All posts by Ancy Abraham

Worked as Magazine and Educational Books Editor, Developed industrial websites, brochures and profiles. Writes about lifestyle topics related to health, food, shopping, etc. Presently writing for lifestyletodaynews.com. Many other life-changing projects are in the pipeline, keep reading, Enjoy!

How to prepare Unniyappam for Nercha (religious food offering)

St Gregorios is a Kerala saint. His death anniversary, on November 2nd, is celebrated by devotees who are settled in different parts of the world. There are Churches with St. Gregorios as a patron saint in many places in India and abroad.
During the festival, the devotees bring unniyappam as offering to the Church. And the unniyappam is distributed to all who come to the Church.
Unniyappam is a fried rice snack with jaggery and sugar, prepared in a special mould. My mother’s generation were experts in preparing Kerala dishes. So they prepare hundreds of unniyappam as offering to the Church.
I learned unniyappam by trial and error method. Searching for recipes on the internet and taking tips from mother and aunties.
This year two weeks before the festival, I made a trial version of unniyappam, so as to get myself prepared for the main day when I have to fry more than a hundred unniyappams.
My friend Manju visited me just a few minutes after I finished preparing the unniyappams. She liked it so much so that she asked me to share the recipe on youtube.
I am sharing the trial version itself.  Newly married girls who are preparing unniyappams on a large scale for the first time, will find the video useful.

The video is shaky and not of high quality since this video was not initially taken for publishing. I hope the video gives some helps you prepare the large number of unniyappams.

In cities like Delhi, where the devotees lack time, they have found some tricks to prepare large quantity unniyappams quickly. I will share the recipe here.

Ingredients

Rice flour – 2 Glass (All purpose rice flours available at Kerala Stores)

Jaggery – 250g (I used a dark brown, chocolaty taste version. Hence the colour and taste were good)

Coconut – 1 full (cut into small pieces)

Sesame Seeds (Til) – 2 tblsp

Ghee – 5 tblsp

Robusta Banana – 4 Nos

Oil – 1 litre

Baking Soda – 1/2 tsp

Method

Melt the jaggery in 1 glass of water. Mash the bananas in a blender. Mix the jaggery and mashed banana.

Roast the coconut in 2 tablespoon ghee, until golden brown.

Mix the coconut, sesame seeds and baking soda in the batter.

Keep aside for 45 minutes.

Keep the unniyappam mould on one gas stove burner. On another keep a frying pan with 2 glass oil.

When the mould is hot add 1/2 teaspoon ghee in each mould. Now fill the moulds with oil. Let it get very hot.

Now pour the batter. If the batter is thick, add warm water or melted jaggery.

When the unniyappam turns brown at the bottoms turn them using a fork or a thin skewer. When both sides are a bit brown, transfer them to the frying pan.  Fry until the unniyappam is Crisp and brown. Remove on a plate spread with tissue paper.

With 2 glass of rice flour, I prepared 50 unniyappams.

 

Celebrating Diwali 2017 at Dilli Haat Janakpuri


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Diwali 2017 at Dilli Haat Janakpuri was celebrated by organizing a Diwali Mela organized on the weekend before the festival from Oct 13th to 15th.  A lot of Diwali shopping could be done at the stalls. Especially at the stalls by NGOs who sold Diwali items made by the underprivileged and visually handicapped children. Children participated in competitions and enjoyed in the play area.  And there was a lot of food and entertainment.

Dilli Haat Janakpuri celebrates all the festivals with lots of entertainment for people of all age groups. Dill Haat Janakpuri opened two years back and during every religious, national or state festivals there is all-around entertainment.

One of the highlights of the at the Diwali celebrations were the lamps and decoration items made by:

  • Underprivileged children
  • The visually impaired
  • Traditional artiste in villages

Painting competition

Diwali 2017 at Dilli Haat Janakpuri
Painting Competition

There was a painting competition for children for FREE!!. Children of any age group up to the 12th standard could join. And they could win prizes and scholarships.

Diwali decoration by Underprivileged Kids

Diwali 2017 at Dilli Haat Janakpuri
Lotus-shaped Diya made of disposable spoons

There was a stall of Nidaan Foundation (an NGO) which sold  Diwali decorations made by the underprivileged kids. There were little clay pots painted and decorated colourfully. One star attraction was the Diwali lamp or Diya which looked like a lotus. Priyam Mathur of Nidaan Foundation said that the Diya was made from disposable spoons. Another decoration was a wall hanging with icecream sticks and a Ganesha statue on the frame.

Diwali 2017 at Dilli Haat Janakpuri
Clay pots painted and decorated by underprivileged children.

Two in one light and scent

Fragrance oil lamps

This was really cute. When the electric blub is lit and the lamp gets heated then the oil, poured on the top, emanates beautiful scent. There was also the candle version instead of the electric one, where you can place a candle inside the electric bulb.

Wooden crockery from Nagaland

Diwali 2017 at Dilli Haat Janakpuri
Wooden crockery from Nagaland

There was beautifully polished wooden crockery made from Teak wood. The crockeries were carved by local artisans in Nagaland. There were also trays made from jute.

