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Researchers, including one of Indian-origin, have found that there is a much higher risk of mortality faced by COVID-19 patients in intensive care, who have chronic kidney disease (CKD) or those who develop new (acute) kidney injury (AKI).
CKD is a type of kidney disease in which kidney function declines over a period of months to years, and is more common in older people.
AKI is an abrupt loss of kidney function that takes place over seven days or less and can have several causes, including the damage and inflammation caused by the Covid-19 virus itself.
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“To the best of our knowledge, this is the first comprehensive analysis of outcomes in critically unwell Covid-19 patients in the UK with kidney failure, particularly in patients with pre-existing chronic kidney disease,” said study author Sanooj Soni from Imperial College London in the UK.
For the study, published in the journal Anaesthesia, the research team examined the association between AKI and CKD with clinical outcomes in 372 patients with Covid-19 admitted to four regional intensive care units (ICUs) in the UK.
The average age of the patients was around 60 years, and 72 percent of them were male.
A total of 216 (58 percent) patients had some form of kidney impairment (45 percent developed AKI during their ICU stay, while 13 percent had pre-existing CKD), while 42 percent had no CKD or AKI.
The patients who developed AKI had no history of serious kidney disease before their ICU admission, suggesting that the AKI was directly related to their Covid-19 infection.
The authors found that patients with no kidney injury or disease had a mortality of 21 percent.
Want to read more in Hindi? Checkout: ग्लोबल पीपीई हब बनने के रास्ते पर भारत
Those with new-onset AKI caused by the Covid-19 virus had a mortality of 48 percent, whilst for those with pre-existing CKD (Stages 1-4) mortality was 50 percent.
In those patients with end-stage kidney failure (CKD stage 5), where they already required regular out-patient dialysis, mortality was 47 percent.
Mortality was greatest in those patients with kidney transplants, with six out of seven patients (86 percent) dying, highlighting that these patients are an extremely vulnerable group.
The investigators also examined the rates of renal replacement therapy, a form of hospital dialysis, due to Covid-19 in these ICU patients with kidney injury.
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Out of 216 patients with any form of kidney impairment, 56 percent of patients requiring renal replacement therapy, the researchers said.
The authors noted that mortality in patients with end-stage kidney failure and on dialysis, who normally have worse outcomes in many other diseases, was similar to that in patients with less severe kidney disease and Covid-19 associated AKI.
This finding may suggest that such patients benefit equally from ICU admission and thus the threshold for admission should be calibrated accordingly in any future Covid-19 surge.
“Our data demonstrate that kidney disease and failure in critically ill patients with Covid-19 are common, and associated with high mortality,” the authors noted. (IANS)
The Centre will launch a pilot project on the use of indigenously manufactured drones for delivering medicines in the undulating landscape of Jammu and surrounding areas from Saturday with a focus on vaccines delivery initially. "This is going to be a pilot project for the area. The drone is developed and manufactured entirely by our scientists," Union Minister for Science & Technology, Dr Jitendra Singh told mediapersons. Singh said he himself will be launching the project at Jammu.
The drone is developed by the scientists at Bengaluru's National Aerospace Laboratories (NAL), a constituent of Council of Scientific and Industrial Research (CSIR), an autonomous Society that is headed by the Prime Minister. For now, the delivery would be limited to Covid vaccines and once successful, it would be expanded to be used for regular delivery of medicines in the remote, hilly areas.
The drone is developed by the scientists at Bengaluru's National Aerospace Laboratories (NAL). | Photo by Jason Blackeye on Unsplash
Jammu and surrounding areas are sensitive in terms of the strategic importance. Some months ago, there was an attack on an Army installation using drones. Will the 'drones for vaccines' be permitted in such a case? Allaying fears, a top official from the Ministry of S&T said, "The drones would be deployed by authorised agencies such as hospitals, not anybody can use it, nor would any random person be permitted to use it."
NAL has called the drone as 'Octacopter' and it can fly at an operational altitude of 500 m AGL and at maximum flying speed of 36 kmph. It can be used for a variety of BVLOS applications for last mile delivery like medicines, vaccines, food, postal packets, Human organs (such as heart for heart transplantation) etc. NAL Octacopter is integrated with a powerful on-board embedded computer and latest generation sensors for versatile applications like agricultural pesticide spraying, crop monitoring, mining survey, magnetic geo survey mapping etc., S&T officials had said. (IANS/ MBI)
Keywords: Jammu, Vaccines, Medicines, Deliver, Drones, Centre
Bollywood actor Abhishek Bachchan shares how he feels when people compare him with his father Amitabh Bachchan on the singing reality show 'Sa Re Ga Ma Pa'. He also requests contestant Rajshree Bag to sing a track 'Bahon Mein Chale Aao' featuring his mother Jaya Bachchan.
