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The art of pill-swallowing

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How to teach children and young people to swallow pills

By Dr B.J.C.Perera, 
MBBS(Cey), DCH(Cey), DCH(Eng), MD(Paed), MRCP(UK), FRCP(Edin), FRCP(Lon), FRCPCH(UK), FSLCPaed, FCCP, Hony FRCPCH(UK), Hony. FCGP(SL) 
Specialist Consultant Paediatrician and Honorary Senior Fellow, Postgraduate Institute of Medicine, University of Colombo, Sri Lanka.

Many parents and caregivers know to their cost that getting children, adolescents and even young people to take medicine is an absolute nightmare. It is made much worse by many a child simply refusing to swallow all medicine including pills and tablets as well as syrups and suspensions. Please believe me, children are whimsical creatures who can make you tear your hair out at the drop of a hat.

However, taking a little time to get around them to teach children how to swallow pills and tablets has several advantages. It is very definitely, time well-spent in trying to teach the little ones to swallow pills and tablets. From a medical perspective, a majority of children above four years of age are technically able to swallow medicines in the form of pills and tablets.

From many a standpoint, getting children and young people to swallow medicinal pills rather than taking them in the form of fluid suspensions or syrups has a HUGE advantage.Many suspensions and syrups taste horrible and quite a lot of the little ones tend to spit them out or throw up the lot after swallowing, leading to a situation of uncertainty as to how much of the medicine has gotten into the child. Syrups contain sugar and preservatives; not the very best of things for a child. You are more likely to ensure that the medicines get into the child properly if the little one can swallow pills and tablets.

The pills and tablets have a greater shelf-life, do not require to be stored in a fridge, are easier to transport and very definitely cheaper. Many pharmacies, including those in state hospitals, have better stocks of pills and tablets of the same medicines rather than the same in liquid forms. Besides, to get the proper dose of the medicines into them, one may need to get the child to swallow rather large amounts of suspensions and syrups of terrible-smelling liquids with a nasty taste. For us the prescribers, there are fewer chances of making prescribing errors and it has the advantage of our being able to order larger quantities, especially for medicines that need to be used in the longer term. For many such reasons and the fact that most medicines are in pill form, swallowing pills is an important life skill for children to learn. There are concerted efforts undertaken in the developed world to teach children to take pills and tablets. It is most definitely the time for us in the developing world to follow in those very same footsteps.

This article is a simple guide to enable parents and caregivers to teach this important life skill to our little children. Some of the information and the images have been secured from programmes in Western countries and proper attribution to the site is provided below.



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Features

Africa gaining ground in intra-regional cooperation

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Dignitaries meet and greet at the recent 38th African Union Summit.

At a time when the US is veering towards a policy of international isolation, it augurs well for international growth that Africa is emanating signs of stepping up intra-continental cooperation. Above all, Africa is in the process of proving that she could ‘stand-alone’ and be relatively autonomous in her ground-breaking growth drive.

Of course such epochal developments should not be construed as meaning that Africa would sooner rather than later be rid of the socio-political and economic bottlenecks that have been dogging her at heel for decades. What they mean is that she is managing these problems in a consistently constructive fashion currently.

We in South Asia in particular need to take note of these developments. This is mainly in view of the fact that SAARC is non-functional. It is not ‘dead’, as a former President of Sri Lanka tried to have us believe, but its virtual paralytic state at present should have discerning sections in the region concerned. It is robust regional cooperation in the fields that matter that helps a country in its growth and development and if SAARC is dysfunctional this is a serious setback for Sri Lanka and the region.

Closer integration into BIMSTEC and ASEAN is certainly desirable but if governments are having Sri Lanka’s best interests at heart it is primarily to the SAARC region that they need to look. For instance, how Sri Lanka is hoping to further its growth prospects by not factoring in stepped-up and positive economic interaction with India and Pakistan, for example, is incomprehensible.

There is a strong regional dimension to any country’s economic growth and unless the relevant regional cooperative mechanisms are rendered operational, the desired level of national development could not be achieved in full. Hence the need to render SAARC fully operational once again.

