Friday, January 31, 2014

No end to nursing students' strike
Feb 1, 2014, 03.44AM IST TNN?[ R Gokul ].Times of India Trichy
TRICHY: The efforts of the Trichy district administration to end the agitation of the students of government nursing school here failed as the strike entered its third day on Friday. The students are demanding the scrapping of the government order to recruit students of private nursing colleges by the medical recruitment board (MRB). Meanwhile, service to patients was hit slightly due to the students' strike at the Mahatma Gandhi Memorial Government Hospital (MGMGH), sources said.
On Friday, around 50 students met the collector at her office after she had invited them for talks. Dr MA Aleem, vice-principal of KAP Viswanatham Government Medical College, and T Maragatham, the principal of the government school of nursing led the delegation.
As the students were not convinced by the collector's assurance to take the matter to the government, they decided to continue the strike, with the protesters sitting under the scorching sun.
Meanwhile, more than 350 nursing students are protesting in front of the MGMGH, pressing the government to revoke its order to appoint nurses of private colleges through MRB.
T Leelavathi, state secretary of Tamil Nadu Government Nurses Association, blamed some students from outside for 'allegedly instigating' the nursing students to continue the strike. She was seen having heated arguments with some students from elsewhere.
Leelavathi said that their association had submitted a plea to the government to give priority to the students of government nursing school in MRB recruitments. "We demand the government to provide reservation to government students in MRB recruitment examinations. But the students are carrying on with the strike due to support from external forces," Leelavathi said.
Maragatham said students should not be scared of taking up competitive examinations. "We are neither encouraging nor opposing the students' strike. Compared to private nursing college students, government college students are provided quality training. So, they are capable of winning in competitive examinations. They needn't refrain from taking up exams to join government services," Maragatham noted.
MGMGH sources said the strike has affected nursing care to patients at MGMGH, which is reeling under shortage of staff nurses. More than 500 nursing students are deployed here as trainees to assist the staff nurses.
Dr P Karkuzhali, dean of MGMGH, said the hospital administration is concerned about the agitating nursing students. "The nursing students already submitted their two demands and we forwarded them to the government. So, I did not discuss with them on the third day. But we are looking after the needss of the students who are on strike,' she said.
However, she claimed that patient care at MGMGH was not affected due to the ongoing strike.

Nurses continue strike, seek revocation of high court order
Times of India Trichy
Jan 31, 2014, 04.57AM IST TNN TRICHY: In what is considered to be the fallout of inept handling of the nurses' issue at the K A P Viswanatham Government Medical College, nursing students braved the sun throughout the day protesting against the order of the Madurai bench of Madras high court that nurses should be appointed through the Tamil Nadu Public Service Commission (TNPSC).
The trainee nurses at the KAPV government medical college first went on a flash strike on January 11 on the hospital premises resulting in the disruption of work for a few hours. They then protested the state government's decision to fill the vacancies through the TNPSC. About 300 nurses had demanded disparity between the private and government when it came to appointment. The KAPV government medical college vice-principal, Dr M A Aleem had then assured the students that the agitating nursing students' demands would be sent to the directorate of medical education (DME).
Since there was no response, the students once again went on an indefinite strike from the morning of Wednesday. All the efforts to pacify them did not curry any favour as the nurses were determined to carry on their strike throughout Wednesday night. The agitation continued throughout Thursday.
The trainee nurses also raised slogans against government's move. The nurses said that they would continue their strike, till the government issued an order revoking the TNPSC examination. They said that despite their long struggle, no concerned officials called them so far to hold talks.
A large posse of police personnel was posted in and around the hospital. Since the nurses staged the agitation near the main entrance, 108 ambulances were diverted through other entrances. Dean, MGMGH, Dr P Karkuzhali told reporters that they had already sent the demands of nurses to the DME and they were helpless in the absence of any reply from the directorate.

Tuesday, January 28, 2014

Chewing Gum and Headache

Treating some headaches in children may be a simple matter of getting them to quit chewing gum.
Excessive gum chewing may be an important but under-recognized trigger for headaches in older children.
Excessive gum chewing causes headache not through the ingestion of aspartame from the gum, as has been previously suggested, but by putting undue exertion on the temporomandibular joint (TMJ).

Doctors make a point of enquiring about the gum chewing habits of adolescents reporting daily or recurrent headaches. "If the neurological examination is normal and the habit is present, they should first of all discontinue it to see if headaches improve, before embarking on expensive diagnostic procedures, or prescribing medications for the headache in children .

