Breast Cancer, The New Guidelines For Mammogram And Checkup, USA.

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As the world moves towards better health care, the shift in information and right to choice is moving more from the domain of 'The Doctor Says ' to what information is there and to the patient himself. In other words ,the market oriented, client oriented  forces in the treatment and approach to medicine has arrived. As the treatment options become more expensive and varied , the market  forces are geared towards a more well informed choice. The medical market seems to represent a real test or quality of the 'product' screen as the best outcome is the real test and the real result that will be the bench mark for any treatment.
breast cancer has been to this day  a best diagnosis that can be tested as all it's treatment ,choice, from diagnosis to the cosmetic impact is there for the people to monitor and watch. It can be taken as a test also for improving the results, improving the equipment in both diagnostic and treatment purposes.

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Arming School Children Against Violence...Preparing To Handle Terrorist Threats In Pakistani Schools.

Pakistani Society faces a unique conflict situation currently in which thousands of school children have been directly affected by violence and terrorist attacks. In October some three years ago the massive earthquake also affected thousands of children and it's trauma was not over that this recent menace has started and eating up the health of our children and their parents.
So far, there is no comprehensive policy both at the governmental level or at the school level to address this problem. Both the school administration and the parents will need to device strategies and initiate learning programs to help the children deal with such threats as school bombings and the instillation of fear .The parents need to be aware of the situation confronting their child and be armed and ready with mechanisms of how to deal with these conflict situations.
Lots of web presence is there on how to deal with school violence to which I am giving links but simple instructions on how to deal with such a situation are not there. Here I am writing a few points for both the teachers and the parents to follow in order to be better prepared.
For School Administration and Teachers:

• Make a security plan for the school with a clear objective for evacuation,response in case of attack, fire,threat, devising coordination with local rescue, fire agencies,local councillors, representatives, ambulances, police station , hospital and clinic.
• Prepare a list of parents' contact and keep it handy. Train at least two or three people to start contact. Prioritise tasks to handle response as a list on,two,three...Train people to do the drill regularly.
• Discuss and train parents the response plan with parents at least monthly in a meeting and use email contacts with information regularly to allay their anxiety.
• Regularly do fire drill as an evacuation plan with children.
• Provide reassurance and support to parents and children by appointing a counsellor and or trained person to provide support.

For Parents:

• It is essential that you find out the kind of information your child is getting about violence.Talk to him/her and explain the situation honestly.
• Give assurance and emotional support to address their needs. Do not avoid topics of death and destruction. Give reasonable explanation.
• Allay fears and anxiety by simple examples and avoid showing your own anxiety.
• Prepare them for drills in school.
• Make their daily tasks simple and let them follow a simple routine. Provide a relaxing atmosphere. Engage them in sport, music, painting etc. Limit exposure to tv and violent movies etc.
• Seek professional help if you think you cannot handle and the child is having nightmares, bedwetting, bad grades , bad behviour, shyness, intriversion, avoidance in school and such trauma symptoms.
• Teach them helping skills like simple first aid , what to do if someone fell down and other life saving skills.
• Let them keep a pet if they can ,this teaches them nurturing.

You can find good informaation on these sites; http://www.talkingwithkids.org/

http://www.ehow.com/how_5363381_kids-school/

http://www.parentingpress.com/violence/

http://www.allsands.com/kids/

Spread the word of help around for all to benefit.Defeat the fear factor spread by terrorist. Help humanity live healthily.

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Healthy Parenting Topic;Sex Education In Teens.

Puberty and teenage are the times when children should be taught about health and hygeine.As pubertal age is decreasing in Pakistani girls( 9 years), it is essential that they be made aware of the physiological changes and given a stable emotional support. Exposure to internet, peer pressure also may give unhealthy and often distorted input.sexual orientation, safe sex, issues of abuse and rape may take the child and families unaware. I have seen good Pakistani families suffer and almost emotionally and mentally devastated when their child is raped or sexually abused. This is happening at a larger scale in cities now as more and more children are bieng exposed to urban life. Also older boys who are coming from rural ,landlord background are making young girls in schools target of thier abuse. It is essential for both parents and teachers to teach kids about sex and procreation in a socially acceptable language and environment.Talking about sex does not increase activity in children and infact may decrease unhealthy risks and behaviour, including getting infections like Hepatitis which is increasing in Pakistani population.
These are some of the points which should be noted:

• Always keep computer in shared spaces and check history daily. Use good software to block sites(K9) is a good example.
• Be aware of your kids friends and their families and the time and places they spend and meet them in.
• Always talk in an open and friendly manner and never use accusative or deriding language.
• When giving education, use diagrams and make things look scientific.
• In USA abstinence is bieng reported as ineffective, but Pakistani parents and teachers can use this effectively as we have religious and social taboos.Teenage unwanted pregnancy statistics are not known in Pakistan but I as a practicing gynaecologist in a large city have seen a large number of cases most of them of assault on children.It is therefore a must to teach children about sex.
• Prevention of sexually transmitted diseases (STD's) which is also increasing in incidence and is a high cause of infertility in Pakistan should also be taught at an appropriate age. In Pakistan girls also marry young.
• Teach your child in a manner that he /she may have a healthy attitude towards reproductive health.Nowadays a lot of deviant and bad exposure(especially in our society where health education is not given) to sex may risk the emotional and psychological state of a child.
• Prevention of Hepatitis which is endemic in our towns and cities such as Larkana, Hyderabad is essential as this also occurs in unsafe sex and assault.
• Make emotional and psychological aspects of puberty and teenage a part of education. A psychiatrist or psychologist can provide curriculum and topic support.
• Give adequate information to the children about rape and sexual abuse. This has become very common both in school population and in families. Many children travel in buses, vans , and with drivers. Many children go to places with friends where they may suffer by friends and other persons. Only if they recognise the extent of assault or are aware of what is happening can they prevent and seek help. Always give your child your number on the speed dial. I have seen fainting people after injury bieng helped after using speed dial number.Boys should also be made aware of recognising abuse and made to report in confidence to parents and teachers. Brushing this issue aside as is bieng done by both parents and teachers in Pakistan will only make this issue graver as the statistics are markedly increasing.
• Read about these topics and make your own notes. compare with others like teachers or other parents.some sites are; Web MD.com/children's health. www.kidsgrowth.com www.asharstd.org/teens/teens-overview.cfu

