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Epilepsy, Sign Of Degenerative Diseases, Stroke –Neurologist

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A Professor of Internal Medicine and Neurology at the University of Nigeria, Nsukka (UNN), Enugu State, Ikenna Onwuekwe, says recurrent epilepsy in adults could be signs of degenerative diseases, stroke or tumour.
He advised that an elderly individual, who has been experiencing epilepsy, should be taken to a physician for thorough medical examination, so that the root cause can be diagnosed and treated.
According to Mayo Clinic, an online health portal, epilepsy is a central nervous system (neurological) disorder in which brain activity becomes abnormal, causing seizures or periods of unusual behaviour, sensations and sometimes loss of awareness.
It noted that anyone can develop epilepsy, adding that it affects males and females of all races, ethnic backgrounds and ages.
Mayo Clinic explained that epilepsy has no identifiable cause in about half the people with the condition.
It noted that however, in the other half, the condition may be traced to various factors that include genetic influence, head trauma, brain abnormalities and infections like meningitis, HIV, viral encephalitis and some parasitic infections. Others are prenatal injury (before birth) and developmental disorders such as autism.
For degenerative disease, Docdoc.com, a medical information portal explained that it is a type of medical condition that causes a tissue or organ to deteriorate over time.
It noted that there are quite a number of degenerative diseases and many of them are associated with aging or could get worse during the aging process.
“Degenerative diseases are classified into three main groups: cardiovascular, neoplastic, and nervous system. The most common cardiovascular diseases are hypertension, coronary disease, and myocardial infarction. Neoplastic diseases include tumours and cancer. Diseases that affect the nervous system include Parkinson’s and Alzheimer’s.
“Degenerative diseases are caused by a wide variety of factors. Some are a direct result of normal wear and tear of the body, while others are perpetuated by poor health or an unhealthy lifestyle,” the site stated.
Prof. Onwuekwe, who is the Founder and Inaugural President of International League Against Epilepsy, Nigeria Chapter, clarified that seizures are different from epilepsy, noting that isolated seizures can occur from multiple causes and are not repetitive in nature, while epilepsy is repeated seizures that occur at least twice in the absence of fever.
Speaking with The Tide’s source, the neurologist, who is also the head of the Neurology Unit at the teaching hospital, said, “For older adults and elderly individuals, many causes of epilepsy are due to cerebrovascular diseases, such as stroke and neurodegenerative diseases.

“Tumours remain an important cause, while traumatic brain injury and post-surgery complications are known causes as well.”
Prof. Onwuekwe revealed that drug and alcohol abuse can also cause epilepsy in an older adult.
He said a person suffering from a seizure may not be aware of or mildly affected when having an episode.
The neurologist explained that the seizure manifestation of epilepsy may sometimes be mistaken for other conditions.
According to him, it is necessary that those close to elderly persons having epilepsy should watch out for the symptoms, as they may vary.
He added, “All seizures are of brain origin and involve sudden abnormal generations of very high electrical activity by cortical neurons with involvement of certain subcortical structures.
“There may be a complete loss of consciousness in seizures if both hemispheres of the brain are affected during the seizure. Otherwise, consciousness may be normal or only mildly affected if it is coming from one hemisphere.
“The seizure manifestation can be multiple and often mistaken for other conditions. Motor manifestation such as repetitive jerking of limbs on one or both sides of the body, or facial twitching, are called convulsions.
“Sensory manifestations such as repetitive loss of sensation or unusually heightened feelings in the face or limbs can occur. Visual components of seizures are recognised too.
“Speech arrest may occur. Abnormalities of involuntary functions such as breathing, blood pressure, gut functions, sweating, laughing or crying may all be types of seizures, just as repetitive short-lived behavioural changes.”

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RSG Plans Fresh Training For TBAs

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Plans are in the works by the authorities in the Rivers State Ministry of Health to conduct training for Traditional Birth Attendants(TBAs) in the State.
State Commissioner for Health, Dr. Adaeze Oreh gave the hint while chatting with newsmen recently in Port Harcourt.
She said the training has become crucial to school the TBAs on methods and measures to complement in maternal health care.
In her words,”  We are aware of of their roles, but we need to be confident that they can still play that role, especially the skills set needed to complement what government is doing.’’
Dr. Oreh explained that maternal and child care has evolved, hence, the TBAs need to be schooled,” we want them to scale up their skills, especially on high risk pregnancies.”
She continued, “ We want to make sure that our system mops up those high risk pregnancies, because we know that many of them carry out clandestine activities they are not helping us.”
Assuring of improved manpower in the State health sector, Dr. Oreh said the Governor Siminalayi Fubara administration has embarked on fresh recruitment exercise for health workers to meet current challenges.
She assured that once the recruitment exercise is completed, the various health centres and hospitals will be staffed with qualified manpower to provide efficient health services in the State.

