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International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 3 Issue 5, August 2019 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD26359 | Volume – 3 | Issue – 5 | July - August 2019 Page 535
Individualisation, A Medico-Social and Psychological Approach
Swastika Subba1, Dr. Sinchan Das2
1Student, 2Assistant Professor
1,2I.S.C.T.A.S. Kolkata, West Bengal, India
How to cite this paper: Swastika Subba |
Dr. Sinchan Das "Individualisation, A
Medico-Social and Psychological
Approach"
Published in
InternationalJournal
of Trend in Scientific
Research and
Development
(ijtsrd), ISSN: 2456-
6470, Volume-3 |
Issue-5, August 2019, pp.535-537,
https://doi.org/10.31142/ijtsrd26359
Copyright © 2019 by author(s) and
International Journalof Trendin Scientific
Research and Development Journal. This
is an Open Access article distributed
under the terms of
the Creative
CommonsAttribution
License (CC BY 4.0)
(http://creativecommons.org/licenses/by
/4.0)
ABSTRACT
The Earth! 4th planet of the solar system and suppose to be only planet that
supports lives which makes it the most unique and separate from rest of the
planet but that doesn’t mean other planet are less. Every planet has its own
unique character that makes it different. Exactly in a same way we are 7.6
billion (i.e 7,600,000,000 people) heads; breathing, walking, talking, working
in the Earth, just like those nine planets with there on uniqueness; we are
humans with our own complex body mechanism and functions. No doubt we
all belong to same species but we too differ in our genetic makeup, response,
appearance, emotion, expressions, voice, culture, traditions, response to
diseases, fingerprints, our cuisine, personality trait, rituals, dressing, habits,
hobbies, mental ability etcetera. So the question here is why there is same
medical technology, medical approach, and same medical protocol for every
human being? We will totally agree with the fact thatweallaredifferentin one
way or the other and our body needs and demands varyfrompersontoperson
still there no change in the treatment procedures. As we are advancing with
our lifestyle so as the diseases, and our approachesaremakingthosecausative
agents more and more resistance which is helping to adapt with the new
environment.
This brings the need of individualising the technology to every extentpossible
using the medico social and psychological approach. So that we’ll be able
eradicate not just the symptoms but the disease in whole.
KEYWORDS: Individualization, Psyhosocial approach of individualization
INTRODUCTION
Individualisation is a condition where society as a whole
increasingly adapts to the circumstances, preferences, and
needs of each individual while acknowledging the
individuals rights to this and encourages individuals to use
it. The aim of my findings is not here to disrespect any
professions or hurt anyone’s believe nor question onanylife
saving works of doctors but what I strongly want to convey
is the need of changes in the approaches of treatmentsothat
we are able to reach every person with the need of health
care, where treatments are accessible to every group and
class of people and more importantly a disease free
environment. Not only in the field of healthcare but also a
change in the society which will help in breaking many age
old stereotypes.
Individualisation in Medicine-Genetic approach:-
A. Personalized medicine,
also termed individualised medicine, is a medicalprocedure
that separates patients into different groups—with medical
decisions, practices, interventions and/or products being
tailored to the individual patient based on their predicted
response or risk of disease. The process might take a longer
period and might take hours and maybe a day, and in that
same period of time a doctor might be able check 9-10
patient but the question arises here; what kind of healthcare
facility are we providing to a person who completely and
blindly relies on us for cure, quantity or quality? Although
most of the variation between individuals has no effect on
health, an individual's health stems from genetic variation
with behaviours and influences from the environment.
Modern advances in personalized medicine rely on
technology that confirms a patient's fundamental
biology, DNA, RNA, or protein, which ultimately leads to
confirming disease. For example, personalised techniques
such as genome sequencing can reveal mutations in DNA
that influence diseases ranging fromcysticfibrosistocancer.
Another method, called RNA sequencing, can show which
RNA molecules are involved with specific diseases. Unlike
DNA, levels of RNA can change in response to the
environment. Therefore, sequencing RNA can provide a
broader understanding of a person’s state of health. Recent
studies have linked genetic differences between individuals
to RNA expression, translation, and protein levels.
