Friday, July 29, 2016

Passing Flatus Is Good For Health.

Passing Flatus (Gas) is Good For Health

There are few topics that people find more uncomfortable to talk about than farting.

Most people feel really embarrassed when it happens, warning those around them that it will soon smell rather unpleasant. But it's obviously a completely normal bodily function that we all do, and if you look a little deeper, you'll find out that it's actually really healthy for you. Passing gas is nothing to be embarrassed about; in fact, it can tell you some important information about what's happening in your body:

1. An early warning signal

No matter what you do, there is no way to completely rid yourself of gas. But that's a good thing, because your farts can tell you a lot about your health. Even if you sometimes find it annoying, you should be grateful for them because they are early warning signals for several health problems. Strong smells, high frequency, and/or unusual pain while tooting can all be signs of serious illness. If you are regularly experiencing these symptoms, you might want to mention them to your doctor.

2. They reduce bloating

We've all been there: You just downed a gigantic, delicious meal and now you're sitting fat and happy in the corner. But not only do you feel five times your size, you actually are. When a large amount of food has to be digested all at once, your body stores excess water and your intestines produce excess gas. When you let that loose, your stomach will feel much better and your jeans will be easier to button.

3. The stench is good for you

That's right: It is healthy to smell your own farts! Studies have shown that there are ingredients in your gas that shield you from harmful disease. This is due to hydrogen sulfide, the chemical that gives some gas that rotten egg smell. In high doses the chemical is poisonous, but in small amounts it can protect your cells and help prevent heart attack and stroke.

4. It can help sort out your nutritional needs

Everyone knows how important nutrition is, but did you know that your gas can tell you what's missing from your diet? Different types of food produce different types of gas, which can indicate whether you are eating too much or too little of something. If you rarely have gas, your diet is probably lacking in fiber. Good sources of fiber are whole grains, green vegetables, and lentils. Too much red meat can cause a bad smell and may be an indicator that you should cut back on those steaks and burgers.

5. Farts are a sign of healthy bacteria

Are you ready for a scary truth? Thinner people toot more often and are happier! That's because people who eat healthy often have higher intakes of fiber and eat more fruits and vegetables that stimulate digestion. Those things all give your gut bacteria more to work with, giving your digestive tract more practice, which can lead to more gas production.

6. It's healthy for your intestines

Did your parents ever tell you to "hold it in?" It's not very healthy to always hold your gas in. Every once and a while won't do any harm, but if you are constantly holding back, your intestinal activity can be affected, which can cause painful cramping. It's much better to just relax and let it all out.

7. It just feels good

Let's be honest: There are few things that feel as good as just letting it loose. There's a reason why it's funny (in the right circumstances) when someone just lets one go. Sure, you might blush, but if you're constantly holding everything in, you'll probably feel pretty terrible. So, now you have no reason to hold on - just let it out!

   

Thursday, July 28, 2016

NEED PRICE CONTROL. Aleem M A . BMJ 2016;354:i4136

Editorials

High cost of new drugs

BMJ 2016; 354 doi: http://dx.doi.org/10.1136/bmj.i4136 (Published 27 July 2016)

Cite this as: BMJ 2016;354:i4136

Rapid responses

Re: High cost of new drugs

NEED PRICE CONTROL

Life saving and disease specific newer agents like drugs for hepatitis C viral infection must be brought under price control and the Government should also give subsidies to cut down the cost of the newer drugs.

Every one's life is precious. So the drug companies with patents for the newer molecules must also cooperate in this matter to give these drugs at an affordable price.

This type of policy decision may also help patients in both developing and under developed countries, as well as patients in well developed Nations.

Competing interests: No competing interests

28 July 2016

M A Aleem

Neurologist

A M Hakkim

ABC Hospital and Apollo Hospital

Annamalainagar Trichy 620018 Tamilnadu India. Apollo Hospital chennai Bypass Trichy 620010 and Apollo clinic 6th cross Thillainagar Trichy 620018 Tamilnadu India

@drmaaleem

 

Sunday, July 17, 2016

For The Need Of You My Son

For The Need Of You My Son

I need you to touch,
I need you to see,
I need you so much,
I need you with me.

