Monday, November 18, 2019

Awareness of menstrual hygiene for girls with special needsIn @the_hindu #Trichy #Tamilnadu #India #AutismAwareness on 19.11.2019

Awareness of menstrual hygiene for girls with special needs
In @the_hindu #Trichy #Tamilnadu #AutismAwareness on 
19.11.2019 https://www.thehindu.com/todays-paper/tp-national/tp-tamilnadu/awareness-of-menstrual-hygiene-for-girls-with-special-needs/article30012611.ece


The Hindu Trichy 19.11.2019

TAMIL NADU

 Awareness of menstrual hygiene for girls with special needs
 
STAFF REPORTER
TIRUCHI,  NOVEMBER 19, 2019 00:00 IST

UPDATED: NOVEMBER 19, 2019 04:59 IST

The Readers Club of District Central Library, Tiruchi, along with Rotary Club Phoenix organised a special training and awareness programme on menstrual hygiene management for girls with special needs in the city on Monday.

S. Amudhavalli, City Engineer, Tiruchi City Corporation, inaugurated the event and said that parental care is most important for children with special needs, especially prepubescent girls. “Mothers must keep track of the girls bodily changes and educate them. All girls go through a period of confusion when they hit puberty,” she said.

M. A. Aleem, neurologist addressed the gathering of parents and urged them to teach their children about good touch and bad touch. “Girls with special needs are very loving and caring, and therefore more vulnerable. Talk to them and encourage free conversation”, he said. Dr. Aleem also asked mothers to keep a calendar to track the girls’ menstrual cycle.

The programme was led by trainers Sudha Tilak and Shankar Subbiah. Ms. Tilak began her session with games and focused on the importance of menstrual hygiene. Mr. Subbiah spoke on the various government welfare schemes available for the welfare of children with disabilities.

District Library officer A. P. Sivakumar, Rotary Club Phoenix president Natarajan Sundaram, members of the Readers Forum and around 100 girls from across the city took part in the event.

Saturday, November 16, 2019

Indian Epilepsy Day 17th November 2019 Epilepsy - Get out of the Shadow of Stigma -PROF DR.M.A.ALEEM M.D., D.M.,(NEURO) FRCP(Glasgow)

Indian National Epilepsy Day 17th November 

Epilepsy - Get out of the Shadow of Stigma 

-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

SECRETARY NEUROLOGIST ASSOCIATION TIRUCHIRAPPALLI

DIRECTOR ABC HOSPITAL TRICHY


drmaaleem@hotmail.com




Epilepsy is a chronic noncommunicable disease of the brain that affects people of all ages.


Around 50 million people worldwide have epilepsy, making it one of the most common neurological diseases globally.


Nearly 80% of people with epilepsy live in low- and middle-income countries.


It is estimated that up to 70% of people living with epilepsy could live seizure- free if properly diagnosed and treated.


The risk of premature death in people with epilepsy is up to three times higher than for the general population.


Three quarters of people with epilepsy living in low-income countries do not get the treatment they need.


In many parts of the india people with epilepsy and their families suffer from stigma and discrimination.
Epilepsy is a chronic noncommunicable disease of the brain that affects around 50 million people worldwide. 


It is characterized by recurrent seizures, which are brief episodes of involuntary movement that may involve a part of the body (partial) or the entire body (generalized) and are sometimes accompanied by loss of consciousness and control of bowel or bladder function.

Seizure episodes are a result of excessive electrical discharges in a group of brain cells. Different parts of the brain can be the site of such discharges. Seizures can vary from the briefest lapses of attention or muscle jerks to severe and prolonged convulsions. Seizures can also vary in frequency, from less than 1 per year to several per day.

One seizure does not signify epilepsy (up to 10% of people worldwide have one seizure during their lifetime). Epilepsy is defined as having two or more unprovoked seizures. Epilepsy is one of the world’s oldest recognized conditions, with written records dating back to 4000 BC. Fear, misunderstanding, discrimination and social stigma have surrounded epilepsy for centuries. This stigma continues in many countries today and can impact on the quality of life for people with the disease and their families.

Signs and symptoms


Characteristics of seizures vary and depend on where in the brain the disturbance first starts, and how far it spreads. Temporary symptoms occur, such as loss of awareness or consciousness, and disturbances of movement, sensation (including vision, hearing and taste), mood, or other cognitive functions.

