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Category : All ; Cycle : February 2013
Medical Articles
Feb08
STRESS AND CONSCIENCE: DR. SHRINIWAS KASHALIKAR
STRESS AND CONSCIENCE: DR. SHRINIWAS KASHALIKAR

It is true that the technology has made life much easier for billions (though several billions have no access to it). There improvement in transport, communication, productivity, physical fitness and subsequent improvement in management, administration and physical efficiency.
However; this improvement is largely engaged; in wasteful gratification of our basal instincts, individualistic whims, personal fancies, petty pursuits, and trivial gains; with little or no attention towards our conscience and our innate core! They are moribund!
This has divided us; and made us lonelier. We have lost; our instinct to love, urge to unite, innocence to be spontaneous, and potency to conquer the adversities. We have lost the sensitivity to empathize, vigor to help and become caricatures of ourselves! We are drained of the very ambrosia of life!
If we want to rejuvenate our conscience and our innate core, then; what could we do?
The age old answer to this question is; practice of the ancient emancipating activity; NAMASMARAN (jap, jaap, jikra, sumiran, simaran i.e. remembering our true selves)! It appears preferable; however; not to believe or disbelieve in this; blindly; but verify the power of NAMA in redirecting the technology to serve our conscience and our innate core.


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Feb07
Biomimetics - A Review
Bio: meaning life and mimesis meaning imitation are derived from Greek. Biomimetics is the field of scientific endeavor which attempts to design system and synthesize materials through biomimicry. It’s the concept of taking ideas from nature and implementing them in another technology such as engineering design computing etc. The subject matter of biomimetics is known by several names bionics, biognosis etc .

The concept is very old but the implementation is gathering momentum only recently because the science base can cope with the advanced techniques and our civilization is in ever increasing need of sympathetic technology.

Biomimectics is an emerging inter disciplinary field that combines information from the study of biological structures and their function with physics mathematics chemistry and engineering in the development of principles that are important for the generation of novel synthetic materials and organs.


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Feb07
Effect of cigarette smoking on the periodontal health status: A comparative, cross sectional study.
AIMS:The objective of the study was to evaluate the periodontal health status among cigarette smokers and non cigarette smokers, and oral hygiene measures.
MATERIALS AND METHODS: The study included 400 male (200 cigarette smokers and 200 non smokers) aged 18-65 years. The subjects were randomly selected from the patients attending dental out-patient department of civil hospital and Himachal Dental College, Sundernagar. Community Periodontal Index (CPI) score was recorded for each patient and a questionnaire was completed by each patient. STATISTICAL ANALYSIS USED: Chi square and t-test. RESULTS: Periodontal condition as assessed by CPI score showed that there was statistically significant difference in the findings between cigarette smokers and non-smokers. CONCLUSIONS: Within the limits of this study, positive association was observed between periodontal disease and cigarette smoking. It was found that cigarette smoking was associated with lesser gingival bleeding and deeper pockets as compared to non-smokers.


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Feb07
Oral piercings and their dental implications: a mini review
Oral piercing has become common in young adults in recent years. Adolescents are characterized by a compulsive tendency to distinguish themselves from the rest; differences in clothes, hairstyle, or “decorative” details are used to this effect, based on highly-diverse criteria. Dental health-care professionals need to be aware of the procedures and risks involved with oral piercings and the social and psychological reasons that lead people to engage in this practice, regardless of the risks. The present article addresses oral mutilation practices, specifically from the oral health perspective, as it is of concern to dental professionals due to the health risks and oral complications associated with such practices. The various oral ornaments, piercing sites, and their implications, orally, as well as systemically, have been discussed.


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Feb07
STRESS AND ASSERTION: DR. SHRINIWAS KASHALIKAR
STRESS AND ASSERTION: DR. SHRINIWAS KASHALIKAR

The fact that restriction; on breathing, sleep, drinking, eating, defecation, urination etc; causes severe STRESS; is obvious.

But most of us do not recognize the STRESS caused by the restriction on assertion of conscience, our inner voice or the prompting of our soul. Rather than others; more often; we ourselves are responsible for this!

