February 19, 2020
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अधिक उम्र के लोगों में कैंसर का खतरा ज्यादा

भारत में, 60 साल से ज्यादा उम्र के लोगों में कैंसर के बढ़ते मामलों के बारे में जागरुकता बढ़ाने के लिए मैक्स सुपर स्पेशलिटी हॉस्पिटल, पटपड़गंज ने मैक्स मेड सेंटर में आज एक जागरुकता अभियान का आयोजन किया। मैक्स सुपर स्पेशलिटी हॉस्पिटल, पटपड़गंज की ऑन्कोलॉजी निदेशक, डॉक्टर मीनू वालिया ने इस कार्यक्रम की शुरुआत करते हुए लोगों को खराब व अस्वस्थ जीवनशैली के घातक परिणामों के बारे में विस्तार से जानकारी दी।

कैंसर एक ऐसी बीमारी है, जो किसी भी उम्र के व्यक्ति को हो सकता है और भारत में कैंसर के मामले तेजी से बढ़ रहे हैं। जहां युवाओं को स्वस्थ और स्वच्छ जीवनशैली के महत्व के बारे में लगातार शिक्षित किया जा रहा है, वहीं बुजुर्ग जीवनशैली की कुछ आदतों जैसे कि धूम्रपान, शराब का सेवन, तंबाकू का सेवन आदि को आसानी से नहीं छोड़ पाते हैं, जिसके कारण वे आसानी से कैंसर का शिकार बनते हैं।

केस 1- सुमन लता सिंह रघुवंशी, उम्र 70

मरीज साल 2017 के जनवरी में 20 दिन की पोस्ट मीनोपोजल ब्लीडिंग की शिकायत के साथ अस्पताल पहुंची थी। इसके अलावा वे डायबिटीज, हाई बीपी और कोरोनरी आर्टरी डिजीज की गंभीर बीमारियों से भी ग्रस्त थीं। जांच के बाद पता चला कि उन्हें स्टेज 4 का प्राइमेरी पेरिटोनियल कैंसर है। मरीज को तुरंत कीमोथेरेपी पर रखा गया और फिर कैंसर की सर्जरी की गई। हालांकि, बाद में उनमें एब्डोमिनल टीबी की पहचान हुई, जिसके बाद उन्हें अक्टूबर 2018 में एटीटी पर रखा गया। इलाज के बाद वे लगातार 16 महीनों तक बिल्कुल ठीक महसूस कर रही थीं, लेकिन उसके बाद उन्हें यह कैंसर दोबारा हो गया। समस्या को देखते हुए डॉक्टरों की टीम ने मरीज को फिर से कीमोथेरेपी पर रखा, जिसके बाद अब मरीज बिल्कुल स्वस्थ है।

मैक्स सुपर स्पेशलिटी हॉस्पिटल, पटपड़गंज की ऑन्कोलॉजी निदेशक, डॉक्टर मीनू वालिया ने इस केस के बारे में बात करते हुए कहा कि, “पेरिटोनियल कार्सिनोमा आमतौर पर एक गंभीर और घातक कैंसर है और श्रीमती सुमन लता का केस इसका मुख्य उदाहरण है। पेरिटोनियल कैंसर बहुत जल्दी फैलता है क्योंकि यह खून के प्रवाह के जरिए पूरे शरीर में प्रवेश कर सकता है। यह कैंसर इलाज के कुछ हफ्तों, महीनों या कुछ सालों के बाद फिर से उभर सकता है, क्योंकि ज्यादातर इसका निदान एडवांस चरण में होता है।”

केस 2- अशोक कुमार, उम्र 61

मरीज में 2 महीनों से हीमोप्टाइसिस के लक्षण नजर आ रहे थे। इसके अलावा मरीज को पहले धूम्रपान की लत थी और उसके दोनो घुटनों में ओस्टियोआर्थराइटिस की समस्या भी थी। अगस्त 2019 में जांच के बाद उनके बाएं फेफड़े में कार्सिनोमा की पहचान हुई। मरीज के भाई को भी फेफड़े का कैंसर हो चुका था। समस्या को देखते हुए मरीज को तुरंत कीमोथेरेपी पर रखा गया। 3 साइकिल के पूरे होने पर मरीज का शरीर अच्छी प्रतिक्रिया दे रहा था। वर्तमान में मरीज पूरी तरह से ठीक है।

