Sunday, March 26, 2017
Sunday, January 29, 2017
ABORTION
Abortion is expultion of products of conception It is induced if a doctor does it.It is spontaneus when it occurs on its own, due to factors such as hormonal imbalance chromosomal anamaly,herditary knowingly /unknowingly drug induced.Whatever be the cause a woman must wait for atleast 2-3 yrs before going for next pregnancy..Even then if abortion continues,husband's seminal analysis to be done,since certain viruses such as chicken pox,meascle mumps,ruballa can cause anatomica&physiological deficiency causing testicular disfuntion.This is one of reasons why children are given vaccination ,for above diseases.Children born out of such parents may suffer from various degrees of intellectual dysfuntion.An experienced doctor's consultation before pregnancy is essential to avoid such life threatening problems.If a child is born with mental retardation parents will be worried for the rest of their life,&this can be avoided.
Thursday, January 19, 2017
some health tips for all
milk bottle carries /nursing bottle caries.
__________________________________________
dental decay occures in children below 3 years of age. it is said to be due to a bacteria called streptococcus mutans&lack of flurides.
(ref-NELSON'S TEXT BOOK)Auther's concept:a)lack of vitamin D.b) .lack of calcium &lack of flurides in the pregnant mother.many mothers
during their antinatal period do not take these tablets because they think that this will lead to heave baby
causing difficulty in labour.so this difficiency leadsto carries in the toddlers.
2)Vit A difficiency can lead to early myopia in children.Better to give Vit A to all children it is auther's observation that Vit A,high, or low it may cause FILMSTAR EYE LASHES iF MALNUTRITION ASSOSIATED better to give injection vit a 6 lacs intramuscularly--onedoe only
3)pruritis ani:-Somepeople keep scratching the anus thinking that it is due to worms.the wont take anti worm treatment either.but it is due to
use of green chillies dailya)fish/dry fishwith lot of spice (chillies+puli)b)bad hygien of anal region c)constipation. If all are present daily --this will lead to a)ulceration(cause for itching)b)anal fistila(this will need only surgical treatment)Treatment:-1)avoid spicy food 2)dont use green chillies chillipowder for rice/iddly,avoid chutny with green chillies 3)dont use lime juice/citrous fruits daily,pickles are specially dangerous.3)Taking tablets for head ache specially the taechers using after the school hours from medical store 4)Elderly people drugs daily for
many of their chronic illness such as 1.heart disease 2)lung disease. 3)high blood pressure.4)diabetes mellitus.These people should take cap.OMEE daily for 3-6 months in empty stomach in the morning,since they are sure to develope peptic ulcer symptoms soon.
cigerettes:-how it causes heart attack..Hot cigerette smoke enter into wind pipe into lungs,touches heart's main arterial blood supply.they are on the surface of the heaaaart(coronary artries.repeated such insults lead to increased blood clotting tendency..blood contains RBC,WBC,&PLATLETS..nOW THE PLATLETS START EMBRACING ONE ANOTHER THAT THEY FORM A LUMP CALLED A CLOT.this clot obstructs the blood flow,as per situation in one, two, three blood vessls.This is called a heart attack.This can cause immediate or few hours latter---death.
DIABETES MELLITUS:-.once diabetes is diagnosed almost all people will develope ,peripheral cutaneus nerve(skin),causing numbness loss of sensation(causing foot ulcers itching sense on soles visual,&kidney problems---Allhappens only in uncontrolled diabetes.
leechi fruit:-This contains two chemical substanses,which are toxic to children below 5 years of age,mimicking brain infection like status.fits ,unconsciousness may follow.Only symptomatic treatment is available.Best is stop eating this fruit.
Drug purchase over counter.There are many drugs names of which may be similar ,but the spelling\&action may be differentMany chemist shop dont have qualified pharmacists.The shop owner will look after the drug inspecter
Deworming ,ONCE IN 6 MONTHS FOR ENTIRE FAMILY ,IS SCIENTIFICALLY RECOMMENDED.
QUESTIONS IF ANY;-contact---98 41 35 43 35.
./
Tuesday, June 21, 2016
GENETIC ROOTS OF DR.PSELVARAJ(MYSELF)
KNOWN FIRST GENERATION.
mr.vedichettiar.F.A.(born around 1870),served as proof reader THE HINDU-1920-1925.married angamuthammal&yielded 3 sons &daughters
.one of the daughter was music teacher in govt.school.thir eldest son was natanasababathy guptha.B.A.(HONS) ENG.LIT.,BL.
(DISTRICT MAGISTRATE)1926
SECOND GENERATION.
Next son -Parthasarathy Guptha.FA was sub register of co-operative society. An exponent in English language.one who swallowed wren and martin grammar wife name was Vedavalliammal excellent cook a good native doctor she bore nine children first Balaraj matriculate. forest officer.2. George died in infancy. 3. Sarojini doctor. educated me up to MBBBS. 4 5 6 all three boys died in infancy. 7.Darling MA Med head mistress govt.school retired. 8.Dr.p.Selvaraj MD,DCH,FRSH London myself)
THIRD GENERATION
Selvaraj married premalatha excellent cook lovers of arts in any farm good in colam drawing computer literature as good mannerism and dress scene we have three children.
FOURTH GENERATION
1.Senthil selvaraj, Cardio Vascular Sonologist USA. Married bhuvaneshwari jeganathan graduate nurse singapore.there first daughters name is Srilatha .
2.Raj kumar Selvaraj,BE MS(Bits pilani)software architect California US. He married priyadarshini BHSC now teacheer in US. They are gifted with one son Arjun and daughter Sahana. all are US citizens.
3. Abirami selvaraj,BSC (CSE)MCA,MS(CSE)USA. Also citizens of US.they have one son Aran musically talented and two daughters twins radha and lalitha.
the end
Thursday, May 5, 2016
EFFECTIVE PARENTING--2
29)THERE IS CONSIDERABLE CHANGE OF CHARECTER &BEHAVIOUR AT AGE 15-18 IN GIRLS &16-20 IN BOYS THIS IS DUE TO PLAY OF HORMONES.OESTROGEN IS FEMALE HORMONE &TESTOSTERONE IS MALE HORMONE,MEANT FOR SEXUAL REPRODUCTION TO CONTINUE THE PRIGENY FOR NEXT GENERATION.ALL SEX RELATED BEHAVIOUR &MISBEHAVIOUR ARE RELATED TO HORMONAL PLAY.THIS IS THE AGE WHEN ADAM & EVE,WANT TO KNOW /EXPERIENCE,THE TASTE OF APPLE.IF THERE IS GOOD PARENTAL CONTROLE,CHILDREN DONT GET INTO THIS COMLICATED SEX NET.ONCE THEY GET INTO THE NET MAJORITY OF THEM ARE LIKE FISHES INSDE THE NET &THEIR FATE MAY CHANGE CONSIDERABLY ABNORMAL.FALLING IN LOVE ELOPING WITH OPPOSITE SEX ARE COMMON.SO IT IS IMPERATIVE THAT CHILDREN ARE TAUGHT APPROPRIATELY AT THIS AGE BY PARENTS,/COUNCILLORS/DOCTORS/PSYCHOLOGISTS.THERE IS NOTHING THAT ADOLESCENTS SHOULD NOT KNOW.
30)THERE ARE PLENTY OF RELIGION ORIENTED MORAL STORIES IN ALL RELIGIONS.THEY ARE AVAILABLE AS BOOKS, CDS.CHILDREN SHOULD BE EXPOSED TO ALLSUCH STORIES SO THAT THEY BECOME A MORALLY STRONG INDIVIDUALS,&THEY CAN FACE THE SOCIETY WITH GREAT CONFIDENCE
31)BEATING SCOLDING CHILDREN WITH VULGAR WORDS,CAN NOT YIED GOOD RESULTS.THIS GENERATION CHILDREN ARE TOTALLY DIFFERENT,&UNLESS THEY ARE HANDLED WITH GREAT CARE,THEY WILL MISBEHAVE WITH PARENTS,ENDING UP WITH TOTAL FAMILY DISHARMONY.IF PARENTS ARE UNABLE TO CONTROLE CHILDREN,THERE ARE MANY SENIOR CITIZENS DOCTORS PSYCHOLOGISTS COUNCILLORS,WHO CAN FIND SOLUTION TO ALL CHILDRENS PROBLEMS
32)PARENTS SHOULD NOT THINK THAT THEY ARE THE ULTIMATE JUDGES FOR ALL PROBLEMS
33)SHOWING TOO MUCH LOVE &AFFECTION IS NOT GOOD THEY SHOULD ALLWAYS HAVE SENSE OF FEAR TOWARDS PARENTS BUT THEY SHOULD BE GIVEN ENOUGH FREEDOM TO EXPRESS THEIR MIND THEY SHOULD CONSIDER PARENTS AS THEIR BEST &FIRST FRIEND.TO THAT EXTANT PARENTS SHOULD CULTIVATE LOVE &AFFECTION DEVELOPEMENT,LIKE A SMALL PLANT GROWING GRADUALLY
PARENTS CAN EVEN HAVE A STICK ,NOT TO STRICK BUT TO TERRORISE,IN CASE OF MISBEVIOUR UNCONTROLLABLE
IF OBEDIENCE &DDESCIPLINE ARE ABSCENT IN A CHILD THAT CHILD CAN NOT BE BROUGHT UP AS A NORMAL CHILD.BUT SOLUTIONS ARE AVAILABLE WITH PSYCHIATRISTS.
FOR ANY CLARIFICATION CONTACT;--98 41 35 43 35.