In order for physicians to know if a mutation is connected to
a certain disease, researchers often do a study called a
“genome-wide association study “ (GWAS). A GWAS study
will look at one disease, and then sequence the genome of
many patients with that particular disease tolook for shared
mutations in the genome. Mutations that are determined to
be related to a disease by a GWAS study can then be used to
diagnose that disease in future patients, by looking at their
genome sequence to find that same mutation.
Having the genetic content of an individual will allow better
guided decisions in determining the source of the disease
and thus treating it or preventing its progression. This will
be extremely useful for diseases like Alzheimer’s or cancers
IJTSRD26359
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD26359 | Volume – 3 | Issue – 5 | July - August 2019 Page 536
that are thought to be linked to certain mutations in our
DNA.
Individualisation: Medical Approch (Homeopathy):-
The concept of disease in homeopathy is disease due to total
affection of mind and body. Mind and body are dynamic and
complexly interlinked; each one influencing the other and
acting together. Neither mind nor body falls ill individually.
Now we are start learning that prolongemotionalstress(too
much desire, anger, greed, pride, jealousy, suspicion, etc.)
can lead to upset stomach, difficulty digesting food, poor
nutrient absorption, sleeplessness, weakenimmunesystem,
etc.
The emotional state closely relates to endocrine glands and
nerves, which influence over the working of the physical
body.
Thus, homeopathy medicine is as psycho-somatic medicine
and is excellent for psycho-somatic diseases such as
Migraine, Asthma, Peptic ulcer, Allergy,Ulcerative colitis, etc.
Individualisation: Medical Approach (Ayurveda):-
Ayurveda, the traditional Indian medicinal system remains
the most ancient yet living traditions with sound
philosophical and experimental basis. It is a science of life
with a holistic approach to health and personalized
medicine. It is known to be a complete medical system that
comprised physical, psychological, philosophical,ethical, and
spiritual health. In Ayurveda, each cell is considered to be
inherently an essential expression of pureintelligencehence
called self-healing science.
In addition, to the self-healing concept, the use of herbal
treatment is equally important in this Indian traditional
system of medicine.
Individualisation: Social approach:-
Although physicians are just beginning to see the promise of
genetic medicine coming to fruition and can’t hide their
excitement for the technology, the patients are asking for
personalized care: a holistic approach that considers an
individual’s physical, mental, and spiritual well-being. This
perspective considers psychological, religious, and ethical
challenges that may arise as the precision of preventive
medicine improves.
Understanding current areas of potential conflict between
religion and medicine can be informative when anticipating
the public’s concerns regarding personalized medicine. The
most extreme conflict currently is between the medical
community and churches that reject modern medicine, such
as the Indiana-based Faith Assembly and the Christian
Science Church. Personalized medicine will not be relevant
to these individuals as they reject most medical
assistance. The majority of the estimated 172 children who
died between 1975 and 1995 because prayer was used in
lieu of medical care were from such churches.Anothergroup
of people who may challenge personalized medicine are
those who question evolution and, by association, genetics.
In a June 2008 Pew Forum poll, 45% of Americans rejected
evolution as the best explanation of theoriginsofhumanlife.
Population genetics, which will form the basis for much of
the scientific advances in personalized medicine, relies on
certain tenets of heredity that stem from evolutionary
biology. As such, certain religious groups may reject
personalized medicine, while the majority of patients and
physicians are likely to continue to accept the technologies
while distancing themselves from the theoretical
foundations. Atheists may viewillness asastatisticallybased
combination of genetic and environmental factors, while
believers of certain religions mayviewillness aspunishment
or a test of faith by a higher power, as illustrated in the story
of Job. Many Pentecostal andCharismaticChristiansenvision
Satan as the author of sickness and Christ as their healer; in
this framework, they view spiritual and physical healing as
complementary rather than conflicting. Although the
majority of religious institutions, including Roman Catholic
and conservative Protestant churches, havebeensupportive
of DNA-based research and diagnostics, this view could
change if personalized medicine appears to conflict with the
sanctity of human life.
