Editor in Chief Dr KK Aggarwal, Padma Shri Awardee                                                                          Dated:22nd September,2019

Naegleria fowleri, the brain-eating amoeba, claims another life in the US

A Texas girl died after battling a brain-eating Naegleria fowleri amoeba for more than a week. Lily Mae Avant, 10, swam in the Brazos River and Lake Whitney near Waco over Labor Day weekend, CNN affiliate KWTX reported. After being flown to Cook Children's Health Care System in Fort Worth on September 8, a spinal tap found she had contracted Naegleria fowleri, a single-cell living organism commonly found in warm freshwater, like lakes and rivers, according to the Centers for Disease Control and Prevention.

The Naegleria fowleri amoeba is known to enter the body through the nose, travels to the brain and destroys brain tissue. Between 2009 and 2018, 34 cases of the Naegleria fowleri infection were reported in the US. And of the 145 known cases between 1962 and 2018, only four people have survived. [CNN]

Polio returns to the Philippines after nearly two decades
This is not the time to be complacent

The Philippines has announced an outbreak of polio in the country. A poliovirus case was confirmed on 16 September 2019 in a 3-year-old girl from Lanao del Sur. Samples from sewage in Manila and waterways in Davao, as part of the regular environmental surveillance, have also been confirmed to contain the virus. The last known case of wild poliovirus recorded in the Philippines was in 1993. The country was declared wild polio-free in 2000.

The polio outbreak in the Philippines is confirmed to be from a circulating vaccine-derived poliovirus type 2. The World Health Organization (WHO) has expressed its concern about this as wild poliovirus type 2 was certified as globally eradicated in 2015. ....read more

Mera Bharat Mahan 12: Student-Teacher relationship
The Upanishads are our ancient texts; they are the interpretations of the Vedic texts by people.

To understand the meaning of the word “Upanishad”, it can be broken down into: Upa (down), ni (knees) and shad (destroy). This means “sitting near the knees of the guru and destroying our ignorance (first de-learning, learning and finally getting rid of the bondages). Sitting near the knees means shed you ego before you start learning.

Katho Upanishad 2.3.19 also talks about the relationship between the teacher and the student. ....read more

Relieve Stress by Changing the Interpretation
Stress is the reaction of the body or the mind to the interpretation of a known situation. Stress management, therefore, involves either changing the situation, changing the interpretation or taming the body the yogic way in such a way that stress does not affect the body.

Every situation has two sides. Change of interpretation means looking at the other side of the situation. It is something like half glass of water, which can be interpreted as half empty or half full. ....read more

Healthcare News Monitor

Indian meat eaters under threat of antibiotic resistance
The Times of India- Malathy Iyer

India, long associated with the spread of superbug ‘New Delhi metallo-beta lactamase-1’ and extensively drug-resistant tuberculosis, has now been identified as one of the global hotspots of rising antibiotic resistance among animals as well. Other hotspots include China, Pakistan, Vietnam, Turkey, Brazil and South Africa, says a review study jointly done by Princeton University and Delhi-based Center for Disease Dynamics, Economics & Policy and published in Science journal Thursday night. Antibiotics are added to animal feed to make them healthier. The study said that increasing demand for animal protein in lower middle-income countries had led to increased production (rearing of food-animals) using antibiotics liberally. In May, a local study from Mumbai published in ‘Acta Scientific Microbiology’ journal showed resistance in chicken liver meat and eggs collected from poultry shops across 12 locations in the city. That study tested the samples for bacteria salmonella that was resistant to widely used antibiotics such as amoxicillin, azithromycin, ciprofloxacin, ceftriaxone, chloramphenicol, erythromycin, gentamicin, levofloxacin, nitrofurantoin and tetracycline.

Drug for treating psoriasis can be used to treat malaria, finds study
Daily News & Analysis

Drug used for treating skin disease psoriasis may now be used to effectively treat malaria, suggests recent study. Researchers modified a class of molecules called pantothenamides to increase their stability in humans. The new compounds stop the malaria parasite from replicating in infected humans and from being transmitted to mosquitoes and are effective against malaria parasites resistant to currently available drugs. A paper describing this new class of modified pantothenamides was published in the journal Science Translational Medicine. Malaria is caused by the parasite Plasmodium falciparum, which is transmitted to humans from the bite of an infected Anopheles mosquito. Because many Plasmodium parasites have developed resistance to the most common drugs used against them, there is a pressing need for effective new treatment options. The team found that the modified pantothenamide molecules not only interfere with the development of the malaria parasite during its asexual growth phase in the blood but also prevent transmission of the sexual form of the parasite from human blood to mosquitoes.

Liver transplantation on 1-year-old a success in Ongole
The Hans India

Ongole: A live liver transplantation was successfully performed on a one-year-old boy at Gleneagles Global Health City, said herpetologist Dr P Rajinikanth. Addressing the media here on Friday, Rajinikanth said that the boy was suffering from a hole in the bile duct since birth. Due to this the patient was suffering from various liver related issues. The doctor said that since birth the boy was suffering from jaundice and was undergoing treatment. The boy was weighing just 5.7 kg. On observing the health condition of the patient deteriorating day by day, the hospital doctors found the actual liver problem and performed live liver transplantation successfully which took eight hours. The doctor said that the boy was recovering post operation and he was discharged after 13 days, said Dr Rajinikanth.

Patient blames PAU hospital for ‘misleading’ reports
The Tribune

Test reports of the diagnostic laboratory of Punjab Agricultural University campus hospital could have landed her into trouble had she not sought second opinion, claimed patient Nirmal Kaur. The reports suggested high creatinine level and thus possible malfunction or failure of kidney. The patient was already taking medicines for it (as suggested by earlier reports). However, the creatinine level of the patient was within the prescribed limit. Nirmal Kaur visited the campus hospital of PAU on February 18 for routine health check-up and the doctor advised her a few tests. The report suggested that the serum creatinine level was high at 1.2 mg/dl (normal range 0.5-1.1) and her medication was started accordingly. “I was taking medicines regularly and again visited the hospital in March, May and July. In July, the doctor asked me to repeat the tests. In the report of July 8, the creatinine level increased drastically to 3.7 mg/dl and urea level also increased to 72 mg/dl (normal range 10.00 to 50.00). My reports suggested some serious kidney problem as the creatnine level was going high despite medication,” said Nirmal Kaur.

Visakhapatnam: Doctors in govt hospitals cry foul over ban on pvt practice
ET Healthworld- Sulogna Mehta

Visakhapatnam: The decision to ban private practice of doctors working in government hospitals has not gone down well with most doctors. Doctors from the Vizag chapter of medical bodies, including AP Government Doctors’ Association, AP Junior Doctors Association and hospitals like KGH and VIMS have condemned the government’s sudden decision to ban private practice. The doctors maintain that the government’s decision was taken without consultation with any government doctor. Medical superintendent of King George Hospital (KGH), the largest tertiary teaching hospital, G Arjuna said that rather than imposing the blanket ban, the government could have taken stringent action against the 5-8% errant doctors, who may be leaving before the end of their duty hours. “Only 10-15% government doctors do private practice in the evenings. Now even private hospitals cannot ask experienced government doctors for their expert opinion and consultation,” Dr G Arjuna added.