The Hindu : NATIONAL / TAMIL NADU : Lifetime achievement award presented to city doctors

The Hindu : NATIONAL / TAMIL NADU : Lifetime achievement award presented to city doctors

BEST DOCTOR AWARD IN THE FIELD OF NEUROLOGY

BEST DOCTOR AWARD IN THE FIELD OF NEUROLOGY

TO DR.M.A.ALEEM

GIVEN BY THE TAMILNADU DR M.G.R MEDICAL UNIVERSITY

CHENNAI

Dr.M.A.Aleem Trichy neurologist is confered with best doctor award in the field of neurology by the TamilNadu Dr.M.G.R Medical University in recognition his contribution to the field of neurology. This Award was given on the Pharmacy day function held at the Medical University On 24.11.2012, in the Presence of Dr.V.S.Vijay Health Minister of TamilNadu, Dr.Mayilvanan Natarajan Vice Chancellor of the TamilNadu Dr.M.G.R Medical University has given the award to Dr.Aleem

Dr.M.A.Aleem is Poineer in neurology and he has Published and Presented in more than 107 scientific papers in both national and international neurolgoy conferences and journels.

He has developed the neurological service in Trichy by organised the 18^th annual confrences of Indian Academy of Neurology with invited overseas speaker for the first time in the second line city like Trichy.

He was an executive committe member for two time for six years in national organisation for the neurology such as Indian Academe of neurology and neurological society of India.

His Neurological service were prized by the District Collector and he was given with Republic day Best Doctor Award by the District Collector in 2010. He got commandation certificate from district collector in 1988 for his Medical Serivce. For his Neurological Awarness activity in the district he got certificate of appriciation from district collector in the year 2005 2006 and 2012.

Recently he is the president for the Trichy neuro association. He was nominated as Purple day Ambassador to promote Epilepsy awarness activity by the global Epilepsy awarness promoting forum from New York. Presently he is the head of department and professor of Neurology at K.A.P.V.Govt medical college and MGM Govt Hospital Trichy.

The Hindu : States / Tamil Nadu : 700 new dengue cases in 10 days

The Hindu : States / Tamil Nadu : 700 new dengue cases in 10 days

Facts on Epilepsy

typg;G Neha; tho;f;iff;F jilapy;iy

Njrpa typg;G Neha; jpdk;.17.11.2012 lhf;lh; vk;.V.myPk;. vk;.b. b.vk; (ePANuh) %is euk;gpay; Nguhrphpah; fp. M. ng. tp];tehjk; muR kUj;Jtf; fy;Yhhp kfhj;kh mz;zy; fhe;jp kUj;Jtkid jpUr;rp -620017

1)typg;G Neha; vd;why; vd;d?

typg;G Neha; vd;gJ %isapd; Fiwghl;bdhy; Vw;gLtjhFk;. typg;G NehAs;s egHfspd; %is nry;fs; mrhjhuz kpd;dhw;wiy cUthf;fp typg;Gfis Vw;gLj;Jfpd;wd. rpy epfo;Tfspy; typg;G vd;gJ cjwy; fl;Lg;ghlw;w ,af;fq;fs; kw;Wk; RaepidT ,og;G Mfpatw;iw Vw;gLj;jyhk; kw;w rkaq;fspy; typg;G vd;gJ Fwpg;gpl;l Neuj;jpw;Ff; Fog;gk.; ntwpj;J Nehf;Fjy; my;yJ jir typfs; Mfpatw;iw kl;Lk; Vw;gLj;Jk;. xU Kiw kl;Lk; Njhd;Wk; typg;G vd;gJ typg;G NehahfhJ. typg;G NehAs;stHfSf;F mbf;fb typg;G epfo;Tfs; Njhd;Wk;.

typg;G Neha; vd;gJ xU kdNehay;y kw;Wk; mJ mwpTj;jpwd; FiwghL ,Ug;gjw;fhd mwpFwpAk; my;y. typg;G NehAs;s xUtH kw;wtiuf; fhl;bYk; ve;j tpjj;jpYk; tpj;jpahrkhdtuy;y.

typg;G ahUf;F Ntz;LkhdYk; ve;j tajpy; Ntz;LkhdhYk; tuyhk;. 0.5% ypUe;J 2% tiuahd kf;fSf;F mth;fsJ MAs;fhyj;jpy; typg;G Vw;glhyhk;. ,e;jpahtpy; 1Nfhb NgUf;F typg;G cs;sJ.

2) typg;G vd;d nra;fpwJ?

%isapy; kpd;Ndhl;lij Muk;gpf;Fk; fhuzpfSf;Fk; mjid fl;Lg;gLj;Jk; fhuzpfSf;Fk; ,ilNa xU rpwg;ghd rkepiy cs;sJ NkYk; kpd;Ndhl;l nray;ghl;bd; gutiy tiuaWf;Fk; mikg;GfSk; cs;sd. typg;gpd;NghJ ,e;j tiuaiwfs; nraypoe;J mrhjhzkhd kpd;ntspNaw;wk; Vw;glyhk;. xUtUf;F ,uz;LKiw ,e;j gpbg;G Vw;gLk;NghJ mJ typg;G vd;W miof;fg;gLfpwJ.

typg;G Vw;gl gy ntspg;gilahd fhuzq;fs; cs;sd. mtw;wpy; rpy fPNo gl;bapyplg;glL;s;sd:

(i)fha;r;ry; (ii)gpwtp FiwghLfs; (nlypthpapy; f~;lk; ) (iii)%is FiwghLfs;/%is fl;b (iv)Neha;j;; njhw;w(nkdpd;[pl;b];) (vi)jiyapy; fhak;(tpOjy;/tpgj;J) (vii)Ntfkh kpd;Dk; iyl;fs;/fyh;fs; (btpapy;) (viii)RlePhpy; jiyf;F Fspg;gJ (ix)kUe;Jfspd; tpisTfs; (x)msTf;fjpfkhf kJ mUe;Jjy; (xi)Jhf;fkpd;ik (xii)gl;bdp (xiii)czh;Tf;NfhshW (xiv)khjtpyf;F fhyk;

3)typg;G vd;why; vd;d?

typg;G vd;gJ %is nry;fs; mrhjhuz kpd;dhw;wiy cUthf;Ftjhy; Vw;gLk; mrhjhuz fl;Lg;ghlw;w ,af;fq;fs; my;yJ elj;ijfisf; Fwpf;Fk; nrhy;yhFk;. typg;G NehAs;s egHfSf;F typg;Gfs; kPz;Lk; kPz;Lk; Njhd;Wk;. typg;G Neha; rpy rkaq;fspy; “typg;Gf; FiwghL” vd;Wk; miof;fg;gLfpwJ.

4)typg;Gfs; midj;Jk; xNu khjphp ,Uf;Fkh?

,Uf;fhJ. gy tifahd typg;Gfs; cs;sd. ed;F mwpag;gl;Ls;s tifahd typg;G nghJthd Nlhdpf; f;Nshdpf; typg;G vd;wiof;fg;gLfpwJ (,J Kd;G jPtpu typg;G vd;wiof;fg;gl;lJ. rpy rkaq;fspy; mJ ,rpT vd;Wk; miof;fg;gl;lJ. jPtpu typg;G Vw;gLk; xUth; nghJthf Raepidtpoe;J kaf;fkile;J fPNo tpOe;JtpLfpwhh;. 30 Kjy; 60 nehbfSf;F cly; tpiwg;ghf MfptpLk;. mjd;gpd; 30 Kjy; 60 nehbfSf;F cly; fLikahf cjwj; njhlq;FfpwJ. typg;G Kbe;jTld; me;egh; Mo;e;j cwf;fj;jpw;Fr; nrd;WtpLthh; my;yJ gy kzp Neuj;jpw;F Jhf;f epiyapNyh my;yJ Fog;g epiyapNyh ,Uf;ff;$Lk;. typg;G my;yJ mjw;F rw;W Kd; ele;j epfo;r;rpfs; gw;wp mtUf;F VJk; epidtpy;yhky; Nghfyhk;.

