vol. vii issue ii lignite life lineoctober 2015keep coming back mouth ulcers cannot be caught from...
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Vol. VII Issue II October 2015
LIGNITE LIFE LINEPROVEN VALUES. POWERFUL VISION.
Dr.Subash Chandra Parija, Director /JIPMER Puducherry releasing a booklet “Towards Better Living“,
when he visited the NLC GH Stall, on July 03, 2015, the inaugural day of Neyveli Book Fair – 2015.
Shri. B.Surender Mohan, our beloved CMD, received the first copy. The book was published by NLC GH
on the occasion of the Neyveli Book Fair.
High Blood Pressure, Diabetes, harmful effects of smoking, health risks associated with excessive usage
of mobile phones and health tips towards better health are the topics covered in this trilingual booklet.
Dignitaries visit to Hospital Stall at Book Fair
INSIDE
2 Yoga for Better Living 4 Mouth Ulcers 6 8 What’s New?Happenings...
1 5 Foot Care in Diabetics3 Diabetic Retinopathy 7 First Aid in Road Traffic Accidents...Patient-Friendly measure...
Dignitaries visit to Hospital Stall at Book Fair
International Yoga DayConstipation in ChildrenContinuing to learn...
2
Dr.V.Nagaraju Department of Ayurveda
Yoga for Better Living
At yoga Centre of AHCS, Block-8 dispensary, Yoga for
Better Living Programme is being organized uninterruptedly,
since April 1994. About 100 participants each day learn and
practice yoga for better living. On 21st June the centre has
completed 21 years of the service to the community. The
dedicated service being rendered by the team of voluntary
teachers of both genders, besides enthusiastic participation of
part icipants is the key to the success of the
programme.
The best cost effective tool to modify life style is adhering to
the “Yoga way of Life”. Life style modification is only way to
prevent prevalent non-communicable disease – a bane of
modern living.
Yoga literally means fusion, union which can be achieved by
allowing all the instruments in the symphony of life to play in
harmony.
Yoga way of life includes practicing yama (prescriptions)
and Niyama (restraints/proscriptions) which are the
cardinal principles of seeing ourselves in relation with
the environment & ourselves. These are the concept to be
contemplated, absorbed, executed on physical, emotional
and mental level and needs to be refined. This paves way to
lead our life to its fullest potential.
Asana and pranayama are primary preparations to establish
harmony with system. Bending and stretching being aware
of your breathing helps in focusing mind. Pratyahara-
withdrawing senses is practiced while relaxing in savasana.
Regular practice of all the above paves the way to further
maintain in focus for longer duration to attain Samadhi or
ultimate bliss. This is precisely “Raja Yoga”.
During the process the side benefit one encounters is a state
of well being, improved work efficiency, better flexibility,
ability to withstand physical strain, better coping strategies
with stress – besides transforming negative emotion like
anger, greed, fear into soften emotions like love, compassion,
contentment and confidence. Reduction in craving helps in
making oneself more sober and motivates to stay away from
undesirable habits like smoking and consumption of alcohol
and over eating.
But, the secret in achieving benefits is only in sustained practice.
Let us try to make practice of Yoga an inevitable component of
our living as regular as one brushes his or her teeth.
In connection with International Yoga Day, Yoga Centre of Ayurvedic Health Care Services, GH, NLC, has organized a mass yoga
practice on 21st June 2015 between 6.30 & 7.30 am. About 80 male and 50 female participants practiced Yoga in the event while
another 40-50 yoga enthusiasts looked on.
NLC management has provided a roof to the open terrace adjacent to Yoga hall in Block-8 dispensary, which was formally
inaugurated by CGM/TA, Shri N.S.Ramalingam, in the presence of General Superintendent/Medical, Dr.P.Ravi. Dr.V.Nagaraju,
GS/Medical welcomed the gathering and thanked the management for continued support. Dr.P.Ravi had focused upon the
importance of International Yoga Day in his presidential address and advised to practice regularly. CGM/TA Shri N.S. Ramalingam,
lauded the continued service being rendered by the Yoga Centre of AHCS.
International Yoga Day Celebrations at AHCS
3
Dr. C.D. Venmal Devi Department of Ophthalmology
Diabetic Retinopathy
Retinopathy is the medical term for disease of the retina.
