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Your kneecap shape can signal osteoarthritis risk: Study

The shape of a person's kneecap may indicate their risk of developing osteoarthritis - a common and debilitating joint disease, suggested a study.  Researchers from the Australian National University (ANU) in Australia focussed on potential differences in kneecap shape between men and women, given that women with knee osteoarthritis often experience more severe symptoms. The team made use of CT scans to analyse the kneecaps of healthy individuals and patients awaiting knee replacement surgery. They employed advanced image analysis techniques to create 3D models of the kneecaps and measured the surfaces’ shapes. While the study “did not find distinct differences in kneecap shapes between sexes, it revealed that individuals with osteoarthritis exhibited more pronounced variations in kneecap surface shapes.” These differences became more significant with increasing disease severity, said the team led by Associate Professor Laura Wilson from ANU. She noted the unexpected nature of the findings, highlighting that the “changes in kneecap shape varied across different joint surfaces as osteoarthritis progressed.” The study is published in the journal Osteoarthritis and Cartilage. The researchers now plan to investigate whether these shape differences appear early in the disease's development. If the early onset of these changes can be confirmed, kneecap shape could potentially be integrated into disease prevention models, aiding in the early identification of individuals at higher risk for knee osteoarthritis. This could lead to targeted early interventions for those at risk, the researchers 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/ reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever

24 July,2024 03:13 PM IST | Mumbai | IANS
Every year, International Nurses Day is observed on May 12 around the world. Photo Courtesy: Special Arrangement

Mid-Day Premium International Nurses Day 2024: ‘In India, nursing is deemed as a low-level job’

