The 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 | 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.
14 October,2024 02:04 PM IST | Mumbai | Nascimento PintoWhile stress is known to significantly contribute to the onset of various health issues, a new study on Sunday showed how stress can worsen colorectal cancer (CRC). A team of Chinese researchers showed that chronic stress disrupts the balance of gut microbiota, which then hastens the progression of CRC. By eliminating some gut bacteria and inducing stress, they found a particular bacterial species as a potential therapeutic target. The team from West China Hospital, Sichuan University of China, used an antibiotic cocktail -- vancomycin, ampicillin, neomycin, and metronidazole -- to eradicate gut microbiota. It was followed by faecal microbiota transplantation to find whether gut microbiota was necessary for chronic stress to fasten the progression of colorectal cancer. The results showed that while chronic stress increased tumour growth, it also decreased beneficial gut bacteria, particularly the Lactobacillus genus, -- essential for a healthy immune response against cancer. “Stress-related CRC progression can be attributed to a reduction in beneficial gut bacteria, as this weakens the body’s immune response against cancer,” said lead researcher Dr Qing Li from the varsity. Lactobacillus -- being sensitive to vancomycin and ampicillin -- was found depleted in both the control and stress groups by the antibiotic cocktail. To further explore how Lactobacillus influences CD8+ T cell levels -- which play a crucial role in the body's anti-tumour immunity -- and CRC progression the researchers supplemented mice with Lactobacillus during chronic stress and observed reduced tumour formation. “Through faecal analysis, we found that Lactobacillus plantarum (L. plantarum) specifically regulated bile acid metabolism and enhanced the function of CD8+ T cells. This indicates how Lactobacillus may enhance anti-tumour immunity,” Li said. The research showed potential for Lactobacillus-based therapies in treating patients, particularly those affected by chronic stress. “Restoring beneficial bacteria in the gut, such as Lactobacillus, could strengthen the body’s natural defences against colorectal cancer,” concluded Li. The study was presented at the United European Gastroenterology Week 2024 in Vienna, Austria. 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 01:50 PM IST | New Delhi | IANSDeep fried, baked, grilled ultra-processed foods -- found in every nook and corner of India -- that have become the staple in a majority of homes in recent years, are a direct reason for the ever-surging cases of diabetes in the country, said experts on Sunday. India is home to a staggering 101 million individuals afflicted by diabetes. The recent ICMR-NIN Dietary Guidelines for Indians reveals that more than 10 per cent of 5-19- year-olds are pre-diabetic. A new study, published in the International Journal of Food Sciences and Nutrition, shows that the deep fried, baked, and grilled ultra-processed foods are rich in advanced glycation end products (AGE) which lead to inflammation and contribute to several diseases including diabetes. “When we fry or grill foods it leads to oxidative stress which is a promoter of inflammation. Chronic inflammation in the body is linked to diabetes, hypertension, heart disease, and even some forms of cancer. Ultra-processed foods and those foods which are high in trans fats are harmful to health,” diabetologist Dr. V Mohan from Madras Diabetes Research Foundation (MDRF) in Chennai, told IANS. Mohan and team led the study on AGEs in collaboration with the Indian Council of Medical Research (ICMR). According to the study, AGE-rich foods include red meat, fried foods, french fries, fried chicken, bacon, biscuits, bakery products, butter, margarine, and sugary foods. On the other hand, fruits and vegetables, broccoli, legumes, oats, dairy, eggs, fish, and tree nuts like almonds, walnuts, cashews, etc, come under the low-age food category. “Our study showed that foods which are high in dietary ages were linked to type 2 diabetes and inflammation. Foods which were low in dietary AGEs were protective against diabetes,” Mohan said. AGEs are formed through a non-enzymatic process called glycation, where sugar molecules bind to proteins or fats. This process can lead to the formation of compounds that cause harmful reactions in the body, particularly inflammation. “Fried food means that we are having excess saturated fat and calories, so it will naturally not be good for us,” Dr. Ambrish Mithal, Chairman & Head - Endocrinology & Diabetes, Max Super Speciality Hospital, Saket, who was not part of the study, told IANS. “Much of the food in India that is deep fried, especially street food, is of reheated oil. Reheated oil is very rich in trans fats -- a big factor for increasing the risk of heart disease, some types of cancers,” he added. Then what about grilled or baked food? Mithal said intuitively, one would think grilled food is healthy, but it’s actually not. “Although it isn’t fried, it exposes food to high temperatures which gives rise to the production of certain toxic aromatic carbons in the food, which can be carcinogenic,” the doctor said while noting that