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HEALTH MAG AYURPHARMA

A Complete Family Magazine on Ayurveda, Health & Pharma

Volume-5 Issue-5

May 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 Dr. G. Grace

Editor Speak

D A Kalpaja

Director, VIMS

Women need to live a life of wellness and health. Fashion & Beauty, Health & Fitness, Relationships, Work exclusively and so on.... Between our businesses, families, and relationships, most modern women lead busy, multi-faceted lives. This means that we are hardly ever focused on just one task at a time. Life is too full and exciting. Here are some tips to overcome the same: zz Enhance your lifestyle: improve your busy & stressful lifestyle you can get a better life and rid of your tension & worries. Wake Up Early, Drink 2 Glasses of Warm Water, Take A Heavy Breakfast, Believe in Yourself, Read Books, smile, find your hobby, sleep on time and so on. zz Relationship: A relationship is normally viewed as a connection between individuals, such as a romantic or intimate relationship,

Consulting Editors Keshav V. Ramu D V Kumar

Media Advisor Raghavendra Raju

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Contents

or a parent–child relationship. Individuals can also have relationships with groups of people. Impact of family and social relationships plays an important part in one’s health and psychosocial well being. Parenting: Women need to invest quality time in raising children and install good values in their growing years. Good mom is important in order to help your children grow into confident and well-adjusted individuals. Give Unconditional Love, Put Yourself in Their Shoes, Develop Healthy Eating Habits From a Young Age, Have Family-Time. Remember to be good role models for your child as parents are the biggest role models for children. Time management: Working moms oftentimes find themselves stressed out by the challenge of managing a household, getting personally involved in parenting. Here are the ways to simplify the stressful stuff and make sure you have a little fun too - prioritize properly and plan accordingly, be smart about your schedule, prepare for your day the night before, plan your menu, get a routine and find your rhythm and so on. Fashion & Beauty: concentrate on fashion, hair, makeup, skincare, Lose Weight and more are some common problem that every woman seems to share is her constant battle with busy lifestyle. Eat healthy home cooked meals, Have at least one active hobby, drink plenty of water, Plan healthy vacations and so on. Health & Fitness: Learn why diet and exercise is important! Get into it, and stay into it - Make your healthy eating and physical activity. Boost your health and fitness with fun and practical ideas to help you get active and improve your all-round health.

MAY-2014

AYURPHARMA

Appendicitis 6 HEMATURIA 8 Bed wetting 11 Heart attack 12 ENDOMETRIOSIS 15 My Birth Story 16 VYDEHI HOSPITAL 18 low vision aids 20 Contact Lens 22 TUBERCULOSIS 24 OSTEOPOROSIS SILENT KILLER 26 Mallya hospital 29 delayed ejaculation 30 Health News 32-34

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Appendicitis Appendicitis is a condition in which your appendix becomes inflamed and filled with pus. Your appendix is a finger-shaped pouch that projects out from your colon on the lower right side of your abdomen. This small structure has no known essential purpose, but that doesn't mean it can't cause problems The main symptom of appendicitis is pain that typically begins around your navel and then shifts to your lower right abdomen. The pain of appendicitis usually increases over a period of six to 12 hours, and eventually may become very severe. Anyone can develop appendicitis, but it most often strikes people between the ages of 10 and 30. The standard treatment for appendicitis is surgical removal of the appendix. Symptoms Appendicitis can cause a variety of symptoms that

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Dr. Chalapathy Professor of General Surgery Vydehi Hospital Whitefield, Bangalore – 66 Ph: 080-28413381/2/3/4 www.vims.ac.in may change over time: zz Early on, the most common symptom is an aching pain around your navel that often shifts later to your lower right abdomen. zz As the inflammation spreads to nearby tissues, the pain may become sharper and more severe. zz Eventually, the pain tends to settle in your lower right abdomen — near your appendix at what's known as McBurney point. This point is about halfway between your navel and the top of your right pelvic bone. But the location of your pain may vary, depending on your age and the position of your appendix. Young children or pregnant women, especially, may have appendicitis pain in different places. What makes pain worse If you apply gentle pressure to the area that hurts, it will feel tender. As you release the pressure, especially if you do it suddenly, appendicitis pain often will feel worse (rebound tenderness). It will also tend to get worse if you cough, walk or make other jarring movements. This is particularly true if the inflamed appendix is touching the peritoneum — the silk-like membrane that lines the inner abdominal wall and enfolds the intestines. The pain may lessen somewhat if you lie on your side and pull your knees up toward your chest. Symptoms other than pain In addition to pain, you may have one or more of the following appendicitis symptoms: $$ Nausea and sometimes vomiting $$ Loss of appetite $$ A low-grade fever that starts after other symptoms appear $$ Constipation $$ An inability to pass gas $$ Diarrhea $$ Abdominal swelling Causes The cause of appendicitis is not always clear. Sometimes it's the result of: $$ An obstruction. Food waste or a hard piece of stool (fecal stone) can become trapped in an orifice of the cavity that runs the length of your appendix. $$ An infection. Appendicitis may also follow an infection, such as a gastrointestinal viral infection, or it may result from other types of inflammation. In both cases, bacteria may subsequently invade rapidly, causing the appendix to become inflamed and filled with pus. If not treated promptly, your appendix is likely to rupture. When to seek medical advice

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Children are more likely to have a ruptured appendix than adults are. Children don't always have typical symptoms of appendicitis, and parents may delay getting treatment. For that reason, it's best not to take abdominal pain lightly. Even if you suspect a "stomachache" isn't serious, call your doctor just to make sure. Older adults also have a higher incidence of ruptured appendix, possibly because of delay in seeing a doctor for abdominal pain. Tests and diagnosis The pain from appendicitis may change over time, so establishing a diagnosis can sometimes be difficult. In addition, abdominal pain can arise from a number of health problems other than appendicitis. Other conditions with abdominal pain that may resemble that of appendicitis include: $$ Ectopic pregnancy. An ectopic pregnancy — one that occurs outside the lining of the uterus — can cause similar pain. $$ Certain ovarian cysts. A right-sided ovarian cyst may produce pain in the same general area as appendicitis. $$ Kidney stone. Occasionally, a stone from the right kidney will pass into the ureter, which runs from the kidney to the bladder, and get stuck there. This causes considerable pain that may mimic appendicitis, especially in adults. $$ Crohn's disease. This condition, which causes chronic inflammation of the digestive tract, also can mimic appendicitis. Making a diagnosis To help diagnose appendicitis, your doctor will likely take a history of your signs and symptoms and perform a thorough examination of your abdomen. When gentle pressure on the painful area is suddenly released, appendicitis pain will often feel worse if the adjacent peritoneum is inflamed. Other signs your doctor may watch for include abdominal rigidity and a tendency to stiffen your abdominal muscles in response to pressure over the inflamed appendix (guarding). In addition, your doctor may recommend the following procedures: zz Blood test. This allows your doctor to check for a high white blood cell count, which may indicate an infection. zz Urine test. Your doctor may want you to have a urinalysis to make sure that a urinary tract infection or a kidney stone isn't causing your pain. If it is a kidney stone, red blood cells are usually seen during microscopic examination of the urine. zz Imaging tests. Your doctor may also recommend an abdominal X-ray or ultrasound scan to help confirm appendicitis or find other causes for your pain. An ultrasound scan uses high-frequency sound waves and computer technology to provide images of your internal organs. More commonly, a computerized tomography (CT) scan is used for confirming a diagnosis. A CT scan is an imaging test that uses a series of computergenerated X-rays to provide a more comprehensive view of your internal organs than conventional X-rays do. It can also help reveal other potential diagnoses if your appendix is not the source of your pain. Because

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a CT scan produces radiation, women of childbearing age need to have a pregnancy test before proceeding with the scan Complications The most serious complication of appendicitis is if your appendix ruptures (perforates) and the contents of your intestines and infectious organisms invade the abdominal cavity. This can cause an infection of the lining of the cavity (peritonitis). When your appendix ruptures, you may suddenly feel better. But soon afterward, your entire abdomen may become distended with gas and fluid and will likely feel tight, hard and tender to the touch. You'll also have pain throughout your abdomen, but may not have the severe, localized pain of appendicitis. In addition, you may not be able to pass gas or have a bowel movement because of the inflammation. Other signs and symptoms may include a fever, thirst and a low urine output. Peritonitis is a medical emergency. If you or a family member develops signs of this abdominal infection, go to an emergency room immediately. Even with prompt treatment, peritonitis can be extremely serious. Sometimes, infection and the seepage of intestinal contents may form an abscess, a walled-off area of infection (appendiceal abscess). The abscess may be as small as a walnut or as large as a grapefruit. Regardless of its size, it requires treatment before the abscess itself perforates, causing peritonitis. Treatments and drugs Appendicitis treatment requires surgical removal of your appendix (appendectomy) if you have acute appendicitis. Your surgeon may perform traditional open surgery, using a single abdominal incision, or laparoscopic surgery, which requires only a few small abdominal incisions. In a laparoscopic procedure, your surgeon inserts a laparoscope — a pencil-thin tube with its own lighting system and miniature video camera — into your abdomen through a hollow instrument (cannula). Only a small incision is needed. The video camera then produces a magnified view of the inside of your abdomen on an outside video monitor. This allows your surgeon to see the surgery in detail. To remove your appendix, your surgeon uses tiny instruments inserted through one or two other small abdominal incisions. In general, laparoscopic surgery allows you to recover faster and heal with less scarring. But if your appendix has ruptured and infection has spread beyond the appendix, or if an abscess is present, you'll need a larger incision so that your surgeon can clean the abdominal cavity. You'll receive intravenous antibiotics and will need to stay in the hospital during your recovery. Dealing with complications If your symptoms have been present for five days or more, immediate surgery may present complications. In this case, your doctor may recommend a course of antibiotics first to try to shrink the inflammation and infection that may be surrounding structures near the appendix. If an abscess is present, it may be drained through the skin. If this approach is successful, appendectomy is usually performed a couple of months later. www.bangalorehealthtv.com

General health

HEMATURIA Blood in urine

Dr. Ramesh Reddy G.

