Rice Khichu

Ingredients   1 cup Rice Flour  ½ tsp Green Chillies (chopped)  ¼ tsp Chilli Powder  1 tbsp Fresh Coriander (finely chopped)  ½ tsp Cumin Seeds (jeera)  ¼ tsp Soda-Bi-Carbonate  A pinch of Hing (asafoetida)  2 tbsp Oil  Salt to taste

Preparation Time

 Method

• Take a wide vessel (handi) and put 2 ½ cups of water in it.
• Put it over the flame and bring it to boil.
• Now add chilli powder, cumin seeds, soda-bi-carb, green chillies, salt and a pinch of hing into it.
• Mix well and let it boil for few minutes.
• Now slowly add rice flour and keep stirring so that no lumps are formed.
• Cover the vessel with a lid and cook for 10 more minutes.
• Now put oil and coriander and mix it properly.
• Serve hot Rice Khichu with papad.

Bed Wetting in Children

Bed-wetting is a condition that affects children worldwide. Bed-wetting is a subject that parents usually avoid discussing with anyone. They may be ashamed to admit that their child still cannot control his bladder. However, bed-wetting in children, and even teenagers, is a common occurrence.

Bed-wetting (sleep-wetting or 'nocturnal enuresis') is a term given to the uncontrolled passing of urine while a person is asleep. It affects people of all ages, but is usually seen in young children, until the age of six. Male children are usually affected by it.

Bed-wetting can occur due to a number of reasons. It can be hereditary or it can be due to any anatomical/physical causes, psychological causes or due to any external stress.

Effects of bed-wetting on children:

Bed-wetting is not physically painful, but such children might suffer from emotional problems. This is largely due to the stigma associated with bed-wetting. Punishing or teasing the child will only harm his/her self esteem and make more difficult for the child to stop bed-wetting.

Bed-wetting also prevents children from attending certain social activities involving sleepovers and overnight trips. Children who are unable to join in these gatherings may find themselves missing out on spending quality time with their peers for no fault of theirs and thus, they start suffering from psychological distress.

Ways to stop bed-wetting in children:

The first thing to remember is that bed-wetting is an involuntary response. A child does not deliberately wet the bed. Almost all children wet their bed till their bodies learn to control their bladder. Thus, bedwetting until the age of five or six is perceived to be a common occurrence and is usually not considered a problem.

There are some steps parents can take to minimize a child's chances of bed-wetting. The simplest way is to limit a child's fluid intake a few hours before bedtime. Also, encourage the child to visit the toilet before he goes to sleep. If necessary, wake him up once during the night so that he can empty his bladder. Bed-wetting usually increases with a drop in temperature, so make sure the child is dressed in warm clothing. The child can be made to wear diapers to reduce his embarrassment and prevent him from making a mess. In severe cases of bed-wetting, it is better to consult a doctor to detect the underlying cause.

Bed-wetting is not a disease. It is simply an unfortunate condition that affects children not just physically, but mentally as well. However, it can be easily cured and in most cases, the best healer is time.

Fatigue/Stress

Delivery may be a natural process, but along with it each mother experience stress and tiredness to different degrees. Recovering from delivery may take some time. The length of labor hours and the rest you had before delivery are important factors that decide the degree of tiredness.

If the delivery was without complication then sooner will be your recovery. Stress and anxiety after delivery is very common. The main reason being decreased hormonal level. Every woman has a feeling that being a new mother, is a very big responsibility and a   challenging task. This is not wrong but you need to remember that taking someone’s help is not wrong. Remember the following to cope-up with stress.

1. Feeling exhausted is not sin, take some rest.

2. Sleep is necessary not only for your baby but also for you.

3. Being anxious is ok but don’t do anything in hurry.

4. Remember you need energy to take care of yourself and your baby so eating small meals at intervals would be more useful.

5. Take someone’s help in taking care of a child. Take advice from any elder.

6. Your child needs your attention so does your own body. Do simple exercise and try to lose body weight that has been put during your pregnancy time.

Dental Fillings

Dental caries is the biggest problem in every age group. Dental caries is not only due to intake of more sweets, it can be due to several reasons like:

• Improper Brushing

• Irregular teeth

• Irregular gaps in between the teeth

• Bad oral habits

• Improper Oral hygiene

Based upon the area of dental caries cavities are classified by G.V black as follows:

• Class 1 cavity - Caries is present on occlusal portion and buccal or lingual pits.

• Class 2 cavity - Caries present on posterior interproximal area.

• Class 3 cavity - Caries present in anterior interproximal area.

• Class 4 cavity - Caries present in anterior interproximal including the incisor area.

• Class 5 cavity - Caries present on gingival at facial or lingual area.

• Class 6 cavity - Caries present on cusp tip.

Whenever we go to Dentist for dental fillings, we always tell Dentist that filling should not be visible. Eventually, we opt for tooth colored fillings. Types of dental fillings available are:

1. Silver Filling or metal Filling or Amalgam fillings.

2. Tooth colored filling or white filling or Composite resin fillings.

Advantages of Silver Filling:

1. Silver filling is the strongest filling ever known

2. It is less technique specific

3. It has tolerant to moisture present in oral cavity while placing the filling in tooth.

4. It does not get discolored while coming in contact with food ingredients such as Tamarind.

5. It takes time to get hard, for this reason it can be packed easily even in larger cavities.

6. It is inexpensive and versatile Filling.

Disadvantages of Silver Filling:

1. It contains mercury which is still in question that whether the use of silver fillings should continue or not.

2. Amalgam filling cannot be used in Anterior or front teeth due to its color.

3. Amalgam filling requires more space to get filled in tooth. In this case, Dentist sometime has to even cut healthy tooth while preparing the cavity.

