Bmj British Medical Journal
Editorials
Friday, February 28, 2020
Thursday, February 27, 2020
Monday, February 24, 2020
M.A.Aleem Neurologist #Trichy Attended the Milad Day Function at Aiman College of Arts and science for women on 22.2.20 with M.P. Thiru. Su Thirunavkarasar Trichy , S.M.Hidayathulla , M.Y.Habibulla and Dr.M.Sheik Mohamed and Dr.M.M.Shahul Hameed, Dr.Suhashini Ernest, J.Shamsudeen , A.M.Kadar Baks Hussain , A.Abdul Masjid, A.Basheer Ahmad and S.Bahameeda Tabssim news in Trichy Dinakaran on 25.2.2020
M.A.Aleem Neurologist #Trichy Attended the Milad Day Function at Aiman College of Arts and science for women on 22.2.20 with M.P. Thiru. Su Thirunavkarasar Trichy , S.M.Hidayathulla , M.Y.Habibulla and Dr.M.Sheik Mohamed and Dr.M.M.Shahul Hameed, Dr.Suhashini Ernest, J.Shamsudeen , A.M.Kadar Baks Hussain , A.Abdul Masjid, A.Basheer Ahmad and S.Bahameeda Tabssim news in Manichuder on 24.2.2020
Saturday, February 22, 2020
M.A.Aleem Neurologist #Trichy Attended the Milad Day Function at Aiman College of Arts and science for women on 22.2.20 with M.P. Thiru. Su Thirunavkarasar Trichy , S.M.Hidayathulla , M.Y.Habibulla and Dr.M.Sheik Mohamed and Dr.M.M.Shahul Hameed, Dr.Suhashini Ernest, J.Shamsudeen , A.M.Kadar Baks Hussain , A.Abdul Masjid, A.Basheer Ahmad and S.Bahameeda Tabssim
COVID - 2019 as of 21.2.2020 - M.A.Aleem BMJ 2020;368:m634
BMJ British Medical Journal
Editorials
Coronaviruses in animals and humans
BMJ 2020; 368 doi: https://doi.org/10.1136/bmj.m634 (Published 19 February 2020)
Cite this as: BMJ 2020;368:m634
Rapid Responses
Re: Coronaviruses in animals and humans
Dear Editor
COVID - 2019 as of 21.2.2020
COVID- 2019 (coronavirus) has now in 32 countries and territories in all continents worldwide and 1 international conveyance "Diamond Princess", 76819 (UK 9 India 3) confirmed cases. Recovered cases 18888 and 2250 deaths as of 21st February 2020.
Competing interests: No competing interests
21 February 2020
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 Neurologist #Trichy Attended the #Milad Day Function at Aiman College of Arts and science for #women on 22.2.20 with M.P. Thiru. Su Thirunavkarasar Trichy , S.M.Hidayathulla , M.Y.Habibulla and Dr.M.Sheik Mohamed and Dr.M.M.Shahul Hameed, Dr.Suhashini Ernest, J.Shamsudeen , A.M.Kadar Baks Hussain , A.Abdul Masjid, A.Basheer Ahmad and S.Bahameeda Tabssim
Friday, February 21, 2020
Thursday, February 20, 2020
Facts Sheet of Tamilnadu India - M.A.Aleem Neurologist #Trichy #Tamilnadu #India
Facts Sheet of Tamilnadu India - M.A.Aleem Neurologist Trichy Tamilnadu India
1. Tamil Nadu is the second largest economy in India after Maharashtra.
2. Tamil Nadu is the only state which has Indian flag in its seal.
3. Tamil language spoken by Tamil Nadu people is one of the oldest classical languages in the world.
4. 60% of the Total epigraphical inscriptions of India found by ASI (ARCHAEOLOGICAL SURVEY OF INDIA) are from Tamil Nadu.
5. Tamil Nadu has the following UNESCO World heritage sites
A Mahabalipuram
B-Three Chola temples: the Brihadisvara Temple at Thanjavur, the Temple of Gangaikonda Cholapuram and the Airavatesvara Temple at Darasuram build by chola empire.
