Sunday, April 28, 2019
Friday, April 26, 2019
Sunday, April 21, 2019
Thursday, April 11, 2019
Sir good evening one suggestion sir we can have welcome board / arch at entry point of our Trichy city corporation in chennai madurai tanjor karur salam pudukottai - Trichy roads with or without sponsor
Trichy corporation installs signboards projecting city as one of the cleanest Deepak Karthik | Times of India Trichy | Apr 12, 2019, 04:48 IST
Trichy corporation installs signboards projecting city as one of the cleanest
Deepak Karthik | tnn | Apr 12, 2019, 04:48 IST
Trichy: The Trichy Corporation has installed a couple of signboards promoting the city as one of the cleanest in the country. The boards have ‘I love Trichy’ on it and are put up in a manner welcoming vehicles approaching the city on the national highways. The corporation has spent about Rs 15 lakh on each signboard.
For the last four years, Trichy has retained the cleanest city in Tamil Nadu tag through the Swachh Survekshan exercise conducted by the Ministry of Housing and Urban Affairs (MoHUA). Denizens had been seeking the civic body to promote the clean city tagline in public places to establish Trichy in the good books of the visitors.
Based on the demands, after obtaining permission from the National Highways Authority of India (NHAI), the corporation installed a couple of signboards near the city corporation’s limits on the Trichy-Madurai NH and Trichy-Chennai NH.
“It is a welcome move. June 1, 2019, will mark the silver jubilee year of Trichy Corporation. More such activities like installing memorial pillars should be taken up to display the laurels the city has achieved on the cleanliness front,” said Dr M A Aleem, Swachh Ambassador of Trichy Corporation.
The signboards also have the logo ‘I Love Trichy’. The civic body has planned to install such logos in public parks and other public spots as ‘selfie points‘ to evoke ownership attitude among the locals to keep the city clean and green. “We have proposals to install such signboards near Trichy Airport so that visitors will have good feeling about the city’s ambience. Gradually, other entry and exit points will have such signboards,” said corporation commissioner N Ravichandran.
Wednesday, April 10, 2019
#WorldParkinsonsDay 11th April 2019 The aim of Parkinson's Awareness Day is to raise awareness of Parkinson's disease ( PD).PD is the 2nd commonest neurodegenerative disorder with 10 million sufferers -Dr.M.A.Aleem #Neurologist #Trichy #TamilNadu #India @WHO @Parkinsons_News
Parkinson's disease (PD) is the second-most common neurodegenerative disease worldwide, with 10 million sufferers. Parkinson’s Disease is a progressive movement disorder caused by degeneration of dopamine-producing neurons in the substantia nigra specifically in the Pars Compacta, which leads to resting tremor, rigidity, problems initiating movement and postural instability. In this article, we will discuss the conventional treatment, advanced treatments and ongoing studies on Parkinson’s disease. Conventional Treatments All the therapies for treating Parkinson’s disease primarily focuses on increasing the level of Brain dopamine. The following conventional treatment protocols are commonly followed for Parkinson’s disease. A pharmacological and non-pharmacological approach is adopted based on the severity, stage, and grade of the disease. If the diagnosis is not relative to PD, then the non-pharmacological approach may be associated with/without Monoamine Oxidase B (MAO-B) inhibitors which are also used in early-stage patients for symptomatic treatment. If the patient has a confirmed diagnosis of PD, then an evaluation is made to assess whether the cognition is intact or impaired. If the cognition is intact, drug therapies include Dopamine agonist, Anticholinergics, Amantadine, Levodopa, Carbidopa/ COMT Combination therapy, +/- MAO-B inhibitors. Alternatively, if the cognition is impaired drug therapy include Stalevo/ Levodopa. Anti-cholinergic and amantadine are preferably avoided in this case. Based on the disease progression and severity of motor fluctuations, surgical mode of treatment may be adopted which includes deep brain stimulation (DBS), Pallidotomy, thalamotomy, etc. Advanced Treatments 1. Medical Therapies: Exenatide is a glucagon-like peptide-1 (GLP-1) agonist. Pre-clinical studies with Exenatide revealed its role in inhibiting cell death, reducing oxidative stress, enhancing mitochondria function, and promoting neuronal functioning. Opicapone is a phase 3 trial tested drug which could be of particular benefit for motor fluctuations since it works by preventing the breakdown of levodopa, thereby extending levels of levodopa in plasma. Istradefylline blocks adenosine A2A receptors. In a recent meta-analysis, istradefylline was found to be a well-tolerated drug. It decreased “off” periods and improved motor symptoms. Cooling brain on fire- A promising new therapy to stop Parkinson's disease has been developed by scientists who found that a small molecule, MCC950, which blocked NLRP3 activation in the brain and stopped the development of Parkinson's in several animal models. 