Navigating Motherhood with Occupational Therapy

By: Dr. Joseph Sunny Kunnassery- Founder of Prayatna, Kochi

Becoming a mother is one of life’s most beautiful and most challenging transformations. It isn’t just a new chapter,it’s a whole new book.From the first thought of starting a family to the reality of sleepless nights and diaper duty, the journey through pregnancy, birth, and early parenthood can feel like an emotional rollercoaster. Amid the flood of hormones, endless check-ups, and well-meaning advice, there’s one healthcare profession often overlooked yet quietly making a world of difference- Occupational Therapy.

Occupational Therapy is about helping people do the things that occupy their day,things that give life meaning. And during pregnancy and early parenthood, those “occupations” can be something as simple (and as overwhelming) as changing a diaper, powering through sleepless nights, figuring out how to shower with a newborn in the house, or navigating the emotional rollercoaster that comes with being someone’s everything.

Though largely overlooked in maternity care, occupational therapists are uniquely positioned to support women at every stage of this life-changing transition. Whether helping manage morning sickness and mental fatigue during pregnancy, guiding a safe and dignified birth experience, or building healthy routines and bonds with a newborn, occupational therapy brings a holistic and empowering approach to maternal health and wellbeing.

OT Through the Journey

Even before pregnancy, occupational therapists play a proactive role in supporting women especially those with pre-existing physical or mental health conditions. The preconception phase can be filled with both hope and uncertainty, and occupational therapists work closely with individuals or couples to consider how existing health issues might affect pregnancy, childbirth, and the experience of becoming a parent. For those undergoing fertility treatments like IVF, occupational therapy offers emotional and lifestyle support, helping prospective parents navigate stress, adjust routines, and prepare their environment for the changes ahead.

As pregnancy progresses, occupational therapy becomes even more essential. This phase is not just about physical changes rather it involves a profound reconfiguration of daily life, roles, and routines. Expectant mothers may experience fatigue, aches, and a sense of being overwhelmed. Occupational therapists provide support in managing these physical symptoms while also helping women prepare for their shifting identities. They assist in modifying home environments for increased comfort and accessibility, suggesting ergonomic changes at work, and helping build flexible routines that balance rest, activity, and self-care. Their guidance empowers women to maintain a sense of control and well-being during a time of constant change.

When it comes time to give birth, occupational therapists continue to offer crucial, though often unrecognized, support. For women with disabilities, injuries, or health complexities, they ensure that the necessary equipment and support systems are in place to make the delivery process as safe, dignified, and empowering as possible.

But perhaps the postpartum period, often referred to as the fourth trimester, is where occupational therapy’s impact becomes most profound. It’s a time of immense transition, not just physically but emotionally and socially as well. While the spotlight tends to shift to the newborn, new mothers often face sleep deprivation, identity shifts, physical recovery, and mental health challenges. Occupational therapists work with mothers to support what are called co-occupations-activities that both the mother and baby engage in together, such as feeding, sleeping, and playing.

This way, occupational therapists help mothers regain confidence and competence in their new roles. They offer breastfeeding support, guidance in newborn care, pain management strategies, and help in setting up home routines that allow space for rest, bonding, and self-nurturing. They also recognize the signs of postpartum mood and anxiety disorders and provide early interventions, or collaborate with mental health professionals when needed and thereby provide holistic care that respects the mother’s physical health, emotional state, and personal environment.

As the first year of parenthood unfolds, occupational therapists remain vital companions in helping families find their balance. They support mothers returning to work, help create routines that actually work, and offer realistic ways to reintroduce exercise, hobbies, rest and support the ongoing development of the child.

Occupational therapists also bring a mental health perspective to their practice, with training that includes the recognition of trauma, anxiety, and depression. This allows them to provide tailored coping strategies that are practical and sustainable. They may lead therapeutic groups, connect families with community resources, or simply provide a space where a new mother can be heard and supported.

As the saying goes, when a baby is born, so is a mother. And yet, amidst the joy and chaos of new life, mothers often find themselves lost in the chaos. Occupational therapy helps them find their footing again not by prescribing a rigid formula for parenting, but by helping each woman build her own personal manual, helping mothers not just survive, but thrive.

