DAILY NEWS BULLETIN LEADING HEALTH, POPULATION AND FAMILY WELFARE STORIES OF THE Day Monday

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1 DAILY NEWS BULLETIN LEADING HEALTH, POPULATION AND FAMILY WELFARE STORIES OF THE Day Monday Breastfeeding Breastfeeding makes kids more likely to eat veggies (The Times of India: ) START-Breastfeeding-makes-kids-more-likely-to Trying to get children to eat vegetables can be quite the battle. But according to a new study, there could be a possible way to make your offspring like their greens -breastfeed them. Researchers from the Monell Chemical Senses Centre in PhiladelpHEALTH hia have concluded that breastfeeding babies exposes them to the flavour of vegetables through the milk. When a child starts eating solid foods, the flavours of many vegetables seem strong to them. But if they've been breastfed, this can be less of a shock to the tastebuds. Every baby's sensory experience is unique, but the flavour of their first food, beginning in utero, is dependent on what mum is eating, said Julie Mennella, lead study author and a biopsychologist at the Monell Chemical Senses Cen ter in Philadelphia. The way I see it is: Mot her's milk is the ultimate in precision medicine, she ad ded. When a pregnant wo man eats vey START getables, they get the flavour of her amniotic fluid and then her breast milk. This helps the baby get used to the taste. Timing plays a role too the babies whose mothers started drinking juice at the earliest stage ate more of the carrot-flavoured cereal and faster too. It all comes down to learning through repea ted exposure.

2 BRICS BRICS represents 42% of world's population (The Times of India: ) THE-TIMES-BRICS-represents-42-of What is BRICS? The term BRIC'' was coined by Goldman Sachs Group's chief economist Jim O'Neill in 2001 when he identified Brazil, Russia, India and China as the top emerging markets where investors could put their money. A report published later in 2003 by the finance company stated that if things went in the right direction, this group would in the future be the largest financial bloc beating the dominance of western economies. The first BRIC summit took place in 2006 on the margins of the general debate of the 61st session of the UN General AsLEAR sembly. The first indewi pendent summit took THE T place in 2009 in Russia and it has become an annual affair since then. In 2010, when Chi na, while holding the chair, invited South Africa to join the group, it became BRICS. Within a decade of the coining of the word, the rosy picture started crumbling and in a 2015 interview, O' Neill said that he would no longer group the BRIC countries together. Is BRICS a grouping like G7?< The G7 was formed after 1973 oil crisis. In 1975, six industri alised economies France, West Germany, Italy, Japan, UK, and US -formed a forum to dis cuss economic issues. The group was joined by NG Canada and became the H G7, later called the G8 af ES ter the inclusion of Rus sia for a brief period. The Eu ropean Union is also repre sented at the G7 by president of European Commission and by leader of the country that holds EU presidency. EU, however, does not take part in political discussions. While BRICS is a group of emerging economies, the G7 is seen as a club of rich nations. What is the G20? The G20 is a forum of govern ments and central bank governors of industrialised as well as developing economies that gather to discuss key issues of the global economy. Along with G7 and BRICS members, it also has Argentina, Australia, Indonesia, South Korea, Mexico, Saudi Arabia and Turkey along with the EU as its members. The group was formed after the 1997 Asian financial crisis that threatened a widespread financial meltdown and it was felt that a forum where G7 nations could discuss the status of the global economy with emerging countries was needed. The group had its first meeting in 1999.

3 How big are these groups? Macroeconomic data shows the G7 indeed is a rich man's club as the group accounts for 10% of the world's population but 46% of global GDP. Naturally, its per capita income of $45,453 is the highest among the three groups. BRICS, on the other hand, represents 42% of the world's population and accounts for 22% of GDP. The G20 is biggest of the three in terms of population and GDP but lies between BRICS and G7 in terms of per capita income. Swine Flu Two more die of swine flu in Odisha; toll rises to 35 (The Asian Age: ) Earlier, the state government had issued guidelines to both government and private hospitals for treatment of swine flu patients. On Sunday, four more people tested positive to the deadly virus out of 17 swab samples tested at the Regional Medical and Research Centre, Bhubaneshwar. (Representational image) On Sunday, four more people tested positive to the deadly virus out of 17 swab samples tested at the Regional Medical and Research Centre, Bhubaneshwar. (Representational image) Bhubaneswar: The swine flu death toll in Odisha has risen to 35 with two more persons succumbing to H1N1 virus on Sunday, according to official sources. On Sunday, four more people tested positive to the deadly virus out of 17 swab samples tested at the Regional Medical and Research Centre, Bhubaneshwar. The fresh deaths were reported from Sriram Chandra Bhanja Medical College and Hospital, Cuttack and Kalinga Institute of Medical Sciences, Bhubaneswar. So far, the total number of positive cases in the state increased to 345 out of 1,024 swab samples, a health department statement said. Health department director K.C. Dash said, A special isolation ward has been created in Capital Hospital, Bhubaneswar where doctors and paramedics are deployed round-the-clock

4 to attend to the patients. We are also taking preventive steps so that the virus doesn t spread to new areas. Earlier, the state government had issued guidelines to both government and private hospitals for treatment of swine flu patients. Adolescent Health Depressed, alone and ignored: What ails India s young (Hindustan Times: ) million-youth-overcome-depression/story-rhuoe3z4citkqiijwyxlui.html The latest suicide game The Blue Whale Challenge has already killed a dozen teenagers in India in a month Experts say the youngsters need to spend time with family and friends and vent their feelings.(representational Photo) I am stuck playing the Blue Whale challenge. I am depressed and I m afraid I will do something really bad soon. Please help me. This desperate SOS from a 17-year-old student in Vishakhapatnam to a police suicide helpline in Indore saved his life but many others don t get help in time. The Blue Whale challenge is an online game that goads teens to commit suicide. Over the past month, a dozen teen deaths have been linked to the game in India. There s need to shift discourse from the trigger, to address the underlying mental health vulnerabilities that are getting these children manipulated by an administrator who slowly works on strengthening dormant suicide ideation in someone with depression, said Dr Rahul Shidhaye, associate professor, mental health, Public Health Foundation of India (PHFI). The Blue Whale challenge is not the only indication of depression in teens and young adults. The triggers vary but the over-the-top reactions indicate underlying depression that drives them to extremes both withdrawing into a self-destructive shell and losing control over trivial issues. Last week, Haridwar Police rescued a girl, now 18, who locked herself up in her room and lived in voluntary solitary confinement for three years because her parents nagged her to

5 study. Her 15-year-old brother followed her example in 2016 and locked himself in another room because he didn t want to go to school either. A similar example of over-the-top reactions have been reported from across India. A teenager shot his father dead in Allahabad for asking him to study, two teens stabbed a classmate to death in Delhi because he refused to drink with them, and a student slapped a teacher in Vadodara when asked to apologise for spilling coffee over another teacher. Angry and afraid Online interactions are far more superficial than interpersonal bonding, say experts, which make people lonely, depressed and often unable to vent about worries and fears. The result is loneliness, depression and behavioural problems, which are increasingly diagnosed after the damage is done.

