scholarly journals Study on Psychiatric Morbidity Among Young Patients of Acne Vulgaris at Tertiary Care Institute

2017 ◽  
Vol 4 (1) ◽  
pp. 64
Author(s):  
Mayuresh Ghadge ◽  
Sunil Gupte
Keyword(s):  
Rural Areas ◽  
Acne Vulgaris ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Young Patients ◽  
Well Being ◽  
Skin Condition ◽  
Coping Mechanisms ◽  
Care Institute ◽  
The Impact

Background: Acne vulgaris is a skin condition occurs mainly in adolescents and young adults. It can affect an appearance of a person adversely. The impact of acne on the psychological well being has been the object of increasing attention in recent years. Most of the studies which have been conducted to identify the psychopathologies in patients with acne vulgaris have focused their attention on depression and anxiety. Aim: The aim of the present study was to identify sociodemographic profile and the psychiatric morbidity in patients with acne vulgaris as well as coping mechanisms used by them. Setting and Design: A descriptive observational study was conducted in the department of dermatology and psychiatry at a tertiary health care institute. Material and Method: Hundred patients of acne vulgaris were selected. They were interviewed using a special proforma, screened using Mini –international Neuropsychiatry interview English Version 6.0.0 and mechanism of coping scale by Parikh et al. Statistical Analysis Used: The data was analysed using SPSS version 19 & EPI INFO software. Result: Psychiatric morbidity was found in 35% of the study population. Psychiatric morbidity was found more in females, patients from nuclear families, patients living in rural areas and acne with grade 3 & 4. It is also found that coping mechanisms problem solving & expressive action were used more by the patients without any psychiatric morbidity. On the other hand, coping mechanisms fatalism & passivity were used more by the patients with psychiatric morbidity. Conclusion: Patients with acne vulgaris in whom psychiatric morbidity is present, should be routinely evaluated and their psychiatric morbidity need to be treated for maximise their health.

Abstract P164: The Impact of the Expanded EVT Window on Acute Stroke Services: A Large Northwest Telestroke Network Experience

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Theodore Lowenkopf ◽  
Leslie Corless ◽  
Elizabeth Baraban
Keyword(s):  
Acute Stroke ◽  
Rural Areas ◽  
Treatment Time ◽  
Time Window ◽  
Tertiary Care ◽  
The United States ◽  
Geographic Region ◽  
Anterior Circulation ◽  
Stroke Subtypes ◽  
The Impact

Background: Telestroke has led the technological revolution in providing acute medical services to rural areas in the United States since the beginning of this century. In January 2018 the American Stroke Association made a level IA recommendation to expand the treatment time window for endovascular thrombectomy (EVT) for acute ischemic stroke (AIS) from 6 to 24 hours for anterior circulation stroke based on perfusion imaging. Our study is the first to our knowledge to report the effect of the expanded time window on acute stroke consult and treatment volumes in a large rural supporting telestroke network. Methods: Stroke registry data from two tertiary care facilities from a 22 hospital telestroke network supporting a large (> 78,000 mi 2 ) primarily rural Northwest geographic region were used. Data included stroke patients arriving within 24 hours of last known well (LKW) between January 2017 and March 2019. Patients arriving January 2017 to December 2017 were grouped into the PRE-expanded time window and those arriving April 2018 to March 2019 into the POST-expanded time window. Stroke subtypes, transfers, telestroke consults (via phone or video), and EVT treatments were compared across time periods. Analyses were performed using Pearson’s chi square test, corrected for multiple comparisons. Results: A total of 1117 patients arrived with stroke symptoms within 24 hours of LKW, 567 (50.8%) in PRE and 550 (49.2%) in POST-window. The percentage of all stroke subtypes were not significantly different in the PRE and POST patient groups (p=.720). However, the percent of telestroke consults increased by 12.1% from 62.3% to 74.4% (p<.001) but the percent of video consults remained similar (25.9% vs 25.8%). The total number of transfers (142 vs 141) and percentage of transfers among AIS patients (25.0% vs 25.6%) from partner to hub did not change. The percentage of thrombectomies among transfers rose by 8.7% with the expanded time window, but was not statistically significant [p=0.118]. Conclusions: In a large Northwest telestroke rural network the expanded EVT treatment time window led to a marked increase in all telestroke consults but did not impact video consults, transfer, or percentage of patients treated.