NtnwhU tif typg;G Vw;gLk;NghJ me;egUf;F ,uz;nlhU nehbfSf;F xd;WNk Ghpahj epiy Vw;glyhk; mtHfs; Fwpg;gpd;wp Rw;wp tUtJld; Fog;g epiyapYk; ,Uf;ff;$Lk;. vdNt midj;J typg;GfSNk clypy; cjwiy Vw;gLj;Jtjpy;iy (,rpT)

5)typg;GNeha; xU kuGtop Nehah?

ngUk;ghyhd NehahspfSf;F mJ xU kuGtop Nehay;y. rpy tif typg;G Neha;fspy; kl;Lk; typg;G Neha; Njhd;Wtjw;fhd fhuzp 2-4% mstpw;F kuGtopapy; ngwg;gLfpwJ mjhtJ ngUk;ghyhdtHfSf;F kuGtop mk;rk; ,Ug;gjpy;iy. typg;G NehapYs;s xU kpfg;nghpa jtwhd fUj;J ,JntahFk;. 6)typg;G Neha; gutf;$ba jd;ik nfhz;ljh?

,y;iy typg;G Neha; guTtjpy;iy. cq;fshy; ahhplkpUe;Jk; typg;G Nehiag; ngw KbahJ.

7)typg;G Nehia Vw;gLj;JtJ vJ?

typg;G NehAs;s gj;J egHfspy; VO NgUf;F fhuzk; vijAk; fz;lwpa Kbatpy;iy. kw;wtHfSf;F %is nra;Ak; tpjj;jpy; khw;wj;ij Vw;gLj;jf;$ba gy tp~aq;fspy; mJ vJthf Ntz;LkhdhYk; ,Uf;fyhk;. cjhuzkhf jiyapy; Vw;gLk; fhaq;fs; my;yJ Foe;ij gpwg;gpd;NghJ gpuhzthA gw;whf;Fiw Mfpait %isapYs;s El;gkhf kpd; mikg;ig Nrjg;gLj;jpapUf;ff;$Lk;. kw;w fhuzq;fs; %isf; fl;bfs; kuGtop epiyfs; (bAgu]; ];fpnyNuh]p];) fhhPa er;R gpwg;gpw;F Kd;Ng %is tsHr;rpapy; gpur;ridfs; Njhd;Wjy; %isAiwaow;rp kw;Wk; %isAiwapy; ePH NfhHj;jy; Nghd;w njhw;Wf;fs; MFk;. typg;G Neha; ngUk;ghYk; Foe;ijg; gUtj;jpd; epiyahfNt fUjg;gl;lhYk; tho;f;ifapd; ve;j Neuj;jpYk; mJ Njhd;wf;$Lk; xt;nthU Mz;Lk; Vw;gLk; 30% Gjpa epfo;Tfs; Foe;ijg; gUtj;jpy; jhd; njhlq;Ffpd;wd Fwpg;ghf Foe;ijg;gUt Muk;g epiyapYk; tpliyg; gUtj;jpYk; Njhd;Wfpd;wd. kpf mjpf epfo;Tfs; Njhd;Wk; ,d;ndhU fhyfl;lkhdJ 65 taijf; fle;j Kjpa egHfsplk; Vw;gLtjhFk;. 8)typg;Gf; FiwghL ,Ug;gjhf re;Njfk; Vw;gl;lhy; ehd; vd;d nra;a Ntz;Lk;?

cq;fSf;Nfh my;yJ cq;fs; md;Gf;Fhpath; ahUf;NfDk; typg;G Vw;gLtjhf ePq;fs; fUjpdhy; vd;d elf;fpwJ vd;gJ Fwpj;J cq;fs; kUj;JtUld; ePq;fs; fye;jhNyhrpg;gJ Kf;fpakhFk;. ,e;j mrhjhuz epfo;Tfs; vg;Nghnjy;yhk; Vw;gLfpd;wd mit Njhd;Wk; Kiw gw;wpa gjpTfis itj;jpUf;fTk;. ePq;fs; tpsf;FtJ xU tifahd typg;G Neha;jhdh vd;gij eph;zapg;gjw;F ePq;fs; kUj;JtUf;F mspf;Fk; tptuq;fs; mtUf;F cjtf;$Lk;.

9)typg;G Neha; vt;thW fz;lwpag;gLfpwJ? typg;G Nehiaf; fz;lwptjw;F kUj;JtUf;Fs;s Kf;fpa fUtpahdJ typg;Gfs; vt;thW Njhw;wkspj;jd kw;wk; mit Njhd;Wtjw;F rw;W Kd; vd;d ele;jJ vd;gJ gw;wp ,ad;wtiu mjpfkhd tptuq;fisf; nfhz;l ftdkhd fle;j fhy kUj;Jt tptuq;fshFk;. ,uz;lhtJ Kf;fpa futpahdJ Xh; vyf;l;Nyhvd;nr/gNyhfpuhk; (,,[p) MFk;. mJ jiyAld; ,izf;fg;gLfpd;w nky;ypa xah;fs; %yk; Nrfhpf;fg;gLk; %isapd; miyfis NfhLfshf ,r;rhjdj;jhy; gjpT nra;ag;gLfpd;wd. typg;gpd;NghJ my;yJ typg;GfSf;kpilapy; Vw;gLk; %isapy; miyfs; xU Fwpg;gpl;l tbtq;fisf; fhl;Ltjhy; xUtUf;F typg;G Neha; cs;sjh vd;gij KbT nra;tjw;F mit kUj;JtUf;f cjTfpd;wd. Nehawpjy; epr;rakw;wjhf ,Ue;jhy; ,,[p-tPbNah fz;fhzpg;G gad;gLj;jg;glyhk;. ,t;tifahd Nrhjidapy; typg;G Vw;gLk;NghJ %isapd; nray;ghl;il ,,[p fz;fhzpg;gJld; clypd; ,af;fj;ijAk; elj;ijiaAk; Nfkuhf;fs; tPbNah ehlhtpy; gjpT nra;Ak;. typg;Gfis Vw;gLj;jf;$ba tifapy; %isapy; VNjDk; tsh;r;rpfs; tLf;fs; my;yJ NtW VNjDk; epiyfs; cs;sdth vd;gijj; NjLtjw;fhf gpk;g Kiwfshd rpb (fk;g;A+l;liu];L NlhNkhfpuh/gp) my;yJ vk;Mh;I (khf;dbf; nun]hdd;]; ,Nk[pq;) ];Nfd;fs; gad;gLj;jg;glyhk;. Rpy Muha;r;rp ikaq;fspy; typg;Gfis cUthf;Fk; %isapd; Fwpg;gpl;l gFjpfis milahsk; fhz;gjw;fhf gh]pl;uhd; vkp~d; NlhNkhfpuh/gp (ngl;) gpk;g Kiw gad;gLj;jg;gLfpwJ. 10)typg;G Vw;gLtjpypUe;J xUth; jd;id vt;thW fhj;Jf; nfhs;s KbAk;? Ghpe;Jiuf;fg;gl;Ls;s kUe;Jfis rhpahf vLj;Jf; nfhs;Sjy; rhpahd cwf;f Row;rpia guhkhpjpjy; mrhjhuz neUf;fbfis jtph;j;jy; kw;Wk; jdJ kUj;Jthpd; mwpTWj;jy;fis gpd;gw;Wjy; Mfpatw;wpd; %yk; typg;G Neha; cs;s xUtuhy; jdJ typg;G epfo;Tfisf; fl;Lg;gLj;j KbAk;. njhlh; kUj;Jt kjpg;gPL kw;Wk; fz;fhzpg;G tUiffis Nkw;nfhs;Sjy; MfpaitAk; Kf;fpakhFk;. ,Ug;gpDk; xUth; midj;ijAk; gpd;gw;Wk;NghJk; my;yJ mth; nra;a Ntz;batw;iwr; nra;Ak;NghJk;$l typg;Gfs; Njhd;wf;f$Lk;. 11)typg;Gfs; %isf;F ghjpg;ig Vw;gLj;jf;$Lkh? ,y;iy. mjw;F khwhf %is ghjpg;G (ck;. jiyapy; Vw;gLk; fhak; %isf; fha;r;ry; my;yJ %isrhh;e;j ,af;ff; FiwghL) typg;G Nehia Vw;gLjjyhk; 12)typg;G Neha;f;F vt;thW rpfpr;iraspf;fg;gLfpwJ? kUe;Jfs; mWit rpfpr;ir rpwg;G czTKiw my;yJ thf]; euk;igj; Jhz;Ltjw;fhf epuyikf;fg;gl;l rhjdk; xd;iw nghUj;Jjy; (tpvd;v]; rpfpr;ir) Mfpait %yk; typg;G Neha;f;F rpfpr;iraspf;fyhk;. ,r;rpfpr;ir KiwfspNyNa kUe;Jfs; jUk; Kiwjhd; nghJthf Nkw;nfhs;sg;gLtJld; mJjhd; Kjypy; gad;gLj;jg;gLfpd;wd. ,k;kUe;Jfs; gy;NtW tifahd typg;Gfisf; fl;Lg;gLj;Jfpd;wd. ,aYkhdhy; xNu tifahd kUe;jpdhy; typg;Gfisf; fl;Lg;gLj;j kUj;Jth; Kaw;rpj;jhYk; xd;Wf;Fk; mjpfkhd tif typg;Gfshy; ghjpf;fg;gl;Ls;s xUth; mjpf tif kUe;Jfis vLj;Jf;nfhs;s Ntz;bapUf;Fk;. clypy; xU Fwpg;gpl;l epiyia milAk; tiu typg;G jLg;G kUe;Jfs; (typg;G Neha; vjph;g;G kUe;J my;yJ typg;G vjph;g;G kUe;J vd;Wk; miof;fg;gLgit) rhpahf Ntiy nra;ahJ kw;Wk; mf;Fwpg;gpl;l epiy guhkhpf;fg;gl Ntz;Lk;. vg;NghJ kw;Wk; vt;tsT kUe;J cl;nfhs;s Ntz;Lk; vd;gJ Fwpj;j kUj;Jthpd; mwpTWj;jy;fis ftdkhfg; gpd;gw;w Ntz;Lk; typg;Gfisj; jLg;gjw;F NghJkhd msT cah;e;j epiyapy; Mdhy; mNj Neuk; mjpf Jhf;f czh;itNah my;yJ tpUk;gj;jgfhj gf;ftpisTfisNah Vw;gLj;jhj msTy; ,uj;;jj;ij itj;Jf; nfhs;tNj Fwpf;NfhshFk;. 13)vdf;F typg;G Neha; ,Ue;jhy; ehd; jpdrhp kUe;ij vLj;Jf; nfhs;s Ntz;Lkh? Mk;. cq;fs; typg;Gfs; Vw;glhj NghjpYk; kw;Wk; cq;fSf;F typg;G Vq;glhJ vd;W ePq;fs; wpidf;Fk; rkaq;fspYk;$l cq;fs; kUe;ij ePq;fs jpdrhp vLj;Jf; nfhs;s Ntz;Lk;. typg;Gfisj; jLg;gjw;F cq;fs; kUj;Jth; cq;fSf;Ff; $wpAs;sijg; NghyNt kUe;ij ePq;fs; njhlh;e;J vLj;Jf;nfhs;s Ntz;Lk;.

