Why does the body move by itself, and who takes away the control of the body?

 Why does the body move by itself, and who takes away the control of the body?

Physiotherapy, vocational rehabilitation, speech therapy and regular exercise also improve quality of life.

Why does the body move by itself, and who takes away the control of the body?

Uncontrolled changes in body movements are called movement disorders, which are caused by disturbances in the nervous system of the brain.

Many of us have seen the problem of someone's hands constantly shaking, neck twitching, face twitching involuntarily, hands not moving when trying to write or legs moving at night when trying to sleep.

Most people ignore these symptoms as the effects of aging, weakness, stress or vitamin deficiency. But such symptoms can be a sign of a disturbance in the system that controls the movement of the brain. This problem is called 'movement disorder' in medical language, i.e. disease related to uncontrollable movement.

The human brain is the most complex and amazing part of the body. Walking, running, writing, speaking, smiling, eating or even the smallest activities are controlled by the brain in a very subtle way.

Some special parts of the brain, especially the basal ganglia, cerebellum and the nerve network connecting them, are making the movement of the body balanced, smooth and coordinated. When there is a problem in these parts, the body starts to move against the patient's will.

The most common problem is tremor. When drinking tea, holding a spoon or signing, the hands may tremble, sometimes even the head or voice may tremble. Essential tremor and Parkinson's disease seen in many elderly people are the main causes.

Not all tremors are Parkinson's, therefore, an accurate diagnosis is essential. Parkinson's disease is one of the major neurological diseases that increase with age. Symptoms such as slow movement of limbs, body stiffness, hand tremors when resting, loss of balance and reduced facial expression are seen.

Previously, this disease was considered very complicated, but now, thanks to effective drugs, restorative treatments and modern surgical techniques, patients can live an active and dignified life for a long time.

Another important problem is dystonia. In this, some muscles of the body contract uncontrollably, so the neck becomes bent, the eyes keep closing by themselves, the mouth or voice changes, or the hands go into an unnatural state. Its special type is writer's cramp.

In such a condition, the person can do all other work normally, but only after starting to write, the hand becomes stiff, the fingers become crooked and it becomes difficult to hold the pen. This problem can be seen in students, teachers, bank employees, writers and people who have to write a lot.

It is ignored for years as a simple weakness or mental stress, while with timely treatment, good improvement is possible.

In some patients, the limbs of the body move irregularly like dancing. It is called Korea. Slow jerking movements are called athetosis and sudden jerking movements are called myoclonus.

Some children and young people have the habit of blinking their eyes, opening their mouths, shaking their necks or making noises. Such conditions are called tics. Most of these are treatable.

Restless legs syndrome is a problem that many people experience but is less discussed. It has a strong urge to move the legs especially in the evening or when resting at night. The patient feels crawling, tingling, burning or pulling in the legs.

Moving the legs gives relief for some time, but when resting again, the problem recurs. As a result, sleep is disturbed, fatigue throughout the day, irritability and reduced ability to work. Most people don't care, thinking of it as a habit or a gas problem. But it is also a neurological disease and effective treatment is available.

Why do these diseases appear?

There can be many reasons. Changes in brain cells with age, hereditary effects, stroke, brain injury, long-term use of certain drugs, lack of iron in the body, diabetes, kidney disease or other neurological diseases can also cause uncontrolled movement.

Identification and treatment

To identify the disease, the patient's history, neurological examination, blood test if necessary, MRI, CT scan and other special tests are done. The most important thing is not to self-medicate and consult a specialist without delay.

As far as treatment is concerned, it varies according to the disease. Many patients get better with medicine. Botulinum toxin injections are very effective in many patients with dystonia.

Physiotherapy, vocational rehabilitation, speech therapy and regular exercise also improve quality of life. When drugs don't work enough, modern functional neurosurgery offers new hope. Its most successful technique is Deep Brain Stimulation.

In this, a small electrode is placed in a certain part of the brain and a light electrical stimulation is given by a battery connected under the skin. It can significantly improve Parkinson's disease, essential tremor, dystonia and some other movement related diseases by controlling abnormal nerve signals.

This treatment is successfully available not only in the developed countries of the world, but also in Nepal. Deep Brain Stimulation services are regularly available with us, and most patients have seen significant improvement and encouraging results from this treatment.

In society, such diseases are still considered to be the effects of old age, devastation, weakness or mental problems There is a tendency to misunderstand it. Due to such confusion, many patients are deprived of treatment.

The reality is, most movement disorders can be controlled if detected early, and many patients can return to a normal life.

If any part of the body starts shaking for no reason, if it is difficult to write, if the neck or face starts bending on its own, if there are uncontrollable tremors, or if there is a problem of moving the legs at night, it should not be considered normal. It is wise to consult a neurologist or neurosurgeon in time.

Only with a health-conscious citizenry, timely diagnosis and access to modern treatment can we reduce the disability caused by uncontrolled movement disorders.

Why eat light food in July? Such is the advice of Ayurveda

 Why eat light food in July? Such is the advice of Ayurveda

According to Ayurveda, since the digestive power is weak during the rainy season, health experts have suggested eating light, fresh and sattvic food in the month of July.

The month of July is considered special for religious faith, fasting and Shiva worship. But according to Ayurveda, its importance is not limited to religious aspects only. It is advised to eat light, fresh and sattvic food keeping in mind the biological changes in the body during the monsoon month of July.

Ayurveda has explained this season as a time when the risk of disease increases in the body. It is said that due to excessive humidity in the environment, low sunlight, fluctuations in temperature and the digestive system is weakened due to contaminated water and food, special care should be taken in eating.

Why is the digestive power weak?

