april eng 2012 by Media Icon

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HEALTH MAG AYURPHARMA

A Complete Family Magazine on Health, Pharma & Ayurveda

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Contents Vasectomy

DENGUE FEVER

A GOOD TEST FOR THE ELDERLY MALE-PSA 10 Narayana Nethralaya obtains NABH accreditation 12 HIDDEN HEALTH BENEFITS OF SEX

Role of dentist in the diagnosis and management of HIV- AIDS

Garlic and Its Uses

Bananas

GARDEN MINT

RULES OF BEHAVIOUR FOR THE DAY

Effects of Piles And Piles in pregnancy

Summer

Save your child from Hidden Summer Dangers

How elderly can remain active?

First Aid

Family tips by Partha Bagchi

Creation : Chandrashekar Gajani, Purushotam K.

HORMONE REPLACEMENT THERAPY (HRT) 52

Doctors, Hospitals can send their articles and Programs deatails and photographs to mediaicon@ymail.com or to the Address APRIL

BANGALORE HEALTH INFO GUIDE

- launching soon

bangalorehealthtv.com and bangalorehealthinfo.com

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uuHealth focustt

The male birth control

Dr. Ramesh Reddy G.

Vasectomy

Professor Dept. of General Surgery Vydehi Institute of oncology, Whitefield, Bangalore-560066 Ph : 080 – 28413381/82/83

Vasectomy is a good birth control choice for men who are certain they don’t want to father a child.

asectomy is a form of male birth control that cuts the supply of sperm to your semen. It’s done by cutting and sealing the tubes that carry sperm. Vasectomy is straightforward and has a low risk of problems. Before getting a vasectomy, however, you need to be certain you don’t want to father a child in the future. Vasectomy is considered a permanent form of male birth control.

Why it’s done

Vasectomy is a good birth control choice for men who are certain they don’t want to father a child. ªª Vasectomy is nearly 100 percent effective in preventing pregnancy. ªª Vasectomy is an outpatient surgery with a low risk of complications or side effects. ªª The cost of a vasectomy is far less than the cost of female sterilization (tubal ligation) or the longterm cost of birth control medications for women. ªª You won’t need to take birth control steps before sex, such as putting on a condom. Keep in mind, however, that vasectomy only prevents pregnancy — it offers no protection from sexually transmitted diseases (STDs).

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parts of your reproductive system will be injured during surgery. ªª Increase your risk of certain cancers. Although there have been some concerns about a possible link between vasectomy and prostate and testicular cancer in the past, there’s no proven link. ªª Increase your risk of heart disease. As with cancer fears, there’s doesn’t appear to be any link between vasectomy and heart problems. ªª Cause severe pain. You may feel minor pain and pulling or tugging during surgery, but severe pain is rare. Likewise, after surgery you may have some pain in the surgery area, but for most men it’s minor and goes away after a few days.

Risks

For most men, a vasectomy doesn’t cause any noticeable side effects, and serious complications are rare. ªª Side effects right after surgery can include: Swelling, Bruising of your scrotum, Bleeding or a blood clot (hematoma) inside the scrotum, Blood in your semen, Infection of the surgery site, ªª Delayed complications can include: Fluid buildup in the testicle, which can cause a dull ache that gets worse with ejaculation, Inflammation caused by leaking sperm (granuloma), Pregnancy, in the event that your vasectomy fails (rare), Chronic pain (rare) Unfounded concerns Many men worry that a vasectomy could cause serious problems — but these fears are unfounded. For example, a vasectomy won’t: ªª Affect your sexual performance. A vasectomy won’t affect your sex drive or your masculinity in any way other than preventing you from fathering a child. ªª Permanently damage your sexual organs. There’s very little risk that your testicles, penis or other

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Desire to father children after a vasectomy

If you change your mind about having a child, it may be possible to reverse your vasectomy. However, there’s no guarantee a vasectomy reversal will work. The surgery is more complicated than the original vasectomy, can be expensive and is ineffective for many men. Before you get a vasectomy, you should be certain you don’t want to father a child in the future.

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How you prepare

Some family medicine or general practice doctors do vasectomies, but most are done by doctors who specialize in the male reproductive system (urologists). Insurance companies vary on their coverage of vasectomies, so check your policy ahead of time. Some

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HEALTH MAG AYURPHARMA

A Complete Family Magazine on Ayurveda, Health & Pharma Volume 3 Issue 4 April 2012 CHIEF EDITOR D A Kalpaja

EDITOR

Editor Speak

Road to Good Health

Shri Krishna M

PUBLISHED BY MEDIA ICON

April 7th is WORLD HEALTH DAY ªª Exercise: Exercising in fresh air takes poisons and

No 2 & 3, Janani, 1st Floor, 7th Cross, Central Excise Layout, Sanjay Nagar Bangalore 94 Phone: 98458 90884 E-mail: mediaicon@ymail.com

Medical Advisors Dr. Chalapathy Dr Somashekar Dr Dinesh Babu Dr M.G. Jvali Dr Muralidhar Dr Prabhakar G. Dr G. Mohan Dr Vittal Nayak Dr Sampath kumar Dr Geethanarayan Dr Dugraprasad Reddy Dr Sham Bhat Dr Seetharam prasad Dr Padmini prasad Dr venkatramana Hegde Dr K. Bhujanga Shetty Dr Keerthy patel Dr B. Ramesh Dr S.S. Hiremath Dr. Vasundhara Bhupathy

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Consulting Editors

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Keshav V. Ramu D V Kumar Note: This publication is a reference volume only. Do consult your doctors. While the editors do their utmost verify informations published, they do not accept responsibility for its absolute accuracy. Articles, Advertisements published in the book does not imply endorsement by the publisher.

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waste out of the body. Stretch outside every morning and find an enjoyable form of exercise that fits naturally in your body, such as bicycling or walking, meeting a friend for regular walk or run and so on. For cardiovascular and musculoskeletal conditioning, aim for a minimum of fifteen minutes or brisk walking 5days per week. Generally increase speed or distance as physical conditioning improves. Eat Nutritious Food: The quantity and amount of food you eat supply the fuel for your body. In order to ensure adequate nutrition, practice the following: Eat as much food in the unrefined state as possible, Include at least five serving of vegetables and / or fruits each day. Whole grains are preferable to refined ones; fresh produce is preferable to canned or processed. Avoid deep fried fruits, sugar-sweetened food, and alcohol, Drink 6-8 glass of pure water every day. Rest: Most people require seven to eight hour of sleep every night. Studies have shown that people perform better with adequate sleep, yet many people are consistently sleep-deprived. Make it a point to get adequate sleep. Sleep deprivation results in hormonal imbalances which can lead to weight gain or many other problems. Avoid Negative Health Behavior: It may seem obvious, but one of the easy ways to be healthier is to not engage in unhealthy behaviors. Nicotine, excesses of alcohol and caffeine and many drug damage health. These habits weaken the immune system by inhibiting cellular immunity. Get Checked: In order to maintain disease free and healthy life, it is advisable to go through preventive health checks on an annual basis. This can help you detect and protect against any negative trends in your health before it is too late. - Editor

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ªª Stitch up the incision at the surgery area. Stiches

doctors and insurance companies require a waiting period between your first meeting with the doctor and surgery.

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aren’t necessary if your doctor has used the noscalpel technique. ªª Repeat the procedure on the other side. After surgery Following a vasectomy, you’ll have some bruising, swelling and pain. It usually gets better within a few days. Your doctor will give you instructions for recovery. Your doctor may tell you to: ªª Support your scrotum with a bandage and tightfitting underwear for at least 48 hours after your vasectomy. ªª Limit activity after surgery. You’ll need to rest for 24 hours after surgery. You can probably do light activity after two or three days, but you’ll need to avoid sports, lifting and heavy work for a week or so. Overdoing it could cause pain or bleeding inside the scrotum. ªª Use an ice pack periodically to help with swelling and pain for one to three days after surgery. ªª Avoid blood-thinning medications for three to seven days after surgery. These medications can increase your risk of bleeding. ªª Refrain from bathing or swimming for a few days following surgery. ªª Avoid any sexual activity for a week or so. If you do ejaculate, you may feel pain or notice blood in your semen. Don’t have sexual intercourse until your doctor says it’s okay, unless you use another form of birth control. It takes several weeks or longer before sperm are no longer present in your semen. ªª Call right away if you have signs of infection, such as pus or blood oozing from the surgery site, fever, or worsening pain or swelling.

Talking to your doctor

Deciding to get a vasectomy can be a tough decision, since you won’t be able to father a child in the future. Before doing a vasectomy, your doctor will want to meet with you to be sure it’s the right form of birth control for you. If you’re in a relationship, bring your partner to your initial doctor’s appointment. At the initial appointment (consultative visit) be prepared to discuss: ªª Whether there’s any chance at all you might want to father a child in the future ªª How your partner feels about the decision, if you’re in a relationship ªª Other methods of birth control available to you ªª What vasectomy surgery and recovery involves, and possible complications Before surgery: Your doctor will give you instructions on how to prepare. You may need to: ªª Stop taking aspirin or other blood-thinning medications several days before your surgery. These can include warfarin (Coumadin), heparin, and aspirin and other over-the-counter pain medications such as ibuprofen (Advil, Motrin, others). ªª Wash your genital area thoroughly the day of your surgery. Your doctor may ask you to shave the surgery area. ªª Take medication to relax you 30 minutes to an hour before surgery, if your doctor prescribed it. ªª Arrange for a ride home to avoid movement and pressure on the surgery area caused by driving.

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What you can expect

A vasectomy is usually done at a doctor’s office or surgery center under local anesthesia, which means you’ll be awake and have medicine to numb the surgery area.

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¾¾ Results ªª A vasectomy doesn’t provide immediate protection

against pregnancy. Use an alternative form of birth control until your doctor confirms there are no sperm in your semen. Before having unprotected sex, you’ll need to wait up to eight weeks or longer and ejaculate 20 times or more to clear any sperm from your semen. ªª Most doctors do post-surgery checks at six and eight weeks following surgery to be certain that no sperm are present. You’ll need to give your doctor sperm samples to examine. To produce a sperm sample, your doctor will have you masturbate into a container or ask you to have intercourse using a special condom to collect your semen. Your semen is then examined under a microscope to see whether sperm are present. ªª If you’re not in a committed relationship, use condoms during sex — even after you have a vasectomy. Vasectomy is an effective form of birth control, but it won’t protect you or your partner from sexually transmitted diseases (STDs), such as chlamydia or HIV/AIDS.

During surgery

Vasectomy surgery usually takes about 20 to 30 minutes. To perform a vasectomy, your doctor will: ªª Numb the surgery area by injecting a local anesthetic into the skin of your scrotum with a small needle. ªª Make a small cut (incision) in the upper part of your scrotum once the surgery area is numb. Or, with the “no-scalpel” technique, a small puncture is made in the scrotum instead of an incision. ªª Locate the tube that carries semen from your testicle (vas deferens) on either the right or left side. ªª Withdraw part of the vas deferens through the incision or puncture. ªª Cut the vas deferens where it has been pulled out of the scrotum. ªª Seal the vas deferens by tying it, sealing it with heat (cauterizing) or using surgical clips. Then your doctor will return the ends of the vas deferens to the scrotum.

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A Speciality Eye Hospital

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General health

Dept. of Medicine Vydehi Institute of Medical Sciences & Research Centre White field , Bangalore-66 Ph 080-28413381/2/3/4

DENGUE FEVER D

engue fever is an acute febrile disease, found in the tropics, and caused by four types (serotypes) of virus of the genus Flavivirus. It is also known as “breakbone fever” or “Dandy Fever”, slaves in the West Indies who contracted dengue were said to have the posture and gait of a dandy. Infection by these viruses may be asymptomatic or may lead to – ªª Classical Dengue fever ªª Dengue hemorrhagic fever(DHF) ªª Dengue shock syndrome (DSS). It is a mosquito-borne (arthropod-borne) disease, transmitted by Aedes mosquitoes, particularly A. aegypti and A. albopictus. Dengue may also be transmitted via infected blood products (blood transfusions, plasma, and platelets). Dengue fever is usually a self-limiting disease and DHF/DSS outbreaks are mainly seen in areas of high prevalence of Aedes mosquitoes. Dengue fever is generally a tropical disease and is seen in tropical and sub-tropical climates, mainly affecting urban and periurban areas (due to high population density). The WHO estimates that nearly 2.5-3 billion people live in areas where the virus can be transmitted, with around 50 million cases worldwide each year. Dengue fever id prevalent in India, with all 4 serotypes found. The origins of the word dengue are not clear, but one theory is that it is derived from the Swahili phrase which describes the disease as being caused by an evil spirit. Or, it may possibly have its origin in the Spanish word meaning fastidious or careful, which would describe the gait of a person suffering the bone

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pain of dengue fever.

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TRANSMISSION

The Aedes mosquito becomes infective by feeding on a patient (from the day before onset of fever to the 5th day of illness).The virus then takes 8-10 days to develop inside the mosquito, after which, the mosquito can infect a healthy individual. Furthermore, once the mosquito becomes infective, it remains so for life. This is referred to as “Man-Mosquito-Man” transmission. The mosquitoes commonly bite during dusk and dawn, and are more abundant during the rainy season, when they breed.