Mumbai-based nurse Rashmi Sawant has been a nurse for 18 years now and has grown immensely in this time. However, she has seen that people still have misconceptions about the job. “In India, people think nursing is deemed as a low-level job,” she expresses, continuing, “I think people don’t understand the job hierarchy for nurses in India. People only think that we are a nurse, they don’t know we are registered nurses that also have different administrative positions.” If only they knew better, Sawant says, they would know it is a huge misconception because if you are consistent and credible, then there is a huge growth in the job. Every year, International Nurses Day is observed on May 12 around the world to mark the contributions that nurses make to society. While doctors are hailed for their medical genius, the contribution of nurses may often be relegated to the shadows of the hospital corridors. However, times are changing and one of the biggest examples in the recent past has been that of the Covid-19 pandemic. Even though all nurses dealt with patients, their families who were coming to terms with their death or sickness on a daily basis took out their frustration on them. At such times, nurses put on a brave front and do their best to give them hope and continue to do so even today and Sawant is only one of them. Need for more awarenessIncidentally, Sawant’s sister inspired her to become a nurse. She explains, “When I saw her studying and working, I instantly thought I could fit into this profession. She had no ideals and was the first one in the family. The main thing about being a nurse is growth. I joined as a staff nurse, and today I am a deputy chief nursing officer after 10 years.” It hasn’t always been smooth sailing because the 44-year-old says every position had its own challenges but that helped her build her professional efficacy over the years. “It is refreshing to have a profession that is female dominated,” she says while adding that there is a confidence among patients that female nurses are more efficient. “How people treat nurses depends on how you are,” Sawant adds. Even as she has reached a leadership role today, the Mumbaikar says there are many challenges that nurses face daily but not many people know about it. She explains, “The challenges are the emotional burden that we get while dealing with the patients, relatives, senior doctors and our seniors. It takes a lot to be calm and patient and go on. We have to always maintain a smile and show the confidence that everything is fine.” It came out most during the pandemic and it got really stressful too. “People were really scared to talk to each other. We nurses had to move the fear aside to help the people and make them recover from serious conditions. We have played a role in that and been by their bedside 24x7 because people didn’t want to come to the hospital,” adds the deputy chief at Gleneagles Hospital Mumbai, where she has been working for the last eight years.As more and more films and web series depict nurses as a part of the story, Sawant says she has seen them but is unhappy with the way they are depicted. “Nursing is a very advanced profession. We are into continuous training, education, audits, research – so many things. We have only been shown bedside, listening to the doctors and relatives. There needs to be more research in depicting them,” says the Mumbaikar. With several protests happening in the city and country from time to time, she believes nurses should be paid well monetarily, treated well and their talents need to be recognised.Also Read: Raj Kapoor, Lata Mangeshkar, Pandit Ravi Shankar: Mumbai's Gaylord reopens but carries a legacy with old-world charm and foodMaking a difference in people’s livesElsewhere in Mumbai, Dr Elizabeth Joseph, chief of nursing at Wockhardt Hospitals Mumbai Central, says even though dealing with patients is their daily job and may often be challenging, it is important for nurses to empathise with their patients, understand their needs, and provide comfort in times of vulnerability. “While the journey may be challenging, the rewards of touching lives and making a difference every day make it all worthwhile,” shares Joseph, who has been a nurse for three decades now.  It has changed a lot from the time she first started out thirty years ago. “My journey in nursing began with a subtle nudge from a friend who had already embarked on this path. Back then, career choices might not have been as clear-cut as they are today. However, fate led me to pursue nursing, and I found myself enrolled at SNDT, one of the most esteemed universities for aspiring nurses. While I didn't initially feel a profound calling towards this profession, stepping into it ignited a flame of passion within me.” Once she got into the thick of things during her days as a nursing student, she couldn’t tell night and day. She reminisces, “My days were spent in the halls of the bustling municipal and general hospitals (in Mumbai), where the shortage of nurses was palpable. The workload was staggering, leaving little time for doctors and nurses to connect with patients on a personal level. Yet, it was during these clinical postings that I discovered the essence of nursing — the ability to make a difference in someone's life every single day. Whether it was through small gestures of kindness or attentive care, I realised the profound impact nurses have on their patients' well-being.”  Even though nursing faces many different kinds of challenges that go beyond dealing with patients like attrition, which Joseph says has become a prominent issue, there is work to be done. One of the most important issues is ensuring patient safety amidst staffing shortages, which requires coordination and dedication behind the scenes. “From obtaining doctor's orders to coordinating medication delivery, every aspect of patient care demands meticulous attention to detail. It's crucial for people to recognise that while nurses are the primary caregivers directly interacting with patients, they also play a vital role in coordinating with various departments behind the scenes.” With nurses emerging as the frontline heroes during the pandemic, showcasing their crucial role in healthcare, the 58-year-old says there has been a heightened visibility that has led to a growing appreciation for their dedication and expertise. “As societal norms evolve towards greater equality, the nursing profession is rightfully gaining respect and recognition. However, there are still areas where progress is needed to ensure equitable opportunities and support for nurses,” she adds. Also Read: Why this Mumbaikar turned into a human indicator at Dadar stationChanging role of nurses todayOne of the easiest ways to do this, believes Lissymol Saji, nursing head at Wockhardt Hospitals Mira Road, is by raising awareness about the vital role of nurses in healthcare. In fact, it was what made her want to become a nurse. “I wanted to help people and make a difference in their lives. The best thing about being a nurse is the opportunity to provide compassionate care, and support to patients during challenging times,” she shares. Over the years, she has seen many different kinds of misconceptions play out in the hospital and outside of it. She explains, “One common misconception about nursing is that it’s all about following a doctor’s order.  However, the reality is that nurses play a crucial role in patient care, often making independent decisions and advocating for their patients.”  Even as they deal with these misconceptions, Saji agrees with Sawant as she says apart from emotional strain, nurses also face psychological strain as they regularly witness suffering,trauma and death, which disturb their mental state too like anybody else. “Nurses often work long shifts and sometimes without adequate breaks which can lead to physical exhaustion,” she adds. This may often escalate when dealing with family and friends of people in the hospital but her experience and training kicks in. “When dealing with stressed or angry family members, it’s important to remain calm, and empathetic, communicate effectively and listen to their concerns, provide information, and involve them in the care process by eliminating tension and building trust,” she explains.  Just like Saji even Dr Sneha Vaidya, regional director-nursing services, Western Region Apollo Hospitals, believes that people think nurses are just assistants to doctors but they are so much more than that as they don't just do basic tasks anymore and in fact are from a growing pool of specialised nurses who provide advanced care to patients. With Vaidya, who has over 26 years of experience, saying the challenging part of being a nurse is also maintaining a work-life balance. “We need to work in shifts and manage family at the same time and that becomes stressful sometimes,” she explains. Interestingly, the nurse has a big role model in her life. “My mother inspired me to be a nurse who was one of the pioneering nurses in her times enduring compassion and care,which eventually developed the confidence in me to take up this arduous role. The best thing about being a nurse is you can touch millions of lives,” she explains. In all this time, Vaidya says things have changed a lot and nurses have gained a lot of respect among the other medical professionals. However, there is still more room for improvement. “The fact that a nurse is more than an assistant to the doctor needs to be furthermore accepted in some of the pockets in the country especially out of tier 1 and 2 cities,” she concludes.

