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Posts Tagged ‘health’

Janani Shishu Suraksha Karyakram

August 9, 2013 Leave a comment

Janani Shishu Suraksha Karyakram

Various benefits for Pregnant Women and Newborn under JSSK

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Full Marks to Director RIMS, Imphal

January 26, 2012 2 comments

Sir,

It was very painful to learn about the incident in RIMS on the night of 19th December when students misbehaved, conducted themselves like a bunch of hooligans and turned an unruly crowd against the Director. The obnoxious behaviour on that fateful night and subsequent cease work followed by a smear campaign by these guilty students was totally unexpected, shameful to say the least and certainly deserves widespread condemnation. Student community must refrain from indulging in such unwarranted reaction and slandering, and admit their mistakes with humility and grace. They definitely deserve to be told where their place is and taught a lesson or two on how students are expected to conduct themselves, should they go astray.

I fully support and endorse with the bold and justified actions taken by the Director and kudos to him for this somewhat unprecedented drive. He has proved beyond doubts that he means business and will not tolerate nonsense of any sorts while he is at the helm of affairs. We certainly require more gutsy persons like him to head our rotting educational institutes so as to prevent further slump. In fact, I would have appreciated all the more had the Director gone a step further to rusticate and send those rowdy students home so that they can regret their impulsive outbursts at leisure.

At a time when the people of Manipur are facing the most severe power shortages and load shedding experienced in recent memories, the electrically pampered students of RIMS (who get 24 hrs uninterrupted power supply) have the audacity to claim right to use all sorts of power guzzling fancy/modern electric gadgets against existing institute orders. I am sure all that those students are more than aware of potential fire hazard inherent in use of high voltage gadgets en masse, especially in hostels and other heavily populated buildings (recent AMRI hospital fire in Kolkata still being fresh and vivid in our minds).

An average resident of Manipur (the lesser mortals like me who has neither a “VIP Connection” nor has a “Double Phase Connection”) hardly gets three/four hours of electric supply in a day. As a result, our children study with solar/emergency lamps (as electricity supply is inadequate to even charge inverter batteries and neighbours objects to generator noise as a matter of right in Manipur). On the other hand, students of RIMS, who would face the same pathetic situation at their homes, want to have the luxury of consuming unlimited (free of cost) amount of electricity even at the extent of not adhering to orders institute administration. They should consider themselves lucky with 24X7 uninterrupted power supply they are getting, concentrate on their primary business of being medical students rather than indulging into acts which are generally committed by the illiterate and irresponsible sections of the society.

The Director accompanied by the warden (who is a woman) and male security personnel has full rights and authority to enter the girls’ hostel, especially when the intentions are not mala fide. Are the girl students trying to say that no male fire tender should enter and douse fire in girls’ hostel and wait for arrival of female fire tenders in the unfortunate eventuality of fire breaking out. The PG students who marched towards the Director’s Official Residence should consider themselves lucky that the security guards did not open fire and merely resorted to pointing the gun at them as alleged.

Thus, it is in their own interests that the student community shed “mob mentality”, concentrate on their studies and endeavour to become good doctors and serve their kith and kin in their respective communities/states in right earnest rather than demean the noble profession. RIMS authorities also may consider taking stern disciplinary actions against erring students so as to deter them from venturing into misadventures in future. After all, the society looks up to medical fraternity as healers and even as demigods at time at certain places. Let us not let this healthy mutual trust and respect be dissipated because of irresponsible behaviour on the part of few offenders. I hope the student community, particularly students of NIT Manipur are listening and getting the message loud and clear too.

Yours faithfully,
Lt Col (retd) Naorem Kumar
Administrator, NIT Manipur

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via The Sangai Express

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want to avoid Hepatitis ? Don’t get a tattoo

August 18, 2011 Leave a comment

Chennai–The tattoo craze among city youth could lead to a steep rise in the cases of Hepatitis B and C, say medical experts

With an increase in the number of youngsters opting for tattoos, medical experts in the city are worried that this could lead to rise in the number of Hepatitis B and C cases.

