scholarly journals A Study on Demographic Variables in Patients with Somatoform Disorders Conducted at a Tertiary Care Hospital in Psychosomatic Clinic, Vidarbha

Author(s):  
Ratika Sharma ◽  
KYAMC Journal ◽  
2013 ◽  
Vol 2 (1) ◽  
pp. 128-131
Author(s):  
Muhammad Abdul Kayum Shaikh ◽  
Md Zulfikar Ali ◽  
Md Saiful Islam ◽  
AKM Mokhlesuzzaman

Health includes both physical and psychological well being of an individual. There is strong chance that every physical illness has psychological component and in many cases psychological disorders present with somatic symptoms; so psychiatric referral is very important to the proper management of a patient. The aim of this study was to find out the pattern of referral from different outpatient departments in a tertiary level hospital in rural setting of Bangladesh. In this descriptive study total 237 patients were evaluated in 7 months period and most of the diagnoses were anxiety disorders (40%), major depressive disorder (35%) and somatoform disorders (17%). Departments of medicine (cardiology 34%, internal medicine 28% and neurology 26%) referred most of the patients than the surgical or gynecological departments.DOI: http://dx.doi.org/10.3329/kyamcj.v2i1.13517 KYAMC Journal Vol.2(1) 2011 pp.128-131


Author(s):  
Usharani H. Patted ◽  
Hema N. G. ◽  
Anil Kumar Mysore Nagaraj

Background: Psychiatric disorders are one of the major causes of morbidity and the burden of illness is enormous and remains grossly under represented. Psychotropic drugs have had a remarkable impact in psychiatric practice. Currently a large number of atypical antipsychotics available in the market are endorsed as better options for treating schizophrenia than the typical antipsychotics. The main objective of the study was to find the commonly prescribed antipsychotics in schizophrenia patients in a tertiary care center.Methods: After Institutional Ethics Committee approval, a retrospective cross-sectional drug utilization study of 400 prescriptions was under taken from 1st July 2015 to 30th July 2016 in the outpatient department of psychiatry of a tertiary care hospital. The prescribing pattern of antipsychotics in schizophrenia patients (N=107) was measured.Results: Out of 400 cases in the outpatient department, schizophrenia cases were predominant (N=107 i.e. 27%) out of which 42.1% were females and 57.9% were males. This was followed by mood disorders and neurotic & somatoform disorders. The most common antipsychotic used was olanzapine followed by risperidone. Least commonly used antipsychotic was haloperidol. Most of the patients who received risperidone also received an anticholinergic trihexyphenidyl (91.8%).Conclusions: Olanzapine and risperidone are the most commonly used antipsychotics. Anticholinergics should be used only in selected patients on antipsychotics as tolerance develops to extrapyramidal side effects. Anticholinergics are unnecessary after 3-6 months in all except 10% of patients. Moreover, it has its own side effects and adversely interacts with antipsychotics.


Author(s):  
Vijayalakshmi Kuttath ◽  
Shyamily Mohan

Background and Aims: This study aims to identify the level of motivation among blood donors and their intention to donate again and suggest remedial measures to rectify de-motivating influences. Materials and Methods: A self-administered questionnaire was distributed among donors to collect data on variables related to the objective. Results: Most donors were men aged 18-24 years, graduates, and employed. The statistical analysis indicated a significant correlation between socio-demographic variables and intention to donate. Fear is the major de-motivating factor, and waiting hours at the blood bank were rated as inconvenient. Conclusion: Recognition of the positive and negative motivation factors and measures to remove misconceptions of donors will go on a long way in the recruitment and retention of blood donors.


2021 ◽  
Vol 15 (8) ◽  
pp. 2035-2038
Author(s):  
Mohsin Asif ◽  
Aijaz Zeeshan Khan Chachar ◽  
Miqdad Haider ◽  
Sajjad Ali ◽  
Afaq Shamim ◽  
...  

