The Indian Pharmaceutical AssociationStudents’ Forum

2012-2013

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21st Issue

Cover Story:World Diabetes Day

Our Mission:T h e I n d i a n P h a r m a c e u t i c a l Association-Students’ Forum is a national body of pharmacy students under IPA. It is a platform to promote increased student interactions and activities bringing more co-operation at a national level. IPA-SF will also link the pharmacy students in India with the rest of the world through memberships and alliances with international organizations. The IPA-SF will serve as a unifying factor for the pharmacy students’ community in India bringing them under one umbrella and thus benefit in turn the profession and thus the future health of INDIA.

The Monthly Newsletter !!!

November, 2012

Editor’s Choice - Diabetes is on rise amongthe children

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Cover Story- Diabetes- A Sweet Killer

: World Hand Wash Day

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Cover Story

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Diabetes has become one such giant today which has turned normal human life into an uncontrollable mayhem. In a shocking revelation, the 20th Annual World Diabetes Congress of International Diabetic Federation has said that India leads the world in the looming epidemic of diabetes. The country currently has the highest number of 50.8 million people suffering from diabetes, followed by China with 43.2 million and USA with 26.8 million. India has thus been proved to be The Capital of diabetes in the world. A Survey states that one person dies of diabetes every ten seconds and two people per ten seconds are diagnosed with diabetes in the world. These facts are a proof that diabetes has overtaken the world health by its unmistakable power.

If the same trend continues, by 2030 India will have 184 million diabetics against 79 million as predicted by the WHO. These true facts about diabetes are indeed staggering and will soon lead to both loss of human health and wealth.

Diabetes is not actually a disease but it is a body condition in which there is a less production or lack of proper response to insulin hormone produced by the pancreas in the body.

Diabetes is broadly classified in the following three types- 1) Diabetes Mellitus Type I-inability of the body to produce insulin. 2) Diabetes Mellitus Type II-resistance of the body against insulin. 3) Gestational Diabetes-occurs in pregnant women with no history of diabetes.

Prediabetes indicates a condition that occurs when a person's blood glucose levels are higher than normal but not high enough for a diagnosis of type 2 DM. Many people destined to develop type 2 DM spend many years in a state of prediabetes which has been termed America's largest healthcare epidemic.

The increase in economic status has been linked with the disease. No wonder the sedentary lifestyle, intake of polished and processed food and trans oils and stress have been attributed as the cause behind this silent killer. Diabetes generally shows symptoms like fatigue, rapid weight loss, excessive thirst, frequent urination, excessive hunger, poor wound healing, infections, hazy visions etc.

Diabetes can be kept in control or prevented by the intake of proper diet. Diabetes diet should revolve around the following three principals-maintain an ideal weight, keep the glucose level in check and keep the heart diseases at bay. Intake of food with high content of saturated fats and cholesterol should be strictly avoided.

Diabetic emergencies: People (usually with type 1 diabetes) may also present with diabetic ketoacidosis, a state of metabolic dysregulation characterized by the smell of acetone, a rapid, deep breathing known as Kussmaul breathing, nausea, vomiting and abdominal pain, and altered states of consciousness.A rare but equally severe possibility is hyperosmolar nonketotic state, which is more common in type 2 diabetes and is mainly the result of dehydration.

Diabetes- A Sweet Killer

Editor’s Choice PANACHE LIVE

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Cover Story

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Treatment of Diabetes is done by either injecting insulin intravenously or by taking oral medications. The oral medications are broadly classified as follows-a) Sulfonylurea-stimulates insulin production in pancreatic Beta cells.

b) Metformin-acts on liver to decrease insulin resistance.

c) Alpha glucosidase-reduces glucose absorbance by acting on small intestine.

d) Thiazolidinedones-reduce insulin resistance by activating PPARy in fat and muscle.

e) Biguanides-reduce hepatic glucose output.

For diabetes mellitus many more highly effective oral hypoglycaemic drugs are available. 14th November is celebrated every year as the World Diabetes Day, it raises global awareness on diabetes and was started by IDF& WHO to mark the birthday of Fedrick Banting who was instrumental in discovery of insulin in 1922.So this World Diabetic Day let us all take a vow to curb diabetes in each and every way possible and to make the world a sweet but sugar free place to dwell in.

