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How to effectively manage stress at workplace?

Workplace stress is a harsh reality that needs to be addressed both at the individual level as well as by the management, said mental health experts on Tuesday, amid the recent news of two recent deaths due to stress at work: one by heart attack and another by suicide. Satish Nandgaonkar, a Mumbai-based senior journalist, died after a cardiac arrest after reportedly being “humiliated” at the workplace hours before the episode. In another tragic case, 25-year-old Saurabh Kumar Laddha reportedly ended his life by jumping from the ninth floor of his building in Mumbai, after being unable to handle the work pressure. The list can go on with many more names. Dr. Rajiv Mehta, Chairman of Psychiatry, at Sir Ganga Ram Hospital, told IANS that overwork, interpersonal relations at work, deadlines, long working and travelling time, all play major roles in building workplace stress. However, the results are drastic, which include: “burnouts and depression, and addiction to smoking and alcohol. Interpersonal relations at home go haywire.  There is also the risk of the early emergence of medical diseases like diabetes, hypertension, back pains, etc.” So what can be the solutions: Dr Rajiv stressed the need to “be assertive and set boundaries in the workplace relationship. Saying no is equally important as saying yes to work.” “When at work, take a round of 15-20 minutes in which you walk between your work hours so that there is movement in the body which will reduce the stress away from your desk and office people,” added Divya Mohindroo, a counselling psychologist. The experts also emphasised the role of office management and co-workers in helping employees remain stress-free. “Management needs to be emphatic towards employees and know their limitations rather than burdening them with excessive work,” Dr Rajiv said. “All professionals should share their work responsibilities with colleagues at work and family members at home, which will help them not only be accountable but also feel light about their life and tasks in hand,” Divya told IANS. The experts also suggested “work-life balance: regular yoga/exercise, balanced eating, spending time with family and friends, proper sleep, hydration, and regular breaks and holidays. They also called for “taking timely help from a mental health professional”, he said. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

19 March,2024 02:41 PM IST | New Delhi | IANS
Dr Uday Sanglodkar with the two couples

How two couples swapped their livers to battle end-stage disease together

Two women provided a new lease on life to each other's husbands by donating a part of their livers. Their husbands were struggling with end-stage liver disease who underwent a 10-hour simultaneous transplant procedure that saved the lives of both patients. The 61-year-old gentleman Mr Ramdas Chavan hailing from Amravati suffering from diabetes, hypertension, hypothyroidism, interstitial lung disease, struggling with ascites buildup and hepatitis C that led to end-stage liver disease (liver failure) couldn’t perform his daily activities with ease. Also Read: How coil emissions from mosquito repellents are linked to lung diseases Similarly, another gentleman Mr Dinesh Sarode, a 41-year-old was struggling with a history of hepatitis B leading to liver failure. The two individuals from Akola came from diverse backgrounds, were battling end-stage liver disease, and had been waiting for a transplant for 1 year.  Their wives were eager to donate part of their livers but following a thorough recipient and donor evaluation, their partners' blood types did not match, making their wives incompatible for the transplants, shares Dr Gaurav Chaubal, Director of Liver, Pancreas, Intestine Transplant Program, and HPB Surgery, Global Hospitals, Parel.  Upon conducting further tests, it was decided that the couples were ideal for a swap transplant.  A swap transplant happens when the first patient’s close family member donates their organs (a kidney or part of the liver) to the second patient in need.  In return, the second patient’s relatives donate their organs to the first patient. Patient Ramdas Chavan's wife donated a portion of her liver to Dinesh Shinde, while patient Dinesh's wife donated her liver to patient Ramdas. The two transplants were carried out concurrently for 10 hours on two donors and two recipients. The recipients were discharged in 14 days while the donor in 7 days. A team led by Chaubal, mentored by Dr Samir Shah, Director of Liver Disease, HPB Surgery & Transplant and Dr Uday Sanglodkar, Senior Consultant Hepatologist and Clinical lead liver and transplant ICU, Global Hospitals Parel have successfully conducted a swap liver transplant.   Sanglodkar added, "The first patient owned the A-blood group while the second one belonged to blood group B. None of them had the same blood group in the family. Due to advances in liver transplants, a swap transplant is possible now. A swap transplant means a blood group that is not available in the family can be taken from the other family Both the patients were critically ill and required frequent hospitalisations. We successfully did two liver transplants in a day at the same time. Both patients had a straightforward post-operative course after the transplant.” There is always a scarcity of eligible donors in liver transplantation causing mortality in patients with advanced liver disease. Swap transplantation is an excellent way to add to the donor pool and benefit more patients, remarked Said Dr Ameet Mandot, HOD - Clinical lead of Adult Hepatology and Liver transplant.Both the couples expressed gratitude to Chaubal and his team for the life-saving timely intervention and have resumed their normal lives happily. Both have thanked each other’s families for the transforming act of organ donation.

