Indians with diabetes may number 120 million in 20 years: Indian Institute of Public Health

April 6, 2017

Hyderabad, Apr 6: The number of diabetes patients in the country is likely to go up to 120 million in next 20 years as against the current 70 million, an official of Indian Institute of Public Health (IIPH) has said.

DiabetesAlso, on an average every diabetic spends about Rs 25,000 annually to manage the disease and its associated complications, IIPH, Hyderabad, Director GVS Murthy said today on the eve of World Health Day.

"India has the second largest number of people with diabetes which is at 70 million, next only to China which has about 110 million. The number of diabetes patients in India is expected to touch 120 million during the next two decades, due to a variety of reasons," Murthy told PTI.

According to him, in 50 per cent of adult deaths, diabetes is an underlying condition causing the demise.

It is estimated that globally the health expenditure due to diabetes among adults is USD 673 billion.

The expenditure on diabetes is at the government level as well as the individual patient/family level, he said.

"The per person annual cost of managing diabetes in India is Rs 25,000 approximately. There will be a wide variation based on complications, etc. Unfortunately insurance schemes in India do not cover the cost of care for diabetes," he further said.

He said the theme of the 2017 World Health Day campaign is depression.

The World Health Day is observed on April 7 every year to mark the anniversary of the founding of WHO.

Murthy said diabetes may also cause depression in a patient if the disease is not properly controlled.

"The diabetes patients need to take medication life long. Some of the important organs like eyes and kidneys may be affected if diabetes is not controlled. These kind of issues may cause depression. So the patients are to be counselled before hand," he said.

The IIPH director said India needs to look at how yoga, meditation and lifestyle modifications can reduce the progression of diabetes and help in its prevention.

In 2011, the Central government had started a National Programme for Non Communicable Diseases (NCD), which also includes diabetes. It was first started in 100 districts on a pilot basis and has now been extended to 500 districts.

Murthy said under the programme, free medicines are provided for diabetes at all NCD clinics. An annual screening for diabetes is done and insulin is provided at all the emergency facilities.

To a query, he said the Public Health Foundation of India (PHFI) plays important role in spreading awareness about diabetes and its implications.

The Indian Institutes of Public Health have been established by PHFI with an aim to make their education and research activities relevant to India in content and context, while attaining standards which are qualitatively comparable with the best in the world.

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News Network
March 5,2020

Bergen, Mar 5: Divorce of parents may impact the academics of children negatively, suggests a new study.

According to the study, parental divorce is associated with a lower grade point average (GPA) among adolescents, with a stronger association seen in teens with more educated mothers.

The study was published in the journal PLOS ONE.

Children and adolescents with divorced or separated parents are known to do less well in school than adolescents with nondivorced parents and to be less well-adjusted, on average, across a spectrum of physical and mental health outcomes.

In the new study, researchers used data from the youth@hordaland study, a population-based survey of adolescents aged 16-19 conducted in the spring of 2012 in Hordaland County, Norway.

19,439 adolescents were invited to participate and 10,257 agreed; of those, 9,166 are included in the current study.

Overall, adolescents with divorced parents had a 0.3 point lower GPA (standard error 0.022, p<0.01) than their peers.

Controlling for parental education reduced the effect by 0.06 points to 0.240 (SE 0.021, p<0.01). This heterogeneity was predominantly driven by maternal education levels, the researchers found.

After controlling for paternal education and income measures, divorce was associated with a 0.120 point decrease in GPA among adolescents whose mothers had a secondary school education level; a 0.175 point decrease when mothers had a Bachelor's level education; and a 0.209 point decrease when mothers had a Master's or PhD level education (all estimates relative to adolescents with a mother who had a basic level of education, such as ISCED 0-2).

Due to the cross-sectional structure of the study, researchers could not investigate specific changes between pre- and post-divorce family life, and future studies are needed to investigate potential mechanisms (such as reduced parental monitoring or school-involvement) which might drive this finding.

Nonetheless, this study provides new evidence that the negative association between divorce and teens' GPA is especially strong in families with more educated mothers.

"Among Norwegian adolescents, parental divorce was hardly associated with GPA among youth whose parents have low educational qualifications. In contrast, among adolescents with educated or highly educated mothers, divorce was significantly associated with lower GPA," said the authors.

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News Network
February 26,2020

New York, Feb 26:  A new wearable sensor that works in conjunction with artificial intelligence (AI) technology could help doctors remotely detect critical changes in heart failure patients days before a health crisis occurs, says a study.

The researchers said the system could eventually help avert up to one in three heart failure readmissions in the weeks following initial discharge from the hospital and help patients sustain a better quality of life.

"This study shows that we can accurately predict the likelihood of hospitalisation for heart failure deterioration well before doctors and patients know that something is wrong," says the study's lead author Josef Stehlik from University of Utah in the US.

"Being able to readily detect changes in the heart sufficiently early will allow physicians to initiate prompt interventions that could prevent rehospitalisation and stave off worsening heart failure," Stehlik added.

According to the researchers, even if patients survive, they have poor functional capacity, poor exercise tolerance and low quality of life after hospitalisations.

"This patch, this new diagnostic tool, could potentially help us prevent hospitalizations and decline in patient status," Stehlik said.

For the findings, published in the journal Circulation: Heart Failure, the researchers followed 100 heart failure patients, average age 68, who were diagnosed and treated at four veterans administration (VA) hospitals in Utah, Texas, California, and Florida.

After discharge, participants wore an adhesive sensor patch on their chests 24 hours a day for up to three months.

The sensor monitored continuous electrocardiogram (ECG) and motion of each subject.

This information was transmitted from the sensor via Bluetooth to a smartphone and then passed on to an analytics platform, developed by PhysIQ, on a secure server, which derived heart rate, heart rhythm, respiratory rate, walking, sleep, body posture and other normal activities.

Using artificial intelligence, the analytics established a normal baseline for each patient. When the data deviated from normal, the platform generated an indication that the patient's heart failure was getting worse.

Overall, the system accurately predicted the impending need for hospitalization more than 80 per cent of the time.

On average, this prediction occurred 10.4 days before a readmission took place (median 6.5 days), the study said.

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Agencies
June 22,2020

A team of scientists has produced first open source all-atom models of full-length COVID-19 Spike protein that facilitates viral entry into host cells – a discovery that can facilitate a faster vaccine and antiviral drug development.

The group from Seoul National University in South Korea, University of Cambridge in the UK and Lehigh University in the US produced the first open-source all-atom models of a full-length S protein.

The researchers say this is of particular importance because the S protein plays a central role in viral entry into cells, making it a main target for vaccine and antiviral drug development.

"Our models are the first full-length SARS-CoV-2 spike (S) protein models that are available to other scientists," said Wonpil Im, a professor in Lehigh University.

"Our team spent days and nights to build these models very carefully from the known cryo-EM structure portions. Modeling was very challenging because there were many regions where simple modeling failed to provide high-quality models," he wrote in a paper published in The Journal of Physical Chemistry B.

Scientists can use the models to conduct innovative and novel simulation research for the prevention and treatment of Covid-19.

Though the coronavirus uses many different proteins to replicate and invade cells, the Spike protein is the major surface protein that it uses to bind to a receptor.

The total number of global COVID-19 cases was nearing 9 million, while the deaths have increased to over 467,000, according to the Johns Hopkins University.

With 2,279,306 cases and 119,967 deaths, the US continues with the world's highest number of COVID-19 infections and fatalities, according to the CSSE.

Brazil comes in the second place with 1,083,341 infections and 50,591 deaths.

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