गौरव चंडीगढ़:  उच्च स्वास्थ्य जोखिमों का सामना कर रहे पंजाब के मालवा क्षेत्र में तृतीयक स्वास्थ्य देखभाल को मजबूत करने की दिशा में एक महत्वपूर्ण कदम उठाते हुए प्रधानमंत्री नरेंद्र मोदी ने रविवार को अखिल भारतीय आयुर्विज्ञान संस्थान (एम्स), बठिंडा को वर्चुअल तौर पर राष्ट्र को समर्पित किया। अस्पताल की आधारशिला 2013 में रखी गई थी और इसका निर्माण दो चरणों में पूरा हुआ।

अपने सॉफ्ट लॉन्च के बाद से, संगरूर में उपग्रह केंद्र ने पहले ही दिसंबर 2023 तक विभिन्न विशिष्टताओं में आउट पेशेंट विभाग (ओपीडी) सेवाओं का लाभ उठाने वाले 3,61,127 से अधिक रोगियों के साथ महत्वपूर्ण प्रभाव डाला है। इसके अलावा, 269 बड़ी और छोटी सर्जरी की गई हैं। 490.54 करोड़ रुपये के बजट के साथ फिरोजपुर में पीजीआईएमईआर के सैटेलाइट सेंटर में 100 इनडोर बेड रखने की योजना है।

इसमें 30 गहन देखभाल और उच्च निर्भरता बिस्तर शामिल हैं। इसमें 10 क्लिनिकल स्पेशलिटी विभाग और पांच अन्य सहायक विभाग रखने की योजना है। इसमें छोटे और बड़े ऑपरेशन थिएटर भी होंगे।

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Scientists have long known that the immune system plays an important part in human reactivity to allergens and infections in the environment, but it was unknown if it also had a role in inducing these sorts of behaviours towards allergic stimuli. According to Yale-led research published July 12 in the journal Nature, it turns out that the immune system plays a crucial role in changing our behaviors.

“We find immune recognition controls behavior, specifically defensive behaviors against toxins that are communicated first through antibodies and then to our brains,” said Ruslan Medzhitov, Sterling Professor of Immunobiology at Yale School of Medicine, investigator for the Howard Hughes Medical Institute, and senior author of the study.

Without immune system communication, the brain does not warn the body about potential dangers in the environment and does not try to avoid those threats, the study shows.

A team in the Medzhitov lab, led by Esther Florsheim, at the time a postdoctoral researcher at Yale and now an assistant professor at Arizona State University, and Nathaniel Bachtel, a graduate student at the School of Medicine, studied mice that had been sensitized to have allergic reactions to ova, a protein found in chicken eggs.

As expected, these mice tended to avoid water laced with ova, while control mice tended to prefer ova-laced water sources.
The aversion to ova-laced water sources in sensitized mice lasted for months, they found.The team then examined whether they could alter the behavior of sensitized mice by manipulating immune system variables.

They found, for instance, that mice allergic to ova lost their aversion to the protein in their water if Immunoglobulin E (IgE) antibodies, produced by the immune system, were blocked.

IgE antibodies trigger the release of mast cells, a type of white blood cell that, along with other immune system proteins, plays a crucial role in communicating to areas of the brain that control aversion behavior.

Without IgE as an initiator, the transmission of information was interrupted, so that mice no longer avoided the allergen.Medzhitov said that the findings illustrate how the immune system evolved to help animals avoid dangerous ecological niches.

Understanding how the immune system memorizes potential dangers, he added, could one day help suppress excessive reactions to many allergens and other pathogens. (ANI)

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JN.1 has been classified as a variant of interest (VOI) by the World Health Organization (WHO) due to its rapid spread. Meanwhile, the All India Institute of Medical Sciences (AIIMS) of Delhi on Wednesday issued guidelines for Covid-19 suspected or positive cases that will be reported at hospitals following the sudden surge in the cases of Coronavirus in the country.

The AIIMS Delhi director held a meeting with all heads of departments of the hospital on COVID-19 contingency measures on Wednesday. In the meeting, policy on COVID-19 testing, the areas to be designated for positive patients and their hospitalisation was discussed.

