Burnout – A Medical Condition Or Not?

Do not misunderstand burnout to be a medical condition says WHO, that erroneously stated that it was a medical condition. The clarification comes as stating it as a “chronic workplace stress that hasn’t been managed successfully”. So, what is burnout exactly and what are the symptoms of this condition that has been termed as permanent stress of work. Let’s explore –

Burnout

Burnout – Definition, Symptoms and Causes

A state of being in permanent stress as a result of work is what Burnout means. It is more of a psychological problem rather than a physical issue. The symptoms usually include work anxiety, aggression and anger outbursts, detachment from work, feeling unworthy, aloofness, mood swings, insomnia, fatigue, stomach ache, appetite loss, breathlessness, headaches, chest pain, drug or alcohol addiction and lack of interest in the job, to name a few . It is a gradual process and not an out of the blue sorts. With time the symptoms worsen.

Risk Factors

People who are workaholics and too much into their work tend to suffer from it and most of them are known to be high achievers at work and perfectionists. Their passion about work is so fueled that they even ignore the symptoms of Burnout.

Behavioral Indications

Burnout is definite to bring in some symptoms like withdrawal from responsibilities, coming late to office and leaving early, slowing down when it comes to work, to name a few. There is a visible difference between Burnout and Stress like stress is about losing energy while burnout is about losing motivation, hope and ideals. It causes anxiety while burnout causes depression and detachment. Stress leads to physical damage while burnout to emotional one.

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Dealing with it

One of the most effective ways to deal with it is to speak to someone who is very dear or close to you and also is a good listener. This will help you calm down. Try spending quality time with your dear ones. Socialize a bit with the people you are working with, participate in activities in workplace. Indulge yourself into some hobby or outdoor activity or take a break from work. You could be at a phase where you might just have to consider quitting your job and taking a break before you begin again. Alternatively, joining a support community with cause can help you connect with like-minded people and help you de-tress on a regular basis. If nothing else seem to find you a way out it’s never too late to find new friends. With internet at your help finding friends is not a difficult task.

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Lymphoma – A Cancer Of The Infection Fighting Cells

Lymphoma is the cancer of lymphocytes, the infection fighting cells of the immune system. In this condition, the lymphocytes start growing out of control. The lymphocytes are present in the spleen, bone marrow, lymph nodes and other parts of the body. The two types of lymphomas include –

  1. Hodgkin

  2. Non Hodgkin – This is the most common type of lymphoma

lymphoma

The growth rate is different for different lymphomas and they have different lymphocyte cells. For people who aren’t aware, Lymphoma and Leukemia are not the same because both the cancers start in different cells. Lymphoma begins in the infection fighting lymphocytes as mentioned before while Leukemia begins in blood forming cells within the bone marrow.

Symptoms

The symptoms of Lymphoma are not very severe in the beginning. They include swelling on the lymph nodes, shortness of breath, fever, cough, weight loss, fatigue, itching and night sweats.

Diagnosis

The oncologist will carry out a physical examination and ask for one of the tests including Biopsy, MRI, chest X ray, Molecular Test and PET scan and Blood Test based on the examination.

Treatment

The treatment is based on the diagnosis that includes Chemotherapy, Radiation therapy, targeted therapy and immune therapy primarily. If the cancer does not subside then stem cell transplant is the alternative. This treatment involves killing the cancer cells but along with them even the stem cells get destroyed. So, after the therapy is completed, you need to get a stem cell transplant. There are two types of stem cell transplants namely autologous and allogeneic transplant. Autologous transplant involves replacement of own stem cells and allogeneic involves donor stem cells transplant.

Causes/ Risk Factors– As yet scientists haven’t been able to figure out exact cause of this cancer but risk factors include the following –

  1. Weak Immune System due to some organ transplant or HIV/Aids or some immune disease by birth.

  2. Virus infections like Hepatitis C, Epstein Barr or lymphoma(HTLV-1) / T-cell leukemia

  3. Exposure to chemicals or benzene use for killing plant bugs and weeds

  4. The age group prone to Hodgkin lymphoma is 15-40 years and 55 or older while for Non Hodgkin Lymphoma it is 60 plus.

  5. Family history of having this condition.

 

RRMCH is one of the recognized premiere institute in Bangalore, to start surgical oncology department at its inception to cater to the growing needs of the society and offers surgical treatment to various cancers.”

