 I have a severe stomach ache, I feel like vomiting ... Mom, please!! I can't go for exam.
 I read it! I knew it all ... But I just blacked out.  
 I just couldn't write! My hands were trembling.  
 I messed up this question! I can do nothing right... I can never succeed in life!!  

It's not uncommon for students to experience such problems before/ during an exam.

Most of us suffer from some degree of anxiety when we prepare or sit for an examination. Examination usually leads to a lot of tension and anxiety commonly known as examination phobia. Examination phobia or Examophobia is a mental disorder found in most of the students. When exams arrive, students become extremely worried and make plans about how to study, how to perform better and get good grades. Some students find exams so difficult that the phobia makes them sick as they simply find themselves unable to cope up with the exam fear. There may be sweating, palpitations that disturb so much that one cannot think straight and end up messing up the paper. Also, in subsequent exams, it becomes worse and the fear intensifies. The person may end up feeling a failure, feeling guilty and may even be suicidal! 

Anxiety is a normal human feeling that is part of life and can often serve as a good form of adrenaline. However, in few people, this adrenaline rush exceeds normal limits and at times may lead to some negative consequences.

Exam anxiety is:

1. Excessive worry about upcoming exams 
2. Fear of being evaluated 
3. Apprehension about the consequence 
4. Experienced by many normal students

POSSIBLE CAUSES 
(I) Environmental Causes

1. High expectations of parents 
2. Parents imposing their ambitions on children 
3. Parents competing for higher social status through child's scores 
4. Constant comparison with other kids 
5. Fear of teachers 
6. Insulting remarks from teachers

(II) Poor studying styles: 
1. Inefficient:

1. Irregular coverage of the entire syllabus 
2. Trying to memorize the course book 
3. Binge learning 
4. Studying all-night right before exams

2. Ineffective:

1. Reading without understanding the topic 
2. Unable to recollect the material 
3. Not making revision notes 
4. Not revising

(III) Psychological factors:

1. Feeling little or no control over the exam situation (rather than knowing and applying exam strategies) 
2. Negative thinking and self-criticism 
3. Irrational thinking about exams and outcomes 
4. Irrational beliefs  If I don't pass, my (family/boyfriend/girlfriend/friends) will lose respect for me  
5. Irrational demands  I have to get at least 98% or I am worthless.  
6. Catastrophic predictions  I'll fail no matter what I do there s no point.  
7. Low Self-esteem 
8. Fear of failure

SYMPTOMS OF EXAM ANXIETY 
The symptoms can range from minor nervousness to a panic attack, which can ruin the test. But whatever the level of your anxiety, learning to keep yourself calm and managing the fear of sitting for an examination is what it takes to come out with flying colors.

1. Physical symptoms. Headache, nausea, diarrhea, excessive sweating, shortness of breath, rapid heartbeat, lightheadedness and feeling faint can all occur. Test anxiety can lead to a panic attack, which is the abrupt onset of intense fear or discomfort in which individuals may feel like they are unable to breathe or having a heart attack. 
2. Emotional symptoms. Feelings of anger, fear, helplessness and disappointment are common emotional responses to test anxiety. 
3. Behavioral/Cognitive symptoms. Difficulty concentrating, thinking negatively and comparing yourself to others are common symptoms of test anxiety.

HOW TO PREPARE WELL FOR AN EXAMINATION 
Fortunately, there are several methods that you can adopt to reduce your examination stress, which will not only help you to get higher grades but also improve your overall mental health.

