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i wish !!

i don't know when my next india trip will be ??

last one was a 3 weeker in april-may 2002 -- before starting my solo practice !!

thanks for the address -- lets see who does it first -- i.e., do you recieve the

gift first or we see your pictures first ??

ashok ;))

" Dr.Anchita Patil " wrote:

Dear Ashok,

Do i sense some mischief there? what is the surprise? are you coming over to

India. To hamare darvaaze aapke liye hamesha khule hain.

Any way, my " current " postal address is:

B-613, Sushant Lok

Phase I

Gurgaon-122002

(Haryana) INDIA.

Anchita

PS Haan to kab aa rahe ho?

On Sun, 07 Nov 2004 Ashok Bhaskar wrote :

>

>

><<the following is the annoncement of the quiz around middle of octber --

>

>this contest is for mgimsians only **** living in India only****** - by mgims

usa ( i am taking a liberty here, my cofounders, don't mind please)

>

>the prize - Littman sthethoscope ( sponser - ashok h bhaskar md , pediatrician,

usa, 1984 batch)

>

>in contemporary medicine what do the terms " metabolic syndrome " and " T.L.C. "

stand for ?

>

>after guessing what they are i want you to write up a brief summary(not a

thesis) capturing the essence of the topics --

>

>i look forward to lot of entries especially from final year students, general

spec. mds and general practitioners.

>

>you have one week time --- would like the winner announced at the uk

gettogether if possible--

>

>i am taking the liberty to appoint the judges - obviously out of the active

members --

>

>if they oblige -- Neeti, Nilanjana and Pratik -- everybody else don't be

offended -- in 30 secs i could just think of these names.....oops i forgot ...me

too..

>

>the clock starts now --->>

>________________________________________________

>

>i was surprised by the anemic response to this quiz -- esp non response from

internists and cardiologists ??!!??

>

>any ways -- KUDOS Anchita and Meena -- i am very impressed by your sincere

participation --

>

>well you are in for surprise prizes and not a stethoscope -- just give me your

postal addresses asap --

>

>you both got TLC wrong --

>

>here in the US we are bombarded by hospital commercials trying to promote

wellness and " WELLth " management -

>

> " Everybody needs a little TLC "

>

>TLC in relation to metabolic syndrome means " Therapeutic lifestyle changes "

>

>which include healthful eating, exercise, destressing, slowing down, taking

more time off for oneself, meditation, yoga/taichi/pilates and the list goes on

--

>

>what has always mesmerized me in america - is their aggressive preventive

medicine -- and see how beautifully they package all health info so that catch

the lay person's attention.

>

>____________________________________________________

>

>

>THE ENTRIES --

>

>Anchita Patil 1993

>

>Hey meatbolic syndrome stands for what was previously known as " syndrome X " all

about hyperglycemia, obesity and high lipid levels etc.; basically to do with

the Non-Communicable disease thing.

>And TLC, are you referring to the puraana Total leucocyte count, or tender

loving care? Being a pediatrician, i suspect its the latter.

>Love,

>Anchita (93)

>PS: Even if my answers are right, I'm not a contender for the stethoscope. In

my field of public health, and doing the work I'm doing now, I don't need a

stethoscope. And in ENT, Bhushan also hardly ever needs one!! So much for a

stethoscope being the " hallmark " of doctors.

>

>Meena Samtani 1980

>----------------------------------------------------

> The metabolic syndrome

>-------------------------------------------------------

>

>The metabolic syndrome is identified by the presence

>of three or more of these components:

> `1. Central obesity as measured by waist

>circumference:

> Men — Greater than 40 inches

> Women — Greater than 35 inches

>

> 2. Fasting blood triglycerides greater than or

>equal to 150 mg/dL

>

> Blood HDL cholesterol:

> Men — Less than 40 mg/dL

> Women — Less than 50 mg/dL

>

> 3. Blood pressure greater than or equal to 130/85

>mmHg

> 4. Fasting glucose greater than or equal to 110

>mg/dL

>The underlying causes of this syndrome are

>overweight/obesity, physical inactivity and genetic

>factors.