India Leads in Liver Disease — ‘Food is Medicine’ Marks World Liver Day 2025

Mumbai, April 19, 2025 – On World Liver Day 2025, the global health community is turning its focus to a critical yet often overlooked issue: liver health. This year’s theme, “Food is Medicine,” highlights the powerful link between nutrition and liver function. In India—where liver disease has reached alarming levels—the message carries even greater urgency.

World Liver Day is observed every year on April 19 to raise awareness about liver health and promote prevention strategies. With liver-related deaths rising worldwide, the emphasis on food as a tool for prevention and healing is both a wake-up call and a practical solution. According to current estimates, India records approximately 268,580 liver disease deaths each year, accounting for 3.17% of all deaths in the country. More strikingly, this represents 18.3% of global liver-related deaths, making India the highest contributor to liver disease fatalities worldwide.

Commenting on the situation, Dr. Aditya Verma, Consultant Gastroenterologist at Wockhardt Hospitals, Mira Road, said: “India is facing a silent epidemic of liver disease, and much of it is driven by what we eat. Everyday food choices can either fuel liver damage or support healing.” The leading causes of liver disease in India include fatty liver disease , hepatitis infections, alcohol-related liver damage, and lifestyle-related metabolic conditions. A major contributing factor is a poor diet—often high in processed foods, sugar, and unhealthy fats.

This year’s World Liver Day theme promotes simple, sustainable dietary changes, such as:

  • Reducing intake of refined sugars, white flour, and fried foods
  • Eating more whole grains, vegetables, fruits, and legumes
  • Choosing healthy fats like those in nuts, seeds, and olive oil
  • Staying well-hydrated and limiting alcohol consumption

Dr. Aditya Verma, Consultant Gastroenterologist added, “Food is our first and most effective medicine. By shifting to a balanced, nutrient-rich diet, people can reduce their risk of liver disease—and in many cases, even reverse early-stage damage.” As liver diseases continue to rise across the country, medical experts are urging individuals to take control of their health through mindful eating. World Liver Day 2025 serves as a reminder that prevention often begins on our plates.

A Wearable Smart Insole Can Track How You Walk, Run and Stand

Newswise — COLUMBUS, Ohio – A new smart insole system that monitors how people walk in real time could help users improve posture and provide early warnings for conditions from plantar fasciitis to Parkinson’s disease.

Constructed using 22 small pressure sensors and fueled by small solar panels on the tops of shoes, the system offers real-time health tracking based on how a person walks, a biomechanical process that is as unique as a human fingerprint. 

This complex personal health data can then be transmitted via Bluetooth to a smartphone for quick and detailed analysis, said Jinghua Li, co-author of the study and an assistant professor of materials science and engineering at The Ohio State University

“Our bodies carry lots of useful information that we’re not even aware of,” said Li. “These statuses also change over time, so it’s our goal to use electronics to extract and decode those signals to encourage better self health care checks.”

It’s estimated that at least 7% of Americans suffer from ambulatory difficulties, activities that include walking, running or climbing stairs. While efforts to manufacture a wearable insole-based pressure system have risen in popularity in recent years, many previous prototypes were met with low energy limitations and unstable performances. 

To overcome the challenges of their precursors, Li and Qi Wang, the lead author of the study and a current PhD student in materials science and engineering at Ohio State, sought to ensure that their wearable is durable, has a high degree of precision when collecting and analyzing data, and can provide consistent and reliable power, said Li. 

“Our device is innovative in terms of high resolution, spatial sensing, self-powering capability, and its ability to combine with machine learning algorithms,” she said. “So we feel like this research can go further based on the pioneering successes of this field.”

The study was recently published in the journal Science Advances.

This team’s system is also made unique through its use of AI. Using an advanced machine learning model, the wearable can recognize eight different motion states, including static ones like sitting and standing to more dynamic movements such as running and squatting. 

Additionally, since the materials the insoles are made of are flexible and safe, the device, much like a smartwatch, is low-risk and safe for continuous use. For instance, after the solar cells convert sunlight to energy, that power is stored in tiny lithium batteries that don’t harm the user or affect daily activities.

Because of the distribution of sensors from toe to heel, the researchers could see how the pressure on parts of the foot is different in activities such as walking versus running.  

During walking, pressure is applied sequentially from the heel to the toes, whereas during running, almost all sensors are subjected to pressure simultaneously. In addition, during walking, the pressure application time accounts for about half of the total time, while during running, it accounts for only about a quarter.

