Prevention is Far Better Than Cure Dr Abhimanyu Makane Aditya Birla Memorial Hospital, Pune. Sterling Multispecialty Hospital, Nigdi, Pune Ruby Hall Clinic, Pune

Outline.. What we think about being healthy? What is being healthy in fact? How to diagnose ill-health? How a doctor can help you to avoid a doctor? What I think is not important but what research says is…

A Popular Myth Multivitamin and Mineral supplements added benefit to a balanced, healthful diet

United States Preventive Services Task Force A 2013 systematic review of randomized trials (for efficacy) and both trials and observational studies (for safety) performed – Limited evidence for preventing cancer or cardiovascular disease – Borderline significant reduction in the risk of cancer – No effect on cardiovascular disease – Multivitamin supplementation also did not appear to reduce the risk of mortality. – No benefit on cognitive function – A small reduction in the risk of cataracts with multivitamin supplementation

Risky Heart Health Myths I would know if I had high blood pressure or high cholesterol. Exercise is too risky if you have heart disease. Once I Have Heart Disease, That's It!!!

Data from Paffenberger RS Jr, Hyde RT, Wing AL, et al. N Engl J Med 1993; 328:538.

Buy 5 months get 7 Months free 30 min/day for 5 days a week 10 hrs/month 5 days/year For 30 years i.e 5 months

Food Pyramid

Should work make you ill? Prolonged periods of excessive pressure have an adverse effect on health – heart disease – back pain – Headaches – gastrointestinal disturbances – various minor illnesses – and psychological effects such as anxiety and depression Poor coping strategies-harmful behaviors – skipping meals – drinking too much caffeine or alcohol – smoking.

Health-WHO “A state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity."

9 Domains of GNH 1. Psychological Wellbeing 2. Standard of Living 3. Good Governance 4.Health 5.Education 6.Community Vitality 7.Cultural Diversity and Resilience 8. Time Use 9. Ecological Diversity and Resilience

Making GNH quantifiable Economic Wellness: such as consumer debt, average income to consumer price index ratio and income distribution Environmental Wellness: pollution, noise and traffic Physical Wellness: severe illnesses Mental Wellness: Usage of antidepressants and rise or decline of psychotherapy patients Workplace Wellness: Jobless claims, job change, workplace complaints and lawsuits Social Wellness: Discrimination, safety, divorce rates, complaints of domestic conflicts and family lawsuits, public lawsuits, crime rates Political Wellness: Quality of local democracy, individual freedom, and foreign conflicts.

Global happiness Index India ranks 111 – GDP per capita – Healthy life expectancy – Someone to count on – Perceived freedom to make life choices – Freedom from corruption – Generosity

Management Standards for Work Related Stress Demands – Workload, work patterns and the work environment. Control – Who decides how a work is done? Support – Encouragement, sponsorship and resources provided by the organisation, line management and colleagues. Relationships – Promoting positive working to avoid conflict and dealing with unacceptable behaviour. Role – whether people understand their role within the organisation and whether the organisation ensures that they do not have conflicting roles. Change – How organisational change (large or small) is managed and communicated in the organisation.

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