Childhood immunisations and low-cost prevention and treatments combined with new health technologies may help reduce premature deaths by 50 per cent, according to a new study published by The Lancet Commission on Tuesday. The report laid out a roadmap for every nation that chooses to do so to cut the chance of premature death for its citizens in half by 2050. “The goal of “50 by 50,” is achievable”, argues the report. If every country achieves the goal, then, a person born in 2050 would have only a 15 percent chance of dying before age 70, down from 31 per cent for someone born in 2019. It suggested measures such as “expanding childhood immunisations and low-cost prevention and treatments for common causes of preventable death, combined with scaling up financing to develop new health technologies”. Since 1970, about 37 countries have cut the probability of their citizens dying before they reach age 70 in half -- a milestone that signals the remarkable progress many countries have made in preventing and treating disease. “Today, the case is better than ever for mortality reduction,” said Gavin Yamey, director of the Duke University Center for Policy Impact in Global Health (CPIGH), who led the writing of the commission report. “It’s a prize within reach. It will have extraordinary health, welfare, and economic benefits. Reaching ‘50 by 50’ would reduce mortality and morbidity, help grow economies, and alleviate poverty,” Yamey added. The report urged countries to prioritise the 15 health conditions that cause most premature deaths -- including tuberculosis and respiratory infections, diabetes and cardiovascular disease, and other issues such as accidents and suicide. The researchers said that significant gains can be made in public health by "subsidising the costs of essential medicines, diagnostics, vaccines, and that address these 15 conditions. The report also called for increased taxation on tobacco products, unhealthy foods and drinks, and fossil fuels, which the researchers said would both reduce illness and death attributable to those products and raise revenue that can be reinvested in health systems. 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.
16 October,2024 02:12 PM IST | New Delhi | IANSRenowned gynaecologist Dr. Kotha Ushalakshmi, who was the inspiration behind Ushalakshmi Breast Cancer Foundation and KIMS-Ushalakshmi Centre for Breast Diseases passed away in Hyderabad on October 15. She was 91 years old. Born in 1933 in Guntur, she has been one of the most renowned gynaecologists from the Telugu states. Her only son and eminent breast surgeon Dr Raghu Ram said she passed away due to heart failure. Ushalakshmi graduated and later obtained her Postgraduate qualifications (DGO & MD) from Guntur Medical College. She worked as Professor of Obstetrics & Gynecology in Hyderabad, with the longest innings at Niloufer Hospital. “Although breast cancer was an unwelcome visitor in her life at the age of 69, she fought the disease with extraordinary courage and fierce determination. A brave and gritty breast cancer conqueror, She resolved to make a meaningful difference in the delivery of breast cancer care in India,” he said. With a vision to empower women about the importance of early detection of breast cancer and to start a population-based breast cancer screening programme, she founded Ushalakshmi Breast Cancer Foundation, a ‘not-for-profit breast cancer charity in September 2007. Her son Dr. Raghu Ram, a Padma Shri awardee, founded KIMS-Ushalakshmi Centre for Breast Diseases, which is South Asia’s first, free purpose-built comprehensive Breast Health Centre. During the last 17 years, he launched several unique and pioneering initiatives which attracted national and international recognition. The Association of Breast Surgeons of India (ABSI) instituted an annual “Dr.Ushalakshmi Oration” to honour her extraordinary contribution to breast cancer advocacy in the country. On September 29, Telangana Chief Minister A. Revanth Reddy felicitated Dr Kotha Ushalakshmi at the Pink Power Run 2024 organised to raise breast cancer awareness. 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.
16 October,2024 01:51 PM IST | Hyderabad | IANSIn a remarkable display of medical expertise and patient resilience, an 85-year-old woman has made a full recovery after undergoing a complex surgery for ovarian cancer at Jaslok Hospital & Research Centre in Mumbai. Savitri Agarwal was initially diagnosed through a CT Scan with an ovarian mass two months prior, when her grandson brought her to Dr Vishnu Agarwal. While surgery was recommended, the family grappled with the decision due to the octogenarian's advanced age and the associated risks. Unfortunately, Savitri's condition deteriorated rapidly. A month later, she was admitted to Jaslok Hospital with severe vomiting, abdominal pain, and intestinal blockage caused by the growing tumour. Her condition was critical, leaving her with a life expectancy of mere weeks if left untreated. A CT scan showed that the ovarian mass has blocked the intestine and she was not passing stool and everything was coming out in vomiting and abdomen was bloated not only because of mass but also because of intestinal obstruction. After extensive discussion with relatives Dr Agarwal, along with Dr Vivek Shetty and a skilled medical team, made the courageous decision to operate despite the significant risks posed by Savitri's age, frailty, and the complexity of the surgery. The extensive cytoreductive surgery involved removing the large ovarian mass, which was firmly attached to surrounding organs, necessitating the removal of part of her colon and spleen. The seven-hour surgery was a success with Savitri tolerating the procedure well and experiencing no complications. Under the expert post-operative care of Dr Shruti Tandon, intensivist at Jaslok Hospital, she recovered swiftly. Savitri was transferred from the ICU to the ward within two days, began walking the next day, and was discharged within a week. Today, she is living a normal life, enjoying a full diet and engaging in her daily activities, underlining the importance of clinical expertise, timely intervention, even in elderly patients, when surgery offers a chance of cure. Dr Agarwal, consultant, surgical oncology & robotic surgery at the hospital emphasises, "Age should never be a barrier to life-saving treatment. While Savitri's case presented significant challenges, timely intervention offered her a chance to cure. This underscores that even in complex cases involving elderly patients, bold decisions and timely surgery can lead to full recoveries." "Upon receiving my diagnosis, I was nervous about the possibility of undergoing surgery at my age. However, Dr. Agarwal and the entire team at Jaslok Hospital instilled in me a sense of hope and confidence. Their compassion and unwavering dedication were truly remarkable. Thanks to their expertise, I am now able to enjoy life to the fullest with my loved ones. My message to others is this: never give up hope, regardless of your age." shared Savitri. Dr. Milind Khadke, director of medical services at the hospital, stated, "This case is a testament to the extraordinary strides in modern medical science and the resilience of our patients. Savitri Agarwal's successful recovery, despite her advanced age, highlights our hospital's commitment to providing top-tier, comprehensive care for all our patients. Jaslok believed that age should not be a limiting factor in pursuing treatment when there's an opportunity to improve quality of life. Our dedicated and well-trained team, coupled with quality nursing care and cutting-edge technology, is proud to be a part of her journey to recovery.