Advantages of Tooth colored Fillings:

1. Tooth colored fillings can easily be used in anterior teeth or front teeth because of its color.

2. These fillings contain fluoride which does not allow carious lesion to proceed further and hence prevents further damage.

3. It can be completed in Single visit.

4. It does not cause tooth sensitivity.

Disadvantages of Tooth colored Fillings:

1. These fillings are very technique sensitivity. While doing tooth colored filling, if moisture comes in contact they lose half of its strength.

2. Tooth colored fillings get discolored if comes in frequent contact with food ingredients like tamarind.

3. It is expensive, and not recommended on tooth bearing heavy occlusion forces.

4. These fillings shrink with time which allows the micro leakage of food particles beneath the cavity. This is the main reason of dental caries beneath the cavity.

Post Dental Filling Prevention Measures:

1. Avoid tea, coffee for 1 or 2 days.

2. Avoid intake of food which requires hard chewing like mutton, chicken especially when filling is done in front tooth.

3. Avoid sticky food like chewing gum and sweets for 1 day.

4. Do not prick any instrument in filled tooth.

Frequently Asked Questions:

Is silver filling advisable for all teeth?

Silver filling is recommended in posterior (back) teeth. In case of anterior (front) teeth white fillings are recommended.

Is local anesthesia required prior to filling procedure?

Local anesthesia is not required in fillings, but in some cases if the tooth is sensitive and patient is quite apprehensive then anesthesia is must.

Does Tooth colored fillings harm the oral tissues?

No, White fillings don’t harm any of the oral tissues.

Is Mercury present in Silver filling safe?

No, mercury used in silver fillings is still in question. Some dentist do not recommend silver filling in any situation, but some are still using. Mercury if swallowed can cause mercury toxicity.

Why tooth colored fillings take more time?

Tooth colored fillings are more technique specific hence require more time.

After filling if pain starts in tooth then what is the treatment?

Sometimes due to deep carious lesion Dentist has to make deep cavity. In case of deep cavities dentist always gives a lining of medicament (which allows the formation of secondary dentin) beneath the filling and wait for 3 weeks. If patients complain of pain after 3 weeks, then RCT is recommended.

Bell's Palsy

Bell's palsy is defined as a sudden paralysis on one side of face. It is common in individuals residing in cold countries.

Common causes:

• Inflammation of facial nerve
• Infection in oral cavity
• Hereditary
• TMJ disorder
• Tumors
• Autoimmune disease
• Smoking
• Ear infection
• Facial trauma
• Cold or flu

Symptoms:

•  Dry eye
•  Corner of the mouth droop
•  Frequency of tears decreases
•  Patient is not able to speak and smile properly
•  Numbness or weakness on one side of mouth
•  Patient is not able to close eye and mouth properly.

Treatment:

In many cases Bell’s palsy get resolved in few weeks. Massage of facial muscle, eye drops and the treatment of underlying cause can treat Bell's palsy. Eyes should be covered as eye is not closing properly so to prevent the chances of infection in open eye is more.

Breastfeeding

Breastfeeding Introduction

Human milk is widely recognized as the optimal source of nutrition for all infants. Breast milk promotes development of the infant's immune system and meets the nutritional requirements of an infant until approximately six months of age, when complementary foods and fluids are usually added to its diet.

There are many women who choose not to breastfeed. The possible reasons may include embarrassment, lack of knowledge about the benefits of breast milk, belief that formula is equal to breast milk, and myths about the "ease" of formula feeding compared to breastfeeding.

However, breastfeeding has got a lot of benefits not only for the mother but also for the child. For the following reasons, it is recommended that the mother breastfeeds the baby for at least 6 months without the formula food. And partial breastfeeding with formula food is recommended for the next 6 months.

Benefits of breastfeeding
For infants:

• Better digestive tract function and protection from digestive tract infections, such as vomiting and diarrhea.

• A reduced risk of respiratory infections, ear infections, and wheezing.

• Some studies suggest that breastfeeding reduces the risk of obesity, cardiovascular disease, and autoimmune diseases, such as type 1 diabetes mellitus.

For women:

Compared to mothers who feed formula, women who breastfeed experience:

• Reduced blood loss after childbirth as a result of a hormone, oxytocin, which is released into the mother's bloodstream while breastfeeding.

• Reduced levels of stress as a result of several hormones released during breastfeeding.

• Increased weight loss after pregnancy (if breastfeeding continues for at least six months).

• Decreased risk of breast cancer.

For family:

Families who breastfeed experience:

• Reduced infant feeding costs by cutting down the cost of infant formula and associated supplies.

• Reduced costs related to healthcare, including doctor's visits, hospital costs, and lost time from work. Infants who are breastfed are less likely to become ill and less likely to be hospitalized, reducing the potential costs and anxieties of caring for an ill child.

When to start breastfeeding

Breastfeeding should begin within the first few hours of delivery, if possible, by allowing the baby to rest or nurse, skin-to-skin, on the mother's chest. During this time, most infants are alert and interested in nursing.

