Recently, Mumbai-based Dr Mudit Khanna completed 100 successful robotic arm-assisted makoplasty procedures. The minimally invasive joint replacement surgeries were done over four months, according to Wockhardt Mumbai Central Hospital, where he is an orthopaedic and joint replacement surgeon. In 2023, a team led by Dr Gaurav Chaubal, director of the Liver, Pancreas and Intestine Transplant Program and HPB Surgery at Global Hospitals, Parel, performed a total robotic donor hepatectomy for a liver transplant on a baby, diagnosed with Crigler Najjar syndrome. It helped by only giving a smaller scar and enhanced precision and control, reducing blood loss during surgery and has lower rates of complications compared to open surgeries. The same hospital also conducted a robot-assisted coronary artery bypass graft and robot-assisted bypass surgery in the same year, as Dr Chandrashekhar Kulkarni, senior consultant CVTS and Heart Transplant Surgeon, introduced advanced technology for minimally invasive cardiac procedures. These are just some of the achievements that doctors across Mumbai have achieved over the last year. It simply goes to showcase the role of artificial intelligence in surgery in the larger healthcare ecosystem today. With a belief in the potential of robotic technology to enhance surgical precision and patient outcomes in the field of arthroplasty, the city doctor is only one among several doctors in the city who use artificial intelligence in robotics to carry out their surgeries in operation theatres. As more and more advancements are made in the field of healthcare daily, the growing role of AI cannot be ignored. While they have already been incorporated into technology and systems in healthcare, their role in the operation theatres demands surgical precision and that can often be challenging especially when the cases are challenging. While healthcare experts like Khanna come with years of experience, it is also important for AI and robotics to match up their expertise. However, they are slowly making their way and Dr Khanna’s use is only one such successful feat. Artificial Intelligence and Robotics in Orthopaedics He explains, "AI and Robotics together have ushered in a new era in orthopaedic surgery. The landscape of joint replacement surgeries is rapidly changing, and AI and Robotics are at the helm of this transformation. These technologies working synergistically have introduced unprecedented levels of precision and personalisation to surgical procedures thereby significantly enhancing patient outcomes.” At the hospital, Dr Khanna says they currently have the MAKO SMART Robotics system for performing joint replacement surgeries. With that, robotic-assisted surgeries are procedures that are done with the help of a machine programmable by a computer. “They assist surgeons in carrying out complex actions with unparalleled accuracy and safety. Integration of AI-based tools such as Image Recognition, Path Planning, and Machine Learning into the Robotic System, have significantly improved the decision-making process, surgical planning, accuracy, and repeatability of surgical procedures while offering unmatched safety or soft tissue protection,” he adds. It goes to show how the use of AI in operation theatres has only enhanced existing treatment methods. With the expertise of AI coupled with robotics, surgeons cannot only get optimum results but also aid the system in helping better the outcome of the surgery in the future. So, how does it assist in orthopedic surgery? Dr Khanna explains, “Robotic-assisted system integrates information from preoperative imaging, intraoperative surface mapping, specific bone landmarks and the ligament balancing intraoperative to propose surgical planning, secondarily adjusted according to the surgeon’s requests and targets. A robotic arm allows performing bone resections with a real-time automatic feedback system that improves the surgeon’s accuracy and decreases the risk of errors.” Progressively, the Mumbai doctor says the algorithms of robotic systems integrate machine learning models to improve surgical planning from data analytics of a large subset of previous surgeries. It is also why he highlights that robotics-assisted Total Knee Replacement (TKA) surgeries help with accurate knee alignment, implant positioning, ligamentous balance, and soft tissue protection. More controlled studies in his experience have shown that they have better outcomes compared to traditional TKA. While how it is used sounds revolutionary, Khanna highlights the need for it. He says, “AI models are now also being used to predict patient suitability for different types of knee surgeries, showcasing their valuable role in guiding surgical decisions. These emerging applications of AI in robotics warrant ownership, leverage, and application by orthopaedic surgeons to better serve their patients and deliver optimal, value-based care.” With the ongoing application of AI in so many different fields, there is an ongoing fear among many people that its use will replace humans, but Khanna is quick to dispel that misconception. He says that robotic systems do not aim to replace surgeons but to be an accurate and consistent delivery tool. “The major benefit of robotic systems is accurate and reproducible bone preparation,” Dr Khanna shares. Elsewhere, Dr Jaydeep Palep, who is with the Department of Bariatric and Metabolic Surgery at P. D. Hinduja Hospital & Medical Research Centre in Mahim has also been actively using it at the hospital and believes in its use with each passing day. He shares, “AI is being incorporated in every walk of life and hence AI must be absorbed in healthcare keeping in mind the delicate balance between human judgement and Artificial Intelligence.” At the city hospital, the health expert says they have the latest da Vinci Xi (Intuitive Surgical) surgical robot, with a compatible motorised operating table giving the doctors the most cutting-edge technology to use while operating their patients. Dr Palep shares, "We use the robot for a plethora of surgeries like gastrointestinal, urology, gynaecologic, head and neck and thoracic surgeries (both in benign and malignant conditions). For example, radiological images of the patient undergoing surgery are taken and integrated so the surgeon sitting and operating the robot can superimpose them on the real-time image to achieve more accuracy and precision.” The applications of AI in the hospital are plenty – right from radiologists to surgeons using a voice-based software app to document surgical findings of surgery performed with 100 per cent accuracy. “These modalities are meant to improve patient outcomes by achieving quicker diagnosis, better planning of a surgery or medical management of a patient, better planning of patients’ post-surgery treatment protocols,” he adds. Aiding operation theatres Dr Pradeep Rao, who is the director and senior consultant, Urology and Renal Transplant at Gleneagles Hospital in Parel is humble enough to add that it not only improves surgical outcomes but also takes away the emotional aspects of human thinking as well as human forgetfulness. He shares, “Robotic surgery is a game changer because it scales away