Friday, 9 August 2013

E-cigarettes Usher In Smokers

E-cigarettes usher in smokers’ new generation, sans stigma


May be it was the thumping music, the alcohol or the beating sun, or some hallucinatory combination, but for a moment in early July, it appeared as if a waterfront state park in Williamsburg, Brooklyn, had turned into a smoker's paradise.

Bikini-topped women and sweaty guys in muscle tees were puffing away as they danced at a techno party hosted by Verboten, a roving nightclub. The surgeon general might have had a stroke. 

One of the revelers, Howard Wang, 28, an information technology consultant from New Jersey, took a deep drag in apparent disregard for the law and decades of antismoking campaigns. But on closer inspection, he wasn't puffing a Marlboro but a Bedford Slim, a brand of electronic cigarette marketed to the skinny-jean set. "It's the future ," said Wang. 

Ten years after Mayor Michael R Bloomberg banned smoking in public places, it is returning to the city's bars, restaurants and workplaces, thanks to the growing popularity of e-cigarettes . 

They can be spotted wherever traditional cigarettes had been outlawed. Tattooed web designers and writers chain-smoke at their desks at the vice offices in Williamsburg . Models inhale at No. 8, a Chelsea lounge, as they order Champagne. Leonardo DiCaprio has been spotted smoking an e-cigarette at several clubs and while riding a Citi Bike in SoHo. 

Manufacturers say that ecigarettes are safer than their conventional counterparts and cheaper because they can last longer and are reusable; critics, however, say they glorify smoking and turn back the clock on public health advances.