In health care, the smart insoles could support gait analysis to detect early abnormalities associated with foot pressure-related conditions (such as diabetic foot ulcers), musculoskeletal disorders (such as plantar fasciitis) and neurological conditions (such as Parkinson’s disease).

The new system also used machine learning to learn and classify different types of motion. That offers opportunities for personalized health management, including real-time posture correction, injury prevention and rehabilitation monitoring. Customized fitness training may also be a future use, the researchers said.

According to the study, these smart insoles showed no notable deterioration in performance after 180,000 cycles of compression and decompression, showing their long-term durability. 

“The interface is flexible and quite thin, so even during repetitive deformation, it can remain functional,” said Li. “The combination of the software and hardware means it isn’t as limited.”

Researchers expect the technology will likely be available commercially within the next three to five years. Next steps to advance the work will be aimed at improving the system’s gesture recognition abilities, which, according to Li, will likely be helped with further testing on more diverse populations. 

“We have so many variations among individuals, so demonstrating and training these fantastic capabilities on different populations is something we need to give further attention to,” said Li.

Bengaluru Hospital Saves 40-Year-Old Haryana Man with Heart Transplant

Bengaluru, 17th April 2025: A 40-year-old resident of Haryana, who had end stage heart failure, was given a new lease on life through a complicated heart transplant surgery performed at Apollo Hospital, Seshadripuram, Bengaluru.

The patient, who is a father of two and the sole breadwinner for his family, was diagnosed with Dilated Cardiomyopathy (DCM) with severe bi-ventricular dysfunction, a condition where both the left and right pumping chambers of the heart fail to function properly. His condition required frequent hospital admissions for recurrent heart failure, causing a rapid decline in his quality of life. After extensive treatments and worsening symptoms, he flew down to Bengaluru with the support of a specialized medical team to get the heart transplant done by Dr. Kumud Dhital, Program & Surgical Director for Heart & Lung at Apollo Seshadripuram.

Commenting on the patient’s condition while presented at the hospital, Dr. Kumud Dhital said, “Upon arrival at Apollo Hospitals, he showed severe symptoms of advanced heart failure. He required immediate intervention, including the insertion of an Intra-Aortic Balloon Pump (IABP) to stabilize his condition. Aggressive fluid management was performed to remove over 20 litres of excess fluid before he was deemed fit for a transplant.”

After a month-long wait, a suitable organ became available, and he underwent the heart transplant procedure, performed by Dr. Kumud Dhital with support from Senior Cardiothoracic & Vascular Surgeons Dr. Anand Subramaniyam Dr. Manoj Kumar & Dr. Prakash Ludhani, and anesthetists Dr. Pradeep Kumar and Dr. Srinivas Dhulipala. Owing to the concerted efforts of the multidisciplinary team, both the surgical procedure and post-operative recovery progressed smoothly. The patient was subsequently discharged within few weeks and returned to Sonipat, Haryana, to reunite with his family.

The patient’s brother expressed his gratitude, “It’s been an emotional journey, but seeing my brother healthy again is beyond words. We are deeply grateful to the donor family for giving my brother a second chance at life.”

While talking about the importance of organ donation, Dr. Kumud Dhital said, “this story highlights the transformative impact of organ donation on patients with end-stage organ failure. This patient’s survival was made possible by the selfless decision of a donor’s family and the coordinated efforts of donor coordination, organ registry, transplant teams, and other healthcare professionals. It also underscores the urgent need for greater awareness and participation in organ donation programs.”

Head of Apollo Hospitals Seshadripuram Mr. Uday Davda said “We Thank Jeevasarthakathe for their exceptional coordination in making organ donation a streamlined process in Karnataka. This is what had lead the state to be awarded the second-best state for organ donations in 2023 by the central government. We can restore many lives and families if the public at large come out to donate organs.”

Simulating Protein Structures Involved in Memory Formation

Computational model reveals details on how certain synaptic proteins organize into unique structures that are vital for learning and memory

 Simulating Protein Structures Involved in Memory Formation

Complex protein interactions at synapses are essential for memory formation in our brains, but the mechanisms behind these processes remain poorly understood. Now, researchers from Japan have developed a computational model revealing new insights into the unique droplet-inside-droplet structures that memory-related proteins form at synapses. They discovered that the shape characteristics of a memory-related protein are crucial for the formation of these structures, which could shed light on the nature of various neurological disorders. 

