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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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Mast Barsaat is a tribute to Wajid Khan: Soundarya Sharma

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Actor Soundarya Sharma recently joined us for a candid chat as part of NewsX India A-List. In the exclusive conversation, the actor opened up about her debut music video Mast Barsaat, sharing the screen space with Salman Yusuf Khan, experience of shooting in the new normal and much more. Read excerpts:

Talking about the response she has been getting for her music video and receiving a shout out from Salman Khan, Soundarya said, “It has been overwhelming. It is amazing to start my music video, which is my debut music video with Sajid ji. This is a tribute to Wajid sir. What a way to start with Salman sir tweeting. He supported our song and he totally loved it. Apart from that, everyone is loving it. They have told us that it is growing on them – the feelings, the music. In the song, there is only harmonium that is playing. There are no electronic progressing or anything. It is a very organically made and done song, so that it is very rooted. The response has been amazing.”

When asked what made her choose Mast Barsaat as her debut music video, Soundarya responded, “I didn’t choose it to be my song. The song chose me. I auditioned for it. I met Sajid ji. Everybody auditioned for it. He was looking for someone who really can enact. He said that the song is really close to our heart and I want somebody to portray the emotions the same way we have made it, with the same love. When he called me, I was super thrilled and excited. He asked about my profile. It worked for me. Ultimately, it should work for us. We connected over the feelings of the song. When Taleem studios shortlisted me, I was really thankful.”

Sharing her experience of working with Salman Yusuf Khan, the actor said, “Very nice. I think he is very professional and he is a really nice guy. He really comforted me. He, himself, is a dancer, performer so he made it really easy for me to work because we decided to shoot in a very short span. We shot for more than 23 hours in a row, so for that you really need a performer to be gelling with you. We were just chilling and working. “

Speaking about shooting for the song in a new normal, Soundarya said, “The new normal, apparently, is actually not that normal because it was scorching. When we shot, it was very hot and everybody was wearing masks but then we were so energised and pepped up by the song that none of us felt even for once that we are exhausted, we are tired. We were so moved by the entire feeling and the enthusiasm to work towards it. I think some things are meant to happen and this was meant to happen for all of us.”

As the pandemic struck the world, Soundarya found herself stuck in Los Angeles, where she was taking an acting course. “I took up the acting course in Los Angeles with New York Film Academy. I was there for 1.5 year and then I was stuck in pandemic. You end up becoming a better human being, learn so many things. Pandemic has taught us so many things in life. I felt like I don’t know what is next, whether I would be able to finish my course. Forget about work, it was a challenge to be on your own and living in a new country. But, I think god is kind. Everything ended well and I am here. I got work,” she further shared.

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DPS R.K. Puram: Celebration of an odyssey of 50 years

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Delhi Public School R.K. Puram, one of the most prestigious schools in India, was founded in 1972 in New Delhi. The school upholds the founders’ commitment to excellence in the all-round development of the students, with emphasis on its motto Service Before Self. The school is extremely proud of its illustrious alumni who continue to uphold the ideals of the school and have impacted society greatly in every sphere of life. DPS R.K. Puram has received the Education World Award as the No.1 Day-cum-Boarding School (2020-21) in India.

On 2 October, Delhi Public School, R. K. Puram organised a curtain-raiser to the official launch of the six-month-long celebration of the golden jubilee of the institution. The event was attended by renowned alumni of the school. The school plans to organise a plethora of activities to commemorate the 50 years of excellence by organising alumni guest speaker programmes, alumni reunions in different parts of the world, cultural programmes involving the present and former students, collage of video messages of alumni from all over the world to inspire the current students and the culmination of all these events at the grand celebration in 2022.

The event commenced with a lively dance performance by the students as an ode to Lord Ganesha with drum beats followed by a graceful Garba performance. The chief guest, VK Shunglu, Chairman of the DPS Society and DPS RK Puram Managing Committee inaugurated the ceremony by lighting the lamp and unveiling the logo of the 50th anniversary. A cake baked by Aadishwar Singh, a student of class XII was cut to mark the occasion. It was followed by a splendid rendition of ‘Vaishnav Jana Toh’ through Indian and Western instrumental fusion. This was followed by a nostalgic presentation of DPS R.K. Puram through ages.

The Principal, Padma Srinivasan warmly welcomed the Chairman along with the former Principals; Shyama Chona and D.R. Saini. She quoted Mahatma Gandhi, by saying that with the burning passion within each individual one can alter the course of history. She said, while we must reflect on the glories of the past, we must also look to the future and aim to transform lives with education as the school has done so ably in the past five decades. She thanked the chairman, V.K. Shunglu for his guidance, constant unceasing support, his spirit of empathy in covid times and for being a leader who thinks from the heart. She further emphasised how 1972 and 2022 are connected by a belief that transcends time; that education can transform lives. To conclude her address, she asked the alumni present to start a movement and give back to the society what the school has given to them and firmly stand by the motto of ‘Service before Self.‘ Following this was a graceful Kathak dance rendition on the song ‘Ghar More Pardesiya.’

