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Editor’s’s Desk 3 From the Editor 5 President’s Message Secretary’s’s Desk 7 From the Secretary 9 Executive Committee 15 Graduation I]S tZiobXbpsS 19 shSnsbm®Iƒ 23 Patient Medication... X´epw ap´epw 27 29 Kairali Stands with Kerala... 33 For Their Sake Fs‚ henb PohnX ]mTw 35 39 Preserving Caring Behaviors .... Pohn°m≥ A\phZn°q... 43 45 The Writer 47 IenImew My Sydney - My Macquarise : 51 Study abroad experience Alphonsa Rahman Tison Thomas

Suraj Mammen

_ntPm tPmkv sNΩm{¥

Josni J Zacharia

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Sabeena Nazar

Dr. Naveed Rahman MD

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Alphonsa Rahman

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Merliss George

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Kavya Santhosh

53 More than a Miracle amdp∂ aebmfn apJw 55 59 Onam in the Midst of.... \ngepIsf {]Wbn®hƒ 55 63 When all the wars... 65 The Impact of Video Games.. Bflmhns‚ Take Nothing... 69 67 kao£ 71 Neyyappam 73 I am Only Human 75 Celebrations - IANAM 77 Nadan Beef Fry 79 My Family 83 Non Alcoholic Fatty Liver Disease 86 Family Pictures 121 Events Mathew Mathew ]n.hn.B¿. {]kmZv

Tison Thomas

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Abha Philip

Josh Zacharia

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Surya Chacko

Ammini Aunty

Dr. Nishad Rahman MD

Alphonsa Rahman

Molly Suraj

Isabelle George Surya Chacko

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Dr. Alphonsa A Rahman

With the magnificent message of love, peace, prosperity, and friendship, once again Onam is here. When Malayalees around the world celebrate the spirit of the harvest festival in all of its splendor and glory. This season is a promise of love, friendship, sacrifice, and bonding with no boundaries! Onam teaches us justice and harmony and gives us hope. With this spirit, Kairali of Baltimore is proudly presenting to you 35th volume of Kairali Souvenir. This souvenir is a collection of our treasured memories, keepsake of our kid’s stories, poems, family pictures, and articles about contemporary issues. We strived to capture the stories of our community, Kairali events, celebrations, and community services. It was my privilege to work with a dedicated Souvenir committee- Sabeena Nazar, Shobhana Markose, Surya Chacko, Ginitha Jomy, Saija Chirayath, Joy Koodaly and Thomas Vithayathil. I am ever grateful to the President Tison Thomas, Secretary, Kairali leadership, and the committee members for their hard work to make this Souvenir a gratifying memento. This work would not have been possible without the support of our sponsors, advertisers, and the Kairali families who contributed to the souvenir to make this souvenir a grand success. Wishing everyone a very happy Onam filled with love, peace, and prosperity! Dr. Alphonsa A Rahman Chief Editor

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Being the proud Malayalee I am, there is one particular festival which I look

Tison Thomas

forward to in the year and that is Onam. Onam is a grand festival and it is celebrated in a grand manner. Malayalees all across the globe celebrate Onam, the festival of prosperity, as they welcome the legendary King Mahabali to visiting his people on earth. Onam is the biggest and the most important festival of the state of Kerala and is celebrated with joy and enthusiasm all over the state by people of all communities.The festival that celebrates secularism also brings the feeling of true love, togetherness and oneness among families and communities.

Being together is not the same as togetherness. People can be in each other’s company, but it does not mean that they are together. Togetherness implies one with another, united, collectively in a team, in concert, in harmony or mutually benefitting one another. As Henry Ford said: “Coming together is the beginning, keeping together is progress. Working together is success.” We are all better off, when we are together with others. Today’s world can make it difficult at times to find ways for us to ensure the time that we need to grow, build and connect. We are overbooked, under loved, and lacking connection. Onam was meant to be a festival of gathering, togetherness, and harvest-which has seemed to have gotten lost amidst the competition of who will have the better dress, the better sadhya, the best pookalam, the gossip, etc. Onam is a festival of joy and perpetual hope. It is that time of the year when family and friends get together to cherish the love and happiness among them. Onam is a festival that is celebrated without the barriers of caste, creed and religion. As it is the harvest season of the time, the magnificent beauty of Kerala can also be seen during the Onam celebration. The once mythological festival that was to symbolize sacrifice, selflessness, dignity, peace, and harmony, has turned into a place of corrupt, cheap politics and discriminatory people and places. If we want our beloved Onam to continue to be known for it’s true meaning, then let us all come together in the idea of togetherness and treat all those around us with respect and care. Retell the story of Mahabali to the little ones and let the message of sacrifice, selflessness, dignity, peace, and harmony resonate with them to live and pass onto the next generation. Celebrate Onam with it’s true undisputed meaning of togetherness rather than create a new one. I thank the entire Kairali 2019 Committee for helping bringing this festival of togetherness today. I specially thank the Souvenir committee for the excellent Magazine. Wishing you and your loved ones, a happy Onam!

