Wednesday, 29 May 2013

Pet Therapy for A Better Life

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Owning a pet may help decreases a person’s risk of suffering from heart disease and is linked with lower levels of obesity, blood pressure and cholesterol, said a scientific statement issued by the American Heart Association (AHA). “Pet ownership, particularly dog ownership, is probably associated with a decreased risk of heart disease,” said Glennn N.Levine, a professor at Baylor College of Medicine in Houston.

A study of more than 5,200 adults, cited by the AHA, showed dog owners were more physically active than non-owners because they walk their pets. Research has shown that the loyalty and love pets display can reduce stress, anxiety, depression and loneliness in their owners and increase their sense of well-being and self-esteem. Other research has revealed the calming effects of pets, which are used in animal-assisted therapy programmes.

Thanks,

Hindustan Times, Well Being,

12/05/2013

 

Sai Vandan Homoeopathic Clinic,

Toshniwal Hospital, Dr.Lane, Nanded Maharastra-431605

Subharti Medical College

Delhi-Meerut-Haridwar Bye-pass Road, NH 58, Meerut Uttar Pradesh

Bharath Eye Hospital

Raja Towers, Opp Krishnan Kovil, Tholicode, Kollam Kerala-691305

Modern Hospital

A/171, P.c. Colony, Tiwari Bechar Road, , Patna Bihar-800020

Eye-Q Super Specialty Eye Hospitals

An associate with Prakash Netra Kendra, NH-2, Vipulkhand-4, Lucknow Uttar Pradesh

Tuesday, 28 May 2013

Hives (Urticaria)

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Hives (urticaria) is a common, recurrent, hypersensitivity reaction or the skin characterized by formation of transient wheals which are extremely itchy, coming suddenly and causing lot of distress. Both sexes and all ages are effected. Its incidence ranges from 15-25% of the population.

Hives (urticaria) may be acute or chronic, localized or generalized. It may be idiopathic, IgE mediated, complement mediated or due to physical causes such as heat and cold, sunlight and physical agents etc.

Acute urticaria results from ingestion of certain foods, drugs inhalants and after Bee Stings. It is characterized by formation of large, wheals and is IgE dependent in persons with atopic background. It comes suddenly and is of short duration. Attack is associated with pruritis and skin appears normal after wards.

Chronic Hives (urticaria)

This is defined as disease lasting for more than 6 weeks. It is considered idiopathic in majority of patients (80-90%) and is not IgE dependant. It affects predominantly adults and is twice as common in women as men. Emotional factors play important role in exacerbating the condition. Many factors including salicylates dyes in food substances and preservatives, intestinal parasites, septic foci in the body are important in precipitating the disease. For its development the retention increase in weight occurs.

State of tissues is more important since it is an allergic reaction to a foreign Protein.

Clinical types of Hives (urticaria)

Physical urticaria: It is type of urticaria which is produced by physical conditions like pressure, scratching etc. Mostly it is asymptomatic but symptoms occur after local trauma to the skin. Mild scratching may produce erythema and wheals (DERMOGRAPHISM).

Cold Urticaria: It occurs in children and young adults. Exposure to cold in the form of cold climate, freezing temperature contact with cold objects from the freezer trigger the reaction. Application or ‘ice cube’ to the skin of such people elicits a wheal and establishes the diagnosis.

Solar urticaria: Exposure to sun, ultraviolet light etc produces urticaria especially during summer months in a very short time, may be minutes. There is itchy pale or red swelling at the site.

Cholinergic urticaria: It is common in young adults and is mediated by acetyl choline. Lesions are small (1-3 mm) red, papularwheals surrounded by erythema and last for 30-60 minutes. Attacks are triggered by hot baths, exercise and after emotional stress.

Aquagenic urticaria: It is an uncommon form. Contact with water produces itching with or without wheals.

Causes of Hives (urticaria)

Idiopathic

Immunologic mechanisms

IgE Mediated

Complement mediated

Non allergic causes

Drugs (Penicillin, Aspirin)

Foods (Mild & milk products, eggs, fish)

Food additives.

Inhalants (Pollens, House dust)

Parasitic infestations.

Physical (Cold, sun exposure, Pressure, scratching)

Insect Bites

Clinical picture of Hives (urticaria)

Sudden appearance of papules or plaques with well demarcated borders and surrounded by erythematous halo, varying in size from pea size to several cms, and marked itching characterize clinical picture of urticaria. Lesions are transient and appear within minutes and last usually for a short period. Wheals which are circumscribed and transient erythematous oedematous lesions constitute essential lesion. Depending on the duration of lesion, skin appears normal after wards. While there is no specific predilection for any part of body but trunk and thighs are commonly involved.

Investigations

There is usually eosinophilia. Stools should be looked for any parasite. There may be hypocomplementemia.

Course of the disease

Where there is offending agent localized, the disease may be controlled. In more than 50% of patients, the person is free from urticaria in period ranging from 1-2 years while in others it may have a very chronic course.

Management

It may be very prolonged affair. A thorough search should be made for any drug, food item, septic foci, intestinal parasites, which might be responsible for causing Hives (urticaria).

When a patient of urticaria (hives) presents, he/she has usually distressing symptoms of itching. Local application of calamine lotion or cold compresses shall offer relief.

Systemic therapy includes administration of antihistamines like first generation H-I antagonists (chlorpheneramine maleate, diphenhydramine, hydroxyzine) are effective but their only drawback is that they are sedating. Non-Sedating antihistamines (cetirizine, loratadine and fexofenadine) are equally effective and preferred. Combination of an H receptor antagonist with an H2pblocker such as RANITIDINE may stop attacks when other treatments fail.

Mast cell stabilizer (Ketotifen) which is an antihistamine inhibits stimulation and mediator release by immunogenic and inflammatory cells like mast cells and leukocytes, is an equally effective alternatives drug in resistant cases of urticaria (hives). Systemic corticosteroids are not preferred in treatment of urticaria, except for short periods. In severe forms of acute urticaria Adrenaline (1: 1000) is also given subcutaneously (0.5-1 ml) in very severe cases of urticaria.

  Thanks,

Health, August-2012

 

Monday, 27 May 2013

Vasan Eye Care Hospital

No.28 & 29, 7th Main, Diagonal Road, 4th Block, Bangalore Karnataka-560011

The Oxford Medical College, Hospital & Research Centre

Yadavanahalli, Attibele Hobli, Bangalore Karnataka-562107

Sri Balaji General Hospital

Kesaram Gate, Highway Road, Ranga Reddy Andra Pradesh

Orchid Multi Superspeciality Hospital

(A UNIT OF ADVAIT MEDICOM AND RESERCH INSTITUTE PVT.LTD.) Plot No.271/272(P), Opp R.R High School, Jalgaon Maharastra-425001

Vitamin D

 

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Vitamin D occurs in two related forms:

Cholecalciferol (vit. D3): It is produced in the skin from 7-dehy dr+ocholesterol by the action of ultraviolet light from the sun rays.

Ergocalciferol (vit. D2 calciferol): It is obtained from vegetable source. It is the form which is used in commercial vitamin formulations and in dairy products.

Vitamin D3 is a prohormone and is not biologically active. It is first hydroxylated in the endoplasmic reticulum of liver to form to active calcifedion (25 (OH) D3).

This metabolite is then cs-hydroxylated by the mitochondrial P-450 in the kidney to the major active metabolite calcitriol (1,25 (OH) 2 D3). This step is modulated by parathyroid hormone.

