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Category : All ; Cycle : June 2009
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Jun25
LIFE AFTER BYPASS SURGERY
You will have a checkup with the cardiologist about 7 to 10 days after you go home. During this visit, the cardiologist will discuss your recovery, make recommendations for improving your lifestyle, and fine-tune your medications if necessary.
By the sixth week after surgery, most people resume almost all of their regular activities. You can drive, travel, return to your normal sex life, go to movies, eat out, and even return to work. However, your healing will progress most smoothly if you don't let yourself get exhausted, and if you remember to rest when you are tired. You will notice that as your activity increases, your strength will increase too. Six weeks after discharge, you should be able to walk two to three miles in one hour.
Need To Know:

Activities to avoid
The bone in the middle of your chest (the sternum) was opened during surgery. This bone does not completely heal for at least 12 weeks. For that period of time, no extra stress should be put on it. Remember to avoid heavy lifting (no more than 5kg), playing golf, tennis or vigorous swimming. Light activities will aid the healing process.

Cardiac Rehabilitation
Your cardiologist will discuss beginning an exercise program. This will be one of the most important things that will keep your cardiovascular system healthy.
These programs teach the importance of exercise, how to get started, and how to know your limits. Some programs may also help you make changes in diet, quit smoking, or control stress.

Keeping Your Arteries Clear
Before bypass surgery, there are significant blockages in the coronary arteries . If preventive measures are not taken, the processes that caused those original blockages can occur in the new bypass vessels after surgery. So, it is important to reduce the risk factors for coronary artery disease that can be controlled. These include: smoking, high blood pressure, diabetes , high cholesterol , and a sedentary lifestyle.

Smoking
Smoking causes major damage to your cardiovascular system . The risk of renewed heart disease is even greater than the risk of lung cancer. Patients who continue to smoke after bypass surgery are likely to have their new arteries blocked sooner than those who do not smoke. That's why it's essential for patients who smoke to quit after their surgery.

Hypertension
Many patients have hypertension (high blood pressure) before surgery. It is essential to monitor your pressure carefully after surgery. Poor control of blood pressure after surgery can worsen blockages in your arteries and speed up changes in your bypass grafts.
Your doctors will help you work out a plan for controlling blood pressure with diet, and perhaps medication.

Diabetes
Diabetes increases the risk for coronary artery disease. Control of blood sugar after heart surgery is just as important as before surgery, to keep the bypass grafts open.

Cholesterol Control
Poor control of cholesterol after surgery increases the risk that your new bypass grafts will be blocked. If changes in diet and lifestyle are not successful in reducing the level of cholesterol, then medications may be necessary in addition to the changes in diet recommended by your doctors. Remember that all medications have side effects, so altering your diet is an ideal strategy to improve your lifelong health.

Sedentary Lifestyle
Moderate amounts of physical activity, including daily walks, swimming, or biking for fun can make big differences in how you feel and how your heart works. To become more physically active:
• Start slow. Begin by walking or being active just 15-30 minutes each day, and work up slowly from there.
• Find activities you enjoy doing. Physical activity seems easier when it's fun.
• Be active with a friend. Walking, biking, or other activities are great ways to spend time with people.

Stress
Learning about and controlling stress can help your recovery and make it easier to tackle other lifestyle changes. There are many ways that people reduce daily stress: Some have quiet hobbies, some meditate, and some are physically active. Do whatever works for you, or sign up for a stress-control class. Remember, everyone is exposed to stress. But how you handle it can either support or undermine your long-term health.

Diet
Improving eating habits can help reduce risk for heart disease. Here are some tips to reduce the saturated fat and cholesterol in your diet:
• Try lean meats like skinless chicken and fish instead of higher fat meats.
• Use lower-fat cooking methods, like boiling, broiling, baking, roasting, poaching, steaming, sauteing, stir-frying, or microwaving.
• Choose fat-free or 1% milk, and nonfat or low-fat yogurt and cheeses.
• Eat five or more servings of fruits or vegetables each day.
• Choose whole-grain cereals and breads.
Major dietary change is a challenge for anyone. But, by making gradual changes, you may find that you actually enjoy a healthy diet more.