Khadi wears for women

Diwali 2017 at Dilli Haat Janakpuri
Khadi dresses at affordable rates

The khadi dresses are affordable with prices from the range of Rs 500 – Rs 1200. The Khadi wears are manufactured and sold by a lady entrepreneur.

Diwali lighting made by visually impaired kids

Diwali 2017 at Dilli Haat Janakpuri
Beautifully carved diyas made by visually impaired children

There was also a stall of Diwali items made by the students of Akhil Bharatiya Netrahin Sangh – a school for the blinds. There were beautifully carved and painted diyas. The entire Diwali decoration shopping can be done here as there are Candles, lamps, dhoop aggarbattis and pooja items.

Songs and entertainment at the Amphitheatre

Diwali 2017 at Dilli Haat Janakpuri
Music being played at Amphitheatre

All the while the amphitheatre played loud music that kept the Haat lively. 

Kids play area

Diwali 2017 at Dilli Haat Janakpuri
Children playing at the Dilli Haat

To keep the children entertained there are a few play items.

Overall the Dilli Haat in Janakpuri is a good place to hang out with family during the Diwali holidays. The vast expanse of the Dilli Haat has got unique architectural buildings. To beautiful landscaping and the amazing architects is a beautiful blend of nature and architectural skills.

Related Posts:

Nonstop festivity at Delhi Haat Janakpuri

What is the behavioural approach used in ADHD? (ADHD Part -IV)

What is the behavioural approach used for treating ADHD?

The behavioural approach, for instance, is to increase the attention span of the child. In mild to moderate only behavioural management is needed.  It could be in the form of a game, depending on the age of the child. Depending upon the developmental level of the child we give them tasks to improve their attention skill:

Games and Activities

What is the behavioural approach used in ADHD?We prescribe certain games and activities where the child can sit and persist with the task. That will improve the child’s attention span.

At School

What is the behavioural approach used in ADHD?For the classroom instruction, we sometimes give a letter to the teacher suggesting where he should be seated.  The teacher should have proximity to the child. Seat given to the child should not be near the window side, door side or outskirts. The child should be given aisle seat so that he can have eye contact with the teacher. These will help him focus on activities in the classroom. The teacher should be monitoring the child so that his attention doesn’t wander. They should examine the notebooks frequently so that the books are complete. The child should be called his or her name. If he is called by his name, his attention span will persist.

Appreciation and Rewards

What is the behavioural approach used in ADHD?The parents and teachers are instructed to reward the child whenever he behaves well. Usually, his hyperactivity or impulsive behaviour is judged as indiscipline in the school. He is scolded and not much of positive comments are obtained by the child. Parents and teachers are asked to look out for even the smallest good behaviour. He must be praised and rewarded with gifts. He must be given small responsibilities in the class like carrying the books to the staff room so that he feels that he is worthy. In this way, his behaviour is likely to improve.

At home

Medication for ADHD (Attention Deficit Hyperactivity Disorder)Parents are asked to give clear instruction to the boy to keep his shoes, bags and toys in its proper place.  Thus his life will become more structured. Whenever he complies with the parents’ expectation of the kind of behaviour they expect from him he can be rewarded.

Nurturing their Abilities

What is the behavioural approach used in ADHD?When we assess the child we assess their potential. Some of them are good at sports. So encouraging them in sports is part of the behavioural therapy. Some may be good in arts or electronics, so channelizing their ability will help them.

‘Time Out’ Method

What is the behavioural approach used in ADHD?Parents are trained to deal with impulsive behaviour. Sometimes they have to set limits when the child is exceeding certain limits. In very severe situations parents may be asked to keep the child in a room so that anger comes down. It is not a punishment but a principle of ‘time out’.  This principle has to be applied only sometimes.

Medication for ADHD (Attention Deficit Hyperactivity Disorder) childDr. Varghese Punnoose specilaised in Child Psychiatry. He is an MBBS and MD in Psychiatry from Government Medical College. He is currently  Professor and Head of Department at Government Medical College, Kottayam, Kerala.

He authored a book ‘Manorogangal’, in malayalam, about Pshycatric disorders. There is one chapter on ADHD also. 

Is Medication for ADHD (Attention Deficit Hyperactivity Disorder) child necessary? (ADHD Part -I)

What is ADHD (Attention Deficit Hyperactivity Disorder)? (ADHD Part -II)

How ADHD is diagnosed?(ADHD Part -III)

How ADHD is diagnosed?(ADHD Part -III)

How is ADHD diagnosed?

On a simple physical examination, you will not find anything abnormal. MRI or CT scan will not show any abnormality. If you do a functional brain imaging you may find that these circuits are dysfunctional.

A simple physical examination will not reveal anything abnormal.

Usually, we do not diagnose ADHD when the child is 3 or 4 years unless it is a very severe condition. We wait till the child is 5 or 6, by the time the child will go to school and some external discipline will come.

Who Defines criteria for Diagnosis of ADHD?

Authorities like International Classification of Diseases (ICD) by World Health Organisation (WHO), American Psychiatric Association(APA) and Diagnostic and Statistical Manual of Mental Disorders(DSM) are the world authorities that define criteria for diagnosing ADHD.

What is the process of Diagnosis?