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Suraj Mammen

Kairali of Baltimore is proud to celebrate Onam, Kerala’s most awaited harvest festival. It is a grand celebration that not only unites families and communities, but also brings back memories of a past golden era, reassuring love, peace, and prosperity. It is a time of remembrance of our past accomplishments and a time to ponder what we will achieve as a community in the future. I am honored to report that Kairali of Baltimore, with its great vision and mission, has made tremendous achievements in the past years and will continue to maintain this level of excellence in the coming years. I would like to thank each of you for playing an active part in our community and for accomplishing the various projects that were undertaken by Kairali. The women’s forum organized many community services and health and wellness activities. Along with the youth group, the women’s forum organized charity initiatives such as soup kitchen volunteering, moveable feast, a blood drive with the IANAM, and a 3K walk to promote health and fitness. Upcoming events will include a baking class, CPR class, a health and wellness education class with the IANAM, and thanksgiving basket distribution to needy families. Our active and vibrant sports committee has organized a basketball tournament and plans to organize and hold future events such as soccer, volleyball, flag football, and badminton tournament. Last year, Kairali of Baltimore transformed its Onam celebration to a fundraising event for Kerala flood relief which was a grand success. We are actively working this year to fulfill our charity commitments and help those in need in the best way we can. Kairali has planned many more exciting events in the coming months and I request full participation from each and every one of you. Let us stand together and work for love, peace, and prosperity for us and for the people around us. I wish you all a very happy, prosperous, and healthy Onam 2019! Suraj Mammen Secretary- Kairali of Baltimore

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EXECUTIVE COMMITTEE

TISON THOMAS

BENNY THOMAS

MATHEW VARGHESE

SURAJ MAMMEN

PRESIDENT

VICE PRESIDENT

PRESIDENT ELECT

SECRETARY

JOHNSON JOMY GEORGE JITH TREASURER KADAMKULATHIL PONNAMBALATH EX-OFFICIO

GILLETT KOORAN

VIJOY PATTAMADI AUDITOR

JOINT SECRETARY JOINT TREASURER

FINANCE (SPONSORSHIPS/ADVERTISEMENTS)

JIJO ALLAPAT CHAIR

JOHNSON KADAMKULATHIL

JOSE CHIRAYATH COORDINATOR

JOY KOODALY ssIcfn kph\o¿ 2019

SAJU MARKOSE

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BASIL ISSAC

SHAJI PADIYANICKAL 9


WEBSITE / SOCIAL MEDIA

JAIWIN BABY

JOMY GEORGE

CHAIR

JUBIN JOSEPH

BIBY THOMAS

ENTERTAINMENT

ALVIN ALUVATHINGAL

BINDHU JOHNSON

JISHA VAILS

SHYNI AUGUSTINE

SABEENA NAZAR

CHAIR

SHAJU JOSE

PUBLIC RELATIONS

RAHMAN KADABA 10 CHAIR

MOHAN MAVUNKAL

KAIRALI CHARITY

JOHNNY CHERUSSERY MAIJO MICHAELS CHAIR ssIcfn kph\o¿ 2019


HOSPITALITY

ANIL JAMES

BIJO THOMAS

BLESSON LUCKOSE

FINO AUGUSTINE

JOY PARICKAPPALLY

MATHEWS THOMAS

SANTHOSH KADAVANAKUDY

CHAIR

JOSE KOTTARAMKUNNEL

AJAY PANACHICKAL

LIGIE THOMAS

SOY JACOB

KAIRALI MAGAZINE

ALPHONSA RAHMAN

GINITHA JOMY

JOY KOODALY

SABEENA NAZAR

CHIEF EDITOR

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SAIJA CHIRAYATH

SHOBHANA MARKOSE

SURYA CHACKO

THOMAS VITHAYATHIL

WOMENS FORUM

JOSNI ZACHARIA CHAIR

SHERLY VITHAYATHIL

BINI JITH

MOLLY SURAJ

SHEEBA ALOUSYES

JILU LENJI

AMBILI BIJO

SALLY KOTTARAMKUNNEL

SPORTS & PICNIC

AUSTIN ALUVATHINGAL

BIJO VITHAYATHIL

BIJO SKARIAH

BRIAN RAJAN

CHAIR

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JEFFIN THOMAS

JOCELYN STEEPHEN

JOEL STEPHEN

MARTIN JOSEPH

JUBIN JOSEPH

JOE ZACHARIA

MICHAEL PERUMATTATHIL

YOUTH FORUM

VEENA JITH

NADIA NAZAR

AKSHITA ALOUSYES

CHAIR

AUSTIN KOODALY

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JOSH ZACHARIA

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AGNES KOODALY

MERLISS GEORGE 13


FRONT DESK/ REGISTRATION/ MEMBERSHIP

KOSHY GEORGE

MAREENA ISSAAC

SEEMA MICHAELS

RAHMAN KADABA

SATHI SANTHOSH

SAJU MARKOSE

BEENA BENNY

CHAIR

ROSY THOMAS

ADVISORY BOARD

NAZAR SHAMS CHAIR

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ANIL ALOUSYES

RAJAN MATHAI

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DAVID SURAJ

KRISHNA JITH

(High SchoolEastern Tech High School)

