Birth order and psychiatric morbidity

2017 ◽  
Vol 41 (S1) ◽  
pp. S356-S356
Author(s):  
J. Hussain

Objectives:– to determine the frequency of sociodemographic factors (birth order)among subjects attending a psychiatric clinic;– to establish psychiatric diagnosis of subjects;– to bring out dominating frequencies of birth orders of the patient in relation with related diagnosis.MethodologyThis cross-sectional study was conducted at outpatient clinic of Liquate university hospital Hyderabad during 1st January 2012 to 31st January 2012. One hundred consecutive subjects attending a psychiatric OPD with psychiatric symptoms, were assessed for the total siblings, birth order among siblings and their psychiatric diagnosis. The socio-demographic data was recorded through a designed semi-structured proforma, and diagnosis was established by diagnostic and statistical manual-IV text revised criteria (DSM-IV TR).ResultsThe age range remained 9-60 years and numbers of siblings were in the range of 1–12 siblings and fourth birth order was found to be dominant in this study to have psychiatric morbidity (38%). While, frequency of first order birth was 18%. Generalized anxiety disorder and depressive (GAD) disorders were dominant diagnosis (55%), while GAD was more in the male gender.ConclusionThis study shows that psychiatric morbidity was more common in the lower birth order. This study may be carried out at different centers of psychiatry for the better assessment of psychiatric morbidity.Disclosure of interestThe author has not supplied his declaration of competing interest.

2017 ◽  
Vol 6 (4) ◽  
pp. 14-17
Author(s):  
C P Sedain

The hilly area of far western development region is the most remote area of Nepal. This is the region of less health facility. The aim of the study was to find out psychiatric morbidity of patients attending free check up clinic of far western development region Nepal. A prospective cross-sectional study comprised of all consecutive patients attending free check up psychiatric clinic of far western development region Nepal. All the patients attending the free clinics for four days were taken as case. The study was performed in the month of June, 2013. Demographic data and disease profile of 287 patients attending the clinic were analyzed. The ratios and proportions were used for statistical analysis. Most of Patients attended of far western development region free mental health clinic were farmer of age group 20-29 years. The commonest incidence of psychiatric illness was depressive disorder and (tension/migraine) headache. 


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Huailiang Wu ◽  
Weiwei Sun ◽  
Hanqing Chen ◽  
Yanxin Wu ◽  
Wenjing Ding ◽  
...  

Abstract Background Pregnant women experience physical, physiological, and mental changes. Health-related quality of life (HRQoL) is a relevant indicator of psychological and physical behaviours, changing over the course of pregnancy. This study aims to assess HRQoL of pregnant women during different stages of pregnancy. Methods This cross-sectional study was performed using the The EuroQoL Group’s five-dimension five-level questionnaire (EQ-5D-5L) to assess the HRQoL of pregnant women, and demographic data were collected. This study was conducted in a regional university hospital in Guangzhou, China. Results A total of 908 pregnant women were included in this study. Pregnant women in the early 2nd trimester had the highest HRQoL. The HRQoL of pregnant women rose from the 1st trimester to the early 2nd trimester, and dropped to the bottom at the late 3rd trimester due to some physical and mental changes. Reports of pain/discomfort problem were the most common (46.0%) while self-care were the least concern. More than 10% of pregnant women in the 1st trimester had health-related problems in at least one dimension of whole five dimensions. In the whole sample, the EuroQoL Group’s visual analog scale (EQ-VAS) was 87.86 ± 9.16. Across the gestational stages, the HRQoL remained stable during the pregnancy but the highest value was observed in the 1st trimester (89.65 ± 10.13) while the lowest was in the late 3rd trimester (87.28 ± 9.13). Conclusions During pregnancy, HRQoL were associated with gestational trimesters in a certain degree. HRQoL was the highest in the early 2nd trimester and then decreased to the lowest in the late 3rd trimester due to a series of physical and psychological changes. Therefore, obstetric doctors and medical institutions should give more attention and care to pregnant women in the late 3rd trimester.