6 Spending time with family and friends provides emotional and social support, but with virtual interactions replacing interpersonal friendships, coping skills get compromised and teens find themselves isolated in both the real and virtual world and find it harder to express their need for emotional support, said Dr Samir Parikh, director, department of mental health and behavioural sciences, Fortis Healthcare. Restricting interaction to social media feeds isolation in the urban milieu. While social networking does not directly lead to isolation or depression, it helps mask it. Sharing is superficial on social media, which is mostly used as a tool to vent. It lacks the empathy of real-life conversations, he said. Close to 10 million teens, aged 13-17, have mental health problems that need active intervention but diagnosis and treatment remains elusive. Oddly enough, the parents of the Haridwar siblings did not consider seeking psychiatric treatment. Police swung to rescue because the neighbours suspected parental abuse as they hadn t seen the children for a while. The stigma associated with depression prevents people from seeking help but denial and ignorance also play a role. Most people identify sadness and crying with depression and do not think irritability, anger, change in behaviour, falling grades, sleeplessness and withdrawal from friends and family are also signs of depression, said Dr Parikh. Teen deaths in India: Top causes While deaths of youth in India have increased in the past decade, countries like China and Sri Lanka have achieved just the opposite Driven to death Even those who recognise symptoms don t know where or who to visit. With only 5,615 psychiatrists almost all of them in metros and state or district capitals registered with the Indian Psychiatric Society, there s a lack of professionals to diagnose and treat. The few psychiatrists we have are busy treating severe mental illnesses and very few step out to treat illnesses in the community, so early signs of sub-clinical depression are often missed, said Dr Shidhaye. Under-diagnosis has made suicide the biggest cause of death of 15- to 24-year-olds in India, followed by road traffic accidents, shows data from Global Burden of Disease Study that tracked death from 306 diseases, injuries and risk factors across 188 countries. Globally, road injury is the biggest killer in this age group. Deaths in youth (in India) have been rising for the past decade while other countries such as China and Sri Lanka have achieved the opposite. As a priority, the Centre must launch a national programme with active youth participation to address these causes of death and illness, said Dr Vikram Patel, professor of global health and social medicine at the department of global health and social medicine, Harvard Medical School.

7 Teenagers are more reckless than children and adults as their brains are wired to react rather than retreat from danger. This proclivity for risk due to changes in the brain during teenage and early 20s explains why more young people die in suicides and accidents than people in other age groups. Gender plays a role in impulsive response, with men more reckless, perhaps because the male hormone testosterone peaks during late teens and early 20s. This corresponds with the ratio of crime, substance abuse and road accidents in men versus women, reported a study in Development Neuroscience. Let s talk We need a discourse on depression but to do that, there s need to de-hyphenate distress from psychosis. Bollywood icons such as Deepika Padukone and Karan Johar have made a start but we need far more people joining the conversation, said Dr Shidhaye. In a run-up to the World Health Day, PM Modi also underlined the need to bring depression out of the closet in his Mann Ki Baat on March 26. We (in India) are afraid to talk about it (depression) openly, he said. Suppression of depression is not good. Expression is good. If depressed, share your feelings with others, it will make you feel better. It s not that people are not seeking treatment antidepressant sales are up by more than 30% over the past four years from Rs 760 crore in 2013 to Rs 1,093 crore in 2016 but those getting help is just the tip of the proverbial iceberg. Psychological first aid from friends and family can help youngsters be more resilient. In the absence of specialists, drawing support from the existing evidence-based cultural resources and social support mechanisms yoga, mindfulness/vipassna helps lower distress, said Dr Shidhaye. We can t wait for specialists or government to provide solutions, each of us has to do our bit to improve mental well-being in whatever way we can, he said. Child Health Child health matter of choice, not prosperity (The Tribune: ) Economic growth is considered a major factor for health in a community. But the richest states in India have much higher infant mortality rate than many poorer states.

8 Child health matter of choice, not prosperity A woman attends to her child at the encephalitis ward of Baba Raghav Das Hospital in Gorakhpur, UP. PTI file photo The most common causes of childhood death are the diseases that are readily preventable or treatable with proven, cost-effective and quality-delivered interventions. Infectious diseases and neonatal complications were responsible for the vast majority of deaths under five globally during the year 2015 when about 5.9 million children died below the age of five. India alone shared the burden of 1.4 million deaths (UNICEF, 2016). The majority of underfive deaths (about 45 per cent) occur within 28 days of birth, known as neonatal mortality, and 70 per cent occur within one year, i.e., in infancy. Infant mortality rate (IMR) is the probability of dying before one year of age, expressed per 1,000 live births. It is the most sensitive index of quality of life, as it reflects the state of public health, availability and accessibility of health care infrastructure, health policies and programmes, environmental sanitation, and cultural and socio-economic development of society. It is important to know that today almost all our neigbouring countries and those of the South-Asian region have lower IMR than India. Nepal has 29, Bangladesh 31, and Sri Lanka with a stellar performance of 8 per 1,000 live births is far ahead of India that has an IMR of 41. It may also be noted that 60 years ago, India and China had almost the same IMR, but at present in China it is just nine, which is less than one-fourth of India s IMR (hence the large population size cannot be an excuse for high mortality). It is not that child mortality has not decreased in India. It has shown a reduction of 53 per cent since Various interventions in terms of provision of vaccination against deadly diseases (immunisation), oral rehydration salts, intervention in child nutrition, etc., have shown desired results. But this progress is marked with large interstate variations. Within India, there are states which can equate in IMR to any country of Europe and America (Kerala with an IMR of 6 per 1,000 live birth) and also states which may be equated to subsaharan African countries (e.g. IMR and U5 mortality in Uttar Pradesh is 64 and 78; Chattisgarh 54 and 64; Madhya Pradesh 51 and 65, respectively). The vaccines for Japanese encephalitis (cause of infant deaths in Gorakhpur) were introduced under the Universal Immunisation Programme in But a 2015 survey by the Indian Council of Medical Research found that a large percentage of children in the Gorakhpur division have either not received it at all or have received only one of the two required doses. Nor have preventive measures to restrict the disease been taken, such as vector control, effective surveillance systems, early intervention, or dealing with the unsanitary conditions that contribute to the spread of the disease. One wonders how Kerala has attained these levels and why other states in India have not reached this level. Generally, economic growth and employment in gainful activities (prosperity) are considered one of the main factors by which health conditions in any society improves, as economic growth and employment provide the means of health care and nutrition within the reach of all sections of society.

