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Combatting TB: Prevention and Treatment Essentials
Combatting tuberculosis (TB) requires a multifaceted approach that includes both prevention and treatment strategies to effectively control the spread of the disease. Prevention efforts focus on identifying and treating latent TB infection, as well as implementing measures to reduce transmission in high-risk populations. Vaccination with the Bacillus Calmette-Guérin (BCG) vaccine in childhood is a key preventive measure, although its efficacy varies in different populations. Screening for TB infection through tuberculin skin tests or interferon-gamma release assays helps identify individuals at risk of developing active TB. Treatment of active TB involves a combination of antibiotics for an extended period, typically six to nine months, to ensure complete eradication of the bacteria. Directly Observed Therapy (DOT) programs help ensure medication adherence and reduce the risk of drug resistance. Drug-resistant TB strains pose a significant challenge, requiring specialized treatment regimens with second-line antibiotics and close monitoring.
About the Speaker
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Dr. Padmanesan Narasimhan
Digital Health Roster of Experts at World Health Organization, Lecturer School of Public Health & Community Medicine, UNSW, Australia.
Dr. Padma Narasimhan is a Clinician and Lecturer at the School of Public Health. He started his career as a medical doctor in India for an Infectious disease clinic. He completed the Fogarty Ellison Clinical Research Fellowship at National Institutes of Health, USA in 2006 and moved to Australia . Dr. Padma Narasimhan was awarded the UNSW-University International Postgraduate Scholarship for a PhD at the School.
Upcoming Case Discussions
Endometriosis- Updates
Endometriosis is a chronic gynecological condition where endometrial-like tissue grows outside the uterus, causing pelvic pain, dysmenorrhea, dyspareunia, and infertility. The ectopic tissue responds to hormonal changes, leading to inflammation, adhesions, and scarring. Diagnosis is based on clinical symptoms, imaging (ultrasound, MRI), and confirmed by laparoscopy with biopsy. Treatment includes NSAIDs, hormonal therapy (OCPs, progestins, GnRH analogs), and surgical excision for severe cases. Fertility treatments like IVF may be needed. While not curable, early diagnosis and management can relieve symptoms and improve quality of life.
Case-Based Approach to Managing GI Malignancies
A Case-Based Approach to managing gastrointestinal (GI) malignancies involves applying a personalized, patient-centered strategy using specific case details to guide treatment decisions. It emphasizes a multidisciplinary team approach, where oncologists, surgeons, pathologists, and radiologists collaborate to determine the best course of action based on tumor type, stage, and patient factors. This method allows for tailored treatment plans, integrating surgery, chemotherapy, radiotherapy, and targeted therapies to optimize outcomes. By discussing individual cases, this approach also aids in identifying potential challenges and refining management protocols to improve patient care.
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.
Cardiac Rehabilitation
Cardiac rehabilitation is a structured program designed to improve cardiovascular health after heart-related conditions such as heart attacks, heart failure, or surgeries like bypass or stenting. It includes supervised exercise, heart-healthy lifestyle education, nutrition counseling, stress management, and medication guidance. The goal is to enhance heart function, reduce the risk of future heart problems, and improve overall well-being. A multidisciplinary team, including doctors, physiotherapists, and dietitians, tailors the program to each patient’s needs. Regular participation in cardiac rehab lowers mortality rates, prevents hospital readmissions, and promotes long-term cardiovascular health, making it an essential part of heart disease recovery.
Role of Telemedicine in Modern Healthcare
Telemedicine plays a crucial role in modern healthcare by enabling remote consultations, reducing the need for in-person visits, and improving access to medical expertise. It enhances patient care through real-time diagnosis, chronic disease management, and mental health support. By integrating AI and digital health technologies, telemedicine streamlines workflows and optimizes healthcare delivery. It is especially beneficial in rural and underserved areas, bridging gaps in specialist care. As technology advances, telemedicine continues to revolutionize healthcare, making it more efficient, accessible, and patient-centered.