Aug Eng 2012 by Media Icon

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AYURPHARMA

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HEALTH MAG AYURPHARMA

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Contents

A Complete Family Magazine on Health, Pharma & Ayurveda

Umbilical hernia

Colon Cancer

EPSOM SALT AND ARTHRITIS

Multiple gestations

UVEITIS

Nutrients for Eye Health

A medicinal plant in your own yard

Hair hygiene

Hair Transplantation Some facts -------

Anaemia

Health news

commitment and excellence in life

HEALTHY LIVING

Self confidence

WALKING

India - Medical Tourisms destination

Cooking tips

Health news

NOVEL BRAIN TUMOR SURGERY

Health news

Design Chandrashekar Gajani Purushotam K.

- Design Editor - Art Director

Doctors, Hospitals can send their articles and BANGALORE HEALTH INFO GUIDE Programs deatails and photographs to - launching soon mediaicon@ymail.com or to the Address bangalorehealthtv.com and bangalorehealthinfo.com AUGUST

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General health Dr. Chalapathy

Umbilical hernia is a common and typically harmless condition. Umbilical hernias are most common in infants

Professor of General Surgery Vydehi Hospital Whitefield, Bangalore – 66 Ph: 080-28413381/2/3/4

Umbilical hernia

n umbilical hernia occurs when part of the intestine protrudes through an opening in the abdominal muscles. Umbilical hernia is a common and typically harmless condition. Umbilical hernias are most common in infants, but they can affect adults as well. In an infant, an umbilical hernia may be especially evident when the infant cries, causing the baby’s bellybutton to protrude. This is a classic sign of an umbilical hernia. Many umbilical hernias close on their own by age 1, though some take longer to heal. To prevent complications, umbilical hernias that don’t disappear by age 3 or those that appear during adulthood may need surgical repair. ¾¾ Symptoms An umbilical hernia creates a soft swelling or bulge near the navel (umbilicus). If your baby has an umbilical hernia, you may notice the bulge only when he or she cries, coughs or strains. The bulge may disappear when your baby is calm or lies on his or her back. Umbilical hernias in children are usually painless. Umbilical hernias that appear during adulthood may cause abdominal discomfort. ¾¾ When to see a doctor If you suspect that your baby has an umbilical hernia, talk with your child’s pediatrician. Seek emergency care if your baby has an umbilical hernia and: ªª Your baby appears to be in pain ªª Your baby begins to vomit ªª The bulge becomes tender, swollen or discolored Similar guidelines apply to adults. Talk with your doctor if you have a bulge near your navel. Seek emergency care if the bulge becomes painful or tender. Prompt diagnosis and treatment can help prevent complications. ¾¾ Causes

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During pregnancy, the umbilical cord passes through a small opening in the baby’s abdominal muscles. The opening normally closes just after birth. If the muscles don’t join together completely in the midline of the abdomen, this weakness in the abdominal wall may cause an umbilical hernia at birth or later in life. In adults, too much abdominal pressure can cause an umbilical hernia. Possible causes in adults include: ªª Obesity ªª Multiple pregnancies ªª Fluid in the abdominal cavity (ascites) ªª Previous abdominal surgery ¾¾ Risk factors Umbilical hernias are most common in infants

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HEALTH MAG AYURPHARMA

A Complete Family Magazine on Ayurveda, Health & Pharma Volume-3 Issue-8 August 2012

Editor Speak

CHIEF EDITOR D A Kalpaja

Rain and health

EDITOR Shri Krishna M

PUBLISHED BY MEDIA ICON No 2 & 3, Janani, 1st Floor, 7th Cross, Central Excise Layout, Sanjay Nagar Bangalore 94 Phone: 8197554373 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

Consulting Editors 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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Rainy season is not considered favorable from the health perspective

taying healthy during the monsoon season requires particular care to be taken. The rain and water lying around makes it easy for mosquitoes to breed. With the rains several potential health problems arises. By protecting us with the right precautions is a great deal of worry.

Seasonal concerns

Coughs, colds and flu, Fever, Dealing with extreme weather, Mosquito-related problems like Dengue, Malaria, Mosquito repellents, and so on… So avoid unhealthy diet. and have only recommended diet.

Recommended Diet: Eat light foods like vegetables, fruits, cereals, Eat foods which are drying in nature, the most popular being makka (corn), chana (chickpea), besan (gram flour), jow (oats). Consume a lot of bitter vegetables like karela (bitter gourd) and bitter herbs like neem (basil), methi (fenugreek) seeds, haldi (turmeric) as it prevents infection. Unhealthy diet: Potatoes, cauliflower, cluster beans, and ladies’ finger among vegetables, pigeon pea, kidney beans, urad and sprouted grains should not be consumed. Avoid heavy salty food as it promotes water retention and bloating, avoid too much of meat or fish, Avoid foods which are very sour like tamarind (imli), chutneys and pickles as they promote water retention. Measures for boosting the energy: ªª In this season digestion is generally weak. Therefore one ªª ªª ªª ªª ªª ªª ªª ªª ªª

should eat less. It is essential to fast once in a week or fortnight. It is highly beneficial to walk barefoot on green grass. Avoid sleeping in day time. Do not indulge in extreme physical exertion. Do not get exposed to sun frequently. If you get drenched by the heavy rain, dry yourself as soon as possible or you can take a shower first and then dry yourself before taking a sip of that coffee. Always keep the surroundings dry and clean, neat and tidy. Keep your body warm as viruses attack immediately Dry your feet with soft dry cloth whenever they are wet. Drink plenty of water and keep your body hydrated.

- Editor

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What treatment approach do you recommend, if any? ªª Is surgery an option in this case? ªª Might surgery become an option if the hernia doesn’t get better? ªª How often should I or my child be seen for followup exams? ªª Is there any risk of complications from this hernia? ªª What emergency signs and symptoms should I watch for at home? ªª How soon do you expect signs and symptoms to improve? ªª Do I or my child need to follow any activity restrictions? ªª Should a specialist be consulted? ¾¾ What to expect from your doctor Your doctor is likely to ask you a number of questions, such as: ªª What signs and symptoms have you noticed? ªª When did you first notice these signs and symptoms? ªª Have these signs and symptoms gotten worse over time? ªª Are you or your baby in pain? ªª Have you or your baby vomited? ªª If you are the one affected, do your hobbies or your work involve heavy lifting or straining, or have you recently gained a significant amount of weight? ªª Have you or your child recently been treated for any other medical conditions? ¾¾ Tests and diagnosis ªª An umbilical hernia is diagnosed during a physical exam. Sometimes imaging studies — such as an abdominal ultrasound or X-ray — are used to screen for complications. ¾¾ Treatments and drugs Most umbilical hernias in babies close on their own by 18 months. Your doctor may even be able to push the bulge back into the abdomen during a physical exam. Don’t try this on your own, however. Although some people claim a hernia can be fixed by taping a coin down over the bulge, this “fix” doesn’t help and germs may accumulate under the tape, causing infection. For children, surgery is typically reserved for umbilical hernias that: ªª Are painful ªª Are bigger than 1.5 centimeters in diameter (slightly larger than a 1/2 inch) ªª Don’t decrease in size after six to 12 months ªª Don’t disappear by age 3 ªª Become trapped or block the intestines For adults, surgery is typically recommended to avoid possible complications — especially if the umbilical hernia gets bigger or becomes painful. During surgery, a small incision is made at the base of the bellybutton. The herniated tissue is returned to the abdominal cavity, and the opening in the abdominal wall is stitched closed. In adults, surgeons often use mesh to help strengthen the abdominal wall. Recurrences are unlikely.

— especially premature babies and those with low birth weights. Black infants appear to have a slightly increased risk of umbilical hernias. The condition affects boys and girls equally. For adults, being overweight or having multiple pregnancies may increase the risk of developing an umbilical hernia. This type of hernia tends to be more common in women in their 50s or 60s. ¾¾ Complications For children, complications of an umbilical hernia are rare. Complications can occur when the protruding abdominal tissue becomes trapped (incarcerated) and can no longer be pushed back into the abdominal cavity. This reduces the blood supply to the section of trapped intestine and can lead to umbilical pain and tissue damage. If the trapped portion of intestine is completely cut off from the blood supply (strangulated hernia), tissue death (gangrene) may occur. Infection may spread throughout the abdominal cavity, causing a lifethreatening situation. Adults with umbilical hernia are somewhat more likely to experience incarceration or obstruction of the intestines. Emergency surgery is typically required to treat these complications. ¾¾ Preparing for your appointment If you or your child has signs or symptoms common to an umbilical hernia, make an appointment with your family doctor or your child’s pediatrician. Here’s some information to help you prepare for your appointment and what to expect from your doctor. ¾¾ What you can do ªª List any signs or symptoms you or your child has had, and for how long. ªª Bring in a photo of the hernia if signs of the problem aren’t always evident. ªª Write down key medical information, including any other health problems and the names of any medications you or your child are taking. ªª Write down questions you want to be sure to ask your doctor. ¾¾ Questions to ask your doctor If any additional questions occur to you during your visit, don’t hesitate to ask. ªª Do I or my child have an umbilical hernia? ªª How large is the defect? ªª Are any diagnostic tests needed?

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uuHealth focustt Dr. Ramesh Reddy G. Dept. of General Surgery Vydehi Hospital Whitefield, Bangalore-560066 Ph : 080 – 28413381/82/83/84

Coloncancer

Colon cancer is cancer of the large intestine (colon), the lower part of your digestive system

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olon cancer is cancer of the large intestine (colon), the lower part of your digestive system. Rectal cancer is cancer of the last 6 inches of the colon. Together, they’re often referred to as colorectal cancers. About 112,000 people are diagnosed with colon cancer annually, and about 41,000 new cases of rectal cancer are diagnosed each year, according to the American Cancer Society. Most cases of colon cancer begin as small, noncancerous (benign) clumps of cells called adenomatous polyps. Over time some of these polyps become colon cancers. Polyps may be small and produce few, if any, symptoms. Regular screening tests can help prevent colon cancer by identifying polyps before they become cancerous. If signs and symptoms of colon cancer do appear, they may include changes in bowel habits, blood in your stool, persistent cramping, gas or abdominal pain.

Unexplained weight loss Blood in your stool may be a sign of cancer, but it can also indicate other conditions. Bright red blood you notice on bathroom tissue more commonly comes from hemorrhoids or minor tears (fissures) in your anus, for example. In addition, certain foods, such as beets or red licorice, can turn your stools red. Iron supplements and some anti-diarrheal medications may make stools black. Still, it’s best to have any sign of blood or change in your stools checked promptly by your doctor because it can be a sign of something more serious. may become cancerous. In later stages of the disease, colon cancer may penetrate the colon walls and spread (metastasize) to nearby lymph nodes or other organs. As with most cancers, the exact cause for colon cancer is unknown. ¾¾ Causes In general, cancer occurs when healthy cells become altered. Healthy cells grow and divide in an orderly way to keep your body functioning normally. But sometimes this growth gets out of control — cells continue dividing even when new cells aren’t needed. In the colon and rectum, this exaggerated growth may cause precancerous cells to form in the lining of your intestine. Over a long period of time — spanning up to several years — some of these areas of abnormal cells may become cancerous. In later stages of the disease, colon cancer may penetrate the colon walls and spread (metastasize) to nearby lymph nodes or other organs. As with most cancers, the exact cause for colon cancer is unknown. ¾¾ Precancerous growths in the colon Precancerous cells can occur anywhere in your large intestine, the muscular tube that forms the last part of your gastrointestinal tract. The colon comprises the upper 4 to 5 feet of your large intestine, and the rectum makes up the lower 6 inches. Precancerous growths most commonly occur as clumps of cells (polyps) that extend from the wall of the colon. Polyps can appear mushroom-shaped. Precancerous growths can also be flat or recessed into the wall of the colon (nonpolypoid lesions). Nonpolypoid lesions are more difficult to detect, but are less common. ¾¾ Several types of colon polyps exist. Among the most common are: ªª Adenomas. These polyps have the potential to become cancerous and are usually removed during screening tests such as flexible sigmoidoscopy or colonoscopy. ªª Hyperplastic polyps. These polyps

Signs and symptoms of colon cancer include: ªª A change in your bowel habits, including ªª ªª ªª ªª ªª

diarrhea or constipation or a change in the consistency of your stool for more than a couple of weeks Rectal bleeding or blood in your stool Persistent abdominal discomfort, such as cramps, gas or pain Abdominal pain with a bowel movement A feeling that your bowel doesn’t empty completely Weakness or fatigue

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are rarely, if ever, a risk factor for colorectal cancer. ªª Inflammatory polyps. These polyps may follow a bout of ulcerative colitis. Some inflammatory polyps may become cancerous, so having ulcerative colitis increases your overall risk of colon cancer ¾¾ Risk factors Factors that may increase your risk of colon cancer include: ªª Age. About 90 percent of people diagnosed with colon cancer are older than 50. Colon cancer can occur in younger people, but it occurs much less frequently. ªª A personal history of colorectal cancer or polyps. If you’ve already had colon cancer or adenomatous polyps, you have a greater risk of colon cancer in the future. ªª Inflammatory intestinal conditions. Longstanding inflammatory diseases of the colon, such as ulcerative colitis and Crohn’s disease, can increase your risk of colon cancer. ªª Inherited disorders that affect the colon. Genetic syndromes passed through generations of your family can increase your risk of colon cancer. These syndromes cause only about 5 percent of all colon cancers. One genetic syndrome called familial adenomatous

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polyposis (FAP) is a rare disorder that causes you to develop thousands of polyps in the lining of your colon and rectum. People with untreated FAP have a greater than 90 percent chance of developing colon cancer by age 45. Another genetic syndrome, hereditary nonpolyposis colorectal cancer (HNPCC), also called Lynch syndrome, is more common than FAP. People with HNPCC have an increased risk of colon cancer and tend to develop colon cancer at an early age. Both FAP and HNPCC can be detected through genetic testing. Talk to your doctor about whether your family history suggests you have a risk of these conditions. Family history of colon cancer and colon polyps. You’re more likely to develop colon cancer if you have a parent, sibling or child with the disease. If more than one family member has colon cancer or rectal cancer, your risk is even greater. In some cases, this connection may not be hereditary or genetic. Instead, cancers within the same family may result from shared exposure to an environmental carcinogen or from diet or lifestyle factors. Diet. Colon cancer and rectal cancer may be associated with a diet low in fiber and high in fat and calories. Research in this area has had mixed results. Some studies have found an increased risk of colon cancer in people who eat diets high in red meat and processed meats. People who eat a diet similar to that of Western countries, such as the United States and Europe, have a higher risk of developing colon cancer than do people who eat diets typically seen in developing countries. When people move from a developing country to a Western country and adapt to the Western diet, their risk of colon cancer increases. Although many studies have tried to identify what part of the Western diet may cause colon cancer, the answer remains unknown. A sedentary lifestyle. If you’re inactive, you’re more likely to develop colon cancer. This may be because when you’re inactive, waste stays in your colon longer. Getting regular physical activity may reduce your risk. Diabetes. People with diabetes and insulin resistance may have an increased risk of colon cancer. Obesity. People who are obese have an increased risk of colon cancer and an increased risk of dying of colon cancer when compared with people considered normal weight. Smoking. People who smoke cigarettes may have an increased risk of colon cancer. They may also have an increased chance of dying of colon cancer. Alcohol. Heavy use of alcohol may increase your odds of colon cancer. Growth hormone disorder. Acromegaly, an uncommon disorder that causes an excess of growth hormone in your body, may increase your risk of colon polyps and colon cancer. Radiation therapy for cancer. Radiation therapy directed at the abdomen to treat previous