2. Surgical Advances: Focused Ultrasound Sub thalamotomy: Ablative neurosurgery was widely used to treat movement disorders which involve the removal of a specific brain area. A new technique has been developed for ablating specific brain areas. Gamma-knife and MRI-guided focused ultrasound (MRgFUS), allows for deep brain ablating without opening the skull. This new technique will possibly become another treatment option in the future for patients who don’t want their brain to be opened. Wireless ‘Pacemaker for the brain’: A new neurotransmitter developed by engineers works like a "pacemaker for the brain," monitoring the brain's electrical activity and delivering electrical stimulation if it detects something amiss. The name of the device is WAND, which stands for wireless artifact-free neuromodulation device. The device can listen to and stimulate electric current in the brain at the same time, potentially delivering fine-tuned treatments to patients with diseases like epilepsy and Parkinson's. The WAND can record electrical activity from 128 points in the brain. Ongoing Studies/Trials On Parkinson’s Disease Diagnosis And Treatment There has been rapid advancement in diagnosis and treatment modalities of Parkinson’s disease. 1. Sniffing out Parkinson’s Disease: Researchers report the identification of compounds that make up the signature odour of the disease with the help an individual who can detect Parkinson's through smell. While the researchers acknowledge the limited scope of this study, they say it opens the door to the development of a non-invasive screening test for Parkinson's, potentially leading to earlier detection. 2. Sensor created to detect dopamine, brain disorders, in seconds: Using nanotechnology, researchers have developed the first rapid detector for dopamine using altered cerium oxide nanostructures. The capture of dopamine molecules subsequently changes how light is reflected from the sensor and creates an optical readout indicating the level of dopamine. 3. Exercise can improve non-motor symptoms of Parkinson's disease: Exercise has the potential to improve non-motor as well as motor symptoms of Parkinson's disease (PD). The investigators concluded that all modes of exercise are associated with improved cognitive function in individuals with PD, however, no clear picture of which exercise mode is most effective emerged as they may influence cognitive function differently. 4. The possibility of slowing, stopping, or even reversing Parkinson's disease: A clinical trials program offers hope that it may be possible to restore the cells damaged in Parkinson's disease. The study investigated whether boosting the levels of a naturally-occurring growth factor, Glial Cell Line-Derived Neurotrophic Factor (GDNF), can regenerate dying dopamine brain cells in patients with Parkinson's and reverse their condition, something no existing treatment can do. 5. Voluntary control of brainwaves in deep brain of patients with Parkinson's disease: A study group at Osaka University developed a neurofeedback system which enables patients with Parkinson's disease to voluntarily control beta wave activity in their deep brain associated with symptoms of the disorder. Conclusion: PD is a heterogeneous disorder and every patient is unique. So, it becomes essential to obtain the latest medical information and to select therapies that are most suitable for each patient. This Parkinson’s Day lets us spread knowledge and awareness of the global theme “Awareness #key to PD”.
Tuesday, April 9, 2019
World brain day 2019 July 22- MIGRAINE: THE PAINFUL TRUTH -PROF DR.M.A.ALEEM M.D., D.M.,(NEURO) Neurologist #Trichy #Tamilnadu #India
"World Brain Day,” an event dedicated adopted since 2014 to bringing more attention to the importance of brain health and the prevention of brain diseases, a largely underestimated health problem. Each year on July 22nd a particular brain health theme is emphasized to create Awareness .
In 2019 the Theme of ’ World Brain Day (WBD) on JULY 22 is
MIGRAINE: THE PAINFUL TRUTH
-PROF DR.M.A.ALEEM M.D., D.M.,(NEURO)
EMERITUS PROFESSOR OF NEUROLOGY
THE TAMILNUDU DR.M.G.R. MEDICAL UNIVERSITY
PAST PRESIDENT TAMILNADU PONDICHERY ASSOCIATION OF NEUROLOGISTS
FORMER OF VICE PRINCIPAL HOD& PROFESSOR OF NEUROLOGY KAPV GOVERNMENT MEDICAL COLLEGE& MGM GOVERNMENT HOSPITAL
CONSULTANT NEUROLOGIST AND EPILEPTOLOGIST (TRAINED AT INSTITUTION OF NEUROLOGY QUEEN`S SQUARE . LONDON.UK.) ABC HOSPITAL, ANNAMALAI NAGAR , TRICHY -620018
DIRECTOR ABC HOSPITAL TRICHY
drmaaleem@hotmail.com
Migraine is the most common brain disease in the world, affecting 1 in 7 people worldwide.
