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Home care for stroke patients ineffective, reveals new study

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Home care

[vc_row][vc_column][vc_column_text]~By Dinesh C Sharma

New Delhi, June 28 (India Science Wire): For years, doctors in Indian hospitals have been recommending home-based care for rehabilitation of stroke patients. But a new study – largest of its kind – has revealed that this does not work.

Stroke patients require continuous care including physiotherapy to recover and minimize life-long disability. In the absence of adequate professional and affordable rehabilitation facilities, doctors often recommend care at home by family members supplemented by physiotherapist visits. Hospital-based care is also offered in various centres but is costly.

In order to study if home-based care results in desired outcomes, a study was done at 14 public, private and district hospitals across the country. A total of 1250 stroke patients were followed up over six months. The study participants were divided in two groups – one received standard package of care given by respective hospital while the other group was given home-based care which included training to family members and weekly visits by physiotherapists for two months. The results revealed that there was no reduction in disability for patients who got care at home, compared to those who received the standard package.

The findings, published in medical journal The Lancet on Tuesday, have surprised medical community because earlier studies carried out in developed countries had indicated that community-based rehabilitation played significant role in recovery of stroke patients. The World Health Organisation (WHO) too recommends such an approach.

“We found that despite extensive training in hospital and during follow up visits in the home, there was no difference in the degree of recovery or quality of life of people who received this extra treatment,” explained Professor Richard Lindley of the George Institute for Global Health and the University of Sydney, who led the study.

The study, supported by the National Health and Medical Research Council (NMHRC) of Australia, was coordinated by Christian Medical College, Ludhiana. Patients in the intervention group had access to physiotherapists who taught the family techniques such as mobility training and communication practice.

“Professional help like training and visits by physiotherapists was provided for first two months only because the intervention needed to be cost effective and sustainable. If family members required more training, then the aspiration of routinely providing rehabilitation through family caregivers might not be feasible,” pointed out Jeyaraj Pandian, neurologist from Christian Medical College, Ludhiana who led the trial. “Our training programme might not have been sufficient (in time and content) to deliver effective family rehabilitation, as we observed only about 30 minutes of daily activities in the intervention group. Conventional western rehabilitation is usually associated with greater daily therapy time.” Accredited Social Health Activist (ASHA) might have been a more effective strategy, but probably more expensive.

Dr Vijaya Nath Mishra, a neurologist at the Sir Sunderlal Hospital at BHU, Varanasi, said the results of the study are surprising. “We will have to carefully examine the evidence because we have so far believed and also observed that caregivers and family members have a major role in outcome of stroke.” Dr Mishra was not associated with the study.

It is estimated that around 1.6 million people have a stroke in India each year, yet the vast majority receive no formal rehabilitation. The whole country has just 35 stroke units, and most are in the cities, despite stroke being the third commonest cause of death in the adult population.

Professor G V S Murthy of the Indian Institute of Public Health, the Co-Chair of the study, commented, “Task shifting is increasingly seen as a solution to targeting chronic diseases in many countries in the world. But our results show it may be ineffective for some conditions and waste already limited resources. We need more rigorous examinations of such family and community led programs before they become commonplace.”

The participating hospitals included Christian Medical College, Ludhiana; Apollo Gleneagles Hospitals, Kolkata; All India Institute of Medical Sciences, New Delhi; Baptist Christian Hospital, Tezpur; Christian Medical College and Hospital, Vellore;  GNRC Hospitals, Dispur; Lalitha Super Specialty Hospital, Guntur; Nizam Institute for Medical Sciences, Hyderabad; Postgraduate Institute for Medical Sciences and Research, Chandigarh; Sree Chitra Tirunal Institute for Medical Sciences and Technology; Global Hospitals, Chennai; BGS Global Hospitals, Bangalore; Amrita Institute of Medical Sciences, Kochi and St Stephen’s Hospital, New Delhi. (India Science Wire) [/vc_column_text][/vc_column][/vc_row]

India News

Delhi air quality plunges to severe as thick smog blankets the capital

Delhi’s air quality deteriorated sharply with AQI entering the ‘severe’ zone across several areas, prompting enforcement of GRAP stage-IV measures.

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Delhi's air quality

Delhi woke up to hazardous air conditions on Tuesday as dense smog covered large parts of the national capital, pushing the Air Quality Index (AQI) into the ‘severe’ category across several locations. Poor visibility and rising health concerns marked yet another spell of extreme pollution in the city.

Data from the Central Pollution Control Board (CPCB) showed the overall AQI in Delhi touching 413 in the morning, placing it firmly in the ‘severe’ bracket. Several areas across the National Capital Region (NCR) reported alarming pollution levels, indicating a widespread deterioration in air quality.

Pollution hotspots report hazardous readings

Some of Delhi’s major pollution hotspots recorded extremely high AQI levels. Anand Vihar topped the list with an AQI of 466, followed by Ashok Vihar at 444 and Chandni Chowk at 425. These areas remained in the ‘severe’ category, posing serious health risks, especially for children, the elderly and those with respiratory conditions.

