Dear Editor,
While appreciating Prof. M.S. Sriram’s sympathetic review of these memoirs (“Bureaucrat on the Burning Deck” a review of October Coup: A Memoir of the Struggle for Hyderabad by Mohammed Hyder, Roli Books, 2012, Business Standard, June 15, 2012), please allow me to comment on two issues raised by him.
He expresses mild disappointment that the book is not a review of high policy issues then in play: whether integration or independence was the appropriate policy for Hyderabad to pursue; whether Police Action was necessary; whether subsequently the state should have been fragmented along linguistic lines. As he rightly points out, such issues have formed the basis of earlier works, such as the late Omar Khalidi’s Hyderabad After the Fall. But the author of these memoirs was writing as Collector of Osmanabad a sensitive border district. The negotiations at the centre are not the main focus of the book. Rather, it is the repercussions of that process on the periphery ie at district level and on the borders, that is the main subject of the first part of the book. This different perspective successfully illuminates some of the weaknesses of the Hyderabad government’s position. There is no reason why all accounts should deal with high policy. I would submit that the middle-management, district-level perspective adds to our understanding of Hyderabad politics. Further, the Collector’s preoccupation with law and order is not sufficiently appreciated by the reviewer. In troubled times, what is more important than that? Good government, justice, everything depends on order. In this context the book provides a detailed first-person account of what it was like to be assailed simultaneously by the Islamist Razakars and the State Congress Party’s volunteers, both groups hell-bent on organized violence.
On my second point: it seems almost churlish to take up the reviewer for stating that he could see the book’s dramatic potential, as making a “great piece of literature” as he puts it. I think the author was anxious to provide a factual, not a dramatized account. He had enough difficulty getting the authorities to believe the facts without elaborating on them. He must be appreciated for providing a very clear explanation of the aftermath of police action. How was it that obtaining justice suddenly became so difficult? He was not alone in experiencing this difficulty. Almost everyone associated with the fallen regime came under suspicion; they had all become the demonized ‘Other.’ In his own case, what should have been a simple matter of clearing up the absurd accusations could not be accomplished because the basis of common values and mutual regard that normally sustain notions of fair play and justice had, for the time being, ceased to exist. There is, in short, much to appreciate and ponder over in the book. The reviewer is very kind but sometimes his desire for another kind of book prevents him from more fully appreciating what is in front of him.
(Masood Hyder is the editor of October Coup)
Greetings from Ginger Claps! We are a blogger community that is spreading its wings across India and the world.
Our sponsors, Four Seasons Wine would like to invite you all for an exclusive high profile event in Hyderabad on the 24th of November.
Please go through the event details as follows.
EVENT DETAILS
Dates of Travel
Stay Dates
Event date
Event at
Hotel/Venue
19th November : Paris – Delhi (Arrival)
Check in 19th – Check out 21st
20th Nov – Dinner (Tuesday)
Delhi
ITC Maurya / West View
21st November : Delhi– Mumbai
Check in 21st- Check out 23rd
22nd Nov – Dinner (Thursday)
Mumbai
ITC Grand Central / CJ’s
23rd November : Mumbai – Hyderabad
Check in 23rd- Check out 25th
24th Nov – Dinner (Sat)
Hyderabad
ITC Kakatiya / Hyder Mahal
25th November : Hyderabad – Kol
Check in 25th – Check out 27th
26th Nov – Dinner (Monday)
Kolkata
ITC Sonar / West View
27th November : Kol – Bangalore
Check in 27th – Check out 28th
27th Nov – Dinner (Tuesday)
Bangalore
ITC Gardenia / West View
28th November : Bangalore – KL
Departure
Kindly inform asap, if you would consider participating in the above event. Please go through the presentation on Ginger Claps to understand what we are. Also have a look at all the events we have been associated with Four Seasons Wine so far http://www.fourseasonsvineyards.com/blog
Vasathi Housing celebrates International Women’s Day
Women employees of Vasathi Housing spent a day with the underprivileged children to make their day special
HYDERABAD, March 8, 2013: Vasathi Housing celebrated Women’s Day with the children of the construction workers at the crèche facility “Bricks to Books”, the CSR initiative of Vasathi. The unique initiative “Adwitiya – You Are the One” was aimed at reaching out to the underprivileged children and bringing streaks of joy to their day through various activities- song and dance sessions, painting competition, theatrical frolics and recitations.
