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Volume-1 Issue-2

August 2014

CHIEF EDITOR D A Kalpaja

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 www.bangalorehealthtv.com E-mail: mediaicon@ymail.com

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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

Editor Speak

Child sexual abuse

D A Kalpaja

Director, VIMS

Consulting Editors Keshav V. Ramu D V Kumar

Media Advisor Raghavendra Raju

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The sexual abuse of children is a horrible reality, and many are unaware of its extent. This episode is to breaks the silence around the issue.

Child sexual abuse (CSA) can be physically violent or non-violent in nature. It can be very difficult to talk about sexual abuse and even more difficult to acknowledge that sexual abuse of children of all ages including infants happens every day. The rape of a 6-year-old girl at a school in Bangalore has refocused attention on sexual

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Contents

abuse of children in India.

Sexual abuse robs children of their childhood and creates a loss of trust, feelings of guilt and self-abusive behaviour. It can lead to antisocial behaviour, depression, identity confusion, loss of self-esteem and other serious emotional problems. It can also lead to difficulty with intimate relationships later in life. The sexual victimization of children is ethically and morally wrong.

Under the law, child sexual abuse is an umbrella term describing criminal and civil offenses in which an adult engages in sexual activity with a minor or exploits a minor for the purpose of sexual gratification.

How to overcome zz Primary school children need ageappropriate information about bodies zz Children need to be provided with important skills and knowledge to help protect their personal safety and wellbeing. zz Teach your child about secret touch – this is most effective and easily understood by children using language such as: ‘It’s not OK for an adult or older person to touch a private part of your body for no reason and ask you to keep it a secret.’ zz Children need to know that they can speak openly to a trusted adult and that they will be believed if they are troubled An appreciable move by Karnataka government by passing Goonda Act(covers sexual offenders, acid attackers) Sexual offenders will henceforth be termed “sexual predators”. The new nomenclature has been given an by amendment to the Karnataka Prevention of Dangerous Activities of Bootleggers, Drug Offenders, Gamblers, Goondas, Immoral Traffic Offenders, Slum-Grabbers and Video or Audio Pirates (Amendment) Bill, 2014, passed by the legislature. The law is popularly known as Goonda Act.

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CHILD ABUSE 6 ART a glance 8 PROSTATE ENLARGEMENT 10 Ebola virus 11 POLLUTION AND SEXUALITY 12 Laser Hatching for Infertility 15 A medicinal plant in your own yard 17 My Birth Story 18 Ocular Prosthesis & Rehabilitations 21 SYMPTOMS AND CAUSES OF HIGH BP 22 It is your Eye - take care 24 Health Science Communication 26 Obesity and Sex 28 Health and Meditation 30 THE GOOD TOUCH – BAD TOUCH 32 DONATE BLOOD ……

33 Psoriasis 34 DAY SLEEP– Healthy or Unhealthy?

36 IMPORTANCE OF HEALTHY FOOD 37 SPIRITUAL QUOTIENT (SQ) 38 Food Therapy 39 POST- PREGNANCY WEIGHT LOSS 40

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Child care

CHILD ABUSE

Dr M.Padmajarani Child Health Nursing VIMS & RP Whitefield Bangalore ph: 080-28413384/82/83 www.vims.ac.in

Child sexual abuse is the involvement of a child in sexual activity that he or she does not fully comprehend, is unable to give informed consent to, or that violates the laws or social taboos of society.

Child abuse or maltreatment constitutes all forms of physical and/ or emotional ill-treatment, sexual abuse, neglect or negligent treatment or commercial or other exploitation, resulting in actual or potential harm to the child’s health, survival, development or dignity in the context of a relationship of responsibility, trust or power meted out to a person below the age of eighteen Child sexual abuse is a form of child abuse in which an adult or older adolescent uses a child for sexual stimulation. Indecent exposure (of the genitals, female nipples, etc.) to a child with intent to gratify their own sexual desires, physical sexual contact with a child, or using a child to produce child pornography is of the few forms.

Severe forms of sexual abuse include: zz Assault, including rape and sodomy zz Touching or Fondling a child zz Exhibitionism- Forcing a child to exhibit his/her private body parts zz Photographing a child in nude Other forms of sexual abuse include: zz Forcible kissing zz Sexual advances towards a child during travel zz Sexual advances towards a child during marriage situations zz Exposing a child to pornographic materials Who commits the crime?

Child Sexual abuse can be committed by person responsible for the care of a child or related to the child.

It can be: Family members, relatives, friends, doctors and other medical staffs Teachers etc. The act is done to gratify or satisfy the needs of the other person. These may include but is not limited to: zz Coercion of a child to engage in any unlawful activity. zz Exploitative use of a child in prostitution or other unlawful sexual practices. zz Exploitative use of children in pornography.

Effects zz Psychological effects: Child sexual abuse can result in both short-term and long-term harm, including psychopathology in later life. Indicators and effects include depression, anxiety, eating disorders, poor self-esteem, somatization, sleep disturbances, and dissociative and anxiety disorders including post-traumatic stress disorder.

While children may exhibit regressive behaviours such as a return to thumb-sucking or bed-wetting, the strongest indicator of sexual abuse is sexual acting out and inappropriate sexual knowledge

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and interest. Victims may withdraw from school and social activities and exhibit various learning and behavioural problems including cruelty to animals, attention deficit/hyperactivity disorder (ADHD), conduct disorder, and oppositional defiant disorder (ODD). Teenage pregnancy and risky sexual behaviours may appear in adolescence. Child sexual abuse victims report almost four times as many incidences of self-inflicted harm Physical effects: zz Injury: Depending on the age and size of the child, and the degree of force used, child sexual abuse may cause internal lacerations and bleeding. zz Infections: Child sexual abuse may cause infections and sexually transmitted diseases. zz Neurological damage: Traumatic stress, including stress caused by sexual abuse, causes notable changes in brain functioning and development.

How to talk to your kids about abuse Talking about abuse can be a difficult subject to breach with children. However, like many important discussions, it’s not something to wait to talk about until it comes up on its own. In fact, by then it may be too late.

Getting Started…

Children as young as four years old can understand the basic concepts of good touches, bad touches and confusing touches.

So, please mark on your calendar to sit down with each of your children to talk about these three things: Explain the three different types of touch zz Good touches are those touches that make us feel happy, safe and loved. Most of the touch we get is good touch. zz Bad touches are those touches that hurt us; they feel like an “ouch.” Some examples are kicking, hitting and biting. zz Sexual abuse touch is defined as “forced or tricked touch of private body parts.” The key words are forced and tricked. zz a force is when someone makes you do something you don’t want to do or don’t understand. zz a trick is when someone lies to you, fools you, pretends or calls something a game, that isn’t a game, so they can touch your private body parts or have you touch theirs. zz Tell your children that sexual abuse is confusing because it doesn’t necessarily hurt; the touch can feel good, but it is not okay.

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Teach your child to say NO: Children need to know that they can say NO to any touch that they do not want—even if the person touching them is an adult or someone they know. Teach your child that they have the right to trust their own feelings and to ask questions when they feel uncomfortable or confused by someone’s behavior.

Tell them it’s okay to speak up: Teach your child that when abuse happens, it’s never the child’s fault and that it is okay to break promises they make about abuse.

Keep the conversation going: As you talk with your children about abuse, keep in mind that you may need to revisit the discussion as they get older.

Teach your child The Underwear Rule: About one in five children falls victim to sexual violence, including sexual abuse. You can help prevent this happening to your child. A child should not be touched by others on parts of the body usually covered by their underwear. And they should not touch others in those areas. The Underwear Rule has 5 important aspects. zz Your body is your own: Children should be taught that their body belongs to them and no one can touch it without their permission. Children have the right to refuse a kiss or a touch, even from a person they love. Children should be taught to say “No”, immediately and firmly, to inappropriate physical contact, to get away from unsafe situations and to tell a trusted adult. zz Good touch – bad touch: Children do not always recognise appropriate and inappropriate touching.

Tell children it is not okay if someone looks at or touches their private parts or asks them to look at or touch someone else’s private parts. The Underwear Rule helps them to recognise an obvious, easy-toremember border: the underwear. zz Good secrets – bad secrets: Secrecy is a main tactic of sexual abusers. That’s why it’s important to teach the difference between good and bad secrets and to create a climate of confidence. Every secret that makes them anxious, uncomfortable, fearful or sad is not good and should not be kept; it should be told to a trustworthy adult (parent, teacher, police officer, doctor).

Other helpful hints to accompany The Underwear Rule zz Prevention and protection are the responsibility of an adult: When children are abused they feel shame, guilt and fear. Adults should avoid creating taboos around sexuality, and make sure children know whom to turn to if they are worried, anxious or sad. zz Reporting and disclosure : Children need to be instructed about adults who can be part of their safety network. They should be encouraged to select adults whom they can trust, are available and ready to listen and help. zz Known perpetrators: In most cases the perpetrator is someone known to the child. Informing parents regularly about someone who gives gifts, asks to keep secrets or tries to spend time alone with a child must be a set rule in the house.

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Unknown perpetrators : In some cases the perpetrator is a stranger. Teach your child simple rules about contact with strangers: never get into a car with a stranger, never accept gifts or invitations from a stranger.

Help : Children should know that there are professionals that can be particularly helpful (teachers, social workers, ombudspersons, physicians, the school psychologist, the police) and that there are help lines that children can call to seek advice.

What to do if you suspect abuse When you suspect your child has been abused, it is very important not to be angry with your child. zz Do not make your child feel as if they have done something wrong. zz Do not interrogate the child. zz You could ask what may have happened, when and with whom, but do not ask why it happened. zz Try not to be upset in front of your child.

Children can easily feel guilty and may hold back information. zz Try not to jump to conclusions based on little or unclear information. zz Reassure your child that you will do something about it, and contact someone who could help, like a psychologist, child care specialist, doctor, social worker or the police. zz special help lines and centres responsible for helping child victims of sexual violence have been set up.

Treatment The initial approach to treating a person who has been a victim of sexual abuse is dependant upon several important factors: zz Age at the time of presentation zz Circumstances of presentation for treatment zz Co-morbid conditions The goal of treatment is not only to treat current mental health issues, but to prevent future ones.

Children often present for treatment in one of several circumstances, including criminal investigations, custody battles, problematic behaviours, and referrals from child welfare agencies. The three major modalities for therapy with children and teenagers are family therapy, group therapy, and Individual therapy.

Which course is used depends on a variety of factors that must be assessed on a case by case basis.

For instance, treatment of young children generally requires strong parental involvement, and can benefit from family therapy. Adolescents tend to be more independent, and can benefit from individual or group therapy. The modality also shifts during the course of treatment, for example group therapy is rarely used in the initial stages, as the subject matter is very personal and/or embarrassing.

Major factors that affect both the pathology and response to treatment include the type and severity of the sexual act, its frequency, the age at which it occurred, and the child’s family of origin. zz

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ART a glance 5)

Dr K Hanumanthayya Professor & HOD Dermatology Department Vydehi Institute of Medical Sciences 6) & RC Bangalore - 560066 ph:080-28413384/82/83. www.vims.ac.in HIV /AIDS are moving from high risk groups to the general population. World leaders are keen to protect the general population. World Health Organization preserved one day in a year to discuss and to disseminate the knowledge, to the general population. “WORLD AIDS DAY is observed on 1st DECEMBER” every year since 1988. All scientific information is given to the common man on the road.

ART is no cure for HIV / AIDS. zz ART reduces HIV replication. Body viral load is reduced. Opportunistic infections are reduced. zz Cost of management is reduced. Patients can lead a productive life. zz ART has changed HIV/AIDS from a virtual death sentence to a chronic manageable disease.

Terminologies used in ART – zz ARV – Anti Retroviral agents zz ART – Anti Retroviral therapy zz HEART – Highly effective Anti Retroviral therapy zz HAART – Highly Active Anti Retroviral therapy zz MEGA HEART – More than 6 drugs are used. zz Salvage Therapy – Where miscellaneous drugs like Hydroxyurea are used zz Recycling Therapy - Where drugs previously used are restarted zz Induction & Maintenance - Start at a lower dose, then, maintain at higher doses zz Subtractive Therapy – Start 4 drugs and reduce to 3 drugs Life Cycle of HIV – 1) HIV virus attaches and penetrates CD4+T Lymphocytes.

Viral gp120 attaches to CD4 receptor and also Chemokine receptors CXCR4 and CCR5.

Viral gp 41 drills a hole in the cell wall, viral nucleus seeps into the cytoplasm of a CD4 cell.

Empty viral cell wall seals the hole of CD4 cell.

2) Once HIV nucleus enters the cytoplasm, reverse transcriptase enzyme gets activated and converts HIV RNA to linear HIV DNA. Linear HIV DNA gets converted into circular DNA. Circular DNA enters the CD4 cell nucleus.

3) HIV Integrase gets activated in nucleoplasm and helps viral DNA to get integrated with CD4 cell chromosome. After few years (4-7 years in India, and 10-12 years in America). HIV gets activated and sends genomic RNA and messenger RNA from nucleus to cytoplasm. The mRNA brings necessary glycoprotein’s from smooth and rough endoplasm and puts it over genomic RNA. Viral protease enzyme helps to form full virus either by adding or removing glycoprotein’s from genomic RNA.

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4) This virus buds out from CD4 cell and pinches a little cell wall and takes it as envelope and matures. It is ready to infect new CD4 cell. This life cycle takes around 2

days.

Every time a daughter HIV buds out, that CD4 cell dies. Normally CD4 cell range from 600-1200 cells/ mm3. If their number declines to <250, patients develops AIDS. Viral set point – Within 6 months, the host’s immune response is able to control the infection to a point where the number of virus particles produced per day equals the number of particles destroyed per day. This steady state is called viral set point. The higher a patient’s viral set point, the greater the risk for disease progression.

Replicative cycle of HIV-1 showing sites of actions of antiretroviral agents

1)

The drugs that block binding of HIV to target cells. a) Fusion inhibitors – Binds viral glycoprotein – GP120. b) Entry inhibitors – Blocks viral coreceptors, CXCR4, CCR5.

