Monday, September 30, 2013
Monday, September 16, 2013
Thursday, September 5, 2013
World Chocolate Day 2013 September 4th
Eating chocolates regularly report to feeling less stressed. it can boost your mood. Dark chocolates stimulate the production of endorphins chemicals in the brain that bring on feeling of pleasure. Recent Study finds that chocolate has antidepressant qualities.
Monday, September 2, 2013
Headache is Not A Headache
Headache disorders are among the most common disorders of the nervous system.
It has been estimated that 47% of the adult population have headache at least once within last year in general.
Headache disorders are associated with personal and societal burdens of pain, disability, damaged quality of life and financial cost.
A minority of people with headache disorders worldwide are diagnosed appropriately by a health-care provider.
Headache has been underestimated, under-recognized and under-treated throughout the world.
What are headache disorders?
Headache disorders are among the most common disorders of the nervous system. Headache is a painful and disabling feature of a small number of primary headache disorders namely migraine, tension-type headache, and cluster headache. Headache can also be caused by or occur secondarily to a long list of other conditions, for example medication overuse headache.
How common are headache disorders?
Globally, it has been estimated that prevalence among adults of current headache disorder (symptomatic at least once within the last year) is 47%. Half to three quarters of the adults aged 18–65 years in the world have had headache in the last year and among those individuals, more than 10% have reported migraine. Headache on 15 or more days every month affects 1.7–4% of the world’s adult population. Despite regional variations, headache disorders are a worldwide problem, affecting people of all ages, races, income levels and geographical areas.
What is the burden due to headache disorders?
Not only is headache painful, but also disabling. In the Global Burden of Disease Study, updated in 2004, migraine on its own was found to account for 1.3% of years lost due to disability (YLD).
Headache disorders impose a recognizable burden on sufferers including sometimes substantial personal suffering, impaired quality of life and financial cost. Repeated headache attacks, and often the constant fear of the next one, damage family life, social life and employment. The long-term effort of coping with a chronic headache disorder may also predispose the individual to other illnesses. For example, depression is three times more common in people with migraine or severe headaches than in healthy individuals.
Types of headache disorders
Migraine, tension-type headache and medication-overuse headache are of public health importance as they are responsible for high population levels of disability and ill-health.
Migraine
A primary headache disorder.
Most often begins at puberty and most affects those aged between 35 and 45 years.
It is caused by the activation of a mechanism deep in the brain that leads to release of pain-producing inflammatory substances around the nerves and blood vessels of the head.
Migraine is recurrent, often life-long, and characterized by attacks.
Attacks include features such as
headache of moderate or severe intensity;
nausea (the most characteristic);
one-sided and/or pulsating quality;
aggravated by routine physical activity;
with duration of hours to 2-3 days;
attack frequency is anywhere between once a year and once a week; and
in children, attacks tend to be of shorter duration and abdominal symptoms more prominent.
Tension-type headache (TTH)
TTH is the most common primary headache disorder.
Episodic TTH is reported by more than 70% of some populations; chronic TTH affects 1-3% of adults.
TTH often begins during the teenage years, affecting three women to every two men.
Its mechanism may be stress-related or associated with musculoskeletal problems in the neck.
Episodic TTH attacks usually last a few hours, but can persist for several days.
Chronic TTH can be unremitting and is much more disabling than episodic TTH.
This headache is described as pressure or tightness, like a band around the head, sometimes spreading into or from the neck.
Cluster Headache (CH)
A primary headache disorder.
CH is relatively uncommon affecting fewer than 1 in 1000 adults, affecting six men to each woman.
Most people developing CH are in their 20s or older.
It is characterized by frequent recurring, brief but extremely severe headache associated with pain around the eye with tearing and redness, the nose runs or is blocked on the affected side and the eyelid may droop.
CH has episodic and chronic forms.
Medication-overuse headache (MOH)
MOH is caused by chronic and excessive use of medication to treat headache.
MOH is the most common secondary headaches.
It may affect up to 5% of some populations, women more than men.
MOH is oppressive, persistent and often at its worst on awakening.