Vitamin D3 and its metabolites circulate in plasma after tightly binding with alf a-globulin. Excess vitamin is stored in fat and adipose tissues.

Actions of Vitamin D on Target Tissues

Calcitriol stimulates calcium and phosphorus absorption from intestine.

Calcitriol has antirachitic effect due to its ability to increase osteoblast mediated activation of osteoclasts. It also promotes differentiation of osteoclast precursors which is facilitated by parathyroid hormone.

Both calcitriol and calcifediol increase reabsorption of calcium ions and phosphorus from proximal tubules. However, this action is weaker and less marked compared to PTH.

Vitamin D regulates secretion of PTH.

Vitamin D has some immunoregulatory properties because it enhances lymphokine production.

The net effect of vitamin D3 is to raise both serum calcium and phosphorus levels. Their high levels reduce the rate of production of calcitriol by the kidney.

Calcitriol itself inhibits PTH secretion. Thus there are negative feedback loops which control secretion of calcitriol and PTH.

Preparations of Vitamin D

Cholecalciferol (1 pg vitamin D3 =40 U of vitamin D): Daily requirement to prevent the deficiency symptoms is 200-400 fIJI day.

Ergocalciferol (calciferol, vitamin D2) is derived from yeast and fungal sterol.

Calcitriol (active vitamin D2) is available for oral as well as parenteral use.

Alfa calcidol (1-ct-hydroxy cholecalciferol) and dihydrotachysterol are synthetic prodrugs which are rapidly hydroxylated to calcitriol in liver. These are used to treat renal rickets, vitamin dependent rickets and hypoparathyroidism.

Calcipotriol (calcipotriene), doxercalciferol (1-ct-hydroxy-D2) and paricalcitol are calcitriol analogues. Their clearance is faster because they are poorly bound with alfaglobulin. So there is less risk of causing hypercalcaemia and hypercalciuria.

Therefore, they are useful in other conditions like psoriasis and secondary hyperthyroidism with chronic renal disease.

Vitamin D Deficiency

In children, it causes rickets due to deficient calcification of osteoid tissue. So there occurs bony deformities like bow legs, enlarged skull, spinal curvature, chest deformities and hepatosplenomegaly.

In adults, osteomalacia occurs due to decalcification and demineralization of bones. It is characterized by bone tenderness with pain and loss of bone density.

Hypervitaminosis D

Hypervitaminosis D develops after chronic administration of more than 15,000 IU/day of vitamin D3. So there occurs increased plasma calcium levels and its ectopic deposition in blood vessels, parenchymal organs and soft tissues.

It is characterized by weakness, fatigue, vomiting, diarrhea, polyuria, renal stones, and hypertension and growth retardation (in children).

Treatment consists of stopping vitamin intake and keeping the patient on low calcium diet. However, recovery may not be complete and may take longer time.

Drug interactions of Vitamin D

Liquid paraffin reduces Vitamin D absorption

Phenytoin and phenobarbitone on prolonged use enhance metabolism of vitamin D by enzyme induction.

Thanks,

Health, August-2012


Adi Bhagavatpada Cardiac & Dialysis Centre (ABCD Hospital)

No: #14 Ulakalandha Perumal Koil Sannadhi Street, Land Mark (Near Sri Kanchi Kamakshi Amman Koil) - Kanchipuram Tamilnadu-631502

Sunday, 26 May 2013

Human Bite

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Human bite is usually semicircular or crescentic, caused by the front teeth (incisors and canines), with a gap at either side due to the separation of upper and lower jaw. The teeth may cause clear, separate marks or form a continuous or intermittently broken line. Bite marks may be abrasions, contusions or lacerations or a combination of any two or three.

In forcible bite, the appearance is of two ‘bows with their concavities facing each other, and a gap at each end. The sucking action reduces the air pressure over the center and produces multiple petechiae hemorrhages, due to rupture of capillaries and small venules in the subcutaneous tissues.

If the human bite is forcible, the petechiae are confluent and produce a contusion. If the bitten area is irregular or markedly curved, only part of the dental arch comes in contact with the tissues. Rarely, the bite mark may be linear in pattern, due to the scraping of the skin by the upper incisors, causing parallel tracks. Faint teeth marks become visible when examined under ultraviolet light in the dark room.

In sexual bites, the teeth are used to grip during sucking; the resulting central or peripheral such marks are seen as petechiae, producing reddening. In many such bites teeth marks are not seen . Love bites are usually seen on breast, neck, cheek, abdomen, arms, thighs and genitalia.

In the living , these marks are seen from one to twenty four hours after infliction. Swabs of the human bite mark should be taken immediately, using a swab moistened with sterile water.

A swab of  control area adjacent to the mark, and a swab of victim’s saliva should also be taken using swabs moistened with sterile water. If there is a delay in sending the swabs to the laboratory, they should be kept in the freezer compartment of the fridge.

In child abuse, bite marks can be found anywhere on the body. Self-indicated bite marks are usually seen on the shoulders and arms.

They are useful in identification because the alignment of teeth is peculiar to the individual. Human bite marks may be found in materials left at the place of crime, e.g.,foodstuffs, such as cheese, bread, butter, fruit or in humans involved in assaults, when either the victim or the accused may show the marks, usually on the hands, fingers, forearms, nose and ears.

Photographic Method

The bite mark is fully photographed with two scales at right angle to one another in the horizontal plane. Photographs of the teeth are taken by using special mirrors which allow the inclusion of all the teeth in the upper or lower jaws in one photograph. The photographs of the teeth are matched with photographs or tracings of the teeth.

Tracings can be made from positive casts of a human bite impression, inking the cutting edges of the front teeth. These are transferred to transparent sheets, and superimposed over the photographs, or a negative photograph of the teeth is superimposed over the positive photograph of the bite. Exclusion is easier than positive matching.

Casts

A Plastic substance, such as a rubber or silicone based medium containing catalytic hardener is laid over the human bite mark, which produces a permanent negative cast. Plaster of paris also can be used.

Thanks,

Health, August-2012

 

Brain Damaging Habits

1.      No Breakfast

people who do not take breakfast are going to have a lower blood sugar level.

This leads to an insufficient supply of nutrients to the brain causing brain degeneration.

2.       Overeating

It causes hardening of the brain arteries, leading to a decrease in mental power.

3.      Smoking

It causes multiple brain shrinkage and may lead to Alzheimer disease.

4.      High Sugar Consumption

Too much sugar will interrupt the absorption of proteins and nutrients causing malnutrition and may interfere with brain development.

5.      Air Pollution

The brain is the largest oxygen consumer in our body. Inhaling polluted air decreases the supply of oxygen to the brain, bringing about a decrease in brain efficiency.

6.      Sleep Deprivation

Sleep allows our brain to rest. Long term deprivation from sleep will accelerate the death of brain cells.

7.      Head covered while sleeping

sleeping with the head covered increases the concentration of carbon dioxide and decrease concentration of oxygen that may lead to brain damaging effects.

8.      working your brain during illness

working hard or studying with sickness may lead to a decrease in effectiveness of the brain as well as damage the brain.

9.      Lacking in Stimulating thoughts

Thinking is the best way to train our brain, lacking in brain stimulation thoughts may cause brain shrinkage.

10.  Talking Rarely

Intellectual conversations will promote the efficiency of the brain.

 

Thanks,

Health, August-2012

 


 

Makkah Eye Hospital

D-247, 248, Abdul Fazal Enclave, Jamia Nagar, New Delhi Delhi

Saturday, 25 May 2013

Parental Conflict

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How does Parental Conflict Affect Children?

