scholarly journals Pattern of Neuropsychiatric Illnesses in Geriatric Population: An Outpatient Study Report

2017 ◽  
Vol 4 (1) ◽  
pp. 12-19
Author(s):  
T.K. Aich ◽  
S. Shah ◽  
S Subedi
Keyword(s):  
Alcohol Dependence ◽  
Clinical Data ◽  
Psychiatric Patients ◽  
Descriptive Analysis ◽  
Medical Sciences ◽  
Geriatric Population ◽  
Psychiatric Illnesses ◽  
Alcohol Dependence Syndrome ◽  
One Year ◽  
The One

Introduction: Few studies are available till date on the pattern of neuro-psychiatric illnesses in geriatric population in Nepal.Objective: The study was aimed to know the demographic and clinical profiles of geriatric outpatients in our neuropsychiatry OPD.Method: This study was conducted at the Department of Psychiatry, Universal College of Medical Sciences-Teaching Hospital (UCMS-TH), Bhairahawa, Nepal. We screened through our ‘OPD case registrar’, which maintains few demographic and clinical data of all the new and old cases registered daily in the OPD. Socio-demographic and clinical data of all the patients in the age of 60 years and above were noted in a data sheet specially designed for the present study. This is a retrospective study by chart review. Descriptive analysis of these data were undertaken by using simple frequency distribution.Result: During the one year study period total number of new patients registered were 3711. Two-hundred and fifty-seven (6.9%) among them were in the geriatric age group (≥60 years age). Psychoses form the biggest diagnostic entity with 71 patients (27.6%) followed by Depression in 39 patients (15.2%), Chronic headache in 33 (12.8%), Alcohol Dependence Syndrome in 27 (10.5%), Anxiety disorders in 25 (9.7%) and Dementia in 23 (8.9%) elderly patients. We also recorded 11 patients (4.3%) with symptoms of Mania. ‘Psychosis’ and ‘Depression’, were more represented amongst female elderly while ‘Alcohol dependence’ and ‘Mania’ and were more frequently prevailed among male elderly patient population.Conclusion: Present study is expected to add some more light on this sub-specialty in Psychiatry and hope to induce more interest among young researchers to carry our further research among geriatric psychiatric patients in Nepal.

scholarly journals Quantification of mortality and morbidity in general population of heavily-industrialized city of Abadan: Effect of long-term exposure

2021 ◽  
Author(s):  
Akram Ghorbanian ◽  
Ahmad Jonidi Jafari ◽  
Abbas Shahsavani ◽  
Ali Abdolahnejad ◽  
Majid Kermani ◽  
...  
Keyword(s):  
Air Pollution ◽  
Mortality Data ◽  
Air Pollution Control ◽  
Medical Sciences ◽  
Mortality And Morbidity ◽  
Khuzestan Province ◽  
Vice Chancellor ◽  
One Year ◽  
The One

Introduction: In the 21st century, air pollution has become a global and environmental challenge. The increase in cases of illness and mortality due to air pollution is not hidden from anyone. Therefore, in this study, we estimated the mortality rate due to cause by air pollution agents (PM2.5) in the southernmost city of Khuzestan province (Abadan city) at 2018-2019. Materials and methods: To estimate the mortality duo to air pollution, data related to PM2.5 particles daily concentrations was received from the Abadan Environmental Protection Organization. The average 24-h concentrations of PM2.5 were calculated using Excel. Then, mortality data were obtained from the Vice Chancellor for Health, Abadan University of Medical Sciences. Finally, by AirQ+ software, each of the mortality in 2018-2019 in Abadan was estimated. Results: The obtained data indicated that the concentration of PM2.5 particles within the one-year period was higher than the value set by WHO guideline and EPA standard. Which caused the citizens of Abadan to be exposed to PM2.5 more than 8.23 times than the guidelines of the WHO and 5.34 times more than the standard of the EPA. The output of the model used in this study was as follows: natural mortality (462 cases, AP: 38.25%), mortality duo to LC (6 cases, AP: 32.18%), mortality duo to COPD (8 cases, AP: 26.64%), mortality duo to Stroke (86 cases, AP: 71.26%), mortality duo to IHD (183 cases, AP: 68.34%) and mortality duo to ALRI (2 cases, AP: 32.9%). Conclusion: Planning appropriate strategies of air pollution control to reduce exposure and attributable mortalities is important and necessary.