14)vd; kUe;ij vLj;Jf;nfhs;s ehd; kwe;Jtpl;lhy; ehd; vd;d nra;a Ntz;Lk; xU kUe;jsit ePq;fs; kwe;Jtpl;lij mwpe;Jnfhz;l clNdNa nghJthf cq;fs; kUe;ij ePq;fs; vLj;Jf;nfhs;s Ntz;Lk;. cq;fs; fle;j kUe;jstpypUe;J 24 kzp Neuk; fle;J tpl;bUe;jhy; mwpTWj;jYf;fhf cq;fs; kUj;Jtiu miof;fTk;; 15)vdf;F typg;G Vw;glg;NghfpwJ vd;W ehd; epidj;jhy ehd; $Ljyhf kUe;ij vLj;Jf;nfhs;s Ntz;Lkh? $lhJ. cq;fs; Fwpg;gpl;l NjitfSf;F Vw;wthW kpff; ftdj;Jld; cq;fs; typg;G Neha;f;F ePq;fs; vLj;Jf;nfhs;Sk; kUe;jpd; msT mikf;fg;gl;Ls;sJ. cq;fs; kUj;Jthpd; xg;Gjy; ,d;wp $Ljyhf kUe;ij vLj;Jf; nfhs;sf;$lhJ. 16)ehd; epue;jukhf kUe;ij vLj;Jf;nfhs;s Ntz;bapUf;Fkh? typg;G Neha; cs;s rpyuhy; kUe;J vLj;Jf; nfhs;tij epWj;jptpl Kbayhk; ,Ug;gpDk; ,e;j Kbit cq;fs; kUj;Jth;jhd; vLf;f Ntz;Lk;. ePq;fSk; cq;fs; kUj;JtUk; kUe;Jf; vLj;Jf; nfhs;tij epWj;Jk; Kbit vLg;gjw;FKd; gy Nfs;tpfis fUj;jpy; nfhs;s Ntz;Lk;. ,it cq;fs; typg;Gfs; ve;j mstpw;F tpiuthff; fl;Lg;gLj;jg;gl;ld vj;jid fhyj;jpw;F ePq;fs; typg;Gfs; VJkpd;wp ,Ue;Js;sPh;fs; kw;Wk; cq;fs; gpur;idia ghjpf;ff;$ba NtW VNjDk; cly;eyf;FiwTfs cq;fSf;F ,Uf;fpwjh vd;gdtw;iw cs;slf;fpajhFk;. 17)typg;G Neha;f;Fk; Jhf;fj;jpw;Fk; ,ilapYs;s cwT vd;d?

typg;G Neha;f;Fk; Jhf;fj;jpw;Fk; ,ilA+W Vw;gLtJ typg;Gfis jPtpug;gLj;jyhk;. rpy typg;Gfs; cwf;f epiyapy; mbf;fb Njhd;Wfpd;wd ck;. %isapd; Kd; gFjp typg;G Neha; kuGtopapy; Njhd;Wk; Kjd;ikahd nghJthd typg;G Neha;.

18)typg;G Neha; cs;s ngz;fs; fUTw;why; vd;dthFk;? fl;Lg;ghlw;w typg;Gfs; fUtpYs;s Foe;ijia ghjpf;ff;$Lk;. typg;G Neha;f;fhd kUe;Jk; fUtpYs;s Foe;ijia ghjpf;fyhk;. fUTw;wpUf;Fk;NghJ kUe;J vLj;Jf; nfhs;tJ gw;wpa KbTfis mjd; ,lh;fs; kw;Wk; ed;ikfisg; gw;wp Ngrpagpd; ePq;fSk; cq;fs; kUj;JtUk; vLf;f Ntz;Lk;.

19)r%fg; gpur;rid

A)Ntiytha;G

nra;aNtz;bait

• typg;G Vw;gl;lhy; cq;fsJ capUf;F Mgj;J Vw;glhj tifapyhd Ntiyia Njh;e;njLq;fs;.

• Ntiytha;g;ig mjpfhpf;Fk; tifapy; cq;fsJ fy;tp kw;Wk; jpwikia tsh;f;f Kaw;rp nra;Aq;fs;
• jFe;j ghJfhg;G eltbf;iffis Nkw;nfhs;sTk;.

nra;af;$lhjit

• fPpo;f;fz;lit njhlh;ghd Ntiyfis nra;a Ntz;lhk;:

• biuth my;yJ tpkhdj;jpd; igyl;
• ePr;ry; mbj;jy;
• Vwjy; my;yJ cauj;jpy; gzpGhpjy;
• fduf ,ae;jpuq;fs; my;yJ vyf;l;hpf; fUtpfSld; Ntiy nra;jy;.