24 July,2024 03:04 PM IST | Mumbai | Nascimento Pinto
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Navi Mumbai gets new clinic focusing on health services for working women

Women and children are prone to many health issues. Working women, especially, have been facing pressing health concerns in recent times due to fast-paced lifestyles and poor dietary habits. These issues include stress, gynecological problems, etc. In response to these concerns, Medicover Hospitals in Navi Mumbai has introduced ‘SHE CLINICS’ exclusively for corporate working women. The clinic, along with the Women and Child Wing, will focus on the diverse healthcare needs of working women such as managing high-risk deliveries, painless labor, high and normal delivery, advanced laparoscopic surgeries for fibroids, endometriosis, adenomyosis, hysteroscopy for polyps and latest treatment for fertility issues.  Chief guest Honorable Dr Kavita Kishore Choutmol, Mayor of Panvel Municipal Corporation, inaugurated both facilities. An expert team including gynecologists, obstetricians, laparoscopic surgeons, pediatricians, fertility specialists, etc., will manage both the facilities.  "Diabetes, high blood pressure, polycystic ovary syndrome (PCOS), endometriosis, uterine fibroids, urinary tract infections (UTIs), vaginal infections, menopause, ovarian and cervical cancer are commonly seen in women aged 25-45 and demand timely intervention. SHE CLINICS will empower working women to lead healthier lives and successfully navigate their professional endeavors. This clinic will help working women improve their quality of life with tailor-made treatment plans,” highlighted Dr Kalpana Gupta, Senior Consultant Obstetrician and Gynecologist, Medicover Hospitals, Navi Mumbai. She added, “From prenatal care to pediatric services, the dedicated team ensures that every woman and child receives personalised attention and treatment through the newly established Women and Child Wing. Emotional support will also be provided to women battling pregnancy-related complications or children dealing with chronic illnesses.” Also Read: Monsoon health tips: The ultimate guide to ensure children’s physical and mental wellness in rainy season

23 July,2024 11:17 PM IST | Navi Mumbai | mid-day online correspondent
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Union Budget 2024: 'Advanced treatments are still expensive'

