DrRajeev Mishra

Iodium 1M
Take once in a month for glowing and fair skin

So many cases of angina n other diseases r coming up in medical fraternity....In most cases cause is stress.... Isn't time to evaluate the teaching n learning process?.... Can't teaching procedure b done in a bit relaxed way .... I know no one studies or works without pressure but undue pressure not in favour students is hazardous ...infact I think that is hazardous for teachers too.... Undue shouting anger n then giving punishment not only affects students but also teachers.... Will give u a simple example a student is asked to get a CT scan of a patient (very good ..student will learn about CT... discuss with radiologist n learn )... But then what happens the teacher who had sent for CT will keep shouting why u getting late I want CT immediately... Student requesting the radiologist...n radiologist.. don't u understand I have many more important CT to do... U have to wait ...Suddenly other teacher calls where r u ...u r needed in emergency OT... Now student takes time from radiologist n goes to emergency OT.... Returns ohh it's lunch time in radiology.. mam plzz mam plzz... Ok b here will just return from lunch do ur case.... Student had not taken breakfast bcoz had reached hospital at 7am (who can eat at that time except banana n glass of milk both not good for empty stomach) n now he missed lunch too that if I go for lunch n mam comes back n doesn't find me...she will not do the CT.... N the teacher houling till now u haven't got the CT done.... U r of no use ..Sir this was this was the problem.. Ohh shutup i don't want to hear anything.... CT started... anesthesia SR patient is ur responsibility... I will just sedate u have to b here n Finally CT done.... Sir CT done....Come home n show.... At home a lecture...we at our time were more active... Nowadays students don't want to work ..... Student while returning to hospital ...My God stomach pain.. acidity... Will have to eat something... Canteen...now don't have roti or rice...can give evening snacks like noodles...in acidity more acidity added by these spicy food..Plate not finished sister from ward calling that teacher had called on landline n wanted to talk to u about ward.... Ohh my God.... Called back Sir I was.... I don't want to hear anything...how can u leave the ward n enjoy outside....Sorry sir... N details of patients given after a hurryup round... Ohh emergency cases lined up... 2 cases need urgent surgery....patient prepared for surgery... Leaving the ward had to go for emergency surgery...there also incoming patients standing outside emergency...dinner also missed... morning rounds completed.... need to complete the surgeries lined up....again breakfast samosa that to sometimes....
Acidity flourished.... n keep informing the teacher... all teachers have to informed about their patients....lunch missed.... Now u go from end to top... U can see so stress points could b avoided n work would also b done n teaching n learning both process would b cool.... But in medical just to show there supramacy of knowledge have made the life of students hell.... But still there r few teachers who save life of students... Give them love n care n learning too... Hope all of teachers n students make life easy to teach n learn n save their own lives n student's life too....I love being Doctor but needs ur life to b one....

Young E-Cigarette Users Develop Wheezing, Other Respiratory Symptoms
A new study found that both current and former e-cigarette users were more likely to develop respiratory symptoms within 12 months of use than those who did not use e-ci******es.

Young adults who used e-ci******es were more likely to develop respiratory issues within one year of va**ng, according to a new study led by School of Public Health researchers.

Published in the American Journal of Respiratory and Critical Care Medicine, the study found that participants who used e-ci******es had greater incidence of self-reported respiratory symptoms, such as wheezing, dry cough during sleeping, and wheezing during exercise, within 12 months of use. These symptoms were reported regardless of former combustible cigarette use.

Funded by the American Lung Association (ALA), National Heart, Lung, and Blood Institute, and American Heart Association, the study fills a gap in robust data on e-cigarette use and respiratory symptoms among young adults.

“The present study finds a significant prospective association of va**ng with subsequent respiratory symptom development in a large, nationally representative cohort of young adults with no previous history of respiratory symptoms,” says study corresponding author Andrew Stokes, assistant professor of global health. “This evidence highlights an urgent public health imperative for more robust regulatory standards at all levels of government to stop the youth va**ng epidemic in its tracks.”

Stokes and colleagues analyzed data from the PATH (Population Assessment of To***co and Health) study, a longitudinal study tracking changes in to***co use over time among participants. They studied young adults aged 18-24 years who were current or former e-ci******es users and had no respiratory disease or symptoms prior to entering the study.

The researchers found that current e-cigarette users had 32 percent greater odds of developing any respiratory symptom and 51 percent greater odds of developing wheezing in the chest. Former e-cigarette users had 20 percent greater odds of developing any respiratory symptom and 41 percent greater odds of developing wheezing in the chest.