When parents are in conflict, children are greatly affected. even if parents try not to fight in front of their children, the children notice tension in the home. Parents who are experiencing conflict need to understand that this tension has a profound effect on their children, causing many problems, such as behavior and academic difficulties.

Children whose parents are in conflict often do poorly in school. Children blame themselves for parental conflict, mainly because they do not have the maturity to realize that the parents are the ones who create and maintain the conflict. many children fell as though they have done something wrong to create the conflict, and as a result they have a difficult time concentrating in school. even conflicts that seem mild to the parents have a tremendous impact on children, because they do not gave the ability to discern various levels of conflict. Similarly, conflicts between parents can cause children to act out among their peers. This is also a result of the guilt the child feels, as well as the increasing frustration a child experiences in a home that is full of parental vision.

children whose parents are continually in conflict soon begin to speak ill of one parent when around the other.

Children who are living with parents who are in conflict all of the time often experience health problems. If the tension continues for a long time, children lose even more sleep, and they begin to get sick and run down. Also, if the conflict ceases, the negative impact continues. Research indicates that the anxiety and physical problems experienced by children who saw high levels of conflict between their parents can continue for at least a year. For this reason, parents need to work hard to keep their homes happy and harmonious. Parents who disagree need to make sure that they do so behind closed doors where their children cannot hear. Finally, parents should make sure that they apologize to each other in front of their children if conflicts arise, This will help  the children to avoid the negative impacts of living with parental conflict.

Thanks,

Health, August-2012

 

Are You Spoiling Your Baby?

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Some Parents think if they rush to their baby every time she cries they will create a whiny, spoiled baby who will grow to be a spoiled teenager. This is simply not the case! Most of us have a strong urge to attend promptly to baby’s distress (the crying bother us). Those natural urges are quite appropriate. If we respond quickly the baby learns that he can trust you to take care of him and that trust in mom or dad leads to a secure attachment.

Recent research has shown that babies who get a quick and consistent response, especially during the first 6-8 months of life actually cry less than infants who have been left to cry for periods of time. When their needs are met, they develop a basic sense of security that allows them to be more confident and ready to explore and learn. These babies then become more independent as toddlers.

Remember – your baby’s cry is a way of asking for something. Your baby needs you not only to provide for her bodily needs but for comfort and reassurance. Because there are many different needs, it’s important to know and use a variety of ways to respond to your infant. Sometimes if you answer quickly when your baby begins to fuss, the sound of your voice alone will be enough to soothe. Moving close and talking softly in her ear can provide comfort as can holding your hand gently on baby’s back or tummy, Very young babies often like to be swaddled. The snug wrapping provides warmth and security. Some babies seek comfort through sucking on a pacifier, wrist or thumb. Others prefer motion to soothe them – rocking, being carried as you walk, and riding in a stroller or car.

Other studies indicate that continuously low0frequency sound can be effective in calming a baby-a ticking clock, humming with your lips pressed on baby’s forehead or top of head, a music box, or singing softly – tunes can be from Beatles to Brahms. Meeting all of a baby’s needs can be a tough job. No one does it well all the time. The Key is doing it well as often as you can. You will hardly be spoiling your baby- you will be giving her just what she need to become happy and confident as she grows.

Thanks,

Health- August-2012

 

Friday, 24 May 2013

Gujarat Cancer & Research Institute

New Civil Hospital Campus, M P Shah Cancer Hospital Campus, Ahmedabad Gujarat-380016

Alchemist Hospital.

Sector 21, Chandigarh Chandigarh-134112

Sri Jiya Lal Hospital & Maternity Centre

6 Index Enclave Road Near Peera Peera Garhi Chowk New Delhi Delhi-110087

Bhagwan Mahaveer Cancer Hospital and Research Centre

Jawahar Lal Nehru Marg, Jaipur Rajasthan-302017

St. Francis Hospital

Beawar Road, Near Martindale Bridge Ajmer Rajasthan-305001

Rat Bite

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Rats are found both in habitations and wild. Occasionally a person may be bitten by rat while sleeping or dealing with the animal in laboratory. The risk of infection after a rat bite is usually low but is certain people Rat Bite fever may develop. It is caused by two spirochaetes, strepto bacillus.

Streptobacillus moniliformis is a gram negative organism which grows slowly on liquid medium forming typical ‘puff ball colonies’ in a period ranging from 2 to 7 days. It consists of short rods, filaments and yeast like swellings. On the other hand spirillum minus is a short, thick and closely coiled gram negative spiral organism. Both organisms reside in city and wild rats.

Infection is acquired by contact with other animals as well as by ingestion of contaminated milk. In humans the organisms are found in the bitten tissues and in the lymph glands draining that area. They can be demonstrated in peripheral blood but with difficulty. Degenerative changes in the kidney and liver are seen.

Symptoms of Rat bit

After being bitten by a rat which usually is either in the feet, face or upper limbs, the wound heals uneventfully. There is no regional lymphadenopathy but after a period of 2-3 weeks, there is sudden rise in fever with rigors, headache and myalgia. In the streptobacillary form a specific rash usually appears as dusky colored purplish red spots or patchy erythema over the palms and soles or it may become generalized. This lasts for some time and slowly disappears.

The fever after remaining high for periods ranging from 2 to 7 days, falls by crisis. After a varying period of time the fever reappears and this is followed by further relapses. Repeated febrile illnesses coupled with toxaemia leads to weight loss and poor health. Endocarditis, pericarditis and pneumonia may occur uncommonly. Severe degree of arthralgia or arthritis involving large joints can be seen either in one or multiple joints.

Cases with spirillum minus infection where the wound has healed, in 2 to 6 weeks pain and swelling appear at the site of old Rat bit and the scar breaks down. The lymphatics draining the area become inflamed and there is regional lymphadenopathy. A picture of spreading inflammation, myositis and vesicular eruptions may develop and when this has continued for some time, general symptoms of toxaemia appear; fever rising to 103 degree F with rigors, joint pains, headache, nausea vomiting and diarrhea.

Large brown macular rash appears. Arthritis is not commonly see in this form of infection. There is another form of infection associated with wild rodents. Hantaviruses are found in wild rats and are spread by aerolised excreta. The severe form of infection results in hemorrhagic fever characterized by shock, fever, hemorrhage and oliguria with a mortality rate of 5-10%. Diagnosis of this condition is made by ELISA.

Diagnosis

It is based on history of rat bite. The incubation period of streptobacillus fever is 1-5 days and of S.Minus 1-4 weeks. Sterpto bacillus moniliformis infection manifests with prominent joint involvement and fever while spirillum minus infection is usually associated with suppuration at healed bite site with lymphangitis and lymph ademopathy.

Diagnosis is made by demonstration of spirochaetes in aspirates of joint fluid, from a regional lymph node (spirillum minus) or from the blood (streptobacillus moniliformis). Isolation of S.Minus requires intreperitoneal inoculation of blood or infected material into mice or guinea pigs. This is followed by dark field’s examination of animal’s blood and peritoneal fluid 1 to 3 weeks later.

In the presence of fever, rash and arthritis, diagnosis of rat bit fever has to be differentiated from syphilis, viral exanthema and collagen disorders.

Treatment

Penicillin is the drug of choice. Dose is 5 million units I/M every 6 hly for 7 to 10 days. Alliteratively procaine penicillin 6 lac units twice a day for 7 to 10 days. Other drugs which are employed are tetracycline 500 mg 6 hry or Ampicillin I Amoxycillin (500 mg 6 hrly / 8 hrly). In any case with suspected rat bite, prophylactic administration of Amoxycillin form 5 days (500 mg 8 hrly) shall abort infection.

