Why resistance to antibiotics is fast becoming a big killer

Is antibiotic resistance a threat to surgical outcome? A retrospective study by AIIMSon 100 infants who underwent heart surgeries at the institute from June 2015 to June 2016 suggests so. Cardiac surgeons have found that 16 children developed hospital-acquired infection, which led to longer hospital stay and need for ICU support than those who didn’t. Also, of those who acquired infection, three died due to sepsis.

Dr Shiv Kumar Choudhary, additional professor of cardiac surgery at AIIMS, said Klebsiella was the most common cause of hospital-acquired infection. It is a ‘superbug’ that causes a range of diseases, depending on which part of the body it infects. “In the past decade, surgical outcomes have improved with expertise and improved infrastructure. But our study shows all this could remain useless if infections become untreatable,” he added.

Of the three infants who died due to infection at AIIMS, the first was a month-old child who had undergone arterial switch operation and ventricular septal defect closure. According to the study report published in the Indian Journal of Community Medicine, the infant had grown Klebsiella in endotracheal secretions and blood.The infection was resistant to commonly used antibiotics except colistin, and the baby succumbed on day 38 to sepsis with multi-organ failure.

The second child was 15 days old and his blood culture was positive for Klebsiella, again sensitive to colistin only . Despite starting colistin, the child succumbed on day 18 to septic shock. The third child was of 11 months old and he, too, developed a Klebsiella-positive blood stream infection and died on day 15 to sepsis.

Colistin is a fourth-generation antibiotic developed in the 1960s. Its use was forbidden in hospital-acquired infections as it damaged the kidneys, but doctors are using it routinely these days to save lives, say experts.

TOI had earlier reported the case of an elderly American woman who died in the US recently after having cont racted an infection while being treated for a thigh bone fracture in India two years ago. Tests showed no drug or combination of drugs available in the US would have cured the infection.

AIIMS trauma centre doctors said at least eight patients were identified with colistin resistant Klebsiella pneumonia at their hospital recently .

“The incidence of hospital-acquired infection has reduced significantly across big hospitals, in India and abroad. However, we are seeing that those who get it are difficult to treat because the organisms causing infections are resistant. We may lose many patients if this trend grows,” Dr Sumit Ray , vice chairperson, critical care at Sir Ganga Ram hospital, said.

Dr Vipul Gupta, director of neuro-intervention at Artemis Hospital, said those with lower immunity , for example infants or immunecompromised patients, are at the highest risk for increased mortality due to infections.

Resistance to antibiotics is making it difficult to treat even milder illnesses, such as typhoid, Dr Rommel Tickoo, senior consultant, internal medicine, at Max Hospital Saket, said. He added that while earlier oral drugs could cure most patients, they now needed to give injectable antibiotics to 20-30% of them to treat the disease.

Research Shows Making This Change To Your Diet Can Help You Lose Weight Twice As Fast

As most of us sit trying to figure out what to cut from our diets in order shed a few pounds before summer, two culprits typically come to mind: sugar and carbs. But a new study reveals that the most effective weight-loss plan might not have anything to do with ditching sweeteners or calories — it’s all about ditching meat.

New research published in the Journal of the American College of Nutrition reveals that dieters not only lose weight more effectively when going on a vegetarian diet, but they also boost their metabolism. A group of 74 people — all with type 2 diabetes — followed a vegetarian diet of grains, vegetables, fruits and nuts, and researchers discovered that the diet was twice as more effective — yes, 2x! — than a conventional one. Dieters lost an average of 14 pounds versus 7 pounds.

What’s more, the vegetarian diet also reduced muscle fat, resulting in a higher metabolism. This finding is important for people who are trying to lose weight,” says Dr. Kahleová, who studied the fat tissue of the patients, “including those suffering from metabolic syndrome and/or type 2 diabetes. But it is also relevant to anyone who takes their weight management seriously and wants to stay lean and healthy.”

If you’re not ready to quit eating meat cold turkey, we feel you. But start opting for one meatless meal a day — and try to swap in legumes like black beans and chickpeas when you can. You got this.

[“source-delish”]

Google Earth on Chrome Is Fast, Smooth, and Still a Lot of Fun

On Tuesday, Google Earth launched a version that works directly in the Web browser. To use it, all you have to do is open the website in Chrome, and you can start viewing the world in 3D without having to download anything, or install any application on your computer, a welcome change from the Google Earth experience before.

What’s more, the entire experience is pretty smooth and seamless (a fast Internet connection obviously helps) and there are a lot of cool things that you can do right now in the revamped Google Earth.

Google Earth on Chrome Is Fast, Smooth, and Still a Lot of Fun

Google Earth on Chrome
For one thing, you can ask questions – so for example, you could type in, “What is the capital of India,” and the Google Earth map will jump to Delhi, with knowledge cards showing on the right to tell you more. Click on the points of interest card stacked under the Delhi card, and the next thing you know, you’re reading information sourced from Wikipedia about the Red Fort, Qutub Minar, and India Gate. You can also type something like “India’s biggest city,” which brings up Mumbai. It’s a cool feature, but still a little limited, because searching for things like the “deepest point in the oceans” or the “tallest mountain in the world” does not return any results.

Still, you can jump to locations pretty quickly thanks to the search feature, and once you get there – to say, Mount Everest – you can click on the 3D button among the controls at the bottom right, to switch to a 3D view that orbits around the location on the screen.

google earth cards earth

It’s a cool feature, and you can also just hold the shift key and then drag the mouse to adjust the view, just like you would with the Google Earth app. The 3D view automatically brings in elevation data, so it works great for natural features, but otherwise, in India at least, it’s pretty limited because there’s no 3D models of buildings.

