International stuttering awareness day

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stutterYesterday was The World stuttering awareness day.

This blog should have come yesterday, I stuttered.

What is stuttering? Well it to talk with continued involuntary repetition of sounds especially initially consonants.

Causes.

Research to find the underlying cause is still on, though combinations of factors are found.

  • Abnormalities in speech motor control where sensory and motor coordination’s are implicated.
  • Familial – stuttering seems to be genetic this could be due to inherited abnormalities in language centres.
  • Medical conditions like brain injuries or stroke can result in stuttering.
  • In every few cases emotional trauma can be the cause too.

About 5% of children do exhibit stuttering during their childhood, this could last from several weeks, to several years. This is the developmental stuttering and is the most common. By and large stuttering is commoner in boys than girls.

The fall out of stuttering could be

  • Frustration when trying to communicate,
  • Pausing or hesitating when starting or during sentences and phrases often the lips tend to seal.
  • Using clutch sounds like “uh” etc.
  • Repeating phonetic consonants.
  • Stretching words.

Some kids do try to camouflage their stutter with eye blinking, jerking of the head, tapping of the fingers or jaw jerking.

Not all children who stutter require treatment. Since with many children it is a developmental issue it gets resolved with time. However if the stutter lingers for a longer time then speech therapy may be required.  The decision to go to a therapist is usually made when—

  • The stutter has lasted for 3-6 months. Or the stutter is pronounced.
  • The struggle with the stutter is causing emotional issues
  • A family history of stutter.

However the first step can begin with reading aloud, a slow pace and stressing the syllable. But for long-term treatment it is best to approach a therapist.

World blindness day..

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Dr.Srinivasa Rao P.N.

Dr.Srinivasa Rao P.N.

“I don’t think it had ever occurred to me that man’s supremacy is not primarily due to his brain, as most of the books would have one think. It is due to the brain’s capacity to make use of the information conveyed to it by a narrow band of visible light rays. His civilization, all that he had achieved or might achieve, hung upon his ability to perceive that range of vibrations from red to violet. Without that, he was lost.”

― John WyndhamThe Day of the Triffids

Today is the international world blindness day, one site actually said Lions club “celebrates world blindness day” I am a little confused here, what is the celebration about….

Yes we do talk about overcoming the challenges of lack of sight yes, then it something to acknowledge.

My father was an ophthalmologist , the person who started the department of Ophthalmology in Manipal.I can proudly say one of the best in the country.  to the day I have people blessing me, because he gave them sight. He would conduct eye camps, supported by the Operation Eyesight International, But more importantly he counselled families to deal with blindness when it was not rectifiable.

There was one thing he always told, the blind do not need your pity, or help. What they need is acceptance and of course making their life easier with minor modification.  Very small things that we don’t realize puts a hurdle in the visually challenged.

Like the traffic lights, they are lights, and a visually challenged person has to depend on some one to tell them that the lights are changed. At the lifts, though the floor is announced, the floor numbers of the punching buttons are not.  These minor day to day challenges makes them dependent.

Here I would like to acknowledged, Dr.Mahlinga Bhat and his wife Lakshmi, their son did have issues with vision. But they let him lead an absolutely normal life, he cycles, he travels, he lives a normal bachelor life at Hyderabad independent. I have never heard either of them even refer to the challenge they had to face.

maybe this world blindness day we could just put in our two bit so see if could make our towns and buildings a bit people friendly.

Past Life Healing… An experience.

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xammi-nature's cyclePast life healing – Eternally Present.

My first exposure to past life healing was when Louise Hay facilitator Asma D’Souza spoke about it. Then came other healers.

While I was trying to overcome the burns accident, I attended the workshop by Asma. Now Louise Hay spoke that we manifest our illness including trauma, and burns was dealing with tremendous unresolved anger. Anger was something I have been grappling with since the age of 11. Yet I could not get to angry about what….

One option that I had was to get a regression done to handle this, but I came out of the trance before I could get there.  It was later when I met Apurva Rajashekhar the Bangalore based healer did things fall into place.  She was clear that working with past life was maintaining awareness of the current reality in which the present takes priority.

