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Bitcoin Could Become Neutral Reserve Asset As BTC Now a National Security Issue, Says Investor Luke Gromen – The Daily Hodl

Macro guru Luke Gromen believes the US has minimal choice but to seriously consider elevating Bitcoin (BTC) as a neutral reserve asset.
In a new interview with Bitcoin firebrand Robert Breedlove, Gromen says the country is facing a national security crisis after Russia crushed US and NATO forces in Ukraine.
Gromen believes that the defeat has changed the rules of the game, forcing the Department of Defense and the national security apparatus to abandon the fiat currency system. According to the macro guru, the US dollar system drove the country to shutter its factories, crippling America’s ability to manufacture armaments for national defense.
But Gromen says the national defense and intelligence establishment now sees an opportunity to revitalize its industries by debasing the dollar and using Bitcoin to back the Treasury market.
“The game theory has changed around this: for national political stability, for bringing back the middle and working class for defense base re-establishment. All of these things are pointing to a neutral reserve asset…
Bitcoin has gone from an eye-roll laugh in this sentence a year ago… but I don’t think there should be.
Treasury [Department] is talking about how to use stablecoins to create a balance sheet basically for T-bills to finance deficits. Paul Ryan, former speaker of the House [and] VP candidate, [wrote an] op-ed about how stablecoins could be used to create demand for T-bills. Trump saying Bitcoin is the new oil, reportedly, [and] the strategic [Bitcoin] reserve.” 
Gromen says the statements of politicians and the Treasury Department tell him that the US is gearing up to massively boost the market cap of Bitcoin, similar to what happened to oil in 1973 when it surged 400%.
“What that oil price did by moving up that way was it effectively made oil big enough to back the dollar, to back the US deficits.”
According to Gromen, elevating Bitcoin as a neutral reserve asset will allow the US to finance the re-establishment of its industries for national defense without making Americans poor.
“The Treasury Borrowing Advisory Committee report has a chart: here’s the market cap of crypto, here’s the market cap of stablecoins, here’s how many T-bills stablecoins have bought, and it’s linear. That’s how they’re looking at it…
When you think about it that way in the context of political stability issues that you need to address, the national defense issues you need to address, the game theory is turned on its head…
Bitcoin isn’t a threat that is rising. It needs to go up faster so that we have more balance sheet capacity and so that our people, as we reinflate to re-shore all of this stuff because it is going to be inflationary, that’s not a bad thing to compensate your people to keep them whole on a real basis while that happens.”
At time of writing, Bitcoin is trading for $105,063.
 
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France, Qatar Bolster Official Diplomatic Channels with New Syrian Government – The Media Line

France and Qatar both announced steps toward diplomatic rapprochement with Syria on Sunday, representing an opening of dialogue with the new rebel-backed interim government responsible for ousting former President Bashar al-Assad.  
France will dispatch a team of diplomats to war-torn Syria on Tuesday to meet with unspecified contacts and report back on the current political and security situation, the foreign ministry said in a statement, adding that the visit was intended to “demonstrate a “willingness to support the Syrian people.”  


As Brussels is still assessing how to approach Syria’s new leadership, given the leading role of the EU-designated terrorist organization Hayat Tahrir al-Sham (HTS), Paris will lead off the bloc’s first official efforts with the new government. Given its hardline stance against Assad and cultural ties to Syria from the former French Mandate, many have cited France as a strong point of first contact. 
France, which did not back HTS but instead secular and Kurdish groups, has also emphasized the importance of an inclusive political transition under the established United Nations framework.  
Meanwhile, Geir Pedersen, the UN’s envoy to Syria, told reporters in Damascus on Sunday that Western nations could support institution-building efforts by lifting sanctions. 
Qatar announced it will reopen its embassy in Damascus on Tuesday, more than 13 years after withdrawing its ambassador in response to Assad’s violent crackdowns on protesters in 2011. Similar to Paris, Doha considered mending ties with Assad and instead resisted regional attempts to restore relations with his regime. 

