Professional Documents
Culture Documents
Skin Care
in Winter
ORAL
MUCOSITIS
3 months after the injury under the care of General surgeon of a corporate
hospital with regular wound care, culture & sensitivity, repeated antibiotics,
regular insulin, anti-inflammatory and enzyme tabs. At the end advised skin
grafting/amputation, The treatment were discontinued.
Advanced wound care (based on principles of regenerative Medicine) in
GIOSTAR-ReMeD center
After 6 weeks
All treatments
were
stopped later
meDICAl ADvIsoRs
Contents
Dr sridhar vekatesh
Dr. fiaz Ahmed sattar
Dr D v Chalapathy www.healthvision.in
Dr m s Ganesh
Dr Ramesh Reddy The fight between food and the immune system 7
Dr Durgaprasad Reddy Skin Care: Essential Care in Winter 9
Dr. v. narayana swamy
Ageing and skin 12
Dr. p. Balakrishna shetty
Eye Care: What you should know? 15
Dr. sham Bhat
Silent caffeine addiction 16
Dr. seetharam prasad
Overuse of steroids may trigger destruction of hip joint 18
Dr. padmini prasad
Dr. venkatramana hegde This is how you can keep germs off
Dr. K. Bhujang shetty your favorite winter wear this season 21
Dr. srinivasamurthy D. Do you have chicken skin? It’s actually Keratosis Pilaris 22
Dr. C. sharath Kumar Gastrointestinal Stromal Tumour 23
Dr Keerthi patel Top 6 health-boosting benefits of Resveratrol 24
Dr B. Ramesh Can Homeopathy Treat Cancer? 26
Dr s.s. hiremath Suffering from Bleeding moles? It can be a sign of skin cancer 28
Dr. vasundhara Bhupathy Is it possible for women with cervical cancer to
Dr. Dhanajeyan become pregnant? 30
Dr. m.R. srivatsan
Beware of the Beauty Parlour Stroke Syndrome 31
Dr. s. Raghavendra Babu
Health technology 32
Diabetic retinopathy 35
ConsultInG eDItoR Beware of gym supplements 36
D. v. Kumar
Technological innovations and advancements 38
Which kind of protein one should use to maintain 40
DesIGn eDItoR
Some Common Causes of Infertility 43
Chandrashekar Gajani
How to ensure employees wellbeing? 44
Pre - Budget expectations of the Medical Industry 45
8197554373 9844060592
Career in Yoga 46
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Nasal Vaccines: What you need to know? 48
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The fight
antibody immunoglobulin E(IgE) release
to get rid of allergens.
between
l Food Allergy
Do you like milk? Or are you one of those who prepared a list
of reasons just to avoid the consumption of milk? Do you feel
diarrhoea after eating those wheat Rotis? How about the tasty
food and time-pass snack peanuts? In one way or another, the aroma, the
brilliant colours, or the flavours of the dish hypnotizes you, and
you will start regretting it. Regret of the overweight? I agree it
the immune
is one of the important topics to talk about. But this time, it’s
about that your body asking you to stop the consumption of a
particular food or ingredient. Food allergy. By the way, are you
allergic to any food or the ingredient used in the preparation of
system
the food? If yes…
l What is a food allergy?
Some people often feel swelling, tingling, or itching after
having nuts, seafood, etc. This aftermath will make them
Essential
Sciences & RC, White field,
Bangalore - 560066
Ph.: +91-80-4906 9000 Extn:1147/1366
www.vims.ac.in
Care in
Winter
Winter and your skin feels dry, rough, and scaly.
Worrying isn’t it!! Do you know it’s not only the
cold weather but also the lack of hydration, lack of
nutrients, not wearing winter protection clothing,
etc., harming skin? And the most important thing to
remember is that improper care can lead to irritated,
cracked, reddish, itchy skin and a burning sensation.
l Some natural remedies for skin care in
winter: Following a proper skincare routine
with some natural remedies can help moisturize
and repair the damage on skin. Let’s look at some
of the natural remedies to make skin healthy and
glowing:
l Body Mists: These are quick remedies for dry
skin. They can keep skin hydrated throughout the
day. Just spraying plain water will make skin dry
and tight. Hence adding the moisturizing agent
to the water can help create natural moisturizers
or body mists.
Hibiscus-rose water spray is an excellent
natural winter moisturizer that is helpful if you have
sensitive and dry skin. In order to prepare it, boil
4-5 Hibiscus flowers in a water bowl. Then add a few
drops of rose water and put it in a spray bottle. Use it
throughout the day.