Teachers’ perceptions of ICT issues in education: an approximation by gender and region in Mexico

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Florina Guadalupe Arredondo-Trapero ◽  
José Carlos Vázquez-Parra ◽  
Martín De Jesús González-Martínez
Keyword(s):  
Information And Communication Technologies ◽  
Rural Areas ◽  
Digital Technology ◽  
Urban Areas ◽  
Well Being ◽  
Teaching Staff ◽  
Content Type ◽  
Teachers Perceptions ◽  
Validated Questionnaire ◽  
The Impact

Purpose The aim of this study is to analyse teachers’ perceptions of information and communication technologies (ICT) and the effect they have on their students, comparing male and female teachers in rural and urban areas of Mexico. Design/methodology/approach This is a quantitative study with a validated questionnaire that records the perception of school teachers from a state in the northeast of Mexico. The questionnaire was designed by interviewing 20 teachers who have had problematic situations in the use of technology by students. The main problems that were perceived in their students were cyberbullying, cyberviolence, online pornography, excessive use of videogames and also lack of ability to use digital technology. Hypothesis testing was applied to identify differences between gender (female or male) and region (rural or urban), considering these problems and the efforts made by the school to address these issues. Findings Both the gender of the teaching staff and the region where the school is located are variables that are influencing the willingness to incorporate ICT issues that are affecting the well-being of students into the educational agenda. While teachers are the main actors in preparing their students on how to face these challenges, students in schools with mostly male teachers, or located in rural areas, will be in a situation of greater vulnerability to be victims of the problems that arise as part of ICT risks in a digital society Research limitations/implications This article only offers a first approach to ICT and teachers’ perceptions. It is necessary to broaden the scope of this type of research to include different educational contexts and to ask questions that reveal in greater detail how schools are dealing with ICT and its possible risks and the factors that have influenced the successes or failures they are having in these attempts. Practical implications This finding can help schools to promote programs focused to apply ICT for student flourishment and help them to deal with the risk that digital technology is generating in young students. Originality/value Although multiple research have been conducted to address teachers’ perception about diverse topics, there has been no specific research on the self-perception of teachers in dealing with technology and preparing students for the problems presented by ICT and its risks. This research contributes to the literature on the impact that teachers’ perceptions can have on the adoption of technology in education, and how this can be different by gender and region.

Mediating Role of Interpersonal Interactions Between Chinese Farmers' Social Networks and their Subjective Well-Being

2018 ◽  
Vol 46 (5) ◽  
pp. 721-732 ◽  
Author(s):  
Jianjun Zhang ◽  
Yang Xu ◽  
Yu Hou
Keyword(s):  
Social Networks ◽  
Rural Areas ◽  
Positive Impact ◽  
General Social Survey ◽  
Well Being ◽  
Psychological Needs ◽  
Mediating Effect ◽  
Subjective Well Being ◽  
Interpersonal Interactions ◽  
The Impact

As more than half the population of China lives in rural areas, farmers' subjective well-being is important to the maintenance of socialism in the countryside and the Chinese people's target of comprehensively building a prosperous society. Using data collected in the 2012 Chinese General Social Survey, we built a regression model to examine the impact of farmers' social networks on their subjective well-being, and the mediating effect of their interpersonal interactions on this relationship. Results showed that farmers' social networks had a positive impact on their overall subjective well-being, which was, in turn, mediated by their interpersonal interactions. Farmers with well-developed social networks tended to have effective interpersonal interactions that satisfied their social psychological needs and enhanced their subjective well-being. Our findings provide a valuable reference for enhancing the subjective well-being of farmers in China.

