A small story- Dream big: Do not lose hope:

A small child who comes from a very poor family. His parents were living in a small house. His father was a daily wage worker and his mother was working in some houses for feeding their child and living in poor conditions. They had no financial support and bank balance. Sometimes, they sleep without having meals. In the winter and rainy seasons, they faced a lot of problems. So, one day their child who was big among them, decided to go out for searching of a good job and support his family.

He was looking for a job for a long time, but he couldn’t find a job in his city. so, he decided to try his luck in another city. He caught the train the very next day and left for another city for looking a job.

His mother gave it by placing a few pieces of bread in a tiffin. His family was so poor that vegetables were not made in his house. In such a situation, only his mother had given him bread. When he was halfway done, he felt hungry. He took out the tiffin and started eating bread. The way he was eating bread, the people sitting around him were watching him. He would first break the bread, then twist something in the tiffin and put the bread in his mouth.

It was as if he was eating vegetables along with the bread. People were looking at him in amusement. Why he was doing this, they were unable to understand.

A person asked him, brother, you have only bread, so why you are rolling it in tiffin and putting it in your mouth?

The boy replied yes, I have only bread and by rotating the bread in the empty tiffin, I am thinking that I am also eating vegetables along with the bread. The person asked whether it tastes like vegetables, and the boy said that if I am eating bread and vegetables thinking, then I am also getting the taste of vegetables.

Think big

When the people sitting around him listened, a person said that if he had to think, then why thought vegetables, would have thought of mutton or chicken curry. In this way, he would be able to taste that mutton or chicken curry also.

Think big only then success will be big. If the dream of the person big , then only the success will be big.

Dream

If you want to do something big in the life, then a person should keep his thinking big. If the dreams of the person are big, then only the success will be big. For this one has to think big.

If you can believe it, you can achieve it.

Dr S.k.jha

The Parent’s few steps to guide the child

There are a lot of problems to guide the children healthily so that can become good people. Here are some competencies that predict good parenting outcomes.

It is some effort, so how well they predict a strong parent-child bond and children ‘s happiness, health and success.

1) Love and affection – if the parent support and accept the child and are physically affectionate and spend quality one-on-one time together.

2) Relationship skills – if the parent maintains a healthy relationship with a spouse, significant other or co-parent and model effective relationship skills with other people.

3) Stress management – Parents take a step to reduce stress for themselves and their families and children, practice relaxation techniques and promote the interpretation of events.

4) Education and learning – Parents promote and model learning and provide educational opportunities for their children.

5) Autonomy and Independence – Parents treat their children with respect and encourage them to become self-sufficient.

6) Health – Parents model a healthy lifestyle and good habits such as regular exercise and proper nutrition for their children.

7) Life skills – Parents provide for their children to have a steady income and plan for the future.

8) Behaviour management – Parents make extensive use of positive reinforcement and punish only when other methods of managing behaviour have failed.

9) Religion- Parents support spiritual or religious development and participate in spiritual or religious activities.

10) Safety – Parents take precautions to protect their children and maintain awareness of the child’s activities and friends.

Thus, this way we can guide our children and help them in life.

Dr S.k.jha

Why human beings are so special?

It is said that human birth is not easy to achieve. The human being is a complex matter and many people believe that just trying to understand life. We believe that we have to try to understand life and get a grip on the many faces of life because it can be of great value to us to learn fundamental principles of how life is lived fullest. Sometimes, we have to avoid hundreds of extremes, but the other time, it seems, we should pursue them to better understand life. The pure joy of being alive emerges when we are fully present and life is in balance.

Being a good human being means different things to different people. People try their best to follow the cultural norms of good human behaviour. And yet, there are some challenging circumstances in every human being’s lifespan, when his values and morals are tested.

Every individual should maintain good physical hygiene, and mental and emotional health, as this is the basis of all good human behaviour.

A good person teaches other people with respect, care and compassion.

We as human beings are creative and with our will and hard work, we can achieve anything in our life. The happiest man on this planet is one who serves humanity. Real happiness is the inner satisfaction you can get from society, no matter how rich you are, you can not buy inner happiness.