People with epilepsy tend to have more physical problems (such as fractures and bruising from injuries related to seizures), as well as higher rates of psychological conditions, including anxiety and depression. Similarly, the risk of premature death in people with epilepsy is up to three times higher than in the general population, with the highest rates of premature mortality found in low- and middle-income countries and in rural areas.

A great proportion of the causes of death related to epilepsy, especially in low- and middle-income countries are potentially preventable, such as falls, drowning, burns and prolonged seizures.

Rates of disease


Epilepsy accounts for a significant proportion of the world’s disease burden, affecting around 50 million people worldwide. The estimated proportion of the general population with active epilepsy (i.e. continuing seizures or with the need for treatment) at a given time is between 4 and 10 per 1000 people in india

Globally, an estimated five million people are diagnosed with epilepsy each year. In high-income countries, there are estimated to be 49 per 100 000 people diagnosed with epilepsy each year. In india this figure can be as high as 139 per 100 000. This is likely due to the increased risk of endemic conditions such as malaria or neurocysticercosis; the higher incidence of road traffic injuries; birth-related injuries; and variations in medical infrastructure, the availability of preventive health programmes and accessible care. Close to 80% of people with epilepsy live in low- and middle-income countries.

Causes


Epilepsy is not contagious. Although many underlying disease mechanisms can lead to epilepsy, the cause of the disease is still unknown in about 50% of cases globally. The causes of epilepsy are divided into the following categories: structural, genetic, infectious, metabolic, immune and unknown. Examples include:

brain damage from prenatal or perinatal causes (e.g. a loss of oxygen or trauma during birth, low birth weight);


congenital abnormalities or genetic conditions with associated brain malformations;


a severe head injury;


a stroke that restricts the amount of oxygen to the brain;


an infection of the brain such as meningitis, encephalitis or neurocysticercosis,
certain genetic syndromes; and
a brain tumour.


Treatment


Seizures can be controlled. Up to 70% of people living with epilepsy could become seizure free with appropriate use of antiseizure medicines. Low-cost treatment is available, with daily medication that costs as little as 400 rupees per year. In Tamilnadu these drugs are freely provided to epileptic patients in Goverment hospitals .Discontinuing anti-seizure medicine can be considered after 2 years without seizures and should take into account relevant clinical, social and personal factors. A documented etiology of the seizure and an abnormal electroencephalography (EEG) pattern are the two most consistent predictors of seizure recurrence.

In low-income countries, about three quarters of people with epilepsy may not receive the treatment they need. This is called the “treatment gap”.
In many low- and middle-income countries, there is low availability of antiseizure medication. A recent study found the average availability of generic antiseizure medicines in the public sector of low- and middle-income countries to be less than 50%. This may act as a barrier to accessing treatment.


It is possible to diagnose and treat most people with epilepsy at the primary health-care level without the use of sophisticated equipment.


WHO pilot projects have indicated that training primary health-care providers to diagnose and treat epilepsy can effectively reduce the epilepsy treatment gap.


Surgery might be beneficial to patients who respond poorly to drug treatments.


Prevention


An estimated 25% of epilepsy cases are preventable.

Preventing head injury is the most effective way to prevent post-traumatic epilepsy.


Adequate perinatal care can reduce new cases of epilepsy caused by birth injury.


The use of drugs and other methods to lower the body temperature of a feverish child can reduce the chance of febrile seizures.


The prevention of epilepsy associated with stroke is focused on cardiovascular risk factor reduction, e.g. measures to prevent or control high blood pressure, diabetes and obesity, and the avoidance of tobacco and excessive alcohol use.


Central nervous system infections are common causes of epilepsy in tropical areas, where many low- and middle-income countries are concentrated. Elimination of parasites in these environments and education on how to avoid infections can be effective ways to reduce epilepsy worldwide, for example those cases due to neurocysticercosis.



Social and economic impacts


Epilepsy accounts for 0.5% of the global burden of disease, a time-based measure that combines years of life lost due to premature mortality and time lived in less than full health. Epilepsy has significant economic implications in terms of health-care needs, premature death and lost work productivity.