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Ex-Leonardo’s Coulter named Hanwha Aerospace’s 1st foreign global chief – Korea Economic Daily

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PRRI survey finds ‘stark’ voter divides along religious lines – Baptist News Global

News  |  December 16, 2024
Race, religion and Christian nationalism were among the top influencers of presidential voting in the 2024 election, according to new polling by Public Religion Research Institute.
Half of all U.S. voters chose Republican Donald Trump on Election Day compared to 48% who voted for Democrat Kamala Harris.
But white voters cast votes for Trump 55% to 43% over Harris, compared to Black voters who voted for Harris 81% to 17% over Trump. Hispanics were somewhat more evenly divided, with 53% voting for Harris and 45% for Trump, PRRI said in the post-election survey released Dec. 13.
Efron Perez
“It’s very clear from the survey that whereas we once expected maybe one out of three Latinos to vote Republican regardless of the candidate, we are basically seeing half,” said Efren Perez, professor of political science at UCLA, during PRRI’s webinar release of the survey.
But it’s much too early to draw definitive conclusions about the trend, Perez added. “Donald Trump is sort of a quantity and a product all on his own, and so it’s really hard to tell how much of this support among Latinos has to do with that unique brand of his rather than a very durable, sincere attachment to the Republican Party.”
The study also reported “stark” voter divides along religious lines, with 85% of white evangelicals, 64% of Hispanic Protestants, 59% of white Catholics and 57% of white Mainline Protestants casting ballots for Trump. Majorities of Black Protestants (83%), unaffiliated voters (72%), non-Christian people of faith (67%), Jewish voters (62%) and 55% of Hispanic Catholics voted for Harris.
Robert P. Jones
Overwhelming support for Trump among white evangelicals came as no surprise given that more than 80% of them backed him in the previous two general elections, said PRRI President Robert P. Jones.
Just as significant is the continuing chasm between white evangelical and Black Protestant voting preferences, Jones added. “I want to pause and say how remarkable that is. African American Protestants and white evangelical Protestants share a lot of theology, share a lot of geography, yet their voting patterns are mirror images, particularly in the Trump era and really since the Civil Rights era.”
Education also was a contributing factor on Election Day, with 66% of white non-college graduates voting for Trump compared to 44% of those who graduated from college. Among Hispanics, 48% of non-college graduates picked Trump versus 40% of college graduates. Black non-college graduates (78%) and college graduates (86%) chose Harris.
The PRRI survey also found a correlation between frequency of church attendance and white voter support for Trump, especially with white evangelicals. In that group, 88% who attend church weekly or more voted for Trump, as did 81% of those who attend monthly or a few times a year and 77% who seldomly or never attend church.
Among white Catholics, 64% who attend at least weekly backed Trump in the 2024 election, along with 58% who attend monthly and 56% who seldomly or never attend.
Attendance was less of a determining factor in Trump’s support among white non-evangelical Protestants, with 52% of weekly attenders, 56% of monthly attenders and 59% of those who seldomly or never attend casting ballots for him.

Levels of support for Christian nationalism, authoritarianism and QAnon conspiracies also sharply divided Americans in their presidential voting, PRRI reported: “A strong majority of Americans who qualify as Christian nationalism adherents and sympathizers report voting for Trump (83%), while almost two-thirds of Christian nationalism rejecters and skeptics (64%) report voting for Harris.”
Respondents also were asked if they believe Trump’s election was a sign of “divine endorsement,” with 60% of white evangelicals, 59% of Christian nationalism supporters and 45% of Hispanic Protestants affirming that view. Only 17% of Black Protestants agreed.
A large majority (82%) of Americans who expressed “high” or “very high” levels of support for authoritarian leaders and government voted for Trump, while most (79%) of those with “low” or “very low” opinions voted for Harris, PRRI found. “QAnon believers are far more likely to report voting for Trump (81%) while QAnon rejecters report voting for Harris (73%) at much higher numbers.”

The survey also gauged voter confidence in U.S. democracy and elections. More than half (55%) said they are “very confident” the 2024 election was conducted fairly, while 31% of all Americans and 63% of Republicans maintained the 2020 presidential contest was stolen from Trump. Confidence in the accuracy and fairness of the 2024 election was much higher among Republican voters (66%) compared with Democratic voters (44%), according to the survey.
The study also reported a spike in partisan polarization since 2016.
“Republican voters are more likely to see the Democratic Party as a serious threat to the country today than they did when Trump first ran for office (60% in 2016 vs. 69% in 2024); however, the perception among Democrats that the Republican Party poses a serious threat has increased at a much higher rate in that same time (50% in 2016 vs. 81% in 2024).”

