Addressing Dengue Fever!

Posted: December 1, 2012 in Uncategorized
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It is undeniable that every occurrence of the change of seasons is always followed by the appearance disease seasonal diseases, such as diarrhea and dengue fever. These diseases are already well known by the public, especially in the long economically weak. But lately this disease often do not view social status. Similarly, the dengue fever. Every change of season from dry season to rainy season or otherwise, dengue fever is always and always appear in the community. Not a care in rural and urban areas. So do not be surprised if the disease is often found in places where health services, ranging from hospitals, clinics, health centers and even in the lowest health care services and even the poskesdes / poskeskel. Usually dengue fever is more common at the beginning of the rainy season because at that time many people who missed the habit to apply a mosquito nest eradication (PSN) in the home and environment respectively. At that inadvertence is usually deadly Aedes aegypti mosquito that spreads rapidly evolving.

Endemic Diseases
Dengue Hemorrhagic Fever (DHF) is one of the infectious diseases is still a health problem in Indonesia, especially in big cities with increasing mobility and population density. Throughout Indonesia, including Jakarta are at risk for contracting dengue disease, because the virus and its carrier mosquitoes (Aedes aegypti) is widespread both in homes and public places except with elevations of over 100 meters above sea level.

This disease has been known since decades ago, but patofisiologisnya (cause of the illness) is not known with certainty at this time. DHF usually preceded by severe infection characterized by shock and / or bleeding is a major cause of death. DBD can only be transmitted through the bite of Aedes aegypti mosquito that has been infected by a virus prior duhulu from other sufferers. Do not misunderstand me that mosquitoes breed in stagnant water clearer only in and around the home, not in the gutter or gutter. This mosquito landed on her favorite clothes and hung dark and usually bite humans during daylight hours. To recognize this type mosquitoes with other mosquito (Anopheles) usually can be seen from the position of a bite. When biting mosquito Aedes aegypti (suck blood) is a position parallel to the skin, while Anopheles mosquitoes usually with menungging.

Symptoms of Dengue Fever
If by chance one of our family members infected with Dengue Hemorrhagic Fever (DHF), no need to panic. Recognize signs and symptoms of this disease are:

Sudden high fever arising
Fever lasts no more 7 days (when the fever is over 7 days were more likely patients suffering from typhoid fever / typhoid)
In some patients with bleeding arise in the form of red spots on the skin like a mosquito bite, but when the skin is stretched red spots that do not go away, unlike Anopheles mosquito bite kind of lost when the skin is stretched. In patients with more severe there will be bleeding from the nose (nosebleeds) or oral (vomiting blood)
On a more serious situation would arise bleeding more, tip toes and bluish cold hands (in this condition the patient had fallen on the shock), and is a sign of emergency (emergency) in which the patient should be immediately taken to the health center for treatment or hospital
To be sure, laboratory tests should be done, especially in the early days of fever.
What about First Aid?
If it is suspected dengue fever, give first aid in the form of a cold compress to reduce the fever and drink plenty of berries with liquid water in the house like sweet tea, milk, syrup, oral rehydration salts or plain water. The main danger of dengue fever is the body is dehydrated as a result of fluid from seeping out pernbuluh blood vessels. This condition is the result of serious DHF patients, although no signs of bleeding. Families also may give febrifuge, but not fever medications that contain salicylic acid as a febrifuge many on the market. Contact your family physician to give febrifuge appropriate for patients with dengue fever.

How to Control Dengue

Dengue can only be eradicated by the chain of the development of the mosquito Aedes aegypti type. If only kill mosquitoes were not enough, during the larva still left alive. Because it’s the right way is to break the chain of the larva growth by moving people to participate implement mosquito nest eradication (PSN) at home and in their respective environments on an ongoing basis, at least every two weeks.


Overcome Fever in Children

Posted: December 1, 2012 in Uncategorized

Kids say the fever if her temperature above 37 º C. Fever is not a disease, but the immune response to injury or infection. The body produces more heat and try to maintain a high temperature in order to go faster metabolism. High body temperatures also inhibit the development of germs and bacteria. When a fever, your body will cool itself by dilating the blood vessels so that the heat can get out through the skin (sweat). This makes children shiver.

Symptoms accompanying fever
Children with a fever body will feel warm. Other symptoms that usually accompany fever, among others:

shivering and teeth chattering (if high fever)
muscle and joint pain
sweating (when temperature decreases)
heart rate increased
drowsy and weak
decreased appetite
Treatment of fever
If your child does not look strong and have seizures, fever may not require treatment. If your child is not healthy, you can give a syrup or tablet fever. Some suggestions for the treatment of:

Keep children drink regularly to prevent dehydration.
Let your child get plenty of rest and sleep to recuperate.
Wear a thin film on children to the heat out.
Recording the temperature
To monitor the progress of your child’s fever, you need to take his temperature with a thermometer. Should not use mercury-based thermometers (mercury). Mercury is a highly toxic substance if exposed to the skin, inhaled or swallowed. Thermometers can be damaged and emit mercury when, for example, the child who was bitten chills. Digital thermometers are safer, faster and accurate now widely available in the market.

