Wednesday, April 18, 2012

Heart Attack - Implantable Warning Device

Picture credit: www.foodonourtable.com

Implantable Medical Device is Designed to Warn Patients of Impending Heart Attack


“EACH year, about 17.5 million lives are claimed by the world's largest killer - heart disease and stroke. In Malaysia, heart disease has been the number one killer for the past three decades. This statistic goes across the globe, making heart disease the most common cause of death worldwide” National Heart Association of Malaysia.


More than 30% of the one million heart attack victims in the United States each year die before seeking medical attention. Although widespread education campaigns describe the warning signs of a heart attack, the average time from the onset of symptoms to arrival at the hospital has remained at 3 hours for more than 10 years.


In their upcoming Ergonomics in Design article, “‘This is your heart speaking. Call 911,’” authors Mary Carol Day and Christopher Young study the benefits of the AngelMed Guardian®, an implantable medical device currently undergoing clinical trials that alerts users about a potential heart attack through a combination of vibrations, audible tones, and visual warnings.


What makes the device distinctive is this combination of alert modes. Although vibrotactile (vibrating) alarms are sometimes used to warn medical personnel in operating rooms or ICUs of an emergency, very little research has focused on their potential as a self-monitoring device for patients. Auditory alarms are provided with selected implantable heart defibrillators, but research indicates that some patients - particularly the elderly - are unable to hear the alarms.


“A vibrotactile alarm provided by the implanted device has two major advantages,” says Day. “First, the implanted device can’t be left behind like a portable device. Second, a vibrotactile alarm from the implanted device is more likely to be felt than an auditory alarm is to be heard because, for example, the patient may be wearing heavy clothing, has hearing loss, or is in a noisy environment.”


The device offers two levels of alarm urgency: A high-priority alarm indicates that the patient may be having a heart attack and should call 911, and a low-priority alarms indicates that a condition has been detected that requires a doctor visit within 48 hours. The alarms are provided by an implanted medical device, similar in size to a pacemaker, that is placed in the upper left chest, plus an external device, similar to a pager, that emits an auditory alarm and flashes a red or yellow warning light.


In a series of studies with older adults designed to test the device’s design and user-friendliness, participants were able to tell the difference between the low-priority and high-priority vibration patterns and respond appropriately. They also reported that they liked the vibrating alarms and the redundancy of the auditory, visual, and vibrotactile warnings.


Story Source:


The above story is based on the April 13, 2012 news release materials provided by Human Factors and Ergonomics Society.


The Human Factors and Ergonomics Society is the world's largest nonprofit individual-member, multidisciplinary scientific association for human factors/ergonomics professionals, with more than 4,600 members globally. HFES members include psychologists and other scientists, designers, and engineers, all of whom have a common interest in designing systems and equipment to be safe and effective for the people who operate and maintain them. Watch science news stories about other HF/E topics at the HFES Web site. “Human Factors and Ergonomics: People-Friendly Design Through Science and Engineering”


It will be some time before this product is available in Malaysia and we do not know if it will be affordable.


Living a healthier lifestyle can help to prevent heart disease. This includes the following:


Eliminating all tobacco products


Adhering to a heart-healthy diet


Exercise for 30 minutes on most days of the week


Maintain a healthy weight


Get regular health screenings


Get details at Mayo Clinic HERE


Top 10 Heart Attack Symptoms You Might Ignore


Heart attacks don’t always strike out of the blue — there are many symptoms we can watch for in the days and weeks leading up to an attack. But the symptoms may not be the ones we expect, so they may go unrecognized.


Don’t let that happen to you. Here, 10 heart symptoms you’re likely to ignore — and shouldn’t.


1. Indigestion or nausea. One of the most oft-overlooked signs of a heart attack is nausea and stomach pain.


2. Jaw, ear, neck, or shoulder pain. A sharp pain and numbness in the chest, shoulder, and arm is an indicator of heart attack.


