If not for Edward Jenner, millions would have lost their lives to several diseases. The discovery of smallpox vaccination in the last leg of the 18th century marked the beginning of a new chapter of vaccination and became a lifesaver for the human race from fatal and limiting diseases like smallpox, polio, tetanus, rotavirus, etc.

World Immunization Day, observed each year on November 10, is celebrated to increase the awareness on getting vaccinations in time to protect individuals against preventable diseases. 

Immunization is very important to help create resistance and to prevent your body from getting infected with a number of diseases. Timely administration of vaccine can help protect both children and adults from major diseases. 

Why must you get vaccinated? Is it really important?
Yes, getting vaccinated is indeed important. It helps the body stimulate its own immune system to protect against subsequent infections and also prevents them from spreading through any form of contact.  Vaccination is more important for children because the immune system of a child developed through breastfeeding starts to diminish, once the development cycle of the new immune system begins.

Vaccinations are highly cost-effective and easy to access. According to the World Health Organization (WHO), timely vaccination has helped prevent up to three million deaths per year, but still, there are almost 19 million infants who are not given timely vaccinations.

Vaccination in India
The Universal Immunization Program (UIP) of India is one of the largest in the world in terms of the amount of vaccine given, the geographical area covered, and the number of people who have benefited from the program. The program has been in effect for more than 30 years. However, due to a lack of awareness among citizens, it has only been able to reach out to two-thirds of children all over the country. 

We should seek to achieve complete immunization of not only children but also of adults. Under the Mission Indradhanush, which was launched by the government in 2014, the program allowed all children of up to 24 months of age and pregnant women to get free vaccinations. 

Important vaccinations for children
The Indian Academy of Pediatrics recommends several vaccinations to be administered from 0 months to 10 years of age, the important ones being for polio, tetanus, rotavirus, typhoid, chickenpox, and MMR amongst others. It is essential for the parents to follow the immunization schedule and have the baby vaccinated against preventable diseases.

Vaccinations for adults
Vaccination is not just for children, but also for adults. All adults between the age of 20 and 30 should get a screening done for major preventable diseases like influenza, Tetanus, Hepatitis A, and Hepatitis B. An influenza injection should be administered once a year while a tetanus injection needs to be administered once every 10 years. 

Hepatitis A and B injections need to be administered during one's childhood. However, if adults aged above 19 and up to 49 years do not have any documentation of vaccination, it is strongly advised to take two doses of Hepatitis A and three doses of Hepatitis B.

Prevention is better than cure, and the most important gift that you can give your child and to yourself is good health. On this day, let's be aware of the importance of vaccination, and spread the same. Get vaccinated, stay healthy, and happy! 

World Immunization Day 2017 - Why Immunization Is Important?

Lupus is an inflammatory disease that is chronic in nature. It occurs when your tissues and organs are attacked by your body's own immunity system. The inflammation that this disease causes can affect the other parts of your body as well, like the joints, kidneys, skin, brain etc. It is often difficult to diagnose because it lacks distinct symptoms. However, one of the most identifiable symptoms of lupus is a ring-shaped rash on the face.

Lupus can be caused by a number of factors like:

Excessive exposure to sunlight
Susceptibility towards infections
Certain anti-seizure, blood pressure and antibiotic medicines
Symptoms
The symptoms are neither distinct nor regular. However, some common symptoms could be-

Fatigue and fever
Pain in the joints, stiffness and swelling
Ring-shaped facial rash
Skin lesions on exposure to the sun
Chest pain and shortness of breath
What else can lupus lead to?

Several complications may arise if lupus is left untreated. Some of them are-

Kidney damage and failure
Hallucination, seizures, strokes and several other problems associated with the brain and the central nervous system
Anemia, blood clotting, vasculitis etc.
Increased susceptibility to pneumonia
Increased risk of heart attacks and other cardiovascular diseases
Treatment
Lupus is a significantly dangerous disease and medical help should be immediately sought if you think that you have symptoms associated with it. Treatment depends on the signs and symptoms of individual patients.

Lupus (Skin Rash) - How It Can Be Treated?

Hernia refers to the condition when an organ or fatty tissue inside the body begins to protrude from its location. Hernias are mostly detected in the groin, belly, or the stomach region. They occur because of muscle weakness in the said region where it is detected but they can be treated with surgery. In most cases, a surgery is prescribed and laparoscopic hernia repair is a very popular surgical procedure that has proven to be successful in most of the cases. This is why a growing number of patients decide to go for it.