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Jun25
best cosmetic dentist & implant dental surgeon
Dr. Agravat’s Multispeciality Dental Clinic and Implant Center
Dr. Bharat Agravat Cosmetic and Implant Dental Surgeon has been a renowned name in Ahmedabad, Mumbai, Delhi, Chennai, Bangalore and other places in India since 1999.
Treatments Provided: Cosmetic Dentistry, Dental Implants, Laser in dentistry, Tooth whitening, Root Canal Treatment, Replacement of teeth by bridge work & implant, Cosmetic surgery, Smile Design, Tooth jewellery, Braces for misaligned teeth, Surgery for gum diseases, mobile tooth treatment, Bone Grafting, Treatment for kids, Flap surgery and wisdom tooth removal, Fix denture, Flexible and metal denture, Scaling and root planing (cleaning) of teeth, Tooth colored restorations, treatment for restricted mouth opening.
Preventive Care: Educating the patient on correct brushing technique, flossing and use of mouthwash to maintain perfect oral hygiene after the treatment through videos and counseling.

About the doctor: Dr Bharat Agravat Cosmetic & Implant Dental Surgeon
Dr. Bharat Agravat is master in Cosmetic Dentistry, Tooth Whitening, Root Canal Treatment, and Replacement of Teeth by Bridge Work & Implant, Flap Surgery and Wisdom Tooth removal, Cast Partial & over Denture, Fix Denture, and Flexible Denture to name few. Dr Agravat is carrying the tradition of medical practice of very well known Dr Agravat family, as his father and grandfather were a family physician.
1) Dr. Bharat Agravat is President of Indian Dental Association of Ahmedabad
2) Awarded by- Gujarat state Governor His Excellency Krishnapal Singh.
- Gujarat state Home Minister Shree Amit Shah.
- Gujarat state Educational Chairman Shree Suresh Patel.
- Accelerated Dental Learning Centre (U.S.A.) for attending Optimal
Aesthetic 2006.
Awarded for- for participating in scientific programmed held on 10th August2003 in
Indian Academy of Aesthetic & Cosmetic Dentistry.
3) Member of American Dental Association (USA).
4) Giving Online Guidance on a T.V. talk Show “Doctor Tamara Ghare” On ZEE TV live programmed
5) Giving Online Guidance on a T.V. talk Show “Jadu ki Jappi OPD” On TV 9 live programmed
6) Media coordinator and editor of MTV Medical Association 2005-06.

For further information visit to: http://www.dr.agravat.com .


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Jun25
Get 100 % from your knee Replacement
Since Osteoarthritis of knee joint starts disabling after age of 55 yrs, many of you is either preparing to get knee replaced or already got knee replaced, but still in doubt whether you will get rid of the pain completely and start doing routine work.
Knee replacement becomes necessary when on the X-rays of knee joint, which are taken in standing (weight bearing) position, shows obliteration of joint space with / without attrition of bones. After this indication of knee replacement the earlier you get it done, better are the results. Because as you delay, firstly the bones becomes weak and deformity increases, so the latest knee cannot be applied and implant may also become loose, secondly muscle strength also decreases with time, so you may not get full range of movement and strength afterward.
So it becomes always important that you should know all the facts about this major surgery so that you do not complain afterward. Here are the few points you should always consider before going for total knee replacement.
Pre-operative Preparation:
• You should always be mentally prepared for this major operation, not only that somebody told you to get it done and you are getting it done. Because if you are not prepared well for this, you may not be able to do required exercise & to take proper precaution to get long term good results.
• Always discuss with your doctor about all the details of Knee Replacement and “why it is necessary now?” Also should ask all the exercises & precautions to be carried out later-on.
• Always discuss with your doctor about implant design, since many type of artificial knee are available and they all have different function, range of movements, longevity, and cost. The best of them available till date is ‘hi-flex mobile bearing’ design and is the costliest.
• Don’t rush to metro city because somebody told you to. It is always better to get it done in your home city if possible. Because concerned doctor is in your city itself and can take care of day-to-day problems in getting accustomed with new implant, if anything happens, immediately.
• Don’t keep money matters primary, since the artificial knee is to be implanted in your body itself, and the best results can be achieved only with best artificial knee.

After operation:

• You should always ask your doctor to provide the bill/sticker/proof of implanted knee design, because by no other means you can find out which knee has been implanted. And if by chance, you have to consult any other doctor later on, he won’t be able to help you without knowing about knee design.
• Should not allow your relatives/friends to visit you till one month after your surgery, because by ignoring this, the chances of infections increases.
• Should do all the exercises to the maximum, for the best results.

Long term:

• Always avoid contact with direct heat like fire/heat therapy/heater etc., since implant is made of steel & by heating this it may damage the poly-ethelene lying between these steel components.
• Always avoid gluteal injection and always inform your dentist about knee replacement before you go for any dental procedure.
• Should always give minimum one hour to your knees for exercise life-long and always follow the precaution to get the maximum out of it.
• Should always visit your doctor three monthly in first 2 years and half-yearly later on to find out the exact position of your knees.
• Always avoid Osteoporosis by means of taking calcium tablets & other bone strengthening medicines, since in weaker bones implant may become loose earlier.