It is a major, disabling disease that can severely impact every aspect of your life.
Migraine is under-recognized, under-diagnosed and under-treated neurological condition.
It is a disease where the majority of sufferers will never get the help they need.
Migraine receives less research funding than any of the world’s most burdensome diseases.
Facts And Figures About Migraine
Prevalence
Migraine is the third most common disease in the world (behind dental caries and tension-type headache) with an estimated global prevalence of 14.7% (that’s around 1 in 7 people).
Migraine is more prevalent than diabetes, epilepsy and asthma combined.
Chronic migraine affects approximately 2% of the world population.
Migraine affects three-times as many women as men, with this higher rate being most likely hormonally-driven.
Research suggests that 3,000 migraine attacks occur every day for each million of the general population. This equates to over 190,000 migraine attacks every day in India
More than three quarters of migraineurs experience at least one attack each month, and more than half experience severe impairment during attacks.
Migraine often starts at puberty and most affects those aged between 35 and 45 years, but it can trouble much younger people including children.
About 4% of boys and girls in pre pubertal age suffer from migraine. As children get older there is a predominance among girls.
Painful Truth About Migraine
Migraine is ranked globally as the seventh most disabling disease among all diseases (responsible for 2.9% of all years of life lost to disability/YLDs) and the leading cause of disability among all neurological disorders.
The estimated proportion of time spent with migraine (i.e. experiencing an attack) during an average person’s life is 5.3%.
It is estimated that the Indian population may loses 25 million days from work or school each year because of migraine.
Severe migraine attacks are classified by the World Health Organization as among the most disabling illnesses, comparable to dementia, quadriplegia and active psychosis.
Migraine/chronic headache was found to be the second most frequently identified cause of short-term absence (47%) for non-manual employees.
Absenteeism from migraine alone costs many millions per year in India, calculated on the basis of 25 million lost days.
Migraine is estimated to cost mostly from the costs of prescription drugs investigations and doctors visits.
The financial burden of migraine is also high in our country . These including the the costs of healthcare , lost productivity through both absenteeism and presenteeism, and disability.
Research into migraine is the least publicly funded of all neurological illnesses relative to its economic impact.
Anxiety and depression are significantly more common in people with migraine than in healthy individuals.
Cause
Migraine is a disorder that almost certainly has a genetic basis.
An older theory on the causation of migraine included that migraine is primarily a disease of the blood vessels. It is now accepted that migraine is not related to any vascular pathology and brain mechanisms are more likely involved in the development of migraine attacks.
Diagnosis and management
Migraine remains undiagnosed and undertreated in at least 50% of patients, and less than 50% of migraine patients consult a physician.
In the India 3% of physicians consultations and 30% of neurology consultations are for headache, with migraine the most common diagnosis.
The greatest single advance in migraine management in the last half of the 20th century was the triptan class of drugs, which emerged in the 1990s and the first (sumatriptan) was developed at Glaxo in Stevenage, UK.
One of the most frequently cited health problems treated with alternative therapies is headaches.
Worldwide, just four hours are committed to headache disorders in formal undergraduate medical training, and 10 hours in specialist training.
Headache teaching is not on the curriculum for approximately 75% of the undergraduate medical schools.
Despite the evidenced clinical and cost efficacy of specialist nurses, there are only around 12 trained headache specialist nurses for the whole of England.
Less than 50% of migraine patients are satisfied with their current treatment. The majority self-medicate using non-prescription (over-the-counter) medication and do not seek medical help.
Historical
In prehistoric times migraine was treated with trepanning, a surgical procedure that involves drilling a hole into the skull with one aim being to release evil spirits.
The word migraine derives from the Greek word ‘hemicrania’ (imikrania; ημικρανία) which means ‘half the skull’. In 400 BC Hippocrates described in detail the occurrence of migraine attacks, including the visual disturbances during migraine aura and the relief from vomiting. The word ημικρανία was later established by the Greek physician Κλαύδιος Γαληνός (Galen of Pergamon).
Migraine and other headache disorders were first comprehensively classified in 1988 by the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (IHCD-3) beta was published in 2013. It is recognised by the World Health Organization and researchers and clinicians worldwide refer to its diagnostic criteria.
Key facts
Headache disorders are among the most common disorders of the nervous system.
It has been estimated that almost half of the adult population have had a headache at least once within the last year.