As per the policy on COVID-19 testing, directed by the management, testing will be done for patients with SARI (severe acute respiratory infection) like symptoms that include according to the WHO, acute respiratory infection, persistent fever or fever of >= 38 C° with cough and onset within last 10 days.

“Till JN.1 becomes Variant of Concern (VoC), it should not bother the common man — in fact they do not come into the picture at all,” said Dr Ishwar Gilada, Consultant in Infectious Diseases Unison Medicare and Research Centre, Mumbai.

“Till it is only a VoI, it is only of interest (or if at all concern) for the scientific community and nodal ministry in governments at state and Centre,” he added. But then, what is causing the Covid- related deaths, including the death of DMDK chief Vijaykanth, in the country? “Individuals with certain comorbidities face an elevated risk of severe outcomes and increased mortality from Covid,” Dr. Vikas Chopra, Sr. Consultant Interventional Cardiologist, Primus Super Speciality Hospital, told IANS.

“Common comorbidities associated with higher death risk include cardiovascular diseases like hypertension and coronary artery disease, chronic respiratory conditions such as chronic obstructive pulmonary disease (COPD), diabetes, obesity, and compromised immune systems,” Dr. Chopra said.

Adding advanced age also to the list of risk factors, he said these comorbidities contribute to a higher likelihood of complications, respiratory distress, and organ failure in Covid patients. “Recognising and managing these underlying health conditions is crucial in mitigating the impact of the virus and enhancing overall public health resilience,” the doctor said.

Dr. Gilada also stressed the importance of pandemic preparedness, and not mere Covid preparedness. “Genome sequencing should go on. Preparatory drills can go on. No reservation of beds required, in fact that may cause collateral damage and affect other health conditions adversely, as was during the thick of pandemic times,” said Gilada, Secretary General, Organised Medicine Academic Guild-OMAG.

Though identified in August 2023 in Luxembourg and currently present in more than 40 countries, JN.1 has neither caused larger morbidity or any remarkable mortality. Deaths are only in co-morbid people globally, he said.

He also lauded the country for having managed the Covid-19 pandemic “much better than many powerful countries”. “We are much better prepared now than ever before,” the doctor said. As many as 129 new cases of COVID-19 were recorded in Maharashtra on Friday, the health department said. The number of patients infected with the JN.1 variant remains at 10.

According to the Public Health Department of Maharashtra, 80,23,487 COVID-19 patients have been discharged after full recovery. The recovery rate in the state is 98.18 per cent, while the case fatality rate in the state is 1.81 per cent.

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In today’s fast changing digital landscape, where technology is reshaping practically every aspect of our lives, one area has a possibility for dramatic change: mental health assistance. With discussions about mental health gaining traction worldwide, the convergence of artificial intelligence (AI) and mental health services appears as a beacon of faith, providing accessible and customised treatment on a worldwide level.

For decades, the incidence of mental health illnesses has silently tormented civilizations worldwide. As per the World Health Organisation, roughly one in every four people will suffer from a mental health problem at some stage in their existence. However, stigma and a lack of resources frequently prevent people from getting help. This is the point where AI comes in as an actual game changer, transforming the face of mental health care.

Driven by AI, mental health techniques are methodically built to deliver rapid assistance, improve early identification, and offer clients with continuing help. Chat-bots with automated language processing features act as digital therapists, facilitating dialogues that provide an environment of security for individuals to share their feelings and thoughts without worry of being judged. The aforementioned chatbots not just eliminate mental health issues, but they also provide clients with ways to cope, relaxing approaches, and useful information.

A key benefit of AI in this type of situation is its ability to provide personalised therapies. Algorithms that use artificial intelligence methodically examine specific behavioural trends, utilisation of language, and psychological signs, tailoring reactions as well as suggestions to suit every user’s specific needs. This personalisation fosters an emotion of intimacy and comfort, similar to how one may create a relationship with a fellow human psychotherapist.

In addition, artificial intelligence (AI) systems show extraordinary proficiency in keeping track of and recognising small variations in a person’s psychological state. Continuous monitoring can aid in the prediction of possible emergencies or recurrence enabling timely treatments. Furthermore, AI analytics provide mental health providers with data on behaviour patterns and the efficacy of multiple therapies, allowing for scientifically supported modifications regarding treatment plans.