Factors Associated with Psychiatric Symptoms in Patients Undergoing Chronic Hemodialysis

1981 ◽  
Vol 26 (8) ◽  
pp. 562-566 ◽  
Author(s):  
W. John Livesley
Keyword(s):  
Rural Areas ◽  
Nuclear Family ◽  
Psychiatric Symptoms ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Well Being ◽  
Chronic Hemodialysis ◽  
Home Dialysis ◽  
Family Factor ◽  
High Incidence

Psychiatric morbidity in a sample of 85 patients undergoing chronic hemodialysis was assessed using standard questionnaires (General Health Questionnaire and Middlesex Hospital Questionnaire). Examination of the effects of demographic, illness, treatment, and history variables on questionnaire scores revealed that psychiatric symptoms were more frequent in women than in men, in those on home dialysis, in those living in rural areas, in unemployed men and in those with a disturbed nuclear family. Factor analysis of symptoms assessed by one of the questionnaires (GHQ) revealed six factors: general dissatisfaction, suicidal ideation, confidence and well-being, usefulness and enjoyment, concentration and alertness, sleep disturbance. Interview responses revealed a high incidence of general distress and anxiety and also a high incidence of sexual problems.

scholarly journals Lighting up the Dark: Telecenter Adoption in a Caribbean Agricultural Community

2011 ◽  
Vol 6 (3) ◽  
Author(s):  
Paola Prado
Keyword(s):  
Information And Communication Technologies ◽  
Rural Areas ◽  
Communication Technologies ◽  
Well Being ◽  
Western Hemisphere ◽  
Agricultural Community ◽  
Ict Adoption ◽  
Information And Communication ◽  
The Impact ◽  
Continuous Running

This study surveyed the residents of El Limón de Ocoa, a remote mountaintop agricultural community in the Dominican Republic, to examine how the community has integrated the use of information and communication technologies (ICTs) since the establishment of a local telecenter in 1997. As the longest continuous-running independent telecenter in the Caribbean nation, this site provides a rich testing ground for the study of the impact of community-driven ICT adoption in under-privileged rural areas of the Western hemisphere. Analysis of survey data found that this remote agricultural community was able to leverage ICTs available at the telecenter in ways that promote social change, foster community prosperity, solidarity, and well-being.

scholarly journals An assessment of the mental health of mastectomized women in South India

2016 ◽  
Vol 5 (3) ◽  
pp. 214-228
Author(s):  
Sukanya B. Menon ◽  
C. Jayan
Keyword(s):  
Psychiatric Diagnosis ◽  
Psychological Treatment ◽  
Psychiatric Morbidity ◽  
Psychological Impact ◽  
Depression Scale ◽  
Well Being ◽  
Breast Cancer Patients ◽  
Event Scale ◽  
Significant Difference ◽  
The Impact

AimThe present study is aimed at understanding the psychiatric morbidity among mastectomized women and in identifying differences in depression, anxiety, psychological impact and well-being based on psychiatric diagnosis.MethodOne hundred and sixty breast cancer patients who had undergone mastectomy and were on either on adjuvant therapies or on waiting list were interviewed. The Mini-International Neuropsychiatric Interview (M.I.N.I.) - Plus, Hospital Anxiety and Depression Scale, the Impact of Event Scale and the Psychological General Well-Being Schedule were used.ResultsAround 68% of patients did not meet psychiatric diagnosis, while the remaining 32% patients were found to have psychiatric morbidity. Of these, 15% diagnosed with adjustment disorders, 13% patients with a major depressive disorder, while 4% patients with anxiety disorders. A significant difference in anxiety, depression, psychological impact and well-being was found among mastectomized women who were grouped on the basis of their psychiatric diagnosis.ConclusionPsychiatric morbidity is evident in patients. This study reinforces the need for identifying psychiatric disorders among women who are undergoing mastectomy, in order to provide adequate psychological treatment.

scholarly journals Impact of COVID-19 on carers of children with tracheostomies

2021 ◽  
pp. archdischild-2021-322979
Author(s):  
Nicola Hall ◽  
Nikki Rousseau ◽  
David W Hamilton ◽  
A John Simpson ◽  
Steven Powell ◽  
...  
Keyword(s):  
Health Professionals ◽  
Tertiary Care ◽  
Well Being ◽  
Vulnerable Groups ◽  
Tertiary Care Centre ◽  
The North ◽  
Semistructured Interviews ◽  
And Coping ◽  
Shifting Boundaries ◽  
The Impact