A human being also has to become an adult physically. We need only survive by appearing our hunger and thirst and avoiding fatal accidents and diseases unlike, physical maturity, emotional growth is in our hands.

The universal end most commonly sought after are security and pleasure – artha and karma. The remaining two purwharthas- dharma and moksha- can be accomplished by a human being. Artha may be in the form of cash or liquid assets, a real home, a good name , influence or power of any kind.

Seeking pleasure is another purushartha called Karma. It also takes many forms. For example, sensory pleasures may be anything from seafood or ice cream onwards. Anything that satisfies our senses, that, please our minds, that touches our hearts and evokes a certain application, is known as Karma.

There is another form of pleasure in watching the stars, enjoying the sunrise and sunset or drawing and painting scenery.

Now, there is a third Purushartha, dharma. It is pleasure born of harmony, deprived of friendship, sharing, helping another person and so on. If you enjoy it, what you do, life is simple and joyed. Not hurting someone or doing the right thing at the right time, for instance, giving joy – if not immediately but later. As we grow in our understanding , our dharma also grows.

The more we mature, we are the more dharma we are. Without violating dharma, doing what is to be done, pursuing artha, and karma, security and pleasure.

So people adapt themselves to circumstances, such as water moulds itself to the teapot.

Most of the time, we are not living life, just thinking about life.

We, people, make mistakes in life but learn to handle the obstacles in life by

1) be honest and direct

2) be helpful

3) listen to others

4) act locally

5) always be polite

6) be respectful

7) let go of anger

Thus this way, I think we all be healthy and joyful.

Dr S.k.jha

How to quiet your mind?

Each year more than 40 million people in the world suffer from anxiety and stress and 20 million suffer from some type of depressive illness. Fear, anxiety and stress are a normal part of life, even adaptive in many conditions.

So , in the cat and rat race, we have to quiet our minds and keep calm.

There are a few steps for keeping the mind in peace and enjoying life.

1) Breath – we breathe all the time, but during relaxation time, we should pay attention to the rhythm. If we take a short quick breath, try to move toward slower, deeper ones. Lie down relax and breathe slowly and keep the mind free.

2) watch some interesting songs and movies– when people listen to their favourite songs and movies, they feel relaxed, calmer and less stressed. Heart rates and blood pressure dropped too.

3) Exercise – just 5- 15 minutes of exercise, like a brisk walk, yoga could start to calm the mind. It releases endorphin, and oxytocin – chemicals that make us feel good and can help improve our mind, focus and sound sleep.

So

So, high-intensity interval training can give a big doge of them in a short time.

4) Listen to Bhajans and melodies songs– it calms the activity in the brain. Songs are a good thing to try if you are stressed.

5) Help someone – it lights up part of our brain that makes us feel pleasure and connection. Doing something nice for someone lowers stress and a lesser feeling of loneliness. It may even boost our heart health and immune response.

6) Go outdoors – Being in and around nature often makes people think more clearly and feel more relaxed and refreshed. Spending time outside can also bring down our heart rate, blood pressure, stress hormone and even muscle tension.

7) Progressive muscle relaxation – use the connection of your body to soothe your mind. Pick a body part – foot, leg, mouth, eyes- and tense it for a few seconds. Then release and relax for 10 seconds or so. Again, switch to another part and keep going until you have done your whole body. This can also improve sleep and may even other symptoms such as body ache, headache etc.

8) Hang out with a pet– whether it is in your home or a neighbour’s pet, a friendly pooch can make you feel less anxious, tensed, confused and restless. When you play with them, it seems to lower levels of the stress hormone.

9) Yoga- Yoga can help us get a fit body and mind. A regular practice session lessens anxiety and takes the edge off our natural response plus, it is excessive that builds our strength and flexibility.

10) Get creative – keep busy with some activities like reading a book, painting, and gardening which can offer an escape for a busy mind. It can help us redirect our thoughts and tune out the chatter in our heads. The key is to enjoy the process and not worry so much about the result.

11) Take a break– when you find your mind racing full speed or spiralling down a rabbit hole, change your focus: stretch, daydream, walk around, get a snack or chat with a friend. Take at least a few minutes to recharge and reset.

