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1healthvisionSeptember-2017
Up selling
spirituality
Low
Back Pain
Risk factors for
heart attacks
Dr. Sunil Kumar Hebbi
2 healthvisionSeptember-2017
3healthvisionSeptember-2017
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4 healthvisionSeptember-2017
Do You Know ?
Health tips to elders
zz Evolve a life style that emphasis good nutrition,
personal hygiene, adequate exercise, rest,
moderation in eating habits and above all a
positive mental attitude.
zz Do not ignore unusual and suspicious symptoms
relating to your health. Have regular health
checkups even if you feel healthy.
zz Ensure that you have a Family Doctor and
avoid change of Doctors frequently. Avoid self
medication and over the counter drugs.
zz Maintain a file of all your medical records which
can be accessed by your family members whenever
required.
zz Carry with you a card
containing your name,
address, phone numbers
of contact persons and
your Doctor along with
particulars of your drug
regime
zz Do not stop your medicines
all of a sudden without
doctor’s advice.
zz Cultivate good oral care
to prevent infection. Do
not be averse to artificial
dentures. It improves food intake, digestion,
clarity of speech and facial features.
zz Keep yourself physically, mentally and socially
active. Read and write in sufficient light
zz There is no specific dietary rule for elders. Eat
healthy food and avoid over eating. Consume a diet
high in fibre, low in animal fat and salt.
zz Have a good and nutritious breakfast, moderate
lunch and light dinner. Include lots of fruits and
vegetables in your diet. Avoid fatty and spicy foods.
Ensure that you drink 6 to 8 glasses of water a day.
zz Ensure that you take a multivitamin tablet daily
for better supply of Folic Acid, Vitamin B12, D and
E.
zz Do not indulge in vigorous exercises. For elders
light exercise like walking is
the best. Do not be reluctant
to rest and relax.
zz As far as possible
avoid emotions such
as depression, worry,
fear, sorrow, envy, hate,
resentment as they can
adversely affect your health
and cause visible physical
disabilities. Remember that
anxiety places more stress
on the heart than any other
stimulus.
Personality development
Your steps to Success
Did you know that fewer than 10% of
people who set goals actually achieve
them? How can you ensure YOUR success?
Try using the Top 10 Tips below.
zz Write Them Down. It’s a fact: writing down your
goals gives you a higher chance of success.
zz Commit. Move beyond the land of “good ideas”
to promise yourself to show up for your goals.
Perhaps you can do a ritual or ceremony to
symbolize your commitment.
zz Tell People. Let your biggest fans is on your new
commitments and goals for the year.
zz Get Accountability. Even better than just letting
others is on your “secret” dreams and goals-get
some accountability. Meet for lunch once a month
with a group that will ask you, “So, how’s it going
with your goal?” Hire a Life Coach. Talk to your
best friend. Get some support!
zz Make a Plan. Ensure success with a step-by-step
plan. Electric Kites Success Coaching loves to
work backwards by starting with the end vision
of where you want to be and working backwards
to where you are today. You’ll find an easy plan to
make your goal a reality.
zz Do a Goal Check-In. Before you decide on what
you’ll take on for the year, make certain you can
answer, “YES!” to the following questions: “Am I
the primary reason for setting this goal (vs. your
mom, boyfriend, wife, boss, society)? Do I feel alive
and energized by this goal? Is this goal in line with
my life purpose
or mission?”
zz Get Real! If you’re contemplating putting a
goal down that you always put down and never
achieve, take a second look. How will this goal end
DIFFERENTLY this year? Is this goal something
you need to let go of? What purpose is it serving
you? What’s a good enough reason to finally
achieve this goal?
zz Focus With Reminders. Once you’ve got your
goals and plan in place, figure out ways to remind
yourself. Some Electric Kites’ clients post their
goals in their bathrooms or cars. Others put
reminders in their palm pilots or cell phones.
Figure out what works for you.
zz Believe and Visualize. Do you know the story
about the group of basketball players who spent
one hour visualizing making baskets, while
another group actually
practiced? The visualizing
players had better seasons!
So visualize yourself on New
Years Eve with all your goals
achieved. What would that
look like? How would it
feel? Visualize once a day
and see the difference
it can make in your
life.
5healthvisionSeptember-2017
This publication is a reference volume only. Do consult your doctors. While the editors do their utmost verify informations published, they do not
accept responsibility for its absolute accuracy. Articles, Advertisements published in the book does not imply endorsement by the publisher.
Volume-3 Issue-12	 September 2017
Contents
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
E-mail: mediaicon@ymail.com
Medical Advisors
Dr. Chalapathy
Dr Ramesh Reddy
Dr Muralidhar
Dr Prabhakar G.
Dr G. Mohan
Dr Vittal Nayak
Dr Sampath kumar
Dr Geethanarayan
Dr Dugraprasad Reddy
Dr V. Narayana Swamy
Dr P. Balakrishna Shetty
Dr Sham Bhat
Dr Seetharam prasad
Dr Padmini prasad
Dr venkatramana Hegde
Dr K. Bhujanga Shetty
Dr. C. Sharath Kumar
Dr Keerthy patel
Dr B. Ramesh
Dr S.S. Hiremath
Dr. Vasundhara Bhupathy
Dr. Dhanajeyan
Dr. M.R. Srivatsan
Consulting Editor
D V Kumar
Design Editor
Chandrashekar Gajani
Doctors, Hospitals can send their
articles and Programs deatails with
photographs to
Mediaicon - 8197554373
email: mediaicon@ymail.com
Contents
Hair coloring - Hair dyeing	 8
Emergency First Aid Priorities	 10
Does your child wet the bed at night ????	 14
Healthy Recipes	 16
DIABETES	18
MuniYoga	20
A Very rare, inimitable young doctor,
with public Health commitment	 22
How Drug abuse affect brain? 	 26
Up selling spirituality	 28
Mudras	29
Ayurvedic Solution For Low Back Pain	 30
Substance Abuse: An Introduction	 32
Chikungunya-The Disease That Bends U	 34
Ayurvedic answer for PCOS	 36
Mindfulness Based Stress Reduction	 38
Healthy September	 40
Creating a better World for All	 42
Emergency Contraception- A safeguard against
unwanted pregnancies	 46
Deep Guilt And Temperament	 48
Lung transplant-A ray of hope	 49
Risk factors for heart attacks	 51
…A thought bothers us a lot	 52
How to maintain Dental Hygiene	 54
Piles, Fistula and Fissures
How are different in symptoms and treatment	 55
Head - to - Toe Health Tips	 57
Health News	 58
l Health Vision and vydyaloka now global magazine.
l Subscribe and read to lead a healthy life.
l Subscribe for digital editions.
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Health Vision
http://www.magzter.com/publishers/Media-Icon
6 healthvisionSeptember-2017
7healthvisionSeptember-2017
‹‹ D A Kalpaja
Director, VIMS
Editor Speak
High-quality early education and child care for
young children improves their health and promotes
their development and learning.
zz Parents ought to prepare their children
so that they are able to face hardships of
future life and are able to overcome difficult
situations with tactfulness
zz It is the prime responsibility of every parent
to develop emotional, educational, social
and professional skills in children.
zz Children gradually start preparing
themselves as per the aspirations of their
proactive parents.
zz Every parent in this world desires to be the
parent of an intelligent, gifted, bright, smart
and active child. We want that even if our
child is good at sports, dancing or singing, he
must perform exceptionally well at school.
zz Parents are desperate to do anything to help
their child stand first in class. Some parents
punish their child when they don’t do well
but it is a wrong approach. Stick is not a good
solution. You should motivate your child if
you want him to excel in the long run.
zz You should encourage your child for
recognising his potential, abilities and
weaknesses.
zz Your motivating words that ‘you can do it’
will definitely do magic. Motivate him to try
harder in the next exams. The best thing is
self- confidence.
zz You should see his notebooks and dairy to
know that what your child does at school.
You should remain cool headed when you
are motivating your child to do home work.
zz Don’t demoralise your child if he is not doing
well. Encourage him with certain types
of material and nonmaterial incentives. If
your child is showing disinterest after all
your efforts, you can take help of experts
and teachers. Tell your child firmly to
finish his homework with a little bit of
strictness. Don’t allow him to give excuses
and arguments.
zz Many parents complained that they don’t
have time to sit all the time with their
children when they are doing homework.
You can supervise your child while you are
cooking food or doing some other work.
Don’t sit with him for the whole time but be
aware about what your child is doing. Don’t
allow your child to
do homework in his
room. Arrange a good
study table in your
own room for your
child.
zz When parents
show their interest
in the study of their
loved ones, there is
no place for poor
performance. You
should be tactful
with your child.
Don’t fix the hours of
study. Leave it on the
choice of your child.
Whenever he is in a
relaxing mood, you
can tell him to study.
Be friendly with
your child.
Be friendly
with your child
Child care
8 healthvisionSeptember-2017
‹‹ Dr K Hanumanthayya
Professor & HOD
‹‹ Dr Menakaa Mohan
Dermatology Department
Vydehi Institute of Medical Sciences & RC Bangalore - 560066
ph:080-28413384/82/83. www.vims.ac.in
part-13Oh my skin!
Hair coloring was done earlier by hair dressers at
saloon. Today hair coloring is very simple, user friendly
and can be done at their house in 30-40 minutes.
‹‹ History of Hair coloring –
The extraordinary history of hair color can be
traced back to Sumerians 2000 BC. Nobel Sumerians
used to color their gray hairs with golden dye, using
silver or gold combs. Ancient Egyptians, Romans,
and Greeks began to use hair color which was made
from plant and animal extracts regularly. Egyptian
women in 1500 BC, colored their hair using henna
plant extracts. The Romans believed that hair dyeing
and coloring was a symbol of woman’s eroticism, and
highlighted her gracefulness and elegancy. By 27 BC,
hair dye became a much accepted trend, and both
men and women in Rome used hair color as a way of
enhancing their looks and appearance. Roman Empire
insisted prostitutes to color their hair with yellow
color or to wear yellow color wig to indicate their
profession. Prostitutes were coloring their hair with
ashes of burned plants, flowers and nuts to achieve the
yellow hue.
Hair dyes were made using henna, crushed
nut shells, berries, and vinegar. Red hair dye was
prepared by fermenting leeches in vinegar for two
months. This mixture was applied on the hair, which
was then exposed to the sun for hours to get red hue.
In the 1860s, hydrogen peroxide was a common
option for hair bleaching. With time, this came to be
known as blond dye, until the 1930s. Hydrogen peroxide
was used along with other ingredients like ammonia
and soap powder. This combination damaged the hair,
and burned the scalp. Soon this combination became
less popular.
Hair coloring and dying took a major leap when
paraphenylenediamine (PPD) was discovered by
Dr August Wilhelm in 1863. This was the magic
substance that was used in creating the first synthetic
dye. PPD along with Hydrogen peroxide, which was
a gentler option for hair bleaching, together led to a
major invention. The invention of this synthetic dye
Hair coloring - Hair dyeing
(1) Cuticle cells firmly attached to cortex, healthy hair. (2)
Ammonia effect – shaft is swollen Cuticle cells are
raised from cortex. (3) Overtreatment of hair with
ammonia, Cuticle cells are damaged
The hair on the head is most striking feature for every person. For a long time, hair
has been considered more than just a biological feature, and is more often center of
beautification. For women, hair is an ornament that has transformed their beauty at
higher level. Black hair symbolizes the younger age, youthfulness, energy and active
life. As we grow older, hair turns to gray and silver white. Hence gray hair and white
hair symbolizes the old age, sluggish and inactive life. Today everyone wants to look
younger, energetic, enthusiast and visually appealing to other people. Hence they
hide gray hair by applying color to hair and this process is called “Hair coloring
– Hair dyeing”. Hair coloring is more of cosmetic reason and is to hide their gray
hairs by old age people. Younger people color their hair as a fashion.
9healthvisionSeptember-2017
PPD resulted in further research and
development in hair colors. In 1932,
a New York chemist Lawrence Gelb,
created a hair dye that would actually
penetrate the shaft of the hair, and
also not harming the shaft of hair.
Today women could lighten, color,
shampoo, and condition their hair in
just one easy step, in 30-45 minutes.
‹‹ About our Hair:
The hair which is visible to eyes on the scalp is
called hair shaft. The part of the hair which is inside
the skin is called hair root. The shaft is the hard
filamentous part that extends above the skin surface.
A cross section the hair shaft may be divided into three
zones. They are 1) Cuticle 2) Cortex 3) Medulla.
The cuticle consists of several layers of flat, thin,
colorless cells laid out overlapping one another as roof
shingles. The cuticle protects the cortex; cuticle cells
lie flat and attached to one another firmly in healthy
hair. If the cuticle cells are raised and fine openings
are present in between raised cuticle cells, and expose
the cortex, means damaged hair shaft.
The cortex contains keratin bundles in cell
structure along with hair coloring material called
melanin. All natural color of hair is due to melanin
granules present in colorless keratin bundles. There
are two types of melanin called 1) Eumelanin and 2)
Pheomelanin. In India eumelanin is the dominant
pigment present in hairs and gives black color to the
hairs. Pheomelanin is dominant color in Europeans
and give red hair. As the person grow older, melanin
production decreases and stops. The hair shaft with
no melanin looses their natural color and turn gray to
white color of old age.
The medulla is an open area at the fiber’s center.
Hair Dye or hair color is a chemical substance that
is used to change the color of hair. Hair dye is used
mostly to hide gray hair by old aged people. Young
people apply hair dye to change their hair color as a
fashion.
‹‹ Chemistry of hair dye –
In the 1860s, hydrogen peroxide was used for
bleaching hairs. Hydrogen peroxide was oxidizing
melanin pigment and lightens the intensity of black
color; the hairs were becoming light colored. Hence it
was called blond dye. In 1907, Eugene Schuler, a French
chemist, developed an innovative hair color formula
and called it “Aureole”. This name was later changed to
“L’Oreal”. L’Oreal became very famous with Parisian
hairdressers and soon it became household product,
and women started applying hair dye in their home.
‹‹ The hair colors can be classified into 4 types.
1) Temporary hair color, 2) Semi-Permanent, 3)
Demi-Permanent and 4) Permanent hair color
1.	 Temporary hair color – The pigment molecules are
large and cannot penetrate the outer cuticle layer.
The color particles remain adsorbed (closely
adherent) to the hair shaft and are easily removed
with 1 or 2 shampooing. Dye molecules only coat
the hairs, it is physical action. The dye molecules
do not penetrate the hair shaft; hence there is
no chemical action. Hence there is no damage
to the hair. These are the least hazardous of all
the dyes. Vegetable dyes like “Henna” is very
popular dye and is used throughout the
World. Henna coats the shaft of hair
and increases the thickness of hair
shaft. Repeated application of henna
improves the hair shaft and do not
damage the hair. Similarly extracts of
flowers, leaves, fruits and walnut are
used to color the hairs. Food grade dyes
are also used.
2.	 Permanent hair color – are the most popular dye
products. Permanent hair coloring dyes consists
of three components. They are a) Primary
intermediates and couplers, coloring agent, b)
Oxidants (Hydrogen peroxide) and c) An alkali
usually ammonia. The modern permanent
dyes consist of “Paraphenylenediamine
(PPD or similar Para compounds)” as
primary intermediates and “Resorcinol” as
couplers. Hydrogen peroxide oxidizes colorless
Paraphenylenediamine dye to colorful chemical
and also lightens melanin. Ammonia causes cuticle
to swell and rise from cortex and also creates few
openings, through these openings oxidized PPD
dye enters cuticular layer and reach cortical cells.
Once oxidized PPD dye accumulates in cortical
cells, it gives color to hair shaft. Once the PPD dye
has entered the cortical cells, it cannot be dislodged
from the hairs even 15- 20 times washes with
shampoo. Hence PPD dye is called Permanent hair
dye. Alkaline ammonia action continues to act on
hair, swelling and rising of cuticle cells continues,
hence it is to be neutralized by acidic rinse or to
be washed by shampoo, then only ammonia action
stop. If ammonia action is not neutralized, hair
damage continues and hair becomes brittle and
dry. Everyday 0.1 mm hair grows, on 10th
day, 1 mm
hair grows, and this newly grown hair will not
have this new pigment. Hence permanent hair dye
is to be applied once in 2 months or 3 months.
3.	 Semi-Permanent hair dyes coat the hair shaft rather
than penetrate. They do not change melanin. Heat
is used to deepen the color penetration rather
than the use of chemicals like ammonia and
hydrogen peroxide. The color lasts for 4-6 weeks (6-
12 shampoo wash). They do not harm the hair as
Permanent hair dye harms the hair.
4.	Demi-Permanent hair dye falls between the semi-
permanent and permanent dye process. Uses a
catalyst such as a 10% mild peroxide developer with
a non-ammonia alkali to swell the cuticle, allow dye
molecules to penetrate into the cortex and deposit
color inside the hair shaft. A neutral or slightly
acid after-rinse or shampoo wash is used to stop
the alkaline swelling reaction, allow the cuticle to
close, and trap the color molecules inside. The mild
chemical reaction does not lighten the melanin and
hardly changes the hair structure.
‹‹ Precaution –
Always conduct a patch test before you use any
coloring products. Apply small amount on right
forearm, volar aspect (front) or behind the ear lobule
and watch for 48 hours for the signs of irritation or
allergy. If no untoward effects develop, then only
use the coloring products on head. Always read the
ingredients list before you buy a product, and follow
Henna leaves and henna powder
Pg No. 49....
10 healthvisionSeptember-2017
‹‹ Dr.N.Mariappan
Department of Plastic and
Reconstructive Surgery, Vydehi
Institute of Medical Sciences  research
centre, Whitefield, Bangalore – 66
Ph: 080-28413381/2/3/4 www.vims.ac.in
Emergency
First Aid
Priorities
Definitionof firstaid:Firstaidistheimmediate
assistance provided to a sick or injured person
until professional help arrives. It is concerned not
only with physical injury or illness but also with
other initial care, including psychosocial support
for people suffering from emotional distress
caused by experiencing or witnessing a
traumatic event. First aid interventions seek
to “preserve life, alleviate suffering,
prevent further illness or injury
and promote recovery”. First aid
provider is a layperson with basic
first aid knowledge and skills and
the person requiring care is known
as a casualty.
Number of people reached:
In 2009, 21 National Societies in
Europetrainedmorethan2.3millionpeople.Duringthe
same period, 7 million people were trained in certified
first aid courses worldwide. In 2014, approximately 15
million people were trained in first aid by Red Cross
and Red Crescent National Societies in 116 countries
around the globe by more than 180,000 active first aid
trainers (Source: Global survey data on first aid). Over
20 million people are reached globally each year, and
more than 700,000 volunteers and staff mobilized.
Figure: 1.World First Aid Day 9th
September,
2017-Theme “Domestic Accidents”
World First Aid Day was constituted by the
International Federation of Red Cross and Red
Crescent Societies (IFRC), celebrated on the second
Saturday of every September since the year 2000.
Theme for the year 2017 is “Domestic Accidents”,
which affect all populations regardless of age, sex,
income, or geographic region. Falls are the most
common home accidents, cause serious injury and the
risk increases with age. First aid must be delivered
using up-to-date, evidence-based guidelines and best
practice. Foundation for first aid education has three
components that should be addressed to leverage
knowledge and skill development
zz A cognitive or brain-based component that
recognizes an individual or community’s learning
history and builds from that point.
zz A social learning component that identifies
barriers and leverages relationships to inspire
and support proper emergency action.
zz An environmental component that helps
individuals to identify and use resources to
help (e.g. laws, AED, emergency dispatch
system).
General approach for a
victim: Certain steps of first aid
care are common, when caring for any
casualty. Although the elements of response are
often carried out in the sequence outlined below,
in reality, tasks may occur simultaneously. The
followingstepsareobservedwhenapproaching
a casualty:
1. Assessment: a) Scene survey:
primary survey for safety, personal
protection and accident mechanism.
b) Casualty survey: airway, breathing, circulation,
disability, exposure (ABCDE). Start immediate
life-saving interventions: open the airway, support
breathing, give CPR and control serious bleeding.
For all emergency care including first aid, providers
should first survey the scene to assess for Safety. First
aid providers must be aware of their personal safety
and take universal precautions that may vary based on
specific circumstances. The risks may come from:
The environment: The surroundings may not
be safe due to electric cables, fire, risk of explosion,
dangerous goods or the casualty may be in an unsafe
location, such as in or near water or ice. Special
attention should be paid to confined (closed) spaces as
there might be a possibility of lack of oxygen and/or
emission of poisonous gases or the limited possibility
to escape, if needed. Taking this into consideration,
the first aid provider should decide whether he or she:
zz should go ahead or wait for technical rescue teams
(e.g. fire brigades, EMS,
zz Mine rescue)
zz should only enter with the assistance or escort of
technical rescue teams
zz should only enter for a short time to move the
casualty (preferably with
zz Technical assistance) to a safer place in order to
provide care more effectively
zz Feels it is safe for the casualty to remain in their
current location.
