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Tuesday, October 13, 2009

School education in India expensive than university
(source:www.TimesofIndia.com)

Families in India have to spend more on primary school education of their children, making the fundamental right to basic education for the Indian poor a distant dream, according to a recent UNESCO report.

In contrast, university education, which typically helps the better off students, remains subsidised and costs just the half of the primary school spending.

"Households pay for more than one-quarter, 28 per cent, of the cost to send their children to primary and secondary school. This poses a big barrier for the children of poor families," the report 'Global Education Digest 2007', released by UNESCO Institute for Statistics (UIS), said.

"Yet at the same time, households assume just 14 per cent of the costs for university education, which typically benefits better off students," it added.

Mapping latest education statistics from primary to tertiary levels in more than 200 countries, the reports focuses on the financing of education and provides a series of indicators to compare spending patterns across countries and levels of education.

The report stressed the need to monitor the balance between public and private expenditure.

"Systems that are overly reliant on private contributions, especially at the primary level of education, raise the risk of excluding students from poorer families," it warns.
Hi Folks,
India, has a demographic advantage over the fast ageing societies of Europe, North America and Japan with half of its population below 25 years of age. It is the youth who need to sustain the economic growth of this country.

Do you think the present education system, terribly infrastructure, low literacy rate and inadequacy of opportunities in higher education, will be able to shoulder this responsibility to sustain the economic growth? If not, what are the measures needed to be taken by policy makers to sustain the economic growth.

On another note, I would also want to know your views regarding the major showstoppers in the present policies of Ministry of Human Resource Department.


Education Reforms- I


As we all know, India is soon going to be the only country with the maximum number of young people in the world. In this context, education takes on a special significance. The following reforms are desirable

1. More emphasis on vocational education. The purpose of education isnt just knowledge acquisition and growth, but also preparation for future life, evryone should be capable of earning their own bread, that is the basic key to empowerment of any section or calss of society

2. Child-centric and contextualised education at the pre-primary level- We realize how de-contextualisted our education has become. Eg. we teach rhymes like "polly put the kettle on" to rural children, they have never heard of a name called polly, they have no idea what a kettle is, and so on. Instead, nursery level and lower primary level education should be a very light,enjoyable and most importantly, undertsandable experience.

Also, teachers at that level are most important, there is provision for nursery teacher training, but its more of theory than actual practice. A special course in child psychology and in-service training for nursery teachers is most essential.

3. At the primary level, most important is reducing the workload. It's all right if they don't know all the world's history and geography and science and math by class 5 !!
Classes 6,7 and 8 are again repitive in nature. Curriculum needs to be streamlined some more. It gets very boring when kids learn the same things over and over again, and it is also a huge waste of time and resources.

Counselling should begin at this age itself, in the pre-adolescent-and-going-to-adolescence stage to prepare them for the future changes.

At a more general level, there needs to be more fund allocation at the primary level. Drinking water facilities, sanitation, mid-day meals etc. Mid-day meal system could do with a lot of improvement, instead of cooking in schools ( it is dangerous in one-room schools and even otheriwse with very small children around) nutritious, pre-packed food or fruit or eggs can be given. Regular inspection is needed about hygiene and working conditions while prepaption of mid-day meals.

At the secondary level, there should be separate vocational streams to choose from. CBSE has introduced a course in finance at class 11 level, it would another stream just like humanities, science and commerce. It a step in the right direction.

Ganesh Sir, i agree it is a healthy trend that teachers are offered jobs in rural areas, but the situation is still very dismal. There was a scheme, i dont know if it still exists, when a postman was made the temorray teacher for the viallges where there was no other option, and it seems to have worked. Teacher training needs some great overhaul, it has become outdated..In urban schools where compuetrs have made a foray for study of every subjects, students find it very funny when even the best-trained teachers (read coming from the best teacher-training colleges) try to teach them with a chart or roller blackboard , which i feel is one of the most outdated teaching aids for public schools, but the most uselful one for govt schools. A better trained tecaher should be able to use all kinds of teaching aids.

Most teachers posts are lying vacant in govt schools because of lack of funds. Govt schools in urban areas have computer rooms, but they are locked because computer teachers haven't been recruited. On the other hand, there are so many 'qualified' teachers, who have no real knowledge or training of their subjects, they are there just because a B.Ed degree is so easily available ..There has to be a stop on the number of private B.Ed colleges that are coming up...schools offer measly salaries to such teachers and the better trained may be left out because they refuse to accept anything lower than a govt scale..this is a kind of unhelthy competition that severely affects the quality of education.