1. Regular Studies Develop good study habits- ATTEND classes regularly, finish all the assignments on time, make notes properly and be an actively engaging student in school. Leave plenty of time to revise so that you don't have to do last minute cramming. Giving yourself adequate time will help to boost your confidence and reduce any pre-exam stress as you know you have prepared well. Instead of waiting for the eleventh hour, start studying as and when the academic year commences. With a good amount of time before hand, you will certainly feel more relaxed as you have plenty of time to give-in your best. 
2. Exercise Matters - It is of paramount importance to maintain mental, psychological and physical health to ace any exam. Exercising regularly, deep breathing and  pranayama  help in improving one s cognitive faculties, that results in lesser anxiety and simultaneously better grades in the tests. 
3. Don t Undermine the Importance of Diet - Be careful about your diet during the exams. A diet lacking in essential nutrients can put a major dent in your preparations; make you feel nauseated, SLEEPY OR overstressed during the crucial hours. 
4. SLEEP WELL - Adequate sleep is also vital. SLEEPING TOO LESS OR TOO MUCH CAN ALSO HAMPER YOUR ABILITIES 
5. Support - Take short breaks in between and spend some quality time with your family; share your feelings and state of mind with them. Spending time with the family can turn out to be a major stress buster. 
6. Set a Study Time: Lastly, drawing up a schedule will help you make the most of your study time. Set aside a time for your studies and follow it meticulously. Keep it flexible so that you can make the necessary adjustments. 
7. Stay focused: Concentrate on your studies, not others during the examination time. Avoid talking with other students about the subject before an examination. 
8. Use Mnemonics: Mnemonics are the techniques of memorization. You can make chart, rhymes or phrase to memorize your lessons. 
9. Practice Deep Breathing Regularly - Meditation is one of the best medicine that can reduce your anxiety. Make a habit to Meditate at least 10 minutes per day. It surely increases your concentration power. 
10. Consult Psychologist: If your anxiety becomes uncontrollable, don t hesitate to consult a psychologist or therapist. CBT (Cognitive Behavioural Therapy) is pretty effective in treating anxiety disorders. It helps to change your thought process and negative beliefs. Performance or test anxiety is highly treatable so you can get absolutely get a better result.

HOW TO ATTEMPT THE EXAMINATION IN BEST POSSIBLE WAY 
(I) ON THE DAY OF EXAM

1. Get a restful, uninterrupted sleep the night before so you wake up refreshed and revitalized the day of the exam. 
2. Have a healthy breakfast but strictly avoid oily and heavy food 
3. Recheck your required stuff (pen, pencil, compass box, eraser, admit card, watch etc) before leaving home. 
4. Take the water bottle along with you to the examination hall. 
5. Avoid touching new/left-out topic at the last moment. 
6. Aim to reach the examination hall well in time. 
7. Avoid being part of Before-exam peer discussions on How well-prepared or unprepared others are! The classic  Tera kitna ho gaya  question followed by undue comparisons can be a complete confidence killer. So Beware !! 
8. If feeling tensed, take deep-long breaths and engage in positive self-talk; reminding yourself that you prepared best to your ability and tell oneself   I CAN DO IT  

(II) IN THE EXAMINATION HALL

First of all, fill the required information on the answer sheet. 
Read the instructions carefully to figure out if you have a choice of questions, no. of questions to be attempted etc. 
Read the question paper thoroughly before u begin writing and mark the questions under 3 categories: (a) Easy (b) Manageable (c) Difficult 
Manage your time: This is where you strictly need to stick to the plan:
Before you begin, allocate time for each question based on the marks it carries and difficulty level. 
If you are not able to complete an answer within planned time-frame, leave some space and move onto the next question. 
Always divide time in such a way that you are left with some time at the end to go back over incomplete answers and revise/recheck. 
Always try to attempt all the questions. 
Attempt the Easy questions first, followed by Manageable and Difficult questions at last. That way you stay secure, calm and confident. 
Avoid writing too lengthy answer just because you know it well.
5. Presentation:

a. Handwriting should be neat & readable. 
b. Instead of very long paragraphs, put your answer point-wise. 
c. Wherever possible, illustrate the information via Flowcharts/diagrams etc. 
d. Highlight: underline or highlight the main points using pencil / coloured markers but you should keep it for last spare moments.

(III) TIPS FOR PARENTS: 
Encourage your kids! Parents have the ability to address underlying fears that may be present with test-taking. At a deep level, even subconsciously, a student may fear failure for a variety of reasons. There could be a fear of looking dumb to friends, of not getting into the best school, or of not meeting parent s expectations. A great help is for parents to reinforce their unconditional support and encouragement to the child. Parents, let your children know that their grade does not determine their worth. Believe in your child. 

Help them get over the myth that  Success in exam is a predictor of success in life . 