Prof. & HOD Department of Surgery Vydehi Hospital Whitefield, Bangalore-560066 Ph : 080 – 28413381/82/83/84 www.vims.ac.in

Seeing blood in your urine can cause more than a little anxiety. Yet blood in urine — known medically as hematuria — isn't always a matter for concern. Strenuous exercise can cause blood in urine, for instance. So can a number of common drugs, including aspirin. But urinary bleeding can also indicate a serious disorder

There are two types of blood in urine. Blood that you can see is called gross hematuria. Urinary blood that's visible only under a microscope is known as microscopic hematuria and is found when your doctor tests your urine. Either way, it's important to determine the reason for the bleeding. Treatment depends on the underlying cause. Blood in urine caused by exercise usually goes away on its own within one or two days, but other problems often require medical care. zz Symptoms: The visible sign of hematuria is pink, red or cola-colored urine — the result of the presence of red blood cells. It takes very little blood to produce red urine, and the bleeding usually isn't painful. If you're also passing blood clots in your urine, that can be painful. A lot of times, though, bloody urine occurs without other signs or symptoms. In many cases, you can have blood in your urine that's visible only under a microscope (microscopic hematuria). When to see a doctor: Although many cases of hematuria aren't serious, it's important to see your doctor anytime you notice blood in your urine. Keep in mind that some medications and certain foods, including beets, rhubarb and berries, can cause your

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urine to turn red. A change in urine color caused by drugs, food or exercise usually goes away within a few days. However, you can't automatically attribute red or bloody urine to medications or exercise, so it's best to see your doctor anytime you see blood in your urine.

Causes

In hematuria, your kidneys — or other parts of your urinary tract — allow blood cells to leak into urine. A number of problems can cause this leakage, including: zz Urinary tract infections.Urinary tract infections may occur when bacteria enter your body through the urethra and begin to multiply in your bladder. Symptoms can include a persistent urge to urinate, pain and burning with urination, and extremely strong-smelling urine. For some people, especially older adults, the only sign of illness may be microscopic blood. zz Kidney infections. Kidney infections (pyelonephritis) can occur when bacteria enter your kidneys from your bloodstream or move up

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from your ureters to your kidney(s). Signs and symptoms are often similar to bladder infections, though kidney infections are more likely to cause fever and flank pain. A bladder or kidney stone. The minerals in concentrated urine sometimes precipitate out, forming crystals on the walls of your kidneys or bladder. Over time, the crystals can become small, hard stones. The stones are generally painless, and you probably won't know you have them unless they cause a blockage or are being passed. Then, there's usually no mistaking the symptoms — kidney stones, especially, can cause excruciating pain. Bladder or kidney stones can also cause both gross and microscopic bleeding. Enlarged prostate. The prostate gland — located just below the bladder and surrounding the top part of the urethra — often begins growing as men approach middle age. When the gland enlarges, it compresses the urethra, partially blocking urine flow. Signs and symptoms of an enlarged prostate (benign prostatic hyperplasia, or BPH) include difficulty urinating, an urgent or persistent need to urinate, and either visible or microscopic blood in the urine. Infection of the prostate (prostatitis) can cause the same signs and symptoms. Kidney disease. Microscopic urinary bleeding is a common symptom of glomerulonephritis, which causes inflammation of the kidneys' filtering system. Glomerulonephritis may be part of a systemic disease, such as diabetes, or it can occur on its own. It can be triggered by viral or strep infections, blood vessel diseases (vasculitis), and immune problems such as immunoglobulin A nephropathy, which affects the small capillaries that filter blood in the kidneys (glomeruli). Cancer. Visible urinary bleeding may be a sign of advanced kidney, bladder or prostate cancer. Unfortunately, you may not have signs or symptoms in the early stages, when these cancers are more treatable. Inherited disorders. Sickle cell anemia — a

hereditary defect of hemoglobin in red blood cells — can be the cause of blood in urine, both visible and microscopic hematuria. So can Alport syndrome, which affects the filtering membranes in the glomeruli of the kidneys. zz Kidney injury. A blow or other injury to your kidneys from an accident or contact sports can cause blood in your urine that you can see. zz Medications. Common drugs that can cause visible urinary blood include aspirin, penicillin, the blood thinner heparin and the anti-cancer drug cyclophosphamide (Cytoxan). zz Strenuous exercise. It's not quite clear why exercise causes gross hematuria. It may be trauma to the bladder, dehydration or the breakdown of red blood cells that occurs with sustained aerobic exercise. Runners are most often affected, although almost any athlete can develop visible urinary bleeding after an intense workout. Risk factors Almost anyone — including children and teens — can have red blood cells in the urine. Factors that make this more likely include: zz Age. Many men older than 50 have occasional hematuria due to an enlarged prostate gland. zz Your sex. More than half of all women will have a urinary tract infection at least once in their lives, possibly with some urinary bleeding. Younger men are more likely to have kidney stones or Alport syndrome, a form of hereditary nephritis that can cause blood in the urine. zz A recent infection. Kidney inflammation after a viral or bacterial infection (post-infectious glomerulonephritis) is one of the leading causes of visible urinary blood in children. zz Family history. You may be more prone to urinary bleeding if you have a family history of kidney disease or kidney stones. zz Certain medications. Aspirin, nonsteroidal antiinflammatory pain relievers, and antibiotics such as penicillin are known to increase the risk of urinary bleeding. zz Strenuous exercise. Long-distance runners are especially prone to exercise-induced urinary bleeding. In fact, the condition is sometimes called jogger's hematuria. But anyone who works out strenuously can develop symptoms. Preparing for your appointment You're likely to start by seeing your doctor. In some cases, though, you might be referred immediately to a doctor who specializes in urinary tract disorders (urologist). Here's some information to help you prepare for your appointment, and what to expect from your doctor. What you can do Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there's anything you need to do in advance to prepare for common diagnostic tests. zz Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment. zz Make a list of your key medical information, zz

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including any other conditions for which you're being treated, and the names of any medications, vitamins or supplements you're taking. zz Consider questions to ask your doctor and write them down. Bring along notepaper and a pen to jot down information as your doctor addresses your questions. For hematuria, some basic questions to ask your doctor include: zz What are the possible causes of my symptoms? zz What kind of tests do I need? Do these tests require any special preparation? zz Is my condition temporary? zz Will I need treatment? zz What treatments are available? zz Do you have any brochures or other printed material that I can take home with me? What websites do you recommend visiting? In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment at any time if you don't understand something. What to expect from your doctor Your doctor or health care provider is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any point you want to spend more time on. Questions your doctor might ask include: zz Do you have pain while urinating? zz Do you see blood in your urine only occasionally or all the time? zz When during urination is blood present? For example, do you see blood when you first start urinating or does bloody urine become apparent toward the end of your urine stream? Or do you see blood in your urine stream the entire time you're urinating? zz Are you also passing blood clots during urination? What size and shape are they? zz What medications are you taking? zz Do you smoke? zz Are you exposed to chemicals on the job? What kinds? zz Have you ever had radiation therapy? Tests and diagnosis To find a cause for urinary bleeding, the following tests and exams play a key role: zz Physical exam, which includes a discussion of your medical history. zz Urine tests. Even if your bleeding was first discovered through urine testing (urinalysis), you're likely to have another test to see if your urine still contains red blood cells. Hematuria that occurs just once usually doesn't need further evaluation. Urinalysis can also help determine if you have a urinary tract infection or are excreting minerals that cause kidney stones. zz Imaging tests. Most people with hematuria are likely to have an imaging test that provides detailed images of their internal organs. This might be a computerized tomography (CT) scan, which uses radiation and a powerful computer to create cross-sectional images of the inside of the body; magnetic resonance imaging (MRI), which

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uses a magnetic field and radio waves instead of X-rays to produce images; or an ultrasound exam. Ultrasound uses a combination of high-frequency sound waves and computer processing to view your kidneys and bladder. zz Cystoscopy. In this procedure, your doctor threads a narrow tube fitted with a miniature camera into your bladder to closely examine both the bladder and urethra. zz In spite of testing, the cause of urinary bleeding may never be found. In that case, your doctor is likely to recommend regular follow-up tests, especially if you have risk factors for bladder cancer, such as smoking, exposure to environmental toxins and a history of radiation therapy. Treatments and drugs Hematuria has no specific treatment. Instead, your doctor will focus on treating the underlying condition. This might include, for instance, taking antibiotics to clear a urinary tract infection, trying a prescription medication to shrink an enlarged prostate, or shock wave therapy to break up bladder or kidney stones. If the underlying condition isn't serious, no treatment is necessary. Prevention It's generally not possible to prevent hematuria, though there are steps you can take to reduce your risk of some of the diseases that cause it. Prevention strategies include: zz Urinary tract infections. Drinking plenty of water, urinating when you feel the urge and as soon as possible after intercourse, wiping from front to back after urination, and avoiding irritating feminine hygiene products may reduce your risk of urinary tract infections. zz Kidney stones. To help lower the likelihood of kidney stones, drink lots of water and limit salt, protein and oxalate-containing foods, such as spinach and rhubarb. zz Bladder cancer. Stopping smoking, avoiding exposure to chemicals and drinking plenty of water can cut your risk of bladder cancer. zz Kidney cancer. To help prevent kidney cancer, stop smoking, maintain a healthy weight, eat a healthy diet, stay active and avoid exposure to toxic chemicals.

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Bed wetting (nocturnal enuresis)

Bed-wetting is not a behavioral problem. Many children do feel embarrassed or ashamed by it. Family members need to be supportive and not critical. By around age 4, children start gaining control over bladder and stop urinating in their bed at night (and stay dry). But in some even beyond the age of 5, control is not developed, especially in boys and leads to bedwetting. Wetting the bed at night (nocturnal enuresis) is commonly observed in many three to eight year old children. With respect to the gender, 60% of all the bedwetter is males and a major percentage of them wet the bed almost every night.

