V I V E K A N A N D A K P . O . : N U M A L I G A R H R E F I N E R Y Serve VIVEKANANDA KENDRA NRL HOSPITAL VKNRL HOSPITAL NEWS LETTER VOLUME: I, ISSUE: I APRIL JUNE, 2014 K E N D R A N R L H O S P I T A L , N R L T O W N S H I P E F I N E R Y C O M P L E X , D I S T : G O L A G H A T Man Serve
RL HOSPITAL
O W N S H I P O L A G H A T , A S S A M - 7 8 5 6 9 9 God Volume: I Issue: I VKNRL HOSPITAL NEWS LETTER
Message from Medical Director I am glad to know that Vivekananda Kendra NRL Hospital is releasing a quarterly bulletin from June, 2014.
VKNRL Hospital is known for its praiseworthy services in the field of health care. It is not only taking care of the health of all Numaligarh Refinery officials and workers but also it looks after the health of entire Numaligarh area spreading The hospital has a team of dedicated doctors, nurses, paramedical and other supporting staff.
This news bulletin will make all the good works of this hospital visible to others. This effort is praiseworthy.
Let Swamijis saying, Service to Man is Service to God
I wish all success in this process of publicity and literary works.
Editorial: It is not an easy job to fall sick from a patients point of view. You have to pay the undergo costly investigations and spend your hard earned money on medicines prescribed! B more difficult from the physicians perspective going to be alright? Of course doctor to say whether people are more health conscious now blamed?!
It has been predicted that by the year 2020 India is going to have the hig the world. The reason being modern which is definitely changing its gear from developed countries to developing countries.
The stress and anxiety of todays world along with f
Though set up on an industrial township, at the backdrop of a rural environment, our hospital has to cater to patients from worm infestations to Myocardial Infarctions and a large volume of road traffic accidents.
Our first News-letter will definitely sh
Let all people be Healthy, Let all people be Happy!
Editorial Board
Advisor: Shri Pravin Dabholkar Dr. B.K. Baruah
Director: I am glad to know that Vivekananda Kendra NRL Hospital is releasing a quarterly bulletin VKNRL Hospital is known for its praiseworthy services in the field of health care. It is not only taking care of the health of all Numaligarh Refinery officials and workers but also it looks after the health of entire Numaligarh area spreading too many kilometers beyond it. The hospital has a team of dedicated doctors, nurses, paramedical and other supporting This news bulletin will make all the good works of this hospital visible to others. This effort is praiseworthy. Man is Service to God prevail and our endeavor for this goal continues. I wish all success in this process of publicity and literary works. Dr. B.K. Baruah, MBBS, DGO, MD, FICOG HOD, Dept. Obst & Gynae, SMC (Retired) Medical Director, VKNRL Hospit It is not an easy job to fall sick from a patients point of view. You have to pay the costly investigations and spend your hard earned money on medicines prescribed! B icians perspective, when the constantly asked or implied question is when am I Of course doctors do not have a magic wand. Going by the high OPD numbers to say whether people are more health conscious now-a-days or the pesticides in the food are to be It has been predicted that by the year 2020 India is going to have the highest number of Diabetic persons he reason being modern day lifestyle of new generation. Childhood obesity is another problem which is definitely changing its gear from developed countries to developing countries. The stress and anxiety of todays world along with food habits has changed the lifestyle of people. Though set up on an industrial township, at the backdrop of a rural environment, our hospital has to cater to patients from worm infestations to Myocardial Infarctions and a large volume of road traffic accidents. letter will definitely shed some light in how our doctors are dealing with all the problems. Let all people be Healthy, Let all people be Happy! Dr. B Associate Consultant Editor: Co-Editors: Dr. Barnali Deuri Dr. Panchana Shri Gajen Kalita Mrs. Junmoni Hazarika April June Issue, 2014 Page 2 I am glad to know that Vivekananda Kendra NRL Hospital is releasing a quarterly bulletin VKNRL Hospital is known for its praiseworthy services in the field of health care. It is not only taking care of the health of all Numaligarh Refinery officials and workers but also it ometers beyond it. The hospital has a team of dedicated doctors, nurses, paramedical and other supporting This news bulletin will make all the