患者若長期有高血壓,會使血管壁承受較大的壓力,造成動脈硬化狹窄、血管阻塞,當腦血管因血壓上升而破裂,就會造成腦出血。

張健宏醫師(如圖)指出,血壓越高或是控制不好,發生心肌梗塞、心臟衰竭、中風、腎臟病的機會就越大。(攝影/張世傑)

張健宏醫師(如圖)指出,血壓越高或是控制不好,發生心肌梗塞、心臟衰竭、中風、腎臟病的機會就越大。(攝影/張世傑)

血壓控制差 中風機率高

張健宏醫師強調,血壓越高或是控制不好,發生心肌梗塞、心臟衰竭、中風、腎臟病的機會就越大,尤其國人10大死因中,有一半和高血壓有關,特別是腦中風或其它心血管疾病的危險度,除依據血壓的輕、中、重度外,必須同時考慮是否存在有相關血管危險因子。

《中風前 小心5徵兆》

1.劇烈頭痛。

2.單側手腳突然感到無力、麻木無感覺。

3.視力模糊。

4.語言表達障礙。

5.暈眩、失去平衡、噁心。

《遠離高血壓危險因子 戒菸與減重》

高血壓危險因子包括:如吸菸、肥胖、高血脂、糖尿病,或是有家族遺傳等;輕度高血壓者,若能改變生活型態、戒菸、減輕體重、限制鹽分攝取、增加有氧運動等,多可降低高血壓10mmHg左右。

至於中、高度高血壓患者,除要改變生活型態外,則必須使用抗高血壓藥物,若使用單一藥物仍未能有效控制血壓時,則可考慮同時使用多種抗血壓藥,以達到加乘降壓效果。

高血壓用藥 非單一選擇

對於高血壓中風病人的高血壓控制,美國國家聯合委員會(JNC)建議,使用利尿劑Diuretic及血管張力素轉化繪抑制劑ACEI,對於預防中風而言,適當控制血壓,比改善內皮細胞功能等理論,更為重要,且不論預防初次中風或是再度中風,都建議使用Diuretic為第1考量,若結果仍未達到理想降壓效果,則考慮添加ACEI/ARB或CCB等藥物,達到調降血壓目標。

【醫師小提醒】:

國民健康署統計,國內高血壓病人罹患中風機率風險,為一般人的2.8倍,因此想要控制好高血壓,應養成每天定時量血壓的習慣,只要做好血壓監控、按時服藥,並配合醫囑,平時養成定期運動的好習慣、不菸不酒、不熬夜、做好飲食控制,如此便可減少高血壓帶來的危害。

via 隱形殺手!小心高血壓併發中風危機 | 20140925 | 華人健康網.

喝絲瓜水≠美白 珍藏2個意外好處

天熱想美白,如果認為只要喝絲瓜水就能美白、潤膚,可就大錯特錯了!營養師表示,絲瓜中有助美白的維生素C成份並不算高,遠低於芭樂、柑橘、紅蘿蔔等蔬果,因此想藉由吃絲瓜美白,效果有限。但是,吃絲瓜卻有兩個意想不到的健康好處,讓人跌破眼鏡!

天熱想美白,如果認為喝絲瓜水能美白、潤膚,可就大錯特錯了!(圖片/取材自維基百科)

天熱想美白,如果認為喝絲瓜水能美白、潤膚,可就大錯特錯了!(圖片/取材自維基百科)

王子南營養師表示,絲瓜除了含有常見蔬果中所擁有的多種維生素、礦物質、菸鹼素等營養外,絲瓜更屬於低GI食物的一員,食用後血糖不會因此瞬間飆升,相當適合日常需小心控制血糖的糖尿病患者食用。

最重要的是,絲瓜熱量非常低,每100公克熱量僅有17大卡,含水比高達95.2%,不但能提升飽足感、降低進食量,更含有微量的皂甙、葫蘆巴鹼等有助人體抗氧化、抑制癌細胞植物性化合物,適量食用對人體健康好處多多。

絲瓜粗纖維含量豐 食用助降膽固醇

除了上述好處外,絲瓜果肉中更含有豐富的纖維質,特別是「粗纖維」的含量比一般蔬果多出許多。適度食用絲瓜,有助粗纖維與人體形成膽固醇的前驅物膽酸結合,使膽酸因此排出體外,間接達到降低血液中總膽固醇含量的效果。

腎功能不全等需要實施限鉀飲食的患者,真的什麼都不能吃嗎?

腎功能不全等需要實施限鉀飲食的患者,真的什麼都不能吃嗎?

絲瓜高含水 低鈉低鉀能利尿

至於絲瓜低鈉、低鉀的特性,不但能讓洗腎、腎功能異常、腎功能不全,飲食需要限鉀的患者在飲食過程中大口放心食用。含水比高達95.2%、水量豐沛的絲瓜,還有一定的利尿作用,對於來說,此類患者來說,絲瓜可說是上天賜予的一大寶物。

【營養師小叮嚀】:

不過,王子南營養師也提醒,想要完整保留食物中的營養成分,特別是確保蔬果中的營養素不被破壞,建議以生食的方式較為適宜,才不會使蔬果中的營養在高溫烹煮過程中產生裂變,使營養成分大量消失。

若不習慣生食,亦或是該蔬果不適宜生吃,王子南營養師推薦大家不妨可以使用俗稱油水炒(又稱水油炒)的烹煮方式,也就是在傳統到油熱鍋的動作前,先加入適量的水份,再倒入植物油、沙拉油,快速伴炒蔬食的方法,降低油溫、發煙點,來避免養分在大火烹煮過程中流失。

via 喝絲瓜水≠美白 珍藏2個意外好處 | 20140925 | 華人健康網.

Tag Cloud