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How one can manage chronic diseases among elderly in pandemic time

Dr Vishal Sehgal

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The World Senior Citizens’ Day, dedicated to improving the awareness about the issues that affect older people, is a reminder for all of us to do our bit for the well-being of the elderly at home and around us, if possible. One can start small by taking care of their physical and emotional needs. For many senior citizens, coping with chronic conditions is a real challenge and all they really seek is the care and support from their families.

 It is everyone’s dream to live a peaceful and comfortable life of retirement, once the most energetic years of life have been spent on earning and building a secure future. Unfortunately, the numbers tell an entirely different story. Advancements in healthcare technology and procedures have seen the average life expectancy among Indians increase by 10 years since 1990. However, a flipside to this is that millions of our senior citizens suffer from chronic diseases (these conditions last longer than three months) resulting in a poor quality of life. The spread of such diseases has been on the rise in countries that witness industrial development and a rise in life expectancy. In the Indian context, the most prevalent ones among the elderly include angina, arthritis, chronic lung problems, diabetes, and stroke.

Sometime back, researchers at New Delhi’s Jawaharlal Nehru University endeavoured to study the relationship between chronic diseases with disabilities and the senior citizens in India. According to the findings, about 17.93% elderly men and 26.21% elderly women in India are coping with either minor or major disability related to the three daily life functions, which are essential for a superior quality of life. According to the same study, 9 million elderly men and 14 million women in India are enduring at least one disability which is significantly higher than the numbers from the last census.

 Providing quality care to elderly patients with chronic diseases is an uphill task. However, we as a part of the medical fraternity can help reduce or eliminate the risks by undertaking the following steps.

• Imparting awareness and understanding among patients, thus, enabling them to make well-informed decisions and remain focused on their care.

• Staying updated with pertinent healthcare guidelines formulated by speciality bodies and being receptive to the fact that adherence to the same might not be easy in elderly patients with multiple chronic diseases or disabilities.

• Coordinating with patients and other healthcare professionals to create a patient-centric strategy.

• Using digital tools such as reminders, push notifications, and alerts to help in better management of the follow-ups.

• Putting in place a wellplanned follow-up schedule integrating care-related instructions and more.

 • Regular communication with the patients.

• Proper documentation of patient discussions, procedures, medications and advised course of action.

 • Proactively manage test results and provide optimised care based on the same. In the case of collaborative care being provided by different specialists, a clear definition of the roles and responsibilities of each stakeholder should be outlined.

• Sharing the treatment outcomes, improvement and suggested course of action with patients and their family, attendants.

Healthcare at home enabled by technology

While formulating a strategy for managing chronic diseases among the elderly we need to remember the fact that these are long-term ailments requiring constant care and monitoring, even at home.

Digital technology has emerged as a great enabler here. The rapid evolution of tech-based healthcare startups couldn’t have come at a better time. Most of the 21stcentury healthcare companies focus on ensuring access to affordable healthcare and at-home management of diseases proactively.

It is also possible to constantly monitor the patients’ vital signs at home through innovative, personalised and highly affordable technologies and devices integrated to smartphones. Apart from this, analytics and AIbased algorithms can also be used to monitor aspects like adverse drug reactions and provide emergency assistance or medical intervention if the vitals of a patient cross pre-determined thresholds.

More effective management of chronic diseases is likely to lead to a major impact on the prevention or mitigation of disabilities caused by chronic diseases among the elderly. This can further help them live a superior quality of life in their golden years. To quote an example, successful diabetes management is likely to either prevent or reduce patient vulnerability towards blindness, heart ailments, stroke, kidney complications or nerve damage. The biggest differentiator in the management of chronic diseases among the elderly is perhaps the patient’s handling of diet, exercise, adherence to medication routine and self-evaluation. At a personal level, their family members and children need to constantly communicate with them to prevent any stress or emotional trauma caused by chronic illnesses.

In a resource-deficient country like India, health tech startups can play a crucial role by integrating technology and providing high quality and affordable home healthcare system comprising elements such as regular monitoring of a patient’s vitals, identifying evidencebased treatment procedures, long-term follow-ups and ensuring adherence of treatment process. It is crucial to give elderly people a sense of empowerment and ownership of their own health. The digital age healthcare specialists need to proactively take steps towards managing these conditions among the ageing population. 

 Patients must be taken into confidence about their condition and guided on the necessary actions. Communication is of utmost importance with the elderly since they need more support over the course of their treatment.