The casualty: The casualty may be aggressive due
to alcohol or drugs. There might be a risk of infection
is a common threat due to contact with body fluids.
First aid provider must understand what injuries
might be expected in that particular patient in that
situation. This applies not only to traumas but also to
other acute events. All casualties should be thoroughly
assessed to assure that all first aid needs required are
5 common Emergencies you must know what to do
‹‹ Part-1
11healthvisionSeptember-2017
identified. The priorities of identification and
treatment allow
zz Prioritizing the needs by taking care of the most
time-sensitive problem first; and
zz Providing care once needs are clearly identified.
The common mnemonic for assessment of any
casualty is ABCDE: A: Airway,
B: Breathing, C: Circulation: check for any external
bleeding, D: Disability: mental status and peripheral
nervous system and E: Exposure. EMS should be
activated, if any problem during the ABCDE survey
is identified in addition to immediate care required. If
resources permit, along the ABCDE pathway, a short
medical history may also be taken. In an advanced
training, SAMPLE scheme of evaluation may be
followed- S: Signs and symptoms, A: Allergies, M:
Medication, P: Past medical history, L: Last meal and
E: Event
2. Casualty positioning Guidelines: Good
Practice Points
zz First aid provider should approach the casualty
from the side of his or her face. In this way, the
casualty is not forced to move his or her head.
zz An unresponsive casualty should be rapidly
assessed for breathing. If normal breathing is
not quickly identified in the position found, place
the casualty, gently, in the supine position. If the
person is breathing normally, he or she should be
placed in the side lying recovery position.
zz If the casualty is pregnant, the left side lying
recovery position is preferred.
General rules to be observed regarding the
position of the victim:
zz If the area is unsafe for the first aid provider or for
the casualty, he or she should be moved to a safer
place.
zz If the person is face down and unresponsive
(prone position), the first aid provider should turn
the casualty face up (supine position) to check
breathing.
zz If the casualty is unresponsive and breathing
normally but might have a spinal injury, it is
preferable not to move him or her.
zz If the casualty is unresponsive and has difficulty
breathing because of bleeding, copious secretions
or vomiting, or if you are alone and have to leave
to get help, the casualty should be placed on their
side with their airway open (recovery position).
zz If the casualty is conscious and
breathes with difficulty, the best
position for effective breathing
is to seat him or her upright or
leaning slightly forward.
3. Call for help: Call EMS or
furtherhelpif notalreadydoneduring
primary assessment a) Call first – for
help and b) Call fast – emergency
service, once assessment has been
made. Call a pre-determined national
number(s). In European countries a
common emergency call number 112
has been introduced. In the United
States and Canada the number to call
is 911. Further help required may
include apart from EMS - fire brigade,
police, other medical services, poison control centre
etc. India’s all-in-one emergency number is 112:
Telecom Commission, on March 28, 2016, accepted
recommendation by Telecom Regulatory Authority
of India (TRAI) for making 112 as single emergency
number for all services like police, fire and ambulance
in the country. It is a free of cost SMS based access to
the mobile phone users to contact the authorities, in
case of any emergency. “In emergency situations every
passing second counts, whether it is a burglary, theft,
road rage, or a fire spreading, or a citizen struggling
with a heart attack “ the first few minutes are crucial.
It is likely that this crucial time may be lost in figuring
out what number to dial”. Currently, in most countries,
112 is a part of the GSM standard and all GSM-
compatible telephone handsets are able to dial 112 even
when locked or with no SIM card present.
4. Secondary survey: (ABCDE) eventually carry
out further assessment using simple questions or more
sophisticated schemes like SAMPLE evaluation.
5. Additional first aid as the situation requires:
The availability of cellular phones allows hand-free
activation of EMS while initiating care. First aid
providers may administer medication to
zz Help the casualty to administer his or her
prescribed drugs for:
ÂÂ chest pain suspected of cardiac origin:
aspirin, nitroglycerin
ÂÂ bronchial asthma: bronchodilator
ÂÂ anaphylactic reaction: epinephrine
zz For specially trained first aid providers, to
administer certain medicines upon his or her
discretion, if local regulations allow.
ÂÂ for decompression sickness, for scuba
divers: oxygen
ÂÂ narcotic overdose: Naloxone
Oxygen is considered as a medication and different
regulations are followed regarding administration by a
first aid provider. If local regulations permit, first aid
providers trained in the use of oxygen may be allowed
to administer it for victims of hypoxia.
Cardiopulmonary resuscitation (CPR) is a
lifesaving technique useful in many emergencies in
which someone’s breathing or heartbeat has stopped.
The common emergencies include heart attack or
near drowning, The American Heart Association
recommends that everyone, untrained bystanders
and medical personnel alike - begin CPR with chest
12 healthvisionSeptember-2017
compressions. It’s far better to do something than to
do nothing at all if you’re fearful that your knowledge
or abilities aren’t 100 percent complete. Here’s advice
from the American Heart Association:
zz Untrained: Provide hands-only CPR that is
uninterrupted chest compressions of 100 to 120
a minute until paramedics arrive. No need to try
rescue breathing.
zz Trained and ready to go:  If you›re well-trained
and confident in your ability, begin with chest
compressions instead of first checking the airway
and doing rescue breathing. Start CPR with 30
chest compressions before checking the airway
and giving rescue breaths.
zz Trained but rusty: If you’ve previously received
CPR training and you’re not confident - just do
chest compressions at a rate of 100 to 120 a minute.
The above advice applies to adults, children and
infants needing CPR, but not new- borns. When the
heart stops, the lack of oxygenated blood can cause
irreversible brain damage in only a few minutes. A
person may die within eight to 10 minutes. CPR can
keep oxygenated blood flowing to the brain and other
vital organs until more definitive medical treatment
can restore a normal heart rhythm. To learn CPR
properly, take an accredited first-aid training course,
including CPR and how to use an automated external
defibrillator (AED). If you are untrained and have
immediate access to a phone, call 112 before beginning
CPR. The dispatcher can instruct you in the proper
procedures until help arrives.
Figure: 2. Remember to spell C-A-B: The
American Heart Association uses the acronym of CAB-
compressions, airway, breathing to help people
remember the order to perform the steps of CPR
Before starting CPR, check:
zz Is the environment safe for the person?
zz Is the person conscious or unconscious?
zz If the person appears unconscious, tap or shake
his or her shoulder and ask loudly, “Are you OK?”
zz If the person doesn’t respond and two people
are available, one should call 112 or the local
emergency number and one should begin CPR.
If you are alone and have immediate access
to a telephone, call Emergency number before
beginning CPR- unless you think the person has
become unresponsive because of suffocation (such
as from drowning). In this special case, begin CPR
for one minute and then call local emergency
number.
zz If an AED is immediately available, deliver one
shock if instructed by the device, then begin CPR.
Compressions: Restore blood circulation
zz Put the person on his or her back on a firm surface.
zz Kneel next to the person’s neck and shoulders.
zz Place the heel of one hand over the center of the
person’s chest, between the nipples. Place your
other hand on top of the first hand. Keep your
elbows straight and position your shoulders
directly above your hands.
zz Use your upper body weight (not just your arms)
as you push straight down on (compress) the
chest at least 5 centimeters but not greater than
6 centimeters. Push hard at a rate of 100 to 120
compressions a minute.
zz If you haven’t been trained in CPR, continue chest
compressions until there are signs of movement
or until emergency medical personnel take over. If
you have been trained in CPR, go on to checking
the airway and rescue breathing.
Airway: Clear the airway
zz If you’re trained in CPR and you’ve performed
30 chest compressions, open the person’s airway
using the head-tilt, chin-lift maneuver. Put your
palm on the person’s forehead and gently tilt the
head back. Then with the other hand, gently lift
the chin forward to open the airway.
zz Check for normal breathing, taking no more than
five or 10 seconds. Look for chest motion, listen for
normal breath sounds, and feel for the person’s
breath on your cheek and ear. Gasping is not
considered to be normal breathing. If the person
isn’t breathing normally and you are trained in
CPR, begin mouth-to-mouth breathing. If you
believe the person is unconscious from a heart
attack and you haven’t been trained in emergency
procedures, skip mouth-to-mouth breathing and
continue chest compressions.
Breathing: Breathe for the person: Rescue
breathing can be mouth-to-mouth breathing or mouth-
to-nose breathing if the mouth is seriously injured or
can’t be opened.
zz With the airway open (using the head-tilt, chin-lift
maneuver), pinch the nostrils shut for mouth-to-
mouth breathing and cover the person’s mouth
with yours, making a seal.
zz Prepare to give two rescue breaths. Give the first
rescue breath, lasting one second and watch to see
if the chest rises. If it does rise, give the second
breath. If the chest doesn’t rise, repeat the head-
tilt, chin-lift maneuver and then give the second
breath. Thirty chest compressions followed by two
rescue breaths is considered one cycle. Be careful
not to provide too many breaths or to breathe with
too much force.
zz Resume chest compressions to restore circulation.
zz If the person has not begun moving after five cycles
(about two minutes) and an automated external
defibrillator (AED) is available, apply it and follow
13healthvisionSeptember-2017
the prompts. Administer one shock, and then
resume CPR, starting with chest compressions -for
two more minutes before administering a second
shock. If you’re not trained to use an AED, an
Emergency medical operator may be able to guide
you in its use. If an AED isn’t available, go to step
5 below.
zz Continue CPR until there are signs of movement
or until emergency medical personnel take over.
To perform CPR on a child: The procedure for
giving CPR to a child of age 1 through 8 is essentially
the same as that for an adult. The American Heart
Association also recommends the following to perform
CPR on a child:
zz If you’realone,performfivecyclesof compressions
and breaths on the child, this should take about two
minutes before calling local emergency number or
using an AED.
zz Use two hands, or only one hand if the child is
very small, to perform chest compressions. Press
straight down on (compress) the chest about 5
centimeters. If the child is an adolescent, push
straight down on the chest at least 5 centimeters
but not greater than 6 centimeters. 
zz Breathe more gently.
zz Use the same compression-breath rate as is
used for adults: 30 compressions followed by two
breaths (one cycle). Following the two breaths,
immediately begin the next cycle of compressions
and breaths. If there are two people conducting
CPR, conduct 15 compressions followed by two
breaths.
zz After five cycles (about two minutes) of CPR,
if there is no response and an AED is available,
apply it and follow the prompts. Use pediatric
pads if available, for children ages 1 through 8.
If pediatric pads aren’t available, use adult pads.
Do not use an AED for children younger than age
1. Administer one shock, and then resume CPR,
starting with chest compressions- for two more
minutes before administering a second shock. If
you’re not trained to use an AED, an Emergency
medical operator may be able to guide you in its
use. Continue until the child moves or help arrives.
To perform CPR on a baby; Most cardiac arrests
in babies occur from lack of oxygen, such as from
drowning or choking. If you know the baby has an
airway obstruction, perform first aid for choking. If
you don’t know why the baby isn’t breathing, perform
CPR. To begin, examine the situation. Stroke the baby
and watch for a response, such as movement, but don’t
shake the baby. If there’s no response, follow the CAB
procedures below and time the call for help as follows:
zz If you’re the only rescuer and CPR is needed, do
CPR for two minutes (about five cycles) before
calling your local emergency number.
zz If another person is available, have that person
call for help immediately while you attend to the
baby.
Airway: Clear the airway
zz After 30 compressions, gently tip the head back by
lifting the chin with one hand and pushing down
on the forehead with the other hand.
zz In no more than 10 seconds, put your ear near the
baby’s mouth and check for breathing: Look for
chest motion, listen for breath sounds, and feel for
breath on your cheek and ear.
Breathing: Breathe for the baby
zz Cover the baby’s mouth and nose with your mouth.
zz Prepare to give two rescue breaths. Use the
strength of your cheeks to deliver gentle puffs
of air (instead of deep breaths from your lungs)
to slowly breathe into the baby’s mouth one time,
taking one second for the breath. Watch to see
if the baby’s chest rises. If it does, give a second
rescue breath. If the chest does not rise, repeat
the head-tilt, chin-lift maneuver and then give the
second breath.
zz If the baby’s chest still doesn’t rise, examine the
mouth to make sure no foreign material is inside.
If an object is seen, sweep it out with your finger.
If the airway seems blocked, perform first aid for
a choking baby.
zz Give two breaths after every 30 chest compressions.
If two people are conducting CPR, give two breaths
after every 15 chest compressions.
zz Perform CPR for about two minutes before calling
for help unless someone else can make the call
while you attend to the baby.
zz Continue CPR until you see signs of life or until
medical personnel arrive.
Fainting (Syncope) is defined as the momentary
loss of postural tone and consciousness,
characterized by a brisk onset but short duration
and often with spontaneous recovery. Fainting
can happen suddenly and without warning when
blood flow to the brain is impeded or interrupted
(cerebral hypo perfusion) due to an existing
underlying medical condition, emotional
response and physical injury to the head. Other
specific causes of fainting include extreme
exhaustion/fatigue, low blood sugar, reaction
to pain, sight of blood and gore, and existing
problems with the heart.
Recognizing Fainting: Common signs
of fainting often include the following signs
and symptoms:1. Dizziness/lightheadedness 2.
Confusions 3. Nausea 4. Tunnel vision/blurred
vision 5. Weakness 6. Pale, cool skin 7. Sweating
8. Sudden but brief loss of consciousness.
Continued.....
14 healthvisionSeptember-2017
‹‹ Dr. Tejaswi K.P.
Reader- Dept. of Surgery, Bhagwan Buddha
Homeo Medical college, Mallathalli, Bangalore
Consultanat- Surabhi Homeo clinic,
Vidyaranyapura, Bangalore-97
Mob-97311 33819
Email-drtejas2000@rediffmail.com
Does your child
wet the bed at
night ????
How to get rid of this habit ?
Rakesh, a handsome boy aged 18 came to
consult me with his mother, he was hesitant
to narrate his problem so his mom narrated
that he has problem of bedwetting. When I
encouraged this young chap to speak up, he
narrated that he passes urine in sleep at night,
this problem got worsened when he joined
engineering course and started staying in
college hostel. He wept uncontrollably during
consultation when he explained how insulted
and shameful he feels when his room-mates
commented about this.
After a detailed consultation, I prescribed
a remedy called SEPIA to Rakesh and also
counseled him, after 3-4 months of treatment
his bedwetting problem vanished completely
and I could see the confidence and joy in his
face when he consulted me last time.
Bedwetting which is in medical terms
called as Enuresis is a common problem in
young children, Rakesh’s case is a rare one as
it continued up till 18 yrs of age.
A child is diagnosed be suffering with
Enuresis if urinary incontinence continues
beyond 4 years for daytime and 6 years for
nighttime. Before this specified age if child
wets bed, it is normal and it doesn’t need any
medical help.
From birth till the age of 6 years is
required for the maturation of the nerves and
the urinary system to function optimally, to
sense the signal of full bladder. Even after 7
years still your child has not developed this
and wets bed often then you need to consult a
doctor.
‹‹ Types of Enuresis
zz If the child has never been dry at night
-Primary enuresis
zz If the child begins bedwetting after a gap of 6 months or
more – Secondary enuresis
zz Bedwetting happens only at night (Nocturnal) while
sleeping—Nocturnal enuresis
zz If involuntary voiding of urine also occurs in day time
while awake—Diurnal enuresis
Among all types Primary nocturnal enuresis is most
common of all comprising 90% of all cases.
‹‹ What causes Bedwetting?
In majority of cases of bedwetting the cause is not known,
it is assumed to be due to complex interaction of Genetic,
Physiological and Psychological factors.
Some of the other causes include
Genetic- i.e., if parents had it in their childhood then
chances of their children suffering is high.
Bedwetting and Adenoids- Some children who are
suffering with enlarged adenoids, tonsils and nasal polyps
can suffer with bedwetting. Sometimes if these are treated,
bedwetting problem too subsides.
Diabetes, Urinary tract infections (UTI) etc are the other
known causes for enuresis.
Psychological factors: In our clinical experience we have
seen that conflicts between parents, between parents  child
are found to be most common causes which either trigger or
worsen the problem of enuresis in children.
In one case of 8 old boy, who consulted me with his parents
for enuresis, on enquiring with the child it was found that the
child was wetting the bed when ever his parents had fight. A
remedy called NATRUM .MURIATICUM helped the child to
overcome this problem along with the parental counseling.
In one more case of a girl who wetted the bed every night,
on further enquiry it was found that the child was very much
scared of her teacher who was very strict  used to punish
kids for trivial reasons., the girl used to have bad nightmares.
Talking to the teacher about this issue solved the problem, who
adopted more child friendly way of teaching. Of course few
doses of Bach flower remedy ROCK ROSE helped the child to
come out of fear and she became more confident and bold than
earlier.
15healthvisionSeptember-2017
Dosa Recipes
Sweet Dosa
zz Ingredients
raw rice - 1 cup
rice flakes - 1 tbsp
methi seeds - 1 small spoon
Jaggery - half cup
coconut - 1/4 cup (If you want you can add little elaichi)
zz Method
Soak raw rice, rice flakes and methi seeds together in water for one
hour Grind them nicely with coconut and jaggery.
Put the tava on the gas and prepare dosa by adding little oil. (The
gas should be in sim) The dosa could be served with ghee or butter.
Spinach Dosa
zz Ingredients
wheat flour - 1 cup
besan - 1 cup
chopped spinach - 200 gms.
onion - 1 (big)
green chillies - 5 (chopped)
curry leaves - 4-5 leaves
salt to taste
zz Method
In a mixing bowl, put all the ingredients and mix them well with water
to form a thin batter. Then keep it aside for 5-10 mts. Heat a non stick
pan. Pour the batter to form a dosa. Drop a spoon of oil on the sides to
make it crisper. Once its cooked on one side, turn the dosa to the
other side so that it gets cooked well. Repeat the same process for other
dosas also. Serve the dosa with butter.
Sweet Dosa
zz Ingredients
rice-3 cups
toor dal-1/2 cup
channa dal- 1/2 cup
coarsely crushed black pepper
freshly grated coconut
1 whole bunch of finely chopped cilantro
finely chopped green chilies
cumin
salt
oil
zz Method
Blend the rice coarsely in a blender. Blend even the dals coarsely in
a blender. Soak all the 3 powders in Luke warm water adding sufficient
salt. Make sure to add the water just enough to cover the mixture (make
the batter a little thicker than the dosa batter).
Let the mixture set for about one and half an hour. Add cumin, green
chillies, coconut, coriander  crushed black pepper to the mixture  mix
well. Mean while heat a griddle  grease it with a tsp. of oil. Ladle a big
spoon full of batter into the center of the pan and spread it around in
a circular fashion (from inside out) shaping the batter into a thick dosa.
Wait for few seconds and then take a tsp. of oil and spread it over
the edges of the dosa. When the edges turn golden, flip the dosa on the
other side. Again add a tsp. of oil  cook it for a minute. Serve the dosa
with butter.
‹‹ Child is not at fault:
Parents should understand
that, child is not at fault; he/she is
not doing it intentionally. Parents
shouldn’t punish the child in
any way, they should encourage
the child not to do so, but never
punish, taunt them and never
ever discuss it with others about
this issue, esp. in the presence of
their child.
Certain events in child’s
life which might have had an
impact should be assessed, such
as entering school for the first
time, birth of a sibling, etc. open
communication with the child
helps in understanding their
problems, express their feelings
which helps in reducing stress.
‹‹ How to handle bedwetting
Most children get rid of
bedwetting without intervention.
In cases where bedwetting is
becoming overly disturbing
and causing some emotional
problems in the child, parents
should seek medical help.
Reprimanding or punishing
the child will not benefit, rather
it worsens the situation. So the
following child friendly methods
should be adopted.
Motivational therapy: Involve
the child; tell the child that he/
she has to take responsibility of
not voiding the urine at night
in bed by adopting the following
steps
‹‹ Child’s role
ÂÂ Void urine before going
to bed
ÂÂ Keep diary of wet and
dry nights
ÂÂ Change wet cloths and
bedding
‹‹ Parent’s role
ÂÂ Do not punish or scold
since this stress can
make the problem worse
ÂÂ Rewarding the child for
each dry night (Praise,
toffee, stars etc.)
ÂÂ Restrict fluids,
especially caffeinated
drinks (tea, coffee, cola
etc in the evening)
ÂÂ Set alarms during the
night to wake the child
for bathroom breaks.
ÂÂ Make sure that the
child stays hydrated
throughout the day so
that they aren’t thirsty
at bedtime. Pg No. 25.....
