Marital Satisfaction Among Spouses of Male Patients with Alcohol Dependence Syndrome

2019 ◽  
Vol 2 (02) ◽  
pp. 8-13
Author(s):  
Humayoon Akbar ◽  
Sudhakar S. ◽  
Shanthi B. ◽  
Khadeja Bi ◽  
Jayaseelan R. ◽  
...  
Keyword(s):  
Marital Satisfaction ◽  
Alcohol Dependence ◽  
Rural Areas ◽  
Tertiary Care ◽  
College Hospital ◽  
Medical College ◽  
Alcohol Dependence Syndrome ◽  
Male Patients ◽  
The Mean ◽  
Alcohol Dependent

BACKGROUND One third of Indians consume alcohol and there is an alarming annual increase in alcohol consumption. Majority of spouses of alcohol dependent males are also the primary care-takers of their husbands and are at risk of domestic violence. Marital dissatisfaction could reduce their involvement in getting their spouses treated for alcohol dependence. Our aim was to study the marital satisfaction among the spouses of patients with alcohol dependence. METHODOLOGY This study was conducted on spouses of male patients with alcohol dependence syndrome attending the psychiatry department of a tertiary care medical college hospital in Kanchipuram District in Tamilnadu. 200 consecutive male patients with alcohol dependence syndrome using the ICD 10 criteria were recruited. Severity of alcohol dependence was assessed using Short Alcohol Dependence Data (SADD). Marital satisfaction among the spouses was assessed using ENRICH Marital Satisfaction (EMS) Scale. Analysis of the data was done using Statistical Package for the Social Sciences (SPSS) version 22.0. RESULTS The mean age of alcohol dependent men and their spouses were 43.05±9.39 and 37.58±8.86 years respectively. Most of the spouses (83.5%) had done their primary education only and 50% were house-wives (unemployed). Majority of men earned between Rs.5000 to 10,000 and most of them were unskilled workers belonging to the lower socio-economic group in the rural areas. The mean SADD and EMS scores were 25.05 ± 8.891 and 31.76 ± 14.45 respectively. 74% of men in our study population were highly dependent on alcohol. Amongst the spouses of men with severe dependence 68.9% reported moderate and 28.3% reported low marital satisfaction. DISCUSSION and CONCLUSION Majority of alcohol dependent men suffered from severe dependence. An inverse relationship between marital satisfaction scores and severity of alcohol dependence was observed. Alcohol dependence and its severity was noted to have an adverse impact on marital satisfaction among spouses of the dependent patients.

scholarly journals Marital Satisfaction Among Spouses of Male Patients with Alcohol Dependence Syndrome

2019 ◽  
Vol 2 (02) ◽  
pp. 8-13
Author(s):  
Humayoon Akbar ◽  
Sudhakar S. ◽  
Shanthi B. ◽  
Khadeja Bi ◽  
Jayaseelan R. ◽  
...  
Keyword(s):  
Marital Satisfaction ◽  
Alcohol Dependence ◽  
Rural Areas ◽  
Tertiary Care ◽  
College Hospital ◽  
Medical College ◽  
Alcohol Dependence Syndrome ◽  
Male Patients ◽  
The Mean ◽  
Alcohol Dependent

BACKGROUND One third of Indians consume alcohol and there is an alarming annual increase in alcohol consumption. Majority of spouses of alcohol dependent males are also the primary care-takers of their husbands and are at risk of domestic violence. Marital dissatisfaction could reduce their involvement in getting their spouses treated for alcohol dependence. Our aim was to study the marital satisfaction among the spouses of patients with alcohol dependence. METHODOLOGY This study was conducted on spouses of male patients with alcohol dependence syndrome attending the psychiatry department of a tertiary care medical college hospital in Kanchipuram District in Tamilnadu. 200 consecutive male patients with alcohol dependence syndrome using the ICD 10 criteria were recruited. Severity of alcohol dependence was assessed using Short Alcohol Dependence Data (SADD). Marital satisfaction among the spouses was assessed using ENRICH Marital Satisfaction (EMS) Scale. Analysis of the data was done using Statistical Package for the Social Sciences (SPSS) version 22.0. RESULTS The mean age of alcohol dependent men and their spouses were 43.05±9.39 and 37.58±8.86 years respectively. Most of the spouses (83.5%) had done their primary education only and 50% were house-wives (unemployed). Majority of men earned between Rs.5000 to 10,000 and most of them were unskilled workers belonging to the lower socio-economic group in the rural areas. The mean SADD and EMS scores were 25.05 ± 8.891 and 31.76 ± 14.45 respectively. 74% of men in our study population were highly dependent on alcohol. Amongst the spouses of men with severe dependence 68.9% reported moderate and 28.3% reported low marital satisfaction. DISCUSSION and CONCLUSION Majority of alcohol dependent men suffered from severe dependence. An inverse relationship between marital satisfaction scores and severity of alcohol dependence was observed. Alcohol dependence and its severity was noted to have an adverse impact on marital satisfaction among spouses of the dependent patients.

