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Category : All ; Cycle : October 2013
Medical Articles
Oct30
Alternative Therapy and Treatment for Depression and Stress
Have you experienced a phase in life where you are taken over by depression in every aspect of life, not as some fatality in depression, but as an indifferent person in stress who has no passion left for any of the niceties of life?

What is Depression?
There are times when you know you have to move ahead but do not know in which direction. Discontent leads to depression. No matter how much you try to dispute happiness with yourself, that sadness takes over your judgments and makes them incapable. You suddenly want to be with friends to overcome depression and once your friends surround you, you feel they shouldn't have been with you. At once you feel depressed and the hopelessness leaves you emotionally misplaced, eventually leading you to sadness and chaotic kind of crying. You really are unable to answer with particulars when your loved one asks you what is wrong and why you are plunging yourself into misery.

Why Does Depression Arise?
What could be the primary reason behind stress? Why should depression overpower only you of all the people? This is owing to the Sahashara Chakra not suitably active in your life. Your immediate concern should be to seek a holistic healing from within to balance the Chakras in your life. Depression is a subconscious excuse for not taking responsibility for our own life. Stressful events like losing opportunities and being hurt in a relationship leads to discontent. Because of depression we tend to lose interest in day to day life and lose confidence. In other terms, in depression, we block our own chakras due to the traumatic incident which we cannot face.

Crown Chakra Influencing Depression
How are the chakras actually blocked? Crown Chakra is the path way or association between the individual and God. When the Crown Chakra is blocked, an individual loses this association and the communication channel is lost. We drift away from the Source energy, fall into poor health and move towards depression.

Opening the Crown Chakra
How to work on our own self to open up the Crown Chakra? We have to realize that to open the Chakra, we have to learn and face the challenges, seal ourselves with thankfulness and look at what God has already blessed us with rather than focusing on what is not given to us. One needs to shed fear and fill oneself with gratitude and contentment. When you wear Rudraksha on your body, it helps in opening up your blocked Crown Chakra. A balanced Crown Chakra automatically transforms an individual into a magnetic personality. Beliefs are taken over by divine knowledge.

Crown Chakra and the Rudraksha
Rudraksha is the blessing from Lord Shiva himself to protect mankind from worldly miseries. People from every walk of life irrespective of caste, creed, religion, nationality or gender can avail the divine power of Rudraksha and request for divine sanctions from Gods. It is very important to have appropriate knowledge of Rudraksha, for the right effect to be shown. Rudra Ranta works on this knowledge to make powerful Rudraksha combinations. It’s known as the Rudraksha Science Therapy. You can always seek free counseling at Rudra Centre and take your first step towards freedom from discontent. Alternate and Natural healing therapy for Depression Treatment by using Rudraksha, Gemstones and Chakra Therapy from Rudraksha Ratna company.
For more details visit : http://www.rudraksha-ratna.com/depression.html


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Oct25
For all the new moms:
For all the new moms:

Try these tips to help your little one sleep:

When your baby fusses at night, wait a minute or two to see if he calms himself down and goes back to sleep.

Be quiet during nighttime feedings or diaper changes. Try not to wake him up too much.

Be active and play during the day so he stays awake for longer periods. That can help him transition to sleeping more .


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Oct22
know what's breath holding spell?
Breath-holding spells:

Most common between the ages of six months and two years, breath-holding spells are a benign, yet alarming event for parents to witness. Of the two types - cyanotic and pallid breath-holding spells - the former are most common.
Children who become pallid may also have a brief period of asystole believed to be due to an exaggerated vasovagal response.
There is no evidence to suggest serious consequences of either type of breath-holding spell, but some children may develop an increased incidence of vasovagal attacks in later childhood and adolescence which may extend into adulthood. This is often familial and may be due to an increased sensitivity of the vagal nerve to trauma or emotional upsets.
The key to diagnosing breath-holding attacks is the presence of a precipitating factor such as trauma (eg, a fall or bump on the head) or emotional distress. The child cries for a variable period and then there is silence. He or she becomes cyanosed or pallid and loses consciousness. Loss of muscle tone also occurs, mimicking an atonic seizure. Prolonged apnoea may produce myoclonic jerking due to hypoxia which parents may interpret as fitting.
Some children may have only a brief lead-up period and let out a short cry before losing consciousness. However, most cry for periods up to about two minutes. After the episode, the child generally recovers quickly and resumes normal activities.
Parents can be educated about signs leading to an attack and instructed to distract the child quickly at the time of a minor trauma. They can also be reassured that the child will grow out of the condition by four to six years of age.
If the GP is confident about the diagnosis, investigations are unnecessary. Physical examination is usually unremarkable.
There is some evidence that iron supplementation may be beneficial, even if the child is not iron-deficient. A presumed mechanism involves supersaturating haemaglobin which may reduce oxygen desaturation. This treatment is currently the subject of research and is reserved for children with frequent (eg, daily) attacks.
Blowing in the child's face during crying or splashing cold water on its face has not been shown to have any effect.