The Union Budget 2024 was announced earlier today and saw quite a few advancements that will shape the future of India. While experts dissect the many different areas that will see a significant impact, its impact on healthcare is promising, especially for cancer treatment, believe healthcare experts.  With a boost to healthcare, India's Finance Minister Nirmala Sitharaman, announced that three cancer medicines Trastuzumab deruxtecan, Osimertinib and Durvalumab have been fully exempted from custom duty for cancer patients. Further, there will also be changes in basic customs duty on X-Ray tubes and flat panel detectors for domestic X-ray machines's production.  With such important changes, spoke to India's healthcare experts to get their reactions. Reny Varghese, CAO, Zynova Shalby Hospital Mumbai Exempting three additional medicines from customs duties is set to ease the financial burden on cancer patients and their families opening doors to accessible treatment options and successful prognosis of the disease. Many patients are already facing financial crisis due to repeated hospital admissions, and long-term treatment, so exempting custom duties on these life-saving drugs will save lives, reach the patient faster, and will be affordable for them.  This is a great decision taken by the government to improve patient care and highlights its commitment to prioritize the health of the nation.  In parallel to this, adjusting the Basic Customs Duty (BCD) on x-ray tubes and flat panel detectors will be a game-changer move and will revolutionize diagnostic capabilities within medical facilities. This step will make these components affordable and will motivate local manufacturers to innovate and produce high-quality imaging equipment akin to international standards. The ripple effect of these initiatives in the budget will play a pivotal role in enhanced patient outcomes through timely diagnoses, and reducing the burden from the healthcare system. Anish Bafna, CEO and MD, Healthium Medtech The exemption of custom duties on the three additional cancer formulations is an industry-welcoming move towards patient centricity, easing the financial and socio-economic burden of the disease on patients. Additionally, the detailed changes in basic custom duties on medical equipments like X-rays and flat panel detectors under the government’s phased manufacturing programme will go a long way to bolster the domestic production capacity for local players. Such interventions from the government will propel conducive policymaking and enhance affordability and accessibility in healthcare, while supporting manufacturing and innovation in the medical sector. Tailored initiatives like Anusandhan National Research Fund for powering innovation, research and prototype development will encourage the spirit of self-reliance, promote talent and generate indigenous solutions in healthcare. Gautam Khanna, CEO P. D. Hinduja Hospital & President, Association of Hospitals, Mumbai and past Chair, FICCI Health Services While the finance minister’s union budget speech had comprehensive proposals on issues like job creation, manufacturing, power and infrastructure development, there were relatively fewer announcements for healthcare. The exemption of customs duty on three additional cancer medicines showcases a commitment to improving affordability and access to critical treatments, potentially alleviating the financial burden on patients battling this challenging illness. Concurrently, the synchronisation of Basic Customs Duty on X-ray equipment components with domestic manufacturing capacity demonstrates a nuanced approach to supporting local production while ensuring healthcare providers can access cutting-edge diagnostic tools. The initiatives to boost start-ups like angel tax abolition with help the development of new-age health-tech ventures, which have the potential to provide innovative healthcare delivery solutions.  Additionally, the announcement of setting up a medical college in Bihar is a welcome move, however, we would like to see faster implementation of this and similar proposals to set up medical colleges and nursing colleges announced in the previous budgets. There were however no big measures to boost the healthcare sector as a whole like GST, incentives for infrastructure development, health insurance, and faster implementation of national digital health mission." Dr Prasad Kasbekar, Onco Surgeon at Wockhardt Hospitals Mumbai Central The decision by the finance ministry to exclude certain cancer medications from customs duty is a very welcome step. Cancer is a major health problem in our country, with a significant number of patients succumbing to the disease due to the prohibitive costs of continuous treatments. By removing customs duty on specific cancer medications, the government is taking a crucial step toward making these life-saving drugs more affordable and accessible. This policy change has the potential to significantly reduce the financial burden on patients and their families, providing them with a better chance at survival and an improved quality of life. Cancer treatments are notoriously expensive, often requiring patients to undergo multiple cycles of chemotherapy, radiation, and other therapies over an extended period. The costs associated with these treatments can be overwhelming, leading many patients to forego or discontinue necessary care. The exclusion of customs duty on certain medications will help lower the overall cost of treatment, enabling more patients to access the medications they need. Furthermore, we hope that this initiative is just the beginning and that the government will continue to expand the list of exempted items to include more drugs, medicines, surgical instruments, and other essential items used in cancer treatments. This comprehensive approach would further alleviate the financial strain on patients and ensure that they receive the best possible care.  Particularly, advanced treatments such as immunotherapy and targeted therapy, which can cost patients lakhs per month or year, would become more affordable in the long term. These innovative treatments have shown great promise in improving outcomes for cancer patients, but their high cost remains a significant barrier to widespread use. By extending customs duty exemptions to these high-cost therapies, the government can help make them more accessible to a broader population, ultimately improving survival rates and quality of life for cancer patients across the country. ​Dr Vivek Talaulikar, COO Gleneagles Healthcare India The exemptions for essential cancer medicines and the rationalisation of customs duty rates are commendable, providing much-needed relief to patients and supporting domestic X-ray machine production. We appreciate the government's commitment to accessible and affordable healthcare for all. Overall, Budget 2024 reflects a comprehensive approach to healthcare, addressing both immediate needs and long-term goals. As a healthcare provider, we are optim​istic about the positive impact these initiatives will have on our patients and the broader community. Dr Aditi Agrawal,  Breast Onco surgeon and general surgeon, Wockhardt Hospitals Mira Road India is home to millions of cancer patients who are struggling to get treatment due to the financial crisis. Patients refrain from seeking treatment as it may seem unaffordable for many.  Exempting certain cancer treatment drugs from basic customs duties will transform the healthcare industry and increase affordability by ensuring timely treatment. By offering exemption, these drugs can be available for patient and their families and will help to reduce the burden of the disease. This budget has given that much-needed respite for cancer patients and is dedicated to improving the quality of life of patients. This budget will play a crucial role in revolutionizing cancer treatment and will be a boon for patients.  The budget is geared towards enhancing access to healthcare services and infrastructure in India. We support the allocations given in this budget that are aimed at improving the healthcare scenario in India.

