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Wednesday, May 29, 2013

Adolescents also vulnerable too stress.....parents to be cautious

http://www.livehindustan.com/news/location/rajwarkhabre/article1-story-39-0-336943.html&locatiopnvalue=1
http://www.ijpm.info/article.asp?issn=0253-7176;year=2013;volume=35;issue=1;spage=39;epage=46;aulast=Mathew

कम उम्र में बढ़ रहा है तनाव का दायरा

News story by Nishi Bhat, Hindustan daily

बचपन तनाव के घेरे में है। कभी अच्छे नंबर लाने की चिंता तो कभी परिस्थितियों से सामंजस्य न बना पाने की। बच्चों में तनाव के बढ़ते प्रतिशत को लेकर एक अध्ययन किया गया। जिसमें 6 से 16 साल तक के बच्चों को शामिल किया गया। पाया गया कि तनाव से न उबर पाने की स्थिति में बच्चों मौत को गले लगाने का प्रयास किया।

मनोचिकित्सक डॉ. ओमप्रकाश बच्चों में तनाव की स्थिति को माता पिता भी नहीं पहचान पाते। इंडियन साइके ट्री एसोसिएशन द्वारा किए गए अध्यन में 6 से 16 साल की उम्र के 48 प्रतिशत बच्चों को तनाव का शिकार पाया गया। जिसमें 20 प्रतिशत ने 15 साल की उम्र से पहले आत्महत्या की कोशशि की। तनाव के विभिन्न कारणों में परिस्थितियों से सामंजस्य न बना पाने को सबसे अहम कारण माना गया। देखा गया कि बच्चों परिस्थिति के अनुसार अपनी समस्या को जल्दी से माता पिता के साथ भी नहीं बांट पाते।

इंटरनेट और दोस्तों के बीच तनाव का हल खोजने की कोशशि उन्हें आत्महत्या के प्रयास का रास्ता दिखाती है। 1000 बच्चों की काउंसलिंग में 48 प्रतिशत बच्चों ने इस बात का स्वीकार किया गया कि वह घर में किसी से भी अपनी बात नहीं कर पाते हैं। तनाव का दूसरा अहम कारण डिप्रेसवि डिस्ऑर्डर को पाया गया, 16 प्रतिशत बच्चों इसका शिकार है। इसे पहले स्तर के तनाव की दूसरी अवस्था कहा जा सकता है, जबकि बच्चा खुद को दूसरों से अलग रखने लगता है।

जबकि 6 प्रतिशत बच्चों तनाव की उस स्थिति में देखे गए जबकि वह इससे उबरने के लिए इंक रिमूवर और अन्य चीजों का नशे के तौर पर इस्तेमाल करते पाए गए। अध्ययन के अनुसार 52 प्रतिशत बच्चों तनाव से मुक्ति पाने के लिए घर में रखे पेस्टिसाइड या रसायन को पीने की कोशशि करते हैं, जबकि 20 प्रतिशत ने घर में रखी पुरानी दवाएं खाने की कोशशि की। 12 प्रतिशत ने हाथ की नस काटी, जबकि अन्य में छत से कूद या फिर फांसी लगाकर जान देने की कोशशि की गई।

डॉ. ओम प्रकाश कहते हें कि दरअसल बच्चों के तनाव को खुद माता पिता भी नहीं पहचान पाते। ताकि न मुरझाए बचपन की मुस्कान-बच्चों के साथ अधिक और गुणवत्ता परक समय बिताएं -उसकी समस्याएं जानने के लिए दोस्त बनने की कोशशि करें -कशिारोवस्था में विशेष रूप से बच्चों के मन की बातें जानने की कोशशि करें -बच्चा यदि किसी हीन भावना का शिकार तो नहीं, इसके लिए उसकी आदतों पर ध्यान दें -12 से 16 साल में विपरीत सेक्स के प्रति बढ़ने वाले आकर्षण पर भी रहे सचेत और खुल कर बांटे अनुभव -बोर्ड परीक्षा या अन्य प्रतियोगी परीक्षा में यदि नहीं आए अंक बेहतर तो अन्य विकल्पों पर चर्चा करें।

