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Easy Ways to Take Charge of Your Health
When to Call the Dermatologist If you notice any of these changes, you should make an appointment for a checkup: A new spot on skin that is raised, is more than one color, or has an irregular shape. Any old spots or moles that appear to be changing. Sudden, extensive hair growth on your face or chest. Patchy hair loss on your scalp.
You need to learn how to take charge of your health every day to live well with type 2 diabetes. The good news is, there are many safe ways to care for your condition at home.
Simple Ways to Boost Your Energy: Ready to Get Energized ? If a demanding career and or busy family life has you feeling worn out, it's time to take action. A life filled with vitality, energy, and enthusiasm is within your reach, and I'm here to help you grab it. Get ready to go from feeling frazzled to fabulous: Read on for 12 tips that will help you get there!
Here are some strategies to try. Do Home Blood Sugar Tests Knowledge is power when it comes to your blood sugar. If you find your levels aren't where they should be, you can take steps to get them back on track. So be sure to check regularly. Some basic tips:
Breathe Deeply Whenever you're feeling sluggish, the first thing to do is stop and take a few long, deep breaths. Close your eyes and breathe slowly in through your nose, out through your mouth and repeat this until your heart rate slows. Meditative breathing like this increases the amount of oxygen in your bloodstream, which can help lower your blood pressure and heart rate and can relax tense muscles. With each breath, you'll deliver energy-giving oxygen to every cell in your body. Get up and Moving Instead of sipping coffee every time you feel the need to reboot, try taking 60- to 90-second mini breaks throughout the day to get your blood flowing. Once an hour, simply stand up and stretch your arms over your head, take a deep breath, swing your arms from side to side, or walk up and down a flight or two of stairs. The science is basic: Moving stimulates circulation, which allows more oxygen to be transported to your muscles and brain. And more oxygen means more energy! You'll be amazed at how big of a difference these 60-second breaks can make. Eat an Energizing Snack If you find your energy dipping midmorning or mid afternoon, it's likely that your blood sugar levels are low. Having a snack will help but not just any food will do! The most energizing snacks offer a mixture of healthy carbs and protein, a hearty combo that will rev your metabolism and power you through to your next meal. Shoot for the 100- to 200-calorie range, and keep a few of these snacks on hand to ensure you never get caught with a grumbling tummy. Some of my favorite options: sliced veggies with hummus, air-popped popcorn and string cheese, or a piece of your favorite fruit with a handful of nuts.
They help you to manage your disease just like you manage other parts of your life, like work, household chores, and the family budget. And they can help you feel in control of your health.
• Pick your spot for testing. Most meters need you to prick your fingertip to test your blood. But some newer machines can get a sample from other places on your body, like your upper arm or thigh. • Ask your doctor when you should check your blood sugar like before meals, after a workout, at bedtime, or when you think they're low. • Make a plan with your doctor for what you need to do when your levels are too high or too low. Also, ask when you should call him if they're too far off-target. • Keep a record of your readings. You can write them down in a notebook, track them in an app, or rely on the memory feature of your glucose monitor. They'll help you see trends and spot any problems. And they'll help your doctor, too, so bring them with you to your next appointment. Watch Your Weight Carrying some extra pounds? If you're overweight, no matter how heavy you are, you can slash your blood sugar if you slim down. Even losing 10 or 15 pounds has health perks. Weight loss can: • Lower blood sugar • Reduce blood pressure • Improve cholesterol levels • Lighten the stress on your hips, knees, ankles, and feet • Give you more energy and let you breathe easier Check with your doctor before you start a weight loss plan. Then, talk with a diabetes educator or nutritionist to figure out some healthy changes that you can stick with for a lifetime. A better diet and exercise routine can be a big help. But if those habits haven't worked for you, ask your doctor if weight loss medications or surgery might be a good option.
10 • April-May 2016 • Mumbai
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IS THE FATE OF THE GIRL CHILD IN INDIA CHANGING? In a country where, child sex ratio has declined from 945 in 1991 to 914 in 2011, the significance of the National Girl Child Day, observed and commemorated on 24th of January every year, cannot be over emphasised. Subsequently, the observance of this day, earmarked for raising awareness about the inequalities and injustices perpetuated against the girl child, and also for educating people about the rights of a girl child, was extended to a week long (24th-30th January) commemoration in the form of National Girl Child week.