3. Sexual dysfunction. Having trouble achieving or keeping erections is common in men with coronary artery disease, but they may not make the connection.


4. Exhaustion or fatigue. A sense of crushing fatigue that lasts for several days is another sign of heart trouble that’s all too often overlooked or explained away.


5. Breathlessness and dizziness. When your heart isn’t getting enough blood, it also isn’t getting enough oxygen.


6. Leg swelling or pain. When the heart muscle isn’t functioning properly, waste products aren’t carried away from tissues by the blood, and the result can be edema, or swelling caused by fluid retention.


7. Sleeplessness, insomnia, and anxiety. Those who’ve had heart attacks often remember experiencing a sudden, unexplained inability to fall asleep or stay asleep during the month or weeks before their heart attack.


8. Flu-like symptoms. Clammy, sweaty skin, along with feeling light-headed, fatigued, and weak, leads some people to believe they’re coming down with the flu when, in fact, they’re having a heart attack.


9. Rapid-fire pulse or heart rate. One little-known symptom that sometimes predates a heart attack is known as ventricular tachycardia, more commonly described as rapid and irregular pulse and heart rate.


10. You just don’t feel like yourself. Heart attacks in older adults (especially those in their 80s and beyond, or in those who have dementia or multiple health conditions), can mimic many other conditions.


The above is just a summary of the research carried out by Melanie Haiken, Caring.com senior editor. You are encouraged to read more about these 10 Heart Attacks Symptoms HERE


What You Must Do if You Think You Are Having a Heart Attack


Cough rhythymically? This Cough CPR has been debunked by Snopes


Here’s what WebMD advices:


Do not wait if you think you are having a heart attack. Getting help fast can save your life. Even if you're not sure it's a heart attack, have it checked out. Call 911. If you think you have had a heart attack but your symptoms have gone away, you still need to call your doctor right away. Link


If you think someone is having a heart attack,


Call 911 and Be Prepared to Help


Click HERE for a video presentation of Chest Compression-only CPR which you as a bystander can buy time until a paramedic with a defibrillator can jump-start the heart.

The Pastor's Ass*

Picture credit: www.lifevesting.com


The Pastor entered his donkey in a race and it won.


The Pastor was so pleased with the donkey that he entered it in the race again and it won again.


The local paper read:



PASTOR'S ASS OUT FRONT.


The Bishop was so upset with this kind of publicity that he ordered the Pastor not to enter the donkey in another race.


The next day the local paper headline read:


BISHOP SCRATCHES PASTOR’S ASS.


This was too much for the Bishop so he ordered the Pastor to get rid of the donkey.


The Pastor decided to give it to a Nun in a nearby convent.


The local paper, hearing of the news, posted the following headline the next day:


NUN HAS BEST ASS IN TOWN.


The Bishop fainted.


He informed the Nun that she would have to get rid of the donkey so she sold it to a farmer for $10.


The next day the paper read:


NUN SELLS HER ASS FOR $10.


This was too much for the Bishop so he ordered the Nun to buy back the donkey and lead it to the plains where it could run wild.


The next day the headlines read:


NUN ANNOUNCES HER ASS IS WILD AND FREE..


The Bishop was buried the next day.


The moral of the story is . . . being concerned about public opinion can bring you much grief and misery, even shorten your life.


So be yourself and enjoy life.


Stop worrying about everyone else's ass and you'll be a lot happier and live longer!


Have a nice day!



Would you believe Robert Kong, the product of 11 years primary and secondary schooling by the La Sallean brothers at St Anthony’s, sent us this!


* original author unknown




Sunday, April 15, 2012

DEALING with INSULT


Picture credit: www.resolvedhypnotherapy.co.uk


Word of Wisdom of one spiritual master, forwarded to us by BE Khoo


How to handle insult and maintain compassion.


One day a spiritual master was walking through a village. A very angry and rude young man came up and began insulting him. "You have no right teaching others," he shouted. "You are as stupid as everyone else. You are nothing but a fake."