Not just that, a teacher too is overburdened ( contrary to the popular perception that it is a "lighter' job), she has to think of so many new ways n schemes to burden the kids themselves, and that isnt easy! Jokes apart, she is delegated so many extra jobs that she has little time left for the preparation of the subject to be taught the next day, there is a latest thing in teacher recruitment where they almost make us sign a bond that we would not marry if we are unmarried ( atleast for 1-2 yrs), and if one is married, they cannot have a child for 1-2 yrs..if the job is to be taken. The teacher is not even free to teach as she likes, there is the imposed curriculum ( which is also sumtimes full of textual/factual errors) and the sword of finish-thesyllabus-before-its-too-late hanging over the head. All n all, it has to be realized that only a good teacher can bring out the best in students n is very essential to improving the quality of education.

A different approach; maybe at the macro level!-
In this context, it is apt to mention the infamous "vicious three" circle. Health, Poverty and Illiteracy(Education). Each one leads to the other. It is difficult to address anyone one of these without addressing the other two. If people are poor, they cannot afford good health. When health is bad how can they sit in the class room and get educated? Statistics reveal that an average Indian spends 45% of his income on food only. this means that he has lesser Money( when compared to his counterparts in US & European countries) to spend on entertainment and to pursue his intellectual growth. The same is the case with our government. It has less money to be spent on the "vicious three'.Educational cess is one important step in this direction which can improve the situation.
The educational system in the cities and towns is perfectly okay with private and aided instiutes which fill the lacunae. International degrees and schools have raised to the global standards at the primary level.
This is one aspect.
But, apart from all the problems being discussed, is it not a fact that some institutes have become centers for religious propagation and have a proselyting effect on the students???We reap what we sow. Nationality and community feeling should be instilled in today's children.A common ideology and patriotism is lacking.
As far the government schools in rural areas are concerned the government has come up with School Development and Monitoring committees(SDMCs). It is a very good step. But here again politics has crept in.Recently in Karnataka a Head Mistress committed suicide because she was constantly being harrassed(As being anti-dalit) by an SDMC head. So the problem continues...
And also the system of evaluation of students based on the type of answers they give in an examination has some limitations.The answers would be more or less similar. Why not assess a student by the kind or type of question he asks?...this would increase the scientific temparment.

Learning to juggle can change your brain


London: Learning to juggle leads to changes in the white matter of the brain, a study has shown. The Oxford University study, published in the journal Nature Neuroscience, appears to show connectivity has improved in parts of brain involved in movement-making in juggling. "We tend to think of the brain as being static, or even beginning to degenerate, once we reach adulthood," says lead researcher Heidi Johansen-Berg of Department of Clinical Neurology. "In fact we find the structure of the brain is ripe for change. We’ve shown that it is possible for the brain to condition its own wiring system to operate more efficiently." PTI

‘Self-learners’ creating university of online

Websites, Universities Offer Expert Material Free To Anyone, Anywhere


Few months ago Daniel Conn was scouting the internet wondering how and where he might obtain a degree. At 26, having skipped university when he left school, he was, as he puts it, "a bit unsure of my study skills".
By chance he discovered a website called Open Learn, an offshoot of the Open University (OU), which is in the vanguard of a new era of education. Shortcircuiting tuition fees and over-priced student flats, Open Learn offers expert material, accessible via the internet, free to anyone, anywhere.

Unlike traditional "distance learning" courses, you do not have to register and pay to receive course materials. You just click and pick from a vast array of subjects -say, an introductory course on life in the Palaeozoic era to one on the meaning and value of textiles in Ghana.
Although it is not designed to deliver a degree, it is a start. "I found the material to be very engaging and reassuring," said Conn, who tried units on IT and computing.
"I wanted to see how I would cope. I studied for about a month. I couldn’t put it down."

He was so encouraged that he signed up for a full OU degree course, which he started this month. "A week in and I don’t regret it," said Conn, who plans to study in the evenings and at weekends while continuing to work as an administrator at a garage in Brighton.
While Open Learn is a natural evolution for OU, what is striking is how some of the most prestigious universities in the world are moving in the same direction, making first-class educational resources available for free. This month You-Tube began carrying mate
rial from 45 universities in Europe and Israel on a strand it has dedicated to education.
"YouTube EDU is a global classroom where ... everyone can watch and engage with a range of videos that have been uploaded by some of the world’s great universities," said a spokeswoman.
Even more far-reaching, in many users’ eyes, is the light-speed expansion of iTunes U1—a sort of university in the sky hosted by the online music store. There you can find lectures by professors at Oxford, Cambridge, Yale, Stanford, Massachusetts Institute of Technology (MIT) and many others.