These are the few point, by following them you may get 100% from your Knee Replacement.

Dr S S Soni
MS orth
Arthroplasty & Arthroscopy Surgeon
Apex Hospital, Jaipur 09413862264


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Jun25
HypnoBirthing - A Revolutionary Technique
What is HypnoBirthing?

HypnoBirthing® - The Mongan Method is a childbirth method that focuses on preparing parents for gentle birth. In HypnoBirthing classes, birthing parents learn proven techniques in a well-thought-out program of deep relaxation, visualization, and self-hypnosis. All of these are designed to help achieve a more comfortable birth. HypnoBirthing encourages a calm, peaceful, and natural pregnancy, birth, and bonding experience for families.

HypnoBirthing is as much a philosophy as it is a technique. The concept of HypnoBirthing® is not new, but rather a "rebirth" of the philosophy of birthing as it existed thousands of years ago and as it was recaptured in the work of Dr. Grantly Dick-Read, an English obstetrician, who, in the 1920s, was one of the first to forward the concept of natural birthing. The method teaches you that, in the absence of fear and tension, or special medical circumstances, severe pain does not have to be an accompaniment of labor.

How does HypnoBirthing differ from other childbirth preparation methods?
Unlike other childbirth methods that teach you how to cope with and manage pain, HypnoBirthing is based on the premise that childbirth does not necessarily need to be painful if the mother is properly prepared and relaxed. When women understand that pain is caused by constrictor hormones, created by fear, they learn, instead, to release fear thus creating endorphins—the feel good hormones. They are then able to change their expectations of long, painful labor and are able to replace them with expectations of a more comfortable birthing. Rather than exhausting, shallow breathing and the distraction techniques of typical “prepared childbirth” programs, HypnoBirthing parents learn deep abdominal breathing and total relaxation, enabling the laboring mother to work in harmony with her body and her baby. This allows her to achieve a shorter and more comfortable labor for herself and baby.

How is the Birth Companion involved?

The Birth Companion of the mother’s choice is an integral part of the HypnoBirthing experience. He or she practices with the mother in helping to prepare for deep relaxation. During labor, the Birth Companion guides the laboring mother through hypnosis prompts, relaxation techniques, deepening methods, and visualizations, provides comfort measures, and joins in welcoming the new baby, often by receiving the baby as he emerges.


Is the mother unconscious or does she remember her birth experience?

Despite misconceptions and misinformation, you are definitely not unconscious during self-hypnosis. The HypnoBirthing mother is deeply relaxed, but she is also an active participant in the labor process. Though she is deeply relaxed, she is totally aware and may return to a conversant state or choose to become mobile whenever she desires. HypnoBirthing mothers often find that they experience time distortion and are not distracted by other people or their birthing environment, while they focus on their birthing and their baby.


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Jun24
My indexed international publications
1: Primary headache associated with sexual activity.

Anand KS, Dhikav V.

Singapore Med J. 2009 May;50(5):e176-7.

PMID: 19495503 [PubMed - in process]

Related Articles Free article at journal site
2: Is hypertension a predictor of hippocampal atrophy in Alzheimer's disease?

Dhikav V, Verma M, Anand K.

Int Psychogeriatr. 2009 May 11:1. [Epub ahead of print] No abstract available.

PMID: 19426579 [PubMed - as supplied by publisher]

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3: Erectile dysfunction induced probably by celecoxib.

Dhikav V, Gupta S, Anand KS.

Pharmacoepidemiol Drug Saf. 2008 Feb;17(2):211-2. No abstract available.

PMID: 18236511 [PubMed - indexed for MEDLINE]

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4: Yoga in premature ejaculation: a comparative trial with fluoxetine.

Dhikav V, Karmarkar G, Gupta M, Anand KS.

J Sex Med. 2007 Nov;4(6):1726-32. Epub 2007 Sep 21.

PMID: 17888067 [PubMed - indexed for MEDLINE]

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5: Depression in Dhat syndrome.

Dhikav V, Aggarwal N, Gupta S, Jadhavi R, Singh K.

J Sex Med. 2008 Apr;5(4):841-4. Epub 2007 Apr 19.

PMID: 17451483 [PubMed - indexed for MEDLINE]

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6: Is Dhat syndrome, a culturally appropriate manifestation of depression?

Dhikav V, Aggarwal N, Anand KS.

Med Hypotheses. 2007;69(3):698. Epub 2007 Mar 26. No abstract available.

