There are obvious Social resistance and social prejudices : These are important challenges to improve nutrition amongst Indian women.

h) What, then is to be done??? What will be game plan??

To be fully effective and operational of this scientific message  , the principal objectives should not only include guaranteed food supply but also an intervention which should include lowering  ‘cultural and attitudinal barriers’ and thus increasing the habit of selection of locally available, low cost  healthy food items and scientific cooking procedures.

Barrier No 1:-Role of Attitudinal Barriers in raising nutritional status & ACCEPTANCE OF modified food habits and cooking habits & food selection.

To raise standard of nutrition - improvement of ‘cultural & attitudinal’ barriers   are more important than   subsidy on foods. A broad-scale intervention aimed at modifying the bad food habits among the poor by offering foods at subsidized prices or at no cost would be only partially successful. To be effective, the principal objectives should not only includes guaranteed food supply but also an intervention which should include lowering  ‘cultural and attitudinal barriers’ and thus increasing the habit of selection health food items and cooking procedures.

Barrier No2.Attitude – Who will educate rural people

            Poor coking habits, improper food storage, selection of wrong food items, community ethics. Food is a subject of widespread customs, habits and beliefs, which vary from country to country, and from one region to another. The diet of the people is influenced by local conditions (e.g. soil, climate) religious customs and beliefs. Vegetarianism is given a place of honor in Hindu society. Even among vegetarians, the patter of eating is not the same; some do not take onions and garlic on religious grounds. But are all such persons worried / devoted to such heavy burden of malnutrition? Are educated urban people committed to malnutrition of rural people or urban poors or those who have migrated from other states? 

Indian womens Health and unhygienic cooking habits. What is AGE -Advanced Glycated End Products-a noxious agent present in badly cooked & recooked Foods and acts in human as Endocrine Disruptors as Pollutants do.

 H) 

F) How do urban women are sufferer of selection of and foods & cooking patterns?  As a corollary it will be not irrelevant to mention that urban men and women those who consume vegetables –they purchase from open market foods are full of insecticides & pesticides and environmental pollutants making the great dent on women’s health & nutrition. Additionally urban women and children too are, till date cannot come out of consumption of verities of tinned foods which contains many unhygienic unhealthy preservatives.

G) What is “AGE” in urban re-cooked Food items?  The growing habit of consumption of heat-treated foods amongst urban Indian adolescents containing high level of AGEs (advanced glycated end products) is a matter of concern as such type of diet are potent source of endocrine disruptor designates. It has been noticed that serum level of AGE is high in adolescents suffering from PCOS. Indian community needs to be educated on this issue.

Selection of nutritious but low cost easily available food items for rural women and person who will be be able to break the social barrier?

C) React Now:-Time is passing out and Hunger burden and Malntritionincluding over nutritionis becoming an epidemic in India too. Therefore, time has come when we should ask ourselves that are we (the persons on which women, health and wellbeing have been mostly bestowed) - the doctors doing justice to rural people? What about also duties & commitments by NGO & Nutrition specialists of India in improving notational standards women’ health and wellbeing??

D) What doctors will have to convey?

Scientific knowledge on low-cost but nutritious foods, balanced diet, rational cooking methods, and appropriate storage of food items and above all relevance of safe drinking water can however be impacted by medical personnel, NGOs or by media people. We have to formulate diet chart for different group of people. The have-nots should be made aware how to get adequate proteins from easily available local and cheaper foods e.g. dals (pulses), snails and scrab. A pint of milk is a “day dream” for them not to speak of fish or meat. But the main problem is whether such message communicated by gynecologists or say NGOs will be effective amongst illiterate poor villagers. Will such illiterate community accept such changes in age-old food habits & old cooling habits?

E) Why Gynecologist have to be involved in these socio-cultural aspects of Food selection, Food preservation & cooking techniques? Because the doctors,  gynecologists in particular are more acceptable to the womenfolk and whatever the such doctor will remark women will take it granted S APOLITICAL AND MORE SENSIBLE.  We have to understand that it is the illiteracy & attitudinal barriers which are preventing Indian rural persons to accept nutritious foods which are locally available in improving nutritional foods. Such food items are easily available at nearby in their courtyards / adjoining paddy / wheat fields close to residence.

