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Urgent need for Training of Emerging Surgeons in India as cases of Joint Replacement Surgeries likely to Rise

Osteoarthritis occurs when there is damage in and around the joints that the body cannot fully repair

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New Delhi, March 26, 2017: With India expected to be the osteoarthritis capital of the world by 2025 with over 60 million cases, leading orthopaedic surgeons stress the urgent need for training of emerging surgeons as the cases of joint replacement surgeries are likely to rise.

Doctors say that with improvement in medical techniques, patients now have a better acceptance to the joint replacement surgeries but to maintain this, there is a need for better training of the orthopaedic surgeons across the country.

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“Osteoarthritis is the most prevalent form of arthritis in India, affecting over 15 million adults every year. A large chunk of them have started opting for joint replacements… however, this can’t be carried across the country due to the shortage of well trained orthopaedic surgeons,” said Nishchal Chugh, Director and head of Centre for Joint Replacement at Saroj Superspecialty Hospital.

He said that the government should focus towards organising workshops on latest knee replacement surgeries for the emerging orthopaedic surgeons and create more medical colleges along with training centres.

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Osteoarthritis occurs when there is damage in and around the joints that the body cannot fully repair. The exact causes are not known but there are several factors thought to increase the risk of developing the condition. According to doctors, though the current solution for osteoarthritis is surgery involving a transplant, only 10 percent of the Indians undergo it due to fear of late recovery till now.

Surveys have revealed that the reason behind the onset of this endemic is said to be increasing longevity of Indians. By 2020, the number of 65 and above population in India is likely to be about 177 million, whereas India had 100 million people in this age group in 2010.

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Doctors said that with improvement in joint replacements, it is now a days being opted by an increasing number of young patients because of the durability, unlike some years ago.

“If a young patient knows that their replaced joint will last anywhere between 30-35 years, they can confidently go for it not worrying about whether they are too young for a joint replacement,” said Ajai Singh, orthopaedic surgeon with the Ram Manohar Lohia hospital here.

Singh said that proper training of orthopaedic surgeons will help the osteoarthritis patients in rural areas, which is expected to have the 60 per cent of the disease’s burden in the coming years. (IANS)

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India Continues Engaging With USA Over H-1B Passport Issue

India is closely engaged with the US administration as well as the US Congress on this matter.

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As Trump proposes changes in H1-B visa, India continues to engage with US

India is continuing to engage with the US over the H-1B visa, largely availed of by Indian IT companies, after the Trump administration proposed changes to the programme, a senior official said on Thursday.

“It is a very important topic for us and that is the reason why we have time and again at various levels, we have taken up this matter with the US side,” External Affairs Ministry spokesperson Raveesh Kumar said in response to queries by journalists here.

Kumar said that most recently, the issue was raised during the first ever India-US 2+2 Ministerial Meeting held here last month that was attended by External Affairs Minister Sushma Swaraj, Defence Minister Nirmala Sitharaman, US Secretary of State Mike Pompeo and Defence Secretary Jim Mattis.

On Wednesday, the US Department of Homeland Security (DHS) said that the US Citizenship and Immigration Services (USCIS) plans to come out with its new proposal by January 2019.

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It will also “revise the definition” of employment and employer-employee relationship to “better protect” US workers and wages Flickr

The DHS said it was also proposing to remove from its regulations certain H-4 spouses of H-1B non-immigrants as a class of aliens eligible for employment authorisation.

The move to end the rule could have an impact on more than 70,000 H-4 visa holders, who have work permits.

The H-4 visas are issued by the USCIS to immediate family members (spouse and children under 21 years of age) of the holders of H-1B visa.

The DHS said it will propose to revise the definition of speciality occupation to increase focus on obtaining the best and the brightest foreign nationals via the H-1B programme.

It will also “revise the definition” of employment and employer-employee relationship to “better protect” US workers and wages, the DHS said.

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President Donald Trump speaks about immigration alongside family members affected by crimes committed by undocumented immigrants, at the South Court Auditorium on the White House complex, June 22, 2018, in Washington, VOA

In his remarks on Thursday, Kumar said that India is closely engaged with the US administration as well as the US Congress on this matter.

Stating that there are certain bills which have been introduced, he, however, said that “it is important to note that none of these bills have been passed so far”.

“When we have engaged with the US, we have emphasised that our partnership which we have in the digital sphere have been mutually beneficial,” the spokesperson said.

Also Read: USA And Other Countries Pledge To Eradicate Illegal Wildlife Trade

“We have highlighted the role which has been played by the highly skilled Indian professionals who have actually contributed to the growth and development of the US economy,” he stated.

“And also they have helped the US to maintain a competitive edge in the world towards innovation and science and technology.” (IANS)