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cancers may increase the risk of colon cancer. ¾¾ When to seek medical advice If you notice any symptoms of colon cancer, such as blood in your stool or a persistent change in bowel habits, see your doctor as soon as possible. Keep in mind that colorectal cancer can occur in younger as well as older people. If you’re at high risk, don’t wait until symptoms appear. See your doctor for regular screenings. Talk to your doctor about when you should begin screening for colon cancer. Guidelines generally recommend colon cancer screenings begin at age 50. Your doctor may recommend more frequent or earlier screening if you have other risk factors, such as a family history of the disease. ¾¾ Tests and diagnosis Screening Most colon cancers develop from adenomatous polyps. Screening can detect polyps before they become cancerous. Screening may also detect colon cancer in its early stages when there is a good chance for cure. You may be embarrassed by the screening procedures, worried about discomfort or afraid of the results. Discuss your screening options and your concerns with your doctor. Most procedures are only moderately uncomfortable, and working with a doctor you like and trust can help ease your embarrassment. Common screening and diagnostic procedures include the following: ªª Stool blood test. The fecal occult (hidden) blood test checks a sample of your stool for blood. It can be performed in your doctor’s office, but you’re usually given a kit that explains how to take the sample at home. You return the sample to a lab or your doctor’s office to be checked. Not all cancers can be detected with a stool blood test, since not all cancers bleed and those that do often bleed intermittently. This can result in a negative test result, even though you may have cancer. If blood is detected in your stool, your doctor may order other screening tests to determine the source of the blood. Blood in your stool can be the result of hemorrhoids or an intestinal condition other than cancer. Certain foods also may alter test results, suggesting blood in the colon when there is none. ªª Stool DNA test. This test involves analyzing several DNA markers, which come from cells that are shed by colon cancers or precancerous polyps into stool. To complete the stool DNA test, you typically receive a collection kit from your doctor, collect one bowel movement at home and then send the kit to a laboratory for analysis. Stool DNA testing is thought to be more accurate for detecting colon cancer than polyps, and it’s important to remember that this test can’t detect all the possible DNA mutations that may indicate a tumor. This test isn’t widely available yet, and it may not be covered by your insurance. For these reasons it’s not commonly used. ªª Flexible sigmoidoscopy. In this test, your

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doctor uses a flexible, slender and lighted tube to examine your rectum and sigmoid — approximately the last 2 feet of your colon. The test usually takes just a few minutes. It can sometimes be uncomfortable, and there’s a slight risk of perforating the colon wall. If a polyp or colon cancer is found during this exam, your doctor will recommend colonoscopy to look at the entire colon and remove any polyps that are present for examination under a microscope. Because sigmoidoscopy only examines the lower third of the colon, polyps or cancer in the rest of the colon won’t be detected. Barium enema. This diagnostic test allows your doctor to evaluate your entire large intestine with an X-ray. Barium, a contrast dye, is placed into your bowel in an enema form. During a doublecontrast barium enema, air is also added. The barium fills and coats the lining of the bowel, creating a clear silhouette of your rectum, colon and sometimes a small portion of your small intestine. There’s also a slight risk of perforating the colon wall, and the test has a significantly high rate of missing important lesions. A flexible sigmoidoscopy is often done in addition to the barium enema to aid in detecting small polyps that a barium enema X-ray may miss, especially in the lower bowel and rectum. Barium enema may miss small polyps or small cancers. If an abnormality is detected using barium enema, your doctor may recommend a colonoscopy. Colonoscopy. Colonoscopy is similar to flexible sigmoidoscopy, but the instrument used — a colonoscope, which is a long, flexible and slender

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tube attached to a video camera and monitor — allows your doctor to view your entire colon and rectum. If any polyps are found during the exam, your doctor may remove them immediately or take tissue samples (biopsies) for analysis. This is done through the colonoscope and is painless. ªª You may receive a mild sedative to make you more comfortable. Preparation for the procedure involves drinking a large amount of fluid containing a laxative to clean out your colon — enemas are no longer necessary. Major risks of diagnostic colonoscopy include bleeding and perforation of the colon wall, but these are rare. ªª Virtual colonoscopy (CT colonography). Though not available at all medical centers, virtual colonoscopy may be one screening option. Virtual colonoscopy uses a computerized tomography (CT) machine to take images of your colon, rather than using a scope inserted in your rectum to see inside your colon. Virtual colonoscopy still requires that you undergo a bowel preparation to remove any stool. If any abnormalities are detected on virtual colonoscopy, you’ll still need to undergo conventional colonoscopy. Research into virtual colonoscopy is still ongoing. ¾¾ Diagnosis If your doctor suspects you may have colon cancer based on your signs and symptoms, he or she may recommend colonoscopy to look for colon cancer. Colonoscopy allows your doctor to look for polyps or unusual areas in your colon. Your doctor can also remove a sample of tissue from your colon to look for cancer cells. In some cases, barium enema or flexible sigmoidoscopy may be used to diagnose colon cancer. ¾¾ Staging your cancer Once you’ve been diagnosed with colon cancer, your doctor will then order tests to determine the extent, or stage, of your cancer. Staging helps determine what treatments are most appropriate for you. Staging tests may include imaging procedures such as abdominal CT scan or chest X-ray. The stages of colon cancer are: ªª Stage 0. Your cancer is in the earliest stage. It hasn’t grown beyond the inner layer (mucosa) of your colon or rectum. This stage of cancer may also be called carcinoma in situ. ªª Stage I. Your cancer has grown through the mucosa but hasn’t spread beyond the colon wall or rectum. ªª Stage II. Your cancer has grown into or through the wall of the colon or rectum but hasn’t spread to nearby lymph nodes. ªª Stage III. Your cancer has invaded nearby lymph nodes but isn’t affecting other parts of your body yet. ªª Stage IV. Your cancer has spread to distant sites, such as other organs — for instance to your liver or lung, to the membrane lining the abdominal cavity, or to an ovary. ªª Recurrent. This means your cancer has come back after treatment. It may recur in your colon, rectum or other part of your body. ¾¾ Treatments and drugs The type of treatment your doctor recommends

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will depend largely on the stage of your cancer. The three primary treatment options are: surgery, chemotherapy and radiation. Surgery (colectomy) is the main treatment for colorectal cancer. How much of your colon is removed and whether other therapies, such as radiation or chemotherapy, are an option for you depend on the location of your cancer, how far cancer has penetrated into the wall of your bowel, and whether it has spread to your lymph nodes or other parts of your body. ¾¾ Surgical procedures Your surgeon removes the part of your colon that contains the cancer, along with a margin of normal tissue on either side of the cancer to help ensure that no cancer is left behind. Nearby lymph nodes are usually also removed and tested for cancer. Your surgeon is often able to reconnect the healthy portions of your colon or rectum. But when that’s not possible, for instance if the cancer is at the outlet of your rectum, you may need to have a permanent or temporary colostomy. This involves creating an opening in the wall of your abdomen from a portion of the remaining bowel for the elimination of body waste into a special bag. Sometimes the colostomy is only temporary, allowing your colon or rectum time to heal after surgery. In some cases, however, the colostomy may be permanent. Side effects of colon cancer surgery may include short-term pain and tenderness, and temporary constipation or diarrhea. If you have a colostomy, you may develop an irritation on the skin around the opening (stoma). ¾¾ Surgery to prevent cancer In cases of rare, inherited syndromes such as familial adenomatous polyposis, or inflammatory bowel disease such as ulcerative colitis, your doctor may recommend removal your entire colon and rectum in order to prevent cancer from occurring in the future. Then, in a procedure known as ileal pouch-anal anastomosis, your surgeon will likely construct a pouch from the end of your small intestine that attaches directly to your anus. This allows you to expel waste normally, although you may have several watery bowel movements a day. ¾¾ Surgery for early-stage cancer If your cancer is small, localized in a polyp and in a very early stage, your surgeon may be able to remove it completely during a colonoscopy. If the pathologist determines that the cancer in the polyp doesn’t involve the base — where the polyp is attached to the bowel wall — then there’s a good chance that the cancer has been completely eliminated. Some larger polyps may be removed using laparoscopic surgery. In this procedure, your surgeon performs the operation through several small incisions in your abdominal wall, inserting instruments with attached cameras that display your colon on a video monitor. He or she may also take samples from the lymph nodes that drain the area where the cancer is located. Studies have found that people undergoing this procedure need less pain medication and leave the hospital a day earlier on average. Also, people who have this procedure don’t have higher rates of recurrence than those who choose the open surgery.

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Nisarga health care

Dr.Ajisha Krishnan,

EPSOM SALT AND ARTHRITIS Epsom salt can be an excellent remedy for arthritic pains. The treatment is available in naturopathy hospital set ups

Department of Naturopathy, Nisarga hospital, Sirsi, UK district - 581401 Ph: 08384-226578/225414

drajisha@gmail.com

psom salts have amazing health benefits–here are 10 ways to use Epsom salts, including a relaxing bath, a face scrub and a hair volumizer. It’s also a miracle cure-all, helping to remove splinters and reduce swelling of sprains and bruises. One ingredient really does fit all! American’s magnesium deficiency helps to account for high rates of heart disease, stroke, osteoporosis, arthritis and joint pain, digestive maladies, stress-related illnesses, chronic fatigue and a number of other ailments. In a tub full of hot water with a few cups of Epsom salts was good for relaxing muscles and drawing toxins from the body. Epsom salts—made of the mineral magnesium sulfate—is also a sedative for the nervous system. When magnesium sulfate is absorbed through the skin, such as in a bath, it draws toxins from the body, sedates the nervous system, reduces swelling, relaxes muscles, and is a natural emollient, exfoliator, and much more. INDICATIONS FOR TOPICAL USE ARE ªª Both magnesium and sulfate are absorbed through the skin when bathing in 1% solution. ªª The sulfates in the Epsom Salt compound flush toxins from the body, as a good remedy for

arthritis pain. To soothe, relax, the stiff joints To reduce joint inflammation Epsom Salt is a sedative for the entire nervous system. ªª To increase circulation and reduce swelling. ªª To reduce pain and joint discomfort ªª Reducing inflammation. It is also sometimes found in bottled mineral water ¾¾ USAGE OF EPSOM SALT Scientists have learned that the best way to get magnesium into the body is topically through the skin, it can be used through ªª immersing the affected parts in warm Epsom salt baths ªª massaging with lotions containing Epsom Salt ªª rubbing the area with Epsom salt, both magnesium and sulfate are absorbed through the skin when bathing in 1% w/v solution ¾¾ RESULTS The treatment is found to reduce the early morning stiffness and pain of joints. Just the heat of the bath itself is able to increase circulation and reduce swelling, the Epsom Salt, then, adds properties which reduce pain and joint discomfort

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Surgery for advanced cancer If your cancer is very advanced or your overall health very poor, an operation to relieve a blockage of your colon or other conditions in order to improve your symptoms may be the best option. This type of surgery is referred to as palliative surgery. The goal of palliative surgery isn’t to cure your cancer, but to relieve signs and symptoms, such as bleeding and pain. In specific cases where the cancer has spread only to the liver and if your overall health is otherwise good, your doctor may recommend surgery to remove the cancerous lesion from your liver. Chemotherapy may be used before or after this type of surgery. This treatment may improve your prognosis. ¾¾ Chemotherapy Chemotherapy uses drugs to destroy cancer cells. Chemotherapy can be used to destroy cancer cells after surgery, to control tumor growth or to relieve symptoms of colon cancer. Your doctor may recommend chemotherapy if your cancer has spread beyond the wall of the colon. In some cases, chemotherapy is used along with radiation therapy. Possible side effects of chemotherapy include nausea and vomiting, mouth sores, fatigue, hair loss and diarrhea. Discuss the side effects and risks as well as the potential benefits with your doctor. ¾¾ Radiation therapy Radiation therapy uses powerful energy sources, such as X-rays, to kill any cancer cells that might

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remain after surgery, to shrink large tumors before an operation so that they can be removed more easily, or to relieve symptoms of colon cancer and rectal cancer. Radiation therapy is rarely used in early stage colon cancer, but is a routine part of treating early stage rectal cancer, especially if the cancer has penetrated through the wall of the rectum or traveled to nearby lymph nodes. Radiation therapy, usually combined with chemotherapy, may be used after surgery to reduce the risk that the cancer may recur in the area of the rectum where it began. Side effects of radiation therapy may include diarrhea, rectal bleeding, fatigue, loss of appetite and nausea. ¾¾ Targeted drug therapy Three drugs that target specific defects that allow cancer cells to proliferate are available to people with advanced colon cancer. The drugs bevacizumab (Avastin), cetuximab (Erbitux) and panitumumab (Vectibix) can be given along with chemotherapy drugs or alone. Bevacizumab works to prevent tumors from developing new blood vessels, which can deliver the oxygen and nutrients cancers need to survive. Cetuximab and panitumumab target a chemical signal that tells cells to divide and reproduce. Cetuximab was approved by the Food and Drug Administration in 2007 as a single-agent treatment for advanced colon cancer for which other treatments have failed. Panitumumab remains experimental.

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In pregnancy some may have two or more babies developing in a womb. Premature labour and delivery is a serious risk if a woman is pregnant with multiples.

Dr B Ramesh

Multiple gestations Gynecologic problems

Multiple Gestations refers to a pregnancy where there are two or more babies developing in a woman’s womb. However, use of in vitro fertilization (IVF) and ovulation induction techniques has greatly increased the incidence of multiple pregnancies. ¾¾TYPES OF MULTIPLES There are two types of twins dizygotic (fraternal) and monozygotic (identical) Identical twins occurs when one fertilized egg divides into two embryos. Identical twins have identical genes, are the same sex and identical in appearance (at birth). Fraternal twins occurs when two eggs are fertilized by two separate sperm. These twins have a different genetic makeup, can be different genders and do not generally look alike, ¾¾ Who can have multiple pregnancy? ªª Previous multiple pregnancy ªª Family history (mother’s side) ªª Increasing maternal age ªª Racial origin (more common in women of West African ancestry, less common in those of Japanese ancestry) ªª Assisted reproductive technique

accommodation of twins, the uterus forces down the pelvic vein. This causes the hands and legs to get swollen during gestation period. ªª Other common symptoms are extreme weariness and unusual hunger. This is because the body needs more essential nutrients to keep themselves as well their two fetuses fit. ªª More fetal movement than expected during later pregnancy. ªª Constipation & Hemorrhoids. ªª Increasing backache. Difficulty in breathing (caused by pressure on the lungs from the uterus pushing up on the diaphragm). ªª Indigestion (caused by pressure on the stomach from the large uterus). ¾¾ What complications can be expected? Any pregnancy can have these complications, but there is more concern about them happening during a multiple pregnancy ¾¾ Risk to the mother: ªª Twin pregnancy may often lead to the birth of babies before the gestation period is over. ªª Small birth weights are common in twins as one

Common Symptoms of Twin Pregnancy are: ªª Women diagnosed with twin pregnancy gain ªª ªª ªª

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

more weight than the other conceived ones. The most common symptom experienced by fifty percent of the women is morning sickness. This happens only during the period of first fourteen months resulting in nausea or vomiting. The pregnant women find it hard to sleep due to general uneasiness and pain. Due to the excess growth of fetus for the

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baby may take all the nutrients leaving very little to the other twin producing differential growth in twin births. ªª The placental attachment is very large in twin pregnancy hence this may result in placenta encroaching the lower part of the uterus leading to condition called placenta previa. This predisposes to irregular bleeding through the vagina and in such instances patient should report to hospital immediately ªª Severe complication such as excess bleeding after delivery (post partum hemorrhage) occur which can require a blood transfusion on certain occasions. ªª Gestational diabetes and high blood pressure is known to occur only during the time of pregnancy and mother will require monitoring of B.P. and random sugars. It may include medicine, bed rest, fetal monitoring, and early delivery. ªª Preterm labour is more common in a multiple pregnancy than in a pregnancy with one fetus. If you go into preterm labour and premature delivery, take one or more precautions, such as limiting your activity level and staying in the hospital. ªª To avoid premature delivery, stitches are sometimes put around the neck of the uterus to prevent opening of the neck of the uterus. ªª Maternal anemia’s, a condition that causes weakness and tiredness due to low levels of iron in the blood which is treated with iron- rich foods and iron supplements. ¾¾ RISK TO BABIES Premature labour and delivery is a serious risk if a woman is pregnant with multiples. The average length of pregnancy for a singleton (one child) is 39-40 weeks. A multiple gestation pregnancy is usually much shorter: 36 weeks for twins; 33 weeks for triplets; and 31 weeks for quadruplets. Babies born prematurely may have following complications:

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¾¾ ªª

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Low birth weight; Underdeveloped lungs; Brain damage resulting in cerebral palsy. When born too early, premature infants usually require care in Neonatal Intensive Care Unit Treatment overview It is always important to take extra good care of yourself when pregnant. When carrying twins or more (multiple pregnancy), be sure to eat a balanced and nutritious diet, calcium, iron, and folic acid to nourish you and your babies. A multiple pregnancy can make morning sickness worse during the first few months of pregnancy. You can treat your symptoms at home, unless you have become dehydrated or are not getting enough to eat because of vomiting. Avoid alcohol, smoking, caffeine, most medicines, chemicals, x-rays, some cosmetic products and eating contaminated food. All of these precautions are advised for any pregnancy. Medicines should be taken only with advice from doctor. Get plenty of rest, especially after the 24th week of pregnancy. See your health professional often. Beginning in the 20th week of pregnancy, you may be checked every other week. Beginning at the 30th week, you may be checked more often and get frequent scans done. Mode of delivery whether normal or caesarean depends on the condition of the mother and the position of babies in the uterus. Uterus is unable to bear the weight of the twin babies and may open up earlier leading to abortions and preterm delivery so a cervical stitch is applied at 12 to!4 weeks of gestation and is removed at 36 weeks to facilitate delivery.