डॉक्टर मीनू वालिया ने अशोक कुमार के केस के बारे में बात करते हुए कहा कि, “श्री अशोक कुमार का मामला दिखाता है कि घूम्रपान की लत रखने वालों का भविष्य कैसा होगा। हालांकि, धूम्रपान से होने वाले कैंसरों को धूम्रपान छोड़ने के साथ आसानी से रोका जा सकता है, लेकिन तंबाकू के सेवन के कारण भारत में हर दिन लगभग 3500 लोग कैंसर का शिकार बनते हैं। तंबाकू या धूम्रपान में पाए जाने वाले लगभग 60 केमिकल्स कार्सिनोमा के लिए जिम्मेदार होते हैं। मरीज की उम्र और कैंसर की गंभीरता के बाद हम उन्हें कीमोथेरेपी की मदद से ठीक करने में सफल हो सके। श्री अशोक कुमार, आज एक बेहतर जीवन जी रहे हैं।”

मेडिकल क्षेत्र में प्रगति और उपयुक्त थेरेपी की उपलब्धता के साथ, आज एडवांस चरण के बाद भी लगभग हर प्रकार के कैंसर का इलाज संभव हो गया है। हालांकि, कैंसर जैसी घातक बीमारियों से बचने के लिए सभी के लिए समय-समय पर स्क्रीनिंग कराना आवश्यक है.

Health

Advanced treatment methods may enhance survival rate of patients with brain cancer

brain cancer

Dr Aditya Gupta, Director, Neurosurgery and Cyberknife Centre, Agrim Institute for Neuro sciences, Artemis Hospital Gurguram

Cancer spread to the brainis one of the feared complications of cancer that poses significant mortality and morbidity in the patients with advanced cancer. This occurs when the cancer cells travel through the blood stream or the lymph system from the original tumour and metastasize (spread) to the brain. This is known as metastatic cancer. For example breast cancer that has spread to the brain would be referred to as metastatic cancer and not primary cancer.

brain cancer

According to Globocan 2018 report, issued by the International Association of Cancer Registries (IARC) associated with World Health Organization (WHO), over 28,000 new brain tumour cases are reported annually in India. Around 24,000 patients lost their lives battling such deadly and cancerous tumours.

Mostly people ignore the initial symptoms of this disease which include headaches, vomiting seizures etc. As they often get confuse about the exact location of the tumour. This leads to misdiagnosis which may results in death of the patient. However, the numbers are now gradually declining with the improved treatment methods of such deadly tumours and are allowing patients survival.

 How to Identify?

The following can be the symptoms of brain metastasis but many patients may experience additional complications caused by the original tumour and its related manifestation.

·         Increased pressures within the skull- In most of the cases symptoms are caused by the expansion of lesions and increased ICP (Increased Cranial Pressure). The most common symptoms of ICP are headaches, vomiting, and disturbance in consciousness.

·         Headache- Headache is the initial symptom in more than half of the cases of brain tumour and this is faced by the most of the patients at some point in their life.

·         Vomiting- This is an occasional accompaniment with the headaches. It is far more common in children. In children, this can be dramatic and forceful so much it may be labelled as projectile in nature.

·         Seizures- It is a uncontrolled and electrical disturbance in the brain. It causes changes in the mental behaviour, movements and level of consciousness. These are almost associated with 35% cases of brain tumours.

·         Specific Neurological symptoms-  Whereas headaches alters mental status and seizures may be seen with the tumour that occur in any part of the brain, some symptoms are associated with the tumours that occurs in a specific location. These symptoms affect the side of the body opposite from the side where tumour resides and may include different modalities of sensation such as tingling and motor changes.

What are its causes?

Virtually any systemic malignancy can metastasize to the brain, but there are some which have greater tendency to do so, Melanoma (A type of skin cancer) has a tendency metastasize to the brain. Other cancerous tumours in skin, breast renal and colon can also metastasize the brain.  Some differences are seen in the types of primary malignancies responsible for metastasis of the brain in both the genders.  In males, lung cancer is the most common source of brain metastasis whereas breast cancer is the most common source in females.