She was very clear while past lives can be fascinating, entertaining or emotionally seductive we could get lost in them, losing touch with the most important thing – the life we are living right now.

We have a deep connection between our past lives and our current life, so it’s sometimes hard to say where one begins and the other one ends. For example I turned up in the past life memory of another friend as a sister from another life, that connect is like an unbroken chord.

We may have issues that must be resolved in this life, in the present moment. The love is our gift to experience it in this life and not brood about past.  When I did go through the regression I did not see people or connects, however what came across to me how truly eternal we all are. Once I could let go of focusing on the details of the past and experience the awareness of the eternal it gave me the ability to be in the present moment.

This awareness of eternal lets me function more powerfully in the eternal now. The past slowly  resolving itself, when I say resolving I mean it losing its power to hold me down, there is merger with the present, the future stays where it is in nexus of consciousness that holds all time and space.  The present moment becomes the most pertinent holding everything within it, the resolved, the unresolved the past and the future and from this moment we live our lives.

Rhythmic Rest

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xammi-nature's cyclepast 10yrs I have been working with sleep disorders. In my clinic we dealt with issues relating both to physiological and psychological origin. Somewhere I notice that though the awareness of a physiological block is present the actual increase in the physiological cause for insomnia is more due to the natural body cycle being disturbed.
Our bodies are naturally encoded to respond to light and dark and sleeping with rhythms of mother nature.
The human body evolved to fall asleep soon after the descent of night’s curtain and to wake with the appearance of the dawn. Sleep cycles were governed by patterns of light and darkness for thousands of years meaning that for all this time in history the human kind has enjoyed about 9hrs or more of sleep each night. In the present artificial light has changed the way we schedule our day-to-day lives and most of us slumber for less than seven hours at a stretch.
It is possible to come back to natural sleeping cycles by making a few small changes. When our bodies and minds are attuned to the world’s natural rhythms. We feel calmer, more centered and more energetic while awake. Sleep is more satisfying because we afford ourselves more than enough time for restoration and rejuvenation.
Our reliance on artificial indoor light further compounds our dissociation from the natural cycles of light and darkness that would otherwise preside over our sleep. You can mimic the passage of the day by changing the quality of the light. Sleeping without heavy drapery or shades is the best so one can wake up with sun. If sleeping by a window without a curtain is not an option a dawn simulator lamp imitates the sun by growing steadily brighter with coming of the height of morning.
You will likely discover that changing your sleep patterns to be in sync with the daily cycle of light and darkness is easy and that you feel more alive when your sleeping and waking rhythms are in alignment to those of the earth.
Nature’s own phases will then become our guide to wellness, granting us more waking hours in summertime where we benefit greatly from spending time outside and ensuring that we get plenty of sleep in the winter when we likely to need it most.

Love Your Liver– Hepatitis awareness the Homeopathy way.

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hepatitisWorld Hepatitis Day is recognized every year on the 28th July. This date was chosen to mark the birthday of Professor Baruch Blumberg, awarded the Nobel Prize for his work in discovering the hepatitis B virus.

The Campaigns focus on raising awareness of viral hepatitis within the context of liver health and aim at o improving the knowledge of liver health and viral hepatitis within the general community and create more positive attitudes toward those living with viral hepatitis.
Every year all over the more and more organisations organise campaigns on World Hepatitis Day and one of the organisations created a Guinness World Record attempt for the most people performing the ‘see no evil, hear no evil, speak no evil’ actions within 24 hours.
What Homoeopathy has to offer :
Taking Homoeopathic Medicine can alleviate the associated Signs and Symptoms like nausea, vomiting , loss of appetite , increased bilirubin levels as well as reduce further complications which arise as an outcome of the Hepatitis . We have very good drugs which can reduce the symptoms in the prodromal stage as well as reduce bilirubin levels .
To name a few drugs :
Chelidonium Mother tincture is most effective in decreasing the biluribin levels according to my clinical experience .it is indicated in hepatitis with shooting pain in the liver radiating to every direction
So also Ipecac can be administered in the initial stages of the disease especially when there is marked nausea or Nux Vomica when ailments are from too high living .
Bryonia 30 or Bryonia 200 is for pain in the liver region, stitching type of pain in abdomen associated with excessive thirst and constipation
Carduus m. for vomiting dull headache , dragging pain in rt. Hypochondrium aggravated after lying on left side
Also China off 6 or 30 potency is also otherwise a good drug for debilitating diseases .
Among Indian Drugs Carica Papaya mother tincture improves the appetite , aids in GI complaints .
So why not experience the magical effects of Homoeopathy in alleviating some of the signs and symptoms and speedy recovery in conjunction with other systems of medicine ?
about the author: Dr . Zoya Joao ,I/ C Dept of Pathology , SKHMC ,Public Health Specialist

