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    Redness and swelling at insulin injection site

    Most of the time swelling at the injection site is becouse of wrong technique of injection and the needle not going in fully. Rarely it can be due to infection,allergy or overgrowth of fat( Lipohypertrophy). Redness can occur with infection and sometimes itching and redness occurs with allergy.

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    A festival of colors to remove impurities

    Holi is a festival of love and joy. It should be used as a means of communication to remove the mental dirt and impurities to cleanse the mind and not engage in quarrels, violence or eve teasing.Holi can also be unsafe.Green and bluish green chemicals contain malachite green, which can be toxic to the eyes. Auramine, methyl violet, rhodamine and orange II are all phototoxic colors and can damage t...

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    World Health Day 2016: Beat diabetes

    7 April 2016 - World Health DayBackgroundIn 2008, an estimated 347 million people in the world had diabetes and the prevalence is growing, particularly in low- and middle-income countries.In 2012, the disease was the direct cause of some 1.5 million deaths, with more than 80% of those occurring in low- and middle-income countries. WHO projects that diabetes will be the 7th leading cause of death b...

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Redness and swelling at insulin injection site

By Dr. Jayakrishnan B | 01 Feb 2017
Most of the time swelling at the injection site is becouse of wrong technique of injection and the needle not going in fully. Rarely it can be due to infection,allergy or overgrowth of fat( Lipohypertrophy). Redness can occur with infection and sometimes itching and redness occurs with allergy.
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A festival of colors to remove impurities

By Dr. Jayakrishnan B | 24 Mar 2016
Holi is a festival of love and joy. It should be used as a means of communication to remove the mental dirt and impurities to cleanse the mind and not engage in quarrels, violence or eve teasing.Holi can also be unsafe.Green and bluish green chemicals contain malachite green, which can be toxic to the eyes. Auramine, methyl violet, rhodamine and orange II are all phototoxic colors and can damage t...
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World Health Day 2016: Beat diabetes

By Dr. Jayakrishnan B | 19 Mar 2016
7 April 2016 - World Health DayBackgroundIn 2008, an estimated 347 million people in the world had diabetes and the prevalence is growing, particularly in low- and middle-income countries.In 2012, the disease was the direct cause of some 1.5 million deaths, with more than 80% of those occurring in low- and middle-income countries. WHO projects that diabetes will be the 7th leading cause of death b...
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Ten Golden Rules for preventing CKD(Chronic Kidney Disease )

By Dr. Jayakrishnan B | 10 Mar 2016
Kidney diseases are silent killers. There are several easy ways to reduce the risk of developing kidney disease.Keep active: Keeping fit helps to reduce your blood pressure and therefore reduces the risk of Chronic Kidney Disease. “On the move for kidney health” is a worldwide collective march involving the public, celebrities and professionals moving across a public area by walking, running and c...
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Smoking makes you 5 years older !

By Dr. Jayakrishnan B | 03 Jan 2016
Men have a greater chance of dying then women, and smoking increases any adult’s risk of death just as if five years were suddenly added to their age.• For men who have never smoked, heart disease presents their greatest risk for death at any age, exceeding the odds of dying from lung, colon and prostate cancer combined.• Male smokers face a lung cancer risk that is greater than the odds of heart ...
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Don’t Sweat the Small Stuff

By Dr. Jayakrishnan B | 29 Dec 2016
One day an expert in time management was speaking to a group of students and, to drive home a point, used an illustration those students will never forget. As he stood in front of the group of high–powered overachievers, he said, "Okay, time for a quiz." Then he pulled out a one–gallon, wide mouthed Mason jar and set it on the table in front of him. Then he produced about a dozen fist–sized rocks ...
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Now Biosimilar Insulin Glargine

By Dr. Jayakrishnan B | 18 Dec 2015
The US FDA gave final approval to a copycat version of insulin glargine injection (Basaglar) for diabetes that is called a follow-on product by the agency and is a biosimilar in other parts of the world.Eli Lilly won approval for its new diabetes drug by demonstrating that it was similar enough to another insulin glargine injection on the market (Lantus, sanofi-aventis) to justify trust in its eff...
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Diabetes Update