Social and economic burden of headache
Headache disorders are a public-health concern given the large amount of associated disability and financial costs to society. As headache disorders are most troublesome in the productive years (late teens to 50s), estimates of their financial cost to society – principally from lost working hours and reduced productivity – are massive. In the United Kingdom, for example, some 25 million working- or school-days are lost every year because of migraine alone; this financial cost is matched by TTH and chronic daily headache combined. Headache is high among causes of consulting medical practitioners as one-third of all neurological consultations were for headache, in one survey.
Yet, many of those troubled by headache do not receive effective care. For example, in the United States of America and the United Kingdom, only half of those identified with migraine had seen a doctor for headache-related reasons in the previous 12 months, and only two-thirds had been correctly diagnosed. Most were solely reliant on over-the-counter medications.
Treatment
Appropriate treatment of headache disorders requires professional training of health professionals, accurate diagnosis and recognition of the condition, appropriate treatment with cost-effective medications, simple lifestyle modifications, and patient education. The main classes of drugs to treat headache disorders include: analgesics, anti-emetics, anti-migraine medications, and prophylactic medications. However a large number of people with headache disorders are not diagnosed and treated.
Barriers to effective care
Lack of knowledge among health-care providers is the principal clinical barrier. Worldwide, on average only four hours of undergraduate medical education are dedicated to instruction on headache disorders. The minority of individuals with headache disorders worldwide are professionally diagnosed; 40% for those with migraine and TTH, while for MOH it is only 10%.
Poor awareness extends to the general public. Headache disorders are not perceived by the public as serious since they are mostly episodic, do not cause death, and are not contagious. The low consultation rates in developed countries may indicate that many sufferers are unaware that effective treatments exist. 50% of people with headache are estimated to be self-treating.
Many governments, seeking to constrain health-care costs, do not acknowledge the substantial burden of headache on society. They might not recognize that the direct costs of treating headache are small in comparison with the huge indirect-cost savings that might be made (eg, by reducing lost working days) if resources were allocated to treat headache disorders appropriately.
Headache disorders are among the most common disorders of the nervous system.
It has been estimated that 47% of the adult population have headache at least once within last year in general.
Headache disorders are associated with personal and societal burdens of pain, disability, damaged quality of life and financial cost.
A minority of people with headache disorders worldwide are diagnosed appropriately by a health-care provider.
Headache has been underestimated, under-recognized and under-treated throughout the world.
What are headache disorders?
Headache disorders are among the most common disorders of the nervous system. Headache is a painful and disabling feature of a small number of primary headache disorders namely migraine, tension-type headache, and cluster headache. Headache can also be caused by or occur secondarily to a long list of other conditions, for example medication overuse headache.
How common are headache disorders?
Globally, it has been estimated that prevalence among adults of current headache disorder (symptomatic at least once within the last year) is 47%. Half to three quarters of the adults aged 18–65 years in the world have had headache in the last year and among those individuals, more than 10% have reported migraine. Headache on 15 or more days every month affects 1.7–4% of the world’s adult population. Despite regional variations, headache disorders are a worldwide problem, affecting people of all ages, races, income levels and geographical areas.
What is the burden due to headache disorders?
Not only is headache painful, but also disabling. In the Global Burden of Disease Study, updated in 2004, migraine on its own was found to account for 1.3% of years lost due to disability (YLD).
Headache disorders impose a recognizable burden on sufferers including sometimes substantial personal suffering, impaired quality of life and financial cost. Repeated headache attacks, and often the constant fear of the next one, damage family life, social life and employment. The long-term effort of coping with a chronic headache disorder may also predispose the individual to other illnesses. For example, depression is three times more common in people with migraine or severe headaches than in healthy individuals.
Types of headache disorders
Migraine, tension-type headache and medication-overuse headache are of public health importance as they are responsible for high population levels of disability and ill-health.
Migraine
A primary headache disorder.
Most often begins at puberty and most affects those aged between 35 and 45 years.
It is caused by the activation of a mechanism deep in the brain that leads to release of pain-producing inflammatory substances around the nerves and blood vessels of the head.
Migraine is recurrent, often life-long, and characterized by attacks.