World Hepatitis Day

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hepatitisJuly 28th is the World Hepatitis day.

Hepatitis A is a liver condition caused by the virus of the same name. It spreads through contaminated water and food, ingested by a person who is not immunized.

This is not chronic, and is very rarely fatal.

This occurs sporadic epidemics worldwide. With a tendency for cyclic  recurrences.

This is one of the most frequent causes of food borne  disease.

The disease has social and economic consequences in the community. It take months for people to recover from illness and return to everyday life.

Geographically, developing countries with poor sanitary condition and hygiene condition have high levels of infection, so much 90% of the children are already infected by the virus before the age of 10, but the infection being very mild it may go undetected. This creates immunity so symptomatic disease rates are low and outbreaks of the epidemic is low. In countries with transitional economies and variable sanitary conditions, though childhood infection is low, the irony is it leads to a more susceptible older age group, so infections can occur in adolescents and young adults, and there is a potential for large out breaks. In developed countries with good sanitary and hygienic conditions, the infection rates are no doubt low, but adolescents and young adults tend to be a high risk group. Here the transmission is through infected needles, unprotected sex, or travelling to high endemicity area without vaccination, and in isolated population of closed religious groups.

Transmission is through  faecal-oral route. This is when the person ingests food or water that has been contaminated with faeces of an infected person. Waterborne infections are however less common. When they do occur they are associated with sewage-contamination or inadequately treated water.

The symptoms show after an incubation period of 14-28 days ranging from mild to sever, there fever, malaise, loss of appetite, diarrhoea, nausea, abdominal discomfort, dark coloured urine and jaundice.—jaundice manifests as yellowing of skin and white of the eyes. All the symptoms may not show up on every patient. The severity and mortality are usually more in adults.

The High risk groups are those who are not vaccinated. Other risks are

  • Poor sanitation
  • Lack of safe water
  • Injecting drugs
  • Living in a household with an infected person.
  • Being an unprotected sexual partner with a person with acute hepatitis
  • Travelling to areas of high endemicity without immunization.

The diagnosis of Hepatitis A is not different from other acute viral hepatitis. HAV- specific IgM and IgG antibodies in the blood help to diagnose the specific virus. Additional tests include reverse transcriptase like polymerase chain reaction but this requires specialized laboratory facilities.

Hepatitis A does not have specific treatment. The recovery from symptoms is the recovery and it is very slow, may take several weeks or months. The aim of the therapy is to maintain comfort and adequate nutritional balance including replacement of fluids that are lost due to vomiting and diarrhoea.

Hepatitis A can be prevented by improving sanitation, food safety and immunization.  The spread can reduced by

  • Providing adequate safe drinking water,
  • Proper hygiene practises, like washing the hands before eating.
  • Proper waste and sewage management within communities.
  • Vaccines, though vaccines are not licensed for children below a year.

Comprehensive immunization plan should be adopted for prevention for viral hepatitis. Immunization in children should be a local call.  However healthcare education to improve sanitation and hygiene should be continued. Immunization of travellers to endemic area and people in homosexual relationship is also important. Periodic screening and maybe vaccination of people with debilitating diseases might be considered.

WHO’s work plan for prevention and control of viral hepatitis.

  • Raising awareness and promoting partnership and mobilizing resources.
  • Formulating evidence based policy and data for action
  • executing screening care and treatment.