19 March,2024 10:40 AM IST | Mumbai | mid-day online correspondent
World Oral Health Day is celebrated annually on March 20. Photo Courtesy: iStock

Mid-Day Premium Poor oral health linked to diabetes and pregnancy complications: Dentists

A radiant smile holds the power of making someone’s day. However, bad odour, yellow teeth and plaque build-up can be off-putting let alone indicating poor oral hygiene as well as overall health. Ahead of World Oral Health Day celebrated annually on March 20, we reached out to dentists asking for tips to maintain good oral hygiene. Among all the other aspects, they stressed the importance of eating the right food for a clean mouth.  We dig deep into oral care to achieve desirable oral health.  Celebrity dentist Dr Kshama Chandan, founder, House of Tooth, Mumbai says, “Our mouth is a gateway to our body and poor oral hygiene can lead you to various health issues. A healthy mouth contributes to your overall well-being and quality of life.”  Dr Anjana Satyajit, head of dentistry, Artemis Hospital Gurugram says, “Poor oral hygiene can lead to various dental issues such as cavities, gum disease, and tooth loss. Additionally, it can contribute to systemic health problems like cardiovascular disease and diabetes. Regular brushing, flossing, and dental check-ups prevent plaque buildup, reducing the risk of these complications.”   What health risks are associated with poor oral health? Satyajit: Poor oral health can lead to a range of health risks, including: 1. Gum diseases: Gingivitis and periodontitis can cause gum inflammation, infection, and ultimately tooth loss. 2. Tooth decay: Cavities can develop when plaque, a sticky film of bacteria, accumulates on teeth and produces acid, eroding tooth enamel. 3. Cardiovascular diseases: Oral bacteria can enter the bloodstream, potentially contributing to heart disease, clogged arteries, and stroke. 4. Diabetes complications: Gum disease can make it harder to control blood sugar levels, exacerbating diabetes symptoms and complications. 5. Respiratory infections: Inhaled oral bacteria can lead to respiratory infections such as pneumonia, especially in vulnerable populations. 6. Pregnancy complications: Poor oral health has been linked to premature birth, low birth weight, and preeclampsia in pregnant individuals. 7. Altered nutritional intake: Tooth loss and oral pain may restrict food choices, leading to poor nutrition and related health issues. Overall, maintaining good oral hygiene is essential for preventing these health risks and promoting overall well-being. How do dietary choices influence our oral health? Chandan: Having a healthy and balanced diet is crucial. A balanced diet provides essential nutrients like calcium, phosphorus and vitamins which play a crucial role in maintaining the teeth and healthy gums. However, acidic beverages, sugar, alcohol and tobacco hamper the overall health. Hydration helps maintain saliva production, improving the oral cavity's overall health by neutralising the acids and remineralising tooth enamel and rinsing away food particles.  Satyajit: What we eat directly impacts the health of our teeth and gums. Sugary and acidic foods contribute to tooth decay and enamel erosion, while nutrient-rich foods like fruits, vegetables, and dairy products promote dental health. Additionally, a balanced diet supports gum health and strengthens the immune system, aiding in the prevention of gum disease and other oral infections.  Which foods are bad for our oral health? Chandan: Sugary foods, acidic foods, sticky food, hard candies and ice, alcoholic beverages, carbonated drinks and much more harm our teeth in more ways than one could imagine. These foods fuel the bacteria in our mouth and produce acids that harm the tooth surface, weaken the protective enamel layer, and erode the enamel gradually. Hard candies and ice tend to weaken the tooth, chip and crack leading to injuries exposing the inner layers. Satyajit: Several foods can be detrimental to oral health, especially teeth: 1. Sugary foods and drinks: Sugary items like candies, sodas, and sweets provide a breeding ground for bacteria in the mouth, leading to the production of acid. This acid attacks tooth enamel, causing erosion and increasing the risk of cavities and decay. 2. Acidic foods and beverages: Acidic foods such as citrus fruits, tomatoes, and vinegar-based dressings can weaken tooth enamel over time. This erosion leaves teeth more vulnerable to decay and sensitivity. 3. Sticky and chewy foods: Sticky candies, dried fruits, and chewy snacks can cling to teeth, making it difficult for saliva to wash away sugars and acids. This prolonged exposure increases the risk of cavities and enamel erosion, particularly in hard-to-reach areas. 4. Starchy foods: Starchy foods like chips, crackers, and bread can break down into simple sugars in the mouth. Bacteria then feed on these sugars, producing acids that contribute to enamel erosion and cavities. 