source: The Hindu
Monday, May 2, 2016
Spending long hours in air conditioned rooms to beat the summer heat can trigger asthma attacks, warn physicians.
On the eve of World Asthma Day, pulmonologists and allergy experts say asthmatics should avoid spending long hours in air conditioned rooms as reduced humidity and cold can trigger an attack. “An attack triggered by reduced humidity and cooling by an air conditioner has been aptly named the ‘Freon Effect’,” noted Dr. Sudhir Prasad, a consultant pulmonologist at Global Hospitals.
“Consuming cold foods and beverages also ups the risk of irritating the airway and an attack,” he added. Attacks are common in winter and spring when pollen becomes an allergen.In summer, extremely high or low humidity levels are known to trigger attacks, warranting maintenance of ambient indoors.
The American Centre for Disease Control and Prevention advises maintaining indoor humidity between 35 per cent and 40 per cent. Dr. Prasad added that air-conditioned room temperature should not dip below 24 degree Celsius if asthmatics are the room’s occupants.
The impact of air-conditioning on allergic and asthmatic children can be markedly severe.
According to the president of Allergy and Asthma Network India, children attending classes in air-conditioned classrooms are more likely to report symptoms of rhinitis, sneezing and blocked nose. “This will happen often if air-conditioning filters are cleaned regularly. The upper and lower respiratory tract can get aggravated in sensitive allergic children. Additionally, given that class rooms harbour many students in closed premises for long hours, infections will also tend spread very swiftly,” he said.
In summer, extremely high or low humidity levels are known to trigger attacks
source: The Hindu
source: The Hindu
Saturday, April 30, 2016
‘Science’ word truly means knowledge (scientia). Science just means knowledge existing then. It is neither total truth nor eternal fact. There are many who are worshippers consider Science as demigod. Science of today is more segmental if not fragmental. I seek the attention of genuine scientists to ponder over this fact. Karl Popper rightly says ‘the problem of demarcation was not the problem demarcating science from metaphysics but rather problem of demarcating science from pseudoscience’. But any belief not founded on knowledge remains superstition that deserves to be condemned. Modern world is the product of science and its fruits.
Current scenario of science especially in the arena of Health is far from being scientific. On one side the professionals of health and medical sector are under constant influence of the data called Statistics of success or failure in various clinical trials and animal experiments. Mr. Koestler is right when he said ‘Scientific evidence is a rather elastic term and verification is always a relative affair’. The certainty of objective knowledge lies in our subjective faith and conviction.
The myth of a 1.5 trillion dollar business over 40yrs is now blown out that Cholesterol is not a nasty chemical. The US government has finally accepted that cholesterol is not a 'nutrient of concern', doing a U-turn on their warnings. This fear probably caused death of a million sensitive citizens who believe the US drug industry. Eggs, butter, full-fat dairy products, nuts, coconut oil and meat have now been classified as "safe" and have been officially removed from the "nutrients of concern" list.
What is more intriguing is ‘The US Department of Agriculture, which is responsible for updating the guidelines every five years, stated in its findings for 2015: "Previously, the Dietary Guidelines for Americans recommended that cholesterol intake be limited to no more than 300 mg/day."The 2015 DGAC will not bring forward this recommendation because available evidence shows no appreciable relationship between consumption of dietary cholesterol and serum (blood) cholesterol, consistent with the AHA/ACC (American Heart Association / American College of Cardiology) report."Cholesterol is not a nutrient of concern for overconsumption.” We do not know that all this is a fact of relief or recovery from shock of having been cheated so long by both professionals and the drug industry.
Earlier decades, 1970s, 80s and 90s were the 'non fat' years, with the health officials warning people to limit the amount of high-cholesterol foods in their diets to avoid heart disease and strokes. Dr. George V. Mann M.D. associate director of the Framingham study for the incidence and prevalence of cardiovascular disease (CVD) and its risk factors states: "Saturated fats and cholesterol in the diet are not the cause of coronary heart disease. That myth is the greatest deception of the century, perhaps of any century". Any individual consuming cholesterol lowering agents for over a decade possibly may now become victim of both cancer and drug induced diabetes, God forbid. Cholesterol is the biggest medical scam of all time by any stretch of imagination.
‘There is no such thing as bad Cholesterol!’ say experts. Men of science have abandoned truth for money. Are we true followers of science? Attempting to control cholesterol is a very, very dangerous practice that occurs in every hospital and medical clinic daily, says Ron Rosedale, MD "Statin Drugs Actually Increase Heart Disease", an alarming statement. Further he adds, the majority of people that have heart attacks have normal cholesterol levels.
From basic human metabolic point of view ‘our body needs 950 mg of cholesterol for daily metabolism and the liver is the main producer, only 15% of cholesterol is being provided by the food we eat. If the fat content is less in our food we eat, our liver got to work more to maintain the level at 950 mg. If the cholesterol level is high in our body, it shows the liver is working perfect. Experts say that there is nothing like LDL or HDL.
Cholesterol is not found to create block any where in human body, let alone our heart vessels, say scientists.
