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Health Quaries

Some Health Quaries & Answers

Q: All the people in my apartment block are afflicted by sneezing and skin allergies. Recently I discovered that a neighbour rears parrots. Could it be due to this?

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A: Parrots and other birds can cause allergies. Mites that live on the birds’ dander or feathers cause the allergies. The problem will persist as long as the parrots are there. But if they are confined to his apartment, it is unlikely that the allergens will affect all of you. So, before you blame the parrot fancier, please check if there are other allergens in the environment. Many people are allergic to incense sticks, mosquito repellents, burning camphor, or pollen.

Untreated schizophrenia:

Q: My brother has schizophrenia. My parents do not want to have him treated as they are afraid of what our relatives will say if the news leaks out. They are also afraid it will hamper my marriage prospects.

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A: Mental illnesses are due to biochemical imbalances in the brain. They are chronic illnesses, like diabetes, high blood pressure and arthritis. They require medication, rehabilitation and regular follow up visits to a psychiatrist. Medication is also needed for rectification. Unfortunately 75 per cent of the people do not accept this. The mentally ill are often denied treatment by their families. You need to take a firm stand in this regard and insist on treatment for your brother.

Boils on my face

Q: I get painful boils (not pimples) on my face, and my arms and legs also. After a few days they turn yellow and burst, discharging blood stained yellow pus.

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A: Some people carry an organism called Staphylococcus on their skin and in their nose. The bacteria live in harmony with the person. When the skin is injured, they get access to the deeper layers of the skin. They then form these boils.

Bacteria have cell walls that can be broken by certain chemicals like trichlorocarbanilide (TCC). Some soaps like Neko and Dial contain this compound. The total fat content of these soaps is adjusted to be lethal for these bacteria. Bathe twice a day using one of these. On the appearance of a boil, apply a bactericidal ointment like mupirocin or bacitracin after a bath. Apply the same ointment to the nostrils twice a day using buds. Eventually the frequency and intensity of the attacks will reduce.

Low back pain

Q: My mother has terrible backache and the doctor says it is spondolisthesis. Is surgery essential?

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A: Spondolisthesis is a term used to describe the slipping forward of the lumbar (back) vertebrae on the sacrum (tailbone). The degree of the slip is measured through CT scans. Surgery is required if it is grade 2 or higher. She can try conservative methods like physiotherapy and a lumbo-sacral support belt initially. As long as she can manage, it may be better to do so as surgery has its own inherent risks. After surgery physical rehabilitation and exercises are essential.

Missing fingers

Q: My daughter was born with the tips of two fingers of her left hand missing. The paediatrician said it is amniotic band syndrome. Will my next child also be affected?

A: The amniotic sac lines the inside of the uterus during pregnancy. The baby floats in this sac in a fluid called amniotic fluid. At times the sac ruptures in a place or two. This results in the formation of fibrous bands in the fluid. As the uterus grows the bands tighten. If it occurs around a finger, that may get severed (congenital amputation). The fingers can be reconstructed through plastic surgery. The condition is non-recurrent and your next child is unlikely to inherit it.

Reconstruction of the fingers with plastic surgery is the remedy.

Martial dad

Q: My father, 70 years, wants to join a Tai-chi class. Is that advisable? I have heard that it is a form of martial art from China which consists of hundreds of combinations of graceful and flowing movements.

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A: Taught well by an expert and practised scientifically, Tai Chi improves balance, posture and strength. It provides flexibility and aligns painful arthritic and ageing joints. It also helps focus and improves concentration. Hence it has a positive effect on loss of memory, forgetfulness and mild dementia related to old age. The rhythmic breathing tones circulation, relaxes the mind, eases tension and aids restful sleep at night.

The advantages are many. In short, it is an ideal form of exercise for older people. You should be glad that your father wants to join a class.

Sources: The Telegraph (Kolkata, India)

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Scientists find ‘key’ to man’s infertility

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: Researchers at The Feinstein Institute for Medical Research have identified an immune substance in human semen that appears to determine the fertility of a man.

Dr Yousef Al-Abed says that the substance called macrophage migration inhibitory factor (MIF) is the key to helping sperm mature, which is necessary for its union with an egg. The findings, published in Molecular Medicine, attain significance as they may lead to a diagnostic test to determine fertility status.

During the study, the researchers collected semen samples from men three to five days after a period of sexual abstinence. While 68 men had problems conceiving, 27 were healthy controls. When the researcher were analysing the levels of MIF, they did not have any idea as to whether the samples came from infertile men or from healthy controls.

It was observed that the MIF levels in men with infertility problems were either too high or too low, while healthy controls had levels that were just right.

Upon adding MIF into petri dishes filled with healthy sperm, the researchers noted that their count had decreased, and motility impaired.

Dr Al-Abed also wonders whether MIF can work as a form of male contraceptive, if it has a role in infertility.
MIF is a key player of the immune system that has also been linked to many autoimmune and inflammatory diseases, such as diabetes and sepsis.

Dr Al-Abed has been trying to identify and design small molecules that would block the activities of MIF.

Past studies have found MIF plays a key role in sperm maturation. But it has also been linked to several autoimmune and inflammatory diseases, such as diabetes and sepsis, which is a systematic inflammatory response to infection.

Unusually high levels of macrophage migration inhibitory factor have also been found in individuals suffering from rheumatoid arthritis.

About 15% of couples attempting to get pregnant for the first time experience problems conceiving. About 40% of infertility problems are due to disorders in the male.
Source:The Times Of India

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Pancreatic cancer stem cells found

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Researchers have discovered a small population of stem cells in pancreatic cancer that appear to drive tumour growth, opening the door for a potential new approach for treating this particularly deadly disease.

Writing in Cancer Research, University of Michigan scientists said finding cancer stem cells in pancreatic tumours could lead to the development of drugs intended to target and kill these cells.

Scientists have toiled with little success to find better ways to treat cancer of the pancreas, which has the lowest survival rate of any major form of cancer.

It kills 97% of people diagnosed with it within five years half within six months of diagnosis. Pancreatic cancer spreads quickly and is rarely is detected at an early stage. In the United States alone, it kills 33,000 people a year.

The pancreas is a gland located behind the stomach that secretes a digestive fluid and the hormone insulin.
“The implications of this work are significant,” Diane Simeone, director of the Gastrointestinal Oncology Program at the University of Michigan Comprehensive Cancer Centre and lead author of the study, said.

“We’ve made baby steps in improving the survival in these patients over the past decade or so. But we really haven’t had a major breakthrough in coming up with something that has the potential to provide a cure,” she said.

Simeone said there is emerging evidence that within cancers, there is a small subset of cells that are responsible for the growth and propagation of tumours.

The idea is that these cells with stem-cell characteristics the ability to self-renew and differentiate into other cell types are the ones fuelling tumour formation.

Source:The Times Of India

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