Dengue And why you need to know about it

For the past few years, Dengue deaths and cases have been taking up headlines since the numbers are constantly going up. According to WHO (World Health Organization), there have been a whopping 390 million Dengue sufferers worldwide, out of which 96 million require medical attention. To make matters even more worrying, the number of Dengue cases have doubled from 2014 to 2015! Delhi is the worst with over 1800 cases, making prevention drives all the more pivotal for the nation’s health. Although, Dengue trends have shown severe outbreaks every alternate year, 2016 may be the worst ever.

What is Dengue?

 Dengue is a mosquito-borne disease that is viral in nature. The illness is acute, caused by one of the many types of mosquitoes in the genus Aedes Aegypti.

Early signs include the following:

 1. High Fever

2. Joint Pains

3. Headaches

4. Nausea

5. Appetite Loss

6. Vomiting

7. Dip in Blood Pressure

8. Characteristic Skin Rash

 If one’s fever lasts for more than a week, the individual will face severe low blood pressure, a drop in the level of blood platelets and blood plasma leakage. Intense sweating and rashes on palms of the hands and soles of the feet which may be swollen as well as bright red can occur.

The rare case when Dengue develops into a life threatening disease is referred to as Dengue Hemorrhagic Fever or Dengue Shock Syndrome. The former is characterized by Haemorrhage (severe bleeding), blood plasma leakage, and an exceptionally low platelet count. While, the latter occurs due to dangerously low blood pressure, which may lead to a circulatory collapse (shock).

How to Prevent Dengue?

 Although, anybody can contract Dengue, individuals with low immunity are the most prone in urban areas, especially heavily polluted areas. Proper waste disposal and keeping a check on water stagnancy are pivotal for the nation’s wellbeing. The worst hit age group are school children and college students, wearing full sleeves during the rainy season can help matters dramatically.

 Dengue 101:

– The virus is mostly active in the early morning and late afternoon.
– Tropical and sub-tropical areas are more prone to Dengue outbreaks. People travelling from and across such regions can also carry the virus.
– Mosquito repellents are essential and always read the label carefully before applying.
– Avoid wearing dark and tight clothing because mosquitoes are attracted to dark colours. Wear loose, white and long clothes, which cover the whole body. Mosquitoes find it difficult to bite through loose clothes than tight fitting clothes.

– Stay aware of your surroundings, areas which are known for stagnant water should be reported and extra precaution must be taken.

Any fever during the rainy season, be it acute or otherwise, should be considered Dengue. Proper tests should be run to check the infection because any delay in doing so can prove fatal.

 How to know if you have Dengue?

Diagnosis of Dengue isn’t difficult. A blood test for the disease against the virus can tell whether the person is affected or not.

 “But what remains a concern is that more often than not; people can brush aside the symptoms of Dengue as a less dangerous viral fever. So even if you have a speck of doubt, do not delay to go for the test.”

How to Treat Dengue?

An early detection and a proper medication are considered positive factors and help in lowering fatality rate of the disease. See a doctor, take the prescribed medication which are mostly pain relievers, rest and drink maximum fluids.

Common causes of breathing problems among the elderly

Asthma is a disease which can be contracted at a very small age. When a child less than five years gets contracted with asthma, it can be understood that there is a family history of asthma in the child’s blood. Needless to say, asthma is not completely curable. There is no medicine invented yet which can cure asthma completely. Moreover, as asthma is not caused by any living organism, there is no question of vaccine. However, the disease of asthma can be kept under control with the help of treatment.

Now, there are a few instances when asthma symptoms come into play in a matured age. Asthma among aged people is a very sad condition. Old people suffer more than young adults due to breathing problems. As the lungs and air canals are matured and in the verge of disintegration in an old person, the occasional attacks of asthma are greatly painful. However, if an old person unfortunately gets contracted with asthma, the family should not panic at all. Rather, they should sit down and think of treatment in order to comfort the pain. The treatment of asthma among old people must be started immediately of its diagnosis. There are many health centres in the city who offer specialized treatment for asthma. One can safely visit one such health centre with the suffering veteran.

There are some people who go for non-medical treatment for asthma in aged people. This might involve listening to quack doctors and god-men. Needless to say, such kind of steps are extremely harmful for the health of the person. Asthma treatment must be done scientifically under the supervision of registered medical professionals.

New parents are very careful with their infants, especially, if there is any family history of asthma in lineages of both the father and the mother. Any kind of cough in infants, be it due to seasonal changes, must be treated. The same cautiousness must be shown in case of the elderly. They might develop allergic cough just like kids do. If the cough refuses to go even after treating for a few days, a proper check-up should be done to find out the possibility of the onset of asthma. If asthma is diagnosed, the requisite treatment must be started without any delay.

It might be very disheartening for the family to start a comprehensive course of treatment for a retired person, but they should remember, that the treatment is for the benefit of all. It is seen that early treatment can minimize the risk of asthma attacks. Thanks to medical science, asthma attacks are not as dreaded as they were earlier. Medicines in the form of capsules as well as quick sprays are available today, which are highly effective.