However, unless and until governments of the region realize the urgency of meeting the above challenge, SAARC would remain in a state inertia. The pressing need is visionary political leadership at the regional level. Right now this is seriously lacking.

It would seem inappropriate and misleading at first blush to attempt to draw comparisons between the vast continent of Africa and the South Asian region in view of the latter’s comparative geographical smallness, but this is more so why Africa’s present exercises in intra-continental cooperation need to be positivey assessed. If Africa could be making some headway in intra-regional cooperation, given her ‘Giant’ status and her seeming unmanageability as a collectivity, why can’t South Asia, a comparatively physically small region? ‘This is the Question’.

While the above and connected matters of importance for regional growth need to be seriously studied by political leaders and policymakers of South Asia, they would be acting in the regional interest by taking a leaf or two out of Africa’s book of cooperative growth and development.

All watchers of international development should feel compelled to take a hard, discerning look at the 38th African Union (AU) Summit held in Addis Ababa, beginning February 15th this year. Interestingly, the Summit theme was, ‘Justice for Africans and People of African Descent through Reparations.’

Coincidentally, erstwhile Namibian leader Dr. Sam Nujoma passed away on the eve of the Summit. Nujoma was perhaps the last of those prominent leaders from Africa who doggedly championed the cause of the libration of his country and of the continent from the shackles of colonialism. More leaders of his ilk are required by the South in general and Africa in particular.

While the acquiring of ‘reparations’ for colonialism’s ravages could prove a very long-gestation project, it is vitally important for Africa and other regions that came under colonial control to keep the issue constantly in focus.

Meanwhile, Africa’s gains in economic cooperation under the AU need to be studied appreciatively by the South and other regions in their interests. Some of the achievements of the AU under the aegis of the African Development Bank (ADB), as outlined by outgoing president of the Bank, Dr. Akinwumi A. Adesina at the Summit were: ‘515 million African lives were transformed over the past decade, including 231 million women, 127 million people gained access to better services in terms of health, 61 million people gained access to clean water, 33 million people benefited from improved sanitation, 46 million people gained access to ICT services, 25 million people gained access to electricity.’

Reports said that the Summit also, among other things, adopted the ‘African Financing Stability Mechanism’. Under this arrangement, $20 billion in debt refinancing will be provided for African nations. This will happen alongside the adoption of the ‘Strategic Framework on Key Actions to Achieve Inclusive Growth and Sustainable Development in Africa Report’.

The Report outlines key actions for Africa to ‘Achieve and sustain an annual growth rate of at least 7% of GDP over the next 5 decades.’

The above are a few aims that the AU intends to achieve going forward for the whole of Africa. But they are sufficient evidence of the current effectiveness of the collective organization. We see here a notable example in South-South cooperation which is a dire need today in the developing world.

South-South cooperation is the way to go particularly in consideration of the US’ current policy of virtually ridding itself of the past policy of helping the South by way of development assistance. Instead of bemoaning the fact that institutions, such as USAID, will be almost no more, the South would do well to take a hard look at Africa’s success stories in helping itself with little or no external assistance.

The discontinuation of US assistance needs to be seen as the proverbial ‘blessing in disguise’ by the South. Here is an opportunity for the Southern hemisphere to finally rid itself of those neo-colonial umbilical binds that have been preventing it from achieving genuine national liberation.

To be sure, the South is not going to meet with spectacular success by adopting the African model in the near term. But if the model is doggedly persisted with by enlightened governments of the South some success is certain to accure to the hitherto ‘Wretched of the Earth’, going forward.

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Mrs. World Tshego Gaelae …doing it differently

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While most of our pageant winners get involved in frivolous activities, during their reign, the 40th Mrs. World pageant winner, Tshego Gaelae, from South Africa, is keen to bring into the spotlight her country’s potential.

Before her departure for the Mrs. World pageant, held in Las Vegas, in the USA, in January, the Lawyer, Entrepreneur, Model and Digital Creator, said:

“I’m so excited to be sent not only as a delegate but a representative of those hopeful hearts that always want to see South Africa’s potential shine and win. I stand on the shoulders of icons, world champions, the Queens that have gone ahead of me, and of the world leaders that continue to ensure our global participation and impact.