9 In case of India, however, this does not seem to be true. Had this been the proposition, economic giants such as Maharashtra, Gujarat, Punjab and Haryana should have been on the top in terms of child health, but IMR in these states is quite high (ranging between 30 to 40 per 1,000). In fact, world over, many developing countries like Sri Lanka, Cuba, Costa Rica, Jamaica, and many low-income countries have achieved remarkable improvements in health conditions without much economic growth. It is the specific support of food consumption, community health, medical care, basic education and awareness that has transformed the general health conditions. In the case of Kerala and Tamil Nadu, economic growth and public support have worked independently of each other. The proportion of malnourished children in terms of stunting, wasting and being underweight in Kerala is 15 to 19 per cent against the national average of 35 to 38 per cent. Though malnutrition is not a cause of death on its own, but it magnifies the role of infectious diseases in causing mortality. Research indicates that malnutrition multiplies the number of deaths caused by infectious diseases rather than following an additive model. Studies have also revealed that the major reasons of high child mortality and more specifically of high IMR are high episodes of diarrhoea, pneumonia, low birth weight, low access to medical care and low levels of full immunisation, which are largely preventable in nature. The health and overall status of women which is associated with age at marriage, maternal literacy, ante natal care, birth spacing and utilisation of maternal and child health services translates into major risk factors in child mortality. It may be noted that these two southern states have achieved low IMR with the strength of these pillars. It also needs mention that 35 years ago, at the Alma Ata Conference in 1982, there was a paradigm shift in tackling health inequalities, and all countries joined the Primary Health Care Movement for better health to its population. Today the success story of various countries in terms of health suggests that the PHC has remained the benchmark for those countries discourse on health. The access to medicine and nutrition not only increases the survival, it also reduces the economic and social costs associated with poor health and low productivity. The perils of ignoring primary health care services (low health spending, lack of medicos and personnel, lack of infrastructural facilities) in many states of India are before us the most unfortunate are the infant deaths in Uttar Pradesh (Gorakhpur) and Jharkhand. All children possess the same right to grow up healthy, strong, well educated and capable of contributing to their societies. A fair chance of survival to every child is a matter of political commitment. It is also a matter of collective will, a matter of choice, which we can make. A choice we must make.

10 Diet/Nutrition Are organ meats good for you? Benefits and risks (Medical News Today: ) Organ meats are sometimes referred to as "offal." The word offal derives from the term "off fall," referring to any part of an animal that falls away when it is butchered, such as the tail, feet, and testicles. In the United States, organ meats include all things that are distinguished as offal. On the other hand, most meats Americans are used to eating are muscle meats, while organ meats are not considered a staple of the Western diet. Organ meats carry some risks, however, as well as benefits, when they are consumed, despite their nutritional value. Contents of this article: What is organ meat? Benefits of eating organ meats Are there risks of eating organ meat? Takeaway message Fast facts on organ meats: Organ meats are very high in some vitamins and nutrients. There are issues with harmful bacteria in intestines if not cleaned properly. Also, brain meat has been known to transmit rare diseases, such as Mad Cow Disease. Despite the vitamin content, culturally in the U.S., organ meats are not considered as important a part of a dietary plan, as traditional muscle meats. What is organ meat? Liver is a type of organ meat or offal. Chicken liver is a type of organ meat or offal. There are several different types of organ meats, some of which are better known than others including: liver

11 heart kidneys sweetbreads brain tongue tripe Organ meats are sometimes referred to as "super foods" because they are dense sources of vitamins and nutrients, including: vitamin B iron phosphorus copper magnesium vitamin A vitamin D vitamin E vitamin K Across the world, many different cultures like to use an animal in its entirety for food, including making use of the blood, bones, and organs. In the natural world, predatory animals are known to value the organs of their prey and, for example, to eat the liver first because it is so densely packed with nutrients. Benefits of eating organ meats Here is a breakdown of some of the most common organ meats and their benefits: Liver Liver is high in vitamin A, folic acid, iron, and zinc. Liver is the most nutrient dense organ meat, and it is a powerful source of vitamin A. Vitamin A is beneficial for eye health and for reducing diseases that cause inflammation, including everything from Alzheimer's disease to arthritis.

12 Liver also contains folic acid, iron, chromium, copper, and zinc and is known to be particularly good for the heart and for increasing hemoglobin level in the blood. Kidney Rich in nutrients and proteins, kidney meat contains omega 3 fatty acids. It is also known to contain anti-inflammatory properties and to be good for the heart. Brain Brain meat contains omega 3 fatty acids and nutrients. The latter include phosphatidylcholine and phosphatidylserine, which are good for the nervous system. The antioxidants obtained by eating brain meat are also helpful in protecting the human brain and spinal cord from damage. Heart The heart is rich in folate, iron, zinc, and selenium. It is also a great source of vitamins B2, B6, and B12, all three of which are in a group known as B-complex vitamins. B vitamins found in organ meats have a cardioprotective effect, meaning they protect against heart disease. B vitamins are also associated with maintaining healthy blood pressure, reducing high cholesterol, and forming healthy blood vessels. They are beneficial to the brain and have been found to reduce the risk of Alzheimer's disease, dementia, depression, and anxiety. Heart meat is also a great source of coenzyme Q10 (CoQ10). This is an antioxidant and can help treat and prevent certain diseases, particularly heart disease. CoQ10 has been shown to slow down the aging process and to improve energy levels. Tongue Tongue meat is rich in calories and fatty acids, as well as zinc, iron, choline, and vitamin B12. This meat is considered especially beneficial for those recovering from illness or for women who are pregnant. Folate is the vitamin in organ meats considered beneficial for fertility and for helping avoid fetal defects in a baby, such as spina bifida and heart problems. In addition, vitamin B6 can help during the morning sickness phase of pregnancy. Are there risks of eating organ meat? Kidney is an example of organ meats or offal, which is rich in vitamins and minerals. Organ meats are high in cholesterol, saturated fats, and purine. This makes the consumption of organ meats potentially risky for those with heart conditions or gout.

13 Organ meats are high in cholesterol and saturated fat. Contrary to popular belief, cholesterol and saturated fat are now thought to be important for a balanced diet, but they must be consumed in moderation. The United States Department of Agriculture's (USDA) dietary guidelines state that saturated fats should be limited to 10 percent or less of an individual's calories. However, for adults who need to lower their cholesterol, the American Heart Association recommends that saturated fat should not make up more than 5-6 percent of daily intake of calories. It is also widely believed that people who have gout should avoid eating organ meats, as they contain purine, a molecule associated with gout flare-ups. Furthermore, there can be a concern that animals that have been exposed to toxins and pesticides will have toxicity in their organs. It is important to remember, however, that while organs, such as the liver and kidneys, act as filters for toxins that enter the body, they excrete those toxins and do not store them. Organ meat quality It is vital to know how the animals whose organs are being eaten were raised before slaughter. Aside from the moral implications, organ meats obtained from stressed and mistreated animals can cause all sorts of problems. For example, fatty deposits can often build up, particularly around the heart and kidneys. Essentially, if the animal has led an unhealthy life, their internal organs will not be healthy either. It is recommended that organ meats should be sourced from a farm that uses organic practices and puts its animals out for pasture. Takeaway message Many organ meats have a high nutritional value and can be very beneficial to the human body in many ways. That said, there are risks to eating too much organ meats, and anyone considering making significant dietary changes should consult their doctor first, and ensure they have thoroughly researched the pros and cons. In general, though, as long as eaten in moderation, organ meats can be a healthful and regular part of a balanced diet.