good works of this hospital visible to others. This effort is praiseworthy. for this goal continues. Dr. B.K. Baruah, MBBS, DGO, MD, FICOG HOD, Dept. Obst & Gynae, SMC (Retired) Medical Director, VKNRL Hospital It is not an easy job to fall sick from a patients point of view. You have to pay the Doctors fees, have to costly investigations and spend your hard earned money on medicines prescribed! But it is even when the constantly asked or implied question is when am I and. Going by the high OPD numbers, it is hard sticides in the food are to be hest number of Diabetic persons in Childhood obesity is another problem which is definitely changing its gear from developed countries to developing countries. style of people. Though set up on an industrial township, at the backdrop of a rural environment, our hospital has to cater to patients from worm infestations to Myocardial Infarctions and a large volume of road traffic accidents. s are dealing with all the problems. Dr. Barnali Deuri, MD Associate Consultant Pathology
Dr. Panchanan Khakhlary Gajen Kalita Mrs. Junmoni Hazarika Volume: I Issue: I VKNRL HOSPITAL NEWS LETTER
About ourselves: Vivekananda Kendra which is a well known teachings of Swami Vivekananda who Swami Vivekananda stressed on serving humanity as he could visualize that sunk in degradation and misery who need to be served with zeal and enthusiasm and needful action to be taken up to distribute medicines to those who are sick and also to nurse them with all care. The concept of Vivekananda Kendra and Numaligarh Refinery hospit Swami Vivekananda as was being understood Sri Ranjit Kumar Dutta, who had initially given shape to Vivekananda Kendra with its widespread reputation of being a dedicated service organization which has contributed very significantly in the sphere of education in the North East under the leadership of its present Vice President Mananiya A. Balakris
It was born in the year 1997, 19 th Balakrishnan ji.
(From 1
OPD Attendance Indoor Attendance Surgery Radiology Mobile Medical Camp Pathology Blood Transfusion
Vivekananda Kendra which is a well known Spiritually Oriented service Mission is primarily based on the teachings of Swami Vivekananda who preached man-making and nation-building as the basic objectives. Swami Vivekananda stressed on serving humanity as he could visualize that, There are lots of poor people degradation and misery who need to be served with zeal and enthusiasm and needful action to be taken up to distribute medicines to those who are sick and also to nurse them with all care. The concept of Numaligarh Refinery hospital project stemmed from this particular vision of understood by the former Managing Director of Numaligarh Refinery Ltd. Sri Ranjit Kumar Dutta, who had initially given shape to the idea of involvement of an Vivekananda Kendra with its widespread reputation of being a dedicated service organization which has contributed very significantly in the sphere of education in the North East under the leadership of its present ishnan ji. th September, through an MOU signed by Sri. R. K. Dutta ACTIVITY REPORT (From 1 st April 2013 to 31 st March 2014) Services Total OPD Attendance 37550 Indoor Attendance 1841
Obst. & Gyne. 465 General Surgery 359 Radiology X-Ray 5273 USG 2510 Mobile Medical Camp Camp 322 Patient 15355 Pathology 115625 Blood Transfusion 454 April June Issue, 2014 Page 3 service Mission is primarily based on the uilding as the basic objectives. There are lots of poor people degradation and misery who need to be served with zeal and enthusiasm and needful action to be taken up to distribute medicines to those who are sick and also to nurse them with all care. The concept of al project stemmed from this particular vision of by the former Managing Director of Numaligarh Refinery Ltd. the idea of involvement of an Organisation like Vivekananda Kendra with its widespread reputation of being a dedicated service organization which has contributed very significantly in the sphere of education in the North East under the leadership of its present . R. K. Dutta and Shri. Volume: I Issue: I VKNRL HOSPITAL NEWS LETTER
COMPLEMENTARY FEEDING PRACTICES Weaning or complementary feeding after 6 months is extremely important due to high risk of micronutrients deficiencies and malnutrition .Weaning is defined as the systematic process of introduction of suitable foo at the right time in addition to mothers milk in order to provide needed nutrients to the baby (UNICEF, 1984) The term complementary feeding is now preferred because weaning implies abrupt stoppage of breastfeeding to some mothers.
