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‘Use heart for every heart’

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World Heart Day 2022

By Dr.Mohan Jayatilake
Consultant Cardiologist
Former President of Sri Lanka Heart Association

The theme of World Heart Day 2022 is “USE HEART FOR EVERY HEART”. The World Heart Federation has created this day to raise awareness about Cardiovascular Diseases (CVD).

Every year, on September 29th, people all over the world celebrate Heart Day as a way to draw attention to cardiovascular illnesses, their management as well as the worldwide toll they take on society. World Heart Day was created in the year 2000 to inform people around the globe that Heart diseases and Stroke are the world’s leading cause of death, claiming 17.9 million lives every year. According to WHO statistics, 82% of deaths occurring in low and middle-income countries are due to lack of resources.

Together with members of the World Heart Federation, we need to spread the news that at least 80% of premature deaths, from heart disease and stroke, could be avoided if the main risk factors, heavy smoking, unhealthy diet, reduced physical activity, and alcoholism, are controlled.

Increased high blood pressure, increased blood sugar levels, being obese, or overweight, are all side effects of living a bad lifestyle that may harm your heart.

The world was battling the Covid-19 pandemic for the last two years. Unfortunately, patients, with CVD, are more vulnerable and have become high risk groups. Heart patients are susceptible to get a more severe form of Covid-19 infection which could make matters worse.

National activities such as public talks, cardiovascular screening, walks, runs, concerts or sporting events are organised worldwide by members and partners of World Heart Federation.

Global leaders have recognised the urgency to give priority to prevention and control of heart diseases with other non-communicable diseases (NCD) which include cancer, diabetics and chronic lung diseases.

This year also, according to the theme, we ask people to take charge of their home’s heart health by taking steps to reduce the burden of the following risks:

Stop smoking

Stop smoking to improve your own and your children’s heart health.

Cigarette smokers are 2-4 times more prone to get heart disease and strokes, than non-smokers. Stopping smoking dramatically reduces the risk of heart disease, strokes and deaths.

A Few steps for successful cessation

Find your reason – strong motivation will help.

Line up support in advance – medical assistance

Lean on your loved ones

Find new ways to relax/unwind – stress can make a person fall back to smoking. Music, meditation, yoga or any other activity will help to alleviate stress.

Try and try again

– you only need to try again and again to achieve your target, even though you are unsuccessful in your first attempt.

Avoid alcohol and other triggers.

Physical exercise always helps to alleviate stress and avoid triggers of smoking.

Healthy diet at home

Unhealthy diet is at the root of many health issues, especially obesity, diabetics and CVD. Rapid urbanisation, changing lifestyles and easy accessibility of fast foods have made our dietary patterns unhealthy. Following are some healthy food patterns:

Limit saturated and trans fats

Limit salt

Limit sugar

Plenty of fruits and vegetables

At least five portions of fruits and vegetables per day should be a norm of your dietary habits. You should opt for low fat milk and dairy products.

Animal products, mainly beef, pork, poultry with skin, mutton, lard, butter, cheese carry a lot of saturated fat. Trans fats are contained in baked, processed and fried food items, certain margarines and spreads. In order to cut down saturated and trans fats, consume lean meats, poultry without skin, low fat dairy products, fish and nuts. Vegetable oils should be in moderation.

Regular Exercises

It is recommended that adults should do at least 150 minutes of moderate intensity physical activity or at least 75 minutes of high intensity physical activity per week.

Families should limit the amount of time spent in front of TV to less than two hours per day.

Exercise should be a regular part of your life. Due to the Covid pandemic, public exercise facilities are closed and most of the time movement of people is restricted. Therefore, home-based exercises were adopted to make exercises an enjoyable task.

Lose Weight

The world is now facing visible epidemic of obesity. It not only adversely affects your cardiovascular health, but also can affect your mental well-being.

The ways to lose weight effectively,

Do not skip meals – it will make you hungrier and go for more snacks.

Plenty of fruits and vegetables

Get active

– exercise burns off excess calories.

Use a smaller plate – eating smaller portions definitely reduces weight.

Do not ban foods

– you can enjoy an occasional treat otherwise you crave them more.

Cut down on alcohol

– it can make you gain weight.

Manage Stress

Psychological health and well-being can affect your cardiovascular health. Regular exercise, practising relaxation, being with your family and friends sometimes, adequate sleep, various hobbies, and maintaining positive attitudes towards life.

Know your numbers

Visit your doctor or healthcare professional.

Know your blood pressure which is one of the risk factors for CVD. Check regularly and take steps to control it including salt intake, exercises and medication.

Know your cholesterol – high cholesterol is another major risk factor for CVD. It should be checked regularly and controlled with dietary measures and medication.