2015 saw Indian women receive global appreciation with 7 of them making it to the BBC's list of 100 most aspirational women. These extraordinary seven women -farmer Rimmppi Kumari, entrepreneurs Smriti Nagpal and Kanika Tekriwal, campaigner Mumtaz Sheikh, singer Asha Bhonsle, Tennis star Sania Mirza, and veteran actress Kamini Kaushal - have made their distinctive mark in their chosen fields.
This National Girl Child week, let's look back at six events of 2015 that have made a positive impact for the Indian girl child: Mhonbeni Ezung, an eight year old girl from Nagaland, became the youngest National Bravery award recipient in 2015, for rescuing her drowning grandmother. Her 78 year old grandmother had taken her fishing and had fallen into the river after suffering from sudden cramps, followed by a stroke. Little Mhonbeni ran all the way to a village 4-5 kms away, all alone and brought help in time, to rescue her drowning grandmother. Captain Divya Ajith Kumar led the first all women's contingent of the Indian Army for the Republic Day parade on January 26th, 2015. Twenty-five year old Captain Divya Ajith is also the first woman cadet in the history of Indian army, to have been awarded the prestigious 'Sword of Honour' in 2010. Government of India launched the 'Beti Bachao Beti Padhao' campaign in January 2015, with the aim of creating awareness and to ensure survival, protection and empowerment of the girl child.
Indian tennis player Sania Mirza, became the first Indian woman to be World no.1 in women's doubles. She, along with her partner, Martina Hingis, won 9 titles including the Wimbledon, US Open, and the year-ending WTA finals. They continued their winning stint in 2016, and broke a 22 year old world record by winning 29 matches in a row. In many interviews, following her victories, Sania Mirza has spoken about her desire to inspire girls in the sub-continent to take up sports, especially tennis.
In April 2015, the Malik twins – 23 year olds Nungshi and Tashi Malik – completed the Explorers' Grand Slam by skiing to the North Pole. The sisters join the rare club of 44 achievers to have completed the Explorers' Grand Slam, which is a challenge to reach the North Pole, the South Pole, and to climb the highest peak of each continent – the Seven Summits. In 2014, they had already achieved the distinction of being the first ever siblings to scale the seven tallest peaks in seven continents, which they had dedicated to the cause of Indian Girl Child. These are some of the achievers who serve as inspiration for the Indian girl child and as a lesson for the society which considers her existence as a burden. But, in a country where children, especially girls, are deprived of the right to live, to basic education and nutrition, all the girls who survive, make it school, and strive each day are achievers in their own right.
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April-May 2016 • Mumbai • 11
Mumbai considers 'no selfie zones' after drowning Sixteen dangerous spots identified in Indian city and patrolling officers briefed to warn people against taking selfies.
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Pretty Lady Beauty Salon Mumbai police have identified 16 dangerous selfie spots across the Indian city and may introduce "no selfie zones" after a man drowned trying to save a girl who fell into the sea while taking a photo of herself. The girl and two friends fell off rocks into the Arabian Sea near Bandra Bandstand in the north of India's financial capital while taking selfies on Saturday. A passer-by, 37-year-old Ramesh Walanju, jumped in and helped save the two friends but was washed away by the choppy waters, and his body was found floating in a nearby creek on Monday. The 18-year-old girl is still missing. The dangerous selfie spots identified by the police include the major tourist attractions of Girgaum Chowpatty beach and Marine Drive promenade as well as the site where the girl slipped, according to police. "After the unfortunate incident, we have decided to identify 16 spots where taking selfies can be dangerous, but we may add more," deputy commissioner Dhananjay Kulkarni told the AFP news agency. "We have written to the municipal corporation to put some warning signs up at such points. We also want them to deploy some lifeguards." Police officers patrolling the selected areas have been briefed to warn people against
taking selfies. But Kulkarni added that official "no selfie spots" may be introduced if those precautions fail to deter those visiting the areas. Selfie hazards Last year, Russian police launched a campaign urging people to take safer selfies after about 100 people were injured and dozens died in gruesome accidents while striking high-risk poses in 2015. "A cool selfie could cost you your life," the interior ministry warned in a leaflet packed with tips such as "a selfie with a weapon kills". Twelve people were reported killed in selfie-related accidents last year - more deaths than people killed by shark attacks.
