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text 2020-02-27 07:00

The Importance of Organ Donation

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Organ donation is the process when people allow their organs to be removed and transplanted to another person legally either with consent when a person is alive or with the permission of next of kin when a person has died. Organ donation is usually done as a transplant where organs are transplanted to another person or for research. Common transplantations are kidneys, heart, livers, pancreas, lungs, bones, bone marrow, skin, and corneas. Some organ donations such as kidneys or a part of the liver are done when a person is alive and is called living donation. Most organ donations are done when a person is dead and is called a deceased cadaver donation.

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According to studies 5 lakh, people die every year while waiting for organs. There is a huge shortfall in the number of organs donated to the people on the waiting list of a transplant. The number of people waiting for a corneal transplant is over 10 lakh. Organ donation can play a huge role in saving lives. The country can do a lot more to encourage people to donate organs. The government is looking for ways to boost organ transplant has declared 13^th August as organ donation day.

Organ transplant often means a second chance in life. Vital organs such as kidneys, heart, and lungs can be transplanted to people whose organs are failing. This could mean allowing the patient to lead a normal life and no longer being dependent on costly treatment to survive. A cornea transplant can help the blind see again.

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At a meeting of think tanks in Pune doctors and activists in 2018, they tried to look for ways to improve the coordination to make the organ donation movement a success. One of the ideas discussed was to increase the involvement of ICU doctors in the program because they can identify brain dead patients and act as transplant coordinators.

In 2018 Kokilaben Dhirubhai Ambani Hospital (KDAH) Mumbai managed to convince the kin of 11 brain dead patients for organ donation. The hospital revealed having a transplant coordinator being a doctor helped in their efforts. Hospitals have also set up transplant units. A successful organ donation movement needs the public and private health sector to work together.

Hospitals need to form a counseling unit to counsel families before and after donation for some time. Hospitals are working together to form a network of cadaver organ transplants to improve coordination. Chennai has shown success after implementing the network. This model can be implemented in other cities as well. There are several advantages to forming a network.

A larger pool of donors resulted in better-matched organs
Organ donation is expensive the cadaver needs to be maintained and the added expenses of the retrieval surgery. The network will help in distributing the costs.
The network will ensure organs are not wasted.
It will ensure there are standardized retrieval and perfusion techniques. Hospitals in Chennai have shown great success in transplanting organs to other parts of the country.
The network will allow hospitals to share expertise and staff.
Donor families are less apprehensive about donation if the organs are shared between different hospitals.
The network will ensure legal accountability and will be less prone to exploitation.

Problems such as the nonavailability of recipients and wastage of organs are being worked on. NGOs and the government are working together to remove the stigma associated with organ donation.

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text 2020-02-14 07:17

Lighten The Burden Of School Bags

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One of the enduring images of children going to school in India is the huge enormous school bags strapped on to their tiny backs. Indian schools are high-pressure institutions. Schools have a packed curriculum with academic and non-academic activities.

According to health experts, over 60% of schoolchildren in India have suffered back and neck pain and slouched postures.

Children have bones are soft till they are 18 and the spine is not firm enough to carry heavy weights on their backs and shoulder. Children often carry their bags on one shoulder leading to muscle strain, muscle spasm, and back pain.

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Why are school bags heavy?

According to a survey, an Indian school child in the age group of 7-13 carried over 45% of their weight on their backs. This included lunch boxes, water bottles, sports kits, and art kits. Children complained of being forced to carry all their books every day. A child in this age bracket carried over 21 books a day. The weight of the school bag weighed anything between 4 to 10 kg. Children especially rural school children walk for kilometers with their heavy school bags.

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Effects of heavy school bags

A study carried by Associated Chamber of Commerce and Industry, India showed 68% of pre-teen children suffer from mild back pain this may later develop into chronic back pain and slouched shoulders. An overloaded or incorrectly worn schoolbag causes the child to lean too far forward, distorting the natural curvature of the spine, rolling their shoulders and causing more rounded backs. Children who carry their bags on one shoulder, might have an uneven gait and suffer from neck pain.

Studies found 42% of students in Maharashtra complained of shoulder discomfort while 23.9% complained of neck pain. While 68% of children complained about back pain.

Doctors are worried children are at higher risk of early spondylitis and have severe back pain. There are also risks of chronic back pain and spinal damage. Heavy school bags are also mentally draining and children feel tired all the time.

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Symptoms parents need to be careful about.

Signs parents need to lookout for:-

Watching your child’s posture discomfort sitting
Tiredness in the shoulder or upper back
Constant neck pain or shoulders.
Parents need to consult the best doctors near me if the pain persists for more than 4 weeks.

Solutions

The Central government has issued limits for bag weight class wise

Class	Bag Weight
1 to 2	1.5 kg
3 to 5	2 to 3 kg
6 to 7	4 kg
7 to 9	4.5 kg
10	5 kg

The government also recommends no homework should be given to children below class 2. School can gradually increase homework as the child grows older. Most state governments have issued similar guidelines to schools. Officials carry out random checks to see if schools are complying with the norms laid out.

Parents can help by choosing ergonomically efficient school bags, with the strap resting in the middle of the shoulder and backpack proportional to the child’s frame. Pack the bag as per the schedule of the day.. It is advisable to put the heavier books in the back and distribute the weight evenly. Children can carry their tiffin and water bottles in a different bag.

We need to teach our children to carry their schoolbags correctly. Using both straps will ensure even weight distribution. Adjusted backpack strap fits the child’s back. A dangling backpack can lead to complications such as spinal misalignment and pain.

