The Effects of Hopelessness and Some Variables on Metabolic Syndrome in Schizophrenia Patients

2021 ◽  
pp. 105477382110572
Author(s):  
Yadigar Çevik Durmaz ◽  
Tuğba Menekli ◽  
Berna Ersoy Özcan
Keyword(s):  
Metabolic Syndrome ◽  
Drug Treatment ◽  
Atypical Antipsychotics ◽  
Personal Information ◽  
Descriptive Study ◽  
University Hospital ◽  
Clinical Variables ◽  
Psychiatry Clinic ◽  
Duration Of Disease ◽  
The Mean

This is a descriptive study conducted to determine the prevalence of Metabolic Syndrome (MetS) in Schizophrenia patients and identify the effects of hopelessness and some variables on MetS. The study was conducted at the Psychiatry Clinic of a university hospital in Turkey between May and August 2020 with 105 schizophrenia patients receiving treatment as inpatients. The data of the study were collected by a Personal Information Form, a Physiological Measurements Form and (BHS). The data were analyzed by using SPSS 25. The mean age of the patients was 35.31 ± 9.07, their mean duration of disease was 11.35 ± 9.07 years, and 60.0% of the patients were using atypical antipsychotics as their latest drug treatment. 42.9% of the patients had MetS, while the mean hopelessness level of those with MetS was 10.84 ± 3.81. It was determined that hopelessness levels and some sociodemographic (age) and clinical variables significantly predicted the MetS status in the schizophrenia patients.

scholarly journals To Determine the Frequency of Thrombocytopenia in Pre Eclamptic Presented at Isra University Hospital

2021 ◽  
pp. 242-247
Author(s):  
Hafiza Khatoon ◽  
Rukhsana Ahmed ◽  
Ambreen Naz ◽  
Nousheen Mushtaq ◽  
Asma Irfan ◽  
...  
Keyword(s):  
Gestational Age ◽  
High Frequency ◽  
Urban Areas ◽  
Maternal Age ◽  
Descriptive Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Preeclamptic Patient ◽  
Duration Of Disease ◽  
The Mean

Objective: To determine the frequency of thrombocytopenia in pre-eclamptic women presented at Isra University Hospital Hyderabad. Patients and Methods: This cross sectional descriptive study of six months study was conducted at Isra university hospital from April 2019 to September 2019. All the patients between ≥18 - 45 years of age diagnosed preeclampsia were admitted and evaluated for thrombocytopenia. Results: During six month study period, total of 177 patients with preeclampsia were evaluated for thrombocytopenia. The majority of patients were from urban areas 125/177 (70.6%). The mean ±SD for maternal and gestational age of the preeclamptic patient was 32.75±8.85 and 28.75±7.63 whereas the mean platelet count was 93200±10.74 respectively. The majority of the patients were 21-30 years of age (54.8%) and the finding was statistically significant with gestational age [p=0.002]. The thrombocytopenia was observed in 99/177 (55.9%) and is statistically with relation to maternal age, gestational age and parity while in context to gravida and duration of disease it is non significant. Conclusion: A significantly high frequency of thrombocytopenia (55.9%) was recorded in the patients with preeclampsia and is statistically with relation to maternal and gestational age and parity.

Eating Disorders in Schizophrenia

2017 ◽  
Vol 41 (S1) ◽  
pp. S284-S284 ◽  
Author(s):  
R. Sallemi ◽  
S. Hentati ◽  
I. Feki ◽  
J. Masmoudi ◽  
M. Moala
Keyword(s):  
Eating Disorders ◽  
Negative Impact ◽  
Female Gender ◽  
University Hospital ◽  
Atypical Neuroleptics ◽  
Optimal Care ◽  
Duration Of Disease ◽  
The Mean ◽  
Competing Interest ◽  
Data Collections