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uu Eye care tt Dr. K. Bhujang Shetty

Managing director, Narayana Nethralaya 121/C, West of cord road, Rajajinagar R Block, Bangalore 10 Ph: 080- 23373311/66121300

Inflammation of any of Uvea parts is termed uveitis. Uveitic patients may develop cataracts, glaucoma and macular edema. These complications may require additional medical or surgical management.

What is uveitis?

Uvea is the middle part of the three coats of the eye. This further consists of the iris, ciliary body and the choroid. Inflammation of any of these parts is termed uveitis.

What are the types of uveitis?

Based on the part of the uvea involved, uveitis may be Anterior (involving the iris), Intermediate (involving the ciliary body), Posterior (involving the choroid) or Panuveitis (involving all the parts).

What are the symptoms of uveitis?

UVEITIS

Symptoms of uveitis are highly variable and may include any of the following: redness, pain, watering, inability to see bright light, floaters, and / or decreased vision.

What causes uveitis?

Uveitis occurs as a result of an immune reaction by our body to antigens (substances our body considers foreign). This reaction may occur against infectious agents such as bacteria, fungi, viruses and even parasites. It may also occur in patients with existing autoimmune diseases such as Rheumatoid arthritis, Systemic lupus erythematosus etc. In a small subset of patients, uveitis can occur due to undeterminable causes.

What investigations are uveitic patients required to undergo? Uveitic patients often require a whole battery of investigations in order that the underlying cause of uveitis be determined and hence appropriately treated. These usually include blood and urine tests and/ or X rays. At times, a sample of the fluid from the patients1 eye may have to be subjected to lab tests.

How is uveitis treated?

Steroids are the mainstay of treatment in uveitis. Depending on the location and the severity of the inflammation, they are used in the form of eye drops, eye ointment, injections around/ in the eye or injectable / oral medications. Anterior (and intermediate) uveitis is treated with topical steroids along with dilating eye drops which help in reducing the pain associated with inflammation. These drops are to be used until the inflammation has completely subsided. The dose, strength and duration of the drops are determined by your doctor who decides the treatment in accordance to the amount of inflammation. Injection of the steroid around the eye (particular steroids) is used in certain cases of intermediate uveitis (or in macular edema as a consequence of uveitis). This results in slow release of the drug over a period of three to four weeks. Injectable/oral steroids are often indicated

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increase in the intraocular pressure (glaucoma). Oral steroids may cause acidity, increase in weight and rarely diabetes, hypertension, osteoporosis and nervousness/ depression. Immunosuppressives may cause bone marrow depression that is reflected as a decrease in your blood counts. Some of them also interfere with the normal functions of the liver, cause mouth ulcers, rarely sterility and secondary malignancies. Thus, periodic blood counts/liver function tests may be required and will be advised by your doctor when on these drugs. Women in the reproductive age group are advised not to become pregnant when on treatment with immunosuppressives steroids. If you develop any infection while on treatment you need to take appropriate antibiotics immediately after consulting your doctor. In case you require to undergo any surgical procedure while on these drugs, please inform your treating doctor about the same.

inposterior/panuveitis. Besides steroids, the other group of drugs used in the treatment of uveitis is immunosuppressives. These are especially reserved for patients intolerant to steroids, inflammation not resolving with only steroids and patients with certain systemic conditions like rheumatoid arthritis. The commonly used immunosuppressives include Methotrexate, Azathioprine, Cyclosporine , Mycophenolate mofetil, Cyclophosphamide and Biological agents.

Will uveitis recur after treatment?

It is important to remember that uveitis is a recurrent condition and hence requires a prolonged and regular follow up with your doctor. Consult your ophthalmologist at the earliest signs of a recurrence. This will make treatment easier and resolution speedier.

What are the side effects of the drugs used in the treatment of uveitis?

W hat are uveitis?

Both steroids and immunosuppressives have side effects that are often not serious and reversible following the discontinuation of the drugs. These drugs should always be taken as per your doctors’ instructions. Never start or stop these drugs of you own accord. Topical steroids may cause cataract or an

AYURPHARMA

the

complications

Uveitic patients may develop cataract (opacification of the lens), glaucoma (raised intraocular pressure) and macular edema (swelling of the central part of the retina) in addition to the inflammation itself. These complications may require additional medical or surgical management.

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uu Eye care tt For details contact

Dr Hareesh K V

Nutrients play a major role in eye health, so take milk, green leafy vegetables and fruits regularly

¾¾

Abhishek Nethradhama HIG2024, 3rd B cross, ‘B’ Sector, ICICI bank road, near SBI,Yelahanka New town Bangalore -64 Ph: 08040933219/7795715203

Nutrients for Eye Health

Vitamin A/ Beta-carotene Vitamin-A keeps the eyes healthy by preventing night blindness, and is probably the most important ingredient for healthy eyes. A deficiency in vitamin A could lead to night blindness .Vitamin A also prevents the formation of cataract and may even prevent blindness due to macular pathology. ¾¾ Vitamin C Vitamin-C, a water-soluble vitamin is a component of most tissues in the body and is essential to the eyes. As a super anti-oxidant, it also reduces damaging free radicals and protects cells, thus helping to prevent eye diseases. ¾¾ Vitamin E Vitamin-E is a fat-soluble vitamin and like vitamin C, it is a powerful anti-oxidant for the protection of eye health against eye illnesses like cataract and agerelated macular degeneration (AMD). ¾¾ Carotenoids Carotenoids referred to the natural plant pigments and provide the vibrant colours found in the vegetables and fruits that we eat, Lutein and Zeaxanthin are just two of the many varieties and are thought to protect the eyes from deterioration and diseases like age related macular degeneration

(AMD). ¾¾ Zinc Zinc concentration in the human retina is higher than in any other organ. Supplemental zinc has been shown to slow down the progression of macular degeneration. Low zinc levels are associated with increased risk of cataract. Both zinc and vitamin Aimprove night vision. ¾¾ B-Vitamin B vitamins are essential for intracellular eye metabolism ¾¾ Omega-3 Fatty Acids Omega-3 fatty acids can play a crucial role in preventing macular degeneration ¾¾ Lutein Lutein filters the blue light in UV rays, thus prevents retina and yellow spot damage and helps in enhancing accuracy of vision. ¾¾ Calcium Calcium acts as a messenger in the visual

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uu A medicinal plant in your own yard tt Dr.Vasundhara Bhupathi

NELANELLI

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

(BHUAMLIKA)

The extract of the entire plant is used in Pitta, Kapha and blood related ailments. It relieves thirst and itching, Family

EUPHORBIACEAE

ªª

Scientific name

Phyllanthus amarus (Sihumach,& Thonn)

ªª

Common name

Bhuamlika

Sanskrit

Bhoomyamalaki, Shiva, Bahupatra, Bahuphala

Hindi

Jaraamla, Bhooyi aamla

ªª

Kannada

Nelanelli

Telugu

Nela useerike

ªª

Tamil

Kizhakai nelli

Malayalam

Kilanelli

ªª

Marati

Bhooyiaambali, Bhooyiamla

ªª

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Bhuamlika is a wonder herb found growing as a weed of rainy season in India. It is commonly known as Hazardana or Bhooyi aamla in Hindi and Nelanelligida in Kannada. The plant is native of America and is chiefly distributed in tropical and sub-tropical parts of the world as a folk-medicine to treat liver disorders particularly due to hepatitis-B and jaundice, intestinal infection, diabetes etc. In traditional system of medicine, it is one of the essential ingredients of many formulations used in the treatment of bronchitis, leprosy, asthma and hiccup, while in unani system the fruit is used for wounds, scabies and ring worm. An infusion of root is a good tonic. The main compounds are lignins like phyllanthin and hypophyllanthin. The plant is found to grow extensively in many parts of Punjab, Uttar Pradesh, Tamilnadu, Maharashtra and Sikkim. ¾¾ PARTS USED The whole plant is useful (Leaf, Stem, Flower, Fruit, Root) ¾¾ CHEMICAL COMPOSITION Plant alkaloids like - phyllanthin and hypophyllanthin ¾¾ MEDICINAL USES ªª This is known as the best medicine for jaundice. The Siddha system has been using this as medicine for decades. Almost all the medicines available in the market for jaundice contain Nelanelli. In Unani system, for skin disease and anthelminthic. ªª Juice of the whole plant is given to jaundice

AYURPHARMA

patients early in the morning. The dosage - five spoons. If the fresh drug is not available dry drug can be used. The leaf can be used in daily foodstuffs. Tender root juice is antidiarrhoetic and can be used every hour. Paste of the root and whole plant is good for external application for ulcers. The leaf made into paste with salt, if applied reduces itching in skin disease. In diabetes, this has most effective result. Dose- 2-3 spoons of juice to be taken early in the morning or fresh leaves can be chewed. This is also a good medicine for skin disease, asthma, hiccough. Decoction of the leaf mixed with asafoetida fried in ghee controls abdominal pain. It controls metrorrhagia and can be used as food or by taking decoction thrice daily. Fresh juice of the leaf filtered can be used as eye-drops in redness of eye. Fruit juice or decoction improves immunity. It acts as preventive drug to the healthy people during the spread of Cholera, Chikungunya and Dengue.

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Tel : 080-2348 4184 Mob : 990043 1263, 99866 75919, 77600 85624, 99011 39630

Ayur focus

From my Diary

Dr.Shubhankari P. Rao

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

Hair hygiene

air care and hygiene is a catchy term in cosmetology and is a major world industry today. Hair is not a superficial obsession but a symbol of power. Sage Valmiki in his epoch Ramayana has picturised king Dasharatha’s wife Kaikayi with disturbed and scattered hair expressing her unpleasant mood and keen on getting her two boons granted and materialized that her son Bharata to be crowned prince and to send Rama in exhilation. In MahaBharata Draupadi, the queen of the Pandavas vows to tie her hair after Dushyasana and Duryodana are slain. A hairdo in a

Ayurvedic Dinacharya –Daily regime gives us an insight as to how you can nurture hair and condition them back to health and normalcy. AYURPHARMA

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woman expresseses the femineness, feelings changes in moods, love death and desire .Men associate head full of hair a sign of virility. Sporting a beard or a moustache adds grace to his charms and this is a strong reason when the loss pulls his spirits down. Thom Sharp brightened up his spirits by saying “I don’t consider myself bald, I’m simply taller than my hair. The length , color texture the curl the bounce and its style are all very significant magical tools to mesmerize .With a constant change in weather conditions there is a persistent challenge round the clock to our skin and the hair. Hair growth is cyclical and includes the period of growth, rest and shedding down. The hair on the scalp usually grows about 0.3mm/day. The center of the hair called as medulla supplies oxygen to the hair, Cortex around the medulla has an outer covering called the cuticle which contains the melanocytes which produce melamine the dark pigment, if melanin is not secreted the hair turns white. The outer covering of the root of a hair is called a follicle. The root of a hair is fixed in the dermis by the follicle. The cells of the papilla present at the root of the hair manufacture the hair. Ayurveda says that these activities are controlled by Bhrajaka Pitta a type of Bioenergy which takes care of the metabolism in the skin, enables the (paka) transformation or conversion of the substances in our nutrition and also externally helps in absorption of medications used in the form of (abhyanga) massage, (Parisheka) –sprinkling, application of pastes etc. The color, luster of the hair depends on the constitution, environmental temperature, diet, activity and psychological state of the individual. Natural Sun and heat damage your hair vaporizing all the moisture needed for your hair to look healthy and shinny. Sunlight can make the hair brittle, decrease the luster and roughen the texture. The chemicals in the swimming pool and the salt present in sea water can damage the hair. The hair of an individual with vata constitution is dry, rough, and scanty and has an ash like color and these individuals sweat scantily. The individuals with pita constitution have scanty hair and they suffer from premature graying of hair and have baldness earlier than others. Kapha constitution individuals have thick black and ample hair and their sweat is sticky. ¾¾ Oiling your hair: Appling oil and massaging the scalp increases the oxygen supply to the brain along with the circulation of the

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cerebrospinal fluid. It also increases the level of life energy. , cures dryness, loss of hair and premature baldness .Vata constitution people should use sesame oil, Nilibringadi or Ksirabala taila . Pitta constitution ones coconut oil , Nili bringadi or Triphaladi and Kapha constitution ones can opt for sesame oil or nilibringadi taila.

¾¾ Combing your hair:

Combing your hair over the head regularly is beneficial for the hygiene of the hair by removing the dust, dirt, dead tissue and other wastes from the hair. Bend forward allowing hair to fall .Using only a wooden base natural bristle brush or a wide mouthed comb brings hair from the nape of the neck over the head and down to the ends. Then stand straight and brush from underside of the hairline down the strands to the ends now brush the top layers into place with long even strokes .After each stroke smooth hair with the hands to reduce static. Increase the number of strokes weekly starting with five and increasing by one a week until you find a comfortable routine. If oiliness develops reduce strokes. ¾¾ Washing Hair Do not wash your hair every day especially if it is long. Hair that has not been washed for a day or two is easier to style .Infact washing your hair once in 3 to 4 days will make your hair more healthy. Washing your hair every day robs hair of essential oils and dries up your scalp and hair. It is not recommended to wash hair twice in a succession. First will wash your hair and second will strip your hair of its natural nutrients. By repeating you can irritate your scalp and make your hair more dull and sensitive. Washing your hair with hot water leads to hair loss, premature graying and is bad for eyes. Cold water or Luke warm water will make your hair shinier .Coupled with this if your scalp is greasy clod water prevents dilatation of sebaceous glands and moderates sebum production. ¾¾ How to dry your hair naturally? ªª Let your hair dry naturally. ----a good absorbent towel will suck up excess moisture and speed up dry time .Do not rub your hair. Rubbing will damage the strands and cause frizzy hair and split ends. Try to keep the hair shafts as smooth as possible .If your hair tends to become flat or too frizzy you can fluff it by finger combing. ªª Moisture makes the hair supple so make sure you get plenty of fluids .Do not waits till you are thirsty. Water hydrates your body and helps keep your hair healthy and shiny. Shiny healthy hair is a reflection of healthy body. ªª Take a balanced nutritious diet -- A recipe for healthy hair, and you will be really amazed at the difference it makes.

