Tweet

More from @hyderabaddoctor

Dr Sudhir Kumar MD DM

@hyderabaddoctor

Mar 25

Outcome of sugar reduction strategies for soft drinks

1. A high intake of sugar, in particular from sugar-sweetened soft drinks, increases the risk for #obesity , type 2 #diabetes mellitus, and dental #caries.
#MedTwitter #nutrition #sugar

2. Between 2015 & 2021, the mean sugar content of soft drinks sold in Germany decreased by only 2% from 5.3 to 5.2 g/100 mL, falling short of 9% reduction target. The onus of reducing sugar content was left to the manufacturers of soft drinks.
Ref: doi.org/10.1159/000529…

3. In comparison, in the same period in the UK, the sugar content fell from 5.3 g per 100 mL to 3.8 g per 100 mL (29% reduction).
In 2018, the UK introduced an industry levy on soft drinks to encourage the manufacturers to reduce sugar. This approach has proven highly effective.

Read 6 tweets

Dr Sudhir Kumar MD DM

@hyderabaddoctor

Mar 23

Acute effects of coffee consumption on health

1. A research was conducted on 100 healthy residents of San Francisco (mean age 39 yrs, 51% women, median BMI 24) to evaluate effects of #coffee consumption on various #Health parameters.
#MedTwitter

2. Coffee consumption did not cause an increase in the rate of premature atrial contraction (PAC).
PAC can be a risk factor for future development of atrial fibrillation (AF). So, possibly, there is no increased risk of AF with coffee consumption.

3. One cup of coffee consumption did not increase the rate of premature ventricular contractions. However, there might be a possible association between consumption of more than one coffee drink per day and premature ventricular contractions.

Read 7 tweets

Dr Sudhir Kumar MD DM

@hyderabaddoctor

Mar 22

Young man had undiagnosed neurological problem; skin examination revealed the diagnosis

1. 30-year old Hari presented with weakness of left foot for six months. He attributed his symptoms to a fall while cycling a week prior to the onset of symptoms.
#MedTwitter #neurotwitter

2. The weakness increased over the next few weeks and his left foot was unable to clear the ground while walking. It used to "slap" the ground while walking, which Hari described as "foot drop". He had no weakness of any other part of body. He had mild numbness over left foot.

3. Hari consulted an orthopedic surgeon, who concluded no significant abnormality on ankle and knee X-rays and referred him to a neurologist. The neurologist performed nerve conduction studies and told that there is damage to a nerve in leg, most likely due to fall while cycling

Read 10 tweets

Dr Sudhir Kumar MD DM

@hyderabaddoctor

Mar 21

Repeated short-duration numbness of one side of body: prompt management can prevent a disabling disease

1. 51-year old Mr K presented with three episodes of numbness of left side of face, arm and leg in the past 20 days. Each episode lasted only 10 minutes.
#MedTwitter

2. Mr K also had feelings of tingling sensation in the affected areas. He had no weakness and could move his left arm & leg normally during those episodes. His speech also remained normal.
After 10 min, he used to have complete recovery from numbness and tingling.
#neurotwitter

3. Mr K was a healthy person, with normal weight and BMI. He had no known medical illness. However, he consulted me for expert opinion.
The history was very typical of a neurological problem. Clinical examination was normal. I asked for appropriate investigations.

Read 9 tweets

Dr Sudhir Kumar MD DM

@hyderabaddoctor

Mar 19

Trichloroethylene (TCE): An invisible cause of #Parkinsonsdisease (PD)

1. The incidence of PD has been increasing. Known risk factors such as genetic and head injury can't account for this increase in PD.
Exposure to TCE could be one of the factors causing an increase in PD.

2. TCE is a simple, six-atom molecule that can decaffeinate coffee, degrease metal parts, and dry clean clothes.
A small epidemiological study found that occupational or hobby exposure to the solvent was associated with a 500% increased risk of developing PD.
#MedTwitter

3. Exposure is not confined to those who work with the chemical. TCE pollutes outdoor air & groundwater, and contaminates indoor air. The molecule, like radon, evaporates from underlying soil and groundwater and enters homes, workplaces, or schools, often undetected.

Read 13 tweets

Dr Sudhir Kumar MD DM

@hyderabaddoctor

Mar 15

Perceived stress increases the risk of cognitive decline and dementia

1. A recent study looked at the association of perceived stress and incidence of cognitive impairment in a long-term follow up study
jamanetwork.com/journals/jaman…

2. 24,448 people (median age 64 years) were followed up for >15 years. Elevated levels of perceived stress (dichotomized as low stress vs elevated stress) was associated with 1.37 times higher odds of poor cognition.

3. The association of the change in the Perceived Stress Scale score with incident cognitive impairment was significant in both the unadjusted model (OR, 1.62) and after adjustment for sociodemographic variables, cardiovascular risk factors, and depression (AOR, 1.39).
#dementia

Read 6 tweets

Share this page!

Dr Sudhir Kumar MD DM

People who liked this thread also liked...

Try unrolling a thread yourself!

More from @hyderabaddoctor

Dr Sudhir Kumar MD DM

Dr Sudhir Kumar MD DM

Dr Sudhir Kumar MD DM

Dr Sudhir Kumar MD DM

Dr Sudhir Kumar MD DM

Dr Sudhir Kumar MD DM

Did Thread Reader help you today?

Don't want to be a Premium member but still want to support us?

Send Email!