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आयुष्मान भारत  योजना

आयुष्मान भारत योजना

हमें यह घोषणा करने पर गर्व है कि भारत सरकार ने भारत में 50 करोड़ लोगों को स्वास्थ्य बीमा प्रदान करने के लिए एक साहसिक कदम उठाया है और हम इस योजना के गर्व भागीदार हैं।

हमारे अस्पताल में आयुष्मान भारत योजना कार्यालय है। यदि आप इस योजना के लिए चुने गए हैं तो हमारे अस्पताल में आप अपना हेल्थ कार्ड बना सकते हैं

यह जानने के लिए कि क्या आप इस योजना के लिए चुने गए हैं, कृपया अपने निम्नलिखित दस्तावेज़ लाएं

  1. मतदान पहचान पत्र
  2. पेन कार्ड
  3. राशन कार्ड
  4. आधार कार्ड

 

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Higher Cholesterol at a Young Age Can Lead to Health Issues at an Older Age

Higher Cholesterol at a Young Age Can Lead to Health Issues at an Older Age

“Researchers say even younger people who are healthy need to watch their cholesterol

It’s long been established that high levels of low-density lipoprotein cholesterol (LDL-C) — colloquially known as “bad” cholesterol — can lead to serious cardiovascular problems in older individuals.

But a new study suggests that young people with elevated LDL-C levels, even if they’re otherwise healthy, should take notice.

That’s because what may seem like a minor health issue when you’re young can lead to big problems later in life.

The observational study was published earlier this month in the medical journal Circulation.

The study set out to determine whether or not people considered to be at low risk for developing cardiovascular disease and coronary heart disease could see some benefit from lowering their cholesterol levels before they lead to complications.

The health progression of more than 36,000 participants, aged 42 on average, was examined over a period of 27 years.

Participants who were considered low risk for cardiovascular issues but had high LDL-C levels had a 30- to 40-percent greater chance of dying prematurely due to heart health problems.

The lead study author told Healthline that the findings underline the importance of lifestyle changes, while a cardiologist interviewed by Healthline said it’s a teachable moment for patients and physicians alike.

New data adds to knowledge

Dr. Shuaib Abdullah, a lead study author and assistant professor at the University of Texas Southwestern Medical Center, told Healthline that researchers were looking for answers to the question of when to start statin therapy for low-risk patients with high LDL-C levels.

“I would frequently come across relatively healthy patients in their 40s and 50s with elevated LDL-C levels, but few or no other risk factors. When discussing their risk for cardiovascular outcomes with them, I felt that data on cardiovascular prognosis were limited in low-risk individuals with LDL-C, with even less data for those patients with LDL-L with more moderately elevated levels,” he wrote in an email to Healthline.

“There was no clear consensus on what LDL-C level to start statin therapy at, or whether to treat LDL-C at all in low-10-year-risk individuals,” he added.

While Abdullah says the findings were not especially surprising, they provide valuable insights into the risk factors that can lead to cardiovascular issues later in life.

Dr. Andrew Freeman, the director of Cardiovascular Prevention and Wellness, as well as Clinical Cardiology and Operations at National Jewish Health, agrees.

“In a lot of ways, LDL cholesterol has been likened to cigarettes, where one cigarette probably won’t hurt you, but the packs that accumulate will,” Freeman told Healthline. “With this, it’s the same thing: When you’re exposed to higher LDL levels for longer periods of time, it seems to be associated with higher cardiovascular risk.”

Abdullah says the research helps explain why older people who were previously thought to be healthy are sometimes found to have serious cardiovascular issues.

“Not too infrequently, we do see patients in their 50s, 60s, or early 70s admitted with a myocardial infarction or other condition related to advanced coronary artery disease, who previously appeared to be healthy, but had moderately elevated cholesterol levels in their records,” he wrote.

He points out that another important finding was that other cholesterol subfractions — in other words, cholesterol that isn’t LDL-C or high-density lipoprotein (HDL-C) — were also associated with increased cardiovascular risk.