23 July,2024 09:15 PM IST | Mumbai | Nascimento Pinto
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Rajasthan issues Nipah Virus alert after 14-year-old succumbs to virus in Kerala

Days after a 14-year-old boy succumbed to Nipah virus in Kerala, an alert for the deadly disease has been issued in Rajasthan, the officials said on Monday. Director of Health Directorate Dr. Ravi Prakash Mathur issued an order alerting all the medical college principals, CMHO and PMOs and instructing them to detect the suspected patients coming to the hospital and to share their information. Doctors have said that patients complain of severe headaches and fever. “Its symptoms can become severe over time. The risk of brain infection or encephalitis can increase due to this virus attack,” the doctors said. Instructions have also been passed to keep an eye on the passengers travelling from Kerala. The administration has also alerted the hotel operators to monitor the tourists coming from Kerala. The 14-year-old boy who died from the virus in Mallapuram district of Kerala exhibited Acute Encephalitis Syndrome (AES) symptoms and was admitted to a local healthcare facility before being transferred to a bigger health facility in Kozhikode. The Centre advised the state governments for active case searches in the family of the confirmed case, the neighbourhood, and areas with similar topography. The Central government also advised them for active contact tracing (for any contacts) during the past 12 days, strict quarantine of the contacts of the case and isolation of any suspects and collection and transportation of samples for lab testing. The outbreaks of Nipah Virus Disease (NiVD) have been reported in Kerala in the past, with the most recent one occurring in 2023 in the Kozhikode district. Fruit bats are the usual reservoir of the virus. (With inputs from IANS) Also Read: Vector control, hygiene & awareness key to combat Chandipura virus: Experts

23 July,2024 04:13 PM IST | Jaipur | mid-day online correspondent
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Union Budget: Experts urge govt to remove 18 pc GST on mental health services

The government must remove or limit the 18 per cent Goods and Services Tax (GST) on mental health services, and allocate resources strategically to help India become a mentally resilient society, experts said on the eve of Union Budget presentation on Monday.  Mental health is a key area of concern that can have a significant impact on the productivity and economy of the country. “Mental health issues are highly prevalent, yet are poorly managed and are affecting a significant number of our population. In the upcoming Budget, we urge the government to remove or reduce the 18 per cent GST on mental health services,” Jyoti Kapoor, founder & director of Manasthali Wellness, said. According to experts, with declining mental health, there has been an increase in the need for health insurance policies that cover both physical and mental health. Unfortunately, people are not reporting these conditions as the cost of the available medications and therapies often proves challenging. Divya Mohindroo, counselling psychologist, highlighted the need for comprehensive policies to handle India's mental health crisis and the need to increase the workforce in the sector. “Out of an estimated 150 million people needing mental health services, only fewer than 30 million seek help,” Mohindroo told IANS. “Lack of mental health professionals is crippling in India, with merely 0.3 psychiatrists, 0.07 psychologists, and 0.07 social workers available per 100,000 people,” she added. “There should be specific measures for mental health, and we are hopeful the Budget will prioritise this urgent issue. There is an immediate need to strengthen India's mental health workforce, with just one psychiatrist per two lakh people,” Mohindroo said. She also suggested “scholarships to train professionals to help reduce this gap”. The experts also suggested incorporating mental health services into healthcare insurance coverage. “While government centres receive some relief, private practitioners are left burdened. Extending tax benefits to private practitioners is crucial, given the high operational costs for the average therapist. In addition to acknowledging the financial difficulties experienced by private practitioners, this change would help lower the cost and increase public accessibility to mental health care,” Kapoor said. “This will help our citizens access mental healthcare without burdening them financially,” added Mohindroo. 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/ reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