scholarly journals Socio-demographic Characteristics of Vesico-vaginal fistula (VVF) patients attended at a tertiary Care Hospital in Bangladesh

2020 ◽  
Vol 6 (2) ◽  
pp. 114-117
Author(s):  
Shimul Akter ◽  
Naznin Rashid Shewly ◽  
Kashefa Khatun ◽  
Rokshana Parvin Nupur ◽  
Kamrun Nahar ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Demographic Characteristics ◽  
Medical College Hospital ◽  
Care Hospital ◽  
Vaginal Fistula ◽  
College Hospital ◽  
Medical College ◽  
The Mean ◽  
Vesico Vaginal Fistula

Background: Vesico-vaginal fistula can occur in different women with varied socio-economic condition. Objectives: The purpose of the present study was to see the socio-demographic characteristics of vesico-vaginal fistula (VVF) patients attended at a tertiary care hospital in Bangladesh. Methodology: This cross-sectional study was carried out from July 2013 to December 2013 for a period of 6 months in the National Fistula Centre in the Department of Obstetrics & Gynaecology at Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh. All patients who underwent surgical repair for iatrogenic VVF in National Fistula Centre of the department of Obstetrics and Gynaecology of Dhaka Medical College Hospital were included in this study. Patients who got themselves admitted to Obstetrics & Gynaecology department of DMCH with the complaints of fistula. The entire selected patients were interviewed for detailed socio-demographic characteristics. Result: A total number of 51 cases of VVF were recruited for this study. The mean age was 46.02 (±SD 6.104) years. Most of the respondents were illiterate (55.0%) and one-third patients had primary level education. The number of highly educated patients was scarce (12.0%). It was evident that average age at marriage of the patients was 15.8(±4.74) years. Some females were forced to accept marriage at the age of 10 years. The mean interval between initiation of menstruation and the marriage was only 4.72 years. Mothers were on an average 17.48 years old at the time of first delivery. Conclusion: In conclusion middle age illiterate women are most commonly suffering from VVF. Journal of National Institute of Neurosciences Bangladesh, 2020;6(2): 114-117

scholarly journals Comparison of Mini-Mental State Examination (Mmse) and Bangla Mini-Mental State Examination (Mmse-B) Among Healthy Elderly in Bangladesh

2016 ◽  
Vol 24 (1) ◽  
pp. 30-35 ◽  
Author(s):  
Swapon Kumar Ghose ◽  
Ahmed Hossain Chowdhury ◽  
ATM Hasibul Hasan ◽  
Muhammad Zillur Rahman Khan ◽  
ASM Rezaul Karim ◽  
...  
Keyword(s):  
Mental State ◽  
Rural Areas ◽  
Mini Mental State Examination ◽  
Cognitive Domain ◽  
College Hospital ◽  
Level Of Education ◽  
Medical College ◽  
Healthy Elderly ◽  
The Mean ◽  
State Examination

Objective: The aim of the present study was to compare the efficacy of modified Bangla version of mini mental state examination (MMSE-B) with mini mental state examination (MMSE) for using among Bangladeshi healthy elderly.Methods: This is a descriptive type of observational study carried out in Department of Neurology, Dhaka Medical College Hospital, Dhaka, from January to December of 2013. A total of 200 healthy elderly (patient attendants at the clinic) who met the inclusion criteria, were interviewed using a structured questionnaire containing information on age, sex, residence, educational backgrounds and questions set at MMSE English version (MMSE-E) and modified Bangla version for MMSE-B (Figure-1). MMSE and MMSE-B both were applied in 1:1 ration. The literate people were asked whether they are comfortable to answer in English (MMSE-E) or they would like the translated form and we applied the form of MMSE (MMSE-T) according to their wish. But in other group of people the modified Bangla version (MMSE-B) was used irrespective of level of education.Results: The mean age at presentation was 58.1±7.8 and 94% were within 50-70 years of age. Male were more common (80, 66) in both the groups and most of them belonging to rural areas. MMSE-B were mostly employed on people having only primary level of education (up to class five, n=80) or no education (n=2), whereas MMSE-E were employed up on people having a level of education higher than class five (n=96). Every question in each item of cognitive domain correlated well (correlation co-efficient range from 0.801- 0.971) except the 7th (correlation co-efficient 0.418) which had higher mean score for MMSE-B than those of MMSE-E (0.90 versus 0.54). The mean score of MMSE-B was greater than the mean score of MMSE-E for most of questions except the 1st question that is related to orientation of time. The mean of total score in MMSE-E and MMSE-B were 24.04 and 24.91 respectively with a correlation co-efficient of 0.940.Conclusion: MMSE-B is comparable to MMSE and it is even better in some segments of cognitive assessment for using among Bangladeshi people irrespective of level of education.J Dhaka Medical College, Vol. 24, No.1, April, 2015, Page 30-35