When our ‘Fat phobia’ took a U turn, who knows, we may face another U turn, in what direction God only knows.
Take knowledge but do not believe blindly.
( The author is former Dean of Nizams Institute of Medical Sciences and currently Director of Global Medical Education and Research Foundation)
Wednesday, April 27, 2016
Statistics show higher morbidity and mortality in adults from vaccine-preventable diseases as compared to children
Mumbai, 25th April, 2016: This World Immunization Week’s (24-30 April) theme is ‘Closing the immunization gap: Immunization all throughout life’. It stresses on the need for immunization in adolescents and adults, an overlooked but critical health issue. Very alarming is the fact that adults suffer from higher morbidity and mortality from some serious vaccine-preventable diseases when compared to children. For e.g. vaccine preventable influenza and pneumococcal disease kill far more adults than children each year. Most countries including India have public health policies which strongly focus on childhood vaccination. There is a need to push for adult vaccination to bring down adult deaths from preventable illnesses.
Recognizing the importance of adult vaccination, Global Hospital has started an adult vaccination clinic to make available adult vaccines for serious diseases such as influenza, hepatitis A, B, chicken pox and rubella etc. Diseases such as influenza, pneumococcal, hepatitis A and chicken pox are more aggressive when acquired in adulthood. Certain vaccine preventable diseases like pertussis, influenza and chickenpox not only affect the infected individual but pose a heightened risk of infecting children and older adults in the family, both vulnerable groups of society. Such vaccine-preventable diseases put an increased economic burden on the country.
Speaking on the occasion of World Immunization Week, Dr. Vasant Nagvekar, Infectious Diseases Consultant, Global Hospital Mumbai said, “The high rates of morbidity and mortality in adults from vaccine-preventable diseases is a grave concern as they far exceed those seen in children. Just the yearly influenza vaccine, especially when taken by the elderly and those having co-morbid conditions, reduces hospitalization risks by 40%. There has been a reduction of 25% adult deaths through the use of the pneumococcal vaccine and a 50% reduction from the use of the influenza vaccine. I would like more and more people to be aware of this fact and choose adult vaccination for themselves and their families.”
Dr. Nagvekar stressed upon the fact that all women planning pregnancy must know whether they are protected against chicken pox and rubella either by having acquired infection in the past or through vaccination against the disease. If not protected, it is important to get vaccinated. He also stressed on the fact that all adult vaccines should be taken as per a doctor’s advice and under his supervision.
Adult immunization coverage is low in India and must be pushed aggressively to bring down the overall disease burden. A lack of provider recommendations for adult vaccines combined with lack of knowledge on adult vulnerability to life threatening diseases plus the perception that these vaccines are costly could be the reasons for people not opting for adult vaccination. This initial cost however must be offset by the benefits that accrue over the long term for individuals and their families and must be considered a necessary investment in good health.
Tuesday, April 19, 2016
If you fail to keep yourself adequately hydrated during the heat wave this summer, there are more chances for stones to surface in kidneys and ureter, warn experts.
This holds especially true for those who work outdoors in the extreme heat but commit the mistake of not drinking enough water, which helps calcium and other minerals in the urine to condense and turn into small stones. The warning signs for such a condition are burning sensation while passing urine, severe pains on either side of the stomach, vomiting and blood in urine.
"Though it takes six months to one year for kidney stones to grow to a size of 5 mm to 7 mm, dehydration induced by the heat wave can hasten the process as acidic substances in urine become more concentrated to form into crystals and finally into stones," said Dr N Mallikarjun Reddy , consultant laproscopic urologist, Global Hospitals.He blamed dehydration for a 10-15% rise in kidney stone cases every summer.
The problem is also said to get aggravated if instead of drinking enough water, one consumes carbonated drinks and eats a lot of non-vegetarian food. Not just stones, inadequate hydration is also known to cause kidney injury and affect blood supply to the kidneys.
Source: Times of India
Thursday, April 14, 2016
Walking under the scorching sun in summer? Make sure you are body is not dehydrated, as this may lead to a condition called chronic venous thrombosis (CVT), which is a blood clot in vein. Doctors see a rise in the number of such cases in summer and most people are not aware of it.
The common symptom for CVT is headache. If a person gets a severe headache along with other complications, then he or she should approach the doctor without any delay, says Dr D S Halprashanth, senior neurologist at Global Health City Hospital. “We usually see one or two such cases normally, but in summer this numbers will increase to 4-5,” says Dr Halprashanth.
But is CVT the only reason for headaches? No. There are different types of headaches and summer heat could be one of the triggering points for such variations to affect people. “If a person gets headache due to walking in the sun, then it is a sign the person might be at the early stages of migraine. So better to avoid the triggering point, and stay indoors. Especially 10 am to 3 pm is not the right time to walk out for any people,” says Dr Halprashanth.
While a migraine affects the quality of life, other types of headaches may even prove fatal but most people are not aware of it, says the doctor. There are two types of headache - primary and secondary. The primary headache can be managed through medication and hence, nothing to worry about it. But only doctors can tell if it’s primary or secondary headache.