Attacks include features such as
headache of moderate or severe intensity;
nausea (the most characteristic);
one-sided and/or pulsating quality;
aggravated by routine physical activity;
with duration of hours to 2-3 days;
attack frequency is anywhere between once a year and once a week; and
in children, attacks tend to be of shorter duration and abdominal symptoms more prominent.
Tension-type headache (TTH)
TTH is the most common primary headache disorder.
Episodic TTH is reported by more than 70% of some populations; chronic TTH affects 1-3% of adults.
TTH often begins during the teenage years, affecting three women to every two men.
Its mechanism may be stress-related or associated with musculoskeletal problems in the neck.
Episodic TTH attacks usually last a few hours, but can persist for several days.
Chronic TTH can be unremitting and is much more disabling than episodic TTH.
This headache is described as pressure or tightness, like a band around the head, sometimes spreading into or from the neck.
Cluster Headache (CH)
A primary headache disorder.
CH is relatively uncommon affecting fewer than 1 in 1000 adults, affecting six men to each woman.
Most people developing CH are in their 20s or older.
It is characterized by frequent recurring, brief but extremely severe headache associated with pain around the eye with tearing and redness, the nose runs or is blocked on the affected side and the eyelid may droop.
CH has episodic and chronic forms.
Medication-overuse headache (MOH)
MOH is caused by chronic and excessive use of medication to treat headache.
MOH is the most common secondary headaches.
It may affect up to 5% of some populations, women more than men.
MOH is oppressive, persistent and often at its worst on awakening.
Social and economic burden of headache
Headache disorders are a public-health concern given the large amount of associated disability and financial costs to society. As headache disorders are most troublesome in the productive years (late teens to 50s), estimates of their financial cost to society – principally from lost working hours and reduced productivity – are massive. In the United Kingdom, for example, some 25 million working- or school-days are lost every year because of migraine alone; this financial cost is matched by TTH and chronic daily headache combined. Headache is high among causes of consulting medical practitioners as one-third of all neurological consultations were for headache, in one survey.
Yet, many of those troubled by headache do not receive effective care. For example, in the United States of America and the United Kingdom, only half of those identified with migraine had seen a doctor for headache-related reasons in the previous 12 months, and only two-thirds had been correctly diagnosed. Most were solely reliant on over-the-counter medications.
Treatment
Appropriate treatment of headache disorders requires professional training of health professionals, accurate diagnosis and recognition of the condition, appropriate treatment with cost-effective medications, simple lifestyle modifications, and patient education. The main classes of drugs to treat headache disorders include: analgesics, anti-emetics, anti-migraine medications, and prophylactic medications. However a large number of people with headache disorders are not diagnosed and treated.
Barriers to effective care
Lack of knowledge among health-care providers is the principal clinical barrier. Worldwide, on average only four hours of undergraduate medical education are dedicated to instruction on headache disorders. The minority of individuals with headache disorders worldwide are professionally diagnosed; 40% for those with migraine and TTH, while for MOH it is only 10%.
Poor awareness extends to the general public. Headache disorders are not perceived by the public as serious since they are mostly episodic, do not cause death, and are not contagious. The low consultation rates in developed countries may indicate that many sufferers are unaware that effective treatments exist. 50% of people with headache are estimated to be self-treating.
Many governments, seeking to constrain health-care costs, do not acknowledge the substantial burden of headache on society. They might not recognize that the direct costs of treating headache are small in comparison with the huge indirect-cost savings that might be made (eg, by reducing lost working days) if resources were allocated to treat headache disorders appropriately.
Headache disorders are among the most common disorders of the nervous system.
It has been estimated that 47% of the adult population have headache at least once within last year in general.
Headache disorders are associated with personal and societal burdens of pain, disability, damaged quality of life and financial cost.
A minority of people with headache disorders worldwide are diagnosed appropriately by a health-care provider.
Headache has been underestimated, under-recognized and under-treated throughout the world.
What are headache disorders?
Headache disorders are among the most common disorders of the nervous system. Headache is a painful and disabling feature of a small number of primary headache disorders namely migraine, tension-type headache, and cluster headache. Headache can also be caused by or occur secondarily to a long list of other conditions, for example medication overuse headache.
How common are headache disorders?