Diagnosis of brain metastasis

Brain metastasis can be diagnosed with the following tests:

  • CT/CAT scan- It can be done with or without injecting intravenous contrast and includes different views of the brain. CT scans are initial diagnostic tests utilized.
  • Magnetic Resonance Imaging (MRI)-   It makes a clear picture of the brain using powerful magnets and radio waves. With the addition to intravenous contrast agent, this is the gold standard testing that provides information about the location, size, characteristics and pressure effects of tumour.
  • PET Scan – Positron emission tomography (PET) scans can show up a cancer, reveal the stage of the cancer, show whether the cancer has spread, help doctors decide on the most appropriate cancer treatment, and give doctors an indication on the effectiveness of ongoing chemotherapy. They are also useful in finding out how effective current treatment is. The biggest advantage of a PET scan, compared to an MRI scan or X-ray, is that it can reveal how a part of the patient’s body is functioning, rather than just how it looks. Medical researchers find this aspect of PET scans particularly useful. A CT or MRI scan can assess the size and shape of body organs and tissue, but cannot assess its function, which a PET scan does. In other words, MRI or CT scans tell you what an organ looks like, while a PET scan can tell you how it is working.

Tissue diagnosis is crucial and may have already occurred if the patient has a previously known malignancy. It may be obtained by a biopsy or removal at the site of the primary cancer. Besides this on other occasions, a biopsy of the, metastatic brain tumour is performed if the size is larger and causing significant pressure effects. The tumour may be removed entirely to relieve the pressure while providing the adequate tissue for diagnosis.

Once a clear diagnosis of the tumour is obtained, staging of the systemic cancer is completed and the patient’s medical condition is stabilized, a multidisciplinary team of physicians will try to treat the tumour within the brain with best possible treatment methods.

Why Cyberknife M6 over other traditional methods of treatment?

The treatment varies with the size and type of tumour. The primary sites of malignancy are extent to both locally and in rest of the body, the general individual health and presence of other medical problems. The goals of the treatment involves improve body functioning, controlling the cancer and its satellite its tumour within the brain.

Cyberknife M6 is performed in a non-invasive manner with a higher brain surgery recovery time done on outpatient basis. The characteristics of M6 to pinpoint the exact location of the tumor in real time using 3-D imaging techniques during the treatment of brain tumor and ablating the tumor without any cut marks has proven outcomes to overtake the traditional methods of treatment. With the flexibility of the treatment to be done in 1 to 5 sessions each of 30 minutes duration provides comfortability to the patient and the maximum level of restricting the tumor from spreading further.

The main advantage of cyberknife radiation therapy is that it directly alters the individual deposits inside the brain without affecting the brain functioning. Also Whole Brain Reserve Therapy (WBRT) is reserved for those unfortunate patients who have too many deposits that cannot be treated with cyberknife or those who prefer multiple cyberknife. For treatment of metastasis such as melanoma, radiation therapy (cyberknife) may be the only option.  

Health

Magical remedies for winter which glows up your Skin & Health: Dietitian Srishti Arora

New Delhi, January 2020: The winter can be frustrating for some. There are very few hours of daylight, the weather can be bone-chillingly cold and you may have to deal with dry skin, cold cough, but did you know there are some magical herbs can be grown and used at home.

Basil is one you must have in your garden this season. Let’s know why?
Like parsley, basil is one of the most popular herbs in the world. Rich in vitamin K, A, potassium, and calcium, it’s no wonder it’s so popular. It helps to reduce inflammation, and studies have shown that it may help with symptoms of arthritis. Basil also contains a lot of anti-oxidants and antibacterial properties, which can help with cardiovascular health and inhibition of the growth of bad bacteria, respectively.

Dt Srishti Arora
  • Protects Against Infection
  • Antibacterial
  • Antiviral
  • Antifungal
  • Anti-inflammatory
  • Analgesic (a painkiller)
  • Basil can be used in Tea, Salad or can be consumed raw highly recommended to have daily intake for best results. Happy winters.

Your skincare in winter

Skin is largest organ of our body and outer coverage were as skin has many important functions then just making us look beautiful it equally requires an attention and skin care. In 2020 we must set right goals for healthy skin too. Did you know? A healthy Diet also plays vital role in skin care choosing right products can protect you from seasonal changes, dust and pollution. At the same time balanced nutrition can help you dealing with seasonal change like winter it may develop dryness or dandruff which can lead to infections and long-term problems if not treated well.

Eating plenty of fruits and vegetables rich in antioxidants is good for your whole body, including your skin. Antioxidants such as beta-carotene and vitamins.

Turmeric: The Golden Spice

Did you know? India is a leading producer and exporter of turmeric in the world. During most important festival, worship turmeric is highly used in India and has many unknown facts and health benefits. Here are some must know facts during winter season:

Turmeric is loaded with essential minerals, including magnesium, potassium and calcium. It’s also an excellent source of fibre, vitamin B6 and zinc contains healthy amounts of vitamin C and magnesium.
Replace a powder with raw turmeric know why?