(High SchoolEastern Tech High School)

AUSTIN KOODALY (High SchoolWestern Tech High School)

BOSCO JAIN

SNEHA MENON

ROSE MERIN BENNY

(High SchoolHoward High)

(High School Forbush at Hunt Valley)

(High SchoolCatonsville High School)

JOSHUA CYRIAC

NAVEED & NISHAD RAHMAN

(High SchoolCentennial Hight School)

(Doctor of Medicine Thomas Jefferson Medical School)

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ANTHONY CHIRAYATH (Honors BS Biomedical Engineering 15 New Jersty Institute of Technology)


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ABY ABRAHAM

ASHLY KURUTHUKULAM

RONIE THAYYIL

(BS in Accounting Penn State University)

(B.S. Major Psychology & Minor Biology Salisbury University)

(Doctorate in Nursing PracticeUni.of Maryland School of Nursing)

CAPT. Dr. NISHA GEORGE

SANU SEN

(Doctor of Osteopatic medicine Phila.Coll.of Osetopathic Medicine)

TERIN MATHEW

(Doctorate in Physical TherapyColle.St.Scholastica,Duluth,MN)

(BS in Accounting Towson University)

DIJO ABRAHAM

ELIZABETH MARY GEORGE

SAVIENA VIJOY

(Doctor of Pharmacy or Pharm D University of Maryland)

(Master of Science : Physician AssistantKings College)

(High School Centennial High School)

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amXyp amXyp

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KAIRALI STANDS WITH KERALA Sabeena Nazar In August 2018 Kerala faced the worst flood in the century due to heavy torrential rainfall. Close to 500 people lost their lives and about 3 million people were evacuated at that time. People all over India and Malyalees around the world supported those who were suffering from this misery. Kairali of Baltimore took immediate action to raise funds to support and help rebuilding efforts. Instead of our annual Onam celebration we all gathered and conducted a fundraising event. With generous donations from everyone, we collected $26,000 from just that one evening. Unanimously Kairali members decided to give the funds directly to the people who deserve it the most. Kairali opened up an online application site which was developed by Jomy George, where the people in need could register with all the details. A study panel was appointed to study each case and to properly distribute the funds. The panel members include Dr Alphonsa Rahman, Sabeena Nazar, Suraj Mammen and Saju Markose. The funds were distributed in 3 different waves in areas including Aluva, Alleppey and Trissur. In the first wave, we distributed 4 lakhs rupees at a function at Vivekodhayam School at Annamanada, Thrissur to those who were affected by the flood in that area. We are so happy that we were able to help support a computer lab in the school, provide cows for farmers, support to re-start small-scale ssIcfn kph\oÂż 2019

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businesses and to repair houses. During the second wave, fund of 7 lakhs were distributed in Nedumudi area in Alleppey. We were able to provide 100 grocery kits to support a family for one month and also funds to families to rebuild their houses. We honored 50 fishermen who helped in rescue activities with a memento and cash in the third wave fund distribution. Also, funds were distributed to needy families in the third wave. 7 lakhs rupees were distributed in the 3rd wave function held in Kadangallur, Aluva where film star Pearle Maaney was a chief guest. Kairali of Baltimore would like to extend our gratitude to our former President Johnson Kadamkulathil who took the lead along with current President Tison Thomas and former Treasurer Benny Thomas who worked hard to accomplish this great event of fund collection and proper distribution for the flood relief of Kerala. We cannot thank enough Vishnu at Padma Charitable Trust, Kerala, for organizing all the fund distribution events and taking every effort to make sure the funds reached the needy and deserved person. We also thank KLAP charity for all the support from the beginning till the end of this fund distribution project. Our thanks to FOMAA for supporting Kairali and for their presence at the auspicious occasion where we honored the fishermen. We thank each and every Kairali member who helped in this fundraising event by either donating or by helping in any way to support our brothers and sisters in Kerala.

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FOR THEIR SAKE Dr. Naveed Rahman MD his honorable reputation assured the aid of neighbors. My father’s Father. Dead. Pulmonary tuberculosis. I never met him.