Unrestricted consumption of How steroids lead to AVN is not destruction even in the younger
steroids by Covid patients during clearly understood but some age group of 20-30 years. I know
the pandemic has led to a sharp believe that corticosteroids can of a 21-year-old patient who had
increase in cases of avascular increase levels of lipid (fatty to undergo hip transplant due to
necrosis of hip (AVN) affecting acid) in the blood, reducing blood the after-effects of rampant use
the hip joint, with even young flow to the bones. of steroids during the pandemic.
people in their 20s reporting to Incidence of avascular Early diagnosis of avascular
hospital with complaints of hip necrosis of hip is high among necrosis of hip is essential to
and thigh pain and difficulty steroid takers. There is no save the hip joint. There is no
walking. They now need to known cause in 60-70% of AVN cure for this disease which is
undergo years of treatment that cases. The rest are caused by progressive and will worsen
includes physical therapy and factors like excessive drinking every year if not treated. When
anti-inflammatory medications, or taking steroids, such as by you get symptoms like hip or
and, in extreme cases, surgical gym goers or patients of diseases thigh pain and have a history
intervention to rebuild the joint like rheumatoid arthritis or of steroid use, you need to
or even hip replacement. There lung problems. Sometimes, see a doctor immediately for
is a 20-30% spike in cases of quacks also mix steroids in their an X-ray or MRI scan. Get
avascular necrosis of hip, also medicines to offer quick relief treatment started as early as
called osteonecrosis, in the post- without informing patients. possible.
pandemic period. Steroid abuse has been seen in Early medication for
The use of corticosteroids people who were on acute or AVN involves bed rest,
(especially at high doses) even long-term treatment of Covid. use of blood thinners, and
for a few months or years is Many of them took steroids bisphosphonates. Intermediate
associated with potentially indiscriminately without any stage might benefit from core
serious adverse events. Their use dosage control or supervision decomposition. In later stages,
is a common cause of avascular by doctor, by buying these surgical intervention may be
necrosis of the hip, a condition directly from pharmacists. the only recourse left. Total Hip
which involves death of bone This has caused a surge of 20-30% Replacement (THR) is indicated
tissue due to reduced blood in cases of avascular necrosis of in advanced stage of joint
supply. Bone death eventually hip in the post-Covid period. destruction. Among preventive
leads to collapse, sometimes only We are finding that one out measures, keep your
in a matter of months. The hip ball of every five patients coming cholesterol level low, as fat is
gets deformed into a mushroom to us with problems of the the most common substance
shape and cannot bear the load of hip has a history of taking in the body that can block
the body. This results in arthritis steroids for Covid treatment. blood supply to bones. Also,
of the hip joint, with symptoms Many have abused steroids take steroids only under doctor
like pain in hip and inner thighs, without prescription. We are supervision. It is also important
stiffness, and inability to walk. seeing many such cases of hip to limit your alcohol intake.
https://healthvision.in FEBRUARY-2023 healthvision
18
GEL
‘‘To get rid of your Joint pain”
r e lief
id
Rap nt pain
m joi
fro
w e lling
&s
With the increasing nip in the air, it is time to take Most importantly, it is essential to get rid of the
out your favorite coats, jumpers and jackets. What germs between washes. Let’s face it, it is impossible
it also means is that laundry cycles will lessen in to wash clothes every day and very difficult to do in
frequency as most winter wear cannot be washed as winters especially when clothes take more time to
regularly as you would like. Plus, they aren’t so easy dry. With the right product however, it can be super
to wash and often take additional time to dry. These easy to disinfect clothes every day after coming back
are expensive and one doesn’t want to ruin them home, even without using water. Keeping a clothes
by washing them too often. Not being able to wash disinfectant spray handy can be extremely
something can lead to a germ build up in our loved useful, especially when wanting to repeat outfits for
winter wear. your favourite winter outings, travels or attending
According to Charles Gerba, a microbiologist weddings when clothes can’t be washed regularly.
at the University of Arizona, the fact that winter Using disinfectant and refreshing spray will
clothes are not washed frequently can cause bacteria not just help in killing viruses and 99.99% germs,
and germs to build up, making you sick. Add to it, the including molds, fungi and odour causing bacteria. It
viruses that are rampant in this season; your winter leaves behind a fresh breeze fragrance which has a
wear can act as a fomite and transfer germs, triggering cheerful citrus and floral harmony that is refreshing.
the spread of infectious diseases. Especially with It is wise to choose a product that can be used on
scarves and stoles, which are closer to your face and wide variety of clothes and fabrics such as woollens,
mouth, droplets with viruses stick around in your denims, chiffons, cottons, and even bedsheets. Items
clothing and cause a risk of further infections. like towels & gym wear, which can be hotbeds for
While our winter clothes can be the harbinger germs can also easily be disinfected on the go with a
of these nasty germs, there are simple, yet clothes disinfectant spray.
effective ways that can help us stay safe and keep Give your winter clothes time to breathe before
healthy. you adorn them again; this helps get rid of wrinkles
First, make sure that you spend time on conscious and allows the fabric to bounce back.
storage. Segregate your winter woollens away So, this winter, keep these tips handy so you can
from other summer clothes. Even within winter flaunt your best winter wear without having to worry
wear, keep the ones you have worn separate from about germs and infections, because after all, hygiene
the fresh clothes. Make sunny days your clothes’ sahi toh health sahi.
best friends. Spread out your winter wear in the sun l Basis Lab study on select fabrics
when you can, to help get rid of any smells and even Do not use on silk, rayon acetate, fabrics with
drive away smaller insects. Keep moth balls wrapped embellishment, leather or suede. Use on inanimate
in cloth, in the closet that you store your winter wear objects only. Always test for suitability on a small
in and make sure you store away from any kind of inconspicuous area prior to use. Do not saturate
moisture. fabric. Fabrics may vary in quality.
healthvision FEBRUARY-2023 https://healthvision.in
21
Do you have chicken skin?