Nobody's Women

Nobody's women - How They Survived The Rapes

It is difficult not to look at the ground when you are in a room full of women who have been subjected to unspeakable sexual abuse. It is awkward when you meet those who up until that moment have been faceless, lost somewhere between FIRs and newspaper reports, just “a 24-year-old who was dragged away at night...” Reduced to a statistic: “This was the fourth such case here in just the past one month…”
It is even harder to meet their eye when they talk of hope in a world that appears to have no use or place for them.
The real stories of rape victims almost never come out, tightly sealed as they are in shame, taboo and a sense of futility. What is the point in talking about it, they will tell you, encouraged by their families not to heap further indignities upon themselves, having already “lost their honour” in the community. But when they do come out, the stories, they stagger you with the unbearable weight of each personal tragedy.
At Samadhan in Dehradun, a care intervention and rehabilitation centre for victims of sexual crimes, there is a young woman who the other inmates call ‘DGP’. Renu D Singh, 50, a rights activist who runs the 30-year-old privately-funded institution, said this is one of the “worst of the worst” cases that have come to her.
The girl is not in a position yet to talk about her history, but information pieced together by Samadhan activists hint at her surviving the violence of child marriage in rural Uttar Pradesh and running away from home. No one knows how she came to Haridwar three years ago where she had been raped so many times that she started smearing her body with her own excreta to ward off predators. She was being molested when some passersby heard her cries and alerted a local Samadhan representative. “She was on the brink of losing her sanity when we brought her here on September 13, 2011,” Singh said.
The victim’s case summary says that when she landed in Haridwar, hungry, unhinged and as vulnerable as a little baby, some “opportunistic criminals in the garb of sadhus” turned her into a sex slave for months. They let go of her when an untreated wound on her right leg developed a severe infection. “There were maggots crawling all over her and gangrene had also set in,” said Singh.
Then Singh says something that knocks the wind out of you. “Even in that condition, when we took her to a government hospital a doctor was caught trying to molest her. We created a hue and cry and went to the cops, but they asked us to first put in a complaint with the CMO and the DM. They later told us that they found the doctor innocent and that there was no basis for the FIR. The report about the doctor’s misdeeds was published in the local papers but nothing came of it. We were just glad we somehow managed to save her from yet another rape.”
When I met DGP sometime in June this year at Samadhan, she looked closer to 30 although she is barely 22, dragging her bad leg as she walked. “Do you know why she is called DGP?” Singh said, allowing herself a little smile. “It is because she occasionally pretends to be a cop. That gives her a sense of power. Once in a while she will carry a small stick, too, like officers do. The other girls humour her.”
On the top floor of Samadhan’s three-storied building in the heart of Dehradun, there is a small kitchen that the inmates run, making rice, dal and sabzi; occasionally they prepare dosa and noodles too. Standing behind the food counter is a frail girl. Let's call her Amrita. “Namaskar,” she says, cheerily. “I am a victim-survivor, too, but am now studying law. I want to fight for women like me, help them in whatever way I can. The courts can be a jungle. It’s easy to get misguided and be exploited.”
Displaced by the Tehri dam and unable to cope up with delayed rehabilitation by the government, Amrita’s family had quickly disintegrated. Later, her father had only been too happy to give her off to someone who promised marriage. The man turned out to be a trafficker.
It was when she was fighting against her own trafficking and rape by some powerful men in her village that the brutal reprisal came in the form of her sister’s gang-rape. Amrita’s younger sibling was only 15 then. After a long battle an FIR was lodged in the Matli thana (Uttarkashi) in October 2010, but the police slapped a reverse case against the girl under section 182 of the IPC for “filing a false report of crime.” Today both the sisters are with Samadhan. Their father died of TB two years ago and their mother lives alone in their Uttarkashi village, barely able to fend for herself.
It’s an issue Amrita says she will take up once she is armed with a lawyer’s degree. “Across police stations in India, it is simply impossible to report a rape. The police do everything in their power to thwart you. In nine out of 10 cases the victim gives up,” she said. “A much longer and tougher battle awaits us in court. Few can go through such humiliation and pressure, that too over months and years.” Rehabilitation is another problem. “Even if you win the case, compensation from the government either takes ages to come or doesn’t come at all. The system doesn’t support you. Jobs are tough to get, often your family deserts you and men think we are easy meat,” she said.
Listening to Amrita talk is a quiet woman in well-tailored salwar-kameez and sandals. Speaking in English, with a hint of make-up, she does well to hide her scars – emotional and physical. But at Samadhan, she must be the only one who is still scared of harm from her tormentor – the man she married. A helper at the centre said, “Her husband, a police inspector who recently took voluntary retirement, still wields a lot of power. For the longest time the cops wouldn’t even listen to her. Some of them would tip off her husband about the case.”
Nalini (her name changed) says that after several months of visiting the police station in Dehradun was she able to file an FIR in September 2011. She alleges her husband, a man with psychopathic tendencies, would at the slightest provocation gag and sodomise her. Once when she complained, he flung her to the ground, sat on her and poured a bottle of floor cleaner down her throat. One day he tattooed his name on her arm with a needle in front of her five-year-old son. “I was so smashed up, inside and outside, that when I came to Samadhan I could barely talk,” said Nalini. “I was terrified that my husband, who had once beaten me up in front of some colleagues and chopped off my hair, would find and kill me.”
Thirty-five years old now and divorced, Nalini has done her Masters in Child Education and Development and now wants to do a PhD. “Maybe I will work as an educationist some day. I like to be with children,” she said. Her son is still with her husband because she has been to doctors and psychiatrists so often that it is difficult to prove in court that she is normal enough to fulfill her role of a mother.
Amrita, meanwhile, is studying hard to crack her law exams, while her sister, who completed class X recently with 74% from a school in Roorkee, has written 108 poems in both Garhwali and Hindi and is waiting for someone to publish them. Even DGP reads and writes a bit, and has started to paint, drawing babies and flowers.
Survivors like Nalini, Amrita and DGP, across India, at home and in rehabilitation centres, are attempting to put the past behind and build their lives anew. But Singh knows it will be tough. “The fact is that there is little sympathy for victims of sexual and domestic violence in our country,” she said. “We need to talk about rape in our society more than we do – in our midst, in the media, policy circles. In India, nobody really does.”
Least of all, it seems, the government. Despite a steep spurt in the sexual crimes graph – while the US Justice Department says the rate of such violence against women and girls aged 12 or older fell 64% in a decade there (1995-2005), India has witnessed a 74% increase over the past 15 years, according to a study based on stats released by the National Crime Records Bureau – and the MHA’s urgent advisory to state governments on it in 2009, few, if any, have set up rape crisis centres and specialised treatment units.
As Nalini said, “We are nobody’s constituency and we are nobody’s people.”

