Sunday, 18 February 2018

[www.keralites.net] SWINE FLU

Swine Flu (H1N1) Details
- Health Advisory
Please share/pass on to your friends..Swine Flu is spreading in Bangalore, Hyderabad & other places.
Please pass this on to as many people you can. -
THANKS
- M.D.HEGDE

What is Swine Flu ?
Swine Flu is a respiratory disease caused by Influenza viruses (H1N1) that infect the respiratory tract of pigs.
The virus can be transmitted to humans.

How is Swine Flu transmitted ?

Swine flu is contagious, and it spreads in the same way as the seasonal flu.
When people who have it cough or sneeze, they spray tiny drops of the virus into the air. If you come in contact with these drops or touch a surface (such as a doorknob or sink) that an infected person has recently touched, you can catch H1N1 Swine flu.

It is not transmitted by eating cooked pork products.

Why is there a concern ?

India is seeing a rapid rise in the numbers of people affected by Swine Flu.

Country : Altogether, 8,423 people have contracted swine flu this year in the country. The death toll from swine flu this year has climbed to 585 with 100 more deaths reported across the country in three days since February 12

State : Since January, a total of 415 people have been affected by Swine Flu and are undergoing treatment, with most of the cases concentrated in Pune and Nagpur.
There have been over 58 deaths in Maharashtra, making it the third worst affected state in the country. Of the 58 deaths recorded, 35 people died in the first two weeks of February itself, while there have been more than 220 cases in the second week alone, said medical sources.

City : While only one person from Mumbai may have died of H1N1, in the past two days 11 patients have been tested positive, taking the total toll, across the City to 114.

What are the Signs & Symptoms of Swine Flu ?

People who have swine flu can be contagious one day before they have any symptoms, and as many as 7 days after they get sick.
Most symptoms are the same as seasonal flu. They can include:
Cough
Fever
Sore throat
Stuffy or runny nose
Body aches
Headache
Chills
Fatigue
Diarrhea
Vomiting
Blood in sputum
Who are at Risk ?
Health Care Workers
People working in crowded public places
People suffering from Chronic ailments e.g. chronic lung disease, chronic heart disease, chronic kidney disease, etc)
Immunosuppression (whether caused by disease or treatment)
Diabetes Mellitus
Patients who have had drug treatment for asthma in the past three years
Pregnant women
People aged 65 and over
How is Swine flu Diagnosed ?
Swine flu is diagnosed clinically by the
i) Patient's history of association with people known to have the disease
ii) Symptoms

Upper respiratory tract specimens (Throat Swabs), as recommended for seasonal influenza investigation, are the most appropriate
Active infection with swine influenza can only be confirmed by Blood Tests viz. Polymerase Chain Reaction (PCR) assays / Viral Culture.
Where are the tests for Swine Flu conducted in Mumbai ?

Currently, following Institutes have the facility for conducting tests for Swine Flu
Government Institutes :
Kasturba Hospital , Sane Guruji Marg, Chinchpokli, Opposite Arthur Road Jail, Jacob Circle, Mumbai - 400011
Haffkine's Institute, Near Wadia Hospital, Acharya Donde Marg, Parel East, Mumbai
Private Institutes :
SRL Diagnostics
Dr Lal Path Lab

What is the Treatment of Swine Flu ?
Rest
Paracetamol
Anti viral Drug – Oseltamivir (Tamiflu)
For severely infected patients – ICU Care, Treatment of associated ailment, Ventilator support
Is Oseltamivir (Tamiflu) available Over The Counter (OTC) ?

NO
The drug is available ONLY in Government / Municipal Hospitals and Private Hospitals having the facility for screening / treating H1N1.

Are there any Vaccines available to prevent Swine Flu ?
YES
However, their efficacy is doubtful as far as the current strain of H1N1 is concerned.

Who should receive the Vaccine ?

Use of vaccines is usually indicated in people at risk (as mentioned above) of contracting the infection.
Vaccines should be taken only if recommended by your Healthcare Provider / Doctor.

How do we prevent Spread of Swine Flu ?

