Dr. Narayan Gadkar, Leading Cardiologist - Heart attack among youngsters

Municipal Corporation of Greater Mumbai & Glenmark Pharmaceuticals partners in Diabetes Awareness Drive

Municipal Corporation of Greater Mumbai & Glenmark Pharmaceuticals partners in Diabetes Awareness Drive

·         Jointly launches short animated film to highlight the problem of diabetes and obesity in society

·         Film to be screened in over 100 multiplexes & theaters across Mumbai starting Friday, July 24

The Municipal Corporation of Greater Mumbai (MCGM) along with Glenmark Pharmaceuticals Ltd announced the release of a short animated film to highlight the problem of diabetes and obesity in society. Targeted at school children, this informative film will be screened in over 100 multiplexes and movie theatres across Mumbai.

The film was launched in the presence of Sanjay S Deshmukh - Additional Commissioner (Western Surburbs), MCGM, Dr. Avinash Supe, Dean of KEM Hospital, Mr. Sujesh Vasudevan, President, Glenmark Pharmaceuticals Ltd., Dr. Padmaja Keskar, Executive Health Officer - MCGM and other dignitaries. This initiative is a part of Swasthya Main Hai Swaad' campaign of MCGM focusing on twin themes of healthy eating and exercise to keep diabetes away.

The animated informative film will be screened in the theatres from Friday, July 24^th onwards.  The timing of the film appears favorable with chartbusters like Bahubali & Bajrangi Bhaijaan attracting huge crowd in the theatres.

Speaking on the occasion, Sanjay S Deshmukh said, “An increasingly sedentary lifestyle and unhealthy dietary intake has led to an explosion in diabetes. MCGM has initiated several programmes for raising awareness of this ever-growing disease. This informative film which we are launching in partnership with Glenamrk is another innovative medium through which we are reaching out to the masses”.

Sujesh Vasudevan, added “India has earned the dubious distinction of becoming the world's capital of coronary heart disease and diabetes. It is necessary to raise awareness of the importance of a healthy lifestyle in reducing risks of such diseases. We are happy to be partnering an institution like MCGM in spreading the message of leading a healthy lifestyle to the masses. Glenmark is committed in making a positive difference in healthcare of people through our high quality medicines and awareness initiatives.”

The short animated film displays different lifestyles of two young kids. One of them is pursuing healthy lifestyle by eating right food, exercising, playing different sports, etc., whereas the other child is exposed to unhealthy lifestyle like eating all types of junk foods, lazing around, watching TV, sleeping, etc. The idea is to create a sense of realization among parents and children to adapt a healthy & disciplined lifestyle and avoid disease like obesity & diabetes.

MCGM started ‘Control Diabetes and Hypertension – Act Now Programme’ since 2011. Under this program, the corporation is providing services for detection of diabetes, treatment, follow-up and support through its 80 dispensaries. Till date, 90644 patients (23040 Old / 67604 New) are screened for diabetes and there are 18673 newly detected cases. 10 to 12 thousand patients’ follow-up regularly at these dispensaries for treatment.

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Beware of leg sore in summer

Study suggests leg cramps at its peakin summer as in winter.

 Dr Hitesh Kubadia,Orthopaedic and Joint Replacement Surgeon at HKS Clinic, Dadar.

If you are an athlete, an expectant mother or a senior citizen, the night time leg cramps becomes a regular feature – especially during summer. Heat injury may result in mild heat cramps to life-threatening heat stroke. 

A growing number of children and young adults are found playing sports during summer. As more people exercise in hot conditions, muscle cramp is a common feature and often occurs when the muscle is overused or injured. Working out when you haven’t had enough fluids or when you have low levels of minerals such as potassium or calcium can also make you more prone to muscle spasm. Muscle cramps can occur while you play tennis or golf, bowl, swim, or do any other exercise.

“It’s not just the athletes who suffer from leg cramps, but even pregnant women and people over the age of 50 years are also affected by the seasonal problem. It’s a shockingly prevalent issue during summer time. Figures show that one in three people over the age of 50 years will have at least one or more cramps a day, half of those people experience it multiple times at night,” informed Dr Hitesh Kubadia,Orthopaedic and Joint Replacement Surgeon at HKS Clinic, Dadar.

Elaborating on the co-relation between summer time and leg cramps, DrKubadia, said, “In summers, the weather is much warmer and this causes us to sweat and loose body fluids at a much faster rate. Sweat contains magnesium and potassium in the form of electrolytes. This loss causes a low-grade deficiency which results in increased muscle cramps. The fluid loss causes possible dehydration as well.”

“Muscle cramps, also known as spasm or twitches, are a noticeable increase in muscle tone for no apparent reason. This increase can be intense enough to cause an increased pain. Often cramps occur during sleep or rest and sometimes they occur with exercise. If they occur with activity, cramps will predispose you to ‘muscle pulls’, added DrKubadia.

