Monkey Pox !

Monkeypox is a viral zoonotic disease seen in Central and West Africa . It resembles smallpox in appearance . Outbreaks are recently reported from North America and Europe.

Monkeypox is caused by monkeypox virus,
a member of the Orthopoxvirus genus in
the family Poxviridae.

Monkeypox typically presents clinically
with fever, rash and swollen lymph nodes and may lead to a range of medical complications.
Monkeypox is usually a self limited disease with the symptoms lasting from 2 to 4 weeks. Severe cases can occur.

In recent times the case fatality ratio has been around 3-6%.
Monkeypox is transmitted to humans through close contact with an infected
person or animal or with material contaminated with the virus .

Monkeypox virus is transmitted from one person to another by close contact with lesions ,body fluids, respiratory droplets
and contaminated materials such as clothes.

The incubation period of monkeypox is
usually from 6 to 13 days but can range from
5 to 21 days .

The infection can be divided into two periods:

The invasion period (lasts between O-5
days) : characterized by fever, intense
headache lymphadenopathy , back pain, myalgia
and intense asthenia .

Lymphadenopathy is a distinctive feature of monkeypox compared
to other diseases that may initially appear
similar to it like (chickenpox, measles, smallpox).

The skin eruption usually begins within 1- 3 days of appearance of fever. The rash tends to be more concentrated on the face and extremities rather than on the trunk .It
affects the face and palms of the hands and soles of the feet . Also
infected are oral
mucous membranes ,
genitalia , conjunctivae, as
well as the cornea.

The clinical differential diagnosis includes other rash illnesses, such
as chickenpox , measles ,bacterial skin infections, scabies ,syphilis, and medication
associated allergies.

Lymphadenopathy during
the prodromal stage of illness can be a clinica
feature to distinguish monkeypox from
chickenpox or smallpox.

If monkeypox is suspected , health workers should collect an appropriate sample and have it transported safely to a laboratory with
appropriate testing facilities.

Polymerase chain
reaction (PCR) is the preferred laboratory test
given its accuracy and sensitivity.

The clinical presentation of monkeypox
resembles that of smallpox, a related
orthopoxvirus infection which has been
eradicated.

Smallpox was more easily
transmitted and more often fatal as about 30% of patients died . The last case of
naturally acquired smallpox occurred in 1977
and in 1980.

Smallpox was declared to have
been eradicated worldwide after a global
campaign of vaccination and containment. It
has been 40 or more years since all countries,
ceased routine smallpox vaccination with
vaccinia based vaccines .

Whereas smallpox no longer occurs naturally,
the global health sector remains vigilant in the
event it could reappear through natural
mechanisms like laboratory accident or deliberate
release .

To ensure global preparedness in the event of reemergence of smallpox, , newer
vaccines diagnostics and antiviral agents are
being developed . These may also now prove
useful for prevention and control of monkeypox.

Therapeutics :

Clinical care for monkeypox should be fully
optimized to alleviate symptoms ,manage complications and prevent long-term
sequelae .

An antiviral agent
known as ” tecovirimat ” that was developed for
smallpox was licensed by the European
Medical Association (EMA) for monkeypox in
2022 .

It is not yet widely available for patient care.

Tecovirimat should
deally be monitored in a clinical research
context .

Vaccination against smallpox was demonstrated through several observational
studies to be about 85% effective in
preventing monkeypox .

Thus, prior smallpox
vaccination may result in milder illness .

Evidence of prior vaccination against smallpox
can usually be found as a scar on the upper
arm.

At the present time the original (first-
generation) smallpox vaccines are no longer
available to the general public .

Some
laboratory personnel or health workers may
have received a more recent smallpox vaccine
to protect them in the event of exposure to
orthopoxviruses in the workplace .

A still newer vaccine based on a modified
attenuated vaccinia virus (Ankara strain) was
approved for the prevention of monkeypox in 2019 . This is a two-dose vaccine for which availability remains limited .

