Hyderabad- People suffering from arthritis should maintain an active lifestyle as physical exercise reduces inflammation by reducing fat and increasing the production and release of anti-inflammatory molecules, say doctors on World Arthritis Day.
Each year, October 12 is commemorated as World Arthritis Day, and this year, doctors recommend people to take a pledge to enhance awareness about arthritis, its related problems, to stay fit and active, and strive towards reducing the overall arthritis case burden in the country.
Arthritis is an autoimmune condition or a degenerative joint disorder, both causing inflammation in the joints, and these are chronic-cum debilitating problems. At present, there is no specified cure for this ailment, except to live with the problem and manage it from time to time, using steroids. Arthritis can cause severe pain, reduces the quality of life, and decrease people's ability to function.
Doctors warn that more Indians could become victims of arthritis-linked problems due to overweight and obesity. The prevalence of overweight and obesity in India is increasing faster than the world average.
The prevalence of overweight increased from 8.4 percent to 15.5 percent among women between 1998 and 2020, and the prevalence of obesity increased from 2.2 percent to 5.1 percent over the same period. Men are not behind in this problem, and together they are adding to the rising burden of arthritis cases in the country.
"Overweight or obesity along with problems like diabetes, suffering from a traumatic injury to joints, congenital joint deformities, could lead to arthritis problems. While there is a slight difference in osteoarthritis and rheumatoid arthritis, both cause severe damage to human functions. And people who are obese are likely to suffer more than lighter peers after they cross a certain age threshold," said Jagan Mohan Reddy, Consultant Orthopedic Surgeon, SLG Hospitals.
According to K. Saketh, Consultant Orthopedic Surgeon (Sports Surgery & Regenerative Orthopedics), Gleneagles Global Hospital, severe pain in the joints deter arthritis patients from taking up any physical activity due to fear that it could worsen their condition.
"But it is important that individuals suffering from arthritis maintain an active lifestyle. Otherwise, a sedentary lifestyle will further debilitate their ability to do any physical activity, and this could have a severe psychological bearing on the mind. Hence, it is important arthritis patients do not stay immobile and instead motivate themselves to walk or exercise regularly."
Satyanarayana V V, Consultant Orthopedic Surgeon, Aware Gleneagles Global Hospital, pointed out that physical exercise reduces inflammation by reducing fat and increasing the production and release of anti-inflammatory molecules from human muscles.
"Given that inflammation is a primary cause of joint pain in arthritis, exercising will help improve symptoms and will play a crucial role in managing the problem," he said.
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If there is anything that the past one year has taught us, it is that the health of one's body and the mind are of paramount importance, and need more attention than we usually give. Getting some type of exercise for both has become vital, and one of the easiest ways to do both at once is to practice Yoga.
The quality of life in yoga is measured through the transformation of a well-maintained body with absence of illness and pain, tranquillity of mind, cultivation of energy and ultimately reaching higher levels of autonomy in your practice. Yoga has a very precise, direct and practical approach towards every instance of life and towards yoga practice. But Yoga is not just what you do on the mat, its guiding principles permeate within the very essence of being.
If you're really keen on starting, here are some easy, do-able tips that can get you started on a journey you will not regret taking. Suggestions by Sarvesh Shashi, Founder, SARVA:
1. Set a specific time, separate space and focus on the yoga practice preferable at a time when your body has good energy after a restful period. It may be in the morning or evening, this time differs according to everyone's schedule.
2. Practice on an empty stomach. Set the time for practice after 2 hours of any meal consumption. Small amounts of liquid can be consumed in these 2 hours.
3. Always practice yoga on a mat or blanket to avoid contact with the floor while practicing yoga for your own comfort. It aids in ease of practise, it is easier on the joints and avoids energy transference on an otherwise cool floor.
4. Distractions are unavoidable, but setting up the practise in such a way that it's easier to focus on yoga for the whole duration is definitely possible. For example, maybe you can't put your phone on silent, but you can leave it in the adjoining room. Or maybe complete privacy may not be possible, but you can definitely invest in a good pair of noise cancelling headphones which will transport you into a space of focus while taking an online class.
5. Start the session with a good warm up to create good blood circulation all over the body before practicing asana for better results. Sun salutations are an excellent warm up before asana practice.
6. Pay attention to your breathing pattern for specific asana for an effective practice. Inhalation and exhalation patterns matter in each and every aspect of your practice. The wrong breathing patterns will cause cramps or pain or simply the inability to reach your true potential in the asana.
7. Be mindful of your injuries. If you've had a serious injury, severe pain or are recovering from a surgery, you may want to consult a doctor and of course inform your trainer of these injuries as well.