>People with the metabolic syndrome are at increased

>risk of coronary heart disease, other diseases related

>to plaque buildups in artery walls (e.g., stroke and

>peripheral vascular disease) and type 2 diabetes.

>Some people are genetically predisposed to insulin

>resistance. Acquired factors, such as excess body fat

>and physical inactivity, can elicit insulin resistance

>and the metabolic syndrome in these people.

>

>The safest, most effective and preferred way to reduce

>insulin resistance in overweight and obese people is

>weight loss and increased physical activity.

>

>Other steps for managing the metabolic syndrome are

>also important for patients and their doctors:

>

> *

> Routinely monitor body weight (especially the

>index for central obesity), blood glucose,

>lipoproteins and blood pressure.

> * Treat individual risk factors (hyperlipidemia,

>hypertension and high blood glucose) according to

>established guidelines.

>

>------------------------------------------------------

> TLC= Total Leucocyte count

>-----------------------------------------------------

> The leucocyte count estimates the total number of

>white blood cells per litre of blood.

>An abnormally high or low leucocyte count may be seen

>in many medical conditions.

>Abnormally low numbers of white blood cells may

>indicate liver or spleen disorders, bone marrow

>disorders, leukaemia, or exposure to radiation or

>toxic substances.

>Abnormally high levels of white blood cells may

>indicate infection, tissue damage, leukaemia or

>inflammatory diseases.

>

>

>The normal white cell count for adults is 4.0-11.0 x

>109/L

>

> A leucocyte differential count supplements the

>information provided by the leucocyte count.

>The leucocyte differential count provides an estimate

>of the numbers of the 5 main types of white blood

>cells. These include neutrophils, monocytes,

>lymphocytes, eosinophils and basophils.

>

>Each of the 5 types of white cells has a specific role

>in the body.

>• Neutrophils and monocytes protect the body against

>bacteria and eat up small particles of foreign matter.

>• Lymphocytes are involved in the immune process,

>producing antibodies against foreign organisms and

>protecting against viruses.

>• Eosinophils kill parasites; high numbers of

>eosinophils may be associated with worm infections or

>hypersensitivity.

>• Basophils are involved in allergic responses;

>increased basophil production may be associated with

>bone marrow disorders or viral infection.

>

> The normal ranges of the different types of white

>cells in adults are:

>Neutrophils: 2.0-7.5 x109/L

>Eosinophils: 0.04-0.4 x109/L

>Basophils: less than 0.1 x109/L

>Monocytes: 0.2-0.8 x109/L

>Lymphocytes: 1.5-4.0 x109/L

>

>

>Variations between different subjects and variations

>within each subject should be considered when

>measuring normal values. Age, sex, race, pregnancy,

>smoking, and oral contraceptives influence

>hematological values. In women after menopause the WBC

>and neutrophil counts fall. Pregnancy can cause

>leucocytosis, and myelocytes or metamyelocytes may

>appear in the blood. A consistent fall in neutrophil

>count at menstruation has been demonstrated; 2

>neutrophil peaks in each cycle are most likely related

>to changes in circulating estrogen levels. Oral

>contraceptives have been reported to raise the WBC,

>but this has been absent with the low estrogen

>preparations.

>

>Meena(80)

>

>

>If you scrolled down to the bottom of the page --

>

>Thank you very much,

>

>Ashok Bhaskar 1984

>

>

>

>

>

>

>

>

>

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Share on other sites

Dear Anchita mam,Please convery belated happy b'day wishes to

Bhushan sir...Waiting for ur family pic/sketch...Maybe u'll start a

new trend of posting sketches rather than same ole pics...

Shweta'96

> >Dear Ashok,

> >Do i sense some mischief there? what is the surprise? are you

coming over to India. To hamare darvaaze aapke liye hamesha khule

hain.

> >Any way, my " current " postal address is:

> >B-613, Sushant Lok

> >Phase I

> >Gurgaon-122002

> >(Haryana) INDIA.

> >Anchita

> >PS Haan to kab aa rahe ho?