16 October,2024 01:35 PM IST | Mumbai | mid-day online correspondentSenior people who are socially isolated are more likely to have an insufficient intake of key micronutrients such as vitamin C and vitamin B6, increasing their risk of health problems, according to a new study. The researchers from University College London (UCL) found that people who were more socially isolated were more likely to have a lower than recommended intake of five micronutrients that are essential for health: magnesium, potassium, vitamin C, folate and vitamin B6. These micronutrients are typically found in small quantities in fruit, vegetables, legumes (such as peas, beans and lentils) and fish, suggesting a diet lacking in these food sources. “This is important as inadequate intake of these micronutrients puts people at greater risk of health problems as they get older,” said professor Andrew Steptoe from UCL Behavioural Science and Health in the study published in the journal Age and Ageing. One explanation for this link is that if people are more isolated, they might not have others around them to provide information about what is healthy and encourage a more varied diet. Older people also tend to stick to diets they know and might not vary their foods as much as they used to, said the authors. Researchers used data from the English Longitudinal Study of Ageing (ELSA), in which a nationally representative population sample in England answers a wide range of questions every two years. The respondents were scored on how socially isolated they were, based on whether they lived alone, how frequently they saw friends and relatives outside their household, and whether they took part in any clubs or organisations. The team found that a one-point increase in participants’ social isolation score was linked to a higher likelihood of inadequate intake of five out of nine key micronutrients two years later. Social isolation was not linked to a higher likelihood of inadequate calcium, iron and vitamin B12, micronutrients largely derived from meat, eggs and dairy. This suggested that people who were less socially connected in the study may be more likely to have a more traditional diet with fewer vegetables (such as dark leafy greens), fruit, nuts, seeds and legumes. Also Read: A guide to when and how to change your therapist 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
16 October,2024 12:43 PM IST | Mumbai | IANS
Last week, a Kanpur couple's fraud of promising people an anti-ageing therapy came to light after a complaint was filed against them by one of the victims who suffered loss of money. Duping many people 35 crore, according to reports citing the investigation, they offered people 'Hyperbaric Oxygen Therapy' inside a "Time machine" that could make 65-year-olds feel like 25-year-olds again. It was also reported that the machine for the therapy that was said to be made in Israel was later found to be made in the city of Uttar Pradesh itself. Anti-ageing therapies are not new and their promise of making people look younger is very alluring and tempting for people who want to look young. However, they may often jump at it without enough information about the therapy. With the popularity of anti-ageing therapies over the years, mid-day.com spoke to Dr Shareefa Chause, a dermatologist at Shareefa Skin Care Clinic in Mumbai, and Dr. Shraddha Deshpande, an aesthetic, plastic, and reconstructive surgeon, at Wockhardt Hospitals in Mumbai Central, to shed light on Hyperbaric Oxygen Therapy. They not only highlight the benefits of the therapy but also warn about the side effects and the need to check with a medical professional before going ahead with anti-ageing procedures. What is hyperbaric oxygen therapy and how is it done? Chause: HBO2 therapy consists of using pure oxygen at increased pressure (3 atmospheric pressure) leading to increased oxygen levels in blood and tissue. It is done in case of serious wounds, burns, and infections. Deshpande: Patients typically sit or lie in a sealed chamber, and the increased pressure allows more oxygen to reach damaged tissues, promoting healing and reducing inflammation. What are the known benefits of hyperbaric oxygen therapy? Chause: Hyperbaric oxygen therapy consists of breathing pure oxygen in a pressurised environment. Moreover, this therapy is useful for skin grafts and flaps, and wound healing, it also helps for anti-ageing, as it helps in angiogenesis (formation of new blood vessels) and even gangrene. Deshpande: HBOT is known to accelerate wound healing, treat carbon monoxide poisoning, and help manage conditions like diabetic foot ulcers, decompression sickness, and certain infections. The therapy also promotes tissue regeneration by increasing oxygen delivery to cells, aiding recovery from injuries and surgeries. What are the side effects of hyperbaric oxygen therapy? Chause: The side effects of this therapy involve trauma to the middle ear, low blood sugar, sinus problems, chest pain (rarely), and claustrophobia in some patients. It is imperative to take the therapy under a certified expert. Deshpande: Common side effects include ear discomfort, sinus pain, or temporary vision changes due to pressure variations. In rare cases, oxygen toxicity, lung collapse (pneumothorax), or seizures may occur if the therapy is misused or conducted inappropriately. Is it safe to do this kind of oxygen therapy? Are there other kinds? Chause: It is safe if a medical professional person is doing this procedure under their guidance and in a hospital setup. One can surely opt for it on the recommendation of the doctor. Deshpande: HBOT is generally safe when administered by trained professionals. However, it may not be suitable for everyone. Other oxygen therapies include supplemental oxygen therapy for respiratory conditions. Always consult a healthcare provider to determine the appropriate therapy. What should people keep in mind while opting for this therapy? Chause: Before starting this therapy, a detailed history should be given to the doctor, especially if they are having any kind of ear or lung problems. High-risk patients having respiratory issues should avoid this therapy. Deshpande: Before opting for HBOT, ensure it's administered in a certified facility under medical supervision. Discuss your medical history with your doctor, particularly lung, ear, or sinus issues. Avoid self-administered treatments and understand the possible risks and benefits. Can people look for certain certifications from the people doing it? Chause: Yes, as I mentioned, earlier a medical professional person will do such kind of procedure under their guidance, cause if anything happens then they know what exactly they have to do. Deshpande: Yes, ensure the facility is accredited by relevant health authorities, such as the Undersea and Hyperbaric Medical Society (UHMS). Medical personnel should be certified in hyperbaric medicine and have proper