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A 66-year-old Japanese tourist died, and his travel companion was injured, after falling down stairs while attempting to take a selfie at the Taj Mahal last year. Shop No. 4, 1, Sai Plaza Complex, Gandhi Bazar, Chembur Colony, Mumbai-400 071.
In December, a Pakistani man died in Rawalpindi after being hit by a fastmoving train as he tried to take a selfie with it while standing on the track. Last May, a Russian woman accidentally shot herself in the head with a pistol while posing for a selfie with the weapon. And US investigators in February said a pilot's repeated snapping of selfie photos caused a small plane to crash, killing both people on board.
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12 • April-May 2016 • Mumbai
DR. HARSHAVARDHAN S. AJGAONKAR
Ph.D (Sci) [ICT, Mum]
Certified by American Council on Exercise (ACE) .Personal trainer, Advance Heath & Fitness Specialist. Desert South West (USA), continuing edu, Human kinetics and Health. Fitness Advisor for Mumbai police Fitness means different thing to different people. Generally to be fit means more than simply being able to perform your daily activity with ease. The human body is magnificent, extremely sophisticated machine. Its many parts (206 bones, more than 600 muscles and joints, connective tissue, nerves, organs & vessels) can produce infinite number of movements, positions & postures which provides the stability & mobility needed for effective human performance in sports and the activities of daily living. Optimum physical fitness is often defined as the condition resulting from a lifestyle that leads to the development of an optimum level of cardiovascular endurance, muscular strength & endurance, flexibility as well as the achievement and maintenance of ideal body weight. The type of exercise that develops Cardiovascular endurance is not very effective in developing an optimum balance of muscular strength, flexibility training usually increases the range of motion about a specific joint but is not effective for improving cardiovascular endurance or muscular strength. Resistance training is the best way to increase strength but it not the most effective way to improve cardiovascular fitness. In other words every individual must participate in a variety of exercises to achieve optimum (balanced) physical fitness. Traditional training has often been based on improving the aesthetic qualities of an individual. The isolation training popularized by bodybuilding is an excellent method for developing muscle growth and strength. But what determines success in performance in any activity or sports is being able to express the coordinated strength of one's body not the isolated strength of any one muscle. Acquiring this coordinated strength (what we called as functional strength) is a matter of learning how to control one's own body. Dr. Ajgaonkar's OFZ has introduced revolutionary concept where only power you use is our own. We believe that training first starts with the premises of loading an exercise internally, before externally loading it with a machine, dumbbell or barbell. Bodyweight training teaches the body to do exactly that – control its movement in any position, under any load and at any speed. We train to move our bodies better and
perform better. Therefore we use bodyweight training exercises to develop body awareness and control. By using Body weight training we can also train and develop four components of physical fitness i.e. cardiovascular, Muscular strength & endurance, Flexibility & body composition. as well as skill related component i.e. speed, agility & quickness, power, balance, coordination. The best way to attain this is through 'Small Group Training' (SGT). SGT is a new dimension of fitness by merging group fitness with personal training. It offers team support combined with guidance from certified knowledgeable fitness trainer/s to accomplish your individual goals. SGT offers fitness workouts that focus primarily on a specialized format individual program and skill development. We offer variety of Group Body Transformation Workout sessions (viz. yoga, high performance yoga, ballistic kettlebell, body weight leverage training, core strength & conditioning, super cardio, boot camp and effective circuit training. These workout sessions are available throughout the day and are motivating, challenging and inspiring. It demands full engagement of body and mind, improve your stamina, biological fitness, posture, balance, strength, endurance, flexibility, and very effective for reducing your overall body fat. It will help you to get in the best shape of your life. These workout sessions can be made more diverse, effective and creative with recreational values using different props viz. medicine and stability balls, pilate rings, resistance tubes, aerobic steppers, TRX, kettlebell, agility ladders & cones etc.