C Nilgiri Mountain railway
D-Darasuram
E Western ghats (shared with other states)
6. Rani Velu Nachiyar, was the woman freedom fighter of India against British colonialism and she was Queen of Siva Gangai. As my friend Pradyoth Hedge pointed out, the first woman freedom fighter of India was Rani Abbakka Chowta. She was the Queen of Ullal (Mangalore), who ruled parts of coastal Karnataka and fought against the Portuguese rule during the latter half of the 16th century.
7. Vellore mutiny of 1806 was the first instance of large scale uprising of Indian sepoys against British East India company.
8. Tamil Nadu has the highest proportion of women working in police force in India (12.5%)
9. TAMIL Written literature is the oldest in the world surviving for more than 2000 years.
10. TAMIL NADU is the largest producer of banana, turmeric, flowers and Tapioca in India.
11. The Traces of migration from Africa about 70000 years ago have been found in a village near Madurai, Tamilnadu. People living in Tamil Nadu may be one of the oldest thriving migrants from Africa.Every drop of human blood contains a history book written in the language of genes-- SPENCER Wells, population geneticist who surveyed the village-The rare genes of “NRYM130“ which is found among all the primitive aboriginals was proved to be present in Jyothimanickam Village people.
12. Bhakti movement started in Tamil Nadu and spread to North India.
13. The game kabaddi originated in Tamil Nadu.India is by far the successful international kabaddi team in the world, know why?We have been playing it for centuries as our native sport.
14. TAMIL NADU is the top tourist state of India for three consecutive years from 2014
15. People of Tamil Nadu has great love for their language “TAMIL” that they have named their kids as follows:
Tamil selvi/selvan Tamil Anbu Senthamil selvi/ selvan Tamilanban Tamil Arasan / Tamil Arasi
Tamil Mithran Tamil Vanan Thamizhini Shemmozhi (classical language) Muthamilselvi Tamil priya Tamil Alagan Thenthamizhosai Tamizhnidhi Tamizhiniyal
16. Tamil Nadu leads the country in organ donation-Tamil Nadu leads country in organ donation
17. Tamil Nadu tops the nation in solar power and wind power generation.
18. The southern most point of India is not Kanyakumari.It is Indira point of Great nicobar islands, Union territory of Andaman and Nicobar Islands.
19. Chennai amounts to 60% of the country's automotive exports to the world. Chennai is known as the Detroit of India. It is one of the top ten automobile hubs of the world.Chennai emerging as global export hub for small cars: TN Govt - ET Auto
20. Spencer Plaza located in chennai is the oldest shopping mall of India.
21. Koyambedu bus terminus in chennai is the largest in Asia.
22. Vandalur zoological Park is the largest in India in terms of area. It is also the first public zoo of India.
23. World health organization (WHO) has rated ADYAR CANCER INSTITUTE as top ranking center in the country.
24. Kathipara Junction is the largest cloverleaf flyover bridge in Asia.
25. As Miss. Nancy Kashyap has pointed out, Archaeological evidences indicates the crucible steel process started in Tamil Nadu before the common era (0AD). This wootz steel was exported to Damascus, Syria from India to make Damascus steel which are used in making sharp resilient blades . India exported steel ingots to Middle East from 3 A.D. to 17 A.D.
26. Everyone knows that Marina Beach is the second longest beach of the world. But it must be noted that it is the longest natural urban beach in the world.
27. The world's largest solar power plant is in Kamuthi, Tamilnadu. It can generate a maximum of 648 MW.The largest solar power plant in the world is now in our backyard
28. The state of Tamil Nadu has erected statues for the foreigners as a recognition for their contributions to Tamil language and literature.
Constanzo Beschi, an Italian missionary known to us as VIRAMAMUNIVAR
Bishop Robert Caldwell - Irish linguist, missionary and Tamil language scholar
G. U Pope, who was best known for his translations of Thirukkural and Thiruvasagam
29. Fort St George was the first English fortress in India. It currently houses the Tamil Nadu legislative assembly and other official buildings.