By Dr. Jayakrishnan B | 03 Dec 2015
• Morbidity from diabetes involves both macrovascular (atherosclerosis) and microvascular disease (retinopathy, nephropathy and neuropathy).• Smoking cessation is essential for patients who smoke.• Cardiovascular morbidity can also be significantly reduced with aggressive management of hypertension, cholesterol (goal LDL less than 80 mg/dL and use of aspirin (80 mg/day) in patients with or at high...
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Diabetes, obesity, NAFLD and HCC: The link unfolds

By Dr. Jayakrishnan B | 23 Nov 2015
Incidence and prevalence of NAFLD is increasing worldwide. Natural history of NAFLD is expanding from simple steatosis to HCC. Obesity, T2DM and insulin resistance are strongly associated with NAFLD and increased incidence of HCC. Follow up of patients with diabetes including screening for liver disease should be recommended. T2DM is an independent risk factor for disease severity/progression in N...
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Guidelines on Health

By Dr. Jayakrishnan B | 15 Nov 2015
.Keep your blood cholesterol less than 160 mg%. Even 1% reduction in cholesterol reduces the chances of heart attack by 2%.• Uncontrolled diabetes and blood pressure can precipitate a heart attack. Keep these under check.• Eat less, walk more.• Regular exercise is good for health. The best exercise is 'walking', which is a brisker than brisk walking.• Soya products are good for health. These shoul...
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Normal Aging Changes

By Dr. Jayakrishnan B | 06 Oct 2015
Heart rate shows less variability.The circadian pattern (24–hour cycle of the body) is altered.There is a delayed response of bone marrow to loss of blood or hypoxia (reduced oxygen).The function of the white blood cells is impaired.Advancing age is a procoagulant stage. This means that the blood gets clotted easily.Reflux of the stomach acid in the esophagus (food pipe) is common.Tendency to cons...
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Can Blood Pressure Be Higher In One Arm?

By Dr. Jayakrishnan B | 29 Sep 2015
A small difference in blood pressure readings between arms is normal. However, a difference of more than 20 mm Hg for systolic pressure (top number) or more than 10 mm Hg for diastolic pressure (bottom number) can be a sign of an underlying narrowing of the main arteries to that arm.A difference of 10 to 15 mm Hg for upper systolic pressure that shows up repeatedly is a risk marker for vascular di...
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5 Ways to Stop A–Salting Your Kidney

By Dr. Jayakrishnan B | 10 Sep 2015
Eating white salt is like a slow poison. If the amount of salt is reduced to less than one teaspoon per day, a large percentage of people with high blood pressure will have normal blood pressure. High salt intake via increase in blood pressure leads to kidney damage over a period of time and kidney failure. Consume less of anything which is artificially white in feature such as white sugar, white ...
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To prevent heart attacks one must remember the simple HCFI Formula of 80

By Dr. Jayakrishnan B | 04 Sep 2015
Heart Care Foundation of India (HCFI) recommends walking 80 minutes in a day and with a speed of 80 steps per minute.Keep lower BP, bad cholesterol level, resting heart rate, fasting sugar and abdominal girth levels all less than 80.Keep kidney and lung functions more than 80%.Exercise regularly (minimum 80 minutes of moderately strenuous exercise per week). Our recommendation is to walk 80 minute...
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Why Spirituality is Friendly to well being?

By Dr. Jayakrishnan B | 29 Aug 2015
What you believe in can have a big impact on health and longevity. People with high levels of religious beliefs or spirituality have lower cortisol responses. Cortisol is a hormone the body releases in response to stress.Positive thinking produces nearly a 30 percent drop in perception of pain.Spirituality and the practice of religion are associated with a slower progression of Alzheimer’s disease...
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Dengue: Facts and prevention measures

By Dr. Jayakrishnan B | 27 Aug 2015
With dengue cases on the rise, here's all you need to know about the spread and prevention measures of the disease.The number of dengue cases, caused by viruses transmitted by mosquitoes, have been on the rise, as the monsoon season is underway. Here are some important facts about dengue and a few preventive measures you need to be aware of.Facts about the Aedes mosquitoesThe Dengue virus is prima...
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How to cut back on added sugar?

