SIMPLE FACTS ABOUT SATURATED / UNSATURATED / TRANSFATTY ACIDS (TFA)

Simple facts about saturated / unsaturated / transfatty acids (TFA)

SATURATED FAT CAUSES ARTEROSCLEROSIS

SOURCES

ANIMALS	PLANTS
Beef, Beef fat, veal, lamb, pork, lard, poultry fat, butter, cream, milk, cheeses and other dairy products made from whole and 2 percent milk	coconut, coconut oil, palm oil and palm kernel oil (often called tropical oils), and cocoa butter

TRANS UNSATURATED FATTY ACIS (TFA) CAUSES ATHEROSCLEROSIS

SOURCES

NATURAL	PROCESSED FOOD
beef, pork, lamb and the butterfat in butter and milk	making margarine, shortening, cooking oils cookies and white bread

TFA IS MORE ATHEROGENIC THAN SATURATED FAT (CAUSES MORE DAMAGE)

UNSATURATED FAT DOES NOT CAUSE ATHEROSCLEROSIS

SOURCES

salmon, trout, herring, avocados, olives, walnuts and liquid vegetable oils such as soybean, corn, safflower, canola, olive and sunflower

Unsaturated fat = polyunsaturated fats + monounsaturated fats

Replacing saturated and TFA with unsaturated fat helps reduce blood cholesterol levels

American Heart Association recommends

Choose a diet rich in fruits, vegetables wholegrain, high fibre foods and fat free and low fat diary most often

Keep total fat intake between 25 to 35% of calories (mainly mono and poly unsaturated fats)

TFA less than 1% Calories

To reduce TFA in diet

Look for food labeled ZERO TFA

Use unhydrogenated vegetable oils (canola, sunflower or olive oil)

Soft margarine instead of harder stick forms and butter

Limit these

High TFA

French fries

Doughnuts

Cookies

Muffins

Pies

Cakes

Limit Saturated Fats = Limit TFA

Limit commercially fried foods – has large amount of Saturated Fats and TFA

HYPERTENSION

Barbershops a cut above for BP checks in African American men

OCTOBER 28, 2010 | Steve Stiles

Chicago, IL - In the Texas of 150 years ago, the town barber was probably also the guy who pulled an aching tooth. A cadre of barbers in today's Texas were true to their healthcare-provider heritage by participating in a hypertension-screening outreach experiment that helped many of their customers with hypertension to get their blood pressures under control.

In a unique randomized trial [1], African American men who were patrons of black-owned barbershops in Dallas County, where they had their BP regularly measured and were encouraged to contact a physician when it was elevated, showed a mean 7.8-mm-Hg drop in systolic pressure over 10 months.

That was only 2.5-mm-Hg more of a drop (p=0.08) than seen in a comparator group of men who had received standard educational pamphlets on high BP in African Americans, but no BP checks or other encouragement to assess blood pressure, at the barbershops.

"That doesn't sound like much of a blood-pressure fall for any one person, but at the population level it's a very large effect," lead author Dr Ronald G Victor (Cedars-Sinai Heart Institute, Los Angeles, CA) observed for heartwire.

