DOCSLIB.ORG

Primary Care BMJ: First Published As 10.1136/Bmj.38442.636181.E0 on 3 May 2005

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Primary Care BMJ: First Published As 10.1136/Bmj.38442.636181.E0 on 3 May 2005 Primary care BMJ: first published as 10.1136/bmj.38442.636181.E0 on 3 May 2005. Downloaded from Chronic fatigue in developing countries: population based survey of women in India Vikram Patel, Betty Kirkwood, Helen Weiss, Sulochana Pednekar, Janice Fernandes, Bernadette Pereira, Medha Upadhye, David Mabey London School of Abstract and nutritional supplements to treat the symptom pre- Hygiene and Tropical Medicine, sumptively. Such preparations account for the largest Objectives To describe the prevalence of and risk 2 London category of drugs dispensed in South Asia. WC1E 7HT factors for chronic fatigue in a developing country; in Little research has been done on the associations of Vikram Patel particular, to determine the association of anaemia, fatigue with psychological factors in developing coun- reader in mental health, and gender disadvantage factors with international mental tries, particularly in the context of the high prevalence health chronic fatigue. of anaemia and poor nutrition. We hypothesised that Betty R Kirkwood Design Community survey. the principal association of fatigue was with psycho- professor of Setting Primary health centre catchment area in Goa, epidemiology and social risk factors, similar to patterns seen in developed India. 3 international health countries, and with factors reflecting gender disadvan- Helen Weiss Participants 3000 randomly sampled women aged 18 tage that are important determinants of women’s senior lecturer in to 50 years. health.45 epidemiology and Main outcome measures Data on the primary statistics David Mabey outcome (reporting of fatigue for at least six months) professor of and psychosocial exposures elicited by structured Methods communicable interview; presence of anaemia determined from a diseases Participants blood sample. The sampling frame consisted of 8595 women aged http://www.bmj.com/ Sangath, 831/1 Results 2494 (83%) women consented to participate; Porvorim, Goa, 18-45 years listed in the family health registers in an India 12.1% (95% confidence interval 10.8 to 13.4%) area of north Goa; we randomly selected 3000 women. Sulochana complained of chronic fatigue. In multivariate Inclusion criteria for the study were age between 18 Pednekar analyses, older women (P = 0.03) and those research coordinator and 50 years, being resident in the area for the next 12 experiencing socioeconomic deprivation—less Janice Fernandes months, speaking one of the study languages, not researcher education (P < 0.001), families in debt (P = 0.09), having cognitive impairment, and not being pregnant. Bernadette Pereira hunger in the past three months (P = 0.03)—were If a selected woman did not meet these criteria or was researcher on 29 September 2021 by guest. Protected copyright. more likely to report chronic fatigue. After adjustment no longer living in the area, the researcher replaced Medha Upadhye for these factors, factors indicating gender researcher her by using a priori steps to identify another eligible disadvantage (notably sexual violence by the husband; Correspondence to: woman. Recruitment took place from November 2001 VPatel P < 0.001) and poor mental health (P < 0.001) were to May 2003. Vikram.patel@ strongly associated with chronic fatigue. Although lshtm.ac.uk women with a high body mass index had a reduced Data collection risk, suggesting an influence of poor nutrition, no We used a semistructured interview to elicit data on BMJ 2005;330:1190–3 association was found between chronic fatigue and personal history and health history. Items were derived haemoglobin concentrations. from existing interviews used in other studies.6–8 We Conclusions Chronic fatigue was commonly reported estimated haemoglobin concentration from a finger by women in this community study from India. The prick sample of blood. A gynaecologist did a general strongest associations with chronic fatigue were for medical examination for participants who consented. psychosocial factors indicative of poor mental health We organised the data as follows. and gender disadvantage. Socioeconomic risk factors—We collected information on age, education, religion, and marital status from all Introduction participants, including those who refused to partici- pate. We measured economic status through type of Fatigue is a common symptom among women in housing, access to water and a toilet, household developing countries. In a survey in India, nearly a composition and income, employment status, quarter of women complained of feeling weak or tired; more than half of them had had these problems for more than six months.1 Fatigue in women has often This is the abridged version of an article that was posted on been attributed to nutritional deficiencies and anae- bmj.com on 3 May 2005: http://bmj.com/cgi/doi/10.1136/ mia. Physicians are likely to prescribe iron, vitamins, bmj.38442.636181.E0 1190 BMJ VOLUME 330 21 MAY 2005 bmj.com Primary care