Tuesday, May 28, 2013

Employees of night-shift, take care of your sleep

http://drugtodayonline.com/mix/186-night-shift-takes-a-heavy-toll-on-health.html



Night shift takes a heavy toll on health

News story by DISHA TOMAR

With growing multi-national companies, call centers and BPO the demand for employees for working at ‘graveyard shifts’ has increased. Working at night can dramatically affect the health of an individual making them more prone to heart diseases, depression and other stressful unhealthy conditions.

Night shifts are often associated with sleepless nights leading to altered lifestyle disturbing the ‘circadian clock/rhythm’ which decides the sleeping patterns in humans. Sangita working a member of ground staff in Air India, says, “I have been taking night shifts for last two years. It has affected my diet, sleep and health. I feel weak and lazy, developed dark circles and acne on my face. I even took a medical break to revive my system.”
Dr Om Prakash, psychiatrist at IHBAS, says “Sleeping less leads to stressful life. Sleep is vital to maintain proper circadian rhythm. Sleep deprivation raises the risk of cardiovascular problems, fatigueness and MDD (Major Depressive Disorder).”
The brain needs sleep at night and work during the day. In the evening when the light vanishes brain signals the secretion of a hormone ‘melatonin’ into the body fluids. Melatonin concentration determines sleeping pattern. Increased melatonin at night increases drowsiness making us fall asleep. The whole process reverses during the day as with the rising sun eyes senses the light and the melatonin level falls with increased level of another chemical serotonin that keeps us awake during the day. This constitutes circadian rhythm. Other body functions including heart rate, blood pressure, body temperature and gastrointestinal activity also keep fluctuating 24 hours according to the circadian clock.

Night shifts disturb the rhythm of circadian clock resulting into Shift Work Sleep Disorder (SWSD). SWSD resulting from disturbed sleep pattern is associated with insomnia and excessive sleepiness.
The most common symptoms include headaches, mood swings, short temper, bad hair/skin/nails, energy deficiency, diminished appetite, low immune response and weak memory. Increased accidents, reduced performance, work related errors and aggressiveness.
Night workers not only experience physical disabilities but also face social problems.
“Sleep is one issue that gives birth to other issues includes marital and social problems. As the world wakes they go to sleep, this makes it difficult for them to see friends, family and children posing strain on relationships. Their schedule isolates them from social life and they fail to fulfill their family’s expectations,” said Dr Prakash.
More than 50 per cent private companies run 24 hours a day to achieve high profile in the market. Employees have to take night shifts. Doctors, nurses, truck drivers, police and other private sector workers are often subjected to such lifestyle.
Anil is working with IBM, Gurgaon. He says, “I am new to this and as such don’t have any health complications. Yes, the diet has been affected as lunch is shuffled with breakfast, lot of junk food at work and dinner has no fix time. I sleep at morning hours and face frequent sleep disturbances”
A recent study conducted on over two million people suggests that night shift workers are at a 24 per cent higher risk of heart attacks and coronary events. The study was published in British Medical Journal. Moreover, individuals doing night shifts develop unhealthy behaviour such as improper diet, sleeping less and finding it hard to exercise.

Why worry about board exam results.....many options available in future....