  1. More Essential Oils: Turmeric root may contain more natural oils than turmeric powder as some amount may be lost during processing and drying.
  2. Rid of Artificial Colouring: Since turmeric is such a widely-used spice, it is also one of the most adulterated spices around. By using turmeric root instead of powder, you can ensure that you are not consuming artificial colouring agents, which may be harmful to your body.
    The most active compound of Turmeric is curcumin having many scientifically-proven health benefits, such as the potential to prevent heart disease, Alzheimer’s and cancer. It works as an anti-inflammatory and antioxidant and may also help improve symptoms of depression and arthritis.
Health

Embrace 2020 on a healthy note, with almonds!

As we enter 2020, most of us are already thinking of things we would like to do differently this year, and New Year resolutions present the perfect opportunity to fulfill our determinations. But, often a lot of us end up making a list of unrealistic resolutions and for many, it becomes almost impossible to follow them through the year.

Losing weight and remaining fit during the year are popular resolution choices that many promise to work towards at the beginning of every year. But soon, most of us to get distracted and come back to the same routine. Let’s change that this year, by resolving to make small, positive changes in our family as well as our lives, which can go a long way in building overall health.

One good way to do this is by incorporating a healthy snack like almonds in our daily diets. Almonds are a good source of vital nutrients like vitamin E, magnesium, good fat, dietary fibers and plant protein. In fact, a handful of almonds may have satiating properties that promote feeling of fullness, which may keep hunger at bay between meals .

Fitness enthusiast and Supermodel Milind Soman said, “During the holiday-season, we tend to over-indulge in unhealthy and high calorie food. Once we enter the New Year, we then start thinking about ways to become fit and healthy. An important part of maintaining a healthy lifestyle is adding a regular dose of exercise to it. I enjoy running, and make sure I try to do it 2-3 times a week, even during the holiday season or on vacation. To complement this, I personally opt for wholesome snacks like almonds which are a source of 15 nutrients such as magnesium, riboflavin, zinc etc.

Added to that, global research also suggests that daily consumption of almonds may have a positive impact on type 2 diabetes, heart health and weight management.”

Leading Bollywood actress Soha Ali Khan said, “For a lot of us, January is a month of new beginnings. But how many of us are able to see them through the year is questionable. Having family responsibilities, and a young daughter to take care of, I try to keep smaller, more achievable resolutions at the start of the year, and work through the year to achieve them.

As we enter 2020, I urge everyone to make more informed snacking choices, and opt for snacks like almonds, or fresh fruits which will aid your overall health.”

When we commit to remain healthy and fit throughout the year, diet and meal options become crucial. While we may plan our diets to the hilt, what we tend to miss out on, is planning a balanced snacking routine that is tasty and nutritious at the same time. Snacking on almonds instead of unwholesome snacks can make a healthy difference to our lives.

According to Madhuri Ruia, Pilates Expert and Diet & Nutrition Consultant, “While planning our diet, we often neglect planning for the in-between snacks. I strongly recommend to choose health substitutes like roasted, flavoured or salted almonds for those in-between meal hunger pangs. Snacking smart with almonds is a small yet great change that can help people lead a healthier lifestyle.”

Commenting on this, Sheela Krishnaswamy, Nutrition and Wellness Consultant said, “As the New Year begins, I usually come across many clients who are looking for a diet plan that could help manage their weight. In such cases, I highly recommend fresh fruits and nuts like almonds which help in weight management.

Recently, I also came across a study published in the European Journal of Clinical Nutrition, which highlighted that participants who consumed 43 grams of dry, roasted, lightly salted almonds every day experienced reduced hunger and improved dietary vitamin E and monounsaturated (“good”) fat intake without increasing body weight .”

Regional Head-Dietetics, Max Healthcare – Delhi, Ritika Samaddar added, “Almonds are one of the easiest foods to include in our diet; we can eat a handful before we start our day, enjoy some as an evening tea time snack, or even add them to our food preparation. In addition, as per a recent research, inclusion of 45 grams of almonds in everyday diet can help in the reduction of LDL (bad cholesterol) and alleviate conditions like dyslipidemia, linked to the same.

Regular consumption of almonds, when replaced with other carbohydrate rich snacks, can effectively help in reducing LDL and total cholesterol, thus making you healthier in the long run .”

So, this year, resolve to lead a healthier lifestyle by consuming a handful of almonds every day.