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Hair care

Dr. Girsh.A.C

Consultant Plastic & Cosmetic Surgeon, Hair Transplant Surgeon Curls & Curves Hair Transplantation & Cosmetic Surgery Centre Door No. :49, 1st Floor, West Of Cord Road, 1st Stage, 6th Phase, Mahaganapathi Nagar, Rajaji Nagar, Bangalore - 560010. Landmark : Opposite to Warrior Bakery, Near GIRIAS Show room. Mobile: 9448571216 / 9008031216 Email: drgirish@curlsncurves.com, glrish_ac333@rediff mail.com webslte: www.curlsncurves.com

Hair Transplantation Some facts ------Before and after surgery

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he main cause of baldness is hereditary. Male baldness has certain typical patterns. Some men have baldness only in the front or only at the vertex, whereas others are more extensively bald. But, almost all men have hair at the back and on the sides. The hair in this areas are permanent and do not fall. In hair transplant surgery, it is from this area (back and the sides) that hair is taken and transplanted to the front and vertex by the follicular unit hair transplant (PUT) technique .The entire operation is done under local anesthesia and patient goes home immediately after the operation. ¾¾ FOLLICULAR UNIT HAIR TRANSPLANT (FUT) From the back or sides of the head, a narrow strip of scalp 6 to 15 mm in width is harvested. The donor defect is closed primarily, leaving no residual bald area. From this strip, individual hair follicles are separated into groups of 1 to 4 hairs. These plugs are properly cleaned and trimmed. Properly shaped defects of 1 to 1.5 mm diameters are created for the plugs in the

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area where transplant is to be done. In these defects, the cleaned plugs are placed. Usually, no dressing is applied after the procedure. There may be some temporary swelling of the forehead for 1 to 5 days. It takes 5 to 15 days for the healing of the donor site area. In the transplanted grafts, the hair may fall along with the scabs in 3 to 4 weeks after the surgery. New hairs starts to grow app. 10 to 12 weeks after the surgery, behave like normal hair, never fall and subsequently require haircuts. They can be combed to the style of your choice, oil and shampoo can be applied to them too. Normal hair growth is about 2 to 3 cms per month. Graft method may require more than one sitting (operation) depending upon the extent of baldness. The time interval between each sitting is 6 weeks or longer. This procedure is done as an outpatient without any hospital stay. The patient may be allowed to travel 36 hours after the surgery. Patient with small amount of hair at the back and sides are not good candidates for this surgery. Though hair growth is noted in everyone who undergoes this surgery, the density of the growth may be insufficient in about 10% of patients. ¾¾ PRE OPERATION INSTRUCTIONS ªª Wash hair and face with LIQUID BFTADINE SCRUB (Not Betadine Solution) on the night before surgery and on the morning of the surgery. ªª Do not use any hair oil, cosmetics or make up after the hair wash. ªª Please take the medicines according to instructions given in your prescription. ªª Please have a full meal 2 hours before the surgery.

ªª ªª ªª ªª ªª ªª

¾¾ POST OPERATION INSTRUCTIONS ªª Normal diet. ªª See the doctor in 1 to 5 days after the operation or as instructed by the doctor. You will be advised to wear a headband 3 to 5 days after the procedure. ªª You may use a loose cap for a few days, if you like. ªª Please take the medicines according to instructions given in your prescription. Keep head elevated at all times (use 1 to 2 pillow while lying down) for 3 weeks from the day of surgery, Do not get the head wet on the day of surgery. Use BABY SHAMPOO from the 5th day to wash the hair daily for first 15 days. You may use any shampoo after the 18th day. One may travel 36 hours after the operation. Don’t undertake any strenuous activities or exercises for 3 weeks after the surgery. Hair oil, Hair spray, etc.. should not be used for 3 weeks after the surgery. Helmets should not be used for 3 weeks after the surgery .T-shirts or any cloths that rub against the grafted area of the scalp should not be worn for 3 weeks.

About the Consultant

Dr.Girish.A.C is Bangalore’s experienced cosmetic surgeon. After several experiences he has started Curls & Curves Hair

Transplantation and Cosmetic Surgery Centre, Rajaji Nagar, Bangalore. It provides

clients a professional, safe - Hair Transplantation and Cosmetic Surgeries via skillful implementation of the most innovative, industry leading techniques. He graduated from JJM Medical College, Davanagere, Karnataka. Later he did his post graduation in General Surgery from JN medical College, Belgaum, Karnataka. He did his Superspeciality Course (MCh) in Plastic Surgery from one of the reputed Medical College - Bangalore Medical College & RI, Bangalore, Karnataka.

Dr. Girsh.A.C

Facilities Available Hair Transplantation Liposuction and Abdominoplasty (Tummy Tuck) Fat Grafting & Fillers Body Contouring Surgery (Post Bariatric Surgery) Breast Augmentation (Surgical Breast Enlargment) Brest Reduction Mastopexy (Breast Lift) Breast Reconstruction Gynaecomastion

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Gynaecomastia (Male Breast Reduction) Bleppharoplasty (Eylid Surgery) Facial Implasty (Nose Reshaping) Aesthetic Gential Surgery and Revirgination Dimple Creation Tatto Removal Surgery Scar Management (Scar Revision) Lip Enhancement Dermabrasion, Etc......

AYURPHARMA

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

Anaemia

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

Anaemia, which means “ lacking in blood “, is among the most common diseases affecting human beings. It denotes a shortage of rich red blood cells and colouring matter and usually results from consumption of refined foods

he blood flowing in our veins and arteries is really living tissue. Nearly half of it consists of red blood cells which carry oxygen to the tissues. Approximately one trillion (10,000 million ) new blood cells are formed in the bone marrow daily. The raw materials required in the production of these cells are iron, proteins, and vitamins, especially folic acid and B12. The red colouring matter, called haemoglobin is a protein which is composed of an organic iron-compound called “heme”. The globin is a sulphur -bearing protein which makes up 96 percent of the molecule. The formation of haemoglobin thus depends on adequate dietary supplies of iron and protein. Red cells have a lifespan of approximately 120 days and are destroyed and replaced daily. Each person should have 100 percent haemoglobin or about 15gms to 100 cc of blood, and a blood count of five million red cells per millimetre. A drop in the haemoglobin content results in anaemia and a consequent decreased ability of the blood to carry oxygen to the tissues.

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Symptoms A haggard look, with lines of strain, premature wrinkles, greyish skin, and dull and tired looking eyes are the main symptoms of anaemia. Other symptoms include poor memory, weakness, dizziness, fatigue, lack of energy, shortness of breath on exertion, slow healing of wounds, headaches, mental depression, pale fingers, lips and ear lobes. The patient usually complaints of weakness, easy fatigue, lack of energy and dizziness. ¾¾ Causes There are two principal causes of anaemia. It can result from reduced or low formation of red blood cells either due to defects in the bone marrow or an inadequate intake of iron vitamins, and protein. Heavy loss of blood due to injury, bleeding piles and heavy menstruation may also cause anaemia. A lack of digestive acid of hydrochloric acid needed for digestion of iron and proteins may also result in anaemia. Emotional strain, anxiety and worry usually interfere with

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the manufacture of hydrochloric acid in the body. Anaemia can also be caused by a variety of drugs which destroy vitamin E or by others which inactivate the nutrients needed in building blood cells. Chronic diseases such as tuberculosis, when accompanied by haemorrhage, may also result in anaemia. Other little known causes of anaemia are intestinal parasites or worms. Hookworm, pinworms, roundworms and tapeworms feed on the blood supply as well as on the vitamins. Twenty five hookworms can consume fifteen grams of blood every 24hours; a tapeworm can cause acute shortage of vitamin B12. Symptoms of intestinal worms are itching at the rectum, restlessness at night with bad dreams, diarrhoea, foul breath, dark circles under the eyes and a constant desire for food. Garlic can help get rid of some types of intestinal parasites. Fresh papaya and grated raw carrot are also effective. After successful treatment for intestinal worms, perfect cleanliness should be observed to prevent recurrence. ¾¾ The Cure Anaemia is much more easily prevented than corrected. A liberal intake of iron in the formative years can go a long way in preventing iron-deficiency anaemia. Diet is of the utmost importance in the treatment of anaemia. Almost every nutrient is needed for the production of red blood cells, haemoglobin and the enzymes, required for their synthesis. Refined food like white bread, polished rice, sugar, and desserts rope the body of the much needed iron. Iron should always be taken in its natural organic form as the use of inorganic can prove hazardous, destroying the protective vitamins and unsaturated fatty acids, causing serious liver damage and even miscarriage and delayed or premature births. The common foods rich in natural organic iron are wheat and wheat grain cereals, brown rice, green leafy vegetables, cabbage, carrot, celery, beets, tomatoes, spinach; fruits like apples, berries, cherries, grapes, raisins, figs, dates, peaches and eggs. It has been proved that a generous intake of iron alone will not help in the regeneration of haemoglobin. The supplies of protein, too should

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be adequate. The diet should, therefore be adequate in proteins of high biological value such as those found in milk, cheese and egg. Copper is also essential for the utilisation of iron in the building of haemoglobin. Vitamin B12 is a must for preventing or curing anaemia. This vitamin is usually found in animal protein and especially in organic meats like kidney and liver. A heavy meat diet is often associated with a high haemoglobin and high red cell count, but it has its disadvantages. One cause of anaemia is intestinal putrefaction, which is primarily brought on by a high meat diet. Moreover, all meats are becoming increasingly dangerous due to widespread diseases in the animal kingdom. There are, however, other equally good alternative sources of vitamin B12 such as dairy products, like milk, eggs and cheese, peanuts. Wheat germ and soya beans also contain some B12. Vegetarians should include sizeable amounts of milk, milk products and eggs in their diet. For prevention of anaemia, it is essential to take the entire B-complex range which includes B12, as well as the natural foods mentioned above. Brewer’s yeast is a good source of complete protein. A liberal intake of ascorbic acid is necessary to facilitate absorption of iron. At least two helpings of citrus fruits and other ascorbic acid rich foods should be taken daily. Beets are extremely important in curing anaemia. Beet juice contains potassium, phosphorous, calcium, sulphur, iodine, iron, copper, carbohydrates, protein, fat, vitamins, B1, B2, niacin B6, and C. With its high iron content, beet juice regenerates and reactivates the red blood cells, supplies the body with fresh oxygen and helps the normal function of vesicular breathing. ¾¾ Water Treatment A cold water bath is among the most valuable curative measures in anaemia. The patient should be given carefully graduated cold baths twice daily. Cold friction, hot Epsom salt bath for five to 10 minutes once a week and an occasional cabinet steam bath are also recommended. Full sun baths are especially beneficial as sunlight stimulates the production of red cells. There are other important factors which are helpful in curing anaemia. Deep breathing and light exercise like walking and simple yoga asanas should be undertaken to tone up the system. Sarvangasana, paschomittanasana, uttanpadasana and shavasana are recommended. Massage also helps to keep the blood level high.

AYURPHARMA

YEREVAN STATE MEDICAL UNIVERSITY (YSMU) OFFERS

MEDICAL EDUCATION TO INDIAN STUDENTS

This academic year, Indian students can look to another International degree in medicine … at affordable costs and without too much of visa-related issues. The 92-year old Yerevan State Medical University (YSMU) of Armenia offers Under Graduation and Post Graduation courses in various disciplines of medicine for students meeting acceptable norms of eligibility … qualifications that have broad spectrum acceptance in entire Europe and elsewhere. More than 2000 Indian students are studying currently in YSMU, while several thousands of them have graduated successfully from YSMU in the past few years. YSMU offers affordable medical education for aspiring young students between the age group 18 – 28. The Under Graduate degrees include MD (Doctor of Medicine), BDS, B PHARM and the degrees covered under Post Graduation are MD / M S, MDS, M PHARM & MPH. YSMU is also a part of the Bologna Process which was signed by Education Ministers from 29 European Countries allowing students to transfer semesters between European universities. YSMU Courses are recognized internationally… by Medical Council of India, Medical Council of Great Britain and affiliations with many medical universities in USA as well. YSMU is a member of European Medical Congress and is listed in the World Health Organization (WHO) Directory of Higher Medical Institutions, a recognition richly deserved. Mr Jalandhar, CEO, Edulife Abroad, says that “Education in Armenia is funded by the government and this makes it possible for the various educational institutions to invest in state-of-the-art infrastructure, incorporating latest technologies. The low population of Armenia coupled with vast infrastructure allows good number of overseas students to study at YSMU. High quality faculty and a healthy regard for Indians in particular add to the reasons for studying at YSMU. Students with even average scores are also eligible to apply, unlike many other institutions across the globe. Yet the alumni of YSMU have done consistently well for themselves in all countries including UK, USA, Germany, Canada etc.” The University has more than 15 specialized clinical hospitals where students are well trained in practical terms. They have 8 scientific laboratories where about 300 scientists carry out research in various medical disciplines. The medical library is one of the richest libraries of the republic. The Cost per annum for pursuing a UG and PG course is approx Rs. 2 Lakh and 3 Lakh respectively. The duration is 6 years for UG and 1.5 – 4 years for a PG course. For more details please visithttp://www.ysmu.am/. EDULIFE ABROAD (INDIA) PVT LIMITED Edulife Abroad (India) Pvt Ltd is founded with a dream of providing quality consultation for the eligible candidates to study abroad. It is a student-based-solution-driven organization in tailoring path to suit Individual needs. It is one of the preferred destinations for students aspiring to go overseas for education. Edulife Abroad is successful in providing guidance to aspiring students and to reach their dream destination like USA, UK, Australia, New Zealand, and Europe. Edulife Abroad is growing with steady pace with the help of several success stories of the students who achieved their dream through them. Yerevan State Medical University has officially appointed Edulife Abroad (India) Pvt Ltd., as a representative for student enrollment in India.

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Mind talk

Commitment is the language of the wise; complaint is the language of the fools. Commitment is a responsibility and also includes accountability. In life, one should be responsible as well as accountable. Generally one takes responsibility without accountability; this weakens one’s being.

ur weaknesses result in disappointment. Disappointment should be cremated and not garlanded. People derive a sadistic pleasure from disappointment. This is a primitive pleasure, like a grownup boy sucking his thumb. To cremate disappointment, one should strengthen one’s strengths. The greatest strength comes from the energy of commitment and brings in excellence in all walks of life. Few people traverse the road of success without a puncture or two but it is commitment to excellence that takes them through. Commitment is not being ‘stuck,’ but it is an integration of one’s being. For example, if you are committed to honour your word, then the ‘lower self in you will discourage you to justify the failure in not keeping up your promise.