Causes of Bed Wetting Heredity: It is associated with certain genes. That is if one parent or both parents seem to have been faced with this problem in their childhood, then there are around 50% chances that their child will also be a bed wetter. However, the child usually stops at the same age that the parent did. Physical causes that increases the chances of bed-wetting ÂÂ Children with a small bladder than normal suffer from this problem. ÂÂ Problem in valve that controls the flow of urine from the Bladder. ÂÂ Urinary tract infections, ÂÂ Constipation exerts pressure on the Bladder. ÂÂ mental retardation and developmental disorders Neurological causes: In some children, the brain takes longer to develop voluntary control over certain bodily functions. Thus, a child may wet the bed because exercise control over the Bladder may yet not be achieved. External stress: Children who are stressed due to events such as moving to a new home, beginning school, conflict between parents, the arrival of a new child, being abused, etc are believed to be more likely to suffer from bed-wetting. In these cases, a child, who did not wet the bed at night, may have started doing so due to stress. Remedies to stop Bed Wetting During the day, let your children hold the urine for a long time. This will encourage bladder control.

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Dr. Dinakar Vydehi Hospital Whitefield, Bangalore – 66 Ph: 080-28413381/2/3/4 www.vims.ac.in

zz zz zz zz zz

zz zz zz

zz zz zz zz zz zz

This exercise may help her strengthen her bladder muscles. Plenty of fluid in-take during the day and only small quantities during night. Take her to the toilet to empty her bladder just before she sleeps Make sure that the baby is not stressed while going to bed Involve your child in daily activities like arranging bed, laundering the sheets. Do not make her very conscious of the fact that her bed wetting is a major problem for you. She may get disturbed and lose her sleep over it – causing some other kind of problems. Wake her up in a few hours and empty her bowels once or twice a night. Once she realizes how nice it is to feel dry and clean for a few days, she may get motivated to try a bit more on her own. A child already going through mental distress due to this problem should be rather comforted and reassured from your end that he is perfectly normal and that you both jointly will find a better way to deal with it. Your child’s frequency of bedwetting may also increase with a sudden drop in temperature. So make sure your child is properly dressed and warm. Cover him with a blanket, if required. Psychological Impact on Children Many children suffer from self esteem problem. They have feeling of failure and start to distinguish themselves from others. Feel guilty about their doing. They are teased by their own family members and sibling. They are afraid of their friends, as they don’t want their problem known to their friends. They feel bad as they cannot go for sleep over’s and overnight trips. Children who are unable to join in these gatherings may find themselves missing out on spending quality time with their peers or family. They are also sometimes subjected to punishments. www.bangalorehealthtv.com

Heart care Dr. Durgaprasad Reddy Cardiology Dept. Vydehi Hospital Whitefield, Bangalore – 66 Ph: 080-28413381/2/3/4 www.vims.ac.in

Management of

Heart attack

Proper management is necessary to lead a normal life after heart attack. These are rough guidelines. Your doctor is the best judge to advise you regarding these matters.

can prevent heart attack with the attendant complications and socio-economic problems. After returning from hospital with proper treatment, some of the guidelines to be followed are given below: During the first week at home you should continue pretty much as you were doing when you left the hospital. To live on the ground floor bed room with toilet facility is ideal. However if you live on upstairs, climb stairs slowly, and if possible once a day only. Use the commode if toilet facilities are not available in the same floor. In the second week you should gradually increase your activities. e.g., you may climb one flight of stairs twice a day, or walk about inside the house freely as you like. zz By third and fourth week you should be able to undertake light household activities. zz Physical activity should be gradually

Don’t lose heart. Even after a heart attack, you can lead a healthy and productive life. It has been well established that even after a heart attack, taking preventive measures and avoiding the various risk factors, one can prevent further damage to the heart and prevent further heart attacks. Even the damage to the heart can be corrected by various new methods of treatment that are available now. Well you have a choice, you can take preventive measures either before the event occurs or start it after the event. Don’t you believe in that adage “Prevention is better than cure”? If you try hard, you

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increased as weeks go by. Those patients who have been physically inactive prior to the heart attack are encouraged to become more active and to take regular exercises like walking, gentle jogging etc. on the advice of your doctors. Those who have been practicing Yoga may restart after the 2nd week. However sudden and severe form of physical exertion like sprinting, football, weight lifting, bull worker exercise, pushing a car etc., must be avoided. Outdoor physical activities are best avoided in cold windy weather. Should you feel tired initially do not get discouraged but try to concentrate on becoming more and more active. Your physical exercise programme will be advised after an exercise test. Many patients find benefit from a nap in the afternoon. If you don’t get good night’s sleep a sleeping tablet might help you. However don’t make a habit of this. DIET: If you are over-weight, you put extra strain on the heart and you should lose weight by going on a low calorie diet. Avoid fatty foods, butter, ghee, fatty meat etc. Avoid coconut preparations and coconut oil for cooking as it has high contents of cholesterol. Oils containing poly-unsaturated fats eg., Sun flower oil, can be used for cooking. Avoid heavy meals. Evening meal is preferably taken couple of hours before your bed time. Alcohol in small quantities example a glass of beer or a peg of whiskey or gin may be allowed on occasions. Avoid regular intake of alcohol or excess alcohol, as it will add to your calories and is also harmful to the heart. SMOKING: If you were a smoker before your

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heart attack then you should give it up now. This is crucial in preventing further narrowing of the coronary blood vessels. By continuing to smoke or even reducing the number, you are increasing the risk of further heart attacks. zz BACK TO WORK: Many patients with light office work should be able to return to their previous jobs by two or three months after their heart attack. Those who were doing hard physical work may have to look for lighter employment. A medical fitness certificate from your family Doctor or the hospital specialist may help you in achieving this. zz BUSINESS AND SOCIAL RESPONSIBILITIES: If you have had excessive business or social responsibilities and were taking on too much prior to your heart attack, then this is an opportunity to reassess your responsibilities and consider reducing some of them. zz TRAVEL AND DRIVING: You are advised not to drive vehicle for some time after leaving the hospital. When you restart, try and avoid stressful situations such as rush hour traffic or long journeys at first. If you think it is too much of a strain, you are advised to give up driving completely. zz SEX LIFE: Sexual intercourses are best avoided for about a month after leaving the hospital as it puts extra strain on your heart. However as your physical health improves no undue restrictions are necessary. zz DRUGS: You may need to continue on drug treatment following heart attack often to provide protection for the future. The hospital specialist or your family doctor will advise you regarding this. ¾¾ Ways to reduce Heart attack It is the fastest disease to kill people. It is our life style that is responsible for its attack. It means it is our habits that kill us. ÂÂ The chance of heart attack can be reduced by 70% with the change of our life style. ÂÂ Know to what extent you are successful from the chart given below: What to do

Chances of reducing the attack

Smoking

Those that have stopped smoking for 5 years have 50 to 70% less risk.

Exercising

Exercises regularly done will reduce 45% of risk factor

35 to 55% risk factor is less Maintaining proper than those that have 20% body weight overweight Take one aspirin a Risk factor will be 33% less day than those that do not take it. Keep B.P control treatment

under Whenever B.P. is reduced, the with risk factor comes down by 2-3 per cent

Keep Blood sugar Risk factor is much lower under control than those with blood sugar. www.bangalorehealthtv.com

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May-2014

Women health

ENDOMETRIOSIS The choice of delaying pregnancy may make pregnancy difficult or impossible at a later time

Gynecologic problems

What is endometriosis? The Word “endometriosis” (Say: “end-oh-me-treeoh-sis”) means a problem with the lining of the uterus. The lining is called the endometrium. Normally, every month when you have your periods, the lining (which is also called endometrial tissue) comes out in menstrual flow. Endometrial tissue is usually only inside your uterus. However, if you have endometriosis, tissue from the lining of the uterus moves through the fallopian tubes and gets on your ovaries, in your pelvis, on your bladder or in the other areas. When you have your periods, this tissue swells and bleeds, just like the lining of your uterus. This is often painful, and scar tissue can form in your pelvic area. Is endometriosis harmful to me? Endometriosis may hurt, but it doesn’t cause cancer or affect your overall health, although it might make it harder to get pregnant.

What will be my symptoms be if I have endometriosis? If you have painful periods, severe cramping and pain during sex, low back pain or rectal pain, you may have endometriosis. The only way for your doctor to be sure is to a laparoscopy (say:”lap-ah-ross-ca-pee”). This is away of looking inside your uterus by making a small cut in your skin and putting a thin tube inside. If your doctor decides to perform this procedure, you will be given medicine so you won’t feel pain. How can we treat endometriosis? A number of medicines might help with your pain. Sometimes it helps to take birth control pills. Another medicine that might helps is along - acting progestin (this is a hormone that comes in a shot; it’s also used for birth control). Other medicine used is a monthly shot of a hormone called a GnRH analog. How do these medicines work? These medicines stop your periods. They may cause side effects like the ones women have at menopause. These include hot flashes and vaginal dryness. Danazol might cause acne and unwanted facial hair. Sometimes the side effect of the GnRH analog goes away if you also take an estrogen pill every day. What is the duration of the treatment? Birth control pills, danazol and GnRH analogs are taken for 4 to 6 months. Pain is usually relieved during

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

the period of medication. After you stop taking the medicine, the pain may come back. How can it be diagnosed? It can be diagnosed by ultrasound. Ultrasound shows blood filled cysts in the ovaries. Gold standard for diagnosis is laparoscopy. What about surgery? Surgery is also used to treat endometriosis. In this surgery, the doctor removes the endometrial tissue from the abnormal places. If endometriosis is keeping you from getting pregnant, surgery might make it easier for you to get pregnant. However, you might still need other kinds of fertility treatments if you want to get pregnant. What about pregnancy? Patients with moderate to severe endometriosis have been know to have difficulty in getting pregnant. The relation of infertility with mild endometriosis is not well documented. Patients will have to follow a strict protocol of treatment where in the periods will be suppressed for a certain period of time to allow the endometriotic process to subside. Their best chance of getting pregnant is with the test tube baby procedure where, in this subset of people, the pregnancy rates can be high as 50%. What happen during and after menopause? For many women, endometriosis goes away at menopause, when periods stop. Until menopause medicine and surgery may be able to help with symptoms of endometriosis.