16 healthvisionSeptember-2017
Mahanasa Healthy kitchen service LLP
Cancer management center, Sanjaynagar, Blore
Ph - 9620580101
info@mahanasa.com www. mahanasa.com
‹‹ Navane Millet Pulao
Ingredients
For Grinding
zz Cardamom – 2
zz Cinnamon – 1 inch
zz Cloves – 2
zz Coriander powder – 2 tsp
zz Dry coconut – ¼ cup
zz Pepper – 1 tsp
zz Mint leaves – ¼ cup
zz Coriander leaves – ¼ cup
zz Ginger - 1 inch
zz Garlic – 4 cloves
In a mixer grind all these with sufficient water and
keep aside
zz Cardamom – 1
zz Cinnamon – 1 inch
zz Cloves – 1
Coarsely powder these in a pestle and mortar and
keep aside
Other ingredients
zz Navane Millet – 1 cup
zz Water – 2 cup
zz Onion – 1 chopped
zz Methi leaves 1 cup
zz Salt – as required
Method of preparation
zz Add ghee to the pan and roast the coarsely
powdered cinnamon, clove  cardamom.
zz Add chopped onions and Fry
zz After the onions are fried add methi leaves and
roast for 1 minute.
zz Then add navane millet, water, salt and grinded
ingredients.
zz Cook well by mixing or with pressure cooker for
1 whistle
zz Serve hot to eat Navane millet Pulao with any
raitha.
‹‹ Sesame Drink
Ingredients required
zz White sesame – ¼ cup
zz Milk – 2 glass
zz Jiggery – 2 tsp
zz Elaichi powder – 1 pinch
Method of Preparation
zz Roast the sesame seeds until golden brown
zz Grind it to make it powder along with jiggery
zz Mix this proportion with hot milk
zz Add a pinch of
elaichi powder and serve
to drink
‹‹ Bilva soup recipe:
Ingredient:
zz Barley – ¼ cup
zz Jujube seeds-1/4
cup
zz Horsegram– ¼ cup
zz Green gram – ¼ cup
zz Urad dal – ¼ cup
zz Bilva unripe fruit powder – 2 tbs
zz Buttermilk – ½ cup
zz Jeera – ½ tbs
zz Ghee – ½ tbs
zz Mustard – ¼ tbs
zz Hingu – 2 pinch
zz Salt - for taste
Procedure:
zz Soak Barley, Horse gram, jujube seeds, green
gram, urad dal separately for 3 hours
zz In a thick bottomed kadai / pressure cooker cook
all these soaked grains and add bilva fruit powder,
little ghee and salt.
zz Once it cooked thoroughly take it out and transfer
it into bowl
zz Once it is warm add butter milk, sprinkle jeera
powder
zz Season it with ghee, mustard seeds and hingu.
‹‹ Bay leaf pudding:
Ingredient:
zz 1. Roasted red rice flour 2 cups
zz 2. Grated jaggery 1 cup
zz 3. Ripen banana 2
zz 4. Grated coconut ½ cup
zz 5. Cardamom powder 1 table
spoon
zz 6. Bay leaves
Procedure:
zz Wash and clean the bay leaves
and make it cone shape using
sticks
zz Take a pan and dry roast red
rice and powder it finely
zz Transfer this powder into a kadai and add grated
jaggery
zz Then add grated coconut , smashed banana and
cardamom powder
zz Add salt for taste
zz Fill this mixed ingredients to cone shaped bay leaf
and cook it in the steamer
zz Remove bay leaf before serve.
‹‹ Asthishrunkala chutney
Ingredient:
zz Asthishrunkala chopped and cleaned - 1 cup
zz Tamarind - 1 small lemon size
zz Whole dry red chilies - 7 to 8
zz White sesame seeds - 2 tbsp
zz Urad dal - 2 tsp
zz Oil - 2 tsp
zz Salt for taste
Preperation:
Healthy
Recipes
‹‹ Dr. Rekha Ganesh Kotyan ‹‹ Dr. Archana. C
17healthvisionSeptember-2017
zz Wash and chop Asthishrunkala into one inch size
pieces.
zz Soak it in tamarind water
zz Roast white sesame seeds and other whole spices
in little oil and keep it aside
zz Sauté asthishrunkala in one tsp oil, till it changes
its color slightly into brown. Let it cool completely.
zz Grind it into chutney consistency by using little
water
‹‹ Asthishrunkala
Botanical name: cissus quandragularis
Kannada name : mangar balli
Its also called as Asthisamhari in Sanskrit because
it heals bone fractures.
Uses: loss of appetite, blood purifier, arrest the
bleeding, best in bone fracture healing, osteoporosis,
pain etc.
‹‹ PEPPER RASAM FOR MONSOON
Ingredients
zz Pepper Powder – 1 tsp
zz Jeera – 1 tsp
zz Ginger, Garlic paste – 1 tsp
zz Tamarind juice – 5 tsp
zz Hing – a pinch
zz Curry leaves – 6
zz Salt for taste
zz Jaggery – ¼ tsp
zz Ghee – 3 tsp
zz Mustard seeds
Method of Preperation
zz Seasoning with Ghee, mustard seeds, jeera, ginger
garlic paste, hing and curry leaves
zz For this seasoning ass tamaring juice, pepper
powder, salt and sufficient water
zz Boil for 5 min
zz Add jaggery, boil for 5 min and serve
Benefits of Rasam
zz Increases digestion
zz Helps to releive gastritis, bloating and indigestion
zz Best home remedy for cough, cold and fever
zz It is one of the soup which is tasty and healthy for
this monsoon
‹‹ Barley Ganji
I n g r e d i e n t s
required
zz Barley – 1 cup
zz Water – 6 cup
zz Crushed Ginger – ¼
tsp
zz Powdered Cumin –
¼ tsp
zz Pink salt – 3 pinch
zz Pepper powder – ¼
tsp
Method of
preparation
zz Boil one cup of barley with six cups of water until
the barley is completely boiled
zz Then filter the water in a vessel
zz To this add the crushed ginger, cumin powder,
pepper and salt
zz Churn this mixture well
zz Drink when it is hot for better healthy effects
‹‹ Shami pods sabji :
Ingredients:
zz One bowl pods
zz Two medium potatoes
zz Cumin seeds ¼ tsp
zz Bay leaves 2
zz Green chillies 2
zz ½ tbs cumin powder
zz ½ tbs coriander powder
zz 1 tsp red chili powder
zz 1 tomato
zz Salt
zz Ghee
zz Chopped coriander leaves
Procedure:
Wash fresh pods thoroughly and cut into half inch
pieces, discard the
edges
Take a thick
bottomed pan, put 2 tbs
of ghee
Add cumin seeds
and Bay leaves green
chilies and pods , fry it
Add boiled, peeled
and diced potato and
tomato stir well
Add other spices,salt - cook till almost vegetables
becomes tender
Remove from flame and transfer it into serving
bowl Garnish it with chopped coriander leaves
‹‹ Jackfruit seed Obbattu (Puran poli)
Ingredients:
Jackfruit seeds( skin removed) – 200 gm
Sugar – 200 gms
All-purpose flour- 200 gms
Salt – a pinch
Ghee – ½ cup
Cardamom powder – 1 tsp
Preparation:
zz Knead all-purpose flour with salt and little ghee,
prepare soft dough. Keep it aside for one hour.
zz After soaking seeds 2 hours in water, remove
brown skin completely and pressure cook until it
becomes soft.
zz Grind it finely by using little water.
zz Take this batter in a pan, add sugar cook in medium
flame with continuous stirring. When it starts to
stick it to pan, add little ghee, till it becomes thick
zz Turn off the flame and add cardamom, mix
thoroughly.
zz Once it is cooled, make small lemon sized balls.
zz Make small puris by using dough and place lemon
size roasted seed balls on the puris. Completely
enclose, seal it and roll it slowly
zz Roast this roti sized obbattu in a tawa both the
sides with little ghee
18 healthvisionSeptember-2017
‹‹ Dr. K. Bhujang Shetty
Founder Chairman, Narayana Nethralaya
Bangalore, Karnataka
Telephone no: +91-80-66121300-305
Email : info@narayananethralaya.com
info@nnmail.org
Website : www.narayananethralaya.org
Diabetes is not only sight
threatening but also life threatening
disease if not detected early and
managed well. It is a workable disease
if you catch the devil young and are
willing to change your life style. But
unfortunately in India it is developing
into an epidemic and is a real ticking
time bomb.
An estimated 40 million Indians suffer from
diabetes and, according to experts, the problem
seems to be growing at an alarming rate. By
2020, the number is expected to double and reach
epidemic proportions, even as half the number
of diabetics in the country remain undiagnosed
Worse still, diabetes has debilitating consequences
on many of the body’s vital organs if remained
unchecked and controlled, the biggest problem
being that of eye sight. .
Experts across the country consider India to be
the diabetic capital of the world and the condition
a ticking time bomb waiting to explode. However,
of more concern is the fact that awareness of the
condition’s consequences is quite low. While blood
sugars need to be controlled, patients are seldom
aware that in the long run it can affect eyes,
kidneys, heart and every single vital organ of the
body
Diabetics are 25 times more prone to blindness
when compared to non diabetics. We Indians have
a genetic predisposition for diabetes but there are
the contributing factors which precipitates early
diabetes
The eye is the most common organ to be
affected by diabetes in the long run. So it is
essential for diabetic patients to be aware of
this fact and that blindness through diabetes
can be avoided to a great extent through
regular check ups.
Diabetes patients should undergo an eye check
as soon as the condition is detected and regular
yearly checks thereafter or as frequently as the
doctor recommends. This will enable the early
detection and prevention of eye diseases through
laser and other treatments. Doctors estimate that
early detection will enable the halting or at least
the slow down of diabetes-related eye diseases.
Diabetic patients tend to ignore this problem
since the symptoms might not manifest
themselves overtly. He may go 10 years without
any obvious problems, but it might have set in
internally however, a doctor will be able to detect
the problems during regular checks and begin
remedial measures. But if the patients ignore
it, it might be too late when he actually realises.
If the problem becomes more acute and leads to
bleeding, then only surgery can set this right. The
point is all this can be avoided through awareness
and preventive measures.
‹‹ Diabetes
Diabetes is a lifestyle disease and it is essential
to keep preventive aspects in mind. Family history
plays a major role in diabetes. A person stands a
40 per cent chance of getting diabetes if the father
has it, 60 per cent if the mother has it and a 90
per cent chance if both parents have it. Also, men
are more prone to diabetes than women. Its onset
can be delayed if weight is kept in check, regular
exercises and stress is minimised, it is also helpful
to keep in mind that statistics indicate diabetes
is more prone to urban dwellers than rural - an
estimated 12.5 per cent of urban dwellers are
prone to it, as against just 4 per cent of rural
dwellers,
‹‹ Some facts about diabetes and its relation
to the eyes
zz The commonest cause for blindness in
developed countries is diabetes and the
contributing factors are
zz Longer the duration of diabetes - more the
chances
zz Even if diabetes is under good control it
can affect the eyes in the long run; if poorly
controlled - more likely
zz If associated with high blood pressure,
high cholesterol levels -eyes are likely to get
DIABETES
Eye care
- A devil in disguise
19healthvisionSeptember-2017
NN-4
Opened at Bannerghatta Road, Near Meenakshi Mall
Super Speciality Eye Hospital 
Post Graduate Institute of Ophthalmology
NABH accredited Hospital
Rajaji Nagar	 :	080 66121401 - 1402
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affected
zz There are 50% chances of eye involvement
if you have diabetes for more than 10 years.
Diabetesprimarilyaffectsthefilmortheretina
of the eye and if not detected and treated early
can lead to irreversible blind ness
‹‹ Prevention is better than cure
Prevention is better than cure is not just
a frequently quoted statement but is actually
important for a healthy and long life If you have
any of the above predisposing factors do keep
a close watch on your blood sugar, and the early
signs of diabetes are
zz Excessive thirst
zz Excessive hunger
zz Excessive urination
zz Unusual weight loss
‹‹ Some mandatory dos and don’ts
If you are already a diabetic, keep a tight control
on your blood sugar, a close watch on your diet and
shed those excessive pounds. The couched-potato
life style must change.
Have your eyes checked for diabetic changes
at least once a year even if you can see well.
Diabetes is not only sight threatening but also
life threatening disease if not detected early and
managed well. It is a workable disease if you catch
the devil young and are willing to change your life
style. But unfortunately in India it is developing
into an epidemic and is a real ticking time bomb.
It has considerable medical, social, financial
impacts. Half the battle can be won by creating
awareness of disease and learning how to live with
it. We need to have a multi-pronged approach with
diet, drugs, exercise and life style changes-all in
equal measures and as it is popularly said “Avoid
hurry, worry and curry”
20 healthvisionSeptember-2017
MuniYogaMuniYoga
An innovative concept of:
Dr. Krshna Life Sciences Ltd.
Bringing Life to Science TM
Phone: 91 - 820 - 2572819
E-mail: ayurved@yahoo.com
http://www.ayurvedas.com
‹‹ Part-3
‹‹ Asubhaanussati
The human body is composed of Dvatimsaakar
(32 organs or components) namelyKesa (scalp hair),
Loma (body hair), Nakha (nails), Danta (teeth), Tacho
(skin), Mamsa(flesh), Nahaaru (muscle fibres), Atti
(bones), Attiminja (bone marrow), Vakkham(kidneys),
Hadayam (heart), Yakanam (liver), Kilomakam
(pancreas), Pihatam(spleen), Pappassam (lungs),
Antam (intestines), Antagunam (terminal intestine
orrectum), Udariyam (stomach), Kareesam (feces),
Maddha lungam (brain), Pittam(bile), Semham
(saliya), Prabbo (pus), Lohitam (blood), Sedo (sweat),
Medo (adipose),Assu (tears), Vasaa (muscle fat),
Khelo (earwax), Singhaanika (nasal Excreta),
Lasika(subcutaneous fluid), Mutta (urine).
To utilise these 32 components or organs of a body
as the subject matter of Dhyaana or meditation is called
Asubhaanussati. This can be achieved as follows:
1) The external attraction of the physique of
creatures deceives the fact that it iscomposed of
impurities (Dvatimsaakaara). When one realises the
impureness ofbody, its contact also is perceived as
impure.
2) The Asuddhi (impureness) of body is explicit
with its putrefaction. Hence, one shouldtry to perceive
the body in terms of its individual components in its
colour, structutre ,smell, location and thus its impurity.
3) The impurities of the body are more impure than
the place of burial because at theburial ground the
nature is pure whereas in the ever decaying body there
is no pureorgan or component.
4) The gutter carrying sewage water, giving rise
to insects and worms being impure, thebody too
undergoing a decay every moment is akin to a pit
(storage tank) of urine and faces.
5) All forms of wastes moving about the body, it is
similar to the sewage/ septic tankwhere innumerous
insects and worms dwell.
6) Being the seat of innumerable diseases this body
is the conglomeration of fevercausing ulcers which
succumbs to incurable diseases, becomes a putrefied
cadaver.
‹‹ Maranaanussati
Every creature born is destined to die - to realise
this and carry out Dhyana (meditations) as follows is
called Marananussati.
1)Lifeissimilartoanoillampthatgetsextinguished
after the consumption of oil and wick. When the life’s
fuel is exhausted death is certain. One realises his fate
by looking at the death of others before him.
2) The luckiest people in this world too have died.
Similarly I too will die one day. Deathwill overtake me.
3) Death is certain with birth just like a butcher
is eager to kill his bait - similarly deathwaits for
everybody.
4) As the sun rises only to set, similarly the death
follows to end life.
5) Just like a bubble in the water breaks, the dew
drops dry up, a line drawn on watervanishes, prey is
killed by its enemy, death is certain wherever there is
life.
6) The Arahantas endowed with the
supreme Conscience (Prajna) endowed with
utmostrighteousness and supernatural powers,
who attained enlightenment, the PacchekaBuddhas
who attained self enlightenment and the Sammaa
Sambuddha withinnumerous followers also shall die.
Then, what about an ordinary being like me?
7) The Internal and External Pacchaya (factors)
that sustain the life themselves whenderanged can
result in death. Hence, definitely we are dying every
moment!
‹‹ Anapanasati Meditation
Meditation is a training to keep the mind in the
present tense, as present tense is the onlyreality in
life. Buddha has given fourty objects for meditation
which are suitable fordifferent types of people
having different mentality. Breathing is one among
the fourtyobjects, also the most useful object which
any type of person can use as an object ofmeditation.
Breathing meditation is called as 'Anapanasati'.
Here the meditator has to sitstraight with his spinal
chord in erect position using Padmaasana. Then he
shouldobserve his own normal breathing by keeping
his mind near the tip of the nose or nearabdomen.
As soon as one starts observing his own breathing
one starts getting umpteennumber of thoughts. Then
instead of observing the breathing one should start
21healthvisionSeptember-2017
observingthe thoughts. By that time one realises that
there are only five types of thoughts one canget while
meditating. And for that matter all human beings get
only five types ofthoughts.
BuddhanamesthesethoughtsasPanchaneevarana
or five obstacles of meditation. These neevaranas or
obstacles are as follows :
In Pali language
The thoughts connected
with sense organs
- Kamachchanda
Thoughts connected
with anger
- Vyaapada
Thoughts connected
with restlessness
- Uddachcha Kukkuchcha
Thoughts connected
with laziness
- Tinamidda
Thoughts connected
with doubt
- Vichikichcha
One’s meditation never starts until these
thoughts are prevented. For this Buddhahas
preached the Arakkha Bhaavana or Rakshana
Manthra which are thepreventing measures to
keep away all the five obstacles. Buddhanussati
preventsthe thoughts connected with restlessness,
laziness and doubts. Mettaanussatiprevents the
thoughts connected with anger. Asubaanussati
and Maranaanussatiprevents the thoughts
connected with sense organs. Once all the
obstacles areremoved/prevented real meditation
starts. and one gets different absorptions(Zaana)
and finally gets Enlightenment (Nibbana).
‹‹ Absorption (Zaana)
These are called pancha zaans or five absorptions.
They are as follows:
1. Vithakka (Selecting the object): Buddha has given
40 objects on which meditation isperformed for
different types of people. The most appropriate
object which suits alltypes of people is breathing.
Here one can observe the breathing either near
the tip ofthe nose or on the stomach.
2. Vichara (Focussing on the object): Here one
should focus on the object.
3. Piti means happiness in the body. Ultimately it
may lead to levitation of the body.
4. Suka means happiness in the mind or rapture.
5. Ekaggatha means one pointedness on the object
of meditation with equanimity. This is the fifth
Zaana.
After this Buddha asks to change the object of
meditation .
5th Zaana object is awareness of infinite space.
6th Zaana object is awareness of infinite
consciousness.
7th Zaana object is awareness of nothingness.
8th Zaana object is awareness of neither perception
nor non-perception.
One who crosses beyond the 8th Zaana gets the
glimpse of Nibbana - the ultimate truthfor a fraction
of a second and he is called a Sothapanna, the stream
enterer who hasentered the path which leads to the
enlightenment.
22 healthvisionSeptember-2017
Dear Readers, I am very happy to introduce to
you, a very rare personality. Before that, Kindly go
through the gist of my play and a few words about the
health care situation around us, as the background for
this interview.
Background:- In My stage play Adhunika
Asuraru, (modern demons) to observe health status
of people on earth, Dhanwantari (doctor of angels
in heaven)and Ashwini brothers ( twin doctors
in heaven ) arrive on earth. They are astonished
to observe following facts. Common people have
carelessness towards their health; a mentality not to
go to doctors, till they reach chronic stage of disease;
transport problems of remote villages and towns;
shortage of doctors; Hospitals without medical
experts; indifference of family, society and people,
towards health care of women, children and senior
citizens; self medication of people; frequent change
of medicines and doctors by people, as per the advise
of friends and relatives; an illusion that, health can be
purchased in the market as other goods and services;
misconception that, their health can never deteriorate;
and so on. They find out that, health is right of people
and duty of ruling government. They were shocked
to observe that, there is an acute shortage of medical
and diagnoising equipments; rural health care is
mismanaged by fake and inexperienced doctors and
geographical inaccessibility. The central theme and
message of my play was, though earning more and
more money was good, it should never limit our very
existence.
Present Health Scenerio:- It is very shocking
and alarming to note, the changes in lifestyle,
concentration of all efforts towards making money,
not taking nutritious food at right time and in right
quantity, contamination of environment, Air, water
and noise pollution, and diseases connected with these;
inavailability of doctors at emergencies; the distance
between doctors and patients; a heavy consultation
fees of doctors and specialists; costly medicines; arm
chair specialists, limited to their consultation rooms;
road accidents …….! Oh God where is the solution!?
------ is the exclamatory words from emotionally and
socially concerned!
suddenly we listened to one young voice from
Bangalore. “No person should die for the simple
reason that, hospital and clinic are far away. That is
way, I have opened mobile health chariot. “ This in the
voice of a 35 year old doctor, whom I met recently in
Sarjapur Bangalore and had a very fruitful dialogue,
a whole day. This doctor narrated various incidents
and his mindset, in his life, which brought him to this
stage. He is none other than Dr. Sunil Kumar Hebbi.
This young doctor with remote rural background,
is from mamdapur villege of Babaleshwar Taluk,
Vijayapura district. He has selected a noble path of low
cost or no cost Health care, including check up, service
and distribution of medicines. His unique experiences
during his childhood and younger days have shaped
him to enter a rare path of destiny.
