International Disability and its Indian perspective

Slide1Slide2Slide3Slide4Slide5Slide6Slide7International Disability and its Indian perspective

Old but not out of box.
Everyday we are seeing lot many people need helping hands because of their limitation and how many of us raise or put forward our hands to needy?
I think data is not interpretation but for better understanding.
seeing people of nation shines clearing few numbers in short time which might get healthier young nation rather only young Indians.


Money comes only to few while others deprive for one time food

Asia experienced a billionaire boom last year, with more than 200 people from the continent seeing their net worth pass into 10 figures, a Chinese publisher said Tuesday.

A total of 824 Asians were included among the 1,867 people named as dollar billionaires on the Hurun Report’s global rich list.

That was an increase of 216 on the previous year, accounting for just over half the overall rise of 414.

Among individual countries, the United States led with 481 billionaires, the most in the world, followed by China’s 358, it added.

At the top of the table, US technology giant Microsoft’s co-founder Bill Gates overtook Mexican telecom tycoon Carlos Slim as the world’s richest person, the luxury magazine publisher said.

“The US economic recovery and an IT boom have driven the world’s billionaires to record levels,” Hurun Report chairman Rupert Hoogewerf said in a statement accompanying the survey.

The richest person in mainland China — property magnate Wang Jianlin — shot up to 26th spot on the global list with his net worth doubling over the past year to $25 billion. He ranked 72nd last year, according to the report.

Hoogewerf told reporters that 90 Chinese billionaires held “senior political advisory positions”, including 31 delegates to the National People’s Congress, China’s rubber-stamp parliament, and three representatives to the last Communist Party Congress.

“I think it’s a co-option… it’s part of the whole package of being successful,” he said.

“They would like access to the political elite, plus the political elite wants to hear their opinions, because they are big taxpayers and they are big employers.”

But inclusion on a Hurun rich list can be a mixed blessing for wealthy Chinese, intensifying public and government scrutiny of them and their companies.

Some have subsequently been investigated or imprisoned, among them Huang Guangyu, who was proclaimed China’s highest net worth individual three times, most recently in 2008.

Huang was jailed for 14 years in 2010 for illegal business operations, insider trading and corporate bribery.

Businessmen “don’t really want to be on the list”, Hoogewerf admitted, but said they were becoming more willing to talk about their wealth as they expand their activities overseas.

The world’s dollar billionaires had a total wealth of $6.9 trillion, more than Japan’s entire GDP, the report said.

Gates replaced Slim, chairman of mobile phone carrier America Movil, as the globe’s wealthiest individual with his net worth rising 26 percent to $68 billion as of January 17, it said.

US investment guru Warren Buffett and Amancio Ortega, founder of Spanish textile giant Inditex, which owns global fashion brand Zara, ranked second and third on the Hurun Global Rich List 2014, with assets of $64 billion and $62 billion respectively, it showed.

Slim and his family took fourth spot, after their wealth fell nine percent year-on-year to $60 billion due to currency and share price movements, the report said.

Slim remained the world’s richest person with assets of $73 billion on the 2013 ranking by US-based Forbes magazine, followed by Gates on $67 billion. It listed a total of 1,342 billionaires.

WHO on physical inactivity.

Physical inactivity is the fourth leading risk factor for death worldwide.
Approximately 3.2 million people die each year due to physical inactivity.
Physical inactivity is a key risk factor for noncommunicable diseases (NCDs) such as cardiovascular diseases, cancer and diabetes.
Physical activity has significant health benefits and contributes to prevent NCDs.
Globally, one in three adults is not active enough.
Policies to address physical inactivity are operational in 56% of WHO Member States.
WHO Member States have agreed to reduce physical inactivity by 10% by 2025.


What is physical activity?

WHO defines physical activity as any bodily movement produced by skeletal muscles that requires energy expenditure – including activities undertaken while working, playing, carrying out household chores, travelling, and engaging in recreational pursuits.

The term “physical activity” should not be confused with “exercise”, which is a subcategory of physical activity that is planned, structured, repetitive, and aims to improve or maintain one or more components of physical fitness. Both, moderate and vigorous intensity physical activity brings health benefits.

The intensity of different forms of physical activity varies between people. In order to be beneficial for cardiorespiratory health, all activity should be performed in bouts of at least 10 minutes duration. WHO recommends:
for children and adolescents: 60 minutes of moderate to vigorous intensity activity per day;
for adults (18+): 150 minutes of moderate-intensity activity per week.