P. V. Ravindra Kumar, CEO, Vasathi Housing Ltd., said, “Vasathi Housing has 40 % women employees and their contribution to the growth of the company is invaluable. They chose this day to spread their love and knowledge with the underprivileged children and bring smiles to their faces.”
In words of Sravani, one of the kids at Bricks to Books, “We had a great time today. We got toys, chocolates, picture books, crayons and played games. All of us sang songs and recited poems together. We also had a drawing competition where all of us were declared winners at the end!”
I, Madha Suresh,
S/o: Venkateswarlu
belongs to
Gumpellagudem village, Garla Mandal, Khammam
Dist, here with bring
to
your kind consideration that I belong to a very poor family. My
parents are illiterate and my mother, a daily wage labourer, is the
only source of income to my family.
I persued my schooling
and intermediate education from
government institutions. I got selected for MHRD programme for
scholarship, using,
which, I completed my graduation from Kakatiya
University with85% of marks.
But
unfortunately, though I am eligible to receive it
even for PG, I am not receiving it. I am not in a position to wage a
legal battle for it, as, from the time I joined graduation, I decided
to become a civil servant and time is a major constraint for me. I
want to become a civil servant such that I can help
poor & ambitious
people like me and see that the only eligible will reap the fruits of
government’s welfare programmes. I want to be a custodian or curator
to the society’s property.
CIVIL SERVICES
ACADEMY, on seeing my performance,
tenacity and poor financial condition, is
supporting me in my
preparation for civil services.
Hence I request
you sir, to kindly extend me a helping
hand financially such that I become a civil servant. I require Rs.75,
000/- to spend on my Civils preparation,to pay a part of coaching fee
dues, after concession and for buying books. I promise to repay you
back both by my achievement and moniterly, for whatever I received
from you. I request you to help me to the maximum possible extent.
Unfortunately if
I join a part time job, I will be
losing precious time of preparation, which will delay my becoming a
civil servant. The earlier I become a civil servant, the earlier I can
start serving many people who are needy and save them from agony.
I am waiting
eagerly and very
hopefully to receive a
timely help from you.
I am E. Venkata Naresh, aged 18 Yrs having 81% physical deformity suffering with three chronicle diseases., DYASTIMYLIA , TROPIC ULCER OF LEFT FOOT, NEUOROGENIC BLADDER unable to walk but studying intermadiate in Sri venkateswara junior college ,TIRUPATI .
It is my misfortune that repeated surgeries needed to cure my left foot WOUND and I have also urine problem .
My parents are daily wage earners and they need to look after two more my younger sisters who are completely deaf and dumb.
Now my parents are completely helpless. so I earnestly appeal to the magnanimous people to shower sympathy on us and come to our rescue for which act of generosity shall ever be grateful.
PRESENT PROBLEM:-
The wound on left foot (ulcer) need to dressing daily with betadine solution& ointment .urine problem is another daily with betadine solution& ointment .urine problem is another daily with betadine solution& ointment. So it ismajor problem continue my studies, where as daily four to five dressesdies, where as daily four to five dresses have to wash & dry
One person has to spent full time with me to take care of my daily activities
WE NEED SUPPORT OF DONORS BECAUSE OF
1. PARENTS ARE LAND LESS POOR & DAILY WAGE EARNERS
2. NEED DAILY MEDICINES EXPENSES AROUND RS.60/-
3.UNEMPLOYMENT, NATURAL CALAMITIES,REGULAR VISITS TO MANY HOSPITALS ,LIVING IN RENTED HOUSE SINCE 1990
4.EDUCATION OF TWO GIRLS
5.AS PER THESE 3 DISEASES ARE DUE TO NEURO PROBLEM , BETTER TO CARE OF HIM
6.
