Tuesday, December 29, 2015

{Awareness} 10 Satiating Foods to Lose Weight With Health

 

10 Satiating Foods to Lose Weight With Health

 

We all know that losing weight is not exactly easy. No miracle diets and always some effort on our part is required. It is essential that we follow proper nutrition with which thin, always healthy, and one way to do it is also satisfying to consume food.

 

 

Click Here to Read Full Article

 

 

 

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Monday, December 28, 2015

{Awareness} FW: Karachi Women's Table Talks

 

FYI



Karachi-Women-Peace-Table-2On October 15, about 85 women, dressed in pink for peace, arrived at Karachi's Arts Council for the 'Women Peace Table Karachi 2015' hosted by Tehrik-e-Niswan. The first half of the day was a participatory session to allow attendees to interact and discuss women's representation in various spheres and forums. This event hosted by Sheema Kirmani was part of a global campaign of 'PeaceWomen Across the Globe' under the auspices of 'Women Seriously' whose website quotes, "If you are serious about peace, you have to take women seriously."

On that day, a similar event was taking place in 20 other countries. The premise behind this campaign is that women by nature have a different way of relating to issues and conflict than men, and are under-represented in peace-and policy-making decisions that affect their lives. Despite being half of humanity, women's own perspective and leadership is missing in issues faced by them and these are not even discussed when such matters come up, despite countless examples of them being equally capable of determining, presiding and governing.

The Women's Peace Tables organised around the world are meant to symbolise and represent women's perspective and leadership in peace negotiations, public policy and in decision-making roles. Their collective and consolidated voice is aimed to jump-start a movement to shape a Women's Global Peace Agenda. The format of the conference in Karachi was informal yet intense, with the first half exclusively for women – engaging both young and veterans alike in discussions and analyses of women's status and representation in Pakistan in the context of violence, education, economy and in politics, public policy and decision-making.

Zubeida Mustafa and Baela Raza Jamil spoke in detail of the current education crisis, not just for girls, but for boys as well. They cited various reports, including that of Alif Ailaan's, an NGO, which states that about 25 million children are either not in school or have left their education. They also provided facts and figures and pointed out various causes of the nationwide education disparity between the genders. Zubeida Mustafa gave the example of three countries where women played important roles as peace negotiators in long-term conflicts: Columbia, Burundi and the Philippines. She related how their efforts bore fruit in establishing peace.

Nuzhat Shirin spoke on the subject of women's economic empowerment. She dilated on the various cultural and official blockages that stymie this at every step. She gave examples of women working in the informal sector; namely home-based women workers who are not recognised as part of the labour force by the Bureau of Statics. She pointed out how difficulties in mobility factor into employment opportunities, particularly for female domestic and factory workers.

Dr Habiba Hasan gave an overview of gender-based violence in Pakistan and said that in 2011, the Thomson Reuters Foundation had found Pakistan the third most violent country for women. She gave the three main causes for this: Pakistan's ethos of being a male-dominated society; laws like the Hudood Ordinance and cultural practices like karo-kari, and the fact that the state regards a woman's testimony equivalent to half of a man's. All forms of violence currently prevalent were discussed, ranging from selling women into bondage, sexual harassment and women being forced to bear children numerous times. She said even judges showed an anti-woman bias. As a result she and Justice Nasir had begun training judges and the police in gender sensitisation. From 2016, this course will be also be part of the LLB students' curriculum.

Other speakers discussed the dismal representation of women in politics and even less representation in decision-making roles. They discussed how even those women who were elected usually owed their success to their male family members who were in politics. They had very little power in their own right.

The session was made even more interesting with poetry recitations and readings, including one by Zahida Hina; songs, a skit and a play called 'Raisa Ka Ramzan.'  Tributes were also paid to Kainat Sumroo, Ansu Kohli and Humaira Bachal for their struggles.