Diagnosis of ADHD is not based on any laboratory test. We do not have a lab test or a scan to Diagnose ADHD. It is based on the history provided by the parents and teachers and the direct observation of the child by a trained professional. It is a clinical diagnosis. Functional brain imagery is available only in research labs.

What is the next step after ADHD is diagnosed?

So once you diagnose ADHD, the next step is to educate the parents and teachers. We take collateral information from teachers also. In our centre, there is a form called ‘teacher’s observation report’ about the child. The teacher fills information about child’s behaviour in school and class. We also ask them to bring their notebook because that may show some careless mistakes which are common in ADHD.

Parents and teachers might think that the child is only an indisciplined, overprotected and pampered child.

We collect information from other sources if available.  All those assessments are taken into account and if the assessment satisfies for ADHD, we teach and educate the parents about the problem. And after completing the assessment we talk to the parents. We need to educate the parents. They might think that the child is only indiscipline, overprotected and pampered child.  We talk about options to manage the problem. And see whether he is able to cope with the management procedures.

When do you finally Confirm that a child has ADHD?

We have to check for any medical conditions that are like ADHD. For instance, some may have epilepsy or anaemia. So there has to be a physical examination. The next step is to examine for some conditions that occur with ADHD. For instance dyslexia, a specific learning disorder (SLD) which is known as a learning disorder.

There are two approaches to manage the disorder- behavioural approach and pharmacological approach.

Almost two-thirds of the children with ADHD also have SLD along with it. ADHD is rated as mild, moderate and severe depending on the number of symptoms present and the functional impairment it produces. Mild cases may not require medication. In moderate and severe cases the option of medicine is given to the parents.

What are the procedures to manage the disorder?

After all the assessment we call a section once again with the parents. Education is given to them, explaining the problems and giving them management options.

We teach the parents, give suggestions to the teacher and encourage the child is the behavioural components of ADHD.

There are two approaches for managing the disorder – behavioural approach and pharmacological approach.

Medication for ADHD (Attention Deficit Hyperactivity Disorder) childDr. Varghese Punnoose specilaised in Child Psychiatry. He is an MBBS and MD in Psychiatry from Government Medical College. He is currently  Professor and Head of Department at Government Medical College, Kottayam, Kerala.

He authored a book ‘Manorogangal’, in malayalam, about Pshycatric disorders. There is one chapter on ADHD also. 

READ MORE…

Is Medication for ADHD (Attention Deficit Hyperactivity Disorder) child necessary? (ADHD Part -I)

What is ADHD (Attention Deficit Hyperactivity Disorder)? (ADHD Part -II)

What is the behavioural approach used in ADHD? (ADHD Part -IV)

What is ADHD (Attention Deficit Hyperactivity Disorder)? (ADHD Part -II)

What is ADHD (Attention Deficit Hyperactivity Disorder)?

Attention Deficit Hyperactivity Disorder is a neurodevelopmental disorder. Some say that there is no such disorder, which is incorrect. It is a worldwide accepted condition. It is a brain development disorder occurring in about 5 to 7 percent children.

It is a brain development disorder occurring in about 5 % to 7% children.

In certain brain development disorders, the physical features are visible. In Cerebral Palsy and Down Syndrome, for instance, the physical features are evident and hence these are accepted as real disorders. But, when you look at a child with ADHD they may not have any visible physical anomaly. And therefore it is not recognized as a medical condition. The behavioural manifestation of ADHD could be passed on as a naughty behaviour of a normal childhood, or even smartness. In these children there are no physical abnormalities, they have behavioural problems.

What are the mental functions that are affected in ADHD?

Attention deficit

What is ADHD (Attention Deficit Hyperactivity Disorder)?

 

The ability to focus attention is the function of the brain. As far as a school child is concerned he should have approximately 30-40 minutes of attention span.  There should be a coordination of eyes, hands and mind. Brain should be able to focus these functions.  That varies from person to person, but with children with ADHD, attention holding function is very grossly impaired.

What happens is that the child will not be able to persist with the task. In the classroom, he will not be able to pay attention for a long time, and this will affect his academic performance.

Hyperactivity

What is ADHD (Attention Deficit Hyperactivity Disorder)?

Generally, a five or six-year child is able to sit quietly and keep calm when they are engaged with some serious activities. But children with ADHD will not be able to control their action. They will be very fidgety, restless, squirming on the seat and moving around.   In addition to the distractibility, if the student is restless he can disrupt the whole class. The energy might be considered as the smartness of the child; however, it is an illness. It is “Disruptive” overactivity. Normally school going children are active and exuberant. That is not hyperactivity. Disruptive overactivity is called hyperactivity.

In addition to the distractibility, if the student is restless he can disrupt the whole class. The energy might be considered as the smartness of the child; however, it is an illness. It is “Disruptive” overactivity. Normally school going children are active and exuberant. That is not hyperactivity. Disruptive overactivity is called hyperactivity.

Impulsivity

What is ADHD (Attention Deficit Hyperactivity Disorder)?Impulsivity means they are unable to hold their responses. Whenever they are angry they may use bad words. They may be talkative in class and they may find it difficult to wait for their turn in group activities. They may blurt out answers even before questions are finished.  They are unable to hold their emotions. Impulsivity can land them in trouble.

When attention deficit, hyperactivity and impulsivity combine that produces this syndrome called ADHD.