> >

> >

> >On Sun, 07 Nov 2004 Ashok Bhaskar wrote :

> > >

> > >

> > ><<the following is the annoncement of the quiz around middle of

octber --

> > >

> > >this contest is for mgimsians only **** living in India

only****** - by mgims usa ( i am taking a liberty here, my

cofounders, don't mind please)

> > >

> > >the prize - Littman sthethoscope ( sponser - ashok h bhaskar

md , pediatrician, usa, 1984 batch)

> > >

> > >in contemporary medicine what do the terms " metabolic syndrome "

and " T.L.C. " stand for ?

> > >

> > >after guessing what they are i want you to write up a brief

summary(not a thesis) capturing the essence of the topics --

> > >

> > >i look forward to lot of entries especially from final year

students, general spec. mds and general practitioners.

> > >

> > >you have one week time --- would like the winner announced at

the uk gettogether if possible--

> > >

> > >i am taking the liberty to appoint the judges - obviously out

of the active members --

> > >

> > >if they oblige -- Neeti, Nilanjana and Pratik -- everybody else

don't be offended -- in 30 secs i could just think of these

names.....oops i forgot ...me too..

> > >

> > >the clock starts now --->>

> > >________________________________________________

> > >

> > >i was surprised by the anemic response to this quiz -- esp non

response from internists and cardiologists ??!!??

> > >

> > >any ways -- KUDOS Anchita and Meena -- i am very impressed by

your sincere participation --

> > >

> > >well you are in for surprise prizes and not a stethoscope --

just give me your postal addresses asap --

> > >

> > >you both got TLC wrong --

> > >

> > >here in the US we are bombarded by hospital commercials trying

to promote wellness and " WELLth " management -

> > >

> > > " Everybody needs a little TLC "

> > >

> > >TLC in relation to metabolic syndrome means " Therapeutic

lifestyle changes "

> > >

> > >which include healthful eating, exercise, destressing, slowing

down, taking more time off for oneself, meditation,

yoga/taichi/pilates and the list goes on --

> > >

> > >what has always mesmerized me in america - is their aggressive

preventive medicine -- and see how beautifully they package all

health info so that catch the lay person's attention.

> > >

> > >____________________________________________________

> > >

> > >

> > >THE ENTRIES --

> > >

> > >Anchita Patil 1993

> > >

> > >Hey meatbolic syndrome stands for what was previously known

as " syndrome X " all about hyperglycemia, obesity and high lipid

levels etc.; basically to do with the Non-Communicable disease thing.

> > >And TLC, are you referring to the puraana Total leucocyte

count, or tender loving care? Being a pediatrician, i suspect its

the latter.

> > >Love,

> > >Anchita (93)

> > >PS: Even if my answers are right, I'm not a contender for the

stethoscope. In my field of public health, and doing the work I'm

doing now, I don't need a stethoscope. And in ENT, Bhushan also

hardly ever needs one!! So much for a stethoscope being

the " hallmark " of doctors.

> > >

> > >Meena Samtani 1980

> > >----------------------------------------------------

> > > The metabolic syndrome

> > >-------------------------------------------------------

> > >

> > >The metabolic syndrome is identified by the presence

> > >of three or more of these components:

> > > `1. Central obesity as measured by waist

> > >circumference:

> > > Men — Greater than 40 inches

> > > Women — Greater than 35 inches

> > >

> > > 2. Fasting blood triglycerides greater than or

> > >equal to 150 mg/dL

> > >

> > > Blood HDL cholesterol:

> > > Men — Less than 40 mg/dL

> > > Women — Less than 50 mg/dL

> > >

> > > 3. Blood pressure greater than or equal to 130/85

> > >mmHg

> > > 4. Fasting glucose greater than or equal to 110

> > >mg/dL

> > >The underlying causes of this syndrome are

> > >overweight/obesity, physical inactivity and genetic

> > >factors.

> > >People with the metabolic syndrome are at increased

> > >risk of coronary heart disease, other diseases related

> > >to plaque buildups in artery walls (e.g., stroke and

> > >peripheral vascular disease) and type 2 diabetes.