30)THERE ARE PLENTY OF RELIGION ORIENTED MORAL STORIES IN ALL RELIGIONS.THEY ARE AVAILABLE AS BOOKS, CDS.CHILDREN SHOULD BE EXPOSED TO ALLSUCH STORIES SO THAT THEY BECOME A MORALLY STRONG INDIVIDUALS,&THEY CAN FACE THE SOCIETY WITH GREAT CONFIDENCE
31)BEATING SCOLDING CHILDREN WITH VULGAR WORDS,CAN NOT YIED GOOD RESULTS.THIS GENERATION CHILDREN ARE TOTALLY DIFFERENT,&UNLESS THEY ARE HANDLED WITH GREAT CARE,THEY WILL MISBEHAVE WITH PARENTS,ENDING UP WITH TOTAL FAMILY DISHARMONY.IF PARENTS ARE UNABLE TO CONTROLE CHILDREN,THERE ARE MANY SENIOR CITIZENS DOCTORS PSYCHOLOGISTS COUNCILLORS,WHO CAN FIND SOLUTION TO ALL CHILDRENS PROBLEMS
32)PARENTS SHOULD NOT THINK THAT THEY ARE THE ULTIMATE JUDGES FOR ALL PROBLEMS
33)SHOWING TOO MUCH LOVE &AFFECTION IS NOT GOOD THEY SHOULD ALLWAYS HAVE SENSE OF FEAR TOWARDS PARENTS BUT THEY SHOULD BE GIVEN ENOUGH FREEDOM TO EXPRESS THEIR MIND THEY SHOULD CONSIDER PARENTS AS THEIR BEST &FIRST FRIEND.TO THAT EXTANT PARENTS SHOULD CULTIVATE LOVE &AFFECTION DEVELOPEMENT,LIKE A SMALL PLANT GROWING GRADUALLY
PARENTS CAN EVEN HAVE A STICK ,NOT TO STRICK BUT TO TERRORISE,IN CASE OF MISBEVIOUR UNCONTROLLABLE
IF OBEDIENCE &DDESCIPLINE ARE ABSCENT IN A CHILD THAT CHILD CAN NOT BE BROUGHT UP AS A NORMAL CHILD.BUT SOLUTIONS ARE AVAILABLE WITH PSYCHIATRISTS.
FOR ANY CLARIFICATION CONTACT;--98 41 35 43 35.
Friday, April 29, 2016
EFFECTIVE PARENTING
INTRODUCTION : MANY OF US THINK THE CHILD WILL GROW ON ITS OWN.THE INTELLECTUAL GROWTH DEPENDS ON VARIOUS FACTORS SUCH AS. 1. PARENTAL GENES
2. ENVIRONMENTAL STIMULATION ( PLEASE SEE WOLF RAMAN STORY IN SOME OTHER PAGE CONNECTED WITH INTELLIGENCE.
3. NUTRITIOUS DIET .
4. PATERNAL\ MATERNAL INFLUENZ& TEACHINGS.
5. SCHOOL TEACHERS GUIDE LINES.
6. CHILDRENS OWN INTEREST IN STUDY,DRAWING EXTRA CURRICULAR ACTIVITIES.
7. NORMAL BLOOD THYROID HORMONE AND MANY MORE.
FLLOWING IS THE LIST OF POINTS PARENTS TO REMEMBER TO BRING UP THE CHILDREN INTHE RIGHTY WAY THERE BY, ALL PARENTS BECOME GOOD,BUTTER,AND BEST PARENTS.
1. AFFCETIONATE BEHAVIOUR ( KISS THE CHILD ON RETURN FROM OFFICE)
2. MORE AFFCETIONATE -- HUG THE CHILD ATLEAST ONCE ON RETURN FROM OFFICE.
3. STILL MORE AFFCETIONATE - GIVE THE CHILD WHAT THE LIKES MAST. SWEETS\FRUTIS\TOYS.ATLEAST ONCE A WEEK.
4. PLAY IN THE CHILD (HIDEN SEEK ATLEAST ONCE A WEEK.
5. TAKE HIM TO RESTAURANT ONCE A WEEK.
6. BUY HIM ICE CREAM\MILK SHAKE ATLEAST ONCE A WEEK.
7. KEEP PAPER& COLAR PENCIL READY INTHE CAR,SO HE CAN START DRAWING \ COLOURING WHEN CAR STOPS IN A PEACE.
8. MAKE A SWING IN THE HOUSE,SO YOU CAN SWING HIM ACCATIONALLY.
9)TELL HIM A STORY ONCE A WEEK (YOU HAVE TO LEARN FROM THE NET, SPECIALLY ANIMAL RELATED).
10) YOU CAN GIVE A SMALL MENTAL MATHAMATICS &IF HE IS RIGHT REWARD HIM WITH A TOKEN-IF HE COLLECTS 10 TOKENS BUY HIM A NEW SHOES.
11)FROM TODDLER TO HIGHER AGE,GIVE HIM SENSE OF SECURITY ,BY VARIOUS MEANS-GIVE REAL LIFE EXAMPLES
12)AS CHILD GROWS UP HE SHOULD KNOW BOTH FATHER &MOTHER WILL COME TO HIS RESCUE AT TIMES OF CRISIS.
MUST TELL CHILDREN A MORAL STORY RELATED TO WORLD SITUATION &HOW TO HANDLE DIFFICULT SITUATION
OWN EG-HOW A DOG SELLER CHEATED ELITE SOCEITY.
13)IMPRESS UPON YOUR CHILD THAT IF SOME BODY ASKS FOR MONEY IT IS ONLY TO CHEAT &NOT FOR REAL NEED
a)physiolgy professor,relative 3 lacs rupees cheating.
14)female children to avoid gold jewellary in the absence of security
15)teach children about sex abuse--male/female
16)THERE IS NO BETTER GOD THAN MOTHER,THERE IS NO BETTER MAGIC FORMULA THAN FATHER'S WORDS
17)BEATING CHILD AT ANY AGE IS NOT GOOD.BUT THREATENINIG SHOULD BE DONE
18)INCULCATE DESCIPLINE FROM CHILDHOOD(THAT WHICH CAN NOT BE BENT AT AGE 5 CANNOT BE BENT EVEN AT AGE 50
19)LE HA HAVE FT OVERPORTION IN THE SYLLABUS SHOULD BE TAUGHT BY PARENTS.THAT WILL BE EVIDENT ONLY ON SCRUTINY.
20)PARENTS BEHAVIUR SHOULD BE FRIENDLY.THEN ONLY THEY WILL HAVE CONFIDENCE.ENTS
21)PARENTS MUST SUPERVISE CHILDREN WHETHER THEY HAVE CHSEN GOOD FRIENDS.THERE ARE GIRLS WHO ENTER INTO UNHEALTHY PRACTCES.THERE ARE BOYS WHO USE ALCOHOL,DRUGS ETC ETC
22)STRAIGHTFORWARDNESS TO BE TAUGHT FROM CHILD HOOD
23)PATRIOTISM SHOULD BE TAUGHT REPEATEDLYT
24)story of martyers who gave their lives tofree motherland frequently.ask them to tell the story repeatedly at home &if necessary in the school.stories of king veerapandia kattabomman VOC RANI JANSI BAI,JALIANWALABAG MASACRE GENERAL DIER, VANJINATHAN WHO SHOT COLLECTOR,KING HARICHANDRAS STORY.
25)TAKE PHOTOS IN AFFECTIONATE POSES SO THAT IT WILL SPEACK STORRIES AFTER 30 YEARS!
26)TEACH HIM WHAT IS GOOD/BAD TOUCH AT AGE 3--7 YEARS. LIFTING AT AGE 3--7
27)TEACH HIM ABOUT ILL EFFECTS OF SMOKING, DRINKING AT AGE 16--18.
28)TEACH HIM ABOUT KIDNAPPING/CHILD AT AGE 3--7
29)TEACH HIM ABOUT DRUG ADDICTION & ITS ILL EFFECTS.IMPRESS THAT LIFE WILL BE LOST FOR EVER.THIS IS DONE AROUND 17--20 YEARS
30)TEACH HIM ABOUT WHAT IS PROSTITUTION TO MALE/FEMALE CHILDREN, &HOW IT IS BEING DONE IN SOCIETY &WHAT ARE THE DELETERIOUS EFFECTS SPECIALLY AIDS--THE KILLER DISEASE,ATAGE 16--20.METHOD OF TEACHING DIFFERS FROM BOYS &GIRLS.
31)THIRUKURAL MUST BE LEARNT FROM AGE 10--18&EVEN LATTER.ARATHUPAL &PORUTPAL ONLY.LEAVS AS PER AE KAMATHUPAL TO HIS INTREST AFTER 25.NOTHING SHOULD BE HIDDEN FRM CHILDREN.ALL EXPLANATION DIFFERS ASPER AGE FOR A SAME QUESTION.THIS WILL MAKE HIM A MORALLY STRONG MAN.EVEN THE HIGH COURT OF MADRAS GAVE DIRECTION TO EDUCATION DEPARTMENT THAT THIRUKKURAL MUST BE ADDED IN THE SYLLABUS.BOT THE EDUCATION DEPARTMENT REFUSED ON THE PLEA THAT THERE WILL BE OVERLOADING OF SYLLABUS!!!!
will this country progress????
29)
16)THERE IS NO BETTER TEMPLE THAN MOTHER,THERE IS NO BETTER MAGIC FORMULA THAN FATHER'S WORDS.
(TELL CHEMISTRY TEACHERS STORY, SO CHILD WILL DEVELOPE SENSE OF CONFIDENCE &MORE AFFECTION TOWARDS PARENTS
17)
2. ENVIRONMENTAL STIMULATION ( PLEASE SEE WOLF RAMAN STORY IN SOME OTHER PAGE CONNECTED WITH INTELLIGENCE.
3. NUTRITIOUS DIET .
4. PATERNAL\ MATERNAL INFLUENZ& TEACHINGS.
5. SCHOOL TEACHERS GUIDE LINES.
6. CHILDRENS OWN INTEREST IN STUDY,DRAWING EXTRA CURRICULAR ACTIVITIES.
7. NORMAL BLOOD THYROID HORMONE AND MANY MORE.
FLLOWING IS THE LIST OF POINTS PARENTS TO REMEMBER TO BRING UP THE CHILDREN INTHE RIGHTY WAY THERE BY, ALL PARENTS BECOME GOOD,BUTTER,AND BEST PARENTS.
1. AFFCETIONATE BEHAVIOUR ( KISS THE CHILD ON RETURN FROM OFFICE)
2. MORE AFFCETIONATE -- HUG THE CHILD ATLEAST ONCE ON RETURN FROM OFFICE.
3. STILL MORE AFFCETIONATE - GIVE THE CHILD WHAT THE LIKES MAST. SWEETS\FRUTIS\TOYS.ATLEAST ONCE A WEEK.
4. PLAY IN THE CHILD (HIDEN SEEK ATLEAST ONCE A WEEK.
5. TAKE HIM TO RESTAURANT ONCE A WEEK.
6. BUY HIM ICE CREAM\MILK SHAKE ATLEAST ONCE A WEEK.
7. KEEP PAPER& COLAR PENCIL READY INTHE CAR,SO HE CAN START DRAWING \ COLOURING WHEN CAR STOPS IN A PEACE.
8. MAKE A SWING IN THE HOUSE,SO YOU CAN SWING HIM ACCATIONALLY.
9)TELL HIM A STORY ONCE A WEEK (YOU HAVE TO LEARN FROM THE NET, SPECIALLY ANIMAL RELATED).
