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What is brain stroke?

Brain stroke is also known as “Brain Attack”. A stroke occurs when a person’s brain cells are damaged caused by the blockage of blood flow or rupture of an artery of the brain. As a result, the affected area cannot work properly which might result in an inability to move one or more limbs of the body, inability to understand or formulate speech, or an inability to see one or more side of the visual field.

Brain stroke is of two types:

  • Ischemic Stroke: Ischemic strokes are those when clots block the blood flow to the brain cells. These clots can form anywhere in brain’s blood vessels that lead to the brain.
  • Hemorrhagic stroke: Hemorrhagic Strokes are those when a blood vessel in the brain breaks or ruptures. The result is blood seeping into the brain tissue, causing damage to brain cells.

 

How is heart failure diagnosed?

Heart failure is diagnosed based on patient’s medical and family histories, a physical exam, and test results. The signs and symptoms of heart failure also are common in other conditions.

  • The cause of heart failure is evaluated such as coronary heart disease (CHD), high blood pressure, or diabetes
  • Other causes of patient’s symptoms are evaluated
  • Find any damage to patient’s heart and check how well patient’s heart pumps blood
  • Early diagnosis and treatment can help people who have heart failure live longer, more active lives.

After medical and family histories and physical exam, the patient has to undergo certain tests.  There are main 2 very simple tests that are primary – an echocardiogram and a blood test called NT-pro BNP (a hormone that rises in the blood as a response to a failing heart). The echocardiogram will measure the Ejection Fraction or EF which is a measure of how well the heart is contracting. BNP Blood Test checks the level of a hormone in patient’s blood called BNP. The level of this hormone rises during heart failure. Other tests are  ECG (Electrocardiogram), Chest X-Ray, Doppler Ultrasound, Holter Monitor, Cardiac Catheterization, Coronary Angiography, Stress Test, Cardiac MRI and  Thyroid Function Tests, which are done as and when needed.

Follow these basic simple tips to keep seniors safe.

It is essential to take care of the smallest of things to keep elders safe. Here are some tips to keep in mind for elders living alone or taking care of elders.

  • Two battery or solar-powered flashlights. There are also flashlights that can be powered with hand cranks so batteries are not necessary. Make sure the light is bright enough to be useful.
  • A first-aid kit –be sure to check the contents of your kit for expired ointments or other items and make sure its contents are appropriate for the elderly person.
  • An extra pair of glasses.
  • Keep a note of the serial number, make and style of medical devices.
  • Medical insurance and Medicare cards.
  • Medical alert wallet card or bracelet.
  • A list of prescription medications and dosage amounts
  • A list of the names and phone numbers of physicians and emergency contacts.

What Is Celiac Disease?

What Is Celiac Disease?

Celiac disease is referred to a digestive disorder which is triggered by eating the food containing gluten and causes damage to the small intestine. Gluten is a form of protein that is naturally present in wheat, barley, and rye. Food items such as bread, pasta, cookies, and cakes contain gluten and certain pre-packaged foods, certain lip balms/lipsticks, hair and skin products, toothpastes, nutrient supplements, and rarely certain medicines contain gluten.

Celiac disease is considered to be a serious disease which can cause long-lasting digestive problems while preventing the nutrient absorption. It can also affect the other organs besides the intestines.  It is different from the gluten sensitivity, wheat intolerance or wheat allergy. If you have gluten sensitivity, you may have symptoms similar to those of celiac diseases, such as abdominal pain and tiredness. Unlike celiac disease, gluten sensitivity does not damage the small intestine.

Urogynaecology And Pelvic Reconstructive Surgery

Urogynaecology And Pelvic Reconstructive Surgery

The problems with the laxity of pelvic muscles can be very distressing to a woman.  Childbirth, constipation, obesity, respiratory problems and other conditions can weaken the pelvic muscles. In advanced cases, the upper section of the vagina or portions of the pelvic area drops into the vaginal canal. Too often, women don’t seek medical care because they are embarrassed, or don’t realize treatments can help.

