Coronary Angiography

Coronary Angiography

Coronary angiography is a diagnostic procedure performed to check the blood flow and presence of any obstruction (blockages) in coronary arteries that supply blood to the cardiac muscles.

How Coronary Angiography is done?

This procedure is done through the radial artery that is present in the wrist and the femoral artery (thighs). Anyone location is chosen to do this procedure. The sheath is placed within the artery using a needle. A tube-like structure known as the diagnostic catheter is passed through the artery towards the aorta ( the biggest blood vessel arising from the heart). The end of the catheter is placed at the opening of the arteries and a contrast dye is injected into the coronaries.

At the same time, fluoroscopy is done which permits the visualization of the flow of the dye through the coronaries and can be seen on a screen. Fluoroscopy uses X-rays to visualize the coronaries. Images are then acquired at different angles to get a complete idea of the coronaries. The catheter is removed along with the sheath from the artery. The wound is then dressed and heals with proper post-care.

Is it painful? Does it create a wound?

A small puncture hole on the skin about 2 mm in diameter is created using a needle puncture. It is done under local anesthesia and does not require any stitches. When properly done it is painless and all that is felt is a tiny prick of the needle.

Does it require admission to the hospital?

It can be done as an out-procedure and the patient can go home on the same day itself. Usually, patients can be discharged after 4 hrs when done via the radial artery and 6 hours when done via the femoral artery.

Is it a dangerous or life-threatening procedure?

It is a relatively safe procedure and needs to be done only by an expert. As it is an invasive procedure, complications may arise depending on various factors involved in a patient’s medical history. Some minor complications that may arise include hematoma at the puncture site, vasospasm, minor allergic reaction to the dye. Very rarely, life-threatening complications like myocardial infarction, arrhythmias, anaphylaxis, stroke, renal failure, or death may occur. However, these are extremely rare cases and occur in less than 1% of patients.

Can coronary angioplasty be done immediately after angiography?

Yes. Angioplasty which involves stenting the blockages seen on angiography can be performed immediately after angiography depending on the clinical circumstances.

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Root Canal Treatment

Root Canal Treatment

A root canal, or more specifically, a root canal treatment, is a procedure dentists use to save a badly infected tooth instead of removing it altogether. 

The pulp is the root’s innermost area, which is richly supplied with blood vessels and nerves. Any kind of sensation of the tooth, like sensitivity or pain, arises from this area. 

The root canal by itself is a region of space in the root of the tooth.

What is Root Canal Treatment?

This is also known as endodontic therapy, endodontic treatment, or root canal therapy. It involves the cleaning, disinfection, decontamination, and filling of the infected area of the root canal.

Removal of the tooth’s pulp and subsequent filling can prevent further microbial contamination and the spread of this infection. However, if the tooth is too damaged, dentists will most likely remove the tooth and replace it with dental implants or partial dentures. 

Why do we need this root canal treatment?

When a tooth gets infected, the bacteria attack the enamel first and slowly make their way through the dentin and eventually into the pulp.If the pulp gets infected, it can lead to tooth abscesses. Symptoms include:

  • Terrible toothaches that can radiate to the jaw and bone.
  • Increased sensitivity to extreme temperature changes
  • Pain while biting 
  • Fever may be present 

More severe cases of infection can also cause bone decay and tooth loss. 

The Procedure

Root canals previously would be excruciating procedures. With newer methods and better technology, it’s a procedure that will not cause a lot of pain and keep teeth healthy and clean. 

Local anesthesia is usually administered to patients undergoing this treatment. An opening is made through the tooth’s crown, and specific instruments are guided into the tooth’s innermost pulp area.

The infected pulp is then removed. Once the tooth is completely clean, the dentist will fill it with inert materials like gutta-percha, a cement made up of zinc-oxide eugenol.

Epoxy resin is used as a binder for gutta-percha. Antiseptic materials like paraformaldehyde containing N2 may also be used. 

Complications

Although this procedure aims to eliminate infection and pain in the mouth, a couple of complications could occur.