 

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Know About The Vital Screening Test That You Could Ignore!

In the times when pesticides and carcinogenic stuff has become a daily part of our life and is laying the path for different types of cancers, preventive screenings can help a lot in catching cancer in time and improving the quality of life.

Today people are very much aware about preventive screenings at an early age but due to lack of time and hectic work schedules and other priorities you tend to ignore a few. Definitely, people are taking cancer screenings seriously.

Vital Screening Test

One such condition is Osteoporosis. In this condition the body loses a lot of bone and makes very less or sometimes it could be both together. In Osteoporosis, bones become brittle. They could break even if there is a simple fall or at times even due to sneezing.

As per health experts early detection and intervention can help you curb the progression of the condition with the help of medicines as well as required life style changes. To detect osteoporosis, you need to go through the bone mineral density (BMD) test.

The diagnosis can help you detect the condition, the risk factors as well as the tracking over the course of your treatment. The test that is commonly taken and is painless in nature is the Central DXA test or the Dual energy X-ray absorptiometry test similar to X-ray. This test is recommended for the 65 and above women. As of now age based recommendations are not there for men. As per the NIH below 65 women who are at the risk of fracture also need to get tested.

Risk factors include low body weight, genes, early menopause, addictions like smoking and rheumatoid arthritis disorder. People with family history of osteoporosis are at the risk of getting it early on in their 40’s. So, thinking that osteoporosis can only occur post 65 years is not apparently true.

Well, get a little more aware and serious around some conditions that might not be life threatening but still vital because it could affect quality of life by getting you into painful problems.

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Medical College Admissions 2019 – 2020

A career in medicine has by far topped the list of career choices if not amongst students then definitely amongst parents. In India, particularly medicine has been a very reputed career choice. Though times are slowly changing and parents and students are opening their minds up to careers that are more about what their children are inclined to and not their own interests. Still, Medicine remains the most sought after career choices.

There are numerous colleges across India but before you select the most suitable one for your child or as a student for yourself, but it is advisable to make a checklist of points you need to make, shortlist a few colleges as per your priority and then narrow down to the final one or two.

mbbs admissions 2019

Well, yes primarily to open the gateway to any medical college, you need to crack the NEET code but once you clear the NEET UG entrance exam, you can start thinking about the college you wish to get admitted to. The other exams include All India Institute of Medical Sciences for MBBS (AIIMS MBBS) and Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER MBBS) entrance exams. In India MBBS colleges offer over 66K seats across over 470 colleges in India. AIIMS with 8 campuses under its roof offers over 800 seats. There’s a counselling procedure done after NEET.

Infrastructure – A college with good infrastructure is the need of the hour. So, it’s always advisable that you primarily shortlist a few colleges and then visit the college to check out the infrastructure facilities and amenities most importantly that of the hospital because all the learning is going to come from there. It’s very important because you will be primarily living out of your comfort zone if you are taking admissions away from home. So, getting into a college that has a good setup is a good idea.

Rankings – Though rankings of medical college are usually based on the number of years the college has been in existence as well as the hospital reputation, it should not be the main criteria for evaluation. If the hospital is working well and has a good number of patient load, it will definitely help you gain practical experience.

Bonds – It’s a criteria you need to be aware off atleast. There are some colleges which want students to sign bonds for a mandatory internship. There is always a mention of the same in the brochure of the medical institutes. So, before you choose a college do go through the information pertaining to the bonds.

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Location – Yes, location is one point to consider and for many it could be one of the vital points. Primarily because you might be stepping out of your home or comfort zone for the first time and hence, considering the location criteria is advisable. Another important reason being that the MBBS course is over 5 years and considering the duration and the workload you’ll be having while doing the course, you might not want to lose your valuable time in commuting or feeling nostalgic about living away from home.

Well, finally, the student and their parents need to narrow down to one college and particularly it’s the student’s prerogative and choice when it comes to selection of college.