Our brain’s remarkable ability to form and store memories has long fascinated scientists, yet most of the microscopic mechanisms behind memory and learning processes remain a mystery. Recent research points to the importance of biochemical reactions occurring at postsynaptic densities—specialized areas where neurons connect and communicate. These tiny junctions between brain cells are now thought to be crucial sites where proteins need to organize in specific ways to facilitate learning and memory formation. 

More specifically, a 2021 study revealed that memory-related proteins can bind together to form droplet-like structures at postsynaptic densities. What makes these structures particularly intriguing is their unique “droplet-inside-droplet” organization, which scientists believe may be fundamental to how our brains create lasting memories. However, understanding exactly how and why such complex protein arrangements form has remained a significant challenge in neuroscience. 

Against this backdrop, a research team led by Researcher Vikas Pandey from the International Center for Brain Science (ICBS), Fujita Health University, Japan, has developed an innovative computational model that reproduces these intricate protein structures. Their paper, published online in Cell Reports on April 07, 2025, explores the mechanisms behind the formation of multilayered protein condensates. The study was co-authored by Dr. Tomohisa Hosokawa and Dr. Yasunori Hayashi from the Department of Pharmacology, Kyoto University Graduate School of Medicine, and Dr. Hidetoshi Urakubo from ICBS, Fujita Health University. 

The researchers focused on four proteins found at synapses, with special attention to Ca²⁺/calmodulin-dependent protein kinase II (CaMKII)—a protein particularly abundant in postsynaptic densities. Using computational modeling techniques, they simulated how these proteins interact and organize themselves under various conditions. Their model successfully reproduced the formation of the above-mentioned “droplet-inside-droplet” structures observed in earlier experiments. Through simulations and detailed analyses of the physical forces and chemical interactions involved, the research team shed light on a process called liquid-liquid phase separation (LLPS); it involves proteins spontaneously organizing into condensates without membranes that sometimes resemble the organelles found inside cells.

Crucially, the researchers found that the distinctive “droplet-inside-droplet” structure appears as a result of competitive binding between the proteins and is significantly influenced by the shape of CaMKII, specifically its high valency (number of binding sites) and short linker length. These shape-related properties of CaMKII result in low surface tension and slow diffusion, allowing the protein condensates to remain stable for extended periods. This stability enables the sustained activation of downstream signaling pathways necessary for synaptic plasticity, which is the cellular basis for learning and memory. “Our results revealed new structure–function relationships for CaMKII as a synaptic memory unit. This is the first systematic and mechanistic study investigating the divergent structure of protein-regulated multiphase condensates,” highlights Dr. Pandey. 

These findings could pave the way toward a better understanding of the possible mechanisms of memory formation in humans. However, the long-term implications of this research extend well beyond basic neuroscience. 

Defects in synapse formation have been associated with numerous neurological and mental health conditions, including schizophrenia, autism spectrum disorders, Down syndrome, and Rett syndrome. “Overall, the computational model developed in this study could serve as an important platform for investigating these conditions, potentially leading to new diagnostic tools and therapeutic approaches,” explains Dr. Pandey. 

Let us hope scientists continue to unravel the mysteries of how memories form at the molecular level, leading us to a more thorough comprehension of one of the brain’s most fundamental and complex functions.

Indira IVF Hospital Limited Opens Gachibowli Centre

Hyderabad, 16 April 2025: Indira IVF Hospital Limited (“ Indira IVF ”) today inaugurates a new fertility center in Gachibowli, Hyderabad, enhancing access to advanced reproductive care in the region. Located at 2nd Floor, Fortune Cyber, Gachibowli Village, Gacchibowli–Miyapur Road, Serilingampally Mandal, Gachibowli, Telangana. The center aims to provide specialized fertility treatments to individuals and couples seeking support on their journey to parenthood. With this expansion, Indira IVF continues its mission of making fertility care more accessible and inclusive by combining technology-driven services with compassionate medical guidance.