30. Tamilnadu has given India the most number of Presidents. Sarvepalli Radhakrishnan-Ramaswamy Venkataraman-A. P. J Abdul kalam
31. Vedanthangal bird sanctuary is the oldest water bird sanctuary of India.
32. TAMIL NADU ranks first in the country in diversity of Flowering plants (Angiosperms). The state has 32% of total species of India.
33. The largest rose garden of India is Government Rose Garden, Ooty, India. The Garden has 22000 varieties of Rose.
34. All of the first 3 bharat ratna recipients were from tamil nadu (erstwhile madras presidency) .
CV RAMAN was the first Asian and first non-white to receive any Nobel Prize in the sciences.
C. RAJAGOPALCHARI - Last Governor General of India
SARVEPALLI RADHAKRISHNAN - Second president of India
35. The world's renowned mathematician, SRINIVASA RAMANUJAM was from Tamilnadu. Indian government has declared his birthday (December 22) as National Mathematics day. Credits: Srivathsan Iyengar
36. Madras was the only city in India which was attacked by the central powers of Germany, Austria and Hungary during the First world War (1914–18). The German warship SMS EMDEN targeted the Oil tankers in the Madras Harbour.
37. THIRUKKURAL :Thirukkural is one of the most translated non-religious works in the world. It has earned the title “ULAGA PODHU MARAI” (The Universal scripture).
Leo Tolstoy was inspired by the concept of non-violence in the German translation of Thirukkural. He instilled this concept in to MAHATMA GANDHI through his A letter to a Hindu.Mahatma Gandhi took to studying Thirukkural in prison. He described it.A textbook of indispensable authority on moral life. The maxims of Valluvar have touched my soul. There is none who has given such a treasure of wisdom like him.A two line, seven worded sentence can have such purity and worldly idea. Check out my profile description for a Thirukkural which inspires me. There is a Thirukkural which can make sense for each and every person living on earth.
39. Few things are stranger than fiction
KUMARI KANDAM (LEMURIA CONTINENT)-In the 19th century, a section of the European and American scholars speculated the existence of a submerged continent called LEMURIA , to explain geological and other similarities between AFRICA, INDIA and MADAGASCAR.The presence of Pandyan Kingdom in Kumari Kandam is described in ancient Tamil and Sanskrit literature."Kumari Kandam" first appear in Kanda Puranam, a 15th-century Tamil version of the Skanda Purina.Land mass submerged, Literature drowned, but culture remains.You will never know whether this fact is true or not. But you can't reject the fact either.
40. BODHIDHARMAR was the transmitter of Chan Buddhism to China. According to Chinese legend, he trained the monks of Shaolin Temple that led to the creation of Shaolin Kung-fu.
How he is related to Tamils? He was the third son of a pallava king, who renounced his royalty and practiced Buddhism. The references are from ancient Chinese and tamil scriptures.Dàoxuān, a 7th century Chinese historian referred Bodhidharma's origins ashe was of "South Indian Brahman stock"Brahman here refers to pallava kings.
41. For those people, who are hungry after reading the answer. Vada was believed to be popular among Tamil people during 100 BC to 300 BC. Why there is a hole in between? To maximize the surface area to volume ratio, so that it is completely cooked.
Chicken 65 was introduced in Buhari hotel, Chennai in 1965. Now you know why 65 !!!Chicken 65 appears as the 65th item of Buhari hotel menu card.
Koozh - a millet porridge -Madras kaapi & kumbakonam Degree kaapi
Tamilnadu cuisine-Traditionally the banana leaf is laid so that the leaf tip is pointed left as most Tamils were right handed and would be easier for a right hander to eat if placed that way as he will have more leaf space on his right. Salt is placed on the left as it would require less space and will be served in less quantity.
