Latest Archives - Page 64 of 85

August 2, 2017 By Dr Ashwin Nanda Leave a Comment

Understanding Autism

I have had firsthand contact with 2 children with autism in my complex and hence I wish to share my experience with these children and talk about Autism. An autistic child lives in her/his own world and finds it quite difficult to associate and relate to the external world. The child takes a long time to bond with another person, even the mother child bonding takes very long to develop. Children with autism seldom establish eye contact, do handshakes and give high fives like their counterparts. They seem extremely shy but the issue is deeper than just being plain simple shy.

Let me take you through these kids’ stories and also in the process talk about what is Autism?

This is the story of Rudraesh, 13. He is the second son and his mother recalls that when he was brought home from the maternity ward after 4 days, he cried a lot for the next 2 days. This behaviour of his was peculiar as she remembers her elder son never reacted this way. In hindsight, she says that it was typical of an autistic child to be uncomfortable in a new environment. When her son did not develop the social milestone of smiling at another person which her elder one had, she got worried and consulted the paediatrician who confirmed her fear that he was autistic.

Autism is a spectrum of disorders in which the difficulty to adapt to the world and be able to take care of oneself varies from mild to severe. Rudraesh is severely autistic since it took 12 years for him to get toilet trained and hygiene conscious. Since his elder brother is normal, his mother feels the reason for his autism is the undue emotional stress she had while she was pregnant with him.

The exact cause of autism still eludes mankind. Researchers are trying to find possible associations which lead to autism. A strong belief is that MMR vaccine (Measles, Mumps and Rubella) predisposes a child to autism. Indiscriminate use of antibiotics during pregnancy and infancy is also suspected to increase the chances of autism. It appears that autism runs in families since many extended families have more than one child affected by it.

Rudraesh has the good fortune of having a dedicated and caring mother and a father who is earning well. She has painstakingly ensured that he picks up basic survival skills and his father spares no expense in getting best possible assistance in the form of special schooling and occupational therapy. Their dream is that Rudraesh can earn a living for himself and be self-sustained. It’s a challenging dream but with the hard work that both parents are putting in, it looks like a reality albeit in distant future.

The second story is that of Madhav, 5. Madhav’smom was heartbroken when the paediatrician diagnosed him to be a mildly autistic child. Initially, she thought her son was mentally retarded. Unlike mentally retarded children, autistic children usually are gifted e.g a few of them have a drawing and painting talent and some are excellent with numbers. Remember Dustin Hoffman’s character in the epic movie Rainman?

Hoffman played an autistic adult who won his brother millions in the casino because of his mathematical gift of predicting permutations in the card deck. Madhav is a mild case because he was able to do a lot of other activities which kids his age did except that he didn’t know his name was Madhav, something a normal 8 months old definitely knows. He wouldn’t respond when his name was called out. Since his autistic trait was diagnosed in time and his parents took help from a good team of therapists who treat children with developmental delays, at age 4 years he is now at par with other normal children. The therapy involves multiple innovative ways of stimulating the child’s brain to grow and learn and catch up.

To summarize, autistic individuals need a lot of support and patience from the society so that their troubles can be minimized.Occupational and behaviour therapy specialists along with parents of these children make a lot of efforts to help them learn to integrate with the world around them and we as mature citizens also need to support them by being non-judgemental and understanding.

July 7, 2017 By Parwage Alam 9 Comments

Educating players to read Nutritional Labels

How many of us really read nutrition labels when we buy a food product?

Today, the market is full of fancy branded food products with fancier food labels that are very confusing and tricky to understand. To add to that, our busy schedule seldom allows us enough time to read, ponder and interpret the labels and figure what it means and how to use the products.

But, as people are getting more health conscious they have started checking out nutrition labels. Having said that, the food companies are no less and have gotten smarter than the consumers and have started choosing different ways to entice the consumers into buying products by making them believe that they are choosing healthy food. But, in reality, the consumers are just buying the same unhealthy food with fancy and attractive packaging.

Let me give you an example to explain the above better- It’s no secret that Bollywood and Cricket is a religion in this country. These stars are worshipped like a god. Probably one of the reasons why companies bring on board film stars and sports stars to endorse brands.

Stars endorse anything from perishable products like food and beverages to non-perishable items such as hair oils, cars and mobiles. The advantage of getting a film star or a sporting star on board is that they will prompt the consumers to buy the product. Anything recommended by our favourite star whether or not it’s required or beneficial to you, a consumer will buy the product only because it has been endorsed by the Star.

Take for instance beverages. Most of the Bollywood and Sports stars endorse them. The product is largely seeing sales thanks to these stars fan following.

Consumers here seldom have the habit of reading labels on food products whether be it for its expiry date or to understand its nutritious value. Therefore, the understanding of whether an aerated beverage is good for health or no is out of the question.