14 Back Pain Lower back pain may all be in the mind, study suggests (Medical News Today: ) New research suggests that persistent feelings of stiffness in the lower back may be some kind of self-protective 'trick' that the mind plays on us in order to prevent further injuries. A new study into the neuroscience of clinical pain suggests that perceptions of stiffness may not reflect the actual state of the spine and joints. The team's findings may pave the way for new therapies that help those with chronic pain in their lower back. Lower back pain is a leading cause of disability worldwide, affecting around 9.4 percent of the global population. Sometimes, people with lower back pain do not manage to get rid of the pain. In fact, it is estimated that for approximately 20 percent of those with the condition, the pain evolves into chronic pain - that is, pain that does not ease for 12 weeks or more. But might the discomfort all be a matter of perception? Could feeling pain not necessarily reflect the state that our body is in? A new study published in the journal Scientific Reports suggests so. The researchers were led by Dr. Tasha Stanton, who is a senior research fellow at the University of South Australia's School of Health Sciences in Adelaide. Studying feelings of lower back pain Dr. Stanton researches the neuroscience behind clinical pain, and her motivation for this new study stemmed from previous evidence that amputees feel pain in a limb that they no longer have, or that the subjective feeling of pain can be influenced by a range of other perceptual factors such as visual or auditory stimuli. She and her team recruited 15 people with self-reported feelings and symptoms of chronic lower back pain, and an additional 15 healthy, age-matched control participants. The team conducted three experiments. In the first one, they used an "established, customized device, validated in humans" that applies pressure to the spine and can objectively measure the resulting stiffness. Yoga just as good as physical therapy for low back pain How helpful is yoga for treating lower back pain?

15 The researchers compared these measurements with what the participants reported to feel, using a scale from "not stiff at all" to "most stiff imaginable." In the second experiment, the participants were told that they would receive an applied force and were then asked to estimate as accurately as they could the magnitude of the force they received. Finally, the third experiment aimed to examine whether or not adding sounds to the perception of pressure would change how the stiffness is perceived. Feelings of stiffness: 'A protective response'? The researchers wanted to evaluate this last point based on the results from the first two experiments, which led them to the hypothesis that "feeling stiff may represent a protective perceptual construct." "People with chronic back pain and stiffness overestimated how much force was being applied to their backs - they were more protective of their back. How much they overestimated this force related to how stiff their backs felt - the stiffer [it] felt, the more they overestimated force. This suggests that feelings of stiffness are a protective response, likely to avoid movement." Dr. Tasha Stanton "In theory," Dr. Stanton adds, "people who feel back stiffness should have a stiffer spine than those who do not. We found this was not the case in reality. Instead, we found that that the amount they protected their back was a better predictor of how stiff their back felt." Dr. Stanton also explains the results of the third experiment, saying, "[We] found that these feelings could be modulated using different sounds. The feeling of stiffness was worse with creaky door sounds and less with gentle whooshing sounds." "This raises the possibility that we can clinically target stiffness without focusing on the joint itself but using other senses," she says, believing that the findings open up new therapeutic avenues for chronic back pain. "The brain uses information from numerous different sources including sound, touch, and vision, to create feelings such as stiffness," says Dr. Stanton. "If we can manipulate those sources of information, we then potentially have the ability to manipulate feelings of stiffness. This opens the door for new treatment possibilities, which is incredibly exciting," she concludes.

16 ADHD ADHD and sleeplessness: A critical link? (Medical News Today: ) How important is the link between sleeplessness and ADHD? Researchers believe that there may be more to this connection than meets the eye. Researchers suggest that there may be a stronger link between ADHD and sleep problems than hitherto believed, and that the two may not be completely separate issues after all. Data reported by the Centers for Disease Control and Prevention (CDC) indicate that approximately 11 percent of children aged 4 to 17 are diagnosed with attention deficit hyperactivity disorder (ADHD) in the United States. Among the adult U.S. population, the National Institute of Mental Health report a 4.1 percent 12-month prevalence rate for the disorder. ADHD is typically characterized by hyperactivity, a short attention span, and difficulties in self-organization. Sometimes, the disorder can be accompanied by one or several other conditions, including dyslexia, anxiety, and depression. Another concern that has been flagged up in relation to ADHD is the existence of sleep problems, including sleep apnea and disturbed sleep patterns. Mostly, ADHD and sleep disturbances have been treated as separate issues, but Prof. Sandra Kooij, from the VU University Medical Centre in Amsterdam, the Netherlands, believes that the two may be fundamentally interconnected. Prof. Kooij explained for Medical News Today that, as a psychiatrist who specializes in ADHD, she has dealt with many cases in which the disorder seemed to be linked with sleep disturbances. This gave her the first impulse to look more closely into the connection. She told us, "I am a psychiatrist specialized in adult ADHD since 1995, and from the beginning, the sleep problems that most people with ADHD suffer from intrigued me. Most of them had a similar pattern of late sleep onset, and difficulty getting up in the morning, leading to fatigue during daytime and role impairment." "Sleep duration was usually short due to school or work obligations in the morning. This sleep loss seemed to increase the severity of ADHD symptoms as well," explained Prof. Kooij. The researcher presented her findings yesterday at Neuropsychopharmacology Congress, held in Paris, France. the European College of

17 Most people with ADHD have sleep problems Prof. Kooij and her colleagues have reviewed several studies that point to a link between sleep disturbances and ADHD, and they suggest that the evidence so far offers a strong basis for further evaluation. "If you review the evidence, it looks more and more like ADHD and sleeplessness are two sides of the same physiological and mental coin," explains Prof. Kooij. Prof. Kooij's investigation has revealed several interesting facts about the presence of sleep disturbances in individuals diagnosed with ADHD, and many of those have led her to form her hypothesis. She notes, in the first place, that the majority of people diagnosed with ADHD also exhibit a disturbed sleep pattern. The physiological aspects of sleep are also affected which, in turn, could lead to other, more severe health implications. "[W]e started to measure the onset of the sleep hormone melatonin in [the] saliva of people with ADHD with and without sleep onset problems. We found that late sleepers had their onset of melatonin 1.5 hours later than normal, correlating with the late sleep pattern," Prof. Kooij told MNT. "[A]lso, their movement patterns and temperature during 24 hours were delayed," she added. "The next question was which other physical processes might be delayed, and what this would mean for their health in general." People diagnosed with ADHD complain of a wealth of sleep disorders, such as: restless legs syndrome, which is characterized by an urge to move one's legs during a state of rest, which disrupts normal sleep patterns sleep apnea, in which abnormal - and disruptive - pauses in breathing occur during sleep various circadian rhythm disturbances, referring to disruptions of the regular physiological cycle that naturally "times" sleep and wakefulness, including delayed sleep phase syndrome (DSPS) DSPS is characterized by an impossibility to fall asleep before the small hours and increased difficulty in waking up in the morning. Prof. Kooij told us that these disturbances can intensify the risk of other conditions, including obesity, hypertension, cardiovascular disease, diabetes, and cancer. Some individuals with ADHD may therefore benefit from taking melatonin supplements, or from bright light therapy. Both approaches are recommended to people with sleep disorders but are also sometimes used to improve depression, especially in the case of seasonal affective disorder. Adult ADHD: Symptoms, diagnosis, and treatment

