Abnormality in a brain structure linked with movement may be causing the developmental language disorder seen among children with attention-deficit/hyperactivity disorder (ADHD) and dyslexia, according to a new study on Friday. The abnormalities occur specifically in the anterior neostriatum within the basal ganglia, a structure found deep in the brain, said neuroscientists at the Georgetown University Medical Center. Their findings, based on an analysis of 22 articles, published in the journal Nature Human Behaviour, can help boost both the diagnosis and treatment of the developmental language difficulties seen in these children. Using a new computational method the team determined that "the anterior neostriatum was abnormal in 100 per cent of the studies that examined the structure, with fewer abnormalities in all other parts of the brain". "We hope that by identifying the neural bases of developmental language difficulties, we may help increase awareness of a major, but also rather unrecognised, disorder," said lead author Michael T. Ullman, Professor of neuroscience and director of the Brain and Language Laboratory at Georgetown. “We caution, however, that further research is necessary to understand exactly how the anterior neostriatum might lead to language difficulties." Ullman said that drugs that can improve movement impairments due to basal ganglia dysfunction, such as those that act on dopamine receptors, may aid in treatment. He further noted basal ganglia abnormalities may also serve as early biomarkers potentially leading to early therapy. "Continuing research efforts to further understand the neurobiology of developmental language disorder, especially the role of the basal ganglia, could help the many children who are affected by these problems," Ullman said. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.
15 March,2024 06:27 PM IST | New York | IANSA 68-year-old man battling Parkinson's along with life-threatening co-morbidities has been successfully treated by doctors in Bengaluru. Fortis Hospital, Bannerghatta Road, in a statement on Thursday said that for the first time in India, the NeuroSmart Portable MER system -- an advancement of the Deep Brain Stimulation (DBS) therapy -- was used to treat a Parkinson's patient. "The technology represents a significant leap in Deep Brain Stimulation (DBS) therapy and has advanced target localisation capabilities, automatic navigation, and connectivity tools for offering unparalleled precision in brain analysis," they noted. The system lets doctors see how the patient is responding to the treatment in real-time, which makes the surgery more accurate. The patient, Prakash, had been battling Parkinson’s for about six months. The neurodegenerative disorder caused stiffness in his arms and legs, making it hard for him to move around and do everyday things. He also partially lost his voice, and sometimes his head and neck would move involuntarily. Besides, Prakash also had other health issues like high blood pressure and diabetes, and he had undergone surgeries on his heart, spine, and a hernia in the past. The new NeuroSmart Portable MER system helped him to a remarkable recovery. "The patient is doing well. His tremors have stopped, and his movements have improved. He is now able to do all his activities independently. His medication has also been reduced," Dr Raghuram G, Additional Director-Neurosurgery, Fortis Hospital, Bannerghatta Road, Bengaluru, told IANS. He was discharged just five days post-surgery, the doctor said. "During the procedure, which is known as Microelectrode Recording (MER), we engage the patient in active motor and speech tasks while he or she remains awake. This interactive approach enhances neurophysiological mapping of the target area, ensuring precise localisation for Deep Brain Stimulation (DBS) electrode placement," said Dr. Raghuram, in the hospital statement. "By integrating functional mapping with MER, we meticulously identify the optimal region within the target nucleus. Utilising the advanced AI capabilities of NeuroSmart, we meticulously analyse neuronal recordings in real time. This sophisticated analysis allows us to discern the precise area for electrode placement, ensuring optimal therapeutic efficacy and minimising potential side effects for our patients," he added. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.
15 March,2024 05:27 PM IST | Bengaluru | IANSIndia is facing a sleep health crisis, that is further soaring diseases affecting the heart and brain, said health experts here on World Sleep Day on Friday. World Sleep Day is celebrated every year on March 15 to raise awareness about the importance of sound sleep for health and well-being. The theme this year is Sleep Equity for Global Health. Sleeping a minimum of seven hours every day is essential for good health, if not it can affect your body, both physically and mentally. According to health experts, sleep deprivation is one of the highest in India among global countries. This was seen in a survey by the social community platform LocalCircles on World Sleep Day, which showed that 61 per cent of Indians got less than 6 hours of uninterrupted sleep at night in the last 12 months. The percentage of sleep-deprived Indians has been increasing in the last two years: it was 50 per cent in 2022 and 55 per cent in 2023. “In India, we're facing a sleep health crisis, which is further intensified by our always-on lifestyle and other stressors. With one of the highest rates of sleep deprivation globally, it's critical for us to re-evaluate our approach to sleep, while recognising its role in preventing non-communicable diseases and maintaining mental and physical health," Dr. Prabash Prabhakaran, Senior Consultant – Neurology, Apollo Speciality Hospitals, Chennai, told IANS. Dr. Gajinder Kumar Goyal, Director Cardiology, Marengo Asia Hospitals, Faridabad told IANS that sleep deprivation can affect heart health by increasing blood pressure and heart rate. “Usually blood pressure dips by 10 to 20 per cent during the night. But with sleep deprivation this does not occur leading to nocturnal hypertension that is linked directly to high incidence of cardiovascular events,” Dr. Gajinder explained. He noted that sleep-deprived individuals are also more likely to develop diabetes, and high cholesterol and indulge in faulty dietary habits. So adequate and sound sleep of at least 7 hours is essential to keep our heart healthy, the doctor said. “Sleep quality, affected by poor sleep hygiene and overuse of digital devices, is also causing significant health effects, both physical and mental. We cannot ignore sleep, which occupies a third of an average person’s lifespan,” Dr. Lancelot Pinto, Consultant Pulmonologist and Epidemiologist, P. D. Hinduja Hospital & MRC, Mahim told IANS. Further, lack of sleep is also linked to early dementia, affecting both short and long-term memory, concentration, creativity, and problem-solving abilities, said Dr Satish Nirhale, Consultant Neurologist at DPU Super Specialty Hospital, Pune. It can also raise mental health problems like irregular mood swings, and anxiety, and potentially lead to depression, he said. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.
