CNS , SPINAL CORD AND BRAIN.

A 22 year old patient referred for being nervous. She have palpitations occasionally. This was one of her episodes. Diagnose ECG.

31yrs/M newly diagnosed with HIV presented to casusalty in with tonic clonic activity,The patient reported several syncopal events only a months prior to admission. *Chief Complaints* Headache, vomitting *Vitals* GCS -12/15,Bp -160/90,PR -92,RR -22,Spo2-98°F,Temp -100°F *Lab Report* CD4 counts -402,TLC -12000,CRP -22,B.urea -48,S.creatinine -1.8,Elevated liver enzymes,Na -132,K -2.2.

#CCA update Swarnaprashana Suvarna prashan (also called swarna prashana and swarna bindu prashana) is an ayurvedic technique to enhance immunity and improve the intelligence of children. Swarna prashana is an ancient health tonic for children. Swarna prashana acts on the mind, brain, immune system, and skin. It promotes growth and development, maintains health, builds resistance to infections by developing non-specific immunity, and improves complexion. The purpose of suvarna-prashan is same as of modern vaccination to prevent diseases by building immunity against bacteria and viruses. However, suvarna-prashan has no specific indications like an individual vaccine, but it improves the overall immunity of children. Swarna prashana is effective for precluding upper respiratory tract infections and preventing common cold and flu. It can also prevent other diseases later in the life. This concept has no limitation only to bacterial or viral infections. Suvarna-prashan also benefits in a proper brain development. It improves memory, intelligence, verbal and cognitive  Medicinal value of suvarna prashan Suvarna prashan has following healing properties, which increase its medicinal value for preventive as well as therapeutic purposes. Immuno-stimulantadaptogenicmemory boosteranti-inflammatoryantiarthriticanticancerantibacterialantiviralantimutagenicantioxidant Benefits of suvarna prashan Suvarna prashan has beneficial effects on nervous system and immune system. Therefore, it is very helpful for improving memory, retention powder, intelligence, intellect, cognitive functions of the brain.Secondly, it is also effective for improving immunity and preventing diseases.The third effect is on the skin. It improves skin glow and prevents skin diseases

KANGAROO MOTHER CARE. Kangaroo mother care is the method of holding the baby in skin-to-skin contact with the mother. Earlier, this was promoted to hold a preterm baby in skin - to - skin contact to keep stable preterm infants warm where incubators are unavailable or unreliable. Those children who have no secure bonding relationship with the parents do poorly in school and suffer from depression. Skin - to - skin contact not only promotes bonding but has multiple benefits. 1.IT HELPS BABY ADAPT. Baby finds it easier to adapt to post birth environment once the baby is put in a skin-to-skin contact with the mother as temperature is well maintained. 2.IT BOOSTS BABY'S MENTAL DEVELOPMENT Babies who received kangaroo care had better brain functioning at adolescence when compared to babies placed in incubators. 3.IT PROMOTES HEALTHY WEIGHT. As kangarooed babies are warm,they don't need to use their energy to regulate their body temperature. Also they enjoy increased breastfeeding rates and have a healthy weight gain. 4.IT MAKES BREASTFEEDING EASIER. Kangarooed babies seek the nipple and begin breastfeeding faster and longer. 5.IT INCREASES MILK PRODUCTION. When mom and baby are together, hormones that regulate lactation are well balanced, helping in more milk production. 6.IT REDUCES BABY'S STRESS &PAIN. The levels of cortisol are reduced in a kangarooed baby and the levels of "cuddle hormone" oxytocin are increased, which stimulates the para sympathetic nervous system to make the babies feel calm and safe. 7.IT HELPS BABY SLEEP. Less stress-better sleep. Kangarooed babies sleep more deeply and wake up less often than those babies kept in incubators. 8.IT PROMOTES BONDING WITH DAD. From their time in the womb,babies recognise their father's voice.Babies find skin-to-skin contact with their father calming and it helps them bond. 9.IT PREVENTS POST PARTUM DEPRESSION Activity in the mother's adrenal axis is negatively influenced by childbirth .In Kangarooed babies, these pathways are reactivated to minimize the risk of depression. Oxytocin also decreases maternal anxiety and promotes attachment with the baby. THERE IS A PRECIPITOUS DROP IN NEONATAL MORTALITY IN KANGAROOED PRETERM BABIES COZ THE BABY HAS STABLE HEART RATE. MORE REGULAR BREATHING IMPROVED OXYGEN SATURATION LEVELS NO COLD STRESS LONGER PERIODS OF SLEEP. MORE RAPID WEIGHT GAIN MORE RAPID BRAIN DEVELOPMENT REDUCTION OF PURPOSE LESS ACTIVITY DECREASED CRYING LONGER PERIODS OF ALERTNESS MORE SUCCESSFUL BREASTFEEDING EPISODES SO PROMOTE EXCLUSIVE BREASTFEEDING AND KANGAROO MOTHER CARE

30yrs male swelling of both legs R>L. Since 4days no other complete no pallor no sob / urine problem /no htn dm .. now bp 160/110. PR 75 bmn. Tempr normal..