- Deneb Sumbul

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{Awareness} Teenage Pregnancies: An Issue Calling for Closer Attention

 

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Teenage Pregnancies: An Issue Calling for Closer Attention

Submitted by JPMS Blogs Admin on December 21, 2015 – 8:54 PM Be the first to comment

·          

 

Teenage is the period of transition from childhood to adulthood that in girls aids in   physical, functional and psycho-social development to prepare for motherhood. According to WHO, teenage pregnancy is the conception of an unplanned fetus during adolescence (Acharya, Bhattaria, Poobalan, Teijlingen, & Chapman, 2010). This can often have severe consequences for both mother and neonate. In my reproductive health clinical, I encountered a 13 year old girl from a low socioeconomic background, who had just completed her 7th class in school and had been forced by her family to marry.

 

During the first year of marriage, this girl was in no way ready to have a child but due to societal pressure and her husband's dominating role in the household, she got pregnant. She was malnourished, and in the 30th week of gestation, gave birth via C-section to a premature baby girl weighing 1.2 kg. The teenage mother was neither able to continue her education, nor was she prepared for a child, and so she losing interest in the infant's care, she fell into depression.

 

According to UNFPA (2013), 15 million adolescents globally get pregnant each year and 529000 die of ensuing complications of pregnancy. In Pakistan, the overall adolescent birth rate is 51.1 per 1000 women; with specific figures of 63, 46, 34 and 57 per 1000 women in Sindh, Punjab, Balochistan and Khyber Pakhtunkhwa respectively. This has increased the maternal mortality ratio to 190/100,000 births. Moreover, 49% of reported cases of child mortality are seen in relation with teenage pregnancies.

 

Many socio-cultural factors lead to teenage pregnancies. According to Acharya et al. (2010), the root cause is a tradition of early marriages. In Pakistan, 30% of girls are forcefully married in adolescence because parents believe this will save their daughters from unacceptable relationships and sexual abuse. Secondly, poverty and low literacy rates prompt early marriages (and consequent teenage pregnancies) since families view girls as a financial liability. Thirdly, Pakistani society being patriarchal, females are excluded from decision making, and the husband has the authority over conception. There are also social expectations to meet by having a child during the first year of marriage (Banerjee et al., 2009).

 

Moreover, teenagers are less informed about sexual health and contraceptive measures because sexual health education is still yet a cultural taboo. Somewhat paradoxically, hypersexualization in the media may increase early sexual desires; this may partly be to blame for a rise in sexual abuse and rape cases (Kirven, 2014). Furthermore, inappropriate parenting can neglect a teenager's behavior and he/she may become involved in unsafe sexual intercourse with multiple partners. Lastly, alcoholism, smoking and peer pressure also draw teenagers towards risky sexual behavior because teenagers consider smoking and alcoholism to be socially fashionable, and a gateway to acceptability (Lavin & Cox, 2012).

 

Teenage pregnancy has untoward consequences for both mother and child. The mother's body is not physically developed for child bearing and often among the lower social class, teenage girls especially are malnourished and anemic. This can result in low birth weight infants leading to the vicious cycle of malnutrition (Banerjee et al., 2009). Moreover, teenage mothers have 2.5% more chance of maternal mortality and maternal morbidities like PIH, pre-eclampsia, postpartum hemorrhage and post-natal depression.

 

Due to their immature physiological condition, teenage mothers run a higher risk for spontaneous abortions, and also unsafe abortions if the pregnancy is unplanned and unwanted (Kirven, 2014). Most teenage pregnancies result in preterm birth, stillbirth, perinatal and neonatal mortality, thereby increasing the infant mortality rate to 63/1000 live births in Pakistan.
Teenage pregnancy also has its own plethora of emotional and social consequences. The teenager is over-strained with the additional responsibility of a child, and vulnerable to depression due to which the adolescent mother may neglect her infant's care, thus denting the trusting mother-child relationship. Teenagers also lack the knowledge about parenting skills, which adds to their own psychological stress and affects the growth and developmental milestones of their child (Frances, 2011).

 

Additionally, it reduces access to higher education and decreases work opportunities for females, thereby decreasing the literacy level, increasing poverty and socioeconomic dependence on others. This comes in the way of women empowerment, making teenagers potential victims of domestic violence and coerced sex. Teenage pregnancies due to sexual abuse cut off the girl from the society. This lowers her self-esteem and leads to mental health issues (Acharya et al., 2010).

