Sociodemographic and Clinical Profile of Patients Presenting With Erectile Dysfunction: Experience From a Tertiary Care Centre of North India

Background: Erectile dysfunction (ED) is one of the most common psychosexual disorders in clinical practice, and it results in significant distress, interpersonal impairments, poor quality of life, and marital disharmony. However, there is limited research on ED in India. Therefore, this study aimed to assess the sociodemographic and clinical profile of patients presenting with ED. Method: Cross-sectional evaluation of patients with ED presenting to the psychosexual outpatient department (OPD) of psychiatry department in a tertiary care hospital was done on structured clinical pro forma, Mini-International Neuropsychiatric Interview, International Index of Erectile Function-5, Arizona Sexual Experience, Hamilton rating scale for depression, and Hamilton rating scale for anxiety. Results: The sample included 102 patients. The mean age was 33.38 years. The majority of the patients were married (81.4%), Hindu (82.4%), residing in a rural area (60.8%), and belonging to a nuclear family (62.7%). The majority of the patients had a moderate level of ED (50%) followed by mild-to-moderate ED (26.5%) and severe ED (23.5%). Premature ejaculation (46.1%) and depression (28.4%) were the most common sexual and psychiatric comorbidities. Obesity was common (62.7%), and only a minority had other metabolic dysfunction, namely dyslipidemia (7.8%), diabetes (5.9%), and hypertension (4.9%). Tobacco dependence and alcohol dependence were present in 37.3% and 6.9% cases, respectively. Conclusion: Young adults with moderate-to-severe ED were present for treatment at a tertiary center. Comorbidities of other sexual disorders, psychiatric disorders, and substance use are commonly encountered in such patients. Promotion of early help-seeking should be encouraged. Clinicians should thoroughly assess even the young patients for other sexual, psychiatric, and medical comorbidities.

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Psycho-sexual Disorders in Clinic Diabetes mellitus Patients of a Teaching Hospital of Eastern Nepal

Journal of Diabetes and Endocrine Association of Nepal ◽

10.3126/jdean.v4i2.34591 ◽

2020 ◽

Vol 4 (2) ◽

pp. 19-23

Author(s):

Dhana Ratna Shakya ◽

R Maskey ◽

P Karki ◽

SK Sharma

Keyword(s):

Diabetes Mellitus ◽

Erectile Dysfunction ◽

Sexual Dysfunction ◽

Teaching Hospital ◽

Sexual Experience ◽

Tertiary Care ◽

Sexual Disorders ◽

Diabetic Patients ◽

Diabetes Clinic ◽

Patients With Diabetes

Background: Diabetes mellitus, a chronic disease, is frequently associated with sexual dysfunctions. Identification and management of these dysfunctions are important for overall wellbeing of the patient, though usually neglected. We lack data on this regard from Nepal. Objective: To estimate prevalence of psycho-sexual disorders (with emphasis on erectile dysfunction) in the patients with diabetes mellitus visiting ‘Diabetes clinic’ of a tertiary care teaching hospital in eastern Nepal. Method: It is a hospital-clinic based prevalence study. This study analyzed consecutive diabetes mellitus clinic patients’ response to self response questionnaires ‘Arizona Sexual Experience Scale’ (ASEX) for over all sexual dysfunction and ‘5- Item Version of the International Index of Erectile Dysfunction’ (IIEF-5) for erectile dysfunction. ‘Diabetes mellitus’ diagnosis was made based on the ADA guidelines 2010. Results: Among 100 male clinic diabetes patients, majorities were married, above age 50 years and all diagnosed as type 2 diabetes mellitus. Out of total, 48% had sexual dysfunction by the ASEX and many subjects had erectile dysfunction by the IIEF-5. Conclusion: Psychosexual dysfunctions, mainly erectile dysfunction are common among diabetic patients. Hence, assessment should include attention to sexual problems as well during management of diabetes mellitus.