People who have had diabetes for many years can develop
damage to small blood vessels and organs throughout the
body. This is more likely to occur if the diabetes has not been
well controlled. One organ that can be affected is the retina,
the lining of the back of the eye that senses light and is
important for vision. The disease of the retina caused by
diabetes is called diabetic retinopathy.
Risk factors causing Diabetic Retinopathy
n Type 2 diabetes mellitus (T2DM) is one of the fastest
growing diseases in India and has become a major public
health challenge.
n The most common complication of T2DM is diabetic
retinopathy (DR), which is a leading cause of preventable
blindness in working-aged people.
n The diabetic individuals are 25 times more likely than their
nondiabetic counterparts to suffer severe, permanent
vision loss.
n The risk factors of disease is the onset and progression,
duration of diabetes, raised glycosylated hemoglobin
(HbA1c), raised systolic blood pressure (SBP) and urinary
albumin.
n Early Treatment Diabetic Retinopathy Study (ETDRS)
demonstrated that reducing elevated blood lipids and
treating anemia in T2DM patients could slow the
progression of retinopathy.
n Individuals with anemia were 1.80 times more likely to
develop diabetic retinopathy than individuals with no
anemia.
n Detection of anemia and its treatment is important in
the management of diabetic retinopathy in those
patients who had both anemia (Hb-10g/dl) and
diabetes mellitus.
n The improved hemoglobin concentration with therapy
of anemia improves tissue oxygenation and may
result in reduced VEGF production, which improves
the hyperpermeability and reduces the stimulus for
neovascularization.
n Individuals with duration of diabetes of more than 5
years have 1.56 times higher risk of developing
anemia than those with diabetes for less than 5
years.
n These observations suggest that anemia evaluation
should be considered in the routine management of
persons with diabetes and should be treated to
minimize the risk of microvascular complications such
as nephropathy and retinopathy.
Figure 1. Retinopathy in a patient with severeanemia. Note the retinal hemorrhages, cottonwool spots and venous tortuosity.
Ophthalmoscopic view
Optic discMacula of retina
Branches of retinal vessels(artericles and venules)
4
Dr.R.Nalini Department of Dentistry
Mouth Ulcers
Mouth ulcers are sores that appear in the mouth, often on the inside of the cheeks
Mouth ulcers also known as apthous ulcers can be painful when eating, drinking or brushing teeth
Occasional mouth ulcers are usually harmless and clear up on their own. Seek medical advice if they last longer than 3 weeks or keep coming back
Mouth ulcers cannot be caught from someone else
UP to 1 in 5 people get recurrent mouth ulcers
Type of mouth ulcer
The main types of mouth ulcer are
n Minor ulcer:- These are around 2-8mm in diameter and usually clear up in 10 days to 2 weeks
n Major ulcers:- These are bigger and deeper, often with a raised or irregular border. This type of ulcer can take several weeks to heal and may leave a scar in the mouth
n Herpetiform ulcers :- this type of ulcer is a cluster of dozens of smaller sores the size of pinheads
What causes mouth ulcers?
The exact cause of most mouth ulcers is unknown. Stress or tissue injury is thought to be the cause of simple mouth ulcers. Certain foods, including citrus or acidic fruits and vegetable (such as lemons, oranges, pineapples, apples, figs, tomatoes and strawberries), can trigger a mouth ulcer or make the problem worse. Sometimes a sharp tooth surface or dental appliance, such as braces or ill-fitting dentures, might also trigger mouth ulcers.
Some cases of complex mouth ulcers are caused by an underlying health condition, such as an impaired immune system, nutritional problems, such as vitamin B-1, zinc, folic acid, or iron deficiency and gastrointestinal tract disease, such as Coeliac disease and Crohn's disease.
When you first quit smoking, you may develop more mouth ulcers than normal, but this is temporary.
Some medications, including common pain killers, beta –blockers and some chest pain medicines may cause a reaction that leads to mouth ulcers
How are mouth ulcers treated?
Pain from a mouth ulcer generally lessens in a few days and the sores usually heal without treatment in about a week or two.
If sores are large, painful or persistent, your dentist may prescribe an antimicrobial mouth rinse, a corticosteroid ointment, or a prescription or non-prescription solution to reduce the pain and irritation.
Can mouth ulcers be prevented?