Psychosexual Dysfunctions Among Alcohol-Dependent Individuals: A Cross-Sectional Study from a Tertiary Care Center of Southern India

2019 ◽  
Vol 1 (3-4) ◽  
pp. 257-261
Author(s):  
Priya R. Nair ◽  
Sivin P. Sam ◽  
Roy Abraham Kallivayalil
Keyword(s):  
Erectile Dysfunction ◽  
Sexual Dysfunction ◽  
Alcohol Dependence ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Cross Sectional ◽  
Male Patients ◽  
Psychosexual Dysfunction ◽  
Alcohol Dependent

Background: Chronic alcohol dependence is known to cause psychosexual dysfunction, which leads to marked psychiatric morbidity. There is a dearth of studies from India in this area. Aim: To estimate the frequency of psychosexual dysfunction in individuals with alcohol dependence and to explore the association between psychosexual dysfunction and various socio-demographic and alcohol-related variables. Materials and Methods: This is a cross-sectional descriptive study conducted on 50 male patients in a tertiary care center. The evaluation was conducted using a specially designed intake pro forma and tools such as the severity of alcohol dependence questionnaire, checklist for sexual dysfunction and International Classification of Disease, Tenth Revision, and diagnostic criteria for research. Results: Sexual dysfunction was present in 66% of alcohol-dependent individuals. The most common among them was found to be aversion to sex (32%) followed by erectile dysfunction (24%). In most of the cases, patients having erectile dysfunction were also found to have aversion to sex. Conclusion: Sexual dysfunction is highly prevalent in male patients with alcohol dependence. The study highlights the detrimental effects of alcohol on sexual function apart from other etiological factors.

scholarly journals Complementary and alternative medicine use among type 2 diabetes patients in a tertiary care hospital

2017 ◽  
Vol 6 (11) ◽  
pp. 2561 ◽  
Author(s):  
Shamiya Sadiq ◽  
Kanika Khajuria ◽  
Vijay Khajuria
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Rural Areas ◽  
Tertiary Care ◽  
Diabetic Patients ◽  
Care Hospital ◽  
College Hospital ◽  
Medical College ◽  
Cam Use ◽  
Complementary And Alternative

Background: Complementary and alternative medicine (CAM) use is prevalent among chronic diseases like Diabetes mellitus (DM). Therefore, the aim was to study the pattern of CAM use among Type2DM in our set up.Methods: The study was done in diabetic patients attending OPD of Government medical college hospital over a period of 2 months. Patients who gave consent were subjected to a pre-structured questionnaire which consisted of two parts pertaining to socio-demographic profile and CAM usage details.Results: Out of 280 patients enrolled in the study, 110 admitted being CAM users along with conventional Anti-Diabetic treatment. The CAM users were mostly females (56.36%) and were from rural background (70.90%). CAM was prevalent in educated patients (90.90%) more than illiterates (9.09%). Ayurveda (44.54%) was the most common type of CAM used and relatives (58.18%) provided main source of CAM information. 32.72% patients thought that CAM is safe, effective (20.90%) and less costly (19.09%). Only 16.36% patients disclosed regarding their CAM usage to the attending physician while majority (83.63%) were non-revealers. The results suggest that patients should be encouraged to reveal to their physician regarding CAM as it can avoid possibility of interactions.Conclusions: CAM is prevalent in T2DM and more so in females from rural areas. Ayurveda was the most widely type of CAM used and majority of patients did not disclose to the treating physician regarding CAM usage.