SIGNS AND SYMPTOMS ¾¾ Dengue fever: ªª It may affect people of any age or sex, with children often having milder symptoms.

ªª Onset is sudden, after an incubation of 3-10 days. ªª Patient may have high fever, rash, chills, intense headache, muscle and joint pains.

ªª Patient may also be weak, lose his/her appetite, and have altered taste sensation.

ªª Other symptoms include constipation, abdominal tenderness, pain behind the eyes with painful eye movements, groin pain, and sore throat, diarrhea, vomiting. ªª Fever has typical periods of remission and is often accompanied by a rash with flushing and pin-point eruptions on the face. The rash may be present all over the body. ªª Fever usually subsides after 5-7 days, and case fatality is very low.

¾¾ Dengue Hemorrhagic fever: ªª Severe form of dengue fever 8

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ªª Thought to be due to a double infection by dengue ªª

ªª ªª ªª ªª

therapy.

ªª The patient is advised bed rest and is given

viruses. Has the same features as dengue fever, but with greater severity, accompanied by hemorrhagic manifestations like – hemorrhagic spots on the skin (ecchymosis, petichae, and purpura), bleeding from the nose (epistaxis) and gums, blood in vomitus and stools. Infants may have febrile convulsions. The liver may be enlarged Blood tests may reveal low platelets in the blood. DHF in cases of liver cirrhosis has been linked with the development of Liver cancers.

antipyretics (for fever) and oral fluids and electrolytes (especially in cases of diarrhea). Intravenous fluids are advised for patients with vomiting. ªª Aspirin and non-steroidal anti-inflammatory drugs are avoided as they aggravate bleeding tendencies. ªª The mainstay of management of DSS is to tackle shock due to hemoconcentration and bleeding. Close monitoring of vital signs is critical. Oral or Intravenous fluids are given to prevent dehydration. A blood transfusion or just platelet transfusion is indicated in rare cases if the platelet level drops significantly (below 20,000) or if there are significant bleeding. The presence of melena(Blood in the stools) may indicate internal gastrointestinal bleeding, requiring platelet and/or red blood cell transfusion.

¾¾ Dengue Shock Syndrome: ªª Occurs when patients with DHF lose enough blood to go into shock.

ªª It represents an emergency condition where patients ¾¾

have a fast pulse, low blood volume and blood pressure, cold skin and are restless.

CONTROL MEASURES ¾¾ Mosquito Control

DIAGNOSIS

The diagnosis of dengue is usually made clinically from the classic picture of a high fever with a (petechial) rash with low platelet and white blood cell count. It is also important to diagnose signs of DHF and signs of shock in DSS. Care has to be taken as diagnosis of DHF can mask end stage liver disease and vice versa. Dependable immediate information of the Dengue diagnostics in the rural areas can be performed by the introduction of Rapid Diagnostic Test kits which also differentiates between primary and secondary dengue infections. Serology and polymerase chain reaction (PCR) studies are available to confirm the diagnosis of dengue if clinically indicated. If a patient has persistent fever for more that 2 days and/or constant headaches then they should go for a complete blood check. If the platelet count and WBC count are below than their usual range then a Dengue Antigen test is done. To go for Dengue Test is decided depending on the result of CBC Counts.

There are two primary methods: larval control and adult mosquito control. In urban areas, Aedes mosquitoes breed on stagnant water collections in artificial containers such as plastic cups, used tires, broken bottles, flower pots, etc. Periodic draining or removal of artificial containers is the most effective way of reducing the breeding grounds for mosquitoes. Larvicide treatment is another effective way to control the vector larvae there are some very effective insect growth regulators (IGRs) available which are both safe and long-lasting (e.g. pyriproxyfen). For reducing the adult mosquito load, fogging with insecticide is somewhat effective. Prevention of mosquito bites is another way of preventing disease. This can be achieved by using insect repellent, mosquito traps or mosquito nets. In 1998, scientists from the Queensland Institute of Medical Research (QIMR) in Australia and Vietnam’s Ministry of Health introduced a scheme that encouraged children to place a water bug, the crustacean Mesocyclops, in water tanks and discarded containers where the Aedes aegypti mosquito was known to thrive. This method is viewed as being more cost-effective and more environmentally friendly than pesticides, though not as effective, and requires the continuing participation of the community.

¾¾ TREATMENT ªª The mainstay of treatment is timely supportive

¾¾Vaccines

There is no commercially available vaccine for the dengue flavivirus. However, a number of vaccine candidates are entering phase I or II testing. Side note Dengue fever was one of more than a dozen agents that the United States researched as potential biological weapons before the nation suspended its biological weapons program.

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Male health Dr Niranjan J Consultant Urologist Vydehi Institute of MedicalSciences & Research Centre White field , Bangalore 66 Ph 080-28413381/2/3/4

rostate specific antigen (PSA) is a protein produced by the cells of the prostate gland. PSA is present in small quantities in the serum of normal men, and is often elevated in the presence of prostate cancer and in other prostate disorders. A blood test to measure PSA is the most effective test currently available for the early detection of prostate cancer. Higher than normal levels of PSA are associated with both localized and metastatic prostate cancer (CaP).

A GOOD TEST FOR THE ELDERLY MALE-PSA

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Biochemistry

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Clinical significance

Prostate specific antigen (PSA) is a glycoprotein manufactured almost exclusively by the prostate gland ; PSA is produced for the ejaculate where it liquifies the semen and allows sperm to swim freely.It is also believed to be instrumental in dissolving the cervical mucous cap, allowing the entry of sperm.

PSA is normally present in the blood at very low levels; normal PSA levels are defined as between 0-4.0 ng per milliliter. Increased levels of PSA may suggest the presence of prostate cancer. However, prostate cancer can also be present in the complete absence of an elevated PSA level, in which case the test result would be a false negative . PSA levels can be also elevated due to prostate infection, irritation, benign prostatic hypertrophy (enlargement) or hyperplasia (BPH) or recent ejaculation, in which case it may give a false positive . It is a myth that digital rectal exam raises PSA. The rate of increase of PSA (the PSA velocity) may have value in prostate cancer prognosis. Men with prostate cancer whose PSA level increased by more than 2.0 ng per milliliter during the year before the diagnosis of prostate cancer have a higher risk of death from prostate cancer

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despite undergoing radical prostatectomy. Most PSA in the blood is bound to serum proteins. A small amount is not protein bound and is called free PSA. In men with prostate cancer the ratio of free (unbound) PSA to total PSA is decreased. The risk of cancer increases if the free to total ratio is less than 25%. (See graph at right.) The lower the ratio the greater the probability of prostate cancer. Measuring the ratio of free to total PSA appears to be particularly promising for eliminating unnecessary biopsies in men with PSA levels between 4 and 10 ng/ mL.

blood sample, and the amount of PSA is measured in a laboratory. Because PSA is produced by the body and can be used to detect disease, it is sometimes called a biological marker or tumor marker. It is normal for men to have low levels of PSA in their blood; however, prostate cancer or benign (not cancerous) conditions can increase PSA levels. As men age, both benign prostate conditions and prostate cancer become more frequent. The most common benign prostate conditions are prostatitis (inflammation of the prostate) and benign prostatic hyperplasia (BPH (enlargement of the prostate). There is no evidence that prostatitis or BPH cause cancer, but it is possible for a man to have one or both of these conditions and to develop prostate cancer as well. PSA levels alone do not give doctors enough information to distinguish between benign prostate conditions and cancer. However, the doctor will take the result of the PSA test into account when deciding whether to check further for signs of prostate cancer. 2. Why is the PSA test performed? The U.S. Food and Drug Administration (FDA) has approved the PSA test along with a digital rectal exam (DRE) to help detect prostate cancer in men age 50 and older. During a DRE, a doctor inserts a gloved finger into the rectum and feels the prostate gland through the rectal wall to check for bumps or abnormal areas. Doctors often use the PSA test and DRE as prostate cancer screening tests; together, these tests can help doctors detect prostate cancer in men who have no symptoms of the disease. The FDA has also approved the PSA test to monitor patients with a history of prostate cancer to see if the cancer has come back (recurred). An elevated PSA level in a patient with a history of prostate cancer does not al 3. For whom might a PSA screening test be recommended? Doctors’ recommendations for screening vary. Some encourage yearly screening for men over age 50, and some advise men who are at a higher risk for prostate cancer to begin screening at age 40 or 45. Others caution against routine screening, while still others counsel men about the risks and benefits on an individual basis and encourage men to make personal decisions about screening.. Several risk factors increase a man’s chances of developing prostate cancer. Age is the most common risk factor, with nearly 70 percent of prostate cancer cases occurring in men age 65 and older. Men who have a father or brother with prostate cancer have a greater chance of developing prostate cancer. African American men have the highest rate of prostate cancer, while Asian and Native American men have the lowest rates. In addition, there is some evidence that a diet higher in fat, especially animal fat, may increase the risk of prostate cancer. 4. How are PSA test results reported?

Despite its relatively small size, the prostate accounts for a substantial and disproportionate health problems in older men, the most significant of which is cancer. Prostate cancer has become the most common cancer of males in several developed countries.

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Prostate cancer screening

The U.S. Food and Drug Administration (FDA) has approved the PSA test for annual screening of prostate cancer in men of age 50 and older. PSA levels between 4 and 10 ng/mL (nanograms per milliliter) are considered to be suspicious and should be followed by rectal ultrasound imaging and, if indicated, prostate biopsy. PSA is false positive-prone (7 out of 10 men in this category will still not have prostate cancer) and false negative-prone (2.5 out of 10 men with prostate cancer have no elevation in PSA). The current guidelines of the American Cancer Society(ACS) recommend that men over age 50 should be offered the digital rectal exam and PSA tests yearly. Screening should be offered annually to AfricanAmerican men and those with a family history of prostate cancer upon reaching 45 years. Other racial and ethnic groups, such as Asian- and Hispanic-Americans have a lower risk of prostate cancer, and may not benefit from screening. Screening is likely not useful for men over age 70 or with other significant medical problems and a life expectancy of fewer than 10 years. These guidelines may be changing. A new European study has shown that a thorough screening for prostate cancer every 4 years is adequate. The screening comprises a PSA blood test, a digital rectal exam, and a transrectal ultrasound

¾¾ The Prostate-Specific Antigen (PSA)

Test: Questions and Answers

1. What is the prostate-specific antigen (PSA) test? Prostate-specific antigen (PSA) is a protein produced by the cells of the prostate gland. The PSA test measures the level of PSA in the blood. The doctor takes a

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PSA test results report the level of PSA detected in the blood. The test results are usually reported as nanograms of PSA per milliliter (ng/ml) of blood. Most doctors consider PSA values below 4 ng/ml as normal Higher a man’s PSA level, the more likely it is that cancer is present. But because various factors can cause PSA levels to fluctuate, one abnormal PSA test does not necessarily indicate a need for other diagnostic tests. When PSA levels continue to rise over time, other tests may be needed. 5. What if the test results show an elevated PSA level? A man should discuss elevated PSA test results with his doctor. There are many possible reasons for an elevated PSA level, including prostate cancer, benign prostate enlargement, inflammation, infection, age, and race. If no other symptoms suggest cancer, the doctor may recommend repeating DRE and PSA tests regularly to watch for any changes. If a man’s PSA levels have been increasing or if a suspicious lump is detected during the DRE, the doctor may recommend other tests to determine if there is cancer or another problem in the prostate. A urine test may be used to detect a urinary tract infection or blood in the urine. The doctor may recommend imaging tests, such as ultrasound or cystoscopy. Medicine or surgery may be recommended if the problem is BPH or an infection. If cancer is suspected, a biopsy is needed to determine if cancer is present in the prostate. During a biopsy, samples of prostate tissue are removed, usually with 5a needle, and viewed under a microscope. 6. What are some of the limitations of the PSA test? ªª Detection does not always mean saving lives: Even though the PSA test can detect small tumors, finding a small tumor does not necessarily reduce a man’s chance of dying from prostate cancer. PSA testing may identify very slow-growing tumors that are unlikely to threaten a man’s life. Also, PSA testing may not help a man with a fast-growing or aggressive cancer that has already spread to other parts of his body before being detected. ªª False pos0147itive tests: False positive test results occur..3041when the PSA level is elevated but no cancer is actually present. False positives may lead to additional medical procedures that have potential risks and significant financial costs and can create anxiety for the patient and his family. Most men with an elevated PSA test turn out not to have cancer; only 25 to 30 percent of men who have a biopsy due to elevated PSA levels actually have prostate cancer (3). ªª False negative tests: False negative test results occur when the PSA level is in the normal range even though prostate cancer is actually present. Most prostate cancers are slow-growing and may exist for decades before they are large enough to cause symptoms. Subsequent PSA tests may indicate a problem before the disease progresses significantly. 7. Why is the PSA test controversial? It is not clear if the benefits of PSA screening outweigh the risks of follow-up diagnostic tests and cancer treatments. For example, the PSA test may detect small cancers that would never become life threatening. This situation, called overdiagnosis, puts men at risk for complications from unnecessary treatment such as surgery or radiation. The procedure used to diagnose prostate cancer (prostate biopsy) may cause side effects, including bleeding and infection. Prostate cancer treatment may cause incontinence and erectile dysfunction. For these reasons, it is important that the benefits and risks of diagnostic procedures and treatment be taken into account when considering whether to undertake prostate cancer screening.