1. Time of Complementary feeding gradually increase and the calcium and iron stores get depleted. The baby needs 600 and around 600ml of breast milk can supply only 400kcal. By 4 months of age the baby achieves head control and develops hand mouth coordination and starts enjoying mouthing. The extrusion reflex perishes, intestinal amylase matures and the gut becomes ready to accept cereals and pulses. Gum hardens prior to tooth eruptions and the baby enjoys gummin biologically ready to accept semisolid by 6 months of age. Early weaning is often due to ignorance and leads to contamination and infection due to unhygienic preparations, dilute weaning also leads to malnutrition. Late weaning leads to growth faltering and malnutrition
2. Continuation of Breast feeding started. It should be continued for as long as feasible, preferably till two years of age as the first two years is a period of rapid brain growth and breast milk contains factors essential for and development. To minimize interference with normal breast feeding semi given between breastfeeds
3. Complementary foods: It can be homemade or instant foods. It is better to start from mono cereals, followed by multi-cereals and cereals gluten free and easily digestible. After couple of months mother can make different combinations with wheat, pulse, vegetables. The cereal acids as cereals generally lack lysine and pulse lack methionine. The advantage of homemade weaning cereals is that they are economical, easily available, culturally acceptable and closer to family food and versatile. Tubers, fru difficult to keep the nutritional value of home food as per high requirements of the rapid growing baby so addition of jaggery for calories and minerals, milk for protein and oil for calorie can ma nutrient denser. The instant complementary food offers balanced nutrient content as per the recommendations with the infant age. The reasonable combination of homemade and instant foods may get the best result in prevention of micronutrients deficienci food habits.
4. Family pot feeding: It is essential to switch over gradually to the usual family food. It can be given in a thickened and mashed form the family pot without adding spices. A new food should be introduced in the morning session and only one item at a time. The infant should accustomed to the traditional foods Idli, dosa, soups, payasam, etc are good for babies provided they are free from spices. Provide little extra oil or ghee, green leafy vegetables and seasonal baby
Around 6 months of age: Cereal based porridge (ragi, suji, rice, millet, etc) enriched with jaggery /sugar, oil/ghee (as oil is a very rich source of energy) and animal milk can be started. You can also start with mashed fruit increase over the next 3 (half a cup) or one whole banana in addition to breast feeding. Other fruits in season like papaya, chickoo and mango can be given. Apple, apricot and pear can be given after cooking them for a few minutes. Natural fruit juice can also be started
COMPLEMENTARY FEEDING PRACTICES Associate Weaning or complementary feeding after 6 months is extremely important due to high risk of micronutrients deficiencies and malnutrition .Weaning is defined as the systematic process of introduction of suitable foo at the right time in addition to mothers milk in order to provide needed nutrients to the baby (UNICEF, 1984) The term complementary feeding is now preferred because weaning implies abrupt stoppage of tary feeding: Birth weight doubles by 6 months of age and nutritional demands gradually increase and the calcium and iron stores get depleted. The baby needs 600 and around 600ml of breast milk can supply only 400kcal. By 4 months of age the baby achieves ead control and develops hand mouth coordination and starts enjoying mouthing. The extrusion reflex perishes, intestinal amylase matures and the gut becomes ready to accept cereals and pulses. Gum hardens prior to tooth eruptions and the baby enjoys gumming semisolids. Thus the baby is biologically ready to accept semisolid by 6 months of age. Early weaning is often due to ignorance and leads to contamination and infection due to unhygienic preparations, dilute weaning also leads ning leads to growth faltering and malnutrition Continuation of Breast feeding: Breast milk is the main food of the baby even when weaning is started. It should be continued for as long as feasible, preferably till two years of age as the first two years is a period of rapid brain growth and breast milk contains factors essential for and development. To minimize interference with normal breast feeding semi
