Saturday, 18 July 2015

ALCOHOL ADDICTION, MANAGEMENT AND TREATMENT

Alcohol is psychoactive substance cause worldwide 3.3 million deaths every year represent 5.1% of all deaths majority 25% of them are age group between 20 to 39(according to WHO). It involve in more then 200 diseases and fertile soil for tuberculosis and HIV. Alcohol have no nutrition value an Ounce of alcohol have greater then 200 calorie with zero nutrition value despite it reduces absorption of essential vitamins(vitamin A,B, C..) and other substance( folic acid, Mg, Selenium, ), it also depleted the antioxidant of body. Teenager show longitudinal aspect of alcohol. Epitatic effect a sweet poison feel by person taking alcohol in starting; that is positive attitude of alcohol (person feel happy with that).  

ALCOHOL ADDICTION

My genius professor compare "Alcohol addiction as Falling of love with someone". 
There are plenty of reason leading to deadly habit of alcohol addiction here i briefly try to simplify as such possible.
        1. Alcohol impact on body in such a way that it depresses central nervous system and person progressively lead to damage of CNS,
        2. It damages the reticular system of brain ;main on/off button of CNS for aerosol purpose so if alcohol damaged that part of brain then aerosol must be impaired,
        3. Restlessness whole night, helpless, Memory lapsis(memory load shedding) the blackouts are there.
        4. Alcohol damages other tissues as well i-e amygdala, liver, pancreas lead to pancreatitis, stomach damage lead to ulceration and unfortunate people suffer from stomach cancer it also depleted vitamin and nutrition to get absorbed.
      5.Alcoholic person make him isolated form society, it develop pathological jealousy (for his wife and other persons..), and end up as psychopathic personality.        
      6. In fact alcohol damages every system it may be your CNS, heart myocardium, kidney, neuropsychiatric, it completely knot out the dopaminergic neurons.




LOOK OUTS  
  • If both parents are alcoholic the first child must be alcoholic.
  • Inter-personality crises:Couple always wooden talk with each other ,asking of absurd questions, try to force hit on the sap, keep on irritating and many more are enough to dig a hole in partner this lead to crises between then more prone to addict alcohol afterward develop temporal attitude(temporalization of symptoms) it flirt to treatment with thinking of that once happen the see! also feel rejection from society.  
 MANAGEMENT AND TREATMENT

BARRIER TO SEEK HEALTH
Certain factor mandatory to consider while dealing alcoholic person
     1. Stigma: disgrace from society in which living.
     2. Feeling of ashame
     3. Guilt; feeling of guilty on this act.
     4. Fear of failing treatment
     5. embarrassing may be at extreme.
 WASHOUT ABOVE BEHAVIOR
Simply by very delicate sweet and beautiful counseling a heart of treatment if you rich of that talent(good listener) patient must be get better. Simply remove these barrier to seek health by any means.

CROSS SECTIONAL ASPECTS
The main stem of treatment is on Abstinence of alcohol 50 to 60% successful over 1 year treatment remaining failure of treatment is due to poor social support, psychological problems and others.. The main point is to completely inhibit habit of alcohol.



TREATMENT
Detoxification: It may be medical emergency as dextos result in seizure,hallucination..
Rehabilitation and maintaining of sobriety.
Drugs: benzodiazepam main stay other FDA approved Disulfiram, Natrexone, Anti depreesent may be added. It is wise to add multivitamin.
Doctor must concer with cardiologist, physician, and other regarding complication.
Caution: never use drugs by own always see the doctor for proper treatment.


 

Sunday, 12 July 2015

DENGUE

Dengue has emerged since in 1950s as worldwide problem by first recognition of dengue hemorrhagic fever during endemic in Thailand and Philippine. Dengue effect as many as 400 million people are infected each year, more then one-third of world's population living in dengue risk affected areas. An estimate tells 500,000 people with sever dengue require hospitalization  each year large proportion of whom are children  and 2.5% of effected dies. Real culprit is dengue virus carried by mosquitoes; which is leading cause of death in tropics and subtropics rarely occur in United states but endemic in Rico ,Puerto, Latin America, Southeast Asia and Pacific island.
 
SEROTYPES
Four closely related to each other is DEN-1, DEN-2, DEN-3 ,DEN-4 .Recovery from each serotype provide lifelong immunity against that particular serotype.





TRANSMISSION
Aedes aegypti female mosquito is a primary vector for dengue. Lives in urban and breed in container made by humans it is a daytime feeder contrast to others p;peak biting period is early morning and in evening before dusk. Infected female transmit the virus and able to transmit to whole life its incubation period is 4-10 days.





CHARACTERISTICS
High fever of  104 degree Fahrenheit accompanied by 2 of symptoms include: muscle and joint pain, pain behind the eye, sever headache, nausea, vomiting ,rash. Symptoms last for 2-7 days. Flu like illness affect infants, child's and adults but it seldom cause death.




PREVENTION
Prevention is better then treatment so preventing mosquitoes egg lying habitats by some modification .As cleaning of domestic container of water on weekly basis and put proper insecticides in outer containers, proper disposal of waste, wearing long-sleeved clothes, household protection through screen windows ,coils ,sprays, active monitoring and surveillance of vector is required.




TREATMENT
yet not any vaccine to prevent infection with dengue virus so only most effective protective measures are those that avoid the mosquito bite. If infected then early recognition and prompt supportive treatment is substantially lower risk of any medical complication related to it and death.

NUTSHELL
Dengue is mosquito borne viral infection,found in tropical and sub-tropical climates worldwide, cause flu-like illness serious illness and death among children, incidence of dengue potentially grown over recent decades, half of population is at risk, no specific treatment control of dengue is to control of vector.