PMID: 17382482 [PubMed - indexed for MEDLINE]

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7: Grossly disinhibited sexual behavior in dementia of Alzheimer's type.

Dhikav V, Anand K, Aggarwal N.

Arch Sex Behav. 2007 Apr;36(2):133-4. No abstract available.

PMID: 17308974 [PubMed - indexed for MEDLINE]

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8: Hippocampal atrophy may be a predictor of seizures in Alzheimer's disease.

Dhikav V, Anand K.

Med Hypotheses. 2007;69(1):234-5. Epub 2007 Feb 5. No abstract available.

PMID: 17276608 [PubMed - indexed for MEDLINE]

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9: Glucocorticoids may initiate Alzheimer's disease: a potential therapeutic role for mifepristone (RU-486).

Dhikav V, Anand KS.

Med Hypotheses. 2007;68(5):1088-92. Epub 2006 Nov 14.

PMID: 17107752 [PubMed - indexed for MEDLINE]

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10: Is hippocampal atrophy a future drug target?

Dhikav V, Anand KS.

Med Hypotheses. 2007;68(6):1300-6. Epub 2006 Nov 13.

PMID: 17098374 [PubMed - indexed for MEDLINE]

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11: Can phenytoin prevent Alzheimer's disease?

Dhikav V.

Med Hypotheses. 2006;67(4):725-8. Epub 2006 Jun 16.

PMID: 16781825 [PubMed - indexed for MEDLINE]

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12: More on treating homosexuality as a sickness: homosexuality is punishable in India.

Dhikav V.

BMJ. 2004 May 22;328(7450):1261. No abstract available.

PMID: 15155517 [PubMed - indexed for MEDLINE]

Related Articles Free article in PMC | at journal site
13: An unusual cause of psychosis.

Singh S, Dhikav V, Agarwal N, Anand KS.

Lancet. 2004 May 8;363(9420):1522. No abstract available.

PMID: 15135600 [PubMed - indexed for MEDLINE]

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Jun21
HYDRATION DURING SPORTS COMPETITION
Hydration for Optimal Sports Performance
Proper hydration is essential to peak performance in every sport, not just endurance events.
Why? Because a poorly-hydrated athlete not only suffers from a deterioration in speed or strength, but from impaired motor skills too.
Having the correct hydration strategy is as important to football players fighting off their opponents’ repeated attacks in the dying minutes of a soccer match, as it is to marathon runners and road cyclists seeking to prevent cramps and heat stroke in the final miles of a race. After all, it only takes one late goal to lose that all-important game…
The problem for athletes and coaches is this: much of the accepted wisdom about hydration has come under the spotlight in recent years, with leading sports scientists disagreeing about some of the most fundamental tenets of fluid balance and refuelling.
Take the renewed debate over the ‘official’ advice given to athletes wishing to maintain optimum hydration – that they need to make sure they drink enough to replace all the fluid lost in sweat during endurance events. Australian researchers have called on the American College of Sports Medicine and other official bodies to revise their current fluid replacement guidelines in the light of recent research that suggests even quite large fluid losses don’t necessarily lead to dehydration or heat illness.
Meanwhile Tim Noakes, the renowned exercise physiologist, has argued in a hard-hitting leading article in the British Journal of Sports Medicine that the case against ‘over-drinking’ was proven over 20 years ago – and that official advice has been unduly influenced by the marketing needs of the worldwide sports drink industry.
Given the rethinking on hydration amongst sports scientists, what are the rest of us ‘mere mortals’ to make of it all? After all, whether you’re a serious athlete, or coach, you’ll want answers to these, and other key questions:
Exactly how much should you drink – and when?
Can you over-drink – and if so what are the likely consequences?
At what point does dehydration start to really impair sports performance?
What kind of sports drink is best – and which ones are a waste of your time and money?
Should the kind of sport you perform dictate the kind of sports drink you consume?
How does your diet affect your hydration needs?
Hydration for Optimal Sports Performance has been put together by Andrew Hamilton, Editor of Peak Performance newsletter and himself a qualified sports nutritionist and former competitive triathlete. ?
What’s the best half-time refuelling strategy in team sports like soccer, rugby and basketball?
Details of a new carbohydrate drink that could give a clear endurance advantage over your competitors!
What’s the secret of ‘hyper-hydration’ – and how can you successfully take advantage of it?
Caffeine & Alcohol: why is one of them good for you – and the other to be avoided if all possible?
Why is adequate hydration of particular importance to strength & power athletes?
Designing an Individual Hydration Strategy – how do you work out what’s right for you?
There is increasing scientific dissatisfaction with the ‘official advice’ that’s been published by such organisations as the American College of Sports Medicine (ACSM) and the International Marathon Medical Directors Association (IMMDA).
The ACSM guidelines for endurance athletes recommend that ‘During exercise, athletes should start drinking early and at regular intervals in an attempt to consume fluids at a rate sufficient to replace all the water lost through sweating (ie bodyweight loss), or consume the maximal amount that can be tolerated’.
The IMMDA, meanwhile, has recommended a fluid intake of something between 400 and 800ml per hour, with the higher rates being appropriate for faster or heavier runners and the lower rates for slower runners and walkers.
The problem with both sets of recommendations is that they are too inflexible. The ACSM guidelines can be interpreted as encouraging runners to drink as much as they can: this may be more than is necessary and can lead to problems of water overload and even hyponatraemia (a potentially dangerous fall in the blood sodium level).
Even at the narrower range set by the IMMDA, 400ml will not be enough for a heavy runner on a hot day, while 800ml is likely to be too much for a light runner taking five hours to complete a marathon on a cold day.
The only sensible advice is for individual athletes to take personal responsibility for developing their own hydration plan. The question is, what’s the right way to do this?
So ,how best to construct your own individual hydration strategy, depending on your body weight, gender, the type of sport you play, weather conditions and other essential factors.
Everything you need to make sure your hydration strategy is right for you.
Sports Drinks vs Plain Water – how do you achieve the optimal fluid balance?
A comprehensive hydration strategy involves ensuring the appropriate fluid intake before training/competition, maintaining it during exercise and then replacing any shortfall as soon as possible afterwards.
However, hydration isn’t just about water: fluid loss via urine and, especially, sweating involves the loss of electrolyte minerals – calcium, magnesium, sodium, potassium and chloride.
There are three reasons why replacing these minerals by means of an electrolyte mineral-containing drink may be better then drinking pure water alone:
Although the amounts lost in sweat are generally small in proportion to total body stores, prolonged heavy sweating can lead to significant mineral losses (particularly of sodium). Drinking pure water effectively dilutes the concentration of electrolyte minerals in the blood, which can impair a number of normal physiological processes. An extreme example of such an impairment is ‘hyponatraemia’, when low plasma sodium levels can be literally life threatening.


