This trunk to Help patients with spinal cord injury

This trunk to Help patients with spinal cord injury

A Columbia Engineering team headed by an Indian scientist has invented a robotic device that can be utilized to help and train individuals with spinal cord injuries to sit stably by improving their back control, gaining an expanded active sitting workspace without falling over or using their hands to equilibrium.

Spinal cord injuries (SCI) can cause devastating damage, including loss of mobility and sensation.

“We designed TruST for individuals with SCIs that are typically wheelchair users. We discovered that TruST not only prevents patients from falling, but also maximises trunk movements beyond patients’ postural control, or balance limits,” said Sunil Agrawal, professor of mechanical engineering and of rehabilitation and regenerative medicine.

The analysis, published in the journal Spinal Cord Series and Cases, is the first to measure and define the sitting workspace of patients with spinal cord injuries according to their busy trunk control with assistance from the”Trunk-Support Trainer (TruST)” robotic apparatus.

The trunk is a motorised-cable driven belt placed on the user’s chest to ascertain the control limits that are postural and sitting workspace area in people with spinal cord injuries.

It provides forces on the torso once the user performs upper body motions while sitting.

The five patients who participated in the pilot study were analyzed a customised test that required them to follow a ball with their head and move their back as far as possible, with the Postural Star-Sitting Test, without using their hands.

The test was repeated in eight directions, and the researchers used the results to calculate each individual’s workspace.

The group then tailored the robotic device for every subject while the subjects performed the exact movements 27, to employ personalised assistive force areas.

With the’TruST’, the subjects could reach during the back trips in all eight directions and significantly expand the workspace around their bodies, on an average of about 25 per cent .

“The capacity of ‘TruST’ to provide constant force-feedback personalised for the user’s postural limits opens new frontiers to implement motor learning-based paradigms to retrain functional sitting in people with SCI,” says Victor Santamaria, a physical therapist, postdoctoral researcher in Agrawal’s Robotics and Rehabilitation Laboratory.

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Swiggy sharply hikes membership fees . Latest rates here

Swiggy sharply hikes membership fees . Latest rates here

Food delivery platform Swiggy has decided to sharply increase the prices of its’Swiggy Super’ programme.

The food delivery startup has decided to increase the plan of’Swiggy Super’ of $79. The three months plan is now billed at $349 rather than the present plan of $179.

The new charges will be applicable to the present’Swiggy Super’ members and will charged upon the renewal of the programme. The new rates will come into effect from 8.

But if a customer subscribe to the’Swiggy Super for the first time, the food delivery startup will continue to bill the last rate of $79 for one month and $179 for three months.

The company has also clarified that it will increase the costs of the’Swiggy Super’ in an response to a tweet when asked about the increse accountable for’Swiggy Super’ programme. It further added that it will roll out new offers and discounts for the readers of the membership programme.

The company will continue to deliver the meals without any delivery charges to any subscriber of’Swiggy Super’ when the amount the bill is more than $99 per purchase.

Mails have been sent by swiggy to the readers of the’Swiggy Super’ and informed about the increase in the membership programme.

The food delivery startup has posted a six-fold increase in losses for the financial year-ended March 2019 (FY19), due to heightened expenses which went up by four-fold during the same year at a time when the five-year-old startup has been expanding rapidly across the country to keep up with intense completion in the food delivery section.

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Medicine with side effects

Medicine with side effects

New Delhi: a medicine, Lamotrigine will have to carry a side-effect warning of potential ‘immune system reaction’ .

In a security alert communication issued on 16 December from the Central Drugs Standard Control Organisation (CDSCO), a replica of has been accessed by ThePrint, the government has asked all state drug regulators to notify companies manufacturing Lamotrigine to add warnings about ‘hemophagocytic lymphohistiocytosis (HLH)’ response as part of the leaflets or packaging inserts.

The alert, signed by Drug Controller General of India V.G. Somani, reads:’The safety issue on Lamotrigine was deliberated in the subject expert committee, neurology and psychiatry, on 27 November.

‘After detailed deliberation, the committee recommended that the warning of immune system response called HLH ought to be cited in the package insert of this medication.’

Lamotrigine is sold in India under more than 20 brand names such as Lamitor, Lametec, Lamosyn and Lamez, which are manufactured by Torrent Pharmaceuticals, Cipla, Sun Pharmaceuticals and Intas Pharmaceuticals, respectively.

Are GlaxoSmithKline, Ipca Laboratories, Alkem and Emcure Pharmaceuticals.

