February 25, 2025

Need for stringent regulations, quality control in Nutraceuticals market: Ayush official

The nutraceutical market in India is experiencing rapid growth, demanding enhanced regulatory oversight. Dr. Srinivas Rao Chinta from the Ministry of Ayush emphasized the critical need for stringent quality control mechanisms. The integration of Ayurvedic principles with modern supplement development presents a unique opportunity for India's health science sector. With a rich traditional knowledge base and emerging startup ecosystem, the nutraceutical industry stands poised for significant global expansion.

"Licensing is a key factor that should not be overlapped in this emerging market" - Dr. Srinivas Rao Chinta, Ayush Ministry

New Delhi, Feb 25: There is an urgent need for stringent regulations and quality control in the growing Nutraceuticals market in the country, a key Ministry of Ayush official said on Tuesday.

Key Points

1 Nutraceuticals require robust regulatory mechanisms

2 Ayurvedic principles integral to supplement development

3 Health and wellness sector witnessing exponential growth

4 Traditional knowledge driving global nutraceutical expansion

Dr Srinivas Rao Chinta, Joint Advisor of Ministry of Ayush, asked for regulatory aspects to be advanced to increase efficiency and safety issues.

Licensing is a key factor that should not be overlapped in this emerging market, he said during the Assocham’s ‘10th Nutraceutical Summit’ in the national capital.

Nutraceuticals are the formulation of nutrients which helps in prevention and treatment of some diseases, in addition to a supplement diet.

Dr Chinta focused on the importance of Nutraceuticals and how regulatory bodies play a key role in monitoring products for daily usage.

He advocated the holistic approach of Ayurveda routine that is being followed with the help of Nutraceuticals as everybody is concerned for their health these days.

The integration of Ayurvedic principles into modern Nutraceuticals has been a focal point in recent policy developments.

The FSSAI, in collaboration with Ayush Ministry, introduced the 'Ayush Aahar' category to regulate and promote Ayurvedic nutritional supplement to ensure that products align with traditional Ayurvedic recipes and processes thereby facilitating their production and marketing.

According to Sandeep Verma, Co-Chairperson, Assocham National Wellness Council, expressed how consumers continue prioritising health and wellness and the nutraceutical industry is poised for exponential growth.

With advancements in personalised nutrition and AI-driven supplement recommendations, the future of nutraceuticals looks promising, he noted.

Meanwhile, the country’s Nutraceutical industry is looking to expand globally with support from its rich heritage of traditional knowledge, especially in Ayurveda.

India’s longstanding history in health science, especially Ayurveda, offering unique traditional knowledge is a key advantage in the Nutraceutical industry.

Moreover, besides expertise in pharmaceutical formulation, influencing high-quality nutraceutical standards, the country also boasts of a thriving startup ecosystem with a growing number of successful nutraceutical companies catalysing sectoral growth.

Elderly, middle-aged at high risk of developing and dying from cancer: ICMR study

A groundbreaking ICMR study has unveiled alarming cancer trends in India, showing elderly and middle-aged populations are most vulnerable. The research indicates that people aged 70 and above have the highest cancer development and mortality rates, with a 10% and 7.7% risk respectively. Middle-aged individuals also face significant challenges, with an 8.3% cancer development probability. The study underscores the urgent need for targeted healthcare interventions to address the mounting cancer burden in the country.

"About 70 per cent of cancer cases and deaths occur in middle- and older-age groups" - ICMR Researchers

Elderly, middle-aged at high risk of developing and dying from cancer: ICMR study

Older adults and middle-aged adults are more at risk of developing cancer, and dying from the deadly disease in India, according to a study led by the Indian Council of Medical Research (ICMR).

Key Points

1 Elderly face over 10% cancer development risk

2 Middle-aged adults show 8.3% cancer incidence

3 India expects two percent yearly cancer case increase

4 Three in five diagnosed cancer patients likely to die

The study published in 'The Lancet Regional Health Southeast Asia journal showed that the elderly (aged 70 years and above) had the highest risk of developing cancer -- more than 10 per cent --, and dying from it -- 7.7 per cent.

The risk of middle-aged (15-49 years) developing cancer is 8.3 per cent, while their odds of dying from the disease is 5.5 per cent.

The researchers emphasised the need to increase targeted interventions and strategies "to tackle the escalating cancer burden in India, with about 70 per cent of cases and deaths occurring in the middle- and older-age groups", the team said.

The ICMR researchers also projected that in the coming two decades, India will face a formidable challenge in managing deaths related to cancer incidence, with a yearly increase of two per cent in cases as the population ages.

Using the Global Cancer Observatory (GLOBOCAN) 2022 and Global Health Observatory (GHO) databases, the team examined trends in 36 types of cancer across age groups and genders in India over the past 20 years.

Notably, it showed that three in every five people in India are likely to succumb to cancer following diagnosis.

The findings also revealed that the five most common cancers affecting both genders collectively account for 44 per cent of the cancer burden in India.