“The study is among the first to associate these respiratory symptoms with young adults across the US, independent of cigarette smoking or other combustible to***co use,” says study lead author Wubin Xie, senior research scientist in the Department of Global Health. “By restricting the analyses to a sample of young adults with no history of respiratory disease or wheezing symptom, the study mitigated potential bias that patterns of use and exposure may have influenced by pre-existing respiratory conditions.”

The study also found that to***co flavored e-cigarette users had 170 percent greater odds of developing any respiratory symptom compared to never users.

The ALA has called on the US Food and Drug Administration (FDA) to create a standard and define which chemicals should go into the to***co flavored e-ci******es. The organization recognizes that all flavors in e-ci******es are additives and there is no “to***co” flavor inherent in e-ci******es.

“This study provides more evidence that e-ci******es are harmful to the lungs and that the FDA needs to provide stronger public health protections from these products including removing all flavored products from the marketplace,” says Albert Rizzo, chief medical officer for the ALA. “This research adds further evidence that there is no safe e-cigarette and that va**ng is harmful to your health.”

At SPH, the study was co-authored by Emelia Benjamin, professor of epidemiology.

https://www.healthline.com/health/gotu-kola-benefits

Gotu Kola: 10 Benefits, Side Effects, and More Gotu kola has been touted as an herb of longevity — but is there any truth to its claimed benefits? Here's what the science has to say.

Do smokers lungs heal after quitting?

According to the professional Elena Forcen, from the MD Anderson Center in Madrid:

At 8 o'clock

Quitting ci******es improves the oxygen flow of the former smoker, in a few days he begins to notice an improvement in smell, taste or skin.

After 12 hours

The body cleanses itself of excess carbon monoxide, returning levels to normal and increasing oxygen levels in the body.

After 24 hours

The risk of heart attack begins to decrease. Blood pressure is lowered, lowering the risk of heart disease from smoking-induced high blood pressure.

After 1 month

As the lungs heal and lung capacity improves, former smokers will notice less coughing and less difficulty breathing.

After 9 months

The lungs have healed significantly. Cilia, those delicate hair-like structures within the lungs that help expel mucus and fight infection, have now recovered.

After 5 years

After 5 years without smoking, the arteries and blood vessels begin to widen again, reducing the risk of stroke.

After 10 years

The chances of developing lung cancer and dying from it are roughly half that of someone who continues to smoke.

With birth rate in decline, India must change
With the fertility rate falling below replacement, challenges of higher dependency, burgeoning healthcare and social security needs will emerge. India must mount the necessary policy-response.

With a lower number of births, the youth population will keep shrinking. As the size of the youth population falls, the number of older adults will surpass the young. India will need to reassess its social-security focus and make investments to provide the growing number of older adults with improved access to healthcare, income-security and social safety-nets. (Representative image)
With a lower number of births, the youth population will keep shrinking. As the size of the youth population falls, the number of older adults will surpass the young. India will need to reassess its social-security focus and make investments to provide the growing number of older adults with improved access to healthcare, income-security and social safety-nets. (Representative image)

By Prabhu Pingali and Shubh Swain

The time has come for India to turn a new leaf on population policy. The country’s fertility rate has already fallen below the replacement level, 2, according to the latest data from the National Family Health Survey, which was largely collected before the nation felt the heat of Covid-19. The ongoing shock and uncertainty caused by the pandemic will likely drive down birth rates even further. Decreased fertility has many rewards, but this demographic achievement might come with a price. The coming demographic transition has profound implications for India’s health, fiscal and gender policies.

With a lower number of births, the youth population will keep shrinking. As the size of the youth population falls, the number of older adults will surpass the young. India will need to reassess its social-security focus and make investments to provide the growing number of older adults with improved access to healthcare, income-security and social safety-nets.
Emerging health challenges

Drawing on the 2000 Population Policy, India’s health policies and programmes have focused on family planning, maternal and child health and communicable diseases. Yet, with the increased number of older adults, the number of non-communicable diseases is already outgrowing infectious diseases. According to the WHO, nearly 60% of deaths in the country can be attributed to non-communicable diseases. That share will continue to increase in the near future, demanding a significant policy shift towards preventing and managing morbidities like diabetes, cardiovascular diseases and cancer.

India has achieved many milestones in mitigating food insecurity since the 1970s, and the focus is now slowly moving from under-nutrition to the rising problem of obesity in the general population. But, older adults are still at risk of food and nutrition insecurity, as their declining social and economic bargaining power often makes them dependent on social security; 6% of Indians over the age of 45 have experienced insufficient food in the household, according to the Longitudinal Aging Study in India. That number can be expected to grow with the increasing older adult population.