BackgroundDue to their frequency and negative impact on quality of life, eating disorders in schizophrenia need to be considered and highlighting.ObjectiveTo identify the risk of eating disorders (ED) and its correlates among mental patients.MethodsIt was a descriptive and analytic study. It included 53 inpatients with DSM-5 diagnoses of schizophrenia or schizoaffective disorder, followed in the department of Psychiatry at the Hedi Chaker University Hospital of Sfax in Tunisia, during the three months of August, September and October 2016. Data collections were conducted using questionnaire exploring sociodemographic and medical data. The SCOFF (sick, control, one, fat, food) Questionnaire was used to screen ED. A total score of ≥ 2 was used as a cutoff point to select persons at risk of ED.ResultsThe average age of our patients was 30.47 ± 9.5 years old. The majority of our patients was male (71.7%) and single (71%). The mean of extra Body mass was 27.9. The mean duration of disease was 9.9 ± 8.1 years and patients were mostly (54%) in atypical neuroleptics. According to the SCOFF Questionnaire, 35.8% had a risk of ED. Female gender and treatment with atypical neuroleptics were significantly associated to ED risk with respectively P = 0.02 and P = 0.038.ConclusionEating disorders remain underestimated among patients suffering from schizophrenia. Yet, its screening prevention and management are crucial and must be multidisciplinary for optimal care.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Clinical profile of patients hospitalized for delirium

2017 ◽  
Vol 41 (S1) ◽  
pp. S704-S704
Author(s):  
F. Smaoui ◽  
M. Frikha ◽  
I. Bouchhima ◽  
O. Hdiji ◽  
N. Farhat ◽  
...  
Keyword(s):  
Sex Ratio ◽  
Descriptive Study ◽  
Clinical Syndrome ◽  
Clinical Profile ◽  
University Hospital ◽  
First Episode ◽  
Memory Disorder ◽  
The Mean ◽  
Competing Interest ◽  
Medical Histories

IntroductionDelirium is a common clinical syndrome characterized by acute disruption of all cognitive and behavioural functions.Objectives– Draw up an epidemiological and clinical profile of patients hospitalised for delirium;– Assess different pathologies involved.MethodsWe conducted a retrospective and descriptive study, in the neurology department at Habib Bourguiba university hospital, Sfax, Tunisia, at the period from 2009 to 2013. We included 52 patients hospitalised for delirium. Socio-demographic and clinical data were collected from patient files.ResultsThe mean age was 66.5 years. The majority (73.1%) were elderly patients (> = 60 years). Sex-ratio (M/F) was 1.73. It was the first episode in 96.2%.Medical histories were cardiovascular in 55.8%, endocrinal in 25%, neurological in 11.5% and psychiatric in 13.5%. The beginning of the signs was brutal in 55.8% of cases. The reported symptoms were: disorientation in time and space (76.9%) and behaviour disturbance (63.5%), memory disorder (23.1%), headaches (26.9%) and hallucinations (17.3%). Organic etiologies were noted in 75% of cases: vascular 42.30%, metabolic 11.50%, infectious 11.5%, tumoral 3.9% and iatrogenic 3.8%. Delirium grafted on dementia was retained in 5.8% of cases.ConclusionDelirium is associated with increased mortality. Its prevention is essential and requires recognition of risk situations.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals C-REACTIVE PROTEIN (CRP)

2015 ◽  
Vol 22 (01) ◽  
pp. 076-080
Author(s):  
Shuaib Ansari ◽  
Irfan Murtaza Shahwani ◽  
Zeeshan Ali ◽  
Syed Zulfiquar Ali Shah ◽  
Faisal Shahab
Keyword(s):  
Metabolic Syndrome ◽  
Diastolic Pressure ◽  
University Hospital ◽  
C Reactive Protein ◽  
Serum Triglycerides ◽  
Cross Sectional ◽  
Male And Female ◽  
Female Patients ◽  
Reactive Protein ◽  
The Mean

Objective: To determine the frequency of raised C-reactive protein (CRP) inpatients with metabolic syndrome. Patients and methods: This cross sectional descriptivestudy of six months study was conducted at Liaquat University Hospital Hyderabad. All thepatients of 20 to 60 years of age, of either gender presented with symptoms of metabolicsyndrome for more than 01 year duration were admitted and evaluated for C-reactive protein.The data was analyzed in SPSS 16 and the frequency and percentage was calculated. Results:Total one hundred patients (59 females and 41 males) with metabolic syndrome were evaluatedfor C-reactive protein. The mean waist circumference for males and female patients with raisedCRP was 48.93±2.33 and 48.42±3.41 while the mean ±SD of serum triglycerides level for maleand female with raised CRP was 192.41±3.21 and 196.31±3.43 respectively. The mean ±SD ofserum HDL-C level for male and female with raised CRP was 28.32±1.22 and 25.31±1.42. Themean ±SD of systolic and diastolic pressure for males and female patients with raised CRP was150±3.42 and 100.51±4.42. The mean ±SD of serum fasting blood sugar for male and femalepatients with raised CRP was 131.52±3.33 and 143.42±7.42 respectively. The mean ±SD ofCRP for male and female patients with raised CRP was 4.42±1.21 and 5.8±2.52. In relationto gender distribution, the majority of subjects from 40-49 years of age group with femalepredominance (p = 0.01) while the CRP was raised in 67% patients in relation to age (p=0.05)and gender (p=0.04) respectively. Out of 67 subjects with raised CRP 44 were females and 23were males.Conclusions: The CRP was raised in patients with metabolic syndrome.