The writer is the medical director at Portea Medical.

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Celebrating India’s achievements at 75

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Statue of Unity

As India celebrates 75 years of Independence, India has channeled her civilizational strengths and cultural diversity into a brand new shared future, and opportunities for achievement, progress, and prosperity for its billion-plus citizens. Here is a list of what we have achieved since 15 August 1947.

Indian Premier League (IPL)

Indian Premier League (IPL) is an Indian professional T20 cricket league established in 2008. Lalit Modi proposed the idea of IPL and superheaded the IPL effort. It was founded by the Board of Control of Cricket in India in 2007. It is usually held between March and May of every year. In a high-profile ceremony in New Delhi, the first season was slated in 2008. The first season of IPL was won by Rajasthan Royals, captained by Shane Warne. To date, there have been fifteen seasons of the IPL tournament. Moreover, there are 10 teams they are; Chennai Super Kings, Delhi Capitals, Gujarat Titans, Kolkata Knight Riders, Lucknow Super Giants, Mumbai Indians, Punjab Kings, Rajasthan Royals, Royal Challengers Bangalore, and Sunrisers Hyderabad. The teams representing different Indian cities compete against each other. IPL is the most-attended cricket league in the world which revolutionized the game.

Success of Unified Payments Interface (UPI)

India’s Unified Payments Interface (UPI) has become the best-performing real-time ecosystem in the world with nearly 6 billion transactions a month. According to the Ministry of Electronics and Information Technology, India’s digital economy could create $1 trillion in economic value in 2025. Earlier on 11 April 2016, NPCI conducted a pilot launch with 21 member banks by Dr. Raghuram G Rajan, Governor, RBI at Mumbai. On 25 August 2016 onwards Banks started to upload their UPI-enabled Apps on the Google Play store. These are the top seven UPI apps used in India; Google Pay, PhonePe, Paytm, BHIM App, Amazon Pay, BHIMSBI Pay, and MobiKwik. Meanwhile, from 21 banks in April 2016, the total number of banks linked to the UPI platform as of Feb 2022 is 304.

Vaccination Drive of India

The ongoing COVID-19 vaccine drive in India rolled out the world’s largest COVID-19 vaccination drive. The COVID-19 vaccination drive in India was started on 16 January 2021 across 3006 vaccine centers in all its states and union territories. The vaccination drive in India has been initiated with two types of vaccines: Covishield and Covaxin, being manufactured by Serum Institute of India Ltd. and Bharat Biotech International Ltd. On the first day itself, 1,65,714 people were vaccinated and were administered to a sanitation worker at All India Institute of Medical Sciences, New Delhi. As of now, 2,08,25,13,831 vaccines have been administrated to the people. Earlier, on 30 January 2020, India reported its first case of COVID-19 in Kerala.

Mars Orbiter Mission (MOM)

The Mars Orbiter Mission (MOM), also called Mangalyaan was launched on 5 November 2013 by the Indian Space Research Organisation (ISRO). It is a space probe orbiting Mars since 24 September 2014. The Mangalyaan was launched from the First Launch Pad at Satish Dhawan Space Centre (Sriharikota Range SHAR), Andhra Pradesh. For the launch Polar Satellite Launch Vehicle (PSLV) rocket C25 was used. Mangalyaan was the world’s cheapest mission to the red planet which cost just Rs 447.39 crore. “Unlike the Mars mission, which was a one-time project when cleared, the GSAT program envisages launching several more satellites. Therefore, the money saved from its launch is with Isro to be used for future satellites,” a senior official said. The spacecraft instruments which were used are Mars Color Camera, Lyman Alpha Photometer, Thermal Imaging Spectrometer, Mars Exospheric Neutral Composition Analyzer, and Methane Sensors for Mars.

Statue of Unity

The Statue of Unity is the World’s Tallest Monument and is the most prolific creator in recent times. The Statue of Unity is dedicated to one of India’s founding fathers, and the country’s first Deputy Prime Minister, Sardar Vallabhbhai Patel with a height of 182 meters. It has been created as a tribute to the ‘Iron Man of India’. The Statue of Unity is divided into 5 zones out of which 3 are accessible to the general public. It can accommodate 200 visitors at a time and location at a height of 153 meters. It is located at Sardar Sarovar Dam, in Kevadia, Gujarat.

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The battle of freedom

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S C bose

In the path of achieving freedom, there have been several instances that let us hold our heads high. Every day had been a battle to expel the anarchist Britishers. Here is a list of the days that helped make August 15, 1947, happen.

