Monday, December 31, 2007

FOR NEW MOMS---SPECIAL ATTENTION---WEANING FOOD

The weaning food for an indian child anywhere in the world literally means the change over of diet pattern from mothers milk to other nutritious needs.
All young ones depend on mothers milk only for a certain period & it can not survive without milk,if for some reasons the child is seperated from mother.In the case of other animals(mammals) all animals will die if milk is not availablewithin 3-5 days,as other foods are not digestable.Eveen mammals like lion tiger which are purely carnivorus, raise the young ones with their own milk.after 2-3 MONTHS slowly the change over takes place(weaning)by eating raw flesh.Even here it is worth noting that the mother animals kill a new born animal very calculatively to be the prey for their young ones,because they can not digest the flesh of an adult animalSo even in the animal kingdom we can see how weaning takes place.

Weaning is nothing but change over of food,from mothers milk,till it reaches age one,when it can take full family diet.It is like acclamatisation to high altitude.
If we go to 20000 feet straight we will develope pulmonary edema(water clogging in the lungs)&die.so we go from 5000feet &stay for a week for every 3-5 thousand feet.This will get our lungs used to existing atmopheric pressure.Similarly to digest brest milk enzymes present in saliva &stomach are enough.As the child grows the need is greater.so protien &fats are required for body's construcion process.As the organs grow simultaneously(stomach,gallblader,pancreas) they produce more concentrated enzymes &hormones for better digestion,of protiens &fats.So the quantum &quality food is gradually increased, to yield more energy for day today life,&for body tissue growth including brain.
All the body tissues are immature in the young.The stomach ,pancrase liver kidney small intestines are not matured enough until 2 yrs, to digest veg &non veg protiens&fats taken by adults .That is why easily digestible absorbable &assimilable(process of conversion of food particles to mix with blood),food must be chosen as per childs age(indirectly as per organ maturity)
There is no need to know the various data such as caloriesThe weanig food is availablein the store&all are good.There is only a small transition period from age 6 months to one year from milk to solid.A simple recipe is enough to give home made food.Beware of not giving too much protiens &fats as it may lead to obesity,&kidney stones(aminoacid stones).Too less will cause malnutrition.
A MODEL DIET RECIPE for a child upto age one
3kg--at birth-mothers milk only.
4-6kg-3-6months-mothers milk +formula milk.
6-9months.Allthe above+rice 2 tsp+dal(bengal gram)2 tsp+ghee(gingely oil alternative)1 tsp.GIVE ONCE A DAY FOR-2WEEKS.Twice a day for 2 weeks.Then 4tsp thrice a dayalong with egg once a day.Egg,boiled white from 6 month onwards1/4-first 2 m0nths.1/2-for next 2 months.full egg at 10 months-white only.Plus 600- 1200 ml milk in addition always til age 5..Boiled smashed vegetable 6tsp+fruit juice 6tsp may be added from 6-8 month onwards.Mothers milk as long as available.Definitely upto 1 yr..Preferably upto 2 yrs, Profitably after 2 yrs.AGE1-3 YRS:Full family diet can be given. Take care the rice &other items are well boiled Avoid all spices&all meats upto age 3.small lean fish can be given always from age 1 onwards(about 3- 5 tsp)USUALLY DIGESTION IS NOT A PROBLEM.children do lot of exerciseswhile playingfrom age 2 onwards.AVOID ALL SPICES, SWEETS, ACIDIC FOOD,(PICKLES)FISH WITH THORNS ,FATTY FOOD ,ICE CREAMS.(Any thing once in a way is allright)Half boiled egg,sea foods (,except fish)such as shrimp(prawns)crab ,lobster, etc are all nothing but cholesteol.
The weaning food available in store is not superior to costum made diet at home,which also contains ,all the ingrediets of commercial food,which may contain extra vitamins iron,minerals.But we can supply all these either naturally,or by syrup ,drops.In INDIA vitamine A difficiency very common due to many reasons.So a good dose once a year will help also against developement of short sightedness & is recomended as part of nutrition management by W H O..Various commercial cerial food contains1)carbohydrate(rice,malt, atta,(maida) corn wheat.2)protiens (cows milk soya various grams.3)fats from various edible oils+multivitamins minerals,+trace elements.In addition some contain DHA(docohexanemic acid+ARA(arachidonic acid. These two substanses are contained in breast milk only&said to be good for the growth &developement of brain tissue &retina of eye balls.ADVANTAGE:1)ready availability 2)simple to dispense.3)hygeinic.DISADVANTAGE:1)expensive2)some are non palatable.

