We often tend to think that healthcare has improved to the point where the risks involved are minor.
But patient safety is a serious global public health concern. There is a 1 in a million chance of a person being harmed while traveling by plane. In comparison, there is a 1 in 300 chance of a patient being harmed during health care. Industries with a perceived higher risk such as the aviation and nuclear industries have a much better safety record than health care.
It is estimated that there are 421 million hospitalizations in the world annually, and approximately 42.7 million adverse events occur in patients during these hospitalizations. Using conservative estimates, the latest data shows that patient harm is the 14th leading cause of morbidity and mortality across the world. Of course, some of the hospitalizations are to prevent a potential cause of death, and without them, the mortality rate would be much higher.
Estimates show that in high-income countries (HIC) as many as 1 in 10 patients is harmed while receiving hospital care. The harm can be caused by a range of incidents or adverse events, with nearly 50% of them being preventable. In a study on frequency and preventability of adverse events across 26 low- and middle-income countries (LMIC), the rate of adverse events was around 8%, of which 83% could have been prevented and 30% led to death. Approximately two-thirds of all adverse events occur in LMICs.
The medical use of ionizing radiation is the largest single contributor to population exposure to radiation from artificial sources. Worldwide, there are over 3.6 billion x-ray examinations performed every year, with around 10% of them occurring in children. Additionally, there are over 37 million nuclear medicine and 7.5 million radiotherapy procedures conducted annually. Inappropriate or unskilled use of medical radiation can lead to health hazards both for patients and healthcare professionals.
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The Global Celebration Brain Awareness Week is launched by the DANA foundation nearly 20 years ago. It is annual celebration observed in the third week of March. The purpose of this campaign is to develop and enhance public interest in knowing about brain research, benefits and, progress in research. The campaign aims to make the brain research and information more public. To make people aware of brain diseases like Alzheimer’s, Stroke, Parkinson’s, anxiety, neurological disorders and many more, their symptoms, preventions and treatment methods.
This is my experience with the supplement, melatonin.
First of, an explanation of what melatonin is. I copied an article of WebMD.com and you can find the full article here: https://www.webmd.com/sleep-disorders/tc/melatonin-overview#1
“Melatonin is a hormone made by the pineal gland, a small gland in the brain. Melatonin helps control your sleep and wake cycles. Very small amounts of it are found in foods such as meats, grains, fruits, and vegetables. But, you can also buy it as a supplement.
Your body has its own internal clock that controls your natural cycle of sleeping and waking hours. In part, your body clock controls how much melatonin your body makes. Normally, melatonin levels begin to rise in the mid- to late evening, remain high for most of the night, and then drop in the early morning hours.
Light affects how much melatonin your body produces. During the shorter days of the winter months, your body may produce melatonin either earlier or later in the day than usual”
Since both I and my partner were struggling to fall asleep, we decided to try melatonin supplements. We bought a box of around 500 melatonin pills and the suggested dose was 3 pills of 290µg each, so around 0.9mg. It was also adviced, to take the pills 30 minutes before we would try to fall asleep.
So, we did just that. Falling asleep went a little better than normal, but I weigh that down to placebo in my case. The night itself wasn’t much different than any other. Sleeping until a little too early in the morning and then I’d wake up. I was extremely tired. It felt like I had a rough day yesterday, and then only slept for a couple of hours. My partner, on the other hand, said she felt better.
We decided to take the pills again the next day with the same results respectively.
I didn’t take the pills for the next couple of days and slowly recovered my energy. My partner has taken them ever since and continues to enjoy their effects. I tried them again a couple weeks later but had the exact same results. I was extremely tired the following days and it felt like I didn’t sleep at all.
I’m no scientist in any way shape or form, but it felt like the melatonin would screw up my sleeping pattern and put my brain in a state of awakening when I was actually supposed to sleep and vice versa. I don’t know if this is at all possible, but that’s my experience with the supplement.
I am convinced, however, that taking melatonin to cure jet-lag and use it ‘fix’ my sleeping patterns when it’s really distorted could be beneficial. Maybe I as a person am more sensitive to melatonin and need less of it. I’m not touching it again anytime soon but would advise you to try it if you’re struggling to fall asleep as my partner has found it very beneficial in her life.
