Tuesday, June 12, 2012

HOW TO FEED THE NEW BORN BABY

1)Baby's position should be vertical
2)never feed baby in lying position(beware of aspiration-milk into respiratory pathway)-may lead to suffocation.3)dont give prolonged feeding-finish it in 10 mts.4)BURPING IS ESSENTIAL AFTER ALL FEEDS.5)PLACE BABY IN HEAD RAISED POSITION.6)MILK REQUIREMENT;-approximately 100 ml per kg per day in 8-10 devided dose7))breast feeding can be started after 2 hrs of delivery 8)first 3 days' milk is important,as it contains CHOLOSTRUM-a product not availble commercially,&it contains life savingchemical substance necessay to fight against disease producing microbes specially against neonatal diarrhoea.9)feeding bottle sterilisation is an art &learn it from adoctor.

Monday, June 4, 2012

LOOKING AFTER a new born baby

1) mother &grand mother alone should handle baby.
2)Avoid mosquito bite/flies sitting on baby's mouth
3)Those who cough should not come near the baby
4)put the baby on a hanging saree-better than other options
5)beware of scorpions/bees/pet animals/kidnappers
6)umbrella mosqito net helps in many ways

DELETERIOUS EFFECTS OF COW'MILK

1)ALERGY-SKIN,GASTROINTESTINAL TRACT(ABDOMINAL PAIN,VOMITING)
2)LACTOSE INTOLERANCE-CAUSES DIARRHOEL DISORDER IN INFANTS,SPECIALLY
NEW BORN BABIES3)ASTHMA-WHEEZY BRONCHITIS.4)COW'S MILK PROTIEN INDUCED ENTEROPATHY--DIARRHOEA(TREAT WITH SOYABEEN MILK)5)JUVENILE DELINQUENCY
--YOUNG CRIMINALS IN MINOR JAIL.6)POOR ACADEMIC PERFORMANCE---LOW MARKS IN SCHOOL/ SCHOOL DROP OUTS.(TREAT WITH FORMULA FEEDS UPTO AGE 5--AND NEVER WITH FRESH COW'S MILK/PACKET MILK)

Monday, April 23, 2012

mender of bad soles

1)itching-pruritis 2)painful soles #corn soles often give troubles to senior citizens,specially at nights--intolerable itching senseon soles of the feet.Though the problems are many like 1)itching-pruri tis2)painful soles 3)corn soles 4)numbness 5)loss of touch sense 6)hypersensitveness 7)ulcer feet due to diabetes mellitus with attendant complications.Many cases of dibetes diagnosed only after itching developed on the soles.now we will take up only itching sense for quick relief a reason for the same.
; In the older age group of persons many people suffer from&; arterial narrowing leading to 1)atherosclerosis(cholestrol blocking the vessel 2)calcium deposition  in the inner layer of blood arterial vessel wall of cappilaries. causing narrowing  leading to less blood supply to tissues-expressed as itching sense  specially at dead hour of the night disturbing.dermatologist will&; presc ribe a mosturising soap ,mosturising cream/lotion antihistamine tablet at night +tab trigobantin100 mg -od 10 DAYS,THEN 300 MG OD FOR FEW MONTHS

best solution:foot exercise& at 9-10; in lying position flexing &extending al 10 toews for 50 times thrice within 9-10 pm you will not have pruritis because the blood supply becomes adequate


Friday, April 6, 2012

pediatric medical camp

1) all new born baby problems
2)how to prevent AGE/PNEUMONIA
3)Immnisation procdures
4)NEW BORN SCREENING TESTS

PHENYL KETONURIA
mapple syrup urine disease
sickle cell disease
biotinase defficiency
congenital adrenal hyperplasia
hypothyroidism
galectosemia-blindness
toxoplamosiscystic fibrosis
tyrosinosis

5)how to detect intellectual develope ment
6)LBW BABY MANAGEMENT
7)feeding problems
8)bottle sterilisatinmanagement of cry problem
9)accidents
10)neonatal resusitation
11)asphyxia
12)prenatal advice to pregnanat mothers

inj-tt-2 doses
folicaciddd soya

eggs






complete rest
total rest if previous h/oabortion
cervical suturing
good food to increase baby weight
13)new born--prevent infection
14)immunisatione
aspiration/fall/sibblingcarrying the baby/ child lifting/smothering
18)diet
BM
formula
no fresh milk
egg white
lean fish
19)sleep-swoddling/gentle shaking/llullaby