Thanks,

Health, August-2012

 

Thyroid Cancer

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Thyroid Cancer is curable if detected at early stages.

With 5-10 per cent if India’s adult population carrying some kind of thyroid problems due to inadequate or over-secretion of thyroid hormones from endocrine glands, doctors on the eve of World Thyroid Day said that even thyroid cancer is curable if detected at early stages.

Dr. A. Zakir Ali, consultant and head of Nuclear Medicine at Indo-American Cancer Centre, said, “Around 90 per cent of endocrine cancer consists of cancer of thyroid. Early exposure to radiation, family history, and in 5 per cent cases nodules or swelling in the neck region are risk factors for thyroid cancer. An ultrasound scan, FNAC and thyroid test (T3, T4, TSH) are essential for early diagnosis.”

At OGH, which gets at least 500 new cases each month, most patients suffer from hypothyroidism, though cases of thyroid enlargement due to goiter, adenoma and inflammation and cancer are also prevalent. Dr jayanthy Ramesh, HoD, Endocrinology, OMC and OGH, said, “With correct medication, periodic check-ups and adjustment of dosage, thyroid disorders can be kept under control. Though women are eight times more prone to develop thyroidism, it’s a misconception that thyroid problems lead to abortions or difficulty in conceiving.”

But it’s advisable, Dr Ramesh said, for thyroid patients to cut down on consumption of cabbage, cauliflower, broccoli and soybeans, as also stress, and raise physical activity to avoid obesity.

Courtesy: Deccan Chronicle News,

Thanks,

Health, August-2012

 

Thursday, 23 May 2013

Punarjyoti eye center

Sec15/1,duplex-1, Ghaziabad Uttar Pradesh-201012

Shri Vardhaman Jain Hospital

Sector-15, C Block, Dda Market, Rohini Sector-15, Delhi Delhi-110089

Skin Alive Dermatoalogy & Aesthetics

N 116 Panchsheel Park, New Delhi Delhi-110017

K.M. Hospitals

No.64, Medavakkam Tank Road, Near ESI Hospital, Chennai Tamilnadu-600010

Computer Vision Syndrome

  

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Computers have become an essential part of life. Every one, in one or other situation, gets the need to use computer. Since the advent of games, various computer programmes, the use of computers extended to such an extent, that various jobs are now based solely on use of computers. Here the person’s job demands the use of computer for more than 7 hours a day. Since the computer is involved with vision and eyes, it has some effect on eye and surrounding muscles.

The symptoms of computer vision syndrome are: headache, tiredness, irritation of eyes, dryness of eyes, redness, heaviness, watering etc.

Most of these symptoms are due to Dryness of eyes which is created by the monitor light, and reduced blinking. The computer part with major effect on eyes is the “monitor”. The monitor emits light which causes of evaporation of tear film and thus causes dryness. Tear film is a thin film of liquid which covers the surface of eye. This wets the eye and nourishes it. If its depleted, eyes become dry and irritable. Eyes become dry and irritable. The light from the monitor also irritates the surface of eye.

Normally we blink about 15 times per minute. Blink is very essential in that, it reforms the tear film which breaks up before the blink. Blinking occurs involuntarily without our knowledge. During computer usage, the blink rate falls down, as we are focusing on the monitor. This reduced blinking exposes the eye surface to environment for more than normal time. Thus the tear film gets evaporated, leading to dryness.

The Display of letters in the monitor should be with high contrast and low brightness. The letters font should not be too small. Less contrast and small fonts, make the eyes to stress more to see. This stress causes headache, tiredness etc.

The ambient light also plays a role. The room lights should not be too bright and they should not directly shine light on either the eyes or the monitor.

STEPS TO REDUCE THE SYMPTOMS:

The only way to totally get rid of symptoms is to stop computer usage which is not possible in today’s life. The following ten steps would reduce the symptoms to a major extent.

Get a comprehensive eye exam.

Having a routine comprehensive eye exam is the most important thing you can do to prevent or treat computer vision problems. Get your eyes checked by an ophthalmologist at least once in a year.

Use proper lighting.

Eye strain often is caused by excessively bright light either from outdoor sunlight coming in through a window or from harsh interior lighting. When you use a computer, your ambient lighting should not be very bright nor dark.

Eliminate exterior light by closing drapes, shades or blinds. Reduce interior lighting by using fewer light bulbs or fluorescent tubes, or use lower intensity bulbs and tubes. If possible, position your computer monitor or screen so windows are to the side, instead of in front or behind it.

Minimize glare.

Glare on walls and finished surfaces, as well as reflections on your computer screen also can cause computer eye strain. Consider installing an anti-glare screen on your monitor and, if possible, paint bright white walls a darker color with a matte finish.

If you wear glasses, purchase lenses with anti-reflective (AR) coating. AR coating reduces glare by minimizing the amount of light reflecting off the front and back surfaces of your eyeglass lenses.

Upgrade your display.

If you have not already done so, replace your old tube-style monitor (called a cathode ray tube or CRT) with a flat-panel liquid crystal display (LCD), like those on laptop computers.

LCD screens are easier on the eyes and usually have an antireflective surface. Old-fashioned CRT screens can cause a noticeable “flicker” of image, which is a major cause of computer eye strain. Even if this flicker is imperceptible, it still can contribute to eye strain and fatigue during computer work.

Finally, choose a relatively large display. For a desktop computer, select a display that has a diagonal screen size of at least 19 inches.

Adjust your computer display settings.

Keep the brightness low and contrast high. Don’t use Backgrounds which makes the visibility of letters less. Use the letters of reasonable font size.

Blink and rest.

Blinking is very important when working at a computer; blinking moistens your eyes to prevent dryness and irritation. Since involuntary blinking gets reduced during computer use, try to blink voluntarily more often.

To reduce your risk of dry eyes during computer use, try this exercise of 30-30. After every 30 minutes of computer usage, close your eyes gently for 30 seconds. This replenishes the tear film which got evaporated during the computer usage.

 Exercise your eyes.

Another cause of computer eye strain is ‘focusing fatigue’. To reduce your risk of tiring your eyes by constantly focusing on your screen follow “20-20-20 rule”: look away from your computer at least every 20 minutes and gaze at a distant object (at least 20 feet away) for at least 20 seconds. Looking far away relaxes the focusing muscle inside the eye to reduce fatigue.

Take frequent breaks.

To reduce your risk for computer vision syndrome and neck, back and shoulder, pain, take frequent breaks during your computer work day. Every two hours, do the gentle neck exercises.

Modify your workstation.

If you need to look back and forth between a printed page and your computer screen, this can cause eye strain. Place written pages on a copy stand adjacent to the monitor.

See that your computer screen is 20 to 24 inches screen should be about 10 to 15 degrees below your eyes for comfortable positioning of your head and neck.

Consider computer eyewear and medications

For the greatest comfort at your computer, you might benefit from having your eye care professional modify your eyeglasses prescription to create customized computer glasses. Computer eye wear is nothing but a regular light weight glass with an “Anti-Reflective Coating”. A thin film is coated onto the glasses, which reflects the light emitted from the monitor, and thus reduces stress on eyes. Consult your eye doctor before using any eye glasses

With the advice of your ophthalmologist, you can use artificial tear drops. There are many brands available in the market. Basically all of these function in the same manner. They wet the eye surface and thus correct dryness. They work well and relieve the symptoms quite fast, but the relief is only temporary.