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Friday, December 28, 2007

For the New Parents : Face Facts Boldly

How strong are you ready to react positively, if your child is born with a congenital defect?
Introduction;
No body wants a defective child.But in the unfortunate event of such a birth,can we Afford to throw away the child into a dust bin?Afterall it is our own flesh & blood.IN GOD WE TRUST.Ifthis is true there may be a devine exlanation.But we should accept science&ITS ULTRA RAMIFICATIONS ALSO.All defects are attributable to genes,the ultimate electonmicroscopc fusion defect in an unhealthy internal environement in a fertalised ovum.It is worth while citing an exampleof a truly published report in an Indian journal INDIA TODAY around 1990.A black goat gave birth to a young one with absence of 50%length of left fore limb.This mother goat was said to be gracing around the bushes of a central govt. organisation engaged in atomic energy research &its nuclear energy containg waste.It is probable that the birth of the defective young one was due to the nuclear waste materials eaten by the goat during the early part of its pregnancy.During the same time a mother delivered a child with absence of left forearm+50 % of left upper arm.There is no connection between the two though.THIS occured in csi hospital Erode tamilnadu,india,though she did not give any positive history during her first trimester of pregnancy.It may be due to use of abortifecient drugs for reasons of their own,as it is easily available over the counter.Many do not know that D&C is the best if they choose to abort.Abortifecient drugs can interfere with the developement of growing embryo.in such a way that it can cut vascular supply of the missing limb during the process of developement of the embryo.This medical article written by me was published in the journal THE ANTICEPTIC(1990)INDIAS OLDEST NATIONAL JOURNAL.This mother was given councelling by a team of doctors.SOME EXAMPLES& COMMENTS ON MANAGEMENT:1)Harelip &cleft palate :This facial defotmity is fully correctable surgically.An anglo indian mother alcoholic &smoker gave birth to such a child.Usually surgery is done after one year or after attaining 8 kg body weight.Then only corrective surgery can be done sucessfully.Many hurry up the doctors &get lip closure done in 1-2 weeks after birth in order to face the soceity.2)Talepes eqinovarus(club foot)One or both feet may be affected; fully corectable by age one by continuous strapping. Late cases often need surgery&POP

V S D;Commonest heart ailment often refererd to a hole in the heart..In cases where the diameter of the hole is lesser it may close naturally by itself under very good medical supervision(should minimise crying episodes).Surgery is allways sucessful.Life expectancy is also almost normal.Respiratory infection may be more.
T H A L I D O M I D E TRAGEDY: Thalidomide is a drug having sedative property&was prescribed for pregnant women as an antiemetic to counteract mornig sickness producing vomiting of pregnancy.It was sold by a German pharmaceutical companyGRUNENTHAL from 1957-1961.Before the official prescriptio the company has distributed even 2 years before samples to lot of doctors & was found being sold in over 40 countries.In 1956--62 more than 10,000 were born with phocomelia,including USA.


The SCIENTISTS found many such women yielded babies without all four extrimities,after they bocame pregnant.The drug is banned in all countries.Even today some children are born with Achondroplasia with very small limb buds.Dont they have the right to live?Can the society dump them in a trash box?There are some adults with grotsque faces Are they all evaded by society?I HAVE SEEN ONE OR TWO FACES DRIVING THEIR OWN ROLLS ROYS..SO ARE WE GOING TO RESPECT THE RICHES ONLY &NOT THE HUMANITY? So WHEN A CHILD IS BORN ALIVE it has all the rights to live& the parents should be the first to to support them.It is the brain that is important & not the external appearence.
Are these births preventable?Yes to some extant if the HYGIENE of pregnancy is well managed.Hygiene includes avoiding all inclement atmosphere like alcohol,smoking(active ,passsive),total avoidance of all drugs(Ask your obstetritian to give a list of drugs contraindicated during 1 11 111 trimester of pregnancy.)ALL VITAMINS MINERALS METALS TRACE ELEMENTS SHOULD BE REGULARLY TAKEN TO AVOID NUEROLOGICAL MALDEVELOPEMENTS.IF FIRST CHILD IS DEFCTIVE,BEWARE OF THE SECOND CHILD ALSO GETTING SAME DEFECT(go for genetic councelling)Rubella vaccine in the prepubertal age for all females are mendatery.All said &done,ultimately this is a game of GENES where the the players are46 chromosomes on each side!.
Downs syndrome;commonly seen. babies with deficiency in cognitive ability physical growth&typical facies.this condition is identifyable during pregnancy.This is due to presence of an extra chromosome at chromosome no.21 .These children need special schooling.IF IT IS DIAGNOSED EARLY ,ABORTION CAN BE CONSIDERED.

