A new AIIMS in Bhatinda

The Union Cabinet chaired by the Prime Minister Shri Narendra Modi has approved the establishment of a new AIIMS at Bhatinda in Punjab under the Pradhan Mantri Swasthya Suraksha Yojana (PMSSY). The institution shall have a hospital with capacity of 750 beds which will include Emergency/Trauma Beds, Ayush Beds, Private Beds and ICU Speciality & Super Speciality beds. In addition, there will be an Administration Block, Ayush Block, Auditorium, Night Shelter, Hostels and residential facilities … (PIB, 27th July, 2016)

National Plan of Action for Children 2016 under preparation

The Ministry of Women and Child Development has drafted the National Plan of Action for Children (NPAC) 2016. The NPAC 2016 is based on the principles embedded in the National Policy for Children 2013(NPC 2013) and provides a road-map that links the policy objectives to actionable programmes and strategies as well as indicators for monitoring the progress. In alignment with the NPC 2013, the rights of the children are categorized under four key Priority Areas: Survival, Health and Nutrition; Education and Development (including Skill Development); Protection and Participation.

The draft NPAC defines objectives, sub-objectives, strategies, action points and indicators for measuring progress under the four key priority areas and also identifies key stakeholders for the implementation of different strategies. The first draft is already in the public domain; i.e.; on the website of the Ministry (http://wcd.nic.in/acts/national-plan-action-children-2016). The Ministry is currently finalizing the draft based on comments and suggestions received from other Ministries/Departments/Governments of States/UTs/Individuals and civil society organizations … (PIB, 25th July, 2016)

Scientists think cockroach milk could be the superfood of the future

An international team of scientists has just sequenced a protein crystal located in the midgut of cockroaches. The reason?

It’s more than four times as nutritious as cow’s milk and, the researchers think it could be the key to feeding our growing population in the future.

Although most cockroaches don’t actually produce milk, Diploptera punctate, which is the only known cockroach to give birth to live young, has been shown to pump out a type of ‘milk’ containing protein crystals to feed its babies.

The fact that an insect produces milk is pretty fascinating – but what fascinated researchers is the fact that a single one of these protein crystals contains more than three times the amount of energy found in an equivalent amount of buffalo milk (which is also higher in calories then dairy milk).

Clearly milking a cockroach isn’t the most feasible option, so an international team of scientists headed by researchers from the Institute of Stem Cell Biology and Regenerative Medicine in India decided to sequence the genes responsible for producing the milk protein crystals to see if they could somehow replicate them in the lab.

"The crystals are like a complete food - they have proteins, fats and sugars. If you look into the protein sequences, they have all the essential amino acids," said Sanchari Banerjee, one of the team, in an interview with the Times of India.

Not only is the milk a dense source of calories and nutrients, it’s also time released. As the protein in the milk is digested, the crystal releases more protein at an equivalent rate to continue the digestion.

"It’s time-released food," said Subramanian Ramaswamy, who led the project. "if you need food that is calorifically high, that is time released and food that is complete. This is it."

It’s important to point out that this dense protein source is definitely never going to be for those trying to lose weight, and probably isn’t even required for most western diets, where we are already eating too many calories per day.

But for those who struggle to get the amount of calories required per day, this could be a quick and easy way to get calories and nutrients.

"They're very stable. They can be a fantastic protein supplement," said Ramaswamy.

Now the researchers have the sequence, they are hoping to get yeast to produce the crystal in much larger quantities- making it slightly more efficient (and less gross) than extracting crystals from cockroach’s guts. 

Who needs kale and quinoa when you have cockroach milk supplements?

…Yeah, we aren’t 100 percent convinced either. But if it helps alleviate the food shortages we’ll have to deal with this generation, we’ll take it.

The research was published in IUCrJ, the journal of the International Union of Crystallography. 

Source - http://www.sciencealert.com/scientists-show-why-we-should-all-start-drinking-cockroach-milk

Good News Regarding Smoking

Johnson & Johnson Finally Admits: Their Baby Products Contain Cancer-Causing Chemicals

Mothers have that natural instinct and they care about one thing only. The health of their children. We all know this is huge importance of them so they care about the food they eat, the physical activity they have, the toxins they are exposed to and many, many other things. Sometimes, they do mistakes which are not aware of it, mistake for example like this:

They bath their children every night with the Johnson & Johnson, one of the world’s largest manufacturer products for baby care. Did you know that this products are filled with toxins which cannot be even near the baby’s skin? Probably not. Well it is time for you to find out what these products do for your baby’s skin and its immune system in general. 

The immune system of your child – Toddler or baby, it doesn’t matter, has one delicate immune system. If you put it into bubbles, it won’t be exposed to pathogens and bugs which can be helpful for the work of its immune system and the growth of their other systems. Chronic illnesses, autoimmune issues and poor health can be the side effects of exposing your child to toxins and unnatural ingredients.

The products of Johnson & Johnson are testing your child’s immune system and trigger many immune responses as irritating skin, and leave the immune system vulnerable and it easily can get other pathogens and diseases.