Pattern of Provoking Factors and Psychiatric Co- morbidity in Migraine Headache: A Study from Tertiary Care Hospital

2018 ◽  
Vol 16 (1) ◽  
pp. 7-10
Author(s):  
Tanveer Ahmed Khan
Keyword(s):  
Anxiety Disorder ◽  
Migraine Headache ◽  
Age Of Onset ◽  
Tertiary Care ◽  
Care Hospital ◽  
College Hospital ◽  
Medical College ◽  
Co Morbidity ◽  
The Common ◽  
The Mean

Introduction: Headaches are the most prevalent neurological disorders and among the most frequent symptoms seen in general practice among which migraine only accounts up to 30%. Certain factors are found to play role in the triggering of migraine headache. Avoidance of such factors is part of migraine management. Psychiatric co morbidities are common in migraine. Recognizing these co morbidities could therefore result in improved patient management. Methods: This study was done at Nepalgunj medical college hospital, Nepalgunj. Duration of study was six months i.e. from 1st July 2017 to 31st December 2017. All the new cases fulfilling diagnostic criteria of migraine headache visiting to psychiatric outpatient department were included in this study. The diagnosis of migraine was made based on criteria mentioned by the international classification of headache disorders (ICHD-II). Result: A total of 50 patients were enrolled in this study. The mean age of participants was 28.60 ± 10.388 years. There was significant predominance of female participants. Family history of migraine was found in 20 (40%) of participants. The mean age of onset was 22.76± 7.899 years. The commonest type of migraine was migraine without aura in 2/3rd number of cases. Psychiatric co-morbidity was found in 26 (52%) subjects among which the most common co-morbidity was anxiety disorder in 16 (32%) followed by depression in 8 (16%). Presence of provoking factors was found in 38 (76%) subjects. Light, smoke, smell, noise and lack of adequate sleep were the common provoking factors. Conclusion: Migraine predominantly affects females with common age of onset in second and third decade. Psychiatric co-morbidities are common in migraine patients. Anxiety disorder and depression are the commonest co-morbidities. The common provoking factors are light, smoke, smell, noise and lack of adequate sleep found in migraine. Avoidance of provoking factors and early detection and management of psychiatric co morbidities can result in better outcome.

scholarly journals Does Alcoholism Influence Sexual Functioning?

2017 ◽  
Vol 4 (4) ◽  
Author(s):  
Dr. Sharanabasavaraj Devaramani ◽  
Dr. Sunil Kumar ◽  
Dr. Pavan Kumar K
Keyword(s):  
Erectile Dysfunction ◽  
Sexual Dysfunction ◽  
Alcohol Dependence ◽  
Nicotine Dependence ◽  
Age Of Onset ◽  
Tertiary Care ◽  
P Value ◽  
Care Hospital ◽  
Alcohol Dependence Syndrome ◽  
The Mean

Background: Alcohol and alcohol use disorder are known to cause sexual dysfunctions. In turn it may aggravate frequency and amount of alcohol consumed. We assessed the prevalence and the correlates of sexual dysfunction in men with Alcohol Dependence Syndrome (ADS) in a tertiary care hospital. Methods: A total fifty Consecutive male subjects were selected on the 3rd day of inpatient care from general hospital psychiatry with a diagnosis of Alcohol Dependence Syndrome with Simple withdrawal Symptoms as per ICD-10 criteria. Co-morbid psychiatric diagnosis was ruled out using SCID – 1. They were assessed for sexual dysfunction using International Index of Erectile Function (IIEF), a 15 item questionnaire. Data analyzed using descriptive and chi square test. Results: The mean age of the study sample was 39.26 (±8) years; The mean age of onset of drinking was 19.1(±6.2) years, and that of dependence was 24(± 6.7) years, duration of alcohol dependence was 15 (±7.7) years, with an average daily consumption of 462 (± 330) ml. Out of 50 patients, 38 (76%) reported to have one or more sexual dysfunction. Sexual desire (78.94%), low intercourse satisfaction (76.31%), followed by low overall satisfaction (57.89%), erectile dysfunction (55.26%) and orgasmic function (31.57%) were reported in that order. Co morbid nicotine dependence was found in 31(62%) of those having sexual dysfunction, and was statistically significant in those with erectile dysfunction and overall satisfaction domain with a p value less than 0.05. however other domains did not correlate. Conclusion: Sexual dysfunction is more prevalent in male patients with ADS. The prevalence of co-morbid nicotine dependence was high among patients with alcohol dependence syndrome. The findings of the current study indicate that it is necessary to routinely evaluate sexual dysfunction in patients with ADS and research should focus on the pathophysiology of sexual dysfunction among ADS.

scholarly journals Electrophysiological Detection of Asymptomatic Neuropathy in Alcohol Dependence Syndrome Patients- A Cross Sectional Observational Study

2021 ◽  
pp. 26-31
Author(s):  
Arvind Visweshwar ◽  
Mohamed Hanifah ◽  
. Murugesan ◽  
. Avudaiappan ◽  
Arun Prakash
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Dependence ◽  
Nerve Conduction ◽  
General Medicine ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Alcohol Dependence Syndrome ◽  
Male Patients ◽  
Gandhi Medical College