Sunday, January 19, 2014

Vegetarian Food

Lowered risk of cardiovascular disease and other medical problems

Vegetarian diet will include only vegetables, fruits, whole grains, nuts, other legumes and sometimes dairy products and eggs. It will not include meat items which will contain large amount of cholesterols and other fatty acids at an excess level. Therefore, vegetarians are less likely to develop high cholesterol levels in the blood and thus the deposition of the same in blood vessels. The benefit of this would be the lowered risk in cardiovascular diseases such as coronary artery disease, stroke, kidney diseases as well as conditions such as diabetes, high blood pressure and osteoporosis. But, it should be remembered that, there are many other medical problems which will be aided to be healed or controlled by consuming only vegetarian products.

-Leaner body size

Low caloric diets which will often be the norm for vegetarians can make them lot thinner than their non-vegetarian counterparts. When considering the disease manifestations among obese individuals, it is rather advantageous to be leaner by being vegetarian.

-Psychological relief

For some, the feeling of protecting life and not harming other living beings would be far greater than any other benefit received through being vegetarian. Furthermore, they will be able to engage in far greater efforts to protect life than the ones who are non vegetarian without a guilt and with more dignity and venom.

-Economical gains

A vegetarian shopping list is will most likely to cost far less than a non-veg shopping list and this can be a huge benefit when considering its long term effects on health as well as on the pocket for such individuals.

Sunday, January 12, 2014

Polio Free India

World health organization WHO on 13.01.2014
declared India a polio free country.

India has not reported a case of polio, after a two-year-old girl was paralyzed by polio in the Howrah district of West Bengal on 13 January 2011. The last reported case of Ruksha Shah, who just has a slight limp, is the only remnant of the polio infection that ravaged her in 2011. The disease left her right leg a little shorter and weaker. 
Worldwide Cloud Services Market To Surpass $109 Billion In 2012
According to WHO reports, India is one of the largest donors to polio eradication, and till 2013, India had contributed US$2 billion towards polio eradication programmes.
WHO officials today declared India polio-free on 13 January 2014, which means the virus has died in the environment. New cases, if any, would be caused by the infection coming in another country.
It is indeed seen has a victory for the fight against polio, as in 2009 India had 50 percent share in the world's polio cases. With India off the list, there are only three more countries in the world which are still polio-endemic - Afghanistan, Nigeria and Pakistan.
A country that had 150,000 polio cases in 1985 completely ridding out the virus is indeed a milestone. However, the country's polio eradication programme will have to stay on track, as there are still places where immunization programmes are yet to be accepted by local communities.
Polio Fact-sheet India(As per WHO)
 Cases in 2011: 1 (last case 13 January 2011)
 Cases in 2009: 741
 Cases in 1991: 6,028
 Cases in 1985: 150,000
 Last wild poliovirus type 1 (WPV1) case: 13 January 2011, Howrah, West Bengal
 Last wild poliovirus type 2 (WPV2) case: October 1999, Aligarh, Uttar Pradesh
 Last wild poliovirus type 3 (WPV3) case: 22 October 2010, Pakur, Jharkhand
 Last positive case from monthly environmental sewage sampling (conducted in Delhi, Mumbai and Patna): November 2010, Mumbai 

Tuesday, January 7, 2014

Rally highlights need to avoid junk food
Tiruchirapalli | Monday, Jan
6 2014 IST 
Student members of Leo Club of the well known Jamal Mohamed College here today took out a rally from Railway junction to their college as part of a programme to educate the ill-Effects of consuming Junk Foods.
Flagging off the rally, Dr M A Aleem Vice-Principal of the Government Medical College here underlined the need to avoid junk food as it is poses a danger to one's health.
The rally passed through important thorough fares in the city. Later, at a meeting, eminent doctors highlighted need to avoid junk foods. UNI RV VV AK2040


Saturday, January 4, 2014

Diet for Stroke Patients

Stroke is a condition in which a muscle or a group of muscles becomes weak or paralyzed following a vascular accident in the brain. These accidents will take the shape of bleeding or else an ischemia. Once a set of nerves or part of the brain becomes dysfunctional, these dead cells would not recover or else will take a long time for recovery which will involve many months of re-training.

Among all the stroke victims, large percentage will also suffer from weakness and paralysis of the muscles in the throat. In such instances, one of the main concerns would be the inability to receive a proper nutrition through the mouth. Apart from the nutritional restrictions, such patients are more vulnerable in aspirating ingested food particles or fluids, developing respiratory infections or else in producing effective voice. Thus, with the possibility of such debilitation, one needs to identify the best route of meeting the nutritional needs and how and when to do the necessary changes to prevent under-nutrition or else dehydration.

Before initiating nutritional interventions, the stroke victim should be evaluated for his or her ability to swallow. In this regard, the dysphagia trained nurse or a speech therapist should usually assess a stroke patient and under their recommendations a dietitian will prescribe an appropriate diet. As the patient improves his or her condition, the nutrition should also adopt itself accordingly and frequent review of the nutritional requirement would be the way forward in managing such a patient.