baked food is also not necessarily healthy because most baked food is carbohydrate-rich. These foods that are fuelling the obesity rate are one of the major causes of diabetes in the country, Mohan told IANS, while urging the government to promote healthy eating habits. Further, the MDRF study showed that "excess carbohydrate intake in the form of white rice or refined wheat is a direct driver of the diabetes epidemic," said Mohan. Apart from this, stress, lack of sleep, and air pollution are other contributing factors. “Government policy should therefore be directed towards encouraging the cultivation and promotion of foods which are low with dietary AGE’s, especially fruits with low glycemic index and green leafy vegetables,” the doctor said. Also Read: A guide to festive nutrition 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
13 October,2024 03:36 PM IST | Mumbai | IANSDelay in proper knee treatment, timely detection and ignoring knee arthritis symptoms can worsen the condition of knees and additionally damage the spine affecting the quality of life, health experts said on Saturday on the occasion of the World Arthritis Day. Knee arthritis, particularly osteoarthritis, is a degenerative joint condition that primarily affects adults. It causes pain, stiffness, and reduced mobility in the knees, often making everyday activities difficult. However, according to experts, the repercussions of untreated or poorly managed knee arthritis extend far beyond the knee join. Dr L Tomar from Max Hospital said that in more than 70 per cent cases, osteoarthritis is the commonest reason for knee arthritis. Osteoarthritis causes more progressive damage to the medial (inner) joint compartment cartilage leading to reduction in the gap between the two bones. Patients with advanced knee arthritis are often seen to have spinal deformity because when patients continue to walk with a bow leg deformity it put more pressure on lumber spine leading to its damage, such cases can be corrected with minimally invasive total knee replacement surgery, said Dr Tomar. In osteoarthritis, multiple osteophytes form around the joint causing progressive limitation in knee movements. Patient with late-stage knee arthritis often report with fixed deformity with very little movement. According to Dr Praveen Gupta from Fortis Hospital, several neurological symptoms can be a consequence of rheumatological diseases. For instance, inflammatory arthritis can lead to nerve compression syndromes, resulting in pain and numbness. Yet, these interconnections are frequently overlooked in clinical practice, primarily due to a lack of knowledge and training in the field. Experts urged patients not to ignore early signs of arthritis, advising them to consult specialists for proper diagnosis and treatment. Timely action, they stressed, can prevent long-term complications and improve overall quality of life. 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.
12 October,2024 01:43 PM IST | New Delhi | IANSVaccines are key to preventing infection and thus reducing the use of antibiotics, supporting worldwide efforts to tackle rising antimicrobial resistance (AMR), according to a new report by the World Health Organization (WHO). The report showed that vaccines against 24 pathogens could help reduce the number of antibiotics needed by 22 per cent or 2.5 billion defined daily doses globally every year. If vaccines could be rolled out against all these pathogens, it could save a third of the hospital costs associated with AMR. Misuse and overuse of antimicrobials cause AMR, making people sicker and increasing the risk of illness, death, and the spread of infections that are difficult to treat. Every year, AMR claims nearly 5 million lives worldwide. “Addressing antimicrobial resistance starts with preventing infections, and vaccines are among the most powerful tools for doing that,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. Ghebreyesus called for “increasing access to existing vaccines and developing new ones for critical diseases, like tuberculosis (TB),” to fight AMR. The report comes as world leaders at the recently concluded 79th UN General Assembly high-level meeting on AMR in September committed to reducing the deaths associated with bacterial AMR annually by 10 per cent by 2030. The new report estimates that vaccines already in use against pneumococcus pneumonia, Haemophilus influenzae type B (Hib, a bacteria causing pneumonia and meningitis), and typhoid could avert up to 1,06,000 of the deaths associated with AMR each year. An additional 5,43,000 deaths associated with AMR could be averted annually when new vaccines for tuberculosis (TB) and Klebsiella pneumoniae are developed and rolled out globally. Further, the report showed that if the Immunization Agenda 2030 target of 90 per cent of the world’s children were vaccinated, as well as older adults, it could save 33 million antibiotic doses against Streptococcus pneumoniae every year. Typhoid vaccines can save 45 million antibiotic doses; jabs against Malaria caused by Plasmodium falciparum could save up to 25 million antibiotic doses -- often misused to try to treat malaria. Similarly, new TB vaccines could have the highest impact once they are developed, saving between 1.2 to 1.9 billion antibiotic doses.