Benefits of physical activity

Regular physical activity of moderate intensity – such as walking, cycling, or doing sports – has significant benefits for health. At all ages, the benefits of being physically active outweigh potential harm, for example through accidents. Some physical activity is better than doing none. By becoming more active throughout the day in relatively simple ways, people can quite easily achieve the recommended activity levels.

Regular and adequate levels of physical activity:
improve muscular and cardiorespiratory fitness;
improve bone and functional health;
reduce the risk of hypertension, coronary heart disease, stroke, diabetes, breast and colon cancer and depression;
reduce the risk of falls as well as hip or vertebral fractures; and
are fundamental to energy balance and weight control.

Risks of physical inactivity

Physical inactivity is the fourth leading risk factor for global mortality and causes 6% of all deaths. It is only outstripped by high blood pressure (13%) and tobacco use (9%) and carries the same level of risk as high blood glucose (6%). Approximately 3.2 million people die each year because they are not active enough.

Physical inactivity is on the rise in many countries, adding to the burden of noncommunicable diseases and affecting general health worldwide. People who are insufficiently active have a 20% to 30% increased risk of death compared to people who engage in at least 30 minutes of moderate intensity physical activity on most days of the week.

Physical inactivity is the main cause for approximately:
21–25% of breast and colon cancers
27% of diabetes
30% of ischaemic heart disease.

Reasons for physical inactivity

The levels of physical inactivity increased across the globe. Globally, around 31% of adults aged 15 and over were not active enough in 2008 (men 28% and women 34%). In high-income countries, 41% of men and 48% of women were insufficiently physically active, as compared to 18% of men and 21% of women in low-income countries. Low or decreasing physical activity levels often correspond with a high or rising gross national product. The drop in physical activity is partly due to inaction during leisure time and sedentary behaviour on the job and at home. Likewise, an increase in the use of “passive” modes of transportation also contributes to physical inactivity.

Several environmental factors which are linked to urbanization can discourage people from becoming more active, such as:
fear of violence and crime in outdoor areas
high-density traffic
low air quality, pollution
lack of parks, sidewalks and sports/recreation facilities.

How to increase physical activity?

Both, society in general and individuals can take action to increase physical activity. In 2013, WHO Member States agreed to reduce physical inactivity by 10% in the framework of the “Global Action Plan for the Prevention and Control of Noncommunicable Diseases 2013-2020”.

Policies and plans to address physical inactivity have been developed in about 80% of WHO Member States, though these are operational in only 56% of the countries. National and local authorities are also adopting policies in a range of sectors to promote and facilitate physical activity.

Policies to increase physical activity aim to ensure that:
walking, cycling and other forms of active transportation are accessible and safe for all;
labour and workplace policies encourage physical activity;
schools have safe spaces and facilities for students to spend their free time actively;
Quality Physical Education (QPE) supports children to develop behaviour patterns that will keep them physically active throughout their lives; and
sports and recreation facilities provide opportunities for everyone to do sports.

WHO response

The “Global Strategy on Diet, Physical Activity and Health”, adopted by the World Health Assembly in 2004, describes the actions needed to increase physical activity worldwide. The Strategy urges stakeholders to take action at global, regional and local levels to increase physical activity.

The “Global Recommendations on Physical Activity for Health”, published by WHO in 2010, focus on primary prevention of NCDs through physical activity. It proposes different policy options to reach the recommended levels of physical activity globally, such as.
the development and implementation of national guidelines for health-enhancing physical activity;
the integration of physical activity within other related policy sectors, in order to secure that policies and action plans are coherent and complementary;
the use of mass media to raise awareness of the benefits of being physically active;
the surveillance and monitoring of actions to promote physical activity.

To measure physical activity, WHO has developed the Global Physical Activity Questionnaire (GPAQ). This questionnaire helps countries to monitor physical inactivity as one of the main NCD risk factors.

In 2013, the World Health Assembly agreed on a set of global voluntary targets which include a 25% reduction of premature mortality from NCDs and a 10% decrease in physical inactivity by 2025. The “Global Action Plan for the Prevention and Control of Noncommunicable Diseases 2013-2020” guides Member States, WHO and other UN Agencies on how to effectively achieve these targets.

Together with UNESCO, WHO is developing a Quality Physical Education (QPE) policy package. The QPE policy package aims to improve the quality of physical education worldwide and make it available to everyone

Time and yes it is precious.