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Health news Narayana Nethralaya Super Speciality Eye Hospital has joined the unique league of hospitals in the country to be accredited by the National Accreditation Board for Hospitals and Healthcare providers (NABH), New Delhi.

angalore’s Narayana Nethralaya Super Speciality Eye Hospital has joined the unique league of hospitals in the country to be accredited by the National Accreditation Board for Hospitals and Healthcare providers (NABH), New Delhi. The NABH certification is a public recognition of the achievement of accreditation standards by a healthcare organisation, demonstrated through an independent external peer assessment of that organisation’s level of performance in relation to the standards. Dr.Giridhar J. Gyani, CEO, NABH in his address stressed on the need of standardized patient care & attributed this accreditation as a parameter for people to judge the hospital for standardized patient care when they see NABH accreditation. He said close to 8 eye care hospitals in India have been so far given this kind of a certification. The Idea of NABH came when the tourism dept. of India stressed on the need for a identification of good healthcare units where the foreign tourists from developed countries can visit. He said this certification would pave to a lot of healthcare units in Karnataka who are the fence sitters to pay attention to quality healthcare & try for such accreditation.

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Narayana Nethralaya obtains NABH accreditation

Prof.Venkatesh Thuppil, Principal Advisor, Quality Council of India (QCI) said, today the NABH accreditation must pave way for a quality healthcare from top to bottom i.e. from super specialty hospitals up to primary health care centers in villages. Justice N. Santosh Hedge, former lok Ayukta, Karnataka, congratulated Narayana Nethralaya & Dr.Bhujang Shetty for being so quality conscious in running his eye-care empire and taking measures to improve to global standards on one side & on the other side showing a lot of keen interest to bring in measures for affordable healthcare in the area of eye care in Karnataka. “The patients are the biggest beneficiary of this rare recognition, as it ensures high quality of care and patient safety. The NABH accreditation stimulates continuous improvement and commitment to quality care, providing opportunity to hospitals to benchmark with the best,” said Dr. K. Bhujang Shetty, Chairman & Managing Director, Narayana Nethralaya. Both the units of Narayana Nethralaya Super Speciality Eye Hospital - Rajajinagar (NN1) and Bommasandra (NN1) -have received the prestigious accreditation from the NABH. Dr.Himanshu P. Matalia, Medical Superintendent, received the accreditation on behalf NN2. “Very few eye hospitals in the country have received this recognition. It brings us closer to our vision of providing the best services in eye care through continual improvements of our systems,

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processes, technology and through the employment of dedicated and competent professionals,” Dr. Shetty added. NABH is a constituent board of the Quality Council of India, set up to establish and operate accreditation programmes for healthcare organisations. The board is structured to cater to much desired needs of the consumers and to set benchmarks for progress of the health industry. ABOUT NARAYANA NETHRALAYA Narayana Nethralaya is a super specialty eye hospital in Bangalore, having three large centers. Started by well-known ophthalmologist Dr K Bhujang Shetty, Narayana Nethralaya is one of the largest tertiary eye care centers in Karnataka providing an advanced level of eye care. Our focus is on applied research in areas such as Stem Cells, Molecular techniques (Polymerase chain reaction), Genetics, Ocular Immunology and infectious diseases. The National Board of examinations, New Delhi has recognized our hospital for training of candidates for the DNB course (Ophthalmology). www.narayananethralaya.org For more information, please contact:

Dr K Bhujang Shetty

Chairman, Narayana Nethralaya 121/C, West of Cord Road Rajaji Nagar, R Block Bangalore - 10 Ph 080 – 23373311 / 66121300

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Dr Lohit Ayur Infertility & Sex Clinic # I 18/137,5th Main, 2nd Block, 3rd Stage, Opp, to 88 ‘A’ Last Bus Stop, Basaveshwaranagar, Bangalore-79 Phone : 080-23234969 Mobile : 9620496969 Email: drlohit@drlohit.com Website: www.drlohit.com

All of us understand that next to the need for food, water & sleep, the urge for sex is the most needed biological drive. Human sex is not merely a physical mating but is the union of two bodies, minds and souls.. Sex is not just something physical; sex is an emotional and the mental link that brings the partners closer to each other.

ex is an essential part of everyone’s life. The importance of sex in one’s life is only judged by that individual. Some men and women consider it the great source of connection. Sex is not just something physical; sex is an emotional and the mental link that brings the partners closer to each other. Sex can do much more them make you feel closer to each other.

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HIDDEN HEALTH BENEFITS OF SEX

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Sex is oh so good for your health. Getting it on is about more than pleasure. Good sexual health can improve your physical health. It certainly puts you in a positive frame of mind.

Here are the Few Hidden Health Benefits of Sex ªª Sex Relieves Stress & Eases

Depression: Stress is a killer for both sexes. The health benefits of having sex to relieve stress and to ease depression have been proven. For men, their release calms them and sends happy chemicals to their brain. For women, absorbing semen works as a natural antidepressant and helps get rid of stress The Stress of an individual is reduced because the Endorphins and the Oxytocin are released during the Sex. These hormones are known as the feelgood hormones. The feel-good hormones activate the pleasure in the Brain, this Hormones creates feeling of closeness, relaxation and vanishes the Depression. The soothing Hormones are released during the Orgasm. ªª Sound Sleep; The Endorphins help to reduce the Stress and make the mind and body relaxes. The relaxed mind and body leads to the sound Sleep. During Orgasm, the Prolactin Hormone is released. The Prolactin level is higher when we sleep and this higher level creates the strong relationship between the 2 partners. The active Sex makes you more energized than sleepy. It charges the mind and the body.

including Back pain or Head pain (the Female Migraine patients reports relief after Climaxing). The Endorphins are released during an Orgasm and these Endorphins resemble Morphine which helps in relieving the pain. The Sex helps to get relief from the Headaches and the pain of the body. ªª Protection from Cold: The Sneezing, Wheezing or the Runny-Nose is not at all sexy but having Sex can protect you from Cold. People who have more Sex have the higher levels of an Antibody known as Immunoglobulin. These Antibodies help to fight against diseases and keep the body safe from Colds and Flu. It’s better to save your sick days and use them as Sex days. ªª Youthful Glow: The people who were having Sex with their partners 4 times a week looked 7 to 12 years younger than their actual age. The regular Sex increases the level of Testosterone and Estrogen in the body which keeps the body looking young. Estrogen also helps in making Skin soft and Shiny Hair. ªª Lighter Periods: When a Woman Orgasm, her Uterus contracts and it reduces the Cramcausing compounds of the Body. It increases the number of uterine contractions. The uterine contractions help to push out the Blood and the

ªª Minimized Pain: The release of Hormones after an Orgasm can reduce the annoying pains

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workout during the pushes of Sex. It is like having a Skip, Spin class and work up a Sweat in bed. ªª Sex Reduces Prostate Cancer Risk ; Sex is also the answer for a happier and healthier prostate. Men in their 20s can cut their chance of getting prostate cancer by 1/3 by ejaculating more than five times a week. But older men also benefit from frequent sex, as 21 or more orgasms a month are linked to a much lower prostate cancer risk. The more he climaxes, the less likely he is to develop prostate cancer. ªª Cuts Risk Of Breast Cancer & Gives Better Bladder Control: Sex can help reduce the risk of breast cancer for women who have never given birth. A study showed that if a female increases the frequency of sex, she decreases the risks of breast cancer. Sex strengthens the pelvic floor muscles that control the flow of urine. Kegel exercises occur naturally during sex, giving women better bladder control. ªª Sex Boosts Confidence & Improves Intimacy: Lovemaking of course builds and continues to improve intimacy. It alsoincreases desire. If one or the other partner does not have much sexual desire, you can see from the reasons above that the more sex you have, the more sex you will want to have. Women often want more intimacy and is it within her reach.A man’s oxytocin level matches a woman’s after his happy ending. Then you’ll both be more inclined to desire cuddle time. For some people, the more they feel loved, the more their selfesteem will inflate. Both parties, however, get a boost to their spirit. When things are great in bed, your confidence will increase “When things go well in bed, you feel more confident and powerful in other parts of your life.” This weaves its way into our lovemaking, making us more daring and uninhibited in our sexual endeavors. That, in turn, makes the mighty O even better and makes us want more sex.

Tissues more quickly. This helps to end the period faster. Menstruating helps to decrease the risk for Endometriosis. Endometriosis is a condition in which the uterine tissue grows outside of the Uterus, which causes the Pelvic pain and the pain during Sex. Sex is not at all seems to be appealing during your period but do not panic yourself. Try to lay down a dark-colored Towel and keep yourself busy with your partner, when you are lying down the flow will be lighter. ªªBurn of Calories The activity of Sex can burn the 85 to 250 Calories depending on the duration of the session. Sex lowers blood pressure, boosting cardio health, and reduces his risk of heart attack. Lovemaking improves strength, flexibility, and muscle tone. It might even protect against strokes. It is an exercise both for you and your partner. The Abs, Muscles, Butts and Thighs receive a good

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Health study

In the past two decades, world has witnessed a profound transformation with regards to detection and management of HIV/ AIDS infection. Oral lesions are among the first manifestations of HIV infection. HIV/AIDS is important because of its potential diagnostic, prognostic, therapeutic and transmission implications. In this case report we describe how a patient was diagnosed to be in a state of immunodeficiency based on the oral lesions and highlight the importance of detection of HIV/AIDS during general dental practice and how best the oral manifestations of HIVAIDS can be treated. Key words:dentist, oral care, HIV-AIDS, management, oral lesions

Dr.Asha Nagaraj SAI DENTAL CARE, VIJAYANAGAR, BANGALORE-40, Ph-23385058

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Role of dentist in the diagnosis and management of HIV- AIDS

IDS (Acquired immunodeficiency syndrome) is a deadliest disease, difficult to treat and easiest to prevent. In the present scenario, the AIDS pandemic, though global, is overwhelmingly concentrated in sub-Saharan Africa. The centre of the global AIDS pandemic is set to shift from Africa to Eurasia; it comprises of the three largest countries like China, India and Russia and will likely be home to the largest number of HIV (human immunodeficiency virus) victims in the decades ahead. In this situation a dentist plays an imperative role in the following aspects: 1. Provision of routine dental care. 2. Oral lesions- screening, diagnosis, treatment, of oral lesions and recognition of their significance in prognosis of disease 3. Collaboration with other health care workers and social support systems. 4. Education of other health care workers. 5. Education in the community. This article describes a case reportof a HIV-AIDS patient diagnosed based on oral manifestations and highlights the role of dentist in the detection and management of oral conditions associated with HIV- AIDS patient.

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Case report

A female patient of 36 year old came to the out-patient department of Oral Medicine and Radiology with the complaint of burning sensation of mouth and gingival bleeding since three months. The burning sensation increased on having hot spicy food and beverages. She had generalised body weakness since 6 months. Patient had undergone treatment for tuberculosis one year back and since one month she was under medication for typhoid.Patient gave history of vaginitis, urethritis and urinary tract infection since six months and exertionaldyspnea since two months. The patient was weak, pale with sunken eyes [Figure 1]. Submandibular and jugulo-diagastric lymph nodes were palpable, firm and non-tender.Lips were scaly with fissuring at the oral commissurals suggesting angular cheilitis. Tongue wasdepapillatedwith macules of melanin pigmentation seen on dorsal surface of tongue [Figure 2]. A linear white plaque was seen on the lateral border of tongue bilaterally, slightly elevated from the adjacent mucosa measuring about 4cms. The lesion was non scrapable, non-tender and smooth in texture compatible with the diagnosis of oral hairy leukoplakia [Figure 3].Discrete white patches were seen on the right and left buccal Hairy leukoplakia presenting as linear white patch on mucosa interspersed the right (A) and left (B) lateral borders of the tongue.

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with erythematous areas at the occlusal level measuring approximately 3*1cm. The lesion on buccal mucosa was tender and scrapable revealing an erythematous base suggesting pseudomembranous candidiasis. With the presence of all the above oral findings in correlation with the history and general health of the patient, a state of immunodeficiency was suspected. Complete haemogram was performed which did not show much alteration in the values except for a mild decrease in the packed cell volume (35.8%) and an elevated erythrocyte sedimentation rate (70mm/hr) by Westerngreen method. Tridot (Rapid) test showed positive HIV 1 which was confirmed by RIBA test. The test was positive for HIV Gp120, Gp41, p31 and P24 and negative for HIV 2 envelope peptide confirming HIV 1 infection. The CD4 count was 203.33/mcl. The patient was started with symptomatic treatment for the oral lesions. Clotrimazole troches 10mg was prescribed to dissolve one troche in mouth fivetimes a day for 14 days. Topical triamcinoloneacetonide0.1% oral paste application and multivitamin capsules were prescribed. The patient was referred to non-government organisation centre for antiretroviral therapy.

