July « 2009 « ThePclinic

Economic Recession

The economic recession has started showing it’s effect in academic activity in the engineering stream at least, in India.Now students are preferring admission to more traditional branches than once much much envied IT sector.But the fact is that the IT sector was providing employment to all the streams in engineering course.Even if one opts for other branches the employment generating sector will remain with the IT sectors.But in fact one will certainly have a choice at the entry level though less in number to engage many.We will have to wait still for some more time.

Filed under: General — drppanda @ July 31, 2009 4:23 pm

Orchitis

Image via Wikipedia

I do not remember if I have seen bilateral orchitis in the recent past that I saw to-day.The enlargement is quite remarkable.May be it is due to the delay in arrival to the hospital.Orchitis is inflammation of testis commonly by bacteria in an adult but in tropical countries usually filarial. .In children it is usually of viral in origin.Here the testis enlarges and becomes painful accompanied by fever.Epididymis is also involved most of the times.It follows an urinary tract infection through backward infection.
Support of testis,analgesics to relieve the pain and antibiotics to control infection are required.Investigations like urine examination along with culture and sensitivity test and ultrasonography of testis and abdomen are important to support treatment.

Filed under: General — Tags: Antibiotic, Bacteria, Genitourinary Disorders, Health, Infection, Pain, Urinary tract infection — drppanda @ 6:46 am

Snake Bite

Image via Wikipedia

A large chunk of death is due to fear after a snake bite.This is due to shock following fear.Most of the bites are from non-poisonous snakes.Snakes are there for ecological balance.They are friend of farmer in the sense that they protect his grains from rats by preying on them.They bite out of fear only.Otherwise they are on their way.But the look at them is shivering , a chill travels in the spine and that kills the victim.
Personally I am afraid of them.Snakes are either poisonous or non-poisonous .Poisonous are again divided into neurotoxic which attack the nervous system or haemotoxic which cause disturbance in blood coagulation system. But pure neurotoxic and pure haemotoxic does not occur.Mostly they remain mixed but one component may be in excess to other.
The poison occurs in the saliva of snakes primarily to kill or paralyze the prey to make swallowing easier.
Symptoms of of poisoning appears depending on the amount of toxin liberated to the blood stream.That in tern depends on the type of fang the snake has and other barriers to injection of venom like clothing present.
Immediate symptoms include sensation in body, numbness and bleeding from the site of bite,reeling of head,weakness,frothing ,difficulty in respiration and loss of consciouness.If less of neurotoxin present then late symptoms like swelling of the part,bleeding ,blood in urine,kidney failure and respiratory problems will appear.
First-aid in form of immobility of the part,washing of the part,sucking of venom by person without having mouth injury,taking T.Toxoid and antibiotics are important.Application of a tight bandage above a joint nearer to the bite called a tourniquet is to done which is to be relaxed in each 10 minutes to allow blood flow to the part below the tourniquet till patient reaches a hospital.
Treatment should commence at once when patient reaches a hospital.A blood sample should be collected for clot retraction test.Here the killed snake if was possible is to be produced for identification of the poisonous nature.
Since the venom contains a mixture of different types of toxins a polyvalent anti-venom is administered after due sensitivity testing and according to the advice of treating physician.
A patients not in so late condition usually recovers.

Here one paradox in relation to dog bite is that there dog is not to be killed immediately and here snake is to be killed and produced for identification if at all possible.

Filed under: General — Tags: Antivenom, Blood, Death, Health, Neurotoxin, Poison, Snake, Toxin — drppanda @ July 28, 2009 9:36 pm

Bookmark & Share

Sometime back I was asking my son to create such a button that in one click the recent post in one’s blog will be posted to different sites and also in the same way that can be book marked.In one sentence it is a sort of multi-linking.
Fortunately while wandering in different pages in web I came to know one site called Onlywire.com where some of bookmarking features searched by me are present.Here one has to configure the sites from the list of sites presented by the web site and add a button in his website. After writing a post and switching on the button rest of sharing work will be taken over by the Onlywire.
But still it can not link to certain other sites .Will any developer look into it.I think one day that will be there.A blogger can save time in posting a blog to different sites he owns in one go.But till that time one should try testing the Onlywire.

Filed under: General — Tags: Advertising, Blog, blogging, Marketing, OnlyWire, tool, Web, Web 2.0, Website — drppanda @ July 27, 2009 10:05 pm

Rabies and Protection

Image by Getty Images via Daylife

A patient having low grade fever ,headache,malaise and some amount of cough usually not given much importance thinking it to be common cold or some minor viral fever.But if has a history of exposure to the bite or saliva contact of an unimmunized domestic pet like
dog,rabbit,monkey,cat or mongoose or an exposure to wolf ,monkey or jackel has to be viewed seriously.If these symptoms occur near about the 10th day of such exposure it adds weight to warrant a close observation for Rabies.If it is so the patient will go to the next phage of the disease i.e.forgetfulness,stiffness,loss /reduced sensation on some part of body,muscle twitching and hypersensitivity to cold ,even gentle breeze ,sound or even to gentle
touch.

Image by Shenghung Lin via Flickr

The classical symptom of hydrophobia is seen about more then 50% of cases and is diagnostic.Here the patient becomes afraid of even the sight of water leave aside the drinking of it.There after the patient goes to convulsions,coma and dies usually of respiratory arrest.

It is very much painful to watch the site and diagnose the disease as cure is a remote possibility.
After about 10 days to 1 year of contact with rabid animal , depending the virus load,site of injury and immunization status the victim the disease may manifest.The mean time is around 2 months.This rabies virus travels along the nerve tissue to the Grey matter of brain to multiply there and come back to periphery to manifest.There occurs severe spasm of wind pipe making it difficult to take respiration.

First aid includes through washing, using soap water and if cetrimide solution is available it is good.Immunization for Tetanus and some antibiotics and dressing of the wound are required.Then specific treatment should be sought .It is in form of passive immunization by Rabies Immunoglobin(RIG) according to the assessment of the doctor.Active immunization by HDCV(Human Diploid Cell Culture Vaccine) is by far the best and lack many adverse effect of other available vaccines.Other vaccines include a Vera cell/Chick embryo cell culture vaccine.The sheep brain culture vaccine is no longer preferred.The vaccine is taken in intramuscular route on 0,3,7,14,21 to 30 and another on 90th day.Day 0 means the day of bite or when the person first reports.

A Rabies Patient

Those persons are at the risk of contact(occupational Hazard) such as veterinary people should get immunized with 3 doses and booster on 2nd year for their protection.
Useful tips is to restraint the suspected animal after the bite ,if feasible.And keep under observation for 10 days in which period mostly they die or show symptoms of disease in them.They should not be killed in anger immediately after bite.If they show symptoms of disease or die their brain should be sent for recovery of virus to confirm the disease in them.
It is also seen that some healthy carrier animals are also there.So I think it is better if one is immunized than to wait for other things.Immunization of pet is an important step for animal lovers and persons having occupational hazard.