12) Dig in the dirt- It is not just the great outdoors and the exercise at work here. The soil itself has microorganisms that might help our focus and lift our mood.

Now, this technique teaches us to control our reactions to stress. We could trek our heart rate, body temperature and breathe too. Overall, we will figure out how to calm our body’s response on our own.

Dr S.k.jha

Money: why it is a double-edged sword these days?

As all of us know that the country was fighting a war against the Pandemic Covid- 19 by being on lockdown and now there is a war between Ukraine and Russia, which has increased the price of many essential items used in daily life.

Everyone’s finances have been affected by it, but mostly the daily wages of workers, lower middle class, poor men, and small traders are affected more because these people don’t have too much money in saving, to begin with, and the loss of income, loss of jobs matters worse.

Vendors’ either vegetables or fruit sales are down. These people are anyway taking a risk in their life to bring foodstuffs to doorsteps even in this critical situation. The lockdown and war have increased the price of all items. Many people are struggling financially either because of wage cuts or the loss of jobs.

The world breaks everyone, but some are strong in broken places and crisis conditions.

So, everyone knows how to earn money but few people know how to spend and save. Money is a great booster for a family and person. Money is a source of strength, but it uses that make it good or bad for a human being. People earn money through hard work, but many people don’t know how to spend it wisely.

If anyone spends money on constructive purposes is good, but if spend stupidly, then it is bad. Many people are not so rich that they live comfortably and lavishly, they are struggling to survive in life and support the family.

If people spend money for the betterment of society, it will enhance their goodwill and earn respect. But if people lavishly spend money on their near and dear ones, spend money on living luxury life. Then, there is a huge gap that happens between poor men and rich men.

It is good to have money, but if money makes you arrogant, then it is worse than poison. If money makes modest and fruitful for society, then it is good for utilising the money in a better way. Money, of course, is a necessity, but it is the acquisition that should not be our sole purpose in life.

If we compare money with learning, we can easily understand the differences between the two. Money is a risky form of capital, for we can lose it through an expected or unexpected asset. Externally, wealth seems to be a good thing, but internally, it is otherwise.

Remember, every wealthy people live under great stress.

So, money is an essential commodity which every individual requires to run their lives.

Philosophically, money can not buy everything, but practically money is the basic thing which is used for almost everything. Money has its importance which should not be ignored, money is a necessity, ask poor people how they spend their lives and feed their families. For basic things such as education, medicine, healthcare, and family it is important can not ignore them.

It is good to make money, but it is bad to let money become the master of our life.

Now, it is no time to think about what we don’t have. Think of what we can do with what there is.

Dr S.k.jha

Smiling and Health

The smiling word itself is fascinating. A smile is the prettiest thing anyone can wear.

Smiling on the face can feel happiness, joy or amusement. A smile plays a vital role in daily life. In the cat and rat race life, people forget to smile and enjoy life due to hectic lifestyles. But remember, smiling can lift a bad mood. when a smile flashes, dopamine, endorphin and serotonin are all released into the bloodstream, making not only relaxation of the body, but also working to lower the heart rate and blood pressure.

In the early morning, seeing the smiling face of someone feels good, and energetic and elevated the mood. Smiling make people more attractive.

Keep smiling

Both men and women increased their attractiveness by smiling.No one want to see a bad mood. According to Researchers, happy faces influence emotional well-being, it can help people feel better and change brain chemistry.

Smiling, laughing and positive thinking have put a lot of health benefits to both mind and body, while stress, anxiety and bad mood are linked to several health problems, including heart disease, high blood pressure, obesity and diabetes.

So, when you laugh and smile, your body release endorphins. Laughter is the best medicine. Smiling can take the brain to happiness and boost mood and health. Smiling can release stress, lift the mood, boost the immune system and decrease negative thoughts. Smiling decreases heart rate and blood pressure.

Cheerful people are more likely to live a longer and healthy life.

Cheerful people

Life is like a mirror, we get the best results when we smile.

But remember, a lot of people who are busy in life have a hectic life schedule, stress, anxiety, family problems, lifestyle frustration, workload, sadness, dissatisfaction and anger have a bad mood.

