Whenever winter approaches do you feel irritated or grumpy? Lose interest in daily activities? Well this is not about mere liking’s or disliking but could be a disorder, Seasonal Affective Disorder (SAD) or sometimes coined as ‘winter depression’. Not only during winters can people be its prey during summers too.
Feeling depressed almost everyday
Lower energy levels
Disliking the liked things
Appetite changes, as it increases carbohydrate cravings
Reduction in Serotonin levels – an element that affects our mood.
Disruption of Melatonin levels – an element that affects our sleep
Biological clock – it affects our sleep and wake pattern.
Who are at risk?
Gender – Occurrence of SAD is more in females.
Age – Younger generation are more likely at risk.
Location – People living far from equator in Cold areas tend to be its prey
Family History – people having anyone in the family suffering SAD bears the risk of developing Seasonal Affective Disorder.
There are 4 major blood groups which are determined by the presence or absence of 2 antigensA and B on the surface of the Red Blood Cells (RBC)
A recent study on 80,000 women have led to few facts regarding Diabetes
Type 2 Diabetes is more likely found in blood group B than O and A. In simple words, compared to blood group ‘O’ group ‘A’ has 10% more risk of being diabetic and group ‘B’ has 21% more risk.
Blood Group ‘B’ has highest risk of being Type 2 diabetic. Compared to blood group ‘O-’ the risk is 35% more in ‘B+’, AB+ has 26% more risk, A- 22%, A+ 17%
The reasons are presently unknown. But one thing is that, with timely medical intervention this situation can be avoided.
What is diabetes?
Diabetes often referred as ‘Diabetes Mellitus’ is the metabolism disorder due to which thehuman body loses the ability to convert its glucose into energy.
How are Insulin and Diabetes related?
The food we consume is transformed into glucose with help of enzymes and acids in our body thereby providing us energy for our everyday work. The glucose is stored in the stomach and small intestine then released into blood stream to provide us energy.
Our body needs ‘Insulin’ to convert the glucose into energy. Without Insulin the Glucose stays in the blood stream raising the sugar levels.
Types of Diabetes
Diabetes are of 3 types
Type 1 Diabetes – Human body is unable to make insulin or it’s limited.
Type 2 Diabetes – Human body can make insulin but cannot use it effectively.
Gestational Diabetes – Affects during pregnancy. Inability to produce Insulin as required by the body.
Low energy levels
High blood sugar
Grave complications in future
Symptoms of Diabetes are varied. However in some cases there may be no symptoms at all. The common symptoms are:
Excessive thirst and hunger
Lowe energy level
Lack of interest and concentration
A tingling sensation or numbness in limbs
Delaying in healing of wounds
Vomiting and stomach pain
NABH and NABL Accredited Desun Hospital at EM Bypass has a range of medical tests in its Diabetic Health Check Package by which one can be sure of the diabetic condition.
From Blood Haemogram,Blood Sugar (Fasting), Blood Sugar (PP), Liver Function Test,Lipid Profile ECG, TSH, Electrolytes, Urea, Creatininealong with these there are superspeciality test HbA1C (to know the sugar level of last 3 months), superspeciality test Cystatin-C, superspeciality test Insulin, superspeciality testC-peptide and doctor’s consultation.
Why ignore the symptoms and increase risk?Get yourself checked at Desun and be assured. For details log on tohttp://www.desunhospital.com/desun-advanced-diabetic-check.php
Healthcare Management and infection control are integral part of Hospital administration, as patients with many ailments along with and visitors keep visiting on frequent basis. Moreover patients are more vulnerable to infections. Collectively called Hospital Acquired Infections or (HAIs) may cause serious diseases and may lead to death too.
THESE INFECTIONS MAY OCCUR
Within 2 days of admission in hospital– If there is no isolation policy, no maintenance of good hand hygiene protocol, not maintaining of accurate /proper use of antibiotics , not maintaining environmental cleaning and also improper waste management, it is major source of infections.
During the surgery – The highest risk of getting infection is during the surgery if the surgery equipment are not sterilized and well maintained along with patients other preoperative health check up is not done to rule out patient’s preoperative condition.