My life feels so empty,
My heart feels so cold.
I need you beside me,
I need you to hold.

Why were you taken?
I ask that each day,
But no one will answer,
I therefore now pray.

I pray that you're happy,
I pray that you're safe,
I pray that I'll hear you,
And that I have faith.

That's all I have now
I have to believe
In life beyond this one,
We all must achieve.

Come to me, haki, 
And whisper my name.
Tell me you're happy, 
and I'll be the same.

My life at the moment
Is empty and dark.
The light that once shone
Has gone out in my heart.

Saturday, July 16, 2016

Re: Chilcot: physical and mental legacy of Iraq war on UK service personnel Aleem M A .BMJ 2016;354:i3842

Editorials

Chilcot: physical and mental legacy of Iraq war on UK service personnel

BMJ 2016; 354 doi: http://dx.doi.org/10.1136/bmj.i3842 (Published 12 July 2016)

Cite this as: BMJ 2016;354:i3842

Rapid response

Re: Chilcot: physical and mental legacy of Iraq war on UK service personnel

In war zones we should help and care for the wounded people and we should respect and care for the dead bodies without any discrimination of race, religion or nationality.

Health care must be given equally to rich and poor. Military officials, public people and political people should be given the same standard of health care.

Competing interests: No competing interests

15 July 2016

M A Aleem

Neurologist

ABC Hospital

Annamalainagar Trichy 620018 Tamilnadu India

@drmaaleem

Condoms are more cost effective than pre-exposure prophylaxis drugs in HIV transmission prevention .Aleem M A BMJ 2016;354:i3515

Editorials

Funding PrEP for HIV prevention

BMJ 2016; 354 doi: http://dx.doi.org/10.1136/bmj.i3515 (Published 05 July 2016)

Cite this as: BMJ 2016;354:i3515

Ŕapid response

Re: Funding PrEP for HIV prevention

Condoms are more cost effective than pre-exposure prophylaxis drugs in HIV transmission prevention

Pre-exposure prophylaxis to prevent HIV infection with the daily intake of the pill Truvada which contains two medicines (tenofovir and emtricitabine) may have 90% protection with a failure rate of 10%. Latex condoms, used consistently and correctly, are 98-99% effective in preventing HIV transmission but the failure rate is only 2%.

So the usage of latex condoms as and when required is most useful, cost effective and without any side effects in sexually active males and females in all age groups in both under developed and in developed countries.

Competing interests: No competing interests

09 July 2016

M A Aleem

Neurologist

ABC Hospital and Apollo Specialty Hospital

Annamalainagar Trichy 620018.Apollo Speciality Hospital Trichy 620010. Apollo city Clinic Thillaiinagar Trichy 620018. Tamilnadu India

@drmaaleem

Wednesday, July 6, 2016

Tiruchi college to offer MD (Psychiatry) course

Tiruchi college to offer MD (Psychiatry) course

The significance of Shawwal

The significance of Shawwal: One of the meritorious aspects of the month of Shawwal is that it has been chosen by Allah for the celebration of ‘Eid-ul-Fitr.’ This day is designed as a sign of gratefulness by the Muslims on the ac

Days of fasting, nights of prayers

Days of fasting, nights of prayers: Fasting can improve many medical conditions and in no way fasting will worsen any patients’ health. Fasting is an additional safety device for the regenerative processes of the body. Fasting, through

Eid Ul Fitr- Day of Rejoicing And Happiness

Eid-ul-Fitr

Eid-ul-Fitr is the most important festival in the Islamic calendar. The day does not mark any historical event or episode; but its existence provides the Muslim for an occasion to offer thanks to Allah for having given him the strength and the will to observe fast during the holy month of Ramadhan.

It is also an occasion for prayers when the Muslims gather in large congregations, standing shoulder to shoulder, to demonstrate the equality and equity which is the inherent feature of Islamic society all over the world.