It can be homemade or instant foods. It is better to start from mono cereals, reals and cereals-pulse combinations. Cereals like rice are the best choice as it is gluten free and easily digestible. After couple of months mother can make different combinations with wheat, pulse, vegetables. The cereal pulse combination is better due acids as cereals generally lack lysine and pulse lack methionine. The advantage of homemade weaning cereals is that they are economical, easily available, culturally acceptable and closer to family food and versatile. Tubers, fruits and banana powder are also popular weaning food. It is difficult to keep the nutritional value of home food as per high requirements of the rapid growing baby so addition of jaggery for calories and minerals, milk for protein and oil for calorie can ma nutrient denser. The instant complementary food offers balanced nutrient content as per the recommendations with the infant age. The reasonable combination of homemade and instant foods may get the best result in prevention of micronutrients deficiencies and development of healthy It is essential to switch over gradually to the usual family food. It can be given in a thickened and mashed form the family pot without adding spices. A new food should be orning session and only one item at a time. The infant should accustomed to the traditional foods Idli, dosa, soups, payasam, etc are good for babies provided they are free from spices. Provide little extra oil or ghee, green leafy vegetables and seasonal Around 6 months of age: Cereal based porridge (ragi, suji, rice, millet, etc) enriched with jaggery /sugar, oil/ghee (as oil is a very rich source of energy) and animal milk can be started. You can also start with mashed fruit like banana .Give 1-2 teaspoonfuls to begin with and gradually increase over the next 3-4 weeks so that by that time the baby is taking 50 to 60 gm of porridge (half a cup) or one whole banana in addition to breast feeding. Other fruits in season like ya, chickoo and mango can be given. Apple, apricot and pear can be given after cooking them for a few minutes. Natural fruit juice can also be started April June Issue, 2014 Page 4 COMPLEMENTARY FEEDING PRACTICES Dr H. K. Phukan iate Consultant (Pediatrics)
Weaning or complementary feeding after 6 months is extremely important due to high risk of micronutrients deficiencies and malnutrition .Weaning is defined as the systematic process of introduction of suitable food at the right time in addition to mothers milk in order to provide needed nutrients to the baby (UNICEF, 1984) The term complementary feeding is now preferred because weaning implies abrupt stoppage of Birth weight doubles by 6 months of age and nutritional demands gradually increase and the calcium and iron stores get depleted. The baby needs 600-700kcal/day and around 600ml of breast milk can supply only 400kcal. By 4 months of age the baby achieves ead control and develops hand mouth coordination and starts enjoying mouthing. The extrusion reflex perishes, intestinal amylase matures and the gut becomes ready to accept cereals and pulses. g semisolids. Thus the baby is biologically ready to accept semisolid by 6 months of age. Early weaning is often due to ignorance and leads to contamination and infection due to unhygienic preparations, dilute weaning also leads Breast milk is the main food of the baby even when weaning is started. It should be continued for as long as feasible, preferably till two years of age as the first two years is a period of rapid brain growth and breast milk contains factors essential for brain growth and development. To minimize interference with normal breast feeding semi-solid food should be It can be homemade or instant foods. It is better to start from mono cereals, pulse combinations. Cereals like rice are the best choice as it is gluten free and easily digestible. After couple of months mother can make different combinations to fortification of amino acids as cereals generally lack lysine and pulse lack methionine. The advantage of homemade weaning cereals is that they are economical, easily available, culturally acceptable and closer to its and banana powder are also popular weaning food. It is difficult to keep the nutritional value of home food as per high requirements of the rapid growing baby so addition of jaggery for calories and minerals, milk for protein and oil for calorie can make nutrient denser. The instant complementary food offers balanced nutrient content as per the recommendations with the infant age. The reasonable combination of homemade and instant foods es and development of healthy It is essential to switch over gradually to the usual family food. It can be given in a thickened and mashed form the family pot without adding spices. A new food should be orning session and only one item at a time. The infant should accustomed to the traditional foods Idli, dosa, soups, payasam, etc are good for babies provided they are free from spices. Provide little extra oil or ghee, green leafy vegetables and seasonal fruits to your growing Around 6 months of age: Cereal based porridge (ragi, suji, rice, millet, etc) enriched with jaggery /sugar, oil/ghee (as oil is a very rich source of energy) and animal milk can be started. You can 2 teaspoonfuls to begin with and gradually 4 weeks so that by that time the baby is taking 50 to 60 gm of porridge (half a cup) or one whole banana in addition to breast feeding. Other fruits in season like ya, chickoo and mango can be given. Apple, apricot and pear can be given after cooking Volume: I Issue: I April June Issue, 2014 VKNRL HOSPITAL NEWS LETTER Page 5
6 to 9 months of age: Introduce mashed items from the family pot enriched with jaggery/ sugar and oil /ghee. Mashed rice with pulses, mashed tubers and vegetables, soups, mashed fruits, biscuits; egg yolk can be given 4-5 times a day in addition to breast milk. Egg white can be allergenic.