According to Ayurveda, the whole health of our body depends on 'Jatharagni' i.e. digestive power. During rainy season, due to increase in humidity in the environment, change in body temperature and changes in daily lifestyle, this digestive fire naturally slows down.

When the digestive power is weak, the food eaten cannot be digested properly, which causes the body to produce common 'undigested toxins'. Ayurveda considers this mango as the main cause of many diseases.

For this reason, excessive oil, ghee, spices, red meat, fast food and many starchy foods are difficult to digest. If you eat such food regularly, you may experience problems such as heaviness in the stomach, increased gas, acidity, constipation, indigestion, stomach ache, nausea and feeling lethargic.

Imbalance comes in Tridosha

According to Ayurveda, the body operates in the balance of three doshas: Vata, Pitta and Kapha. Vata dosha is especially likely to increase during rainy season and pitta dosha becomes unbalanced. It can cause joint pain, flatulence, acidity, skin problems, headache, fatigue and various digestive problems.

In addition, health experts say that the growth of bacteria, viruses and fungi is faster during the rainy season, so the risk of diarrhoea, food poisoning, typhoid, cholera and other infections also increases. Therefore, it is necessary to pay special attention to the quality, cleanliness and freshness of food during this season.

What kind of food is suitable in July?

Ayurveda recommends eating sattvic, fresh and easily digestible food in Sauna. Sattvic food not only provides the necessary nutrition to the body, but also does not burden the digestive system unnecessarily.

During this period, it is considered beneficial to consume freshly cooked pulses, rice, roti, green vegetables, gourds, parsley, giraunla, parval, parsley, seasonal fruits, semolina instead of curd, hot soup, porridge, khichdi and enough boiled or safe drinking water. It is better to cook food fresh, using less oil and less spices.

Also, using natural spices like ginger, cumin, coriander, turmeric, fenugreek, black pepper in limited quantities can help improve digestion.

What foods to stay away from?

Ayurveda advises to avoid stale food, highly spicy food, highly starchy food, highly greasy food, junk food, cold drinks, excessive sweets and food made in unhygienic places as much as possible. Such foods can create more pressure on an already weakened digestive system.

Health benefits of sattvic food

Light and sattvic food relaxes the digestive system and also provides the necessary energy to the body. As such food keeps the stomach light, laziness and lethargy are reduced, the body remains active throughout the day and mental freshness is also maintained.

Since immunity is weakened during rainy season, sattvic diet can help in strengthening the immune system. Also, Ayurveda believes in helping the detox process naturally without allowing unnecessary toxins to accumulate in the body.

Positive effects on mental health as well

Ayurveda links sattvic food not only with physical health, but also mentions that it has a positive effect on mental health. A light and balanced diet is believed to help calm the mind, reduce stress and help focus. That is why sattvik food is especially associated with worship, meditation, chanting and spiritual practice during the month of Saun.

These habits should also be adopted to stay healthy

In July, it is necessary to pay attention to lifestyle along with diet. Eating on time, not eating too much, getting enough sleep, regular light exercise or yoga, drinking clean and boiled water, not eating stale food and paying attention to personal hygiene can prevent many health problems during rainy season.

Overall, the tradition of eating light and sattvic food in Saun is deeply connected not only to religious beliefs but also to health protection. According to Ayurveda, it is best to choose light, fresh and nutritious food as the digestive power of the body is weak during rainy season.

In addition to keeping the digestive system healthy, it can play an important role in reducing the risk of infection, strengthening immunity, maintaining mental peace and improving overall health.

Why is the coordination of science, spirituality, and human consciousness necessary in education?

 Why is the coordination of science, spirituality, and human consciousness necessary in education?

We have a rich Eastern knowledge tradition, but the ability to communicate with modern science is also developing.

Why is the coordination of science, spirituality, and human consciousness necessary in education?

It is essential to include the human and psychological aspects in health education, including palliative care and the experience of the last stages of life.

Nepal's education system is currently at a critical juncture of change. Artificial intelligence, biotechnology, neuroscience, mental health, and global social change have changed the situation. Education can no longer be just a means of passing exams, getting jobs, or teaching technical skills.

Today's generation needs not only knowledge, but also the ability to understand life, mental strength, moral decision-making ability, compassion, self-discipline, and the skill of remaining balanced in uncertain situations.

Many countries around the world have begun to recognize this need. Mindfulness, stress management, socio-emotional learning, palliative care, positive psychology, end-of-life care, and consciousness-related studies are gradually expanding in schools and universities. Modern science is also studying the relationship between the body, brain, emotions, and behavior in greater depth than ever before.

In such a situation, an important question arises—can Nepal develop an education system that establishes a balanced dialogue between its own knowledge tradition and modern science?

Nepal is not only a country of mountains and natural beauty; it is also an important center of Vedic, Upanishadic, Yogic, and Buddhist knowledge traditions. Thousands of years ago, sages and sages deeply pondered on the fundamental questions of human life, nature, consciousness, health, ethics, and the universe.

The ideas developed in the Vedas, Upanishads, Bhagavad Gita, Patanjali Yoga Sutras, Ayurveda, and other ancient texts about the body, mind, breath, self-discipline, meditation, compassion, life, and death have enriched the knowledge tradition. These texts are still studied today as important sources for understanding the development of philosophy, history, culture, and human thought.

Similarly, yoga is not just a method of physical exercise; it has traditionally been interpreted as a holistic way of life that disciplines the body, mind, and behavior. Practices such as pranayama, meditation, introspection, restraint, and compassion emphasize the inner development of the individual. Modern science has begun to study some aspects of these practices—especially meditation, mindfulness, and controlled breathing exercises—and the potential health effects of these practices. While positive evidence has been found in some areas, many questions are still the subject of research.