Smallpox and
monkeypox vaccines are developed in
formulations based on the vaccinia virus due
to cross-protection afforded for the immune
response to orthopoxviruses .

Prevention :

Raising awareness of risk factors and
educating people about the measures they
can take to reduce exposure to the virus is the main prevention strategy for monkeypox.

Scientific studies are now underway to assess
the feasibility and appropriateness of
vaccination for the prevention and control of
monkeypox .

Some countries have, or are
developing, policies to offer vaccine to
persons who may be at risk such as laboratory
personnel, rapid response teams and health
workers.

Reducing the risk of human to human transmission,
surveillance and rapid identification of new cases is critical for outbreak containment.

During human monkeypox outbreaks, close
contact with infected persons is the most
significant risk factor for monkeypox virus
infection .

Health workers and household
members are at a greater risk of infection.

Health workers caring for patients with suspected or confirmed monkeypox virus
infection, or handling specimens from them,
should implement standard infection control
precautions If
selected to care for the patient.

Talcum Powder :

Summer has arrived! Body Talc use is going up !

To smell good and feel good and fresh …do we need to use Talc or talcum powder ?

What is talc than ?

Talc, or talcum, is a clay mineral, composed of hydrated magnesium silicate with the chemical formula Mg3Si401(H)2.

Talc in powdered form, often combined with corn starch, is used as baby powder nowadays. This
mineral is used as a thickening agent and lubricant. It is an
ingredient in ceramics, paint, and roofing material.

Talc is a soft mineral which can be crushed into a fine powder (talcum powder) for use in baby and adult powder, blush, eye shadows and other 💄 cosmetics.

It has been used for decades to wick away moisture from the skin or give our makeup look a fresh one and a lesser cakey feel and finish.

What about asbestos than , the major constituent of talcum powder ?

Talc is associated closely with asbestos mined from the ground.

Asbestos is a name for a few different minerals that are mined for commercial applications in a range of industries. It is a known cancer causing agent(carcinogen).

Asbestos ,while not illegal in the US or other advanced countries, its use has declined significantly since studies
first began to find risks in the 1970s. Asbestos was also used for roofs of houses 🏘 throughout India. It’s use has gone down since than.

While risk varies with exposure levels and other factors, asbestos can cause lung cancer , institial lung 🫁diseases, pneumoconosis and other problems.

People who work in construction or mining are
more at risk for asbestos exposure.

Tests on talc containing cosmetic products from different companies and organizations, including the US Food and Drug
Administration, found asbestos in substantial percentages of different
products tested.

FDA published a few cosmetic company recalls for asbestos contamination,
including a lot of Johnson & Johnson’s baby powder which is a big favourite with Indian mothers .

The European Union considers talc to be a
restricted substance because of talc’s
potential risk of asbestos
contamination.

Most health claims and lawsuits against talc based baby powder all over the 🌎 world ,
surround reports of ovarian cancer in women ,
presumably after using the baby powder in the genital area.

Throughout the years, many people used baby
powder this way or were even taught that it is hygienic, as part of a broader marketing trend and strategy that encouraged people
especially women to be “fresh”.

The American College Of Obstetricians and Gynecologists recommends
against using talcum powder or other “vaginal treatments” as these products can irritate the area and ultimately lead to different forms of cancer.

So , now it comes to my mind are all talc powder
contaminated with asbestos?

It’s still not clear exactly how often talc based products, like Johnson’s original baby powder, might be contaminated with asbestos .

In 2018, the FDA began testing samples of cosmetic products that contain talc for the presence of asbestos, and those tests have led to several product recalls.

In the past, batches of blush, eye shadow and baby powder have all
been recalled over potential asbestos
contamination.

While certain batches of cosmetics over the years were found to have been containing asbestos , recent trends show , huge pharmaceutical and cosmetic companies are moving to talc free body powders and cosmetics.

