World Heart Day 29th Sep, 2015=HEALTH=

World Heart Day  29th Sep, 2015=HEALTH=

World Heart Day is celebrated annually on the last Sunday of September, and encourages healthy heart awareness. It is being celebrated on 29th September this year, with the theme 'Team Up for Healthy Hearts'. It works on the idea that getting together and teaming up can be great way for promoting heart health. As individuals, all of us strive to maintain our health and wellness. But only few know that by teaming up and working together, this can happen better and also a great deal faster. This year's campaign underlines the role of families and communities in helping individuals reduce the risk of heart attack and ensure a sound heart health. This can happen at a variety of levels: be it your family, school, workplace or even your neighbourhood. So, instead of doing it alone, team up to eat right and exercise.  How to team up for a healthy heart? A healthy heart is vital for healthy living, regardless of one's age or gender. One can prevent major cardiovascular risks, like heart attacks and strokes by choosing a healthy diet, being physically active and not smoking. This year's campaign focuses on the need to team up and work together for a healthy heart. If there is no such existing group, try to identify others around you who also have an interest in cardiovascular health and disease prevention and start your own! Mantra for a healthy heart: Exercise:   Physical inactivity is a significant contributor to the ageing of heart, as it can lead to excess weight gain and obesity, diabetes and hypertension. Regular exercise helps in:  Slow down the narrowing of arteries to the heart and brain Encourage the body to use up excess stored fat, so it is crucial in helping weight loss and fighting obesity Improve cholesterol levels by increasing the level of good cholesterol (HDL or high density lipoprotein cholesterol) in the blood Maintain normal blood glucose levels in order to manage diabetes Reduce high blood pressure Smokers to quit - smokers who exercise are twice as successful in their attempts to stop smoking Being active also improves the overall health, gives more energy, reduces stress, builds stronger bones and muscles, and improves balance, strength and mobility. Eat right: To help maintain a young heart for life, calories consumed must be balanced with calories burned. It is therefore recommended to combine exercise with a balanced diet including plenty of fruits and vegetables, whole grain products, lean meat, fish and pulses, as well as low-fat and fat-free products, unsaturated soft margarines and oils such as sunflower, corn, rape-seed and olive oil. No smoking: Smoking, or any use of tobacco, is another important risk factor of heart disease. Quitting using tobacco lowers blood cholesterol and low-density lipoprotein "LDL" cholesterol (bad cholesterol) levels, reduces blood clotting and the chance of a sudden blockage of an artery. Setting a good example by not using tobacco gives a clear, consistent message about the dangers of tobacco to children. 'Go Red' for Women In 2005, roughly half of the 17.5 million victims of heart disease and stroke - the world's biggest killer - were women. This year there is a special Go Red for Women international campaign, which aims to reduce cardiovascular disease in women through improved prevention, early diagnosis and treatment. The number of deaths and disability from heart disease and stroke in women can be reduced by: saying no to tobacco, eating healthy and doing more exercise. Women and children It is a myth that heart disease and stroke only affect older, male, rich populations. CVDs affect as many women as men however their risk is seriously underestimated. To mark World Heart Day 2015, the World Heart Federation and its members urge you to take action to save the lives of the women and children you love. Our new infographic reveals the global CVD burden and highlights actions that can be taken to protect the heart health of women and children. In fact, heart disease is actually the number one killer of women, causing 1 in 3 female deaths: shockingly, that’s about one death per minute! It is vital that women learn the truth about their cardiovascular disease risk and take action to protect themselves and their family! Learn about how to take action  > View other programmes and activities related to women > Read our blog post linking breastfeeding, lifelong health and cardiovascular health > Children are vulnerable too: the risk for cardiovascular disease can begin before birth during foetal development, and increase further during childhood with exposure to unhealthy diets, lack of exercise and smoking. Children might suffer a double burden from heart disease and stroke. They may have to face the emotional consequences of seeing a loved one becoming ill, but they are also at risk of the physical consequences of heart disease and stroke. Modern society can expose children to risk factors such as diets with too few calories, diets high in “bad” fats and sugar; activities such as computer games that discourage physical activity; and in some countries, tobacco advertising that encourages tobacco use or environments filled with secondhand tobacco smoke. This year we have developed a leaflet specifically targeting children aged approximately 7–10 years old, to educate them about heart-healthy behaviour.  