DONORS MAY NOTE THIS DETAILS TO SEND YOUR HELP
BANK :STATE BANK OF INDIA CODE 3187
Account Name : CHALAPTHI NAIDU ENUGONDA
Address :DOOR 18-1-90/14/1 YASODA TIRUPATI-517501 CHITTOOR DISTRCT AP
Neurogenic bladder dysfunction, sometimes simply referred to as neurogenic bladder, is a dysfunction of the urinary bladder due to disease of the central nervous system or peripheral nerves involved in the control of micturition (urination). Neurogenic bladder usually causes difficulty or full inability to pass urine without use of a catheter or other method.
Causes
Any condition that impairs bladder and bladder outlet afferent and efferent signaling can cause neurogenic bladder. It is often associated with spinal cord diseases (such as syringomyelia/hydromyelia), injuries like herniated disks, and neural tube defects including spina bifida. It may also be caused by brain tumors and other diseases of the brain, and by peripheral nerve diseases such as: Diabetes, Alcoholism and Vitamin B12 deficiency. It is a common complication of major surgery in the pelvis, such as for removal of sacrococcygeal teratoma and other tumors.
Treatments
Catheterization methods range from intermittent catheterization, which involves no surgery or permanently attached appliances, to the creation of a stoma, which bypasses the urethra to empty the bladder directly.
Intermittent catheterization is the use, several times a day, of straight catheters (which are usually disposable or single-use products) to empty the bladder. This can be done independently by the patient, or with help, in the case that the patient lacks the dexterity to manage the catheter. For patients that are unable to tolerate disposable straight catheters, a Foley catheter allows continuous drainage of urine into a sterile drainage bag that is worn by the patient.
Other treatments involve creation of a stoma that is continent and readily accepts a catheter. These are known as Mitrofanoff mechanisms. An example of this treatment is the creation of an Indiana pouch. Additionally, a muscarinic agonist like Bethanechol may also be used, particularly in the postpartum or postoperative period. Function of the stoma may be augmented by periodic injections of botulinum toxin to relax one of the two sphincters involved in normal urinationThe effect is longer lasting with botulinum toxin type A than with type BThis use of botulinum toxin is discussed at length in the French medical literature.
ENUGONDA VENKATA NARESH, S/O E.CHALAPATHI NAIDU ,
DOOR NO 18-1-90/14/1, YASODA NAGAR, TIRUPATI 517501
MEDICAL CERTIFICATE ID NO 10149850010000047 81%CONGENTIAL DEFORMITIES OF SPINE
RATION CARD NO WAP1084081A0049
SISTERS:-
1. Enugonda Anusha , aged 17 years, BC Cast, 4th ward, ID NO: 546900 sanctioned on July 2009,Rationcard card No WAP1084081A0049, ADAAR NO 751698927945 , MEDICAL CERTIFICATE IDNO 10149850180000069, ISSUED DATE 6/9/2012 ,100% DEAF AND DUMB
1. Enugonda Prathyusha , aged 15 years, BC Cast, 4th ward, ID NO: 702981 sanctioned on Nov. 2013,Rationcard card No WAP1084081A0049, ADAAR NO 718184502039 , MEDICAL CERTIFICATE IDNO 10149850180000070, ISSUED DATE 6/9/2012 ,100% DEAF AND DUMB
tropic ulcers
Tropical ulcer has been described as a disease of the ‘poor and hungry’; it may be that slowly improving socioeconomic conditions and nutrition account for its decline[citation needed]. Urbanization of populations could be another factor, as tropical ulcer is usually a rural problem. More widespread use of shoes and socks also provides protection from initiating trauma[citation needed]. Despite this, susceptible individuals still develop tropical ulcers. Sometimes outbreaks can occur; one was recorded in Tanzania in sugarcane workers cutting the crops while barefoot. Tropical ulcers can also occur to the visitors of tropics. The disease is most common in native laborers and in schoolchildren of the tropics and subtropics during the rainy season and is caused in many instances by the bites of insects, poor hygiene, and pyogenic infections Males are more commonly infected than females.
