Latest news with #RamManoharLohiaInstituteofMedicalSciences
Time of India
3 days ago
- Health
- Time of India
‘STEMI to ensure no heart patient in UP dies due to lack of treatment'
1 2 3 4 5 6 Lucknow: Heart patients in UP will soon be able to receive timely treatment at their nearest district hospital or community health centre, with the 'System of Treating Elevation Myocardial Infarction' (STEMI) care network. The initiative aims to provide advanced cardiac care during the critical 'golden hour' following a heart attack, increasing the chances of survival for patients even in remote areas. To support this, a three-day Training of Trainers (ToT) workshop began at Ram Manohar Lohia Institute of Medical Sciences (RMLIMS). The workshop is focused on training healthcare professionals, including doctors, staff nurses, and paramedics, to implement standardised STEMI protocols in their respective districts. These protocols are designed to ensure early diagnosis, prompt administration of medication, and timely patient transfer to higher centres when needed. Inaugurating the workshop, principal secretary of medical health & family welfare and medical education, Partha Sarthi Sen Sharma, emphasised the govt's vision of expanding emergency cardiac services across the state. He assured that there would be no shortage of Tenecteplase, the clot-dissolving drug used in heart attack cases, and that it would be made available even at the most remote healthcare centres. "Our goal is to ensure that no patient in Uttar Pradesh loses their life due to the non-availability of timely heart attack treatment," he said. The STEMI care network is based on a hub-and-spoke model. RMLIMS, through its cardiology department, will function as the central hub providing specialist oversight, ECG interpretation, and advanced intervention facilities. District hospitals in Ayodhya, Devipatan range, Sultanpur, and other regions will serve as spoke hospitals. These centres will be responsible for early diagnosis and initiation of treatment under the guidance of the hub. Dr Bhuwan Tiwari, head of cardiology at RMLIMS, explained the structure of the STEMI CARE protocol during the workshop. He introduced a step-by-step acronym that guides healthcare providers in managing heart attack patients. "The power of this program lies in empowering frontline health workers to act swiftly and correctly," he said. The acronym STEMI CARE stands for: Symptoms (identify cardiac symptoms), Time (note when symptoms started), ECG (perform and interpret a 12-lead ECG), Medical Management (give aspirin, clopidogrel, and atorvastatin), Initiate Thrombolysis (administer Tenecteplase if needed), Call the Hub (share patient data with the tertiary centre), Ambulance (arrange transfer with oxygen and IV access), Reassess (monitor vitals before transfer), and Ensure Handover (send referral documents with the patient). Senior cardiologist Dr Rishi Sethi from KGMU spoke about the clinical importance of timely STEMI care'. Varanasi CMO Dr Sandeep Chaudhary shared practical experiences from the field.
Hindustan Times
18-05-2025
- Health
- Hindustan Times
Neonatal, infant deaths decline in U.P; no change in under-five mortality rate
In improving signs for Uttar Pradesh, the state reported a decline in neonatal and infant deaths, as per the central government's latest Sample Registration System (SRS) report for 2021. U.P's neonatal mortality rate or NMR stood at 26 per 1,000 live births against 28 stated in the 2020 report. Overall, India reported 19 neonatal deaths per 1,000 live births in 2021, a one-point decline from 20 in 2020. In Bihar, it was at 19, in comparison to 21 in 2020, said the report. In the tally of 19 bigger states, UP stood third in terms of NMR after Madhya Pradesh (30) and Chhattisgarh (28). While a total of eight states reported declining NMR, seven others showed no change in the figures for 2020 and 2021. However, Assam (four points), Chhattisgarh (two), and Haryana and Punjab (one point each) saw their NMR increase. Kerala's NMR was the lowest at four. 