She was famed for her sincerity and diligence. Uneducated and illiterate, she ensured that her children walked five miles to a rickety hovel every morning to receive schooling that would ultimately secure their present positions at the pinnacle of their professional practices. She chewed tobacco her entire life. She never knew that it was killing her. She passed away after six months of bedridden torment. My father’s mother. Dead. Mouth cancer. I never met her. She was celebrated for her humility and grace. Deeply religious, she raised her children to respect each other and revere God. Even today, her name evokes a moment of reverential silence. She suffered from chronic hypertension, leaving her debilitated and at the mercy of further complic ations. She never received treatment. She passed away just one month after marrying her youngest daughter to a good man. My mother’s mother. Dead. Kidney failure. I never met her. He was respected for his tranquility and wisdom. Community members would travel miles on foot just to seek his advice. When his second son was twelve, he began vomiting blood. His son ran over a mile barefooted for help. The doctors were unable to assist, doomed by the shortage of medical implements and therapeutics. His family was left destitute, but ssIcfn kph\o¿ 2019

He was renowned for his integrity and discipline. He broke his leg when his youngest daughter was in high school. She withdrew for an entire year to care for him, and was still proclaimed the valedictorian of the state. One morning, when the eldest son of his youngest daughter was four years old, he collapsed en route to his daily newspaper. Medical aid that may have saved his life was deterred by unpaved roads and did not arrive for hours. My mother’s father. Dead. stroke. I do not remember him. People ask me why I would ever want to be a doctor. So much work, they say, for so little profit. If you want to make money, go into business or engineering. Medicine is not worth all the time and energy. I look at these deluded souls and ask them: how can I do anything else? I remember one hundred million people forced into bankruptcy by medical costs. I remember fifty million people without health insurance in America. I remember industriousin dividuals striving for success and derailed by injury. I remember my grandparents sentenced to premature and preventable death due to the dearth of effective and expedient medical care. I cannot stand idle in the face of tragedy. For the sake of those ravaged by illness, those helplessly witness to the demise of loved ones, those isolated by malady from the love of family—for their sake, I must become the man that the world demands of me. As a doctor, I will cure illness, ease anguish, and spread hope. For their sake. Because my conscience demands nothing less and everything more.

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At±lw ]d™ X∂ Nne hmNI߃ BNcym¬ ]mZw BZsØ ]mZw injy kztaYbm ]mZw k{_“Nmcn`y ]mZw Ime{ItaW tXm \ΩpsS PohnX ]mT߃ \mw ]Tn°p∂Xv thdn´ coXnIfnemWv . \ΩpsS PohnX ]T\ßfn¬ BZy Im¬ `mKw BNmcy\n¬ \n∂pw ASpØ Im¬ `mKw \mw kz¥ambpw ASpØ Im¬`mKw \ΩpsS kplrØp °p°fn¬ \n∂pw, Ahkm\ Im¬`mKw Imeßfn¬ \n∂pamWv \mw ]Tnbv°pI. C\n Ct∏mƒ Rm≥ Ime{ItaW tXm F∂ Ahkm\ hN\Øn¬ XpSßs´. PohnXØns‚ A¥y L´ßfn¬ \S∂Sp °ptºmƒ \ap°v AXt√ Hcp t]mwhgn. C∂se Fs‚ PohnXØnse Hcp kpμcZn\ambncp∂p. FhnsS\nt∂m FØns∏´ Hcp amemJ. t]cv hy‡ambn Adnbn√. ]t£ amemJam¿°v t]cv Hcp 35

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“Look at me! I’m right here! I wanted to scream each time nurses and doctors came to my room in the ICU and stared at those monitors, machines, and pumps. But no words came out of

Dr. Alphonsa A Rahman

my mouth; I could not move any part of my body. I lay there… staring at the ceiling.” These were the words tearfully spoken to by Scott when he

more chronic disease (Centers for Disease Control

finally extubated from his ventilator.

and Prevention, 2017). 125 million people have at

More wired, consumer-oriented, and

least one chronic condition. The pressure to decrease

innovative than ever before, the US health care

healthcare costs creates a demand for nurses and

industry is undergoing profound transformation.

healthcare to utilize HIT and HET in hospitals and

The health care industry could see more changes

communities to educate, communicate, and assist

in the years ahead, and the health information

patients to self-manage their chronic illness with

technology is moving ahead at 100 miles speed

technology-based interventions (Knight & Shae,

with other innovative technologies. As pressure

2014).

increases to cut health care cost and improve

Benefits of technology are many in

access to care, health information technology

healthcare professions and in our personal lives. HIT

(HIT), health-enabling technologies (HET), and

technology helps in disease prevention, health

electronic health are becoming solutions to

promotion, and empowering the voice of the

address health care burdens of chronic conditions

patients. HIT increases efficiency of care, improves

worldwide. As of 2012, 1 in 2 adults in the United

patient safety, enhances communication, provides

States have a chronic disease, and 1 in 4 has 2 or

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the opportunity to better understand clinical

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conditions, and helps to better care coordination.

clinical settings, and in our workplaces. Jean

There are tremendous benefits that these

Watson’s (1979) theory of caring recognizes

technologies offer in our lives. While appreciating

spiritual and ethical aspects as major elements of

these facts, we also need to acknowledge the

the caring process (Chinn & Kramer, 2008).

drawbacks and challenges that these technologies

Caring is a moral ideal and it is a mind, body, and

bring to our personal and professional world.