However, women in India were found to bear a "disproportionate burden", as breast cancer continues to be the most prevalent cancer. Breast cancer contributes to 13.8 per cent of new cases from both genders followed by cervical cancer (9.2 per cent).

Exercise may boost survival in cancer patients post-treatment

A groundbreaking study from Louisiana State University demonstrates the powerful impact of exercise on colon cancer survival rates. Researchers discovered that patients engaging in higher levels of physical activity (over 18 MET-hours/week) experienced significantly better long-term survival outcomes. The research analyzed data from 2,875 patients, revealing that consistent exercise could potentially eliminate survival disparities after cancer treatment. This study offers hope and practical guidance for cancer survivors seeking to improve their health through manageable lifestyle changes.

"Patients can control physical activity levels to impact long-term prognosis" - Dr. Justin C. Brown

Exercise may boost survival in cancer patients post-treatment

Higher levels of physical activity may not only prevent the risk of cancers but also boost survival rates in people who have undergone treatment.

Key Points

1 Research tracked 2,875 colon cancer patients post-treatment

2 Higher exercise levels linked to improved survival rates

3 18 MET-hours/week shows most significant survival benefits

4 Physical activity can reduce mortality disparities

Researchers from the Louisiana State University in the US focussed on long-term survival rates in colon cancer survivors. Individuals with colon cancer face higher rates of premature mortality than people in the general population.

To assess whether exercise might reduce this disparity, the team analysed data from two posttreatment trials in patients with stage 3 colon cancer. A total of 2,875 patients self-reported physical activity after cancer surgery and chemotherapy.

For all participants, physical activity was based on metabolic equivalent (MET) hours per week. (Health guidelines recommend 150 minutes of moderate-intensity exercise per week, translating to approximately 8 MET hours/week.)

The findings, published in the peer-reviewed journal CANCER, showed that patients who were alive at three years after cancer treatment, and those with less than 3 MET-hours/week had subsequent 3-year overall survival rates. It was 17.1 per cent lower than the matched general population.

On the other hand, people with more than 18 MET-hours/week had only 3.5 lower subsequent 3-year overall survival rates than the matched general population. Similarly in the second trial, patients who were alive at three years, those with less than 3 and more than 18 MET-hours/week had subsequent 3-year overall survival rates that were 10.8 per cent and 4.4 per cent lower than the matched general population, respectively.

The results indicate that "higher levels of physical activity may lessen and even eliminate survival disparities," the researchers said. The study showed that cancer survivors who were tumour-free by year three and regularly exercised achieved even better subsequent survival rates.

"This new information can help patients with colon cancer understand how factors that they can control -- their physical activity levels -- can have a meaningful impact on their long-term prognosis," said lead author Justin C. Brown, from the Pennington Biomedical Research Center and the Louisiana State University Health Sciences Center.

Lead Poisoning: Avoid alternative treatments without proper guidance, as they can lead to lead poisoning

A shocking medical case in Delhi reveals the hidden dangers of unregulated alternative medicine treatments. Doctors discovered a 65-year-old woman suffering from severe lead poisoning after prolonged use of indigenous medications. Her blood lead levels were an alarming 16 times higher than normal, causing serious health complications. The patient was successfully treated with chelation therapy, demonstrating the critical importance of medical oversight and careful screening of alternative health treatments.

"These remedies may seem safe, but can contain harmful toxins like lead" - Dr. Piyush Ranjan, Sir Gangaram Hospital

In a recent case, doctors at a private hospital in Delhi have identified a rare and preventable cause of severe abdominal pain and anaemia in a 65-year-old woman, pointing to lead poisoning from prolonged use of alternative medicines.

Key Points

1 Lead levels 16x higher than normal in elderly patient

2 Alternative medicine poses hidden health risks

3 Chelation therapy successfully treated severe symptoms

4 Comprehensive testing crucial for accurate diagnosis

According to Dr. Piyush Ranjan, Vice-Chairperson of the Institute of Liver Gastroenterology & Pancreatico Biliary Sciences at Sir Gangaram Hospital, emphasized, "This case is a stark reminder of the dangers that unregulated alternative medicines can pose. While these remedies may seem safe or natural, they can contain harmful toxins like lead that accumulate in the body over time, causing severe health issues. Early recognition and intervention are critical in such cases, and we encourage the public to be cautious when using alternative treatments that lack proper regulation and quality control."

"The patient was experiencing abdominal pain for over a month and was admitted with severe anemia, with a hemoglobin level of just 7 gm/dL. Despite initial investigations, including ultrasound, CECT abdomen, and endoscopies, no clear diagnosis was made, leaving the medical team puzzled," stated the hospital.

"However, after considering the patient's history of using "alternative medicines" for bone health, a comprehensive blood lead test and bone marrow examination were performed. Shockingly, her blood lead levels were found to be extremely high at 163.5 ug/dL (normal levels are below 10 ug/dL), confirming the diagnosis of lead poisoning," the hospital further stated.

"The patient had no history of blood in her stool, weight loss, or use of pain medications. Despite normal imaging tests, her symptoms of abdominal discomfort and constipation persisted. It was only when the possibility of lead exposure was considered that the true cause was revealed," said the hospital officials further while explaining about the symptoms of patient who come for the treatment.

