Trichy district collector of government of Tamil nadu presented Best Administrator Award to Dr.M.A.Aleem vice principal head of the department and professor of neurology at Kapv Govt Medical College and MGM government hospital Trichy for his dedicated work as Vice-Principal and as a neurologist in doctors day celebration held at Kapv Govt Medical College auditorium on 10th OCTOBER 2013.
Sunday, October 13, 2013
world congress of neurology 2013
Attended XXII world congress of neurology at Vienna Austria from 21to26th September 2013. That's very useful to update our recent advances in neurology.
Thursday, October 10, 2013
Monday, October 7, 2013
Mental health of older people
Mental Health Of Older People
Dr M A Aleem
Professor of neurology
Kapv govt medical college and MGM govt hospital
Trichy
Getting older and retirement both involve a change in lifestyle for most people and it's important to take care of yourself mentally as well as physically.
There's an assumption that mental health problems are a 'normal' aspect of ageing but most older people don't develop mental health problems, and they can be helped if they do. While a significant number of people do develop dementia or depression in old age, they aren't an inevitable part of getting older.
Get the statistics on mental health and older people.
Retirement
Not everyone feels ready to retire at the same time. If work or career is a major part of your life, it can affect:
The social aspect of your life if your job also provided friendships
Your sense of self-worth and self-esteem if you felt valued at work
Your financial security.
But being retired (or semi-retired) can also be a busy life because friends and family can have plans for your time - anything from child care to DIY tasks. It can be a chance to try a new activity or learn new skills and do the things that you've always wanted to do but never had the time.
Depression
Depression describes a range of moods, from feeling a bit low in mood to feeling unable to cope with everyday life. It can affect anyone, of any culture, age or background but more older people are affected than any other age group. This is because older people are much more vulnerable to factors that lead to depression, such as:
being widowed or divorced
being retired/unemployed
physical disability or illness
loneliness and isolation.
The neurobiological changes associated with getting older, prescribed medication for other conditions and genetic susceptibility (which increases with age) are also factors. There are a number of rarer mental health problems that affect older people too, including delirium, anxiety and late-onset schizophrenia.
Find out more about depression, how to prevent it and how to get help.
Dementia
Dementia is a decline in mental ability which affects memory, thinking, problem-solving, concentration and perception. It occurs as a result of the death of brain cells or damage in parts of the brain that deal with our thought processes.
People with dementia can become confused and some also become restless or display repetitive behaviour. They may also seem irritable, tearful or agitated which can be very distressing for both the person with dementia and their family and friends.
Find out more about dementia, whether you're worried about memory problems or you're a trying to help someone with dementia.
Alcohol abuse
Although alcohol abuse is a problem for people of all ages but it is more likely to go unrecognised among older people. Reasons for alcohol abuse in older age include bereavement and other losses, loneliness, physical ill health, disability and pain, loss of independence, boredom and depression, which is also linked to the other factors. Retirement may also provide more opportunities for drinking too much.
Medication
Prescribed medications can cause symptoms associated with mental illness in older people. Most older people are taking some kind of medication, and many are taking several at the same time. There are risks associated with taking multiple medications, including confusion.
Mental capacity and caring for others
People with dementia or severe mental illness may be unable to make and communicate decisions. Very few people are completely incapable of making any choices or decisions, but some older people may have partial or fluctuating mental capacity and may need help.
People with dementia often need special support - they may take longer to make decisions, may need an advocate to speak on their behalf and their mental functioning may also vary by day, and time of day. Family members or carers are often useful sources of information but it is important to take account of the views of the person with dementia alongside those of their carer. Being a carer isn't always easy. Many find it demanding both physically and emotionally.
Dr M A Aleem
Professor of neurology
Kapv govt medical college and MGM govt hospital
Trichy
Getting older and retirement both involve a change in lifestyle for most people and it's important to take care of yourself mentally as well as physically.
There's an assumption that mental health problems are a 'normal' aspect of ageing but most older people don't develop mental health problems, and they can be helped if they do. While a significant number of people do develop dementia or depression in old age, they aren't an inevitable part of getting older.
Get the statistics on mental health and older people.