Health

Grains To Include In a Diet of Diabetes Patient BY Mr Satkam Divya, CEO, KlinicApp

Diabetes patients often get scared of the disease because of the drastic lifestyle changes that it requires. But, not all change is bad. Choosing healthier eating options can be a lot of fun. Having diabetes does not mean that you have to give up tasty dishes that you have always loved. It simply means that you have to be smart about it. Whole grains are great for reducing cholesterol. They also help to reduce the risk of heart diseases and are packed with fiber. If you are diabetic, it is a good idea to include whole grains in your diet. As they do not spike your blood sugar and helps have better control over it.

Brown Rice Lowers Blood Sugar Level

Research shows that brown rice reduces the chances of developing diabetes by 16%. But, if you are already a diabetic, it can still help you. Consuming around 2 servings of brown rice each week leads to a lower blood sugar level. Just replace one-third of your daily serving of white rice with that of brown rice
and it should help out.

Oats Contains Low Glycemic Index

Oats is a popular choice among health-conscious people. It is also great for those who suffer from diabetes. They are easy to make and goes great for your breakfast. It helps to regulate your blood sugar due to its low glycemic index and high fiber content. There are many quick and easy recipes that you could try with oats.

Use Buckwheat Instead of Regular Flour

Buckwheat is actually a seed but, it is also considered to be a grain. You can use buckwheat flour instead of your regular one. It can help boost your fiber intake, which has the ability to regulate blood glucose levels. It also helps to slow down the rate at which glucose is absorbed in the intestines.

Quinoa Contains High Protein & Calcium

Some people are familiar with Quinoa while others aren’t. This gluten-free grain has the highest protein value than any other grain. It also contains more calcium than milk, which makes it a great option to include in your diet. Although people often take it to be a whole grain, it is a nutritious seed that is rich in fiber and protein.

Millet Contains Zero Fat

Millet is probably the least common in this category. It is often the main ingredient in birdseed. However, when it is cooked, it is also great for humans. With its high quantity of fiber and little to no fat, it is a great option to include in your meals. Millet also provides about 26% of the daily value of magnesium. Factors to Consider with Whole Grains Diet

Here are some important factors to consider for diabetics and people with blood sugar issues.

Avoid Over Consumption of Grains

When you are trying new foods, it is easy to go overboard. But, if you are a diabetic, over-consumption could cause your blood sugar to shoot. This is something you do not want to happen. Start with two-thirds of cooked whole grains or 2 slices of whole-grain bread and see how your sugar reacts to it. Pair the Whole Grains with something else

To help your body deal with sugar gradually, pair the grains with unsaturated fat and protein. Some good sources of protein that you could start with are nuts, seeds, beans, etc. If you want to eat whole grain bread, pair it with vegan cheese or nut butter.

Choose least-processed Whole Grains

Brown rice, whole barley, kernel bread, wheat berries, and millet are a great choice. These are much better than processed ones. Least-processed grains have all the nutritional values intact.

Read Labels Carefully before Buying

You will come across many products while shopping that will appear as if they are wholegrain but, they are not. To avoid getting tricked, you have to read the labels carefully. Terms like ‘enriched’ can easily throw you off the track. That is simply a term used when only parts of the grain are used and not the whole product.

When you come across labels that read ‘made from whole grain’ or ‘contains whole grain,’ they may still not be 100%. Look at the ingredients listed, if whole grain is the first ingredient that is listed then you are good to go.

There are other factors that you should keep in mind as well. For example, did you know that brown bread is brown in color due to the added colors? You just have to be smart about the things you eat and include physical activity to control your blood sugar and to improve your overall health.

There are over 72 million adult diabetic patients in India alone. It is quite easy to manage your blood sugar once you know how to. Managing diabetes does take a little learning and getting used to but, the knowledge will help you lead a healthy, happy, and full life.

Health

Latest Treatment Options for Patients with Neuroendocrine Tumors (NETS)

In the last two decades, clinicians have witnessed rapid evolution in the management of neuroendocrine tumors (NETS) in the gastrointestinal tract.
Gastro-entero-pancreatic neuroendocrine tumours (GEP-NETs), is a rare cancer originating from the digestive diffuse endocrine system.

According to Dr Liau Kui Hin, senior consultant at Mt Elizabeth Hospital Singapore, multimodal management of the disease provided by a multi- and trans-disciplinary team remains the key element for ensuring the clinical success of the outcome.

At Mt Elizabeth Singapore, Modern surgery combined with the application of surgical technology (such as minimal access surgery, argon plasma coagulator, harmonic scalpel, etc.) allow operations to be performed with greater precision and speed, less pain, less complications and faster recovery with shorter hospital stays. Better clinical outcome and quality of life can be expected.