B)jpUkzk; kw;Wk; Foe;ij

nra;aNtz;bait

• jpUkz tho;f;ifia jpwk;gl elj;j KbAk; vd;why; kl;LNk jpUkzk; nra;Aq;fs;
• fh;g;gkhFjiy jpl;lkpLq;fs; fh;g;gkhFjYf;F Kd;djhf vLf;f Ntz;ba kUe;Jfs; gw;wp cq;fsJ kUj;JtUld; Mnyhrid nra;Aq;fs;.
• ghYhl;Ltij gw;wp cq;fsJ kUjJthpld; Mnyhrid nra;Jtpl;L ePq;fs; tof;fk; Nghy ghy; nfhLf;fyhk;

nra;af;$lhjit

• jpUkzk; cq;fs; typg;G Nehia Fzg;gLj;Jk; vd;w fUj;NjhL jpUkzk; nra;ahjPh;fs;.
• cq;fsJ tho;f;if Jizth; kw;Wk; mtuJ cwtpdh;fsplk; cq;fsJ Nehia gw;wp $whky; kiwf;fhjPh;fs;
• cq;fsJ fh;g;g fhyk; KOtJk; tof;fkhf kUe;J vLf;f Ntz;Lk;

C)typg;G NehNahL thOjy;

xt;nthUtUk; jq;fsJ typg;G Neha; gw;wp mjd; tif kw;Wk; vt;tsT fhy ,ilntspapy; Vw;gLfpwJ kw;Wk; typg;G tUtij gw;wp $wf;$ba jd;ik gw;wp tpj;jpahrkhf $Wfpd;wdh; ngUk;ghyhd Nf];fspy; kUe;Jtypg;G Njhd;Wtij epWj;j KbAk; my;yJ Fiwe;j gl;rk; Mr;rhpag;glj;jf;f tifapy; mjid Fiwf;Fk; cq;fsJ tho;f;if Kiwapy; khw;wk; nra;a tpUk;Gk; tha;g;Gfis gy fhuzpfs; ghjpf;Fk; D)fy;tp

Foe;ijfs; ehd;F tajpypUe;j fy;tp fw;Fk; chpik nfhz;lth;fs;. ngUk;ghyhd typg;Gs;s Foe;ijfs; gs;spfs; kw;Wk; fy;Yhhpfspy; gbf;fpd;wdh;. Vnddpy; typg;G vd;gJ jdpeguJ epiyahFk; mJ xUtuJ fy;tp kw;Wk; fw;Fk; jpwikia ghjpg;gjpy; MSf;F Ms; NtWglyhk;.

Njh;T epiyapy; kjpg;gpLk;NghJ typg;G Neha; ,Ug;gJ xUtuJ jpwikia kjpg;gpLtij ghjpf;fhJ. ,Ue;jNghjpYk; kdf;ftiy Vw;gLk;NghJ my;yJ xU ehspy; Fwpg;gpl;l Neuj;jpy; typg;G Vw;glyhk; vd;W fUJgth;fs; Njh;T Fwpj;J MNyhrid nra;aNtz;Lk;. mJNghd;w Neuq;fspy; Njh;T Fwpj;J gs;sp fy;Yhhp gy;fiyfof mjpfhhpfSld; MNyhrpg;gJ cjtpahf ,Uf;Fk;.

E)tpisahl;L kw;Wk; nghOJNghf;F

gugug;ghf gzpGhpAk;NghJ mth;fSf;F typg;G tUtjw;fhd tha;g;G Fiwthf cs;sJ. rpy Ntiyfs; kw;w Ntiyfis tpl Mgj;J kpFe;jjhf cs;sd. cq;fsJ tpisahl;L kw;Wk; nghOJNghf;Ffs; Fwpj;J Rje;jpukhf Muha;e;J ghUq;fs;. jFe;j ghJfhg;G Kd;ndr;rhpf;iffshy; ngUk;ghyhd Mgj;Jfis Fiwj;J tplyhk;.

F)vdf;F typg;G tUk;NghJ ehd; vd;d nra;a Ntz;Lk;?

• typg;G epWj;j Kaw;rpf;f Ntz;lhk;
• typg;G Vw;gLk;NghJ thapy; vijAk; jpzpf;f Ntz;lhk;
• NghJkhd fhw;Nwhl;lk; ,Uf;FkhW ghh;j;Jf;nfhs;sTk;.
• the;jp vLg;gij tpOq;fptplhky; ,Uf;f ePq;fs; ,Uf;Fk; gf;fj;ij khw;wpf;nfhs;sTk;.
• Kbe;jtiu tpiutpy; kUj;Jtiu ghh;f;fTk;.

20)vdJ kUj;Jtiu ehd; vg;NghJ miof;f Ntz;Lk;? (i)typg;G 5 epkplq;fSf;F Nky; ePbj;jy;. (ii)typg;Gf;F Kd;Gk; gpd;Gk; ePq;fs; tof;fkhf czUk; tpjj;jpy; khWjy; Vw;gLjy;. (iii)typg;G Vw;gl;lgpd; ePq;fs; gioa epiyf;Fj; jpUk;g tof;fj;ijtpl mjpf Neukhjy;. (vi)cq;fs; typg;G mjpf jPtpukiljy; my;yJ mbf;fb Vw;gLjy.; (v)Kjy; typg;G Vw;gl;l clNdNa ,uz;lhtjhf typg;G Vw;gLjy;. (vi)typg;G Vw;gLtjw;F rw;W Kd; cq;fSf;Fj; jpBnud;W jiytyp,kuj;j czh;T my;yJ cq;fs; clypd; xU gf;fj;jpy; gytPdk; my;yJ cq;fs; ghh;it my;yJ Ngr;rpy; gpur;ridfs; Njhd;Wjy;. ,it gf;fthjj;jpw;fhd mwpFwpfshf ,Uf;fyhk;.

(vii)cq;fs; typg;G kUe;ij ePq;fs; khw;Wfpd;w my;yJ NtW VNjDk; kUe;Jfis vLj;Jf; nfhs;fpd;w ve;j Neuj;jpYk;. 21)typg;G NehAs;sth;fs; thfdq;fis Xl;l mDkjpf;fg;gLthh;fsh? ,e;jpahtpYs;s Nkhl;lhh; thfd rl;lj;jpd;gb xUtUf;F typg;G NehapypUe;J Koikahd Fzk; Vw;gl;L mth; kUe;Jfis vLj;Jf; nfhs;shj epiy ,Ue;jhYk; mtUf;F typg;G Neha; ,Ue;Js;sJ/,Uf;fpwJ vd;W mwptpj;jhNy mth; thfdk; Xl;l mDkjpf;fg;glkhl;lhh;. Nkw;fj;jpa ehLfspy; xUth; 6 khjq;fs;-2 Mz;LfSf;F typg;Gfs; ,y;yhky; ,Ue;jhy; mth; typg;G vjph;g;G kUe;Jfis (AEDf;fs;) cl;nfhz;bUe;jhYk; jdJ jdpg;gl;l thfdj;ij Xl;Ltjw;F mDkjpf;fg;gLthh;. 22)ahUf;fhtJ typg;G Vw;gl;lhy; ehd; vd;d nra;a Ntz;Lk;? cq;fSf;F typg;G Neha; ,Ue;jhy; gpd;tUk; tptuq;fis cq;fs; FLk;gk; ez;gh;fs; kw;Wk; rf gzpahsh;fSld; ePq;fs; gfph;e;J nfhs;s tpUk;gyhk; cq;fSf;F mUfpYs;s xUtUf;F typg;G Vw;gl;lhy; gpd;tUk; nghJthd topKiwfisg; gpd;gw;wTk;;;;;;;;:

(i)mikjp fhf;fTk;. (ii)me;egiu ,d;ndhU ,lj;jpw;Ff; nfhz;L nry;y Ntz;lhk;. (iii)mirjy; my;yJ eLf;fj;jpypUe;J me;egiu jLg;gjw;F Kaw;rpf;f Ntz;lhk; . (iv)mtiug; ghh;j;J $r;rypl;Nlh my;yJ cYf;fpNah mtiu vOg;g Kaw;rpf;f Ntz;lhk;. (v)me;egh; fhaj;ij Vw;gLj;jf;$ba nghUl;fs; kPJ tpOe;jhNyh my;yJ Nkhjpf; nfhz;lhNyh mtw;iw mfw;wptplTk;. (vi)me;egiu ,d;ndhU ,lj;jpw;Ff; nfhz;L nry;y Ntz;lhk;. (vii)thapYs;s VNjDk; jputk; ntspNa tUtjw;F VJthf me;egiu nkd;ikahf xUGwkhfj; jpUg;gTk; xUNghJk; mtiu thiaj; jpwf;fr; nra;a Kaw;rpf;fNth my;yJ vijAk; cs;Ns NghlNth Ntz;lhk;;. (viii)kpUJthd vijNaDk; (jiyaiz Nghd;wJ) mth; jiyf;F mbapy; itf;fTk;;;. (ix)me;egh; typg;G Neha; cs;stuhf mwpag;glhjpUe;jhy; my;yJ typg;G 5 epkplq;fSf;Fk; mjpfkhf ePbj;jhy; Mk;Gyd;i] miof;fTk;. (x)typg;G Kbe;jgpd; me;egh; Fog;gkhd epiyapypUf;fpwhuh vd;gijf; ftdpf;fTk;. mth; tpUk;gpdhy; mtiu Xa;ntLf;fNth my;yJ cwq;fNth mDkjpf;fTk;.