Today is a gift. That’s why it’s called the present

To realize the value of ONE YEAR, ask a student who failed a grade.
To realize the value of ONE MONTH, ask a mother who gave birth to a premature baby.
To realize the value of ONE WEEK, ask the editor of a weekly newspaper.
To realize the value of ONE HOUR, ask the lovers who are waiting to meet.
To realize the value of ONE MINUTE, ask a person who missed the train.
To realize the value of ONE SECOND, ask a person who just avoided an accident.
To realize the value of ONE MILLISECOND, ask the person who won a silver medal in the Olympics.

To realize the value of ONE LIFETIME, ask someone who has missed his or her chance.
To realize the value of A SISTER, ask someone who doesn’t have one.
To realize the value of TEN YEARS, ask a newly divorced couple.
To realize the value of FOUR YEARS, ask a graduate.
To realize the value of A FRIEND, lose one.
To realize the value of ONE THOUSAND YEARS, ask a programmer who has programmed with 2 digits for the year’s value.
To realize the value of ONE HUNDRED YEARS, ask a Hong Kong resident who has witnessed the Handover.
To realize the value of SEVENTY YEARS, ask a dying Christian who has never shared the Gospel with others.
To realize the value of FORTY YEARS, ask an Israelite who has traveled in the wilderness.
To realize the value of SEVEN YEARS, ask a professor who did not get his sabbatical leave.
To realize the value of FOUR YEARS, ask a U.S. president who was not re-elected for the second term.
To realize the value of ONE MILLI-SECOND, ask the (electric) power engineer who has brought darkness to a city.
To realize the value of ONE MICRO-SECOND, ask the person who has bought a Pentimum machine.
To realize the value of ONE NANO-SECOND, ask the digital circuit designer who has just been promoted.
To realize the value of ONE PICO-SECOND, ask the analog circuit designer who has filed many patents.
To realize the value of ONE FEMTO-SECOND, ask the physicist who has won the Nobel prize.
To realize the value of ONE MICRO-SECOND, ask NASA’s Team of scientists.
To realize the value of ONE NANO-SECOND, ask a Hardware Engineer.


Are we Indians really good at maths?

I am still assuming it as heard from many at ages I started understood what is math is all about. It would have been better if the question was “Are people from India good at Mathematics?” since the question is based on an assumption which is not verified/correct. We count less in every parameters of assessment about skill in maths whatever from High school student’s skill, management test to international competition.

A global survey has found that the average 15-year-old Indian is over 200 points behind the global topper. According to ASER (Annual Status Education Report) 2008, 45 percent children in standards three to five cannot do subtraction and 33 percent cannot read a Standard One text.

India ranked second last among the 73 countries that participated in the Programme for International Student Assessment (PISA), conducted annually to evaluate education systems worldwide by the OECD (Organisation for Economic Co-operation and Development) Secretariat. The survey is based on two-hour tests that half a million students are put through

In 50 years, India, as a country never won the International Mathematical Olympiad (IMO) which the World Championship Mathematics Competition for High School students and is held annually in a different country .Their best result was 7th place in 1998 and recently in 2013 it was 19.

The Olympiad again only checks understanding for high school students and cannot be generalized to say how good people are at Mathematics but this data clearly shows we are not the best at high school mathematics, not even close.

The typical American student will spend 382,400 of these minutes in school, while the average Indian and Chinese student will devote 422,400 and 583,200 minutes to school.

ImageAfter high school if we move to college level, we have satisfactory GMAT score compare to other countries but it’s not the reason to flourish ourselves as it has no comparison with china and other Asian countries. India’s high scores at the GMAT may be because over 60% of Indian GMAT test-takers had an engineering background, while only 15% candidates globally were engineers.

When it comes to quantitative analysis, the gap between India and China is rather wide, with several countries including Taiwan, Japan and South Korea ranking higher than India.

Prestigious Mathematics Nobel award known as “Field’s and “Able” never given too any mathematicians of India from last decade though we have many innovators in the field. On the list US, Russia with France are leading the race among list who won highest awards.

With Prime Minister Manmohan Singh’s announcement of the National Year of Mathematics, it is the prime time for the pursuit of advanced mathematics. With one of the world’s largest populations, India’s children have the opportunity to develop their nation into a global leader of the future. These children must be able to think independently and in a logical, yet creative manner.