Know your blood sugar – diabetics, conditions with high blood sugar levels multiply CVD risk. Diet control and medication required to control it.

Know your warning signs

Recognising symptoms of CVD can help you survive because earlier the treatment better the chances of survival.

Chest pain of tightening or burning in nature with pain radiating down the upper limbs or to the neck or back associated with sweating and nausea is the typical presentation of heart attacks. Sometimes heart burn or burning tummy pain could be due to a heart attack rather than gastritis or indigestion.

Sudden weakness of limbs, slurring of speech, mouth deviation or double vision could be due to a stroke. Knowing these symptoms and seeking medical assistance allow you to get treatment early and prevent complications which can be life threatening most of the time.

Take your medicine regularly and correctly

If you are already diagnosed with a heart disease or stroke, taking your medication, without fail, will reduce the chances of getting another attack of stroke or heart disease

Measures during pandemic

The Covid-19 pandemic has created havoc, globally. People with CVD fall into very high risk category.

Therefore it is important to,

Continue your medication uninterruptedly

Follow medical advice

Continue exercise and balance diet.

Maintain your social network and

Do not hesitate to take vaccination.

By doing the household steps, mentioned above, you and your family can reduce the burden of heart diseases.

Breastfeeding and lifelong health

Breastfeeding is the best form of nutrition for newborn and infants, according to WHO. Increasing public awareness is important. Infants who are breastfed tend to have lower cholesterol and blood pressure as well as lower rates of overweight and obesity all of which improve cardiac health.

Both undernourished and over nourished, early in life, can increase the risk for developing CVD. Evidence suggests that children who are undernourished while in the uterus and at childbirth bear a higher CVD risk later in life.

Maternal obesity during pregnancy has been associated with obesity in children which also increases the risk of developing CVD in life.

As always, our emphasis will be on improving heart health across all nations in adult male and female, as well as children.

By adopting lifestyle changes, people all over the world can have longer and better lives through the prevention and control of heart disease and strokes.



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Features

Credibility in governance through elections and not security forces

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Ranil Wickremesinghe

By Jehan Perera

President Ranil Wickremesinghe’s warning that he is prepared to declare a state of national emergency and use the military to suppress any public protests for change of government would reflect the pressures he is under. The manner in which he has used the security forces to deal with the protest movement has been unexpected. His words and deeds are contradictory to what he has previously stood for as a five-time former prime minister. This is especially true in the case of the ethnic and religious minorities who have consistently voted for him and his party at elections. They have felt safer and more secure under his governments which always sought to reduce the heavy hand of state oppression in which national security is given pride of place. He has always promised them much though he has been unable to deliver on much of what he promised.

Notwithstanding the unfortunate rhetoric and actions of the present time the belief still persists that President Wickremesinghe is the best of the available options. Recent pronouncements of the president have reignited hope that he will address the problems of the religious and ethnic minorities. He has stated that he does not want to leave this problem to the next generation. He has said that he wants to resolve this intractable national problem by the country’s 75th independence anniversary on February 4 next year. The hope that the president will make a fresh effort to resolve their problems has led the main Tamil party, the TNA, to desist from voting against the budget which passed with a relatively small majority. Their spokesperson, M A Sumanthiran said in Parliament that due to the president reaching out to them, stretching out his hand, they did not vote against the budget although they disagreed with it.

It is not only in words that the president has reached out to the ethnic and religious minorities. Reports from the north and east indicate that the Maveer (Heroes) Day commemorations this year took place without incident. During the past two years scores of people were arrested and a massive presence of security forces blocked the people from participating in public events. On this occasion the security forces did not get involved in any attempt to stop the commemorations. University students distributed sweets and even cut a birthday cake to celebrate slain LTTE leader Velupillai Prabhakaran’s birthday. The analogy that the president drew to himself being seen as a Hitler who exterminated ethnic and religious minorities is misplaced. The release of those held under the Prevention of Terrorism Act for engaging in similar acts in the past would further contribute to the reconciliation process.

WORSENING CRISIS

In this context, the president’s use of militaristic rhetoric can only be understood in relation to the growing economic crisis that shows no sign of abating. The anticipated IMF bailout package is at risk of getting indefinitely delayed. It was initially anticipated to come in September then in November but now January is being targeted. Japan’s top brokerage and investment bank, Nomura Holdings Inc, has warned that seven countries – Egypt, Romania, Sri Lanka, Turkey, Czech Republic, Pakistan and Hungary – are now at a high risk of currency crises. Sri Lanka is in third place on the table of risk. The next devaluation of the rupee could see another spike in inflation that will make the cost of living even more unbearable to the masses of people.

