Worlds Breastfeeding Week – RRMCH Bangalore

RRMCH, Department of Pediatrics celebrated the “Worlds Breast Feeding Week” from 1st Aug 2017 to 7th Aug 2017.

World breast feeding week 2017 has been observed in department, under the guidance of Dr. Adarsh, Prof and HOD, Department of pediatrics RRMCH. We also celebrated one year anniversary of our Human Milk Bank.

1st August 2017 we had inauguration of world breastfeeding week in pediatric OPD at 11am. Started with lighting of the lamp from Dr. Govindaraju, Medical Superintendent, Dr. Adarsh, prof and HOD of pediatrics, Dr. R.Prema, Professor of Pediatrics, Dr. Shashikala, Prof and HOD of community medicine, Dr. Nagarathanna ,Prof and HOD of OBG, RRMCH.

02nd August 2017, we went to the community camp in rural health training centre in Chunchunkuppe. We organized programme for the breastfeeding mother in our community health centre. We shared the thoughts with mothers regarding breastfeeding and importance of it, Dr. Sahana Associate Professor and Dr. Yashitha Junior Resident, narrated about the theme “A Sustaining breastfeeding together” to the mothers.

03rd of august 2017 we conducted the quiz competition regarding the breast feeding for postgraduates of pediatrics, OBG,P&SM and medical students of our college, there was tough competition between all 5teams, and the winners were Dr. Vidhi and Dr. Apoorva from department of pediatrics.

4th August 2017, we had collage competition regarding the breastfeeding for medical students and nursing students, Out of 5 teams participated in the competition nursing students were emerged as winner.

5th August 2017, we oriented the mothers in PNC regarding the importance of Breastfeeding. We also narrated about the theme “A Sustaining breastfeeding together” to the mothers. Our breastfeeding counselor S/n Thayimudamma demonstrated the techniques of breast feeding and had interaction session.

7th August 2017 the breastfeeding awareness skit was presented by 3 groups from community medicine, 7th term medical Students and Nursing Students participated.
We conclude the programme, World breastfeeding week 2017 with great success.

We celebrated ORS day on 29 July 2017, programme was conducted in our OPD and pediatric wards to highlight the importance of Oral Rehydration Salts (ORS) and its significance in the treatment of dehydration.

Excessive loss of fluids and electrolytes in the body causes dehydration. Conditions like vomiting, diarrhea, and diseases which cause diarrhea such as bacterial or viral infection, cholera, food poisoning, unhygienic feeding practices can increase the chances of dehydration.

Dr. Adarsh, Prof and HOD had inaugurated the programme. We created the awareness programme in parents and distributed the ORS to the children.

This programme helped the parents to know more about dehydration difficulties and how to prevent the problem.

We gave a demo on How to make the ORS drink which is available in powder form?

1.Put the contents of the ORS packet in a clean container. Check the packet for directions and add the amount of clean water as indicated. Too little water could make the diarrhea worse.

2.Add water only. Do not add ORS to milk, soup, fruit juice or any soft drinks. Do not add sugar.

3.Stir well, and feed it to the child from a clean cup. Do not use a bottle.

ORS Day

ORS Day is celebrated every year on 29th July to highlight the importance of Oral Rehydration Salts (ORS) as a cost-effective method of health intervention. Acute diarrhoeal diseases are one of the leading causes of mortality in infants and young children in many developing countries. According to WHO, Diarrhoeal disease is the second leading cause of death in children under five years old. Diarrhoea, which is frequently caused by poor sanitation and hygiene, can have serious, even deadly results, typically as a result of diarrhoea-related dehydration. It particularly affects infants, children and old people. Diarrhoea generally lasts for several days, and leaves the body without water and salts that are necessary for survival. Most people who die from diarrhoea actually die from severe dehydration and fluid loss from the body.