training to administer the therapy safely. What are the different anti-ageing therapies or treatments available today? Chause: There are many therapies and treatments available for antiaging. Starting from basic supplements to creams, lasers, and procedures like Botox and fillers. One has to choose the right kind of treatment with the help of an expert and follow the guidelines for optimum results. Deshpande: Common anti-aging treatments include Botox, dermal fillers, laser therapies, chemical peels, and microneedling. Non-invasive options like PRP (Platelet-Rich Plasma) and radiofrequency therapy are also popular. Additionally, supplements, skincare products, and lifestyle changes contribute to anti-aging efforts. What is the purpose of these anti-ageing therapies and do they even work? Chause: The purpose of anti-ageing therapy is to delay the appearance of wrinkles and fine lines. Furthermore, yes it does help but you have to add lifestyle modifications for better results such as exercising eating a well-balanced diet and staying stress-free by doing yoga and meditation. Deshpande: Anti-aging therapies aim to reduce the visible signs of aging, like wrinkles, fine lines, and sagging skin. Many treatments, such as Botox or fillers, provide temporary results, while others promote long-term skin health. Effectiveness varies depending on the therapy and individual factors. Who shouldn't be opting for anti-ageing therapies? Chause: Anybody can opt for anti-ageing treatment because there are many treatment options available, if one is not suitable for you then you can go for another. Let your doctor decide what works best for you the best. The therapy should strictly be done under skilled experts. Everyone should be empowered to make informed choices for successful outcomes. Deshpande: Individuals with certain health conditions, skin allergies, or infections should avoid anti-aging treatments. Pregnant or breastfeeding women should also consult a doctor before undergoing such therapies. Always consult with a medical professional to assess personal suitability. With a lot of therapies going viral online, is it safe to believe them? Chause: No, it is not safe to believe the therapies that are going viral online. While one may suit some people, it will not suit others. It is because everybody has different skin types, so they have to select the product or procedure according to their skin concern by consulting their doctor. Don’t just follow anyone or any trend blindly. Deshpande: Not all viral therapies are backed by scientific evidence. Always verify treatments with credible medical professionals before trying them. Avoid DIY or non-professional procedures as they can be unsafe, ineffective, or cause harmful side effects. Also Read: Ratan Tata reportedly had hypotension; Mumbai doctors highlight why you should take low blood pressure seriously
16 October,2024 11:38 AM IST | Mumbai | Nascimento PintoWhile the most common presentation in breast cancer is a lump in the breast, it can occur even without any noticeable symptoms, said doctors on Tuesday while urging for self-examination and screening. October is celebrated as breast cancer awareness month. Breast cancer is the most common cancer among women in India. With a high mortality rate, it is a major public health concern in the country. As per a recent ICMR study, breast cancer cases and deaths are expected to rise in India by 2045. However, the key is to detect the cancer in its early stages to help boost treatment outcomes as well as survival rates, said the experts. “Although most common presentation in breast cancer is lump in the breast, it can also present as swelling or lumps under the arm or near the collarbone, nipple discharge (clear, bloody, or yellowish), changes in skin over breast (dimpled, thickened, or appear like an orange peel),” Dr. Abhishek Shankar, Assistant Professor, Department of Radiation Oncology, Dr BR Ambedkar Institute Rotary Cancer Hospital at AIIMS, Delhi, told IANS. “Redness or rash over skin over breast or nipple, inverted nipple, changes in breast size and shape and pain in breast” are also symptoms of the deadly cancer, the doctor added. As per ICMR, breast cancer cases account for 28.2 per cent of all female cancers in India in 2022. The five-year survival rate for breast cancer in India is 66.4 per cent. Breast cancer can be early detected and early diagnosed. It can be early detected with screening tests and mammography is the standard recommended screening test that gives mortality advantage. As per the United States Preventive Services Task Force updated guidelines in 2024, it is recommended to start at 40 years of age after every 2 years. “One can have breast cancer even without any noticeable symptoms. That is why the role of screening through mammograms or breast MRI is important, as it has been shown to reduce mortality by over 30 per cent,” Dr. Divya Sehra Consultant - Gynaecologic Oncology, Manipal Hospital Dwarka, New Delhi, told IANS. Common signs and symptoms, apart from breast lumps, include changes in the shape or contour of the breasts, making mirror examinations useful. “Skin changes, such as redness and pain, are common when the tumour grows towards the skin. Generalised symptoms like unexplained weight loss, back pain, or pain in the upper right side of the abdomen may be present in metastatic cancers,” Sehra said. Shankar noted that breast self-examination and clinical breast examination can help to diagnose breast cancer at an early stage. Clinical breast examination is being adopted for community-based breast cancer screening under the National Programme on Prevention and Control of Noncommunicable Disease (NP-NCD). How to prevent the risk? Breast cancer is a disease of women in which risk prevention is possible by modifying the risk factors like late age of marriage, late age of childbirth, no children, and use of oral contraceptive pills. “In high-risk individuals, chemoprophylaxis with hormonal tablets can help to reduce the risk but it is not advocated in general as it’s not cost-effective and also has side effects,” Shankar said. The experts also recommended genetic testing in case of family history. Other ways to prevent the risk include maintaining a healthy lifestyle, with a diet rich in fibre and antioxidants, while avoiding alcohol and red meat. Also Read: Breast Cancer Awareness Month: Fear of test results delays breast cancer diagnoses, say Mumbai doctors 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