One might be confused while looking for a decent health centre for the condition of asthma. In that case, different websites can help them. There are websites with full database of health centres for asthma one can effectively look into.

How to Choose Right Injury Care Clinic

In an emergency situation, generally people contact with nearest Injury care clinic. Make sure, the clinic you are going to select is well equipped with advance medical tools and latest services. In any case, whether you are searching cure for a severe disease or slight injury, you must take good care while picking a correct injury care clinic.

Today Chiropractic care is the most popular form of treatment among patients suffering with musculoskeletal conditions. Finding a chiropractor in Pasadena is quite easy if you follow below instructions:

Primary Care Doctors

Primary care doctors are very important part of a right injury care clinic. These physicians for Primary care do systematic checkups, aid to detect problems, and refer patients to specialists. They also offer consistent access to significant amenities such as vaccinations, physical exercises and a lot more.

Full Spectrum of services as per your need

If you are looking for chiropractor in Pasadena, make sure you are selecting the best one for you. They must offer services that are precisely targeted to the type of damage you have. If you have got sprain in your ankle, you need an expert research chiropractor in sport injury. Some injury care clinics also provide a wide range of specialized services like acupuncture and cooling therapy. You should look for a chiropractor who can provide these treatments too.

Advanced Equipment

Make sure the injury care clinic you have chosen is well equipped with highly advanced medical tools like x-rays facilities, medical specialties and more. They must be ready for any urgent situation and should provide proper guidance and cure.

Insurance Covers

Looking for a chiropractor in Pasadena can be very expensive if you have to return per week basis. To tackle this situation, you should prefer such Chiropractic care center that is covered by your health insurance firm. You must contact with your insurance provider to confirm which chiropractors are covered by them. It will help you to get treatment within your budget and avoid cancellation fees on changing chiropractor.

Chiropractor must be Renowned

You should collect essential information about the Chiropractor or injury care clinic you have selected. It is better to ask from your friend or colleague about the physician that they have chosen in past. It will help you to stay away from any risk associated with treatment.

So above are some important aspects that are important to be taken care of while choosing a Chiropractor or injury care clinic in Pasadena.

Recent advances in Knee Replacement

A total knee replacement (TKR) is a common surgical treatment for knee arthritis, and surgeons have been performing total knee replacements since 1968, and in that time, technology and procedures continue to evolve and improve.This surgery is safe and an effective treatment for knee pain. Improvement in surgical techniques and the knee implants over the years has helped in increasing the success of this surgery.

Surgical techniques

Over a period of time the surgical techniques have become more refined, leading on to good healing of surgical scar and early mobilization of the patient. Now the muscle cut in surgery is less and some surgeons perform the surgery without cutting any muscle, thus patient has better control of the knee and increased range of motion post knee replacement surgery.

Management of Blood Loss

The management of blood loss has been a big factor in reducing swelling and stiffness in the post-operative period and improving limb function in the longer term. The use of Tranexamic acid has reduced the need for blood transfusion by 90%, which has significantly improved patient outcomes. In a study conducted on 125 knee replacement patients at our hospital, we found that only 11 patients required blood transfusion.

Management of Pain

In early days, the pain used to be so severe after knee replacement that some patients would refuse physiotherapy or walking for days together and some would not even undergo surgery. However, now we have the advent of multimodal analgesia, which takes care of this pain. Anaesthetists give certain types of blocks and put catheters through which pain medicine is given regularly for days. Surgeons to inject the surgical areas with certain cocktail of medicines that control the postoperative pain. At our hospital, these protocols are routinely being followed. Thus the patient can start early movement of the knee and walks early.

Newer Technology

For better alignment of the knee prosthesis, newer technologies are being developed. These include navigation based or personalized knee systems so that the fit of the implant is perfect. Robotics are also being tested. This in turn, theoretically, would lead to longer implant life, more range of motion, and a quicker operation. The drawbacks of these new technologies are the costs involved and because the technologies are new, there is no long-term proof that these offer improved function or longevity.

Newer Implants

Over the last 30 years, manufacturing and processing methods of joint replacement parts have improved, resulting in longer-lasting joint replacements.

A new kind of plastic, called highly cross-linked polyethylene, has greatly slowed the wearing out of the implants. This is now being blended with Vitamin E.  The new plastic virtually eliminates osteolysis and lasts longer. Metal used for knee implants has evolved and we now have the use of Cobalt Chromium tibial trays and some systems have ceramic and oxidized zirconium metal surfaces.

Now the shape of the implants is such that it fits perfectly the bones of the patients and provides high range of knee movements. Some of the types are fixed bearing and some are rotating platform knee implants.

The rationale behind all these developments and advancements is that the knee replacement surgery should be a one-time surgery and should last the lifetime of the patient. For this all the above factors matter, as the use of good knee implant, good surgical skill, and a skillful adaption to the standard protocols. Currently, more than 90% of modern total knee replacements are still functioning well 15 years after the surgery. The patient has to be aware and talk to his Joint replacement surgeon regarding the best-suited knee replacement.