October 1, 2012 Clippings

Regular screening must for epilepsy patients

A new study has revealed that routine screening for psychiatric, cognitive and socialproblems could enhance the quality of care and quality of life for children and adults with epilepsy.

The study was conducted by UC Irvine neurologist Dr. Jack Lin and colleagues at the University of Wisconsin-Madison and Amedeo Avogadro University in Italy.

Physicians who treat those with epilepsy often focus on seizures, Lin said.

However, patients show an increased prevalence of psychiatric issues (mood, anxiety or attention-deficit/hyperactivity disorders), cognitive disorders (in memory, language or problem solving) and social difficulties (involving employment or personal interactions).

The relationship between epilepsy and these complications is complex and poorly understood.

Lin said they might present greater problems for a patient if left untreated.

"Screening for psychiatric, cognitive and social comorbidities is essential not only in established cases but also with newly diagnosed epilepsy. By doing so, we can ensure that these issues are treated and that patients have a better quality of life," Lin said.

He emphasized that screening should also be conducted prior to any new drug treatment.

Problems that occur in conjunction with childhood and adult epilepsy are referred to by doctors as comorbidities, meaning that they have a greater than coincidental chance of appearing alongside each other though there is not necessarily a causal relationship between them.

The study suggests a number of possible factors responsible for these comorbidities, including the characteristics of epilepsy and its medication protocol, underlying brain disorders, and epilepsy-related disruptions of normal neurodevelopment and aging.

While experts have begun to recognize the effects of psychiatric, cognitive and social comorbidities in epilepsy, Lin noted, gaps remain in the early detection, treatment and prevention of these issues.

Her study appeared in The Lancet.

Source: www.timesofindia.com

01.10.2012

Pune woman becomes third in country to get lung transplant

Secunderabad-based Yashodha Hospitals has succeeded in performing its first lung transplant, the third such transplant in the country, on a 34-year-old Pune-based woman.

The hospital's Chief Cardiothoracic Transplant and Minimal Access Surgeon AGK Gokhale and Senior Consultant Anaesthetist Subramanyam gave a new lease of life to the patient, who suffered from a lung condition called interstitial fibrosis, where lungs become stiff and oxygen does not go into the blood through the lungs.

Doctors treating her in Mumbai had suggested a lung transplant, as both her lungs were damaged, making her bed-ridden and dependent on external supply of oxygen since months.

When the family members of a brain-dead patient agreed to donate, Gokhale and his team performed a 14-hour surgery, successfully transplanting the lung. The patient has been doing well since the transplant, though she will be under observation for another three to six months.

Source: www.dnaindia.com

01.10.2012

Change what you can change and acknowledge and accept what you can’t

Rod Williams