Among last week’s most popular downloads were lectures entitled Einstein’s ethics; your brain on jazz: neural substrates of spontaneous improvisation; and building a business: entrepreneurship and the ideal business plan.
In just a year of posting material on iTunes U, Oxford has seen well over 1m downloads of lectures or other academic works. "Podcasts that were scattered on the university’s departmental sites are now on iTunes," said Carolyne Culver, head of strategic communications at the university. "We are getting many more downloads."
Word is spreading fast as a glance at Twitter last Friday revealed. Tweeter
drdav99 wrote: "just found out about iTunes U. this is incredible." Another tweeter, known as bfalke, claimed: "iTunes U may be one of the most amazing tools on the internet."
As governments struggle to fund traditional university places— and this weekend 170,000 UK students starting a new university year are still waiting for loans to come through—is the internet ready to open up the cloisters of academe?
At the very least, it is reinvigorating the idea of lifelong learning. If you have ever wondered who Euripedes was or where you might find a quark, you can now find a suitable lecture to listen to on your way to the office or sitting at home in front of your PC.

This time last year Marianne Talbot was embarking on a standard series of lectures on philosophy at Oxford University. Her words are still echoing around the world.
"It was a perfectly ordinary lecture I gave to an audience, but the university asked me if I’d mind if they recorded it and made a podcast," said Talbot last week. "The next thing I knew it had hit No1."Her talk, "A romp through the history of philosophy from the Pre-Socratics to the present day," had topped the list of mostdownloaded items on iTunes U.

Children can be taught to imagine away pain: Study



Anew study in the US claims that children can learn to use their imagination to endure stomach pain, research shows.
A relaxation-type CD, asking children to imagine themselves in scenarios like floating on a cloud led to dramatic improvements in abdominal pain.
Researchers from the University of North Carolina and Duke University said the technique worked particularly well in children as they have such fertile imaginations. In this study, the children had 20 minute sessions of “guided imagery” — a technique which prompts the subject to imagine things which will reduce their discomfort, the BBC reported.

One example is letting a special shiny object melt into their hand and then placing their hand on the belly, spreading warmth and light from the hand inside the tummy to make a protective barrier inside that stops anything from irritating it.
Among kids who had used the CDs, 73.3% reported their abdominal pain was reduced by half or more by the end of the course compared with 26.7% in the standard care group. In twothirds, improvements were apparent six months later. AGENCIES

Monumental Asset

Focus on the tourism potential of heritage sites



The Union culture ministry has admitted that as many as 249 heritage sites in the country are being encroached upon. The violated sites include Sher Shah Suri’s tomb in Sasaram, Bihar, and Maratha king Shivaji’s three historic forts at Sindhudurg, Solapur and Raigad. In July last, a spokesperson of the ministry said that out of the 3,675 centrally protected monuments or sites, as many as 35 have simply vanished, because of “urbanisation, commercialisation and routine development work”.
World heritage sites in India are not being given the benefit of that status. Illegal occupation by squatters or commercial establishments is common within the circumscribed ‘no-trespassing’ zone radius of the monument. Monuments continue to be defaced by irresponsible visitors and locals. The world over, monuments are prime tourist attractions and the sites are sustained with revenue from visitor footfalls and merchandising. The local economy thrives on the activity generated by travellers who make the trip not just to gaze at a monument but to also experience whatever else the place has to offer. Should we miss out on all the benefits that can accrue to a heritage site and the region for lack of imagination and initiative?

The Archaeological Survey of India (ASI) has its hands full, as it were, with documentation, research and plans of conservation. It lacks the imagination and resources to develop heritage sites into much more than ruined remnants of a dead past. The answer is to outsource work relating to maintenance and beautification, security and promotion. The ASI should consider converting as many heritage sites as possible into living monuments, housing visitor centres, libraries and museums, bringing the past alive and making daily maintenance a routine. Event managers and corporate sponsors can help promote and maintain ancient monuments with more imagination, arrange for merchandising souvenirs and boost the local economy by marketing the works of local artisans and craftspersons. A few heritage attractions like Khajuraho and Chidambaram have been able to sustain cultural festivals on their sites, drawing tourists and sponsors; there is no reason why this cannot be replicated in similar destinations across the country.
Ten per cent of employment in the country is generated by tourism that contributes more than 6 per cent of GDP. Tourism can boost the hospitality industry and its subsidiary feeder industries including transport and communication, food and entertainment. All this can be promoted by maintaining our heritage. Let’s not lose it.