The president is on record as having said that the economic crisis will get worse before it improves. Both anecdotal and statistical evidence indicates that it is indeed worsening. University teachers at the University of Sabaragamuwa reported that attendance in their classes was down by at least a quarter. Students who come from other parts of the country are unable to afford the cost of meals and so they stay at home. A study by the Institute of Policy Studies has shown that about four percent of primary, 20 percent of secondary and 26 percent of collegiate students had dropped out of school in the estate sector, which is the worst affected. The future costs to the country of a less well educated population is incalculable and inhumane.

As it is the situation is a dire one for large swathes of the population. Research from the University of Peradeniya has revealed that close to half of Sri Lanka’s population, 42 percent (up from 14 percent in 2019) are living under the poverty line. Professor of Economics Wasantha Athukorala has said there is a dramatic increase in the poverty level of over three-hold across the past three years. In 2019, nearly 3 million people lived below the poverty line, but that number has increased to 9.6 million in October 2022. In these adverse circumstances stability in a polity can be ensured either through legitimacy or through force. It would be tragic if the latter is the choice that is made.

ELECTORAL SOLUTION

President Wickremesinghe has been stressing the importance of political stability to achieve economic development. His recent statement that the security forces will be used to negate any unauthorised protest is a sign that the government expects the conditions of economic hardship to escalate. The general public who are experiencing extreme economic hardship are appalled at the manner in which those who committed acts of corruption and violence in the past are being overlooked because they belong to the ruling party and its cliques. The IMF has made anti-corruption a prerequisite to qualify for a bailout, calling for “Reducing corruption vulnerabilities through improving fiscal transparency and public financial management, introducing a stronger anti-corruption legal framework, and conducting an in-depth governance diagnostic, supported by IMF technical assistance.”

It is morally unacceptable even if politically pragmatic that the president is failing to take action against the wrongdoers because he needs their votes in parliament. As a start, the president needs to appoint a credible and independent national procurement committee to ensure that major economic contracts are undertaken without corruption. Second, the president needs to bite the bullet on elections. The country’s burning issues would be better accepted by the country and world at large if they are being dealt with by a statesman than by a dictator. Government that is based on the people’s consent constitutes the sum and substance of democracy. This consent is manifested through free and fair elections that are regularly held. Local government elections have been postponed for a year and are reaching their legal maximum in terms of postponement. These elections need to be held before March next year.

Elections will enable the people to express their views in a democratic manner to elect their representatives for the present. This would provide the government with guidance in terms of the decisions it is being called to take to revive the economy and place the burden in a manner that will be acceptable to the people. The provincial council elections have been postponed since 2018. Democratically elected provincial councils share in the burdens of governance. The devolution of power that took place under the 13th Amendment was meant to promote ethnic harmony in the country. The president who has taken the position that he is for a solution to the ethnic conflict should seriously consider conducting the provincial council elections together with the local government elections se their financial costs. By doing so he will also gain legitimacy as a democratic statesman and not a dictator.

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WEDNESDAY – Movie Review

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The Addams Family is back with a new tale to tell! Originally created by Charles Addams as a comic strip published in The New Yorker, it offered readers a sarcastic take on the ‘typical nuclear family’ by substituting it with a more macabre bunch of strange and eerie individuals. Since then the titular family has been adapted on to the big screen many times, from live action movies to animated versions, the Addams Family has gained many fans throughout the years. Created by Alfred Gough and Miles Millar, with Tim Burton working on four episodes of the eight-part series, Wednesday is a welcoming tale for young fans, but unfortunately fails to think outside the box and remains anchored to the floor with a messy storyline.

Dead-eyed Wednesday Addams (Jenna Ortega) is a stubborn, independent and intelligent teenager in this new series. Her penchant for attracting trouble wherever she goes alarms her parents, Morticia (Catherine Zeta-Jones) and Gomez (Luis Guzmán). With an already strained relationship with her parents (specifically her mother), Wednesday is enrolled at Nevermore, an academy for outcasts like herself. Having attended the academy themselves, Morticia and Gomez are hopeful that their daughter will ‘fit right in’. Caught between trying to build her own identity and other teenage complexities, Wednesday soon finds herself in the middle of a twisted mystery.

This is the first time audiences are introduced to a teenage Wednesday, which allowed the creators to build a new world on their own terms, but while keeping true to the original nature of the character. The creators do a fair amount of world building by introducing other outcasts like the Fangs (vampires), Stoners (Gorgons), Scales (sirens) and Furs (werewolves), among others. Nevermore Academy itself is beautiful and comes with the classic package of creepy crypts, hidden rooms and secret societies. The series also offers a decent amount of gore, although they could have added more given Wednesday’s proclivity for gore-related activities. The series deals with classic young-adult tropes which includes teenage crushes, bullies, relationships and even prom, among other things. The series navigates through Wednesday’s journey of self-discovery, which is a new avenue for both the character and the fans. From understanding and displaying her emotions to discovering her identity and understanding her peers, the series takes a deep dive into heavy material.