Childhood:- About 30 years ago, his village was 45
kms away from the then Bijapur. His mother Mahadevi
was a housewife. His father Sangappa Hebbi was an
agriculturist and a medical shop owner. When this
doctor’s grand mother was seriously ill, there was
no transport between his villege and Bijapur. She
was taken by a bullock cart, with great difficulty and
suffering. As a child of 5 years, sunil had seen all this.
Mamdapur village which had no doctors for a long
period, suddenly received a primary health centre and
a doctor. That Doctor B.P Rao was a neighbourer of
sunil and became very popular with his service and
attitude. people used to call him as God. observing this
sunil felt that, there is some special thing in becoming
a doctor. There were no doctors in sunil’s family
and relations for several generations. His 5 family
members and 16 relatives had medical stores. When
‹‹ N.V Ramesh
Mob:- 98455-65238
A Very rare, inimitable
young doctor, with public
Health commitment
Dr. Sunil Kumar Hebbi
23healthvisionSeptember-2017
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Specialised in :
24 healthvisionSeptember-2017
sunil expressed his desire to become a doctor, all of
them were very happy. Sunil joined medical college
in Bijapur (now Vijaypura). Though he was a medical
student, he and his friends used to take free tuitions
and conduct free computer classes for poor and needy
students. In 2006 sangamesh babaleshwar motivated
sunil, to to do yeoman service in educational activities
for poor children. After completing M.B.B.S in 2007,
Sunils mind and spirit were forcing him to take action,
to bring any social change or at least to contribute
his contribution to society.In 2008 Dr. Sunil came to
Bangalore and joined a nursing home for internship,
for 1 year 3 months. Daily he witnessed 60-70 patients
and their inabilities to purchase costly medicines. He
thought. “ should I open a clinic?”. During weekends
this doctor associated himself with HELPAGE, and
participated in 6 health care camps with enthusiasm,
in Banashankari and Anekal, providing basic health
care to aged ( i.e checking blood pressure and sugar
level) in old age homes and distributed free medicines.
Like all other youngsters, Dr Sunil Kumar as a
young doctor, also dreamt of earning more money and
achieving a higher position. He joined a corporate
hospital and was earning a huge sum as his salary.
But within a year, an unforgettable incident happened
and this dream was broken and a new way of life
and commitment flashed. In the words of Dr. Sunil “
On one day in February 2010, I saw a person laid on
hosur road, severely injured in a serious accident.
He was in a pool of blood. His head was injured; his
hands and legs were damaged. He was like an orphan,
as no body was there to care him. There were many
around, who were mere silent observers and even
a few were busy in clicking their cameras. No body
rushed to help him, as they were afraid of police and
enquiry. I gave him first aid, with my kit kept in my
car and put the seriously injured in my car, with the
help of two present there and got admitted him to
the nearby hospital. Later I got a phone call from the
family members of that patient, when he recovered
due to the timely emergency Medicare. My heart was
full of joy and content. They wept, thanked and offered
to pay any amount, for having saved invaluable life of
that person. I told them, that it was my first duty as
a doctor. My mind got disturbed and I thought for a
few moments. Health care is a challenge for poor and
downtrodden. I felt and decided to do something in
this regard”. This doctor left the hefty paying job in a
corporate hospital.
Matrusiri Rural development youth
institution:- was constituted by this Doctor, in 2007 in
Bijapur and it has continued its service in Vijayapura
and was extended to Bangalore from 2008. Dr Sunil who
is the head, says “We like minded youth, of same age,
have formed this institution, to provide honest health
protection services to those, who are below poverty
line”. He has conducted health checkups of more than
30,000 needy poor patients, and provided services to
them. He charges Rs 100 from those who can afford to
pay, for basic health check up and medicines. But He
has not forgotten, to give free service to 10 to 15 patients
a day. He is diverting a portion of his income, from
his agricultural land in his village, for his noble work.
This doctor has understood problem of patients in
coming to doctors and he has taken medical facilities
to the needy people, wherever they are. In Bangalore,
Sarjapura is an I.T Hub place and it is developing
very fast. Hence building construction activities have
increased in this area. Thousands of construction
workers and labourers have been migrating. When
poor don’t seriously care for the protection of their
health, easily curable diseases also reach serious
stage. Hence is team intends to change this mentality,
and increase interest in people about their health care.
Mobile Doctor Clinic:- Dr. Sunil borrowed a car
from his friend, and after repairs, that car was got
converted in to a mobile health unit. It had Doctor’s
Travel kit, consisting of B.P apparatus, Glucometer,
Thermameter,E.C.G Machine, pulse oximetre, folding
examination table and folding chairs. Any where, the
vehicle could go, and fix equipments and start clinic.
From Face Book and other social medias, this
25healthvisionSeptember-2017
doctor searched and selected many non-medical
volunteers, interested in weekend social service.
This network extended and this team has reached 350
doctors on the list. At the time of commencement the
doctors who joined Dr Sunil kumar in this campaign
were, Dr. Proadeep V dentist from Kengeri, Dr.
Bhanuprakash neuro surgeon from Kumaraswamy
Layout, Dr. Ashok kumar from K.M Doddi Govt.
Hospital and Dr. Satish shindre from avenue road. In
this team dentist Dr. N Pradeep takes care of cleaning
and protection of teeth of people. Dr Bhanu Prakash
is serving senior citizens with wholeheartedness.
Nagarajan Iyer, a medical representative is
helping, in procuring supplies of medicines. Earlier
commenced in the name of Vatsalya charitable
clinic, this work is continuing, in the changed
name. low cost or no cost Health care has been given
to about 85,000 patients from the Bangalore rural area.
Now there are 1200 Non-medical volunteers and a
few medical representatives have been supplying free
medicines. In the weekend list of volunteers, there are
working women like Shweta, Shailaja Akki, House
wives like Anamika kumari. These volunteers
survey in 50-60 km radius and search for needy poor
patients. Thus based on needs, this mobile health unit
is working hard. Dr Sunil declares “ Now it Is time, to
return to this society, for whatever I have received from
this society. Though I have received encouragement
from public and volunteers, I look forward for more
support.” Sunil wants to establish charitable hospital
in Bangalore and Vijayapura. Sunil , inspired by
R.V.M foundation hospital in Banneraghatta, wants
to establish charitable hospitals in Bangalore and
Vijayapura. Sathish who is running a N.G.O., Prema
Foundation, has supported sunil from last 4 years. He
says “ Having come from low economic background, I
know the importance of education and basic health
care for the needy. Hence I have participated in 350
camps arranged by this doctor”. Industrialist Anil
Shetty remarks “many doctors think of achieving
greatness and creating record in their profession
and their earnings. But this doctor who is doing a
yeoman service to society, is totally different. He has
reestablished faith in doctors and profession”.
Memorable Incident:- 300 construction laborers
were working in the construction of a big apartment
complex in Bangalore Suddenly their skin got rashes.
Insects living in that area had spread this allergy. This
team gave titanus injuctions and through several
visits, gave treatment and cured them. This was an
unforgettable moment in the life of doctor Sunil. In
his interview Dr. Sunil Kumar Hebbi, again and again
has stressed the following points:- “ Health care is
the basic right of people and not a facility. There is
shortage of facilities in this country. we must give
health care and medical support to economically
backward people, at a low cost. That is way we have
been conducting health camps every week, in oldage
homes, slums, building construction sites, in and
around bangalore“
Dear Readers, now give your remarks. Is this
doctor special and rare!?
Alaram Therapy: An alarm devise is connected
to child’s collar and a sensor attached to child’s
undergarments, as soon as child starts urinating in
the sleep the sensor makes alarm to beep and child is
awaken.
Along with bed wetting, if a child has burning
pain while passing urine, scanty urine or frequent
passing of profuse quantities of urine, change in the
color of urine, weight loss, fever etc these need to be
investigated and a doctor should be consulted for
proper evaluation and treatment.
‹‹ Homeopathy in curing bedwetting children.
Through Homeopathy bed wetting (enuresis) can
be successfully treated. A specially designed Enuresis
–Protocol, is applied in Surabhi Homeo Clinic in
treating Bedwetting. Such an approach has given us
success in many cases of Bedwetting (Enuresis).
This protocol consists 4 major points
zz Understanding the underlying cause for
bedwetting
zz The unique symptoms of the child with bedwetting
problem
zz Genetic constitution of the child (Hereditary
influences, Miasm)
zz Counseling of the child and parents.
Right Homeopathy treatment not only relieves the
child from the problem of bedwetting, it also makes the
child mentally confident  helps in building a strong
immune system.
.....Pg No. 15
26 healthvisionSeptember-2017
A chronic and relapsing brain disease is considered
as drug addiction which causes an individual
to compulsively use and abuse substance which
consequently changes the structure and functions of
brain in a harmful manner. Abusing any kind of drug
interferes with the person’s decision making ability
and self control also generates a strong impulse so
that a person is forced to use drugs and because of
the complexities caused in brain by substance abuse
it becomes difficult for a person to stop abusing
substances. It is not a matter of willpower to stop
abusing drugs as many people consider it because of
the deep impacts these drugs cause on brain.
Initiallydrugswereusedfortreatmentof anailment
but today’s modern world is abusing such drugs in a
quantity that is life threatening. Where smoking and
drinking has become a common problem, using and
abusing drugs to feel ‘high’ is in trend now a day. Even
being aware of the side effects of using drugs is not
helping today’s generation to stop indulging in them. It
takes medicines to treat addictions and therapies like
behavioural therapy for most patients to get them out
of addictions. But relapse can occur but that doesn’t
mean that the
treatment is
failed but that
t r e a t m e n t
needs to be
adjusted or
there is a need
for alternate
t r e a t m e n t .
D i f f e r e n t
t r e a t m e n t s
work for
different person because of their drug types, patterns,
amount, etc.
If we go back to the ancient times there are
mentions of ‘madira’, ‘soma rasa’, etc. and now a day
there a lot of drugs which are natural like opiates and
synthetic like opioids and many more.
‹‹ How drugs interact with brain?
Drugs are chemicals, when we use drug either by
injection, eating, smoking, etc. these drugs take over
the communication system of brain and alter the
usual way the brain cells work. Different drugs works
differently because of their chemical structure. There
are two ways of drugs working in brain.
zz By imitation of the brain’s natural chemical
messengers.
zz By overstimulation of brain’s ‘reward circuit’.
Drugs like marijuana and heroin act as
neurotransmitters because of their chemical
structures. But these cannot imitate the natural
functions of neurotransmitters and neurons send
abnormal messages through brain which can be
harmful for both body and brain
Otherdrugssuchascocaineandmethamphetamines
they interfere with brain functioning and cause nerve
cells to release dopamine in excess amount which can
interfere with communication channels. Dopamine
neurotransmitter is associated with creating feeling
of pleasure. These drugs take dopamine control and
cause dopamine flood into our systems which causes
“HIGH” or vigorous excitement and happiness also
known as euphoria.
Our brain works as repeating the activities that
caused happiness or are healthy and teaches us to
do these activities again and again without a need to
think about it. After repeated use of such drugs brain
starts to adjust the dopamine flow. Because of toxicity
of some drugs, many neurons die which causes a
person to feel dull, depressed or just flat. Now person
needs drugs to get dopamine levels at normal and more
drugs are needed to create that ‘high’.
‹‹ Drugs affect three main areas of the brain:
zz Brain Stem: From digesting food to moving blood
and breathing brain stems are in charge. It also
connects the brain with spinal cord and tells the
brain about everything that happens to the body.
‹‹ Miss. Kanchan
Doctorate Student (Clinical
Psychology, Amity Institute of
Behavioral and Allied Sciences,
Amity University Rajasthan)
kanchansingla11@gmail.com
Mob: 09814655111
How Drug abuse
affect brain?
its symptoms and control measures
27healthvisionSeptember-2017
NIKISA Geriatric Center

Rehabilitation Hospital
NIKISA HEALTHCARE SERVICES PVT. LTD.
# 804, 1st Floor, B Sector, Maj. Sandeep Unnikrishnan Road (Double Road)
Yelahanka New Town, Bengaluru - 560 106
email : info@nikisa.com
School Health Checkup Programme
Approach us for
l Recovery of Stroke Patients
l Recovery of AccidentVictims
l Recovery from post operative trauma
l Recovery care during chronic illness
l Palliative care
l RespitecareforelderlyLaboratoryServices
l Physiotherapy services
Tel. No.: 080 41685798, Mobile : 9886951711
zz The Limbic System: This connects the brain
structures that are in charge of our emotional
responses. Like feeling good when we eat ice
cream. We repeat behaviours that made us feel
good.
zz The Cerebral Cortex: It is the outer part of the
brain also known as gray matter. It’s divided into
four lobes that control specific functions. Some
areas control our senses like hearing, feeling,
seeing and tasting. And front lobe known as
frontal cortex or forebrain is linked with thinking
linked with problem solving, decision making,
planning, etc.
The abuse of drugs interfere with the normal
functioning of brain and causes changes that cannot
be reversed. Person’s judgment ability and decision
making abilities are hindered. Also these drugs alter
abuser’s behaviour, memory and learning.
‹‹ What causes addiction?
There are certain factors which collectively can
predict the risk of addiction in a person.
zz Biological Factors: our genes and environmental
factors both collectively make us vulnerable to
addiction. Other mental disorders, ethnicity
and gender also accounts for risk of drug abuse
addiction.
zz Environmental Factors: Quality of life,
socioeconomic status, family and friends includes
in the environmental factors. More factors like
stress, peer pressure, any kind of physical or
sexual abuse can also be a factor for drug addiction.
zz Development: No matter at what age you start
Pg No. 56....
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Disorders
zz Asthma
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zz Infertility Male and
Female
zz Diabetes, Blood Pressure
zz Gall bladder Stone, Renal
Stone
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zz Thyroid Related Problems
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Are you fed up of trying various medications ?
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28 healthvisionSeptember-2017
Recently a spiritual master has taken almost all
space of the media for his wrong doings. In the past few
days, the media are deluged with all kinds of reports
in which that particular Baba has enjoyed life in every
aspect thereafter now he landed in jail. In whatever
form of media you look at, you will find news related
to him only and till date his all round game doesn’t
seem to subsidize as the whole game is about return
on investment which has nothing to bear upon the
theme of devotion. All reports say that devotion has
been shattered by this Baba and shows him as a demon
whereas he is a proven criminal through judicial trial.
He has been on trial for past 16 years and his reach
was ever increasing at that point of time also where
no media house has put forwards reports vehemently
for bringing out the truth and saving gullible devotees.
This is neither the first case of rape by a Baba nor
the work of the media is unquestionable here major
concern is about the devotion of an individual. Why
a person starts following any person blindly in the
name of devotion or faith? Why a person is vulnerable
to exploitation in the name of religion or spirituality?
These are basic questions to think about as putting the
blame on these kind of spiritual masters will not serve
the purpose, yes the news of a Baba in scandal can
give a titillating feeling for some time and therefore
the attention of the viewer can be grabbed by news
channels however the chain of deceiving by a Baba
will continue with some other person brought into the
dock.
The most spiritually superficial people go to such
kind of Baba for getting their greed fulfilled who has
nothing to do with religion or religiousness. It has
been observed that most people with worldly desires
of getting money, a home or a job or a son or in hope
of realization of some other dreams get attached with
such Baba. If a person connects with such hopes and
dreams, then saying their faith has been shattered is
a little bit unjust as they were in some kind of give
and take relation. Devotees were paying donation
and respect in turn they would get the things which
they desired all the time. Baba was demonstrating to
give blessings where some of it gets fructified too, as
he know that it’s a matter of time where the devotees
fail in practicing patience with failing in realizing this
simple fact. So here the matter of faith got shattered
doesn’t make a logical connotation. For all those
people who make hue and cry upon fracture of faith
are getting ready for another one; it’s just that now
this shop has not to offer the stuff they want so they
will visit another shop. This syndrome has continued
since decades. It’s just that in recent times these kinds
of affair have been brought to light due to reach the
media. While saying this, the existence of true masters
cannot be totally denied. It’s the only true master
whose life gives inspiration to others duplicate to copy
lifestyle, speeches and give it a form of market.
Then there are people who posses grey matter in
abundance that gives business of religion a shape of
professionalism and wings to the spirituality. They
emphasize on the mass reach of these Babas on pretext
that every person should get the benefit of his spirit. So
now spirituality is sailing on the wings of marketing
and media. And no one is concerned of the real girth
of spirituality and few do not dare to put forward of
his individual doubts as the spirit of crowd generates
intolerance of mass acceptability. They create a level
of spirituality which has nothing to do with the real
essence of spirit and it spreads without questioning
by good management people in the form of disciple
and followers. These intelligent people are good at
exploiting the greed of fearful people. These gullible
people repeat universal understanding that things
will happen according to time however they put every
effort in greed of getting more than allotted and before
time. The market is flooded with so called Babas who
are now well informed and psychologically trained for
pitching his prospect or customer.
You need to rethink when someone says trust is
broken by deeds of another individual. Everyone
knows faith is unshakable and unbreakable and if it
happens so then it’s not faith. You know a tree of jack
fruit can never give mango. Knowing should be the
basis of this trust. Trust is in like of that child whose
father when fly him high in the air and the child keeps
on laughing as he is certain that when he will come
down his father will catch him definitely. Which kind
of faith and trust is getting talked about where doubt
prevails in mind, greed is lurking and fear has made a
place in the system.
Within a short span of time people will start
searching for another Baba and a few of them would
be in connection of others too so they will leave here
and connect there instantly. They will keep themselves
vulnerable to exploitation and if they get trapped
badly they will blame everything available on this
earth except looking inside. So please check your own
system of thinking, meditatively. If you will be more
aware only conscious master will touch your life or
else if you are in sombre state any unreached master
‹‹ ForeZorba Vikash Kumar
Mindfulness Coach 
Corporate Counselor Mantra
with Zorba (MWZ)
Contact: +91 9741122250
Email: forezorba@gmail.com
www.forezorba.com
Up selling
spirituality
Pg No. 45....
29healthvisionSeptember-2017
M U D R A S
Exploring the Mudra Concept
YOGA
in your
HANDS
Part-3
BREATHING,
VISUALIZATION,
AND AFFIRMATIONS TO
ENHANCE THE MUDRAS
he effect of a mudra can be immensely intensified
with thebreath. This is why it is very important to
know what breathingdoes. When you understand the
following principles, then youcan influence the effect
of a mudra according to your own needs.
zz Pay attention to a symmetrical posture and hold
your armsabout one inch away from your body.
Even this position alonebrings a sense of inner
equilibrium and harmony as it regulatesthe
activity of the nervous system and hormonal
glands.
zz In addition to carbon dioxide, we also discharge
expendedenergy on the subtle level when we
exhale deeply. This is whyyou should always
exhale vigorously several times at thebeginning of
a mudra. Make room for what you want toachieve.
zz Always lengthen the little pause after inhaling and
afterexhaling by several seconds. This is the most
important aspectof the breathing process. The
inner powers are developedduring the pauses—on
every level.
zz When you practice a mudra to calm yourself, then
slow yourbreathing.
zz When you practice a mudra to refresh yourself,
then intensifyyour breathing.
zz The optimal quality of breathing is achieved
when the breath is slow, deep, rhythmic, flowing,
and fine.
At the beginning of a mudra meditation, exhale
vigorouslyseveraltimesandthenletthebreathbecome
deeper and slower. You now have threepossibilities:
First: Focus on your hands and fingers, perceive
the gentle pressure where they touch each other;
Second: While inhaling, you can press the fingertips
together a bit more and let go of the pressure when
exhaling;
Third: You can do it the other way around and
apply a bit more pressure while exhaling and let go of
the pressure when inhaling.
Every variation has its special effect. The
first variation centers, createsinner equilibrium,
and builds up strength in general. The second
variationstrengthens the will and refreshes. The third
variation calms and relaxes.Try out these variations
and feel the difference yourself! It is possible thatyou
won't immediately feel the effect, but it is still there.
The outer circumstances of our lives usually
shape themselvesaccording to our imagination and
the contents of our minds. So we havethe possibility
of shaping our inner images in such a way that we
enjoy life,experience success in our work, and have
relationships on a loving andunderstanding basis. It
is very important to create an unshakable faith and be
filled with both fervor and serenity to accompany our
self-made images.We need to create little experiences
of success for ourselves, since whatfunctions in a
small way will also succeed on a larger scale. We can
slowlybuild and develop this confidence. Just imagine
what would happen if agreat many people would
simultaneously imagine a beautiful world withrich
flora, content animals, happy human beings, and
firmly believe thatthis is possible. Join in—then there
will already be two of us!
If we can clearly express what we do not want and
definitively formulateour wishes and needs, this can
already be the beginning of a neworder in life. For
many years now, I have worked with affirmations—
sometimes more, sometimes less. Time and time
again, their astoundingeffects have astonished me.
For example, my kitten disappeared one day. Irepeated
the same sentence over and over the entire day: With
divinestrength and power, I find my kitten again.
Toward evening, I simplyknew where my kitten was.
The woman was completely perplexed whenI claimed
that my cat was in her garage, but it was true. It is so
simple, andsome people even find it a bit naive. But
things that are particularly simpleand naive usually
have the greatest effective power.