In reality, if one checks the label on the bottle, a half- litre aerated beverage bottle contains approximately 64gms of Sugar, which does no good for one’s health. Some adverse effects of Sugar include the rise in triglycerides, reduction in HDL (good cholesterol), suppressing your immune system, causing hyperactivity, anxiety, inability to concentrate and crankiness, especially in children.

Given the above example, you would realise how important it is for us to read the nutrition label on each product. As per my knowledge and the studies undertaken by me, here are a few tips I can safely recommend for packaged food and beverages.

Understanding food labels can help you make wise choices―if you know what to look for. Here’s a rundown of the most important elements.

# Do not get fooled by fancy packaging. Always check the facts on the Nutrition label and ingredient list

# Always check the first ingredient in the greatest amount (by weight) in a food product. So if the first ingredient is SUGAR, you can easily conclude if the product is good or bad for you.

# Always avoid products that contain artificial flavours, partially hydrogenated oil, Trans Fat, Salts, High Fructose Corn Syrup.

# Try to choose food with the less Ingredient list because long ingredient list may hide things that your body doesn’t need. In general, foods with shorter lists tend to be closer to nature (more wholesome with more natural ingredients).

# Among the grain products try to get the product which has at least 2 grammes of fibre per serving. Beware of “whole grain imposters”. Choose whole grains and fewer refined grains.

While the above might come across as being very restrictive ideally, it is not so. You do not have to give up on the food you like; all you need to do is make the right choices. Today, there are a number of options available in the market. Therefore, you need to take care and read the nutrition label carefully and select the right option, which is good for your health.

July 4, 2017 By Neha Morche 4 Comments

Tips for Healthy Skin

Having flawless skin is every girl’s dream and why not? It only adds to the beauty of her personality. Most girls and women especially try every possible thing to make their skin look healthy and glowing. However, all these efforts are only for the betterment of the outward appearance which means that the actual overall nourishment that is required for the skin is not met. Let me inform you that skin is the largest organ of the body so you can imagine the urge of nutrients that skin needs.

So many people visit a dermatologist for some or the other reason and they do prescribe medicine or foods accordingly. Every now and then you will find a column written on the skin in newspapers and magazines for every season. Still, we don’t pay heed and try to follow the artificially made or let’s say wrongly marketed products for instant results.

There are three types of skin: dry, oily and normal. So accordingly we must look after it in a natural way.

As it is said that ‘You reflect what you eat’.. quality of food does matter to the skin. Here are the precautions we can take to make our skin healthy.

Drink 2.5 litres of water every day to eliminate toxins, to clear your bowel movements, to increase blood circulations.
Include fresh fruits and vegetables like oranges, all types of berries, tomatoes, leafy vegetables etc, Oilseeds, green tea to get anti-oxidants, vitamin A, C, E, zinc which also protects your skin from free radicals produced in your body and from ageing.
Wash your face twice a day at least to keep it clean from dirt and sweat.
15 minutes of activity daily will improve blood circulation and hence provide nutrients to the skin.

5 . Do include Amla juice, Aloe Vera juice early in the morning on empty stomach. You can revisit my blog on Aloe Vera

Try and include a variety of foods to receive a variety of nutrients.
Be patient for at least 3 months to a year to see the improvement in your skin.
Include first class proteins and good quality proteins in your diet like milk and it’s products, eggs, chicken etc.
Include whole grains cereals to get a good amount of fibre to improve digestion.
Include omega 3 food items like flax seeds, fish, walnuts, soybean etc.

Things to Avoid

Avoid meat, fish, eggs, fried foods, white flour and it’s products, coffee, tea, soft drinks, alcohol, tobacco.
Avoid wearing too much of make- up .and do use mineral rich products if you do have to wear make- up.
Avoid long exposure to the sun (10 am to 4 pm). Do apply sunscreen even if it’s cloudy.
Avoid dehydration as dryness as it leads to wrinkled skin.

You have got an idea on how to maintain healthy skin but, the most important aspect that one should not forget is ‘Keep Smiling’ the best exercise for the face because happy face will always make you look beautiful.

June 9, 2017 By Dr Manali Rao Leave a Comment

Vaccination: Prevention is better than Cure!

All of us have seen Mr. Amitabh Bachchan saying ‘Do boondhZindagiki’, but very few of them would have realized the magnitude of importance of that advertisement. The fact that one of the most vivacious and accomplished Bollywood star is chosen as the brand ambassador for the campaign of immunization shows us the important role it plays in every child’s life.

What lead me to writing this blog?

Having a month old baby at home and finding myself pouring over the immunization schedule made me think that there are so many people unaware of the importance of vaccination.

The last week of April is the World Immunization Week. It is a global public health campaign to raise awareness and increase rates of immunization against vaccine-preventable diseases around the world.Each World Immunization Week focuses on a theme and this year it is “VACCINES WORK”.

So what is IMMUNIZATION?
It is the process by which an individual’s immune system becomes fortified against an agent (known as the immunogenic).