Therefore, the need today is not to accept ancient knowledge as superstition or to completely reject it in the name of modern science. What is needed is to conduct critical and evidence-based studies of these knowledge traditions in dialogue with history, philosophy, culture, and contemporary scientific research. It is necessary to creatively connect the wealth of knowledge developed by the sages and sages with modern research, neuroscience, psychology, medical science, and pedagogy. If this can be done, it will give a new direction to the national education system and create the possibility of establishing Nepal's unique identity in the global knowledge community.

This does not mean making religious/religious education mandatory in the curriculum. Nor does it mean presenting any religious or spiritual belief as scientific truth. Rather, it is about creating an environment where the various perspectives that human civilization has developed on life, health, consciousness, and death are studied based on evidence, history, philosophy, and critical thinking.

For example, thousands of scientific studies have been published on meditation and controlled breathing exercises in the last three decades. Some studies have shown that regular meditation practice can help reduce stress, anxiety, and emotional imbalance. There is also increasing evidence that controlled breathing exercises can have a positive effect on the autonomic nervous system, heart rate variability, and physical responses to stress. However, not all claims of all types of yoga or pranayama have been scientifically confirmed.

Therefore, where the evidence is strong, it should be taught based on evidence; where research is ongoing, it should be presented as a subject of open research.

Another important aspect is health education. Today, most students studying medicine, nursing, pharmacy, public health, physiotherapy, etc. receive education focused on the diagnosis, treatment and life-saving skills of disease. This is very necessary. But not every treatment is successful, and every human life ends in death one day. Therefore, future health workers need to understand death not only as a biological event, but also as a deeply human, psychological, social and cultural experience for the patient and his family.

In many universities around the world, subjects such as palliative care, grief management, sensitive communication with patients, end-of-life decisions and death studies are gradually being made an important part of health education. It is time for Nepal to think about including such subjects according to its own cultural context.

Similarly, the body is not only a biological structure that can get sick It is not enough to understand only the brain. Science has proven that thousands of biochemical reactions are taking place inside the body every moment. Chemicals like dopamine, serotonin, oxytocin, endorphins, cortisol, melatonin affect our emotions, thinking, memory, sleep, immune system and behavior.

Nutrition, exercise, sleep, stress, social relationships and lifestyle also affect these biochemical processes. This is why the concept of ‘holistic health’ is becoming important again in health science today.

Eastern yoga and meditation traditions have also emphasized breathing, self-discipline, diet, meditation and mental balance for thousands of years. The relationship between modern science and these traditions is not yet fully established, but the field of dialogue and research is expanding rapidly. Nepalese students should have the opportunity to study both sides from a critical, evidence-based and open perspective.

Another interesting topic is consciousness. Modern neuroscience is studying the brain processes related to consciousness, while philosophy, psychology, Vedanta, and Buddhist thought offer different explanations about the nature of consciousness. So far, a complete scientific explanation of consciousness is not available. For this reason, consciousness studies are developing as an interdisciplinary research field in prestigious universities around the world. Nepal can also explore the possibilities of research, dialogue, and educational development in this area.

Some may understand such a proposal as an attempt to expand religious education. But that is not the real purpose. The basis of the education system should always be the scientific method, critical thinking, evaluation of evidence, and intellectual freedom. No philosophical or spiritual concept should be studied as the ultimate truth, but as ideas developed by human civilization. Similarly, claims that are not confirmed by science should not be presented as scientific facts. This balance makes the education system credible.

Nepal has a rare opportunity. We have a rich Eastern knowledge tradition, but the ability to communicate with modern science is also developing. If these two can be connected on the basis of research, evidence, philosophy and critical thinking, Nepal can present a new educational model not only for its students, but also for the world.

The education of the future should not be just a means of producing good engineers, doctors, teachers or administrators. It should produce citizens who are scientifically minded, culturally aware, mentally strong, compassionate and able to maturely engage with the complex questions of life.

Education should teach technology, but also self-discipline. It should teach science, but also ethics. It should teach research, but also compassion. And along with preparation for life, it should also develop the ability to understand the final journey of life with dignity.

Where the ultimate goal of education is not just to produce successful professionals, but to produce holistically developed, responsible and humane citizens.

Has the role of the health system against gender-based violence been exhausted?

 Has the role of the health system against gender-based violence been exhausted?

One-stop crisis management centers are operating in 97 hospitals across the country to provide health care and legal assistance to victims of violence.

To make the campaign against gender-based violence effective, it needs to be permanently included in the organizational structure of the Ministry of Health and Population.

Any type of humiliating, painful or threatening behavior that occurs or may occur on the basis of gender is gender-based violence. The act of pressure, coercion or arbitrary deprivation of freedom also falls under gender-based violence.

Gender-based violence is deeply embedded in our society. It begins at the fetal stage. Abortion based on gender identity is the first stage of violence. Family and social discrimination during childhood and adolescence is the next stage.

After this, discrimination occurs at the reproductive age, sexual violence or discrimination is deprived of property and resources in old age.

A question that always arises in everyone's mind: Are only women victims of violence?

Answer: ‘No’.

Men and sexual and gender minorities are also victims, which is also confirmed by the data available in our regular health system. About 10 percent of those who seek services from one-stop crisis management centers due to gender-based violence are men. About 3-4 percent are sexual and gender minorities, while the rest are women. Even when analyzing this data, women are more likely to be affected.

Gender-based violence is an issue related to public health, human rights, and social justice. Domestic violence, sexual violence, child marriage, human trafficking, harmful traditional practices, and other forms of gender-based violence have long-term effects on women’s physical, mental, social, and sexual and reproductive health.