Pea Sized Insulin Pill For Diabetetics – Inspired By Nature

Insulin injections for diabetics who have to have daily shots are always a big no. One would rather prefer a pill over injections any day. It does affect the quality of life of many diabetics who need to take a shot every day for filling up their insulin scarcity. But, seems like a solution is underway or in the making. The Massachusetts Institute of Technology research team has made an invention called the pea sized insulin pill. If this invention works, then not only insulin but it can be used as a replacement for many other injectable medicines.

“This undated photo provided by researchers in February 2019 shows the components of swallowable self-righting device which can inject drugs from inside the stomach. The new invention, reported Thursday, Feb. 7, 2019, by an MIT-led research team, has been tested only in animals so far. But if it pans out, it might offer a work-around to make not just insulin but a variety of usually injected medicines a little easier to take. (Felice Frankel via AP)”

The research for developing insulin that can be taken orally has been going on for decades now but without any success as in market reach till date. But insulin and many similar compounds do not have the ability to complete the tough journey through the digestive system. As per a non-researcher from the Mount Sinai’s Translational and Molecular Imaging Institute, ‘’the pill is like a miniaturized rocket launcher’’.

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This pea sized pill has the ability to commute through the esophagus in seconds and in minutes of swallowing it’s inside the stomach. The design is inspired by that of a leopard tortoise whose shell design helps it to flip on its back and right itself. The researchers created this miniature capsule of similar shape with a weighted bottom so it can roll in the correct direction to latch automatically. It also came with a micro-injector made from dried insulin that was compressed into a sharp point. The researchers powered it with the help of a tiny spring and a sugar disk that was hardened. The pill pops after the acids in the stomach dissolve the pill has been already tested on pigs and the ingestible injection has been able to lower blood sugar levels just like standard shots do. Steven Little, the chairman of the chemical engineering department of University of Pittsburgh said that “It’s a very clever idea, that is meant to solve a very long standing problem”

The only hurdle in the research at present is that it cannot be taken over an empty stomach. Hence, presently it is could be uses instead of morning insulin shots and not post meal. Also, as the capsule is made of stainless steel and biodegradable material that floats and gets excreted, there is no harm as such. There are no side effects even if it pokes the stomach wall. Gastroenterologists have been long using needles for delivering medicines for patients. Though the medicine will take around three more years before it is tested on humans and to know how the stomach responds to it if used on a daily basis.

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Madarosis – A Condition That Causes Hair Loss of Eyelashes and Eyebrows

A condition that is as rare as one in 500 people suffering from it, is the condition called Madarosis, that leads to loss of hair of the eyelash and eyebrows. The term was initially coined only for loss of eye lashes but now it is used even for loss of hair of the eyebrow. Known to generally not cause scars this condition can lead to hair loss of one or both eyebrows, but in rare cases it could lead to scarring as well. Madarosis also known to be an alert for complex body diseases both complex body and dermatological.

Also, the role of eyelashes is to protect the eyes from foreign bodies and eyebrows of to protect eye’s bony ridges and hence is critical to the health of the eye.

Madarosis

MADAROSIS SYMPTOMS
The preliminary symptoms is that the eyelashes turn brittle leading to eyelash fall. The symptoms include eyelid itching and burning sensation as well as swelling, thinning as well as hair loss from other parts of the body.

MADAROSIS CAUSES
The condition is said to be caused due to many other underlying diseases and health conditions like Trauma, Burns, Psychiatric condition called trichotillomania, eyelid infection like syphilis, leprosy or herpes, chronic blepharitis and eyelid neoplasm. Even genetic conditions like ichthyosiform erythroderma, ehlers-danlos syndrome, cryptophthalmos as well as ectodermal dysplasia are known to cause madarosis

DIAGNOSIS
The doctor examines the patient physically and checks the scalp, eyebrows and eyelids as well as facial skin. The tests done for the same include skin skin scrapping for fungal infection diagnosis, skin swab for bacterial infections diagnosis, dermoscopy for skin examination with the help of a magnifier as well as blood tests.

TREATMENT
The treatment is based on diagnosis and includes the use of medications, borax for infections, biotin supplements for hair repair, cosmetic treatment like eyebrow tattoos, artificial eyebrows, to name a few.

Home-remedies like opting for a protein rich diet, care with doing and choosing makeup and use of castor oil on the eyebrows and eyelashes could help you get rid of infections.