Although there is no cure for mouth ulcers and they often reoccur, you may be able to reduce their frequency with good dental hygiene and by
n Avoiding foods that irritate your mouth, including acidic or spicy foods
n Avoiding irritation from gum chewing
What is the treatment for mouth ulcers?
Mouth ulcers generally go away by themselves and in most cases you can ignore them. Over the counter gels or lozenges that protect the ulcer or anaesthetic effect to relieve the discomfort of a mouth ulcer are available antimicrobial mouthwash can help to kill micro-organisms causing infections
Mouth ulcers can be quite painful and depending on their specific location in the oral cavity, often interfere with your ability to eat and speak. Sometimes, such an ulcer indicates the deficiency of certain vital nutrients and therefore, taking multivitamin supplements can be useful: however, it can take a few days for the effects to start showing. There are many reasons as to why ulcers occur, here we give you 5 quick home remedies to treat them.
n If the mouth ulcer is causing a lot of pain, gently rub a small ice cube over the spot or rinse your mouth with ice-cold water.
n You could also chew on a clove bud (lavang) and direct the juice generated to the area where the ulcer is located. Clove buds are a great ingredient to cure sore throat too.
n To prevent the ulcerated area from getting infected, make it a point to rinse your mouth with a little salt water
Remember, this won't make the ulcer disappear, but it can help reduce the pain
While the above are short-term tips to give you relief from ulcer pain, the below- mentioned ingredients are remedies that will help you get rid of them.
Honey
Honey is a natural humectants – that is, it helps retain moisture and prevent dehydration. It also helps reduce scarring and hastens the process of new tissue growth. This, along with its anti-microbial effect ensures faster healing of the mouth ulcer.
Tip : Dab a little honey onto the mouth ulcer or mix in a little turmeric to make a paste that can be applied to the affected area.
Tulsi
The leaves of the tulsi plant have amazing medicinal properties and one of the important actions of tulsi is as an adaptogen – a substance that aids the body to adapt to stress.
Tip : Chew a few leaves of tulsi along with common water about three to four times every day. This is help in healing of ulcers faster and also have a preventive action against their recurrence.
Liquorice
Called Mulethi in hindi, Yashtimadhu in Sanskrit and Adhimadhuram in tamil, liquorice has several medicinal properties. Scientific studies have found that it contains ingredients with marked anti-inflammatory properties which are responsible for its action against painful mouth ulcers. Mulethi is available as stem pieces as well as in powder form.
Tip : Rub the stem with a little water on a grinding stone and apply the paste to the ulcerated area. Or, if you buy the liquorice powder, disperse it in some honey or medicinal quality glycerine and apply to the mouth ulcer. You can also mix a little liquorice powder with turmeric into a glass of warm milk and drink three or four times in a day for good results.
Other cooling Agents
Since mouth ulcers are due to excess body heat, other substances with cooling properties can help get rid of them. For example, you could apply a little ghee directly to the ulcerated area, or drink a glass of buttermilk two or three times every day. Castor oil also has wonderful cooling property; apply little oil to your scalp and the soles of the feet, allow the oil to soak in for a few hours and then wash with warm water.
Painless mouth ulcer is one of the earliest signs of oral cancer consult your doctor at the earliest if painless mouth ulcer is present.
5
Dr. J. Ilango Department of Medicine
Foot Care in Diabetics
Diabetes can damage the nerves and blood vessels in the feet leading to numbness and reduced feeling in the feet. Controlling blood sugar levels can reduce diabetic foot complications. Diabetes-related foot problems can worsen very quickly and are difficult to treat, so it is important to seek prompt medical attention.
Check your feet every day. Inspect the tops, sides, soles, heels, and between your toes looking for: Dry and cracked skin, blisters or sores, bruises or cuts, redness, warmth, or tenderness, firm or hard spots.
Wash your feet every day with lukewarm water and mild soap. Gently dry your feet, especially between the toes. Use lotion, petroleum jelly, or oil on dry skin. Soak your feet in lukewarm water to soften your toenails before trimming. Cut the nails straight across.
Protect your feet from heat and cold. Do not walk barefoot, especially on hot pavement. Wear shoes at all times to protect
your feet from injury. Check the inside of your shoes for stones, nails, or rough areas that may hurt your feet. Wear shoes that are comfortable and fit well. Blisters and sores can develop when your foot presses against your shoe. Wear clean, dry socks.
