When man first started using tobacco, he probably did not know that it would grow to be an epidemic that could cause multiple health issues. Be it smoking or chewing, tobacco has severe negative effects on health. Take any of the current lifestyle diseases from diabetes to obesity, the common risk factor is tobacco abuse. In addition, depending on the form of tobacco used, specific organs are affected. For instance, chewing tobacco leads to oral cancer while smoking causes lung cancer.

The statistics around tobacco abuse are extremely startling and can be read below:

A total of about 90 trillion rupees are spent on various tobacco products.
About 1.4 trillion is spent on healthcare-related to conditions caused by tobacco abuse.
India has about 120 million tobacco users.
More than 7 million people die every year due to tobacco usage.
The Government has levied a GST of 28% on cigarettes, making them unaffordable, which is one of the ways to promote quitting.
For those who want to quit but are not able to, there is a quit-line setup, which is toll-free, 1800-11-2356 and is accessible from 8 a.m. to 8 p.m.
Tobacco is a menace in all the strata of society. The lower economic classes are adversely affected both due to lack of knowledge and healthcare facilities. Therefore, the government uses the World No Tobacco Day (WNTD) that is observed by all members of the World Health Organization as an opportunity to drive this awareness.

This is celebrated on May 31st every year. Some measures that are taken to promote 'say no to tobacco' campaign are listed below.

In 1975, the Cigarettes (Regulation of Production, Supply, and Distribution) Act was introduced, which made it mandatory for cigarette packs to have a warning stating  Smoking Kills  or  Smoking is injurious to health. 
Marketing campaigns are shown in the movie theatres at the beginning of movies which depict the hazards of tobacco
Smoking is banned in most public areas, and warnings are on display.
Children below 18 are not sold tobacco products. If in doubt, the seller can ask for age identification.
Schools and colleges do not have tobacco selling within 100 meters of the campus.
The price increase ensures that not everybody has easy access to cigarettes.
Celebrities promote quitting tobacco and smoking by talking about their personal stories.
How can a healthcare professional help you?

A healthcare professional plays a vital role in a smokers life, as it the healthcare professional that can increase the odds of quitting with guidance, medication, and support. 

What should a healthcare professional do?

Identify people who smoke 
Motivate them to quit or think about quitting
Refer a person who smokes for treatment and support
Support ongoing abstinence
What is the right smoking cessation strategy?

Ask: Every smoker to visit a healthcare professional
Advice: Urge the smoker to leave smoking
Assess: Assess whether the person is willing to quit in 30 days
Assist: Plan and help Rx Quit
Arrange: Arrange a follow-up through phone or SMS or in-person
What is that people who smoke need help with?

First and  the foremost challenge are the withdrawal symptoms 
Urge to smoke and borderline depression with a possibility of relapse
People who have high pre-abstinence nicotine intake
How to get over the initial withdrawal discomfort?

Behavioural support is of proven efficacy
Can be delivered in different formats
Face-to-face
Telephone
Internet
Nicotine replacement therapy and nortriptyline are of proven efficacy
Facts On Nicotine Replacement Therapy (NRT)

There are no real contradictions related to NRT
No drug interactions 
Side effects, if there are any are localized e.g.
Taste of oral products
Hiccups with the mouth spray 
Skin irritation with patch 
Treatment for quitting Nicotine  - Medications: Medicines which are useful adjuncts in the determined but unsuccessful quitters are Varenicline and Bupropion. 

Though smoking out in the open has reduced, there are miles to cover when it comes to eradication of tobacco. 

World No Tobacco Day - Making An Effort To Control Tobacco Usage!

Is someone close to you into drugs? Are you concerned about him or her having a drug problem? There are several patterns of drug abuse, which help you to determine the extent of drug abuse a person is undergoing. It is important for you to recognize your dear ones  drug use patterns and analyse whether you need to take further steps. The different drug abuse patterns are classified as follows:

Hard drug use
Hard drugs like cocaine, heroin, and methamphetamine are considered to be the most dangerous in terms of their harmful effects on health and behavior.
They are associated with risks of addiction. Most people start with such drugs recreationally, but addiction can set in very quickly.
People engaging in hard drugs are subjected to high risk behavior. They usually become isolated and live in their own world, away from society.
Frequent drug use
The frequency of drug abuse is not good enough for determining, if a person is addicted.
People engaging themselves in binge drinking during weekends can have serious issues in spite of not drinking every day.
Frequent drug use indicates a person s drug tolerance and dependence. A person who drinks or uses drugs regularly is quite likely to continue this pattern.
Early drug use
People who start taking drugs from early adolescence are at an enhanced risk of developing drug problems in their adulthood.
The earlier a child gets into drugs, the sooner they become addicts.
During adolescence, a person s body and brain still undergo development and any kind of drug-related consequences may be quite severe.
Drug use from an early age is quite a common phenomenon.
Solitary drug use
Teenagers who use marijuana, cigarettes and alcohol while they are alone are at a higher risk of developing drug problems later in life.
They are quite likely to have poor physical health by the age of 23, compared to social drug users.
Solitary drug use is also quite a common aspect that prevails.
Escapist drug use
The reasons for using alcohol and drugs vary from person to person.
People who use drugs for coping with stress, medicating anxiety or depression, and building self-esteem are prone to becoming addicts.
Teens using substances for coping with boredom and grief are highly subjected to drug problems.
A lot of people drink on some occasions, and try some substance just for the sake of experimenting. However, when the substance starts affecting your career, relationships and activities, a pattern of drug use is recognized. These patterns increase the risk of addiction, no matter how many months, years or weeks a person is engaged in them.

Drug Abuse - Understanding The Pattern!

Dyslexia is a neurological condition which makes learning a difficult process in children. Children suffering from dyslexia find themselves incapable of reading and learning as compared to their peers. Dyslexia occurs when the brain cannot process graphic symbols. This causes difficulty in recognizing, spelling and also decoding words. The effect of this condition varies from one person to another and is most often a lifelong condition. It can also vary as a result of different ages in people. However, a slower reading level is one common characteristic that is present in all dyslexic children.

Dyslexia is a strictly neurological condition that has little to do with a person s intelligence. It can also occur as a result of genetic conditions. Early detection of the condition can help in improvement before he or she reaches adolescence. A thorough evaluation process of the child will include the following aspects IQ level, language skills, ability of word recognition, phonological processing, automaticity skills, fluency skills, family history and also knowledge of vocabulary.

The most common symptoms of dyslexia include:

Trouble reading
Very slow progression to milestones such as walking, talking, crawling and learning to ride a bicycle.
Slow development of speech
Trouble with hand-eye coordination
A slow rate of learning when it comes to data
Problem with speech
Very poor concentration span
Children suffering from dyslexia are more prone to developing certain autoimmune diseases such as eczema and asthma.
Dyslexia is sometimes subdivided into a number of categories such as Surface Dyslexia, Rapid Deficit Dyslexia, Visual Dyslexia and Phonological Dyslexia.

There is no medical treatment for dyslexia and help generally includes assigning reading specialists, child psychologist, speech-language pathologists and child neuropsychologists.

Certain practices that you yourself follow when dealing with your dyslexic child are:

Praise your child from time to time
Remind your child that being dyslexic has nothing to do with intelligence levels
Mix with other parents who have dyslexic children and interact with them about ways and strategies to heighten the child s confidence level.
Deal with your child patiently.

Understanding Dyslexia - What All Should You Know

Ageing is inevitable, and as much as we want to escape, there is no way out. All organs, whether obvious or not, undergo gradual degeneration and deterioration. The brain is no exception, and memory being one of its main function also begins to decline with age. There are various factors which determine how quickly this ageing sets in and how rapidly it progresses. These are dictated by a person s lifestyle, activity levels, and overall body changes. Dementia also has a strong family history, and if you know someone who has a family history, there are some early signs that you could watch for. This will help in both empathizing with the person, as well as to help in arresting progression. Read on to know the signs that need to be watched out for.

Mood changes: Sudden changes in mood, especially going into short periods of depression without an obvious reason, is one of the first symptoms of dementia. If it is happening repeatedly, this can help identify dementia.
Personality changes: If a shy person suddenly becomes outgoing or vice versa, this could be an early indicator of dementia. They either develop or shed inhibitions, which is a new change for them.
Memory loss: Sudden short-term memory loss for a person who had a very strong memory is a definite indicator of dementia. They might clearly remember the distant events but forget small things like where to find their medicines, where things are in the kitchen or bathroom, etc. Because of this, you might see them repeating what they just did. This could be like washing a glass again, saying or asking the same thing again, etc.
The difficulty with regular tasks: Short-term memory loss causes difficulty with regular tasks like laying out the dinner table, finding regular medicines, paying utility bills, etc. There is also difficulty in learning new tasks, which further complicates things.
Feeling lost: Due to sudden memory loss and difficulty with regular tasks, they suddenly feel lost, which in turns adds to their depression.
Apathy: This also leads to a general lack of interest in things and people around them. They could have had hobbies, which no longer interest them.
Disoriented: They find it difficult to be aligned to time and space. Directions which they clearly know could seem difficult.
Not able to connect the dots: While the elderly people are generally good at telling stories and anecdotes, with dementia setting in, this becomes difficult.
These are some symptoms which can help identify if a near one is slowly developing dementia. Identifying in the early stages can help in arresting progress and extending support.