What can be the reason for ADHD?

The exact reason cannot be pointed out. The genetic factor could be a reason for ADHD. Many parents say that the father also was hyperactive in his childhood, but in those days, no one realized that it was ADHD. Nobody is sure why it happens in some children.

Nobody is sure why it happens in some children. Basically, there could be some genetic influences.

Basically, there could be some genetic influences. It could be some infection or toxins that the mother carried when she was pregnant. Many a time we are unable to pinpoint that this is the cause, but these are the possibility. Scientific research has shown that the circuits in the brain that control the motor activity – brain circuits which control the impulsive reactions – these circuits are dysfunctional.

Medication for ADHD (Attention Deficit Hyperactivity Disorder) childDr. Varghese Punnoose specilaised in Child Psychiatry. He is an MBBS and MD in Psychiatry from Government Medical College. He is currently  Professor and Head of Department at Government Medical College, Kottayam, Kerala.

He authored a book ‘Manorogangal’, in malayalam, about Pshycatric disorders. There is one chapter on ADHD also. 

READ MORE…

Is Medication for ADHD (Attention Deficit Hyperactivity Disorder) child necessary? (ADHD Part -I)

How ADHD is diagnosed?(ADHD Part -III)

What is the behavioural approach used in ADHD? (ADHD Part -IV)

ABOUT

WELCOME

Here is the story of Lifestyletodaynews.com

A friend told me that one of our classmates has praying powers. Five years back, I came in contact on social media with this praying classmate. After one or two conversations he asked me, why don’t you blog and generate income.

I knew very little about blogging. And I did not know that this activity could generate income. Since the suggestion came from a praying man I started thinking about it.

After a few months, I met with a road accident which changed my life forever. Outwardly everything was fine, but slowly I got excruciating joint pain. After much treatment, an ayurvedic doctor recommended for an ayurvedic massage treatment. I delayed getting the treatment by one year, and that worsened the problem.

When my health started getting out of control I started blogging. I realized the importance of walking and exercise. I realized that if you take your health for granted, one day the situation will get out of hand.

I started blogging after the beautiful morning walks. About the benefits of fitness, walking and a healthy lifestyle. Blogging was a stressbuster. After an eight-hour job and household chores, I felt much relaxed when I published each blog.

Initially, I was reluctant to share the blog on social media. But when I shared the posts I got encouragement from family, friends and colleagues.

So I started blogging about topics that interest them; and topics that give them new information. And so when I had to name the website, I called it ‘lifestyle’, because the website deals with various aspects of lifestyle – health, food, fashion, education, family, and so on.

Now the website is three years old and going strong. There are some rules for a website to get good ranking and traffic:

  • The name of the website should be unique.
  • The website should focus on a specific category.
  • Every article should be at least 1500 words.

All these rules are not followed on this website. Lifestyle today news name is a general name. And the blogs are written on different categories like food, health, education, fashion and so on. And most articles are around 500 words.

I just cater to the demands, suggestions, interests and feedbacks of the readers.

I would like to thank a few for their support:
  • First of all God.
  • The prophet-friend, who came out of the blue to suggest that I start blogging.  And disappeared after that.
  • My parents (my angel investors). They are clueless about the internet and social media. But they are sure that whatever their child does is right.
  • My entrepreneur husband. It took me years to convince him that, at the break of dawn, newspapers don’t fall on the doorsteps like mangoes from the mango tree. There is a whole lot of people working to print the content of the newspaper. Now his new predicament is my latest passion for blogging. All he wants to know is if it generates any income.
  • And a bunch of friends, relatives, colleagues and wellwishers. Most of them became active on Facebook only to help me. Some of them think that if they click the Like button, money gets deposited in my account. I love their sincerity. Most of them say that they get information on this website which they cannot get anywhere else. Love you guys for your encouragement and feedbacks.
OUR GOAL
Lifestyle Today News is popular for bringing Lifestyle Stories that were previously unknown to the readers. Some of the inspiring lifestyle articles can be found only here. Day in and day out research is done to give the readers well-researched inspiring News of Lifestyle Today- Health, Food, Fashion, Trends, Education, Home & People.

If you feel there is some topic that needs to be written about. Feel free to contact  at lifestyletodaynews@gmail.com.

If Jesus Christ were a blogger

Have you ever seen any picture of Jesus Christ in writing posture? No, you won’t. Because he never wrote anything. But the largest number of books, in the world, is written about the works of Jesus and his sayings. He never wrote, yet some of his stories and parables are used even today for motivational talks. The phrases he coined have become part and parcel of many languages.

Why Jesus Christ never wrote is because he was always surrounded by thousands of people and out of them many were writers. They made note of all the works and sayings of Christ. It is said that hundreds of books were written by eyewitnesses who followed Jesus. Out of that, in the Bible, there are four books about the works of Jesus written by Matthew, Mark, Luke and John. Matthew and John were among the twelve disciples of Jesus. Luke, a physician, followed Jesus everywhere. And Mark wrote the eyewitness account as told by the favourite disciple of Jesus, Peter.

Every writer’s dream is that their work continues to live for ages. The words of Jesus reverberates even today.

Bloggers can learn a few lessons about how to blog from the way Jesus communicated and connected with the multitude.