Recent international studies have shown an alarming link between both forms of the virus and people who sport tattoos. According to these reports, both Hepatitis B and C viruses can be contracted if an individual uses a needle and ink that has been previously used on an infected person.

Another recent study conducted by doctors from MIOT Hospital in Chennai has found that India is likely to emerge as the global capital of the Hepatitis B virus. This form of the virus is responsible for 60 per cent of all liver cancer cases in the world. According to the study, currently the number of Hepatitis B carriers in India is estimated to be over 40 million or four crore.

Doctors in the city are reporting a high number of cases of youngsters who have tattoos getting infected by the virus. “Recently, I came across three or four patients with tattoos who had tested positive for Hepatitis B and C. If a needle has been used on someone with Hepatitis B or C, it can easily transmit the virus to the next person who uses the needle, because the needle penetrates deep into the skin during tattooing. The fad of people opting for tattoos is causing a major risk,” Dr Abha Nagral, consultant Gastroenterologist and Hepatologist in Bhatia and Jaslok Hospital said.

She added that people should refrain from reusing the ink and needles and opt for sealed packs instead.

Dr Satish Kulkarni, Gastroenterologist and member of the Indian Association for Study of Liver, agreed and said, “Tattooing has always been a risk factor in the spread of Hepatitis B and C. In the past, we would have cases of villagers with multiple tattoos contracting Hepatitis. The reason behind it would be sharing of the same needle.”

According to Kulkarni, a young man recently visited him. He had many tattoos on his body, and tested positive for Hepatitis B. On enquiring, the boy reportedly told the doctor that he got his tattoos done in various parts of the country and never checked on the ink or the needles.

“Now with the tattoo fad increasing in urban areas, if ink and needles are reused, there is a clear possibility of a rise in Hepatitis cases. People opting for tattoos should know that the ink and the needle used should be new,” Kulkarni concluded.

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Paranormal Activities Alert: Is the JNIMS hospital spooked?

If reports are to be believed, the gynaecology department in the JNIMS hospital is haunted. The exact spot where the strongest paranormal activity has been reported is the area from the toilet and the entire stretch of the corridor leading to it from the ward. Affected people describe the experience of sensing the presence of someone close by, or tingling sensations, or changes in temperature, or heavy footsteps following them when there was clearly not a single person in that are, that is apart from the victims themselves. These experiences have been related mostly by attendants of patients, but it seems the staff on night duty have had similar experiences.

What makes this story relevant is how such activities, which only be described as paranormal, affect the attendants of seriously ill people. It is traumatic enough tending after near and dear ones and to top it all face paranormal activity could be nerve wracking. One step to clam frayed nerves could be establish the facts, that is, whether paranormal activity is going on or not in that ward. Even if is established that such activities do take place it could comfort a lot of people. The human mind is such that once faced with the inevitable it adjusts to live with it.

The answer would lie in finding intrepid people who can operate electronic voice sensors, detect movement and record temperature fluctuations. One believes temperature changes which take place suddenly are indicative of paranormal activity. These can be done at the dead of night, and anyway the scary happenings, it seems, take place only late in the night.

The ambience of a hospital should be such that it soothes frayed nerves. The very presence of doctors, nurses and other competent staff should provide succour to those who feel their life is at the end of the tether. It should be a place of treatment and convalescence, a place where supportive kith, kin and good friends go to see people in distress.

Fear of the unknown, particularly the scary type could be pernicious to inmates and their attendants, and in this superstition laden society of ours, the next thing we could be witnessing is bizarre spiritual cleansing exercises or downright exorcisms. On the other hand we also do not want a scenario where you have a seriously ill patient who needs constant attention, scared as hell at the idea of dying, only to find his or her attendant coming back from the toilet ashen faced, trembling like a leaf and needing more medical attention than he or she does. Or worse still who literally dropped dead out of horror and shock.