The same principle applies to affirmations as it
does to visualizations.Say them full of faith, fervor,
and serenity. You can say them one to threetimes,
during or after the meditation. You can also pause
for a momentduring the day and speak your
affirmation in a quiet or a loud voice. Makeuse of this
wonderful possibility and talk yourself into what you
reallywant—what is good for you.
If you want to get rid of something stubborn, a
negation can also be helpful.Speak it at the beginning,
while you are vigorously exhaling. For example,This
hatred (or resentment, feeling of guilt, pain, fear, desire
to smoke, etc.)will immediately disappear and dissolve
itself
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success
Upselling spirituality and personality development for children's success

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Upselling spirituality and personality development for children's success

  • 1. 1healthvisionSeptember-2017 Up selling spirituality Low Back Pain Risk factors for heart attacks Dr. Sunil Kumar Hebbi
  • 3. 3healthvisionSeptember-2017 DgÉÆÃUÀå gÀAUÀzÀ ¸ÀªÀÄUÀæ CªÀ¯ÉÆÃPÀ£À, aAvÀ£É, ¸À®ºÉ, ¤RgÀ ªÀiÁ»wUÀ¼À£ÉÆß¼ÀUÉÆAqÀ PÀ£ÁðlPÀzÀ CvÀåAvÀ d£À¦æAiÀÄ DgÉÆÃUÀå ªÀiÁ¸À¥ÀwæPÉUÀ¼ÀÄ Health Visionl Beauty l Nutrition l Fitness l Pharma HEALTHY GIFT FROM THE HOUSE OF MEDIA ICON We care for your health.... VYDYALOKA :- 1 YEAR : 500 2 YEAR : 1000 5 YEAR 2,000 LIFETIME : 5,000 HEALTH VISION : - 1 YEAR : 600 2 YEAR : 1200 5 YEAR 2,500 LIFETIME : 5,000 Address: MEDIA ICON No 2&3, Janani, 1st Floor, 7th Cross, Central Excise Layout, Sanjaynagar, Bangalore-560 094 For Subscription Please SMS/Call : 8197554373 or mail to : mediaicon@ymail.com Send Cheque / DD to Mediaicon VYDYALOKA HEALTH VISION BOTH Amount : Received : It is your home doctor...EªÀÅ ¤ªÀÄä ªÀÄ£ÉAiÀÄ qÁPÀÖgï... And Give as a Gift to someone you love Subscribe SUBSCRIPTION FORM JAM §zÀ®Ä gÁdåzÀ AiÀiÁªÀÅzÉà ¥ÉÆøïÖ D¦üøï£À°è £ÉÃgÀªÁV ZÀAzÁ ºÀtªÀ£ÀÄß CPËAmïUÉ ¥ÁªÀw¸À§ºÀÄzÀÄ. Shrikrishna M, A/c No. : 3338340527, P.O. Name : RMV Extension, II Stage Bank A/c : Media icon, axis bank, sanjaynagar A/c no: 755010200000231 IFS code:UTIBO000755 Annual Subscription 9844060592
  • 4. 4 healthvisionSeptember-2017 Do You Know ? Health tips to elders zz Evolve a life style that emphasis good nutrition, personal hygiene, adequate exercise, rest, moderation in eating habits and above all a positive mental attitude. zz Do not ignore unusual and suspicious symptoms relating to your health. Have regular health checkups even if you feel healthy. zz Ensure that you have a Family Doctor and avoid change of Doctors frequently. Avoid self medication and over the counter drugs. zz Maintain a file of all your medical records which can be accessed by your family members whenever required. zz Carry with you a card containing your name, address, phone numbers of contact persons and your Doctor along with particulars of your drug regime zz Do not stop your medicines all of a sudden without doctor’s advice. zz Cultivate good oral care to prevent infection. Do not be averse to artificial dentures. It improves food intake, digestion, clarity of speech and facial features. zz Keep yourself physically, mentally and socially active. Read and write in sufficient light zz There is no specific dietary rule for elders. Eat healthy food and avoid over eating. Consume a diet high in fibre, low in animal fat and salt. zz Have a good and nutritious breakfast, moderate lunch and light dinner. Include lots of fruits and vegetables in your diet. Avoid fatty and spicy foods. Ensure that you drink 6 to 8 glasses of water a day. zz Ensure that you take a multivitamin tablet daily for better supply of Folic Acid, Vitamin B12, D and E. zz Do not indulge in vigorous exercises. For elders light exercise like walking is the best. Do not be reluctant to rest and relax. zz As far as possible avoid emotions such as depression, worry, fear, sorrow, envy, hate, resentment as they can adversely affect your health and cause visible physical disabilities. Remember that anxiety places more stress on the heart than any other stimulus. Personality development Your steps to Success Did you know that fewer than 10% of people who set goals actually achieve them? How can you ensure YOUR success? Try using the Top 10 Tips below. zz Write Them Down. It’s a fact: writing down your goals gives you a higher chance of success. zz Commit. Move beyond the land of “good ideas” to promise yourself to show up for your goals. Perhaps you can do a ritual or ceremony to symbolize your commitment. zz Tell People. Let your biggest fans is on your new commitments and goals for the year. zz Get Accountability. Even better than just letting others is on your “secret” dreams and goals-get some accountability. Meet for lunch once a month with a group that will ask you, “So, how’s it going with your goal?” Hire a Life Coach. Talk to your best friend. Get some support! zz Make a Plan. Ensure success with a step-by-step plan. Electric Kites Success Coaching loves to work backwards by starting with the end vision of where you want to be and working backwards to where you are today. You’ll find an easy plan to make your goal a reality. zz Do a Goal Check-In. Before you decide on what you’ll take on for the year, make certain you can answer, “YES!” to the following questions: “Am I the primary reason for setting this goal (vs. your mom, boyfriend, wife, boss, society)? Do I feel alive and energized by this goal? Is this goal in line with my life purpose or mission?” zz Get Real! If you’re contemplating putting a goal down that you always put down and never achieve, take a second look. How will this goal end DIFFERENTLY this year? Is this goal something you need to let go of? What purpose is it serving you? What’s a good enough reason to finally achieve this goal? zz Focus With Reminders. Once you’ve got your goals and plan in place, figure out ways to remind yourself. Some Electric Kites’ clients post their goals in their bathrooms or cars. Others put reminders in their palm pilots or cell phones. Figure out what works for you. zz Believe and Visualize. Do you know the story about the group of basketball players who spent one hour visualizing making baskets, while another group actually practiced? The visualizing players had better seasons! So visualize yourself on New Years Eve with all your goals achieved. What would that look like? How would it feel? Visualize once a day and see the difference it can make in your life.
  • 5. 5healthvisionSeptember-2017 This publication is a reference volume only. Do consult your doctors. While the editors do their utmost verify informations published, they do not accept responsibility for its absolute accuracy. Articles, Advertisements published in the book does not imply endorsement by the publisher. Volume-3 Issue-12 September 2017 Contents 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 E-mail: mediaicon@ymail.com Medical Advisors Dr. Chalapathy Dr Ramesh Reddy Dr Muralidhar Dr Prabhakar G. Dr G. Mohan Dr Vittal Nayak Dr Sampath kumar Dr Geethanarayan Dr Dugraprasad Reddy Dr V. Narayana Swamy Dr P. Balakrishna Shetty Dr Sham Bhat Dr Seetharam prasad Dr Padmini prasad Dr venkatramana Hegde Dr K. Bhujanga Shetty Dr. C. Sharath Kumar Dr Keerthy patel Dr B. Ramesh Dr S.S. Hiremath Dr. Vasundhara Bhupathy Dr. Dhanajeyan Dr. M.R. Srivatsan Consulting Editor D V Kumar Design Editor Chandrashekar Gajani Doctors, Hospitals can send their articles and Programs deatails with photographs to Mediaicon - 8197554373 email: mediaicon@ymail.com Contents Hair coloring - Hair dyeing 8 Emergency First Aid Priorities 10 Does your child wet the bed at night ???? 14 Healthy Recipes 16 DIABETES 18 MuniYoga 20 A Very rare, inimitable young doctor, with public Health commitment 22 How Drug abuse affect brain? 26 Up selling spirituality 28 Mudras 29 Ayurvedic Solution For Low Back Pain 30 Substance Abuse: An Introduction 32 Chikungunya-The Disease That Bends U 34 Ayurvedic answer for PCOS 36 Mindfulness Based Stress Reduction 38 Healthy September 40 Creating a better World for All 42 Emergency Contraception- A safeguard against unwanted pregnancies 46 Deep Guilt And Temperament 48 Lung transplant-A ray of hope 49 Risk factors for heart attacks 51 …A thought bothers us a lot 52 How to maintain Dental Hygiene 54 Piles, Fistula and Fissures How are different in symptoms and treatment 55 Head - to - Toe Health Tips 57 Health News 58 l Health Vision and vydyaloka now global magazine. l Subscribe and read to lead a healthy life. l Subscribe for digital editions. ªÉÊzÀå¯ÉÆÃPÀ ªÀÄvÀÄÛ Health Vision http://www.magzter.com/publishers/Media-Icon
  • 7. 7healthvisionSeptember-2017 ‹‹ D A Kalpaja Director, VIMS Editor Speak High-quality early education and child care for young children improves their health and promotes their development and learning. zz Parents ought to prepare their children so that they are able to face hardships of future life and are able to overcome difficult situations with tactfulness zz It is the prime responsibility of every parent to develop emotional, educational, social and professional skills in children. zz Children gradually start preparing themselves as per the aspirations of their proactive parents. zz Every parent in this world desires to be the parent of an intelligent, gifted, bright, smart and active child. We want that even if our child is good at sports, dancing or singing, he must perform exceptionally well at school. zz Parents are desperate to do anything to help their child stand first in class. Some parents punish their child when they don’t do well but it is a wrong approach. Stick is not a good solution. You should motivate your child if you want him to excel in the long run. zz You should encourage your child for recognising his potential, abilities and weaknesses. zz Your motivating words that ‘you can do it’ will definitely do magic. Motivate him to try harder in the next exams. The best thing is self- confidence. zz You should see his notebooks and dairy to know that what your child does at school. You should remain cool headed when you are motivating your child to do home work. zz Don’t demoralise your child if he is not doing well. Encourage him with certain types of material and nonmaterial incentives. If your child is showing disinterest after all your efforts, you can take help of experts and teachers. Tell your child firmly to finish his homework with a little bit of strictness. Don’t allow him to give excuses and arguments. zz Many parents complained that they don’t have time to sit all the time with their children when they are doing homework. You can supervise your child while you are cooking food or doing some other work. Don’t sit with him for the whole time but be aware about what your child is doing. Don’t allow your child to do homework in his room. Arrange a good study table in your own room for your child. zz When parents show their interest in the study of their loved ones, there is no place for poor performance. You should be tactful with your child. Don’t fix the hours of study. Leave it on the choice of your child. Whenever he is in a relaxing mood, you can tell him to study. Be friendly with your child. Be friendly with your child Child care
  • 8. 8 healthvisionSeptember-2017 ‹‹ Dr K Hanumanthayya Professor & HOD ‹‹ Dr Menakaa Mohan Dermatology Department Vydehi Institute of Medical Sciences & RC Bangalore - 560066 ph:080-28413384/82/83. www.vims.ac.in part-13Oh my skin! Hair coloring was done earlier by hair dressers at saloon. Today hair coloring is very simple, user friendly and can be done at their house in 30-40 minutes. ‹‹ History of Hair coloring – The extraordinary history of hair color can be traced back to Sumerians 2000 BC. Nobel Sumerians used to color their gray hairs with golden dye, using silver or gold combs. Ancient Egyptians, Romans, and Greeks began to use hair color which was made from plant and animal extracts regularly. Egyptian women in 1500 BC, colored their hair using henna plant extracts. The Romans believed that hair dyeing and coloring was a symbol of woman’s eroticism, and highlighted her gracefulness and elegancy. By 27 BC, hair dye became a much accepted trend, and both men and women in Rome used hair color as a way of enhancing their looks and appearance. Roman Empire insisted prostitutes to color their hair with yellow color or to wear yellow color wig to indicate their profession. Prostitutes were coloring their hair with ashes of burned plants, flowers and nuts to achieve the yellow hue. Hair dyes were made using henna, crushed nut shells, berries, and vinegar. Red hair dye was prepared by fermenting leeches in vinegar for two months. This mixture was applied on the hair, which was then exposed to the sun for hours to get red hue. In the 1860s, hydrogen peroxide was a common option for hair bleaching. With time, this came to be known as blond dye, until the 1930s. Hydrogen peroxide was used along with other ingredients like ammonia and soap powder. This combination damaged the hair, and burned the scalp. Soon this combination became less popular. Hair coloring and dying took a major leap when paraphenylenediamine (PPD) was discovered by Dr August Wilhelm in 1863. This was the magic substance that was used in creating the first synthetic dye. PPD along with Hydrogen peroxide, which was a gentler option for hair bleaching, together led to a major invention. The invention of this synthetic dye Hair coloring - Hair dyeing (1) Cuticle cells firmly attached to cortex, healthy hair. (2) Ammonia effect – shaft is swollen Cuticle cells are raised from cortex. (3) Overtreatment of hair with ammonia, Cuticle cells are damaged The hair on the head is most striking feature for every person. For a long time, hair has been considered more than just a biological feature, and is more often center of beautification. For women, hair is an ornament that has transformed their beauty at higher level. Black hair symbolizes the younger age, youthfulness, energy and active life. As we grow older, hair turns to gray and silver white. Hence gray hair and white hair symbolizes the old age, sluggish and inactive life. Today everyone wants to look younger, energetic, enthusiast and visually appealing to other people. Hence they hide gray hair by applying color to hair and this process is called “Hair coloring – Hair dyeing”. Hair coloring is more of cosmetic reason and is to hide their gray hairs by old age people. Younger people color their hair as a fashion.
  • 9. 9healthvisionSeptember-2017 PPD resulted in further research and development in hair colors. In 1932, a New York chemist Lawrence Gelb, created a hair dye that would actually penetrate the shaft of the hair, and also not harming the shaft of hair. Today women could lighten, color, shampoo, and condition their hair in just one easy step, in 30-45 minutes. ‹‹ About our Hair: The hair which is visible to eyes on the scalp is called hair shaft. The part of the hair which is inside the skin is called hair root. The shaft is the hard filamentous part that extends above the skin surface. A cross section the hair shaft may be divided into three zones. They are 1) Cuticle 2) Cortex 3) Medulla. The cuticle consists of several layers of flat, thin, colorless cells laid out overlapping one another as roof shingles. The cuticle protects the cortex; cuticle cells lie flat and attached to one another firmly in healthy hair. If the cuticle cells are raised and fine openings are present in between raised cuticle cells, and expose the cortex, means damaged hair shaft. The cortex contains keratin bundles in cell structure along with hair coloring material called melanin. All natural color of hair is due to melanin granules present in colorless keratin bundles. There are two types of melanin called 1) Eumelanin and 2) Pheomelanin. In India eumelanin is the dominant pigment present in hairs and gives black color to the hairs. Pheomelanin is dominant color in Europeans and give red hair. As the person grow older, melanin production decreases and stops. The hair shaft with no melanin looses their natural color and turn gray to white color of old age. The medulla is an open area at the fiber’s center. Hair Dye or hair color is a chemical substance that is used to change the color of hair. Hair dye is used mostly to hide gray hair by old aged people. Young people apply hair dye to change their hair color as a fashion. ‹‹ Chemistry of hair dye – In the 1860s, hydrogen peroxide was used for bleaching hairs. Hydrogen peroxide was oxidizing melanin pigment and lightens the intensity of black color; the hairs were becoming light colored. Hence it was called blond dye. In 1907, Eugene Schuler, a French chemist, developed an innovative hair color formula and called it “Aureole”. This name was later changed to “L’Oreal”. L’Oreal became very famous with Parisian hairdressers and soon it became household product, and women started applying hair dye in their home. ‹‹ The hair colors can be classified into 4 types. 1) Temporary hair color, 2) Semi-Permanent, 3) Demi-Permanent and 4) Permanent hair color 1. Temporary hair color – The pigment molecules are large and cannot penetrate the outer cuticle layer. The color particles remain adsorbed (closely adherent) to the hair shaft and are easily removed with 1 or 2 shampooing. Dye molecules only coat the hairs, it is physical action. The dye molecules do not penetrate the hair shaft; hence there is no chemical action. Hence there is no damage to the hair. These are the least hazardous of all the dyes. Vegetable dyes like “Henna” is very popular dye and is used throughout the World. Henna coats the shaft of hair and increases the thickness of hair shaft. Repeated application of henna improves the hair shaft and do not damage the hair. Similarly extracts of flowers, leaves, fruits and walnut are used to color the hairs. Food grade dyes are also used. 2. Permanent hair color – are the most popular dye products. Permanent hair coloring dyes consists of three components. They are a) Primary intermediates and couplers, coloring agent, b) Oxidants (Hydrogen peroxide) and c) An alkali usually ammonia. The modern permanent dyes consist of “Paraphenylenediamine (PPD or similar Para compounds)” as primary intermediates and “Resorcinol” as couplers. Hydrogen peroxide oxidizes colorless Paraphenylenediamine dye to colorful chemical and also lightens melanin. Ammonia causes cuticle to swell and rise from cortex and also creates few openings, through these openings oxidized PPD dye enters cuticular layer and reach cortical cells. Once oxidized PPD dye accumulates in cortical cells, it gives color to hair shaft. Once the PPD dye has entered the cortical cells, it cannot be dislodged from the hairs even 15- 20 times washes with shampoo. Hence PPD dye is called Permanent hair dye. Alkaline ammonia action continues to act on hair, swelling and rising of cuticle cells continues, hence it is to be neutralized by acidic rinse or to be washed by shampoo, then only ammonia action stop. If ammonia action is not neutralized, hair damage continues and hair becomes brittle and dry. Everyday 0.1 mm hair grows, on 10th day, 1 mm hair grows, and this newly grown hair will not have this new pigment. Hence permanent hair dye is to be applied once in 2 months or 3 months. 3. Semi-Permanent hair dyes coat the hair shaft rather than penetrate. They do not change melanin. Heat is used to deepen the color penetration rather than the use of chemicals like ammonia and hydrogen peroxide. The color lasts for 4-6 weeks (6- 12 shampoo wash). They do not harm the hair as Permanent hair dye harms the hair. 4. Demi-Permanent hair dye falls between the semi- permanent and permanent dye process. Uses a catalyst such as a 10% mild peroxide developer with a non-ammonia alkali to swell the cuticle, allow dye molecules to penetrate into the cortex and deposit color inside the hair shaft. A neutral or slightly acid after-rinse or shampoo wash is used to stop the alkaline swelling reaction, allow the cuticle to close, and trap the color molecules inside. The mild chemical reaction does not lighten the melanin and hardly changes the hair structure. ‹‹ Precaution – Always conduct a patch test before you use any coloring products. Apply small amount on right forearm, volar aspect (front) or behind the ear lobule and watch for 48 hours for the signs of irritation or allergy. If no untoward effects develop, then only use the coloring products on head. Always read the ingredients list before you buy a product, and follow Henna leaves and henna powder Pg No. 49....
