Month: May 2023

COVID-19 Government Guidelines Medicine & Health

How cognitive behavioral therapy helps reduce post-viral fatigue after Covid-19: Study

Post author By Pragya sharma
Post date May 12, 2023
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Those who suffer from COVID-19 post-viral fatigue benefit from cognitive behavioural treatment, which results in fewer fatigue and attention issues.

Lead researcher, Hans Knoop, Professor of Medical Psychology at Amsterdam UMC found that “After behavioural therapy, patients not only had less symptoms but also functioned better both physically and socially. Those improvements were still present even after six months.” Today, research from Amsterdam UMC, RadboudUMC and three other hospitals is published in Clinical Infectious Diseases.

How cognitive behavioral therapy helps reduce post-viral fatigue after Covid-19

Following a COVID-19 infection, a significant majority of individuals experience persistent symptoms. The most prevalent symptom is extreme and persistent exhaustion, which is also known as long-COVID or Post-Covid Syndrome. those who underwent cognitive behavioural therapy were compared to those who got standard treatment in the ReCOVer research, which was supported by ZonMw. Typical care included GP or expert monitoring, physiotherapy, and/or occupational therapy.

Cognitive behavioural therapy for patients with persistent fatigue after COVID-19 focuses on reducing fatigue by dealing with the symptoms differently. “Together with patients, we look, for example, at how they can improve their sleep-wake rhythm. We also help them become more active again with small, safe steps. For example, by going for short walks,” said Knoop.

Cognitive behavioural therapy has clear results for these patients. Most participants experienced significantly less fatigue and improved concentration after treatment. They also made significant progress socially and physically. The results also proved to be stable over time. After six months, the differences, compared with those received regular care, were still present. “Cognitive behavioural therapy also appears to be a safe treatment. Our research shows that the symptoms did not worsen, and new symptoms arose less often,” added Knoop.

Conflict, climate change, Covid, cost-of-living heighten threats for most vulnerable women, babies: UN report

Post author By Pragya sharma
Post date May 10, 2023
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The report sounds the alarm on a silent emergency of preterm birth which is impeding progress in improving children’s health and survival.

An estimated 13.4 million babies were born preterm in 2020, with 45 per cent of them being born in just five countries, including India, China and Pakistan, according to a report released by the United Nations agencies and partners on Wednesday. The report titled ‘Born Too Soon: Decade of Action on Preterm Birth’ is developed by more than 140 individuals from 46 countries and is produced by the World Health Organisation (WHO) and the United Nations Children’s Fund (UNICEF) together with PMNCH — the world’s largest alliance for women, children, and adolescents.

The report sounds the alarm on a “silent emergency” of preterm birth which is impeding progress in improving children’s health and survival.

The global preterm birth rate was 9.9 per cent in 2020, compared to 9.8 per cent in 2010. An estimated 13.4 million babies were born pre-term in 2020, with nearly 1 million dying from preterm complications, which is equivalent to around 1 in 10 babies born early (before 37 weeks of pregnancy) worldwide.

In 2020, Bangladesh had the highest estimated preterm birth rate (16.2 per cent), followed by Malawi (14.5 per cent) and Pakistan (14.4 per cent). Rates are also high in high-income countries, such as Greece (11.6%), and the United States of America (10.0%), the report stated.

“Almost half (45 per cent) of all preterm babies in 2020 were born in just five countries: India, Pakistan, Nigeria, China and Ethiopia,” it said.

The report highlighted that preterm birth rates have not changed in the past decade in any region of the world and that “four Cs” – conflict, climate change, COVID-19 and the cost-of-living crisis – heighten threats for the most vulnerable women and babies in all countries.

For example, air pollution is estimated to contribute to 6 million preterm births each year.

Nearly 1 in 10 preterm babies are born in the 10 most fragile countries affected by humanitarian crises, according to a new analysis in the report. Climate science is increasingly exposing the direct and indirect effects of climate change on pregnant women, stillbirths and preterm birth.