The inauguration ceremony was attended by Mr. Tariq Ansari, Chairman of Telangana State Minority Commission, and Dr. Shanta Kumari, President of FOGSI Telangana, as the Chief Guest. Also present were, Dr. Trupthi Ganapathi, Gynecologist, IVF Specialist & Indira IVF’s Center Head, Hyderabad, and South Zonal Business Director, as Guests of Honour, and Dr. Udaya Kiran Bandaru, Gynecologist and IVF specialist, Indira IVF’s Center head, Gachibowli.

Speaking on the inauguration, Mr. Tariq Ansari, Chairman of Telangana State Minority Commission , stated, “While medical advancements have made infertility treatable, social stigma and lack of awareness continue to prevent timely intervention. It is vital that we work towards normalizing conversations around reproductive health, and this center can play an instrumental role in that effort.”

Dr. Shanta Kumari, President, FOGSI Telangana , added, “Affordability remains one of the key concerns in fertility treatment. It is encouraging to see organizations like Indira IVF expanding into areas where they can offer both expertise and cost-effective solutions, helping many couples achieve their dreams of parenthood.”

Mr. Nitiz Murdia, Managing Director, Indira IVF, said, “As India’s healthcare landscape evolves, the demand for patient-centric fertility care is growing rapidly. At Indira IVF, we are focused on creating environments where clinical excellence is matched by transparency, empathy and trust. The center in Gachibowli is a reflection of this approach, tailored to meet the unique needs of the community it serves.”

Dr. Trupthi Ganapathi, Gynecologist, IVF Specialist and Indira IVF’s Center Head, Hyderabad , stated, “It is imperative to address the gap in fertility care access, as many still struggle to reach the right specialists in time. With our new center in Gacchibowli, we aim to bridge this segment and bring advanced reproductive care directly into the heart of the city’s growing medical ecosystem.”

Dr. Udaya Kiran Bandaru, Gynaecologist, IVF specialist and Indira IVF’s Center head, Gacchibowli , stated, “Educating individuals about fertility, from the impact of age and lifestyle to available treatment options, is just as important as the treatment itself. At our Gachibowli center, we’re dedicated to giving patients clear, science-based information so they can make informed choices about their fertility care.”

Indira IVF has facilitated over 160,000 successful IVF pregnancies since its incorporation. The new center in Gachibowli is part of its ongoing efforts to make fertility care more accessible, offering comprehensive and evidence-based solutions to individuals navigating infertility.

A Doctor’s Touch, Twice Blessed

Kochi, 16th April, 2025: Dr. Mathew Jacob was all smiles as he gently guided baby Shikha’s tiny fingers over the rice spread on a bronze plate, marking her Vidyarambham (first letter ceremony). As she traced her first letters, little did she know that the very man guiding her hand was the same one who, two years ago, had held it while giving her a second chance at life through a life-saving liver transplant. What unfolded at Aster Medcity was far more than a ritual, it was a heartfelt celebration of a mother’s hope, a grandmother’s selfless sacrifice, a father’s silent strength, and medical brilliance that brought it all together.

Baby Shikha Anillal, the second daughter of CRPF Jawan Anilal and Vineetha SP from Kayamkulam, began showing alarming signs just a month after her birth, yellowing of the eyes, pale stools, and abdominal swelling. The worried parents rushed her to SAT Hospital, Thiruvananthapuram, where she was diagnosed with Biliary Atresia, a rare and life-threatening liver disorder in infants. At only 69 days old, she underwent the Kasai procedure in an attempt to restore bile flow.

Though the surgery offered a temporary reprieve, her condition worsened over time due to recurring episodes of cholangitis. Seeking the best possible care, her family arrived at Aster Medcity, Kochi, where her case was attended by Dr. Geetha Mammayil, Pediatric Medical Gastroenterologist. Recognizing the complexities of Shikha’s illness, Dr. Geetha immediately referred her to Dr. Mathew Jacob, Senior Consultant, –Hepato Pancreato Biliary & Abdominal Multi Organ Transplant. After a comprehensive evaluation, the team led by Dr, Mathew Jacob concluded that a liver transplant was the only hope for Shikha’s survival.

Initially, Shikha’s mother volunteered; however, her pre-transplant assessment revealed medical limitations preventing her from proceeding as a donor. This was when her maternal grandmother, Mrs. Prasanna Kumari, volunteered to donate a part of her liver—even though she had an incompatible blood type. With immense resolve and love, she underwent exhaustive testing and was ultimately found fit to donate.

