London, The presence of more than five symptoms of Covid-19 in the first week of infection is significantly associated with the development of long Covid, irrespective of age or gender, according to a new study.
For the study, researchers from the University of Birmingham conducted a review that examined long Covid symptoms such as fatigue, shortness of breath, muscle pain, cough, headache, joint pain, chest pain, altered smell, diarrhoea and altered taste.
The team identified two main symptom clusters of long Covid: those comprising exclusively of fatigue, headache and upper respiratory complaints; and those with multi-system complaints including ongoing fever and gastroenterological symptoms.
The findings are published in the Journal of the Royal Society of Medicine.
"There is evidence that the impact of acute Covid-19 on patients, regardless of severity, extends beyond hospitalisation in the most severe cases, to ongoing impaired quality of life, mental health and employment issues," said lead author Olalekan Lee Aiyegbusi, Deputy Director at the University's Centre for Patient Reported Outcomes Research.
"More than one-third of the patients in one of the studies included in the review reported they still felt ill or in a worse clinical condition at eight weeks than at the onset of Covid-19," Aiyegbusi added.
In a comparison with other coronaviruses, the researchers suggest that in the longer term, patients with long Covid may also experience a similar disease trajectory to that of patients who had SARS or MERS, pointing to analysis showing that six months after hospital discharge, approximately 25 per cent of patients hospitalised with SARS and MERS had reduced lung function and exercise capacity.
"Neither the biological or immunological mechanisms of long Covid, nor the rationale for why certain people are more susceptible to these effects, are yet clear, limiting development of therapies. It is essential we act quickly to address these issues," said Shamil Haroon, Clinical Lecturer in Primary Care and co-Principal Investigator in the study. (agency)
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Poor lifestyle and dietary choices are two of the primary causes of coronary heart disease. While Covid-19 has impacted healthcare delivery across all specialities, cardiologists and heart surgeons have been cautioning regarding the virus' impact on a person's heart health, with or without surgery.
According to Sanjeeb Roy, senior intervention cardiologist, Jaipur, cases of poor heart health are increasing rapidly in the country. If the patient sees symptoms like shortness of breath, chest pain, fatigue, then the patient is at a risk of a cardiac arrest or heart attack, if there is a severe blockage in the arteries, it is treated by angioplasty or bypass surgery.
An angioplasty is an interventional procedure in which a stent is implanted in the patient without surgery. But sometimes even after having a stent implant, the patient may have to face some complications. According to one study, after implanting a normal metallic frame stent, there is a 15 to 30 per cent chance of it coming back. Apart from this, the patient has to take blood-thinning medicines for life, which also affects their quality of life.
However, to reduce all these complications, new technology like implanted stents will dissolve in the artery after two to three years. Biodegradable scaffold stent technology is very effective in reducing complications after angioplasty. This stent will dissolve in the artery two to three years after it is implanted and the patient's artery will return to its natural position, says the doctor.
"The biggest advantage of this to the patient is that there is no problem of affecting the functionality of the artery due to the placement of the stent. On the other hand, if there is a blockage back in his artery, then he can have angioplasty again. The biodegradable scaffold stent is a technology that does not use a metallic frame. This stent is made of polymers that will automatically dissolve in the body after two to three years of implantation."
"Advantages of biodegradable scaffold stents are: After the stent has dissolved, the patient will not need to take blood thinners for a long time; If there is a need to do angioplasty back in the same artery in the future, then there are no problems related to having stents already; Due to metallic stent implant, there will be no problems in tests like MRI, CT scan in this stent; The patient will feel psychological relief that there is no implant in his body," says Sanjeeb Roy, while mentioning a new technology.
Here's what to keep in mind for good heart health post angioplasty:
Avoid driving for a few weeks, and even riding in the car for long distances. As your body needs time to recuperate, make sure you're using pillows to prop yourself up and are supporting the delicate parts of your chest post-surgery.
Do not be in a rush to head back to an intense, high-stress life. Make sure your day has periods of activity interspersed with adequate periods of rest. Make sure you are working in an environment that can allow you to lie down if need be.
Shortness of breath may be experienced for a few days. Avoid exerting exercises and climbing stairs, and if this continues, speak to a family member and your doctor or surgeon.
It is likely that your doctor has recommended a change of diet for your post-surgery days. Make sure you follow it religiously and include greens and fruits as much as possible. This will aid recovery. Strictly avoid smoking and alcohol intake.