Headache disorders, which are characterized by recurrent headache, are associated with personal and societal burdens of pain, disability, damaged quality of life, and financial cost.
Worldwide, a minority of people with headache disorders are diagnosed appropriately by a health-care provider.
Headache has been underestimated, under-recognized and under-treated throughout the world.
What are headache disorders?
Headache disorders, characterized by recurrent headache, are among the most common disorders of the nervous system. Headache itself is a painful and disabling feature of a small number of primary headache disorders, namely migraine, tension-type headache, and cluster headache. Headache can also be caused by or occur secondarily to a long list of other conditions, the most common of which is medication-overuse headache.
How common are headache disorders?
Globally, it has been estimated that prevalence among adults of current headache disorder (symptomatic at least once within the last year) is about 50%. Half to three quarters of adults aged 18–65 years in the world have had headache in the last year and, among those individuals, 30% or more have reported migraine. Headache on 15 or more days every month affects 1.7–4% of the world’s adult population. Despite regional variations, headache disorders are a worldwide problem, affecting people of all ages, races, income levels and geographical areas.
What is the burden due to headache disorders?
Not only is headache painful, but it is also disabling. In the Global Burden of Disease Study, updated in 2013, migraine on its own was found to be the sixth highest cause worldwide of years lost due to disability (YLD). Headache disorders collectively were third highest.
Headache disorders impose a recognizable burden on sufferers including sometimes substantial personal suffering, impaired quality of life and financial cost. Repeated headache attacks, and often the constant fear of the next one, damage family life, social life and employment. The long-term effort of coping with a chronic headache disorder may also predispose the individual to other illnesses. For example, anxiety and depression are significantly more common in people with migraine than in healthy individuals.
Types of headache disorders
Migraine, tension-type headache and medication-overuse headache are of public health importance since they are responsible for high population levels of disability and ill-health.
Migraine
A primary headache disorder.
Migraine most often begins at puberty and most affects those aged between 35 and 45 years.
It is more common in women, usually by a factor of about 2:1, because of hormonal influences.
It is caused by the activation of a mechanism deep in the brain that leads to release of pain-producing inflammatory substances around the nerves and blood vessels of the head.
Migraine is recurrent, often life-long, and characterized by recurring attacks.
Attacks typically include:
headache, which is:
of moderate or severe intensity
one-sided
pulsating in quality
aggravated by routine physical activity
with duration of hours to 2-3 days
nausea (the most characteristic associated feature);
attack frequency is anywhere between once a year and once a week;
and
in children, attacks tend to be of shorter duration and abdominal symptoms more prominent
Migraine headaches are one of the most common neurological disorders in the world with an estimated global prevalence of one in seven people.
Despite such high prevalence, migraine continues to be an underdiagnosed and undertreated disease in India, resulting from myths and misconceptions surrounding the illness including incorrect diagnosis. While migraine can be effectively managed, awareness and understanding of migraine, its triggers and potential treatment options remains low.
Evidence shows that migraine reduces family, social, and recreational activities. Many patients have had to give up their careers as they are not able to cope. Personal and family lives also get adversely impacted. There are many cases where recurrent headaches and disability has led to self-harm because of the co-morbid depression that is seen with migraine.
Migraine is a chronic, disabling neurological disorder that affects more than 150 million people in India. It is often misdiagnosed as sinus associated headache or as being due to a refractive eye problem or as stress related
"Migraine is a treatable disorder, where the headache frequency and severity can be effectively controlled. To achieve that goal, one needs to avoid self-medication with harmful over-the-counter pain-killers and be rightly diagnosed and treated with specific anti-migraine treatment prescribed by consulting doctor.
The causes and symptoms of migraine -it is characterised by recurrent attacks of moderate to severe head pain that is throbbing or pulsating and often strikes one side of the head, though both sides may ache.
Other common symptoms are increased sensitivity to light, noise, odours and nausea and vomiting. Routine physical activity, movement, or even coughing or sneezing can worsen the headache.
An untreated migraine attack usually lasts from 4 to 72 hours.
Most people who suffer migraine headaches have a family history of headaches suggesting a strong genetic susceptibility. Migraine in women often relates to changes in hormones. The precise cause of migraine headaches in unclear, but there is general agreement that blood flow changes in the brain are a key factor.
Around one billion people worldwide are affected by migraine.
Triggers of migraine:
A trigger is a condition that acts as a precursor to set off a migraine attack. These triggers can be unique for each patient. Environmental factors appear to play a significant role in triggering a migraine attack however, other things may also act as triggers.
