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Dec 20
Parents beware: Noisy toys may harm kids ears
Parents, give a second thought the next time you pamper your children by giving them noisy toys.
A new study by the University of California says that the noise of some of the most popular Christmas toys can be as loud as a chainsaw and risk permanently damaging toddlers' hearing, the Daily Telegraph reported.

For their study, researchers from the University of California, Irvine tested the levels of two dozen separate toys and took 10 of the loudest to a specialist soundproof laboratory . All of the 10 exceeded 90 decibels and several reached 100 or more, which is equivalent to the noise of a chainsaw or an underground train.

Among the toys tested were the Tonka Mighty Motorised Fire Truck, Marvel Super Shield Captain America, Whac-A-Mole game, Sesame Street Let's Rock Elmo and Toy Story Buzz Lightyear Cosmic Blaster.

Hamid Djalilian, who led the study, said problems could arise if a noisy toy was held too close to a child's ears.

"Children are very sensitive to loud and high-pitched sounds. Unfortunately, hearing loss from noise damage is permanent and not currently curable," he said.

Djalilian said that someone buying a noisy toy for a child should hold the toy as a youngster would and listen to its sound. "If it hurts your ears then it's probably too loud for a child," he said.

Dec 19
Daily dose of Vitamin B 'can fight memory loss and help protect against Alzheimer's
A daily dose of vitamin B can dramatically combat memory loss in old age and even protect against Alzheimer's, a study has found.

People taking the pill had lower levels of a brain protein known to lead to a rise in the risk of dementia.

Researchers found it also slowed mental decline in older people who have slight problems with their memory.
More than 800,000 people in Britain suffer from dementia and the number is forecast to double within a generation, but previous drug trials have been unsuccessful.
Around a sixth of people over 70 are thought to suffer from mild cognitive impairment and about half develop dementia, usually within five years of diagnosis.

The research suggested dementia could be treated with a food supplement rather than by taking complicated medicines.

More than 250 people took part in the study, at Oxford University, including people with mild cognitive impairment who were aged 70 years or older.

They were given vitamin B - found naturally in food such as beans, meat, wholegrains and bananas - or a placebo over a two-year period.
Taking the food supplement appeared to help maintain mental processes, such as planning, organising and recalling information.

An earlier study showed B vitamins slowed the rate of brain shrinkage compared with a group receiving a placebo.

Dec 17
Delhi government wakes up to contain japanese encephalitis
With 17 blood samples of the 81 slaughtered pigs testing positive for Japanese encephalitis (JE), the alarmed brass of the Delhi government and MCD on Friday decided to identify the source of the infection in pigs before initiating more drastic measures to check the spread of the disease.

Since JE has already killed more than 500 people in Uttar Pradesh and its spread in the Capital is a scary possibility, the decision was taken at an emergency meeting between senior officials of the MCD and the health department.

Health minister Dr A. K. Walia said: "The first thing we will investigate before the next meeting is the source of the infection. The samples of another 100 pigs are being tested. Since this is the winter season, even the number of mosquitoes - which are the primary carriers of the disease from animals to humans - is quite less."

The MCD had sent the samples for testing to the National Research Centre for Equines at Hisar, Haryana, in late November. Eight of the 17 samples that tested positive had been collected from the Civil Lines area of the Capital, six from Shahdara South and three from Sadar Paharganj.

One of the key instructions issued by the jittery government brass to the MCD authorities was about regular fogging and checking the presence of mosquitoes, particularly in the resettlement and unauthorised colonies. Pigs are known hosts of JE, which spreads from them to humans via mosquitoes.

Based on the preconditions that help the disease spread, the authorities have already identified the "high risk" zones.

Most of these are resettlement colonies with poor hygiene conditions and the presence of pigs, mosquitoes and birds in close proximity to one another. These include Raghubir Nagar, Mangolpuri, Shastri Park, Rohini, Bawana and Trilok Puri, among others.

Though the culling of pigs isn't allowed in the national Capital, the state government's health officials said on the condition of anonymity that it was "the best and the safest option" to check the spread of the disease.

"But since most of these areas have a high population density, the culling of pigs by the government/ civic administration could become a significant political issue in the forthcoming civic elections. Such a move will most likely affect a certain votebank. Therefore, it'll be a tricky decision to take for the political parties," a senior health department official said.

In fact, the issue of compensation to the owners of pigs that may ultimately have to be slaughtered across the city would also be discussed at the crucial meeting on JE, which is scheduled for next week.