3 simple exercises for a flat tummy

Want that enviable washboard ab? Practicing these moves regularly will help you
Don't want to end up injured or exhausted? Don't overdo things on the workout front. Instead, aim for a brisk 20-minute walk every day to burn fat, plus do the following exercises to help tone your abdominal muscles.
Bicycle crunch: Lie down with your back pressed onto the floor. Bring your hands behind your head. Starting with your legs bent at a 45-degree angle, bring the right knee into the chest while straightening out your left leg. At the same time, rotate your top half so your left elbowgoes to your right knee, then switch to the other side. Repeat for one minute,three times a day.
The boat: Sit on the floor, with your knees bent and feet flat and tilt back, extending your legs so your body forms a right angle. Pull your abs in to balance. Extend your arms at shoulder height past your knees. Hold for five slow breaths and return to your starting position. Repeat five times a day.
The plank: Lie face down then lift yourself up on to your toes and forearms, with your elbows bent at 90 degrees. Keeping your core muscles -— your stomach and bottom — tight and your legs straight, hold for 10 seconds. Repeat three times a day, gradually building to 40 seconds each.

Seat Your Child Right




Seat your child right

A child’s head is larger in relation to the body size and they find it difficult to maintain an upright posture on collision and come head on to the expanding airbag when seated in the front seat

Parents must know the correct place for the kids in cars and the dangers of airbags.

Every morning on my way to work I pass numerous cars where parents carry their infant or young children in the front seat of the car in their laps, blissfully oblivious to the dangers of this practice. I also see young children sitting as a third addition on two wheelers. It makes me wonder if such parents throw caution to the wind. But I think they are unaware of the danger to their children and needs to be educated.

The newer vehicles come with front airbags. Such air bags have resulted in the death of at least 180 children worlwide, many of them infants sitting in rear-facing prams in the front passenger seat. Such airbags are released from the front panel at 200 miles an hour and can easily injure or kill a child or even damage an adult sitting too close to the airbag. A child's head is larger in relation to the body size and they find it difficult to maintain an upright posture on collision and come head on to the expanding airbag. The ideal place for child under the age of 12 is on the centre of the back seat using a booster seat or safety belt appropriate for them.

It would also be wise to switch off the front airbag while travelling with kids. As technology gets safer, newer cars come equipped with advanced frontal airbags to reduce risks for tiny tots. Sensors in the seat assess the size of the passenger and if the system registers a child, the airbag is prevented from deploying or deployed with less force. Nevertheless, the back seat is a safer place for a child. In the UK, it is mandatory for children under three to use a car seat appropriate for his weight and a rearfacing seat cannot be put in the front seat unless the airbag has been deactivated. Until the child is 4 feet 5' or 12-years-old, he must be in the correct child seat and only after that can he use an adult seat belt. Such seat belts used on children are too high on his abdomen and can damage his internal organs. It is also possible that he may slip out under the belt. The law may vary from country to country and even state to state in certain countries.

In South Carolina, for instance, children under the age of one and weighing less than 20lbs must be in a rear-facing seat. Between the age of one and five and between 20lbs to 40lbs they must be in a forward-facing child safety seat. Children between the ages of 1 and 5 weighing between 40to80lbs must be in a belt positioning booster seat. Irrespective of age, children over 80lbs or those who can sit erect against the car seat and bend their legs over the seat edge are not required to be in a booster seat. Children under six cannot ride in the front seat, the exception being if the back seat is occupied by children under six or the vehicle has no back seat.