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Oct22
what's brain dead?
Preconditions
• Diagnosis compatible with brain stem death
• Presence of irreversible structural brain damage
• Presence of apnoeic coma
Exclusions
• Therapeutic drug effects (sedatives, hypnotics, muscle relaxants)
• Hypothermia (Temp >35°C)
• Metabolic abnormalities
• Endocrine abnormalities
• Intoxication
Clinical tests
• Confirmation of absent brain stem reflexes
• Confirmation of persistent apnoea
• Clinical tests should be performed by two experienced practitioners
• At least one should be a consultant
• Neither should be part of the transplant team
• Should be performed on two separate occasions
• There is no necessary prescribed time interval between the tests
Clinical tests for absent brain stem reflexes
• No pupillary response to light
• Absent corneal reflex
• No motor response within cranial nerve distribution
• Absent gag reflex
• Absent cough reflex
• Absent vestibulo-ocular reflex
Test for confirmation of persistent apnoea
• Preoxygenation with 100% oxygen for 10 minutes
• Allow PaCO2 to rise above 5.0 kPa before test
• Disconnect from ventilator
• Maintain adequate oxygenation during test
• Allow PaCO2 to climb above 6.65 kPa
• Confirm no spontaneous respiration
• Reconnect ventilator


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Oct22
developmental "RED FLAG" for early referral and intervention
Developmental Red Flags
I. Red Flags: Birth to three month
A. Rolling prior to 3 months: Evaluate for hypertonia
B. Persistent fisting at 3 months: Evaluate for neuromotor dysfunction
C. Failure to alert to environmental stimuli: Evaluate for sensory Impairment
II. Red Flags: 4 to 6 months
A. Poor head control: Evaluate for hypotonia
B. Failure to reach for objects by 5 months: Evaluate for motor, visual or cognitive deficits
C. Absent Smile: Evaluate for visual loss - Evaluate for attachment problems - Evaluate maternal Major Depression - Consider Child Abuse or child neglect in severe cases
III. Red Flags: 6 to 12 months
A. Persistence of primitive reflexes after 6 months: Evaluate for neuromuscular disorder
B. Absent babbling by 6 months: Evaluate for hearing deficit
C. Absent stranger anxiety by 7 months: May be related to multiple care providers
D. W-sitting and bunny hopping at 7 months: Evaluate for adductor spasticity or hypotonia
E. Inability to localize sound by 10 months: Evaluate for unilateral Hearing Loss
F. Persistent mouthing of objects at 12 months: May indicate lack of intellectual curiosity
IV. Red Flags: 12 to 24 months
A. Lack of consonant production by 15 months: Evaluate for Mild Hearing Loss
B. Lack of imitation by 16 months: Evaluate for hearing deficit - Evaluate for cognitive or socialization deficit
C. Lack of protodeclarative pointing by 18 months: Problem in social relatedness
D. Hand dominance prior to 18 months: May indicate contralateral weakness with Hemiparesis
E. Inability to walk up and down stairs at 24 months: May lack opportunity rather than motor deficit
F. Persistent poor transitions in 21 to 24 months: May indicate pervasive developmental disorder
G. Advanced non-communicative speech (e.g. Echolalia): Simple commands not understood suggests abnormality - Evaluate for Autism - Evaluate for pervasive developmental disorder
H. Delayed Language Development: Requires Hearing Loss evaluation in all children
V. Immediate speech therapy evaluation indications
a. No babbling by 12 months
b. No pointing or gestures by 12 months
c. No single words by 16 months
d. No 2-word spontaneous phrases by 24 months
e. Speech not understandable by 24 months
f. Regression of skills at any age
g. Loss of language or babbling
h. Loss of social skills