2) The drugs that block the action of Reverse Transcriptase enzyme and stop conversion of viral RNA to viral DNA. a) Nucleoside Reverse Transcriptase inhibitors b) Nucleotide Reverse Transcriptase inhibitors c) Non nucleoside Reverse Transcriptase inhibitors.

3) The drugs that block the enzyme Integrase enzyme. a) Integrase inhibitors.

4) The drugs that block the action of protease enzyme and block the assembly of components of virus particles. a) Protease inhibitors.

5) The drugs that prevent maturation of HIV while budding from CD4 cells. a) Maturation inhibitors.

In 1986 US FDA approved Zidovudine to treat HIV/AIDS patients.

In 1995 US FDA approved second drug Didanosine. Dual therapy.

In 1996 US FDA approved Protease inhibitors and recommended triple therapy.

In 2010 US FDA approved 26 ART drugs, 17 were available in India.

In 2014 US FDA approved 37 ART drugs.

Classification of ARDS – 1. Nucleoside Reverse Transcriptase Inhibitors.

2. Nucleotide Reverse Transcriptase Inhibitors.

3. Non nucleoside Reverse Transcriptase Inhibitors.

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4. Integrase Inhibitors.

5. Protease Inhibitors.

6. Fusion Inhibitors.

7. Maturation Inhibitors.

Nucleoside Reverse Transcriptase Inhibitors – Drug Analogue of Dose Zidovudine Thymidine 300 mg bid.

(Azidothymidine) Stavudine Thymidine 20-30 mg bid.

Zalcitabine Cytidine 0.75 mg tid.

Lamivudine Cytidine 150 mg bid.

Emtricitabine Cytidine 200 mg od.

Didanosine Adenine 150-200 mg bid.

Abacavir Guanosine 300 mg bid.

Nucleotide Reverse Transcriptase Inhibitors – Tenofovir Adenosine 300 mg. disoproxil fumarate Mechanism of action – NRTIs enter the CD4 cells and are converted to their corresponding triphosphate derivatives, which have a high affinity for HIV reverse transcriptase enzyme, which is required for DNA synthesis. The NRTIs are nucleoside analogues. They competitively inhibit reverse transcriptase, are incorporated into viral DNA chain and terminate DNA chain elongation.

Thymidine kinase converts zidovudine to zidovudine monophosphate, and the same enzyme converts zidovudine monophosphate to zidovudine diphosphate and zidovudine triphosphate.

Zidovudine triphosphate is a false nucleoside and gets incorporated into viral DNA and will not form a complete DNA, and DNA is broken into pieces. Hence NRTIs are also called chain terminators. Tenofovir is a nucleotide analogue and competitively inhibits HIV reverse transcriptase similar to nucleoside analogues.

Non nucleoside Reverse Transcriptase inhibitors – Nevirapine 200 mg od X 14 days. Induction dose.

200 mg bid, maintenance dose.

Delavirdine 400 mg tid.

Efavirenz 600 mg at bedtime.

Etravirine 200 mg bid.

Rilpivirine 25 mg od.

Mechanism of action – The NNRTIs bind to reverse transcriptase enzyme and inactivate the enzyme. Hence viral RNA will not get converted into viral DNA. NNRTIs are effective only on HIV-1.

Protease Inhibitors – Saquinavir / Ritonavir. Saq/r 1000/100mg bd.

1600/200mg bd.

Indinavir / Ritonavir. Idv/r 800/100mg bd.

Lopinavir / Ritonavir lpv/r 400/100mg bd.

553/133mg bid when combined with EFV or NVP Nelfinavir nfv 1250mg bd.

Atazanavir atv 400mg bd.

Atazanavir / Ritonavir.

300/100mg bd.

Amprenavir 1200mg bd.

Mechanism of action – The protease inhibitors bind competitively to HIV protease and block viral maturation. This makes the daughter viral particles immature and noninfectious. HIV protease activity is essential for the activation of viral enzymes and HIV replication. It is needed for the production of mature virion and for viral infectivity.

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Entry Inhibitors – a) Fusion Inhibitor – Enfuvirtide is a recent introduction for use in AIDS. It binds to a glycoprotein of the virus and inhibits the binding of the virus to the host cell membrane, and thereby blocks the entry of the virus into the cell, hence called fusion inhibitor, thus prevents transmission of HIV. Enfuvirtide 90 mg is given subcutaneously twice daily.

Enfuvirtide is expensive and requires parenteral administration. Used cautiously in patients who are not responding to other ART drugs. b) CCR5 Receptor Antagonists – CCR5 is a coreceptor involved in fusion and entry of the virus into the CD4 cells. Maraviroc and Vicriviroc selectively bind to CCR5 receptors and block the entry of HIV into the cells. Maraviroc 300 mg bid and Viriviroc 30 mg OD. Integrase Inhibitors – Integrase is a viral enzyme necessary for viral replication in both HIV-1 and HIV2. Raltegravir and Elvitegravir bind to integrase and prevent integration of HIV-DNA into the chromosome of the host cell.

Treatments of HIV infection – Currently several drugs are available for the treatment of HIV infection and with appropriate medication it is possible to control the disease and prolong the life expectancy. Combination of drugs like HAART regimen is used to improve efficacy and delay the development of resistance.

WHO recommends fixed dose combination to improve compliance. Zidovudine or tenofovir combined with lamivudine or emtricitabine form the first line drugs.

If first line therapy fails, second line drugs are given.

WHO 2010 Guidelines – When to start: All adolescents and adults including pregnant women with HIV infection and CD4 counts of < 350 cells/mm3, should start ART, regardless of the presence or absence of clinical symptoms. Those with advanced clinical disease should start ART irrespective of their CD4 cell count.

What to use in first line therapy: First line therapy should consist of an NNRTI + two NRTIs, one of which should be zidovudine or tenofovir.

Three drugs are given.

1. Zidovudine or Tenofovir + 2. Lamivudine. + 3. Nevirapine or Efavirenz.

What to use in second line therapy: Second line ART should consist of ritonavir boosted protease inhibitor plus two NRTIs, one of which should be zidovudine or tenofovir.

Tenofovir or zidovudine. plus Didanosine. plus Lopinavir/r or Atazanavir/r.

Occupational Post Exposure Prophylaxis – In health care workers exposed accidentally, ART should be initiated as soon as possible within first 4 hours. Not later than 72 hours.

Basic Regimen – AZT 300 mg + Lamivudine 150 mg twice daily for four weeks.

Expanded Regimen – AZT 300 mg + Lamivudine 150 mg + Lopinavir or Ritonavir 200 mg twice daily for four weeks. www.bangalorehealthtv.com

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PROSTATE ENLARGEMENT

What is a prostate? Where is it?

Only males have a prostate. It is a gland in the male reproductive system, located just below the urinary bladder. As shown in the diagram, it surrounds a part of the urethra, (the tube that carries urine from the bladder, out through the penis].

What does the prostate do?

The prostate contributes to the milky fluid that carries the sperm produced by the testis. The prostatic fluid is also thought to supply nourishment for the sperm. Since the prostate contributes a portion of the semen volume throughout the better part of a man’s life, many men are able to father children well into their 70’s and 8o’s.

What is Benign Prostatic Hyperplasia (BPH)?

BPH is the non-cancerous enlargement of the prostate gland in males. Throughout childhood the prostate is very small. It begins to enlarge during puberty and approximately doubles in size; then the growth slows. At about age 45, the prostate often starts growing again and continues to enlarge for the rest of man’s life. This is considered to be due to hormonal changes. The degree of this enlargement varies in each person.

The enlargement itself is not the problem. As it continues to enlarge, it can frequently start to squeeze the urethra (like pinching a straw]. This can interfere with the normal flow of urine and cause uncomfortable symptoms.

An enlarged prostate generally does not interfere with sexual functioning. But severe urinary symptoms however can be embarrassing and inhibit a man’s sexual activity.

Do all males suffer from symptoms of an enlarged prostate?

Not so. 4 out of every 10 men over age 55, 7 out of 10 men in their 70’s, and by age 80, an even larger number, suffer from symptoms of an enlarged prostate.

What are the urinary symptoms of an enlarged; prostate?

One or more of the following: zz Frequent urination, especially at night zz Sudden, uncontrollable urge to urinate zz A poor urine stream zz A sense of incomplete bladder emptying zz Difficulty in starting urination zz Incontinence of urine zz Total blockage of urine zz Bleeding in the urine zz Urine infection How is BPH diagnosed? zz Your doctor will take a detailed medical history, including past and present medical problems He will examine the prostate gland by inserting a

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Vydehi Hospital Whitefield, Bangalore – 66 Ph: 080-28413381/2/3/4 www.vims.ac.in gloved, lubricated, finger into the rectum zz Check for any other medical problem that may be causing similar symptoms zz Check your urine for presence of infection zz Do a urine flow test to measure the force of your urine stream, and the degree of block zz Do an ultrasound scan to get details of the prostate gland, its effects on the kidneys if any, and the amount of urine in the bladder after urinating zz Do an urodynamic study, if needed, to check bladder pressure zz Other tests such as x-rays, biopsy, cystoscopy etc., if indicated Are all enlarged prostates treated?

Just because the prostate is enlarged, it does not need to be treated. If your symptoms are mild you may not need any treatment at all. If your symptoms are severe, or if the result of the tests shows that the urinary tract is significantly affected, you must undergo early therapy.

What are the management options?

Depending upon the severity of your symptoms, several management options are available. Your Urologist will discuss these options with you before deciding on anyone method.

MEDICAL MANAGEMENT These are suitable only for mild symptoms and when the degree of obstruction is not severe. These medications have to be taken on a long-term basis, and have a proven benefit in well selected patients.

Depending upon the drug used, you may experience minor side effects.

SURGICAL MANAGEMENT zz Currently the best method of treatment. The gold standard among various surgical options is the transurethral resection of the prostate (TURP).

This is done by passing an endoscope through the urinary passage (urethra) and the inner core of the gland is removed, widening the passage. zz About 25 to 95% of patients have failure to ejaculate after intercourse, as the semen is pushed backwards into the bladder instead of the outside. Very rarely, some of people have leaking of urine. Decreased erectile function is known to occur with aging. zz All tissue removed at the time of surgery will be sent for examination to confirm the benign nature of the gland. Very occasionally the presence of malignancy may be a surprise report. zz Treatment for BPH does not eliminate future incidence of prostate cancer, as this originates in an entirely different portion of the gland. Therefore annual evaluation may still be considered important for men who have undergone surgery for benign prostate gland enlargement.

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Ebola virus

A global health threat The outbreak of Ebola virus in West Africa is frightening for many reasons. It is the largest outbreak ever, having claimed many hundreds of lives; and the deadly infectious disease can travel easily from person to person in the later stages.

This emerging health threat is the result of a RNA (ribonucleic acid) virus that infects wild animals — like fruit bats, monkeys, gorillas, and chimpanzees — as well as people. Contact with an infected animal’s blood or body fluids is probably the original source of the infectious disease.

Casual contact does not acquire infection, rather in its later stages, it is passed from person to person via bodily fluids and it does not pass through coughing or sneezing, like with influenza or tuberculosis. The virus can live on surfaces that are soiled with blood or other body fluids, but sterilizing hospital equipment with bleach kills Ebola.

As the virus spreads through the body, it damages the immune system and organs. Ultimately, it causes levels of blood-clotting cells to drop. This leads to severe, uncontrollable bleeding.

Genus Ebola virus comprises 5 distinct species: zz Bundibugyo ebolavirus (BDBV) zz Zaire ebolavirus (EBOV) zz Reston ebolavirus (RESTV) zz Sudan ebolavirus (SUDV) zz Taï Forest ebolavirus (TAFV).

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Symptoms of Ebola HF typically include: Fever.

Headache.

Joint and muscle aches.

Weakness.

Diarrhea.

Vomiting.

Stomach pain.

Lack of appétit Later symptoms of Ebola can appear quickly, within a few days after onset of early symptoms. Due to internal and external bleeding, the patient’s eyes may become red, and they may vomit blood, have bloody diarrhea, and suffer cardiovascular collapse and death The only treatment doctors can provide is supportive care — they give the patient fluids and oxygen, and keep their blood pressure steady.

How Is Ebola Diagnosed?

Sometimes it’s hard to tell if a person has Ebola from the symptoms alone. Doctors may test to rule out other diseases like cholera or malaria. Tests of blood and tissues also can diagnose Ebola. If you have Ebola, you’ll be isolated from the public immediately to prevent the spread. zz zz zz zz zz zz zz zz

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Dr. C. SHARATH KUMAR DIRECTOR & CHIEF FERTILITY SURGEON, MEDIWAVE IVF & FERTILITY hospital City X-Ray complex, Sayyaji Rao Road, Mysore - 570021.

Ph : (O) : 0821-2444441, (R) : 0821-2519026.

E-mail : drcsharath@hotmail.com.

Health and Environment

POLLUTION AND SEXUALITY An environment is a complex of surrounding circumstances, conditions, or influences in which a thing is situated or is developed, or in which a person or organism lives, modifying and determining its life or character.

The natural environment is such an environment that is relatively unaffected by human activity.

Soil, Sky, Heat (Sun), Air and Water (Panchaboothas); they together made an environment that is fit for our existence.

Environment motivates to react: We are miserable when are in desert and delighted when we are in lush garden. In a hospital we are in different mood and in disco different. Environment motivates us to change our mood and reaction is in accordance.

Pollution Pollution is the release of environmental contaminants. The act or process of polluting or the state of being polluted, especially the contamination of soil, water, or the atmosphere by the discharge of harmful substances.

Soil pollution Soil pollution is defined as the build-up in soils of persistent toxic compounds, chemicals, salts, radioactive materials, or disease causing agents, which have adverse effects on plant growth and animal health.

Water pollution Water pollution occurs when undesirable foreign substances are introduced into natural water.

The substances may be chemical or biological in nature. Common pollutants include human or animal waste; disease-producing organisms; radioactive materials; toxic metals such as lead or mercury; agricultural chemicals such as pesticides, herbicides, or fertilizers; acid rain, Industrial discharge of chemical wastes and byproducts, Discharge of poorly-treated or untreated sewage, petroleum products, and high-temperature water discharged from power plants, often called “thermal pollution.”

Pollutants in water are dangerous for human or animal consumption and harm crops.