Immunization - Is It A Must?

FOR PARENTS SPECIAL ATTENTION;
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Introduction:Vaccination shots are given to prevent infectious diseases in children as these vaccine preventable diseases were taking a high death rate after disease complications 5 decades back when there were no vaccines.Vaccination of children is the duty of every government in order to protect its future citizen.No immunisation gives 100% protection against the disease for which vaccinated.Then why should we suubject our children to possible risk?the RISK IS MORE if not vaccinated
against 12 conventional diseases.Afew children may get problem most of which are managable succesfully if seen by a competant doctor.
PROS& CONS;
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ADVANTAGES ,DISADVANTAGES present in every immunisation procedure.ADVANTAGES are too many,compared to disadvantage.For example measles is a deadly disease,that very few escape from its complications I 'm yet to see a child without anyone of the following post maesles complications.1)BRAIN FEVER -fever,fits altered conciousness sleeplessness with irritability.2)pneumonia-lung disease(fever,cough,phlegm ,breathlessness. 3)gastroenteritis-loose mucoid motions sometimes with blood 20-40 times a day lasting upto 6 weeks.)Allthese will cause death if not treated correctly.so measles plain at 9months,&MMR vaccine at 15 months are essential, But some children may develop some auto-immune disorders, like asthma,juvenile diabetes bone marrow depression low blood platlet count(thrombocytopenia) causing bleeding under the skin or even in the brain with relevent problem.The 12diseases for vaccination are as under:-1)tuberculosis. 2)hepatitis B.3)hib 4)diphtheria5)whooping cough 6)tetanus 7)polio 8)measles 9)mumps 10)rubella 11)chicken pox 12)pnuemococcal disease.There are some disease for which vaccines are usually given when there are epidemics (hep A, INFLUENZA,MENINGOCOCCAL meningitis,typhoid,japanese B encephalitis).
A REAL RELAVENT TRUE STORY
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2 YR OLD MALE CHILD ,developed fever after vaccination.found to have bleeding under skin at various places.platelet count was far too less.Blood platelet transfusion was given to save the child.This unfortunate child went to USA ONLY TO DISAPPEAR from this earth ,by accidentally falling down from second floor through the window.USA windows dont have cross bars like in india.It is a pity that USA is a country,which looks after the safty &security of children,constructing windows without safty.one more point parents should note here is that children's death is more common by accident than by disease. The above quoted child is living through 4other children by its ORGAN donation(eye,pancreas kidneys heart & lung.
Even incidence of learning disability like autism as per medical literature evidence is more on the post immunisation era.But it is an unsolved dispute among scientistsThe offending culprit is thought to be due to mercury contained in dpt,dtap injections.
precautions:
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All live vaccines are risky.can cause anapylaxis(drug induced reaction),both immediate &delayed.A COMPETANT DOCTOR KNOWS HOW TO MANAGE SUCH COMPLICATION.Early diagnosis important.If a rash is noted at 9 pm consult doctor at 9.10 pm.dont wait till next morning.Many late evening medical problems have been consulted,in thw next morning only to learn that it is too late. Time &tide waite for no man. BETTER TO AVOID MULTIPLE INJECTIONS ON THE SAME VISIT. THERE IS NO GREAT ADVANTAGE EXCEPFOR AN EASY PARENT COMPLIANCE.
All the vaccines are stricly poisonous substances.If one poison is mixed with another poison the resulting toxicity is 10 times greater,than when they are used singly.If 3 toxins are mixed the resulting toxicity is said to be100 times.Should we subject the young immatured brain tissue to be assaulted by these toxines?This is a question posed by a section of scientists.
CONCLUSION;iS IMMUNISATION A MUST?Yes it is a must,unless long term multi center global studies indicate against it.no doubt auto immune disorders, behaviour disorders, learnig disability are more prevalant in the post immunisation era compared to 50 years ago when the word immunisation was unheard of.