read more here

LIST OF MUSLIM FOOD OUTLET IN HONG KONG

ISLAMIC CENTRE CANTEEN

5th floor Masjid Ammar and Osman Ramju

Sadick Islamic Centre

40 Oi Kwan Road

Wan Chai Hong Kong

EBENEEZER'S KEBAB

Shop No G04

Wan Chai Central Building

89 Lockhart Road

Wan Chai Hong Kong

EBENEEZER'S KEBAB

Ground floor

52 Lockhart Road

Wan Chai Hong Kong

EBENEEZER'S KEBAB

Ground Floor

California Place

25 D'Aguilar Streeet

Lan Kwai Fong

Central Hong Kong

EBENEEZER'S KEBAB

G01C

Astoria Building

32 Ashley Road

Tsim Sha Tsui

Kowloon

EBENEEZER'S KEBAB

Shop No 2,3 & 5

Ground Floor

Multifield Plaza

5-7A Prat Avenue

Tsim Sha Tsui

Kowloon

EBENEEZER'S KEBAB

Shop 11 & 12

Ground Floor

Hong Kong Gold Coast

No 1 Castle Peak Road

Tuen Mun

New Terrritories

EBENEEZER'S KEBAB

Shop G03A

Discovery Bay Plaza

Discovery Bay

Lantau Island

ISTANBUL KEBAB

Shop F-1

Ground Floor

Rose Mansion

1 Hart Avenue

Tsim Sha Tsui

Kowloon

ISTANBUL KEBAB

Ground floor

34A Lock Road

Tsim Sha Tsui

Kowloon

MUGHAL CLUB

Room 211 2nd Floor

Hai Phong Mansion

53-55 Hai Phong Road

Tsim Sha Tsui

Kowloon

THE GREAT INDIAN KEBAB FACTORY

Shop 8

Level 2

Miramar Shopping Centre

132 Nathan Road

Tsim Sha Tsui

Kowloon

SPICE RESTAURANT

2nd Floor

Prosperous Centre

No 1 Knutsford Terrace

Tsim Sha Tsui

Kowloon

ZIAFAT RESTAURANT

6th Floor

Harilela Mansion

81 Nathan Road

Tsim Sha Tsui

Kowloon

THE NEW SANGEET INDIAN RESTAURANT

Shop UG06 - 08

Upper Ground Floor

Toyo Mall

Intercontinental Plaza

94 Granville Road

Tsim Sha Tsui

Kowloon

JOJO INDIAN CUISINE

2nd Floor

David House

37 - 39 Lockhart Road

Wan Chai Hong Kong

RANG MAHAL

Flat B 1st Floor

Percival House

83 Percival Street

Causeway Bay (near Times Square)

Hong Kong

JANSHAN CELEBRATING INDIAN CUISINE

1st floor

Amber Lodge

23 Hollywood Road

Central

Hong Kong

SHAFFI'S INDIAN RESTAURANT

Shop 7

Ground Floor

Fau Tsui Street

Yuen Long

New Territories

POPEYE'S CHICKENS AND BISCUITS

7T103 & 7E161

Level 7

Passenger Terminal 1

Hong Kong International Airport

Lantau Island

HABIBI RESTAURANT

1st Floor

Grand Progress Building

15 - 16 Lan Kwai Fong

Central

Hong Kong

HABIBI CAFE

112 - 114

Wellington Streeet

Central

Hong Kong

WARUNG MALANG

Flat B2

2nd Floor

Dragon Rise Building

9-11 Pennington Streeet

Causeway Bay

Hong Kong

BLITAR CAFE

201 Causeway Bay Centre

19 - 23 Sugar Street

Causeway Bay

Hong Kong

NAIL IN COFFIN FOR TRANSMYOCARDIAL LASER SURGERY

I remember few months back there was a great "ho ha" about a certain tertiary teaching hospital buying "state of the art" transmyocardial laser surgery.

A lot of my patients were asking me whether he / she should be referred for it. Below is an article from medscape. It is really a nail in coffin for this therapy.. Furthermore, what a waste of public funding..

Lasers Vaporised from NICE Guideline Recommendations for Refractory Angina

Christine Wright

Posted: 10/04/2010; Br J Cardiol. 2010;17(4):159-160

Introduction

As from May 2009 the National Institute for Health and Clinical Excellence (NICE) have removed transmyocardial laser revascularisation (TMLR) from the list of treatments for refractory angina.^[1] From their analysis of efficacy they found no evidence of improved myocardial perfusion, ejection fraction or prognosis. There was also no evidence for improvement in exercise tolerance or Canadian Cardiovascular Society (CCS) class when compared with other treatments. Furthermore, looking at the data on safety, randomised controlled trials showed evidence of increased myocardial infarction in the TMLR-treated patient group, as well as evidence of left ventricular perforation.