Healthcare for all has been always a challenge for India. Increasing medical costs, difficult-to-afford health insurance and transportation constraints have negatively impacted healthcare access among the underserved population in India. With the expanding older adult population, these challenges are going to get harder.

Older adults have reduced incomes, less access to health insurance and restricted mobility. Several studies have shown that the inaccessibility of specialised services is one of the major constraints for healthcare-seeking behaviour among older adults. Less than 1% of older adults have health insurance, and ageing-related morbidities are a grey area in terms of coverage. Most older adults depend on families and immediate relatives for healthcare. As family size shrinks due to declining births, such informal safety nets may not be a viable option in the near future.

Added fiscal costs

The decreasing fertility rate will also pose a fiscal challenge in the form of an increasing dependency ratio. Measured as the number of people aged 65 and up compared to the population aged 15-64, the dependency ratio in India moved from 5.4 in 1960 to 9.8 in 2020 and will increase to more than 20.3 in 2050.

The quality of life among older adults is already unsatisfactory at the current dependency ratio, with a government report scoring income security and financial well-being among older adults at 44.7 and 33 out of 100, respectively. With the growing dependency ratio, it will be more difficult to improve this situation. As the younger population declines, resource investment in the youth will shrink, too. Demand for work within the older adult population will grow and may result in delayed retirement, leading to a “job squeeze” in which the young and old alike compete for a limited number of jobs.

A new gender issue

As the older portion of the population grow, the number of older adult women will be greater than the number of men. Although life expectancy has increased dramatically in India, it has not benefited men and women equally. In three decades, it is expected that the life expectancy of women, at 65 years, will be two years more than that of men. According to a UN projection, by 2050 women will make up 56% of India’s population at the age of 80.

Due to the difference in life expectancy, more women will live as widows in the later stages of their lives. Historically, widowhood is closely linked to the social and economic insecurity in India. Many studies have suggested that older and widowed women are at greater risk of both chronic and acute health disorders and less likely to engage in health-seeking behaviour.

Additionally, the average years spent in school among women aged 40-45 is not very encouraging. There will be many older women who are less empowered and vulnerable to social insecurity.

Young and old both hold the key

India needs to move simultaneously towards two goals: investing in today’s youth to build a healthy and empowered population in long run, and creating a more protected platform to provide immediate benefits for older adults. By doing so, India can achieve “healthy ageing” and flatten the curve where disease, disability and disempowerment accumulate with age.

The current social, financial and health security of young adults will decide the well-being of tomorrow’s older adults, but the news about India’s young adults is not very promising. In the past two decades, the youth unemployment rate has increased from 17.7% to 22.8% and obesity is increasing among people aged 15-34 years. A recent sample-based study found that one-third of young adults under 35 are at moderate risk of diabetes.

India must invest more on youth to help them secure good employment and incomes, and ensuring healthy lifestyles should be the top priority of youth welfare schemes. Strengthening the education system to make it globally-competitive is the first step towards increasing the market value of the youth. Flagship skill-growing schemes like Pradhan Mantri Kaushal Vikas Yojana and Deen Dayal Upadhyaya Grameen Kausalya Yojana should be allocated greater funds and shift their focus to the youth. Promoting healthy investment behaviours among young workers will help in economic empowerment at a later age. Targeted behaviour-change communication for healthy life practices will enable the youth to grow healthier.

Shifting policies toward older adults not only brings an immediate result but will also create a sustainable older-adult-friendly society in future. Making specialised health services available at the primary care level, improving the older-adult-friendly transportation system, replicating the model of ASHA workers, and creating a cadre of health outreach workers trained in first-line care of geriatrics will be helpful.

There is a strong push from nutrition and food-system scholars across the globe for India to address malnutrition by making more diversified food available and accessible to its population. Going forward, scholars involved in this discourse should address the situation of older adults as a matter of social and nutritional justice.

India must work collectively towards a structural shift in order to capitalize on the coming wave of demographic change. The negative cultural view of old age must come to an end. Government policies and departments should converge around the goal of promoting active aging to keep older adults economically productive. Senior workforce participation can be an added advantage when older adults bring their experience and wisdom to the workplace to optimise youth energy.

Moving forward, the gendered approach to health care, food security and overall well-being must include a new dimension: old age. India must increase its old age pension share, which is currently 1% of the GDP. Old-age pension schemes and other social safety-nets should make a deliberate effort to provide health and nutrition security to women who are older and underserved.

Even though the effects of the demographic transition will not be felt tomorrow, India must get the ball rolling early, as the shifting in the sociocultural landscape towards those of advanced age will take time.

Pingali is founding director, Tata Cornell Institute, and professor, Applied Economics, Global Development, Cornell University, and Swain is research associate, Tata Cornell Institute, Cornell University