Saturday, December 15, 2007

4-8 PM SYNDROME IN PEDIATRICS OR DISTURBED SLEEP BABY SYNDROME



Introduction:As this article contains a vvolley of in formations it will be found very useful to lot of parents who might visit this site.It is hoped that all new moms grand parends, caregivers, creech owners would ffind very usefulin their dailychild rearing duties.This will be published in a national medical journal shortly.

4-8 pm syndrome in pediatrics:(disturbed sleep baby syndrome)
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Introduction;It is often a nightmarish experience,if a very young child cries violently,all on a sudden,as if beaten by someone,black&blue.Face often turns red.Tears flowing like water falls.parents become panicky.refuses to feeds.STOPS FOR A SECOND ONLY TO RESTART THE WHOLE EPISODE once again .1/2-2 hrs cry is quite acceptable though painful.EVERY parent has to undergo this bitter experience once in away atleast during child raising practice.What is the cause?Is it preventable?How should one meet such situation?Is gripe water an answer?The auther has not come across to get an answer after searching the world literature .Hence this attempt.There are instances where people have phone called 9 1 1(ambulance/policein U S A)

WHAT IS IT ?
-------------A new born often sleeps 18 hrs a day.may wake up & cry every 2 hrs for feeds.NEONATES go to sleep almost immediately after feeds/burping.Feeding duration increases after 3 months. But may start crying for no OBVIOUS reasons.common causes for crying are listed in tables.
Table one;




  1. hunger


  2. thirst


  3. itching sense anywhere


  4. 0bstipation/constipation.


  5. diarrhoea


  6. vomitig/regurgitation


  7. hiccough


  8. wet diaper.


  9. unplascent atmosperic temperature


  10. crude unplacent noices(noices from fan fridge, washing machine air conditioners are said to be producing sedation &sleep ;hence exclude from crude noice


  11. fever.


  12. post immunisation.


  13. Any recent intra muscular injection.


  14. wheezy chest(asthma)


  15. severe pruritis anywhere(itching)


  16. unplacent atmosphere.(cinema theater)


  17. lack of mothers presence


  18. stomach upset(gastro esophageal reflux),strangulated hernia,hiatus hernia,intestinal colic ,intussuseption,worms intestinal obstruction(abdominal dis tention,vomiting,fever,acute pancreatitis)


Table-two. Causes of continuous cryingfor hours/days.





  1. abdominal pathology giving pain


  2. venomous insect,scorpion sting,with or without cold arms,legs,


  3. acute bronchiolitis/asthma unrelieved.


  4. heart failure due to any cause(HR over 120-140 gallop rythm


  5. jet lag .


  6. congenital megacolon(passing stools once in 10 days or so,habitually)


Auther's experience:



One yr old brought for sleeplessness&;continuous cry,-duration72hrs.Already seen by 10 docters&;treated with sedation/injections.on exam;Restlessness.unable to fix child for i.v. injection.very loud cry.heart rate 200/mt,cardiac pulsation visible outside.Child rolled in a blancket to give iv scalp vein inj.Digoxin+lasix one dose given.cry lasted for 15 mts &slept.woke up after 3hrs& found playing.HR-100/mt.Had one full feed after 3 days..Discharged at request.
Auther's hypothesis
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The syndrome is due to a chaotic situation ,arising in the central nervous system,due to electrical impulses running in the axons&dendrites of the nervous tissues of the brain,inthe most disorderly way.LACK of sleep is the main cause.Sleep is a condition reflex,developed over years.FROM new born period onwards sleep duration decreases slowly to 6-8 hrs by age 12 yrs.Why should it become crancky,in the 4-8 pm period in the under 2-3 yr age group?When the child wakes up in the morning the alpha weaves are more in the electro encepalographic weave pattern(E E G) when it sleeps at night(complete unconciusness),theta weaves are predominent(the above facts are established )The developement of these are due to flow of electricity; it takes its own time as per maturity of the brain tissue,;it comes to a fair degree of satisfaction at age 2.The developement ,transformation&predominence of THEETA weaves usually takes place
usually around after 4-8 PM So the 4-8 pm time is the most vulnerably disturbed time&;hence the restlessness,cry inability to put to sleepy mood.This hypothesis can be confirmed or dismissed only if serial EEG is takenfrom 6AMto 8 PM IN A SIZABLE NUMBER OF CASES&RETROSPECTIVE analysis made.Many mothers put the babies to sleep in a swing &put the child in motion in order to make them sleep.This effect is reflected in the possible,coinsiding production of theeta weaves in EEG making them to sleep.
ONE MORE POINT WORTH MENTIONING IS THAT THE CHILDREN WHILE CRYINGsqueeze their eye balls& skull,above motor cortex of the brain accompanied by notable behavioural changes.It is sensible to postulate that the child is making a vain attempt "to squeeze the brain tissues" when in confusion,asthe electrical activities are disturbed.Afterall eyes are nothing butpart of brain tissue(window of the brain)Yawning,drooping of eye lids&a mild generalised hypotonia all point towards want of sleep