Swadeshi Movement

The British Viceroy, Lord Curzon, with the aim of weakening the unity and curbing the Nationalist movement, devised a scheme to separate Bengal and reorganise the territorial distributions dividing the Hindus and Muslims in 1905. The “Boycott” resolution was adopted at a conference held at the Calcutta Town Hall on August 7, 1905, thus establishing the Swadeshi movement and bringing its previously fragmented leadership under one leadership. A hartal and a day of sorrow were called in Calcutta on October 16, 1905, the day the division came into effect. People observed a fast, and the kitchen hearth was left unlit. Hindus and Muslims tie Rakhis to each other to symbolise unity. It was successful and the partition had to be annulled.

Azad Hind Bharat

On December 30, 1943, Netaji Subhash Chandra Bose hoisted the Indian flag at the Gymkhana ground in Port Blair and declared the island to be independent when the entire nation was clutched under British rule. He further renamed the Andaman and Nicobar Islands as Shaheed and Swaraj to mark the establishment of the Azad Hind Government, which also had its own currency and stamps. Upon raising the Azad Hind flag, Bose, the leader of the Azad Hind Provisional Government, also kept his word that the Indian National Army would be standing on Indian land by the end of 1943.

Champaran Satyagrah

The peasants in the Champaran district of Bihar were made to endure unimaginable hardships when Europeans compelled them to plant indigo, a blue dye. They weren’t paid enough for the indigo, and they couldn’t cultivate the food they needed. Tired of the agony, the peasants turned to Gandhi. As Gandhi’s first Satyagraha movement in India, the Champaran Satyagraha of 1917 is regarded as a pivotal uprising in the history of the Indian Independence Movement.

Civil Disobedience movement

Civil disobedience, also known as passive resistance, is the act of refusing to comply with the requests or orders of a government or occupying power without using force or other aggressive forms of resistance. Its typical goal is to pressure the government or occupying power into making concessions. On April 6, 1930, M.K. Gandhi started the Civil Disobedience Movement by breaking the government’s salt law by picking up a handful of salt after finishing the illustrious “Dandi March” from Sabarmati Ashram to Dandi. He served as the movement’s inspiration and helped to mobilise the population in the liberation battle. Due to the disregard for the salt law, the Civil Disobedience Movement expanded across the nation.

Quit India Movement

August Kranti or the August Movement are other names for the Quit India movement. Mahatma Gandhi began the “do or die” Bharat Chhodo Andolan, often known as the Quit India movement, on August 8, 1942. All of the Congress Working Committee members began to be arrested on August 9 as soon as the movement began. While being placed under house imprisonment, Mahatma Gandhi was brought to Ahmednagar Fort. Approximately 940 persons lost their lives as a result of the British’s harshness during this nonviolent campaign. There were also 1630 injuries. More than 60 000 activists were detained at the same time. However, this movement brought the nation together.

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‘We Women Want’: Fitness on agenda

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Clinical nutritionist Dr Ishi Khosla, Fitness Expert Vesna Jacob and Dr Rita Punhani IVF Specialist of Indira IVF appeared on ‘We Women Want’ to discuss fitness tips and bust some diet myths.

The panel stressed that it is important to monitor what you eat but also the timing of the meal. Diet such as intermittent fasting and Ketos were discussed with their pros and cons. An important point was also made regarding fitness that its best to exercise when you can even if its for ten minutes and not wait for the half hour – forty minute slot for a warm up. For as Vesna Jacob said our body is primed to be active, the primitive man did not see a tiger and then say wait let me first warm up before I defend myself. Dr Punhani pointed out how a good diet is essential for a woman’s health in various stages of her life from maturity to motherhood to menopause while Dr Khosla talked of the importance of gut health. The show was moderated by Priya Sahgal, Senior Executive Editor ITV Network.

Catch fresh episodes of ‘We Women Want’ every Saturday at 7:30 PM on NewsX. The program will also streamed live on major OTT platforms- Dailyhunt, Zee5, MX Player, ShemarooMe, Watcho, Mzaalo, Jio TV, Tata Play and PayTm livestreams.

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A BLAST FROM THE PAST

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When we reach our late twenties and early thirties and realise how much we miss good television, we tend to go down the nostalgic path. Growing up, with summer vacations lasting a full month and shorter school days, picking a show to watch was perhaps the most challenging assignment. Our TV schedules were quite set, and included everything from Disney cartoons to Indian comedy. This edition includes a chart of five programmes we watched over and over again as children and would gladly reserve time in our work calendars to watch.

