surgeryAchieving yet another feat, doctors in Pune performed the country's first robotic-assisted total knee replacement surgery on Monday.A 65-year-old man from Pimpri, who was suffering from terminal knee arthritis (tri-compartmental arthritis secondary to rheumatoid arthritis), successfully underwent the surgery.

The robotic assisted total knee replacement surgery is claimed to facilitate faster recovery, early discharge, minimal pain and blood loss. It enables the surgeon to replace only the damaged part of the knee, saving all the other normal structures and healthy tissues, which are otherwise replaced in total knee replacement surgery.

It has opened up a host of possibilities while raising hopes to millions of patients suffering from end-stage osteoarthritis of the knee, doctors told TOI.

The technology has been procured by two more hospitals in Delhi and Hyderabad. However, the Pune-based Lokmanya Hospital has become the first in the country to successfully use it.

"It is a game changer surgery. It's proven outcome has been fantastic as revision/failure rates have significantly reduced. This technology overcomes the mal-alignment of the prosthesis (knee implant) and its subsequent loosening," joint replacement surgeon Narendra Vaidya, who performed the surgery, said.

Vaidya has carried out more than 150 robotic-assisted partial knee replacement (unicompartmental) knee replacement surgeries in the past.

Knee osteoarthritis not only causes pain and disability but also takes a huge toll on the entire family and the society at large.

Beyond certain stage (stage II), medicines, physiotherapy and other arthroscopic interventions are not useful in the treatment of arthritis and such patients require total knee replacement as a definitive treatment.

Total knee replacement is a time-tested and proven method to treat terminal arthritis. However, it involves prolonged hospitalisation and physiotherapy.

"However, the robotic-assisted surgery offers the patient a huge advantage of early recovery, discharge and minimal pain and blood loss," Vaidya said.

Keeping in view the need of a large number of patients requiring this technology, the hospital has decided not to add any cost of robotic instrumentation to the patients.

"The technology is available to common man at Lokmanya Hospital at the same cost as that of conventional surgery," he added.

The technology helps the patient get the discharge in three days as against seven to eight days in conventional surgery. "As against prolonged physiotherapy post-discharge, there is the minimal amount of post-operative physiotherapy involved in the robotic-assisted total knee replacement surgery," Vaidya said.
The live webcast of the robotic surgery was watched by over 400 doctors in the Western Maharashtra. The surgery was performed in the presence of robotic orthopedic surgeon Vivek Neginhal from the US-based Scott Orthopedic Centre, a leading global expert in this field.
The conventional total knee replacement surgery involves cutting of bones and ligaments. "There are chances of human error. Use of rods to stabilize the prosthesis to the joint may lead to life-threatening complications like pulmonary embolism, myocardial infarction, and stroke," experts said.
They added that the new technique helps in achieving accuracy and alignment of implant thus enhancing the life of the prosthesis.

Posted On Tuesday, 04 July 2017 10:40

shutterstock-pregnantDon’t eat meat, say no to sex after conception, avoid bad company, have spiritual thoughts and hang some good and beautiful pictures in your room to have a healthy baby.

This is the ministry of Ayush’s prescription for pregnant women in India, where 26 million babies are born each year.

Put together by the government-funded Central Council for Research in Yoga and Naturopathy (PDF,159 KB), whose website describes yoga and naturopathy as “the good old Indian traditional systems of health care having the history of centuries”, the recommendations are part of a booklet called Mother and Child Care. The booklet was released by minister of state for Ayush Shripad Naik in the run up to International Day for Yoga on June 21.

Naik could not be reached for comments. Both his mobile phones were switched off.At least this advice comes free. Last month, the Jamnagar based Garbhvigyan Anusandhan Kendra made news for charging couples to conceive the “best progeny” through purification (shuddhikaran), having sex on auspicious days and abstinence after conception.

“The advice is unscientific. Protein deficiency malnutrition and anaemia are health concerns for pregnant women and meats are a great source of both protein and iron, which is better absorbed from animal sources than plant sources,” says senior gynecologist and obstetrician Dr. Malavika Sabharwal with Jeewan Mala Hospital and Nova Specialty Hospitals of the Apollo Healthcare Group.

As for sex, if the pregnancy is normal, there is no need for abstinence as the baby in the womb is protected by the amniotic fluid and the uterus muscles.

“Caution is advised during the first trimester when the placenta is low lying and for complicated pregnancies, where there is a miscarriage risk,” says Dr. Suneeta Mittal, director of the obstetrics and gynecology at Fortis Gurgaon.

Some studies show that the mother’s stress, anxiety, and depression may affect the baby’s development.

“Pregnant women need to be happy and instead of being prescriptive about what they should think and do to be happy, we must urge them to do things they enjoy and strongly advise the family be too supportive,” says Sabharwal.

