TATT can lead to chronic fatigue syndrome over time

Health Care, Heart Care Foundation of India, Medicine Comments Off

Children and adolescents are most susceptible due to gadget use; adults under work stress can also suffer from this condition

New Delhi, 31st March 2018: About 80% of adolescents today do not get the recommended amount of sleep, as per a survey. Other than this, a significant number of them suffer from what is called the Tired All The Time (TATT) syndrome. Prolonged hours on the computer or TV are responsible for this condition and children or adolescents often complain of tiredness and fatigue.

A drained-out feeling and extreme tiredness over a relatively short period is called TATT. When it gets magnified, over a long duration, it can lead to chronic fatigue syndrome. TATT can be confusing to diagnose at times as the symptoms can mimic other conditions such as diabetes, anaemia, depression, etc.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, President Heart Care Foundation of India (HCFI) and Immediate Past National President Indian Medical Association (IMA), said, “Some contributory factors for TATT include not drinking enough water, and eating too little protein, or too much or too less carbohydrates. It can also occur if one does not time their meals well and have a balanced diet. Apart from this, when a person works for nearly the whole day in front of the computer, they do not get enough sleep. Such lack of sleep can contribute to exhaustion. People today lead extremely stressful lives which keeps their adrenaline pumping, and in turn keeps them awake. Stress saps energy and robs mental peace and ultimately leads to TATT.”

Some prominent symptoms of TATT include constant feeling of exhaustion, inability to work for long hours, a constant feeling of not having slept enough, bodyache, and lack of energy, motivation, and interest.

Adding further, Dr Aggarwal, who is also the Group Editor of IJCP, said, “The good news is that TATT is not a long-term condition and can be managed with proper rest, balanced and timely food habits and regular exercise. At the outset, it is important to acknowledge that there is a problem and make changes accordingly. that there is a problem and you have to change your lifestyle. Ask for help and in case a child or teenager is involved, put away the device that’s causing concern (like a smartphone).”

Some tips from HCFI.

  • Stop overloading your brain with work. Slow down to pause and reflect on your thoughts. Meditation and yoga can help remove tiredness and stress.
  • Laugh more often, and avoid being self-critical all the time, as this can be psychologically devastating.
  • Set a routine for yourself, eat healthy and exercise. Include fruits and vegetables in plenty. These are naturally rich in antioxidants and can help boost immunity.

·         More than anything, take the time to do something that relaxes you.

More children being diagnosed with Type 1 diabetes in India

Health Care, Heart Care Foundation of India, Medicine Comments Off

With certain precautions, it is possible for kids with this condition to lead a normal life

New Delhi, 30th March 2018: The incidence of Type 1 diabetes is on the rise among children today with about 97,000 of them affected in India alone. About 32 per lakh children are affected in Delhi alone. Type 1 diabetes is also called juvenile diabetes as it affects children primarily.

Type 1 diabetes is caused when the immunity of a person turns against the body killing insulin-producing cells in the pancreas. Life can be traumatic for children with this condition as they need to regularly take insulin injections, which can become a reason for their stigmatization.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, President Heart Care Foundation of India (HCFI) and Immediate Past National President Indian Medical Association (IMA),said, “There are many myths surrounding Type 1 diabetes which can hinder effective treatment. For instance, there is lack of awareness about better ways to track and manage glucose levels, such as that by a Glucometer or insulin pumps. It is imperative to educate the society that children with this condition can lead very normal lives and be as active as others. Type 1 diabetes is not caused due to high intake of sugar. Although diet, activity level, and weight have not been found as a causative factor for the onset of Type 1 diabetes, it is always better to exercise and eat a balanced diet as precaution. Parents have a large role to play in leading by example.”

Some symptoms of Type 1 diabetes include excessive thirst, frequent urination, hunger and tiredness, weight loss, slow-healing sores, dry and itchy skin, tingling sensation in the feet, and blurry eyesight.

Adding further, Dr Aggarwal who is also the Vice President of CMAAO, said, “Type-1 diabetes cannot be cured. Insulin helps to control blood sugar levels and is key to lifelong management of this condition, along with regular blood sugar monitoring. It is important for parents to teach and help their children take their insulin and educate teachers and caregivers about it too, especially when children are at school or away from home. With proper treatment and care, they can have a normal childhood and a full adult life.”

HCFI tips for Type 1 diabetes

  • Make a commitment to manage your diabetes.
  • Take your medications as recommended.
  • Learn all you can about type 1 diabetes.
  • Make healthy eating and physical activity part of your daily routine.
  • Keep a glucagon kit nearby in case of a low blood sugar emergency — and make sure your friends and loved ones know how to use it.
  • Schedule a yearly physical exam and regular eye exams. Your regular diabetes checkups aren’t meant to replace yearly physicals or routine eye exams.
  • Keep your vaccinations up to date. High blood sugar can weaken your immune system. Get a flu shot every year.