12 October,2024 12:42 PM IST | New Delhi | IANSArtificial Intelligence (AI) powered search engines and chatbots may not always provide accurate and safe information on drugs, and patients shouldn’t rely on these, warned a study on Friday. Researchers from Belgium and Germany conducted the study after finding many answers were wrong or potentially harmful. In the paper, published in the journal BMJ Quality and Safety, they said that the complexity of the answers provided by the AI chatbot may be difficult to understand and might require degree-level education. With the introduction of AI-powered chatbots search engines in 2023 underwent a significant shift thanks. The renewed versions offered enhanced search results, comprehensive answers, and a new type of interactive experience. While the chatbots -- trained on extensive datasets from the entire internet -- can answer any healthcare-related queries, they are also capable of generating disinformation and nonsensical or harmful content, said the team from the Friedrich-Alexander-Universitat Erlangen-Nurnberg in Germany. “In this cross-sectional study, we observed that search engines with an AI-powered chatbot produced overall complete and accurate answers to patient questions,” they write. “However, chatbot answers were largely difficult to read and answers repeatedly lacked information or showed inaccuracies, possibly threatening patient and medication safety,” they add. For the study, the researchers explored the readability, completeness, and accuracy of chatbot answers for queries on the top 50 most frequently prescribed drugs in the US in 2020. They used Bing copilot, a search engine with AI-powered chatbot features. Just half of the 10 questions were answered with the highest completeness. Further, chatbot statements didn’t match the reference data in 26 per cent of answers and were fully inconsistent in over 3 per cent of cases. About 42 per cent of these chatbot answers were considered to lead to moderate or mild harm, and 22 per cent to death or severe harm. The team noted that a major drawback was the chatbot’s inability to understand the underlying intent of a patient question. “Despite their potential, it is still crucial for patients to consult their healthcare professionals, as chatbots may not always generate error-free information,” 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/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.
12 October,2024 12:37 PM IST | New Delhi | IANS
Different forms of arthritis like Rheumatoid Arthritis and Osteoarthritis have come to be recognised as medical conditions that only affect the elderly. However, arthritis can also affect youngsters, a phenomenon that has become more prevalent in recent times. Ace Indian shuttler Saina Nehwal, who is in her 30s, had recently revealed suffering from arthritis. Many such instances of people in their 20s and 30s living with this condition have been reported. Although arthritis still primarily affects old people, it is not surprising to see youngsters being diagnosed with it. Arthritis affects the bones and joints, causing immense pain and discomfort in carrying out basic day-to-day activities. Given the severity of the condition, World Arthritis Day is observed every year on October 12 to raise awareness about the realities of living with arthritis. On this occasion, mid-day.com speaks to Dr. Anup Khatri, Senior Consultant - Orthopedics, Gleneagles Hospital, Parel, Mumbai, and Dr. Swapnil Keny, Consultant - Orthopedics, Fortis Hospital, Kalyan, who reveal why this condition has become common in youngsters, overlooked habits that are causing this and steps one can follow to navigate life with arthritis. Can someone get arthritis even in their 20s and 30s? Khatri: Arthritis is not limited to the older population aged 60-75 but is also seen in youngsters. Now, people aged 20-30 are also coming with complaints of arthritis. One of the factors behind the early onset of arthritis is genetic predisposition. So, those with a family history of autoimmune diseases may be at a greater risk of suffering from rheumatoid arthritis even at a young age. Furthermore, lifestyle choices play a significant role in the early onset of arthritis. Nowadays, a large number of youngsters tend to follow a sedentary lifestyle and physical activity is absent. Many fail to eat nutritious diets and become overweight or obese which can weaken joints and accelerate wear and tear on cartilage, leading to issues like osteoarthritis sooner than anticipated. Even stress can trigger inflammatory responses within the body that can cause arthritis. Hence, the younger generation must take utmost care of their bones and joints by adhering to a well-balanced lifestyle. Keny: Certain factors can lead to early-onset arthritis, including autoimmune conditions like Rheumatoid Arthritis, Juvenile Rheumatoid Arthritis (JRA), and Juvenile Idiopathic Arthritis (JIA). Specific injuries from sports or road accidents can damage the cartilage, resulting in Post-Traumatic Arthritis. A sedentary lifestyle, obesity and low muscle mass can also contribute to the