8. Practice yoga under the guidance of a Yoga Teacher. Whether you are practising in person or online with a group of friends, finding the right teacher is the best motivation you can get to continue your journey.
9. End the session with a proper cool down, relaxation and meditation for a refreshed finishing. Yoga is a psychophysiological art for the training of the mind which is just as essential as the body.
10. Lastly, be present every moment of the class. Thinking of cooking tonight's dinner or about the presentation that is due next morning will mar the experience of your Yoga workout. It's not easy, but that is why it is worth it.
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Berlin, Aug 17 (IANS) The second mRNA Covid-19 Vaccine developed by German biopharmaceutical company CureVac and its British partner GlaxoSmithKline (GSK) has demonstrated improved immune response and protection than its first vaccine, according to a new study.The animal-based study, yet to be peer-reviewed and posted on pre-print server bioRxiv, shows that CV2CoV has higher neutralising capacity against a range of variants, including the Beta, Delta and Lambda variant and the original virus strain, the company said in a statement on Monday.CureVac's first mRNA-based Covid vaccine CVnCoV, showed efficacy of just 47 per cent, the lowest reported so far from any Covid-19 vaccine maker.The new study assessed cynomolgus macaques vaccinated with 12 microgram of either the first or second-generation vaccine candidate.Better activation of innate and adaptive immune responses was achieved with CV2CoV, resulting in faster response onset, higher titers of antibodies, and stronger memory B and T cell activation as compared to the first-generation candidate, CVnCoV.When tested against the original SARS-CoV-2 virus, the animals vaccinated with CV2CoV were found to be better protected based on highly effective clearance of the virus in the lungs and nasal passages, the company said."In this animal model, CV2CoV is shown to induce broad antibody and cellular immune responses very similar to the breadth of the immune responses observed after infection with SARS-CoV-2," said Dr. Igor Splawski, Chief Scientific Officer of CureVac.The companies aim to roll out CV2CoV's Phase 1 clinical trial in Q4 2021.The mRNA technology was a "strategic priority", said Rino Rappuoli, head of vaccines research and development at GSK"The strong immune response and protection in pre-clinical testing of this second-generation mRNA backbone are very encouraging and represent an important milestone," he added.Meanwhile, CureVac faced heavy losses in the second quarter. Its operating loss was 147.8m euros for the three months ending June 30, compared with a loss of 3.2m euros in the second quarter of 2020.Revenue was 22.4m euros, down 35 per cent from a year ago.--IANSrvt/dpb
London, Aug 11 (IANS) Even as the UK government is planning to give a third Covid vaccine shot to everyone above 50 years of age from next month, scientists confirm that the autumn booster dose will be an effective way to protect people from existing, and potentially future, variants of concern.The team of experts at the University of Nottingham found that neutralising antibodies generated by a single dose of the Pfizer vaccine were less effective at neutralising key variants of concern, for example the beta (first identified in South Africa) variant.However, the second dose, especially in those volunteers who had previously been infected with SARS-CoV-2, dramatically increased virus variant neutralising antibody responses (and therefore potential protection) to a level comparable to those seen for the original strain of SARS-CoV-2.This suggests that an additional boost, even using vaccines containing the original strain of coronavirus, will increase protection against variants of concern, revealed the findings published in the journal Science Translational Medicine."We showed that the individuals with past infection produced more antibodies following each dose of vaccine than those who hadn't been exposed. We also showed that this increased antibody response was more effective against some of the variants of concern, such as the Beta and Gamma variants," said Professor Jonathan Ball from the School of Life Sciences at the University."In essence, natural infection has mimicked the effects of an additional vaccine dose, and our data clearly shows that this additional antigenic exposure produces an extra boost to the overall virus-killing antibody response that is more effective against variants of concern. Our results support the UK Government's plan to provide a booster jab in the autumn as an effective strategy in protecting people against these variants," he added.UK Health Secretary Sajid Javid had said the government is awaiting advice from the Joint Committee on Vaccination and Immunisation (JCVI) on the roll out of the booster dose, which will be administered along with flu a jab, the Evening Standard reported on Wednesday.The booster dose will be prioritised for people who received the Covid shots when the vaccination programmes were first rolled out last December, Javid said.Meanwhile, the UK government on Tuesday also announced that 75 per cent of adults in the country have received both doses of a Covid-19 jab, while about 47 million people have received their first dose, the Financial Times reported. However, nearly 6 million adults -- roughly one in 10 of the over-18 population -- remain completely unvaccinated, official statistics showed.--IANSrvt/in