soul commitment to one another. I strongly believe that these elements should be instilled in our

Let us look at the impact of technology in

students, children, and in our communities.

our personal world and examine how it has changed our behaviors. Technology and social

It is the duty of educators in health care

media has allowed us means of social connection

professions to teach and facilitate the practice of

and has allowed us to maintain long-distance

caring behaviors in a technology-dependent world.

friendships easier. Now we are connected globally

As preceptors, mentors, and teachers, we have to

and can get instant messages at the click of a

nurture the qualities of compassion and human

button. Although it is exciting and the benefits of

touch amidst this technical environment. Blending

technology are many, there are still negative

a culture of caring and technology together to

influences on our behaviors. It can spread us too

create a greater whole is the essence of nursing

thin and ruin the quality of social interaction that

and medical professions as well as many

is a pivotal need for human beings.

healthcare professions. Let us work together to ensure that no patient will ever have a horrifying,

Although we are connected to the world,

isolating experience like my patient Scott had!

we live in a detached world. Instead of meeting for a quick cup of coffee, we spend 30 minutes

References

texting back and forth about our day. We spend

Centers for Disease Control and Prevention

far too much time on Facebook trying to catch up

(2017).Chronic Disease Overview. Retrieved from

with thousands of friends. How many of us see

https://www.cdc.gov/chronicdisease/overview/

our teenagers on their phone and in their own

index.htm

world at the dining table? This technological

Chinn, P. L., & Kramer, M. K. (2008). Integrated

detachment is becoming today’s reality. Ten texts

Knowledge Development in Nursing

is not equal to an hour spent chatting with a friend

(6thed.).St.Louis, Missouri: Mosby.

over lunch. And a smiley-face emoticon is cute,

Knight, E. P., &Shea, K. (2014).A patient-focused

but it could never replace the ear-splitting grin

framework integrating self-management

and smiling eyes of one of your best friends.

and informatics.Journal of Nursing

This is the time for us to think about our

Scholarship, 46(2), 91-97. doi:10.1111/

moral responsibility to instill the passion of caring

jnu.12059

in healthcare personnel. We need to create a community of caring within our classrooms,our ssIcfn kph\oÂż 2019

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Merliss George

Behind all the others, stood A Writer thin and tall His novels were bestsellers and known around the world to all He had on a gray turtleneck and carried notebooks aplenty And resting upon his eyes were glasses, though his vision was twenty-twenty He had hair as black as the night and a smile that sparkled with sincerity It was a well-known fact that he donated all his hard-earned money to charity He was always helpful and never had a mean word to say And he worked at his local animal shelter during the day His other features were decent enough He had eyes like a forest, but a voice that sounded rough Whenever you looked, a pen was always ready at hand But it never touched the paper, not even the slightest mark could be scanned According to critics, the writer’s works should forever be etched in stone Which is odd, considering the man lacked even a single creative bone And when asked the difference between a verb and a noun He would just stand there, scratching his head with a frown He is considered a writer of the highest degree and secondary to none But this famous and prominent author has not written a single book, not even one

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My Sydney - My Macquarie: Study abroad experience by Kavya Santhosh Kavanakudy My first real introduction to Australia (besides Finding Nemo of course) was my Zoology class sophomore year of high school. It felt like every unit, we were learning about some obscure animal that was indigenous to Australia. The phrase, “Is that from Australia?” popped up a lot whenever we learned about an animal that was...unique to say the least. The answer was almost always, yes. But the animals aren’t the only reason why I chose to study abroad here. I started to look into the culture, environment, and people of Australia and was intrigued; I just had to see this continent in person. Now 4 years and a lot of paper work later, I’ve achieved my dream. I came with a bucket list of things I wanted to accomplish. Some of the major ones are seeing the Great Barrier Reef, going skydiving, holding a koala, visiting the Sydney Opera House, and camelback riding. Living in a new city by myself definitely was an adjustment, but there’s always an adjustment period through every major change in life. I didn’t want to believe that I would miss any part of home while here; I wanted to be in the honeymoon period as long as I could. But just like how I didn’t stay in the honeymoon period for long, I didn’t stay in the adjustment period for long either. Queensland is the only place in Australia where it’s legal to hold a koala. Most of my days during the week are usually filled with classes, school work and other day to day activities. But there’s always something going on somewhere. But some of the best experiences I’ve had while here are the moments I’ve spent with friends, even if we weren’t doing anything “significant” or adventurous. Walks along the coast, movie nights with lots of junk food, brekky after circus training, all of these little moments, although they may seem insignificant at the time, are some of the best experiences I’ve had. Not everything has to be a grand adventure or getting work done. Studying abroad is a unique experience and I’m glad I did it. It’s a great way to meet new people, have new experiences and learn to be independent. Sydney is an amazing city with amazing people, and it’s been a privilege to live here these past couple of months.