There have been reservations regarding this technique for many years and it would seem to be a valid decision on behalf of the specialist advisers. It seems appropriate, therefore, to look at how to best treat this complex group of patients.

FROM HEARTWIRE : "MACSTATIN"

The "MacStatin": Fast food with some ketchup, salt, and a statin to go

AUGUST 13, 2010 | Michael O'Riordan

London, UK (updated) - Pushing the envelope of primary prevention to a point few doctors are likely to be comfortable with, a group of British cardiologists are proposing a rather radical strategy to neutralize the risk of cardiovascular disease caused by unhealthy eating habits.

They suggest that fast-food restaurants, such as McDonald's, offer customers a statin to go with their meal, one that could be found alongside the salt, sugar, ketchup, and mayonnaise. The statin, they say, could be sprinkled atop customers' Quarter Pounders, into their milkshakes, or onto their supersized French fries to offset the mounds of fat found in these unhealthy meals [1].

Consider the irony that you can have harmful condiments provided free of charge, in unlimited quantities, and yet people think this one simple, potentially protective additive would be crazy to add.

The "mischievous" strategy, outlined in the August 15, 2010 issue of the American Journal of Cardiology, is not intended to encourage individuals to think they can eat unhealthily because the statin, which the authors dubbed the MacStatin—slogan: "I'm neutralizing it!"—is a panacea for all risks. Instead, they stress that medical direction should continue to place drug therapy behind lifestyle interventions, such as healthy eating, smoking cessation, and regular exercise.

"I am not crazy, and I do not tell my patients that they can eat unhealthily and get away with it," Dr Darrel Francis (Imperial College London, UK), senior author of the report, told heartwire. "We're simply providing a calculation for the medical community to think about the size of the effect of a statin tablet vs an unhealthy meal and to also consider the irony that you can have harmful condiments provided free of charge, in unlimited quantities, and yet people think this one simple, potentially protective additive would be crazy to add. And I don't know why they would think that."

read more here

FROM HEARTWIRE: Who's the boss? White House recommends physicians join hospitals, large groups

Who's the boss? White House recommends physicians join hospitals, large groups

AUGUST 27, 2010 | Robert Lowes

Adapted from Medscape Medical News—a professional news service of WebMD

Washington, DC - The White House is advising physicians to accept a life in Big Medicine—as a hospital employee or member of a large group practice—in the wake of healthcare reform [1].

Some leaders of organized medicine, however, are objecting to the government message.

"We're not ready to write off the small practices," Dr J Fred Ralston, president of the American College of Physicians (ACP), said in an interview. "We think there needs to be more than one delivery model."

"America is not a one-size-fits-all country," added Dr M Todd Williamson (North Georgia Neurological Clinic, Lawrenceville), a spokesperson for the Coalition of State Medical and National Specialty Societies, which campaigned against the new healthcare-reform law, now called the Affordable Care Act.

America is not a one-size-fits-all country.

Ralston and Williamson were responding to an article by two White House officials and one ex-official about the implications of healthcare reform for medicine that was published August 23, 2010 in the Annals of Internal Medicine. The authors are Nancy-Ann DeParle, director of the Office of Health Reform; Dr Ezekiel Emanuel, special advisor for health policy with the Office of Management and Budget; and Dr Robert Kocher, who stepped down in July from the National Economic Council.

The economic forces put in motion by the [Affordable Care Act] are likely to lead to vertical organization of providers and accelerate physician employment by hospitals and aggregation into larger physician groups," they write. Physicians who embrace the changes and opportunities created by the law "are likely to deliver the greatest benefits to their patients, the health system, and themselves" and "will be rewarded in the future payment system."