- Tanvee Thakur Bombay College of Pharmacy

Comparison of type 1 and 2 diabetes

Features generally observed.

Type 1 diabetes Type 2

diabetes

Onset Sudden

Age at onset Mostly in children Mostly in adults

Body habit’s Thin or normal Often obese

Ketoacidosis Common Rare

Autoantibodies Usually present Absent

Endogenous insulin

Low or absent Normal, decreased or increased

Concordance in identical twins

50% 90%

Prevalence ~10% ~90%

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Editor’s Choice

Diabetes Is On The Increase Among Children

Thousands of children in North America are being diagnosed with type 2 diabetes, a condition that used to be called adult-onset diabetes, in part because it was so rare in children. There are also many more such cases in children that go undetected.

In a presentation at the annual meeting of the American Diabetes Association (ADA), 2001, doctors noted that not only is diabetes in children on the increase, but that often type 2 diabetes is not being detected because physicians falsely believe only adults can get it.

Epidemic LevelsAccording to the Alexandria, Va.-based ADA, diabetes is reaching epidemic levels as a result of the

greater prevalence of obesity and sedentary lifestyles. Approximately 16 million people in the United States have diabetes; 90 to 95 percent of these have type 2 diabetes.

Untreated, What Can HappenPlease take note of this information. If untreated diabetes can have dire consequences. Because

children are not routinely screened for type 2 diabetes, by the time they are diagnosed they may have high blood pressure or severe hyperglycemia, or elevated blood-sugar levels. Type 2 diabetes is a metabolic disorder resulting from the body's inability to make sufficient insulin, or properly utilize the insulin it makes. Left untreated, diabetes can lead to blindness, leg amputations, kidney disease, heart attack and stroke.

Lets Take a Different RouteComments: First of all, this is appalling. That children would be this far down the path in being

Diabetic! Where have they got to go but down hill – possibly for a number of years if not caught! Let's take a different route with our children.

Parent's Be Responsible!Take a look at what your child is eating on a regular basis. Is it cold cereal for breakfast, junk food or

other low quality food for lunch and maybe a good meal at dinner? Do something about this. Please start teaching your child about this. He/She has a whole lifetime ahead of them.

Two things need to happen in order to turn this trend of Diabetes in children around:1. Parents, you need to turn your child's diet around. As I have stated above, make vegetables, especially leafy greens very predominant in their diet. Remove most of the carbohydrates,starches and fruit juices. Remove the sodas from their diet.2. Children need to learn of the consequences of poor eating, so that they can make better choices. Educate them that for every choice they make with food, they will have a health consequence. That way, even when you are not around, your child can make good food choices.

Reference- http://www.health-doc.com/healtharticles/Diabetes-children.html

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Editor’s Choice PANACHE LIVE

2012-2013

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World Hand Wash DayClean Hands Save lives

Some 120 million children under the age of five die of acute diarrhoea caused by the rotavirus each year, most of them in underdeveloped countries like Pakistan. Millions of babies suffer from a variety of infections every day throughout the world. It is therefore very essential to spread the awareness about the basic things like washing hands.

Importance of the movementHand washing with soap is the single most effective and inexpensive way to prevent diarrhea and

acute respiratory infections (ARI), as automatic behavior performed in homes, schools, and communities worldwide. Pneumonia, a major ARI, is the number one cause of mortality among children under five years old, taking the life of an estimated 1.8 million children per year. Diarrhea and pneumonia together account for almost 3.5 million child deaths annually. According to the official site, turning hand washing with soap before eating and after using the toilet into an ingrained habit was projected to save more lives than any single vaccine or medical intervention, cutting deaths from diarrhea by almost half and deaths from acute respiratory infections by one-quarter.Embedding hand hygiene promotional activities as a national priority is the key for sustainability. Efforts have therefore been made to support countries or areas with large scale activities to promote hand hygiene in health care.

The campaign was carried out in various countries around the world including India and other Asian countries.