Fig 3: Polluting the River bed.

Noise Pollution Any unwanted man-made sound that penetrates the environment is noise pollution. In general noise pollution refers to any noise irritating to one’s ear which comes from an external source.

Noise pollution can be caused by many sources including highways, vehicles, factories, concerts, airconditioners, engines, machine, aircraft, helicopters, alarms, public address systems, industrial development and construction work.

Air pollution Air pollution is the presence of any chemical, physical (e.g. particulate matter), or biological agent that modifies the natural characteristics of the atmosphere. The atmosphere is a complex, dynamic natural gaseous system that is essential to support life on planet earth.

Air pollution is composed of many environmental factors. They include carbon monoxide, nitrates,

Fig 2: Directly attacking the mother land- Improper Disposable of waste debris.

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sulfur dioxide, ozone, lead, secondhand tobacco smoke and particulate matter. Factory emissions, vehicle emissions cause air pollution.

Fig 4: Smoky clouds polluting clear sky.

Effect of Pollution on Health Pollutants can cause disease, including cancer, lupus, immune diseases, allergies, and asthma. zz Adverse air quality can kill many organisms including humans. Worldwide air pollution is responsible for large numbers of deaths and cases of respiratory disease. zz Ozone pollution can cause respiratory disease, cardiovascular disease, throat inflammation, chest pain and congestion. zz Water-borne diseases are infectious diseases spread primarily through contaminated water.

Water pollution causes approximately 14,000 deaths per day, mostly due to contamination of drinking water by untreated sewage in developing countries. Cholera, Hepatitis, Dysentery and Typhoid are the more common water-borne diseases zz Oil spills can cause skin irritations and rashes. zz Noise pollution can cause hearing loss, high blood pressure, stress , sleep disturbance, and High noise levels can contribute to cardiovascular effects.

Pollution and Fertility Environmental factors contribute to the severity of infertility, and that this may worsen the effects of pre-existing genetic or medical risk factors. Stress and environmental pollution are two of the main causes of growing infertility among urban couples.

Worldwide, one in every six couples has difficulty in conceiving. About 50 percent of the infertility problems are contributed by the male factor. But stress and environmental pollution are considered two key factors for childlessness among couples now.

An increasing number of reports suggest that chemical and physical agents in the environment, introduced and spread by human activity may affect fertility in humans. Stress and environmental pollution reduce the sperm count in males. While a couple is considered infertile if after one year of adequate unprotected intercourse the woman fails to conceive, zz

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the problem in our society becomes more social.

There are fears that industrial and agricultural chemicals and heavy metal pollutants are disrupting the reproductive biology animals and may also be affecting human fertility and fetal development.

Steps to taken to control Environment Pollution zz Encourage Afforestation: Afforestation is the process of converting open land into a forest by planting trees or their seeds. zz Stop Deforestation: Deforestation results from removal of trees without sufficient reforestation; however, even with reforestation, significant biodiversity loss may occur. zz Practice proper Waste management: is the collection, transport, processing (waste treatment), recycling or disposal of waste materials, usually ones produced by human activity, in an effort to reduce their effect on human health. zz Proper management (Proper disposable) of Industrial wastes, chemicals, sewage, Pesticides & Fungicides, Poisonous chemicals should be done before disposed them into environment reservoirs. zz Hospital wastes, syringes, needles etc should be properly treated before disposed. Syringes and needles tips should be cut down before disposed them into garbage so that one cannot reuse those materials. zz Emission test to each vehicles should be done frequently.

Environmental Education Environmental education is a learning process that increases people’s knowledge and awareness about the environment and associated challenges, develops the necessary skills and expertise to address the challenges, and fosters attitudes, motivations, and commitments to make informed decisions and take responsible action.

Conclusion Since the industrial revolution many countries have experienced centuries of deforestation, and governments and Non-governmental organisations (NGO’s) should take up the programs of reafforestation (the restocking of existing forests and woodlands which have been depleted, with native tree stock) and also in supporting private and semi-private enterprise in programs of afforestation.

It is the duty of every one of us to preserve our environment in the best interest of our own health. It is also our duty to hand over a better environment to a next generation.

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First time in karnataka

A Complicated case of muliple fibroid uterus 70 Nos Fibroids removed from young girl has been successfully operated at Dr. RAMESH HOSPITAL A 26 years old unmarried girl, born to the couple with agricultural background. She being the younger daughter, presented at the outpatient department at Dr Ramesh Hospital on 17/6/14 with complaints of severe congestive dysmenorrhoea , regular cycles with heavy flow of 1 yr duration. She had previously undergone laparoscopic assisted myomectomy at Dr Ramesh hosiptal in 2009, uterus size of 16-18 weeks with multiple fibroids. Now on evaluation, uterus size was 28 weeks, with ultrasound showing multiple fibroids.

MRI confirmed multiple fibroids and all fibroids mapped. Patient was planned for laparoscopic assisted myomectomy- and was posted on 25/6/14, after correction of anaemia. Uterus was enlarged with multiple sized fibroids with posterior uterine wall adhesions.

Proceeded with myoma enucleation and adhesiolysis.

Total of 70 in number enucleated , size ranging from 1cm-8cm weighing 1 kg were removed sucessfully. Since patient had significant blood loss, Intraoperatively 5 packed cells and 2 blood components given.

Perfect hemostasis achieved. Patients vitals closely monitored throughout the surgery and postoperatively.

Thus myomectomy was successfully accomplished , retaining the uterus of young girl and hysterectomy avoided. It is a very rare case and this is the first time in Karnataka that 70 fibroids are removed from a single patient retaining the uterus.

Dr. RAMESH HOSPITAL

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Hi-Tech Super speciality Hospital for Laparoscopy & Gynaecology #6/63, 59th Cross, 4th Block, Rajajinagar Entrance(Opp.) to MEI Polytechnic, Bangalore-560 010 Phone : (H) 2335 1873, Telefax : 2311 6750, Mob : 98440 27296 Email : endoram2004@yahoo.co.in/ dr.rameshb@yahoo.com www.bangalorehealthtv.com August-2014 www.laparoscopicsurgeries.com

Women health

Gynecologic problems

Laser Hatching for Infertility

Laser technology has its great significance in the field of medical as most of the operations are completely impossible to perform without the help of a laser machine. Since their first appearance, lasers have found numerous applications in the field of medicine. For example it is impossible to get your X-ray report of your fracture without a X-ray machine, because an X-ray machine consists of X rays which are able to pass off our bodies through we can study our skeletal structure and trace and improper part. It is also used in the field of optics to perform many of the delicate experiments and sometimes even serious operations. This is only a smallintroduction about this topic, so I think now you are able to understand the importance or use of laser technology in the field of medical.

Today, development of new technologies and the increasing understanding of the utilization of that technology by the medical community have brought a continuous increase of laser use in a wide range of medical applications.

LASER ASSISTED HATCHING IN IVF Invitro Fertilisation (IVF) is a boon to infertile patients. IVF is a process by which an egg is fertilized by sperm outside the body. IVF is a major treatment for infertility. The process involves monitoring woman’s ovulatory process, removing egg from ovaries & getting them fertilized by husband’s sperm.

The unfertilized oocyte is surrounded by a membrane called zona pellucida. The zona pellucida ensures that only one spermatozoa enters and fertilizes the egg. After fertilization, the embryobegins to cleave into a two-cell, then a four-cell and so on. The process of incubating the embryo from the zona pellucida (zona hatching — ZH) is one of the most important factors which determinate the implantation. Under

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Dr B Ramesh Dr. RAMESH HOSPITAL No. 6/63, 59th Cross, 4th Block, Rajajinagar, Entrance (Opp.)to, MEI Polytechnic, Bangalore -10.

Ph : 080 23151873. Mobile : 99000 31842email : endoram2006@yahoo.in www.laparoscopicsurgeries.com

natural conditions, the expansion of the embryo together with the produced enzymes, causes the rupture of the zona pellucida. The final effect of this phenomenon is the release of the embryo (hatching). The cells of the embryo in contact with the endometrium of the uterus start the process of implantation. It is at early cleavage stage that assisted hatching can be performed on embryos. It has been shown that women older than 37 years of age have a tendency to produce oocytes with a harder and/or thicker zona pellucida than younger women. The same goes for women with a high level of follicle stimulating hormone (FSH).

LASER ASSISTED HATCHING The problem of a harder zona pellucida is that the embryo may not hatch and thus not attach to the woman’s womb. Hatching of the embryo is necessary to achieve pregnancy. Zona

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pellucida thickness influences sperm penetration, even when the spermatozoa are considered normal. From a clinical point of view, a thick zona pellucida (> or = 22 microns) could be an indicator for the use of microinjection procedures. Laboratory procedures involved in IVF may add to the hardening of the zona, as the embryo is not continually exposed to the enzymes present in the natural environment of the Fallopian tubes. There is also evidence to suggest that the process of freezing and thawing embryos causes the zona to harden and using assisted hatching can be beneficial. Several studies have shown that using a laser is superior to chemical and manual

hatching. Laser assisted hatching has several advantages including; minimal handling of the embryo and delivering fast and exact control over the drilling of the hole. Laser assisted hatching is performed by the scientists, prior to the embryos being transferred back to the uterus.

Today’s technology has helped us largely in manipulating with the gametes and embryos in IVF laboratory. Since sperms and embryos are microscopic, the Successful introduction of lasers in the IVF lab, allows the embryologist to deliver a controlled amount of energy at a specified spot with exquisite precision. The advantages of a laser are multiple - it is precise; atraumatic, and non-contact, which means there is no need to touch the egg or embryo when using the laser. Assisted hatching involves using the laser to create a precise opening in the shell (zona) of the embryo prior to transferring it. Such an opening helps the embryo to hatch more easily, thus increasing the chances of it implanting successfully in the uterus.

We use the laser routinely in our lab for performing embryo www.bangalorehealthtv.com 16

biopsies for preimplantation genetic diagnosis (PGD).

The laser allows to create a well-defined opening through the zona, through which it is possible to safely and atraumatically remove a single blastomere from the embryo. Other uses of Laser in IVF: Laser in ICSI Researchers have also used the laser for ICSI (intracytoplasmic sperm injection). The trickiest part of ICSI is the technical difficulty involved in capturing a single motile sperm and crushing its tail in order to immobilize it prior to injecting it into the egg. Using a laser beam, this can be performed with much greater ease and speed, thus dramatically reducing the time taken to perform ICSI. ICSI can be especially difficult to perform when there are very few eggs, or the eggs are fragile, because these are easily damaged when the injection pipette is introduced through the zona into the cytoplasm of the embryo. Laser assisted ICSI allows us to create a very small opening in the zona, through which the injection pipette carrying the sperm can be easily carried into the egg. This technique has been shown to reduce damage to fragile eggs during ICSI, and increase fertilization rates as well.

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uu A medicinal plant in your own yard tt Dr.Vasundhara Bhupathi No 222, 2nd E cross, 3rd Block 3rd Stage Basaweswara nagar Bangaluru - 79 Mob: 9480334750

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

EUPHORBIACEAE Phyllanthus amarus (Sihumach,& Scientific name Thonn) Common name Bhuamlika Sanskrit Bhoomyamalaki, Shiva, Bahupatra, Hindi Bahuphala Family

Kannada

Jaraamla, Bhooyi aamla

Telugu

Nelanelli Nela useerike Kizhakai nelli Kilanelli

Tamil Malayalam Marathi

NELANELLI (BHUAMLIKA)

Plant alkaloids like phyllanthin and hypophyllanthin.

MEDICINAL USES zz 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. zz Juice of the whole plant is given to jaundice 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. zz Tender root juice is antidiarrhoetic and can be used every hour. zz Paste of the root and whole plant is good for external application for ulcers. zz The leaf made into paste with salt, if applied reduces itching in skin disease. zz 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. zz This is also a good medicine for skin disease, asthma, hiccough. zz Decoction of the leaf mixed with asafoetida fried in ghee controls abdominal pain. zz It controls metrorrhagia and can be used as food or by taking decoction thrice daily. zz Fresh juice of the leaf filtered can be used as eyedrops in redness of eye. zz Fruit juice or decoction improves immunity. It acts as preventive drug to the healthy people during the spread of Cholera, Chikungunya and Dengue.

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 unarvi 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.

USEFUL PARTS The whole plant is useful (Leaf, Stem, Flower, Fruit, Root) CHEMICAL INGREDIENTS

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From my Diary

My Birth Story

Dr.Shubhankari P. Rao Shubha Ayurvedic centre, 3o/3 Patalamma temple street South end Circle, Basavangudi; Bangalore-04 Ph. 08026578620 Email: drshubhankariprao@gmail.com

Week 15 and 16 A great experience of being a fetus, I am surrounded by the amniotic fluid, splashing about and moving freely like an astronaut. I am practicing facial expressions too. Mom is nourishing herself with right food to make my muscles and bones stronger.

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A great experience of being a foetus: The most enjoyable period of my foetus hood has just begun when I am 15 wks and going into 16wk. My playtime experience has started. I am able to grasp the umbilical cord and put the thumb into my mouth and am able to kick at the amniotic sac and I love those splashes “WOW! At present there is almost a cup of amniotic fluid in my mom’s amniotic sac in the uterus – presently my cabin.

I have also started practising all sorts of facial expressions to pose for the camera like squinting, yawning, showing surprise, grimacing; I know it will come handy when I am introduced to relatives and friends by my Mom. Amniotic fluid increases around the baby so that it can move freely floating like an astronaut in space and the umbilical cord is now mature.

The cord contains 2 arteries and one vein enclosed and protected by a thick gristle like substance called whastons jelly. This makes the

August-2014

cord slippery and allows moving freely around the baby and avoiding compression. Baby’s skin starts to become water proof. The amniotic fluid is increasing, made by baby’s kidneys and bladder this urine does not contain waste products, since these are transported across the placenta. Baby is bigger than the placenta but you could still cradle it in one hand.

I am 15 weeks going into 16 week I am now 15cms long and 6inches under, from head to toe probably weighing about 120 Gms; more in proportion physically but head still accounts for about 1/3 of the body. When my mom lies down the top of the uterus can now be felt nearly half way between the pubic bone and belly button. My vocal cords are now formed and now I am proud I can make different facial expressions. I was startled when my aunt pressed my mom’s belly from outside, and the quivering I reacted with I discovered was totally new reflex I had started presenting.