scholarly journals Frequency of metabolic syndrome in patients with newly diagnosed Type II Diabetes at DOW University Hospital, Karachi-Pakistan.

2021 ◽  
Vol 28 (11) ◽  
pp. 1546-1551
Author(s):  
Muhammad Umar Khan ◽  
Akhtar Ali Baloch ◽  
Muhammad Arsalan ◽  
Syed Muhammad Adnan
Keyword(s):  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Waist Circumference ◽  
Type Ii Diabetes ◽  
University Hospital ◽  
Diabetic Patients ◽  
Type Ii ◽  
Newly Diagnosed ◽  
Cross Sectional ◽  
The Mean

Objectives: To determine the prevalence of metabolic syndrome in patients with newly diagnosed type 2. Study Design: Descriptive Cross Sectional study. Setting: Dow University Hospital. Period: October 2018 to January 2019. Material & Methods: A total 342 patients prevalence of metabolic syndrome in patients with newly diagnosed type II diabetes at Dow University Hospital, Karachi, Pakistan. Data was collected through a questionnaire which is designed to record the age, gender, BMI, FBS, Waist circumference, blood pressure, HDL and triglyceride level of newly diagnosed of diabetic patients. Frequency and percentages were calculated for these variables. SPSS version 21 was used to analyze the overall results. Results: A total of 342 new diagnosed diabetic were included in this study. 189 (55.26%) were males and 153 (44.74%) were females. The mean + SD of age was 48.21±9.28 years. The mean + SD of FBS was about 192±43 mg/dl with ranges from 98 to 482 mg/dl. The mean + SD of Serum TG was about 243±152 mg/dl with ranges from 189 to 325 mg/dl. The mean + SD HDL was about 38.9±9.23 mg/dl with ranges from 12 to 102 mg/dl. The mean + SD of waist circumference was about 110.5±11.90 cm. The mean + SD systolic & diastolic blood pressure was about 150 + 8.23 & 98 + 11.28 respectively. The mean + SD of BMI was 29.23+ 11.23. Metabolic syndrome was diagnosed in 252 (73.68%) in newly diabetic patients. Conclusion: Metabolic syndromes were highly associated with newly diagnosed type II diabetes patients.

The importance of parathormone in determining the deficiency of vitamin D

2019 ◽  
Vol 44 (5) ◽  
pp. 585-593
Author(s):  
Sevcan Uğur ◽  
Cahit Kaçar ◽  
Sebahat Özdem
Keyword(s):  
Vitamin D ◽  
Negative Correlation ◽  
Threshold Value ◽  
Descriptive Study ◽  
University Hospital ◽  
Vitamin D Levels ◽  
The Mean ◽  
25 Oh Vitamin D ◽  
Serum Pth

Abstract Background To evaluate the association of parathormone with vitamin D and to find a threshold value for vitamin D. Material and methods This descriptive study included 11,753 (2352 males, 9401 females) patients from University hospital and 25-OH vitamin D and PTH levels were evaluated. Results The mean parathormone level was 49.33 ± 22.39 pg/mL. 18.7% of the patients had hyperparathyroidism. 77.4% of the patients had low 25-OH D vitamins. There was a negative correlation between serum parathormone levels and 25-OH vitamin D levels. The minimum 25-OH vitamin D level to keep PTH below 65 pg/mL was 18.5 ng/mL. Conclusion For determining the threshold value of 25 OH vitamin D, serum PTH levels should be assessed with 25-OH vitamin D levels.

scholarly journals Atypical Antipsychotic Induced Weight Gain in Schizophrenic Patients