Walia confirmed that the state government was aware of the financial aspect of such a decision. "We will discuss a range of issues, including the financial ramifications, at the meeting next week," Walia said.

JE had surfaced in the Capital for the first time this year in October, when four persons tested positive for it. Since then, 14 persons have tested positive for the virus. The areas from where these cases were reported included Gole Market, Bawana and Jahangirpuri .

Dec 17
No study on depression cases in India
There is no study on whether number of depression cases in the country have increased or not, even as a mental health programme has been underway since 1982, parliament was informed Friday.


In a written reply in the Lok Sabha, Health Minister Ghulam Nabi Azad said that the national mental health programme was introduced in the country in 1982.

"A total of 123 districts in 30 states and uniot territories have been covered under the district mental health programme to provide detection, management, and treatment of mental disorders," he said.

The minister however also said that there was "no long term population based study in India to suggest that the number of cases of depression and consumption of antidepresseant drugs are increasing."

According to a study conducted by the World Health Organization, India has the highest rate of major depression in the world.

Around nine percent of people have been reported having an extended period of depression within their lifetime and nearly 36 percent suffered from "major depressive mode".

Dec 16
Andhra Pradesh: Botched eye surgery camp blinds five
A botched eye surgery camp blinded five persons, while 11 others developed serious complications in Nandyal town of Kurnool district in Andhra Pradesh.

St Werburghs Hospital conducted the free camp on November 14, but the hospital authorities tried to hush up the goof-up by referring the victims to hospitals in Guntur, Kurnool and Hyderabad. The incident came to light when the victims approached the district health authorities and the media on Thursday.

Kurnool district health officer Venkatapathy said as many as 33 people went to the camp for cataract surgery.

The patients returned to their villages after the operation. But 16 of them developed infections and went to the hospital for post-surgery followup. "The medical officer there rudely told us to go to bigger hospitals," a patient said.

But for five of them, it was too late. They were already blinded. The National Eye Care Project officials will probe the incident.

Dec 15
Only 30 hospitals have fire safety systems
Vishakhapatnam: Even as Visakhapatnam has emerged as the health hub of the north coastal Andhra and neighbouring Odisha and Chhattisgarh, fire safety arrangements continue to be poor at a majority of the hospitals in the city, ringing alarm bells for the patients and their families.

It is said that many of the hospitals in Visakhapatnam are deathtraps, in the absence of any fire-fighting mechanism or fire escape arrangements.

About 300 private hospitals and clinics in the city are said to be highly prone to incidents like the one at AMRI Hospital in Kolkata which claimed the lives of more than 90 patients.

In view of the abject disregard for fire safety norms, Greater Visakhapatnam Municipal Corporation authorities have decided to crack the whip.

The Greater Visakhapatnam Municipal Corporation will start a joint exercise with the fire department to assess fire prevention and safety mechanisms in all the hospitals in the city and will also be organising a meeting with the managements of various hospitals on Wednesday to discuss the fire safety issues.

Station fire officer of GVMC's fire prevention wing U Sarath Babu said out of the 300 hospitals and nursing homes in the city, around 20 come under large establishment's category. He admitted that only less than 10 per cent of the hospitals have minimum fire safety mechanisms.

Sources said some of the establishments do not even seek the mandatory No Objection Certificate (NOC) from the GVMC and the fire department to start operations. Some of the hospitals are extremely vulnerable to mishaps of the Kolkata kind not only on account of not adhering to safety rules, but also due to their location in narrow lanes, where fire tenders could not pass.

Sarath Babu said the Greater Visakhapatnam Municipal Corporation will seal the hospitals if managements continue to flout fire safety norms.

He said those found violating the norms would be issued show-cause notices first and would be made liable for action under relevant laws. Greater Visakhapatnam Municipal Corporation will start issuing notices after the review meeting on Wednesday and will give one month time to hospitals to comply with regulations.

Several hospitals don't have the ramp to shift patients to safety during a fire mishap. If a fire breaks out, what about those immobile patients undergoing treatment in Intensive Care Units or Trauma Care Units?

So far, Greater Visakhapatnam Municipal Corporation and the fire department had issued notices to around 80 hospitals in the city in July but none of them have installed fire safety equipment yet. Fire officials noticed that there was no trained staff in the hospitals to tackle fire mishaps.

According to rules, the hospitals should have elaborate mechanisms to facilitate easy movement and escape of patients in case of fire.