Lead poisoning can occur through the ingestion of contaminated substances, and in this case, the prolonged intake of indigenous medications led to the buildup of toxic levels of lead in the patient's system.

The patient was immediately started on chelation therapy, beginning with British Antimony Lewisite (BAL) injections and subsequently switched to oral Succimer tablets. Remarkably, her symptoms improved significantly within just three days.

Over 3 hours of sedentary behaviour may up mental health risks in teenagers: Study

A groundbreaking study reveals the potential mental health dangers of prolonged sedentary behavior in teenagers. Researchers discovered that more than three hours of daily screen time can significantly increase risks of anxiety and depression. Interestingly, not all screen time is harmful, with educational activities showing protective mental health benefits. The study emphasizes the importance of balanced digital engagement and structured screen time for adolescent psychological well-being.

"Most research focuses on total sitting time, but we can have positive sedentary activities" - Andre de Oliveira Werneck, University of Sao Paulo

Over 3 hours of sedentary behaviour may up mental health risks in teenagers: Study

Teenagers and adolescents who spend more than three hours a day engaged in sedentary behaviours -- which includes playing video games or increased screen exposure -- have a higher risk of facing mental health issues such as anxiety and depression, according to a study.

Key Points

1 Excessive screen time linked to psychological distress

2 Video games increase mental health risks by 3% per hour

3 Educational screen time can be protective for adolescents

The study, published in the Journal of Adolescent Health, showed that adolescents who spent more than 180 minutes a day on screens for leisure were associated with greater psychological distress at age 17.

Video games were particularly influential, with each additional hour associated with a 3 per cent increase in psychological distress. Those who spent more than three hours a day reading for leisure (especially boys) also reported more psychological distress.

At the same time, moderate screen exposure (between 60 and 119 minutes per day) invested in educational activities, such as doing homework or attending classes, was considered a "protective" factor associated with less psychological distress.

"Sedentary behaviour includes a variety of activities, such as using a computer, watching television, reading, listening to music, or attending class. Most research focuses on analysing total sitting time, but we can have positive sedentary activities, such as attending class and doing homework, for example. And there are activities that are not beneficial, such as spending too much time on the Internet or playing video games," explained Andre de Oliveira Werneck, doctoral student, at the School of Public Health of the University of Sao Paulo (FSP-USP) in Brazil.

Sedentary behaviour among adolescents has become a growing problem worldwide. Besides increasing physical health risks such as obesity and cardiovascular disease, it can also affect mental health, increasing feelings of anxiety and depression.

To understand, the team from King's College London in the UK, collected information from 3,675 adolescents -- when they were 14 years old and then at the age of 17. At 14, the participants were asked to complete a diary in which they recorded their general physical activity, time spent sleeping, recreational screen time, non-screen recreational time, and educational sedentary behaviour.

At age 17, the same participants reported their psychological distress.

While previous research has shown that reading is associated with better mental health outcomes and other healthy behaviours, the new research suggests that excessive reading may be harmful in some cases.

Adolescents who spend many hours reading are "displacing" time that could be spent on activities with face-to-face or outdoor social interactions, which are protective, leading to greater isolation, the researchers said. In addition, it is possible that some of the reading is done on screen devices (cell phones, computers, or tablets), which is also harmful.

Based on the findings, the researchers suggested interventions such as setting clear limits on screen time; and encouraging more educational and structured screen activities rather than passive recreational screen time.

Celltrion's autoimmune disease treatment gets approval in Europe

Celltrion, a leading South Korean biopharmaceutical company, has received European Commission approval for Avtozma, its innovative biosimilar treatment for autoimmune diseases. The drug can be used to treat conditions like rheumatoid arthritis and giant cell arteritis in both intravenous and subcutaneous formulations. This approval follows recent FDA authorization and aligns with Celltrion's strategic plan to expand its biosimilar portfolio to 22 products by 2030. The company sees significant market potential, especially given the global ustekinumab market's substantial value of $20.4 billion in 2023.

"The EC approval on Avtozma marks a critical step in our mission to provide affordable healthcare solutions" - Ha Tae-hun, Celltrion SVP

Celltrion, a major South Korean biopharmaceutical firm, on Monday said its new biosimilar for an autoimmune disease treatment has obtained approval from the European Commission (EC).

Key Points

1 Avtozma approved for EU market treating rheumatoid arthritis

2 FDA approval secured last month

3 Part of Celltrion's ambitious biosimilar expansion strategy

4 Targets 22 biosimilar products by 2030

The EC approved Celltrion's Avtozma, a biosimilar to Actemra, in both intravenous and subcutaneous formulations, for sales in the member countries of the European Union, the company said, Yonhap news agency reported.

Avtozma can be used as a treatment for multiple autoimmune diseases, including rheumatoid arthritis and giant cell arteritis.

"The EC approval on Avtozma marks a critical step in Celltrion's mission to provide European healthcare systems with affordable, effective solutions for immunological disorders," Ha Tae-hun, senior vice president in charge of Celltrion's European operations, said in the release.

