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emedinews Section Neglect, Under Treatment Ails Headache Disorders Three in every four adults, aged between 18 and 65, suffered from some form of headache disorder, including migraine and tension-type headaches, last year. WHO says headaches are the most common health disorders across the world, but they are often neglected and under-treated. According to the world’s first ‘Atlas of Headache Disorders 2011’ brought out by the WHO, 50% suffering from headaches opt for self-medication, oblivious to bouts of pain. Neurologists examine only 10% headache patients, and the rate is even lower in Africa and South-East Asia. The report says, over 10% of those suffering frequent headaches have migraine, and 1.7-4% of the adult population is affected by headache for 15 or more days every month. Information on the societal impact of headache exists in only 18% of countries that responded for the report. Three types of headache disorders have been underlined as most frequent - migraine, tensiontype and those caused by medication-overuse. —Source: TOI, May 5, 2011

Health - Important Tips  Do not drink coffee TWICE a day.  Do not take pills with COOL water.  Do not have HUGE meals after 5 pm.  Reduce the amount of OILY food you consume.  Drink more WATER in the morning, less at night.  Keep your distance from hand phone CHARGERS.  Do not use headphones/earphone for LONG period of time.  Best sleeping time is from 10 pm at night to 6 am in the morning.  Do not lie down immediately after taking medicine before sleeping.  When battery is down to the LAST grid/bar, do not answer the phone as the radiation is 1,000 times. —Dr Monica and Brahm Vasudev)

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General - Fit Facts and Tips for Specific Populations 

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Regular physical activity reduces the risk of many adverse health outcomes. Some physical activity is better than none. For most health outcomes, additional benefits occur as the amount of physical activity increases through higher intensity, greater frequency and/or longer duration. Most health benefits occur with at least 150 minutes (2 hours and 30 minutes) a week of moderate-intensity physical activity, such as brisk walking. Additional benefits occur with more physical activity. Both aerobic (endurance) and musclestrengthening (resistance) physical activity are beneficial. Health benefits occur for children and adolescents, young and middle-aged adults, older adults and those in every studied racial and ethnic group. The health benefits of physical activity occur for people with disabilities. The benefits of physical activity far outweigh the possibility of adverse outcomes.

Pediatric Update What is the Classical Presentation of Appendicitis in a Child? 

Pain begins in periumbilical or epigastric region, due to appendiceal distension and referred pain. Pain localizes to the RLO as the parietal peritoneum in the area becomes irritated. Anorexia and nausea occur almost uniformly after the pain.

The classical presentation occurs in only 50% of patients. —Dr. Neelam Mohan, Director, Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta – The Medicity

Indian Journal of Clinical Practice, Vol. 21, No. 12, May 2011


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