Journal of Mid-life Health Journal of Mid-life Health
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 Table of Contents 
Year : 2016  |  Volume : 7  |  Issue : 1  |  Page : 1  


1 Chief Editor, Journal of Midlife Health, Gynaecworld, Kwality House, Kemps Corner, Mumbai, Maharashtra, India
2 Department of Obstetrics and Gynecology, Southend Fertility and IVF Centres, NCR, New Delhi, India

Date of Web Publication22-Mar-2016

Correspondence Address:
Duru Shah
Chief Editor, Journal of Midlife Health, Gynaecworld, Kwality House, Kemps Corner, Mumbai, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0976-7800.179169

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How to cite this article:
Shah D, Malik S. Editorial. J Mid-life Health 2016;7:1

How to cite this URL:
Shah D, Malik S. Editorial. J Mid-life Health [serial online] 2016 [cited 2021 May 12];7:1. Available from:

The current issue of the Journal of Midlife Health will be the last issue of our tenure spanning over 3 years of both Sonia Malik and myself, as Co-Chief Editors of the Journal of Midlife Health.

As gynecologists, we are the primary care physicians of women and it is our responsibility to look after their overall health besides their reproductive health. As a matter of fact, during her postreproductive years, a woman basically needs preventive healthcare to prevent and contain noncommunicable diseases (NCDs) such as cancer, cardiovascular disease (CVD), osteoporosis, and neurological disorders.

Being as gynecologists, we are in the privileged position of preventing morbidity of many of these long-term health issues. If we are sensitive toward every woman who approaches us for any reproductive health issues, we should look at it as an opportunity to evaluate her risk factors for these various NCDs and probably prevent future complications.

The article on “Risk factors of transient ischemic attack: An overview” by Supreet Khare reviews the risk factors in women which could lead to neurological damage. With a simple test such as ultrasound of the carotid arteries, we can identify women at risk for developing an atherosclerotic cardiovascular disease (ASCVD) event. Screening women through carotidal artery evaluation may have a valuable predictive method in primary and secondary prevention and risk assessment of an ASCVD. Coronary artery calcium scores using multislice spiral computed tomography is considered fairly accurate and is done to confirm the presence and amount of calcification in the coronary arteries. Ultrasound of the carotids in the neck using a high-end scanner helps to assess the thickness of the intima-media of the carotid arteries, which indirectly assesses narrowing of the caliber of the vessels. This becomes a simple method to look for decreased blood flow to the brain. Therefore, carotid ultrasound could be utilized as a screening tool to assess risk of cardiovascular events in high-risk populations as it is noninvasive, economical, easy to carry out and does not cause any radiation. As gynecologists, we could offer such a tool to high risk women and if found to be positive, then it would be best to refer them to the concerned specialist so that they get the correct advice to prevent long term disease.

Just as coronary angiography has paved the way to prevent CVD, similarly carotid artery blocks can be managed effectively through interventional neurological procedures to prevent transient ischemic attacks. On the other hand, there is no evidence that regression of carotid intima-media thickness with medications can prevent reduction of clinical cardiovascular events.

I would like to use this opportunity to say goodbye to our readers on behalf of Dr. Sonia Malik and myself. The last 3 years have been very meaningful, and the journal has matured into a quarterly issue though we still have a long way to go to become one of the leading journals on postreproductive health. I would like to profusely thank our Editorial Board, our National and International Peer Reviewers, we authors of the various articles in all our issues, our Corporates who have offered support through advertisements in the Journal, and finally the Governing Councils of the last 3 years for having the confidence in us to deliver. We wish our next set of Editors-in-Chief, Dr. Sudha Sharma and Dr. Neelam Aggarwal, “all the best in their tenure” and are confident that they will take the journal to greater heights.


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