3Hcare Labs now functional at Gajraula

 
3hcare Labs opens its third lab in Gajraula, as a part of its vigorous expansion plan
 
Gajraula: After opening labs in Kosi and Jhajjhar in quick succession, 3Hcare Labs inaugurated its 3rd successful lab in Gajraula today. Being a part of its aggressive planning to expand its offline footprints across tier 3  & tier 4 cities throughout India, the leading online healthcare portal 3hcare.in has already ramping up the activities in western UP and Haryana.  
 
The labs which are being operated under the name of ‘3HCare Labs’ assures free home sample collection and same day delivery of reports assuring the best quality tests for the local. Most of the tier 3 & 4 locations are thriving with only sample collection centers and limited quality certified labs that urge the patients for outstation travel even for getting a basic pathology test. Delay in report availability may also affect their due course of treatment. After the advent of such pathology labs in the rural areas, patients will be highly benefitted. To assure quality services the lab is already undergoing ISO certification and will soon be receiving NABL accreditation.” Says CA (Dr) Ruchi Gupta, Founder & CEO, 3hcare.in
 
Most of the tier 3 & tier 4 cities are devoid of even the basic healthcare services like diagnostics, and are in demand of critical attention. In such a scenario, where the rural towns and villages are devoid of certified pathology labs, 3hcare labs (which is well established as 3hcare.in in the online segment) has a greater scope for penetration and a stronghold in these villages and towns in the offline segment as well.

Diabetic Women more at risk of small vessel heart disease than Men

 If you are a diabetic, have been treated for coronary artery disease with angioplasty, stents or coronary artery bypass graft surgery and the signs and symptoms haven't gone away, you may be having diffuse small vessel disease. Small vessel or coronary microvascular disease is a condition in which small arteries in the heart that are not visible in angiograms become narrowed and cause signs and symptoms of heart disease such as angina chest pain. The large vessels in the heart can become narrowed or blocked through atherosclerosis, a condition in which fatty deposits build up in the arteries. In small vessel disease, the narrowing is in the heart’s small vessels due to which they can't expand properly when the patient is active resulting in inadequate supply of oxygen-rich blood. This inability to expand due to endothelial dysfunction may cause small vessels to actually become smaller when one is active or under emotional stress. The reduced blood flow through the small vessels causes angina or a heart attack and is usually diagnosed after a check for blockages in the main arteries of the heart show little or no narrowing in the large vessels but patient has angina symptoms. When small vessel disease is present along with large vessel disease, the condition may be suspected only when a patients has angina even after a successful angioplasty or bypass surgery.

Although anyone can have small vessel disease, it's more common in women and in people who have diabetes, are obese, smokers, have high cholesterol, high blood pressure, unhealthy diet and inactive lifestyle. Diabetics normally feel less pain and chances of painless myocardial infarction that may go unnoticed are more. Diffuse small vessel disease is more difficult to detect and less easily treatable and if left untreated can cause coronary artery spasm, heart attack, heart failure and sudden cardiac death. When in a symptomatic patient coronary angiogram does not show blockages in larger vessels, additional tests for smaller arteries narrowing such as Stress Thallium test imaging and Cardiovascular Cartography heart flow mapping may be of help.

Because the blocked or narrowed blood vessels that cause the disease are very small, angioplasty, stent and surgery are usually not helpful. Small vessel disease treatment involves medications to control the symptoms of narrowed small blood vessels.

According to Dr. S.S. Sibia, Director and Consultant, Sibia Medical Centre, Ludhiana  There has been some research on diabetic patients who have Coronary Artery Disease treated with External Counter Pulsation (ECP) therapy. ECP is an option for small vessel disease patients as it dilates the coronaries, opens dormant blood vessels and stimulates angiogenesis . An analysis of data from the International EECP Patient Registry concluded that “ECP is safe, well tolerated and associated with improvement in angina, functional status, and quality of life and that clinical benefit was maintained in most patients at one year” in diabetic patients. Patients with Coronary Artery Disease and diabetes often make excellent candidates for ECP Therapy since diabetic patients are at known increased risk for interventional complications. Reports from ECP centres suggest that patients who have undergone ECP not only have better control of their blood glucose levels but have also had their physician lower (or in some cases, completely eliminate) the dosage of diabetic medication needed to maintain an optimum blood sugar level; this is not surprising since the benefits of EECP have a similar systemic effect to that of physical exercise.

While we wait or the last word on treatment of small vessel disease, the best option would be to look into ways of preventing small vessel disease - controlling the major risk factors of high blood pressure, high cholesterol and obesity. Things than can be done that may help reduce risk include eating a heart-healthy diet with low saturated fat and cholesterol in the diet.