10) YOU CAN GIVE A SMALL MENTAL MATHAMATICS &IF HE IS RIGHT REWARD HIM WITH A TOKEN-IF HE COLLECTS 10 TOKENS BUY HIM A NEW SHOES.
11)FROM TODDLER TO HIGHER AGE,GIVE HIM SENSE OF SECURITY ,BY VARIOUS MEANS-GIVE REAL LIFE EXAMPLES
12)AS CHILD GROWS UP HE SHOULD KNOW BOTH FATHER &MOTHER WILL COME TO HIS RESCUE AT TIMES OF CRISIS.
MUST TELL CHILDREN A MORAL STORY RELATED TO WORLD SITUATION &HOW TO HANDLE DIFFICULT SITUATION
OWN EG-HOW A DOG SELLER CHEATED ELITE SOCEITY.
13)IMPRESS UPON YOUR CHILD THAT IF SOME BODY ASKS FOR MONEY IT IS ONLY TO CHEAT &NOT FOR REAL NEED
a)physiolgy professor,relative 3 lacs rupees cheating.
14)female children to avoid gold jewellary in the absence of security
15)teach children about sex abuse--male/female
16)THERE IS NO BETTER GOD THAN MOTHER,THERE IS NO BETTER MAGIC FORMULA THAN FATHER'S WORDS
17)BEATING CHILD AT ANY AGE IS NOT GOOD.BUT THREATENINIG SHOULD BE DONE
18)INCULCATE DESCIPLINE FROM CHILDHOOD(THAT WHICH CAN NOT BE BENT AT AGE 5 CANNOT BE BENT EVEN AT AGE 50
19)LE HA HAVE FT OVERPORTION IN THE SYLLABUS SHOULD BE TAUGHT BY PARENTS.THAT WILL BE EVIDENT ONLY ON SCRUTINY.
20)PARENTS BEHAVIUR SHOULD BE FRIENDLY.THEN ONLY THEY WILL HAVE CONFIDENCE.ENTS
21)PARENTS MUST SUPERVISE CHILDREN WHETHER THEY HAVE CHSEN GOOD FRIENDS.THERE ARE GIRLS WHO ENTER INTO UNHEALTHY PRACTCES.THERE ARE BOYS WHO USE ALCOHOL,DRUGS ETC ETC
22)STRAIGHTFORWARDNESS TO BE TAUGHT FROM CHILD HOOD
23)PATRIOTISM SHOULD BE TAUGHT REPEATEDLYT
24)story of martyers who gave their lives tofree motherland frequently.ask them to tell the story repeatedly at home &if necessary in the school.stories of king veerapandia kattabomman VOC RANI JANSI BAI,JALIANWALABAG MASACRE GENERAL DIER, VANJINATHAN WHO SHOT COLLECTOR,KING HARICHANDRAS STORY.
25)TAKE PHOTOS IN AFFECTIONATE POSES SO THAT IT WILL SPEACK STORRIES AFTER 30 YEARS!
26)TEACH HIM WHAT IS GOOD/BAD TOUCH AT AGE 3--7 YEARS. LIFTING AT AGE 3--7
27)TEACH HIM ABOUT ILL EFFECTS OF SMOKING, DRINKING AT AGE 16--18.
28)TEACH HIM ABOUT KIDNAPPING/CHILD AT AGE 3--7
29)TEACH HIM ABOUT DRUG ADDICTION & ITS ILL EFFECTS.IMPRESS THAT LIFE WILL BE LOST FOR EVER.THIS IS DONE AROUND 17--20 YEARS
30)TEACH HIM ABOUT WHAT IS PROSTITUTION TO MALE/FEMALE CHILDREN, &HOW IT IS BEING DONE IN SOCIETY &WHAT ARE THE DELETERIOUS EFFECTS SPECIALLY AIDS--THE KILLER DISEASE,ATAGE 16--20.METHOD OF TEACHING DIFFERS FROM BOYS &GIRLS.
31)THIRUKURAL MUST BE LEARNT FROM AGE 10--18&EVEN LATTER.ARATHUPAL &PORUTPAL ONLY.LEAVS AS PER AE KAMATHUPAL TO HIS INTREST AFTER 25.NOTHING SHOULD BE HIDDEN FRM CHILDREN.ALL EXPLANATION DIFFERS ASPER AGE FOR A SAME QUESTION.THIS WILL MAKE HIM A MORALLY STRONG MAN.EVEN THE HIGH COURT OF MADRAS GAVE DIRECTION TO EDUCATION DEPARTMENT THAT THIRUKKURAL MUST BE ADDED IN THE SYLLABUS.BOT THE EDUCATION DEPARTMENT REFUSED ON THE PLEA THAT THERE WILL BE OVERLOADING OF SYLLABUS!!!!
will this country progress????
29)
16)THERE IS NO BETTER TEMPLE THAN MOTHER,THERE IS NO BETTER MAGIC FORMULA THAN FATHER'S WORDS.
(TELL CHEMISTRY TEACHERS STORY, SO CHILD WILL DEVELOPE SENSE OF CONFIDENCE &MORE AFFECTION TOWARDS PARENTS
17)
Friday, February 26, 2016
child hood accidents
introduction;There are many things a new mum should know even before she becomes a mother.Briefly few conditions are enumererated for the sake of knowledge.1.about 15-20 medical conditions present at birth congenitally.mildest is nasolacrimal duct obstruction causing purulent(pus) dischrge from eyes,to congenital surgical heart diseaes at birth
2.congenital metabolic disturbances.3.congenitalchromosomal disorders.4.psychological developemental disorders
eg.Autism spectrum disorders.5.congenital surgical conditions--about 10 disorders.Besides there is a group called
childhood accidents.Brief details are as under:--1.aspiration milk/food/medicine/water.This is dangerous causing instantaneous death.so prevention is only treatment.2.child kidnaping, fromhospitals/home/train/bus.3)sibling playing aroundh,causing suffocation with plastic bags 4.seekai kai use to scalp can cause asthma to all members of the family including child(powerful respiratory allergen)5 hot food like sambar rasam kept on the floorwhere there are toddlers running around 6.chilly powderkept on the ground.7.insect bite--scorpion /snake/ bees.---forscorpion sting best treattment possible only in i c h egmore or adoctor trained fromich.treatmentshould start within 4-6 hrs
for snake only answer is antisnake venom seerum.going to unqualified doctor is certain death.8rat bite.9.dog bite.
anti-rabies vaccine alone is not enough--rabies immunoglobulin is a must, but many dont take it because of prohibitive cost.cat bite also treated like dog bite.10. grown up children--motorcycle silencer burn for pillion rider
11.road accidends. 12. waering gold ornaments to children 13.SIDS 14. keeping adult medicines in the vicinity of children(drug for bp, sugar antidepressants)15.alertness during party/marriage/congregation/visiting marina beach /
railway station/big Malls9(child will insist to leave its hands free.if you do it you will be in trouble
16.alertness while going to temple.17.water storage inthe back yard should be kept covered18.18.empty plastic bags should not be available in the hands of children who wouldcover their head causin suffocation 19foreign body in nose throat fish bone.--dont try to take.--go to a doctor.20)windows with mosquitonet--applicable to u s a --child may fall down through window(many sad stories known to auther.21.beware of automatic room locks.22.fire accidents--candles ,kerosene oil chymneys 23.live electric wires in the room,or near water source,causing electricution.
Any clarification call Dr pselvaraj-98 41 35 43 35.
2.congenital metabolic disturbances.3.congenitalchromosomal disorders.4.psychological developemental disorders
eg.Autism spectrum disorders.5.congenital surgical conditions--about 10 disorders.Besides there is a group called
childhood accidents.Brief details are as under:--1.aspiration milk/food/medicine/water.This is dangerous causing instantaneous death.so prevention is only treatment.2.child kidnaping, fromhospitals/home/train/bus.3)sibling playing aroundh,causing suffocation with plastic bags 4.seekai kai use to scalp can cause asthma to all members of the family including child(powerful respiratory allergen)5 hot food like sambar rasam kept on the floorwhere there are toddlers running around 6.chilly powderkept on the ground.7.insect bite--scorpion /snake/ bees.---forscorpion sting best treattment possible only in i c h egmore or adoctor trained fromich.treatmentshould start within 4-6 hrs
for snake only answer is antisnake venom seerum.going to unqualified doctor is certain death.8rat bite.9.dog bite.
anti-rabies vaccine alone is not enough--rabies immunoglobulin is a must, but many dont take it because of prohibitive cost.cat bite also treated like dog bite.10. grown up children--motorcycle silencer burn for pillion rider
11.road accidends. 12. waering gold ornaments to children 13.SIDS 14. keeping adult medicines in the vicinity of children(drug for bp, sugar antidepressants)15.alertness during party/marriage/congregation/visiting marina beach /
railway station/big Malls9(child will insist to leave its hands free.if you do it you will be in trouble
16.alertness while going to temple.17.water storage inthe back yard should be kept covered18.18.empty plastic bags should not be available in the hands of children who wouldcover their head causin suffocation 19foreign body in nose throat fish bone.--dont try to take.--go to a doctor.20)windows with mosquitonet--applicable to u s a --child may fall down through window(many sad stories known to auther.21.beware of automatic room locks.22.fire accidents--candles ,kerosene oil chymneys 23.live electric wires in the room,or near water source,causing electricution.
Any clarification call Dr pselvaraj-98 41 35 43 35.
Wednesday, July 29, 2015
Rabies. New treatment
For scientific research
Tissue burning at the site of dog bite at the earliest may be a new treatment for the prevention of rabies.this is an idea given for scientific research for young scientists
Contact 9841354335. drselvarap@yahoo.com
Tissue burning at the site of dog bite at the earliest may be a new treatment for the prevention of rabies.this is an idea given for scientific research for young scientists
Contact 9841354335. drselvarap@yahoo.com
Tuesday, July 28, 2015
Acid peptic disease-----continued
Dos
1.no cows milk( coffee,tea)2frequent meals. Like biscuits 3hrly. 3 .stomach should never be empty for more than 6hrs4.avoid taking hot or cold drinks.5no alcohol. 6 no tobacco. 7.antacids. Digene 2 three times when there is symptoms.8.no skipping of breakfast. Very important.
Specific drugs. Therapuetics.
