Thursday, April 30, 2009

SRESS!

STRESS: BODY'S NATURAL RESPONSE TO STIMULI:

Deadlines, traffic, long queues, noise, financial pressure, family worries, health concerns. We're all familiar with these common stresses of modern living and know it's important to relax. But what exactly is stress? And how does one relax? Simply put, stress is the body's natural response to environmental & social stimuli. As external conditions change, body's internal systems react to allow you to adapt to those changes & survive. These internal reactions are often called the "fight or flight response".

You're sitting in your most comfortable chair, engrossed in a novel when you hear a strange noise. Your senses come to attention. Where is that noise coming from? What is it? Your muscles tense, your heart is pounding, and you begin to perspire. You try to quiet your heavy breathing and notice that you're gripping that novel like a weapon, ready to strike out. Should you fight or run & hide? 

The fight or flight response is nature's way of protecting you in times of danger. That same response also helps you to meet challenges and achieve goals ( for example, some tension before the "big game" helps a team by preparing mentally & physically to reach peak performance).The problem comes when the stress is chronic & unrelieved. Your body is constantly on alert, and the protective changes brought on by stress can have harmful effect on your mental & physical well-being, and even make you sick.

PHYSICAL CHANGES CAUSED BY STRESS:

When your brain perceives a stress situation, it alerts the nerve centres in the spinal cord and the pituitary gland. The sympathetic and parasympathetic nerves stimulate your organs, and the pituitary gland signals the adrenal gland to produce adrenaline. The result:
  • Heart rate increases and blood pressure rises.
  • Respiration rate increases as oxygen consumption rises.
  • Adrenaline, other hormones, and fatty acids are released into the bloodstream.
  • The liver releases stored sugar.
  • The muscles tense, particularly thighs, hips, back, shoulders, arms, and face.
  • Blood flow to the digestive organs and extremities is constricted.
  • Blood flow to the brain & major muscles increases.
  • The body perspires to cool itself, since increased metabolism creates heat.

EFFECTS OF LONG-TERM STRESS:

Every day your body reacts to 20 to 30 short-term stresses. Usually, there's time to recover in between, but sometimes these minor stresses are unrelenting. Other stresses (the illness of a relative, divorce, or worries about your career) may stay with you over long periods of time. When stress accumulates, your body and emotions feel the strain. Eventually, the brain's stimulation threshold actually drops, and even minor stresses cause big physical reaction.

Doctors recognize a definite link between stress and heart disease, respiratory conditions like asthma, intestinal problems, and menstrual difficulties. Common headaches and migraines can be brought on or worsened by stress. Stress can also aggravate existing health problems. For example, it often exaggerates the symptoms of multiple sclerosis and diabetes. Emotional problems like anxiety and depression are frequently stress-related. Evidence is growing that chronic stress wears down the immune system and increases your chance of getting sick. The constant presence of stress hormones in the bloodstream blunts the response of lymphocytes, weakening the body's ability to combat diseases.

HOW EXERCISE RELIEVES STRESS:

Stretching, moving, and lifting provide immediate relief from the physical symptoms of stress in several ways:
  • Stretching and moving relax tense muscles.
  • Exercise uses up the excess hormones, sugar, and fatty acids dumped into the bloodstream by the flight or fight response.
  • During exercise, the body produces endorphins, neuroinhibitors that calm the stress response and create a peaceful, euphoric state (the "runner's high").
  • Relaxation gained through exercise lasts many hours after the workout session.
  • People who exercise and play sports are better at finding ways to relax and are more able to relax under pressure.

SPECIAL PROGRAMMES:

Try taking an exercise break instead of a coffee break at work. Include some exercise (even just a stroll) in your lunch hour. You'll find that some stretching and moving are much more refreshing, and ultimately more healthful, than ingesting caffeine and sugar! If you can exercise to relieve the physical and emotional symptoms of stress as they arise, you'll be calmer, more alert, and more comfortable, and you'll have less accumulated stress at the end of the day.