tremors, offers huge magnification and gives 360 degrees of freedom with its wrested instruments. Together, these technologies will far improve decision-making as well as precision and the quality of surgery. By making a database of videos of live surgery, AI will start to identify major anatomical structures and using Augmented reality, superimpose these on the surgical field during surgery to help surgeons identify difficult anatomy.” Making use of the da Vinci Xi robot, Dr Rao says it has helped revolutionise complex surgeries at the hospital. Beyond the precision and accuracy factor, he says, “Robotic surgery offers several potential benefits over traditional surgical techniques, including faster recovery times, better outcomes, less pain and scarring, reduced risk of infection, and accurate results. It is done for various problems such as prostate cancer, bladder cancer and kidney cancer as well as for large simple prostatectomies and complex reconstructive surgeries when it comes to urologic surgery.” Beyond that, the hospital also launched a Robot-Assisted Heart Surgery Program which aims to reduce recovery time and complications for patients in need of delicate heart surgeries. The use of AI in robotics and thus the robotic arm also helps beyond the applications in logistics. “The DaVinci Xi system features boom-mounted arms with multi-position set-up joints designed to maximise the surgical workspace, internally and externally. From a single cart location, there are greater arm positioning capabilities and the surgeon can easily operate across multiple quadrants with the freedom to complete a wide range of procedures,” he adds. The use of AI in robotics is now a part of the system but the need for training cannot be stressed now more than ever. It is also why Professor Jignesh Gandhi, Gastrointestinal, Laparoscopic & Robotic Surgeon, at Gleneagles Hospital in Patel says it is a high priority. "We have also prioritised training and education for surgeons and other healthcare professionals like operating room staff to familiarise them with the technology and enhance their proficiency in leveraging the surgical technologies and AI to improve patient outcomes." The role of AI in robotics cannot be overstated but Gandhi says robotic-assisted procedures by using advanced technologies like the da Vinci allow surgeons to do surgical procedures through tiny incisions resulting in minimised scarring and blood loss leads fewer post-operative wound infections. "The advanced features of such robotic surgical systems enable surgeons to navigate procedures, including those involving obese patients with high BMI and intricate tumour positions, even in cases with significant co-morbidities. The precision, control, and dexterity provided by the system enable surgeons to perform surgeries with greater accuracy, minimising trauma to surrounding tissues and ensuring faster patient recovery." All in all, the Mumbai-based professor says those who undergo robotic-assisted surgeries experience less pain in comparison to those who undergo traditional procedures. "This can be attributed to the system's precision and 3D vision, which aid in guiding instruments and manipulating tissues more effectively, ultimately leading to improved clinical outcomes. As a result of fewer post-operative wound infections, patients experience faster recovery and leave the hospital feeling more satisfied and happy. This indirectly impacts the health economics of the hospital system as well," he concludes.
11 June,2024 11:11 AM IST | Mumbai | Nascimento PintoA team of scientists in the UK developed non-invasive measurement techniques and novel analysis methods to decode disease progression and evaluate the effect of potential treatments or lifestyle changes in people with Huntington's disease. Huntington's is a genetic disease where the brain’s nerve cells (neurons) gradually break down and die. The condition leads to dementia, with a progressive decline in an individual's movement, memory, and cognition. There is currently no cure. The team from Lancaster University in the UK showed that Huntington's disease not only affects nerve cells in the brain but also has widespread effects on microscopic blood vessels. The changes were also observed before symptoms of the disease appeared, demonstrating the potential for this research to predict brain health and evaluate the beneficial effects of lifestyle changes or treatments. Professor Aneta Stefanovska of Lancaster University said that they hope that the novel method can help “monitor the disease progression and evaluate the effect of potential treatments or lifestyle changes” in people with “Huntington's and other neurodegenerative diseases.” Professor Aneta added that the study would also lead to “new treatments of Huntington's disease targeting the vasculature and brain metabolism." In their study, published in the journal Brain Communications, the team investigated changes in the coordination between neuronal activity and the brain's oxygenation in Huntington's disease. They combined non-invasive measurement techniques and novel analysis methods -- probes emitting infrared light were placed on the heads of participants in the study. Using infrared light, the researchers could measure the brain's blood oxygenation. Further, using electrodes, which can measure electrical activity from neurons, the team studied the many rhythms related to brain and cardiovascular system functioning via mathematical techniques. These rhythms included the heart and respiration rates, related to the transport of nutrients and oxygen, as well as slower rhythms associated with local control of blood flow. The team explained that brain activity manifests in faster rhythms. Efficient functioning of the brain depends on how well all these rhythms are orchestrated. 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
10 June,2024 10:53 PM IST | New Delhi | IANSYoung adults and women are more likely to suffer from multiple sclerosis, said experts on Saturday. Multiple Sclerosis (MS) is a complex, chronic, autoimmune, and neurological disease that primarily affects the central nervous system, leading to a range of symptoms and health issues. Data from the World Health Organisation (WHO) estimate that over 1.8 million people worldwide live with MS. The prevalence of MS in India ranges from 7 to 30 per 100,000 people, according to various studies. “MS can strike anyone at any age, however, persons between the ages of 20 and 40 are the ones who are diagnosed with it most frequently. Women are disproportionately affected since they are two to three times more likely than men to have the condition,” Dr. Himanshu Champaneri Senior Consultant- Department of Neurosciences and Neurosurgery, Marengo Asia Hospitals, Gurugram, said. Common symptoms include numbness or sensory loss, paraesthesia in limbs or face, vision loss, weakness in one or more limbs, double vision, imbalance while walking, and bladder problems such as difficulty holding or passing urine. In addition, some patients experience a current-like sensation running down the spine with neck movements. These symptoms typically develop over a few days to weeks, differentiating them from