At the age of 16 wks.’ there is a growth spurt and have doubled and added inches to my length. Right now I am of the size of the avocado 4 &1/2 inches long and 3&1/2 ounces. My legs are much more developed, head is more erect and eyes have moved closer to the front of the head. Ears are close to the final position, patterning of scalp has begun and my toe nails have started growing. Lots of things are happening my heart is now pumping about 25 quarts of blood each day and this continue to increase as my body develops and demands increase.

Women who have had a baby before may start to feel small sensations of their baby’s movements this week but is more common between 18to 22 wks. . Few women start producing colostrum from their breasts in 16 to 20 wks.’ of pregnancy.

Colostrum is the first fluid a woman’s breasts produces. It is a clear creamy yellowish substance that is syrup in consistency. It may be possible for you to hand express drops of colostrum from your nipples during pregnancy or you may notice colostrum leaking.

Mom’s energy has returned

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Mom’s energy has returned this week, but she is still finding a better way to sleep comfortably. Her growing belly is getting in way of her good night sleep. But she has figured out solutions for this too.

She surrounds herself with pillows to make an extra comfortable nest. Sometimes when temperature is high she makes sure her room is airy but not extra cold.

ButterWholesome growth formula recommended in this period My muscle system is growing and I am active.

Ayurvedic physician advised my mother the use of butter with cooked rice for good development of muscles and bones.

Charka in his treatise Charka Samhita recommends butter extracted from milk in the quantity of one aksha i.e. 3gms with cooked rice.

Butter is made by churning the cream of milk.

By this process all the fat globules run into a solid mass and form into butter .Butter is highly recommended in this week and further four weeks as a wholesome pack of health formula.

Butter is health promoter, aphrodisiac, bestows colour, complexion, strength, good digestive power is good for irritable bowels, mitigates vata bioenergy, pitta bioenergy, blood bioenergy, consumption, helpful for piles, facial palsy, cough, ideal for children, old persons and nectar for infants.

Butter Taken out from milk it is good for eyes vision, cures bleeding disease, gives strength, is very unctuous, sweet and cold in potency. Here is the list of benefits quoted by modern pharmacists regarding the many uses of butter. zz zz zz zz zz

The acid in it helps in treating and preventing of fungal infections.

It is good for maintaining the thyroid health and adrenal gland health because it has the exact amount of vit A. The enzymes in it help in metabolising cholesterol and help against weakening arteries The saturated fats in butter have strong antitumour and anti-cancer properties.

It’s a great muscle builder and immunity booster zz It is rich in vit D a source which is essential for absorbing calcium. zz Is rich in vit E an important vitamin required for proper functioning of many organs in the body. It is an antioxidant that means it helps to slow down processes that damages cells. zz Is rich in Vit K plays a role in helping the blood clot, preventing excess bleeding, zz Has Selenium a mineral which prevents cancers cardiovascular diseases and help protect the body from the poisoning effect of heavy metals and other harmful substances. zz protects against tooth decay zz Is only source of an anti-stress factor which protects against calcification of the joints zz Anti-stiffness factor in it prevents hardening of the arteries, cataracts and calcification of the pineal gland. zz Has a fat soluble substance which plays an important role in proper growth and development of children, supports endocrine function .Reduces chronic inflammation related www.bangalorehealthtv.com

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Powder of seeds of ela – elachi, lavanga – cloves karpura – camphor and maricha – pepper are added to the fluid and used. This is known as Rasala It is a great increaser of vigour vitality strength of all sense organs helps taste mitigates vata and pitta bioenergy augments digestive fire is nourishing unctuous sweet cold in potency laxative cures bleeding disease thirst burning sensation and nasal catarrh.

Good news! For meat eaters Meat is allowed for meat eaters in this week and 4wks thereafter. In general meat mitigates vata bioenergy, stoutens the body bestows strength and nourishment and contentment. It is hard for digestion and so practice moderation .

Headache

to heart disease decreases mortality rate .

Is a source of iodine in highly absorbable form produces fertility in woman zz is a source of quick energy and is not stored in our body adipose tissue zz Cholesterol found in butter fat is essential to children’s brain and nervous system development zz Plays a vital role in brain function and is a vital component of cell membrane Protects against gastrointestinal infections.

Curd a divine food prescribed during this period Curd along with dainty and pleasant food, medicated cooked rice, meat for meat eaters are other options.

Curd is prepared by adding little starter curd with the pre boiled milk. And set in warm place over night. In India curd is a well-known food and a medicine for all gastrointestinal diseases right from Vedic period. It is considered as a tonic food in pregnancy in the fourth month. Rasala is one preparation where curds prepared from buffaloes milk one adaka 3.072 litres , two prastas 1.536 litres of clean powdered sugar and half ghata – pot of cow’s milk are mixed well poured over a thick cloth tied to the mouth of a fresh mud pot stirring slowly over the cloth and thus filtered. zz

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one of the common symptom in pregnancy Headaches are caused by the surge of the bioenergy’s because of pregnancy and also the increase in blood volume circulations throughout your body.

These headaches may be further aggravated by stress ---vata bioenergy poor posture or changes in your vision or due to carrying that extra weight.

Other causes are lack of sleep, low blood sugar, dehydration, caffeine withdrawal high BP. Do not ignore these headaches and see a physician if you experience headaches in spite of using reliefs explained below because headaches can stem from a variety of factors.

So headaches with blurry vision, sudden weight gain, pain in the upper right abdomen and swelling in the hand and feet need seek attention.

Avoid tension headaches by practising good posture. Get plenty of rest and relaxation, exercises eating well balanced meals applying cold or heat pads to give relief.

Relieve sinus headaches by applying warm compress around your eyes and nose and Tension headache by applying cold compress or ice pack at the base of your neck.

Maintain blood sugar by eating smaller more frequent meals.

Get a massage to your shoulder and neck. Rest in a dark room and practise deep breathing Take a warm shower bath.

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Eye care

Ocular Prosthesis & Rehabilitations

Â&#x2039;Â&#x2039;

Dr. K. Bhujang Shetty

Founder Chairman, Narayana Nethralaya Postgraduate Institute of Ophthalmology Bangalore, Karnataka Telephone no: +91-80-66121300-305 Fax No: +91-80-23377329 Email: info@narayananethralaya.com, chairman@narayananethralaya.com Website: www.narayananethralaya.org

For a patient who is unfortunate enough to lose an eye to disease or trauma, the pain extends beyond the loss of the function itself. The continued suffering of a painful or disfigured eye, the social stigma, all lead to psychological setbacks for the patient.

Custom-made ocular prosthesis, make for superior user-comfort and cosmesis as close to the natural eye as possible.

Ocular Prosthesis Custom made ocular prosthesis: Any patient who has an anophthalmic socket may benefit from custom made prosthesis- this may be post-surgical, after enucleation, evisceration, or orbital exenteration. zz The surgery may be performed for a condition of intra-ocular tumor, infection, or trauma: none of these conditions is a contraindication for fitting of a custom prosthesis. zz A disfigured blind eye with volume loss such as with phthisis bulbi can receive a custom-prosthesis. zz A painful blind eye or an anterior staphyloma can receive a prosthesis after preliminary surgery. zz Congenital anomalies such as severe microphthalmos or anophthalmos can also be fitted with a custom prosthesis. zz A patient who has been previously using stock eyes, experiencing irritation, pain or discharge would also benefit from superior cosmesis, motility and wearer comfort of the custom prosthesis. zz Patients on stock eyes who show enophthalmic appearance, squint, or defective closure of the lids will have improved appearance with a custom made eye. zz Pre-Fitting Assessment zz Before fitting of the custom prosthesis, the socket is assessed to ensure it is healthy. There should not be any active infection or inflammation, excessive tenderness or sensitivity. The space available must be adequate, and the fornices well formed to support

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the prosthesis.

zz The patient should report for an assessment of the

socket or eye before the appointment for prosthesis is fixed, and any condition requiring treatment will be managed. A customised prosthesis may be fitted in most situations without further surgery. However, prior surgical procedures may be necessary in selected cases.

Custom prosthesis: The procedure

zz Once the socket is assessed and found healthy, an

impression is taken from the socket with alginate.

zz A wax model of the eye is made, and the fit and

centration determined.

zz The white eye is fabricated from acrylic, which is

biocompatible.

zz The iris color, scleral color are matched to be

identical to the other eye.

zz After a final coating of clear acrylic, the eye is

polished and dispensed.

Care for the Custom Prosthesis

As the customized prostheses are manufactured from high-grade acrylic, they are extremely durable.

Very little special care is required. zz Once the patient is accustomed to the eye, it can be worn continuously, to be removed and cleaned once a week. zz Pediatric age group, a profession involving heavy physical activity or long outdoor hours are NOT contraindications for customized ocular prostheses. zz The use of the custom prosthesis does not cause harm to the other eye. zz Custom prosthesis can be used for many years.

Annual follow-up with the ocularist for polishing of the surface prolongs the usable life of the prosthesis. zz Benefit of Customised Prosthesis over available Stock Eyes zz In difficult sockets, where commercially available stock eyes do not fit, customized prosthesis is the procedure of choice. zz Will not show volume disparity or centration defect (squint) unlike stock eye zz Superior matching of iris colour, iris size, scleral colour. zz Superior prosthesis motility zz High quality materials with superior polished surface eliminate the conjunctival irritation and discharge often associated with stock eye zz Higher durability over years and resistance to impact-breakage

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21

Heart and health

Dr Mahantesh R. Charantimath

Tathagat Diabetes and Heart Care centre, #32/60, 2nd Main, Vyalikaval, Next to Canara Bank, at Vyalikaval Police Station Bus Stop, Bangaloe-560 003.

Tathagat polyclinic & Diagnostic Centre, #838, 6th Cross, `A’ Block, Sahakara Nagar, Bangalore-92

9986807086 / 8277474667 / 9448462883 / 080-23462515

SYMPTOMS AND CAUSES OF HIGH BP High blood pressure is a peculiar disease. In majority of people with high blood pressure, there may not be any symptoms over years.

But slowly it damages important organs like heart, brain and kidneys.

Therefore it is very essential to recognise hypertension early and control it - thereby saving damage to these important organs. As has already been said, the patient may have no specific symptoms but high blood pressure is detected when the patient goes to doctor for some other ailment for example, life insurance medical examination. zz In some people, there may be headache, giddiness or body ache, Nausea ,Vomiting zz Gradually some of them may develop pain in the chest and difficulty to breathe on physical exertion. zz Pain over the Heart. In long standing, uncontrolled high blood pressure, heart may be affected - heart attack may occur and later interfere with working of the heart. zz If brain is affected one can get paralytic stroke. zz Similarly the kidneys may be damaged and their function also may be affected.

High blood pressure slowly damages important organs like heart, brain and kidneys.

Therefore it is very essential to recognise hypertension early and control

zz zz

Blood vessels also may get damaged.

Eye may be affected with disturbed vision.

Hence it is very essential to recognise high blood pressure early and without neglecting, treatment has to be started.

CAUSES OF HYPERTENSION: In majority of people the exact cause of high blood pressure is not known.

There are a small number of people with high blood pressure where definite cause can be found. It is important to recognise these secondary causes of hypertension because if treated there can be a ‘Cure’ for high blood pressure.

Are you at risk of having hypertension?

Some health conditions, as well as lifestyle and genetic

WE JUST DONT TREAT : WE TEACH HOW TO LIVE WITH DIABETES & HEART CARE 22

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August-2014

factors, contribute to the risk for developing high blood pressure. The risk factors for hypertension are: zz Old age: Blood pressure tends to increase with age, Male older than 45 years & female older than 55 years are prone to have increase blood pressure zz Over weight and obesity: Weight more than that is considered normal is a risk factor for hypertension zz Gender: Adult women have lesser risk than adult men but younger women are more prone to hypertension than men, Age 60 years or older the the tendency is similar in men and women zz Unhealthy life style: Alcohol consumption, Smoking, Failing to do enough physical activity, Not consuming enough potassium in the diet zz Family history of hypertension: The high blood pressure occurring in middle age is likely to be due to heredity. When both parents have high blood pressure there is 25% chance of developing high blood pressure in their children zz Long-lasting stress: Mental stress, emotional upsets, anxiety have all been implicated in the causation of high blood pressure. It has been found that those who have high blood pressure are more often irritable, get angry for trivial things, emotional, and try to adhere to strict discipline. zz Eating too much of sodium (salt): Those who consume more salt in their diet are likely to develop high blood pressure. The salt accumulates in the blood vessels and makes it more contractile and hence causes high blood pressure. Hence those who have high blood pressure should reduce salt in the diet. zz Other Diseases of Kidney, renal artery stenosis, coarctation of aorta, disease of endocrine glands and some neurological disorders may lead to high blood pressure. zz In some cases the cause of high blood pressure may be due to long-standing use of oral contraceptive pills.

Complications if failed to take treatment If hypertension untreated it can lead to multiple complications, they are : zz Heart disease: Heart failure - Condition where heart fails to pump enough blood for me body and Heart Attack zz Stroke: A stroke occurs when blood flow to an area in the brain ceases and people having hypertension are four to six times more prone to have a stroke zz Kidney disease: Kidney failure: Blood vessels in the kidney gets narrowed leading to kidney failure zz Eye disease: ‘Untreated hypertension can damge the eyesight causing damage to the blood vessel to rentina, this is known as hypertensive retinopathy. zz Aneurysms: An aneurysm is an abnormal bulge in the wall of an artery and Common spots for aneurysms are the main / artery that carries blood frorn the heart to the body: the arteries in the brain, legs, and intestines; and the artery leading to the spleen.

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Health news

SoulTree Organic Beauty Cosmetics now showcasing at Oxford Book Stores

SoulTree, India’s leading and the highest quality BDIH certified Organic Beauty & Personal Care Products is now set to welcome consumers of natural organic products at two more retail destinations – at the prestigious Oxford Book Stores at 1 M. G. Road Mall and The Leela Galleria. Adding to their existing list of outlets, SoulTree now introduces its 14th and 15th outlets in Bangalore – the Book Capital.