DO:
Cover your mouth and nose with a handkerchief or tissue when you cough or sneeze
Wash your hands often with soap and water or use an alcohol based hand gel
Clean and disinfect hard surfaces e.g. Toilet Flush, Taps, Door Handles) that you touch frequently
Avoid touching your eyes, nose or mouth
Avoid crowded places
Stay more than an arm's length from persons afflicted with flu
Get plenty of sleep
Drink plenty of water and eat nutritious food
DO NOT:
Shake hands or hug in greeting
Spit in public
Take medicines without consulting a physician
What should one do if one has symptoms of flu?
The first thing is DO NOT PANIC.
If the symptoms are mild, consult your General Physician / Medical Officer for symptomatic therapy and further guidance.
Stay at home, if advised by the doctor. Do not travel or go to work or school.
Avoid close contact with others for 7 days after your symptoms begin or until you have been symptom-free for 24 hours whichever is longer.
Visit the nearest H1N1 Screening Centre to rule out Swine Flu in case of high level of suspicion.
Report to nearest identified health facility if symptoms aggravate (high fever for more than 3 days, difficulty in breathing, blue colour of the skin or lips, blood in sputum or altered behaviour). Small children may be irritable, do not take fluids and refuse to accept feeds.
Moreover, PFA an advisory for Prevention & Control of H1N1 issued by the Public Health Department of MCGM is attached below.

Spread the Word...... Not the Flu !!

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[www.keralites.net] Remedy For Irregular Periods

REMEDY FOR IRREGULAR PERIODS

Poly cystic ovary is a very common cause for irregular periods in adolescent and young girls. If obese bring down the Body Mass Index (BMI) to below 24. Avoid Junk food, chocolates and biscuits. Eat less of oily foods take lot of fresh vegetables. Regular exercise, not just walking have free time in the evenings with friends and get relaxed. Sleep well.If periods do not occur at right time after 3 months of these consult Gynecologist. But if there is excessive flow during the periods or if flow continues for more than 7-10 days and flow is very frequent less than 15 days better consult doctor. I have seen girls with hemoglobin less than 6 Gm% just due to irregular scanty flow alone.Low hemoglobin will make the girl inactive and dull with no concentration to studies and easily fatigable.

Dr.Sundaram M.K.

Irregular periods are quite a common problem in women. Women that have irregular lengths of menstrual cycle are quite concerned about it. Commonreasons for irregular periods are stress, lack of physical activity, heavy exercises, an imbalance of hormones at menarche or while nearing menopause, improper intake of diet and certain medications could be the cause of irregular periods.

It is quite rare that irregularity of periods could be due to an underlying complication. However, if a woman faces irregular periods for a long time, she must consult a doctor to make herself sure that she isn't having any trouble other than the common reasons.
7 Home Remedies For Irregular Periods

Although irregular periods mostly occur due to normal and general reasons and may not be mostly harmful, but this seems to be quite inconvenient for a woman.Having irregular menstrual cycle means, being prepared all the time which is mostly not comfortable.Hence, if you are quite sure that you are not suffering from any sort of complication after having referred a doctor, then you may try out the following home remedies to improve the regularity of your menstrual cycle.

Diet

Improving your diet is the easiest and the most convenient way to get rid of anydisease. Girls! high cholesterol levels can affect the blood flow towards your ovaries. Therefore eat a low fat diet. Have those foods which contain good fats such as fish oil, papaya, avocados, corn, pumpkin, legumes, etc.
Do not eat highly processed foods. Other foods such as white bread, white flour, pastas and white rice may also be a reason for irregular periods. Foods containing caffeine must also be avoided if one faces irregularity of periods.To balance your hormones, an adequate amount of protein intake is a must. Hence, include the foods in your diet that are rich in protein such as eggs, milk, almonds, walnuts, cheese, etc.
Iron Intake For Irregular Periods

Women who have low amounts of iron in their blood, may have a reduced menstrual flow because iron forms an important part of your red blood cells.Therefore, intake of foods that contains iron is quite necessary.
Weight Control

Being overweight or underweight could also be the reason behind irregular periods.Therefore, keep your body weight normal in relation to your age, height and physique.

Asafoetida

Asafloetida is the herb which is beneficial in regulating the menstrual cycle. Itincreases the production of progesterone and hence, is an effective one amongst the 'home remedies for irregular periods'.

If you go to a doctor to complain about having irregular periods, the second or third question they will ask you would be "are you taking any stress?"Stress does not only cause irregularity of periods but is also the reason behind many other health disorders. So to improve the regularity of periods, women must try to reduce their stress levels as much as possible.
Coriander Seeds

A tsp. of coriander seeds boiled in 2 cups of water would also make an effective home remedy for irregular periods.
Juice Intake

Intake of juices of grapes, carrot and bitter gourd daily is also known to regulate the menstrual cycle.