The economic impact of epilepsy varies significantly depending on the duration and severity of the condition, response to treatment, and the health-care setting. Out-of-pocket costs and productivity losses create substantial burdens on households. An economic study from India estimated that public financing for both first- and second-line therapy and other medical costs alleviates the financial burden from epilepsy and is cost-effective .

Although the social effects vary from country to country, the stigma and discrimination that surround epilepsy in India and worldwide are often more difficult to overcome than the seizures themselves. People living with epilepsy can be targets of prejudice. The stigma of the disease can discourage people from seeking treatment for symptoms, so as to avoid becoming identified with the disease.

Human rights


People with epilepsy can experience reduced access to educational opportunities, a withholding of the opportunity to obtain a driving license,  barriers to enter particular occupations, and reduced access to health and life insurance. In many countries legislation reflects centuries of misunderstanding about epilepsy. For example:

In both China and India, epilepsy is commonly viewed as a reason for prohibiting or annulling marriages.
In the United Kingdom of Great Britain and Northern Ireland, laws which permitted the annulment of a marriage on the grounds of epilepsy were not amended until 1971.
In the United States of America, until the 1970s, it was legal to deny people with seizures access to restaurants, theatres, recreational centres and other public buildings.
Legislation based on internationally-accepted human rights standards can prevent discrimination and rights violations, improve access to health-care services, and raise the quality of life for people with epilepsy.

WHO response
WHO and the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE) have led the Global Campaign Against Epilepsy to bring the disease “Out of the Shadows” to provide better information and raise awareness about epilepsy and to strengthen public and private efforts to improve care and reduce the disease’s impact.

These efforts have contributed to the prioritization of epilepsy in many countries.

Friday, November 8, 2019

Man made pollution disasters - M.A.Aleem BMJ 2019;367:l6378

BMJ British Medical Journal 

News

The Big Picture

New Delhi drowns in environmental pollution


BMJ 2019; 367 doi: https://doi.org/10.1136/bmj.l6378 (Published 05 November 2019)


Cite this as: BMJ 2019;367:l6378


Rapid response 

Re: New Delhi drowns in environmental pollution


Man made pollution disasters

The purpose of Diwali and other festivals is to spread light and remove our “inner darkness” or ignorance.

Festivals like Diwali can be celebrated in an eco-friendly way to keep our city and country environment, green, clean and pollution free and plastic free.

The following tips may help to have a happy healthy green environment-friendly festivals including Diwali:

1. Use eco-friendly crackers.

2. Use earthenware biodegradable things instead of plastic disposable.

3. Avoid wastage of food items including sweets

5. Use natural colors food grains for kolam

6. Use recyclable decoration items

7. Give plants and jute products as diwali gifts

8. Use paper wraps for gift packing and avoid plastics

Along with this, individual responsiblities are important to prevent pollution out of our man made pollution disasters like in New Delhi, India

Competing interests: No competing interests

08 November 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

M. A. Aleem, another member of the Advisory Committee appealed to the Airports Authority of India to name the Tiruchi international airport after Nobel Laureate Sir C.V. Raman. He also appealed for operation of e-bus services from the airport to different areas in the city up to Srirangam.in The Hindu Trichy on 8.11.2019

Cong MP condemns move to privatise Tiruchi airport

SPECIAL CORRESPONDENT

TIRUCHI, NOVEMBER 08, 2019 00:00 IST

UPDATED: NOVEMBER 08, 2019 05:20 IST

Congress Member of Parliament of Tiruchi Su. Thiruvanavukkarasar on Thursday condemned the Centre’s proposed move to privatise six more airports including Tiruchi.

Mr. Thiruvanavukkarasar, who is also the chairman of the Tiruchi Airport Advisory Committee, told reporters ahead of the first meeting of the committee held here that Tiruchi international airport was running on profit. The predominant view was that the profit-making Tiruchi airport should not be privatised as it would affect employees.

He said the Centre under Prime Minister Narendra Modi was showing keen interest in privatising several public sector undertakings. The plan was also to privatise railway stations and trains. The Congress MP said privatisation of six airports had been completed adding that the Central government was trying to privatise six more airports including Tiruchi under phase-II which was condemnable.