In some situations, the infant or the mother must be separated for several hours or even days after delivery. Pumping the breasts and then storing the milk for use is recommended to stimulate production of breast milk; this can be started optimally within the first 12 hours after delivery.

In the first few days after delivery, the woman produces a small amount of yellowish milk called colostrum. Colostrum is rich in nutrients and provides all the calories a baby needs for the first few days.

Women should not worry when only small amounts of colostrum are normally produced. Infants are born with an excess of fluid and sugar stores that they are able to use as the woman's milk supply increases.

It is normal to produce small amounts of milk in the beginning. With continued frequent breastfeeding, the amount of mature milk produced will increase within two or three days. Infants normally lose weight during the first few days of life and gradually regain this weight by two weeks after delivery.

Positioning during breastfeeding

A woman may use one of the several positions to hold her infant while breastfeeding. There is no such "best" position for every infant and woman; the best position is one that is comfortable for the woman and allows the infant to latch-on, suckle, and swallow easily. A woman may have several preferred positions depending upon the baby's size, the baby or mother's medical condition(s), and feeding location.

 In all positions, the baby should not require turning his or her head to nurse; the baby's nose should be aligned with the mother's nipple. Turning the head in any direction makes it more difficult to coordinate suckling and swallowing, and can potentially make it more difficult for the baby to latch correctly.

Pillows or nursing supports can help to ensure that both the woman and the infant are comfortable. When the mother is sitting in a chair, a foot stool is helpful in supporting the infant's weight and preventing fatigue in the mother's arms, shoulders, and neck.

Latch On

‘Latching on’ refers to the infant's formation of a tight seal around the nipple and most of the breast areola with his or her mouth. A correct latch-on allows the infant to obtain an adequate amount of milk and helps to prevent nipple soreness and trauma. Signs of a good latch-on include:

• The top and bottom lips should be open to at least 120 degree angle.

• The lower lip (and, to some extent, the upper lip) should be turned outward against the breast.

• The chin should be touching the breast while the nose should be close to the breast.

• The cheeks should be full.

• The tongue should extend over the lower lip during latch-on and remain below the areola during nursing. This is visible if the lower lip is pulled away.

When an infant is latched correctly, the woman may feel discomfort for the first few seconds, which should then decrease. Continuous discomfort may be a sign of a poor latch-on. To prevent further pain or nipple trauma, the woman should insert her clean finger into the infant's mouth to break the seal. The infant can then be repositioned and assisted with latch-on again.

Signs of poor latch-on include:

• The upper and lower lips are touching at the corners of the mouth.

• The cheeks are sunken.

• Clicking sounds are heard, corresponding to breaking suction.

• The tongue is not visible below the nipple (if the lower lip is pulled down).

• The nipple is creased after nursing.

An infant must be able to suckle and swallow correctly to consume an adequate amount of milk. It should be possible to hear the infant swallow. The infant's jaw should move quickly to start the flow of milk, with a swallow heard after every one to three jaw movements.

Frequency and Length of Breastfeeding

Women are encouraged to attempt breastfeeding as soon as the infant begins to show signs of hunger. Early signs of hunger include awakening, searching for the breast or sucking on the hands, lips, or tongue. Most infants do not cry until they are very hungry; waiting to breastfeed until an infant cries is not good for its health.

In the first 1 to 2 weeks, most infants breastfeed 8 to 12 times per day. Some infants need breastfeed frequently, as often as every 30 to 60 minutes, while others will have to be awakened and encouraged to nurse. A baby may be awakened by changing the diaper or tickling the feet.

Caring for an infant can be an exhausting experience. The length of time an infant needs to finish breastfeeding varies, especially in the first few weeks after delivery from as little as five minutes to 20 minutes or more. It is recommended that the infant be allowed to actively breastfeed for as long as desired. "Active" breastfeeding denotes that the infant is regularly suckling and swallowing.

Most infants signal that they are finished nursing by releasing the nipple and relaxing the facial muscles and hands. Some infants younger than 2 to 3 months often fall asleep during nursing, even before they are finished. In this case, they should be awakened and encouraged to finish nursing. After finishing one breast, offer the other side with the understanding that the infant (especially an older infant) may not be interested.

The baby’s urine, stool and weight should be monitored regularly in order to analyze how well the breastfeeding is going on in the initial days.

When not to breastfeed:

In rare cases, a woman's breasts may be incapable of providing a sufficient amount of breast milk.

Breastfeeding is not recommended for women or infants with the following conditions:

• Women who are HIV positive

• Women with human T-cell lymphotropic virus type I or II (HTLV)

• Women being treated with chemotherapy or radiation therapy

• Women who abuse drugs or alcohol

• Women with herpes simplex lesions on the breasts (ok to breastfeed if one breast has no lesions)

• Infants with classic galactosemia (galactose 1-phosphate uridyltransferase deficiency).

Breastfeeding is encouraged for women or infants with the following conditions:

• Women with hepatitis (A, B, or C)

• Women with past or current cytomegalovirus (CMV) infection

• Infants who develop jaundice.

Common Breastfeeding Problems:

Breastfeeding a healthy infant is often accompanied by different challenges. These challenges when combined with the normal anxieties of parenting a newborn infant can be difficult to deal with.