Avtozma was also approved by the US Food and Drug Administration (FDA) for local sales last month.

The Korean drugmaker aims to commercialise 22 biosimilar products by 2030, up from the current 11. Celltrion had said Avtozma has great sales potential, noting its original drug, Actemra, raised 2.63 billion Swiss francs ($2.89 billion) globally in 2023.

Earlier, the company announced another autoimmune disease treatment by Celltrion has been launched in five major European nations. The treatment - SteQeyma -- is an ustekinumab biosimilar treatment for multiple chronic inflammatory diseases.

According to Celltrion, it was released in France, following its launch in Italy and Spain in January, Yonhap reported.

The launch in France follows its release in Britain in December and Germany in November. In last August, the drug won the European Commission's (EC) approval for biologic therapy in gastroenterology, dermatology, and rheumatology indications.

It marked Celltrion's seventh biosimilar to win the EC's approval, following Remsima, Truxima, Herzuma, and others.

Celltrion said it plans to expand sales of SteQeyma in Europe and also introduce the product in the US in the future.

According to data from healthcare researcher Iqvia, the European ustekinumab market was valued at $3.1 billion in 2023, with the global market size reaching $20.4 billion.

https://www.newkerala.com/news/o/celltrions-autoimmune-disease-treatment-gets-approval-europe-212

Breathing can be linked with vision: Study

Scientists at Karolinska Institutet have uncovered a fascinating connection between breathing and vision that challenges previous understanding. Their research reveals that pupil size dynamically changes during breathing cycles, potentially impacting how we perceive visual information. This groundbreaking study introduces a fourth mechanism for pupil size variation, expanding our knowledge of human perception. The findings could have significant implications for understanding cognitive functions and potential clinical applications.

"Our vision may switch between optimising for distinguishing small details when we inhale and detecting faint objects when we exhale" - Martin Schaefer, Karolinska Institutet

Washington DC, February 23: Researchers have discovered a fundamental mechanism that affects pupil size: breathing. The study shows that the pupil is smallest during inhalation and largest during exhalation, which could affect vision.

Key Points

 

1 Breathing creates fourth known mechanism affecting pupil size

2 Pupil smallest during inhalation and largest during exhalation

3 Study conducted with over 200 participants

4 Research suggests potential clinical applications

Researchers at Karolinska Institutet in Sweden have discovered a fundamental mechanism. The study was published in The Journal of Physiology.

Like the aperture in a camera, the pupil controls how much light reaches the eye. Therefore, it is fundamental to vision and how we perceive our surroundings.

Over a century ago, three mechanisms that can change the size of the pupil were known: the amount of light, focus distance, and cognitive factors such as emotion or mental effort.

Now, scientists have discovered a fourth: breathing. The pupil is smallest around inhalation onset and largest during exhalation.

"This mechanism is unique in that it is cyclical, ever-present and requires no external stimulus," explains Artin Arshamian, associate professor at the Department of Clinical Neuroscience, Karolinska Institutet, who led the research.

"Since breathing affects brain activity and cognitive functions, the discovery may contribute to a better understanding of how our vision and attention are regulated."

The researchers conducted five experiments with over 200 participants, examining how breathing affects pupil size under different conditions. The results showed that the effect persisted whether participants breathed quickly or slowly, through their nose or mouth, if lighting conditions or fixation distance varied if they were resting or performing visual tasks.

The difference in pupil size between inhalation and exhalation was large enough to theoretically affect vision.

The researchers are now investigating whether changes in pupil size during breathing also affect vision. Previous research shows that smaller pupils make it easier to see details, while larger pupils help us find hard-to-see objects.

"Our results suggest that our vision may switch between optimising for distinguishing small details when we inhale and detecting faint objects when we exhale, all within a single breathing cycle," says Martin Schaefer, a postdoctoral researcher at the same department at Karolinska Institutet and the study's first author.

There may also be clinical applications, according to the researchers.

Only 1 hour of daily screen use can up nearsightedness risk: Researchers

A groundbreaking study reveals that just one hour of daily digital screen time can dramatically increase the risk of nearsightedness in children and young adults. Researchers examined data from over 335,000 participants and found a significant correlation between screen exposure and myopia development. The study suggests a potential "safety threshold" of less than one hour of daily screen time to minimize eye health risks. Beyond vision problems, prolonged screen use can also impact cognitive functions and physical health, highlighting the importance of managing digital device usage.

"These findings can offer guidance to clinicians and researchers regarding myopia risk" - JAMA Network Open Study Researchers

Here comes another warning for those who love to spend hours on digital screens. According to a new study, spending as little as one hour per day on tablets or smartphones could significantly increases the risk of myopia or nearsightedness.

1-hour digital screen time increases myopia risk by 21%

In the systematic review and dose-response meta-analysis, a daily 1-hour increment in digital screen time was associated with 21 per cent higher odds of myopia (nearsightedness), according to the study published in JAMA Network Open.

