viralSterling Hospitals is the largest chain of corporate hospitals in Gujarat. It is owned and managed by Sterling AddLife India Pvt Ltd. In Ahmedabad it has 310 beds, 7 major operation theatres and 84 ICU beds.
Abstract India stands at a demographic inflection point, with a predominantly young population today and a rapidly expanding cohort of older adults projected over the next three decades. Current estimates suggest that persons aged 60 years and above will comprise nearly one-fifth of the population by 2050, with the number of older adults more than doubling from present levels. Unless India uses its current youth bulge to invest in lifelong health, social protection, skills, and age-friendly systems, the country risks carrying a large cohort of future older adults with high morbidity, functional dependence, and financial vulnerability. This narrative review synthesizes demographic projections, national policies, and empirical evidence to argue that healthy aging in India must be “front-loaded,” beginning in childhood, adolescence, and early adulthood rather than waiting until old age. We searched PubMed, Scopus, Google Scholar, and key Indian government and United Nations portals (March 2010-March 2026) for literature on aging, life course health, physical activity and sport in youth, social protection, geriatric and palliative care, and age-friendly environments in India and thematically synthesized findings. Guided by the World Health Organization’s concept of healthy aging as maintaining functional ability in older age, the article outlines a life course approach operationalized through four interconnected pillars: health systems (especially primary care and hospitals), government policy and financing, community and civil society engagement, and enabling built and digital environments. Particular emphasis is placed on early interventions in schools and communities to promote daily physical activity and low-cost sports that do not impose economic burdens on families. We highlight implications for future demand on geriatric, palliative, and hospice services. We propose a strategic agenda that links early-life interventions to late-life outcomes, reframes older persons as contributors within a “silver economy,” and calls for intersectoral collaboration to convert India’s demographic dividend into a dividend of healthy longevity.
Background: Cervical cancer ranks as the second leading cause of cancer death among Indian women, driven primarily by persistent high-risk HPV (hr HPV) types 16 and 18 . Community data on the genotype distribution and lifestyle-related risk factors among the Central Gujarat population are very scant. Methods: A cross-sectional screening study was conducted among 625 women aged between 30–60 years. The participants underwent cytology, testing & High-Risk HPV (hrHPV) DNA , and information about sociodemographic and diet was collected. Statistical analysis included chi-square tests, logistic regression, and trend analysis. Results: The overall hrHPV prevalence was 3.2% . Interestingly, HPV 18 (1.6%) was the most common genotype, exceeding HPV 16 (1.12%). High parity (OR 2.16), early marriage (OR 2.44), and irregular menstruation (OR 2.55) were significant predictors of hrHPV positivity. Dual positivity on liquid-based cytology and HPV DNA testing demonstrated the highest predictive value for CIN III (PPV 50%) . Poor intake of fruits, vegetables, and folate was associated with increased lesion severity. Conclusion: This study underlines the importance of targeted screening and nutritional interventions in Central Gujarat. The regional finding of HPV 18 dominance, coupled with the high predictive value of the dual test, strongly supports the integration of HPV vaccination and dual-test strategies to effectively reduce cervical cancer risk among reproductive-aged women.