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(663±484). Salivary gland enlargement (315±156), dental caries (323±54), angular cheilitis (460±310), and erythematous candidiasis were accompanied by the least CD4 count.[5] Howell et al investigated the prevalence of oral soft tissue lesions in children infected with HIV and the relationship of CD4lymphocyte levels with the prevalenceof those lesions. He found that a declining CD4 lymphocyte count (1357 to 35) was associated with an increasing severity of gingival disease. The majority of the patients with candidiasis showed CD4 counts less than 200/mm2. [6]In the present case the patient had a CD4 count of 203/mcl with pseudomembranous candidiasis, angular cheilitis melanin pigmentation and stomatitis. In a study performed by LalitShrimali to clinically evaluate and document the oral lesions in patients with HIV infections showed that oral candidasis was seen in 72% patients, lymphadenopathy in 42% and angular cheilitis in 36%. Xerostomia in 32%, recurrent aphthous ulceration in 22%, oral hairy leukoplakia in 2% were noted.[7] When it comes to dentists, it is always essential that, the patient diagnosed to be HIV positive, receives appropriate treatment for his/her oral condition to alleviate suffering. Later the patient should be referred to the concerned speciality to start with the antiretroviral therapy. Oro-pharyngeal candidiasis is the common fungal infection observed as the initial manifestation of symptomatic HIV infection[8,9, 10, 11]. Oral candidiasis can be treated either topically or systemically based on the clinical type, distribution, and severity of infection. Topical treatment is effective for small and accessible lesions with clotrima zoletroches, nystatin pastilles and nystatin oral suspension are effective for mild to moderate lesions. Topical amphotericin B can be used in the treatment for resistant candidiasis. Clotrimazole 1% cream, ketoconazole 2% cream and nystatin ointment are useful medications for Tongue is depapillated with angular cheilitis. melanotic pigmentation on Systemic treatment its dorsal surface. Angular for oral candidiasis cheilitis at angle of the mouth

Discussion

The prevalence of AIDS in Indian population when compared to worldwide data marks the importance of diagnosing the disease encountered in day to day practice. 30 to 80 % of the patients with HIV-AIDS suffer from oral lesions.[1]There is no particular oral lesion associated only with AIDS but there are certain manifestations which are associated very frequently and are considered as AIDS defining lesions. Hence it is possible to diagnose HIV by correlating oral manifestations with laboratory investigations. The AIDS defining lesions have been included in the clinical classification of HIV by CDC in category B. [2] Current classification of many oral lesions of HIV disease is based on their strength of association with HIV infection (Table 1).[3]The overall prevalence of oral manifestations in HIV-AIDS is changed since the advent of HAART. Hence a new classification of oral lesions associated with HIV was putforth (Table 2).[4] The oral manifestations of HIV- AIDS apart from helping the diagnosis of infection in an undiagnosed person, also act as a prognostic indicator.Reduction of circulating CD4 count is the main criteria for assessing the immunosuppression status in HIV-positive patients. The number of circulating CD4 cells ranges from 600 to 1600 cells/mm³, but the initial signs of immune suppression occur when CD4 count is lower than 500 cells/mm3. [5] In the study performed by Davoodi et al to determine the prevalence of oral soft tissue manifestations and their relationship with the degree of immunosuppression observed in HIV-positive patients, showed that immunosuppression was more severe in patients with pseudomembranous candidiasis

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involves the use of ketaconazole and triazole medications. Fluconazole is given in the dose of 100-200mg/ day for 7 – 10 days. Viral infections in HIV infection are more severe and show an aggressive course. Hence an aggressive treatment should be used comprising of Pale face with sunken eyes and both symptomatic scaly lips and specific treatment. Oral hairy leukoplakia, herpetic gingivostomatitis, herpes zoster, HPV infections CMV infections are common. Oral hairy leukoplakiaseen on the lateral borders of the tongue, as vertical white striations, corrugation, or as flat plaques bilaterallyis asymptomatic. OHL has been associated with EBV infection. This condition usually does not require treatment but use of oral acyclovir, topical podophyllium resin, retinoids and surgical removal are successful treatments.

necrotising ulcerative periodontitis, and less commonly bacillary epitheloidangiomatosis and syphilis. Linear gingival erythema is usually asymptomatic and requires no treatment. However oral prophylaxis with chlorhexidinegluconate reduces the erythema and may require prophylactic use to avoid recurrence. In patients with necrotising ulcerative gingivitis and necrotising ulcerative periodontitis oral prophylaxis with debridement of necrotic tissue is indicated. Use of chlorhexidinegluconate 0.12% mouth rinse twice daily with metronidazole 250mg orally qid for 10 days is helpful in healing of the tissues. Neoplasms like Kaposi’s sarcoma and NHL are common in AIDS. When only few lesions exist and are small(<1cm)intralesional chemotherapy with vinblastine or sclerotherapy with 3% sodium tetradecyl sulphate is usually effective. Radiation therapy 9800 -2000 cGy) is required for larger or multiple lesions. Non-Hodgkin’s lymphomais seen in stages with CD4 counts less than 100/mm3. It appears as a rapidly enlarging mass, common in the palate and gingiva. Patients should be referred to speciality clinics for radiotherapy and chemotherapy treatment. However, prognosis is poor; with mean survival time is of less than one year. With the advent of antiretroviral drugs and their continuous usage in HIV-AIDS patients, new spectrums of oral lesions have supplemented the list of oral manifestations associated with AIDS. Xerostomia is seen in patients onnucleoside transcriptase inhibitors, protease inhibitors as well as antihistamines, anticholinergics, antihypertensives, decongestants, narcotic analgesics, and tricyclic antidepressants.[14] Brittle tooth syndrome is one of the complications of xerostomia. Treatment for xerostomia focuses on symptomatic relief by encouraging patients to hydrate themselves frequently. Patients are also recommended to use commercially available artificial saliva substitutes like Sodium Carboxymethylcellulose 0.5% aqueous solution to achieve relief. The use of pilocarpine and bethanechol to stimulate salivary flow can also be useful.Erythema multiforme is a known side effect of non-nucleoside reverse transcriptase inhibitors.[15]The concerned physician has to be informed to replace the drug and oral lesions have to be treated.

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Herpes simplex and varicella zoster infections present with oral manifestations are diffuse mucosal ulcerations lasting for several weeks, accompanied by fever, malaise, and cervival lymphadenopathy. In HIV infection, herpes zoster frequently presents with early cranial nerve involvement, sometimes with multi-dermatomalor bilateral involvement and carry poor prognosis. The following medications can be used: Acyclovir 200mg, 1 capsule qid for 2 weeks, famcyclovir 250mg tid for 2 weeks, penciclovir 1% cream, 1% vidarabine ointment to be applied to affected areas qid. In post herpetic neuralgias cases carbamazepine 200mg bid to start; 800-1200mg qid should be used till symptoms subside. In case of focal epithelial and connective tissue hyperplasia caused by human papilloma virus , surgical removal, with or without intra-operative irrigation with podophyllium resin, is the treatment of choice.[13] In verruca vulagaris or condylomaaccuminata surgery or CO2 laser surgery is used. The most common oral lesions associated with bacterial infection are linear erythematous gingivitis,

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Conclusion

HIV-AIDS presents with a wide variety of oral lesions. A good knowledge of the disease itself, its oral manifestations and appropriate treatment options is necessary.A dentist plays an important role in the diagnosis of HIV- AIDS infection and in the provision of oral health care services to the patient. Asynchronised effort between a physician and a dentist can improve the overall health of the patient and provide a long term survival for the patient

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Dr Jithesh P

Nisarga health care

Garlic and Its Uses

Secretary Nisarga Hospital Sirsi, UK district - 581401 Ph: 08384-226578/225414 E-mail: drjithesh7@rediffmail.com Mob: 9448778153

Natural Weight Loss - Food: Garlic

ature has gifted us lots of things to keep our self healthy. One of those gifts is Garlic. Through the centuries, garlic has been both reviled and revered for its qualities. Today, the gossip about garlic and its apparent disease – preventing potential has reached a fevered pitch. For garlic lovers, that’s good news; adding garlic to dishes can punch up the flavor. When it comes to weight loss, garlic appears to be a miracle food. It contains the compound allicin which has anti – bacterial effects and helps reduce unhealthy fats and cholesterol. Some of the old stories of garlic’s healing powers have doubtful validity, but many of its properties have been backed up by modern scientific facts and research. There are two main medical ingredients which produce the garlic health

Dr. Loren P Saldanha dr.lorenpsaldanha@gmail.com

benefits : allicin and diallyl sulphides. Garlic is a sulphurous compound and in general a stronger tasting clove has more sulphur content and hence more potential medicinal value. Some people have suggested that organically grown garlic tends towards a higher sulphur level and hence greater benefit to health. In my experience it certainly has the best taste. Once you learn appreciate its pungency, most anything tastes better with garlic. And once you learn its possible health benefits, you may learn to love it.

Health benefits

The list of health benefits just seems to grow and grow. From preventing heart disease and cancer to fighting off infections, researchers are finding encouraging results with garlic. Behind all the grandiose claims are the compounds that give garlic its biting flavor. The chief health – promoting “ingredients” are allicin and diallyl sulfide, sulfur – containing compounds. Although allicin is destroyed in cooking, other helpful compounds are formed by heat or aren’t destroyed by it. This lets cooked garlic give you a health boost. Garlic also contains the powerful antioxidants C and E, and the mineral selenium. Garlic has been found to lower levels of LDL cholesterol, the “bad” cholesterol, and raise HDL cholesterol, the “good” cholesterol in the short term. Its effects last about three months when taken daily. It may also help to dissolve clots that can lead to heart attacks and strokes. Even when cooked, garlic helps keep cholesterol in your bloodstream from oxidizing and damaging the lining of blood vessels, which helps prevent the formation of plaque. Garlic has also been found to inhibit the growth of, or even kill, several kinds of bacteria, including Staphylococcus and Salmonella, as well as many fungus and yeast. Animal studies have found that garlic helps prevent colon, lung, and esophageal cancers. How much is enough? Researchers suggest you can enjoy the benefits of garlic.

Garlic Medicinal Uses ªª Garlic acts as an antiseptic & helps in curing the wounds very quickly. One of the health benefits of garlic is that it helps in fighting against various infection & acts against

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inflammation and infection, including colds, coughs by adding a freshly cut raw clove to food three times a day, raw is always best. In certain studies in China it has been shown that it contains chemicals that prevent cancer. They suggest that eating garlic on regular basis provides some protection against cancer. Fresh or cooked garlic or 500 mg garlic capsules twice daily helps in lowers down the blood pressure & cardiovascular problems. It increases the levels of high density lipoproteins & reduces harmful cholesterol in the blood & keeps arteries and heart healthy. It thins the blood, reduces clotting and helps in controlling blood pressure and poor circulation. Garlic stimulates the immune system of body & helps in fighting against various diseases. Prevents & relieves chronic bronchitis, respiratory problems, and catarrh. It acts as a nasal decongestant & expectorant. It is also helpful for hum oral asthma, hysteria, dropsy & scurvy. Garlic works as a cleanser of the digestive system, helps in curing flatulence, kills internal parasites and is an excellent internal antiseptic. Researcher recommends daily dose of fresh garlic of about 4 gm, equivalent to one or two small cloves for each & every person who wants to keep himself healthy.

Nutritional value

Garlic serving size : 3 cloves Calories : 13 Fat : < 1 g Saturated fat : 0 g Cholesterol : 0 mg Carbohydrate : 3 g Protein : < 1 g Dietary fiber : <1g Sodium : 2 mg

Side – Effects

Even garlic isn’t a perfect wonder drug. A part from garlic breath there are other possible side effects, especially if used to excess. Raw garlic is very strong, so eating too much could produce problems, for example irritation of or even damage to the digestive tract. There are a few people who are allergic to garlic. Symptoms of garlic allergy include skin rash, temperature and headaches. Also, garlic could potentially disrupt anti – coagulants , so it’s best avoided before surgery. As with any medicine, always check with your doctor first and tell your doctor if you are using it. Important : Research published in 2001 concluded that garlic supplements “ can cause a potentially harmful side effect when combined with a type of medication used to treat HIV / AIDS “.

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Selection and storage ªª Most varieties of garlic have same characteristic pungent odor and bite. Pinked – skinned garlic tastes a little sweeter and keeps longer than white garlic. Elephant garlic, a large – clove variety, is milder in flavor than regular garlic and should be used like a leek. But most varieties can be used interchangeably in recipes. ªª Choose loose garlic if you can find it. It’s easier to check the quality of what you’re getting than with those hiding behind cellophane. Its appearance can clue you in to its freshness, white – paper skins are best bet. Then pick up the garlic; choose a head that is firm to the touch with no visible damp or brown spots. ªª Don’t expect the flavor of garlic powder to mimic fresh garlic. Much of the flavor is processed out. Garlic powder, however, may retain some active components. Garlic salt, of course, contains large amounts of sodium -- as much as 900 milligrams per teaspoon, so avoid using it. ªª Store garlic in a cool, dark, dry spot. If you don’t use it regularly, check it occasionally to be sure its usable. Garlic may last only few weeks or a few months. If one or two cloves have gone bad, remove them, but don’t nick remaining cloves; any skin punctures will hasten the demise of what’s left. If garlic begins to sprout, it’s still okay to use, but it may have a milder flavor, just remove the tough, green sprout.