The dangerous ingredients of Johnson & Johnson – Do you read the labels on the backside of the product you buy from this company and why not? Grab the nearest product of it and start reading. Many products that are written on the backside cannot be pronounced and you never even heard about them. The 1, 4- dioxane is one of the toxins that can be found in this products and it is linked to many skin irritations, headaches and liver damage. Also, quaternium- 15 is one of the carcinogens which is found in Johnson & Johnson, it releases formaldehyde and reacts to skin over time.

Alternatives – The Manufacturers declare that they are working on this problem, they are in process of removing the toxic ingredients of the products but this kind of process takes time. This company which you are giving your money to, damages the health of your family and you should stop buying and consuming them.

The problem is strictly in America, other countries have toxin- free Johnson & Johnson products, Sweden, Japan, Norway, Africa, Finland and Denmark.     Companies like Burt’s Bees make healthy products and are good as alternative. Also, Little Twig, Aveeno, Baby Hanics, California Baby are good alternatives, try them all and decide what is best for your baby. Always make best choices for your child, protect him and make everything around him better as much as you can.

Source - http://www.fhfn.org/johnson-johnson-finally-admits-baby-products-contain-cancer-causing-chemicals/

डेंगू की समीक्षा

• डेंगू यह एक विषाणु से होने वाली बीमारी है जो Aedes aegypti की मादा मच्छर से पैदा होती है। 
• डेंगू एक सूचनीय बीमारी है. सभी स्वास्थ्य सेवा प्रदाताओं के लिए हर डेंगू के मामले को स्थानीय अधिकारियोंको हर सप्ताह, (दैनिक संचरण अवधि के दौरान) निर्धारित प्रारूप में सूचित करना होगा जैसे, जिल्हा स्वस्थ अधिकारी/जिल्हा के सी. एम. ओ., और नगर निगम के नगर स्वास्थ्य अधिकारी, नगर निगम।
• सामान्यतः डेंगू वायरस के चार अलग अलग सीरम प्रकार रहे हैं। Den 1, Den 2, Den 3 and Den 4. व्यक्ती को अपने जीवनकाल के दौरान चार बार डेंगू हो सकता है।
एक सीरोटाइप से संक्रमण केवल उस विशेष सीरोटाइप के लिए आजीवन उन्मुक्ति (immunity) प्रदान करता है।
• दूसरी डेंगू संक्रमण आमतौर पर पहले से ज्यादा गंभीर है।
• डेंगू से संबंधित चार बीमारिया हैं: अविभाजित बुखार, डेंगू बुखार, डेंगू रक्तस्रावी बुखार, डेंगू आघात सिंड्रोम।
• डेंगू के मुख्य लक्षण तेज बुखार, गंभीर सिर दर्द, पीठ दर्द, जोड़ों में दर्द, मतली और उल्टी, आंख में दर्द और दाने होते हैं।
• रेट्रो कक्षीय दर्द, आंखों में दर्द का एहसास, या पालक झपकते वक़्क़त आंखों पर दबाव, यह डेंगू बुखार से संबंधित की विशेषता है।
• डेंगू रक्तस्रावी बुखार डेंगू बुखार के और अधिक गंभीर रूप है।
• एक मरीज को केवल NS1 और  IgM (not IgG) का उपयोग कर परीक्षण के RDT तकनीक के आधार पर डेंगू के संभावित मामले के रूप में घोषित किया जा सकता है। 
• IgM रक्त परीक्षण सकारात्मक (पॉजिटिव) होने के लिए 5 दिन लग  सकते है।
• तापमान का गिरना एक धोकादायक अवधी होता है। तथा ज्यादा बुखार से कम बुखार होने वाली परिस्थिति ज्यादातर बीमारी के 3 दिन बाद उत्पन्न होती है। अक्सर लोगों को अस्पताल से छुट्टी पर जोर देते हैं जब बुखार खत्म हो गया है या एक बार बुखार खत्म हो गया है तो भर्ती कराना नहीं चाहते हैं।
• सिस्टोलिक (upper ) रक्तचाप (blood pressure) में गिरावट और  नाड़ी दबाव (pulse pressure) में गिरावट यह खतरनाक नैदानिक लक्षण है।  
• जब तक प्लेटलेट गिनती 10,000 से कम है या सहज रक्तस्राव की उपस्थिति नहीं है, तब तक प्लेटलेट चढ़ाने की आवश्यकता नहीं होती है, 
• एक लाख से कम प्लेटलेटस काउंट डेंगू रक्तस्रावी बुखार या डेंगू आघात सिंड्रोम का प्रतीक है।
• उच्च जोखिम वाले रोगियों की पहचान के लिए:20 का फॉर्मूला याद
• 20 से नाड़ी में वृद्धि
• 20 से अधिके  ऊपरी रक्तचाप (upper blood pressure) में पतन
• 20 प्रतिशत से अधिक से hematocrit में वृद्धि
• प्लेटलेट्स में तेजी से गिरावट 20,000 से कम 
• बंधन परीक्षण के बाद हाथ पर एक इंच में 20 से अधिक रक्तस्रावी धब्बे
• ऊपरी और निचले रक्तचाप के बीच 20 से कम का अंतर   