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Hyderabad, July 12 (IANS) Over 40 per cent of people who recovered from Covid-19 are still having post-Covid symptoms and many are reporting newer symptoms like insomnia and neuropsychiatric issues, revealed a pan-India survey by AIG Hospital.As India crosses 3 crore Covid recoveries, the incidence of post-Covid symptoms is noticeably increasing across the country.Over 40 per cent of Covid-recovered patients said that they are still having symptoms, out of which weakness/fatigue was reported the maximum. Many patients also reported newer symptoms like insomnia and neuropsychiatric issues among others."We were seeing many such post-Covid patients in our hospital, but this survey gave us the true picture of this post-Covid Syndrome. If this is an indication to go by then we are looking at over 1 crore people in India who have recovered from Covid-19 but are still having certain symptoms," said Dr D. Nageshwar Reddy, Chairman, AIG Hospitals.The survey also revealed that 74 per cent of hospitalised patients during their Covid-19 treatment received steroids but 34 per cent required oxygen. "We believe there is some correlation between irrational use of steroids and post-Covid complications because as per the guidelines we are supposed to give steroids to only those Covid patients who require oxygen," he said while calling for further research in this regard.Looking at the urgent need to address the issue of post-Covid complications, AIG Hospitals announced the launch of India's first dedicated post-Covid Care Clinic. The clinic will comprise of a multidisciplinary team with experts from Internal Medicine, Cardiology, Gastroenterology, Neurology, Nephrology, Rheumatology, Psychiatry, Orthopedics, among others providing comprehensive care. The objective is to evaluate and manage these patients from a holistic point of view.The findings of the AIG Covid Survey are now being published as a research report currently available as a pre-print."It is commendable on part of AIG Hospitals to come up with such an initiative, a first-of-its-kind dedicated Post-Covid Care Clinic so early and showing the way ahead in managing these post-Covid cases. It will be important to see what newer protocols will be required for these patients and it is our cumulative responsibility to help in this regard," said Narsing Rao, Principal Secretary to the Telangana Chief Minister.--IANSms/kr
<br>The 21 members of his joint family comprising four generations, however, overcame the ordeal with love, care and timely medical intervention.Hailing from Mandavgan Farata village in Shirur taluka, 100 km from Pune city, Ashok tested positive on April 21. As the remaining members of his family include four people aged over 65, the village panchayat decided to conduct a Covid test on all of them. Following Ashok, 20 members of the family tested positive, with just three spared from the infection. The youngest patient included a one-and-a-half-year-old boy and the oldest, a 75-year-old man. Ashok, who is a member of the gram panchayat of Mandavgan Farata, said his family is big as his father, his uncle and their families all live together. The 24 members include eight women, seven men, and nine children.As a melon-farmer, he was the only member of the family who used to step out of the house during the pandemic in order to sell the family's farm produce. He said he would quarantine himself in a separate room to keep the rest of the family safe from the infection.The 53-year-old used to visit the market yard in Pune and came in contact with adatdars (brokers), other farmers, vendors, as well as customers. "During the week (before I was tested), I had fever and body pain, but I ignored it as I thought it may be because of exhaustion. "When the pain increased, I visited a family doctor, who suggested a Covid test. On April 21, my report came positive. As I was serious, my doctor suggested I get admitted to a private hospital," he said.Ashok's diagnosis left the entire family worried. That is when the gram panchayat decided to test everyone. Of the 20 other family members who tested positive, 15 had mild symptoms and five were admitted to the Covid-19 centre in Mandavgan Farata.Ashok, on coming to know that nearly all of his family had been infected, was overwhelmed with guilt. "I felt I would be the only one responsible if any of them succumbed to the virus. I could not have forgiven myself if anything had happened to them," he said.All the household and family responsibilities then fell on the three who were not infected -- Pooja Suraj Jagtap, Adika Santosh Jagtap and Akash Bapusaheb Jagtap. Pooja and Adika were busy in the kitchen most of the time, cooking immunity-boosting food for the patients. Akash would deliver the food to the Covid centre and hospital.When he would get time, Akash would go to the fields, but he could not finish many of the tasks as the farmworkers hired by the family refused to come to work out of fear of catching the virus.Ashok's son, Suraj Subhash Jagtap, 27, said that his wife, Pooja, and brother's wife, Adika, looked after the whole family. "My one-year-old son Aditya lived with us, and without his mom, for more than 10 days. We were all scared at first, as negative news was pouring in from outside. But our grandfather and grandmother motivated us, they never showed any kind of anxiety. All the time, they would talk to us and tell us that nothing would happen. Their positive words inspired all of us," he said.Kantabai Rohidas Jagtap, 70, Ashok's mother, said they were scared, but did not show it. "Everyone started to take care of each other. Daughters, sons-in-law, nephews, and other relatives also helped us. With the love and support of each other and our relatives, we got through the hard times. I have seen humanity in this critical situation. Now, senior members of the family will take the vaccine and others will too," she adds.Ashok's uncle, Subhash Mahadev Jagtap, 70, said the family's farm suffered losses as workers stayed away from their farm and Akash could not harvest the melons or water the crops alone. "It is a big loss to the family, but at least all of us are together," he said.Manoj Bhosale, a doctor at the Varad Vinayak Hospital, Mandavgan Farata, said it is important for patients to stay optimistic. "A doctor tries to save every patient, but patients should also believe in themselves. This is the thing I saw in the Jagtap family. "As a farming family, they had strong immunity. But also, no one in the family panicked in this critical situation. They took care of each other. This is when I saw the benefit of a joint family. Their love for each other makes them strong. Now I always give the example of the Jagtap family to every patient," he said.Looking at the prediction of a third wave in India, Ashok said the virus is bound to infect everyone eventually. "The key is not to delay treatment, be optimistic and love each other. Also, get vaccinated. We are getting the jab too."(The author is a Pune-based freelance journalist and a member of 101Reporters.com, a pan-India network of grassroots reporters.)--IANS<br>dhumal/in
Washington, June 26 (IANS) More than 30 per cent public health workers have reported symptoms of depression, anxiety, post-traumatic stress disorder (PTSD), because of the prolonged demand for responding to the Covid-19 pandemic, according to a study by the US Centers for Disease Control and Prevention (CDC).
