Counselling in London- Get the best counseling services It is often said that, to help a person deal with a specific problem, the counsellor should be specialised in dealing with that particular issue. For example, someone who is experiencing distress following a bereavement will be very likely to benefit from seeing a bereavement counsellor, a counsellor specialising in eating disorders will be able to help a person who suffers from disorders such as anorexia or bulimia, and someone who has difficulty in managing their emotions could make significant inroads in the way they deal with stressful situations if they see a counsellor with experience in anger management. A Harley Street counsellor will be experienced in some, if not all of these areas.

Some will have specific training as well, such as a training in eating disorders and addictions. While this is true, it is however very often the case that people who contact a Harley Street counsellor do not have a very specific set of symptoms or a long-standing problem. Rather, they will seek help to deal with situations that affect them in different ways. These situations may be a recent redundancy, problems experienced at work such as bullying or harassment, the loss of a loved one, or any other situation that creates an anxiety for the person. A true professional, qualified and experienced counsellor will seek to shed light on the person’s circumstances and how they are affected by it, before making a diagnosis and communicating it to the patient, if this is going be helpful. The initial consultation (and, often, the four or five sessions thereafter) will be an opportunity to do this thoroughly and establish if the person can be helped by a clinical treatment. A Harley Street counsellor will no doubt communicate their understanding to the patient. If they see that counselling is not the right form of treatment for the person, they will let the patient know and suggest alternatives, such as cognitive-behavioural therapy. The counsellor will then create a treatment plan, which means that they will form a clear idea of how treatment can progress and what it should focus on. The idea is to do two things at the same time: to equip the person with strategies that will enable them to deal with the situation that they find themselves in, and to help the person grow and develop a better ability to live with the emotional consequences. For example, a Harley Street counsellor working with someone who has suffered from bullying at work will at the same time review possible actions with their client (such as dealing with the bully in a way that minimises the bully’s actual power over them) and support them to acquire, over time, more “emotional muscle” and change their attitude so that they are less likely to fall victim to bullies in the future. I work with many doctors who agree with me on the fact that medication will only help alleviate some symptoms, and that to tackle the root causes of a problem and move forward in life can require the help of a qualified counsellor. counsellor London

Paracetamol is most widely used medicine for treatment of fever, pain and other inflammations in different famous brands like Panadol or Calpol but few of us only knows that it is  potentially lethal if taken in overdose. Paracetamol overdose cause Hepato-celluar necrosis which is hall mark of its toxicity. Paracetamol is included in OTC medicines as it can purchase without any prescription. In case of suicidal attempts or cases associated with accidently intake by any person, we should know the guidelines to treat Paracetamol poisoning and measures that can decrease its potential harmful and toxic effects.

There are several factors that enhance toxic effects of Paracetamol poisoning.

• Late administration of antidote.
• Multiple overdosing with specific regular intervals
• Person previously affect by AIDS or Glutathione deficiency.
• Person taken medicines like Carbamazepine, Phenobarbitone or anit-Tb medicines like Rifampicin or Isoniazid.
• Alcohol addict

Important Parameters for Initiating the Treatment

• Severe liver damage may occur if person intake more than 10gm of dose ( 20 tablets) in period of less than 8 hours.
• There is great risk of Hepato-toxicity if no treatment is giving within 8 hours.
• Hepato-toxicity may produced if person taken intense or sustain release doses of Paracetamol.

Symptoms of Paracetamol Toxicity

Abdominal pain, vomiting, hypoglycemia, jaundice, hepatomegaly (increase liver size).

Diagnostic test

CBC or FBC, Urea and electrolyte test, LFT, prothrombin index and sugar test should make if ingestion time is more than 8 hours.

Immediate Treatment

Administered 50% dextrose 50mL IV (NOTE: Review blood reports if patient is hypoglycemic)

Plot the serum Paracetamol level on the Paracetamol nomogram for all patients presenting between 4 and 24 h after an acute if non single ingestion of Paracetamol (if nomogram is available) . The treatment nomogram has been simplified from previously, with a single treatment line now for all patients following Paracetamol ingestion. A raised PTI (INR) or alanine aminotransferase (ALT) levels >1000 IU/L define significant hepatotoxicity.

NAC Injection Administration

N-Acetyl Cysteine injection should administer to patient having ingestion within 8 hours.

Initiate administration of NAC immediately without waiting for results of diagnostic and lab values. Stop treatment if ALT or INR level drops to normal. It should also note that serum Paracetamol levels are difficult to interpret in cases of staggered ingestion. Monitor the PTI (INR) and ALT regularly instead and seek specialist toxicologist advice. For administration of NAC, use adult infusion protocol for NAC below.