482Direct oral anticoagulant rivaroxaban in very old and frail patients: A one-year prospective follow-up of a large-scale cohort (SAFIR-AC)

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
O Hanon ◽  
J Vidal ◽  
E Chaussade ◽  
J P David ◽  
N Boulloche ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Major Bleeding ◽  
Large Scale ◽  
Bleeding Risk ◽  
Geriatric Population ◽  
Very Old ◽  
The Mean ◽  
One Year ◽  
The One

Abstract Background/Introduction Age is one of the strongest predictors/risk factors for ischemic stroke in subjects with atrial fibrillation (AF). Direct oral anticoagulants (DOACs) have been shown to be effective in the prevention of this condition; however, clinical evidence on bleeding risk with this therapeutic strategy in very old and frail geriatric patients is poor. Purpose To assess bleeding risk in French geriatric patients aged ≥80 years and diagnosed with AF newly treated with rivaroxaban. Methods Subjects, presenting to one of 33 geriatric centers, with non-valvular AF and recent initiation of a treatment with rivaroxaban were enrolled in the study and followed-up every 3 months for 12 months. Clinical and routine laboratory data and evaluation scores, such as HAS-BLED, HEMORR2HAGES, ATRIA, and CHA2DS2-VASc, as well as comprehensive geriatric evaluation were reported. Major bleeding, as defined in ROCKET AF study, was reported at each visit, and this primary outcome was adjudicated by an independent committee. Results of this cohort were compared with findings from a similar cohort treated with vitamin K antagonists (VKAs) from the same centers (n=924). Results A total of 1045 subjects were enrolled in the study of whom 995 (95%) had a one-year follow-up (analyzed population). The mean (standard deviation (SD)) age was 86.0 (4.3) years, with the majority of patients being female (61%), 23% aged 90 years or older, and 48% having an estimated glomerular filtration rate (eGFR) <50 mL/min. The main comorbidities were hypertension in 77% of subjects, malnutrition 49%, anemia 43%, dementia 39%, heart failure 36%, and falls 27%. The mean (SD) score for CHA2DS2-VASc was 4.8 (1.4), HAS-BLED 2.4 (0.9), Mini-Mental State Examination (MMSE) 21.5 (6.9), Activities of Daily Living (ADL) 4.4 (1.9), and Charlson Comorbidity Index 6.7 (2.0). The one-year rate of major bleeding events was 6.4% of which 0.8% were fatal and 1.1% intracranial hemorrhages (ICH), whereas the one-year rate of ischemic stroke was 1.4% and all-cause mortality 17.9%. Computed with VKA cohort findings and adjusted for age, gender, eGFR and Charlson score, this would result in a hazard ratio of 0.54 (95% confidence interval [CI], 0.38 to 0.78) for major bleeding, 0.36 (0.17 to 0.76) for ICH, 0.62 (0.29 to 1.33) for ischemic stroke, and 0.82 (0.65 to 1.02) for all-cause mortality, in favor of rivaroxaban. Conclusions This is the first large-scale prospective study in geriatric population in AF subjects treated with DOAC (rivaroxaban) Major bleeding risk appeared higher in very old than younger population, however major bleeding and ICH rates were significantly lower with rivaroxaban than with VKAs when used in the same geriatric population. This study indicates that Rivaroxaban can be used in very old and frail patients for the treatment of non-valvular AF. Acknowledgement/Funding Unrestricted grant from Bayer

scholarly journals A Descriptive Analysis of the Indications for Caesarean Section in Lumbini Zonal Hospital, Butwal