“Thank you everyone for the support so far!”

A coke and a smile…with Sprite Cucumber her pick

Referring to the interview for the position of Mrs. World, Gaelae said: “We get to bring our most authentic self to advocate for the causes we want to advance through the most prestigious platform that is the Mrs World Pageant. What an honour to have such experienced judges who care to hear about what I want to achieve.”

The lead up to the prestigious Mrs. World event was doubly exciting for Gaelae as she got the opportunity to display not only her country’s creations but also check out certain nostalgic venues.

“We received the honour of being at the Elvis penthouse suite, at the Westgate Vegas! The space is spectacularly filled with iconic and historic presence, fit for the king that was Elvis Presley.”

The Mrs World participants spent an evening honouring Victoria’s Voice Foundation and Gaelae’s gift to the Foundation was a canvas shirt with President Nelson Mandela’s face printed on it. The shirt can either be worn or displayed in a frame, and Gaelae says she is so glad to have had the opportunity to present a piece of her beloved South Africa.”

The bangles she gifted to all the participants at the Mrs. World pageant

Gaelae went on to say: “I always joke about being Zulu in my past life, but on a serious note, I love the Zulu Culture so much, that I gifted my Mrs. World Pageant Sisters some beautiful bangles.”

They also visited the special Coca-Cola Store in Vegas, and got to taste some interesting flavours. And Gaelae’s pick … “Sprite Cucumber definitely wins for me.”

Mrs. World enthusiastically said that one of the biggest gifts she received out of her Mrs South Africa journey was that of sisterhood, “and it’s so amazing to come to the Mrs. World pageant and find it once again,” she went on to say.

“My roommate was the gorgeous Ishadi Amanda from Sri Lanka! We bonded with no delay, and laughed till we cried! I was literally paired with a sister from another mother.”

Tshego Gaelae also had a special comment to make regarding the article we published about her in The Island of 6th February, 2025.

“Thank you so much for the beautiful article and coverage.”

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Features

Activate all that is good for your skin

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Hi! This week, too, I’m giving you some easy to prepare tips to help you achieve all that is good for your skin.

 * Cucumber and Lemon:

Mix equal parts cucumber and lemon juice and apply the mixture on your face (avoiding eyes). Allow it to sit for 10 minutes and then rinse it off. This natural face beauty tip will brighten your skin tone and lighten blemishes, if used on a regular basis. The best aspect is that it is appropriate for all skin types!

*  Tomatoes:

Scoop up the pulp of one tomato and apply it evenly on your face. Allow it to dry for 15 minutes before washing it off with warm water … to reveal a naturally radiant skin.

*  Green Tea:

After steeping green tea in hot water for about 05 minutes, allow the tea to cool. Transfer the tea to a spray bottle and spray, in short bursts, or place a little amount onto a cotton pad and pat on your face after thoroughly cleaning it.

Chilled Tea Bags:

A chilled black or green tea bag does wonders for your skin. This natural face beauty technique may rapidly reduce puffiness around the eyes, making them appear brighter and more alert. Place the tea bags on your eyelids and relax for 05 to 15 minutes while they perform their magic.

Honey:

Applying a small amount of honey to your face every day is an excellent approach to getting healthy, bright skin. Honey’s absorbing properties draw out pollutants from skin pores and help completely cleanse your skin. Honey’s antibacterial effects heal and prevent acne. Honey’s antimicrobial qualities soothe skin irritation and protect skin from bacterial infections. Honey, has remarkable moisturising effects and is also a terrific relief for dry skin.

* Coffee:

Exfoliating on a regular basis improves the appearance of your skin, making it look younger and healthier. For those who enjoy coffee, a homemade coffee scrub is all the weekly nourishment your skin requires. Coffee’s anti-inflammatory qualities minimize redness, irritation, and acne. All you need to do is mix freshly ground coffee beans, coconut oil, and brown sugar to your desired consistency in a bowl. Massage gently in circular strokes over your face, then rinse with warm water. After using an exfoliant, always moisturise.

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