Workplace Wellness Your work and workplace environment has a significant impact on our physical, mental and social health. It has been seen that a number of chronic diseases impact people in their "working" years, reducing productivity and increasing costs. An unhealthy work environment is characterised by stress, depression, chronic back problems, unhealthy eating habits due to lack of time and decreased opportunity for physical activity. A healthy work environment works to: improve employee health reduce employee stress reduce workforce turnover improve employee decision-making ability reduce organisational conflict reduce absenteeism Heart Facts Forty per cent patients with heart attacks in India are less than 40 years of age. Regular exercise for at least 30 minutes every day, consuming 5 to 6 servings of fruits and green vegetables protect against heart attacks. Smoking more than 20 cigarettes per day increase the risk of heart attack by 5 times, 10 to 19 cigarettes increases the risk by 3 times. If you are a diabetic your chance of having a heart attack in the next 7 years is 10 times more than a non-diabetic, everything else remaining the same. The first few hours after sustaining a heart attack are crucial for recognition and treatment. Treating a heart attack within first 2 to 3 hours can reduce the chances of dying from 15 per cent to 3 per cent. The normal blood pressure at all ages is less than 120/80 mm Hg. Every 20 mm increase in systolic and 10 mm diastolic pressure beyond this level doubles the risk of a heart attack and stroke. Chest Pain Causes Heart Attack Causes A heart attack is caused by coronary heart disease, or coronary artery disease. Heart disease may be caused by cholesterol buildup in the coronary arteries (atherosclerosis), blood clots, or spasm of the vessels that supply blood to the heart. Risk factors for a heart attack are: high blood pressure diabetes smoking high cholesterol family history of heart attacks at ages younger than 60 years, one or more previous heart attacks, male gender obesity Postmenopausal women are at higher risk than premenopausal women. This is thought to be due to loss of the protective effects of the hormone estrogen atmenopause. It was previously treated by hormone supplements (hormone replacement therapy, or HRT). However, research findings have changed our thinking on HRT; long-term HRT is no longer recommended for most women. Use of cocaine and similar stimulants. Angina Causes Angina may be caused by spasm, narrowing, or partial blockage of an artery that supplies blood to the heart. The most common cause is coronary heart disease, in which a blood clot or buildup of fatty material inside the blood vessel (atherosclerosis) reduces blood flow but does not completely block the blood vessel. Angina can be triggered by exercise or physical exertion, by emotional stress, or by certain heart rhythm disorders (arrhythmias) that cause the heart to beat very fast. Aortic Dissection Causes Aortic dissection may be caused by conditions that damage the innermost lining of the aorta. These include uncontrolled high blood pressure, connective-tissue diseases, cocaine use, advanced age, pregnancy, congenital heart disease, and cardiac catheterization (a medical procedure). Men are at higher risk than women.. A similar condition is aortic aneurysm. This is an enlargement of the aorta that canrupture, causing pain and bleeding. Aneurysms can occur in the aorta in the chest or the abdomen. Pulmonary Embolism Causes Pulmonary embolism risk factors include: sedentary lifestyle,  obesity,  prolonged immobility,  fracture of a long bone of the legs,  pregnancy,  cancer,  history or family history of blood clots,  irregular heartbeat (arrhythmias),  heart attack, or  congestive heart failure. Women who use birth control pills and smoke cigarettes are at higher risk than women who have only one or neither of these risk factors (especially over the age of 35). Spontaneous Pneumothorax Causes Spontaneous pneumothorax (collapsed lung) occurs when the pressure balance between the sac that contains the lung and the outside atmosphere is disrupted. Injury to the chest that pierces through to the lung sac is the most common cause of this condition. This can be caused by trauma, as in a car wreck, bad fall, gunshot wound or stabbing, or in surgery. Some very thin and tall people may suffer a spontaneous pneumothorax due to stretched lung tissues and abnormal air sacs in the upper portions of their lungs. It is possible for these abnormal air sacs to rupture with even a sneeze or excessive coughing. Other risk factors for pneumothorax include AIDS-related pneumonia, emphysema, severe asthma, cystic fibrosis, cancer, and marijuana and crack cocaine use Perforated Viscus Causes Perforated viscus may be caused by direct or indirect injury. Irritation to the diaphragm in this case comes from below the chest. The diaphragm is the muscle that allows us to breathe. It is located up under the ribs and separates the chest and abdominal cavity. Any irritation to the diaphragm, even from below it, can cause pain to be felt in the chest. Risk factors not related to trauma are: untreated ulcers, prolonged or forceful vomiting, swallowing a foreign body, cancer, appendicitis, long-term steroid use, infection of the gallbladder, gallstones, and  AIDS. Pericarditis Causes Pericarditis can be caused by viral infection, bacterial infection, cancer, connective-tissue diseases, certain medications, radiation treatment, and chronic renal failure.. One life-threatening complication of pericarditis is cardiac tamponade. Cardiac tamponade is an accumulation of fluid around the heart. This prevents the heart from effectively pumping blood to the body. Symptoms of cardiac tamponade include sudden onset of shortness of breath, fainting, and chest pain. Pneumonia Causes Pneumonia may be caused by viral, bacterial, or fungal infections of the lungs. Esophagus Related Causes Chest pain originating from the esophagus may have several causes. Acid reflux (GERD) may be caused by any factors that decrease the pressure on the lower part of the esophagus, decreased movement of the esophagus, or prolonged emptying of the stomach. This condition may be brought on by: consumption