 

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All You Need To Know About Plantar Fasciitis

One of the most common causes leading to heel pain is plantar. Plantar causes the thick band of tissue that connects the heel bone to your toes and runs through the foot bottom to swell. The pain is of stabbing nature that begins with your first step in the morning. Once you get on your feet and start walking. Though it decreases eventually but can reoccur once you sit for a long time. It is a common problem faced by runners and even obese people who don’t wear proper shoes.

Know About Plantar Fasciitis

Causes
The role of Plantar fascia is to act like shock bowstring that supports your foot arch. The fascia gets small tears if the tension around the bowstring increases significantly. If this continuous on a repetitive basis than it leads to further inflammation and irritation as well.

Risk Factors
Some of the factors that could be the risks for the aforementioned condition include standing for long time at work, obesity, foot mechanics, age as well as certain exercise types.

Symptoms
Stabbing pain at foots base around the heel. The pain is really bad in the beginning when you take your first few steps. The trigger is stagnancy for a long time. It is also known to worsen after exercise.

Treatment
The diagnosis is done on the basis of physical examination and considering the medical history. The treatment includes conservative method, like use of ice pads, stretching as well as resting but require several months. Medications are also prescribed by doctors and surgery if conservative procedures are not working. The surgical and other procedures include Extracorporeal shock wave therapy, injecting steroids, Tenex procedures and surgery as well, when nothing works.

Home Remedies and Lifestyle Changes
To manage your pain, you need to make a few lifestyle changes like using shoes that support, maintain a healthy weight, avoid using worn out shoes, opting for a sport that is low impact and doing arch stretching workout or simple home exercise.

 

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5 Common Food Allergens in India

Allergies are very common amongst us. Either we know we are allergic to stuff based on our experience post consumption of these foods or we aren’t. Many people have hiccups on eating spicy stuff like a chilly, while many get a runny nose. There are people who suffer from lactose intolerance and suffer from diarrhea after consuming foods like milk or cheese. But, if you think all these are allergies, then you aren’t completely right. These can be categorized under food intolerance or insensitivity. A food allergy is not the same. It occurs when your body considers harmless food to apparently harm the body. Food allergies could range from creating simple reactions like rashes on skin, or irritation to eyes or breathing problems to turn out to be life threatening if immediate steps are not taken. The best way to keep yourself safe is to be aware of such triggers and avoid them.

5 Common Food Allergens in India

Let’s look through 10 different food allergens and their side effects or reactions they cause. The most common allergens are as follows –

Eggs – The trigger that causes food allergies in eggs is egg protein like conalbumin, ovumucoid and ovalbumin. This allergy is found mostly in children than in adults. Some of the allergens are destroyed when the eggs are cooked but not all. This allergy can also cause anaphylaxis. The allergy can vary from person to person. While some might be allergic to yoke, some to egg white and some to all.

Fish – Fish allergy could be really harmful. It can be life threatening and lead to anaphylaxis. The allergy can show reactions like throat swelling, diarrhea and puking, skin irritations, blood pressure drop and anaphylaxis as well.

Milk – Many children may be allergic to cow’s milk. It can also be passed to the child indirectly through breast feeding. Many children out-grow of the allergy once adults but one fifth of them are said to have it in their adulthood too. The presence of the milk antibodies can be determined with the help of the blood test.

Soyabean – Soy bean is also one of the common allergy to have. The reactions of soya bean allergy includes vomiting, diarrhea, ashes as well as stomach cramps. Sometimes it could also cause swelling of the tongue, lips as well as hand, feet and puffed eyes too. Other reactions include bloating, flatulence. Though, it rarely gets life threatening and cause anaphylaxis.

Shellfish – Shell fish includes aquatic life like shrimp, oyster, crabs, mussels, clams, scallops, to name a few. This allergy can get serious and even vapor of the cooking shell fish can be allergic. The reaction are very much similar to other allergic reactions

As far as allergens go, prevention is always the best idea. So be aware of allergies if you have any and avoid food that can cause allergies primarily. Also, in case you get one for the first time, take immediate action and consult a doctor without wasting much of a time.

 

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E-Cigarettes are Harmful Too

A Harvard study says that the chemicals that are commonly used to in flavoring e cigarettes may damage our lungs in a way that its ability to fight the dust, dirt and other allergens can be put to risk, thereby increasing risk of diseases like asthma.