5. Carbonated drinks: Carbonated beverages contain high levels of phosphoric and citric acid, which can wear down tooth enamel over time. Additionally, the sugar content in many carbonated drinks fuels bacteria growth and contributes to cavities and decay. Which foods keep the teeth healthy and benefit overall oral health? Chandan: Foods rich in fibre (whole grains, beans, lentils), calcium (leafy greens, dairy products), sugar-free (with xylitol), lean proteins(nuts, chicken), vegetables(carrots, celery) and lots of water promote healthy teeth and benefit oral health. All of the above in balanced portions goes a long way helping in maintaining a healthy oral cavity. Satyajit: Foods that promote dental health and benefit oral health include dairy foods like milk, cheese, and yoghurt. They are rich in calcium and phosphorus, which help strengthen tooth enamel and promote remineralisation.  Crisp fruits and vegetables like apples, carrots, and celery act as natural toothbrushes, helping to scrub away plaque and food particles and stimulating saliva flow, which aids in cleaning the mouth and neutralising acids.  Leafy greens like spinach and kale are high in vitamins and minerals like calcium and folic acid, which promote gum health and protect against gum disease. Nuts and seeds are rich in nutrients like calcium, phosphorus, and magnesium, which support tooth enamel strength and overall dental health. How can common oral health issues like teeth sensitivity, decay, cavities and plaque be prevented?Chandan: Brush twice, with fluoride toothpaste in the morning and night for at least two minutes with a proper brushing technique. Rinse and gargle with an alcohol-free mouthwash twice a day. Avoid tobacco smoking and chewing tobacco-based products. Visit your dentist for routine check-ups.   Do natural foods like neem, lemon or clove help improve oral health?Chandan: As dental practitioners, we commonly encounter questions such as whether using neem, cloves and many more such home remedies works. Neem is a good antibacterial but rubbing them directly onto your teeth daily may erode the tooth enamel. The same is true with lemon. It is highly acidic and weakens tooth enamel increasing the sensitivity.  Using clove oil for pain relief is something commonly used by people as a home remedy which for a short period does relieve the pain but doesn't address the underlying problem. Regularly using clove can also irritate and burn the gums. We also come across so many videos promoting baking soda for teeth whitening. It does more harm than good. It erodes the tooth surface causing tooth sensitivity. It’s best to always visit your dentist regularly rather than falling prey to any of these home remedies.  How can fizzy drinks cause severe oral health issues? Satyajit: Fizzy drinks alternatively known as carbonated or soda drinks, pose significant risks to oral health when consumed excessively, especially among young adults who may be addicted to them. Here's why fizzy drinks are harmful to teeth:  1. High sugar content: Most fizzy drinks have high levels of sugar, which feeds bacteria in the mouth that produce acids. These acids attack tooth enamel, resulting in cavities, decay, and tooth erosion. 2. Acidic nature: Carbonated drinks are acidic, and can weaken tooth enamel over time, making teeth more susceptible to damage, sensitivity, and decay. 3. Drying effect: Fizzy drinks can have a drying effect on the mouth by reducing saliva production which increases the risk of tooth decay and gum disease. 4. Erosion of dental restoration: The acidity in fizzy drinks can also erode dental restorations like fillings and crowns leading to further dental problems. What are some natural ways to keep the mouth fresh? Chandan: Water, mints, fresh herbs, ginger, water, cinnamon and citrus fruits in moderation can naturally keep your mouth fresh and odour-free. Satyajit: Several natural foods can help keep the mouth fresh and odour-free like citrus fruits as they contain vitamin C, which helps in killing bacteria in the mouth and freshen breath.  Green tea consumption is also encouraged to maintain oral health as it contains catechins, natural antioxidants that have antibacterial properties and can help in reducing oral bacteria that cause bad breath.  Fresh herbs like mint, parsley, basil, and cilantro have natural antibacterial properties and can help freshen breath.  Cloves have natural antimicrobial properties and can help freshen breath while providing temporary relief from toothaches and oral discomfort. When should one see a dentist?Both Chandan and Satyajit say:  One should see a dentist regularly for routine check-ups and preventive care, but certain signs indicate a need for an immediate dental appointment:  1. Persistent or severe toothaches 2. Sensitivity to hot or cold temperatures 3. Discomfort while chewing food, all of which could indicate underlying dental issues such as cavities, infection, or tooth damage.  4. Gum issues like swollen, tender, or bleeding gums 5. Persistent bad breath or changes in gum colour could signal gum disease and require immediate dental attention.  6. Loose teeth, gaps between teeth, or sudden tooth loss may indicate advanced gum disease or other underlying dental problems that require evaluation by a dentist.  7. Mouth sores, ulcers, or lesions that do not heal within two weeks could be signs of oral cancer or other serious conditions and must be examined by a dentist.  8. Apart from these, jaw pain, persistent bad breath or symptoms indicating infection like swelling, bleeding etc. are some of the signs indicating that medical intervention is needed.  Disclaimer: This information does not replace professional medical advice. Consult a qualified specialist or your physician for personalised guidance.