GENERAL DISCUSSTION:
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There is an array of differential diagnosis when a child cries.Many parents do not know that their babies will become fussy & restless now &then&mostly during 4-8 pm (pre sleeping hours)
is normal.Sothey always think that there is an abdominal colic&go running after gripe water!(because they were told that gripe water was given from the time of their great grand parents.Some people speak of SHACKEN BABY SYNDROME IF THE CHILD IS PUT ON SWINGS.In a moving car a crying or non crying child often sleepsIt shows that motion has a direct influence on the electrical activity of the motor cortex of the brain.Babies often sleep only for 30-to 60 mts,usually after afeed,when there is a slight post prandial increase in blood sugar level From 10 pm to 5 am it may wake up once or twice for feeds sake.A crying child is like a patient who will try the patience of the care giver who needs an enormous amount of forbearence.It will be out of place to discuss the various EEG abnormalities as this is not meant for doctors.Enough if the reader knows what &where is the problem SO the inability to sleep
is due to an electrical disturbance inthe brain tissue where there is constant transmission of impulses all 24 hrs.
SHAKEN BABY SYNDROME; It is a form of child abuse.Non accidental brain haemorrhage.Retinal haemorrhage(leads to blindness)These three constitute the problem.When child cries inconsolably the frustrated (psychopath)care giver looses emotional balance.Permanent brain damage, or death occurs..Symptoms:-1)irritability 2)behavioural change.3)Lithargy, sleepiness,not smiling.4)poorfeeding.5)loss of conciousness 5)vomiting 6)convulsions,7)not breathing,Many SBS victims may be undignosed vaccine inducsed encephalopathy.All vacines can produce throbocytopenia(low platlet count) causing brain haemrrhage.,most notably,Hep.B,Hib,chicken pox,MMR.Many parents have been wrongly punished &;imprisoned(in USA) for causing SBS WHEN THE CHILD UNDRGONE RECENT VACCINATION JUST PRIOR TO CLINICAL PROBLEM.This does not result from gentle swinging,uniform,whole body not involving head alone ,like shacking a coconut!.
ADVISE TO PARENTS/CREACH OWNERS/ BABY SITTERS /NANIES.
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WHEN a child CRIES AT 4-8 PM,rule out all possible common causes&;rectify.You may try all your trump cards at your hands,like singing a lul-a-by,or a soft radio music or a colourful toy which makes sound & movements.There are two donts:!)Never give a sedative 2)Never loose your temper &shake the baby's head vigorously.SOME BABIES SLEEP WHEN SWADLLED.,SOME IF AKERCHIEF IS GIVEN IN HAND.However the best would be to to embrace child in standing position(head on one side of your chest &legs on contralateral side of your abdomen)(please see photograph below). Then give a gentle rocking spiralling movement to and fro.99% babies would go to sleep. Our time tested remedy (yenai)(tamil)meaning swing is still the best remedy&there will be no shaken baby syndrome resulting .Next best is put the cuild in a car &drive. child will sleep in motion within 5-10 mts.If still the child cries drive the car to a doctor's clinic.Summery:When a child under 2 makes hyperkinetic cry the mother often looses temper.I t may be harmless in 99% cases,but should not forget hidden danger in 1% case. unless rulled out all possible cause.If one knows all the tricks of the trade child can allways be made to sleep if mother has developd a keen observation power which are specific in each child.All diferencial diagnosis discussed.Possible changes in electro encephalographic pattern ,postulated to be the cause.Dysrythmic electrical impulss causing a traffic JAM inside brain is most probable.CONCLUSION:pARENTS need not become panicky if child cries violently at 4-8 pm in the under age 2.Likefebrile fits the age & time factor is variable.Thereis no water tight compartmentment in medical matters.In the developing brain the nerve transmission of impulses takes time to settle down for full developementof condition reflexes as per individual variation enough to produce theeta activity in EEG,where child goes in to a good sleep mode.