Sooraj Dhawan and Sudeepta Chaterjee coordinated and compèred the programme for the alumni group and presented video messages from them. A video showcasing the drone footage of Delhi Public School, R.K. Puram, Vasant Vihar and East of Kailash was screened, magnifying the nostalgia of the alumni in the audience. A self-composed song by the alumni and the students helped reminisce the years gone by and rejoice in the celebrations.

V.K. Shunglu, in his address, reiterated the importance of focusing on what we do in the next fifty years so that we modernise at a fast pace and keep abreast with the challenges of a fast-moving world and keep the banner of the school flying high. The vote of thanks was proposed by the Vice Principal, Renu Nayyar. In the closing note, Padma Srinivasan expressed her appreciation for the alumni who actively participated in the cultural programmes of the day. The programme concluded with the national anthem.

The school plans to organise a plethora of activities to commemorate the 50 years of excellence by organising alumni guest speaker programmes, alumni reunions in different parts of the world, cultural programmes involving the present and former students, collage of video messages of alumni from all over the world to inspire the current students and the culmination of all these events at the grand celebration in 2022.

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Water ioniser: A boon for healthy living

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As per Medical research, the major root cause for more than 90% of modern-day health disorders includes heart stroke, cancer, diabetes, thyroid, gastric, and many other issues are oxidative stress, acidic environment, and hypoxia.

OXIDATIVE STRESS

Oxidative Stress caused by free radicals makes a significant contribution to all inflammatory diseases, ischemic diseases, gastric ulcers, hypertension, and preeclampsia and neurological disorders.

ACIDIC ENVIRONMENT

The second major threat to our health is caused by stress caused by the acidic environment around us.

HYPOXIA

The third threat to our well-being is hypoxia. Hypoxia is a condition in which the body or a region of the body is lacking adequate oxygen supply at the tissue level.

The food we take, the water we drink, the air we inhale, our habits, genetic conditions all contribute to our overall lifestyle. A good lifestyle is the best practice to be healthy, happy, and fit enough. Our drinking water plays a very crucial role in our overall healthy lifestyle. At every point, we should not only need to check the safety of our drinking water, but more importantly, we also need to be sure it is healthy or unhealthy.

Drinking water which undergoes reverse osmosis type of purification is dead water without useful minerals, acidic in nature making internal body pH balance tough, having bigger clusters difficult to get absorbed by body cells. Most importantly the oxidant nature combined with the acidic nature of reverse osmosis purified water adds extra free radicals that weaken our immunity power. Oxidative stress and free radicals are the biggest threat and root cause of more than 75% of health disorders.

For complete family health protection, switch on to Ionised alkaline water which has rich sources of essential alkaline minerals and selective Anti-Oxidant molecular hydrogen.

Ionised alkaline water helps in restoring the right pH balance between the acidic and alkaline conditions in the human body. It neutralises disease-causing free radicals, helps in reducing inflammation.

Ionised alkaline water is micro-clustered. This helps our body cells to absorb more water easily, quickly, and with effective transportation of oxygen and important nutrients to vital organs of the body. This further improves Hydration and detoxification levels. It helps in reducing joint pains, improves metabolism and energy, slows down the aging process and helps in boosting immunity.

The research on molecular hydrogen on Covid-19 has shown promising results where the antioxidant nature of hydrogen helps in preventing the disease onset and also helps in reducing the disease severity in Covid-19 affected patients.

By looking at the enormous health benefits of the Hydrogen-rich Ionised Alkaline water, Medilight Pvt Ltd thought of introducing water ioniser machines in India. Medilight Private Limited found the perfect product which uses a fourth-generation technology water ioniser machine which is a solution to battle air, water and food pollution. This worldwide patented fourth-generation Disc Ionisation technology is available only in Taiwan.

Early in the year 2016 Medilight bought that technology and introduced their own brand name “H Rich” alkaline water Ioniser. In the year 2017, Medilight collaborated with the world-renowned water ioniser brand “Tyent”, a Japanese technology-made water ioniser machine from South Korea which has extensive market coverage in the USA, Europe and Australia.

Health benefits are clinically tested and certified by research. In short, your healthy drinking water can drive your metabolism on the right track in the correct way. It’s a good solution and an investment idea for your family’s health for the next 20 years.

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FOCUSED ON GIVING BEST TECHNOLOGY AT AFFORDABLE PRICING: AVNEET SINGH MARWAH

In an exclusive conversation with NewsX India A-List, Avneet Singh Marwah spoke about what sets his company Super Plastronics Ltd apart from other players, expectations from the festive season, impact of pandemic, and much more.