  • 10. 10 healthvisionSeptember-2017 ‹‹ Dr.N.Mariappan Department of Plastic and Reconstructive Surgery, Vydehi Institute of Medical Sciences research centre, Whitefield, Bangalore – 66 Ph: 080-28413381/2/3/4 www.vims.ac.in Emergency First Aid Priorities Definitionof firstaid:Firstaidistheimmediate assistance provided to a sick or injured person until professional help arrives. It is concerned not only with physical injury or illness but also with other initial care, including psychosocial support for people suffering from emotional distress caused by experiencing or witnessing a traumatic event. First aid interventions seek to “preserve life, alleviate suffering, prevent further illness or injury and promote recovery”. First aid provider is a layperson with basic first aid knowledge and skills and the person requiring care is known as a casualty. Number of people reached: In 2009, 21 National Societies in Europetrainedmorethan2.3millionpeople.Duringthe same period, 7 million people were trained in certified first aid courses worldwide. In 2014, approximately 15 million people were trained in first aid by Red Cross and Red Crescent National Societies in 116 countries around the globe by more than 180,000 active first aid trainers (Source: Global survey data on first aid). Over 20 million people are reached globally each year, and more than 700,000 volunteers and staff mobilized. Figure: 1.World First Aid Day 9th September, 2017-Theme “Domestic Accidents” World First Aid Day was constituted by the International Federation of Red Cross and Red Crescent Societies (IFRC), celebrated on the second Saturday of every September since the year 2000. Theme for the year 2017 is “Domestic Accidents”, which affect all populations regardless of age, sex, income, or geographic region. Falls are the most common home accidents, cause serious injury and the risk increases with age. First aid must be delivered using up-to-date, evidence-based guidelines and best practice. Foundation for first aid education has three components that should be addressed to leverage knowledge and skill development zz A cognitive or brain-based component that recognizes an individual or community’s learning history and builds from that point. zz A social learning component that identifies barriers and leverages relationships to inspire and support proper emergency action. zz An environmental component that helps individuals to identify and use resources to help (e.g. laws, AED, emergency dispatch system). General approach for a victim: Certain steps of first aid care are common, when caring for any casualty. Although the elements of response are often carried out in the sequence outlined below, in reality, tasks may occur simultaneously. The followingstepsareobservedwhenapproaching a casualty: 1. Assessment: a) Scene survey: primary survey for safety, personal protection and accident mechanism. b) Casualty survey: airway, breathing, circulation, disability, exposure (ABCDE). Start immediate life-saving interventions: open the airway, support breathing, give CPR and control serious bleeding. For all emergency care including first aid, providers should first survey the scene to assess for Safety. First aid providers must be aware of their personal safety and take universal precautions that may vary based on specific circumstances. The risks may come from: The environment: The surroundings may not be safe due to electric cables, fire, risk of explosion, dangerous goods or the casualty may be in an unsafe location, such as in or near water or ice. Special attention should be paid to confined (closed) spaces as there might be a possibility of lack of oxygen and/or emission of poisonous gases or the limited possibility to escape, if needed. Taking this into consideration, the first aid provider should decide whether he or she: zz should go ahead or wait for technical rescue teams (e.g. fire brigades, EMS, zz Mine rescue) zz should only enter with the assistance or escort of technical rescue teams zz should only enter for a short time to move the casualty (preferably with zz Technical assistance) to a safer place in order to provide care more effectively zz Feels it is safe for the casualty to remain in their current location. The casualty: The casualty may be aggressive due to alcohol or drugs. There might be a risk of infection is a common threat due to contact with body fluids. First aid provider must understand what injuries might be expected in that particular patient in that situation. This applies not only to traumas but also to other acute events. All casualties should be thoroughly assessed to assure that all first aid needs required are 5 common Emergencies you must know what to do ‹‹ Part-1
  • 11. 11healthvisionSeptember-2017 identified. The priorities of identification and treatment allow zz Prioritizing the needs by taking care of the most time-sensitive problem first; and zz Providing care once needs are clearly identified. The common mnemonic for assessment of any casualty is ABCDE: A: Airway, B: Breathing, C: Circulation: check for any external bleeding, D: Disability: mental status and peripheral nervous system and E: Exposure. EMS should be activated, if any problem during the ABCDE survey is identified in addition to immediate care required. If resources permit, along the ABCDE pathway, a short medical history may also be taken. In an advanced training, SAMPLE scheme of evaluation may be followed- S: Signs and symptoms, A: Allergies, M: Medication, P: Past medical history, L: Last meal and E: Event 2. Casualty positioning Guidelines: Good Practice Points zz First aid provider should approach the casualty from the side of his or her face. In this way, the casualty is not forced to move his or her head. zz An unresponsive casualty should be rapidly assessed for breathing. If normal breathing is not quickly identified in the position found, place the casualty, gently, in the supine position. If the person is breathing normally, he or she should be placed in the side lying recovery position. zz If the casualty is pregnant, the left side lying recovery position is preferred. General rules to be observed regarding the position of the victim: zz If the area is unsafe for the first aid provider or for the casualty, he or she should be moved to a safer place. zz If the person is face down and unresponsive (prone position), the first aid provider should turn the casualty face up (supine position) to check breathing. zz If the casualty is unresponsive and breathing normally but might have a spinal injury, it is preferable not to move him or her. zz If the casualty is unresponsive and has difficulty breathing because of bleeding, copious secretions or vomiting, or if you are alone and have to leave to get help, the casualty should be placed on their side with their airway open (recovery position). zz If the casualty is conscious and breathes with difficulty, the best position for effective breathing is to seat him or her upright or leaning slightly forward. 3. Call for help: Call EMS or furtherhelpif notalreadydoneduring primary assessment a) Call first – for help and b) Call fast – emergency service, once assessment has been made. Call a pre-determined national number(s). In European countries a common emergency call number 112 has been introduced. In the United States and Canada the number to call is 911. Further help required may include apart from EMS - fire brigade, police, other medical services, poison control centre etc. India’s all-in-one emergency number is 112: Telecom Commission, on March 28, 2016, accepted recommendation by Telecom Regulatory Authority of India (TRAI) for making 112 as single emergency number for all services like police, fire and ambulance in the country. It is a free of cost SMS based access to the mobile phone users to contact the authorities, in case of any emergency. “In emergency situations every passing second counts, whether it is a burglary, theft, road rage, or a fire spreading, or a citizen struggling with a heart attack “ the first few minutes are crucial. It is likely that this crucial time may be lost in figuring out what number to dial”. Currently, in most countries, 112 is a part of the GSM standard and all GSM- compatible telephone handsets are able to dial 112 even when locked or with no SIM card present. 4. Secondary survey: (ABCDE) eventually carry out further assessment using simple questions or more sophisticated schemes like SAMPLE evaluation. 5. Additional first aid as the situation requires: The availability of cellular phones allows hand-free activation of EMS while initiating care. First aid providers may administer medication to zz Help the casualty to administer his or her prescribed drugs for: ÂÂ chest pain suspected of cardiac origin: aspirin, nitroglycerin ÂÂ bronchial asthma: bronchodilator ÂÂ anaphylactic reaction: epinephrine zz For specially trained first aid providers, to administer certain medicines upon his or her discretion, if local regulations allow. ÂÂ for decompression sickness, for scuba divers: oxygen ÂÂ narcotic overdose: Naloxone Oxygen is considered as a medication and different regulations are followed regarding administration by a first aid provider. If local regulations permit, first aid providers trained in the use of oxygen may be allowed to administer it for victims of hypoxia. Cardiopulmonary resuscitation (CPR) is a lifesaving technique useful in many emergencies in which someone’s breathing or heartbeat has stopped. The common emergencies include heart attack or near drowning, The American Heart Association recommends that everyone, untrained bystanders and medical personnel alike - begin CPR with chest
  • 12. 12 healthvisionSeptember-2017 compressions. It’s far better to do something than to do nothing at all if you’re fearful that your knowledge or abilities aren’t 100 percent complete. Here’s advice from the American Heart Association: zz Untrained: Provide hands-only CPR that is uninterrupted chest compressions of 100 to 120 a minute until paramedics arrive. No need to try rescue breathing. zz Trained and ready to go:  If you›re well-trained and confident in your ability, begin with chest compressions instead of first checking the airway and doing rescue breathing. Start CPR with 30 chest compressions before checking the airway and giving rescue breaths. zz Trained but rusty: If you’ve previously received CPR training and you’re not confident - just do chest compressions at a rate of 100 to 120 a minute. The above advice applies to adults, children and infants needing CPR, but not new- borns. When the heart stops, the lack of oxygenated blood can cause irreversible brain damage in only a few minutes. A person may die within eight to 10 minutes. CPR can keep oxygenated blood flowing to the brain and other vital organs until more definitive medical treatment can restore a normal heart rhythm. To learn CPR properly, take an accredited first-aid training course, including CPR and how to use an automated external defibrillator (AED). If you are untrained and have immediate access to a phone, call 112 before beginning CPR. The dispatcher can instruct you in the proper procedures until help arrives. Figure: 2. Remember to spell C-A-B: The American Heart Association uses the acronym of CAB- compressions, airway, breathing to help people remember the order to perform the steps of CPR Before starting CPR, check: zz Is the environment safe for the person? zz Is the person conscious or unconscious? zz If the person appears unconscious, tap or shake his or her shoulder and ask loudly, “Are you OK?” zz If the person doesn’t respond and two people are available, one should call 112 or the local emergency number and one should begin CPR. If you are alone and have immediate access to a telephone, call Emergency number before beginning CPR- unless you think the person has become unresponsive because of suffocation (such as from drowning). In this special case, begin CPR for one minute and then call local emergency number. zz If an AED is immediately available, deliver one shock if instructed by the device, then begin CPR. Compressions: Restore blood circulation zz Put the person on his or her back on a firm surface. zz Kneel next to the person’s neck and shoulders. zz Place the heel of one hand over the center of the person’s chest, between the nipples. Place your other hand on top of the first hand. Keep your elbows straight and position your shoulders directly above your hands. zz Use your upper body weight (not just your arms) as you push straight down on (compress) the chest at least 5 centimeters but not greater than 6 centimeters. Push hard at a rate of 100 to 120 compressions a minute. zz If you haven’t been trained in CPR, continue chest compressions until there are signs of movement or until emergency medical personnel take over. If you have been trained in CPR, go on to checking the airway and rescue breathing. Airway: Clear the airway zz If you’re trained in CPR and you’ve performed 30 chest compressions, open the person’s airway using the head-tilt, chin-lift maneuver. Put your palm on the person’s forehead and gently tilt the head back. Then with the other hand, gently lift the chin forward to open the airway. zz Check for normal breathing, taking no more than five or 10 seconds. Look for chest motion, listen for normal breath sounds, and feel for the person’s breath on your cheek and ear. Gasping is not considered to be normal breathing. If the person isn’t breathing normally and you are trained in CPR, begin mouth-to-mouth breathing. If you believe the person is unconscious from a heart attack and you haven’t been trained in emergency procedures, skip mouth-to-mouth breathing and continue chest compressions. Breathing: Breathe for the person: Rescue breathing can be mouth-to-mouth breathing or mouth- to-nose breathing if the mouth is seriously injured or can’t be opened. zz With the airway open (using the head-tilt, chin-lift maneuver), pinch the nostrils shut for mouth-to- mouth breathing and cover the person’s mouth with yours, making a seal. zz Prepare to give two rescue breaths. Give the first rescue breath, lasting one second and watch to see if the chest rises. If it does rise, give the second breath. If the chest doesn’t rise, repeat the head- tilt, chin-lift maneuver and then give the second breath. Thirty chest compressions followed by two rescue breaths is considered one cycle. Be careful not to provide too many breaths or to breathe with too much force. zz Resume chest compressions to restore circulation. zz If the person has not begun moving after five cycles (about two minutes) and an automated external defibrillator (AED) is available, apply it and follow
  • 13. 13healthvisionSeptember-2017 the prompts. Administer one shock, and then resume CPR, starting with chest compressions -for two more minutes before administering a second shock. If you’re not trained to use an AED, an Emergency medical operator may be able to guide you in its use. If an AED isn’t available, go to step 5 below. zz Continue CPR until there are signs of movement or until emergency medical personnel take over. To perform CPR on a child: The procedure for giving CPR to a child of age 1 through 8 is essentially the same as that for an adult. The American Heart Association also recommends the following to perform CPR on a child: zz If you’realone,performfivecyclesof compressions and breaths on the child, this should take about two minutes before calling local emergency number or using an AED. zz Use two hands, or only one hand if the child is very small, to perform chest compressions. Press straight down on (compress) the chest about 5 centimeters. If the child is an adolescent, push straight down on the chest at least 5 centimeters but not greater than 6 centimeters.  zz Breathe more gently. zz Use the same compression-breath rate as is used for adults: 30 compressions followed by two breaths (one cycle). Following the two breaths, immediately begin the next cycle of compressions and breaths. If there are two people conducting CPR, conduct 15 compressions followed by two breaths. zz After five cycles (about two minutes) of CPR, if there is no response and an AED is available, apply it and follow the prompts. Use pediatric pads if available, for children ages 1 through 8. If pediatric pads aren’t available, use adult pads. Do not use an AED for children younger than age 1. Administer one shock, and then resume CPR, starting with chest compressions- for two more minutes before administering a second shock. If you’re not trained to use an AED, an Emergency medical operator may be able to guide you in its use. Continue until the child moves or help arrives. To perform CPR on a baby; Most cardiac arrests in babies occur from lack of oxygen, such as from drowning or choking. If you know the baby has an airway obstruction, perform first aid for choking. If you don’t know why the baby isn’t breathing, perform CPR. To begin, examine the situation. Stroke the baby and watch for a response, such as movement, but don’t shake the baby. If there’s no response, follow the CAB procedures below and time the call for help as follows: zz If you’re the only rescuer and CPR is needed, do CPR for two minutes (about five cycles) before calling your local emergency number. zz If another person is available, have that person call for help immediately while you attend to the baby. Airway: Clear the airway zz After 30 compressions, gently tip the head back by lifting the chin with one hand and pushing down on the forehead with the other hand. zz In no more than 10 seconds, put your ear near the baby’s mouth and check for breathing: Look for chest motion, listen for breath sounds, and feel for breath on your cheek and ear. Breathing: Breathe for the baby zz Cover the baby’s mouth and nose with your mouth. zz Prepare to give two rescue breaths. Use the strength of your cheeks to deliver gentle puffs of air (instead of deep breaths from your lungs) to slowly breathe into the baby’s mouth one time, taking one second for the breath. Watch to see if the baby’s chest rises. If it does, give a second rescue breath. If the chest does not rise, repeat the head-tilt, chin-lift maneuver and then give the second breath. zz If the baby’s chest still doesn’t rise, examine the mouth to make sure no foreign material is inside. If an object is seen, sweep it out with your finger. If the airway seems blocked, perform first aid for a choking baby. zz Give two breaths after every 30 chest compressions. If two people are conducting CPR, give two breaths after every 15 chest compressions. zz Perform CPR for about two minutes before calling for help unless someone else can make the call while you attend to the baby. zz Continue CPR until you see signs of life or until medical personnel arrive. Fainting (Syncope) is defined as the momentary loss of postural tone and consciousness, characterized by a brisk onset but short duration and often with spontaneous recovery. Fainting can happen suddenly and without warning when blood flow to the brain is impeded or interrupted (cerebral hypo perfusion) due to an existing underlying medical condition, emotional response and physical injury to the head. Other specific causes of fainting include extreme exhaustion/fatigue, low blood sugar, reaction to pain, sight of blood and gore, and existing problems with the heart. Recognizing Fainting: Common signs of fainting often include the following signs and symptoms:1. Dizziness/lightheadedness 2. Confusions 3. Nausea 4. Tunnel vision/blurred vision 5. Weakness 6. Pale, cool skin 7. Sweating 8. Sudden but brief loss of consciousness. Continued.....
  • 14. 14 healthvisionSeptember-2017 ‹‹ Dr. Tejaswi K.P. Reader- Dept. of Surgery, Bhagwan Buddha Homeo Medical college, Mallathalli, Bangalore Consultanat- Surabhi Homeo clinic, Vidyaranyapura, Bangalore-97 Mob-97311 33819 Email-drtejas2000@rediffmail.com Does your child wet the bed at night ???? How to get rid of this habit ? Rakesh, a handsome boy aged 18 came to consult me with his mother, he was hesitant to narrate his problem so his mom narrated that he has problem of bedwetting. When I encouraged this young chap to speak up, he narrated that he passes urine in sleep at night, this problem got worsened when he joined engineering course and started staying in college hostel. He wept uncontrollably during consultation when he explained how insulted and shameful he feels when his room-mates commented about this. After a detailed consultation, I prescribed a remedy called SEPIA to Rakesh and also counseled him, after 3-4 months of treatment his bedwetting problem vanished completely and I could see the confidence and joy in his face when he consulted me last time. Bedwetting which is in medical terms called as Enuresis is a common problem in young children, Rakesh’s case is a rare one as it continued up till 18 yrs of age. A child is diagnosed be suffering with Enuresis if urinary incontinence continues beyond 4 years for daytime and 6 years for nighttime. Before this specified age if child wets bed, it is normal and it doesn’t need any medical help. From birth till the age of 6 years is required for the maturation of the nerves and the urinary system to function optimally, to sense the signal of full bladder. Even after 7 years still your child has not developed this and wets bed often then you need to consult a doctor. ‹‹ Types of Enuresis zz If the child has never been dry at night -Primary enuresis zz If the child begins bedwetting after a gap of 6 months or more – Secondary enuresis zz Bedwetting happens only at night (Nocturnal) while sleeping—Nocturnal enuresis zz If involuntary voiding of urine also occurs in day time while awake—Diurnal enuresis Among all types Primary nocturnal enuresis is most common of all comprising 90% of all cases. ‹‹ What causes Bedwetting? In majority of cases of bedwetting the cause is not known, it is assumed to be due to complex interaction of Genetic, Physiological and Psychological factors. Some of the other causes include Genetic- i.e., if parents had it in their childhood then chances of their children suffering is high. Bedwetting and Adenoids- Some children who are suffering with enlarged adenoids, tonsils and nasal polyps can suffer with bedwetting. Sometimes if these are treated, bedwetting problem too subsides. Diabetes, Urinary tract infections (UTI) etc are the other known causes for enuresis. Psychological factors: In our clinical experience we have seen that conflicts between parents, between parents child are found to be most common causes which either trigger or worsen the problem of enuresis in children. In one case of 8 old boy, who consulted me with his parents for enuresis, on enquiring with the child it was found that the child was wetting the bed when ever his parents had fight. A remedy called NATRUM .MURIATICUM helped the child to overcome this problem along with the parental counseling. In one more case of a girl who wetted the bed every night, on further enquiry it was found that the child was very much scared of her teacher who was very strict used to punish kids for trivial reasons., the girl used to have bad nightmares. Talking to the teacher about this issue solved the problem, who adopted more child friendly way of teaching. Of course few doses of Bach flower remedy ROCK ROSE helped the child to come out of fear and she became more confident and bold than earlier.
  • 15. 15healthvisionSeptember-2017 Dosa Recipes Sweet Dosa zz Ingredients raw rice - 1 cup rice flakes - 1 tbsp methi seeds - 1 small spoon Jaggery - half cup coconut - 1/4 cup (If you want you can add little elaichi) zz Method Soak raw rice, rice flakes and methi seeds together in water for one hour Grind them nicely with coconut and jaggery. Put the tava on the gas and prepare dosa by adding little oil. (The gas should be in sim) The dosa could be served with ghee or butter. Spinach Dosa zz Ingredients wheat flour - 1 cup besan - 1 cup chopped spinach - 200 gms. onion - 1 (big) green chillies - 5 (chopped) curry leaves - 4-5 leaves salt to taste zz Method In a mixing bowl, put all the ingredients and mix them well with water to form a thin batter. Then keep it aside for 5-10 mts. Heat a non stick pan. Pour the batter to form a dosa. Drop a spoon of oil on the sides to make it crisper. Once its cooked on one side, turn the dosa to the other side so that it gets cooked well. Repeat the same process for other dosas also. Serve the dosa with butter. Sweet Dosa zz Ingredients rice-3 cups toor dal-1/2 cup channa dal- 1/2 cup coarsely crushed black pepper freshly grated coconut 1 whole bunch of finely chopped cilantro finely chopped green chilies cumin salt oil zz Method Blend the rice coarsely in a blender. Blend even the dals coarsely in a blender. Soak all the 3 powders in Luke warm water adding sufficient salt. Make sure to add the water just enough to cover the mixture (make the batter a little thicker than the dosa batter). Let the mixture set for about one and half an hour. Add cumin, green chillies, coconut, coriander crushed black pepper to the mixture mix well. Mean while heat a griddle grease it with a tsp. of oil. Ladle a big spoon full of batter into the center of the pan and spread it around in a circular fashion (from inside out) shaping the batter into a thick dosa. Wait for few seconds and then take a tsp. of oil and spread it over the edges of the dosa. When the edges turn golden, flip the dosa on the other side. Again add a tsp. of oil cook it for a minute. Serve the dosa with butter. ‹‹ Child is not at fault: Parents should understand that, child is not at fault; he/she is not doing it intentionally. Parents shouldn’t punish the child in any way, they should encourage the child not to do so, but never punish, taunt them and never ever discuss it with others about this issue, esp. in the presence of their child. Certain events in child’s life which might have had an impact should be assessed, such as entering school for the first time, birth of a sibling, etc. open communication with the child helps in understanding their problems, express their feelings which helps in reducing stress. ‹‹ How to handle bedwetting Most children get rid of bedwetting without intervention. In cases where bedwetting is becoming overly disturbing and causing some emotional problems in the child, parents should seek medical help. Reprimanding or punishing the child will not benefit, rather it worsens the situation. So the following child friendly methods should be adopted. Motivational therapy: Involve the child; tell the child that he/ she has to take responsibility of not voiding the urine at night in bed by adopting the following steps ‹‹ Child’s role ÂÂ Void urine before going to bed ÂÂ Keep diary of wet and dry nights ÂÂ Change wet cloths and bedding ‹‹ Parent’s role ÂÂ Do not punish or scold since this stress can make the problem worse ÂÂ Rewarding the child for each dry night (Praise, toffee, stars etc.) ÂÂ Restrict fluids, especially caffeinated drinks (tea, coffee, cola etc in the evening) ÂÂ Set alarms during the night to wake the child for bathroom breaks. ÂÂ Make sure that the child stays hydrated throughout the day so that they aren’t thirsty at bedtime. Pg No. 25.....