 (1) Accurately calculate dose of NAC. Read from the drug-insert infusion dosage guide the volume in millilitres of NAC 200 mg/ mL to be added to the 5% dextrose, according to the patient’s weight. Weight specification are:

(a) 150 mg/kg in 5% dextrose 200 mL IV over 15 min.

(b) 50 mg/kg in 5% dextrose 500 mL IV over 4 h.

(c) 100 mg/kg in 5% dextrose 1000 mL IV over 16 h.

  (2) Stop the infusion.

 (3) Give Promethazine 12.5–25 mg I.V and hydrocortisone 200 mg IV.

 (4) Once symptoms have settled, re-commence the initial infusion at a slower rate (e.g. 150 mg/kg over 1 h).

 Reference: Emergency Medicine (Diagnosis And Management) , 6^th Edition, by Anthony FT brown and Michael D Cadogan.

Depression Counselling London – a growing Need for Depression Counselling Depression counselling is a proven, effective way to help people in London deal with issues that arise from depression and can sometimes cause despair. If you are experiencing depression and are considering talking to a counsellor in London, this short article could help you make a decision to opt for counselling. Depression is the most common of mental health problems. Reliable studies show that it occurs in 10 per cent of the population in Britain at any one time, (Healy, 1998, Hale, 1997). It is quite common to go through a bout of depression that is triggered by an event, or a lifestyle. For example, many consider London to be an exciting place to live, but for many of us, the nature, pace and cost of London life has a negative effect on our mood and can cause depression. For example, depression can be a reaction to such features of London life as: Isolation (loss of contact with friends, family and support network) joblessness crime stress and overwork It also often happens that there does not seem to be an obvious cause for depression and that it sets in “out of the blue”, and does not subside without help. Depression counselling can help those in London who experience such circumstance. What Is Depression Counselling London? Depression counselling is a talking therapy designed to help individuals suffering from mild depression and moderate depression. An experienced counsellor or psychotherapist (often shortened to therapist) will carry out the therapy or treatment. For some individuals, such treatment can be a lifesaver – provided that they can commit to attending. Indeed it is not uncommon for sufferers of depression to have suicidal thoughts and to be at risk of harming themselves or others around them. How Can Depression Counselling London Help? Depression counselling is a safe and confidential way to help sufferers of depression understand fully the physical, emotional and cognitive symptoms that they are experiencing as part of a depression. For many people, depression will be connected to low self-esteem, relationship problems, work-related problems etc. The aim of the treatment delivered by the counsellor or therapist is to help the individual find support, insight and an environment where they can address their painful problems and grow beyond them. Is It Necessary To Undertake Depression Counselling London? Studies agree that getting professional counselling for depression from a London Counsellor is a great help. There are many different approaches for treatments for depression: the NICE guidelines for mental health practice in the NHS recommend cognitive behavioural therapy (CBT) and similar approaches, but it is a well-known fact that the primacy of such approaches is strongly disputed and that integrative approaches, which ally the teachings of different schools of thought, and are well-represented in private psychotherapy and counselling practice, enjoy great outcomes.

About Author:

Helen Brookes, Psychotherapy Expert

psycho.ukspecialist@gmail.com

Counselling and Psychotherapy in Central London, Harley Street and Maida Vale by a UKCP registered counsellor and psychotherapist, Services for individuals and couples with issues such as Anxiety, Depression, Psychosexual issues, Addictions, Work-related stress, Substance misuse, Anger Management, Relationship difficulties, call for an appointment Tel: +44 (0)7876 035 119

]]> http://www.medic4health.com/2012/03/depression-counselling-london/feed/ 0 http://www.medic4health.com/2012/02/inflammatory-chronic-stomach/ http://www.medic4health.com/2012/02/inflammatory-chronic-stomach/#comments Sat, 25 Feb 2012 16:59:18 +0000 Medic4health http://www.medic4health.com/?p=2016 Read More »]]>

Stomach is a vital part of the body. Often we get  problems related to stomach which are irritation, burning and acidity. This is due to different food stuff which we intake without consideration. Different food act differently on stomach. Hygienic food or drink are essentials for stomach well functioning. But what if we suffer from different gastric problems. By using different Anti-Inflammatory natural food, we can keep our stomach well and healthy.  French Food Experts, Scientist and Physician Internal Medicine have mentioned 10 natural food that keeps our stomach healthy and keep away problems of irritation, burning and other chronic stomach illnesses and infections . Here are the  foods that can prevent and recover your stomach  from chronic illnesses. Cabbage is rich in fibers, vitamin C and carotene that prevent stomach from cancer. Cabbage taken with broccoli enhance cancer prevention property. Pomegranate have ability to fight aganist different stomach infections. It contain Fiber and Vitmain C and useful with mackerel which contain  antioxidants. Artichoke is another useful stomach protective food having high vitamin C quantity. other stomach friendly food are Onion, Ginger, Pepper and red marine algae . Red marine Algae is rich with Omega 3 which provides strength to immune system.

