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Chronic kidney disease causes premature death!

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HYDERABAD: Assistant Professor of Liaquat University of Medical and Health Sciences (LUMHS) Jamshoro,  Professor Pooran Kumar Kohistani here on Thursday said Chronic Kidney Disease (CKD) is a worldwide public health problem with adverse outcomes of kidney failure and premature death.
Talking to APP, he said consuming junk and low-quality food, self-medication or excessive use of medicine, low water intake, obesity, diabetes, hypertension, and renal stones are the common causes of kidney diseases. He said that human kidneys are amazing organs, playing a crucial role in keeping people alive and well. Kidneys help to control blood pressure, produce red blood cells and keep bones healthy. Professor Pooran informed that kidney disease, a common medical problem is estimated to affect a significant number of population of Pakistan where one in every three in the age group of 40 plus citizens is inflicted with one or the other kidney disease.
He said more than 90 patients either die or receive improper treatment. Dialysis treatment is very costly and in public sector hospitals, there is a very limited dialysis facility so most patients are deprived of treatment and ultimately die.
Sugar and blood pressure avoidance of Nephrotoxic drugs, use of pure water can prevent us from developing chronic kidney disease from creating awareness and prevention from renal disease, Professor Kumar said. He said in addition to lifestyle changes, most people with hypertension will require medication to achieve the desired lowering in blood pressure to protect their kidneys. He added non-smokers have a reduced incidence of heart or kidney disease.
He emphasized that it is essential to create awareness among physicians as well as the public. He said studies have shown that early
detection and treatment can delay and possibly prevent kidney failure in most patients. He also referred to varied treatments available for the problem and especially mentioned of endoscopy which is used to treat stones in the urethra and urinary
bladder. He further said that chronic kidney disease (CKD) is silent and may unnoticed for
a long time as it takes a while for symptoms to appear. Early warning signs of kidney disease in children, which include high blood pressure, pain in back, puffy eyes, swollen hands and feet and passage of blood through urine.
He advised that timely diagnosis, a regular medical check-up by qualified physicians, intake of fluids and avoiding unnecessary antibiotics can help in controlling the disease. Professor Pooran Kumar suggested that creating awareness about diseases among the people was essential so that they should get a medical checkup on regular basis.

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Implant helps paralyzed man walk again

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PARIS: Five years after he was paralyzed in a snowmobile accident, a man in the US has learned to walk again aided by an electrical implant, in a potential breakthrough for spinal injury sufferers.
A team of doctors at the Mayo Clinic in Minnesota say the man, using a front-wheeled walker, was able to cover the equivalent of the length of a football pitch, issuing commands from his brain to transfer weight and maintain balance – all previously thought impossible for paralyzed patients.
The man, now 29, severed his spinal cord in the middle of his back when he crashed his snowmobile in 2013. He is completely paralysed from the waist down, and cannot move or feel anything below the middle of his torso.
In the study, the results of which were published on Monday in the journal Nature Medicine, doctors in 2016 implanted a small electronic device in the man’s spine.
The wirelessly operated implant, about the size of a AA battery, generates electrical pulses to stimulate nerves that – due to the injury – had been permanently disconnected from the brain.
“What this is teaching us is that those networks of neurons below a spinal cord injury can still function after paralysis,” said Kendall Lee, neurosurgeon at the Mayo Clinic and lead study author.
Within weeks of the device being switched on, the man began to take his first steps since the accident – but was still suspended in a harness.
Astonishingly, after several more sessions of rehab and physiotherapy, he was able to support most of his own body weight and take steps on a treadmill.
“We didn’t limit our expectations and continued to safely advance his performance as he gained function,” Kristin Zhao, director of the Mayo Clinic’s Assistive and Restorative Technology Laboratory, told the Media. 
“This is important because the patient’s own mind was able to drive the movement in the legs,” she said. Although the device was able to help generate power and control in the patient’s lower body, it did nothing to restore sensation in his legs.
This initially proved challenging. Without the physical feeling of walking registering in his brain, it was hard for him to make the instantaneous balance adjustments most of us make without thinking.
The team overcame the problem by installing mirrors at knee height so the patient could see what position his legs were in while walking.
Eventually the man was able to walk on the treadmill with only periodic glances down at his legs.
Footage of the experiment shows him walking jerkily on a slow-moving treadmill, using a metal rail for balance.
While the device’s effect is remarkable, the man is still paralysed once it is turned off.
“It is important to understand that even with the success that this individual had in stepping ability during the research, he still performs his daily activities from a wheelchair,” Lee told AFP.
In 2011, electrodes implanted on the lower spine of a paraplegic man allowed him to stand and regain some movement in his legs, but the team believes this is the first instance an implant has been used to get a paralysed person to walk.
For safety reasons, the patient currently only uses the device under supervision, but the implications of the study — that paralysis may not be permanent after severe spinal injury — could be massive.
“Our results, combined with prior evidence, emphasise the need to reassess our current understandings of spinal cord injury in order to realise the potential of emerging technologies for functional recovery once thought to be permanently lost,” Lee said.
The study was conducted in conjunction with the University of California Los Angeles and was partly funded by the Christopher and Dana Reeve Foundation.
Christopher Reeve, best known for starring role in the “Superman” film, was left paraplegic after a horse-riding accident in 1995.