> > >Some people are genetically predisposed to insulin

> > >resistance. Acquired factors, such as excess body fat

> > >and physical inactivity, can elicit insulin resistance

> > >and the metabolic syndrome in these people.

> > >

> > >The safest, most effective and preferred way to reduce

> > >insulin resistance in overweight and obese people is

> > >weight loss and increased physical activity.

> > >

> > >Other steps for managing the metabolic syndrome are

> > >also important for patients and their doctors:

> > >

> > > *

> > > Routinely monitor body weight (especially the

> > >index for central obesity), blood glucose,

> > >lipoproteins and blood pressure.

> > > * Treat individual risk factors (hyperlipidemia,

> > >hypertension and high blood glucose) according to

> > >established guidelines.

> > >

> > >------------------------------------------------------

> > > TLC= Total Leucocyte count

> > >-----------------------------------------------------

> > > The leucocyte count estimates the total number of

> > >white blood cells per litre of blood.

> > >An abnormally high or low leucocyte count may be seen

> > >in many medical conditions.

> > >Abnormally low numbers of white blood cells may

> > >indicate liver or spleen disorders, bone marrow

> > >disorders, leukaemia, or exposure to radiation or

> > >toxic substances.

> > >Abnormally high levels of white blood cells may

> > >indicate infection, tissue damage, leukaemia or

> > >inflammatory diseases.

> > >

> > >

> > >The normal white cell count for adults is 4.0-11.0 x

> > >109/L

> > >

> > > A leucocyte differential count supplements the

> > >information provided by the leucocyte count.

> > >The leucocyte differential count provides an estimate

> > >of the numbers of the 5 main types of white blood

> > >cells. These include neutrophils, monocytes,

> > >lymphocytes, eosinophils and basophils.

> > >

> > >Each of the 5 types of white cells has a specific role

> > >in the body.

> > >• Neutrophils and monocytes protect the body against

> > >bacteria and eat up small particles of foreign matter.

> > >• Lymphocytes are involved in the immune process,

> > >producing antibodies against foreign organisms and

> > >protecting against viruses.

> > >• Eosinophils kill parasites; high numbers of

> > >eosinophils may be associated with worm infections or

> > >hypersensitivity.

> > >• Basophils are involved in allergic responses;

> > >increased basophil production may be associated with

> > >bone marrow disorders or viral infection.

> > >

> > > The normal ranges of the different types of white

> > >cells in adults are:

> > >Neutrophils: 2.0-7.5 x109/L

> > >Eosinophils: 0.04-0.4 x109/L

> > >Basophils: less than 0.1 x109/L

> > >Monocytes: 0.2-0.8 x109/L

> > >Lymphocytes: 1.5-4.0 x109/L

> > >

> > >

> > >Variations between different subjects and variations

> > >within each subject should be considered when

> > >measuring normal values. Age, sex, race, pregnancy,

> > >smoking, and oral contraceptives influence

> > >hematological values. In women after menopause the WBC

> > >and neutrophil counts fall. Pregnancy can cause

> > >leucocytosis, and myelocytes or metamyelocytes may

> > >appear in the blood. A consistent fall in neutrophil

> > >count at menstruation has been demonstrated; 2

> > >neutrophil peaks in each cycle are most likely related

> > >to changes in circulating estrogen levels. Oral

> > >contraceptives have been reported to raise the WBC,

> > >but this has been absent with the low estrogen

> > >preparations.

> > >

> > >Meena(80)

> > >

> > >

> > >If you scrolled down to the bottom of the page --

> > >

> > >Thank you very much,

> > >

> > >Ashok Bhaskar 1984

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

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Share on other sites

Dear Anchita mam,Please convery belated happy b'day wishes to

Bhushan sir...Waiting for ur family pic/sketch...Maybe u'll start a

new trend of posting sketches rather than same ole pics...

Shweta'96

> >Dear Ashok,

> >Do i sense some mischief there? what is the surprise? are you

coming over to India. To hamare darvaaze aapke liye hamesha khule

hain.