23)rpfpr;irapd;NghJ Nkw;nfhs;sNtz;ba Kd;ndr;rhpf;iffs;

nra;aNtz;bait

• cq;fs; typg;G gw;wpa Kotpguq;fis cq;fsJ lhf;lUf;F njhptpf;fTk.;
• ePq;fs; gpwe;jNghJ Vw;gl;lfhak; Vw;gl;l fhak; euk;G kz;lyj;jpy; Vw;gl;l fhak; euk;G kz;lyj;jpy; Vw;w;gl;l njhw;WNeha typg;G Neha; gw;wpa cq;fsJ FLk;gj;jpd; kUj;Jt tuyhW gw;wpa tpguq;fis toq;fTk;.
• typg;G Neha; cs;s xUtUf;F xd;Wf;F Nkw;gl;l tifahd typg;Gfs; Vw;glyhk;.
• typg;G Nehia rpwg;ghf fl;Lg;gLj;j mjid Kd;djhf fz;lwpjy; kw;Wk; mjw;fhd kUj;Jt Mnyhrid Mfpait kpf Kf;fpakhdit MFk; cq;fsJ kUj;Jth; mwpTWj;JtJ Nghy jpdKk; kUe;ij vLj;Jf;nfhs;sTk;.
• tPl;by; kUe;ij ,Ug;G itf;fTk; NkYk; kUj;Jth; vOjpf;nfhLj;j kUw;Jfspd; ngah;fs; kw;Wk; msit vLj;Jf;nfhs;s gof;fg; gLj;jpf; nfhs;Sq;fs;
• cq;fsJ Neha; ed;whf fl;Lg;gLj;jg;gl;lhy; mNj fk;ngdpapd; kUe;ij vLj;J tuTk; mNj kUe;ij kw;w fk;ngdpfSk; jahhpj;J khf;nfl;by; tpw;gidf;F tpl;bUf;fyhk;.
• cq;fSf;F typg;G Vw;gLk; fhy ,ilntsp kw;Wk; kw;w fUJf;fis gw;wp xU lahpapy; vOjTk;.
• Cq;fsJ lahpAld; kw;Wk; ePq;fs; Nfs;tp vJTk; Nfl;f tpUk;gpdhy; jpdKk; cq;fsJ kUj;Jtiu re;jpAq;fs;.
• Fiwe;j 3 Mz;L fhy ,ilntspahtJ typg;G Vw;glhky; ,Uf;f kUe;Jfis vLj;Jf;nfhs;s Ntz;Lk; vd;gij epidtpy; nfhs;Sq;fs;.
• cq;fsJ kUj;Jthpd; MnyhridAld; ePq;fs; btp ghh;f;fyhk; tpisahl;Lg; Nghl;bfspy; kw;Wk; nghOJ Nghf;F epfo;r;rpfspy; <Lglyhk;;.

nra;af;$lhjit

• cq;fSf;F Vw;gLk; gf;f tpisTfs; my;yJ kUe;ij rfpf;f Kbahj jd;ik Mfpait Fwpj;J cq;fsJ kUj;Jthplk; njhptpf;fTk;.
• xU euk;G kz;ly mtru epiyahf – typg;ig jpBnud mjpfhpf;fyhk; vd;gjhy; cldbahf kUe;ij epWj;j Ntz;lhk;;.
• ePq;fs; cq;fs; tpUg;gg;gb kUe;J fk;ngdpia khw;w Ntz;lhk;;.
• cq;fsJ lhf;lhpd; xg;Gjy; ,d;wp cq;fs; kUe;J msit Fiwf;fNth my;yJ mjpfhpf;fNth kw;Wk; mbf;fb vLj;Jf; nfhs;StNjh $lhJ.
• ePq;fs; NtWNeha;tha;g;gl;lhNyh fh;g;gkhf ,Ue;jhNyh my;yJ ,ju fhuzq;fSf;fhf kUe;ij epWj;jNth my;yJ Fiwf;fNth Ntz;lhk; fl;Lg;gLj;j Kbahj typg;gpw;fhd fhuzq;fs;jhd; ,it.

gpufhrkhd ntspr;rk; my;yJ mjpf rj;jj;ij jtph;f;fTk;.

24)ek;gpf;if cz;ikAk;

a) ek;gpf;if: typg;G rhjhuzkhdJ my;y.

cz;ik: ,e;jpahtpy; typg;G 1000y; 10 NgUf;F cs;sJ.

b) ek;gpf;if: typg;G xU njhw;WNeha;

cz;ik: typg;G Nehia xUth; kw;nwhUtiu njhLtjhNyh fhw;wpNyh cztpNyh jz;zPh; %ykhfNth my;yJ kw;w topfspNyh guthJ.

c) ek;gpf;if: typg;G Neha; Vw;gLgtiu fPNo mKf;fp gpbf;f Ntz;Lk;.

cz;ik: typg;G Neha; te;jtiu fl;Lg;gLj;jf; $lhJ mjdhy; fhak; Vw;glyhk;. Fbdkhd my;yJ $h;ikahd nghUl;fis topapypUe;J mfw;wptpl Ntz;Lk; mtuJ jiyf;F fPNo nkd;ikahd nghUis itf;fNtz;Lk;.

d) ek;gpk;ik: typg;GNehahy; mtjpg;gLgth; typg;G NehNahL gpwe;jpUf;f Ntz;Lk;

cz;ik: ngUk;ghYk; typg;G Neha; rpWth;fSf;Fk; ,isQh;fSf;Fk; Vw;gl;lhYk; ahUf;Fk; vg;NghJ Ntz;LkhdhYk; ,e;Neha; tuyhk;.

e) ek;gpf;if: typg;GNeha; vd;gJ mwpTf;Fiwtpd; milahsk;.

cz;ik: typg;G vd;gJ xU clypy; Vw;gLk; Neha; kdNehNah my;yJ CdNkh fpilahJ. mwptpy; rpwe;j gy Gfo;ngw;w gpuKfh;fSf;F typg;G Neha; te;jpUg;gij cjhuzkhf $wyhk;.

f)ek;gpf;if: ,e;j Nehahspfs; kPJ flTs; ,Uf;fpwhh; mth;fis topg;gl Ntz;Lk;.

cz;ik: typg;G Vw;gLk;NghJ mth;fs; fl;Lg;gLj;j KbahJ Kiwapy; ele;Jnfhs;fpd;whd Mdhy; ,J nja;tPf rf;jpapd; ntspg;ghL ,y;iy mth;fSf;F kUj;Jt rpfpr;ir mspf;fg;gl Ntz;Lk; mth;fis NghyNt elj;j Ntz;Lk;.

g)ek;gpf;if: typg;G Neha; cs;sth;fs; FLk;gj;jpy; ,Ug;gJ FLk;gj;jpw;F fsq;fk; vdNt ,e;j cz;ikia kiwj;J tpl Ntz;Lk;.

cz;ik: Jujph;~;ltrkhf typg;;G Neha; cs;sth;fs; kw;Wk; mth;fsJ FLk;gj;jpd; kPjhd fsq;fk; ,d;Dk; epyTtJ njhlh;fpwJ. fy;tp mwptpd; %ykhf ,e;j fsq;fj;ij Nghf;f mj;jid Kaw;rpfisAk; Nkw;nfhs;s Ntz;Lk;.

jpUr;rpapy; cs;s kfhj;kh mz;zy; fhe;jp muR kUj;Jtkidapy; typg;G Neha;f;fhd rpfpr;irfs; Kjy;th; n[ayypjhtpd; Mizgb xt;nthU NehahspfSf;Fk; ,ytrkhf khjk; xUKiw typg;GNeha;fhz khj;jpiufs; ,ytrkhf jpq;fs; Gjd; nts;sp Mfpa fpoikfspy; toq;fg;gLfpwJ ,ij kf;fs; gad;gLj;jpf; nfhs;s Ntz;Lk;.

lhf;lh; vk;.V.myPk;. vk;.b. b.vk; (ePANuh) %is euk;gpay; Nguhrphpah; fp. M. ng. tp];tehjk; muR kUj;Jtf; fy;Yhhp kfhj;kh mz;zy; fhe;jp kUj;Jtkid 0jpUr;rp -620017

Myths and Reality about epilepsy

Indian Epilepsy day is celeberated every year on 17^th November to get awareness by public about epilepsy in our country.