Earlier, car seats were designed in a way so that children could look out of the window and amuse themselves; but were not designed for child safety. For the best possible protection, when the child is one-year-old and 20lbs or less a rear-facing seat in the back seat of the car is advised. From here, he graduates to a forward facing seat till 5years of age when between 20 to 40lbs. Such a seat shall also be placed in the back seat of the car. Children then should move to a booster seat in the back seat of the car until he is 8 or till they are 4 ft 5 inches tall. Then they should start using seat belts. One must ensure that the seat belt used is appropriately strapped, the lap belt lays across the upper thighs &the shoulder belt fits across the chest. It is a good idea for an adult to belt up to set a good example to children. Older vehicles had only lap belt and these should not be considered adequate. Lap belt alone reduces the risk of head injury but increase the risk of abdominal injuries in head on frontal crashes by 47&52% respectively. It is therefore for better to have both lap and shoulder belts.

There are parental concerns when to change from booster seat to seat belt and the simple test is to make the child sit all the way to the back and see if his knees bend naturally over the seat. If they do not then he shall continue to ride in a booster seat. Then use the belt and see where the lap belt lies. It should be across the upper thighs or the pants pocket area. If this does not happen then he should continue to ride in a booster seat. Next check the shoulder belt which should lie on the shoulder or collar bone and not cutting into the neck. If this belt is on the face or neck he should continue to use booster seat. The shoulder belt should not be placed under the arms & you must ensure that your child does not slouch or shift position so that the belt connects with the face or neck or abdomen. If this happen the child should continue to use booster seat.

In the US, more than 200 children under 14 years die in vehicle crashes. In 1997, 320,000 children were injured in car accident. It is my plea to all you parents to travel safely with your children in the car & I would be happy to see better policing to see that 3 or even more do not ride on two wheels. We as a society have enough disease to cope with leading to death, let us not add the added burden of injury through accident.

Gastro Cases Spiral, Strain Difficult To Treat

Sanjay Patkar (51) complained of body ache one morning earlier this week. By evening, he had a high grade fever and had repeated bouts of diarrhoea. A late night visit to the doctor revealed that he was suffering from acute gastroenteritis.
Several Mumbaikars, like Patkar, have been contracting gastroenteritis in the past few weeks, report city doctors.
BMC figures show that 2,604 Mumbaikars were admitted to various civic-run hospital owing to gastroenteritis in July alone- around 36% more than what the city had witnessed in the same period last year.
Patient numbers touched 214 in just the first four days of August.
Dr Hemant Thacker, who consults at Jaslok and Breach Candy hospitals, said acute cases of gastroenteritis are becoming difficult to treat even with antibiotics. "Bacteria mutate and become more stubborn with each passing year. By the time patients come to a hospital-around two-three days since the onset of the disease-they have already taken a masala of medication, including antibiotics. Moreover, we too have to try a combination of two and sometimes three antibiotics to treat the patient," he said.
Considering that the patients keep vomiting, doctors said oral medication is of little help. To top it, loss of fluids as well as electrolytes prompt intravenous (IV) treatment.
Dr Hozie Kapadia from the Indian Medical Association said, "We have been seeing severe diarrhoea cases lately. During monsoon, infection spreads because of the viruses, and because people eat outside food and water contamination. Whenever the cases are severe and the patient cannot stop vomiting, they have to be sent to a nursing home for intravenous treatment."
Dr Khusrav Bajan, intensivist at Hinduja Hospital, pointed to a scarier trend. "A few are coming in with gastroenteritis accompanied with pneumonia."
Explaining further, he said the patients first show symptoms of acute diarrhoea, stomachcramps and vomiting. Even before these symptoms can be treated, the virus attacks the respiratory system.
"Several patients also had to be shifted to intensive care for renal failure as a result of gastroenteritis. The toxins that cause gastroenteritis also cause problems with kidneys. And this happens within one or two days of the onset of the disease," said Bajan.
It is thus imperative, doctors said, that Mumbaikars take precautions this time of the year.

Hormonal wreck at 17

Hormonal wreck at 17Love for fast food and inability to handle stress is predisposing teenage girls to a hormonal disorder that raises risk of infertility and diabetes.


