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Why do we get Angry?

October 3, 2011 Leave a comment

Issue 18: September 2011 – Source www.healthhabits.ca

Why is it that some people get angry at the littlest thing while others have the patience of Job?

New research from the University of Cambridge finds that low levels of a substance called “serotonin” in your brain have a major impact upon how you react to that jerk who cut you off in traffic this morning.

In light of previous research on the subject, this study is the to show how serotonin helps regulate behavior in you brain as well as why some people get angry

more easily that others.

So if you do not want to live your life as Mr. or Ms. Grumpy, might as well take some steps to avoid low serotonin in your brain.

Some easy things you can do are:

–        Actively thinking of positive thoughts, mind over matter

–        Develop techniques to handle stressful situations

–        Expose yourself to bright light

–        Exercise

–        Change diet (more protein alpha-lactalbumin)

– Source: www.healthhabits.ca

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Categories: Issue 18: Sep 11

New Services …

October 3, 2011 Leave a comment

Issue 18: September 2011

On 16 July 2011, Dietetic Services were initiated in the Hospital. Most of the hospitals around the world have this service in order to ensure that patients are provided with proper dietary information and proper diets during their stay in the hospital. Being a new service that most Maldivians are not used to, this service is initially being looked at in a subtle manner. But the Hospital aims to strengthen this service so that the patients can get the maximum benefit. Both inpatient and out-patient services are available.

In addition to this, the Hospital is gearing to introduce two new services in September. Two new medical specialties, namely nephrology and psychiatry will be introduced to and hence take the number of available medical specialties in the Hospital to 12.

Nephrology is a much-needed service in the country and the currently available services elsewhere are hardly meeting those needs. The introduction of this specialty at ADK will make it more accessible and available to the patients. Although the initial introduction will be OPD and some inpatient services, renal dialysis will also be introduced with further plans of expansion.

Similarly, the availability of psychiatry services is also limited. ADK’s introduction of this service will again bring a lot of benefits to the patients who require these services. In fact, this is one service quite a number of inquiries are made by the public. OPD services including some diagnostic services such as EEG will also be available with the initiation of this service.

Categories: Issue 18: Sep 11

One Happy Customer!

October 3, 2011 Leave a comment

Issue 18: September 2011 – Ahmed Afaal (MD)

A couple of days ago when I was just about to leave the office after a tiring days work, a customer approached me. He called my name and I stopped to greet him. He came up to me and said “My wife has been admitted to the hospital for the last two days and just got discharged. I want to just tell you my experience.” Usually customers approach me an tell me about their grievances during their stay but this customer simply said “thank you very much, I have been wanting to meet you just to tell you that we had a very nice experience at your hospital. I never expected such professionalism and care.” He went on “I came here two days back with my wife who had to undergo a surgery. I was worried since she is a person who panics a lot. But all the worries and also her panic went away as soon as the theatre team greeted her. They were really good and treated her really well. In fact my wife want to personally thank them for their great work and the doctor was excellent too.”

He shared his experience further “When we were in the room, the room itself is very nice and comfortable. But I have to say that the nurses were excellent too. They really showed professional care and were always willing to help. It was as if they got happiness from

serving and caring us. It was the same in all the shifts and they were smiling all the time too.”

He went on sharing with enthusiasm and wanted me to share his words with the staff too.

Well, that was the high point of my day. I felt proud of my staff and appreciated the work that they put to make this institution a great place.

I thought for my self “this is an incident where we reached up to our vision. An incident where we were able to go beyond the expectation of the customer.” I felt joy and happiness inside myself.

I couldn’t help sharing this with you all and convey my appreciation to the excellent work that you have put in. I have every confidence that you all will continue to live up to these expectations. On behalf of the management and myself, I take this opportunity to convey my appreciation for the hard work that the staff is doing. I am sure if we can maintain tis level of services, there will be more happy customers. Thank you.

Categories: Issue 18: Sep 11

The fight against dengue should go on

October 3, 2011 Leave a comment

Issue 18: September 2011 – Dr. Ahmed Jamsheed Mohamed (COO)

Dengue Fever (DF) is the fastest emerging arboviral infection, spread by Aedes mosquitoes and a major public health problem in most of the tropical and sub-tropical countries. A disease outbreak compatible with dengue had been reported in China as early as 992 AD. The first recorded epidemic of dengue was in 1635 in the French West Indies. The first confirmed epidemic of Dengue Haemorrhagic Fever (DHF) was recorded in the Philippines in 1953–1954.

First recorded dengue outbreak in the Maldives was in 1978 with 9 deaths. Relatively few cases were seen since then. However, in the past 5-6 years it has become endemic with the disease incidence increasing significantly, with frequent epidemics. The outbreaks in 2011 are found to be worse than the major outbreak of 2006. Recorded death toll due to dengue in 2011 is 11 so far, but it is very likely that this is lower than the actual figure!