It is not that we do not like to assert our conscience; but we are unable to listen to our inner voice; amidst the cacophony of the bombardment of our sensations, instincts, feelings and thoughts! In fact we are stupefied by all these!

There must be some method to enable ourselves; to listen to our inner voice and empower ourselves; to assert it.

There is such method. The great seers and spiritual leaders of the world; have given it to the world; and is in vogue for millennia! It has been a part of majority of the world religions also. It is called NAMASMARAN (JAP, JAAP, JIKRA, SUMIRAN, SIMARAN; which embody remembering the name of God; implying our true self.
However it is essential to recognize its universal benevolence; its role in awakening us to our conscience, its role in overcoming our subjectivity, whims and fancies; and if we stop trivializing the NAMASMARAN for acquiring personal gains; then we won’t be diffident and lethargic; to share its importance and thereby assert our conscience and successfully manage the stress!


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Feb06
ART STRESS AND NUDITY: DR. SHRINIWAS KASHALIKAR
ART STRESS AND NUDITY: DR. SHRINIWAS KASHALIKAR

It is true that art is spontaneous and variably skillful expression of our instincts, feelings, thoughts and perspective. It can be even more profound! Nudity therefore may manifest in one way or another; in our sculptures, paintings and other forms of art.

However; nudity is conspicuous by its absence; in art related to our prophets, powerful people, mother, father, mother in law, father in law, brother, sister, daughter, son and even living leaders of our countries.

Nudity therefore; when appears; with respect to deities (of one religion or another), who cannot protest or object; is usually a careful, cautious and cunning (conscious or subconscious) expression of our basal instincts, in which we are shackled.

As viewers; we usually don’t go in the depth of this process; and hence attribute; some “ulterior motives”, “religious bias”, and/or “modern” and “revolutionary” qualities; to such art!

In contrast, the all time classic art is (whether the anatomy is explicitly depicted or not) the one that touches the hearts and stirs the souls of millions; for millennia; and hurts none! It springs from our soul; the deepest core of our being!


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Feb06
STRESS AND DESIRES: DR. SHRINIWAS KASHALIKAR
STRESS AND DESIRES: DR. SHRINIWAS KASHALIKAR

Is it appropriate to advocate desirelessness; or fulfilling of all desires; right from childhood? This is a very important question; in the study and practice of Total Stress Management.

The puritanical element in us; feels that arbitrary suppression of desires is ideal and the individualistic, hedonistic or epicurean model upholds indulgence! Hence we vacillate between; simplicity and austerity; on the one hand; and extravagance and gratification; on the other; right from childhood! The conflict becomes grueling and stressful if not resolved!

The suppression and indulgence are double edged weapons. Suppression can inflate ego and dictatorial whims; and indulgence can nurture petty and parasitic selfishness.

Hence; the needs of the newborn babies, infants, toddlers, children, youths and the elderly are variable and ought to be fulfilled; optimally through holistic perspective, policies, plans and programs and their implementation; at all levels.

But; this can be achieved; if the leaders in the world; have a program of becoming objective! Similarly; there has to be a program; to help us (irrespective of age, sex, occupation, race, region, religion, ideology etc); to culminate or sublimate our individual desires; into the cosmic desire; benevolent to all.

Can NAMASMARAN, (JAPA, JAAP, JIKRA, SUMIRAN, SIMARAN, i.e. remembrance of one’s true self); be this common minimum program that can reorient us; to our sublime duty (SWADHARMA) in every situation of life; and helps us to march at least step by step; from; the states of “indulging”; to the objective state of sublimating petty personal desires in cosmic desire benevolent to all?