World Kidney Day is observed to raise the awareness of how important role kidney plays in our overall health status. World Kidney Day is a global Health campaign observed each year on the second Thursday of March. The day was first observed in 2006 by 66 countries and has not stopped ever since. The number was increased to 88 countries after two years in 2008.
First Ever World Kidney Day
Each year different Health organizations create events for the common man to get aware of kidney diseases and preventions and to realize the fact that kidney diseases are curable. The first-ever celebration of world Kidney day was initiated by the joint committee of “International Society of Nephrology and International Federation of Kidney Foundations”. The purpose of the day is to minimize the occurrence of kidney diseases by the adoption of precautions by common people and to look for new technologies of treatments.
3rd March is observed as World Hearing Day. It is observed to promote activities and actions to be taken on a community level to protect hearing. Hearing loss is the most sensory disability. According to WHO, over 275 million people are deaf or suffering from hearing loss. The day was first observed in 2007 in China. Before 2016, the day was known as “International Ear Care Day”. In 2017 it was renamed as “World Hearing Day by World Health Organization (WHO).
Theme of World Hearing Day 2018; “Hear the Future”
Each year WHO decides a theme for the World Hearing Day and prepare brochures, events accordingly. The theme of World Hearing Day 2017 was “Action for hearing loss”, in 2016 it was “Childhood hearing loss”. This year WHO has decided the theme to be “Hear the Future”. The purpose of this theme is to anticipate the increase in the number of people with hearing disability in the future. The focus is to highlight the hearing loss issue and prepare some preventive plans. The strategies will ensure that the hearing impaired people do have access to rehabilitation centers and are fully aware of the tools and products for the prevention and treatment.
RSI is a condition in which the prolonged performance of repetitive actions, typically with the hands, causes pain or impairment of function in the muscles involved. It is also known as musculoskeletal disorders (MSDs). It is the most common type of injuries related to workers. 28 February is the day devoted to raising awareness of these types of injuries. 2018 marks the 18th annual RSI awareness day.
In last few years a drastic increase in plane passengers has occurred. More and more people choose to travel by plane. On average 2.75 billion People are flying annually via commercial flights. Only in Canada, a 27 % increase in passengers has been noticed since 2009 till now. Increase in passengers has increased the complexities to manage the load and maintain the same level of quality services.
Facing a medical emergency during flight is not rare anymore. We hear about such incidences in our day to day life. If you are a Doctor, what would be your first thought on hearing the announcement ”Is there any Doctor on board?” You may be reluctant to take the responsibility because of nervousness. You may back foot hoping for somebody else to offer the service. It is natural phenomena to make any physician anxious on such height.
Reasons for Medical Emergency
The question is how to deal with such emergency situations and what are the reasons leading to it. As there are no accurate parameters to identify emergencies during flight, it’s difficult to track the mishap rates. However, according to Air Canada, there is one emergency situation per 7,700 passengers. Here are the few reasons:
- The most obvious reason is an increase in passenger traffic.
- The stress on the body caused by the long duration flights.
- The increase in old age passengers.
- Pre-existing medical problems.
Types of Medical Emergency
- Loss of consciousness
- Shortness of Breath/ Respiratory problems
- Cardiac Problems
- Nausea /Vomiting
- Height Phobia/Nervousness
The possible actions are needed to tackle the situation. This issue was highlighted by assistant professor Dr. Alun Ackery from St Michael’s Hospital and the University of Toronto this year 2018. The Professor Stated:
“We wanted to provide a better understanding of what to expect and how to respond if you’re called to assist in one of these emergencies.”
An initiative has been taken by the Canadian airline Air Canada and West Jet. They have given an overview of the medical emergencies and the possible ways of tackling. What are the legal and ethical responsibilities of the cabin crew? Although the crew is trained about the first aid, the atmosphere and treating patients in the already stressed environment is a different experience. The airline has set a standard. It’s compulsory for every aircraft having at least 100 passenger seats to carry the medical kit. They also outlined the minimum requirements for the medical kit.
Complete details of medical kit can be found here: