While the most common presentation in breast cancer is a lump in the breast, it can occur even without any noticeable symptoms, said doctors on Tuesday while urging for self-examination and screening. October is celebrated as breast cancer awareness month. Breast cancer is the most common cancer among women in India. With a high mortality rate, it is a major public health concern in the country. As per a recent ICMR study, breast cancer cases and deaths are expected to rise in India by 2045. However, the key is to detect the cancer in its early stages to help boost treatment outcomes as well as survival rates, said the experts. “Although most common presentation in breast cancer is lump in the breast, it can also present as swelling or lumps under the arm or near the collarbone, nipple discharge (clear, bloody, or yellowish), changes in skin over breast (dimpled, thickened, or appear like an orange peel),” Dr. Abhishek Shankar, Assistant Professor, Department of Radiation Oncology, Dr BR Ambedkar Institute Rotary Cancer Hospital at AIIMS, Delhi, told IANS. “Redness or rash over skin over breast or nipple, inverted nipple, changes in breast size and shape and pain in breast” are also symptoms of the deadly cancer, the doctor added. As per ICMR, breast cancer cases account for 28.2 per cent of all female cancers in India in 2022. The five-year survival rate for breast cancer in India is 66.4 per cent. Breast cancer can be early detected and early diagnosed. It can be early detected with screening tests and mammography is the standard recommended screening test that gives mortality advantage. As per the United States Preventive Services Task Force updated guidelines in 2024, it is recommended to start at 40 years of age after every 2 years. “One can have breast cancer even without any noticeable symptoms. That is why the role of screening through mammograms or breast MRI is important, as it has been shown to reduce mortality by over 30 per cent,” Dr. Divya Sehra Consultant - Gynaecologic Oncology, Manipal Hospital Dwarka, New Delhi, told IANS. Common signs and symptoms, apart from breast lumps, include changes in the shape or contour of the breasts, making mirror examinations useful. “Skin changes, such as redness and pain, are common when the tumour grows towards the skin. Generalised symptoms like unexplained weight loss, back pain, or pain in the upper right side of the abdomen may be present in metastatic cancers,” Sehra said. Shankar noted that breast self-examination and clinical breast examination can help to diagnose breast cancer at an early stage. Clinical breast examination is being adopted for community-based breast cancer screening under the National Programme on Prevention and Control of Noncommunicable Disease (NP-NCD). How to prevent the risk? Breast cancer is a disease of women in which risk prevention is possible by modifying the risk factors like late age of marriage, late age of childbirth, no children, and use of oral contraceptive pills. “In high-risk individuals, chemoprophylaxis with hormonal tablets can help to reduce the risk but it is not advocated in general as it’s not cost-effective and also has side effects,” Shankar said. The experts also recommended genetic testing in case of family history. Other ways to prevent the risk include maintaining a healthy lifestyle, with a diet rich in fibre and antioxidants, while avoiding alcohol and red meat. Also Read: Breast Cancer Awareness Month: Fear of test results delays breast cancer diagnoses, say Mumbai doctors This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever
15 October,2024 04:42 PM IST | Mumbai | IANSCancer and dementia are the major risk factors that increase the risk of mortality among patients with sepsis admitted to the emergency medical department, according to a study on Tuesday. Sepsis is a life-threatening emergency caused by a dysregulated host immune response to an infection that claims millions of lives globally each year. The study led by a team of Danish researchers found that age and heart disease were the other reasons that can raise the risk of death in sepsis patients within two years. “We found that certain factors increased the risk of death after sepsis, including, not surprisingly, advanced age,” said Dr. Finn E. Nielsen, a senior scientist in the Department of Clinical Epidemiology at Aarhus University Hospital, Denmark. “Additionally, conditions such as dementia, heart disease, cancer, and previous hospitalisation with sepsis within the last six months before admission also elevated the risk of dying during a median follow-up period of two years,” Nielsen said. In the paper, presented at the European Emergency Medicine Congress in Copenhagen, the team examined deaths over a long follow-up period in a prospective study of 714 adult patients admitted to the emergency department with sepsis between October 2017 and the end of March 2018. The team found that after a median of two years, 361 (50.6 per cent) of the patients with sepsis had died from any cause, including sepsis. Older age increases the risk of death by 4 per cent for every additional year of age. Furthermore, a history of cancer more than doubled the risk (121 per cent), and ischaemic heart disease (a condition in which the arteries supplying blood to the heart narrow or become blocked by a build-up of fat) increased the risk by 39 per cent, dementia increased the risk by 90 per cent, and previous admission with sepsis within the last six months increased the risk by 48 per cent. “Recognising that sepsis is a serious illness with high mortality is crucial,” Nielsen said. As the study was carried out in a single centre, further research in larger, prospective studies is needed, the team said. Also Read: World Sepsis Day: Early diagnosis and treatment key to navigate this life-threatening infection This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever
15 October,2024 12:49 PM IST | Mumbai | IANS
Last week, Indian industrialist Ratan Tata passed away at 86 on October 9 due to age-related issues. This was two days after he was admitted to Breach Candy Hospital on October 7. While the exact cause of his death isn’t known, several media reports are speculating that it was due to low blood pressure, also known as hypotension, after he was admitted for dyspnea, which is shortness of breath. While the cause may not be known, it highlights the need to know more about low blood pressure. Interestingly, there is a day dedicated to high blood pressure, more popularly called as World Hypertension Day that is observed on May 17 every year. Dr Aklesh Tandekar, head consultant, critical care, Wockhardt Hospitals in Mira Road, explains, “People tend to take low blood pressure levels lightly in comparison to high blood pressure levels. Low blood pressure can be dangerous if neglected. This is because the symptom of low blood pressure mostly includes dizziness and fainting which can make these people more prone to severe falls and accidents. This is why it's crucial to take low blood pressure seriously and take proactive steps to maintain it.”It is also why he says Individuals are advised to actively track their blood pressure levels. The need for older people to pay more attention is important among old people as blood vessels start to lose their flexibility as they age.With the recent developments, mid-day.com spoke to Dr Koulsoum Houssein, General Medicine, Holy Family Hospital in Bandra, and Dr Hemalata Arora, senior consultant, Internal Medicine, Nanavati Max Super Speciality Hospital in Vile Parle West to raise awareness about low blood pressure. The city-based health experts not only highlight the causes and effects but also why people need to take it seriously by taking the necessary steps to deal with it in time.What is considered low blood pressure and how is it caused?Houssein: Low blood pressure, or hypotension, is a systolic pressure of fewer than 90 mmHg or a diastolic pressure of less than 60 mmHg. The causes include dehydration, loss of blood, medications, hormonal imbalances, and neurological disorders. Poor nutrition, deficiencies in vitamins, and some diseases, anaemia, and diabetes can also cause low blood pressure. In some cases, the reason behind this condition is not known. Arora: However, it can be naturally low in some individuals without causing any issues. Common causes include dehydration, infections, hormonal imbalances (such as adrenal insufficiency), and certain medications like diuretics, beta-blockers, or antidepressants. It may also result from prolonged bed rest, nutritional deficiencies, or underlying medical conditions. What are the symptoms of low blood pressure in the body?Houssein: Some of these symptoms of low blood pressure include dizziness, fainting, fatigue and weakness, nausea, palpitations, breathlessness, pale and clammy skin, less urine output, or problems with mental function. Arora: People with low blood pressure often experience chronic fainting, dizziness, blackouts, light-headedness, fatigue, and blurred vision, especially when standing up too quickly (a condition known as orthostatic hypotension). These symptoms occur due to reduced blood flow to the brain. What are the effects of low blood pressure? Houssein: Low blood pressure can severely affect the body, particularly in terms of inadequate blood flow to vital organs. This can easily lead to a reduction in oxygenation and a nutrient delivery rate, thus causing organ damage or eventual failure. Low blood pressure is the opposite of high blood pressure and may lead to decreased cardiac output and reduced peripheral resistance. This risks shock and cardiac arrest compared to increased cardiovascular risk with high blood pressure. Low blood pressure also leads to some damage to cognitive functions, and it increases the fall rate as well as injury rates. At the same time, the general quality of life is affected. Arora: Low blood pressure can lead to symptoms like dizziness, fainting, and fatigue due to reduced blood flow to vital organs, potentially impacting daily functioning. On the contrary, high blood pressure (hypertension) exerts increased force against artery walls, which can lead to long-term complications such as headaches, neck strain, vision problems, cardiovascular disease, kidney damage, and stroke. Unlike hypotension, hypertension often has no symptoms until severe damage occurs. Can friends and family help people dealing with low blood pressure?Houssein: Low blood pressure patients also require support from their loved ones. Their close friends and family can call them anytime to get their blood pressure checked from time to time, remind them about keeping themselves hydrated and consuming nutritious food, and support them emotionally so that they don't get stressed. The friends can make much of the work lighter by helping them out with grocery purchases, cooking, reminding check-up dates, and also teach how to do some first aid during fainting or other emergencies. There should be coordination between individuals with a low blood pressure level so that they can control their condition and avoid complications. Arora: All individuals with chronic low blood pressure should inform their family members, colleagues and friends about the condition and prescribed management protocol to ensure correct measures are taken during any emergency. To manage low blood pressure, it’s important to stay well-hydrated by drinking fluids rich in electrolytes, such as oral rehydration solutions, coconut water, or sports drinks. Compression stockings can help improve circulation and prevent blood from pooling in the legs. If someone feels faint, they should be helped to lie flat with their legs elevated above heart level to restore blood flow to the brain. Family members can encourage frequent small meals, and a balanced diet with adequate salt, and ensure they avoid sudden posture changes. Which age group is most affected by low blood pressure and why?Houssein: Low blood pressure is more prevalent in aged persons or more than 65 years. The causes of these elevations include declining states of blood pressure regulation with age, undesirable side effects of the given drugs, and some chronic disorders such as diabetes and heart disease. Less chance of physical activity, poor diet, and dehydration are other causes. For that reason, aged patients should be monitored regularly and their blood pressure managed to prevent complications. Arora: Low blood pressure is more common in women aged 15-50 years due to hormonal fluctuations, pregnancy, and menstruation-related blood loss. Older adults (aged 75 and above) are also at higher risk, partly due to age-related physiological changes and the use of multiple medications, which can lead to postural hypotension. Does low blood pressure occur in one particular gender more than the other?Houssein: Low blood pressure can be experienced by both genders, though some are at higher risk than others. Pregnant women are among them, because of the hormonal changes in their system. Another condition causing the same risk is menstrual disorder. This is when a woman experiences excessive bleeding in her menstrual cycle. Women are at a higher risk for another term of hypotension: orthostatic hypotension or postural hypotension. In this condition, the blood pressure drops once a person is upright. Who is most vulnerable to low blood pressure and why?Houssein: More individuals with pre-existing medical conditions, including diabetes and heart disease, are predisposed to the condition, because of low blood pressure. Certain medications, too, such as diuretics and beta-blockers also have a risk-increasing effect. Some of the other vulnerable populations include older adults, poor nutrition and hydration, and neurological disorders, such as autonomic nervous system dysfunction. Arora: Women between the ages of 15-50 and older adults (75+) are particularly vulnerable to low blood pressure. Contributing factors include hormonal changes, pregnancy, dehydration, and certain chronic medical conditions. Older adults are prone to age-related changes in the autonomic nervous system, impaired thirst sensation, and the increased use of medications that affect blood pressure. Also Read: World Arthritis Day 2024: Why more young people are developing arthritis How can people avoid getting low blood pressure?Houssein: Preventive measures for low blood pressure include hydration and copious fluid intake, a balanced nutritional diet with all the required nutrients in it, and regular physical exercises. Management of stress through adequate relaxation, monitoring of blood pressure, and abstinence from excessive alcoholic beverages will help to maintain healthy blood pressure levels as well. Getting proper sleep, therefore, is also one of the precepts for keeping an individual's blood pressure healthy. Least consumption of sodium also plays a role in maintaining healthy blood pressure.Arora: Preventing low blood pressure involves maintaining proper hydration by drinking water and electrolyte-rich fluids, especially in hot weather or during physical activity. Standing up slowly, especially from sitting or lying positions, can prevent postural hypotension. Regular light exercise, such as walking or stretching, helps improve circulation. Including a balanced diet with adequate salt intake (in moderation and as advised by a healthcare provider) can also help maintain stable blood pressure levels. What makes low blood pressure dangerous for people and do people take it for granted? Houssein: Untreated low blood pressure can lead to serious consequences, including damage or failure of organs, a higher risk of falling and associated injuries, and decreased quality of life. People also underestimate the severity of this disease, which makes them forget their symptoms, further worsening the outcome. It is thus essential that the symptoms be presented in a hospital in case they persist or aggravate. Low blood pressure is also dangerous because it can lead to giddiness and falls which is one of the leading causes of fractures, especially in old people. Arora: Low blood pressure can be dangerous because it may cause sudden fainting, even without exertion, which can lead to falls and serious injuries, particularly in older adults. Severe hypotension can result in shock, a life-threatening condition that requires immediate medical attention. Despite these risks, many people tend to take low blood pressure lightly, especially if they’re asymptomatic, ignoring the potential for dangerous situations like falls or reduced blood flow to essential organs. Can food help in maintaining blood pressure? Houssein: Yes, a healthy diet can maintain blood pressure. It is important to eat vegetables like spinach and kale, which are rich in potassium; berries like blueberries and strawberries, which are rich in antioxidants; fatty fish, salmon, and tuna, which are rich in omega-3 fatty acids; nuts and seeds like almonds and pumpkin seeds, which are rich in magnesium; grains like brown rice and quinoa, which are rich in fibre; meats like chicken and turkey, which are rich in vitamin B12; foods rich in B vitamins: like eggs and dairy; some foods rich in omega-3 like flaxseeds and walnuts.It is also important to limit sodium consumption and avoid excessive intake of coffee. Arora: Yes, certain foods can help maintain blood pressure. A diet rich in fresh fruits and vegetables (such as bananas and leafy greens) provides necessary vitamins and minerals. Foods high in sodium, such as olives or pickles, may help raise blood pressure, though should be consumed in moderation. High-protein foods like eggs, fish, and lean meats, as well as complex carbohydrates like whole grains, are also beneficial. Drinking adequate water and consuming electrolyte-rich drinks help maintain blood volume, thus stabilising blood pressure.