Suspicion of the Democratic Party among independent voters dipped from 35% in 2016 to 32% this year, while the number concerned about Republicans shot up from 26% to 42% in the same span, the report says.
Meanwhile, 70% of all U.S. voters agreed the biggest dangers facing the nation emanate not from external sources but from “those living among us,” PRRI found. “Strong majorities of Republican voters (73%), Democratic voters (69%), and independent voters (65%) share this sentiment.”
Voters were heavily divided over the likely strength of American democracy during the next four years. While about four in 10 voters said they are “very confident” democracy will remain strong during Trump’s upcoming term, 79% of Republicans expressed that view compared to 35% of independents and only 5% of Democrats.

“Partisanship, race and Christian nationalist views strongly shape Americans’ confidence that Donald Trump will peacefully leave office at the end of his term,” PRRI reported.
Overall, 42% of voters expressed confidence Trump will leave office peacefully at the end of his term, an opinion shared by only 5% of Democrats and 37% of independents. Those who believe he will leave office peacefully included 79% of Republicans and 69% of Christian nationalism supporters.
The divide was similar when respondents were asked if free political expression would continue during the next presidential term, including speech critical of the Trump administration. Four in 10 of all voters said they are confident freedom of speech would continue, compared to 72% of Republicans, 38% of independents and only 10% of Democrats. White voters (45%) and Black voters (20%) were sharply divided on the question.

“Christian nationalism adherent and sympathizer voters (61%) are about twice as likely as Christian nationalism rejecter and skeptic voters (32%) to express confidence in their ability to freely express their political opinions,” PRRI reported.
Republicans (63%) and Christian nationalists (55%) said they were “not at all confident” Trump will use government power for retribution against his enemies. Only 6% of Democrats and 34% of independents shared that confidence.
Republican voters (46%) and those with strong authoritarian beliefs (48%) were most likely to say the U.S. military should be used to place unauthorized immigrants in internment camps until their deportation. But only 12% of all voters, 19% of independents and 8% of Democrats agreed.


— A BNG interview series on the 2024 election and the Church
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The Impersonation Scam That Almost Cost My Mum Her Life Savings – Rice Media