Eating a heart-healthy diet that includes plenty of whole grains, lean meat, low-fat dairy, fruits and vegetables. Also, watch the salt and fat intake as eating too much salt and saturated or trans fats may increase your blood pressure and cholesterol. Regular exercise, even 30 minutes a day, helps improve heart muscle function and keeps blood flowing through your arteries and prevent a heart attack by helping achieve and maintain a healthy weight and control diabetes, elevated cholesterol and high blood pressure. And last but not the least stop smoking or use of any other tobacco products totally.

Effective answer writing tips for IAS Mains Exam 2019 by subject experts

 Mr.A K Mishra, Founder & Chairman, Chanakya IAS Academy

The journey from being a Civil Services aspirant to becoming a successful Civil Servant undoubtedly takes the candidates through tough terrains, but the destination is indeed so powerful that it is worth taking those challenging terrains.

After appearing for Civil Services Preliminary examination 2018, aspirants must be having a tough time while preparing for mains, as prelims exam went quite unexpected. The weightage of the questions had shifted a lot from the typical analytical questions to current-affairs based questions, stressing much on testing general knowledge of the aspirants in this year’s preliminary Exam. So, although no one can predict the upcoming Mains examination, we, being an academy, which has been helping students prepare for this coveted examination for past 25 years, can lend you a helping hand with some effective tips devised after a discussion with successful candidates and field experts.

HERE ARE 7 TIPS TO HELP YOU MASTER ANSWER WRITING SKILL FOR THE UPCOMING MAINS EXAMINATION 2019

As an IAS aspirant, you must already know that this stage of the exam preparation must be entirely dedicated to mastering the Art of presenting your opinions and thoughts efficiently in your writing and connecting your answers of a particular question with the current issues being faced in the society. So what you need to do first and foremost…

1.     Know your syllabus well

2.     Develop a strong hold on each and every subject subjects

3.     Religiously follow current affairs

4.     Practice answer writing

5.     Discuss the issues and the things, you have the knowledge about, with peer groups and seniors

6.     Watch toppers videos

7.     Start thinking from a problem solver’s perspective rather than a common person, because you are going to be an administrator

Mastering the art of answer writing for Civil Services Mains 2018 requires a tremendous amount of practice, every day. So students must begin with making notes on every important topic, and after getting a sound hold on subjects, the aspirants are advised to begin solving the questions. Find an explanation for every question you come across on the topic you learn and question yourself constantly, not giving up, until you have all the answers. Even if you fail to revise all the answers in the last leg of your preparation, with rigorous preparation, your mind will still recall the most of what you have practiced, while writing the actual Civil Services Mains Exam. Then practice solving previous years question papers without fail, this is one of the most important practices every aspirant must do during the preparation. Then Enrolling for Mains Test Series and solving maximum mock test papers for Mains boosts up the preparation process multiple times.

Now these are some important tips which will help you during your actual examination phase for Mains

1.     Read your question well – Always read your question properly and re-read it again until you have understood what is exactly expected in your answer. You must spend an approximate of 8-9 minutes per question, so try to spend no more than the 1 minute of your time to read your question, understand it and underline the keywords, you must weave your answer around.

2.     Analyse all the aspects – Having understood the exact demand of the question, analyze all the aspects that must be mentioned, starting from giving background details of the subject to explaining the subject further in detail. Cover as many dimensions as possible in an answer rather than just covering the issue in depth with quality analysis. Do not forget to recall the facts and current in-news information related to the topic.

3.     Frame a well-structured answer – Introduce your subject in a short paragraph, giving immediate way to the main explanation of the question being asked. Just avoid giving lengthy paragraphs and instead use pointers for multiple arguments or sub-points to the explanation. Balance your answer with multi-faceted aspects of the topics and explain it all in as brief manner as you can. Conclude this answer on a positive note, for, the examiner will appreciate your affirmative take on the situation.

4.     Mind your hand-writing – Handwriting has never, in Civil Services Exam, been considered for marking a candidate’s suitability and caliber for the job. But in our opinion, a good handwriting will always stimulate your examiners’ mind and help them come at ease with your answers. So, ensure making your answer presentable with clear handwriting, decently big characters’ size and enough space between the words.

5.     Enrich your answer with facts/dates/names/other details – An exceptional answer, especially considering the current trend of questions, must have enough factual backing of the current affairs details, views, dates, names, etc about the topics and a little more about the related aspects of your topic.

6.     Explain your answers more clearly and precisely with the help of diagrams, charts, maps & quotations – Students are always advised to back their answers with the relevant and supporting diagrams & charts; and for the answer related to geography-based questions, maps are the ultimate rescue. Use these extra, but relevant elements to enhance your answer quality. It is no-where advisable to overload your answer with these elements, as a supporting paragraph to explain your answer is always better than doing away with the embellishment. Give diagrams and other elements, only where needed!

7.     Quality comes with regularity in practice – As we mentioned above, to master the art of writing efficient answers in the Civil Services Examination, rigorous practice is crucial. Hence, you must solve as many Previous Year papers and Mock Tests as you can.