It’s actually Keratosis Pilaris
The condition is difficult to cure completely but can be managed
with medicated creams and occasionally oral medications and
minor skin procedures may help skin appearance.
It is a well-known factor that film and sports pregnant and lactating mothers. Improvement occurs
celebrities form the influencer group in society as people age but some activity may persist well into
both in US and in India. When international boxer middle age when it may fade away slowly.
Mohammed Ali developed Parkinson’s disease and In some people, mild redness around the spiny
Super Man star Christopher Reeve had spinal injury red dots or in some pigmentation around the spiny
with Paralysis both evinced interest in the disorder skin bumps can occur which make them seek medical
among common people and scientific fraternity in attention. This can occur on the face, cheeks and neck.
the quest for better understanding and treatment of The condition may coexist with other disorders like
the condition. Ichthyosis (fish like scaly skin disorder) and Atopic
In India in recent past two film celebrities dermatitis (Eczema) and they too get flared up in
Ms Yami Gautami and Ms Samantha Ruth Winter perhaps showing us grouping of the common
Prabhu made open they being affected by drying skin disorders that flare up in certain seasons.
Keratosis Pilaris and Myositis sometimes seen by Diagnosis is straightforward for an
dermatologists since most celebrities approach their experienced dermatologist on looking at the spiny
Skin Physician has it is very important for them to bumps in the hair follicular area involving the arms,
establish their beauty and candour with a huge fan thighs and trunk of the body and occasionally face
following, they have in society. and neck. It has to be differentiated from a few other
Keratosis Pilaris which is commonly known similar disorders that are seen in children like Lichen
as chicken skin and has been in focus and attention Spineless and Phrynodermas (Vitamin A and Fatty
due to the common public being exposed to the acid deficiency due to poor diet). An experienced
terminology which they probably knew but were dermatologist will be able to reach a diagnosis with
unaware whether to seek the attending of a physician good observation and if required a few diagnostic
or not. tests.
Keratosis condition that causes rough patches and Treatment of the condition is based on
small, skin coloured or red swelling-like bumps on the simple measures like simple emollient creams
skin. This condition develops when the skin produces and keratolytic agents (that exfoliate the outer
too much of a protein called keratin, which can block skin areas), but the condition itself spontaneously
hair follicles and cause bumps to develop. The bumps can improve as there are seasonal changes from
are usually on the arms, thighs, cheeks and buttocks. winter to spring and summer. The other treatments
They’re white, sometimes red, and typically don’t are topical retinoid creams (Vit A synthetic derived
hurt or itch. agents), topical steroid creams for short duration
The condition is difficult to cure completely and sometimes oral therapies by oral retinoids
but can be managed with medicated creams and are also done. Minor cosmetic procedures like
occasionally oral medications and minor skin Microdermabrasion and Laser therapies like long
procedures may help skin appearance. pulsed diodes or pulsed dye lasers have also been
It is known to be a bit more common in females tried with some success in certain individuals.
than males but both sexes can be affected and winter Overall, the condition can be managed with a bit
exacerbation of the condition is known to occur of cooperation from the patient and the doctor with a
possibly related to xerosis (dryness) and friction good explanation of the benign nature of the condition
due to extra layers of clothing that occurs in Winter. and realistic expectations fromthe treatment.
In fact, worsening of the spiny bumps is known in
https://healthvision.in FEBRUARY-2023 healthvision
22
Gastrointestinal
Dr. Sharanabasappa Hatti
Stromal Tumour
Senior Consultant Surgical Oncology
HCG Cancer Center, Kalaburagi.
Top 6 health-
provides a slew of health advantages (in moderation).
Indeed, regular wine drinking (up to one 5-ounce glass
for women and two 5-ounce glasses for men per day)
is thought to be one of the reasons the French live
boosting
long lives and have less cardio-metabolic diseases.
The “French Paradox” may explain why, despite their
affluent diets, the French have low incidence of heart
disease.
benefits of
Resveratrol is a polyphenol that is also
crucial for defending the body against cellular
damage caused by free radicals. When your body
Resveratrol
digests food, you breathe in cigarette smoke, or you
are exposed to radiation, free radicals naturally
generate in your body. They target cells and are
erratic. They are also to blame for the emergence of
various disorders associated with ageing.
The majority of resveratrol research has been
conducted in animal and test tube experiments
Resveratrol belongs to the polyphenols class
utilising extremely high doses. The majority of
of plant micronutrients. Polyphenols are organic
human trials have employed the supplement version
compounds produced by plants in order to withstand
of resveratrol, which is a more concentrated form
drought or disease assault. These chemicals can be
than you would obtain from diet. While these findings
found in plant diets and provide a number of health
are encouraging, additional study on people is needed
advantages. Peanuts, berries, and grapes contain
before suggesting resveratrol administration for
resveratrol. It is also found in larger concentrations
specific health concerns.
in red wine.
l These typical conditions can be prevented by
Resveratrol possesses antioxidant and anti-
inflammatory characteristics that help protect
resveratrol:
1. Resveratrol is a powerful antioxidant
us against illnesses such as cancer, diabetes, and
The scientific literature frequently discusses the
Alzheimer’s.