But the greatest significance of this day of rejoicing lies in the fact that on this day every Muslim is enjoined to give the needy food at the rate of the prescribed weight per every member of his household, including servants and guests who were sheltered under his roof the preceding evening.

Eid-ul-Fitr then serves a three-fold purpose:

1.It places upon every Muslim the obligation to remember Allah and offer Him thanks;

2.It affords him an opportunity of spiritual stock-taking in that he can now ponder over the strength of his will or the weakness of his character, as the case may be, which manifested itself during the preceding month;

3. It also is the day for the haves to share a portion of what they have with the have-nots.

And, for those persons who disobeyed this command of Allah this is the day of an end to the month-long pangs of conscience, inner struggle and continuous realisation of the feebleness of their character. No more will they have to argue, without much conviction, against fasting'. No more will they have to think up an excuse every morning for not fasting'. No more will they have to say "Oh, but fasting is old-fashioned; it was not meant for the modern world."

It is not my object here to explain the philosophy of fasting. Almost everyone realises the spiritual, social, scientific and medical benefits which are derived from fasting. But so far as a Muslim, a true believer, is concerned, it should be sufficient that fasting is prescribed in the Holy Book, and as such is the command of Allah. Should one seek to justify Allah's commands?

The measure of a man's love for his Creator is his unquestioned obedience to the commands of the Creator. When for whole month a Muslim has obeyed Allah, unquestioningly, without complaint, without regret, and ,when he has spent his time in prayers, in humility and in charity, should one wonder, if at the end of this period, the Creator may Himself turn to such creature of His and say: "It is now for thee to ask for Me to give."

Ramadhan, the holiest month in the Islamic calendar, is the period when man is subjected to a supreme test. Without compulsion, without coercion, the Muslims throughout the world obey God; and every day from dawn to sunset abstain not only from sensual pleasures but even from the necessities of life like food and drink. Some do this in shivering cold, some in burning heat, some do it where days are short and others where days are interminably long. The rich fast as well as the poor, the master as well as the servant; the parents as well as the child; the ruler as well as the subject. They all fast, regardless of the colour or their social position.

Having done this, for one whole month, today on this auspicious day of Eid-ul-Fitr, every Muslim should be ready to face the year that lies ahead with renewed strength, greater understanding and universal goodwill. He has fasted to acquire piety, discipline and self-control. Now the habit of unquestioning obedience to God is cultivated in his heart and mind. He is now trained to accept the commands of Allah, in the remaining eleven months of the year, with the same unwavering loyalty. He has emerged from the month of Ramadhan with a new personality and a stronger character, confident of his ability to subordinate his desire to his will, his emotion to his intellect.

No longer will it be difficult for him to refrain from intoxicating drinks; no longer will he turn away from his less fortunate brethren; no longer will he fail to understand and appreciate the pain of hunger, the pangs of thirst.

So the training period of Ramadhan has come to an end. Now we are entering the era of normal activities of life. If the lessons learnt in Ramadhan have left their marks upon our character, we are entitled to enjoy Eid-ul-Fitr.

Tuesday, July 5, 2016

Eid-Ul-Fitr; a Unique Festival

Eid-Ul-Fitr; a Unique Festival Time of Joy for Muslims

Eid -ul -Fitr is a unique festival. It has no connection with any historical event nor is it related to the changes of seasons or cycles of agriculture. It is not a festival related in any way to worldly affairs.

Its significance is purely spiritual. It is the day when the Muslims thank Allah for having given them the will, the strength and the endurance to observe fast and obey His commandment during the holy month of Ramadhan.

This day, in Muslim world, brings rejoicing and happiness. The rejoicing is not, however, at the departure of the month of Ramadhan; it is the happiness which man feels after successfully completing an important task.

So far as the passing away of the month of Ramadhan is concerned, Muslim religious leaders of the early days of Islam always felt profound sorrow when it came to an end, as they felt that they were being deprived of the spiritual blessings which were associated with the month of fasting.