READ MORE HERE

it started with a dream..

went searching high and low for ideal house..

we found a place..

missed by many people scouting for house..

in the middle of ipoh town..

it took so long to get it going.. because it is a deceased tittle..

after almost a year.. we finally got it..

got contractor to demolish the house..

next step

..

get architect to design house plan..

MID RAMADHAN

WE HAVE PASSED THE HALF WAY MARK OF RAMADHAN. IT IS THE TIME TO INTENSIFY OUR PRAYERS. IT IS TME TO REFLECT ON OURSELVES.

MAY BE IS THE TIME TO COOL DOWN.. TO PONDER.. TO BE GRATEFUL..

INSYAALLAH

MAY THIS RAMADHAN BE FRUITFUL TO ALL OF US..

FROM HEARTWIRE..

ACUTE CORONARY SYNDROMES

Taking patients directly to existing PCI centers is more cost-effective than expanding PCI capacity

JULY 28, 2010 | Reed Miller

Boston, MA - Improving the ability of emergency medical services (EMS) to move ST-segment-elevation-MI (STEMI) patients directly to existing PCI facilities is a more cost-effective regional strategy than building and staffing more PCI labs, a new computer simulation study shows [1].

In a study published online July 27, 2010 in Circulation: Cardiovascular Quality and Outcomes, Dr Thomas Concannon (Tufts University, Boston, MA) and colleagues estimated incremental treatment costs and quality-adjusted life expectancies of 2000 patients with STEMI who received PCI or fibrinolytic therapy in simulations of emergency care in a regional hospital system in Dallas County, TX.

PCI is generally more effective than fibrinolytic therapy for the treatment of STEMI, but most US hospitals are not equipped for PCI. Because the cost/benefit ratio of delaying any treatment in order to reach a PCI lab is different for each patient, depending on where they are and their specific condition, Concannon et al's model examined each case, Concannon told heartwire. "And in a county of pretty significant size, we were able to show that EMS detection and diversion would work better than hospital construction."

The researchers compared a base case strategy of no new construction or staffing with several different hospital-based strategies that entailed building new PCI laboratories or extending the hours of existing laboratories and then compared all of those strategies with a system in which EMS transported all STEMI patients to the existing PCI-capable hospitals.

Read More Here

5 SIMPLE HEALTHY STEPS TO WEIGH REDUCTION

1. DO 10 000 STEPS PER DAY..

GET A PEDOMETER - any pharmacy

PARK YOUR CAR FURTHER THAN USUAL

DO NOT TAKE SHORT CUTS.. TAKE LONG CUT

PROPER SHOES OF COURSE..

10 000 IS ARBITRARY.. DO MORE IF YOU CAN

2. AVOID HUNGER

YOU WILL EAT MORE IF YOU ARE HUNGRY..

TAKE SMALL HEALTHY FREQUENT MEALS.. (2 HOURLY)

ALL KIND OF FOOD IS OK.. AS LONG AS THE PORTION IS CORRECT..

3. DRINK 3 BIG GLASS OF WATER AND EAT 3 GREEEN APPLES BEFORE ANY MEAL..

THEY FILL UP YOUR STOMACH.. MAKES YOU SATISFIED HENCE LESS OF YOUR USUAL DIET

4. SET SMALL REASONABLE TARGET

IDEAL WEIGHT REDUCTION SHOULD BE 0.5 TO 1KG PER WEEK..

IT WILL BE A SLOW PROCESS.. ITS WORTH IT

5. YOU MUST ENJOY DOING THIS..

IF THIS IS BORING.. YOU WILL QUIT..

USE YOUR IMAGINATION.. MAKE THE ABOVE 4 SOMETHING YOU LOOK FORWARD EVERY DAY..

