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HOTC performs kidney transplantation on 386 patients

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BHAKTAPUR — Human Organ Transplant Centre (HOTC) in Bhaktapur has performed kidney transplantation on 386 patients so far.

The Centre came into operation in April 23, 2012. During the past nine months alone, the Centre has transplanted kidneys on 104 patients, shared the Centre’s Executive Director Dr Pukar Chandra Shrestha.

He also said that the Centre provides haemodialysis service to over 100 patients on a daily basis under its 24-hour service.

Director Shrestha further informed that the Centre has successfully transplanted kidney received from a brain-dead person for the first time in Nepal, has performed successful liver transplant, along with providing Endoscopic Ultrasound service to the patients – first of its kind at a government health facility.

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The Centre has increased its services with a rise in number of kidney patients. At the same time, it is also launching open heart surgery service for the first time in Bhaktapur in the near future, according to Dr Shrestha.

A meeting of the Council of Ministers held on January 1, 2018 took the decision to change the Centre’s name to Dharmabhakta Human Organ Transplant Centre.

Dr Shrestha added that the name on the board of the Centre will be changed once they receive the circular from the Ministry of Health.

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Drinking 3 cups of coffee or tea daily may keep stroke risk at bay

Raghu Kshitiz

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KATHMANDU — There have been several conflicting studies on the health benefits of drinking coffee and tea and their various varieties. But drinking up to three cups of coffee or tea in a day is safe because it reduces irregular heartbeat and stroke risk, according to a new study published in the journal JACC: Clinical Electrophysiology.

Coffee has previously been believed to worsen abnormal heart rhythms, as doctors generally discourage patients suffering from the condition. However, the results of this particular study say that a daily consumption of upto 300 mg of caffeine may be safe for arrhythmic patients.

This is because the caffeine acts as a stimulant to the central nervous system and blocks the effect of adenosine. Adenosine is a chemical which causes Atrial Fibrillation (AFib).

A single cup of coffee contains about 95 mg of caffeine. It acts as a stimulant to the central nervous system and works to block the effects of adenosine — a chemical that causes AFib.

AFib is the most common heart rhythm disorder, causes the heart to beat rapidly and skip beats, and if left untreated, can cause strokes.

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“There is a public perception, often based on anecdotal experience, that caffeine is a common acute trigger for heart rhythm problems,” said lead author Peter Kistler, Director at Melbourne’s Alfred Hospital.

But, “caffeinated beverages such as coffee and tea have long-term anti-arrhythmic properties mediated by antioxidant effects and antagonism of adenosine,” he added.

A meta-analysis of 228,465 participants showed that AFib frequency decreasing by 6 per cent in regular coffee drinkers, and an analysis of 115,993 patients showed a 13 per cent reduced risk.

Another study of 103 post-heart attack patients who received an average of 353 mg of caffeine a day showed improvement in heart rate and no significant arrhythmias — or abnormal heart rhythms, that cause the heart to beat too fast, slow or unevenly.

However, in two studies, where patients drank at least 10 cups and nine cups of coffee per day, showed an increased risk for ventricular arrhythmias (VAs) – a condition in which the lower chambers of the heart (ventricles) beat very quickly.

On the other hand, patients with pre-existing heart conditions who consumed two or more energy drinks — that contains concentrated caffeine — per day reported palpitations within 24 hours.

With Agency Inputs

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