“Improving Women’s Health” : The role of Indian Gynecologist

How best to educate the rural women??  How Gynecologists can involve in this programme? Gynecologists from metro cities  can take the responsibility of  counseling the rural women and educate rural people across the country about 1) habit of selection of locally available, low cost, healthy food items and above all 2) scientific cooking procedures.

If, Indian Gynecologists including dedicated NGOs are able to change the attitude of people towards present food habits and science of nutrition then much of the battle of poverty and malnutrition can be overcome in India.

. By appropriate counselling we can overcome significant barriers to the adoption of nutritious foods that still exist amongst poor illiterate Indian men & women most of whom suffer from malnutrition. But, such men & women are simply unaware of the fact that nutritious foods are very much available in nearby courtyard or paddy fields which grow abundantly even without much rain. Fertilizers and insecticides. (Say Banana, cucumbers dales (pulses), snails and scrab,).

C) React Now:-Time is passing out and Hunger burden and Malntritionincluding over nutritionis becoming an epidemic in India too. Therefore, time has come when we should ask ourselves that are we (the persons on which women, health and wellbeing have been mostly bestowed) - the doctors doing justice to rural people? What about also duties & commitments by NGO & Nutrition specialists of India in improving notational standards women’ health and wellbeing?? 

Improving Women’s Health” : The role of Indian Gynecologist-by imparting current Knowledge, Attitude & Practice on selection of popper nutritious food items & changing old bad cooking habits.

. A) What Gynecologists have to do? How best gynecologists can actively participate in improving poor nutritional status of Indian rural women? : What, we, the gynecologists (the primary care physician for women) can achieve on optimum nutritional status by spending additional 5 minutes time while examining the patients in hospitals or in private practice.  Indian gynecologists may also attend any far off villages twice a year and along with a dietician of metro city and can involve local community leaders of the village concerned including local physicians and politicians, local NGOs and opinion leaders of the locality to hold meetings and spread the message of selection about “low cost easily available but nutritious foods in rural areas”.

Adoption these are a step forward and in most cases such information will act as modifiable factor: Medical knowledge should not be limited to functions of proteins, Vitamins or Trace elements/Anti-oxidants. There are six internationally recognized paths of development aiming to reduce the prevalence of malnutrition.  Feasibility of implementation of all those paths in India has been discussed at length. But effective implementation of any path of development mandate not only heavy financial commitment but a determined political will as well.(contd.) 

            

Guys should marry by 30 years of age ... reason is to avoid infertility and birth of congenitally abnormal babies.

Guys should marry by 30 years of age and should ideally become father of 1st child by 32 years of age. Girls may also follow the warnings and advices as mentioned below to avoid abnormal off strings and lacks of rupees for treatment of sub fertility which is not uncommon amongst women who are flying to achieve pregnancy after the age of 26 years. Guys and Women may comment on my warnings. - Prof. Dr. Srimanta Kumar Pal

Scientific Publications of Prof. (Dr.) Srimanta Kumar Pal, Senior Gynecologist of Kolkata India, Genealogical subjects in Journals

Brief introduction on myself with all humbleness & respect to fellow colleagues.
BIO-DATA OF PROF. SRIMANTA KUMAR PAL
GD-207, Salt Lake City, Kolkata – 700 106, INDIA.

Name                                                   :           Prof. Srimanta Kumar Pal

Date of Birth                                        :           10-01-1946

Academic Qualification                       :

a.       M.B.B.S.                            -           Calcutta University (1967) - Stood 1st in University both in First M.B.B.S. (1964) as well as Final M.B.B.S. (1967)

b.      D.G.O.                               -           Calcutta University (1970) - Stood 1st in University

c.       M.S. (Gynaecology &
Obstetrics                            -           Calcutta University (1973), stood first in Calcutta University.