He is a storyteller

Jesus uses many stories and parables to make the multitude understand the messages that he gives them. He tells them the story of the Good Samaritan, to teach the people that they must love their enemies. He tells the story of the master who gives talents to his three servants. Whereby he explains that the people must utilize all the resources that God has given them. These stories are nowadays used for motivational training.

He uses the right platforms for his sermons

At the time of Jesus Ministry, there were no sound systems. His audience belonged to every class of the society from beggars to Royalties. His listeners followed him in multitudes, to listen to his teachings. So he chose his platforms where his sound could be heard to the thousands that followed him.

It might sound exaggerating, but it is a fact that five to seven thousand people including women and children followed him everywhere. There are two stories in the Bible, of miracles, where he feeds five and seven thousand people who came to listen to him.

It is said about the famous sermon on the mount that, “Now when Jesus saw the crowds, he went up on a mountainside and sat down………….and He began to teach them,……….”(St Matthew 5:2,3). Those who have visited Israel say that the mountain has a good echo system. Whatever Jesus said reverberated on the mountains and reached the multitudes sitting far away from him.

Another time he sat on a boat and talked to the people standing beside of the Lake. “Jesus got into the boat belonging to Simon and asked him to put out a little from shore. And sitting down, He taught the people from the boat.” (St. Luke 5:3) Again, here the water of the lake reverberates what Jesus says.

On other occasions, he spoke at the synagogues.  Every time his teachings touched the hearts of multitudes of listeners.

He had multitude of followers

A dream of every blogger is to have thousands of followers on facebook, twitter,  google plus and Instagram. Jesus was followed by thousands wherever he went.

He spoke with authority

You can speak or write with authority when you have mastery over the subject. At the age of twelve, Jesus was asking questions to the teachers and priests in the temple. And they were marvelled at his understanding of the scriptures. When his parents came searching for him in the temple he told them that he was in his father’s (heavenly father) home.

He always spoke with authority sometimes to the discomfort of the authorities and the religious heads. But whatever he said he had open supporters like his disciples and secret supporter like Joseph of Arimathea.

His words created ripple effects

He never wrote a  word. And whatever he said was written long after the ministry of Jesus Christ on Earth. Whatever he said was spread by word of mouth.

In the multitude of listeners, there were spies making a note of every word he said. There were teachers and religious heads waiting for a chance to trap him with questions. He had a good mixture of listeners and critiques around him.

From the public, he got instant reactions for whatever he did or said. The public was always aware of his itinerary.  One day Jesus decided to enter the temple of Jerusalem. When the people came to know they spread his path with their robes, held palm leaves in their hand and shouted Hosanna.

When Jesus entered the temple he saw it was turned into a marketplace. He drove all the merchants out with a chord used to driving out animals, saying “It is written, ‘My house will be called a house of prayer for all nations’, But, you have made it a den of robbers!”

He said and did things what often others thought, but they never dared to express. Readers expect the bloggers, they follow, to write things that the reader often thinks but is unable to express. He expects the blogger to express  ideas with boldness, clarity and authority.

Paint your homes with Royale Atmos to purify indoor air from hazardous Formaldehyde

During a seminar, about Cancer in the modern world, an eminent oncologist said that smoke from the chimney caused more cancer than from cigarette smoking. His views were based on a study conducted in China in which it was found that non-smoking women had more cancer than men who smoked.

Indoor air may be more polluted than outdoor air

Sometimes there are things indoors which are more health hazardous than in the outer environment.

Another interesting factor, during the seminar, was when a woman asked the doctor if she was right is keeping the windows of her home closed for years. Since the traffic pollution is increasing she feared that air in her home will get polluted leading to health problems.

Doctor asked her to open all the windows so that fresh air circulates in the home. Keeping the windows closed won’t prevent hazardous elements coming inside the house. There are many other reasons for getting health problems.

One of the reasons for indoor air pollution is Formaldehyde which can even cause cancer.

Sources of Formaldehyde

There are more than two dozen sources of Formaldehyde at homes. Some of the indoor sources of Formaldehyde are:

  • Air fresheners
  • Essential oils
  • Cleaning products containing terpenes
  • Paper towels
  • Cigarettes and e-cigarettes
  • Combustion byproducts from water heaters and stoves
  • Vehicle exhaust
  • Clothes treated with formaldehyde
  • Polyester, cotton blend, or permanent press bedsheets.

Why paint with Royale Atmos?

Royale Atmos reminds me of the seminar because the paint is said to reduce the level of formaldehyde inside the homes. The pain is a solution to reduce indoor pollution.

How does Royale Atmos clean the air?

Royale Atmos paint breaks down the harmful Formaldehyde into harmless molecules and thus purifies the air. This is an entirely new concept in India. We haven’t known about the presence or the harmful nature of formaldehyde in our indoor environment.

Qualities of Royale Atmos

Reduces Formaldehyde by 85%

In surveys, Formaldehyde has been found to be one of the reasons for Cancer. Hence the paint will as a defender of the health of family members from the harmful effects of Formaldehyde. Royale Atmos reduces Formaldehyde by 85%.

Purifies the indoor air #CleanAirBeautifulHomes

Royale Atmos is not just the fighter against Formaldehyde, it is much more than that. It purifies the indoor air.