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Oct17
The da Vinci Surgical System
Imagine major surgeries performed through the smallest of incisions.Imagine having the benefits of a definitive treatment but with the potential for significantly less pain, shorter hospital stay, faster return to normal daily activities as well as better clinical outcomes! The product is called "da Vinci " in part, because Leonardo da Vinci invented the first robot. He also used unparelleled anatomical accuracy and three dimensional details to bring his masterpieces to life. It provides surgeons with such enhanced detail and precision that the system can simulate an open surgical environment while allowing operation through tiny incisions. With the da Vinci Surgical system hospitals are rewriting accepted standards for surgical care and changing the experience of surgery. This breakthrough technology is an effective minimally invasive alternative to both open surgery and laparoscopy. Through the use of the da Vinci Surgical system, surgeons are now able to offer a minimally invasive option for complex surgical procedures. Some of the major benefits experienced by surgeons using the da vinci over traditional approaches have been greater surgical precision, increased range of motion,improved dexterity, enhanced visualization and improved access, Benefits experienced by patients include a shorter hospital stay, less pain, less risk of infection, less blood loss, fewer transfusion, less scarring, faster recovery and a quicker return to normal daily activities. None of these can be guaranteed, as surgery is necessarily both patient and procedure specific.
While clinical studies support the effectiveness of the Robotic surgeries, individual results may vary,There are no guarantees of outcome. All surgeries involve the risk of complications. Before you decide on surgery, discuss treatment options with your doctor. Understanding the risk of each treatment can help you make the best decision for your individual situation. It may not be appropriate for every individual, it may not be applicable to your condition. A very common question about robotic surgery is will it make the surgeon unnecessary? On the contrary, it enables surgeons to be more precise,advancing their technique and enhancing their capability in performing complex minimally invasive surgery. The system replicates the surgeons movements in real time. It cannot be programmed, nor can it make decisions on its own to move in any way to perform any type of surgical maneuver without the surgeons input. Does the surgeon have any sensations while performing the procedures ? The system relays some force feedback sensations from the operative field back to the surgeon throughout the procedure. This force feedback substitutes for the tactile sensation and is augmented by the enhanced vision provided by the high resolution 3D view. Although seated at a console few feet away from the patient, the surgeon views an actual image of the surgical field while operating in real time through tiny incisions,using miniaturized, wristed instruments. The system does not maneuver on its own outside of the surgeons direct, real time control.
Robotic surgery, a new tehnology in different parts of the world has its disadvantages also. Its uses and efficacy has not been fully determined. There are not many long term studies on this to confirm or deny its effectiveness. The prominent disadvantages to robotics include Time, Cost , Efficacy and its Compatibility with current and existing conditions. Robotic assisted heart surgeries can take nearly twice the amount of time and the patients are under anaesthesia for longer time . It definitely is more expensive.The cost may fall as surgeons gain more experience and start doing it more often but as the system gets upgraded and improved there are chances that the price may even go higher. Only when these systems gain more multidisciplinary use will the cost become more justified. Another disadvantage is the large system in an overcrowded operating room. The robotic arms are awkward and bulky and there are many instruments needed in the small space. For robotic assisted beating heart surgery the space is even smaller because stabilizers are needed. This cramped area can cause interference with the dexterity of the surgeon. The solution is to miniaturize the robotic arms or have larger operating areas. With either solution, robotics is an especially expensive technology. Current operating room instruments are not compatible with new robotic system. Without the correct equipment, tableside assistance is needed to perform part of the surgery. But with time and improvement in technology, these disadvantages will hopefully be remedied.


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Oct16
WHAT IS SEMEN ANALYSIS ?
visit www.drnagi.com
DR.NAGI SEXOLOGIST

Semen is a whitish or greyish liquid, but can occasionally appear yellowish,

Emitted from the urethra (tube in the penis) on ejaculation.

Normal Sperm Count Morphology Motility 20 to 150 million/ml

Sperm count below 20 million/ml called Oligospermia.

When a Sexologist (Sex Doctor),advices Semen Analysis of a patient then the patient is require to give the sample for this.

The sample should be collected after 3-4 days of sexual abstinence.
Typically, semen collection will require masturbation and collection of the semen into a sterile container.
Anyone who is having trouble conceiving should have a semen analysis done. In about 40% of infertile couples, the cause of the infertility lies with the males, and this could easily and quickly be diagnosed via a semen analysis.