Treatment
Antibiotics: In early stages, penicillin or metronidazole are used in combination with topical antiseptic
Improved nutrition and vitamins.
Non-adherent dressings and elevation of limbs.
Large infected ulcers may require debridement under anesthesia.
Skin grafting may be helpful in advanced cases to ensure the lesion does not progress to chronic stage.
In extreme cases, amputation is necessary.
Diastematomyelia (occasionally diastomyelia) is a congenital disorder in which a part of the spinal cord is split, usually at the level of the upper lumbar vertebra.
Diastematomyelia is a rare congenital anomaly that results in the “splitting” of the spinal cord in a longitudinal (sagittal) direction. Females are affected much more commonly than males. This condition occurs in the presence of an osseous (bone), cartilaginous or fibrous septum in the central portion of the spinal canal which then produces a complete or incomplete sagittal division of the spinal cord into two hemicords. When the split does not reunite distally to the spur, the condition is referred to as a diplomyelia, or true duplication of the spinal cord.
Signs and symptoms
The signs and symptoms of diastematomyelia may appear at any time of life, although the diagnosis is usually made in childhood. Cutaneous lesions (or stigmata), such as a hairy patch, dimple, Hemangioma, subcutaneous mass, Lipoma or Teratoma override the affected area of the spine is found in more than half of cases. Neurological symptoms are nonspecific, indistinguishable from other causes of cord tethering. The symptoms are caused by tissue attachments that limit the movement of the spinal cord within the spinal column. These attachments cause an abnormal stretching of the spinal cord.
The course of the disorder is progressive. In children, symptoms may include the “stigmata” mentioned above and/or foot and spinal deformities; weakness in the legs; low back pain; scoliosis; and incontinence. In adulthood, the signs and symptoms often include progressive sensory and motor problems and loss of bowel and bladder control. This delayed presentation of symptoms is related to the degree of strain placed on the spinal cord over time. Tethered spinal cord syndrome appears to be the result of improper growth of the neural tube during fetal development, and is closely linked to spina bifida.
Tethering may also develop after spinal cord injury and scar tissue can block the flow of fluids around the spinal cord. Fluid pressure may cause cysts to form in the spinal cord, a condition called syringomyelia. This can lead to additional loss of movement, feeling or the onset of pain or autonomic symptoms.
Treatment
Surgery
Surgical intervention is warranted in patients who present with new onset neurological signs and symptoms or have a history of progressive neurological manifestations which can be related to this abnormality. The surgical procedure required for the effective treatment of diastematomyelia includes decompression (surgery) of neural elements and removal of bony spur. This may be accomplished with or without resection and repair of the duplicated dural sacs. Resection and repair of the duplicated dural sacs is preferred since the dural abnormality may partly contribute to the “tethering” process responsible for the symptoms of this condition.
H.NO 18-1-90/14/1 YASODA NAGAR, KT ROAD, TIRUPATI , CHITTOOR DISTRICT, ANDHRA PRADESH 517501, IN | +919392396012
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“Waste-to-energy plants require high levels of expertise for designing and operating the plant using various kinds of wastes and technologies. When an opportunity arises for a waste-to-energy plant to be commissioned, the required local human resources with necessary technical skills for its smooth operation may not be readily available” Echo Care Green Power) able to carry out integration among all the activities and components of a waste-to-energy project. From the Waste we can make good quality of R.D.F. material for Bio-mass power plant’’
Joseph 09173341345 gjoseph524@gmail.com
please send me the details of rudraksha plants you have for sale.
the size,age,price of the plant,whether the plants can be despatched at mumbai.
ddkulkarni
+919969933777
+919004078321
I am collecting some biographical-like information regarding the Indian test umpires, and find that the following persons officiated in test matches belonging to Andhra Cricket Association and Hyderabad Cricket Association:
1. SHIVASHANKARAIAH, MS
2. PARDHASARADHI, K
(Both from Andhra CA)
1. AYLING, G (from Hyderabad CA).
I am desirious to know anything regarding these three men. I should also mention that not a single line of information could be made available regarding Mr Ayling, and whether he is still alive or not is also not known. I shall be thankful for any help in this matter. Any information could be intimated to my email id: a.mittra12@rediffmail.com
I regret I have overlooked the name of Mahomed Younus from Hyderabad CA who also umpired in test matches. Information relating to all the four umpires, along with a picture/photograph of them will be of great help. I shall remain thankful for any help in this respect.