Before the feast begins the leaf is sprinkled with water and cleaned by the diner himself even though the leaves are already clean.The top half of the banana leaf is reserved for accessories, the lower half for the rice. After finishing, the banana leaf becomes food for cows. Credits: Balaji Mani Khumaran M
42. Nobel laureates who had their origins from Tamil Nadu / Madras state
Nobel Prize for physics-Sir C V Raman-Subramanyan Chandrasekhar-
Nobel Prize for chemistry-Venkatraman Ramakrishnan.Credits: Vishnu N
43. JUST IN - For the First time in INDIA, Transgenders are now applicable for the post of Sub Inspector of POLICE at Tamil Nadu.K Prithika Yashini is the first transgender person to become a police official in India
44. Tamil Nadu is the only state covered with three seas of India (Bay of Bengal, Arabian Sea, Indian ocean) Credits: Balakrishnan Subramaniyan
45. Tamilnadu is the pioneer and the first state in India to introduce Mid-Day meal scheme in India. It was introduced first in Chennai and extended later to all other districts by the late chief minister Thiru K. Kamarajar.Credits: Melba Sydney
46. Mathoor Aqueduct or hanging bridge is one of the highest and longest in South Asia. It was constructed in 1966 as a drought relief measure across river Pahrali in Nagercoil, Kanyakumari
47. Siddha medicine originated from ancient Tamilakam. Agasthiyar was considered the first Siddha and guru of all Siddhars. National Institute of Siddha was established in chennai to promote reasearch, higher studies and global recognition for Siddha Medicine.
48. Chennai is the health capital of India and attracts about 45% of Health Tourism in the country. Chennai Hospitals treats about 150 international patients every day.
49. Chennai is the first city in India to have municipal Corporation and it has completed more than 365 years and second oldest in the world after London city.Credits: Mansi Chals
50. Bharathanatyam is possibly the oldest classical dance tradition of India.
51. AVM Productions in chennai is the oldest surviving film studio in India.
52. Meet Rama, a White Tiger born at Vandalur Zoo in 2011.He was used to the Tamil language commands given at the vandalur zoo and when he was transferred to Udaipur, Rajasthan, the Tiger could not understand the Mewari language or any other. A Tamil caretaker was sent to Udaipur zoo to settle the issue.Either the tiger learns Mewari language or the caretakers here learn Tamil.Said an official at the zoo.I’m unable to fathom which is easier, but Rama sure did made Tamil Nadu proud.Source: Udaipur-bound white tiger Rama puts new keepers in ‘Tamil’ soup
53. College of Engineering, Guindy is one of the oldest Technical and Engineering institution of India. It was established as a school of survey in 1794 and established as a college in 1859.
54. Siruvani River water is one of the tastiest River water in the world. Siruvani is the tributary of Bhavani in coimbatore, which is inturn a tributary of river cauvery
55. PAMBAN Bridge connecting Rameshwaram Island with mainland is India’s first sea bridge (1914) and second longest sea bridge in India.
Tuesday, February 18, 2020
@AAI_Official@aaiTRZairport#AbuDhabi #Doha beckon travellers by R.Rajaram in #Trichy #Tamilnadu #India The Hindu @the_hindu on 19.2.2020 with comments of M.A.Aleem Neurologist Advisory Committee Member Tiruchirappalli International Airport
The Hindu Tiruchi 19.2.2020
Abu Dhabi, Doha beckon travellers
Finally, a response from an airliner to clamour from travellers in central region
The introduction of overseas flight services from Tiruchi to Abu Dhabi and Doha from next month by low-cost carrier Air India Express is set to give a big boost to passenger traffic at this fast growing non-metro airport.
The recent announcement made by the country’s first international budget airline has gladdened tourism circles and travellers here since it has come at a time when there has been a clamour for long from travellers in this part of the region for introduction of flight services to newer destinations in West Asia.
Direct connectivity to overseas destinations from Tiruchi international airport will now increase to seven after Air India Express begins its services to Abu Dhabi and Doha from March-end.
Tourism industry circles here say the long-awaited sectors connecting Tiruchi with Abu Dhabi and Doha has been finally done by Air India Express, which is already operating daily flights to Dubai, Sharjah and Singapore from here.
The launch of the new services comes at a time when the airport is on an expansion mode with a swanky passenger terminal under construction to cater to future traffic growth and poised for completion in 2021.
The introduction of direct flights to Doha and Abu Dhabi from Tiruchi will certainly be a boon to people of central region and those in the southern districts as they no longer have to travel to Chennai or other airports to reach the destinations, says M.A. Aleem, member, Advisory Committee, Tiruchi international airport.
