scholarly journals An analysis of occupation related mental health referrals of paramillitary forces to a tertiary care hospital

2017 ◽  
Vol 4 (4) ◽  
pp. 1131
Author(s):  
Sarada Prasanna Swain ◽  
Manoj Kumar Dash ◽  
Jigyansha Ipsita Pattnaik ◽  
Neelamadhab Rath
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Clinical Information ◽  
Care Hospital ◽  
Health Burden ◽  
Security Personnel ◽  
Army Personnel

Background: The security personnel of our country including Army Personnel, C.I.S.F., Police and other security personnel bear a large amount of physical and psychological stress to maintain law and order situations at different corners of the country at different situations. To assess the Psychiatric Morbidity in C.I.S.F., the course of referrals of Para-military persons to a tertiary care hospital and to evaluate the Mental Health burden in the Para-military set up by virtue of their occupation. Methods: The study sample included all the consecutive patients referred by CISF Headquarters Hospital to the Mental Health Institute (MHI), S.C.B. Medical College, Cuttack, Odisha, from April 2015 to March 2016. The clinical information is collected from the patient and accompanying personnel from CISF or family members who accompanied the patient. The diagnosis is based on ICD-10 and the final opinion is given by the consultants of Psychiatry after final evaluation of all the reports. Results: Psychiatric assessment for job fitness (48%) was the dominant cause for referral of PMF staff to MHI. Substance abuse (alcohol) related disorders were the next common cause of referral (20%).Conclusions: Mental health burden in Para-military bases are substantial which should be taken care of in urgency basis. There is urgent need of posting of Psychiatrists with Clinical Psychologists and Psychiatric Social Worker or a team of the Mental Health Professionals should visit the paramilitary set ups regularly to look into improper diagnosis and review cases. 

scholarly journals Electro-Convulsive Therapy (ECT): In the Eyes of Nurses of a Tertiary-Care Hospital

1970 ◽  
Vol 8 (2) ◽  
pp. 85-89
Author(s):  
Dhana Ratna Shakya ◽  
Sami Lama
Keyword(s):  
Nursing Students ◽  
Nursing Staff ◽  
Nursing Student ◽  
Tertiary Care Hospital ◽  
Public Awareness ◽  
Psychiatric Service ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Care Hospital ◽  
Convulsive Therapy

Background:Electro-convulsive therapy (ECT) is frequently viewed negatively, even among health professionals. Such a view might have adverse consequences. Objective: To explore how nursing students and nursing staff view ECT. Methodology: This is a semi-qualitative attitudinal study and the views were compared between nursing .student. and .staff. groups. A questionnaire prepared to assess views about different aspects of ECT was distributed among nursing students and staff of a tertiary-care hospital with a psychiatric service, after an explanation. The questionnaire focused mainly on effectiveness, safety, use, acceptance and some local issues. Results: A total of 108 subjects included 54 nursing staff and students each. Average student age was 21 and staff 29 years. Nearly one-third of students were interested in psychiatry for career versus only 13% staff. The majority of students had seen ECT being given, compared with 40% of staff. Depression was stated as an indication by 62% students versus 40% of staff. More staff thought ECT was more expensive than drugs. More staff indicated adverse effects as a main obstacle while using ECT than students. More students thought it .very effective. versus staff. Regarding safety, both had comparable views, but more staff viewed it as dangerous. More students than staff felt it should be promoted and public awareness should be raised. More students expressed readiness to use ECT if needed for themselves or relatives. Conclusion: Nursing students had more favorable views towards ECT than nursing staff. Keywords: Electroconvulsive therapy; knowledge attitude; nurse; psychiatric morbidity DOI: 10.3126/hren.v8i2.4417 Health Renaissance, May-Aug 2010; Vol 8 (No.2):85-89

Depressive disorder among the breast cancer patients in outpatient department of a tertiary care hospital in Pakistan

2011 ◽  
Vol 26 (S2) ◽  
pp. 677-677 ◽  
Author(s):  
R.U. Rahman ◽  
A. Nisar ◽  
N. Hussain ◽  
I. Chaudhary
Keyword(s):  
Breast Cancer ◽  
Depressive Disorder ◽  
Rating Scale ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Depression Scale ◽  
Outpatient Department ◽  
Care Hospital ◽  
Had Scale

ObjectivesTo determine the frequency of Depressive Disorder among patients with breast cancer in an outpatient department of a tertiary care hospital in Pakistan.BackgroundCancer not only affects body physically but can also affect the mind in the form of psychiatric disorder. Proper identification and treatment of these conditions can be beneficial and cost-effective.MethodologyThis cross-sectional descriptive study was conducted on patients of breast cancer attending OPD of oncology department of Civil Hospital Karachi. The sample consisted of ninety three diagnosed patients of breast cancer who were screened for psychiatric morbidity through Hospital Anxiety and Depression Scale (HAD Scale). Screened patients were interviewed and diagnosed as depressive disorder according to ICD criteria. The level of depression in these diagnosed patients was quantified through ZUNG'S Depression Rating Scale.ResultsEighty two percent (n = 76) of the sample (n = 93) were found to have psychiatric morbidity on HAD scale. Out of these screened sample sixty percent (n = 46) were found to be depressed on Zung self rating depression scale. Majority of these patients were suffering from mild to moderate depression. Half of the female in this sample were undergone mastectomy that was not found to have any statistically significant impact on psychiatric morbidity of the patient.ConclusionThis study shows high prevalence of depression in patients with breast cancer. The health professional involve in care of breast cancer should screen routinely their patients for symptoms of depression.

scholarly journals Psychiatric Morbidity and Correlates in Postpartum Women in a Tertiary Care Hospital