Some of the common triggers of migraine are:
- Foods such as aged cheeses, salty or processed foods
- Food additives such as sweetener aspartame and monosodium glutamate (MSG)
- Drinks including alcohol and high caffeine beverages
- Stress at work or home
- Sensory stimuli such as bright lights, sun glare, loud sounds, and strong smells like that of perfume, paint thinner, passive smoking
- Changes in wake-sleep pattern including lack of sleep or too much sleep
- Physical exertion
- Changes in the environment such as change of weather or barometric pressure
- Medications such as oral contraceptives and vasodilators
It is important for patients to seek help from a headache specialist or neurologist and complete their migraine treatment as prescribed by the consulting doctor.
Social and economic burden of headache
Headache disorders are a public-health concern given the associated disability and financial costs to society. As headache disorders are most troublesome in the productive years (late teens to 50s), estimates of their financial cost to society – principally from lost working hours and reduced productivity – are massive. In the United Kingdom, for example, some 25 million working- or school-days are lost every year because of migraine alone; this financial cost may be matched by TTH and MOH combined. Headache is high among causes of consulting medical practitioners: one-third of all neurological consultations were for headache, in one survey.
Yet, many of those troubled by headache do not receive effective care. For example, in the United States of America and the United Kingdom, only half of those identified with migraine had seen a doctor for headache-related reasons in the previous 12 months, and only two-thirds had been correctly diagnosed. Most were solely reliant on over-the-counter medications.
Treatment
Appropriate treatment of headache disorders requires training of health professionals, accurate diagnosis and recognition of the conditions, appropriate treatment with cost-effective medications, simple lifestyle modifications, and patient education. The main classes of drugs to treat headache disorders include: analgesics, anti-emetics, specific anti-migraine medications, and prophylactic medications.
Barriers to effective care
Lack of knowledge among health-care providers is the principal clinical barrier. Worldwide, on average, only 4 hours of undergraduate medical education are dedicated to instruction on headache disorders. A large number of people with headache disorders are not diagnosed and treated: worldwide only 40% of those with migraine or TTH are professionally diagnosed, and only 10% of those with MOH.
Poor awareness extends to the general public. Headache disorders are not perceived by the public as serious since they are mostly episodic, do not cause death, and are not contagious. The low consultation rates in developed countries may indicate that many affected people are unaware that effective treatments exist. Half of people with headache disorders are estimated to be self-treating.
Monday, April 8, 2019
Congratulations to Trichy Educational institutions In 2019 MHRD, National Institutional Ranking Framework (NIRF ), Government of India listed the best institutions from Trichy . We academicians from Trichy are very much proud for it and congratulating the following NIT Trichy ranked in Engineering Institutions Bharadhidasan university Trichy among universities in India Among Colleges in Trichy St Joseph college Bishop Heber and Jamal Mohamed College Among Management institutions ÌIM Trichy and NIT In Architecture NIT On behalf of me and academicians from Trichy I am congratulating the above Trichy based educational institutions for their ranked educational services to the students particularly from rural areas. Wish these institutions to become pioneer institutions with good al India ranking in coming years - Dr.M.A.Aleem Emeritus Professor of Neurology The Tamilnadu Dr M.G.R.Medical University
https://www.thehindu.com/todays-paper/tp-national/tp-tamilnadu/nit-t-iim-t-bdu-improve-on-nirf-ranks/article26776719.ece
NIT-T, IIM-T, BDU improve on NIRF ranks
TIRUCHI, APRIL 09, 2019 00:00 IST
UPDATED: APRIL 09, 2019 04:04 IST
A handful of institutions in Tiruchi district figuring among the top 100 in the country under the NIRF ranking, 2019, that was released by the Ministry of Human Resource Development, New Delhi, on Monday, have improved their scores over last year.
National Institute of Technology - Tiruchi (NIT-T), Indian Institute of Management - Tiruchi (IIM-T), Bharathidasan University (BDU), and Jamal Mohamed College have improved their scores under their respective categories.
The National Institute of Technology - Tiruchi, retains its numero uno position among the NITs in the country.
In the overall category, NIT-T has been ranked 24 this year, with a score of 54.23 out of 100. Last year, the NIT-T was in the 31st position with score of 51.38.
Among engineering institutions, the NIT-T has been ranked 10th, from 11th last year.
Among the management institutions, the Indian Institute of Management - Tiruchi has improved its position from 15th rank last year to 14th rank this time. Its score has increased from 55.85 to 59.15.
The Department of Management Studies of NIT-T has made a stride to 17th position (55.57) from 31 (51.38) last year.