15 October,2024 04:42 PM IST | Mumbai | IANSCancer and dementia are the major risk factors that increase the risk of mortality among patients with sepsis admitted to the emergency medical department, according to a study on Tuesday. Sepsis is a life-threatening emergency caused by a dysregulated host immune response to an infection that claims millions of lives globally each year. The study led by a team of Danish researchers found that age and heart disease were the other reasons that can raise the risk of death in sepsis patients within two years. “We found that certain factors increased the risk of death after sepsis, including, not surprisingly, advanced age,” said Dr. Finn E. Nielsen, a senior scientist in the Department of Clinical Epidemiology at Aarhus University Hospital, Denmark. “Additionally, conditions such as dementia, heart disease, cancer, and previous hospitalisation with sepsis within the last six months before admission also elevated the risk of dying during a median follow-up period of two years,” Nielsen said. In the paper, presented at the European Emergency Medicine Congress in Copenhagen, the team examined deaths over a long follow-up period in a prospective study of 714 adult patients admitted to the emergency department with sepsis between October 2017 and the end of March 2018. The team found that after a median of two years, 361 (50.6 per cent) of the patients with sepsis had died from any cause, including sepsis. Older age increases the risk of death by 4 per cent for every additional year of age. Furthermore, a history of cancer more than doubled the risk (121 per cent), and ischaemic heart disease (a condition in which the arteries supplying blood to the heart narrow or become blocked by a build-up of fat) increased the risk by 39 per cent, dementia increased the risk by 90 per cent, and previous admission with sepsis within the last six months increased the risk by 48 per cent. “Recognising that sepsis is a serious illness with high mortality is crucial,” Nielsen said. As the study was carried out in a single centre, further research in larger, prospective studies is needed, the team said. Also Read: World Sepsis Day: Early diagnosis and treatment key to navigate this life-threatening infection 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
15 October,2024 12:49 PM IST | Mumbai | IANS
Last week, Indian industrialist Ratan Tata passed away at 86 on October 9 due to age-related issues. This was two days after he was admitted to Breach Candy Hospital on October 7. While the exact cause of his death isn’t known, several media reports are speculating that it was due to low blood pressure, also known as hypotension, after he was admitted for dyspnea, which is shortness of breath. While the cause may not be known, it highlights the need to know more about low blood pressure. Interestingly, there is a day dedicated to high blood pressure, more popularly called as World Hypertension Day that is observed on May 17 every year. Dr Aklesh Tandekar, head consultant, critical care, Wockhardt Hospitals in Mira Road, explains, “People tend to take low blood pressure levels lightly in comparison to high blood pressure levels. Low blood pressure can be dangerous if neglected. This is because the symptom of low blood pressure mostly includes dizziness and fainting which can make these people more prone to severe falls and accidents. This is why it's crucial to take low blood pressure seriously and take proactive steps to maintain it.”It is also why he says Individuals are advised to actively track their blood pressure levels. The need for older people to pay more attention is important among old people as blood vessels start to lose their flexibility as they age.With the recent developments, mid-day.com spoke to Dr Koulsoum Houssein, General Medicine, Holy Family Hospital in Bandra, and Dr Hemalata Arora, senior consultant, Internal Medicine, Nanavati Max Super Speciality Hospital in Vile Parle West to raise awareness about low blood pressure. The city-based health experts not only highlight the causes and effects but also why people need to take it seriously by taking the necessary steps to deal with it in time.What is considered low blood pressure and how is it caused?Houssein: Low blood pressure, or hypotension, is a systolic pressure of fewer than 90 mmHg or a diastolic pressure of less than 60 mmHg. The causes include dehydration, loss of blood, medications, hormonal imbalances, and neurological disorders. Poor nutrition, deficiencies in vitamins, and some diseases, anaemia, and diabetes can also cause low blood pressure. In some cases, the reason behind this condition is not known. Arora: However, it can be naturally low in some individuals without causing any issues. Common causes include dehydration, infections, hormonal imbalances (such as adrenal insufficiency), and certain medications like diuretics, beta-blockers, or antidepressants. It may also result from prolonged bed rest, nutritional deficiencies, or underlying medical conditions. What are the symptoms of low blood pressure in the body?Houssein: Some of these symptoms of low blood pressure include dizziness, fainting, fatigue and weakness, nausea, palpitations, breathlessness, pale and clammy skin, less urine output, or problems with mental function. Arora: People with low blood pressure often experience chronic fainting, dizziness, blackouts, light-headedness, fatigue, and blurred vision, especially when standing up too quickly (a condition known as orthostatic hypotension). These symptoms occur due to reduced blood flow to the brain. What are the effects of low blood pressure? Houssein: Low blood pressure can severely affect the body, particularly in terms of inadequate blood flow to vital organs. This can easily lead to a reduction in oxygenation and a nutrient delivery rate, thus causing organ damage or eventual failure. Low blood pressure is the opposite of high blood pressure and may lead to decreased cardiac output and reduced peripheral resistance. This risks shock and cardiac arrest compared to increased cardiovascular risk with high blood pressure. Low blood pressure also leads to some damage to cognitive functions, and it increases the fall rate as well as injury rates. At the same time, the general quality of life is affected. Arora: Low blood pressure can lead to symptoms like dizziness, fainting, and fatigue due to reduced blood flow to vital organs, potentially impacting daily functioning. On the contrary, high blood pressure (hypertension) exerts increased force against artery walls, which can lead to long-term complications such as headaches, neck strain, vision problems, cardiovascular disease, kidney damage, and stroke. Unlike hypotension, hypertension often has no symptoms until severe damage occurs. Can friends and family help people dealing with low blood pressure?Houssein: Low blood pressure patients also require support from their loved ones. Their close friends and family can call them anytime to get their blood pressure checked from time to time, remind them about keeping themselves hydrated and consuming nutritious food, and support them emotionally so that they don't get stressed. The friends can make much of the work lighter by helping them out with grocery purchases, cooking, reminding check-up dates, and also teach how to do some first aid