लखनऊ | 'डेंटल स्लीप मेडिसिन' पर एक सम्मेलन के अनुसार भारत में करीब 40 लाख लोग, खासकर बुजुर्ग और मोटे लोग ऑब्सट्रक्टिव स्लीप एपनिया (ओएसए) सिंड्रोम से पीड़ित हैं। सोमवार को यहां आयोजित सम्मेलन में विशेषज्ञों ने कहा कि अगर कोई व्यक्ति सांस लेने में तकलीफ के कारण रात में कई बार जागता है और पूरे दिन सिरदर्द और थकान के साथ सुबह शुष्क मुंह का अनुभव करता है, तो यह ओएसए के कारण हो सकता है।
श्वसन चिकित्सा में, ओएसए का आमतौर पर निरंतर पॉजिटिव वायुमार्ग दबाव मशीनों के साथ इलाज किया जाता है, लेकिन दंत चिकित्सा भी आसान प्रबंधन प्रदान करती है।
सरस्वती डेंटल कॉलेज के डीन और सम्मेलन के आयोजक प्रोफेसर अरविंद त्रिपाठी ने कहा, "मोटापा, जीवन शैली का तनाव और दांतों का पूरा गिरना ऊपरी वायुमार्ग में संपीड़न का कारण बन सकता है। यह सांस लेने पर प्रतिकूल प्रभाव डालता है। अगर ऐसी स्थिति लंबे समय तक बनी रहती है और अनुपचारित छोड़ दी जाती है, तो यह शरीर की ऑक्सीजन की आवश्यकता को प्रभावित करती है और हृदय और श्वसन संबंधी समस्याएं पैदा कर सकती है।"
दंत चिकित्सा में, विशेषज्ञों ने कहा, इस स्थिति का इलाज मैंडिबुलर उन्नति उपकरण के साथ किया जा सकता है, एक मौखिक उपकरण जो अस्थायी रूप से जबड़े और जीभ को आगे बढ़ाता है, गले के कसने को कम करता है और वायुमार्ग की जगह को बढ़ाता है।
विश्व स्वास्थ्य संगठन के लखनऊ कार्यालय के डॉ अंकुर ने कहा, "लगभग 80 प्रतिशत रोगियों को नहीं पता कि वे ओएसए से पीड़ित हैं और यह घातक हो सकता है, इसलिए लोगों को इसके बारे में बुनियादी जानकारी होनी चाहिए।"
यह भी पढ़े► कैंसर और हार्ट अटैक से ज्यादा खतरनाक हो जाएगा सेप्सिस: शोध
London, Aug 17 (IANS) Patients with Long Covid syndrome continue to have higher measures of blood clotting, which may help explain their persistent symptoms, such as reduced physical fitness and fatigue, finds a research.
While the dangerous clotting has been observed in patients with severe acute Covid-19, far less is known about Long Covid syndrome, where symptoms can last weeks to months after the initial infection has resolved and is estimated to affect millions of people worldwide.
Researchers from RCSI University of Medicine and Health Sciences in Ireland, examined 50 patients with symptoms of Long Covid syndrome to better understand if abnormal blood clotting is involved.
They discovered that clotting markers were significantly elevated in the blood of patients with Long Covid syndrome compared with healthy controls. These clotting markers were higher in patients who required hospitalisation with their initial Covid-19 infection, but they also found that even those who were able to manage their illness at home still had persistently high clotting markers.
In the study, published in the Journal of Thrombosis and Haemostasis, the team observed that higher clotting was directly related to other symptoms of Long Covid syndrome, such as reduced physical fitness and fatigue. Even though markers of inflammation had all returned to normal levels, this increased clotting potential was still present in the Long Covid patients.
"Because clotting markers were elevated while inflammation markers had returned to normal, our results suggest that the clotting system may be involved in the root cause of Long Covid syndrome," said lead author Dr Helen Fogarty, doctoral student at the Irish Centre for Vascular Biology in the RCSI School of Pharmacy and Biomolecular Sciences.
In a separate study, a team from the University of Cambridge, in the UK, found that small protein molecules called cytokines could have a link to the Long Covid condition, the Daily Mail reported.