15 March,2024 04:44 PM IST | New Delhi | IANSOn World Sleep Day 2024, Wakefit.co, one of India’s D2C sleep and home solutions providers, urges people to go #BackToSleep. Why? Turns out the revelations unearthed in the 7th edition of its Great Indian Sleep Scorecard (GISS) 2024 point to alarming indications of deteriorating sleep quality across the country. The report revealed that in 2024, 58 per cent of Indians went to bed after 11 pm. Concurrently, the report also indicated that close to half of India woke up feeling tired in the mornings. Moreover, 88 per cent of people wake up multiple times during the night, while 1 in 4 Indians believe they have insomnia given their inability to sleep well. Prevalence of digital exposure as well as rising stress levels seem to enhance India’s sleep woes, Social media and OTT emerged as the top reasons for 54 per cent of Indians staying up beyond the ideal bedtime, and a whopping 88 per cent reported using their phones just before bedtime. Additionally, over 30 per cent of people stay up worrying about their future late at night. Interestingly, while 31 per cent of India believe that a better mattress and consistent sleep routine will help improve the quality of sleep, another 38 per cent believe that avoiding digital devices will do the trick. As the largest sleep study with close to 2.5 Lakh Indians’ responses garnered across 7 years and 10,000+ responses this year, the GISS study unveils significant insights into the sleep patterns of Indians. The report also delves into crucial observations and trends across various age groups, genders, and demographic segments. The key findings and observations from the survey are elucidated below: Midnights in metros: The GISS report paints a vivid picture of the nocturnal landscape across urban India, revealing sleep habits and trends as diverse as the cities themselves. The report revealed that half of Gurugram's population and around 46 per cent in Mumbai, Delhi, and Kolkata stay up beyond the ideal bedtime, with 61 per cent in Gurugram waking up feeling tired. Social media keeps 43 per cent of Hyderabad, Chennai, and Bengaluru residents up late. Work pressures cause late nights for 33 per cent in Chennai, Gurugram, and Hyderabad, the highest in India among all other cities. Delhi leads in workday sleepiness at 60 per cent, with others averaging 55 per cent. Chennai uniquely reports a 72 per cent higher trend of sleeping outside conventional beds. While 33 per cent of Chennai, Delhi, and Kolkata believe in the power of a better mattress to improve the quality of sleep, 36 per cent of Bengaluru and Mumbai felt a consistent sleep routine will do so. Women worrying more, sleeping less: In 2024, the report revealed that 9 per cent more women have been sleeping well past the ideal bedtime when compared to men. This could be one of the reasons contributing to a significant 20 per cent higher morning tiredness among women vs. men. Further compounding the issue is a 50 per cent higher incidence of women waking up more than 3 times at night when compared to their male counterparts. Additionally, the concerns that keep them awake are notable, with a 20 per cent higher incidence of women staying up late, worrying over future uncertainties than men. These insights not only reflect the complexity of sleep experiences among women but also hint at the broader implications of lifestyle, stress, and perhaps societal roles on their sleep health. Gen Z and millennials ditch gadgets, Gen X love their mattresses: The GISS report revealed intriguing age-related sleep patterns across different age groups. A notable 48 per cent of individuals aged 18 to 30 went to bed post 11 pm, highlighting a trend towards later bedtimes in this age group. Gen X isn't immune to the lures of late-night screen time either, with 42 per cent admitting to doom scrolling into the wee hours. The concerns of under-18-year-olds are palpable, as 43 per cent of them reported being burdened by anxieties about the future. Solutions to these sleep challenges vary by age, with 37 per cent of 18-30 year-olds believing that keeping digital devices at bay before sleep will enhance sleep quality, while 33 per cent of those above the age of 45 lean towards the comfort of a better mattress. The impact of these disrupted sleep patterns is felt the next day, with a staggering 65 per cent of Gen Z and millennials reporting sleepiness during work hours, underscoring the need for targeted interventions to address these diverse sleep challenges. Commenting on The Great Indian Sleep Scorecard 2024, Chaitanya Ramalingegowda, Director and Co-founder of Wakefit.co, said, "In an era where the boundaries between day and night are increasingly blurring, the findings from the latest Great Indian Sleep Scorecard 2024 serve as a critical reflection of our collective sleep health. This year’s findings revealed a notable point where 42 per cent of Gen X have reported doom scrolling late at night. As we navigate through the digital age, the challenge before us is not merely to address the symptoms of sleep deprivation but to redefine our relationship with technology, work, and well-being.” He added, “The Great Indian Sleep Scorecard, with seven editions and close to 2.5 Lakh respondents, has been a flagship research report, helping us in our endeavour to create awareness about sleep health. We aim to build a future where sleep is not sidelined but celebrated as the third pillar of health, in addition to nutrition and exercise.” This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever
15 March,2024 02:36 PM IST | New Delhi | IANSPoor quality sleep is known to invite a string of health issues both mental and physical. However, for many of us, falling asleep is not easy and quality sleep seems like a myth given the heavy workload, stress and added faulty lifestyle habits. To help yourself sleep better, the intake of certain foods plays a key role. On World Sleep Day 2024 Dr Arun Pillai, wellness director at Dharana at Shillim shares a list of natural foods that are known to aid sound sleep. 1. Warm milkMilk contains tryptophan, an amino acid that promotes the production of serotonin, which helps calm the mind and nervous system. This helps in digestion and provides nourishment as well as relieves anxiety and promotes a sense of well-being. Prepare a cup of warm milk (dairy or plant-based) with a pinch of nutmeg, cardamom or saffron. This Ayurvedic remedy can help induce sleep. 2. BananasBananas also contain tryptophan, an amino acid that contributes to the production of serotonin and melatonin (hormones that regulate sleep cycle). They also provide magnesium and potassium, which help relax muscles and support deep sleep. 3. SaffronSaffron milk or saffron-infused herbal teas are believed to have a calming effect on the mind and promote restful sleep. It acts as a natural mood enhancer and supports mental well-being. Saffron is also known to relax the mind. 4. AshwagandhaAshwagandha is an adaptogenic herb known for its stress-reducing properties. Consuming ashwagandha in the form of herbal teas or supplements may help improve sleep quality. It helps reduce stress and anxiety, supports body reactions to stressors and promotes better sleep. 5. CherriesCherries, especially tart cherries, are a natural source of melatonin. Consuming cherries may help improve sleep duration and quality. They also help in reducing insomnia symptoms. 6. Herbal teasDrinking a warm cup of soothing herbal tea can be beneficial for calming the mind and body. Some Ayurvedic herbs are known for their calming properties and can promote better sleep. Herbs like chamomile, ashwagandha, Brahmi and liquorice are most recommended While the consumption of natural foods is a great way to get sound sleep, there are certain things you must avoid doing. Avoid the consumption of sleeping pills or even cough syrups that are known to cause drowsiness. Using these as a means to fall asleep can be risky and should only be done under the guidance of a healthcare professional. These medications may have side effects, can be habit-forming and may interact with other medications. Non-pharmacological approaches, like sleep hygiene and relaxation techniques, are safer and more sustainable methods for improving sleep. Disclaimer: This information does not replace professional medical advice. Consult a qualified specialist or your physician for personalised guidance.
15 March,2024 01:58 PM IST | Mumbai | mid-day online correspondentChronic kidney disease (CKD) represents a progressive deterioration in kidney function over time, often stemming from conditions like diabetes, hypertension or glomerulonephritis. It is estimated that over 14 million Indians suffer from CKD. As CKD advances, the kidneys lose their ability to effectively filter waste products and excess fluids from the blood, leading to a build-up of toxins in the body and disruptions in electrolyte balance. Symptoms may include fatigue, swelling, changes in urination patterns and nausea. Left untreated, CKD can escalate to end-stage renal disease (ESRD), necessitating dialysis or kidney transplantation for survival. Management strategies for CKD typically involve controlling underlying conditions, such as blood pressure and blood sugar levels, along with dietary adjustments and medication to slow disease progression and alleviate symptoms. Homeopathy has gained attention for its potential role in managing symptoms and improving the quality of life in individuals with chronic kidney disease. These remedies are derived from natural substances and highly diluted, are tailored to each patient's specific symptoms and constitution. While not a substitute for conventional medical treatment, homeopathy can complement standard therapies by addressing symptoms such as fatigue, nausea and swelling Dr Mukesh Batra, founder and chairman of Dr. Batra’s Group of Companies lists how patients suffering from CKD can benefit from homeopathy: 1. Many chronic kidney disorders result from chronic lifestyle diseases like diabetes and high blood pressure. Long-term and uncontrolled blood sugar and blood sugar give rise to chronic kidney disorders. Since these are lifestyle disorders they are managed well with homeopathic treatment which is holistic in nature. 2. Another reason is the indiscriminate use of chemical medications. The commonest among these being - NSAIDs used as painkillers, antibiotics often self-prescribed and anti-depressants amongst others. Homeopathy with its minimum dose is safe to use even over a long period of time as it has no toxicity or side effects. 3 Research has proven the efficacy of homeopathy in improving the kidney function. Another research showed an improvement of 49 percent in itching and skin conditions of patients suffering from CKD. To conclude, homeopathy has been clinically proven to help patients of CKD and is a preferred treatment as it is safe and non-toxic.