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Mathew Mathew

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Tison Thomas As Malayalees, Onam is one of the festivals that we all cherish and look forward to every year. Onam brings forth joy, happiness, celebration and above all, hope. For us Keralites it has become the festival of all people, regardless of religion, caste, creed, rich or poor. However, for Keralites, last year’s Onam season has been a somber moment. God’s own country, Kerala was up against nature’s fury, and the misery was unfathomable. Heavy torrential rain has caused so much flooding in Kerala resulted in hundreds of human loss and suffering for millions. On August 18, 2018 after much deliberation, Kairali of Baltimore took the extraordinary step to come together to help our fellow Indians and Keralites. Kairali members during that difficult time reminded ourselves that Onam brings us hope. We gathered together to bring this message of hope through action. With generous donations, Kairali collected more than $26,000. That was hope in action. Celebrating Onam once a year event has no more significance than eating variety of food, meeting people and buying new clothes. The festival of Onam has to transcend our attitude towards self, others and society. Onam should inspire us to seek freedom, equality and justice for all. Society won’t prosper when it suppresses people’s ideas, creativity and freedom. Onam must instill hope. We are one human family regardless of our national, racial, ethnic, economic, and ideological differences. We are our brothers’ and sisters’ keepers, wherever they may be. Loving our neighbor has global dimensions in a shrinking world. Onam as the festival of hope offers valuable lessons for all. Onam reminds us how we should live each day in harmony with ourselves and our surroundings. Let us recommit ourselves during this season of Onam. It is a commitment of all that we hope for a better today and tomorrow not just for ourselves, but for those who are in suffering. When Kairali took the extraordinary step to put forward the Onam program with a theme of “Standing with Kerala”, Kairali of Baltimore as an organization leads by example. Kairali truly transcend Onam from mere celebration to an extraordinary feat of action. Through charitable work, and bringing people from all wakes of life Kairali as an organization commit ourselves to work together in making the world a better place one day at a time. Kairali thank all the volunteers, members, and Executive Committee members who worked tirelessly to make last year’s Onam program a successful one. 100 percent of the proceeds went to those who were in need. Through Padma Charitable Trust, a charitable organization in Kerala, and after verifying each person’s need, reviewed and verified by the study committee comprised of Dr. Alphonsa Rehman, Mrs. Sabeena Nazar, Mr. Suraj Mamen and Mr. Saju Markose, the Kairali Executive Committee approved the applications. Kairali released the funds to the ones who lost homes, who lost clothing, furniture and other basic necessities. These efforts show the extra ordinary resolve of each of us during the time of need. Kairali as an organization deserves the utmost kudos for its courage, audacity and service. ssIcfn kph\o¿ 2019

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Surya Chacko Take nothing for granted Not even the minute you are in Take time to savor the simple joys of life For what matters after all is the pure joy of living Make plans but live in the present Knowing that only today is yours to claim As tomorrow is never promised For what matters is the simple joys of life Look ahead with faith and hope And don’t lament about yesterday Doing all the good while you can today For what matters is the goodness of your doings Life comes at you with twists and turns That no one can foresee not even if you deeply yearn Live those precious moments today and make lasting memories For what matters is how you lived it Live a life worthy of your existence Make a difference in someone’ s life today Strive to be a better human than those forgone days For what matters is the kindness and compassion you bestow Bethink that we are not in control of our destiny Honor the greater power that govern our fortune Each good deed will be inprinted in the book of our lives For what matters is the seeds of love we plant

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Ammini Aunty (Saramma Joshua)

Ingredients Rice Flour Grated Coconut Ripe Bananas Water Brown Sugar Self-Rising Flour Cream of Rice Coconut Cumin Black Sesame Seed Cardamom Seeds Milk Directions

3 Cups 1 Cup 2-3 2 Cups 1.5 Cups Âź Cup 1 Cup(or Cream of Wheat) 1 Cup(cut into small, thinly sliced pieces) 1 Tbsp 3-4 Tbsp 1.5 Tbsp(powdered) as needed

1. Fry the rice flour until warm in a large pan. Set aside to cool. 2. Blend 1 cup of grated coconut in a blender. Add the bananas and blend with 2 cups of water. 3. In a bowl combine brown sugar, self-rising flour, rice flour, cream of rice. Add the blended coconut/banana mixture and mix together. Keep warm for 5-6 hours. 4. Take the 1 cup of small, thinly sliced pieces of coconut and fry this in some oil until brown and set aside. 5. Add the fried coconut, cardamom, cumin and sesame seeds to the rest of the ingredients. If needed, add milk if the batter is too thick. Mix all ingredients together until it has the consistency of pancake batter. Add salt for taste. 6. Add about 1-inch oil in a non-stick frying pan. Once the oil is hot, add the batter in drops (about 1/8 cup for each neyappam). Cook for about 3-4 minutes, turning once in the process. Once it is golden brown, remove the neyappams with a slotted spoon and drain on paper towels to remove any excess oil.

