J Kishore: Native Indians continue to suffer

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Native Indians continue to suffer

Repeated news of rapes and naked parade of Native Indian continue in India even after 64 years of independence. This is most unfortunate development for democracy. This can be view from various aspects: a) Retaliation of Brahmanic society against the rise of native Indians so called Schedule Castes and tribes; b) poor status of women in general; c) consequence of Indianized democracy; and other social and religious development. In a report published in the Times of India on 3rd August 2011, page 13 "Dalit Girl set ablaze for resisting rape". A class XII student on Johri Village of Sitapur about 90 Km from Lucknow, Uttar Pradesh was attempted to be raped by two youths which she resist led to put her on fire. I can recall Manusmriti

"Uttaman Sevamanustu Jaghanyo Vadharhemati, Shulkan Dadyatsevaman: Samamichhetpita Yadi"

means if lower caste girl had sexual intercourse with upper caste male then she should not be punished. If upper caste girl had sexual intercourse with lower caste male then male should be killed (Manusmiriti 366).

"Sudra tu karyehansya Kritamkritamav Va, Dasyayaiv hi srashtosou Brahmasya swayambhuva (Manusmiriti 413) and "Na swamina Nisrashtopi Sudro Dasyadwimuchyate, Nisharganj hi Tatsya Kastasmatadpahati" (Manusmriti 414)

means Sudra (lower caste) servant should always serve Brahmin because Brahma (Creator) has created him for this work. Even Brahmin wish that Sudra should be released from his service he can not do so because it is his inherited god given work. According to Manusmriti 417 and 418, all property of sudra (lower caste) can be taken away by brahmin because sudra is not entitled for property and no property belongs to him/her.

This is what youths are learning from these rotten sacred scripts that how a Native girl can deny anything to them because she is their property and they can used it and no punishment can be given to them.

Many people will say, " now a days no body believes in Manusmriti or Ramayana or Mahabharata", but in reality they know themselves follow these principles. Everyday each native is suffering humiliation and psychological torture. There is no forum where statistics of torture on them and discrimination against them can be published. To prove that such discrimination exists in most advanced society in India I would like to reproduce another news report from the Times of India on 7th August 2011 on page 19 Delhi edition. Shobhan Saxena very nicely presented the agony and suffering of Medical Students and faculty belongs to Schedule Caste community in All India Institute of Medical Sciences, New Delhi, a premier medical institute situated in the heart of capital of India and few kilometer away from Parliament where everyday dozen of members of parliament and legislative visit for diagnosis and treatment their illness.

India needs to be reformed mentally, socially and spiritually. Physical and economical development would not help. Money never helps to change people rather it destroy empathy, love and relationship. Again people will not agree to me. But I can produce many examples where in spite of successful in business, politics and having gain huge material property they suffered and society continue to discriminate them. The AIIMS is best example for this. Present Government in Uttar Pradesh is another example. Mr. MK Gandhi (Mahatama Gandhi) was propagator of Verna vavastha (Caste System). Gandhi was promoted in each corner of India and abroad which helps in sustaining Caste system and Manuwad in the world. Out women and native Indian will continue to suffer till will reject sacred books, customs and people who support them.

Baba Ramdev: Unfortunate event for India

For so many years Baba Ram Dev ji had been barking on beneficial effect of yoga on every type of disease. Surprising to the scientific community and also to the Nobel claim of curing AIDS and cancer with his Ayurvedic medicine along with Yoga. Billions of dollar are poured in research to find out vaccine or drug which can completely cure HIV, cancer, H1N1 infection could be saved if world accept his claims. But Baba Ramdev think that India is world and whole human kind is similar to people of India. Lakhs of people doing to his Vaidya Shalas (Pharmacies) and getting ayurvedic medicine for their illnesses and majority get side-effects of these medicines instead of getting benefits. I have witness many of such cases where they have gone to Haredwar to the Ramdev’s Vaidya Shala and spent couple of thousand rupees and time but ultimately saved through modern medical intervention. According to Drug and Magic Remedies Act, such person who makes claims publically about the drug beneficial affect particularly in diseases like HIV and Cancer should be punished. This Act is clearly violated by most of alternative medicine practitioners.

On 3^rd he demonstrated another angle of his personality, which is more of social and political activist. It is important to raise some of critical issues of civil society but through yoga removing corruption, black money, and demanding change the language of medical science curriculum into Hindi, etc. appeared to be insane statements. I have heard many a time in various news channels where he claimed that he is not afraid of anybody and would be happy to scarify life if situation arise. According to government he made a deal by signing on paper to end up his dharna (Anshan) if his demands are met on next day which he refused to divulge to the public throughout the day. However, on 4^th Night when police intervene in his dharna (Anshan) then he ran away to escape arrest and crying in front of media regarding apathy of police. These all characteristics of Baba Ramdev is confusing to rationality and humanity. Many issues can be raised here regarding recent development in India. People want some change in socio-political situation for better life. In absence of scientific movement other forces such as Tantra, magic, religio-political and muscle powers are emerging and in the vacuum of rational and human values they can be dangerous.