Keeping pace with technological developments in NETS treatment, Parkway Hospitals is developing its Peptide Receptor Radionuclide Therapy (PRRT) service. With this treatment option, patients can expect a more personalized treatment, tailored to their cancer type.

Health

Dr Mohsin Hossain spoke on 3d mapping at annual conference of Indian Heart Rhythm Society

New Delhi. The 11th edition of IHRS’s annual conference began in New Delhi from 15th November ‘ 2019 and among the prominent and special guest speakers was Prof. (Dr.) Mohsin Hossain, Professor of Cardiology, National Institute of Cardiovascular Diseases (NICVD), Dhaka, Bangladesh.

Indian Heart Rhythm Society (IHRS), was formed in year 2005 in India on the lines of HRS, U.S.A. by illustrious names in the field of Electro Physiology (EP) and has thus become an apex body to further the cause of heart rhythm management in India by continuously working on knowledge sharing among experts and practitioners. IHRS’s annual conference draws EP specialists from all over the country and abroad to reflect upon newer innovations, do case based studies, perform live cases and also run a fellowship program for young EP’s.

Prof. (Dr.) Mohsin Hossain of NICVD, Bangladesh was a special invitee at IHRS 2019 who is spoke on 3D Mapping under Newer Innovations session. NICVD is Bangladesh’s most premier state of the art institute for treatment of cardiovascular diseases to establish most modern cardiovascular care services and also to train the manpower in the field. Dr Hossain is the name to reckon with in Bangladesh when it comes to Arrhythmia and EP who is continuously adopting newer technologies and innovations in this field .

“I am delighted to be a part of IHRS’s annual conference in India and am looking forward to speaking on 3d mapping and meet fellow physicians from India on this great knowledge sharing platform. While Bangladesh is fast progressing on the path of accessing what the world has to offer in terms of newer technologies, we need to undertake training and skill building for our young doctors” said Prof (Dr) Mohsin Hossain

With the advancement of technology, the 3D Electro anatomical Navigation System provides a physician with a three dimensional views of the inside of the chamber of the heart and thereby helps the Electrophysiologists for better treatment modalities. The Orion catheter with its specialty of its design provides the physician to map the anatomy and subsequent ablation of the affected area many times faster.

It also reduces the fluoro time during the procedure to 4 mins which is to a great advantage for both patients and physicians getting minimal exposure to radiation, minimizing any chances of carcinogenic complications later on.

This is one of the sensational inventions of this decade for the treatment of cardiac arrhythmias.

Health

CABG surgery successfully treats patients with Triple Vessel CAD

Incidence of CAD rising sharply among young adults.

45 year old Ravi Saxena from Bareilly gets a new lease of life after undergoing a successful Coronary Artery Bypass Graft (CABG) surgery. He was admitted in very critical condition with history of Myocardial Infarction (heart attack).

Initially he had been admitted in a hospital in Bareilly where angiography reports revealed Triple Vessel Coronary Artery Disease. In a state of emergency he was brought to Max Hospital Patparganj after CPR and mechanical Ventilation with NTG infusion.

“In the emergency the patient’s condition had worsened and the patient was immediately shifted to CTVS ICU where he was optimized. His 2D echo revealed severe dysfunction of the Left ventricle and was advised for a CABG surgery. The team immediately decided to perform CABG surgery also known as ‘Total Arterial Revascularization’. This method of surgery is technically demanding, and not performed usually in many cardiac centers. The patient had stabilized within 3 days of surgery and was discharged with no complications.” Said Dr Ritwick Raj Bhuyan – Associate Director, Cardiac Surgery, Max Super Specialty Hospital, Patparganj, New Delhi.

Many such patients with triple vessel Coronary artery disease have been successfully treated in the recent times. The purpose of the conference was to showcase live examples of people suffering from Triple Vessel CAD who have been successfully treated.  65 year old Mr. Ghanshyam Das, 45 year old Mr. Ravi Saxena and 75 year old Ramesh Gupta are such testimonials present. Such surgeries only have 15-20% success rates even in advanced countries like UK and US.

“Coronary artery disease (CAD) is a major cause of cardiovascular death worldwide and India poor lifestyle habits are contributing to a rise in such patients. Apart from age and family history, controllable risk factors including increased cigarette smoking, high levels of cholesterol, high systolic blood pressure and diabetes have been noted to raise the risk of atherosclerosis by around 90%. In fact over 20% of diabetic patients have suffered from this condition.” He added.