Never attempt to remove corns, calluses, warts, or other foot lesions yourself. Even small sores or blisters can become big problems if infection develops or they do not heal.
Quit smoking. Smoking decreases blood flow to your feet.
Treatment of superficial ulcers usually includes cleaning the ulcer and removing dead skin and tissue. If part of the toes or foot become severely damaged, causing areas of dead tissue (gangrene), partial or complete amputation may be required
During a foot exam, a healthcare provider checks for poor circulation, nerve damage, skin changes, and deformities. Ask the healthcare provider for a foot check at least once a year.
6
Dr.V.Prakash Department of Paediatrics
Constipation in Children
Constipation is one of the commonest problems in children particularly during toilet training.
What is constipation?
Constipation in children or babies can mean any, or all, of the following:
n Difficulty or straining when passing stools.
n Pain when passing stools, sometimes with a tiny amount of blood in the nappy, due to a small tear in the skin of the back passage (anus).
n Stools that is hard, and perhaps very large, or pellet-like and small, like goat droppings.
n Passing stools less often than normal. Generally, this is less than three complete (proper) stools per week.
Why constipation develops?
Pain — when the child passes stool, it can be painful and lead them to withhold (avoid going) in an effort to avoid more pain.
Unfamiliar surroundings — A child may not pass stools, if they do not have a place where they feel comfortable for passing stool, or if they are busy and ignore the need to use the toilet. This can happen when the child starts going to school and avoids passing stools because of hygiene concerns or being embarrassed about using the toilet at school to pass stools
Medical problems — Medical problems cause constipation in less than 5 percent of all children.
Constipation and development
Constipation is particularly common at three times in a child's life:
n After starting complimentary foods
n During toilet training
n After starting school
Parents can help by being aware of these high-risk times, working to prevent constipation, recognizing the problem
if it develops, and acting quickly so that constipation does not become a bigger problem.
Home remedy for constipation
Exclusive breast feeding and avoidance of cow's milk and formula feeds helps to prevent constipation.
Fruit juice – Certain fruit juices can help to soften bowel movements. These include prune, apple, or pear (other juices are not as helpful).
Fluids – It is not necessary to drink large amounts of fluid to treat constipation, although it is reasonable to be sure that the child drinks enough fluid.
Food recommendations – Offer your child a well-balanced diet, including whole grain foods, fruits, and vegetables.
Proper toilet training is very important for prevention of development and avoiding recurrence of constipation.
When to seek help?
Report to hospital if any of the following occurs:
n Your child has not passed stools within 24 hours of starting constipation treatment
n Your infant (younger than four months) has not passed stools within 48 hours of their normal pattern (eg, if an infant who normally passes stools once in every two days goes three days without passing stools). You should call earlier if your infant has other symptoms such as vomiting or pain.
n Your infant (younger than four months) has hard (rather than soft or pasty) stools
n Your infant or child does not want to eat or loses weight
n You see blood in your child's stools or diaper
n Your child has repeated episodes of constipation
n Your child complains of pain while passing stools
n You have questions or concerns about your child's bowel habits
July 10, 2015 - Minimal Invasive Surgery in GI Cancer - Dr.Vaithiswaran, Head of Minimal Invasive Surgery &
Bariatric Surgery, Global Hospital, Chennai
July 6, 2015 – Child Sexual Abuse – Dr. S.Bharathi, MO, NLC GH
Continuing to learn...
7
Dr.P.Nisha Department of Surgery
First Aid in Road Traffic Accidents:
Do's and Dont's
If you are one of the victims or the bypasser follow these steps
in road traffic accidents.
1. Check yourself first: If you are injured, first check and
assess the extent of the injuries for yourself. Stabilize
yourself, make sure you are comfortable.
2. Check other persons:
a). Assess the extent of his/her injuries.
b). Treat the quietest person first than the screaming
persons.
c). Ask for name, if he responds it means he is conscious and
most likely not suffered severe head injury.
3. Look for signs of breathing; if he is not responding check
for breathing and pulse.
4. Call for help: immediately call for an ambulance or rush
the person to hospital.
5. Check for obstruction: if you do not hear any breath
sounds, check his/her mouth for any obstruction. If there
is something obstructing the airways, use your index and
middle finger to clear the airways.
6. Perform life saving techniques:
If there is no pulse start EAR (External air resuscitation)
and CPR (cardiopulmonary resuscitation). Keep the
person neck straight to start EAR and CPR.