Follow these steps, and start getting relieved of your computer vision syndrome problems. Happy browsing…

Thanks,

Health, August-2012

 

Herbal Medicines Are Often Unsafe, Says Report

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Herbal supplements aimed at improving men’s sexual abilities often contain the active ingredients in erectile dysfunction pills such as Viagra, report researchers in Journal of Sexual Medicine. Some of these over–the-counter herbal remedies contained more of the ingredient than is allowed.

Although 57 of the 58 products claimed to be ‘all natural’, 81% contained the tadalafil (marketed as Cialis and Viagra in the US, respectively) or similar ingredients that are not approved by the US Food and Drug Administration. The products also had labeling problems, like expiration dates or lot numbers were missing or manufactures could not be identified.

Thanks,

Hindustan Times- Well Being,

12/05/2013

 

RVM Foundation Hospital

#20, Milestone, Bangalore Karnataka-560082

Unity Hospital

P.B No.535, Highlands, Mangalore Karnataka-575002

Wednesday, 22 May 2013

Manipal Super Specialty Hospital

Soumya Nagar, Tadepalli, Vijayawada Andra Pradesh-522501

Pace Hospitals

1-11-254/11/A/3/1,2,3 Motilal Nehru Nagar SP Road Hyderabad Andra Pradesh-500016

Indian Foods

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Nutritive value of Indian foods Due to marked geographic variations in India, It is important to consider local food preferences, availability and affordability, while offering nutritional counseling. Nutritive value of Indian foods is discussed here. All protein and caloric calues in the following discussion are given as in 100 gm or ml of foodstuff, unless specified otherwise.

In general, cereals are rich sources of energy (350 cal) proteins (12 gm; except rice), Vitamin B complex and minerals. However, cereal proteins are deficient in lysine.

Rice is the staple food for over half of the world population. Although it contains less protein (7 gm %) than other cereals, rice protein is of better quality due to higher lysine content. Milling and cooking with excessive water significantly reduces its vitamin B complex content (present in its outer coating) which may be avoided by promoting the use of un-husked or parboiled rice. Thiamine deficiency like Ben-ben  is more common in rice-staple population.

Parboiling is a process to preserve the nutritive value of rice by moving its vitamin content from outer coating to inner endosperm, It involves soaking the un-husked rice in hot water (65-70) for 3-4 hours, followed by steaming for 5-10 minutes, before drying and storing/milling.

Wheat, the second commonest staple cereal, is deficient in lysine and threonine. Whole grain wheat flour (Aata) is more nutritious than white flour (maida) due to loss of Vitamin B content during milling.

Maize ranks third in world cereal consumption. Apart from lysine it is also deficient in tryptophan – a niacin precursor, and pellagra is common in maize-staple population. Some strains of maize also contain excess leucine that interferes with conversion of tryptophan to niacin in body.

Millets are smaller grains like thwar (sorghum), Bajra (pearl millet), Ragi etc, with caloric and protein value equal to cereals i.e. – 350 cal and 10-12 gm of proteins (except Ragi). Millet proteins are deficient in lysine and threonine.

Ragi, low-cost popular millet provides lesser calories (325 cal) and proteins (7gm), but is a very rich source of calcium.

Pulses or Legumes include Grams like Bengal-gram (Chana), green-gram (Moong), red-gram (Arher) and black-gram (Ural) and Beans like Soya been and pea.

All grams provide – 350 cal (equal to cereals), apart from proteins, Vitamin B complex and minerals. Pulses are very rich sources of proteins (20 -25 gm) in vegetarian diet, often termed as poor man’s meat. Nutritive value of Indian foods of pulses may be further enhanced by ‘Germination ‘ that increases Vitamin B & Content.

However, pulse-proteins are deficient in methionine and cysteine. In addition, uncooked pulses also contain some anti-nutrient factors like phytates and tannins, which inhibit absorption of other nutrients like iron.

Soya bean is a very rich source of protein (42 gm), though deficient in methionine. Soya-milk is also used as infant feed during lactose intolerance.

Vegetables are considered as protective foods (along with fruits) due to their high vitamin and mineral content.

Green leafy vegetables are essential in diet due to high Vitamin B (except B12), A and C content; high iron and calcium content, high fiber and water content and low caloric value (25-50 cal) i.e. anti-obesity effect.

Other vegetables like potato, carrots, onion, radish etc. are of limited nutritive value, except to increase palatability of diet. However, some of them are good sources of vitamins like carrot (Vitamin A) or minerals like iron (radish, drum sticks). Roots & tubers like potato, sweat-potato and tapioca are rich in carbohydrates.

Fruits are valuable due to high vitamin content like Vitamin A (papaya and mango), Vitamin C (amla), High mineral content like calcium (custard apple) and potassium (coconut water), high caloric value like banana (100 cal), custard apple etc., High cellulose content (anti-constipating effect).

Dry fruits like dates, rainsins and  apricot are rich sources of calories, iron and calcium.

Nuts & oil seeds like groundnut, coconut, mustard on sunflower seeds are rich sources of fats.

Groundnut is a very rich source of calories (-.550 cal) proteins (25-30 gm), also called as poor man’s cashew nut. Even after oil extraction, groundnut flour retains its protein value and has been used to make supplementary foods like Balahar.

Dry nuts like cashew nut, walnut, almonds, pistachio contain more fat than groundnut (35-65%), but less proteins. These nuts are good but costly source of minerals like calcium, phosphorus and iron.

Milk is the wholesome food for all ages, being rich and quality source of most nutrients. Breast feeding is the best source of nutrition in early infancy. Other milks may be divided into two categories animal milk, modified milk preparations like skimmed milk, toned milk, evaporated milk, dried milk powders etc.

Animal milk: Composition of various animal milks differs significantly, as follows:

As animal milk is regularly contaminated, boiling is essential before consumption. Currently all marketed milks are pasteurized for this purpose.

Pasteurization involves heating of raw milk at 63 for 30 degree  minutes (or 72 degree for 15 seconds) followed by rapid cooling, to eliminate all pathogenic bacteria and reduce non-pathogenic bacterial count <50,000/mi. Pasteurization also improves digestibility of case in with less curd formation.

Modified milk preparations include

Skimmed milk is available in liquid and dried form (milk powders), prepared after removing most of the cream from animal milk, with fat content of 0.5% in full-skimmed milk or 1.5% in half-skimmed milk.

Toned milk, cheapest milk, is prepared by mixing natural milk, water and milk powder (1:1:8) followed by pasteurization before packaging. It has composition similar to cow milk.

Evaporated milks are commercial available as concentrated mil in liquid form, with long shelf-life for many months.

Skimmed milk and evaporated milk should not be used for infant feeding due to high protein and mineral content that may cause dehydration. However, these milks are useful as a dietary supplement for older children during fresh milk shortage.

Commercial milk formulas, modified according to the age-related requirements and fortified with various nutrients are available for top feeding, though these are costly and require careful reconstitution.

Eggs are known for their quality protein content (6 gm/ egg), containing essential amino acids.

Boiled egg is better than raw egg as boiling destroys ‘avidin’ a substance that prevents biotin absorption. Eggs are also rich sources of energy (70 cal), vitamins (except Vitamin C) and minerals.

Sea-foods including fishes, are rich in quality proteins (15-25 gm%), unsaturated fatty acids, fat-soluble vitamins and minerals like calcium, phosphorus and fluorine.