Abhishek said after looking at the performance of Rajshree, who is often compared with Lata Mangeshkar on the show, that she reminds him of being compared with his father. "Rajshree, whenever I have got the chance to watch the show, I've seen people compare you to Lata didi. It actually reminded me about how people compare me with my father and ask me how I feel about it."
According to him Amitabh Bachchan is a great actor in the industry and this is what he says to everyone making these comparisons. "My answer to them is that there's no greater actor in this film industry than Amitabh Bachchan and if I'm being compared to him, I am sure I must have done something good."
"Similarly, your voice has a different kind of magic like Lata ji and that's why people are comparing your voice with her. I feel you should always take this as a compliment," he concluded. 'Sa Re Ga Ma Pa' airs on Saturday and Sunday on Zee TV. (IANS/ MBI)
Keywords: Abhishek Bachchan, Amitabh Bachchan, reality show, Sa Re Ga Ma Pa, Rajshree Bag
Winters in India have always beckoned for that hot, steaming bowl of tomato and pepper rasam or the mellow, millet based Raab. Certain dishes like sarson ka saag, undhiyu, nimona pulao are winter specialites in the country. Seasonal food has always been an Indian speciality -- we switch our choice in fruits, vegetables, sometimes even grains with the onset of different season. The preference of using specific ingredients during certain climates is visible in our sweets as well. It's common to find local and traditional delicacies made of jaggery, instead of sugar during the winters. Case in point -- the Nolen Gur Rasgulla, a speciality made in Odisha and West Bengal between November to February.
Celebrity chef, Sanjeev Kapoor, strongly advocates this need of eating seasonal produce. He says, "The beauty of our food is in our seasonal usage of fruits and vegetables. If you realise, Gajar ka halwa is made aplenty during winters as this is the season when beautiful red carrots hit the market or mango pickle is made during summer, thanks to its availability. Despite people and sometimes, even me, suggesting that we should eat fresh as well as seasonal fruits and vegetables, we do not know what chemicals are sprayed on them to keep them safe while they are growing. When this produce hits the market, there isn't a certifying agency like the FSSAI that will help people understand what vegetables and fruits are free of pesticides and germs and which ones don't. Hence, the onus lies on us to make them safe for consumption. ITC's Nimwash is a good solution."
When it comes to winters, the Chef recommends eating these fruit and vegetables:
* Purple Mogri -- Mogri or Radish pods are not a common sight throughout the country. But you can spot them during the winters in local markets in northern India where women pick them up to make raitas, curries and stir fries. Rich in magnesium, calcium and copper, the vegetable is known to aid people from digestive problems.
Mogri or Radish pods are not a common sight throughout the country, but you can spot them during the winters | Pixabay
* Sweet Potato -- A re-discovered favourite, Sweet potatoes have created a space for itself in the millennial kitchen. With its diverse addition in burgers, chips and even chat, the root vegetable is filled with nutrients such as fibres and vitamins.
Sweet potatoes have created a space for itself in the millennial kitchen. | Wikimedia Commons
* Avarekalu -- Called Hyacinth beans in English, Avarekalu is a winter speciality in the south that is added to sambhar, saagu, rotis, etc. Bangalore is famed for its Averakalu mela during the winter months, where you can find these beans in dosas, Pani puri and even Jalebis! Thronged by crowds from all over the city, the food fest is a gourmand's delight.
Called Hyacinth beans in English, Avarekalu is a winter speciality in the south that is added to sambhar, saagu, rotis, etc. | Wikimedia Commons
* Amla -- The Indian gooseberry is a common winter fruit found through the country. High in Vitamin C, it is known to be immunity building and extremely beneficial for the skin and hair. There are multiple ways to eat Amla -- it is pickled, made into a fruit preserve called as Murraba or even eaten by sprinkling salt over it.
The Indian gooseberry is a common winter fruit found through the country. | Pixabay
(Article originally published on IANSlife) (IANS/ MBI)
Keywords: winter, Sanjeev Kapoor, chef, Indian gooseberry, Sweet Potato, Radish pods