15 March,2024 11:55 AM IST | Mumbai | mid-day online correspondentA successful hip replacement surgery was performed on a 30-year-old man from Delhi, under the guidance of Dr Pankaj Walecha, a specialist hip and knee surgeon at Apollo Spectra in Delhi, as he was suffering from excruciating pain in his right hip and knee. The patient was diagnosed with juvenile rheumatoid arthritis (JRA) and had been reliant on painkillers for the past eight years. After the surgery, he is now able to walk, sit, exercise, play cricket, ride a bike, and travel without any hindrance or discomfort. Souvik Dasgupta, a working professional from Delhi, was diagnosed with juvenile rheumatoid arthritis (JRA) during his teenage years. He was on painkillers for the last eight years. He had been enduring pain and the only way to manage his life was by consuming painkillers regularly. Following the pandemic in 2021, he was asked to resume office. However, he experienced severe pain in his right hip and knee while ascending stairs and was forced to quit his job. Unable to walk, he sought medical advice through teleconsultations where it was discovered that his right hip joint and its cartilage were damaged due to JRA. He came across Dr Pankaj Walecha and decided to consult him for further intervention. Dr Pankaj Walecha, a specialist hip and knee surgeon at Apollo Spectra in Delhi said, “On detailed check-up, the patient experienced severe pain when raising their right leg, coupled with a restricted and painful rotation of the right hip. The ability to cross the legs was lost, and sitting down posed a challenge. Moreover, a limp was evident in his gait and the right leg seemed shorter compared to the left one. Relevant blood tests were done to identify the cause of the damaged hip joint. It was found that he has Juvenile Rheumatoid Arthritis (JRA), a type of rheumatoid arthritis that can start as early as the age of 13-14 years and that’s why it’s called juvenile RA. In many patients, it involves the eyes (Uveitis) as well. Hip X-rays were done to assess the damage to the bone and to plan the treatment. After a detailed discussion, the patient decided to undergo total hip replacement surgery last year. The anesthesia doctors did a detailed pre-surgery check-up to ensure patient safety.” Also Read: How this new heart procedure saved the life of a 72-year-old woman in Mumbai “Hip joint is a ball and socket type of joint and in any kind of advanced arthritis just like JRA, the ball and socket both are damaged. Total hip replacement surgery is a procedure in which the damaged ball and socket both are replaced. Most commonly used implants are uncemented (where the implant integrates with the bone) and are made up of titanium. Currently, uncemented ceramic on highly cross-linked poly is one of the best implants for hip replacement surgery and is commonly used for hip implants. In advanced stages of hip arthritis, hip replacement surgery is the only treatment. Waiting or postponing the surgery only prolongs the agony. However, if diagnosed in early stages then with proper medications for Rheumatism, joint damage can be prevented,” said Walecha. “Well-performed hip replacement surgery also equalises the leg length discrepancy in the majority of the patients. That’s what was done for Souvik as well. The surgery lasted for nearly an hour. Souvik was made to walk within a few hours of surgery initially with support and within a few days, he was able to walk without any support. He was discharged from the hospital after two days of surgery. He was also given physiotherapy by a team of trained physiotherapists to make him recover faster. Usually. patients need physio for 3-6 weeks depending upon their pre-surgery muscle weakness. Post-surgery, the patients are not only able to walk but are pain-free and can sit on the floor, exercise, play low-impact games, ride a bike, and travel without any hindrance. Most of the patients can work in the gym with some precautions suggested according to the complexity of the case after 3 months of recovering from the surgery. Not all the patients are allowed all the movements after hip replacement surgery as it also depends upon the patient’s disease and damage caused by it,” underlined Walecha. “In the last 20 years, we have done more than 5,000 surgeries. With the use of modern surgical techniques like MIS (minimally invasive surgery) patients make a very good recovery in minimum time. Pain shouldn’t be a part of anybody’s daily life. Taking painkillers regularly can damage the kidneys and other internal organs and is not at all a long-term solution. Any disease gets cured when the root cause of the problem is treated. All the patients of JRA or any other inflammatory arthritis like ankylosing spondylitis are advised to take medical treatment with our rheumatology team even after a successfully performed hip replacement. This is to keep the disease under control and also to prevent the damage to other joints of the body,” said Walecha. “The diagnosis of Juvenile Rheumatoid Arthritis (JRA) was a devastating blow as it turned my life upside down. I had been oblivious to it until the unbearable pain made even the simplest tasks a struggle. The severity of my condition forced me to leave my job. All I yearned for was a pain-free existence where I could perform everyday activities with ease, such as walking, running, traveling, working, and playing. People who encountered me often inquired about an apparent discrepancy in the length of my legs. After the surgery, both my legs are now equal in length and I feel completely recovered. The pain is gone and it's as if the surgery never happened. Today, I can freely engage in various activities like visiting parks, socialising with friends, working out, sitting down to put on socks and shoes, standing up straight, cycling, or riding a bike without any discomfort. Light jogging and brisk walks are also part of my routine now. I have already resumed his daily routine with ease and living life to the fullest,” concluded the patient Souvik Dasgupta.