during fainting or other emergencies. There should be coordination between individuals with a low blood pressure level so that they can control their condition and avoid complications. Arora: All individuals with chronic low blood pressure should inform their family members, colleagues and friends about the condition and prescribed management protocol to ensure correct measures are taken during any emergency. To manage low blood pressure, it’s important to stay well-hydrated by drinking fluids rich in electrolytes, such as oral rehydration solutions, coconut water, or sports drinks. Compression stockings can help improve circulation and prevent blood from pooling in the legs. If someone feels faint, they should be helped to lie flat with their legs elevated above heart level to restore blood flow to the brain. Family members can encourage frequent small meals, and a balanced diet with adequate salt, and ensure they avoid sudden posture changes. Which age group is most affected by low blood pressure and why?Houssein: Low blood pressure is more prevalent in aged persons or more than 65 years. The causes of these elevations include declining states of blood pressure regulation with age, undesirable side effects of the given drugs, and some chronic disorders such as diabetes and heart disease. Less chance of physical activity, poor diet, and dehydration are other causes. For that reason, aged patients should be monitored regularly and their blood pressure managed to prevent complications. Arora: Low blood pressure is more common in women aged 15-50 years due to hormonal fluctuations, pregnancy, and menstruation-related blood loss. Older adults (aged 75 and above) are also at higher risk, partly due to age-related physiological changes and the use of multiple medications, which can lead to postural hypotension. Does low blood pressure occur in one particular gender more than the other?Houssein: Low blood pressure can be experienced by both genders, though some are at higher risk than others. Pregnant women are among them, because of the hormonal changes in their system. Another condition causing the same risk is menstrual disorder. This is when a woman experiences excessive bleeding in her menstrual cycle. Women are at a higher risk for another term of hypotension: orthostatic hypotension or postural hypotension. In this condition, the blood pressure drops once a person is upright. Who is most vulnerable to low blood pressure and why?Houssein: More individuals with pre-existing medical conditions, including diabetes and heart disease, are predisposed to the condition, because of low blood pressure. Certain medications, too, such as diuretics and beta-blockers also have a risk-increasing effect. Some of the other vulnerable populations include older adults, poor nutrition and hydration, and neurological disorders, such as autonomic nervous system dysfunction. Arora: Women between the ages of 15-50 and older adults (75+) are particularly vulnerable to low blood pressure. Contributing factors include hormonal changes, pregnancy, dehydration, and certain chronic medical conditions. Older adults are prone to age-related changes in the autonomic nervous system, impaired thirst sensation, and the increased use of medications that affect blood pressure. Also Read: World Arthritis Day 2024: Why more young people are developing arthritis How can people avoid getting low blood pressure?Houssein: Preventive measures for low blood pressure include hydration and copious fluid intake, a balanced nutritional diet with all the required nutrients in it, and regular physical exercises. Management of stress through adequate relaxation, monitoring of blood pressure, and abstinence from excessive alcoholic beverages will help to maintain healthy blood pressure levels as well. Getting proper sleep, therefore, is also one of the precepts for keeping an individual's blood pressure healthy. Least consumption of sodium also plays a role in maintaining healthy blood pressure.Arora: Preventing low blood pressure involves maintaining proper hydration by drinking water and electrolyte-rich fluids, especially in hot weather or during physical activity. Standing up slowly, especially from sitting or lying positions, can prevent postural hypotension. Regular light exercise, such as walking or stretching, helps improve circulation. Including a balanced diet with adequate salt intake (in moderation and as advised by a healthcare provider) can also help maintain stable blood pressure levels. What makes low blood pressure dangerous for people and do people take it for granted? Houssein: Untreated low blood pressure can lead to serious consequences, including damage or failure of organs, a higher risk of falling and associated injuries, and decreased quality of life. People also underestimate the severity of this disease, which makes them forget their symptoms, further worsening the outcome. It is thus essential that the symptoms be presented in a hospital in case they persist or aggravate. Low blood pressure is also dangerous because it can lead to giddiness and falls which is one of the leading causes of fractures, especially in old people. Arora: Low blood pressure can be dangerous because it may cause sudden fainting, even without exertion, which can lead to falls and serious injuries, particularly in older adults. Severe hypotension can result in shock, a life-threatening condition that requires immediate medical attention. Despite these risks, many people tend to take low blood pressure lightly, especially if they’re asymptomatic, ignoring the potential for dangerous situations like falls or reduced blood flow to essential organs. Can food help in maintaining blood pressure? Houssein: Yes, a healthy diet can maintain blood pressure. It is important to eat vegetables like spinach and kale, which are rich in potassium; berries like blueberries and strawberries, which are rich in antioxidants; fatty fish, salmon, and tuna, which are rich in omega-3 fatty acids; nuts and seeds like almonds and pumpkin seeds, which are rich in magnesium; grains like brown rice and quinoa, which are rich in fibre; meats like chicken and turkey, which are rich in vitamin B12; foods rich in B vitamins: like eggs and dairy; some foods rich in omega-3 like flaxseeds and walnuts.It is also important to limit sodium consumption and avoid excessive intake of coffee. Arora: Yes, certain foods can help maintain blood pressure. A diet rich in fresh fruits and vegetables (such as bananas and leafy greens) provides necessary vitamins and minerals. Foods high in sodium, such as olives or pickles, may help raise blood pressure, though should be consumed in moderation. High-protein foods like eggs, fish, and lean meats, as well as complex carbohydrates like whole grains, are also beneficial. Drinking adequate water and consuming electrolyte-rich drinks help maintain blood volume, thus stabilising blood pressure.