ऐसे रोगियों में तुरंत 20 मिलीलीटर  / किग्रा / घंटा, पर द्रव को बदलना प्रारंभ करे, और निकटतम चिकित्सा केंद्र में तुरंत अवलोकन के लिए ले जाये।
संक्रमण होने की संभावना को कम करने का सबसे अच्छा तरीका यह है की मच्छर जहा पनपते है उन स्थानों को खत्म करना ।

प्लास्टिक कंटेनर, बाल्टी, ड्रम आदि है कि में और घर के आसपास पानी पकड़ कवर रखा जाना चाहिए या ठीक से खारिज कर दिया जाना चाहिए।

घर के बाहर रखे हुए पानी के कंटेनर, पालतू पशु के पिने के पानी के कंटेनर, फूल बागान में गमले, हफ्ते में एक बार खली करके अच्छे से साफ़ करने चाहिए।

यह पोस्ट डॉ. के. के. अग्गरवाल सर के लेख से अनुवाद किया है।

आपका
डॉ. प्रशांत राजनकर
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Original Article by Dr. K. K. Aggarwal

Revisiting Dengue

• Dengue is a mosquito-borne viral infection transmitted by female Aedes aegypti mosquito. • Dengue is a notifiable disease. All healthcare providers are required to notify every dengue case to local authorities i.e. District Health Officer/CMO of the district concerned and Municipal Health Officer of the Municipal Corporation/Municipality concerned every week (daily during transmission period) in prescribed format. • There are four different serotypes of dengue virus: Den 1, Den 2, Den 3 and Den 4. A person can have dengue 4 times during his lifetime. • Infection from one serotype produces lifelong immunity only for that particular serotype. • The second dengue infection is usually more severe than the first one. • The four dengue-related illnesses are: Undifferentiated fever, dengue fever, dengue hemorrhagic fever, dengue shock syndrome. • The main symptoms of dengue are high fever, severe headache, backache, joint pains, nausea and vomiting, eye pain and rash. • Retro-orbital pain presenting as pain in the eyes or pressure on eye movement is characteristic of dengue-related fever. • Dengue hemorrhagic fever is the more severe form of dengue fever. • A patient can be declared as probable case of dengue only on the basis of RDT technique of testing by using NS1 or IgM (not IgG). • IgM blood test may take 5 days to become positive. • The critical period is during defervescence - transition from the febrile to the afebrile stage - and usually occurs after the 3rd day of illness. Often people insist on a discharge from the hospital when the fever is over or do not want to get admitted once the fever is over. • The two dangerous clinical signs are falling systolic (upper) blood pressure and fall in pulse pressure. • Platelet transfusion is not required unless platelet count is less than 10,000 or there is presence of spontaneous bleeding. • A platelet count of less than one lakh signifies dengue hemorrhagic fever or dengue shock syndrome. • Remember the Formula of 20 to identify high risk patients: o Rise in pulse by 20 o Fall in upper blood pressure by more than 20 o Rise in hematocrit by more than 20 percent o Rapid fall in platelets to less than 20,000 o More than 20 hemorrhagic spots on the arm in one inch after tourniquet test o Difference between upper and lower blood pressure is less than 20 Start fluid replacement at 20 ml/kg/hour immediately in such patients, and shift to nearest medical center for observation. • The best way to reduce chances of getting the infection is to eliminate the places where the mosquito breeds. Plastic containers, buckets, drums etc. that hold water in and around the home should be kept covered or discarded properly. Outdoors, water containers like pet and animal water containers, flower planter dishes should be emptied and scrub cleaned at least once a week.


Dr K K AGGARWAL

Hospital Fined 8.38 Lakhs for Medical Negligence in Chennai

A decade and a half after a hip surgery bungle at Bharati Raja Hospital in Chennai, it has been ordered by the District Consumer Disputes Redressal Forum to pay the patient Rs. 8.38 lakhs. Davig Tyagraj, a lawyer involved in a road accident in 2000, was admitted at Bharati Raja Hospital in Chennai. The doctor, alleged to be negligent, conducted a hip surgery using poor quality plates, leading to delayed treatment, and also undertaking the procedure without appropriate knowledge. The patient ended up suffering from permanent disability. Allegations were also charged against the hospital for having poor infrastructure, leading to referral of the patient to another hospital for a CT scan. Dr. Nahappa, the accused doctor, claimed that the patient was under observation for two days with the surgery performed on the third day, claiming that complete surgery could not have occurred immediately. He also recommended that the patient consult another doctor, who suggested total hip replacement, but no clarification was given on why he was referred or asked to go to another facility. He further claimed the patient did not follow up with the post operation regime suggested. Finding the doctors submissions to be erroneous, the court found him guilty of multiple counts of negligence, leading to a Rs. 1 lakh fine to the hospital, on top of Rs. 6.18 lakh for medical expenses, on top of another lakh for loss of income and litigation fees of Rs. 20,000.