Flight services to the two new destinations will augur well for travellers as a substantial work force in different West Asian countries hail from the central and southern parts of Tamil Nadu. Besides providing an impetus to passenger movement, the new services will eventually bring in revenue to the Tiruchi airport as well as to the government, says Mr. Aleem, a frequent overseas traveller.
The United Arab Emirates is a popular tourist destination in West Asia with regular group tours being organised by tour operators to Dubai and Abu Dhabi from this part of the region.
Tourists, who wind up their tour in Abu Dhabi, now have the option of boarding a flight to Tiruchi instead of driving back to Dubai. This sector will be a lucrative one for Air India Express, said an office-bearer of Tiruchi Tourism Federation.
Adding flight connectivity to newer overseas destinations will also help Tiruchi’s economy by attracting more tourists and improving business further, says Mr. Aleem.
The new services to Abu Dhabi and Doha will certainly have good load factor, feels Achar Singh, member, Confederation of Indian Industry, Tiruchi.
Tiruchi is a unique non-metro airport with direct connectivity to more international destinations than domestic ones. At present, overseas flights are being daily operated to Colombo, Kuala Lumpur, Singapore, Dubai and Sharjah.
Notwithstanding overseas services to select destinations in South Asia, South-East Asia and West Asia, international passenger traffic has been on the upswing at the airport. International passenger movements alone has already exceeded 10 lakh in the current fiscal from April to December, according to Airports Authority of India statistics.
Once the new services are launched, passenger traffic and the total number of international flight movements is only bound to increase further. The direct connectivity from West Asia will also give rise to inbound tourism and medical tourism, says the office-bearer from Tiruchi Tourism Federation.
Mr. Aleem says completion of expansion of the runway at the airport expeditiously will enable in bringing in wide-bodied jets
Saturday, February 15, 2020
Tuesday, February 11, 2020
Monday, February 10, 2020
6th 2020 February @ @@IBESocialMedia 12 million people with #epilepsy in #India( 1/6 of the global burden). 14 people per 1,000 are prone to suffer from epilepsy in India with many misconceptions. An Awareness talk on #Epilepsy to mark the 6th @ Epilepsy Day by - M.A.Aleem #Neurologist #Trichy #Tamilnadu
Sunday, February 9, 2020
International Epilepsy Day 10th February 2020- Epilepsy is More than Seizures 10.2.2020 EPILEPSY IS MORE THAN SEIZURES - PROF DR.M.A.ALEEM M.D., D.M.,(NEURO) FRCP (Glasgow)
International Epilepsy Day 2020- Epilepsy is More than Seizures 10.2.2020
EPILEPSY IS MORE THAN SEIZURES
- PROF DR.M.A.ALEEM M.D., D.M.,(NEURO) FRCP (Glasgow)
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
FORMER OF VICE PRINCIPAL HOD& PROFESSOR OF NEUROLOGY KAPV GOVERNMENT MEDICAL COLLEGE& MGM GOVERNMENT HOSPITAL
Key facts
Epilepsy is a chronic disorder of the brain that affects people of all ages.
Approximately 65 million people worldwide have epilepsy, making it one of the most common neurological diseases globally.
4 to 10 out of 1000 people on earth live with active seizures at any one time
One-third of people with epilepsy live with uncontrollable seizures because no available treatment work for them.
For 6 out of 10 people with epilepsy the cause is unknown.
4 out of 10 people with epilepsy in the industrialised world do not receive appropriate treatment.
8 out of 10 people with epilepsy in developing nations do not receive appropriate treatment.
Nearly 80% of the people with epilepsy live in low- and middle-income countries.
People with epilepsy respond to treatment approximately 70% of the time.
About three fourths of people with epilepsy living in low- and middle- income countries do not get the treatment they need.
In many parts of the world, people with epilepsy and their families suffer from stigma and discrimination.
Epilepsy is a chronic disorder of the brain that affects 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 2 or more unprovoked seizures. Epilepsy is one of the world’s oldest recognized conditions, with written recordsl 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 disorder and their families.