  • Infection: infection after a root canal is not common, but if present, it can cause damage in and around the area of the root canal. 
  • Accumulation of unwanted materials: Cholesterol crystals can accumulate and cause irritation and lesions.
  • Immune response: this procedure can trigger an overactive immune response that leads to adverse health impacts.
  • Toxic materials: Filling materials such as amalgam contain mercury and other metals, which can be harmful. 

Modern technology and recent findings have made complicated procedures such as root canals easier to carry out with a higher success rate. The pain caused due to a root canal is tolerable than the pain of an infected tooth.

Moreover, having a lax attitude can also spread the infection to other teeth in the mouth. Regular checkups, good mouth hygiene, and eating healthy foods can help prevent any kind of complication to the teeth.

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The Covid-19 Spread in India.

Children Major Cause for Driving The Covid-19 Spread in India.

The Covid-19 Spread in India.

According to the study, children are 56% less likely than adults to get infected by Sars-Cov-2 when they come in contact with an infected person, but how easily they pass on the infection to others remains unclear according to the study. Children Major Cause for Driving The Covid-19 Spread in India.

Where is a government now planning to reopen schools and colleges, the situation can be worsened in the country? In a finding with implications for reopening schools, a new study has established that children and teenagers have half the risk of getting infected by Sars-Cov-2, the virus that causes Covid-19, as compared to adults. 

A study analyzed around 6000 children. Published on May 16th this year, the study said 

“There is preliminary evidence that children and young people have lower susceptibility to Sars-CoV-2, with 56% lower odds of being an infected contact.

There is weak evidence that children and young people play a lesser role in transmitting Sars-CoV-2 at a population level. Our study provides no information on the infectivity of children,”

The role of children

Children and young people’s role in spreading the disease depend on several factors, including their susceptibility to infection, the severity of symptoms, viral load, social contact patterns, people’s role children, and risk behavior.

Clinical series and testing of symptomatic cases alone give biased estimates of susceptibility in children, who often don’t develop symptoms.

Although the president of Public Health Foundation of India, K Srinath Reddy, said 

“The susceptibility of children to Sars-Cov2 is low, according to most of the information. If they are asymptomatic, as most are, transmission risk will be  low,”

Research

Studies on Covid-19 prevalence in children have produced widely varying results, the University College London analysis noted.

Extensive studies from Iceland, the Netherlands, and Spain and Italy showed markedly lower Sars-CoV-2 prevalence among children and young people. Still, studies from Sweden, the UK and some cantons in Switzerland and Germany found no difference in infection prevalence between adults and children.

The Swedish Public Health Agency found 4.7% antibody prevalence in children and teenagers, compared to 6.7% in adults aged 20 to 64, and 2.7% in 65 to 70-year-olds, indicating significant spread in schools.

Rajesh Sagar, professor at the department of 

Psychiatry at All India Institute Of Medical Sciences (AIIMS) Delhi said, “Long-lasting school closures not only leads to a loss of learning but the isolation also harms their mental health and social development, so we have to consider whether the harm outweighs the infection risk for children, who can spread it to their families, school staff and the community,”

Socially and economically deprived children who depend on schools for mid-day meals are the ones who are worst affected by this pandemic. 

“Most young children find it difficult to follow social distancing norms and given a large number of students in one classroom, and crowded transport and playgrounds, schools can easily turn into infection clusters if children infect teachers or take the infection to their family and neighborhood, even if they don’t get the severe disease themselves,” said Sagar, who specializes in child mental health.

“School provides a structured setting in which children can learn and develop social competencies, such as self-confidence, friendship, empathy, participation, respect, gratitude, compassion, and responsibility.

Social and emotional learning is important for young people to become conscious members of a solidarity-based community.”  Said a paper on rethinking the role of schools after Covid-19, published in The Lancet

What can be done?

A hybrid model of education with greater dependence on e-learning is being used in many countries that are reopening schools post lockdown, but it has its challenges.

Although Dr.Sagar added,

“Since all children do not have access to online learning because of uneven access, teaching using radio and television should be considered as that group cannot be ignored.”