2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Sidra Hameed ◽  
Faisal Faiyaz Zuberi ◽  
Sagheer Hussain ◽  
Syed Khalid Ali

Objective: To evaluate risk factors having significant effect on mortality of smear positive Pulmonary Tuberculosis (PTB) inpatients. Methods: A descriptive cross-sectional study was conducted at Ojha Institute of Chest Diseases, Dow University Hospital Ojha Campus, Karachi. One hundred and seventy (170) inpatients of smear positive PTB confirmed by Acid Fast Bacilli (AFB) smear, aged between 13-80 years were enrolled by using consecutive sampling technique while patients with drug resistant Tuberculosis (TB) and extra pulmonary TB were excluded from the study. Selected patients were interviewed for collecting demographic data and risk factor data by using a standard questionnaire. Results: Out of 170 PTB inpatients, mortality was observed in 23 (13.5%) patients among which male patients were 12 (52.2%), and female were 11 (47.8%). Mortality was significantly associated with increasing age (p=0.003), socioeconomic status (p=0.019), anemia (p=0.03), Chronic Liver Disease (CLD) (p=0.005), Diabetes Mellitus (DM) (p=0.001), Human Immunodeficiency Virus (HIV) (p=0.007), Hypertension (HTN) (p=0.006), recurrent TB (p=0.001), and smoking (p=0.001). Conclusion: Increasing age, poverty, smoking history, and presence of comorbidities like DM, CLD, HIV, hypertension, and anemia are associated with higher mortality in smear positive PTB cases. doi: https://doi.org/10.12669/pjms.35.5.919 How to cite this:Hameed S, Zuberi FF, Hussain S, Ali SK. Risk factors for mortality among inpatients with smear positive pulmonary tuberculosis. Pak J Med Sci. 2019;35(5):---------. doi: https://doi.org/10.12669/pjms.35.5.919 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2013 ◽  
Vol 2 (1) ◽  
pp. 30-34
Author(s):  
CP Sedain

Introduction: Maryknoll Nepal has been running community mental health clinics different part of the country. The aim of the study was to find out psychiatric morbidity of patients attending Maryknoll free check up clinic Simara, Bara district of Nepal. Methods: A prospective cross-sectional study comprised of all consecutive patients attending Maryknoll free check up clinic Simara, Bara district, Nepal. All the patients attending the free clinics were taken as cases. The study was conducted in January 2009. Demographic data and disease profile of 87 patients attending the clinic were analyzed. The ratios and proportions were used for statistical analysis. Results: Data from Simara free mental health clinic shows that the male to female ratio was 0.55:0.44.The age group 30-39(N-25, 28.74%) followed by age group 20-29 (N-19, 21.84%) was the commonest. The farmer were (N-49, 56.31 %) the most common visitor. The highest number of cases were depressive disorder (N-16, 18.93 %) followed by mania/BPAD (N-14, 16.09 %) and Schizophrenia (N-12, 13.73 %). Conclusion: The commonest incidence of psychiatric illness attending the free clinic is depressive disorder and mania/BPAD. DOI: http://dx.doi.org/10.3126/jpan.v2i1.8572 J Psychiatrists’ Association of Nepal Vol .2, No.1, 2013 30-34


2020 ◽  
Vol 2 ◽  
pp. 36-41
Author(s):  
Bhandari Gurbir Singh

Objectives: The aim of this study was to study the clinical profile of systemic lupus erythematosus (SLE) patients from a tertiary care center in Northwest Punjab. Materials and Methods: It was an observational cross-sectional study conducted at the Rheumatology Clinic, Adesh Hospital, Bathinda. Twenty-five patients classified to be suffering from SLE as per standard classification criteria (Systemic Lupus International Collaborating Clinics [SLICC]) were enrolled after obtaining consent for the same. Socio-demographic data, disease duration, disease activity, and treatment received were recorded. Analysis was performed for the various parameters. Results: The majority of patients (88%) were females with a female to male ratio of 7.3:1 with mean age of 30.5 years. Mucocutaneous involvement (92%) followed by musculoskeletal (84%). Nephritis was seen in 36%, deforming arthritis in 8%, and pleural involvement in 36% while ILD in 12%. Pericarditis was seen in 16%, and myocarditis was seen in 12%. Neurological involvement was seen in 36% patients with two cases of thrombotic CVA, one case of SAH and three cases of seizure disorder. Psychiatric symptoms were observed in 16% cases. AIHA was seen in 12%, leukopenia in 44%, and thrombocytopenia in 68%. Most common antibody was anti-dsDNA being present in 48% cases, followed by Anti Ro-60, Ro-52, Anti Sm, and Anti U1RNP antibody. Conclusion: We found a striking difference in the prevalence of pleuropulmonary features, neuropsychiatric features, Leukopenia, and thrombocytopenia in our subgroup of population as compared to the earlier studies from central and southern parts of India thus further emphasizing the fact that ethnic backgrounds predispose a patient for different phenotype.