By Dr. Jayakrishnan B | 17 Aug 2015
Many of the "healthy" foods you eat such as energy bars, fruit juices, and flavored yogurt contain sugar. The first step is to read labels carefully and opt for products that are low in sugar.The American Heart Association recommends keeping calories from added sugars under 100 calories a day (24 grams, or 6 teaspoons) for women and under 150 calories (36 grams, or 9 teaspoons) for men.Giving up j...
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In Paralysis, Act Fast

By Dr. Jayakrishnan B | 13 Aug 2015
A brain attack should be tackled like a heart attack. As time is brain, a patient with suspected paralysis/stroke or brain attack should be shifted to hospital at the earliest and given a clot dissolving therapy if the CT scan is negative for brain hemorrhage. Prevention for paralysis is the same as prevention for heart attack.All patients with paralysis should be tested for underlying heart disea...
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Now with City Hospital

By Dr. Jayakrishnan B | 01 Aug 2015
Please note:Dr Jayakrishnan is attached with City Hospital in lieu of Kalliyath hospital
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Cough Hygiene

By Dr. Jayakrishnan B | 15 Jul 2015
When you cough or sneeze, you tend to expel out respiratory waste, which can be droplets (larger than 5 microns) or airborne droplets less than 5 microns; both have different implications.Droplets remain suspended in the air only for a limited period and exposure of less than 3 feet is usually required for human to human transmission of droplet–borne respiratory organisms. In flu, this can be upto...
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Precautions for diabetic patients during Ramzan fast

By Dr. Jayakrishnan B | 22 Jun 2015
All diabetic patients who fast should be aware of certain facts if they fast during RamadanAll patients with diabetes should consult with their family physician regarding the Ramzan fast and learn the warning symptoms.Type 2 diabetes will be controlled by diet and may require no special precautions.Patients at risk of diabetes should avoid overeating to prevent post meal high blood pressure, after...
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World Environment Day

By Dr. Jayakrishnan B | 04 Jun 2015
Air pollution and its harmful effects on health have been in the news recently. But another environmental issue that also needs equal, if not more, attention is noise pollution, which has adverse health and social effects, both directly and indirectly. The rising noise levels have become a major public health problemTraffic is the major source of noise pollution. Poor urban planning, social events...
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World No Tobacco Day

By Dr. Jayakrishnan B | 26 May 2015
"World No Tobacco Day" is on 31st May. It is observed every year, all over the world to draw attention of policy makers, law enforcers, public, towards the health hazards of Tobacco, and advocating for policies to reduce its consumption, be it in any form like smoking or chewing. Every year WHO gives a theme for the World No Tobacco Day. The theme this year is “Countries to Work together to end t...
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Lifestyle modifications to manage hypertension (17th May:Hypertension Day)

By Dr. Jayakrishnan B | 16 May 2015
Treatment of hypertension should involve non pharmacological therapy (also called lifestyle modification) alone or along with anti hypertensive drug therapyThe overall impact of moderate sodium reduction is a fall in blood pressure in hypertensive and normotensive individuals of 4.8/2.5 and 1.9/1.1 mmHg, respectivelyA high dietary intake of sodium is associated with the development of hypertension...
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Mother,we will Take Care

By Dr. Jayakrishnan B | 10 May 2015
Over 60% of mothers believe their biggest health threat to be breast cancer but heart disease kills 6 times as many women as breast cancerSome risk factors are different for women than for men. Heart disease symptoms may be milder in women. Heart attacks often strike without warning. If a woman does not realize heart disease is a health threat, she will not make heart healthy changes or respond to...
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EARTHQUAKE: DEALING WITH THIS DISASTER

By Dr. Jayakrishnan B | 27 Apr 2015
The movement of the ground in an earthquake is rarely the direct cause of injuries; most are caused by falling objects or collapsing buildings. Many earthquakes are followed (several hours or even days letter) by further tremors, usually of progressive decreasing intensity. To reduce the destructive effects of earthquakes a number of precautions are essential for people living in risk areas: Earth...
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"About thyroid gland"

