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Title :MP3 related behaviour and hearing defects
Author :Jasbir S Chugh on : 23 Jun 2009
Category :General Pediatrics
Be it trains,coaches,work place or even class rooms, one can see many youngsters listening to MP3 player music with ear buds or headphones stuck to their ears.

The huge increase in the popularity of portable MP3 players has increased young people`s exposure to high sound levels dramatically. When using MP3 players, adolescents are very likely to engage in risky listening behaviors and are unlikely to seek protection. Frequent MP3 player use is an indicator of other risky listening behaviors, such as listening at high volumes and failing to use noise-limiters.

Various studies reported that increasing numbers of adolescents and young adults now experience symptoms indicative of poor hearing, such as distortion, tinnitus, hyperaccusis, or threshold shifts.Currently, use of MP3 players may be the most important risk factor for music-induced hearing loss in young people.

The rapid development of digital technology has led to the production of new kinds of portable music players whose sound quality at higher volumes is much better, because the sound is no longer distorted. Because the music players are equipped with improved earphones, sound leakage is almost absent, which means that the music players can be played at hazardous high volumes in most environments without disturbing other people. The use of earbud-style earphones increases the volume level by another 5.5 dB, because of the smaller ear canal volume,thereby adding to the risk of exposure to maximum volume output and deafness.
In noisy environments, listeners are especially likely to choose high volume settings, which, over longer periods, are potentially hazardous. The frequent use of an MP3 player is regarded as potentially hazardous in combination with other MP3 player-related, risky behaviors, particularly being exposed to high volumes. Besides risky behaviors such as using high volumes, increasing the volume after a period of listening because of a temporary threshold shift, and using earbud-style earphones. there are also protective behaviors, such as reducing the volume, taking breaks from listening, using a noise-limiter, and heeding warnings against the risks of high-volume music.
I n addition to hearing loss, youngsters ,habitual of excessive use of MP3 players and listening to high volume music are at great risk of developing behaviour problems like irritability,learning disabilities,insomnia,poor school performance and even high blood pressure.
Some protective measures suggested by experts are :
1. Shorter spells of listening to MP3 music
2.Reduce volume after initial hearing
3. Use headphones in place of tight fitting ear phones.
4. Youngsters should take part in games and develop other hobbies like painting,trekking etc.





Total Replies: 0   [Be the first one to reply]
Title :Re-registration of doctors
Author :Jasbir S Chugh on : 18 Jun 2009
Category :Medical Education

The news item inTribune{May,23} MCI has come to the rescue of Pubjab doctors was a matter of great relief to the doctors from tough and arrogant attitude of Punjab medical council. The latter has been insisting upon five yearly re-registrstion of Postgradaute {MD,MS}and Bachelors{M.B`B.S} degrees of qualified doctors and has been charging hefty ammounts from doctors on this account.This step by MCI ,clipping the wings of PMC regarding re-registration of doctors in Punjab is really welcome.MCI has rightly stated that PMC has no legal right to impose such rules on already registered doctors who earn their degrees by dint of dilligent inputs and through burning mid-night oil. This body can not cancel the practising licences of doctors and should immediately refund the money it has charged from them on the pretext of re-registration.
The need to attend CMES and earn prefixed number of credit hours is definitely there but should not be enforced by PMC.In any case,to serve his patients better and enhance one`s professional caliber, a doctor must study regularly to keep abreast with the latest knowledge and developments in Medical science.
PMC must concentrate on many other important tasks which incude improvement of standard of medical education in Punjab and uplift of under-staffed and poorly equipped state medical colleges.It should also strive to get the quack shops shut in the state.

