Critinext

27/05/2015

Here again :) Critinext receives Prestigious “The Golden Globe Tigers Summit Awards, 2015 (Kuala Lumpur)”.
for “Innovation in quality of Service Deliver” for excellence & leadership in Healthcare Management.
Thank you all

27/05/2015

Critinext receives Prestigious Times of India " Healthcare Achievers Award" for " Innovation in Improving Care & Efficiency with Technology" Thank you all :)

15/10/2014

"Sleeping on Sofa Can Be Deadly for Babies, Study Finds"
Stay Aware Stay Safe

One of the most dangerous places for a sleeping baby is a sofa, according to a new study. Of nearly 8,000 infant sleeping deaths in the United States, researchers found that about 12 percent were sofa-related. And nearly three-quarters of those infants were newborns.

"It was shocking that one in eight SIDS and infant sleep-related deaths occurs on a sofa," said study co-author Dr. Jeffrey Colvin, a pediatrician at Children's Mercy Hospital in Kansas City. "Sofas don't even come to mind when people think of places where infants sleep. The proportion was much, much higher than I ever could have guessed."

SIDS refers to sudden infant death syndrome -- an apparently healthy baby's unexplained death that usually occurs during sleep. Approximately 4,000 babies die of SIDS each year in the United States, though the rate halved in the early 1990s after pediatricians began encouraging parents to place babies to sleep on their backs.

The new study found that infants who died sleeping on a sofa were nearly twice as likely to die from suffocation or strangulation as babies who died sleeping elsewhere. Among those infants, 40 percent died due to suffocation or strangulation, 36 percent had an undetermined cause of death and 24 percent died from SIDS.

The findings of study were published online Oct. 13 in the journal Paediatrics.The vast majority of the babies who died on sofas were 3 months old or younger. And several other characteristics distinguished these deaths from infant sleep deaths on other surfaces, according to the report.

Babies who died on a sofa were over six times more likely to be sleeping in a new place compared to babies who died on adult beds or in their cribs. This implies that falling asleep on a sofa may have been accidental, said Dr. Cigal Shaham, an attending physician at Cedars-Sinai Medical Center in Los Angeles.

"Infants often end up sleeping on the sofa because one parent is trying to feed the baby without disturbing the other parent, or they think they will watch TV or do something while they are up with the baby in the middle of the night, but then they unintentionally fall asleep out of exhaustion,"

The study also found that babies who died while asleep on the sofa were about twice as likely to be sleeping with someone else compared to babies who died sleeping in other places.

"In nearly 90 percent of the sofa deaths, the infant was sharing the sofa with an adult,". "With such little room and the likelihood that the infant would have been placed between the adult and the back cushions, it is not hard to imagine that an infant could become accidentally suffocated by either the adult or the cushions," he said.

In other situations, however, the parents or other caregiver may not have realized the sofa was an unsafe place for a baby as long as they were nearby.

"They may be trying to work or clean or cook, and they think they can keep an eye on the baby if the baby is on the sofa," Shaham said. "But the sofa is so dangerous for infants because it is soft, which means the infant can suffocate more easily, and it often slopes so babies can roll onto their stomachs, roll between the couch and the back cushions or even roll off the sofa."

Babies who died on the sofa were also more likely to have other risk factors for SIDS or other infant sleeping deaths than babies who died elsewhere, according to the study.

For example, the mothers of infants who died on sofas were about 40 percent more likely to have smoked during pregnancy than mothers of infants who died elsewhere.

Infants who died in their sleep on the sofa were more likely to be white and found on their side -- another SIDS risk factor -- compared to babies who died in other places.

"Parents should always remember that SIDS can occur anytime -- during naps or overnight -- and can occur in any location, whether it's at home, in child care or at a babysitter's or relative's house," Colvin said. "The ABC's of safe sleep must always be followed: infants must always sleep Alone, on their Back, and in a Crib, and Alone means no other people and no pillows, quilts, or other soft objects."
Study suggested that parents plan ahead and recognize their own limits to avoid accidentally falling asleep with their baby.
"Parents need to be aware of their own exhaustion,

15/08/2014

"Critinext wishes you a very Happy Independence Day :) We pledge to stay Accessible, Affordable, Digital & innovative to save more Lives & to provide Quality Critical Care Beyond Boundaries"

10/08/2014

"EBOLA" Stay Aware Stay Safe
The Ebola virus disease (EVD), formerly known as Ebola hemorrhagic fever is a severe condition caused by a virus from the Filoviridae family. Known to be a condition that is transmitted from animals to humans, this virus spreads through direct contact with the bodily fluids of an infected person or animal.

How is it transmitted? What are its causes?
In humans the disease can be transmitted by the following methods:
•Coming into contact with the blood, secretions, organs or other bodily fluids of an infected person.
•Healthcare workers may contract the disease through transmission as well through contact with infected bodily fluids.
•Handling the meat from infected animals.
•Contact with the bodily fluids of an infected person who has passed away.