Vishal Bhandari, Founder & Managing Director of SoulTree, says “We are very excited to have moved a step closer to a great future for SoulTree. With our products placed at the Oxford Stores, we provide an opportunity to all book lovers to get a taste of our natural & eco-friendly products which are gentle yet effective.” He further added that “We wanted a unique position for our products and Oxford Stores offered us that window of opportunity.”

In their effort to reach a wider marketplace in the city, SoulTree meets and exceeds the needs of the conscious consumer who is not willing to compromise! Located on the first floor at both 1 M G Road Mall and Leela Galleria, their current category line-up includes eclectic shades of Lip Sticks & Kohls, a nourishing range of Hair Care, a fine spread of protective skin care products and aromatic shower gels; all sourced from the pristine Himalayas or other natural habitats in India.

What better way to relax than read a book in a calm and peaceful domain with organic, ecofriendly products and the ‘Cha Bar’, a small cafe at Oxford. This is not just a great opportunity to explore the store but also to experience what it feels like being in a serene environment, away from the hustle-bustle of the city. They have one of the largest bookstore in Bangalore and offers over 100,000 titles spread across 89 sections along with books, internet, music, CDs, videos and exclusive eco-friendly and new age stationery. www.bangalorehealthtv.com

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Eye care

For details contact

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

It is your Eye take care

Your eyes are a window to detection of many systemic conditions

www.abhisheknethradhama.com

Your eyes are a window to detection of many systemic conditions. The eyes are the only place in the body where blood vessels and nerves can be viewed directly.

A few examples of diseases that can manifest in the eyes: Diabetes, High Blood Pressure, High Cholesterol, Signs of a Stroke, Brain Tumors, Multiple Sclerosis, Thyroid Dysfunction, Arthritis, Sjogren’s Syndrome,

OUR BRANCHES Mosque Complex, Opp. Rajkamal Theatre, Fort Road, Doddaballapura-561 203 Phone : 0819- 321161, Mob: 7795805848 1st Floor, Opp. Bus Stand, Railway Station Road, Arsikere, Hassan Dist.-573 103, Phone : 08474 - 234030

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Leukemia, Malignant Melanoma, Nutritional Deficiencies ¾¾ Information for diabetic patients All diabetic patients should have an annual dilated eye health exam. Early detection of retinal changes can help prevent severe vision loss. ¾¾ A healthy diet leads to healthy eyes Studies have shown anti-oxidants help slow progression of eye diseases such as macular degeneration.

Healthy foods rich in Vitamins A, C, E and lute in

FACILITIES AVAILABLE Cataract Services Cornea Services Diabetic Eye care Services Paediatric Services

Glaucoma Services Orbit, Oculoplasty & Neurophthalmology Community Services Facial Asthetics

ABHISHEK NETHRADHAMA

# HIG 2024, 3rd ‘B’ Sector, ICICI Bank Road, Near SBI, Yelahanka New Town, Bengaluru-64, Ph: 080 - 40933219 / 7795715203

E-mail : abhisheknethradhama@yahoo.in www.bangalorehealthtv.com

August-2014

Medicine at your yard

Dr Rajeshwari B.M. Email:rmorabad@rediffmail.com M :9742490302

Neem include spinach, kale, carrots, strawberries and tomatoes. Cold water fish such as salmon contain Omega-3 Fatty Acids, also a healthy choice for your eyes. ¾¾ Important Facts to Remember regarding lens zz Remove your lenses if you experience discomfort, redness, or decreased vision. zz Lenses may become contaminated if worn in swimming pools, hot tubs, or saunas. zz Always use fresh solution. Never reuse solution to store your lenses. zz Discard your lenses at the interval recommended by your doctor. zz Remove lenses before using medicated eye drops. ¾¾ Normal Adaptation of lens Symptoms zz Increased glare sensitivity outdoors. This can be relieved with quality sunglasses. If it is severe, contact your doctor. zz Some initial mild discomfort. zz Some dryness in air conditioning or smoky environments. zz Slight awareness of the lenses. ¾¾ You have responsibilities as a patient: zz You are responsible for providing information about your health, including past illnesses, hospital stays, and use of medicine. You are responsible for asking questions when you do not understand information or instructions.

If you believe you can’t follow through with your treatment, you are responsible for telling your doctor. zz You hold responsibility for your actions if you refuse treatment or do not follow the eye care team’s instructions zz Your eye health depends not just on your hospital care but, in the long term, on the decisions you make in your daily life for your visual outcome. You are responsible for recognizing the effect of life-style on your personal health. ¾¾ Facts – do you know ?

Corneal disease is a major cause of blindness responsible for 7.1% of blindness in India. Recent data reported that only 10 % of the required 400,000 corneas are being procured annually.

Winter may turn tuff to your eyes creating problems like dry eyes and inflamed eyes. This in the long run may lead to eye health problems, such as a damaged cornea or cataracts. This is due to low humidity levels and dry air.

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Scientific Name(s): Azadirachta indica A. Juss.

Family: Meliaceae Common Name(s): Neem , margosa , nim , nimba , nimbatiktam , Arishtha , Praneem Uses: Limited clinical trials exist to support therapeutic claims. Neem has been used as an insecticide, insect repellent, and oral dentifrice, and in traditional medicine to treat malaria, diabetes, worms, and cardiovascular and skin diseases. It reportedly has contraceptive, antiulcer, and fungicidal properties, as well as applications relevant to cancer.

Aegle marmelos Botanical name :Aegle marmelos Malayalam name : Koovalam Origin, Distribution and Composition of Bael Fruit The bael is a large tree, 8 to 10 meters in height. It has a big stout trunk, unusual branches with long, straight outgrowth, aromatic leaves, sweet scented and greenishwhite flowers. The fruit is woody and smooth, 5 to 15 cm in diameter. It has numerous seeds which are densely covered with fibrous hair and are embedded in a thick aromatic pulp. The flesh is eaten fresh or dried.

Bael tree is held sacred by the Hindus. The history of this tree has been traced to Vedic period (2000 B.C. 800 B.C.). The mention of bael fruit has been made ­ in Yajurveda. The bael tree has great mythological significance and abounds in the vicinity of temples.

The leaves of the tree are~ traditionally used as sacred offering to Lord Shiva, the God of health. Lord Shiva is believed to live under the bael tree. The bael tree is indigenous to India and is grown throughout the subcontinent a;’ well as most countries of South-east Asia .

An analysis of the bael fruit shows that it consists of moisture 61.5 per cent, protein 1.8 per cent, fat 0.3 per cent, minerals 1.7 per cent, fibre 2.9 per cent and carbohydrates 31.8 per cent per 100 grams of edible portion. Its mineral and vitamin contents include calcium, phosphorus, iron, carotene, thiamin, riboflavin, niacin and vitamin C. Its calorific value is 137.

Several chemical constituents have been isolated and from various parts of the bael tree. These include alkaloids, coumarins and steroids. The leaves contain skimianinc, sterol and aegelin. The active constituent of the fruit is marmorosin, which is identical to imperatorin. Odler coumarins contained in the fruits are altoimperatorin and B sitosterol. Roots of the tree have been found to contain psoralin, xanthotoxin, scopoletin and tembamide. www.bangalorehealthtv.com

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Health Communication

Health Science Communication

Dr. N. Gopalakrishna, Formerly Editor, NIMHANS, Bangalore.

An Analysis of Popular Health Science Literature in Kannada Communication plays an essential role in disease prevention and health promotion aspects.

Health forms an important part of one’s life and success of an individual in one’s activities depends on his positive health. A healthy population is the strength of a nation. Each individual has to take care of his health to be able to lead a normal life in the society. Today, ample facilities are available to people to take care of their health. Health information, education and communication are a component of good health to the people.

Communication plays an essential role in disease prevention and health promotion aspects.

Programmes designed to promote changes in health behavior and to encourage early detection and prompt treatment of illness have demonstrated that mass media and other communication strategies can be effective in reducing the risk of illness (US Dept. of Health Publication, 1995).

Channels of health education available in India include inter-personal communication, electronic media (audio-visuals), traditional methods (traditional plays and songs) and print media (pamphlets, leaflets, posters, brochures, manuals health care documents, periodicals like magazines, newspapers and books).

Print media is very effective in giving health information and promoting health. Health science books are most important communication strategies in providing health information through the print media. The publication of books is increasing in spite of the fear that electronic media will depress in (Report of Task Force – Kannada, 2000).

Based on proliferation of these types of books, one can assume that their role in the management of illnesses is significant. An analysis of books provides some insight into the literature. It seems logical that most books emphasize treatments and that alternative treatments, currently undergoing a wave of popularity, are emphasized. Medical educators might wish that patients received more information on the epidemiology, risk factors and natural history of illnesses (Aparna Padiyar, et al. 2001).

Effective communication of health information through books is a difficult task. Use of appropriate words in regional language understandable to the reader, authenticity of information, availability of information form part of effective communication.

The objective of the present study is undertaking an in-depth study of only the published Kannada books on popular health sciences.

Dr. R. Shivaram, a renowned physician and editor of ‘Koravanji’ a humour magazine (akin to the British ‘Punch’ magazine) of yester years can be considered as the father of popular medical and health science, who disseminated these subjects to the

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common man. His writings on mental health aspects in the titles ‘Manonandana’ and ‘Manamanthana’ are considered classical even today. Other writers of yester years were the late Dr. Gopalakrishna Rao and Dodderi Venkatagiri Rao who published on an equally important topic of medical science, i.e., sex and sexuality. They have dealt with this subject seriously and scholarly.

In the recent days, the late Dr. Anupama Niranjana, the late Dr. Narayanappa and more recently Dr. D.S. Shivappa, Dr. C.R. Chandrashekar, Dr. P.S. Shankar, the late Dr. S.J. Nagalothimath among others have written on various health topics.

There are also examples where some medical writers have shown their creativity by writing on stories, novels, biographies in the field of medical sciences. A few such novels have also been successfully brought out as movies and have been widely appreciated by the people.

A large number of boos in Kannada on various topics of health are being published since several decades. There has not been a study to look into the content of these books in respect of how the health information is being communicated to the readers, viz., content analysis which includes: (a) the depth of the subject; (b) the utility of the subject to the reader; (c) the adequacy of information; (d) the presentation of the subject including language whether it is understandable; (e) the format of presentation including paragraph construction, easily understandable words, use of illustrations, the use of good type font for better readability, the quality of printing; (f) the cost per book whether the reader can afford to buy or not; (g) provision of bibliography for further references and (h) index.

The availability of books is not organized.

Because of this lacuna, the areas in which health literature needs to be created is not properly known.

August-2014

The present study is an attempt at analysing and consolidating the available printed Kannada language books on popular health science literature.

The product analysis covers the subject matter of health science areas, the place of publication and the trend of publication with respect to time. The other variables of study include authors, publishers, physical size of the books and price.

The objective of the present study is to evaluate health science Kannada books on sample basis. The evaluation is made according to the information provided in the books on five aspects. They are (i) social aspects of illness, (ii) nature of illness (biological aspects of illness) (iii) typography, (iv) explanation of technical terms, provision of subject index and finally the provision of references.

Another major objective of the present research was selection of few books for detailed evaluations on (i) content (ii) relevance (iii) clarity (iv) method of presentation (v) utility value (vi) readability (vii) illustrations and (viii) format of presentation of subject matter.

The Present Study In the present study, efforts were made to find the contribution of the popular health science books to the health of people by way of the kinds of books published in Kannada language and their contents.

First and foremost effort of the study was collecting information on the books published.

Books available with individuals, libraries and many places had to be browsed. 951 books were available from different sources. These books had to be listed in chronological order for detailed analysis.

The objectives of the analysis were: 1. Compile the available printed popular Kannada health science books 2. Development of a tool to analyse the published books 3. Evaluation of the books using the tool developed.

4. Draw conclusions in the light of the above detailed analysis.

The classification of 951 books was made along with the help of a qualified statistician.

Detailed evaluation: The detailed analysis of selected sample books was made. Sixty (60) popular health science books in Kannada language were selected for the purpose. The evaluation was done using the tool developed by the researcher for the purpose. The study was conducted under – 1.

Readability: (i) content aspect, (ii) relevance aspect, (iii) clarity aspect. 2. Method of presentation: (iv) utility value and (v) Information aspect.

The evaluation of information provided in randomly selected 60 health science books in Kannada was made in respect of four aspects, viz.,

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(i) social aspects of illness, (ii) nature of illness, (iii) causes of illness, (iv) prevention of illness and promotion of health.

Tentative Conclusions 1. Popular Kannada health science is a discipline by itself. Books under this discipline have been written by eminent medical practitioners, academicians, writers in science, non-medical writers, journalist and those interested in disseminating health messages.

2. Information, Education and Communication (IEC) being the pre-requisites in maintaining one’s health, the popular Kannada health science books effectively reach the common man with health science messages through IEC. 3. Most of the books published are in the area of allopathic medicine. Books in ayurvedic medicine find second place. Many authors have written books and also published books by themselves.

4. There are standard publishing houses in Karnataka who have published high quality popular Kannada popular health science books, highly useful to the common man. These publishers are mainly concentrated in cities of Bangalore, Mysore and Dharwad. Often, books published in cities do not reach the interior places.

5. Health science publishing is a flourishing business. Small and medium size publishers can develop their publishing business and grow to become major publishers. Health science publishing is also a service activity and publishers can promote this activity with more conviction as they are accountable to the society.

6. Many writers, doctors and others involved in creation of health science literature need to improve their skills of writing and communication abilities. Introduction of health communication courses need to be considered in Universities and other educational institutions.

7. The need for health information to the public in many districts is the need of the hour. People in economically backward districts do not pay attention t taking care of their health. They think about their health only when it becomes inevitable for them to go to the doctor. Often people suffer mainly because of their ignorance.

8. There is need to publish more and more popular health books to bring awareness among people about health.

9. Patient education is a vital component of an age in which a greater emphasis is placed on patient autonomy, health promotion and self care.

Patients no longer take appositive role in their care, and studies show in informed, involved patient is a healthier one.

10. Low literacy has been linked to poor health outcomes such as higher rates if hospitalization and less frequent use of preventive services.