Lifestyle intervention is key

When it comes to lowering risk factors for heart disease, it comes down to the same old advice: Exercise and eat right.`

Ultimately, the patients themselves are the only ones who can make these changes. But Freeman says it’s important for physicians to properly educate their patients.

“This is a great opportunity for physicians to spend time counseling patients about lifestyle,” he said. “The only problem is that lifestyle is not very well trained during medical school.”

He points to a 2017 study that he co-authored, where it was found that the vast majority of cardiologists polled had next-to-no training on nutrition.

“It’s pretty scary — like, 90 percent of us have zero or minimal training,” he emphasized. “I think this is another underscore, that we, as physicians, need to get better at applying lifestyle medicine, use it as a tool in our arsenal, and counsel our patients appropriately. I would argue that it’s pretty much not done in the vast majority of cases, to any extensive level, where a patient walks away and changes their behavior. I think we can do a lot better.”

Freeman says this points to a line in the Hippocratic oath that compels physicians to do their best to prevent disease before it manifests.

Indeed, the effects of diet intervention can yield dramatic results when it comes to reducing LDL-C levels.

“A lot of people underestimate the power of diet in reducing cholesterol,” said Freeman. “As an example, by increasing soy protein, decreasing saturated fat, boosting exercise and losing just a few pounds, it’s possible to get significant cholesterol reduction — I’m talking 40 to 50 percent, believe it or not, just with lifestyle alone. I think, before we commit our young population to large amounts of medication, we really should use these tools because they really are effective.” ” (Healthline, Written by Dan Gray on August 30, 2018)

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16 Simple Ways to Relieve Stress and Anxiety

16 Simple Ways to Relieve Stress and Anxiety

Stress and anxiety are common experiences for most people.

In fact, 70% of adults in the US say they feel stress or anxiety daily.

Here are 16 simple ways to relieve stress and anxiety.

1. Exercise

Exercise is one of the most important things you can do to combat stress.

It might seem contradictory, but putting physical stress on your body through exercise can relieve mental stress.

The benefits are strongest when you exercise regularly. People who exercise regularly are less likely to experience anxiety than those who don’t exercise (1).

There are a few reasons behind this:

  • Stress hormones: Exercise lowers your body’s stress hormones — such as cortisol — in the long run. It also helps release endorphins, which are chemicals that improve your mood and act as natural painkillers.
  • Sleep: Exercise can also improve your sleep quality, which can be negatively affected by stress and anxiety.
  • Confidence: When you exercise regularly, you may feel more competent and confident in your body, which in turn promotes mental wellbeing.

Try to find an exercise routine or activity you enjoy, such as walking, dancing, rock climbing or yoga.

Activities — such as walking or jogging — that involve repetitive movements of large muscle groups can be particularly stress relieving.

SUMMARYRegular exercise can help lower stress and anxiety by releasing endorphins and improving your sleep and self-image.

2. Consider Supplements

Several supplements promote stress and anxiety reduction. Here is a brief overview of some of the most common ones:

  • Lemon balm: Lemon balm is a member of the mint family that has been studied for its anti-anxiety effects (2).
  • Omega-3 fatty acids: One study showed that medical students who received omega-3 supplements experienced a 20% reduction in anxiety symptoms (3).
  • Ashwagandha: Ashwagandha is an herb used in Ayurvedic medicine to treat stress and anxiety. Several studies suggest that it’s effective (4).
  • Green tea: Green tea contains many polyphenol antioxidants which provide health benefits. It may lower stress and anxiety by increasing serotonin levels (5).
  • Valerian: Valerian root is a popular sleep aid due to its tranquilizing effect. It contains valerenic acid, which alters gamma-aminobutyric acid (GABA) receptors to lower anxiety.
  • Kava kava: Kava kava is a psychoactive member of the pepper family. Long used as a sedative in the South Pacific, it is increasingly used in Europe and the US to treat mild stress and anxiety (6).

Some supplements can interact with medications or have side effects, so you may want to consult with a doctor if you have a medical condition.