of high-fat foods, nicotine use,  alcohol use,  caffeine, pregnancy, certain medications (for example, nitrates, calcium channel blockers, anticholinergics, estrogen, progesterone),  diabetes, or  scleroderma. Esophagitis may be caused by yeast, fungi, viruses, bacteria, or irritation from medications. Esophageal spasm is caused by excessive, intensified, or uncoordinated contractions of the smooth muscle of the esophagus. Spasm may be triggered by emotional upset or swallowing very hot or cold liquids. September 29, 2015 marks the 15year anniversary of celebrating World Heart Day, an international campaign created in 2000 by the World Heart Federation, a non-governmental organization based in Geneva, Switzerland, to increase public awareness about the threat of heart disease and stroke. The theme of World Heart Day 2015is “One World, One Home, One Heart.” As part of this theme, the World Heart Federation, the World Health Organization, and the American Heart Association are calling on individuals to take steps to reduce their own and their family’s risk of heart disease and stroke, such as eating a healthy diet, increasing physical activity, and not smoking. According to the U.S. Centers for Disease Control & Prevention (CDC), cardiovascular disease causes 29 per cent of all deaths globally each year, making it the world’s number one killer. According to the World Health Organization, “Cardiovascular diseases are the world’s largest killers, claiming 17.3 million lives a year. Risk factors for heart disease and stroke include raised blood pressure, cholesterol and glucose levels, smoking, inadequate intake of fruit and vegetables, overweight, obesity and physical inactivity.” What Can You Do to Lower Your Risk of Heart Attack and Stroke? As reported by the CDC, the World Heart Federation has identified four actions that you and your family can take to reduce risk of heart attack and stroke: “1. Ban smoking from your home. * Stop smoking tobacco in the home to improve your own and your children’s heart health. * Implement a new rule in your home: for every cigarette someone smokes, an extra household chore is waiting! 2. Stock your home with healthy food options. * Start the day with a piece of fruit or prepare your own lunch at home to ensure healthy options are taken to work or school. * Make sure every evening meal contains at least two to three servings of vegetables per person. 3. Be active. * Families should limit the amount of time spent in front of the TV to less than two hours per day. * Organize outdoor activities for the family, such as cycling or hiking trips, or simply playing in the garden. * When possible, instead of using the car, take your bicycle or walk from home to your destination. 4. Know your numbers. * Visit a healthcare professional who can measure your blood pressure, cholesterol and glucose levels, together with waist-to-hip ratio and body mass index (BMI). * Once you know your overall CVD risk, you can develop a specific plan of action to improve your heart health. Make this action plan clearly visible in your home as a reminder!” Here is additional information provided by the CDC on steps you can take to live a healthy lifestyle that may prevent or lower your risks of heart attack or stroke: Eat a healthy diet. Maintain a healthy weight. Exercise regularly. Don’t smoke or chew tobacco. Limit alcohol use. “Engaging in healthy behaviors helps to control certain risk factors such as high blood pressure, high blood cholesterol, diabetes, obesity, and prevent heart disease and stroke,” the CDC states. What to Do if a Family Member is Suffering a Heart Attack or Stroke? Not all heart events are preventable.  It is therefore important to know what action to take should a heart attack or stroke occur in the home. The CDC presents the following tips and links to additional information on what to do if you suspect a family member of having a heart attack or stroke: Seek medical help immediately “Over 70 per cent of all cardiac and breathing emergencies occur in the home when a family member is present and available to help a victim.” It is important to know the warning signs and symptoms of a heart attack, and call 911 immediately. Seconds can save a life. Learn More Learn the signs and symptoms of a heart attack or stroke. Visit CDC’s heart disease Web site. Visit CDC’s stroke Web site. Visit the World Heart Federation’s Web site. Visit the World Health Organization’s Web site. Activities for World Heart Day Activities organized by members and partners of the World Heart Federation include workplace campaigns, public talks, concerts, and sporting events. The national member organizations in the United States are the American College of Cardiology and the American Heart Association. The American Heart Association (AHA), encourages people to honor World Heart Day by joining in one of many Heart Walks taking place throughout the U.S. The AHA provides an interactive map on its website HeartWalk.org, to help you find and join a Heart Walk in your area. More Information For additional information on World Heart Day, contact the Division for Heart Disease and Stroke Prevention at cdcinfo@cdc.gov. CDC funds heart disease and stroke prevention programs in 41 states and the District of Columbia.Read additional information about these programs. See also, The World Health Organization. Preventing Chronic Diseases: A Vital Investment. Geneva, Switzerland: World Health Organization; 2005; and Centers for Disease Control. Heart Disease Web site. And see, the HelpingYouCare™ resource pages on Heart Disease & Stroke, including News on Heart Disease & Stroke; What are these conditions; Causes; Symptoms & Diagnosis; Prevention; Treatment; Caregiving. Follow the mentioned tips to lead a healthy and a happy life. ALWAYS LISTEN TO YOUR FAMILY DOCTOR