2016 ◽  
Vol 38 (4) ◽  
pp. 309-314 ◽  
Author(s):  
Narendra Kumar ◽  
Anil Kumar Mysore Nagaraj ◽  
Umashree Koudike ◽  
Sumanth Mallikarjuna Majgi
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Postpartum Women ◽  
Care Hospital

scholarly journals Implementation and outcome of an electronic tool for detection of paracetamol overdose in a tertiary care hospital

2020 ◽  
Author(s):  
Francisco Cabrera-Diaz ◽  
Claudia Zaugg ◽  
Silke Lim ◽  
Kim Blum ◽  
Ali Reza Salili
Keyword(s):  
Information System ◽  
Medication Error ◽  
Clinical Information System ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Clinical Information ◽  
Paracetamol Overdose ◽  
Care Hospital ◽  
Electronic Tool ◽  
Process Failures

Abstract Background Paracetamol is a widely used analgesic and antipyretic drug in hospitals. The development and implementation of an electronic tool with algorithm-based alerts (e-agent) in a clinical information system could reduce the risk of overdose. Objective In this study, the performance of such an e-agent developed to detect paracetamol overdosing was analyzed. Setting Swiss tertiary care hospital. Method All patients ≥ 18 years old who had documented paracetamol administration in the used clinical information system during 2017 were retrospectively screened for an absolute and relative overdosing of paracetamol (> 4 g and > 60 mg/kg/24 h, respectively). This was compared with the patients for which the e-agent had, during the same period, prospectively made an alert for absolute or relative overdosing or for a dosing interval < 4 h (potentially leading to an absolute overdose). Main outcome measure E-agent performance defined as detection rate. Results of the 13,196 adult patients who received at least one dose of paracetamol, 2292 were exposed at least once to > 4 g/day (17.4%), 39 of these (0.3% of total) were given > 5 g paracetamol. None received more than 6 g. The e-agent detected 87.2% of cases with doses > 5 g. In most cases (87.9%), the cause of the absolute overdose was a switch from intravenous to oral paracetamol, resulting in an absolute overdose the day of the change. The maximal daily dose of 60 mg/kg was exceeded in 30.1% of patients weighing < 50 kg, as well as in 42.3% of patients weighing < 60 kg. The e-agent detected 73.4% and 75.5% of those cases. Multiple absolute overdoses were found in 204 patients. The e-agent detected 72.7% of those. 90 multiple overdoses occurred during the same hospital stay and 11 on consecutive days. Conclusion Paracetamol overdose is a common medication error in hospitalized patients, which may occur due to process failures such as wrong timing when changing administration route or when factors like comedication and low body weight are ignored. The e-agent detects cases of paracetamol overdose, and therefore, can help prevent this kind of medication error in the clinical setting.

scholarly journals An epidemiological study to assess the mental health status of pregnant women in a tertiary care hospital, Srinagar, Jammu and Kashmir, India

2017 ◽  
Vol 6 (6) ◽  
pp. 2580
Author(s):  
Bilal Ur Rehman ◽  
Javid Ahmad ◽  
Rauf Ur Rashid Kaul ◽  
Mohammad Kaleem ul Haque
Keyword(s):  
Mental Health ◽  
Developing Countries ◽  
Health Status ◽  
Depressive Disorder ◽  
Pregnant Women ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Antenatal Clinic ◽  
Mental Health Status ◽  
Care Hospital

Background: Pregnancy is a major psychological, as well as physiological event; women may find themselves unable to cope with additional demands of pregnancy. Mental illness during pregnancy-whether anxiety, depression or more severe psychiatric disorders-can have a significant negative impact on a mother and her baby. Poor psychological health has been associated with low birth weight, premature birth, perinatal and infant death, postnatal depression, as well as long term behavioural and psychological impacts on the child. Depressive disorders are a common source of disability among women. Mental health problems during pregnancy and postpartum periods are one of the alarming health issue among women. Community-based epidemiological data on antenatal depression from developing countries is scarce. This study was conducted to assess the mental health status of pregnant women attending antenatal clinic of tertiary care hospital, SKIMS, Srinagar (J and K).Methods: A cross sectional study was conducted over a period of six months from 1stSeptember 2016 to 28th February 2017 among randomly selected pregnant women attending antenatal clinic of tertiary care hospital, SKIMS, Srinagar. A total of 200 pregnant women formed the study subjects. Data was collected by interviewing the pregnant women using pre-designed, pre-tested, semi-structured questionnaire. Data was analysed using Statistical Programme for the social science (SPSS) version 19.0.Results: Amongst the study population, prevalence of depressive disorder was 26%. The depression was significantly increasing with advancing pregnancy and advancing age. Socio-economic status and depression was associated statistically significant (p=0.024). Women with bad relationship with in laws had significantly more depression compared to those who had good relationship with in laws (P=0.0037). The association between parity and depressive disorder was statistically insignificant(P=0,7144).Conclusions: When we care for mother we care for two live and live without psychological consideration is completely materialistic. A depressive symptom occurs commonly during 2nd and 3rd trimester of pregnancy, drawing attention to a need to screen for depression during antenatal care. Maternal health policies, a priority in developing countries, must integrate maternal depression as a disorder of public health importance. Intervention should target women in the early antenatal period.

scholarly journals Psychiatric morbidity in patients suffering from psoriasis attending tertiary care hospital

2020 ◽  
Vol 13 (1) ◽  
pp. 05-08
Author(s):  
Ramya Keerthi Paradesi ◽  
◽  
B Mounica ◽  
Nageswara Rao Nallapaneni ◽  
◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Care Hospital
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