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NephroPlus hosts conference – Top clinical experts discuss the vexing issue of Hepatitis C infection in Haemodialysis patients on ‘World Hepatitis Day’ and solutions across practice settings

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~HCV Seroprevalance in those on Maintenance Hemodialysis is 20%~

~Indian patients on hemodialysis are increasing at 25 % per year~

~Majority of the burden (88%) is hidden in the low-risk population who are not screened for HCV~

Hyderabad, 27th July 2022 – To mark this year’s World Hepatitis Day, NephroPlus, India’s largest dialysis network, hosted a webinar in collaboration with leading Nephrologists, Researchers, Hepatologists, and Clinicians on Tuesday 26th July 2022. The experts on the panel discussed risk factors identified for high incidence of HCV infection in HD (Haemodialysis) patients; the most important ones are the number of blood transfusions, duration of the hemodialysis treatment, and nosocomial transmissions due to inadequate infection-control measures.

The global prevalence of hepatitis C is estimated to be 3%, with 12.5 million people in India alone infected with the virus. It is also important to note that Hepatitis C is the most common hepatotropic viral infection that affects patients on maintenance hemodialysis. Furthermore, HCV infection in HD patients has been associated with high morbidity and mortality.

This knowledge-sharing session also brought together the country’s most reputed clinicians to talk about Hepatitis, its impact on dialysis patients, dialysis centres, and potential solutions. NephroPlus emphasized the importance of managing Hepatitis through a multidisciplinary approach for hemodialysis patients through this exclusive virtual event during the sessions. The subject matter experts shared their experience in real patient care settings and, coupled with insights from their academic and research work, emphasized the need for strict implementation of and adherence to infection control practices during Dialysis to prevent transmission of blood-borne pathogens such as HCV in hemodialysis patients.

In his talk, Dr. Vivekananda Jha, Executive Director, George Institute for Global Health India, and a Professor of Nephrology at the University of Oxford, described the correlation between Hepatitis C and kidney diseases. “Hepatitis plays a vital role in patient’s lives with kidney diseases. We all know kidney disease by itself is complex. Serious health conditions such as kidney diseases make patients more vulnerable to liver infections, including Hepatitis C and other liver infections. However, Hepatitis is a condition that can be treated by proper medication. Medical science has made immense progress, and we are in a fortunate position to be able to either prevent or treat hepatitis C. For hepatitis B, we have vaccines available. All chronic kidney patients should be vaccinated against HBV,”

Echoing his thoughts, eminent Nephrologist Dr. Sanjay Agarwal, Professor and Head of Nephrology at All India Institute of Medical Sciences (AIIMS), commented, “The HCV infection can be diagnosed by detecting anti-HCV antibodies in the patient. Various factors that affect the magnitude of HCV infection include the geographic distribution of population, duration of Dialysis for a patient, a pool of HCV patients in a dialysis unit/clinic, practice patterns, number of blood transfusions inpatient, co-infection with other viruses, and tests employed for diagnosis. It is to be noted that the longer the duration of Dialysis for a patient, the higher the risk of HCV infection.”

One study by Dr. Sanjay Agarwal and two other authors revealed that a “marked increase of HCV infection among patients undergoing hemodialysis (HD) was likely to be due to nosocomial spread, indicating that patients who spent long periods on hemodialysis were more likely to develop HCV Infection.

While discussing the clinical features of HCV infection, Dr. Agarwal further highlighted that “the Majority of HCV patients are asymptomatic, and transmission is less where isolation is practiced. Therefore, HCV infection has become the most prevalent hepatotoxic viral infection in Maintenance Haemodialysis (MHD) patients. In India, HCV prevalence in hemodialysis ranges from 4.3 to 45%, while the global average is 6 to 60%, making it an alarming health crisis in the renal space. Furthermore, the situation needs to be addressed because hemodialysis patients with HCV have a higher mortality risk than HCV-negative patients.”

According to the experts, treatment HCV is now highly safe and effective, made possible with orally administered drugs called DAA (Direct Acting Anti-Viral Drugs) with a 90-95% cure rate after 3-6 mths of treatment, available at a fairly low price in India. The  National Viral Hepatitis Control Program (NVHCP) launched  on 28th July 2018 by the Govt. of India has also achieved some remarkable goals that include 1.3 lacs of cured patients and 2-3 lacs of population has been undergoing treatment .

The discussion also called for regular counselling to help patients understand the situation’s complexity and the need to act fast. In addition, the experts present noted that it is important that the patients maintain a positive mental attitude and adhere to regular testing and follow-up.