23 July,2024 11:05 AM IST | New Delhi | IANS
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Sodium deficiency is seen in 70 per cent of older people above 60 years

Similar to how elevated sodium levels in the body can lead to high blood pressure, low sodium levels are also a cause for worry. Many individuals over 60 often experience sodium deficiency, known as hyponatremia, which poses significant health risks. Despite being a prevalent issue, there is a lack of awareness surrounding this condition, resulting in many cases remaining unnoticed. Increasing awareness and prompt intervention are crucial in addressing sodium deficiency and enhancing the well-being of elderly individuals. Sodium helps to maintain consistent blood pressure. It helps to balance the fluids in the body and also assists in activating muscles and nerves. Hyponatremia means low sodium levels in the body. The risk factors for it are kidney failure, congestive heart failure, low sodium in the diet, conditions of the lungs, liver, and brain, hormonal imbalance and endocrine system, past surgery, and certain medications.   “In adults, a normal blood sodium level is between 135 and 145 milliequivalents per litre. The incidence of heart disease has increased since post-Covid-era. And the use of diuretics is also high for heart disease.   When there is a sodium deficiency in the blood, the body's water content increases, resulting in swelling in the body. One can exhibit symptoms such as nausea, vomiting, headache, confusion, fatigue, restlessness, irritability, forgetfulness, drowsiness, muscle weakness, coma, and seizures due to the low sodium levels in the body.  Due to severe sodium deficiency, an individual may even lapse into a coma. This has the most effect on the brain because when the brain swells due to excess water, it can cause memory loss," said Dr Samrat Shah, Internal Medicine Expert, Apollo Spectra, Pune. Dr Shah added, “An 80-year-old man facing issues such as shortness of breath, difficulty in breathing, dizziness, and collapsed suddenly, and was admitted to Apollo Spectra Hospital in Pune for treatment. After examining the patient, he advised some blood tests. It was found that the patient's blood sodium level had dropped to as low as 101 mEq/L. Consequently, an attempt was made to increase the sodium level by utilising glucose. However, the patient's symptoms didn't subside,  there was a problem with his speech. Further tests were recommended. It was found that the patient's prostate gland was swollen and it was assumed that he was facing urinary issues. Due to low sodium levels, fits would occur. Prompt medical treatment was initiated on this patient, and the doctors were successful in keeping his blood sodium level balanced. Just like this patient, in the past 2 months, I have seen 10 patients with confusion 3 with seizures, and 2 with repetition of speech. Sodium deficiency is seen in 70% of older people above 60. For signs and symptoms such as confusion, speech problems, disorientation,  seizures, or coma, seek advice without any delay." "To treat sodium deficiency, it is important to limit the water intake as per the expert’s advice, treat underlying conditions promptly that are causing sodium deficiency, and adjust medication, diuretics, and salt intake. One will have to be alert and ensure to take care without compromising on health," highlighted Dr Shah. “Sodium deficiency cases are alarmingly rising in old age due to factors such as dehydration, reduced dietary intake of salt, taking diuretics, heart problems, chronic kidney disease and hypothyroidism. About 10 percent of the elderly are found to be sodium deficient. The complications associated with it are brain swelling, osteoporosis, bone fractures, coma, seizures, and death.  A blood and urine test can help to detect low sodium levels. After the confirmed diagnosis, the patient’s fluid intake will be monitored, the dosage of ongoing medication for managing any condition will be reviewed and hyponatremia is treatable with medications” Concluded Dr Aditya Sondankar, internal medician expert, Medicover Hospital, Pune. Dr Urvi Maheshwari, internal medicine expert, Zynova Shalby Hospital Said, ‘‘For the past few months, 25 to 30 patients had come for treatment with complaints of nausea, vomiting, headache, drowsiness, fatigue, lethargy. After medical examination these patients are found to be deficient in sodium. hyponatremia is more seen in elderly patients in those who have more water retention in body, due to long term medications, due to chronic heart, liver and kidney conditions. Symptoms usually seen are Nausea, vomiting, Headache, Confusion, Loss of energy, drowsiness and fatigue, Restlessness and irritability, Muscle weakness, spasms or cramps, Seizures and Coma. Treatment is reducing water retention from body, change of certain medicines which reduces sodium from body, giving more salt to patient, giving intravenous or oral sodium.’