Environment-friendly product

It is an environment-friendly product, hence there is no fear about using the paint in this age of fragile environmental conditions.

Tested and proven product

The paint has been tested at the state-of-the-art labs of the Asian Paints.  Royale Atmos was also painted and tested in the houses of consumers in order to ensure that the product delivers the utmost result to the users.

In a way, I feel that this tested and approved paint will help to purify the air indoors. Whereby preventing the nonsmokers from suffering from diseases that happen because of no fault of theirs.

Is Medication for ADHD (Attention Deficit Hyperactivity Disorder) child necessary? (ADHD Part -I)

Do you know ADHD occurs in about 5% to 7% children? If a child behaves a little different from others, then teachers recommend them to be taken to the psychiatric counsellors. The counsellor might diagonise the disorder as ADHD (Attention Deficit Hyperactivity Disorder).

There are many concerns among parents: Whether we should take the child for a counselling section? If the counsellor says that the child has to take medicine, then do we really have to follow the advice? Is Medication for ADHD (Attention Deficit Hyperactivity Disorder) child necessary? Will there be any side-effects of the medication? Will the child be branded as mentally unfit, if he goes for the counselling sections?

I had a discussion with Dr. Varghese Punnoose, an MD in Psychiarty regarding ADHD (Attention Deficit Hyperactivity Disorder) and its medication. He discussed every aspect of the disorder from the symptoms to the medication and the misunderstandings. Dr. Punnoose is specilaised in Child Psychiatry.  He is currently  Professor and Head of Department at Government Medical College, Kottayam, Kerala. 

Read on to know more about Medication for children with ADHD………..

When do you prescribe medicine for children with ADHD?

In moderate to severe ADHD, we give the option of medication to the parents. Medications are not prescribed on the first day that the child comes to us. The medication is suggested only after two or three sitting. After a complete assessment, if the child needs medication, the parents have to take the decision. The child is a minor by legal terms and they cannot take a decision on their own. And we do not force our decision. We give a recommendation of medication as an evidence-based scientific option. Medications available in India are mainly two types – Methylphenidate, a stimulant group of medication and Atomoxetine.

What are the concerns parents have regarding the medications?

Many a times parents are apprehensive about the medicines that the doctor prescribes for hyperactivity. They are doubtful that the medicines are sedatives which will damage the child’s brain or make him dull and sleepy. Or the child may develop some addiction or dependence on medication.

These are much-distorted facts which are being propagated partly from ignorance and partly from some vested interest.

These are much-distorted facts which are being propagated partly from ignorance and partly from some vested interest. These medicines are specifically developed by scientific authorities with evidence for their efficacy as well as safety. They are used all over the world. Methylphenidate is available in the last thirty/forty years. Atomoxetine is available for the past 10-15 years.

Is there any benefit of the medication?

They will not cure ADHD, but they will correct some of the symptoms of ADHD. 70% of the children will improve attention span. The child will be able to hold attention for a long time.  They can bring down hyperactivity not by sedating but by bringing down the extra overactivity. The brain gets a better control of motor activity.

Most of the side effects are not serious, that is why these medicines are approved for paediatric treatment.

There is no sedation or tranquillizing. The brain gets more ability to control the impulses. So the attention span improves that translates to improvement in academic functions. Hyperactivity and impulsivity in reduced. That translates to improvement in behaviour. 60%-70% children get benefitted from medication.

Will the medications cause any side effects?

Of course, they produce side-effects. But no major side effects like brain damage or addiction. Most of the side effects are not serious, that is why they are approved for paediatric treatment.

Government is very strict about approving medicines for paediatric cases. These two molecules have passed all the tests, and they are time-tested.

Loss of sleep

Medication for ADHD (Attention Deficit Hyperactivity Disorder) childThe possible adverse effects that we come across are if we give methylphenidate as a night time dose. The medicine will interfere with sleep. Usually, they are given as daytime dose – one in the morning or one in the afternoon.

Loss of appetite

Medication for ADHD (Attention Deficit Hyperactivity Disorder) childThe second problem is that they may produce loss of appetite and weight loss. In some children, it may produce anorexia, loss of appetite. But again it is for a limited period. After a few weeks, they will get out of it.

Growth retardation

Medication for ADHD (Attention Deficit Hyperactivity Disorder) childThere were apprehensions that use of Methylphenidate could result in growth retardation. But long-term follow-up studies have not demonstrated any significant growth retardation in children on Methylphenidate. However, height monitoring is recommended.

What is the consequence if the medication is withdrawn?

If at all the parents are worried, then there is no problem in withdrawing the medicines or discontinuing the treatment. Very rarely some children may develop liver dysfunction or some other issues for which the children are carefully monitored. But practically we do not come across such issues.

How long to continue medication?

There is no clear-cut answer because we cannot prescribe the medicines are not like a course of antibiotics for the infection. This is a system dysfunction which varies from child to child.

Initially, the children are monitored weekly, then monthly, then once in three months, once in six months. And if the attention span in improving and ADHD score is coming down and the child is able to manage without medication, then the child may not require medication.

If you discontinue, the only thing is that some advantage that you would get from the medication.