To show the original Islamic feeling at the end of Ramadhan, I am quoting some of the sentences from an invocation by Imam Zainul-Abedeen. He says:-

"O Lord, Thou hast ordained Ramadhan to be one of the most chosen
.. .. ; and Thou hast distinguished it from all other months, and chosen it out of all other seasons and periods; and given it preference to all the times of the year, by having sent theQur'an and the light of guidance in it, and by having increased the faith, and by having enjoined the observance of fast in it, and by encouraging us to stand up for prayer at night, and by placing in it the glorious 'Night of Qadr which is better than a thousand months.

"Therefore, in accordance with Thy command, we kept fast in its days, and with Thy help, we stood up for prayers in its nights; presenting ourselves, by means of its fasts and prayers, for Thy Mercy which Thou dist offer to us.
"And, verily, this month of Ramadhan stayed amongst us a welcome stay; and gave us a righteous company; bestowing upon us the most excellent benefits in the universe. Now, it departs from us at the completion of its time.
"Therefore, we bid it farewell as we did good-bye to one whose departure is hard upon us and makes us sad; and whose parting away makes us feel lonely."

Then he turns towards the month of Ramadhan, speaking in an endearing tone:-

"How much did we long for thee yesterday; and how intense will be our eagerness for theetomorrow. Peace be on thee and thy excellence of which we have been deprived, and thy blessings which will no longer be with us."

These few words are the mirror which show the true Islamic feeling towards the month of Ramadhan and its blessings and spiritual benefits.

Eid-ul -Fitr is related to such a month of blessings, because it is on this day that the strict restrictions of the preceding month are lifted. Unfortunately, in some places, this resumption of the normal activities is misinterpreted as a licence to indulge in activities prohibited in Islam, like gambling, etc.

Fortunately, such trends are not common yet; but such people should be made to understand the significance of Eid -ul-Fitr. Religious observances of the Eid-ul-Fitr are designed to offer thanks to Allah that He helped us in accomplishing the aim of Ramadhan.

Surely, it would be an affront to Allah if anybody, after thanking Him for completing that spiritual training, goes right away sinning against Him!

Had such person known the meaning and purpose of Eid-ul -Fitr, he could not have indulged in such un-Islamic activities. Eid-ul-Fitr can be interpreted as a three-fold blessing:
First it provides one more occasion for the Muslims to thank God and remember His blessings.

Secondly, it affords an opportunity of spiritual stock-taking, after the month of Ramadhan. A Muslim can now ponder over the strength (or weakness) of his will power; he can see, in the mirror of Ramadhan, what were the strong (or weak) points of his character, because under the stress of fasting, the hidden qualities (or evils) of human character come to surface in such clear way which is, perhaps, not possible otherwise.
Thus a man gets a chance of self-diagnosis of the traits of his character, which probably no one else may ever detect.

Thirdly, it enjoins the well-to -do persons to share a portion of what they have with their poor brethren. On the eve of Eid-ul-Fitr, a Muslim is obliged to give to the needy food-stuff at the rate of a prescribed weight, on behalf of himself and of every member of his family, including servants and guests who were sheltered under his roof on that night. It would certainly be pleasing to God if we did not forget these lessons after Eid-ul-Fitr.

Incidentally, here the difference between religious and materialistic outlooks becomes sharper. Religion exhorts a man to give, by his own free will, a share of his wealth to those who are less fortunate, and to give it for obtaining the blessings of God. Materialism teaches him to snatch from others whatever they have got without any regard to the moral or ethical questions involved.

Thus, the religion tries to strengthen the highest qualities of the human character; materialism strives to make him the slave of the lowest animal instincts degrading him to the level of the beasts.

On this day, special prayers are held the world over, between sunrise and noon, when the Muslims assemble, in large congregations, wearing their best dresses standing shoulder to shoulder, demonstrating for everyone the universal brotherhood which is another distinguishing feature of Islam --- the religion of God.