Problems associated with breastfeeding cause distress, mild discomfort or significant pain because of which many women stop breastfeeding after a few weeks. However, these problems can be treated effectively, allowing the woman to continue breastfeeding, which benefits her and her infant's health.

Some of the common breastfeeding problems are discussed as follows.

• Breast Engorgement
Engorgement refers to swelling within the breast tissue, which can be painful. Engorged breasts become firm, flushed, warm to the touch, and feel as if they are throbbing. Some women develop a slight fever.

The best treatment for engorgement is to empty the breasts frequently and completely by breastfeeding.  If the breasts are engorged, expressing milk by hand or breast pump can help to soften the areola and allow the baby to latch on more easily. However, it is important to avoid over stimulating the breasts with hand and/or pump expression because this could worsen engorgement.

• Sore or Painful Nipples

The nipples normally become more sensitive during pregnancy, with the greatest sensitivity occurring around the fourth day after delivery. "Normal" nipple soreness occurs for the first 30 to 60 seconds of breastfeeding, but then improves.

This can also happen due to the baby sucking the nipple and not the breast as a result of bad positioning. In such a case, dislodge the baby by inserting the finger gently into his/her mouth to break the grip. Reposition the breast, so that the breast and not just the nipple go inside the baby’s mouth. Try different positions. Express milk and rub it on the nipples as this will help in healing. Use the less sore side to feed the baby.

• Thrush that does not Heal

White marks or sore nipples that don’t seem to heal are known as thrush. It can appear when either the mother or the baby have taken a course of antibiotics or may appear without any particular reason. In such a case, antibiotic treatment is required.

• Lumps in the Breast

Free movement of milk is stopped because of a block in some duct of the breast. This can happen because of a wrong sleeping position, sitting for a few hours with the seat belt across the breast or a tight bra. Massaging the area or using warm compress on the area helps to dissolve the lump. If possible, position the baby in such a way that his/her jaw is near the lump, so he/she can feed and help in dissolving the lump. Feed from the sore side, if it doesn't work express milk from the breast.

• Inflamed, Red Areas on the Breast

Inflamed, read areas on the breast accompanied with flu symptoms like temperature, aches, sore breast that is full is the indication of a condition is known as Mastitis. Mastitis is an inflammation of the breast when milk leaks into the breast tissue. In such a case, rest as much as possible, but continue to feed the baby, starting with the sore side. Use of warm and cold compress will reduce the swelling. If there is no improvement, consult the doctor.

• Bloody Nipple Discharge

A small percentage of women have bloody nipple discharge in the first few days after delivery, resulting in bright red or rusty colored colostrum. The condition is because of an increase in blood vessels in the breast ducts during pregnancy and typically resolves within a few days. It is not necessary to stop nursing or to substitute infant formula if blood is seen in the colostrum or breast milk, although a doctor consultation is required.

If the condition is not resolved within few days, then a doctor consultation and proper examination of the breast is required. This is important because, in rare cases, blood in the breast milk is a sign of breast cancer.

Blood may also appear in breast milk as a result of cracks in the nipple, trauma to the breast, or other conditions. Blood is often detected because the infant's stool becomes bloody. The color of the milk can range from pale pink to bright red. In any case, consult the doctor.

• Nipple Color Changes

Women who have Raynaud phenomenon or unusual cold sensitivity may develop a narrowing of the blood vessels of the nipple related to breastfeeding. This can cause the nipple to become painful and whitened (blanched) during, immediately after, and between feedings. Some women have a two-part color change (white and blue) while others have a three-color change (white, blue, and red).

Blanching or whitening can also occur as a result of nipple compression due to poor positioning and latch-on, and can be addressed by adjusting the position of nursing and latch-on. It can be managed by:

• Increasing the air temperature and wearing warm clothing. Reusable wool breast pads may be helpful.

• Applying a warm compress just before and after nursing.

• Stop smoking.

• Avoid medications that constrict blood vessels (e.g., pseudoephedrine, a decongestant).

A baby may refuse to be fed on the breast in case of:

• A change in the taste of milk because of a change in diet or medication.

• Because of using nipple cream.

• Because of stopping the use nipple shields.

• Because of undergoing dental treatment. or

• Because of the starting of the mother’s menstrual cycle.