Green hideaway in heart of Chennai

Rs 8Cr Project Coming Up At The Erstwhile Drive-In Restaurant Site On Cathedral Road

M Guansekaran TNN


Chennai: Amidst the city’s concrete jungle, a green hideaway, a veritable microcosm of multiple gardens—rainforest, rock garden, butterfly garden, a grove of palms, bamboo garden, fern house, herbal garden, gazebo and many more—will soon come up.
With the consultant, Rajendran Associates, submitting its detailed project report for the world class botanical garden at the 18-acre site near Anna flyover (where Woodlands Drive-In restaurant was located, and the premises opposite to it), the agricultural engineering department has invited tenders for the Rs 7.91 crore first phase work.

Soon after taking possession of the prime land, where the drive-in restaurant and the agri-horticultural society used to function, after a prolonged legal battle, chief minister M Karunanidhi has asked officials to establish a world class botanical garden and horticultural research centre. Agriculture minister Veerapandi S Arumugam said it had been decided not to lease or rent out the land. Director of horticulture B Chandra Mohan told The Times of India that the work would be executed at the eightacre site (the erstwhile Woodlands spot) in the first phase
and was expected to be completed in a year. “We have decided not to cut any of the tall and old trees on the site and the park would be developed around the trees.
All the trees including 68 mast trees, 45 wild acacia, 10 nuna and 15 wild trees will be preserved and serve as live specimens to botany students, scientists and enthusiasts,” he said. The concept will be unique, entirely different from the upcoming Adyar Poonga or Marina beautification project. The tenders will be opened on November 4 but the ground work to establish the green canopy would begin after the outcome of the legal suit in the apex court. There will be a pathway beneath Cathedral Road to link the two wings and there would be no big buildings, sources said.
Explaining its recreation value, Chandra Mohan said the creation of a unique urban
park, with a combination of scenic natural settings, scientific and practical education, training sites and recreational options, would add attract more visitors. Besides a children play area and food court, the park will have an amphitheatre and space to conduct flower show. Miniatures with exotic themes and names—aroma garden, Zen garden, topiary garden, water garden, maze park, herbal garden, rock garden and tree houses—will be other important features of the garden. It will have a greenhouse and a nursery inside the premises. The consultants suggest nearly 9,000 shrubs, 200 trees and 6,875 ground covers like lily, coconut palm, snow bush and helconia dwarf to be planted. As per the plan, the entire area will have water-harvesting facility and smaller water bodies too. “We are planning for tree walks, board walk (where delicate plants underneath) and rope walk,” Chandra Mohan said, adding that the project w o u l d e n a b l e p e o p l e t o s t u d y , u n d e r - s t a n d a n d enjoy nature.

Treating leucoderma

For first 3 months living on fruits and vegetables would change the blood chemistry. Watermelon restores the colour pigmentation of the skin and should be taken regularly, says Jyoti Gupta



Leucoderma is the result of decolouration of the skin on the top layer of the human body. To cure Leucoderma we must understand its cause, how and why it happens. Causes Eating without hunger Habitual overeating By having eaten fried foods over a long period Eating sugar made items : chocolates, sweets etc Drinking soft drinks, tea, coffee on a regular basis Lack of exercise etc Consequences Malfunctioning of the liver and pancreas Blood contamination due to accumulation and degeneration of faecal matter in the intestines Accumulation of toxins in the body Preventive Measures: Pranayam and Yoga on a daily basis For first 3 months living on fruits and vegetables would change the blood chemistry Water melon restores the colour pigmentation of the skin and should be taken regularly during the season Eat only freshly cooked food Water if thirsty, may be taken only after 3 hours of eating meals Conserve vital energy by
eating only twice a day Occasional fasting on coconut water and fruits should be adopted. Liver would function better and produce the necessary enzymes Sadabahar and curry leaves can be helpful for blood purification and ultimately lead to better quality of skin Chickpeas should be eaten in sprouted or boiled form Aloe vera juice or gel which can be taken out from the leaves of the plant Ash gourd/Petha juice purifies blood Bitter gourd should be taken in a boiled state Turmeric in the vegetable form can restore back the natural immune system Amla juice to expel toxins from the body Banana stem juice to remove toxins from the body In the morning, sun bathing only within half an hour or 45 mins of the sunrise For air bath, expose the body in the morning to fresh air Gentle massage on and around the affected spots to allow better flow of blood through the skin