Johnson and Johnson cornstarch baby powder doesn’t contain talc, and it is the only J & J baby powder available for sale in the US and other countries now.

Many other companies have also followed this trend of corn 🌽 starch powder for human use.

Conclusion :

There’s no research that definitively links Johnson & Johnson’s talc based baby powder with ovarian cancer till now, but
the medical consensus on the safety of talc when used cosmetically remains murky.

According to the American Cancer Society, it’s not clear whether
products that contain talc only (and don’t contain asbestos) could still increase the risk for cancer, as studies in both
humans and lab animals have produced conflicting results.

The society bases
its conclusions on the World Health Organization’s International Agency for
Research on Cancer, which doesn’t classify talc in general as carcinogenic,
but classifles genital use of talc as”possibly” carcinogenic to humans.

Research linking asbestos
contamination with risk of cancer is clear, however.

The National Cancer Institute lists ovarian cancer as one of the types associated with asbestos.

Bottom line?

Cosmetics are regulated in vague ways, and the potential for harm with a contaminated product could be there after years long use with trace
amounts in daily items, or exposure to large amounts through occupational
hazards. .

Lawsuits over the talc based baby powder’s alleged link to cancer and
respiratory problems are ongoing and number in the thousands, and J&J has paid millions of dollars in settlement
money to people who alleged the powder caused their cancer.

The talc used in the infamous bathroom staple, the claims go, has a chance of being
contaminated with asbestos, a known
carcinogen that can lead to cancer .

Baby powder made with cornstarch instead of talcum is still available and the best way to go ahead .

Take home messages:

Check all talcum powder you buy for asbestos !!! Happy buying!! Happy summer!!

What to eat ??

BALANCED DIET

DIET:

What should we eat ?

Do we really need to diet ?

UK 🇬🇧 government guidelines start with 2600 calories/ day for men and 2080 calories for women without specifying dietary content for a healthy, energetic lifestyle.

There are no good or bad foods neither universally good or bad diets .

We shouldn’t consider diet independently of lifestyle and should not assume that all of us want to be thin, healthy and living forever.

After years of research in medical fraternity, we still do not know ” who should eat what and when ” ?

Are 3 meals in a day ok and better than 1 meal a day ?

Is fat consumption ok , if our weight is normal?

How many fruits a day is good for us ?

Is green vegetables better than yellow ones and fruit ?

NO DEFINITE ANSWERS.

All good foods or superfoods have a dark side….

Dark chocolate contains antioxidants epicatechin , nullified by milk.

Atkins diet … consumption of increased proteins and fats ….control your weight and insulin resistance….but this diet changes bowel flora ….carcinogenic!!!

Vegetarians show less incidence of heart disease, but all benefits of such diet can be nullified by smoking.

Do vitamins help ?

Beta carotene, Vit A and E increase mortality significantly.

So what diet to take and on what basis ???

We should take 3 things into consideration when considering a diet …….

  1. Obesity is as bad as smoking.
  2. Diabetes is getting omnipresent.

3.Advice does not change eating habits of people .

Than what advice to follow ???

Answers or guidelines may be followed for a better health.

  1. Maintaining BMI between 20 to 25 .
  2. Oily 🐟 fish is good , so is plain nuts and walnuts . If vegetarian, consider soya protein products.
  3. Eat enough fruits and vegetables(100 gms / day ). More than > 6 pieces of fruit with skins is great on a day.
  4. Increase fibres …every diet should include fibres 14 gms / 1000 kcal.Fibres prevent from a lot of cancers .
  5. Meat 🍖 should be cooked with less fat . Lean meat , poultry without skin , white fishes 🐟 should be taken in moderation.
  6. Starchy foods like bread , pasta, potatoes, rice should be consumed as whole and unprocessed . Fix your daily dose of carbohydrates as per your need and energy spent.

Seeds and cereals should be taken as a whole.