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[www.keralites.net] FAT BURNING FOODS

Fat Burning Foods
fat burning foodsThis article will make every girl's dream come true. According to Janet Starr Hull, there are certain foods that burn fat before it can before it can be stored in the body. Hence, calories in fatty foods are reduced. This is also because the amount of calories required to digest these foods is more than the amount of calories you gain eating these foods. So read on and eat your way to a thinner and fitter you!
Fruits
Fruits are an excellent fat burning food as majority of them are low in calories and contain a lot of fiber. Fiber helps to burn fat in 3 ways: it helps in speeding up your metabolism, aids in slowing down digestion and helps in extending a person's energy. Due to this reason, you can combine them with fatty foods like cheese and meats to prevent weight gain. Apples, oranges, limes, grapefruit, tangerines, raspberries, grapefruit, blueberries and guava are an excellent source of fiber. Moreover, eating watermelon eliminates toxins from the body and removes excess water. Have it when you feel bloated or have consumed high sodium foods.
Vegetables
Most vegetables contain some form of natural fiber. It is of two types: soluble fiber and insoluble fiber. Soluble fiber forms a gel in the digestive tract while being digested. This gel not only requires energy to be digested but also helps you to stay full longer. Vegetables rich in soluble fiber include carrots, artichokes, eggplant, broccoli, tomatoes and celery. On the other hand, insoluble fiber moves quickly through the digestive tract taking waste and toxins along with it. Eating these foods when you're feeling overfull or constipated helps relieve these symptoms and burn excess calories. The vegetables which contain insoluble fiber are spinach, mustard greens, kale, green beans, legumes, Brussells sprouts and cabbage. You can reduce the gas caused by some of these foods by cooking them.
Proteins
Most of the fat burning sources of protein is found in seafood. Fish and shellfish are the two sources of protein that require a lot of energy to burn. One 4 oz. fillet of tilapia has 93 calories and four large shrimp have 22 calories all together. However, there are other types of protein that are fat burning. These include crabs, clams, mussels, lobsters, oysters, shrimp, sea bass and flounder. Team one of these up with a fat burning vegetable cabbage or spinach to create a healthy meal.
Additionally, there are quite a few foods which are high in protein that help burn belly fat. These are both vegetarian and non vegetarian options to choose from. Lentils, broccoli, kidney beans, corn and baked potatoes are all excellent sources of protein. If you prefer non-vegetarian food, then there is an array of meats to choose from such as lean hamburger, fish, tuna, broiled beef steak and roasted chicken. Plenty of other foods such as dairy products, rice, whole wheat bread, eggs and tofu also contain significant amounts of protein. Mix and match the ingredients while cooking to get the best results. The key is to make sure that your sources of protein are lean and very low in fat..
Follow these tips and experience the difference fat burning foods can make!

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[www.keralites.net] CHILD - A GOLDEN GIFT

CHILD - A GOLDEN GIFT
Plese share if you like this.THANKS
- M.D..HEGDE
Some time ago, a friend of mine punished his 3-year old daughter for wasting a roll of gold wrapping paper. Money was tight, and he became infuriated when the child tried to decorate a box to put under the tree.
Nevertheless, the little girl brought the gift to her father the next morning and said, "This is for you, Daddy." He was embarrassed by his earlier overreaction, but his anger flared again when he found that the box was empty. He yelled at her, "Don't you know when you give someone a present, there's supposed to be something inside of it?"
The little girl looked up at him with tears in her eyes and said, "Oh, Daddy, it;s not empty. I blew kisses into the box. All for you, Daddy."
The father was crushed. He put his arms around his little girl, and begged for forgiveness. My friend told me that he kept that old box by his bed for years. Whenever he was discouraged, he would take out an imaginary kiss and remember the love of the child who had put it there.
In a very real sense, each of us as parents has been given a gold container filled with unconditional love and kisses from our children. There is no more precious possession anyone could hold.

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[www.keralites.net] Om! Yoga therapy to remove all disorders

Om! Yoga therapy to remove all disorders

BANGALORE: Yoga is no longer a traditional fitness workout. The National Institute of Mental Health and Neuro-Sciences (Nimhans) not only has a 45-minute yoga package to treat psychiatric disorders like depression and schizophrenia, but has started comparing its curative effects with general medicine.

Doctors at Nimhans say their studies reveal evidence of biological changes in the body brought about by yoga. They prescribe yoga therapy along with medication in major ailments, while using yoga therapy alone for less serious disorders.

Nimhans is currently doing rigorous clinical trials on the impact of yoga in treatment. Doctors are also measuring biological parameters in patients after yoga therapy. This project has been taken up as the scientific community has still not accepted the role of yoga despite even mainstream doctors prescribing it with allopathic treatment.