SUMMARYCertain supplements can reduce stress and anxiety, including ashwagandha, omega-3 fatty acids, green tea and lemon balm.

3. Light a Candle

Using essential oils or burning a scented candle may help reduce your feelings of stress and anxiety.

Some scents are especially soothing. Here are some of the most calming scents:

  • Lavender
  • Rose
  • Vetiver
  • Bergamot
  • Roman chamomile
  • Neroli
  • Frankincense
  • Sandalwood
  • Ylang ylang
  • Orange or orange blossom
  • Geranium

Using scents to treat your mood is called aromatherapy. Several studies show that aromatherapy can decrease anxiety and improve sleep (789).

SUMMARYAromatherapy can help lower anxiety and stress. Light a candle or use essential oils to benefit from calming scents.

4. Reduce Your Caffeine Intake

Caffeine is a stimulant found in coffee, tea, chocolate and energy drinks. High doses can increase anxiety (10).

People have different thresholds for how much caffeine they can tolerate.

If you notice that caffeine makes you jittery or anxious, consider cutting back.

Although many studies show that coffee can be healthy in moderation, it’s not for everyone. In general, five or fewer cups per day is considered a moderate amount.

SUMMARYHigh quantities of caffeine can increase stress and anxiety. However, people’s sensitivity to caffeine can vary greatly.

5. Write It Down

One way to handle stress is to write things down.

While recording what you’re stressed about is one approach, another is jotting down what you’re grateful for.

Gratitude may help relieve stress and anxiety by focusing your thoughts on what’s positive in your life.

SUMMARYKeeping a journal can help relieve stress and anxiety, especially if you focus on the positive.

6. Chew Gum

For a super easy and quick stress reliever, try chewing a stick of gum.

One study showed that people who chewed gum had a greater sense of wellbeing and lower stress (11).

One possible explanation is that chewing gum causes brain waves similar to those of relaxed people. Another is that chewing gum promotes blood flow to your brain.

Additionally, one recent study found that stress relief was greatest when people chewed more strongly (12).

SUMMARYAccording to several studies, chewing gum may help you relax. It may also promote wellbeing and reduce stress.

7. Spend Time With Friends and Family

Social support from friends and family can help you get through stressful times.

Being part of a friend network gives you a sense of belonging and self-worth, which can help you in tough times.

One study found that for women in particular, spending time with friends and children helps release oxytocin, a natural stress reliever. This effect is called “tend and befriend,” and is the opposite of the fight-or-flight response (13).

Keep in mind that both men and women benefit from friendship.

Another study found that men and women with the fewest social connections were more likely to suffer from depression and anxiety (14).

SUMMARYHaving strong social ties may help you get through stressful times and lower your risk of anxiety.

8. Laugh

It’s hard to feel anxious when you’re laughing. It’s good for your health, and there are a few ways it may help relieve stress:

  • Relieving your stress response.
  • Relieving tension by relaxing your muscles.

In the long term, laughter can also help improve your immune system and mood.

A study among people with cancer found that people in the laughter intervention group experienced more stress relief than those who were simply distracted (15).

Try watching a funny TV show or hanging out with friends who make you laugh.

SUMMARYFind the humor in everyday life, spend time with funny friends or watch a comedy show to help relieve stress.

9. Learn to Say No

Not all stressors are within your control, but some are.

Take control over the parts of your life that you can change and are causing you stress.

One way to do this may be to say “no” more often.

This is especially true if you find yourself taking on more than you can handle, as juggling many responsibilities can leave you feeling overwhelmed.

Being selective about what you take on — and saying no to things that will unnecessarily add to your load — can reduce your stress levels.

SUMMARYTry not to take on more than you can handle. Saying no is one way to control your stressors.

10. Learn to Avoid Procrastination

Another way to take control of your stress is to stay on top of your priorities and stop procrastinating.

Procrastination can lead you to act reactively, leaving you scrambling to catch up. This can cause stress, which negatively affects your health and sleep quality (16).