Nevertheless, including based on artificial intelligence psychological assistance is not without ethical repercussions. It is critical to protect the confidentiality and safety of information provided by users, as well as to avoid algorithmic errors. It is additionally difficult to strike the right equilibrium amongst the advantages provided by technology and human interaction, while others arguing that AI should supplement, instead of substitute conventional therapeutic partnerships.

The road to use AI to benefit mental wellness is merely beginning. Equally public and private organisations have been investing in studies and development to improve AI technologies and smoothly integrate them into the current psychological treatment systems. But it’s critical to realise that AI is an aid, not a panacea. It cannot substitute for the complexity of individual compassion, the nuance of conversations in person, or the power of a community that supports one another.

In our attempts to traverse the intersection of technology and mental health, AI has the ability to completely transform the way we address our psychological well-being. AI has the ability to reduce the worldwide impact of psychological difficulties by providing readily available personalised, and prompt assistance. Finding the appropriate balance between creativity and empathy, on the other hand, will be critical for guaranteeing technological innovation enriches, rather than destroys, the very essence of humanity.

At last, the integration of AI and mental health solutions brings in an entirely fresh phase of assistance that spans barriers and surpasses obstacles. AI’s power comes not just in its capacity to interpret extensive facts, but additionally in its capability to understand and respond to the complexities of human emotions. As the revolution of artificial intelligence proceeds, let us use its power to create a future where psychological treatment becomes readily available, welcoming, and uplifting.

The synergistic connection between AI and psychological care is fast growing in the ever-changing realm of mental health and technology. Considering a growing need for affordable and efficient assistance, AI has rapidly grown into an indispensable tool that supplements conventional methods of therapy. Following are some other views into the disruptive alliance’s capabilities and difficulties:

The potential of AI to give assistance around the clock is an important breakthrough. Mental health issues do not follow a timetable, and people frequently require support outside of normal business hours. AI-powered systems, such as applications and internet pages, allow people to look for assistance and participate in therapeutic interactions when they are most needed. This democratization of psychological care guarantees that help is constantly available, minimizing the emotions of loneliness and fragility that frequently precede these issues.

Among AI’s benefits is its capacity to analyse huge quantities of information quickly and precisely. AI systems can reveal trends and conclusions that might otherwise go unreported in typical healthcare settings by analyzing massive amounts of generated by users speech and text. This approach based on data improves the comprehension of mental wellness patterns, allowing clinicians and researchers to spot early indicators and devise focused therapies.

The adaptability of AI-driven solutions is especially advantageous in addressing neglected communities. AI’s capacity to transcend boundaries of geography can aid rural locations, multicultural groups, and regions with insufficient mental wellness facilities. AI-powered Chabot’s, for example, can give culturally appropriate aid that connects with people from all walks of life, minimizing the stigma associated with seeking help owing to societal disparities.

Virtual reality, also known as VR, is increasingly utilized in mental health therapies as artificial intelligence (AI) capabilities advance. VR settings provide comprehensive exposure therapies for disorders such as anxiety and post-traumatic stress disorder, allowing people to confront their concerns in a safe environment. This technology, when combined with AI’s real-time monitoring, has the potential to provide a comprehensive approach to mental health care, tracking progress and adjusting treatment programs as needed.

Although AI provides personalized assistance, it additionally serves as an asset for mental health experts. AI-powered analysis of data can help psychologists make more educated treatment recommendations. Clinicians can adjust their techniques and build more personalized care plans by recognizing trends in reaction and monitoring the efficacy of treatments.

Yet, moral issues remain crucial. Visibility with regard to how AI systems function, collect statistics, and make suggestions is critical for establishing user confidence. It is still difficult to strike an equilibrium between personalization and data privacy. In order to guarantee that technology is actually benefiting their well-being, people must have access to their information and comprehend how it is utilized.

Furthermore, the application of AI in responding to emergencies merits consideration. Although AI can predict potential catastrophes, the choice about whether to take action should be made with caution. Defining the involvement level and the extent of human engagement in crucial circumstances necessitates careful moral consideration.