 
An important story by Nishi Bhat, Hindustan Daily for parents and their children on coping examination results
 
 
इंस्टीटय़ूट ऑफ ह्यूमन बिहेव्यिर एंड एलायड साइंस के मनोचिकित्सक डॉं. ओम प्रकाश ने बताया कि निश्चित रूप से टॉपर्स के पास बेहतर स्कूल में प्रवेश के अधिक मौके होते हैं लेकिन इसका मतलब यह नहीं है कि कम अंक आने वाले छात्रों में प्रतिभा की कमी होती... है। करियर काउंसलिंग के लिए आने वाले ऐसे बच्चों की सफलता का प्रतिशत अधिक देखा गया है, जिन्होंने सेकेंडरी या सीनियर सेंकेंडरी में अधिक बेहतर प्रदर्शन नहीं किया था।

बोर्ड परीक्षा में कम अंक आने पर हताश या निराश न हों। जरूरी नहीं हर छात्र की प्रतिभा का आकलन बेहतर अंकों से ही किया जाएगा। मनोचिकित्सकों का कहना है कि बेहतर प्रयास के बाद भी यदि परिणाम अच्छा नहीं आया है तो छात्रों को मायूस होने की जरूरत नहीं है। इसे जीवन का पहली और आखिरी परीक्षा नहीं समझना चाहिए।
 
 
क्या करें अभिभावकबच्चों की गतिविधि पर निगरानी रखें
बेहतर अंक लाने वाले अन्य बच्चों से तुलना न करें
बच्चा जिस विषय में बेहतर है, उसकी तारीफ करें
करियर के अन्य बेहतर विकल्प पर चर्चा करें
इसमें बच्चे की रूचि को भी शामिल करें
बच्चे को अकेले या फिर एकांत में बिल्कुल न रहने दें

Thursday, May 16, 2013

Modern lifestyle causing dementia to strike at early age

http://indiatoday.intoday.in/story/modern-lifestyle-causing-dementia-to-strike-at-early-age/1/270827.html


Modern lifestyle is causing dementia and other brain diseases to strike at a younger age, with widespread use of computers, mobile phones and chemicals to blame, a new study has found. The latest research has found that the sharp rise of dementia and other neurological deaths in people under 74 cannot be put down to the fact that we are living longer. The rise is because a higher proportion of old people are being affected by such conditions - and what is really alarming, it is starting earlier and affecting people under 55 years, according to the research published in journal Public Health.

Of the 10 biggest Western countries the US had the worst increase in all neurological deaths - men up 66 per cent and women 92 per cent between 1979-2010. The UK was 4th highest - men up 32 per cent and women 48 per cent. "These statistics are about real people and families, and we need to recognise that there is an 'epidemic' that clearly is influenced by environmental and societal changes," said Professor Colin Pritchard of Bournemouth University.

Wednesday, May 15, 2013

Good news for Indian researchers.....Cochrane Library accessible for next three years for India

http://newindianexpress.com/states/tamil_nadu/Indians-to-have-access-to-online-Cochrane-Library-for-3-more-years/2013/05/04/article1573869.ece

The much-needed national subscription for country-wide access to the online Cochrane Library has just been renewed for a further three years. In a statement, director of the South Asian Cochrane Network and Centre (SACNC) Dr Pratap Tharyan said this would provide millions of people in India continued free access to the best available evidence on the effects of healthcare interventions.

The Cochrane Library is a collection of six databases that contain various types of high-quality evidence to inform healthcare decision-making, and a seventh database that provides information about groups in The Cochrane Collaboration. The Cochrane Reviews in the CDSR are prepared by authors who register titles with one of the 53 Cochrane Review Groups.

Numerous Cochrane Reviews of importance to public health in India required dissemination; and the free national access to The Cochrane Library ensures that ICMR’s investment in providing access to reliable evidence is utilized by the public bodies and their members, in order to improve health outcomes for the people of India.

Tuesday, May 14, 2013

Rise in obesity poses 'dementia time bomb'

http://www.bbc.co.uk/news/health-22479049

Ever-growing waistlines could result in a big increase in the number of people who develop dementia in the future, researchers have warned.

Previous studies have shown that being overweight in middle age increases the odds of developing the mental disorder. Data presented at the European Congress on Obesity suggests stemming the rise in obesity will cut dementia.The Alzheimer's Society charity said regular exercise and a healthy weight were important for reducing risk.