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From my Diary

My Birth Story Week 9 & 10 Week 9 &10 are the most important weeks when sex determination takes place. Baby In My birth story, keeps you all in suspense Am I a girl or a boy? Read about pumsavana karma a process practised by Acharyas in Vedic period to produce a good quality egg and much more. Week 9 and 10 are the most important period of my life when my external sex organs are there but still notdistinguishable as male or female. Am I a girl or a boy? You have to wait a bit to find it out.

Dr.Shubhankari P. Rao Shubha Ayurvedic centre, 3o/3 Patalamma temple street South end Circle, Basavangudi; Bangalore-04 Ph. 08026578620 Email: drshubhankariprao@gmail.com in this month. This method is prescribed for achieving a male or a female progeny before the conspicuousness of organs. Acharya Dalhana has explained the objectives of this procedure. Before conception it is done with the intention of achievement of ovulation and conception, immediately following conception for its maintenance i.e. to avoid abortion and lastly it is done to have a baby of choice. Oral and nasal use of potion prepared out of herbs like laksmana,

How do I look? Completing my 8th week and going into 9, Ihave transformed from the size of a bean to the size of a grape .My heart has finished dividing into 4 chambers and valves have started forming .The embryonic tail is completely gone now and my organs ,muscles and nerves are kicking into gear . My digestive system is developing including my anus and I am all set to poop and pee. My intestines are growing longer too and my internal reproductive structures have started budding from this week. The external sex organs are there but will not be distinguishable as male or female for another few weeks. Is it a boy or a girl you all have to wait a bit to find it out? Ayurvedic classics have described a procedure called as “pumsavana karma “to be performed

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AYURPHARMA

May-2014

shivalingi seeds, jeevanneya group of herbs are used to get the result specifically on pushya nakshatra day. The practice of this procedure was in vogue during Vedic times. Recently this procedure is discouraged by the Government in the interest of maintaining the balance of both the sexes. Interestingly medical physiology says how the foetaltestes begin to secrete testosterone at about 2nd to 4th month of embryoniclife. Testosterone performs three functions in the foetus i.e. Sex differentiation, development of accessory sex organs and descent of the testes. In foetus there are two genital ducts called mullerian duct and Wolffianduct. Mullerian duct gives rise to female accessory sex organs such as vagina, uterus and fallopian tube. Wolffian duct gives rise to male accessory organs like epididymis , vas deferens and seminal vesicles. If testosterone is secreted from the genital ridge of the foetus at about 7th week of intra uterine life , the mullerian duct system disappears and male sex organs develop from the wolffian duct. In absence of testosterone, female sex organs develop from the mullerian duct. Thus testosterone is responsible for the sex differentiation of the foetus. The level of testosterone depends on life style, diet and herbs which fuel testosterone level. During prenatal developmenttestosterone exposure isdirectly responsible for masculising the genitals and brain structures . How my mom looks: Pregnancy causes many changes in my mother. The place where I stay, the uterus is trying to protect me from all dangers. By 9th week there will be a sealing of a mucus plug, which forms in the opening of the cervical canal which acts like a sealfor theuterus. My mother still does not look pregnant though her waist looks a little thickening. One thing which alarmed her was the fuller breasts. She was enjoying it and started taking good care of them by using maternity bras with cuts and style which gave her extra comfort from restricted breathing and movements. Pregnancy can drain out the energy and to reduce the discomfort she did her regular stretching exercises .This helped her body cope better with aches and pains which are part of pregnancy process. Walking improves circulation and swimming can improve abdominal muscles. Exercises help the mother to get through her daily tasks and easily cope up with a demanding schedule because muscles which are strong and toned need less effort to engage in any activity. My grandmother always said that giving birth to a baby is similar to running a race which requires stamina, determination and focus. The better shape you are the stronger you will be during labour and delivery time. It makes sense and she warned -make sure it is done in moderation. Even after child birth this alone is a motivation for many women who have maintained strength and muscle tone throughout pregnancy for the body to bounce back to normalcy after giving birth. Having a baby is an amazing experience which can bring different emotions at the same time. You

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may be over whelmed; in high spirits together have anxiety lurking behind. When you exercise it boosts the brain chemicals linked to mood enhancing putting you in better spirits. How I got connected with my mother Every day my mother started a daily ritual to connect with me .She was setting aside 5 to 10 minutes a day to think about me .Just after waking up and before going to sleep in the night she would sit quietly and gently rest her hands on her belly which made me feel pampered .After this she focused on her breathing and started thinking about me and that’s the time we got connected to each other. Throughout the day she did talk to me so many times but the time she spent exclusively with me, I always felt was a great way to initiate the bondage process – the bonding of mother and the baby. Did my mother enjoy her sleep When anybody is carrying an extra weight in front of them finding a comfortable sleeping position can be a real challenge for them .My mother would experiment with pillows. and she found that putting pillows under the abdomen or between her legs and a rolled blanket under the small of the back helped her relax and take away some pressure from her back. She also felt sleeping on sides made her more relaxed. She felt left side was better because as the liver is on the right side of the abdomen and lying on your left side helps to keep the uterus off that bigger sized organ. It improves circulation to heart and allows for the Best blood flow to the foetus,uterus,and kidneys and sometimes lying on either side, should do the trick and help take some pressure off back. Sometimes leg cramps awakened her in the middle of the night and my dad was their at her side rubbing her legs with Aswagandha bala lakshadi taila .She also made sure she took enough calcium in her diet with supplements like pravala panchamruta tabs. On days she felt she had disturbed sleep she made sure she took naps during the day to make up for the lost sleep. Common ailments in these weeks Bleeding can be one of the complaints in early pregnancy. Ayurvedic Acharyas specify that use of herbs vrukshadini,payasya,lata, utpala and sariva is prescribed as a drink in this week as a supportive to pregnancy to avoid mishaps. In pregnancy it is easier to pick up a urinary infection so keeping well hydrated during this period and having diet which is soft, sweet, cold, pleasing and gentle is prescribed. All pacifying drugs administered should be soft and be given along with food or drinks. In short pregnant woman should be treated just like a pot filled with oil . Slight oscillation of the pot causes spilling of the oil similarly slight excitement to the pregnant woman can initiate abortion. My dad’s role Dad sometimes fixed dinner and let my mother have a nap in the afternoon because fatigue of first trimester is really hard to handle with and getting that extra rest helps. www.bangalorehealthtv.com

Health focus

VYDEHI HOSPITAL Health with care

Vydehi Super Specialty hospital has been pioneer for treatment of complicated & recurrent cases in the field of allied medicine & surgery. It has transformed itself to a super specialty hospital of truly global standards. zz

The Vydehi Institute of Medical Sciences and Research centre is one of the leading medical institute providing education and health care services of truly global standards. A comprehensive range of general and super specialty medical services are provided here including complex surgeries to authentic ayurvedic experience at Vydehi Ayurveda Gram. The institute focuses to deliver high quality, comprehensive, integrated medical education including innovative thoughts towards modern technology and research. It provides the finest in infrastructure and facilities to students when it comes to learning and research along with experienced and dedicated faculty, outstanding clinical facilities, and a worldclass environment that supports education. We offer different courses including medicine, dentistry, nursing, allied sciences, biotechnology and many more. The Institute comprising of well-trained personnel provides focused health care services. It is successfully accomplishing its mission of serving the society with widespread infrastructure, state-

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of-the-art equipment, backed by the nationâ&#x20AC;&#x2122;s best professionals, equals those available globally. 1660 bedded multi specialty hospital, Vydehi provides a 24-hour, seven-day-a-week services. Departments like emergency department, critical care unit, blood bank, central diagnostic Lab and ambulance services works round the clock to implement the growing requirements of patients. Vydehi serves over thousands of patients annually. As a leading educational and health care organization Vydehi develops and maintains a spirit of charity and cooperation with the primary goal of improving patient safety and of promoting health in rural and underserved communities. Vydehi wish to rise above the realm of therapeutic care with a new focus on preventive care, to bring health to the community. Vydehi Campus, Whitefield Bangalore situated in Whitefiled, is well connected to key destinations across the city. The Institute also has own buses to provide adequate transport facilities during peak hours. These buses

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provide pickup and drop-off to residential areas across Bangalore. Vydehi Institute of Rehabilitation is the recent foray in association with California University, Los Angeles [UCLA] providing Physical Therapy, Occupational Therapy, Speech & Hearing Therapy, Vision Therapy, Sensory integrative Therapy, Music Therapy, Aquatic Therapy, Early Intervention and Bio Feed Back. A Gymnasium has also been developed under the Health club zz Cardiac Institute : Vydehi Institute of Cardiac Sciences was inaugurated on 1st June 2006 with the blessings of Bhagawan Sri Satya Sai Baba. The treatment offered range from Conginental Paediatric Cardiac Surgery, Conginental Adult cardiac Surgery, Valvar Heart Diseasc to Coronary Heart Disease. Oncology institute: Vydehi Institute of Oncology is a dedicated oncology centre, which offers Radiation, Surgical, Medical & Pallative Oncology Services. The laser guided image guarded Radiation therapy machine (IGRT) to the latest in whole of Asia commissioned by Vydehi Hospital

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Super Specialities Cardiology Cardio Thoracic & Vascular Surgery Oncology Urology Nephrology Neonatology Plastic Surgery Cranio-Maxillofacial Surgery Neurosurgery Neurology Gastroenterology Health Services Open Heart Surgery Coronary Bypass Surgery Angioplasty CTICU Electro Cardiogram Laparoscopic Surgery Paediatric Surgery Mammography Joint Replacement Maxillo-Facial Surgery Renal Transplant Angiography Heamotology Physiotherapy Emergency Casualty Blood Bank Day Night Pharmacy Ayurvedagram

Vydehi Institute of Medical Sciences and Research Center Whitefield, Bangalore - 560 066 Phone :, 080-28413381/2/3/4/5 www.vims.ac.in

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What is Healthy Hair?

All of us want our hair to be healthy. However, there is no one definition of healthy hair. Due to the different composition of each person’s hair, factors which affect its health are different. You can decide whether your hair is healthy or not based upon some of these factors. Is your hair zz Thick and Dense? zz Fine and silky? zz Shiny and glossy? zz Easy to style? zz Having Body and Bounce? zz Having good and regular growth? Your hair is healthy, if your answers to these questions are in the affirmative.