Following are some of the useful tips in managing the nutritional aspect of a stroke patient according to the previously discussed assessments.

-Provide the patient with a high protein – high energy diet.

This can be given either as an oral feed in case the swallowing mechanisms are intact or else as an intravenous or an NG feed as well.

-Give enough fruits and vegetables to make it a balanced diet.

Fruits and vegetables will not only provide good nutritional value, but, will also provide high fibers to maintain easy passage of stools.

-Maintain adequate hydration.

Drinking enough water or else giving adequate fluids through an intra-venous line has to be continued throughout the recovery phase. It will promote adequate metabolic functioning as well as have additional effects such as thinning of mucus secretions in the lungs where it can be coughed-up easily.

-Cater to the demand or get the victim involved in dietary decision making

When a person with a stroke request certain foods or fluids, if it is not harmful for the existing disease conditions, it should be provided at all possible times as compliance and mental soundness will play a major part in the recovery process.

-Change the menu

Changing the menu from time to time will increase the compliance and will avoid food refusals and developing of a dislike towards the foods.

-Avoid acidic and spicy foods as much as possible

Due to the possibility of developing gastric ulcers, such foods are better avoided.

Wednesday, January 1, 2014

Neonatal Ambulance for MGM Goverment Hospital Trichy

Emergency healthcare in Trichy got a boost with ambulances allotted for newborns and the remote Pachaimalai on Monday. While neonatal ambulance is meant for providing emergency medical care to infants across the district, the 108 ambulance for Pachaimalai, near Thuraiyur, will be a boon for tribals residing on the hill villages.
Trichy district collector Jayashree Muralidharan flagged off the ambulances in the presence of Dr R Vallinayagam, dean of MGMGH, at the collectorate on Monday.
After flagging off the ambulances, the collector said the neonatal ambulance will play a vital role in ensuring emergency medical care to infants while they are brought to hospitals. The ambulance will go a long way in reducing infant mortality, the collector said. Dr.M.A.Aleem, Vice Principal KAPV Vishvanatham Goverment Medical college,
Dr R Manohar, joint director health services, Dr G Muthukumar, district programme manager, Tamil Nadu Health Systems Project (TNHSP) attended the function.
The neonatal ambulance is equipped with multi-channel monitor, incubator, suction apparatus, oxygen cylinder, syringe pump and ventilator. The monitor will measure pulse saturation, ECG and non-invasive blood pressure of infants requiring emergency care. The ambulance, which will be stationed at MGMGH, could be called for transporting unwell infants anywhere from the district. Infants can be given emergency medical care while on the move to government hospitals in towns. Hitherto, people in rural areas were at the receiving end as they had to travel long distances for obtaining medical services for newborns facing complications.
Eight-limbed Baby No More After Surgery
By Express News Service - TIRUCHY
Published: 31st December 2013 07:47 AM
Last Updated: 31st December 2013 08:12 AM

The eight-limbed baby that died on Monday | EPS
Despite surgery by pediatrics at the Mahatma Gandhi Memorial Government Hospital (MGMGH), the five-day-old male baby affected with parasitic pagus, a condition with asymmetric limbs died on Monday night.
The pediatric surgeon D Baskar, who performed the operation to remove the extra appendages, declared the baby dead after inspecting him at around 9 pm. The baby was kept on ventilator after the surgery performed on Monday morning.
The doctor also said the body of the baby could not be handed over the parents immediately. This kind of surgery involves possibility of severe infections in the baby's body.
There is a possibility of such infections spreading quickly to others and so it would be dangerous to take the body from the ventilator now, they said. The doctors further said the body would be handed over to the parents only after two days.
Pediatric medical officials, including an anaesthetist, performed the surgery on the five-day-old and eight-limbed infant who was admitted to the Mahatma Gandhi Memorial Government Hospital after a referral from a private hospital in Manapparai.
The surgery started around 10 am and lasted for three-and-half-hours after which the child was put on ventilator. "We faced a lot of difficulties during the surgery. The intestine and spleen of the baby were out. We used 'silo-technic', and the baby's intestine and spleen was reduced into the abdominal cavity," he said.
Stating that they removed two legs, two arms, one penis and hip, Baskaran said the team tried its best to save the baby. "One in ten million will have this kind of condition," said Dr Vallinayagam, Dean, Mahatma Gandhi Memorial Government Hospital. "The district has over 200 ultra scan centres and the parents did not go anywhere for a medical check-up. Had there been a check-up earlier, the foetus could have been terminated initially," said Dr M A Aleem, KAPV Government Medical College Vice-principal. The couple - Mamundi and Vijaya - of Manapparai taluk already have four female children and were hoping that their only son would recover soon