indebtedness, and experience of hunger in the Results BMJ: first published as 10.1136/bmj.38442.636181.E0 on 3 May 2005. Downloaded from previous three months. Psychological factors—We used two measures of psy- Of the 3000 randomly selected women, 2494 (83.1%) chological factors. The scale for somatic symptoms consented to participate in the study. The most measures somatic symptoms that are features of common reasons for refusal were that the woman did somatoform disorders and has been used previously in not have time to participate (265, 52.4%) or that a India.9 The scale elicits experience of four categories of family member had not given permission (95, 18.8%). somatic symptoms in the previous two weeks. We Compared with participants, women who refused were summed the scores on the pain related symptoms and less likely to be ethnic non-Goans, more likely to be sensory symptom scales to generate a somatoform dis- Christian, more likely to be unmarried, younger, and order symptom score. The second measure was the more educated. Of those who participated, 957 (38.4%) revised clinical interview schedule, a structured replaced a randomly selected woman; the most interview for the measurement of common mental dis- common reasons for replacement were that the orders in community settings. A version of the selected woman was no longer resident (400, 41.8%) or schedule used in the study had been previously used in was unlikely to be resident for the duration of the study Goa.10 The sum of the section scores, excluding the (45, 4.7%) and errors in the records of the family health fatigue item scores, generated a total score which we register (381, 39.8%). used as a measure of non-psychotic psychiatric Fatigue was reported by 423 (17.0%) participants, morbidity. of whom 301 (12.1%, 95% confidence interval 10.8% to Gender disadvantage and social support—Questions 13.4%) had experienced it for at least six months. Par- on gender disadvantage and social support covered ticipants who were experiencing chronic fatigue had four domains. The first domain was the lifetime experi- significantly poorer WHO disability assessment sched- ence of verbal, physical, and sexual violence by the ule scores (mean score 14.1 (SD 2.5) v 12.4 (1.3); − spouse and concerns about the spouse’s extramarital t = 19.03, P < 0.0001); they reported having to cut relationships and substance use habits. Questions in back on their daily activities on an average of 3.0 (2.2 to the second domain were summed to generate an 3.9) days in the previous month compared with an autonomy score. Questions in the third domain were average of 0.5 (0.3 to 0.6) days for participants who had summed to generate a social integration score. Finally not experienced chronic fatigue (P < 0.001). we summed the questions in the last domain to gener- Associations with socioeconomic risk factors ate a family support score (see bmj.com). Older participants, participants living in households Physical health and anaemia—We asked all partici- with more than three children under the age of 18, and pants about any pregnancies and asked participants those facing socioeconomic difficulties were signifi- who were sexually active in the past year about any dif- cantly more likely to be experiencing chronic fatigue ficulty in conception and their use of contraceptives. (see bmj.com). However, we found no association with We evaluated anaemia as a categorical variable. We household income. Compared with married partici- http://www.bmj.com/ measured weight, height, and blood pressure. We pants, single participants had a lower risk, whereas measured disability by using the World Health Organi- divorced or widowed participants had a higher risk. In zation 12 item disability assessment schedule. This multivariate analyses, the following factors were signifi- generates a total score and a measure of the number of cantly associated with chronic fatigue: lower education days in the previous 30 days that the participant had to (school completers v no education; odds ratio = 0.57, cut back her usual activities. 0.4 to 0.8); families in debt (1.27, 1.0 to 1.6); hunger in Outcome—We defined the outcome on the basis of the previous three months (1.61, 1.1 to 2.6); and older the responses to the fatigue section of the revised clini- on 29 September 2021 by guest. Protected copyright. age (age 40-50 v 18-24 years, odds ratio = 2.0, 1.3 to 3.1). cal interview schedule. This section has two optional questions on fatigue. Participants who answer posi- Associations with gender disadvantage and mental tively to either of these are asked a series of four ques- health factors tions about the severity of the problem. We defined the Participants who lived in unhappy marriages, indicated outcome of chronic fatigue when participants had by spousal violence and concerns about the husband’s experienced fatigue in the past month and had scored extramarital relationships and substance use habits at least 1 on the severity questions, and had (mainly alcohol), were significantly more likely to experienced fatigue for a minimum duration of the experience chronic fatigue (table).
