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BODY &
MIND
Asthma can be controlled: DMA
Tripti Nath
ON the occasion of World Asthma Day on May 6, the Delhi Medical Association (DMA) has announced that asthma is controllable and henceforth no patient should now die of asthma. Delhi has about 10 lakh patients of asthma, according to DMA. Experts from the Patel Chest Institute, chest specialists and DMA members have identified warning signals as bluish discolouration of the skin or nails, respiratory rate exceeding 30, prominence of accessory muscles in the neck while breathing, pulse rate exceeding 120, inability to lie down or complete a sentence or a phrase. They recommend immediate hospitalisation in case any of these signs are visible. Experts have further warned that even a mild asthma can have a fatal exacerbation and every patient should therefore have a written home management programme to manage acute exacerbation at home. Dr Anil Bansal, President of DMA, Dr V.K. Vijayan, Director Patel Chest Institute, Dr K. K. Aggarwal, Chairman of DMA Scientific Committee, Dr Sarvesh Kumar, chest specialist and Dr I. P. Dhalla, President (elect) DMA are in agreement over the curative properties of 'Jalneti', a technique involved in nasal wash. The doctors have pointed out that 'Jalneti' has now been accepted in most of the asthma rehabilitation programmes the world over. Joining hands to support AIDS patientsA four-day seminar highlighting ‘Leadership for Results Programme’ for People Living with HIV/AIDS (PLHWA) concluded here on Friday. The seminar was organised by United Nations Development Programme (UNDP) in collaboration with Indian Network for People Living with HIV/AIDS (INP+), National Aids Control Organisation (NACO) and Indian Institute of Planning and Management (IIPM). There was a consensus on the recommendation to strengthen partnership between PLHWA, the UN system and the corporate sector. INP+ President Abraham Kurian sought the support of all partners in achieving goals in areas of capacity building, funding and resources, greater involvement of people living with HIV/AIDS, treatment, care and support and access to information. All the 130 PLHWA leaders from different parts of the country agreed that the recommendations are vital for containing the HIV/AIDS epidemic. The leadership for results programme has been developed by UNDP. The yearlong programme is aimed at developing the capacity of 3.97 million people with HIV/AIDS living in India to influence others to scale up responses and contain the HIV/AIDS epidemic. HIV/AIDS is one of UNDP’s six corporate priorities. Addressing participants at the valedictory session, Dr Meenakshi Datta Ghosh, Additional Secretary and Project Director, NACO said, “The government is strongly committed to involve PLHWA as key partners within the national response to HIV/AIDS and support the capacity and leadership development of PLHWA.” Dr Brenda Gael McSweeny, UN Resident Co-ordinator and Resident Representative, United Nations Development Programme India, said that the only effective response to a challenge posed by HIV/AIDS, which touches so many areas of our personal, community and national life is through truly collaborative multi-sectoral partnerships. Man undergoes penile re-implantationA 26-year-old married man from Kurukshetra, who benefited from a rare penile re-implantation at the Pushpawati Singhania Research Institute here on April 17, was discharged on Thursday. The man suffering from bipolar depression had cut himself in a demented state. He was brought to the hospital four hours after he had mutilated the organ. Dr Rajesh Taneja, Senior Consultant of Urosurgeon at PSRI, who performed the microsurgery, said that the surgery was complicated as the man had cut the organ several places before cutting it from the root. “We had to suture all the blood vessels and repair nerves and other structures besides stitching the organ. His relatives were swift in assembling the organ in ice pack and bringing it here.” Dr Taneja said that the patient developed infection on the implant on the eighth day. He has been advised some medication and has to come back for a review. He said that in the past, penile repair procedures do not involve microsurgical repair but only a general surgery. “Though the grafts survived, there were complaints of reported skin loss, insensitivity, inability to perform sex and other problems. The new microsurgical procedure overcomes such limitations. A pair of plastic implants can be used to restore erectile function. The plastic implants cost Rs 15,000,” he said. The rare penile implantation done for the first time in the institute cost Rs 60,000. According to experts, most cases of penile amputation are usually the result of self-mutilation in-patients suffering from psychiatric disorders. It is an uncommon injury. While 87 per cent of the patients have psychiatric problems, 25 per cent mutilate their organ in an inebriated state. The non-psychotic group comprises transsexuals or persons with character disorders. Single shot vaccine for typhoidThe launch of TYPBAR-Vi, a single shot vaccine for typhoid by Hyderabad-based Bharat Biotech International Limited, is welcome in India, which falls in the category of endemic or hyperendemic to the disease. The vaccine was launched by the Chief Minister of Karnataka, Mr S.M. Krishna on Friday. The company is known for developing new generation vaccines and bio-pharmaceuticals. The TYPBAR vaccine is being manufactured under Current Good Manufacturing Practice conditions and regulations in state-of-the-art facilities at Hyderabad. Bharat Biotech is aiming at an annual production of 50 million doses of TYPBAR. The vaccine is priced at Rs 175. The company claims that the positive cost-benefit ratio of TYPBAR is due to its single-dose primary immunisation, higher seroprotection percentages and safety. An acute life-threatening illness caused by bacterium Salmonella typhi, typhoid fever, is characterised by fever, headache, malaise, anorexia, splenomegaly and relative bradycardia. About 6 million cases of typhoid fever are reported in India every year. Commenting on the new vaccine, Dr K.S. Sachdeva, Secretary, IMA College of General Practitioners said, “The efficacy of any vaccine is determined on the basis of its sero protective value. This vaccine is high priced for a public health programme.” When disease gnaws at dignityIn a joint message on the International Red Cross Red Crescent Day on May 8, the heads of the International Committee of the Red Cross and the International Federation of Red Cross and Red Crescent Societies, have stated that human dignity is under threat on many fronts: from war; from disease and from disaster. “Our message at this year’s international conference of the Red Cross Red Crescent Movement will be that human dignity, to which everyone has a right, must be protected. This challenge may appear insurmountable-millions affected by AIDS, many still suffering in the midst of conflict, poverty denying access to the very basics of a dignified life, but we have mechanisms to respond,” reads the statement issued by Dr Jakob Kellenberger, President, International Committee of the Red Cross and Don Juan Manuel Suarez del Toro Rivero, President, International Federation of Red Cross and Red Crescent Societies. Students visit herbal gardenSenior secondary students from Delhi schools visited the herbal gardens at Rashtrapati Bhawan early this week. Spread over 10 acre, the herbal garden has 30 species of medicinal and aromatic plants. The Central Institute of Medicinal and Aromatic Plants (CIMAP), Lucknow, demonstrated extraction of oil from various plants grown in the garden. The President, Dr A. P. J. Abdul Kalam took students around and explained to them the significance of herbal and aromatic plants.
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