More than 60 percent of violence is perpetrated by acquaintances and acquaintances. Violence against women can occur in the public, private, and at any time in life.

There is a gender inequality gap in society. Different gender identities are also a major cause of discrimination. According to the Nepal Demographic Health Survey 2022, 23 percent of women aged 15 to 49 in Nepal have experienced physical violence.

The report states that 8 percent of women have experienced sexual violence in their lifetime. 27 percent have experienced physical, mental or sexual violence in their lifetime. 17 percent of women have experienced violence from their partners in the last 12 months. Of the women who have experienced sexual violence, 58 percent have neither told anyone about their pain nor sought any kind of help.

Similarly, the report shows that 14 percent do not seek help even if they tell someone, such as a friend or neighbor, about their pain. However, 28 percent of women seem to have sought help after violence. Since health institutions are the first contact and service center for victims of violence, the role of the health sector is not limited to treatment alone, but also includes psychosocial counseling, forensic evidence collection, safe referral, rehabilitation and multi-sectoral coordination, implemented by the Government of Nepal through the One-Stop Crisis Management Center (OCMC).

What is the One-Stop Crisis Management Center?

It is a multi-sectoral service system that provides free access to health care and other essential services to victims or affected persons through a single door. Through this, victims are provided with emergency health care, mental health and psychosocial counseling, forensic examination, legal aid, safe shelter, and effective referral services to the police, judicial bodies, and social rehabilitation services as needed.

The OCMC, which operates with the privacy, dignity, safety, and rights of the victim at the center, has been playing a significant role in making the health response to gender-based violence effective, accessible, and coordinated.

Is it necessary or not to provide the role of the health system against gender-based violence in the organizational structure of the Ministry of Health and Food Hygiene?

Currently, 97 hospitals across the country have one-stop crisis management centers, which is a significant achievement. This achievement needs further strengthening of its leadership, coordination, monitoring, and program management in the federal structure. This issue does not seem to have found a place in the newly approved structure of the Ministry.

It is necessary to make policy arrangements to effectively implement the right to health, gender equality, the right to a life free from violence guaranteed by the constitution, and the commitments made by Nepal at the international level.

The main foundations of which are presented below:-

- The health sector is the first and most important service point for victims of gender-based violence, which cannot be done by other sectors.

- A permanent structure is necessary to make services including the One-Stop Crisis Management Center sustainable and institutionalized.

- There is a need for clear leadership and coordination of this issue and the One-Stop Crisis Management Center service between the federal, provincial, and local levels.

- It is necessary to coordinate the role of the policy level to provide integrated management of health services related to gender-based violence, mental health, sexual and reproductive health, and forensic services, etc.

A health structure with clear responsibilities of the health sector is necessary for the implementation of national and international commitments, because since no single sector can cover the campaign against gender-based violence, it is called multi-sectoral.

Sarkar The response that the health sector has so far provided is only 28 percent of the access to the One-Stop Crisis Management Center, which is being provided by the health sector. This tells us that there is still work to be done.

To date, among the sectors that have presented some progress and achievements on behalf of Nepal in international forums on gender equality or gender-based violence, the One-Stop Crisis Management Center system and service is also a major achievement.

If this issue is not included in the structure of the health sector for a policy and coordinating role in the federal structure of such an important service, it will be a leadership crisis for this sector itself.

Health response to gender-based violence is an integral part of the health service system. Therefore, it is necessary to institutionalize it within the permanent organizational structure of the Ministry of Health and Food Hygiene, not as a project or temporary program, with clear responsibilities, sufficient human resources, a sustainable budget, and an effective monitoring system.

‘The diet our ancestors ate did not increase obesity’

 ‘The diet our ancestors ate did not increase obesity’

Currently, social media is flooded with health, weight loss tips, and diet-related content.

‘The diet our ancestors ate did not increase obesity’

Nutritionist Modnath Poudel mentioned that weight loss alone is not an indicator of health, but a balanced diet, adequate sleep, and a healthy lifestyle should be the main priority.

Rather than following the propaganda in the name of weight loss on social media, he said that attention should be paid to expert advice and a diet based on scientific evidence.

Nowadays, healthy lifestyle, weight control, and diet-related topics are widely discussed from social media to households. Many people are following various diet plans, supplements, slim teas, and online advice with the aim of losing or gaining weight.

What is really needed to stay healthy? Is weight loss the main indicator of health? Is all the advice given on social media trustworthy? Focusing on these topics, online journalist Sumitra Luitel spoke to nutritionist Modnath Poudel. Here is an edited excerpt from the conversation with Poudel:

Is weight loss the main indicator of health?

A person should first aim to become ‘healthy’, not ‘fat’ or ‘thin’. The attitude towards the body has been changing in society over time. While obesity was once considered a sign of wealth, now there is a growing tendency to view obesity as a disease or weakness. However, health is more important than body size.

If a person is healthy, his or her weight, height, and physical structure are more likely to be naturally balanced. Therefore, before losing or gaining weight, one should adopt a diet and lifestyle that keeps the body healthy.

Traditional Nepali Food: Is it the basis of a balanced diet or not?

The traditional and local foods eaten in Nepali society are naturally balanced. Taking dishes like Thakali as an example, traditional food has a good balance of carbohydrates, proteins, fiber, and other nutrients.

Also read

How many steps should you walk daily to prevent weight gain?

The food eaten by previous generations did not cause obesity or malnutrition. But now, as food options increase, people are becoming more confused. With the introduction of new food items, processed foods, and genetically modified (GMO) foods in the market, confusion about what to eat and what not to eat has increased.