Load more

Recommended publications
  • Non-Traditional Lifestyles and Prevalence of Mental Disorders in Adolescents in Goa, India Aravind Pillai, Vikram Patel, Percy Cardozo, Robert Goodman, Helen A
    The British Journal of Psychiatry (2008) 192, 45–51. doi: 10.1192/bjp.bp.106.034223 Non-traditional lifestyles and prevalence of mental disorders in adolescents in Goa, India Aravind Pillai, Vikram Patel, Percy Cardozo, Robert Goodman, Helen A. Weiss and Gracy Andrew Background Adolescents comprise a fifth of the population of India, but disorders (1.0%), depressive disorder (0.5%), behavioural there is little research on their mental health. We conducted disorder (0.4%) and attention-deficit hyperactivity disorder an epidemiological study in the state of Goa to describe the (0.2%). Adolescents from urban areas and girls who faced current prevalence of mental disorders and its correlates gender discrimination had higher prevalence. The final among adolescents aged between 12 and 16 years. multivariate model found an independent association of mental disorders with an outgoing ‘non-traditional’ lifestyle Aims (frequent partying, going to the cinema, shopping for fun and To estimate the prevalence and correlates of mental having a boyfriend or girlfriend), difficulties with studies, lack disorders in adolescents. of safety in the neighbourhood, a history of physical or verbal abuse and tobacco use. Having one’s family as the Method Population-based survey of all eligible adolescents from six primary source of social support was associated with lower urban wards and four rural communities which were prevalence of mental disorders. randomly selected. We used a Konkani translation of the Development and Well-Being Assessment to diagnose Conclusions current DSM–IV emotional and behavioural disorders. All The current prevalence of mental disorders in adolescents in adolescents were also interviewed on socio-economic our study was very low compared with studies in other factors, education, neighbourhood, parental relations, peer countries.
    [Show full text]
  • Speaker Spotlight: Vikram Patel, Harvard Medical School
    Speaker Spotlight: Vikram Patel, Harvard Medical School Dr Vikram Patel is the Co-Founder and former Director for the Centre for Global Mental Health at the London School of Hygiene and Tropical Medicine (LSHTM). He is also Co-Director of the Centre for Control of Chronic Conditions at the Public Health Foundation of India and the Co- Founder of Sangath, an Indian NGO dedicated to research in the areas of child development, adolescent health, and mental health. Listed as one of the world's 100 most influential people by TIME magazine, Dr. Patel’s work spans a wide variety of topics and disciplines, however his primary interest is in global mental health, specifically the improved treatment and care of people with mental disorders around the globe. He will deliver a keynote presentation in this vein at the Global Mental Health Conference: Tuesday 6th June 2017 1.45pm – 2.30pm Dr Vikram Patel (Harvard Medical School) Psychological treatments for the world: What rich countries can learn from the global south More about Dr Patel Dr Patel currently serves on three World Health Organisation Committees including Mental Health as well as on four Government of India Committees, including the Mental Health Policy Group (which drafted India’s first national mental health policy, launched on October 10th, 2014). He is Co-founder and Member of the Managing Committee for Sangath, a mental health research NGO located in Goa that works with the LSHTM on multiple projects focusing on child development, adolescent health, and mental health. In 2008, Sangath won the MacArthur Foundation’s International Prize for Creative and Effective Institutions and is now using the grant money to pioneer various ways in which task-sharing in mental health care can be properly distributed between primary care professionals and community based workers.