It is thus important to create awareness among the masses that timely intervention of such conditions can prevent mortality and morbidity. Since this operation is not performed in many cardiac centers, Max Hospital Patparganj has successfully treated many patients from tier 3 and tier 4 cities.

Max Healthcare (MHC) is the Country’s leading comprehensive provider of standardized, seamless and international-class healthcare services. It is committed to the highest standards of medical and service excellence, patient care, scientific and medical education.

Health

First-ever CPR workshop conducted for Health Writers

Around 75+ health writers attended a workshop on cardiopulmonary resuscitation in the recently conducted 7 th Heal Health Writers Convention. The workshop was a continuation of “Chiranjeev Hriday – CPR seekho Dil Dhadakne Do” – a campaign issued in public interest by Medtronic.
Sudden Cardiac Arrest is the malfunction or cessation of electrical and mechanical activity of the heart. SCA is characterized by dangerously fast heart rate (ventricular tachycardia) or irregular rhythm (ventricular fibrillation), unconsciousness, and irregular (gasping) or no breathing. Majority of sudden cardiac arrest (SCA) events occur outside hospitals. There is no clear data available in India; but through studies and by extrapolation, it is estimated that the annual incidence of deaths due to sudden cardiac arrest are around 7 lakhs in the country ,2 and 95 percent of those who experience sudden cardiac arrest die because they do not receive life-saving therapy within four to six minutes. 3,4 Abhishek Dubewar, Senior Director – Cardiac and Vascular Group, Medtronic Indian Subcontinent says, “Considering the high incidence and prevalence of Sudden Cardiac Arrest in our country, there is an immediate need to increase awareness about CPR which is a powerful tool that takes only 30 minutes to learn and can double or even triple a victim’s chances of survival. With the Mission to alleviate pain, restore health and extend life, we’ve been partnering with experts to impart CPR training across different locations in the country. Our most recent efforts involved educating journalists and health writers about this technique as they can help advance the objective of bringing adequate focus on the SCA menace.”
Cardiopulmonary resuscitation (CPR) is the only technique that can save a person suffering from Sudden Cardiac Arrest (SCA) outside a hospital. This life-saving medical procedure should be administered on an SCA victim with the purpose of keeping the oxygenated blood flowing through the body in order to keep the vital organs alive. CPR, or cardio-pulmonary resuscitation, is simply a technique to help restart a patient’s non-beating heart. Hands-only CPR can be started instantly and requires the provider to simply push hard and fast in the center of a patient’s chest, approximately 2-2.4 inches in depth. These actions are key in the chain of survival and need to be executed as soon as possible or the victim is likely to die in minutes.
Dr Swadeep Srivastava, Founder Heal Foundation, says, “As per the survey conducted by Lybrate around 98 percent Indians are not trained in the basic life-saving technique of cardiopulmonary resuscitation (CPR) during sudden cardiac arrest. 5 In the 7 th Heal Health Writers Convention, we conducted CPR workshop with the support of Medtronic especially for health writers for the first time. Health writers are one of the most important pillar of public health and we are hopeful that this workshop has equipped them with the confidence to perform CPR if the need arises and spread awareness around the same.”
A senior health journalist who attended the workshop said, “Awareness around SCA and CPR is limited in our country. Being a health writer, I was aware of the subject, however, live dummy demonstration was enlightening. The workshop has given me the confidence to perform CPR if the need arises. I believe the experience was similar to my peers. Such workshops should be conducted more frequently so that more and more people can learn the lifesaving technique and contribute to bringing down the number of deaths caused by sudden cardiac arrest.

Health

पास ऑन प्लास्टिक: मोबियस फाउंडेशन की एक खास पहल

नई दिल्ली: प्लास्टिक अपशिष्ट और संबन्धित प्रदूषण वैश्विक चिंता का कारण बन गया है क्योंकि यह सभी जीवित प्राणियों को प्रभावित करने के साथ ही हमारे ग्रह को भी हानि पहुँचा रहा है। सिंगल यूज़ प्लास्टिक के हानिकारक प्रभावों से पर्यावरण को बचाने के लिए मोबियस फाउंडेशन दिल्ली में 20 अक्टूबर से 3 नवंबर 2019 तक प्तपासऑनप्लास्टिक अभियान चला रहा है7