They suffer health problems and do not fully enjoy life. If people work out in plan way, job satisfaction, no sadness, pleasure or happiness in life then smiling boosts their health.

Beauty is power; A smile is its sword.

So, keep smiling —

And one day, life will get tired of upsetting you.

So, smiling is a conscious choice to respond. Smiling comes from deep within, it affects the physiology of the human organism and is beneficial for the mind and health.

Laughter and smiling are powerful medicine.

Thus, smiling and laughing are linked to helping people keep their blood pressure normal and lower heart rate.

Your smile is a reason for many others to smile.

Smiling affects the physical state and stress level. It is beneficial for the mind and health. So, keep smiling and make your surroundings happier.

A smile is the prettiest thing, we can wear.

Dr S.k.jha

Prevention of coronary artery disease by quitting smoking

All of us know that smoking is injurious to health, still, people are doing it. Smoking is the major and avoidable cause of premature death and ill-health in the world. About 30% of the smoking-related deaths are due to coronary heart disease and smoking is responsible for about 20% of all deaths from CHD.

Why is smoking risky?

Tobacco smoke is a dangerous cocktail of over 4000 thousand chemicals, 60 of which are carcinogens. Nicotine, carbon monoxide and tar are the poisons. Nicotine is a highly addictive toxic substance. Nicotine damages the heart in the following ways:

1) stimulates the sympathetic nervous system and causes the body to release more stress hormones like adrenaline, which increases the heart rate and blood pressure.

2) the heartbeat can become irregular

3) induces spasms in the coronaries, damages the endothelial lining, and promotes the formation and progression of atherosclerosis.

4) can trigger a major ischemic event

5) increases the stickiness of platelets and fibrinogen levels and promotes clot formation.

Carbon monoxide enters the bloodstream and binds to the haemoglobin reducing the oxygen-carrying capacity of the blood.

It is important to note that apart from the smoker the people around(passive smokers) especially the family members who are exposed repeatedly to the smoke are also at great risk. Since passive smokers inhale the smoke that is not filtered the toxic effects are said to be much more in them.

Why do people start smoking

Smoking is a learned behaviour. Studies have shown that children at a young age are aware of smoking because of the publicity it receives in the various media. Smoking starts commonly in the adolescents age or young adults and can be due to:

1) peer group pressure

2) a desire to rebel- the act of defiance

3) out of curiosity and suggestibility.

Why do people continue to smoke?

Many people continue to smoke though they are aware of the health risks. The reasons are for this behaviour could be:

1) the serious ill effects are not seen immediately and smokers feel that no damage is being done to them and hence continue to smoke.

2) protection by denial — smokers falsely try to protect themselves by thinking that nothing will happen to them or feeling that they can give up anytime.

3) highly addictive nature of nicotine – the dependence can be physical/chemical/psychological/ emotional. It can be a learned behaviour becoming an automatic habit.

4) smokers feel that they are getting benefits like enjoyment, relaxation, concentration, weight control, and mood control by smoking.

5) fear of failure to quit

How do help smokers to quit?

Doctors and other health professionals have the highest credibility to persuade and help smokers to quit. It is helpful to know the target groups who can quit smoking relatively easily so that they can be identified and helped to quit.

1) adolescents and teenagers

2) pregnant women

3) people who have recently become parents or grandparents

4) adults with established smoking-related diseases

5) adults who seem to be aware of the health risks.

Health professionals must be explained that the so-called benefits of quitting smoking can be easily in a healthier way through meditation, stress management, exercise getting more involved in the family. The relaxation a cigarette gives is nothing but a dangerous addiction to nicotine. Apart from the long term health benefits( reduced risk of CHD, lung cancer and other smoking-related diseases) that quitting gives the short term benefits like the food tasting better, breathing becoming easier, getting rid of smokers’ coughs that smell will not be offensive etc. must be explained. Quitting smoking may add a few kilos of weight which can be easily controlled by diet and exercise.

Once the smokers have quit smoking there are chances that they may go into a relapse. So, here again, the health professionals and the family members have a very important role in preventing the relapse.

So, I hope we should take some steps for the benefit of people’s health.