International Epilepsy Day 2019 -Epilepsy is More than Seizures
Every year on the second Monday of February people join together to celebrate International Epilepsy Day, started and organized by the International Bureau for Epilepsy (IBE) and the International League Against Epilepsy (ILAE). IBE and ILAE are the two epilepsy nongovernmental organizations in official relation with WHO.
Despite being one of the world's oldest known medical conditions public fear and misunderstanding about epilepsy persists, making many people reluctance to talk about it. That reluctance leads to lives lived in the shadows, discrimination in workplaces and communities and a lack of funding for new therapies research. For many people living with epilepsy, the misconceptions and discrimination can be more difficult to overcome than the seizure themselves.
International Epilepsy Day seeks to raise awareness and educate the general public on the true facts about epilepsy and the urgent need for improved treatment, better care, and greater investment in research.
International Epilepsy Day is an opportunity to raise awareness on epilepsy, what it is, how it can be treated, and what is needed to bring treatment to all people who need it. The ability of health workers to diagnose epilepsy, the availability of medicines and research into the health and social care response to epilepsy are just three areas of action needed at present.
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 seizures 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 3 times higher than the general population, with the highest rates found in low- and middle-income countries and rural versus urban areas.
A great proportion of the causes of death related to epilepsy in low- and middle-income countries are potentially preventable, such as falls, drowning, burns and prolonged seizures.
Rates of disease
Approximately 65 million people currently live with epilepsy 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. However, some studies in low- and middle-income countries suggest that the proportion is much higher, between 7 and 14 per 1000 people.
Globally, an estimated 2.4 million people are diagnosed with epilepsy each year. In high-income countries, annual new cases are between 30 and 50 per 100 000 people in the general population. In low- and middle-income countries, this figure can be up to two times higher.
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, availability of preventative health programmes and accessible care. Close to 80% of people with epilepsy live in low- andL middle-income countries.
Causes
Epilepsy is not contagious. The most common type of epilepsy, which affects 6 out of 10 people with the disorder, is called idiopathic epilepsy and has no identifiable cause.
Epilepsy with a known cause is called secondary epilepsy, or symptomatic epilepsy. The causes of secondary (or symptomatic) epilepsy could be:
brain damage from prenatal or perinatal injuries (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, neurocysticercosis,
certain genetic syndromes,
a brain tumor.
Treatment
Epilepsy can be treated easily and affordably with inexpensive daily medication that costs as little as US$ 5 per year. Recent studies in both low- and middle-income countries have shown that up to 70% of children and adults with epilepsy can be successfully treated (i.e. their seizures completely controlled) with anti-epileptic drugs (AEDs). Furthermore, after 2 to 5 years of successful treatment and being seizure-free, drugs can be withdrawn in about 70% of children and 60% of adults without subsequent relapse.
In low- and middle-income countries, about three fourths 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 AEDs. A recent study found the average availability of generic antiepileptic 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 demonstration projects have indicated that training primary health-care providers to diagnose and treat epilepsy can effectively reduce the epilepsy treatment gap. However, the lack of trained health-care providers can act as a barrier to treatment for people with epilepsy.
Surgical therapy might be beneficial to patients who respond poorly to drug treatments.
Prevention
Idiopathic epilepsy is not preventable. However, preventive measures can be applied to the known causes of secondary epilepsy.
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.
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 0.6%, 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.
An Indian study conducted in 1998 calculated that the cost per patient of epilepsy treatment was as high as 88.2% of the country’s per capita Gross National Product (GNP), and epilepsy-related costs, which included medical costs, travel, and lost work time, exceeded $2.6 billion/year (2013 USD).
Although the social effects vary from country to country, the discrimination and social stigma that surround epilepsy worldwide are often more difficult to overcome than the seizures themselves. People living with epilepsy can be targets of prejudice. The stigma of the disorder can discourage people from seeking treatment for symptoms, so as to avoid becoming identified with the disorder.
Human rights
People with epilepsy can experience reduced access to health and life insurance, a withholding of the opportunity to obtain a driving license, and barriers to enter particular occupations, among other limitations. 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, 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.