Healthy Cooking Techniques

1. BARBECUE:  To roast slowly, usually basting with highly seasoned sauce. It can be done on a stationary or rotating skewer.
2. BASTE: To moisten meat or other foods while cooking by covering surface with melted fat and fruit juice or sauce.
3. BATTER: A mixture of flour and water thick enough to stir and thin enough to drop from a spoon.
4. BEAT: To make a mixture smooth by introducing air with a brisk regular motion.
5. BRAISE: To cook slowly in a covered pan, with a small amount of liquid. can be used for meat or vegetables.
6. BLEND: To mix thoroughly two or more ingredients.
7. BLANCH: To partially cook vegetables in a boiling water. This may serve to soften the skins of vegetables of easier removal, or to prepare vegetables for canning or preserving.
8. BOQUET GARNING: A French cooking method of trying whole herbs into a piece of cheese cloth, securing it with cotton string and using it flavor soups, sauces and other dishes.
9. CANDIED: A process of cooking in a syrup or in sugar .Sometimes the syrup is kept moist and sometimes is dried and crystallized.
10. CHOP: To cut to small even pieces with a knife.
11. CASSEROLE:  A vessel usually with a cover in which food can be baked and served.
12. CHUTNEY: A curry accompaniment which may be raw or cooked made of fruit, vegetable or nuts.
13. CARAMELIZE: To cook until the sugar in the food has browned, but it is not burnt. This process brings out sweetness and color in the food.
14. CREAM: A method used in baking, in which sugar and butter are combined in small amounts, mixing thoroughly between additions. This method incorporates air into sugar/butter mixture and makes for a tender baked product.
15. COAGULATION: To change from a fluid to a thickened jelly, clot or curd.
16. CUT IN: To distribute solid fat or cheese into dry ingredients by use of pastry blender.
17. DOUGH: A mixture of flour and liquid thick enough to knead or roll but too stiff to stir or pour.
18. DASH: Less than 1/8 teaspoon of an ingredient.
19. DOUBLE BOILER: A set of two saucepans so made that one pan can be inserted in the other to allow space between pans.
20. DREDGE: To coat meat or vegetables in a dry mixture such as flour or breadcrumbs, prior to cooking.
21. DEGLAZE: To pour water or wine into a hot pan where meat has been cooked. The process loosens the browned crumbs in the pan, and may provide a base for gravy or sauce.
22. FLAMBE: To ignite warmed spirits in a pan of food, often a dessert, for effect, and to caramelize the dish.
23. FOLD: To gently incorporate the ingredients together, usually with a scraper or spoon. Often used to blend whipped cream with other ingredients.
24. GRIND: To reduce to particles by cutting or crushing.
25. GRILL: To cook by direct heat.
26. GLACE: To coat with a thin sugar syrup cooked to the crack stage.
27. HOMOGENIZE: To break into regular sized small particles.
28. HYDROGENATION: A process in which hydrogen is combined with an unsaturated compound to form a solid.
29. ICING: Coating of finely ground sugar and water or white of egg for cakes.
30. JULIENNE: Food cut in long thin strips.
31. LUKEWARM: To heat to 95 F or when sprinkled on palm side of the wrist , will not feel warm.
32. MALT: Sprouts of moist grains which have been heated, dried and ground into a flour.
33. MARINATE: To make food stand in a liquid like vinegar or curd before further processing.
34. MINCE: To cut or chop into very small pieces.
35. MIX: To combine ingredients in any way that effects a distribution.
36. MONOSODIUM GLUTAMATE: A chemical added to food enhance flavor.
37. PARCH: To brown by means of dry heat.
38. PARE: Cut off outside covering.
39. PARBOIL: To boil until partially cooked.
40. POACH: To cook in hot liquid in a way that the shape of food is retained.
41. PICKLE: Fruit or vegetable which is preserved in vinegar, lime or oil with salt and spices.
42. PRESSURE COOKER: An airtight container for cooking food under steam pressure at a high temperature.
43. SAUCE PAN: A covered cooking utensil with one handle.
44. SAUTE: To brown or cook in a small amount of fat.
45. SCALD: To dip food in boiling water.
46. SCALLOP: To bake food with a sauce pan.
47. SEAR: TO brown meat all over to create a crust, to be finished with another cooking method.
48. SOLUTION: Uniform liquid blend containing a solid and a liquid.
49. STIR: To mix food materials with a circular motion.
50. STEEP: To allow a substance to stand in liquid.
51. SKEWER: To string on wooden or metal rods for cooking.
52. SEASONING: To add spices or herbs to food to provide flavor and make it more palatable.
53. SHERBET: A frozen dessert composed of fruit juice or pulp, sugar and water or milk .Egg white or gelatin may be added to improve the consistency.
54. STERILIZE: To destroy the microorganisms by use of high temperature with steam or boiling liquid.
55. SPECIFIC GRAVITY: The weight of a volume of substance in relation gravity to the weight of an equal volume of water.
56. SWEAT: To slow cook vegetable in a covered pan until they are soft, but still hold their shape. This is often done with Garlic or onions.
57. TOAST: To brown by means of dry heat.
58. TEMPER: To gently heat a food, often before adding it to a hotter substance. One example is adding a teaspoon or so of hot sauce to beaten eggs. The mixture is blended and then added to the sauce. This keeps the eggs from curdling. The method is also used in candy making chocolate.
59. ROLLING BOIL: When a liquid is boiling and cannot be stirred down to below boiling point.
60. ROUX: A mix of flour and oil together until the flour is browned. Used a s abase for cajun dishses such as gumbo.
61. WARM: To raise temperature to 105- 115 F
62. WHEY: The liquid residue of milk after removal of the casein and most of the fats.
63. WHIP: To beat rapidly to incorporate air and produce expansion.

Food Garnish Ideas

Food garnishing is decorating food items and drinks to them look attractive, appeal and appetizing. Garnish can also be used to add flavor and color. Appropriate food garnishes should be used for food dishes. Sometimes one who doesn’t like the particular dish because of different taste preferences even go with the dish as food garnishing attracts. Different food garnishing tools are used to chop, shred, slice etc.

• Carrots can be grated, shredded, chopped and sliced to use as garnish for different recipes which will be attractive.
• Desserts can be garnished with grated chocolates and even chocolate chips can be used. Both dark chocolate and white chocolate can be used.
              