The dose-response pattern exhibited a sigmoidal shape, indicating a potential safety threshold of less than 1 hour per day of exposure, with an increase in odds up to 4 hours.

"These findings can offer guidance to clinicians and researchers regarding myopia risk," said researchers.

There has been a surge in nearsightedness cases largely driven by an increased use of digital screens.

The team reviewed data from 45 investigations that looked at the association between screen time and nearsightedness in more than 335,000 participants from toddlers to young adults.

The researchers said the risk increased significantly from 1-4 hours of screen time and then went up more gradually.

However, no association was found with exposure under 1 hour, suggesting a potential safety threshold. The authors say these findings can offer guidance to clinicians addressing the "myopia pandemic."

Recently, industry experts in India discussed the role of technology and gadgets, which are some of the biggest dilemmas faced by students, parents and teachers alike, especially during exams.

Long periods of screen time can affect the brain's cognitive functions. This is basically because of the decreased attention span and prolonged screen time, which often involves sitting in a difficult posture on the bed or couch.

Daily Cannabis use linked to cannabinoid hyperemesis syndrome: Study

A new study analyzed the disease burden and risk factors for severity among people who suffer from cannabinoid hyperemesis syndrome.

Researchers at George Washington University said that the condition occurs in people who are long-term regular consumers of cannabis and causes nausea, uncontrollable vomiting and excruciating pain in a cyclical pattern that often leads to repeated trips to the hospital.

 "This is one of the first large studies to examine the burden of disease associated with this cannabis-linked syndrome," says Andrew Meltzer, professor of emergency medicine at the GW School of Medicine & Health Sciences and lead author of the study.

"Our findings suggest that cannabinoid hyperemesis syndrome could represent a costly and largely hidden public health problem." While the exact prevalence of the condition is unknown, many experts say that the condition is on the rise as the number of daily or near-daily users of cannabis has increased in the US.

To assess the burden of disease, Meltzer and his colleagues conducted a survey of 1,052 people who reported suffering from cannabinoid hyperemesis syndrome. The researchers asked questions about the frequency of use, duration of the habit, the age at which they started using the drug, and the need for emergency department or hospital care.

Key findings of the study:

85% reported at least 1 emergency department visit, and 44% reported at least 1 hospitalization associated with the hyperemesis symptoms.

Early age of cannabis initiation was associated with higher odds of emergency department visits.

Daily use of cannabis before the onset of the syndrome was nearly universal, with over 40% of respondents reporting they used marijuana more than 5 times a day.

Prolonged use was common, with 44% reporting regularly using for more than 5 years before the onset of the syndrome.

Although this study had some limitations, including self-reported use of cannabis, Meltzer says it suggests a substantial risk of this painful and costly condition, especially for users who begin daily use of cannabis as adolescents.

He says more research is needed to understand why some people suffer from the condition after prolonged cannabis exposure, and others do not. 

https://www.tribuneindia.com/news/health/daily-cannabis-use-linked-to-cannabinoid-hyperemesis-syndrome-study/

February 20, 2025

WHO's ICD-11 series officially introduces new module dedicated to traditional medicine

The World Health Organization has officially introduced a groundbreaking module in its International Classification of Diseases (ICD-11) specifically dedicated to traditional medicine. This landmark development recognizes Ayurveda, Siddha, and Unani medical systems as legitimate healthcare approaches with global significance. The new module comprises 529 categories, enabling unprecedented systematic documentation and research into traditional medical practices. By integrating these indigenous healthcare systems, WHO is promoting a more comprehensive and inclusive approach to global health reporting and policy-making.

"By allowing dual coding and improving data collection, this update fosters evidence-based policymaking" - Vaidya Rajesh Kotecha, Ayush Ministry Secretary

WHO's ICD-11 series officially introduces new module dedicated to traditional medicine

The World Health Organization's (WHO) Disease Classification Series ICD-11 has officially introduced a new module dedicated to traditional medicine, the Ayush Ministry said on Wednesday.

Key Points

1 WHO releases comprehensive traditional medicine classification module

2 529 categories document indigenous healthcare practices

3 Enables global research and policy integration

4 Supports holistic healthcare approach

The International Classification of Diseases (ICD) 11th Revision is the global standard for diagnostic health information. The ICD-11 series had recognised the traditional medicine (TM2) module in 2024. It was then followed by successful year-long testing and deliberations for Ayurveda, Siddha, and Unani systems of medicine.

"The ICD-11 TM 2 module is now officially released on the ICD-11 Blue Browser of WHO," the Ministry said.

"The introduction of the new module dedicated to traditional medicine conditions, marks a monumental step in the systematic tracking and global integration of traditional systems of healthcare practices related to Ayurveda, Siddha, and Unani, alongside conventional medical conditions," the Ministry said.

The official release will boost the status of traditional medicines in global health reporting, research, and policymaking.

The TM2 module comprises 529 categories which revolve around traditional medicine disorders and patterns. This will enable data collection and analysis on an unprecedented scale, according to the ministry.