வியக்க வைக்கும் வரிகள்- டாக்டர் அலீம திருச்சி
வியக்க வைக்கும் வரிகள்
- டாக்டர் அலீம திருச்சி
நோய் வரும் வரை உண்பவன்,
உடல் நலமாகும் வரை உண்ணாதிருக்க வேண்டி வரும்!
👌👌👌👌👌👌👌👌
பணம் சம்பாதிப்பது குண்டூசியால் பள்ளம் தோண்டுவது போல...
ஆனால், செலவழிப்பது குண்டூசியால் பலூனை உடைப்பது போல..!
👌👌👌👌👌👌👌👌
பணத்தின் மதிப்பு தெரியவேண்டுமா? செலவு செய்யுங்க.....!
உங்களின் மதிப்பு தெரியவேண்டுமா?.. கடன் கேளுங்க.!
👌👌👌👌👌👌👌👌
பிச்சை போடுவது கூட சுயநலமே...,
புண்ணியம் கிடைக்கும் என்று நினைத்தால்...
👌👌👌👌👌👌👌👌
அனுபவத்தால் உணரவேண்டிய ஒன்றை...,
ஆயிரம் தத்துவ ஞானிகளாலும் உணரவைக்க முடியாது.
👌👌👌👌👌👌👌👌
வாழ்க்கையை கற்றுக்கொள்வதில் குழந்தை போல் இரு...,
அதற்கு அவமானம் தெரியாது
விழுந்தவுடன் அழுது முடித்து திரும்பவும் எழுந்து நடக்கும்..!!
👌👌👌👌👌👌👌👌
வெட்டாதீர்கள் - மழை தருவேன் என்கிறது "மரம்".
வெட்டுங்கள் - மழை நீரைசேமிப்பேன் என்கிறது "குளம்"
👌👌👌👌👌👌👌👌
திருமணம் -
ஒரு ஆண் நல்ல கடந்தகாலம் கொண்ட பெண்ணையும்...,
ஒரு பெண் நல்ல எதிர்காலம் கொண்ட ஆணையும் தேடுவது.!!
👌👌👌👌👌👌👌👌
முன்னே செல்பவனை விட்டுவிடுங்கள்...,
பின்னால் வருபவனிடம் மட்டும் கொஞ்சம் எச்சரிக்கையாய் இருங்கள்.
அவனால்தான் உங்களை முந்திச்செல்ல முடியும்.
👌👌👌👌👌👌👌👌
மீண்டும் ஒரு முறை முகம் பார்த்து பேசவேண்டியிருக்கும்
என்ற ஒரு காரணத்திற்காகவே,
நம்முடைய பல கோபங்கள் தற்கொலை செய்துகொள்கின்றன...!
👌👌👌👌👌👌👌👌
நேர்மையாக சம்பாதித்த பணம் பெரும்பாலும் கோயில் உண்டியல்களுக்கு வருவதில்லை.
👌👌👌👌👌👌👌👌
இவ்வுலகில் வாழ கற்றுக் கொண்டதை விட...,
வலிகளை மறைத்து சிரிக்க கற்றுக் கொண்டதே அதிகம்..............!
👌👌👌👌👌👌👌
பகலில் தூக்கம் வந்தால்,
உடம்பு பலவீனமா இருக்குனு அர்த்தம்..!!
இரவு தூக்கம் வரலைனா மனசு பலவீனமா இருக்குனு அர்த்தம்...........!
👌👌👌👌👌👌👌👌
துரோகிகளிடம் 'கோபம்' இருக்காது
கோபப்படுபவர்களிடம் 'துரோகம்' நிச்சயமாக இருக்காது..
👌👌👌👌👌👌👌
தன்னை நல்லவராக காட்டிக் கொள்ள *அடுத்தவரை கெட்டவராகச் சித்தரிக்கும் எவரும் நீண்ட நாள் நல்லவர் வேடத்தில் சுற்ற முடியாது..*
👌👌👌👌👌👌👌
- டாக்டர் அலீம திருச்சி
Saturday, February 8, 2020
M.A.Aleem Neurologist Attended Sevai Shanthi Metriculation Higher Secondary School (#SSMHSS) 23rd Anniversary Function at #Pettavaithalai #Trichy District on 8.2..2020 with Founder Correspondent K.Govindaraju, Mrs.R.Kamala Child Welfare Committee Chairman, Mrs.M.Geetha District Child Protection Officer, Mr.Vincent Huart Director ICHEC Business School Belgium and Mr.Paul Clarke Director Equal Health Australia.