15 October,2024 12:10 PM IST | Mumbai | Nascimento Pinto
According to World Health Organization (WHO), breast cancer was the most common cancer in women in 157 countries out of 185 in 2022. Around 2.3 million women were diagnosed with breast cancer and it caused 6,70,000 deaths globally. The numbers also paint a worrisome picture closer home. According to data from National Centre for Disease Informatics and Research (NCDIR) – National Cancer Registry Programme, there were 2,21,579 breast cancer cases among females in India in 2023 and an estimated 82,429 deaths due to the condition. While the disease majorly affects females, approximately 0.5–1% of breast cancers occur in men. Despite the severity and mortality rate of breast cancer, timely diagnosis and subsequent treatment remains a key challenge. Every year, October is observed as Breast Cancer Awareness Month to disseminate accurate information about the condition and raise awareness about the prevention and routine screening for early diagnosis of breast cancer. WHO states that roughly half of all breast cancers occur in women with no specific risk factors other than sex and age. In such a case, timely diagnosis becomes even more difficult and routine screenings more significant. However, women face several physical, psychological and social hindrances that make it difficult for them to seek professional help. Mid-day.com speaks to Dr. Aditi Agrawal, Breast Onco Surgeon and General Surgeon, Wockhardt Hospitals, Mira Road, and Dr. Pritam Kataria, Medical Oncologist, Sir HN Reliance Foundation Hospital, Mumbai, who shed light on these barriers and bust some common myths about breast cancer screening and treatment. What are some factors that can lead to a delay in breast cancer screening? Agrawal: Various factors contribute to delays in breast cancer screening and treatment. Many people still do not have an easy access to healthcare services or expert doctors who can guide them, making it challenging to schedule appointments. People with financial issues like low income or unemployment may hesitate to go for breast cancer screening or treatment due to extreme treatment costs. Some may not be aware of the negative impact of breast cancer on their overall life or the importance of going for regular checks for early detection. These factors altogether can lead to delays in detecting breast cancer and the usual presentation is in the advanced stage. Kataria: A major factor that can lead to a delay in breast cancer screening is lack of awareness. Also, the lack of proper medical facilities could be another issue. Sometimes, people who have both the knowledge and the facilities may still hesitate to get the screening done due to a fear of malignancy getting detected as it puts one in a difficult situation. In your professional experience, have you noticed any socio-cultural factors that can prove to be a hurdle in the timely diagnosis and treatment of breast cancer? Agrawal: Socio-cultural factors can negatively influence the diagnosis and treatment of breast cancer. People often hesitate to discuss breast health which often leads to delayed diagnosis of breast cancer. Factors like cultural beliefs about the illness, the strong fear of cancer and lack of awareness can prevent individuals from seeking timely screenings. Kataria: There is a social taboo that stops women from undergoing screening. Also, one may be uncomfortable with a self-breast examination or examination by a medical expert. But most importantly, the fear of getting something detected in the scan acts as a barrier. What are some myths about mammograms that need to be debunked? (A mammogram is a screening method for breast cancer. It involves an X-ray of the breast that can help in the timely diagnosis of the condition.) Agrawal: There are various myths or misunderstandings when it comes to breast cancer or screening options like mammograms. Some people believe that undergoing mammogram screening significantly increases the risk of breast cancer. But the fact is mammogram is an effective tool in detecting breast cancer early. Early detection can help make treatment options more effective resulting in positive outcomes. Kataria: Mammogram is a machine that gives a real-time assessment of the breast tissue. However, people have many false beliefs about the process. One misconception is that this procedure may be painful. Another thing that people believe is that mammogram screening can lead to the spread of cancer, which is untrue. Also Read: Women less likely to screen for breast cancer over false-positive mammograms Do you think there's enough awareness to recognise the symptoms of breast cancer? What are some symptoms one must look out for? Agrawal: Even today, most people are unaware of breast cancer, the risks associated with it, and the importance of early screenings, making it difficult to detect cancer at its early stage. However, over the years, awareness about breast cancer and its symptoms has improved but there is a long way to go. One should watch out for key symptoms like a lump, visible changes in the shape or size of the breast, white discharge from the nipple and redness of the skin near the breast area. Knowing about these symptoms in advance can help catch breast cancer at its initial stage before it starts to worsen or spreads to another part of the body. Kataria: We are still far from complete awareness of breast cancer. One must look out for symptoms like breast lump, nipple changes, changes in skin over the breast, or lump in the axilla or supraclavicular area. What are some challenges that women usually face or must be prepared for in the course of the treatment? Agrawal: Women who are undergoing treatment options to treat breast cancer can face a range of physical and psychological challenges. Treatment options like chemotherapy or radiation therapy often lead to multiple side effects like fatigue, nausea, weakness, unbearable pain and hair loss. Navigating through these physical side effects can be overwhelming and add up to their mental load. Over time, one can develop mental health conditions like anxiety, stress and depression while continuously thinking about their health and future life. During breast cancer treatment, women also undergo body changes like hair loss in several areas like the head, eyebrows and eyelashes. This can negatively affect their self-confidence about their body image. While these challenges can occur during treatment, they can be navigated with proper guidance and physical and mental preparation. These should not deter one from seeking treatment. Disclaimer: This information does not replace professional medical advice. Consult your physician or a qualified medical expert for personalised guidance.
15 October,2024 09:53 AM IST | Mumbai | Raaina JainThe spotlight turns to the essential yet often overlooked aspect of the therapeutic journey: finding the right therapist. While therapy is a cornerstone of mental well-being, a successful therapeutic relationship is paramount for progress. “While all kinds of therapists are ultimately looking to help, therapeutic relationship can be hampered if you just don’t feel comfortable with their approach. For example, a lot of therapists use silence as a tool, but if they’re not using it in a way that feels okay for you, it may not be a good fit,” shares Divya Tiwari, clinical psychologist and head of therapy at MindPeers. Recognising the signs of a mismatched therapeutic connection and making the decision to change therapists can be daunting, but it's a crucial step towards optimal mental health, as per Mehezabin Dordi, clinical psychologist at Sir HN Reliance Foundation Hospital, Mumbai. On this day, mental health experts will delve into the complexities of the therapist-client relationship. They will answer pressing questions and provide invaluable insights into identifying when a therapeutic partnership is no longer beneficial, offering practical guidance on how to navigate this challenging process. Moreover, they will outline the essential qualities to look for in a new therapist and effective strategies for finding a mental health professional who truly understands and supports their needs. How can I tell if the therapeutic relationship is no longer beneficial? Tiwari: Some ways you can tell if a therapeutic relationship is no longer beneficial: 1. Feeling like most of your goals have been achieved 2. Therapist not able to help you achieve your long-term goals 3. Wondering about whether you should even continue 4. Not feeling better when they validate or empathise 5. Not feeling motivated about therapy If you’re feeling like the relationship is not beneficial anymore, you can certainly discuss this with your therapist. Most of them are aware of when this starts happening, but if they aren’t it can help them tailor the intervention accordingly. What are the signs of a lack of trust or connection with my therapist? Tiwari: One can look for the following signs as an indication of a lack of trust: 1. Restraining yourself from saying things in the session 2. Feeling anger or frustration about something the therapist says 3. Not being able to do suggested activities/techniques 4. Missing sessions/not scheduling as regularly as you used to 5. Weighing what you say in the session and holding things back Feeling like you can’t trust your therapist can lead to a breakdown in rapport, which is the main thing that brings about change. If you’ve been seeing the therapist for some time, feel free to discuss anything that makes you uncomfortable. If it’s a new therapist, you can try to look for someone who may be more trustworthy for you. How can I determine if my therapist's personality or approach is a poor fit for me? Tiwari: To understand if the therapist’s personality or approach is a good or poor fit for you, you can pay attention to some of the following: 1. Their humour or conversational style. 2. Their cultural background and how it fits with yours 3. Whether they are taking into account your factors like community, social life/status, limitations and beliefs. 4. If they rely a lot on out-of-session activities (called Homework) when you would like more in-session work (or vice versa) 5. Aspects of their personality like talking too much/too little, casual/restrained, formal/informal. Is it normal to experience plateaus in therapy, or does it indicate a need for a change? Tiwari: Yes, it is perfectly normal to feel like therapy is plateauing. This happens frequently when you’ve been going to a therapist for a while, and your initial distressing emotional and cognitive state no longer exists. It may indicate a need for change, or that therapy is not needed anymore at this point. At MindPeers, we firmly believe that whatever the reason, it is important to address this with your therapist, so they can explore what the reason might be, and help you take the right steps to resolve the plateau. Some introspection can also help, along with paying attention to how you’re doing outside of sessions. How does one search for a new therapist? Dordi: When you decide to find a new therapist, it can seem overwhelming, but breaking it down into manageable steps can make the process smoother. Here are several strategies to help you: Referrals: Start by seeking recommendations from trusted sources. This could include your current therapist, who might have colleagues to suggest, or friends and family who have had positive experiences with their own therapists. Additionally, your primary care doctor can be a valuable resource for referrals, as they often have connections within the healthcare community. Directories: Utilise online directories to find mental health professionals. Websites such as Practo, 1mg, BetterLyf, and others provide comprehensive listings of therapists. These platforms often include reviews and ratings from other patients, which can give you a sense of the therapist’s reputation and effectiveness. Also, consider looking at local hospitals which may have their own directories of mental health professionals. Professional organisations: Professional organisations, such as the Indian Psychiatric Society (IPS), maintain directories of accredited professionals. These organisations ensure that their members meet specific standards of practice, giving you confidence in the quality of care you will receive. Local clinics: Reach out to local mental health clinics, hospitals, or community health centres. These institutions often have mental health professionals on staff or can recommend someone who fits your needs. Specialty searches: If you have specific concerns or need a therapist with particular expertise, look for professionals who specialise in those areas. For example, if you are dealing with trauma, addiction, or LGBTQIA+ issues, finding a therapist with experience in these areas can be particularly beneficial. What factors should be considered when choosing a new therapist? Dordi: Selecting the right therapist involves careful consideration of several factors to ensure that you find someone who is well-suited to your needs: Credentials and experience: Verify that the therapist is properly qualified and has sufficient experience, particularly with the issues you are facing. This ensures that they are equipped with the knowledge and skills to help you effectively. Therapeutic approach: Different therapists employ various methods, such as cognitive-behavioural therapy (CBT), psychodynamic therapy, or humanistic therapy. Research these approaches to determine which one aligns best with your preferences and what you believe will be most helpful for you. Compatibility: A strong therapeutic relationship is crucial for effective therapy. Look for a therapist with whom you feel comfortable and understood. Initial consultations can be a good way to gauge this compatibility. Look at the logistics: Practical considerations such as the therapist's location, availability, and fees are important. Ensure that their schedule aligns with yours and that their services are within your budget. If you have insurance, check whether they accept it to avoid unexpected costs. Specialisations: If you have specific needs, such as dealing with trauma, addiction, or gender identity issues, seek out therapists who specialise in these areas. Specialised knowledge can make a significant difference in the effectiveness of your therapy. Reviews and feedback: Reading reviews and testimonials from other clients can provide insight into the therapist’s effectiveness and approach. Positive feedback from others can give you confidence in your choice. How does one ease the transition from one therapist to the other? Dordi: Once you have chosen a new therapist, transitioning smoothly is key to maintaining continuity in your care: Discuss with your current therapist: Open communication with your current therapist about your decision to change is important. They can provide referrals and help facilitate a smooth transition, ensuring that you continue to receive the support you need. Request records: Ask your current therapist for your treatment records. Sharing these with your new therapist can provide continuity in your care, giving them a clear understanding of your treatment history and current needs. Prepare for the first session: Be ready to discuss your treatment history and current concerns with your new therapist. Having a summary of your previous therapy can help them understand your background and tailor their approach to your needs. Give yourself time: It may take a few sessions to adjust to your new therapist and build a rapport. Be patient with the process, as developing a comfortable and trusting relationship is essential for effective therapy. Evaluate the fit: After a few sessions, take time to assess how you feel about the new therapist. It’s important to feel understood, and supported, and that the therapist’s approach aligns with your goals and needs. Transitioning to a new therapist is a significant step in your mental health journey. By following these steps, you can help ensure that it is a positive and beneficial change, leading you to the support and care you need for your well-being. Also Read: World Mental Health Day: Mental health a major concern among the youth; experts explain why
14 October,2024 02:54 PM IST | Mumbai | Maitrai AgarwalStrong public health and community support has helped India to be free from trachoma -- a highly contagious bacterial infection that has been a major cause of preventable blindness worldwide, said the Ministry of Health and Family Welfare on Sunday. From being the leading cause of blindness during the 1950s and 1960s, the World Health Organization (WHO) last week declared India “officially free from trachoma”. “This milestone comes after years of dedicated efforts by the government to protect the vision of millions, emphasising the importance of healthy eyesight for every individual,” the ministry said. According to the WHO, an estimated 150 million people worldwide are affected by trachoma and 6 million of them are blind or at risk of visually disabling complications. What is Trachoma?Trachoma is a neglected tropical disease that is caused by infection by the Chlamydia trachomatis bacterium. The disease is transmittable, via close physical contact; sharing personal belongings, like towels, and pillows; and coughing and sneezing. It is a very painful disease that causes blurry vision, red and swollen eyes, pain while blinking or sleeping, and vision loss. If left untreated, the disease can lead to irreversible blindness. Poor hygiene practices, overcrowded living conditions, water scarcity, and inadequate latrines and sanitation facilities promote the transmission of trachoma. Further, the ministry noted that children are more vulnerable to trachoma: How India achieved victory over trachomaTrachoma was a significant public health concern in India during the 1950s and 1960s, affecting over 50 per cent of the populations in Gujarat, Rajasthan, Punjab, Haryana, Uttar Pradesh, and the Nicobar Islands. By 1971, trachoma was responsible for 5 per cent of all blindness cases in the country. To curb the pressing issue, India implemented a series of measures under the National Programme for Control of Blindness and Visual Impairment (NPCBVI). India also adopted the WHO-recommended SAFE strategy -- surgery for trichiasis, antibiotics to clear infection, and facial cleanliness and environmental improvement to reduce transmission. In 1963, the government launched the National Trachoma Control Programme that focused on surgical treatment; antibiotic distribution; facial cleanliness to promote hygiene and reduce transmission; and enhancing access to water and sanitation. In 1976, trachoma was integrated into national programmes. The efforts brought significant results, with trachoma accounting for 4 per cent of all blindness cases in India and just 0.008 per cent by 2018, the ministry said. “Through these continuous efforts, India has made significant strides toward eradicating trachoma. By 2017, India was declared free from infectious trachoma,” the ministry said. The National Trachoma Survey Report (2014-17) indicated that active trachoma infections had been eliminated among children in all surveyed districts, with an overall prevalence of only 0.7 per cent -- well below the WHO’s elimination threshold of 5 per cent. Despite this remarkable progress, India continued “vigilant surveillance for trachoma cases” from 2019 to 2024 to check for any resurgence of the disease. Meanwhile, the WHO also applauded India's effective measures against trachoma. WHO Director-General Dr. Tedros Adhanom Ghebreyesus praised India's commitment to alleviating the suffering caused by trachoma, emphasising the vital collaboration among the government, healthcare professionals, and international partners that made this milestone possible. While the disease continues to be a challenge in 39 other nations, India is among Nepal, Myanmar, and 19 other countries that have successfully eliminated trachoma as a public health issue. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.