Dementia - How To Know If Someone Is Suffering From It?

Do you have a family member or a close friend who is suffering from obsessive compulsive disorder? Obsessive Compulsive Disorder (OCD) is a disorder, which causes anxiety, and is also known as anxiety disorder. The disorder is featured by continuous, uncontrollable and unpleasant thoughts. OCD causes a patient s mind to get stuck on a certain inclination. Obsessive thoughts and compulsive behavior patterns indicate OCD.
Dealing with an OCD patient

After the initial diagnosis, a patient with OCD enters the stage of acute treatment. The treatment aims at coping with and overcoming the symptoms of OCD.

Education: Patients with OCD should get to know as much as possible about the disorder they are suffering from. You should help an OCD affected patient by providing them the opportunity to read about the disease, and talk to other patients, along with regular appointments with a clinician. A treatment plan has to be developed. OCD patients in an acute treatment stage should be taken to a doctor every week, in order to discuss their progress.
Therapy: Therapy helps them cope with the symptoms of OCD. Cognitive behavioral psychotherapy is undertaken for treating patients with OCD. This mode of treatment gives the patients psychological tools, which help them resist the ill effects of the condition.
Medication: Medicines are not required for all OCD patients. Some patients diagnosed with the condition are prescribed selective serotonin re uptake inhibitor or SSIs for dealing with the symptoms of OCD. The medicines should be taken for a period of three to four weeks before any results are experienced. 12 weeks are required for a patient to know whether the medicines are working or not. An SRI is ineffective in some cases, and you may be prescribed a non-selective serotonin re uptake inhibitor like Clomipramine. This affects the serotonin, but has positive impacts on other neurotransmitters in your brain.
Family support: Family members play an important part in helping OCD patients manage their condition by providing constant support, staying calm, and being educated about the condition. OCD patients should be treated with affection and should be complimented often. The observations of the patient by family members help a doctor in determining the patient s condition. As a family member or close friend, you must never be critical about the patient or state negative comments about his condition. Such feedback causes the patient s condition to worsen. Family members should discuss all problems they face regarding the patient to a doctor.
Patients who have completed OCD treatment require monthly check ups with a doctor for six months. A year of cognitive therapy is required to be carried out, along with the intake of prescribed medicines.

Obsessive Compulsive Disorder - How To Handle It?

OCD (Obsessive Compulsive Disorder) is a psychological disorder where you feel compelled to perform irrational tasks in continuous patterns almost ritualistically. These compulsive thoughts may seem, upon examination that they are without any particular reason or rhyme. Naturally, a psychological disorder is not voluntary and people who suffer under this disorder don t voluntarily like to make their lives difficult contrary to some who would say  if you don t like it don t do it. 

It is not a simple matter, OCD can have a lot of underlying reasons which makes life even more difficult and wears you out. You still can t get over a particular thought until you have performed it a given number of times even if it harms your health and the relief is also short lived. For the naysayers who don t realise, how difficult life can be for people suffering from OCD here are a few reasons that you should consider:

Depression: People with OCD are also prone to suffering from depression. A sense of feeling like you are not like others, you see the world a little differently and obsessively repeat such compulsive lines of thought until it wears you out mentally. It is a side effect of OCD and deeply affects their lifestyle negatively.
Anxiety: When you have OCD you suffer from constant anxiety about things you may not have done that you must do or vice versa, or very intrusive thoughts that make you anxious wondering about the kind of person you are or becoming. It is a constant battle everyday trying not to repeatedly perform all the compulsive behaviours that may strike you and makes daily life immensely difficult.
Eating disorders: Suffering from OCD also affects your diet and food habits. You either start over eating or not eating enough resulting in huge amounts of weight gain or noticeable weight loss or just a fluctuation in weight.
Skin rashes: The outer manifestations of OCD are numerous. If you suffer from obsessive, washing of hands or clothes or any activity that requires constantly irritating your skin then you will develop rashes which will cause more anxiety in you. It s just a facet of OCD wherein you become obsessed with cleanliness and can t go without feeling anxious about the number of toxins surrounding you so you go about trying to almost sterilise yourself and end up damaging your skin.
Sleep disturbances: Your sleeping pattern gets affected if you can t build up a routine and then you can t sleep until it s a certain hour at a certain time of the day. Or if you suffer from paranoia then you are unable to sleep because you are actively worried about something or the other. Anxiety also contributes to restlessness.

5 Reasons Why OCD Makes Life Difficult!

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