Though in most Central and South American countries, effective disease prevention was achieved by

eliminating the mosquito vector, Aedes aegypti, during the 1950s and 1960s, it has never been achieved in Asia and the disease continues to be a major public health issue. An estimated 50 million dengue infections occur worldwide annually with an estimated 500,000 people with DHF requiring hospitalization while about 2.5% of those affected with DHF die!

There are four sub-types of dengue virus designated as DENV-1, DENV-2, DENV-3 and DENV-4. There is evidence of ongoing microevolution of the virus with considerable genetic variations within each serotype. Three sub-types of DENV-1, six subtypes of DENV-2, four subtypes of DENV-3 and four subtypes of DENV-4, have now being identified.

An individual may get dengue infection on four different occasions with any of the four serotypes. Infection with one serotype confers lifelong immunity to that serotype alone. Subsequent infection with other serotypes increases severity of the disease. Some studies have show that infection with DENV-2

serotype in people who were previously infected with DENV-1 serotype was associated with a 500-fold risk of DHF compared with the first infection.

Dengue infection has a wide range of outcomes; from asymptomatic infection to undifferentiated viral fever, DF and DHF. DHF may also result in Dengue Shock Syndrome (DSS). Contrary to the common belief, DHF is not a continuum of DF. Though there are certain high-risk people, you never know who would develop DHF or DSS among those infected with dengue virus.

There is no specific treatment for DF and medical management is largely symptomatic. Two most important things patients and their caretakers can do at home is to control fever with paracetamol/panadol and to take enough fluids. Taking analgesics (for fever or pain) contribute to more severe disease and its complications hence, are strongly discouraged. Considering the endemicity of dengue in the Maldives and possible complications related to these drugs, patients with any fever should avoid aspirin and painkillers until dengue is ruled out.

With neither a cure nor a specific treatment, prevention becomes the only strategy we have. It is important that we take measures against bite prevention and mosquito breeding. Bite prevention in those with fever is equally important to prevent mosquitoes acquiring the virus and to break the chain of transmission. Remember that Aedes bite can kill you or your loved one! 

Categories: Issue 18: Sep 11

Back with a bang!

October 3, 2011 Leave a comment

Issue 18: September 2011

Does it come to you as a surprise that TT is back again? Wondering how long will it last? Well keep reading. The first issue of TT was published on May 01, 2007 intended to continue monthly. However, after a series of 13 regular issues, TT stopped for a while and resumed again June 2009. However, fortunes didn’t let that continue for too long.

Well! TT never lost hope and the intention was to always come back and here it is again. Many of you may have not read the previous ones but TT hopes that you will read more of it more regularly with your contributions.

The main reason why TT had to take a break is that there are few contributions. TT does not belong to

the management, but to the whole staff of the hospital and YES everybody can contribute. Your articles don’t have to be too formal. Just send us in a joke, a poem, a short story, or if you are really into it, start a career in writing with TT. We can give you a column if you really want to contribute a series of articles on a roll.

On a serious note, TT belongs to every single staff of this Hospital. Your contributions will enrich TT and will remain for years to come. The TT team invites you all to write and contribute to continue TT. Send your articles to teamtalk@adkenterprises.com and we will publish them in future issues.

Categories: Issue 18: Sep 11

In Full Swing

October 3, 2011 Leave a comment

Issue 18: September 2011

Team Talk brought to you news of the foundation ceremony of ADK Hospital new building on its July 2008 issue. The foundation was laid on July 15, 2008 and since then there was continuous development till this month. Although the building was opened for services on March 15, 2011, the whole building was commissioned 0n September 1, 2011.

We all looked eagerly for the last two and half years to see a glimpse of what this would be. Now we are enjoying every bit of it. Hosting a number of specialties, and inpatient rooms, the new development has eased the crowd in side the hospital by distributing them. The headaches of allocating rooms for patients have also soothed.

The hard work of our contractors and also all the staff who had put such efforts to bring this up to the level that we are seeing should be noted. The management thanks and appreciate the work put in buy all those who helped make this a reality.

More important is the fact that it has helped increase patient satisfaction. The customers who are using the services now make many positive reflections. It is for us to keep up with this and continue to enhance and upgrade the services that we provide.  We should all make a commitment at individual level to ensure that we continue to improve our services and that will be the key to reach the next step of service quality.

The Hospital is now poised to embark on the next phase of development, which will put in a lot more new and sophisticated services hence taking healthcare in the country to a higher level. But of course some nitty gritties of the development is also yet to be attended to. 

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Categories: Issue 18: Sep 11