Both these outcomes are associated with higher healthcare costs. The primary responsibility for improving health literacy lies with public health professionals, and the health care & public health systems. www.bangalorehealthtv.com

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Obesity and Sex

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

Is weight loss good for sex life?

There are many good reasons to lose weight.

Improving your sex life might be one of them.

The benefits of sex include increased energy, improved mobility, and elevated self-esteem. These factors are bound to have a positive effect on your love life. In addition, if your weight contributes to depression, the confidence you gain from losing weight may help improve that condition.

But because the evidence regarding sexuality and obesity is mixed, there is no reason to believe that you can’t have a satisfying sex life during the weight loss process. Improved intimacy with your partner may even help you to get the emotional support you need as you lose weight.

The physical effects of besity affecting your sex life Before anything else, there is a myth pertaining to sex and obesity that needs to be dispelled. New research has brought into question several claims related to obesity that were previously accepted as truths. One of them is the fact that sex is a great workout that burns anywhere from 100 to 300 calories for short sessions.

Latest studies show this to be false. One problem with obese people is that they lack stamina, therefore being unable to sustain high energy activities for long periods of time. The research revealed that the average amount of calories burned during a session of sex was less than 50. This means that it cannot be considered an effective weight loss tool by itself. It can, however, still be a powerful motivator to keep going when combined with a healthy diet and a workout regimen.

Obesity does not, by itself, lead to a bad sex life.

However, there are physical conditions that go handin-hand with obesity that can cause such problems.

One study revealed that as much as a third of all obese people have issues with their sex drive, performance, desire or a combination of the three. One problem that can cause this is high cholesterol. Most people that are overweight have elevated cholesterol levels as an unhealthy diet is oftentimes a main cause of obesity.

Such a problem can also have an impact on sexual performance and desire. This issue is much more common in men than in women. Furthermore, the same symptoms can be caused by insulin resistance which is, again, something related to a poor diet. This can also be an early indicator of type II diabetes. These two medical issues can cause men to experience sexual problems because they can clog up the tiny arteries found in the penis with deposits of fat. As you would expect, this can lead to erectile dysfunction or even impotence.

Men are not the only ones that can have sexual problems related to improper blood flow. This can also happen in women. They experience a diminished sex

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drive because the blood vessels that lead to the vagina can also get clogged, thus making their bodies less responsive to sexual stimuli.

In certain cases of morbid obesity, men can suffer from a medical problem known as buried penis syndrome. As its name suggests, this problem involves extra layers of fatty tissue above the pubic area overlapping and hiding the penis. This can present physical difficulties for the man, making it harder for him to achieve penetration. However, from a medical standpoint, this condition can also be a direct cause for erectile dysfunction. Surgery is available as a treatment, but it is never the recommended option and, in some cases, it is not even possible. Weight loss through diet and exercise is always the best solution to treat this problem.

There is another medical issue that further complicates matters and has a negative impact on the sex life of people struggling with weight problems.

Excessive amounts of body fat will increase the levels of SHBG (sex hormone binding globulin) in the system.

This is a natural chemical that binds to sex hormone testosterone, which is also used to provide a healthy sexual libido and increase sex drive. Higher amounts of SHBG means that there is less testosterone left to handle the duties associated with a normal sex life and therefore there is a decrease in desire.

Obesity also interferes with a person’s sex life in other ways. One study found that it is much harder for obese women to find a sexual partner than it is for women of normal weight. They were 30% less likely to have had a sexual partner within the last year. The differences between obese men and regular men were not significant. Not only that, but the same study revealed that obese women were also more likely to engage in risky sexual behavior. One common issue was the lack of contraceptive measures as overweight women were not as likely to anticipate a sexual encounter and plan ahead. Therefore unplanned

August-2014

pregnancies can also be an issue associated with obesity in women. Â&#x2039;Â&#x2039; Dealing with obesity for a better sex life The good news is that most of the issues in your sex life that arise as a result of obesity can be dealt with a little effort. The best way to combat this problem is by losing weight through diet and exercise. You do not even have to wait that long for results. Even losing as little as 10 pounds can start to stimulate sex hormone production, thus resulting in a healthier sexual appetite. This means that your sex drive should improve gradually throughout the weight loss process and you can see tangible results from the beginning.

This can act as a powerful motivator to keep going until you reach your weight loss goal.

Your love life can improve from this regardless of whether your problems were of a physical or mental nature. Some of the benefits of weight loss that pertain to this situation are increased stamina, bigger supplies of energy, better mobility, increased self-esteem and even help deal with depression.

Changes to your diet will also help alleviate sexual problems as it is an important part of weight loss. You should look to follow a low-fat diet that also focuses on consuming a lot of vegetables and fruits. That way you can get your cholesterol and blood sugar levels under control. As mentioned above, high cholesterol and insulin resistance are two of the main causes of sexual problems that are often linked with obesity. If you follow such a diet, you should start to experience a better sex drive very soon, even if the diet is not helping you lose weight.

Workouts should also be a big part of your routine if you want to see the best results. However, you should choose your exercises carefully. These should not necessarily be about losing the most weight, but rather

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about improving blood circulation to the genitals.

This is a common problem in obese people and it can cause decreased sex drives in women and erectile dysfunctions in men. Recommended activities include walking, cycling and yoga. They increase blood flow in the large muscle groups in the pelvic region.

If you are dealing with weight problems, then it is highly likely that you have already experienced your own problems. If not, you will in the future. They can be related to your sexual appetite, your sexual prowess or your physical ability to perform. There is enough evidence and research conducted to show that there is a definite link between obesity and sex. However, it is not all bad. Such problems can be dealt with if you are willing to work for it. Results should come fast as you do not have to wait until you are down to a normal weight for you to experience the pleasures of a normal love life. You have the option of choosing from a variety of different weight loss programs, but a healthy diet low in fat and rich in minerals and vitamins combined with light workouts is.

www.bangalorehealthtv.com

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Mr. Vikash Kumar Strategist Counselor mantra with zorba Contact: + 91 97411 222250 E Mail: vikashkubi@gmail.com www.mantrawithzorba.com

Health and Meditation Step ahead from colloquy

Meditation is gift from saints and sages bestowed to human being, and it is not a process, its state of mind hence it is meant for ALL. It reduces stress, gets peace of mind, concentration.

Meditation a much discussed thought among various demographic distribution, at different level of depth in today’s busy and stressed scenario has restricted it at the level of table talk, chitchat or for increasing information level; barring a bunch of spiritual guide and the professionals who sell it in a very lucrative way. But there are other common people who are much busy in their job and upkeep of their family and simultaneously stressed, unclear and not able to maintain a healthy mind set. Hence let’s start with in depth knowledge to the methods of meditation which can be practiced in busy schedule along with keeping all promises at the level of person and profession.

What is meditation?

Meditation is therapy or mitigative approach to get rid of psycho-physical unease or its exercise and techniques to keep one uplifted or its handy tool to spiritual practitioner or a theme applied differently at the different requirement. But the bottom line of all these is that its get used in every walk of life from home to office, in schools to old men clubs to name a few. The very word meditation is no more applicable for the person in their later half of life or some godly thing. It’s making foothold in the every age group for every good reasons. And slowly-slowly it’s improving its structure and sheen with a proper experimentation by deserving people.

What is meditation used for: Besides reducing stress, getting happiness with peace of mind, increasing concentration, and www.bangalorehealthtv.com 30

discovering purpose of life; people use meditation along with yoga to help treat a wide range of physical and mental problems, including: zz Addiction with drug, nicotine, and alcohol use zz Anxiety, depression, tension. zz Circulatory High blood pressure. zz Reduce direct physical Pain like arthritis, headaches, backache etc. zz Probability of heart diseases diminishes significantly. zz Problems of women like PMS, to-be-mother & after delivery syndrome, menopause. zz Irritable digestive disorder. zz Induce greater communication and interaction between the left and right hemispheres of brain. zz Infertility zz Helps in emotional stability, purifies one’s character, improves memory and learning tendency. zz develops self-confidence, creativity, productivity, will power zz To relieve anxieties from long-term (chronic) conditions such as HIV/AIDS and cancer, common cold, asthma, diabetes etc.

Most of these conditions may also require conventional treatment for best results.

For whom meditation is: Experiments conducted on groups and individuals have shown a marked decrease in stress and fatigue levels and a remarkable boost of positive energy. So applicable and suitable on everyone- parents, mother to be, students, professional, businessmen, artist, couple, friends etc. Each of you will find in these meditations the help you need to overcome your difficulties and move to a greater level of wellbeing. Meditation is gift from saints and sages bestowed to human being, hence meditation is meant for ALL.

August-2014

How to come in meditation mode: Writer has always insisted and made it clear that meditation is not a process, its state of mind. But achieving that state, one needs to follow course or set of action. Effectuating a set of task on the body is much easier than working on mind directly. As its evident that postulating of body can be taught but restricting mind is much arduous.

Moreover, we can never locate mind in our body but definitely its controlling part of system and can lead towards positivity or negativity, depending upon the moulding of the same. So we will start with first technique in a series of meditation course.

NUTRITION COLUMN

shruthi

First basic technique:

Resonating with divine: A unique combination of Bhramari Pranayama with Lotus Posture which keeps away much physical disorder (respiratory, digestive, insomniac, blood circulatory) at the bay. For practicing this technique, choose a quite place in your house where interference of others is minimal.

While facing east, sit in the posture of Padmasana, while keeping your spine erect. Close your eyes slowly and start humming. The sound should resonate in your system and your body will feel a slight vibration more to the throat, and diminishing towards lower part of body. The sound should be loud enough to make that desired vibration. For those who have not understood the term humming, a clue can be taken as- pronouncing the word “OM” while keeping your mouth shut.

Take deep breath and do humming properly. This is required to be done for 30 Mins and than for 15 Mins in Shavasana with a thought of gratitude.

Practice this process continuously without giving a single day break and let this meditation make you calm and be stress free in any situation posed to you and increase concentration power as well as intelligence. The movement of breath in right rhythm with sound vibration in nostril generates laughing properties and gives soothing mind frame. And hence with regular practice gives you immense joy to live. For reaping maximum benefit out of this meditation, make sure that you are doing this at the same place and on the same time.

In the following next article, differentiation of active and passive meditation will be understood along with another meditation technique.

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zz

How much water should a normal individual drink to avoid dehydration?

We loose water through sweat and urination during warm/ dry weather. Dry mouth and dark urine is the indicator of more fluids, so in order to stop dehydration we have to drink 3 to 4 liter of water a day. zz Can I eat dairy food even if I am sensitive to milk?

Buttermilk, panner and cheese have low lactose than milk which can be tolerated. zz I want to quit smoking, but my friends say that our weight increases after quitting.

Yes, it enhances smell, taste and appetite. So drink more water and avoid empty calorie food like soda and aerated drinks. To satisfy your increased appetite eats fruits, vegetable, fiber and lean protein. zz Mangoes increases weight, is it true?

100g mango has only 14g carbohydrate and its glycemic index is 14-60 (normal range), so obviously it cant increase your weight. Mango skin has phytochemicals that act as natural fat burner so eat along skin. What can promote weight gain is sugar loaded mango drinks like maaza/ frooti or mango milkshake. zz What is good fat and bad fat?

Good fat (HDL) : They are unsaturated fat which removes bad cholesterol (LDL) which protect against heart attacks and strokes. Ex: Olive oil, fish, Nuts, peanuts, corn oil, soybean etc.

Bad fat (LDL) : They are saturated/ trans fat which increases bad cholesterol (HDL) which leads to heart attacks and strokes. Ex: Fatty meats, cheese, processed food, fried food, palmoil etc. www.bangalorehealthtv.com

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THE GOOD TOUCH – BAD TOUCH LEARNING & BEYOND

Dr Geetha Appachhu Psychologist Chief Head, SWAPRERAN, Bengaluru Mob: 09448617789 www.swapreran.com

Its common in any society, with the occurrence of socially sensitive issues like rape, child sexual abuse, and, other forms of harassments, there are intense debates and tips for self care discussed in all media’s.

But, gradually does this euphoria fade off ?

In the recent reported incident’s, particularly the case of one little school child in our city it is over whelming to see support for this child victim and against the abuser in ways of protests, and, several other human chains and links. These activities, post, such horrendous acts, are sure signs of existing humanness and social bonding. This coming together is also indicators of prevailing social security, warmth and trust for all of us. While these demonstrations and rallies are absolutely justified, do they educate our children? No doubt, children will learn to stand up for a cause, but how do we ensure about protecting our children with the right education?

We can create a world of difference by educating our children all about The Good Touch- Bad Touch and importantly what’s even beyond. Being a Consultant Psychologist in this city for more than two decades now, in the past three weeks I have received, numerous calls from parents who honestly feel they do not know how to communicate, how much to say or not say, what to communicate to their children about Good and Bad Touch. Survey of our city schools indicate lack of regular Student’s and Teacher’s Sensitization Programs in the different areas of Psycho- social competence. It is important that each and every child begin this learning very early in childhood and also receive regular booster dozes for building a Confident Self. Has this area, unlike health and hygiene programs, been neglected? Does our society at large and Educational Institutions in particular believe that this learning must and is conducted at home by parents? In that case, since each family set up is unique and different, how do we assess the presence and strength of these trainings and learning?

Today it’s a universal agreement that every child requires this knowledge and training. It’s important however, to review the content of these trainings and recognize the methods used to impart these trainings.

Parents, Teachers and Care takers who are involved in educating children about the Good & Bad Touch must be aware of what they include at every stage of a child’s growing age. Education about Good Touch – Bad Touch is age specific. It is to empower and create

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the right attitude towards one’s life.

During training, parents must be able to observe the process of change that is evident in their children.

If the outcome of such home bound trainings is, Fear and Negativity that is being ingrained in children, then, it’s going to have a negative impact on the Child’s Psycho- social competence as they grow up.

The process of The Good Touch- Bad Touch training, beginning from Childhood must bring about a Positive and Strong Self Concept in both girls and boys. With such trainings, when girls and boys enter Teenage they will have the competence to understand people within their social worlds and use this understanding to improve one’s well- being.