15 October,2024 12:10 PM IST | Mumbai | Nascimento Pinto
According to World Health Organization (WHO), breast cancer was the most common cancer in women in 157 countries out of 185 in 2022. Around 2.3 million women were diagnosed with breast cancer and it caused 6,70,000 deaths globally. The numbers also paint a worrisome picture closer home. According to data from National Centre for Disease Informatics and Research (NCDIR) – National Cancer Registry Programme, there were 2,21,579 breast cancer cases among females in India in 2023 and an estimated 82,429 deaths due to the condition. While the disease majorly affects females, approximately 0.5–1% of breast cancers occur in men. Despite the severity and mortality rate of breast cancer, timely diagnosis and subsequent treatment remains a key challenge. Every year, October is observed as Breast Cancer Awareness Month to disseminate accurate information about the condition and raise awareness about the prevention and routine screening for early diagnosis of breast cancer. WHO states that roughly half of all breast cancers occur in women with no specific risk factors other than sex and age. In such a case, timely diagnosis becomes even more difficult and routine screenings more significant. However, women face several physical, psychological and social hindrances that make it difficult for them to seek professional help. Mid-day.com speaks to Dr. Aditi Agrawal, Breast Onco Surgeon and General Surgeon, Wockhardt Hospitals, Mira Road, and Dr. Pritam Kataria, Medical Oncologist, Sir HN Reliance Foundation Hospital, Mumbai, who shed light on these barriers and bust some common myths about breast cancer screening and treatment. What are some factors that can lead to a delay in breast cancer screening? Agrawal: Various factors contribute to delays in breast cancer screening and treatment. Many people still do not have an easy access to healthcare services or expert doctors who can guide them, making it challenging to schedule appointments. People with financial issues like low income or unemployment may hesitate to go for breast cancer screening or treatment due to extreme treatment costs. Some may not be aware of the negative impact of breast cancer on their overall life or the importance of going for regular checks for early detection. These factors altogether can lead to delays in detecting breast cancer and the usual presentation is in the advanced stage. Kataria: A major factor that can lead to a delay in breast cancer screening is lack of awareness. Also, the lack of proper medical facilities could be another issue. Sometimes, people who have both the knowledge and the facilities may still hesitate to get the screening done due to a fear of malignancy getting detected as it puts one in a difficult situation. In your professional experience, have you noticed any socio-cultural factors that can prove to be a hurdle in the timely diagnosis and treatment of breast cancer? Agrawal: Socio-cultural factors can negatively influence the diagnosis and treatment of breast cancer. People often hesitate to discuss breast health which often leads to delayed diagnosis of breast cancer. Factors like cultural beliefs about the illness, the strong fear of cancer and lack of awareness can prevent individuals from seeking timely screenings. Kataria: There is a social taboo that stops women from undergoing screening. Also, one may be uncomfortable with a self-breast examination or examination by a medical expert. But most importantly, the fear of getting something detected in the scan acts as a barrier. What are some myths about mammograms that need to be debunked? (A mammogram is a screening method for breast cancer. It involves an X-ray of the breast that can help in the timely diagnosis of the condition.) Agrawal: There are various myths or misunderstandings when it comes to breast cancer or screening options like mammograms. Some people believe that undergoing mammogram screening significantly increases the risk of breast cancer. But the fact is mammogram is an effective tool in detecting breast cancer early. Early detection can help make treatment options more effective resulting in positive outcomes. Kataria: Mammogram is a machine that gives a real-time assessment of the breast tissue. However, people have many false beliefs about the process. One misconception is that this procedure may be painful. Another thing that people believe is that mammogram screening can lead to the spread of cancer, which is untrue. Also Read: Women less likely to screen for breast cancer over false-positive mammograms Do you think there's enough awareness to recognise the symptoms of breast cancer? What are some symptoms one must look out for? Agrawal: Even today, most people are unaware of breast cancer, the risks associated with it, and the importance of early screenings, making it difficult to detect cancer at its early stage. However, over the years, awareness about breast cancer and its symptoms has improved but there is a long way to go. One should watch out for key symptoms like a lump, visible changes in the shape or size of the breast, white discharge from the nipple and redness of the skin near the breast area. Knowing about these symptoms in advance can help catch breast cancer at its initial stage before it starts to worsen or spreads to another part of the body. Kataria: We are still far from complete awareness of breast cancer. One must look out for symptoms like breast lump, nipple changes, changes in skin over the breast, or lump in the axilla or supraclavicular area. What are some challenges that women usually face or must be prepared for in the course of the treatment? Agrawal: Women who are undergoing treatment options to treat breast cancer can face a range of physical and psychological challenges. Treatment options like chemotherapy or radiation therapy often lead to multiple side effects like fatigue, nausea, weakness, unbearable pain and hair loss. Navigating through these physical side effects can be overwhelming and add up to their mental load. Over time, one can develop mental health conditions like anxiety, stress and depression while continuously thinking about their health and future life. During breast cancer treatment, women also undergo body changes like hair loss in several areas like the head, eyebrows and eyelashes. This can negatively affect their self-confidence about their body image. While these challenges can occur during treatment, they can be navigated with proper guidance and physical and mental preparation. These should not deter one from seeking treatment. Disclaimer: This information does not replace professional medical advice. Consult your physician or a qualified medical expert for personalised guidance.