Dehydration from diarrhoea can be prevented by giving extra fluids at home, or it can be treated simply and effectively by giving adequate glucose-electrolyte solution called Oral Rehydration Salts (ORS) solution. ORS Jodi (ORS and Zinc) has proven to be successful in the prevention and management of acute diarrhoea and dehydration. Oral rehydration salts contain a variety of salts (electrolytes) and sugar. The combination of electrolytes and sugar stimulates water and electrolyte absorption from the gut. It therefore prevents or reverses dehydration and replaces lost salts in conditions such as diarrhoea and vomiting.ORS is available in the market in a powder form in sachets/ readymade solutions or one can also easily make it at home as well.

All we need to know:
How to make the ORS drink which is available in powder form?

4.Put the contents of the ORS packet in a clean container. Check the packet for directions and add the amount of clean water as indicated. Too little water could make the diarrhea worse.

5.Add water only. Do not add ORS to milk, soup, fruit juice or any soft drinks. Do not add sugar.

6.Stir well, and feed it to the child from a clean cup. Do not use a bottle.

World Breastfeeding Week is an annual celebration which is being held every year from 1to 7 August in many countries all over the world and since past three years ADK Hospital has continued the celebration of this week. World Breastfeeding week is celebrated with the goal to promote exclusive breastfeeding for the first six months of life which gives tremendous benefits to baby as well as to the mother.

The World Health Organization (WHO), American Academy of Pediatrics (AAP) and the World Alliance for Breastfeeding Action (WABA) recommends exclusive breastfeeding for the first six months of life and then supplemented breastfeeding up to two years or more.

Theme for World Breastfeeding Week 2016 is “A Key to Sustainable Development”, which is focusing on the importance of breastfeeding and promote breastfeeding as key element in getting us to think about how to value our wellbeing from the start of life, how to respect each other and care for the world we share.

Below are the activities initiated by nurses in ADK Hospital for celebrating world breastfeeding week 2016.

Breastfeeding refresher workshop for nurses- 1st – 2nd August
Visit postnatal inpatients for breastfeeding counseling – 1st – 7th August
Display posters & breastfeeding week theme at Information Counter- 1st – 7th August
Inauguration of breastfeeding booklet & leaflet – 2nd August
Visit postnatal mothers who are planned to get discharged from hospital to give breastfeeding counseling – 3rd August
Breastfeeding quiz between inter-nursing units – 4th August
Session on breastfeeding for antenatal, postnatal mothers & for ADK staff – 6th August
Breastfeeding committee launching – 7th August

Department of Paediatrics at RRMCH ,Well equipped department with skilled pediatrician teaching staff and state of the art ICU care

November 21, 2017

Inauguaration of Rajarajeswari Centre For Diabeties in Children

Center for Diabetes in Children was inaugurated at the pediatric OPD block of RRMCH on 8/9/17. This centre caters to all children with diabetes with a multidisciplinary approach. This centre provides free insulin, glucometer and glucometer strips on a regular basis for underprivileged children with TIDM. It gives an opportunity to monitor the compliance to medication for all children. The centre also impacts education towards management of diabetes along with nutritional advice. This is a part of the project named “Changing Diabetes in Children” which is a global initiative. The centre at RRMCH is named as Rajarajeswari’s centre for Diatbetes in Children (RCDIC) which will be coordinated by Dr. R.Prema.

The Chairman A.C. Shanmugam has not left any stone unturned in providing services to the poor and needy and this adds another feather to his cap. Similarly last year Human Milk Bank, the first of its kind in Karnataka was opened to cater the needs of neonates till the mothers can recover enough milk.
To commemorate the opening of this centre, Department of Pediatrics, RRMCH, has organized a CME on changing diabetes in children helping all doctors understand the detailed and latest management of such children. Also an elaborate nutritional exhibition which throws much light and knowledge on nutritional aspects of TIDM including carbohydrate counts and glycemic index which is apt for today’s modern children’s lifestyle was displayed. This impacted practical knowledge of eating the right food. During CME our chairman Sri A.C. Shanmugham has promised to provide infrastructure and investigations including treatment for underprivileged children with Type 1 diabetes in pediatric ward.