Retirement
Not everyone feels ready to retire at the same time. If work or career is a major part of your life, it can affect:
The social aspect of your life if your job also provided friendships
Your sense of self-worth and self-esteem if you felt valued at work
Your financial security.
But being retired (or semi-retired) can also be a busy life because friends and family can have plans for your time - anything from child care to DIY tasks. It can be a chance to try a new activity or learn new skills and do the things that you've always wanted to do but never had the time.
Depression
Depression describes a range of moods, from feeling a bit low in mood to feeling unable to cope with everyday life. It can affect anyone, of any culture, age or background but more older people are affected than any other age group. This is because older people are much more vulnerable to factors that lead to depression, such as:
being widowed or divorced
being retired/unemployed
physical disability or illness
loneliness and isolation.
The neurobiological changes associated with getting older, prescribed medication for other conditions and genetic susceptibility (which increases with age) are also factors. There are a number of rarer mental health problems that affect older people too, including delirium, anxiety and late-onset schizophrenia.
Find out more about depression, how to prevent it and how to get help.
Dementia
Dementia is a decline in mental ability which affects memory, thinking, problem-solving, concentration and perception. It occurs as a result of the death of brain cells or damage in parts of the brain that deal with our thought processes.
People with dementia can become confused and some also become restless or display repetitive behaviour. They may also seem irritable, tearful or agitated which can be very distressing for both the person with dementia and their family and friends.
Find out more about dementia, whether you're worried about memory problems or you're a trying to help someone with dementia.
Alcohol abuse
Although alcohol abuse is a problem for people of all ages but it is more likely to go unrecognised among older people. Reasons for alcohol abuse in older age include bereavement and other losses, loneliness, physical ill health, disability and pain, loss of independence, boredom and depression, which is also linked to the other factors. Retirement may also provide more opportunities for drinking too much.
Medication
Prescribed medications can cause symptoms associated with mental illness in older people. Most older people are taking some kind of medication, and many are taking several at the same time. There are risks associated with taking multiple medications, including confusion.
Mental capacity and caring for others
People with dementia or severe mental illness may be unable to make and communicate decisions. Very few people are completely incapable of making any choices or decisions, but some older people may have partial or fluctuating mental capacity and may need help.
People with dementia often need special support - they may take longer to make decisions, may need an advocate to speak on their behalf and their mental functioning may also vary by day, and time of day. Family members or carers are often useful sources of information but it is important to take account of the views of the person with dementia alongside those of their carer. Being a carer isn't always easy. Many find it demanding both physically and emotionally.
World mental health day 2013 "Mental health of older adults"
N World Mental Health Day 2013 theme is "Mental health and older adults"
Mental, behavioral and neurological disorders are common in all countries around the world, causing immense agony and staggering economic and social costs. People with any disorder are mostly subjected to an isolated social life, poor life quality and higher death rates.
Mental Health – Global Priority
Mental health is increasingly endorsed as a significant aspect in terms of the overall well-being of the individual. In 1999 World Mental Health Day, which falls on October 10, had been dedicated to “Mental Health in Primary Care: Enhancing Treatment and Promoting Mental Health”. Mental health issues are a global priority and it is imperative to address issues pertaining to it at the earliest and in an effective and efficacious manner.
Integration of Mental Health into the Primary Care Setting
This day encourages more transparent discussion of illnesses, and investments in prevention and treatment services. WHO’s calculations for 2002 states that 154 million people across the world suffer from depression.
The World Health Organization has identified following 7 reasons for including mental health into the primitive care structure:
The burden of mental disorders is immense. They create a substantial personal burden for affected persons and their families, and they create magnificent economic and social hardships that affect the society entirely.
The treatment gap for mental disorders is huge. There is a substantial gap between the prevalence of mental disorders and the quantity of people undergoing treatment.
Mental and physical health issues are interlinked. Integrated primary care services affirm that people are provided with the fair treatment.
When mental health is clubbed with primary care, people can get mental health services close to vicinity. It also enhances mental health promotion and community outreach.
Primitive care for mental health attention is less expensive for patients, communities and governments alike.
Primary care for mental health dignifies respect of human rights.
Primary care for mental health asserts good health outcomes specifically when collaborate with anetwork of services at secondary stage and in the community.