Parents must remember not to make The Good Touch – Bad Touch training a list of Do’s and Don’ts which is generally a momentary emphasis for any child during that particular milestone of growing up.

Have we given it a thought? When thousands of likeminded people can join hands and get- together amidst their hectic daily schedules to, support a victim and their family, and protest against abusers, they are also ready and open to learning and training. Healthy and Positive Attitude Building in any Community does not work by criticizing and Passing the Buck to any particular governance. Becoming sensitive to the requirements of these trainings and making them essential and mandatory through, all Educational Institutions for Parents (the stake holders) and their Children (our future citizens) is the first step we need to consider and take.

Experienced and trained Professionals in the area of Mental Health can make this learning true and holistic. While some schools do approach for professional guidance, in some of my interactions with few school authorities, my efforts to showcase list of several Mental Hygiene Programs available for Parents, Teachers and students (Personal Skills training, Social Skills training, Inter-personal competence development) ) could not receive the due importance. I believe, today when we have agreed and welcomed various essential training for our children in areas of Physical Health, Food and Hygiene and Environment it’s time to include Psychologist’s and start the Mental Hygiene exercise in schools.

These incident’s which has disturbed us, must be, lessons for all to, act now. Approaching a Psychologist should not be difficult anymore?

August-2014

Life style

DONATE BLOOD ……

SAVE LIVES

June 14th is globally celebrated as “WORLD BLOOD DONOR’S DAY ”. The idea of celebrating blood donor’s day is to create more awareness and motivate more people for blood donating.

A unit of blood will go a long way to save a patient while it will cost nothing but compassion for fellow beings.

Why should we donate Blood?

Medical technology has provided many life saving technologies and discoveries but there is still no substitute for blood.

In a medical emergency the most important element is the availability of individuals’ surgery pahonts, trauma victims, cancer patients, thalassemia patient, individuals with anaemie, Dremature babies, pregnant woman during delivery and many more.

Please remember tears of a mother cannot save her child but your blood can. Blood donation is the greatest of all donations, there is no bigger donation than blood donation.

Who can donate blood?

Any healthy individual, both male and female can donate blood. Man once in 3 months and women every 4 months. The universally accepted criteria for blood donor selection are : zz Age between 18 and 65 years. zz Hemoglobin, not less than 12.5g / dl zz Pulse, between 50 and 100 with no irregularities. zz Body weight not less than 45 kgs zz Temperature not exceeding 37.5°c zz Blood pressure should be normal, systotic between 100 to 140 mm and diastolic 70 to 100mm of Hg. Based on body weight, 350ml to 450ml of blood is taken at a time. The entire blood donation procedure is painless and there may be a little sting. When the needle is inserted, which can be minimized by using good quality needle but there should be no pain during the donation. The procedure will take hardly 10 minutes. The body will replace the blood volume placing within 48 hours and it takes 4 to 8 weeks to completely replace the red blood cells.

Who can not donate blood? zz Patients with cardiovascular disease. zz Hepatitis, Epilepsy, AIDS zz Very High Blood

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Dr.Muralee Mohan Choonthar Ph: 04998-273544, 235111 Mob: 9845135787 www.surakshadental.com email: drmuraleemohan@gmail.com pressure, diabetes Patients who are on and antibiotic and who had taken Patients with a history of major surgery should not donate for 3 to 6 months.

Patients suffered from malaria, typhoid, Dengue in last 6 months.

What care should we take after donation? zz Eat and Drink something before leaving ( at least 500 ml of liquid ) zz Don’t smoke for next 30 minutes zz Drink more liquid than usual in next 4 hours. zz Avoid strenuous work for the next 24 hours Advantages of blood donation zz Reduces cholesterol level zz Reduces the risk of cardiac arrest zz Body will be promoted to produce more blood zz Reduces the risk of hypertension and heart related problems.

Above all blood collected will be tested for HIV, Hepatitis, BTC virus, Malaria parasite, syphilis and also blood groups before giving it to others.

To donate blood you do not need extra strength or power, what you need is big heart. Blood is meant to circulate, pass it around and save lives. Remember you do not have to be doctor to save a life; your blood can save a life. The blood donor of today may be recipient of tomorrow. Dear friends share a little, care a little, donate blood and save lives. zz

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Dr Chaithanya kumar Total Ayurveda # A/40, 32nd Cross, Jayanagar 7th Block Bangalore - 70 Tel: 080-22447979 Mob: +919945850945 Email : info@totalayurveda.in Web: www.totalayurveda.in

Psoriasis A major skin disease and ayurveda has a good solution

What is Psoriasis?

The name psoriasis is from the Greek language, meaning roughly “itching condition” (psora “itch” + -sis “action, condition”). Psoriasis is an autoimmune disease that causes raised, red, scaly patches to appear on the skin. It typically affects the outside of the elbows, knees or scalp, though it can appear on any location. In Ayurveda all skin diseases are named under ‘Kusta’.

The literal meaning of kusta is that which changes the normal skin to abnormal state.

What happens when it’s ignored?

When skin diseases are not treated in time or if ignored it will spread all over the body quickly.

Causes: The exact cause of psoriasis is unknown, but it is believed that a combination of several factors contributes to the development of this disease. In

ayurveda there are specific causative factors which is responsible for the initiation of skin disease.

Classification: Though the classics named different types of skin disease with different names its also said that all the skin diseases have the involvement of tridoshas and the names are given according to the predominance of dosha involved in it.

Psoriasis appears in a variety of forms with distinct characteristics. Typically, an individual has only one type of psoriasis at a time. Generally, one type of psoriasis will clear and another form of psoriasis

will appear in response to a trigger. zz Plaque Psoriasis: Plaque psoriasis is the most common form of the disease and appears as raised, red patches covered with a silvery white buildup of dead skin cells or scale. These patches or plaques most often appear on the scalp, knees, elbows and lower back. They are often itchy and painful, and they can crack and bleed. zz Guttate Psoriasis: This form of psoriasis appears as small, red, separate spots on the skin. Guttate lesions usually appear on the trunk and limbs and can number in the hundreds. Sometimes lesions form on the scalp, face and ears. They usually are not as thick as the lesions that characterize plaque psoriasis. This form can precede or co-exist with other forms of psoriasis, such as plaque. zz Inverse Psoriasis: Inverse psoriasis shows up as very red lesions in body folds. It may appear smooth and shiny. Many people have another type of psoriasis elsewhere on the body at the same time. Inverse psoriasis is found in the armpits, groin, under the breasts and in other skin folds on the body. It is particularly subject to irritation from rubbing and sweating because of its location in skin folds and tender areas. It usually lacks the scale associated with plaque psoriasis due to the moist environment. It is more common in overweight people and people with deep skin folds. zz Pustular Psoriasis: Pustular psoriasis in

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August-2014

characterized by white pustules (blisters of noninfectious pus) surrounded by red skin. The pus consists of white blood cells. It is not an infection, nor is it contagious. Pustular psoriasis is primarily seen in adults. It may be limited to certain areas of the body — for example, the hands and feet. Generalized pustular psoriasis also can cover most of the body. It tends to go in a cycle with reddening of the skin followed by pustules and scaling. zz Erythrodermic Psoriasis: Erythrodermic psoriasis is a particularly inflammatory form of psoriasis that often affects most of the body surface. It is a rare type of psoriasis, occurring once or more during the lifetime of 3 percent of people who have psoriasis. It generally appears on people who have unstable plaque psoriasis.

This means the lesions are not clearly defined.

Widespread, fiery redness and exfoliation of the skin characterize this form. Severe itching and pain often accompanies it. zz Psoriasis on Specific Locations: Psoriasis can show up anywhere—on the eyelids, ears, mouth and lips, skin folds, hands and feet, and nails. The skin at each of these sites is different and requires different treatments Health Conditions Associated with Psoriasis Individuals with psoriasis are at an elevated risk to develop other chronic and serious health conditions also known as “comorbidities.” It is estimated that up to 30 percent of people with psoriasis develop psoriatic arthritis. People with psoriatic diseases also are at greater risk of developing cardiovascular disease and depression. zz Psoriatic Arthritis: Up to 30 percent of people with psoriasis also develop psoriatic arthritis, which causes pain, stiffness and swelling in and around the joints and tendons. zz Cardiovascular Disease: Research continues to link psoriasis with an increased risk for cardiovascular disease, especially in people with severe psoriasis. People with severe psoriasis are 58 percent more likely to have a major cardiac event and 43 percent more likely to have a stroke. zz Diabetes: People with psoriasis are at an increased risk for type 2 diabetes, according to a 2012 study.

People with severe psoriasis are 46 percent more likely to have type 2 diabetes. zz Depression: Psoriasis can cause considerable emotional distress for people, including decreased self-esteem, and an increased incidence of mood disorders, such as depression. One study estimates that approximately one-fourth of people with psoriasis have depression. zz Other conditions: Other comorbidities associated with psoriasis include cancer, obesity, metabolic syndrome and other immune-related conditions such as Crohn’s disease.

How to Heal: Though conventional medical system is unable to pin point the specific cause for psoriasis, there are different triggering factors which helps in outbursting of psoriasis. Though there are lot of researches going on, there are some breakthrough attained about psoriasis in recent times, but still there is lot to be understand.

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Considering the facts about the skin diseases and its reason, classics shown clear path to be free from skin disease. zz How a cleaned cloth gets coloured easily, in the same manner if one undergoes shodana chikitsas like vamana, virechana or raktasravana the elevated doshas gets eliminated from the body and then the timely administration of other medications will cure all skin diseases. zz When the doshas are aggravated more in the body, one should administer repeated vamana,virechana and raktamokshana keeping eye on the health condition of the person. If the shodana is done excessively ignoring the health condition can cause death. zz The skin diseases are considered difficult to treat because of its complex nature and given much importance to the repeated shodana. Emphasising the importance to shodana indicates that the to correct the cells abnormal behaviour is only possible when the body becomes completly free from toxins. zz One has to undergo repeated Vamana for every 15 days once, Virechana once in 30 days, shirovirechana has to be done once in 3days and Raktamokshana has to be done once in every six months. zz The repeated shodana will help in keeping the body free from accumulation of toxins which are responsible for the diseases. By correcting from the root and avoiding the causetive factors will help brings back normalcy in health. zz In the person who are unable to undergo Vamana or Virechana the doshas gets spread all over making disease difficult to treat. But one has to try to eliminate aggravated doshas slowly. zz Vruta,Dama,Yama,Seva, Tyaga sheela,Dwija,Sura,Guru ppjana, Sarvasatweshu Maitree, Shiva, Shivasuta,Taaraa,Bhaskara aradhana, Will eliminate the skin disease caused by mala and papa. zz In Vata dosha predominant skin disease snehapana has to be done, in Kapha predominant one has to do Vamana and in Pitta predominance Virechana and raktamokshana has to be done. zz After eliminating doshas by raktamokshana and administrating vamana, virechana to eliminate malas from the body lepas will help to eliminate skin disease. zz Its evident that Ayurveda works wonder when it comes to most of the chronic and repeated skin problems and even in psoriasis. This is because its approach is holistic rather than merely treating the disease. Any disease which manifests docent have single cause and its multidimensional with co factors, so the healing should also be multidimensional approach. zz Ayurveda works in a very simple way where the suitable panchakarma therapies will help to eliminate the accumulated causetive factors from the body. After cleansing depending on the condition step by step medicines both internal administration and external applications are advised to correct the physiological functions of the body. www.bangalorehealthtv.com

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The mind plays a vital role in healing process as thoughts directly acts on the cells to be healthy or unhealthy. Tuning the mind to produce healthy cells and staying in a positive mindset are also essential. zz Coming to food it is the real medicine when you are sick. The health depends mostly on the food what we eat because for the cells needs energy to perform its function normally. If we choose to be ignorent about food there will be short of the needed fuel to cells to function along with accumulation of undigested food starts accumulating as toxins which tends to impair health.

Following specified daily regimen will boost the process of healing like physical exercise, etc....

Special Psoriasis treatments:zz Lepanam (application of external medicines), zz Abhayangam (oil massage), zz Snehapanam (taking medicated oil), zz Vamana (Therapeutic induction of emesis) zz Virechana (Therapeutic induction of purgation) zz Raktamokshana ( Therapeutic blood letting) zz Nasya ( Therapeutic nasal medication) zz Pizhichil (pouring medicated oil over body), zz Swedana (medicated steam bath), zz Sirovasti (keeping oil on head) zz Dhara ( dripping of medicated buttermilk) zz Udwartana (Powder Massage) Pathya (advised for intake) zz Shalidhanya zz Yava zz Godhuma zz Koradusha zz Priyangu zz Mudga zz Masura zz Tuvara zz Thiktashaka zz Jangalamamsa zz Vara zz Patola zz kadira zz Nimba zz Arushkara zz Asava & Arista zz Mathitha

Life style

zz

Apathya (Should avoid) One should avoid zz Amla (sour substances) zz Lavana ( Salt) zz Katu (Pungent) zz Dadhi (Curd) zz Dugda (Milk) zz Guda (Jaggery) zz Anoopadesha mamsa (meat of animals which are from marshy lands) zz Thila (Seaseme) zz Masha (Balck gram) 36

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DAY SLEEP– Healthy or Unhealthy?

Yogitha bali Mob: 9886948511 Lifestyle refers to a style of living a healthy and a happy life. Sleep being one of the most important components of lifestyle helps in relaxation and refreshing thereby balancing our health. Sleep is a physical and mental resting state of a person. During sleep one becomes inactive and will not be aware of the surrounding environment and senses do not respond to the external stimuli.

In Ayurvedic science sleep is described as, “ yadaa tu manasi klaante karmaatmaanaha klamaanvitaaha | Vishayebhyo nivartante tadaa swpiti maanavaha ||” When mind, sensory and motor organs are exhausted, they disassociate themselves from their senses and stimuli.

This makes a person to go to sleep.

Sleep according to Ayurveda, has both beneficial and harmful effects depending on the sleeping time and duration. A good sleep nourishes body and strengthens it. It increases memory power, knowledge, virility and longevity.

Untimely sleep leads to unhealthy conditions and reduces longevity. Sleeping during daytime spoken as Diwaswapna in Ayurveda is being given prime consideration due to its effect both in the maintenance of positive health and the causation of the diseases.