TOM AND JERRY

Everyone has heard of “Tom and Jerry”, the only well-known programme where a mouse routinely outwits and humiliates a cat ten times its size. Tom and Jerry had the most straightforward stories, but you never lost interest in them because they were so humorous and snarky. You were eager to learn what new scheme Tom had in mind and how Jerry was going to thwart it. Even though the show ran under a different name and with different studios in each decade, Tom and Jerry continued to air in the 1970s, 1980s, 1990s, and even the 2000s.

TAKESHI’S CASTLE

For a generation raised during the Pogo and Nickelodeon periods, watching “Takeshi’s Castle” meant seeing people fall into mud puddles. This programme will return in more than 240 markets in 2023 thanks to Amazon Prime. Takeshi’s Castle, an Indian adaptation of a Japanese programme, became well-known for its entertaining chores and Jaaved Jaffrey’s hilarious commentary.

COURAGE THE COWARDLY DOG

The majority of cartoons from the early 2000s were often highly joyful and heartwarming. However, “Courage the Cowardly Dog” was a show about scary monsters that looked like they could be straight out of some Steven King book or an old horror movie. It wasn’t really the most kid-friendly show, but it had to be one of, if not the all-time popular cartoon of the 2000s.

SHARARAT

How we wished we were three magicians who lived in a house where they could make anything happen. For us, that was “Shararat”. This childhood show was almost like a fantasy world for Indian children—a mansion with three generations of magicians living in “Muggleland.” Therefore, we had this tiny region of Indian magicians long before the world had Harry Potter and the country of Hogwarts. It was seasoned with sweetness, spice, and just the proper amount of vice.

SCOOBY-DOO

Everyone who was born after the 1960s has seen “Scooby-Doo” at some point in their lives. In essence, Scooby, Shaggy’s talking dog, and four youngsters (who appear to be in their mid-20s) look into numerous crimes that happen around town. The twist is always that the crimes were perpetrated by some type of monster, ghost, spirit, beast, or pretty much any extra-natural entity. The characters on the programme were Fred, who was slick and sophisticated, Velma, who was nerdy, Shaggy, who was laid back and easily scared, Scooby, who loved scooby snacks, and Daphne, who played a sort of damsel in distress role.

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A SPRAWLING PIECE OOZING WITH LOVE FOR EVERYTHING INDIAN

Every 10 minutes during the first half, the movie keeps switching its genre, undergoing brilliant tonal shifts with the assurance of a master conductor at work.

Murtaza Ali Khan

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Laal Singh Chaddha

The long-awaited Aamir Khan and Kareena Kapoor starrer “Laal Singh Chaddha,” which has finally hit the theatres this week, is an adaptation of the 1986 novel titled “Forrest Gump” by the American author Winston Groom. The novel was famously adapted by Eric Roth for the 1994 Hollywood film of the same name, directed by Robert Zemeckis, which bagged 6 Academy Awards. Directed by Advait Chandan, Laal Singh Chaddha also stars Naga Chaitanya (in his Hindi film debut), Manav Vij, Arun Bali, Mona Singh, and Aaryaa Sharma.

Given the narrative’s sprawling nature, making a film like “Laal Singh Chaddha” is like making 15-20 films. That’s how herculean the task would have been for Aamir, Advait, and the team. Remaking a film like Forrest Gump is no kid’s play. I don’t think anyone but Aamir Khan could have delivered a film of this scope and scale. It’s heartening to see the kind of respect that the film pays to historical accuracy as well as getting the different aspects of Sikhism right.

Every 10 minutes during the first half, the movie keeps switching its genre, undergoing brilliant tonal shifts with the assurance of a master conductor at work. Credit must also go to Atul Kulkarni for beautifully adapting “Forrest Gump” to an Indian setting and for seamlessly weaving the important historical events of the last 40 years into it. When it does the Kargil War, it seems to do it better than ‘Shershaah.’ When it does sports, it seems to match “Bhaag Milkha Bhaag.” When it does comedy, it seems to do it better than most. And as a drama, it really excels in terms of cinematic storytelling for the most part.