There should be mandatory fire exits on every floor with wide stairways. Firefighting equipment should be installed at every level. But many hospitals, including Care, Seven Hills, Queens NRI and Manipal, are crowded at any given time and if fire breaks out, the casualties could be very high.

District fire officer SV Narasimham said fire safety remains the least priority for hospitals, commercial establishments and educational institutions despite repeated warnings and notices.

Convener of the Forum for Better Visakha EAS Sarma said unsafe buildings should have been closed by the authorities, but they have either been lax or colluding with building owners.

People say the Kolkata incident should be an eye-opener to the district and Greater Visakhapatnam Municipal Corporation officials. In fact, every multi-storied building should be put under the scanner, they say.

Dec 14
Low-carbohydrate diets better for easing weight: study
A low-carbohydrate diet is better than a standard, calorie-restricted one for cutting down weight and lowering blood levels of cancer-promoting hormone insulin, a British study has found.

Researchers at Genesis Prevention Centre at University Hospital in South Manchester, found that restricting carbohydrates two days per week may be a better dietary approach for preventing breast cancer and other diseases.

"It is interesting that the diet that only restricts carbohydrates but allows protein and fats is as effective as the calorie-restricted, low-carbohydrate diet," said Michelle Harvie, research dietician at the Genesis Prevention Centre.

Harvie and her colleagues compared three diets during four months for effects on weight loss and blood markers of breast cancer risk among 115 women with a family history of breast cancer.

They randomly assigned patients to one of the following diets: a calorie-restricted, low-carbohydrate diet for two days per week; an "ad lib" low-carbohydrate diet in which patients were permitted to eat unlimited protein and healthy fats, and a standard, calorie-restricted daily Mediterranean diet for seven days per week.

Data revealed that both intermittent, low-carbohydrate diets were superior to the standard, daily Mediterranean diet in reducing weight, body fat and insulin resistance.

Mean reduction in weight and body fat was roughly four kg with the intermittent approaches compared with 2.4 kg with the standard dietary approach.

Insulin resistance reduced by 22 per cent with the restricted low-carbohydrate diet and by 14 per cent with the "ad lib" low-carbohydrate diet compared with 4 per cent with the standard Mediterranean diet.

Dec 13
Affordable medicines will take more than price controls
The draft National Pharmaceutical Pricing Policy floated in October by the Department of Pharmaceuticals inviting feedback from stakeholders charts out significant changes, but as in most policies that seek to alter decades of established framework, rising voices of dissent have invariably followed.

Two important draft introductions are being opposed by industry and non-governmental organisations alike - first, the clamping of the entire list of essential medicines, numbering a whopping 348, under price control as against the present 74 and second, pricing of drugs based on the average of the top three brands in each category.

These may be genuine concerns, but policy makers cannot be faulted squarely for proposing the new legislations.
Ironically, at some point or the other, the same NGOs that have pointed at the shortcomings in the new policy draft had previously called for a tighter grip on prices of medicines in India, given the appalling healthcare conditions in India and that medicines were not affordable to large sections of the population.
Those pleas were not left unheard. When Ram Vilas Paswan held the charge as minister for chemicals and fertilisers a few years ago, a possibility of all essential medicines being put under the span of price control came closer to reality. The slow process of bureaucracy and the combative industry associations scuttled that move arguing it was retrograde and will derail growth of the health industry.

Instead, what we had in the name of affordable medicines is the Jan Aushadhi scheme. Launched with hopes of bridging the need gap for medicines, the scheme that endeavoured to provide generic drugs in select towns and cities is at best breathing hard to survive now. It remains an unfulfilled task for the government to provide affordable medicines and universal healthcare to its teeming population.

Read closely, the NGOs have a fair point in opposing another issue. In objecting to the proposal to fix a price on the basis of the average of the three leading brands in a particular therapy area, there is sufficient reason to believe the proposal will not be an effective mechanism in curbing the runaway medicine prices. Effectively, what it will translate into is that those who calibrate their brand prices to the lower end of the segment may also be encouraged to tag their product closer to the leader's price, making drugs even more unaffordable.

The NGOs are right in arguing that this amounts to top brands-based pricing rather than market-based pricing. In its enthusiasm to probably liberate the industry from the old rule of cost-based pricing of medicines, the government may have taken a bold but hasty decision.

While it looks practically difficult to calculate the average price of all the brands and then fix a ceiling as demanded by the NGOs, it will also scare away larger companies which have truly invested in building brands and their lifecycle management.