Alternative theories. 

Some researchers are stating that Child to child spreading has been a tiny fraction of all identified cases. Even where schools or daycare centers have been open, it has stayed low.

For teenagers and up, the spreading rate increases with age. The virus cannot alter the immunity system in children because it hasn’t reached a certain level of maturity. 

However, the risk is that even if kids are less likely to catch the virus or are either asymptomatic (showing no symptoms) or show milder symptoms. Still, they can always actively transmit the germ to another person. So, never rule out the precautions of masking, social distancing, and hygiene.

We in India have passed out a huge coronavirus wave, but we can’t afford to mishandle the situation. Taking self-care is mandatory. Many people have shared their experience regarding their kids getting affected by covid-19. 

Amongst all these theories and explanations, the proposing inferred from the situation is that The evidence clearly shows that all people, regardless of age, can get infected by SARS-CoV-2. While research shows that kids are more resistant to severe illness from the coronavirus, they are still at risk and can spread the virus even if they are not sick.

Researchers evaluated RNA (the genetic blueprint of the virus) in nasal swabs taken from 145 infected people between March and April, including 46 children younger than five and 51 children aged 5 to 17. Children with severe symptoms requiring oxygen support – who would be most likely to have the highest detectable virus levels – were excluded.

Since the virus affects people with underlying medical conditions more severely, everyone with pre-existing conditions is at risk, and children are no exception to this.

Behavioral experts say that since children come in contact with other children more frequently than adults, the risk of transmission, however low, increases more. Schools and colleges are still closed for this very reason. 

 Whatever may be the truth. It’s not safe to jump conclusions straight away. We must follow the experts and if they think that children are likely to spread the virus faster, we must honor their research and not challenge them until a sustainable solution comes up to this pandemic. Our safety is in our hands!

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Post-Diwali Eye & Skin Care

Post-Diwali Eye & Skin Care – Saideep Hospital

Post-Diwali Eye & Skin Care

Diwali is known as the festival of lights, also a celebration known to cause different kinds of injuries. This year let us be aware of how to take good Post-Diwali Eye & Skin Care – Saideep Hospital

Diwali celebrations mean lots of fun and enjoyment. Unfortunately, improper handling and playing with fireworks account for thousands of emergency room visits each year during the festival. Most people do not think of the accidents that could occur during the festivities due to the fireworks and sparklers. The leading cause of injuries on Diwali is the lack of appropriate safety measures during playing with crackers.

Despite the various health and environmental concerns, few still go ahead in bursting crackers. We need to be aware of the eye and skin safety measures to ensure Diwali’s joy stays with us post the celebrations.

The majority of injuries are associated with flowerpot and bottle rocket crackers. Burns are the most common type of injury.

Eyes are the second-most common area to be affected after hands and fingers. Contusions (blood clots), lacerations(cuts), and foreign bodies in the eye are seen frequently. Bottle rockets can fly into people’s faces and cause eye injuries; crackers can damage the eyesight if they explode at a close range.

These eye injuries could cause loss of vision, especially in children. Cracker causes blunt and penetrating injuries to about 6% to 10%, with nitrous oxide and sulfur dioxide levels rise considerably, which also causes irritability and watering of eyes.

Eye Care 

  • Ensure that your eyes are well lubricated (consult your ophthalmologist for medicated drops)
  • Make sure to wash your eyes regularly post Diwali to remove any or all foreign substances.
  • If you are a contact lens wearer, ensure you clean your lenses well post the celebrations. It is advisable to throw the pair that you have worn to avoid any infections or irritations.
  • Don’t press or rub the eye with your palm or hand. In case of an injury, it may get compounded.
  •  If you feel any kind of burning or painful sensation in your eyes, don’t cover it with your hand or cloth as it creates undue pressure on your eye.
  •  It is better to avoid washing eyes in case of mechanical injuries.  In case of a chemical injury, wash the eye well with clean water.
  •  Don’t neglect any eye injury, however trivial it may look. It is always better to rule out vision-threatening problems
  •  If a particle is large or stuck in the eye, do not attempt to remove it. Visit your ophthalmologist immediately
  •  If any chemical substance has entered the eye, immediately wash your eyes with water for a couple of minutes