Ortega’s performance as the titular character plays a major role in keeping audiences glued to the screen. This is also the first time viewers are shown a teenage Wednesday Addams, which works to Ortega’s benefit as she depicts more dimensions to the ghoulish, morose character many are associated with based on previous renditions. Her facial expressions and ability to deliver on seriously emotional moments strengthens her role as the lead. The rest of the Addams Family, even with limited screen time, lack the eccentricities their characters should have. Hopeless romantics Morticia and Gomez seem incompatible in this version and Uncle Fester is far less crazy than he ought to be. The only member worth mentioning is the Thing—a severed hand— who brought more character and spirit to the series acting alongside Ortega. With barely any room to develop a majority of the characters are prosaic and tedious, even though they remain vital to the plot.

Apart from Ortega, Gwendoline Christie and Emma Myers deserve honorable mentions for their roles as Nevermore’s head teacher, Larissa Weems and the peppy Enid Sinclair respectively. Enid quickly became a fan favorite as the character was the polar opposite to Wednesday. Her character is vital to Wednesday’s character development and their journey to find common ground as mismatched individuals is amusing.

Christina Ricci who played Wednesday in the 90s returns as ‘normie’ teacher, Miss Thornhill and unfortunately barely stands out and this in large part due to the messy storyline. The series is bogged down with numerous subplots and overlapping tropes and the characters with potential for growth are completely overlooked. With love triangles, bullies and killer monsters on the loose, the series self-destructs and the climax sinks into disappointment.

At the end of the day, Wednesday plays to the beat of the new generation and touches on new themes, which is welcoming seeing as the character should grow up at some point. While not everyone may relate to Wednesday’s teenage perils, it is interesting to witness her growth and her journey as an ‘outcast’ or ‘weirdo’. And while Wednesday doesn’t exactly offer a distinctly unique story, it gives audiences a small taste of what Jenna Ortega’s Wednesday is capable of. Creating a story around a well-established franchise is a difficult task, and in this case the creators fail to add value to their visions. If the series continues, the creators will have the opportunity to think further outside the box and push the limits to Wednesday’s character and give audiences a bone-chilling experience. Wednesday is currently streaming on Netflix.

 

 

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Features

Stage set for… AWESOME FRIDAY

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The past few weeks have been a very busy period for the new-look Mirage outfit…preparing themselves for their big night – Friday, December 2nd – when they would perform, on stage, for the very first time, as Donald Pieries (leader/vocals/drums), Benjy (bass), Niro Wattaladeniya (guitar), Viraj Cooray (guitar/vocals), Asangi Wickramasinghe (keyboard/vocals), along with their two frontline female vocalist, Sharon (Lulu) and Christine.

They have thoroughly immersed themselves in their practice sessions as they are very keen to surprise their fans, music lovers, and well-wishers, on opening night…at the Peacock, Berjaya Hotel, in Mount Lavinia.

Action starts at 8.00 pm and, thereafter, it will be five hours of great music, along with EFFEX DJs Widhara and Damien, interspersed with fun and excitement…for the whole family!

Yes, opening night is for the whole family, so you don’t need to keep some of your family members at home – kids, especially.

Working on their repertoire for Friday, bassist Benjy says “what we will dish out will be extra special, with lots of action on stage.”

It would be interesting to see Sharon (Lulu) doing her thing with Mirage, after her early days with the Gypsies, and, I’m told, a dynamic performance from Sharon is what is in store for all those who make it to the Peacock this Friday

Edward (Eddy) Joseph (centre) with Donald and Benjy

While the band was at one of their practice sessions, last week, they had a surprise visitor – Edward (Eddy) Joseph, a former member of the group Steelers, who is now based in Germany.

Eddy is here on a short visit and is scheduled to return to Germany, tomorrow (30).

He spent an hour with Mirage, at their practice session, and says he is disappointed that he would not be around for the group’s opening night.

However, there is a possibility of several well-known personalities, in the showbiz scene, turning up, on Friday night, to experience the sounds of the new-look Mirage, including Sohan Weerasinghe and Joey Lewis (from London).

Rajiv Sebastian, too, says he is keen to be a part of the fun-filled evening.

You could contact Benjy, on 0777356356, if you need to double check…their plans for AWESOME FRIDAY!

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