एम्स ऋषिकेश में आयोजित ’पीडियाट्रिक सर्जरी डे’ के अवसर पर जनजागरूकता के कई कार्यक्रम आयोजित किए गए। इस वर्ष बच्चों में मूत्र संबन्धी समस्याओं के लिए बाल शल्य चिकित्सक की भूमिका विषय पर थीम आयोजित की गयी थी। पीडियाट्रिक सर्जन विशेषज्ञों द्वारा रोगी और उनके तीमारदारों को इस मामले में विभिन्न लाभकारी जानकारियां दी गयीं।
संस्थान की कार्यकारी निदेशक प्रो. मीनू सिंह के मार्गदर्शन में आयोजित जनजागरूकता कार्यक्रम के दौरान पीडियाट्रिक सर्जरी विभाग के विशेषज्ञ चिकित्सकों ने बच्चों में जन्मजात बीमारियों और सर्जरी द्वारा उनका इलाज करने के बारे में विस्तार पूर्वक बताया।
विभाग की हेड और चिकित्सा अधीक्षक प्रो. सत्या श्री ने बाल रोगियों के तीमारदारों को बताया कि प्रत्येक मां-बाप को अपने बच्चों के स्वास्थ्य के प्रति संवेदनशील रहकर बीमारियों के लक्षणों के प्रति जागरूक रहना होगा। उन्होंने बच्चों की जन्मजात बीमारियों के बावत तीमारदारों द्वारा पूछे गए सवालों का जबाव देकर उन्हें जागरूक किया। कहा कि जब बच्चा मां के गर्भ में पल रहा होता है तो उस समय सटीक और उच्च स्तर की सोनोग्राफी की अहमियत समझायी। ताकि गर्भ में पल रहे बच्चे में पनपने वाली जन्मजात बीमारी का समय रहते पता चल सके।
प्रो. सत्या श्री ने यह भी बताया कि यदि छोटे बच्चों में किसी कारण वश कैंसर के लक्षण हों तो इससे घबराने की जरूरत नहीं है। समय रहते सही इलाज करने से उसे जड़ से खत्म किया जा सकता है।
कार्यक्रम के दौरान बच्चों में होने वाली सामान्य सर्जिकल बीमारियां जैसे बच्चे का बार-बार पेशाब करना, रात के समय सोते वक्त बिस्तर गीला करना, बच्चों की जन्मजात अंडकोषों की समस्याएं, उनमें मूत्र मार्ग और लिंग संबन्धी जन्मजात बीमारियां, हर्निया, हाइड्रोसिल, पेशाब में रूकावट होने, पेशाब में संक्रमण और जलन होने आदि के लक्षणों, सावधानियां बरतने और समय रहते आवश्यक उपचार करने के बारे में बाल सर्जन विशेषज्ञ चिकित्सकों द्वारा कई लाभप्रद जानकारियां दी गयीं। कार्यक्रम के दौरान बताया गया कि उत्तराखण्ड में बच्चों में गुर्दे एवं लीवर के कैंसर बनने के मामले ज्यादा पाए गए हैं। इसलिए इनके प्रति विशेष जागरूक रहने की जरूरत है। बताया कि इसके अलावा छोटे बच्चों द्वारा टाॅफी, नमकीन, मूंगफली अथवा अन्य भोज्य पदार्थ के कणों को अनजाने में निगलने की कोशिश करते वक्त वह उनकी सांस की नली में फंस जाते हैं। उन्होंने इससे उत्पन्न समस्या के निदान और ऐसे मामलों में विशेष जागरुक रहने के लिए भी प्रेरित किया गया।
उल्लेखनीय है कि प्रति वर्ष 29 दिसम्बर को पीडियाट्रिक सर्जरी डे मनाया जाता है। इस दिन बच्चों की जन्मजात बीमारियों और सर्जरी के माध्यम से उनके निदान के प्रति लोगों को जागरुक किया जाता है। कार्यक्रम के दौरान पीडियाट्रिक सर्जरी विभाग की डाॅ. इनोनो योशू, डाॅ. बिजय कुमार, डाॅ. शौर्या, डॉ दीपक, डाॅ. हिमांशु, डाॅ. जगदीश, डाॅ. प्रशांन्त, डाॅ. सौम्या, डाॅ. रोहन, डाॅ. योगेेश और डाॅ. पन्ना सहित कई अन्य मौजूद रहे।

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“More analysis needs to be done to know more about SARMs’ results and their long-term results, but the preliminary research has raised a number of concerns,” Dr. Sanyal shares. The remaining authors declare that the analysis was performed within the absence of any business or financial relationships that could presumably be construed as a possible conflict of interest. Gynecomastia is the benign enlargement of the glandular tissue of the breast (197). The condition is to not be confused with pseudogynecomastia, also known as lipomastia or adipomastia, during which excessive adipose tissue provides the appearance of gynecomastia. Gynecomastia typically develops during puberty, with a reported peak incidence of 65% in 14-year-old boys (198).
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PDE5 inhibitors are the mainstay drug in erectile dysfunction treatment and are generally tolerated properly, providing satisfactory results. Aspect results embrace headache, flushing, dyspepsia, nasal congestion, dizziness, transient irregular imaginative and prescient and cyanopsia (specific to sildenafil), and again ache and myalgia (specific to tadalafil) (196). Whereas these medicine are generally already acquired by AAS customers from the black market, they might be prescribed to patients suffering from erectile dysfunction which is both natural or psychogenic in nature. A referral to a sexologist is advised for these in whom a psychogenic trigger is in all probability going – which is common in our experience. A few reports in the literature have linked AAS use to focal segmental glomerulosclerosis (FSGS) (169–171).
According to the Nationwide Institute on Drug Abuse (NIDA), steady use of AASs can result in issues similar to tolerance, that means an individual needs greater doses to attain the same effects. For instance, Nandrolone is 5α-reduced into DHN, a much less androgenic metabolite, and it additionally interacts with Progesterone receptors in the body which may have an anti-androgenic effect on the body. In basic, DHT derivatives are dry energy builders with reliable and predictable levels of anabolic activity. “After 1935 the best technique of discovering and measuring the protein-building action of androgenic steroids in people proved to be metabolic steadiness studies.
Each 10 mmHg discount in systolic blood stress reduces the chance of main cardiovascular events, coronary heart illness, stroke, heart failure, and all-cause mortality by 20%, 17%, 27%, 28%, and 13%, respectively (95). A persistent pharmacological improve in blood pressure – similar to attributable to AAS use – could be alleged to have the inverse impact. There does appear to be a disconnect between self-reporting of this side impact and visible examination by a physician.
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