GOOD STRESS/BAD STRESS:

Physical challenges like lifting weights or playing a tough game of tennis allow you to feel the stress reaction in your body and recognize it. Often in stressful situations, when your mind is absorbed by the problems at hand, you may not notice the reactions in your body- like higher blood pressure, faster heart rate, and tension in the muscles. But during exercise you're more attuned to your body. Once you're familiar with how your body reacts to stress during exercise, it's easier to recognize in everyday stress situations. And then you can take control and do something about it. Remember, the flight or fight response is your body's way of protecting you- it's how you manage the response that makes it beneficial or harmful.

Stress experts agree that how you perceive a stressful situation and your characteristic emotional reaction often determine how will your body copes with the stress response. If you see new situations as an interesting challenge, the stress response stays at an appropriate level and can aid you in meeting that challenge. If, however, new situations make you feel uncertain, doubtful, and out of control, physical stress responses are extreme and put the body on "full alert" many times a day, often with no relief. Exercise can improve your ability to cope with stress by giving you more self-confidence and a better self-image. The physical strength and courage you develop through exercise will carry over into your everyday life.

HOW TO EXERCISE:

Of course, how relaxing it is to exercise depends on your attitude. If you approach your workouts like a competition or a chore, they'll just increase your stress. As researcher Dr. John Yacenda says, "If you go out and run to 'work off' tension, but the work of 'working off' the tension exceeds the pleasure of running, you are not inducing relaxation." Exercise should, above all, be fun! By setting exercise goals that are attainable, you'll experience real success and personal fulfillment.

Exercising at a gym or with friends can provide relaxed social interaction and encouragement. Working out with others relieves the feelings of isolation that so often accompany stress. Enjoyment and laughter are proven stress busters!

Friday, April 17, 2009

ડાયાબિટીસમાં પગમાં થતાં રોગો

  • પગના નખમાં ફૂગનો ચેપ (Onychonychia)
  • પગના અંગૂઠા તથા આંગળીઓનો આકાર બદલાવો અને સાંધામાં જટિલતા આવવી (Hammer toe, crowding of toes, bunion toe)
  • પગની આંગળીઓના ટેરવાં કે તળિયામાં કણી અથવા કપાસી થવી (Corn & Calluses)
  • પગના તળિયાની ચામડી સુકી થઈ જવી તથા તેમાં ચીરા પડવા (Fissures)
  • પગની આંગળીઓ વચ્ચેની જગ્યા ફોગાઈ જવી તથા ફૂગનો ચેપ લાગવો (Web space maceration)
  • પગની બન્ને કમાન સપાટ થઈ જવી (Flat Foot)
  • પગની અંદરની કમાન વધુ ઘેરી બનવી તથા તળિયાના હાડકા ઉપસી આવવા (High Arched Foot)
  • પગના અગ્રભાગમાં ચાંદુ પડવું/ ચેપ લાગવો/ ન રૂઝાતો ઘા પડવો ( Fore Foot Ulceration/ Infection)
  • પગના મધ્યભાગમાં ચાંદુ પડવું/ ચેપ લાગવો/ ન રૂઝાતો ઘા પડવો ( Mid Foot Ulceration/ Infection)
  • પગની એડીના ભાગમાં ચાંદુ પડવું/ ચેપ લાગવો/ ન રૂઝાતો ઘા પડવો ( Hind Foot Ulceration/ Infection)
  • ચેપ (Infection) અથવા લોહીના અપૂરતા ભ્રમણ (vasculopathy) ના લીધે પગ કાળો પડવો(Gangrene)
  • પગના અગ્ર તથા મધ્યભાગમાંના હાડકાનો ભૂકો થવો (Destruction) / હાડકા ગળી જવા(Resorption) / સાંધા છૂટા પડી જવા / પગના આકારમાં સંપૂર્ણ બદલાવ થઈ જવો (Charcot's Foot)

વિશ્વમાં દર ૩૦ સેકન્ડે કોઈક ને કોઈક વ્યક્તિ ડાયાબિટીસને લીધે તેનો પગ ગુમાવે છે.વિશ્વભરમાં થતા પગ કપાવવાના કુલ ઓપરેશનમાં ૭૦% થી વધુ ડાયાબિટીસને લીધે થાય છે.

