Mental Health

By- Padmasree Dr.(Prof) Alka Kriplani, Director & Head-Centre for Minimally Invasive Gynecology, Obstetrics & ART, Paras Hospitals, Gurgaon

What is ovarian cancer?

Ovarian cancer occurs when abnormal cells in the ovaries begin to grow out of control and form a tumor. If left untreated, the tumor can spread to other parts of the body. This is called metastatic ovarian cancer.Ovarian cancer often has warning signs, but the initial symptoms are unclear and easy to dismiss. Twenty percent of ovarian cancer is detected in early stage

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What are the early symptoms of ovarian cancer?

The early symptoms of ovarian cancer are easy to ignore because they are similar to other common diseases or they come and go.

 Initial symptoms include:

1-Abdominal bloating, pressure and pain

2-Abnormal fullness after meals3- Increased urination

There may be other symptoms of ovarian cancer, such as:

1-fatigue

2-indigestion

3-heartburn

4-constipation

5- Back pain

6- Menstrual irregularity 

These symptoms can occur for any reason. They are not necessarily due to ovarian cancer. Many women have some of these problems at one time or another. Such symptoms are often temporary and in most cases respond to simple treatment. Those symptoms will remain due to ovarian cancer. Symptoms usually become more severe as tumors grow. By this time, cancer has usually spread outside the ovaries, making it very difficult to treat effectively.
Cancer is treated better on early detection. If you experience new and unusual symptoms, please consult your doctor.

Types of ovarian cancer

The exact cause of ovarian cancer is unknown. However, these factors can  increase your risk:

1-A family history of ovarian cancer

2-Genetic alterations of genes associated with ovarian cancer

3-Personal history of breast, uterus, or colon cancer.

Most cases of ovarian cancer develop after menopause.It is possible to have ovarian cancer without any of these risk factors. Likewise, having any of these risk factors does not mean that you will develop ovarian cancer.

How is ovarian cancer diagnosed?

Ovarian cancer can be treated when your doctor diagnoses it in the early stages. However, it is not easy to detect.
Your ovaries are located deep within the abdominal cavity, so you are unlikely to feel a tumor. There is no routine clinical screening program available for ovarian cancer. It is very important for you to report unusual or persistent symptoms to your doctor. If your doctor is concerned that you have ovarian cancer, they will likely recommend a pelvic exam. Performing a pelvic exam can help your doctor detect irregularities, but it is very difficult to feel small ovarian tumors. As the tumor grows, it presses against the bladder and rectum. Your doctor may be able to detect irregularities during an internal examination.

World Medical Association urges WHO ,World Health Assembly & member countries to protect its doctors and health care givers.Urgent Concrete steps are needed to address the deplorable effects of COVID-19 pandemic on health personnel.

The Union Health Ministry has shown exit door to 92 permanent employees of the erstwhile medical education regulator, MCI and have asked to vacate its premises with immediate effect. The circular issued by Union Health Ministry names of Senior officials like senior secretary, deputy secretary, house-keeping staffs and 14 peons.

“Since the National Medical Commission ACT, 2019 have come into effect, including section 60(3) which specifically provides for vacation of office by the officers and employees of Medical Council of India on its dissolution,” a circular issued by Amit Biswas, Under Secretary, Health Ministry

The Ministry’s October 5 circular also says “National Medical Commission has come into existence and their smooth functioning is essential it’s advised to vacate the offices with immediate effect. However, as directed by the Hon’ble High Court, your services will continue subject to any further directions by the High Court.”

According to the Union Health Ministry India’s recovery rate has increased to 84.7% and crossed 56.6 lakh. It includes the figures from 17 states and UTs which makes the recovery more than the national average.

The total COVID-19 crosses 67-lakh mark with a spike of 72,049 new cases. Total 986 deaths reported in the last 24hrs and the total tally stand at 67,57,132 & 1,04,555 deaths.

Total no.of test done – ICMR

11,99,857 samples tested for COVID-19 on 6th October. Total 8,22,71,654 samples tested in the country up to 6th October.

After FORDA, now Resident Doctors Association of AIIMS also come out in support of Hindu Rao hospital.AIIMS, RDA has also written a letter to the Chief Minister of Delhi on non-payment of salaries for 3 months.