Get in the habit of making a to-do list organized by priority. Give yourself realistic deadlines and work your way down the list.

Work on the things that need to get done today and give yourself chunks of uninterrupted time, as switching between tasks or multitasking can be stressful itself.

SUMMARYPrioritize what needs to get done and make time for it. Staying on top of your to-do list can help ward off procrastination-related stress.

11. Take a Yoga Class

Yoga has become a popular method of stress relief and exercise among all age groups.

While yoga styles differ, most share a common goal — to join your body and mind.

Yoga primarily does this by increasing body and breath awareness.

Some studies have examined yoga’s effect on mental health. Overall, research has found that yoga can enhance mood and may even be as effective as antidepressant drugs at treating depression and anxiety (17).

However, many of these studies are limited, and there are still questions about how yoga works to achieve stress reduction.

In general, the benefit of yoga for stress and anxiety seems to be related to its effect on your nervous system and stress response.

It may help lower cortisol levels, blood pressure and heart rate and increase gamma-aminobutyric acid (GABA), a neurotransmitter that is lowered in mood disorders.

SUMMARYYoga is widely used for stress reduction. It may help lower stress hormone levels and blood pressure.

12. Practice Mindfulness

Mindfulness describes practices that anchor you to the present moment.

It can help combat the anxiety-inducing effects of negative thinking (18).

There are several methods for increasing mindfulness, including mindfulness-based cognitive therapy, mindfulness-based stress reduction, yoga and meditation.

A recent study in college students suggested that mindfulness may help increase self-esteem, which in turn lessens symptoms of anxiety and depression (18).

SUMMARYMindfulness practices can help lower symptoms of anxiety and depression.

13. Cuddle

Cuddling, kissing, hugging and sex can all help relieve stress (1920).

Positive physical contact can help release oxytocin and lower cortisol. This can help lower blood pressure and heart rate, both of which are physical symptoms of stress.

Interestingly, humans aren’t the only animals who cuddle for stress relief. Chimpanzees also cuddle friends who are stressed (21).

SUMMARYPositive touch from cuddling, hugging, kissing and sex may help lower stress by releasing oxytocin and lowering blood pressure.

14. Listen to Soothing Music

Listening to music can have a very relaxing effect on the body.

Slow-paced instrumental music can induce the relaxation response by helping lower blood pressure and heart rate as well as stress hormones.

Some types of classical, Celtic, Native American and Indian music can be particularly soothing, but simply listening to the music you enjoy is effective too (22).

Nature sounds can also be very calming. This is why they’re often incorporated into relaxation and meditation music.

SUMMARYListening to music you like can be a good way to relieve stress.

15. Deep Breathing

Mental stress activates your sympathetic nervous system, signaling your body to go into “fight-or-flight” mode.

During this reaction, stress hormones are released and you experience physical symptoms such as a faster heartbeat, quicker breathing and constricted blood vessels.

Deep breathing exercises can help activate your parasympathetic nervous system, which controls the relaxation response.

There are several types of deep breathing exercises, including diaphragmatic breathing, abdominal breathing, belly breathing and paced respiration.

The goal of deep breathing is to focus your awareness on your breath, making it slower and deeper. When you breathe in deeply through your nose, your lungs fully expand and your belly rises.

This helps slow your heart rate, allowing you to feel more peaceful.

This video explains how to practice diaphragmatic breathing.

SUMMARYDeep breathing activates the relaxation response. Multiple methods can help you learn how to breathe deeply.

16. Spend Time With Your Pet

Having a pet may help reduce stress and improve your mood.

Interacting with pets may help release oxytocin, a brain chemical that promotes a positive mood (23).

Having a pet may also help relieve stress by giving you purpose, keeping you active and providing companionship — all qualities that help reduce anxiety.

SUMMARYSpending time with your pet is a relaxing, enjoyable way to reduce stress.

The Bottom Line

Although stress and anxiety may arise in your workplace and personal life, there are many simple ways to reduce the pressure you feel.