2021 ◽  
Vol 10 (1) ◽  
pp. 57
Author(s):  
Tetie Herlina ◽  
Dyah A. Perwitasari ◽  
Haafizah Dania ◽  
Santi Yuliani ◽  
Melisa I. Barliana
Keyword(s):  
Metabolic Syndrome ◽  
Body Weight ◽  
Weight Gain ◽  
Side Effects ◽  
Atypical Antipsychotic ◽  
Atypical Antipsychotics ◽  
Consecutive Sampling ◽  
Retrospective Design ◽  
Schizophrenic Patients ◽  
The Mean

Atypical antipsychotics are widely prescribed and have the potential to cause weight gain, which may result in the development of metabolic syndrome. Also, it is important to monitor the use of atypical antipsychotic for metabolic disturbance. The purpose of this study is to determine the side effects of atypical antipsychotics in increasing body weight in schizophrenia patients after 4 weeks of use. Furthermore, a retrospective design was conducted and data were collected based on consecutive sampling in 80 adult psychiatric inpatients (20 women and 60 men) with initial diagnoses of schizophrenia and with the same daily nutrition. The patients were hospitalized from January to March 2019, within the term (over 4 weeks) of initiation atypical antipsychotic. The patient body weight was collected before and 4 weeks after the treatment of atypical antipsychotic. The results showed that patients (20 women and 60 men) receiving atypical antipsychotic had a mean age of 35.6 years and a percentage of 70% women and 56% men had a weight gain of 1–5 kg over 4 weeks. The mean weight observed among our subjects increased from 57.55±10.743 kg to 59.83±12.205 kg after initiating treatment (p=0.001). However, the dual combination of atypical antipsychotics risperidone and clozapine are the most widely atypical antipsychotic used with a percentage equal to 91.25%, 3.75% clozapine, and 5% risperidone. Furthermore, it can be concluded that atypical antipsychotics use for at least 4 weeks can cause weight gain in schizophrenic patients. Pharmacist and doctors are recommended to monitor the metabolic side effects due to the atypical antipsychotic use. Keywords: Atypical antipsycotic, schizophrenia, weight gain  Antipsikotik Atipikal Menginduksi Peningkatan Berat Badan pada Pasien Skizofrenia AbstrakAntipsikotik atipikal banyak diresepkan dan berpotensi menyebabkan kenaikan berat badan yang dapat menyebabkan sindrom metabolik. Ada kebutuhan klinis yang mendesak untuk memantau penggunaan antipsikotik atipikal terhadap gangguan metabolisme. Penelitian ini bertujuan untuk mengetahui efek samping antipsikotik atipikal dalam meningkatkan berat badan pada pasien skizofrenia setelah pemakaian 4 minggu. Melalui desain retrospektif, data dikumpulkan dengan consecutive sampling pada 80 pasien rawat inap psikiatri dewasa (20 wanita dan 60 pria) dengan diagnosis awal skizofrenia dan dengan pengaturan nutrisi harian yang sama. Pasien dirawat di rumah sakit sejak Januari 2019 sampai dengan Maret 2019, dalam jangka menengah (lebih dari 4 minggu) pemberian antipsikotik atipikal. Data berat badan pasien dicatat sebelum dan 4 minggu sesudah pemakaian antipsikotik atipikal. Pasien (20 wanita dan 60 pria) yang menerima antipsikotik atipikal memiliki usia rata-rata 35,6 tahun, semua pasien dengan persentase 70% wanita dan 56% pria memiliki kenaikan berat badan 1–5 kg selama periode 4 minggu. Berat rata-rata yang diamati di antara subyek meningkat dari 57,55±10,743 kg menjadi 59,83±12,205 kg setelah memulai pengobatan (p=0,001). Antipsikotik atipikal yang paling banyak digunakan adalah kombinasi antipsikotik atipikal risperidon clozapin dengan persentase sebesar 91,25%, clozapin 3,75%, risperidon 5%. Kami menyimpulkan bahwa penggunaan antipsikotik atipikal selama setidaknya 4 minggu dapat menyebabkan penambahan berat badan pada pasien skizofrenia. Apoteker dan dokter direkomendasikan untuk memantau efek samping metabolik akibat penggunaan antipsikotik atipikal.Kata kunci: Antipsikotik atipikal, peningkatan berat badan, skizofrenia