Conflict, climate change, Covid, cost-of-living heighten threats for most vulnerable women, babies: UN report

According to it, 1.2 million babies are ‘born too soon’ in the 10 most fragile countries affected by humanitarian crises, where accessing care for women and babies is particularly challenging.

“More investment is needed to specifically mitigate risks and to increase focus on women and babies in policies and programmes addressing the climate emergency,” it said.

“Born too soon underlines why we must increase investment and accountability for preterm birth – the world’s largest cause of death of children under the age of five. Progress is flatlining for maternal and newborn health, as well as the prevention of stillbirths, and is now pushed back further through the devastating combination of COVID-19, climate change, expanding conflicts and rising living costs,” said Helga Fogstad, Executive Director, PMNCH.

“By working together in partnership – governments, donors, the private sector, civil society, parents, and health professionals – we can sound the alarm about this “silent emergency”, and bring preterm prevention and care efforts to the forefront of national health and development efforts, building human capital by supporting families, societies and economies everywhere,” Helga added.

With the report coming at a time when the International Maternal Newborn Health Conference (IMNHC) is being held at Cape Town from May 8, the WHO, UNICEF, UNFPA and PMNCH called for increased investments, accelerated implementation of established national policies for maternal and newborn care to improve care for women and newborns and mitigate risks from preterm births.

They also called for promoting education through the life cycle; supporting smarter economic investments, with co-financing across sectors; strengthening climate adaptation responses across the life course; and advancing the coordination and resilience of emergency systems, besides investing in locally-led innovation and research to support improvements in quality of care and equity in access.

Ensuring quality care for these tiniest, most vulnerable babies and their families is absolutely imperative for improving child health and survival, said Dr Anshu Banerjee, Director for Maternal, Newborn, Child and Adolescent Health and Ageing at WHO.

“Progress is also needed to help prevent preterm births — this means every woman must be able to access quality health services before and during pregnancy to identify and manage risks,” he said.

Long COVID linked with self-perceived cognitive deficits related to anxiety and depression

Post author By Pragya sharma
Post date May 9, 2023
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Experiencing persistent symptoms of COVID more than four weeks after initial infection is called Long COVID.

Symptomatic long COVID may be associated with self-perceived cognitive difficulties such as memory problems, according to a study. Long COVID is described as experiencing persistent symptoms of the disease more than four weeks after initial infection. Researchers at the University of California, Los Angeles (UCLA) in the US noted that over one in three people experiencing long COVID symptoms perceived such cognitive deficits, which have been found to be related to anxiety and depression.

The findings, published recently in the journal JAMA Network Open, show that psychological issues such as anxiety or depressive disorders may play a part in some people who are experiencing long COVID, technically known as post-COVID-19 condition, or PCC.

“This perception of cognitive deficits suggests that affective issues—in this case anxiety and depression—appear to carry over into the long COVID period,” said study senior author Neil Wenger, a professor at UCLA.

“This is not to say that long COVID is all in one’s head, but that it is likely not a single condition and that for some proportion of patients there is likely a component of anxiety or depression that is exacerbated by the disease,” Wenger said in a statement.

The researchers surveyed 766 patients who had confirmed symptomatic COVID infection and had either been hospitalised at UCLA or at one of 20 health care facilities in the US or were referred to the programme by a primary care physician and been treated as outpatients.

Patients were surveyed by telephone at 30 days, 60 days and 90 days following hospital discharge or, in the case of non-hospitalised patients, after the date of a positive COVID test to ascertain if they felt their health was back to normal.

The researchers found that 276 (36.1 per cent) of the patients surveyed perceived during the acute illness or the following weeks that they had cognitive difficulties.

The study also found that these patients were twice as likely as those without perceived cognitive deficits to report experiencing physical symptoms at 60 and 90 days.

The researchers acknowledged some limitations to the findings. These include a lack of objective cognition measures because the survey relied on subjective responses about cognitive deficits.

They also did not have data on participants’ possible cognition, depression, and anxiety prior to COVID infection.