ObjectivesTo explore the impact of the COVID-19 pandemic on the experiences of caregivers of children with tracheostomies.DesignQualitative semistructured interviews.SettingAll participants were currently, or had previously cared for, a tracheostomised child who had attended a tertiary care centre in the North of England. Health professionals were purposively sampled to include accounts from a range of professions from primary, community, secondary and tertiary care.ParticipantsCarers of children with tracheostomies (n=34), including health professionals (n=17) and parents (n=17).InterventionsInterviews were undertaken between July 2020 and February 2021 by telephone or video link.Main outcome measureQualitative reflexive thematic analysis with QSR NVivo V.12.ResultsThe pandemic has presented an additional and, for some, substantial challenge when caring for tracheostomised children, but this was not always felt to be the most overriding concern. Interviews demonstrated rapid adaptation, normalisation and varying degrees of stoicism and citizenship around constantly changing pandemic-related requirements, rules and regulations. This paper focuses on four key themes: ‘reconceptualising safe care and safe places’; ‘disrupted support and isolation’; ‘relationships, trust and communication’; and ‘coping with uncertainty and shifting boundaries of responsibility’. These are described within the context of the impact on the child, the emotional and physical well-being of carers and the challenges to maintaining the values of family-centred care.ConclusionsAs we move to the next phase of the pandemic, we need to understand the impact on vulnerable groups so that their needs can be prioritised.

scholarly journals Psychiatric morbidity among the patients with acne Vulgaris in a tertiary care Hospital

2019 ◽  
Vol 18 (4) ◽  
pp. 773-778
Author(s):  
Fahmida Ahmed ◽  
Anwar Husain ◽  
Meherunnessa Begum ◽  
Mohd Nurul Alam ◽  
Muhammad Ayaaz Ibrahim
Keyword(s):  
Anxiety Disorders ◽  
Tertiary Care Hospital ◽  
Psychiatric Symptoms ◽  
Acne Vulgaris ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
World Health ◽  
Care Hospital ◽  
Compulsive Disorder ◽  
Self Reporting Questionnaire

Background: Acne vulgaris is a chronic inflammatory skin disorder which has a high prevalence among adolescence and young adults. Although acne does not cause direct physical impairment, it can produce a significant psychosocial burden. As the face is almost always the site of involvement of acne, its presence can alter one’s perception of body image. Increased levels of anxiety, anger, depression, and frustration are also observed in patients with acne. Acne affects social, vocational, and academic performance of teenagers & young adult. Objective: To identify socio-demographic profile and to evaluate the psychiatric morbidity in patients with acne vulgaris in a tertiary care hospital. Materials and Methods: This cross sectional study was conducted from June 2017 to December 2017 among the patients of acne vulgaris attending outpatient department of Dermatology in Ibn Sina Medical College Hospital, Dhaka. Purposive sampling technique was used. The sample size of the study was 181. Data were collected by using semi structured socio-demographic questionnaire and the SRQ to screen psychiatric symptoms. The Self Reporting Questionnaire (SRQ), is a psychiatric case finding instrument, was developed by World Health Organization (WHO) to screen for psychiatric disturbance especially among developing countries. The data obtained was collected, tabulated and subjected to statistical analysis using the Statistical Package for Social Sciences (SPSS), for windows version 20. Results: Study was conducted on 181patients comprising 135(74.6%) were female & 46(25.4%) were male. Age group between 16 to 22 years carried maximum incidence 100(55.2%). Among the patients Psychiatric morbidity was found in86(48%) of the study population. Psychiatric morbidity was found more in young and females patients. Among the types of psychiatric morbidity Anxiety disorders were 57(66.3%) & Major Depressive Disorder(MDD) was 29(33.7%).Anxiety disorders were included social phobia (26.7%), generalized anxiety disorder (GAD) (18.6%), panic disorder (14%) and obsessive compulsive disorder (OCD)(7%). Conclusion: Patients with acne vulgaris in whom psychiatric morbidity is present, should be routinely evaluated and their psychiatric morbidity need to be treated adequately for maximize their health. Bangladesh Journal of Medical Science Vol.18(4) 2019 p.773-778

scholarly journals Do Younger Patients with Muscle-Invasive Bladder Cancer have Better Outcomes?