“Laal Singh Chaddha” comes across as a breath of fresh air at a time when the Hindi film industry needs it the most. Aamir Khan’s innocence personified as Laal Singh Chaddha, and his chemistry with Kareena Kapoor is the major highlight of the film, along with his bromance with Naga Chaitanya and Manav Vij. There are some beautiful segments of magic realism that are beautifully crafted. Like a boy who walks using crutches, suddenly starts running like P T Usha when subjected to bullying. The colour grading is so good that the movie looks stunning visually, and honestly, I haven’t seen a more beautiful looking period film made in India.

Aamir Khan transforms into ‘Laal Singh Chaddha’ in no time and brings the character to life as only he can. Chaddha’s simplicity, to go with his honesty and a sense of contagious optimism that he carries with him at all times, lights up the screen. Whether he is narrating some story, trying to save lives on a battlefield, or making an effort to sell undergarments, Aamir’s Chaddha always makes us root for him.

Mona Singh is wonderful as Chadda’s loving mother. It’s easily the performance that will take away all the accolades. I was in school when ‘Jassi Jaisi Koi Nahi’ used to air on TV and having seen Mona Singh all these years, I have always known that she is a fine actor, but seeing what she achieves in ‘Laal Singh Chaddha’ made me realise that she is actually one of the finest actors working in the country right now.

But the biggest surprise of the movie is Kareena Kapoor. Who would have thought that a wafer-thin character that Robin Wright played in “Forrest Gump” would become the centrepiece of the Hindi adaptation almost three decades later. This is Kareena Kapoor’s finest performance since ‘Jab We Met.’ It is a layered performance, and we can see the character’s dichotomy throughout the film’s running time.

It can be said with absolute certainty that technology has been put to use to de-age Kareena (and Aamir) for this. But the end result is so good and it makes me particularly happy that we have aced the use of this cutting-edge technology better than what Hollywood did with, say, ‘The Irishman’.

I also would like to praise both Naga Chaitanya and Manav Vij for their wonderful cameos. For me, their characters’ bromance with Laal Singh Chadda is one of the film’s major highlights. It’s a masterstroke to make Manav Vij’s character a soldier from the enemy ranks, as opposed to ‘Forrest Gump’, where Gary Sinise’s Lieutenant character was Gump’s compatriot. I would be remiss to not mention Pritam, Arijit Singh, and Amitabh Bhattacharya, who have done wonderful work with the film’s music, songs, and lyrics. Overall, I must say that Laal Singh Chadda has reinstated my faith in Hindi cinema. It’s not a perfect film. It suffers from pacing issues in the second half. It’s probably not even Aamir’s best work. But it is cinematic storytelling at its purest. Here’s a sprawling period piece oozing with nostalgia and an abundance of love for everything Indian. The naysayers can denounce him, but so long as we have stalwarts like Aamir Khan working in the Hindi film industry, Bollywood is here to stay.

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In the blink of an eye

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Gallery Dotwalk is all set to organise a group exhibition show titled “In the Blink of an Eye”. The show, curated by Shruti Ramingaiah, has already started and will be held till 10th September 2022. ‘In the Blink of an Eye’ considers the states of transcending into sleep and being awake as a metaphor to reflect on time as extended, indefinite, and nonconsecutive happening, event, and passage.

The show features ten artists from different cities in India with the diverse practises and approaches they bring to this exhibition. Each artist in this exhibition explores events from the past and even recent times. They reflect on the many meanings of memory, from personal to collective. Going back to their roots, a group of artists revisit their relationship to a site, place, and events.

The ten artists are Bhisaji Gadekar, Chandan Bez Baruah, Jyothi Basu, Kundan Mondal, Midhun Gopi, Rachana Nagarkar, Prajakta Palav Aher, Saju Kunhan, Shruti Mahajan, and Sneh Mehra.

In a candid conversation, curator Shruti Ramingaiah said, “This curatorial is interested in the idea of transition and how we understand the element of time in our everyday and the changing world around us. This show is an attempt to reflect on time that is non-linear. It asks us how we connect with the past, present, and future that are taking place, overlapping simultaneously. The exhibition considers a brief state of transcending into sleep and being awake as a metaphor to explore the possibilities of going beyond our preset notions of time in our daily life. The exhibition probes the viewer to rethink, what it means to be constantly on the move. At the core of all this, how then do we make sense of reality? “

The show will be on view from Tuesday to Sunday from 11 am to 8 pm.

Headquartered at Delhi-NCR, Gallery Dotwalk is an art gallery committed to building an art space that pivots on integrity and genuineness that converses with art enthusiasts around the world, utilising the prowess of technology and positive contributions to the art milieu.

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