Yoga, Pranayam & Meditation Yoga is regarded as a science as well as a method that allows man to live a harmonious life while favoring his spiritual progress through the control of mind and body. The Asanas and Pranayama which are practice at our fitness zone not only help an individual acquire perfect health, stay young and live longer but it designed to develop the inner force that enable them to overcome their failings and withstand stressful situations with serenity. It prepares their bodies for higher stages of yogic practice such as concentration and meditation. Yoga
has been highly recommended and studied in its relationship to stress and is helpful in alleviating stress & its effects. The practices performed at our fitness zone ranges from intense to moderate to relaxed asana sequences, plus pranayama & meditation. In addition we offer yogic cure for common diseases such as diabetes, asthma, arthritis, High blood pressure, thyroid disease.
Key Health Benefits Provides a lean well-proportioned body thus maintaining healthy body composition. Lengthen & strengthen the muscles while improving body posture, flexibility, balance and builds stronger bones. Increased aerobic capacity (stamina) Ideal insulin functioning thus maintaining blood sugar levels. Lowering cardio metabolic risk factor s associated with multiple diseases Maintain healthy cholesterol levels. Sharpen mental focus and happier outlook on life. Reduction of depression and anxiety, lengthen lifespan, strengthen the immune system & improves quality of life.
Salient Features of Our Fitness Zone: Training latest fitness trends with certified experienced trainers Personal attention (not more than five members in one training session). Health counseling for special population clients. Learn how to perform the essential movements, exercises & mat work routines using various props to isolate muscle for targeted results with appropriate form using scientific techniques. We educate our members not just on how to execute a move but explain what the benefits are and which muscle group it works. Provides team support, encouragement, timely motivation and avoid boredom. Offer a variety of new workouts in multiplanar plane with twice the results in half the time. Effective communication of current health & fitness issues through periodic displays of related newsletters/articles. Expert advice on nutrition and health related issues Advice on strength & condition for sports person.
Dr. AJGAONKAR’S OPTIMUM FITNESS ZONE Shop no.3, Ground floor. New Shankar Premises Co-op Soc Ltd, Plot no.4, Shivaji Park Road no.5, Next to Bank of Baroda, Mumbai-400 016. Feel free to contact us at Tel No. 022-2 44 58 657, Mob. No: 9821449036 Like to know more about me, mail us at ajgaonkar.ofz@gmail.com or Log on to www.linkedin.com
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April-May 2016 • Mumbai • 13
WHAT ARE SMART CITIES
A 'smart city' is an urban region that is highly advanced in terms of overall infrastructure, sustainable real estate, communications and market viability. It is a city where information technology is the principal infrastructure and the basis for providing essential services to residents. There are many technological platforms involved, including but not limited to automated sensor networks and data centers Though this may sound futuristic, it is now likely to become a reality as the 'smart cities' movement unfolds in India. In a smart city, economic development and activity is sustainable and rationally incremental by virtue of being based on success-oriented market drivers such as supply and demand. They benefit everybody, including citizens, businesses, the government and the environment. \ The origin The concept of smart cities originated at the time when the entire world was facing one of the worst economic crises. In 2008, IBM began work on a 'smarter cities' concept as part of its Smarter Planet initiative. By the beginning of 2009, the concept had captivated the imagination of various nations across the globe. Countries like South Korea, UAE and China began to invest heavily into their research and formation. Today, a number of excellent precedents exist that India can emulate, such as those in Vienna, Aarhus, Amsterdam, Cairo, Lyon, Málaga, Malta, the Songdo International Business District near Seoul, Verona etc. In India The cities with ongoing or proposed smart cities include Kochi in Kerala, Ahmedabad in Gujarat, Aurangabad in Maharashtra, Manesar in Delhi NCR, Khushkera in Rajasthan, Krishnapatnam in Andhra Pradesh, Ponneri in Tamil Nadu and Tumkur in Karnataka. Many of these cities will include special investment regions or special economic zones with modified regulations and tax structures to make it attractive for foreign investment. This is essential because much of the funding for these projects will have to come from private developers and from abroad.