To summarize, the combination of AI and psychological services has enormous potential for revolutionizing how we address our mental health. AI has the ability to establish a more welcoming and beneficial psychological wellness environment by increasing accessibility, customizing initiatives, and improving data-driven insights. To realize the entire potential of this revolutionary alliance, however, a continual dedication to tackling moral issues, protecting user privacy, and establishing the correct balance between technological advancement and compassion for others will be required.

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The whole world endured the onslaught of the deadly corona virus for over two years. We are currently in the fourth stage of mutation of the virus that has created havoc having wide ranging ramifications besides impacting the healthy wellbeing of the people. But it’s not in the news these days. Ukraine and Gyanvapi issues seem to have killed the virus.

The virus is considered to be carrying varying degree fatality so much so that healthcare professionals tended to the needs of the patients wearing PPE kits ostensibly because of the variants of the virus and its ability to inflict harm to humans.

Though Omicron variant is not fatal but is more intense and at the same time hard to detect. The new variant may have the same symptoms of the corona virus, but may not be fatal as it just impacts the upper tracts of the lungs.

The war is not over yet and we don’t how many more battles we will have to fight till it ends. The fight is still on.

We have seen the worst in first and second wave with very sick patients in ICUs as well as wards. It is difficult to imagine how the hospitals worked day and night taking care of patients who were critically ill but were managed in wards due to scarcity of beds, oxygen as well as drugs. Well, there are reports also that hospitals made a ‘killing’ and squeezing the mullah from the patients, which is nothing short of blackmail.

Nevertheless, the silver lining during the pandemic is that the healthcare fraternity also took the blow on the chin. The doctors, nursing staff rose to the occasion and did everything humanly possible to help each and every patient. Everyone was a soldier in the warzone. 

It was a challenge right from start. While the world was yet to understand the virus and its deadly nature, doctors were attending to the patients. In the scientific world itself there was a host of information available but time available to assimilate and comprehend and implement the learning was not adequate to deliver the best. But some sincere ones also burnt the midnight oil, not only kept abreast with the knowledge and ways to tackle it but was in the forefront to explain it the patients and the media as well.

The hospital staff also faced with a challenged to segregate Covid infected patients and to take care of patient who were not infected with Covid-19 but required indoor care for other ailments.  While some hospitals were shut down due to this inability to tackle two types of patients, some managed.

Anyway, experts say it’s not over yet. Don’t be lax. Most people have got vaccinated but still we must not take it easy. We must continue wearing masks at public places (masks have been mandatory once again in Delhi). People are becoming lax with Covid appropriate behaviour.

PSRI Hospital Senior consultant, Pulmonology, Critical Care & Sleep Medicine Dr Neetu Jain says, “Though vaccination has helped tremendously in mitigating severity of Covid, it is still important to maintain necessary social distancing in public places and usage of masks is still relevant.”

Continue being cautious, follow Covid appropriate behaviour and get vaccinated, if you have not. Those who have suffered from COVID should follow a healthy diet as well as exercise routine and follow-up regularly with their doctors. These are difficult times but we can cope up with proper care and thoughtfulness.

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What is mental health?

Mental health relates to how we think, feel, and act, entertain, determining how we relate to others, and make choices. Mental health is important at every stage of life, from childhood, adolescence through adulthood. It is cognitive disease including our emotional, psychological, and social well-being.

Ironically, you cannot make out if a woman is suffering from mental health issues. On the surface, it’s all calm and serene but dig deeper and you can see mothers suffer from, stress, frustration, fear, anxiety, depression or even loneliness. They are compounded but a mix of events and environs and these psychiatric disorders manifest to the surface. The joining factor however could be also compounded by economic volatility. If there is a mismatch of expectation and reality, it can add to the mental health issues particularly in women.

Perfectly normal appearing men and women, especially mothers diagnosed with psychiatric disorders, compounded by stress, frustration, fear or even loneliness should be treated by experts.

According to a study conducted by the Global Burden of Disease, nearly 20 crore people in India are estimated to have experienced a known mental disorder. Research indicates that women are twice as likely to develop common mental disorders, such as anxiety and depression, when compared to men. Ironically, for their mental health conditions, between 70 to 92 percent of affected individuals receive very little or no care and mostly go unnoticed. Since women and especially mothers are primary care givers, they should be aware and address any stress, anxiety, depression or any such mental health issue they may be experiencing personally.