Even central parts of the city were not spared. India Gate, Kartavya Path and the Rashtrapati Bhavan area were shrouded in toxic smog, with AQI levels around 384, categorised as ‘very poor’.

GRAP stage-IV measures enforced across Delhi-NCR

In response to the worsening situation, the Commission for Air Quality Management (CAQM) enforced all actions under GRAP Stage-IV across Delhi-NCR. As part of these emergency measures, truck-mounted water sprinklers were deployed to suppress dust and reduce particulate matter in the air.

As per AQI standards, readings between 401 and 500 fall under the ‘severe’ category, while levels above 300 are considered ‘very poor’, highlighting the seriousness of the current conditions.

Delhi government reviews pollution control steps

The Delhi government has reiterated its commitment to tackling rising pollution levels with strict enforcement measures. Chief Minister Rekha Gupta stated that a zero-tolerance policy will be followed against all sources contributing to air pollution in the capital.

A high-level review meeting was held at the Delhi Secretariat to assess existing measures and take further decisions. The meeting focused on enforcing Pollution Under Control (PUC) norms without any relaxation, exploring pooled and shared electric bus services across Delhi-NCR, issuing fresh guidelines for e-rickshaws, and rationalising Delhi Transport Corporation (DTC) bus routes.

Senior officials from the Environment and Transport Departments, the Delhi Pollution Control Committee (DPCC), Public Works Department (PWD) and Delhi Traffic Police, along with Environment Minister Manjinder Singh Sirsa, attended the meeting to finalise immediate and long-term steps to address the pollution crisis.

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India News

Rahul Gandhi alleges institutional bias, questions electoral system during Berlin address

Rahul Gandhi alleged that India’s institutions and electoral system have been weaponised to favour the BJP, remarks that sparked a strong political response.

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Rahul-Gandhi

Leader of the Opposition in the Lok Sabha, Rahul Gandhi, has said that India’s institutional framework is facing a serious challenge and has been used to favour the ruling BJP. Speaking during an interaction at the Hertie School in Berlin, Gandhi questioned the functioning of key institutions and the electoral machinery, remarks that triggered a sharp political response from the BJP.

Gandhi said the Congress believes there is a problem with the electoral system and alleged that several institutions have been captured. Referring to investigative agencies, he claimed that bodies such as the CBI and the ED have been used as political tools. According to him, cases filed by these agencies overwhelmingly target those opposing the BJP, while leaders from the ruling party face none.

He also pointed to what he described as a stark financial imbalance between the BJP and the opposition, claiming a funding ratio of 30:1. Gandhi said this disparity reflects how institutions are being used to consolidate political power.

Opposition strategy and INDIA alliance

The Congress leader said merely pointing out problems in elections is not enough and stressed the need for the opposition to build a system of resistance that can effectively counter the ruling party. He added that the challenge now goes beyond electoral contests and is about presenting an alternative vision for the country.

On the INDIA alliance, Gandhi said the unity among opposition parties is rooted in their rejection of the ideological position of the RSS. While acknowledging that tactical contests between alliance partners will continue, he said they remain united when it comes to opposing laws they disagree with and working together in Parliament.

BJP hits back at remarks abroad

Gandhi’s comments delivered overseas drew a strong reaction from the BJP. Party president and Union minister JP Nadda accused him of speaking against India while Parliament is in session and claimed that he was undermining the country’s image at a time when the Prime Minister is receiving global recognition.

BJP spokesperson Shehzad Poonawalla also criticised Gandhi, alleging that he routinely travels abroad to defame India. He accused the Congress leader of making misleading claims about the country’s institutions and economic activity while praising China.

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India News

DU VC Prof Yogesh Singh entrusted with additional charge of AICTE Chairman

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Prof. Yogesh Singh, Vice Chancellor of the University of Delhi, has been entrusted with the additional charge of the post of Chairman, AICTE till the appointment of a Chairman of AICTE or until further orders, whichever is earlier.

It is noteworthy that AICTE Chairman Prof. TG Sitharam was relieved of his duties after his term ended on December 20, 2025. According to a letter issued by the Ministry of Education, Government of India, on Monday, Prof. Yogesh Singh’s appointment is until the appointment of a regular AICTE Chairman or until further orders whichever is earlier.

Prof. Yogesh Singh is a renowned academician with excellent administrative capabilities, who has been the Vice-Chancellor of University of Delhi since October 2021. He has also served as the Chairperson of the National Council for Teacher Education. In August 2023, he was also given the additional charge of Director of the School of Planning and Architecture (SPA).

Prof. Yogesh Singh served as the Vice-Chancellor of Delhi Technological University from 2015 to 2021; Director of Netaji Subhas Institute of Technology, Delhi from 2014 to 2017, and before that, he was the Vice-Chancellor of Maharaja Sayajirao University, Baroda (Gujarat) from 2011 to 2014. He holds a Ph.D. in Computer Engineering from the National Institute of Technology, Kurukshetra. He has a distinguished track record in quality teaching, innovation, and research in the field of software engineering.

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