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Correlation of severity of tinnitus with severity of anxiety and depression in adults in a tertiary care hospital at Bhuj, Gujarat, India

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20182710 ◽

2018 ◽

Vol 4 (4) ◽

pp. 1044 ◽

Cited By ~ 1

Author(s):

Ajeet Kumar Khilnani ◽

Rekha Thaddanee ◽

Manali Chodvadiya ◽

Gurudas Khilnani

Keyword(s):

Rating Scale ◽

Adult Population ◽

Tertiary Care ◽

Anxiety And Depression ◽

Care Hospital ◽

Mild Depression ◽

Patient Health ◽

Hamilton Anxiety Rating Scale ◽

Gujarati Language ◽

Hamilton Rating Scale

Background: Tinnitus may be objective or subjective. Subjective tinnitus is the type most commonly associated with psychosocial co-morbidities. This study was conducted with an aim to assess the severity of tinnitus and to know its correlation with anxiety and depression in adult population of Western Gujarat region.Methods: This prospective observational study was conducted in a tertiary care teaching hospital of Western Gujarat from December 2016 to July 2017. Patients with tinnitus were screened for anxiety and depression using tinnitus handicap inventory (THI, validated in Gujarati language), generalized anxiety disorder (GAD-7) and patient health questionnaire (PHQ-9). Severity of anxiety and depression was further evaluated using The Hamilton anxiety rating scale (HAM-A) and the Hamilton rating scale for depression (HRSD, also called HAM-D) respectively. Results: 68 patients fulfilled the inclusion criterion. Maximum patients (30.9 %) had moderate tinnitus, followed by severe (26.4 %), catastrophic (19.1 %), mild (16.2 %) and slight (7.4 %). There was a strong and significant correlation between the average THI scores and average GAD-7 scores (r=0.9708, p<0.00001) and average THI scores and average PHQ-9 scores (r=0.9906, p<0.0001) suggesting that patients with tinnitus were very likely to have anxiety as well as depression. However, irrespective of the severity of tinnitus, most patients had only mild anxiety (r=0.9403, p<0.00001) and mild depression (r=0.6758, p=0.001).Conclusions: The patients with tinnitus are very likely to suffer from mild anxiety as well as mild depression.

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Clinical profile of somatic symptom and related disorders in children

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20175589 ◽

2017 ◽

Vol 5 (1) ◽

pp. 214 ◽

Cited By ~ 1

Author(s):

. Richa ◽

Radha G. Ghildiyal ◽

Alka Subramanyam ◽

Pragya Sharma

Keyword(s):

Somatic Symptom ◽

Nuclear Family ◽

Tertiary Care ◽

Somatic Symptoms ◽

Clinical Profile ◽

Care Hospital ◽

Age Group ◽

Graduate Degree ◽

Lower Middle Class ◽

Number Of Children

Background: Somatic symptom disorder is characterized by somatic symptoms that are either very distressing or result in significant disruption of functioning, as well as excessive and disproportionate thoughts, feeling and behavior regarding those symptoms. The objective of this study was to study the clinical profile of patients presenting with somatic symptom and related disorders and to attempt to identify the stressors in these children. Methods: An open labelled, unidirectional and prospective study was conducted at a tertiary care hospital on 60 children in 5 to 16-year age group over a period of 18 months.Results: The overall prevalence of somatic symptom and related disorders was 60 (0.2%). In the present study, 35 (58.3%) were males and 25 (41.7%) were females. 50% patients belonged to the >8 years and ≤12-year age group. 51.7% had average IQ. 31 (51.7%) patients belonged to lower middle class. Out of the total 60 patients, 46 (76.7%) belonged to a nuclear family. Parents with a post graduate degree had less number of children (3.3%) presenting with somatic symptoms. The most common presenting symptom reported was generalized pain by 30 (50.0%) among somatic symptoms and Pseudo seizures (33.3%) among conversion symptoms. Family issues (most common stressor) was found in 38 (63.3%) subjects. 30 (50.0%) patients had authoritarian parents. 46.7% of those counselled did not require any further intervention. As per the life events scale, the mean was 4.43. Conclusions: In the present study, the most important areas in which stress was apparent was in school and family. Our study highlights the need for a joint effort by parents, pediatricians, psychiatrists and teachers to help our children cope with the stress of today’s fast paced competitive world.