Cytokines, which are produced by the body in response to infections, are often found to be lingering in a person's body for months after infection.
They developed a simple new blood test that may determine whether or not Covid-19 survivors will experience long-term symptoms.
Muzaffarpur, July 17 (IANS) With no respite from the sweltering heat and humidity in Bihar, there has been a spurt in Acute Encephalitis Syndrome (AES) cases in children in Muzaffarpur and surrounding areas.
As per the data released by Sri Krishna Medical College and Hospital (SKMCH), Muzaffarpur, 41 children with symptoms of AES were admitted from Muzaffarpur and the adjoining districts, of which 33 children were confirmed to be suffering from AES.
Head of the Department of Paediatrics at SKMCH, GS Sahni, on Saturday said four children are undergoing treatment in the infant ward, in which AES has been confirmed in three children while one other patient is suspected to be suffering from this disease.
Till Friday this year, 41 children have been admitted to SKMCH from Muzaffarpur and surrounding areas reported to be suffering from this disease. As many as nine children have died.
The intensifying heat and humidity makes Muzaffarpur and the surrounding areas susceptible to AES outbreak in children. Every year a large number of children die of this disease.
The worst AES outbreak has been reported in various villages of Minapur, Kanti, Musahari and Paroo blocks of Muzaffarpur district. For the treatment of AES, a special hospital ward has been set up by the health department in Muzaffarpur.
From time to time, awareness campaigns have also been carried out in rural areas by the district administration and the health department but till date they have failed in eradicating this disease. However, a lesser number of patients suffering from this disease have been reported this year.
Bengaluru, July 16 (IANS) A 27-year-old woman from Kabul, who was suffering from short bowel syndrome with an inherited condition of blood clotting, has been given a new lease of life by the doctors at the Fortis Hospital on Bannerghatta Road here.The patient had undergone removal of small intestine for gangrene in Kabul while she was pregnant five months back. However, the doctors there were not confident about the line of treatment to be adopted as small bowel transplant was not available there and thus there was minimal hope for her survival.As a result of removal of intestine, she was dependent on TPN (total parenteral nutrition) for her nutrition and survival, because of which the patient's condition started deteriorating. She was airlifted from Kabul for immediate treatment at Fortis Bengaluru.The doctors found that the patient had developed short bowel syndrome, which typically occurs in people who have no intestine to absorb fluid. The condition leads to poor absorption of nutrients causing weakness and leading to other co-morbidities in the longer run. The only alternative to cure the condition was a small bowel transplant.The second wave of Covid delayed the allocation procedure by almost three months. By then, she developed multiple episodes of infection in the blood as she was dependent on injections and saline throughout day and night. The infections were treated with antibiotics."Amidst Covid-19 lockdown, it was difficult to find a suitable donor, therefore we had put the patient on waiting list for almost three months. We took all the efforts and ensured to keep her safe by following all Covid safety protocols. After three months, we received a donor (brain dead donor) for her, the transplant was performed immediately after the availability of the organ," said Mahesh Gopasetty, Senior Consultant, Hepato-Pancreato-Biliary and Liver Transplant Surgery, Fortis, in a statement.The patient had a tendency to form blood clots and this risk was highest after transplant surgery. The doctors administered her blood thinners to prevent clots, which resulted in bleeding and another surgery.The transplant turned out to be successful, now she is able to consume food and drink normally, the doctors said."My family is thankful to the doctors for giving a second life to my wife. I am grateful to the donor and Gopasetty for being so kind, supportive and performing the transplant successfully," said Gulam, the husband of the patient.--IANSrvt/arm
Toronto, June 21 (IANS) Multisystem inflammatory syndrome is rare but possible in adults who recover from Covid-19, say researchers. The condition has, so far, been detected only in children.
The researchers from University of Calgary in Canada's Alberta stressed the need for clinicians to suspect multisystem inflammatory syndrome in adults when a patient has prolonged fever, with multiorgan involvement, after recovery from SARS-CoV-2 infection, the virus causing Covid-19.