In most of the cases, children are diagnosed with ADHD when they are in fourth standard, fifth standard or sixth standard. And they may continue medication up to ninth, tenth or eleventh also. That varies from person to person. There is no worsening.

Sometimes parents are apprehensive that if they stop the medication then thinks will become worse. Nothing like that happens. Only thing is that some advantage that you would get from the medication will not be there if you discontinue.

Why there are some apprehensions regarding the medications?

There are apprehensions about methylphenidate, the stimulant group of medications. Methylphenidate can be abused by adults that is why there is a lot of restriction on prescription. Only a qualified psychiatrist can prescribe this medication. Because of the restriction, parents are worried that this is a very dangerous component. The abuse potential in the paediatric case is nil. This has been used for the past three or four decades.

Atomoxetine does not have such restriction for the prescription. Deciding which medication to give for the child is a clinical decision. There are conditions where we prefer methylphenidate and there are conditions where we prefer atomoxetine.

Is it compulsory to take Medication for ADHD (Attention Deficit Hyperactivity Disorder) child?

We always tell the parents that medication is not the only thing; it is part of the whole package. The main emphasis is on educating the parents and teachers and encouraging the child. All are involved to improve the behaviour of the child. In moderate to severe cases medications are used so as to take away the biochemical block. If the medication is taken then the behavioural therapy becomes more effective. But if the parents are unwilling then they are not forced to take medications.

What about suicidal behaviour due to Medication?

Suicidal behaviour is not related to ADHD. Impulsive behaviour may lead on to impulsive self-injurious behaviour. However, there are no such reports in India. Whenever there is such reporting it will be put to stringent examination by authorities like The Food and Drug Administration (FDA), of the United States of America. And if at all there is the slightest suspicion of such kind of a problem they will immediately order to suspend/ban the product.

If at all there is the slightest suspicion of such kind of a problem authorities like FDI will immediately order to suspend/ban the product.

The first common cause of death in adolescence is accidents, the second is suicide. For an adolescent to commit suicide there can be a large number of factors.  If the child was on a medication when he committed suicide then that has to put for scientific scrutiny. None of the studies so far have shown such results, if in case there were any issues stringent measures would be taken. So far no instructions have come. In India, approval is there only for atomoxetine and Methylphenidate.

How long will the medicine remain the system after the medication is withdrawn?

It will be there in the blood for maximum two days. It is not going to be permanently deposited in the system.

Should medication continue in adulthood?

Almost 60 percent of the symptoms may continue. Whether medication is to be continued in adulthood is a very controversial topic. In our centre, we do not generally encourage medication for the adult. We leave it as an option for children and adolescents.

Why controversies regarding ADHD?

Controversies happen because of overdiagnosis of ADHD. From certain reviews, I find that overdiagnosis is done in certain provinces in the United States. From there the movement has come that children are being medicated unnecessarily. The overdiagnosis issue is not an issue in India. Here the issue in underdiagnosis.

Why there are advocacies against medications for ADHD?

There should be some advocacy to protect the right of the citizen. Children need protection. Advocacy is good because there will be checks and balances. The opposite result happens when deserving children, who should get the advantage of medication, are denied medication because of the stir.

Medication for ADHD (Attention Deficit Hyperactivity Disorder) childDr. Varghese Punnoose specilaised in Child Psychiatry. He is an MBBS and MD in Psychiatry from Government Medical College. He is currently  Professor and Head of Department at Government Medical College, Kottayam, Kerala.

He authored a book ‘Manorogangal’, in malayalam, about Pshycatric disorders. There is one chapter on ADHD also. 

READ MORE…

What is ADHD (Attention Deficit Hyperactivity Disorder)?

How ADHD is diagnosed?(ADHD Part -III)

What is the behavioural approach used in ADHD? (ADHD Part -IV)

This blind journalist guides those who can see with his wealth of knowledge

Swaminathan Rajappan Pillai, may be congenitally blind, but the moment he begins the conversation with his favorite word to break the ice – “Hello”, we will marvel at his depth of knowledge and brood at our own inner darkness. He is a post graduate from the prestigious London School of Economics and he is MA (History) gold medalist from Kerala University.  He is the winner of cash awards, medals, certificates, books and trophies from voluntary organizations and trade unions for getting first class in all public examinations.

He has traveled to more than two dozen countries and wherever he went people wrote about him in newspapers and magazines. What attracts people to him is his positive attitude to life, and his amazing usage of other faculties to compensate of for the one disability that he has. He achieved every dream like others – he is well educated, married, has a daughter, and has a lot of friends.  He is a blind journalist, which is a rarity in India. And above all, he is a motivator and counselor for friends, students, and colleagues.

We worked together in an Institute, where we worked as IELTS instructors. He is lovingly called as Swami Sir by everyone and his classes were always crowded. We were assigned the task to prepare possible questions and answers for the speaking and writing module of IELTS exam, which was to be published as a book. I used to create the possible questions and Swami Sir gave the answers. No matter what question I created from topics under the Sun, he immediately churned out answers from his wealth of knowledge stored in his mind. Swami sir does not carry any gadgets. Whatever knowledge he shares is extempore. The book that he helped in essaying, ten years back, sells even today like hot cake.