• Coriander leaves can be used as garnishing specially in evening snacks such as chats. Even on rice items and curries coriander leaves can be used as garnishing.
• Melted chocolate can be used on fruits and nuts.
• Lemons and oranges can be cut out to strips, wedges and twists can be used as garnishing desserts and drinks.
• Cheese, cream and yogurt can be used as soup garnishes.
• Chopped mint leaves can be used as garnishing in vegetables curries and rice pulao.
• Grated nuts can be used on desserts.
• Sliced tomatoes, cucumber and peppers can be used as garnishing

Methods for lightening black marks on face

Black marks on the face are dead cells they result due to improper face care or because of pimples.
To fight against pigmentation one can go for simple and effective home remedies.
• Apply cucumber juices that lighten black marks.
• Apply milk cream to skin leave for 15 minutes and wash with water.
• Apply mixture of lemon juice and honey let it dry and wash, acts as a bleaching agent.
• Apply olive oil that will lighten black marks.
• Eat more fresh fruits and vegetables helps to improve skin tone.
• Apply curd mixed with few drops of lemon juice let it dry and wash with tap water, during night.
• Apply coconut oil before going to bath and then use a paste made of turmeric powder, green gram and few drops of milk leave for 10 minutes let it dry and then scrub it in circular motions with finger tips. Wash it with ordinary water. Just do this two times in a week.

Healthy Ears

Your ears require very little maintenance. However, since you only have two of them, here are some hints to protect and keep those two healthy:

NEVER use cotton-tipped applicators (such as Q-tips) in your ears!  Cerumen, or ear wax, is natural, lubricates the canal, catches dirt particles, and naturally moves itself and debris to the outside.

If you remove the cerumen, your ears will most likely become itchy.                                  

Using applicators in the ear canal can push the wax deeply into the canal creating even more difficult removal, scratching the canal results in infection and tear the skin of the canal with bleeding, or even perforate or tear the ear drum.

If a child observes adults using applicators in their ears, they mimic the adults, using them in their own ears -often with serious injuries!

To clean the wax:

Clean the cerumen from the outer ear canal with a moist washcloth wrapped around your finger.

Provided there is no perforation or hole in the ear drum, limited use of wax removal drops or hydrogen peroxide in the ear as well as allowing warm shower to enter the canal will help soften and remove the wax.

Avoid loud sounds:

Exposure to loud music, fireworks, firearms, motorcycles, aircraft, power tools, and other sources of loud sound may cause permanent nerve-type hearing loss - even with one exposure!

Tinnitus, or ringing in the ear, often accompanies such loss and is also often permanent.
 
When exposed to loud noise, always wear adequate approved ear protection.

Keep children away from such sounds; they can permanently lose their hearing, too.

Ear pain may not be due to the ear itself.

Other conditions, such as temporomandibular joint (TMJ) disease, Eustachian tube dysfunction, tumors in the throat behind the nose, or referred pain from tumors or infections in the throat or voice box may cause pain in the ear.

If you have ear pain, see your physician or an otolaryngologist.

Recurrent ear infections or fluid in the middle ear in children can cause permanent damage to the ears and hearing.

Head Lice in Children

Head lice infestation is very common especially among school going children. Head lice are parasites that live by the host’s blood in the hair and head scalp and which can develop in large numbers. That is most horrifying thing about hair lice, it just few lice to make a large population.

Head lice are pretty unpleasant and most people have suffered an infestation at some point or another. Children are more likely to get them, due to contact through play and being around lots of other kids at school or at the playground. Despite being gross and a bit of nuisance, they are very common, pretty harmless.

It is mostly assumed that head lice spread from one head to another by close contact only. However, they can also spread through the sharing of items, such as a hair brush, pillow, soft toy or hat. It should be also noted that killing the lice will not solve the problem. This is because lice eggs hatch after about 7-10 days. If they are not removed the person will be re-infested.

Personal hygiene has nothing to do with the lice infestation. Symptoms of lice infestation include:

• Tickling feeling in the hair
• Frequent itching
• Sores from scratching

There are many treatments which are available now for this kind of threat. The best and safest way to start the treatment of lice in the child is through all kinds of natural remedies, like use of various essential oils, mayonnaise, vinegar, herbs and many more. Lice combs are also available which are specially made for killing lice.

Medical treatments in the form of anti-lice hair shampoos are also available in the market. Before using shampoos consult a dermatologist or a good doctor to make sure that product is safe for the child or the infested person.
In case of lice infested, it is very important to act fast and not to delay.

Dental Health Care for Children

Dental or oral health care of children starts from the day when baby is born. Few simple steps which can contribute to healthy teeth are:

• Always wipe off gums after feeding the baby.
• Try to avoid bottle feeding as far s possible.
• Never allow baby to sleep with milk bottle in his mouth.
• Once your child starts going to play school, teach him how to brush. Brushing regularly with fluoride toothpaste avoid caries.
• Teach him good oral habits. For example, rinsing after every meal and brushing twice a day.
• Avoid thumb sucking habit. Teeth start protruding outside if this continues for a long time.
• Avoid sweets and sugary snacks in between the meal, this can lead to cavities.
• Young children tend to swallow toothpaste, so take proper care and do not allow them to swallow as toothpaste contains fluoride.
• Regular dental checkups are useful to have a proper record of baby’s teeth.
• During teething always take care of dental hygiene. Tethers or gum soothers used should be properly washed and clean.