19 March,2024 10:37 AM IST | Mumbai | Aakanksha Ahire
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Mid-Day Premium Unwitting consumption of coil emissions may lead to lung diseases: Health expert

Although mosquito repellents are effective in keeping disease-carrying insects at bay, their impact on humans, particularly their lung health is becoming a matter of concern. Dr Sanggita Checker - A chest physician working at Mumbai’s Wockhardt Hospitals informs that “prolonged exposure to the fumes emitted by coils and liquid repellents may pose risks due to inhalation of chemicals such as formaldehyde and volatile organic compounds (VOCs).”  The widespread use of coils and liquid repellents in Indian households is notable. Some of them switch it on for extended periods and remain in close proximity to the emitted fumes. Unfortunately, this leads to unwitting consumption of the fumes, which can result in chronic lung diseases like vasculitis (discussed ahead).  In indoor settings with poor ventilation, the concentration of these toxins can accumulate and potentially lead to respiratory irritation, asthma exacerbation and other serious health issues over time. To unearth its impacts on the lungs, we racked the brains of pulmonologists who share with us measures to avoid mosquito repellents and safeguard lungs from further damage.  One mosquito coil > 50 cigarettes  Insect repellants be it coils, liquid vaporisers, sticks or aerosol sprays, all of them release toxic chemicals and add to the poor quality of indoor air. Coils and sticks generate most of the emission as they smoulder and smoke for hours producing pollutants like fine particulate matter (PM2.5), heavy metals and gases, shares Dr Richa Mittal, a consultant of pulmonary medicine at Sir HN Reliance Foundation Hospital.  Mittal draws an analogy, equating the act of burning a single mosquito coil in an enclosed space to smoking over 50 cigarettes.  Checker reveals that one common active ingredient in mosquito repellants is DEET, which is known for its effectiveness in repelling mosquitoes. While DEET is generally considered safe for use on the skin, there have been concerns raised about potential respiratory risks when the chemical is inhaled in high concentrations.  This has led to recommendations to avoid spraying DEET-containing products directly onto the face or inhaling the fumes. Another widely used active ingredient in mosquito repellants is picaridin, which has gained popularity as an alternative to DEET due to its efficacy and lower risk of skin irritation.  Direct impact of mosquito repellents on human health  Mosquito coils are made from compacted pastes or powders containing pyrethroids and other volatile chemicals, including formaldehyde. Some modern products are made from plant-derived substances such as citronella. The hazardous elements produced by these repellents are a risk factor for:  1.     The development of asthma early  2.     Skin and eye allergies  3.     Respiratory infections, poor lung function and early decline of lung capacity in individuals  4.     Fine particulate matter can impair blood vessel function and speed up calcification in arteries. People who are exposed to these particles for long are more at risk of getting a heart attack, hypertension and deranged cholesterol levels.  Uncovering how mosquito repellents may contribute to lung diseases  Checker affirms that there is a link between the use of mosquito repellents and the development of lung diseases such as vasculitis. The disease is a group of disorders characterised by the inflammation of blood vessels, leading to coarse breathing and breathlessness. Symptoms vary depending on the affected vessels but commonly include fever, fatigue, weight loss and organ-specific manifestations such as skin rashes, joint pain and nerve damage.  The chemicals found in coils have been known to irritate the respiratory system in individuals, leading to symptoms like coughing, shortness of breath and wheezing. Repeated inhalation of these chemicals from mosquito repellants can trigger inflammatory responses in the lungs, contributing to vasculitis.  In individuals with existing respiratory conditions such as asthma or chronic obstructive pulmonary disease (COPD), constant exposure to these chemicals may exacerbate their symptoms and worsen their overall lung function, adds Checker.  While the short-term effects may not be immediately apparent, consistent and long-term use of these products indoors without proper ventilation increases the likelihood of developing respiratory issues over time. Opting for natural alternative repellants could help mitigate the risks associated with inhaling these chemicals.  Mittal highlights the importance of reading the instructions given on the label. “Although there have been worries regarding the possible negative impacts of these repellents on lung health, particularly when inhaled, the data indicates that, when used as directed, there are usually no appreciable dangers to lung health.”  When these products are used correctly, the risk of respiratory irritation from inhaling insect repellents containing DEET or picaridin is generally low, while there may be occasional incidents. As with any chemical product, it's critical to read the label carefully and take preventative measures to reduce the risk of inhalation, like using repellents in well-ventilated places and avoiding inhaling sprays directly.  Regulatory measures to ensure safety Mittal outlines an easy guide to safeguard lung health against mosquito repellents:  1.     Avoid using coils or sticks as much as you can.  2.     When using insect repellents try not to be in the room for a few hours and till the time coil is burning.  3.     Don’t keep the windows and doors closed and be in the same room when the products are used.  4.     Use smokeless devices which are widely available these days.  Dr Samir Garde, the director of the department of pulmonology and lung transplant, Global Hospitals, Parel tells Midday: “Individuals with respiratory conditions need to exercise caution when using mosquito repellents, as some products can contain strong chemicals that may exacerbate their symptoms.” He shares specific precautions for individuals with respiratory problems:  1.     Opt for natural repellents or those specifically labelled as safe for sensitive individuals.  2.     Only use repellents on uncovered skin or clothing.  3.     Avoid applying underneath clothing, near the eyes or mouth and use sparingly around the ears.  4.     If using sprays, avoid direct contact with the face; spray onto hands first and then apply to the face.  5.     Refrain from using repellents on cuts, wounds, or irritated skin.  6.     Keep away from food while using repellents.  Natural or non-chemical approaches to mosquito control  For indoor spaces: One effective natural approach to mosquito control is the use of mosquito-repelling plants in your garden or outdoor space, shares Garde. By strategically placing these plants around your home, you can create a natural barrier against these pesky insects.  Another non-chemical method for controlling mosquitoes is to eliminate standing water sources where mosquitoes breed. This can include removing items like old tires, buckets and stagnant water in bird baths or flowerpots. By regularly emptying and cleaning these water sources, you can significantly reduce the mosquito population in your area without relying on harmful chemicals.  For outdoor spaces: There are several natural or non-chemical approaches to mosquito control that people can consider, especially for outdoor spaces. While these natural methods may not be as strong as chemical repellents, they can still effectively diminish mosquito populations and decrease the likelihood of bites. Mittal shares options such as removing standing water, installing mosquito nets, planting mosquito-repelling plants and using mosquito traps. By integrating these approaches, individuals can cultivate a more pleasant outdoor setting with reduced mosquito presence.  Lastly, experts opine that there is no substitute for making informed choices. Read the label instructions to understand active ingredients, assess safety and consider personal preferences. Check the concentration of active ingredients in the repellents as higher concentrations are typically more effective but may also increase the risk of skin irritation.  Natural plant-based repellents offer promising solutions for individuals looking to protect themselves against mosquitoes without compromising their lung health. By exploring these sustainable alternatives and making informed choices about the products we use in our homes, we can prioritise both mosquito control and our well-being simultaneously. 

19 March,2024 09:30 AM IST | Mumbai | Ainie Rizvi
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India surpasses WHO guidelines with 1:900 doctor-to-population ratio