9 to 12months of age: After 9 months introduce soft food that can be chewed, avoid hot spices. Chappati and hard item can be made soft by soaking in milk and dal. Egg can be given in either boiled or scrambled form. A variety of seasonal fruits and vegetables can be given. Food from family pot can be given 4-6times a day gradually increasing the quantity. By one year of age, the baby should be taking everything cooked at home. A one year old child should eat half of what the mother takes
5. Bridging the Nutrient gap : The calorie gap can be bridged by adding oil/ghee and sugar and selecting high density food items that will not swell much on cooking; e.g. Egg, potatoes etc. Cereal- pulse combinations, roots and tubers, vegetables, especially green leafy vegetables, seasonal fruits, milk products, egg, fish, meat etc. given to the baby will bridge the nutrient gap. Soaking and malting of grains will increase digestibility and vitamin content. Sprouting or germination will enhance vitamin content and make it amylase rich food. Fermentation enhances vitamin-C and digestibility; e.g. curd/yogurt. The once a day introduction of instant food could be a way of balancing the nutrient gap and one step solution to prevent malnutrition.
6. Developing readiness for family foods through varied textures and tastes: Under normal scenario the mother tends to give a soft, completely mashed food for a longer period. This might not satisfy the baby urges to chew with the development of teeth. A soft to coarser to bigger bite texture will be a positive approach towards developing the baby for acceptance of family food. Addition of vegetables and fruits will give new tastes which will expose the baby to healthy eating practices.
7. Preparation and Storage of weaning foods: Hand washing with soap and water should be practiced before cooking and feeding. The food stuffs should be freshly prepared. Precooked ready to mix cereal-pulse combinations can be prepared and stored in airtight containers, e.g. SAT mix which is a combination of roasted and powdered rice, wheat, black gram and powdered sugar in the ratio 1:1:1:2.In all instant food available in the market one should strictly follow the instruction given on the pack regarding preparation.
8. Careful feeding practices: There should be a careful selection of weaning foods according to the age of the baby and proper advice and guidance to be taken from health care professionals. The food should be carefully fed. In thick consistency the mother should not add more water to the feed as it may lead to dilution of nutrients which may again lead to malnutrition.
9. The weaning or Complementary Bridge and Safety net to prevent Malnutrition: Most of the children fall into the pit of malnutrition during the weaning and post weaning phase. So mothers are expected to make the weaning bridge or the bridge of complementary feeding to carry the children across the pit of malnutrition the planks of the bridge includes-(1) Continued Breastfeeding (2) Introducing vegetable proteins and (3)animal proteins. A safety net is also needed beneath the bridge which includes utilization of supplementary feeding programmes of the government as in ICDS by which ensures extra 300kcal/child/day. Vitamin A programme etc. Those who do not avail this facility should arrange extra feeding in the play school in the form of group eating or at home using a special container for child into which small pieces of food can be added in order to make the child eat during play
Weaning foods which can be prepared at home 1. Sago Conjee Ingredients Quantity Sago 25 grams Volume: I Issue: I April June Issue, 2014 VKNRL HOSPITAL NEWS LETTER Page 6
Roasted Bengal gram 25 grams Jaggery 25 grams Water (cups) 2 Roast Sago and powder Bengal gram. Add sago to 11/2 cups of boiling water and cook. Prepare a batter of Bengal gram powder I 1 cup of water and pour it into the cooked sago, stirring continuously. Cook for 10 minutes. Add Jaggery and cook for 5 minutes again.
Boil Jaggery solution. Mix ragi and Bengal gram flour and make a batter with hot water. Pour the batter slowly into the jaggery solution, stirring continuously. Boil for 10-15 mins.
3. Banana Groundnut food Ingredients Quantity Milk 30g Banana 30g Jaggery 30g Groundnuts 10g Mash the banana; roast and grind groundnuts; Mix all the ingredients to form a smooth paste
4. Dal Suji porridge Ingredients Quantity Moong dal (dehusked) 10g Jaggery 30g Suji 20g Milk 40ml Roast and grind the dal; roast suji; dissolve the jaggery in milk and add to the dal and suji; mix all to form a paste and cook with addition of water
5. Spinach peanut Burfi Ingredients Quantity Spinach 100g Peanuts 25g Sugar 25g Wash and cut the spinach leaves; steam and grind the spinach leaves to a paste and cook till slightly dry; roast peanuts, remove the skin and powder them finely; Prepare sugar syrup, add spinach mixture and powdered peanuts to the sugar syrup, spread the mixture on a greased plate and cut into pieces when set.