Last year, a 17-year-old college student from Bandra visited gynaecologist Dr Rishma Dhillon-Pai, complaining of a delayed menstrual cycle. The teenager told Dr Dhillon-Pai that she would get her periods only on taking hormone medication. If she stopped the course, her cycles would stop too. At 5'2", weighing 75 kilos, the teenager was overweight (her ideal weight should have been 52 kilos) and had excess facial hair. Dr Dhillon-Pai suggested that she undergo a battery of blood and hormone tests. These revealed that she had high insulin levels and an abnormally high LH/FSH ratio (luteinising hormone and follicle-stimulating hormone - responsible for ovulation). She was found to be suffering from Polycystic Ovarian Syndrome (PCOS). 

PCOS is a hormonal disorder among women which derives its names from the appearance of ovaries - enlarged and containing numerous small cysts located along the outer edge of each ovary (polycystic appearance). PCOS interferes with the menstrual cycle causing either oligomenorrhea (few menstrual periods), hypermenorrhea (very frequent menstrual periods) or amenorrhea (no menstrual periods). 

While doctors have reported a rise in the number of PCOS cases among adult women, it's the high incidence among teenage girls that they find worrying. Dr Dhillon-Pai, a consultant with Lilavati and Jaslok Hospitals, says, "Of the total PCOS cases I see, 25 per cent are adolescents." 

While Dr Dhillon-Pai put her patient on a strict diet and exercise regime, the girl lost only a kilo over three months. When further tests showed that she was also insulin resistant, the teenager was put on a combination of insulin-sensitising drugs and low dose cyclical hormones (hormonal pills that help regularise periods). Six months later, she had lost eight kilos, her skin was free from acne and there was a dramatic reduction in facial hair. 

Catch it early 

With patients worrying most about skin problems such as, acne and excess facial hair, dermatologists are the first doctors the teens tend to consult. Irregular menstrual cycles are often ignored, attributing them to 'hormones settling down' during the teenage years. At his Bandra and Malad clinics, dermatologist Dr Sushil Tahiliani, sees nearly six to eight teenaged patients suffering from this condition every week. "With high levels of the male hormone testosterone in their body, they have unwanted hair in a pattern normally seen in men - hair on the face, chest and around the nipples. This also causes hair fall, thinning of hair, and darkening of complexion," he adds. 

These symptoms, says Dr Uddhavraj Dudhedia, an Andheribased consultant gynaecological endoscopic oncosurgeon, need to be caught early and shown to the doctor immediately. For correct diagnosis, it is best to consult a gynaecologist. PCOS is a complicated condition and your child may show one or a combination of all symptoms. The right specialist will be able to customise treatment according to the patient's complaints. 

Watch the insulin 

However, the problem is not just cosmetic. Dr Dudhedia, who sees 15 cases a week, adds, "Such patients have high levels of serum insulin, insulin resistance and homocysteine (amino acids). Therefore, they have a tendency towards central obesity." 

PCOS is a condition which predisposes patients to other ailments. "Obese patients with PCOS are insensitive to insulin. This raises the risk of diabetes and metabolic problems. Over time, this could result in cardiovascular disorders and endometrial hyperplasia," he points out. The condition can also affect reproductive capacity. Dr Dhillon-Pai says, "Most patients don't ovulate (release an egg) every month and face issues when they want to conceive." 

How to correct it 

While studies state that many patients are genetically predisposed to PCOS, eating excessive junk food, stress and a sedentary lifestyle increase the risk manyfold. Treatment, experts warn, will not cure the problem, but help manage it better. And it might mean being put on medication for a prolonged period. 

Doctors suggest following a lowcarb diet with a low glycemic index (GI) where a significant part of total carbohydrates are obtained from fruits, vegetables and whole grain sources. "As the treatment is multidisciplinary (involving medical therapy, dietary alteration, exercise and sometimes a laparoscopic evaluation and procedure), it is important for the patient to stick to it," says Dr Dudhedia.