'The falling NMR in UP is significant even if the decline is just two points. We can still bring it down considerably if the problems are addressed. Several people, especially in the rural pockets, do not use health services regularly. Avoiding treatment unless it becomes unavoidable is still a prevalent habit,' said Dr Neha Rai, an associate professor (Paediatrics) at Ram Manohar Lohia Institute of Medical Sciences in Lucknow. 'If Kerala's NMR can be four, then why can't Uttar Pradesh's also be,' added Dr Rai. Similarly, Uttar Pradesh's infant mortality ratio (IMR)—which is the number of deaths of infants under one year of age per 1,000 live births—stood at 37, compared to 38 in 2020. Bihar's IMR stood steady at 27. Among the 19 bigger states, five (MP, Andhra Pradesh, Assam, Gujarat and Karnataka) recorded a decline in IMR by two points, whereas nine others (including U.P.) witnessed their IMR decline by one point. Along with Bihar, Chhattisgarh, Jharkhand, Punjab, and Kerala did not record any decline in IMR. Nationally, the IMR for 2021 stood at 27 as compared to 28 for 2020. The IMR was the highest in Madhya Pradesh (41) and the lowest in Kerala (six). Meanwhile, there was no significant change in the under-five mortality rate (U5MR) —which is the probability of a child dying before the age of five, per 1,000 live births—in many states. Nationally, it decreased from 32 to 31. A larger decline was observed in 2019-2020, with U5MR dropping from 35 to 32 deaths per 1000 live births. Madhya Pradesh (49) and Kerala (eight) reported the highest and lowest U5MR. For UP, it remained unchanged at 43 even as Bihar saw a one-point increase from 2020. Among the 19 bigger states, four (Bihar, Jharkhand, Uttarakhand, and Tamil Nadu) recorded a one-point increase in U5MR, while seven others showed no change. The sharpest decline in U5MR was noted in Assam and Andhra Pradesh (three points each), followed by two points each in Madhya Pradesh, West Bengal, and Maharashtra. As per the Office of Registrar General, SRS provides reliable annual estimates of infant mortality rate, birth rate, death rate and other fertility & mortality indicators at the national and sub-national levels. It is a large-scale demographic survey conducted every year in all states and UTs
Time of India
11-05-2025
- Health
- Time of India
Advanced liver & bone marrow transplants at RMLIMS from Nov
Lucknow: The wait for patients in need of liver and bone marrow transplants will soon be over, as Ram Manohar Lohia Institute of Medical Sciences ( RMLIMS ) is set to launch advanced transplant surgeries by the end of Nov. Preparations for endoscopic surgeries are also underway, and specialised catheterisation labs are nearing completion. With these developments, RMLIMS will become the third institute in Uttar Pradesh to offer such transplant services, after King George's Medical University (KGMU) and Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS). According to director Prof CM Singh, dedicated units for liver and bone marrow transplant s are being established, and the procurement of essential equipment is in progress. Operation Sindoor 'Our job is to hit target, not to count body bags': Air Marshal Bharti on Op Sindoor Precautionary blackout imposed across parts of Rajasthan, Punjab 'Indian Navy was in position to strike Karachi': Vice Admiral on Operation Sindoor For liver transplants, a six-bed intensive care unit (ICU) is being set up, along with the recruitment of seven specialist doctors and ten technical staff. Additionally, a ten-bed facility is being arranged for bone marrow transplant procedures. The operation theatres and transplant facilities will be located on the sixth and seventh floors of the Super Specialty Block. A 35-bed transplant unit will support both adult and paediatric liver transplant procedures. The institute is receiving support from a Delhi-based institution for this service. Prof Singh added that the operation theatre for bone marrow transplants—particularly for patients with blood cancers and other haematological disorders—is nearly complete. The procedure will be conducted in coordination with the Department of Blood and Transfusion Medicine. While private hospitals reportedly charge Rs 25–30 lakh for bone marrow transplants, the cost at RMLIMS is expected to be significantly lower, around Rs 12 lakh. Get the latest lifestyle updates on Times of India, along with Mother's Day wishes , messages , and quotes !