    [Show full text]
  • Annual Report 2016 - 17
    FORUM FOR MEDICAL ETHICS SOCIETY Trust registration No. F-17441 (Mumbai), 1995 Society registration No. Mumbai, 218, 1995, GBSD Annual Report 2016 - 17 www.ijme.in Registered address: O-18, Nav Bhavna Premises CHSL, SVS Marg, Prabhadevi, Mumbai - 400 025. Contact address: C/o Shantilal Patel, C-3, 3rd Floor, Nav Bhavna CHSL, SVS Marg, Prabhadevi, Mumbai - 400 025. Tel.: 07506265856 E: [email protected]; [email protected]; [email protected] MANAGING COMMITTEE, FMES The present Managing Committee was elected at the Annual General Meeting, July 16, 2016. The members elected were: Sanjay Nagral (Chairperson) Sunita VS Bandewar (Secretary) Rakhi Ghoshal (Jt Secretary) Lubna Duggal (Treasurer) Leni Chaudhuri (Member) Barun Mukhopadhyay (Member) Shamim Modi (Member) Shyamala Nataraj (Member) Sunita Simon Kurpad (Member) EDITORIAL BOARD, IJME Editor Emeritus Sunil Pandya Editor Amar Jesani Consulting Editor Sandhya Srinivasan Working Editors Mala Ramanathan Rakhi Ghoshal Sanjay A Pai Sunita VS Bandewar Vijayaprasad Gopichandran Editorial Board Aamir Jafarey, Pakistan Jacqueline Chin Joon Lin, Singapore Sabina Faiz Rashid, Bangladesh Aasim Ahmad, Pakistan Jing Bao Nie, New Zealand Sanjay Nagral, Mumbai Abha Saxena, Switzerland Joy Akoijam, Imphal Silke Schicktanz, Germany Alex John London, USA Julian Sheather, UK Sisira Siribaddana, Sri Lanka Alok Sarin, Delhi Mario Vaz, Bengaluru Sreekumar N, Chennai Amit Sengupta, Delhi Neha Madhiwalla, Mumbai Sridevi Seetharam, Mysuru Angus Dawson, Australia Nithya Gogtay, Mumbai
    [Show full text]
  • Population Based Survey of Women in India Chronic Fatigue In
    Downloaded from bmj.com on 4 June 2005 Chronic fatigue in developing countries: population based survey of women in India Vikram Patel, Betty R Kirkwood, Helen Weiss, Sulochana Pednekar, Janice Fernandes, Bernadette Pereira, Medha Upadhye and David Mabey BMJ 2005;330;1190-; originally published online 3 May 2005; doi:10.1136/bmj.38442.636181.E0 Updated information and services can be found at: http://bmj.com/cgi/content/full/330/7501/1190 These include: References This article cites 19 articles, 5 of which can be accessed free at: http://bmj.com/cgi/content/full/330/7501/1190#BIBL Rapid responses 7 rapid responses have been posted to this article, which you can access for free at: http://bmj.com/cgi/content/full/330/7501/1190#responses You can respond to this article at: http://bmj.com/cgi/eletter-submit/330/7501/1190 Email alerting Receive free email alerts when new articles cite this article - sign up in the service box at the top right corner of the article Topic collections Articles on similar topics can be found in the following collections • Medicine in Developing Countries (883 articles) • Somatoform disorders (32 articles) Notes To order reprints of this article go to: http://www.bmjjournals.com/cgi/reprintform To subscribe to BMJ go to: http://bmj.bmjjournals.com/subscriptions/subscribe.shtml Downloaded from bmj.com on 4 June 2005 Primary care Chronic fatigue in developing countries: population based survey of women in India Vikram Patel, Betty Kirkwood, Helen Weiss, Sulochana Pednekar, Janice Fernandes, Bernadette Pereira, Medha Upadhye, David Mabey London School of Abstract and nutritional supplements to treat the symptom pre- Hygiene and Tropical Medicine, sumptively.
