Wednesday, August 31, 2022

Antiseizure Medication (ASM) and Antiseizure Therapy (AST)- Prof.Dr.M.A.Aleem Neurologist Trichy Tamilnadu India

https://www.ilae.org/guidelines/guidelines-and-reports/proposed-terms-for-medications-used-in-the-treatment-of-epilepsy

29 August 2022

Antiseizure Medication (ASM) and Antiseizure Therapy (AST)

Use of term 'antiseizure medication (ASM)' is appropriate instead of the use of term 'antiepileptic drugs (AED)'.

These agents are also used in many non-epileptic conditions, like trigeminal neuralgia, migraine, painful peripheral neuropathy, and in some psychiatric disorders.

So use of terminology like 'antiepileptic drugs (AED)' may stigmatize the people who are taking these medications.

I am also requesting you to add one more terminology in epileptic treatment. We can consider introducing the term 'antiseizure therapy (AST)' for all the other modes of treatment without drugs for epilepsy, like vagal nerve stimulation, surgery, ketogenic diet and DBS, etc.

Prof. Dr. M .A. Aleem

Wish you your family a happy #VinayagarChathurthi 2022- M.A.Aleem Neurologist ABC Hospital #Trichy #Tamilnadu #India

கைத்தல நிறை கனி
அப்பமுடன் அவல் பொரி
கப்பிய கறிமுகன் அடிபேணி
கற்றிடும் அடியவர் புத்தியில் உறைபவர்
கற்பகமென வினை கடிதேகும்
மத்தமும் மதியமும் வைத்திடும் அரண் மகன்
மற்பொருள் திறல் புய மதயானை
மத்தள வயிறனை உமத்தமி புதல்வனை
மட்டவிழ் மலர் கொடு பணிவேனை
முத்தமிழ் அடை வினை
முப்படு கிரிதனில்
முப்பட எழுதிய முதல்வோனே 
முன்புறம் எரி செய்த
அச்சிவன் உறை ரதம்
அச்சது பொடி செய்த
அதி தீரா
அனைத்து நண்பர்களுக்கும் தோழியற்க்கும்
முழு முதற் கடவுளின் அருள் பெற வாழ்த்துக்கள்

- டாக்டர் அலீம் திருச்சி

Sunday, August 28, 2022

Iconic Architectural Heritage Structures in Trichy Needs UNESCO tag as World Heritage Site- M.A.Aleem member Tiruchirapalli District Welfare Fund Committee Trichy Tamilnadu India

Iconic Architectural Heritage Structures in Trichy Needs UNESCO tag as World Heritage Site

- M.A.Aleem member Tiruchirapalli District Welfare Fund Committee 




Trichy city  takes pride in its cultural heritage and has records that dates its existence back to the 3rd century BC .

The following prominent architecturally outstanding monuments in Trichy needs recognization by UNESCO as a World Heritage Site :

1.Sri Ranganathaswamy Temple

This  temple at Srirangam Island is spread over 155 acres. It is the largest  temple in the world and holds 20 beautifully engraved shrines, 39 intricately-sculptured pavilions and 21 towering gopurams. The temple complex is surrounded by 7 concentric enclosures that are an architectural marvel by themselves. Its Rajagopuram has 13 tiers of exquisitely carved figures and is the tallest temple tower in Asia.

 


2.Rockfort

Trichy Rockfort, locally known as Malaikottai, has is a historic fortification and temple complex built on an ancient rock.The rock is said to be one of the oldest formations in the world. It is 3.8 billion years old, making it as old as the rocks in Greenland and older than the Himalayas.

It  has a constructed fort  on 272 ft high rock. There are two Hindu temples inside, the Ucchi Pillayar Temple, Rockfort and the Thayumanaswami Temple and two rock cut cave temples with uniquely sculptured pillars that are not foundanywhere else . It has a long climb up of 344 steps cut into the stone to the top.

3.Kallani Dam 

This ancient dam was built across the Cauvery River in the 2nd century AD to redirect the waters to irrigate the fertile delta region in Tamilnadu. It is the second oldest functional structure in the world for water regulation and many other dams have been modeled on its unique design in recent times. Its impeccable condition and structure also need world  recognition

Rediscover being a doctor

“Rediscover being a doctor”

15   to 20 mg cortisol secreted in normal stress of human beings. 150 mg under maximum stress. A study shows Surgeons anaethetist in India exceed this 150 mg frequently in a day...
That is 10 to 15 times more than the Military colonel in battle field. Doctors in Tamil Nadu Government service frequently cross 80mg per day and 150 mg at least twice a month... All of us know the adverse effects of cortisol in our body.

“Survey : How happy & satisfied are doctors”
Total 1781 responses were received & following were the observation:

# Only 37.7% of doctors were satisfied
# Only 45.1% doctor’s got complete 7 hr. sleep
# 82% doctors felt stressed out
# 34.5% doctors had high blood pressure
# 18.6% doctors had diabetes
# 61.6% doctors had a fear of violence, while giving consultation.
# 56.5% doctors had thought of hiring security in their clinic premises.
# Only 8% doctors had 1st choice for their children to become doctor
# 75.6% doctors had anxiety.
# 26.4% doctors indulged in social drinking.
# 45.4% doctors were afraid of possible violence
# 24.6% doctors were afraid of being sued.
# 13.5% doctors were afraid for criminal prosecution

“Doctors die early. National IMA study showed that Indian doctors die 10 year earlier than the normal age and Kerala study showed that they died even 13 years earlier.”

If one doctor die, to make another doctor we need 30 years and have to spend crores of public money, it is people's money. In case a doctor die, his unavailable services during those 30 years many common people may die. Common people are safe only if they exist. 

“Do you know” ?
@ that when treating you of your viral fever your doctor gets exposed to the virus?
@ that when doing surgery your doctor gets cuts and pricks that may transmit disease from patient to doctor?
@ that when your doctor dresses your diabetic foot, they feel nauseated by smell and do not feel like eating for the whole day?
@ that when during a delivery the patient often passes urine and motion that may spills on the doctor?
@ that even though your doctor's own child might be suffering from fever, he has to leave him to others as he has to go and treat others while his own child suffers?
@ that for every delivery case your doctor has to attend at least 10 calls throughout night.. And then be back to work early next day?
@ that when a neurosurgeon operates for 12 hours continuously he loses track of time and forgets to eat or sleep?
@ that a cardiologist is exposed to dangerous levels of radiation in the lab?
@ that the life span of doctors is 10 years less than public average because of stress?

With their level of intelligence they could earn more money if that have been the sole motive, had they chosen other professions.

Monday, August 22, 2022

#Environmental #Neuroscience in #City Development - M.A.Aleem Neurologist #SwachhBharat Ambassador #Trichy #Tamilnadu #India

#Environmental #Neuroscience in #City Development - M.A.Aleem Neurologist #SwachhBharat Ambassador #Trichy #Tamilnadu #India 


Environmental neuroscience is an emerging field devoted to studying the impact of social and physical environments on brain processes and behaviour. From the various opportunities for social interaction to noise levels and access to green spaces, the characteristics of the urban environment have important implications for neural mechanisms and brain functioning, thus influencing our physical state. The field paints a different image of how cities impact our health and well-being, thus providing a new, scientific layer of understanding that could help architects, urban planners, and decision-makers create more equitable urban environments.