> >Any way, my " current " postal address is:

> >B-613, Sushant Lok

> >Phase I

> >Gurgaon-122002

> >(Haryana) INDIA.

> >Anchita

> >PS Haan to kab aa rahe ho?

> >

> >

> >On Sun, 07 Nov 2004 Ashok Bhaskar wrote :

> > >

> > >

> > ><<the following is the annoncement of the quiz around middle of

octber --

> > >

> > >this contest is for mgimsians only **** living in India

only****** - by mgims usa ( i am taking a liberty here, my

cofounders, don't mind please)

> > >

> > >the prize - Littman sthethoscope ( sponser - ashok h bhaskar

md , pediatrician, usa, 1984 batch)

> > >

> > >in contemporary medicine what do the terms " metabolic syndrome "

and " T.L.C. " stand for ?

> > >

> > >after guessing what they are i want you to write up a brief

summary(not a thesis) capturing the essence of the topics --

> > >

> > >i look forward to lot of entries especially from final year

students, general spec. mds and general practitioners.

> > >

> > >you have one week time --- would like the winner announced at

the uk gettogether if possible--

> > >

> > >i am taking the liberty to appoint the judges - obviously out

of the active members --

> > >

> > >if they oblige -- Neeti, Nilanjana and Pratik -- everybody else

don't be offended -- in 30 secs i could just think of these

names.....oops i forgot ...me too..

> > >

> > >the clock starts now --->>

> > >________________________________________________

> > >

> > >i was surprised by the anemic response to this quiz -- esp non

response from internists and cardiologists ??!!??

> > >

> > >any ways -- KUDOS Anchita and Meena -- i am very impressed by

your sincere participation --

> > >

> > >well you are in for surprise prizes and not a stethoscope --

just give me your postal addresses asap --

> > >

> > >you both got TLC wrong --

> > >

> > >here in the US we are bombarded by hospital commercials trying

to promote wellness and " WELLth " management -

> > >

> > > " Everybody needs a little TLC "

> > >

> > >TLC in relation to metabolic syndrome means " Therapeutic

lifestyle changes "

> > >

> > >which include healthful eating, exercise, destressing, slowing

down, taking more time off for oneself, meditation,

yoga/taichi/pilates and the list goes on --

> > >

> > >what has always mesmerized me in america - is their aggressive

preventive medicine -- and see how beautifully they package all

health info so that catch the lay person's attention.

> > >

> > >____________________________________________________

> > >

> > >

> > >THE ENTRIES --

> > >

> > >Anchita Patil 1993

> > >

> > >Hey meatbolic syndrome stands for what was previously known

as " syndrome X " all about hyperglycemia, obesity and high lipid

levels etc.; basically to do with the Non-Communicable disease thing.

> > >And TLC, are you referring to the puraana Total leucocyte

count, or tender loving care? Being a pediatrician, i suspect its

the latter.

> > >Love,

> > >Anchita (93)

> > >PS: Even if my answers are right, I'm not a contender for the

stethoscope. In my field of public health, and doing the work I'm

doing now, I don't need a stethoscope. And in ENT, Bhushan also

hardly ever needs one!! So much for a stethoscope being

the " hallmark " of doctors.

> > >

> > >Meena Samtani 1980

> > >----------------------------------------------------

> > > The metabolic syndrome

> > >-------------------------------------------------------

> > >

> > >The metabolic syndrome is identified by the presence

> > >of three or more of these components:

> > > `1. Central obesity as measured by waist

> > >circumference:

> > > Men — Greater than 40 inches

> > > Women — Greater than 35 inches

> > >

> > > 2. Fasting blood triglycerides greater than or

> > >equal to 150 mg/dL

> > >

> > > Blood HDL cholesterol:

> > > Men — Less than 40 mg/dL

> > > Women — Less than 50 mg/dL

> > >

> > > 3. Blood pressure greater than or equal to 130/85

> > >mmHg

> > > 4. Fasting glucose greater than or equal to 110

> > >mg/dL

> > >The underlying causes of this syndrome are

> > >overweight/obesity, physical inactivity and genetic

> > >factors.