Thursday, April 16, 2009

GOD worship doesn't mean spirituality!

I believe that almost anyone who is seriously involved in any church/temple will recognize that churchgoing is not synonymous with personal spirituality. There are some people who get so busy in GOD worship & projects that they become insensitive to the pressing human needs that surround them, contradicting the very percepts they profess to believe deeply. There are others who visit the church less frequently or not at all but whose attitudes & behaviour reflect a more genuine centering in the principles of the basic religious ethic.Having participated throughout my life in organized church & community service groups, I have found that attending church does not necessarily mean living the principles taught in those meetings. You can be active in a church but inactive in its gospel(message).

In the church-centered life, image or appearance can become a person's dominant consideration, leading to hypocrisy that undermines personal security & intrinsic worth. Guidance comes from a social conscience, and the church-centered person tend to label others artificially in terms of "active","inactive","liberal","orthodox" or "conservative". Because the church is a formal organization made up of policies, programs, practices & people, it cannot by itself give a person any deep, permanent security or sense of intrinsic worth. Living the principles taught by the church can do this, but the organization alone cannot.Nor can the church give a person a constant sense of guidance.Church-centered people often tend to live in compartments, acting & thinking & feeling in certain ways on the Holy days & in totally different ways on other days. Such a lack of wholeness or unity or integrity is a further threat to security, creating the need for increased labeling & self-justifying. 

Seeing the church as an end rather than as a means to an end undermines a person's wisdom & a sense of balance. Although the church claims to teach people about the source of power, it does not claim to be that power itself. It claims to be one vehicle through which the divine power can be channeled into man's nature.
[ From " The Seven Habits of Highly Effective People" by Stephen Covey.]

Tuesday, April 14, 2009

Begin with the end in mind

[From, "The Seven Habits of Highly Effective People" by Stephen Covey.]

In your mind's eye, see yourself going to the funeral of a loved one. Picture yourself driving to the funeral parlor or chapel parking the car & getting out. As you walk inside the building, you notice the flowers & soft organ music. You see the faces of friends & family as you pass along the way. 

You feel the shared sorrow of losing, the joy of having known, that radiates from the hearts of the people there. As you walk down the front of the room & look inside the casket, you suddenly come face to face with yourself. This is your funeral, three years from today. All these people have come to honour you, to express feelings of love & appreciation for your life.

As you take a seat & wait for the services to begin, you look at the program in your hand. There are to be four speakers. The first is from your family, immediate & also extended- children, brothers, sisters, nephews, nieces, aunts, uncles, cousins and grandparents who have come from all over the country to attend. The second speaker is one of your friends, someone who can give a sense of what you were as a person. The third speaker is from your work or profession. And the fourth is from some religious or community organization where you have been involved in service. 

Now think deeply. What would you like each of these speakers to say about you & your life? What kind of husband, wife, father or mother would you like their words to reflect? What kind of son or daughter or cousin? What kind of friend? What kind of working associate? What character would you like them to have seen in you? What contributions, what achievements would you like them to remember? Look carefully at the people around you. What difference would you like to have made in their lives?

If you carefully consider what you wanted to be said of you in the funeral experience, you will find your definition of success. It may be very different from the definition you thought you had in your mind. Perhaps fame, achievement, money or some of the other things we strive for are not even part of the right wall.

How different our lives are when we really know what is deeply important to us, & keeping that picture in mind, we manage each day to be and to do what really matters the most. If the ladder is not leaning against the right wall, every step we take just gets us to the wrong place faster. We may be very busy, we may be very efficient, but we will also be truly effective only when we begin with the end in mind. Remember, when you begin with the end in mind, you gain a different perspective. One man asked another on the death of a mutual friend," How much did he leave?" His friend responded," He left it all."