The researchers found that two chemicals namely diacetyl and 2, 3 – pentanedione are responsible for the impairment as they affect the functioning of antennae like proturberances. These proturberances are present on 50-75 percent of the cells lining the human airways and are very important contributors in keep the human airway free from dust dirt and mucus thus allowing people to breathe easily without irritation.

e-cigatettes

Cilia is the first line of defense in lungs and as per the study these chemicals harm it, by altering the gene expression pertaining to the cilia function as well as production.

The study carried out the testing of e-cigarettes and found that 90% of them have the flavoring chemicals diacetyl and 2 as well as 3-pentanedione are present.

The chemical diacetyl is also found in food flavors like butter flavored microwave popcorn, candy as well as baked goods. Though for foods it is not known to be harmful but only when it is inhaled that if turns dangerous.

HOW ARE LUNGS AFFECTED
Impaired cilia function is responsible for lung conditions like asthma and chronic obstructive pulmonary disease. An associate professor at the Harvard University also mentioned that even though chemicals are used for flavoring e-cigs but it is known as to how they impact the health. This study therefore throws light on the chemicals that are responsible for harming the lungs and how.

The chemical Diacetyl was earlier linked to lung conditions like bronchilitis obliterans, a lung condition also dubbed as popcorn lung for a reason that it was first found in workers of popcorn processing facilities after they inhaled artificial butter flavor.

As per researchers the present standards of safe limits of chemical exposure for workers are not enough and need to change as even low levels of the chemical does affect gene expression.

Thus as per researchers, today e-cigarette users are heating as well as inhaling the flavoring chemicals are in common use and users do not know that they are not tested for inhalation safety as well.

 

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Dystonia – All You Need to Know About This Common and Complex Condition

Though not a very common condition in India, it is the third most common condition in the USA behind Parkinson’s disease and tremor. Around 2.5 lac people there are known to be suffering from this condition. As far as the age group for this condition is concerned, there is none and can affect anyone from a child to old people irrespective of races, religion or ethnicities.

A deep part of the brain that helps to control movement is known as basal ganglia. The condition is a result of abnormal functioning of this part. This part is responsible for management of movements of the body and prevention of unwanted movements. But, if you are suffering from dystonia and you lose control over the movement management causing repetition of movements, positions and postures besides twisting as well. Not only can it affect the different parts of the body like the legs, trunk, arms and face, it can also affect your vocal cords.

DYSTONIA

This condition can adversely affect your daily routines disrupting one of many of the functions. For example if dystonia affects your neck then you will experience difficulty even in eating, chewing and swallowing. In-spite of it not being a life threatening condition it does tend to cause embarrassment and depression in many, thus resulting into emotional distress. As a result there are many support groups working to help people work on their mental health even though separate treatment for mental health is needed in-order to cope up with the challenges that that condition brings along.

AGE GROUP DIVISION
Dystonia is known to affect different age groups right from the age 0 to that of 20 and older. The Childhood onset of the condition is known to begin between 0 – 12 years, while adolescent onset stars around 3-20 years and adult onset starts above 20 years of age.

SYMPTOMS
At times this condition is not easily diagnosed and could be mistaken as stress or some sort of psychological disorder. Diagnosis therefore is not easy. In its initial stages dystonia symptoms are arise only after specific tasks or movements but when it advances it can also occur during rest period. As it affects the same group of muscles it leads to repetitive movement over time. The process of development is generally slow and the symptoms are confined to local region. Different types of dystonia exhibit different symptoms like for example blepharospasm dystonia shows symptoms like repetitive and blinking at speed, eye irritation and sensitivity to light. Even as far as progress of the different condition in dystonia are concerned they vary from people to people. In some people it might be a gradual progression while in some a speed one. In some it could be all plateaus. In its advanced form it could lead to a lot of postural issues and deformities, torso contortions, involuntary rhythmic movements and more.

Treatment
Either medication or surgery or botox injections are used for treatment purpose. They could be used separately or in conjunction with each other. Botox as well as medications do help in blocking the communication between the nerve and the muscle and slow down the abnormal postures and movements

 

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