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HELPING TO ENSURE YOUR STEM CELL INSURANCE

NO OF STEM CELLS

“AS YOU AGE, YOUR STEM CELLS DECREASE IN NUMBER ALL THE MORE REASONS TO ENSURE YOUR STEM CELL INSURANCE IN VARIOUS STAGES OF YOUR LIFE” NEWBORN

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STEM CELL BANKING SERVICES

Therapy options in stem cells for

UMBILICAL CORD BLOOD CELLS CORD MESENCHYMAL STEM CELLS UPOASPERATE STEM CELLS BONE MARROW STEM CELL BANKING SIBLING DONOR PROGRAMME SKIN STEM CELL BANKING FACILITIES

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the following diseases

CEREBRAL PALSY:. OSTEOARTHRITIS: CHRONIC KIDNEY DISEASE: CHRONIC LIVER FALIURE DIABETIC, VENOUS ULCERS AND BURNS:

¾¾ S CTER provides banked allogenic epithelial stem cells on biocompatible membranes for rapid cover of wounds ¾¾ It also offer training to biotech students.

WHY WORK WITH US

ªª QA & QC, microbiology to molecular

ªª Highly skilled and experienced team of

biology tests done in ‘In House Facility’ and not dependent on vagaries of outsourcing problems. ªª SCTER is the only company that offers hopes for 1” and 2nd degree burns for rapid and scarless healing. ªª SCTER is the only company that offers ‘Epidermal-Melanin Unit Culture1 for stable vitiligo.

doctors and scientists.

ªª Already transferred technologies to hospitals across India.

ªª SCTER is the only company, in the process of

getting license for skin Stem Cell therapeutics. ªª All work done, as per guidelines from NACSCTR and ICMR. FOR FURTHER INFORMATION CONTACT Admin Office: STEM CELL AND TISSUE ENGINEERING # 16 “PADMAVATI ARCADE” 1st Floor, RESEARCH (P) LTD., Laboratory & Research Center: 601,11-A, BHAT BIO-TECH CAMPUS, 4th Cross, Veerasandra Industnal Area, Electronics City Bengaluru-560100. Kamataka, India, Ph.: 080-43514000 Fax: 080-43514001 E-mail: stemzzen@gmail.com

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1st Main Road, N R Colony BENGALURU- 560 019 Ph.080-43514000, Mob: 9845569733 Website:stemzen.com, email:stemzen@gmail.com

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Naturopathy Dr.Venkatraman Hegde BNYS MS Working President Nisarga Hospital Sirsi, UK district - 581401 Ph: 08384-226578/225414 E-mail: drvhegde@yahoo.com Mob: 9448729434

Dr. Loren P Saldanha dr.lorenpsaldanha@gmail.com

Bananas

This is interesting. After reading this, you’ll never look at a banana in the same way again.

t contains three natural sugars - sucrose , fructose and glucose combined with fiber, a banana gives an instant, sustained and substantial boost of energy. Research has proven that just two bananas provide enough energy for a strenuous 90 – minute workout. No wonder the banana is the number one fruit with the world’s leading athletes. But energy is not the only way a banana can help us keep fit. It can also help overcome or prevent a substantial number of illnesses and conditions, making it a must to add to our daily diet.

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Nutritional Facts and Information of Banana

Banana is rich in potassium. It also contains other minerals such as calcium, iron, magnesium and phosphorus in large quantities. It is also rich in fibers making it useful laxative. ªª Vitamin content of banana: banana is rich in vitamin C. It also contain vitamins such as vitamin A, and vitamin B, especially folate. ªª Calorie content of banana: banana contains about 90 to 93 calories per 100gms. This energy is easily absorbed by the body and hence eating 3 – 4 bananas daily, especially with milk, is often recommended to weight gain.

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Health benefits of banana ªª The nutritional value of banana makes it APRIL

useful for weight gain as well as constipation, bowel problems, anaemia, blood pressure heart problems, ulcers, brain stimulation, depression, nervous disorders, stress, morning sickness, menstruation, etc. Depression : According to a recent survey undertaken by MIND amongst people suffering from depression, many felt much better after eating a banana. This is because bananas contain tryptophan, a type of protein that the body converts into serotonin, known to make you relax, improve your mood and generally make you feel happier. Pre Menstrual Symptoms (PMS) : Forget the pills – eat a banana. The vitamin B6 it contains regulates blood glucose levels, which can affect your mood. Anaemia : High in iron, bananas can stimulate the production of hemoglobin in the blood and so helps in cases of anaemia. Blood Pressure : This unique tropical fruit is extremely high in potassium yet low in salt, making it the perfect to beat blood pressure. So much so, the US Food and Drug Administration has just allowed the banana industry to make official claims for the fruit’s ability to reduce

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levels by snacking on high carbohydrate foods every two hours to keep levels steady. ªª Ulcers : The banana is used as the dietary food against intestinal disorders because of its soft texture and smoothness. It is the only raw fruit that can be eaten without distress in over - chronicler cases. It also neutralizes over – acidity or hyper acidity and reduces irritation by coating the lining of the stomach.  Temperature control: Many other cultures see bananas as a “cooling” fruit that can lower both the physical and emotional temperature of expectant mothers. In Thailand , for example, pregnant women eat bananas to ensure their baby is born with a cool temperature.

the risk of blood pressure and stroke.

ªª Brain Power : 200 students at a Twickenham

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school were helped through their exams this year by eating bananas at breakfast, break, and lunch in a bid to boost their brain power. Research has shown that the potassium – packed fruit can assist learning by making pupils more alert. Constipation : High in fiber, including bananas in the diet can help restore normal bowel action, helping to overcome the problem without resorting to laxatives. Hangovers : One of the quickest ways of curing a hangover is to make a banana milkshake, sweetened with honey. The banana calms the stomach and, with the help of the honey, builds up depleted blood sugar levels, while the milk soothes and re – hydrates your system. Heartburn : Bananas have a natural antacid effect in the body, so if you suffer from heartburn, try eating a banana for soothing relief. Morning Sickness : Snacking on bananas between meals helps to keep blood sugar levels up and avoid morning sickness. Mosquito bites : Before reaching for the insect bite cream, try rubbing the affected area with the inside of a banana skin. Many people find it amazingly successful at reducing swelling and irritation. Nerves : Bananas are high in B vitamins that help calm the nervous system. Overweight and at work? – Studies at the Institute of Psychology in Austria found pressure at work leads to gorging on comfort food like chocolate and crisps. Looking at 5,000 hospital patients, researchers found the most obese were more likely to be in high – pressure jobs. The report concluded that, to avoid panic – induced food cravings, we need to control our blood sugar

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 Seasonal Affective Disorder (SAD) : Bananas can help SAD sufferers because they contain the natural mood enhancer tryptophan.  Smoking: Bananas can also help people trying to give up smoking. The B6, B12 they contain, as well as the potassium and magnesium found in them, help the body recover from the effects of nicotine withdrawal.  Stress : Potassium is a vital mineral, which helps normalize the heartbeat, sends oxygen to the brain and regulates your body’s water balance. When we are stressed, our metabolic rate rises, thereby reducing our potassium levels. These can be balanced with the help of a high – potassium banana snack.  Strokes : According to research in “The New England Journal of Medicine,” eating bananas as part of a regular diet can cut the risk of death by strokes by as much as 40%!  Warts : Those keen on natural alternatives swear that if you want to kill off a wart, take a piece of banana skin and place it on the wart, with the yellow side out. Carefully hold the skin in place with a plaster or surgical tape! So, a banana really is a natural remedy for many ills. When you compare it to an apple, it has four times the protein, twice the carbohydrate, three times the phosphorus, five times the vitamin A and iron, and twice the other vitamins and minerals. It is also rich in potassium and is one of the best value foods around. So maybe it is time to change that well – known phrase so that we say, “A banana a day keeps the doctor away!”.

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Health news

LIFE TIME ACHIEVEMENT AWARD for PROF .DR. B.T. CHIDANANDA MURTHY, at International Conference on Yoga & Naturopathy, held recently at BENGALURU. Prof. Dr.B.T.Chidananda Murthy was honoured with LIFE TIME ACHIEVEMENT AWARD in the field of Naturopathy & Yoga. Sri K.Ramadas, honourable Minister for Medical Education, Karnataka, Sr. K.H.Gopalakrishna Gowda, Secretary, Medical Education, Justice Sri Rama Jois M.P., Smt.Motamma, Opp. Leader Legislative Council, Dr.G.N. Srikantaiah , Director, AYUSH Dept. Karnataka, International & National acclaimed Swamiji’s were present. This coveted award has been presented to Prof.Dr. Murthy’s outstanding services and innovative contribution as senior Director of Dept. Of AYUSH, Ministry of Health & Family Welfare, Govt. of India , as senior Principal & Professor for B.N.Y.S. degree colleges in Karnataka, having served in Rajasthan, Haryana, Delhi, Pune, and Karnataka in various capacities for the betterment of Naturopathy & Yoga, specially for the field of Education.

Exercise tips for diabetes

done with the advice of their doctor.

Insulin-dependent athletes may need to decrease insulin doses, or take in more carbohydrates, prior to exercise. However, they may need to take an extra dose of insulin. This should be done with the advice of their doctor

‘Wear good, protective footwear to help avoid injuries and wounds to the feet.

Glucose levels swing dramatically during exercise. People with diabetes should monitor their levels carefully before, during, and after workouts. 1 Patients should probably avoid exercise if glucose levels are above 300 mg/dL or under 100 mg/dL. To avoid hypoglycemia (low blood sugar), people with diabetes should inject insulin in sites away from the muscles they use the most during exercise. 1 People with diabetes should drink plenty of fluids. Before exercising,-they should avoid alcohol and certain medications, such as beta-blockers, which increase the risk of hypoglycemia, This should be

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AYURPHARMA

uu A medicinal plant in your own yard tt

GARDEN MINT

Dr.Vasundhara Bhupathi No 222, 2nd E cross, 3rd Block 3rd Stage Basaweswara nagar Bangaluru 79 Mob: 9480334750

Mint is aromatic, removes bad taste in the mouth, clears Kapha and Vata disorders and relieves flatulence. Family Scientific name Common name Sanskrit Hindi Kannada Telugu Tamil Malayalam Marathi

LAMIACEAE Mentha viridis. L. Garden mint, Spear mint. Puthiha Pudina Pudina Pudinah Pudinah Puttiyana Pudina

Mints are the group of perennial evergreen herb (foliage). On distillation it yields essential oils containing a large variety of aroma-chemicals in varying composition. These oils and their aromachemicals in pure form command a large and worldwide demand in trade. By and large, Japanese mint (Mentha arvensis var, piperascense), peppermint (M.piperita), spearmint (M.spicata) and bergamot mint (M.citrata) are extensively cultivated for their oi] and aroma-isolates like menthol, carvone, linalyl-acetate and linalobl for use in pharmaceutical, food flavour, cosmetics, beverages and allied industries. In recent years, a number of minor constituents of these oils have also come to generate demand for several uses. Mentha viridis is the common mint used for its culinary properties. VARIETIES ªª Japanese mint: CIMAP-MAS-1 and CIMAP-Hybrid77 and Shivalik. ªª SPEARMINT: CIMAP-MSS-1, CIMAP-MSS-5 AND CIMAP-MSS-98. ªª Bergamot mint : Kiran ªª Pepper mint : Kukrail Chemical composition: Water — 84.90 gm Nitrogen — 5.90 gm Fat — 0.70 gm Starch — 8.8 gm Calcium — 400 mg Phosphorus—62 mg Iron—19.2 mg, Thiamin. — 0.05 mg Riboflavin — 0.26 mg Niacin — 1.0 mg Vitamin-C — 27 mg Vitamin-A — 6100 lu Oxalic acid — 3.8 mg

¾¾ MEDICINAL PROPERTIES ªª The chewing of the leaf keeps mouth fresh. AYURPHARMA

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Pudina helps digestion and reduces cholesterol. Pudina tea is good for cough and cold. Decoction reduces fever, Juice of pudina with ginger juice removes dyspepsia. The paste of pudina with turmeric is good remedy for pimples. Pudina juice with lemon juice and honey relieves abdominal pain and distention. If the leaves are chewed after food, it prevents caries tooth and strengthens gums. If pudina is taken in empty stomach it acts as anthelminthic. Gargling the pudina decoction improves the voice and removes throat irritation. Pudina decoction reduces abdomenal pain in women if consumed for a week before the menstrual cycle starts. It reduces the intensity. Pudina juice can be used for the healing of wounds. Caution - pregnant women should avoid the consumption of pudina in excess.

¾¾ OTHERS ªª Peppermint derived from pudina is used in the preparation of medicines and chemicals. Peppermint is also used in preparation of painkiller oils. It is used in lozenges (chewable tablets) m toothpastes. Experiments have shown that peppermint oil is helpful in widening the constricted blood vessels of heart and brain. ªª Since ancient times pudina is used in Russia. Pudina decoction was used in relieving stomach ache and cold. Garden mint oil was used as painkiller. Garden mint leaves are used in flavouring tea It was believed that the flavour of garden mint refreshes the mint and also relieves depression. ªª Garden mint was used to clean tables and chairs.