Challenges The concept is not without challenges, especially in India. For instance, the success of such a city depends on residents, entrepreneurs and visitors becoming actively involved in energy saving and implementation of new technologies. There are many ways to make residential, commercial and public spaces sustainable by ways of technology, but a high percentage of the total energy use is still in the hands of end users and their behaviour. Also, there is the time factor — such cities can potentially take anything between 20 and 30 years to build. • According to the documents released on the Smart Cities website, the core infrastructure in a smart city would include: • Adequate water supply • Assured electricity supply • Sanitation, including solid waste management • Efficient urban mobility and public transport • Adequate Water Supply • Affordable housing, especially for the poor • Robust IT connectivity and digitalisation • Good governance, especially eGovernance and citizen participation • Sustainable environment • Safety and security of citizens, particularly women, children and the elderly • Health and education Where did the idea come from? The concept of smart cities originated at the time when the entire world was facing one of the worst economic crises. In 2008, IBM began work on a 'smarter cities' concept as part of its Smarter Planet initiative. By the beginning of 2009, the concept had captivated the imagination of various nations across the globe. Countries like South Korea, UAE and China began to invest heavily into their research and formation. Today, a number of excellent precedents exist that India can emulate, such as those in Vienna, Aarhus, Amsterdam, Cairo, Lyon, Málaga, Malta, the Songdo International Business District near Seoul, Verona etc. Smart solutions "In the approach of the Smart Cities Mission, the objective is to promote cities that provide core infrastructure and give a decent quality of life to its citizens, a clean and sustainable environment and application of 'Smart' Solutions," says the statement from the Ministry.
GOVT. ANNOUNCES LIST OF FIRST 20 SMART CITIES UNDER 'SMART CITIES MISSION' The list of 20 smart cities out of the 98 shortlisted for the 'Smart Cities Mission' was released on Thursday. These 20 cities will be the first to receive funds, thus kickstarting the process of developing them into 'smart cities'. The next two years will see the inclusion of 40 and 38 cities, respectively. A 'smart city' is an urban region that is highly advanced in terms of overall infrastructure, sustainable real estate, communications and market viability. It is a city where information technology is the principal infrastructure and the basis for providing essential services to residents. There are many technological platforms involved, including but not limited to automated sensor networks and data centers. Of the 98 cities and towns that five years down will graduate into smart cities, 24 are capital cities, another 24 are business and industrial centers, 18 are culture and tourism influenced areas, five are port cities and three are education and health care hubs. Here's the list: Smart cities 1. Bhubaneswar, Odisha 2. Pune, Maharashtra 3. Jaipur, Rajasthan 4. Surat, Gujarat 5. Kochi, Kerala 6. Ahmedabad, Gujarat 7. Jabalpur, Madhya Pradesh 8. Visakhapatnam, Andhra Pradesh 9. Solapur, Maharashtra 10. Davangere, Karnataka 11. Indore, Madhya Pradesh 12. New Delhi Municipal Corporation 13. Coimbatore, Tamil Nadu 14. Kakinada, Andhra Pradesh 15. Belagavi, Karnataka 16. Udaipur, Rajasthan 17. Guwahati, Assam 18. Chennai, Tamil Nadu 19. Ludhiana, Punjab 20. Bhopal, Madhya Pradesh The success of the government's Smart City Mission is largely dependent upon the finance generation at the State-level as well as private investments. The Center has set aside `. 48,000 crore for the mission and the money will be released to urban local bodies at frequent intervals in the next five years. The Center has asked the State governments to generate the rest of the `. 48,000 crore as the grand total of the
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14 • April-May 2016 • Mumbai
Women Less Likely to Receive Basic Life Support for Cardiac Arrest from Public of women received basic life support, including cardiopulmonary resuscitation (CPR) and use of an automated external defibrillator (AED), compared to 70% of men.