Sea fish/foods also contain iodine that is deficient in fresh-water fishes. However, fish contains very little carbohydrates.

Meat & animal organs like liver, are good sources of quality proteins (15-20 gm%), vitamins like Vitamin D & B complex, minerals like iron, zinc (but deficient in calcium), Fats & oils are good sources of energy (9 cal/gm) and increase palatability of diet.

Vegetable oils are rich in EFA and PUPA (except coconut and palm oil), but contain little Vitamin A & D, unless fortified (vanaspati ghee). High PUPA content in vegetable oils limits hypercholesterolemia, obesity and consequent health problems. Coconut oil is rich in triglycerides, which are absorbed directly without micelles formation (bile-based absorption) and hence, useful source of energy in pre-terms and chronic liver disease.

Animal fats lack EPA and mainly contain saturated fatty acids with obesity-effect. However, animal fats are useful source of energy in malnourished children and contain plenty of fat-soluble vitamins.

Other food products like sugar, condiments/spices and beverages have very limited dietary value, except to increase its palatability.

Thanks,

Health- August2013

 


 

Peppers May Lowers Risk Of Parkinson’s

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Eating Peppers (green, yellow and red capsicum and chilies) twice a week could help reduce the risk of developing Parkinson’s disease by up to a third. Scientists found individuals who ate foods containing an edible form of nicotine- like tomatoes, potatoes and aubergines-gained a degree of protection against the condition.

The  research adds to evidence linking a reduced risk of the disease with smoking and the use of nicotine patches. Vegetables consumption in general was not found to affect Parkinson’s risk.

Thanks,

Hindustan Times- Wellness,

12/05/2013

 

Zenith Hospital

Mith Chowki, Link Road, Mumbai Maharastra-400064

Olive Hospitals Pvt Ltd

#2-2-718/3, 4, 5, Nanalnagar X Roads Hyderabad Andra Pradesh-500028

Medica Super Specialty Hospital

127 Mukundapur, E.M Bypass Kolkata WestBengal-700099

Tuesday, 21 May 2013

BrijLal Hospital & Research Centre Pvt. Ltd.

Anandi Tower, Nainital-Road, NH-87, Nainital Uttaranchal-263139

Basavatarakam Indo American Cancer Hospital & Research Institute

Road No 14, Hyderabad Andra Pradesh-500034

GBH American Hospital

(A Unit of AIHML), 101, Kothi Bagh, Bhatt Ji Ki Bari, Meera Girls College Road, Udaipur Rajasthan-313001

Rickets

 

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Rickets is defined as failure of mineralization of the growing bones, which should not be confused with osteomalacia i.e. defective mineralization of mature bones, or osteoporosis i.e. demineralization of pre-mineralized bones.

Rickets may be broadly divided into two categories Vitamin D deficiency or nutritional rickets, and Vitamin D-resistant or refractory rickets. Nutritional rickets accounts for over 90% cases in childhood.

Vitamin D at glance

RDA: 200 IU/day

Clinical manifestations

Rickets commonly present at 6 months – 2 years of age with bony deformities and hypotonia of supporting ligaments/muscles. Important changes in Rickets are –

Craniofacial changes:

Craniotabes –  softening and thinning of skull bones with pin-pong ball like resilience on pressure over parietal bones (normal <3 months).

Frontal bossing – prominence of frontal bones

Caput quadratum – Box-head or hot crass-bun appearance due to fronto-panetal bossing,

Delayed closure of anterior fontanel,

Delayed dentition.

Thoracic changes:

Rachitic rosary – round, non-tender beading due to widening of costochondral junctions,

Harrison sulcus – a groove/depression along the lower costal margins,

Sternal deformities like Pectus excavatum i.e. depression of sternum, Pectus carinatuin i.e. forward projection of sternum, or pigeon-chest deform it

Limb deformities:

Widening of wrist/ankles (double malleolus) due to widened epiphysis and metaphysic,

Gait abnormalities e.g. Knockknee (Genu incurvatum), Bowlegs and Coxa-vera,

Green-stick pathological fractures of long bones.

Spinal deformities:

Kyphosis or scoliosis due to lax ligaments,

Short stature due to deformed spinal curvature.

Generalized hypotonia with –

Pot-belly, due to abdominal muscle hypotonia,

Visceroptosis due to ligamental laxity,

Hyper-extensible joints (acrobatic rickets).

Other manifestations e.g. excessive sweating over forehead, recurrent respiratory infections etc.

Rickets in severely malnourished children may present without clinical signs despite extensive radiological changes (atrophic rickets).

Diagnosis of rickets

Typical clinical deformities, discussed above,

Characteristic radiological changes, best demonstrated at wrist joint, shoving –

Widening of epiphyseal ends with increased space between diaphysis and epiphysis, due to poor visibility of thickened but uncalcified metaphysis.

Fraying at the visible end of long bones, (raveled sleeve appearance), due to irregular mineralization of metaphysis.

Cupping i.e. concavity at the visible end of long bones, due to poor mineralization of relatively less vascular center and pressure changes

Splaying of the ends off long bones, due to pressure changes on poorly mineralized bones

Other late changes include delayed bone age, costochondral widening with spatulate ribs, tn-radiate pelvis and spinal defonnities.

After Vitamin D administration, radiological recovery is visible in 7-10 days with appearance of provisional zone of preparatory calcification – a transverse line beyond the visible end of shaft, suggestive of healing rickets. Absence of this zone till 3 weeks indicates possibility of refractory rickets. Complete X-ray clearance takes 2-3 months, though deformities may persist for many years.

Prevention of rickets involves adequate exposure to sunlight and Vitamin D supplement (P0 4001U/day) in preterms or rapidly-growing children.

VITAMIN D RESISTANT Rickets

Vitamin D resistant rickets are less common but important indicators of many systemic or metabolic defects. Some important causes of resistant rickets are as follows –

Familial gypophosphatemia, an X-linked dominant disease, is a leading cause of non-nutritional rickets due to defects in – a ) renal reabsorption of phosphates, with consequent phosphaturia and hypophosphatemia, b) conversion 0f 25(OH) D3 into 1,25(OH)2D3.

Clinically, these cases usually present as toddlers with severe bow-legs and waddling gait, typically more severe in males.

Diagnosis rests on – a) no responses to Vitamin D therapy, b) similar family history c) heavy phosphaturia. Despite hypophosphatemia, and d) absence of glucosuria, aminoaciduria and bicarbonaturia (did Renal tubular acidosis).

Treatment includes daily phosphate supplements as Joulie solution (P0 0.5-1.0 gm/d q4hr), along with Vitamin D2 (2000 IL Tikgid) or preferably, 1,25 (OH) 2D3 (50-60 ngikgid). Mega Vitamin D therapy, as used in nutritional rickets, should be avoided due to the risk of hypercemia and nephrocalcinosis.

Vitamin D-Dependent rickets manifest at 3-6 months of age and are of two types –

Type I, due to 25(OH) D3 -1ct-hydroxylase deficiency that prevents renal conversion of Vitamin D into active form, and

Type II, due to inherited end-organ resistance.

While type I may be treated with massive doses of Vitamin D7 (2-10 lac IU/day), type II needs to be treated with 1,25(OH)2D3 (15-30 jag/Kg/day).