"By allowing dual coding and improving data collection, this update fosters evidence-based policymaking, enhances patient care, and supports the inclusion of traditional medicine in national healthcare strategies, promoting holistic and inclusive healthcare worldwide," said Vaidya Rajesh Kotecha, Secretary, of the Ministry of Ayush.

"With the new updates, the ICD-11 offers more ease of use, improved interoperability, and accuracy, which will benefit national health systems and the people they serve," added Dr. Robert Jakob, Team Leader, Classifications and Terminologies Unit, WHO.

Traditional medicine has long been an essential component of healthcare, particularly in Asia, Africa, and other regions where indigenous practices complement modern medical approaches. Its introduction in ICD-11 aligns with WHO's mission to promote universal health coverage and sustainable development goals.

It also recognises the therapeutic potential of these systems alongside contemporary medical treatments.

This will enable the systematic documentation of traditional medicine practices, said the ministry noting that the WHO has created a platform for enhancing both the visibility and credibility of Ayurveda, Siddha, and Unani on the world stage.

https://www.newkerala.com/news/o/whos-icd-11-series-officially-introduces-new-module-dedicated-traditional-104

1 in 5 newborns with neonatal seizures to develop epilepsy by age one: Study

A groundbreaking study from Denmark has uncovered significant insights into neonatal seizures and their long-term neurological implications. Researchers found that 20% of newborns experiencing seizures will develop epilepsy by age one, with varying risk levels depending on underlying conditions. Brain malformations, perinatal injuries, and low Apgar scores were identified as key risk factors for future epileptic development. Importantly, the study also emphasizes that the majority of neonatal seizure survivors do not ultimately develop epilepsy, offering hope for early intervention and personalized medical care.

"Our study highlights risk factors that may be used to identify infants for tailored follow-up" - Jeanette Tinggaard, Copenhagen University Hospital

1 in 5 newborns with neonatal seizures to develop epilepsy by age one: Study

One in five or 20 per cent of newborns with neonatal seizures will go on to develop epilepsy by age one, finds a study on Wednesday.

Key Points

1 Danish researchers analyzed 1,998 children with neonatal seizures

2 Highest epilepsy risk linked to brain malformations and perinatal injuries

3 Four out of five neonatal survivors do not develop epilepsy

Seizures in newborns are one of the most frequent acute neurological conditions among infants admitted to neonatal care units.

Researchers from the Copenhagen University Hospital – Rigshospitalet in Denmark showed that after neonatal seizures, the risk of epilepsy is persistently increased throughout adolescence. The team analysed data on all 1,998 children born in the country who experienced neonatal seizures.

The results, published in the journal Developmental Medicine & Child Neurology showed that the cumulative risk of epilepsy was 20.4 per cent among children with neonatal seizures compared with 1.15 per cent among children without.

Among these children, epilepsy was diagnosed before 1 year of age in 11.4 per cent of children with neonatal seizures, in an additional 4.5 per cent between 1 and 5 years, 3.1 per cent between 5 and 10 years, and 1.4 per cent between 10 and 22 years. Stroke, haemorrhage, or structural brain malformations in newborns, as well as low scores on the Apgar test (Appearance, Pulse, Grimace, Activity, and Respiration), were associated with the highest risks of developing epilepsy.

Neonatal seizures are often caused by acute cerebral injury or stress, such as hypoxic-ischaemic encephalopathy, stroke, and cerebral infection, as well as transient and reversible brain alterations of metabolic or toxic origin; however, congenital brain malformations and genetic disorders are also recognised causes.

Furthermore, the study showed that the risk of epilepsy after neonatal seizures was highest among those with cerebral malformation or perinatal brain injury, although children with perinatal asphyxia (lack of oxygen) alone also had an increased risk.

In addition, the risk of febrile seizures (convulsions caused by a fever) was also significantly higher in neonatal survivors with neonatal seizures, although not to the same extent as the risk for epilepsy.

“Our study highlights that there are risk factors that may be used to identify infants for tailored follow-up and preventive measures,” said Jeanette Tinggaard, from the varsity.

“Importantly, four out of five neonatal survivors with a history of neonatal seizures did not develop epilepsy, and we suggest future studies to explore a potential genetic predisposition,” Tinggaard added.

https://www.newkerala.com/news/o/newborns-neonatal-seizures-develop-epilepsy-age-one-study-465

Study explains why youth are more vulnerable to nicotine addiction

A groundbreaking study from Pennsylvania State University reveals that young adults are more susceptible to nicotine's harmful effects compared to middle-aged individuals. Researchers discovered that younger subjects experience more intense physiological reactions to the same nicotine doses, potentially increasing their addiction vulnerability. The study highlights the complex interactions between age and chemical responses in the body. These findings could have significant implications for addiction prevention and treatment strategies targeting younger populations.

"People continue to develop and change across their entire lifespan" - Thomas Gould, Penn State Professor

Study explains why youth are more vulnerable to nicotine addiction

Young adults are more susceptible to the impact of nicotine, as their bodies are more sensitive to the dangerous and highly addictive chemical than middle-aged adults, according to a new study.