15 March,2024 11:32 AM IST | New Delhi | mid-day online correspondent
Sleeping naked is not just a personal choice, but actually a promoter of good health. Although some may shy away, even in solitude, others eagerly embrace the opportunity. Aniruddha Gangar (24) (name changed for privacy reasons) a Goregaon resident and photographer by profession calls the experience of sleeping naked ‘heavenly’. “The kind of sound sleep I get when sleeping naked is incomparable. It’s the best way to relax, especially after a stressful day at work.” Gangar, originally from Goa, recently shifted to Mumbai and stays with one of his relatives. He shares that due to space constraints and lack of privacy in a city like Mumbai, he waits to be left alone at home for days. Although Gangar loves to sleep naked when alone, he adds, “I usually prefer to sleep without any clothes on during summers, but I try to avoid doing the same during monsoons and especially winters.” He says it makes him more vulnerable to catching cold. For Borivali resident Reema Gunjal (26) (name changed for privacy reasons), a user experience designer, sleeping naked is a new experience. Although she admits to it being relaxing, one that she would like to do quite often, she says, “It is still a bit embarrassing, being a woman, even if I am alone in the room.” “Feeling shy is so deeply ingrained in women” adds Gunjal, “that most of the time I wake up in the middle of the night only to put my clothes on and go back to sleep.” Speaking about the positive impacts, Gunjal says, “On nights that I sleep naked, I wake up feeling rested and fresh the other day.” Feeling relaxed is not the only health benefit sleeping naked offers. Mid-day Online spoke to Dr Surabhi Siddhartha, consultant obstetrician and gynaecologist, Motherhood Hospital, Kharghar, to explore the various health benefits of this practice. Sexual and reproductive health Sleeping naked is beneficial for sexual as well as reproductive health. It enables the body to breathe freely, preventing excessive sweating and creating a more comfortable sleeping environment. In terms of sexual health, cooler temperatures near the genital area can improve sperm production in men and allow to maintain proper vaginal pH in women. Sleeping naked can contribute to an improved self-image and body acceptance. By embracing our natural state without constraints or coverings, one can get more comfortable with their body and less self-conscious, thereby boosting self-esteem. Benefits for women and men Sleeping naked allows the body to manage its temperature. Women often experience fluctuations in body temperature throughout their menstrual cycles. During this time, sleeping without clothing can help maintain an optimal temperature by promoting air circulation. Additionally, sleeping naked can also improve vaginal health. Wearing tight underwear or pyjamas can lead to a warm and moist environment, which may lead to the overgrowth of bacteria or yeast infections. By allowing the genitals to breathe freely during sleep, women can cut down the risk of such vaginal infections. Speaking on the health benefits of sleeping naked for men, Siddhartha adds that a significant number of men prefer sleeping naked due to the feeling of freedom that comes from shedding clothing before hitting the sheets. By sleeping in their natural state, without any fabric constraints, men feel more connected to their bodies and enter a total state of comfort which can ultimately lead to better sleep quality. Moreover, sleeping naked allows for improved air circulation around the body, keeping temperatures cooler throughout the night. Added benefits for couples Sleeping skin-to-skin enhances intimacy and strengthens the emotional bond between partners. The physical contact that comes with being naked in bed releases oxytocin, often referred to as the love hormone, which promotes feelings of closeness and trust. This intimate connection can help couples feel more connected during sleep, leading to overall improved relationship satisfaction. When we sleep, our body temperature naturally decreases to promote restfulness. Wearing pyjamas can disrupt this process by trapping heat in our bodies and causing discomfort or even night sweats. Sleeping naked ensures that neither partner is overheated or restricted, resulting in more peaceful nights of slumber. Further, Siddhartha says, “Sleeping naked in the same bed can lead to couples embracing their own bodies as well as their partner's without any kind of judgment or inhibition.” Tips to get comfortable sleeping naked Although majority of men do feel comfortable sleeping naked, most women don’t. According to Siddhartha, for most women in India, young too, it is hard to sleep naked even when alone due to societal constraints and cultural norms. “Women thus avoid sleeping without clothes altogether.” If you wish to sleep naked but are too shy to do so, Siddhartha suggests some easy tips 1. Use blinds or curtains that provide complete darkness. This will help reduce any apprehension about potential observers. 2. Invest in high-quality bedding made from breathable materials like cotton or bamboo to enhance comfort while staying cool throughout the night. 3. Remember that your personal comfort should take precedence over societal expectations. For those who just can’t get themselves to sleep naked, Siddhartha says, “It is totally okay.” She also suggests a few alternatives that can offer similar benefits that sleeping naked does. 1. Opt for loose-fitting and breathable materials that allow for air circulation. Natural fabrics like cotton are ideal choices as they provide a comfortable temperature throughout the night. 2. Avoid tight elastic bands or constrictive outfits. They help promote better blood flow, preventing discomfort or restless sleep. One can choose cotton pants or t-shirts, co-ords, nightwear or gowns. 3. Use fabrics that are skin-friendly. Remember, finding appropriate clothing for sleep is all about personal comfort and preference. 4. Keep in mind that the goal is to create an environment conducive to relaxation that helps to get a sound sleep at night. Hygiene precautions When it comes to sleeping naked, there are a few safety measures and hygiene factors that should be followed by everyone. It is important to ensure that the room temperature is conducive to sleeping without clothes. The body needs to stay within a certain temperature range for optimal sleep. If it's too cold or too hot, this can disrupt your rest. One must also maintain complete cleanliness when it comes to bedding. Sleeping naked involves direct skin contact with your sheets and pillowcases, so it’s crucial to keep them clean. Sweat and bacteria present on the fabric promote the growth of allergens and irritants that could cause discomfort or skin issues. Wash and change your bedding from time to time to prevent any dust allergies and rashes.