Blood Pressure

Blood pressure is actually the pressure of blood against the walls of the arteries. Blood pressure is measured in mm Hg. Typical values for a healthy adult human are approximately 120/80. But, if the blood pressure reading is equal to or above 140 over 90 mm Hg, then that means the concerned person is suffering from high blood pressure or hypertension. Hypertension has been called the "silent killer" because it usually produces no symptoms. Untreated hypertension increases slowly over the years. Hypertension can cause certain organs (called target organs), including the kidney, eyes, and heart, to deteriorate over time. Malignant hypertension, an emergency condition resulting from untreated primary hypertension, can be lethal. It is important, therefore, for anyone with risk factors to have their blood pressure checked regularly and to make appropriate lifestyle changes.
   Symptoms of high blood pressure include drowsiness, confusion, headache, nausea, loss of vision.  Some basic steps that may be followed to check High Blood Pressure or Hypertension:
  - Be physical active by regular exercise, walking, yoga etc.
  - Maintain a healthy body weight.
  - Follow a healthy eating plan that emphasizes fruits, vegetables and low fat dairy foods.
  - Avoid alcoholic beverages.
  - Quit smoking.
  - Have a low salt intake.

First aid for Chest pain

Chest pain can be due to various conditions like indigestion to heart attack.
• Call hospital for immediate medical assistance. If the access to such medical assistance is not there then ask your friend or neighbor to drive you to the hospital. Try to avoid driving, keep as the last option when no one is around.
• You can chew a regular strength aspirin. Aspirin will help to slow the blood clotting, which otherwise may lead to heart attack. Consult with your doctor before hand on taking aspirin.
• If you have a heart attack and in case your doctor has previously prescribed nitroglycerin take it as directed. Do not use your friend medication or OTC medication.
• If the person becomes unconscious begin cardiopulmonary resuscitation (CPR). In case you are not trained to do CPR start chest compression hard and fast with 100 compressions per minute.

Dental Treatment during Pregnancy

Pregnancy is the phase in women life, when extensive care is taken by her family and dear ones. During this phase excessive medicines and treatments are avoided if not necessary. But, anyhow if sudden toothache starts during pregnancy then 2nd Trimester is the ideal time. Regular dental checkups during pregnancy are advisable as some women develop swollen gums or gums infection due to rise in hormone level during pregnancy.  X- Rays taken in dental treatment can be avoided till birth because they can cause negative effect on baby. General care of teeth to be taken during pregnancy is as follows:
•  Always brush twice a day to keep your teeth healthy.
•  Avoid too long dental visits.
•  Baby first teeth develop during first three months of pregnancy. Try to avoid sugary food during this period.
•  Whenever you visit Dentist, do not forget to tell that you are pregnant.
• Use dental floss, twice a day as shown in figure.
•  Teeth whitening and other cosmetic procedures can be postpones until the birth.

Above are list of common dental care during pregnancy. Follow thumb rule that only 2nd trimester is safe for Dental treatment.

General Personal Grooming Tips

Personal grooming is a form of personal hygiene. Personal grooming is very important for a positive self image. The very first look of an individual gives an idea how well maintained and well-dignified that person is and what kind of personality he possess.

Few of the personal grooming ideas that can be followed are:

• Wear right clothes for the right occasion. Wearing appropriate clothes goes in handy with good personal grooming.

• Apply deodorant or body spray every morning and keep a container with yourself in case you need it.

• Don’t drench yourself with perfume or aftershaves. A subtle fragrance is more pleasing to the senses than the overwhelming ones.

• Shampoo your hair often and keep it healthy and shiny.

• Cut and trim your hair regularly. Your hair cut and style should complement directly to your facial features and shapes. The cut should also be according to the profession you are pursuing. For example, the hair cut that is suitable for a profession may not go with the financial sector.

• Keep your finger nails neat and clean. Avoid painting them with dark or bright colors unless it is a special occasion.

• Clean and moisturize your skin daily, on a regular basis, especially if it is a dry and flaky skin.

• Avoid wearing extra accessories like nose rings and tattoos in the corporate world.

• Always be simple and neatly dressed to impress others.

• Avoid wearing clothes that are stained, look crumpled or smell of body odors.

• Refrain from grooming yourself in public.

• Avoid finger nail biting in the public.

• Limit your gum chewing habit to principally when you are by yourself or at home with friends. Never chew gums in office or during a professional meeting.

• And at last but not the least, eat a proper balanced and healthy diet. And exercise regularly. Eat fresh fruits and vegetables to the maximum and fast food to the minimum.

Simple dress and good manners reflect you are confidante, reliable and considerate.

Eye care tips

Eye is a very delicate part of our body. Eyes are our first connection to the external world. Eye being delicate part need to be taken care of, you need to remember that your eye will also age with you and if not taken care of properly it may lead to eye problems. Here are certain tips to cool down your strained eye.

• Take rose water and add 2 drops of castor oil to it. Soak a small cotton pad in this and place it in your eye for 15 min, this will help soothe down eye burns.

• Dip cotton pads soaked in cold tea solution for 60 mins, and then place them in your eyelids for 20 mins. This will help your eyes to cool down.

• If your work involves looking on the computer monitor for a long time, then make sure you blink several times, and at frequent interval of 2-3 min, look away from computer screen. This will help better focus.

• Simplest method is to rub your palms together and then place it on your eyelids, this will soothe the eye.

• Make sure you have an anti-glare screen fixed in your monitor screen to reduce the strain to eyes.