Time of India
04-05-2025
- Health
- Time of India
Shunning laptop & mobile use while eating key to good health: Experts
Lucknow: Aayushi Mishra, a software engineer from Aliganj, had been experiencing stomach problems for months. Each time she saw a doctor, she felt better for a while, but the problems kept recurring. Finally, her family doctor, Dr Kalyan Malik from Thakurganj, found the reason behind the problem. Aayushi was constantly using her phone and laptop even while eating. He advised her to change this habit and clean her gadgets frequently. Slowly, her health improved. Her story was referenced by experts on the eve of World Hand Hygiene Day. Doctors said they often come across patients with diseases that spread through touching, including stomach upsets, cholera, typhoid fever, common cold, influenza, and ringworm. These infections are transmitted due to contact with contaminated surfaces or infected individuals, and good hygiene can help reduce the risk. Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like Click Here - This Might Save You From Losing Money Expertinspector Click Here Undo Devices like phones and keyboards can carry over 400 times more germs than toilet seats. Since we touch these gadgets all day, they can easily spread infections. "People often don't realize that everyday gadgets like phones and keyboards can carry a lot of bacteria and viruses," said Dr Manodeep Sen, a microbiologist at Ram Manohar Lohia Institute of Medical Sciences (RMLIMS). "We touch many things during the day — doorknobs, money, bus rails — and the germs from these get transferred to our devices. Since we keep touching them again and again, it becomes a cycle of infection," he said. Dr Sanjay Teotia, former director of Balrampur Hospital, said, "It may sound strange, but phones and keyboards can have more germs than toilet seats. This is because we rarely clean them, even though we use them all the time. We touch our faces and food after using them, and this helps germs spread without us even knowing." Highlighting how easily germs can spread through contaminated surfaces, Dr PK Gupta, a pathologist, said: "In people with low immunity, bacteria and viruses can survive on surfaces for different lengths of time. When someone touches a contaminated phone screen and then touches their mouth or nose, they may unknowingly expose themselves to these germs, leading to respiratory or stomach infections. This is a common way of catching infections than many realize." Dr Manodeep said that poor handwashing habits contribute to the spread of infections. "Many people don't wash their hands for long enough or skip areas like under the fingernails. Drying hands properly is just as important — wet hands can spread germs more easily. Even the method of drying matters. Reusable cloth towels, if not washed regularly, can also carry and spread germs," he added. Good hand hygiene is important for people with weak immune systems, such as those with kidney transplants, autoimmune diseases, or diabetes. Dr Manodeep said, "For such patients, even a mild infection can become serious, even life-threatening, because their bodies can't fight germs well. So, keeping your hands clean is very important." Dr Sanjay Teotia said, "People, who have had transplants or take medicines that lower immunity, are at higher risk. For them, even a small infection can turn dangerous. Washing hands regularly is not just advice — it's a key to staying healthy." For working professionals, especially those who use computers and gadgets for long hours, following good hand hygiene is crucial. Dr Kalyan Malik advises people to be mindful of their habits. "In Aayushi's case, using her laptop and phone while eating likely caused germs to transfer to her food. We worked on stopping the habit and making sure she cleaned her devices regularly," he said. Dr Malik said that handwashing shouldn't only happen after obvious activities like using the restroom. "Professionals should also wash their hands before and after using shared equipment and clean personal gadgets often," he adds.
Time of India
27-04-2025
- Health
- Time of India
Stool chart key to detection of liver diseases in newborns
Lucknow: Experts at Ram Manohar Lohia Institute of Medical Sciences (RMLIMS) emphasised importance of raising awareness about a ' stool chart ' as a simple and effective tool for identifying severe liver diseases in newborns . The recommendation came during Mid-Term National Conference of the Indian Society of Pediatric Gastroenterology , Hepatology, and Nutrition held at the institute. The stool chart, which features shapes, sizes and colours of stools, is internationally recognised and highly effective in identifying liver conditions. Experts stressed importance of examining colour of a newborn's stool before discharging them from the hospital. Stool chart can help rule out Neonatal and Infantile Cholestasis (also known as infant jaundice), a condition where bile flow from liver is blocked, potentially leading to serious liver damage. Pediatric hepatologist at RMLIMS, Dr Piyush Upadhyay, explained that stool chart was a visual guide designed to help healthcare providers and parents track changes in colour and consistency of a baby's stool. If it matches any colour that indicates liver problems, such as pale or white, it can be an early warning of liver disorders. He added, "If parents are not sure about how to read the chart or make decisions, they should be encouraged to bring a stool sample during the baby's first vaccination, typically between 45 to 90 days. This simple step can help detect serious conditions like Biliary Atresia, a leading cause of Cholestasis, at an early stage. Biliary Atresia is a severe condition in which ducts carrying bile from the liver are either blocked or absent. If not detected early, it can lead to liver failure and may require a transplant if detected five to six months late. Unfortunately, in Uttar Pradesh, this service is not widely available and many children do not survive." Dr Seema Agarwal, also from RMLIMS, emphasised that if a baby's stool appears white, it should be considered a warning sign. Additionally, if the stool or urine doesn't leave stains on clothes, it could indicate a potential liver issue. Dr Seema Alam from ILBS Delhi pointed out that early detection of liver conditions leads to better treatment outcomes, with some cases even being treatable through simple changes in the baby's diet. Director of RMLIMS, Prof C M Singh, said this national conference was first of its kind to be hosted by the institute. "Liver problems in children are increasing rapidly; it's crucial to prioritise the early diagnosis and treatment of liver diseases," he added.