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RECIPE

Mint is acrid in taste and makes the mouth salivate. It is i very common ingredient in an Indian kitchen. Chutney: ªª Mint 1 part ªª Coriander 1 part ªª Chillies 3-4 ªª Cumin seeds 1 spoon ªª Tamarind ªª Salt to taste Grind all the above ingredients to a fine paste. It can

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h eaten along with roti, chapathi, vada, pakoda, bread, samos and what not. Salad: Cut cucumber, carrot, tomato, onion in to small pieces, Add cut pieces of mint and salt. Palav: Cut or ground mint can be added to the regular palav.

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Mint Aloo Dum:

Mint leaves 1 cup Potato 1A kg Onion 1 Cumin seeds 1 spoon Green chillies 4 Lemon juice ½ spoon Boil the potato. Peel off the outer skin. Fry the boiled potato in oil till it becomes brown. Grind cut pieces of onion, green chillies and mint. Mix this paste with mustard seasoning. Add the fried potato to this paste. Heat this under low flame for few minutes.

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Mint & Vegetable Curry:

Capsicum 2 Cauliflower ½ Carrot 2 Mint 1 bunch Tomato 2 Coriander ½ bunch Onion 2 Red chilli powder 1 spoon Garam masala 1 spoon Cumin seeds 1 spoon Salt to taste Splatter mustard in oil. Add all the cut vegetables. Cook till they get softened. Sprinkle red chilli powder, garam masala, cumin seeds and salt. Add cut leaves of mint and coriander. Mint Sharabat : Grind the cut mint leaves into a fine paste by adding water. Add jaggery or sugar. Ginger, cardamom and lemon juice can be added. Add sufficient amount of water. This sharabath can be taken in empty stomach early in the morning to get relief from indigestion, chest pain due to acidity.

¾¾ ªª ªª ªª ªª ªª ªª

Mint Parota :

Mint 2 bunches Green chillies 2 Grated coconut Salt to taste Wheat flour 4 cups Oil Cut the mint leaves. Grind green chillies and coconut. Make a dough adding these to wheat flour and salt. Make the dough in to small balls. Roll the balls using rollpin. Prepare the parota on hot tawa. Instead of mixing with wheat flour the ingredients can be used as stuff in the regular chapathi dough.

¾¾ Mint Chutney pudi : ªª Mint-2 bunches APRIL

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Bengalgram dhal 100 gms Blackgram dhal 100 gms Red chillies 75 gms Grated copra 1 cup Jaggery 50 gms Tamarind Salt to taste Oil 2 spoons Roast the grams till golden brown. Make a coarse powder. Roast cut mint leaves, red chillies, grated copra and tamarind with little oil. Mix all the ingredients with jaggery and salt. Make a thorough mix. Can be eaten along with hot rice and ghee or with dosa, idli, chapathi or roti etc.

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Mint Bread Palav :

¾¾ ªª ªª ªª ªª ªª ªª

Mint Papad :

Rice 2 cups ; Bread % loaf Mint 2 bunches Ghee 5 spoons Salt to taste Green chillies 5 Mustard 1 spoon Oil 1 spoon Wash the rice. Take ghee in a vessel. Heat and splatter mustard. Add cut chillies and mint leaves, salt and the washed rice. Roast for a few minutes. Add 4 cups of water. Cook the contents in a cooker. Cut the bread into small pieces. Fry them on low flame in ghee. Add to the cooked palav. ªª Mint Shankarapoli: ªª Maida 1 cup ªª Mint leaves ½ cup ªª Green chillies 4 ªª Ghee 4 spoons ªª Salt to taste ªª Oil for frying Grind mint and chillies. Add the paste to maida. Add salt, ghee and prepare the dough. Take small balls of dough. Roll them flat using roll pin. Cut into any required shape. Deep fry in oil. Rice Mint Salt Chilli powder Cumin seeds Asafoetida Soak the rice in water for one or two days. Dry under shade. Found the rice into fine powder. Grind mint, asafoetida, salt and chillies. Add the ground material to rice flour. Cook this mixture by putting slowly to hot water and stirring till it forms a paste. Make them into small balls. Roll them using roll pin. Dry under sunlight. The papad can be fried when needed.

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From my Diary

Dr.Shubhankari P. Rao Shubha Ayurvedic centre, 3o/3 Patalamma temple street Basavangudi; Bangalore-56 Ph. 08026578620 Email: drshubhankariprao@gmail.com

RULES OF BEHAVIOUR FOR THE DAY 1. 2. 3.

Infertility, Female disorders, skin diseases, Obesity, hair and cosmetic problems - the daily regime to be followed by every individual .This concept has important implications for today’s society who have been repeatedly challenged with stress , the many negative environmental influences and their consequences and the dangers created by the social norms and order .Incorporating daily life style teaches an individual the practical rules of behavior that prevent bioenergies from getting imbalanced .The body and mind remain free of stress which in turn strengthens the immune system and serves to protect from illness .

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Life style is divided into three groups Rules of behavior for the day Rules of behavior for the night Rules of behavior during different seasons of the year

WATER THE ENERGY TRANSFORMER

At 60 Lalitamma (name changed)still maintains the health of her skin in terms of moisture , elasticity and suppleness .Her body functions are optimal , joints and muscles are fit and fine , bladder and bowel functions are regular. Her secret of her health she contributes to drinking water a very important regime mentioned in the daily regime of Ayurvedic classics. “I spread my water intake throughout the day starting from early in the morning after brushing and rinsing my mouth and finish most of the quota before 6PM in the evening. The morning one is very important one as it rehydrates from overnight long sleep and gets my energy going she say’s”. You are naturally thirsty because of deficit of water in the morning and a glass of water helps your body flush out toxins it has been processing all night. Take advantage of this thirst to get a leg up on your daily water requirement by drinking a glass of water first thing in the morning. If you are cold, drink warm water instead of dehydrating

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and significant factor in loosing weight. Caffeinated beverages act as diuretics robs your body of necessary water. Soft drinks contain phosphorus which can lead to depletion of bone calcium. Fruit juices contain a lot of sugar and stimulate the pancreas. These drinks tax the body than cleansing it.

BENEFITS OF DRINKING WATER IN THE MORNING ªª Drinking eight prasrti approximately 768 ml of

ªª

coffee and tea. Although water does not provide energy in the same way as carbohydrates and fats do it plays an important role in energy transformation. Water is the medium in which all energy reactions take place therefore you need to drink water for health, stamina, fuel, building muscle etc. Even a small temporary shortage of water can impair your body functions .If your muscles become dehydrated by only a small fraction you loose a certain amount of contractile strength and speed. Half the country folks these days walk around dehydrated because they drink too much coffee, tea and sodas containing caffeine which prompts the body to loose water. To replace daily losses of water an average sized adult with healthy kidneys sitting in this type of climate needs a litre of fluid every day. If you are sweating and for some reason don’t or cannot drink water body will begin to squeeze water from its own tissues including the brain and the skin and that’s the cause of headache and dry and ragged skin. A tall cool glass of water will soothe your head and skin. Our body is engineered to get water in food, soup, fruits vegetables which are almost water and when we get water in the food matrix it stays with us for a while .Drinking water helps us to move things more efficiently and quickly so toxins wont be sitting in your gut for too long and they reduce the job for kidneys and liver.

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WHY WATER INSTEAD OF OTHER FLUIDS.

Water in terms of modern medical language is fat free, cholesterol free. Low in sodium, completely without calories and serves as an appetite suppressant and helps metabolize stored fat

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water in the early hours of the day during sunrise and before attending nature calls helps to keep all the three bioenergies in track. And the metabolic fire burning, The master’s assure the followers of this regime a lengthy life with a perfect libido. Ayurveda also speaks about nasika jala pana ie (drinking) sucking water through the nose .Nose is termed as the gateway to the head .As all the sensory centers are situated in the brain and the nasal passage is the easiest way to reach through aprox three prasrti 288ml of water is sucked in through the nose ( a special procedure –do not attempt till you are fully trained )A person who has mastered this process attains perfect intellect , perfect vision like that of a garuda ( birds eye view) and is free from old age, greying of hair and wrinkles of the skin. Have a quick glimpse of benefits of drinking water on all the systems in your body. Drinking hot water in the morning helps easy drainage from allergies and cold. The phlegm doesn’t stick and collect in your throat and lungs’ because your cough is more productive .Fever and throat problems are stories of the past. In proportion to the volume of water consumed Apana vata a type of wind bioenergy in the intestinal tract produces rhythmic contractions of the intestines therefore in people who are aged or in people of dry constitution there is deficit of water which further causes abdominal pain constipation and colitis... Water in the morning helps prevent constipation by adding fluid to the colon and bulk to the stools. This results in softer, easier bowel movements and help in preventing diseases like Arshas- piles grahani- sprue like syndrome, stomach and intestinal disorders. Our skin needs moisture to maintain elasticity and suppleness. Consuming the recommended dose of water allows us to us to look and feel the best Very little water makes our skin look dry, sensitive, lined and delicate. ªª Water is one of the fluids that lubricates and cushions the sleshma(the joints are covered by a lining membranous covering or sac bathed by a fluid called as sleshma) in our joints and muscles. This engineering of our joints helps in preventing friction, drying and enable

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equalize the temperature more efficiently making it as an important heat buffer. Blood transports oxygen to the muscles for activities such as exercise . If there isn’t enough oxygen in the blood the muscles create acid which causes painful cramps. Drinking more water helps to keep blood pumped with oxygen. ªª A healthy hydrated body removes waste with light yellow virtually odorless urine if you are not drinking enough water the darker urine is more highly concentrated and waste products linger in the bladder leaving you prone to cystitis and kidney infection.

Prevents fluid retention, edema (swelling)

When you are feeling puffy as women often do before periods drinking water is not your immediate thought. But it’s the best treatment for reducing fluid retention. If your body does not get enough water it senses there is a shortage of water and begins to retain every drop it needs for vital body processes.

KEEPS YOUR BREATH SWEET: ªª

ªª

Bad breath is a classic sign that you need to boost your water intake .saliva helps to cleanse the teeth of bad bugs and keeps the tongue hydrated. Lack of water dry’s the mouth leads to furry tongue and prevents the bad bugs from being washed away all of which can cause halitosis.

them to function smoothly like grease in between the wheel and the axle. If you have made up your mind to become slimmer outside and stronger within and want to get measurable results in obesity and weight related health problems drink the recommended glass of water early in the morning and half an hour before every meal. It dampens your appetite and helps prevent you drinking water with your meal which can decrease the absorption of nutrients. Here’s an easy way to enhance your self healing immune system and to keep your body alert to flush out poisons from things like junk food and additives we dump ourselves with. Dehydrated toxins hang over around in the liver making you tired and unable to concentrate .The recommended early morning drink of water swills the poisons out and gets the system moving again. Banishes bags, sunken eyes and under eye circles (are signs that you need water)with this rejuvenating drink. Eyes sink because there isn’t enough water to keep them suspended in the eye socket. Under eye circles are due to thin skin being bruised as fluid drains away. Body temperature is regulated by water. You wonder how? The chemical reaction in the body generates copious heat. Therefore chemically active part tends to have a temperature higher than the rest of the body. It is the water component of the blood that equalizes these differences of temperature as it circulates. It absorbs heat when passing through chemically active organs such as the liver and working muscles and release heat when passing through cooler tissues. The unusually high heat of water helps the blood

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GLASS FOR DRINKING WATER ªª Glass made of gold pacifies all the bioenergies and improves vision and is beneficial as a diet.

ªª Silver glass is useful for eyes, sight and pacifies

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bile bioenergy but increases wind and phlegm bioenergy. It is therefore not recommended for people who are cold in temperament. Copper glass increases intelligence, appetite, and prevents bleeding problems. Brass glass is a good wormicidals. Iron glass relieves swelling in the body jaundice and gives strength, Wooden glasses increase appetite. Leafy glasses increase taste, improve digestion and remove toxins and poverty. Copper glass is the most beneficial and the recommended one. In case it is not available the earthen pot is good. Crystal glass, glasses made of glass and vaidurya (gems) are cold and pious.Use them if you have them.

REMEMBER THIS

Early morning recommended dose of Water is a good Band –Aid for the body. Ayurvedic texts does not recommend this Healing drink for wind and phlegm related disorders, in subjects who have unhealed ulcers, for people undergoing five therapeutic processes or in those whose digestive fire has slackened.

ªª Continued in the next issue-----42

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uuHealth

focustt

Effects of Piles And Piles in pregnancy Dr T .V. RAMESH Medical director Dr. RAMESH HOSPITAL FOR PILES AND PROCTOLOGY ►BANGALORE 1st main, 7th Cross, Ganganagar, Bangalore – 32 Phone: 080-23336986/ 41172700 Email: rphosp@yahoo.com ►MYSORE No 410, Contour Road, 3rd Stage, Gokulam , Mysore -02

¾¾ Though the

ªª Depression ªª Isolation from friends and relatives ªª Fear to sit for long duration or walk long distance.

clinical explanation of the disease appears simple, the psychological and behavioral effects on the individual are mind-boggling ¾¾ During pregnancy women are more susceptible to piles. But this problem may resolve by itself completely soon after delivery Hence lesser the number of pregnancies, lesser is the chance of developing piles

Pregnancy and piles Women are more susceptible to piles especially during pregnancy. Increased venous pressure in the pelvis due to enlarged uterus presses on the pelvic veins, which in turn dilate the rectal veins. But the natures boon is such, that this problem may resolve by itself completely soon after delivery in most women. However, we should not forget that these women would develop piles in subsequent pregnancies also, alas! With increasing severity which may not resolve by itself. So, lesser the number of pregnancies, lesser in the chance of developing piles and women should restrict the pregnancies to one or two only. This along with preventing Piles also helps in promoting family planning programme, which is so essential to our society. Pregnant women with piles suffer extreme pain. Out of fear of pain while passing motion, such women refuse to eat sufficient quantity of food, thereby causing poor growth and weight in the new born babies.

