Indians have higher blood pressure in the evenings than in mornings: IHS

Agencies
August 27, 2019

Kolkata, Aug 27: Indians have an average resting heart rate of 80 beats per minute which is higher than the desired rate of 72, Indian Heart Study (IHS) has found.

The IHS also highlighted that unlike people of other countries, Indians have higher blood pressure in the evenings than in mornings.

The study was conducted on 18,918 participants, both men and women, across 355 cities in 15 states over a period of nine months from April 2018.

It was carried out by 19 doctors to rethink about the timing of prescribing anti-hypertension drug dosage.

"The study has provided us with insights on the prevalence of white-coat hypertension, masked hypertension, and resting heart rates pertinent to Indian population," said Prof Dr Soumitra Kumar, Head of the Department of Cardiology of city-based Vivekananda Institute of Medical Sciences and Ramakrishna Mission Seva Pratishthan and a co-ordinator for IHS.

Masked-hypertension is a phenomenon when an individual's blood pressure reading is normal at the doctor's clinic but high at home, while white-coat hypertension is a condition in which people exhibit a blood pressure level above the normal range in a clinical setting only.

The IHS findings highlight a high prevalence of masked hypertension and white-coat hypertension in Indians at 42 per cent on the first visit to a doctor's clinic.

In West Bengal, 22.50 per cent of the respondents were white-coat hypertensive, while 17.30 per cent were found to have masked hypertension.

White-coat hypertensives, who are misdiagnosed and put on anti-hypertension drugs have to take unnecessary medication while a masked hypertensive may go undiagnosed running the risk of complications of the heart, the kidneys, and the brain, leading to premature mortality, the study said.

"There is a close link between high blood pressure and cardiovascular diseases, which are on the rise in our country. We need to take right measures to cut down on the risks by monitoring our blood pressure," Dr Kumar said.

Dr Lalit Kumar Agarwal, a nephrologist at a private hospital here said, kidneys are at a high risk of damage in people with high blood pressure or hypertension.

The study was conducted on "drug-naive" set of participants -- people not on any anti-hypertension drug -- using a comprehensive process of taking blood pressure readings.

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News Network
July 23,2020

Bengaluru, July 23: The High Court of Karnataka has directed the state government to formulate Standard Operating Procedure (SOP) for child protection, particularly for cases of child pornography and child missing.

A division bench comprising Chief Justice Abhay Shreeniwas Oka and Justice M Nagaprasanna passed a detailed order and asked the state government to submit compliance within three months.

The division bench passed the order on two PILs, including a suo motu litigation registered in 2018. The PILs were registered to ensure effective implementation of the directions of the Supreme Court on the Juvenile Justice (Care and Protection of Children) Act, 2015 (JJ Act).

The bench observed that in normal courses, courts do not issue writ of mandamus to the legislature on rule-making aspects. However, when the failure of the state is demonstrated under exceptional circumstances, courts can issue directions. The bench directed the state government to expedite the rule-making process to ensure proper implementation of the JJ Act.

The bench expressed displeasure on the insensitive police investigation in cases of child pornography. “The police machinery did not show the sensitivity expected from it while dealing with cases of alleged child pornography. Therefore, it will be appropriate if the state issues SOP or guidelines for dealing with cases of child pornography so that proper investigation is carried out in such cases. As we are directing the formation of SOP for dealing with child pornography cases, the state is also directed to formulate guidelines on child missing cases,” the bench said.

The bench had been issuing several directions since 2018 and has also been monitoring police investigations. The court observed that while the state government has incorporated several directions, some issues still remain unaddressed.

The bench directed the government to have dedicated staff for the Directorate of Integrated Child Protection Scheme considering the sensitive nature of work.

On working of Juvenile Justice Boards (JJB), the court asked the Registrar General of the Karnataka High Court to issue directions to the principal magistrates of all the JJBs in the state to sit on all working days for a minimum of six hours a day. 

The high court directed the state to exercise the rule-making powers for obtaining an annual report from the State Commission for Protection of Child Rights.

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News Network
March 25,2020

Mangaluru, Mar 25: Fishing boats returned to the old Port in Mangaluru after the government prohibited deep-sea fishing till further orders on Wednesday to prevent the assembly of a large gathering here in the wake of the novel coronavirus pandemic. 

According to officials, deep-sea fishing activities result in the gathering of a large number of people and is much against the government's direction on maintaining social distancing. 

According to the Department, the 42-Km coastline in Dakshina Kannada hass 57 purse seine boats, 1,270 trawl boats, 1,483 gillnet boats, 549 other mechanised boats.

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News Network
May 19,2020

Bengaluru, May 19: Containment zones in Karnataka will be much smaller in size under the latest lockdown norms. However, rules and loopholes will be tightened and action against violators will be stringent in order to check the spread of the disease.

Revised guidelines issued by the Centre to the state, reveal containment zones are delineated based on mapping of cases and contacts. Intensive action will be carried out in these areas with the aim of breaking the chain of transmission. Therefore, the area of a containment zone should be appropriately defined by the district administration/local urban bodies with technical inputs at local level.

The health department is considering shrinking the size of containment zones from the existing 100 metres to open up more space for economic activities. Medical education minister K Sudhakar, also a member of the Covid taskforce, said additional chief secretary (health department) Javed Akthar will issue a new definition of a containment zone after the Covid-19 taskforce holds its next meeting.

“We are planning to further shrink it and restrict containment zones to an apartment complex, independent house or even a lane where the Covid-19 patient resides,” Sudhakar said. He went on to say bigger containment zones will impede businesses and normal activities in the vicinity, something which the government wants to avoid.

The minister said Karnataka will also do away with colour-coding districts. “With restrictions being relaxed for almost all activities, it does not make sense to pursue with colour codes. It is either containment zone or outside containment zone,” he said.

In rural areas, the minister said containment zones will be identified by the taluk heads. Government sources say it is difficult to restrict activities to certain areas or smaller location in rural areas as farmers and people will have to travel to the outskirts of their villages for their livelihood.

An official said, a containment operation (large outbreak or cluster) is deemed successful when no case is reported in 28 days from the containment zone.

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