Drinks containing electrolyte minerals – particularly sodium – are known to promote thirst, thereby stimulating a greater voluntary intake of fluid. There is also evidence that drinks containing sodium enhance the rate and completeness of rehydration after a bout of exercise.


When the electrolyte minerals – again, particularly sodium – are present in appropriate concentrations, the rate of fluid absorption from the small intestine into the rest of the body appears to be enhanced, especially in conjunction with small amounts of glucose. This is particularly important when rapid uptake of fluid is required, such as during strenuous exercise in the heat.
Because properly formulated carbohydrate/electrolyte drinks can and do increase hydration (and, as a bonus, supply extra carbohydrate to working muscles), it’s hardly surprising that they really do enhance performance when fluid loss is an issue.
But what’s the best strategy for individual athletes? And how do you decide on the best drinks for you?
Take the renewed debate over glucose polymers versus pure glucose – which is best for athletes, and why? Or the argument over fructose vs glucose. What’s the latest thinking, and how can you profit from it? We give you all the details.
Then we take a close look at glycerol. Does the increased water retention caused by taking this substance really assist performance? If you decide to use it, what factors should you consider, given that higher doses of glycerol have been known to cause headaches and blurred vision?

Hydration at Half-time – what’s the best way to prepare your body for a winning second half?
The half-time nutritional strategies employed by many sports teams typically rely as much on tradition, fashion and even sponsorship deals as they do on sound science – or at least they used to.
With sports like football becoming so high profile, nutritional strategies are increasingly being re-engineered, with many teams employing full-time nutritionists and sport scientists. More and more top teams are using specialist sports drinks and other products with an emphasis on different priorities for different positions and individuals.
The consensus is that the days of sliced oranges and a cup of tea at half-time are long gone. Optimum half-time hydration and refuelling is a complex science in which a number of factors need to be considered. the main factors that need to be considered when formulating the right strategy for the team, allowing for individual differences amongst players. After all, there are significant differences in the physical demands of team sports like soccer, American football and rugby, with soccer being more physically demanding in terms of distance covered per minute than rugby, for instance. Moreover, within the same sport, different league standards are often associated with different activity levels, with top-class sport clearly differentiated from lower levels by the increased volume of high-intensity play.
Given that outcomes in team sports are highly influenced by skill, it is also essential that we consider factors that may influence skill and concentration when considering strategies to optimise performance. Often these factors go hand in hand with carbohydrate depletion, associated with reduced exercise capacity and poor concentration – effects that may be compounded by dehydration.
And as both dehydration and muscle glycogen depletion have been associated with injury and accidents, efforts to prevent these affecting performances could have repercussions well beyond the immediate match.
NB: one of the research studies cited in this chapter points out that the impact of carbohydrate supplementation during the half-time interval could well depend upon the prior eating habits of the player. Similarly, the rehydration needs, and therefore the efficacy of half-time rehydration strategies, will depend on the pre-game hydration status as much as the playing conditions and player work rates.
a report on some recent research from Pennsylvania State University into the effect of dehydration and rehydration on basketball skill. which minerals are essential for half-time nutrition – and which ones may actually be counter-productive.
it’s particularly important to pay attention to player hydration on days when the sun is not shining!
a case study of a prominent UK football club which, having implemented a new pre-match and half-time feeding strategy, found a marked increase in their ability both to score goals in the second half, and to prevent the other side from scoring. The team went on to win the title that year