By Dr. Jayakrishnan B | 25 Apr 2015
Low functioning thyroid is a new epidemic of the society affecting more than 3% of people. If thyroid function is low, it causes weight gain, loss of energy, cold intolerance and menstrual irregularities in women.All people who are aged 50 and above should have their thyroid profile (TSH test) done to look for thyroid deficiency.In younger people, or in cases of infertility, menstrual irregularity...
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"Happy Earth Day"

By Dr. Jayakrishnan B | 22 Apr 2015
Spread kindness, care, and compassion and create your own paradise. Infuse it with joy and you've created heaven on earth."Happy Earth Day"
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WORLD HEALTH DAY (7th April 2015)

By Dr. Jayakrishnan B | 02 Apr 2015
The theme for this year is FOOD SAFETY - From farm to plate, keep it safe The food we eat helps us survive....do our daily activity...help us to be productive. But do all of us bother to check if its safe? Do we bother to check if it is free of bacteria, viruses, parasites, chemicals, other contaminants, additives and adulterants which can cause over 200 diseases ranging from diarrhoea to cancer...
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Alcohol: Benefits Vs Risk

By Dr. Jayakrishnan B | 19 Mar 2015
There is consensus that non drinkers should not start and the ones who drink can continue provided they do so in moderation and in absence of contraindications. People tend to consume more alcohol in winter and near the New Year.Persons who have been lifelong abstainers cannot be easily compared with moderate or even rare drinkers. Recommending alcohol intake to them even if they would agree to dr...
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Shoe Hygiene

By Dr. Jayakrishnan B | 01 Mar 2015
Avoid poorly fitting shoes.Diabetic patients should avoid walking bare feet.Shoes that are too tight can cause pressure ulcers.High heels are okay for occasions but if you wear them all the time, significant foot pain and other problems can develop. These problems can range from bunions, corns and calluses to more complex problems like misshapen hammer toes or worsening excruciating pain in the ba...
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Harvard’s Medical School’s 4 Exercising Tips For People With Diabetes

By Dr. Jayakrishnan B | 26 Feb 2015
Get a"preflight"check Talk with your doctor before you start or change a fitness routine.Especially if you are overweight or have a history of heart disease, peripheral vascular disease, or diabetic neuropathy.Go for a complete physical exam and an exercise stress test for people if you are 35 or older and who have had diabetes for more than 10 years. The results can help determine the safest way ...
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Be Alert for Symptoms of Heart Attack

By Dr. Jayakrishnan B | 08 Feb 2015
The most common symptoms of coronary heart disease is chest pain (angina) or discomfort, which can also occur in the shoulders, arms, neck, jaw or back. People may mistake this pain for indigestion, which can be dangerous. Sometimes, it is impossible to tell the difference between the symptoms of heartburn, angina and heart attack.A heart attack occurs when the blood supply to part of the heart mu...
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Tobacco, drug use in pregnancy can double risk of stillbirth

By Dr. Jayakrishnan B | 01 Feb 2015
Smoking tobacco or marijuana, taking prescription painkillers, or using illegal drugs during pregnancy is associated with double or even triple the risk of stillbirth, according to research funded by the National Institutes of Health.Researchers based their findings on measurements of the chemical byproducts of nicotine in maternal blood samples; and cannabis, prescription painkillers and other dr...
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Cough and Cold

By Dr. Jayakrishnan B | 18 Jan 2015
Cough and cold are common in winter and should not be ignored.Throat pain without cough is usually bacterial in origin and needs medical attention.Soar throat with cough is viral in origin and requires no antibiotics.A red-angry looking throat is a dangerous sign and needs urgent medical attention.Do not give aspirin for fever in children.Warm saline gargles can be effective in soar throat.Cough n...
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Tackling Vitamin B12 Deficiency