1.digene genusil 2'. 3 times. For 2weeks.2.non spicy diet 2weeks.3hrly small salads,Koozh, buttermilk.3omiprazole or pentaprazole . One at 5am(empty stomach) for 3--6 months--physicians choice.4domstal 10mg usually in the evenings, if there is nausea, vomiting, regurgitations.5. Biscuits bread no spicy food in the evening if there is appetite6. Nor maxim to counteract psychological symptoms.7. Algenic acid. REFLUX very helpful when there is frequent gastro oesophageal reflex.
8cyclopam physicians choice for uncontrollable pain abdomen after ruling out surgical cause of pain
A good life long project is available for youngsters free of cost for a new concept
Contact98 41 35 43 35. drselvarajp@yahoo.com
1.no cows milk( coffee,tea)2frequent meals. Like biscuits 3hrly. 3 .stomach should never be empty for more than 6hrs4.avoid taking hot or cold drinks.5no alcohol. 6 no tobacco. 7.antacids. Digene 2 three times when there is symptoms.8.no skipping of breakfast. Very important.
Specific drugs. Therapuetics.
1.digene genusil 2'. 3 times. For 2weeks.2.non spicy diet 2weeks.3hrly small salads,Koozh, buttermilk.3omiprazole or pentaprazole . One at 5am(empty stomach) for 3--6 months--physicians choice.4domstal 10mg usually in the evenings, if there is nausea, vomiting, regurgitations.5. Biscuits bread no spicy food in the evening if there is appetite6. Nor maxim to counteract psychological symptoms.7. Algenic acid. REFLUX very helpful when there is frequent gastro oesophageal reflex.
8cyclopam physicians choice for uncontrollable pain abdomen after ruling out surgical cause of pain
A good life long project is available for youngsters free of cost for a new concept
Contact98 41 35 43 35. drselvarajp@yahoo.com
Heart attack
Heart gets its nutrition &oxygenthrough coronary arteries.as age advancesthqqe inner diameter of the blood vessel(artery) keeps decreasing question to fat(cholesterol deposition. After a critical period there is a complete block in one or two or three vessels.when this occurs sufficient oxygen supply does not reach the heart muscle leading to stoppage of Herat muscle contraction,relaxation.the reaction is such the whole heart muscle stops functioning.this is a heart attach the same thing if if it occurs in brain it is called cerebral stroke,by giving a dc shock(defibrillation) the heart can be made to function as before.inj.streptokinase is to be given preferably within 4hours,helps a lot(costs rose 10000).given intra musculaly/intra coronary vessel only by cardiologist,while doing coronary bye pass surgery the heart is stopped by defibrillator as the vessel suturing so difficult in a beating heart
N) defibrillation given to restart the heart. Some surgeons do bye pass in a beating heart(moot hospital chennai). Contact 9841354335. Drslvarajp@yahoo,com
N) defibrillation given to restart the heart. Some surgeons do bye pass in a beating heart(moot hospital chennai). Contact 9841354335. Drslvarajp@yahoo,com
Monday, July 27, 2015
Acid peptic disease
This is a disease of stomach &first part of small intestine due to increased secretion of hydro caloric acid ,acting on mucous membrane causin erosion, later ulcer, perforation if untreated. Cause pain vomiting burning sense behind chest bone frequent regurgitation of food(stro oesaphagial reflux disease) This is a 100 percent medically manageable disease within a couple of months.50 years back there were thousands of gast4ectomies &gastro jejunostamies done through out the country.but compylobacter, helicobacter or drugs that revolutionised were not discovered.
Now the tr3atment is so simple .many don't go to the doctor.they depend on counter medicines in drug stores!many don't follow medical advice properly. This is a psycho somatic illness.the most important thing in this issue is diet, diet &diet first.
Following dos &Adonis may help affected people
Donts.
Use of green chillies.
All spices Including red chillies
Hotel meals( specially spicy food)
Pickles
Oily food like poorest ,soups
Very sweet foods.--3-4 bulb jamoons
Any fruits. Specially citrus fruits
All fruits contain acids
Taking frequent avoidable medicines
Ulcer formation.when HCL is more than alkali in stomach it starts eroding the the wall of the stomach
..... ...
Now the tr3atment is so simple .many don't go to the doctor.they depend on counter medicines in drug stores!many don't follow medical advice properly. This is a psycho somatic illness.the most important thing in this issue is diet, diet &diet first.
Following dos &Adonis may help affected people
Donts.
Use of green chillies.
All spices Including red chillies
Hotel meals( specially spicy food)
Pickles
Oily food like poorest ,soups
Very sweet foods.--3-4 bulb jamoons
Any fruits. Specially citrus fruits
All fruits contain acids
Taking frequent avoidable medicines
Ulcer formation.when HCL is more than alkali in stomach it starts eroding the the wall of the stomach
..... ...
Friday, July 24, 2015
Defibrillation.
This is nothing but electrical stimulation of the hart to beat when it has stopped due to any reason,by a scientifically disigned machine,that will deliver exact joules of electricity(720),according to ad
Ge disease etc. the machine is available in surgical/electrical stores.pediatric defibrillator is a special machine, that will deliver low joules of electricity(7to14)
When an aged adult are any human being whose heart has stopped due to hart attach cannot be revived,unless defibrillator is putting to use.From time immemorial,medical curriculum teachers to practice C P R(cardiopulmonary rescisitation) the author must have have tried several hundreds of car whith out single success.should we still practice this! Will the medical curriculum educationists put an end to it!
iN the final MBBS there is class for this topic in all the medical colleges in the world does this serve any purpose?
Si
Sunday, December 28, 2014
STILL BORN BABY --NEONATAL RESUSCITATION
INTRODUCTION ;BY DEFINITION THEY ARE 20-24 WEEKS OF GESTATION OR MORE.THEY ARE BORN DEAD WITH ZERO APGAR SCORE.THE EYE BROWS OF ALL THE READERS MAY RAISE AS THE QUESTION OF LIFE DOES NOT ARISE IN A BABY PROCLAIMED AND CERTIFIED DEAD BY A QUALIFIED. DOCTER.HOW CAN THEY BE REVIVED?
WHAT HAPPENS IN THE FIELD? THEY ARE OFTEN LEFT WITHOUT ANY ATTEMPT FOR
RESUSCITATION.THIS IS A FACT.
ABSTRACT; 0.1--0.2% ARE REVIVABLE PROVIDED THEY ARE1)24--28 WEEKS OF GESTATION AT LEAST.2)IMMEDIATE AGGRESSIVE NEONATAL RESUSCITATION DONE AS PER AUTHOR'S CONCEPT.3)PREFERABLY THERE ARE NO ASSOCIATED CONDITION LIKE . RDS.,TEF, CONGENITAL DEFECTS COEXISTING DURING RESUSCITATION
KEY WORDS;--APGAR SCORE, ET-TUBE+AMBU BAG,METABOLIC ACIDOSIS,ABC/CPR.
,UMBILICAL CATHETRISATION,FOETAL CIRCULATION,,DEFIBRILLATION,FOETAL DISTRESS,,DEATH CERTIFICATE
MATERIALS & METHODS
------------------------------
CASE 1.UNBOOKED CASE. G3 P3.CONCEPTION 32 WEEKS.AFTER INITIAL LABOUR PAIN
NO FURTHER PAIN FOR 3 HRS..EIDEAD BABENCE OF FOETAL DISTRESS.INDUCTION TRIED.VAGINALLY DELIVERED A DEAD BABY.2 KG WT.APGAR SCORE ZERO .FULL FLACCIDITY OF ALL MUSCLES.MATERNAL AGE 37.
CASE 2 .UNBOOKED CASE MATERNAL AGE 35 PRIMI PARA WITH SEVERE PAIN.HEAD NOT VISIBLE.NO SATISFACTORY CONTRACTIONS.FOETUS DEAD. MANUALLY REMOVED
WT-2.2 KG.GESTATION-36 WEEKS.APGAR ZERO.MUSCLE TONE FLACCID.
CASE 3 UNBOOKED CASE. LABOUR PAIN ON &OFF.GESTATION32 WEEKS PITOCIN DRIP STARTED VAGINALLY DELIVERED.CORD AROUND NECK TWICE APGAR ZERO.FULL FLACCIDITY OF ALL MUSCLES.MATERNAL AGE-38
AUTHER'S CONCEPT: ALL NEONATES WITH APGAR LESS THAN 5 DO SUFFER FROM METABOLIC ACIDOSIS. THOSE WITH ZERO APGAR SUFFER FROM HIGHEST ACIDOSIS (LOWEST BLOOD PH.IMMEDIATE CORRECION OF ACIDOSIS AS PER AUTHER'S PROCEDURE ALONE COULD CORRECT &REVIVE.THE PRESENT CONCEPT OF A B C &CPR ARE WASTE OF TIME &SHOULD BE PREFERABLE AVOIDED.AUTHER WOULD HAVE SEN ATLEAST OVER 20 CASES BUT NONE HAS SURVIVED,INSTEAD STIMULATION BYTACTILE/TRACEAL/DRUG/ELECTRICAL STIMULATION(DEFIBRILLATION) MAY HELP.
AUTHER'S REVIVAL PROCEDURE; AUTHER HAS REVIVED3 STILL BORN BABIES &CARRIED OUT SAME PROCEDURE TO ALL AS FOLLOWS:--
1)CUT UMBILICAL VEIN &CATHETERISE& ENTER INTO INFEROR VENA CAVA
2)PUSH SLOWLY 7.5 % SODA BICARB +20% GLUCOSE,10 ML EACH.
3)WAIT FOR 2 MTS ,WHILE DOING TRACHEAL SUCTION,CHEST SQUEEZING TO TAKE UP RESPIRATORY EXCURSIONS IF INITIATED
4)REPEAT DOSE AFTER 2 MTS IF NO RESPONSE IN CVS/RS
5)IF NO RESPONSE IN 2 MTS STILL GIVE THE FOLLOWING ---SODABICARB10 ML ,20% GLUCOSE 10 ML+DERIPHYILINE 0.25 ML+INJ ADRENALINE-2 DROPS
6) IF STILL NO IMPROVEMENT ,,DEFIBRILLATION ADVISED
pathophysiology;DURING THE PROCESS OF LIFE ANABOLISM &CATABOLISM CONTINUE IN THE TISSUES OF FOETUS .WHEN THERE IS FOETAL DISTRESS ACCUMILATIN OF WASTE MATERIALS,LIKE ACETO- ACETIC ACID,BETA HYDROXY BUTRIC ACID,UREA,URICACID ACCUMULATE &THESE DO NOT DIFFUSE FROM FOETAL TO MATERNAL PLACENTA RESULTING IN FURTHER ACCUMULATION ONCE FOETAL CIRCULATION STOPS(FOETAL DEATH).THIS INCREASES BLOOD PH(ACIDOSIS)WHICH CAN NOT BE NEUTRALISED BY COMPENSATORY RESPIRATORY ALKALOSIS AS THE LUNGS DONT FUNCTION &PLACENTA GETS SEPARATED BY ITSELF PREMATURELY IN SUCH BABIES.