Hot Weather Hydration - Details of a ‘secret ingredient’ to enhance endurance performance
Endurance athletes competing in hot and humid conditions need to maintain maximum hydration, since fluid losses of as little as 1.5 litres can significantly impair performance. Moreover, studies have shown that many athletes do not drink enough to offset dehydration during competition, even with unlimited access to fluid.
A temporary state of ‘hyper-hydration’ can be achieved by drinking lots of water in excess of the body’s needs. However this situation is very transitory because the consequent fall in osmolarity stimulates the kidneys to remove most of the excess water within an hour, requiring frequent trips to the bathroom, which are not exactly conducive to fast race times!
However there’s a unique molecule which, when added to the water prevents this drop in osmolarity and can prolong the period of hyper-hydration for up to four hours – which explains its use by elite athletes seeking to enhance endurance performance in hot weather conditions. Please note: this is not an artificial chemical. In fact, your body produces it naturally.
you should be aware that there are some possible side-effects when ingesting this substance in greater amounts than the body normally produces. So, to minimise the likelihood of this, our discussion includes full details of an ingestion protocol used in a recent clinical trial that produced significant hyper-hydration without any side-effects.
Diuretics & Hydration – the low-down on caffeine and alcohol
Like it or not, alcohol and caffeine are drugs that most of us consume regularly as part of our diet. And like all drugs, they have side effects, one of which is common to both – a ‘diuretic’ (water-loss) effect.
But how strong is this effect, and is a diet containing these drugs detrimental to the goal of optimum hydration – and sporting success?
the results of some recent research into the consumption of caffeine and alcohol by athletes, specifically their impact on hydration. Should you avoid tea and coffee altogether?
Are caffeine-heavy energy drinks all they’re cracked up to be?
Can athletes drink any alcohol during the sporting season, or is total abstention required?
Sports Drinks – a new breed of carbohydrate drink, promising a genuine improvement in endurance performance
The marketing of sports drinks is a highly-competitive – and lucrative – business for the manufacturers concerned. But for the athlete and coach it can be a confusing subject. Which drinks, if any, offer a real competitive advantage, and which are more hype than substance?
It often seems you’re better off taking many manufacturers’ claims with a large pinch of salt!
Now the indications are that recent sports science research into carbohydrate absorption and utilisation could herald a new breed of carbohydrate drink – one which promises genuinely enhanced endurance performance. carbohydrate during endurance events, and the background to modern carbohydrate drink formulation. recent research on the potential benefits of mixed carbohydrate drinks made using this new formulation, and for endurance athletes..
REGARDS
DR.P.NAGARAJ.PT.,
CONS.PHYSIOTHERAPIST & SPORTS MEDICINE REHABILITATION SPECIALIST
CHENNAI
www.pmnspeciaality.com


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Jun20
SWINE FLU CARE
Air Travel Guidelines are Needed to Prevent Flu's Spread.