There are several places on the child’s body temperature suitable for the measurement of:

Rectum (anus). Changes in rectal temperature is often in the back of the central body temperature (temperature of the organs in the body) so there is a risk that the large temperature changes are detected late.
Mouth. The temperature in the mouth is usually pretty representative body temperature.
Armpits. Small children are often difficult to maintain the position of the thermometer in the armpit so that measurements can be inaccurate.
Ear. The inside of the ear is easily accessible to measure temperature using a non-contact thermometer. Temperatures were measured in the ear give a reliable indication.
When to take a child to the doctor?
Check with the child to the doctor if:

Your child aged less than three months
Fever lasts more than three days
Child’s temperature rose to 40 º C
Children showing symptoms such as skin rash, shortness of breath, convulsions, cramps, diarrhea, vomiting, etc..
The doctor will give advice appropriate to your child’s condition.

Seizures Fever in Children

Posted: December 1, 2012 in Uncategorized

Febrile seizures or step (from the Dutch, koortsstuipen) is a seizure triggered by fever. This is a fairly common condition in children. Approximately 3-5% of children under 6 years of age have been there. Most often, febrile seizures occurred at the age of 18 months up 3 years. Children under 6 months and over 6 years experience rarely.

Symptoms of febrile seizures
At the time of seizure begins, your body suddenly stiff and his eyes rolled back. Soon she lost consciousness. The body, hands and feet then stiffened (twitch) with head terdongak. Child’s skin becomes dark, possibly blue. His breathing was irregular. This condition usually does not last long. Within a few seconds to minutes your child will gradually regain consciousness. Your child may look sleepy for some time before returning to normal. Although it only lasted a few minutes, a seizure may be very long for those who watched. Seizures in children is always a frightening experience.

Febrile seizures occur because of electrical activity in the brain is interrupted by a fever. Febrile seizures may be the first sign of disease. Most febrile seizures occur within the first 24 hours of illness and not always at the highest fever. Diseases that can cause febrile seizures is the flu, colds, ear infections and other infections are usually not serious. However, serious illnesses such as pneumonia or meningitis can also be a cause. The tendency to get febrile seizures inherited in families. Child has a febrile seizure risk is 10-20% if one parent ever got. The risk increased to about 30% if both parents and siblings never got it.

If your child has a febrile seizure, do the following:

Lay your child on the floor or a soft padded mattress. Do not lay the child on the bed or table so narrow that risk falls. You can put a pillow on her head.
If the child begins to vomit or saliva collecting in his mouth, slowly twisting his body so he would not choke.
Loosen tight clothing, especially around the neck.
Remove dangerous objects that could injure him.
Do not hold your child’s movements during a seizure.
Do not put any objects into his mouth. Previously people used to put sticks in your child’s mouth to prevent biting the tongue, but it is a bad idea because the risk of tooth decay and other mouth injuries.
Try to remain calm. Seizures will stop on its own within a few minutes.
Focus your attention to reduce fever:

Contact your doctor immediately if the seizure lasts more than 5 minutes, occur more than once in the same day or your child looks weak or ill after the seizure ends.

Will recurrent febrile seizures?
Most febrile seizures do not recur (only happens once in a lifetime kid). However, research shows that 1 in 3 children who have experienced febrile seizures for the second time. The risk of recurrent febrile seizures increases if your child is younger than 18 months, if there is a family history of febrile seizures or if the cause of the fever is not too high (38.5 degrees or less).

Are seizures can cause brain damage?
Febrile seizures do not cause brain damage. Even seizure that lasts an hour or more were almost never cause brain damage. Seizures also does not mean your child has epilepsy. Epileptic seizures are not caused or accompanied by fever. However, the possibility of developing epilepsy in children who have a febrile seizure a few times is a bit higher than those without experience. Chance of developing epilepsy in children who have experienced febrile seizures is 2% to 4%.

Chronic diabetes can lead to complications, one of which is high blood pressure or hypertension. That is why, coronary heart disease is the biggest contributor to mortality (about 40 percent) among patients with diabetes (diabetes).

According to specialists in internal medicine Darmowidjojo Budiman, high blood sugar levels will disrupt the hormonal system that will increase the levels of certain hormones. As a result, blood pressure soaring participate.

“Approximately 60-80 percent of diabetics suffer from hypertension, in the long run will cause complications that lead to disability,” he said in a press conference Jakarta and Jakarta Diabetes Meeting Endocrine Meeting in Jakarta, Wednesday (08/06/2011).

He explains complications from diabetes is influenced by many factors, ranging from the duration of disease, high blood sugar, age, hypertension, smoking, and protein in the urine.

“The higher the protein content, the greater the risk of heart disease,” he explained.