Depression – Symptoms include

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Depressed or low mood Loss of interest and enjoyment in life Lack of drive and motivation to do normal activities Fatigue and weakness Agitation and restlessness Loss and appetite and loss of weight Inability to sleep Loss of outward affection, interest in sex Loss of self confidence, avoiding people Feeling useless, inadequate, helpless and hopeless Guilty feeling, worthlessness Feeling worse usually in the morning Suicidal thoughts may occur too

Treating common cold using Ginger

Ginger is extremely rich in Potassium. It has good amount of minerals like Iron, Magnesium, Calcium and Phosphorus. Ginger also has small amount of Iron, Sodium, Zinc, Manganese and Selenium. Ginger has Vitamin E in good amount. Vitamins A, C, Folate and Choline are found in small amount. zz Ginger tea, prepared by adding a few pieces of ginger into boiled water before adding the tea leaves, is also an effective remedy for colds and for fevers resulting from cold. It may be taken twice daily zz Drinking ginger tea is one of the best ways to attach the cold directly. To do this: boil fresh ginger root on water. Use honey instead of sugar to sweeten the tea. zz Chewing fresh ginger is another effective way in targeting cold

Risk factors for heart attacks are zz zz zz zz zz

Tobacco Smoking High Cholesterol High Blood Sugar High Blood Pressure Overweight

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For details contact

Eye care

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

low vision aids

www.abhisheknethradhama.com

There are dozens of different low vision aids to help improve the lives of people with albinism. Each aid has its own advantages and limitations. To get the most from a low vision aid, it’s important to see and understand what that device can and cannot do. Since different aids help with different tasks, the person with low vision will likely choose a mix of different low vision aids to accomplish all of his or her goals.

Tasks, goals, and technology change over time. Whether an individual has used low vision aids for years or just for a short time, the individual should periodically reevaluate the low vision aids he or she uses. This bulletin provides an overview of some of the most popular low vision aids in each task category, including magnifiers and microscopes for seeing things up close, telescopes for seeing things far away, non-optical devices, and strategies to improve one’s vision.

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

Glasses Glasses cannot fix low vision. Eyeglasses are not considered a low vision device unless they have a high

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

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May-2014

reading “add” or contrast enhancement tint, but they deserve special mention here since glasses ensure that the person’s eyes see the clearest image possible and can easily focus at close distances. It is important for babies and young children with albinism to wear glasses to correct refractive error if they are nearsighted, farsighted, or have astigmatism. If a child with albinism who needs glasses doesn’t wear them, that child may tire easily and quickly give up doing certain tasks, and may even affect their development. Short viewing distances Beginning in infancy, people with albinism instinctively hold things closer to their eyes to see them better. Up until the age of five or six, this technique sufficiently compensates for low vision because books for young children already feature large print, or they can sit closer to the TV. As a result of using this desire of moving closer to what needs to be seen, children this age generally do not need low vision aids. Looking closely at objects does not hurt the individual’s eyes, and this strategy continues throughout life. Near vision aids Dome magnifiers, reading glasses, handheld and stand magnifiers, and microscopes are near vision aids that help people with albinism read, look at pictures, diagrams, and maps, and accomplish other tasks that require seeing small details up close. Dome magnifiers are one of the easiest aids to use and arguably the most important for those with albinism. Despite their seemingly modest ability to magnify print (1.7 to 2.2 times), in combination with a short viewing distance many reading tasks can be easily accomplished even in the primary grades of school. These magnifiers are also known as bright field magnifiers, paper weight magnifiers, and Visolett magnifiers. Reading glasses help the user focus on text or other objects while holding the object close

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to the user’s eyes. Reading glasses allow the widest field of view for reading compared to other aids. Hand-held and stand magnifiers [Figure 2] enlarge close-up images, allowing the user to see small print and images at greater distances from the user’s eyes. There are many different styles and sizes of magnifiers useful for people with albinism. Microscopes help people see smaller details than magnifiers produce. Microscopes enlarge close-up objects the same way telescopes enlarge far-away objects. Some telescopes and bioptic telescopes, designed for distance vision, also allow the user to refocus the scope for up-close use.

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Health technology

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

Contact Lens

People choose to wear contact lenses for many reasons. Aesthetics and cosmetics are often motivating factors for people who would like to avoid wearing glasses or would like to change the appearance of their eyes.[6] Other people wear contacts for more visual reasons. When compared with spectacles, contact lenses typically provide better peripheral vision, and do not collect moisture such as rain, snow, condensation, or sweat. Compliance is the key to long-term success for all contact lens wearers. It is even more important for keratoconus patients, since they are almost totally dependent upon contact lenses for all their visual tasks. After patients have been successfully fit with contact lenses, a high percentage of complications and adverse reactions are related to skipping or shortcutting the recommended procedure for cleaning, disinfecting, and storing their lenses. A study revealed that 27% of patients admitted that they don’t clean their lenses daily, and it is likely that an even higher percentage of lens wearers are non-compliant in some way. Some patients have used dishwashing liquid, baby shampoo, or even toothpaste instead of the recommended cleaners; stored their lenses dry, rather than in an FDA-approved disinfecting solution; and used saliva (which contains a host of sight-threatening microorganisms) instead of the sterile solutions that are readily available, to wet their lenses before inserting them in their eyes. Glasses : In the early stages, vision can be corrected with glasses or regular soft contact but as KC progresses they are not able to correct the distortion caused by the irregular corneal surface and more complex contact lens designs are required. Soft Lenses : The role of soft lenses in keratoconus is limited because the soft lens drapes over the irregular corneal surface and the front surface of the lens assumes the same irregular surface as the cornea without trapping a fluid reservoir so the effective refracting surface is no improvement over the original corneal surface. There are some specially designed thicker soft lenses

A contact lens, or simply contact, is a thin lens placed directly on the surface of the eye

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retain more of a rigid shape and may contribute to the liquid lens effect to some extent. There are designs being used for keratoconus, and they are helpful in mild to moderate cases. RGP Contact Lenses : Rigid Gas Permeable (RGP or GP) contact lenses are primary option for correcting KC vision. The rigid lens masks the underlying irregular cornea and functions as the new refractive surface of the eye, with the tear film filling in the space between the back of the contact lens and the front of the eye. “Rigid” defines the type of lens. “Gas Permeable” describes the lens material. There are many different RGP lens designs. “Piggy-backs”: This is a two system: an RGP lens worn on top of a soft lens. The RGP lens provides crisp vision and the soft lens acts as a cushion providing comfort. Hybrid lenses: This is a lens combination that has an RGP center surrounded by a soft skirt. Scleral lenses : These are large diameter lenses that rest on the white part of the eye, called the sclera, and vaults over the cornea. The size can be a scary prospect for some, but scleral lenses have many advantages. Because of their size, they do not fall out, dust or dirt particles cannot get behind them during wear. They are surprisingly comfortable to wear because the edges of the lens rests above and below the eye lid margins so there is no lens awareness. The introduction of rigid gas permeable (RGP) materials has made this design more readily available. Contact Lenses : Eye infections, while infrequent, can be devastating, preventing patients from wearing their contact lenses for days or weeks and sometimes resulting in permanent corneal scarring and loss of vision. A thorough understanding of the role played by each of the rigid lens care products will help to keep lenses clean and eyes healthy. Contact Lens Care Tips zz Always wash your hands with soap and water before

handling your lenses. Dry your hands with a lint free towel. zz To avoid getting your lenses mixed up, always apply and remove in the same order. zz Never use eye drops or solutions that are not specifically for contact lenses. Never use tap water to clean your lenses. zz Never use saliva to try to clean or wet your lenses. zz Do not sleep in your lenses unless you have been prescribed a specific type of lens designed for extended wear or your doctor has

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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. Abnormal Symptoms Pain: when placing lenses on the eyes, while wearing the lenses, or after removing them zz Burning, a sensation of heat, redness, excessive tearing, or discharge zz Inability to keep the eyes open zz Extreme sensitivity to light zz Severe or persistent haze, fog, or rainbows around lights zz Severe irritation zz White spots on the cornea DO’s and DON’Ts for Rigid Lens wearers zz

approved sleeping in your lenses.

zz Keep all solution bottles tightly capped when you

are not using them.

zz Don’t let the tip of solution bottles contact any

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surface, including your fingers, lenses, or contact lens case. Never use expired solutions. Never reuse solutions. After inserting your lenses, empty the remaining solution out of your case, rinse it with warm water, and let it air dry. Replace your lens case at least every 3 months. Insertion Tips for Soft Contact Lenses Make sure your fingers are clean and dry. Remove your lens from the package or storage case. Inspect the lens to make sure it is not inverted. Inspect the lens for any debris and rinse if necessary. Place the lens on the tip of the index finger of your dominant hand. With the middle finger of your other hand, pull your upper lid up to prevent you from blinking. Pull down your lower eyelid using the middle finger of your inserting hand. Gently place the lens on the center of your eye. Slowly release your eyelid and gently close your eye. Gently blink a few times. Insert the other lens following the same procedure. Removal Tips for Soft Contact Lenses Wash and Dry your hands. Make sure the lens is centered on the eye. Looking up, pull your lower eyelid down with the middle finger of your dominant hand. Bring your index finger close to the eye until you touch the lower edge of the lens. Gently slide the lens down onto the white part of your eye. Squeeze the lens between your thumb and index finger to remove it from your eye. If the lens is a daily disposable lens, simply throw it away. If it is not a daily disposable lens, you will need to clean and disinfect it. Clean the lens by placing it in the palm of your hand with a small amount of solution. Gently rub the lens for 5-10 seconds. Rinse the lens with solution before storing it in its case. Repeat for the other eye. Important Facts to Remember Remove your lenses if you experience discomfort, redness, or decreased vision. Lenses may become contaminated if worn in swimming pools, hot tubs, or saunas. Always use fresh solution. Never reuse solution to store your lenses. Discard your lenses at the interval recommended by your doctor. Remove lenses before using medicated eye drops. Normal Adaptation Symptoms May Include Increased glare sensitivity outdoors. This can be