MARTIN LUTHER KING.. YOU DONT HAVE TO SEE THE WHOLE STAIRS.. JUST TAKE THE FIRST STEP..

from heartwire

HYPERTENSION

FDA approves another triple-drug combination for resistant hypertension: Tribenzor

JULY 26, 2010 | Shelley Wood

Parsippany, NJ - The FDA has granted marketing approval to another three-drug combination for the treatment of hypertension in patients unable to get their blood pressure controlled with any two of the three classes of drugs that make up the combination [1]. The new product, Tribenzor (Daiichi Sankyo), combines the angiotensin-receptor blocker olmesartan (40 mg), the calcium-channel blocker amlodipine (10 mg), and the diuretic hydrochlorothiazide (HCTZ) (25 mg).

read more here

TO ALL SMOKERS...

to all smokers.. never mind if you want to keep smoking and kill yourself.. but just remember this.. almost all tobacco company is connected to zionist organization... every time you puff.. you are giving them a bullet to kill innocent palestinian children..

look carefully at their logos.. they all have illuminati symbols..

And Illuminati is strongly connected to zionist movement..

if you decide to kill yourself.. with cigarette.. remember palestine

Asian cigarettes too have illuminati symbols.. are they connected to zionist movement?

HDL NOT SO IMPORTANT IF LDL IS VERY LOW..

from medscape

July 23, 2010 (Boston, Massachusetts) — A post hoc analysis of the JUPITER trial has shown that when patients have very low concentrations of LDL cholesterol attained through the use of potent statin therapy, "good" HDL cholesterol may no longer be predictive of cardiovascular risk [1].

This is the first time this has been observed in a primary-prevention population, although there are similar data from contemporary secondary-prevention statin trials, say Dr Paul MRidker (Brigham and Women's Hospital, Boston, MA) and colleagues in their paper published in the Lancet.

They emphasize, however, that HDL was predictive of cardiovascular risk in patients taking placebo in JUPITER, so "our data should not reduce enthusiasm for measurement of HDL-cholesterol concentration as part of an initial cardiovascular risk assessment."

Raising HDL cholesterol remains a major treatment strategy for the reduction of cardiovascular risk in the large majority of patients who do not have very low LDL cholesterol.

In an accompanying comment [2], Drs Derek J Hausenloy (University College, London, UK), Lionel Opie (University of Cape Town, South Africa), and Derek Yellon (University College, London) say that it is "unclear" why HDL concentrations did not predict cardiovascular risk at very low concentrations of LDL cholesterol in those treated withrosuvastatin in JUPITER. But given that more potent drugs for raising HDL cholesterol are on the horizon, the issue will require more research and needs to be examined in large randomized trials, they say.

The findings from this study "should not detract from the fact that raising HDL cholesterol remains a major treatment strategy for the reduction of cardiovascular risk in the large majority of patients who do not have very low LDL cholesterol; the problem, in most cases, is how to achieve this strategy," they stress

read more here

IT IS SO EASY...

IT IS SO EASY TO EXERCISE. A LOT OF US GIVE SO MANY EXCUSES.. NO TIME.. TO HOT.. NO PROPER SHOES.. NO PROPER ATTIRE.. TOO BUSY WITH HOUSE CHORES..

I am actually a strong advocate of active lifestyle and always emphasize on exercise. I came across this website and it is very interesting one

http://www.thewalkingsite.com/10000steps.html

Walking is actually the most natural way for us to exercise. Normal people walk about 3000 - 4000 steps per day. I just hooked myself to a pedometer and my normal walking per day was 6000 steps per day.

So if you have too many excuses to exercise, perhaps this might help.

Take the first step of your day to complete 10000 today... It is so easy to be active..

BRUCE TREADMILL SCORE

Atherosclerosis Prevention and Treatment in Children and Adolescents

This is an interesting article about how early atherosclerosis start and ways to approach it

http://www.medscape.com/viewarticle/722756

DOA 12 PINTU - FROM DATUK HJ FADZILAH KHAMSAH

IT HAS BEEN SO LONG

it has been so long since I have been blogging. I have been rather busy lately. I am planning to start a monthly buletin for doctors and public regarding heart and its related disease..