Who is most likely to get infected?
‘The condition is contagious, so migratory populations are most likely to get infected and transmit the virus. Interestingly, this condition is also a hospital acquired infection and is commonly transmitted to hospital staff. Apart from that, high risk individuals include diabetics, immunocompromised patients, patients with kidney and liver failure and HIV infected people.’

What are the symptoms?
The incubation period (or the time between when the actual infection takes place to the time when a person sees symptoms of this condition) for this disease is about one week. After this period a person will commonly see the signs that are considered as ‘early symptoms’. According to Dr Ratan, the early symptoms include fever, rashes, headache, nausea, vomiting and stomach pain. Apart from that a person may also experience symptoms like pain in the lower back, arthritis like pain all over the body, diarrhea and a sore throat.

Once the condition has progressed a person may notice symptoms like:
•Bleeding from the mouth, ears, nose and ears.
•Increased sensitivity to pain on the skin,
•Genital swelling
•Conjunctivitis
•Rashes all over the body,
•And reddening of the roof of the mouth.

How is it diagnosed?
Usually a doctor will be able to diagnose the condition with the symptoms alone, but in order to confirm the diagnosis he/she may prescribe tests like CBC (Complete Blood Count), coagulation studies (a test to check for the amount of time a person’s blood needs to clot), viral antigen testing (a test to check for the presence of the viral antigen) and a liver function test.

Once diagnosed, what kind of treatment does the disease have?
‘There is no definitive treatment, and common anti-viral therapies do not work on the Ebola virus. Therefore the goal of the treatment is to treat the symptoms and prevent secondary infections or complications like pneumonia and liver failure.’

What is the prognosis?
on an average, 80% of the people infected with this virus do die. Their death is usually due to a drop in their blood pressure and failure of organs.

How can it be prevented?
‘There aren’t any vaccinations available as of now, so basic hygiene is of importance and a must be followed in order to prevent the onset of the condition. Simple activities like washing your hands well, drinking water from a clean source, maintaining general hygiene and cooking your meat well, can all serve as precautionary measures. Apart from that people should avoid crowded places, or those that are known to have an outbreak. It is also important that if they notice any early symptoms, they should visit a doctor immediately.’

08/01/2014

13 Of The Biggest Health News Stories Of 2013...Stay Aware Stay Safe

2013 was not a quiet year for health news. Disease outbreaks, new guidelines and celebrity diagnoses made headlines and got people talking. While a year-end roundup of the biggest health stories is bound to be incomplete, we did our best to cull the topics that generated the biggest buzz -- and had the biggest impact -- worldwide. Did we miss anything? Tell us in the comments!

30/12/2013

2013 was not a quiet year for health news. Disease outbreaks, new guidelines and celebrity diagnoses made headlines and got people talking. While a year-end roundup of the biggest health stories is bound to be incomplete, we did our best to cull the topics that generated the biggest buzz -- and had the biggest impact -- worldwide. Did we miss anything? Tell us in the comments!

30/12/2013

2013 was not a quiet year for health news. Disease outbreaks, new guidelines and celebrity diagnoses made headlines and got people talking. While a year-end roundup of the biggest health stories is bound to be incomplete, we did our best to cull the topics that generated the biggest buzz -- and had the biggest impact -- worldwide. Did we miss anything? Tell us in the comments!

30/12/2013

which muscles are commonly weakened by Polio Virus ???

30/12/2013

POLIO OUTBREAK IN SYRIA - 2013 -What is the current situation?
STAY AWARE ; STAY SAFE

According to the World Health Organization (WHO),External Web Site Icon as of November 25, 2013, 17 cases of polio have been reported from the Syrian Arab Republic (Syria). Due to conflict in the region, immunization rates have dramatically decreased.

CDC recommends that all travelers to Syria be fully vaccinated against polio. In addition, adults should receive a one-time booster dose of polio vaccine.

Because of the risk of cross-border transmission, CDC recommends a one-time booster dose of polio vaccine for fully vaccinated adults who are traveling to Egypt, Iraq, Jordan, Lebanon, and Turkey to work in health care facilities, refugee camps, or other humanitarian aid settings. This kind of work might put people in contact with someone who has polio.

What is polio?

Polio is a disease caused by a virus that is mainly spread by person-to-person contact and eating or drinking items contaminated with the f***s of an infected person. Polio can also be spread through water, other drinks, and raw or undercooked food.

Most people with polio do not feel sick. Some people have only minor symptoms, such as fever, tiredness, nausea, headache, nasal congestion, sore throat, cough, stiffness in the neck and back, and pain in the arms and legs. Most people recover completely. In rare cases, polio causes permanent loss of muscle function in the arms or legs (usually the legs) or death.