The second edition of the Awareness Summit on 'Illness to Wellness' commenced in New Delhi on Monday under the banner of the ASSOCHAM National CSR Council, a division of the Associated Chambers of Commerce and Industry of India (ASSOCHAM). In his address as the chief guest, Rajya Sabha MP Bhubaneswar Kalita, who's also the Chairperson of the Parliamentary Standing Committee on Health and Family Welfare, said, “Today, India is undertaking a transformative journey, one that looks at 'illness to wellness' from a completely new prism. "As we delve into the significance of health and hygiene, let us acknowledge India’s remarkable evolution in this realm. While the WHO recommends a doctor-to-population ratio of 1:1000, we have achieved a ratio of 1:900, which marks an improvement over the guidelines. Investing in health and hygiene is not just a moral imperative, it is an economic necessity." “Beyond being just buzzwords, health and hygiene are the pillars upon which prosperous societies are built. The journey has been arduous yet inspiring. From battling infectious diseases to embracing preventive healthcare, the nation has made significant strides. Over the past decade, we have witnessed a reduction in maternal mortality rate, infant mortality rate, and mortality rate among children under five years of age. "These achievements underscore the effectiveness of the robust healthcare initiatives and the importance of prioritising hygiene practices. The various initiatives and programmes of the government have made our society health-conscious. "As we strive for universal health coverage, it is imperative to empower communities with knowledge and resources to safeguard their well-being. The government has increased the number of medical colleges, and we will have one medical college in every district now. The shortage of doctors in the rural areas will soon be a thing of the past," Kalita added. Delivering the welcome address, Anil Rajput, Chairperson, ASSOCHAM National CSR Council, said, “The 'Illness to Wellness' initiative was launched in 2014 with the belief that we have the scientific knowledge to create a world in which most of the diseases could be either eliminated or controlled by preventive healthcare awareness. "We are driven by a commitment to promote health and wellness for all with a focus on empowerment, education, collaboration, and sustainable impact. Over the years, we have endeavoured to maximise outreach and impact, from organising camps and awareness campaigns on a slew of critical ailments to holding regular webinars on key health developments with the overarching objective of providing remedies and motivation.” The 'Illness to Wellness' campaign extends its reach to young minds through initiatives such as the inter-school drawing competition, with artwork from the latest competition showcased at the Summit. Engaging 57 schools and involving 10,000 students, the competition promoted awareness of crucial topics, including health, hygiene, and air pollution. Delivering the keynote address, Ashok Seth, Chairman, Fortis Escorts Heart Institute, New Delhi, said, “Wellness is a state of mind, spirit and body and illness is a deficiency of social, physical, mental, and spiritual factors. A new India for the world has to encompass health towards wellness. "The youth and women are the present and future of our country. We have to combine all efforts to deliver wellness and beyond. The 20th century was the most scientific 100 years ever lived by mankind. A microbe and the Covid pandemic showed humankind the limits of its power. "The understanding about working together, mental health, and empowerment is the silver lining leading us to talk about wellness with greater urgency. Science made us live in the 20th century and we must now combine science with spirituality as we go into the 21st century. Science made us live on earth, and science plus spirituality makes us live in the world.” Anil Agarwal, Medical Director, Govind Ballabh Pant Institute of Postgraduate Medical Education Research, Government of NCT of Delhi, said in his address, “Public awareness is an important prerequisite to the adoption of healthy practices. It is also equally important that the right information is disseminated. "Early detection is the cornerstone of treatment and seeking early medical intervention is advisable. The focus should be on the silent killers and vulnerable groups in raising public awareness. Reaching out to school children is a good approach, as the younger you start, the more ingrained will the awareness be. Imparting basic life-saving skills to the students in schools and colleges will be very effective in combating sudden death.” This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever

18 March,2024 10:03 PM IST | Mumbai | IANS
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Why popping vitamin pills without doctor's prescription may harm you

While it may seem fancy to take vitamin supplements daily, regular consumption without consulting a doctor may be detrimental to your health, warned health experts on Sunday. Vitamin pills may help people with deficiencies, the elderly or pregnant women, but research has shown that overdose may result in problems like digestive issues, kidney stones and even heart disease. The pills are also not a substitute for a healthy diet. "Without medical supervision, using multivitamin pills or calcium on a regular basis can have negative health consequences. Taking too much of these supplements might result in overdosing, which can harm organs over time and cause symptoms like nausea, vomiting and stomach pain," Mohan Kumar Singh, senior consultant -- Internal Medicine, Marengo Asia Hospital, Gurugram, said. "These supplements may also interfere with prescribed medicines, reducing their effectiveness or perhaps resulting in negative side effects. Taking too many multivitamins might throw off the body's natural nutrient balance, sometimes resulting in imbalances or deficiencies. Nutritional imbalances can be made worse by specific vitamins or minerals interfering with the usage or absorption of other nutrients," he added. Multivitamins typically contain about 26 different vitamins and minerals, often providing 100 per cent of the recommended daily allowance of these micronutrients. However, "multivitamins are not required by everyone and should not be considered a replacement of a balanced diet inclusive of fruits, vegetables, nuts, legumes, healthy fats, and proteins," Tushar Tayal, Lead Consultant, Department of Internal Medicine, CK Birla Hospital, Gurugram, said. He noted that multivitamins should not be consumed regularly without confirming the deficiency through blood tests, as it can interfere with the absorption of other nutrients or medications, or can even become toxic if too much is taken for a long period. Mohan said that a person's age, gender, eating habits and pre-existing medical issues are important factors to consider when deciding if they require these supplements. "Speaking with a medical expert can assist in determining the specific nutritional requirements of each person and, if required, in directing the use of supplements," he noted. "It is always recommended to get nutrients from a diverse and balanced diet whenever possible. While supplements may be necessary for specific population or under certain circumstances, they should complement, not replace, a healthy lifestyle." This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

18 March,2024 12:04 PM IST | New Delhi | IANS
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Tobacco, alcohol raises risk of head and neck cancers by 35-fold: Experts

