CULTURAL QA 08-2022-29

BEING  A COMPILATIONTHERE MAY  BE ERRORS

Q1         How do voltage fluctuations affect AC?Can it cause damage?

A1         Gopala Krishnan,Former AssistantGeneral Manager 1996-2004 at 
Department of Telecom (1966–2004)Just now

Voltage fluctuations which can be tolerated is mentionedin the air conditioner 
unit. Any surge can puncturestarting capacitor and running capacitor and 
sometimes the compressor unitalso. Hence a voltagestabliser is provided. Many 
times only stabliser is affectedduring lightening.

Q2         Can I board from New Delhi station ifmy reservation starts from H 
NZM?

A2         Ankit Barnawal,Former Student at DoonBusiness School, Dehradun 
(2017–2022)2h

No, you cannotboard the train from New Delhi railway station if your ticket is 
from HazratNizamuddin railway station. As per the rule, thepassenger is not 
allowed to board a train one station before your boardingstation. Doing this 
might result in a punishable offence.

So, It is better totravel Hazrat Nizamuddin from New Delhi to board your train 
at that station.Travelling to Hazrat Nizamuddin from New Delhi will take 30 
minutesapproximately by metro.Hope you are clear now !!!

Q3         Is there any truth that leaving the ACon low will actually use more 
electricity than turning it off and back on againwhen needed?

A3         Gopala Krishnan,Former AssistantGeneral Manager 1996-2004 at 
Department of Telecom (1966–2004)Just now

There is anequipment called tongtester. Company engineers insert it around the 
inlet cable to Airconditioner. They check stabilizer is fine and there is 
correct input power. They switch ON power, ensurenormal current and compressor 
starting current.

If you are keepingthe air-conditioner at low temperature, all equipment 
function except thefrequency of compressor is low,

As Iunderstand frequently ON and OFF can damage switching mechanism. Frequent 
ONand OFF, makes the compressor weak.

If you are specificabout power consumption, put a tong tester and observe the 
current consumed atfrequent intervals

Q4         How toxic is mercury?

A4         Luise, Worked at Own Business Aug 22

When I was little,there were only mercury thermometers like this. I remember 
when one broke, it was interesting toplay with the bouncing mercury beads in 
your hand.

We did, we reallydid.

But:

Mercury is verydangerous. It's a neurotoxin.

And ifsomeone really has mercury poisoning, it is a serious disease.

Elemental mercuryis the only metal that is liquid at room temperature.It is 
found in soil, airand water.

Exposureto it for long periods of time can cause serious health problems.

Contact withmercury is especially dangerous for developing fetuses or in the 
first monthsof life.Contact with a large amount of mercury for a short time, as 
in anaccident, causes acute symptoms.

Exposure to theelement for a longer period of time can lead to chronic 
symptoms. This was thecase, especially in the past, in some professions, such 
as hat making.

The poor hattershad to use mercury compounds to tan the leather skins, which 
unfortunately leftits mark in the long run and sometimes led to insanity.

That is why inEngland they said that hatters were "mad".

(Scene from Alicein Wonderland)

But some older dentists, as I am sure many of us know,also had quite strange 
characters, because they were constantly working withmercury vapors when they 
drilled out the fillings.

In everyday life,we encounter mercury in batteries and button cells, in our 
teeth as amalgam fillings,or in various measuring devices (barometers, 
manometers, blood pressuremonitors, fever thermometers, etc.). There are also 
skin whitening productsthat contain mercury, but they are banned in our 
country. The chlor-alkaliindustry is responsible for more than 40 percent of 
the EU-wide mercuryconsumption with about 160-190 tons.

Dental amalgams still account for just under a quarter,at around 100 tons.

Unbelievable.

Did youknow that the german public health insurances still pay for amalgam 
fillings,but not for plastic fillings?

The production of fluorescent tubes accounts for onlyabout 0.9 percent, and the 
production of compactfluorescent lamps (so-called "energy-saving lamps") for 
only about0.5 percent of EU-wide mercury consumption.

Traces of mercury can also be present in food,particularly in larger fish.

For example,mercury limits of 1 mg/kg are permitted in food fish such as eel, 
pike,halibut, tuna and perch. It is possible to ingest more mercury through 
averagefish consumption than is contained in an energy-saving lamp.

The older a fish isand the higher it is in the food chain, the greater the risk 
that it contains alot of mercury.

(halibut)

This can lead toboth acute and chronic symptoms for the person who eats the 
fish regularly

There are severalfactors that determine influence of the effects of mercury on 
health:

* The age of theperson

* The duration ofexposure;

* The routes ofentry (mucosal, oral, respiratory).

herefore, fetuses, young children, and people who are inconstant contact with 
mercury are most sensitive to it.