Individualisation: Medico-Social Approach:
Indians have been keepingtrack of theirDNA line,knowingly
or unknowingly, through the GOTRA tracking system. In
most of tribes and religions two people from same kula or
gotra are not allowed to marryas they are considered to be
sharing same ancestors and some similarities in the genetic
sequences, in a way if we see the reason is very scientific
that’s because according to genetic science the parents who
are close relatives and siblings are like to be give birth to a
child who are mentally retarded, suffer from variousgenetic
conditions, and like to show grater mutation in the genetic
makeup which leads to various deformities. So as toavoidall
this; from very ancient time Rajgurus have kept the track of
gotra.
This tracking of DNA line can significantly help in
individualising medicines based on the GOTRA of an
individual.
Individualisation: Psychological approach:-
The biggest challenges in implementing these concepts
would be the most difficult task as there are many ruler
areas where the basic accesses to healthcarefacilityisstilled
believed to be taboo, people believe more on tantras, black
magic, shamans for thir cure. These is due to lack of
awareness, and also the mentality of people under the
pressure of there elders or in the name shake of age old
practices.
Implementing personalized medicine will require attention
to psychological issues already encountered by genetic
counsellors and physicians. Before genetic testing was
possible, 60%–75% of individuals at risk for Huntington
disease indicated that they would undergo testing,butwhen
a test became available only 3%–21% opted to be tested. In
cancer where positive genetic testing could encourage
women or their daughters to participate in vigorous
screening or pre-emptive surgery (such as mastectomy),
testing is not universally accepted. Even among insured
women with recently diagnosed breast cancer, a significant
number (approximately 20%–30%) refuse genetic testing
proper psychological counselling is very important for
individualisation. Understanding the patient will make the
medicines holistic, personalised and effective. Also, making
the patients connect to themselves will make the medicine
much more effective as a person in peace produces minimal
level of stress hormone and make the medicine work with
least hindrance.
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD26359 | Volume – 3 | Issue – 5 | July - August 2019 Page 537
References:-
[1] https://en.wikipedia.org/wiki/Individualization
[2] https://en.wikipedia.org/wiki/Personalized_medicine
[3] healthy-ojas.com/systems/homeopathy-
individualization.html
[4] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5041
382/
[5] https://www.ncbi.nlm.nih.gov/pubmed/23348082
[6] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3584
182/
[7] https://isha.sadhguru.org/in/en/wisdom/article/scie
nce-of-kula-gotra

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Individualisation, A Medico Social and Psychological Approach

  • 1. International Journal of Trend in Scientific Research and Development (IJTSRD) Volume 3 Issue 5, August 2019 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470 @ IJTSRD | Unique Paper ID – IJTSRD26359 | Volume – 3 | Issue – 5 | July - August 2019 Page 535 Individualisation, A Medico-Social and Psychological Approach Swastika Subba1, Dr. Sinchan Das2 1Student, 2Assistant Professor 1,2I.S.C.T.A.S. Kolkata, West Bengal, India How to cite this paper: Swastika Subba | Dr. Sinchan Das "Individualisation, A Medico-Social and Psychological Approach" Published in InternationalJournal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456- 6470, Volume-3 | Issue-5, August 2019, pp.535-537, https://doi.org/10.31142/ijtsrd26359 Copyright © 2019 by author(s) and International Journalof Trendin Scientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative CommonsAttribution License (CC BY 4.0) (http://creativecommons.org/licenses/by /4.0) ABSTRACT The Earth! 4th planet of the solar system and suppose to be only planet that supports lives which makes it the most unique and separate from rest of the planet but that doesn’t mean other planet are less. Every planet has its own unique character that makes it different. Exactly in a same way we are 7.6 billion (i.e 7,600,000,000 people) heads; breathing, walking, talking, working in the Earth, just like those nine planets with there on uniqueness; we are humans with our own complex body mechanism and functions. No doubt we all belong to same species but we too differ in our genetic makeup, response, appearance, emotion, expressions, voice, culture, traditions, response to diseases, fingerprints, our cuisine, personality trait, rituals, dressing, habits, hobbies, mental ability etcetera. So the question here is why there is same medical technology, medical approach, and same medical protocol for every human being? We will totally agree with the fact thatweallaredifferentin one way or the other and our body needs and demands varyfrompersontoperson still there no change in the treatment procedures. As we are advancing with our lifestyle so as the diseases, and our approachesaremakingthosecausative agents more and more resistance