The spiritual master was not upset by these insults. Instead he asked the young man "Tell me, if you buy a gift for someone, and that person does not take it, to whom does the gift belong?"


The man was surprised to be asked such a strange question and answered, "It would belong to me, because I bought the gift."


The spiritual master smiled and said, "That is correct. And it is exactly the same with your anger. If you become angry with me and I do not get insulted, then the anger falls back on you. You are then the only one who becomes unhappy, not me. All you have done is hurt yourself."


"If you want to stop hurting yourself, you must get rid of your anger and become loving instead. When you hate others, you yourself become unhappy. But when you love others, everyone is happy."


The Zestsfulness Team is not into religion; we seek the truth, find it, live it and share it.


Double Take




Last Saturday I attended a lecture on ValueGrowth Investing by University of Salford Professor of Investing Glen Arnold at the Sime Darby Convention Centre (owned by a GLC with the standard of upkeep of a G property)


The event was organized the truly amazing Laurence Lau who usually rants and raves at Malaysia-Finance Blogspot.



Super investor and philanthropist Koon Yew Yin gave the opening address (Mr Koon was kind enough to sign my copy of his recently launched book, “Roadmap For Achieving Vision 2020”, see footnote)


If you want to know what Prof Arnold meant by Value Investing, get hold of a copy of his book of the same title.


Besides being another terribly brilliant investor, Laurence is an avid promoter of good local music production. He actually gave away a free CD (The Solianos, an audiophile recording normally priced at at RM69.90 but more about this album in another post) to each participant.


And he got Pop Pop Music to set up a booth offering CDs by local artists at a discount. I picked up one by guitarist Roger Wang and am truly impressed by Roger’s virtuosity.


Listen to Roger accompanying vocalist Mia Palencia on this Filipino song, Dahil Sa Iyo (Because of You) which had been uploaded to youtube by captjazzelle on Dec 16, 2011


Roger and Mia will be celebrating the 12 years of musical partnership with concerts around Malaysia. They will be in Kuala Lumpur this April:


Date : Saturday, 21 April 2012

Venue : Bentley Music Auditorium, Mutiara Damansara, The Curve

Time : 3.00pm - 4.30pm (matinee)

8.00pm - 9.30pm (evening)


RM80 and RM50 admission pass available at www.airasiaredtix.com or call 012-2083790


If you like to sing along to this youtube recording, here are the lyrics by Tom Spinosa and Mike Velarde Jr.


Sa Buhay ko`y labis, Ang hirap at pasakit

Ng pusong umiibig, mandin ay walang langit

Atng lumigaya, iniwan mosa dusa,

Tanging Ikaw Sinta, Ang akingpagasa.


Dahil Sa iyo, Nais kong mabuhay

Dahil Sa iyo, hanggang mamatay


Puso ko`y tanungin, ikaw at ikaw rin;


Dahil sa iyo, ako`y lumigaya,

Pagmamahal, ay alayan ka; kung tunayman ako,

Ay alipinin mo, ang lahat sa buhay ko,

Dahil sa iyo


(Repeat...)


Kung tunay man ako,

Ay alipinin mo, ang lahat sa buhayko,

Dahil saiyo


……and in English if you wish:


Because of you,

there's a joy in living


Because of you,

life is heavenly


I never lived before

never felt a single thrill before


My heart stood still before ,

Darling, I'm in ecstacy


Because of you,

love is sweet and tender


And this my love,

I will offer you


If you will care for me,

all things to you i'll be


My heart is ever true,

because of you



* Both Koon Yew Yin and Prof Arnold were grilled by Khoo Hsu Chuang on BFM the day before on Valuegrowth Investing. Usually a recording of the Breakfast Grill will be available for download on BFM’s website. Strangely, this is not the case for these two fellas. I suspect it has to do with the remark on the shennigans of a political organisation that Mr Koon managed to squeeze in at the end of the interview. Click HERE for an indication, better get the details from his book, “Roadmap For Achieving Vision 2020”; buy online, Click HERE


Multivitamin Kunci Utama Pencegahan Kekurangan Vitamin B12


Suplemen multivitamin dapat membantu mencegah, dan berpotensi merawat, kekurangan vitamin B12 pada pesakit yang tinggal di pusat penjagaan warga tua, menurut pakar.