Sources: Hueiyen News

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Shija Hospital and Research Institute, Langol announced as referral hospital for state employees

July 3, 2011 1 comment

Department of Neuroscience

IMPHAL, July 2: The Shija Hospital and Research Institute, Langol has informed that the Medical Directorate, Government of Manipur has recognized the hospital as referral hospital for government employees and their family members for Neurosurgical services.

A statement issued by the Managing Director, Dr. Kh. Palin, stated that the hospital was granted the recognition of referral hospital on a memorandum of the medical department dated May 26, 2011.

It said that the memorandum further mentioned that the decision has been taken after a meeting of the Director (Health), Director (Family welfare) and Director (JNIMS) on December 28, 2008 and stated that recognition came into effect from April 4, 2011.

Shija Neurosurgery Department today has Dr. Kh. Vyas, MS, MCh (Neurosurgery) and Dr. Ch. Gautum, MS, MCh (Neurosurgery) as two full time consultant Neurosurgeons, 28 bedded ICU, 24 hours Anaesthesist on duty and well trained staffs, it said.

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Sleeping sickness is a resident evil

Sanchita Sharma, Hindustan Times
June 26, 2011
Truncated sleep ups your risk of almost every known disease, from heart attacks (by pushing up blood pressure), to the common cold (by lowering immunity). It turns your brain to mush by lowering its ability to learn and store new information. It makes you irritable, impatient and emotionally fragile. It also causes people to nod off while driving, which is the biggest cause of road accidents after speeding and drink driving.Sleeplessness, however, is at its most lethal when the insomniac is a doctor or a surgeon taking decisions that can make or break your fever – or your life.

Working for more than 16 hours without sleep results in resident doctors committing serious, preventable medical errors, reported the journal Nature & Science of Sleep on Saturday. While there is no data for India, the US Health and Human Services reports that 180,000 (1.8 lakh) patients die of medical negligence each year in that country.

Work shifts longer than 16 hours increased medical errors by 35.9 per cent while shorter shifts reduced errors, reported Harvard Medical School researchers in the New England Journal of Medicine (NEJM). Following the report, Harvard Medical School announced a 16-hour limit on the time resident doctors can work at a stretch.

In India, resident doctors live in the doctors’ duty room 24×7, on call at all hours for any length of time. They routinely do 24-hour shifts, which can go up to 36 hours in departments such as neurosurgery, where emergency cases such as accidents and stroke need immediate attention. By the end of a shift, the fatigue is apparent not only in the dramatically shortened fuses but also in cases needing a second opinion for final diagnosis.

Rising patient load and staff shortages are too blame. While patients at teaching hospitals have more than doubled in the past decade, medical staff strength remains the same. Given the easy access to medication and addictive medicines, addictions are a norm. Apart from smoking, most residents take stimulants or “uppers” to see them through the day. “What are we to do? After MBBS, we do 3-5 years of junior residency and another 3 years of senior residency. Most of the time we are too tired to keep our eyes open,” says a senior resident at the All India Institute of Medical Sciences.

The US Institute of Medicine has recommended major changes in residency training programmes, including re-designing training to eliminate dangerously long shifts (over 16 hours without sleep), and reducing residents’ workload by focusing on academic training and transferring a lot of the routine things they do – bandaging, drawing blood, filling out paperwork and starting intravenous lines – to nurses and other health personnel.

“It’s an abuse of patient trust,” says Dr Lucian Leape, adjunct professor of health policy at the Harvard School of Public Health and a co-author of the NEJM report. “Few people enter a hospital expecting that their care and safety are in the hands of someone who has been working a double-shift or more with no sleep. If they knew, and had a choice, the overwhelming majority would demand another doctor or leave.”