Effect on individual behaviour

Though the clinical explanation of the disease appears simple, the psychological and behavioral effects on the individual are mind-boggling: ªª Mental irritation- leads often to quarreling or over reacting to ordinary situation in social and professional life. ªª Loss of concentration - especially at work ªª Loss of efficiency in profession

Will be continued in further issues.……………….. Next issue --- Home Remedies

Beauty aromaz house of beauty herbal products

ªª Essential oils ªª Body massage oils

ªª Hair care oils ªª Whitening pack ªª Dandruff Pack

For further details contact:-

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e-mail: shree_mktd@rocketmail.com

Shree Marketing 43

ªª Skin & hair gels ªª Pimple pack

Mob: 9342865848

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Summer care Summer is the warmest of the four temperate seasons, between spring and autumn. Summer is traditionally associated with hot dry weather, but this does not occur in all regions. Taking care of health in summer – here are the tips: --

ªª Wear a visor or hat with a brim – to give your face

ummer and skin: The sun is enemy as well as friend. Sun provides us with life itself, and with many of its pleasures. All most all skin cancers are the result of exposure to the ultraviolet radiation of the sun. Sunburn can strike more easily than you might think. Fortunately, there are easy ways to protect you from the dangerous rays of the sun. Sun protection - minimizing exposure when the sun is at its peak, wearing protective clothing, including a wide-brimmed hat and sunglasses, using a sunscreen Simple steps below to have fun in the sun and still protect yourself from sunburn and keep your skin healthy and young looking. ªª Don’t forget the sunscreen ªª If you are planning to be outdoors for any length of time, dress accordingly. ªª Tanning salons are dangerous, too ªª Moisturize ªª Try to avoid running between 10 a.m. and 4 p.m., when the sun’s intensity is at its greatest

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extra protection Summer and hair: Summer sun, spiraling hot temperatures and related humidity may damage your hair’s cuticle resulting in dry, drab, split, brittle or frizzy hair ªª Summer sun, spiraling hot temperatures and related humidity may damage your hair’s cuticle resulting in dry, drab, split, brittle or frizzy hair ªª use a special UV protection for your hair ªª get a good hat (wide-brimmed) if possible, or scarf that hides your hair ªª Do not change the color of your hair when you are on vacation ªª Put a deep conditioner in your hair as a barrier Summer and diet: The risk of food borne illness increases during the summer when temperatures are warmer and people are more likely to be cooking outdoors. ªª Do not drink very chilled liquids. ªª Avoid caffeinated or carbonated beverages, alcoholic beverages, and those high in sugar. ªª Water is the best option to quench thirst. ªª Limit all strenuous activity. ªª Minimize the intake of dried fruits. ªª Avoid sugary foods ªª Cut the intake of fried foods ªª Maintain good hygiene levels. ªª Include lots of fruits and vegetables Summer and dress: Crucial rules on how to dress for summer, whether you’re on land, on sea, or traveling in between. ªª Go flowery - They give you the feel of freshness and high inspiration ªª Go for plain single color ªª Don’t pack light. Pack smart. ªª No socks with deck shoes. Bare ankles only,

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Summer and eye care: Summers result in the development of many eye conditions such as conjunctivitis, sty, dry eyes and so on. ªª Buy sunglasses with UV protection ªª Wear sunglasses even when cloudy ªª Wear larger style sunglasses ªª Choose sunglasses with polarised lenses ªª Maintain your glasses ªª Keep hydrated ªª The recommendation is to drin ªª Avoid the midday sun

Summer and travel tips ªª Take The Time To Pack ªª Skin creams, hairsprays, body lotion--all those products take up tons of space. Drink lots of water Pack Healthy Snacks Keep Your Clothes Clean We recommend putting on sunscreen before you even put your bathing suit on, so you can make sure to cover your whole body,” ªª Stay fresh

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Summer and beauty tips ªª Get a glow on by exfoliating ªª Protect your skin with a sunscreen with minimum ªª ªª ªª ªª ªª ªª ªª

15 SPF. Stay on-trend with pink lipstick

Sun Protection

Use sunscreen be careful of expiry date. Apply first coat of the sunscreen 20 minutes before going out in the sun and second coat of the sunscreen 20 minutes after going out in the sun. Reapply the sunscreen if you are out in the sun for a long time. Recoat the sunscreen after swimming or being in water. Try to do the heavy exercise in the cool hours like in the duration of 5-7 a.m. Use glasses to protect your eyes from the harmful U.V. rays. Infants under 6 month must be kept out of the sun. Sunrays can be equally hazardous in the cloudy day.

ªª ªª Summer Make-up Tips ¾¾ If you wear mascara, try a waterproof. ¾¾ A matte powder over foundation is better than

heavy foundation lotions and creams that will look patchy once you sweat a little. ¾¾ Lips need protection, so it would be best to apply a lip gloss or lip balm Make sure ¾¾ you carry eyemake-up remover with you so that you avoid dark

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circle which can be a natural consequence of waterproof eye make-up. Pink is a shade that looks more natural in lipsticks in summer. A creamy lipstick will be friendlier on the lips than matte lipsticks and will also last longer. Nails are best kept short and practical at this time of the year. A lighter shade will save you the time in redoing your nails every now and then as the chips will not be obvious. Leave your foundation in the refrigerator. When you smooth it on, the heat from your face will melt it into your skin making it look like you have naturally perfect skin. Smudged eyeliner or kajal can look great on summer evenings and you can get this effect by heating the tip of your eye pencil with a lit match just before lining your eyes. Bright and dark shades of nail polish look better on feet in summer, especially if you plan on walking around barefoot or in open sandals.

Summertime can be great for your skin if you follow a few basic rules to take care of those areas that are most prone to damage—skin, hair and eyes. Keeping yourself adequately hydrated, adding essential nutrients to diet to avoid the heavier fats and proteins, taking plenty of vitamin C in the form of citrus fruits and juices, and getting the minimum 8 h of sleep can help you going through summer with good looks and great relaxation.

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Summer Life

Save your child from Hidden Summer Dangers lthough you should make every effort to keep your kids safe year-round, it is especially important in the summer when most kids are out of school. Hot temperatures and more time spent outdoors, perhaps unsupervised, can put kids’ health and safety at risk.

ªª Supervise your kids around the pool, even if they

Sun and Summer Heat

Other Summer Safety Tips

The most obvious hidden dangers in the summer include: ªª Heat stress and heat stroke, which can be prevented. Keep kids well-hydrated, take frequent breaks when playing outside, and watch for symptoms such as thirst, cramps, fatigue, dizziness, nausea, vomiting, headaches, and fever. ªª Getting burned on metal slides or other hot playground equipment. ªª Sunburns--Apply sunscreen on their children to avoid sunburns

In addition to using sunscreen, supervising kids around water, and protecting your kids from the heat, you can keep your kids safe this summer by: ªª Keeping younger kids away from lawn mowers. ªª Using insect repellents when necessary. ªª Observe kids playing outdoors. ªª Outfitting your kids with appropriate protective gear, such as a helmet and pads, when they ride a bicycle, skateboard, or scooter. ªª Don’t let your kids play with fireworks. ªª Don’t feed the food that has been left out for more than an hour, which can cause food poisoning. ªª Teaching your kids to recognize and avoid poison. ªª Keep your home well-childproofed. ªª Encourage your child to be active and eat a healthy diet all summer long avoid junk food, leading to overweight.

know how to swim.

ªª Always have your child wear a life vest, even if they know how to swim.

ªª Take your child to swimming lessons once he or she is four to five years old.

Water Safety Tips

Many families try to escape the summer heat in a pool or nearby lake. To keep your kids safe around the water be sure to: ªª Fencing your pool with a self-closing and selflatching gate is important.

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Health and old age

elderly person to remain active and engaged in society. The civic bodies or the government agencies can do many things by recognizing the experiences of elderly persons who retired in the banking or the government sectors. The retired persons can be nominated to various committees at the ward, panchayat, corporation, and state level bodies to take their suggestions on subjects of their expertise. Most of the awareness campaigns become successful with the involvement of the senior citizens. The young people who are residing in apartments can rope in the services of senior citizens in various association activities of the apartment during the festival or normal days. Nominating or electing them as the president or office-bearer of the association will not only bring in their experience but also helps them remain active and fit. Meanwhile, they can also motivate younger ones to involve more in such activities. Offer praise and support when the elderly person completes the activity. Acknowledgement is important to everyone and the elderly are no different. Praise can go a long way to helping a senior feel motivated to continue the activity in the future.

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nvolvement in community works helps elderly persons not only share their experience with the youth but also help to remain fit and active. The Indian family has traditionally provided natural social security to the old people. However, in recent times, with joint families breaking up, elderly increasingly find themselves having no space in a nuclear family. Several face destitution to fend themselves as their children don’t live with them. Some faces destitution due to neglect and property disputes. Lonely families is become a common factor in cities. Most of the single woman hire or purchase flat in an apartment for security and other reasons. It is often assumed, and sometimes argued, that the absence of familial care and surroundings induce feelings of loneliness among the residents of old age homes. Many argue that breaking up of large families into nuclear units is resulting mostly from migration of the young to other countries, assertion of individuality and self expression of the generation entering adulthood. “It is wrong to blame children because they are familiar with only the existing ‘use and throw’ culture,” says A S Srinivas (75), a retired school teacher, living in Nagarabhavi for the past eight years. An inmate of an old age home, he says betrayal prevails everywhere and so it does with our children. “But I never betrayed my parents, he quickly adds. There are ways where aged or elderly people can live happily by actively involving in numerous activities. Elderly people can share their long-cherished career experience with young people in several ways. This will also help aged people to remain active and healthy. Majority of older women feel daughters-in-law are the reason behind separation. But 80-year old Kavitha refutes: “It is not always true. My daughter is my enemy because of her advice my unmarried son deserted me.” Married to an alcoholic at the age of 13, Kavitha fought with her husband and poverty to save and raise her children. She did all kinds of odd jobs and spent her earnings on their education. Today she lives in an old age home bitter enough to advise that “don’t believe your children, they ditch you when you need them the most.” Tips to remain active Here are a few things you can do to motivate

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O ther tips that will help elderly to remain active are: ªª Involving in community/voluntary activities of 47

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and young students, who participated in a NSS camp in the outskirts of Bangalore recently.

Health tips to elders ¾¾DO’S & DONTS ªªEvolve a life style that emphasis good

a school, club, association, temple civic body or NGO. For example a elderly doctor can offer subsidized or free medical services in a locality ªª Supporting their children in various activities without disturbing latter’s work. ªª Reading books, writing to newspapers, attending lectures and cultural activities ªª Regular walking and excise and traveling The government and private enterprises must utilize knowledge of senior citizens and treat them as a human capital. There is a need for a different kind of ‘social reform’ in addition to economic reforms that are currently being talked about. It was observed from the National Sample Survey’s national level data that more than 80% of elderly people do actually participate in social matters (bit more on religious matters) and contribute to sustain social and environmental development. Both central and state governments should make efforts to utilize experience of senior citizens and appoint them in areas where justice be delivered and practices of good governance adopted. For instance, senior citizens could be appointed in local ombudsmanship, village protection committees, forest committees, water management committees. Dr. Prabhu feels old age homes should be banned so that children are forced to take care of their aged parents. A wholesome and happy family constitutes a house which is filled with elders to advice, youngsters to do mischief and parents to teach - was the unanimous opinion of both elders

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ªª ªª ªª

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nutrition, personal hygiene, adequate exercise, rest, moderation in eating habits and above all a positive mental attitude. ªªDo not ignore unusual and suspicious symptoms relating to your health. Have regular health checkups even if you feel healthy. ªªEnsure that you have a Family Doctor and avoid change of Doctors frequently. Avoid self medication and over the counter drugs. ªªMaintain a file of all your medical records which can be accessed by your family members whenever required. Carry with you a card containing your name, address, phone numbers of contact persons and your Doctor along with particulars of your drug regime Do not stop your medicines all of a sudden without doctor’s advice. Cultivate good oral care to prevent infection. Do not be averse to artificial dentures. It improves food intake, digestion, clarity of speech and facial features. Keep yourself physically, mentally and socially active. Read and write in sufficient light There is no specific dietary rule for elders. Eat healthy food and avoid over eating. Consume a diet high in fibre, low in animal fat and salt. Have a good and nutritious breakfast, moderate lunch and light dinner. Include lots of fruits and vegetables in your diet. Avoid fatty and spicy foods. Ensure that you drink 6 to 8 glasses of water a day. Ensure that you take a multivitamin tablet daily for better supply of Folic Acid, Vitamin B12, D and E. Do not indulge in vigorous exercises. For elders light exercise like walking is the best. Do not be reluctant to rest and relax. ªª As far as possible avoid emotions such as depression, worry, fear, sorrow, envy, hate, resentment as they can adversely affect your health and cause visible physical disabilities. Remember that anxiety places more stress on the heart than any other stimulus.