It is about giving, not getting

Never doubt that a small group of thoughtful, committed citizens can change the world; indeed it's the only thing that ever has—Margaret Mead



Children are by nature very giving beings so it is extremely easy to foster that behaviour. They may not always share their toys with each other, but they have an innate ability to notice differences when it matters. However, I feel today’s generation is more of a Generation Me than earlier times.
There is a reason for this - an obsession with achievement passed from parents to children. Peer pressure and pop culture are the excuses that are used for undermining their children’s ‘‘moral
foundations.’’
The parentchild relationship is at the centre of the development of all the most important moral qualities, including honesty, kindness, loy
alty, generosity, a commitment to justice, the capacity to think through moral dilemmas and the ability to sacrifice for important principles.
Simple instances like reaching out to a lonely
child or helping a less-privileged child is all that is required to change a child’s attitude. Giving is not about donating largesse on one’s birthday or feeding the less fortunate. It starts on a much smaller scale and only requires a change in perception and attitude. Yet rather than fostering those qualities by encouraging children to help those on the economic or social margins, we adults seem to send a message that individual self-absorption is absolutely normal and is also encouraged. The overriding goals of many parents, are to make sure their children are happy, loaded with self-esteem, and armed with enough achievements in the form of awards or admissions. No wonder they look outward rather than inward?
Instead of looking at ourselves in the mirror and changing our appearance to be noticed, would it not be nobler to change the person inside and start making a difference without praise?
Seeing a smile on someone else's face than your own should be enough to satisfy one's hunger for attention.
. "Start with giving, not getting”
Ajeeth Prasath Jain , Principal,
Bhavan's Rajaji Vidyashram

Generation Me?


Less than 1% NGOs in TN open to scrutiny

Chennai: The disparity and mismatch between funding and accountability in the voluntary sector in Tamil Nadu cannot get wider than this.
While Tamil Nadu has a mind-boggling number of 5,139 voluntary associations registered under the Foreign Contribution (Regulation) Act, 1976, not even one per cent of them are willing to subject themselves to public scrutiny. Just 36 NGOs, which constitute only 0.70% of the total number of voluntary organisations in the state, are part of the Credibility Alliance, a consortium of voluntary organisations headquartered in New Delhi, which seeks to enhance accountability and transparency in the voluntary sector.
The state is home to nearly 14% of the 37,242 NGOs registered under the Act across
the country as per ministry of home affairs records updated in February this year. Not just that during 2006-07, when there were only 3,009 NGOs in the state, they had received a whopping Rs 2,244.25 crore funding from abroad.
However, voluntary agencies are unwilling to account for their revenue and expenditure. A social analyst pointed out that instances of family members controlling
NGOs and siphoning of funds as in the case of the tsunami fraud by a CSI church unearthed in Chennai, are numerous. When funding agencies abroad demand for accounts, many NGOs reflect a heavy expenditure towards conducting of workshops and seminars for raising awareness among the community on core issues, something that cannot be assessed for impact value.
Don’t funding agencies check the background of NGOs before sanctioning money? “During the tsunami, the devastation was massive and since the need for aid was immediate, many funding agencies abroad did not bother to check the credentials of NGOs which applied to them
for monetary aid. They simply released the money and could not keep track of it,” explained S Praveen, the southern regional coordinator of Credibility Alliance.
According to him, there were many NGOs which approached different funding agencies and received money for the same project. “They completed a single project and accounted for it to various agencies. There was no due diligence done at that time,” he added.
Activists are now demanding that NGOs too should be brought under the purview of the Right To Information Act, since they are working in public domain and function using public money. This would help people access accounts of NGOs and monitor if they were acting in the larger interest of the society or not.