To evaluate mental health conditions among the health care workers, the agency conducted a nonprobability-based online survey during March 29 to April 16, 2021.
Among 26,174 respondents, 53 per cent reported symptoms of at least one mental health condition in the preceding 2 weeks.
About one in three each reported symptoms of depression (32.0 per cent), anxiety (30.3 per cent), PTSD (36.8 per cent), while nearly 10 per cent reported of planning suicide.
The highest prevalence of symptoms of a mental health condition was among young workers below 29 years (47.4 per cent) and transgender or nonbinary persons of all ages (65.5 per cent) and those being unable to take time off from work.
"Implementing prevention and control practices that eliminate, reduce, and manage factors that cause or contribute to public health workers' poor mental health might improve mental health outcomes during emergencies," the CDC said, in its weekly MMWR report on Friday.
Most (92.6 per cent) respondents reported working directly on Covid-19 response activities; the majority (59.2 per cent) worked more 41 hours in a typical week since March 2020. Workers who could not take time off had a two-fold greater risk of reporting at least one mental health condition than those who could take time off.
"The prevalence of all four mental health outcomes and the severity of symptoms of depression or PTSD increased as the percentage of work time spent directly on Covid-19 response activities and number of work hours in a typical week increased," the CDC said.
Hypertension is one of India's most common lifestyle diseases and often termed as a "silent killer" disease. The condition exhibits no symptoms even if blood pressure reaches a dangerously high level, making a person prone to having a cardiac arrest or stroke.
With the fast-paced life and demanding work schedules, everyone is under a significant level of stress. The pandemic has further escalated the stress levels due to work from home, resulting in longer working hours.
Hypertension refers to a condition where the long-term force of the blood is unusually high against the artery walls leading to several other diseases over time, notes Sharanya S Shastry, a dietician at Apollo Spectra Hospital, Bangalore.
Regular headaches, nosebleeds, and shortness of breath are a few symptoms of high blood pressure, these are not specific to only hypertension and don't occur till the blood pressure is at a severely increased level, says the expert.
According to Shastry, including a few foods in the daily diet can help manage hypertension as these foods have medicinal properties. A few super foods for hypertension are:
This delicious fruit contains antioxidants and bioactive polyphenols, which possess many medicinal qualities beneficial for hypertension. One can simply include a bowl of the fresh fruit as their mid-morning snack.
High blood pressure can cause narrowing of the blood vessels, and this fruit contains potassium, which is good for the muscles. Besides being a wonder fruit for hypertension, jamun fruit is also good for managing elevated cholesterol and blood sugar levels.
This has been a go-to super food for Olympians as it contains natural nitrates, which are converted into nitric oxide by the digestive system. A glass of raw beetroot juice or a cooked vegetarian dish of beetroot can significantly reduce high blood pressure levels in 2-3 hours of consumption.
Garlic has been known to have medicinal properties for ages as it produces a natural compound called allicin on being crushed or chopped. It can bring blood pressure down instantly and is an excellent option to be added to the everyday food intake of hypertension patients.
Both leaves and seeds are rich in fibre, Calcium and they reduce the level of LDL/TG in the body resulting in bringing the blood pressure down. Hence include methi seeds in your tadka or a methi paratha in your diet.
Foods that have a proven history of helping maintain a healthy blood pressure level. A combination of these and a moderate level of physical activity daily can significantly help manage hypertension. While working from home, try to create a sleep routine that gives the body ample time to reboot and reset.
As we wait for this pandemic to pass, it is imperative that health becomes of prime importance in order to boost immunity and battle the consequences of the virus.
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