Key Points

1 Mice study shows young adults more sensitive to nicotine

2 Nicotine lowers body temperature faster in younger subjects

3 Age significantly impacts chemical response mechanisms

4 Increased addiction risk for youth exposed to nicotine

In a mice study, researchers from the Pennsylvania State University in the US showed that the effects of drugs on the body -- both medication and misused substances -- change as per age.

They stressed the need to consider this factor when developing and prescribing treatments against nicotine. The findings, appearing in the journal Behavioral Pharmacology, showed that nicotine lowers the body temperature of young adult mice more quickly and reduces their movement more significantly than middle-aged mice.

Further, young adult mice -- aged two months – were found to respond more acutely to a nicotine dose of the same strength relative to their body size than middle-aged mice -- aged eight months.

These results indicate how the effects of nicotine change as people age, said the researchers.

"People continue to develop and change across their entire lifespan, and this affects how our bodies respond to medications and other chemicals, including nicotine. This research adds one piece to the puzzle of all the factors -- age, biological sex, genetics, and many others -- needed to create effective medical treatments and policies for all people," said Thomas Gould, Professor of Biobehavioral Health and head of Penn State Department of Biobehavioral Health.

In the study, both young adult and middle-aged study subjects displayed decreased movement after receiving nicotine, but young adults reduced their movements more than middle-aged subjects. This indicates that the young adult subjects experienced the effects of nicotine more intensely, the researchers said.

The study shows that the younger a person is, the more acute is the response to nicotine. This has implications both for prevention messages and for supporting young nicotine users who want to quit.

Increased susceptibility to nicotine may also spike the risk of developing an addiction that can have serious health implications, said the team.

https://www.newkerala.com/news/o/study-explains-youth-vulnerable-nicotine-addiction-714

Combination immunotherapy may cure patients with deadly advanced skin cancer

A groundbreaking clinical trial reveals a promising combination immunotherapy that could dramatically improve survival rates for advanced melanoma patients. The seven-year study showed over 50% of patients achieved long-term disease control, a remarkable improvement from the previous 16-week survival expectation. Researchers from the Melanoma Institute Australia are confident this treatment could become the new standard of care for patients with brain metastases. The research, published in Lancet Oncology, offers renewed hope for those facing this deadly form of skin cancer.

"We are now confident these patients are cured, a term not used lightly in cancer." - Professor Georgina Long, Melanoma Institute Australia

Combination immunotherapy may cure patients with deadly advanced skin cancer

A combination immunotherapy may help cure a majority of patients with melanoma -- a deadly skin cancer -- that has spread to the brain, revealed a seven-year follow-up results from a clinical trial on Tuesday.

Key Points

1 Combination immunotherapy achieves 51% long-term survival in advanced melanoma

2 Brain metastasis patients show significant treatment response

3 Seven-year clinical trial proves breakthrough cancer treatment strategy

The trial, published today in the journal Lancet Oncology, showed that more than 50 per cent of patients given combination immunotherapy as first-line treatment achieved long-term disease control. Currently, patients with brain metastases -- which account for 30-40 per cent of patients with Stage 4 melanoma -- only survive for around 16 weeks.

Professor Georgina Long AO, Medical Director of Melanoma Institute Australia said the combination immunotherapy led to the overall survival of 48 per cent of patients, which then increased to 51 per cent in patients given the treatment upfront.

“This proves we have achieved long-term disease control in this group of advanced melanoma patients,” said Long AO, who is also the lead author of the study.

“We are now confident these patients are cured, a term not used lightly in cancer. This combination immunotherapy should now become standard of care for melanoma patients with brain metastasis,” she said.

The randomised, phase 2 trial conducted between 2014 and 2017, enrolled 79 patients. Of these 36 were given combination checkpoint inhibitor immunotherapy (anti-PD-1 plus anti-CTLA-4) and 43 were prescribed single-agent immunotherapy (nivolumab).

The results, after a follow-up of seven-years, show progression-free survival rate was 42 per cent with ipilimumab plus nivolumab, compared to 15 per cent with nivolumab alone. Overall survival was 48 per cent and 26 per cent respectively.

In patients treated upfront, or as first-line treatment, the seven-year progression-free survival rate was 47 per cent with the combination immunotherapy and 14 per cent with the single agent, with overall survival 51 per cent and 29 per cent respectively.

https://www.newkerala.com/news/o/combination-immunotherapy-cure-patients-deadly-advanced-skin-cancer-485

Health Ministry to launch nationwide screening drive for high BP, diabetes, cancer

The Health Ministry is launching a critical nationwide screening program targeting non-communicable diseases. Individuals over 30 can get free health checks for hypertension, diabetes, and various cancers at government facilities. The initiative comes as NCDs increasingly affect younger Indians, with two-thirds of patients aged between 26-59 years. This comprehensive health drive aims to raise awareness and early detection of potentially life-threatening conditions.

"Take charge of your health" - Ministry of Health and Family Welfare

The Ministry of Health and Family Welfare (MoHFW) has announced a nationwide screening drive for non-communicable diseases (NCDs) like high blood pressure, diabetes and cancer.

