Sunday, 21 October 2012

22 October, 2012 Clippings


Creativity linked to mental illness
People in creative professions are treated more often for mental illness as compared to the general population as there is a particularly salient connection between writing and schizophrenia, researchers say.
Last year, the Karolinska Institutet team showed that artists and scientists were more common amongst families where bipolar disorder and schizophrenia is present, compared to the population at large.
They subsequently expanded their study to many more psychiatric diagnoses like schizoaffective disorder, depression, anxiety syndrome, alcohol abuse, drug abuse, autism, ADHD, anorexia nervosa and suicide - and to include people in outpatient care rather than exclusively hospital patients.

The present study tracked almost 1.2 million patients and their relatives, identified down to second-cousin level. Since all were matched with healthy controls, the study incorporated much of the Swedish population from the most recent decades.
All data was anonymized and cannot be linked to any individuals.
The results confirmed those of their previous study - certain mental illness - bipolar disorder - is more prevalent in the entire group of people with artistic or scientific professions, such as dancers, researchers, photographers and authors.
Authors specifically also were more common among most of the other psychiatric diseases (including schizophrenia, depression, anxiety syndrome and substance abuse) and were almost 50 per cent more likely to commit suicide than the general population. The researchers also observed that creative professions were more common in the relatives of patients with schizophrenia, bipolar disorder, anorexia nervosa and, to some extent, autism.
According to Simon Kyaga, consultant in psychiatry and doctoral student at the Department of Medical Epidemiology and Biostatistics, the results give cause to reconsider approaches to mental illness. "If one takes the view that certain phenomena associated with the patient's illness are beneficial, it opens the way for a new approach to treatment," he said.
"In that case, the doctor and patient must come to an agreement on what is to be treated, and at what cost. In psychiatry and medicine generally there has been a tradition to see the disease in black-and-white terms and to endeavour to treat the patient by removing everything regarded as morbid," Kyaga added.
22.10.2012
Pre-scan preparation must before CT, MRI scans
An allergic reaction to a dye administered before computed tomography (CT) resulted in a patient’s death. It’s believed the patient died of multiple organ failure. Experts warn it is essential to pre-scan the patient for conditions like asthma, lung ailments, etc. so that pre-scan drugs can be given to ensure no complications arise after administrating the dye.
Doctors are now stressing upon the importance of pre-scan preparation. This comes in the wake of the death of a patient in JJ Hospital allegedly due to an allergic reaction to a dye administered before computed tomography (CT) scan last week. The dye is administered intravenously and helps in identifying inflammation, cysts and other abnormalities.
According to doctors there was an adverse reaction after the administration of the dye owing to the patient’s multi-system disorder. The batch of the dye medication has since been sent to the state FDA which will analyse the samples.
‘Most hospitals have a standard operating procedure whereby the patient’s consent is taken before administering the dye. It is essential to know the patient’s history and identify conditions like asthma, lung ailments, etc. Accordingly, pre-scan drugs are given to ensure no complications arise after administrating the dye,’ said Dr Subhash Ramani, professor and radiologist at Tata Memorial Hospital, The Indian Express quoted.
Contrast dyes cause side effects such as nausea, skin infection and dizziness. The percentage of deaths is small. Doctors say patients with existing additional conditions need to exercise extra caution as they already have a compromised immune system.
Dr Suleman Merchant, head of the radiology department of Sion Hospital said, ‘Death due to contrast reaction is not unheard of. If a patient’s medical condition is that of borderline failure, especially the renal chemistry, then administering the dye can result in complete failure leading to death.’
22.10.212







We are made wise not by the recollection of our past, but by the responsibility for our future

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