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I Love Veggies.

WISHING YOU ALL HAPPY DAUGHTERS DAY

WISHING YOU ALL  HAPPY DAUGHTERS DAY

A daughter is the happy memories of the past, the joyful moments of the present, and the hope and promise of the future.

A daughter may outgrow your lap, but she will never outgrow your heart.

A daughter is a bundle of firsts that excite and delight, giggles that come from deep inside and are always contagious, everything wonderful and precious and your love for her knows no bounds.

                        

A daughter is a beautiful reflection of God's grace.

To a father growing old nothing is dearer than a daughter.

Oss ki boond si hoti hai betiyan 

Sparsh Khurdara ho to roti hai betiyan

Roshan karega beta to bus ek hi kul ko

do do kulon ki laaj ko dhoti hai betiyan

Koi nahi hai doston ek doosre se kam

Heera hai beta tho suchi moti hai betiyan

Kanto ki raah pe ye khud hi chalti rahengi

Auron ke liye phool hi hoti hai betiyan

Vidhi ka vidhaan hai yehi, duniya ki rasam hai

Kehne ko to parayi amanat

par beton se bhi apni hoti hain Betiyan

Na koi kisi ke paas hota hai, Na koi kisi se door hota hai,

Pyaar khud chal kar aata hai, Jab koi kisi ka naseeb hota hai.