Who can sleep during day?

Those who are exhausted by constant singing, studies, heavy work schedules, walking for longer distances, works involving heavy weight lifting, those who are too old, too young, weak and emaciated. Those injured by fall or trauma, exhausted by journey, anger, grief, fear, mental exertion, sexual activities and those who are accustomed to day sleep and suffering from diarrhea, dyspnoea, thirst, wasting etc diseases.

Who should not sleep during day?

People suffering from obesity, diabetes etc diseases caused due to kapha dosha. Those who are addicted in consuming unctuous substances and people of kapha prakriti should not sleep during day excepting children.

When can everyone have day sleep?

For all healthy people, day sleep is advised only during summer, due to less night-time and due to lack of energy during summer.

What are the effects of Day sleep?

Day sleep leads to many of the physical and psychological ailments such as jaundice, headache, migraine, timidness, heaviness of the body, loss of digestive power oedema, anorexia, rhinitis, skin disorders, drowsiness, cough and diseases of the throat, impairment of the memory and intelligence, fever etc.

August-2014

Diet These are just some tips to stay healthy but what matters is consistency and moderation in changing your eating habits. Don’t make big plans. Have small targets for achieving good health and it will work wonders for you. Attaining good health is not rocketscience but it requires a steady approach.

IMPORTANCE OF HEALTHY FOOD

Good food is one of the most vital parts of a good life. It’s the backbone of a healthy body as well.

Everyone knows today, without a shadow of doubt, the paramount importance of healthy food in our life.

But overlooking this, people usually go the other way round and consume food which gradually decays body.

Due to the influence of western culture basically, the Indian traditional food has been forgotten long ago.

It is pizzas, burgers, French fries, Maggi, pasta and umpteen such ‘tasty-but-unhealthy’ dishes. The main reason behind this is the fast-paced life of people where usually no one has the time to make dal and chawal.

In such a scenario, people resign to this situation and depend on fast food to fill their stomachs. Not just this, there is one more reason behind this situation. The wish to follow the modern lifestyle where Indian food has a very small place now. This intense desire urges people to get westernised even in what they eat.

A balanced diet consisting of all the nutrients, vitamins, green leafy vegetables, protein-rich foods like eggs, fish and soya, fruits like apples, oranges, bananas, dry fruits like almonds are a must-have. A good diet is a perfect blend of Breakfast, lunch and dinner. A popular saying gels well here, “Have breakfast like a king, Lunch like a prince and dinner like a pauper” which clearly defines the way a person should have his food daily. Usually people skip breakfast for the sake of losing weight without realizing that it is the most essential meal of the day. One should have a heavy and healthy breakfast containing milk, eggs, fruits, raw vegetables and almost anything which is healthy and

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Jasneet Kaur

fills the stomach.

A person must adapt to some good eating habits in order to have a healthy life. Such good eating habits include: zz Eat a healthy breakfast containing good amount of vitamins and proteins. zz Follow 3-meals a day routine which includes breakfast, lunch and dinner. It helps one to be energetic throughout the day and prevent fatigue. zz Have some light snacks between meals to prevent hunger. Snacks like peanuts, corns, and boiled soya beans are the best. zz Don’t forget to drink sufficient amount of water each day. zz Don’t eat in haste. Eat slowly and chew properly to assist digestion. zz Have a synergy in diet by combining proteins and grains in your meal. zz Have a varied diet including whole grain products like millet and barley. zz Try to use organic foods as much as you can. zz Try to avoid processed foods as they lack in nutrients. zz Prefer honey and jaggery over sugar. zz Have green tea instead of caffeine in the morning.

As green tea replenishes and rejuvenates a person. zz Avoid fast foods as they increase the cholesterol level of the body. zz Drink one glass of milk daily. zz Also include a good amount of dairy products in your diet. www.bangalorehealthtv.com

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The art of leaving

SPIRITUAL QUOTIENT (SQ)

Spiritual intelligence is a term used to discern a set of propensities comprising: perceptions, intuitions, cognitions, etc., related to spirituality and/ or religion.lt is a person’s spiritual capital. There is a great deal of disagreement over the measurement of spiritual intelligence. Many authors use the term spiritual quotient, following a trend that started with the intelligence quotient or IQ and later emotional intelligence or EQ. While some measures may be founded in science, others are geared more towards popular use by the public.

Most recently, it has been defined as “choosing between the ego and Spirit (Higher Self)”. This definition is based upon the root words: spiritus, meaning breath indicating that the Spirit is the breath of life. Intelligentia, meaning “to choose between”.

There are three major aspects of spiritual intelligence.

They are: zz Identifying with one’s Higher Self or Spirit rather than with the ego. You are not necessarily the person which identifies with the mortal body, problems, jobs, relations, past, present or future.

These are roles you play. You are a spiritual being having a human experience. zz Understanding Universal Law of Cause and Effect.

Spiritual Intelligence means that you take complete responsibility for your life, your situation, and for yourself. You recognize that you are the creator of your life’s situations and that your thinking, beliefs and assumptions create your worid. zz Non-attachment. As a spiritual being you are unattached to outcomes, forms, or experiences.

Your well-being comes from within you, by way of

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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

your spiritual identity.

Spiritual Intelligence is developed by practicing these three aspects. The tools of Spiritual Intelligence include prayer, meditation, contemplation, conscious awareness of one’s tendencies toward fear or anger, shifting one’s emotional state away from fear, and the ongoing daily practice of staying conscious of one’s thoughts, emotions, and behaviors.

Applications zz Acceptance of adversity rather than raging against it. Avoiding blame, guilt, rationalising, anger, despair, denial and other defense mechanisms. zz Using materials judiciously and avoiding waste.

Recycling, reusing things wherever possible, reducing waste and repairing things instead of replacing them are necessary. zz Being grateful for everything, good or bad. zz Having the capacity to see one’s ego and choose whether to go with the ego’s habitual tendency or do something different. zz Apologising for mistakes and making changes wherever possible. zz Seeing the inherent beauty of everything and everyone. zz Having a positive and optimistic attitude. zz Treating everyone and everything compassionately and gratifyingly for whatever be their contribution in your life, including tools and machines. zz Leaving every place you go better than you found it. zz Respect for the environment and bio-diversity as having inherent as well as practical value

August-2014

Jasneet Kaur

Food Therapy

CURRY LEAVES: Chutney prepared out of curry leaves is good for those who suffer from biliousness, stomach pain and exhaustion due to indigestion. Fat people can reduce body weight by eating this chutney regularly.

Diabetics can keep the disease under control by eating eight to ten curry leaves everyday.

Shoots of curry leaf plant eaten with honey gives good relief to patients suffering from dysentery, diarrhoea and piles.

COFFEE: Coffee is a stimulant. It gives temporary relief to patients suffering from dysentery, diarrhoea, mental disturbance, blocked urination, cold, fever, tiredness, headache and whooping cough. A cup of coffee decoction revives a pregnant woman just before delivery.

Coffee temporarily revives you when you feel tired after doing mentally strenuous work, since coffee stimulates the nerves, Excess consumption of coffee weakens the nerves, Ulcers develop in the stomach.

Appetite is lost. Blood pressure increases.

Heart beats are faster. Sleep is disturbed. The tendency to develop tension, even over trivial matters increases. Urination increases. Head ache becomes frequent. The body sweats profusely.

Health tips for this rainy season

Preventive steps to avoid cold Regular exercise: Regular exercise strengthens the Immune system in us and it, in turn, keeps us away from such symptom like cold. However, too much exercise should be avoided. It must be regular, methodical and limited. Walking, jogging, swimming, cycling etc., for about half an hour will be enough. If you exceed the limit, you will be inviting cold.

Stress: When you are subjected to stress for example, when you are preparing for your examination or when beset with serious problems, there is every chance of catching cold. It is because stress acts on and affects the immune system. Meditation, soft music, yoga will release the mind, give peace and tranquility and keep the stress away from us.

Comedy films: Seeing comedy films, listening or reading jokes cheer up which in turn increase the production of Immunoglobulin relating to immune system, according to research. So, if we see comedies and keep ourselves cheerful, the immune system will improve

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“A baby is something you carry inside you for 9 months, in your arms for 5 months and in your heart until the day you die”. The life of a mother is the life of a child, mom with a healthier and a nutritional lifestyle will have a healthier baby. Thus it is beneficial for you to gain a healthy amount of weight during pregnancy.

Diet and fitness

POST- PREGNANCY WEIGHT LOSS

SHRUTHI.J.P NUTRITIONIST, SNAP FITNESS

After 9 long months of happy pregnancy, every mom will be eager to look like her old self again and so will be thinking about dieting in hopes of losing some of that extra weight. The first most thing new mothers have to have is a certain amount of patience with their body. When you have taken 9 months to get there it should take that long to get back to your original self.

Although it is very critical that you should get the weight off, because if you don’t it will be associated with overweight and obesity 15-20 years later in life.

But that doesn’t mean you have to start dieting before your baby is ready to stop breastfeeding.

Your body at first needs time to recover from labor/ delivery. So give at least 6 week time before you start watching your calorie intake. No matter how much you want to lose weight, try not to go below 1,800-2,000 Cal per day particularly if you are breast feeding. A sudden drop in calorie can reduce milk supply.

Eating healthy and by including plenty of fruits and vegetable in your meals will speed up your recovery from labor and birth and also gives you energy that you will need to keep up with your child.

These tips will help you to achieve and maintain a healthy weight. zz Set realistic goals and stop all the frustration when attempting to lose weight. zz Decrease your calorie intake gradually as it interferes with production of milk supply. zz Breast feeding is not only the best way to nourish

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zz zz

zz zz zz zz zz zz zz zz zz zz zz

your little one; it is also the most efficient way to used to burn your maternal fat store.

Drink plenty of water to flush your body and prevent dehydration.

Get at least 16 cup of fluid per day when breastfeeding as it is important both for maintaining an adequate milk supply and boosting your weight loss efforts.

Eat fresh & whole foods like vegetables and fruits as it contains lots of vitamins, minerals and fiber.

Keep your protein intake between 62-65g/ day so that you don’t lose your muscle.

Steer clear of packaged and processed food that often has no nutritional value.

Eat small but frequently to increase your metabolic rate.

Add healthy fat (omega 3 fatty acid) in your diet like fish, walnuts, egg, spinach, basil etc.

Avoid Active and passive smoking as it blocks nutrition absorption.

Its best to avoid alcohol as it enters breast milk and affects your baby causing drowsiness.

Eat lot of iron rich food like spinach, green leafy vegetable, black beans etc.

Eat complex carbohydrates like brown rice, wheat, sweet potato etc which has lots of fibers that will help you feel full as well as converts fat into energy.

Eat a diet rich in calcium and protein.

Exercise moderately to burn more fat and to pump up muscle mass.

August-2014

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Health Vision

Health Vision

Health Vision

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Vydehi

Institute of Medical Sciences & Research Centre

Recognized By Medical Council India Overview The Vydehi Institute of Medical Sciences and Research Centre is located in a sprawling 65 acres of a pleasant, peaceful and pollution free atmosphere of greenery. Enclosed within the boundaries of sector of information Technology, the campus enjoys a dual benefit of its location through an easy access to all the essential facilities from the city as well as the hustle and bustle of the traffic.

The campus of the Institution has laid imposing standards in free tertiary health care with love and compassion for the underprivileged and the ailing.

The institute focuses to deliver high quality, comprehensive, integrated medical education including innovative thoughts towards modem technology and research.

About Hospital

Infrastructure / Facilities

1660 bedded super-specialty hospital

Sprawling campus spread across 65 acres

24x7 hour Emergency, Lab, Radiology, Pharmacy and Blood Bank

Medical College is recognized by Medical Council of India

Services

Dental College is recognized by Dental Council of India

Well-equipped labs and Radiology infrastructure.

Nursing College is recognized by Indian Nursing Council

Super - specialty aided Oncology Institute

Vast repository of clinical material

India’s first IGRT machine installation

Hi-Tech classrooms and well equipped libraries

Unique approach to 30% of beds in all departments have been

Highly qualified and experienced faculty

reserved of the needy and free medical service are provided

Ayurvedagram offers a full range of out-patient treatments for

various ailments together with rejuvenation & stress management

Vydehi Institute of Rehabilitation that is tied-up to California State

University addresses the needs of people facing physical & mental disability challenges

IT-enabled student management / attendance system Well equipped modem state-of-the-art laboratories Excellent hostel facilities for boys and girls Transport facility for VIMS & RC staff and students Special emphasis on personality development and communication

skills for the students

16 state-of-the-art Operation Theatres, ICU, NICU, CCU facilities

Departments Medicine

Radiology

UG Medical - MBBS

Pathology

Paediatries

PG Medical - MD/MS/DM/MCh

Surgery

Dentistry

UG Dental - BDS

Microbiology

ENT

PG Dental - MDS

OBG

TB & Chest

UN Nursing - BSc, GNM

Biochemistry

Psychiatry

UG Nursing - MSc

Orthopaedics

Anaesthesia

UG Biotech - BSc

Dermatology

Full-fledged Blood Bank

UG Biotech - MSc

UG Paramedical

PG Paramedical

BSc Operation Theatre Technology

MSc Echocardiograph

BSc Medical Imaging Technology BSc Renal Dialysis Technology BSc Anesthesia Technology

For eligibility criteria details please log on to www.vims.ac.in

PG Admission form : http://www.vims.ac.in/pg-form.php

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Super-Speciality Course Cardiology

BSc Perfusion

Neurology

BSc Cardiac care

Gastroenterology

BSc Echocardiograph

Neurosurgery Plastic Surgery

Eligibilty

UG Admission form : http://www.vims.ac.in/ug-form.php

MSc Radiation Physics

BSc Renal Dialysis

Ophthamology

Online Admission Form

MSc Psychosocial Rehabilitation

Vydehi Institue of Medical Sciences & Research Centre #82, Nallurahalli, Near BMTC 18th Depot, Whitefield, Bangalore-560066 (Karnataka) Tel: 080-28413381/2/3/4/5 | Fax: 080-28416199 | Email: info@vims.ac.in For Admission contact: 080-2841 3585

www.vims.ac.in

August-2014