India needs to announce flu prevention guidelines for airline travel. American Medical association has already framed their guideline on June 16 at its annual meeting held from June 13 to 17 in Chicago.
Suggested points
1. The confined nature of air travel raises the risk of influenza's spread.
2. It supports efforts to develop airline travel guidelines to help keep the flu -- including H1N1 swine flu -- from spreading.
3. If you must travel to an area that has reported cases of H1N1 flu (swine flu), stay informed. Follow local public health guidelines, including any movement restrictions and prevention recommendations.
4. Be aware that India is checking all exiting airline passengers for signs of H1N1 flu (swine flu). Exit screening may cause significant delays at airports.
5. The country should adopt policy of entry check also. As it?s the entry which causes the spread of illness to the fellow passengers.
6. Do not illegally import swine flu in the country by consuming drugs to help stop flu symptoms for a few hours. Drugs like anti allergics, steroids, pain killers, anti fever drugs, nasal anti allergic drops and anti cough syrups can all cover the symptoms for a few hours.
7. Antiviral medications for the prevention of H1N1 flu (swine flu) should be considered for travelers going to Mexico who are at high risk of severe illness from influenza. This would include persons with certain chronic medical conditions, persons aged 65 or older, children younger than 5 years old, and pregnant women. The recommended antiviral drugs for H1N1 flu (swine flu) are oseltamivir (brand name Tamiflu) nd zanamivir (brand name Relenza). Both are prescription drugs that fight against H1N1 flu (swine flu) by keeping it from reproducing in the body. These drugs can prevent infection if taken as a preventative.
8. Check if your health insurance plan will cover you abroad including for the swine flu. Consider purchasing additional insurance that covers medical evacuation in case you become sick.
9. The Indian embassies, consulates and military facilities may not have the legal authority, capability, and resources to evacuate or to give medications, vaccines or medical care to private Indian citizens overseas.

Practice healthy habits to help stop the spread of H1N1 flu (swine flu)
• Wash your hands often with soap and water. This removes germs from your skin and helps prevent diseases from spreading.
• Use waterless alcohol-based hand gels (containing at least 60% alcohol) when soap is not available and hands are not visibly dirty.
• Cover your mouth and nose with a tissue when you cough or sneeze and put your used tissue in a wastebasket.
• If you don't have a tissue, cough or sneeze into your upper sleeve, not your hands.
• Wash your hands after coughing or sneezing, using soap and water or an alcohol-based hand cleaner (with at least 60% alcohol) when soap and water are not available.
• Avoid touching your eyes, nose, or mouth. Germs spread that way.
• Try to avoid close contact with sick people (within 6 feet). Influenza is thought to spread mainly person-to-person through coughing or sneezing of infected people.
It is important to follow the advice of local health and government authorities. You may be asked to restrict your movement and stay in your home or hotel to contain the spread of H1N1 flu (swine flu).



BY:
DR CHETAN LALSETA
M.D.(Skin & V .D)
DERMATOLOGIST & COSMETOLOGIST
“C POINT”—A UNIT OF MCSPL
SHRADDHA HOSPITAL,INDIRA CIRCLE CHOWK,
RAJKOT-360005

www.cpoint.in
www.mcspl.in
www.drlalseta.blogspot.com
09825199585


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Jun19
Sexual Confidence
What is Sexual Confidence ?

Sexual Confidence is:
Knowing that you are a good sexual partner.
Thinking that you are sexy (regardless of your age or weight)
Being willing to flirt, or touch first.
Freedom from inhibition - you can be yourself in bed.
You are in touch with your desires - you know what you like.
Being able to say “I want you” and knowing he wants you too.
Daring to try something new - a position, sex in the kitchen, being blindfolded etc.
Understanding that a good sexual rapport can take time to develop.
Being unafraid to say no to anything that you don’t want.
Keep a healthy distance between Desires and Relationships.
Not taking your partner’s lack of desire or orgasm as your failure.
Staying calm if your partner loses his erection. (you know it happens sometimes)
Being open to hearing feedback about your technique in order to better please him.
“Lovers don’t finally meet somewhere. They’re in each other all along.”


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Jun19
Pornography
In the case of pornography, the preponderance of the evidence clearly demonstrates that the material is not .just harmless fun.. Although almost all men are attracted by it, there are clearly perils associated with its use . which no doubt explains why so many men are willing to resist their own hormones and try to keep away from pornography.

Pornography is not about real human sexuality: it.s about a dehumanized, synthetic version of sex that eliminates love, honor, dignity, true intimacy and commitment. The image of sexuality offered by pornography comes without relationships, responsibility or consequences. a largely fraudulent picture. Porn movies never show a girlfriend getting pregnant at 16, or a young man getting AIDS . or a married man resisting the temptation of another woman.
Unfortunately, the research demonstrates that pornography.s fraudulent messages are ingested, affecting attitudes and behavior. Countless studies show that the basic messages of pornography . that a woman.s function is to satisfy a man sexually, that women have no value,no meaning, and their desires and needs are irrelevant . breed sexual callousness and acceptance of the rape myth (i.e. that women secretly desire to be raped).
These are the attitudes that lead to sexual harassment, failed relationships, early promiscuity and the spread of STDs. And, unless one believes that attitudes and behaviors are unrelated, it is difficult then to be surprised by the evidence of correlation between pornography usage and sexually abusive behaviors.
We protect ourselves and our communities, in part, through the values we affirm as
important. Treating every human being with respect, equality, and dignity, are values we should all be able to embrace, as a society and as individuals. The harms of pornography result from replacing respect, equality and dignity with a candy-coated message of hate