New Delhi, Aug 10 (IANS) A total of 1.5 lakh Sub-Health Centres (SHCs) or Primary Health Centres are being upgraded under the Ayushman Bharat-Health and Wellness Centres initiative for betterment of local public health care in both rural and urban areas, the Parliament was told on Tuesday.Over 77,406 HWCs -- 73,391 in rural and 4,015 in urban areas -- have become functional, and are delivering comprehensive primary health care closer to the homes of the people, Minister of State for Health Bharti Pravin Pawar told the Rajya Sabha in a written reply.She also said that the 15th Finance Commission has recommended grants aggregating to Rs 70,051 crore, over the period of five years (2021-2026) through local governments, for strengthening healthcare system at the primary health care level.On the steps taken for strengthening the Universal Immunisation Programme, Pawar said: "Intensified Mission Indradhanush (IMI-3.0) was also conducted in February 2021 & March 2021, to cover the unvaccinated and partially vaccinated children. These efforts have contributed in reduction of immunisation gap coverage."Appropriate communication material was developed and shared with the states and UTs for addressing vaccine hesitancy and strengthening routine immunisation with due precautions during the Covid-19 pandemic, she said."States/UTs have been asked to prepare specific plans to improve Full Immunisation Coverage and to ensure designated days in a week only for Routine Immunisation activity," the minister added.On the issue of improving access to mental health services, she said these have been added in the package of services under Comprehensive Primary Health Care under Ayushman Bharat-HWC Scheme. Operational guidelines on mental, neurological, and substance use disorders (MNS) at Health and Wellness Centres have been released under the ambit of Ayushman Bharat, and such services are being provided to all sections of the society at the primary level, she added.Pawar also said that PSA plants are being established in each district hospitals, especially in far-flung areas, to enable them to become self-sufficient in the generation of oxygen for their needs and reducing the burden on the medical oxygen supply grid across the country. In response to a question on whether the data on Covid-19 deaths is being used by the government to prepare medical infrastructure for efficient management of the possible third wave, she said that a Covid Drugs Management Cell has been set up in the Department of Pharmaceuticals to oversee the management of smooth supply of drugs used in Covid-19 management.--IANSavr/vd
New Delhi, July 19 (IANS) The Supreme Court on Monday observed that hospitals have become large industries thriving on human distress, and it is better they are closed. The top court added state governments can provide better hospitals, instead of permitting private hospitals to operate from small residential buildings.A bench comprising Justice D.Y. Chandrachud and M.R. Shah said: "Hospitals have become large industries now based on human distress and we cannot let them prosper at the cost of lives. Let such hospitals be closed". The bench pulled up the Gujarat government for extending the deadline for hospitals in connection with building use permissions.The bench cited that one patient had recovered from Covid and had to be released the next day, but he died due to fire, and also two nurses were burnt alive. "These are human tragedies which have unfolded before our eyes! Then, we go on extending time for these hospitals," he said.The bench said hospitals have become a real estate industry, and instead of providing succour to patients in distress, it is widely felt they have become money minting machines, which fleece patients.Solicitor General Tushar Mehta, on his part, submitted before the bench that visualise the impact, if a 10-story building with 4-5 bedded hospital, which was required for Covid treatment now, doesn't have building use permission. Mehta added, resultantly hospitals were required to be closed and in total 30,000 beds could become unavailable.Justice Chandrachud responded, there is no point in condoning lapses of these nursing homes which are not supposed to be in those buildings in the first place. Justice Shah added if any recommendation is made, you see to it that corrective measure is taken."Let the state provide those facilities and Covid care centres. We can't have them in these small residential buildings", said the bench.Referring to a government notification that hospitals do not have to adhere to the norms till June 2022, the bench said: "Once a mandamus is there, it cannot be overridden by an executive notification like this! You now give a carte blanche and say hospitals don't have to adhere till 2022 and people will continue dying and be burnt..."The top court strongly condemned a report by a commission on the issue of fire safety in hospitals that was filed in a sealed cover. "What is this report in a sealed cover by the commission, etc.? It is not a nuclear secret," said Justice Chandrachud. The top court told the Gujarat government to withdraw the notification giving relaxation to hospitals.In December last year, the court had directed the Centre to submit data from all states on fire safety audits carried out in hospitals. The court noted that although different states and union territories have taken measures and conducted inspections, further audits were required and asked the state government to constitute a committee to carry out a fire audit of each Covid hospital at least once in a month, in each district. The bench listed the matter for further hearing after two weeks.The Court was hearing a suo motu case concerning fire tragedies in Covid-19 hospitals across the country following incidents in Rajkot and Ahmedabad.--IANSss/dpb