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Feb06
SOME SURGICAL COMPLICATIONS SEEN IN BARIATRIC PATIENTS
Bariatric patients arrive in the emergency room with a number of surgical complications.The most common case seen is peritonitis from an anastomotic breakdown.Usually seen within 10 days after surgery, the incidence of post operative leak after Roux en Y gastric bypass ranges from 1-6 %, more after laparoscopic than open cases. The classic peritoneal signs are not always present post operatively and the ER team should be aware of subtle signs and symptoms that may point to this diagnosis, requiring early surgical consultation. These signs include fever, increasing abdominal pain, back pain, pelvic pressure. hiccups, unexplained tachycardia. (a pulse rate >120/min has been associated with gastric dilatation and leak with peritonitis).Given the seriousness of the complication and the vague nature of the presenting symptoms , suspicion of this diagnosis should lead to early surgical consultation. Upper GI series is essential to aid in the diagnosis, although, this can be non diagnostic in some cases and are not extremely sensitive for anastomotic leak. Depending on the severity of the symptoms, a re- exploration in the operating room may be needed.
Acute gastric distention is another complication after a laparoscopic Roux en Y.This seems to be due to edema or obstruction at the entero enterostomy site developing within first several days post op. The client presents with nausea, vomiting(dry heaves), left upper quadrant bloating and hiccups.Severe distention can create problems with staple line and anastomosis.Plain radiograph may demonstrate significant gastric distention with air-fluid levels. There is a controversy as to whether a nasogastric decompression can be done , should distention of the proximal pouch or small bowel obstruction be found. A distended remnant stomach will not be decompressed by a nasogastric tube.Percutaneous decompression has been successful in some, whereas others require reoperation with gastrostomy tube placement. It is prudent to discuss this intervention with a consulting surgeon before NG tube placement in the ED due to the potential risk of puncturing suture lines.
Stomal stenosis occurs in upto 12% of both gastric bypass and vertical banded gastroplasty and typically occurs 1 or more than a month after surgery.The gastric outlet of both procedures is typically designed to be 1 cm in diameter.Stenosis of the outlet can lead to symptoms of post prandial epigastric pain and vomiting.Treatment involves endoscopy with balloon dilatation.Some patients require multiple dilatations.
Band erosion into the stomach after gastric banding has been reported in 0.3-1.9% of patients.Patients with this complication may present with progressive left upper quadrant pain or pain in the left lower chest that can mimic complaints of angina.Outlet obstruction can also lead to severe gastroesophageal reflux and esophagitis.Conversion to gastric bypass may be required in some to resolve this complication.
Bariatric patients also arrive in the emergency department with other surgical complications such as small bowel obstruction,( due to adhesions, hernias and intussuception), incisional and internal hernias, staple line disruptions etc.


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Feb05
QUIT SMOKING .......JUST FOLLOW IT ANS SEE THE RESULT YOURSELF
1: Know Why You Want to Quit
So you want to quit smoking, but do you know why? "Because it's bad for you" isn't good enough. To get motivated, you need a powerful, personal reason to quit. Maybe you want to protect your family from secondhand smoke. Maybe the thought of lung cancer frightens you. Or maybe you'’d like to look and feel younger. Choose a reason that is strong enough to outweigh the urge to light up.
No. 2: Don't Go Cold Turkey
It may be tempting to toss your cigarettes and declare you've quit, plain and simple. But going cold turkey isn't easy to do. Ninety-Six percent of people who try to stop smoking without therapy or medication end up relapsing. The reason is that nicotine is addictive. The brain becomes used to having nicotine and craves it. In its absence, the symptoms of nicotine withdrawal occur.


No. 3: Try Nicotine-Replacement Therapy


When you stop smoking, nicotine withdrawal may make you feel frustrated, depressed, restless, or irritable. The craving for "just one drag" may be overwhelming. Nicotine-replacement therapy can help reduce these feelings. Studies suggest nicotine gum, lozenges, and patches can help double your chances of quitting successfully when used with an intensive behavioral program. But using these products while smoking is generally not recommended.
No. 4: Ask About Prescription Pills





To ease nicotine withdrawal without using products that contain nicotine, ask your doctor about prescription medications. There are pills that help reduce cravings by affecting chemicals in the brain. They may also make smoking less satisfying if you do pick up a cigarette. Other drugs can help reduce troubling withdrawal symptoms, such as depression or inability to concentrate.
No. 5: Don't Go It Alone
Tell your friends, family, and co-workers that you're trying to quit. Their encouragement could make the difference. You may also want to join a support group or talk to a counselor. Behavioral therapy is a type of counseling that helps you identify and stick to quit-smoking strategies. Combine behavioral therapy with nicotine replacement products and/or medication to boost your odds of success

