Sociodemographic and clinical features of patients with depressive disorder in Khartoum, Sudan

2011 ◽  
Vol 26 (S2) ◽  
pp. 2192-2192
Author(s):  
A. Omer
Keyword(s):  
Retrospective Study ◽  
Clinical Features ◽  
Psychiatric Treatment ◽  
Previous History ◽  
Somatic Symptoms ◽  
Psychiatric Clinic ◽  
Major Health Problem ◽  
Major Health ◽  
Prevalence Of Depression ◽  
History Of

Introduction and objectiveIt's known worldwide that depression is becoming a major health problem and its prevalence is increasing. Unfortunately very few studies were done in our country to verify this. The main objective of this study is to find out the prevalence of depression among patients attending a general psychiatric clinic, and demonstrate their Sociodemographic and clinical features.Type of studyThis is a descriptive retrospective study carried in Khartoum, Sudan.MethodFiles of patients attending a private psychiatric clinical in Khartoum in the period June 2005- June 2010 was reviewed. Only those with diagnosis of depression were chosen, socio demographic date and clinical features were documented, results were shown below.Result and discussionTotal numbers of patients with depression were 137 (11.4%) those with schizophrenia are (13%), meaning that patients with schizophrenia are brought with relatives more than patients with depression. Females are more than males (56.2%), the majority are between ages 41---60 (40.9%), married (65%), (14.9%) has got family history of psychiatric disorders, (52%) has previous history of psychiatric treatment. Regarding clinical features, depressed mood is the commonest symptom (98.5%), loss of interest (91.9%), reduced energy (57%), guilt feelings (17.9%) and (35.8%) of our samples expressed suicidal ideations. The commonest type of somatic symptoms is generalized aches and pain (30.7%). (8%) presented with nihilistic delusions. The most common prescribed antidepressants are SSRI.

scholarly journals Ectopic pregnancy: clinical features, management and complications

2018 ◽  
Vol 7 (4) ◽  
pp. 1484
Author(s):  
Tushar Tatyaba Palve ◽  
Rangan Bhattacharya ◽  
Vijaydeepthi Magtangi
Keyword(s):  
Ectopic Pregnancy ◽  
Clinical Features ◽  
Tertiary Care ◽  
Previous History ◽  
Treatment Modalities ◽  
Childbearing Age ◽  
Major Health Problem ◽  
Surgical Methods ◽  
History Of ◽  
Ectopic Pregnancies

Background: An ectopic pregnancy (EP) occurs when a fertilized ovum implants outside the normal uterine cavity 1. Ectopic pregnancy (EP) is a condition presenting as a major health problem for women of childbearing age.2 The incidence of EP varies with the population, but it has been accounted for 1-2% of all reported pregnancies. EP is one of the few medical conditions that can be managed expectantly, medically or surgically. Surgical methods are still the mainstay in the management of EP, and in developed societies, laparoscopic surgery is currently the gold standard.Methods: This is a retrospective observational study conducted in a tertiary care centre in Mumbai from November 2016 to November 2017.  All patients diagnosed with ectopic pregnancy (by clinical examination, USG and/or B hCG) were included in the study. The aims and objectives of the study were to determine the demographic distribution, risk factors, clinical features, treatment modalities and complications in patients presenting with EP.Results: The incidence of ectopic pregnancies in one year was 1.17%. The commonest age of presentation of EP was between 35-40 years, most of the patients were Gravida 4 (28.57%). Majority of patients presented at a gestational age between 6-8 weeks. Most patients (64.28%) were found to have ruptured ectopic. 28.57% patients had a previous history of abortion. 14.28% of each EP were cornual and heterotopic as found intra-operatively. There was 1 interstitial and 1 scar ectopic pregnancy. The most common associated risk factor in these patients were a history of some form of pelvic surgeries in the past. Most of these patients presented with pain abdomen and were found to be anaemic and with a shock index (SBP/HR) of > 0.8.  64.28% of cases were diagnosed by combination of TVS and serum BhCG levels. Two cases were managed medically, and obstetric hysterectomy was needed in the patient with ruptured scar ectopic gestation.Conclusions: Ectopic pregnancy has a rising incidence in today’s world. With the use of better diagnostic modalities, ectopic pregnancies can be detected early and treated appropriately. However, as a silent disease, it presents with subtle signs and symptoms and hence can be easily misdiagnosed. Also, because of its subtle presentations, patients often present late in the course of the disease, wherein management of the condition can be sometimes life - saving.  But once diagnosed accurately, it needs prompt treatment. Treatment however is easy and patients respond wonderfully with both medical and surgical management.

scholarly journals Acne:Clinico-Epidemiological Study In DermatologyVenereology Outpatient Clinic Of Dr. M. Djamil Hospital Padang During January 2016 – December 2018

2020 ◽  
Vol 13 (4) ◽  
pp. 325-328
Author(s):  
Satya Wydya Yenny
Keyword(s):  
Retrospective Study ◽  
Family History ◽  
Epidemiological Study ◽  
Clinical Features ◽  
Outpatient Clinic ◽  
Medical Records ◽  
Skin Disorder ◽  
Epidemiological Data ◽  
Common Type ◽  
History Of

Although acne is usually recognized as an adolescent skin disorder, the prevalence of adults with acne is increasing. The clinical and epidemiological data of acne were evaluated with a view to establishing possible contributing etiological factors and observing whether clinical features differ from adolescent acne. Division of Dermatology and Venereology Outpatient Clinic Dr. M. Djamil hospital padang during January 2016 until December 2018.Retrospective study performed in Medical Cosmetic Division of Dermatology and Venereology Outpatient Clinic Dr. M. Djamil hospital padang during January 2016 until December 2018. Data was taken from medical records. Out of 224 patients included in the study 54.01% were women and 45.98 % were men. Majority of the patients had comedonal acne (45.53 %), whereas nodulocystic was the least common (13.39%). Most common predominant site of involvement was cheek (44.20 %), followed by chin (25.45 %), and mandibular area (14.58 %). Family history of acne was present in 57.70 %. Scarring was observed in a 39.2 %. Acne is predominant in women, with the most commonly involved of the cheeks, with the most common type was comedones type.

Suicidal Intent in Self-Injury

1977 ◽  
Vol 130 (4) ◽  
pp. 377-385 ◽  
Author(s):  
David W. Pierce
Keyword(s):  
Psychiatric Treatment ◽  
Previous History ◽  
Isolation Method ◽  
Suicidal Intent ◽  
Self Injury ◽  
Suicide Prediction ◽  
Long Term Follow Up ◽  
History Of

SummaryThe difficulties in measuring suicidal intent in cases of self-injury are discussed, and a scale is described to measure this intent. This scale has been used in 500 cases of self-injury. It is practical and reliable. Results show that the scores derived from it are closely related to the similar Beck Scale; they are also related to age, sex, social isolation, method of self-injury, previous history of self-injury or of psychiatric treatment, physical health at the time of self-injury and alcohol abuse. These results are discussed with particular reference to suicide prediction and the future validation of the scale by long-term follow-up.

Impact of infertility treatment in patients with previous history of borderline ovarian tumors: Results of a multicenter study

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 5055-5055
Author(s):  
A. Fortin ◽  
P. Morice ◽  
A. Thoury ◽  
C. Yazbeck ◽  
S. Camatte ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Early Stage ◽  
Case Reports ◽  
Previous History ◽  
Infertility Treatment ◽  
Ovarian Tumors ◽  
Borderline Ovarian Tumors ◽  
History Of

5055 Background: The use of infertility drugs (ID) in infertile patients treated conservatively for ovarian malignancies remains theoretically contraindicated. Few recent case reports seem to suggest that ID could be used in patients treated for a borderline ovarian tumors (BOT). The aim of this multicenter retrospective study was to report the outcomes of the largest series of patients with a previous history of a BOT who underwent the use of ID. Methods: A multicenter retrospective study was conducted among centers which participate in the French National Register on In Vitro Fertilization registry to evaluate the outcomes of patients with a previous history of a BOT treated with ID. Four criteria were defined to select cases: 1. Histologic confirmation of BOT, 2. The use of a conservative surgery, 3. The use of ID and 4. A follow-up ≥ 12 months after the end of infertility treatment. Results: Thirty cases fulfilled inclusion criteria. Infertility therapy began in November 1989. Disease stages were: I (n = 20), II /III with noninvasive implants (n = 8) and unknown in 2 cases. The mean number of cycles of ovarian induction per patient was 2.6 (range,1–10). After a median follow-up of 42 months after infertility treatment, 4 recurrences were observed (all of them were borderline tumors on a remaining ovary treated by surgery alone). All patients are currently disease-free. Thirteen patients have since become pregnant. The median interval between treatment of the BOT and the use of ID is shorter in patients who relapsed compared to patients who did not (5 versus 29 months; p=.07). Conclusions: These results suggest that infertility drugs could be safely used in patients who experience infertility after conservative management of an early-stage BOT. A minimal interval should be respected between treatment of the ovarian tumor and the use of infertility drugs in order to decrease the risk of recurrence. No significant financial relationships to disclose.

