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Stress fracture amid pandemic: Know its symptoms, treatment, and causes

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The number of people suffering from stress fractures’ has increased significantly, according to doctors. Stress fracture cases have increased by 100% since the phased unlocking last year. In the previous year, 10% of the patients were middle-aged people who had never participated in outdoor activities before the lockdown was lifted but began after the lockdown was lifted.

So far this year, the Indian Spinal Injuries Centre in New Delhi has seen more than 30 cases of the stress fracture. The majority of the patients are in the 30-40-year-old range, followed by the 40-50-year-old range. It was a huge increase from the previous year, according to Dr Maninder Shah Singh, Sr. Consultant Orthopedics and Chief of Foot and Ankle Service.

The pandemic has been diagnosed in a group of persons who had never exercised in their lives. For the next six weeks, they were given RICE (Rest, Ice, Compression, and Elevation) as first-aid and were not allowed to go for a morning walk or run. They didn’t need surgery, but they were advised to avoid hard exercise for six weeks. According to the team’s trainer, it was a rude awakening for their bodies, which are unfamiliar and unconditioned to such actions.

A stress fracture is a very small crack in the bone that can occur as a result of repeated trauma. The shin bone, foot, heel, hip, and lower back are all common places to find it. The most typical symptom is pain, which decreases when you’re resting but increases when you’re doing normal things. “Stress fractures can be caused by jumping up and down repeatedly, jogging long distances, or wearing incorrect or worn-out footwear,” according to one expert. If untreated, discomfort at the site of a stress fracture can worsen, increasing the likelihood of a complete fracture in the affected bone.

Stress fractures are the most common injury in athletes and military recruits, according to Dr Jamsen. Those who complain of pain after a recent increase in activity with little rest should be evaluated, he says. According to him, stress fractures are more common in the lower limbs than in the upper limbs.

The primary advice to patients is RICE (Rest, Ice, Compression, and Elevation) as first-aid, as well as completely ceasing any morning walk or running for six weeks; none of the patients required surgery.

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Dr. Manjula Pooja Shroff, MD & CEO of Kalorex Group, offers a view of a post-pandemic world.

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What has the pandemic meant for leaders across industries? What has fundamentally changed for them?

Across the country as well as the entire world a major disruption has taken place. The industry and the academia both have faced the pandemic in their own ways. But one thing certain is that it has been a major learning experience for everyone.

The preparedness and response for disaster management as a continued and monitored activity across all industries is crucial. The leaders have also realized the importance of healthcare and human welfare budgets and support systems to be put in place to ensure sustainability and employee wellbeing.

While we may not have control over external factors leading to a disaster but what is important is to ensure good communication systems and decision-making mechanism and empowered teams to mitigate any impending crisis.

It is unfortunate that the world still is unable to rise above the blame game and getting political mileage out of a serious pandemic, and it will take a long time for us to do that, but what is most important is also to work towards making efforts to learn to live with this virus.

Continuing awareness drives about safety and following COVID protocols has to become an integral part of the system now. The world has to move on and citizens need to reboot their lives according to the new normal.

Fundamentally each leader has to accept that there is no certainty in the future. The situation is so rapidly changing at all times that it is impossible for anyone to predict much. Scientists are constantly flummoxed at the speed at which mutations are taking place. Hence, industry needs to spend money on research activities and invest wisely wherever require to build better and R&D facilities and encourage scientific research activities.

What are some of your boldest predictions for the industry over the next ten years?

The next 10 years may see a massive increase in AI and Machine Learning technology. It has already gained enough momentum but we may be surprised at to what levels it may take over our lives in future.

Corporate work culture to a large extent has become hybrid and will keep getting more so with flexible working hours and working from any locations as long as they deliver their KRAs.

The upcoming employees will definitely be handling multiple careers catering to their various skills and abilities and may not just be confined to one job at a time.

The environment and its cause will be in focus and the responsibility will definitely be taken over by the next generation of employable youth who will have an empathetic approach and practice conscious living. Conservation efforts will be the focus for them and not just earning a living at the cost of sacrificing the environment.