ASSESSMENT OF BLOOD PH ; CORD BLOOD MUST BE SUBJECTED TO LAB TEST IMMEDIATELY FOR BLOOD PH &LATER AFTER REVIVAL,TO PROVE PRESENCE OF METABOLIC ACIDOSIS.
DRUG DOSE CALCULATIONS :--NAHCO3--7.5%--5 ML /KG/DOSE, 20%GLUCOSE 5 ML/KG/DOSE.REPETITION REQUIRED AFTER EVERY 2 MINUTES TILL CLINICAL SIGNS--APGAR SCORE IMPROVES
DEFIBRILLATION;-WHILE ATTEMPTING TO REVIVE 95-99 % LIKELY TO REMAIN DEAD
.
SUCH CASES NEED DEFIBRILLATION AS THE LAST CHANCE FOR SURVIVAL SINCE EACH BABY IS PRECIOUS FOR ITS MOTHER AUTHER HAS NOT SEEN PEDIATRIC DEFIBRILLATER IN MANY MAJOR HOSPITALS, INCLUDING ANY TEACHING INSTITUTION IN CHENNAI..
SUMMARY:3 CASES OF STILL BORN BABIES SUCCESSFULLY REVIVED BY A NEW CONCEPT OF DRUG STIMULATION FORGETTING THE OLD DICTUM OF ABC &CPR
CONCLUSION; STILL BORN BABIES ARE ALSO REVIVABLE PROVIDED PROPER CARE IS TAKEN.2,84000 BABIES DIE AT THE TIME OF BIRTH GLOBALLY EVERY YEAR.LITERATURE IS AVAILABLE ABOUT SURVIVAL OF BABIES PROCLAIMED DEAD.THESE HAVE BEEN DOCUMENTED AMPLY---SOME EXAMPLES AS FOLLOWS;IT IS STRESSED THAT EVEN IF APGAR SCORE IS ZERO SUCH BABIES NEED RESUSCITATION TO BE CARRIED OUT WITH INTRA UMBILLICAL SODABICARB WITH OTHER SUPPORTIVE MEASURES LIKE DEFIBRILLATION
REFERENCES:
1)CHINESE BABY SURVIVES BEING BURIED ALIVE AFTER PARENTS THOUGHT THE PREMATURE BABY WAS STILL BORN--CHRISTIAN TODAY,9-12 14
2)CHINESE NEW BORN BABY SURVIVED BEING BURIED ALIVE 2 HRS AFTER PARENTS THOUGHT SHE WAS STILL BORN--THE INQUISTER,7-12-14
3)STILL BORN BABY SURVIVES-METRO,5-12-14
4)PREMATURE BABY SURVIVES BEING BURIED ALIVE--LIFE NEWS.COM 5-12-14
5)CHINESE BABY SURVIVES--SHE WAS STILL BORN-CHRISTIAN TODAY 8-12-14
6)SCHOTT J HENLEY A KOHNER 2007 ,PREGNANCY LOSS &DEATH OF A BABY GUIDE LINES FOR PROFESSIONALS 3 rd ed SANDS SHEPPERTON ON THAMES BORAN PRESS.
7)RADESTAD.L 2001 STILL BIRTH CARE &LONG TERM OUTCOME FOR MOTHERS WHO HAVE OR HAVE NOT HELD STILL BORN BABY.Br.J.MIDWIFERY 25 (4)422 -9
8)CONDE AYUDELOA, ROSES BERMUDEZ A KAFURY-GOETA AC 2006 BIRTH SPACING &RISK OF ADVERSE PERINATAL OUTCOME A META ANALYSIS.JAMA.295(15)1809-23
drselvarajp@yahoo.com ph ;9841354335
WHAT HAPPENS IN THE FIELD? THEY ARE OFTEN LEFT WITHOUT ANY ATTEMPT FOR
RESUSCITATION.THIS IS A FACT.
ABSTRACT; 0.1--0.2% ARE REVIVABLE PROVIDED THEY ARE1)24--28 WEEKS OF GESTATION AT LEAST.2)IMMEDIATE AGGRESSIVE NEONATAL RESUSCITATION DONE AS PER AUTHOR'S CONCEPT.3)PREFERABLY THERE ARE NO ASSOCIATED CONDITION LIKE . RDS.,TEF, CONGENITAL DEFECTS COEXISTING DURING RESUSCITATION
KEY WORDS;--APGAR SCORE, ET-TUBE+AMBU BAG,METABOLIC ACIDOSIS,ABC/CPR.
,UMBILICAL CATHETRISATION,FOETAL CIRCULATION,,DEFIBRILLATION,FOETAL DISTRESS,,DEATH CERTIFICATE
MATERIALS & METHODS
------------------------------
CASE 1.UNBOOKED CASE. G3 P3.CONCEPTION 32 WEEKS.AFTER INITIAL LABOUR PAIN
NO FURTHER PAIN FOR 3 HRS..EIDEAD BABENCE OF FOETAL DISTRESS.INDUCTION TRIED.VAGINALLY DELIVERED A DEAD BABY.2 KG WT.APGAR SCORE ZERO .FULL FLACCIDITY OF ALL MUSCLES.MATERNAL AGE 37.
CASE 2 .UNBOOKED CASE MATERNAL AGE 35 PRIMI PARA WITH SEVERE PAIN.HEAD NOT VISIBLE.NO SATISFACTORY CONTRACTIONS.FOETUS DEAD. MANUALLY REMOVED
WT-2.2 KG.GESTATION-36 WEEKS.APGAR ZERO.MUSCLE TONE FLACCID.
CASE 3 UNBOOKED CASE. LABOUR PAIN ON &OFF.GESTATION32 WEEKS PITOCIN DRIP STARTED VAGINALLY DELIVERED.CORD AROUND NECK TWICE APGAR ZERO.FULL FLACCIDITY OF ALL MUSCLES.MATERNAL AGE-38
AUTHER'S CONCEPT: ALL NEONATES WITH APGAR LESS THAN 5 DO SUFFER FROM METABOLIC ACIDOSIS. THOSE WITH ZERO APGAR SUFFER FROM HIGHEST ACIDOSIS (LOWEST BLOOD PH.IMMEDIATE CORRECION OF ACIDOSIS AS PER AUTHER'S PROCEDURE ALONE COULD CORRECT &REVIVE.THE PRESENT CONCEPT OF A B C &CPR ARE WASTE OF TIME &SHOULD BE PREFERABLE AVOIDED.AUTHER WOULD HAVE SEN ATLEAST OVER 20 CASES BUT NONE HAS SURVIVED,INSTEAD STIMULATION BYTACTILE/TRACEAL/DRUG/ELECTRICAL STIMULATION(DEFIBRILLATION) MAY HELP.
AUTHER'S REVIVAL PROCEDURE; AUTHER HAS REVIVED3 STILL BORN BABIES &CARRIED OUT SAME PROCEDURE TO ALL AS FOLLOWS:--
1)CUT UMBILICAL VEIN &CATHETERISE& ENTER INTO INFEROR VENA CAVA
2)PUSH SLOWLY 7.5 % SODA BICARB +20% GLUCOSE,10 ML EACH.
3)WAIT FOR 2 MTS ,WHILE DOING TRACHEAL SUCTION,CHEST SQUEEZING TO TAKE UP RESPIRATORY EXCURSIONS IF INITIATED
4)REPEAT DOSE AFTER 2 MTS IF NO RESPONSE IN CVS/RS
5)IF NO RESPONSE IN 2 MTS STILL GIVE THE FOLLOWING ---SODABICARB10 ML ,20% GLUCOSE 10 ML+DERIPHYILINE 0.25 ML+INJ ADRENALINE-2 DROPS
6) IF STILL NO IMPROVEMENT ,,DEFIBRILLATION ADVISED
pathophysiology;DURING THE PROCESS OF LIFE ANABOLISM &CATABOLISM CONTINUE IN THE TISSUES OF FOETUS .WHEN THERE IS FOETAL DISTRESS ACCUMILATIN OF WASTE MATERIALS,LIKE ACETO- ACETIC ACID,BETA HYDROXY BUTRIC ACID,UREA,URICACID ACCUMULATE &THESE DO NOT DIFFUSE FROM FOETAL TO MATERNAL PLACENTA RESULTING IN FURTHER ACCUMULATION ONCE FOETAL CIRCULATION STOPS(FOETAL DEATH).THIS INCREASES BLOOD PH(ACIDOSIS)WHICH CAN NOT BE NEUTRALISED BY COMPENSATORY RESPIRATORY ALKALOSIS AS THE LUNGS DONT FUNCTION &PLACENTA GETS SEPARATED BY ITSELF PREMATURELY IN SUCH BABIES.
ASSESSMENT OF BLOOD PH ; CORD BLOOD MUST BE SUBJECTED TO LAB TEST IMMEDIATELY FOR BLOOD PH &LATER AFTER REVIVAL,TO PROVE PRESENCE OF METABOLIC ACIDOSIS.
DRUG DOSE CALCULATIONS :--NAHCO3--7.5%--5 ML /KG/DOSE, 20%GLUCOSE 5 ML/KG/DOSE.REPETITION REQUIRED AFTER EVERY 2 MINUTES TILL CLINICAL SIGNS--APGAR SCORE IMPROVES
DEFIBRILLATION;-WHILE ATTEMPTING TO REVIVE 95-99 % LIKELY TO REMAIN DEAD
.
SUCH CASES NEED DEFIBRILLATION AS THE LAST CHANCE FOR SURVIVAL SINCE EACH BABY IS PRECIOUS FOR ITS MOTHER AUTHER HAS NOT SEEN PEDIATRIC DEFIBRILLATER IN MANY MAJOR HOSPITALS, INCLUDING ANY TEACHING INSTITUTION IN CHENNAI..