Adding further to the session, Dr. Suresh Sankar, Senior Vice President, Clinical Affairs at NephroPlus, commented, “The webinar provided an opportunity for experts to discuss the very worrisome findings and chart a way forward. We always want to be at the forefront of conversations that seek the betterment of dialysis care in India and beyond. NephroPlus has seen a decline in the prevalence of Hepatitis C in its network. There has been a 65% decrease in prevalence over 10 years. However, the increase in the absolute number of patients on Dialysis is growing, especially in smaller towns, and comes with unique challenges. We at NephroPlus recognize Hepatitis C infection as a significant health impact factor and have a diligent screening, prevention, and surveillance policy for BBV infection to improve patient safety by special infection control measures. In addition, we have stratified centres by prevalence % (centres > 10% of patients are recognized as high-risk centres per KDIGO 2018)—initiatives in such centre to mitigate risks of Hep C transmission. We are committed to the cause of preventing Hep C in Dialysis patients. We are happy to support other dialysis centres to set up a Hep C surveillance, prevention, and treatment program.”

The webinar, conducted to mark World Hepatitis Day, was co-chaired by Prof. Vivekanand Jha, Executive Director at The George Institute for Global Health, and Dr. Sanjeev Saxena, Chairman & Senior Consultant PSRI, New Delhi. Eminent Speakers – Dr. Sanjay Agarwal, Prof. & Head Nephrology at AIIMS, Dr. Amit Goel, Additional Professor, Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences,  and the panel discussion constituted –  Dr. Anupama Y. J, Head of Department of Nephrology Nanjappa Hospital, Shimoga, Dr. Manisha Sahay, Nephrologist and Head of Department of Nephrology Osmania Medical College, Hyderabad, Dr. Neeru Aggarwal, Clinician, Max Super Speciality Hospital, Vaishali, Ghaziabad, and Dr. Chandan Chaudhari, Consultant Nephrologist, Wockhardt Hospitals, South Mumbai

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Advocate Author Dr. Manish Das of Supreme Court

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Just like the theory of multiple intelligences, there should be a theory of multiple talents. If somebody would devise it then its first contender would be Dr Manish Das, the Director of Supercounsellors, who is the wealthiest personality with as many talents and professional qualities as possible. He is like a protagonist from a social reformist story who is always on a mission to transform society with his constant positive contribution and Author of the book – The Assam Municipal Corporation Act, 2022.

Dr Manish is a Freelance Professional Model, Actor, Dancer, Anchor, Theatre Artist, Performer, Author, Trainer, Social Worker, Artist, Counselor, Musician, Poet, Chess Player, Astro-Palmist, Columnist, and an Advocate at the Supreme Court of India, Different High Courts and Session Courts in India.

Dr Manish, the Director of Supercounsellors and his mother Mrs Rupali Baruah Das, the First lady career Counsellor from North East India run multiple foundations and educational institutes along with Supercounsellors including,

www.careernewsz.com – for Career Counselling

www.directadmissionandloan.com – for Career

counselling along with Educational loan assistance for

students with financially weaker backgrounds.

www.indianoverseas.in – for abroad students

www.kef360.com – for career counselling with an

online psychometric test.

www.iipa.in.net – for our own online courses.

www.supercounsellors.com – for online counselling to

educational-related people.

www.aig.institute.org.in – for Graphology Institute

www.iipalawtutorial.institute.org.in – for Law

Coaching.

www.iiopa.institute.org.in – for International Institute

of Performing Arts.

www.kef.institute.org.in – for Kulendra Das

Educational Foundation.

www.indialawtimes.in – for Law News and Articles.

www.northeastassam24.com – for North East Assam

News.

www.manishdas.com – an informative site about

Advocate Manish Das.

www.rupalibaruahdas.com – informative site about

Rupali Baruah Das.

www.iipa.institute.org.in – for IIPA (NGO)

www.bandhancity.com – for Northeast Assam’s First

Matrimonial.

www.bandhancity.in – for North East Assam First Matrimonial.

www.dasandcolawfirm.com – for Any Law matter and

any registration, tax and services. Always choose one

of the North East Assam’s oldest Law Firms since

1932.

www.ice.institute.org.in – for Any Computer Software

and Hardware Courses from Govt. of India and Govt.

of Assam Awarded Intech Computer Education (ICE)

Since 2000.

www.kefcareers.com – for Any kind of Scholarship and

Career-Related Courses.

www.gonew.in – for A to Z in Traveling and Unique

Courses and Help in Getting New Courses.

www.lexnext.in – For A to Z in all your Law-related

needs and solutions.

www.kefcareer.in – For A to Z in Career Related

Courses.