Dear Editor,
While appreciating Prof. M.S. Sriram’s sympathetic review of these memoirs (“Bureaucrat on the Burning Deck” a review of October Coup: A Memoir of the Struggle for Hyderabad by Mohammed Hyder, Roli Books, 2012, Business Standard, June 15, 2012), please allow me to comment on two issues raised by him.
He expresses mild disappointment that the book is not a review of high policy issues then in play: whether integration or independence was the appropriate policy for Hyderabad to pursue; whether Police Action was necessary; whether subsequently the state should have been fragmented along linguistic lines. As he rightly points out, such issues have formed the basis of earlier works, such as the late Omar Khalidi’s Hyderabad After the Fall. But the author of these memoirs was writing as Collector of Osmanabad a sensitive border district. The negotiations at the centre are not the main focus of the book. Rather, it is the repercussions of that process on the periphery ie at district level and on the borders, that is the main subject of the first part of the book. This different perspective successfully illuminates some of the weaknesses of the Hyderabad government’s position. There is no reason why all accounts should deal with high policy. I would submit that the middle-management, district-level perspective adds to our understanding of Hyderabad politics. Further, the Collector’s preoccupation with law and order is not sufficiently appreciated by the reviewer. In troubled times, what is more important than that? Good government, justice, everything depends on order. In this context the book provides a detailed first-person account of what it was like to be assailed simultaneously by the Islamist Razakars and the State Congress Party’s volunteers, both groups hell-bent on organized violence.
On my second point: it seems almost churlish to take up the reviewer for stating that he could see the book’s dramatic potential, as making a “great piece of literature” as he puts it. I think the author was anxious to provide a factual, not a dramatized account. He had enough difficulty getting the authorities to believe the facts without elaborating on them. He must be appreciated for providing a very clear explanation of the aftermath of police action. How was it that obtaining justice suddenly became so difficult? He was not alone in experiencing this difficulty. Almost everyone associated with the fallen regime came under suspicion; they had all become the demonized ‘Other.’ In his own case, what should have been a simple matter of clearing up the absurd accusations could not be accomplished because the basis of common values and mutual regard that normally sustain notions of fair play and justice had, for the time being, ceased to exist. There is, in short, much to appreciate and ponder over in the book. The reviewer is very kind but sometimes his desire for another kind of book prevents him from more fully appreciating what is in front of him.
(Masood Hyder is the editor of October Coup)
Dear sir,
pl.any vaicency of sysytem operator job pl.send to my e-mail
Hi,
Greetings from Ginger Claps! We are a blogger community that is spreading its wings across India and the world.
Our sponsors, Four Seasons Wine would like to invite you all for an exclusive high profile event in Hyderabad on the 24th of November.
Please go through the event details as follows.
EVENT DETAILS
Dates of Travel
Stay Dates
Event date
Event at
Hotel/Venue
19th November : Paris – Delhi (Arrival)
Check in 19th – Check out 21st
20th Nov – Dinner (Tuesday)
Delhi
ITC Maurya / West View
21st November : Delhi– Mumbai
Check in 21st- Check out 23rd
22nd Nov – Dinner (Thursday)
Mumbai
ITC Grand Central / CJ’s
23rd November : Mumbai – Hyderabad
Check in 23rd- Check out 25th
24th Nov – Dinner (Sat)
Hyderabad
ITC Kakatiya / Hyder Mahal
25th November : Hyderabad – Kol
Check in 25th – Check out 27th
26th Nov – Dinner (Monday)
Kolkata
ITC Sonar / West View
27th November : Kol – Bangalore
Check in 27th – Check out 28th
27th Nov – Dinner (Tuesday)
Bangalore
ITC Gardenia / West View
28th November : Bangalore – KL
Departure
Kindly inform asap, if you would consider participating in the above event. Please go through the presentation on Ginger Claps to understand what we are. Also have a look at all the events we have been associated with Four Seasons Wine so far http://www.fourseasonsvineyards.com/blog
Thanks and have a nice day!!!