Doctors warn people to prevent heat injury. Prevention begins with understanding the causes of heat illness. “Knowing the signs of heat injury and being able to treat it immediately will reduce the number of severe cases. Possible preventive measures include taking daily supplements of calcium, magnesium and potassium and drink lots of water,” says DrKubadia.

Medical care when you have suffered from muscle cramp:

If you have a muscle cramp, stop your activity and try stretching and massaging the muscle.Heat will relax the muscle when the spasm begins, but ice may be helpful when the pain has improved.If the muscle is still sore, nonsteroidal anti-inflammatory medications can help with pain. The most common cause of muscle cramps during sports activity is not getting enough fluids. Often, drinking water will ease the cramping. However, water alone doesn't always help. Salt tablets or sports drinks, which also replenish lost minerals, can be helpful.

Other tips for relieving muscle cramps:

·         Change your workouts so that you are exercising within your ability.

• Drink plenty of fluids while exercising and increase your potassium intake (orange juice and bananas are great sources of potassium).
• Stretch to improve flexibility.

 story initiated by Gloocal Communications 

Bed rest during pregnancy – Dr.Bandita Sinha, Senior Consultant Gynaecologist & IVF Expert advice 

- What are the complications that arise if a woman becomes inactive during her pregnancy for no reason? 

• Although  bed rest is sometimes recommended in certain pregnancy conditions. But prolonged bed rest can cause harm instead of help in pregnancy. Prolonged bed rest can cause following problems:-
• Loss of muscle function causing muscle weakness and pain.
• Bone demoralization leading to bone loss, causing backaches, and hip pain.
• Maternal weight loss (as mother eats less during bed rest) leads to low birth weight babies.
• Increase chances of blood clots may cause venous thrombo embolism
• Both antepartum and postpartum depression and mood changes
• Reflux , indigestion, fatigue, sleep cycle changes

Why is it necessary for a woman to be active while she’s pregnant?

• Ans : PHYSICAL ACTIVITY IN PREGNANCY
• PHYSICAL ACTIVITY has following advantages-
• helps to maintain a healthy weight during and after pregnancy.
• better sleep and reduces fatigue
• reduces chances of varicose veins
• reduces likelihood of swelling of feet, ankle and hands
• reduce chances and severity of anxiety and depression
• prevents back pain
• reduces chances of developing gestational diabetes and high B.P. in woman who develop diabetes during pregnancy, regular physical activity helps to improve the control of their diabetes
• shortens labour and reduces chances of complications during delivery of the baby

Which exercises are deemed okay for pregnant women? What activities should she avoid doing?

EXERCISE IN PREGNANCY

• Pregnant women should aim to do a mixture of aerobic and muscle strengthening physical activity.
• Aerobic activity makes heart and lungs stronger.e.g- brisk walking .Jogging, swimming ordancing, climbing stairs and gardening.
• Muscle strengthening activity includes climbing stairs, walking uphill, yoga.
• Pelvic floor exercises are also important during pregnancy and are advised to all pregnant women.
• Pelvic floor exercises help to strengthen a pelvic floor muscle which comes under pressure during labour.

ACTIVITIES TO BE AVOIDED

• Training for peak fitness, sport training, horse riding, scuba diving, squash, boxing and kick boxing should be avoided.
• In case of any complication related to pregnancy like cervical incompetence, multifetal pregnancy, vaginal bleeding, and placenta Previa, uncontrolled B.P. it is always better to take advice from the treating doctor. Pregnancy related any exercise should always be done under supervision with a trained person.

2 more donors from city offer UP toddler blood

- Sumitra Debroy

Doctors Say Yet Another Unit Needed In Case Of Emergency
A day after three units of the precious Bombay group were sent from Mumbai to Blood New Delhi's All India Institute of Medical Science (AIIMS) for a 15-month-old toddler from UP , the surgery could not be carried out as scheduled. Doctors said treating Arun Kumar's grave congenital heart condition may require more units of blood.

An executive from Pune and two Mumbaikars had donated three units, which were couriered to Delhi on Thursday . The hospital said on Friday that carrying out the surgery without adequate blood backup would be risky and subsequently made a fresh request for an additional three units. By evening, Vinay Shetty of the Think Foundation NGO managed to gather two more persons who donated two more units. “The blood collected from Pravin Shinde (35) and Swapna Sawant (31) will be sent to Delhi on Saturday . Hopefully, the surgery can take place with this,“ he said.