Aim: To detect the prevalence of asymptomatic neuropathy using nerve conduction study among alcohol dependence syndrome patients and to investigate the existence or not of correlation between duration, quantity of alcohol consumption and neuropathy. Study Design: Observational cross-sectional study. Place and Duration of Study: Department of General Medicine and Department of Psychiatry, Mahatma Gandhi Medical College and Research Institute, Pondicherry, affiliated to Sri Balaji Vidyapeeth (Deemed to be) University, India between February 2019 and August 2020. Methods: Alcohol dependence syndrome patients, asymptomatic for neuropathy were prospectively included and, patients who were symptomatic and had other comorbid conditions that can cause neuropathy were excluded. Patients were then submitted to nerve conduction studies. In patients who had neuropathy, duration and quantity of alcohol consumption were compared for correlation. Results: This study included 65 male patients who were mostly middle aged heavy drinkers of alcohol. 73.8% (n=48) had neuropathy. Our research showed longer the duration, larger the quantity of alcohol consumption, and higher the Cut-Annoyed-Guilty-Eye (CAGE score), more were the prevalence of neuropathy. This research also used Severity Of Alcohol Dependence Questionnaire (SAD-Q) scoring for screening alcohol dependence which showed patients with neuropathy were moderate drinkers. We did not find correlation with age of patients and neuropathy. Conclusion: This research results like correlation of prevalence of neuropathy and duration of alcohol consumption and quantity of alcohol consumption were in contrast with previous studies on alcoholic neuropathy. This research used SAD-Q scoring for dependence, future researches can throw light on usage of SAD-Q score in asymptomatic neuropathy and the correlation of neuropathy with alcohol consumption.

Hypertension an Important Risk Factor for Stroke : A Study of 100 Cases in A Tertiary Care Hospital

2013 ◽  
Vol 20 (Number 1) ◽  
pp. 22-25
Author(s):  
A H M Kamal ◽  
K Hossain ◽  
K E Khuda
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Causes Of Death ◽  
Tertiary Care ◽  
Important Risk Factor ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Male Patients

Stroke is one of the commonest causes of death and disability in the world. Early detection and correction of risk factors, particularly the major and modifiable risk factors is the mainstay of controlling stroke. The present cross sectional hospital based study was carried out on 100 patients in Holy Family Red crescent Medical College Hospital to evaluate the correlation of hypertension with stroke as an important risk factor and the result of the study was compared with similar types of studies carried out at home and abroad. One hundred hospitalized patients of stroke were chosen randomly for the study. Male patients were more than female with ratio of 1.93:1. Majority of stroke patients were elderly 50 years and above (88%). Most of the patients came from middle and higher socioeconomic status. Hypertension was observed as the most common (82%) risk factor for stroke. Among them most of the patients were known hypertensive (90%) but were getting irregular treatment and only 10 percent cases were newly diagnosed. Most of the patients were hypertensive for 1-5 years.

scholarly journals Obstetric Patients Requiring Intensive Care: A One Year Retrospective Study in a Tertiary Care Institute in India

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Niyaz Ashraf ◽  
Sandeep Kumar Mishra ◽  
Pankaj Kundra ◽  
P. Veena ◽  
S. Soundaraghavan ◽  
...  
Keyword(s):  
Intensive Care ◽  
Maternal Mortality ◽  
Multiorgan Failure ◽  
Tertiary Care ◽  
College Hospital ◽  
Medical College ◽  
Obstetric Haemorrhage ◽  
Tertiary Hospitals ◽  
The Mean ◽  
One Year

Background and Objectives.Critically ill obstetric patients are a particularly unique cohort for the intensivist. The objective of this study was to review the indications for admission, demographics, clinical characteristics, and outcomes of obstetric patients admitted to intensive care unit of a medical college hospital in southern India and to identify conditions associated with maternal mortality.Design.Retrospective analysis of pregnant/postpartum (up to 6 weeks) admissions over a 1-year result. We studied 55 patients constituting 11.6% of mixed ICU admissions during the study period.Results.The mean APACHE (acute physiology and chronic health evaluation) II score of patients at admission was 11.8. Most of the patients (76%) were admitted in the antepartum period. The commonest indications for ICU admission were obstetric haemorrhage (51%) and hypertensive disorders of pregnancy (18%). 85% of patients required mechanical ventilation and 78% required inotropic support.Conclusions.Maternal mortality was 13%, and the majority of the deaths were due to disseminated intravascular coagulation and multiorgan failure, following an obstetric haemorrhage. A dedicated obstetric ICU in tertiary hospitals can ensure that there is no delay in patient management and intensive care can be instituted at the earliest.

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