Inclusion of mental health within the primitive care system can yield more fruitful results in following manners:
Diagnosing for mental disorders results in improved patient outcomes only when appropriate care detection is followed.
Increasing referrals to behavioral health provider specialist with added supports may lead to enhance follow-through and outcomes.
Imparting Physician education.
Care needs to be streamlined and based at evidence-based approaches.
Meanwhile it is imperative to ensure that there are clearly defined principles and steps regarding the line of treatment that should be offered to the general practitioners and primary care workers. Following the initial treatment by primary workers further referrals for complex mental health issues can be sent to psychiatrists and psychologists with specialization.
Mental, behavioral and neurological disorders are common in all countries around the world, causing immense agony and staggering economic and social costs. People with any disorder are mostly subjected to an isolated social life, poor life quality and higher death rates.
Mental Health – Global Priority
Mental health is increasingly endorsed as a significant aspect in terms of the overall well-being of the individual. In 1999 World Mental Health Day, which falls on October 10, had been dedicated to “Mental Health in Primary Care: Enhancing Treatment and Promoting Mental Health”. Mental health issues are a global priority and it is imperative to address issues pertaining to it at the earliest and in an effective and efficacious manner.
Integration of Mental Health into the Primary Care Setting
This day encourages more transparent discussion of illnesses, and investments in prevention and treatment services. WHO’s calculations for 2002 states that 154 million people across the world suffer from depression.
The World Health Organization has identified following 7 reasons for including mental health into the primitive care structure:
The burden of mental disorders is immense. They create a substantial personal burden for affected persons and their families, and they create magnificent economic and social hardships that affect the society entirely.
The treatment gap for mental disorders is huge. There is a substantial gap between the prevalence of mental disorders and the quantity of people undergoing treatment.
Mental and physical health issues are interlinked. Integrated primary care services affirm that people are provided with the fair treatment.
When mental health is clubbed with primary care, people can get mental health services close to vicinity. It also enhances mental health promotion and community outreach.
Primitive care for mental health attention is less expensive for patients, communities and governments alike.
Primary care for mental health dignifies respect of human rights.
Primary care for mental health asserts good health outcomes specifically when collaborate with anetwork of services at secondary stage and in the community.
Inclusion of mental health within the primitive care system can yield more fruitful results in following manners:
Diagnosing for mental disorders results in improved patient outcomes only when appropriate care detection is followed.
Increasing referrals to behavioral health provider specialist with added supports may lead to enhance follow-through and outcomes.
Imparting Physician education.
Care needs to be streamlined and based at evidence-based approaches.
Meanwhile it is imperative to ensure that there are clearly defined principles and steps regarding the line of treatment that should be offered to the general practitioners and primary care workers. Following the initial treatment by primary workers further referrals for complex mental health issues can be sent to psychiatrists and psychologists with specialization.
Saturday, October 5, 2013

City » Trichy
Mahatma Gandhi Memorial Government Hospital in need of better cancer treatment facilities
R Gokul, TNN | Oct 5, 2013, 05.12 AM IST

.
Mahatma Gandhi|insurance|Cervical cancer|Cancer|breast cancer
TRICHY: At a time when cancer patients seeking treatment is on the rise, the premier hospital for Trichy and neighbouring district, Mahatma Gandhi Memorial Government Hospital (MGMGH) is still not equipped with full-fledged oncology department. As of now, the hospital provides only the diagnosis of the disease, and for treatment the patients have to rely on other private hospitals by coughing up huge amount of money.
The number of patients coming to the hospital to get the cancer test done is on the rise. "Around 15 to 20 patients come here for cancer test, and out of them around 50% test positive for cancer. We are equipped to take FNCA test; CT scan and MRI scan for diagnosis of cancer. We find breast cancer, cervical cancer and blood cancer in the diagnosis.
For the treatment, we refer the patients diagnosed with cancer to other government hospital," said Dr Ravi, diagnostic cancer specialist at MGMGH. Commenting on the issue, Dr R Vallinayagam, dean of MGMGH admitted that if the facility comes up in the hospital it would be very helpful for the cancer patients. He said, "It is true many cancer patients have to be referred to other government hospitals. If the facility is available here, it would be really helpful to the patients."