18 How do we recognize ADHD in adults? "We now aim to prevent this potential negative cascade of events for people with ADHD with lifetime sleep problems by advancing the late sleep phase using melatonin at night and/or light therapy in the morning, and measuring the effects on blood pressure, glucose levels, heart rate, and other biomarkers," Prof. Kooij told MNT. Photophobia, or oversensitivity to light, is also reported by 69 percent of adults diagnosed with ADHD. Prof. Kooij suggests that this oversensitivity leads them to wear sunglasses indiscriminately during the day, which, in turn, may increase the prevalence of sleep-related problems. She told us that she wondered whether "there is something going on in the eye that relates to ADHD and late sleep." Prof. Kooij and her team are conducting research to find out which treatment may be most helpful in the case of sleep disorders. "[W]e try to find out if a low dose of melatonin (0.5 milligrams) in the evening is as good as higher dosages (3 milligrams), and which is best: melatonin, placebo, or melatonin plus light therapy in the morning," she told MNT. She also shared with us some tips for managing sleep disturbances, advising that people concerned about their sleep patterns should "stop using the light of screens after 10 p.m.," and that they should aim to "get up at the same time every morning, and if necessary, use a strong lamp to wake up [the] brain." Where does the cause lie? Should the link between ADHD and sleep disorders, Prof. Kooij is interested in finding out which way the causal relationship lies. "If the connection is confirmed, it raises the intriguing question: does ADHD cause sleeplessness, or does sleeplessness cause ADHD? If the latter, then we may be able to treat some ADHD by non-pharmacological methods, such as changing light or sleep patterns, and prevent the negative impact of chronic sleep loss on health." Prof. Sandra Kooij She cautions that she and her colleagues do not suggest that disturbed sleep patterns are key to all ADHD diagnoses, but she still believes that the strong link requires more investigation. "We don't say that all ADHD problems are associated with these circadian patterns, but it looks increasingly likely that this is an important element," she says.

19 Liver Disease (Hindustan: )

20 Lung Disease (Hindustan: )

21 ȡ Ǖ ȡ Ȣक इल ज क बड़ Ʌġ बन ग आरएमएल (Dainik Jagran: ) Ǖ ȡ र जध न Ʌ ȣ ɉ ȧबढ़त दब व क द खत ह ए आरएमएल \ è ȡ क è ȡ ȡज रह ह इसक ब द यह \ è ȡ \ ȡ ǓǕ ȡ Ǖ ȡj Ȳस ल स ह ज एग Ȳ, नई Ǒ ã ȣ1र जध न क ȡ Ȳè ȡ ɉ Ʌ ȣ ɉ ȧ बढ़त भ ड़ क Ƨȯ आरएमएल \ è ȡ क è ȡ ह ग ȣ द हज र कर ड़ ǽ ȯ ȧल गत स इस \ è ȡ Ʌद बड़ स पर è ȯ ȣ Þ Ȩ Ʌ ȯ@इनक Ǔ ȡ[ स आरएमएल \ è ȡ भ \ ȡ ǓǕ ȡ Ǖ ȡj Ȳस ल स ह ज एग ख स ब त यह ह यह \ è ȡ Ȣ व य र ल ज ȧ Ȣ ȡǐ ɉ क इल ज क द श Ʌबड़ Ʌġ बनकर उभर ग इसस Ȣ Ĥ ȡ Ȫ क भ Ý ȡ ȯ Ȣ और ȡ क ȯ Ĥ Ȳ ह ग 1म जद समय Ʌ1420 ब ड ȧ ȡ व ल इस \ è ȡ Ʌ ȡ [ Ȫ Ȩ Ȣ, ȡ [ [ ȣ, ȯĥ Ȫ Ȩ Ȣ, य र ल ज, ȰèĚȪ Ȩ Ȣ, Û Ǘ Ȫ, Û Ǘ Ȫ [ ȣव ^Ȳ Ȫ Đ Ȫ Ȩ Ȣ ज स स पर è ȯ ȣ क ȡ और उनक ȯ ȨÈ त ɇ, पर स स धन व ढ च गत Ǖ ȡj Ȳक अभ व ह \ è ȡ क ओप ड ɅĤǓ Ǒ ȣ इल ज क f पह चत ɇ@^ f स पर è ȯ ȣ ȡ Ʌ è ȡ ȧल ब समय स Ǿ महस स ȧज ȣ ह आरएमएल \ è ȡ क ȯ क ल ज क ड न व यर ल ज ȡ क ȡ ȡÚ ड. र ज व स द न कह Ʌġȣ è ȡèØ Ȳğ न एक स पर è ȯ ȣþ Ȩ क f 1000 कर ड़ ǽ ȯ ȧ Ȳ Ǘ ȣ ȣ ह इसक Ǔ ȡ[ ȧ ǔ à ȯ ȡ ȣ एचएसस स ( Ȩǔè [ ȯ Ȳ Ʌ Ȣ [ ȯ ) क ȣगई ह \ è ȡ क ĚȨ ȡ Ʌ क प स पहल स पर è ȯ ȣþ Ȩ क f 20 म जल इम रत क Ǔ ȡ[ ह ग यह ǕǑ Ȳ ज न ȧसबस ऊ च इम रत ह ग ^ Ʌ458 ब ड ȧ Ǖ ȡह ग ȣ द स ल Ʌइसक Ǔ ȡ[ पर ह ग दस र सप र è ȯ ȣþ Ȩ Ʌभ 458 ब ड ȧ Ǖ ȡह ग और उसक Ǔ ȡ[ पर भ ȣ एक हज र कर ड़ ǽ ȯ [ ɉ ȯ@^ ȧ Ȳ Ǘ ȣ क f फ इल Ʌġȣ ȣ ȡ Ȳğ क भ ज गई ह ã ȣ वह स Ȳ Ǘ ȣ ज एग दस र स पर è ȯ ȣ Þ Ȩ क न म ɪ (f Ǘ ȣf ) Ʌ ह ग ^ Ʌ ȯĥ Ȫ Ȩ Ȣ, य र ल ज