stroke symptoms, which have a rapid onset within seconds to minutes. Dr Neeraj Balaini, Consultant – Neurology, Aster RV Hospital, told IANS that the exact cause of MS is not fully understood. “Risk factors for MS include genetic predisposition, certain viral infections (such as Epstein-Barr virus and Human herpes virus-6), smoking, and vitamin D deficiency,” he said. The doctor further explained that in MS, there is a loss of myelin -- the insulating covering around nerves in the brain and spinal cord. This demyelination disrupts the electrical signals in the nerves, leading to the various symptoms of MS. “Severe myelin damage can also result in the loss of nerve fibres themselves,” Dr. Neeraj said. “MS is treatable but not curable. Without treatment, patients may accumulate disabilities from repeated attacks or enter a progressive phase where disability increases gradually without new attacks. “Clinical depression is more frequent in people with MS due to both the psychological impact of the disease and potential neuroendocrine changes caused by MS,” he noted. Along with medications, the experts stressed a balanced diet and healthy lifestyle to manage MS. Eating a healthy and nutritious diet, managing weight, avoiding alcohol and tobacco, maintaining a balanced diet, ensuring good sleep hygiene, and managing hypertension and diabetes, can help preserve healthy neurons and support overall health. Physical exercise is also important in managing MS and improving quality of life. In addition, “taking preventative measures to avoid infections may be helpful as some viral infections are known to trigger MS and genetic counselling may be helpful for those with a family history of the disease,” Dr. Himanshu 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
10 June,2024 10:38 PM IST | New Delhi | IANSIn a record feat, doctors at the Wockhardt Hospitals in Mira Road here successfully removed a giant 8.5 kg spleen from a 37-year-old man's abdomen, ending his 17 years' suffering, an official said here on Friday. The enlarged spleen taken out measures 3-feet x1.5 feet, 90 cms size and weighing a massive 8.5 kg. The previous world record in the Guinness Book stands as a spleen of 73.66 cms and weighing 2.3 kgs, said a hospital spokesperson. Wockhardt Hospitals' Mira Road Consultant Surgeon Dr. Imran Shaikh said that the patient, Rajkumar Tiwari underwent a surgery lasting six hours with no pre or post operative complications, he recovered well and after all his parameters were normal, was discharged after 5 days. Explaining the challenges, Dr. Shaikh said that the patient had been suffering from a condition called massive splenomegaly and hypersplenism through splenectomy since the age of 18. He had symptoms like abdominal tightness, pains, fatigue and eventually restricted his movements and prevented him from performing normal activities. "Massive splenomegaly with hypersplenism is a rare disorder, and due to the enormous size of the spleen and its over-function, carries a risk to the patient. Enlarged spleen starts killing blood cells prematurely leading to low Haemoglobin, white blood cells (WBC), and platelet count," said Shaikh. Due to severely low Haemoglobin, Tiwari had severe weakness, a low White blood corpuscles count, and a poor defence mechanism which made him prone to infections, and a very low platelet count patient carries the risk of spontaneous bleeding, said the medico. Post-surgery, Tiwari got much-needed relief from all his symptoms and resumed his daily routine without any difficulty, said Wockhardt Hospitals’ Mira Road Head Dr. Pankaj Dhamija. The problems were first noticed around 17 years ago, when Tiwari was jolted out of his daily routine due to pain in the left-side upper abdomen, and despite multiple medical treatment options, he got no relief. Over the years, as his spleen kept enlarging, his health kept deteriorating, as the spleen obstruction due to lack of space in the abdomen and intestines led to vomiting, and other related problems. Finally, an extremely weakened, tired and pale-skinned Tiwari, who could barely walk or climb steps, was referred to Wockhardt Hospitals here, and he was diagnosed with splenomegaly. "He was suffering like this for a year, and more in the past month, and we performed all tests and CT scans to confirm the diagnosis. The spleen is located on the left side of the abdomen and filters blood by removing old, malformed, or damaged red blood cells," said Dr. Shaikh. An enlarged spleen is a common occurrence that reduces the number of healthy red blood cells, platelets, and white cells in a person's bloodstream, leading to frequent infections, but when it grows bigger and 20 cms and weighs over 1000 gms, its known as a Massive splenomegaly. Since Tiwari had a very low blood count, the blood and blood products given to him pre-surgery would die immediately in the spleen, and with a very low platelet count, the operation could be life-threatening, Dr. Shaikh added. After blocking the main blood supply to the spleen by putting coils in the artery to avoid killing the transfused blood projects and increase the safety margin, he was wheeled for surgery the next day. Tiwari's abdomen was opened and the medical team saw that it was crushing the intestines, pancreas, diaphragm and stomach, so it was carefully separated and the surgery carried out successfully. "After 17 years of struggle, the massive weight has been lifted off my body. The constant pain and discomfort that prevented me leading a normal life is now past thanks to Dr. Shaikh and his team," said a grateful Tiwari. 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
10 June,2024 10:14 PM IST | Mumbai | IANSThe study published in the journal Obesity showed that moderate to vigorous physical activity in the evening for sedentary adults with overweight and obesity is most beneficial in lowering daily blood sugar levels. “Our results highlight the importance of the field of precision exercise prescription,” said Jonatan R. Ruiz, Professor of physical activity and health, at the Department of Physical and Sports Education, University of Granada in Spain. “In clinical practice, certified sports and medical personnel should consider the optimal timing of the day to enhance the effectiveness of the exercise and physical activity programs they prescribe,” he added. The team studied a total of 186 adults who exercised between 6 a.m. and noon, noon to 6 p.m., or 6 p.m. to midnight over 14 days. The participants had a body mass index of 32.9 kg/m2 with overweight or obesity with an average age of 46 years. The results showed that accumulating greater than 50 percent of moderate to vigorous physical activity in the evening was associated with lowering day, night, and overall blood glucose levels compared with being inactive. The association was found to be stronger in participants with impaired glucose regulation and was similar in both men and women. A previous study, published in the journal Diabetes Care, and based on data from 30,000 people who were followed over almost 8 years also showed that exercise during the evening may offer more health benefits against obesity. Aerobic moderate to vigorous physical activity between 6 pm and midnight reduced the risk of premature death and death from cardiovascular disease, the study showed. Also Read:
10 June,2024 04:59 PM IST | Mumbai | IANS17 years ago, patient Rajkumar Tiwari had to give up his daily routine due to left-side upper abdominal pain. Despite consulting multiple doctors and undergoing thorough evaluations, his condition remained undiagnosed and he couldn’t get any relief. His health continued to decline as his spleen enlarged, leading to symptoms like abdominal tightness, obstruction due to lack of space in the abdomen and intestines, vomiting and even hypersplenism resulting in cytopenia from the splenomegaly. After struggling for almost two decades, Tiwari recently got treated by a team led by Dr Imran Shaikh, consultant GI & HPB surgeon, Wockhardt Hospitals, Mira Road, who successfully removed an enlarged spleen 3 ft x 1 ½ft, 90 cm size weighing 8.5 kgs via surgery. Shaikh remarks “On arrival in the hospital, the patient was looking weak, tired and jaundiced. He had been severely suffering from the symptoms for more than a year but aggravated in the last month. After clinical examination, the patient was subjected to blood investigations and a CT scan to confirm the diagnosis. The spleen is located on the left side of the abdomen and filters blood by removing old, malformed or damaged red blood cells. However, spleen problems are prevalent in many people. An enlarged spleen (splenomegaly) is a common occurrence that reduces the number of healthy red blood cells, platelets, and white cells in your bloodstream, leading to frequent infections. Also Read: New study shows 'Viagra' can help prevent dementia Massive splenomegaly with hypersplenism is a rare disorder, that due to the enormous size of the spleen and its over-function carries risk to the patient. An enlarged spleen starts killing blood cells prematurely leading to low haemoglobin, white cells (WBC), and platelet count. Due to severely low haemoglobin Tiwari had severe weakness, a low WBC count patient a poor defense mechanism that made him prone to infections. Consequently, his hemoglobin, white blood cells and platelet count were reduced drastically due to an enlarged and overactive spleen. He couldn’t walk, climb sit or stand, was exhausted and bedridden and dependent on his family members. Not treating him at the right time could have been risky leading to spontaneous bleeding. Shaikh adds, “It was very challenging to prepare this patient for surgery. Blood and blood products given to the patient before surgery would die immediately in the spleen (A condition called Refractory hypersplenism). With a very low platelet count surgery was extremely risky with life-threatening bleeding. The patient was planned for abdominal angiography and embolisation of the splenic artery. In this procedure, we block the main blood supply to the spleen by putting coils in the artery to avoid the killing of transfused blood products. Post-coiling embolisation we have transfused blood products to carry out surgery and increase the safety margin for patients.” Next day, the surgery was done by opening the abdomen. The spleen was large and was adherent to the intestines, pancreas, diaphragm and stomach. The spleen was carefully separated from all these structures. Healthcare experts report that there were no Intraoperative or postoperative complications. The surgery lasted for 6 hours. The biggest spleen removed in the world was 73.66 cm and 2.3 kg which holds the Guinness Book World record. This patient has a spleen 90 cm sized and weighs 8.5 kg. The patient recovered and was discharged on post-op day 5. His parameters read fine with hemoglobin 9.6 platelet count 8,00,000 and WBC 12000 (normal). Tiwari shares that ‘The constant pain and discomfort that held me back from living a fulfilling life are now just a painful memory thanks to the team of healthcare professionals.” Also Read: Must-have AI skills revealed by industry experts
10 June,2024 03:39 PM IST | Mumbai | mid-day online correspondentPraising a new study by University of Oxford researchers, who found that the Viagra drug, also called Sildenafil, has the potential to prevent dementia (memory loss), Delhi-based doctors on Sunday said that this is a pathbreaking trial linking "Sildenafil with improvement in vascular dementia". According to Dr. Rajeev Mehta, Senior Psychiatrist, Sir Ganga Ram Hospital, is a type of dementia that affects thinking, memory and day-to-day behaviour due to conditions that damage blood vessels and disrupt blood flow to the brain. "India has a high burden of cognitive disease impairment due to vascular disease. It is important to note that in vascular dementia, memory deficiency or forgetfulness occurs in steps," Mehta said in a statement. The research showed that Viagra (Sildenafil), mostly used for erectile dysfunction, has the capability to open minute blood vessels of the brain, thus improving blood flow and resulting in improvement of memory loss. As per an article in Science Direct, the burden of vascular contribution to cognitive impairment and dementia is substantially high in India. There are about 5.3 million dementia patients in India and nearly 40 per cent are estimated to be due to vascular dementia. Dr.Jitendra Nagpal, Chairman, The Institute of Mental Health, Moolchand Hospital said that further comprehensive multi-centric trials are needed to substantiate these findings. However, any benefits to chronic suffering from such dementia would be a welcome step in cognitive recovery. "Besides increasing age, vascular dementia can also happen with stroke, wherein blood supply to part of the brain is suddenly cut off or reduced. This damages and eventually kills brain cells. There is narrowing and blockage of the small blood vessels inside the brain," Nagpal mentioned. In India, Sildenafil is available in the strength of 25mg to 100 mg and is commonly available across chemists' shops, costing roughly Rs 25 per tablet. 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
10 June,2024 03:34 PM IST | Mumbai | IANSActress Mallika Sherawat treated herself to acupuncture on Sunday, calling it her “favourite treatment.” Mallika shared a video on her Instagram stories, showing herself lying on a spa bed with needles placed on her face. Acupuncture involves inserting very thin steel needles into the skin to stimulate specific points throughout the body. It is used to help with various health conditions or symptoms, such as pain. In the caption, Mallika wrote: “My favourite treatment - acupuncture.” On Saturday, Mallika posted a video of herself beating the heat with a refreshing dip in the pool. She captioned it: “Nothing beats the summer heat like a refreshing dip in the pool. What are you guys doing to beat the heat?” A fitness enthusiast, Mallika often shares videos of herself working out and pushing her limits. On the professional front, she was last seen in the comedy-drama 'RK/RKay', directed by Rajat Kapoor and co-starring Ranvir Shorey, Manu Rishi Chadha, and Kubbra Sait. Mallika made her Bollywood debut in 2002 with 'Jeena Sirf Merre Liye' and later appeared in films such as 'Khwahish' and 'Kis Kis Ki Kismat'. She gained prominence in 2004 with her bold performance in the Emraan Hashmi-starrer 'Murder'. Mallika has also worked in Hollywood films, including 'Hisss' and 'Politics of Love'. Also Read: Celebrity make-up artist Penaz Mithuji's essential make-up tips for beginners 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