 

The Johnson Behavioral System (JBS) Model can be used to solve this issue (Oyedele, Wright & Maja, 2013). This model works for prevention of teenage pregnancies and improving consequences of teenage pregnancies. For the prevention, there are two subsystems:

(i) The dependency subsystem, in which a health care provider can counsel parents about the importance of female education,  prevention of early marriages, complication of early pregnancy and the significance of parent-child relationship in order to understand teenager's sexual drives.

(ii.) The sexual subsystem, where the health care provider can arrange sex education programs in collaboration with reproductive health services for teenagers, including information about the human rights, gender equity, sexual relations, risks of unprotected sex and early pregnancy and guidance about the use of contraceptive measures. Moreover, advice can be given on the dangers of substance abuse, lifestyle modification and resisting peer pressure to curtail risky sexual behaviour.

 

Two subsystems are also present for alleviate negative consequences of teenage pregnancies:

(i) Supportive peer group subsystem, in which the healthcare team can provide parenting classes for teenage parents to prepare them for parenting and teach effective coping strategies to cope with the physical and emotional disturbance. Additionally, referral and psycho-social support are provided to women who have suffered sexual/domestic abuse.  (ii) The Achievement subsystem, in which the health care personnel can collaborate with the government and policy makers. The aim is to initiate career skill programs and virtual academic learning for teenage mothers so that they could continue their education and have a self-sustaining future. This would empower women and reduce socioeconomic burden.

 

In conclusion, teenage pregnancy is an issue which has a negative socio-cultural and health impact. To achieve all the Millennium Development Goals it is necessary to solve this issue at individual, community and governmental levels. By working on the above mentioned strategies, we can eliminate this issue from our society.

References
Acharya, D., Bhattaria, R., Poobalan, A., Teijlingen, E., &
Chapman, G. (2010). Factors associated with teenage pregnancy in South Asia: a systematic review. Health Science Journal, 4(1), 3-14.

Banerjee, B., Pandey, G., Dutt, D., Sengupta, B., Mondal, M., & Deb, S. (2009). Teenage pregnancy: a socially inflicted health hazard. Indian Journal Of Community Medicine: Official Publication Of Indian Association Of Preventive & Social Medicine, 34(3), 227.

Frances, G. (2011). Teenage pregnancy: successes and challenges. Practice Nursing, 22(1), 12-13.

Kirven, J. (2014). Maintaining their future after teen pregnancy: Strategies for staying physically and mentally fit. International Journal Of Childbirth Education, 29(1), 57-61.

Lavin, C., & Cox, J. (2012). Teen pregnancy prevention: current perspectives. Current Opinion In Pediatrics, 24(4), 462–469.

Oyedele, O., Wright, S., & Maja, T. (2013). Prevention of teenage pregnancies in Soshanguve,South Africa: using the Johnson Behavioural System Model. Africa Journal of Nursing
and Midwifery, 15(1), 95-108.

UNFPA. (2013). Adolescent Pregnancy: A Review of the Evidence (pp. 3-55). NewYork:UNFPA.

About the Author: Afsheen Hirani, completed her Bachelors in Science of Nursing with honors from Aga Khan University School of Nursing and Midwifery. She is currently working as a nursing intern at Aga Khan University Hospital, Karachi, Pakistan. Public health, Mental health, Child health and Nursing research are her major interests. She can be reached atafsheenhirani11@gmail.com

About this article: This article is competing for the JPMS International Medical Writing Contest 2015.

To learn more about the contest and to participate in it, follow this link: http://blogs.jpmsonline.com/writing-contest/

To support the author win this contest, share and like this article at different social media platform using the social icons given in this page. Please note the rules and regulations for this contest for details.

 

 

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Friday, December 25, 2015

{Awareness} Awareness Program on Out reach for new patient's identification

 

Join now for free medical updates information on Conferences, Workshops, CME Programme & Job Opportunities:


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From: NIBD & BMT <info@nibd.edu.pk>

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Awareness Seminar on Outreach for new patients identification and linkages development to improve access to the treatment
On Tuesday 29th December 2015


Preliminary Programme attached.