development of arthritis at a young age. Furthermore, systemic diseases such as Gout and Psoriasis may present arthritic symptoms. What are the top causes of arthritis, especially at a young age? Khatri: The various causes of arthritis in youngsters can be a rise in autoimmune diseases, where the body’s immune system tends to attack its healthy joint tissues. Now, lack of exercise and poor eating habits that include higher consumption of junk, spicy, oily, canned, and processed food can cause joint pain and inflammation and one may be prone to arthritis. Mindlessly engaging in high-impact sports can lead to joint injuries that manifest as osteoarthritis later in life. Exposure to unhealthy environments can trigger latent genetic markers associated with various types of inflammatory arthritis. Even stress causes increased joint pain and puts one at risk of arthritis. Keny: Some major causes of arthritis at a young age are: • Genetic and autoimmune conditions - JRA, Rheumatoid Arthritis, Ankylosing Spondylitis • Obesity and lack of exercise • Post Traumatic Arthritis from sports injuries • Arthritis due to infection in joints • Improper diet and lifestyle What are some overlooked things that one does daily that are contributing to causing arthritis? Khatri: Many youngsters, due to erratic schedules, avoid exercising and that is wrong. It is the need of the hour for the younger population to stick to a regular exercise routine. Try to exercise for at least 30 minutes 5 days a week to avoid joint pain, stiffness, tenderness and arthritis. Include fresh fruits, vegetables, whole grains, pulses and lentils as eating processed foods causes inflammation in the joints. Many people also do high-impact activities that can take a toll on their joints and may induce arthritis. Keny: The most important thing that we do daily that can contribute to the onset of arthritis is not doing the requisite exercises to maintain good muscle tone. Lack of exercise along with consumption of junk food, sedentary life and work-from-home culture contributes to rising obesity. Delayed consultation with orthopedic surgeons following any knee trauma can add to this. Additionally, continuing to engage in ground-level activities, such as squatting or sitting cross-legged, even after the onset of arthritis can exacerbate the condition. Which foods should be avoided to prevent or manage arthritis and why? Khatri: When it comes to managing arthritis, what you eat will make a difference. One has to ensure to eat well and pay attention to fresh fruits, vegetables, whole grains and lentils. It is imperative to avoid processed and fried foods, which contain unhealthy fats and preservatives that can hurt your joints and cause pain, inflammation and swelling. Moreover, these foods contribute to weight gain, putting extra strain on already vulnerable joints. Sugary snacks and beverages can lead to spikes in insulin levels, which are linked to increased inflammation and raise the chances of arthritis. Excessive salt intake through artificial sources can provoke inflammation by triggering an immune response, exacerbating joint pain over time. Keny: Junk food like soda, high-calorie diets, and fried and fast-food items should be strictly avoided as they can increase your Body Mass Index (BMI) and can be responsible for the onset of arthritis. How can one conduct day-to-day activities with arthritis? Khatri: Managing day-to-day activities with arthritis requires various strategies and a positive mindset. One effective tip is to opt for adaptive tools that can ease daily tasks. For example, kitchen gadgets, jar openers or even dressing aids that require minimal hand strength. Don’t bend while cooking and take help, if required. Try to opt for easy and healthy dishes that may not require you to stand for a longer time as one can feel pain. Use grab bars and handles at home and in the washroom, and ensure enough lighting at home to avoid falls. Including gentle physical activity in your day can also make a significant difference. Activities like swimming or yoga are not only low-impact, but they enhance flexibility and reduce stiffness while promoting mental well-being. Break larger chores into smaller segments throughout the day instead of pushing through everything at once to minimise the chances of fatigue and flare-ups. Keny: Here are some tips to navigate life with arthritis: • Try to go for regular walks for at least 30 minutes in the morning sunlight. • Incorporate exercises that target the thigh and calf muscles to help alleviate knee pain. • It’s best to avoid ground-level activities like squatting and sitting cross-legged. • Cycling and practices like yoga & aerobics can be very beneficial. • Focus on incorporating high-protein and low-calorie foods into your diet. Also include calcium-rich foods such as milk and dairy products, eggs, soybeans, Tofu, Amaranth, Moringa, Almonds, Figs, and fish, like Sardines and Mackerel in your everyday meals. Disclaimer: This information does not replace professional medical advice. Consult your physician or a qualified medical expert for personalised guidance.