    [Show full text]
  • Annual Report 2016
    FORUM FOR MEDICALFORUM ETHICS FOR SOCIETY MEDICALTrust registration ETHICS No. F-17441 (Mumbai), SOCIETY 1995 Society registration(FMES) No. Mumbai, 218, 1995, GBSD Trust registration No. F-17441 (Mumbai), 1995 Society registration No. Mumbai, 218, 1995, GBSD Annual Report Annual Report 20162017-18 - 17 2016 - 17 Managing Committee, FMES Sanjay Nagral (Chairperson) Sunita VS Bandewar (Secretary) Lubna Duggal (Treasurer) Leni Chaudhuri (Member) Barun Mukhopadhyay (Member) Shamim Modi (Member) Shyamala Nataraj (Member) Sunita Simon Kurpad (Member) EDITORIAL TEAM, IJME Editor Emeritus Sunil Pandya Editor Amar Jesani Consulting Editor Sandhya Srinivasan Working Editors Mala Ramanathan Rakhi Ghoshal Sanjay A Pai Sunita VS Bandewar Vijayaprasad Gopichandran EDITORIAL BOARD y Aamir Jafarey, Pakistan y Jing Bao Nie, New Zealand y Silke Schicktanz, Germany y Aasim Ahmad, Pakistan y Joy Akoijam, Imphal y Sisira Siribaddana, Sri Lanka y Abha Saxena, Switzerland y Julian Sheather, UK y Sreekumar N, Chennai y Alex John London, USA y Mario Vaz, Bengaluru y Sridevi Seetharam, Mysuru y Alok Sarin, Delhi y Neha Madhiwalla, Mumbai y Subrata Chattopadhyay, Kolkata y Amit Sengupta, Delhi y Nithya Gogtay, Mumbai y Sujith Chandy, Vellore y Angus Dawson, Australia y Nobhojit Roy, Mumbai y Sundar Sarukkai, Bengaluru y Anurag Bhargava, Mangaluru y Olinda Timms, Bengaluru y Trudo Lemmens, Canada y Deepa Venkatachalam; Delhi y Prathap Tharyan, Vellore y Vasantha Muthuswamy, y Ehsan Shamsi Gooshki, Iran y Priya Satalkar, Switzerland Coimbatore y Fatima Castillo,
    [Show full text]
  • COVID-19 Is a Developing Country Pandemic
    5/28/2021 COVID-19 is a developing country pandemic Future Development COVID-19 is a developing country pandemic Indermit Gill and Philip Schellekens Thursday, May 27, 2021 as global health been subverted?” This question was asked exactly a year ago in The Lancet. At the time, the pandemic had already spread “H across the globe, but mortality remained concentrated in richer economies. Richard Cash and Vikram Patel declared that “for the rst time in the post- war history of epidemics, there is a reversal of which countries are most heavily affected by a disease pandemic.” What a difference a year makes. We know now that this is actually a developing-country pandemic—and has been that for a long time. In this blog, we review the ofcially published data and contrast them with brand new estimates on excess mortality (kindly provided by the folks at the Economist). We will argue that global health has not been subverted. In fact, compared to rich countries, the developing world appears to be facing very similar—if not higher—mortality rates. Its demographic advantage of a younger population may have been entirely offset by higher infection prevalence and age-specic infection fatality. Ofcial data: Developing countries account for half of global mortality The statement that this is a developing-country pandemic is not self-evident when we look at the ofcial statistics (Figures 1 and 2). When it comes to per capita mortality, the ofcial data suggest that the pandemic has been most intense in high-income countries (HICs). Cumulative mortality rates and—with a few exceptions—daily mortality rates have been higher for richer countries.
    [Show full text]
  • COVID-19 Mental Health Impact and Responses in Low-Income and Middle-Income Countries: Reimagining Global Mental Health
    Review COVID-19 mental health impact and responses in low-income and middle-income countries: reimagining global mental health Lola Kola, Brandon A Kohrt, Charlotte Hanlon, John A Naslund, Siham Sikander, Madhumitha Balaji, Corina Benjet, Eliza Yee Lai Cheung, Julian Eaton, Pattie Gonsalves, Maji Hailemariam, Nagendra P Luitel, Daiane B Machado, Eleni Misganaw, Olayinka Omigbodun, Tessa Roberts, Tatiana Taylor Salisbury, Rahul Shidhaye, Charlene Sunkel, Victor Ugo, André Janse van Rensburg, Oye Gureje, Soumitra Pathare, Shekhar Saxena, Graham Thornicroft, Vikram Patel Most of the global population live in low-income and middle-income countries (LMICs), which have historically Lancet Psychiatry 2021; received a small fraction of global resources for mental health. The COVID-19 pandemic has spread rapidly in many 8: 535–50 of these countries. This Review examines the mental health implications of the COVID-19 pandemic in LMICs in Published Online four parts. First, we review the emerging literature on the impact of the pandemic on mental health, which shows February 24, 2021 https://doi.org/10.1016/ high rates of psychological distress and early warning signs of an increase in mental health disorders. Second, we S2215-0366(21)00025-0 assess the responses in different countries, noting the swift and diverse responses to address mental health in some This online publication has countries, particularly through the development of national COVID-19 response plans for mental health services, been corrected. The corrected implementation of WHO guidance, and deployment of digital platforms, signifying a welcome recognition of the version first appeared at salience of mental health. Third, we consider the opportunity that the pandemic presents to reimagine global mental thelancet.com/psychiatry on March 8, 2021.