By Dr. Jayakrishnan B | 14 Jan 2015
Symptoms Strange sensations, numbness or tingling in the hands, legs or feet.Difficulty in walking (staggering, balance problem)AnemiaA swollen inflamed tongue.Difficulty thinking and reasoning (cognitive difficulties) or memory loss.Yellowed skin (jaundice)Paranoia or HallucinationsWeaknessFatigue Ask your Doctor about having a B12 level check if you:Are over 50 years oldTake a proton–pump inhibi...
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Game-Changing Wireless Devices to Improve Patient Care

By Dr. Jayakrishnan B | 27 Dec 2014
An ECG in your pocket: The device, a one-lead ECG, attaches to a smartphone and records accurate ECG and heart rate in 30 seconds.Monitoring inpatients when you're not in the hospital: The new device can retrieve and display a patient's temperature, blood pressure, CT scans, ultrasounds, labs, radiographs, medications, and more—including electronic health record (EHR) notes—on a doctor's tablet or...
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Sugar, not salt, may be at fault for hypertension

By Dr. Jayakrishnan B | 23 Dec 2014
Sugar, not salt contributes to the majority of the hypertension risk associated with processed food and a reduction in the consumption of added sugars and, in particular, processed foods may translate into decreased rates of hypertension as well as decreased cardiometabolic disease. James J. DiNicolantanio, PharmD, from Saint Luke's Mid America Heart Institute in Kansas City, Missouri, and Sean C...
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Preventing a Peptic Ulcer

By Dr. Jayakrishnan B | 11 Dec 2014
An ulcer is a breakdown in the lining of the stomach or the first part of the small intestine. A type of bacterial infection is the most frequent cause, but lifestyle factors may also raise the risk.One may follow these preventive steps that may ward off a peptic ulcer:Limit alcohol to no more than two drinks daily.Stop smoking or chewing tobacco.If you need to take painkillers, avoid anti-inflamm...
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Winter Asthma

By Dr. Jayakrishnan B | 05 Dec 2014
Any breathlessness after the age of 40, appearing for the first time in winter, is cardiac asthma unless proved otherwise. Such patients should immediately have their blood pressure check-up done and if high needs immediate medical attention. First-onset breathlessness can also be an indication of angina or heart attack. However, the more common is winter asthma or acute exacerbation of winter COP...
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Natural foods and not supplements prevent heart disease

By Dr. Jayakrishnan B | 02 Dec 2014
One should take seasonal and locally grown natural food and vegetables grown in organic farms.Eat less, dinner lighter then the lunch, eat natural and in moderation are few of the mantras. Taking food supplements can be harmful.According to the American Heart Association (AHA), supplementation with beta carotene and vitamin E, either alone or in combination with each other or other antioxidant vit...
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Caffeine Good For Health?

By Dr. Jayakrishnan B | 25 Nov 2014
Caffeine is the most consumed stimulant in the world,It is consumed in the form of coffee and tea.At present there is no scientific data for promoting or discouraging coffee and/or tea consumption in the daily diet.Short-term benefits include mental alertness and improved athletic performance.Short-term adverse effects including headache, anxiety, tremors, and insomnia.Long-term adverse affects in...
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Talking on mobile is risky when driving but talking to friend in the car is less

By Dr. Jayakrishnan B | 16 Nov 2014
Mobile conversations are an enemy to safe driving. A new Canadian study from University of Alberta in Edmonton finds that drivers do best when they don't talk and simply focus on the road, if they must talk, it's better if the person they are talking to has his or her eyes on the road, too. That could mean either sitting in the passenger seat or via a specially designed videophone.The study, publi...
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Recurrent Kidney Stones: IMA Guidelines

By Dr. Jayakrishnan B | 11 Nov 2014
Lifetime prevalence of kidney stones is approximately 13% in men and 7% in women. Without treatment, approximately 35% to 50% of those with kidney stones will experience recurrence within 5 years from the first stone.Here are some guidelinesIncrease fluid intake to achieve at least 2 L of urine per day. "Increased fluid intake spread throughout the day can decrease stone recurrence by at least hal...
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Sangat and Smoking

By Dr. Jayakrishnan B | 07 Nov 2014
Sewa, Simran and Sangat are the three principles of life as per the most Vedic literature. Even Adi Shankaracharya described Sangat as the main force for living a spiritual life.Sangat is the company of people you live with. Living in the company of good people makes one good and the reverse is also true.The same is now being proved in the allopathic context. A new research published in the New En...
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Guidelines about Eating