Tobacco and alcohol are the two major reasons behind the rising cases of head and neck cancers (HNC) in India, accounting for a 35-times higher risk, experts said on Sunday. HNC typically consists of anatomical sub-sites like tongue, mouth, other parts of the pharynx like oropharynx, nasopharynx, hypopharynx, salivary glands, nasal cavity, larynx (voice box), etc. "India is considered the head and neck cancer capital of the world. Head and neck cancer (HNC) accounts for about 17 per cent of all newly diagnosed cancer cases in India of which mouth cancer in males is most common in India. The lifestyle of people, particularly in the northern regions, where smoking or chewing tobacco is common, is a significant cause of the high burden of head and neck cancer," Dr Mudit Agarwal, unit head & senior consultant, Head & Neck Oncology, Rajiv Gandhi Cancer Institute & Research Centre (RGCIRC), said. "Compared to the Western countries (with a prevalence of 4 per cent), HNC accounts for 27.5 per cent of all cancers in India. These cancers are most common in our male population and are fourth in incidence among females," added Dr Ashish Gupta, chief oncologist, Unique Hospital Cancer Centre, Delhi who is heading Cancer Mukt Bharat Campaign in India. The experts blamed changing lifestyles, increased longevity, and addiction to tobacco and alcohol. "Tobacco (smoked or chewable forms), alcohol, areca nut (pan masala), and dietary malnutrition are common etiological factors which are also important downstream social determinants. Heavy users of both tobacco and alcohol have a 35-fold higher risk of head and neck cancers," Dr Ashish told IANS. In India, unfortunately, 60-70 per cent of patients come at an advanced stage, as a consequence of which most receive radical treatment which may be disfiguring to some extent. However, with medical advancements like jaw reconstruction surgery, computer-assisted 3D designing technology, and facial reanimation techniques, the treatment now emphasises patient rehabilitation, Mudit said. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

18 March,2024 11:39 AM IST | New Delhi | IANS
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Rise in COPD, asthma to drive growth of critical care ventilator market in India

Increasing cases of chronic respiratory diseases such as Chronic Obstructive Pulmonary Disease (COPD) and asthma in India are expected to push the growth of critical care ventilator services market in the country at a compound annual growth rate (CAGR) of 4 per cent by 2033, according to a report on Monday. The report by GlobalData, a data and analytics company reveals that India accounted for about 21 per cent of Asia-Pacific’s critical care ventilator market in 2023. “Urbanisation and industrial expansion have worsened air pollution in India, leading to more respiratory diseases like COPD,” said Kanchan Chauhan, Medical Devices Analyst at GlobalData. She noted that the advent of the Covid-19 pandemic stressed the critical need for ventilators in treating patients with severe respiratory issues. Additionally, India is seeing an increase in critical care admissions with the rise in ageing population and evolving disease trends. “Patients with severe respiratory illnesses often require intensive care and mechanical ventilation. This surge in demand has driven up the need for critical care services and equipment, including ventilators, in hospitals across the country,” Chauhan said. “In conclusion, India's healthcare sector is undergoing a remarkable evolution driven by technological progress, particularly evident in critical care ventilators. The nation's proactive response to the rising prevalence of respiratory diseases and an ageing population underscores its commitment to innovation, safety, and improving public health outcomes,” Chauhan added. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

18 March,2024 11:20 AM IST | New Delhi | IANS
Biohacking is particularly observed among Gen-Z and Millennials, according to experts, as they try out DIY biology hacks because of their access to technology to optimise their health. Image for representational purpose only. Photo Courtesy: Pixabay

Mid-Day Premium What is biohacking? Experts shed light on the new trend among Gen-Z, Millennials