Vasathi Housing celebrates International Women’s Day
Women employees of Vasathi Housing spent a day with the underprivileged children to make their day special
HYDERABAD, March 8, 2013: Vasathi Housing celebrated Women’s Day with the children of the construction workers at the crèche facility “Bricks to Books”, the CSR initiative of Vasathi. The unique initiative “Adwitiya – You Are the One” was aimed at reaching out to the underprivileged children and bringing streaks of joy to their day through various activities- song and dance sessions, painting competition, theatrical frolics and recitations.
P. V. Ravindra Kumar, CEO, Vasathi Housing Ltd., said, “Vasathi Housing has 40 % women employees and their contribution to the growth of the company is invaluable. They chose this day to spread their love and knowledge with the underprivileged children and bring smiles to their faces.”
In words of Sravani, one of the kids at Bricks to Books, “We had a great time today. We got toys, chocolates, picture books, crayons and played games. All of us sang songs and recited poems together. We also had a drawing competition where all of us were declared winners at the end!”
Maths
Respected sir,
I, Madha Suresh,
S/o: Venkateswarlu
belongs to
Gumpellagudem village, Garla Mandal, Khammam
Dist, here with bring
to
your kind consideration that I belong to a very poor family. My
parents are illiterate and my mother, a daily wage labourer, is the
only source of income to my family.
I persued my schooling
and intermediate education from
government institutions. I got selected for MHRD programme for
scholarship, using,
which, I completed my graduation from Kakatiya
University with85% of marks.
But
unfortunately, though I am eligible to receive it
even for PG, I am not receiving it. I am not in a position to wage a
legal battle for it, as, from the time I joined graduation, I decided
to become a civil servant and time is a major constraint for me. I
want to become a civil servant such that I can help
poor & ambitious
people like me and see that the only eligible will reap the fruits of
government’s welfare programmes. I want to be a custodian or curator
to the society’s property.
CIVIL SERVICES
ACADEMY, on seeing my performance,
tenacity and poor financial condition, is
supporting me in my
preparation for civil services.
Hence I request
you sir, to kindly extend me a helping
hand financially such that I become a civil servant. I require Rs.75,
000/- to spend on my Civils preparation,to pay a part of coaching fee
dues, after concession and for buying books. I promise to repay you
back both by my achievement and moniterly, for whatever I received
from you. I request you to help me to the maximum possible extent.
Unfortunately if
I join a part time job, I will be
losing precious time of preparation, which will delay my becoming a
civil servant. The earlier I become a civil servant, the earlier I can
start serving many people who are needy and save them from agony.
I am waiting
eagerly and very
hopefully to receive a
timely help from you.
Thanking you
sir,
Yours faithfully,
Madha.Suresh(9885211278)
Home
ENUGONDA VENKATA NARESH
I invite the kind attention of philanthropists.
I am E. Venkata Naresh, aged 18 Yrs having 81% physical deformity suffering with three chronicle diseases., DYASTIMYLIA , TROPIC ULCER OF LEFT FOOT, NEUOROGENIC BLADDER unable to walk but studying intermadiate in Sri venkateswara junior college ,TIRUPATI .
It is my misfortune that repeated surgeries needed to cure my left foot WOUND and I have also urine problem .
My parents are daily wage earners and they need to look after two more my younger sisters who are completely deaf and dumb.
Now my parents are completely helpless. so I earnestly appeal to the magnanimous people to shower sympathy on us and come to our rescue for which act of generosity shall ever be grateful.