22 ȡ व स म ल शन ल ब ह ग Ȣ व य र ल ज स \ è ȡ Ʌअब तक इतन बड़ Ȳ Ȳ Ȣ ȡǐ ɉ क इल ज क f Ʌ ȣȳह 1 ȡ क f Ʌ Ȣ40 नई Ȣ Ʌ: म ज द समय Ʌइस \ è ȡ Ʌ Ȣ ȧ Ȣ ȡǐ ɉ स Ȣ ȣ ɉ ȧ ȡ मश न ɇ@ Ȣ ɉ ȧकम क चलत Ȣ ȯã Ȫ क ȣ ɉक ȡ पड़त ह ^ f सप र è ȯ ȣþ Ȩ Ʌ ȡ Ȣ क f [ 10 क f पर श न ह न क f 40 नई Ȣ Ʌ Ʌ Ȣ@1 Ȳ, नई Ǒ ã ȣ1र जध न क ȡ Ȳè ȡ ɉ Ʌ ȣ ɉ ȧ बढ़त भ ड़ क Ƨȯ आरएमएल \ è ȡ क è ȡ ह ग ȣ द हज र कर ड़ ǽ ȯ ȧल गत स इस \ è ȡ Ʌद बड़ स पर è ȯ ȣ Þ Ȩ Ʌ ȯ@इनक Ǔ ȡ[ स आरएमएल \ è ȡ भ \ ȡ ǓǕ ȡ Ǖ ȡj Ȳस ल स ह ज एग ख स ब त यह ह यह \ è ȡ Ȣव यर ल ज ȧ Ȣ ȡǐ ɉक इल ज क द श Ʌबड़ Ʌġ बनकर उभर ग इसस Ȣ Ĥ ȡ Ȫ क भ Ý ȡ ȯ Ȣ और ȡ क ȯ Ĥ Ȳ ह ग 1म ज द समय Ʌ1420 ब ड ȧ ȡ व ल इस \ è ȡ Ʌ ȡ [ Ȫ Ȩ Ȣ, ȡ [ [ ȣ, ȯĥ Ȫ Ȩ Ȣ, य र ल ज, ȰèĚȪ Ȩ Ȣ, Û Ǘ Ȫ, Û Ǘ Ȫ [ ȣ व ^Ȳ Ȫ Đ Ȫ Ȩ Ȣ ज स स पर è ȯ ȣ क ȡ और उनक ȯ ȨÈ त ɇ, पर स स धन व ढ च गत Ǖ ȡj Ȳक अभ व ह \ è ȡ क ओप ड ɅĤǓ Ǒ ȣ इल ज क f पह चत ɇ@^ f स पर è ȯ ȣ ȡ Ʌ è ȡ ȧल ब समय स Ǿ महस स ȧज ȣ ह आरएमएल \ è ȡ क ȯ क ल ज क ड न व य र ल ज ȡ क ȡ ȡÚ ड. र ज व स द न कह Ʌġȣ è ȡèØ Ȳğ न एक स पर è ȯ ȣþ Ȩ क f 1000 कर ड़ ǽ ȯ ȧ Ȳ Ǘ ȣ ȣ ह इसक Ǔ ȡ[ ȧ ǔ à ȯ ȡ ȣ एचएसस स ( Ȩǔè [ ȯ Ȳ Ʌ Ȣ [ ȯ ) क ȣगई ह \ è ȡ क ĚȨ ȡ Ʌ क प स पहल सप र è ȯ ȣþ Ȩ क f 20 म जल इम रत क Ǔ ȡ[ ह ग यह ǕǑ Ȳ ज न ȧसबस ऊ च इम रत ह ग ^ Ʌ458 ब ड ȧ Ǖ ȡह ग ȣ द स ल Ʌइसक Ǔ ȡ[ प र ह ग दस र स पर è ȯ ȣþ Ȩ Ʌभ 458 ब ड ȧ Ǖ ȡह ग और उसक Ǔ ȡ[ पर भ ȣ एक हज र कर ड़ ǽ ȯ [ ɉ ȯ@^ ȧ Ȳ Ǘ ȣ क f फ इल Ʌġȣ ȣ ȡ Ȳğ क भ ज गई ह ã ȣ वह स Ȳ Ǘ ȣ ज एग दस र सप र è ȯ ȣ Þ Ȩ क न म ɪ (f Ǘ ȣf ȡ व स म ल शन ल ब ह ग Ȣ व य र ल ज स \ è ȡ Ʌअब तक इतन बड़ Ʌ ȣȳह 1 ȡ ) Ʌ ह ग ^ Ʌ ȯĥ Ȫ Ȩ Ȣ, यर ल ज Ȳ Ȳ Ȣ ȡǐ ɉ क इल ज क f क f Ʌ Ȣ40 नई Ȣ Ʌ: म ज द समय Ʌइस \ è ȡ Ʌ Ȣ ȧ Ȣ ȡǐ ɉ स Ȣ ȣ ɉ ȧ ȡ मश न ɇ@ Ȣ ɉ ȧकम क चलत Ȣ ȯã Ȫ क ȣ ɉक ȡ पड़त ह ^ f सप र è ȯ ȣþ Ȩ Ʌ ȡ Ȣ क f [ 10 क f पर श न ह न क f 40 नई Ȣ Ʌ Ʌ Ȣ@1

23 è ȡèØ स व è ȡèØ स व ȧ Ȳ ȡ(Dainik Jagran: ) हर र म Į 1झ रख ड Ʌ ȡ ȣè ȡèØ और ȡस व ओ ȧबदह ल ǔè Ǔ पर क छ कहन क पहल ɇअपन स थ ह ई एक घटन क ǔ Đ करन Ǿ ȣसमझत ह अभ ह ल- ȡ ȧब त ह झ रख ड क पल म जल ǕÉ ȡ Ʌअपन Ĥ ȡ क द र न म ङ अच नक व यरल ब ख र ह गय त ज ब ख र और बदन [ क क रण जब ब चन बह त बढ़ गई तब इल ज क f म ङ पल म ǔè सदर \ è ȡ Ʌज न पड़ जब ɇवह पह च त स बह क स ढ़ न बज थ और ȨÈ बस अभ अभ पह च थ ɇ ȯउनस दव ȡ_ और \ è ȡ क दव क उ टर पर दव ल न पह च ȡ[द खन क ब द, वह म जद ȡ ȡ[ è न मझ स कह \ è ȡ Ʌदव ए ȣȳ ɇ@आप ब हर स य \ è ȡ क अ दर बन ǒ Đ ȧक उ टर स ȣ ȣǔ ब द म ङ उन दव ओ क सदर \ è ȡ क अ दर बन दव क उ टर स ब ज र र ट पर ȣ ȡपड़ 1इसक ब द, जब ɇव पस ल टकर अपन ह टल आय त उस Ǒ क è ȡ Ȣ \ ȡ ɉ Ʌग मल जल ǔè सदर \ è ȡ Ʌ ȡ ȡÛ ज वन ȡ^ ɉक अभ व क क रण आठ स ल क एक ] Ǒ ȡ Ȣ Í ȯ ȧ\ è ȡ ǐ Ʌ ȣतड़प-तड़प कर [ ȡ म त ȧ ğ खबर Ĥ ȡ ह ई थ ȣ ȣȳउस मत Í ȯ क ȡ ब बस ह कर Í ȯक ȡ [ ȣ क अपन प ठ पर ब ध कर व पस अपन घर ल गय थ 1क ल ȡ सबक स थ सबक ȡ क ल भ वन न र क ब च ȡÏ सरक र च ह जस Ĥ Ǔ क द व कर, ȯ \ Ʌयह एक Đ Ǘ मज क स Ï ȡ ȡक छ ȣȳह ȡÏ सरक र अपन लभ वन ȡ ɉ Ʌच ह Ȣ भ Ǚƨ क द व कर, ȯ म सम बख र ज स ब हद ȡ ȡÛ Ȣ ȡ ȣ ȧ दव क जल \ è ȡ Ʌम ज द ȣȳह न, यह बत त ह ` ȪÈ द व क वल आम जनत क भरम न और उसक मज क उड़ न क f ȣह सरक र ȧ] ǕÊ ȡस इतर यह Đ Ǘ सच ह ȡÏ ȧ ȡ [ Ǔ è ȡèØ स व चरमर Ǖ ȧ ह ग रतलब ह ] Ǒ ȡ Ȣबह ल यह ȡÏ अपन अथ ह Ĥ ȡ ǙǓ और ȧ Ȣ Ǔ स पद ओ क ब वज द ब हद ȣ म न ज त ह इस ȡÏ क Ȣ भ ग व क ǽ कर ȣǔ f Ǖ Ȫ Í ɉ ȧ भरम र आपक Ǒ ȡ_ पड़ ज एग ȣ ȣȳ, ȡÏ ȧएक बड़ ] ȡ ȣसरक र स ȯव ल ǐ ȡ Ȣर शन पर