Let us re-dedicate our life to the cause of humanity, which is the best way to demonstrate our love of God. Let us resolve that our energies, in the coming year, will be directed towards strengthening a society based on mutual respect, brotherly love, and universal understanding.

Let us decide that, in the coming year, we will build a social order which would bring not only the material benefits, but also the spiritual satisfaction.

And, in the end, let us pray to God in these words:
"O Lord, make us clean from our errors by the close of the month of Ramadhan, and take us out of our sins when our fast comes to end. And bless us on this Eid day, the day of our festival and our break-fast; and let it be the best day, which passed over us, and forgive us our sins known and unknown."

Eid-ul-Fitr Serves Three Purposes

Eid-ul-Fitr is the most important festival in the Islamic calendar. The day does not mark any historical event or episode; but its existence provides the Muslim for an occasion to offer thanks to Allah for having given him the strength and the will to observe fast during the holy month of Ramadhan.

It is also an occasion for prayers when the Muslims gather in large congregations, standing shoulder to shoulder, to demonstrate the equality and equity which is the inherent feature of Islamic society all over the world.

But the greatest significance of this day of rejoicing lies in the fact that on this day every Muslim is enjoined to give the needy food at the rate of the prescribed weight per every member of his household, including servants and guests who were sheltered under his roof the preceding evening.

Eid-ul-Fitr then serves a three-fold purpose: It places upon every Muslim the obligation to remember Allah and offer Him thanks; it affords him an opportunity of spiritual stock-taking in that he can now ponder over the strength of his will or the weakness of his character, as the case may be, which manifested itself during the preceding month; it also is the day for the haves to share a portion of what they have with the have-nots.

And, for those persons who disobeyed this command of Allah this is the day of an end to the month-long pangs of conscience, inner struggle and continuous realisation of the feebleness of their character. No more will they have to argue, without much conviction, against fasting'. No more will they have to think up an excuse every morning for not fasting'. No more will they have to say "Oh, but fasting is old-fashioned; it was not meant for the modern world."

It is not my object here to explain the philosophy of fasting. Almost everyone realises the spiritual, social, scientific and medical benefits which are derived from fasting. But so far as a Muslim, a true believer, is concerned, it should be sufficient that fasting is prescribed in the Holy Book, and as such is the command of Allah. Should one seek to justify Allah's commands?

The measure of a man's love for his Creator is his unquestioned obedience to the commands of the Creator. When for whole month a Muslim has obeyed Allah, unquestioningly, without complaint, without regret, and ,when he has spent his time in prayers, in humility and in charity, should one wonder, if at the end of this period, the Creator may Himself turn to such creature of His and say: "It is now for thee to ask for Me to give."

Ramadhan, the holiest month in the Islamic calendar, is the period when man is subjected to a supreme test. Without compulsion, without coercion, the Muslims throughout the world obey God; and every day from dawn to sunset abstain not only from sensual pleasures but even from the necessities of life like food and drink. Some do this in shivering cold, some in burning heat, some do it where days are short and others where days are interminably long. The rich fast as well as the poor, the master as well as the servant; the parents as well as the child; the ruler as well as the subject. They all fast, regardless of the colour or their social position.

Having done this, for one whole month, today on this auspicious day of Eid-ul-Fitr, every Muslim should be ready to face the year that lies ahead with renewed strength, greater understanding and universal goodwill. He has fasted to acquire piety, discipline and self-control. Now the habit of unquestioning obedience to God is cultivated in his heart and mind. He is now trained to accept the commands of Allah, in the remaining eleven months of the year, with the same unwavering loyalty. He has emerged from the month of Ramadhan with a new personality and a stronger character, confident of his ability to subordinate his desire to his will, his emotion to his intellect.

No longer will it be difficult for him to refrain from intoxicating drinks; no longer will he turn away from his less fortunate brethren; no longer will he fail to understand and appreciate the pain of hunger, the pangs of thirst.

So the training period of Ramadhan has come to an end. Now we are entering the era of normal activities of life. If the lessons learnt in Ramadhan have left their marks upon our character, we are entitled to enjoy Eid-ul-Fitr.