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Dr. Nishad Rahman MD I am only human. When one gets down to brass tacks, or the atomic level, or the gist of it all, this phrase is the ultimate justifier. Forgot your keys? You’re only human, it happens to the best of us. Ironically leave a sterile dressing inside the peritoneum of your patient? You’re guilty of malpractice and just lost a sizeable chunk of your financial prospects, but human error is as inevitable as the DNA you spawned from and really, the most surprising aspects are not the screw ups, but the successes. That’s what it really means to be human, after all: to be fundamentally flawed, perennially on the edge of the next mistake. How utterly loathsome a concept. An objective analysis of the world unequivocally proclaims that it should be better. It is not that we lack the resources or the technology or the collective intellect. We simply lack, as a whole, the will power necessary to make and sustain fundamental change. It is a fact that fewer people should be starving and in poverty and uneducated and riddled with disease. After countless years of local and worldwide conflict, lessons should have been learned. Our shared history should have been incorporated into our policies and consequently, our sociopolitical environment should be far less hostile. Fewer people should be angry. So angry. Angry enough to commit horrifying acts of brutality upon themselves and their brethren.And yet. We continue to live not just in an imperfect world, but a flawed one. Why aren’t we more tolerant? Perhaps it is because we as a species accept that ssIcfn kph\o¿ 2019

we are only human. In our own eyes, we are not the species that holds dominion over land, air and water, the apex predator of an entire planet that has ensnared lightning itself to power our machines, that has gone to the moon for no reasons except to satisfy our curiosity and, perhaps even more importantly, to see if we could. Instead, we see ourselves as the species that destroys all that it touches, who ignites the concentrated remains of its predecessors to fuelubiquitous destruction, which cannot establish even temporary peace despite millennia of so-called advancement. The truth, of course, is that we are both. Both hero and villain, angel and demon, saint and sinner. But whatever else we may be, we are emphatically not unust. Greatness courses through our veins just as blood and salt and life do. The question should not be what our capabilities are, but whether we can be morally good in addition to fundamentally great. Yet the very opposite is the case: we believe we are intrinsically good and must strive for greatness, when instead, our inheritance is greatness and the far loftier goal is to be good.This perspective breeds parasiticcomplacency, insidiously crawling into our bone marrow and crushing our innovative spirit. Reject this false philosophy. Refuse to believe that our birth right and legacy is fallibility, that we are inevitably defined by mediocrity. Robert Oppenheimer said “The optimist thinks this is the best of all possible worlds. The pessimist fears it is true”. The realist knows it is not. The idealist believes it can be.

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Celebrations: Indian American Nurses Association of Maryland (IANAM) Alphonsa Rahman The Indian American Nurses Association of Maryland (IANAM) celebrated Nurses Week on May 11th 2019 honoring nurses with a theme “4 Million Reasons to Celebrate Nursing”. Dr. Mary Kay, the President of Maryland Nurses Association was the chief guest and Dr. Patricia Davidson, Dean of Johns Hopkins School of Nursing and Dr. Neda Gould, Director of Mindfulness Program at Johns Hopkins were the guest speakers. This was IANAM’s third Nurse’s Day Celebration. The first Nurse’s Day Celebration on May 7th 2016 was a landmark moment for Indian immigrants in the State of Maryland. Nurses and nursing students with Indian heritage came together to celebrate Nurses’ Week, and under the leadership of Dr. Alphonsa Rahman, kicked off the first ever meeting of the Maryland State chapter of the National Association of Indian Nurses Association of America (NAINA): the Indian Nurses Association of Maryland (IANAM). IANAM obtained its non-profit 501 C (3) status this year. IANAM won the Chapter Excellence trophy and award at the Biennial National Conference of National Association of Indian Nurses of America, at Dallas, Texas on October 26, 2018. This award was to recognize the outstanding achievements of a Nursing Association based on the criteria of purpose and goals of the association, achievements, Professional Development, Education, mentoring, membership growth, community service, charity initiatives, public relations, cultural, social programs, and overall growth of the nursing association. For more details please visit IANAM website:www.ianam.org

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Molly Suraj

Cut 3 pounds of beef into small pieces Ingredients to mix beef with: I. 3 Large onions thinly sliced 4 Dried red pepper 3 Whole curry leaves 2.5 Tablespoons of black pepper

II. 1/2 tsp of Turmeric 1 Tablespoon of Chili powder 4 Tablespoon of Coriander powder 6 Finely Chopped Garlic 1 Ginger large chopped piece 1 Hand full of cut piece of coconut Irachikoottu 1 fresh lemon juice Salt as needed

Instructions: Wash the beef and drain in it for 5 minutes. Mix number 2 ingredients alltogether with beef, add 1/2 cup of water since the beef pieces contain water (cook them in medium flame covered, stir occasionally, until it’s cooked, and the water has all dried out (approximately 45 minutes cook time). In another pot heat the oil, then stir fry the 3 big sliced onions until it turns brown, then add 4 whole red pepper, 3 whole curry leaves, 2 1/2 tbsp black pepper, stir fry for few minutes until everything is mixed well. Add the beef and then stir fry on a medium flame until everything is mixed well and the beef turns lightly black. The beef fry is now ready.