The Urogynaecology Department at CIMS offers cutting-edge diagnostic and treatment options for women with complex pelvic floor disorders. Depending on your condition, a variety of effective options are available, ranging from healthy lifestyle changes and medications to nonsurgical techniques. The center offers a wide range of state-of-the-art diagnostic and therapeutic procedures as well as consultation services for the following –

  • Urinary frequency & urgency
  • Recurrent urinary tract infections
  • Overactive bladder syndromes
  • Pelvic organ prolapse (dropped bladder, vagina, uterus or rectum),
  • Vaginal Fistulas, diverticula, and vaginal agenesis

How does VSD (Ventricular Septal Defect) occur?

How does VSD (Ventricular Septal Defect) occur?

A VSD is the most common heart defect present at birth. It often occurs as a single defect with no known cause but is also found in children with multiple problems.

About one in three children with a heart abnormality discovered at birth has a VSD. VSDs account for one in five heart abnormalities found during childhood and for one in 10 found in adults.

A VSD may occur when a heart attack weakens the muscle of the septum. Blood pressure in the left ventricle breaks opens the weakened septum, pushing blood into the right ventricle through the new opening. Rarely, trauma to the heart may cause a VSD.

What is morbid obesity?

What is Morbid Obesity?

Morbid obesity is a disease of excess weight which is chronic and lifelong. Excessive fat storage results into morbid obesity which increases the BMI (Body Mass Index) beyond 35.

What is Body Mass Index (BMI)?

BMI or Body Mass Index is a measure of calculating a person’s excess weight. It is calculated by the following formula:

BMI = Weight (in Kilograms)/ Height (in Meters)2

Western Asian
Average built 21-25 18-22.5
Overweight 25-30 22.5-27.5
Obese 30-40 27.5-37.5
Morbidly obese <40 <37.5

How does morbid obesity differ from being overweight/obese?

  • Being overweight and obese are reversible conditions that can be treated by medical management whereas morbid obesity requires surgical intervention.
  • The body mechanisms that control a person’s weight are set in such a manner in the morbidly obese patient that they gain weight easily.
  • These patients find it difficult to lose weight and even more difficult to sustain.

 

ડેન્ટલ ઇમ્પ્લાન્ટ્સ ના ફાયદા

ડેન્ટલ ઇમ્પ્લાન્ટ્સ ના ફાયદા

  • સિંગલ/ એક થી વધુ/ તમામ દાંત પડી ગયા હોય તો તેના માટે નો શ્રેષ્ઠ અને અંતિમ વિકલ્પ.
  • ઇમ્પ્લાન્ટ જડબામાં કાયમ માટે રહે છે તેથી બ્રિજ અને ડેન્ચર કરતા લાંબા સમયે વધારે વળતર આપતી સારવાર છે.
  • કુદરતી દાંત જેવાજ દેખાતા, અનુભવ આપતા અને કામ કરતા કૃત્રિમ દાંત.
  • ઇમ્પ્લાન્ટ સાથે જીવનની ગુણવત્તા માં સુધારો થાય છે.

What is Neurology?

Neurology is the specialist branch of Medicine that deals with the nervous system – the brain, spinal cord, peripheral nerves, and muscles. The special senses of smell, vision, hearing, and balance also often involve neurologists usually overlapping with ophthalmologists (eye specialists), and Ear Nose and Throat (ENT) surgeons.

CIMS neurology is one of the finest in the region led by highly qualified doctors and backed by state-of-the-art clinical neurophysiology lab & Neuroradiology. CIMS Critical care unit is perfectly equipped to handle all neurological emergencies such as brain attack (stroke), etc. round the clock.

Tit Bits of Refractory hypoxemia & Journey of ventilator care

 

Much progress has been made in the treatment of neonatal respiratory failure over the past few decades. In particular, antenatal steroids and exogenous surfactant replacement have decreased neonatal mortality and morbidity in premature infants(2), (3), (4). However, lung injury and pulmonary morbidities secondary to mechanical ventilation remain an ongoing problem in the care of premature infants and refractory hypoxemia in infants. Of utmost concern, chronic lung disease (CLD) develops in up to one third of preterm infants who have respiratory distress syndrome (RDS) who receive positive pressure mechanical ventilation HFOV-data suggest that early use of high-frequency ventilation, compared with conventional ventilation; high-frequency oscillatory ventilation is not associated with a poorer neuromotor outcome, rather in few studies early use rather than rescue use has been proven to be having less neuromotor insult at 2 years follow up(1).