09 June,2024 02:52 PM IST | Mumbai | IANS
For Mumbaikars, monsoons are a welcome respite from the scorching summer heat. While it’s kind to the planet, it has proven to be harsh on the skin and hair if not taken care of properly. Have you ever noticed how your hair becomes unruly and dry while your scalp turns oily during the rainy season? Well, those are the gifts of the monsoon and mind you, not the kind that you can pack and parcel to the next person. With clouds lurking, and a cool nip in the air - rains are not far from us, bringing with them the inevitable monsoon woes. But fret not as we spoke to three hair experts who reveal nature-backed, handy hacks to carry those locks in style. Desi nuskhe for hair careFor the Andheri-based expert Uzma Edroos from Shimmers Cosmetics Pvt. Ltd, coconut oil serves as an essential remedy for hair care during monsoon. Edroos indulges us over her ‘dadi’s desi nuskhe’ for achieving lustrous and nourished hair: 1. Switch to avocado and honey masks. These masks are another excellent option for deep hydration. They infuse the hair with essential nutrients and moisture needed to keep dryness at bay.2. Apply coconut oil to your hair and leave it on for 30 minutes. This exercise deeply nourishes and hydrates the hair, making it softer and shinier for the days to come.3. Tame those frizzy curls with apple cider vinegar. Mix one part of apple cider vinegar to two parts of water. Rinse your hair with this solution after shampooing to tame frizz and restore the natural pH balance of your hair.4. Next, calm your scalp with aloe vera gel: Use aloe vera gel as a leave-in conditioner. It adds moisture to your hair while soothing and calming your scalp, preventing itchiness and irritation.5. Opt for gentle hair care by reducing the frequency of hair washes with shampoo. Wash your hair 2-3 times a week with a sulphate-free shampoo. This prevents the natural oils from being stripped away, keeping your hair healthy and hydrated. Avocado and honey mask Hair experts swear by cold rinses and suggest finishing your showers with a cold rinse. This helps close the hair cuticles, adding shine and reducing frizz. Also Read: MIDDAY SPECIAL: Are labels on protein supplements deceptive? Experts reveal how Lifestyle tweaksEdroos recommends updating age-old drying and hydrating techniques to prevent hair damage: Air drying: Whenever possible, allow your hair to air dry instead of using heat tools. This minimises damage and keeps your hair healthier.Heat protectant sprays: If you must use heat styling tools, always apply a heat protectant spray to shield your hair from damage.Microfiber towels: Switch to using microfiber towels, which reduce friction and prevent hair breakage during drying.Silk pillowcases: Sleeping on silk pillowcases can significantly reduce hair frizz and breakage.Stay hydrated: Drink plenty of water daily. Hydration from the inside out is crucial for maintaining the overall health and hydration of your hair.Regular routine: Consistency in your hair care routine is essential for achieving and maintaining healthy hair. Stick to these practices regularly to see the best results. Lesser-known techniques to manage frizzy hair: Yoghurt masks, silk pillows and wide-tooth combs In an interaction with Bhavin Bheda, the business head and hair technician at Cadiveu, he shares valuable insights on how to conquer coarse hair using natural solutions for better manageability. He emphasised that while coarse hair can be challenging, it can be tamed effectively with the right approach. One of his top recommendations is to focus on deep conditioning treatments. Regularly using hair masks, such as those made with mayonnaise or yoghurt, can provide the necessary hydration and nourishment to soften and smoothen the hair texture. Additionally, avoiding harsh chemicals and opting for gentle, sulphate-free cleansers can help maintain the hair’s health and natural oils. For detangling, Bhavin suggested using a wide-tooth comb while in the shower with conditioner applied. This technique helps minimise breakage and makes it easier to manage coarse hair. After showering, applying a leave-in conditioner can further enhance manageability, keeping the hair soft and tangle-free throughout the day. Yoghurt mask Also Read: An expert guide to reverse grey hair with natural remedies Bhavin also highlights the importance of styling methods that do not rely on heat. Embracing diffusers for blow drying can help distribute heat evenly, while braid-outs or bantu knots offer effective heat-free styling options that add texture and definition to coarse hair. Finally, Bhavin recommended making simple lifestyle changes, such as swapping a cotton pillowcase for a silk one. This switch can significantly reduce friction and frizz while sleeping, helping to maintain smoother, more manageable hair. Simply your hair care routine with expert-backed tipsSeethala Karipineni, the founder of Saka Organics reminds us that “Taking care of your hair and skin during the monsoon season doesn’t have to be complicated. It’s all about simplifying the process.” One of the major issues faced during monsoons is an oily scalp and frizzy hair. To address this, she recommends using oils infused with natural and plant-based ingredients like amla, tulsi and onion. These natural elements help balance scalp oil and reduce frizz by nourishing the hair and scalp deeply. “Regular application of these enriched oils can improve the overall health of the hair, making it more resilient to the humid weather conditions typical of the monsoon season,” remarks Karipineni. Hidden gem: Arrowroot Additionally, using a dry shampoo powder containing arrowroot powder can significantly help manage greasiness. Arrowroot powder absorbs excess oil effectively, providing a clean and fresh look without the need for frequent washing. By returning to our roots and utilising the recipes our grandmothers used, we can achieve natural and sustainable hair care solutions. Arrowroot powder For skin, monsoons often cause clogged pores and oily T-zones, leading to acne breakouts. In such cases, she recommends using a bath powder containing Multani Mitti, also known as Fuller’s Earth. When mixed with condiments like curd or milk, Multani Mitti creates a rejuvenating mask that cleanses the skin thoroughly and keeps it clear. This combination not only absorbs excess oil but also provides essential nutrients to the skin, promoting a healthy and radiant complexion. These simple, time-tested solutions are her go-to methods for maintaining healthy hair and skin during the rainy season. By turning to these natural remedies, experts affirm that one can effectively combat the skin and hair care challenges posed by monsoon season. Also Read: Kokum butter: Lesser known techniques for skin-lightening Disclaimer: This information does not replace professional medical advice. Consult a qualified specialist for personalised guidance.