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Jun19
Sex as A Science
Sex is a Science:

My head falls down in shame when we hear that the govt has put on hold the decision to start sex Education in schools...
Lets approach it this way... Let us think Sex as a Science...
By virtue of being born out of sex, it does not follow that we know all there is to know about sex. We are not born experts on love and sex. We have to be educated. We have to understand what’s the attractions in sex, why there is such a push within us towards it. We have to learn how to use our energy to go through sex in a natural way and then go beyond it to a natural state of celibacy.
With a depth of insight and foresight, I understand today the caliber of humans in sinking lower and lower. Some people blame it on the deterioration of moral standards, while others attribute it to kaliyug, etc but this is all non sense...

There is only one thing different, the quality of sex has fallen, sex has lost its sacredness, sex has lost its scientific understanding, its simplicity and naturalness.
Sex has degenerated into a forced thing, a nightmare. Sex has taken almost a violent status, very rarely its a loving act.. Unless we bring a deeper understanding and a harmony to the act of sex—which is possible only through education, humanity cannot come into being.... Until the naturalness of sex becomes accepted wholeheartedly nobody can love anybody. I want to say to you that sex is godly, The energy of sex is divine energy, godly energy. That is why this energy creates life. It is the greatest most mysterious force of all.. I appeal to all the authorities to drop this antagonism towards sex. If you ever want love to shower in your life, renounce this conflict with sex, Accept sex blissfully, acknowledge its sacredness...

There is an enormous rise in incidences of sex abuse, child abuse, rapes, transgender, gays & lesbians I don’t blame those who do this crime.. but feel the plight of the victims..
This is all because of our age old belief system, that sex is a sin, sex is bad, sex should not be talked about, sex is illegal, .. etc etc.
Also sex should be abstained before marriage.. its like asking adolescent guy that he/she shouldn’t drive a car before marriage, even if has a valid license and can drive very well.

Why should you blame the mirror for what it reflects ?
What is the fault of the snake if we are scared of it. What is the fault of heights if we are scared of it. Our biggest culprit today is our belief system.. which is several thousand years old.. Our humanity is a byproduct of this culture.. and yet the human is blamed for being wrong, and not the culture. I do not say our culture is not great, infact its one of the richest, but as other things have evolved over several thousand years love, attitudes and relationships haven’t evolved as they should... But if something hasn’t evolved over the past ten thousand years how can one expect that to change now.. And today’s human being is a proof for this...Its amazing to see more love and healthy relationships amongst birds, insects and trees who do not have any religion or culture..

Love is within every human being, hidden inside, it has not to be searched from somewhere, it is there. It is the very need and longing of life within every soul on this earth, it is the very decor of life within every one.. Its like a sculptor who works with a rock and with a chisel and hammer makes a wonderful statue.. Actually speaking the statue is actually hidden inside, somehow the useless mass over it was brilliantly separated.. So the question is not how to produce love and harmony in all but how to uncover it in all ?

This is only possible with proper sex education.....

Lastly let me tall you that sex is a religious experience, a spiritual experience.. Let us use it and not abuse it, not detest it, not give a degrading grin, not give an insulting attitude to it, not suppress or repress it... Let us not kill sex education by poisoning it because all said and done even if authorities do not implement sex education sex did not die in the past and sex will not die.in future. it will become poisoned.. it shall live on, but poisoned, and we shall say Sexuality is the poisoned sex....

As a Sex therapist, and a Sexologist with a diplomate from American board and American College of Sexology I am aware The things which are taught in our medical schools are restricted to study of reproductive organs, the diseases related to the organs and Sexually transmitted diseases.. nothing beyond that While working as a clinical associate at KEM Hospital in the sexual medicine department I wasn’t alarmed at a newly married neurosurgeon who came with his wife who also works in a MNC to ask me how to perform sex in a right way? And there are many more such situations we see which makes me feel its imperative to make Sexual Science education to all children who are the future of our nation, who shall rope in seeds of love and harmony in future generations to come.

A beautiful curriculum on the guidelines of American Association of Sexuality Educators, Counselors and Therapists and American College of Sexology for all the types of students, school college, women, literate, illiterate and from over several years of experience in practicing Sex Therapy,can be formulated and I am willing to impart as much education in this fascinating and only branch of science which is life in itself...


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