23 July,2024 11:05 AM IST | Mumbai | mid-day online correspondent
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Economic Survey: Mental health disorders lead to 'significant productivity loss'

In a first, the economic impact of mental health was discussed in the Economic Survey 2023-24 tabled by the Union Finance and Corporate Affairs Minister Nirmala Sitharaman in Parliament on Monday.  The Survey talks extensively about mental health, its significance, and implications on policy recommendations. It also associated mental health disorders with "significant productivity losses". It is because the condition leads to "absenteeism, decreased productivity, disability, increased healthcare costs, among others". Citing the National Mental Health Survey (NMHS) 2015-16, the Survey noted that 10.6 per cent of adults in the country suffered from mental disorders. However, the treatment gap for mental disorders ranged between 70 per cent and 92 per cent for different disorders. It also showed a higher prevalence of mental morbidity in urban metro regions (13.5 per cent) as compared to rural areas (6.9 per cent) and urban non-metro areas (4.3 per cent). The Survey also pointed out poverty as a reason for increasing mental health issues among people. It showed that "stressful living conditions, financial instability, and a lack of opportunities for upward mobility contribute to heightened psychological distress". It also highlighted an increasing prevalence of poor mental health among adolescents exacerbated by the Covid-19 pandemic. Citing the NCERT’s Mental Health and Well-being of School Students Survey, it showed that 11 per cent of students reported feeling anxious, 14 per cent as feeling extreme emotion, and 43 per cent experiencing mood swings. The Survey noted key initiatives and policies such as the National Mental Health Programme and National Tele Mental Health Programme by the government to tackle the rising burden of cases. It also informed of increasing mental health professionals by sanctioning 25 Centres of Excellence to increase the intake of PG students. The government also provisioned mental health services for 22 AIIMS, also provided online training courses via digital academies to general healthcare medical and paramedical professionals. The Survey stresses important policy recommendations including redoubling efforts to increase the number of psychiatrists, and sensitising mental health at the preschool, and at the Anganwadi level to provide precious early identification of disorders. 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/ reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.

23 July,2024 10:35 AM IST | New Delhi | IANS
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Mumbai doctors revive premature baby born at 25 weeks

Heena Mishra (name changed), a 34-year-old homemaker from Mumbai, had been trying to conceive for ten years before successfully achieving pregnancy through IVF. However, her pregnancy was complicated by diabetes mellitus and anemia, and at 25 weeks, she experienced premature rupture of membranes, necessitating an emergency delivery. The baby, born weighing just 800 grams, cried immediately after birth but required immediate ventilation due to severe respiratory distress. Dr. Nitu Mundhra, Consultant Neonatologist & Pediatrician at Wockhardt Hospitals, Mira Road, led a team to retrieve the baby from the referring hospital. Upon arrival at the hospital, the baby received comprehensive care including medication for lung maturation and protection against infections and intraventricular hemorrhage. Despite developing necrotizing enterocolitis (NEC) at four weeks, a serious gastrointestinal condition common in premature infants, the team managed the condition with total parenteral nutrition, antibiotics, and supportive treatment. After 80 days in the NICU, the baby was discharged, weighing 1.8 kg, with normal neurological development and all tests within normal limits. The baby, now five months old, continues to achieve developmental milestones appropriate for his age. Dr. Mundhra expressed her satisfaction, stating, "Treating a 25-week baby is extremely challenging, with new complications arising daily. I am grateful to our entire team, including neonatal fellows (Dr. Sagar and Dr. Shishir), Pediatric Registrars, Nurses, respiratory therapists, and physiotherapists, for their dedication. The smile on the parents' faces when we handed over their healthy baby is the greatest reward for our efforts." “The arrival of our first child brought us immense joy, but it was short-lived due to complications faced by our premature baby. Fortunately, our little one is now thriving and reaching developmental milestones appropriate for his age. We thank the team of expert doctors who saved our baby’s life,” concluded Heena Mishra (name changed), mother of the baby. Also Read: Children’s health during monsoon: Experts share ways to ensure wellness