    [Show full text]
  • The Movement for Global Mental Health Vikram Patel, Pamela Y
    The Movement for Global Mental Health Vikram Patel, Pamela Y. Collins, John Copeland, Ritsuko Kakuma, Sylvester Katontoka, Jagannath Lamichhane, Smita Naik and Sarah Skeen BJP 2011, 198:88-90. Access the most recent version at DOI: 10.1192/bjp.bp.109.074518 References This article cites 0 articles, 0 of which you can access for free at: http://bjp.rcpsych.org/content/198/2/88#BIBL Reprints/ To obtain reprints or permission to reproduce material from this paper, please permissions write to [email protected] You can respond http://bjp.rcpsych.org/cgi/eletter-submit/198/2/88 to this article at Downloaded http://bjp.rcpsych.org/ on April 3, 2012 from Published by The Royal College of Psychiatrists To subscribe to The British Journal of Psychiatry go to: http://bjp.rcpsych.org/site/subscriptions/ The British Journal of Psychiatry (2011) 198, 88–90. doi: 10.1192/bjp.bp.109.074518 Editorial The Movement for Global Mental Health Vikram Patel, Pamela Y. Collins, John Copeland, Ritsuko Kakuma, Sylvester Katontoka, Jagannath Lamichhane, Smita Naik and Sarah Skeen Summary The Movement for Global Mental Health is a coalition treatments and the human rights of people with mental of individuals and institutions committed to collective disorders. actions that aim to close the treatment gap for people Declaration of interest living with mental disorders worldwide, based on All authors are members of the Movement for Global Mental two fundamental principles: evidence on effective Health. HIV/AIDS, health practitioners, policy-makers and researchers Vikram Patel (pictured) is a Wellcome Trust Senior Research Fellow sharing a common platform.
    [Show full text]
  • Biobook YEAR 7 • 2018-2019 Orientation and Training July 15-20, 2018
    FOGARTY GLOBAL HEALTH PROGRAM FOR FELLOWS AND SCHOLARS BioBook YEAR 7 • 2018-2019 Orientation and Training July 15-20, 2018 The Global Health Program for Fellows and Scholars* provides supportive mentorship, research opportunities and a collaborative research environment for early stage investigators from the U.S. and low- and middle-income countries (LMICs), as defined by the World Bank, to enhance their global health research expertise and their ca- reers. Six Consortia (funded in part by the Fogarty International Center [FIC] through competitive grants) identify postdoctoral Fellows and doctoral Scholars: Global Health Equity Scholars (GHES) University of California, Berkeley Florida International University Stanford University Yale University University of California Global Health Institute (UCGHI) GloCal Health Fellowship Program UC San Francisco UC San Diego UC Los Angeles UC Davis The HBNU Fogarty Global Health Fellowship Program (HBNU) Harvard University Northwestern University Boston University University of New Mexico The Northern Pacific Global Health Research Fellows Training Consortium (NPGH) University of Washington University of Hawaii University of Michigan University of Minnesota The UJMT Fogarty Global Health Fellowship Consortium (UJMT) The University of North Carolina-Chapel Hill Johns Hopkins University Morehouse School of Medicine Tulane University The VECD Global Health Fellowship Consortium (VECD) Vanderbilt University Emory University Cornell University The following NIH Institutes, Centers and Offices are collaborating
    [Show full text]
  • List of International Collaborative Research Projects Approved by HMSC During August, 2017 to December, 2019
    List of International Collaborative Research Projects Approved by HMSC during August, 2017 to December, 2019 S. No. Details of the Project 1. Prevalence of Chronic Obstructive Pulmonary Disease in Chennai, South India Principal Investigator Funded by Dr. Prabu Rajkumar American Thoracic Society, USA Scientist C Date of approval May 01, 2018 National Institute of Epidemiology (ICMR-NIE), Total budget Rs. 3,17,400 Chennai- 600077 Tamil Nadu Duration 12 months Subject area Respiratory Health 2. Variation in the number and type of items raised on a single sheet paper version of the Patient Concerns Inventory- Head and Neck across different economies Principal Investigator Funded by Dr. Kanchan P Dholam Aintree Head and Neck Cancer Centre, UK Head, Department of Dental and Date of approval May 01, 2018 Prosthetic Surgery Tata Memorial Hospital, Total budget Nil Mumbai- 400012 Maharashtra Duration 3 months Subject area Oncology Approved for Tata Memorial Hospital, Mumbai only. Indian Council of Medical Research 1 Research Projects Approved by HMSC S. No. Details of the Project 3. Palliative Care: Promoting Access & International Cancer Experience in India Collaborative (PC-PAICE India Collaborative) Principal Investigator Funded by Dr. Sushma Bhatnagar American Society of Clinical Oncology, USA Professor Date of approval May 01, 2018 All India Institute of Medical Sciences (AIIMS), Total budget Rs. 13,00,000 New Delhi-110029 Duration 12 months Subject area Oncology 4. To study sulfotransferase activity levels in plucked hair follicles of Androgenic alopecia patients in Indian subcontinent Principal Investigator Funded by Dr. Jill Atul Chitalia Applied Biology Inc, USA Fellow in Trichology Date of approval May 01, 2018 Lokmanya Tilak Municipal Medical College and General Hospital, Total budget Nil Mumbai- 400022 Maharashtra Duration 3 months Subject area Dermatology Approved with conditions.