Sunday, November 25, 2007

NEWBORN SCREENING TEST:

N E W B O R N --S C R E E N I N G ----T E S T S .

Introduction:
Is it a must?. There are eight important bood biochemical&electrophoretic teststhat are recomended by scientists to detectearly abnormality if any.
They areas follows:
1)Congenital hypothyroidism.
2)Galectocaemia,
3)Haemoglobinopathies
4)Phenylketonuria
5)BIOTINIDASE deficiency.
6)Congenital adrenal hyperplasia
7)cystic fibrosis
8)Maplesyrup urine disease.

The most important of all the test is the first one. T3 T4 TSH.Thyroxine is a hormone essential for all round growth &developementespesially the brain.Baby born with thyroid deficiency, will suffer from mental redardation permanently if not recognised early &treated.Treatment of all eight defects if detected is life long.A 2 Yr old with hypothyroidism will suffer from severe brain damage as the brain developement is fastest at age 2.Further developement is based on the foundations only.Even if this child is treated at age 2 till age 5 the brain developement of the 5 Yr.old will be that of 3 yr old normal childONLY.It can not catch up &will be 2-3 yrs behind allways in academic performance.

2)G A L E C T O C A E M I A:
Breast milk contains galactose(sugar)THIS CAN NOT BE SPLIT &DIGESTED by those who have no enzyme galectAse SO THERE IS unsplit galectose circulating in the blood causing a diarrheal disoder(sugar intolerance) ALL other biochemical disorders will cause all round defective growth &developement,physical motor, & mental milestones in the unfortunate children. Any question & further details can be had through my E mail Id

C E R T A I N--D O S--& D O N T S.I N I N F A N C Y:
1)Never give a purgative-including native drugs
2)DONT make anal dilatations if child does not pass (poop)FOR one day.
3)Dont yield to superstitious habits.
4)Modern medicine treatment is essential for all suspected pox lesions(fever+rash+skineruptions)
5)when child developes diarrhoea,stop all milks sweets,electrolytes.consult doctor.
6)dont resort to self medication for baby's fever.Give tepid sponging continuously &consult doctor telephonically.
7)Avoid multiple immunisations on same day even if recomended by doctor.
8)Beware of malaria at all age groups in india.Try all anti mosquito prophylaxis(remember a mosqiuto bite can cause 50,differant type of fevers--diseases!
9)Dont use seekaikai powder(soap nut powder)for scalp wash even for adults as it is the most powerful respiratoryALLERGEN&can cause severe asthma. (common practice in India)
10)NEVER FEED when baby is in lying position.(aspiration chances more)
11)measure head circumferance periodicallyupto age 5.
12)vision for refractive error&hearing test,necessary to all school children at periodic interval or if their academic performance falls below average in the class.
13)Road to health chart to be maintained in order to detect obesity earlier.(there is no more under nutrition nowadays)
14)Hare lip cleft palate babies not to be operated at birth.
15)congenital talepes equinovarus(club foot)can be treated withoutsurgery,if strapping/pop done in the neonatal stage (first week)itself.
16)Minimum polio drops requirement at age one--8doses


WHAT are the immediate health problems a new born baby may be exposed?

Medical :

jaundice.MAJORITY DUE TOphysiological if it is after day 3.or due to blood group incompatibility(Rh negative mother&Rh positive babyif it is within 24 hrs after birth.
2)Anaemia .Occurs due to any cause that destroys R B CS or due to maternal or foetal blood loss.
3)Fits.Usually neonatal tetanus.Other cause like intracranial haemorrhage,or metabolic disorders& infection.
4)Meconium ileus syndrome.Can be managed medically&sometimes surgically.There is severe obstruction due to jamming of gum like meconium inside the bowels. child may maynot pass meconium+vomiting


5)Not passing urine stools in the first 24-48 hrs.