Try as they might, teaching hospitals cannot shorten resident work hours because of financial and staffing shortages. If hours for residents are reduced, other staff – such as teaching faculty and consultant physicians – need to step in, who have to be paid overtime. But given that resident doctors are staffing emergency rooms, an urgent overhaul of hospital work policy is needed. For when it comes to medical errors, saying sorry is not enough.

Source:- Hindustan Times

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Off The Shelves! Belatedly, the govt bans risky medicines

Danger List…

  • Gatifloxacin: An antibiotic used for treating respiratory tract infections. Can cause diabetes.
  • Tegaserod: Used for constipation and irritable bowel syndrome. Increase risk of heart attack and stroke.
  • Cisapride: Used to increase motility in the upper gastrointestinal tract. Can cause serious cardiac problems.
  • Phenylpropanolamine: Decongestant that can also increase the risk of stroke
  • Human Placental Extract: Used for cosmetic skin treatments and female infertility. It can transmit diseases.
  • Sibutramine: Constituent of weight-loss pills. Said to cause heart problems.
  • lR-Sibutramine: Also a weight-loss medicine. Increases the chances of stroke and heart problems.
  • Nimesulide: Painkiller and antipyretic. Harmful to the liver.

***

In the last six months, the Union health ministry has suddenly adopted a proactive tack to banning drugs. After facing quite a lot of criticism internationally for the easy availability in India of suspect medicines—including drugs that have been banned abroad for many years—the ministry has come down heavily on the Drug Controller General of India (DCGI) to enforce bans and ensure that chemists do not stock or sell dangerous drugs.

In February, the ministry banned the manufacture, sale and distribution of gatifloxacin and tegaserod. The decision was taken on the Drug Technical Advisory Committee’s (DTAC) recommendation. Gatifloxacin is an antibiotic used for respiratory infections and is said to cause diabetes. Tegaserod is used for constipation and irritable bowel syndrome, but is said to increase the risk of heart disease and stroke.

In November last year, the drug controller announced a ban on weight-loss medication containing sibutramine and R-sibutramine, which are known to cause strokes. Several medical products containing the two drugs have been under the scanner but no action was taken until recently. One major problem with such products was that they were available without prescription.

India has been rather slow in banning drugs that have gone off the shelves abroad after research showed they were harmful. Nimesulide (paediatric), for instance, has been banned internationally, but health officials in India maintained that its use had shown no adverse effects in Indian children. It’s only after 10 years of safety assessment studies that it was finally banned this year. In all likelihood, the ministry has managed to fight off pressure mounted by pharmaceutical lobbies. “It is our responsibility to ensure that safe medicines are sold in the country,” says a senior health ministry official. “Even if it has taken a long time to come into effect, it’s never too late to take corrective steps.”

But not everyone is satisfied with the ministry’s actions. “The ban on several drugs has come under generic names but often the brand names are very different. Sometimes they are a combination or formulation of drugs, and this makes it difficult for doctors and consumers to know if they are banned,” says Dr Mira Shiva, a public health activist. “The ministry needs to make the names of these brands public and create more awareness. Otherwise the entire purpose is defeated.”

Earlier this week, the DCGI announced it has temporarily stopped giving marketing approval to new drugs in key therapeutic segments. The approvals will resume once a new approval system, in which the opinion of a 10-member panel of independent experts is taken into account, is streamlined. New drug advisory committees (NDACS) will be constituted for each therapeutic category, such as gastroenterology, oncology, urology etc. The committees will advise DCGI on both new drugs and on clinical trials of categories of medicines like antibiotics. India had approved 223 new drugs (including new combinations of already approved drugs) in 2010. There were 32 new drug approvals in January-March this year.

The new NDACS and the refusal of the ministry to approve drugs banned internationally may not go down well with pharmaceutical companies. But doctors and health ministry officials say it will be in the larger interest of the people. Patients can rest a bit more assured about their medication.

Source: The Outlook

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