Satu kajian di Australia baru-baru ini mendapati 14 peratus daripada 130 pesakit yang tinggal di kediaman pusat jagaan warga tua di selatan Tasmania mengalami kekurangan vitamin B12, dengan paras serum B12 kurang daripada 150 pmol / L.


Oleh kerana kekurangan vitamin B12 boleh ditunjukkan dalam pelbagai gejala-gejala yang sering disalah diagnos, penemuan kekurangan vitamin B12 yang tidak dapat dikesan adalah membimbangkan.

"Suplemen multivitamin secara oral boleh membantu mengelakkan kekurangan, dan berpotensi untuk merawat kekurangan yang sedia ada pada penghuni pusat jagaan warga tua," kata penulis utama, Profesor Gregory Peterson, dari Unit Penyelidikan Hasil Ubat dan Pendidikan, Pusat Pengajian Farmasi, Universiti Tasmania.


Selaras dengan bukti keputusan yang terdahulu menunjukkan bahawa faktor-faktor risiko yang dikaitkan dengan pengurangan tahap serum B12 termasuk usia dan jantina lelaki.


Kajian mendapati, paras serum B12 yang rendah juga secara ketara dikaitkan dengan penggunaan ubat antipsikotik.


"Sama ada penemuan ini adalah kasual (ubat menyebabkan paras serum B12 rendah) atau berkesan (paras serum B12 yang rendah membawa kepada gejala klinikal yang memerlukan preskripsi antipsikotik) adalah tidak menentu dan memerlukan penerokaan lebih lanjut," kata Profesor Peterson.


Kajian ini menggunakan ujian serum vitamin B12 untuk menganalisis kelaziman kekurangan vitamin B12 yang tidak dikenal pasti di kalangan penghuni kediaman pusat penjagaan warga tua tanpa terlebih dahulu mendapat diagnosis kekurangan vitamin B12 atau mencatatkan paras serum B12 dalam tempoh enam bulan yang lalu.



Sumber cerita:

Mirkazemi C, Peterson GM, Tenni PC, Jackson SL.
Vitamin B12 deficiency in Australian residential aged care facilities. J Nutr Health Aging. 2012;16(3):277-80.


Jadi bagaimana pula dengan 'Baby Boomers' lelaki di rumah?


Anda tidak perlu menjadi penghuni rumah warga tua supaya kekurangan vitamin B12. Apabila anda berumur, cara bagaimana deria anda bertindakbalas cukup untuk memberikan anda maklumat tentang perubahan dunia. Deria anda menjadi kurang peka, dan anda mungkin mempunyai masalah untuk membezakan rasa, bau, sentuhan, penglihatan, dan pendengaran. Ini akan menjejaskan selera anda sehingga membawa kepada ketidakseimbangan pemakanan.

Diaper Rash



Yesterday Anonymous asked if Candazole or Candacort can be used to treat diaper rash in a one month old baby.

Candazole contains clotrimazole for the treatment of infections of the skin caused by fungi and yeasts. Canadacort contains additional hydrocortisone, a mild corticosteroid, to relieve the inflammation and itching that may accompany these infections.

Candida is a yeast that lives naturally on the skin. Candida tends to overgrow in damaged skin like that in a nappy rash. An antifungal cream may be used to treat this infection. So, if your baby's rash rash has not cleared by now, we recommend that you visit to your doctor.

WebMD has an excellent writeup on the prevention and non-medicinal treatment of Diaper Rash. CLICK HERE for details.

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