Friday, October 20, 2017

Social media a cause for self harm . Aleem. M.A. BMJ 2017;359:j4351

BMJ

Research

Incidence, clinical management, and mortality risk following self harm among children and adolescents: cohort study in primary care

BMJ 2017; 359 doi: https://doi.org/10.1136/bmj.j4351 (Published 18 October 2017)

Cite this as: BMJ 2017;359:j4351

Rapid responses

Re: Incidence, clinical management, and mortality risk following self harm among children and adolescents: cohort study in primary care

Recently, social media have become an important cause of self harm and self inflicted injuries in children and adolescents.

Competing interests: No competing interests

20 October 2017

M.A. Aleem

Neurologist

ABC Hospital

Trichy 620018 Tamilnadu India

@drmaaleem

Tuesday, October 17, 2017

Dengue management in The Hindu Trichy on 18.10.2017

The Hindu Trichy on 18.10. 2017

Platelet deficiency is not the cause of death, say doctors

R. Krishnamoorthy
TIRUCHI,

OCTOBER 18, 2017 00 :00 IST

UPDATED: OCTOBER 18, 2017 04:33 IST

“Primary cause of death is capillary leakage”

Medical fraternity here have been reaching out to the public with the assurance that dengue patients can effectively be nursed back to health and that there was no need for undue anxiety.

The scenario of people running around in search of platelets for transfusion is all too common in the corridors of the hospitals. However, contrary to the perceptions, platelet deficiency is not the cause of death of people suffering from dengue.

The primary cause of death in patients suffering from dengue is capillary leakage, which causes blood deficiency in the intravascular compartment, leading to multi-organ failure, M. A. Aleem, Neurologist, and former Vice-Principal of KAP Viswanatham Government Medical College, said.

According to International guidelines, if a patient’s platelet count is below 10,000, and there is spontaneous, active bleeding, platelet transfusion is required.

“Most people do not realize is that the first line of treatment for dengue is not platelet transfusion. It, in fact, does more harm than good if used in a patient whose counts are over 10,000,” he said.

Fluid replacement amounting to 20 ml per kg body weight per hour must be administered. This must be continued till the patient passes adequate urine. This is all that is required to treat the patient.

Giving unnecessary platelet transfusion can make the patient more unwell, Dr. Aleem explained.

Common symptoms of dengue include high fever, running nose, a mild skin rash, cough, and pain behind the eyes and in the joints.

However, some people may develop a red and white patchy skin rash followed by loss of appetite, nausea, vomiting, etc. Patients suffering from dengue should seek medical advice, rest and drink plenty of fluids.

Uninhabited plots require attention. Stagnation of water in such plots in the midst of weeds pose danger to the health of residents, according to R. Ganesan, a resident of Tiruvanaikoil

Though the civic body has been spraying pesticides at water stagnation points, the onus is as much on the public to prevent breeding of the aedes aegypti mosquitoes, doctors say.

According to Health Department officials, all hospitals have been apprised of the WHO protocols in providing care to dengue patients.

Dengue management

http://www.thehindu.com/todays-paper/tp-national/tp-tamilnadu/platelet-deficiency-is-not-the-cause-of-death-say-doctors/article19880233.ece

Sir wish you your family a happy DIWALI- Dr Aleem neurologist abc hospital trichy