which is helping to adapt with the new environment. This brings the need of individualising the technology to every extentpossible using the medico social and psychological approach. So that we’ll be able eradicate not just the symptoms but the disease in whole. KEYWORDS: Individualization, Psyhosocial approach of individualization INTRODUCTION Individualisation is a condition where society as a whole increasingly adapts to the circumstances, preferences, and needs of each individual while acknowledging the individuals rights to this and encourages individuals to use it. The aim of my findings is not here to disrespect any professions or hurt anyone’s believe nor question onanylife saving works of doctors but what I strongly want to convey is the need of changes in the approaches of treatmentsothat we are able to reach every person with the need of health care, where treatments are accessible to every group and class of people and more importantly a disease free environment. Not only in the field of healthcare but also a change in the society which will help in breaking many age old stereotypes. Individualisation in Medicine-Genetic approach:- A. Personalized medicine, also termed individualised medicine, is a medicalprocedure that separates patients into different groups—with medical decisions, practices, interventions and/or products being tailored to the individual patient based on their predicted response or risk of disease. The process might take a longer period and might take hours and maybe a day, and in that same period of time a doctor might be able check 9-10 patient but the question arises here; what kind of healthcare facility are we providing to a person who completely and blindly relies on us for cure, quantity or quality? Although most of the variation between individuals has no effect on health, an individual's health stems from genetic variation with behaviours and influences from the environment. Modern advances in personalized medicine rely on technology that confirms a patient's fundamental biology, DNA, RNA, or protein, which ultimately leads to confirming disease. For example, personalised techniques such as genome sequencing can reveal mutations in DNA that influence diseases ranging fromcysticfibrosistocancer. Another method, called RNA sequencing, can show which RNA molecules are involved with specific diseases. Unlike DNA, levels of RNA can change in response to the environment. Therefore, sequencing RNA can provide a broader understanding of a person’s state of health. Recent studies have linked genetic differences between individuals to RNA expression, translation, and protein levels. In order for physicians to know if a mutation is connected to a certain disease, researchers often do a study called a “genome-wide association study “ (GWAS). A GWAS study will look at one disease, and then sequence the genome of many patients with that particular disease tolook for shared mutations in the genome. Mutations that are determined to be related to a disease by a GWAS study can then be used to diagnose that disease in future patients, by looking at their genome sequence to find that same mutation. Having the genetic content of an individual will allow better guided decisions in determining the source of the disease and thus treating it or preventing its progression. This will be extremely useful for diseases like Alzheimer’s or cancers IJTSRD26359
  • 2. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD26359 | Volume – 3 | Issue – 5 | July - August 2019 Page 536 that are thought to be linked to certain mutations in our DNA. Individualisation: Medical Approch (Homeopathy):- The concept of disease in homeopathy is disease due to total affection of mind and body. Mind and body are dynamic and complexly interlinked; each one influencing the other and acting together. Neither mind nor body falls ill individually. Now we are start learning that prolongemotionalstress(too much desire, anger, greed, pride, jealousy, suspicion, etc.) can lead to upset stomach, difficulty digesting food, poor nutrient absorption, sleeplessness, weakenimmunesystem, etc. The emotional state closely relates to endocrine glands and nerves, which influence over the working of the physical body. Thus, homeopathy medicine is as psycho-somatic medicine and is excellent for psycho-somatic diseases such as Migraine, Asthma, Peptic ulcer, Allergy,Ulcerative colitis, etc. Individualisation: Medical Approach (Ayurveda):- Ayurveda, the traditional Indian medicinal system remains the most ancient yet living traditions with sound philosophical and experimental basis. It is a science of life with a holistic approach to health and personalized medicine. It is known to be a complete medical system that comprised physical, psychological, philosophical,ethical, and spiritual health. In Ayurveda, each cell is considered to be inherently an essential expression of pureintelligencehence called self-healing science. In addition, to the self-healing concept, the use of herbal treatment is equally important in this Indian traditional system of medicine. Individualisation: Social approach:- Although physicians are just beginning to see the promise of genetic medicine coming to