2018 ◽  
Vol 5 (2) ◽  
pp. 31-34
Author(s):  
Shreedhar Acharya ◽  
Bhaktabatsal Raut
Keyword(s):  
Caesarean Section ◽  
Caesarean Delivery ◽  
Caesarean Section Rate ◽  
Descriptive Analysis ◽  
Fetal Distress ◽  
Age Group ◽  
Medical Sciences ◽  
Cephalopelvic Disproportion ◽  
Case Files ◽  
One Year

AIM: This study was done to find out the incidence and to analyse the various indications for caesarean sections at Lumbini Zonal Hospital.MATERIALS & METHODS: This was a hospital based retrospective study done at Lumbini Zonal Hospital, Butwal. The case files of all the women who had caesarean delivery over the period of one year from 2071/4/1 to 2072/3/32 were reviewed. Various indications of caesarean sections were analysed for the incidence, age, parity, elective vs emergency caesareans.RESULTS: Out of 7589 deliveries, 1316 (17.34%) had caesarean section. Most common indications were previous caesarean 275 (20.89%), non progress of labour 245 (18.61%), cephalopelvic disproportion 222 (16.86%), fetal distress 215 (16.33%), etc. Majority of caesarean 1226 (93.16%) was done in the age group of 20-30yrs, primipara 702 (53.34%), and elective caesarean sections 766 (58.2%).CONCLUSION: Caesarean section rate at Lumbini Zonal Hospital was optimal. Most common indication was repeat caesarean. The overall reduction in caesarean section rate can be met through reduction of elective caesarean with the promotion of trial of labour.Study also concludes that there is a relation between working duration and health problems, and the problems increase as the duration at work increases.Journal of Universal College of Medical Sciences, Vol. 5, No, 2, 2017, Page: 31-34

scholarly journals TO STUDY THE USE OF DISULFIRAM IN ALCOHOL DEPENDENCE SYNDROME (ICD 10/DSM IV CRITERIA) AT SECONDARY CARE SETTING

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Anita Thakur ◽  
Shallu Dhiman ◽  
Jyoti Sharma
Keyword(s):  
Alcohol Dependence ◽  
Secondary Care ◽  
Care Setting ◽  
Future Research ◽  
Regular Treatment ◽  
Icd 10 ◽  
Alcohol Dependence Syndrome ◽  
Secondary Care Setting ◽  
Dsm Iv ◽  
One Year

Background: Disulfiram blocks the enzyme aldehyde dehydrogenase (ALDH). If alcohol is present, acetaldehyde accumulates usually resulting in an unpleasant reaction, the disulfiram-ethanol reaction (DER), consisting primarily of tachycardia, flushing, nausea, and vomiting. Methods: A consecutive sampling method was used (meeting inclusion criteria and willing to participate in  study) twelve -month follow-up study was conducted in which 75 patients visiting Outpatient department in secondary care setting  with diagnosis Alcohol dependence Syndrome (ICD 10/DSM IV criteria) received 250 mg disulfiram after consent from both patient and caregiver. Results: Out of 75 patients 13(17.4%) patients completed one year of supervised disulfiram treatment and remained abstinent. Out of 62 remained abstinent, 22(29.4%) of remained abstinent and on regular treatment for 6 months. 19 (25.4%) patients relapsed after 3 months of treatment. 17  (22.4%)patients relapsed within  2 week to 2 months of treatment. Unwanted effects due to disulfiram and no response at 500 mg  in one patient led to stopping of treatment in 4(5.4%) patients. Conclusion: The study concludes with the role of disulfiram in the present day and long-term pharmacotherapy of alcohol dependence along with future research needs in this area. Keywords: Disulfiram; Alcohol Dependence; Alcohol; Deterrent; Pharmacotherapy.