The various parameters tested are:

Semen volume
Sperm concentration
Sperm count
Percentage motile sperm
Grade of motility
Normal sperm morphology

Semen consists of the secretions of several glands but only 5 per cent comes from the testicles, the remaining part comes in this way:-

46 to 80 per cent of semen comes from Seminal vesicles, 13 to 33 per cent comes from Prostate gland , glands2 to 5 per cent comes from the Bulbourethral and urethral.
Contents of semen are like this

Ascorbic acid (vitamin C, for tissue maintenance)
Blood-group antigens (from immune system)
Calcium (mineral)
Chlorine (oxidizing agent)
Cholesterol (steroid alcohol present in body fluids)
Chlorine (base, part of the vitamin B complex)
Citric acid (occurs during cellular metabolism)
Creatine (a nitrogenous substance found in muscle)
Deoxyribonucleic acid (DNA)
Fructose (sugar used for energy)
glutathione (peptide amino acid)
Glycoproteins (cancer fighting agent)
hyaluronidase (enzyme)
inositol (sugar found in muscles)
Lactic acid (byproduct of muscle use)
Magnesium (mineral)
Nitrogen (gas found in all living tissue)
Phosphorus (mineral)
Prostaglandins (good for pregnancy)
Potassium (mineral)
Purine (compound of uric acid)
Pyrimidine (organic base)
Pyruvic acid (formed from either glucose or glycogen)
Selenium (cancer fighting agent)
Sodium (salt)
sorbitol (body alcohol)
spermidine (catalytic enzyme)
Supermen (ammonia compound found in sperm)
Urea (from urine)
Uric acid (from urine)
Vitamin B12 (for proper function of nervous system and metabolism)
Zinc (mineral)
Normal Semen Characteristics

Volume (ml) > or = 2
PH 7.2-8.0
Sperm concentration (M/ml) > or = 20
Total sperm count (M/ejaculate) > or = 40
Morphology (% normal) > or = 30
Vitality (% live) > or = 75
WBC (M/ml) <1.0
Immunobead test (%sperm with beads) < or = 10 <20
MAR test (%sperm with RBCs) <10
Calorie equivalent in ejaculate 9 calories
Motility Within 1h of ejaculation
Class a (%) > or = 25
Classes a and b (%) > or = 50
Neutral alpha-glucosidase (mU/ejaculate) > or = 20
Total zinc (µmol/ejaculate) > or = 2.4
Total citric acid (µmol/ejaculate) > or = 52
Total acid phosphatase (U/ejaculate) > or = 200
Total Fructose (µmol/ejaculate) > or = 13

drnagi
www.drnagi.com


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Oct10
How to Break the fast
Hi Every one


Fasting means depriving yourself of solid foods. When you are coming out of a fast, it is important to ease your body back into the process of digesting regular foods. Because your digestive system has most likely reduced enzyme production and affected the mucus lining in your stomach, overeating or ingesting certain foods too quickly may cause you to experience health problems such as nausea, stomachaches, or diarrhea.

Introducing regular foods slowly and strategically will help you break a fast safely, without disrupting your digestive system.

Keep yourself hydrated. Continue to drink plenty of water and fresh juices while you are breaking your fast.

Maintain healthy eating habits. Remember that your fast was a cleansing experience for your body. Do not immediately fill it back up with junk food and processed meals. Make your fast the start of a healthy lifestyle

As fasts are going to be over...you must be feeling some what lethargic too as you must be grabbing or grazing on more n more of potatoes (fried) or you must have followed my tips on nutrition during navratris, or literally feeling good and have lost weight....but now towards the end of the fasts you must be craving for wheat or rice or dals...I mean the food which we usually relish. So now what we are going to do after the fasts is grab n eat each n everything of our choice....

I hear people say I have just finished fasting for 30 days, I’m going out to my favourite restaurant to have my favourite dinner. This is wrong. When on a long fast of about 20 days or more, the digestive system shuts down partially or completely.


Hold on.........

This is not the right time .....

Breaking a fast with vegetables, either steamed or raw, is best. Your stomach is smaller now, so eat lightly. Stop before you feel full.

The stomach and the intestines have been cleaned out. A thorough fast cleans out everything. Therefore, you must allow time for the digestive system to prepare itself for food again.

citrus fruits, such as oranges and grapefruits, and food such as
yogurts, are the best food to take, as they contain “good” bacteria that help to restore the intestinal flora and the digestive system.