Laparoscopic hernia repair: procedure: In this surgical procedure, a laparoscope (an instrument with a high-resolution camera and high-intensity light) is passed inside the abdomen through small incisions that varies between 0.5 and 1.5 inches in length. When the laparoscope moves inside the abdomen, it sheds light on the hernia and sends the images to the monitor connected to it. The surgeon views the hernia on the monitor and then the abdominal cavity is made to swell with carbon dioxide so that the surgeon can find enough space to operate the hernia. Once this is done, the surgeons operate the hernia with tiny surgical instruments. Once the hernia is removed, space or the hole is covered with a mesh from inside the abdomen.

Advantages of laparoscopic hernia repair: The laparoscopic procedure is popular because it is comfortable for the patient in many ways. They have to endure lesser post-operative pain as compared to open surgery, which means the recovery is quicker. They require lesser drugs for healing and the patient can get back to work in fewer days. It is an advanced form of surgery and thus, gives better results.

Disadvantages of laparoscopic hernia repair: While the non-invasive laparoscopic surgery has several advantages, it also comes with some drawbacks. It is lengthier in comparison to open surgery and also costs more. It cannot be performed by all the surgeons and only those who are skilled in this type of surgery can do justice to the different cases of a hernia. 

Recovery after laparoscopic hernia repair: The patient takes one to two weeks after the surgery to return to light activity and daily routine. Nevertheless, heavy exercise and strenuous activity should be avoided until four weeks after the surgery. The full recovery time differs from patient to patient depending on their age, gender, and health condition but one month is the average time for full recovery.

555 Manish Technique for inguinal hernia repair:

Totally extra-peritoneal (TEP) repair of inguinal hernia is now a standard surgical technique. A 12 mm incision in infra-umbilical region for Hasson trocar is must for TEP repair of inguinal hernia. This is the only technique known to laparoscopic surgeons. We have innovated a "555 Technique" for completing Mini TEP repair of inguinal hernia by using all three 5 mm ports.

555 Technique" is a feasible option without compromising the principles of TEP repair for inguinal hernia. Innovation of simple "Manish Retractor" is the key in completing Mini TEP repair. This technique is simple, less invasive, less morbid, and cost effective as it avoids dependence over costly Hasson trocar with better cosmetic results.

Laparoscopic Hernia Repair - What Should You Know

A problem in the nervous system which causes individuals to make sudden sounds or movements called tic is Tourette s syndrome. These movements cannot be controlled by the patient. This syndrome usually starts in childhood and often stays in milder form for many even after they have reached adulthood. Many people can live without taking any kind of treatment for these tics, unless it really bothers them. Patients are often observed to start coughing or blinking their eyes uncontrollably when affected by this syndrome. They may be associated with obsessive compulsive disorder.

Symptoms of Tourette s syndrome Tourette s syndrome often affects children but get better as they grow up. The symptoms of this syndrome are usually so mild that often they go unnoticed. Some of the common symptoms which are observed in patients are stress, excitement and getting tired and sick which can make the problem worse. The motor tics can make the patient blink continuously, twitch their mouth, shrug their shoulder or jerk their head and arm continuously. The symptoms of vocal tics often include yelping and barking, coughing, grunting or repeating something someone else has said, continuously. Shouting, swearing,and sniffing are also some of the vocal tics which may be caused by the Tourette s syndrome.

What Causes the Problem? This syndrome usually affects certain parts of the brain like the basal ganglia which control every other movement of the body. A trouble in the brain network is often suggested as the reason behind Tourette s syndrome. A definite answer to why the problem occurs has not been established by experts yet, however, genes are believed to play a vital role in causing Tourette s syndrome. People who have family members suffering from this problem are often at risk of being affected by the syndrome. However, the symptoms may vary from one person to another.

Treatment for Tourette s syndrome If you suspect your child of having Tourette s syndrome, then a neurologist should be seen immediately. No special tests are held for the condition; however, imaging tests of your brain may be carried out by your doctor. CT scan and MRI are often suggested. Doctors may often recommend medications like Haloperidol, fluphenazine and pimozide among others to control these tics. However, very often the tics are very mild and do not need any medication at all.

A talk therapy along with ongoing medications might also be required for some patients as the psychologist may help your child in dealing with social issues which can be caused by these uncontrollable tics. Along with that, behavior therapy may also come in use for many.

Tourette's Syndrome - Best Treatment Options For It! 

Conventional medicine treats pain with the help of medications; by either blocking the transmission of pain signals in the body or by correcting the underlying problems caused by the pain in the first place. However, traditional and alternative forms of medicine such as acupuncture manage pain issues within the body through the means of redirecting disrupted energy flows. One of the very few forms of alternative treatments used in conjunction with conventional treatments, acupuncture is seen as a mercurial rise in popularity in the past few decades.


