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 .

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

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.

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.

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.