Friday, April 10, 2009

તો સમજવું કે તમારી ઉપર ઈશ્વરકૃપા છે!

વિદ્યા આવે અને વિનય ન વિસરાય....
તો સમજવું કે તમારી ઉપર ઈશ્વરકૃપા છે!
ધન આવે અને ધર્મ ન વિસરાય....

તો સમજવું કે તમારી ઉપર ઈશ્વરકૃપા છે!
સત્તા મળે અને સૌજન્ય ન વિસરાય....

તો સમજવું કે તમારી ઉપર ઈશ્વરકૃપા છે!
સિધ્ધિ મળે પણ સદાચાર ન વિસરાય....

તો સમજવું કે તમારી ઉપર ઈશ્વરકૃપા છે!
સમૃધ્ધિ મળે પણ સદવર્તન ન વિસરાય....

તો સમજવું કે તમારી ઉપર ઈશ્વરકૃપા છે!
કુશળતા આવે પણ સમજણ ન વિસરાય....

તો સમજવું કે તમારી ઉપર ઈશ્વરકૃપા છે!
જોબન આવે પણ સંયમ ન વિસરાય....

તો સમજવું કે તમારી ઉપર ઈશ્વરકૃપા છે!
એટલે કે, પ્રત્યેક સ્થિતિમાં આંતરિક પવિત્રતા, નિરાભિમાનિતા, નમ્રતા અને ઈમાનદારી હેમખેમ રાખી શકો તો સમજવું કે તમારી ઉપર ઈશ્વરકૃપા છે! અને આ જ જીવન જીવવાની સર્વશ્રેષ્ઠ રીત છે!

Wednesday, April 8, 2009

ચાલો, હવે કંઈક "મેજીક" કરીએ!

ખૂબ ભણીને, ખૂબ ગણીને, મહેનત અપરંપાર કરીને
નામ કમાયા, દામ કમાયા, માન અને અકરામ કમાયા
કામ, દામ ને નામ બધાથી આજ ઘડી જરા અળગાં થઈએ.
યાર-દોસ્ત સૌ ભેગાં થઈને ચાલો, હવે કંઈક "મેજીક" કરીએ!
પેટભરીને ખાતી વખતે, સડકની કોરથી જાતી વખતે,
ભૂખ્યાં-ગંદા લોકને જોઈ સૂગથી નાક દબાતી વખતે;
કર્યો વિચાર આ જઠરાગ્નિને શી રીતે અમે શાતા દઈએ?
યાર-દોસ્ત સૌ ભેગાં થઈને ચાલો, હવે કંઈક "મેજીક" કરીએ!
શિયાળામાં રજાઈ-ગોદડાં, ઉનાળામાં એ.સી.-પંખા,
ચોમાસે રેઈનકોટ ને છત્રી વગર રહે જે બારેમાસ;
એ રાંક-ઉઘાડાં ત્રસ્ત બદનને આજ ઓઢણું ઓઢાડી દઈએ.
યાર-દોસ્ત સૌ ભેગાં થઈને ચાલો, હવે કંઈક "મેજીક" કરીએ!
આપણાં બાળને સારું શિક્ષણ; ટી.વી., ફિલ્મ ને વિડીયોગેમ
ને ગરીબના બાળ બિચારાં કરે મજૂરી એવું કેમ?
માયૂસ, મજબૂર, માસૂમ ચહેરા પર આજ સ્મિતનું લીંપણ કરીએ.
યાર-દોસ્ત સૌ ભેગાં થઈને ચાલો, હવે કંઈક "મેજીક" કરીએ!
ઘર-ઓફિસ ને કાર હશે, પરિવાર પ્રતિ દરકાર હશે
જીવનમાં પણ ડગલે-પગલે ઝીલવાં પડતાં પડકાર હશે
પણ જે સમાજ પાસે બહુ લીધું આજ તેને જરા અર્પણ કરીએ.
યાર-દોસ્ત સૌ ભેગાં થઈને ચાલો, હવે કંઈક "મેજીક" કરીએ!
એક દિ' આ જીવન મુરઝાશે, બધું અહીંનું અહીંયા રહી જાશે;
પણ સત્કર્મોની મહેક નિરંતર ચહુઓર પાવન ફેલાશે!
એક બીજ વાવીને આજે કાલને કાજે છાયા કરીએ.
યાર-દોસ્ત સૌ ભેગાં થઈને ચાલો, હવે કંઈક "મેજીક" કરીએ!
-મોહિત શાહ (૬/૪/૦૯)
This poem I have written on the occasion of starting our charitable trust- "The MAJIC Foundation". The name MAJIC comes from the initials of the names of the six of friends involved in forming the trust namely Mohit, Manish Patel, Manish Joshi, Alpesh, Jignesh & Chintan. I stands for Ishwar- the God who also happens to be our partner in our noble work! All of us are doctors & want to serve the needy by the means of this foundation. The caption of our foundation- The MAJIC Mantra- is: "Together, we can create MAJIC!" Above poem is the reflection of our feelings & our intentions to help the society in the best possible way by the means of our foundation. Hopefully we will be able to fulfill our noble goal in future. May God bless the MAJIC!