15 October,2024 09:53 AM IST | Mumbai | Raaina JainThe spotlight turns to the essential yet often overlooked aspect of the therapeutic journey: finding the right therapist. While therapy is a cornerstone of mental well-being, a successful therapeutic relationship is paramount for progress. “While all kinds of therapists are ultimately looking to help, therapeutic relationship can be hampered if you just don’t feel comfortable with their approach. For example, a lot of therapists use silence as a tool, but if they’re not using it in a way that feels okay for you, it may not be a good fit,” shares Divya Tiwari, clinical psychologist and head of therapy at MindPeers. Recognising the signs of a mismatched therapeutic connection and making the decision to change therapists can be daunting, but it's a crucial step towards optimal mental health, as per Mehezabin Dordi, clinical psychologist at Sir HN Reliance Foundation Hospital, Mumbai. On this day, mental health experts will delve into the complexities of the therapist-client relationship. They will answer pressing questions and provide invaluable insights into identifying when a therapeutic partnership is no longer beneficial, offering practical guidance on how to navigate this challenging process. Moreover, they will outline the essential qualities to look for in a new therapist and effective strategies for finding a mental health professional who truly understands and supports their needs. How can I tell if the therapeutic relationship is no longer beneficial? Tiwari: Some ways you can tell if a therapeutic relationship is no longer beneficial: 1. Feeling like most of your goals have been achieved 2. Therapist not able to help you achieve your long-term goals 3. Wondering about whether you should even continue 4. Not feeling better when they validate or empathise 5. Not feeling motivated about therapy If you’re feeling like the relationship is not beneficial anymore, you can certainly discuss this with your therapist. Most of them are aware of when this starts happening, but if they aren’t it can help them tailor the intervention accordingly. What are the signs of a lack of trust or connection with my therapist? Tiwari: One can look for the following signs as an indication of a lack of trust: 1. Restraining yourself from saying things in the session 2. Feeling anger or frustration about something the therapist says 3. Not being able to do suggested activities/techniques 4. Missing sessions/not scheduling as regularly as you used to 5. Weighing what you say in the session and holding things back Feeling like you can’t trust your therapist can lead to a breakdown in rapport, which is the main thing that brings about change. If you’ve been seeing the therapist for some time, feel free to discuss anything that makes you uncomfortable. If it’s a new therapist, you can try to look for someone who may be more trustworthy for you. How can I determine if my therapist's personality or approach is a poor fit for me? Tiwari: To understand if the therapist’s personality or approach is a good or poor fit for you, you can pay attention to some of the following: 1. Their humour or conversational style. 2. Their cultural background and how it fits with yours 3. Whether they are taking into account your factors like community, social life/status, limitations and beliefs. 4. If they rely a lot on out-of-session activities (called Homework) when you would like more in-session work (or vice versa) 5. Aspects of their personality like talking too much/too little, casual/restrained, formal/informal. Is it normal to experience plateaus in therapy, or does it indicate a need for a change? Tiwari: Yes, it is perfectly normal to feel like therapy is plateauing. This happens frequently when you’ve been going to a therapist for a while, and your initial distressing emotional and cognitive state no longer exists. It may indicate a need for change, or that therapy is not needed anymore at this point. At MindPeers, we firmly believe that whatever the reason, it is important to address this with your therapist, so they can explore what the reason might be, and help you take the right steps to resolve the plateau. Some introspection can also help, along with paying attention to how you’re doing outside of sessions. How does one search for a new therapist? Dordi: When you decide to find a new therapist, it can seem overwhelming, but breaking it down into manageable steps can make the process smoother. Here are several strategies to help you: Referrals: Start by seeking recommendations from trusted sources. This could include your current therapist, who might have colleagues to suggest, or friends and family who have had positive experiences with their own therapists. Additionally, your primary care doctor can be a valuable resource for referrals, as they often have connections within the healthcare community. Directories: Utilise online directories to find mental health professionals. Websites such as Practo, 1mg, BetterLyf, and others provide comprehensive listings of therapists. These platforms often include reviews and ratings from other patients, which can give you a sense of the therapist’s reputation and effectiveness. Also, consider looking at local hospitals which may have their own directories of mental health professionals. Professional organisations: Professional organisations, such as the Indian Psychiatric Society (IPS), maintain directories of accredited professionals. These organisations ensure that their members meet specific standards of practice, giving you confidence in the quality of care you will receive. Local clinics: Reach out to local mental health clinics, hospitals, or community health centres. These institutions often have mental health professionals on staff or can recommend someone who fits your needs. Specialty searches: If you have specific concerns or need a therapist with particular expertise, look for professionals who specialise in those areas. For example, if you are dealing with trauma, addiction, or LGBTQIA+ issues, finding a therapist with experience in these areas can be particularly beneficial. What factors should be considered when choosing a new therapist? Dordi: Selecting the right therapist involves careful consideration of several factors to ensure that you find someone who is well-suited to your needs: Credentials and experience: Verify that the therapist is properly qualified and has sufficient experience, particularly with the issues you are facing. This ensures that they are equipped with the knowledge and skills to help you effectively. Therapeutic approach: Different therapists employ various methods, such as cognitive-behavioural therapy (CBT), psychodynamic therapy, or