The program was huge success with more than 200 doctors attending and the awareness of nutrition imbibed by them.

Dr. Adarsh E
Prof and HOD
Department of Pediatrics RRMCH

November 20, 2017

The Technique of Knocking Out Genes – A Sneak Peek

Knocking out genes is a technique which researchers and scientists use when the want to find out
which gene is responsible for production of which protein. In a human body there are around 20,500 different genes that each gene is responsible for making a protein because they are known to be the building blocks for different components of the body be it muscles or bones or brain and more. Apparently, our body is made up proteins. Every gene is responsible for producing a different type of protein and the knocking out technique only helps scientists figure out who is responsible for what.

Knocking out a Gene
The scientists first find out genes with some serious mutation or mistake or create one if needed. These genes are dud genes and do not contribute a bit in production of protein. Now, this gene is injected into the DNA of a healthy cell. The scientists attach a tag called reporter gene to it for identification purpose of whether they have been accepted by the cell. Another identification of reporter genes is that the proteins they produce often glow in blue or green. The scientists apparently fool the DNA in a way. A DNA a we know is made up of long strand of genes and these genes can get damaged but the DNA has an inbuilt mechanism to fix the issue. With the help of a cellular tool box the scientist insert the knocked out gene into the DNA. They do this very smartly by making it look like a perfect copy of the surrounding gene that is to be replaced in that DNA. This disguise of sorts fold the DNA repair system and its swaps the dud gene for the old healthy gene, thus knocking out the original gene.

Some times scientists do not have to swap the gene fully. They can simply insert the reporter gene into the DNA they wish to get rid of, randomly. Now, the reporter gene is wedged in the middle of the old gene. Now, there is an all new piece of DNA inside and if a cell goes to read the gene, the instructions would not make sense to the cell due to its presence there. It would not use the gene to make a protein.

The scientist keep a watch on the process. They observe the working in case it is yeast or bacterium but if it is an embryo, scientists observe on how the animal or plant growth differs from other normal ones.
Today, scientists use different techniques to knock out the genes of any organism they want to. It could be mice or bacteria or for that matter even plants that have knocked out genes. Well, scientists today can knock out even human cells growing in the labs.

Rajarajeswari Medical College and Hospital – MOTTO: Availability of medical facilities is of utmost importance. We aim to serve the healthcare requirements needs to the medically unreached population. Through this, we provide quality medical, paramedical, nursing and allied healthcare education, excellent and compassionate hospital services with state of the art facilities as well as to carry out health research for the betterment of the humankind in tune with the holistic values of the institution.

*source from the internet

November 16, 2017

Hopes on for Vaccines Offering Lifelong Protection against Flu

Flu as we all know is a common condition that all of us encounter many a times during our stay on the earth or say our life span. You would rarely find a human who has not been a victim of this health condition. But, there is some good news around this condition. A recent study of a new vaccine containing ancestral flue virus genes is a ray of hope for researchers in the direction of life long protection against flu.

The vaccine was tested on mice and gave 100 percent results. The vaccine was so effective that even after being given nine different flu virus dozes of lethal nature they survived. The best part was they didn’t even fall sick.
Comparatively those mice that were given the traditional shots of flu did fall sick after these lethal doses were given to them and even died. Though, the study is primarily conducted on mice and it would be too early to say how it worked on humans, there is definitely a ray of hope. The hope that one day a universal flu vaccine is developed that would provide long term rather life long protection against flu viruses.

Though even after trying out the researchers still haven’t really succeeded in creating a vaccine that could offer life long protection because of the reason that flu viruses mutate fast. A recent study though used a different approach. The vaccine they created had ancestral and consensus flu genes from four main strain types namely H1 to H5. The delivery of these genes was done using adenovirus, the one responsible for causing common cold but an altered version of it that was harmless and had the ability to carry ancestral genes.