No. 6: Manage Stress
One reason people smoke is that the nicotine helps them relax. Once you quit, you’ll need another way to cope with stress. Try getting regular massages, listening to relaxing music, or learning yoga or tai chi. If possible, avoid stressful situations during the first few weeks after you stop smoking.
No. 7: Avoid Alcohol, Other Triggers
Certain activities may boost your urge to smoke. Alcohol is one of the most common triggers, so try to drink less when you first quit. If coffee is a trigger, switch to tea for a few weeks. And if you usually smoke after meals, find something else to do instead, like brushing your teeth or chewing gum.
No. 8: Clean House
Once you've smoked your last cigarette, toss all of your ashtrays and lighters. Wash any clothes that smell like smoke and clean your carpets, draperies, and upholstery. Use air fresheners to help rid your home of that familiar scent. You don't want to see or smell anything that reminds you of smoking.

No. 9: Try and Try Again
It's very common to have a relapse. Many smokers try several times before giving up cigarettes for good. Examine the emotions and circumstances that lead to your relapse. Use it as an opportunity to reaffirm your commitment to quitting. Once you've made the decision to try again, set a "quit date" within the next month.

No. 10: Get Moving
Physical activity can help reduce nicotine cravings and ease some withdrawal symptoms. When you want to reach for a cigarette, put on your inline skates or jogging shoes instead. Even mild exercise is helpful, such as walking the dog or pulling weeds in the garden. The extra calories you burn will also ward off weight gain as you quit smoking.

No. 11: Eat Fruits and Veggies
Don't try to diet while giving up cigarettes -- too much deprivation is bound to backfire. Instead, focus on eating more fruits, vegetables, and low-fat dairy products. A study at Maulana azad medical college ,i have found suggests these foods make cigarettes taste terrible. This gives you a leg up in fighting your cravings while providing disease-fighting nutrients.

No. 12: Choose Your Reward
In addition to the tremendous health benefits, one of the perks of giving up cigarettes is all the money you will save. Reward yourself by spending part of it on something fun.

No. 13: Do It for Your Health
There's more than the monetary reward to consider. Smoking cessation has immediate health benefits. It lowers your blood pressure and reduces your pulse after only 20 minutes. Within a day, the carbon monoxide level in your blood returns to normal. Within two weeks to three months, your risk of a heart attack decreases and your lungs begin to function better. Long-term benefits include a reduced risk for coronary heart disease, stroke, lung cancer, and other cancers.


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Feb04
STRESS AND PROGRESS: DR SHRINIWAS KASHALIKAR
STRESS AND PROGRESS: DR SHRINIWAS KASHALIKAR

Mismanagement of stress; manifests in defective, perception, feelings and actions.

Due to defective perception; there is deterioration of values. For example; we are oblivious of our conscience and misunderstand the very meaning of progress and well being. Thus; we do not consider the harmony, honesty, punctuality, discipline, accountability, tolerance, and physical and material conditions conducive to this; in individual and social life; to measure or assess the individual, national and global progress! We measure or assess it; on the basis of; income, achievements, positions of power, number and variety of luxury items, military power and so on!
Due to deterioration of feelings we have no enthusiasm to think about the individual, national and global stress; and its management! Instead; we are obsessed with petty pursuits (again; oblivious of our conscience); to increase the per capita income, accomplish achievements, get positions of power, increase the production and sale of luxury items, increase the military power, or simply delirious entertainment; irrespective of or at the cost of other individuals and countries.

Deterioration of our actions; is evident in piecemeal and/or sectarian and hence defective policies, planning, programs and their implementation. For example; our education policy does not have an element of holistic blossoming, our planning and programs do not provide for empowering education; but heavily provide money for wasteful parasitic education and crippling caste based reservations; and subsequently and eventually; our implementation is not honest; but understandably corrupt!

Similar examples can be observed in other fields as well!

Whether we are atheists or theists; whether we belong to one religion or another and whether we subscribe to one ideology or another; and whether we practice and propagate; NAMASMARAN (JAP, JAAP, JIKRA, SUMIRAN, SIMARAN i.e. remembering the name of God or true self) or not; these points; cannot be ignored; in the best interest of personal, national and global progress.


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