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Apollo doctor completes
UK fellowship
Ludhiana, June 27 The fellowship is awarded annually to two promising young Indian rheumatologists to have a first-hand look at the recent advances in the field. During the fellowship, he attended the annual British Society of Rheumatology Conference-2006. Thousands of delegates from all over the world attended the conference and many important papers covering different aspects of rheumatology and immunology were presented. Subsequently, he spent six weeks with the paediatric rheumatology unit at the University of Bristol, North Bristol NHS Trust and Royal National Hospital for Rheumatic Diseases, Bath (UK). According to Dr Aggarwal, the fellowship provided an excellent opportunity to have a firsthand look at the practice of rheumatology in the UK and to interact with experts in the field. “During the course of fellowship, I gained exposure to the recent advances in rheumatology besides learning about nuances of managing children with rheumatic diseases; multi-disciplinary care, chronic pain management and rehabilitation essential for the care of patient suffering from chronic rheumatologic diseases,” he said. He also presented the data on the spectrum of childhood arthritis seen in India. According to him, Indian rheumatologists had the expertise to provide state-of-the-art care to patients suffering from various rheumatological disorders. However, due to dearth of trained rheumatology specialists and lack of awareness, most of the patients were unable to get proper treatment for these disorders, leading to poor outcome.
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Camp for arthritis patients
Ludhiana, June 27 Dr Nagi, who has performed more than 800 joint replacements and undertaken various international assignments as well, commented that the infrastructure at SPS Apollo was equivalent to any other international facility. During his interaction with the orthopaedic team at the hospital, Dr Nagi discussed a number of complex cases presented to him during the camp, as well as, those treated by the SPS Apollo orthopaedic consultants earlier. While expressing his desire to hold camps at this hospital on regular intervals, he observed the hospital, particularly the orthopaedics department, had brought the world class medical and surgical treatment within the reach of the people of this region.
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Complementary feeding vital for infants: expert
Ludhiana, June 27 On the inaugural day today, Dr Rajinder Gulati, Head, Paediatrics Department at ESIC Model Hospital, delivered a talk on appropriate infant and young child feeding. Highlighting the importance of early initiation of breast-feeding after birth, and exclusive breast-feeding for six months, he said that breast milk was sufficient in all aspects for the first six months. However, the period between six months and two years was also of critical in a child’s growth and development. “In many countries, feeding these children does not receive adequate emphasis in child health programmes. As a result malnutrition in young children is very common. Undernourished children do not grow and develop optimally, whatever amount of food they consume later in life. Malnutrition is also associated with deficiency of iron and vitamin A and other nutrients, which effect their development. Children who do not grow well have increased risk of illness and take longer time to recover from illness.” Drawing attention to the importance of complementary feeding, Dr Gulati said from the age of six months, there was a gap between total energy needs and the energy provided by breast milk. The gap increased as the child grew. Therefore, children who started timely, appropriate and adequate complementary feeding after six months of exclusive breast feeding, grew well and were active and content. In addition, at this age the digestive systems of babies were mature enough to digest a range of foods. Elaborating on the type of complementary feeding, he remarked that family foods, with a thick, soft consistency, nourished and filled the child. Animal foods were special foods for children as they were high in protein and other nutrients. “For vegetarians, legumes such as peas, beans and lentils as well as nuts and seeds are good source of protein. Legumes are a source of iron as well. Pulses, dark green leafy vegetables are also a source of iron. Iron absorption is increased by eating iron rich foods at the same meal with foods rich in vitamin C such as tomato, guava, mango, pineapple, orange and other citrus fruits. Another important nutrient is vitamin A which can be stored in child’s body for a few months. The child should be given foods rich in vitamin A like dark green leafy vegetables and orange coloured fruits and vegetables, ideally every day.” Adding complementary feed too early could be deleterious to both the mother and the baby, was another point contested by Dr Gulati. He added that in such a condition, complementary feed took the place of breast milk, making it difficult to meet the child’s nutrition needs. This might also increase the risk of illness and diarrhoea because less of the protective factors in breast milk were consumed and the complementary feed might not be as safe as breast milk.
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Doc warns against unqualified practitioners
Mandi Ahmedgarh, June 27 At the same time, she urged health care workers to follow infection-control measures according to the guidelines prescribed by the Council on Disease Control. While talking to the Ludhiana Tribune, after addressing a group of primary teachers at local Sanatan Vidya Mandir Senior Secondary School, Dr Meera Raj said several fundamental lacerations like oral candidiasis, hairy leukoplakia, linear gingival erythemia and necrotizing ulcerative gingivitis had a strong correlation with HIV infection. “As oral and dental procedures involve direct contact with blood these pose greater chance of transmission of infection. “Obviously a qualified dental surgeon is better equipped than an unauthorised practitioner in safe-guarding the patient under treatment,” claimed Dr Meera Raj. Dr Meera Raj said HIV pandemic had presented political, economic, public health, social and moral challenges to the police makers and healthcare workers and the dental surgeon had the highest responsibility. She suggested that highly active antiretroviral therapy should be relied upon in treating HIV-related oral lesions.
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