In Germany, dietand amalgam are primarily responsible for human mercury 
exposure. On average,about as much mercury enters the body from amalgam 
fillings as from food.

In Minamata Bay, aJapanese city, a local chemical company disposed of waste 
containing largeamounts of methylmercury for many years. This form of mercury 
accumulated infish and shellfish as a result.

Many of thesemarine animals ended up on the plates of people who were unaware 
of their mercurycontamination.

As a result,thousands of people in Minamata became ill with mercury poisoning, 
especiallyin the 1950s - and more than 2,000 people died as a result.

And in gold mines,people are constantly exposed to the fumes because mercury is 
used to bindgold.

 (Child in Burkina Faso shows his hands)

So what does mercury do to the organism?

Vaporous metallicmercury (e.g. from broken mercury thermometers) easily enters 
the body throughthe lungs and accumulates in the brain. When it is converted to 
inorganicmercury salts in the body, they can no longer pass from the blood to 
the brain.The body excretes them through the kidneys and stool.

The symptoms ofacute poisoning from vaporous mercury resemble pneumonia. One 
has cough,shortness of breath, and fever.

Constant long-termcontact with mercury vapor can also cause the following 
symptoms:

    trembling (tremor)

    inflammation of the dental bed

    increased salivation

    metallic taste in the mouth

Nervous system andkidneys can be damaged.

The list ofsymptoms mercury can cause is endless.

The release ofmercury from amalgam fillings can be especially high if,

    someone has many amalgam fillings,

    the amalgam fillings have large surfaceareas,

    the amalgam fillings are affected,

    there are other metallic dental fillingsbesides amalgam fillings that are 
in direct contact with the amalgam.

People who havemany such fillings often develop symptoms after many years.

They can getdepression, concentration problems, and many physical symptoms such 
asheadaches and toothaches.

Fortunately,the use of mercury-containing compounds or products is becoming 
more and morerestricted.

There are enoughalternatives that do not pose a health risk.But for your 
non-toxic dentalfillings, unfortunately, you have to take care of yourself.

Q5         What changes should be done in theIndian MBBS course to make it more 
relevant to the ever changing challenges inmedicine?

A5         Tiny Nair, Cardiologist at PRSHospital, Trivandrum5y

 

We read Anatomy, Physiology and Biochemistry in the first15 months and 
‘by-heart’ it with no connection to clinical sciences.The Latin names make us 
dizzy, the complicated diagrams blur our vision, themaze of foramina and nerve 
roots numb our mind and dull our intellect. I oftenfeel that these subjects are 
made purposefully tasteless with a sole intentionof generating maximum number 
of dislikes and downvotes.

Just imagine how nice the students would feel, if at theend of every anatomy 
class they were taken to the operation theater and shown acase being operated, 
or after the physiology class, shown a complicated medicalpatient!

By the end ofclinical posting, by the time we were just enjoying the newfound 
style of thestarched coat and stethoscope, we are told that unless we get for 
PG we aredoomed. On one hand we suddenly understand the lack of value of a 
coursethat has been so tough, almost to the point of ‘waste-of-time’ and we 
startstudying promptly for MCQs for PG entrance.

Now, most MCQs are onvery rare disease like ‘riketsia tsutsugamushi’ and 
‘dracanculus medinensis’which we would never see in our lifetime. We become an 
expert in the diagnosticcriteria of ‘Rocky Mountain Spotted fever’, (it is not 
seen outside NorthAmerica) but unfortunately we have to practice medicine in 
towns and villagesin India.

So I think the most important thing is to make the MBBScourse more relevant, 
and the degree more valuable, so that we can stop hearingthe oft repeated, 
painful greetings…ohh so you are justMBBS only!!

I have never heard anyone telling a Software Engineer ….soyou are just a BE 
only!!!!

Q6         How much a diabetic person should walkto reduce sugar level to avoid 
tablets?

A7         Reginald Bailey, Lawyer(2013–present)Sat

I will not say thatwalk this much to avoid medicines of any kind. All I can say 
that is if you walk for 5 five minutes inevery 1 hour and eat atleast 6 small 
diets instead of 2-3 big diets, your sugarlevel will be in better control and 
insuline sensitivity will improve.

For those that arefinding a way to reverse type 2 diabetes without taking more 
pills, drugs orinsulin injections,... you can check this secret tips

. I have got goodresults with it. About 1 months ago when I started following 
that guide myblood sugar count was at 332 and my kidneys were in very poor 
condition. Justtoday I was given my results from my last physical and can 
report that my bloodsugar count is 110 and my kidney function is just slightly 
elevated.