Thanks,

Health, August- 2012

 

Bansal Hospital

Near Sahphura Lake, Bhopal MadhyaPRadesh-462016

N.C. College of Medical Sciences & Research and shanthi Devi Multi Specialty Hospital

( A Unit of Shanti Devi Charitable Trust, New Delhi) Panipat - Tohtak Road, Israna, Panipat Haryana-132107

Monday, 20 May 2013

Cancer Hospital & Research Institute

Mandre Ki Mata, Gwalior MadhyaPRadesh-474009

Sitaram Medical Centre

Link Corner Mall, Junction of 24th & 33rd Road, Linking Road, Mumbai Maharastra

Foreign Body in Eye

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Due to our polluted environment, it’s not uncommon for us to experience a foreign body in eye. This is a review to highlight what to do and what not do in such situations.

The usual foreign bodies that may lodge in the eye are dust, sand particles, insect wings, plant material like dried leaf dust, debris, makeup (Kajal, Eyeliner), glass pieces etc.

The eye surface is covered by a thin membrane called conjunctiva. In the centre of eye, there is a black circle called cornea. We have two eyelids which protect the eye as shutters. The common sites of foreign body lodgment are shown in figures.

Rarely  a projectile foreign body can pierce the eyeball and enter into the globe which is called intra-ocular foreign body and is a serious threat to the eye. Those are to be dealt in a tertiary care eye hospital. This article does not deal with such foreign bodies.

The symptoms of foreign body:

Usually the person experiences Foreign body sensation, Redness, Watering, photophobia and Irritation. Irritation may increase on blinking as the lid surface rubs onto the foreign body.

What to do immediately?

Usually the foreign bodies get flushed away by the tears and blinking. Blink frequently for few minutes. If it doesn’t work, go to next step which is “eye wash”. If the natural water in the eye (Tears) are not able to flush the foreign body, take the help of external water. There are two techniques of “Self Eye-Wash”: Eye-Cup technique and Bowl technique.

Eye-cup technique:

The cup should fit snugly around your eye socket. Fill the cup with lukewarm clean water (Cold water can shock the eye, and Hot water can burn) till the brim. Tilt your head sown, position the cup snugly against your eye. The eye is inside the water. Blink several times and move the eye in a circular pattern to help get the water in your eye.

For the bowl method:

The bowl must be large enough for your entire face to fit into it. Place the bowl on a towel so you don’t make a mess. Partially fill the bowl with lukewarm water. The bowl should not be filled completely as water will spill over. Dip your whole head in the bowl of water. Blink several times and move the eye in a circular fashion.

Most of the foreign bodies gets flushed away with this eye wash. Some of them may be lodged into the layers of conjunctiva or cornea or may be attached to the surface. These should be removed by an ophthalmologist. An immediate medical advice should be sought.

Eye specialist would examine the location and nature of foreign body. He would remove it with either ear-bud or a needle or a forceps after anesthetizing the eye. This is a painless procedure. Very rarely foreign bodies may be deep inside the layers of cornea which may require removal in operation theater under a microscope.

You should consult ophthalmologist when pain or scratching sensation persists even after removal of foreign body, or when your vision decreases.

How to help a friend with foreign body in his/her eye:

Wash hands before helping the victim. Seat the person in a lighted area. Gently examine the eye. Pull lower eyelid downward. Ask the person to look upward. Then hold upper eyelid while person looks down. If the object is floating in the tear film on the surface of the eye, try using a medicine dropper filled with saline solution or clean, lukewarm water to flush it out. If a medicine dropper isn’t available, use a glass of water or hold the person’s head under a gentle stream of water. If the above are not available, buy an “artificial tears” eye drops in a nearby medical shop and use it to flush. If the foreign body could not be flushed out, touch the object with wet cotton bud. Object should cling to the cotton bud. If object is removed, flush eyes with saline/warm water. If object cannot be removed, take him to a doctor. If object is embedded, do not touch. Consult doctor immediately.

What not to do?

Do not rub the eyes. It’s a natural tendency to rub the eyes after foreign body injury, but rubbing would cause more damage, as the foreign body scratches most of the eye surface.

Do not attempt to remove an embedded foreign body. The maneuvers can push the foreign body further inside. More over the maneuver can damage the cornea, if not done properly.

Do not attempt to remove a large foreign body.

Do not leave a foreign body on the eye. Some foreign bodies when embedded in the superficial layers, may not cause any symptoms, but they should be removed as they may cause infection if left inside.

How to prevent foreign bodies?

Eye protection is the best prevention. Wear protective goggles when you are in dusty environment. Wear protective goggles during works like welding, constructions, chipping etc. Handle your contact lenses carefully and hygienically, as contact lenses are a source of foreign bodies.

Thanks,

Health, Oct-2012

 


 

First aid for the eye – What every parent should know

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Eye injuries are one of the leading causes of vision loss in children. If your child gets an eye injury, provide first aid, and then seek medical help immediately. Even a seemingly light blow can cause a serious eye injury. If a black eye, pain or visual disturbance occurs after a blow, contact your Eye M.d. or emergency room immediately. For first aid, follow these steps:

If your child is hit in the eye:

Place an ice pack or cold cloth over his or her eye right away. Hold it on the eye for about 15 minutes. This helps lessen the pain and reduce swelling.

If your child’s eye continues to hurt, turns black, or if your child has blurred vision, double vision, floaters or redness, see an Eye M.D. or go to a hospital emergency room right away.

If your child gets a speck in the eye, such as dirt or dust, DO NOT RUB the eye!

Gently lift the upper eyelid over the lower eyelid. This allows the eyelashes to brush the speck off the inside of the upper eyelid.

Have your child blink a few times to let the eye move the speck out.

If you can’t get the speck out of your child’s eye, have your child keep the eye closed, and see your family doctor, Eye M.D. or go to a hospital emergency room right away.

If your child gets chemicals splashed in the eye:

Rinse the eye with water right away. Have your child hold his or her head under a faucet or use a clean container to pour water into the eye. DO NOT USE an eye cup. Rinsing the eye quickly is key, and you don’t want to waste time looking for an eye cup. Use your fingers to hold the eye open as wide a possible. Have your child roll the eyeball as much as possible while washing. Putting your child’s entire face into the sink and blinking rapidly is best. Splashing water into the eye is ineffective because of the involuntary blink reflex. Wash the eye for at least 15 minutes.

If the eye continues to hurt, go to a hospital emergency room or Eye M.D. right away. DO NOT BANDAGE the eye!

Remember, it’s important to see an Eye M.D. if your child’s eyes get hurt. Although the injury may not look or feel serious, it could cause serious damage to the eyes. On the way to the doctor, don’t press on the injured eye, and don’t force drops into it.

One of the best ways to ensure your child keeps his or her good vision throughout life is to set good health examples yourself.

Always wear protective eye wear when playing sports, working in the yard, using harsh chemicals or working on the car.

Do not use fireworks yourself or allow children to use them. Take your family to a professional fireworks show.

Have eye exams (and other health exams) at recommended intervals. It shows to your child that his or her body is worth taking care of and that preventive medicine is the best medicine.

Check toy labels for age recommendations and select only those gifts that are appropriate for your child’s age and maturity level.

Look out for toys and games with sharp or protruding parts or projectiles.

Make sure children have appropriate supervision when playing with potentially hazardous toys or games.

Thanks,

Health, August-2012   

 

   

Datta Meghe Institute of Medical Sciences .