Police hunt for job scam kingpin

K Praveen Kumar | TNN


Chennai: Hundreds of people from Tamil Nadu and Kerala are likely to have been cheated by a group which had allegedly conducted a ‘recruitment drive’ for posts in the railways and offered applicants jobs if money was paid. A special police team from Kerala, headed by Tambanoor police station sub-inspector, was in the city to search for Saranya, suspected to be the leader of the gang, four of whose members have been arrested.
According to Kerala police, the group placed advertisements in popular newspapers announcing recruitment to the railways and offered postings to those who offered money. ‘Interviews’ were conducted in Ooty, Thiruvananthapuram and Ernakulam and appointment letters affixed with the seal of the Railway Recruitment Board were given to those who paid amounts ranging
from Rs 50,000 to several lakhs of rupees. Tambanoor police in Thiruvananthapuram who received 45 complaints about applicants being conned, began investigation. The arrested four persons are from Tamil Nadu.
The Kerala police team brought two of the accused to Chennai on Monday and verified records of similar cases registered with the Central Crime Branch here. “We wanted to know whether the accused, Saranya, was involved in cases here. We have checked the records and photographs available with CCB but did not find her name figuring here. We are investigating whether the gang had conducted similar operations in other parts of Tamil Nadu. We need to secure the woman who seems to be the kingpin,” a Kerala police official told TOI. The police officer said that they were also on the lookout for those who had made replica seals of the Recruitment Board.


DIABETES: SO WHAT IS YOUR TYPE?
Increasingly, Patients Are Wrongly Diagnosed For Type And Put On Insulin When They Need Just Sugar-Controlling Pill
TIMES NEWS NETWORK

Chennai: Two weeks ago, when 21-year-old Satish, a software engineer, drew out an insulin pen and injected himself with the drug while travelling, he was telling his fellow passenger in the train how his life had changed ever since doctors had diagnosed him as a diabetic a week ago. He was advised to inject the drug at least twice a day, before a meal.
Fortunately for Satish, his travelling companion was a well-known diabetologist, and the latter wasn’t quite convinced that Satish required insulin. Two days later in his clinic, Dr V Mohan, chairman, Dr Mohan’s Diabetes Centre, found that his gut feeling was indeed right. Tests showed that Satish was wrongly diagnosed with Type 1, insulin-dependent diabetes. His elevated sugar level was a result of his lifestyle. “He was clearly a Type 2 diabetic and all he required was some tablets to keep his blood sugar under control,” Dr Mohan pointed out.
With an increasing number of youngsters getting affected by Type 2 (non-insulin-dependent diabetes), diabetologists such as Dr Mohan are concerned that increasingly, wrong diagnosis leading to unnecessary injections of insulin. Until a few decades ago, more than 80% of diabetes cases under the age of 25 were termed ‘juvenile diabetes’, which required insulin. Today, the Indian Council of Medical Research (ICMR) diabetes registry, which includes data collected from a few diabetologists in Chennai, has 2,384 diabetes patients younger than 25 years of age. Of that number, 1,088 have Type 1 diabetes, and 1,091 have Type 2.
“Type 2 diabetes is fast catching up. We have several children who are obese and at risk for lifestyle-related diseases,” said Dr Vijay Vishwanath, MV Hospital for Diabetes. “Lack of exercise and junk food are certainly to be blamed. While wrong diagnosis is bad, what makes things worse is that many of them are still waiting to be diagnosed,” he added.
Unfortunately, lack of diabetologists and adequate facilities are resulting in the disorder being wrongly treated. A five-year ongoing study on diabetes involving 1,755 Indian participants, conducted by Dr A Ramachandran, chairman, Dr A Ramachandran’s Diabetes Hospitals, revealed that diabetes was poorly controlled in India. “The onset of diabetes in our country is significantly early, compared to the west. Most Indians do not achieve the treatment goals based on international guidelines,” he said.
Senior diabetologists recommend that the treatment and management of the disease should be included in undergraduate medical programmes and that awareness about the disease should be a part of school curriculum.
SOME FROM YOUR STYLE, SOME FROM YOUR GENES
What is diabetes?
It’s a condition in which the body either does not produce enough or does not properly respond to insulin — a hormone produced in the pancreas. This causes glucose to accumulate in the blood. Insulin enables cells to absorb glucose
Common types of diabetes
Type 1: Results from the body's failure to produce insulin. Almost all persons with type 1 diabetes must take insulin injections.
Type 2: Results from insulin resistance, a condition in which cells fail to use insulin properly, sometimes combined with relative insulin deficiency OTHER FORMS OF DIABETES
Fibrocalculous pancreatic diabetes: It is a unique form of diabetes — secondary to chronic pancreatitis seen in developing countries of the world —associated with either overt protein-calorie malnutrition or, more likely, with deficiency of certain micronutrients
MODY (Maturity-onset of diabetes in youth) It refers to any of several hereditary forms of diabetes caused by mutations in an autosomal dominant gene (sex independent, i.e. inherited from any of the parents) disrupting insulin production
Gestational diabetes Pregnant women, who have never had diabetes before but who have high blood sugar (glucose) levels during pregnancy are said to have gestational diabetes. It may precede development of type 2 (or rarely type 1) A new standard for diagnosis?
Chennai: Should the haemoglobin A1c assay, commonly referred to as the HbA1C test, be the new standard test for diabetes? Does it provide better diagnosis than current tests such as fasting sugar and post prandial (taken two hours after meal) tests?
Diabetologists in the city have been debating on this, after the American Diabetology Association suggested that it be made the gold standard for diabetes. The committee appointed by the association had recommended that patients with an HbA1c of 6.5% or higher should be declared diabetic.
The HbA1C reference is a blood test that provides the average sugar level for three months. The test, though three times more expensive when compared to the fasting blood sugar test or home glucose test that costs Rs 50, measures average blood glucose over the preceding two to three months.
The HbA1C test has some major advantages, says diabetologist Dr A Ramachandran. “Its values vary less than fasting plasma glucose values. Also, testing for diabetes using this method is easier for patients, who will no longer be required to fast and follow it up with another test two hours after a meal,” he said. But interim results of a multi-centric study shows that a substantial number of diabetics have not done the test even once. “It should be used at least in combination with fasting blood glucose test if not as a first-line tool,” he said. The senior diabetologist recommend HbA1c screening at least twice a year. But how many physicians would want this as a first-line tool? “It is a fantastic measuring tool. But one has to be extremely careful as it can show up some false negatives. We might miss out early diagnosis as it may not pick up people in the pre-diabetic stage,” says Dr Mohan. “It works best in combination. If a doctor has doubts that the results from HbAiC could be wrong, a fasting test should be conducted,” he said.
Mutation identified after 2-yr-long research
Chennai: Doctors identified the the typical Indian forms of mutations of the gene involved in controlling insulin production after a two-year study.
It began with short interviews of 16-year-old Haritha’s parents, Savitha and Balamurugan, before doctors invited the family for a screening. After finding that eight members on Savitha’s side and two from Balamuragan’s family were diabetic, doctors put them all through a genetic test. “As expected all the eight diabetics in Savitha’s family had the same gene mutation. It was absent in Balamurugan and other non-diabetic members,” said Dr Mohan.
Initially, the family was in denial mode. “I was too scared for my daughters. Now that we know it is genetic, who will marry them?” asked Savitha.
But the research showed that it wasn’t just their family. Of the 96 clinically diagnosed cases of MODY, nearly 10% had MODY 3 and 5% percent had MODY 1. “We will have to screen people for other types. But what is stunning is that we are seeing mutations in the gene that we have not seen anywhere else. These are typically Indian forms of mutations,” said Mohan.
(All names changed on request)