There are many randomized control trials available now in today’s era of evidence based medicine, which says improved gas exchange and less treatment failure with HFOV, both in the patients initially allocated to HFOV as a primary mode and in those that failed conventional CMV and crossed over to HFOV too. There was no difference in the incidence of chronic lung disease, IVH, or death between the HFOV & CMV but hospital stay and ICU stay was markedly reduced in HFOV Group(5). Cases like PPHN, air leak syndrome and Congenital diaphragmatic hernia (CDH) claim much better results and response with HFOV when used alone or with Nitric oxide therapy in selected scenarios.

 

In all of above mentioned 4 cases; a considerable benefit of capillary ABG Program was utilized. Capillary ABG for neonates is a well proven method in all developed countries as method of choice in doing ABG is these tiny babies avoiding multiple peripheral arterial pricks. Its unique feature of full panel ABG analysis with lactate and electrolytes in just 60 micro L blood, requiring no additional cost gives a relief to clinician as well as Neonate. Sooner As a next step CIMS kids-Department of pediatric and neonatal critical care is going to support such kind of above said neonates and infants with Nitric oxide therapy in near future.

References:-

  • Neuromotor outcome at 2 years of very preterm infants who were treated with high-frequency oscillatory ventilation or conventional ventilation for neonatal respiratory distress syndrome. Truffert P – Pediatrics – 01-APR-2007; 119(4): e860-5
  • Liggins G.C., Howie R.N.: A controlled trial of antepartum glucocorticoid treatment for prevention of the respiratory distress syndrome in premature infants. Pediatrics 50. 515-525.1972; Citation
  • Crowley P.A.: Antenatal corticosteroid therapy: a meta-analysis of the randomized trials, 1972 to 1994. Am J ObstetGynecol 173. 322-335.1995;
  • Soll R.F.: Prophylactic natural surfactant extract for preventing morbidity and mortality in preterm infants. Cochrane Database Syst Rev 2. 2000; CD000511
  • Clark R.H., Yoder B.A., Sell M.S.: Prospective, randomized comparison of high-frequency oscillation and conventional ventilation in candidates for extracorporeal membrane oxygenation. J Pediatr 124. 447-454.1993
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CIMS GlobL Healthcare Excellence Awards 2018

October 30, 2018
CIMS Family is honoured to be the recipient of “Among Best Hospital (Cardiology & Oncology) in Gujarat” on October 27, 2018 at the “Prime Time Global Healthcare Excellence Awards 2018”, New Delhi. A very special thanks to our CIMS Staff for their commitment and the patients who have always trusted us. CIMS GlobL Healthcare Excellence Awards 2018

CIMS Hospital has been awarded the Certificate of Excellence as the Best Multispecialty Hospital in Gujarat

August 31, 2018
We proudly announce that CIMS Hospital has been awarded the Certificate of Excellence as the Best Multispecialty Hospital in Gujarat at the International Healthcare Awards, 2018 held in Delhi. The Award is a testimony to the hard work and dedication of the entire CIMS Family which has inspired trust in us leading to rising patient volumes.

Certificate course in EMG & NCV Technology

May 15, 2018

Renal Transplant (CIMS/RIC/2018/09) on 15/05/2018

May 15, 2018
Renal Transplant is done on 15/05/2018, which was approved by Hospital based Ethical committee and Government Authorization committee. Relationship between Donor and Recipient : Wife - Husband

We are proud to announce that CIMS Hospital has been recognized as the Times Health Icon 2018 in 2 categories

March 19, 2018
We are proud to announce that CIMS Hospital has been recognized as the Times Health Icon 2018 in 2 categories Multispecialty Hospital- Oncology and Multispecialty Hospital-Critical Care.

CIMS Heart Transplant Team completes another successful Heart Transplant on 06-02-2018, 5th row in a short term.

February 8, 2018

Felicitation Ceremony of Heart Transplant Donors and Recipients held in the presence of Honorable Chief Minister of Gujarat, Shri Vijay Rupani, CIMS cardiac and heart tranplantation doctors by CIMS Hospital.

January 12, 2018
Felicitation Ceremony of Heart Transplant Donors and Recipients held in the presence of Honorable Chief Minister of Gujarat, Shri Vijay Rupani, CIMS cardiac and heart tranplantation doctors by CIMS Hospital.