  • 16. 16 healthvisionSeptember-2017 Mahanasa Healthy kitchen service LLP Cancer management center, Sanjaynagar, Blore Ph - 9620580101 info@mahanasa.com www. mahanasa.com ‹‹ Navane Millet Pulao Ingredients For Grinding zz Cardamom – 2 zz Cinnamon – 1 inch zz Cloves – 2 zz Coriander powder – 2 tsp zz Dry coconut – ¼ cup zz Pepper – 1 tsp zz Mint leaves – ¼ cup zz Coriander leaves – ¼ cup zz Ginger - 1 inch zz Garlic – 4 cloves In a mixer grind all these with sufficient water and keep aside zz Cardamom – 1 zz Cinnamon – 1 inch zz Cloves – 1 Coarsely powder these in a pestle and mortar and keep aside Other ingredients zz Navane Millet – 1 cup zz Water – 2 cup zz Onion – 1 chopped zz Methi leaves 1 cup zz Salt – as required Method of preparation zz Add ghee to the pan and roast the coarsely powdered cinnamon, clove cardamom. zz Add chopped onions and Fry zz After the onions are fried add methi leaves and roast for 1 minute. zz Then add navane millet, water, salt and grinded ingredients. zz Cook well by mixing or with pressure cooker for 1 whistle zz Serve hot to eat Navane millet Pulao with any raitha. ‹‹ Sesame Drink Ingredients required zz White sesame – ¼ cup zz Milk – 2 glass zz Jiggery – 2 tsp zz Elaichi powder – 1 pinch Method of Preparation zz Roast the sesame seeds until golden brown zz Grind it to make it powder along with jiggery zz Mix this proportion with hot milk zz Add a pinch of elaichi powder and serve to drink ‹‹ Bilva soup recipe: Ingredient: zz Barley – ¼ cup zz Jujube seeds-1/4 cup zz Horsegram– ¼ cup zz Green gram – ¼ cup zz Urad dal – ¼ cup zz Bilva unripe fruit powder – 2 tbs zz Buttermilk – ½ cup zz Jeera – ½ tbs zz Ghee – ½ tbs zz Mustard – ¼ tbs zz Hingu – 2 pinch zz Salt - for taste Procedure: zz Soak Barley, Horse gram, jujube seeds, green gram, urad dal separately for 3 hours zz In a thick bottomed kadai / pressure cooker cook all these soaked grains and add bilva fruit powder, little ghee and salt. zz Once it cooked thoroughly take it out and transfer it into bowl zz Once it is warm add butter milk, sprinkle jeera powder zz Season it with ghee, mustard seeds and hingu. ‹‹ Bay leaf pudding: Ingredient: zz 1. Roasted red rice flour 2 cups zz 2. Grated jaggery 1 cup zz 3. Ripen banana 2 zz 4. Grated coconut ½ cup zz 5. Cardamom powder 1 table spoon zz 6. Bay leaves Procedure: zz Wash and clean the bay leaves and make it cone shape using sticks zz Take a pan and dry roast red rice and powder it finely zz Transfer this powder into a kadai and add grated jaggery zz Then add grated coconut , smashed banana and cardamom powder zz Add salt for taste zz Fill this mixed ingredients to cone shaped bay leaf and cook it in the steamer zz Remove bay leaf before serve. ‹‹ Asthishrunkala chutney Ingredient: zz Asthishrunkala chopped and cleaned - 1 cup zz Tamarind - 1 small lemon size zz Whole dry red chilies - 7 to 8 zz White sesame seeds - 2 tbsp zz Urad dal - 2 tsp zz Oil - 2 tsp zz Salt for taste Preperation: Healthy Recipes ‹‹ Dr. Rekha Ganesh Kotyan ‹‹ Dr. Archana. C
  • 17. 17healthvisionSeptember-2017 zz Wash and chop Asthishrunkala into one inch size pieces. zz Soak it in tamarind water zz Roast white sesame seeds and other whole spices in little oil and keep it aside zz Sauté asthishrunkala in one tsp oil, till it changes its color slightly into brown. Let it cool completely. zz Grind it into chutney consistency by using little water ‹‹ Asthishrunkala Botanical name: cissus quandragularis Kannada name : mangar balli Its also called as Asthisamhari in Sanskrit because it heals bone fractures. Uses: loss of appetite, blood purifier, arrest the bleeding, best in bone fracture healing, osteoporosis, pain etc. ‹‹ PEPPER RASAM FOR MONSOON Ingredients zz Pepper Powder – 1 tsp zz Jeera – 1 tsp zz Ginger, Garlic paste – 1 tsp zz Tamarind juice – 5 tsp zz Hing – a pinch zz Curry leaves – 6 zz Salt for taste zz Jaggery – ¼ tsp zz Ghee – 3 tsp zz Mustard seeds Method of Preperation zz Seasoning with Ghee, mustard seeds, jeera, ginger garlic paste, hing and curry leaves zz For this seasoning ass tamaring juice, pepper powder, salt and sufficient water zz Boil for 5 min zz Add jaggery, boil for 5 min and serve Benefits of Rasam zz Increases digestion zz Helps to releive gastritis, bloating and indigestion zz Best home remedy for cough, cold and fever zz It is one of the soup which is tasty and healthy for this monsoon ‹‹ Barley Ganji I n g r e d i e n t s required zz Barley – 1 cup zz Water – 6 cup zz Crushed Ginger – ¼ tsp zz Powdered Cumin – ¼ tsp zz Pink salt – 3 pinch zz Pepper powder – ¼ tsp Method of preparation zz Boil one cup of barley with six cups of water until the barley is completely boiled zz Then filter the water in a vessel zz To this add the crushed ginger, cumin powder, pepper and salt zz Churn this mixture well zz Drink when it is hot for better healthy effects ‹‹ Shami pods sabji : Ingredients: zz One bowl pods zz Two medium potatoes zz Cumin seeds ¼ tsp zz Bay leaves 2 zz Green chillies 2 zz ½ tbs cumin powder zz ½ tbs coriander powder zz 1 tsp red chili powder zz 1 tomato zz Salt zz Ghee zz Chopped coriander leaves Procedure: Wash fresh pods thoroughly and cut into half inch pieces, discard the edges Take a thick bottomed pan, put 2 tbs of ghee Add cumin seeds and Bay leaves green chilies and pods , fry it Add boiled, peeled and diced potato and tomato stir well Add other spices,salt - cook till almost vegetables becomes tender Remove from flame and transfer it into serving bowl Garnish it with chopped coriander leaves ‹‹ Jackfruit seed Obbattu (Puran poli) Ingredients: Jackfruit seeds( skin removed) – 200 gm Sugar – 200 gms All-purpose flour- 200 gms Salt – a pinch Ghee – ½ cup Cardamom powder – 1 tsp Preparation: zz Knead all-purpose flour with salt and little ghee, prepare soft dough. Keep it aside for one hour. zz After soaking seeds 2 hours in water, remove brown skin completely and pressure cook until it becomes soft. zz Grind it finely by using little water. zz Take this batter in a pan, add sugar cook in medium flame with continuous stirring. When it starts to stick it to pan, add little ghee, till it becomes thick zz Turn off the flame and add cardamom, mix thoroughly. zz Once it is cooled, make small lemon sized balls. zz Make small puris by using dough and place lemon size roasted seed balls on the puris. Completely enclose, seal it and roll it slowly zz Roast this roti sized obbattu in a tawa both the sides with little ghee
  • 18. 18 healthvisionSeptember-2017 ‹‹ Dr. K. Bhujang Shetty Founder Chairman, Narayana Nethralaya Bangalore, Karnataka Telephone no: +91-80-66121300-305 Email : info@narayananethralaya.com info@nnmail.org Website : www.narayananethralaya.org Diabetes is not only sight threatening but also life threatening disease if not detected early and managed well. It is a workable disease if you catch the devil young and are willing to change your life style. But unfortunately in India it is developing into an epidemic and is a real ticking time bomb. An estimated 40 million Indians suffer from diabetes and, according to experts, the problem seems to be growing at an alarming rate. By 2020, the number is expected to double and reach epidemic proportions, even as half the number of diabetics in the country remain undiagnosed Worse still, diabetes has debilitating consequences on many of the body’s vital organs if remained unchecked and controlled, the biggest problem being that of eye sight. . Experts across the country consider India to be the diabetic capital of the world and the condition a ticking time bomb waiting to explode. However, of more concern is the fact that awareness of the condition’s consequences is quite low. While blood sugars need to be controlled, patients are seldom aware that in the long run it can affect eyes, kidneys, heart and every single vital organ of the body Diabetics are 25 times more prone to blindness when compared to non diabetics. We Indians have a genetic predisposition for diabetes but there are the contributing factors which precipitates early diabetes The eye is the most common organ to be affected by diabetes in the long run. So it is essential for diabetic patients to be aware of this fact and that blindness through diabetes can be avoided to a great extent through regular check ups. Diabetes patients should undergo an eye check as soon as the condition is detected and regular yearly checks thereafter or as frequently as the doctor recommends. This will enable the early detection and prevention of eye diseases through laser and other treatments. Doctors estimate that early detection will enable the halting or at least the slow down of diabetes-related eye diseases. Diabetic patients tend to ignore this problem since the symptoms might not manifest themselves overtly. He may go 10 years without any obvious problems, but it might have set in internally however, a doctor will be able to detect the problems during regular checks and begin remedial measures. But if the patients ignore it, it might be too late when he actually realises. If the problem becomes more acute and leads to bleeding, then only surgery can set this right. The point is all this can be avoided through awareness and preventive measures. ‹‹ Diabetes Diabetes is a lifestyle disease and it is essential to keep preventive aspects in mind. Family history plays a major role in diabetes. A person stands a 40 per cent chance of getting diabetes if the father has it, 60 per cent if the mother has it and a 90 per cent chance if both parents have it. Also, men are more prone to diabetes than women. Its onset can be delayed if weight is kept in check, regular exercises and stress is minimised, it is also helpful to keep in mind that statistics indicate diabetes is more prone to urban dwellers than rural - an estimated 12.5 per cent of urban dwellers are prone to it, as against just 4 per cent of rural dwellers, ‹‹ Some facts about diabetes and its relation to the eyes zz The commonest cause for blindness in developed countries is diabetes and the contributing factors are zz Longer the duration of diabetes - more the chances zz Even if diabetes is under good control it can affect the eyes in the long run; if poorly controlled - more likely zz If associated with high blood pressure, high cholesterol levels -eyes are likely to get DIABETES Eye care - A devil in disguise
  • 19. 19healthvisionSeptember-2017 NN-4 Opened at Bannerghatta Road, Near Meenakshi Mall Super Speciality Eye Hospital Post Graduate Institute of Ophthalmology NABH accredited Hospital Rajaji Nagar : 080 66121401 - 1402 Electronic City : 080 66660655 - 0658 Castle Street : 080 66974000 - 4003 Bannerghatta Road : +919538898827 Now @ affected zz There are 50% chances of eye involvement if you have diabetes for more than 10 years. Diabetesprimarilyaffectsthefilmortheretina of the eye and if not detected and treated early can lead to irreversible blind ness ‹‹ Prevention is better than cure Prevention is better than cure is not just a frequently quoted statement but is actually important for a healthy and long life If you have any of the above predisposing factors do keep a close watch on your blood sugar, and the early signs of diabetes are zz Excessive thirst zz Excessive hunger zz Excessive urination zz Unusual weight loss ‹‹ Some mandatory dos and don’ts If you are already a diabetic, keep a tight control on your blood sugar, a close watch on your diet and shed those excessive pounds. The couched-potato life style must change. Have your eyes checked for diabetic changes at least once a year even if you can see well. Diabetes is not only sight threatening but also life threatening disease if not detected early and managed well. It is a workable disease if you catch the devil young and are willing to change your life style. But unfortunately in India it is developing into an epidemic and is a real ticking time bomb. It has considerable medical, social, financial impacts. Half the battle can be won by creating awareness of disease and learning how to live with it. We need to have a multi-pronged approach with diet, drugs, exercise and life style changes-all in equal measures and as it is popularly said “Avoid hurry, worry and curry”
  • 20. 20 healthvisionSeptember-2017 MuniYogaMuniYoga An innovative concept of: Dr. Krshna Life Sciences Ltd. Bringing Life to Science TM Phone: 91 - 820 - 2572819 E-mail: ayurved@yahoo.com http://www.ayurvedas.com ‹‹ Part-3 ‹‹ Asubhaanussati The human body is composed of Dvatimsaakar (32 organs or components) namelyKesa (scalp hair), Loma (body hair), Nakha (nails), Danta (teeth), Tacho (skin), Mamsa(flesh), Nahaaru (muscle fibres), Atti (bones), Attiminja (bone marrow), Vakkham(kidneys), Hadayam (heart), Yakanam (liver), Kilomakam (pancreas), Pihatam(spleen), Pappassam (lungs), Antam (intestines), Antagunam (terminal intestine orrectum), Udariyam (stomach), Kareesam (feces), Maddha lungam (brain), Pittam(bile), Semham (saliya), Prabbo (pus), Lohitam (blood), Sedo (sweat), Medo (adipose),Assu (tears), Vasaa (muscle fat), Khelo (earwax), Singhaanika (nasal Excreta), Lasika(subcutaneous fluid), Mutta (urine). To utilise these 32 components or organs of a body as the subject matter of Dhyaana or meditation is called Asubhaanussati. This can be achieved as follows: 1) The external attraction of the physique of creatures deceives the fact that it iscomposed of impurities (Dvatimsaakaara). When one realises the impureness ofbody, its contact also is perceived as impure. 2) The Asuddhi (impureness) of body is explicit with its putrefaction. Hence, one shouldtry to perceive the body in terms of its individual components in its colour, structutre ,smell, location and thus its impurity. 3) The impurities of the body are more impure than the place of burial because at theburial ground the nature is pure whereas in the ever decaying body there is no pureorgan or component. 4) The gutter carrying sewage water, giving rise to insects and worms being impure, thebody too undergoing a decay every moment is akin to a pit (storage tank) of urine and faces. 5) All forms of wastes moving about the body, it is similar to the sewage/ septic tankwhere innumerous insects and worms dwell. 6) Being the seat of innumerable diseases this body is the conglomeration of fevercausing ulcers which succumbs to incurable diseases, becomes a putrefied cadaver. ‹‹ Maranaanussati Every creature born is destined to die - to realise this and carry out Dhyana (meditations) as follows is called Marananussati. 1)Lifeissimilartoanoillampthatgetsextinguished after the consumption of oil and wick. When the life’s fuel is exhausted death is certain. One realises his fate by looking at the death of others before him. 2) The luckiest people in this world too have died. Similarly I too will die one day. Deathwill overtake me. 3) Death is certain with birth just like a butcher is eager to kill his bait - similarly deathwaits for everybody. 4) As the sun rises only to set, similarly the death follows to end life. 5) Just like a bubble in the water breaks, the dew drops dry up, a line drawn on watervanishes, prey is killed by its enemy, death is certain wherever there is life. 6) The Arahantas endowed with the supreme Conscience (Prajna) endowed with utmostrighteousness and supernatural powers, who attained enlightenment, the PacchekaBuddhas who attained self enlightenment and the Sammaa Sambuddha withinnumerous followers also shall die. Then, what about an ordinary being like me? 7) The Internal and External Pacchaya (factors) that sustain the life themselves whenderanged can result in death. Hence, definitely we are dying every moment! ‹‹ Anapanasati Meditation Meditation is a training to keep the mind in the present tense, as present tense is the onlyreality in life. Buddha has given fourty objects for meditation which are suitable fordifferent types of people having different mentality. Breathing is one among the fourtyobjects, also the most useful object which any type of person can use as an object ofmeditation. Breathing meditation is called as 'Anapanasati'. Here the meditator has to sitstraight with his spinal chord in erect position using Padmaasana. Then he shouldobserve his own normal breathing by keeping his mind near the tip of the nose or nearabdomen. As soon as one starts observing his own breathing one starts getting umpteennumber of thoughts. Then instead of observing the breathing one should start
  • 21. 21healthvisionSeptember-2017 observingthe thoughts. By that time one realises that there are only five types of thoughts one canget while meditating. And for that matter all human beings get only five types ofthoughts. BuddhanamesthesethoughtsasPanchaneevarana or five obstacles of meditation. These neevaranas or obstacles are as follows : In Pali language The thoughts connected with sense organs - Kamachchanda Thoughts connected with anger - Vyaapada Thoughts connected with restlessness - Uddachcha Kukkuchcha Thoughts connected with laziness - Tinamidda Thoughts connected with doubt - Vichikichcha One’s meditation never starts until these thoughts are prevented. For this Buddhahas preached the Arakkha Bhaavana or Rakshana Manthra which are thepreventing measures to keep away all the five obstacles. Buddhanussati preventsthe thoughts connected with restlessness, laziness and doubts. Mettaanussatiprevents the thoughts connected with anger. Asubaanussati and Maranaanussatiprevents the thoughts connected with sense organs. Once all the obstacles areremoved/prevented real meditation starts. and one gets different absorptions(Zaana) and finally gets Enlightenment (Nibbana). ‹‹ Absorption (Zaana) These are called pancha zaans or five absorptions. They are as follows: 1. Vithakka (Selecting the object): Buddha has given 40 objects on which meditation isperformed for different types of people. The most appropriate object which suits alltypes of people is breathing. Here one can observe the breathing either near the tip ofthe nose or on the stomach. 2. Vichara (Focussing on the object): Here one should focus on the object. 3. Piti means happiness in the body. Ultimately it may lead to levitation of the body. 4. Suka means happiness in the mind or rapture. 5. Ekaggatha means one pointedness on the object of meditation with equanimity. This is the fifth Zaana. After this Buddha asks to change the object of meditation . 5th Zaana object is awareness of infinite space. 6th Zaana object is awareness of infinite consciousness. 7th Zaana object is awareness of nothingness. 8th Zaana object is awareness of neither perception nor non-perception. One who crosses beyond the 8th Zaana gets the glimpse of Nibbana - the ultimate truthfor a fraction of a second and he is called a Sothapanna, the stream enterer who hasentered the path which leads to the enlightenment.