Happiness levels of the nurses working at a University Hospital

2018 ◽  
pp. 62-68
Author(s):  
Burcu Genc Kose ◽  
Tugba Balik ◽  
Sule Kurt ◽  
Havva Ozturk
Keyword(s):  
Working Hours ◽  
Descriptive Study ◽  
Working Time ◽  
University Hospital ◽  
Average Level ◽  
Hospital Nurse ◽  
The Mean ◽  
Average Happiness ◽  
Happiness Level ◽  
And Training

This study was planned to determine the happiness level of nurses. The population of this descriptive study was done with 121 nurses who accepted to participate in the study out of 323 nurses who worked at a research and training hospital. The average happiness score of the nurses is 108.63 ± 19.48. However, the mean scores of happiness scale of nurses who had an average working time of 120–180 hours per month and who were satisfied with nursing and working in the institution were higher (p < 0.005) and these findings were statistically significant. In conclusion, nurses’ happiness level was found to be higher than the average level (moderate level). But, it was identified that nurses who did not exceed weekly working hours were happier and nursing not being satisfied with working in the institutional negatively affects the level of happiness.Keywords: Hospital, nurse, happiness.

scholarly journals Professional Commitment of Different Generations of Nurses

2021 ◽  
Author(s):  
Kübra Gökalp
Keyword(s):  
Personal Information ◽  
University Hospital ◽  
Average Level ◽  
Professional Commitment ◽  
Cross Sectional ◽  
Gender And Education ◽  
Eastern Turkey ◽  
The Mean ◽  
Cross Sectional Design ◽  
Nursing Professional

Aim: The aim of this study was to determine the professional commitment of nurses belonging to different generations. Method: This study with a descriptive, comparative and cross-sectional design was conducted from May to June 2019 in a province in eastern Turkey. The research was carried out with 291 nurses working in a university hospital with usable data. “Personal Information Form and Nursing Professional Commitment Scale” were used. Results: The mean score of the Nursing Professional Commitment Scale was found to be 76.08 ± 12.94. The mean scores of the nurses in the X ( 78.65 ± 12.32), Y ( 75.35 ± 13.18) and Z ( 76.27 ± 12.92) generations were as indicated. The combination of gender and education variables had a 3% effect on the total score of the Nursing Professional Commitment Scale. Generation, gender and education variables in combination have been determined to have a significant effect of 2.2% on the total score of the Nursing Professional Commitment Scale. Conclusion: It was found that the nurses’ professional commitment was above the average level and the nurses group with the highest professional commitment belonged to the X generation. Generation, gender and education variables did not significantly affect professional commitment separately; but they were found to affect professional commitment when used in combination.

scholarly journals The management of voluntary ingestion of razor blades by inmates

2016 ◽  
Author(s):  
Mohamedamine Elghali ◽  
Rafik Ghrissi ◽  
Houssem Fadhl ◽  
Mohamed Mahjoub ◽  
Mohamedsalah Jarrar ◽  
...  
Keyword(s):  
Foreign Bodies ◽  
Suicide Attempts ◽  
Rare Event ◽  
Descriptive Study ◽  
The Other ◽  
University Hospital ◽  
Surgical Removal ◽  
Psychiatric History ◽  
Razor Blade ◽  
The Mean

Abstract Introduction: Ingestion of sharp objects is a rare event. We report our experience in the care of prisoners who ingested razor blades as well as the in-time evolution of our management. Material and Methods: This is a descriptive study including all detainees ingesting razor blade, transferred from the prison to Farhat Hached University Hospital of Sousse, from January first,2014 to December 31st ,2015. Thus, we have counted 19 cases of swallowed razor blades in 16 prisoners; indeed, one prisoner had ingested a razor blade thrice and another had ingested a blade twice. Results: Our study includes 19 episodes of swallowed razor blades. In two cases, these events were secondary to suicide attempts. In the other cases, it was an expression of discontent and rejection of the situation in the prison. Three patients had a psychiatric history. The mean age of patients is 24 years. The initial clinical examination had not objectified signs of gastrointestinal perforation. Thoraco-abdomino-pelvic CT had allowed specifying the blade location in all cases. It had objectified, also, a pneumo-mediastinum in two cases. The blade location was esophageal in one case, gastric in six cases and in the small bowel in the other cases. The first four patients had surgical removal of the blade. In subsequent cases, the surgical abstention was the rule, and the spontaneous blade expulsion was observed. The average time of expulsion was four days. Conclusion: In our experience, surgical removal of the sharp foreign bodies should not be performed systematically without complications.

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