15 March,2024 07:05 AM IST | Mumbai | Aakanksha AhireChronic kidney disease is a growing public health concern worldwide. In India, chronic kidney disease affects roughly 15-20 per cent of adults in the country. While several factors contribute to the development of this condition, one tends to miss out on checking hyperuricemia or high uric acid levels in the blood. An excess of uric acid may cause injury to the kidney cells in patients with pre-existing chronic kidney disease or CKD especially those with diabetes-related chronic kidney disease. This causes worsening of kidney function leading to chronic kidney disease. India is witnessing a rise in cases of both hyperuricemia and chronic kidney disease. Hyperuricemia is present in about 40 per cent of patients with early CKD, and 70 per cent of patients with advanced CKD. This increase is due to changes in people's lifestyle and dietary habits such as with high consumption of fatty meats, alcohol, and fructose-rich foods. This also can be due to conditions like gastrointestinal, hormonal, or certain kidney diseases. Know the signs and risk factorsHyperuricemia typically doesn't have visible or immediate symptoms, especially in the early stages of the condition. Nearly 60 per cent of people with hyperuricemia do not experience symptoms. Those who may experience signs can be affected by tenderness, swelling, or severe joint pain. Further, when elevated uric acid levels lead to kidney stones, people may experience nausea, pain in their lower back or abdomen, and other signs. Hyperuricemia is particularly common in older adults and men. People with advanced chronic kidney disease may be affected by fatigue, swelling in legs, abnormal amounts of urination, nausea, and difficulty in concentrating. In such cases, they may need immediate medical attention. High uric acid levels can also lead to diabetes, hypertension, and cardiovascular disease, among other conditions. A study indicated that over 30 per cent of patients with diabetes, hypertension, or both have hyperuricemia. It can have a considerable long-term impact on health and well-being if it goes undetected and untreated. This makes it crucial to prevent hyperuricemia, by managing underlying medical conditions, through medication and lifestyle changes. Detect and manage hyperuricemia early for better kidney healthGiven the significant role that hyperuricemia plays in the development and progression of chronic kidney disease, detecting high uric acid levels and managing them are key for people to take care of their kidney health. Early diagnosis of hyperuricemia can help start the journey to properly managing the condition sooner and avoid any further complications. Making lifestyle modifications, such as adopting a healthy diet, maintaining a healthy weight, staying hydrated, and engaging in regular physical activity, can help control uric acid levels. Some of the changes people can make to their meal plan include having more low-fat dairy products, foods rich in vitamin C, plant-based protein, and nuts. People should also consult their doctor in case they have or suspect hyperuricemia and chronic kidney disease, so that they can develop a personalized plan to effectively manage their health. By raising awareness about the risks associated with hyperuricemia and advocating for early detection and intervention, we can strive towards better kidney health for our patients and communities. This can help more people and their families live healthier and better. Disclaimer: Issued in public interest by Abbott for general awareness, for which the author has been engaged by Abbott. Information is based on the author's clinical experience and scientific references and is not a substitute for doctor's advice or recommendations from Abbott. Please consult your doctor for more information & advice. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever
14 March,2024 06:25 PM IST | Canberra | ANI World Kidney Day is being observed on March 14 this year. The global health awareness campaign aims to raise awareness about the importance of our kidneys and the vital role they play in maintaining our overall health and well-being. It also seeks to educate people about kidney diseases, their risk factors, and how to prevent them. Chronic kidney disease (CKD), a term used to describe irreversible damage to the kidneys that is usually progressive, is becoming more prevalent across the globe. As per research, estimates suggest that by 2040, CKD will be the fifth most common cause of years lost from life. The financial cost of CKD is high and frequently leads to substantial, ongoing medical expenses. “Kidney disease often develops silently. Many patients are unaware of their kidney disease until it reaches an advanced stage. By the time signs and symptoms such as high blood pressure or leg swelling occur, the disease may have progressed considerably. The goal of treatment when CKD is diagnosed at an earlier stage is to preserve and maintain remaining kidney health thereby, slowing the progression to end-stage kidney disease – the stage when kidney replacement therapies are required to sustain life. Therefore, screening and preventative care play vital roles in nephrology,” shares Dr. Pallavi