09 June,2024 11:56 AM IST | Mumbai | Ainie Rizvi
We all know feeling stressed can lead to a headache, but did you know mental health can impact your entire body? Our minds and bodies are intricately linked, and what affects one can significantly affect the other. Far from being a separate entity, mental wellbeing is intricately woven into the fabric of our physical health. When our minds are burdened by chronic stress, anxiety, or depression, the ripple effects course throughout our bodies. Our immune system, the body's first line of defence, can become compromised, leaving us more vulnerable to infections and hindering our ability to fight them off. This Mental Health Awareness Month, Yesha Mehta, therapist at The Mood Space delves into the connection between mind and body, and what can you do to better mental wellbeing. Stress hormonesFeeling anxious? Your body might be in ‘fight-or-flight’ mode. Our mental health can cause various psychosomatic illnesses due to the changes in the release of crucial hormones. When the body feels anxious our stress response, also known as fight or flight response, gets activated. This is an evolutionary response, which helps protect us from threats and gets activated by the production of hormones called cortisol and adrenaline. Frequent states of stress will increase the stress hormones in the body and may cause multiple illnesses. Also Read: How higher cortisol levels impact skin's barrier function The gut-brain connectionWhen your gut health suffers, so can your mood. Our brain and gut are closely related as more than 50 crucial hormones are produced in the gut. Many people who experience anxiety have often reported stomach aches, acid reflux, diarrhoea, and other gastronomical symptoms. Chronic anxiety can distort the balance of bacteria in the stomach causing conditions such as inflammatory bowel disease and irritable bowel syndrome. Sleepless nights, restless mindsSleeping too much or too little is a sign of poor mental health. Mental health struggles can disrupt your sleep cycle in several ways. Those suffering from depression tend to have lower energy levels and fatigue leading the individual to spend more time sleeping. Conversely, anxiety leads individuals to feel alert. Racing thoughts and restlessness can lead to insomnia. Those suffering from depression, anxiety, and stress often do not feel rested and refreshed when they wake up affecting day-to-day functioning. Poor sleep can aggravate underlying health conditions and mental health issues causing more distress. Matters of the heartProlonged depression, chronic stress, and anxiety have been associated with various cardiovascular illnesses. Long-term stress increases the production of cortisol in the body leading to inflammation. This inflammation causes plaque build-up in the arteries leading to heart problems. The fight or flight hormone, adrenaline, causes the heart to beat faster causing blood pressure. In an increased frequency, this would eventually damage the heart. Those suffering from chronic mental health concerns are at an increased risk of high blood sugar, cholesterol, heart attack, strokes, hypertension, and more. Decreasing stress and living a healthy life significantly improves heart health leading to longer life. Weakened immunityMental health also fundamentally changes how our body fights infections and viruses. Stress has been associated with a compromised immune system. Prolonged exposure to stress suppresses the immune response by decreasing lymphocytes, the white blood cells that are essential to ward off infections leading to more frequent bouts of common cold and cold sores. It also disables the swift recovery from infections leading to a longer sickness and more fatigue. Poor mental health can also exacerbate any existing underlying autoimmune conductions. Managing stress and anxiety is vital for healthy functions of the immunesystem. Loop of chronic pain Mental health also shares a bidirectional relationship with chronic pain. Depression can make people more sensitive to pain. This is due to the imbalances of neurotransmitters such as serotonin and dopamine. Low levels of these hormones change our perception of pain. Conditions like fibromyalgia, migraines, and back pain are often linked to mental health concerns. On the other hand, experiencing chronic pain can cause mental health disturbances. It brings about frustration and hopelessness making this a cyclical loop. Stressed skin Poor mental health also affects the skin. High stress levels result in oily skin thereby resulting in acne. Increased cortisol causes inflammation which can worsen inflammatory skin conditions such as psoriasis, eczema, and rosacea. Those experiencing anxiety often see its manifestation in the form of rashes or skin irritability. A toll on daily life Mental health disorders also affect day to day functioning of individuals. Those experiencing depression have low levels of energy and motivation and hence end up not completing tasks, have poor hygiene, and are not able to maintain a balanced life. Individuals dealing with anxiety tend to become hyper-vigilant and fearful in various aspects of every day resulting in a compromised quality of life. Taking charge of your well-beingRemember, prioritising your mental health is an investment in your overall well-being. By taking care of your mind, you're taking care of your body too. Now that Mehta has outlined the myriad ways in which mental well-being impacts physical health, she suggests adopting a holistic approach that addresses both your mind and body. A healthy mind and body go hand in hand, and by adopting these strategies, you can create a positive cycle that fuels your happiness and physical health. Move your body, boost your moodGet your blood pumping! Exercise helps manage poor mental health by allowing the body to release hormones like endorphins and serotonin. These hormones are chemicals that allow your body to feel good resulting in an uplifting mood. Aim for at least 30 minutes of moderate-intensity exercise most days of the week. They help you manage stress and anxiety better. Indulging in cardiovascular exercises brisk walking, running, swimming, cycling, and playing sports aids the release of the neurotransmitters. Find calm in the chaosMeditation helps one feel grounded and at peace. Practices like mindful meditation allow the individual to be in the present moment which in turn helps manage anxiety by reducing spiralling thoughts. It also allows people to view their thoughts as mere thoughts without interacting with them. This practice enables people to not get entangled in a loop of negative thoughts that cause stress or depression. Feed your gut, feed your mindThe gut and brain are closely linked to each other. The gut produces over 50 essential hormones, one of which is serotonin. Serotonin is also known as the happy hormone as it elevates mood and makes us feel happier. A poor diet can