antioxidant abilities of resveratrol. Free radicals
Resveratrol’s anti-inflammatory properties
are by-products of bodily natural processes that
make it an effective treatment for arthritis and
happen inside the body or enter the body from outside
Cancer is a leading cause of death worldwide; Wrong ideas about cancer can lead to needless
every sixth death in the world is due to cancer, making worry and even hinder prevention and treatment
it the second leading cause of death-second only to outcomes. Here are 6 myths about cancer.
cardiovascular diseases. Homeopathy, as a holistic l Myth- Cancer is a death sentence, there is no
system of medicine, is effective in many ways in the cure for cancer
treatment of cancer patients. Fact:-Cancer is not a death sentence, despite
World cancer day held on every 4th February increase in cancer cases, cancer is not always
is the global uniting initiative led by Union for terminal. Many cancers can be cured if detected
International cancer control, a day to raise awareness early and treated effectively.
on prevention, detection, and treatment of the cancer. l Myth- Cancer is contagious
l What is Cancer? Fact- Cancer is not contagious; someone with
Cancer is 2nd leading cause of death worldwide, cancer can’t spread it to others. However, some
the most common cancers are Breast, lung, colon, sexually transmitted viral diseases like, HPV virus
rectum and prostate cancers, 10 million people die and Hepatitis B and C, can cause cancers in the cervix
from cancer every year. More than 40% of cancer- and liver.
related deaths could be preventable by adopting l Myth- Cell phones cause cancer
a healthy life style. Many cancers can be cured if Fact- To date, there is no adequate scientific
detected early and treated effectively. evidence that cell phones cause cancer. Exposure to
l What causes cancer? ionizing radiation, e.g. X-rays, increases the risk of
Cancers arises from the transformation of normal cancer. Cell phone emits radio waves, a form of non-
cells into cancer cells in a multi-stage process that ionizing radiation which is absorbed by the body.
generally progresses from a pre-cancerous lesion to l Myth- Cancer surgery or tumor biopsy causes
a malignant tumor. cancer to spread
l What are the risk factors for cancer? Fact- The chances are extremely low, following
Tobacco use, alcohol consumption, unhealthy standard procedures, surgeons use special methods
diet, physical inactivity and air pollution are major and take many steps to prevent cancer cells from
risk factors for cancer. Viral infections including spreading from spreading during biopsies or surgery
Helicobactor pylori, Human papilloma virus and to remove tumors.
Hepatitis B and Epstein-Barr virus increase the risk l Myth- Cancer runs in families
of developing certain types of cancer. Cancers of Fact- Not always, only 5-10% of cancers are caused
Breast, bowel, stomach and prostate cancers can be by harmful gene mutations that are inherited from a
hereditary. person’s parents. These cancers are called ‘familial’
l What are the Myths and Misconceptions about or ‘hereditary’ cancers.
Cancer? l Myth-Cancer always comes back
Skin cancer, though uncommon is increasing. It invasive and easy to treat via surgery.
can easily be detected externally by regular visits to l Squamous cell carcinoma - It is commonly
the dermatologist. The whole body will be examined found in the areas of the body that are exposed
and suspicious lesions will be frozen or biopsied, to friction, carcinogenic substances and in
depending on their appearance. individuals with genetic predisposition to
Types of Skin Cancer cancers.
There are three major types of skin cancer - l Melanoma - It can develop anywhere in body;
l Basal cell carcinoma - This type of skin cancer it usually develops from the cells that give skin
usually appears on the surface of the skin. It is colour- melanocytes. It is the most aggressive
limited to the upper layers of the skin. It is not form of skin cancers – and is dangerous. Early
detection is key to prevent it from spreading.
l Are bleeding moles a common sign of the
disease?
Irregular moles, freckles, or warts are common
signs of skin cancer that are present on the skin
and can appear alone or in groups. They are usually
black or dark brown and can also develop as a pimple-
like bump on the skin due to which they are easily
ignored or dismissed. The majority of the moles are
non-cancerous, and it is normal to have 10-40 moles
from early childhood to 25 years of age.
As a person reaches adulthood, they may
experience sudden changes that are evident in the
structure of the moles in terms of their colours, size,
Women with early-stage is transmitted sexually, the the doctor. Symptoms of cervical
cervical cancer can go for HPV vaccine offers optimum cancer include watery or bloody
treatment options like conization protection when given before a vaginal discharge which may
and trachelectomy that can person becomes sexually active. be heavy, continuous and foul
preserve their fertility if they Routine HPV vaccination is smelling, vaginal bleeding after
wish to have children. If already recommended for girls starting intercourse or between periods,
pregnant when diagnosed in at age 11 or 12 years. HPV and post-menopausal bleeding.
early stages, they can continue vaccination is recommended Recounting the various
with the pregnancy and deliver up to age 26 years. Some adults challenges in treatment of
by C-section. However, those between 27-45 years of age, who cervical cancer. Most women in
suffering from late-stage cervical are not already vaccinated, may India are neither immunized
cancer may have to opt for IVF if get the HPV vaccine after talking nor screened for the disease.