Patri, consultant, and chief of nephrology at Manipal Hospital, Sarjapur. On World Kidney Day, Patri sheds light on different aspects of chronic kidney disease, from treatment options to lifestyle factors, to help us further our understanding. Who is at riskMany medical conditions may lead to or are associated with underlying kidney disease. Patients who have diabetes, high blood pressure, heart disease, certain auto-immune diseases or a family history of kidney disease should have their kidney health screened regularly. Frequent upper urinary tract infections, kidney stones and urinary obstruction from an enlarged prostate in an older male patient are all conditions that may be associated with the development of CKD. Kidney disease does not exclusively affect the elderly. Many kidney ailments affect children and young adults leading to CKD and even End Stage Kidney Disease. It is not always possible to predict the development of CKD in young patients, especially since CKD may be silent in early stages and since this demographic rarely undergoes general health screening. Though certain kidney conditions are not preventable, early detection of high blood pressure or abnormalities in blood or urine tests should prompt immediate follow-up, as ignoring these signs can lead to significant kidney problems later on. Early detection increases the likelihood of slowing the progression, emphasising the critical role of timely medical attention in preserving kidney health. How to screen and diagnose Screening for kidney disease involves basic blood tests including electrolyte levels, urea and creatinine levels and urine tests such as a urine routine and quantification of urine protein losses. Simple physical exam findings such as high blood pressure, and swelling around the eyes and legs may be indicative of a kidney problem. An ultrasound of the abdomen and pelvis may reveal structural causes of kidney disease and chronic changes in the kidneys. Occasionally, the Nephrologist may have to perform a kidney biopsy to ascertain the cause, stage and prognosis of the kidney condition. The role played by lifestyle factors, and their impact on kidney health Prevention relies on regular screening but also the maintenance of a healthy lifestyle. A healthy diet and regular exercise can reduce the risk of developing obesity, diabetes, hypertension and heart disease – conditions which may lead to kidney disease. Lifestyle choices continue to impact the progression of kidney disease even when these comorbidities have already been diagnosed. High ongoing salt intake can make high blood pressure difficult to control and a diet heavy on simple carbohydrates can make blood sugar difficult to manage in a diabetic patient. Poor blood pressure control and poor sugar control accelerate the progression of CKD. Obesity and smoking, independent of any other medical condition can also negatively impact kidney health. High salt intake and dehydration are linked to the formation of kidney stones. Patients who have had multiple kidney stone episodes should undergo an evaluation with a nephrologist to understand what kind of stones they are forming. This information helps guide dietary changes and medication implementation to reduce the risk of more stone formation. A proactive approach helps in reducing the severe pain and potential damage to the kidneys from an obstructed stone as well as the expense associated with stone removal procedures. Simple over-the-counter medications that seem benign to use regularly can be toxic to the kidneys – for example, a group of medications referred to as the non-steroid anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, diclofenac amongst others even in small quantities can cause substantial irreversible kidney damage. Medications for gastritis such as pantoprazole or omeprazole when used chronically can also lead to CKD. Awareness about the risks of these commonly used drugs and the use of kidney-safe substitutes can help prevent kidney disease. Treatment options Chronic kidney disease by definition is irreversible damage to the kidneys. And as discussed earlier, it is often progressive. The goal of early detection and referral to a nephrologist is focused on slowing this progression to delay or even prevent end stage kidney disease. This late stage of kidney disease necessitates the initiation of kidney replacement therapies such as dialysis and kidney transplantation as life-sustaining measures. The tools used in slowing progression of CKD include management of comorbidities (such as diabetes, high blood pressure and heart disease), appropriate diet and exercise and initiation of certain kidney-supportive medications. As CKD progresses, several other medical conditions arise such as anemia (low blood count), bone disease, and electrolyte disturbances. Therefore, CKD patients will need to follow up with their nephrologist regularly to ensure these conditions are appropriately managed. Once CKD has advanced to later stages, follow-up will include preparation of the patient for the best possible kidney replacement therapy they are eligible for. In the vast majority of cases, this means kidney transplantation. Age-appropriate medically fit patients live longer and healthier lives following a kidney transplant than if they are left on maintenance dialysis. Kidney care tips for everyone Embracing a lifestyle that incorporates regular exercise and a healthy diet are basic tips to reduce the risk of developing a multitude of medical conditions including kidney disease. Minimising the use of potentially harmful commonly used medications such as certain painkillers and gastritis medications is important in maintaining kidney health. Understanding your family history and your specific risk for the development of CKD will help your doctor tailor kidney screening and preventative measures for you. If you have been found to have high blood pressure or any abnormalities on your blood, urine or imaging tests, follow up with your doctor to understand what these findings mean and what steps should be taken next.