Patients’ Medication Errors

2013 ◽  
Vol 3 (2) ◽  
pp. 44-50 ◽  
Author(s):  
Vahideh Zarea Gavgani ◽  
Mina Mahami Oskouei ◽  
Rezvanyieh Salehi
Keyword(s):  
Decision Making ◽  
Medication Errors ◽  
Medical Records ◽  
Descriptive Analysis ◽  
Tertiary Care ◽  
Medical Sciences ◽  
Patient Medication ◽  
One Year ◽  
Heart Hospital ◽  
Analyze Data

Patients’ awareness and informed involvement may reduce the prevalence of patients’ errors. The aim of this study is to identify the occurrence of patients’ medication errors in one of the leading tertiary care educational superspeciality hospitals in Iran during one year from October 2010 to October 2011. This is a retrospective study. Patients’ medical records were investigated to identify the reported errors in taking medication. A total of 140 medical records of patients who were hospitalized in Madani Heart Hospital of Tabriz University of Medical Sciences were investigated. Then the errors were categorized into three groups including: Reporting, Recklessness/ adherence, and Preference. Descriptive analysis was used to analyze data. Out of total 140 patients’ records, 16 (11%) patient medication errors were identified. Most of these errors were related to communication and reporting followed by non-adherence to the medication prescriptions. The least errors were related to patients’ preference. The study suggests that these errors could have been prevented by involving patients in decision making and self-care through information prescription.

scholarly journals The Prevalence of Mental Disorders among Serving Soldier Requiring Admission

2013 ◽  
Vol 11 (2) ◽  
pp. 14-17
Author(s):  
Namrata Rawal ◽  
Praswas Thapa ◽  
Yadav Bista
Keyword(s):  
Mental Disorders ◽  
Alcohol Dependence ◽  
Substance Dependence ◽  
Common Mental Disorders ◽  
Demographic Data ◽  
Descriptive Analysis ◽  
Psychiatric Ward ◽  
One Year ◽  
Army Personnel ◽  
Psychiatric Department

Introduction: Numerous studies have been done to study the psychiatric conditions in army personnel but none have been done in Nepalese army personnel. The purpose of the present study was to determine the prevalence of common mental disorders among Nepalese Army Personnel who were admitted in psychiatric ward. Methods: Retrospectively 186 case records of Nepalese Army Personnel, who received treatment at the inpatient psychiatric ward over a period of one year (15th May 2010 to 15th May 2011) , were included in this study. Descriptive analysis of their demographic data and types of psychiatric disorders was done using SPSS v16. Results: Among the 186 patients who were admitted during the study period, 184 (98.92 %) were male. The most common age range was 21-30 years (70.43%). The prevalence of the first ten rank of mental disorders among Nepalese Army Personnel were  Major Depression (25.27%), Alcohol dependence (22.58%), Schizophrenia (14.67%), Bipolar disorder (8.6%), Anxiety disorder(6.52%), Substance induced psychotic disorder(4.35%), Schizoaffective disorder(3.26%), Deliberate self harm (2.72%), Malingering(2.72%) and Poly substance dependence (2.72). Conclusions: The most common prevalence of mental disorders among inpatient of Nepalese Army Personnel in psychiatric department in the year 2010-11 were Major depressive disorder, Alcohol dependence and Schizophrenia.Medical Journal of Shree Birendra Hospital; July-December 2012/vol.11/Issue2/14-17 DOI: http://dx.doi.org/10.3126/mjsbh.v11i2.7902 

Patients' Medication Errors

2015 ◽  
pp. 1081-1087 ◽  
Author(s):  
Vahideh Zarea Gavgani ◽  
Mina Mahami Oskouei ◽  
Rezvanyieh Salehi
Keyword(s):  
Decision Making ◽  
Retrospective Study ◽  
Medication Errors ◽  
Medical Records ◽  
Descriptive Analysis ◽  
Tertiary Care ◽  
Self Care ◽  
Medical Sciences ◽  
One Year ◽  
Heart Hospital