PRESENT PROBLEM:-
The wound on left foot (ulcer) need to dressing daily with betadine solution& ointment .urine problem is another daily with betadine solution& ointment .urine problem is another daily with betadine solution& ointment. So it ismajor problem continue my studies, where as daily four to five dressesdies, where as daily four to five dresses have to wash & dry
One person has to spent full time with me to take care of my daily activities
WE NEED SUPPORT OF DONORS BECAUSE OF
1. PARENTS ARE LAND LESS POOR & DAILY WAGE EARNERS
2. NEED DAILY MEDICINES EXPENSES AROUND RS.60/-
3.UNEMPLOYMENT, NATURAL CALAMITIES,REGULAR VISITS TO MANY HOSPITALS ,LIVING IN RENTED HOUSE SINCE 1990
4.EDUCATION OF TWO GIRLS
5.AS PER THESE 3 DISEASES ARE DUE TO NEURO PROBLEM , BETTER TO CARE OF HIM
6.
DONORS MAY NOTE THIS DETAILS TO SEND YOUR HELP
BANK :STATE BANK OF INDIA CODE 3187
Account Name : CHALAPTHI NAIDU ENUGONDA
Address :DOOR 18-1-90/14/1 YASODA TIRUPATI-517501 CHITTOOR DISTRCT AP
Account Number :00000030883112025
Account Description:SBCHQ-GEN-PUB-IND-NONRURAL-INR
Branch :TILAK ROAD
CIF No. :85614326548
IFS Code :SBIN0003187
MICR Code :517002006
Neurogenic bladder dysfunction
Neurogenic bladder dysfunction, sometimes simply referred to as neurogenic bladder, is a dysfunction of the urinary bladder due to disease of the central nervous system or peripheral nerves involved in the control of micturition (urination). Neurogenic bladder usually causes difficulty or full inability to pass urine without use of a catheter or other method.
Causes
Any condition that impairs bladder and bladder outlet afferent and efferent signaling can cause neurogenic bladder. It is often associated with spinal cord diseases (such as syringomyelia/hydromyelia), injuries like herniated disks, and neural tube defects including spina bifida. It may also be caused by brain tumors and other diseases of the brain, and by peripheral nerve diseases such as: Diabetes, Alcoholism and Vitamin B12 deficiency. It is a common complication of major surgery in the pelvis, such as for removal of sacrococcygeal teratoma and other tumors.
Treatments
Catheterization methods range from intermittent catheterization, which involves no surgery or permanently attached appliances, to the creation of a stoma, which bypasses the urethra to empty the bladder directly.
Intermittent catheterization is the use, several times a day, of straight catheters (which are usually disposable or single-use products) to empty the bladder. This can be done independently by the patient, or with help, in the case that the patient lacks the dexterity to manage the catheter. For patients that are unable to tolerate disposable straight catheters, a Foley catheter allows continuous drainage of urine into a sterile drainage bag that is worn by the patient.
Other treatments involve creation of a stoma that is continent and readily accepts a catheter. These are known as Mitrofanoff mechanisms. An example of this treatment is the creation of an Indiana pouch. Additionally, a muscarinic agonist like Bethanechol may also be used, particularly in the postpartum or postoperative period. Function of the stoma may be augmented by periodic injections of botulinum toxin to relax one of the two sphincters involved in normal urinationThe effect is longer lasting with botulinum toxin type A than with type BThis use of botulinum toxin is discussed at length in the French medical literature.