For lunch and dinner, you should prioritize your traditional and body-accepted food as much as possible. Breakfast should be adequate, nutritious, and balanced. If breakfast and main meals are organized, some weaknesses in snacks in between will not have a big impact.

Is the same diet suitable for everyone?

Everyone's body is different. Even among members living in the same family and eating the same food, some gain weight while others lose.

The main reason for this is the difference in the body's metabolism, digestive process, health condition, age, hormones and lifestyle. For example, metabolism may be slow in people with thyroid. But metabolism may also be slow in people without thyroid for various reasons.

Therefore, it is not scientifically correct to cut down on food or adopt someone else's weight loss method just because you have gained weight. First of all, it is necessary to find out the root cause of weight gain or loss.

What is the concept of 'Food is Medicine'?

'Food is Medicine' is the concept of 'using food as medicine'. Its main message is not to depend on medicine only after getting sick, but to prevent disease and promote health through proper nutrition in daily life.

According to the World Health Organization, many non-communicable diseases, including heart disease, diabetes, high blood pressure, obesity, etc., are directly related to diet and lifestyle.

For example, antioxidants found in fruits and green vegetables help fight free radicals that damage the body. Fish, chia seeds, and walnuts, which are rich in omega-3 fatty acids, can help improve heart health.

A healthy diet can help control many health problems. But that doesn’t mean making food a substitute for medicine. For example, eggs are an excellent source of protein. But not everyone’s body digests eggs the same way. You may need to change your eating habits if you’re sick. So just because a food doesn’t work for someone doesn’t mean it’s bad for everyone.

Diet advice on social media: How much should you trust?

Social media is flooded with health, weight loss, and diet-related content. While some content is scientifically based, most content is created for personal experience, business gain, or popularity.

When looking at any health-related material, the first thing to do is to evaluate who the person is presenting it to, what their expertise is, and whether the information they provide is based on scientific evidence.

A cardiologist can give advice on heart issues, a hormone specialist can talk about hormone issues. Similarly, a dietitian can talk about nutrition. The role of a dietitian and nutritionist is important. Advice given by an expert in one field on another field should also be critically evaluated.

How true are the claims of Slim Tea, Garcinia Cambogia and miraculous weight loss?

Nowadays, products such as Garcinia Cambogia, Slim Tea, Slimming Coffee are being widely promoted on social media and in the market. These products claim to reduce weight quickly.

But no single food or drink can make a person thin or fat. Body weight is the result of the overall lifestyle, diet, sleep, physical activity, mental health and biological state.

If someone starts to eat less by drinking Slim Tea, they may lose weight for a while. But that is not a healthy way. It can lead to nutritional deficiencies, weakness and other health problems in the long run.

A balanced diet, adequate sleep, regular physical activity and a healthy lifestyle are the only sustainable ways to control weight. No ‘magic’ product or ‘one-size-fits-all’ solution can provide a long-term solution.

Do doctors and dietitians play different roles?

Both doctors and dietitians aim to improve the health of patients, but their scope of work is different. While doctors diagnose, test, and administer medications, dietitians help improve health and manage diseases through nutrition. Therefore, it is not appropriate for a dietitian to try to stop medication or replace a doctor's treatment regimen.

Similarly, it is more effective for a doctor to collaborate with a dietitian when necessary rather than providing detailed nutritional advice. Multidisciplinary collaboration is necessary for the patient's well-being.

What should be done to get rid of the misconceptions spread in the name of losing weight and improving health?

The biggest challenge today is the growing confusion among people. Due to social media, advertising, and incomplete information, people sometimes try to completely avoid a certain food, and sometimes they consider a certain food to be a miracle solution.

In fact, the basis of health is a balanced diet, adequate sleep, regular physical activity, stress management, and eating according to individual needs. Not one diet, one medicine, or one solution is suitable for everyone.

Therefore, there is an increased need to prioritize scientific evidence, qualified expert advice, and the needs of one's body over the myths spread in the name of weight loss or health improvement.

Eating more legumes and soybeans reduces the risk of high blood pressure by 30 percent

 Eating more legumes and soybeans reduces the risk of high blood pressure by 30 percent

Eating about 170 grams of legumes daily reduces the risk of high blood pressure by about 30 percent.

Regular consumption of legumes and soybean-based foods is very effective in reducing the risk of high blood pressure, a new study has shown. According to a large report published in the journal 'BMJ Nutrition Prevention and Health', people who eat more of these foods are found to be much less likely to have high blood pressure.

Analyzing various studies conducted around the world, scientists have found a clear result. The risk of high blood pressure has been found to be reduced by 16 percent in people who eat more legumes. Similarly, this risk has been found to be reduced by 19 percent in people who eat more soybeans and dishes made from them.

According to the research, eating a certain amount of these foods daily is the most beneficial. Eating about 170 grams of legumes daily reduces the risk of high blood pressure by about 30 percent. Similarly, eating 60 to 80 grams of soy foods daily reduces the risk by 28 to 29 percent.

But scientists have said that eating more than that does not provide any additional benefit. Here, 100 grams of beans or soybeans is understood to be one cup of cooked beans or about 5 to 6 tablespoons.

This research included data from 12 long-term studies conducted in various countries in the United States, Europe and Asia. Beans and soybeans are rich in elements such as potassium, magnesium and fiber. These nutrients help balance blood pressure. The fiber in beans relaxes and widens the blood vessels in the body. In addition, a substance called 'isoflavones' found in soybeans also helps reduce blood pressure.

Currently, people in countries around the world, including Europe and the UK, eat very little beans. Although it is recommended to eat 65 to 100 grams of legumes daily for heart health, people are only eating 8 to 15 grams per day.

According to nutritionists, this research provides a strong basis for people to prioritize legumes and soybeans as the main sources of protein in their daily diet.