The Bharathidasan Institute of Management, Tiruchi, has been ranked 31 with a score of 51.38
Among universities, the Bharathidasan University has improved its position to 60 (43.41) from 67 (41.63) last year. In the overall category, the university has risen to the 86th position from 94 last year.
Four Tiruchi colleges among the top 100 in the 2019 NIRF ranking have gone through a roller-coaster ride. St. Joseph's College has attained the 39th position tallying a score of 54.70. There has been a slide compared to 28th position last year with a score of 54.41.
Bishop Heber College has been ranked 44 (53.89). Last year, the college was in the third position, but the ranking was later withdrawn.
Jamal Mohamed College has witnessed a rise in its position to 59 (52.27) from 83 (46.98) last year.
The position of Holy Cross College has dropped to 85 (50.17) from 42 (52.51) last year.
Congratulations to Trichy Educational institutions In 2019 MHRD, National Institutional Ranking Framework (NIRF ), Government of India listed the best institutions from Trichy . We academicians from Trichy are very much proud for it and congratulating the following NIT Trichy ranked in Engineering Institutions Bharadhidasan university Trichy among universities in India Among Colleges in Trichy St Joseph college Bishop Heber and Jamal Mohamed College Among Management institutions ÌIM Trichy and NIT In Architecture NIT On behalf of me and academicians from Trichy I am congratulating the above Trichy based educational institutions for their ranked educational services to the students particularly from rural areas. Wish these institutions to become pioneer institutions with good al India ranking in coming years - Dr.M.A.Aleem Emeritus Professor of Neurology The Tamilnadu Dr M.G.R.Medical University
https://www.thehindu.com/todays-paper/tp-national/tp-tamilnadu/nit-t-iim-t-bdu-improve-on-nirf-ranks/article26776719.ece
NIT-T, IIM-T, BDU improve on NIRF ranks
TIRUCHI, APRIL 09, 2019 00:00 IST
UPDATED: APRIL 09, 2019 04:04 IST
A handful of institutions in Tiruchi district figuring among the top 100 in the country under the NIRF ranking, 2019, that was released by the Ministry of Human Resource Development, New Delhi, on Monday, have improved their scores over last year.
National Institute of Technology - Tiruchi (NIT-T), Indian Institute of Management - Tiruchi (IIM-T), Bharathidasan University (BDU), and Jamal Mohamed College have improved their scores under their respective categories.
The National Institute of Technology - Tiruchi, retains its numero uno position among the NITs in the country.
In the overall category, NIT-T has been ranked 24 this year, with a score of 54.23 out of 100. Last year, the NIT-T was in the 31st position with score of 51.38.
Among engineering institutions, the NIT-T has been ranked 10th, from 11th last year.
Among the management institutions, the Indian Institute of Management - Tiruchi has improved its position from 15th rank last year to 14th rank this time. Its score has increased from 55.85 to 59.15.
The Department of Management Studies of NIT-T has made a stride to 17th position (55.57) from 31 (51.38) last year.
The Bharathidasan Institute of Management, Tiruchi, has been ranked 31 with a score of 51.38
Among universities, the Bharathidasan University has improved its position to 60 (43.41) from 67 (41.63) last year. In the overall category, the university has risen to the 86th position from 94 last year.
Four Tiruchi colleges among the top 100 in the 2019 NIRF ranking have gone through a roller-coaster ride. St. Joseph's College has attained the 39th position tallying a score of 54.70. There has been a slide compared to 28th position last year with a score of 54.41.
Bishop Heber College has been ranked 44 (53.89). Last year, the college was in the third position, but the ranking was later withdrawn.
Jamal Mohamed College has witnessed a rise in its position to 59 (52.27) from 83 (46.98) last year.
The position of Holy Cross College has dropped to 85 (50.17) from 42 (52.51) last year.
Congratulations to Trichy Educational institutions In 2019 MHRD, National Institutional Ranking Framework (NIRF ), Government of India listed the best institutions from Trichy . We academicians from Trichy are very much proud for it and congratulating the following NIT Trichy ranked in Engineering Institutions Bharadhidasan university Trichy among universities in India Among Colleges in Trichy St Joseph college Bishop Heber and Jamal Mohamed College Among Management institutions ÌIM Trichy and NIT In Architecture NIT On behalf of me and academicians from Trichy I am congratulating the above Trichy based educational institutions for their ranked educational services to the students particularly from rural areas. Wish these institutions to become pioneer institutions with good al India ranking in coming years - Dr.M.A.Aleem Emeritus Professor of Neurology The Tamilnadu Dr M.G.R.Medical University
World Parkinson's Day 11th Apr 2019 The aim of Parkinson's Awareness Day is to raise awareness of Parkinson's disease, promoting a greater understanding of this condition and how it can affect a person. -Dr M.A.Aleem Neurologist Trichy Tamilnadu India
World Parkinson's disease Day 2019 April 11.