He has extraordinary insight about human abilities and fallacies. So he could help many people solve their family issues. He recommended the CEO of our institute to assign me with the editing task of the IELTS book. Neither I nor the CEO was aware of my book editing abilities. I am indebted to Swami Sir for being the beacon in my writing and editing career.

Here is an interview with Swami Sir who has guided many, those who can see, for a better future in their career and family life.

What do you do nowadays?

I am an academic and freelance journalist. I teach English to students of IELTS, TOEFL, PET, GRE, GMAT, SAT and general English at Centre for American Studies, Vazhuthacaud Trivandrum. I sent articles to various publications such as Daily News and Analysis in Delhi. Moreover, I broadcast on some American radio stations.
British and Indian media organizations have accepted and published all my articles with no change of even one word. Interviewing the then British Education Secretary David Blunkett for my first-ever radio program is a remarkable achievement in my journalistic career. My listeners of BBS RADIO, which is an online radio station based in California like my talk shows very much.

Many girls who had been with me during school and college days were very fond of me.

Tell us something about your childhood and education?

I am the eldest of my parents’ four children. I have a brother and two sisters. All of us are now married and settled.
I began my schooling at the age of eight because my parents were unaware of the existence of special schools for the blind in India. I joined a newly opened blind school at Varkala on July 15, 1968. I was the smallest child. I have never looked back since then. Even now, most blind children study at separate residential schools until they are ready for high school in India. I did that. The blind school at Varkala had no government recognition at that time. So, my parents moved me to a government blind school at Kottayam and I did my primary school there.
I had my high school and early university education up to my BA degree respectively at T.D. High School and S.D. College at Alleppey, which is my hometown. I had my first Master’s degree at the Kerala University Campus at Karyavattam Trivandrum. The rest of my education was in London after working in Lakshadweep as a college lecturer for nearly nine years.

Tell us something about your wife and daughter?

My wife Sunitha is a qualified medical doctor. We have only one daughter and her name is Devi. She is now studying medicine in Russia. She is going to be a fourth-year student.

blind journalist
Swami Sir at his niecies wedding

Where did you meet your wife?

I met my wife at the Alleppey Bus Stand on May 10, 1988. She is a native of Quilon. At that time, she was studying medicine at Alleppey Medical College. We were introduced by some common friends. Gradually, our friendship grew to romance and we got married on September 30, 1991.

Which all countries have you been so far?

I began my overseas journeys with England where I went to do my higher studies at the prestigious London School of Economics and Political Science. I have been to 29 countries so far such as the UK, the US, Germany, France, Poland, Holland, Switzerland, the Middle-East, the West Indies, Russia etc.

Which country is the friendliest to people with different abilities?

Britain and the United States are very much friendly to people with special needs. Asia and Africa are far from friendly. In the Middle-East, they are not in the limelight of society.

Proclamation by ministers and officers are not scarce but many people with disability have a tough life in India.

What is the situation of differently abled people in India?

It is far from friendly in India. Proclamation by ministers and officers are not scarce but many people with disability have a tough life in India. With little or no assistance from the government and a society heedless of the plight of disabled people, their lot is cast in a world of darkness and solitude. They drag out their sterile existence in silent agony. For example, visually impaired people need scribes to appear for various public examinations including university examinations. Government remuneration for such scribes is very poor. People are unwilling to perform this role for such meager wages. Besides, there are several other restrictions such as the scribe should be a less qualified person than the examinee.

What all gadgets assist you in your activities?

In the past Braille was the only available tool for blind people. These days, computers and access technology have improved their lives significantly. I use computers and mobile phones. Android and Apple phones and similar devices are really good. I use them in my life. In the past, a very informed and knowledgeable blind individual could be at least a couple of years behind his/her sighted counterparts even in Britain and the United States. Now that online facilities are accessible thanks to modern technology, it is possible for us to work together comfortably.

I use my other faculties, i.e. my hands and ears. I am a keen observer of everything that happens around me.

Unlike other people with special needs you are a jolly person, you live your life to the fullest. You used to tell us about women in your life in schools, colleges, and family; can you share some of the stories here?

I do believe that men and women are complementary. To like gentlemen is what good women like. I have profound pleasure and pride in being a gentleman. For that reason, I have had several women in my life as friends, colleagues, advisers, well wishers,  and counselors. Many girls who had been with me during school and college days were very fond of me. I had similar feelings towards them as well. With some, the passion was inexplicably deep. However, as a person with a disability, I was unable to give them any promise until I was standing on my own feet. Some of them have not forgotten it.

People around you marvel at some of your extraordinary abilities, which even a normal human being does not possess – your roti and sabzi gets over together, for a normal person either the roti or the sabzi will be left in the end; you can touch and immediately say the model of the bike; and you know every denomination of currency, no one can fool you. What is the secret your success?

I use my other faculties, i.e. my hands and ears. I am a keen observer of everything that happens around me.

How are the new Indian currency notes different from the old ones?

They are less wide. They have some identifiable marks. However, Indian coins are more difficult than notes.

What message do you and your wife have people—able-bodied and disabled?

I would like society to become just and egalitarian. Equality before the law, the equal opportunity before the law and equal protection before the law are the cardinal principles of rule of law. These principles must be practiced everywhere so that the man in the street has room for liberty and justice.