Good marks = Great job. 
Poor marks = End of life!!

In short,  There are no secrets to success. It is the result of Time Management, Hard work and Learning from mistakes 

Say Goodbye To Exam Phobia!

Epilepsy is a disease that affects the brain's nerve cells and triggers the release of abnormal electrical signals. This can cause temporary malfunctioning of the other brain cells and result in seizures and sometimes loss of consciousness. Epilepsy can affect both children and adults.

Causes of Epilepsy

The cause of this condition isn t very evident; however, few causes of epileptic seizures to metion are brain tumours, injury, infections in the brain or birth defects. Some doctors believe that epilepsy is caused due to genetic mutations and is an outcome of abnormal activity of cells in the brain. Other causes for this condition can be alcohol or narcotics withdrawal and electrolyte problems.

 Symptoms

Repeated seizures

Impaired memory

Bouts of fainting

Short spans of blackout

Sudden bouts of blinking and chewing

Panic

Inappropriate repetitive movements

Types of Seizures
A seizure, also known as fit, is usually a brief episode characterised by uncontrollable jerking movement and loss of awareness due to abnormal neuronal activity in your brain. A collective occurrence of these seizures causes epilepsy.

 There are three types of seizures based on aetiology:

Idiopathic: This kind of seizure has no apparent cause.

Cryptogenic: The doctors believe that there is a cause for the seizure but cause cannot be detected.

Symptomatic: These seizures occur due to a reason, as a symptom of some neuro-medical condition.

Role of Homeopathy

Homeopathy is a form of healing based upon the principle of  Similia similibus curentur  or  like cures like . It was founded by a German doctor, Dr. Samuel Hahnemann in 1810. Homoeopathy offers vast scope in the treatment of various illnesses, both acute and chronic including epilepsy. Homeopathy takes into account the entire person like the patients family history, past history, etc. Homoeopathic doctors study each case thoroughly, analyze and evaluate the symptoms and then prescribe the medicine.

Homeopaths treat the patient s mental, emotional and physical make-up i.e. the constitution. This is known as  constitutional treatment . Constitutional treatment treats the disease and removes it from its roots. The Constitutional method is employed in the treatment of epilepsy in Homoeopathy. This method is gives amazing results in many cases.

Homeopathy has immense scope in the treatment of Epilepsy. In fresh cases, where the child is new to epileptic treatment, homoeopathy can relieve complaints by giving  constitutional treatment .

In other cases where the child is already taking treatment, homoeopathy can taper off the doses gradually and thus treat the patient effectively. Thus, in both the cases, homoeopathic treatment is beneficial in treating epilepsy.

In either of the cases, a constitutional medicine is given to treat epilepsy. Constitutional treatment relieves the patient from seizures, convulsions, etc. Thus the child can attend school daily and concentrate on his studies. In about 1/3 cases of epilepsy, a surgery known as  seizure surgery  is performed. Regular constitutional treatment is very useful in such cases.

Homeopathic medicines are completely side-effect free and are not habit-forming. They can be taken by children, adults and even by pregnant women. They must be taken only after consultation from a homoeopathic practitioner.

Epilepsy - Causes, Symptoms & Homeopathic Treatment Of It!

With age, just like other body functions, the mind too begins to slow down. This could lead to problems in communication, focus, recall, reasoning, and thinking. So with dementia, the person faces problems which are a combination of above-mentioned activities. Dementia is a symptom associated with many diseases and is not a disease on its own.

Alzheimer s is the main cause of dementia, followed by stroke or brain injury, Huntington s disease, and Lewy body disease. However, there are some symptoms that can be indicative that a person is gradually progressing into dementia. Watching out for these symptoms can help one seek help at an early stage, thereby helping the affected person, and slowing down its progress.