The results as mentioned were affirmative as these mice survived heavy doses of H1N1, H3N1, H3N2 and H5N1 which can easily kill the mice. Apparently 100% of the vaccinated mice survived.

Well, its too early to confirm the success but further study on different animals will certainly help the researchers determine the efficacy of the vaccine in terms of long term protection.

Know more about Advanced skill center of Rajarajeswari Medical College

October 28, 2017

Personalities and Types – A Bird Eye View

The world is full of a different individuals with different personalities. But, ever thought about how many types of personalities is the world divided into. If not then let me tell you that there are people in the world who have been curious to find this out and have done work on it long long ago. Here are some excerpts from their findings.

Carl G Jung is the one whose indent curiosity led to finding about personality types as per the following –
ATTITUDE
Introverted or Extroverted
PERCEPTION
Sensing vs Intuition
JUDGING
Thinking vs Feeling

Jung’s area of preferences are dichotomes viz bioplan dimensions wherein every pole represents a distinct preference. Jung did state that one of the aforementioned four functions are present in a person be it judging or perception. Further more one of the researchers called Brigs Myers proposed a fourth dichotomy as Judging vs

Perceiving. According to her the personality criterians are as follows –

1. Extravert – Introvert – It symbolizes a person’s energy expression’s source and direction. While people having their energy directed towards their own internal world are called introverts, people with their energy directed towards the external world are called extroverts.

2. Sensing – Intuition – It symbolizes how someone perceives information. Sensing represents a person who believes in information obtained for the real or external world while intuition represents

3. Thinking – Feeling – It depicts how people process information. They either do it based on logic viz thinking or based on what they feel like doing about it.

4. Judging – Perceiving – It represents the implementation of the received information after processing it. Judging is when a person will organize all life events and will stick to all the plans. Perceiving is more about exploring alternatives and improvising on existing ones.

The above four dichotomies are said to yeild 16 different personality combinations or types wherein it represents either of the two poles in each dichotomy of the four dominated in a person, thus deriving 16 separate personality types. To study more about the personalities or denote personality types often every type is assigned a 4 letter acronym. For example

ISTJ – It means Introverted, Sensing, Thinking, Judging
ENFP – It means extroverted, intuitive, feeling, Perceiving

Similarly the other fourteen are derived.

October 26, 2017

Life of Medical Student – Awesome or Not?

Though medical students have a routine they follow when in college and it is mostly fixed by the college, life can differ from one individual from other. There are myths and beliefs around medicine as a course and the labor and toiling that it involves around the 5 years duration of the course. Yes, off course the course involves hard work for continuous five years and a lot of study as well. But, it does come with a lot of benefits and sweet afters as well. So, here is a run down how a medical students life can be awesome even if he or she has to lose their mind for cracking the course.

The Busy Bee Boon – Yes, a medical students routine is all packed through the day right from the morning till the evening and includes early theory lectures, dissection, hospital visits, case presentation and more through out the day. Apparently, medical students many a times run out of time to study for their theory exams at the end of the year. But, still its a boon because it rarely gives to time to think about anything else. Remember, the saying an idle mind is a devils workshop and doctors are too busy to be idle.

You’ll Definitely make Cool Friends – At the medical campus, you are going to find many smart heads and many of your wavelength. Over a period of time you’ll not only love discussing out the subject matter with them but develop many friendships that might as well last for a lifetime time. This is not just awesome but the most invaluable part or rather gift of your medical education.

No Job Worries – Like any other routine degree course graduate, you don’t need to hunt for a job. Most of the jobs will slip in like butter without much ado. What more an internship is also going to pay you big bucks, and a job definitely a fortune in years to come. So, that’s a pretty good reason to feel awesome about doing a medical course ain’t it.

Learn stuff that not many get too – Your body is beautiful and what better than exploring every part of your body and gaining knowledge about your body which you rarely did. At the end of the course you will be an enriched person with knowledge about functioning of all the organs of the body and much more.