> > >People with the metabolic syndrome are at increased

> > >risk of coronary heart disease, other diseases related

> > >to plaque buildups in artery walls (e.g., stroke and

> > >peripheral vascular disease) and type 2 diabetes.

> > >Some people are genetically predisposed to insulin

> > >resistance. Acquired factors, such as excess body fat

> > >and physical inactivity, can elicit insulin resistance

> > >and the metabolic syndrome in these people.

> > >

> > >The safest, most effective and preferred way to reduce

> > >insulin resistance in overweight and obese people is

> > >weight loss and increased physical activity.

> > >

> > >Other steps for managing the metabolic syndrome are

> > >also important for patients and their doctors:

> > >

> > > *

> > > Routinely monitor body weight (especially the

> > >index for central obesity), blood glucose,

> > >lipoproteins and blood pressure.

> > > * Treat individual risk factors (hyperlipidemia,

> > >hypertension and high blood glucose) according to

> > >established guidelines.

> > >

> > >------------------------------------------------------

> > > TLC= Total Leucocyte count

> > >-----------------------------------------------------

> > > The leucocyte count estimates the total number of

> > >white blood cells per litre of blood.

> > >An abnormally high or low leucocyte count may be seen

> > >in many medical conditions.

> > >Abnormally low numbers of white blood cells may

> > >indicate liver or spleen disorders, bone marrow

> > >disorders, leukaemia, or exposure to radiation or

> > >toxic substances.

> > >Abnormally high levels of white blood cells may

> > >indicate infection, tissue damage, leukaemia or

> > >inflammatory diseases.

> > >

> > >

> > >The normal white cell count for adults is 4.0-11.0 x

> > >109/L

> > >

> > > A leucocyte differential count supplements the

> > >information provided by the leucocyte count.

> > >The leucocyte differential count provides an estimate

> > >of the numbers of the 5 main types of white blood

> > >cells. These include neutrophils, monocytes,

> > >lymphocytes, eosinophils and basophils.

> > >

> > >Each of the 5 types of white cells has a specific role

> > >in the body.

> > >• Neutrophils and monocytes protect the body against

> > >bacteria and eat up small particles of foreign matter.

> > >• Lymphocytes are involved in the immune process,

> > >producing antibodies against foreign organisms and

> > >protecting against viruses.

> > >• Eosinophils kill parasites; high numbers of

> > >eosinophils may be associated with worm infections or

> > >hypersensitivity.

> > >• Basophils are involved in allergic responses;

> > >increased basophil production may be associated with

> > >bone marrow disorders or viral infection.

> > >

> > > The normal ranges of the different types of white

> > >cells in adults are:

> > >Neutrophils: 2.0-7.5 x109/L

> > >Eosinophils: 0.04-0.4 x109/L

> > >Basophils: less than 0.1 x109/L

> > >Monocytes: 0.2-0.8 x109/L

> > >Lymphocytes: 1.5-4.0 x109/L

> > >

> > >

> > >Variations between different subjects and variations

> > >within each subject should be considered when

> > >measuring normal values. Age, sex, race, pregnancy,

> > >smoking, and oral contraceptives influence

> > >hematological values. In women after menopause the WBC

> > >and neutrophil counts fall. Pregnancy can cause

> > >leucocytosis, and myelocytes or metamyelocytes may

> > >appear in the blood. A consistent fall in neutrophil

> > >count at menstruation has been demonstrated; 2

> > >neutrophil peaks in each cycle are most likely related

> > >to changes in circulating estrogen levels. Oral

> > >contraceptives have been reported to raise the WBC,

> > >but this has been absent with the low estrogen

> > >preparations.

> > >

> > >Meena(80)

> > >

> > >

> > >If you scrolled down to the bottom of the page --

> > >

> > >Thank you very much,

> > >

> > >Ashok Bhaskar 1984

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

Link to comment
Share on other sites

Dear Anchita mam,Please convery belated happy b'day wishes to

Bhushan sir...Waiting for ur family pic/sketch...Maybe u'll start a

new trend of posting sketches rather than same ole pics...