24 Ǘ ȣतरह स Ǔ [ ह इस ȡÏ Ʌछह ल ख ǐ ȡ ऐस ɇ जनक प स अपन खद क एक कमर क È ȡमक न तक ȣȳह ȡÏ ȧ Ǘ ȣ\ å [ è ȡक एक बड़ Ǒ è ȡ Ǘɉक पल यन स ह न ȡ ȣ आय पर Ǔ [ ह त ह ȡǑ ह इस å è ȡ Ʌ ȡ ȯपर खड़ ऐस ȣ ल ग सरक र ȧ è ȡèØ स व ओ क ल भ ल त ɇè ɉ उनक प स ȯ क क ई बजट ȣȳह त ह व म हग \ è ȡ ɉ Ʌअपन इल ज ȣȳकरव सकत, ȯ जब ȡ ȣ \ è ȡ ɉ Ʌबख र ȧ ȡ Ǘȣ दव ए ȣȳ ɇतब ग भ र Ȣ ȡǐ ɉक इल ज क स स भव ह प एग? ^ ȧ ã ȡ ȣ ȧज सकत ह ȡ ȡȲ इस स ल क बजट Ʌ ȡÏ सरक र ɮ ȡ ȡ è ȡèØ पर क ल बजट क च र ȧ [ करन ȧ ब त ȣ गई थ, ȯ सच यह ह इस मद ȧ एक बड़ ȡ क आध रभ त स स धन ज स भवन, ǒ è ] Ǒ पर [कर Ǒ ȡ गय इस प स क उपय ग अगर ȡ^ ɉ और ` Þ स व ओ क ȣ और ब हतर करन Ʌ ȡ ज त त Ï ȡ ȡ ब हतर ह त मगर सरक र Ǘ ȣ तरह स यह Ĥ ȡ कर ȣ ह चल य ज ए र च क f ȡğ ȡ [ Ǔ \ è ȡ ɉ क ȡ [ Ǔ -Ǔ Ȣ ȡ Ȫ ȡ ȣ क ǐ f ȡ ȣसदर \ è ȡ क भ रघ वर द स सरक र ɮ ȡ ȡǓ Ȣ करन क लग त र Ĥ ȡ ȡ ज रह ह इसक स ध मतलब यह ह ȡÏ Ʌè ȡèØ स व ए मह ग और आम- ȣ आदम स दर ह ज ए ग इस ब त Ʌक ई स द ह ȣȳह द श ȧ \ è Ȣ ȧ ȲÉ ȡक प स ȯ क क ई बजट ȣȳह 1ख र, Ʌअपन ȯ ȡ Ʌयह झ कन ȧ Ǿ ह ] यह क स ] ȡ ȣऔर ȡ क हम र म डल ह जह हम अपन ȡ ǐ ɉक ȡ ȡÛ Ȣ ȡǐ ɉ स बच न ȧ दव ए तक ` Þ ȣȳकरव प रह ɇ? सव ल यह ह ] ȡ Ʌ ȡ [ Ǔ è ȡèØ स व ȧ अनद ख ज नब झ कर È ɉ कर ȣ ɇ? È ȡ यह सब महज ^ f ȡज रह ह ȡ भ रत क ȡ ȡ [ Ǔ è ȡèØ ȯğ क Ȩ Ȫ ȯɪ और Ǔ Ȣ ȡ ɉ Ʌ ɋ Ǒ ȡज ए?1दरअसल आज हमन ȡ ȧ जस अवध रण क è Ȣ ȡ कर ȡह वह ȡÏ क ã ȡ ȡ ȣच हर क कब क दफन कर चक ह ` ȡ ȣ क इस द र Ʌजब ȡÏ क क म क वल ȡ Ⱦ ȯ क Ȱ ȯ ह न भर रह गय ह, उस समय उसस यह आश करन वह ȡ [ Ǔ è ȡèØ स व पर अपन [क बढ़ एग और ब तर बन एग -एक न मसझ ह म ज द Ʌġ सरक र आज जब क वल ȯ Ȣप ज Ǔ ȯ क ȡ क f ȡğ ȡè ȡसमझ ȣह, ऐस द र Ʌ` Û Ʌभ रत क ȡ द र Ʌजब तक ȡ [ Ǔ è ȡèØ ȯğ क भ Ǔ Ȣ ȯğ क f ख लन पड़ रह ह ऐस ȡ [ Ǔ è ȡèØ स व च पट ȣȳ ȧज एग तब तक Ǔ Ȣ ȯğ क फलन -फ लन क अवसर ȣȳ ȯ ȡ@ ȣवजह ह एक ȢǓ क तहत भ रत Ʌ ȡ [ Ǔ è ȡèØ स व ओ क ब द और लचर करन क Ǖ Đ रच Ǒ ȡ गय ह यह Ǖ Đ पहल स ȣ ȡ ȯपर खड़ Ǖ ȲÉ सम ज क मन क ɉकरम पर छ ड़ द ग ब ज र ȧक वल मन फ कम न ȡ ȣ ã ȣ ȯ फ कम न ȧ ȰǓ ȡक çǖ ǐ ȡ आन ȡ ȣ è Ʌउठ ए ग मगर Ǔ ȡ ȡतब और \ ह त ह