SUMMARY:3 CASES OF STILL BORN BABIES SUCCESSFULLY REVIVED BY A NEW CONCEPT OF DRUG STIMULATION FORGETTING THE OLD DICTUM OF ABC &CPR
CONCLUSION; STILL BORN BABIES ARE ALSO REVIVABLE PROVIDED PROPER CARE IS TAKEN.2,84000 BABIES DIE AT THE TIME OF BIRTH GLOBALLY EVERY YEAR.LITERATURE IS AVAILABLE ABOUT SURVIVAL OF BABIES PROCLAIMED DEAD.THESE HAVE BEEN DOCUMENTED AMPLY---SOME EXAMPLES AS FOLLOWS;IT IS STRESSED THAT EVEN IF APGAR SCORE IS ZERO SUCH BABIES NEED RESUSCITATION TO BE CARRIED OUT WITH INTRA UMBILLICAL SODABICARB WITH OTHER SUPPORTIVE MEASURES LIKE DEFIBRILLATION
REFERENCES:
1)CHINESE BABY SURVIVES BEING BURIED ALIVE AFTER PARENTS THOUGHT THE PREMATURE BABY WAS STILL BORN--CHRISTIAN TODAY,9-12 14
2)CHINESE NEW BORN BABY SURVIVED BEING BURIED ALIVE 2 HRS AFTER PARENTS THOUGHT SHE WAS STILL BORN--THE INQUISTER,7-12-14
3)STILL BORN BABY SURVIVES-METRO,5-12-14
4)PREMATURE BABY SURVIVES BEING BURIED ALIVE--LIFE NEWS.COM 5-12-14
5)CHINESE BABY SURVIVES--SHE WAS STILL BORN-CHRISTIAN TODAY 8-12-14
6)SCHOTT J HENLEY A KOHNER 2007 ,PREGNANCY LOSS &DEATH OF A BABY GUIDE LINES FOR PROFESSIONALS 3 rd ed SANDS SHEPPERTON ON THAMES BORAN PRESS.
7)RADESTAD.L 2001 STILL BIRTH CARE &LONG TERM OUTCOME FOR MOTHERS WHO HAVE OR HAVE NOT HELD STILL BORN BABY.Br.J.MIDWIFERY 25 (4)422 -9
8)CONDE AYUDELOA, ROSES BERMUDEZ A KAFURY-GOETA AC 2006 BIRTH SPACING &RISK OF ADVERSE PERINATAL OUTCOME A META ANALYSIS.JAMA.295(15)1809-23
drselvarajp@yahoo.com ph ;9841354335
Wednesday, August 13, 2014
BED WETTING--NOCTURNAL ENEURESIS
NOCTURNAL-NIGHT .ENEURESIS--PASSING URINE
NORMALLY A CHILD SHOULD HAVE BLADDER CONTROL AT AGE 2--5.&SHOULD PASS URINE IN THE TOILET AT WILL VOLUNTARILY, WITH OR WITHOUT HELP FROM FAMILY MEMBERS.THIS DOES NOT HAPPEN EVEN AT AGE 15 IN SO IT IS ALL DUE TO LACK OF INTEGRITY &COORDINATION BETWEEN THE BRAIN, BLADDER, BONES &NERVES IN THE SPINE.ESSENTIALLY IT IS LACK OF MATURITY OF CENTRAL NERVOUS SYSTEM.AT AGE 6 MONTHS. BABY ACHIEVES HEAD CONTROLAT AGE 6 M,&BLADDER CONTROL AT 2 YRS.DUE TO ADEQUATE MYELINATION OF SPINAL NERVES(DEVELOPMENT OF SHEATH LIKE COVERING &FINE NERVE ENDINGS)THE DEFECT IS DUE TO NON MYELINATION.
THIS IS A PSYCOPATHOLOGICAL STATE WHERE DOCTORS ASK FEW QUESTIONS TO PLAN TREATMENT.FOLLOWING QUESTIONS USUALLY ASKED:--
1)HOW MANY TIMES YOU PASS URINE IN A DAY (NORMAL--ONCE IN 3-4 HRS,& 6-8HRS AT NIGHT)2)IS IT A SMALL VOLUME OF URINE?-(-10-15 ML--OR 50-100 ML) EACH TIME.
3)IS THE ACT PAINFUL/BURNING?) 4)DOES IT PRODUCE STINKING SMELL?
5)DO YOU HAVE EXCESS THIRST, EXCESS EATING,EXCESS URINATION?(DIABETES)
6)DO YOU PASS EXCESS URINE VOLUME(ANTI-DIURETIC HORMONE DEFICIENCY)
7)HAVE YOU DONE URINE CULTURE STUDY FOR 3 DAYS?(URINE-INFECTION)
8) DO YOU DREAM AT NIGHTS?-IF YES ANALYSE? 9)DO YOU HAVE FEAR AT NIGHTS?(LACK OF SECURITY FEELING)
10)DOES ANY ONE(PARENTS/TEACHER /CLASSMATES)BULLY/RAG/BEAT YOU?
TREATMENT PLAN
-----------------------
1)DO NOT BEAT /SCOLD / INSULT/CHILD.TELL CHILD IT IS TOTALLY CURABLE. IN 2WEEKS TO BOOST CONFIDENCE.
2)EMPIRICAL---!)NO FLUIDS BY MOUTH AFTER 6PM.2) GO TO BATH ROOM JUST BEFORE BED.3)WAKE UP AT 1AM &4AM(USE ALARM CLOCK) 4)BLADDER TRAINING BY DOCTOR
SPECIFIC
-----------
TAB DEPSONIL(IMIPRAMINE HCL) ONCE AT NIGHT 9PM--15 DAYS
2) PSYCHOLOGICAL COUNSELLING REASSURANCE/COUNSELLING (TO INCREASE SENSE OF SECURITY)
3)URINARY INFECTION TREATMENT IF INDICATED.
4)BLADDER CONTROL TRAINING-USEFUL IN SMALL BLADDER SYNDROME.ANY OTHER TREATMENT AS PER CAUSE.
NORMALLY A CHILD SHOULD HAVE BLADDER CONTROL AT AGE 2--5.&SHOULD PASS URINE IN THE TOILET AT WILL VOLUNTARILY, WITH OR WITHOUT HELP FROM FAMILY MEMBERS.THIS DOES NOT HAPPEN EVEN AT AGE 15 IN SO IT IS ALL DUE TO LACK OF INTEGRITY &COORDINATION BETWEEN THE BRAIN, BLADDER, BONES &NERVES IN THE SPINE.ESSENTIALLY IT IS LACK OF MATURITY OF CENTRAL NERVOUS SYSTEM.AT AGE 6 MONTHS. BABY ACHIEVES HEAD CONTROLAT AGE 6 M,&BLADDER CONTROL AT 2 YRS.DUE TO ADEQUATE MYELINATION OF SPINAL NERVES(DEVELOPMENT OF SHEATH LIKE COVERING &FINE NERVE ENDINGS)THE DEFECT IS DUE TO NON MYELINATION.
THIS IS A PSYCOPATHOLOGICAL STATE WHERE DOCTORS ASK FEW QUESTIONS TO PLAN TREATMENT.FOLLOWING QUESTIONS USUALLY ASKED:--
1)HOW MANY TIMES YOU PASS URINE IN A DAY (NORMAL--ONCE IN 3-4 HRS,& 6-8HRS AT NIGHT)2)IS IT A SMALL VOLUME OF URINE?-(-10-15 ML--OR 50-100 ML) EACH TIME.
3)IS THE ACT PAINFUL/BURNING?) 4)DOES IT PRODUCE STINKING SMELL?
5)DO YOU HAVE EXCESS THIRST, EXCESS EATING,EXCESS URINATION?(DIABETES)
6)DO YOU PASS EXCESS URINE VOLUME(ANTI-DIURETIC HORMONE DEFICIENCY)
7)HAVE YOU DONE URINE CULTURE STUDY FOR 3 DAYS?(URINE-INFECTION)
8) DO YOU DREAM AT NIGHTS?-IF YES ANALYSE? 9)DO YOU HAVE FEAR AT NIGHTS?(LACK OF SECURITY FEELING)
10)DOES ANY ONE(PARENTS/TEACHER /CLASSMATES)BULLY/RAG/BEAT YOU?
TREATMENT PLAN
-----------------------
1)DO NOT BEAT /SCOLD / INSULT/CHILD.TELL CHILD IT IS TOTALLY CURABLE. IN 2WEEKS TO BOOST CONFIDENCE.
2)EMPIRICAL---!)NO FLUIDS BY MOUTH AFTER 6PM.2) GO TO BATH ROOM JUST BEFORE BED.3)WAKE UP AT 1AM &4AM(USE ALARM CLOCK) 4)BLADDER TRAINING BY DOCTOR
SPECIFIC
-----------
TAB DEPSONIL(IMIPRAMINE HCL) ONCE AT NIGHT 9PM--15 DAYS
2) PSYCHOLOGICAL COUNSELLING REASSURANCE/COUNSELLING (TO INCREASE SENSE OF SECURITY)
3)URINARY INFECTION TREATMENT IF INDICATED.
4)BLADDER CONTROL TRAINING-USEFUL IN SMALL BLADDER SYNDROME.ANY OTHER TREATMENT AS PER CAUSE.
Friday, August 1, 2014
LITCHI VIRUS ENCEPHALOPATHY--AN ANALYSIS
Litchi fruit is harvested in all parts of asia.Ackee fruit is grown &eaten in Jamaica.Some children said to have developed A E S(Acute encephalitic syndrome) after consuming these fruits,which are said to be culprits by lay press& many states in India &abroad registered death of few children soon after consuming these fruits within a short period.
Points for discussion;
1)Is there any specific virus isolated/identified from these fruits?
2)Does it cause death of all children who ate these fruits?
3)Why does it not affect adults?
4)Any antiviral antibodies such as Ig G/Ig M,demonstrated from these children who ate these fruits?
5)Did all children,who died after fruit consumption,had full course of vaccination against J E&Hib?
6)Were all dead children,well nourished?
7)why all dead children were mal nourished?
Scients propose two theories:
1)A zoonotic virus theory
2)A chemical(toxicological) substance theory
VIRUS THEORY
------------------
Bats thrive on fruits during latchi fruit harvest.They consume virus presnt in the fruit(so bats are vector no 1
These infected bats are bitten by culex/anophles mosquitos(vector no 2).when these infected mosquitos bite human they get the virus disease.
THE FOLLOWING DISEASES can mimic A.E.S
1)west nile virus disease 2)chic-un-gunya virus disease3)herpes simplex virus disease 4)varicella zoster virus disease5)Rift valley fever virus6)Crimean cargo haemorrhagic fever virus 7)entero viruses8)Alpha virus
9)measles 10)Japanese B enchephalitis virus.11)DENGUE hemorrhagic fever/shock syndrome
When a child is clinically diagnosed as A E S Clinicians try to confirm by various lab studies to pin point the etiology Unfortunately it is a difficult job to succedeoften.