Skin Care 

  • Consume 8-10 glasses of water every day to keep your skin hydrated. This will also help to keep your scalp cool, hydrated, and breathing all the time. It will help in reducing the effects of crackers and pollution on your skin & hair
  • Include more fruits and nuts in your diet to help your body stabilize after the heavy consumptions of Diwali sweets & snacks
  • Ensure you follow an exfoliating regime post-Diwali, to help your skin breathe from the heavy makeup and pollution it was exposed to.
  • Limit the consumption of sugar after the festive season
  • Consult your doctor in case of burns on the skin
  • If needed, get some medicated facial after Diwali
  • Avoid harsh surface chemical treatments during the Diwali month—be it for skin or hair

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Diet Maintenance of Cholesterol levels.

Diet For Better Heart Health and the Maintenance of Cholesterol levels.

Maintenance of Cholesterol levels.

In a world where a quick-grab food costs almost a penny, well, let’s put it this way you just pay with something else. Increasing obesity in teens, increasing cholesterol levels in middle-aged people are the aftermaths of this fast-food industry boom. Diet For Better Heart Health and the Maintenance of Cholesterol levels.

How can you change your diet to keep yourself in check?

  • Omega 3 Fatty Acids and the heart

Omega 3s have been found to have benefits for heart health although there is some debate exactly how much benefit there is. Early studies indicated large benefits,

but more recent studies have suggested much smaller benefits. Fish derived Omega 3s such as EPA and DHA have been most extensively tested in clinical trials. Plants do have

Omega 3 in the form of ALA, however, this form has not been studied as extensively as fish derived Omega 3s.

  • Reduce Trans Fats

Research has shown that different fats have different effects on our body. The aim of a heart-friendly diet isn’t to remove all, fat from the diet. A more balanced strategy towards dietary fats is to limit saturated fat and trans fats.

Increasing Omega 3s and unsaturated fats from nuts, legumes and plants. Trans fats are associated with significantly higher rates of heart disease. As a response, there has been a global effort to reduce the number of Trans fats in commercially manufactured food.

  • Increase Fiber

A higher level of dietary fibre has been linked with lower rates of heart disease. A simple trick is to incorporate more whole grains in your diet.

  • Increase Fruits and Vegetables

Fruits and vegetables are naturally low in fat, contain dietary fibre and have many important nutrients.

These few health tips can help you maintain your cholesterol levels and have a healthy heart. A diet which contains the aforementioned items also decreases the chances of cardiovascular diseases. Some good healthy exercise twice a week, could just be the cherry on the top. 

For a healthy heart, a balanced diet is also essential. Consuming fibre-rich food is necessary, as this naturally cleanse your system and keep your heart healthy as a result of proper digestion. Abstain from fibreless junk and processed foods as the high content of unhealthy fats, salt and sugar contribute to obesity – a significant risk factor for heart diseases.  YES mentioning this twice! 

Alcohol and tobacco (whether chewed or smoked) are habits that you must avoid in your endeavour to take care of the health of your heart.

There’s also an issue with insulin, When insulin stays chronically elevated because of high blood sugar levels, your cells become “resistant” to this hormone. Insulin resistance is a chief driver for heart disease.

Wait, every cloud has a silver lining, Good news for chocolate lovers: The flavanols in dark chocolate can boost heart health. Quality and quantity are key: Look for organic raw dark chocolate with at least 85   or higher cacao and no more than five grams of sugar per serving. Remember that most bars contain several servings.

Another beneficial substance to heart health is green tea! Another driver of bad health is lack of sleep, on the other hand, can activate the body’s stress response by triggering the sympathetic nervous system, and this can alter the production of cortisol.

Limiting sodium intake which is consuming less salt is also beneficial for the heart. Replacing saturated fatty acids with unsaturated fatty acids in the daily diet can also help lower cholesterol levels, which is one of the risk factors for heart diseases.

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