Vasai-based Jervin D’Souza has been biohacking long before the term became popular among Gen-Z and Millennials. It started with him actively working out three years ago. He shares, “When I started training, I found personal training and nutrition coaches were too expensive. I had to rely on learning and experimenting by myself.” Today, the 29-year-old says he knows which food and routines impact him physically and mentally. The added benefit is that he can plan his daily tasks better when he is training than when he hasn’t been working out for a while, and that has been an enriching experience for him. According to a recent IANS report, Google searches for ‘biohacking’ have grown by 900 per cent over the last 90 days. The wellness trend is particularly observed among Gen-Z and Millennials, according to experts, as they try out DIY biology hacks because of their access to technology to optimise their health and get the most out of it and D’Souza is one of them. “I have an Apple Watch, subscriptions to workout apps and I read a lot about diets and food. I rely heavily on data.” Ever since the Mumbaikar made this change, he has adopted a high-protein diet and hasn’t consulted a doctor but says he will when something doesn’t agree with him. Interestingly, D'Souza isn’t the only one. Powai-based Vipul Yadav has also consciously been altering his diet and lifestyle to get maximum benefit from the food he eats. Interestingly, Yadav as a brand manager also conducts food walks in the city, manages to do it even though he loves to try out different foods often. The city professional is very conscious about how he consumes it. Even with a nine-hour workday, Yadav ensures he eats his dinner before 9:30 pm, when he reaches home, trying to avoid traffic. “I am very mindful about what goes into my body. I only eat sugar when I am sharing a dessert with someone, or I don’t eat sugar unless it is a mawa cake because I know it won’t have too many calories.”Also Read: Prevention better than cure: Your guide to taking HPV vaccine Being in the FMCG industry, the 38-year-old actively reads and follows food labels on packaged foods, and that has made him hyper-aware of the food he consumes. It is also why Yadav avoids packaged foods and pickles, and only consumes oil and farsan that is not more than a week old. Beyond these practices that he has developed over the years, the Mumbaikar has been tracking his health on Google Fit, and approximately does 10,000 – 12,000 steps. “I realised that the app has these heart points, and you realise that it is not how many steps you do but the quality of your steps. So now, I make sure I have 30 heart points in a day.” When Yadav takes a shared taxi in the morning, he stops before his office so that he can walk the rest of the way. Beyond that, he steps out for a five-minute brisk walk after lunch, and then at 5 pm again, to make sure he is not stuck to the desk for a long time. He sleeps three hours after eating dinner, ensuring he follows healthy practices. “It is not just about doing it but doing it 5 out of 7 times that helps,” he adds. While technology is only one aspect of ‘biohacking’, with the advent of smartwatches and a growing interest in biohacking, mid-day.com reached out to Mumbai experts. Dr Anand Ram, consultant interventional cardiologist at Wockhardt Hospitals in Mira Road, and Sweedal Trinidade, chief dietician, P. D. Hinduja Hospital and Research Centre in Mahim break down the concept of biohacking. They not only shed light on the concept but also stress why it is becoming popular and how people should be mindful and consult a health expert when necessary. What is biohacking? Ram: Biohacking involves the intentional modification of one's biology through lifestyle changes, diet, technology, or other means to enhance physical and cognitive performance. Trinidade: The use of technology, biology, personal experiments, or research to optimise human performance is known as biohacking. The term biohacking was coined by Dave Asprey. Why are more people (Gen-Z) resorting to biohacking for their health? Ram: The appeal of biohacking to Gen-Z individuals lies in the desire for optimised well-being and performance. They are drawn to biohacking as a proactive approach to health and self-improvement. Trinidade: Gen-Z as we know has grown up in an environment with easy access to technology and evolving scientific innovation. There is a sense of curiosity and urge to optimise health using DIY culture in young minds that lack patience. In the journey of self-empowerment to optimise and enhance health status, Gen-Z often turns towards biohacking. Have you come across people who are biohacking? Ram: Yes, many individuals, especially in health and fitness communities, are actively engaging in biohacking practices to optimise their physical and mental performance. Trinidade: Biohacking happens at different levels. It can range right from making minor changes in lifestyle to invasive techniques that interfere with genetics. It is commonly noticed that people opt for intermittent fasting for weight loss, use nutraceuticals for health optimisation, and gadgets to track sleep or movement throughout the day. Does biohacking work? Ram: While some aspects of biohacking have shown promise, the effectiveness varies, and scientific consensus on its overall efficacy is not fully established. Results can be subjective and depend on individual factors. Trinidade: It depends on what one is opting for, whether all precautions are taken, enough scientific evidence and precision of the user. When can biohacking become too much or dangerous?Ram: Biohacking can become dangerous when extreme methods or substances are employed without proper understanding or supervision, potentially leading to adverse health effects or unintended consequences. Trinidade: Biohacking can become dangerous when people do it with: 1. The biggest drawback of biohacking is the lack of scientific evidence. 2. Self-experimenting medicine or drugs not approved by regulatory bodies. 3. Extreme diet regimes like keto, elimination diets when not done with background checks or lack of supervision may pose serious health implications ranging from deficiencies to compromised immune status making way for opportunistic infections. Also Read: ‘I knew this was going to be malignant because of its shape’Why should people consult a doctor even if they are biohacking? Ram: Consulting a doctor is crucial during biohacking to ensure that the chosen interventions align with individual health conditions and to monitor for potential risks or side effects. Do you advise biohacking to make minor adjustments to your daily routine to get health benefits? Trinidade: Yes, making minor changes under the supervision of experts with well-backed scientific evidence is advisable in daily routine. If people are biohacking, how can they do it effectively without causing harm to themselves? Ram: Individuals should research thoroughly, seek professional advice, and gradually implement changes. Regular health check-ups can help monitor the impact on the body. What are the different ways that people are biohacking these days? Ram: Biohacking methods include nutritional optimisation, wearable technology, nootropics, intermittent fasting, and even genetic testing to tailor lifestyle choices based on individual genetic makeup. Trinidade: The following are the different ways of biohacking: Optimising sleep cycle and quality for improving quality of life using tracking devices, and wearables benefits of which are longevity and low incidence of diseases. Elimination diets, intermittent fasting: Adaptive stress or physiological stress promotes health benefits like DNA repair, and autophagy and decreases inflammation. Short-term fasting promotes weight loss, improves insulin sensitivity, and corrects lipid profile and blood pressure by improving metabolic health. Strength training for healthy aging: Studies have shown that strength training improves muscle mass and conserves bone density preventing frailty, fall risk, and related complications. Meditation: It can be termed as the best bio-hack as it is non-invasive but has immense benefits like improving cardiac health, reducing stress, improving immunity, and achieving a state of calmness and mental well-being. Regular practice of meditation can keep the stress under control and maintain cortisol levels making one more tolerant to stressful situations. Ecotherapy: Spending time in a natural environment opens our brain to many questions, promoting healing and a positive attitude. Technology: Wearables like smartwatches, and continuous glucose monitors not only help in updating one's health status but also prompt continued efforts to improve health. Who should avoid biohacking?Ram: Individuals with pre-existing health conditions, those without proper knowledge, or those prone to extremes should avoid biohacking without consulting a healthcare professional to minimise potential risks. Trinidade: Vulnerable population like minors, people with medical conditions, and pregnant ladies should avoid biohacking. 