Globally, it has been estimated that prevalence among adults of current headache disorder (symptomatic at least once within the last year) is 47%. Half to three quarters of the adults aged 18–65 years in the world have had headache in the last year and among those individuals, more than 10% have reported migraine. Headache on 15 or more days every month affects 1.7–4% of the world’s adult population. Despite regional variations, headache disorders are a worldwide problem, affecting people of all ages, races, income levels and geographical areas.
What is the burden due to headache disorders?
Not only is headache painful, but also disabling. In the Global Burden of Disease Study, updated in 2004, migraine on its own was found to account for 1.3% of years lost due to disability (YLD).
Headache disorders impose a recognizable burden on sufferers including sometimes substantial personal suffering, impaired quality of life and financial cost. Repeated headache attacks, and often the constant fear of the next one, damage family life, social life and employment. The long-term effort of coping with a chronic headache disorder may also predispose the individual to other illnesses. For example, depression is three times more common in people with migraine or severe headaches than in healthy individuals.
Types of headache disorders
Migraine, tension-type headache and medication-overuse headache are of public health importance as they are responsible for high population levels of disability and ill-health.
Migraine
A primary headache disorder.
Most often begins at puberty and most affects those aged between 35 and 45 years.
It is caused by the activation of a mechanism deep in the brain that leads to release of pain-producing inflammatory substances around the nerves and blood vessels of the head.
Migraine is recurrent, often life-long, and characterized by attacks.
Attacks include features such as
headache of moderate or severe intensity;
nausea (the most characteristic);
one-sided and/or pulsating quality;
aggravated by routine physical activity;
with duration of hours to 2-3 days;
attack frequency is anywhere between once a year and once a week; and
in children, attacks tend to be of shorter duration and abdominal symptoms more prominent.
Tension-type headache (TTH)
TTH is the most common primary headache disorder.
Episodic TTH is reported by more than 70% of some populations; chronic TTH affects 1-3% of adults.
TTH often begins during the teenage years, affecting three women to every two men.
Its mechanism may be stress-related or associated with musculoskeletal problems in the neck.
Episodic TTH attacks usually last a few hours, but can persist for several days.
Chronic TTH can be unremitting and is much more disabling than episodic TTH.
This headache is described as pressure or tightness, like a band around the head, sometimes spreading into or from the neck.
Cluster Headache (CH)
A primary headache disorder.
CH is relatively uncommon affecting fewer than 1 in 1000 adults, affecting six men to each woman.
Most people developing CH are in their 20s or older.
It is characterized by frequent recurring, brief but extremely severe headache associated with pain around the eye with tearing and redness, the nose runs or is blocked on the affected side and the eyelid may droop.
CH has episodic and chronic forms.
Medication-overuse headache (MOH)
MOH is caused by chronic and excessive use of medication to treat headache.
MOH is the most common secondary headaches.
It may affect up to 5% of some populations, women more than men.
MOH is oppressive, persistent and often at its worst on awakening.
Social and economic burden of headache
Headache disorders are a public-health concern given the large amount of associated disability and financial costs to society. As headache disorders are most troublesome in the productive years (late teens to 50s), estimates of their financial cost to society – principally from lost working hours and reduced productivity – are massive. In the United Kingdom, for example, some 25 million working- or school-days are lost every year because of migraine alone; this financial cost is matched by TTH and chronic daily headache combined. Headache is high among causes of consulting medical practitioners as one-third of all neurological consultations were for headache, in one survey.
Yet, many of those troubled by headache do not receive effective care. For example, in the United States of America and the United Kingdom, only half of those identified with migraine had seen a doctor for headache-related reasons in the previous 12 months, and only two-thirds had been correctly diagnosed. Most were solely reliant on over-the-counter medications.
Treatment
Appropriate treatment of headache disorders requires professional training of health professionals, accurate diagnosis and recognition of the condition, appropriate treatment with cost-effective medications, simple lifestyle modifications, and patient education. The main classes of drugs to treat headache disorders include: analgesics, anti-emetics, anti-migraine medications, and prophylactic medications. However a large number of people with headache disorders are not diagnosed and treated.