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Avneet Singh Marwah, Director & CEO, Super Plastronics Pvt Ltd, joined NewsX for an exclusive conversation as part of NewsX India A-List. In the exclusive conversation, Avneet spoke about what sets his company Super Plastronics Ltd apart from other players, expectations from the festive season, impact of Covid and much more.

Giving us an insight into Super Plastronics Ltd and what sets it apart from other players in this competitive market, Avneet said, “Super Plastronics is about a 30-year-old company. We started with plastic moulding of television back then for CRT and then we started manufacturing CRT. We are a complete backboned integrated plant and that experience was forward toward manufacturing LCDs and now LEDs, 4K TVs, USDs. The company invested. Back then, we were completely “Atmanirbhar” for CRT televisions, now we are again in LED televisions. We are a complete backbone integrated plant and we have everything in house, from plastic molding to SMDs to cleanroom and assembly line. Currently, we have about five brands, starting from Kodak, then Thomson-we launched in 2018, after that we launched Globewarm, recently we launched Westinghouse televisions and then we have white Westinghouse by Electrolux- our appliance in washing machine brand. We are one of the largest brand licenses in India and second-largest television manufacturing in India right now.”

He added, “In terms of selling, we currently selling more than 18,000 pin codes in India. We are on top 2 of online selling brands. Our major strategic partner is Flipkart. For Kodak, it is available across online and offline, both. We have a vast service network of more than 550 service center that are company-owned and about 20 warehousing, we have one manufacturing unit in Noida and there are two manufacturing units that are coming up.”

Talking about his expectations from this festive season, Avneet said, “The festive season for any electronic brand is about 35% to 40% of the year. As I told you that we are online and offline, so there are three major sales that come to online. This time, the sales started a bit early, so it is a very important month for us, then the Dussehra sales comes and then “Dhanteras”. The majority of the season is covered in this. We have done a couple of new launches. There are more launches that are coming up this festive season. The company is completely focused on how we can give you the best technology at affordable pricing.

When asked whether there has been an issue of demand-supply gaps because of the Covid situation, Avneet responded, “When the first wave hit, there was a lot of pent-up demand. One of the reasons was the whole world was on screen and work from home. Classes were going online, and then there were OTT platforms to entertain you in the evening. At that point of time, there was a huge spike in terms of buying of screens and televisions, smart TVs plays a very vital role in that. There was about 30% growth but things changed after the second wave. The kind of second wave that hit India, people start saving and they were not spending their disposable incomes. The mortality rate was very high. India is a very big saving economy. After June, I would say, in April and June, the market got stagnant. But, as the economy is recovering, and the first sales show a very encouraging sign. We saw about 80% year on year growth on Big Billion days sales and Amazon’s The Great India festive sale. I think its recovering. We are hoping that Diwali has good numbers. If wave three is not hit, I think the market will recover and you will see the growth in smart TV market.”

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Around 53 Egyptian vultures spotted on Yamuna river in Delhi

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As many as 53 Egyptian vultures were spotted two days ago by an ecologist on a sandy mid-island on the Yamuna river in Delhi.

While talking to ANI, TK Roy, who is an ecologist, said, “I found 53 Egyptian vultures here two days back in Delhi, which is the largest number in the last five years. This place is suitable for them.”

Roy further informed us that there are around 47 Egyptian vultures in the area at present.

“The population is slowly rising because of a ban on diclofenac, an anti-inflammatory drug that has a toxic effect on vultures and awareness among people on vulture conservation,” the ecologist added.

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TRAFFIC FREE, PEDESTRIAN FRIENDLY ‘EK SHAAM CHARMINAR KE NAAM’ PROGRAMME BEGINS

The local authorities and the city police have organised the programme to provide residents of the city with an entertaining, fun, and frolic event.

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A traffic-free and pedestrian-friendly “Sunday Funday” programme titled “Ek Shaam Charminar ke naam” is being held at the historic Charminar of Hyderabad.

The local authorities and the city police have organised the programme to provide residents of the city with an entertaining, fun and frolic event. This event will also be used to spread awareness about various issues of public importance.

The event is inspired by the continuation of a similar programme for eight weeks now at the upper Tank Bund road of Hyderabad.

“With the success of Sunday Funday programme at upper Tank Bund road which has been happening in Hyderabad for last eight weeks now, we felt that the iconic place of Charminar is also another place which can be used for similar entertainment, fun and frolic and intermingling of people,” said Anjani Kumar, Police Commissioner, Hyderabad.

“Through such events, communities can be educated and made aware about several things such as how to prevent theft by servant, drivers theft, and other similar programmes. So we look forward to have a successful program at Charminar,” he added.

The event was inaugurated with the performance of the Hyderabad police band.

“The police department is also actively participating in this programme, the event was inaugurated with Hyderabad police band which is quite famous and subsequently it will be used for various police initiatives which are citizen-centric,” said the Police Commissioner.

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