Knowing that wrong pricing strategies can be self-defeating, a few in the industry have learnt their lessons the hard way. Companies that have targeted smaller towns and cities are now striving to bring down the prices of medicines for those particular markets through a dual pricing approach. There are instances of multinational companies aligning with local partners for a deeper reach while at the same time keeping distribution and marketing costs within a limit.

What may be needed from the government's side, besides being judicious to frame a reasonable pricing policy, are steps in creating a robust infrastructure.

For example, vaccination is a hugely unexplored area in India and there is a growing trend of large organisations investing in vaccines needed in emerging markets.

Organisations involved in vaccine projects encounter tremendous hurdles in maintaining quality and safety protocols due to the lack of a cold chain network in India.

In the best interest of the patients - who are under-served in India - it works well if the government, industry and patient groups devise a strategy that yield tangible results. At present, most policy initiatives are lost in endless debates, those that are mostly in the interest of protecting the industry and less pointed at patient outcomes.

It is a fact that though the industry has for decades opposed price controls on 74 drugs, the players have also made decent profits to sustain and shape up into large global corporations.

There is a role to be played by trade too - with the margins it makes and the relative absence of competition compared with developed countries, it can invest in quality infrastructure to ensure safe drugs till the end of the delivery cycle.

On its part, given the enormous power it wields, the government can be more proactive than unidirectional in its policy making process.

Dec 13
Chronic Back Pain Sufferers Benefit From Yoga
Yoga can provide more effective treatment for chronic lower back pain than more conventional methods, according to the UK's largest ever study into the benefits of yoga.

The study, led by the University of York and funded by Arthritis Research UK, found that people offered a specially-designed 12-week yoga programme experienced greater improvements in back function and more confidence in performing everyday tasks than those offered conventional forms of GP care.

The research focused on back function - people's ability to undertake activities without being limited by back pain, which was measured using the Roland Morris Disability Questionnaire. Although improvements in back function were more pronounced at three months, researchers found there was still an improvement in people's ability to perform tasks such as walking more quickly, getting dressed without help or standing up for longer periods of time even nine months after the classes had finished.

The trial involved two groups of people who were both receiving GP care for chronic or recurrent back pain. A 156-strong group were offered group yoga classes specially designed to improve back function, while a second control group of 157 people were offered GP care alone.

The findings of the study, which was carried out by researchers from the Department of Health Sciences at the University of York and the Hull York Medical School, are published in the Annals of Internal Medicine this week.

Lower back pain is a common episodic condition, with 80 per cent of the UK population suffering from it at some point in their lives. It is estimated that around 4.9 million working days a year are lost due to back pain. However, few effective, evidence-based treatments exist.

The yoga programme, which involved 20 experienced yoga teachers, was designed and delivered by Truro-based Alison Trewhela, an Iyengar Yoga teacher and Senior Practitioner in Yoga on the British Register of Complementary Practitioners, in collaboration with York-based yoga teacher Anna Semlyen, a Back Care Advisor to the British Wheel of Yoga.

The classes were designed for complete beginners, with yoga teachers given extra training in back care. Participants were recruited from 39 general practices in seven Primary Care Trust areas, with classes held in non-NHS premises in Cornwall, North London, West London, Manchester and York.

Chief Investigator Professor David Torgerson, Director of York Trials Unit, in the University's Department of Health Sciences, said: "Back pain is an extremely common and costly condition. Exercise treatment, although widely used and recommended, has only a small effect on back pain. We therefore set out to investigate an alternative approach using a specially-developed weekly yoga programme for back pain sufferers to see if this allowed them to manage their back pain more successfully.

"While previous studies have focused on the short-term benefits of yoga, we also wanted to see the long-term effects and measured improvements three, six and 12 months after entry into the study. Our results showed that yoga can provide both short and long-term benefits to those suffering from chronic or recurrent back pain, without any serious side-effects."

Medical Director of Arthritis Research UK Professor Alan Silman said: "We're delighted that our trial has shown that yoga provides such positive benefits for people with chronic low back pain. This extremely common condition cannot be managed with painkillers alone and there is an urgent need to have non-drug therapies that sufferers can utilise in their own home. This trial is part of our larger commitment to seek self-help solutions to this common musculoskeletal problem. There are compelling explanations why yoga may be helpful and this trial lends powerful support to the wider use of this approach."