Piling on too many pounds is known to be bad for the body, but there is growing evidence that it is also bad for the mind.

Internet addiction in children leads to anxiety and depression.....parents to be cautious

http://www.indianjpsychiatry.org/article.asp?issn=0019-5545;year=2013;volume=55;issue=2;spage=140;epage=143;aulast=Goel

Goel D, Subramanyam A, Kamath R. A study on the prevalence of internet addiction and its association with psychopathology in Indian adolescents. Indian J Psychiatry 2013;55:140-3
 
Background: There has been an explosive growth of internet use not only in India but also worldwide in the last decade. There is a growing concern about whether this is excessive and, if so, whether it amounts to an addiction.
Aim: To study the prevalence of internet addiction and associated existing psychopathology in adolescent age group.
Materials and Methods: A cross-sectional study sample comprising of 987 students of various faculties across the city of Mumbai was conducted after obtaining Institutional Ethics Committee approval and permission from the concerned colleges. Students were assessed with a specially constructed semi-structured proforma and The Internet Addiction Test (IAT; Young, 1998) which was self-administered by the students after giving them brief instructions. Dukes Health Profile was used to study physical and psychosocial quality of life of students. Subjects were classified into moderate users, possible addicts, and addicts for comparison.
Results: Of the 987 adolescents who took part in the study, 681 (68.9%) were female and 306 (31.1%) were males. The mean age of adolescents was 16.82 years. Of the total, about 74.5% were moderate (average) users. Using Young's original criteria, 0.7% were found to be addicts. Those with excessive use internet had high scores on anxiety, depression, and anxiety depression.
Conclusions: In the emerging era of internet use, we must learn to differentiate excessive internet use from addiction and be vigilant about psychopathology.
Keywords: Dukes health profile, internet addict, internet addiction test

Human rights of mentally ill not protected....Indian study

http://www.indianjpsychiatry.org/article.asp?issn=0019-5545;year=2013;volume=55;issue=2;spage=117;epage=124;aulast=Poreddi

In a nutshell, the findings of the present study highlights that more of the caregivers than psychiatric patients perceived that the human rights of people with mental illness were not protected and influencing their reintegration into the community. The findings of the present study also suggest that it is high time to strengthen the legal frame work to protect the rights of people with mental illness. However, legal sanction may not provide adequate protection; hence mental health professionals, NGOs, professional organizations, and other stakeholders should unify their efforts in educating and changing community attitudes towards mental illness and advocating for human rights of people with mental illness.

Poreddi V, R, Reddemma K, Math SB. People with mental illness and human rights: A developing countries perspective. Indian J Psychiatry 2013;55:117-24

Background: Human rights violations among the people with mental illness were not an uncommon occurrence. The present study was aimed to compare persons with psychiatric illness and their caregivers' perceptions regarding the human rights status of people with mental illness in the community.
Materials and Methods: A descriptive design was carried out among randomly selected asymptomatic psychiatric patients and their caregivers (N=200) at a tertiary care center. Data was collected through face-to-face interview, using a structured questionnaire. Data was analyzed and interpreted using descriptive and inferential statistics.
Results: Our findings revealed that the caregivers than psychiatric patients perceived negatively to the statements i.e., 'Receiving equal information and encouragement about career opportunities' (χ2=10.779, P<0.029), 'Opposing discriminatory actions, slurs' (χ2=9.472, P<0.050) 'Resolving the conflicts with people with mental illness through nonviolent ways' (χ2=27.091, P<0.000), 'Responding to the complaints of harassment or discrimination against the people with mental illness' (χ2=18.697, P<0.001), 'Encouraged to continue their education' (χ2=13.029, P<0.023) 'Exploitation by the community members' (χ2=18.653, P<0.001) and working under fair conditions (χ2=13.470, P<0.009).
Conclusion: The study suggests that there is an urgent need to take necessary steps to protect, promote, and fulfill human rights of people with mental illness through providing care, educating the community, and strengthening the legislations.