These tips often involve getting your mind away from the source of stress.

Exercise, mindfulness, music and physical intimacy can all work to relieve anxiety — and they will improve your overall work-life balance as well.

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Alcohol is a global killer, study finds

Alcohol is a global killer, study finds

No amount of alcohol is safe, the researchers say.

Alcohol kills 2.8 million people every year globally, causing cancer, heart disease and road accidents and even by worsening tuberculosis, researchers said Thursday.

They found no evidence that light drinking might help keep people healthy and said there’s no evidence that drinking any alcohol at all improves health.

Governments need to change the guidance they give to their citizens and should consider taxes and other measures to discourage drinking, the international team of researchers reported in theLancet Medical Journal.

“Although the health risks associated with alcohol start off being small with one drink a day, they then rise rapidly as people drink more,” Dr. Max Griswold of the Institute for Health Metrics and Evaluation at the University of Washington, who led the study team, said in a statement.

“Previous studies have found a protective effect of alcohol on some conditions, but we found that the combined health risks associated with alcohol increase with any amount of alcohol.”

The large international team, which included hundreds of researchers, examined data from more than 1,000 studies.

There is some evidence that alcohol may reduce the risk of heart disease very slightly, but that effect is more than outweighed by the other damage it causes. Alcohol use comes in seventh as an overall cause of death, said the team, whose work was funded by the Bill and Melinda Gates Foundation.

But it was the leading risk factor for early death in 2016 for people aged 15 to 49, they found. Alcohol use caused death by injury, by self-harm and by worsening tuberculosis in this group, the team found.

For older people, cancer is the most common fatal health consequence of drinking. That fits in with a separate study released Thursday, which found that men who drank an average of seven drinks a day as teenagers had three times the risk of developing prostate cancer later in life.

It’s probably because alcohol damages developing cells, said the senior editor of the study, Emma Allott, who teaches nutrition at the University of North Carolina at Chapel Hill.

“The prostate is an organ that grows rapidly during puberty, so it’s potentially more susceptible to carcinogenic exposure during the adolescent years,” Allott said in a statement.

“We also found a positive association between higher cumulative lifetime alcohol intake and high-grade prostate cancer diagnosis,” the team wrote in their report, published in Cancer Prevention Research.

The University of Washington team said governments need to counter prevailing theories suggesting that modest alcohol use can be beneficial.

“The widely held view of the health benefits of alcohol needs revising, particularly as improved methods and analyses continue to show how much alcohol use contributes to global death and disability,” the team wrote.

“Our results show that the safest level of drinking is none. This level is in conflict with most health guidelines, which espouse health benefits associated with consuming up to two drinks per day.”

They found that globally, a third of all people drink alcohol of some sort. That includes 25 percent of women and 39 percent of men.

More than 95 percent of men and women drink alcohol in Denmark, the team found, while in Pakistan and Bangladesh — both Muslim countries where the religion discourages drinking — fewer than 1 percent of residents use alcohol, the team found.

“Our results show that the safest level of drinking is none.”

Governments should act to discourage drinking, they recommended.

“Worldwide, we need to revisit alcohol control policies and health programs, and to consider recommendations for abstaining from alcohol,” Emmanuela Gakidou, a professor of global health at the University of Washington, said in a statement.

“These include excise taxes on alcohol, controlling the physical availability of alcohol and the hours of sale, and controlling alcohol advertising.”

Outside experts agreed.

“The conclusions of the study are clear and unambiguous: alcohol is a colossal global health issue,” Robyn Burton of King’s College London wrote in a commentary.

The U.S. Centers for Disease Control and Prevention and the American Heart Association both say men can safely drink up to two alcoholic drinks a day and women up to a drink a day, although neither group recommends that people start drinking.

A drink is defined as 12 ounces of beer, four ounces of wine, or 1.5 ounces of 80-proof spirits.

The CDC also says that more than 2,000 Americans die each year from acute alcohol intoxication, and that more than 38 million American adults admit to binge-drinking once a week, downing eight drinks at a time on average

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