Brain power can improve even at the age of 90

 Brain power can improve even at the age of 90

A new study has been made public, challenging the common belief that mental acuity and thinking ability weaken with age.

A study from the University of Texas has found that the brain health of people over the age of 90 can also be improved.

Published in the scientific journal 'Scientific Reports', 3,966 people aged 19 to 94 participated in this research.

According to the research, 5 to 15 minutes of brain exercise daily can significantly improve a person's thinking clarity and emotional balance.

31 Jestha, Kathmandu. A new study has been made public, challenging the common belief that mental acuity and thinking ability weaken with age. A three-year study conducted by researchers at the 'Center for Brain Health' under 'The University of Texas at Dallas' has shown that the brain health of people over the age of 90 can also be improved.

The study, published in the journal Scientific Reports, involved 3,966 people aged 19 to 94.

During the study, participants engaged in a variety of brain-training activities for just 5 to 15 minutes a day. After three years of continuous tracking, researchers found measurable improvements in their thinking clarity, emotional balance, and outlook on life.

To measure this change in brain health, the research team used a special method called the ‘Brain Health Index’. This index evaluates about 20 indicators, including a person’s sleep quality, happiness level, and ability to think complexly.

According to the study’s lead author, Dr. Lori Cook, each person’s brain is as unique as a fingerprint and always has the potential to develop. This study has proven wrong the old belief that the brain must weaken with age.

Another interesting aspect of the study is that participants with the lowest initial brain health scores showed the greatest improvement over time. People with lower scores were more concerned and motivated about their mental health, so they invested more time in the practice, which resulted in better results, the study found. However, signs of improvement were also recorded in people with already good mental abilities.

Dr. Sandra Bond Chapman, chief director of the Center for Brain Health, explained that brain capacity is determined not by age but by potential. According to her, efforts to keep the brain healthy before any problems or diseases appear in it are very effective even in old age.

According to the researchers, factors such as a person’s age, gender or educational level do not make a difference in brain improvement, but rather how much a person engages in these exercises plays a key role. To further clarify this issue, more than 1,200 brain scans (brain imaging) of about 400 participants in the Dallas area are also being conducted.

Positive thinking makes the mind and body of the elderly healthier with age

 Positive thinking makes the mind and body of the elderly healthier with age

A new study by Yale University in the US has challenged the common belief that people's physical and mental abilities steadily decline as they age.

According to a new study by Yale University in the US, nearly half of the elderly over the age of 65 have seen significant improvements in their physical or mental abilities over time.

The research, published in the scientific journal 'Geriatrics', was conducted on more than 11,000 American elderly people for 12 years.

The study has shown that positive thinking about aging can help bring about significant improvements in the walking speed and mental performance of the elderly.

July 20, Kathmandu. Challenging the common belief that people's physical and mental abilities steadily decline as they age, Yale University in the US has made the findings of a new study public.

According to this long-term research, nearly half of the elderly over the age of 65 have seen significant improvements in their physical, mental, or both abilities over time.

The study, published in the scientific journal Geriatrics, followed more than 11,000 older Americans for 12 years. Their thinking and memory skills and walking speed were measured during the research. According to the results, 45 percent of the participants showed improvement in at least one area. Of these, 32 percent showed improvement in mental ability and 28 percent in physical ability.

“Many people view aging as an inevitable decline in physical and mental abilities,” said Becca R. Levy, a professor at the Yale School of Public Health and lead researcher. “But our study shows that even in old age, improvements in abilities are not rare, but rather a normal process.”

The study found that a person’s own perception of the aging process plays a big role. Older people who had a positive attitude towards aging showed greater improvements in walking speed and mental performance.

The negative perceptions that society creates through the media and advertising have a negative biological impact on people's health, while positive thinking makes the body more energetic, says Professor Levy. "Our findings show that even in old age, there is still an internal capacity for improvement, and that it can be improved by changing our thinking," Levy said.

This improvement was not limited to those who had recovered from illness. Older people who were initially completely healthy also showed further improvement over time. The study suggests that the ongoing decline that comes with aging can be prevented, and the researchers recommend that investment in positive environments and rehabilitation programs for the elderly, along with therapeutic services, be increased.

These are the changes that can be seen in the body after giving up sugar for a month

 These are the changes that can be seen in the body after giving up sugar for a month

By completely or largely stopping the consumption of sugar for a month, positive changes such as weight control and stable energy levels can be seen in the body.

In today's busy lifestyle, the habit of eating sweets has become very common. Tea, cold drinks, sweets and packaged foods contain a lot of sugar. But if a person stops consuming sugar completely or largely for a month, various positive changes start to be seen in the body. The first few days may feel a little uncomfortable, but in the long run, it can have many health benefits.

The first few days can be challenging

For the first 3-7 days after giving up sugar, you may experience increased cravings for sweets, headaches, fatigue, irritability or difficulty concentrating. This is normal because the body is used to regular consumption of sugar.

Can help in weight control

The process of fat accumulation in the body can be reduced by reducing the extra calories obtained from sugar. It can help reduce fat around the belly, especially around the waist, and can help you gradually control your weight.

May help keep your blood sugar levels balanced

Reducing sugar can help reduce the problem of sudden increases and decreases in blood glucose levels. This can help improve the effectiveness of insulin and help reduce the risk of type 2 diabetes in the future.

May keep your energy levels stable throughout the day

Although too much sugar may give you a short-term boost of energy, you may feel tired later. Reducing sugar can help keep your energy levels more stable, which can help you stay active and focused throughout the day.

May improve your skin

Excess sugar can increase inflammation in the body, leading to acne, pimples, and skin problems. Reducing sugar can make your skin look clear, healthy, and naturally radiant.