Background: Frequency of dyslipidemia is on continuous rise in the developing countries including Pakistan. Many studies have shown that a raised LDL-cholesterol level, non-HDL cholesterol levels and decreased HDL-cholesterol levels are related with anraised risk of cardiovascular diseases and also certain muscle related symptoms. Aim: To find the frequency of statin-induced myopathy in dyslipidemic patients presenting in a tertiary care hospital. Methods It was a cross sectional study conducted among dyslipidemic patients presented at department of medicine and endocrinology, Unit-I Fatima Memorial hospital, Lahore. Non-probability consecutive sampling technique was used to select 230 dyslipidemic patients who met the inclusion criteria. Information was recorded on predesigned questionnaire regarding statin induced myopathy and socio-demographic variables. Results: In this study, the mean age statin induced myopathy respondents was 49.9±8.6 years while it was 49.9±9.4 years among not having statin induced myopathy.Statin induced myopathy was seen in 55 (23.9%) respondents while in 175 (76.1%) there was no statin induced myopathy. Gender among peripheral neuropathy showed that males were 42 and females were 13 in number; and among non-statin induced myopathy group there were 121 males and 54 females. Most of the middle income respondents were suffering from statin induced myopathy as compared to other income groups. Conclusion: This study reports an increased prevalence of statin induced myopathy among dyslipidemic patients. Male respondents were more in number than females but both had shown insignificant relationship with statin induced myopathy. The age>45 years of the respondents showed significant statistical difference with gender. Keywords: Statin Induced Myopathy, Dyslipidemia, Lahore


2018 ◽  
Vol 6 (1) ◽  
pp. 12-17
Author(s):  
S Nepal ◽  
N Sapkota

Introduction: World is graying. With the rise in life expectancy, the elderly population is increasing. At the same time, prevalence of dementia is also increasing as ageing is the main risk factor for dementia. This study aims to find out the prevalence of dementia among old age patients and associated variables among the elderly psychiatric outpatients in a tertiary care hospital.Material and Method: A total of 210 consecutive elderly (60 or more years) outpatients in psychiatric OPD were enrolled in a period of one year, after taking informed consent with caretakers. Mini Mental State Examination (MMSE) was done as screening tool for cognitive impairment. Diagnoses were made according to ICD-10 guidelines. Data was analysed using SPSS.Results: Out of 210 subjects, 50.95% were female, 43.8% were of age group 60-64 years. Prevalence of dementia was 11.4% among which Alzheimer's dementia constituted 70.8% of total cases of dementia followed by vascular dementia (25%). Significant association of dementia was seen with age, occupation and Mini Mental State Examination (MMSE) score. Among other psychiatric comorbidities, depression (36.7%) was found to be the commonest mental illness followed by Neurotic, stress related and somatoform disorders (13.8%) and Alcohol dependence syndrome (12.9%).Conclusion: This study concludes that significant number of elderly patients attending OPD of tertiary care hospital suffers from dementia and MMSE is a reliable tool to screen dementia in the elderly patients.J Psychiatrists’ Association of Nepal Vol .6(1), 2017, p.12-17


2019 ◽  
Vol 18 (1) ◽  
pp. 59-68
Author(s):  
Sunil Shakya ◽  
Anurag Adhikari ◽  
Ayusha Poudel ◽  
Barun Babu Aryal ◽  
Sagar Mani Jha ◽  
...  