Drug Abuse In Teenagers.Some Help And Guidelines.

Drug abuse is becoming very common all over the world. In Pakistan also free availability, less parental guidance and depressing social circumstance has become a driving blast behind teenage drug use.Teenage is a period of intense personality experience with identity questions, school pressures and other social interactions. intense stress is generated all around. Lack of parent's awareness about their child's issues, lack of quality time spent together, parental fears all contribute towards pushing teenagers to drugs and substance abuse. This maybe of prescribed drugs such as pain killers, opioid laden medicines such as cough syrups or non-prescription drugs such as marijuana, over the counter pills,heroin, cocaine and other substances such as alcohol.
This addiction is damaging both for the teenager and the family.
In Pakistan as there is little support both in medical community and at the governmental level and because drug trade and mafia is operating freely and with a masive vengeance in urban areas, this problem has multiplied manifold.
There are many signs and symptoms of drug abuse which parents need to be aware of and recognise in order to seek earlier help and solution to the problem.
If your child is skipping school both in your information or without your information.
If he or she is unusually sleepy and avoids interaction with you.
If you find small or large sums of money missing or some jewellery missing frequently.
If your child often goes to pillow parties and other late night outings especially and avoids bieng with you on coming home.
If your child is losing grades, avoids normal social interactions.
If medicines are missing from cabinet.
If your child frequents area doctor or says he wants to visit frequently without apparent disease.
In Pakistan, drugs are freely prescribed by millions of quacks all over the cities.
There are other signs such as lack of grooming,unhygeinic appearance, anger outbursts.

The parents should try and take the child as soon as possible to a proper psychiatrist first as he or she maybe able to rule out diseases such as depression or diagnose these concomittant with drug/substance abuse.
http://www.webmd.com/mental-health/abuse-of-prescription-drugs/

The Secrets of Managing GERD and Heartburn

The Secrets of Managing GERD and Heartburn

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Positive thinking Can Alter Behaviour.

We are living in a very stressful, fast, unspiritual and materialistic world. Each day we are bombarded with thousands of stress spikes ,both personal and at impersonal level. Work, home, relationships,school, college and simply friends may become sources of stress, anxiety and depression. We usually find our own mechanisms to deal with them albiet in an inefficient and usually derimental ways ,both for our health and relationships. modern living maybe very enjoyable too but only when we really learn time management, enjoy a hobby and find work rewarding and fulfilling.

Often we tend to find ways to cope with situations only in a reactionary way. A boss may criticise and we instead of seeing and rectifying the deficiency or fault react. This further worsens our stress level and hampers positive thinking.
Many of our relationships also suffer due to negative thinking and often we may get into a vicious cycle and damage a perfectly good relationship.
Nowadays there are many known,tried and tested therapies such as yoga,meditation, prayer, music,guided imagery, excercise ,cognitive behaviour therapy which help convert negative thinking into positive ones. Cognitive Behaviour Therapy can be taken with a counsellor or it can be practicised at home once you learn the techniques. Web Md is a good source of learning these techniques. Positive thinking is key to behaviour change be it for leaving smoking,drug habit, anger management, stress management or dealing with depression and other diseases.Weight loss program also gains immensly from learning positive thinking.
I once improved greatly in my repeated negative thoughts about people taunting( Tana in Urdu) by reading Anthony Robbins and practicing the techniques in the book.This happened some 15 years back and my learned behaviour has improved so much that now not a single thought comes in mind that I convert it into positive thinking. Previously I used to be ruled by that negative thought and it was very stressful!
CBT can be done with a counsellor or can be done at home.The change can make you realise the negative thoughts . You can then learn to review these thoughts and then learn to remove them and replace with positive thoughts.Mind relaxation techniques also enhance positive thoughts and behaviour modification.The one thing I have learned most in my positive behaviour modification role , be it with teenagers, children or adults, is that when you tell the other person you care and trust them does the positive change starts to occur. So if you are doing this for yourself, start by saying to yourself the following things;

• I trust myself to change my negative thinking or thoughts to positive thinking or thoughts.


• I trust myself to acknowledge my negative thoughts after recognising them.


• I trust and promise myself to change my negative behaviour to positive behaviour by dismissing negative thoughts immediately and replacing them with positive thoughts immediately.


• I trust and promise myself to improve my behaviour by helping myself by understanding the ngative behaviours such as smoking, violence, anger,cursing or other abuse,and immediately stopping them with the help of a psychiatrist, a doctor, a counsellor some other person or even myself.


• if myself then I will read extensively and repeat the behaviuor modification excercises.


• I trust myself to learn time management and spend my liesure time in positive activities such as sport, teaching, helping