Saturday, April 4, 2009

Reducing Dietary Sodium(salt) Intake

[Adapted by the World Medical Association(WMA) General Assembly, Seoul, South Korea, October 2008]
Cardiovascular diseases(CVD) remain a leading cause of mortality throughout the world. Risk factors include high blood cholesterol, hypertension, smoking, physical inactivity, obesity and diabetes. These risk factors are largely preventable and modifiable.
Globally, about 25% of all deaths from CVD are due to hypertension. This figure may underestimate the true impact of the elevated blood pressure since the blood pressure cardiovascular risk continuum begins at 115/75 mm Hg. There is overwhelming evidence that excessive sodium intake is a risk factor for the development or worsening of hypertension and it may also be an independent risk factor for CVD as well as all-cause mortality.
Substantial overall benefits can accrue from even small reductions in the population's blood pressure. Depending upon an individual's salt sensitivity, sodium may cause great damage to both normotensive and hypertensive populations. Therefore, populationwide efforts to reduce dietary sodium intake are a cost-effective way to reduce overall hypertension levels and subsequent cardiovascular disease.
In acculturated populations, the level of blood pressure, the incremental rise in blood pressure with age and the prevalence of hypertension are related to salt intake. Observational studies and randomized controlled trials document a clear and consistent effect of salt consumption on increased blood pressure. Blood pressure is also affected by other foods and nutrients and reduced salt intake should be only one component of a comprehensive strategy to lower blood pressure. Increasing physical activity, consuming a diet high in fruits and vegetables and low in saturated and total fats, maintenance of ideal body weight and moderation of alcohol intake are also recommended life style approaches to preventing and managing hypertension and reducing its impact on cardiovascular disease.
WHO recommends that average daily sodium consumption in adults should be less than 2000mg (5 g salt). Epidemiologic evidence, including the marked reduction of either hypertension or of a progressive rise in blood pressure with advancing age in populations with an average sodium ingestion less than 1500mg (3.8 mg salt) per day, supports the concept of such a threshold, above which the risk of the harmful cardiovascular disease consequences begin to increase. The world's population consumes 2300-4600 mg of sodium (5.8 g-11.5 g salt) per day per 2000 calories. In developed countries, it is estimated that 75% to 80% of the daily intake of sodium comes from processed foods and foods that are prepared outside of the home (e.g. fast food or restaurant meals). Therefore, any meaningful strategy to reduce population salt intake must rely on food manufacturers and preparers to reduce the amount added during preparation as well as on nutritional education programmes. The largest impact in sodium in the food supply of developed countries may derive from the stepwise lowering of sodium in foods that are most commonly eaten and are large contributors to sodium intake. In less developed countries, reductions in sodium are more likely to be achieved by adding less salt during cooking inside the home.
[Courtesy:JIMA, VOL 107, NO. 3, MARCH 2009, PAGE 185]