Sawangi Wardha Maharastra-442005

Dhanwantari Nursing Home

1st Floor, United Enclave, 60 Feet Road, Dharavi Mumbai Maharastra

Dr. R.J. Ganatra Nursing Home

Mulund (W) Mumbai Maharastra

Friday, 17 May 2013

Know Your Eyes

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About 80% of what we perceive comes through the eyes. Our memories are made 80% by images. The eye comes with information about the depth, distance, shape, color and movement of the objects.

The human eye is one of nature’s wonders and functions like a photo camera. Only that is much more complex.

An adult eye is almost sphere shaped with about 24 mm (1 inch) in diameter and about 12 million photo receptors (light sensitive cells) and six muscles that move the ocular sphere with such a precision that it allows the eye to follow moving objects. Like a camera, the eye has a diaphragm (called iris), whose opening ( called pupil) adapts to the brightness of the environment. In weak light, the pupil will be large, to let more light inside. This happens for example in the dark or twilight. In the daylight, the pupil is small.

The iris gives the eye’s color. Some eyes are brown, some blue, some green etc.. This color depends on iris.

The pupil can increase its size also under the effect of strong emotions (fear, Ecstasy etc..).

The light rays that cross the pupil have been previously concentrated by the powerful action ( upto 45 dioptres) of the cornea, a transparent salient layer. The cornea is the front part of the white coat of the eye, called sclera, which is rich in blood vessels. The cornea is devoid of blood vessels. Between cornea and iris-crystalline lens, there is the watery humor, called aqueous humor that cleans and feeds the cornea.

The lens is charged with the focusing of the light and its refraction index (between 19 and 38 dioptres) is adjusted by the ciliary muscles. When we look at a remote object, the lens relaxes and flattens. When looking at a close object, the lens bulges and thus its power increases.

After crossing the vitreous humour, the light reaches the retina, a membrane possessing 130 millions photosensitive cones. On the retina an upside down image is formed, a photo that is reverted by the brain.

The rods and the cones turn the light into electric signals which are transmitted through the ganglionic cells to the optic nerve and from there reach brain.

Rods are extremely sensitive to light, but they can distinguish only blue and green. The cones distinguish clear and colored images, but they require strong light. That’s why in the dark, images are not clear and all appears in blue and green. Rods use vitamin A, that’s why carrots, cabbage and other green vegetables benefit the eye.

Most cones are agglomerated in a region of the retina called macula lutea (“Yellow spot”). That’s why to clearly see a thing, we have to move the eyes, so that the projection is formed on macula. Close to macula, there is a blind spot where the optic nerve goes out of eye.

Human eye can detect 10 million color hues, but cannot see ultraviolet or infrared light. Insects can see the ultraviolet light. Birds have yellow fatty filters in their cones that allow them to differentiate hues of green and detect easily homocromous (having the same color) leaf color mimicking insects, which are practically invisible at just one look for humans.

The human eye basically three colors: red, green and blue. These are basic colors. The white is a combination of the three, the black is their lack. Yellow, purple or mauve form through the combination of two basic colors; these are called secondary colors.

The fore eyeball and the inner eyelids are covered by a transparent layer called conjunctiva. While blinking, the conjunctiva and the tears (produced by the Lacrimal glands) moisturize and clean the cornea from dirt and dust. We blink once or twice at 10 seconds, and a blink lasts 0.3 seconds. In 12 hours, we blink 25 minutes. Infants starts blinking at the age of 6 months. Tears drain into the nasal cavity and are more abundant in case of dust or dirt. Strong emotions also cause abundant tearing (weeping).

Eyes are protected in bony eye sockets, sheathed with a fatty tissue, so that usually, the socket is more harmed than the proper eye.

Because the yes watch the environment from different angles, they send different information to the brain. The brain “learns” from the first days to assemble the two images, so that we do not see a double image. But the difference between the two images helps the brain detect the location of the objects in the space and distance. This is the tridimensional vision or stereopsis, provided by binocular sight (when the field of the two eyes interpose).

Arboreal and predatory animals need this type of sight for moving on the branches or hunt.

Prey animals have usually lateral positioned eyes. Their fields do not interpose (this is monocular vision). They cannot assess distances well, but they have larger visual fields, overlooking the environment for predators.

Thanks,

Health, Oct-2012

 

Gastro Esophageal Reflux Disorder (GERD)

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It is most common intestinal disorder and due to reflux of stomach content back into the esophagus. Daily reflux symptoms effect about 4 to 7 percent of adults. Due to reflux of acid, erosion of esophagus mucosa occurs in about 2 percent and Barretts metaplasia (Precancerous state) occurs in 0.4 percent.

Reflux occurs due to opening of lower esophageal sphincter or due to not closure of it properly so acid content of stomach come back to esophagus.

SYMPTOMS

Patients may have the problem of food or fluid coming back in the month. They have burning sensation it chest or throat. The disease is called as HEART Burn or ACID IN DIGESTION. They feed burning pain in the lower part of mid chest or upper mid abdomen. Food/fluid in month can irritate the structures in month leading to dry cough, problem in swallowing food. Some time it leads to asthma.

Problem is more after meals especially large fatty meals and symptoms are aggravated by lying and bending and relieved by consumption of antacids (Digene etc.)

WARNING SYMPTOMS

Heart burn is very common but in following situation they should consult the doctor and should take proper treatment.

Difficulty in swallowing

Bleeding (blood vomit)

Weight loss.

Choking, Hoarseness of voice

Breathlessness

Chest pain

FOODS WHICH WORSEN REFLUX SYMPTOMS

Citrus fruits, oranges, lemon etc.

Chocolates.

Drinks with caffeine or alcohol.

Fatty, fried food.

Garlic, Onion

Mint flavoring.

Spicy foods

Tobacco.

WHO ARE LIKELY TO SUFFER MORE

It can occur in any one but in following situation, the problem is more likely to occur and may be severe.

Hiatus Hernia

Obese persons

During Pregnancy

During Pregnancy

Smokers and people who consume tobacco.

Alcoholics

People who remain tense, depressed are unorganized and remain in hurry.

TREATMENT

I have found people suffering from GERD throughout the life. It is due to wrong life style, eating habits. So to get rid from GERD they have to change life style analog habits permanently.

Following measures should be taken.

Elevate the head end of the about 6 to 8” with brick or wood block.

Decrease the amount of fat intake, spice intake

Don’t lie in bed immediately after meals.

Avoid food like chocolate, pepper mint coffee onion, garlic, citrus fruits spices chilies and other which aggravate the symptoms.

Stop smoking, consumption of tobacco in any other form.

Avoid other foods, beverages which worsen symptoms.

If overweight or obese, then reduce weight by dieting, exercise etc.

Eat small frequent meals.

Wear lose fitting clothes.

Live a tension free unhurried life.

Many effective drugs are available for treatment of GERD. But to get permanent or long lasting relief they should have to observe the precautions and have to change their life style.

In situation, when patient don’t get relief then they should consult the doctor, who will advice for some other tests.

Some patients may require surgery to get relief.

GERD (Heart burn/acid indigestion) is very common problem in adults. Any one experiencing heart burn at least twice a week may suffering from GERD. It may also cause dry cough asthma, difficulty in swallowing. It is very important cause of asthma and if GERD is treated, they are cured from asthma to Many GERD patents have mid chest pain and mistook it as angina or heart disease.

It can occur in infants and children to in them it may cause repetitive vomiting coughing and other respiratory problem Infant may spit up or vomit frequently. Many show arching or become irritable It may cause abdominal or chest pain in order children.

Disease is mainly due to wrong life style and eating hobbits. So to get long lasing relief one has to change it and to take regular treatment.

Thanks,

Health, Oct-2012