Clinical features of and risk factors for major depression with history of postpartum episodes in Han Chinese women: A retrospective study

2015 ◽  
Vol 183 ◽  
pp. 339-346 ◽  
Author(s):  
Fuzhong Yang ◽  
Charles O. Gardner ◽  
Tim Bigdeli ◽  
Jingfang Gao ◽  
Zhen Zhang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Major Depression ◽  
Clinical Features ◽  
Chinese Women ◽  
Han Chinese ◽  
History Of

Self-poisonings with Psychopharmacological Agents in Zagreb

1991 ◽  
Vol 10 (5) ◽  
pp. 305-309 ◽  
Author(s):  
G. Miličević ◽  
H. Prpić
Keyword(s):  
Retrospective Study ◽  
General Population ◽  
Previous History ◽  
Toxic Agent ◽  
Highly Educated ◽  
Male Ratio ◽  
History Of ◽  
The Unemployed ◽  
Epidemiological Characteristics ◽  
Psychopharmacological Agents

1 A 5-year retrospective study of 1743 episodes of self-poisoning in 1608 adult patients, was undertaken to determine the frequency of self-poisoning with psychopharmacological agents, the frequency of each toxic agent usage and the epidemiological characteristics of the poisoned population. 2 The annual incidence of self-poisoning in Zagreb was 38.7 per 100 000 adult inhabitants. The anxiolytic-antipsychotic-antidepressant usage ratio was 8.8:1.5:1.0 in total self-poisoning, whereas it was 4.9:1.5:1.0 in patients with a previous history of self-poisoning. The use of anxiolytics decreased and the use of antidepressants increased during the 5 years. 3 The female—male ratio was 3.8:1 and 77% of self-poisoned persons were aged 15-44 years. The incidence of self-poisoning was 74% higher in the urban than in the rural population. The proportion of self-poisoned persons was 204% higher among the unemployed than in the population as a whole. There were 76% more repetitors among highly educated and 43% fewer repetitors among students than in the general population. The use of antipsychotics was 120% higher in males than in females. The use of antidepressants was 107% higher in the highly educated. 4 The increased use of antidepressants in self-poisoning is an alarming signal and caution in their prescription seems to be indicated.

scholarly journals Mental health in COVID-19 survivors from a general hospital: association with sociodemographic, clinical, and inflammatory variables

2021 ◽  
Author(s):  
Jeff Huarcaya-Victoria ◽  
Jesica Barreto ◽  
Lucia Aire ◽  
Angela Podestá ◽  
Mónica Caqui ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Psychiatric Treatment ◽  
Significant Proportion ◽  
Somatic Symptoms ◽  
Cross Sectional ◽  
Telephone Interviews ◽  
Distress Symptoms ◽  
Mental Symptoms ◽  
History Of

Abstract Background: The current COVID-19 (coronavirus disease 2019) pandemic constitutes a significant problem for the world's public health and generates mental health problems.Objective: To describe the characteristics of mental health in survivors of COVID-19 and the main sociodemographic, clinical, and immune factors related.Method: A Cross-sectional and correlational study was conducted on 318 patients (196 women, mean age 54.4 ± 15.1 years) surviving COVID-19 from one hospital in Peru in which sociodemographic, clinical, and immune characteristics were explored. Through telephone interviews, an evaluation of the presence of depressive, anxious, somatic, and distress symptoms was carried out using standardized scales. Adjusted prevalence ratios (PRa) were estimated.Results: A significant proportion of the patients have depressive (30.3%), anxious (29.9%), somatic (33.7%), and distress (28.7%) symptoms. In the regression analysis, the variables associated with a higher frequency of clinically relevant mental symptoms were female sex (depression: aPR = 2.29; anxiety: PRa = 2.71; somatic symptoms: PRa = 2.04; distress: PRa = 2.11), proceeding outside the capital (depression: PRa = 1.61; anxiety: PRa = 1.53), the self-perception of a greater severity of the infection (depression: PRa = 5.53; anxiety: PRa = 2.29; distress: PRa = 14.78), the presence of persistent COVID-19 symptoms (depression: PRa = 8.55; anxiety: PRa = 11.38; somatic symptoms: PRa = 5.46; distress: PRa = 20.55), a history of psychiatric treatment (depression: PRa = 2.29; somatic symptoms: PRa = 2.90 ; distress: PRa = 3.80), the history of a family member infected by COVID-19 (anxiety: PRa = 4.71; somatic symptoms: PRa = 1.99), and a neutrophil-lymphocyte index greater than 6.5 (depression: PRa = 1.67; anxiety: PRa = 1.82).Conclusion: COVID-19 survivors show a high prevalence of negative mental symptoms. Some useful variables have been found when identifying vulnerable patients requiring psychiatric care.