On one side half of the children and women are suffering from malnutrition, and on other side few people are building empire of more than many million dollar. On one side a particular caste people carrying the other’s night soil on their heads and on other side some Indian people celebrate their birthdays in Switzerland. The most unfortunate to this country is well educated mass who are cornering very resource for their self benefit. They are happy to be labeled as blind for their faith and belief and proudly claiming to be Indian till their selfish motive fulfilled. I feel how person like Baba Ramdev ji, Satya Sai Baba, and Mata Amritanadamay , devi mata, and couple of babas regularly appearing on TV channels for the sermons. Many a time I am also listening to them on TV and frankly speaking I found nothing special or concrete solution to the human problem. No doubt many of them are good orators. But none of them worth to spent time and money to listen. If people want to spent time then it would be beneficial to hear the discourse on smoking, diet, healthy habits, human relationship, discovery and national geography channels. It is also beneficial to sit with family members, enjoy their company, eating food together, laughing, chatting, and sitting in silence. It is thrilling experience to listen music in silence. One can enjoy cooking, cleaning house, and just walking. The most beneficial to the society to decrease craving for material thinks and increase satisfaction in less possessions. Desiring for longer years of life with lot of material possession is not going to give peace and happiness whether claimed by Baba Ramdev or Osho Rajneesh or any other guru. Longer life is achieved by scientific development and more and more scientific fulfillment would lead to rational, logical, safer and human world.

Dr. Jugal Kishore

Director, Institute of Science and Human Value (India Chapter)

Fraud in Medical Entrance in India: Rich vs Poor

The Central Bureau of Investigation (CBI) has busted an admission racket at the All India Institute of Medical Science (AIIMS) a premier medical institute of the country where answersheets for the postgraduate entrance test were being manipulated to favor some of the candidates. CBI raid on ten places in New Delhi and nearby areas. Person involved were including person running a coaching institution and AIIMS officials.

This news indicates that there must be many students got admissions in previous years in this premier medical institution who do not deserved but getting admission only because they can pay money to manipulate. This indicates high level corruption. This also indicates that merit does not have any value in India. Money can buy everything. Now we have more medical colleges run by private bodies than government in India. All of them provide admissions to students who can pay their capitation fee which is very huge and deserving poor students can not think of getting admission in such colleges.
This has been further certified by one of the senior professor who is regularly going to take part in counseling for PG conducted by Central Government.

Understanding survival analysis: Kaplan-Meier estimate

Kaplan-Meier estimate is one of the best options to be used to measure the fraction of subjects living for a certain amount of time after treatment. In clinical trials or community trials, the effect of an intervention is assessed by measuring the number of subjects survived or saved after that intervention over a period of time. The time starting from a defined point to the occurrence of a given event, for example death is called as survival time and the analysis of group data as survival analysis. This can be affected by subjects under study that are uncooperative and refused to be remained in the study or when some of the subjects may not experience the event or death before the end of the study, although they would have experienced or died if observation continued, or we lose touch with them midway in the study. We label these situations as censored observations. The Kaplan-Meier estimate is the simplest way of computing the survival over time in spite of all these difficulties associated with subjects or situations. The survival curve can be created assuming various situations. It involves computing of probabilities of occurrence of event at a certain point of time and multiplying these successive probabilities by any earlier computed probabilities to get the final estimate.
This can be calculated for two groups of subjects and also their statistical difference in the survivals. This can be used in Ayurveda research when they are comparing two drugs and looking for survival of subjects.

Manish Kumar Goel, Pardeep Khanna, Jugal Kishore.Understanding survival analysis: Kaplan-Meier estimate. International Journal of Ayurveda Research | October-December 2010 | Vol 1 | Issue 4: 212-216, http://www.ijaronline.com/text.asp?2010/1/4/212/76794

Violation of Drug and Magic Remedies Act India

Country is trapped in false beliefs and religion. Unfortunately not many people with high degrees coming forward to stop this menace. Today news is that Uncle burns two small boys (3 years and 18 months old) in Ghaziabad to rid them of demonic presence. On sunday, the family had organized a hawan at their house after suggestion of a Pundit to rid of demonic effect leading to recurrent illness among family members. The small children were forced to get the cleansing effect of sacred fire of hawan when both burnt. Interesting thing is that instead of rushing to hospitals the family members immediately too the children to Kalkaji Temple in Delhi bypassing almost 4-5 big hospitals believing that only goddess Kali could save them but that didn't work. After that they rushed the kids to a sufi saint's mosque in Deoband near Saharanpur. But before reaching to that destination children died in the way. Although later on three people wee arrested including Pundit. Such incidences are common features of newspaper in India. (Source Mail Today 25th Jan 2011)