May have a positive effect on heart health

Excessive sugar intake can increase triglycerides, blood pressure, and the risk of heart disease. Reducing sugar can help reduce these risks.

Liver health may improve

High intake of fructose, especially found in sugar, increases the risk of fat accumulation in the liver. Reducing sugar can reduce the extra burden on the liver.

May improve dental and oral health

Sugar can increase tooth decay and gum problems. Reducing sugar can also reduce the risk of tooth loss.

May improve sleep quality

Reducing sugar can help balance the body's energy levels, which can help you sleep better at night and feel refreshed in the morning.

May improve the digestive system

Reducing sugar and increasing fruits, vegetables, and fiber-rich foods can improve the digestive system and have a positive effect on intestinal health.

Overall benefits that can be seen after a month

Reducing sugar intake for a month can help you experience weight control, improved skin, stable energy, balanced blood sugar levels, improved heart and liver health, better sleep, and positive changes in overall health. However, it is advisable to consult a doctor or nutritionist before making any major dietary changes.

What to consider when giving up sugar?

Giving up sugar does not mean giving up all carbohydrates. Natural sugars found in fruits, milk, and whole grains are generally considered part of a healthy diet.

To do this, you should make it a habit to read the labels of packaged foods. Reduce your intake of cold drinks, sweets, chocolate, and packaged juices. Choose fresh fruits instead of sweets. Drink plenty of water. Eat enough protein and fiber-rich foods. Also, prioritize regular exercise and adequate sleep.

Hantavirus: Why is a dangerous infection with a mortality rate of up to 50 percent in the news now?

 Hantavirus: Why is a dangerous infection with a mortality rate of up to 50 percent in the news now?

Hantavirus is not usually transmitted from one person to another. However, in the case of the Andean species of hantavirus found in South America, a few cases of human-to-human transmission have been recorded.

Hantavirus is a very deadly ‘zoonotic’ virus that can become a global health challenge at any time. This virus, which is mainly transmitted to humans from rodents, causes serious damage to the lungs and heart if infected. After its sudden outbreak on a cruise ship operating in the Atlantic Ocean, it has become a topic of renewed discussion and concern among health experts and the general public around the world.

What is Hantavirus?

Hantavirus is a group of viruses belonging to the ‘Bunyaviridae’ family. It is named after the ‘Hantan’ river in South Korea, where it was first identified in 1978.

So far, scientists have discovered more than 20 species of it in different parts of the world, which affect human health in different ways.

Based on their effects and geographical presence, hantaviruses are mainly classified into two categories. The New World hantavirus species, found mainly in the American continent, causes ‘Hantavirus Pulmonary Syndrome’ (HPS) or ‘Hantavirus Cardiopulmonary Syndrome’ (HCPS). This causes serious damage to the human respiratory system and heart function.

Similarly, the Old World hantavirus species, which is more active in Europe, Asia and Africa, causes ‘Hemorrhagic Fever with Renal Syndrome’ (HFRS). This type of infection has a risk of direct and fatal effects on the human kidneys.

Recent Outbreak: Hantavirus Scare on Cruise Ships

The main reason why Hantavirus has recently become the focus of international media attention is the sudden outbreak on the MV Hondius cruise ship operating in the Atlantic Ocean. The ship, operated by the Dutch Oceanwide Expeditions company, departed Argentina on April 1. The health crisis on the ship, which is on a tour of remote islands such as Antarctica, South Georgia and Tristan da Cunha, has caught the attention of the world.

According to the latest report from the World Health Organization, seven of the 147 passengers and crew members on board the ship have been confirmed or suspected to be infected with Hantavirus. Three of the infected have died, while one is still receiving treatment in a serious condition. The other three have shown mild symptoms.

The deceased include a German citizen and a Dutch couple. According to the information received, the husband of the Dutch couple died on the ship on April 11, while the wife died in a hospital in South Africa on April 26. This tragic incident has sparked a new debate about the risk of the virus in closed environments such as cruise ships.

Source of infection and transmission

The main source of infection with Hantavirus is rodents. The virus is mainly transmitted to humans through the urine, feces or saliva of rats. When a person breathes in an area contaminated with rat feces, tiny particles of the virus mixed in the air directly enter the respiratory system. This is the most common and major route of infection. In addition, the virus can also enter the body when a rat bites, eats food contaminated with the virus, or touches a contaminated surface and then touches the eyes, nose or mouth with the same hand.

Hantavirus is not usually transmitted from one person to another. However, limited human-to-human transmission of the Andean hantavirus, a strain found in South America, has been recorded. According to the World Health Organization, such transmission is likely to occur through very close and prolonged physical contact.

The current outbreak on the MV Hondius cruise ship is also suspected to have involved human-to-human transmission. Dr. Maria Van Kerkhove, WHO’s director of pandemic preparedness and response, said that the possibility of human-to-human transmission cannot be completely ruled out, as some of the infected people appeared to have had very close contact. However, she urged people not to be overly concerned, saying that the virus is not as easily airborne as flu or COVID-19 and that the risk to the general public is not currently high.

Treatment and prevention

There is no specific drug or specific vaccine developed to protect against hantavirus infection. Therefore, supportive care in hospitals remains the only option to save infected people. If the patient's condition is serious, they are placed in the intensive care unit (ICU) and oxygen therapy and ventilators are used to facilitate the respiratory process.

Since this virus is transmitted by rodents, the best way to avoid it is to avoid contact with rats. Proper arrangements should be made to prevent rats from entering your home, workplace or storage rooms.