Was in West Bengal Government Service :-

i)                Working as Professor since 20-1-1996, M.G.M Medical College, Kishanganj, Bihar, India since 01-04-2004 (Teaching experience 20 years as on 1-1-2009).

ii)                  Undergraduate and Postgraduate Examiner in Universities of West Bengal & Bihar.

iii)                  Medical doctor, research in infertility, Professor of Gynaecology & Obstericas. Has written a bengali book titled "Sahaj Janma Niyantran Paddhati" available at  Ms. sashi Bhusan Mitra & Sons book stores at 55, M.G.Road,Near Amherst St, Kolkata and also at GD-207,salt Lake, Kolkata-700106, 033-2337-6954, Cost 120/-


ACADEMIC ACHIEVEMENTS

Dr. Srimanta Pal stood First in Calcutta University amongst all the Medical Colleges both in First M.B.B.S. Examination (1964) and Final M.B.B.S. Examination (1967). & also stood first in M.D. Examination 1973. He was awarded Eight Gold Medals by Calcutta University & Govt. of West Bengal (List enclosed)

i)                Had 13 publication in JIMA (by the years 1975-1992) and 32 publication in J.Obstetrics & Gynaecology of India(1975-1997). Total publications= 51. Two articles from Japan.

ii)                Attended almost all AICOG (All India Congress in Obstetrics & Gynaecology & many International Conferences) as Orator since 1975. Dr. Pal, chaired many conference sessions, took part as panel member / speaker. Also attends Zonal / State conferences regularly.
GD-207, Salt Lake City, Kolkata – 700 106,
Mobile  093333 15050: E- mail : drsrimantapal@gmail.com

Scientific Publications of Prof. (Dr.) Srimanta Kumar Pal, Senior Gynecologist of Kolkata India, in different Journals and has published several books in population control and contraception in regional language. Regular participent of All India Radio and TV programms in Question-Answer session for public awareness.

LIST OF PUBLICATION BY PROF. SRIMANTA KUMAR PAL

1.                  Pal, S.K. and Sarkar, M. :  “Ectopic Cordis”, J. Obstet. Gynaec. India 1977; 27:257-260.

2.                  Pal, S.K. and Bhattacharya, B. :  “Absolute Short Umbilical Cord”, J. Obstet. Gynaec. India, 1977;27:442-444.

3.                  Pal, S.K., Sarkar, S. and Chaudhuri, S.K. :  “Thoracopagus Tetrabrachius Tetrapus”, J. Obstet. Cynaec. India, 1977;27:454-456.

4.                  Pal, S.K. :  “An Approach to Rural Obstetric Problems”, J. Obstet. Gynaec. India, 1977;27:553-558.

5.                  Dutta, D.C. and pal, S.K. :  “Rupture of Uterus – A Review of 74 cases”, The Antiseptic, 1977;74:684-688.

6.                  Dutta, D.C. and Pal, S.K. :  “Obstrucsted Laboour – A Review of 307 cases”, J. Obstet. Gynaec. India, 1978;28:55-58.

7.                  Pal, S.K. :  “Preforation of Cervix by Lippes Loop”, J. Obstet. Gynaec. India, 1978;28:885-886.

8.                  Pal, S.K. :  “Paraphimosis of Clitoris”, J. Obstet. Cynaec. India, 1978;28:887.

9.                  Pal, S.K. :  “Perforation of Uterus by Lippes Loop”, J.I.M.A., 1978;71:235-237.

10.              Pal, S.K. :  “Torsion of Hydrosalpinx”, J. Obstet. Gynaec. India, 1978;28:1159-1160.

11.              Pal, S.K. and Dutta, S.K. :  “Fibrothecoma of Ovary and Pregnancy”, J. Obstet. Gynaec. India, 1979;29:186-187.

12.              Pal, S.K. Chakravorty, B.N. and Bhattacharjee, S.K. :  “Foetal Ooutcome in Primarily High-Risk Pregnancies”, J.I.M.A., 1979;72:153-157.

13.              Dutta, D.C. and Pal, S.K. :  “Obstetrical Hysterectomies in Rural Practice – A critical review of 100 consecetive cases”, J. Obstet. Gynaec. India, 1979;29:627-631.