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When the eggs hatch, the weight of the eaglets makes it uncomfortable as the thorns start pricking. Then the female pushes the eaglets out of the nest. As the eaglets are about to fall, the male picks them and brings them back to the nest. Meanwhile, the female removes the upper layer of grass, so that the eaglets rest directly on the thorns that prick them. The eaglets are yet to test their wings to fly. Now the male pushes the eaglets out of the nest. This process continues till such time that the eaglets are able to foresee the danger in falling and start using their wings. Slowly they realise their ability to use their wings and start flying. - Difficulties are like divine surgery. Do not resist difficulties. Nature expects us to use our heart and head to discover new and wiser skills to fly in life. Observe the commitment of an eagle in bringing out excellence while choosing a partner first and parenting later. Bring similar commitment to all walks of life; be it at family, at work, in society or in your spiritual life. Excellence happens when there is love to grow and contribute. Heart is like a musical instrument. Use it wisely. Creativity occurs primarily through the power of intention. Intention is like sowing a seed in existence. Allow it to germinate. Allow the forces of nature to nurture life. Commitment also involves dropping illusions. We do not see the world as it is. We see the world projected through our verbose minds. Minds are filled with thoughts, which are nothing but mere words. Words represent experiences. Words are also influenced by memory. Memory is of the past. From the past, we see the present. Hence we create illusions created by words, but we must filter them wisely. The mind creates dreams- The self - awareness in you sees reality. Awareness without the arrogant is the ‘higher self.’ The mind with its illusions is the ‘lower self-’ Have the commitment to operate from the ‘higher self.’ Through commitment, balance all walks of your life... family, work, social and spiritual. Creativity is to balance all walks of life. Creativity is just not creating something new always. Creativity brings excellence in one’s life. It is a state of well-being. Wellbeing creates completion. When one is complete, one is alive and vibrant in all walks of lifeFirst we dye to finish high school with an ‘A’ grade, then enter the best college, finish college later get good job. After this dying to get married, to have children, then to see children study well, at last dying to retire. But all of a sudden we realize that we have forgotten to live.

commitment and excellence in life If your energies are low, you will be sucked into its logic and reasoning. But if you follow the ‘higher self/ the ‘lower self will be like a servant serving the master. Slowly the ‘lower self will be integrated with the higher. In such a state there will be integrity. Without integrity life is shallow. We have both - an actor and a thinker in us. Every time we lie, the thinker warns us that we are lying and the actor asks us to shut up and continue telling lies. In such a state, there is a split in our being -between the actor and the thinker. Commitment creates integrity. In this state, it is easier to bring forth the excellence in our lives. Observe nature and see how other beings are committed. ¾¾ For example, look at an eagle: ªª From a range of 5 km, it focuses on its prey - Can we focus on our goals? ªª It does not eat a dead prey. - Can we learn not to live on dead information? ªª If there is a storm, it can glide on the strong breeze. It tests its wings and enjoys the storm and the challenges associated with it. - Can we enjoy difficulties and convert them into challenges? ªª It does not mix with other birds. It soars high on its own - Can we be part of an average crowd and still soar high on our strengths? ªª Tests before trusts. Before mating, a female eagle tests its partner. It picks up a twig, flies high and as the male follows, it flies around to escape and finally drops the twig. Before the twig falls on the ground, the male catches the twig and gives it to the female. It repeats this act. If a male succeeds in catching the twig consistently, then it allows mating to take place - can we test before we trust? ªª It lay eggs on a cliff or at the edge of a high peak by making a nest of grass entwined with thorns.

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uuHEALTHY LIVINGtt

The 6 Tastes: Guidemap to Optimal Nutrition

“How to Transform Life with Our Attitude and Thinking” M. SHASHIKALPA

PyraVaastu Expert and Healer, Mind Body Zone(Bio Energy Center) Mayitri enclave ‘C” Block, G-007, Ph: 09980757309, 080 41489555 Ground floor, 14th main, 39d Cross,, Jayanagar 4T block Bangalore -560041

uch of the wisdom of Ayurvedic nutrition rests on the tip of your tongue, literally! According to Ayurveda, the sense of taste is a natural guide map towards proper nutrition. For ages, humans relied largely upon taste to discover healthy foods in nature and avoid toxicity. Our taste buds do much more than simply identify tastes; they unlock the nutritive value of foods and provide the initial spark to the entire digestive process. Food speaks to us directly through taste. A juicy pear may call out to us with a gentle message of delight, while the flaming chilli pepper cries out in warning. As we tune into the tastes naturally desired by the body, we tap into the body’s innate wisdom regarding food and nutrition. Ayurveda identifies 6 Tastes by which all foods can be categorized: Sweet, Sour, Salty, Bitter, Pungent, and Astringent. While the first four tastes are probably recognizable, the last two may not seem familiar. Pungent taste is hot and spicy as found in a chilli pepper, while Astringent taste is dry and light as found in popcorn. Taste Sweet

Primary Actions Common Sources Builds tissues, calms Fruit, grains, nerves natural sugars, milk Sour Cleanses tissues, Sour fruits, yogurt, increases absorption fermented foods of minerals Salty Improves taste to Natural salts, sea food, lubricates vegetables tissues, stimulates digestion Bitter Detoxifies and Dark leafy greens, lightens tissues herbs and spices Pungent Stimulates digestion Chilli peppers, and metabolism garlic, herbs and spices Astringent Absorbs water, Legumes, raw tightens tissues, fruits and dries fats vegetables, herbs

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¾¾ An exploration of taste: Basic principles of Ayurvedic Nutrition ªª Include all 6 Tastes in each meal The 6 Tastes offer us a user-friendly guide map for how to nourish ourselves. Rather than looking at nutritional labels for X amount of protein or Y amount of carbohydrates, the 6 Tastes naturally guide us towards our body’s nutritional needs. Each taste feeds our mind, body, senses, and spirit in its own unique way. From a modern nutritional perspective, the 6 Tastes satisfy each of the major dietary building blocks. Sweet foods, for example, are rich in fats, proteins, carbohydrates, and water, whereas Bitter and Astringent foods are high in vitamins and minerals. The brain sends the body signals when it requires energy in the form of food. By incorporating all 6 Tastes into each meal, we ensure that these signals are adequately met, thus avoiding food cravings or the over-consumption of certain foods.. Including the 6 tastes in each meal doesn’t need to be a daunting task. Adding a squeeze of lemon to cooked dishes, for example, can quickly satisfy the Sour taste, while adding a side salad will fulfil the Bitter and Astringent tastes. ªª Allow your unique constitution to determine the proportion of tastes you eat The body naturally desires tastes that balance its doshic makeup and shuns tastes of an aggravating nature. In this sense, things are made pretty easy for us: If we simply follow our natural inclinations, we are led to the proper foods. Vata individuals, for example, are naturally drawn to moist, grounding foods, while Kapha individuals favour light, drying foods. Ayurvedic nutrition recommends including all 6 tastes in each meal, while favouring those tastes that bring greater balance to your particular constitution. A Pitta individual, for example, will favour cooling foods and spices such as dark leafy greens and fennel, which are high in Bitter and Astringent tastes, while requiring a smaller quantity of the Pungent taste. ¾¾ Balancing the Doshas through Taste 30

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Most Balancing

Most Aggravating

Vata

Sweet, Sour, Salty

Bitter, Pungent, Astringent

Pitta

Sweet, Bitter, Astringent

Sour, Salty, Pungent

Kapha Pungent, Bitter, Astringent

Salty taste is composed of Fire and Water and is hot, heavy, and moist by nature. It is found in any salt (such as sea salt and rock salt), sea vegetables (like seaweed and kelp), and foods to which large amounts of salt are added (like nuts, chips, and pickles). Due to its drying quality in the mouth, it may seem counterintuitive to think of Salty taste as moistening. The element of Water in its composition, however, relates to its water retaining quality. Salty taste falls somewhere between Sweet and Sour tastes with regard to its heavy and moist qualities. While Sweet taste stimulates the greatest water retention and weight gain in the body, Salty taste will have similar effects when used in excess by any of the doshas. In moderation, Salty taste improves the flavour of food, improves digestion, lubricates tissues, liquefies mucous, maintains mineral balance, aids in the elimination of wastes, and calms the nerves. Due to its tendency to attract water, it also improves the radiance of the skin and promotes overall growth in the body.

Sweet, Sour, Salty

In the overview of the 6 Tastes below, “-” after a doshic initial refers to a balancing (or decreasing) effect on that particular dosha, while “+” refers to an aggravating (or increasing) effect.

Sweet taste results from the combination of Water and Earth and is heavy, moist, and cooling by nature. In the West, sugary foods are most commonly associated with this taste. Sweet taste is also found in milk and milk products (like butter, ghee, and cream), most grains (especially wheat, rice, and barley), many legumes (like beans and lentils), sweet fruits (such as bananas and mangos), and certain cooked vegetables (such as carrots, sweet potatoes, and beets). Sweet taste naturally increases bulk, moisture, and weight in the body. For this reason, it is excellent for building the body’s seven vital tissues (called dhatus) of plasma, blood, fat, muscles, bones, marrow, and reproductive fluids. Sweet taste also increases saliva, soothes mucous membranes and burning sensations, relieves thirst, and has beneficial effects on the skin, hair, and voice.

Pungent taste derives from the elements of Fire and Air and is hot, dry, and light. It is the hottest of all the 6 Tastes and is found in certain vegetables (such as chilli peppers, garlic, and onions), and in spices (like black pepper, ginger, and cayenne). In small amounts, Pungent taste stimulates digestion, clears the sinuses, promotes sweating and detoxification, dispels gas, aids circulation, improves metabolism, and relieves muscle pain.

Astringent taste results from the combination of Air and Earth and is dry, cooling, and heavy by nature. It is the least common of all the 6 Tastes and can be found in legumes (such as beans and lentils), fruits (including cranberries, pomegranates, pears, and dried fruit), vegetables (such as, broccoli, cauliflower, artichoke, asparagus and turnip), grains (such as rye, buckwheat, and quinoa), spices and herbs (including turmeric and marjoram), coffee, and tea. Astringent taste is not as cold as Bitter taste but has a greater cooling effect on the body than Sweet taste. Astringent taste is classified more in relation to its effect on the tongue than its actual taste. It creates a puckering sensation in the mouth (such as cranberries) or a dry, chalky feeling (such as many beans). Foods like broccoli or cauliflower have a mildly Astringent taste that is less detectable. Dry foods such as crackers and chips, most raw vegetables, and the skins of fruits also have Astringent qualities.

Sour Taste is composed of Earth and Fire and is hot, light, and moist by nature. It is commonly found in citrus fruits (such as lemon and limes), sour milk products (like yogurt, cheese, and sour cream), and fermented substances (including wine, vinegar, pickles, sauerkraut, and soy sauce). Used in moderation, Sour taste stimulates digestion, helps circulation and elimination, energizes the body, strengthens the heart, relieves thirst, maintains acidity, sharpens the senses, and helps extract minerals such as iron from food. It also nourishes all the vital tissues (dhatus) except the reproductive tissues (the exception being yogurt, which nourishes all the tissues).

Bitter taste is composed of Air and Ether and is light, cooling, and dry by nature. It is found in green leafy vegetables (such as spinach, kale, and green cabbage), other vegetables (including zucchini and eggplant), herbs and spices (like turmeric, fenugreek, and dandelion root), coffee, tea, and certain fruits (such as grapefruits, olives, and bitter melon). While Bitter taste is often not appealing alone, it stimulates the appetite and helps bring out the flavour of the other tastes. Bitter taste is a powerful detoxifying agent, and has antibiotic, anti-parasitic, and antiseptic qualities. It is also helpful in reducing weight, water retention, skin rashes, fever, burning sensations and nausea.

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AYURPHARMA

Motivational wisdom

The art of happy and successful living

Self confidence

Courage is the backbone of confidence and a major contributory factor for big success.

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 The dictionary describes the word ‘confidence’ as boldness. Courage is the backbone of confidence and a major contributory factor for big success. As a result of courage, your confidence gets the full value of ability and leads you to success. Self confidence is what you feel deep inside yourself. It comes from within ourselves. A person having confidence performs his work much better and faster without any concern for fear or failure. Confidence is of prime necessity to achieve success in any field - be it family life, work field, business venture, anywhere and everywhere and to fulfill your cherished dreams and goals. You are confident means you believe in yourself and your vast potential to accomplish anything which you desperately want to do. Confidence means belief in one’s self and his ability and potential without which even great talent is also wasted. ¾¾ ‘CONFIDENCE* comprises of: C courage and commitment to work O optimum utilization of your potential N never-to-be defeated attitude F firm and fighting mentality I imagination and indomitable determination D desire discipline diligence dedication to succeed E enthusiastic energy N never to be nervous C consistency and concentration for creativity E effort and effectiveness to fulfill your dream ¾¾ Some basics about maximizing your confidence level ªª Plan to develop confidence in such a manner that you are not only confident outwardly but your inner self is dipped into confidence. ªª When you are certain that you are moving towards a correct way in the right direction, naturally you will be more confident.

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The key to success is for you to make a habit throughout your life of doing the things you fear, if you do not do the thing you fear, the fear controls your life. Only one person in the world can boost up your confidence easily. You are right, it is only you and you only can lift up your confidence by proper strategy, setting achievable goals and accepting responsibility for your work. All powers are within you, you can do anything and everything, the most important thing for you is to believe in it. Prepare your mind to be a life-long learner. The more you learn the more you gain knowledge and the more self confidence you have. Regain confidence by commanding over doubts. In everybody’s mind » some doubt will come but a confident person does not bother or worry, he stands as a dictator over doubts, then he will surely be a winner. If you want to be more confident, you fix up your mind to image a picture of what you would like to be and work very hard accordingly. Strong desire to surely accomplish the goal and be totally committed to a single goal or objective increases your confidence. Have confidence in yourself. Believe and trust in your abilities for you are who you think you are. You possess the necessary skills talent and capabilities to excel greatly in life - the only thing you should always bear in mind. These three strategies are helpful in mind, ÂÂ Love yourself, believe in your enormous potential ÂÂ Act as if you are confident till acting and reality merges and ÂÂ Bring drastic changes in your thinking, it includes no negative thoughts, no self

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restriction on your ability. Self confidence has the strength to liberate your power and focus it to transform your life. If you want to utilize the tremendous success potential you are born with, first of all you must be confident enough which gives you fresh courage and hope. It comes spontaneously when you feel surely moving towards becoming the best person you can possibly be. Think positively. The confidence level increases in proportion to the level of optimism. The difference between average and confident people is that average people may have lot of wishes and desires but confident people have goals and plans which they try very hard to fulfill. When you continuously think about yourself as a confident person, you automatically feel more and more confident. So look confident and act more confidently. Defined goal with correct plan of action will develop your self confidence at a faster pace. A self confident person has clear knowledge about what he is and what he believes in. Be a good decision maker. Follow the foot steps of confident people - think decide and act. If you want to be more confident, you fix up your mind to image a picture of what you would like to be and work very hard accordingly. ‘NOW is the correct moment that you stick to the rule : ‘Never let yourself down’. Never say or think about yourself any discouraging thought which may make you feel dejected. As per Brian Tracy “Confidence is a habit that can be developed by acting as if you already had the confidence you desire to have”. The key to self confidence is for you to decide what you want and then act as if it were impossible to fail. Self confident people do not compare themselves with others. They only compare themselves with the very best that they can be. If you select some goals which are conflicting or literally impossible to achieve, then it causes anxiety and tension and naturally shatters your confidence level instead of helping you in any way. You can increase confidence with the realization that you are living your life according to your highest estimated value. The outer limit of our potential is ascertained by trust on yourself and confidence that what you think is possible. Select after a good bit of thought an aim, that will magnetize your personality and to fulfill it drive with all your force of confidence courage strong will power and a winning attitude. Start your day with a happy smile by seeing yourself at the mirror to pass the day brightly. Before going to bed at night also do the same and fill up your subconscious mind with positive thoughts. Your courage and confidence will increase manifold when you encounter challenges and overcome them. Confident people always think - ‘Possibility exists

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every morning of our lives’. Avoid negative minded people. They always discourage you and shatter your confidence. Your self discipline increases your confidence trust and belief in your self and your abilities. You will build up more confidence when you achieve success. With this renewed confidence, your path to meet success smoothens. Cultivate a supreme confidence in yourself and your own anticipation of defeat. Regain confidence by commanding over doubts. In everybody’s mind some doubt will come but a confident person does not bother or worry, he stands as a dictator over doubts, then he will surely be a winner. Put an end to the inner critic stopping all negative and pessimistic thoughts, which let you down. Challenge those thoughts instantly and make them powerless. Throw them away from the budding stage. According to JV Carney five important factors that shatter confidence that you should also take utmost care not to do are: ÂÂ Repeating the same mistakes; ÂÂ Others beginning to express doubts; ÂÂ Inability to do what you wanted to do; ÂÂ Fear creeping through and revealing itself; ÂÂ Doubting yourself and your capabilities. Take control over your ‘internal dialogue’ to become a habitual positive thinker. Make a ‘promise plan’ that you will never: ÂÂ Say anything is impossible for you to do; ÂÂ Hate yourself; ÂÂ Consider yourself incapable of learning or achieving anything; ÂÂ Have low self esteem; ÂÂ Think of yourself as a worthless person; ÂÂ Allow any negative thoughts to disturb your mind; ÂÂ Give up any feeling ‘It’s not my cup of tea’. Gael Lindenfield rightly identified seven essential ingredients for any successful confidence building programme and they are as follows: ÂÂ Belief - We must trust that it is possible to change. ÂÂ Motivation - We must need or want to change ÂÂ Insight - We must understand ourselves and our behaviour ÂÂ Goals - We must make sure these are our own and are realistic ÂÂ Practice - We must spend time and energy rehearsing new behaviours. ÂÂ Support - We must get encouragement. ÂÂ Reward - We must be able to feel the benefit of our hard work. To be continued...