On May 20, 2023, at just nine months old, Shikha underwent a live donor liver transplant at Aster Medcity. Shikha’s post-operative course was smooth, and she was discharged after 23 days, ready to embrace life anew.

“This is truly a blessed moment. It’s a reminder of what science and love, can achieve in transforming lives,” said Dr. Mathew Jacob, Senior Consultant –Hepato Pancreato Biliary & Abdominal Multi Organ Transplant.

The family living in Coimbatore came down to Aster Medcity for baby Shikha’s Vidyarambham ceremony as it their wish to have their daughter’s learning journey ceremonially begin under the guidance of Dr. Mathew Jacob.

Following the Vidyarambham, Dr. Mathew Jacob presented Gurudakshina to Shikha, marking the significance of the moment for both doctor and patient. Interestingly, the ceremony coincided with the birthday of Mrs. Prasanna Kumari, Shikha’s maternal grandmother and liver donor, and a small celebration was held at the Aster Medcity campus to mark the occasion, including a cake-cutting in her honour.

Aster Medcity CEO Dr. Nalanda Jayadev and Dr. Mathew Jacob also handed over ‘Vishu Kaineettam’-a traditional token of blessing and prosperity, to Shikha and her sister as part of the New Year custom.

The event was attended by members of Shikha’s family, along with doctors, nurses, and other staff of Aster Medcity.

Chiara Bonini Receives DKMS Mechtild Harf Science Award for Innovation

Mumbai, APRIL 14, 2025: DKMS Stiftung Leben Spenden honored Professor Chiara Bonini, a pioneer in the clinical application of genetically modified T cells in stem cell transplantation, with the DKMS Mechtild Harf Science Award 2025. The award honors the outstanding achievements of internationally renowned physicians and scientists in the field of stem cell transplantation and cellular therapies.

“Professor Chiara Bonini’s groundbreaking findings in the field of personalized immunotherapy with genetically modified T cells have been essential in advancing the treatment of blood cancer. These discoveries have led to novel therapeutic approaches and hold the potential for translation into treatments for other types of cancer,” explains Professor Dr. Katharina Fleischhauer, member of the DKMS Medical Council and Head of the Institute for Cell Therapy Research at Essen University Hospital, in recognition of this year’s award winner. Chiara Bonini, MD, Professor of Hematology at the University Vita-Salute San Raffaele and Head of the Department of Experimental Hematology at the IRCSS San Raffaele Scientific Institute, Milan, accepted the award on March 31st, 2025, surrounded by physicians and esteemed guests from around the world, at the annual conference of the European Society for Blood and Marrow Transplantation (EBMT) in Florence, Italy. At the ceremony, the highly coveted DKMS John Hansen Research Grant was awarded and the DKMS Special Grant was also allocated for the first time.

“Chiara Bonini is one of the highly renowned scientists worldwide in the field of cell and gene therapy to treat cancer. She has been a leader in the clinical use of genetically modified T cells in stem cell transplantation, laying the foundation for innovative, life-saving therapies” said Professor Dr. Fleischhauer at the presentation of the DKMS Mechtild Harf Science Award, which comes with 10,000 Euro (approximately 9.26 Lakh INR). “Her work contributed to the development of the first EMA-approved genetically engineered cell-based medicinal product for cancer patients, paving the way for a new era of precision medicine and transformative treatments for patients worldwide.”

Award for pioneering personalized immunotherapy with genetically modified T cells

Allogeneic hematopoietic stem cell transplantation (allo-HSCT) remains one of the most effective treatments for patients with hematologic malignancies and can also cure other blood disorders including inborn genetic diseases of the hematopoietic system. Despite its therapeutic potential, there is a risk of acute graft-versus-host disease (GvHD), a significant complication that contributes to both morbidity and mortality. To manage GvHD caused by allogeneic donor T cells, various T-cell-manipulation strategies have been explored. Early approaches focused on suicide gene therapy to balance graft-versus-leukemia effect (GVL) and immune reconstitution while controlling GvHD. Lately, genetic modifications, including tumor-specific T cell receptors (TCRs) or chimeric antigen receptors (CARs), have been introduced to enhance T cell antitumor efficacy.