Wednesday, February 5, 2020
Sunday, February 2, 2020
Saturday, February 1, 2020
#Budget2020 evokes mixed reactions in central region of Tamilnadu - The Hindu @the_hindu Trichy 2.2.2020 @aaiTRZairport @AAI_Official
Budget 2020 evokes mixed reactions in central region
No mention of inter-linking of rivers, loan waiver: ryots
The Union Budget 2020 has evoked mixed reactions from representatives of industry, aviation and farming sectors.
Secretary of Tiruchi District Tiny and Small Scale Industries' Association S. Gopalakrishnan expressed happiness over the assurance given in Budget 2020 for extending the time limit by a year for MSME units to settle their loans with banks.
Likewise, the encouragement to MSME sector to get into export activities and additional sanction of Rs. 3,000 crore for developing skills were steps in right direction. However, the absence of any announcement on reducing GST rates for the MSME sector was disappointing, Mr. Gopalakrishnan said.
New airports
The promise made by the Finance Minister to develop 100 new airports by 2024 would give a fillip to the UDAN (Ude Desh Ka Aam Nagrik) scheme for regional connectivity, M.A. Aleem, Advisory Committee Member, Tiruchi International Airport, said.
Likewise, the announcement for doubling the fleet strength of aircrafts to 1,200 by 2024 would also be of immense utility to the general public, Mr. Aleem said.
Secretary of Consumer Protection Council S. Pushpavanam, said the budget attempted to spur growth. Corporate tax pegged at 15% would spur investments and attract FDI. But, the projection of 10% growth in economy without proper action-based plan was amounted to wishful thinking.
‘Inadequate allotment’
Allotments to railways for safety and from reserve fund were inadequate. There would be a requirement of Rs. 50 lakh crore to complete the sanctioned projects up to 2030, Mr. Pushpavanam said.
Clarity on new tax rates on individual income would emerge only after comparison with the old method of calculation, he added.
While welcoming the announcements on allocation of Rs. 15 lakh crore for farm loans, and credit card with Rs. 1 lakh withdrawal limit, and specific loan schemes for women agriculturists, Puliyur Nagarajan, president of the Tiruchi district farmers unit of Tamil Maanila Congress, expressed disappointment over the silence of the Centre on waiver of farm loans, and inter-linking of rivers in Tamil Nadu.
State president of Thamizhaga Cauvery Vivasayigal Sangam P.R. Pandian said the Union Budget had disappointed the ryots who were expecting loan waiver announcement in view of the crop loss they had suffered from 2012 to 2019. Absence of any announcement relating to linking of rivers had also disappointed the ryots.
While welcoming the proposal to involve women self-help groups in the proposed village storage scheme, National Organiser, Self Sufficient Green Villages Movement, Arupathy P. Kalyanam opined that the current Bbdget was nothing but an extension of last year’s budget.
V. Jeevakumar, district vice-president, Agriculture Labour Union, Thanjavur District, said though some new initiatives such as ‘kisan rail’ had been announced, silence over the minimum support price and poor implementation of ‘kisan samman’ scheme announced in the last budget had disappointed the farmers.
Terming the budget as an exercise lacked in creation of job opportunities, R. Palanivelu. Professor, Department of Economics, AVVM Pushpam College, Poondi, welcomed the increase in insurance cover for bank customers.
The reduction in income tax slab rates had not fulfilled the expectations of the salaried class and middle income group, according to Mr. Palanivelu.
Re: Covid-19: a puzzle with many missing pieces
Dear Editor
The Silent War of COVID - 2019
The silent war of the Novel Coronavirus COVID- 2019 outbreak spread as of today in 58 countries in all the continents and 1 International conveyance "Diamond Princess", is heading towards Pandemic Spread with 83907 confirmed cases, 36861 recovered cases and 2869 deaths as of February 28th 2020.
Competing interests: No competing interests