25 जब इस Ǖ Đ क ȡ क ई चन त प श ȣȳकर प त इसस स फ ह द श क Ȣभ ȡ Ȣ दल क प स जनत क f क ई Ȫ ã ȡ ȡ ȣ म डल ȣȳह 1(ल खक è Ȳğ Ǒ Ü Ȣ ȡ ɇ) Ĥ Ȫ ȣ र ज न त न ब र Ĥ Ȫ ȣ ख न स मजब त रहत ɇ ȡȲ ȯ ȡȲ(Dainik Jagran: ) ट र ट, Ĥ ȯě : Ĥ Ȫ ȣ हम र ȰǓ ज वन क सबस अहम प षक ह ` Ĩ बढ़न क स थ ȣ क f ^ ȧम ग भ बढ़न लगत ह ह ल ȣ Ʌएक \ Ú Ʌस मन आय ह ब ढ़ प Ʌर ज न त न ब र Ȳ Ǖ ȡğ ɅĤȪ ȣ ल न स ȡȲ ȯ ȡȲमजब त रहत ɇऔर Û Ȣ ȡǐ ɉस बच ज सकत ह 1 Ȱ ȡǓ ɉक Ǖ ȡǒ, ` Ĩ बढ़न क स थ ȡȲ ȯ ɉ Ʌ [, चलन Ʌपर श न ] Ǒ è ȡf Ȳह न लगत ɇ@इनस बचन क एक ` à ȡ ȣ ȡĤ Ȫ ȣ ह ȯ यह Ĥ Ȫ ȣ र ज न Ǒ Ʌत न ब र Ȳ Ǖ ȡğ Ʌ ȡज न ȡǑ बढ़ प Ʌवजन Ȥ रहत ह और ȡȲ ȯ ȡȲ भ मजब त बन रहत ɇ@ 1\ ȯǐ [ ऑफ ǔè Ǔ Û ǗǑ ɅĤ ȡ इस \ Ú Ʌ बत य गय कन ड क ǐ [^Ȳè ȣɪ Ǘ ऑफ द Ȱ ǗǓ [ ȣ ȯã Ʌ और ǗǓ [ ȣ ड ȨǔÛ क Ȫ ȡ[j Ȳन 67 और उसस \ ` Ĩ क Ǖ Ǖ Ⱦपर Ĥ Ȫ ȣ क उपभ ग क पर \ Ú ȡ@ Ȫ Ȳ Ȫ, Ĥ ȯě : ĤȪ ȣ हम र ȰǓ ज वन क सबस अहम प षक ह ` Ĩ बढ़न क स थ ȣ क f ^ ȧम ग भ बढ़न लगत ह ह ल ȣ Ʌएक \ Ú Ʌस मन आय ह ब ढ़ प Ʌर ज न त न ब र Ȳ Ǖ ȡğ ɅĤȪ ȣ ल न स ȡȲ ȯ ȡȲमजब त रहत ɇऔर Û Ȣ ȡǐ ɉस बच ज सकत ह 1 Ȱ ȡǓ ɉक Ǖ ȡǒ, ` Ĩ बढ़न क स थ ȡȲ ȯ ɉ Ʌ [, चलन Ʌपर श न ] Ǒ è ȡf Ȳह न लगत ɇ@इनस बचन क एक ` à ȡ ȣ ȡ ĤȪ ȣ ह ȯ यह Ĥ Ȫ ȣ र ज न Ǒ Ʌत न ब र Ȳ Ǖ ȡğ Ʌ ȡज न ȡǑ बढ़ प Ʌवजन Ȥ रहत ह और ȡȲ ȯ ȡȲभ मजब त बन रहत ɇ@ 1\ ȯǐ [ ऑफ ǔè Ǔ Û ǗǑ Ʌ

26 Ĥ ȡ इस \ Ú Ʌबत य गय कन ड क ǐ ȯã [^Ȳè ȣɪ Ǘ ऑफ द Ȱ ǗǓ [ ȣ Ʌ और ǗǓ [ ȣड ȨǔÛ क Ȫ ȡ[j Ȳन 67 और उसस \ ` Ĩ क Ǖ Ǖ Ⱦपर Ĥ Ȫ ȣ क उपभ ग क पर \ Ú ȡ@ ɇ स वध न: ɇ क बढ़न Ʌफ ट ȧबड़ Ǘ ȡ(Dainik Jagran: ) Ȱ ȡǓ ɉक कहन ह ɇ क बढ़न Ʌएडप स Ǒ æ Ǘय फ ट (वस ) क बड़ य गद न ह सकत ह यह इस र ग ȧ Ǚƨ क कई तरह स Ĥȯǐ कर सकत ह यह सब फ ट क Ĥ ȡ पर Ǔ [ करत ह \ ȯǐ ȡ ȧउट ह ǗǓ [ ȣ ȧ Ȫ ȡ[ ȡ ȶ ȡ` ǐ न कह ǓǕ ȡ Ʌम ट प ȧ è ȡत ज स बढ़ ȣह ^ ȧपहच न 16 तरह क ɇ क बड़ ȡ ɉ Ʌ ȧगई ह Ʌ ȡ ऐस ख स Ȳğ ȧपहच न करन ȧ Ǿ ह जसस ɇ स म ट प क जड़ व क पत चल सक पहल क श ध स भ ȡǑ ह चक ह ɇ क बढ़न Ʌफ ट क कई तरह क य गद न ह त ह उद हरण क त र पर म ट प स जन क खतर क बढ़ द त ह इसक ल ब समय स ɇ स ज ड़ व म न गय ह यह भ म न ज त ह म ट प ɇ स ल ȯ ȡ Ȫ Ï और ^à Ǘ क भ Ĥȯǐ करत ह इस वजह स ɪ Ǘ ȧ Ǚƨ और फ ल व ह सकत ह -आइएएनएस1 ȡ ȡ ȧवजह न द ȧ गड़बड़ 1यह सभ ज नत ɇ ȡ[Ü न द \ Í Ȥस हत क f Ǿ ȣह इसक अभ व Ʌकई तरह ȧ ȡ पर श न ह सकत ह नए श ध Ʌप य गय न द ȧगड़बड़ स ȣ\ Ʌ ȯ ȡ^ f ǔè ȣ ] [ (एड एचड ) ज स ȡ ȡ ȧ è ȡ खड़ ह त ह Ú ȡ ɅǑġ ȣȳकर प न, नय स खन Ʌपर श न, Ȣक म Ʌमन न लगन इस ȡ क ɇ@ Ȫ ȡ[j Ȳक अन स र, ȣ 75 ȧ Í ȯऔर è एड एचड स Ĥ ȡ ɇ@इसक स ब ध ȯè ȯ -ल ग ĜȲȪ सम त न द स ब ध कई ȡ ɉस भ ह Ȣ ɇ क व य ǓǗ [ ȣ ȯ

27 Ʌ Ʌf Ȫ f ĤȪ ȯ Ĝɇȡक इज न कह एड एचड Ȣ ɉ Ʌन द ȧगड़बड़ भ प ई गई यह Ǔ ç [ĤǓ ȡ ɉपर f गए è Ǚ श ध क आध र पर Ǔ ȡ ȡगय ह -आइएएनएस