A ceremony was arranged at the Wahdat Colony Government Pilot Secondary School to mark Hand Washing Day. In a speech on the occasion, Parliamentary Health Secretary DrSaeedElahi said that hand washing helped guard against dysentery, cholera and hepatitis as well as diarrhoea. Dr. Elahi said that Islam laid great emphasis on cleanliness. He said that it was essential to train children and grown ups as to the correct method for hand washing.

World Health Organisation representative Dr Babar Alam said that Hand Washing Day was observed in more than 100 countries every year on October 15. He said that women must wash their hands before preparing meals or feeding their children. He said that it was not essential to use soap in each wash, but it was beneficial.

He said that promoting hand washing was essential to achieving the Millennium Development Goal of reducing the child mortality rate by 2015. In September and October, a mass media campaign was held in India with the support of Sachin Tendulkar and Yuvraj Singh, two hugely popular cricket celebrities.Almost 1 million school teachers received training courses to execute the campaign and to reach out to about 100 million school children. Materials developed included: posters, teacher training module on handwashing, pamphlet with pledge for students, TV spots and radio jingles, all including 25 seconds central song on the 5 steps for correct handwashing.

The concerned ministers at national and state levels launched the campaign on 15 October by participating in the handwashing activities with children in rural schools. Activities in schools included: children pledging towards hygiene, organized handwashing games and washing hands in a giant waterfall.

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Special Article

In India-

Indian cricket legend Sachin Tendulkar and his teammates joined an estimated 100 million schoolchildren around the country in lathering up for better health and hygiene as part of the first Global Handwashing Day.

The campaign was initiated to reduce mortality rates related to diarrhea diseases by introducing simple behavioral changes, such as hand washing with soap, which according to research can reduce the rate by almost 50 per cent.

WHO Patient Safety supports an informal network of coordinators/leaders of such activities with the aim of sharing experiences and learning from each other. At this moment there are 48 participants in the network with coordinated activities to promote hand hygiene in health care either as specific activities or as part of infection prevention and control activities or patient safety initiatives.

Reference-The Express Tribune, WHO

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EXECUTIVE COUNCIL FOR THE YEAR 2012-13

POSITIO N NAME CONTACT NO. E-MAIL ID Chairperson Chittoory Ratna

Geetardha 9581322211 chittooryrg@gmail.com

Vice Chairperson Kondeti Ranjit

Reddy

9962645850 ranjithreddykondeti@gmail.com

Hon. Secretary M ohit Durve 9920820009 durvester@g mail.com

Jt. Secretary Bharath Vikas 9538138189 bharathvikas007@g mail.com

Hon. Treasure Franklin Israel Sirra 7207625682 franklinindia .frank lin14@g mail.com

Editor Aditya N ar 9769176435 naraddy@yahoo.co.in

panachelive@gmail.com Public Relation

Officer

Anuj Shah 9930077486 shah.anuj507@g mail.com

Student Exchange Officer

Gabriela Keerthana 8019289075 seoindiasp@gmail.com

Pharmacy

Education Officer

P.Ajay 9550942300 a jju.nani@gmail.com

IPA-SF Contact

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Paya l Kikila 9820665989 paya l.k89@gmail.com

Public Health Officer

A.Pavan Kumar 9581398978 pavank umar.achanta@gmail.com

National Blood Donation

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C.Charndra Shekar 9533332309 chanduvips@gmail.com

National Anti-TB Co-ordinator

Samhitha Reddy 9966090999 samhithareddy91@gmail.com

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1. The selection of articles will solely be the discretion of the Publication Committee of IPA-SF.

2. Every article should have a word limit between 150 to 200 words.3. Articles should be typed in any normal font (Times New Roman) a n d s h o u l d h a v e a f o n t s i z e 1 2 a n d s e n t t o panachelive@gmail.com in Microsoft Word Format.

4. Articles should be the Author's original work. If the article has been directly picked up from some source then it may amount to plagiarism and such Author's will be barred from any future participation.5.The names of any references used should be clearly mentioned.6.The names of any Co-author/s should also be mentioned.7.The name of the institution/company of the Author/Co-author/s should be mentioned.8.The efforts of the Authors and Co-authors whose articles have been selected will be duly acknowledged.

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