The findings may not apply to other patient cohorts given that participants were treated at an academic medical centre and were referred to the programme based on physicians’ belief that the patients were at clinically high risk for cognition deficits, the researchers added.

Structural reforms in offing in organ donation, transplant sector: Health Minister Mansukh Mandaviya

Post author By Pragya sharma
Post date May 5, 2023
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Synopsis

According to the Ministry of Health and Family Welfare, the number of total organ transplants in the country has substantially increased from less than 5,000 in 2013 to more than 15,000 in 2022.

Union Health Minister Mansukh Mandaviya on Wednesday said far-sighted structural changes are in the offing to reform the organ donation and organ transplant sector in the country.

Mandaviya reviewed the status of organ donations and transplants with senior officers of the Health Ministry on Wednesday.

According to the Ministry of Health and Family Welfare, the number of total organ transplants in the country has substantially increased from less than 5,000 in 2013 to more than 15,000 in 2022.

Now, more organs per deceased donor are being utilised due to better coordination through the Network of Organ and Tissues Transplant Organisations at the National (NOTTO), Regional (ROTTO) and State levels (SOTTO). In 2016, 2,265 organs were utilised from 930 deceased donors while 2,765 could be utilised from 904 deceased donors in 2022.

NOTTO is working on a Transplant Manual as a step-by-step guide for implementing Organ Donation and Transplantation Programme in hospitals and also on a Standard Course for training Transplant Coordinators. Both these documents will be completed and released shortly, the Ministry said in a statement.

Four verticals for coordination, IEC, Training and HR/accounts have been created in the NOTTO for better implementation of the programme.

Recently, the central government granted special casual leaves of up to 42 days to central government employees, who donate an organ to another human being, as a special welfare measure in public interest.

The Ministry of Health and Family Welfare is also imbibing learnings from international best practices for further policy reforms towards the augmentation of organ donation and transplantation in the country, the Ministry said in a statement.

Surge of activity linked to consciousness in dying brain: Study

Post author By Pragya sharma
Post date May 4, 2023
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The study sheds light on the neurophysiologic mechanisms, where fastest brain activity has been visible in dying brain.

Near-death experience accounts that include stories of white light, visitation from deceased loved ones, hearing voices, among other characteristics, grab our imagination and are ingrained in our culture.

The fact that these reports have so many similarities makes one wonder if there is something fundamentally real underlying them. It is also possible that those who have survived death are revealing glimmers of a consciousness that persists even after the heart has stopped beating.

A new study published in the Proceedings of the National Academy of Science, provides early evidence of a surge of activity correlated with consciousness in the dying brain.

The study, led by Jimo Borjigin, Ph.D., associate professor in the Department of Molecular & Integrative Physiology and the Department of Neurology, and her team is a follow-up to animal studies conducted almost ten years ago in collaboration with George Mashour, M.D., Ph.D., the founding director of the Michigan Center for Consciousness Science.

Similar signatures of gamma activation were recorded in the dying brains of both animals and humans upon a loss of oxygen following cardiac arrest.

“How vivid experience can emerge from a dysfunctional brain during the process of dying is a neuroscientific paradox. Dr. Borjigin has led an important study that helps shed light on the underlying neurophysiologic mechanisms,” said Mashour.

The team identified four patients who passed away due to cardiac arrest in the hospital while under EEG monitoring. All four of the patients were comatose and unresponsive. They were ultimately determined to be beyond medical help and, with their families’ permission, removed from life support.

Upon removal of ventilator support, two of the patients showed an increase in heart rate along with a surge of gamma wave activity, considered the fastest brain activity and associated with consciousness.

Furthermore, the activity was detected in the so-called hot zone of neural correlates of consciousness in the brain, the junction between the temporal, parietal and occipital lobes in the back of the brain. This area has been correlated with dreaming, visual hallucinations in epilepsy, and altered states of consciousness in other brain studies.

These two patients had previous reports of seizures, but no seizures during the hour before their deaths, explained Nusha Mihaylova, M.D., Ph.D., a clinical associate professor in the Department of Neurology who has collaborated with Dr. Borjigin since 2015 by collecting EEG data from deceased patients under ICU care. The other two patients did not display the same increase in heartrate upon removal from life support nor did they have increased brain activity.