2019 ◽  
Vol 8 (9) ◽  
pp. 1459 ◽  
Author(s):  
Florian Janisch ◽  
Hang Yu ◽  
Malte W. Vetterlein ◽  
Roland Dahlem ◽  
Oliver Engel ◽  
...  
Keyword(s):  
Cox Regression ◽  
Care Center ◽  
Tertiary Care ◽  
Tumor Biology ◽  
Survival Rates ◽  
Multivariable Analysis ◽  
Young Patients ◽  
The Elderly ◽  
Cancer Of The Bladder ◽  
The Impact

Urothelial cancer of the bladder (UCB) is usually a disease of the elderly. The influence of age on oncological outcomes remains controversial. This study aims to investigate the impact of age on UCB outcomes in Europe focusing particularly on young and very young patients. We collected data of 669 UCB patients treated with RC at our tertiary care center. We used various categorical stratifications as well as continuous age to investigate the association of age and tumor biology as well as endpoints with descriptive statistics and Cox regression. The median age was 67 years and the mean follow-up was 52 months. Eight patients (1.2%) were ≤40 years old and 39 patients (5.8%) were aged 41–50 years, respectively. In multivariable analysis, higher continuous age and age above the median were independent predictors for disease recurrence, and cancer-specific and overall mortality (all p-values ≤ 0.018). In addition, patients with age in the oldest tertile group had inferior cancer-specific and overall survival rates compared to their younger counterparts. Young (40–50 years) and very young (≤40 years) patients had reduced hazards for all endpoints, which, however, were not statistically significant. Age remains an independent determinant for survival after RC. Young adults did, however, not have superior outcomes in our analyses. Quality of life and complications are endpoints that need further evaluation in patients undergoing RC.

A clinico-epidemiological study of acne vulgaris conducted at a tertiary care hospital, Tamil Nadu

2021 ◽  
Vol 19 (3) ◽  
pp. 133-138
Author(s):  
M Selva Sudha ◽  
Keyword(s):  
Tamil Nadu ◽  
Dietary Habits ◽  
Tertiary Care Hospital ◽  
Acne Vulgaris ◽  
Tertiary Care ◽  
Positive Family History ◽  
Skin Condition ◽  
Care Hospital ◽  
Cross Sectional ◽  
Epidemiological Characteristics

Background: Acne is a chronic, self-limiting inflammatory disease of pilosebaceous unit. It is multifactorial, of which Propionibacterium acne and Sebum play an important role in etiopathogenesis. Aim: To study the clinico-epidemiological characteristics of patients with acne vulgaris attending the Out Patient Department of Dermatology at a tertiary care hospital, in Tamil Nadu state of India. Material and Methods: This is a Cross sectional study conducted in patients who are attending to the Outpatient Department of Dermatology in Meenakshi Medical College and Research Institute, Tamil Nadu. A total of 50 apparently healthy male and non-pregnant females aged between 12 years and 35 years with clinical diagnosis of acne grade 1 and 2 with facial lesions only are selected and recruited for the study. Pregnant and lactating women, patients who are hypersensitive to retinoids and presented with any other skin condition that would interfere with diagnosis or assessment of acne were excluded from the study. Study subjects were divided into two groups. One groups was treated with Adapalene and the other group was treated with Tretinoin. Both the groups were compared for the clinico-epidemiological characteristics. Results: A total of 50 patients were recruited for the study (n=50). Out of the 50 patients, 20 were males (40%) and 30 were females; 28 patients were students (that is 56%) and 22 (that is 44%) were completed their studies or not going to school or college for studies. Among the 50 patients 32 were unmarried and 18 were married. Based on the duration of Acne, subjects were divided into three groups: - below 1 year, 1-2 year and above 2 years. All the clinico-epidemiological parameters were compared for analysis. Conclusion: It was observed that 24% of the study population showed a positive family history of acne and diet is the major precipitating factor for the development of Acne among all the affected patients. So suggestions of change in dietary habits to be given to Acne patients for better outcome.

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