1.    Pfizer: Pfizer is an American based, largest Pharma Industrial Setup. Last Decade the company caught in many controversies but has recovered well.

2.    Johnson & Johnson: It is an American consumer and pharmaceutical Industry having wide range of products including medicated and cosmetics. It has highly demand and quality baby products, located at New Jersey State.

 3.    Glaxo Smithkline: Largest Pharmaceutical Setup in world has 1^st position from a number of times in pharma business. Affected by World economic crisis.

 4.    Sanofi Aventis: research and Development oriented French Multinational Pharma Industry .

5.    Novartis: Swiss Pharmaceutical Industry. One of Largest Setups.

 6.    Roche: Also a Swiss based Pharmaceutical Industry.

 7.    AstraZeneca: British origin, largest seller of Cancer and Cardiac medicines. Globally spread and larger part of sales is in Europe.

 8.    Abbott Labs: One of old company present in 130 countries around the world. Major products are of daily use and protective agents.

 9.    Merck: Oldest Pharmaceutical Industry, Independently work after First World War.

 10. Bristol Myers Squibb: Produce large numbers of Medicines that are used in server diseases. Founded a decade ago and appear in list to top 10 pharmaceutical industries in very less time.

Nobody likes to take medicines. Patient compliance is a big factor in therapy. Scientists have found a new way to control the release of drug from a device. It can be swallowed, injected, inhaled or delivered to the bloodstream through a time-release implant. The device is a small-size microchip embedded in the body which can be control remotely via a wireless connection.

The drug chip is very useful in delivering bone-strengthening hormones to women in case of complicated osteoporosis. The presence time chip remains up to four years in patient body. Details are published in online journal Science Translational Medicine.

The Chips works and controlled by radio waves in specific dedicated frequencies range. The working principle of chip is similar to pacemakers, defibrillators and other implantable electronic devices but the difference that comes between chip and these devices is about singling. Chip delivers a chemical signal rather than an electronic signal.

This technology could be best for treating a number of diseases and conditions that require regular medicine in form of pulse. Disease usually includes pain, infertility, multiple sclerosis or diabetes. Complicated drug regimen can also be easily controlled by this micro-tech. The researchers started their company with name of MicroChips Inc. of Waltham, Mass for production of chip.

Chip will be the gift for women affecting with osteoporosis as they have prescribed by hormone therapy with the dosing directions and involving daily injections for up to two years. This cause patient compliance problems and chip has found to be the good solution.

It have been seen that microchips wouldn’t have the capacity to store the dose of insulin that patients required every day. But chips can be modified with glucose sensors. Glucose sensors can notice when a patient’s blood sugar drop too low and respond by triggering a release of glucagon. Microchips can be used for multiple potent and complex dosage regimen drugs but currently only one drug is tested.

A study from Harvard University on Feb-16 revealed that Scientist have created a DNA robots that helps to find diseased cancerous cells in body. This robot DNA is also programmed to kill those cancer cells. Clamshell shaped folded DNA has programmed in Nano-size device. This device delivers immune system antibodies to leukemia and lymphoma cells that cause self-destruction of these cells. The detail report is also published in Journal.

This test was done on Lab level in a dish. Next step will be conducted on animals for locating cancer cells in body. The Nano-Robots DNA technology is not ready now for commercial application. The Mechanism of Robot DNA Nano-Device is based on immune cells attacking behaviour that recognized viruses and other invaders.

These robots are clamshell shape and held together with a “Joining line” similar as we construct and join sticky ends of DNA in recombinant DNA technology. The programmed modified DNA releases its grip when it recognized specific targets on a cell.If these devices find commercial application with better therapeutic and diagnostic index, it may also benefit people with autoimmune disease.

For More Information | http://www.vosenekids.co.uk/headlice-knowledge

Article Submitted By

Polina G

(pgolubeva@ignitionsearch.co.uk)

Liposuction is a surgical procedure in which the surgeon uses a cunnula to remove fatty deposits. A cannula is a hollowed tube with holes along its entire length. The instrument is then attached to a suction machine to perform the removal. A surgeon will place the cannula between the layers of the skin and tissue to pull the fat out, this is done by creating small tunnels to decrease the total mass of this form of tissue. As the body heals following the surgery, the tunnels will become smaller and produce the firmer and toned appearance that is desired.

The nature of the surgery means there will be a small weight loss, due to fatty mass reduction. Typically this is only a few pounds pulled from the desired areas such as the abdomen, thighs, and hips. A procedure which removes more than eight to ten pounds develops high risks of serious and possibly life threatening effects, therefore it is not recommended as a treatment for obesity. People who gain the best results from body contouring procedures are of average to slightly overweight body size and are simply trying to eliminate the small problem areas which are not responding to exercise and diet.