14 March,2024 09:23 AM IST | Mumbai | Maitrai AgarwalThe holy month of Ramadan is here and as most people think of food available during iftar, there is a lot to look for during the period. It's a time for spiritual development, for getting back in touch with one's religion, and for being kind and compassionate to others. In order to concentrate on your inner self instead of food or drink, you can also fast for 30 days from sunrise to sunset. With Ramadan here and 'iftari' preparations on the mind, it is crucial to think about the best ways to support diabetics and those who care for them in fully celebrating the holiday. Navigating a fast can be challenging because it requires a significant shift in routine and way of life, which can make it challenging for people to maintain normal blood sugar levels throughout the day. In order to comprehend any risks and have a strategy in place to manage your diabetes as effectively as possible, it can be very helpful to consult your doctor before fasting. Dr Shehla Shaikh, consultant endocrinologist, Saifee Hospital, Mumbai said, "For people with controlled diabetes, there are steps they can take to manage their sugar levels, especially while fasting for long periods during Ramadan. There are several healthy eating habits people should follow for the periods between 'sehri' and 'iftar'. Don't forget to monitor your blood sugar during your fast; you can do this effortlessly while on the go as there are now Continuous Glucose Monitoring (CGM) device options available in addition to conventional blood glucose metres that require finger pricking. Taking one's doctor's advice is also important to understand any changes required with their medication." When it comes to managing diabetes while fasting, using metrics like time in range through a CGM monitor can be very beneficial. The proportion of time that a person's blood glucose levels are within a given range (typically 70 to 180 mg/dl) is known as time in range. A longer period of time in the target range is linked to more frequent blood sugar checks, which can help you maintain better glucose regulation and lower your risk of developing long-term health issues. One should try to be within range for roughly 17 of each day's 24 hours. In addition, there are a few important considerations for diabetics to bear in mind as they observe Ramadan. Here are a few tips to manage your diabetes while you observe Ramadan this year: Have an energy-boosting Sehri (pre-dawn) meal: Include more fibre-rich starchy foods that release energy slowly, from oats and multigrain breads to brown or basmati rice, along with vegetables, lentils (dal), and more. You can also have proteins like fish, tofu, and nuts for energy. Drink plenty of fluids, but avoid sugary or highly caffeinated drinks like coffee, soft drinks, and more. Watch now: Tips to fast in a healthy way for Ramadan 2023 Regularly monitor blood sugar levels: Checking your glucose levels more frequently is a must, and there are more ways to do this in the comfort of your own homes. Continuous Glucose Monitoring (CGM) wearable devices provide a simple option for people with diabetes to access real-time glucose readings and trends, such as while you were fasting or at the time of Iftar. This is all while avoiding the pain of pinpricks that come with traditional glucose testing options. Properly replenish during Iftar (breaking of fast): The fast is traditionally broken with dates and milk, which you can follow with complex carbohydrates. Make sure to hydrate yourself as well. Consume sweet and fried or oily foods in moderation, as these can affect your health. Fruit before bedtime can also help maintain sugar levels until early morning. Follow a gentle exercise routine: Keep up physical activity but reduce the intensity to avoid extra exertion. You can try simple workouts, walking, or yoga. Resistance training can also help you avoid muscle loss and build strength at this time. Sleep well: Adequate hours of sleep - of good quality - are key to good health and wellness. Especially during Ramadan when your pre-dawn meal is key to sustain your energy, getting enough sleep is key. This also helps avoid sleep deprivation, which can impact your hunger. This can also support metabolism and help regulate blood glucose levels, which is critical when managing diabetes. In addition to following these suggestions, diabetics should be vigilant for any worrisome trends of hyperglycemia or hypoglycemia and take quick action. The key to this is coming up with a strategy for what to do if your blood sugar levels are too high or low during, before, or after fasting. It's also crucial to follow your doctor's recommendations on how to keep your blood sugar levels in the goal range for at least 75 per cent of the day, even when you're fasting. Having a strategy in place can help you manage your health during Ramadan, even though some diabetics choose to fast during this holy month.Also Read: Explained: How dates are the world’s most complete meal in itself This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever
13 March,2024 01:39 PM IST | New Delhi | IANSADVERTISEMENT