I’m consumed by guilt and anxiety whenever I’m not shadowing my parents’ every move. Recently, I let my guard down—and nearly watched my mum fall prey to smooth-talking con artists and their elaborate scam.
My parents devoted their lives to raising me, building a foundation of care and protection I strive to repay. But no matter how much I try, the tables can turn in an instant.
Like so many other Asians who struggle to put love into words, I channel my affection through food. Lavish meals have become my language of gratitude, a way of saying everything I can’t articulate out loud. 
So, in November 2023, I decided to treat my parents to a popular hotel buffet along Orchard Road for my dad’s 74th birthday. The idea of all-you-can-eat seemed foolproof, and the restaurant buzzed with an energy that made me feel I’d chosen right.
For 35 years, my parents and I lived under the same roof, sharing everything. Even after I moved into my own place, we maintained a close bond, our regular communal meals serving as cherished check-ins, a chance to update each other on the little and big things in life.
The mood of this jovial dinner took an unexpected turn when my mum, 72, who had always taught me to be unyielding with myself, laid down a revelation that made my heart skip a beat. In a voice trembling with anger and regret, she revealed that she’d nearly lost her life savings to some mysterious strangers.
My mum’s gaze was fixed on the floor like an embarrassed child as she recounted the gaslighting she had endured, her voice trembling with anger and regret.
My fists and teeth clenched as she disclosed that she had been fooled by swindlers.
At 9 AM one morning in October 2023, my mum picked up a call from a voice that somehow knew her name.
“There has been a transaction of over S$900 on your OCBC credit card,” the caller announced, triggering a ripple of confusion within her. She owned an OCBC account, yes, but no credit card.
The supposed “bank teller” calmly asked if she wanted to cancel the transaction and file a police report. When she agreed, he “transferred” her to a police station. Thus, with the press of a button, my mother crossed a threshold, lured by skilled emotional manipulators who saw through her defences to the vulnerable heart beneath.
In reality, bank tellers will never transfer calls to the police.
“It was all so realistic,” she recalls. Her voice tightened, shame hardening into anger. She had answered his questions, divulging her bank details in full trust.
“Are you in a room alone?” the stranger on the phone asked.
“This statement must be kept secret. Not even your husband can know.” She complied, entranced by his authority.
At this point of telling her story, my mother was so angry—at the voice actors and even more so at herself—that she was swearing to herself in Teochew. She was spewing expletives from the old country that even I hadn’t heard before.
“In hindsight, all these questions were meant to gather information from me. At that time, I had to leave for work, so the fake policeman told me to call him back later.”
By the following day, the game had darkened.
“The officer was oddly… polite,” she recounted, eyebrows knitting with a mix of dread and disbelief. He asked about her day, about her meals, lulling her, it seemed, into a false sense of security.
The following day, he transferred her to his senior officer—an Inspector Yong, who surprisingly knew her personal details, including her bank account number. And with each personal detail, he baited her deeper.
Inspector Yong claimed to have uncovered her involvement in two other money laundering cases—he even described an arrest warrant in her name.
“Is there somewhere quiet where we can talk?” he gently asked.
Inspector Yong suggested they continue their confidential conversation somewhere secluded, like a nearby void deck. Again, my mum complied.
However, according to Inspector Yong, my mother could avoid arrest if she followed his instructions and logged into her online banking account.
Fortunately enough, my mum is terrible with all things involving computers, mobile apps and anything that didn’t exist in 1990.
Inspector Yong became exasperated from trying to help this senior log in. After multiple attempts, they gave up trying to access her online banking account. He said that they could try again the next day, and she went home.
Shaken but suspicious, my mother confided in my father. He quickly reached out to a friend in the force.
As soon as he mentioned the name “Inspector Yong,” the response was immediate: “You’ve been scammed.”
My mother’s cheeks flushed with shame as she realised how close she had come to losing everything. But for all her regrets, she knew she was lucky. She would have been another silent statistic if not for her blessed computer illiteracy, a shield that saved her in her moment of greatest vulnerability.
“If we had logged into my banking account and had I given him details like my OTP, he could have wiped out my life savings.”
It took a lot for my mum to recall and verbalise this brief lapse of judgment, so after she had gotten it off her chest, I changed the topic to something lighthearted. I wanted the convivial mood of the birthday dinner to continue, so I joked that her not losing her life savings made this a double celebration. My dad chimed in with amusing banter too, which earned a smile and laugh from her.
As her son, it stung. My mum has toiled for years to provide for her family and doesn’t have any indulgences because she believes that it’s more important to save for a rainy day. She was lucky that the only harm this scam caused was to her pride—she still curses ‘Inspector Yong’ and his accomplices under her breath. However, many others were not as fortunate.
We escaped financial ruin by sheer luck. When I was a child, my mother did her utmost to protect me. As an adult caring for my elderly parents, it’s frustrating that there’s little I can do to protect her besides calling her often and talking to her about new types of scams.
However, it’s heartening that she’s been reading up on scam tactics
In the first half of 2024, over 26,000 victims lost S$385.6 million to scams, and it’s not just the elderly—last year, 73 percent of victims were below 50 years of age.
These days, she hopes other seniors too will take steps to protect themselves and their life savings, like downloading the ScamShield app, setting daily limits for bank transactions and activating the Money Lock feature. It’s great that ScamShield also has a 24/7 helpline (1799) that anyone can call during moments of uncertainty.
Last month, my mum received another call. This time, the caller claimed that an even larger amount had been transacted through her bank account. This time, she smirked and hung up.
“We need to inform the public what types of scams are out there and how to avoid falling for them,” she opines.
She’s wisened up to the modus operandi of scammers. Showing her how to differentiate the authentic from the suspicious hasn’t been easy, but this close call has made me more patient with teaching her.
On the unfortunate flip side, however, this attempted banking scam has made my mother even more averse to electronic services. She’ll continue to update her passbook at the bank for as long as she can walk there.
One electronic service she’s become familiar with, though, is how to lodge an online police report.
“We also need to tell Singaporeans what banking and police services can be done online and what requires our physical presence.”
In our journey towards greater personal safety, she and I have also learned that the police will never ask for information related to banking, SingPass or CPF over the phone or via text. Nor will they ever ask us to transfer money, click on links that lead to bank websites, or download apps outside of official app stores.
If required to provide any information or statements, an individual may insist on meeting ‘police officers’ like Inspector Yong at a police station in person.
“For those who aren’t aware, other people cannot apply for a credit card under your name, so if a caller makes such a claim, know that it might be a scam.”
Losing a fortune to scammers has been mentally debilitating for some victims, but for my mum, her harrowing encounter has sparked a personal mission to spread awareness to others.
She still sounds embarrassed when she shares her close shave with friends and family, but does so anyway, in the spirit of safeguarding them from scammers.
All our essential services have adopted online processes, which are hurriedly onboarding one and all, regardless of how much one knows about online security.
This urban rush, coupled with blind trust in reputable corporations and statutory boards, has led to thousands of Singaporeans being swindled every year, and these include not just the elderly but young digital natives too.
So let’s be patient with scam victims, who could do without our judgment piled atop their self-blame. While many fear reproach, reaching out quickly to avenues of support is vital to mitigating the damage.
In a high-tech world that has cut out the human touch, perhaps the best bulwark against this theatre of malicious actors can be built from human connections.
The key strategy of my mum’s scammers was to isolate her. This reaffirms the importance of checking on our loved ones frequently so none of them will ever go through such an ordeal alone.