What can travelers do to prevent polio?
•Get the polio vaccine: ◦Ask your doctor or nurse to find out if you are up-to-date with your polio vaccination and whether you need a booster dose before traveling. Even if you were vaccinated as a child or have been sick with polio before, you may need a booster dose to make sure that you are protected.
◦Make sure children are vaccinated.

•Eat Safe Foods: ◦Food that is cooked and served hot
◦Hard-cooked eggs
◦Fruits and vegetables you have washed in clean water or peeled yourself
◦Pasteurized dairy products

•Don’t Eat: ◦Food served at room temperature
◦Food from street vendors
◦Raw or soft-cooked (runny) eggs
◦Raw or undercooked (rare) meat or fish
◦Unwashed or unpeeled raw fruits and vegetables
◦Peelings from fruit or vegetables
◦Condiments (such as salsa) made with fresh ingredients
◦Salads
◦Unpasteurized dairy products
◦”Bushmeat” (monkeys, bats, or other wild game)

•Drink Safe Beverages: ◦Bottled water that is sealed (carbonated is safer)
◦Water that has been disinfected (boiled, filtered, treated)
◦Ice made with bottled or disinfected water
◦Carbonated drinks
◦Hot coffee or tea
◦Pasteurized milk

•Don’t Drink: ◦Tap or well water
◦Ice made with tap or well water
◦Drinks made with tap or well water (such as reconstituted juice)
◦Flavored ice and popsicles
◦Unpasteurized milk

•Practice hygiene and cleanliness: ◦Wash your hands often.
◦If soap and water aren’t available, clean hands with hand sanitizer (containing at least 60% alcohol).
◦Don’t touch your eyes, nose, or mouth. If you need to touch your face, make sure your hands are clean.
◦Cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing.
◦Try to avoid close contact, such as kissing, hugging, or sharing eating utensils or cups with people who are sick.


Clinician Information:

All travelers to any country should be up-to-date on routine vaccinations, including polio vaccine. CDC recommends a one-time adult inactivated poliovirus vaccine (IPV) booster dose for travelers to certain countries.

26/12/2013

Doctors remove man's stomach after cancer plays hide and seek : read full story below
| Dec 26, 2013, 03.04 AM IST
The diagnosis and treatment would soon be published in a medical journal as a rare case in medical history.
CHENNAI: It was a cancer that escaped several endoscopic and laparoscopic biopsies. Finally, when a team of doctors from the surgical gastroenterology department at the Government General Hospital operated upon the 41-year-old patient and put the tissues under the microscope, it showed up as histiocytosis of the esophagus and stomach. The diagnosis and treatment would soon be published in a medical journal as a rare case in medical history.

The patient from a village near Villupuram had come to the hospital when he couldn't swallow food and was rapidly losing weight. Doctors who ran tests on him found that he was suffering from progressive dysphagia - a condition which is caused by an obstruction in the food pipe. Endoscopic tests showed that he had a 9cm lesion running from his food pipe all the way to the stomach.

"In case of dysphagia, we have to rule out cancer, so we did a biopsy. The result came negative," said Dr S M Chandramohan, head of the department. Since clinically it looked like cancer, the team did a CT scan on the patient which indicated the tumour could be malignant. "The tumour looked locally advanced. Laparoscopy showed that the other organs were healthy," said Dr Sandeep Rajasekar, who was part of the surgical team.

The surgeons opened up the patient, and when they saw nodules in the folds of the stomach, they were sure again. "The growth looked malignant, so we just took some samples for the biopsy and closed him up without proceeding with the surgery," said Dr Chandramohan.

But the doctors were flummoxed as the biopsy came negative again. So they called for a multi-disciplinary discussion with radiologists and oncologists. On looking at the test reports all of them agreed it was cancer, but the option of radiation and chemotherapy was shut as the biopsies were negative. "Just when we were at a low point as we could not come up with a clear diagnosis, the patient came to us and said, he did not care what the next step was, but he wanted to eat. It was then that we decided to go all the way and remove his food pipe," said Dr Chandramohan.

The doctors performed a five-hour surgery and removed the infected food pipe and stomach and reconstructed it with his intestine. "The entire structure had to be removed as the cross section showed acute metastasis. Then we used his large intestine and formed a passage that connected to his mouth," said the doctor.

When the removed GI tract was sent for further tests, it showed that the patient was suffering from histiocytosis, a rare form of cancer. "Usually histiocytosis affects the blood cells, so it is common in the nose. But this case was unique as it affected the esophagus and stomach. The cancer did not show up in the biopsy as we normally take the mucosa layer for sample. The cancer cells were present in the sub-mucosal layer," he said.

The patient recovered well after the surgery and has been asked to come for weekly follow-up. "He would soon be undergoing chemotherapy," said the doctor.