6)Anorectal anamaly. If there is no anus surgery is the treatment of choice,after x-ray in the judgement of solomen's position(upside down)
7)Bleeding tendency.skin,/nose/gum/lungs/other sites,due to coagulation defect (FACTOR
defficiency/platlets defficiency.
8)Breast engorgement:Can occur inboth sexes,duetomaternal estrogen circulaating in neonate's
blood.Village vaidhyas&grand p arents usually squeeze it &take the "milk" out of it.There were many instances of development of septicaemias& deathdue to this practice.
9)beedding P. V .--DUE TO maternal estrogen circulation.Treatment:Leave it alone.
10)congenital heart disease. cyanotic (blue baby) Needs surgery.Acyanotics also needsurgery
often.mortality &morbidity high.Parental management is diffcult.


NEONATAL SURGICAL PROBLEMS.
1)HARE-LIP,CLEFT PALATE-maxillo facial/plasticsurgery.
tracheo esophagial fistula
3)ddiaphramatic hernia.
4congenital hypertrophic pyloric stenosis
5)Meconium ileus syndrome.
6)anorectal anamaly
7)spinbifida--Meningo-myelocele
8)Ventriculo peritonealshunt surgeryfor hydro cephalus.

Saturday, November 24, 2007

CHILD RAISING ADVICES OFFERED BY ME

Following child raising advices given to parents exclusivelyduring special clinics(2-4PM) 1)Infant feeding.2)SUCESSFUL PARENTING.3)All immunisation procedures.4)How to make the child to sleep.5)When to refer a case to doctor.6)what is a medical emergency?.7)How toimprove intellectual performance.8)How to detect deficiency in special senses.9)what are the routine blood check ups,in a normal child.10)How to bring a mentally retareded child.11)HOW TO IMPROVE ACADEMIC PERFORMANCE &SCORE MORE MARKS.12)hOW TO MAKE CHILDREN GET RID OF SCHOOL FEAR?13)How to correct childrens loss of memory.14)How to to enforce decipline in children.

Monday, November 19, 2007

How to Avoid the Evils of Trans Fats


Beware trans fats! If you've heard the warning but aren't sure what you're supposed to do about it, here are answers:

What are trans fats?

Trans fats are unsaturated fatty acids that have been transformed to a more saturated state through a process called hydrogenation. Manufacturers add hydrogen molecules to the unsaturated fatty acids in liquid vegetable oils to make the oil more solid and increase the shelf life of certain foods.

Why all the fuss?

Trans fat acts much like saturated fat in the body – maybe worse. Studies have shown that consuming trans fat:

  • Increases LDL-cholesterol – that's the bad type of cholesterol that causes plaque deposits in the arteries and ultimately increases risk of cardiovascular disease. Trans fat consumption also reduces the particle size of the LDL molecules, making them more damaging to the arteries.
  • Decreases HDL-cholesterol – that's the good type of cholesterol.
  • Promotes the inflammatory response – this is an overstimulation of the immune system that has been implicated in heart disease, stroke, diabetes, and other chronic conditions.
  • May increase risk of diabetes - there is scientific evidence which suggests that trans fat consumption can lead to insulin resistance and ultimately increase your risk of developing type-2 diabetes.

How much trans fat is too much?

From a nutritional standpoint, trans fats provide no apparent benefit and can be potentially harmful. The American Heart Association recommends that trans fat consumption be less than 1% of total daily calories (about 2 grams a day if based on a 2000 calorie per day diet), but optimally trans fats should be completely avoided.

3 tips to knock toxic trans fat out of your life:

  1. Read nutrition labels and stick to products that say they have zero grams of trans fat. Then check the ingredients; if you notice "partially hydrogenated oil" listed, put the product back on the shelf. These products may have up to .5 grams (FDA allows a product to say zero grams if it contains .5 or less). If you must buy a product with hydrogenated oil, be extra careful to only eat one serving – eat multiple portions and you're consuming more trans fat.
  1. Use olive or canola oil when cooking at home rather than stick margarine.
  1. When dining out, avoid fried foods.