Less than 190 people have the Bombay Blood group in India.Cardio-thoracic surgeon Dr A K Bisoi from AIIMS, who will be operating upon the child, told TOI that it was nothing less than a miracle that the child was alive. “This child is born with a reverse connection in the heart, called transposition of great arteries. The body does not get pure blood that is pumped from the lungs. It is an extremely lifethreatening complication and most children do not live beyond a few months of birth. By now the left side of his heart is very weak to pump blood to the whole body ,“ he said, adding that the child needs to undergo surgery at the earliest. “Each day is crucial for him,“ the surgeon said.

Bisoi added that while such surgeries can be performed with four units of blood, Kumar's case was exceptional. “We have to keep a backup as he cannot be transfused with blood from any other group. He may have to stay on the heart-lung machine for longer post-surgery ,“ said Bisoi.He applauded efforts by Mumbaikars and the Pune resident to save the child. “More awareness must be created about the rare blood group,“ he said.

Shetty suggested that blood banks in Delhi must create a registry, like in Mumbai, Hyderabad, Bangalore and Chennai.

Kumar's father Sandesh, a farmer from UP , said each passing day was causing them more anxiety . “We are running against time. It is such a helpless situation for us as well as the doctors,“ he said. Bisoi said the child will be taken in for surgery as soon as all units of blood are arranged for. The family has deposited Rs65,000 with the hospital for the procedure.

Source : Times of India | http://epaperbeta.timesofindia.com/index.aspx?eid=31804&dt=20141213

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Crippled by Rheumatoid Arthritis at young age - Dr Hitesh Kubadia, Orthopaedic and Joint Replacement Surgeon at Nova Specialty Hospitals

A rising number of youngsters are suffering from rheumatoid arthritis today. Even children are affected at times. What are the reasons for this?

25-year-old Siddharth Sinha was recently diagnosed with rheumatoid arthritis. The diagnosis came as a shock for him as the common belief is that arthritis affects people above 50. As per the WHO report, one in six people and one in three families suffer from arthritis in India. The alarming trend is that the disease now affects even the young lot.  As per the recent data, 25% patients belong to the age-group of 24 to 40 years.

Rheumatoid arthritis is not an inherited disease. Researchers believe that some people have genes that make them susceptible to the disease. People with these genes will not only automatically develop rheumatoid arthritis. There is usually a "trigger," such as an infection (often viral infection) or environmental factor, which activates the genes. When the body is exposed to this trigger, the immune system responds inappropriately and instead of protecting the joint, the immune system begins to produce substances that attack the joint. This is leads to the development of rheumatoid arthritis. Though Rheumatoid Arthritis can affect any age group, it more often affects the middle age group.

Although there is no cure for rheumatoid arthritis, there are a number of treatment options that can help relieve joint pain and improve the functioning of legs. The aim of the treatment is to attain remission. The treatment plan is tailored to the patient's needs and lifestyle. Rheumatoid arthritis is often treated by a team of healthcare professionals. These professionals may include rheumatologists, physical and occupational therapists and orthopaedic surgeons.

Juvenile Rheumatoid arthritis is known to have genetically complex traits in which multiple genes are important for disease onset and manifestations, and it is characterized by arthritis that begins before the age of 16 years, persists for more than 6 weeks, and is of unknown origin.

Causes of rheumatoid arthritis

There's a lot to love about winter; breathing crisp air, sipping hot chocolates and rugging up in thick coats and scarves. But stiff and sore joints can be a distinct down side to the cooler months; and there are plenty of people with arthritis who believe cold weather makes their condition worse.

Symptoms

In rheumatoid arthritis, the areas affected include the neck shoulders elbows wrists and hands especially the joints at the base and middle of the fingers but not the joints at the end of the fingers. In the lower extremities rheumatoid arthritis can affect the hips knees ankles and the joints at the base of the toes. Rheumatoid arthritis tends to spare the low back. The joints affected tend to be involved in a symmetrical pattern. That is if knuckles on the right hand are inflamed it is likely that knuckles on the left hand will be inflamed as well. This symmetry is not found as often in most other types of arthritis.

Fatigue in Rheumatoid Arthritis is due to many factors. It can be due to the inflammation which produces chemicals called cytokines that commonly cause fatigue. People with RA might have a mild anemia that also might contribute to fatigue and the sleep disturbance from night time pain may also be a factor. Finally people with RA tend to decrease their exercise and thus lose stamina and strength and this might also play a role in their fatigue.

Treatment

The immediate form of arthritis treatment involves relieving pain and reducing inflammation stop or slow down joint damage and improve function and patient well-being.

Since the disease may vary from person to person, the treatment program should be designed to best meet each person’s needs taking into account how severe the arthritis and individual lifestyle and preferences. Often the use of two or more medications at a time each serving a distinct purpose is necessary. Some of these medications can affect the immune system, making monitoring a requirement for treatment.

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