When is the drug used

Lamotrigine is an anti-convulsant medicine to treat seizures in epileptic patients. It is also utilized to control extreme mood swings in bipolar disorder — a health condition that leads to unusual shifts of mood, energy levels and the ability to carry out day-to-day tasks.

According to statistics by AIOCD-AWACS, a health research company, Lamotrigine had registered an annual turnover of Rs 93 crore in 2019, posting a rise of over 10 per cent in its sales over 2018 in India.

US FDA’s security alert

On 25 April 2018, the US FDA had released a medication safety communication that read:’…the drug Lamotrigine for seizures and bipolar disorder can lead to a rare but very serious reaction.this can lead to severe inflammation throughout the body and lead to hospitalisation and death, particularly if the response is not diagnosed and treated quickly.’

To the concerns of FDA , therefore, the CDSCO referred in its safety alert communication:’According to US FDA, the system response called uncontrolled reaction by the immune system and HLH triggers. HLH presents a fever, usually greater than 101 degree, farenheit. And it may lead to severe problems with blood cells and organs throughout the body such as lungs, kidney and liver.’

Marked into the zonal and sub-zonal offices of CDSCO across India, the alert orders drug inspectors’to direct producers under their own jurisdiction to mention the warning of HLH in the bundle alert or the promotional literature of the medication’.

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Autism in a Child Often Leaves Families Struggling, Facing Stigma

Autism in a Child Often Leaves Families Struggling, Facing Stigma

Families of children with autism face high physical, mental and psychological burdens, are sometimes ridiculed and even accused of child abuse, says a new study.

For the study, published in the International Journal of Autism & Related Disabilities, researchers surveyed 25 caregivers of 16 children ages 2 to 20 with autism spectrum disorder to rate their care affected their family dynamics, physical and mental health, and social function.

The researchers asked about the health professionals’ worries, daily activities, family relationships and insurance.

“While the understanding of how autism spectrum disorders affect individuals has grown, the consciousness of the burden on families who care for these individuals is less established,” said study’s researcher Xue Ming in the Rutgers University, US.

The study found that emotional burnout was more likely in families with a child with low-functioning autism spectrum disorder and simultaneous conditions.

Social isolation was greater in households who reported significant psychological burnout. Families with more than one caregiver experienced social isolation and emotional burnout, the research added.

According to the researchers, households with a higher socioeconomic status tended to spend more money on medical treatments outside of their medical insurance policy.

Families with an aggressive and irritable child tended to experience burnout and social isolation.

Medical and behavioural disorders were common in these kids, they added.

Nine of the 16 families in the study reported being ridiculed or accused of child abuse, which they stated restricted them from attending social events, visiting public places such as churches, supermarkets and restaurants, and using mass transportation.

“This suggests that communities will need to improve their inclusiveness for families with children with autism spectrum disorder,” Ming said.

“The study shows there is a need to raise public awareness of the burdens faced by these families and also to alert medical providers to provide them with more support,” Ming added.

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Air Pollution may harm your bones

Air Pollution may harm your bones

Level of air pollution may be weakening the bones of Indians, as well as increasing risk such as lung cancer, stroke, respiratory diseases, warns a study.

The study analysed the association between air pollution and bone health in over 3,700 individuals from 28 villages outside the town of Hyberabad.

The results, published in the journal JAMA Network Open, showed that exposure to air pollution, especially to particles, was associated with reduced levels of bone mass.

Regarding the possible mechanisms underlying this association, he said “inhalation of polluting particles could lead to bone mass loss during the oxidative stress and inflammation brought on by air pollution”.
For the analysis, the authors used a locally-developed model to estimate external vulnerability at residence to air pollution by fine particulate matter (suspended particles with a diameter of 2.5 micrometre or less) and black carbon.

A questionnaire also filled on the kind of fuel used for cooking. The authors connected bone health evaluated using a unique sort of radiography that measures bone density, known as dual-energy x-ray absorptiometry, and measured bone mass at the lumbar spine and the hip and this information.

Annual average exposure to ambient PM2.5 was 32.8 micrograms per cubic metre air — way above the maximum levels recommended by the World Health Organisation (10 micrograms per cubic metre air).

The researchers found an association between exposure to poor bone health and air pollution. No correlation was found with use of biomass fuel for cooking.
Osteoporosis is a disease in which quality and the density of the bone is reduced. It is responsible for a considerable burden of disease and its prevalence is expected to increase because of ageing of the populace.

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