Barriers to effective care
Lack of knowledge among health-care providers is the principal clinical barrier. Worldwide, on average only four hours of undergraduate medical education are dedicated to instruction on headache disorders. The minority of individuals with headache disorders worldwide are professionally diagnosed; 40% for those with migraine and TTH, while for MOH it is only 10%.
Poor awareness extends to the general public. Headache disorders are not perceived by the public as serious since they are mostly episodic, do not cause death, and are not contagious. The low consultation rates in developed countries may indicate that many sufferers are unaware that effective treatments exist. 50% of people with headache are estimated to be self-treating.
Many governments, seeking to constrain health-care costs, do not acknowledge the substantial burden of headache on society. They might not recognize that the direct costs of treating headache are small in comparison with the huge indirect-cost savings that might be made (eg, by reducing lost working days) if resources were allocated to treat headache disorders appropriately.
Tuesday, August 27, 2013
HISTORY OF K.A.P.VISHWANATHAN GOVERNMENT MEDICAL COLLEGE AND MAHATHMA GANDHI MEMORIAL GOVT. HOSPITAL TRICHY
HISTORY OF K.A.P.VISHWANATHAN GOVERNMENT MEDICAL COLLEGE AND MAHATHMA GANDHI MEMORIAL GOVT. HOSPITAL TRICHY
Pro. Dr.M.A.Aleem M.D.D.M(Neuro) , Vice principal, HOD & Professor of Neurology, KAPV Government Medical College & MGM Government Hospital, Trichy – 620017.Tamilnadu India. Cell: 94431-59940
Jayalalitha Lay Foundation For Our Medical College:
1. On 22-12-1967, a Dance programme called “Kaveri thantha kalaiselvi” was Conducted and headed by Mr.M.G.Ramachandran in Race course ground for the purpose of raising funds to have a Govt medical college by the District welfare Committee. Followed by the Programme, Rs 33 Laksh has been sponsored through collection. During the Programme, our present chief Minister Miss .J.Jayalalitha stated that Government Medical College should be opened in Trichy for the welfare of the Public.
2. On 22-08-1968 in Trichy Township Meeting, Mr.Nammazhvar finalized and gave his opinion to open out Government Medical College at Trichy.
3. A decade later in the year 1986, Government physiotherapy College has been branched and gutter attached to our Medical College.
4. In the year 1997, Government has planned orders for opening Trichy Govt Medical College and Admissions were opened out in the year 1998 for MBBS under graduate courses.
5. In 1997, To Motive the poor students and to encourage them for their studies Trichy Annal Gandhi Memorial Govt Hospital to joined with our college.
6. Our college opening ceremony was held on 26-06-2000 Named as “Trichy K.A.P.VISHWANATHAM GOVERNMENT medical college” and it was inaugurated by then Chief Minister of Tamilnadu.
7. An Auditoriam for Medical College was inaugurated by Selvi. JAYALALITHA Chief Minister of Tamilnadu On 10-03-2003.
8. In the year 2005 Our College Offered Paramedical courses like Diploma Courses in Radiology like,DRTT,DDT and Diploma in Medical Lab Technician (DMLT).
9. Paramedical certificate courses like Dialysis care Technicians, Emergence care technicians, Respiratory care technicians, Operation theater assistant, orthopedic assistant, Radiology assistant Anesthesia. Assistant courses had been started in 2005.
10. Separate Hostel Facility for 100 boys and 150 Girls were inaugurated by then chief minister of Tamilnadu On 28-01-2007.
11. Our college was developed as a post Graduate Medical Institution with in 10 year of great effort.
12. Post Graduation Courses like MD.General medicine (4 seats) and MS. General Surgery (4 seats) and MD.Obstrician and Gynecology (2 seats) were offered from 2007.
13. Tamilnadu Government had declared to start the Neuro department in the college in 18.02.2008. Because of Dr.Aleem’s effort TamilNadu Government decided to start a Neurology department in our college in the year 2008, 18th feb. All credits are given to Dr.Aleem.
14. In 2009, Postgraduation course like MD.Anesthesia (4 seats) and MD. Pediatrics (2 seats) offered at our college.
15. In the year 2011, Our Chief Minister Jayalalitha allocates Rs.3.86 Crore to construct a new Exam Hall and a cabine for our college principal.