Dr. Jasbir S Chugh,Ludhiana
Total Replies: 0   [Be the first one to reply]
Title :Preventing childhood obesity through physical activity and healthy eating
Author :Gabriela Tavcioska on : 23 Feb 2009
Category :General Pediatrics
All over the world, childhood obesity is a significant and growing health problem. Obesity in children has become a global epidemic with many health and social consequences that often continue into adulthood. The consequences of childhood obesity can be both physical {orthopedic complaints, high level of cholesterol, elevated blood pressure, risk of diabetes, sleep apnea, obesity in adulthood, the metabolic syndrome, asthma, etc} and psychological {low self-esteem, negative self-image, depressive symptoms, stigmatization, discrimination, learning difficulties, etc}.
The recent rapid increase in childhood overweight and obesity is attributed to the modern environment. Although, there some genetic and hormonal causes of childhood obesity, most excess weight is caused by physical inactivity and poor nutrition. Changes in dietary constituents including higher derivation of energy from nutritionally poor and energy dense foods, increased sweetened drink consumption, larger portion sizes, and more frequent intake of food outside the home have been associated with poorer diets and higher weights. A lot of children are not active enough for optimal growth and development. While physical activity rates have decreased, time spent on sedentary activities such as watching television, using computers and playing video games has increased.
The way to reduce the incidence of childhood obesity is physicians, families and communities to work together. They have a responsibility to ensure that children are equipped with the knowledge, opportunities and facilities they need to stay healthy and active throughout their lives.
There are some recommendations for physicians on promoting healthy active living to families, schools and communities. Physicians are encouraged to promote physical activity and good nutrition in their practices. They should give some advices to families if their child is at risk of becoming overweight or currently is at a healthy weight .Some of that advices are: schedule yearly well-child visits {to measure child’s height and weight and to calculate body mass index}, set a good example, avoid food-related power struggles with your child, emphasize the positive {the fun of playing outside, benefits of exercise, etc}, be patient.
Overweight progression in children is possible to modify by increased awareness of the problem. The role of government about this issue is strong and very important {to improve municipal planning to encourage walking and outdoor activities, use of schools and other facilities off-hours to reduce the costs to families}.Successful interventions for preventing childhood obesity must include nutrition, education, physical activity, school-based programs, family participation and counseling.
Total Replies: 1  [View Replies]   [Reply to this blog]
Title :Fellowship programme in usa
Author :Vinod on : 08 Jan 2009
Category :Medical Education
It is seen that subspeciality is gaining importance ,as people are more aware about there health status.Similarly till we have fellowship programme in india which are spread all over india.But the standard of this programme is not well accepted .They are just alowing people to join fellowship so that they serve the hospital ,rather they are qualified cheap labourers .It is seen that in the country like USA where the standard of fellowship programme in pediatric subspeciality is much high,but to qualify they want to us to write USMLE.Indian doctors at overseas should make some alternate arrangements for this so that many of our collegues can complete there fellowship degree.
Total Replies: 1  [View Replies]   [Reply to this blog]
Title :Rumors spark polio vaccine panic in south India
Author :Kenneth Stoller on : 23 Dec 2008
Category :General Pediatrics
Thousands of parents and their children protested outside hospitals in the southern Indian city of Bangalore following false rumors that children had fallen sick after being given polio drops, police said on Monday.

Police said nobody had fallen ill from the vaccine and filed a complaint against a local TV station, saying it helped spread panic following the rumors of children contracting fever and vomiting.

This is an interesting event and we need to look very carefully at it, because one day soon the truth about vaccine will come to the fore.

For example, how will the people of India react, along with the rest of the world, when the common man on the street finds out that it has been known for over a decade that the MMR vaccine has been contaminated with retro-viral particles, reverse tran ase and xeno retrovirus entities, such as the Avian Leukosis Virus. These retro viruses are in the same family as the HIV virus and have the very real potential of being able incorporate their DNA into the human genome of the vaccine recipient and cause cancer {to name one disease}. These contaminants are also found in the flu vaccine – any vaccine, in fact, that is grown using eggs.

Now, this is extremely bad… I don’t know how else to put this, but does the public know about it_? Are government regulators or watch dog agencies doing anything about it_? Are vaccine makers cleaning up their act or taking any responsibility for this or potential long-term consequences_?

The answer is no, no, no and no.

Why should they_? Have we ever held vaccine manufacturers accountable for anything_? Again the answer is no. What if they had been held accountable for infecting millions upon millions of people with the SV40 virus in the Polio vaccine of the 1950’s and 60s_? This is a simian virus that is now found in half Non-Hodgkin’s lymphomas and some brain cancer.

This is what happens when we, as a society, tolerate being experimented on in a very unconscious manner.

K Paul Stoller, MD, FACHM
President of the International Hyperbaric Medical Assoc
Total Replies: 3  [View Replies]   [Reply to this blog]
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