2022 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Shahryar Sane ◽  
Behzad Sinaei ◽  
Parang Golabi ◽  
Hadi Talebi ◽  
Nazila Rahmani ◽  
...  

Background: Children with brain tumors experience potential neurologic complications when are treated with radiotherapy, especially if done frequently under anesthesia. Objectives: This study aimed to evaluate the neurologic complications associated with anesthesia in pediatrics treated with radiotherapy under anesthesia. Methods: This cross-sectional study consisted of 133 pediatric patients with a brain tumor who needed anesthesia for performing radiotherapy and were referred to Omid Charity Hospital and Imam Khomeini University Hospital from 2014 to 2020 by the census. Statistical values less than 0.05 were considered significant (P < 0.05). Results: The patients were in range of 1 - 8 years, and the number of 3,208 anesthesia inductions were conducted for daily radiotherapy. Major complications such as stroke, arrhythmia, tachyphylaxis, and aspiration were not observed. There was a significant relationship between the tumor side, anesthesia, and neurologic complications (P < 0.05). No significant differences were found between demographic data (age, sex, and weight) (P > 0.05). Conclusions: Anesthesia complications in this study were slight and insignificant. Some were either due to the tumor effect on other vital organs or prior exposure to radiotherapy and chemotherapy. Thus, for providing safe anesthesia, considering the tumor effect on body organs and neurologic complications caused by it can be a great help to reduce anesthesia complications in pediatrics under radiotherapy.


2016 ◽  
Vol 49 (2) ◽  
pp. 251-264 ◽  
Author(s):  
Sorayya Kheirouri ◽  
Mohammad Alizadeh

SummaryThis cross-sectional study was carried out to capture possible maternal factors affecting newborns’ anthropometric measurements. Data were collected from eight public health centres and referral university hospital records in Tabriz and Heriss districts, north-west Iran, for 807 mother–neonate pairs delivering live singleton births and their offspring during the two years up to August 2014. The incidence of low birth weight (LBW) was 5.1%. A close correlation was found between maternal anthropometry and birth order with neonatal anthropometric data. Birth order and maternal height and body mass index (BMI) positively affected neonates’ birth size (weight, length and head circumference). The rate of LBW was significantly higher for older (≥35 years), taller (≥170 cm), underweight (BMI<18.5) and non-iron-taking women and in the first-born babies. The odds of having LBW newborns in older, taller, underweight, obese and irregular iron-taking women were 3.82, 4.00, 9.07, 3.50 and 2.50 times those of mid-age group, middle-height, overweight and regular iron-taking women, respectively. First-born newborns were 5.97 times more likely to be LBW compared with second-birth neonates. The results indicate that maternal anthropometric indices, age, iron intake and birth order influence the risk of LBW in newborns.


2022 ◽  
Author(s):  
Samiha Yousef Sartawi ◽  
Yazan Hassona ◽  
Dua'a Alqaisi ◽  
Nesreen A Salim ◽  
Salah AL-Omoush

