Highlights from 6th International Medical Congress of Armenia


 
No less than 15 AAHPO members, including several Board Members, attended the 6th International Medical Congress of Armenia (6IMCA) meeting in Yerevan and provided lectures in their respective specialties. In the photo above, AAHPO Board Member Kim Hekimian, PhD (far left) and AAHPO Member Sharon Chekijian, MD (far right) share the stage with Ara Babloyan, MD, former President of the General Assembly of Armenia, in a session on Emergency Medicine and Disaster Preparedness.

See More Photos on AAHPO’s LinkedIn Page

AAHPO Board Member Kim Hekimian, PhD was a moderator in a Plenary Session, served on an Expert Panel on Diaspora-Artsakh-Armenia Cooperation, and lectured in her field of public health.

AAHPO Member V. Armineh Babikian, MS, OTR/L presented “Rehabilitation and Disability Beyond Conflict: A critical document analysis for person-centered and sustainable rehabilitation development in Armenia,” which is part of her doctoral research.

Emergency Physician Describes Treating Maui Wildfire Victims

Within two hours of having learned about the explosive wildfires in Maui, Dr. Reza Danesh (photo at left) had stocked his mobile medical clinic with antibiotics, food and water. He set out for Lahaina, a community now almost entirely devastated by the flames.

Dr. Danesh said he spent 14 hours Wednesday driving people to evacuation shelters, treating them in his mobile clinic and helping triage evacuees. One woman he treated was covered in small burns. She told him she jumped into the ocean to avoid the flames, along with her neighbors — one of whom died, she said.

“I heard that story and I was just so sad,” Dr. Danesh said. “There she was, keeping her spirits, and her pets had all died, and she had nothing, and I’m taking care of her wounds.”

For the most part, Dr. Danesh said, he was tending to the “wounded well” — people with asthma or other chronic health issues that made it difficult to tolerate the smoke or the stress of watching their homes burn. Dr. Danesh said he gave out antibiotic drops for eye infections and inhalers for people who had trouble breathing because of smoke inhalation.

Dr. Danesh, a board-certified emergency physician, runs an urgent care center and mobile clinic, MODO Mobile Doctors, which he said he started in hope of expanding access to outpatient care in Maui. But even as someone accustomed to working in the emergency room, Dr. Danesh said, he wasn’t prepared for what he saw on his drive to Lahaina on Wednesday morning.

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American Academy of Pediatrics Recommends Infant Protection Against RSV

Lynn Cetin“RSV (Respiratory Syncytial Virus) is a severe viral illness that occurs in our communities each fall and winter. RSV is NOT a new virus, despite what some may think. RSV remains the number one cause of hospitalization in infants under 1 year of age and some of these infants suffer from the consequences of this virus for years. What is NEW is the development and FDA approval of a new ‘vaccine’ that can give our youngest clientele some passive immunity to get through their first RSV season. Beyfortus is a NEW one time “vaccine” for infants birth to 8 months of age that will give them the protection they need! This can be a total game-changer for our littlest of patients. It is heartbreaking to see our infants wheezing and struggling to breathe and then telling the parents they need to go to the hospital. To be able to prevent serious illness by giving a few months of immunity in one shot is incredible! Science and the progress we continue to make in disease prevention justifies all the hard work we do as medical professionals,” noted AAHPO Board Member and pediatrician Lynn Cetin, MD.

Garbis Baydar“Parents are already asking me about this important protection for infants,” noted AAHPO Vice President and pediatrician Garbis Baydar, MD.

 

The American Academy of Pediatrics (AAP) is recommending all infants under 8 months receive the new monoclonal antibody nirsevimab to protect them from respiratory syncytial virus (RSV), while also providing guidance for continued use of palivizumab (an injection used to prevent RSV) in the 2023-’24 season.

“Pediatricians are sadly familiar with the dangers of RSV and its devastating consequences for some families,” AAP President Sandy L. Chung, M.D., FAAP, said in a press release. “We are eager to offer all infants this protection and urge federal officials to see that it is made available and affordable in all communities.”

RSV causes about 58,000 to 80,000 hospitalizations and 100 to 300 deaths per year in children under 5 years, according to data from the Centers for Disease Control and Prevention (CDC).