Short term memory loss: With age, people tend to forget what happened recently, and this can even be something as recent as the previous day. However, they can very clearly recollect events from the past. They might forget things like where they have placed their glasses, where the television remote control is, etc. They may also ask for the same information repeatedly, even after it is answered.
Mood changes: Rapid mood swings is observed in a person suffering from dementia. Their emotions keep changing within a matter of seconds, and they may show also less emotion than what they used to show previously.
Personality changes: Since dementia affects reasoning and judgment, someone who was earlier shy could suddenly become outgoing. Their inhibitions which led to a shy personality are lost, making them more outgoing.
Difficulty in performing regular tasks: Be it forgetting things like laying out tables, keeping things back in their places, or organising medical kits, with dementia setting in, these tasks slowly become more difficult to do. Also, learning new tasks, even simple ones, seem tough and are often not accomplished.
Losing storylines: The elderly would usually be good with telling and appreciating stories like telling tales to their grandchildren or following television soaps and stories. However, as dementia begins to set in, they tend to lose storylines, both when observing and telling.
Repeating actions: As they are not able to register things, they tend to repeat things, both in words and in actions.
Feeling lost: Things like heading out to a store to buy something and then wondering why they came there are common. Short-term memory loss can cause such situations. This confusion, especially with regard to time and things, is very common.
Spatial and time orientation: There could be problems relating to space and time, seasons, and they may often ask questions like what time it is, etc. Routine tasks like paying bills, cooking using recipe books, which were easily managed, suddenly begin to look difficult.
Apathy: Losing interest in people, hobbies, or other things like puzzles, which they once enjoyed, become boring and unenjoyable.

9 Early Symptoms of Dementia!

In recent times, the advancement of medical science has substantially contributed in comprehending the Alzheimer s disease. Unfortunately, the number of individuals suffering from the disease is expected to rise in the next ten years which pose a threat to the allocation of health care resources and public health. Alzheimer s disease is thought to be a complex disease which influences a person s behavior as well as cognition through numerous mechanisms.

Can surgery be deemed as a treatment for Alzheimer s disease?
The surgery is a multicenter clinical trial which is making a new direction in clinical research. It is devised to halt or slow down the problems caused by the disease which gradually erases a lifetime of memories in elderly patients. Though there is no cure for Alzheimer s disease, it has been found that low-voltage electric charges delivered right at the brain. Only the symptomatic therapies for Alzheimer s disease are provided which do not have any effect on the evolution of the disease. The standard medical treatments for Alzheimer s disease include cholinesterase inhibitors along with a partial N-methyl D-aspartate antagonist. In most cases of mild to moderate symptoms of this disease, a combination of treatments is used according to the clinical history, age and condition of the patient.

Mental activity supporting cognition
Many patients having normal cognition or mild impairment have a fear that they may develop AD. Many experts are of the opinion that mentally challenging activities including brain teasers and crossword puzzles can be helpful in reducing the risks in such patients. Clinical trials are under the way for determining whether or not these types of activities have any substantial effect on halting the progression of AD.

Treating AD in its moderate to the severe stage
Numerous studies have shown that blockade of NMDA receptors by memantine can be used safely in combination with ChEls. This combination has been shown to delay the institutionalization in patients with Alzheimer s disease.

Treating secondary symptoms
A variety of behavioral as well as pharmacologic interventions can help in overcoming the clinical manifestations of the disease. These include anxiety, psychotic behavior, depression and agitation among others. The effectiveness of this disease can range from modest to excellent. No particular agent or dose of it can be unanimously accepted to be the sole treatment option for the wide range of clinical issues. Moreover, in the recent time, the FDA has not accepted any psychotropic agent for treating AD.

Along with these treatment options, there are behavioral interventions that can range from patient-centred approaches to caregiver training for helping manage the cognitive and behavioral manifestations of Alzheimer s disease. Last but not the least, it is very crucial to point out the significance of treatment in the early stages of AD in order to cure it better.

Alzheimer's Disease - Can Surgery Help You Treat It?

A neurological disorder characterized by sudden recurrent episodes of sensory disturbance, loss of consciousness, and convulsions associated with abnormal electrical activity in the brain.

Role of physiotherapy in epilepsy

It helps improve strength, mobility, and increases the range of motion and sphere of movement.

It helps improve sensory awareness, response, balance, and coordination.

It helps to improve quality of movement and physical performance.