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zz Clean your lenses at night, immediately after you

remove them from your eyes. Leaving them in the soaking solution without cleaning until morning reduces the effectiveness of the disinfecting chemicals. In addition, rinsing the cleaner off with tap water just prior to replacing the lenses in your eyes might introduce bacteria or other microorganisms that would ordinarily have been killed while the lenses soaked overnight. If your lenses ever dry out, soak them for at least 4 hours before you wear them again, since they may have warped or flattened in curvature when the liquid evaporated. Do not mix and match solutions made by different manufacturers. Doing so may cloud your lenses, cause them to become gummy, or irritate your eyes. Make sure that the cleaning, soaking, disinfecting, and wetting/rewetting products you buy are all part of the same care system. Always store your lenses in a case with ridges on the bottom. Lenses tend to suction onto smoothbottomed cases and may chip if you try to pry them up at the edges. Replace your case each time you buy a new bottle of wetting/soaking or cleaning/soaking solution. Cases tend to become contaminated. You can clean case with your contact lens cleaner using a brand new inexpensive toothbrush. Be sure to rinse the case well before using it again. If the skin on your hands is rough, ask your contact lens fitter if you can use a manually-agitated device such as the Allergan Hydramat or a mechanical device such as the Clensatron. These devices work like miniature washing machines and may protect the lenses from becoming scratched from your rough skin. If you remove your lenses with a suction cup make sure you know exactly where the lens is before placing the suction cup on the eye. Suction cups should be cleaned with contact lens cleaner and rinsed after each use. They can also be soaked in wetting/soaking or cleaning/soaking solution. If you drop a lens, do not drag it along a surface. Wet your finger with wetting/soaking or rewetting solution and touch it gently to the lens to lift it. www.bangalorehealthtv.com

TUBERCULOSIS Remember TB can be cured!

Dr.Alamelu Haran Prof.& HOD Department of TB & Chest, VIMS & RC,Bangalore-66 ph: 080-28413384/82/83 www.vims.ac.in

TB does not spread by shaking hands or from food, dishes, linens or other objects Any person suffering from cough 2 weeks or more should immediately consult their doctor

TB is caused by germs. TB is a curable disease when correct number of medicines are given in correct dosage for a correct duration. Disease can spread from one person to another person. Who can get TB? Anyone can get TB anytime in their life. How does it spread? Person suffering from lung TB, when he coughs, sneezes or talks, TB germs can be sprayed into the air. TB germs are alive in atmosphere for long periods of time. All of us breathe- in the TB germs along with air. The germs living inside our body will not cause the disease if the person is healthy with a strong immunity. Which organs can be affected by TB? zz TB disease usually affects lungs (pulmonary TB). zz TB can hurt each and every part of body except hair and nail. What are risk factors to get the disease? Persons who are Alcoholics, smokers or who suffer from HIV positive status, diabetes, poor nutritional status, overcrowding and poor living condition have high chance of getting TB. What are the common complaints? People with lung TB disease may have 1 or more of these symptoms: zz Cough for 2 weeks or longer zz Losing weight zz Poor appetite zz Sweating at night zz Fever

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zz zz zz zz

Chills Feeling tired or weak Pain in the chest Coughing up blood or brown-colored material from your lungs What tests you need to do? You may need more than 1 test for TB disease: ÂÂ Sputum test – zz it is easy and reliable zz tells TB germs are growing in your lungs. zz 2 sputum samples to detect TB germs Others tests – depending on the other organs affected. What can I do if I get TB? zz Consult a doctor immediately zz Take special TB medicines to kill the TB germs. zz TB germs are strong and live a long time.

AYURPHARMA

May-2014

You will feel better a few weeks after you start to take the TB medicines. To be sure that all of the TB germs are killed, you must keep taking TB medicines for at least 6-9 months. zz It is important to see your doctor every month until your TB treatment is finished. The doctor will do tests to be sure you are getting better, to examine if you have any problems with the medicines, and answer your questions. zz Do not stop medications without doctors advise zz You must take all your medicines exactly as doctor tells in order to be cured TB germs are very strong. If you don’t take all your medicines correctly, you could become sick again and TB disease will become worse by spreading to other parts of the body and can spread to other people around you. The germs may not be killed by regular medicines and you would have to take stronger expensive medicines for a longer time. What is DOT? zz “DOTS” means Directly Observed Therapy SHORTCOURSE. zz DOT makes it easy to take your pills. zz DOT is when a nurse or health care worker sees you every day to give you TB medicine. zz This is the best way to make sure you get all the medicine you need and your treatment is working. zz Whole course of DOTS is free of cost. If there is a problem with your medication it can be Changed right away. DOT cures TB! Can I spread TB to other people? If you suffer from TB in your lungs, you must be careful to

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protect other people from your TB germs. If TB is in other parts of your body, the TB germs usually cannot spread to other people. After you have been taking medicine for a few weeks and you are feeling better, you can no longer spread TB germs. What else should I know about TB? Ask your doctor or nurse about getting free TB medicine. zzTell your doctor or nurse if you plan to move to another city or state. They can help make sure you get TB medicine after you move. If you have TB, ask your doctor for an HIV test. People with HIV can get very sick from TB. You may need different TB medicines if you have HIV.

What should I know about TB medicine? zz The medicines for TB are usually safe, but some people have some minimal side effects zz Take all of your TB medicine at the same time every day. zz Keep taking your TB medicines until you doctor tells you to stop. zz Don’t drink beer, wine or liquor while taking TB medicines

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Orthopaedics

Dr.Muralidhar.N HOD, Department of orthopaedics, VIMS & RC Bangalore - 560066 ph: 080-28413384/82/83 www.vims.ac.in

OSTEOPOROSIS SILENT KILLER

It was believed all these years osteoporosis can occur only in senile and post-menopausal women but it is found now that it can occur in all age groups. Osteoporosis can be disastrous fractures resulting because of it around the hip and spine results in death in about 20% of people in 1st year the rest of 80% people can become dependent for their rest of their life. Bone is composed of proteins, minerals, vitamins and also has nerve supply and the erythropoietic property (blood formation). Bone has an amazing property of self-healing. At birth there are about 300 bones as the person grows and reaches adult hood there are 206 bones. It gives shape to body, protection to vital organs, provides mobility and takes part in production of blood cells (haemopoises). Bone is composed of three types of cellszz Osteoblasts-which takes part in production of bone cells

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(osteogenesis). Initially it does 2osteocytes- provides a not reveal any scaffold and matrix. zz osteoclasts-takes part symptoms but in remodelling. soon it can Bone also contains develop and proteins and minerals like result in fragile calcium and phosphate bones, deformity which makes it strong. In order to maintain of spine and strength and density of shrinking in bone it is important to size. It leads consume required amount to fragility of minerals. For the absorption of these fractures around minerals hormones the joints and like calcitonin spine , paratharmone, oestrogen in women and progesterone in men should be adequate in quantity. Vitamin-D helps in deposition of calcium in bones. Destruction and regeneration of the bone cells is a lifelong process. In a healthy individual this increase in density of bone peaks at 30-35 years. Later the formation slows down and destruction increases which leads to the onset of osteoporosis. If the food what we take is not composed of adequate calcium, proteins and minerals then the calcium from the bone is depleted in order to maintain the serum calcium level. The density and strength of bone are interrelated, dense and thick trabaculae are signs of healthy bone. Less dense bone reduces the strength of bone and said to be osteoporotic. Age between 20 to 30 years is very important if an individual has suffered from prolonged illness or malnutrition during this period. Chances of osteoporosis is very high as the age advances loss of bone density is more during the post zz

AYURPHARMA

May-2014

menopausal period The following factors will help if one has risk of osteoporosis and thereby steps to be taken to prevent it and to test it. It will do help in unnecessary medication Factors that are natural and cannot be changedzz AGE- above 60years risk is there in everybody, more in post menopausal women. zz BMI(body mass index)- Incidence of osteoporosis is higher in thin and under nourished people. zz Patients on long term steroid therapy. zz History of fractures in older age. zz Spinal fractures and those with family history of osteoporosis. zz People who have undergone Hysterectomy. Factors that can be prevented zz Smoking. zz Excessive intake of alcohol and soft drinks. zz Food with inadequate calcium, vitamins, proteins and minerals. zz Lack of exercise and exposure to sunlight. zz Falls due to any other reasons like decreased vision. zz Rapid reduction of weight and diet. Earlier it was thought osteoporosis can occur in only aged and post menopausal women but the recent trend in lifestyle, lack of exercise, lack of exposure to sunlight, consumption of junk food, sedentary life style, crash diet and steroid intake to increase muscle mass have all changed this and It can occur in all age groups. Signs and symptoms of osteoporosis Initially there may be no symptoms one may notice lack of enthusiasm and tiredness. As the bones become weaker-lower back pain, pain in multiple areas, stiffness develops. With the spine being involved person starts shrinking and develops kyphotic deformity (Hunch back). In severe osteoporosis trivial falls, violent sneezing, and coughing can result in fractures. Osteoporosis of the spine results in softening of the vertebrae and compression fractures and scoliosis and kyphosis. This can result in compression of spinal cord resulting in pain in legs (sciatica). Common areas of fractures due to osteoporosis are fractures about the hip which may not unite because of osteoporosis in which case joint replacement is the solution such patients have high mortality and morbidity. The other areas which commonly fracture occur are around the wrist and spine. InvestigationsOsteoporosis can be detected after thorough clinical