  1. Pulses are good sources of protein to be taken as whole . Use more pulse based products like besan,Dhoka and gutta .
  2. Diary products like half skimmed milk, yoghurt, paneer or cottage cheese is fine for health and also for your bones and gut . Increases immunity.
  3. Salt and sugar should go down : specifically sugary drinks .Sugar might not be an evil in thin,active ,elderly ,non diabetic person.
  4. Fatty spreads like butter, margarine , crisps, biscuits, cakes , sweets are to kept to minimum.
  5. So motto of cooked food should be grill , boil, bake or steam food ….not fry .

To conclude, eat whatever you like , which fills your heart with joy and gives you a good nourishment.

Happy Eating !!!

Is snoring a disease ??

Obstructive sleep apnea (OSA) has traditionally been seen mainly as a male disease.

Women tend to have less severe OSA than males, with a lower apnea-hypopnea index (AHI) and shorter apneas and hypopneas. ( apnea …no breathing, hypopneas means decreasing breathing. )

Episodes of upper airway resistance that do not meet the criteria for apneas are more common in women.

Prevalence rates of such AHI are lower in women.

Research has also documented sex differences in the upper airway, fat distribution, and respiratory stability in OSA.

Hormones are implicated in OSA too.

Obstructive sleep apnea (OSA) is characterized by repetitive nocturnal complete collapse of respiration (apneas) or partial collapses (hypopneas) of the upper airway during sleep.

These events are associated with oxygen desaturation and sudden arousal from sleep. All of us might observed this phenomenon in closed relatives who snores.

The severity of OSA is measured by the number of occurrences of airway collapse per hour the apnea / hypopnea index or AHI.

OSA is the most common form of sleep disorder breathing and its prevalence has been increasing steadily, due to the global rise in obesity and due to changes to the recommended OSA diagnosing criteria.

Common Symptoms:

Day time sleepiness …one of the commonest .

Headaches in the morning. .

Trouble concentrating, forgetfulness,
depression, or crankiness.

Night sweats , restlessness during sleep.

Problems with sex life.

And finally the most challenging sign is ……

Snoring.

Obesity is a well-recognized risk factor for OSA, and higher body mass index
(BMI) is associated with greater severity of OSA for both sexes .

For the same
BMI, men tend to have higher mean body weight, free fat mass, and neck
circumference compared with women . So men are more at risk.

Upper airway fat distribution, particularly in the posterior tongue, appears to be important in the pathogenesis of OSA
and is related to gender .

Upper body and visceral adiposity have
associated with reductions in lung functions too.

In addition, the independent effects of body fat distribution on lung function were
more pronounced in men than in women .

Fat distribution might have physiological as well as mechanical effects in patients with OSA. Obese
women, especially
those with OSA,have been shown to have significantly increased
hypercapnic and hypoxic responses, whereas this was not the case in obese men .

Health Consequences of OSA :

OSA has been associated with elevated blood pressure, and cardiovascular risk and
increased morbidity and mortality .

Treatment:

CPAP , a ventilatory mode with the portable noninvasive ventilator is the obvious treatment.

The American Academy of
Sleep Medicine reviewed all available evidence for CPAP and concluded that treatment was effective
in improving quality of life in severe and moderate OSA, but there was
insufficient evidence for
the effectivenessof CPAP in mild OSA

Non CPAP treatments have rarely been studied for gender specific
effects.

Mild patients are often
instructed to lose
weight.

Mandibular Advancement Devices are a treatment option for those with mild to moderate OSA or
those who have rejected CPAP

👇

Diagram below shows how the tongue 👅 obstructs the airways when we are knocked out due to sleep , alcohol or trauma .

However in normal sleep , air is still able to go to lungs even when the tongue falls back on the airway. So snoring sounds are heard due to variations of air passing in and out of lungs 🫁.

Flu shot ! A must !

Influenza Vaccine/ Flu shots / Flu jabs !

Does it provide some sort of protection from Covid 19 disease ???

