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Sunday, 12 March 2017

Ten golden rules for preventing chronic kidney disease

Indian Military Veterans

Ten golden rules for preventing chronic kidney disease
Kidney diseases are silent killers. There are several easy ways to reduce the risk of developing kidney disease.
New Delhi, March 9, 2017: Today is world Kidney Day. Kidneys play an important role in the daily workings of your body and help maintain your general health and wellbeing
Padma Shri Awardee Dr K K Aggarwal, President Heart Care Foundation of India (HCFI) and National President Indian Medical Association (IMA) and Dr RN Tandon – Honorary Secretary General IMA, stated that, “Common non-prescription pills like ibuprofen and naproxen (NSAID’s) can cause kidney damage if taken too regularly over a prolonged period. Eat healthy and keep your weight in check as this can help prevent diabetes, heart disease and other conditions associated with chronic kidney disease (CKD). Reduce your salt intake. The recommended sodium intake is 5-6 grams of salt per day (around a teaspoon).”
“Often, your kidneys simply become affected by other medical conditions. The most important thing you can do to keep your kidneys safe is to take care of your body to reduce your chances of developing diseases that put a strain on your kidneys. If your GFR drops below 15, you may feel tired and weak, with nausea, vomiting and itching. By that point, you may need a kidney transplant or dialysis. Optimal hydration is the key to maintaining good kidney health. Consuming plenty of fluid helps the kidneys clear sodium, urea and toxins from the body, which in turn, results in a “significantly lower risk” of developing chronic kidney disease. ”, add Dr K K Aggarwal.

Following are some key points for tackling kidney diseases:
1. Keep active:
Keeping fit helps to reduce your blood pressure and therefore reduces the risk of Chronic Kidney Disease. “On the move for kidney health” is a worldwide collective march involving the public, celebrities and professionals moving across a public area by walking, running and cycling.
2. Keep fasting sugar < 80 mg%: About half of people who have diabetes develop kidney damage. Kidney damage from diabetes can be reduced or prevented if detected early. 3. Keep lower BP < 80 mm Hg:
Drink 1.5 to 2 litres (3 to 4 pints) of water per day. Consuming plenty of fluid helps the kidneys clear sodium, urea and toxins from the body which, in turn, results in a “significantly lower risk” of developing chronic kidney disease, according to researchers in Australia and Canada. Do not advocate “aggressive fluid loading”, which can cause side effects. In addition, people who have already had a kidney stone are advised to drink 2 to 3 litres of water daily to lessen the risk of forming a new stone.
High blood pressure is also the most common cause of kidney damage. High blood pressure is especially likely to cause kidney damage when associated with other factors like diabetes, high cholesterol and Cardio- Vascular Diseases.
4. Keep your abdominal circumference < 80 cm:
Eat healthy and keep your weight in check. This can help prevent diabetes, heart disease and other conditions associated with Chronic Kidney Disease. Reduce your salt intake. The recommended sodium intake is 5-6 grams of salt per day (around a teaspoon). Limit the amount of processed and restaurant food and do not add salt to food.
5. Drink adequate fluids: 6. Do not smoke: It slows the flow of blood to the kidneys. Smoking also increases the risk of kidney cancer by about 50 percent.
Common drugs such non-steroidal anti-inflammatory drugs like ibuprofen are known to cause kidney damage and disease if taken regularly
7. Do not take over-the-counter pain killers:

HOW MANY TIMES JCOs AND OR GOT ARREARS FROM JAN 2006

Indian Military Veterans
Dear JCOs & OR,
      
   All of you explaining how JCOs and OR have been paid various types of arrears from Jan 2006 to Nov 2016.
    Circular 547.  JCOs & OR got first arrears of pension because of Circular 547 from Jan 2006 to Jun 2009. This circular was issued on 03 Sep 2015 enhancing your pension as on Jan 2006. This is to rectify the anomaly of Minimum of pay band of PB -1 : Rs 5200 – 20,200. This has resulted in Sepoy Y Gp to Hav Y Gp with 15 years getting pension more or less. The difference if at all it is because of grade pay.  The same was done for JCOs in PB-2 too.
       The Govt of India based on judgment of hon’ble Supreme Court issued Circular 547 fixing pension at minimum of fitment table of SAI 1/S/2008 for each rank and not at minimum of pay band. This was subject fulfilling condition of 33 years rank weightage. This has enhanced pension of Sepoy Gp Y with 15 years’ service from Rs 3,748 + DR to Rs 3,883 + DR. Though the minimum of the fitment table is Rs 5,125 (50% of sum of Rs 6250 as pay in pay band plus Rs 2000 as grade pay plus Rs 2000 as MSP) due to this rule of 33 years, the Sepoy of Y Gp  with 15 years’ service was fixed  pension at Rs 3883 on pro-rata reduced scale. (Rs 5125*(15 years service + 10 years rank weightage)/33= Rs 3883). Of course this restriction of 33 years with rank weightage was removed by Circular 568 dt 13 Oct 2016).
The arrear by Circular 547 is therefore Rs 3883 – 3748 = Rs 135 + DR pm from Jan 2006 to Jun 2009.
Circular 568. The hon’ble Supreme Court ruled that once a soldier has served minimum pensionable period he should be given pension at minimum of Fitment Table and rule of 33 years should be delinked as it was done for post – 2006 pensioners. Therefore all pre – 2006 pensioners of all ranks (from Sepoy Y gp to Lt Gen HAG +) got arrears from Jan 2006 to Jun 2014. This benefits mostly Sepoys to Havildars as most of the JCOs complete 33 years’ service with rank weightage of 5 years. i.e. a JCO who puts in 28 years’ service with 5 years rank weightage got Minimum Guaranteed Pension hence not eligible for arrear under Circular 568 Same is the case officers who got Minimum Guaranteed pension.

      JCOs /OR were given higher pension w.e.f. Jul 2009 to 23 Sep 2012 vide Circular 430 and again pension was enhanced from 24 Sep 2012 to Jun 2014 vide Circular 501. Since pension fixed in Circular 568 was highest, all pre – 2006 JCOs and OR who did not put in 33 years with rank weightage got arrears in Dec 2016.
  Post – 2006 JCOs and OR are NOT eligible for this arrear as they do not have the restriction of 33 years with rank weightage.

OROP. The Pension of all pre – 2012 pensioners got enhanced by OROP vide Circular 555 w.e.f. Jul 2014. The arrears are paid in four equal six monthly instalments. Family pensioners and gallantry award winners were paid in one go. The first OROP instalment was paid in Mar 2016, second one in Sep 2016 and third one in Mar 2017. Last instalment will be paid in Sep 2017.

7thCPC Pension Arrears. All pre – 2016 pensioners were paid arrears once the new pensions in 7th CPC were approved w.e.f Jan 2016. The pension paid was OROP pension with DR while the 7th CPC pension was hiked to 2.57 x OROP with NO DR from Jan to Jun 2016 and with 2% DR from Jul to Nov 2016.
  
    Your banks paid these four arrears in two financial years i.e. 2015 – 16 and 2016-17. Your bank deducted Income Tax (IT) known as TDS. This is because banks assume arrears is your additional income in the fin years 2015 – 16 and 2016-17 where as the arrears belong to period from Jan 2006 to Nov 2016. You have to split the arrears financial year wise and get benefit of lower or NIL income tax during financial year 2015-16 and 2016-17.

  I hope now you are all clear about the number of arrears you got from Jan 2006 to Nov 2016 and how you can reduce your IT burden.

 warm regards,
Brig CS Vidyasagar (Rtd)
94931 91380     

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