they wish to become pregnant. with their doctor about their The condition is especially
Hysterectomy is the risk of new HPV infections. prevalent among women of low
preferred surgical treatment Routine cervical cancer socio-economic status, and most
in cervical cancer from Stage screening with HPV test and PAP of them come for treatment at
1 to Stage 2a. That is when the smear test is also an important an advanced stage. Healthcare
cancer is limited to the cervix way to prevent cervical cancer. providers in rural areas are not
and uterus only. Uterus-saving Because HPV vaccination properly trained about different
surgeries like Conization and doesn’t protect against all HPV screening methods. In addition,
Radical Trachelectomy can be types that can cause cervical treatment for advanced stage
done only in early stages. cancer, one should get oneself of the disease is available only
Cervical cancer is highly screened at regular intervals. at tertiary centers, which are
preventable and curable if It is recommended that women not easily accessible for most
caught early. Nearly all cervical undergo PAP smear test once women in the country.
cancers can be prevented by every 3 years and HPV DNA test Infection from HPV, which is
HPV vaccination and routine every 5 years. a group of 150 related viruses, is
cervical cancer screening. Yet, The incidence of cervical the most important risk factor
there is no popular acceptance cancer in India is 18 per 100,000 of cervical cancer. Women who
of immunization among women population, accounting for become sexually active at a
in India, with the immunization 18.3% of all cancers in the young age, especially before 18
rate hovering below 10%. country. It peaks between 35- years of age, and those who are
HPV vaccination is a safe 65 years of age. Women from using oral contraceptives for a
and effective way to prevent poor socio-economic status are long time are also susceptible to
cervical cancer. Because HPV especially affected, according to this disease.
Beware of the
Aster RV hospitals
Beauty Parlour
Stroke Syndrome
DeepTek, a leading health the APAC region to eradicate of complicated lower back
tech startup in the Radiology TB by identifying suspected pain and to decide whether
AI space announced the cases promptly and precisely, conservative or invasive
global launch of DeepSpine - leading to earlier treatment therapeutic approaches
an AI powered lumbar spine and better patient care. should be considered.
quantification and metrics DeepTek’s new innovation Subsequently, the number of
tool designed to analyze - DeepSpine provides AI MRI studies of the lumbar
MRI lumbar spine images. powered quantification and spine has been rising over
The tool was launched at analysis tool for lumbar the last decades at a much
the Radiological Society spine MRI studies and higher rate than the number
of North America (RSNA) can assist radiologists, of trained radiologists who
annual meeting in Chicago, technologists, orthopedic could adequately interpret
USA. surgeons and physio experts the MR images.
DeepTek has to get objective automated Dr. Amit Kharat
been instrumental in quantification and other - Radiologist and Co-
transforming the radiology document of lumbar spine, Founder of DeepTek says,
workflow by leveraging the adding value to the radiology “The lumbar spine MRI
power of AI. Its AI-powered reports and decongesting the quantification and metrics
radiology orchestration radiology workflow. tool can derive metrics
solution Augmento has Lower back pain (LBP) from MRI studies such as
already created waves affects up to 80%–85% Vertebral Body Heights,
across the Asia Pacific and of the population during Disc Bulge Classification,
is also getting deployed in a their lifetime. It is a leading Foraminal Stenosis,
progressive Singapore health cause of morbidity and Listhesis, Canal Stenosis and
system. Another flagship disability, with an increasing various spine angles. This
product by DeepTek is Genki prevalence due to the can help get deep insights
- the AI-powered public steadily aging population in treatment planning and
health screening solution worldwide. According to progress monitoring. The
which is helping medical the American College of tool can be a great value add
professionals across India, Radiologists, lumbar spine to the ecosystem of health
Philippines, Mongolia, and MRI is the preferred imaging care workers managing low
several other countries in modality to rule out causes back pain”.
Internationally trained
Dr Keerthi patel performing
INDICATIONS :
Type II Diabetes, Madhumeha, UTI, Prameha, Nephritis, Vrikkashota
DOSSAGE :
Glucose level more than 200mg/dl... 1-2 Tablets
2-3 times a day or as directed by the Physician.
Glucose level less than 200mg/dl... 1 tablet 2-3 times a day or as
directed by the Physician.
Sri Ganesha Arcade, Saraswatipuram Main Road,
Mahalakshmi Layout, Bengaluru- 560 096
e-mail: medifield@ymail.com www.medifield. org
MEDIFIELD Phone: 7795063400 7353767402
https://healthvision.in FEBRUARY-2023 healthvision
34
Diabetic retinopathy
One out of three people with uncontrolled diabetes
develop diabetic retinopathy.
Diabetic retinopathy occurs when blood vessels in retina
get damaged due to high blood sugar levels in the body.