Mr. Thiruvanavukkarasar said he was already in touch with officials in New Delhi regarding important demands pertaining to growth and development of Tiruchi international airport, including runway expansion, introduction of flights to Mumbai and Delhi and augmenting connectivity to more overseas destinations besides other demands. He would reinforce these demands in the Parliament.

The meeting saw a plethora of demands, including expansion of runway and launching of flights to more domestic and foreign destinations put forth. The meeting was attended by Airport Director K. Gunasekaran, Airports Authority of India officials and members of Advisory Committee.

Achhar Singh, an advisory committee member in a memorandum said the urgent need of the airport was to increase the length of the runway from 8,136 feet to 12,500 feet. The present runway was unable to handle wide-bodied aircraft and cargo flights. He also pleaded for night parking facility at the airport to boost connectivity.

M. A. Aleem, another member of the Advisory Committee appealed to the Airports Authority of India to name the Tiruchi international airport after Nobel Laureate Sir C.V. Raman. He also appealed for operation of e-bus services from the airport to different areas in the city up to Srirangam.

Wednesday, November 6, 2019

M.A.Aleem Tiruchi neurologist to present paper at Dubai meet in The Trichy The Hindu on 30.30.11.19

Tiruchi neurologist to present paper at Dubai meet https://www.thehindu.com/todays-paper/tp-national/tp-tamilnadu/tiruchi-neurologist-to-present-paper-at-dubai-meet/article29827998.ece


Tiruchi neurologist to present paper at Dubai meet

SPECIAL CORRESPONDENT

TIRUCHI, OCTOBER 30, 2019 00:00 IST

UPDATED: OCTOBER 30, 2019 05:32 IST

M.A. Aleem, Tiruchi-based Neurologist and Emeritus Professor of Neurology, Tamil Nadu Dr. MGR Medical University, has been invited to present a research paper on ‘A study of seizures in rural adolescents from Tiruchi’ at the 24th World Congress of Neurology at Dubai.
The congress is a four-day event culminating on October 31.
The International Congress is conducted by World Federation of Neurology once in two years.
Earlier this month, Dr. Aleem was conferred the status of Fellow of Indian Academy of Neurology (IAN) at its 27th annual conference at Hyderabad by Academy president Satish V. Khadilkar and Secretary Gagandeep Singh. Recognising his services in rural areas, IAN granted him fellowship.

திரு அருணை திருப்புகழ் - M.A.Aleem Neurologist #Trichy #Tamilnadu #India

*திரு அருணை திருப்புகழ்.*

*முத்தைத்தரு பத்தித் திருநகை*
     *அத்திக்கிறை சத்திச் சரவண*
          *முத்திக்கொரு வித்துக் குருபர ...... எனவோதும்*

*முக்கட்பர மற்குச் சுருதியின்*
     *முற்பட்டது கற்பித் திருவரும்*
          *முப்பத்துமு வர்க்கத் தமரரும் ...... அடிபேணப்*

*பத்துத்தலை தத்தக் கணைதொடு*
     *ஒற்றைக்கிரி மத்தைப் பொருதொரு*
          *பட்டப்பகல் வட்டத் திகிரியில் ...... இரவாகப்*

*பத்தற்கிர தத்தைக் கடவிய*
     *பச்சைப்புயல் மெச்சத் தகுபொருள்*
          *பட்சத்தொடு ரட்சித் தருள்வதும் ...... ஒருநாளே*

*தித்தித்தெய ஒத்தப் பரிபுர*
     *நிர்த்தப்பதம் வைத்துப் பயிரவி*
          *திக்கொட்கந டிக்கக் கழுகொடு ...... கழுதாடத்*

*திக்குப்பரி அட்டப் பயிரவர்*
     *தொக்குத்தொகு தொக்குத் தொகுதொகு*
          *சித்ரப்பவு ரிக்குத் த்ரிகடக ...... எனவோதக்*

*கொத்துப்பறை கொட்டக் களமிசை*
     *குக்குக்குகு குக்குக் குகுகுகு*
          *குத்திப்புதை புக்குப் பிடியென ...... முதுகூகை*

*கொட்புற்றெழ நட்பற் றவுணரை*
     *வெட்டிப்பலி யிட்டுக் குலகிரி*
          *குத்துப்பட ஒத்துப் பொரவல ...... பெருமாளே.*

சண்முகப்பிரியா இராகம்