lead to disruptions in the gut microbiota causing an interference with the production of these hormones and aneurotransmitters. This results in low moods, fatigue, and mental health conditions. Rest and recharge Poor sleep hygiene can be detrimental to your mental health. Lack of adequate sleep has been shown to change activity in some parts of the brain. This results in irritability, poor decision-making, issues in problem-solving, and trouble controlling emotions. It is important to maintain a consistent sleep schedule with 8 to 9 hours of sleep. Create a relaxing bedtime routine that is easy to follow which signals your body that it is time to sleep. Keep away devices at least half an hour before bedtime as the blue light interferes with sleep. This will aid in the overall improvement of mood and energy levels. Strength does not mean soloHaving a support system during difficult times can make one feel a sense of belonging and that they are not alone. Speaking to friends and family who are there for you and can help you validate your feelings can help deal with mental health concerns. It can be helpful to confide in a loved one. Seeking professional helpOftentimes people underestimate the impact of mental health and its effects on physical health. That coupled with stigma around seeking support leads to poor management of mental health. Therapists and counsellors help in identifying the underlying stressors and can help with various strategies that will help manage the distress better. They provide a safe and confidential space to help you process your emotions and manage mental health concerns. In extreme cases, medical intervention may be necessary. Your mental health professional will guide you through the treatment.
09 June,2024 07:41 AM IST | Mumbai | Maitrai Agarwal
An open study from the Medicine Journal by Lippincott has found traces of arsenic, lead, copper and other life-threatening elements in 25 Indian protein manufacturing brands like Herbalife, Nutrela, Quista Pro Himalaya. Earlier in May, The Indian Council of Medical Research released 17 dietary guidelines for Indians that caution against the use of protein supplements. The study notes that protein supplements are often mislabelled and deceptive in their contents. “Both arsenic and lead exposure, even at low levels, impact human health in the form of an increased risk of cancer, blood disorders, gastrointestinal diseases,” reveals Dr Cyriac Abby Philips who has led the research at Rajagiri Hospital, Aluva in Kerala. Findings from the study: 1. 25 protein supplements out of 36 (69.4 per cent) were mislabeled in protein content. 2. Most protein supplements did not meet the labelled and advertised protein content, while certain brands surpassed the stated levels, raising concerns about 3. potential “protein/amino-spiking.”3. In addition, the major brands contained detectable fungal toxins and pesticide residues.4. Herbal and dietary supplements (HDS), including protein-based formulations with or without added botanical ingredients, vitamins, minerals, amino acids, and other natural or synthetic products, are a growing concern for hepatotoxicity and are associated with liver injury, failure, and death.5. Compared to multinational manufacturing brands, Indian protein brands were of lower quality, associated with higher chances of contamination and poor manufacturing practices, and were at risk of including multiple liver toxic ingredients, mostly in the form of herbal blends.6. Briefly, 16 (64 per cent) brands out of 25 that had mislabeled protein content were made by India-based manufacturers.7. Heavy metals that negatively impact human health such as lead and arsenic were found within many major formulations. A wake-up call looms on the horizon for those consuming protein supplements for bodybuilding or dietary purposes. Given how major food companies including BournVita, Nestle, MDH, Everest Masale and more have come under FSSAI’s radar for selling mislabeled products, it becomes imperative to scan the labels. How to read labels on protein supplements While consuming protein supplements, one must know how to read the labels accurately. Functional nutritionist Suyash Bhandari, Chief of iThrive Essentials, shares key factors to consider before investing in high-quality protein supplements: Check how clean the supplement isLook at the ingredients list for any additives such as artificial sweeteners, flavours, colours, emulsifiers and preservatives. Ideally, a clean protein supplement should have minimal ingredients, primarily the protein source. If sweeteners are included, natural options like stevia or monk fruit are preferable. Determine the type of protein used in the supplementThis could be whey protein (concentrate or isolate), plant-based proteins (such as pea or brown rice), essential amino acids, or animal-based proteins (such as beef or chicken). The source of the protein can affect its bioavailability and how well your body can absorb and use it. Consider the bioavailability of the proteinThis indicates how easily your body can absorb and utilise it. Essential amino acids generally have the highest bioavailability, followed by whey protein. Plant proteins tend to have lower bioavailability because they are harder for the body to break down and absorb. Look for certifications ensuring quality and safety This includes third party lab testing, certifications for being free from banned substances (important for athletes), and testing for contaminants like pesticides, insecticides and other toxins. Check whether the use of the supplement is authorised by regulatory bodies like the FSSAI. "Label Padhega India" initiative by Food Pharmer: Revant Himatsingka, a Kolkata-based content-creator has started a health movement against misleading food products. While encouraging people to read labels is just the beginning, it is equally crucial to comprehend the implications of that information, remarks Bhandari. Merely reading labels isn't sufficient. Consumers need to be educated on how to interpret the information provided and how to make decisions based on it. This involves understanding not only what the labels convey but also how to utilise that knowledge to make healthier and more optimal choices. Identify mislabelling on protein supplements Aman Puri, founder of Steadfast Nutrition, a sports nutrition and wellness brand remarks that in the case of buying herbal or ayurvedic alternatives, consumers need to check the percentage of the content that actually benefits their health. If a product steers clear of the quality, taste or composition testing, then it is a clear indicator that the supplement is not fit for standard consumption. If a plant protein supplement claims to be highly bioavailable or to contain all essential amino acids, it could be misleading. While these claims might be chemically accurate, plant proteins are generally harder to digest and absorb, meaning the body might not