Serve the Society – By the time you enter your college and your hospital sessions begin you come to know that at the end of the day your are going to serve the society and be responsible for the smiles and frowns on the faces of people, while to try and work to turn frowns into smiles all the while. The feeling of doing something good for the society in itself makes one feel at the top of the world and you as a doctor are going to do it day in and day out and that above all is the best part of being a doctor or taking up medicine as career however hard or toiling or laborious it is going to be.

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September 19, 2017

Medicine As a Career in India

Indian parents have been long obsessed with this career stream and yes no marks for guess that right… its medical offcourse. Though, times are changing, but the attraction for medicine hasn’t faded as yet with parents only because of the surefire career that it is. But, over the years there are a lot of choices that are available around the medicine field apart from MBBS. So, students who aren’t able to crack the NEET can try to opt for some related courses that include BDS, Physiotherapy, Phsychiatry, Pharmacy and more. So, as per your area of interest you may choose a course. One major advantage of NEET being brought into effect is that intelligent students coming from lower income groups can try to get entry into medical without paying hefty donations to colleges.

In case you opt for MBBS, a masters is always a good idea considering future growth. You could either opt for a MD or MS. Though being a surgeon isnt a cake walk and invovles daily encounters with patients fighting for their lives. Its a great responshibility to shoulder and a time costing too.

As a surgeon or a masters degree holder you need to be available to your patients anytime. It could be in the wee hours of the night as well. So, its quite a stressful and hectic work schedule that you’ll have to manage. But, the perks include immense work satisfaction with successful medical procedures and blessing from families. If surgery is not your cup of tea then you might as well opt for MD in areas like radiology, anaesthesiology, paediatrics, forensic medicine and more.

Well, if not MBBS than the option of Physiotherapy, BDS, Ayurvedic medicine, Homeopathy, Veterinary and Pharmacy are definitely some of the good choices around medicine. A masters degree with these streams can offer rewarding career prospects.

Coming down to the bottom line, medical education does blow a hole into your pocket and for students coming from middle income and lower income groups, its not an easy way ahead. But, with the help of student loans, you may as well manage to realize your medical education dreams. Though, it is important to have indepth information on the student loan interest, payback procedure and time for repayment in detail, needs to be known particularly when you are planning to pursue higher education abroad.

Medical is undoubtedly a lucrative career but having said that it does come with its own cons which need to be considered before taking a plunge into it.

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August 18, 2017

The Rising Demand for Occupational Therapists in India

Over the years Occupational therapy has garnered a lot of eye balls and youth seem to be interested in this career that not just pays but gives immense work satisfaction as well. The work of an occupational therapist involves around helping physically and mentally challenged people to manage themselves independently. This includes performing daily chores, play, work and more.

For becoming an Occupational therapist you need to opt for Bachelors in Occupational Therapy degree course after 12th Science. It is a four year course and is offered by numerous medical colleges across India. Some of them offer direct admissions on the basis of percentage while for some you need to crack the entrance.

The syllabus includes a foundation course in research methodology besides an amalgamation of subjects from psychology, orthopaedics, psychiatry, pharmacology, anatomy, physiology, surgery combined with ergonomics and occupational therapy. After completion of the four years course you need to undergo a six months full time clinically oriented training internship program. After which you can start working as a professional or carry on with your PG diploma, masters and doctorate.

One major reason behind the rising demand also lies in the fact that in India only 20 institutions offering 9 graduate programs for occupational therapy. This number seems to be a meager one as compared to the leap frogging number of patients suffering from physical and mental disabilities. Hence, as far as the job opportunities are concerned, there is undoubtedly immense scope in both private and public sectors. You may either work with hospitals, schools, public healthcare institutions or carry out private practice in a clinic or alongside other specialists.

Well, occupational therapy is no child’s play but beyond a profession that offers a lucrative career, it is more about community service. Occupational therapists train families and care takers to deal with patients having disabilities in a positive way, thus helping them become independent, productive and lead a normal life.