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WALKING

DR.YOGITHA BALI M.R

- A SCIENTIFIC VIEW

Ayurvedic Surgeon, Yoga and Diet Consultant Dheerghaayu Ayurvedic Health Care, Bangalore Swasthya Holistic & Integrated Therapy Centre, Bangalore, Ebnezar Orthopedic Centre, Bangalore Lecturer, Dept. of Shalya Tantra Sushrutha Ayurvedic Medical College, Bangalore Email id: baliyogitha@gmail.com Mob: 9886948511

WHAT HAPPENS IF YOU HAVE BEEN LOGGING 6,000 TO 10,000 STEPS PER DAY ON YOUR PEDOMETER AND YOU SUDDENLY CUT YOUR STEPS PER DAY TO LESS THAN 2,000?

Danish researcher says your risk of diabetes, heart disease, and premature death zooms up -- and it only takes two weeks of reduced activity to produce the bad effects. The results of the study by Dr. Rikke Krogh-Madsen, from the Centre of Inflammation and Metabolism in Copenhagen were published as a letter in the March 19, 2008 issue of the Journal of the American Medical Association. The study used healthy young men in their mid-20s who were not overweight, were non-smokers, and who had no family history of diabetes, medication use or other physical abnormalities. One group normally walked 6,000 steps per day, and a second group normally walked 10,000 steps per day. All were asked to reduce their walking by simple methods such as taking a car for short trips instead of walking or biking, and taking elevators instead of stairs. After cutting their steps to under 2,000 steps per day, in both groups the amount of insulin circulating in their blood

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climbed 60%. The researchers say this is a sign that the body is no longer efficiently processing energy from food and is increasing insulin to try to process the food energy. This effect was seen with only two weeks of reduced activity. In the group that normally walked 10,000 steps per day, cutting their steps to under 2,000 produced additional increases in heart disease risk factors. Trigylceride and C-peptide levels increased and they had a 7% gain in abdominal fat without overall weight gain. The researchers were amazed that these healthy young men had impaired metabolisms in only two weeks, without the usual warning sign of weight gain. The 2008 Physical Activity Guidelines for Americans state that “Adults should strongly consider walking as one good way to get aerobic physical activity. Many studies show that walking has health benefits and low risk of injury and the most widely accepted mode of physical activity is walking Physical Activity refers to physical exercise. Inadequate physical activity is said to be a major contributor to health problems. Therefore health experts recommend at least 30 minutes of moderate exercise a day, at least 5 days a week, in intervals of ten-minutes or more (Surgeon General 1999). An increasing portion of the population, including many children, lack regular physical activity. Although there are many ways to be physically active, walking is one of the most practical ways to increase physical activity among a broad population. Walking tends to be particularly important for elderly, disabled and lower-income people who have few opportunities to participate in sports or formal exercise programs. Walking is a major component of daily physical activity, and is the most common form of exercise. Walking is self regulated in intensity, duration and frequency, and

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can be an important indicator of a person’s health and fitness status. Among healthy individuals, 10,000 steps daily have been estimated to be of value in maintaining desired health benefits. Homo sapiens are walking animals. Walking is a fundamental activity for physical and mental health, providing physical exercise and relaxation. It is a social and recreational activity. Environments that are conducive to walking are conducive to people. Walking is also a critical component of the transportation system, providing connections between homes and transit, parking lots and destinations, and within airports. Often, the best way to improve another form of transportation is to improve walkability. ¾¾ WHAT IS WALKING? Walking is a complex activity which requires the cooperation and control of the whole body. Patients readily accept the necessity for practicing preparatory activities provided they can see and understand that they lead towards walking itself. ¾¾ PRINCIPLES OF WALKING Some principles are to be observed by the individual while walking such as ªª The person must learn the correct pattern of walking from the start, because movement patterns learnt and repeated accurately become habitual very quickly. ªª Sufficient and /or aids must be provided to allow a correct pattern of walking. In many cases, the correct or optimum pattern of movement is only possible with the assistance of suitable support, e.g. parallel bars, crutches or sticks, to help balance or to reduce weight-bearing on one or both legs to an acceptable magnitude.

M ETHOD & MECHANISM OF WALKING

The activity of the legs alternates during walking i.e one leg supports the body weight while the contralateral limb swings forwards to replace the foot in a new position ready to receive the body weight when it is transferred ¾¾ Phase I- Stance From walk, standing body weight is moved forwards until the body is supported in vertical alignment over the forward foot; the line of gravity will reach the floor through the transverse tarsal joints. The toes of the rear foot remain on the floor to help maintain balance. This position of stance must be well learnt as progression is achieved by moving from one position of stance to another. ¾¾ Phase II- Swing and Heel strike The supporting function of the forward leg is maintained while the rear leg is lifted and flexed to clear the floor as it swings forwards; it is then extended at the knee and the foot is dorsi-flexed to allow the heel to be brought to the ground i.e. heel strike. Thus this foot has been replaced in a new position ahead of the supporting leg and it must now be termed the forward foot. The balanced support of the other leg must not be disturbed during the practice of the swing and heel strike. ¾¾ Phase III- Weight transference and return to stance

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Then there is a return to stance position but with the other foot forward. The body weight is transferred from what is now the rear leg to be supported over the forward leg. Using the heel as a pivot, the hip extensors of the forward leg are mainly responsible for initiating the forward shift of the pelvis in combination with lumbar and hip extensors of the rear leg during normal walking on level ground. Once phase 3 is completed, phase 2 follows and then these two phases are repeated alternately so that the patient moves from one stance to the other.

BENEFITS OF WALKING

Many scientific studies has shown that walking has been significantly associated with a lower risk of cardiovascular disease, stroke,coronary heart disease, type 2 diabetes and hypertension. Consequently, walking also reduces expenditure on medication needed for these conditions. According to the magazine, ScienceDaily (May 14, 2012) — A walk in the park may have psychological benefits for people suffering from depression. In one of the first studies to examine the effect of nature walks on cognition and mood in people with major depression, researchers in Canada and the U.S. have found promising evidence that a walk in the park may provide some cognitive benefits. The researchers found eight relevant studies featuring a total of 341 people. Overall, the combined results of these trials suggested that walking reduced the symptoms of depression. Walkability Index rating (based on residents’ evaluations) affect walking and biking activity, and health outcomes in 16 diverse neighborhoods. The analysis reveals a statistically significant association between improved walkability and more walking and cycling activity, lower body mass index (BMI), and lower hypertension. Regression analysis indicates that people living in more walkable neighbourhoods are more likely to walk for at least 10 daily minutes and are less likely to be obese than those living in less walkable areas, regardless of age, income or gender. ¾¾ DISEASES ASSOCIATED WITH PHYSICAL INACTIVITY (Killingsworth and Lamming 2001) ªª Heart disease ªª Hypertension ªª Stroke ªª Diabetes ªª Obesity ªª Osteoporosis ªª Depression ªª Some types of cancer

CONCLUSIONS

Though many know that the walking is good for health, but only a few are aware of its health benefits. Walking should be a made a routine activity like our daily breakfast to keep on track to keep us fit and healthy. In spite of it, as a physical activity, it also influences the individual psychologically and socially. Walking is therefore recommended as a universal physical activity for the maintenance of health and the prevention of diseases. SO, ARE YOU READY TO WELCOME WALKING ----------------------OR WELCOME AILMENTS

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India - Medical Tourisms destination

Mr.: Panicker

CEO - Anju Meditour International #140, Narasimpura Main Road, Vidyaraniapura, Bangalore, India-560097 Phone No. +9123640066, Email-anjumeditour@gmail.com anjumedicare@gmail.com Mobiles: 919902402500, 9448337223

One goes to another country for Medical treatment is called “Medical Tourism “It is learnt from the detailed survey that the potentiality of Medical Tourism in India rating high in the coming years.

edical Tourisms is a buzz word for India. India is one of the most potential destinations for the medical tourism. Patients from over 65 countries getting treated in various hospitals across the country every year. Medi tour operators make contract with the Accredited Hospitals and Medical consultants will consult with alien patients and his doctor through phone or Email. And fix Hospital and specialist Doctor who prefers the alien Patients. Either it may be a major Procedure or elective one. well qualified and trained doctors, lower treatment cost, shorter waiting periods for surgeries are the basic reasons for the attraction of aliens. Pre & Post Surgery care by Team spirited and dedicated Nurses and other Staffs are other advantage Compare the Cost OF THE MEDICAL PROCEEDURES IN DIFFERENT COUNTIRES Bellow Tentative Cost Comparison (in US$)- Medical Tourism in India vs. Abroad. PROCEDURE

USA

Heart Bypass 150000 Heart valve replacement with 157000 bypass Hip Replacement 71250 Knee Replacement 66250 Face Lift 20000 Lap. Gastric 65000 Bypass Prostate removal 20000

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Private Transportation Too & Fro Airport. Pre-paid cellular phone Bilingual assistance in hotel check in & Admission formalities in hospital Daily checks on recuperating Patients Interpretation assistance if necessary Assistance in communicating family back home Provide private nursing assistance if needed Assistance & care for disabled Organizing Tour & sight seeing Personal assistance for Touring & Shopping Assistance & info on Dinning, Tipping, Money Exchange, Spa treatments Provide information on Culture & Customs, Air Ambulance services

ªª ªª A Little History of Medical Tourism ¾¾ What is medical tourism?

Medical tourism is simply the process of traveling abroad to a specific destination to obtain certain medical procedures. Canadians and Europeans

INDIA Thailand Singapore Malaysia

SOUTH COSTA MEXICO UAE KOREA RICA 39625 33750 30125 51125

NEW ZEALAND 46250

8750

27500

28375

15000

11875

31250

27500

16750

52500

37500

63250

50000

8775 11500 6000 11625

15875 14375 6250 16250

1500 12000 9375 20625

9375 15000 8000 15875

13250 14750 8250 11625

17375 18375 14125 13750

14250 13375 6125 12600

57500 50250 11500 21000

31250 27500 7500 42060

4500

5500

6688

5750

3875

14750

3375

9500

18750

The following approximate addition charges (IN US $) will come to all passengers excluding to the Hospital expenses in the Chart Documentation + X- type Visa fees +Flight Charges + Food and accommodation (250+1300+1500+750=3800) Major treatments in medi tour are: Cosmetic Surgery, Dentistry, Cardiology and Cardiac Surgery, Orthopaedic Surgery and Spine Surgery, Bariatric Surgery, Reproductive System, Organ and Tissue Transplantation, Ophthalmology, Ayurveda therapies comprising of Panchkarma, Rejuvenation, Detoxification, Body Purification, Stress and Strain Management, Holistic , Wellness, Beauty and Weight Loss along with yoga and Meditation .

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have been traveling outside their regions for years to obtain medical procedures due the long waiting periods associated with socialized medicine. Now they have an opportunity to seek top quality procedures, where they can recover in anonymity and luxury at more affordable rates. Archaeological evidence from the third millennium B.C. suggests that ancient Mesopotamians traveled to the temple of a healing god or goddess at Tell Brak, Syria, in search of a cure for eye disorders. A few thousand years later the Greeks and Romans would travel by foot or ship to spas and cult centers all around the Mediterranean. The Asclepia Temples, dedicated in honor of the Greek god of medicine, were some of the world’s first health centers. Pilgrims would sometimes spend

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several nights in the temple, hoping Asclepios would appear in a dream and suggest a diagnosis or treatment. Later in the 16th and 17th centuries, spa towns such as St. Moritz and Bath became prime destinations for the European upper classes looking to soothe their ills. What kind of “procedures” were the ancients seeking? No butt lifts or hip and knee replacements, that’s for sure. Many were looking for “healing” waters or the benevolence of the gods to cure common ailments of the time such as rheumatism, syphilis, gonorrhea, blindness and paralysis. Modern medical tourism as we know it today has largely been the result of several factors including the high cost of medical care in first world nations, ease of long distance travel, and advances in information technology. ¾¾ What Kind of Medical Tourism Are You Looking For? Medical tourism comes in many different flavors but can be grouped primarily under the following four branches: ¾¾ Medical Tourism for “Major” Medical Procedures Also referred to as non-elective or critical procedures, these tend to be relatively complex surgeries that, due to their urgent nature, must be procured in a relatively short time period. They include but are not limited to orthopedic procedures such as knee and hip replacements, cardiac surgery, neurosurgery, gynecology procedures and general procedures such as hernia repairs and gallbladder removals. These procedures tend to be characteristic of the baby boomer generation and are therefore expected to increase in popularity as more North Americans enter this demographic age group. ¾¾ Medical Tourism for Plastic Surgery or Cosmetic Surgery Procedures From breast lifts to tummy tucks and buttock augmentations, these are the glamorous procedures most commonly associated with the term medical tourism. They are known as elective procedures as you elect or choose to have them done usually based on non life threatening considerations such as bettering your appearance. These procedures are normally not covered by insurance and its adherents are usually between the ages of thirty-five and sixtyfive (though there are many exceptions to this rule). ¾¾ Dental Tourism a Form of Medical Tourism As the heading suggests, this is the side of medical tourism that focuses on fixing your smile. Though the name may conjure up images of a tanned thirty-something brandishing a sparkling smile and strolling along a palm-fringed beach, the truth of the matter is that for many people, going abroad is the only way that they can afford to take care of sometimes complex dental problems. Popular

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treatments and procedures include teeth whitening and veneers all the way up to implants, crowns and complex cases such as maxillofacial surgery (correct injuries in the head, neck, face and jaw). ¾¾ Health Tourism for Wellness & Alternative Treatments This is a rapidly growing sub-niche of medical tourism that has been around for many years. It is technically two sub-niches (though they do overlap) as we must differentiate between travel for alternative treatments and wellness tourism. ¾¾ Why Travel India for Medical Care through Medical Tourism? At this point you might ask: why would someone fly halfway around the world for a medical procedure? Why go through all the trouble of finding a doctor and hospital in Costa Rica, India or Thailand if there is great medical care available in the U.S. and Canada? No one will doubt that the U.S. and Canada boast some of the world’s best physicians and medical facilities. So much so that for years many foreign doctors have come to train at our universities and hospitals in order to learn the latest techniques and to have access to cutting-edge technology. However, the fact that each year more and more people are traveling abroad for medical care goes to show a simple truth: it does no good to have a dazzling Porsche parked in your garage if you don’t have access to the keys. For the nearly fifty million uninsured Americans who can’t afford quality healthcare, the keys to the Porsche might as well be locked in a concrete box at the bottom of the Pacific Ocean. By offering low-cost healthcare at top-quality international hospitals, Medical Tourism gives you the keys to the Porsche (or at least makes them much more accessible). ¾¾ What Are The Forces and Drivers Behind Medical Tourism? Over the last ten years, several factors have contributed to the increasing popularity of medical tourism. Chief among these are rising health costs. In the U.S, the rising cost of healthcare is pushing people to look for other options and is also responsible for millions of Americans being uninsured or underinsured. In 2006 the US Census Bureau stated that the number of uninsured Americans jumped in 2005 from 15.3% uninsured and a total of 44.8 million to 15.8 percent of people in 2006 for a grand total of 47 million. Based on these numbers one can only estimate that in 2007 the number will be close to 50 million uninsured Americans. Contrary to popular belief, these people belong not only to the lower class, but to the middle and upper middle class as well. Additionally, in 2005, 60.2% of those people with health insurance were provided it through their employer. In 2006, this percentage decreased to 59.7%. This means in 2006 over one million Americans had lost their health insurance through their employer. Let’s take a look at how a person might actually begin the medical tourism process. Say we have a

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fictional character named Tom Gruber, who is a 54 year old retail store owner living in middle America. During an exam his primary physician discovers that he needs prostate surgery. The price he is quoted is close to $50,000, and under his individual health insurance policy, he would still be responsible for $17,000 of the tab. Through a friend Tom hears that there may be more inexpensive options abroad. An internet search brings up a hospital in Central America where Tom learns that the exact same procedure costs only $7,000 dollars. After carefully researching the hospital and talking to doctors and former medical tourism patients, Tom decides to fly there for his procedure. His total expenses including round-trip air-fare and lodging? $9,500 dollars. With savings like this, it’s not hard to see why medical tourism is becoming so attractive

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hy is Medical Tourism a Solution for the United W States, Canada, and the United Kingdom? At this moment the healthcare crisis in the U.S can be likened to a pressure cooker that is about to blow its top. The number of uninsured or underinsured Americans is close to Fifty million, and shows little sign of diminishing. According to the U.S. Census Bureau, the elderly make up twenty-three percent of the major costs of U.S healthcare spending and each year more people are entering these age brackets as the baby boomers mature and get older.