utilise all the amino acids effectively, adds Bhandari. Another indicator is the use of numerous unnamed additives and preservatives. These might not match what is listed on the label, or they might not be fully disclosed, which can mislead consumers about the product’s actual content. Incomplete labelling is a clear giveaway of non-genuine products. This includes missing details about the ingredients, nutritional facts, protein source and whether the product has been tested for allergens like soy and gluten. Some supplements might list only a few ingredients while omitting others, or use vague terms like "acceptance" to conceal preservatives and additives. Lack of transparency in these areas can indicate potential mislabelling, stresses Bhandari. Potential health risks Gym enthusiasts, athletes, and young people have increasingly turned to protein supplements as a lifestyle choice for muscle-building, Dr. Puneet Bhuwania, Consultant Nephrologist & Transplant Physician at Wockhardt Hospitals, Mira Road tells Midday. “Consuming mislabelled protein supplements can lead to compromising muscle growth and recovery goals, gut problems mainly diarrhoea, bloating, dehydration, abdominal distress, and leg cramping,” informs Bhuwania. The contaminants such as heavy metals, pesticides or impurities in the protein supplements induce kidney and liver damage over time. Mindless use of protein supplements increases the glomerular filtration rate or eGFR and even creatinine levels by impairing the kidney functioning in the long run and one may even need dialysis or a transplant for survival. Protein supplements are packed with added sugar leading to abnormal blood sugar levels and type 2 diabetes. Consuming mislabeled protein supplements can cause various health issues like nutrient deficiencies and muscle weakening resulting in malnourishment and muscle loss, putting excessive stress on the body. It is the need of the hour for everyone who takes protein supplements to beware of the risks and read labels without fail. Are organs at risk? One’s kidney and liver are at a higher risk of getting damaged due to mislabeling of protein supplements. Continuously consuming these protein supplements containing undisclosed contaminants can lead to a piling of toxins in your kidney further leading to the development of chronic kidney diseases (CKD) and chronic liver diseases (CLCD). Protein supplements are packed with added sugars, artificial sweeteners, and flavours that can disrupt your digestion process and cause abdominal pain. Excessive protein consumption strains the liver which is responsible for metabolising and breaking down proteins. When a higher amount of protein is consumed, the liver has to work harder to process it. However, this leads to liver damage in later life. A large number of protein supplements contain added ingredients and chemicals that can be harmful to the liver when taken in large quantities without the knowledge of an expert. Get your daily dose of protein naturally To meet your daily protein quota through meals rather than supplements, Bhandari recommends focusing on incorporating animal-based foods into every meal. This strategy ensures you receive adequate protein and essential amino acids to meet your daily needs. Here are specific strategies: Incorporate sources such as eggs, chicken, beef, buffalo, or duck meat in each meal. Opt for free-range options to ensure higher quality and nutrient content. Aim to have animal protein in all three main meals of the day. This consistent intake helps spread out your protein consumption, making it easier to meet your daily quota. Prioritise free-range animal products. This not only supports better nutrition but also promotes sustainable and ethical farming practices. For vegetarians and vegans, meeting the protein quota can be challenging without supplements due to the absence of animal proteins, which are rich in essential amino acids. However, it is still possible with careful planning and combination of various plant-based protein sources, though supplements may still be necessary to fully meet daily protein needs. Also Read: Your no-nonsense meal plan to eating healthy Know your protein For those who consume proteins, Bhandari suggests that understanding the ingredients commonly found in supplements involves focusing on the presence and quality of amino acids. Proteins are broken down into amino acids, which are essential for the body’s absorption and utilisation of protein. A complete protein supplement should contain all nine essential amino acids: histidine, isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan, and valine. Whey protein, derived from milk, typically includes all essential amino acids and is considered a complete protein. Plant-based proteins may lack one or more essential amino acids individually, but when combined, such as rice and pea protein, they can offer a complete amino acid profile. Animal-based proteins, like paleo or beef protein, derived from dehydrated animal muscle, also provide a complete set of essential amino acids. Collagen supplements, although containing amino acids, lack one or two essential ones and are not considered complete protein supplements. Additionally, conditionally essential amino acids, which become necessary under stress or illness, are beneficial in a protein supplement. Branched-chain amino acids (BCAAs) leucine, isoleucine, and valineâ are crucial for muscle protein synthesis, with leucine being particularly significant. A good protein supplement should have a high ratio of leucine. For individuals with gut health issues or poor protein absorption, essential amino acid supplements are recommended because they are pre-digested and more easily absorbed. In summary, when choosing a protein supplement, look for one that contains all nine essential amino acids, has a high ratio of BCAAs, particularly leucine, combines multiple sources if plant-based for a complete amino acid profile, and ensures high bioavailability and ease of digestion, especially for those with gut health concerns. While evaluating whey protein quality, different variables come into play. For instance, whey protein isolate and hydrolysate are more bioavailable than casein, whey protein concentrate, and plant protein. Protein quality depends upon the proportion of protein and the amount of amino acids present. While evaluating, also check for the amount of carbohydrates, fats, sugar, and added additives. The ratio of BCAAs (leucine, isoleucine, and valine) should be 2:1:1. Physical properties of whey protein also depend upon palatability, mixability, texture, composition, smell, and consistency. Deciding which form of protein to opt for also depends on individual requirements, daily intake through diet, activity and tolerance level, adds Bhandari. Also Read: ICMR's new dietary guidelines advise against protein supplements
09 June,2024 07:26 AM IST | Mumbai | Ainie RizviADVERTISEMENT