Fewer women survive to hospital and those that do receive less treatment Women are less likely to receive basic life support for cardiac arrest from members of the public then men, the European Society of Cardiology announced today on International Women's Day. “There is a misconception that women don't have heart problems so they don't get as much help from the public and they are not treated the same by doctors,” said Dr Nicole Karam, an interventional cardiologist at the European Hospital Georges Pompidou in Paris, France. The study included all 11 420 patients who had an out-of-hospital cardiac arrest in Paris and the surrounding suburbs between 2011 and 2014. Data on how the patients were treated were recorded in a prospective registry at the Sudden Death Expertise Centre (SDEC).1 The researchers found that 40% of the sudden cardiac arrests occurred in women. Bystanders were more often present when cardiac arrests occurred in women than when they occurred in men, but only 60%
“When a man has a cardiac arrest he is less likely to have witnesses but they perform CPR more frequently,” said Dr Karam. “Probably people are more afraid to do CPR in women because we look fragile. They may also not believe that she is really having a cardiac arrest – even though we found that 40% of patients were women.” The researchers found that 18% of women made it to the hospital alive compared to 26% of men. Dr. Karam said: “Here we cannot blame the victim herself because a cardiac arrest by definition happens suddenly. Patients collapse, lose consciousness, and cannot help themselves. Bystanders often fail to help women probably because they don't believe it's a cardiac arrest and the medical services are less likely to rush them to the catheterisation laboratories for an angiogram. Besides, extracorporeal life support, another key factor in sudden cardiac arrest management, is six times less frequently performed in women than in men.” ESC guidelines recommend that unless there is another obvious cause for cardiac arrest (gunshot wound, for example) all patients should receive an angiogram to check for coronary artery disease, regardless of their gender.2,3 But the study found that of those who did reach the hospital alive, just 40% of women had an angiogram compared to 60% of men.
Of those women who did have any angiogram, almost half had a coronary artery disease. “Our study shows that women receive less investigations and treatment than men, despite the guidelines saying that they should be dealt with the same,” said Dr. Karam. “There is still a mistaken belief that women do not get coronary artery disease. But we found that coronary artery disease was the cause of sudden cardiac arrest in one-third of the women who did have an angiogram. So the angiograms were not a waste of time.” She added: “A previous study in our hospital showed that cardiac arrest victims often had symptoms on the previous day, including fainting, blackouts, dizziness, palpitations, chest pain and shortness of breath. Women have a tendency to think they are imagining their pain or symptoms, or decide to deal with them later. But women need to listen to their bodies if they have chest pain, go to the doctor and be quick.” Dr Karam concluded: “The frequency of coronary artery disease in women is increasing so it's no longer a 'man's problem'. Cardiac arrest is not a rare event in women – in our study four in every ten arrests occurred in women. When it does happen, doctors need to manage women just as they would manage men. We can only improve women's survival from cardiac arrest when doctors, emergency medical services, the public, and women themselves accept that it can happen to anyone regardless of gender.”
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April-May 2016 • Mumbai • 15
People having a heart attack delay seeking help • 80% of heart attack survivors initially did not realise they were having a heart attack • 35% thought their symptoms were indigestion • 50% delayed seeking medical help for their symptoms for more than 1 hour • 59 symptoms. Simon Gillespie, chief executive at the British Heart Foundation (BHF), says: "It's extremely alarming that the majority of people who suffer heart attacks mistake their symptoms for something less serious and delay getting medical help. Every second counts when someone has a heart attack.” A new survey shows that half of people experiencing heart attack symptoms are risking their life and future recovery by waiting for more than an hour before seeking medical help. The British Heart Foundation surveyed the readers of their magazine Heart Matters and combined the results with those from a survey on an online social media site. The people who responded to the surveys had survived at least one heart attack. The results show:
He continues, "Most heart attacks occur without warning and we have no way of predicting when they will strike.”
symptoms of heart attack. However, the survey shows that only 26% of heart attack survivors managed to get treatment within an hour.’ Melanie Mully, a 43 year old from Bishop Stortford, had a heart attack when she was 38 years old, a week before she was due to get married. She had never smoked and wasn't overweight, so it didn't occur to her that she could be having a heart attack. She says: "The day it happened I was queuing to pay for a present when I started to feel all hot and sweaty. There was a pain in my arm and I had indigestion. I didn't think anything of it as I'd had bouts throughout my pregnancy. "The pain went on throughout the day, but I didn't want to go through the hassle of sitting in a waiting room with a baby. Eventually that evening my heart attack led to a cardiac arrest and my heart stopped. Thankfully the paramedics arrived quickly and were able to resuscitate me.”