By Dr. Jayakrishnan B | 03 Nov 2014
Malnutrition and wrong dietary habits have been identified as major risk factors for ill health, including heart attacks. Most people below the poverty line suffer from malnutrition due to lack of calories, proteins and vitamins in their food. In the affluent society, overeating or eating wrong food results in over nutrition, a form of malnutrition leading to heart blockages. Some guidelines inclu...
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Noise pollution

By Dr. Jayakrishnan B | 01 Nov 2014
Excessive noise can ultimately affect hearing.Constant exposure to loud noise can cause frequent sensory neural hearing loss.A person who is exposed to > 80 dB noise must observe hearing conservation and hearing precaution guidelines.It is safe to be exposed to a noise of 90 dB for 8 hours.An exposure of more than 4 hour with 95 dB sound can be hazardous to health.At 100 dB more than 2 hours of ex...
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Smoking Can Cause Erectile Dysfunction

By Dr. Jayakrishnan B | 09 Jan 2014
One reason for a man or a woman not to smoke is that a man is likely to end up with erectile dysfunction and the woman with premature aging with wrinkles on face It has been shown that men who smoke more than 20 cigarettes a day have 60% higher risk of erectile dysfunction as compared to those who never smoke. Fifteen percent of past and present smokers experience erectile dysfunction. Men, who a...
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Do not ignore breakfast

By Dr. Jayakrishnan B | 09 Jan 2014
Taking a good breakfast made up of carbohydrates and lean protein, can help lessen cravings and hunger during the rest of the day, which can lead to significant weight loss. A research by Dr. Daniela Jakubowicz, a clinical professor at Virginia Commonwealth University and an endocrinologist at the Hospital de Clinicas Caracas in Venezuela has shown that sedentary, obese women lost almost five tim...
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Turmeric can prevent heart failure

By Dr. Jayakrishnan B | 09 Jan 2014
Traditional Indian turmeric prevents heart failure, lowers cholesterol, prevents cancers and gall stones and augments scar formation in a wound. Studies from the University of Toronto’s Cardiology Division and published in the Journal of Clinical Investigation have shown that curcumin, an ingredient in the curry spice turmeric, when given orally to a variety of mouse models with enlarged hearts (...
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Hypothermia and older adults: Tips for staying safe in cold weather

By Dr. Jayakrishnan B | 08 Jan 2014
Hypothermia is generally defined as having a core body temperature of 95 degrees Fahrenheit or lower and can occur when the outside environment gets too cold or the body’s heat production decreases. Older adults are especially vulnerable to hypothermia because their bodies’ response to cold can be diminished by underlying medical conditions such as diabetes and by use of some medicines, including ...
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Snorers at risk of sudden death

By Dr. Jayakrishnan B | 06 Jan 2014
The interrupted night time breathing of sleep apnea increases the risk of dying. Sleep apnea is a common problem in which one has pauses in breathing or shallow breaths during sleep.Studies have linked sleep apnea during snoring to increased risk for death. Most studies were done in sleep centers rather than in the general community. A study published in the journal Sleep has suggested that the ri...
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How to keep your memory sharp?

By Dr. Jayakrishnan B | 04 Nov 2013
- Manage your stress especially deadline pressure and petty arguments.- The biggest stress is ongoing sense of extreme anxiety. The stress can be managed by deep breathing, meditation, yoga and by mindful approach to living.- Get a goodnight sleep. The most common reason for poor sleep is difficulty in falling asleep and staying asleep. Many drugs used to treat insomnia which can also impair me...
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Artificial sweeteners?

By Dr. Jayakrishnan B | 27 Oct 2013
Artificial sweeteners like acesulfame, aspartame, saccharin, sucralose gives the sweetness of sugar with virtually none of the calories. Most people who use artificial sweeteners or choose foods or beverages made with them do so because they want to lose weight. And for a lot of people, they do help. But some research suggests that the use of artificial sweeteners may actually promote weight gain....
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