Case study

The yoga university (Bangalore and Jigani) recently found evidence that it can reduce sugar levels and help control it in a case of juvenile onset diabetes Type 1 of 14-year-old Rakshith S. He suffered very high sugar levels and severe glaucoma for 18 months but now his sugar level has stabilized thanks to 21 days of intensive yoga therapy. It's a matter of pride for Swami Vivekananda Yoga Anusandhana Samstha University.

Rakshith was diagnosed with diabetes at the age of 12 after complaints of giddiness and tiredness and being very hungry most of the time. In September 2009, he was diagnosed with fasting blood sugar level of 340 mg/dl and post-prandial blood sugar level of 525 mg/dl.

"Doctors asked me to take insulin. I used to inject it. Despite using high doses, blood sugar level didn't come to normal," he said.

When he came to SVYASA, his insulin dosage was 24 units in the morning and 24 in the evening. A holistic approach that included asanas, pranayama, suddhi kriyas or detox methods, meditation and sattvic food was put in place. But Rakshith had glaucoma in which the intraocular pressure rises, so he couldn't do all the asanas.

His therapist Rupali Ashok Zamvar said: "We saw tremendous improvement and stability in his sugar level after therapy. His insulin dosage was gradually reduced. We gave him instant relaxation, quick relaxation and deep relaxation techniques. Diet also played a major role."

Dr R Nagarathna: Yoga expert

The department of AYUSH launched a country-wide Stop Diabetes campaign. In it, we train yoga practitioners to treat diabetes patients. Extensive research over 20 years reveal that blood sugar reduces with yoga and good cholestrol increases. It has a calming effect on body and mind. We have seen improvements in those suffering from hypertension, obesity, heart diseases and cancer.

full article in the link below (as per this article )

https://timesofindia.indiatimes.com/city/bengaluru/Om-Yoga-therapy-to-remove-all-disorders/articleshow/9056009.cms

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Saturday, 17 February 2018

[www.keralites.net] Bengaluru: Despite poor vision, this NIMHANS psychiatrist has a unique way of seeing patients

Bengaluru: Despite poor vision, this NIMHANS psychiatrist has a unique way of seeing patients - Philip has retinitis pigmentosa in both eyes.

BENGALURU: When Sharad Philip, a 32-year-old man, was handed his medical degree at NIMHANS in December 2017, an extraordinary thing happened. First, his classmates began to applaud, then their families, the faculty and university officials joined in. And within a few minutes all the people in Convention Hall stood up and cheered. Philip's face shone with pride..

Dr Philip, a psychiatrist at NIMHANS, has a unique way of seeing patients. In fact, he doesn't see them at all. He has low-vision since early childhood. "Who better than me, who has always been discriminated throughout my life, can empathise with the patients suffering from mental illness," smiles Philip.

Philip has retinitis pigmentosa in both eyes. This condition changes how the retina responds to light, making it hard to see. The degree of disability is 70 per cent and is permanent.

Philip recalls that as a kid, he was not able to read what was written on the board in classrooms. "When I was in third standard, my mother took me to a doctor, who confirmed the disability. My mother was heart broken." But, he decided to struggle against all odds.

Philip's day begins just like any of ours. He works at the rehabilitation centre in NIMHANS. He stays alone in the hostel given to the resident doctors. He wakes up, finishes his daily chores, and walks to work in the same campus. He meets patients, suggests the therapy required and goes on rounds with other doctors. He knows a knack for getting his patients to relax and open up with him. On the other hand, many of his patients won't even know that he has low-vision!

"I take the help of technology and my colleagues to understand the patients' problems," he says.

Clinical examination is one area that Philip feels is challenging when seeing patients. He won't be able to understand the physical features, in terms of disability, of his patients and needs assistance from his colleagues. But once he gets the reports and diagnosis, there is no stopping for him.

Philip has written all his exams with the help of a scribe. Vivek Perumal, who has been his scribe for the last three years, says, "Philip is extremely knowledgeable. Both my wife and I used to write for him. We are no value addition for what he knows. He is one of the most brilliant chaps we know."
Philip has two brothers and he is the eldest. All three of them have the same problem - retinitis pigmentosa. While one of them is pursuing MBA at IIM-B, another is pursuing BSc Mathematics in New Delhi.

Philip is also well versed in 5 languages -- English, Hindi, Kannada, Punjabi and Malayalam. He has travelled across the country with his friends and is learning to play the guitar. "Of course I see the world way too differently and it is a beautiful place. In fact, I credit it to people around me – my family, friends, co-workers and teachers – who make the world beautiful for me," he says.

full article in the link below

http://www.newindianexpress.com/cities/bengaluru/2018/feb/18/bengaluru-despite-poor-vision-this-nimhans-psychiatrist-has-a-unique-way-of-seeing-patients-1775107.html