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Email Security Startup Sublime Closes $60M Series B Led by IVP – citybiz

Sublime Security, a Washington, D.C.-based startup developing email security software, has raised $60 million in a Series B funding round led by IVP, with participation from other West Coast firms — Index Ventures, Decibel Partners, and Slow Ventures.
The firm had closed its Series A led by Index Ventures earlier this year. Series A investors include Crowdstrike co-founder Dmitri Alperovitch, who also joined the Sublime board.
Tapping Microsoft, Google Customers
Founded by Josh Kamdjou, who managed cybersecurity for the U.S. Department of Defense for a decade, and IanThiel, a former Optimizely executive, Sublime helps users of Microsoft 365 and Google Workspace secure their email. Its customers include Spotify, Reddit and Elastic.
“Today, I’m more convinced than ever that the path we chose, despite resetting our clock back a couple years, is right. Not only for tackling email security, but the architecture of the future in a new world of AI-assisted threats,” said Kamdjou, Sublime’s CEO.
In a blog post on the funding, Kamdjou said “a lot of people thought we were crazy” when Sublime set out in 2021 to build email security using a detection engine backed by a programmable domain-specific language, or DSL. Sublime also built its business differently — without “a single cold sales email or phone call,” or a “paid ad.”
Focus on AI-Assisted Attacks
Sublime’s core platform, built with AI, helps customers to self-host the software and manage threats. It also features an Attack Score to prioritize email threats. Attack Score can also be combined with other threat detection methods to develop unified threat protection.
Having established its ability to provide more security than Microsoft and Google do to their users, Sublime is eyeing opportunities emerging from growing numbers of AI-assisted cyberattacks.
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“The real-time detection engines of tomorrow must rapidly adapt to changes in the threat landscape, while working at massive scale and across tremendous environmental diversity,” Kamdjou said. “Detection efficacy gets stale otherwise. Not to mention the lack of transparency, visibility, and control that most practitioners at large enterprises need to do their jobs effectively.”
Alongside the funding announcement, Sublime Security said it has hired former Wiz executive Colin Jones as president to run go-to-market. Jones was chief revenue officer at Wiz, which earlier this year rejected a $23 billion acquisition offer from Google’s parent Alphabet. At Wiz, Jones is credited with taking the company’s revenue from $0 to $100 million in a record 18 months.

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Japan's education crisis: New survey calls for urgent action – Education International

In liaison with Education International (EI) “Go Public! Fund Education” campaign, the Japan Teachers’ Union (JTU) unveiled a new survey which shows the country’s educators are grappling with long working hours, additional extracurricular activities, and no significant improvement in working conditions.
JTU Deputy General Secretary Shunichi Yamazaki warns: “If this continues, there is a real and terrible risk that public schools across the country could all go bankrupt at once.”
The 2024 JTU survey, part of the union’s “School in Crisis” conducted online from mid-July to mid-September 2024, was filled out by members of the union. Despite the survey being released annually since 2014, there has been no significant improvement in the working and living conditions of teachers. Although relevant laws have been amended, the Ministry of Education has yet to implement effective measures.
The survey sheds light on several factors contributing to the long working hours endured by educators. These include a severe teacher shortage and the demands of after-school club activities, which are widespread in Japan.
Both lower and higher secondary schools offer these activities, requiring teachers to participate and enforce rules as managers or coaches. More than 40% of the surveyed teachers expressed a desire to avoid involvement in these extracurricular duties.
JTU reported that, in the ongoing discussions about the national budget for 2025, Japan’s Minister of Education has proposed an increase in the adjustment allowance for public school teachers, raising it from 4% to 13% of their monthly salary, but only for the 2025 budget. Meanwhile, the Ministry of Finance has put forward a more gradual plan, suggesting an increase from 4% to 10% over five years.
For JTU, both proposals unacceptable. The union reiterated the urgent need for more teachers, reduced workloads and substantial amendments or the abolishment of the relevant laws.
It also noted that these proposals are insufficient and calls for immediate and effective measures to ensure the well-being of educators and the quality of education.
For JTU the survey is a call to education authorities in Japan, to fully fund public education, invest in the teaching profession, and engage teachers and education personnel at all levels of decision making.
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How elderly care gave new meaning to quality of life: Understanding bone, neuro, heart and brain health – The Indian Express