Dr. Saurabh Choudhry
CEO, ICARE Eye Hospital, Noida
One out of every three people with uncontrolled also leads to dry eyes and early onset of cataracts.
diabetes for 10-12 years develop diabetic retinopathy Diabetic patients tend to get cataracts in mid-fifties,
which, if not treated in time, causes irreparable eye about ten years earlier than people without diabetes,
damage and vision loss. Diabetic retinopathy is the according to the doctor.
third leading cause of blindness in India after Most patients in India do not realize they have
cataract and glaucoma, but majority of Indians diabetes until or unless they need to go to a hospital
are not even aware that diabetes has an impact due to some complication of the disease. Routine eye
on the eyes. screening is not a priority in India, leading to large
According to recent studies, 63% of Indians number of diabetic patients turning blind or landing
lack awareness that diabetes can damage eye up at hospitals for prolonged treatment, which is
health. In fact, 93% of diabetic patients in the expensive for their families and not sustainable if
country tend to visit an ophthalmologist only they are from an underprivileged socio-economic
after they have started experiencing vision background.
problems. But at that stage, the damage to the eye is Diabetic retinopathy occurs when blood
significant and treatment becomes difficult. Eyes are vessels in retina get damaged due to high blood
a window to the body. Through regular eye checkups, sugar levels in the body. Early symptoms include
diabetes-induced changes in the eyes can be picked floaters, blurriness, blank or dark areas of vision,
up early, even though the patient has no symptoms. In poor night vision and difficulty perceiving colors.
fact, a huge number of cases of diabetes get diagnosed While mild cases can be treated with proper diabetes
due to a routine eye exam! It is recommended that management, advanced cases require laser treatment
all healthy people should undergo an eye exam once or surgery.
a year, and diabetic patients should see an eye
doctor once every four months.
About 80% of patients of diabetic retinopathy
face visual challenges while driving, reading, or
working. Early detection, keeping good control of
sugar levels and availability of laser procedures
can allow diabetic patients to maintain good vision
lifelong. Unfortunately, most patients in India,
even though belonging to the affluent, educated
class of the society, do not undergo regular
screening for either eyes or diabetes, and reach
us in advanced stages when treatment becomes
a challenge. Regular eye screening and on-time
treatment is mandatory for a diabetic patient to
prevent complications of retinopathy.
Over 95 million adults have diabetic
retinopathy in the world. About 80% of them
face visual challenges while driving, reading or
working. Apart from diabetic retinopathy, diabetes
Working out in the gym for a well-built posture is phosphodiesterase inhibitors etc. However,
a passion for many. Several gym enthusiasts exercise consuming anything in excess always results
regularly for hours to get their desired body types in negative implications and hence it is advised
and in the process resort to various types of diets, to consume gym supplements moderately for
supplements and advice pertaining to the same. This healthier benefits.
aspiration to get ‘overnight results along with peer l Why does body require them naturally?
pressure often sets unrealistic body expectations A balanced healthy diet is a good source
among them and drives many individuals to try of micronutrients, proteins, minerals,
various ‘body-building products.’ carbohydrates, and cholesterol which are
While these products may not serve the purpose essential for a healthy body. Only when these
for which they are taken, they can cause serious natural nutrients are not present in body, you may
damage to the body like suppression of the natural require supplements to fulfil this gap. Natural
testosterone axis in the body, abnormal breast growth nutrients that are obtained from fresh fruits,
in men called gynaecomastia, high cholesterol levels almonds, nuts, and vegetables are always
leading, heart attacks, brain strokes, liver and kidney advised as they are rich in fibres and impact
damage, cardiac issues, abnormal clotting, lowering body positively.
of cholesterol, short stature among teenagers, l How much protein should you consume while
infections, increase in blood glucose, acne, greasy exercising?
skin, low sperm count in men, masculinization of A healthy diet, regular exercise and workouts can do
women and issues in sex life. wonders for body and will help to stay fit and maintain
Many of these gym products are sold online or
over the counter by the gym staff that may contain
a cocktail of substances including testosterone
and other androgens, aromatase inhibitors, HCG,
Technological
LDL levels should be less than 100 mg/dL. If it
increases, it blocks blood vessels and increases
risk for heart disease.
innovations and
l High density lipoprotein (HDL) or ‘good’
cholesterol: It helps to remove cholesterol from
arteries. Readings should be above 40 mg/dL
advancements l
(for men) and 50 mg/dL (for women). The higher
HDL, the better.
Triglycerides: It is a fat content in the blood, and
are measured to gauge the risk of atherosclerosis.
Cardiac screening to determine the Readings should be above less than 149; ideal
risk of heart attack and heart damage is <100. High levels show the existence of
atherosclerosis, or stroke, and/or pre-diabetes
or diabetes. Exceptionally high levels can cause
pancreatitis wherein the pancreas is intensely
inflamed and on the verge of collapse.
l Non-HDL-Cholesterol: It is the total cholesterol
minus HDL. It measures the cholesterol in
lipoprotein particles.
l Ischemia modified albumin (IMA): It is a
marker of myocardial ischemia. If a person is
Heart disease is one of the major cause of suffering from chest pain and if there is changes
mortality in our country. Sedentary lifestyle, in albumin level (in IMA test), then it may be a
increased craving for processed food, alcohol sign of heart attack. Conversely, IMA levels may
consumption and smoking are the foremost cause be high even when person do not have ischemia.
for the rise of Heart disease. Proper diet, regular l High-sensitivity C-reactive protein (hs-CRP)
exercise and getting regular heath check-ups can test: It indicates the presence of inflammation.
help to avoid serious consequences. However, rising High levels indicate a high risk for heart attack,
heart problems, cardiovascular devices and their stroke and heart disease.