Myths and Reality about epilepsy

Dr.M.A. Aleem M.D.D.M.,(Neuro)

Consultant Neurologist & Epileptologist

Trained at Institute of Neurology Queen’s Square, London, UK.

Professor of Neurology,

Department of Neurology, KAPV Govt. Medical College & MGM Govt. Hospital Trichy -620001

Epilepsy is the name for a group of brain disorders characterized by fits. It is the most common serious neurological disorder, and can affect anyone. The fits can occur at any time, though in some people they may be precipitated by other events. The fits occur when recurrent episodes of brain dysfunction, with simultaneous discharge of brain cell, lead is alteration in motor sensory or other activity. Some affect localized parts of the brain and lead to partial fits which may consist of subjective experiences or involuntary motor activity or both with or without loss of consciousness. Generalized fits can occur when both sides of the brain are involved in the synchronous discharge And these can include tonic clonic fits or suble absences, body jerks or loss of postural tone . partial fit may sometime progress to generalized fits. Epilepsy has many causes. In some people the condition is inherited but in most it is caused by brain damage due to causes such as infection,trauma, stroke, brain tumor or developmental abnormalities. In meny indivituals the cause is never known. Epilepsy occurs in men and can begin at any age but is more frequently diagnosed in early life or in oldage. Various community in india continue to perpetuate many myths and misconceptions about epilepsy.Epilepsy is frequently thought of as a punishment of evil deeds or the breaking of certain taboos. But the reality is different. (Table). Various myth and misconception, often prevent people with epilepsy from seeking medical treatment. The strange behaviours caused by some forms of epilepsy has iead to a commen rural belief that epilepsy is due to “possession by spirits”. People believing in supernatural powers at work offer worship and animal sacrifice for epilesy. Muslim people consider epilpsy as the spell of “satan”.in our rural areas attempt are made to exocise evil spirit from people brain with epilepsy. Fear,misunderstanding and the result in social stigma and discrimination surrounding epilepsy often force people with epilepty “in to shadows”.

1)Myth:-Epilepsy is due to possession by evil spirits.Take the person to a scrcerer and have these spirits exorcises.	Reality:- Epilepsy is a neurological disorder.It is easy to treat with medication. So patients should be taken to doctors.
2)Myth:-Use of choppal, onion, iron bar or key and burining the skin with hot needle or iron rod during an acute attack of fit will stop the attack.	Reality:- These things will not stop the fits. Rather some time it will injure the epileptic patients.
3)Myth:- Treatment with quacks will cure the problem of fit.	Reality:- It is not possible Need qualified doctor’s help for proper anitiepileptic medication.
4)Myth:- Never touch the patients with a fit.the disorder will be passed to you	Reality:- Epilepsy cannot be passed on to others by touching the patients.Patient with fit needs your help and should be given appropriate care.
5)Myth:- Epilepsy in a family member brings stigma to the family, so this should be concealed.	Reality:- Like diabetes, hypertension epilepsy is a treatable disease. Unfortunately the stigma against people with epilepsy and their families continues to be widely prevalent. Every effort should be made to remove this stigma through health education.
6)Myth:- Epilepsy is a form of madness and it should be treated in lunatic asylum.	Reality:- Epilepsy is the disorder of brain function. So it should be treated by neurologist, physicians. There is no need for lunatic asylum.
7)Myth:- People with epilepsy should not marry.	Reality:-It is not so. it is good to get marry in right age.Try to achieve capabilities in spheres on your choice and be as much as independent as possible.Do not hide the fact on having epilepsy and details of medication. Get marryied when you find suitable candidate. If some one reasons it dose not take place do not have frustrations. Learn to live happy useful and meaning full life marriage or no marriage.
8) Myth:-Epilepsy patient can never have a children.	Reality:- Most of the epileptic patients – can safely have children with no adverse effect on the baby.
9)Myth:- Children with fits are dull and cannot learn, so they should not be sent to school.	Reality:- Most childredn with fits have normal intelligence. Some children with fits do have coexistent mental retardation ,but they have some underlying identifiable brain defect . However, it is also true that some children with fits are extremely intelligent. Therefore parents should be encouraged to enroll their children in schools along with other normal children. This way, they can regain their self – esteem and achieve their full potential.
10) Myth:- Wearing of metal ring, “Thayath” or offer worship and animal sacrifices or eating the crow flesh will prevent the epilepsy attack.	Reality:- It is not so. Only proper anitiepileptic medication will prevent the further attack of epilepsy.

It is estimated that around 50 million people in the world courrently have epilepsy of whom about 40 million live in developing countries. The number of people in the world who will ever have at least one seizure is estimated to be approximately 100 million people. Epilepsy affects about 1%of the population of South – East asia region of WHO, thus there are approximately 15 million people with epilepsy in the region.

In developed countries ,annual new cases are between 40 to 70 per 100 000 people in the general population .In the general population. In developing countries, this figure is often close to twice as high due to the higher risk of experiencing conditions that can lead to permanent brain damage. Close to 80% of epilepsy cases woldwide are found in developing regions. The risk of premature death in people with epilepsy is two to three time higher than it is for the general population.

Epilespsy is one of most common neurological disorders. It is estimated that there are more than 10 million persons with epilepsy (PWE) in India . Its prevalence is about 1% of our population, this being higher in the rural (1.9%) as compared with the urban population (0.6%). A prevalence rate of 8.8 per 1,000 population was observed Because the prevalence of the disease in rural areas is twice that of urban areas,there is much need to strengthen epilepsy services in the rural and underserved areas. The burden of epilepsy as estimated using the disability – adjusted life years (DALYs) accounsts for 1% of the total burden of disease in the world,excluding that due to social stigma and isolation, which PWE IN our country face this in turnleads to escalation of the disease burden. The annual mortaility rate estimated in the study was about 7.63/100,000. The Standardized Mortality Ratio (SMR) was found to be 2.58/100,000. Mortality rate due to status epilepsious (SE) is reported to be 29% Sudden death due to the disease varies widely between 2 and 18%. It is estimated that nearly 2-3 lakh patients may die due to epilepsy if they remain untreated. A case – control study design from the US mortality data study on epilepsy showed the association of mental retardation cerebral palsy cerebrovascular disease myocardial ischemia dementia foreign body in pharynx and larynx pneumonia alcoholism and cirrhosis of liver with epilepsy at the time of death of epilepsy patients. Stigma is referred to as a severs social disapproval of personal characteristics or beliefs that are against cultural norms. PWE face stigma in many communities. Among these, 31% thought epilepsy to be a hereditary disorder 27% a form of insanity, 40% were denied employment due to their condition, 11% of the parents did not allow their child to play with children with epilepsy and 55% of the women concealed their epilepsy during marriage negotiations. Out of those who concealed 18% were legally divorced and 20% were separated feom their spouses because of the disease. These studies reflect different aspects of stigma associated with epilepsy. The treatment of epilepsy of involves both direct and indirect costs. Direct cost includes the cost of the hospitalization, tretment, medicines, homecare and ancillary services. The indirect cost include loss of time and productivity,the income lost by family members and the foregone leisure time. The cost attributed to pain suffering and social stigma comes under intangible costs. The direct and the indirect cost of treatment represented 27.1 and 72.9% of the total cost respectively. Treatment gap in epilepsy is broadly classified into primary and secondary. About 78% of the PWE are affected by this gap . The tretment gap varies from 50 to 70% among persons with epilepsy. Various reasons have been given for the discontinuation of treatment gap. Ninety percent of the patients discontinue due to the cose factor, 21% due to unemployment 20% due to frustration 21% due to lack of medicines and 10% due to marital disharmony. Treatment gap has been found to be higher in the rural areas and in the low – income countries as per WHO. In Trichy MGM hospital inexpensive and a good number of AEDs are available. Phenobarbitone has been the frist choice of treatment in 96% of the developing countries PHT in 68.2% CBZ in 42.6% and Valproic Acid in 22.5% . Sixty percent of the patients remain free from seizures on there first appropriate drug and prefix an additional 13% on a combination of two drugs. 70 -80%of PWE are controlled with one to two medicines. Ninety percent of seizure – free patients took only a moderate dose of AEDs. If a PWE has been properly treated it would result in a seizure – free good qulity of life. The unnecessary cost of the treatment and burden would be curtailed by providing medication. Based on the total projected population of India in the year 2001. The estimated number of people with epilepsy would be 5 million. Because rural population constitutes 74% of the India population the number of peopie with epilepsy in rural area will be approximately 4.1 million , three forth of whom will not be seeting any specific treatment as per the present Standard. In our Trichy District about 60-70 new cases of epilepsy are detected in every one lakh population every year. Despite global advances in modern in medicins, epilepsy continues to the surrounded by Myths and misconceptions patients with epilepsy may be taken to faith healers religious healers and traditional healers rather than medical doctors and 10 – 20% of all patients with epilepsy receive appropriate treatment. In our district population of epilepsy patient about 68.85% of them got traditional treatment or faith healing approaches once or many times during their disease period. Even for the first fit about 43% of the patient had traditional treatment in our district.