World Health Organization (WHO) and the
US Centers for Disease Control and Prevention (CDC) recommend yearly vaccination for nearly all people over the age of six months, especially those at high risk . The European Centre for Disease Prevention and Control (ECDC) also recommends yearly vaccination with influenza vaccine.

These groups include pregnant women, the elderly, children between six months and five years of age, those with certain health problems, and those who work in health care sector.

Children flu shots should be given to all school going children every year in consultation with their pediatricians.

The vaccines are generally safe with some adverse effects : fever occurs in five to ten percent of children vaccinated, and temporary muscle pains or feelings of tiredness may occur in some individuals.

In certain age group, the
vaccine was linked to an increase in Guillain-Barre syndrome among older people at a rate of about one case per million doses.

Although most influenza vaccines are produced using egg proteins, they are still recommended as safe for people who have severe egg allergies.

Vaccines produced using other newer technologies, notably recombinant vaccines and those based on cell culture are now available in the market.

Influenza vaccines are not
recommended in those who have had a severe allergy to previous versions of the vaccine itself.

The live,weakened vaccine is generally not
recommended in pregnant women, children less than two years old, adults older than 60, or people with a weakened immune system.

⚠️⚠️⚠️”The influenza vaccine may provide partial protection against some of the most severe effects of Covid19 diseases.”⚠️⚠️⚠️

All major research articles on protective effects of Flu shots , done in 🇺🇸 USA, UK , Israel 🇮🇱, Singapore shows some sort of protection against Covid19 disease.

Possibility is that Flu shots helps boosts the body’s innate immune system -its first line of defence against pathogens.

✴✴”The influenza vaccine is no replacement for the Covid19 vaccine.”✴✴

Analysed data from nearly 37,377 COVID-19 patients in the USA, various European countries, Israel and Singapore,who had received a seasonal
influenza vaccine and a similar number ,who had not been vaccinated, showed favorable results in the influenza vaccinated group.

The researchers looked at how often they experienced any of 15 potentially serious health
outcomes in the four months, after being diagnosed with COVID-19.

These included blood clots, strokes, heart attacks, kidney faiIure, and severe breathing
difficulties, as well as various types of hospital admission patterns.

This research, which was presented recently at the European Congress of
Clinical Microbiology & Infectious Diseases (ECCMID) on 2nd week of August 2021found that those who had not been vaccinated against flu were up to 20% more likely to have been admitted to intensive care,
compared to those who did receive the seasonal influenza vaccine.

They were also up to 58% more likely to visit the emergency department or to experience a stroke, up to 45% more likely to
develop sepsis, and up to 40% more likely to develop a type of blood clot called a deep vein
thrombosis .

Besides boosting the innate immune response, another possibility is that patients who had the flu vaccine were in better general health than those who went without it.

Researchers caution that more research is
needed to prove the link and to better understand the underlying mechanism; however the study highlights the importance of getting vaccinated against seasonal flu.

However, it should be clearly remembered that the influenza vaccine is
🔴no replacement🔴 for the COVID-19 vaccine.

I got vaccinated with the ” Flu vaccine ” last week , so why not you ?🤔

Go for it 4-6 weeks after your complete Covid19 vaccination .All of us in whatever age groups should get a shot of flu vaccine.

Plastics : good or bad !

Plastics :

In my home, these days, we are more concerned about plastic utensils which we put into the microwave.

We try not to put hot food on plastic plates these days nor hot liquids in plastic cups.

We don’t use plastic liners when we cook in our pot.

So, we are slowly trying to transition away from plastics.

But why ?

Two words:

Endocrine Disruptors.

BPA is found in so many plastic containers, which can disrupt our
endocrine system.

How it matters?

These chemicals, also referred to as endocrine
disruptors, are linked with
developmental, reproductive,
brain, immune systems and other systematic
problems.

Have we ever given much
thought to the endocrine disrupting chemicals in the plastic based items / utensils
we use daily??