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Greetings and love:

GOOD MORNING :-) HAVE A GREAT DAY AHEAD!!!!!!

GOOD MORNING :-) HAVE A GREAT DAY AHEAD!!!!!! My Mom always told me that we could never measure our wealth by money but by our friends. She would surely be glad to meet you and know how rich I turned out to be! Tiny but wonderful seeds of blessings are sprinkled on earth each day...and I just caught one that's so nice and true.. And it's you!  � I may have forgotten to say that I care. I may have failed to open up and share, but though no words have been spoken, my promise of friendship won't be broken. � Time and distance are important between friends. When a friend is in your heart, they remain there forever. I may be busy, but I assure you, you are always in my heart!   �Friends are like the walls of a house. Sometimes they hold you up, sometimes you lean on them. But sometimes, it's enough to know they're just standing by. If all my friends were to jump off a bridge, I wouldn't jump with them; I'd be at the bottom to catch them. One tree can start a forest, one smile can start a friendship. One touch can show you care, one friend can make life worth living for. A smile makes us look younger... while friends make us feel stronger...and they make us enjoy life.� HAVE A GREAT DAY AHEAD!!!!!!

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=DENGUE GUIDELINES=HEALTH AWARENESS=

IMA has released dengue guidelines and has asked citizens not to panic.

The present serotype is less fatal than the one in 2013 and the more reliable test is haematocrit rather than test for platelet count. Here are a few important things about dengue that you should know:-

1)) New serotype of dengue.....

Dengue normally are of Den1, Den2, Den 3 and Den4 serotypes.

Serotypes 1 and 3 are less dangerous as compared to 2 and 4.

This year serotypes 2 and 4 are prevalent.

As per AIIMS, the type 4 strain of the disease has emerged as the dominant type for the first time in the capital, along with dengue type 2.

2)) Serotype-specific symptoms.....

Symptoms of type 4 dengue include fever with shock and a drop in platelets.

Type 2 causes a severe drop in platelets, haemorrhagic fever, organ failure and dengue shock syndrome.

Every strain carries the risks of hemorrhagic fever, but type 4 is less virulent than type 2. Risk of severe dengue is highest with dengue-2 viruses.

3)) General symptoms.....

Classic dengue fever is an acute febrile illness accompanied by headache, retro orbital pain, and marked muscle and joint pains.

Symptoms typically develop between four and seven days after the bite of an infected mosquito.

The incubation period may range from three to 14 days. Fever typically lasts for five to seven days.

The febrile period may also be followed by a period of marked fatigue that can last for days to weeks, especially in adults.

Joint pain, body aches, and rash are more common in females.

2 days after the last episode of the fever are crucial and during this period, a patient should be encouraged to take plenty of oral fluids mixed with salt and sugar.

The main complication is leakage of capillaries and collection of blood outside the blood channels leading to intravascular dehydration.

Giving fluids orally or by intravenous routes, if given at a proper time, can save fatal complications.

4)) Do not panic.....

Most dengue patients are not serious, dengue is both preventable and manageable.

The risk of complications is in less than 1 per cent of dengue cases and, if warning signals are known to the public, all deaths from dengue can be avoided.

A platelet transfusion is not needed unless patient has active bleeding (other than petechiae) and platelet counts are less than 10,000.

Unnecessary platelet transfusion can cause more harm than good.

5)) 'Warning signs':-

Only these need admission

Severe abdominal pain or tenderness.

Persistent vomiting, lethargy or restlessness.

Abrupt change from fever to hypothermia.

Bleeding, pallor, Cold /clammy extremities.

Liver enlargement on physical exam.

Abnormal mental status.

6)) Early recognition.....

Dramatic plasma leakage often develops suddenly; therefore, substantial attention has been placed on early identification of patients at higher risk for shock and other complications.