Wednesday, May 4, 2011

OSTEOPOROSIS- SELF DIAGNOSIS

OSTEOPOROSIS IS A CONDITION WHERE THERE IS LESS BONE MASS,LESS BONE DENSITY DUE TO LESS CALCIUM IONS IN THE BONE,RESULTING IN EARLY&SPONTANEOUS FRACTURES ESPECIALLY IN WOMEN AFTER MENOPUASAL AGE.MORE THAN 50%OF WOMEN IN THE AGE GROUP OF 60-70YRS SUFFER FROM THIS DISABILITY,ALL OVER THE WORLD 90%COME TO KNOW THIS ONLY AFTER SUSTAINING A FRACURE.
SELF DIAGNOSIS BEFORE A FRACTURE&WITHOUT AN X-RAY:
THE NAILS ARE BRITTLE ,&BREAK EASILY,SPECIALLY IN THE TOE NAILS,WHICH PEEL EASILY,LIKE ONION SKIN.THEY ARE SOFT LIKE A PIECE OF SOFT CLOTH. THIS IS A THAT A FRACTURE SPINE IS INEVITABLR IN THE NEAR FUTURE.NOW THE PATIENT SHOULD TAKE A SUITALPREMONITARY SIGN.NOW THE PATIENT SHOULD TAKE A WLL QUAKIFIED DOCTOR"S ADVICE.

APLAIN XRAY CAN CONFIRM THE DIAGNOSIS

Friday, March 4, 2011

AUTISM-SPECTRUM DISORDER ( A .D .H .D)

This is a psycho social disorder found in few children in the age group of2-5 years.
This a mental condition in which child finds difficulty in ,making any kind of communication by any or many of the five special senses,or unable to socialise or establish any kind of relationship with other people easily.
It is said that very big intellectuals/celebrities,like Eienstien,Bill gates suffered from autism during their infancy.This is fully crrectable ,provided ,it is recognised early &appropriate environemental stimulation given at early age itself.
This is also known as attention deficit hyper active disease.

chief charecteristic features of identification of this disorder:

1) unsatisfactory social interaction


2)unsatisfactory ,visual,verbal auditory communication.


3)show of disinterest on anything sourounding the child

OTHER MINOR POINTS OFTEN FOUND IN MAJORITY :

1)LESS ATTENTION TO SOCIAL STIMULI
2)LESS SMILE,/LESS LOOK AT OTHERS.
3)LESS EYE CONTACT
4)REPEATING WHAT OTHERS SAY
5)SENSORY ABNORMALITY-90%
6)POOR MUSCLE TONE-80%
7)TOE WALKING
8)MANTAL RETARDATION--MOSTLY
9)STRONG GENETIC BASIS.

AUTHER'S CONCEPTUAL THOUGHTS :

All the afore said clinical features are difficult to identify by non medical people.On the contrary it will be easier to identify that certain signs of intelligence are present or not &such signs keep increasing as they grow This intellectual improvement is continuous about a new "sign every week or atleast every month,once.IF A PARENT IS UNABLE TO identifysuch intelligent signs periodically ,then they should consult a senoir pediatritian or a child psychologist

The intellgence signs are present from age one month onwards & is a continuous Copying what elders do is a sign of intellgenceprocess.
What are the signs of intelligence(parents should ask the doctor)

Here are some examples:
At age one month :mother talks to new bornwhich listens carefully.After 1-3 minutes the baby makes1)bodily movements.2)babbles some sounds.3)hand movements obvious4)eye contact established with mother.5)looks at another person when interrupted atleast for a second.6)maks us know that its vision&hearing are good7)Obviously body language &sounds establish communication attempt without any doubt.If these are not found at age 3 months parents should consult an 'appropriate' doctorInnumerable signs of intelligence can be had from the auther by e-mail(drselvarajp@yahoo.com)

CONCLUSION&SUMMARY:
All babies are not born with adequate intelligence.At least 2-5 %childrn have sub standard intelligence,&they need to be identified early.parents must be vigilant to look for intellgence signs periodically from age one month ,when such intelligence signs ,are invisible they should report to an experienced doctor who will catogorise wheather it is1)hypothyroid state,2)Hearing disorder,3)vision disorder,4)small/big headcircumference, 5)Downs syndrome,6)Autismspectrumdisorder7)behaviur disorder 8)sensory system disorder 9)congenital metabolic/aminoacid disorder--All will cause permanent &irrevocable B R A I N D A M A G E ..