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examination and BMD test. By the time this is confirmed there is approximately 30% progression, osteoporosis can be extremely disastrous as cardiac and cancer diseases. If uncontrolled the number can increase rapidly. In India there are about 30 million women suffering from osteoporosis. In elderly people it is a huge economical burden. Bone mineral density- it can be classified into following typesIt indicate the stage of osteoporosis and the possibility of fractures. ultrasound examination of heel or wrist can indicate the presence of osteoporosis very quickly. When to do BMDOnce in a year- after 40years in post menopausal women, women who have undergone hysterectomy. Patients with renal disease and rheumatoid arthritis, long term medication and past history of fractures. Once in three months- in people who are on treatment for osteoporosis. In case of extreme osteoporosis not responding to treatment patients should should seek examination by experts and undergo further investigations such as DEXA SCAN (dual energy xray absorptiometry)which is more accurate and takes about 30-40 minutes and may cost around 2500/-Rs. BTM (Bone turn over marker)- ordinary tests such as serum calcium may not give accurate stage of osteoporosis. bone formation marker and bone resorption marker assessment in blood and urine gives accurate information of osteoporosis. This approxamitely cost around 2000/-Rs. Prevention of osteoporosisThe object of treatment is to prevent osteoporosis, increase the bone density. Early detection of osteoporosis can prevent fragility fractures in future. It is very important to obtain maximum bone density prior to 30years. Children during adolescence should be encouraged in sports and exercises. Avoid junk food and to have healthy food involving vegetables and fruits. Having acquired good bone mass is like a good foundation for the future. -Good source of calcium is milk, milk products like curds, cheese , leafy vegetables and dry fruits. Vitamin-D has an important role in absorbtion of calcium in the body and it is available by exposure to sunlight, yellow part of egg, fish, liver. www.bangalorehealthtv.com

ExercisesLight exercises are important to maintain the tone of the muscles and for healthy bones. Strengthening exercises, yoga should be done under the supervision of experts. Activity is very important to prevent osteoporosis. Long term immobilization, laziness can all lead to osteoporosis. It is very important to avoid smoking and excessive intake of alcohol. It can prevent absorption of calcium in the body. In women it can cause early menopause and osteoporosis. Calcium and vitamin-D Intake of calcium and vitamin-D cannot cure osteoporosis. But they play a major role in maintaining healthy bones. As the age advances absorbtion of calcium and vitamin-D decrease, therefore it is important to be aware of the required quantity of calcium as per ageFor the absorbtion of calcium into bone daily requirement of vitamin-D into bone is 400-800Iu which is available in two forms- Calcitrol and alpho calcidol Prevention of falls- elderly and osteoporotic people have the risk of falling at home precautions taken can prevent such falls and prevent fractures. -slippary floors to be avoided . slippers or shoes with rubber sole and walking stick can prevent falls, water on the floor, presence of plastic sheets and wires are avoided. (corridor and staircase with anti-slippary floor and well lighted with railing) Kitchen-ideally should be able to reach things. Bathroom-use of antislippary mat and railing, staircase and corridor should be well lighted and with railings. TreatmentPrevention is best, it takes long time to treat osteoporosis and requires patience on the part of patient. Medicines such as oestrogen harmone, bisphosphonates, oestrogen receptor modulator prevent further progression of osteoporosis and risk of fragility fractures. In post menopausal women harmone replacement therapy is effective along with

them regularly intake of calcium and vitamin-D is necessary. It is essential to stop these medicines for 6months once in 3 years. Bone density can be increased by use of anabolic steroids like strontium, teriparatide. In people suffering from gastro intestinal disorder injection of calcitonin and teriparatide are available, yearly intravenous injections of Zolondronic acid are highly useful. Similarly there are medicines which can be used nasally. Many people are reluctant to continue the medication as it is expensive, takes longer time ,does not have severe symptoms and lack of short term results. Role of surgeryMost of the times osteoporosis is detected after the fractures. The role of surgery in such situations is to get proper alignment of the bones, rapid healing and early mobilization. Surgical management in treating fragility fractures is difficult as it may require different implants. Such as LCP (locking compression plates), interlocking nails. Fractures close to joints are best treated by replacement (arthroplasty) as it allows early mobilization and ambulation. ((xray showing fracture neck of femur treated with total hip arthroplasty) -Fractures of spine can result in kyphotic deformity which can be prevented by kyphoplasty, vertebroplasty. Where in bone cement is used through key hole surgery. (1.balloon inserted into fractured vertebra 2.baloon inflated inside damaged vertebra 3.special material inserted into fractured vertebra 4.special material hardens,stabilizing vertebra) Osteoporosis and its complications i.e fragility fractures both are disastrous and treatment is highly expensive. One can reduce this by 10times and maintain healthy bones byzz Awareness zz Attempt to prevent it. zz will to undergo treatment By which we should be able to counter this dreadful and silent disease.

WE JUST DONT TREAT : WE TEACH HOW TO LIVE WITH DIABETES & HEART CARE 28

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AYURPHARMA

May-2014

Mallya hospital

India’s first speciality hospital to be awarded the ISO-9001:2000 recognition

The only name, which comes to everybody’s mind when one thinks of Hospitals in the Central business unit of Bengaluru, is none other than the well known Mallya Hospital. Bordered by the whispering meadows of Cubbon Park on one side and the active business establishments on the other, this Hospital stands apart with its magnificent look symbolizing a legendary Institute. Mallya hospital is located in the heart of the Bengaluru city. Bhagawan Sri Sathya Sai Baba has inaugurated Mallya hospital on 6th June 1991. Thanks to Dr. Vijaya Mallya, the founder of the hospital. Mallya Hospital has grown over the years with substantial increase in bed strength, infrastructure and an assurance of quality patient care with human touch using state-of-the art technology with quality health care under one roof. Mallya hospital has to its credit as the first Multispecialty hospital in the country to received the coveted ISO-9002 certification award which has been recently upgraded to ISO 9001:2008. Further, it has also been awarded the prestigious NABH (National Accreditation Board for Hospitals & Health Care Providers) certification on 18th July 2011. In Mallya Hospital “Individual care to deliver the best results – that is what hospital focus at every step”. With the 360-degree care, patients experience the concept of Total Quality Management. The consultants and Nursing staff are not only just experts in their specialty, they are also driven by the vision

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of quality and commitment in giving individual attention for maximum treatment outcome. Mallya hospital is well known for its clinical skills, friendly ambience and motivated staff; patients who admit here leave with delight and fondle the memorable moments of their stay. Mallya Hospital offers a full range of routine and specialized diagnostic services to help predict, identify, treat and monitor disease to achieve better health care outcomes. Services range from radiology, lab services and blood bank to pap smear, body fluid cytology, coagulation workup, hormonal assay, infectious disease profile. For all those hard working professionals who slog the whole week, we have programs designed to give you an all round status of your health. zz Master Heath Checkup zz Executive Health Checkup zz Executive Health Checkup (Diabetes) zz Diabetes Health Checkup zz Advanced Cardiac Checkup zz Pre-employment Health Checkup Cardiology Center: Cardiology Center at Mallya Hospital annually performs over 300 angioplasties and over 2500 diagnostic cauterization procedures. One of the few hospitals to perform 64 slice cardiac CT, beating heart surgery for CABG, leaking abdominal aortic aneurysms, DOR operation and primary angioplasty. Contact: No. 2, Vittal Mallya Road, Bengaluru - 560001, Phone: 080-22277979, 080-22277990/91/92/93 Email: info@mallyahospital.net Web: www.mallyahospital.net www.bangalorehealthtv.com

Delayed ejaculation

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

There are certain conditions in which ejaculation occurs but it takes long time (delayed ejaculation). Retarded ejaculation is a disorder where the male wants to ejaculate but is unable to do so. It was believed to be a rare condition but we frequently come across patients suffering from this disorder. Sex therapists in USA and Europe have also noted an increase in its incidence. Individuals complaining of retarded ejaculation get aroused; have a normal erection, which persists, but cannot ejaculate in the vagina, though eagerly desiring orgasmic release. But sometimes they can easily ejaculate during masturbation or oral coitus with a partner. The causes of retarded ejaculation are some hormonal disorders, drugs, C.N.S. abnormalities & psychiatric illnesses. In order to understand the paradox of a man being able to have a good erection without ejaculation, it is necessary to remember that the sexual response is biphasic. Erection is mediated by the parasympathetic division of the autonomic nervous system, while ejaculation is dependent on the sympathetic division of central nervous system. The impotent male is unable to achieve an erection while the male with retarded ejaculation cannot come, although his erection is normal. In severe cases of retarded ejaculation, the extreme frustration of being unable to experience orgasm makes such men dislike intercourse and resort to masturbation alone for orgasmic release. One would think that the female partner would welcome the delayed orgasmic response of the male, but it is not so, she considers it a rejection of herself.

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ABSENT EJACULATION Top Absent ejaculation in which patient does not gets orgasm&semen discharge even after prolong sexual activity. Delayed ejaculation: In this disorder orgasm&semen discharge occurs after abnormally prolonged sexual activity. Retrograde ejaculation: In which patient gets orgasm at normal time but semen in place of coming out through penile opening goes into bladder. Absent Ejaculation or Orgasm: There are certain conditions in which patient does not get orgasm even after prolonged sexual activity. the cause of this can be primary, Psychogenic or due to certain medication, neurological diseases, surgeries etc. Treatment needs diagnosis of cause&then treatment. Venereal Diseases (VD) Venereal Diseases (VD) also called as Sexually Transmitted Diseases (STD’S) includes various diseases like Syphilis, Gonorrhea, Chlamydia, Herpes Genitalis (genital herpes), Genital warts, HIV and AIDS. A sexually transmitted disease (STD) or venereal disease (VD) is an illness that has a significant probability of transmission between humans or animals by means of sexual contact, including vaginal intercourse, oral sex, and anal sex. Increasingly, the term sexually transmitted infection (STI) is used, as it has a broader range of meaning; a person may be infected, and may potentially infect others, without showing signs of disease. Some STIs can also be transmitted via use of an IV drug needle after its use by an infected person, as well as through childbirth or breastfeeding. Sexually transmitted infections have been well known for hundreds of years.