22 July,2024 06:16 PM IST | Mumbai | mid-day online correspondent
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Vector control, hygiene & awareness key to combat Chandipura virus: Experts

Experts have said that vector control, hygiene and awareness are the key measures against the Chandipura virus and Acute Encephalitis Syndrome (AES) cases in Gujarat, Rajasthan and Madhya Pradesh. In Gujarat, symptoms of Chandipura virus were found in kids which has caused some scare. Professor Atul Goel, Directorate General of Health Services (DGHS), Union Health Ministry, and Director of National Centre for Disease Control (NCDC), along with experts from All India Institute of Medical Sciences (AIIMS) , Kalawati Saran Children's Hospital, and National Institute of Mental Health & Neurosciences (NIMHANS) reviewed the Chandipura virus and AES cases. They concluded that infectious agents contribute to only a small proportion of AES cases across the country, said the Ministry of Health. They emphasised the need for comprehensive epidemiological, environmental, and entomological studies of the AES cases reported in Gujarat. "A multidisciplinary central team from NCDC, Indian Council of Medical Research, and Department of Animal Husbandry & Dairying (DAHD) is being deployed to assist Gujarat with these investigations," said the Ministry. Chandipura Virus (CHPV) is a member of Rhabdoviridae family known to cause sporadic cases and outbreaks in western, central, and southern parts of the Country, especially during the monsoon season. It is transmitted by vectors such as sand flies and ticks. The disease affects mostly children under 15 years of age and can be present with a febrile illness that may in some cases result in death. AES is a group of clinically similar neurologic manifestations caused by several different viruses, bacteria, fungi, parasites, spirochetes and chemicals/toxins. The known viral causes of AES include JE, Dengue, HSV, CHPV, West Nile, etc. Also Read: Children’s health during monsoon: Experts share ways to ensure wellness 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/ reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever

22 July,2024 04:54 PM IST | New Delhi | IANS
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Jasmine Bhasin corneal damage: All you need to know about the eye condition

Actor Jasmine Bhasin recently revealed suffering from corneal damage caused by her contact lenses. She complained about experiencing pain after wearing the contact lens at an event in Delhi, which escalated and ended up damaging her vision temporarily. She later took to her Instagram to share that she was gradually recovering from the health scare. As contact lenses have come to occupy an important role for both cosmetic and vision correction purposes, it is important to study their impact and take steps to ensure proper use. Contact lens, if not used properly, can cause various eye problems. In view of the recent incident, experts share advice and suggest ways to avoid eye problems related to lenses. Common symptoms of corneal damage Common symptoms of corneal damage include sharp, stabbing pain worsened by blinking or light exposure, redness, blurred or cloudy vision, light sensitivity, excessive tearing or dryness, and mucus-like discharge. “Visual distortions such as halos around lights may occur. If you experience any of these symptoms, consult an eye care professional immediately,” Dr Neeraj Shah, Chief Medical Officer and Consultant, Sankara Eye Hospital, Jaipur suggested. Maintaining proper hygiene and regular eye checks is key Dr. Bhavya Reddy from Aster Whitefield Hospital stressed the need to maintain hygiene, use lenses appropriately, and avoid contaminants. “The key pointers include washing hands before lens handling, fresh cleaning solution usage, and disposing of any irritating contacts immediately. Take off the lens immediately and get a quick checkup with an ophthalmologist if you suspect redness, irritation, and pain soon after when wearing contact lenses. Always keep a pair of backup spectacles,” Dr. Reddy said. The experts advised following proper guidelines on lenses. Buy contact lenses of the correct size and fit. Maintain hygiene by washing hands before handling the lenses. Adhere to the recommended wear schedule; lenses are made of materials that determine their safe wear time. Avoid sleeping in lenses unless prescribed. Schedule regular eye check-ups to monitor eye health and lens fit. (With inputs from IANS) Also Read: Cold facts about skin icing: Just a fad or here to stay?

22 July,2024 04:27 PM IST | Mumbai | mid-day online correspondent
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