Introduction: Dermatological conditions make up a significant burden of hospital visits. This study aims to calculate the prevalence of different dermatological conditions among OPD visits in a tertiary care hospital in Kathmandu, and describe the variation of those conditions with demographic variables and seasons. Methods: This study was performed retrospectively using the data collected in the OPD register of a tertiary level hospital from 14th April 2017 to 13th April 2018. Analysis was conducted using MS Excel 2016 and Statistical Package for the Social Sciences (SPSS) v25. Results: A total number of 24,332 OPD visits were recorded in the year. 54.3% of the visits were made by males and 45.7% by females and most common age group seeking dermatological consultation was 25 to 34 years. Noninfectious dermatoses were more common than infections. The most common noninfectious dermatoses were dermatitis/eczema, urticaria, angioedema and hypersensitivity, and pigmentary disorders in descending order of frequency. The common infectious dermatoses in decreasing order of frequency were fungal, viral, and parasitic/protozoal conditions. The infectious dermatoses were found to be significantly higher in males (p<0.05) while pigmentary disorders, urticaria and angioedema, autoimmune cutaneous disorders, disorders of pilosebaceous units and xerosis were significantly higher in females (p<0.05). Bacterial, fungal and viral infections, eczemas, urticarial/angioedema, papulosquamous disorders, xerosis, neoplasms and vasculitis showed significant seasonal variation. Conclusions: Eczemas and fungal infections are the most common dermatoses. Infectious dermatoses and several non-infectious dermatoses vary significantly with seasons.  


2021 ◽  
pp. 36-39
Author(s):  
Simaranjit Kaur ◽  
Kirandeep Kaur Dhaliwal ◽  
Rajwant Kaur Randhawa ◽  
Deepika R Singh

Healthcare associated infections (HCAI) or nosocomial infections constituting a major health problem worldwide; among them the major one is Catheter Associated Urinary Tract Infection (CAUTI) and it occurs after the admission of the patient in hospital due to the reason of other than that infection .Thus the present Study was planned to assess the attitude of staff nurses towards catheter care to prevent CAUTI among Patients Admitted in Tertiary Care Hospital, Bathinda (Punjab) Objectives 1.To assess the attitude of nurses towards catheter care for prevention of CAUTI among patients 2.To nd out the association between attitude of nurses towards catheter care for prevention of CAUTI among patients with their socio demographic variables. Descriptive survey design was used. A Quantitative Non experimental Approach was adopted to conduct the Study. 200 staff nurses were selected using Non Probability convenience Sampling Technique .The present study included staff nurses working in intensive care units, cardiac care unit, surgery, medical , orthopaedic and gynaecological and obstetrical wards. A prevalidated tool comprising Socio demographic variables and Self structured attitude scale were used to collect the data. Results: depicts that out of 200 staff nurses that most of staff nurses i.e. 120 (60%) were in the age group of 21-30 years. Most of them i.e.132 (66%) were females. About 40(20%) of staff nurses were presently working in CCU .Most of staff nurses 120(60%) were GNM by qualication .Most of staff nurses 89(44.5%) were having <2 years of experience in present area .Half of the staff nurses 118(59%) had attended training regarding infection control .Almost Half of staff nurses 92(46%) were having mild favourable attitude. There was Statistically Signicant Association found between attitude and gender, professional qualication, years of experience and any training attended regarding infection control. Conclusion: In the present study it is concluded that most of the participants have mild favourable attitude towards catheter care for prevention of CAUTI and needs further focus and support to improve nursing care quality.


2021 ◽  
pp. 3-4
Author(s):  
Abhishek Kumar ◽  
Mithilesh Kumar ◽  
Vivek Kashyap

Background: Despite being preventable and curable, TB is the leading cause of HIV associated mortality. It is the most common opportunistic 3 infection among HIV positive individuals with CD4 cell count < 500/mm . Worldwide the number of people infected with both HIV& TB is rising. Objectives: To assess the treatment outcome of HIV-TB Co-infected patients on Anti Tubercular treatment (ATT) attending ART Centre, RIMS, Ranchi. Methods: It was a hospital based prospective study done at the ART centre of Rajendra Institute of Medical Sciences (RIMS), Ranchi. Duration of study was 14 months. Atotal of 117 patients were registered during the study period and were followed up for outcome of ATT. Results: Out of 117 patients 4 were excluded and from remaining 113 patients, treatment success was found to be 88.5%. No signicant association was found among any of the socio-demographic variables and outcome of TB treatment. Conclusion: In this study it was concluded that sociodemographic prole had no signicant association (p>0.05) with the outcome of TB treatment and treatment success (Cured & Treatment completed) was found in 88.5% of the HIV-TB co-infected patients


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