AYURPHARMA

May-2014

Health Focus

Nirmal Skin and Hair Clinic

A safe, painless and permanent way to get rid of all those unwanted facial and body hair

Never has external appearance been of such concern than it is today. People need to achieve greater heights in career and external appearance has a significant impact on others in every field. Hair on body significantly alters the outlook of an individual. Good, dense, dark black hair on scalp gives a youthful and healthy look. However, the same hair when excessive on face or body in women is unacceptable. Hair peeping out through those sleeveless dresses or spaghetti takes away the charm. A satin smooth skin is every woman’s dream!! Excessive body hair in a female is more than skin deep and can be an indicator of underlying hormonal dysregulation. This is called as Hirsutism or Virilization depending upon presence of other clinical conditions. World over, hair reduction is one of the most common sought after aesthetic procedure. Men are not lagging behind women and waxing, threading is being commonly done by men as well. With men wanting to show off their six and eight packs, it becomes imperative for them to get rid of those hairy screens masking their silhouette. Various methods to get rid of hair like depilatory creams, waxing, plucking, threading and shaving are temporary and may lead to rashes and pigmentation. Electrolysis can give rise to scarring. The most widely accepted method for hair reduction is lasers. However, there has been lot of fear amongst most of us due to misinterpretation of facts or miscommunication regarding lasers. Lasers work by the principle of selective photothermolysis, where the laser energy is absorbed by melanin in the hair follicle, thereby selectively destroying the hair follicle. One feels that hair will all be gone in a session. But, no! laser hair reduction needs multiple sessions for good aesthetic result. This is because, only the hair in growing phase of hair’s life cycle contain maximum melanin for the destruction to happen. Over multiple sittings, most of the hair can be cleared permanently. Eventhough some follicles get incompletely damaged and hence shrink in size, lighten in color and soften in texture, they are not unaesthetic. Hence, it is always referred as laser hair reduction and not laser hair removal. One has to remember that, as melanin absorbs laser energy, grey hairs which do not contain melanin cannot absorb the laser energy and hence are unresponsive to laser hair reduction. Intense pulse light, Nd:Yag and

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diode lasers have been widely used in India for laser hair reduction. Conventional laser technologies emit high energy and heats up the tissues suddenly. This may lead to skin burns, blistering and intense pain. Hence conventional laser technologies are not safe for sensitive skin and sensitive areas like face, underarm and bikini area. Often, hair reduction in underarms and bikini area is done more for hygiene concerns and it becomes difficult to employ conventional laser technologies in these regions. Dr. Nischal shares that, at Nirmal Skin and Hair Clinic, they use the US FDA approved Pain Free Hair Free laser™, which is deemed to be the safest modality for laser hair reduction due to its various unique features. One of the very unique, patented technology of this laser machine is the “In-motion™” technique, where laser at low energy is delivered repeatedly thus heating up the hair follicle gradually. Hence, there is absolutely no risk of laser burns!! As the laser energy is slowly built up in skin, higher energies can be used without any risk of damage to skin which means, finer hair can be better targeted with this machine. This is a great advantage over other lasers as most women have fine hair and not those thick, dark hard stubbles on a guy’s beard. The energy delivered to skin is by Continuous wave pulse™ technology where the first pulse which is long pulsed preheats the tissue and the second pulse that is short and effectively destroys the follicle. The slow build of laser heat and very efficient cooling of skin by Sapphire Dual Chill tip obviates the need for application of anesthetic cream and hence the procedure is not messy. So this technology is a boon to those who want smooth skin but not the bane of conventional laser hair reduction. Often, people think lasers darken the skin. Dr. Urmila opines that this is false and actually the contrary is true. Hair bulbs of dark hairs contain lot of melanin and thus impart a dark shade to skin. This means a lot with regard to pigmentation as well. On reducing the hairs, there is reduction of darkness of the skin imparted by these thick, dark hair roots and skin looks much lighter in shade!! This change is more appreciable in women with thick underarm or chin hair growth and in men with dense hair growth over ears. Skin cancers are a concern when it comes to light www.bangalorehealthtv.com

Health News

Soul Tree - “A Beauty-Full Gift to Mothers” (For a Healthy and Happy life)

therapy. As lasers are absorbed specifically by specific target structures like melanin (chromophore), there is no risk of skin cancers by laser hair reduction. Safety is as important as efficacy and laser hair reduction is a very safe method of permanent hair reduction when performed by trained Dermatologist. There are higher chances of adverse events with lasers in persons with history of recent tan, intake of medicines which sensitize skin to ultraviolet rays or excessive dryness and use of retinoid creams for acne. These aspects have to be considered before performing laser service and this can only be better taken care of by doctors who are trained in lasers. Dr. Urmila opines that, because of the new technology employed at Nirmal Skin and Hair Clinic, there is no hazard to the client’s skin when taking laser service. Thus now, a cherished dream of having a smooth skin without the need of having to undergo discomfort is a reality!!!

Celebrating Mother’s Day, Soul Tree; India’s leading and only range of certified organic and natural beauty productscomes up with a perfect gift for Mother’s on this day. Vishal Bhandari, Founder and Managing Director, Soul Tree says, “The best gift one can give their mother, is health and beauty. In this age where cosmetics can be carcinogenic, we need to take resort to Mother Nature. Mother’s Day is just round the corner and is a time of commemoration and celebration of motherhood everywhere. Soul Tree’s organic product offerings will make an ultimate Mothers Day gift to indulge her and to delight her, to show mother’s how much she is cared.” The Soul Tree Collection consisting of Moisturizer, Lipsticks and Kajal is unique and truly special. The range of products offered by Soul Tree, being one hundred percent natural and organic, all its products are chemical free. The mission of Soul tree is to provide the purest, most effective, premium quality skincare through natural, high performance formulations. Soul Tree products can be sourced online or from offline stores like Nisarga, Vriksh, 12 Degree Organic as well as Religare Wellness outlets. Synthetic colors, fragrances and preservatives are not safe for health. This is where Organic Ayurvedic herbs and their extracts help. Ingredients like Brahmi helps in Anti-Wrinkle free skin; Manjishta restores radiance, Neem being an anti-bacterial agent, Ushira keeps the body cool and has a natural fragrance. Thus, mild products from Nature replace the strong chemicals. Soul Tree follows stringent guidelines to ensure that their ingredients are safe, environment friendly and bio degradable too, thus making it a beautiful gift for a Healthy and Happy life.

Nirmal Skin and Hair Clinic 514E/1, New No. 111/2, 2nd Floor, 1st Main (Vijayanagar Club Road), RPC Layout, Vijayanagar 2nd Stage, Bangalore 560040 Contact :- 080-23380138

Email :- drnischal@nirmalskinclinic.com , reachus@nirmalskinclinic.com Website:http://nirmalskinclinic.com/index.php

SHREE DHANVANTARI AYURVEDA HOSPITAL Complete Natural Health Care & SPA

We offer Panchakarma Speciality Treatment for : Gastro-Intestinal Track Disorder Bone and Joint Related Disorders Allergy, Asthama & Respiratory Disorders Neurological Disorders, Immunological Exclusive treatment for Piles, Fistula & Fissure, Disorders, Infertility & other Sexual Dysfuctions, No Relapse, No Hospitalization, Permanent Remedy for Anorectum by Ksharasuta Skin Diseases etc. #1033, 4th `M’ Block, Dr. Rajkumar Road, Near Star Bazar, Rajajinagar, Bangalore-10

Ph: 080-2350 5777 Fax : 080-2340 9450 Email : dhanvantari.ayurved@gmail.com, Web: www. dhanvantarihospital.com Branch : #2537/11, 2nd Main, 1st Cross, Maruthi Nagar, Nagarabhavi Road, Bengaluru-72, Ph : 080 - 2339 0202

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AYURPHARMA

May-2014

Health News EdX launches “Positive Behavior Support for Young Children” course by UWashingtonX for free! EdX launches the “Positive Behavior Support for Young Children” course by UWashingtonX. Registrations for the courses are open and the course will start on 10th of June, 2014. It will be of 9 weeks in length. And in just 3-4 hours per week you will learn evidence-based practices to support the social and emotional development of infants and young children The Positive Behavior Support for Young Children course is being offered in an experimental format. Students are welcome to audit the course, and participate in all course activities. Many early childhood educators report feeling ill equipped to meet the needs of children with challenging behaviour and frustrated in their attempts to develop safe and nurturing early learning environment. If you work with young children, you are not alone in your feelings! Increasing evidence suggests that an effective approach to addressing problem behavior is the adoption of a model that focuses on promoting social-emotional development, providing support for children’s appropriate behavior, and preventing challenging behavior. In this class, you will learn a framework for addressing the social and emotional development and challenging behavior of young children. The overarching goal of this course is to learn evidence-based practices to support the social and emotional development of infants and young children. You will read current research on the developmental trajectory of children with early-onset aggressive behaviors; positive behavior support program models; and intervention efforts that promote positive early childhood mental health. Evidence-based classroom management skills will also be studied and you will leave the course with a solid understanding of how

to design supportive environments. This course incorporates a community with which you can learn from others, share your own current approaches and discuss your attempts to incorporate the learnings of this course into your early childhood practice. When you have finished this course, you will be able to: zz Identify the developmental stages of social emotional development from infants to young children. zz Identify adult child interactions that are emotionally supportive and that build positive relationships. zz Describe classroom management skills that prevent challenging behavior and increase active engagement in early learning. zz Observe and record a functional behavior assessment of a child in an early care setting. zz Write an individualized behavior support plan based on findings from the functional behavior assessment. zz Enact evidence-based adult-child interactions that prevent challenging behavior and increase social competence and for young children. This course has been taught by Dr. Gail Joseph is an associate professor in the area of Educational Psychology and is the director of the Early Childhood and Family Studies. She teaches undergraduate courses and mentors graduate students. For more information on the course please see links: http://www.youtube.com/ watch?v=lVpm2HLQMBk https://www.edx.org/ course/uwashingtonx/uwashingtonx-ecfs302xpositive-behavior-1642#.U2d8RCjNmOI

MULTICARE HOMEOPATHY

Safeguard your Health before it complicates ¸ÀA¥ÀQð¹

Dr. Michael Gonsalves

B.H.M.S., M.S.

Mangalore clinic : multicare homeopathy , 1st floor , Opp. To kadri petrol pump, kadri- shivabagh , mangalore – 2 Bangalore clinic: multicare homeopathy, 1st floor, opp. To nagarjuna apartments , 19th main , 27th cross, hsr- 2nd sector, bangalore - 2 Mob: 8050485240 & 9980188918

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