What is self care?

To start off, start practicing self-care to give priority to yourself. It can drastically improve mental and physical well being. First and foremost is acknowledging to yourself that you are experiencing bouts of any mental health issue and second is to address them. But just remember not to over think about your expectations, what is going to happen, and he did this and she said that. There are a few quick tips besides eating healthy and maintaining a balanced lifestyle:  Few tips:

• Make a routine. Follow it. Fix a time to go to sleep.
• If possible add habits to your daily routine or make new ones.
• Eat healthy, at regular times. Exercise regularly.
• Living in the moment and be grateful for what you have.
• Be in a state of gratitude. Express gratitude for things and people in your life.
• Get eight hours of sleep each night.
• Say positive things about yourself and others.
• Make new friends and connections.
• Participate in activities you enjoy.
• Don’t compare.

Mental health and well-being of women is impacted by negative life experiences like infertility and prenatal loss, poverty, discrimination, violence, unemployment and isolation. Unequal economic and social conditions also contribute to women’s higher risk of depression. So deal with them by remaining positive and living in goodness of life.

Extra Tips:

• Avoid watching series after series on OTT platforms.
• Maintain personal hygiene.
• Balance time between work (looking after children/job) and entertainment and relaxation.
• Keep off from excessive intake of news.
• Avoid remaining glued to your mobile and limit your screen time.
• Go less shopping. Start looking going for a Minimalistic approach.

Bottom-line: Remember god has a design and there are things in store for you if you are positive, hopeful, creative, happy and do your bit. Karma will do the rest. The best way to deal with mental stress is to be stay happy, be contented and live in a state of gratitude. Slowdown in life! Be happy.

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With the Government of India announcing vaccination for adolescents aged 12-14, a BJP youth leader in Delhi is taking up the mantle and providing the children with the required dose without financially burdening the parents with the cost of the vaccination.

With an aim to reach out one and all, Umang Bajaj, Secretary – BJP Youth Wing, Delhi Pradesh with the support from District Magistrate Office and Udaan NGO, took up the initiative to vaccinate the children aged 12 – 14 and bear the cost through private financing and community participation.  This initiative was rolled out under the guidance of, Delhi BJP President Adesh Gupta.

In Delhi’s Naraina’s Mata Mandir and adjoining areas, Umang assisted over 250 children to get the vaccinated recently.  And he is not stopping at that. “More drives are planned in the future as well,” says Umang.

The vaccination was administered to the children of Naraina for the first time in the presence of Rajesh Geol, President, Karol Bagh Distt. BJP, Ashok Goel Devra, Vice President BJP Delhi, Jai Prakash, Ex-Mayor North MCD, Suresh Sharma, Ex-President New Delhi distt, Deepali Kapoor, General Secretary and others.

“This is a small step towards accomplishing Prime Minister Narendra Modi’s vision that every person in India is fully vaccinated”, expresses Umang.

“There is talk about the fourth wave of Covid which is expected by the middle of the year.  I thought it was the right time to reach out to the children whose parents are from economically weaker sections and provide them with vaccine dose”, he added.

A labours son, Gaurav, who goes to a Delhi Government school in the area was all smiles after getting the vaccine though was a little scared initially. “It was a very nice gesture. Who cares for the poor? But Umang helped us and I feel that other children also take the benefit,” says Gaurav’s father.

Children were also given juice, snacks and water at the venue.

The vaccination for adolescents was started by the government in March and is costing Rs 380. So far approximately 190 crore vaccinations have been administered throughout the country.

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India has achieved over 80 percent vaccination with over 187 crore vaccines administered till April 20. Even adolescents too are getting vaccinated with the elderly even getting booster doses. But still Delhi started witnessing increase in Covid positive cases with daily cases crossing over 2,000 for the last three days.

In response to the increase in Covid cases in the city, the Delhi Disaster Management Authority (DDMA) sprang into action. It made wearing face masks mandatory in the national capital on April 13. The move raised valid doubts and if it was taken in haste and did it indicate re-infection of the virus in the people.

Though vaccination has helped tremendously in mitigating severity of Covid, it is still important to maintain necessary social distancing in public places and usage of masks is still relevant.