14.              Pal, S.K. and Dutta, S.K. :  “Developmental Cyst of Vagina”, J. Obstet. Gynaec. India, 1979;29:709-710.

15.              Pal, S.K. :  “Term pregnancy with unruptured hymen”. The Antiseptic, 1979;76:486-488.

16.              Pal, S.K. and Biswas, M. :  “Scope and Limitations of local anaesthesia in abdominal sterilization – a critical review”, Current Medical Practice, 1979;23:587-591.

17.              Pal, S.K. :  “Foetus Papyraceus”, J. Obstet. Gynaec. India, 1980;30:191-192.

18.              Pal, S.K. :  “Prolapse of the placenta”, J. Obstet. Gynaec. India, 1980;30:379-380.

19.              Pal, S.K. and Dutta, S.K. : “Dystocia due to distended cloaca”, J. Obstet. Gynaec. India. 1980;30:381-382.

20.              Pal, S.K. :  “Absolute Short Cord Dystocia, J.I.M.A., 1980;74:134.

21.              Pal, S.K. :  “Prolapse of the placenta”, J.I.M.A., 1980;75:94-95.

22.              Pal, S.K. and Dutta, S.K. :  “Morbid Adhesion of Placenta”, J.I.M.A., 1980;75:163-165.

23.              Pal, S.K. and Saha, P.K. :  “Paracephalic Acardiac Monster”, J.I.M.A., 1981;76:17-18.

24.              Pal, S.K. :  “Dystocis due to Distended Foetal Urinary Bladder”, J.I.M.A., 1981;76:139-140.

25.              Pal, S.K., Purkait, D., Modak, G.C. and Dawn, C.S. :  “Surprise Dystocia”, J. Obstet. Gynaec. India, 1983;33:391-392.

26.              Pal, S.K., Purkait, D. Modak, G.C. and Dawn, C.S. :  “Pregnancy in rudimentary horn”, J.I.M.A., 1983;81:96.

27.              Chandra, S., Karmakar, S. and Pal, S.K. :  “Polymastia”, J. Obstet. Gynaec. India, 1983;33:857-858.

28.              Pal, S.K., Roychowdhury, A. and Dawn, C.S. :  “Haemoperitoneum due to rupture of a vein on the surface of a uterine fibromyoma”, J. Obstet. Gynaec. India. 1984;34:391.

29.              Pal, S.K., Chatterjee, S., Majumder, P. and Lahiri, B.C. :  “Acute abdomen in puerperium due to rupture of amoebic liver abscess”, J. Obstet. Gynaec. India, 1984;34:741.

30.              Pal, S.K. and Saha, P.K. :  “Ischiopagus Tetrabrachius Tetrapus”, J.I.M.A., 1984;82:373-374.

31.              Pal, S.K., Raha, A. and Mukherjee, K. :  “Locked Twins”, J.I.M.A., 1985;83:23-25.

32.              Pal, S.K., Abedin, S. and Dawn, C.S. :  “Torsion of Fallopian Tube in Adolescent Girl”, J.I.M.A., 1985;83:61-62.

33.              Pal, S.K., Mista, S. and Roychowdhury, N.N. :  “Rupture of uterus due to vesical calculi”, J. Obstet. Gynaec. India. 1985;35:214.

34.              Pal, S.K., Vaidanathan, S. and Roychowdhury, N.N. :  “Pregnancy following successful repair of ectopic vesicae, J.Obstet. Gynae. India, 1985;35:591-593.

35.              Pal, S.K. and Roychowdhury, N.N. :  “Postoperative Arterial Thrombosis”, Asia-Oceania, J. Obsetet. Gynaecol. 1985;11:345-347.

36.              Pal, S.K. and Roychowdhury, N.N. :  “Caesarean Hysterectomy A review of 30 cases”, J. Obstet. Gynaec. India, 1985;35:829-831.

37.              Pal, S.K. and Roychowdhury, N.N. :  “Late Recurrence of Granulosa Cell Tumouurr”, Asia-oceania, J. Obstet. Gynaecol., 1986;12:21-23.