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Obesity will become the biggest cause of cancer!

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ISLAMABAD: Obesity is set to overtake smoking as the biggest preventable cause of cancer in UK women by 2043, a Cancer Research UK report predicts.
Currently, 12% of cancers in women are linked to smoking, and 7% to being overweight and obese. But with the number of smokers falling and obesity rates projected to rise, the charity estimates that gap will disappear in 25 years time, BBC News reported. The figures assume that current trends will continue. Cancer Research UK’s projections calculate that by 2035, 10% of cancers in women (around 25,000 cases) could be related to smoking and 9% (around 23,000 cases) to carrying excess weight. And by 2043, if those trends continued, being overweight and obese could be linked to even more cases of cancer than smoking in women.
In UK men, obesity is not predicted to overtake smoking as a preventable cause of cancer until some time later, because more men than women smoke. Although obesity is more common among men too, obesity in women is thought to be a greater driver of cancers in the female population. The report says types of cancer linked to smoking include acute myeloid leukemia, lung, bladder, bowel, cervical, pancreatic and stomach. Cancers linked to being overweight or obese include bowel, gallbladder, kidney, liver, breast, ovarian and thyroid.
Professor Linda Bauld, Cancer Research UK’s prevention expert, said the government must build on the lessons of smoking prevention to reduce the number of weight-related cancers. She said those who were overweight in childhood were five times more likely to be carrying excess weight as an adult. “That’s why we are raising awareness of the link between cancer and obesity and calling for measures to protect children, like a ban on junk food adverts before 9 pm and for restrictions on price promotions of ‘less healthy’ products,” Prof Bauld said. She said the decline in smoking was a cause for celebration.
“It shows how decades of effort to raise awareness about the health risks plus strong political action including taxation, removing tobacco marketing and a ban on smoking in indoor public places, have paid off. “But, just as there is still more to do to support people to quit smoking, we also need to act now to halt the tide of weight-related cancers and ensure this projection never becomes a reality.”

 

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President commences anti-polio campaign!

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ISLAMABAD: President of Pakistan Dr. Arif Alvi has inaugurated the anti-polio campaign by administrating drops to a child here today. 

In Khyber Pakhtunkhwa today Provincial Health Department said more than six point six million children up to five years of age will be administered anti-polio drops during the campaign.
An enormous number of teams has been constituted to visit door to door to ensure administering anti-polio drops to the children. Polio teams will also be available at railway stations, bus stands, and other public places. Special security measures have been taken for the security of polio teams.

In Bahawalpur, a total of 650,503 children under the age of 5 years would be administered anti-Polio drops in Bahawalpur district during the  Anti-Polio campaign. According to Chief Executive Officer District Health Authority Bahawalpur Dr. Fayyaz Anwar, children would also be given capsules to overcome the deficiency of Vitamin-A which causes diseases including measles and polio. Some 3048 personnel will perform duties in 1401 teams including 1180 mobile teams, 161 fixed teams, and 123 transit teams. Besides, 18 roaming teams will perform duties at main markets of the city.

 

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