Nirsevimab (Beyfortus) is a long-acting monoclonal antibody given as an intramuscular injection that is intended to protect children against lower respiratory tract disease caused by RSV. It was approved by the Food and Drug Administration in mid-July and the CDC in early August. It is expected to be available this fall, although some children may not have immediate access.

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Cottage Cheese: The Old-Fashioned Diet Food Is the Hot New Way to Melt Fat — And Even Doctors Use It to Lose Weight

Editor’s Note: Congratulations to AAHPO Member and weight loss expert Dr. Tro Kalayjian for being quoted in the following recent article about the weight-loss benefits of eating cottage cheese.

 

With 200 million hits, TikTok is going wild for a creamy super-protein that our grandmothers swore by: cottage cheese. Carb-conscious and keto dieters in particular are raving, saying cottage cheese allows them to enjoy everything from extra-fluffy eggs and pancakes to cheesy dips, creamy pasta and no-churn ice cream as they crush their nutrition goals. But does cottage cheese really help with weight loss? Is cottage cheese keto? And is cottage cheese ice cream anywhere near as good as TikTokers say it is? We’re here to answer all your questions — and share success stories and simple but delicious cottage cheese recipes. So keep reading and prepare to be inspired:

Does cottage cheese help with weight loss?
According to the latest research from Florida State University, simply consuming cottage cheese as a daily snack leads to stronger muscles, a quicker metabolism and better overall health. What makes such a mild cheese so powerful? For starters, it’s loaded with nutrients that heal and transform, like energizing riboflavin, waist-shrinking folate, thyroid-boosting selenium and fat-blocking calcium.

Perhaps most crucial of all, each 162-calorie cup of cottage cheese contains a whopping 28 grams of casein and whey, two “super-proteins” found only in dairy products. Both casein and whey are proven to have surprising health benefits. (More on those benefits, below.) And many folks simply feel this special protein provides advantages other proteins don’t. “Cottage cheese is awesome,” raves New York weight loss expert Tro Kalayjian, DO, who personally shed 150 pounds while enjoying lots of the stuff. If you want to get lean, “it’s one of the best foods you can eat.”

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Click Video Image below to watch Dr. Tro’s personal weight loss story.

Good or Bad? Study Says Plant-Based and Cow’s Milk are not Nutritionally Equal

Editor’s Note: AAHPO Board Member and nutritionist Knarig Khatchadurian, PhD has reviewed the article below, and has made this comment: “I agree with the American Society for Nutrition and the study described below. Nutrient contents are not the same. Consult with your nutritionist or health care provider to determine which products are best for your nutritional needs.”

The plant-based milk market is exploding, offering beverages made from seeds, nuts, legumes, grains and blends of those ingredients, often marketed as ready replacements for the traditional choice of cow’s milk.

However, not all of those plant milk options are fortified to meet the levels of various nutritional ingredients contained in dairy, according to a new unpublished study presented Monday in Boston at Nutrition 2023, the annual meeting of the American Society for Nutrition.

The study analyzed nutrition labels and ingredients for 233 plant-based milk products from 23 different manufacturers and found only 28 of the beverages had as much or more protein, vitamin D and calcium as cow’s milk.

“About half were fortified with vitamin D, two-thirds were fortified with calcium, and nearly 20% had protein levels similar to cow’s milk,” said lead study author and registered dietitian Abigail Johnson.

“I’m not seriously concerned about this as it’s easy to get these nutrients from other sources, and cow’s milk certainly isn’t perfect and infallible,” said Johnson, who is assistant professor and associate director of the University of Minnesota School of Public Health Nutrition Coordinating Center in Minneapolis. “But if a consumer thinks plant-based milks are a one-to-one substitution for dairy, many of them are not.”

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What You Should Know About Postpartum Depression

Recently, the U.S. Food and Drug Administration (FDA) approved Zurzuvae (zuranolone), the first oral medication indicated to treat postpartum depression (PPD) in adults. Until now, treatment for PPD was only available as an IV injection given by a health care provider in certain health care facilities.
PPD

What is PPD?
PPD is a major depressive episode that typically occurs after childbirth but can also begin during the later stages of pregnancy.

Most new moms experience postpartum “baby blues” after childbirth, which commonly include mood swings, crying spells, anxiety and difficulty sleeping. Baby blues usually begin within the first 2 to 3 days after delivery and may last for up to two weeks.