Through more than 20 years of research in gene and cell therapy, Professor Bonini played a key role in the emergence of this field and advanced one of the first therapy projects applied to HSCT: the suicide gene therapy approach tends to eliminate alloreactive T cells in case of GvHD while preserving them in the absence thereof. Her team has since expanded into the field of cancer immunotherapy, refining TCR and CAR gene transfer techniques. One of Bonini’s major breakthroughs is TCR gene editing, which permanently reprograms T cells for enhanced precision and persistence in targeting cancer cells. By selecting tumor-specific antigens and engineering T cells to express optimal tumor-targeting receptors, her work has transformed T cell therapies into living drugs, designed to seek and destroy cancer cells with high specificity. “We have the techniques and knowledge for gene editing. The next challenge is identifying the right combinations of TCR and tumor specific antigen that will lead to the most effective therapies,” Bonini explains. Through further research, Bonini and her team were able to transfer this knowledge also to solid tumors: “Our aim is to create a TCR approach that could be utilized to generate TCR-edited cell products for a variety of cancer types. Since progress in cell therapies for solid tumors has been slower, this could be a game changer in this field,” says Bonini, who also serves on the executive committees of various scientific societies of cell and gene therapy, hematology and stem cell transplantation including ASGCT, ESGCT, EHA and EBMT.

On top: Research grants support next-generation scientists

During the ceremony, four outstanding fellows were also announced as the recipients of the DKMS John Hansen Research Grant 2025 Gabriele Casirati, MD, PhD (Boston Children’s Hospital, Boston, USA), Susan E. De Wolf, MD (Memorial Sloan Kettering Cancer Center, New York, USA), Stephen Persaud, MD, PhD (Washington University School of Medicine, St. Louis, USA), and Abdur Rehman, PhD (The University of Texas MD Anderson Cancer Center, Houston, USA).

Their research spans key areas such as T cell and leukemic blast interactions in the regulation of GVL, association of gut microbiome and CAR-T outcomes, and next-generation conditioning regimes with reduced toxicity for HSCT. “Supporting young medical and scientific talents in blood cancer research is an investment in the advancement of medicine,” emphasized Professor Dr. Marcel van den Brink, Chair of the DKMS Medical Council.

For the first time, DKMS also awarded the DKMS Special Grant, reinforcing the organization’s commitment to improve cancer care worldwide. Dr. Brigid McMillan, MBChB (Stellenbosch University, Stellenbosch, South Africa) committed herself to investigating and describing barriers to specialized hematological care in Southern Africa. This grant aims to support her research on improving cancer care in South Africa.

Understanding the nuances of Driver’s knee

By: Dr. J V Srinivas, Lead Consultant – Orthopaedics & Joint Replacement

Driver’s knee is a condition whereby a person experiences discomfort or pain in the knee joint as a result of the activity that he or she is performing, mainly by driving. It occurs primarily in the right knee since one keeps pressing the accelerator and brake pedals constantly, though sometimes the left knee may also be affected, especially for manual transmission users.

Driver’s knee develops due to several factors. It includes repetitive motion from continuous use of the accelerator and brake, which strains the knee joint. Poor seating alignment forces unnatural knee movements also can be one of the causes while prolonged driving with limited movement can stiffen the joint and cause discomfort. Additionally, underlying conditions like arthritis or patellar tracking problems can exacerbate the pain, making it more challenging to manage.

If left untreated, driver’s knee can lead to chronic pain that disrupts daily activities, reduced mobility due to stiffness or swelling, and inflammation such as tendonitis or irritation in the knee joint. Over time, it may also cause muscle imbalances, with certain muscle groups around the knee becoming weak or overused, further aggravating the condition.

A driver’s knee requires a combination of ergonomic adjustments, preventive measures, and targeted interventions. Proper seat positioning is fundamental; we as doctors recommend ensuring the seat is adjusted so the knees remain slightly bent and the feet can comfortably reach the pedals, reducing undue stress on the joint. Frequent breaks during long drives are equally important. Physicians advise stopping every two hours to stretch and move around, promoting blood circulation and preventing joint stiffness. Using lumbar or seat cushions can support proper posture, which minimizes strain on the knee and surrounding muscles. The role of knee exercises in strengthening the joint and enhancing flexibility is important; routines such as leg lifts and hamstring stretches are particularly beneficial in stabilizing the knee. For patients experiencing pain, over-the-counter pain relievers or anti-inflammatory medications can provide temporary relief, but they should be used judiciously and under medical guidance. A holistic approach combining these measures can significantly alleviate symptoms and improve long-term joint health.