Because of the small sample size, the authors caution against making any global statements about the implications of the findings. They also note that it’s impossible to know in this study what the patients experienced because they did not survive.

“We are unable to make correlations of the observed neural signatures of consciousness with a corresponding experience in the same patients in this study. However, the observed findings are definitely exciting and provide a new framework for our understanding of covert consciousness in dying humans,” she said.

What to eat when you have Covid

Post author By Pragya sharma
Post date May 1, 2023
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Having a healthy diet is associated with a reduced risk of COVID. And, if you do have COVID, a healthy diet is associated with milder symptoms.

Deciding what to eat can be mentally taxing, especially when you are not feeling well. However, our diet plays a role in preventing and managing poor health, including COVID. Having a healthy diet is associated with a reduced risk of COVID. And, if you do have COVID, a healthy diet is associated with milder symptoms. When we are sick it can be challenging to even think about food. However, the best way to fight the infection is by providing your body with foods that best support you to heal.

Fresh fruit, vegetables, whole grains and various forms of protein are broken down into substances by the body to support your immune system.

The Australian Guide to Healthy Eating suggests we eat a variety of fresh foods every day including:

*Two serves of fruit and five serves of vegetables

*Whole grains, such as wholemeal pasta, brown rice or wholemeal bread.

*Healthy fats, such as avocado or olive oil.

*Meat and meat alternatives (such as lean beef, chicken, tofu or legumes) and dairy (such as cheese or milk).

*Eating these kinds of foods every day helps provide our body with the nutrients required to fight infections and remain healthy.

*Avoiding processed and ultra processed foods is also encouraged due to the high levels of salt and sugar and lack of nutrition found in these types of foods.

What about chicken soup or similar?

A great way to get all the nutrition your body requires when sick with COVID is through homemade chicken soup, chicken avgolemono, chicken congee or other similar dishes.

Why? Here are four good reasons:

1. It’s easy and cheap to make.

The great thing about chicken soup is you can pop it in one pan (or into a slow cooker), throw all the ingredients in together and let it simmer away.

While the ingredients in chicken soup pack a powerful nutritional punch, they don’t cost the Earth.

2. It’s easy to absorb.

The boiling process releases the nutritional elements found in the ingredients and aids in digestion and absorption of these vital nutrients.

3. It’s full of vitamins and minerals.

Essential vitamins and minerals found in chicken soup include: iron, magnesium, sodium, potassium, calcium, chromium, copper, zinc, vitamin A, vitamin C, vitamin B6 and vitamin B12.

4. It’s flavoursome and powerful.

The tasty flavour of chicken soup is enhanced by the seventeen different amino acids found in chicken soup. These amino acids also provide strength for your immune system.

Nutrition can support immune health but it’s not the only answer

The best way to treat and manage a COVID infection is to avoid it in the first place. So remember to practise good hygiene, like washing your hands regularly, and maintain your recommended vaccine schedule.

Practising a healthy lifestyle will also reduce your risks of not only contracting COVID, but also developing chronic disease. This includes not smoking or vaping, maintaining healthy physical activity habits, getting enough sleep and reducing alcohol consumption.

The current recommendation for maximum alcohol intake is ten standard drinks in one week, and no more than four standard drinks in one day.

Don’t forget to drink plenty of water
Water is crucial when you’re sick.

Being dehydrated can enhance symptoms of colds and infections, including COVID. It is also associated with a higher risk of developing long COVID.

Aim to drink at least two litres of water per day, even more if you have a high body weight or have been losing fluids through vomiting or sneezing/runny nose.

If you don’t feel like having plain water, there are many healthy alternatives such as tea, broth or soup.

Eating a healthy and balanced diet is an important part of maintain good health and vitality.

Getting caught up in fads or buying supplements can be expensive and there is controversy around their effectiveness.

In the long run, eating healthy will make you feel better and save you money