scholarly journals Intravenous immune globulin in the management of sepsis in PICU RSAB Harapan Kita, Jakarta

2007 ◽  
Vol 47 (5) ◽  
pp. 226
Author(s):  
Guwansyah D. Mulyo ◽  
Martani Widjajanti
Keyword(s):  
Retrospective Study ◽  
Length Of Stay ◽  
Immune Globulin ◽  
Health Problem ◽  
Infants And Children ◽  
Intravenous Immune Globulin ◽  
Major Health Problem ◽  
Major Health ◽  
Neonatal Group

Background Sepsis is a major health problem and a leading causeof death among children. Intravenous immune globulin (IVIG)has been reported in systemic inflammatory conditions.Objective To determine the effectiveness of IVIG in the treatmentof sepsis in children.Methods This was a hospital-based, retrospective study conductedfrom 2000-2001. Sixty neonates and children under 18 years oldwith sepsis were classified to either received or not received IVIG.The IVIG and the non-IVIG groups were compared. Data wasobtained from medical records.Results Of 60 sepsis cases, 16 were neonates (7 received IVIG, 9did not), and 44 were infants and children (25 received IVIGand 19 did not). In neonates, IVIG had no influence on mortality(P=0.838), while in non-neonatal cases, it improved the survivalrate (P=0.010). The suitability of the 1st antibiotic influencedthe outcome and length of stay in neonatal cases (P=0.005), butnot in the non-neonatal group (P=0.111). Although in somecases the 1 st antibiotic was not suitable, IVIG seemed to hold theprocess for a while, giving more time to adjust to a suitableantibiotic according to the culture result.Conclusions The addition of IVIG to standard therapies revealedminimum effect but showed benefit in holding the process, andseemed to improve survival in children, but not in neonates.

Esophageal Cancer

2008 ◽  
Vol 6 (9) ◽  
pp. 818 ◽  
Author(s):  
_ _
Keyword(s):  
Esophageal Cancer ◽  
Supportive Care ◽  
High Body Mass Index ◽  
The United States ◽  
Best Supportive Care ◽  
Major Health Problem ◽  
Major Health ◽  
Caucasian Race ◽  
History Of ◽  
Recent Version

Upper gastrointestinal (GI) tract cancers originating in the esophagus, gastroesophageal (GE) junctions, and stomach constitute a major health problem worldwide; esophageal cancer is the eighth most common cancer worldwide. An estimated 16,470 new cases of and 14,280 deaths from esophageal cancer will occur in the United States in 2008. Risk factors associated with development of esophageal cancer include age, male gender, Caucasian race, high body mass index, Barrett's esophagus, and history of gastroesophageal reflux disease. Important updates for the 2009 guidelines include a new page on “Principles of Best Supportive Care” that gives specific recommendations for esophageal cancer best supportive care throughout the guidelines. To view the NCCN Clinical Practice Guidelines in Oncology on Gastric Cancers, please visit the NCCN Web site at www.nccn.org. For the most recent version of the guidelines, please visit NCCN.org

Psychiatric Manifestations of Frontal Lobe Tumours

1989 ◽  
Vol 155 (6) ◽  
pp. 735-738 ◽  
Author(s):  
M. A. Ron
Keyword(s):  
Psychiatric Treatment ◽  
Psychiatric Patients ◽  
Correct Diagnosis ◽  
Previous History ◽  
Memory Loss ◽  
Psychiatric Disease ◽  
Surgical Removal ◽  
History Of ◽  
Psychiatric Manifestations ◽  
Made In

In a recent article in the British Medical Journal Maurice-Williams & Dunwoody (1988) reported two patients with frontal meningiomas who presented initially to psychiatrists. The correct diagnosis was made in one of them after prolonged, perhaps unnecessary, psychiatric treatment. In the other the diagnosis was made at autopsy. In this case psychiatrists were only briefly involved and neurosurgical referral had been made promptly. The authors, who treat these reports as a cautionary tale, conclude by warning psychiatrists to pay special attention to a number of features in the history and examination of psychiatric patients. In particular we are told that suspicion should arise in the presence of gradual non-remitting symptoms such as irritability, memory loss, self-neglect, dysphasia or incontinence in patients without a previous history of psychiatric disease or clear precipitating factors. They also suggest that we pay attention to the views of relatives when they feel the patient suffers from a physical rather than a psychiatric illness, and emphasise that early diagnosis leads to easier surgical removal and better outcome.

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