Alarming rise in antibiotic usage in India

Health Care, Heart Care Foundation of India, Medicine Comments Off

Rate of consumption up by 65% in the last 15 years indicating the need for urgent measures to tackle the situation

New Delhi, 29th March 2018: Researchers have identified that the global consumption of antibiotics has soared since the year 2000. This could mean drug-resistant superbugs spiraling out of control and calls for new policies to control and oversee usage of these drugs. With the rate of consumption going up by 65% between 2000 and 2015, the need of the hour is to invest in alternative treatments, sanitation, and vaccination.

Antibiotic resistance, driven by antibiotic consumption, is a growing global health threat. As with climate change, there may be an unknown tipping point, and this could herald a future without effective antibiotics.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, President Heart Care Foundation of India (HCFI) and Immediate Past National President Indian Medical Association (IMA), said, “Antibiotic resistance is a growing concern and its impact on patients and communities are known to us all. This is a public health problem, one which is rapidly spreading across the globe, with not enough resources to control it. It has made it harder for us to treat many infections such as typhoid, pneumonia, tuberculosis. Antibiotic resistance prolongs hospitalization, increased cost of treatment and increases risk of death. Several studies have corroborated its adverse impact on health. Doctors as well as patients should be aware about and advocate judicious use of antibiotics. Over prescription and self-prescription, both, need to be checked.”

Taking cognizance of the impact of antibiotic-resistant infections, IMA has proposed several initiatives to tackle this public health threat – “Jaroorat Bhi Hai Kya”, “3A Avoid Antibiotic Abuse campaign”, “Use Wisely not Widely”, “Think Before you Ink”.

Adding further, Dr Aggarwal, who is also the Vice President of CMAAO, said, “One of the biggest reasons for the misuse of antibiotics is buying them over the counter without consultation with a doctor. Before prescribing antibiotic, always ask yourself: Is it necessary? What is the most effective antibiotic? What is the most affordable antibiotic? What is the most effective dose? What is the most effective duration for which the antibiotic should be administered?”

Some HCFI tips to combat antibiotic resistance.

·   Practice rational use of drugs antibiotics

·   Use when needed and according to guidelines

·   Avoid broad spectrum antibiotics without appropriate diagnosis

·  Prevent infections with the use of vaccination and by improving basic hygiene including hand hygiene and infection control techniques and sanitation in health care settings as well as in the community

· Farmers and food industry must stop using antibiotics routinely to promote growth and prevent disease in healthy animals to prevent the spread of antibiotic resistance.

IMA Antibiotic Policy

·   Use the term anti-microbial resistance for doctors and antibiotic       resistance for public.

·  IMA CLINIK: Every IMA members must follow this policy

·   If you have prescribed antibiotics, put the name of the antibiotic in a                   box, so that it can be identified distinctly

  • Write the total number of antibiotic tablets/capsules to be taken for the prescribed duration in the prescription and not just the dose administration schedule.
  • Put a rider in the prescription indicating “no refill without doctors current prescription”
  • Consider shifting Schedule H antibiotics to H1 and H1 antibiotics to Schedule X
  • All food products should be labeled “Antibiotic free”. Antibiotic resistance is also a concern with regard to food safety. The bacteria that contaminate food can be resistant because of the use of antibiotics in people and for growth promotion or disease prevention in healthy food-producing animals.
  • Antibiotic waste disposal policy is needed to prevent contamination of the environment; discharge of untreated waste into soil and rivers
  • No antibiotics should be prescribed in case there is fever with rash; fever with cough and cold; suspected or confirmed dengue, malaria, chikungunya, viral hepatitis, viral;
  • Early antibiotics should be given in suspected sepsis, meningitis, pneumonia, positive TB
  • Costlier and newer antibiotics does not mean they are more effective
  • Treatment is not started in TB, HIV, HCV unless the test is positive similarly no antibiotic unless there is an evidence to give.
  • Prevent infections with the use of vaccination and by improving basic hygiene, including hand hygiene and infection control techniques and sanitation in health care settings as well as in the community
  • Four pillars of infection prevention: Hand Hygiene, Hand Hygiene, Hand Hygiene and Hand Hygiene.
  • Every medical establishment must draw its own antibiotic policy ( antibiotic IV to oral switch, antibiotic preference based on local antibiogram, reuse of medical devises and safe syringe practices)
  • Notify TB, MDR TB and XDR TB
  • Any culture report showing sensitivity to third and fourth generation cephalosporin it is implied it will be sensitive to first and second generation cephalosporin

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