The period of maximum risk for shock is between the third and seventh day of illness. This tends to coincide with resolution of fever. Plasma leakage generally first becomes evident between 24 hours before and 24 hours after defervescence.

An elevation of the hematocrit is an indication that plasma leakage has already occurred and that fluid repletion is urgently required.

Low platelet count usually precedes overt plasma leakage.

Mild elevations in serum SGOT and SGPT levels are common. Bit in severe dengue the levels are very high with SGOT > SGPT levels.

A normal SGOT levels is a strong negative predictor of severe dengue even in the first three days of illness.

NS 1 of >600 mg/ml suggests severe dengue.

Coexisting medical conditions and chronic hemolytic disease may complicate management. Referral for hospitalization is recommended for such patients, regardless of other findings.

Additionally, hospitalization should be considered for patients who may have difficulties with outpatient follow-up (eg, patients who live alone or who live far from a healthcare facility without a reliable means of transport).

Patients with suspected dengue who do not have any of the above indicators probably can be safely managed as outpatients. Daily outpatient visits may be needed to permit serial assessment of blood pressure, hematocrit , and platelet count.

7)) Fluid requirement.....

20 ml/kg body weight as bolus

10 ml/kg over the next first hour

7 mL/kg/hour for next two hours

5 ml/kg/hour for next four hours

3 ml/kg/hour for next 8 hours

8)) Assessment.....

Must pass urine every three hours.

Duration of extra fluids.

The fluids that are lost into potential spaces (eg, pleura, peritoneum) during the period of plasma leakage are rapidly reabsorbed.

Intravenous fluid supplementation should be discontinued once patients have passed the period of plasma leakage.

Usually no more than 48 hours of intravenous fluid therapy are required.

Excessive fluid administration after this point can precipitate hypervolemia and pulmonary edema.

9)) When to discharge.....

In the absence of complications from prolonged hypotension or from medical interventions, most patients with severe dengue recover within a few days of admission.

No fever for at least 24 hours.

Two days have passed after an episode of shock.

Patient is clinically well.

Normal normal appetite, urine output, and hematocrit.

10)) No aspirin.....

Patients with dengue should be cautioned to maintain their fluid intake to avoid dehydration and to take paracetamol as needed for fevers and myalgias.

Aspirin or nonsteroidal antiinflammatory agents should generally be avoided.

11)) Some more facts.....

Doctors were expecting the strain to change this year, given the large number of cases. Doctors were not expecting type 4 because it has never been actively circulating in Delhi.

When the dominant strain remains the same for a long period, a significant population develops immunity to it, and fewer patients are diagnosed with the virus.

Infection with one of the four serotypes of dengue virus (primary infection) provides lifelong immunity to infection with a virus of the same serotype.

However, immunity to the other dengue serotypes is transient, and individuals can subsequently be infected with another dengue serotype (secondary infection).

Subsequent infection with a second type increases the likelihood of serious illness.

The risk for severe dengue appears to decline with n age, especially after age 11 years.

Follow the above mentioned tips to lead a healthy and a happy life.

ALWAYS LISTEN TO YOUR FAMILY DOCTOR

-- 

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Michhami Dukkadam!

Michhami Dukkadam! 

On this auspicious occasion of Paryushan we wish you all Michhami Dukkadam! 

We beg your forgiveness from inner of our hearts for whatever misdeeds or mis-behaviour whether knowingly or unknowingly occured by ourselves to you through mind, thoughts, actions or speech during the past year. Michchhami Dukkadam on the occasion of Savantsari Maha Parve 

Kshamapana Sutra with Meaning 

KHAAMEMI SAVVE JEEVA (I grant forgiveness to all living beings) 

SAVVE JEEVA KHAMANTU ME (May all living beings grant me forgiveness) 

METTI ME SAVVE BHUYESU (My friendship is with all living beings) 

VAIRAM MAJHAM NA KENAI (My enemy is totally non-existent) 

MICHHAMI DUKKADAM 

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RAMNATH