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The game-changing pill in the fight against COVID

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Amidst a time when we are witnessing severe COVID-19 cases which are leading people to hospitalizations and causing deaths, an investigational antiviral drug manufactured by Merck & Co. could cut the odds of being hospitalised in half. 

If authorized, Molnupiravir could be the first oral antiviral drug for COVID-19 and would be a potential weapon to create faults in the virus’s genetic coding.

“An oral antiviral that can impact hospitalization risk to such a degree would be game-changing”, said Amesh Adalja, Senior Scholar at the Johns Hopkins Center for Health Security. Currently, the treatment options for COVID-19 include Gilead Sciences Inc’s infused Remdesivir and the generic steroid dexamethasone.

“This is going to change the discussion about how to manage COVID-19,” said Merck CEO Robert Davis. The Phase III trial’s results were so positive that the study was called off early on the advice of independent monitors, sending Merck shares up more than 9%. 

“If there is a simple pill, people will be less afraid of COVID and less inclined to get vaccines”, says a Jefferies analyst. For the time being, only intravenous antibody mixtures are approved for non-hospitalized individuals. 

The company has received a deal with the US government to offer 1.7 million Molnupiravir courses for $700 per course, and it is in talks with other governments. Merck intends a tiered pricing structure depending on the country income criteria, according to the company. By the end of 2021, the company hopes to have produced 10 million courses.

Merck has also agreed to license the drug to several generic drug companies in India. Low and middle-income countries would be able to access the therapy, thanks to generic drugmakers. In a Phase III trial, Molnupiravir is being tested for its ability to prevent infection in patients who have been exposed to coronavirus. Officials from Merck said they don’t know how long the FDA assessment will take.

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10 Things to Know About COVID-19 Kappa and Lambda Variants

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Among the 109 samples analyzed at Lucknow’s King George medical college, two cases of the Kappa variation of COVID-19 were found. It has been present in the Indian community for a few months, but little was said about it because the dominant strain in circulation was the ‘Double Mutant’ Delta. The World Health Organization has only recently named the Kappa variety (WHO).

The Indian SARS-CoV-2 Genomics Consortium (INSACOG) is actively monitoring another COVID-19 variant, the Lambda variant, although no cases of this variant have yet been documented in India.

Here are some things you need to know about these two COVID-19 versions. 

Kappa Variant:

  • The Kappa version, like the Delta variant, is a double mutant.
  • The Kappa strain was discovered in India for the first time in October 2020, according to the WHO. B.1.617.1 is the code for it, and B.1.617.2 is the code for Delta.
  • The Kappa variant was designated as a ‘variant of interest’ by the WHO on April 4th, rather than a ‘variant of concern.’
  • It’s a “variant with genetic modifications that are expected or known to affect virus features such as transmissibility, illness severity, immunological escape, diagnostic or therapeutic escape,” according to the definition. It’s worth noting that “variants of concern” represent a far bigger threat, according to WHO.
  • Antibody-neutralizing double mutations in the Kappa form have raised worries that the vaccine’s effectiveness, as well as the natural immunity generated by COVID infection, could be harmed.
  • Both Pfizer and AstraZeneca’s vaccines were found to be broadly effective against the Kappa variation in a study released in June.

Lambda Variant:

  • Lambda was first discovered in August 2020 in Peru. In December 2020, the first sample was taken.
  • It has so far spread to 31 nations, including the United Kingdom and the United States, as well as numerous South American countries.
  • The spike protein of the Lambda version has seven mutations. One of these alterations, L452Q, could make it more infectious (it’s related to the Delta variant’s L452R mutation, which made it more virulent).
  • Due to its unique mutations, the Lambda variety may have enhanced transmissibility and increased vaccination resistance, according to the WHO. It’s also possible that the strain can avoid the body’s immune system.
  • Existing mRNA vaccines can neutralize the Lambda form, according to the small number of experiments done thus far. More research is needed, however, to prove that immunizations are effective against it.

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