These surgeries are considered cosmetic in nature. They were developed to aid a person in obtaining the desired silhouette that is not being reached with exercise and diet control or as a fight against the effects of aging.

The effects of liposuction depend upon the individual who has the operation performed. While it is true that the lipid tissue is permanently removed, it does not mean that fat cannot develop into a problem again. A person who does not change their calorie intake and participate in exercise will quickly have the results overshadowed by the return of the fat.

When liposuction is performed in an area the lipid cells are dramatically decreased in that portion of the body. The body will not regrow the cells that are removed. Instead, when weight is gained it will develop in alternate areas. For example, a person who has treated their abdomen and thighs and then gains weight after the operation will find the majority of fat deposits growing in their buttocks, breasts, back, and even their face rather than the areas treated. In general, the concept of weight gain refers to ten pounds or more.

Liposuction is commonly used to remove the small pockets of fat that remain after achieving individual weight loss goals. It is the final or finishing touches to the body after the effort has been performed in lose the unwanted weight and is usually done in conjunction with other plastic surgery alterations.

A consultation with a qualified surgeon is necessary to assess the desired outcome, it is essential that a person understand what is considered to be a reasonable result of the process.

The main emphasis is now on developing an antidote for alter the adverse effects of anti-malarial drug. The literature tells us about Folinic Acid or Calcium Folinade activity as an antidote for reversing this drug reaction. Postive results are also expected with this antidote therapy that is initiated in Hospital.

How this Anti-Malarial Drug causes the reaction?

It is not confirm yet but If there is Contaminated of Pyrimethamine which commonly used as anti-malarial drug, Inhibits folic acid synthesis. Folic acid in body is essential for DNA and RNA synthesis.  High dose of above drug causes Acute bone marrow toxicity in if taken in chronic dosage, since bone marrow are rapidly dividing cells (hence DNA and RNA synthesis) in the production of blood cells.

Hence large doses of folinic acid will reverse the toxicity very quickly. Will take at least 18-21 days for the white blood cells to return to near normal levels. Blood transfusion would help to overcome the bone marrow production insufficiency, along with folic acid infusion until the patient’s bone marrow function returns.

 My Suggestion for the Government  officials are;

1. Facilitates the drug testing labs with efficient equipments and trained staff like Pharmacist and other analysts for precise results.

2. Emphasize the clinical Role of Pharmacist in Hospital to implement the correct use of medicines, by increasing vacancies for Pharmacist in each hospital.

3. Build a quality Regulatory authority to control over manufacturing and Licensing procedures.

• Default or toxic batch production with contamination of some metal
• Adverse drug reaction
• Mysterious disease

Condition of Patient after Reaction

The patients suffering from drug reaction have very low platelet count, low white blood cell count and bone marrow damage. This sudden fall in platelets and WBC causes death of patient.

Possible Reasons

1. Drug regulation system in Pakistan is not so very effective. The risks associated with some adulteration or suspicious agent in raw material during manufacturing considerably can be the main reason of this drug reaction. Some Pharma companies bought raw material of low quality that may subject to chemical changes during inappropriate storage conditions in Hospital.

2. These drug if use in regimen may interact with each other, taking non-steroidal anti-inflammatory drugs (NSAIDs) like Aspirin with clopidogrel can increase the risk of bleeding. Clopidogrel and statins also interacts and increase the anti-platelet effect that may cause bleeding. If this is the case then there is a clear cut need of a Pharmacist in Cardiac and other  hospitals. it should also be noted that these interactions may also decrease the platelet count. If this is not a reason of death then combination of these medication should also be considered with precaution and proper monitoring. There are few links that may support my dissuasion.

Reference Link:

1. American Heart Association: http://circ.ahajournals.org/content/110/6/e68.full

2. http://heart-disease.emedtv.com/clopidogrel/drug-interactions-with-clopidogrel.html

3. http://circ.ahajournals.org/content/98/22/2461.full

4. http://cll.acor.org/pp%20platelets.htm

3. Some toxic material or excipient may be added during production of that batch.  Principal of the Allama Iqbal Medical College/Jinnah Hospital Prof Javed Akram said that there might be chance of  metal contamination that damages the platelets and bone marrow. I want to add further in it regarding production of these tablets. During processing and manufacturing of tablets different metallic equipments ( High Quality material) are used like sieves, compression machine ( Punches) and e.t.c. It is also possible that manufacturer equipments for production of tablets are not of well and good quality or may completed its optimum working period. The Metal Contamination may also comes form the raw manufacturer of excipient or active drug used.

4. If we draw attention toward a mysterious disease then this type of condition of patient indicates toward the Congo Virus infection or may be new strains of Congo virus that significantly decrease the amount of platelets or White cells without giving other symptoms. Or we can say that it is may be because of Congo virus contamination in material use in manufacturing of this cardiac medicines.

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