What is acupuncture?
Acupuncture dates back to ancient China, about 2500 years ago. It has been widely practiced there for a number of millennia, not only pain relief, but also for treating many ailments. Acupuncture isn t just considered a form of therapy, but a holistic form of medicine. Acupuncture works on the principle of the flow of energy within the body, also known as  Qi , in traditional Chinese medicine. Acupuncture strives to correct the disruptions in  Qi  that may cause pain by manipulating over 2000 of the specific pressure points within the body with the help of specially created needles.


Where is acupuncture effective?
Acupuncture is very effective in treating a host of ailments, especially in relieving the associated pain. Some of the areas where acupuncture has proven its effectiveness are:
1. Treating nausea and vomiting caused due to chemotherapy treatment for cancer patients
2.  Very useful in treating post-operative pain caused due to dental procedures
3.  Rehabilitating patients who have suffered strokes
4.  Fibromyalgia (musculo-skeletal pain with fatigue accompanied by sleep and memory issues) 
5.  Effective in combating withdrawal symptoms caused due to addiction
6.  Pain from menstrual cramps
7.  Tennis elbow
8.  Osteoarthritis (a type of arthritis caused due to the erosion of tissues present at the ends of one s bones)
9.  Pain of the lower vertebrae within the spinal column
10. Asthma


How does acupuncture work within the body?
According to modern medicine, the specific pressure points utilized by acupuncture within the body help in releasing chemicals that can block or at least reduce pain. It encourages the flow of chemicals from the brain, which act as nerve and pain blockers. It also helps stimulate the muscles and nerve endings, which can lessen inflammation and thus help in reducing pain.

Acupuncture - Why Should You Use it to Combat Pain?

The joints and bones of the body are connected by fibrous band of tissue called as a ligament. When these ligaments are over stretched or are subjected to any injury that could cause tearing of the ligament and a sprain of the ligament happens. Sprains usually occur at the ankle joint, knee joint or the shoulder, since these areas have a connection of bones at a joint. 

During movement, the ligament functions to stretch or expand and move back to its original position. However, sometimes due to an over-stretch of the ligament, it gets pushed or expands beyond its usual position. A sudden twisting movement of the ligament can also cause a sprain. 

While walking, any abnormal movement of the leg can cause a sprain, hence, the ankle joint is the most common location affected by a sprain. Sports injuries are a common causative factor of sprains. In accordance to the body part involved frequently in playing sports, a wrist sprain or an ankle sprain is a common finding. 

Dancers are also prone to frequently sprain their ligaments. If a sprain occurs at the wrist joint, it can also lead to cause the Carpal tunnel syndrome, which leads to the numbness of the wrist joint. Moderate to severe pain around the affected joint, presence of bruising in cases of an injury, swelling around the affected joint and difficulty in movement are the common symptoms of a sprain.



There can be a popping sound heard during an injury to the joint, which indicates a sprain. Sprain of the joint can cause other complications too. If there is an involvement of the nerve in the injury, there can be an associated numbness and tingling sensation at the affected area. A physician performs physical inspection of the area while looking for the symptoms of sprain. If the injury involves a larger surface area and is causing severe pain, an MRI or X-ray can be ordered to detect for the ligament or bone involvement, respectively. 

Classification of sprain can be enlisted as follows: 

Grade 1 sprain (mild): Slight stretching and little damage to the fibers of the ligament. 
Grade 2 sprain (moderate): Includes partial tearing of the ligament.  
Grade 3 sprain (severe): Includes complete tearing of the ligament.  Prevention of a sprain can be achieved with certain measures. Specific exercises that can be targeted for sprain prevention can be learnt from the physical therapist.
Stretching exercises and muscle training are important in prevention of a sprain. Sprain preventing measures are as follows: 

1. Before beginning an exercise routine, it is essential to do warm up exercises. Slight jogging can be done to activate muscle movement. 

2. Stretching before and after an exercise routine is necessary. It ensures that the muscles around the joint are in a relaxed position. It helps in minimizing the risk of an injury. 

3. Some specific exercises that help to strengthen the muscles around ankles should be done. Heel raise exercise is beneficial in strengthening the ankle muscles. 

4. Exercises that target the improvement of overall body s balance should be done on a regular basis. These exercises help in preventing twisting of ankles during walking or moving down the stairs. 

5. In case of a previous ankle injury, it is recommended to wear an ankle brace to prevent any twisting caused by a dis-balance. 

Treatment of the sprain is done by following the RICE procedure. This procedure includes the protocol of rest, ice, compression and elevation. Analgesics can be taken for pain relief. Ice pack application helps in reducing the swelling. Using a compression bandage helps in immobilizing the injury.

Sprain - Effective Tips To Prevent It!

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