fruition and can’t hide their excitement for the technology, the patients are asking for personalized care: a holistic approach that considers an individual’s physical, mental, and spiritual well-being. This perspective considers psychological, religious, and ethical challenges that may arise as the precision of preventive medicine improves. Understanding current areas of potential conflict between religion and medicine can be informative when anticipating the public’s concerns regarding personalized medicine. The most extreme conflict currently is between the medical community and churches that reject modern medicine, such as the Indiana-based Faith Assembly and the Christian Science Church. Personalized medicine will not be relevant to these individuals as they reject most medical assistance. The majority of the estimated 172 children who died between 1975 and 1995 because prayer was used in lieu of medical care were from such churches.Anothergroup of people who may challenge personalized medicine are those who question evolution and, by association, genetics. In a June 2008 Pew Forum poll, 45% of Americans rejected evolution as the best explanation of theoriginsofhumanlife. Population genetics, which will form the basis for much of the scientific advances in personalized medicine, relies on certain tenets of heredity that stem from evolutionary biology. As such, certain religious groups may reject personalized medicine, while the majority of patients and physicians are likely to continue to accept the technologies while distancing themselves from the theoretical foundations. Atheists may viewillness asastatisticallybased combination of genetic and environmental factors, while believers of certain religions mayviewillness aspunishment or a test of faith by a higher power, as illustrated in the story of Job. Many Pentecostal andCharismaticChristiansenvision Satan as the author of sickness and Christ as their healer; in this framework, they view spiritual and physical healing as complementary rather than conflicting. Although the majority of religious institutions, including Roman Catholic and conservative Protestant churches, havebeensupportive of DNA-based research and diagnostics, this view could change if personalized medicine appears to conflict with the sanctity of human life. Individualisation: Medico-Social Approach: Indians have been keepingtrack of theirDNA line,knowingly or unknowingly, through the GOTRA tracking system. In most of tribes and religions two people from same kula or gotra are not allowed to marryas they are considered to be sharing same ancestors and some similarities in the genetic sequences, in a way if we see the reason is very scientific that’s because according to genetic science the parents who are close relatives and siblings are like to be give birth to a child who are mentally retarded, suffer from variousgenetic conditions, and like to show grater mutation in the genetic makeup which leads to various deformities. So as toavoidall this; from very ancient time Rajgurus have kept the track of gotra. This tracking of DNA line can significantly help in individualising medicines based on the GOTRA of an individual. Individualisation: Psychological approach:- The biggest challenges in implementing these concepts would be the most difficult task as there are many ruler areas where the basic accesses to healthcarefacilityisstilled believed to be taboo, people believe more on tantras, black magic, shamans for thir cure. These is due to lack of awareness, and also the mentality of people under the pressure of there elders or in the name shake of age old practices. Implementing personalized medicine will require attention to psychological issues already encountered by genetic counsellors and physicians. Before genetic testing was possible, 60%–75% of individuals at risk for Huntington disease indicated that they would undergo testing,butwhen a test became available only 3%–21% opted to be tested. In cancer where positive genetic testing could encourage women or their daughters to participate in vigorous screening or pre-emptive surgery (such as mastectomy), testing is not universally accepted. Even among insured women with recently diagnosed breast cancer, a significant number (approximately 20%–30%) refuse genetic testing proper psychological counselling is very important for individualisation. Understanding the patient will make the medicines holistic, personalised and effective. Also, making the patients connect to themselves will make the medicine much more effective as a person in peace produces minimal level of stress hormone and make the medicine work with least hindrance.
  • 3. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD26359 | Volume – 3 | Issue – 5 | July - August 2019 Page 537 References:- [1] https://en.wikipedia.org/wiki/Individualization [2] https://en.wikipedia.org/wiki/Personalized_medicine [3] healthy-ojas.com/systems/homeopathy- individualization.html [4] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5041 382/ [5] https://www.ncbi.nlm.nih.gov/pubmed/23348082 [6] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3584 182/ [7] https://isha.sadhguru.org/in/en/wisdom/article/scie nce-of-kula-gotra