14 October,2024 02:17 PM IST | New Delhi | IANSWhile stress is known to significantly contribute to the onset of various health issues, a new study on Sunday showed how stress can worsen colorectal cancer (CRC). A team of Chinese researchers showed that chronic stress disrupts the balance of gut microbiota, which then hastens the progression of CRC. By eliminating some gut bacteria and inducing stress, they found a particular bacterial species as a potential therapeutic target. The team from West China Hospital, Sichuan University of China, used an antibiotic cocktail -- vancomycin, ampicillin, neomycin, and metronidazole -- to eradicate gut microbiota. It was followed by faecal microbiota transplantation to find whether gut microbiota was necessary for chronic stress to fasten the progression of colorectal cancer. The results showed that while chronic stress increased tumour growth, it also decreased beneficial gut bacteria, particularly the Lactobacillus genus, -- essential for a healthy immune response against cancer. “Stress-related CRC progression can be attributed to a reduction in beneficial gut bacteria, as this weakens the body’s immune response against cancer,” said lead researcher Dr Qing Li from the varsity. Lactobacillus -- being sensitive to vancomycin and ampicillin -- was found depleted in both the control and stress groups by the antibiotic cocktail. To further explore how Lactobacillus influences CD8+ T cell levels -- which play a crucial role in the body's anti-tumour immunity -- and CRC progression the researchers supplemented mice with Lactobacillus during chronic stress and observed reduced tumour formation. “Through faecal analysis, we found that Lactobacillus plantarum (L. plantarum) specifically regulated bile acid metabolism and enhanced the function of CD8+ T cells. This indicates how Lactobacillus may enhance anti-tumour immunity,” Li said. The research showed potential for Lactobacillus-based therapies in treating patients, particularly those affected by chronic stress. “Restoring beneficial bacteria in the gut, such as Lactobacillus, could strengthen the body’s natural defences against colorectal cancer,” concluded Li. The study was presented at the United European Gastroenterology Week 2024 in Vienna, Austria. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.
14 October,2024 01:50 PM IST | New Delhi | IANSDeep fried, baked, grilled ultra-processed foods -- found in every nook and corner of India -- that have become the staple in a majority of homes in recent years, are a direct reason for the ever-surging cases of diabetes in the country, said experts on Sunday. India is home to a staggering 101 million individuals afflicted by diabetes. The recent ICMR-NIN Dietary Guidelines for Indians reveals that more than 10 per cent of 5-19- year-olds are pre-diabetic. A new study, published in the International Journal of Food Sciences and Nutrition, shows that the deep fried, baked, and grilled ultra-processed foods are rich in advanced glycation end products (AGE) which lead to inflammation and contribute to several diseases including diabetes. “When we fry or grill foods it leads to oxidative stress which is a promoter of inflammation. Chronic inflammation in the body is linked to diabetes, hypertension, heart disease, and even some forms of cancer. Ultra-processed foods and those foods which are high in trans fats are harmful to health,” diabetologist Dr. V Mohan from Madras Diabetes Research Foundation (MDRF) in Chennai, told IANS. Mohan and team led the study on AGEs in collaboration with the Indian Council of Medical Research (ICMR). According to the study, AGE-rich foods include red meat, fried foods, french fries, fried chicken, bacon, biscuits, bakery products, butter, margarine, and sugary foods. On the other hand, fruits and vegetables, broccoli, legumes, oats, dairy, eggs, fish, and tree nuts like almonds, walnuts, cashews, etc, come under the low-age food category. “Our study showed that foods which are high in dietary ages were linked to type 2 diabetes and inflammation. Foods which were low in dietary AGEs were protective against diabetes,” Mohan said. AGEs are formed through a non-enzymatic process called glycation, where sugar molecules bind to proteins or fats. This process can lead to the formation of compounds that cause harmful reactions in the body, particularly inflammation. “Fried food means that we are having excess saturated fat and calories, so it will naturally not be good for us,” Dr. Ambrish Mithal, Chairman & Head - Endocrinology & Diabetes, Max Super Speciality Hospital, Saket, who was not part of the study, told IANS. “Much of the food in India that is deep fried, especially street food, is of reheated oil. Reheated oil is very rich in trans fats -- a big factor for increasing the risk of heart disease, some types of cancers,” he added. Then what about grilled or baked food? Mithal said intuitively, one would think grilled food is healthy, but it’s actually not. “Although it isn’t fried, it exposes food to high temperatures which gives rise to the production of certain toxic aromatic carbons in the food, which can be carcinogenic,” the doctor said while noting that baked food is also not necessarily healthy because most baked food is carbohydrate-rich. These foods that are fuelling the obesity rate are one of the major causes of diabetes in the country, Mohan told IANS, while urging the government to promote healthy eating habits. Further, the MDRF study showed that "excess carbohydrate intake in the form of white rice or refined wheat is a direct driver of the diabetes epidemic," said Mohan. Apart from this, stress, lack of sleep, and air pollution are other contributing factors. “Government policy should therefore be directed towards encouraging the cultivation and promotion of foods which are low with dietary AGE’s, especially fruits with low glycemic index and green leafy vegetables,” the doctor said. Also Read: A guide to festive nutrition This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever
13 October,2024 03:36 PM IST | Mumbai | IANSDelay in proper knee treatment, timely detection and ignoring knee arthritis symptoms can worsen the condition of knees and additionally damage the spine affecting the quality of life, health experts said on Saturday on the occasion of the World Arthritis Day. Knee arthritis, particularly osteoarthritis, is a degenerative joint condition that primarily affects adults. It causes pain, stiffness, and reduced mobility in the knees, often making everyday activities difficult. However, according to experts, the repercussions of untreated or poorly managed knee arthritis extend far beyond the knee join. Dr L Tomar from Max Hospital said that in more than 70 per cent cases, osteoarthritis is the commonest reason for knee arthritis. Osteoarthritis causes more progressive damage to the medial (inner) joint compartment cartilage leading to reduction in the gap between the two bones. Patients with advanced knee arthritis are often seen to have spinal deformity because when patients continue to walk with a bow leg deformity it put more pressure on lumber spine leading to its damage, such cases can be corrected with minimally invasive total knee replacement surgery, said Dr Tomar. In osteoarthritis, multiple osteophytes form around the joint causing progressive limitation in knee movements. Patient with late-stage knee arthritis often report with fixed deformity with very little movement. According to Dr Praveen Gupta from Fortis Hospital, several neurological symptoms can be a consequence of rheumatological diseases. For instance, inflammatory arthritis can lead to nerve compression syndromes, resulting in pain and numbness. Yet, these interconnections are frequently overlooked in clinical practice, primarily due to a lack of knowledge and training in the field. Experts urged patients not to ignore early signs of arthritis, advising them to consult specialists for proper diagnosis and treatment. Timely action, they stressed, can prevent long-term complications and improve overall quality of life. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.
