Editor in Chief Dr KK Aggarwal, Padma Shri Awardee                                                                          Dated: 22nd July,2019

Optimal shoe design for older adults

Due to changes in foot morphology and the occurrence of foot deformities and foot pain with ageing, older people frequently wear ill-fitting shoes leading to discomfort and reduced mobility, says a review of literature published in the September 2019 issue of the journal Maturitas.

Anton Jellema of Faculty of Industrial Design Engineering, Delft University of Technology in the Netherlands and colleagues concluded that there is a need for shoe design specifically aimed at the foot morphology and demands of older people, including aesthetics. Shoes need to provide stability, also in the lateral direction. Based on the review of evidence, the following design recommendations were made for the shoe elements required for a comfortable and safe shoe for older adults

An optimal shoe for older adults should include the following elements:a proper anatomical fit, a well-fitting toe box, a limited heel height, a broad enough heel, a firm insole and midsole, an outsole with sufficient tread and width, a bevelled heel, a bevelled shoe nose, a firm heel counter with snug fit, and an easy and effective closing mechanism.

Herbs and Heavy metals

Herbal products can contain harmful contaminants including heavy metals. These may be incidental contaminants from plant raw materials or the faulty manufacturing process.

if any bhasma is reported to contain a heavy metal it is adulterated.

Any advice which is directive, conclusive and is likely to be followed is liable for professional negligence

A recent judgement of the Supreme Court in the state of Minnesota in the United States may have changed practice in the US. It has widened the scope under which a physician who has no patient-physician relationship might be sued for negligence.

On April 17, 2019, inWarren v. Dinter,the court held thata physician-patient relationship is not a necessary element of a claim for professional negligence. A physician owes a duty of care to a third party when the physician acts in a professional capacity and it is reasonably foreseeable that the third party will rely on the physician’s acts and be harmed by a breach of the standard of care.”......read more

Both systolic and diastolic BP contribute to the risk of stroke and MI

Research has shown that high systolic BP is more associated with adverse outcomes compared to high diastolic BP. But, now a new study has shown that both systolic and diastolic hypertension independently influence the risk of adverse cardiovascular events, regardless of the definition of hypertension (=140/90 mm Hg or =130/80 mm Hg), although increase in systolic BP had a greater effect on outcomes.

In the study reported in the New England Journal of Medicine, online July 18, 2019, researchers analysed more than 36 million BP readings from 1.3 million adults in a general outpatient population to determine the effect of the burden of systolic and diastolic hypertension on a composite outcome of myocardial infarction, ischemic stroke, or hemorrhagic stroke over a period of 8 years......read more

The Science of Power

Power is the ability to influence others to get a work done the way you want it.

We have seen evolution in the way power works. There was a time when Brahmins ruled using the power of knowledge; then came the era of Kshatriyas, who ruled using the physical power. This was followed by the era of Vaishya ruling the world with the power of money and a time will come when Shudras will rule with the power of their work......read more

Healthcare News Monitor

Mission Delhi ups heart attack patients' survival chances
Zee News

New Delhi: It takes just 10 minutes to treat someone under the Mission Delhi programme, started by the Indian Council of Medical Research (ICMR) along with the All India Institute of Medical Sciences (AIIMS). The Mission Delhi aims to provide care to STEMI, a very serious type of heart attack, patients. A STEMI patient requires treatment within the golden hour (90 minutes) of the onset of symptoms and providing clot buster therapy within 30 minutes. "Just rang up at 14:43 and within ten minutes the team of doctors arrived with their kits. We were all surprised and amazed with the prompt service. We are happy and appreciate people who thought of this initiative," said one of the patients treated by the staff under Mission Delhi. The motorcycle ambulance system moved easily through traffic jams and offer timely and quality care led by consultants at AIIMS to patients at their residence itself.