Therefore, therapies aimed at the overcome diabetes with exercise to keep blood sugar levels remain normal and avoid complications both chronic and acute. “If it’s already complications, difficult treatment,” he added.

Data year 2000, the number of people with diabetes in Indonesia reached 8.4 million people and making Indonesia is ranked fourth in the number of diabetics in the world. In the year 2030, it is estimated the number will rise to 21.3 million people.

Health Research Data Base (Riskesdas) 2010 shows, the distribution of patients with diabetes in Indonesia that exceed 1.5 percent of the population in the province of North Sumatra, East Java and North Sulawesi. According to Budiman, it may be related to lifestyle and diet.

Hypertension or high blood pressure is a condition where a person experiences an increase in blood pressure above normal or chronic (in a long time).

According to a recent study, people with hypertension included in groups at higher risk of cancer.

This finding, according to lead researcher Dr Mieke Van Hemelrijck will be presented in the 2011 European Congress Multidiciplinary. This research involved 289,454 men and 288,345 women, and the analysis results show that people with hypertension – particularly men – 10-20 per cent higher risk of developing cancer.

Dr Van Hemelrijck and her team of Cancer Epidemiology Group at King’s College London, UK analyzed data related to the blood pressure, cancer incidence, and mortality risk in a prospective study that included seven groups of participants in Norway, Austria and Sweden.

Having observed for approximately 12 years, it is known that as many as 22,184 men and 14,744 women have been diagnosed with cancer. Even the 8724 men and 4525 women died from the disease. Overall, the risk of cancer increased by 29 percent in men.

The researchers also found, some of the complications of other diseases such as hypertension, oral cancer, colorectal, lung, bladder, kidney, melanoma and skin cancer increase in men.

Increased cancer risk was also seen in women with hypertension, although not very significant. Increasing cases in women with hypertension seen in cases of liver cancer, pancreatic, cervical, endometrial, and melanoma.

The researchers adjusted their results to take into account age, gender, body mass index, smoking, and errors due to inaccuracy in the measurement of blood pressure.

Van Hemelrijck said, as observational studies, this study can not show that hypertension is a major cause of the increased risk of cancer.

“We can not claim that there is a causal relationship between high blood pressure and cancer risk, nor can we say that the cause of cancer is a factor associated with high blood pressure,” he said.

“But with a healthy lifestyle, including physical activity and weight is quite normal, has been shown to alleviate some chronic diseases. Example, high blood pressure is a risk factor for heart disease. Research we now also indicate that hypertension may also be a factor risk for cancer, “he said.

High blood pressure or hypertension is commonly referred not only to the parents, but also in children. A recent study showed that obese children triples risk of developing hypertension than children of normal weight

In its findings, the researchers from the Regenstrief Institute and Indiana University School of Medicine looked at more than 1,100 school children in Indiana for nearly five years. Researchers found that when the body mass index (BMI) reached or more than 85 percentile – as a marker of excess weight – risk of hypertension nearly tripled.

Among study participants, 14 percent of children are overweight or obese are included in the pre-hypertension or hypertension, compared with 5 percent of children with normal weight. These findings are consistent either from age, gender and race.

The average child involved in the study was 10.2 years. Every child is valued at around eight times during the study. All are healthy children and no one taking blood pressure medication.

“High blood pressure that occurs in childhood would be risky to continue in adulthood. Required intervention for children with obesity. Though only weight loss but a slightly beneficial for health,” said Wanzhu Tu, Ph.D, professor of Biostatistics, IU School of Medicine, as well as head of research.

Researchers found that leptin, a protein hormone involved in the regulation of body weight and metabolism, is linked to increased blood pressure and obesity.

“Now we see a significantly greater risk of hypertension in children with overweight and obesity. However we do not know what makes the blood pressure go up when there is an increase in BMI percentil and mechanisms involved in the process.

Reducing salt Prevent Cancer

Posted: November 6, 2012 in Uncategorized

A diet high in salt is not only trigger hypertension, heart disease and stroke, but it also causes cancer. Reducing intake of foods containing high salt is known to reduce the risk of gastric cancer.

Sodium is actually required by the body to function, but in small amounts. Sodium is known to be important for maintaining fluid balance, muscle strength and nerve function.

According to the World Cancer Research Fund (WCRF), each year found 6,000 cases of gastric cancer in the UK. An estimated 14 percent of these cases could be prevented if they want to reduce your intake of salt or sodium.

Recommended salt intake is six grams per day, or about one teaspoon. But most people consume at least 8.6 grams of salt per day.

“Gastric cancer is difficult to treat with thoroughly because most cases can only be found when stage further. Therefore prevention is key,” said Kate Mendoza, head of information WCRF.

He explained that the salt needs to be aware of additional salt is not included in the diet, but salt that is already in the food. For example, bacon, sausages, canned food, ready to eat cereals, flavorings, to spaghetti sauce.