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Hepatitis A is a viral disease suffered by at 1.4 misslion people every year. It could range from mild to very sever in intensitiy. It could transmitted either by contaminated food and water or direct contact. It is usually associated with poor sanitation. Vaccines are available to prevent this disease.

 

Hepatitis awareness –Hepatitis E

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hepatitisHepatitis E is the strain of hepatitis caused by hepatitis E virus (HEV) this virus is dominantly transmitted through contaminated drinking water, and is usually self-limiting. It resolves within a period of 4- 6 weeks. Occasionally it might get aggressive enough to leading to acute liver failure and finally death. Globally about 20 million incidents of hepatitis E occurs.

Geographically sporadic cases and outbreaks occur around the world. These outbreaks are usually in countries where access to essential water, sanitation, hygiene and health services are limited leading to several hundreds to thousands of people being affected. Recently war zones and refugee camps are high hit areas.

The epidemiology differs with the genotype of the virus. The genotype 1 is found in developing countries and tends to cause community level outbreaks. While the genotype3 found in developed countries do not cause these outbreaks.

The transmission of HEV is through faecal-oral route due to fecal contamination of drinking water. Other routes include

Food borne transmission from ingestion of products derived from infected animals.
Transfusion of infected blood products.
Vertical transmission from a pregnant woman to her foetus.
Humans are natural hosts for HEV despite this antibodies to HEV are seen some primates and other animal species. Since it is water-borne, some water animals are known to host the virus. Sporadic episodes have been reported after ingestion of uncooked shellfish.

The major risk of HEV is related to poor sanitation.

Symptoms manifest after an incubation period of 3-8 weeks, however the period of communicability is not known. As the HEV is an acute sporadic epidemic disease, the symptoms is most commonly seen in the age group of 15-40yrs. Though in children the disease is so mild and asymptomatic that it could go undiagnosed. The typical signs however are:

Jaundice – yellowing of skin, white of the eyes, dark urine and pale stools.
Loss of appetite anorexia
Pain and tenderness of abdomen
Nausea and vomiting
Fever.
These symptoms are quite indistinguishable from any acute phase of hepatic disorder. In very rare cases this could develop into Fulminant Hepatitis (acute liver failure) and death. The tendency to aggravate to Fulminant hepatitis is more during pregnancy.

Chronic HEV infection has been reported in people with immunosuppression . Reaction of HEV is also known in immunosuppresed individuals.

Diagnosis of HEV is usually based on the detection of specific IgM or IgG as clinically its symptoms are not distinguishable from other acute viral hepatitis. But this requires specialized laboratory facilities. HEV should suspect when the outbreak is waterborne particularly in developing countries more so if the severity is more in pregnant women or if HAV has been ruled out.

HEV has no available treatment, prevention is more effective. The disease is usually self-limiting, hospitalization is generally not required. Hospitalization should be considered for patients of potential Fulminant Hepatitis and pregnant women who exhibit the symptoms.

Prevention is the ideal cure for HEV, this would include

Quality public water supplies – avoid drinking water of questionable quality.
Establishing proper disposal system to eliminate sanitary waste
Maintaining personal hygiene practises, like hand washing with safe water, particularly before and handling food.
Adhering to WHO safe food practises.
If there is a frank epidemic, then identifying the source, mode of transmission would go a long way in prevention. Improving sanitary and hygienic practices is mandatory.

WHO response, is a working group set up in 2013, it networks globally with people working with HEV. These groups identify potential risks and try to prevent the outbreak of the virus. In addition, they work at

Raising awareness, promoting partnerships, and mobilizing resources.
Formulating evidence based policy and data for actions.
o Preventing transmission

o Executing screening care and treatment.

Every year 20 million HEV infections are estimated over 3 million are acute cases, and 56,600 HEV related deaths occur. The disease is usually self-limiting though it can potentially aggravate to Fulminant hepatitis which could be fatal. The mode of transmission is faecal-oral route via contaminated water, it is geographically spread worldwide. China has produced and licensed the first vaccine to prevent hepatitis E though this is not available in the global market as yet.

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