Spirit of Math is the key to unlocking the skills and opportunities that will help students reach their full potential and gain a competitive edge in the global economy. Nations like US and Japan anticipate Indian Vedic maths in schools and its studies for their future students while we never teaches such in our local schools instead we are making their brain create less synapse by giving handsome gadgets.

In a recent comparison of academic performance in 57 countries, students in Finland came out on top overall. Finnish 15-year-olds did the best in science and came in second in math. Other top-performing countries were: Hong Kong, Canada, Taiwan, Estonia, Japan and Korea. India is way back in this list which is unfortunately disgrace for us and our future.

In our development, as we grow throughout our lives, the structure of our beliefs becomes very complicated, and we make it even more complicated because we make the assumption that what we believe is the absolute truth.

So let’s be in reality and kick off learning.

Dr. Bhavan Bhavsar

5th March- World Maths Day

why i am asking for help for blind?

I am writing to you regarding indeed of your anticipation towards spreading awareness and prevent the eye disorder on this world sight day which is commencing on 10th October.

Every 5 seconds one person in the world goes blind. One child goes blind every minute. It is estimated that over 7 million people become blind every year.

An estimated 180 million people world-wide are visually disabled. Of those, between 40 and 45 million persons are blind. Due to growing populations and ageing, these numbers are expected to double by the year 2020 making a colossal human tragedy even worse, stalling development and denying a basic human right.

Up to 80% of cases of blindness are avoidable, either resulting from preventable conditions (20%) or being treatable (60%) so that sight is restored.

India is home for 90 lakhs blind people and 20% of global. World Sight Day is an annual event focusing on the problem of global blindness; it aims to raise public awareness around the world about the prevention and treatment of loss of vision. Prevention and treatment of vision loss are among the most cost-effective and successful of all.

The causes of avoidable blindness are frequently associated with poverty and lack of access to quality eye care services. Avoidable blindness is more common in the poorest of the poor, women and marginalized populations.

So we would like to associate with you to spread awareness about eye disorders, its cures and preventive measures of the same. In the process of the same we are planning to distribute Vitamin A supplement to the poor who cannot afford it and make them aware about the important of the same so that the message passes way ahead.

We are targeting small restricted slum population in and around Ahmadabad for the same and we are coordinating with different NGO and social workers to make it impactful and give the benefits to needed at the fullest.

Please review it and get back to us for any confusion. Here by we are encouraging any kind of help including volunteerism, sponsors of drugs, print media marketing, social media involvement, and medical consultation with professionals…etc.

Hoping to hearing from you soon.

Salt intake is dangerous.

Daily recommended salt intake in 5 mg/day but we are almost taking 13 to 18 mg per day which is dangerous.
At last world heart day by article publised in Gujarati language about salt intake in abhiyaan magazine which leading magazing in India.
On that day we have distributed free sample of low sodiun salt among doctors.

How cardiologist cut cost?

Healthcare expenditure has been increasing throughout the last decade, and is beginning to become unmanageable. The American Heart Association has estimated that, in 2010, spending on cardiovascular disease (CVD) reached $273 billion dollars; a figure expected to rise with an increasing burden of disease. High healthcare expenditure is rooted in inefficient healthcare systems. Both physician’s and nurse’s time is taken up with administrative tasks and analysis of patient data through multiple appointments with patients over the course of their treatment, reducing the time they have available for valuable patient care.

As a result, there are numerous initiatives designed to reduce healthcare expenditure, including using healthcare IT to improve efficiency, and cost-effective medical devices such as remote cardiac event monitors.

Cardiac event monitoring is a form of remote monitoring used to identify arrhythmias and silent myocardial infarction. The device, fitted by a physician, allows patients to remotely transfer information for up to 30 days, either back to their physician or to a central center for patient monitoring. These devices are the answer to many hospitals’ problems of too few beds, not enough staff and an increasing number of CVD patients. Remote data transfer not only saves time for the patient and reduces the time physicians spend aggregating and analyzing data, increasing productivity and the return-on-investment per patient.

The USA is currently the biggest user of remote monitoring, with spending in this market estimated at $699.6 million in 2012 (including compulsory services), according to IHS (NYSE:IHS). Physicians here recognize the benefits of remote monitoring in its efficiency, ability to transfer patient data for central analysis and the lack of face-to-face follows up required unless necessary.

