Hypertension : How to keep Your Blood pressure in control ।
https://www.youtube.com/watch?v=UBauSo3jK_8&t=21s
Hypertension is getting very common and we must understand why it's getting common, how can we prevent it and what are the precautions and advice to keep blood pressure within normal limits.
Dr. Pratyush Kumar
Clinic - Makhaniya Kuan, Near Maszid
Mobile - 08130668400
website - www.drpratyush.com
Health advice and information from one of the best physician in Patna.
Do not panic!!
Recently there have been news of H5N1 Avian influenIn virus cases at Patna zoo which has put the state on alert.
📣 Prevention tips📣
🐔Regular hand washing with proper drying of the hands
🐓Good respiratory hygiene – covering mouth and nose when coughing or sneezing, using tissues and disposing of them correctly
🦅Early self-isolation of those feeling unwell, feverish and having other symptoms of influenza
🦃Avoiding close contact with sick people
🐦Avoiding touching one’s eyes, nose or mouth
📢 Recommended good hygienic practices to reduce exposure to the virus in areas with outbreaks in poultry📢
🐦No birds from flocks with disease should enter the food chain.
🐥Do not eat raw poultry parts, including raw blood, or raw eggs in or from areas with outbreaks in poultry.
🐤Separate raw meat from cooked or ready-to-eat foods to avoid contamination. Do not use the same chopping board or the same knife. Do not handle both raw and cooked foods without washing your hands in between and do not place cooked meat back on the same plate or surface it was on prior to cooking. Do not use raw or soft-boiled eggs in food preparations that will not be heat treated or cooked.
Keep clean and wash your hands. After handling frozen or thawed raw poultry or eggs, wash your hands thoroughly with soap. Wash and disinfect all surfaces and utensils that have been in contact with the raw meat.
🐣Cook thoroughly: Thorough cooking of poultry meat will inactivate the virus. Either ensure that the poultry meat reaches 70°C at the centre of the product (“piping” hot) or that the meat is not pink in any part. Egg yolks should not be runny or liquid.
#PrimaryHealthCare
#AvianInfluenza
Recently there have been news of H5N1 Avian influenIn virus cases at Patna zoo which has put the state on alert.
📣 Prevention tips📣
🐔Regular hand washing with proper drying of the hands
🐓Good respiratory hygiene – covering mouth and nose when coughing or sneezing, using tissues and disposing of them correctly
🦅Early self-isolation of those feeling unwell, feverish and having other symptoms of influenza
🦃Avoiding close contact with sick people
🐦Avoiding touching one’s eyes, nose or mouth
📢 Recommended good hygienic practices to reduce exposure to the virus in areas with outbreaks in poultry📢
🐦No birds from flocks with disease should enter the food chain.
🐥Do not eat raw poultry parts, including raw blood, or raw eggs in or from areas with outbreaks in poultry.
🐤Separate raw meat from cooked or ready-to-eat foods to avoid contamination. Do not use the same chopping board or the same knife. Do not handle both raw and cooked foods without washing your hands in between and do not place cooked meat back on the same plate or surface it was on prior to cooking. Do not use raw or soft-boiled eggs in food preparations that will not be heat treated or cooked.
Keep clean and wash your hands. After handling frozen or thawed raw poultry or eggs, wash your hands thoroughly with soap. Wash and disinfect all surfaces and utensils that have been in contact with the raw meat.
🐣Cook thoroughly: Thorough cooking of poultry meat will inactivate the virus. Either ensure that the poultry meat reaches 70°C at the centre of the product (“piping” hot) or that the meat is not pink in any part. Egg yolks should not be runny or liquid.
#PrimaryHealthCare
#AvianInfluenza
Global conference on primary healthcare was held in its beautiful capital Astana, Kazakhstan. Astana declaration on primary health care was released.
Health center visits was organised and We got an opportunity to visit model polyclinic at Astana during conference.
This polyclinic is situated at the heart of it's very beautiful and well planned capital Astana. It was built in 2015 and was informed of it being on lines of Alma Alta declaration following principle of primary health care.
This polyclinic has over 130 doctors including gynaecologist, family physician, gastroenterologist, ophthalmologist, surgeon, dermatologist etc who works in 2 shifts daily as per schedule. Daily outpatient census is around 1000 patients.
This center has tele consultation facility taken care by nurses. On entry to the polyclinic each patient gets registered with their national unique Id and receive a password to access their reports online anywhere. This is a pilot work being done and there is plan to expand it Nationwide.
Then triage is done and patient goes directly to the consulting doctor. All specialty are well equipped with state of art diagnostics.
Impressive to note was their disable friendly design of hospital including ramp made for visually impaired and relaxation room to get de-stress.
They also have upper GI and colonoscopy facility and daily around 3 endoscopy done and a minor OT and recovery room which is only for daycare surgery.
Prenatal and Antenatal care is provided at this polyclinic but for delivery they are sent to designated hospital. Similarly for cataract surgery there is designated hospital where patients are reftrred after screening from this hospital.
For outreach they have ambulance, medical train and helicopters. There are special ambulance specially designed for emergency delivery and hemodialysis.
For outreach in periphery the bigger mobile units which have diagnostics facility as well as consultation chambers for physician, ophthalmologist, gynaecologist and dentists are used.
These model hospitals looked impressive well equipped and good model for providing highest quality primary health care services.
"Dengue Fever : Don't Panic, Know How to Deal With It" by Pratyush kumar mishra - https://www.practo.com/healthfeed/dengue-fever-don-t-panic-know-how-to-deal-with-it-29261/post
This news article was there in all leading newspapers recently. All of them carry the same mistake of misrepresenting facts.
As these are two different studies published in Lancet and AJTMH.
Both research papers can be accessed online.
The mistakes are :
1. Lancet study was done in Muzaffarpur while AZTMH study in Bangladesh.
2. Lancet study sample size was 104 whereas in AJTMH is just 14.
3. Lancet study also included pesticide sample in their study methodology.
4. In AJTMH, no acute samples were taken.
So Both research studies are significant papers but may not be unviersally applicable.
So we should not jump to any conclusion very quickly.
Lancet study - http://www.thelancet.com/journals/langlo/article/PIIS2214-109X(17)30035-9/fulltext
AJTMH study- http://www.ajtmh.org/content/journals/10.4269/ajtmh.16-0856
NACO follows WHO recommendation to start ART irrespective of cd4 count, clinical stage,age or population ..
link to WHO guidelines : Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection
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