The Letter written by AIIMS Resident Doctors Association to Chief Minister Arvind Kejriwal stated “We are writing this letter to you to bring your kind attention to the pathetic working condition of the doctors under which they are forced to work in Hindu Rao Hospital. It’s COVID -19 designated hospital since the beginning of the pandemic and the health care workers are working day and night risking their own lives. It’s a matter of disappointment that those warriors are even deprived of their basic salary and being forced to work under such extreme stressful times without any payment since last 3.5months.”

In its statement the association has also said “We AIIMS, RDA, stand resolutely with our fellow colleagues in this regard and extend our full support for their fight. Whereby urge your prompt intervention in this regard.”

On the other hand FORDA delegation along with RDA Representatives of Hindu Rao Hospital, today met MS of the Hindu Rao Hospital regarding on-going Protest due to non-payment of salaries for 3.5 months & to pursue the issue with higher authorities.

FORDA has also given a Letter to the MS of Hindu Rao Hospital on salary delay and difficulties Doctors and Front line health workers are facing.

The Letter written by FORDA stated “We intend to bring to your notice an issue pertaining to Resident doctors of your esteemed Institution. Being a COVID Hospital, doctors of the Hospital are risking their lives at the workplace in this epidemic, but are not being paid the necessary emoluments and it has become difficult for them to meet their daily expenditures and to support their families. These frontline warriors have not received their salaries from the last 3.5months which is totally demotivating them.”

SARS-CoV-2,Covid 19,Update

Cases : 35,695,735 deaths 1,045,920 : US Cases 7,679,644 death 215032
India : Cases 6,682,073
death :103600
Brazil : cases 4,940,499 deaths 144,773 (worldometer)

Study finds loss of smell most reliable indicator of Covid-19
An acute loss of smell or taste is a highly reliable coronavirus indicator and should now be considered globally as a criterio for self-isolation, testing, and contact tracing, according to a research by UK scientists.Loss of smell are three times more likely to have SARS-CoV-2 antibodies compared with those with loss of taste.In some people, anosmia is the first or an early symptom, and for some the only symptom. However, smell loss is an important component of many conditions, from a simple cold, to a sinus infection, to early stage Alzheimer’s and Parkinson’s diseases, or simply aging.

SARS-CoV-2, like the earlier known SARS-CoV, uses the angiotensin-converting enzyme 2 (ACE2) receptor to gain entry to cells via binding with spike protein. SARS-CoV-2 additionally appears to need TMPRSS2, a protease, and some other proteins  to help prime the spike protein in the process of gaining entry to cells.This means that cells must express all of these proteins for the virus to be able to infiltrate them and hijack their machinery to replicate.In the olfactory sensory epithelium (OSE) the proteases are expressed in  abundance.Because of this olfactory symptoms can occur very early in the disease, before respiratory symptoms,

face coverings (nose & mouth) should be part of new normal.
Smoking in any form at this time should be banned in public places as it may increase the spread of virus
Teamwork and feeling of openness is important for winning this Corona war.

Dr Narendra Saini
Chairman Scientific
committee DMC
Chairman AMR committee IMA Hq
Past Sec Gen IMA
Director SAINI DIAGNOSTICS ICMR approved lab for RTPCR testing

According to Union Health Ministry India reports COVID-19 61,267 in 24hrs which lowest in a week, total cases reported are 6,685,082. The country’s death rate toll to 103,569 and 884 people died in a single day. The number of deaths are also lower in a week.

Total no.of test done- ICMR

10,89,403 samples tested for COVID-19 on 5th October. Total of 8,10,71,797 samples tested in the country up to 5th October

Noble prize in medicine or physiology goes to Three Scientists for discovery of Hepatitis C virus American Harvey J Alter and Charles M Rice, and British scientist Michael Houghton.

“For the first time in history, the disease can now be cured, raised hopes of eradicating hepatitis C virus from the world population,” said the Noble assembly statement.

The head of the Nobel Committee, Thomas Perlmann, announced the winners in Stockholm.

Hepatitis C is a blood born virus part of a group of hepatitis viruses that attack the liver. It’s mainly passed through contaminated needles either injecting or injuries from the needle.