It is projected that: The number of Americans aged 65 or over will double by 2050; the number of people age 85 or over will quadruple by 2050.By 2030 over half of U.S. adults will be over age 50, The over 65 population will nearly triple as a result of the aging Boomers. More than six of every 10 Boomers will be managing more than one chronic condition. Although Canada has an admirable healthcare system in many respects, many residents admit that there is a serious crisis brewing. Poor government funding has led to a notable lack of physicians, nurses, and state-of-the-art medical equipment.

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This, in addition to the long waiting times for many surgical procedures, has created unrest and an urgent call for healthcare reform. According to a 2007 article in the Christian Science Monitor, Britain’s Department of Health reported that at any given time, nearly 900,000 Britons are waiting for admission to National Health Service hospitals, and shortages force the cancellation of more than 50,000 operations each year. In each of these cases the government has failed to adequately meet the basic healthcare needs of many of its citizens. As baby boomers age and the current healthcare system is stretched to the breaking point, expect individuals and businesses to look at new ways of regaining control of their healthcare. The medical tourism phenomenon is a natural outgrowth of these conditions – an outlet if you will, for people trapped by an unwieldy system that offers little hope for a better tomorrow. Long wait times for certain procedures is also a big factor for residents of Canada and other countries with socialized medicine, and is effectively forcing people to look for other options, including medical tourism. Wait times of a year or more are quite common in Canada and England. Contrast this with “wait times” of weeks or even days at many medical tourism destinations.

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hat Kind of Savings Are We Talking About W from Medical Tourism? Chances are the main reason you are even looking into medical tourism is because of the savings. The fact is, on average you can expect to save anywhere from fifty to eighty percent of what you would normally pay in the U.S. To get a good idea of the exact amount of money you’ll be saving, you need to consider not only the cost of the procedure, but also the air fare, lodging and other travel related costs. Currently there are about 10-15 well known medical tourism destinations that offer internationally accredited hospitals and a variety of price points for various procedures. For example, a triple coronary bypass can cost approximately one hundred thousand dollars in the U.S. A hospital in Mexico may advertise the same procedure for approximately thirty thousand dollars. But hold on, before speeding across the border you may want to take a glance at India or Thailand, where the same procedure runs for about ten and fifteen thousand dollars respectively. Do you have a bad knee? A total knee replacement procedure costs about forty thousand dollars in the U.S. Several hospitals in India will replace your knee for less than ten thousand dollars. Maybe you don’t want to fly half-way across the globe for your surgery. No fear, hospitals in Mexico and Costa Rica are advertising a total knee replacement procedure

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¾¾ What is the typical cost difference of medical procedures abroad? The difference in price depends upon the medical procedure you choose. The cost is 1/5th to 1/10th of costs of many procedures in the west. This significant cost reduction enables you purchase a round trip air ticket, recover in a 5 star resort, buy a new wardrobe, and return home saving money. ¾¾ Why is medical care so much cheaper in India? Many countries have world-renowned health care system in terms of quality and technology, but have not adopted the legal system completely as in the western countries. For e.g Doctors in the US are required to pay medical malpractice insurance that usually cost over $100,000 annually. Foreign doctors are required to pay medical malpractice insurance as well, but their costs are as low as $4000 annually. In addition to this insurance, certain economies are at different stages of development than the US. This absolutely does not mean that their healthcare technologies and institutions are behind the US. In fact, most of the private hospitals in India use exactly the same machines and instruments as the most advanced hospitals in the west ¾¾ Why should we select India as medical tourism destinations? There are several important factors into consideration. The most experienced and highest quality in the global medical tourism sector. Investing immense resources into building up the medical tourism infrastructure. It has also built advanced transportation and communications systems. The healthcare standards, professionalism and quality of their doctors at par with the world’s best.

for about eleven thousand dollars, which is still an attractive price considering the shorter travel distance and cheaper airfare. ¾¾ What services are included? Your package will include pick up from the airport, accommodation at a 4 or 5 star hotels, ground transportation to and from doctor’s appointment and hospital, medical procedure, travel reservations, trip itinerary and much more. ¾¾ Why should I consider medical or surgical procedures in India? The Clinical outcomes are at par with the world’s best centers having internationally qualified & experienced Doctors. Costs of the medical procedures in India are approximately 1/5th to 1/10th of costs in the west. This cost differential enables you the opportunity to have a vacation in an exotic country, recover in a 4 to 5 star resort in complete anonymity, and then return home having spent less than the procedure alone in your country. There is no waiting time for any surgical procedures. ¾¾ Is India really a better place to get medical treatment? Yes, Currently India receives patients from over 50 countries across the world. Here are some reasons behind its emergence as the preferred healthcare destination: The cost of medical care in India is very low when compared to that in many western countries. India has a vast reservoir of skilled doctors. Many of them have proved their mettle in the US and UK and returned to India to work in hospitals here. The caliber of other doctors practicing in India is also of a very high order.

ANJU MEDITOUR INTERNATIONAL BANGALORE INDIA

SERVICE IS OUR MOTTO---!!!. WE PROVIDE FIRST WORLD CLASS TREATMENT AT A THIRD WORLD ªª

The Indomitable and Incredible Motivation behind the Indian Medical Tourism are:-

ost –Operational Medical Care P by trained and Team ªª Spirited Nurses and other Paramedical Staffs, ¾¾ Services includes patients package will include pick up from the airport, accommodation at a 4 or 5 star hotels, ground transportation to and from doctor’s appointment and hospital, medical procedure, travel reservations, trip itinerary and much more.

ªª The boom in the state of art Hospitals;

ªª Well qualified Doctors; proved

their mettle in UK & USA Hospitals ªª 60 to 70 % lower the treatment cost when compared to UK & USA, ªª Shorter waiting periods for surgeries

Hospitals and doctors can contact for our services

ANJU MEDITOUR INTERNATIONAL BANGALORE INDIA

#140, Narasimpura Main Road, Vidyaraniapura, Bangalore-560097, India Phone +918023640066, Mobile: +919902402500 / +919448337223, Ghana Associate Mr. Moses:+233242507338 E-mail: anjumeditour@gmail.com. / anjumedicare@gmail.com, Per: ID: sppanikker@gmail.com. CONTACT Mr. Sajeev Panicker: +919902402500 / 9448337223 OR Mr: Divikar Kini:- 00919980584866.

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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

Cooking tips ¾¾ ªª ªª

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Clear up clouded oil by frying potato pieces and filtering the oil. Milk can be prevented from spoilage by adding a few paddy grains. Prevent anything from boiling over by smearing a little oil or ghee on the rim of the vessel. Burnt smell in milk can be eliminated by boiling it with a little pinch of soda bicarb. Corn flour is an easy alternative for bread crumbs. Dress care tips Leather uppers can be waterproofed by coating them with castor oil and letting it dry and soles with a thin coat of matte varnish and letting it dry. Wash mud-stained umbrellas with a few drops of washing soda in water. For a fragrant ironing add a few drops of perfume or cologne to the water in the steam section part of the iron. ªªFor an economic power saving ironing experience start with a hot iron with the cottons, then reduce the heat for the woollens, rayons, terricots, etc. and finally switch off for the nylon, synthetics, etc.

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House hold utensil care tips De-odourise plastic containers by keeping a cut piece of lemon in it and closing the lid till the odour vanish. De-odourise plastic containers by keeping a piece of bread dipped in a little white vinegar in it and closing the lid till the odour vanishes. ªª De-odourise the kitchen by keeping a bowl of vinegar near the working slab or the gas oven. ¾¾ KITCHEN CARE TIPS ªª Reuse tea leaves to clean glass tables tops by adding a little vinegar and water. ªª Remove candle wax from table cloths and other surfaces by rubbing an ice cube to harden it and scrape it off with a blunt knife. ªª Hard water stains on glass ware can be removed by rubbing with a fine steel mesh dipped in vinegar. ªª Sprinkle salt over burned spill on the gas stove to clean and de-odourise.Then mop it up with hot water and detergent. ¾¾ PRACTICAL AND ECONOMICAL KITCHEN TIPS ªª Use cutlery trays for organizing your desks which is always full of pens and markers here and there and always difficult to find things in time. Substitute chilli sauce with a paste of chilli pickle run in the mixer. Self-raising flour can be easily got by sieving a cup of maida along with 1 Vz teaspoons of baking powder and a pinch of salt. ªª To double your quantity of cream, add half a cup hung curd with the same quantity of milk and whip thoroughly.lt also improvises the taste.

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Health news

“FREEDOM TO LIVE LONG”

Machine to treat heart diseases zz

Ramesh Yalagachin

Advanced External Counter Pulsation Machine is a non-invasive process to treat heart disease by alleviating their symptoms, preventing complications such as heart attacks and maximizing their quality of life. Their treatment would take a systemic, rather than a localized approach. Advanced External Counter Pulsation helps in increasing Coronary Perfusion, increasing Diastolic Perfusion Pressure, decreasing Ventricular Load, increasing Venous Return, increasing Coronary Collateral Flow to Ischemic Regions of Myocardium, Eliminating Toxins such as Carbon Dioxide and Lactate, supplying more Nutrients such as Oxygen and Glucose. The purpose of introducing this product is to address the most burning issue of the nation and help common man to live long. Heart disease is a large health problem affecting India today. The number of cases of Ischemic Heart Disease (IHD) is estimated to be about 22.37 million in India in the year 2004. These consist of 11.67 million cases in urban areas and 10.67 million cases in rural areas. Preliminary results from the largest study (Prospective study one 1 million deaths in India – RGI-CGHR Prospective Study Collaborators, have revealed that heart ailments take most lives in both urban and rural areas. Cardio Vascular Disease stood first with 25% contribution to mortality ratio for the age group 25 to 69 years followed by COPD, Asthma, Other Respiratory diseases 10.2% and tuberculosis 10.1%. According to planning commission report dated 9th May 2011“It has been estimated that India lost about 9.2 million potentially productive years of life in 2000,

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due to premature deaths caused by cardiovascular disease in the age group of 35-64 years. According to studies, India’s potentially productive years of life loss (the number of working years a country is deprived of when a citizen dies before the age of retirement) due to heart disease was 9.2 million years in 2000, in comparison to 6.6 million years in China and 1.6 million years in the US. In 2030, India’s figure is expected to be 17.9 million years, compared to 10.4 million for China and 1.9 million for the US. This poses a major health problem in our country. Modelling studies have shown that the per-capita income in India would increase by 87% if the CVD mortality rate per annum declines by one percent whereas a three percent annual decline would increase per-capita income by 218% by the year 2030. Heart disease is a large health problem affecting India today. Heart disease happens when your arteries become narrowed through the process, called Arteriosclerosis. When this happens the blood and oxygen supply to the heart muscle is restricted. The lack of blood and oxygen is caused by fatty plaques, which a porridge-like sludge is made up of fatty deposits of cholesterol, cell waste and other substances that accumulate along the walls of the coronary arteries. These form raised patches narrow the arteries, reducing the space through which blood can flow, and at the same time the blood becomes more prone to clotting. Over time, the heart muscles are starved of oxygen and nutrients carried by the blood and it begins to weaken and parts of it may even die. This process begins in most people during childhood, and progresses as we get older. Heart failure is when the heart loses the ability to pump enough blood through the body. The seriousness of the condition depends on how much of the pumping capacity has been lost. Mild heart failure may have little effect on one’s life, while severe heart failure interferes with simple activities and can often prove fatal. Half of all patients diagnosed with heart failure will die within 5 years. The main aim of Asrah Technologies India

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Health news Limited is to make this product available at every part of the country to make common man face this challenge. Their Objective is to drastically reducing the treatment cost by reducing the system cost. They are working towards helping 32% of our country people who are below poverty line. Their Objective is to transform the lives of the patients whose heart disease is so advanced that they cannot eat or do normal activity without severe symptoms. Making them to return to activities they had given up. Their Objective is to help nation by making every heart a healthy heart. Asrah will launch this product in the market by October 2012 Also to help those people who cannot afford cost of the invasive treatment. This act of courage would change the entire face of the condition. ¾¾ About Asrah Technologies India Limited It is a public limited company registered under the companies’ act 1956. This company was started by group of engineers to build a strong research based product development company. This is a unique example of entrepreneurship skills to set up a product based company without any external funding support. One of the most difficult parts of starting a start up for any entrepreneur is finding that small bit of seed capital to get things going. As evidenced by small seed funds, a little can go a long way for start up entrepreneurs, but raising that chunk of change to get started can be tricky. They started Recruitment Service on the side to self fund. Every engineer joined them worked on head hunting and recruitment services along with product development assignment. They built this organization by hiring freshers and moulding them as per organization’s needs. They have well established them self in the field of recruitment services and very soon in the month of October they will be launching their first biomedical product in the market. Contact : Mohammed Ismail, Director, Asrah Technologies India Limited. Mob : +91 9342532314 e mail : ceo@asrahindia.com

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MICROLARYNGEAL SURGERY Surgery to remove a tapeworm

Columbia Asia Hospital, Hebbal conducts a rare surgery to remove a tapeworm from a patient’s voice box:

hirty four-year-old, Anil Kumar (name changed) was suffering from intermittent hoarseness of voice since two years. While he had no history of throat pain or voice abuse the situation turned worse when he started having excruciating pain and could barely manage to talk. The doctors he consulted prescribed him medications but were not able to detect any problem or give satisfactory response. With little hope of regaining his voice, Kumar and his family decided to consult Dr Santosh.S Consultant ENT, Head and Neck Surgeon, Columbia Asia Hospital, Hebbal, Bangalore. On further examination and investigation it was discovered that there was a grayish semi transparent mass inside the voice box. “The mass was a parasitic infestation caused by a tapeworm found in the intestines of pigs and a leading cause of multiorgan infections,” says Dr Santosh. What made it challenging was the fact that the worm was lodged right in his voice box. In a two hour long surgery the team led by Or Santosh conducted MLS (Microlaryngeal surgery) which removed the worm from his vocal cord. The patient has recovered extremely well, has recovered his normal voice and has resumed a normal life. About Cysticercosis: Cysticercosis is a parasitic infestation by pork tapeworm and is a leading cause of multiorgan infections. Involvement of the central nervous system, subcutaneous tissues, and orbits are very common. Involvement of the vocal cords or voice box by cysticercus is a rare occurrence. Only 2-3 cases have been reported across the globe. Confirmatory diagnosis is usually done by histological examination from affected part. Cysticercosis is no longer an endemic disease of the developing countries. It has become a ‘global problem’, because of immigration from endemic areas. Tapeworm infestation is commonly seen in developing countries due to a combination of factors like crowding and poor sanitation leading to faecal contamination of food and water, close contact between humans and pigs and thus more opportunities for transmission of disease. Tapeworm infestation is common in rural areas than in urban areas, due to lack of a proper sewerage system and lesser access to health care. Infestation with the adult worm takes place by the ingestion of uncooked or poorly-cooked pork containing encysted larvae of tape worm, Taenia solium.