In this mission of 22 years, Dr Manish has won several accolades and awards including

· The Real Super Heroes Award 2022 from FSIA

· Best Teacher Award Winner of 2021,

· Best NGO Award Winner of 2021,

· Best Educational Counsellor Awardee 2020,

· Best Edupreneur of the year 2020 and many more.

Dr Manish shares, “We have a mission: To educate the next generation which will fulfil our vision to make India a developed country by contributing to the field of

education.”

Dr Manish spoke in an interview with insights success for its edition of ‘India’s 40 Under 40 Brightest Business Leaders.’ Let us get educated and counselled from the following highlights of that inspirational discussion.

Sir, please tell us about the saga of your reputed business since its inception.

It was started long back in 2000 by me along with my mother Mrs Rupali Baruah Das. Since then, my role as an educator and counsellor has evolved over the years. And the experience was great because every time we get new listeners, a new environment, different schools and sometimes the same schools. Beyond this, we do a face-toface session with most of the students and try to know their problems and give the best solution by measuring their potential with the psychometric test, questionnaire and different activities where we try to take 360-degree views of the peer group etc.

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Indianapolis based DJ and Entrepreneur Iman Tucker set to release first sneaker after the huge success of his apparel brand, Believe Brand Co.

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It started off by designing premium faith based tees, hats, hoodies, jackets and various custom goods to wear on stage. As his desire for quality increased so did his vision for a brand.

Now it has transitioned into a luxury brand made to subtly stand out. Famous DJ and Entrepreneur Iman Tucker successfully built a faith based apparel brand named Believe Brand Co. The faith based apparel brand, Believe Brand Co. was brought up with the aim to establish itself as a Christian brand known for quality and a minimalistic style. However, as his desire to design luxury goods grew, he wanted to expand without plastering the traditional Believe Brand marks all over the high-end materials. This was the base for the setting up of Capre – a luxury brand he looks to use his momentum in entrepreneurship to scale.

That is when the vision of his own shoe came to light.

Indianapolis DJ and Entrepreneur, Iman Tucker found new interest in remixing a classic silhouette into a new look for his latest venture. He said, “Releasing a shoe that speaks of what we as a community believe in has always been a dream for us. The vision is to create a clean and simple, yet bold look to a luxury sneaker all stemmed from inspiration.”

The idea came up as they discussed making goods from head to toe. “Well what about shoes?” As soon as it was suggested the team bought in and the work started. The team was tasked first with identifying a name for the brand. After toying around with ideas they resorted to a familiar playbook using Tucker’s name. Believe Brand’s name came from the Farsi to English translation Iman meaning “faith in God” or “Believe.”  However, this time it wasn’t as direct. Born Iman Capre O’Neal Tucker, they looked to his second name “Capre” in lieu of the second brand.  Aromanian translation leads to meaning goat.

Of course that was not the final destination.

Popular among American culture is the acronym G.O.A.T. or greatest of all time. In the Christian religion the son of God is referred to as the greatest man to walk the earth. 

The team wanted the brand to be a testament to excellence, a luxury brand committed to a unique look and design of mark and materials unmatched to any other brands available in the market.

As for the logo, the team wanted to give the main side logo of the shoe something that resonated to something outside of the religion. They discussed “If the son of god is god…who is god? God is love!…we wanted to come up with something related to love.” After the logo was finalized, an asymmetrical heart took the forefront of the design made up of two major parts. This was a very big deal for the team, to speak about the comparison. “We often compare our self worth on many factors and we feel smaller than those we look up to. However, it takes everyone to make the full picture, it takes all efforts to bring together the big and small,” and that’s how the team came up with the iconic heart logo on the side of the shoe.

Iman Tucker plans to release the shoe before the official release of the brand, Capre, which will be an online-only retail brand. The shoe will be available for pre-order from November 2022 while the company aims to release the luxury brand Capre by Q1 of 2023.

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CYBER EXPERT MIEET SHAH SOLVES MORE THEN 1500 CYBER CRIME CASES.

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In the era of digitalisation there are tons of people of being victimised where Cyber Expert Mieet Shah is helping them with unique solutions towards such crimes. Mieet Shah completed his doctorate in Cybersecurity at his young age and using his expertise in solving various types of cybercrimes and tracking cyber criminals and making justice to the victims of such crime which makes Dr.Shah is one of the leading Cybersecurity Experts in India.

Recently Dr.Shah has created a record by solving more then 1500 cybercrimes successfully. He was recently awarded with “International Fame Award” by bollywood actor Sonu Sood for his remarkable work. Also he had been published in more then 250 national and international media.

We are greatful to have such young and dynamic personality in our country.

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