According to Dr A T .John WHO consultant&professor of virology has travelled to many places where there were mystery fevers&children death reported.He is of openion that viruses dont play any part in this disease.
Chemical theory
------------------
MCPA&MCPG ARE TWO CHEMICAL SUBSTANCES found in the alleged fruits.,which if consumed
can bring down blood glucose(hypoglycaemia) by reducing liver glycogen storage,thus producing vomiting, fits altered sensorium &death specially in mal nourished children.Dr.A T John agrees with this theory, after extensive lab studies.
CONCLUSION
------------------
Litchi fruit &Jamaican Ackee fruit, do not contain any virus,that could kill children at short intervel.
Extensive lab studies required to find out culprit virus by a process of exclusion of 12 culprit viruses
Is it possible?
drselvarajp@yahoo.com-------ph 9841354335
T
Points for discussion;
1)Is there any specific virus isolated/identified from these fruits?
2)Does it cause death of all children who ate these fruits?
3)Why does it not affect adults?
4)Any antiviral antibodies such as Ig G/Ig M,demonstrated from these children who ate these fruits?
5)Did all children,who died after fruit consumption,had full course of vaccination against J E&Hib?
6)Were all dead children,well nourished?
7)why all dead children were mal nourished?
Scients propose two theories:
1)A zoonotic virus theory
2)A chemical(toxicological) substance theory
VIRUS THEORY
------------------
Bats thrive on fruits during latchi fruit harvest.They consume virus presnt in the fruit(so bats are vector no 1
These infected bats are bitten by culex/anophles mosquitos(vector no 2).when these infected mosquitos bite human they get the virus disease.
THE FOLLOWING DISEASES can mimic A.E.S
1)west nile virus disease 2)chic-un-gunya virus disease3)herpes simplex virus disease 4)varicella zoster virus disease5)Rift valley fever virus6)Crimean cargo haemorrhagic fever virus 7)entero viruses8)Alpha virus
9)measles 10)Japanese B enchephalitis virus.11)DENGUE hemorrhagic fever/shock syndrome
When a child is clinically diagnosed as A E S Clinicians try to confirm by various lab studies to pin point the etiology Unfortunately it is a difficult job to succedeoften.
According to Dr A T .John WHO consultant&professor of virology has travelled to many places where there were mystery fevers&children death reported.He is of openion that viruses dont play any part in this disease.
Chemical theory
------------------
MCPA&MCPG ARE TWO CHEMICAL SUBSTANCES found in the alleged fruits.,which if consumed
can bring down blood glucose(hypoglycaemia) by reducing liver glycogen storage,thus producing vomiting, fits altered sensorium &death specially in mal nourished children.Dr.A T John agrees with this theory, after extensive lab studies.
CONCLUSION
------------------
Litchi fruit &Jamaican Ackee fruit, do not contain any virus,that could kill children at short intervel.
Extensive lab studies required to find out culprit virus by a process of exclusion of 12 culprit viruses
Is it possible?
drselvarajp@yahoo.com-------ph 9841354335
T
Saturday, March 1, 2014
BABY LOSS IN NICU
The concept of NICU is to help neonates in problem.Some of them are preventable.some are congenitalAmong the preventable causes all are managable by an experienced neonatologist during resusitation Hence prevention is more important than getting sad &depressed latter.A bad resusitation for baby loss in twins/trplets.For congenital problem like RDS there are some set protoclos But the result is often negative Some doctors put mothers on steroids to hasten lung maturity in anticipation of RDS .They are often successful
Some of the manageble causes are 1)neonatal apnic spells 2)meconium aspiration 3)cord around neck
4)convulsions 5)post anaesthetic effect .6)CPD 7) breach .8)low apgar score at birth.Mother should fix pediatrician prior to delivery.ALL MOTHERS SHOULD ANTICIPATE THE WORST &be prepared toface IF IT OCCURS This does not mean youhave negative thoughts but never have positive thoughts only.Husband &mother are best supportersA premature delivery is often possible to postpone by many techniques.One of the best is cervical suturing,.Apsychiatric counselling may be required in some.
Some of the manageble causes are 1)neonatal apnic spells 2)meconium aspiration 3)cord around neck
4)convulsions 5)post anaesthetic effect .6)CPD 7) breach .8)low apgar score at birth.Mother should fix pediatrician prior to delivery.ALL MOTHERS SHOULD ANTICIPATE THE WORST &be prepared toface IF IT OCCURS This does not mean youhave negative thoughts but never have positive thoughts only.Husband &mother are best supportersA premature delivery is often possible to postpone by many techniques.One of the best is cervical suturing,.Apsychiatric counselling may be required in some.
Thursday, February 6, 2014
MEMORY LOSS--HOW TO RECTIFY IN CHILDREN?
PARENTS /TEACHERS OFTEN COMPLAIN THAT THE CHILD'S MEMORY IS POOR. HE IS UNABLE TO ANSWER WHAT WAS TAUGHT YESTERDAY .HIS PROBLEM CAN NOT BE
SOLVED IN ONE DAY OR WITH MEDICATIONS /TONICS. NEEDS CONSTANT SHAPING FROM EARLY CHILDHOOD.THE BEST IS THAT YOU TELL STORIES TO THEM &ASK THEM TO REPEAT YOU MAY HAVE TO TEACH THE SAME THING REPEATEDLY.FOLLOWING POINTS CONSIDERED NECESSARY FOR RETENTION OF MEMORY IF THERE ARE GROSS DEFICIENCY IN ONE OF THE FOLLOWING,HE NEEDS IQ/MQ TESTING TO PROCEED FURTHER PROVIDED VISION &HEARING ARE GOOD(DOCTOR SHOULD CERTIFY) DURING NON STUDY HOURS STORIES SHOULD BE TOLD TO KINDLE INTEREST IN STUDY ABOUT LEARNED PEOPLE/SCIENTISTS&HOW THEY INVENTED.
1)CHILDREN SHOULD READ WITH INTEREST 2) ASSOCIATE WITH ANOTHER RELAVENT MATERIAL.3)SHOULD READ REPEATEDLY.4)TAPE RECORD CHILD'S VOICE &LET HIM HEAR HIS OWN VOICE WHILE READING THE BOOK.5) STOMACH SHOULD BE NEITHER EMPTY NOR FULL 6)ATMOSPHERE SHOULD BE SILENT 7)NO TV/RADIO. 8)NO OTHER THOUGHTS SHOULD PRE OCCUPY THE MIND.SO PRAY GOD FOR 2 MINUTES &THEN START READING
A LITTLE LOUD..9)KEEP INCREASING YOUR WRITTING HABIT--MORE YOU WRITE, MORE YOU REMEMBER 10) SIMPLIFY TEACHING METHOD BY DIAGRAMS/DOMONSTRATIONS
11)MAKE SURE THERE IS NO DIFFICIENCY OF A)MULTIVITAMINS B)MINERALS C)IRON
D)THYROID HORMONE. 12)GIVE ENCOURAGING SUPPORT 13) MAKE CHILD TO DEVELOPE LOVE TOWARDS READING/WRITING/ART WORKS/PAINTING /COLORING
14)MAKE SURE FOLLOWING STEPS ADHERED TO WHILE READING
)LEARNING,RETAINING,ASSIMILATION RECAPTULATIONS
15)DICIPLINE ENFORCEMENT IS NECESSARY(TIME OUTS) ALL LEARING SHOULD BE LIKE A GAME OF PLAY--drselvarajp@yahoo.com
SOLVED IN ONE DAY OR WITH MEDICATIONS /TONICS. NEEDS CONSTANT SHAPING FROM EARLY CHILDHOOD.THE BEST IS THAT YOU TELL STORIES TO THEM &ASK THEM TO REPEAT YOU MAY HAVE TO TEACH THE SAME THING REPEATEDLY.FOLLOWING POINTS CONSIDERED NECESSARY FOR RETENTION OF MEMORY IF THERE ARE GROSS DEFICIENCY IN ONE OF THE FOLLOWING,HE NEEDS IQ/MQ TESTING TO PROCEED FURTHER PROVIDED VISION &HEARING ARE GOOD(DOCTOR SHOULD CERTIFY) DURING NON STUDY HOURS STORIES SHOULD BE TOLD TO KINDLE INTEREST IN STUDY ABOUT LEARNED PEOPLE/SCIENTISTS&HOW THEY INVENTED.
1)CHILDREN SHOULD READ WITH INTEREST 2) ASSOCIATE WITH ANOTHER RELAVENT MATERIAL.3)SHOULD READ REPEATEDLY.4)TAPE RECORD CHILD'S VOICE &LET HIM HEAR HIS OWN VOICE WHILE READING THE BOOK.5) STOMACH SHOULD BE NEITHER EMPTY NOR FULL 6)ATMOSPHERE SHOULD BE SILENT 7)NO TV/RADIO. 8)NO OTHER THOUGHTS SHOULD PRE OCCUPY THE MIND.SO PRAY GOD FOR 2 MINUTES &THEN START READING
A LITTLE LOUD..9)KEEP INCREASING YOUR WRITTING HABIT--MORE YOU WRITE, MORE YOU REMEMBER 10) SIMPLIFY TEACHING METHOD BY DIAGRAMS/DOMONSTRATIONS
11)MAKE SURE THERE IS NO DIFFICIENCY OF A)MULTIVITAMINS B)MINERALS C)IRON
D)THYROID HORMONE. 12)GIVE ENCOURAGING SUPPORT 13) MAKE CHILD TO DEVELOPE LOVE TOWARDS READING/WRITING/ART WORKS/PAINTING /COLORING
14)MAKE SURE FOLLOWING STEPS ADHERED TO WHILE READING
)LEARNING,RETAINING,ASSIMILATION RECAPTULATIONS
15)DICIPLINE ENFORCEMENT IS NECESSARY(TIME OUTS) ALL LEARING SHOULD BE LIKE A GAME OF PLAY--drselvarajp@yahoo.com
Thursday, January 30, 2014
CHILDHOOD VACCINATION-SOME NEW THOUGHTS
EVER SINCE IMMUNISATION BECAME A NATIONAL PROGRAMME MAJORITY OF VACCINE PREVENTIBLE DISAESES GOT DWINDLED.SOME OF THE WORST IN THE INDIAN HISTORY WERE ; --1)CHOLERA,2)PLAGUE 3)SMALLPOX 4)MENINGITIS 5)TETANUS 6)WHOOPING COUGH 7) POLIO IN ANY TOWN 1-2 CHILDREN WERE DYING EVERY DAY ABOUT 5-6 DECADES BACK DUE TO ONE OF THE ABOVE DISEASES.CURRENTLY ALL THESE DISEASES ARE WELL CONTAINED.EVEN THEN TWO DISORDERS ARE STILL OCCURRING SPORADICALLY.ONE IS DIARROHEA.NEXT IS PNEUMONIA
DIARRHOEA;--ROTO VIRUS IS CONSIDERED MORE HARMFUL THAN OTHER TYPES.VACCINE AVAILABLE FOR ORAL USE AT 1 1/2, 2 1/2 MONTHS OF AGE.