• Dark circles can be one method for your eyes to tell you that it is tired, place a piece of cucumber on your eyelids for 20 mins, this will help cool down your eyes.

• For puffy eyes, you can use used tea bags after cooling it. Place this on your eyes this will reduce puffiness.

• Visit an ophthalmologist at least once in a year, it can’t cost you much.

• While driving bike, make sure you wear a sunglass, this will protect eye from sun and also dust.

• Don’t rub your eyes, even if there is some irritation splash plenty of water into your eyes, rubbing will further strain your eyes.

Augmentation Mammaplasty

Augmentation mammaplasty also known as breast augmentation or breast enlargement or breast implantation, consist of insertion of silicone bag (also known as prosthesis), under the breast (submammary) or under the breast and chest muscle (subpectoral) and then filling the bag with saline or salt water. The easiest surgical implantation is under the breast tissue (submammary).

The prosthesis expands the breast area giving it a better contour and look. However, the ultimate size of the breast is purely the patient’s personal decision.



However, the risk and complications associated with breast augmentation include the following:

• Infection: Chances of occurrence of fever are very rare (1%-3%). But they can be very distressing. Signs of infection include fever, redness, swelling and discomfort. However, if the infections do not respond to any antibiotic treatment, the implant should be removed and again replaced three months after the wound is healed completely.

• Bleeding: Signs of bleeding in the implant pocket include marked swelling, increased pain and bruising. If there is the incidence of bleeding into the implant pocket after surgery, it must be removed surgically.

• Capsule Contracture: The incidence of capsule contracture ranges from 30%-35%. Hardening of breast with distortion with occasional pain may be experienced by some patients. If there is multiple occurrence of capsule contracture, the patient may decide to remove the implant permanently.

• Asymmetry: Sometimes the implant may slip out of position in which it was initially placed leading to an asymmetrical look. Mostly, in this case, surgical repair is required.

• Calcifications : Calcification may occur in the scar capsule around the transplant. However, these calcifications are very different from the calcifications associated with the breast cancer.

• Deflation: Deflation of implants may occur due to the leakage from the saline bag implanted. These mostly occur in 1-5% of the cases.

It is unknown that how long the implant will last. The implant may or may not last for the life time; subject to various factors like manufacturing process, disruption of the saline bag due to any accident or fall and other unknown factors.

Health benefits of Fenugreek

Fenugreek has been associated with number of health benefits. It is a common herb and used as a condiment for seasoning in Indian homes. This seed when used in cooking imparts a characteristic flavor and tang to food. Fenugreek leaves are well known for their high nutrient content of minerals and vitamins like potassium, calcium, magnesium, selenium, Iron and vitamin C, riboflavin, folate, vitamin B6. These leaves also have high fiber content and also Vitamin C. Fenugreek seeds are a rich source of fiber. It contains mucilaginous fiber and total fiber to the extent of 20% and 50% respectively. This mucilaginous fiber is recognized medically for its anti-inflammatory properties. Fenugreek seeds have many medicinal values. These include in the treatment of digestive problems, diabetes, kidney problems, wounds, cellulites, tuberculosis. A PASTE OF Fenugreek leaves or seeds , applied on face prevents pimples, dryness of skin, blackheads and it also have anti aging factors. The Fenugreek seeds contain “Diosgenin” which is more of a raw material substance used in medical steroids by pharmaceutical industries.

* Fenugreek seeds aids in proper digestion: It maintains good metabolism and prevents constipation. The soluble fiber found in Fenugreek seed extract may help slow digestion and absorption of food. It also helps to treat colon disorders. It also increases appetite.
* Fenugreek seeds are effective in treatment of skin disorders: It relieve skin inflammation. It is also used in the treatment of eczema, gout, boils and burns.
* Fenugreek seeds reduce fever: Fenugreek seeds with lemon and honey help to reduce fever and weakness .In fever it is beneficial to consume tea added with fenugreek seeds that helps to lower the intensity of temperature rising.
* Fenugreek eases menopause symptoms: It is effective in treating the menopause symptoms including anxiety, hot flashes and insomnia this is because of its natural estrogen.
* Fenugreek may help in preventing cancer: It is an effective antioxidant. It also have anti carcinogenic properties some studies have shown that this may be due to presence of Diosgenin.
* Fenugreek also acts as a natural blood purifier and helps to prevent acne. Its also very effective in curing of oily skin.
* Fenugreek can also be used for excessive hair fall. It is believed to enhance hair growth both in men and women. Fenugreek powder mixed with curd helps in controlling your dandruff problem.
* These seeds help in lowering the risks of heart diseases.
* Fenugreek seeds help to increase production of milk in lactating mothers. The seeds contain a chemical known as Diosgenin which acts as similar to estrogen and hence promote milk production during breastfeeding.
* It is also used in the treatment of arthritis and asthma.
* Fenugreek seeds help in management of Diabetes: The powder of seeds in the diet reduces blood sugar and urine sugar with improvement in glucose tolerance and diabetic symptoms in both insulin and non-insulin dependent patients. It also lowers the levels of serum lipids such as cholesterol and triglyceride. Depending upon the severity of diabetes the quantity of fenugreek seeds to be taken varies from 25g to 50g.The Fenugreek seeds powder can be incorporated in food preparations such as vegetable curries, roti and dhal etc. Seeds can also be taken as such after overnight soaking in water.