From replacing joints to heart valves — Indians are increasingly going for medical interventions even at advanced ages to improve their quality of life. With people living longer, physicians and healthcare systems are looking at healthy ageing by managing chronic conditions, preventing complications, and intervening to ensure that people remain physically and mentally active.
Be it the government’s flagship Ayushman Bharat scheme being expanded to cover the elderly or the country’s insurance regulator doing away with the 65-year restriction for purchasing a policy — health of the elderly was brought to the fore in 2024.
Loss of muscles, balance and conditions like Parkinson’s means falls and fractures is a big concern for the elderly. Add to that age-related osteoporosis — a condition that causes bones to become brittle and weak — and the risk of bone breaks shoots up. “Around 15 per cent of people over the age of 60 fall every year — one per cent of these falls can lead to hospitalisation. Falls can be really life-threatening. However, when a person falls from a standing height and breaks their bone, it’s a sign that they have osteoporosis. It can get so bad that some may break their bones while turning in their bed,” says Dr Rajesh Malhotra, orthopaedician at Delhi’s Indraprastha Apollo hospital and former head of AIIMS trauma centre.
Osteoporosis can be age-related but it can also be linked to the use of certain medicines such as anti-epilepsy drugs, diuretics, cancer medicines and chemotherapy, even smoking. Kidney or liver disease is known to cause osteoporosis. “It’s a silent disease — people lose more of their bone without a single symptom. The first fracture is the first symptom of the disease,” explains Dr Malhotra.
While osteoporosis may be the underlying condition, hip fractures are a big cause of concern in the elderly. “Hip fracture is a sign of not just failing bones but of a failing body. Even in the US, 25 per cent of those who suffer a hip fracture die within a year. When it comes to India, 40 per cent die. Also, Indians fracture their hips a decade earlier than Western counterparts,” he says, adding that the aim is to operate on it as quickly as possible.
The wear and tear of joints can also lead to hip fractures. “A large majority of patients with hip fractures also have a bad knee — and the hip break tends to be on the same side as the bad knee. I tell my patients, even if they do not want to undergo a joint replacement surgery, they should use a stick or walker, otherwise they would fall and break their hips. While people are living longer, the last decade of life can be bad, with many ignoring their health. It is heartening to see more and more people getting the joint replacement surgeries that they need. Even if one is 100 years old, if they are otherwise fit and can afford it, they should get their replacement surgeries. It immensely improves their quality of life and keeps them mobile, helping keep their bones healthy. A majority of those who get operated on regret that they wasted so much time,” says Dr Malhotra, who now operates on three persons over the age of 80 years every week.
How to prevent falls? First, take all prescribed medicines to keep chronic conditions such as diabetes and hypertension in check. Second, ensure adequate nutrition because people tend to eat less as they age and get malnourished. The thinner you are, the likelier you are to get a fracture. Third, improve Vitamin D levels. “We have an epidemic of Vitamin D deficiency, which increases the risk of fractures. Even in a sunny country like ours there is Vitamin D deficiency because we don’t step out in the sun between 10 am and 3 pm when it’s made. We keep our neck and upper trunk that absorb the maximum Vitamin D covered, we are dark-skinned. When it comes to the elderly the lack of fat under the skin also has an impact — the sun actually converts the cholesterol to Vitamin D,” says Dr Malhotra.
Correcting eye sight and hearing aids and wearing proper footwear can prevent falls significantly. Someone who takes more than four medicines or someone who has to stop walking in order to speak is at a higher risk of falls. Someone who takes more than 12 seconds to get up from their chair, walk 6 metres, turn around, come back and sit, is also more likely to fall.
If you have had a fall from standing height that resulted in a fracture, get diagnosed for the condition. Post-menopausal women and men above the age of 50 years at a higher risk of osteoporosis may get Dexa scan to check bone density once in two years — once a year if they are undergoing osteoporosis treatment or have other conditions that lead to bone loss.