Background - The first hour of emergency care—the Golden Hour—is critical for patient survival, with the initial five minutes (“Golden Window”) playing a decisive role in identifying life-threatening conditions. Point-of-Care Ultrasound (POCUS) provides rapid, real-time physiological information and has become an essential adjunct to clinical examination. Despite its proven utility in shock, trauma, and acute dyspnea, POCUS is often underutilised or delayed beyond the initial assessment, potentially limiting its impact on early decision-making. Objective - To evaluate the effect of performing structured POCUS within the first five minutes of emergency assessment on diagnostic accuracy, time to life-saving intervention, and early clinical decision-making in patients with undifferentiated hypotension, trauma, or acute dyspnea. Methods - A prospective observational study was conducted over three months in a high-volume tertiary emergency department. A total of 150 consecutive adult patients presenting with undifferentiated hypotension, trauma, or acute dyspnea were included. Patients were divided into two groups: Group A, where POCUS was performed within the first five minutes of assessment, and Group B, where POCUS was performed after five minutes or not performed. Structured ultrasound protocols, including RUSH, BLUE, FAST/eFAST, and FEEL, were used. Primary outcome measures included time to diagnosis, time to intervention, diagnostic concordance with final diagnosis, and physician confidence in clinical decision-making. Results - Early POCUS use was associated with faster identification of critical conditions such as cardiac tamponade, pneumothorax, hypovolemia, and pulmonary embolism. Group A demonstrated reduced time to definitive interventions and higher diagnostic concordance. Physician confidence and team communication during resuscitation were significantly improved with early POCUS integration. Conclusion - Structured POCUS performed within the first five minutes of emergency assessment improves diagnostic accuracy, expedites life-saving interventions, and enhances clinical confidence. Incorporating “F – Focused Ultrasound” into the ABCDE approach may represent a valuable advancement in early emergency care decision-making.
e22517 Background: Tracheal, Bronchus, and Lung Cancer (TBL) are the primary causes of death and disability in the United States, accounting for nearly 25% of all neoplasm-related deaths. Among various risk factors, occupational exposure (OE) to carcinogens is a growing concern. Methods: Using Standardized global burden of disease methodologies, we estimated death, disability adjusted life years (DALYs), years lived with disability (YLDs), due to TBL cancer attributable to OC stratified by age, sex, year and location across the USA from 1990-2021. Results: From 1990-2021, the annual percentage change (APC) showed a general decline, with total number of deaths decreasing by -0.35%, DALYs by -0.86%, and YLDs by -0.17%. At the regional level, notable variations were observed: Alaska experienced the highest increase in death APC due to arsenic exposure +0.97%, while all states showed a decrease attributable to asbestos. Nevada recorded the highest increase in death APC from beryllium exposure (+0.09%) with a general increasing trend across all states. Both Wyoming and Nevada observed a +0.02% increase due to cadmium exposure. South Dakota saw a +0.17% increase due to chromium, and Alabama recorded a +0.43% increase from diesel engine exhaust. A declining trend was noted for nickel across all states. Utah had a +0.23% increase due to exposure to polycyclic aromatic hydrocarbons (PAH), and Alaska showed a significant rise of +1.19% from silica exposure. Age-wise, those 55 and older saw reductions in APC for deaths (-0.28%), DALYs (-0.75%), and YLDs (-0.09%). The 20-54 year age group noted more pronounced declines in death (-2.87%), DALYs (-2.95%), and YLDs (-2.28%). Gender analysis revealed that females had increased APC for deaths (+0.92%), DALYs (+0.35%), and YLDs (+1.15%), while males exhibited a declining trend. Conclusions: The study demonstrates an overall reduction in health burdens from 1990-2021, marked by declines in deaths, DALYs, and YLDs. Despite these gains, regional and demographic disparities highlight the continued impact of OE, particularly in states like Alaska and Nevada, and among different age groups and genders. These findings stress the need for targeted policies and improved safety standards to address persistent occupational health risks and achieve equitable health outcomes. Annual percentage of change in total number of deaths, DALYs and YLDs due to TBL cancer attributable to occupational carcinogens from 1990-2021. TBL cancer Attributable to OC APC (%), (1990-2021)Deaths APC (%),(1990-2021), (DALYs) APC (%),(1990-2021), (YLDs) Arsenic -0.43 -0.67 +0.05 Asbestos -0.35 -0.93 -0.22 Beryllium +0.04 -0.19 +0.55 Cadmium -0.35 -0.59 +0.13 Chromium -0.24 -0.48 +0.25 Diesel engine exhaust +0.11 -0.13 +0.61 Nickel -0.55 -0.79 -0.08 Polycyclic aromatic hydrocarbons (PAH) -0.18 -0.42 +0.32 Silica -0.59 -0.83 -0.12