But some new moms experience a more severe, long-lasting form of depression known as postpartum depression. Sometimes it’s called peripartum depression because it can start during pregnancy and continue after childbirth. Rarely, an extreme mood disorder called postpartum psychosis also may develop after childbirth.

PPD is not a character flaw or a weakness. Sometimes it’s simply a complication of giving birth. If you have postpartum depression, prompt treatment can help you manage your symptoms and help you bond with your baby.

Learn more from the Mayo Clinic

Indiana Mother Dies from Drinking Too Much Water Too Quickly

An Indiana family had been touring Lake Freeman, located about 80 miles north of Indianapolis, over the Fourth of July weekend. On the final day of their trip, the mother, Ashley Summers (photo at left), started complaining of a headache and other signs of dehydration, like feeling lightheaded. She reportedly drank four 500ml bottles of water in 20 minutes because she couldn’t seem to get enough to quench her thirst.

After that, Ashley went back home with her husband and two young daughters before passing out in the garage. She had severe brain swelling when she was taken to the hospital, but she tragically never recovered consciousness.

Doctors determined that Ashley had water toxicity, also known as hyponatremia, which is brought on by low blood salt levels. It can happen when a large amount of water is consumed quickly, diluting the sodium levels in the body. This exceeds the capacity of the body’s intricate organ systems, particularly the kidneys, to control the fluid balance.

Muscle cramps, soreness, nausea, vomiting, headaches, and general malaise are among the symptoms. In severe cases, the brain may swell, which may cause coma, death, seizures, confusion, and a loss of consciousness. People who frequently work outside or exercise have a higher risk of developing the fatal illness.

Learn more from the Mayo Clinic

How Tik Tok Challenges Can Endanger Kids

Our news feeds are filled with stories of social media trends gone wrong, as impressionable children engage in risky behaviors in search of attention but all too often find broken bones or serious illness instead.

Parents are left wondering what makes dangerous social media challenges so attractive to teens and preteens, and maybe incorrectly assuming their child wouldn’t be foolish enough to make the same mistake.

“Personal connection is so important, especially to teens. Social media challenges can be a powerful way for some to feel connected and receive attention,” said Dr. Gautam Bhasin, a psychologist at Holy Name Medical Center, Teaneck, NJ. “When kids engage in these behaviors, they just do what others are doing, seemingly becoming part of something bigger than themselves and gaining a feeling of acceptance.”

Among the current challenges most popular with kids and young adults are stunts involving overeating, jumping or falling from heights, and abusing over the counter medications. Each can cause injury or even put your child’s life at risk.

Read How 3 Challenges Endanger Kids

How to Choose Where to Go in an Emergency

When minutes matters, knowing where to go can make all the difference.

Emergency care plays a vital role within the healthcare system, often serving as the primary gateway to essential or even lifesaving treatment. Despite this, hospital emergency rooms are often overlooked until after an urgent situation arises.

While primary care physicians or urgent care facilities may be better suited to treating minor conditions, a trip to the ER is a better choice for a range of all-too-common emergencies, including bone breaks, significant burns or cuts, serious infections or allergic reactions, prolonged fevers or gastrointestinal issues, and symptoms of a potentially life-threatening illness such as signs of respiratory, cardiovascular, or neurological distress.

In emergency care, minutes can make the difference between life and death. Quickly choosing an emergency department during a crisis can be difficult, and a decision is better made beforehand based upon factors including a hospital’s designation as a specialized emergent care facility.

When to go to the Emergency Room or call 911:

  1. Chest pain or pressure
  2. Difficulty breathing or shortness of breath
  3. Uncontrolled bleeding
  4. Severe injuries or pain
  5. Loss of consciousness or fainting
  6. Confusion or sudden severe headache
  7. Seizures or convulsions
  8. Compound fractures or broken bones
  9. Deep cuts or open wounds
  10. High fever with vomiting and/or diarrhea
  11. Severe allergic reactions
  12. Signs of stroke or heart attack
  13. Poisoning or an overdose from drugs or alcohol
  14. Prolonged dizziness or weakness
  15. Sudden inability to speak, see, hear, walk, or move

Learn about Emergencies and Children