Despite the merits of this technology, Holter ECG monitoring is still preferred in the US due to the lack of costly 24 hour analysis required by reimbursement policies, as seen with event monitoring. This has limited growth potential in the US market. In Western Europe, the use of event monitoring is far less than in the USA, despite a similar drive to save costs and boost efficiency. Incomplete reimbursement, costly supporting infrastructure and security of patient data during transfer are obstacles that must be overcome for remote monitoring to become widely used.

The idea behind this type of monitoring in cardiology is not a new one. However it has not had the impact that was expected. Other areas of healthcare have been prioritized where the return-on-investment is seen more quickly; with remote monitoring, the return on investment may not be seen for years due to necessary investment in supporting infrastructure. With limited healthcare budgets and a number of market inhibitors, there is little focus on implementing remote cardiac monitoring as standard outside the US.

However, increasing CVD incidence is seen globally, and will require more diagnostic testing, with more patients filling hospital beds, further increasing the burden on hospitals. Despite the seemingly stalwart barriers to the widespread use of remote cardiac monitoring, demand is there and is growing. With easing healthcare budget restrictions, improving economies and the increasing burden of a disease that still plagues developed nations, the advantages of remote monitoring are becoming increasingly attractive.

Ahmedabad seriously thinking of green transportation?

Cyclothon heading to the verge and we see the hip and hype in the crowd. Don’t be surprise if you get a bicycle on rent for 500 per day and still need 5000 deposits and id proof too. It sounds exciting and novel for this hype days where everyone pedal themselves for the event. Are we only happy participating in this kind of event and seriously government thinking of eco friendly transportation for healthier Nation?
World is re-discovering wheels without fuel while India seems to be going on the other way the automobile style. Having lot of opportunity, we Indians not utilizing it and which is for us. While many countries are focusing the enhancement of cycling policy and Indian city like, kolkata loaded banned of driving a bicycle in the city. We can get a glimpse by our capital’s household owing a bicycle was 37.6% in 2001 which is now 30.6%.
Netherland is the first to execute specify Bicycle policy in the world and 40 % of the population owns a bicycle. Every 7 out of 8 Dutch resident owns a bicycle. Even more many countries making the infrastructure based on bicycle policy which will reflect in country GDP growth too. Amsterdam having 7000 bicycle parking stands at the railway station is the simple example of avaibilty of infrastructure for safe and healthy cycling.
Safe external environment is the basic need for cycling and for which Indian government hasn’t got succeed to establish while mean time Germany owns 31,000 km exclusive bike path and lanes around the nation and 32 % workers in the country goes on their work riding  a bicycle.
Cycling doesn’t effects only on health while it’s indirectly reflects the nations GDP and personal growth as well. New Zealand government done a research on 5 % raise distance traveled trough bicycle can save 223  millions km driving of cars per year which in turns save 22 millions liters of fuel and which reflects the nations fuel purchase.
125 Millions Bicycle produced around the globe and which is mostly counted by China, India, EU,Taiwan and Japan in which china contributes 58% total global production of bicycle. China has half billion and one of the highest population per capita using bicycle, irrespective cultural or social economical barrier while in India 80-90 % bicycle owned by rural or semi urban areas. India produced 10 % bicycle of the globe against demand of 10 million and out of that 10 million, 2.5 million spent of government schemes.
What are the barriers which are blocking us utilizing a bicycle? Is it safety? Is it insufficient infrastructure? Is it cost effectiveness? Is it social enrichment? Is it faulty policy making? Or is it poor awareness.
Many Indian cities promotes cycling by means of  launching different policy, raising the awareness amongst people, providing low cost loans and providing proper safe external environment for cyclists. From many few programs had given positive response and thus made a change. “ Namma Cycle” and “ Cycle Chalao” program which had launched in Bangalore and pune irrespective spread awareness using bicycle and sharing it too.
In November 2013, AMC and BRTS co jointly planned to give bicycle on rent to travel too and fro from BRTS station but don’t know where this green idea lost and no one reminds too. For pilot project they had decided to launch 300-400 cycles on the first phase but still we are waiting for any response which never took, except a thought.
Ahmedabad is the ideal city for cyclists as majority population travels short trip and which is the key. Cyclothon would help to encourage understanding the importance of cycling but its not going in a right direction as it becomes more of corporate richen project rather public. Hope to Rise up government eye to make people understand the importance of cycling and provide them safe exclusive roads and safety guidelines to initiate India’s First city to have Bicycle Policy.