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What would I do without my family? Would I be gone? Mislead and desperate? They are soft feathers, falling tenderly Upon my deep hatred, so moderate They bring light when darkness and trouble comes They bring joy when painful moments control Their love is like calm, extravagant drums Setting a sturdy plan for my console

Isabelle George

Without family I would be bitter No one else in this world could take their place Their kindness and energy can skitter All the evil decisions I will face How I love my family very much There is no other type of love as such

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JESSICA CYRIAC My name is Jessica Cyriac and I have been learning Bharatanatyam for the past ten years under the guidance of my guru, Smt. Janaki Sivaraman. Ever since I was a little kid, dance has always been a big part of my life. When I was five, my mom enrolled me in dance classes, never realizing that dancing would lead to anything serious. In the beginning, I didn’t favor dancing, but as I grew older, it became my passion. One of the most important influences in dance was my guru. Every correction and every opportunity she gave me led me to grow as a dancer. As I started competing in dance competitions and performing more often, I began to think about the question: “Why do I dance?”Performing for Kairali was one of the ways I learned to answer this question. Every performance I’ve done will always be memorable. The fun practices, supportive community and ability to dance with my friends and siblings helped create an enjoyable atmosphere. Kairali has taught me that dancing isn’t just about perfection, it’s about enjoying the art and sharing it with others. This past May, I completed my arangetram. Many people view an arangetram as a graduation, but to me it is continuation of my dance journey. I have learned a lot from my teacher, family, friends, and performances, and I hope to continue to improve as a dancer.

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Surya Chacko Non alcoholic fatty liver disease (NAFLD) is the leading cause of liver dysfunction worldwide and is a rapidly growing health problem in South Asians. The liver normally contains some fat. However, a fatty liver occurs when more than 10 percent of the liver’s weight is made up of fat. Excess fat in the liver can lead to inflammation of the liver. Types of fatty liver ·

Non-alcoholic fatty liver (NAFL), otherwise known as simple fatty liver

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The more severe form of non-alcoholic fatty liver disease is called non-alcoholic steatohepatitis (NASH). NASH causes the liver to swell and become damaged. Who is likely to have fatty liver? We often relate fatty liver with alcoholism. However, non-alcoholic fatty liver disease (NAFLD) can occur even without alcohol abuse. This form of fatty liver is being seen in individuals who have never even touched alcohol or drink very little. NAFLD goes hand in hand with obesity and diabetes and is therefore a component of the Metabolic Syndrome, which consists of 3 or more of the following: ssIcfn kph\o¿ 2019

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obesity, hypertension, elevated fasting blood glucose, hypertriglyceridemia or low high-density lipoprotein levels. The incidence can be as high as 30% in the general population and between 50-70% in type 2 diabetics. Rapid weight loss and poor eating habits also may lead to non-alcoholic fatty liver disease. The prevalence of NAFLD is increasing in the South Asian population and there appears to be a male predominance. Symptoms NAFLD usually causes no symptoms until it has progressed to an advanced and likely irreversible stage. That’s why it’s easy to ignore it. It is the most common cause of unexplained persistent elevation of liver enzyme levels. The most common symptoms that bring NAFLD to medical attention are malaise, fatigue, and right upper quadrant or diffuse abdominal discomfort. Most cases of NAFLD do not lead to any significant complications. However, in some people, the accumulation of fat in the liver can lead to inflammation and scar tissue which can ultimately lead to cirrhosis and liver failure, often resulting in early death. Unfortunately, many patients have no symptoms until the disease is advanced and they develop jaundice (yellowing of eyes and skin), confusion, and swelling of the abdomen and legs. Diagnosis As most patients have no symptoms, it is often only detected when liver blood tests are found to be elevated or imaging tests of the abdomen are obtained for other reasons. Treatment There are no medical treatments yet for non-alcoholic fatty liver disease. However, it is reversible if found in its early stages. ·

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Lose weight: The primary treatment for NAFLD is lifestyle modification. Weight loss by eating a healthy diet and exercising regularly may help prevent liver damage from starting or reverse it in the early stages. Weight loss of roughly 5% of your body weight might be enough to improve abnormal liver tests and decrease the fat in the liver. Exercise most days of the week and avoid items such as ghee, sugar and soda. Weight loss should be gradual as rapid weight loss can actually lead to worsening of the disease. Good control of diabetes and cholesterol is also critical and may involve adjusting existing medications or addition of new medications. With these changes, it is possible to stop progression of the disease and even reverse it.

Prevention · Avoid excessive alcohol use · Make sure that your medications are not toxic to the liver. Even Tylenol (Acetaminophen) may be harmful to the liver if you take too much for too long. · Get vaccinated to protect against hepatitis A and B

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Profile for Kairali of Baltimore

2019  

2019  

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