12 October,2024 01:43 PM IST | New Delhi | IANSVaccines are key to preventing infection and thus reducing the use of antibiotics, supporting worldwide efforts to tackle rising antimicrobial resistance (AMR), according to a new report by the World Health Organization (WHO). The report showed that vaccines against 24 pathogens could help reduce the number of antibiotics needed by 22 per cent or 2.5 billion defined daily doses globally every year. If vaccines could be rolled out against all these pathogens, it could save a third of the hospital costs associated with AMR. Misuse and overuse of antimicrobials cause AMR, making people sicker and increasing the risk of illness, death, and the spread of infections that are difficult to treat. Every year, AMR claims nearly 5 million lives worldwide. “Addressing antimicrobial resistance starts with preventing infections, and vaccines are among the most powerful tools for doing that,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. Ghebreyesus called for “increasing access to existing vaccines and developing new ones for critical diseases, like tuberculosis (TB),” to fight AMR. The report comes as world leaders at the recently concluded 79th UN General Assembly high-level meeting on AMR in September committed to reducing the deaths associated with bacterial AMR annually by 10 per cent by 2030. The new report estimates that vaccines already in use against pneumococcus pneumonia, Haemophilus influenzae type B (Hib, a bacteria causing pneumonia and meningitis), and typhoid could avert up to 1,06,000 of the deaths associated with AMR each year. An additional 5,43,000 deaths associated with AMR could be averted annually when new vaccines for tuberculosis (TB) and Klebsiella pneumoniae are developed and rolled out globally. Further, the report showed that if the Immunization Agenda 2030 target of 90 per cent of the world’s children were vaccinated, as well as older adults, it could save 33 million antibiotic doses against Streptococcus pneumoniae every year. Typhoid vaccines can save 45 million antibiotic doses; jabs against Malaria caused by Plasmodium falciparum could save up to 25 million antibiotic doses -- often misused to try to treat malaria. Similarly, new TB vaccines could have the highest impact once they are developed, saving between 1.2 to 1.9 billion antibiotic doses.
12 October,2024 12:42 PM IST | New Delhi | IANSArtificial Intelligence (AI) powered search engines and chatbots may not always provide accurate and safe information on drugs, and patients shouldn’t rely on these, warned a study on Friday. Researchers from Belgium and Germany conducted the study after finding many answers were wrong or potentially harmful. In the paper, published in the journal BMJ Quality and Safety, they said that the complexity of the answers provided by the AI chatbot may be difficult to understand and might require degree-level education. With the introduction of AI-powered chatbots search engines in 2023 underwent a significant shift thanks. The renewed versions offered enhanced search results, comprehensive answers, and a new type of interactive experience. While the chatbots -- trained on extensive datasets from the entire internet -- can answer any healthcare-related queries, they are also capable of generating disinformation and nonsensical or harmful content, said the team from the Friedrich-Alexander-Universitat Erlangen-Nurnberg in Germany. “In this cross-sectional study, we observed that search engines with an AI-powered chatbot produced overall complete and accurate answers to patient questions,” they write. “However, chatbot answers were largely difficult to read and answers repeatedly lacked information or showed inaccuracies, possibly threatening patient and medication safety,” they add. For the study, the researchers explored the readability, completeness, and accuracy of chatbot answers for queries on the top 50 most frequently prescribed drugs in the US in 2020. They used Bing copilot, a search engine with AI-powered chatbot features. Just half of the 10 questions were answered with the highest completeness. Further, chatbot statements didn’t match the reference data in 26 per cent of answers and were fully inconsistent in over 3 per cent of cases. About 42 per cent of these chatbot answers were considered to lead to moderate or mild harm, and 22 per cent to death or severe harm. The team noted that a major drawback was the chatbot’s inability to understand the underlying intent of a patient question. “Despite their potential, it is still crucial for patients to consult their healthcare professionals, as chatbots may not always generate error-free information,” the researchers said. This story has been sourced from a third party syndicated feed, agencies. Mid-day accepts no responsibility or liability for its dependability, trustworthiness, reliability and data of the text. Mid-day management/mid-day.com reserves the sole right to alter, delete or remove (without notice) the content in its absolute discretion for any reason whatsoever.
12 October,2024 12:37 PM IST | New Delhi | IANSADVERTISEMENT