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text 2020-02-06 10:42

Why it’s important to have your own General Physician in 2020

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Physicians are doctors providing a range of non-surgical care to adults. Physicians are also called primary care physicians (PCP) or general physicians (GP). They treat minor to major illnesses. A general physician in Pune may see patients in the hospital or their chamber. General physicians are generalists and have not specialized in a particular area of medicine. General physicians in India have completed their MBBS followed by their MD in medicine. Other types of general physicians Family doctors are doctors who look after the entire family health from children to the elderly. Pediatricians are doctors who look after children’s health and well being. Gynecologists are doctors who look after woman’s health with a special focus on their reproductive health. An internal medicine specialist is a doctor who specializes in treating adults. Geriatrics are doctors who specialize in the healthcare of the elderly. What do physicians do? Physicians are trained to prevent, identify and treat diseases affecting their patients. A GP is not specialized in one particular area of medicine but able to treat a wide range of illnesses. In case you need specialist care they refer you to one. They can act as coordinators if you need the care of multiple specialists. Ziffytech is a platform where you can find the best doctors in Pune. Also, you can book a general physician in Pune. You can book the best Pediatrician in Pune and if the doctor suggests some diagnostic test in Pune then you can do Blood test at home at an affordable price. Why do we need a general physician? Your physician can provide an all-round health care solution. You can discuss a range of health issues you may experience. These may be physical, emotional or mental. Your physician will help you manage chronic conditions such as arthritis, asthma or diabetes better. You can order blood tests at home and visit your doctor with the results to manage the disease better. You will develop a level of comfort with your physician. The level of comfort and trust will help you discuss your health concerns freely. Your physician will know your medical history and will know details about your family’s medical history. This will help them preemptively catch symptoms of a serious medical condition. Regular visits to your GP will lower your overall health care cost. This will help in regular screening and regular updating of your medical records. The regular screening will help catch symptoms before it worsens and leads to a serious health problem. When you need specialist care your general physician will be able to recommend one. Patients often visit multiple specialist doctors. Some time medicines prescribed by different doctors do not react well with one another. Your physician will keep a track of all medications and record side-effects if any. They can recommend changes in the medication or talk to your specialist to better manage the medicine regiment. Your physician can advise you on lifestyle changes such as exercising, dieting to improve your general health and keep diseases at bay. They can keep you updated about the latest vaccine available for adults. In case you are hospitalized your physician can be contacted for your medical history. They can coordinate treatment. Preparing for your first visit with your physician Preparing your first physician visit can make it more productive and less stressful. Making a list of things you want to discuss with your doctor. Prioritize the most important ones. It will be helpful to discuss them at the beginning of the appointment when you are less rushed. Take a list of your medication – prescription, herbal or supplements that you take daily. You should also take the latest medical test reports if any. A list of specialists you see. It will be helpful to take a friend or a family friend during a visit. They can help keep you calm and help you remember what was discussed.

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text 2020-01-31 06:52

Common Pesticides linked to heart diseases

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Pesticides are used to control the menace of pests and vermin. Pesticides are sprayed in agriculture to control weeds, diseases, and prevent insect and vermin infestation. Pests can cause large scale damage to crops and spread serious diseases as well. According to estimate 26 to 40% of crops are lost annually due to weeds, pests, and diseases. The adverse effects of pesticides are well known. Pesticides are poisons it can cause short term damage to our health or long term damage due to prolonged exposure.

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Cardiovascular disease is a leading cause of death worldwide. Cardiovascular disease is an ailment of the heart or blood vessels. It is generally associated with deposits inside the arteries and an increased possibility of stroke. Pesticides can cause lipid peroxidation which can cause heart diseases. This peroxidation causes plaque build-up inside the arteries. Chronic exposure to pesticides is linked to an increased risk of coronary artery diseases that can cause heart attacks or strokes.

Men exposed to a high level of pesticides at work are at a higher risk of cardiovascular disease. Farmers, workers who work in pesticide factories and home pest control exterminators are particularly vulnerable. Pesticides can enter the food chain through contaminated water or food.

Pyrethroid insecticide is a common insecticide used in agriculture, public spaces, and households around the world. The chemical accounts for 30% of pesticides worldwide. Pyrethroids enter our bodies through inhalation, ingestion of contaminated water or food, or skin absorption. Forms of pyrethroids can be found in the urine of people exposed to the pesticide.

During the research, the University of Iowa people who have been exposed to pyrethroids are thrice as likely to die from cardiovascular disease. This was collaborated by the Kuakini Honolulu Heart Program which had a large sample size of 8000 people. The study was conducted for over 34 years. The exposure to pesticides was estimated using a scale from the Occupational Safety and Health Administration that assess occupational exposure for each job. Researchers compared to men who were not exposed to pesticides at work, in the first 10-year follow-up found:-

Approximately 45% of higher risk of heart disease of people who had high-risk exposure. This was adjusted to 42% taking into account other medical factors
There was no significant correlation between low to moderate exposure to pesticides.

The result of pesticides can be found years after exposure. By studying time lags scientist found the maximum effect of pesticide exposure on cardiovascular disease was in the first ten years. The result may vary for women who respond differently to pesticide exposure. Previous studies have indicated that women respond differently to exposure. It has been suggested that hormones may impact the effect of pesticide exposure. These studies have been replicated in Taiwan.

Health care professionals need to be aware of the occupational exposure risks of pesticides at work. The effect of short term and medium-term exposure needs to be studied. There needs to be a reduction in exposure to pesticides alternative farming methods need to be studied by focusing on a more ecological approach. Personal protective equipment should be used while handling pesticides to limit exposure. Protective equipment includes special suits, hats, gloves, shoes, eyewear, and respirators. Farmers and pest control workers must be well versed in handling these dangerous chemicals.

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