Sunday, November 18, 2007

Servicers Offered:


  1. Medical consultaion for children at my clinic at Koyemded, Chennai. (For contact information pls refer to my profile)

  2. 24 hour service available for pre-registered families

  3. Immunization for children and adults

  4. Special shots(vaccinations) for precious babies.

  5. General medicine consultation for adults.

  6. Special advice on diet for high B.P, Diabetes, heart ailments and obesity

  7. All investigation facilities like blood , E.C.G, C.T Scan, USG Abdomen at lightening speed.

  8. Health insurance scheme facilities.

  9. In-house visit available.

  10. Photograps of rare and interesting cases treated and cured by me.

  11. Special experience in newborn babies and low birth weight babies.

  12. Many child raising advices given like :


All About Myself---1



DR.P.SELVARAJ

E-MAIL I D. drselvarajp@yahoo.com    (phone9841354335)

MBBS-1965,

DCH-1972,

MD(PEDIATRICS)1975.

FRSH.(London)1979.

Childhood Achievements:
  1. First prize - all india level drawing competition for under 12 year old children. Signed by president of india Dr.Rajendra Prasad, 1951.
  2. Proficient in ring tennis champ; athelitics district level junior champion over 20 winner certificates.
  3. English oratorical contest - firstprize while in fourth form, for the students of IV, V, VI forms.
  4. First prize - Tamil manavar mandram exam.
  5. Madras Medical College - Volleyball team captain, and Madras University Player.
  6. Boy Scout in school& sreved as security to Mr Jawaharlal nehru; NNC cadet in Madras Medical College(Earned C Certificate).


PROFESSIONAL EXPERIANCE.

IndianARMY-6yrs.civil service-10yrs.MALAYSIAN MEDICALSERVICE(Professor)3yrs

PRIVATE-23 YRS--Total-42years.Served in major 600bed hospitals(CSIHOSPITAL)

VIJAYA,M I O T HOSPITALS AS Headof the department.Contributed over 30 articles in

medical literature.



Titles of some of my papers published.



1)Congenital malaria in twins

2)meningoencephalomeyelocele

3)Asphyxiating thoracic dystrophy with polydactyly syndrome.

4)Nursery epidemics-newconcept in prophylactic management.

5)Tetanus Neonatorum-unusual presentation

6)Bulbar polio myelitis

7)Agressive rehydration,in very severe dehydration over 20% with double venesection

(sucessfully treated 20 cases conecutively)

8)NEW MANAGEMENT OF LBW BABIES IN NON ICU SETUP.

9)Neonatal resussitation 100% sucess -New approach.,in severely ill patients in a district hospital set up.

10)use of beclamethasone inhaler in neonates.

12)blood transfusion in suspected septicaemia

13)Immunisation -comments on todays practice(vaccine induced encephalopathies)

14)POISONOUS SNAKE BITES management with new concept.

15)Rabies-identification early ;prophylaxis.

16)rabies presented as status asthmaticus.

17)MECONIUM ILEUS SYNDROME-decieving presentation

18)NEWborn-examination for beginers.

19)NEONATAL sugar intolerance.

20)ORS in pediatrics(inter national journal of medicicinetoday)2oo7

21)cranial cysticercosis in peadiatrics.

22)'Osgood Shlatter' disease

23)'4 to 8 PM Syndrome'OR Sleep disturbed baby syndome in peadiatrics (Under publication).



Special Government Training courses attended :(G.H. Chennai)

1. Blood transfusion (King institue guindy chennai).

2.Family planning operations

Passed account test for executive officers.(govt.exam)

Pariticipation in conferences :

1.Indian Academy of Pediatrics conference ; won awards

2.Various symposia debates conferences held by Indian medical Association

3.Atrial septal operation for cardio myopathy (only one &; world's first of its kind , conducted on MR.Murasoli Maran Minister, Central Govt India at Appollo hospital Chennai.)

4.Ultra sonology training course conducted by IMA, CMC Vellore.

5.Delivered lectures to doctors through indian medical association.
6)PROFESOR OF PEDIATRICS-SRM UNIVERSITY-3YRS
7)SERVICES offered by me in private hospitals

a)all pediatric cases-with special interest in new born babies
b)well versed in neonatal fesussitation technique-can garenty100% successfulrevival of newborn
at delivery room
c)can give self modified treatment  for dying or almost dying cases(thogh it is self devised-it is theoritically acceptable,when there is no other better choice available)
d)second medical openion when thereis doubt about the first diagnosis