significance in heart-related therapies are gradually l Creatinine Kinase (CK-MB): This test
gaining attention. measures the amount of isoenzyme (a form of an
Now self-monitoring of heart health is being enzyme found in heart muscle cells) of creatine
made easier with upgraded technology in wearable kinase in blood. In case of heart attack injured
electronic devices (smartwatches or smartphones). heart muscle cells release CK-MB into blood. CK-
Artificial Intelligence and Machine Learning has MB level will be high for about 6 hours after a
made more advancement in cardiac screening heart attack, later gets back to normal.
technology, and are widely used to speed up l B-type natriuretic peptides (BNP or pro-BNP):
examination process. It is a hormone secreted by cardiomyocytes in
Emerging innovations, in both pathology the heart ventricles due to stretching caused by
radiology tests, aids in screening heart disease. increased ventricular blood volume. High levels
Cardiac screening to determine the risk of heart mean heart isn’t pumping as much blood as body
attack and heart damage: needs, indicate congestive heart failure.
l Troponin Test: This high sensitivity test is a
l Plasma ceramides test: It helps to assesses
relatively recent cardio marker test, which is the amount of atherosclerosis (hardening and
considered as the best for assessing heart disease. clogging of arteries and smaller blood vessels).
This test measures the protein troponin I and l Lipoprotein (a) or Lipoprotein phospholipase
troponin T, in the blood. Typically, troponin stays (LpPLA2): This test measures the level of
inside heart muscle’s cells and get released into lipoprotein (a) in blood. Lipoproteins are
the blood when the heart muscle is damaged from substances made of protein and fat that carry
a heart attack. It remains in the bloodstream long cholesterol through bloodstream. Lipoprotein (a)
after an attack. High levels protein troponin I and particles are gluey than other LDL particles, so
troponin T indicate a definite recent heart attack, there may be more possibility of blockages and
heart injury or heart damage. blood clots in arteries. So, high levels indicate a
l Lipid Profile: It is a set of blood tests done to
high risk of heart disease.
check the fat content in the body to measure the
https://healthvision.in FEBRUARY-2023 healthvision
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healthvision FEBRUARY-2023 https://healthvision.in
39
Which kind
of protein one Dr. Srinivasa Murthy D.
Consultant - Regenerative Medicine
GIOSTAR HOSPITAL Bengaluru
There is a myth surrounding infertility that it is late 30s have a harder time getting pregnant than
a problem confined only to females which is not true. women in their early 20s. The most common cause of
Causes of infertility can be due to male infertility infertility is an ovulation disorder, which prevents
too. There are thus equal chances for both men and the release of an egg from the ovaries. Other causes
women to be infertile. Due to poor dietary choices, may include hormonal problems, blockages in the
high stress, a sedentary lifestyle, pathological fallopian tubes, and problems with sperm production
conditions, and environmental factors, infertility or quality.
in both men and women is not an uncommon There are various symptoms of infertility that
problem. you can experience such as menstrual irregularity,
These days, infertility is a widespread issue. unusually long or short cycles, infrequent or no
Almost one in eight couples, according to estimates, ovulation, lack of sexual interest or feeling pain
are infertile. Many couples struggle with infertility during sexual activity, and difficulty getting
but find it uncomfortable to discuss it. Both men and pregnant. The treatment depends on the cause of
women are impacted by this problem. It is one of the infertility and can include medications, surgery,
leading causes of worry and anxiety for couples who or assisted reproductive technologies such as in
are trying to get pregnant. vitro fertilization (IVF). The most common form
A couple’s life might be tough when one or both of infertility treatment is IVF, which was first
of the partners are infertile. It is a very isolating developed by British gynecologist Patrick Steptoe
experience, and because of this, many find it difficult and his colleague Robert Edwards in 1978.
to overcome. With that said, it is important to l Conclusion
remember that you are not alone and that infertility There is nothing to be disappointed about if a
is a treatable condition. Lil Feet by Altius Hospitals couple has tried to start a family but has experienced
has been treating infertility with high success rates multiple failures with natural conception. IVF
and offering the joy of parenting to couples who had treatment serves as a blessing to such couples. It
almost given up on the dream. is important to talk to an IVF specialist about any
l Common causes of infertility fertility treatments that are available for you. To
The infertility rate is rising due to several reasons. begin your IVF treatment, it is important to work
Age is one of the primary causes. Women in their closely with doctor who is experienced in the field.
healthvision FEBRUARY-2023 https://healthvision.in
43
How to ensure
employees wellbeing?