humanistic therapy. Research these approaches to determine which one aligns best with your preferences and what you believe will be most helpful for you. Compatibility: A strong therapeutic relationship is crucial for effective therapy. Look for a therapist with whom you feel comfortable and understood. Initial consultations can be a good way to gauge this compatibility. Look at the logistics: Practical considerations such as the therapist's location, availability, and fees are important. Ensure that their schedule aligns with yours and that their services are within your budget. If you have insurance, check whether they accept it to avoid unexpected costs. Specialisations: If you have specific needs, such as dealing with trauma, addiction, or gender identity issues, seek out therapists who specialise in these areas. Specialised knowledge can make a significant difference in the effectiveness of your therapy. Reviews and feedback: Reading reviews and testimonials from other clients can provide insight into the therapist’s effectiveness and approach. Positive feedback from others can give you confidence in your choice. How does one ease the transition from one therapist to the other? Dordi: Once you have chosen a new therapist, transitioning smoothly is key to maintaining continuity in your care: Discuss with your current therapist: Open communication with your current therapist about your decision to change is important. They can provide referrals and help facilitate a smooth transition, ensuring that you continue to receive the support you need. Request records: Ask your current therapist for your treatment records. Sharing these with your new therapist can provide continuity in your care, giving them a clear understanding of your treatment history and current needs. Prepare for the first session: Be ready to discuss your treatment history and current concerns with your new therapist. Having a summary of your previous therapy can help them understand your background and tailor their approach to your needs. Give yourself time: It may take a few sessions to adjust to your new therapist and build a rapport. Be patient with the process, as developing a comfortable and trusting relationship is essential for effective therapy. Evaluate the fit: After a few sessions, take time to assess how you feel about the new therapist. It’s important to feel understood, and supported, and that the therapist’s approach aligns with your goals and needs. Transitioning to a new therapist is a significant step in your mental health journey. By following these steps, you can help ensure that it is a positive and beneficial change, leading you to the support and care you need for your well-being. Also Read: World Mental Health Day: Mental health a major concern among the youth; experts explain why
14 October,2024 02:54 PM IST | Mumbai | Maitrai AgarwalStrong public health and community support has helped India to be free from trachoma -- a highly contagious bacterial infection that has been a major cause of preventable blindness worldwide, said the Ministry of Health and Family Welfare on Sunday. From being the leading cause of blindness during the 1950s and 1960s, the World Health Organization (WHO) last week declared India “officially free from trachoma”. “This milestone comes after years of dedicated efforts by the government to protect the vision of millions, emphasising the importance of healthy eyesight for every individual,” the ministry said. According to the WHO, an estimated 150 million people worldwide are affected by trachoma and 6 million of them are blind or at risk of visually disabling complications. What is Trachoma?Trachoma is a neglected tropical disease that is caused by infection by the Chlamydia trachomatis bacterium. The disease is transmittable, via close physical contact; sharing personal belongings, like towels, and pillows; and coughing and sneezing. It is a very painful disease that causes blurry vision, red and swollen eyes, pain while blinking or sleeping, and vision loss. If left untreated, the disease can lead to irreversible blindness. Poor hygiene practices, overcrowded living conditions, water scarcity, and inadequate latrines and sanitation facilities promote the transmission of trachoma. Further, the ministry noted that children are more vulnerable to trachoma: How India achieved victory over trachomaTrachoma was a significant public health concern in India during the 1950s and 1960s, affecting over 50 per cent of the populations in Gujarat, Rajasthan, Punjab, Haryana, Uttar Pradesh, and the Nicobar Islands. By 1971, trachoma was responsible for 5 per cent of all blindness cases in the country. To curb the pressing issue, India implemented a series of measures under the National Programme for Control of Blindness and Visual Impairment (NPCBVI). India also adopted the WHO-recommended SAFE strategy -- surgery for trichiasis, antibiotics to clear infection, and facial cleanliness and environmental improvement to reduce transmission. In 1963, the government launched the National Trachoma Control Programme that focused on surgical treatment; antibiotic distribution; facial cleanliness to promote hygiene and reduce transmission; and enhancing access to water and sanitation. In 1976, trachoma was integrated into national programmes. The efforts brought significant results, with trachoma accounting for 4 per cent of all blindness cases in India and just 0.008 per cent by 2018, the ministry said. “Through these continuous efforts, India has made significant strides toward eradicating trachoma. By 2017, India was declared free from infectious trachoma,” the ministry said. The National Trachoma Survey Report (2014-17) indicated that active trachoma infections had been eliminated among children in all surveyed districts, with an overall prevalence of only 0.7 per cent -- well below the WHO’s elimination threshold of 5 per cent. Despite this remarkable progress, India continued “vigilant surveillance for trachoma cases” from 2019 to 2024 to check for any resurgence of the disease. Meanwhile, the WHO also applauded India's effective measures against trachoma. WHO Director-General Dr. Tedros Adhanom Ghebreyesus praised India's commitment to alleviating the suffering caused by trachoma, emphasising the vital collaboration among the government, healthcare professionals, and international partners that made this milestone possible. While the disease continues to be a challenge in 39 other nations, India is among Nepal, Myanmar, and 19 other countries that have successfully eliminated trachoma as a public health issue. 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.
14 October,2024 02:17 PM IST | New Delhi | IANSADVERTISEMENT