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Brain and spine care

NOVEL BRAIN TUMOR SURGERY

ENDOSCOPIC REMOVAL OF PITUITARY TUMOR THROUGH THE NOSE

Dr. Arvind Bhateja

Medical Director, Sita Bhateja Speciality Hospital Centre for Brain and Spine Surgery CONSULTANT NEUROSURGEON & SPINE SURGEON # 8 & 9, O’Shaughnessy Road, Langford Gardens, Bangalore - 560 025. Phone; 08040302700, 08022210701/02, 22214074

E-mail: mail@sbshospital.com , Website: www.sbshospital.com

nown as the “master of the endocrine orchestra”, the pituitary gland is a tiny but powerful structure situated just below the brain, in a bony recess called the sella turcica. Although it is only about the size of a pea, it exerts a strong influence over all the endocrine organs of the body such as the thyroid, the adrenals and the organs of reproduction (the ovary in the female and the testis in the male). In addition, it exerts important influences on growth and on lactation. Situated just above this gland is the crossing of the optic nerves (the nerves that carry sight from

ªª

Compression effects from the tumor on vital areas of the brain ªª Like a “stroke” with headache, vomiting and sudden unconsciousness due to a bleed into an existing tumor. This is known as apoplexy and can be life-threatening unless immediate surgery is performed. Most patients with pituitary tumors are detected when they present to an eye specialist (ophthalmologist) with worsening of vision. Patients with compression of the optic nerves typically complain of inability to see objects in the outer halves of the visual fields (known as bitemporal hemianopia). Some patients may also present with complete loss of vision in one or both eyes. Pituitary tumors are best diagnosed with a contrast MRI scan of the brain, which beautifully demonstrates the tumor, its size and extension, and compression on any surrounding structures. Patients diagnosed with these tumors also require a complete hormonal evaluation to detect any derangements in

the eyes to the brain) called the optic chiasm. The pituitary gland is a common site for tumors, called pituitary adenomas. These can be small (<10 mm) microadenomas or large (>10 mm) macroadenomas. Tumors can be functional (secrete one or many hormones) or nonfunctional (non-secretory). Pituitary tumors are common but difficult to diagnose because of a wide variety of symptoms with which they present. Some present due to ªª Excessive secretion of hormones ªª Deficiency of certain hormones

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hormone secretion, which can influence the management of these tumors. Most tumors need surgical removal which is possible in all but the largest tumors. Approaching these tumors through the head is complex since these tumors are deeply located inside the skull. Therefore, pituitary tumors are often better approached through the nose, through a convenient air space in the skull known as the sphenoid sinus which lies just below the pituitary. This approach has tremendous advantages since it does not require opening of the skull or retraction of the brain, leaves no scar, often takes less time and requires shorter hospitalization. In the past, this approach was used in conjunction with an operating

microscope and a speculum placed in one nostril. Diagram showing the route of approach to pituitary tumors through the nose Of late, these tumors are elegantly approached through both nostrils, with no speculum and using extremely thin endoscopes. The endoscopic approach gives the surgeon a much better visualization, better illumination and causes less tissue damage. Most patients require hospitalization for 3-4 days. Many tumors, even fairly large ones can be nearly completely excised with very little morbidity through this approach. Most patients have excellent recovery of their eyesight after the surgery and most have good hormonal response as well, depending on the type of hormone affected.

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Health news

ACHALASIA CARDIA

be present at any age. It is a condition where the lower part of the food pipe is very tight due to contractions and as a result the person finds it very difficult to swallow food. Usually this is

managed by making the constriction open-up by an endoscopic day procedure (non surgical method). If this first choice fails and especially like in this situation where the stomach and food both are damaged, surgery is the best choice”. Raghavendra’s family was ready to do anything to get him back on track. And that is when he came into contact with Dr. Ravishankar Bhat, Senior Consultant GI & Liver Transplant Surgery at Apollo Hospitals. According to Dr Ravishankar Bhat, “When I first met Raghavendra I was shocked to see that he was emaciated and nutritionally challenged. He weighed 40 kgs. Not surprising since he had not been eating for years and had been dependent on nasal feeding. Initially, we had put a tube straight to his stomach for a month to improve his nutritional levels. He had a very unique, disease of food pipe where the motility of food pipe is hampered. And the patient is unable to eat. In addition to this Mr.Raghavendra had massively thickened stomach, the cause of which couldn’t be found and concluded that it could be due to gastritits medicine (Protone pump inhibitor) he was consuming for more than two decades” Raghavendra was operated in mid June. The surgery is called “Transhiatal oesophagectomy with total gastrectomy and colonic transposition”. In this procedure, the blocked and infected part of esophagus i.e., food pipe was taken out along with the excision of the stomach and remaining esophagus was directly connected with the Large intestine. The surgery lasted for seven and half hours as Mr Raghavendra was operated before and had plenty of adhesions (i.e. Intestines, liver are stuck to each other). After which the patient had a 3 week stay at the hospital. It is amazing that within four days of surgery, Raghavendra started walking and within a week he started taking solid food and discharged within 4 weeks. Dr Ravishankar Bhat said, “He had undergone a surgery to correct the problem 40 years ago but received limited result. Multiple endoscopic procedures were done to correct it with transient benefit. Due to chronic medication his stomach wall had thickened and became non-functional. We then surgically

A rare disease

Patient who had not eaten for years, operated on to remove esophagal obstruction caused due to food pipe motility disease called Achalasia Cardia.

Raghavendra (61) was admitted to Apollo Hospital in February, 2012. Little did he know that he would be living a new life in few months time and happier times awaited him. Raghavendra was a sound engineer for 30 years and then an agriculturist in Shimoga district. Since the tender age of 9 he had a strange disorder. He had difficulty in swallowing for about 10 years and it had gone undiagnosed. At 20, his visit to a local doctor in Shimoga, threw light on Raghavendra’s ailment. He was informed that his food pipe was blocked and he needed to be operated upon. He got a surgery done in Shimoga to remove the blockage from his esophagus after which he got some relief. He was fine for next 20 years till 1990 when the problem resurfaced and he was unable to eat. Pain in the food pipe was so intense that he could not swallow even a few morsels of food. Following which he became very weak and lost around 20 kgs of weight. About the same time he came to Bangalore and visited many private hospitals, seeking a solution to his miserable existence. Once again he was on endoscopic dilatation just to dilate his food pipe so that he was able to eat. Endoscopic dilatation continued for 20 years and then end of last year his surgeon refused to continue dilatation. A complicated surgery involving removal of food pipe and stomach was the only option left. Dr. S. T. Gopal, Consultant Medical Gastroenterologist says “Achalasia cardia can

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Health news removed the patient’s food pipe and stomach. To re-establish continuity we used large intestine which is joined to the food pipe in the neck and small intestine in the abdomen, thus helping Raghavendra to resume eating normally”. His family is very happy on his fast recovery and his wife says, “Raghavendra is a very strong person. He has gone through this phase very patiently and he performs all his daily activities on his own.”

About Apollo Hospitals In 1983, Dr Prathap C Reddy, the architect of Indian healthcare, launched the first corporate hospital in India. An integrated healthcare company, the Apollo Hospitals Group has more than 8,500 beds across 55 hospitals, more than 1200 pharmacies and 100 diagnostic clinics, medical business process outsourcing services, health insurance services, and clinical research divisions with a focus on epidemiological studies, stem cell research and genetic research. To develop talent for the burgeoning need of superior healthcare delivery, the Apollo Hospitals Group has 11 nursing and hospital management colleges. These accomplishments have earned the Apollo Hospitals Group accolades such as the Centre of Excellence from the Government of India and recognition from the Joint Commission International (seven Apollo hospitals are JCI accredited). In a rare honour, the Government of India issued a commemorative stamp in recognition of Apollo’s contribution, the first for a healthcare organization. For more than 28 years, Apollo has continuously excelled and maintained leadership in medical innovation, world-class clinical services and cutting-edge research. Apollo hospitals are consistently ranked amongst the best hospitals globally for advanced medical services. Apollo Hospitals, Bangalore. Apollo Hospitals, Bangalore is a quaternary care hospital with focus on six major departments like Cardiac, Orthopaedics, Oncology, Neurosciences, Emergency & Transplant. They also specialize in Minimally Invasive cardiac Surgery, Bariatric Surgery, Cosmetic & Reconstructive Surgery. Every consultant at Apollo Bangalore is handpicked from some of the best institutions of the world. Apollo Bangalore is JCI accredited.

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Give Zinc - Save Life Importance of Zinc Treatment in Diarrhoea

As per statistics, 50 Lakh Children die every year due to diarrhoea in developing countries, in India 73 lakh Children Die due to diarrhoea. Due to decrease in the levels of electrolytes and dehydration children will be affected and the resulting is death. Due to environmental pollution and lack of personal hygiene, as a result of viral infection there will be decrease in the electrolytes like sodium and potassium and this in turn decreases the Blood pressure, resulting in renal failure and / or cerebral Hemorrhage, which leads to loss of consiousness of the patients if not treated may lead to loss of life. Even though the Levels of electrolytes and water is maintained by giving ORS, If “Zinc” is not added to this the immunity and absorption capacity of the body decreases. After many researches, Scientists have proved that the importance of “Zinc” treatment in the case of diarrhoea. If 10 — 20 mg of Zinc is given to the child every day, the immunity of the body increases and will prevent drastic effects of diarrhoea. If “Zinc” treatment is made

compulsorily even the deaths can be prevented in cases of diarrhoea.

Noting the importance of the administrations of “Zinc” in diarrhoea “UNICEF” in association with IMA has decided to popularize use of “Zinc” & “ORT” in the treatment of Childhood diarrhoea. IMA has taken the great responsibility of training pediatricians, Government doctors and General practitioners are also included in conducting this programme and training doctors to convey the importance of this easy and lifesaving treatment to the public.

For details contact DR.H.L.KRISHNEGOWDA President and DR.A.V.MANJUNATH

Secretary, INDIAN MEDICAL ASSOCIATION KARNATAKA STATE BRANCH, IMA House, Alur Venkata Rao Road, Near IMA Circle, Bengaluru-560 018 08026703255 E-mail: - imaksb@bsnl.in /imafocus@gmail.com web : www.imaksb.org

Doctors’ day celebration

Every year Doctors’ day is celebrated in memory of Dr.B.C.Roy. July 1st, is celebrated as Doctor’s Day in India in commemoration of both birth and death day of Dr B.C. Roy, a great physician of his days. The Doctors’ Community of Bangalore West is engaged in celebrating Doctors’ day. From past seven years more than 40 doctors have been felicitated for their extraordinary contributions to the Mankind. This year, the Doctors’ Community of Bangalore West organized a Doctors’ day celebration in honour of the medical profession on 22th July 2012 at Chowdaiah Memorial Hall. Most of the distinguished doctors of the city were invited for this function. Dr. O S Siddappa, Director and Dean, Bangalore medical college inaugurated the event and Dr. M G Bhat Medical Director Nova Specialty Surgery was the Chief Guest. There were cultural events where Doctors and their family members participated. Some of the senior doctors viz – Dr. C V Shirol, Dr. A S Chandrasekhar Rao, Dr. L T Jayamma , Dr. Manohara Srinivasa and Dr Srinivasa, Director of Spandana , Dr. S B Ramareddy, Dr. O S Siddappa were felicitated for their contribution to the society Dr. M G Bhat, Medical Director, Nova Specialty surgery was the chief guest for the function who initiated laparoscopic surgery in south India, is well known in the field of surgery, He was honoured with life time achievement award by Kasturaba medical college and is member several International societies in the field of medicine.

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Widex launches its Menu Hearing aid Series in Bengaluru

the Widex Sound – natural sound that doesn’t just help users hear speech or loud sounds, but all the sounds around them. Outstanding features of the IIC include: ªª Perfect fit: custom made in CAMISHA to ensure that it fits perfectly and comfortably ªª More comfort: an integrated faceplate means there are no hard edges ªª Fewer returns and repairs: all components are contained in one unit making it extremely robust ªª Better localisation: tight fit means users can make the most of their natural pinna ªª Full product line: the IIC model adds to our outstanding hearing aid technology for all types of hearing loss IIC style available in Mind and Menu series only. Shakeel H. Rizvi, General Manager–Marketing Communications observed that “Widex strives

Padmashree Syed Kirmani, Former TestCricketer & Widex Hearing Aid user today unveiled the new hearing series- Widex Menu

idex India unveiled and showcased its latest additions- WIDEX MENU is a new flexible product family in the basic segment which can be upgraded from a 3 channel hearing aid (ME3) to 5 or 10 channels (ME5 and ME10). Padmashree Syed Kirmani,

to find not just the right solutions but also the most natural solutions. This is reflected in three areas central to this philosophy technology, design and environment - which together form the basis of natural choice campaign.”

Former Test Cricketer & Widex Hearing Aid user recently unveiled the new hearing seriesWidex Menu. Apart from various dispensers &

He said that “The products, which have won international acclaim, are designed with both form and function in mind. Widex has constructed a headquarters that is entirely CO2 neutral. This reflects our ability to think ahead as we constantly seek new ways to make things better – not just for the hearing impaired, but for professional partners and society in general”. Widex has been doing several campaigns on hearing impairment and has also done a fashion show - Sounds of Silence. Four prominent fashion designers from the international and national market displayed their collections to help children with hearing impairment. “Widex is trying to bring about a lifestyle change in the attitude towards wearing hearing aids. Just like a decade ago a person wearing glasses was frowned upon and mocked as a ‘nerd’, today those same nerd glasses have become a fashion statement, the ‘In thing’ for many. Now one doesn’t shy away from glasses / spectacles. It is no longer difficult to change how people think. The same case is with hearing impairment. It is as common as a common cold but in India it is still considered a stigma and an embarrassment. Nearly 2% of the hearing impaired people only adopt hearing aids and if they do accept them they more or less prefer having skin toned ones to hide their ‘so called flaw’. But in the US & Europe the same hearing aid is a fashion statement and more than 25% of the hearing impaired population boldly show off their aids and insist on having a choice of colourful aids to wear as a statement piece.” says Shakeel H. Rizvi,

media personal from Bengaluru, also present on the occasion were: Bhupendra Chaudhary, Managing Director, Lokesh Jha, NSM and Shakeel H. Rizvi Marketing Head of Widex India.

With the new MENU series from Widex the patient can choose the customized features especially made for Indian market without paying for extras. The basic MENU option gives a great sound for easy listening and comes with state-of-the-art technology to minimize whistling. And it can even adapt to changing listening situations – something that is usually found only in the more expensive hearing aids. If one likes a more customised fitting with the best sound quality, then one option is to add more channels – five or ten. For more features, such as our unique tinnitus program, or our technology for better speech in noise, they can be added, Said, Shakeel H. Rizvi, General Manager Marketing Communications of Widex India. Widex MENU hearing aids are available in Mini BTE, Micro BTE, Power BTE, CIC, ITC and IIC (new) styles. For those hearing aid users who prefer the invisible solution, Widex now offers the IIC model. The new IIC (Invisible-in-canal) hearing aid from Widex is the invisible solution – packed with all the latest, but hidden, Widex technology. Because it is so small, it can be placed beyond the second bend of the ear canal. This not only makes for better sound but also more comfort. And of course, as a Widex product it benefits from

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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: ªª ªª

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.

Second benefit

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

For more details advertisement and special positions contact

Media Icon No. 2 & 3, “Janani”, 1st Floor, 7th Cross, Central Excise Layout, Sanjaynagar, Bangalore – 560 094 Phones: -8197554373/ 9845890884 Email:mediaicon@ymail.com

Your medical search may end here AUGUST

We bring profit to your business AYURPHARMA

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

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