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Dr KK Aggarwal 07 May 2018
Clinical
Fatty Liver
Give vitamin E at a dose of 400 international units/day for patients with advanced fibrosis on biopsy who do not have diabetes or coronary artery disease
American Association for the Study of Liver Diseases recommends a higher dose of vitamin E (800 mg daily) as first-line pharmacotherapy for nondiabetic patients with biopsy-proven NASH (not just advanced fibrosis).
The largest randomized trial included in the meta-analysis (Pioglitazone versus Vitamin E versus Placebo for the Treatment of Nondiabetic Patients with NASH; PIVENS) did suggest a benefit with vitamin E.
Weather
Maximum temperatures were appreciably above normal (3.1°C to 5.0°C) at isolated places over West Rajasthan, Konkan & Goa and Madhya Maharashtra; above normal (1.6°C to 3.0°C) at most places over Rajasthan, West Madhya Pradesh and Saurashtra & Kutch; at many places over Himachal Pradesh and Vidarbha; at a few places over Gujarat region, and Marathwada; at isolated places over Jammu & Kashmir, Punjab, Haryana, East Madhya Pradesh and Madhya Maharashtra.
Yesterday the Highest maximum temperature of 45.4°C was recorded at Phalodi (West Rajasthan)
AMR
WHO-recommended five moments for hand hygiene
Spiritual
Yesterday was Upacharya Sadhvi Sarla ji Maharaj’s 75th Sanyam Diwas.
Jainism subscribes to the philosophy of “Uttam Sanyam Dharma” for self-purification. It propagates “Uttama Sanyam” as one of the ten universal virtues to be practiced in daily life to counteract the four passions (Kashayas) i.e. anger, pride, deceit and greed.
As per ancient Indian literature, we have 10 Indriyas - five motor Indriyas or the Karamindriya and five sensory indriyas or the Gnanaindriya. Controlling of these five sensory and five motor senses or indriyas is Sanyam or self-restraint and is key to acquiring spiritual health.
A prescription for practicing sanyam can be controlling all senses in one day (fasting) or any one item in a day. Start sanyanm diet by restricting one taste every day for example not eating sugar on Monday and not eating salt on Tuesday
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