16. Our college got 1st non clinical postgraduate couse in bio chemistry (2 Seats ) in the year 2013
17. Our college get permission from MCI for 100 MBBS sets on 08.08.1998 Approval of our college for MBBS by MCI on 24.12.2003 and continuation of recognition for 100 seat MBBS admission approved by MCI on 02.07.2013.
18. Our college get permission to increase MBBS seat from 100 to 150 for MCI on 30.07.2013.
19. Our college in raking between 3 to 6 for MBBS admission choice by student in the selection of college during MBBS admission courcilling conducted by the govt of Tamilnadu.
Jayalalitha Taken Up Our Hospital to the height:
1. Trichy District Hospital is a historic hospital which was started in Gandhi Market place in 1857 and running more than 156 years.
2. Gandhiji Memorial Government head Quatres Hospital was Constructed at present hospital campus in year 15.07.1950 under the custody Chief Minister P.S.KUMARASAMYRAJA.
3. In the year 1969, Mahathma Gandhi Century Memorial in patient building was constructed.
4. In Gandhi Memorial hospital Outpatient’s block was constructed in the year 1960 June 21. It was inaugurated by then Health Minister in the year 28.01.1961.
5. X-Ray Department was started in the year 1966.
6. Building for Pediatric Department was opened in the year 31.12.1967 by then chief minister C.N.Annadurai and it was Named as EVR Maniymmai Block.
7. In 1973, New block for Sidda Treatment was introduced.
8. Auxiliary Nursing Midwifery hostel was inaugurated by the Health Minister in the year 10.03.1974.
9. Intensive Care Unit was inaugurated by the Tamilnadu Governar Mr.Mohanlal Sugathiya in 12.01.1976.
10. In 05.01.1977, Tamilnadu Government Rajaji TB Hospital was annexed with our Hospital.
11. Maternity ward and Emergency ward was inaugurated by Social welfare Minister in 04.11.1977.
12. Blood Bank was inaugurated in the year 1979.
13. In 1980, January Our Hospital name was changed as Annal Gandhi Memorial Government Hospital.
14. Nursing Schoole was inaugurated in the year 1980.
15. Separate Hostel for Nursing School was opened by then Health Minister in the year 28.04.1985.
16. Separate Laboratory for AIDS was opened in 1990.
17. Trichy Annal Gandhi memorial Government Hospital had changed as a Teaching Hospital after annexed with K.A.P.Vishwanatham Govt Medical College in 1997.
18. Ophthalmology Department was inaugurated in 26.01.1997.
19. Computer Tomography (CT) Scan was open by Tamilnadu Food minister in 28.03.1997.
20. Magnetic Resonance Imaging (MRI) Scan Facility was inaugurated by the Chief Minister in the year 29.09.2007.
21. Hostel Facility for Postgraduate Medical students and CRRI had introduced by the health minister in 17.04.2010.
22. New building for Psychiatry Inpatients was inaugurated by then Chief Minister in 08.09.2010.
23. Uninterrupted power supoly for our hospital was inaugurated by then transport minister of Tamilnadu on 25.01.2011.
24. Tamilnadu Government Provide 6.26 crore to construct a new building for maternal infant section in 24.01.2011.
25. Selvi.Jayalalitha renders Rs.100 crore to improve our hospital as a super speciality hospital in 24.01.2012.
26. Tamilnadu Government had declared to change the name of Annal Gandhi memorial Government Hospital to Mahathma Gandhi Memorial Govt Hospital in 31.07.2012.
I am very thankful to chief Minister selvi.Jayalalaitha for her full support to the upliftment of our college and hospital. She only is rendering the basement for the upliftment of our college there his her Dance Programme “Kaveri thantha kalaiselvi” in the year Dec 23, 1967. She had denoted us nearly 100 crores without any record to have a superspeciality hospital in Trichy.
Once again I thank to her on behalf of Myself, dean, staffs, Students. Publics and politicians of Trichy.
Pro. Dr.M.A.Aleem M.D.D.M(Neuro) , Vice principal, HOD & Professor of Neurology, KAPV Government Medical College MGM Government Hospital, Trichy – 620017. Tamilnadu India. Cell: 94431-59940
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