Shweta'96

> >Dear Ashok,

> >Do i sense some mischief there? what is the surprise? are you

coming over to India. To hamare darvaaze aapke liye hamesha khule

hain.

> >Any way, my " current " postal address is:

> >B-613, Sushant Lok

> >Phase I

> >Gurgaon-122002

> >(Haryana) INDIA.

> >Anchita

> >PS Haan to kab aa rahe ho?

> >

> >

> >On Sun, 07 Nov 2004 Ashok Bhaskar wrote :

> > >

> > >

> > ><<the following is the annoncement of the quiz around middle of

octber --

> > >

> > >this contest is for mgimsians only **** living in India

only****** - by mgims usa ( i am taking a liberty here, my

cofounders, don't mind please)

> > >

> > >the prize - Littman sthethoscope ( sponser - ashok h bhaskar

md , pediatrician, usa, 1984 batch)

> > >

> > >in contemporary medicine what do the terms " metabolic syndrome "

and " T.L.C. " stand for ?

> > >

> > >after guessing what they are i want you to write up a brief

summary(not a thesis) capturing the essence of the topics --

> > >

> > >i look forward to lot of entries especially from final year

students, general spec. mds and general practitioners.

> > >

> > >you have one week time --- would like the winner announced at

the uk gettogether if possible--

> > >

> > >i am taking the liberty to appoint the judges - obviously out

of the active members --

> > >

> > >if they oblige -- Neeti, Nilanjana and Pratik -- everybody else

don't be offended -- in 30 secs i could just think of these

names.....oops i forgot ...me too..

> > >

> > >the clock starts now --->>

> > >________________________________________________

> > >

> > >i was surprised by the anemic response to this quiz -- esp non

response from internists and cardiologists ??!!??

> > >

> > >any ways -- KUDOS Anchita and Meena -- i am very impressed by

your sincere participation --

> > >

> > >well you are in for surprise prizes and not a stethoscope --

just give me your postal addresses asap --

> > >

> > >you both got TLC wrong --

> > >

> > >here in the US we are bombarded by hospital commercials trying

to promote wellness and " WELLth " management -

> > >

> > > " Everybody needs a little TLC "

> > >

> > >TLC in relation to metabolic syndrome means " Therapeutic

lifestyle changes "

> > >

> > >which include healthful eating, exercise, destressing, slowing

down, taking more time off for oneself, meditation,

yoga/taichi/pilates and the list goes on --

> > >

> > >what has always mesmerized me in america - is their aggressive

preventive medicine -- and see how beautifully they package all

health info so that catch the lay person's attention.

> > >

> > >____________________________________________________

> > >

> > >

> > >THE ENTRIES --

> > >

> > >Anchita Patil 1993

> > >

> > >Hey meatbolic syndrome stands for what was previously known

as " syndrome X " all about hyperglycemia, obesity and high lipid

levels etc.; basically to do with the Non-Communicable disease thing.

> > >And TLC, are you referring to the puraana Total leucocyte

count, or tender loving care? Being a pediatrician, i suspect its

the latter.

> > >Love,

> > >Anchita (93)

> > >PS: Even if my answers are right, I'm not a contender for the

stethoscope. In my field of public health, and doing the work I'm

doing now, I don't need a stethoscope. And in ENT, Bhushan also

hardly ever needs one!! So much for a stethoscope being

the " hallmark " of doctors.

> > >

> > >Meena Samtani 1980

> > >----------------------------------------------------

> > > The metabolic syndrome

> > >-------------------------------------------------------

> > >

> > >The metabolic syndrome is identified by the presence

> > >of three or more of these components:

> > > `1. Central obesity as measured by waist

> > >circumference:

> > > Men — Greater than 40 inches

> > > Women — Greater than 35 inches

> > >

> > > 2. Fasting blood triglycerides greater than or

> > >equal to 150 mg/dL

> > >

> > > Blood HDL cholesterol:

> > > Men — Less than 40 mg/dL

> > > Women — Less than 50 mg/dL

> > >

> > > 3. Blood pressure greater than or equal to 130/85

> > >mmHg

> > > 4. Fasting glucose greater than or equal to 110

> > >mg/dL

> > >The underlying causes of this syndrome are

> > >overweight/obesity, physical inactivity and genetic

> > >factors.