Women Indian Truck Driver

Vashi market agog as woman drives 10-wheel truck

Vashi market agog as woman drives 10-wheel truck in

APMC officials in Vashi say Raghuvanshi is the first woman truck driver they have ever seen

Am I from outer space, asked Yogita Raghuvanshi, as catcalls and booes greeted her.

There was a great stir at the potato and onion yard at APMC Vashi on Wednesday, when Yogita Raghuvanshi swerved into the market complex in her massive ten-wheel truck bearing a 16-tonne consignment of potatoes. Work came to a standstill as workers and fellow drivers at the yard dropped whatever they were doing and stared at her in disbelief. 

Raghuvanshi was the first woman truck driver at the market complex and had actually created history. But as she entered, the crowd there broke into a buzz of bitchy comments; she was also greeted with hostile stares but was unfazed, referring to every male around as "bhaiya," even as a bunch of loaders booed at her. 

In comparison with what Raghuvanshi has endured in her life, this reception was as nothing and rattled her not at all. The series of unfortunate events that planted her firmly behind the wheel of a truck, started with her arranged marriage in 1991. Raghuvanshi was originally from Uttar Pradesh but brought up in Nandurbar, Maharashtra, in a family of four siblings. 

Till she arrived in Bhopal as a bride, she had no clue that her husband was not the advocate he claimed to be. 

"I was told he was a lawyer practising in Bhopal High Court. But his family hid the truth from us," Raghuvanshi said. But she resigned herself to her fate and all was well till 2000, when her husband died in a road accident. "His death got me into becoming a truck driver," Raghuvanshi, who has a B.Com and LLB degree, and is also possibly the most qualified truck driver in the country, said. 

Why did she not take on a white-collar job, with her qualifications? Driving a truck gets you instant payment, she says. And with her two children, she could not wait to earn. Trying to get clients as a lawyer, then getting them to cough up their payment, would have been very tough, she said. 

With her husband not leaving a will behind, she and her in-laws battled it out in court for his property, but the latter managed to acquire everything. "It was a nightmare. I had to bring up my children and run the household," Raghuvanshi, who has single-handedly brought up her two children, Yashika and Yashwin, said. While Yashika is doing her BE, son Yashwin is in class ten. 

"It was a sudden change in plans that brought me to Mumbai," Raghuvanshi said. She and her cleaner Trilok Singh, known as Kallu, had set off from Agra on Sunday for Bhopal, which is also where Raghuvanshi lives. She has been driving her monster truck for eight years now and, before she reached Vashi, had been on the road for the last 20 days. 

Raghuvanshi is the first ever woman truck driver they had seen, confirmed APMC officials in Vashi who too, had come around to take a good look at her, having heard she was arriving. "I don't understand why these men think that a woman driver is unacceptable. Have I come from outer space?" Raghuvanshi asked this reporter. 

She wants people to know that she is a "frog in the ocean" and not a "frog in a well". There is dearth of truck drivers today, she said. 

For the last decade there have been hardly any new drivers joining this trade. She attributed the problem to the harassment by policemen and RTO sleuths along every highway. 

She has driven 5 lakh kilometres so far, and has also met Tamil Nadu's Selvamani, the only other known lady truck driver in the country. "Roads in south India are the best to drive on. Gujarat, Maharashtra and Madhya Pradesh are the worst," she said. Her favourite consignment is beer. "There are better margins in beer. The worst is biscuits. They break in these craters called potholes," she said in disgust. After unloading the potatoes at Vashi, Raghuvanshi got busy making calls to get her next consignment. 

"I finally took a bath. It was my first after Agra, which was last Sunday," she said beaming, adding that sleeping in the ghats, bathing by the riverside and using open air washrooms were something she had become used to. 

For Raghuvanshi it is another five years before she hopes to retire. "My kids will be settled by then. I will elope in my fantasy," she said. But even as she said she hoped for a delivery that would take her back to Bhopal, where she could sleep peacefully in her own home, a consignment of biscuits headed for Agra came her way!