During the stay after the surgery– During the post- surgery care if the dressing is not done properly then the chances of infection are higher.
TYPES OF INFECTIONS
Urinary Tract Infections or UTI – The catheter is inserted to drain the urine. Using improper catheterization or prolonged use of the same one are the main causes of UTI during the hospital stay.
Lung Infection – A ventilator is a support to help the patients breathe by giving oxygen through a tube mechanically. It is inserted through mouth or nose. A patient can get lung infection during the hospital stay if the ventilator used for him is not well maintained and the nurse who is taking care of the patient does not maintain sterility protocol in handling the equipment related to the invasive lines.
Bloodstream Infection – Blood stream infections or BSI results from the Central venous catheters, inter arterial catheters and haemodialysis catheters and even from peripheral catheters. Central Venous Catheters are used as a part of various medical management of a patient. Indication for the use of central line includes, measuring the quantity of fluid requirement of a critically ill patient, use of long term antibiotics and chemotherapy, etc.At the time of insertion and post insertionmanagement any breakage of sterile chains can cause infection of blood stream.
Wound Infection – Wound Infection may occur when a patient go through a surgical procedure or the patient’s blood glucose level is not maintained, when proper preoperative antibiotic prophylaxis not prescribed. Moreover, when best aseptic precaution of patients and equipment not maintained.
Infection through superbugs– Patients are often given high generation antibiotics for healing. Superbugs are antibiotic resistant bacteria. Moreover they share traits of other bacteria too.
WHO ARE VULNERABLE TO THESE INFECTION?
Patients in ICU –In ICU use of invasive equipment are more, which can be the major source of infections.
Patients with disease in immune system – Immunity is the natural defense mechanism of our body to resist the diseases. Patients with weak immune system are bound to get affected by any type of infection sooner.
Diabetics – Diabetic patients have greater risk of developing infection if the patient’s blood glucose level is not maintained.
Dialysis patients – Dialysis involves cleansing of blood. It is an artificial process by which excess water, toxins and waste products of blood are removed. If strict sterile procedure is not maintained then the patient can get infected.
Patients admitted for medical implants– Medical Implants are high risk surgery that require placement or removal of certain parts or organs. High end medication is required to heal the wounds. If the surgical equipment are not well maintained or the post-operative dressing is not done properly chances of infection increases. In these cases positive isolation policy should be maintained along with the reverse barrier nursing protocol.
If the doctor suspects presence of any infection they can perform few tests to verify. These include
Urine Culture Tests
BASIC HOSPITAL HYGIENE
Keeping Clean: Thorough cleanliness should be assured. Both with visible dirt and the invisible ones.
Effective Sterilization: all equipment must be sterilized both physically and chemically.
Disinfection:The hospital must ensure that the sheets and the dresses provided to the patients are totally disinfected.
Hand Hygiene: In 90% cases hands of the hospital staff act as carriers of Hospital Acquired Infections. Hands should be kept clean and washed by a disinfectant for 5-10 minutes.
Proper Clinical and Hazardous Waste Management: The dust bins should be covered and the garbage should be disposed of frequently to avoid the spread of infection as saliva is an infectious fluid. According to pollution control board of India waste segregation to be done as per rule.
Steel OT to avoid infections – Desun has steel OT that immensely reduces the chances of infection. It also has Burn Unit of International Standards.
Best Hospital Hygiene – The main concern in case of burn patients is chances of getting infection while treatment. At Desun, even 3rd degree burns are been treated successfully.
Proper maintenance of equipment– AtDesun, appropriate cleaning and maintenance of all equipment is done under strict surveillance.
Proper supervision– Desun ensures proper supervision in maintenance, cleaning and waste management.
Best Waste Management: The syringe, puncture needles, and catheters are disposed of after single use to avoid any kind of infection.
Desun is a 300 bed superspeciality hospital in Kolkata, India. Desun has 28 Medical Departments, high end ICU’s with individual ventilator for each ICU bed, Steel OT’s , 4th Generation Cath Lab. Desun Hospital is NABH and NABL accredited.