Dr S.k.jha

Can not sleep properly: Is it time to quit it smoking

One of the most common problems, we are feeling in today’s world is killing people is smoking. A lot of people are picking up this habit because of stress, personal issue and more. when someone smokes a cigarette, they are not only hurt themselves but everyone around them.

Cigarette has a major impact on the lungs. Around a third of lung cancer cases happen due to smoking. For instance, it can affect breathing and causes shortness of breath and coughing. Further, it also increases the risk of the respiratory tract infections which ultimately reduces the quality of life.

It is never too late to stop smoking

Many people connect smoking with things. They do it during the day during breaks, drinking a cup of coffee, finishing a meal, talking with friends or doing other work. These are called triggers.

People can get the urge when they feel stressed or down or even when feeling happy or relaxed. Then when people quit, one of these feelings can trigger the urge to smoke.

Smoking is a leading cause of preventable death and the numerous health problems directly caused by smoking are well documented. Researchers found that 11.10% of current smokers have trouble falling asleep, 10.8 % wake at night and 10% wake too early in the morning. Insufficient sleep has been associated with numerous physical and mental health problems including depression, diabetes and high blood pressure.

Nicotine is the main addictive drug in tobacco that makes quitting so hard. cigarettes rapidly deliver nicotine to the brain. Inside the brain, nicotine triggers the release of chemicals that make you happy and feel good. As nicotine stimulates parts of the brain over and over, the brain gets used to having nicotine around.

Smoking has major effects like cancer, heart disease, stroke diabetes and more. It also increases the risk of tuberculosis, certain eye disease and problems with the immune system.

When people stop smoking, the brain sets irritable. As a result, people might get anxious or upset. People might have a hard time concentrating or sleeping, have strong urges to smoke or just feel uncomfortable.

So Nicotine Replacement Therapy ( NRT) can help in quit smoking.

To quit successfully, people have to deal with both of these challenges, the brain not having nicotine and not having a cigarette during daily routines. It can be hard to deal with both at once.

With the help and a good action plan, anyone can quit it for good.

Dr S.k.jha

Diabetes: Is it dangerous to health?

Nowadays, Diabetes is a common disorder in the world. But many people may never realize, how did they get diabetes and what will happen to them and what will they go through. Diabetes is a metabolic disorder that is identified by high blood sugar levels. Increased blood sugar levels damage the vital organs of the human body causing other potential health ailments.

It is the most common endocrine disorder. It is characterised by hyperglycemia resulting from defects in insulin secretion, insulin action or both. The chronic hyperglycemia of diabetes is associated with long-term damage, dysfunction and failure of various organs, especially the eyes, kidneys, nerves, heart and blood vessels. Several pathogenic processes are involved in the development of diabetes.

The basis of abnormalities in carbohydrates, fat and protein metabolism in diabetes is the deficient action of insulin on the target tissues. Deficient insulin action results from inadequate insulin secretion and/or diminished tissue response to insulin at one or more points in the complex pathways of hormone action.

Classification

1) Primary – a) type 1

b) type 2

2) Secondary – due to other pathology-

1) Gestational diabetes

2) Generic syndrome associated with Diabetes

3) Uncommon immune mediated

4) Genetic defects of insulin secretion

5) Endocrinopathies

6) Drug induced

7) Toxin induced

8) Genetic effects of beta- cells

9) Secondary to infection

Type 1 diabetes, the cause is an absolute deficiency of insulin secretion.

Type 2 diabetes, the cause is a combination of resistance to insulin action and an inadequate compensatory insulin secretory response.

Testing for Diabetes in presumably healthy individuals

Type 1 diabetes is usually an autoimmune disease, characterized by the presence of a variety of autoantibodies to protein episodes on the surface of or within the beta cells of the pancreas. The presence of such markers before the development of the overt disease can identify patients at risk.

It is epidemiological evidence that retinopathy begins to develop at least 7 years before the clinical diagnosis of type 2 diabetes. Because hyperglycemia in type 2 diabetes causes microvascular disease and may cause contribute to macrovascular disease, the undiagnosed disease is a serious condition.

Screening for Diabetes

Urine examination – urine testing for glucose 2 hours after a meal is used in medical practice for detecting cases of diabetes.