Immunization is done through various techniques, most commonly vaccination. Vaccines against microorganisms that cause diseases can prepare the body’s immune system, thus helping to fight or prevent an infection.

Immunization can protect against 25 different infectious agents or diseases, from infancy to old age, including diphtheria, measles, pertussis, polio and tetanus. The World Health Organization (WHO) estimates active immunization currently averts 2 to 3 million deaths every year.

The WHO lists 25 diseases for which vaccines are available:

Anthrax
Measles
Rubella
Cholera
Meningococcal disease
Influenza
Diphtheria
Mumps
Tetanus
Hepatitis A
Pertussis
Tuberculosis
Hepatitis B
Pneumococcal disease
Typhoid fever
Hepatitis E
Poliomyelitis
Tick-borne encephalitis
Haemophilusinfluenza type b
Rabies
Varicella and herpes zoster (shingles)
Human papilloma-virus
Rotavirus gastroenteritis
Yellow fever
Japanese encephalitis
Malaria
Dengue fever

There are also some vaccine-preventable diseases, which are not on the WHO-list, probably either since the vaccine is not very good according to present standards, or the disease is not any longer a threat.

Anthrax
Plague
Q fever
Smallpox

IMMUNIZATiON SCHEDULE :

SL. NO.	AGE	VACCINE	DISEASE
1.	Birth	BCG + OPV	Tuberculosis + Polio
2.	1.5 months	DPT + OPV + IPV + HBV + HiB	Diphtheria Pertussis Tetanus Polio Hepatitis B H Influenza B
3.	2.5 months	DPT + OPV + IPV + HBV + HiB	Diphtheria Pertussis Tetanus Polio Hepatitis B H Influenza B
4.	3.5 months	DPT + OPV + IPV + HBV + HiB	Diphtheria Pertussis Tetanus Polio Hepatitis B H Influenza B
5.	9 months	Measles	Measles
6.	15 months	MMR	Measles Mumps Rubella
7.	18 months	DPT + OPV + IPV + 1st booster HiB	Diphtheria Pertussis Tetanus Polio
8.	4.5 – 5 years	DPT + 2nd booster OPV	Diphtheria Pertussis Tetanus Polio
9.	10 years	Tdap/ Td	Diphtheria Pertussis Tetanus

VACCINES UNDER SPECIAL CIRCUMSTANCES;

SL. NO.	AGE	VACCINE	DISEASE
1.	2 years Booster dose to be given every 2-5 years	Meningococcal	Meningitis
2.	< 9 years : 2 doses to be given every year. > 9 years – 1 dose to be given every year	Influenza	Flu
3.	0,3,7,14,28 days	Rabies	Rabies

SIGNIFICANCE:

Vaccination protects children from serious illness and complications of vaccine-preventable diseases which can include amputation of an arm or leg, paralysis of limbs, hearing loss, convulsions, brain damage, and death.

Elimination of polio in India:

Polio was last reported in India in West Bengal and Gujarat on 13th January, 2011.

On 27th March 2014, the World Health Organization (WHO) declared India a polio free country, since no cases of wild polio had been reported in for three years.

As of mid-2016, only Afghanistan, Nigeria and Pakistan have wild polio cases.

The Pulse Polio Initiative (PPI) aims at covering every individual in the country. It aspires to reach even children in remote communities through an improved social mobilisation plan.

No child should miss the immunization.
Cases of acute flaccid paralysis (AFP) are to be reported in time and stool specimens have to be collected within 14 days.
Outbreak response immunization (ORI) should be conducted as early as possible.
Maintaining a high level of surveillance.
Performance of good mop-up operations where polio has disappeared.

ADULT IMMUNIZATION:

Even adults need to be immunized from time to time. It is recommended for adults who meet the age requirement, lack documentation of previous vaccination or lack of evidence of previous infection. Also older adults with medical conditions like Diabetes need to be immunized as recommended by their Doctor.

IMMUNIZATION AGAINST CERVICAL CANCER:

> 10 years females

0 dose

After 1 month

After 6 months

Protects against HPV (HUMAN PAPILLOMA VIRUS) which causes cervical cancer.

Immunization is one of the safest ways for you to protect your health. Vaccine side effects are usually mild and go away on their own. Severe side effects are rare.

Regular immunization of your child will prevent many serious diseases. Follow the schedule and the advice of your child’s Pediatrician. Minor illnesses are not a contraindication to vaccination. Report any adverse events following immunization.

Understanding Autism

Educating players to read Nutritional Labels

Tips for Healthy Skin

Vaccination: Prevention is better than Cure!

From Burnout to Balance: How Dr. Ranjit Reclaimed His Health

From Shimla’s Slopes to Chandigarh’s Sidewalks: Surinder Kaur Bhalla’s Journey from Chaos to Control

“I’ve Challenged Myself to Live 100 Years” – The Story of Chandubhai Savani’s Second Chance at Life

From Terminal Illness To Complete Wellness! Ananda Mukherjee Health Story