EAR 3 ways: mouth to mouth, mouth to nose, mouth to
mask.
7. Ways to help him/her in grave situations:
If there is bleeding from mouth/nose or person vomits,
turn the victim to his/her side. This will prevent from
choking/aspirations.
8. Deal with open wounds: control bleeding by applying
pressure using cloth or palm.
9. Always suspect spinal injuries: don't move the victim
much.
10. Avoid feeding the victim; which may cause choking
/aspiration. Keep the person warm by using blankets.
TIPS TO REMEMBER WHILE SHIFTING A
PERSON TO HOSPITAL:
1) Should be transported on a stretcher or a stiff board.
Important to reduce the movements of the injured
person.
2) Neck and back should be straight. Should place a rolled
up towel or thick cotton under the neck for better support.
3) Ensure that the person is lying flat.
4) If there is only limb injury, patient can be transported in
sitting position.
5) In case of bleeding, lift the injured part above the body
level. Apply pressure until he/she reaches the hospital
6) Make sure that the person is breathing and has pulse.
If he/she stops breathing, be prepared to start EAR and
CPR.
As a step in improvement of quality of services, the process of getting disease specific drugs has been simplified. Instead of waiting in
the queue twice for the prescription and registration, the patient is now registered and the prescription sent online to the counter from
one location itself, after which they have to come again only to collect the medicines. The issue of medicines has also been increased
to 30 days so that the visits are halved. This has resulted in immense patient satisfaction and efficient crowd management. Feedback
from patients is very good.
Patient-Friendly measure...
LIGNITE LIFE LINENews Letter of NLC General Hospital
(for private circulation only)Published by Neyveli Lignite Corporation Limited, ‘Navratna’ - A Govt. of India Enterprise
Neyveli 607 801, Tamil Nadu. Website : www.nlcindia.com
What’s New?
In commemoration of Dr.B.C Roy, who donned multi faceted role as doctor, socialist, humanist and humble leader and transformed the socio-economic and health status of rural people mired in poverty, ignorance and illiteracy as a selfless political head of state, Doctors' Day was celebrated on 01.07.2015. Sports extravaganza and cultural blitzkrieg marked this annual celebration. Doctors' Day was a stress buster as doctors were given opportunity to unwind themselves as they are stressed out by the rigors of clinical routines. At the same the time major agenda of the programme was not lost as doctors reaffirmed their commitment to ethical standards which require them to put the interest of patients ahead of other factors. The meeting was chaired by Dr. K.Janardhan, CGS/Medical. Key note address was delivered by Dr. P.Ravi, GS/Medical and Dr.V.Nagaraju, GS/Medical, which called upon doctors to re-orient their commitment to patient care modeling after Dr.B.C. Roy. Dr. Jeyamohandhas, RMO and Dr.N.Premkumar, ACMO co-ordinated the various sports and cultural events that marked Doctors' Day celebration.
Doctors' Day Celebrations
World Breastfeeding Week (Aug 1-7) and Oral Rehydration Solution week (July 29-Aug 4) were celebrated by Paediatric Department NLC GH along with Indian Academy of Paediatrics Cuddalore district branch. Awareness programmes and quiz regarding benefits of ORS and breastfeeding and ill effects of bottle feeding were conducted at various schools in and around Neyveli.
All student nurses of OPR Nursing College were educated on scientific facts about breastfeeding. They were also trained on how to prepare ORS solution and how to use it .
Books, pamphlets, stickers, posters regarding benefits of ORS and breastfeeding were also released during the period.
World Breastfeeding Week (Aug 1-7) and ORS Week Celebration (July 29-Aug 4)
Computed Radiography (CR) uses very similar equipment to conventional radiography except that in place of a film to create the image, an imaging plate (IP) made of photostimulable phosphor is used. Hence, instead of taking an exposed film into a darkroom for developing in chemical tanks or an automatic film processor, the imaging plate is run through a special laser scanner, or CR reader, that reads and digitizes the image. The digital image can then be viewed and enhanced using software that has functions very similar to other conventional digital image-processing software.
Benefits of C.R
Doctors can visualise at their workplace. It can be connected with PACS and can also be visualised by consultants in referral hospitals through Telemedicine.
Computed Radiography
Happenings...