Getting help, fast Every 3 minutes, someone in the UK experiences a heart attack. It occurs when a blood clot forms in a narrowed artery, which cuts off the blood supply to The heart attack has had a big impact on a part of the heart. The heart muscle becomes Melanie's life. She says, "It's taken a couple of damaged if it is starved of oxygen-rich blood. years, a lot of hard work and counselling to get my life back on track.” Research shows that nearly half of the heart muscle that could possibly be saved by treatment is lost within an hour of the artery being blocked, • % still didn't realise they were having a heart attack at the time they finally sought medical which is why it is important to seek help as soon help for their. as someone recognises they are having the
Understanding Bipolar Disorder – Treatment
Bipolar disorder is treated with three main classes of medication: mood stabilizers, antipsychotics, and, while their safety and effectiveness for the condition are sometimes controversial, antidepressants. Typically, treatment entails a combination of at least one mood-stabilizing drug and/or atypical antipsychotic, plus psychotherapy. The most widely used drugs for the treatment of bipolar disorderinclude lithium carbonate and valproic acid
(also known as Depakote). Lithium carbonate can be remarkably effective in reducing mania, although doctors still do not know precisely how it works. Lithium may also prevent recurrence of depression,but its value seems greater against mania than depression, and therefore it is often given in conjunction with other medicines known to have greater value fordepression symptoms, sometimes including antidepressants. Valproic acid is a mood stabilizer that is helpful in treating the manic or mixed phases of bipolar disorder, along with carbamazapine, another antiepileptic drug. These drugs may be used alone or in combination with lithium to control symptoms. In addition, newer drugs are coming into the picture when traditional medications are insufficient. Lamotrigine, another antiepileptic drug, has been shown to have value for preventing depression and, to a somewhat lesser degree, manias or hypomanias. Other antiepileptic drugs, such as gabapentin, oxcarbazepine, ortopiramate, are regarded as experimental treatments that are not wellestablished, but may sometimes have value for
symptoms of bipolar disorder or other conditions that often occur with it. Haloperidol or, more recently, other newer antipsychotic medications, such as olanzapine or risperidone, are often given to patients who fail to respond to lithium or divalproex. They also may be given to treat acute symptoms of mania -particularly psychosis -- before lithium or divalproex can take full effect, which may be from one to several weeks. Another antipsychotic, Latuda, is approved for use in bipolar Idepression as is the combination of olanzapine plus flupxetine (called Symbyax). The antipsychotic quetiapine is approved to treat bipolar I or II depression. Some of these drugs can potentially become toxic if doses get too high. Therefore, they need to be monitored periodically with blood tests and clinical assessments by the prescriber. Because it is often difficult to predict which patient will react to what drug or what the dosage should ultimately be, the psychiatrist will often need to experiment with several different medications when beginning treatment.
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14 • April-May 2016 • Mumbai
Beauty is a Joy Forever Beauty is a quality which gives pleasure and happiness to the mind. Beauty is something that everyone wishes to have. It is said that original beauty lies in the heart of the people, this is true and it is accepted. At the same time external appearance is also important because anything in general would be characterized by the way they look. Purchasing of beauty products is a part of many people budget. When somebody says you are looking so beautiful, it makes you feel good, increases your confidence and makes you happy in all the possible ways. The cosmetic products which are available in the market serve both the gender to look their best. This site provides information on beauty tips, body care, make-up tips and procedures, Diet tips ,homemade recipes like face packs, shampoos and moisturizers. It is good to use homemade products instead of using products made from chemicals, and the homemade products do not bring any side effects to the skin. From the view of men and women, beauty is considered to be a superficial aspect. Anyhow, according to the old saying, beauty lies in the eyes of the spectator (beholder).
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God has blessed each one of us with some sort of natural beauty. Even though, lots of beauty products are available in the market, despite all these beauty products, natural beauty is always considered to be the wellbeing of soul. Drinking water is one of the best things you can do for your body. It can also help you tone up and lose weight - have a glass of water each time you begin to feel hungry and right before meals, Take a daily vitamin. Although the body cannot absorb the vitamins and minerals from a pill as well as it can from food, it will still help. These are vital to your health, but most people do not get their daily serving. If you don't normally eat very much, start by increasing your daily intake by one fruit/veggie and then slowly continue to increase it.
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8 minutes away from a better day: Right when you wake up: • 50 jumping jacks • 10 pushups • 20 sit ups • 20 bicycles • 20 mountain climbers • 30 second plank Do this for 3 cycles
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