29/January/2022 Top medical Bulletin

Here are todays top medical stories

Intake of sesame seeds and sesame products tied to lower blood sugar

Sesame (Sesamum indicum L.) is a traditional plant and a reservoir of nutritional components with numerous beneficial effects along with health promotion in humans used in large amounts in Asian countries.

A recent  study in the journal Phytotherapy Research has reported that the consumption of sesame seeds and sesame products has a favorable effect on blood sugar levels but not on insulin resistance. The findings suggest that sesame may be a beneficial agent for human glucose metabolism and can be a part of glucose-lowering diets.

Sesame seed and its products including oil, flour, and dietary supplement are good sources of lignan compounds (sesamolin, sesamin, sesamol, and episesamin). The medicinal actions of sesame including its anti-inflammatory actions, antioxidant activity, and hypoglycemic effects are contained in these lignans.

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Intake of sesame seeds and sesame products tied to lower blood sugar: Study

Revascularization with CABG tied to low MI risk than PCI in left main coronary artery disease

Cardiac procedures are much complicated than it seems, it poses a greater risk than expected in patients. Both coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) with drug-eluting stents are first-line revascularization strategies for left main coronary disease which is a better choice among two is still a bigger question for doctors.

However, there is no clarity on whether one method is more effective than the other in patients with low or intermediate coronary anatomical complexity. Results from a meta-analysis in The Lancet revealed no significant difference in 5-year all-cause death between patients treated with PCI versus CABG for left main coronary artery disease.

However, a Bayesian approach suggested a probable minor difference (more likely than not <0·2% per year) favoring CABG. Also, repeat revascularization and myocardial infarction rates were seen to be more significantly common in patients who had undergone PCI.

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Revascularization with CABG tied to low MI risk than PCI in left main coronary artery disease: Lancet

Marijuana Use in Patients with Orthopaedic Trauma

Cannabis has got recent limelight  as it is being used with increasing regularity on both a recreational and a medical basis. With increasing legalization across the states and thus lessened legal ramifications, marijuana use will be seen frequently, with patients more likely to endorse it as a treatment.

The question for the orthopedic surgeon is how to counsel patients and other physicians regarding injury and coinciding marijuana use. Patients who have sustained orthopedic trauma are unique in that rehabilitation is multimodal and variables other than fracture healing must be taken into account. Cannabinoids have been shown to decrease the severity of certain symptoms related to traumatic brain injury(TBI) as well as posttraumatic stress disorder.

For more information check out the full story on the link below:

Marijuana Use in Patients with Orthopaedic Trauma- A review

Stroke Rates greater in young women than men 

More than 795,000 people in the United States have a stroke On average, someone dies of stroke every four minutes. A recent review in the Journal Stroke focused on the young adult age group that has reported incidence more in young women between ages 18-45 with ischemic strokes compared with young men, suggesting that young women may be disproportionately at risk compared with their male counterparts.

The review included 19 studies that reported on sex-specific stroke incidence among young adults, and found that overall, in young adults aged 18-35 years, there were 44% more women with ischemic strokes than men. For a better understanding, these sex differences are important in implementing strategies that can more effectively prevent and treat strokes in this age group.