As described, the myths and misconceptions prevalent in most of our communities abd the lack of awareness regarding the medical nature of epilepsy amongest patients and their families need to be educated patients to seek the help of unconventional sources. Patients and their families need to be educated regarding the medical nature of epilepsy, its characteristics, causes and prognosis.They should also be educated about the importance of compliance in treatment, the potential side effects of drugs and the duration of treatment. Communication specialists may be used to develop educational materials (booklets, posters, plays,television and radio messages) on epilepsy to inform the community, thereby reducing the social stigma attached to epilepsy. Involvement of community leaders and schoolteachers, in these activities should be encouraged.

In India

• To promote public awareness about epilepsy: alleviation of myths and misconceptions and enhance prevention.
• To reduce the treatment gap of epilepsy in India.
• To build capacity at all levels of human resource for the management of epilepsy.
• It in an urgent need to formalate a national epilepsy management program in our country

WHO response

Epilepsy is a chronic disorder of the brain that affects people in every country of the world.WHO and its partners recognize that epilepsy is a major public health concern. WHO,the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE) are carrying out a global campaign, ‘Out of the Shadows’ to provide better information and raise awareness about epilepsy , and strengthen public and private efforts to improve care and reduce the disorder’s impact. Projects to reduce the treatment gap and morbidity of people with epilepsy,train and educate health professionals, dispel stigma, identify potential for prevention and develop models integrating epilepsy control into local health systems are ongoing in many countries. So WHO should adopt world epilepsy day in hand with ILEA/IBE to bring epilepsy out of no shadow inreality all over no world.

Dr.M.A.Aleem M.D.D.M., (Neuro) Professor of Neurology, Department of Neurology, KAPV Govt. Medical college & MGM Govt. Hospital Trichy-620001

Note: Dr.M.A.Aleem is specially trainedin Epilepsy at Institute of Neurology Queen’s London, UK. His training was sponsored by Indian Academy of Neurology. He is doing a lot of research on Epilepsy on in our district population. He is published more than 102 research paper in the field of epilepsy and stroke.

World day for remembrance of traffic collisions victims 2012

Third Sunday of November is adopted each year to remember the victims of traffic collision by WHO. Annually about 1.3 million people were died and about 50 million people are injured or disabled world wide. In India 135000 people are the victims for traffic collision. About 13 to 15 traffic accidents are taking place for every hour in India.Among them 40 % accidents are due to two wheeler. This can be prevented by checking the speed of driving wearing helmet and seat belt for each drive.In Tamil Nadu our chief minister Jayalalithaa has introduced an insurance scheme under which traffic accidents victims can get treatment with free of cost.

The Hindu : NATIONAL / TAMIL NADU : ‘Name airport after C.V. Raman’

The Hindu : NATIONAL / TAMIL NADU : ‘Name airport after C.V. Raman’

The Hindu : NATIONAL / TAMIL NADU : Bringing epilepsy patients out of the shadows

The Hindu : NATIONAL / TAMIL NADU : Bringing epilepsy patients out of the shadows

The Hindu : MISCELLANEOUS / OTHERS : A vaccine too far?

The Hindu : MISCELLANEOUS / OTHERS : A vaccine too far?

The Hindu : MISCELLANEOUS / OTHERS : Dengue nation: The rise of a viral challenge

The Hindu : MISCELLANEOUS / OTHERS : Dengue nation: The rise of a viral challenge

The Hindu : MISCELLANEOUS / OTHERS : Tamil Nadu battles mosquito squadrons

The Hindu : MISCELLANEOUS / OTHERS : Tamil Nadu battles mosquito squadrons

Avoid Mosquito Bites

Mosquitoes bite can transmit malaria fever Japanese B encephalitis dengue fever chikungunia fever west Nile encephalitis and eastern equino encephalitis.prevention of mosquito bites will prevent 3 type of brain fever dengue and chikungunia.

Abortion or stillbirth in women Increases stroke risk

In women history of miscarriages or stillbirth related pregnancy may results in stroke later. Its more common with young women and women with more abortions and even a single stillbirth.The risk of getting stroke is two fold in women with 4 or more abortions and one stillbirth. The risk is also same to get heart attack and renal hypertension.

Beware dengue fever

Beware dengue fever if you have fever joint pain rashes and pain behind eyes. Avoid pain killer attend medical help get away from mosquito bites.

Request to Chief Minister of Tamil Nadu Jayalalithaa to Name Sir C V Raman Name to Trichy International Airport .

Trichy 2/11/2012

From : Dr. M.A.Aleem.M.D.D.M(Neuro) president Trichy Neuro Association Trichy – 620018 Tamil Nadu

To: The Chief minister of Tamil Nadu Chennai

Respected madam

Sub : Request to name Trichy International Airport after Sir C.V.Raman a Nobel Laureate who was born in Trichy Thiruvanikoil,

Sir C.V. Raman, a 1^st Indian, a 1^st Asian and a first non white who got Nobel Prize for Science in1930 was born in Trichy Thiruvanikoil on 7.11.1888. He also got Indian government’s highest civilian award Bharat Ratna in 1954. Indian National Science day is adoped every year on Febrauary 28^th to mark his discovery of Raman effect.

So for no airport in India is named after a scientist. Being Trichy is the birth place for Sir.C.V.Raman,it is appropriate to name the Trichy International Airport after his name as “Trichy Sir.C.V.Raman International Airport “

Kindly consider my request for nessarary action and it may be announced to mark his 125^th birth anniversary

Your sincerly

Dr.M.A.Aleem.M.D.D.M(Neuro)

Copy to:

1.The Prime minister of India New Delhi

2.Civil Aviation minister Govt of India NewDelhi

Correspanding address. Dr.M.A.Aleem.M.D.D.M(Neuro) Consultant Neurologist No;1, Annamalai Nagar Main Road, Trichy-620018. Tamilnadu. India. e-mail: drmaaleem@hotmail.com. Cell-94431-59940