Blood sugar testing – Blood sugar testing remains the cornerstone of the diagnosis of diabetes. Mass screening programs have used glucose measurement for fasting, postprandial or random samples. The most reliable is the combination of fasting and 2 hours post radial blood glucose testing.

Target population – screening of high-risk groups seems more appropriate. These groups are-

a) age 40 and above

b) family history of diabetes

c) person with obesity

d) women who have had a baby of more than 4.5 kg

e) women showing excessive weight gain during pregnancy

f) patients with premature atherosclerosis

Symptoms

1) extreme thirst

2) excessive urination

3) weight loss

4) stomach problem

5) foot problem

6) high blood pressure

7) low concentrations

8) sweat smell breath

9) cracked skin

10) loss of consciousness

Prevention

Primary prevention

a) population strategy – the development of prevention programs for Diabetes based on the elimination of environmental risk factors is possible. The measures comprise normal body weight through the adoption of healthy nutritional habits and regular physical exercise. The nutritional habits include an adequate protein intake, a high intake of dietary fibre and avoidance of sweet foods.

b) High-risk strategy – Nutritional education, nutritional rehabilitation and management of obesity are the hallmarks of reducing the incidence and prevalence of diabetes.

Secondary prevention

The aim of the treatment is-a) to maintain the blood glucose levels as close to normal limits as possible

b) to maintain body weight in the ideal range for the desirable BMI level

The treatment is based on

a) diet modification alone

b) dist change along with oral hypoglycemic drugs

c) diet change and insulin

Good control of diabetes prevents complications that would otherwise have taken place

Routine checks are a must for

Blood Pressure, blood sugar, urine for protein and ketones, visual acuity and weight, defective circulation in the feet, loss of sensation of the skin, estimation of Glycated Haemoglobin levels yearly etc.

Tertiary prevention

Diabetes is a major cause of deformity and disability through its communication like blindness, kidney failure, coronary thrombosis, and gangrene of the feet.

Long term complications

1) peripheral atherosclerosis – it may cause intermittent claudication, gangrene, coronary artery disease and stroke.

2) cardiomyopathy – it can cause heart failure.

3) Diabetic retinopathy

4) Renal disease – it is a major cause of death and disability.

5) peripheral sensory neuropathy causes numbness, paraesthesia, severe hypothesis, and pain that may be deep-seated and severe and it often works at night.

Dr S.k.jha

Insomnia

Insomnia is a sleep disorder in which it is difficult to get or maintain sleep. In this problem, people get the inability to obtain an adequate amount of sleep. Sleeping is the most important point in physically and mentally restoring the energy for the tasks ahead.

Most people say that about 6-7 hours of sleep is an adequate amount, however, it differs from person to person depending on their sex, age, and health conditions.

Everyone has encountered some type of insomnia, usually acute insomnia, but when acute becomes diagnosed as a sleep disorder. It is a serious sleeping disorder affecting millions of people per year.

Types

1) Acute insomnia– some causes of acute insomnia are stress, illness, physical or emotional discomfort and when the sleep schedule is interfered. Insomnia makes life very hard for those who are inflicted by it.

2) Chronic insomnia– it can be caused by chronic stress, depression and anxiety.

Causes

1) stress

2) anxiety

3) depression

4) excessive caffeine or alcohol

5) changes in work shift

6) environmental factors like noise, light or temperature

Symptoms

1) difficulty getting sleep at night

2) waking up often during the night

3) not feeling refreshed after waking up

4) feeling irritable during the day

5) poor concentration

Treatment

1) counselling can help in finding out the cause responsible for insomnia and curing the cause

2) lifestyle changes may include decreasing the intake of stimulants like caffeine, nicotine, alcohol etc.

3) behavioural therapy may be used for creating behaviour and an atmosphere conducive to getting good sleep.

4) medication to induce sleep can be used as a temporary measure

Prevention

1) avoiding stress

2) avoiding caffeine

3) avoiding alcohol

4) increasing physical activities

5) relaxing the body and mind before sleeping

6) creating a comfortable sleeping environment

So, get sound sleep and make life easier and more cheerful.

Dr S.k.jha