Docs find mutation that causes diabetes in young

Pushpa Narayan | TNN


Chennai: When 16-year-old Haritha was taken to her family physician for treatment of a boil that did not heal for long, she didn’t realize it was the beginning of a journey that would turn her family’s life upside down. Her blood test revealed that she was diabetic. The physician referred her to a diabetes centre for further investigation.
Doctors at the centre not only confirmed that Haritha had the disorder, but also that her younger sister, Harini, was diabetic. The Madras Diabetes Research Foundation, attached to the hospital, ze
roed in on the cause — a genetic mutation, traced for the first time.
“It was not the commonly seen Type 1 or Type 2 diabetes. We found that the girls and six other family members had MODY (maturity-onset diabetes of the young). And the mutations had occurred in the
gene involved in controlling insulin production,” said diabetologist Dr V Mohan. The study has been published in the Journal of Clinical Endocrinology and Metabolism.
MODY is a hereditary form of diabetes caused by genetic changes that lead to disruption of insulin production and, therefore, an increase in sugar levels in the blood. In this type, children inherit the mutated gene from one of the parents.
There are six types of MODY and treatment and symptoms of each type vary. Of the six types, the first three (MODY 1-3) are common. “All the eight members of the family had MODY 3 but the gene mutation they
had was new. Here there is a change in one amino acid,” said V Radha, who heads the department of genetics at the Madras Diabetes Research Foundation.

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