If you want to see something really cool, just change the location to something like Manhattan, and then see everything form up in 3D in front of your eyes. If you’ve used Google Earth before, you know what to expect – as you zoom in, the map slowly transforms, and rough polygons replace the neat satellite imagery, before reforming into a 3D map that you can zoom through.

The effect is kind of magical, and seeing it happen right inside the browser is very cool. You can zoom in all the way to Central Park and then rotate the view to look at all the skyscrapers, or, you could click on the little person icon, and enter Street View, switching from 3D models to actual pictures you can look around in.

Google’s Street View images aren’t here in Indian cities either, but many shops have worked with Google to create images of their interiors, and there are also some user created photospheres you can look around in that are available, which you can see through Google Earth.

Google Earth Voyage and the Dice
Another cool feature is Voyage. On the menu on the left, you’ll see an icon that looks like a ship’s steering wheel or helm – click on that and you’ll see a number of curated lists of places that Google has put together. Many of these include Street View images so you get up close with what’s being shown. There’s Museums Around the World; Wonders of the Ancient and Modern World; or Exploring the Penguin Colonies if you prefer. You’ll see the different locations, be able to look around and explore some more, while cards give you details to explain what you’re looking at.

google earth voyage earth

There’s also one other new feature – a dice in the menu, that’s the equivalent of the I’m Feeling Lucky button on the Google homepage. Click on the dice, and a random point of interest will load up, showing the knowledge card and giving you a 3D view. It’s a fun way of just exploring around the world without having a specific destination in mind.

Overall, the new features of Google Earth are fun additions, but it’s particularly great to see how quickly and smoothly everything ran while inside a browser window, without requiring to install any additional software, which really is the biggest win.

Healthy Fast Food Options That Won’t Destroy Your Diet

I used to stress about making healthy choices at restaurants, but I’ve learned some tricks to scoring a guilt-free meal. I start by looking up nutritional info before I go — most chains provide it online, and I love making a plan. But even if those details aren’t available, there are plenty of clues on the menu. Look for healthy terms like steamed, baked, broiled, and grilled, and don’t be lured into options that say fried, breaded, creamy, or crunchy (that usually implies it’s fried!). There’s also no shame in asking questions, like whether a soup is broth- or cream-based or if you can get extra veggies instead of a side of pasta. Now go have fun!

 

Panera Bread

Being smart is all about the You Pick Two menu here, where you mix and match salads, soups, and more. There are dozens of combos with less than 600 calories. Avoid the mac and cheese (nearly 500 calories on its own), creamy soups (up to 340 calories for a cup), and sandwiches with mayo-based sauces.

Top Picks: Try the Fuji Apple Salad With Chicken and a cup of Low-Fat Vegetarian Black Bean Soup (370 calories for the combo); the salad is bursting with flavor, and the soup tastes rich. Other pairs I love: the BBQ Salad With Chicken plus the Smoked Turkey Breast Sandwich (major comfort-food appeal and tons of protein, for 440 calories), and the Modern Greek Salad With Quinoa and the Low-Fat Chicken Noodle Soup, for 360 calories.

The Cheesecake Factory

Its massive menu is home to some massive portions (the Grilled Chicken and Avocado Club sandwich, which sounds vaguely healthy, has more than 1,500 calories!), so the key is to think small. Specifically, the Small Plates & Snacks section — one or two will fill you up. And you can always turn to the SkinnyLicious menu for smart choices.

Top Picks: The Mexican Chicken Lettuce Wrap Tacos are my hands-down favorite … and only 260 calories. Not quite enough food? I hear you: Add the Ahi Carpaccio (260 calories) for a starter. Pizza lovers should get the Fresh Basil, Tomato, and Cheese Flatbread; it’s just 320 calories. From the SkinnyLicious menu, the Factory Chopped Salad is an amazing choice. It’s absolutely huge.

Applebee’s Grill & Bar

The pick ’n’ pair Wood Fired Grill menu has some smart combo options: really yummy food, cooked simply on a wood grill, giving the dishes a smoky flavor and reducing the need for high-calorie extras. And, of course, the Lighter Fare section guarantees you a meal under 600 calories.

Top Picks: If you’re craving steak, get the 6-ounce Top Sirloin and pair it with Wood Fired Grill Veggies and Garlicky Green Beans (560 calories). The variety will keep your taste buds from getting bored. Seafood fans, order the Thai Shrimp Salad: It’s flavorful and filling, with edamame, peanut sauce, almonds, and more. Ask for it without the wonton strips; you’ll get plenty of crunch from the almonds, and it’ll have even fewer than its official 390 calories. Get a glass of wine!

Olive Garden

The Lighter Italian Fare section of the menu is a useful shortcut, since everything has less than 575 calories. But if you’re careful, there are finds in other parts of the menu too. Heads up: Each of the famous breadsticks has 140 calories — eating one won’t torpedo your meal, but don’t overdo it!

Top Picks: Of course you’re craving pasta — that’s why you’re here, no? Get the Cucina Mia customizable meal, pairing the angel hair pasta, Traditional Marinara sauce, and sautéed shrimp. All that tastiness is only 540 calories. Seafood options are great here too. You can order the Garlic Mussels Marinara appetizer as your entrée — plenty big, and 510 calories. And on the Lighter Fare menu, check out the Tilapia Piccata: It’s served with Parmesan-crusted zucchini and has only 450 calories.