We are surrounded by
plastics and some plastics
definitely contain hormone-disrupting chemicals.

One commonly used shatterproof plastic (PC 7) do contain bisphenol-A, commonly
called BPA, and flexible vinyl PVC contains phthalates.

These chemicals are known Endocrine Disruptor Chemicals.

We can’t eliminate all plastics, but
we can take some easy steps to reduce our plastic footprints.

Swap plastic food storage containers
with glass or stainless steel containers if possible.

If at all we do keep plastic ones, let’s not use them to store fatty foods, and never ever microwave them.

Replace plastic bags with reusable
lunch bags, and plastic cling wraps with beeswax-coated cloths.

Choose hard wood blocks and cotton baby dolls over plastic ones.

In short, anytime we are in the market for something plastic, search whether safer
alternatives exists to the plastic.

Lets start making small swaps which will lead to big changes over time.

Diet and exercise!

Can we humans outrun a regular “Bad Diet ” by exercising only ?

If we think a daily exercise habit gives us the right to eat whatever we want, please think again.

We consume a variety of fast foods , high calorie diets normally couple of times in a week, and our grocery 🛍 bags are regularly filled with lots of cakes, cookies,biscuits packaged and tinned foods, doughnuts, ice cream, chips and a variety of sweet and sour sauces .

But yet we are thin and maintaining shape and not gaining weight and we think exercising regularly is the trick .

Because we are 🏃‍♀️ running and exercising a lot, a popular concept among all of us who are thin and looks healthy….that exercise is the reason behind.

Well, not exactly.

Runners and people who exercise regularly do tend to be much healthier than the general population with lower rates of diabetes and heart disease.

That is largely due to a healthy diet rather than running or exercising regularly.

In general, runners and exercising population take care of their bodies by eating well and resting also.

But not all of them.

Some of them sustains themselves on fast foods regularly with a view that whatever is being consumed ,will be 🔥 burnt up by exercising.

In short term gains , exercising and running can mitigate the negative health effects of a bad lifestyle and a poor diet but not in long term.

But over decades of bad lifestyle which generally begins in teens , exercise loses its protective abilities.

Longtime , long distance, marathon runners 🏃‍♀️ or supremely fit individuals learn in a hard way that only running or exercising cannot mitigate ill effects of a bad diet. Many of them are afflicted with diabetes, high blood pressure, high cholesterol and kidney and heart diseases.

Many long distance runners has history of eating like teenagers, who thrive on fast foods only .

So the attitude that I can eat anything and everything and will not gain weight anytime, is definitely bad .

Research shows that most runners and athletes do not follow dietary restrictions as recommended by nutritionist or their trainers or physicians.

Also we have runners in their 50s and 60s, who have done and followed their trainers to the hilt and has ended up in diseased state due to their diet only over decades.

Though diet seems to play a great role in preventing diseases(not much research in this field), most of the common people do not follow their good dietary habits.

We have often seen benefits of Mediterranean diet , vegetarian or vegan diets .

Still, over indulgence in simple sugars ( white bread , rice, pasta etc etc.) is the single most common dietary transgression among any endurance athletes and individuals specifically runners and professional athletes.

If we eat large portions of these foods mentioned above , the body turns them into bad molecules, bad types of fat, bad oxidative sugar species—things that do a lot of damage to the heart vessels, tissues and end organs like eyes , kidneys and heart vessels.

Still, exercising population, runners often hear mixed messages about how exercise—particularly high-intensity sessions can erase the ills of a junk food habit. This is not correct at all and has no correlations.

A recent study by researchers in the department of exercise science in Canada , provides the specific points.

Researchers above fed a small group of men between the ages of 18 and 30 , with breakfast full of sandwiches, burgers, fries, dessert, and soft drinks for every meal of the day for two weeks.

The subjects also ate a small amounts of vegetable, and they were also consuming an enormous amount of saturated fat, a very large amount of sugar and chemicals found in processed food.