Trial participants completed a questionnaire at three, six and 12 months from the start of the programme. On average, members of the yoga group were able to undertake 30 per cent more activities compared with those in the usual care group after three months, a statistically significant difference between the two groups which has been recognised as clinically important.

The trial showed that there was more reduction in pain in the yoga group than the usual care group, but of marginal statistical significance.

Researchers also compared the results from the yoga programme with those for high-quality randomised trials for exercise and manipulation, the Alexander technique and cognitive-behavioural treatment. The results suggested that the 12-week yoga group programme may improve back function more than exercise and manipulation, cognitive-behaviour treatment and six sessions of 1-to-1 Alexander technique, but not as much as 24 sessions of 1-to-1 Alexander technique.

Trial participant Sue Faulkner, 68, retired from her job as an administrator four years ago with the intention of spending her time gardening. However, within six months of retiring her back was so bad she found that walking any distance was painful and she needed to stop regularly to rest. Gardening was out of the question.

Sue from Bishopthorpe in York said: "I felt a definite benefit after the programme as it made me more flexible and we were taught positions to relieve certain types of back pain. I've continued going to yoga classes and still do the positions I was taught during the 12-week programme. Walking around is no longer a problem and I can do my gardening now so long as I pace myself. I've even taken on an allotment with my daughter and son-in-law and no longer take pain killers."

Those attending the specially-designed yoga programme, which involved step-by-step gentle classes, were encouraged to become self-sufficient in the long-term. Classes were supported with four home practice sheets, a manual, and a four-track audio CD teaching how to relax physically and mentally.

Iyengar Yoga teacher Alison Trewhela said: "The yoga programme offers poses for pain-relief and mental calming; mobilising, stretching, strengthening and relaxation; improving awareness of posture; education about how a healthy back functions; and positive mental focus. Yoga aims to treat the whole person - not just the physical.

"As most back pain conditions recur, these lifelong self-management skills are likely to be useful as a preventative measure. As a result of smaller previous trials, one million Americans currently practise yoga as a recommended treatment for low back pain."

Participants in the yoga programme were surveyed nine months after classes had finished and more than half of those who responded were still regularly practising yoga, mostly at home, twice a week.

Dec 10
Staff flee, leave patients unattended after fire
As bodies of AMRI Hospital fire victims are brought out of the annexe, it is the patients in the adjacent old building who are facing severe problems due to lack of attention as most staff have fled the premises, fearing wrath of the relatives of the 70 people killed Friday.

"There is a severe staff crunch today (Friday), especially of nurses and ayahs... my father didn't get his daily dose of medicines since morning. There is nobody to even serve a glass of water. Only one or two nurses are there and they are having a tough time in tackling all the patients," said Akhilesh Pandey, whose father was admitted at the hospital last week.

"I don't know where the nurses have gone. Even the ayah whom I pay every day is not present here, I got the news early in the morning," said Ronnen Roy, relative of another patient."I thank god that my uncle is safe but there is nobody to care for him. Even the doctor who pays regular visit has not turned up."

"I think the nurses and most of the hospital staffs have fled fearing the wrath of the relatives. There is hardly a person to man the help desk of the hospital," said Tapas Das, whose relative is also admitted.

"I have seen signs of public wrath at the entrance of the first floor with most of the glass planes completely smashed," he added.

Most of the wards of the old building have virtually turned into a morgue as bodies from the fire devastated building were kept there before being moved out for post-mortem examinations.

The first three floors of the old building have been taken over by either police officials or relatives of the deceased. The rooms of the doctors and the nurses were lying vacant.

The relatives alleged that some wards have been filled with more patients than their capacity in order to make room for the bodies.

"My sister-in-law was in a different ward. She has been shifted in a new ward, and we were not even informed about it," said Shyamal Pal.

More than 70 patients in Kolkata's wellknown AMRI Hospital were killed along with three staffers when a blaze started in the basement of the annexe building early Friday and toxic fumes quickly spread to the other floors, trapping hundreds of people.

The tragedy unfolded over many hours as patients were suffocated to death, some trapped in their beds, others dying in their sleep, too infirm to escape the smoke. The lucky few were brought down the side of the four-storey glass facade building, built only six years ago, using ropes and ladders as thousands looked on in horror.

Co-founded by the Emami & Shrachi Groups along with the West Bengal government in 1996, the hospital that was once rated as amongst India's best is located in the fairly upscale Dhakuria neighbourhood.

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