38.              Pal, S.K. :  “Familial Congenital Adrenal Hyperplasia”, J. Obstet, Gynaec. India, 1992;42:711-12.

39.              Pal, S.K. :  “Stillbirths in Caesarean Section – A Critical Review”, J. Obstet. Gynaec India, 1992;42:616-19.

40.              Chakravorty, P. and Pal, S.K. :  “Silent Lithopaedion”, J. Obstet. Gynaec. India, 1993;443:133-34.

41.              Bhattacharyya, A.R., Pal, S.K., Bhattacharyya, A. and Sarkar, S. :  “Large Bowel Obstruction by Choriocarcinoma”, J. Obstet. Gynaec. India, 1993;43:458-59.

42.              Bhattacharyya, A.R., Pal, S.K., Bhattacharyya, A. and Sarkar, R. :  “Herniation of gravid uterus”, J. Obstet. Gynaec. India, 1993;43:450-51.

43.              Pal, S., Bhattacharyya, A.R., Mitra, A. and Som, S. :  “Uterine and Cervical Synechia following Caesarean Section”, J. Obstet. Gynaec. India, 1993;43:440-41.

44.              Pal, S.K., Bhattacharyya A.R. :  “Recurrent Hydatidiform Mole”, J. Obstet. Gynaec. India, 1993;43:445-45.

45.              Pal, S.K., Roy Choudhury, D. :  “Spontaneous Recticfication of Subacute Invesion of Uterus”, J. Obstet. Gynaec. India, 1993;43:844-45.

46.              Pal, S.K., Bhattacharyya, A.R., Bhowmick, K. and Betal, B.S. :  “Myaesthenic Crisis in Obstetric Practice”, J. Obstet. Gynaec. India, 1944;44:469-70.

47.              Pal, S.K., Bhattacharyya, A.R. and Bhowmick, K. :  “Accidental Insurauterine Electrocution – A Rare Tragedy”, J. Obstet. Gynaec. India, 1994;44:153-54.

48.              Pal, S.K., Bhattacharyya, A.R. and Bhowmick, K. :  “Issosexual True Precocious Puberty”, J. Obstet. Gynaec. India, 1994;44:335-36.

49.              Pal, S.K. and Bhattacharyya, A.R. :  “Laurence – Moon-Bradet-Biedl-Syndrome”, J.I.M.A., 1995;95:391-92.

50.              Dutta, D.C. and Pal, S.K. :  “Intrapartum Care of Rural Mothers”, Indian Medical Jurnal, 1976;70:144.


51.              Pal, S.K. :  “Anorexia Nervosa – A Review”, J.I.M.A., 1996;94:419-421.
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Brief introduction on myself with all humbleness & respect to fellow colleagues.
BIO-DATA OF PROF. SRIMANTA KUMAR PAL
GD-207, Salt Lake City, Kolkata – 700 106, INDIA.
E Mail: drsrimatapal2gmail.com

Mobile  91-93333 15050


Name                                                   :           Prof. Srimanta Kumar Pal

Date of Birth                                        :           23-03-1945

Academic Qualification                       :

a.       M.B.B.S.                            -           Calcutta University (1967)

b.      D.G.O.                               -           Calcutta University (1970)

c.       M.S. (Gynaecology &
Obstetrics                            -           Calcutta University (1973)

West Bengal Government Service :-

i)                    Served West Bengal Govt. from 1971 to 1996. Worked as Resident Surgeon cum Addl. Lecturer at Eden Hospital, Medical College, Kolkata from 1980-84.

ii)                  Worked as Lecturer, Department of Obstetrics & Gynaecology, North Bengal Medical College, 1989-91.

iii)                Worked as Assistant Professor (1991-93), Reader (1993-1995) at Kolkata National Medical College. Retired from Govt. Service voluntarily as Associate Professor in 1996.

iv)                Working as Professor since 20-1-1997, M.G.M Medical College, Kishanganj, Bihar, India since 01-04-2004 (Teaching experience 20 years as on 1-1-2009).

v)                  Undergraduate and Postgraduate Examiner in Universities of West Bengal & Bihar.