Coronary artery disease is the biggest challenge when it comes to heart health of people over the age of 60 years. “Most elderly people ignore their health but that can lead to more problems. It is essential that they keep all their chronic conditions like diabetes, hypertension in check, take their medicines, remain active and more importantly sleep properly,” saysDr Rakesh Yadav, professor of cardiology at All-India Institute of Medical Sciences (AIIMS), Delhi.
He says regular tests to check blood pressure, sugar, cholesterol, haemoglobin levels can help but there is no need for any other test. “If there is no chest pain or shortness of breath, there is no need for any specialised tests. If people have the symptoms, they should consult their doctors,” he advises.
Dr VK Bahl, principal director of cardiac sciences at Max Hospitals and former head of cardio-thoracic centre at AIIMS, says that with people living longer, the absolute number of people with coronary heart disease and heart failure is on the rise. Minimally invasive procedures have encouraged the elderly to opt for them. “With percutaneous valve replacement — a minimally invasive procedure to replace damaged valves — people are going for surgeries even at older ages because their chest doesn’t have to be opened up. They are also undergoing procedures such as ablation (minimally invasive procedure to destroy abnormal tissue) for irregular heart rhythm,” he says.
When it comes to the brain, vascular conditions such as strokes and neurodegenerative conditions like dementia are a cause for concern. “While most risk factors for stroke have remained the same, over the years, air pollution has emerged as the fifth most common risk factor in south Asian countries. After Covid-19, there has also been an increase in neuro-cognitive disorders such as dementia. Whether there is a definite co-relation is yet to be seen, research is still under way,” said Dr MV Padma Shrivastava, chairperson of neurology at Paras Health-Gurugram and former HOD of neurology at AIIMS.
“We are also seeing a peculiar constellation of autoimmune disorders in the last few years that may be linked to Covid-19 as well. These respond to immune modulators. People may think an autoimmune condition is primarily psychiatric but it may lead to changes in memory and higher mental functions. It can lead to changes in food behaviours, preferences, sleep pattern, problem solving among others.”
It is essential to diagnose and treat conditions such as dementia early on. Dr Padma says that people with dementia forget that they have forgotten things. “It is something that they will not be able to notice but family members will. Someone who is good with words will start groping around for them. Serial steps that a person could do without thinking at all will take longer to do. There are changes in the personality — say, someone starts craving sweets when they have hated it all their life or someone who always reads newspapers stops reading it. These are red flags and the person should be taken to a doctor immediately,” she says.
The increasing elderly population may present challenges but an awareness of healthy ageing and right practices can turn them into opportunities for ensuring longevity that can be productive as well.
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Anonna Dutt is a Principal Correspondent who writes primarily on health at the Indian Express. She reports on myriad topics ranging from the growing burden of non-communicable diseases such as diabetes and hypertension to the problems with pervasive infectious conditions. She reported on the government’s management of the Covid-19 pandemic and closely followed the vaccination programme. Her stories have resulted in the city government investing in high-end tests for the poor and acknowledging errors in their official reports. Dutt also takes a keen interest in the country’s space programme and has written on key missions like Chandrayaan 2 and 3, Aditya L1, and Gaganyaan. She was among the first batch of eleven media fellows with RBM Partnership to End Malaria. She was also selected to participate in the short-term programme on early childhood reporting at Columbia University’s Dart Centre. Dutt has a Bachelor’s Degree from the Symbiosis Institute of Media and Communication, Pune and a PG Diploma from the Asian College of Journalism, Chennai. She started her reporting career with the Hindustan Times. When not at work, she tries to appease the Duolingo owl with her French skills and sometimes takes to the dance floor. … Read More
Singapore’s High Commissioner to India, Simon Wong, recently expressed his dissatisfaction with a cup of tea he drank in Gurugram on X. Mr Wong posted two images of the cafe’s interior and a kulhad (earthen cup), expressing his disappointment at having to pay Rs 169 (tax included) for what he called “tasteless” chai.
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