- PROF DR.M.A.ALEEM M.D., D.M.,(NEURO)
EMERITUS PROFESSOR OF NEUROLOGY
THE TAMILNUDU DR.M.G.R. MEDICAL UNIVERSITY
PAST PRESIDENT TAMILNADU PONDICHERY ASSOCIATION OF NEUROLOGISTS
FORMER OF VICE PRINCIPAL HOD& PROFESSOR OF NEUROLOGY KAPV GOVERNMENT MEDICAL COLLEGE& MGM GOVERNMENT HOSPITAL
CONSULTANT NEUROLOGIST AND EPILEPTOLOGIST (TRAINED AT INSTITUTION OF NEUROLOGY QUEEN`S SQUARE . LONDON.UK.) ABC HOSPITAL, ANNAMALAI NAGAR , TRICHY -620018
Parkinson's disease (PD) is a degenerative disorder of the central nervous system. It was first described in 1817 by James Parkinson, a British physician who published a paper on what he called "the shaking palsy."
The incidence and prevalence of PD increases with advancing age, being present in 1% of people over the age of 65 years.
Early-onset Parkinson's disease (EOPD) is defined as the onset of parkinsonian features before the age of 40 years. It accounts for 3-5% of all PD cases. It is classified into the 'juvenile' (occurring before the age of 21 years) and 'young-onset' PD (YOPD, occurring in the age range of 21- 40 years).
PD is twice as common in men than in women in most populations.A protective effect of female sex hormones is observed. The presence of gender - associated genetic mechanisms or/and gender -specific differences in exposure to environmental risk factors might explain this male preponderance.
It is estimated that 6.3 million people suffer from PD worldwide. The World Health Organization gives an "estimated crude prevalence" (the total number of existent cases each year, old and new) of 160 per 100,000, and an estimated incidence (the number of new cases each year) of 16-19 per 100,000.
The incidence of PD varies across the globe. However, this distribution may not be as simple as a geographical or ethnic factor. It is known that the PD is more prevalent in North America and Europe than in Asia and West Africa. However, research has been carried out to know the causes of PD and the use of medicinal plants for its treatment, prevention, and cure.
The Parsi community in Mumbai has the world's highest incidences of PD
A prevalence rate of 27/100,000 was reported in the southern part of India, and 16.1/100,000 from rural Bengal, in the eastern part of India.
Parkinson 's disease belongs to a group of conditions called movement disorders.
The four main symptoms are tremor or trembling in hands, arms, legs, jaw, or head; rigidity, or stiffness of the limbs and trunk; bradykinesia, or slowness of movement; and postural instability, or impaired balance.
These symptoms usually begin gradually and worsen with time. As they become more pronounced, patients may have difficulty in walking, talking, or completing other simple tasks. Not everyone with one or more of these symptoms has PD, as the symptoms sometimes appear in other diseases as well.
Parkinson disease occurs when the nerve cells, or neurons, in an area of the brain known as the substantia nigra die or become impaired. Normally, these neurons produce an important brain chemical known as dopamine.
Dopamine is a chemical messenger responsible for transmitting signals between the substantia nigra and the next "relay station" of the brain, the corpus striatum, to produce smooth, purposeful movement. Loss of dopamine results in abnormal nerve firing patterns within the brain that cause impaired movement. Studies have shown that most Parkinson's patients have lost 60-80% or more of the dopamine-producing cells in the substantia nigra by the time the symptoms appear.
Recent studies have shown that people with PD also have loss of the nerve endings that produce the neurotransmitter norepinephrine. Norepinephrine, which is closely related to dopamine, is the main chemical messenger of the sympathetic nervous system, the part of the nervous system that controls many automatic functions of the body, such as pulse and blood pressure. The loss of norepinephrine might help explain several of the non-motor features seen in PD, including fatigue and abnormalities of blood pressure regulation.