The secondary headache is the dangerous one as it may turn fatal, warns Dr Halprashanth. “If a person has recurring headache for years and it suddenly turns severe with conditions like nausea, vomiting and seizures then it could be because of a haemorrhage in the brain or other serious problems,” he explains. “The cause of this recurring headache has to be treated immediately, else it can turn fatal.” Soaring temperatures can be one of the triggering points for migraine type of headaches. However, not all migraine will have the same cause; for some it could be because of selective food, for others it could be because of lack of proper diet, sleep deprivation, noise, pollution and sound. “Hence people with migraine should identify their triggering point and take steps to avoid those traps,” he adds
Source: The New Indian Express
Sunday, March 27, 2016
Shanaki Sakuntala (L), her husband H.N.D. Kodikaragoda and their daughter Yenuli.
BGS Global Hospitals - a unit of Global Hospitals Group, successfully performed a Bone Marrow Transplantation [ BMT], on 33 year old Sakunthala from Colombo who was diagnosed with Acute Myeloid Leukemia (Blood Cancer), giving her a new lease of life with her cancer now in complete remission.
Sakunthala, was referred to BGS Global Hospitals - Super Specialty Quaternary Care, at Bangalore and was diagnosed with Acute Myeloid Leukaemia (Blood Cancer) and was advised to undergo BMT. With the stem cells of her 35 year old sibling, she successfully underwent Allogenic Bone Marrow Transplantation by a team of BMT Physicians. She has responded well to the treatment and is on follow up.
Dr Sachin Jadhav, Head, Haematology & Bone Marrow Transplantation, BGS Global Hospitals, said, "There have been advancements in the treatment of cancer. Bone Marrow Transplant has less toxicity than earlier and has improved the quality of life for patients post treatment. Several new types of Bone Marrow Transplant are emerging like Mini Allogeneic Transplantation, Bloodless Autologus Transplantation and Haploidentical Transplantation. Solid tumors, leukemia's and lymphomas are being cured by using BMT as a modality."
A bone marrow transplant (BMT), also called a stem cell transplant, is a procedure in which diseased or damaged bone marrow cells are replaced with healthy ones. This procedure is performed after a patient has high-dose chemotherapy or radiation. Conditions successfully treated with BMT include cancers, such as leukemia, lymphoma, multiple myeloma and solid tumors, as well as aplastic anemia.
In an allogeneic transplant, stem cells are donated to the person from another person, a genetically matched stem cell donor. This is usually a family member, a brother or sister with the same tissue type. Where no sibling is available, a search is made to find the donors. Sometimes there is a slight mismatch between the tissue type of the donor (usually a family member) and the person, but they may still be the best possible match.
Source: The Island
Saturday, March 19, 2016
Bringing about a landmark development in Emergency Medical Services (EMS) to its neighbourhod, Global Health City (GHC) launched LIFECARE RESPONDER, a two-wheeler ambulance service on 18th March’2016 in Hotel ITC Grand Chola, Chennai. The launch event was organized in the international conference on Emergency Medicine & Trauma (GAM
ET 2016) organized by GHC, where leading Emergency medicine practitioners from across the world were present. It was also an apt moment for the launch as the world would be observing WORLD HEAD INJURY AWARENESS DAY after a couple of days i.e. on 20th March
The event begun with a traditional lamp-lighting ritual followed by welcome address by Dr. K. R. Ram Mohan – Head of ER, GHC & the organizing Chairman of GAMET’2016. Then came the big moment, when the physical manifestation of the LIFECARE RESPONDER service, a beautifully accessorized bike ambulance was unveiled by Col. Hemraj Parmar – Chief Operating Officer, GHC in the presence of elite gathering of ER professionals from many countries, senior officials of GHC and delegates from media. Afterwards the confluence was addressed by Col. Parmar, Dr. K. Sridhar – Director of Neurosciences & Spinal Disorders, GHC and Dr. T. S. Srinath – National President of SEMI, elaborating on safety in everyday life and urging everyone to adopt SAFETY AS A SOCIAL CULTURE. The ceremony ended with a pleasant valedictory address by Dr. Neeraj Mangla – Organizing Secretary of GAMET’2016. Then it was the time for festivities with photo opportunity and a gala dinner.
Global Health City initiated the Lifecare Responder service as a strong extension to its existing fleet of regular ambulances. The successful launch of this service by the Karnataka and Tamilnadu governments clearly indicates its worth in saving lives during medical emergencies; especially during rush hours, when a regular emergency evacuation vehicle finds it challenging to wade through the traffic to reach the spot of emergency.
GHC is pleased to bring the novel Lifecare Responder service to it neighbourhood community. The bike-ambulance will be manned by a trained Emergency & Trauma care professional and will be equipped with basic life saving gadgets and medications that are essential to stabilize victims till a regular ambulance arrives. GHC hopes that this noble endeavour is appreciated and accepted by the neighbourhood and foresees to better serve the community during medical emergencies