    [Show full text]
  • Vikram Patel London School of Hygiene & Tropical Medicine, UK Sangath, India Public Health Foundation of India
    Global Mental Health a new global health discipline comes of age Vikram Patel London School of Hygiene & Tropical Medicine, UK Sangath, India Public Health Foundation of India 1 ALAN FLISHER (1957-2010) 2 Global Health . “an area for study, research and practice that places a priority on improving health and achieving equity in health for all people worldwide” (Koplan et al, Lancet 2009) 3 Global vs International . Concerned with health disparities within and between countries . Interest in global determinants such as climate change and migration . Emphasis on prevention and individual clinical care . Priority setting by burden of disease 4 Global Mental Health . The application of these principles to the specific domain of mental ill-health . Concerned with any ‘priority’ disorder affecting the brain (“MNS” disorders) . Primary focus is reducing mental health inequalities within and between countries . Most striking inequity are disparities in provision of care and respect for human rights of people living with mental disorders between rich and poor countries 5 Outline . Scientific foundations . Major initiatives and opportunities . Role of psychiatry 6 Scientific foundations of GMH 1. Cross-cultural research 2. Burden of disease 3. Intervention and health services 4. Discrimination and human rights 7 Cross-cultural research 8 Cross-cultural research . Rich history of multi-disciplinary research, rooted in medical anthropology, clinical mental health sciences and epidemiology, on the cultural construction, social narratives, prevalence and risk factors for mental disorders, with especially rapid growth since the 1960s 9 Key findings . Major categories of mental disorders can be identified in all cultures, and share similar ‘core’ psychopathological features . Research methodologies can be both internationally comparable and contextually and culturally appropriate .
    [Show full text]
  • Volume II) January, 2008 to December, 2012
    An Overview of International Collaborative Research Projects in Health Research approved by Health Ministry’s Screening Committee (Volume II) January, 2008 to December, 2012 International Health Division Indian Council of Medical Research Published by Director-General Indian Council of Medical Research New Delhi-110029 June, 2013 The data compiled in the document corresponds to international collaborative projects approved by HMSC during January, 2008 to December, 2012 (5 years) ©Indian Council of Medical Research, New Delhi ISBN- 978-81-910091-4-9 Conceptualization, Design & Layout Mukesh Kumar, Harpreet Sandhu, Payal Prakash, Abhay Shankar Pandey Production Controller J. N. Mathur, New Delhi Printed at Dated the 26th April, 2013 Foreword The International Health Division of ICMR is publishing the second volume entitled “An Overview of International Collaborative Research Projects in Health Research approved by Health Ministry’s Screening Committee (HMSC)” during January, 2008 to December, 2012. I am pleased to share this document with you as a sequel of our previous publication entitled “An overview of international collaboration in biomedical research” which provided the information on the international collaborative research projects approved by Health Ministry’s Screening Committee (HMSC) during the years 2000 to 2007. The earlier document released in June 2008 was considered as a useful publication by the scientific community for providing a wealth of information especially relevant to those engaged in carrying out and promoting international collaboration through joint research projects. The current document provides ICMR’s strengths in health research for collaboration with different countries. It contains relevant information on various MoUs signed with different countries/ agencies and related details on the areas of interest and modes of collaboration.
    [Show full text]