12 October,2024 11:20 AM IST | Mumbai | Raaina JainWhile India has the maximum number of blind people in the world, most do not know that in more than 85 per cent of the cases, the condition is preventable, said experts on Thursday on World Sight Day. India is home to an estimated 34 million people living with blindness or moderate or severe visual impairment (MSVI). “Nearly 85 per cent of blindness in the world is avoidable which can either be preventable or treatable,” Dr. Rajesh Sinha, professor, Dept. of Ophthalmology, AIIMS New Delhi said. The expert called the need for public awareness so that a majority of people in the society who may become blind due to ignorance maintain their sight for life. “Ocular causes of preventable blindness can be infections, vitamin A deficiency while causes of treatable blindness can be cataract, uncorrected refractive error, diabetic retinopathy,” Sinha said.Also Read: Study finds over 600 different viruses from shower heads, toothbrushes According to the National Blindness and Visual Impairment Survey, cataract is the leading cause of blindness, accounting for 66.2 per cent of all cases of blindness in India. Uncorrected refractive errors account for 18.6 per cent, and glaucoma for 6.7 per cent. Other causes of blindness and vision impairment include corneal opacities (0.9 per cent), childhood blindness (1.7 per cent), and diabetic retinopathy (3.3 per cent). “It is important to spread awareness around preventable blindness because more than 85 per cent of the blindness is preventable if only people know how to address them,” said Dr. Ikeda Lal, Senior Cornea, Cataract and Refractory Surgery Specialist, at Sir Ganga Ram Hospital New Delhi. The common reasons for blindness in India include cataract, glaucoma, macular degeneration, uncorrected refractive error, and corneal blindness. Diabetic retinopathy is another very important reason for blindness in India, especially considering the high prevalence of diabetes in the country, Lal said. The experts advocated the need for early screenings to detect eye problems and prevent vision loss.Also Read: Smokeless tobacco, betel nut drive oral cancer cases in India: Lancet 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.
11 October,2024 02:49 PM IST | New Delhi | IANSFormer director of Tata Medical Center, Kolkata, Mammen Chandy recalled on Thursday that the legacy of acclaimed industrialist and philanthropist Ratan Tata was "wanting to give back to society". Ratan Tata, the Chairman Emeritus of the Tata Group, passed away at the Breach Candy Hospital following age-related health conditions late on Wednesday. He was 86. Speaking to IANS on his demise, Chandy said there is "no other company in the world where 60 per cent of the stock is owned by the Trust to be given back to society". Recalling an incident that the duo shared, Chandy said that Tata said he "bought Jaguar Land Rover to have access to technology". "I want the same gearbox that is in the Land Rover to be in the trucks we manufacture," Tata said. Chandy said that he appreciated Tata for taking forward the legacy of Jamshedji (who founded the Tata Group) and JRD Tata, former Chairman of the group. On Tata Medical Center, Chandy said that Ratan Tata built a state-of-the-art cancer care center in the country. The demise of the legendary Ratan Tata was mourned around the globe. He was a revered leader and philanthropist, known for his genteel demeanour masking a tough and sharp business acumen. He served as the all-powerful Chairman of Tata Sons, the holding company of the Tata Group, from 1991 till his retirement on December 28, 2012. "Ratan Tata's passion for creating a better world was unparalleled. His generosity and vision for an inclusive and just society have inspired us all. He lived by the values of humility, dignity, compassion, and selfless service," said Poonam Muttreja, Executive Director of Population Foundation of India. The Population Foundation of India was founded by JRD Tata in 1970, while Ratan Tata was the member of its governing board since 1994. Meanwhile, the final rites of Ratan Tata were held with full state honours at the Worli crematorium in Mumbai. 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.
11 October,2024 12:46 PM IST | New Delhi | IANSADVERTISEMENT