Are you suffering from depression....please check?

http://www.newstrackindia.com/newsdetails/2013/5/13/124-Symptoms-of-Depression.html

Depression essentially is a mood disorder but according to the contributing factors and causes the character of depression varies to a great extent and there can be various types of depression pertaining to different psychological states, mental conditions and their physical interactions. Symptoms of depression directly correlate with these factors.

Every person tend to feel downbeat in mood or sad or terribly lonely and hopeless some point of time in their life and though such mental makeup can easily be designated as symptoms of depression, if they are not frequent or persistent they are rather just shifts in mood rather than clinical signs of depression. Only when symptoms normally associated with depression tend to become persistent and chronic they are considered as symptoms of depression from clinical point of view. Let us have a closer look at some of the most common signs and symptoms of depression.

1. Behavioral symptoms
A person suffering from chronic or persistently recurring from of depression primarily gets exposed in his or her behavioral attributes with others. Some of the common behavioral symptoms of depression include lack of interest social communication, showing desperation and frantic anger and breaking down in mood from small communication problems, feeling suspicious about others malign objectives without much of a cause, loosing trust in others, locking oneself from communication for days, becoming cynical, argumentative or blaming with surrounding environment, a shaken and unconfident communication and many more
2. Signs on psychic function
Losing some natural psychic or mental abilities constitute another major area that can indicate number of common symptoms of depression like lack of concentration, loosing ability in thinking logically, not being able to remember details of an anything, feeling perplexed in facing anything, loosing decision making and analytical power, mental fatigue and corresponding dullness, persistently feeling sad, full of anxiety, most of the time feeling sort of empty and without any interest and thought, always feeling restless to engage in some sort of thing and soon losing interest in that activity, in acute cases recurring thoughts of suicide, etc.
3. Symptoms of depression on the physical level
Depression or clinical states of depressive mental order result ultimately showing up in number of symptoms of depression on the physical or organic level as well. Some of the common symptoms of depression that observed in chronic sufferers from this malfunction include extreme fatigue, restlessness, loss of appetite, chronic indigestion even with taking minimum food quantity or in contrary excessive eating and resulting obesity, anxiety and chronic unusual heart palpitation, decreased energy in physical activities, excessive sleep or just contrarily insomnia or sleep disorder, persistent muscles and joint pain, chronic headache, cramps, loss of interest in pleasurable activities like sex, etc.

Indian filmakers present mental illness in right perspective......hope censor board is listening

http://health.india.com/news/hidden-pictures-a-documentary-that-battles-schizophrenia-stigma/

For many years, Dr Delaney Ruston battled the stigma of having a father who suffered from the disease but that was a long time ago. Now she travels the world, showcasing her documentary Hidden Pictures to break down the myths and stigma attached to the disease.

What is schizophrenia?
Schizophrenia is a condition that affects the patient by young adulthood and continues till old age, in almost all cases. It is a mental disorder that is characterized by breakdown of thoughts and poor social responsiveness. People with schizophrenia are likely to have additional conditions, including major depression and anxiety disorders. Almost 50% of the patients have a substance abuse problem. They experience social problems, such as long-term unemployment, poverty and homelessness. The most common symptoms that patients have are auditory hallucinations, paranoid behaviour, delusions, and disorder in speech and thinking. As this condition progresses it leads to social degradation or isolation. A diagnosis is usually based on observed behaviour and patients reports. As commonly thought schizophrenia does not imply a split personality, or a multiple personality disorder, rather, the term schizophrenia means a ‘splitting of mental functions’, so named because of what the patient presents.
On-screen example
Schizophrenia has often been portrayed onscreen, the most famous Bollywood example being Salman Khan-starrer Tere Naam but the movie did make it seem like all schizophrenics need an asylum which is not the case. The most famous Hollywood example was a film called The Beautiful Mind which documented the life of economics Nobel laureate mathematician John Nash played by Russell Crowe.