The goals of physiotherapy

To develop strength enough to support one s head upright

To have balance and motor control to maintain their trunk at midline

To use many different muscle groups

To assist necessary motion in their trunk and extremities

The physiotherapists write short-term goals for each of the items on the problem list that need to be covered to help the patient achieve the long-term goals

To understand what the patient is good at and does well

To focus on what he or she capable of doing rather than on what they can t do

To educate and provide awareness with a view to prevent injuries

For example, advice on special swimming equipment to prevent drowning if he/she gets seizures in the pool

Padding out sharp corners in the house to prevent damage if fallen on

Physiotherapy treatment for a healed fracture consists of strengthening muscles that have got weak from being immobilized and stretching muscles that are stiff owing to being in the cast for a long period of time.

How can physical exercise help with seizures?

Physical exercise improves fitness, energy, and mood and even relieves stress. Improving overall health and well-being in this way can help reduce seizures. 

It can also help people feel more in control of their health. 
It also helps release  feel good  hormones into the brain, keeps muscles active, reduces fat levels in the body, and increases oxygen flow to the brain. 
It can also increase the bone density. 
A research showed that regular sessions of aerobic exercise (for example running, walking, swimming, cycling) for 60 minutes, twice a week, for 15 weeks can result in a significant reduction in the number of seizures they had.
Drink water, diluted fruit juice, or squash while exercising to help replace the fluids and body. Do not exercise straight after a meal.
Team sports or group activities such as walking or gardening groups can also be a good way of increasing self-confidence. 
Making new friends may help with any feelings of isolation. 
Most sports, including contact sports like football, hockey, basketball and rugby, have not shown to increase the chance of someone having a seizure, but contact sports come with an increased risk of head injuries, which could affect people with a history of epilepsy. Protective sports headgear helps to reduce this risk.


Epilepsy - Understanding The Role Of Physiotherapy In It!

Vertebroplasty means shaping the backbone i.e. vertebra for backbone and plasty is related to shape. This is an outpatient procedure done to treat compression fractures of the spinal cord. The backbone is made up of multiple small bones which are stacked one on top of the other with a filling material in between that is known as vertebrae. The stack of bones are held in place by the soft, elastic vertebral material. 

Vertebroplasty & similar procedure called kyphoplasty is a non-surgical procedure where collapsed vertebrae is brought back to shape by injecting medical bone cement under fluroscopy / image intensifier in OT, thereby relieving pressure on the spinal cord or spinal nerves with special canula directed to the core of vertebral body. Indicated in osteoporotic vertebrae, spinal fracture, metastatic tumour or primary tumour of spine. This technique has replaced major surgery done earlier to reshape & fix vertabrae.

Technique: Bone cement, in a semisolid state, is injected into the weakened or fractured bone space. Once this solidifies, it provides additional support to the spine, enabling normal movement. It also helps in reducing the pain significantly and improves the overall mobility.

Procedure:

In what takes about an hour, the following steps are done. Earlier, a few decades ago, this would be an open surgical procedure. However, with advance technology, now it is done using a small incision

Local anesthesia is given in the area that needs to be operated
A biopsy needle is inserted into the fractured space with the help of an X-ray
The acrylic bone cement is injected into the bone space with a needle to fill up the space, once it solidifies, it stabilizes the vertebral space
The needle is removed and the incision is covered with a bandage
Usually the patient is sent home in an hour s time unless the overall condition is really bad
There could be some soreness at the site where injection is given, but one can notice a significant reduction in pain from the day of the procedure
There is also improvement in mobility while doing daily chores
The pain relief can last up to 3 years after the procedure
Returning back to normal activities takes about 3 to 4 days after the procedure
When to use this procedure?

Vertebroplasty is usually done in case of non-radicular pain that is intractable. In most cases, they do not respond to traditional therapies including physiotherapy, pain medications and even surgery. The pain could be due to:

Osteoporosis
Cancer metastasis
Myeloma
Spinal hemangiomas
Traumatic fractures
Benefits of using vertebroplasty for managing pain 

Minimally invasive
Effective way to get relief
Improves mobility
Cost-effective
Reduces need for long-term use of painkillers
Stabilizes the spine and prevents further collapse

Vertebroplasty - How It Can Help Manage Pain?

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