20 दिनों के इस अभियान के दौरान मयूर विहार फेज-१ और इंद्रप्रस्थ एक्सटेंशन दिल्ली के तीन आवासीय सोसाइटी (लगभग 2500 परिवार) मोबियस फाउंडेशन द्वारा रखे गए डिब्बे में अपने प्लास्टिक कचरे को डालेंगे। प्लास्टिक कचरे के संग्रह के लिए प्रत्येक सोसाइटी (२५० परिवार) में दो डब्बों की व्यवस्था की गई है। कचरे को संग्रहित करने के लिए ये डिब्बे 20 अक्टूबर से 1नवंबर तक यानि 14 दिनों के लिए सोसायटियों में उपलब्ध रहेंगे।

च्च्आर्थिक रूप से व्यवहार्य और बेहतर रीसाइक्लिंग के लिए कचरों को अलग करना आवश्यक है। हम पूर्वी दिल्ली आवासीय सोसाइटियों में एक पायलट प्रोजेक्ट चला रहे हैं। इसमें हम उस प्लास्टिक कचरे को अलग कर रहे हैं जिन्हें जलाने पर या लैंडफिल के माध्यम से नष्ट करने पर पर्यावरण को अधिक नुकसान होता है। इस पायलट प्रोजेक्ट के लिए मयूर विहार फेज-१ के पूर्वी दिल्ली आवासीय सोसायटी और इंद्रप्रस्थ एक्सटेंशन को चुना गया है। हम २५०० परिवारों के साथ काम कर रहे हैं। इसके लिए हमने संबन्धित आरडब्ल्यूए के साथ सहयोग किया है और प्लास्टिक अपशिष्ट संग्रहण में उनका पूरा सहयोग मिल रहा है। इस पहल के माध्यम से मोबियस फ़ाउंडेशन प्लास्टिक कचरे को अलग करने के महत्व को लेकर जन-सामान्य में एक जागरूकता पैदा करने की कोशिश कर रहा है। इसके साथ ही इस बात को लेकर भी जागरूकता फैलाया जा रहा है कि कैसे कोई व्यक्तिगत या सामाजिक रूप से इसमें भाग ले और प्लास्टिक के उपयोग को कम करने के प्रति सचेत रहे, ज्ज्श्री प्रदीप बर्मन, अध्यक्ष, मोबियस फाउंडेशन ने कहा।

प्लास्टिक प्रदूषण पर्यावरण में अपशिष्ट प्लास्टिक सामग्री के संचय के कारण होता है। यह एक गैर-बायोडिग्रेडेबल पदार्थ है जिसका मिट्टी या पानी में क्षय नहीं होता। इसे सुरक्षित और पारिस्थितिक रूप से निपटना एक चुनौती है। इसीलिए, प्लास्टिक अपशिष्ट के संग्रहण के बाद मोबियस फाउंडेशन उन्हें एक रीसाइक्लिंग कंपनी च्ग्रीन ओ टेक ज्को सौंप देगा। यह कंपनी इन प्लास्टिक से छरों, पॉलिएस्टर यार्न, खिलौने आदि का निर्माण करेगी और इस तरह प्लास्टिक का पुनः उपयोग हो पाएगा। इसके अलावा, प्रत्येक 100 ग्राम प्लास्टिक के बदले वे एक पेड़ भी लगाएंगे।

अधिक से अधिक लोगों को प्रोत्साहित करने के लिए वे उन घरों को प्रोत्साहन दे रहे हैं जो अपने प्लास्टिक कचरे को डिब्बों में डाल रहे हैं। यह प्रलोभन पुनर्निर्मित या अपशिष्ट उत्पादों से बने पर्यावरण के अनुकूल उत्पादों के रूप में है। प्रत्येक सोसाइटी के आरडब्ल्यूए को प्रशंसा प्रमाण पत्र भी दिया जाएगा।

इस पायलट प्रोजेक्ट का अगला चरण गुरुग्राम की सोसाइटी में स्थानीय गैर-सरकारी संगठन उदय केयर ट्रस्ट के सहयोग से इस मॉडल को लागू करना होगा। इसके डेटा को एकत्रित, संकलित और विश्लेषित कर नगर निगम को रिपोर्ट सौंप दी जाएगी। इसके माध्यम से वह इस व्यवस्था को या किसी अन्य तरीके के द्वारा प्लास्टिक कचरा प्रबंधन के लिए एक स्थायी बुनियादी ढांचा के निर्माण का निर्णय ले पाने में सक्षम हो पाएगा।

इस पहल को आगे बढ़ाते हुए इसमें घरेलू स्तर से निस्तारण प्रक्रिया तक ठोस अपशिष्ट प्रबंधन को शामिल किया जा सकता है जिससे कि कचरे का समुचित निपटारा हो सके।