But thanks to an additional prescription of interval exercise training of these research subjects, they didn’t gain any additional weight.

What’s more, when the researchers tested their blood for fat build up and inflammatory processes(the main drivers of heart disease, cancer, and other chronic diseases)—it didn’t seem like the diet had any effect.

So can we conclude exercise did the trick in these subjects above?

Conclusion:

Damage from a bad diet can take far longer to register and generally shows up over a decade of constant improper dietary habits .

Atherosclerosis, a disease leading to blockages of heart vessels , hypertension, high lipids, diabetes often start from early age and progress throughout life . So diet plays an important factor in chronic inflammation and devoloping chronic diseases.

Bottom line: You can’t outrun bad dietary habits by running or exercising.

PTSD :

I work as a frontline health worker in this pandemic of Covid 19 disease .

I have seen many ups and lows in this pandemic.

I have seen several deaths of my colleagues , my family members and friends in this pandemic, more so during the devastating 2nd wave.

Still everyday I get up, get dressed in my battle attire (PPE) and reach my zone (hospital) to fight this disease.

I don’t know how the day starts and the night ends. It has been long long 15 months, with no clear views , of an end in sight .

I am on process of losing many of my emotions , my temper flares up easily nowadays , and I have become extremely introvert.

Is this disease taking a toll on my mental well-being ?

Everyday as I go out to fight the disease, I feel scared about myself , my family and my children.

I am not able to sleep properly and fell better when I take some sleeping 💊pills or several shots of alcohol. I feel like I am getting addicted to pills or alcohol.

Why am I paying such a high price for being a Frontline warrior in Covid 19 pandemic?

Do I need help ?

Is there anyone to help me ?

These are the common questions which cross our minds ( health workers ) who are standing in the frontline fighting this pandemic.

Too many deaths have numbed their emotions, finished off with their empathies and sympathies and have almost robotized them 😢.

Many of them are suffering from PTSD.

POST TRAUMATIC STRESS DISORDER :

Early indications or symptoms of PTSD appear slowly but steadily.

-vivid flashbacks of events.

  • intrusive thought or images which haunts .
  • nightmares.
  • intense distress at real or symbolic
    reminders of the traumatic situations. -physical sensations such as pain, sweating, nausea or trembling.
  • lack of sleep.

PTSD stages are as follows :

  1. “Emergency” Stage or impact stage .

This phase occurs immediately after the traumatic event.

  1. Denial Stage :

Not everybody
experiences denial when dealing
with PTSD recovery.

  1. Short-term Recovery Stage.
  2. Long-term Recovery Stage.

PTSD effects are seen in many patients in different forms as given below:

1) intrusive
memories.

2)avoidance.

3)negative change in thinking and mood

&

4)changes in physical and emotional reactions.

Symptoms can vary over time or vary from person to person.

PTSD ill effects, which patients regularly face :

They may include
disturbing flashbacks, trouble sleeping, emotional numbness, angry outbursts, and feelings of guilt.

The person might also avoid things that remind him of the event, and lose interest in things that he or she enjoyed.

In conclusion, posttraumatic stress disorder , is at risk of development of enduring
personality changes in individuals ,with serious individual and social consequences.

Do we all have to pay such a high price 🤔 for being in the Frontline ?😢😢😢😢😢

PCOS : Women all over.

PCOS (Polycystic Ovarian Syndrome )…..

One million cases per year in India and several millions more in this planet.

Young adolescent girls to childbearing aged women ….all falling victims to PCOS.

What do we know about PCOS?

The cause of polycystic ovarian
syndrome isn’t well understood
but may involve a combination
of genetic and environmental
factors.

PCOS & symptoms:

  1. Irregular periods .
  2. Acne.
  3. Hair loss /thinning.
  4. Hirsutism
    (unwanted hair growth on the face / body).

5.Infertility .

6.Weight gain
especially in the abdominal region .