Yes, driver’s knee can resolve with proper care and preventive measures. Addressing the underlying cause, modifying driving habits, and incorporating exercises to strengthen the knee often lead to full recovery. However, if symptoms persist, consult a healthcare professional.

To achieve optimal driving posture and prevent discomfort such as driver’s knee, it is crucial to focus on seat and body positioning. Adjusting the seat height so that the hips are slightly higher than the knees promote proper alignment and reduces pressure on the lower body. The distance from the seat to the pedals should allow for a comfortable reach, ensuring the legs remain slightly flexed without overextension, which can strain the knees. Back support is equally important; using the seat’s built-in lumbar support helps maintain the spine’s natural curvature, preventing back strain that can indirectly affect knee posture. Additionally, resting the feet flat on the floor when not engaging the pedals provides stability and prevents unnecessary tension in the legs. Lastly, the steering wheel should be positioned close enough to allow a relaxed grip without requiring the shoulders or arms to stretch, minimizing fatigue and maintaining overall ergonomic alignment. Together, these adjustments ensure a comfortable and health-conscious driving experience. Adopting these positions minimizes knee strain and promotes comfort during driving

First-of-its-Kind Two-Level Lumbar Disc Replacement Surgery Explained

Greater Noida, 10 April, 2025: Fortis Hospital, Greater Noida, has achieved a historic medical milestone. For the first time in Uttar Pradesh—and for the first time within the Fortis Healthcare Group—a highly complex and rare two-level lumbar disc replacement surgery has been successfully performed by the hospital’s expert team. The rare procedure was carried out on Harpal Singh, a former Indian national medal-winning athlete, who has now fully recovered.

This type of surgery is considered rare globally. According to statistics, lumbar disc replacement accounts for less than 1% of all spine surgeries, and two-level lumbar disc replacement is performed in less than 0.1% of cases worldwide. Until now, only four medical centres in India have executed this complex procedure, with only three hospitals in the Delhi-NCR region being capable of performing it.

The challenging surgery was led by Dr Himanshu Tyagi (Head, Spine and Orthopaedic Surgery), along with Dr Mohit Sharma and Dr Rajesh Mishra. Crucial support was provided by Dr Bhoop Singh (Head, Anaesthesia), Dr Jagdish Chander (Head, Surgery Department), and an experienced vascular surgeon.

41-year-old Harpal Singh had been suffering from chronic lower back pain for several years. Despite undergoing a spine surgery in 2007, his condition deteriorated. Upon re-evaluation, disc degeneration at the L4-5 and L5-S1 levels and spinal instability at the L3-4 level were diagnosed. Considering his relatively young age and active lifestyle, the medical team decided to proceed with spinal fusion at L3-4 and artificial disc replacement at L4-5 and L5-S1.

Dr Himanshu Tyagi explained that the surgery was conducted in two stages using an anterior approach, a technique considered highly complex. This method involves risks to major blood vessels, abdominal organs, and nerves, potentially leading to internal bleeding, paralysis, or long-term disability. However, the experienced team at Fortis Greater Noida successfully carried out the surgery without any complications.
Post-surgery, Harpal Singh was able to walk the very next day and was discharged on the fourth day without any neurological issues. He can now walk independently and climb stairs with ease. The surgery has truly given him a new lease on life.

Speaking about this remarkable achievement,Dr. Praween Kumar, CEO & Facility Director, Fortis Hospital Greater Noida, said: “This groundbreaking achievement reflects the exceptional capabilities of our medical team and the advanced infrastructure at Fortis Greater Noida. Performing a two-level lumbar disc replacement with such precision is a rare feat, and we’re proud to bring this level of care to Uttar Pradesh for the very first time.”

Expressing his gratitude, Mr. Harpal Singh (Patient) shared:“I had almost lost hope after living with constant pain for so many years, I came all the way to India from Canada to get my treatment as the last resort. Thanks to the incredible doctors at Fortis Greater Noida, I feel like I’ve been given a second chance. Being able to walk pain-free again is nothing short of a miracle.”

This landmark success marks a significant milestone for the Fortis Healthcare Group and positions Fortis Greater Noida as an advanced centre for complex spine surgeries.