Abstract Objectives: To obtain baseline information on Oral Mucosal Conditions (OMCs) and its relation to age, sex, medical history and the use of complete denture in a sample of edentulous patients. Materials and methods: Edentulous patients attending a university hospital were examined for the presence of OMCs, and demographic data were recorded. Statistical analysis was carried out on SPSS software; the following statistical tests were utilized: descriptive statistics, The Mann Whitney U test, Spearman’s Rho rank correlations, and The hierarchical logistic regression analysis. Results: A total of one hundred and sixty-one participants were examined (34 females and 127 males with a mean age of 59.08 years). More than half of the participants (59.6 %) were non-denture wearers and (40.6%) were denture wearers. Longer edentulism, using dentures for longer duration, and the use of more previous dentures were associated with higher Atwood’s ridge classification. Smoking was associated with higher prevalence of OMCs, particularly hairy tongue, frictional keratosis, smokers’ palate, and leukoedema. Denture wearers had more denture stomatitis and denture induced hyperplasia, and less frictional keratosis than non-denture wearers. Participants with cardiac disease had more incidences of geographic tongue and tie tongue. Conclusion: Mucosal changes with increased age, smoking, medical conditions, and medications may be superimposed by wearing complete dentures.


2017 ◽  
Vol 46 (5) ◽  
pp. 278-283
Author(s):  
Cinthia Nara Gadelha TEIXEIRA ◽  
Maria Imaculada de Queiroz RODRIGUES ◽  
Paulo Goberlanio de Barros SILVA ◽  
Myrna Maria Arcanjo FROTA ◽  
Maria Eneide Leitão de ALMEIDA

Abstract Introduction Quality of life (QL) is subjective and must be based on a multidimensional construct and on positive and negative factors in the individual’s life. Objective The objective of this study was to evaluate the QL of the students of the Postgraduate Program in Dentistry (PPGO) of the Federal University of Ceará. Material and method Cross-sectional study with a quantitative approach, conducted with 88 students regularly enrolled in PPGO. The QL was measured by the World Health Organization Questionnaire for Quality of Life-bref (WHOQOL-bref). For a better analysis of the QL scores, they were categorized into three levels: dissatisfaction, uncertainty and satisfaction. A multinomial logistic regression model was used. Result The majority of the respondents (55.7%) was classified in the area of satisfaction with QL, with 14,05 total average scores, corresponding to 62.8% of the total. By associating the socio-demographic data with the categories of analysis of QL, it was observed relevant in single students (p=0.005), those who considered themselves religious (p=0.041) and those who did not have a postgraduate scholarship (p=0.025), being evaluated in the area of dissatisfaction/uncertainty about the QL. Conclusion It was concluded that marital status, religion and scholarship in postgraduate school were relevant in the QL of stricto sensu postgraduate students in Dentistry.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Khaled A. Abdel Baseer ◽  
Eman Fathala Gad ◽  
Yaser F. Abdel Raheem

Abstract Background Organophosphates are one of the most common agents of poisoning in developing countries including Egypt. Due to lack of data about characteristics of organophosphates poisoning in our localities, we aimed to evaluate its clinical pattern and factors affecting outcome. Methods It was a cross-sectional study conducted in South valley University hospital between January 2019 and December 2019. It included all children ≤16 years of age presented with organophosphates poisoning. Diagnosis was performed from the history taken from the patient’s relatives and presenting symptoms. Demographic data, mode and route of poisoning, time from exposure to presentation, clinical symptomatology, grading and routine investigations were evaluated in addition to treatment taken and outcome. Results During the study period, 108 children; mean age was 7.95 ± 4.11 years (range 1. 5-16 years) presented with organophosphorous poisoning. Sixty five (60%) cases were females and 43 (40%) were males. Unintentional acts (87%) were detected more than suicidal (13%) and inhalation route (63.8%) more than ingestion (36. 2%). Miosis was the most frequent clinical sign (100%) followed by respiratory distress (77.7%). Regarding time of presentation to emergency department, 43 (40%) cases were presented within 6 h while others presented more than 6 h post-exposure. Mechanical ventilation (MV) was needed for 14 (13%) cases and 6 (5.5%) cases died due to respiratory failure. Duration of hospital stay, mean time interval from toxic exposure to hospital presentation, leucocytosis, need for MV and cumulative dose of pralidoxime were significantly higher in non survivors than survivors while Pao2 (partial arterial oxygen) and GCS (Glasgow coma scale) were significantly lower. Conclusion This study concluded that time consumed till presentation to hospital, low GCS, need for MV, leucocytosis, decreased PaO2 and increased cumulative dose of pralidoxime were independent risk factors of mortality.


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