In fact, many patients don't come to MGMGH as they are aware that the hospital does not have an oncology department. So, they are forced to opt for some private hospitals in the city or the government medical college hospitals in Thanjavur, Madurai and Kancheepuram for treatment.
Dr MA Aleem, vice-principal of the medical college hospital told TOI, "We are can provide basic treatment to cancer patients, and the drugs can be provided to them with chief minister's insurance scheme. The process is on to get the surgical and medical oncology in the super specialty ward." Earlier, the situation of huge number of cancer patients returning without treatment from MGMGH had forced some doctors in the hospital to start new hospitals for the cancer patients.A source said that a doctor, who used to work at MGMGH, had started a private cancer hospital.
Likewise, a proposal to start a radiation oncology department is kept in abeyance, and even the National Cancer Society and Bhabha Atomic Research Centre had given its nod to start the centre in 2009 and 2012 respectively. The hospital administration is not aware about the reasons behind the delay.
A full-fledged oncology department is still a mirage for the MGMGH because of reasons best known to the administrators. Trichy district geographically located at the centre of the state have to be pioneer in many ways. Unfortunately, the lack of lobbying for the district has been obstructing its growth. On the other hand, the political interference cripples the development of the hospital many ways. The progress of the MGMGH was stalled by many years by the politicians who controlled the city because they were stakeholders in some major hospitals.
Now, the only hope for getting an oncology department lies in the under-construction six floor super specialty hospitals in the MGMGH premises


.
City » Trichy
Mahatma Gandhi Memorial Government Hospital in need of better cancer treatment facilities
R Gokul, TNN | Oct 5, 2013, 05.12 AM IST

.
Mahatma Gandhi|insurance|Cervical cancer|Cancer|breast cancer
TRICHY: At a time when cancer patients seeking treatment is on the rise, the premier hospital for Trichy and neighbouring district, Mahatma Gandhi Memorial Government Hospital (MGMGH) is still not equipped with full-fledged oncology department. As of now, the hospital provides only the diagnosis of the disease, and for treatment the patients have to rely on other private hospitals by coughing up huge amount of money.
The number of patients coming to the hospital to get the cancer test done is on the rise. "Around 15 to 20 patients come here for cancer test, and out of them around 50% test positive for cancer. We are equipped to take FNCA test; CT scan and MRI scan for diagnosis of cancer. We find breast cancer, cervical cancer and blood cancer in the diagnosis.
For the treatment, we refer the patients diagnosed with cancer to other government hospital," said Dr Ravi, diagnostic cancer specialist at MGMGH. Commenting on the issue, Dr R Vallinayagam, dean of MGMGH admitted that if the facility comes up in the hospital it would be very helpful for the cancer patients. He said, "It is true many cancer patients have to be referred to other government hospitals. If the facility is available here, it would be really helpful to the patients."
In fact, many patients don't come to MGMGH as they are aware that the hospital does not have an oncology department. So, they are forced to opt for some private hospitals in the city or the government medical college hospitals in Thanjavur, Madurai and Kancheepuram for treatment.
Dr MA Aleem, vice-principal of the medical college hospital told TOI, "We are can provide basic treatment to cancer patients, and the drugs can be provided to them with chief minister's insurance scheme. The process is on to get the surgical and medical oncology in the super specialty ward." Earlier, the situation of huge number of cancer patients returning without treatment from MGMGH had forced some doctors in the hospital to start new hospitals for the cancer patients.A source said that a doctor, who used to work at MGMGH, had started a private cancer hospital.
Likewise, a proposal to start a radiation oncology department is kept in abeyance, and even the National Cancer Society and Bhabha Atomic Research Centre had given its nod to start the centre in 2009 and 2012 respectively. The hospital administration is not aware about the reasons behind the delay.
A full-fledged oncology department is still a mirage for the MGMGH because of reasons best known to the administrators. Trichy district geographically located at the centre of the state have to be pioneer in many ways. Unfortunately, the lack of lobbying for the district has been obstructing its growth. On the other hand, the political interference cripples the development of the hospital many ways. The progress of the MGMGH was stalled by many years by the politicians who controlled the city because they were stakeholders in some major hospitals.
Now, the only hope for getting an oncology department lies in the under-construction six floor super specialty hospitals in the MGMGH premises


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