The team described the possibility of the syndrome in adults in a study published in CMAJ (Canadian Medical Association Journal).
The team described a 60-year-old man, who had tested positive for SARS-CoV-2 four weeks before, and visited hospital for a range of symptoms, including prolonged shortness of breath, high fever, swelling and severe fatigue. Tests found an enlarged heart and lung swelling as well as other issues.
"Given the patient's recent history of SARS-CoV-2 infection, fevers without localising symptoms, oral mucosal changes, cervical lymphadenopathy, conjunctivitis and lower extremity changes, we suspected inflammatory post-Covid-19 syndrome," wrote the team including Genevieve Kerkerian and Stephen Vaughan, infectious disease specialists from the varsity's Department of Medicine.
"The presentation was similar to reported cases of an uncommon but severe complication in children and adolescents infected with SARS-CoV-2, called multisystem inflammatory syndrome in children (MIS-C), as well as to Kawasaki-like illness," they added.
Prompt initiation of medication helped the patient to recover.
MIS-C was first described in April 2020 as a hyperinflammatory syndrome with features resembling Kawasaki disease. As of May 3, 2021, 3,742 children in the US had been formally diagnosed with MIS-C, with 35 related deaths.
Much is unknown about multisystem inflammatory syndrome in adults.
In October 2020, the US Centers for Disease Control and Prevention published a review of 27 adult cases that fit the description of a multisystem inflammatory syndrome. The preliminary case of MIS-A, described to date has been in patients younger than 50 years.
"As we continue to learn about MIS-A, however, it is prudent not to assume any age limitation when considering the diagnosis, as our case suggests," the researchers said.
"Unlike for MIS-C, there is currently no requirement to report cases of MIS-A to provincial or state authorities, but this should be encouraged to facilitate research and improve patient outcomes," the authors noted.
Chennai, June 17 (IANS) After 11 children admitted to Government Rajaji Medical College hospital in Madurai were diagnosed with Multisystem Inflammatory Syndrome in Children (MIS-C) as a post-Covid-19 condition, health officials feel an urgent need for revival of post-Covid-19 clinics that are now non-functional.Reports from the Government Rajaji Medical College Hospital, Madurai indicates that 37 children under the age of 13 were treated for MIS-C with zero casualties during the two waves of the pandemic.Of the 37, a total of 26 were treated till March 2021 while 11 children were treated since April 2021.Balashankar, head of the department of Pediatrics, Government Rajaji Medical College Hospital, Madurai told IANS: "We are preparing ourselves for a probable third wave and arrangements are being made to set up a dedicated wards for children with 102 beds including 30 ICU beds in the ground floor of the super-specialty block of the hospital."Tamil Nadu Health Department officials said that there is a steady increase in the MIS-C cases across the state and the department is in the process of diagnosing and treating these children. However, fatality rates are around zero.Rajani Arun, senior pediatrician, at a Government hospital in Chennai told IANS: "The children who develop MIS-C symptoms, including high fever for more than two days, conjunctivitis skin rashes, pain in the abdomen, sudden dullness and breathlessness require immediate attention."She said: "MIS-C may lead to a multi-organ failure affecting the heart, lung, liver, and brain, and hence early detection is very important and this disease can be diagnosed clinically and through screening of kidney, heart or lungs using MRI techniques."Mild and moderately affected patients are treated using steroids while severe cases are treated using Immunoglobulin (IV-IG) and doctors agree that IntraVenous treatment has given the desired results and patients were getting cured.While Covid cases are coming down in the state, the post-Covid cases like the mucormycosis (black fungus) and MIS-C are rapidly increasing and hence there is a need to reopen the post-Covid treatment centres in Medical colleges which are defunct now.Ali Satar, a retired professor of Community medicine in Tamil Nadu government service told IANS: "Several medical colleges in the state have now converted the post-Covid treatment centres into extensions of other departments and these defunct post-Covid treatment centres have to be restored to counter post-Covid complications."However, hospital authorities are of the opinion that even after repeated calls to the families of the recovered Covid patients, the response was not good and hence most of the hospitals have also dropped the tracking of post-Covid patients.--IANSaal/in