Diet : Therapeutic Diets : Low Protein diet

Protein is an essential nutrient. Protein contains 16% of Nitrogen, the body eliminates urea in the form of urine. A healthy body weight of 60 kgs needs around 60 gms of protein per day. A low protein diet is a diet in which the intake of protein is reduced. Low protein diet is prescribed for patients with liver or kidney disease, in order to lessen the protein load on the kidney or liver.

Low protein diet and liver disease:

Proteins are metabolized by liver and digested, then ammonia produced is converted to urea a waste product and excreted out. In liver damage proteins are not metabolized properly and a nitrogen metabolite ammonia builds up in the blood stream and this may result in liver diseases or hepatic encephalopathy. But proteins should not be eliminated completely from the diet. Hence include low protein diet in liver diseases.

Low protein diet and kidney disease:

When kidneys are not functioning properly a low protein diet is prescribed. In case of impaired kidney function the metabolite urea builds up in the blood and is not excreted outside and this affects kidney.As to decrease load on kidneys a low protein diet is prescribed.

Low protein diet and tyrosinemia:

Tyrosinemia is a inborn error of metabolism. The body cannot effectively breakdown the amino acid tyrosine. Hence there is increase in concentration of tyrosine in blood. A low protein diet is required in management of tyrosinemia.

Low protein foods:

Bread, oatmeal, apple, banana, cauliflower, cabbage, tomatoes, corn, pie, mixed grain, cereals, cheese, lettuce, rice, pasta.

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Nestle is asking all consumers to return BANANA BABY FOOD expiring in 2012

IMPORTANT ALERT: Gerber is asking everyone to return all banana baby food expiring 2012; they may contain pieces of glass. Please copy and paste for all moms and babies safety..bar code 7613033089 73

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Please forward every one for the safety of babies. Bar code 7613033089 73. Even if you are not a parent, please help forward the message. You can save a child

Dental Acute Necrotizing Ulcerative Gingivitis

Acute Necrotizing Ulcerative Gingivitis (ANUG) is an oral infection that is characterized by necrosis of gingiva. Ulcers of oral mucosa also occur in patients with severe nutritional deficiencies.

Clinical manifestations of ANUG:

• Sudden pain, tenderness, profuse salivation, a peculiar metallic taste and spontaneous bleeding from the gingival tissues.

• Patient commonly experiences loss of sense of taste.

• Ulcers develop most commonly on the interdental papillae and the marginal gingivae.

Treatment:

At the initial visit the gingivae should be debrided with both irrigation and periodontal curettage. The extent of debridement depends on the soreness of the gingivae. Antibiotics are usually not necessary for routine cases of ANUG. These cases can be successfully treated by debridement, irrigation and curettage.

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Diabetes and Dental Hygiene

What are the dental problems Diabetic patient experiences ?

• Decrease in salivary flow.

• Burning mouth or tongue.

• Dry mouth also may develop, causing an increased incidence of decay.

• Gum recession has been found to occur more frequently and more extensively in moderate-and poorly-controlled diabetic patients because plaque responds differently, creating more harmful proteins in the gums.

• Diabetics tend to lose collagen, a protein that supports gums, skin, tendon cartilage, and bone, in their gum tissue thus hastening periodontal destruction.

• The diabetics had more plaque on their teeth and experienced more bleeding of their gums when being examined.

The first signs are red, sore, and bleeding gums. This can lead to periodontitis, which is an infection in the gums and the bone that holds the teeth in place. Pockets form between the teeth, which fill with germs and pus. If not treated and the infection gets worse, your gums may pull away from your teeth, making the teeth look very long, and your teeth will loosen.

What is the best time to receive dental care?

• If your blood sugar is not under control, talk with both your dentist and physician about receiving elective dental care.

• Dental procedures should be as short and as stress free as possible.

• Make morning appointments because blood glucose levels tend to be under better control at this time of day.

• If you have a scheduled appointment, eat and take your medications as directed.

• Test your blood sugar level and take your blood pressure and bring these results with you to our office.

• Be prepared to update your health/dental history at each visit so we can provide you with the best possible care for your condition.

• See your doctor before scheduling treatment for periodontal disease. Have your doctor send your dentist records on your overall medical condition BEFORE treatment starts.

• Postpone non-emergency dental procedures if your blood sugar is not in good control. However, abscesses should be treated right away.

• See your dentist on a regular basis, every 3 to 4 months, for exams and cleanings. Keep him informed of your health status and if you have any problems controlling your blood sugar.

• Know that healing time will take longer due to your diabetic condition.

• Follow your individualized meal plan and learn more about meal planning and diabetes for better blood sugar control.

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Glamour : Otoplasty

Otoplasty is a cosmetic surgery to change the appearance of the person’s external ears. Otoplasty can be done for various reasons like

• Bringing the ears closer to the head (ear pinning)

• Reducing the size of very big ears

• Reshaping various bends of the ear cartilage.

Otoplasty surgery involves a combination of moving, reshaping, adding or removing structural ear components. This procedure is usually preformed by either an oral and maxillofacial surgeon, plastic surgeon or an ENT surgeon.

Typically Otoplasty surgery takes about two hours. The dressing over the operated ears can extend for few weeks as protection and the patient can experience mild discomfort. Headbands may be prescribed for night time wears.

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Salt as addictive as cigarettes, heroin

“We all know that fish and chips wouldn't be the same without salt.

However, scientists have now claimed that the yearning for salt stimulates the brain like addiction to hard drugs or cigarettes. They found that the craving triggers the same genes, brain cells and brain connections.

The finding could help explain why many find it so hard to cut back on salt, despite warnings about dangers to blood pressure and heart health.

For the study, Australian and American scientists kept some mice on low-salt diets and gave others a salt drip.

Activity in the creatures' brains was then compared with that in mice fed normally. They also studied the brains of mice that had been starved of salt for three days and then given salty water to drink freely.

When the rodents were in need of salt, brain cells made proteins more usually linked to addiction to substances such as heroin, cocaine and nicotine.

In this study we have demonstrated that one classic instinct, the hunger for salt, is providing neural organisation that subserves addiction to opiates and cocaine, the Daily Mail quoted Prof Derek Denton, of the University of Melbourne, as saying.

The study also revealed that after salt was taken, the brain believes it has received its fix well before it should be physically possible.

In other words, the changes caused by salt cravings disappeared well before the salt could have left the gut, entered the blood and got to the brain.

It was amazing to see that the genes that were set off' by the loss of sodium were already beginning to get back to the original state within ten minutes, said Prof Denton.

It is an evolutionary mechanism of high survival value because when an animal is depleted of water or salt it can drink what it needs in five to ten minutes and get out which makes it less susceptible to predators,' he added.

The researchers said that the importance of salt to overall health means that cravings for it form an ancient instinct' deeply embedded in the brain. This may explain why we find salty foods so tasty.

The study appears in the journal Proceedings of the National Academy of Sciences.

Diet : Fitness and Exercises : Body Mass Index

Body mass index is the ratio of weight to height to estimate body fat. It is advisable to use Body mass index along waist to hip ratio to get complete picture of your weight status. Body mass index is particularly helpful for identifying children and adults at risk of overweight. But it not gives completely accurate information.

The formula for Body mass index is WEIGHT (KG)/HEIGHT (MT2)

BMI	Category
Less than 18.5	Underweight
18.5 to 24.9	Normal weight
25 to 30	Over weight
More than 30	Obese

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