We have legislation "The Drugs and magic Remedies Act 1955" which prohibit such practices carried out by Pundits, Ojhas, Maulvis, faith-healers, and hundred thousands of quacks who has magic remedies for almost all illnesses and advertised on prime TV channels and leading newspapers. All are violating this legislation and liable for punishment. Magic remedies includes a talisman, mantra, kavacha, and any other charm of any kind which is alleged to possess miraculous powers for or in the diagnosis, cure, mitigation treatment or prevention of any disease in human beings or animals or for affecting or influencing in any way the structure or any organic function of the human or animal body. Advertisement of such remedies is banned and contravention of any provision of this Act shall be punished with imprisonment, which may extend to 6 months or 1 year in second or subsequent violation, or with fine or with both.

Occupational Stress Amongst Nurses from Two Tertiary Care Hospitals in Delhi

Nirmanmoh Bhatia, Jugal Kishore, Tanu Anand, Ram Chander Jiloha

Background: Nursing is known to be a stressful profession. Nursing staff working at the bottom of the hierarchy and in public hospitals are the ones who are more stressed out. There is a
paucity of data on prevalence of stress amongst nurses in the Indian setting. The individual contribution of various stressors, operational in nurse’s personal and professional life, to the overall stress levels also needs to be studied.
Method: A hospital based cross sectional study was carried out on 87 randomly selected staff nurses working in two tertiary care teaching hospitals of Central Delhi. Data was collected using
pre-tested and self-administered questionnaire. Sociodemographic profile, stressors in daily life, stressors at workstation and total stress level was also assessed. The data was fed and analysed using WHO’s EPI-INFO 2005 software.
Results: 87.4% of nurses from the sample reported occupational stress. The prevalence of occupational stress amongst nurses was 87.4%. ‘Time Pressure’ was found to be the
most stressful whereas ‘Discrimination’ was the least stressful of the given possible sources of stress in everyday life. Other highly stressful sources were: handling various issues of life simultaneously with occupation such as caring for own children/parents, own work situation and personal responsibilities. ‘High level of skill requirement of the job’ was the most important stressor and ‘helpfulness of supervisors/senior sisters’ was the least significant stressor
directly related to nursing profession. Other significant work related stressors were: the fact that their jobs required them to learn new things and that they had to attend to, too many patients at the same time.
Conclusion: High prevalence of stress was found amongst nurses, and suggests the need for stress reduction programmes targeting specific important stressors.
Key Words: Nurses, Stress, Occupational Stress, Tertiary Care Hospitals, India
Australasian Medical Journal AMJ 2010, 3, 11, 731-738 (http://www.amj.net.au/index.php?journal=AMJ&page=search&op=titles&searchPage=10)

Benign Prostatic Hyperplasia: Health Seeking Behaviour of patients at a tertiary care hospital. Aman Deep Dr. Gopal Krishna Ingle Dr. Jugal Kishore

Background: Benign Prostatic Hyperplasia is a widely prevalent condition
affecting elderly men throughout the world. With increasing
life expectancy, there has been a rise in the percentage of
elderly men and so for this disease across the globe. There is
lack of information about health seeking behaviour of patients
with Benign Prostatic Hyperplasia. Therefore the study was
designed with the objectives of assessing health-seeking
behaviour and the effect of literacy on it among adult and
older subjects suffering from Benign Prostatic Hyperplasia
attending a tertiary care hospital.
Method: A series of 81 patients suffering from Benign Prostatic
Hyperplasia above the age of 50 years, attending surgical Out
Patient Department of a tertiary care hospital in Delhi, were
assessed for their health seeking behaviour using a pre-tested
and a modified questionnaire designed for assessing health
seeking behaviour.
Results: Positive health seeking behaviour of patients was observed in
44%, who reported to a doctor within a month of noticing
their problem. A greater proportion of the literates was aware
about the symptoms suggestive of enlarged prostate and
consulted a qualified health care practitioner as their first
action. More literates approached the higher level of health
care facility on being referred and had maximum faith in
allopathic system of medicine. Also, lesser number of literates
had performed pooja (Hindi word for worship) or other
traditional rituals for relief of their problems.
Conclusion: We concluded that majority of subjects suffering from
Benign Prostatic Hypertrophy were not aware of their
disease and their health-seeking behaviour was poor and
could be related to literacy. Our data highlights the need
for public awareness program targeting the younger male
population so that early detection and treatment can be
offered.
Key Words: Benign Prostatic Hyperplasia, Health Seeking Behaviour,
Awareness.
Australasian Medical Journal AMJ 2010, 1, 3, 213-216 (http://www.amj.net.au/index.php?journal=AMJ&page=article&op=view&path%5B%5D=166.)