PNEUMONIA:--TO PREVENT THIS IN YOUNG BABIES LESS THA 6 MONTHS PNEUMOCOCCAL VACCINE IS AVAILBLE
USEFUL AGAINST LUNG &BRAIN INFECTION.INJ.Hib protects against brain infection
COST FACTORS:--AS ON 01-02-2014
ROTOVIRUS ORAL DROPS--BELGIUM--PER DOSE INR 1220
DOCTOR'S RATE--------------------------------INR 845
PNEUCOCCUS VACCINE--PREVNOR .0.5 ML-INTRAMUSCULAR INJECTION
PRICE PER DOSE--------------------------------------INR3801
DOCTOR'S RATE---------------------------------------INR 3193
MULTIPLE INJECTION OF VACCINES:--
AUTHER HAS COME ACROSS 3 CASES WITH SIDE EFFECTS DUE TO MULTIPLE INJECTIONS AT 2-3 DIFFERENT SITES ON THE SAME DAY,CAUSING THROMBOCYTOPENIA
SAFE ORAL DROPS ADMINISTRATION PROCEDURE:-
1) MAKE SURE CHILD'S STOMACH IS NOT FULL.NO FEEDING PRIOR TO VACCINE.ADMINISTRATION IN FULL STOMACH CAN CAUSE THROAT IRRITATION ,COUGH,VOMITING &ASPIRATION(VIDE NEWS OF 2 CHILDREN DEAD AFTER POLIO DROPS DUE TO ASPIRATION
2)PUT FEW DROPS OF HONEY ON THE TONGUE WAIT FOR ONE MINUTE
3)INTRODUCE NOZZLE OF ROTOVIRUS VIALON THE SIDE OF BUCCAL MUSCLES.
4)TAKE CARE NOT TO GIVE DIRECT INTO THE PHRYNX.
5)KEEP CHILD IN ERECT POSITION WHILE FEEDING.
6)HOWEVWER IF THE CHILD VOMITS PUT HIM ON LATERAL POSITION TO CLEAR
MILK/ MUCOUS FROM MOUTH
DIARRHOEA;--ROTO VIRUS IS CONSIDERED MORE HARMFUL THAN OTHER TYPES.VACCINE AVAILABLE FOR ORAL USE AT 1 1/2, 2 1/2 MONTHS OF AGE.
PNEUMONIA:--TO PREVENT THIS IN YOUNG BABIES LESS THA 6 MONTHS PNEUMOCOCCAL VACCINE IS AVAILBLE
USEFUL AGAINST LUNG &BRAIN INFECTION.INJ.Hib protects against brain infection
COST FACTORS:--AS ON 01-02-2014
ROTOVIRUS ORAL DROPS--BELGIUM--PER DOSE INR 1220
DOCTOR'S RATE--------------------------------INR 845
PNEUCOCCUS VACCINE--PREVNOR .0.5 ML-INTRAMUSCULAR INJECTION
PRICE PER DOSE--------------------------------------INR3801
DOCTOR'S RATE---------------------------------------INR 3193
MULTIPLE INJECTION OF VACCINES:--
AUTHER HAS COME ACROSS 3 CASES WITH SIDE EFFECTS DUE TO MULTIPLE INJECTIONS AT 2-3 DIFFERENT SITES ON THE SAME DAY,CAUSING THROMBOCYTOPENIA
SAFE ORAL DROPS ADMINISTRATION PROCEDURE:-
1) MAKE SURE CHILD'S STOMACH IS NOT FULL.NO FEEDING PRIOR TO VACCINE.ADMINISTRATION IN FULL STOMACH CAN CAUSE THROAT IRRITATION ,COUGH,VOMITING &ASPIRATION(VIDE NEWS OF 2 CHILDREN DEAD AFTER POLIO DROPS DUE TO ASPIRATION
2)PUT FEW DROPS OF HONEY ON THE TONGUE WAIT FOR ONE MINUTE
3)INTRODUCE NOZZLE OF ROTOVIRUS VIALON THE SIDE OF BUCCAL MUSCLES.
4)TAKE CARE NOT TO GIVE DIRECT INTO THE PHRYNX.
5)KEEP CHILD IN ERECT POSITION WHILE FEEDING.
6)HOWEVWER IF THE CHILD VOMITS PUT HIM ON LATERAL POSITION TO CLEAR
MILK/ MUCOUS FROM MOUTH
Saturday, January 18, 2014
First Aid to Just Born Baby For Common Man
NEONATAL RESUSCITATION
(FIRST AID TO JUST
BORN BABY FOR COMMON MAN)
All new
borns usually
11) Cry well at birth
22) Pink in colour
33) Body movements & reflexes present
44) Normal breathing / Heart – beats.
But about 5%
don’t have any of these or all of these. Such babies need help to cry & to breathe
within 5-10 minutes of birth. Otherwise there will not be enough blood
circulation to brain which will result in damage to brain (cerebral palsy /
spastic child / mental retardation – permanent).
In order to
prevent such eventuality, these babies should be handled by an experienced new
born baby specialist & bring about normally in 5-10 minutes. Note the time
factor.
Apgar Score:
The five points mentioned above are assessed by a scoring system for prognostic
guidance each carry 2marks. A total of 10 marks out of 10 should achieved in
5-10 minutes after birth.
This method
was devised by a doctor by name Apgar. Hence the name.
A score
below 7 is not compatible for a normal state. Any baby with less scoring will
suffer from various deficiencies in mental faculties like low academic
performance in later life.
Cerebral
palsy (Spastic Child)
This is due
to low Apgar score at birth. The baby is usually blue & does not cry due to
various reasons like:-
11) Metabolic Disturbance
22) Maternal Conditions like spinal
anaesthesia
33) Cord around neck
44) Congenital problems, etc.
These babies will suffer from:-
11) Stiff body
22) Stiffness of all 4 extrimities
33) May throw fits often (they are often
referred to as vegetable) all due to brain damage at birth.
Little’s disease 200 yrs back, Children of well to do families with these
problem went to an orthopaedic surgeon by name Dr.Little (UK) who after seeing
lot of cases declared that this is due to inadequate obstetric care during
delivery & is preventable (by appropriate neonatal resuscitation) So an
orthopaedic surgeon discovered the cause of cerebral palsy & not by an
obstetrician or physician or general surgeon thanks to Dr.Little.
The Author has devised new technique by which almost 100% success rate
can be achieved in neonatal resuscitation.
DR.P.SELVARAJ
MD.,DCH.,FRSH (LONDON)
Email –
id of author:-
Consultant –
Child specialist
Consultant –
General Medicine (Adult)
Velammal
Family Clinic
TVS Colony 1st
main road,
Annanagar
West Extn,
Chennai –
600 101.
Ph. No.
7299005901
Please
visit my blog:-
drpselvaraj.blogspot.com
Look for
neonatal resuscitation & Aggressive neonatal resuscitation
Special
Neonatal resuscitation training can be given to staff nurses at Velammal
hospital.
For further
details
Fever In Children & Adults
FEVER
This is not
a disease. This is an indication that some micro-organisms have entered into
our system. Generally virus, bacteria, parasites in-vade our body and produce
Toxic substances for which body reacts in the form of fever. First of all we
need not get worried about it. All that requires is a Tepid sponging with cold
water on body surface all over repeatedly. With this the fever will come down,
but not the disease. It is doctor’s duty to find out the cause & treat the
cause. Forget about old method of forehead strape with cold water.
COMMENEST CAUSES:-
11) Viral
22) Malaria
33) Bacterial Infection (specially
respiratory tract)
Rarely Chickun-gunea,
Dengue, Leptospirosis (in tamil rat fever)
Specific
treatment should be given if it is malaria as per WHO standarad. Blood smear
report will be negative in majority of cases. It will be positive only if blood
contains large number of parasites (2500 parasites per ml of blood) WHO advises
antimalarial treatment if there are not enough causes for other fever. Sometimes
malaria can co-exist with another cause.
In females
(adults & childrens) all cases need urine culture test to rule out urinary
tract infection. Female, fever & fine rigor (chills) means almost urinary
tract infection. If there are no other attributable cause. Typhoid is rarest
cause. Blood widal test will be positive even in non-typhoid cases. It is only an
indirect test. Only culture of stool, urine or blood is a proof. In children
respiratory infections is commonest & may require suitable antibiotics for
a course. Children from 6months to 6yrs may throw a fit (convulsion) during
febrile episodes. Such children need scientific lab studies to rule out brain
infections.
Children,
who get fits during fever, may have repeated attacks when they are febrile.
They may need prophylactic anti-convulsant treatment for a course or during febrile
episodes. Unneccessary antibiotics should be avoided in children or adults.
Whenever respiratory infection suspected, x-ray chest is a must for children
& urine culture for female children.
If urinary
infection in female children, not treated in childhood, it may damage the
kidneys and cause high blood pressure, leg edema (swelling) & fits during
their adult life specially during pregnancy.
Relevant
stories in Google website:-
1a) Typhoid Mary
2b) Dr.Alexander Fleming – who discovered
penicillin (1881)
Nobel Prize winner in 1945. 50yrs back penicillin was top selling drug in
all countries, as it was used for 90% illness of all human beings.
Conclusion:-
Above diseases are main causes for fever production, but there are innumerable causes for fever & the clinician has to first see the case, Examine, Investigate & finally make final diagnosis & treat the case as per the cause of fever. Eg. Rhumatoid disease may present as fever, but actually it is a bone, joint, muscle, fascia inflammation.
DR.P.SELVARAJ
MD.,DCH.,FRSH (LONDON)
Email –
id of author:-
Consultant –
Child specialist
Consultant –
General Medicine (Adult)
Velammal
Family Clinic
TVS Colony 1st
main road,
Annanagar
West Extn,
Chennai –
600 101.
Ph. No.
7299005901
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