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K K Pradeep Tejus crisis and Trauma Foundation # 807, 1st floor, Garden street, R S Palya, Bangalore 560033 Ph 080-25454829

SPINAL CORD INJURIES The spinal cord runs from the base of the brain down the middle of the back and ends just above the waist. It is made up of nerve cells and long nerve fibers that relay all information between brain and rest of the body. Thirty-three ring-shaped bones called vertebrae form the spinal column (spine) and protect the spinal cord. If these bones are broken or damaged, spinal cord is injured & result in varying degree of paralysis. But broken vertebrae doesn’t necessarily mean spinal cord injury. If such a patient is shifted properly without exaggerating bone injury, spinal cord is protected& hence, life long paralysis is avoided for which patient will remain ever grateful.

any numbness or tingling, the spinal injury can be suspected. ªª Touch each of the injured person’s vertebrae with moderate pressure, from the top of the neck to the bottom of the back. If any pain is present, there may be a spinal injury. Warning - When there is a doubt, always assume a spinal cord injury is present HOW TO LOG ROLL AN INJURED PERSON DURING FIRST AID? (When insulating pad or spine board is available)

Motor vehicle accidents Falls Acts of violence Sports & recreational injuries Diseases - spondylosis, disc herniations, tumours HOW TO RULE OUT A SPINAL CORD INJURY DURING FIRST AID ?

ªª Warning - At least four rescuers of whom three

ªª ªª ªª ªª ªª

CAUSES

MANAGEMENT ªª Ask the injured person his or her name, the location,

ªª ªª

ªª

PREPARATION STEPS ªª Appoint a Leader - The most experienced person on the scene is the leader, who issues all commands strong adults are must.

POSITION THE RESCUERS ªª Place the leader at the top of the injured person’s head, facing the injured person’s toes. The leader holds the head with both hands, stabilizing it by holding firmly and allowing no motion. ªª Position two other rescuers on one side of the injured person, one at the chest and one at the

the time of day, what & how happened? If the person cannot accurately answer at least the first three questions, he or she is not a “RELIABLE PATIENT,” and a spinal cord injury cannot be ruled out. Look for any signs of drug or alcohol use. If any are present, the patient is NOT RELIABLE. Check for “DISTRACTING INJURIES”- injuries painful enough to distract the injured person from spinal discomfort. If any are present, a SPINAL CORD INJURY cannot be ruled out. Press lightly on one finger nail on each hand, and one toe nail on each foot. Watch for the pink coloring to return within two seconds of the release of pressure. If it takes longer, it may be an indication of BAD CIRCULATION RESULTING FROM A SPINAL INJURY. Have the injured person move his or her fingers and toes. If any motion is difficult or impossible, or if the person is abnormally weak, there may be a spinal injury. Squeeze the fingers and toes gently. If there is

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pelvis.

ªª Place the pad or board along the other side of the injured person, as close to him or her as possible. ªª Direct the rescuer positioned at the chest to reach across the injured person and grab hold of the upper arm and shoulder. ªª Direct the rescuer positioned at the pelvis to reach across the injured person and grab hold of the lower back and pelvis.

ROLL THE INJURED PERSON ªª Roll the injured person upon the leader’s call:

“ROLL ON THREE -ONE, TWO, THREE!” Slowly and carefully roll the injured person until he or she is on his or her side. ªª Direct the one remaining rescuer to push the pad or litter to where the injured person was just lying.

TIPS

Error - Unknown switch argument. Nestle the pad or litter right up against the injured person so that he or she will be centered on it when rolled back down. Warning Error - Unknown switch argument. Roll as a unit and at the same speed in order to avoid twisting the spine or neck.

Lower the Injured Person

Roll the person down on the leader’s call: “DOWN ON THREE -ONE, TWO, THREE!” Slowly and carefully lower the injured person until he or she is down onto the pad or litter. Place heavy towels or sandbags to aid in stabilizing the neck, stabilize whole body with strappings fastened around the body. HOW TO MOVE A PERSON WITH A SPINAL INJURY DURING FIRST AID? (When spine board is not available)

the two arms of the waist lifter.

LIFT, MOVE AND LOWER

Place the hands, underneath the injured person. Nestle the hands and forearms as far under the person as possible, being careful not to jar the injured person. Lift the injured person on the leader’s call: “LIFT ON THREE- ONE, TWO,THREE!” Elevate as high as necessary to avoid any obstacles along the route. Move the injured person on the leader’s call: “MOVE ON THREE - ONE, TWO, THREE!” Lower the injured person on the leader’s call: “DOWN ON THREE. ONE, TWO, THREE!”

TIPS

Squat, with the back straight,-when getting in position. Lift with the legs, keeping your back straight, in order to maximize lifting power and minimize the risk of back injury to yourself.

TREATMENT OPTIONS

In the hospitals, patient will be treated on an emergency basis for spinal shock. Next treatment options available areªª Medications- Methyl Prednisolone, if given within 8 hours, helps in recovery ªª Immobilization - Cervical Traction, Braces, Traction may help bring spine into alignment & maintain in neutral position. ªª Surgery-Removes the pressures stabilize spine

LONG TERM OUTLOOK

Proper shifting, immediate treatment & good rehabilitation will go a long way in helping patients to recover & lead a meaningful life,

STEPS ªª Appoint a Leader - The most experienced person

on the scene is the leader, who issues all commands

ªª Warning - At least five strong adults are needed Position the Lifters ªª Place the leader at the top of the injured person’s

head, facing the injured person’s toes. The leader holds the head with both hands, stabilizing it by holding firmly and allowing no motion. ªª Position two of the other rescuers on one side of the injured person: one at the chest, one at the pelvis. ªª Position the other two rescuers on the other side of the injured person: one at the waist, one at the legs. ªª Visualize where each rescurer’s arms will go by having each rescuer hold their arms, palms up, over the portion for the injured person’s body that they plan to lift

TIPS

Error - Unknown switch argument. Position the arms so that those of rescuers on opposite sides interlace. For instance, the arm of the chest lifter that is closest to the injured person’s toes will be in between

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Partha Bagchi Director Stammering cure center House # 145, 23rd cross, 12th main, Jayanagar 3rd Block East, Bangalore 11 Near to Jaya Nagar swimming pool Mob: 98860600037

Family tips by Partha Bagchi Cooking tips ªª Redden your curries by removing the seeds of two red chillies(Kashmiri chillies which are less hot) and soaking them in water. On softening crush them with the water and add into your gravy. Remember it might turn out to be slightly spicy. ªª For green peas to retain their colour coat them with a little oil. ªª Sieved semolina or crushed cornflakes make a good substitute for bread-crumbs while frying.

Dress care tips ªª Zaris and expensive saris with lots of embellishments can

be prevented from turning black by keeping a small bag of ajwain in your cupboard or wardrobe. ªª Washed curtains and bedsheets are better manageable when ironed damp. ªª De-odourise woollens by soaking them in a solution of one tablespoon borax powder in a litre of water for 15-20 minutes. ªª Never wring, drip, rub, scrub, twist woollens as this will cause loss of shape and shrinkage.

Home tips ªª Mirror in the dining area seem to multiply the health and happiness of the family.

ªª Pictures of fruits or a bowl of fresh (real) fruits in the dining area promotes good energy and symbolizes abundance of food and wealth. ªª Separate stuck photographs by - blowing them apart using a hair dryer on low. ªª Cut the rose stems under water to prevent bubbles blocking the uptake of water and resulting in dried,limp flowers. ªª Place a cup or bowl of rock salt to absorb excess moisture in each room at the corners on the floor.

House hold utensil care tips ªª Brass and copper utensils will sparkle if a little ash and a lime is used to clean.

ªª Rub a mixture of tamarind paste and detergent powder onto copper and brass vessels to sparkle them bright.

ªª Start cooking in a pressure cooker keeping pieces of lemon or lime or tamarind to save from scrubbing the stains.

Kitchen storing tips ªª Refrigerating boiled eggs may cause the white portion to be watery.

ªª Refrigerating mayonnaise may cause it to separate. ªª Refrigerating cooked potatoes may cause them to acquire a darkened texture.

ªª Refrigerating fresh greens and carrots, celery may cause them to become limp.

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Gynecologic problems

Dr B Ramesh Dr. RAMESH HOSPITAL # 6/63, 59th Cross, 4th Block, Rajajinagar Entrance, Opposite to MEI Polytechnic, Bangalore - 560 010 Ph: 080 - 23151873 Mob: 9844291777

HORMONE REPLACEMENT THERAPY (HRT)

A boon for women

Hormone replacement therapy (HRT) is a medical treatment for women who have reached or are nearing menopause or if their uterus and ovaries have been removed due to some disease

HRT prevents and reduces discomfort caused by decrease in level of female hormones oestrogen and progesterone levels. The main types of hormones involved are oestrogens, progesterone or progestins. It is often given as a short-term relief (usually less than five years) from menopausal symptoms (hot flushes, irregular menstruation, fat redistribution etc.}. Younger women with premature ovarian failure or surgical menopause may use hormone replacement therapy for many years, until the age that natural menopause would occur.

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Who should not take HRT?

Those women with undiagnosed vaginal bleeding, liver disease, pregnancy, heart disease, clots in blood vessels, and cancer of the uterus should not take HRT. Those women with history of migraine headaches, breast cancer, ovarian cancer and gallbladder disease should be careful about taking this treatment. It is important to weigh the risks of taking hormone therapy against the benefits that the woman might have from taking these hormones.

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Benefits of hormone therapy

The main symptoms of menopause that are benefitted with hormone replacement are hot flushes, night sweats, sleep difficulties, vaginal dryness, and anxiety. Hormone therapy may also prevent the development of osteoporosis or weakening of bones.

¾¾ Risks of hormone therapy ªª Blood Clots: It has been long known that taking

oestrogen increases a person’s risk for blood clots especially if the person is a smoker. ªª Breast Cancer: Woman who takes oestrogen therapy for a long period of time has a very small risk for breast cancer this has been highlighted so much that people are scared of taking this therapy. Actually the benefit of therapy far exceeds the slight increased risk of breast cancer. ªª Cancer of the Uterus: The risk for cancer of uterus is more than five times higher in women who take only oestrogen. However, taking progesterone with oestrogen seems to protect against this cancer. ªª Heart Disease: Oestrogen may increase the risk of

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heart disease in older women or in those who began oestrogen use, more than 10 years after menopause. Side effects of hormone therapy

Some women taking hormone therapy may have headache, stomach upset, bloating, and diarrhea, loss of appetite and gain of weight. Other side effects are acne, swelling of hands, feet or lower limbs due to accumulation of fluid. Some people may also develop breast discomfort. Changing the dose or form of hormone therapy may help reduce these side effects. Close follow-up with one’s doctor is important when there is unusual bleeding.

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Forms of hormone therapy

Hormone therapy is available in various forms. Oestrogen comes in different forms such as nasal spray, pills or tablets (most common}, skin gel, and skin patches, which are applied to the thigh or belly area. Vaginal creams or tablets are available which help with dryness and pain during an intercourse. Non-hormonal medications can be used instead of hormone therapy. These treatments include Phytoestrogens or plant hormones like soy proteins and isoflavones. A woman can take other steps to adjust to the changes in life during menopause. Eating healthy foods and getting regular exercise will improve quality of life.

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Follow- up after HRT

Follow-up includes checking blood pressure and breast examination every 6 months. If the woman has irregular uterine bleeding, then she should consult the doctor immediately.

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Stopping HRT

Menopausal symptoms (hot flushes and sweats) last on average between 2-5 years. A trial of withdrawal of HRT should be considered in:— ªª Those women symptom-free on HRT after 1-2 years. ªª Women who have been on HRT for longer than 5 years. ªª Women on HRT for premature menopause after the age of 50.

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FROM THE HOUSE OF MEDIA ICON

BANGALORE HEALTH INFO GUIDE - launching soon A to Z on health sector

Enroll your medical establishments We are planning to publish health info guide a medical directory covering all information regarding health sector. This directory also available in bangalorehealthtv.com and bangalorehealthinfo.com

Here we have a special proposal for you if you are interested in listing the same - the proposals are as follows:

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First benefit

Your hospital/ clinic/ institution’s – Name, Phone number with address will be published in the directory and in health portal for one year.

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You will get free subscription of both VYDYA LOKA & HEALTH MAG magazines for one year and ªª A copy of directory

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Your medical search may end here APRIL

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IngeneRx Laboratories Private Limitied, No. 39, 18th Main, 4th Sector, HSR Layout, Bangalore-560102 Ph.: 080-325551128 Mob: 09449080139

REGISTERED WITH THE REGISTRAR OF NEWS PAPERS AYURPHARMA FOR INDIA UNDER NO. MAG(3)/NPP/339/2006-07 ENGLISH MONTHLY APRIL 2012, RS 30/-

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