Key Points

1 Nationwide free screening for major non-communicable diseases

2 Targeting individuals above 30 years old

3 NCDs account for 66% of mortality in India

4 Screening available at government healthcare facilities

The screening drive will be held from February 20 to March 31. The Health Ministry called on individuals above 30 years of age, to get screened for these diseases from the nearest government healthcare facility.

"Take charge of your health -- join the nationwide screening drive for non-communicable diseases (NCDs) from February 20th to March 31st, and get screened for free at your nearest government healthcare facility," said the MoHFW in a post on social media platform X.

"All government health facilities will conduct a nationwide special screening drive for: hypertension, diabetes, oral, breast and cervical cancer," it added.

The Ministry also listed the symptoms of diabetes that one shouldn't ignore in an infographic along with the post. These include "blurred vision, increased appetite, delayed healing of wounds, fatigue, constant thirst, sudden weight loss, and frequent urination".

"Don't ignore these symptoms of diabetes!" the Ministry said.

The screening drive comes even as the country is seeing a significant rise in the NCDs. According to data from the Indian Council of Medical Research-National Institute of Nutrition (ICMR-NIN), NCDs account for 66 per cent of all mortality in the country.

The burden of cardiovascular diseases, diabetes, chronic respiratory diseases, and cancers has also become a significant public health challenge, particularly among individuals over the age of 30.

Unlike the much-developed Western world, where NCDs typically manifest later in life, India faces these diseases at a much younger age.

Alarmingly, two-thirds of Indians with NCDs fall within the 26-59 age group, the most productive years of their lives. Most of it is due to unhealthy diet choices and other lifestyle practices.

A recent study by ICMR-NIN highlights that 56 per cent of the disease burden is due to an unhealthy diet.

Recently, Prime Minister Narendra Modi, in his address to the athletes and other delegates at the 38th National Games held in Dehradun emphasised the importance of a healthy body that is key to a healthy mind, which in turn could lead to a healthy nation.

Talking about the Fit India Movement, he also spoke about the importance of exercise and diet, with a focus on balanced intake. Stressing the importance of reducing unhealthy fat and oil in food, he gave the novel suggestion of reducing daily oil consumption by 10 per cent.

https://www.newkerala.com/news/o/health-ministry-launch-nationwide-screening-drive-high-bp-diabetes-315

Study explores role of immune cells in cancer treatment outcomes

A groundbreaking study from University College London has uncovered critical insights into how immune cells impact cancer treatment outcomes. Researchers developed an innovative technique called ImmuneLENS that examines genome sequencing to evaluate immune cell proportions in patients. The research revealed that higher T cell levels in blood are associated with significantly improved survival rates, potentially offering a new diagnostic approach for clinicians. These findings could revolutionize cancer prognosis and treatment strategies by providing more precise predictive markers.

"May be able to predict how long a cancer patient will survive better than the number of T cells in the tumour alone" - Prof. Nicholas McGranahan, UCL Cancer Institute

The immune systems of cancer patients may play a significant role in their treatment outcomes, according to a study on Tuesday.

Key Points

1 Pioneering ImmuneLENS technique analyzes genome sequencing data

2 T cell proportion strongly predicts cancer outcomes

3 Male cancer patients show faster immune cell decline

4 Potential early cancer detection through blood immune markers

In the study, researchers at the University College London and the Francis Crick Institute found that cancer patients with a higher number of immune cells in their blood have a better survival rate.

They used a pioneering technique -- Immune Lymphocyte Estimation from Nucleotide Sequencing (ImmuneLENS), which enables researchers to calculate the proportion of T cells and B cells (types of immune cells) from whole genome sequencing (WGS) data.

The team analysed over 90,000 WGS samples -- both of healthy individuals and cancer patients. The findings described in the journal Nature Genetics showed that cancer patients had a lower proportion of T cells circulating in the blood compared to healthy individuals.

Further, T cell proportion was found to be a strong predictor of cancer outcomes, with higher proportions associated with 47 per cent fewer deaths over five years after surgery.

This effect was still significant when accounting for age, cancer stage, and across all cancer types -- biological markers which can be added to current genetic diagnostic tests to help clinicians with more information on which to base treatment plans, said the researchers.

Professor Nicholas McGranahan, senior author of the study from UCL Cancer Institute, said while most immune system analysis until now has focused on the tumour itself, with the new tool, doctors "may be able to predict how long a cancer patient will survive better than the number of T cells in the tumour alone".

The study also showed that in people with cancer, particularly males, the proportion of immune cells in the blood diminishes faster. However, the reason behind these sexual differences remains unclear.

They also observed that individuals who were seemingly healthy at the time their sample was taken for sequencing, who subsequently went on to develop cancer, had below-average levels of B cells in their blood.

This could be because of undiagnosed early-stage cancer, or pre-cancerous changes to the immune system that could potentially have been an early sign of disease or even a factor in cancer development.

This information could be used in the future for cancer early detection or to help clinicians understand how the patient may respond to treatment, said the researchers.

https://www.newkerala.com/news/o/study-explores-role-immune-cells-cancer-treatment-outcomes-673