  1. Difficulty in losing weight.

Some patients with PCOS
experience minimal
symptoms, while some can suffer
from all of them.

The “Rotterdam Criteria “is used to diagnose PCOS :

In order to
qualify for a PCOS diagnosis, patients
must have at least 2 of the 3
following criterias:

1.Irregular periods /anovulatory
cycles.

  1. Cysts ( ovarian follicles) diagnosed
    on ultrasound.
  2. High androgen levels in blood such as
    testosterone or DHEA-S.

Women with PCOS are more
likely to develop certain serious health problems.

These include Type 2
Diabetes, high blood pressure,
problems of the heart and
blood vessels, and uterine
cancer.

Women with PCOS often have problems with their ability to get pregnant.

Unfortunately, there is no cure for PCOS, but overweight
and obese women can help balance their hormone levels by losing weight.

Treatment is aimed at
managing symptoms.

A wide range of treatment options can help prevent any potential
problems.

A must follow up is necessary with specialist of Endocrinology / Gynecology / Dermatology and follow their advice to hilt. Self treatment or failure to initiate treatment is dangerous in these disease conditions.

Finally early diagnosis and treatment is a necessity for PCOS.

To avoid PCOS we need to change our lifestyle and food habits ( junk food specially ).

Phthalates:

Hormone & Endocrine system disruptors:

Don’t Use Phthalates.

Phthalates are used in numerous body perfumes, deodorants, fragrances, plastic food containers and cups ,water bottles, plastic toys, and different lifestyle products etc. etc.

Phthalates are widely used in the plastic industry, but also randomly in the cosmetic industry where phthalates help to extend the duration of a particular fragrance….so that the smell of the perfume lingers !!!

Studies suggest phthalates can cause male gential birth defects, lower IQ and can possibly alter reproductive development.

Phthalates exposure has been linked to changes in sex hormones levels,poor development of genitals, low sperm counts, decline in testosterone levels, breast cancer, obesity, diabetes and autism disorder.

Phthalates are often listed as “fragrance” in many products specifically the ” high branded ones ” ( not to mention the names ) so that fragrance can be long lasting. If present, be sure to avoid it!

Generally phthalates are a group of chemicals used to make plastics more durable. They are often
called plasticizers.

Some phthalates are used to help dissolve other materials.Phthalates are used in hundreds of products, such as vinyl flooring, lubricating oils, and personal care products (soaps, shampoos, hair sprays).

Some phthalates are used in polyvinyl chloride plastics(pvc), which are needed to make products such as plastic
packaging, garden hoses, and medical intravenous tubings , blood bags and catheters.

How are we getting exposed to Phthalates ?

Human beings are exposed to phthalates by eating and drinking foods that have products containing phthalates.

We should be careful in using plastic wraps , plastic cups 🥤 and glasses 👓, water bottles and food containers ( tiffin boxes ) as phthalates can get admixed with hot 🔥foods.

Some exposure can occur from breathing phthalate
particles in the air.

Children crawl around and touch many things, then put their hands in their mouths. Because of that
hand to mouth behavior in children phthalate particles in dust might be a greater risk for children
than for adults.

Inside a person’s
body, phthalates are converted into break down products (metabolites) that quickly leave the human body via urine .

Adult women have higher levels of phthalate metabolites ,measured in urine than do men for those phthalates
that are more used in body soaps, fragrant body washes, silky hair shampoos, liquid cosmetics , nail polish and lip gloss , and other similar personal care products.

Non Hispanic Blacks have
higher levels of exposure for several phthalates and phthalate alternative
metabolites than do Non Hispanic Whites.

Finding a detectable amount of phthalate or its metabolites in urine does not always mean the levels will cause harmful health effects.

Biomonitoring studies are used to measure harmful levels of phthalate and its metabolites, that
people have in their bodies.

Physicians and public health officials use specialized reference values to decide if people have been exposed to higher levels of these chemicals than are found
in the general population.

Watch out what and where you are eating and drinking from !!!