> > >People with the metabolic syndrome are at increased

> > >risk of coronary heart disease, other diseases related

> > >to plaque buildups in artery walls (e.g., stroke and

> > >peripheral vascular disease) and type 2 diabetes.

> > >Some people are genetically predisposed to insulin

> > >resistance. Acquired factors, such as excess body fat

> > >and physical inactivity, can elicit insulin resistance

> > >and the metabolic syndrome in these people.

> > >

> > >The safest, most effective and preferred way to reduce

> > >insulin resistance in overweight and obese people is

> > >weight loss and increased physical activity.

> > >

> > >Other steps for managing the metabolic syndrome are

> > >also important for patients and their doctors:

> > >

> > > *

> > > Routinely monitor body weight (especially the

> > >index for central obesity), blood glucose,

> > >lipoproteins and blood pressure.

> > > * Treat individual risk factors (hyperlipidemia,

> > >hypertension and high blood glucose) according to

> > >established guidelines.

> > >

> > >------------------------------------------------------

> > > TLC= Total Leucocyte count

> > >-----------------------------------------------------

> > > The leucocyte count estimates the total number of

> > >white blood cells per litre of blood.

> > >An abnormally high or low leucocyte count may be seen

> > >in many medical conditions.

> > >Abnormally low numbers of white blood cells may

> > >indicate liver or spleen disorders, bone marrow

> > >disorders, leukaemia, or exposure to radiation or

> > >toxic substances.

> > >Abnormally high levels of white blood cells may

> > >indicate infection, tissue damage, leukaemia or

> > >inflammatory diseases.

> > >

> > >

> > >The normal white cell count for adults is 4.0-11.0 x

> > >109/L

> > >

> > > A leucocyte differential count supplements the

> > >information provided by the leucocyte count.

> > >The leucocyte differential count provides an estimate

> > >of the numbers of the 5 main types of white blood

> > >cells. These include neutrophils, monocytes,

> > >lymphocytes, eosinophils and basophils.

> > >

> > >Each of the 5 types of white cells has a specific role

> > >in the body.

> > >• Neutrophils and monocytes protect the body against

> > >bacteria and eat up small particles of foreign matter.

> > >• Lymphocytes are involved in the immune process,

> > >producing antibodies against foreign organisms and

> > >protecting against viruses.

> > >• Eosinophils kill parasites; high numbers of

> > >eosinophils may be associated with worm infections or

> > >hypersensitivity.

> > >• Basophils are involved in allergic responses;

> > >increased basophil production may be associated with

> > >bone marrow disorders or viral infection.

> > >

> > > The normal ranges of the different types of white

> > >cells in adults are:

> > >Neutrophils: 2.0-7.5 x109/L

> > >Eosinophils: 0.04-0.4 x109/L

> > >Basophils: less than 0.1 x109/L

> > >Monocytes: 0.2-0.8 x109/L

> > >Lymphocytes: 1.5-4.0 x109/L

> > >

> > >

> > >Variations between different subjects and variations

> > >within each subject should be considered when

> > >measuring normal values. Age, sex, race, pregnancy,

> > >smoking, and oral contraceptives influence

> > >hematological values. In women after menopause the WBC

> > >and neutrophil counts fall. Pregnancy can cause

> > >leucocytosis, and myelocytes or metamyelocytes may

> > >appear in the blood. A consistent fall in neutrophil

> > >count at menstruation has been demonstrated; 2

> > >neutrophil peaks in each cycle are most likely related

> > >to changes in circulating estrogen levels. Oral

> > >contraceptives have been reported to raise the WBC,

> > >but this has been absent with the low estrogen

> > >preparations.

> > >

> > >Meena(80)

> > >

> > >

> > >If you scrolled down to the bottom of the page --

> > >

> > >Thank you very much,

> > >

> > >Ashok Bhaskar 1984

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

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