The Festival of Sacrifice

The Festival of Sacrifice

Dr. M.A Aleem M.D., D.M. (Neuro) HOD & Professor of Neurology Dept. of Neurology KAPV Govt. Medical Collage & MGM Govt. Hospital Trichy – 620017 What is Eid ul-Adha? At the end of the Hajj (annual pilgrimage to Mecca), Muslims throughout the world celebrate the holiday of Eid ul-Adha (Festival of Sacrifice). In 2012, Eid ul-Adha will begin on or around October 27 and will last for three days. On the day of Eid- ul-Adha the morning starts with prayers and a sermon at the local mosque, and a sacrifice of a cow, ram, or lamb is made after the sermon and prayers. The meat from the sacrifice is distributed among the poor people of the area, and a feast is has among friends and family. Eid ul-Adha or Feast of the Sacrifice is an important religious holiday celebrated by Muslims worldwide to honor the willingness of ʾIbrāhīm to sacrifice his son Ismā'īl as an act of obedience to God, before God intervened to provide him with a sheep to sacrifice instead. The days of Eid ul Adha are the 10th of Dhul Hijjah upto the 12th of Dhul Hijjah (3 days and 2 nights) sacrifice may take place until sunset on the 13th Day. This year this day is on 27.10.2102 in Tamil Hajji Peru Nāl. Tamil Bakr Eid Peru Nāl. The days of Tashriq are from the Fajr of the 9th of Dhul Hijjah upto the Asr of the 13th of Dhul Hijjah (5 days and 4 nights). This equals 23 prayers: 5 on the 9th-12th which equal 20 and 3 on the 13th. Eid ul-Adha begins with a Sunnah prayer of two Raka'ah (units) followed by a sermon (khuṭbah). Eid ul-Adha is celebrated annually on the 10th, 11th and 12th day of the twelfth and last Islamic month of Dhu ul-Hijjah. In the Indian subcontinent, the festival is known as Bakr-Id because of the tradition of sacrificing the goats ("bakri" in Hindi-Urdu). Muslims commemorate this ultimate act of sacrifice every year during Eid ul-Adha. What does Eid ul-Adha commemorate? During the Hajj, Muslims remember and commemorate the trials and triumphs of the Prophet Abraham. The Qur'an describes Abraham as follows: "Surely Ibraham was an example, obedient to Allah, by nature upright, and he was not of the polytheists. He was grateful for Our bounties. We chose him and guided him unto a right path. We gave him good in this world, and in the next he will most surely be among the righteous." (Qur'an 16:120-121) One of Ibraham's main trials was to face the command of Allah to kill his only son. Upon hearing this command, he prepared to submit to Allah's will. When he was all prepared to do it, Allah revealed to him that his "sacrifice" had already been fulfilled. He had shown that his love for his Lord superceded all others, that he would lay down his own life or the lives of those dear to him in order to submit to Allah.

.Who must attend Eid prayer

1. Men compulsory - Women Optional
2. Residents, which exclude travellers
3. Those in good health, which excludes genuinely sick people

When is the Eid ul-Adha prayer performed

The Eid ul-Adha prayer is performed anytime after the sun completely rises up to just before the entering of Zuhr time, on the 10th of Dhul Hijjah. If the event of an excuse (eg. natural disaster), the prayer maybe delayed to the 11th of Dhul Hijjah and then to the 12th of Dhul Hijjah.

The Sunnah of Eid ul-Adha

In keeping with the tradition of the Prophet Muhammad, Muslims are encouraged to prepare themselves for the occasion of Eid. Below is a list of things Muslims are recommended to do in preparation for the Eid ul-Adha festival:

1. Make wudu (ablution) and offer Salat al-Fajr (the pre-sunrise prayer).
2. Prepare for personal cleanliness – take care of details of clothing, etc.
3. Dress up, putting on new or best clothes available.

Salat al-Eid (Eid prayer)

Eid prayer must be offered in congregation. It consists of two Raka'ah (units) with seven Takbirs in the first Raka'ah and five Takbirs in the second Raka'ah. For Sunni Muslims, Salat ul-Eid differs from the five daily canonical prayers in that no adhan (Call to Prayer) or iqama (call) is pronounced for the two Eid prayers. However, Shi'ite Muslims may begin Salat ul-Eid with adhan (Call to Prayer) with a third repetition of the line "Hayya ala salah" ("Come to prayer") and iqama (call). The Salaat (prayer) is then followed by the Khutbah, or sermon, by the Imam.

At the conclusion of the prayers and sermon, the Muslims embrace and exchange greetings with one other (Eid Mubarak), give gifts (Eidi) to children, and visit one another. Many Muslims also take this opportunity to invite their non-Muslims friends, neighbours, co-workers and classmates to their Eid festivities to better acquaint them about Islam and Muslim culture.

The Takbir and other rituals

The Takbir is recited from the dawn of the tenth of Dhu al-Hijjah to the thirteenth, and consists of:

Allāhu akbar, Allāhu akbar, Allāhu akbar
lā ilāha illā Allāh
Allāhu akbar, Allāhu akbar
wa li-illāhil-hamd

Allah is the Greatest, Allah is the Greatest, Allah is the Greatest,

There is no deity but Allah

Allah is the Greatest, Allah is the Greatest

and to Allah goes all praise

Why do Muslims sacrifice an animal on this day?

During the celebration of Eid ul-Adha, Muslims commemorate and remember Abraham's trials, by themselves slaughtering an animal such as a sheep, camel, or goat. This action is very often misunderstood by those outside the faith.

Allah has given us power over animals and allowed us to eat meat, but only if we pronounce His name at the solemn act of taking life. Muslims slaughter animals in the same way throughout the year. By saying the name of Allah at the time of slaughter, we are reminded that life is sacred.

The meat from the sacrifice of Eid ul-Adha is mostly given away to others. One-third is eaten by immediate family and relatives, one-third is given away to friends, and one-third is donated to the poor. The act symbolizes our willingness to give up things that are of benefit to us or close to our hearts, in order to follow Allah's commands. It also symbolizes our willingness to give up some of our own bounties, in order to strengthen ties of friendship and help those who are in need. We recognize that all blessings come from Allah, and we should open our hearts and share with others.

It is very important to understand that the sacrifice itself, as practiced by Muslims, has nothing to do with atoning for our sins or using the blood to wash ourselves from sin. This is a misunderstanding by those of previous generations: "It is not their meat nor their blood that reaches Allah; it is your piety that reaches Him." (Qur'an 22:37)

The symbolism is in the attitude - a willingness to make sacrifices in our lives in order to stay on the Straight Path. Each of us makes small sacrifices, giving up things that are fun or important to us. A true Muslim, one who submits his or herself completely to the Lord, is willing to follow Allah's commands completely and obediently. It is this strength of heart, purity in faith, and willing obedience that our Lord desires from us.

What else do Muslims do to celebrate the holiday?

On the first morning of Eid ul-Adha, Muslims around the world attend morning prayers at their local mosques. Prayers are followed by visits with family and friends, and the exchange of greetings and gifts. At some point, members of the family will visit a local farm or otherwise will make arrangements for the slaughter of an animal. The meat is distributed during the days of the holiday or shortly thereafter.

It is heartening to witness the spirit of sharing and giving on this Eid, as no Muslim goes hungry during the tiring but joyous days of Eid Ul-Adha! 

The animal dies due to loss of blood. The blood should be allowed to drain completely from its body before it is skinned, disemboweled and chopped. This takes a good half-hour or so. The test to see whether the animal's blood has drained is to touch the animal's body; if it is still warm, it means the blood has not drained completely.
- It is absolutely forbidden to start skinning and cutting the animal when it is still alive or writhing. Some butchers, especially the amateur ones, who want to make the maximum amount of money on Eid Ul-Adha by slaughtering as many animals as possible, commit grave errors in the process of slaughter. They should not be allowed by the animal owners to thus abuse the animal. Moreover, it is impermissible for Muslims to consume blood in any form. If the blood has not drained from the animal's body completely before it is cut up, it will remain in the veins inside the meat, thus rendering the meat "haraam" for consumption.
- For larger animals such as cows and camels, only expert butchers should try to slaughter them on Eid Ul-Adha, and should be booked well in advance. It has been noted that when inexperienced people try to slaughter these large animals themselves (as expert butchers are very busy on this Eid), the latter get scared and become difficult to tie down and subdue, at times dashing off, causing injuries and harm.

Traditions and practices

Men, women, and children are expected to dress in their finest clothing to perform in a large congregation is an open field called Eidgah or mosque. Those Muslims who can afford, i.e Malik-e-Nisaab; sacrifice their best halal domestic animals (usually a cow, but can also be a camel, goat, sheep or ram depending on the region) as a symbol of Abraham's willingness to sacrifice his only son. The sacrificed animals, called Uḍhiyyah also known by its Persian term, "al-Qurbāni"), have to meet certain age and quality standards or else the animal is considered an unacceptable sacrifice.

The meat from the sacrificed animal is divided into three parts. The family retains one third of the share; another third is given to relatives, friends and neighbors; and the other third is given to the poor and needy. The regular charitable practices of the Muslim community are demonstrated during Eid ul-Adha by concerted efforts to see that no impoverished person is left without an opportunity to partake in the sacrificial meal during these days.

During Eid ul-Adha, distributing meat amongst the people, chanting the Takbir out loud before the Eid prayer on the first day and after prayers throughout the three days of Eid, are considered essential parts of this important Islamic festival. In some countries, families that do not own livestock can make a contribution to a charity that will provide meat to those who are in need.

Request to Tamilnadu CM Jayalalithaa

                                                                 jpUr;rp

                                                          3.11.2012

                                           

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