18 March,2024 09:30 AM IST | Mumbai | Nascimento Pinto
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Unmasking inequality: Women at higher risk from air pollution

Today, India’s entire 1.3 billion population lives in areas where the annual average particulate pollution level exceeds the WHO air quality guidelines. About 63 percent of the population live in areas that exceed India’s own national air quality standard of 40 µg/m3, informs Akanksha Rai, the program manager of environmental health at Vital Strategies. It is also a major health concern in both urban and rural parts of India and kills more than 16 lakh people every year. Household air pollution alone causes at least 20-50 percent of ambient PM2.5 in India. The prevalent use of biomass for cooking and heating significantly contributes to household air pollution. This pollution poses significant health risks, including chronic obstructive pulmonary disease (COPD), respiratory infections, heightened rates of preterm births, heart attacks, strokes and various other health issues across all age groups. A 2020 study by the WHO’s International Agency for Research on Cancer, IARC, concluded that, “there is strong evidence that household burning of biomass and kerosene fuels, especially using stoves without a chimney, increases the risk of developing several cancers of the digestive tract.” She further added that “women and children bear a disproportionate burden of household air pollution, facing increased risks from accidents related to cooking and lighting with open fires." Additionally, nearly half of all pneumonia deaths in children under five result from inhaling soot within their homes. Exposure to pollutants can also impair cognitive development, leading to developmental delays, behavioural issues and reduced IQ in children. Those dependent on unclean fuels not only face higher risks of noncommunicable diseases but also struggle with financial challenges, covering medical expenses, and lost work hours due to illness. According to the World Health Organisation, girls in households using unclean fuels spend 15 to 30 hours per week gathering wood or water, placing them at a disadvantage compared to households with access to clean fuels and their male counterparts. Given these challenges, it is imperative to not only raise awareness among affected communities about the health risks associated with traditional cooking methods but also to encourage sustained adoption of clean cooking solutions. Such solutions must not only be environmentally sustainable but also economically feasible for low-income households.” Also Read: Witness the fusion of semi-classical and folk music at this performance in Bandra Pradhan Mantri Ujjwala Yojana program made unprecedented efforts by giving access to clean household energy to more than 100 million homes. However, for universal access it is essential to further expand the access of LPG to more beneficiaries and ensure sustained use of LPG by households that have access to it. As India advances towards universal household electrification, integrating electricity for cooking and heating will be key within the national policy framework for promoting clean cooking practices. While progress has been made in mitigating air pollution, comprehensive action is needed at all levels. We need more emphasis on behaviour change and communicating the health consequences of air pollution, primarily due to its classification as an environmental issue rather than a health concern. Engaging the health sector is essential for implementing effective solutions, including raising awareness, integrating environmental perspectives into health programming, advocating for clean energy and facilitating inter-ministerial convergence to prioritize public health in air pollution policies. The most impactful and enduring health gains stem from public health policies and preventative measures, including air quality monitoring and emission reduction at the source. Moreover, effective risk communication is essential for empowering individuals and communities to make informed decisions to mitigate their exposure to air pollution and safeguard their well-being. The National Programme for Human Health and Climate Change (NPCCH), led by the National Centre for Disease Control (NCDC) is taking an important step in this direction by integrating climate action into routine health sector preparedness activities for strengthening overall health-systems resilience to address air pollution and other climate change impacts. It is important to increase awareness of the direct impact of air pollution on individual and familial health, thereby fostering a sense of urgency and personal relevance. Integrating this messaging seamlessly into public health awareness campaigns can effectively engage communities and catalyse behavioural change. Emphasizing that not all natural resources are inherently safe, despite common perceptions, can challenge misconceptions and motivate households to adopt cleaner cooking solutions. Health professionals working in the field, who engage with various communities daily, are uniquely positioned to understand and address the direct impacts of air pollution on public health. Sharing health information emphasising the effects of air pollution and advocating specific actions can help mitigate exposure and minimize health risks. Coupled with policy measures at regional and national levels, significant progress can be made in improving air quality and safeguarding population health. Achieving cleaner air for all in India requires targeted interventions to address the root causes of pollution exposure at the population level, and a commitment to prioritizing the health of women and children through the involvement of health champions. This collective effort can create healthier, more resilient communities and ensure a safer and brighter future for all, added Rai.

17 March,2024 01:05 PM IST | Mumbai | mid-day online correspondent
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Early detection of endometriosis key for treatment, say experts

Early detection is crucial for boosting treatment for endometriosis, often dismissed as painful periods, according to experts on Sunday. Endometriosis is a painful gynaecological condition that affects roughly 190 million girls and women of reproductive age worldwide. About 43 million women in India suffer from endometriosis. Although there is currently no known way to prevent endometriosis, early diagnosis, and management can help slow down "the natural progression of the disease and reduce the long-term burden of its symptoms, including possibly the risk of central nervous system pain sensitisation", as per the World Health Organization (WHO). "The symptoms of endometriosis can vary from person to person and may not correlate with the severity of endometriosis. Most women with endometriosis tend to have painful periods which may be attributed to the normal menstrual cramps and diagnosis is often delayed," Gayathri D Kamath, Senior Consultant, Obstetrics & Gynecology, Fortis Hospitals, Bannerghatta Road, Bangalore, told IANS. Gayathri said that excessive pain during menstruation (dysmenorrhea), painful intercourse (dyspareunia), chronic pelvic pain, severe backache, or constant painful urge to defecate during and around periods are some of the red flags. In addition, difficulty getting pregnant (infertility) can also be associated with endometriosis. There has been some evidence to show that endometriosis can, in some cases, raise the risk of endometrial cancer. "Endometrial cancer incidence and disease-associated mortality are rising worldwide, including in India and among younger women," Vicky Makker, MD, Gynecologic Oncologist at Memorial Sloan Kettering Cancer Center (MSK), told IANS. "This underscores the importance of awareness and early detection efforts." The doctor also called for recognising the risk factors associated with endometrial cancer, "including early menarche, late menopause, nulliparity and genetic syndromes." Hormone therapy may help ease endometriosis symptoms, but surgery (laparoscopy) may be a better treatment option. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever

17 March,2024 12:18 PM IST | Mumbai | IANS
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