CDB, PAHO launch “Stronger Together” campaign, raising awareness about mental health and psychosocial support in disasters

Bridgetown, Barbados – As this year’s hurricane season gets underway, psychosocial support will be utilised to help the Caribbean people when disaster hits. The Pan American Health Organization (PAHO) and the Caribbean Development Bank (CDB) launched the “Stronger Together” campaign last week in Bridgetown, Barbados. The campaign draws attention to the information and tools available to assist communities in better coping with the psychological impact of adverse events. “In the Caribbean, most disaster response communication material focuses on ensuring that people recognise storm warnings, know where to go for assistance and have prepared their homes. However, few communication campaigns or products help people build resilience to cope with the impacts of disasters. This campaign aims to fill that gap,” said Jessie Schutt-Aine, PAHO Subregional Program Coordinator, Caribbean.

Chinese experts to test long-lasting HIV vaccine on humans
ET Healthworld- IANS

Beijing: A group of Chinese scientists will start trialing a long-lasting human immunodeficiency virus (HIV) vaccine on 160 volunteers, the first time that such a vaccine has reached a second-phase human trial, the official newspaper China Daily reported on Friday. The candidate vaccine, known as DNA-rTV, relies on replication of the virus' DNA to stimulate "effective immunization" against the virus, said Shao Yiming, an HIV researcher at the Chinese Centre for Disease Control and Prevention. According to Shao, this vaccine -- similar to the one used to prevent smallpox -- is the first to undergo a second-phase human trial. "With significant reduction of virulence, the vaccine will not cause infection in healthy receivers," Shao was quoted as saying by Efe news. Moreover, the vaccine being developed does not contain all segments of the virus but some parts of its genetic material, so that the chances of infection are significantly reduced, the report said. The DNA of the virus will continue replicating after vaccination, thereby stimulating the immune system continuously to produce antibodies, a similar process to the one used by vaccines for other diseases.

No government doctor must be deputed abroad: Madras high court
Deccan Chronicle- J Stalin

Chennai: Pulling up the state government for sending a doctor in government service to foreign service, the Madras high court has said the government servant, who is rendering such public services, should not, for any reason, be sent on deputation out of India and it is high time, the government took appropriate steps as a matter of policy, as are necessary to ensure that none of the doctors from our country are deputed to any other country either on deputation or otherwise, when already there is a dearth of such professionals in our country. Justice R.Mahadevan made the observation while dismissing a petition from Dr.D.Lilly Manoharan represented by her power agent and husband T.Alexandar Devaraj, which sought to quash an order of the state health secretary, removing her from service, for overstaying abroad without permission.

Trauma care facilities identified for govt hospitals on NHs
United News of India

Under the programme Capacity Building for developing trauma care facilities in Government hospitals on National Highways, during 11th and 12th Five Year Plans (FYP), a total of 116 and 85 trauma care facilities (TCFs) respectively were identified and central assistance of Rs 461.8837 crore and Rs 269.1296 crores respectively was released, the Lok Sabha was informed on Friday. Minister of State for Health and Family Welfare Ashwini Kumar Choubey in a written reply here said during the 10th Five Year Plan (FYP), under a pilot scheme on strengthening emergency services in Government Hospital, financial assistance of Rs 1.5 crore was provided to Bikram Referral Center, Patna. The Bihar government has informed that six bedded Trauma Centre at Bikram, Patna has already been constructed in 2004.

Jamshedpur: MGMMCH runs out of anti-rabies shots, animal-bite victims suffer
ET Healthworld

JAMSHEDPUR: The leading government hospital in Kolhan, MGMMCH, ran out of its stock of anti-rabies vaccine way back in March, and in all these months it did not receive any fresh consignment of the medicine. “Thrice in the last six months, tenders were floated by the hospital inviting bids for the supply of antirabies vaccine, but no one showed any interest in the tenders,” MGMMCH hospital superintendent Arun Kumar said. He, however, informed that the tender has been issued for the fourth time this month, and some have participated in the process. Kumar said in the next four to six weeks, supply of vaccine will resume. Incidentally, the hospital receives about 20 cases of dog bites daily, and most of the patients hail from weaker sections of society. “With no option left before me, I had to take my son to a private nursing home for the anti-rabies vaccine,” said daily wage worker Sanjay Kumar, a resident of Mango, whose son suffered dog bite while returning from tuition last month. Likewise, S N Singh, a resident of Bhuyandih, said he first went to MGMMCH and then to the sadar hospital in Pursudih but he did not get the vaccine.