  • 22. 22 healthvisionSeptember-2017 Dear Readers, I am very happy to introduce to you, a very rare personality. Before that, Kindly go through the gist of my play and a few words about the health care situation around us, as the background for this interview. Background:- In My stage play Adhunika Asuraru, (modern demons) to observe health status of people on earth, Dhanwantari (doctor of angels in heaven)and Ashwini brothers ( twin doctors in heaven ) arrive on earth. They are astonished to observe following facts. Common people have carelessness towards their health; a mentality not to go to doctors, till they reach chronic stage of disease; transport problems of remote villages and towns; shortage of doctors; Hospitals without medical experts; indifference of family, society and people, towards health care of women, children and senior citizens; self medication of people; frequent change of medicines and doctors by people, as per the advise of friends and relatives; an illusion that, health can be purchased in the market as other goods and services; misconception that, their health can never deteriorate; and so on. They find out that, health is right of people and duty of ruling government. They were shocked to observe that, there is an acute shortage of medical and diagnoising equipments; rural health care is mismanaged by fake and inexperienced doctors and geographical inaccessibility. The central theme and message of my play was, though earning more and more money was good, it should never limit our very existence. Present Health Scenerio:- It is very shocking and alarming to note, the changes in lifestyle, concentration of all efforts towards making money, not taking nutritious food at right time and in right quantity, contamination of environment, Air, water and noise pollution, and diseases connected with these; inavailability of doctors at emergencies; the distance between doctors and patients; a heavy consultation fees of doctors and specialists; costly medicines; arm chair specialists, limited to their consultation rooms; road accidents …….! Oh God where is the solution!? ------ is the exclamatory words from emotionally and socially concerned! suddenly we listened to one young voice from Bangalore. “No person should die for the simple reason that, hospital and clinic are far away. That is way, I have opened mobile health chariot. “ This in the voice of a 35 year old doctor, whom I met recently in Sarjapur Bangalore and had a very fruitful dialogue, a whole day. This doctor narrated various incidents and his mindset, in his life, which brought him to this stage. He is none other than Dr. Sunil Kumar Hebbi. This young doctor with remote rural background, is from mamdapur villege of Babaleshwar Taluk, Vijayapura district. He has selected a noble path of low cost or no cost Health care, including check up, service and distribution of medicines. His unique experiences during his childhood and younger days have shaped him to enter a rare path of destiny. Childhood:- About 30 years ago, his village was 45 kms away from the then Bijapur. His mother Mahadevi was a housewife. His father Sangappa Hebbi was an agriculturist and a medical shop owner. When this doctor’s grand mother was seriously ill, there was no transport between his villege and Bijapur. She was taken by a bullock cart, with great difficulty and suffering. As a child of 5 years, sunil had seen all this. Mamdapur village which had no doctors for a long period, suddenly received a primary health centre and a doctor. That Doctor B.P Rao was a neighbourer of sunil and became very popular with his service and attitude. people used to call him as God. observing this sunil felt that, there is some special thing in becoming a doctor. There were no doctors in sunil’s family and relations for several generations. His 5 family members and 16 relatives had medical stores. When ‹‹ N.V Ramesh Mob:- 98455-65238 A Very rare, inimitable young doctor, with public Health commitment Dr. Sunil Kumar Hebbi
  • 23. 23healthvisionSeptember-2017 SPECTRUM PHYSIO Companion to Comfort Physique ‹‹ Neck Pain ‹‹ Back Pain ‹‹ Frozen Shoulder ‹‹ Arthritis ‹‹ Slip Disc ‹‹ Sports Injuries ‹‹ StrokeandParalysis Founder: Dr.Dhanajeyan PT- Chief PhysiotherapistOur Branches: Whitefield Koramangala Old Airport road Indira Nagar Kaggadasapura Kammanahalli Langford Garden Mission Road Physiotherapy Rehabilitation Best in Bangalore Call: 80-88-77-33-99 www.spectrumphysio.info Specialised in :
  • 24. 24 healthvisionSeptember-2017 sunil expressed his desire to become a doctor, all of them were very happy. Sunil joined medical college in Bijapur (now Vijaypura). Though he was a medical student, he and his friends used to take free tuitions and conduct free computer classes for poor and needy students. In 2006 sangamesh babaleshwar motivated sunil, to to do yeoman service in educational activities for poor children. After completing M.B.B.S in 2007, Sunils mind and spirit were forcing him to take action, to bring any social change or at least to contribute his contribution to society.In 2008 Dr. Sunil came to Bangalore and joined a nursing home for internship, for 1 year 3 months. Daily he witnessed 60-70 patients and their inabilities to purchase costly medicines. He thought. “ should I open a clinic?”. During weekends this doctor associated himself with HELPAGE, and participated in 6 health care camps with enthusiasm, in Banashankari and Anekal, providing basic health care to aged ( i.e checking blood pressure and sugar level) in old age homes and distributed free medicines. Like all other youngsters, Dr Sunil Kumar as a young doctor, also dreamt of earning more money and achieving a higher position. He joined a corporate hospital and was earning a huge sum as his salary. But within a year, an unforgettable incident happened and this dream was broken and a new way of life and commitment flashed. In the words of Dr. Sunil “ On one day in February 2010, I saw a person laid on hosur road, severely injured in a serious accident. He was in a pool of blood. His head was injured; his hands and legs were damaged. He was like an orphan, as no body was there to care him. There were many around, who were mere silent observers and even a few were busy in clicking their cameras. No body rushed to help him, as they were afraid of police and enquiry. I gave him first aid, with my kit kept in my car and put the seriously injured in my car, with the help of two present there and got admitted him to the nearby hospital. Later I got a phone call from the family members of that patient, when he recovered due to the timely emergency Medicare. My heart was full of joy and content. They wept, thanked and offered to pay any amount, for having saved invaluable life of that person. I told them, that it was my first duty as a doctor. My mind got disturbed and I thought for a few moments. Health care is a challenge for poor and downtrodden. I felt and decided to do something in this regard”. This doctor left the hefty paying job in a corporate hospital. Matrusiri Rural development youth institution:- was constituted by this Doctor, in 2007 in Bijapur and it has continued its service in Vijayapura and was extended to Bangalore from 2008. Dr Sunil who is the head, says “We like minded youth, of same age, have formed this institution, to provide honest health protection services to those, who are below poverty line”. He has conducted health checkups of more than 30,000 needy poor patients, and provided services to them. He charges Rs 100 from those who can afford to pay, for basic health check up and medicines. But He has not forgotten, to give free service to 10 to 15 patients a day. He is diverting a portion of his income, from his agricultural land in his village, for his noble work. This doctor has understood problem of patients in coming to doctors and he has taken medical facilities to the needy people, wherever they are. In Bangalore, Sarjapura is an I.T Hub place and it is developing very fast. Hence building construction activities have increased in this area. Thousands of construction workers and labourers have been migrating. When poor don’t seriously care for the protection of their health, easily curable diseases also reach serious stage. Hence is team intends to change this mentality, and increase interest in people about their health care. Mobile Doctor Clinic:- Dr. Sunil borrowed a car from his friend, and after repairs, that car was got converted in to a mobile health unit. It had Doctor’s Travel kit, consisting of B.P apparatus, Glucometer, Thermameter,E.C.G Machine, pulse oximetre, folding examination table and folding chairs. Any where, the vehicle could go, and fix equipments and start clinic. From Face Book and other social medias, this
  • 25. 25healthvisionSeptember-2017 doctor searched and selected many non-medical volunteers, interested in weekend social service. This network extended and this team has reached 350 doctors on the list. At the time of commencement the doctors who joined Dr Sunil kumar in this campaign were, Dr. Proadeep V dentist from Kengeri, Dr. Bhanuprakash neuro surgeon from Kumaraswamy Layout, Dr. Ashok kumar from K.M Doddi Govt. Hospital and Dr. Satish shindre from avenue road. In this team dentist Dr. N Pradeep takes care of cleaning and protection of teeth of people. Dr Bhanu Prakash is serving senior citizens with wholeheartedness. Nagarajan Iyer, a medical representative is helping, in procuring supplies of medicines. Earlier commenced in the name of Vatsalya charitable clinic, this work is continuing, in the changed name. low cost or no cost Health care has been given to about 85,000 patients from the Bangalore rural area. Now there are 1200 Non-medical volunteers and a few medical representatives have been supplying free medicines. In the weekend list of volunteers, there are working women like Shweta, Shailaja Akki, House wives like Anamika kumari. These volunteers survey in 50-60 km radius and search for needy poor patients. Thus based on needs, this mobile health unit is working hard. Dr Sunil declares “ Now it Is time, to return to this society, for whatever I have received from this society. Though I have received encouragement from public and volunteers, I look forward for more support.” Sunil wants to establish charitable hospital in Bangalore and Vijayapura. Sunil , inspired by R.V.M foundation hospital in Banneraghatta, wants to establish charitable hospitals in Bangalore and Vijayapura. Sathish who is running a N.G.O., Prema Foundation, has supported sunil from last 4 years. He says “ Having come from low economic background, I know the importance of education and basic health care for the needy. Hence I have participated in 350 camps arranged by this doctor”. Industrialist Anil Shetty remarks “many doctors think of achieving greatness and creating record in their profession and their earnings. But this doctor who is doing a yeoman service to society, is totally different. He has reestablished faith in doctors and profession”. Memorable Incident:- 300 construction laborers were working in the construction of a big apartment complex in Bangalore Suddenly their skin got rashes. Insects living in that area had spread this allergy. This team gave titanus injuctions and through several visits, gave treatment and cured them. This was an unforgettable moment in the life of doctor Sunil. In his interview Dr. Sunil Kumar Hebbi, again and again has stressed the following points:- “ Health care is the basic right of people and not a facility. There is shortage of facilities in this country. we must give health care and medical support to economically backward people, at a low cost. That is way we have been conducting health camps every week, in oldage homes, slums, building construction sites, in and around bangalore“ Dear Readers, now give your remarks. Is this doctor special and rare!? Alaram Therapy: An alarm devise is connected to child’s collar and a sensor attached to child’s undergarments, as soon as child starts urinating in the sleep the sensor makes alarm to beep and child is awaken. Along with bed wetting, if a child has burning pain while passing urine, scanty urine or frequent passing of profuse quantities of urine, change in the color of urine, weight loss, fever etc these need to be investigated and a doctor should be consulted for proper evaluation and treatment. ‹‹ Homeopathy in curing bedwetting children. Through Homeopathy bed wetting (enuresis) can be successfully treated. A specially designed Enuresis –Protocol, is applied in Surabhi Homeo Clinic in treating Bedwetting. Such an approach has given us success in many cases of Bedwetting (Enuresis). This protocol consists 4 major points zz Understanding the underlying cause for bedwetting zz The unique symptoms of the child with bedwetting problem zz Genetic constitution of the child (Hereditary influences, Miasm) zz Counseling of the child and parents. Right Homeopathy treatment not only relieves the child from the problem of bedwetting, it also makes the child mentally confident helps in building a strong immune system. .....Pg No. 15
  • 26. 26 healthvisionSeptember-2017 A chronic and relapsing brain disease is considered as drug addiction which causes an individual to compulsively use and abuse substance which consequently changes the structure and functions of brain in a harmful manner. Abusing any kind of drug interferes with the person’s decision making ability and self control also generates a strong impulse so that a person is forced to use drugs and because of the complexities caused in brain by substance abuse it becomes difficult for a person to stop abusing substances. It is not a matter of willpower to stop abusing drugs as many people consider it because of the deep impacts these drugs cause on brain. Initiallydrugswereusedfortreatmentof anailment but today’s modern world is abusing such drugs in a quantity that is life threatening. Where smoking and drinking has become a common problem, using and abusing drugs to feel ‘high’ is in trend now a day. Even being aware of the side effects of using drugs is not helping today’s generation to stop indulging in them. It takes medicines to treat addictions and therapies like behavioural therapy for most patients to get them out of addictions. But relapse can occur but that doesn’t mean that the treatment is failed but that t r e a t m e n t needs to be adjusted or there is a need for alternate t r e a t m e n t . D i f f e r e n t t r e a t m e n t s work for different person because of their drug types, patterns, amount, etc. If we go back to the ancient times there are mentions of ‘madira’, ‘soma rasa’, etc. and now a day there a lot of drugs which are natural like opiates and synthetic like opioids and many more. ‹‹ How drugs interact with brain? Drugs are chemicals, when we use drug either by injection, eating, smoking, etc. these drugs take over the communication system of brain and alter the usual way the brain cells work. Different drugs works differently because of their chemical structure. There are two ways of drugs working in brain. zz By imitation of the brain’s natural chemical messengers. zz By overstimulation of brain’s ‘reward circuit’. Drugs like marijuana and heroin act as neurotransmitters because of their chemical structures. But these cannot imitate the natural functions of neurotransmitters and neurons send abnormal messages through brain which can be harmful for both body and brain Otherdrugssuchascocaineandmethamphetamines they interfere with brain functioning and cause nerve cells to release dopamine in excess amount which can interfere with communication channels. Dopamine neurotransmitter is associated with creating feeling of pleasure. These drugs take dopamine control and cause dopamine flood into our systems which causes “HIGH” or vigorous excitement and happiness also known as euphoria. Our brain works as repeating the activities that caused happiness or are healthy and teaches us to do these activities again and again without a need to think about it. After repeated use of such drugs brain starts to adjust the dopamine flow. Because of toxicity of some drugs, many neurons die which causes a person to feel dull, depressed or just flat. Now person needs drugs to get dopamine levels at normal and more drugs are needed to create that ‘high’. ‹‹ Drugs affect three main areas of the brain: zz Brain Stem: From digesting food to moving blood and breathing brain stems are in charge. It also connects the brain with spinal cord and tells the brain about everything that happens to the body. ‹‹ Miss. Kanchan Doctorate Student (Clinical Psychology, Amity Institute of Behavioral and Allied Sciences, Amity University Rajasthan) kanchansingla11@gmail.com Mob: 09814655111 How Drug abuse affect brain? its symptoms and control measures
  • 27. 27healthvisionSeptember-2017 NIKISA Geriatric Center Rehabilitation Hospital NIKISA HEALTHCARE SERVICES PVT. LTD. # 804, 1st Floor, B Sector, Maj. Sandeep Unnikrishnan Road (Double Road) Yelahanka New Town, Bengaluru - 560 106 email : info@nikisa.com School Health Checkup Programme Approach us for l Recovery of Stroke Patients l Recovery of AccidentVictims l Recovery from post operative trauma l Recovery care during chronic illness l Palliative care l RespitecareforelderlyLaboratoryServices l Physiotherapy services Tel. No.: 080 41685798, Mobile : 9886951711 zz The Limbic System: This connects the brain structures that are in charge of our emotional responses. Like feeling good when we eat ice cream. We repeat behaviours that made us feel good. zz The Cerebral Cortex: It is the outer part of the brain also known as gray matter. It’s divided into four lobes that control specific functions. Some areas control our senses like hearing, feeling, seeing and tasting. And front lobe known as frontal cortex or forebrain is linked with thinking linked with problem solving, decision making, planning, etc. The abuse of drugs interfere with the normal functioning of brain and causes changes that cannot be reversed. Person’s judgment ability and decision making abilities are hindered. Also these drugs alter abuser’s behaviour, memory and learning. ‹‹ What causes addiction? There are certain factors which collectively can predict the risk of addiction in a person. zz Biological Factors: our genes and environmental factors both collectively make us vulnerable to addiction. Other mental disorders, ethnicity and gender also accounts for risk of drug abuse addiction. zz Environmental Factors: Quality of life, socioeconomic status, family and friends includes in the environmental factors. More factors like stress, peer pressure, any kind of physical or sexual abuse can also be a factor for drug addiction. zz Development: No matter at what age you start Pg No. 56.... Email: tatkshana@purnayu.com Near Sandal Soap Factory Auirvedic treatments with personalised and freshly made medicines! Tathkshana Ayurveda #29/55, Industrial Suburb, Rajajinagar Extn., Yeshwanthpur, Bengaluru - 560022 Treatments for : zz Varicose Vein and Ulcer zz Migraine zz Sinusitis, Long Term Cold and Cough zz Dandruff, Hairloss, Alopecia zz Arthritis, Joint Disorders zz Muscular and Neurological Disorders zz Asthma zz PCOD, Gynaecological Disorders zz Infertility Male and Female zz Diabetes, Blood Pressure zz Gall bladder Stone, Renal Stone zz Detoxification Therapy zz Thyroid Related Problems zz Psoriasis Are you looking for a cure through Ayurveda ? Are you fed up of trying various medications ? then Ayurvedic treatment with freshly made medicines will definitely help you 87220 34900 / 70266 19822 94805 39053Whatsapp:
  • 28. 28 healthvisionSeptember-2017 Recently a spiritual master has taken almost all space of the media for his wrong doings. In the past few days, the media are deluged with all kinds of reports in which that particular Baba has enjoyed life in every aspect thereafter now he landed in jail. In whatever form of media you look at, you will find news related to him only and till date his all round game doesn’t seem to subsidize as the whole game is about return on investment which has nothing to bear upon the theme of devotion. All reports say that devotion has been shattered by this Baba and shows him as a demon whereas he is a proven criminal through judicial trial. He has been on trial for past 16 years and his reach was ever increasing at that point of time also where no media house has put forwards reports vehemently for bringing out the truth and saving gullible devotees. This is neither the first case of rape by a Baba nor the work of the media is unquestionable here major concern is about the devotion of an individual. Why a person starts following any person blindly in the name of devotion or faith? Why a person is vulnerable to exploitation in the name of religion or spirituality? These are basic questions to think about as putting the blame on these kind of spiritual masters will not serve the purpose, yes the news of a Baba in scandal can give a titillating feeling for some time and therefore the attention of the viewer can be grabbed by news channels however the chain of deceiving by a Baba will continue with some other person brought into the dock. The most spiritually superficial people go to such kind of Baba for getting their greed fulfilled who has nothing to do with religion or religiousness. It has been observed that most people with worldly desires of getting money, a home or a job or a son or in hope of realization of some other dreams get attached with such Baba. If a person connects with such hopes and dreams, then saying their faith has been shattered is a little bit unjust as they were in some kind of give and take relation. Devotees were paying donation and respect in turn they would get the things which they desired all the time. Baba was demonstrating to give blessings where some of it gets fructified too, as he know that it’s a matter of time where the devotees fail in practicing patience with failing in realizing this simple fact. So here the matter of faith got shattered doesn’t make a logical connotation. For all those people who make hue and cry upon fracture of faith are getting ready for another one; it’s just that now this shop has not to offer the stuff they want so they will visit another shop. This syndrome has continued since decades. It’s just that in recent times these kinds of affair have been brought to light due to reach the media. While saying this, the existence of true masters cannot be totally denied. It’s the only true master whose life gives inspiration to others duplicate to copy lifestyle, speeches and give it a form of market. Then there are people who posses grey matter in abundance that gives business of religion a shape of professionalism and wings to the spirituality. They emphasize on the mass reach of these Babas on pretext that every person should get the benefit of his spirit. So now spirituality is sailing on the wings of marketing and media. And no one is concerned of the real girth of spirituality and few do not dare to put forward of his individual doubts as the spirit of crowd generates intolerance of mass acceptability. They create a level of spirituality which has nothing to do with the real essence of spirit and it spreads without questioning by good management people in the form of disciple and followers. These intelligent people are good at exploiting the greed of fearful people. These gullible people repeat universal understanding that things will happen according to time however they put every effort in greed of getting more than allotted and before time. The market is flooded with so called Babas who are now well informed and psychologically trained for pitching his prospect or customer. You need to rethink when someone says trust is broken by deeds of another individual. Everyone knows faith is unshakable and unbreakable and if it happens so then it’s not faith. You know a tree of jack fruit can never give mango. Knowing should be the basis of this trust. Trust is in like of that child whose father when fly him high in the air and the child keeps on laughing as he is certain that when he will come down his father will catch him definitely. Which kind of faith and trust is getting talked about where doubt prevails in mind, greed is lurking and fear has made a place in the system. Within a short span of time people will start searching for another Baba and a few of them would be in connection of others too so they will leave here and connect there instantly. They will keep themselves vulnerable to exploitation and if they get trapped badly they will blame everything available on this earth except looking inside. So please check your own system of thinking, meditatively. If you will be more aware only conscious master will touch your life or else if you are in sombre state any unreached master ‹‹ ForeZorba Vikash Kumar Mindfulness Coach Corporate Counselor Mantra with Zorba (MWZ) Contact: +91 9741122250 Email: forezorba@gmail.com www.forezorba.com Up selling spirituality Pg No. 45....
  • 29. 29healthvisionSeptember-2017 M U D R A S Exploring the Mudra Concept YOGA in your HANDS Part-3 BREATHING, VISUALIZATION, AND AFFIRMATIONS TO ENHANCE THE MUDRAS he effect of a mudra can be immensely intensified with thebreath. This is why it is very important to know what breathingdoes. When you understand the following principles, then youcan influence the effect of a mudra according to your own needs. zz Pay attention to a symmetrical posture and hold your armsabout one inch away from your body. Even this position alonebrings a sense of inner equilibrium and harmony as it regulatesthe activity of the nervous system and hormonal glands. zz In addition to carbon dioxide, we also discharge expendedenergy on the subtle level when we exhale deeply. This is whyyou should always exhale vigorously several times at thebeginning of a mudra. Make room for what you want toachieve. zz Always lengthen the little pause after inhaling and afterexhaling by several seconds. This is the most important aspectof the breathing process. The inner powers are developedduring the pauses—on every level. zz When you practice a mudra to calm yourself, then slow yourbreathing. zz When you practice a mudra to refresh yourself, then intensifyyour breathing. zz The optimal quality of breathing is achieved when the breath is slow, deep, rhythmic, flowing, and fine. At the beginning of a mudra meditation, exhale vigorouslyseveraltimesandthenletthebreathbecome deeper and slower. You now have threepossibilities: First: Focus on your hands and fingers, perceive the gentle pressure where they touch each other; Second: While inhaling, you can press the fingertips together a bit more and let go of the pressure when exhaling; Third: You can do it the other way around and apply a bit more pressure while exhaling and let go of the pressure when inhaling. Every variation has its special effect. The first variation centers, createsinner equilibrium, and builds up strength in general. The second variationstrengthens the will and refreshes. The third variation calms and relaxes.Try out these variations and feel the difference yourself! It is possible thatyou won't immediately feel the effect, but it is still there. The outer circumstances of our lives usually shape themselvesaccording to our imagination and the contents of our minds. So we havethe possibility of shaping our inner images in such a way that we enjoy life,experience success in our work, and have relationships on a loving andunderstanding basis. It is very important to create an unshakable faith and be filled with both fervor and serenity to accompany our self-made images.We need to create little experiences of success for ourselves, since whatfunctions in a small way will also succeed on a larger scale. We can slowlybuild and develop this confidence. Just imagine what would happen if agreat many people would simultaneously imagine a beautiful world withrich flora, content animals, happy human beings, and firmly believe thatthis is possible. Join in—then there will already be two of us! If we can clearly express what we do not want and definitively formulateour wishes and needs, this can already be the beginning of a neworder in life. For many years now, I have worked with affirmations— sometimes more, sometimes less. Time and time again, their astoundingeffects have astonished me. For example, my kitten disappeared one day. Irepeated the same sentence over and over the entire day: With divinestrength and power, I find my kitten again. Toward evening, I simplyknew where my kitten was. The woman was completely perplexed whenI claimed that my cat was in her garage, but it was true. It is so simple, andsome people even find it a bit naive. But things that are particularly simpleand naive usually have the greatest effective power. The same principle applies to affirmations as it does to visualizations.Say them full of faith, fervor, and serenity. You can say them one to threetimes, during or after the meditation. You can also pause for a momentduring the day and speak your affirmation in a quiet or a loud voice. Makeuse of this wonderful possibility and talk yourself into what you reallywant—what is good for you. If you want to get rid of something stubborn, a negation can also be helpful.Speak it at the beginning, while you are vigorously exhaling. For example,This hatred (or resentment, feeling of guilt, pain, fear, desire to smoke, etc.)will immediately disappear and dissolve itself