Special care should be taken when cleaning areas that may have rat droppings. To prevent dust from flying in such areas, instead of sweeping the floor, only damp cleaning should be done using a disinfectant solution or bleach. The mandatory use of masks and gloves during such cleaning can prevent virus particles from entering the body.

In addition, Squirrels should always be kept in a secure container out of the reach of rodents. People who live or work outdoors or near forests need to pay extra attention to the cleanliness of their surroundings. In unusual circumstances, it is wise to maintain personal hygiene and social distancing, while fully following the instructions of health authorities. Since there is no cure for Hantavirus, awareness and caution are the strongest weapons in the fight against this deadly infection.

How at risk is Nepal from the Hanta virus that has swept the world?

 How at risk is Nepal from the Hanta virus that has swept the world?

Since the initial symptoms of many infectious diseases are very similar to each other, laboratory tests are helpful in distinguishing the infection.

According to the World Health Organization, 3 out of 8 people have died from Hanta virus seen on a cruise ship.

Although Hanta virus is transmitted through the feces, urine or saliva of infected rats, it has been confirmed that the 'Andean' species can be transmitted from person to person.

Nepal is at risk of Hanta virus, but even if it has not been confirmed as an outbreak, regular testing and research are necessary.

Recently, the Hanta virus seen on a cruise ship has swept the world. According to the information published by the World Health Organization a few days ago (on May 8), 3 out of 8 people have died.

That is, about 38 percent of the infected have died. This human-to-human transmission is considered very rare, but currently, dozens of cases on cruise ships have become a matter of concern and interest.

At the time of writing, the main source of infection is unknown. Information on the circumstances under which it spread from person to person is yet to be released.

Hantavirus can be transmitted to humans through contact with the feces, urine, or saliva of infected rats. Even if an infected rat does not show symptoms, it can still cause death if it infects humans.

The mortality rate of the Hantavirus strain seen in the Americas is many times higher than that of the Hantavirus strain seen in Europe and Asia, which is about 50 percent. Recently, a cruise ship has seen a mortality rate of about 38 percent. The World Health Organization has reported that the mortality rate of the Hantavirus strain seen in Europe and Asia is up to 15 percent.

Although Hantavirus is said to be transmitted only through the feces, urine, or saliva of infected rats, the ‘Andean’ strain of Hantavirus can be transmitted from person to person to some extent.

The Hantavirus strain currently circulating on cruise ships has also been confirmed by gene sequencing to be ‘Andean’. Hantavirus is mainly divided into two types based on symptoms, which also vary according to geographical location.

First, Hanta pulmonary syndrome and second, hemorrhagic fever with renal syndrome.

Hanta pulmonary syndrome is mainly seen in the Americas, while hemorrhagic fever with renal syndrome and Hantavirus are seen in Europe and Asia.

Hanta pulmonary syndrome is characterized by symptoms such as fever, chills and dizziness, muscle pain, diarrhea, nausea or vomiting, abdominal pain, and low blood pressure. If it becomes complicated, coughing, difficulty breathing, chest tightness, and pneumonia may occur.

These symptoms may appear within one to six weeks of infection.

Hemorrhagic Fever with Renal Syndrome Hanta virus causes chills, stomach pain, headache, nausea, blurred vision, red eyes, and later complications, bleeding, and there is a risk of kidney failure.

These symptoms appear one to two weeks after infection, and sometimes up to 8 weeks. This Hanta virus is seen in Asia, especially in countries like China, Korea, Japan, and Russia. Research articles have also been published that Hanta virus has been seen in neighboring India. But there is no information that it has taken the form of a major outbreak.

Is there a risk of Hanta virus in Nepal?

Hanta virus is transmitted when it comes into contact with rat feces, urine, or saliva. Rats are seen in significant numbers in all villages and cities in Nepal.

The number of people who come to Teku Hospital for treatment of rat bites is also high. Most people with such problems do not come to the hospital. There is a lot of contact between humans and rats in Nepal too.

Hundreds of scrub typhus cases are reported in Nepal every year. The main source of scrub typhus infection is the mite found in rats. This also clearly shows that the risk of any infection that can be spread by rats in Nepal is high.

Hanta virus is no exception. In 2017, a tourist fell ill and was admitted to the ICU immediately after returning to his country after visiting Nepal. A research article was published stating that the person had been diagnosed with hanta virus. This was published in an American medical journal in 2020.

This also indicates that the risk of hanta virus is present in Nepal.

However, as in India, there is no confirmation of an outbreak in Nepal yet. Since this infection is not included in routine laboratory tests, we are unaware of the status of hanta virus in Nepal.

Blood tests of tourists infected with hanta virus in Nepal show a decrease in platelet count and an increase in liver enzymes, which the author has experienced is also widely seen in fever patients in Nepal.

However, the possibility of Hantavirus seems to be overlooked when sending for diagnostic tests for limited infections. Since a large number of fever patients are still not diagnosed in Nepal, there is a need to increase the scope of testing.

In the case of a new infection or a first-time infection, testing for that infection should also be included in routine testing. Since the initial symptoms of many infectious diseases are very similar to each other, laboratory testing is helpful in distinguishing infections. Only if the infection is diagnosed can treatment, prevention, and counseling be correct.

Currently, the World Health Organization has stated that the risk of further spread of this virus is low. However, the number of infections on a cruise ship at the same time is so high. And as the problem becomes more complicated and the mortality rate is higher, it cannot be ruled out that the contagiousness and lethality of this virus has increased compared to the past.

Nepal cannot completely ignore the risk of the virus, given the confirmed research on this virus and the frequent contact with rats, which is considered the source of the virus.

If national guidelines were developed in Nepal, prioritizing research on Hanta virus, it would be useful for health workers in diagnosis, treatment, and prevention.