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{Awareness} New Year Greetings [1 Attachment]

 

Who greets you all as under  
 
Rain rain go away, come again another day!      
This song is sung not by me alone,
But by all those who now live in Tamilnadu.
So was the rain too much, horrible  and detrimental.
God Varuna  either don't give  or give rain too much
 
We suffered a lot, not because of the rain alone,
But due to mismanagement of  its disposal too. 
No doubt it was a monsoon Rain 
But unexpectedly it  caused unbearable pain. 
 
It rained heavily and not as drops.
Just the way a rain drop 
Brings hope to a dying flower,
Your efforts brought all the hopes we lost. 

You Never played with the feelings of others,
Even though it was very difficult for you.
You took all the risks to save their lives,
Which those persons will never forget in their life time.
 
You were tensed, but looked very cool,
Even though you are the beginner in this,
You looked like a winner of that effort.
That's the way of  living life.
 
Success is never permanent.
Failure is never final.
So you always don't stop trying,
Until your victory make a history.
You did it and succeeded in helping us.
 
To carryout this good job,
First, we must have a definite,
clear practical idea, a goal, an objective.
Second, have the necessary means to achieve our ends
Wisdom, money, materials, and  methods.
Third, must  adjust all our means to that end.
 
We cannot hold a torch to light another person's path 
Without  brightening our own. You did the both.
You made each day useful and cheerful and proved that 
You knew the worth of  time by employing it well. 

So all the people are happy, 
All the old age are without regret, 
And all started their life afresh successfully.
 
There was very little difference in people.
But that little difference makes a big difference. 
This difference is attitude. 
Whether it is positive or negative.
 
If we fill our heart with regrets of yesterday
And the worries of tomorrow, 
We have no today to be thankful for.
The choice we make today, 
Will usually affect tomorrow.
Let us take time to bear and laugh.
 
Harsh words break no bones. 
But they do break hearts.
So to get out of a difficulty, 
One usually must go through it. 
 
Let us do what we can, for whom we can, 
With what we have, and where we are.
We are thankful for what we have, 
For the friends, for the family we have,
and for the things we have got.
Let us collect more good people and good things.
 
Be happy with what we have now,
And more will come our way. 
This is a great  practical advice.
Being happy is not having a sky,
With no storms, no road accidents.
 
Being happy is to recognize
That life is worth living,  
Despite of all the changes, misunderstandings
Mishappenings, in crisis and calamities periods.
 
Being  happy is to stop being a victim of problems
And being the hero of our own story.
We may cross deserts exist outside,
But must be  able to find an oasis there.
 
Life time relationships teach us lifetime lessons,
And things we must build upon,
In order to have a solid emotional foundation.
Our job is to accept all the lessons,
love the person and put what we have learned to use.
 
Life may not be fair,
But it's still good.
Life is too short,
To waste time hating anyone.
So let us be friendly with all we meet.

Let us not audit our life. 
But Show up and make the most of  it now.
All that truly matters in the end, 
Is the life that we lived.
Let us get outside every day.  
Miracles are waiting everywhere.

Let us look outside.  It is so romantic.
The cloud is hugging us,
With a cold wind.
The stars are singing for us,
The moon is dancing for all of us.
I invite them all, to wish you good luck.
 
Tomorrow's sun will rise,
Either in splendor or behind a mask of clouds,
It may be and must be a good day for all
A Bright day,  a Prosperous day
Worthy day, Meaningful day, Memorable day
 
Not only that day alone,
let all the days in the ensuing new yew year,
Be such very good days and
Not and never be like the days of
The fag end of the past year 2015.
Let me wish you all a really good New year 2016.
 