By the way, Iforgot to mention... when I was first diagnosed, I weighed over 
250 pounds andmy blood pressure was high. I now weigh 193 pounds and my blood 
pressure isnormal

Q7         How long can a locomotive run withoutrefueling?

A7         John Kingston, University Lecturer21h

Diesel: until the fuel tank is empty. The longest runsare on the Trans Siberian 
railway in Russia, which takes up to two weeks; theirdiesel engines typically 
hold around 15000 litres, compared with 1000–5000 elsewhere.

Electric: until the electricity supply, connection ormotor fails.

Steam: until the coal in the tender runs out or untilthe water in the boiler 
runs out. the latter will almost always happen first,requiring water towers at 
places along the track.

Q8         If a loco pilot sees a herd of animalson railway tracks, is he 
entitled to stop the train? How many minimum animalsare required in order to 
stop a train?

A8         Subhasis Dutta Roy,Working in IndianRailways at Indian Railways 
(2001–present)1y

A locomotive caneasily throw off one buffalo or cow from the track if running 
in full speed.

I have experienceof these types of incidents many times during driving.

But so far my experiences and knowledge a herd ofanimals can cause the 
derailments of a train.

So if a loco pilotcan see any herd of animals of his track, he will apply 
emergency brake to avoid collision withthat herd if possible.

But it may not bepossible all time that the application of emergency brakes 
will stop his trainbefore that.

It depends on speedand distance.But all the Loco Pilots will try his best to 
avoid this collision.

Q9         Are there any health benefits to eatingpapaya seeds, or should they 
be discarded when eating a fresh papaya fruit?

A9         Samson Adebowale,MASTER in CivilEngineering & Healthy Living, Yaba 
College of Technology (Graduated2011)Wed

Papayas do have many nutritional benefits. Papaya seedsare high in fiber, 
vitamins C and A, vitamin B6 and protein.

All of thesenutrients are good for our bodies. However, if you eat not the 
seeds, you'lllose out on some of those nutrients.

Eating the wholefruit helps retain nutrition. If you're pregnant or nursing, 
it's best to avoidconsuming raw foods.

When you ripen a papaya, the fruit becomes much sweeterand easier to digest. So 
if you want to keep your fruit from spoiling too fast,pick them off the tree 
when they are still green and hard.

Then put them in a paperbag to allow them to ripen naturally at room 
temperature.

Q10              How do hospitals pay doctors:fixed or shares?

A10       Tiny Nair, Cardiologist at PRS Hospital,Trivandrum5y

Different Hospitals pay differently – some as fixedsalary, some as a percentage 
of work a doctor does (number of cases seen by himor procedures done).

By the way, manypeople misunderstand ‘consultation fee sharing’ or ‘procedural 
charge sharing’as unethical, but it is not so. A Doctor provides hisexpertise 
for a surgery, while the Hospital supply the infrastructure (financedby the 
owner). The fee that the patient pays for the surgery is shared by thesetwo 
parties. This is ethical, and the doctor is entitled to it forhis service.

In contrast ‘takingcommission’ from a lab for doing a blood test, or a scan 
centre for doing scan,for which the Doctor is not providing his expertise is 
clearly unethical.

On the other hand,the Radiologist, who does the scan, is fully eligible for his 
fees.

UsuallyJunior residents and New consultants get a fixed salary (plus incentives 
fortaking night duties)whilemost senior consultants get a retainer fee (salary) 
plus percentages of thework done. Some visitingconsultants, who go to different 
hospitals each day, sometimes gets only thepercentages (depending on number of 
patients seen or procedures done).

Doctors andHospitals negotiate and decide whichever they wish to agree upon.

My Philosophy

I have a philosophy (I may be entirely wrong) thatdoctors should take only a 
fixed salary. Let me explain.

Let’s say a doctoris getting amount ‘A’ as salary and ‘B’ amount as percentages 
(Total A+B= ‘C’);He can talk to the hospital owners and decide to take amount 
‘C’ as salary andno percentage. At the end of a mutually agreed period (say one 
year) the contractbetween the hospital and the doctor can be renegotiated 
depending on theaverage work he does. This absolves the doctor of doing 
anything for the heckof commerce and for the Hospital, it makes the job of 
accounting simple.

The Catch - Why it doesn’t work ?

The problem is, theDoctor thinks he could have made much more money (for 
example, on days when hehas many patients); the Hospital Owners in contrast 
think they are paying more(on days when the Doc is on holiday, for example).

I get a salary, I am happy, so is my Hospital CEO.

All the above QA are from Quora  website  on    28-08- 2022. 

Quora answers need not be 100% correct answers .

Compiled and posted by R.Gopala krishnan on 29-08-2022

 

 

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