ENUGONDA VENKATA NARESH, S/O E.CHALAPATHI NAIDU ,
DOOR NO 18-1-90/14/1, YASODA NAGAR, TIRUPATI 517501
CHITTOOR DISTRICT , ANDHRA PRADESH ,INDIA
PHONE 08772230236 MOMBILE 919392396012 &9194941030236
ADHAAR NO 929105786052
MEDICAL CERTIFICATE ID NO 10149850010000047 81%CONGENTIAL DEFORMITIES OF SPINE
RATION CARD NO WAP1084081A0049
SISTERS:-
1. Enugonda Anusha , aged 17 years, BC Cast, 4th ward, ID NO: 546900 sanctioned on July 2009,Rationcard card No WAP1084081A0049, ADAAR NO 751698927945 , MEDICAL CERTIFICATE IDNO 10149850180000069, ISSUED DATE 6/9/2012 ,100% DEAF AND DUMB
1. Enugonda Prathyusha , aged 15 years, BC Cast, 4th ward, ID NO: 702981 sanctioned on Nov. 2013,Rationcard card No WAP1084081A0049, ADAAR NO 718184502039 , MEDICAL CERTIFICATE IDNO 10149850180000070, ISSUED DATE 6/9/2012 ,100% DEAF AND DUMB
tropic ulcers
Tropical ulcer has been described as a disease of the ‘poor and hungry’; it may be that slowly improving socioeconomic conditions and nutrition account for its decline[citation needed]. Urbanization of populations could be another factor, as tropical ulcer is usually a rural problem. More widespread use of shoes and socks also provides protection from initiating trauma[citation needed]. Despite this, susceptible individuals still develop tropical ulcers. Sometimes outbreaks can occur; one was recorded in Tanzania in sugarcane workers cutting the crops while barefoot. Tropical ulcers can also occur to the visitors of tropics. The disease is most common in native laborers and in schoolchildren of the tropics and subtropics during the rainy season and is caused in many instances by the bites of insects, poor hygiene, and pyogenic infections Males are more commonly infected than females.
Treatment
Antibiotics: In early stages, penicillin or metronidazole are used in combination with topical antiseptic
Improved nutrition and vitamins.
Non-adherent dressings and elevation of limbs.
Large infected ulcers may require debridement under anesthesia.
Skin grafting may be helpful in advanced cases to ensure the lesion does not progress to chronic stage.
In extreme cases, amputation is necessary.
Diastematomyelia (occasionally diastomyelia) is a congenital disorder in which a part of the spinal cord is split, usually at the level of the upper lumbar vertebra.
Diastematomyelia is a rare congenital anomaly that results in the “splitting” of the spinal cord in a longitudinal (sagittal) direction. Females are affected much more commonly than males. This condition occurs in the presence of an osseous (bone), cartilaginous or fibrous septum in the central portion of the spinal canal which then produces a complete or incomplete sagittal division of the spinal cord into two hemicords. When the split does not reunite distally to the spur, the condition is referred to as a diplomyelia, or true duplication of the spinal cord.
Signs and symptoms
The signs and symptoms of diastematomyelia may appear at any time of life, although the diagnosis is usually made in childhood. Cutaneous lesions (or stigmata), such as a hairy patch, dimple, Hemangioma, subcutaneous mass, Lipoma or Teratoma override the affected area of the spine is found in more than half of cases. Neurological symptoms are nonspecific, indistinguishable from other causes of cord tethering. The symptoms are caused by tissue attachments that limit the movement of the spinal cord within the spinal column. These attachments cause an abnormal stretching of the spinal cord.
The course of the disorder is progressive. In children, symptoms may include the “stigmata” mentioned above and/or foot and spinal deformities; weakness in the legs; low back pain; scoliosis; and incontinence. In adulthood, the signs and symptoms often include progressive sensory and motor problems and loss of bowel and bladder control. This delayed presentation of symptoms is related to the degree of strain placed on the spinal cord over time. Tethered spinal cord syndrome appears to be the result of improper growth of the neural tube during fetal development, and is closely linked to spina bifida.
Tethering may also develop after spinal cord injury and scar tissue can block the flow of fluids around the spinal cord. Fluid pressure may cause cysts to form in the spinal cord, a condition called syringomyelia. This can lead to additional loss of movement, feeling or the onset of pain or autonomic symptoms.
Treatment
Surgery
Surgical intervention is warranted in patients who present with new onset neurological signs and symptoms or have a history of progressive neurological manifestations which can be related to this abnormality. The surgical procedure required for the effective treatment of diastematomyelia includes decompression (surgery) of neural elements and removal of bony spur. This may be accomplished with or without resection and repair of the duplicated dural sacs. Resection and repair of the duplicated dural sacs is preferred since the dural abnormality may partly contribute to the “tethering” process responsible for the symptoms of this condition.
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