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Thursday, December 24, 2015

[polemic] Video and Audio recording of Talk organized on 'Annihilation of Caste and Legacy of B.R. Ambedkar' by Polemic

Dear Friends and Comrades,

It would be purely tautological to claim that caste is a reality that permeates all aspects of Indian social and economic life in different ways. Working class dalits in Indian society form what Giorgio Agamben has called 'homo sacer'. The recent decades have witnessed horrendous anti-dalit atrocities with virtual impunity as the perpetrators have often gone scot-free. The cases of decades-old Bathani Tola massacre as well as the recent Bhagana incident are particularly illustrative of this fact. Despite the 'affirmative action' (though an extremely flawed one), almost 91 percent of dalit population still lives on the socio-economic fringes of the society and forms a considerable part of the rural and urban working class population of India. As the government jobs have been decreasing for almost two decades now (even before, the growth rate of government jobs was feeble at best), the question of this 'affirmative action' has been rendered even more irrelevant and cries for thinking 'beyond the wall'.

The rise to power of the Modi government has seen a spurt in the incidents of anti-dalit atrocities as well as lynching and persecution of persons from religious minorities. This has also been accompanied by the attempts of the right-wing forces to appropriate the legacy and symbol of B. R. Ambedkar for their own electoral interests. One might agree or disagree with the political thought and strategies of Ambedkar for the annihilation of caste, yet, any progressive individual understands the fact that these attempts to appropriate and saffronize Ambedkar are based on blatant lies and Goebbelian propaganda of the saffron brigade. We are living in times that have made the caste question more important than ever, not only for the particular upliftment of the dalits and other oppressed castes, but also for mounting a resistance to the current Fascist onslaught as well as the overall project of revolutionary socio-economic transformation. The days to come are going to create a dual potential: a revolutionary one as well as a reactionary one. If the revolutionary forces fail to realize the revolutionary potential, its penitence will be materialized in an even more horrible and rampant Fascist reaction, which practically would mean attack on workers' rights, civil rights, increased oppression of dalits and religious minorities as well as economic migrants. That is why it has become imperative for all progressive forces to seriously, without dogmatic narrow-mindedness and sectarianism, consider the question of annihilation of caste, among others.

Needless to say, while pondering over the question of annihilation of caste, the legacy and contributions of B.R. Ambedkar must be critically analyzed. The question of Ambedkar in the anti-caste movements has remained to be a galvanizing one. While a section of Ambedkarite movement has made Ambedkar a sacrosanct figure much to the detriment of the Ambedkar's legacy itself, the revolutionary Communist movement has failed to understand the caste question in its historicity as well as in all of its political and economic dimensions, despite leading numerous valiant struggles of the landless dalit workers right since the early part of the previous century. This failure has also led to problematic engagement with Ambedkar and his politics. Since Ambedkar's symbol continues to be a highly contested one for different real and unreal reasons, it is the need of the hour for the working class movement to come up with a scientific and balanced critical evaluation of Ambedkar's political thought as well as his political practice. Without such an exercise some painful bottlenecks of the working class movement as well as the dalit liberation movement cannot be removed, that have effectively prevented them to merge into one radical anti-capitalist anti-caste movement which is essential for any project of revolutionary transformation in India. Any serious political and social scientist is perfectly aware of the fact that the present capitalist state has a gender as well as a caste.

In view of these concerns, 'Polemic' organised a talk on 'Annihilation of Caste and the Legacy of B.R. Ambedkar' by Abhinav Sinha who is a labour activist and independent researcher and edits a workers' monthly 'Mazdoor Bigul'. The talk was followed by an interactive discussion with the speaker. We are sending you links to audio and video recording of Seminar. We expect your critical comments on the talk. 


 links to Video files


Video of talk - https://www.youtube.com/watch?v=aqn4QxMJUok


Video of Audience comments - https://youtu.be/ilLv12JjYFI


Video of speakers response to audience intervention - https://youtu.be/aPCia2F0wdc


Those who have lesser internet speed can download audio as all three audio are just 30 MB in size. 



Audio links


Audio of talk - http://chirb.it/GdpPxw


Audio of Audience comments - http://chirb.it/pyfPEL


Audio of speakers response to audience intervention - http://chirb.it/kkIMNE

To download audio files click on Download This Chirbit button after opening each link. 




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Narayan-9764594057, Virat-9619039793, Nandan-9004641456, Sunil-9930529380  

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