Mental health awareness has Subhashini Ponnappa working. This alone, will help to
received significant attention in Head, HR & Admin, APAC, improve their work efficiency.
the media in recent years. Drastic 75F Priyan DC
changes at the workplace such as It is better to undertake CEO, Star Squared PR
remote working, virtual meetings collective initiatives to heed Recognize the importance
and lack of social engagement for the concerns of employees’ of employee’s health and try to
prolonged periods has resulted mental well-being. Also ensure incorporate a host of initiatives
in stress among employees more that the demands of work are into daily routine to address
than ever before. not detrimental to employees’ these concerns as we moved
The pandemic, besides well-being. Focus on employee back into the physical office.
teaching us about the importance morale by organising employee Build a collaborative team and a
of our physical health, taught engagement activities such to healthy workplace that will allow
us to keep a check on our help them feel at home even everyone to thrive individually
mental well-being. Entering the while in their workplace. To and contribute to the overall
lockdown phase was hard, but build team motivation, give success.
it is only now that many realise away quarterly gifts, periodic Employee engagement
how much harder to come out recognition, and rewards— activities should be calendared
of it. The transition is stressful, including tenure completion on a regular basis at the office
overwhelming, and exhausting, rewards. Organize regular team with the aim of encouraging
not only at a personal but also at a outings and festive get-togethers, increased networking and one to
professional level. as well as CSR activities such one engagement with other team
Adding to the stress is the as World Environment Day, to members. It is better to organise
moving-back-to-office scenario. avoid employees from becoming an off-site with the whole team,
The readjusting itself has mentally exhausted at work. which can include a host of
taken a toll on many employees, Another step towards outdoor activities as well as an
impacting them especially ensuring employees’ health is by interactive session on mental
mentally. In such a scenario, it is maintaining general hygiene in well-being. Such engagements
important for employers to build a workspaces. Ensure factors that on a regular basis can help
healthy and welcoming workplace add to the physical environment, build a comfort zone at work
environment for employees, one such as indoor temperature where employees feel valued
in which they feel they can open and proper ventilation for air and respected and are given
up about these issues. and light, are monitored so that an opportunity to address any
employees are comfortable while challenges they may have.
https://healthvision.in FEBRUARY-2023 healthvision
44
Pre - Budget expectations of
the Medical Industry
Gaurav Tyagi, medical industry as society needs to be healthy
founder and safe. There should be proper funds for the
Career Xpert hospital to be developed in remote and rural
Our finance minister Mrs, areas with enough facilities for the patients,
Nirmala Sitharaman is going to and there should be more developed hospitals
announce the budget on 1st February, like AIIMS, which treat patients with more
in which the focus on the medical advanced technologies, as well as there should
industry is very important, as after be proper funds allotted to the high-end diseases
the pandemic situation, the medical sector needs like cancer, heart diseases, etc. for the treatment,
to be upgraded as per the need. In the budget, and there should be more schemes in the medical
there should be a proper increment in the medical sector for the development of doctors as well as
education for the students, and there should be the hospitals.
proper expenditure for the medical hospitals Dr. Dishan Kamdar
for their development in rural as well as remote Vice-Chancellor
areas. There should be more advanced hospitals FLAME University
just like AIIMS for the people to get their best The nation’s rebound from the
medications. In the budget, there should be a COVID-19 pandemic has been a
proper fund available for high-end diseases like booster shot for the economy and
cancer, heart disease, etc as per their treatment. Budget 2023 can be expected to
There should be more new schemes for the reflect this confidence, which will translate into
medical industries for their development, and a positive impact on the Indian higher education
proper funds allotted for the specialized doctors system.
which help them to grow and there should be A stronger push for digitization, which
awareness about the government vacancies in will also benefit the Indian higher education
the Medical sector, in which they can raise funds system, is one of the government’s priorities
for their fast recruitments. There should be more that we can anticipate in the upcoming Budget.
new programs just like the foreign countries An increased budgetary allocation for tech
for a boost in the medical sector. After the enhancement will support Indian HEIs’ plans to
coronavirus, there is a great boost in the medical raise their standards of excellence and become
sector, as it helps patients to recover faster and more competitive in a world that is becoming
help doctors to tackle death-taking diseases, more digital and globalized. Having experienced
where many hospitals change their facilities the benefits of online pedagogy and how it can
and maintain their motto to treat patients as the change the way education is delivered, Indian
priority. So, there should be proper funds allotted HEIs have increased the adoption of technology
to the hospitals, to develop and adopt advanced into their teaching and learning processes
technologies in rural areas also and have proper and upgraded their IT infrastructure. Along
facilities to handle death-taking diseases with with this, the government may think about
proper care and medications. providing incentives to the telecom sector to
Hospitals should be more advanced and invest, innovate, and improve infrastructure and
have proper pieces of equipment for their internet connectivity, as well as provide digital
patients, and a healthy environment with proper devices at affordable prices, which will go a long
sanitation for the patients, to recover fast. There way toward ensuring anywhere, anytime access
should be developed hospitals in rural and to education for all.
remote areas. Government should also start Increasing funding for R&D is another
free seva centers for the poor people, who can’t significant way that the government can support
afford expensive treatments, which help people the higher education system. Supporting HEIs
to be healthy and safe. Many centers provide free to invest in research will fundamentally alter
seva for the patients, but their infrastructure the nation’s higher education system. Our
is very poor and not well sanitized, which can institutions must invest in creating a research-
lead to more diseases. So, there should be proper oriented ecosystem that enables them to
hospital funds allotted by the government for compare their performance to international
the development of society and poor sanitation standards of excellence, and the government’s
for the free seva centers. In the budget, the main attention to this issue will be a key enabler. This
focus should be on the medical session, as people gains significance in light of the UGC’s plans
need to be safe and healthy. to enable the international expansion of Indian
Hence, health is very important than wealth. educational institutions and establish foreign
So the budget of 2023, should focus on the universities’ campuses in India.
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