BANANAa source of real energy
Depression: According to a recent survey undertaken by MIND amongst people suffering from depression, many felt much better after eating a banana. This is because bananas contain tryptophan, a type of protein that the body converts into serotonin, known to make you relax, improve your mood and generally make you feel happier.
Pre Menstrual Syndrome: Forget the pills - eat a banana. The vitamin B6 it contains regulates blood glucose levels, which can affect your mood. Volume: I Issue: I April June Issue, 2014 VKNRL HOSPITAL NEWS LETTER Page 7
Anemia : High in iron, bananas can stimulate the production of hemoglobin in the blood and so helps in cases of anemia.
Blood Pressure: This unique tropical fruit is extremely high in potassium yet low in salt, making it perfect to beat blood pressure. So much so, the US Food and Drug Administration has just allowed the banana industry to make official claims for the fruit's ability to reduce the risk of blood pressure and stroke.
Brain Power: 200 students at a Twickenham (Middlesex) school (England ) were helped through their exams this year by eating bananas at breakfast and lunch in a bid to boost their brain power. Research has shown that the potassium-packed fruit can assist learning by making pupils more alert.
Constipation: High in fiber, including bananas in the diet can help restore normal bowel action, helping to overcome the problem without resorting to laxatives.
Hangovers: One of the quickest ways of curing a hangover is to make a banana milkshake, sweetened with honey. The banana calms the stomach and, with the help of the honey, builds up depleted blood sugar levels, while the milk soothes and re-hydrates your system.
Heartburn: Bananas have a natural antacid effect in the body, so if you suffer from heartburn, try eating a banana for soothing relief.
Morning Sickness: Snacking on bananas between meals helps to keep blood sugar levels up and avoid morning sickness.
Mosquito bites: Before reaching for the insect bite cream, try rubbing the affected area with the inside of a banana skin. Many people find it amazingly successful at reducing swelling and irritation.
Nerves: Bananas are high in B vitamins that help calm the nervous system.
Ulcers: The banana is used as the dietary food against intestinal disorders because of its soft texture and smoothness. It is the only raw fruit that can be eaten without distress in over-chronicler cases. It also neutralizes over-acidity and reduces irritation by coating the lining of the stomach.
Temperature control: Many other cultures see bananas as a 'cooling' fruit that can lower both the physical and emotional temperature of expectant mothers. In Thailand , for example, pregnant women eat bananas to ensure their baby is born with a cool temperature.
Seasonal Affective Disorder (SAD): Bananas can help SAD sufferers because they contain the natural mood enhancer tryptophan.
Smoking &Tobacco Use: Bananas can also help people trying to give up smoking. The B6, B12 they contain, as well as the potassium and magnesium found in them, help the body recover from the effects of nicotine withdrawal.
Stress: Potassium is a vital mineral, which helps normalize the heartbeat, sends oxygen to the brain and regulates your body's water balance. When we are stressed, our metabolic rate rises, thereby reducing our potassium levels. These can be rebalanced with the help of a high-potassium banana snack.
Strokes: According to research in The New England Journal of Medicine, eating bananas as part of a regular diet can cut the risk of death by strokes by as much as 40%!
So, a banana really is a natural remedy for many ills. When you compare it to an apple, it has four times the protein, twice the carbohydrate, three times the phosphorus, five times the vitamin A and iron, and twice the other vitamins and minerals. It is also rich in potassium and is one of the best value foods around. So may be its time to change that well-known phrase so that we say, 'A banana a day keeps the doctor away!' Volume: I Issue: I VKNRL HOSPITAL NEWS LETTER
Celebration of 16 th Hospital Foundation Day
Fruit Distribution on the occasion of NRL Day
Hospital Foundation Day & International Nurses Day Fruit Distribution on the occasion of NRL Day First Aid Training Programme for Reception during busy hours April June Issue, 2014 Page 8 & International Nurses Day First Aid Training Programme for local people