If you eat solid food or processed food after a long fast, the first thing that will occur is constipation. Your digestive system will not move that solid food until it starts functioning again. This is because, all along, it has been busy cleaning, not digesting

Other habits you should avoid in the next two weeks are smoking and heavy drinking. The doctors warn that tobacco and alcohol may shock the system after fasting and this may lead to sudden cardiovascular events like a heart attack.

FIRSTLY TAKE CARE OF HOW YOU OPEN YOUR FASTS...HERE ARE SOME TIPS FOR YOU

1. BREAK YOUR FAST WITH LIQUIDS FIRST..LIKE COCONUT WATER OR MILK OR FRUIT JUICES..

2. TAKE 1 PURI ONLY AND TRY TO TAKE CHAPATI INSTEAD OF PURIS OR ANY FRIED THING.

3. TRY TO MAKE CHANAS/BEANS IN OLIVE OIL. USE 2 TSP OF OIL ONLY.

4. TAKE HALWA IN SMALL QUANTITIES ONLY JUST 2-3 TSP ONLY.

5. MAKE SOME DESSERT WITH MILK (LIKE LAUKI KHEER, APPLE KHEER) AND PUT DRY FRUITS IN IT AND HAVE IT INSTEAD OF MORE OF HALWA.

6. TAKE MORE OF VEGETABLE AND FRUITS.

7.DRINK PLENTY OF WATER TO HYDRATE YOURSELF.

8. MAKE SURE YOU SHOULD NOT EAT TO THE FULLEST.

9. HAVE A BOILED CHANA CHAAT WITH VEGGIES AND FRUITS WITH JUICE OR COCONUT WATER..

10. AVOID USING MORE OF SPICES AS THEY WILL IRRITATE YOUR STOMACH.


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Oct05
Healthy nutrition Tips for Navratras
Healthy nutrition Tips for Navratras


Navratras are coming our way and we all plan to go for fasting or feasting this navratras..Surprised by the word feasting…yes that’s true what we all tend to do. We all indulge ourselves into eating fried foods like kuttu ka pakora, puris and fried potato chips, namkeens(vrat ki namkeens), fried potatoes…and so on. So instead of losing weight we end up in gaining weight. but here I m going to provide you a few healthy tips for this navratras to keep you fit and unbloated….


1. Substitute kuttu ki puri or pakodas (fried items) with kuttu ki roti..
2. You can also prepare idlis from the kuttu atta (buckwheat flour) and dosa from the samak rice.

3. Eat a lot of fruits that flush the liver of cholesterol accumulation. Apple, orange, papaya, guava, pomegranate, lemon juice and pear especially help to bring down cholesterol. Fruit chat made with papaya, pear (nashpati), apple, and some amount of potato.

4. Go for skimmed or low fat milk and curd. Add cucumber (kheera), bottle gourd (lauki) or tomato to it. . Fried foods produce a lot of burning sensation in the body. So fruits and curd act as cooling agents.

5. Go for the preparations of lauki, pumpkin, fruits such as apple, pear, cucumber, mashed potato, phul makhane (puffed lotus seed) are advisable.

6. Try saamak rice with bottle gourd vegetable and curd.

7. You can also take sabudana khichdi with curd with fruit.

8. Try to take milk shakes with fruits and nuts it will give you satiety along with good invisible fats and complex carbohydrates.

9. Drink a lot of fluids such as juices, vegetable soups, lassi, and herbal tea. They will detox your body from pollutants..

10. If one suffers from acidity and heartburn problems, be sure to not remain empty stomach for long hours. Eat tiny portions every few hours daily. Cold milk, cream, curd and bananas are effective remedies for acidity.

11. Make sure to go for healthy cooking methods such as roasting, boiling, steaming and grilling like substitute fried potato chat with adequately boiled potato chat and kheer with fruit, preferably mixed fruit curd.

12. Try to make chilla with kuttu ka atta or singhare ka atta or samak ka atta or ramdane ka atta with green chillies and ghia (grated). serve it with tamarind and dhania chutney or curd.

13. Consume more of dairy products (low fat).

14. Try yogurts with fruits and fruit purees salads.

15. Drink coconut water.


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Oct04
How to make groundnut milk?
Groundnut milk can be used for the infants suffering from intestinal lactase deficiency, infantile eczema, gastroenteritis and in gastric ulcers.

How to make groundnut milk?

100gm groundnuts are roasted slightly on tawa and outer skins are removed. The kernels are soaked in water for 5-6 hrs and then ground in a mixer with 30ml of water which is then filtered.
The milk obtained is then boiled and can be used.


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