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Abstract #842: Clinical Profile and Treatment Outcome in Patients with Cushing Syndrome: A 10 Year Experience at a Tertiary Care Hospital in Pakistan

Endocrine Practice ◽

10.1016/s1530-891x(20)44587-2 ◽

2017 ◽

Vol 23 ◽

pp. 184-185

Author(s):

Shehla Tabassum ◽

Najmul Islam

Keyword(s):

Treatment Outcome ◽

Tertiary Care Hospital ◽

Cushing Syndrome ◽

Tertiary Care ◽

Clinical Profile ◽

Care Hospital

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Clinical profile of tetanus in children admitted in tertiary care hospital, BJ Medical College, Ahmedabad, Gujrat

MedPulse International Journal of Pediatrics ◽

10.26611/10141223 ◽

2019 ◽

Vol 12 (2) ◽

pp. 29-33

Author(s):

Manisha Ghoniya ◽

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Clinical Profile ◽

Care Hospital ◽

Medical College

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A study of clinical profile and ECG changes in scorpion sting envenomation in a tertiary care hospital, Nandyal

Medpusle International Journal of Medicine ◽

10.26611/10211324 ◽

2020 ◽

Vol 13 (2) ◽

pp. 69-72

Author(s):

Manchala Pratap Reddy ◽

◽

Pogula Nagarjuna Reddy ◽

G.Vijaya Kumar ◽

◽

...

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Clinical Profile ◽

Care Hospital ◽

Ecg Changes ◽

Scorpion Sting

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Study of incidence and clinical profile of thyroid lesions at a tertiary care hospital

Medpusle International Journal of Pathology ◽

10.26611/1051015 ◽

2019 ◽

Vol 10 (1) ◽

pp. 21-25

Author(s):

U S Kanade ◽

◽

, Neeraja Nitsure ◽

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Clinical Profile ◽

Care Hospital ◽

Thyroid Lesions

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Clinical profile of burn cases at a tertiary care hospital

Medpusle International Journal of Surgery ◽

10.26611/10611111 ◽

2019 ◽

Vol 11 (1) ◽

pp. 45-47

Author(s):

Sanjay Anarase ◽

◽

Yogita Sanjay Anarase ◽

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Clinical Profile ◽

Care Hospital

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Predictors of Suicidal Ideation and Attempt among Patients with Major Depressive Disorder at a Tertiary Care Hospital, Puducherry

Journal of Neurosciences in Rural Practice ◽

10.1055/s-0040-1721558 ◽

2021 ◽

Vol 12 (01) ◽

pp. 122-128

Author(s):

Ralte Lalthankimi ◽

Padmavathi Nagarajan ◽

Vikas Menon ◽

Jeby Jose Olickal

Keyword(s):

Major Depressive Disorder ◽

Suicidal Ideation ◽

Depressive Disorder ◽

Rating Scale ◽

Tertiary Care ◽

Severe Depression ◽

Care Hospital ◽

Suicidal Behaviors ◽

Major Depressive ◽

Severity Of Depression

Abstract Objectives Mental disorders have a large impact on death by suicide. Hence, this study aims to determine the prevalence of suicidal behaviors among major depressive disorder (MDD) patients and the associated factors. Materials and Methods This cross-sectional analytical study was conducted among individuals aged 18 to 65 years, diagnosed with MDD in the Psychiatry Outpatient Department of a Tertiary Care Center, Puducherry during March to October 2019. Severity of depression was assessed using Hamilton Depression Rating Scale and Columbia-Suicide Severity Rating Scale was used to find the suicidal behaviors. Results For 166 participants in the study, mean (standard deviation) age was 40 (11) years and majority were females (76%). More than one-third (37%) had severe or very severe depression, and the prevalence of suicidal ideation, plan, and attempts were 83, 24, and 35%, respectively. After adjusting the covariates, the severity of depression and unemployment were significantly associated with suicidal attempts (adjusted prevalence ratios [aPR] = 11.4 and 1.9), and very severe depression was associated with suicidal ideation (aPR = 1.6). Among 140 individuals with suicidal ideation, 45 (32%) had an ideation frequency of 2 to 3 times/week, 69 (50%) had ideation for 1 hour, 36 (26%) could control ideation with little difficulty, and 12% had suicidal ideation mostly to end or stop their pain. Conclusion Suicidal ideation and attempts were significantly high in MDD patients, and the severity of depression was significantly associated with it. Early identification of high-risk suicidal behavior and implementation of effective preventive interventions are necessary to reduce death by suicide in these groups.

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