Congratulations to Trichy Educational institutions In 2019 MHRD, National Institutional Ranking Framework (NIRF ), Government of India listed the best institutions from Trichy . We academicians from Trichy are very much proud for it and congratulating the following NIT Trichy ranked 10 in Engineering Institutions Bharadhidasan university Trichy ranked 60 among universities in India Among Colleges in Trichy St Joseph college in 39 Bishop Heber in 44 rank, Jamal Mohamed College in 59 rank Among Management institutions ÌIM Trichy ranked 14 and NIT ranked 17. In Architecture NIT ranked 7 On behalf of me and academicians from Trichy I am congratulating the above Trichy based educational institutions for their ranked educational services to the students particularly from rural areas. Wish these institutions to become pioneer institutions with good al India ranking in coming years - Dr.M.A.Aleem Emeritus Professor of Neurology The Tamilnadu Dr M.G.R.Medical University [08/04, 9:35 pm] MA: https://www.nirfindia.org/2019/Ranking2019.html
Sunday, April 7, 2019
Stringent measures mute poll din by C.Jaisankar in #Trichy The Hindu #Tamilnadu #India on 8.4.2019 #pollution free poll 2019 @the_hindu https://www.thehindu.com/todays-paper/tp-national/tp-tamilnadu/stringent-measures-mute-poll-din/article26766487.ece
Stringent measures mute poll din by C.Jaisankar in #Trichy The Hindu #Tamilnadu #India on 8.4.2019 #pollution free poll 2019 @the_hindu https://www.thehindu.com/todays-paper/tp-national/tp-tamilnadu/stringent-measures-mute-poll-din/article26766487.ece
https://www.thehindu.com/todays-paper/tp-national/tp-tamilnadu/stringent-measures-mute-poll-din/article26766487.ece
Stringent measures mute poll din
The Hindu Tiruchi on 8.4.2019
TIRUCHI, APRIL 08, 2019 00:00 IST
UPDATED: APRIL 08, 2019 06:25 IST
Though the stringent measures on model code of conduct by the Election Commission of India (ECI) have taken away the sheen of elections, which was once considered as festivals, it has come as a big relief to residents, particularly elders.
Usage of public address system has been in use for many years during elections.
It is not only synonymous with the election campaign but also inseparable from elections. But, the consistent and improved measures to trim down the violations by the ECI have benefited the administration to protect people from noise pollution.
There are just eight days left for the last day for campaigning and electioneering has gained momentum. But, residents say that the number of vehicles and autorickshaws campaigning for candidates with public address system (speakers) has come down from previous elections.
“The curbs and limitations on election expenditure by the ECI have brought many benefits to the people. Indiscriminate use of speakers had been the hallmark of elections in the past. I find, electioneering has not crossed the limit this election. Noise pollution associated with the election has come down to a great extent this time,” says M. A. Aleem, one of the Swachh Bharath ambassadors of Tiruchi City Corporation.
He said that all political parties deserved credit for transforming the election as noise pollution free.
A senior official of the district said that it was made it clear to political parties on dos and don'ts during campaign. There has hardly been any complaints on blatant violation of public address system so far in Tiruchi.
Curbs on election expenditure by the ECI have brought much benefit. Noise pollution associated with election has come down to a great extent this time
M. A. Aleem
Swachh Bharath ambassadors of Tiruchi City Corporation
Monday, April 1, 2019
Prevent Air Pollution And Breath Life Aleem.M.A. BMJ 2019;364:l1399
British Medical Journal
BMJ
News
The Big Picture
Every breath you take
BMJ 2019; 364 doi: https://doi.org/10.1136/bmj.l1399 (Published 27 March 2019)
Cite this as: BMJ 2019;364:l1399
Rapid Response
Re: Every breath you take
Prevent Air Pollution And Breath Life
The health effects of air pollution are serious – one third of deaths from stroke, lung cancer and heart disease are due to air pollution. Nine out of ten people now breathe polluted air, which kills 7 million people every year.
Microscopic pollutants in the air can penetrate the tissues and enter our respiratory and circulatory system, damaging the human lungs, heart and brain.
There are two main types of air pollution which include outdoor pollution and indoor air pollution. In India pollution generated by household combustion of fuels (by burning fuel such as coal, wood or kerosene) using open fires or basic stoves in poorly ventilated spaces are common and both of this indoor and outdoor air pollution can combine as air moves from inside buildings to the outside, and vice versa.
Household air pollution kills 4 million people a year and tends to affect countries in Africa and Asia including India, where polluting fuels and technologies are used every day particularly at home for cooking, heating and lighting. Women and children, who tend to spend more time indoors, are affected the most.
Competing interests: No competing interests
31 March 2019
M.A. Aleem
Emeritus Professor of Neurology * Visiting Specialist in Neurology ** Consultant Neurologist ***
The Tamilnadu Dr.M.G.R. Medical University * Dhanalakshami Srinivasan Medical College ** ABC Hospital ***
Chennai 600032* Perambalure 621212** Trichy 620018*** Tamilnadu India
@drmaaleem