Patients' awareness and informed involvement may reduce the prevalence of patients' errors. The aim of this study is to identify the occurrence of patients' medication errors in one of the leading tertiary care educational superspeciality hospitals in Iran during one year from October 2010 to October 2011. This is a retrospective study. Patients' medical records were investigated to identify the reported errors in taking medication. A total of 140 medical records of patients who were hospitalized in Madani Heart Hospital of Tabriz University of Medical Sciences were investigated. Then the errors were categorized into three groups including: Reporting, Recklessness/ adherence, and Preference. Descriptive analysis was used to analyze data. Out of total 140 patients' records, 16 (11%) patient medication errors were identified. Most of these errors were related to communication and reporting followed by non-adherence to the medication prescriptions. The least errors were related to patients' preference. The study suggests that these errors could have been prevented by involving patients in decision making and self-care through information prescription.

Technology-Enhanced Learning (TEL) in Higher Education

2019 ◽  
pp. 12-24
Author(s):  
Linda Daniela ◽  
Raimonds Strods ◽  
Daiga Kalniņa
Keyword(s):  
Higher Education ◽  
Data Analysis ◽  
Learning Outcomes ◽  
Descriptive Analysis ◽  
Technology Enhanced Learning ◽  
One Year ◽  
The One ◽  
Impact Of Technology ◽  
The Impact ◽  
Enhanced Learning

As technologies become more exciting, interactive, and reachable, various technological solutions are used in higher education. On the one hand, there is the conviction that technologies are indispensable, both for improving learning and for making learning process more effective, both in terms of learning outcomes and in terms of costs. Additionally, technology and technological solutions can provide sustainability of knowledge because students develop the competences that they will need in their future professional work. This chapter summarises the systematic literature review (SLR) carried out by the authors in analysing research that has been done on the impact of technology-enhanced learning on learning outcomes in order to understand what emerging research has been done, as the authors published a similar study one year ago. The SLR was conducted for the period of 2010 to 2018 by selecting peer-reviewed articles on specified terms. The selected articles were then analysed following sub-purposes. The descriptive analysis method was adopted for the data analysis.

scholarly journals EMS Stretcher “Misadventures” in a Large, Urban EMS System: A Descriptive Analysis of Contributing Factors and Resultant Injuries

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Jeffrey M. Goodloe ◽  
Christopher J. Crowder ◽  
Annette O. Arthur ◽  
Stephen H. Thomas
Keyword(s):  
Adverse Events ◽  
Significant Relationship ◽  
Descriptive Analysis ◽  
Hawthorne Effect ◽  
Contributing Factors ◽  
Exact Test ◽  
System A ◽  
Minor Injuries ◽  
One Year ◽  
The One

Purpose. There is a paucity of data regarding EMS stretcher-operation-related injuries. This study describes and analyzes characteristics associated with undesirable stretcher operations, with or without resultant injury in a large, urban EMS agency.Methods. In the study agency, all stretcher-related “misadventures” are required to be documented, regardless of whether injury results. All stretcher-related reports between July 1, 2009 and June 30, 2010 were queried in retrospective analysis, avoiding Hawthorne effect in stretcher operations.Results. During the year studied, 129,110 patients were transported. 23 stretcher incidents were reported (0.16 per 1,000 transports). No patient injury occurred. Four EMS providers sustained minor injuries. Among contributing aspects, the most common involved operations surrounding the stretcher-ambulance safety latch, 14/23 (60.9%). From a personnel injury prevention perspective, there exists a significant relationship between combative patients and crew injury related to stretcher operation, Fisher’s exact test 0.048.Conclusions. In this large, urban EMS system, the incidence of injury related to stretcher operations in the one-year study period is markedly low, with few personnel injuries and no patient injuries incurred. Safety for EMS personnel and patients could be advanced by educational initiatives that highlight specific events and conditions contributing to stretcher-related adverse events.

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