Kevin Nengia

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Viral Hepatitis Claims 3,500 Lives Daily -WHO

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The World Health Organisation (WHO) has raised an alarm on viral hepatitis infection that claims 3,500 lives each day.
According to the World Health Organisation (WHO) 2024 Global Hepatitis Report, the number of lives lost due to the viral hepatitis is increasing.
The disease is the second leading infectious cause of death globally — with 1.3 million deaths per year, the same as tuberculosis, a top infectious killer.
The report, released at the World Hepatitis Summit revealed that despite better tools for diagnosis and treatment, and decreasing product prices, testing and treatment coverage rates have stalled.
It, however, said, reaching the WHO elimination goal by 2030 is still  achievable, if swift actions are taken now.
New data from 187 countries show that the estimated number of deaths from viral hepatitis increased from 1.1 million in 2019 to 1.3 million in 2022. Of these, 83percent were caused by hepatitis B, and 17percent by hepatitis C. Every day, there are 3,500 people dying globally due to hepatitis B and C infections.
“This report paints a troubling picture: despite progress globally in preventing hepatitis infections, deaths are rising because far too few people with hepatitis are being diagnosed and treated,” said WHO’s Director-General, Dr Tedros Adhanom Ghebreyesus.
He added, “WHO is committed to supporting countries to use all the tools at their disposal – at access prices – to save lives and turn this trend around.”
Updated WHO estimates indicate that 254 million people lived with hepatitis B and 50 million with hepatitis C in 2022. Half the burden of chronic hepatitis B and C infections is among people 30–54 years old, with 12percent among children under 18 years of age. Men account for 58percent of all cases.
New incidence estimates indicate a slight decrease compared to 2019, but the overall incidence of viral hepatitis remains high.
In 2022, there were 2.2 million new infections, down from 2.5 million in 2019.
These include 1.2 million new hepatitis B infections and nearly one million new hepatitis C infections. More than 6,000 people are getting newly infected with viral hepatitis each day.
The revised estimates are derived from enhanced data from national prevalence surveys. They also indicate that prevention measures such as immunisation and safe injections, along with the expansion of hepatitis C treatment, have contributed to reducing the incidence.

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How Dates Boost Fertility -Research

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Now, researchers in a study, suggest that date palm is an arsenal to fight infertility in couples. They found that 1-month consumption of date palm has a positive impact on the sexual function of infertile couples.
The study to investigate the effect of date palms on the sexual function of infertile couples  was in the 2022 edition of the BMC Research Notes.
In a double-blind, placebo-controlled clinical trial conducted on infertile women and their husbands who were referred to infertility clinics in Iran in 2019, researchers found sexual function in females (arousal, orgasm, lubrication, pain during intercourse, satisfaction) in the intervention group was significantly increased compared to females in the control group that had no date palm.
Infertility and infertility management affects different dimensions of a couple’s life. Sexual dysfunctions can appear in both partners and might provoke problems in every stage of sexual response. Infertility negatively affects the sexuality of infertile couples.
Numerous studies show that infertile women have lower sexual function than fertile women. Sexual satisfaction is strongly affected by the consequences of infertility such as reduced self-esteem, feelings of depression and anxiety, and failed sexual relationships.
The intervention group was given a palm date capsule and the control group was given a placebo. The starch powder was applied to prepare the placebo capsules.
Also, all areas of male sexual function (erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction) significantly increased in the intervention group compared to the control group.
Infertility is not only a medical problem but also affects all personal dimensions and social life of most infertile individuals. Infertile couples are more prone to psychological problems (anxiety, depression, and stress), which may result in marital distress, social dysfunction (stigma, social exclusion, and feelings of failure), and reduced quality of life.
Infertility and infertility management affects different dimensions of a couple’s life. Sexual dysfunctions can appear in both partners and might provoke problems in every stage of sexual response. Infertility negatively affects the sexuality of infertile couples.
Numerous studies show that infertile women have lower sexual function than fertile women. Sexual satisfaction is strongly affected by the consequences of infertility such as reduced self-esteem, feelings of depression and anxiety, and failed sexual relationships.
Dates palm is known to have come from what is now Iraq. In Nigeria, dry and soft date fruits are sold out for consumption. However, in the northern part, they are added to the locally brewed alcoholic beverage to help reduce the intoxicating power.
Dates are a good source of energy and vitamins and important elements such as phosphorus, iron, potassium and a significant amount of calcium. It is also rich in phenolic compounds possessing free radical scavenging and antioxidant activity.
Since ancient times, the date palm has been used in Greece, China and Egypt to treat infertility and increase sexual desire and fertility in females. There are few studies on the effect of date palms on male and female sexual function in human beings.
Besides, studies have shown that the various parts of its plant are widely used in traditional medicine for the treatment of various disorders which include memory disturbances, fever, inflammation, paralysis, loss of consciousness and nervous disorder.
Culled from Tribune online.

 

The researchers suggested that the improvement in male and female sexual function can be due to active ingredients and increased levels of sex hormones following the consumption of date palms since studies indicated that increasing sex hormones are effective in sexual function.

They, however, recommended more studies with a longer duration on the use of date palms on sex hormone levels in infertile couples.

Previously, a study revealed that using date palms in postmenopausal women for 1 month had a positive and significant impact on sexual desire and arousal.  Another suggested that using date palms had a positive impact on orgasm, satisfaction and lubrication in women and also reduced pain during intercourse in women.

In the laboratory, administering date palms to male rats and measuring their sexual behaviours, researchers showed that sexual behaviour parameters (number of ejaculations, number of intercourse) increased compared to the control group.

 

 

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