New source: hindustantimes

Posted On Tuesday, 13 June 2017 12:44

health mediIndia added 450 million people over the 25 years to 2016, a period during which the proportion of people living in poverty fell by half. This period of rising prosperity has been marked by a "dual - disease burden", a continuing rise in communicable diseases and a spurt in non - communicable or "lifestyle" diseases, which accounted for half of all deaths in 2015, up from 42 per cent in 2001-03.

The result of this disease burden on a growing and aging population, economic development and increasing health awareness is a healthcare industry that has grown to $81.3 billion (Rs 54,086 lakh crore) in 2013 and is now projected to grow at 17 per cent by 2020, up from 11 per cent in 1990.

As that happens, in rural areas, mobile technology and improved data services are expected to play a critical role in improving healthcare delivery. Although limited, some companies are also investing in innovative services and creating lucrative yet low - cost digital and device solutions, an example of which would be GE Healthcare's Lullaby Baby Warmer.

However, despite some advances, India's healthcare sector must deal with a plethora of challenges.

With the lowest government spend and public spend, as a proportion of gross domestic product (GDP), and the lowest per capita health spend China spends 5.6 times more, the US 125 times more Indmet more than 62 per cent of their health expenses from their personal savings, called "out - of - pocket expenses", compared with 13.4 per cent in the US, 10 per cent in the UK and 54 per cent in China.

India's existing infrastructure is just not enough to cater to the growing demand.

While the private sector dominates healthcare delivery across the country, a majority of the population living below the poverty line (BPL) the ability to spend Rs 47 per day in urban areas, Rs 32 per day in rural areas continues to rely on the under - financed and short staffed public sector for its healthcare needs, as a result of which these remain unmet.

Moreover, the majority of healthcare professionals happen to be concentrated around urban areas where consumers have higher paying power, leaving rural areas underserved.

India meets the global average in a number of physicians, but 74 per cent of its doctors cater to a third of the urban population, or no more than 442 million people, according to a KPMG report.

India compares unfavourably with China and the US in a number of hospital beds and nurses. The country is 81 per cent short of specialists at rural community health centres (CHCs), and the private sector accounts for 63 per cent of hospital beds, according to government health and family welfare statistics.

New source: health news

Posted On Tuesday, 13 June 2017 12:29

bse-kxlEconomic growth in India has been hobbled by what has been termed the twin balance sheet problem excessive corporate debt, mirrored in the mounting bad loans of banks. Companies are reluctant to take on more debt as a result, while banks are wary of lending. Do the corporate financial results for the March quarter show any improvement in corporate balance sheets, any signs of breaking away from this logjam?

One important yardstick to find out whether the corporate debt problem is getting better is to look at the interest cover. Interest cover measures the extent to which a firm’s earnings are sufficient to pay interest charges. It is the earnings before interest and tax divided by interest charges. The higher the cover, the more comfortable can the firm pay its interest expenses. The Centre for Monitoring Indian Economy (CMIE) database shows a distinct improvement in the interest cover of the manufacturing sector, excluding petroleum products. Interest cover moved up from 2.6 times for the December 2016 quarter to 3.2 for the March 2017 quarter. It’s easy to figure out why banks lowered their interest rates substantially during the last quarter and this has been reflected in the financial results of BSE companies. One big reason for banks’ lowering interest rates, of course, is the huge influx of deposits as a result of demonetization, which led them to lower deposit rates as well as loan rates.

New source: livemintnews

Posted On Tuesday, 13 June 2017 10:54


New York, June 13 (IANS) Want to shed those extra kilos? Go vegetarian. According to new research, eating vegetables, grains, legumes, fruits, and nuts may be almost twice as effective in reducing body weight as conventional low-calorie diets.  

The vegetarian diet led to reduction in muscle fat which helped improve glucose and lipid metabolism as well as an average loss of 6.2 kg compared to 3.2 kg for the conventional diet, researchers said.

"The finding is important for people  who are trying to lose weight, including those suffering from metabolic syndrome and/or Type 2 diabetes. It is also relevant to anyone who takes their weight management seriously and wants to stay lean and healthy," said lead author Hana Kahleova from the Physicians Committee for Responsible Medicine in Washington DC.

For the small yet significant study, published in the Journal of the American College of Nutrition, the team randomly assigned 74 people to follow either a vegetarian or a conventional diet.  

Both diets were restricted by 500 kilocalories per day compared to an isocaloric intake for each individual. Both vegetarian and conventional diets caused a similar reduction in subcutaneous fat - fat under the skin.

Subfascial fat on the surface of muscles was only reduced in response to the vegetarian diet. Intramuscular fat - fat inside muscles was more greatly reduced by the vegetarian diet.   

"This is important as increased subfascial fat in patients with Type 2 diabetes has been associated with insulin resistance while reducing intramuscular fat could help improve muscular strength and mobility, particularly in older people with diabetes," the researchers noted.  

"Vegetarian diets proved to be the most effective for weight loss. However, we also showed that a vegetarian diet is much more effective at reducing muscle fat, thus improving metabolism," Kahleova said. 

Posted On Tuesday, 13 June 2017 10:12
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