PSRI Hospital Senior consultant, Pulmonology, Critical Care & Sleep Medicine Dr Neetu Jain says, “Though vaccination has helped tremendously in mitigating severity of Covid, it is still important to maintain necessary social distancing in public places and usage of masks is still relevant.

“Most people have got vaccinated but still we must not take it easy. We must continue wearing masks as DDMA has made it mandatory once again. People are becoming lax with Covid appropriate behaviour, so making mask mandatory is the step in right direction.”

Becoming Lax!

Doctors and experts, nevertheless feel that the rise in cases could be not only because people are becoming lax in following the Covid protocols but due to the new XE variant surfacing in the country. This new XE variant is a combination of the sub-variants of corona virus that was discovered in South Africa. It first surfaced in Gujarat and Maharashtra in India.

The symptoms of the new XE variant are the same as Covid 19 which include fever, cough, and tiredness, say experts. It is no different from the corona virus.  

Officials state that XE variant is highly transmissible. However, there is a sense of relief also as it is considered mild. 

But regardless of it being mild or not, the case in point it is that XE variant is difficult to detect. And even normal swab test have to be specially tested for the XE variant.

The question comes to mind – Is the new XE variant responsible for the rise in cases?

A few months back, Indian Institute of Technology at Kanpur had predicted we could expect the fourth Covid wave around middle of June which will last for two months and peak from August mid onwards. 

“After three waves, first in 2020 (Covid), second in April 2021 (Delta variant) and third in December/January 2022 (Omicron), is this the start of the fourth wave (XE variant)?” says Dr Manav Manchanda of Asian Hospital.

But the government is not keen to go by the IIT researchers and downplays the suggestions that the fourth wave would be hitting the country anytime soon.

However, medical authorities concur with the researchers. Doctors feel that Covid is not over and perceive that the fourth wave could be just round the corner.

Its not over

Without much debate scientific debate, we ought to take care as the threat of corona was not over.

And for those, who have not taken booster dose, you can take Booster dose. The government has reduced the cost of the booster dose which the medical healthcare fraternity was ready to absorb the cost difference. However, even vaccine manufacturers were also ready to take unused stock. There are reports that the vaccine manufactures are willing to adjust the costing in future purchases by the hospitals. Delhi even made it free on April 21.

The booster dose should ideally be given after appropriate time as the elderly are impacted more and thus they need to be cautious. The role of vaccination and the booster dose cannot be undermined, hence take a booster dose if vaccinated.

And women especially need to be extra cautious. Dr Archana Dhawan Bajaj, Gynaecologist, Obstetrician & IVF Expert, Nurture Clinic, said, “Women need to be more alert during pregnancy. There is a chance that you may not be infected and affect your new born, but why take a chance. Pregnant women need to take extra care.”

And did you know that in the age group 12-14 year old, so far, 2.57 crore adolescents have been vaccinated with first dose of vaccine in the country.

However, the government has so far not gone strict and closed schools and resorted to online classes once again and is permitting regular classes even as the cases started surfacing in schools in Noida and Delhi. Doctors in any case, advise caution. 

Remain vigilant

 “Remain vigilant especially for the sake of the children. We have to defeat Corona. The battle is long so, fight till your last mask. Maintain your healthy habits. In any case, Indians normally would wash hands before eating, so we just need to continue to broaden the selfcare base and just go on wearing masks,” says Dr Archna Dhawan Bajaj.

Wash your hand and maintain hygiene and remember to follow the social distancing norms and sanitize yourself whenever needed.

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Chouhan said the support of Yoga and Ayurveda would be taken to boost the immunity against Covid-19 infection and improve the health of the people affected by the virus.

The team of the ‘Art of Living’ would provide support through Yoga, Ayurveda and necessary guidance to protect patients from mood swings and boost their morale. To mitigate conditions such as restlessness, anxiousness, anxiety, stress and depression as a result of Covid-19 infection, guidance would also be provided to the infected patient on taking a healthy nutritious diet during the treatment of the infection.

Guidance in relation to yoga, pranayam, asanas and diet would be provided through video calls and phone calls to persons living in home isolation and Covid-care centres. The Jan Abhiyan Parishad would coordinate and cooperate in this activity.

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