1.Srinivasa Rao R, Uma Karthika R, Singh Sp, Shashikala P, Kanungo R, Jayachandram S, et al. The debate in the health world this week comes from the reporting of a Toronto-based research review where three doctors concluded that good health cannot be attained while obese.
First of all, the weight groups were described as being "metabolically" healthy or unhealthy.
The new study shows a higher risk of heart disease or death with healthy obese individuals.
First, waist-to-hip ratio, which is essentially a measure of where your fat is stored, is a much more effective way to determine your risk of heart disease when compared to weight.
Seniors with osteoarthritis in their knees felt huge reductions in pain after a few months of leg strengthening and no weight loss [1].
The field of personal training started when gym patrons were asking the most fit and muscular gym goers for advice. Here we report a case of infection by multi-drug resistant Acinetobacter baumannii following a craniotomy for biparietal epidermoid.
They are ubiquitous, free living, small, aerobic gram-negative cocobacilli with ability to colonize healthy or damaged tissues. Correlation between biofilm production and multi-drug resistance in imipenem resistant clinical isolates of Acinetobacter baumannii. A study on nosocomial pathogensin ICU with special reference to multi-drug resistant Acinetobacter harbouring multiple plasmids. Multi-drug resistant Acinetobacter infection Mortality rates and length of hospitalization. Molecular characterization of carbapenam-resistant acinetobacter species in an Irish university hospital: Predominance of Acinetobacter genomic species. Outbreak of carbapenems-resistant Acinetobacter baumannii carrying the carbapenemase OXA-23 in a Germany university medical center. Nosocomial Infections due to Acinetobacter species: Clinical findings, risk and prognostic factors.
Cure of multi-drug resistant Acinetobacter baumannii central nervous system infections with intraventricular or intrathecal colistin: Case reviews and literature review. Sean Preuss discusses lifestyle changes that can prevent or improve diabetes and heart disease, or lead to weight loss. The main supporting factor is the finding of obese individuals being 24% more likely to have a heart problem or die over a 10-year period than those in the "healthy" weight group, with weight categories defined by body mass index (BMI).


This is typically defined by several factors, including blood pressure, blood sugar, cholesterol, and triglycerides. Decades of research show that obesity does not consistently demonstrate an increased risk of early death. High amounts of abdominal fat often indicate that a person has or will develop diabetes, whereas thigh fat does not indicate anything about diabetes risk. The same pain reduction was demonstrated in several studies where people performed only one exercise per week to strengthen their lower back.
The organism, in vitro, showed multi-drug resistance, which was confirmed by automated identification and susceptibility system. The National Health and Nutrition Examination Survey (NHANES) is a study that was conducted for several four-to-six-year periods over four decades in the US. Inner abdominal fat leads to several negative health consequences, whereas subcutaneous fat (thighs, hips, etc.) produces many benign or healthful actions. Overall, people who are obese primarily due to excess hip and thigh fat are unlikely to suffer from heart disease or diabetes. While you can shrink your fat cells through exercise and diet, you cannot decrease the amount of fat cells that you have. If obese individuals strength train, their knees and lower backs will likely provide little to no pain.
After combining all of the data, the researchers found that obese people under 60 years old were 23% less likely to die during the study period when compared to the "healthy" weight group. Therefore, some obese people have a limit to how lean they can get, and that limit could be in an obese state. If people - no matter what their weight categories are - regularly practice healthy lifestyle habits, then I think they will maximize longevity while avoiding joint pain, heart disease, and diabetes.
However, I can tell you from experience in my personal training practice, gaining strength decreases or eliminates knee and lower back pain, regardless of weight change. Acinetobacter baumannii has the ability to acquire resistance to major class of antibiotics. The isolates readily develop resistance to second and third generation antibiotics such as those of cephalosporins and fluoroquinolones. Here we report a case of multi-drug resistance Acinetobacter baumannii isolation from a post-craniotomy site infection.
Following various investigations, she was diagnosed to be a case of bi-parietal epidermoid.


She went for suture removal to a private hospital located near to her residence following which she was re-admitted 5 days later with history of fever and cerebrospinal fluid leak from the site of incision. The gram stain revealed gram-negative coccobacilli [Figure 1], which was identified as Acinetobacter on the basis of biochemical reactions.
The organism was resistant to Gentamicin (30 mcg), Ciprofloxacin (5 mcg), Cefotaxim (30 mcg) and showed intermediate resistance to Amikacin (10 mcg) Levofloxacin (5 mcg) and Cotrimoxazole (25 mcg). On further testing, it was confirmed to be an Extended Spectrum Beta Lactamase (ESBL) producer. Meanwhile the patient was started on Amikacin and Cefotaxim and showed improvement, so was shifted from surgical intnsive care unit to female surgical ward and was discharged after an uneventful hospital stay. Acinetobacter baumannii is a clinically predominant species with a tendency toward causing infection particularly in intensive care units where it has been reported to cause outbreaks. Their presence should be correlated with clinical findings before being labeled as pathogens, colonizers or contaminants.Though all bacterial isolates show high frequency of resistance to multiple antibiotics, maximum resistance is being observed in Acinetobacter isolates.
In this case the isolate showed resistance to most commonly used antibiotics as well as newer brand cephalosporins. Multi-drug resistance in Acinetobacter is defined by CDC (Center for Disease Control, Atlanta) as resistance to all but one antimicrobial drug class commonly prescribed for treatment with exclusion of polymyxins. Multi-drug resistance is mostly plasmid mediated and its transfer can create complications in treatment of patients. Therefore steps must be taken to control such infections.In a study carried out in JIPMER, Pondicherry, India, 43 patients admitted to the hospital who developed Acinetobacter species infection or colonization were evaluated.
Other infections included urinary tract infections, peritonitis, corneal infection, necrotizing fascitis and osteomylelitis. Of the Acinetobacter species from secondary meningitis, Acinetobacter johnsonii was isolated in one case and the rest were Acinetobacter baumannii. Hence, it is important to identify Acinetobacter infections with their antibiotic sensitivity pattern at the earliest in the laboratory. Subsequently, swift and efficient infection control measures should be implemented to nip this problem in the bud.
This would result in prevention of epidemic outbreaks and endemicity with high mortality rates.



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Comments

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