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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

Didn’t violate party line: Shashi Tharoor defends stand on Operation Sindhoor

Shashi Tharoor says his stance on Operation Sindhoor was driven by national interest and insists he did not violate the Congress party line.

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Congress MP Shashi Tharoor says his views on Operation Sindhoor were guided by national interest and aligned with India’s security priorities

Congress MP Shashi Tharoor on Saturday said he has never crossed the Congress party’s stated positions inside Parliament, asserting that his only principled public disagreement was related to Operation Sindhoor.

Speaking during a session at the Kerala Literature Festival, Tharoor said he had taken a firm stand on the issue and remained “unapologetic” about it. His remarks come amid recent reports highlighting differences between him and sections of the party leadership, with speculation around his dissatisfaction over not being adequately acknowledged at a recent event in Kochi and alleged attempts by state leaders to sideline him.

Clarifying his position, Tharoor said that as a writer and observer, he had penned a newspaper column after the Pahalgam incident, arguing that the attack should not go unpunished and calling for a limited kinetic response. He added that while India’s primary focus remains development, the country should not be drawn into a prolonged conflict with Pakistan.

According to Tharoor, any response should be restricted to targeting terrorist camps rather than escalating tensions. He noted that he was surprised when the government eventually took steps that mirrored the approach he had outlined.

Referring to Jawaharlal Nehru’s famous words, “Who lives if India dies?”, Tharoor said that when the country’s security and global standing are at stake, national interest must take precedence over political differences.

He added that while political parties may disagree on various issues in the process of strengthening democracy, India must come first whenever core national interests are involved.

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India News

India to start first commercial semiconductor chip production in 2026, says Ashwini Vaishnaw

India is on track to begin its first commercial semiconductor chip production in 2026, with pilot production already underway and investments nearing $90 billion, according to Union Minister Ashwini Vaishnaw.

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Union Electronics and Information Technology Minister Ashwini Vaishnaw on Friday said India remains on schedule to begin commercial semiconductor chip production in 2026, in line with the targets outlined under the India Semiconductor Mission launched in January 2022.

Speaking to media, the minister said the government had committed to starting commercial production within five years of the mission’s launch and that the timeline is being met.

“The first commercial production will begin in 2026. Four semiconductor plants are expected to start operations this year, while pilot production has already begun at three plants in 2025,” Vaishnaw said.

Semiconductor ecosystem taking shape

The minister said India’s semiconductor ecosystem is developing rapidly, with global equipment manufacturers setting up operations in the country and a strong materials manufacturing base emerging alongside.

He added that the talent pipeline is progressing faster than expected. Against a target of training 85,000 skilled professionals over 10 years, India has already trained around 65,000 people in just four years, he said.

Vaishnaw noted that several milestones under the first phase of the Semiconductor Mission are either on track or ahead of schedule, reflecting growing confidence in India’s manufacturing ambitions.

Investments near $90 billion, more expected

On the investment front, the minister said total investments in the semiconductor sector have reached close to USD 90 billion so far. He added that committed investments could rise to around USD 150 billion as India approaches the upcoming AI Impact Summit scheduled to be held in New Delhi from February 16 to 20.

According to Vaishnaw, global semiconductor players are increasingly supportive of India’s efforts and are keen to participate in the country’s expanding chip manufacturing ecosystem.

ASML equipment for Dholera fab

Highlighting the importance of advanced manufacturing technology, Vaishnaw spoke about his visit to Veldhoven in the Netherlands, where he visited the headquarters of ASML, the world’s leading supplier of lithography equipment used in semiconductor manufacturing.

He said lithography remains the most complex and precision-intensive process in chip production and confirmed that India’s upcoming semiconductor fabrication facility in Dholera, Gujarat, will use equipment supplied by ASML.

Vaishnaw said the interest of global equipment manufacturers in India reflects the country’s strong design capabilities, large talent pool and consistent policy environment.

India’s progress in AI and global confidence

The minister also highlighted India’s growing role in artificial intelligence, stating that the country is developing strength across multiple layers of the AI stack, including applications, sovereign models, chips and infrastructure.

He said global industry leaders expressed strong confidence in India’s semiconductor and AI journey during discussions at the World Economic Forum in Davos, with many indicating their willingness to contribute to India’s long-term goals.

The India Semiconductor Mission, approved by the Union Cabinet in December 2021 with an outlay of Rs 76,000 crore, aims to support semiconductor fabrication, display manufacturing and chip design, and position India as a global hub for electronics manufacturing and innovation.

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India News

Rain in Delhi, snowfall in Kashmir as north India sees weather shift

Rainfall in Delhi and fresh snowfall in Kashmir and Manali point to a significant weather shift across north India, impacting flights, trains and temperatures.

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Snowfall

Light to moderate rainfall was recorded across several parts of Delhi on Friday morning, accompanied by thunderstorms, lightning and strong winds. Cloudy conditions are likely to persist through the day, according to weather updates.

The India Meteorological Department issued an orange alert early morning, warning of short but intense spells of rain along with moderate thunderstorm activity in multiple pockets of the city.

Areas such as Narela, Bawana, Alipur, Burari, Kanjhawala, Rohini, Badli, Model Town, Azadpur, Pitampura, Mundka, Paschim Vihar, Punjabi Bagh, Rajouri Garden, Jaffarpur, Najafgarh and Dwarka are expected to be affected. These regions may witness lightning and fast-moving winds along with rainfall.

The rain is likely to provide relief from prevailing temperatures in Delhi and nearby regions.

Fresh snowfall blankets Kashmir Valley

Several areas in the Kashmir Valley, including the popular ski destination of Gulmarg, received fresh snowfall as a strong western disturbance impacted Jammu and Kashmir. Snowfall began late Thursday evening in Gulmarg, located in Baramulla district.

High-speed winds were also reported across Srinagar and other plains of the valley.

Due to the continuing snowfall, authorities at Srinagar Airport have indicated that flight operations may take longer than usual to return to normal. Train services were affected, and the Srinagar–Jammu national highway was blocked following snow accumulation.

Himachal Pradesh’s Manali also witnessed fresh snowfall, covering the hill town in a white blanket and bringing cheer to residents and tourists.

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