Monday, July 4, 2016

RAMADAN AND CHARITY

The Ideal of Islamic Charity

Happy is the man who makes others happy. Eid-ul-Fitr is the practical demonstration of this lesson.

Imam Ja´far as-Sadiq said that Muslims have been asked to fast "so that rich may feel the pangs of hunger and thus realise the plight of his poor and needy brethren". Looking at fast from this angle, we can easily understand the philosophy of Zakat-ul-Fitrah, which every Muslim is obliged to pay on the eve of Eid-ul.Fitr. A Muslim must give to the needy food-stuff at the rate of a prescribed weight, on behalf of himself and of every member of his family, including servants and guests who were sheltered under his roof at sunset.

That Zakat must be paid before Eid prayer; and it is preferable to pay the price in cash (instead of the foodstuff), so that the recipient may purchase some necessary items, like clothes etc., for his children before taking them out for prayers.

According to Islamic ethics, our joy and happiness are not complete unless we make our less fortunate brethren happy. It is a lesson worth remembering, especially in this era of materialism, when scant regard is paid to the moral and ethical values which are so much emphasised by religion.

Our children are taught nowadays that only the fittest has a right to survive, and weaklings are bound to perish. In this educational back-ground, why should they care if a poor man dies of hunger? He is a misfit, and he must perish.

But the teaching of religions is quite different. Religion teaches us to care; it enjoins the strong and wealthy to help their weak and poor brethren.

Islam has set a very high standard for charity. Charity must be in the way of God; it should expect no reward or return in this world; it should not be marred by subsequent references or reminders and never should any annoyance or injury be caused to the recipient. In the present-day jargon, the aid must be without any strings. God says in the Qur'an:

"Kind words and covering of faults are better than charity followed by injury (to the self-respect of the recipient)".

Admonishing the believers not to nullify their charity by reminders and by causing injury to the recipients, God condemns false charity which is done so that others may see how generous the donor is. God compares such so-called charity to "a hard barren rock, on which is a little soil. On it falls heavy rain which leaves it a bare rock. " So a false charity will be washed away on the Day of Judgment, leaving the selfish and egotistic motives naked for everyone to see and despise.

In contrast to it is the true charity, done for the sake of Allah and with conviction of faith. Such a charity is likened to "a garden, high and fertile. Heavy rain falls on it and makes it yield a double increase of harvest; and if it receives no heavy rain, light moisture is enough for it."

True charity is also likened to "a grain of corn; it groweth seven ears, and each ear has a hundred grains; and God gives manifold increase to whom He pleases. "

And how will fare the false charity? It is wasted and will not do the donor any good when it would be needed most. Allah has explained it in this way: "Does any of you wish that he should have a garden with date-palms and vines, and streams flowing underneath, and all kinds of fruits, while he is stricken with old age and his children are not strong enough (to look after themselves), that it should be caught in a whirlwind with fire therein and be burnt up? Thus does God make clear to you His signs so that you may ponder. "

According to Islamic ethics, a donor should remain obliged to the poor brother who accepted his charity. It may seem strange to worldly people like us. But look at it from Islamic point of view and you will understand.

A donor helps the recipient in this world by giving him certain aid or some material benefit which is bound to perish in due course. But that charity brings the donor nearer to the Grace of Allah, which is ever-lasting, and which will benefit him on the Day of Judgment. Thus the recipient of charity helps the donor in a far better way than the aid which he receives from the donor.

It has been declared in Islam that poor are the family of Allah and the rich persons are the agents of Allah. An agent has no right to despise the children of his principal when he is required to pay some of the principal's money to his children.

This is the ideal of Islamic charity. On this auspicious day of Eid-ul-Fitr, we are reminded of this sacred duty by the rules relating to Zakat-ul-Fitrah. Shallow would be our joy if we shut our eyes from the plight of our poor brethren.

The fast of Ramadhan has shown us how it feels to be hungry; Eid-ul-Fitr is showing us the real meaning of happiness. Let us remember these two important lessons in our daily life.