scholarly journals Red cell indices and peripheral blood film findings of anti-Psychotic treatment and treatment naïve Psychiatic patients in a tertiary Hospital in Nigeria.

2019 ◽  
Vol 18 (2) ◽  
pp. 196-205
Author(s):  
AO Shittu ◽  
AO Adewoye ◽  
HO Olawumi

Background: The overall burden of morbidity and mortality from psychiatric disorders is on the rise. Holistic approach in the care of this group of patients has become inevitable. There is need for collaboration between psychiatrists and other physicians, laboratory physicians inclusive. Study design: cross sectional descriptive case- control study. Materials and method: A total of 198 patients including controls were recruited for this study. Patients with schizophrenia constituted majority of the respondents, 86.4% of antipsychotic-naïve patients and 90.9% of patients on antipsychotics. A comprehensive medical examination was carried out on every participant. On every sample, automated Full Blood Count was performed using Sysmex2000i and peripheral blood film was made and examined. Result: 51.5% and 47% of anti-psychotropicnaïve patients and patients on anti-psychotic were 18-40 and 41-60 years respectively. Male (57.6%), predominated the anti-psychotic naïve group while female (51.5%) predominated the group on anti-psychotics. Schizophrenia was the diagnosis in the majority of patients, 86.4% and 91% respectively in anti-psychotic naïve and antipsychotic treatment groups. Other diagnoses were depressive illness, substance use disorder and dementia. Of all the subjects, one (1.5%) schizophrenic patients and two (3%) of controls had abnormal haemogram results. For the schizophrenic patient with abnormal results, haematocrit was 12g/dl, MCV of 75fl and MCH of 26pg, while the two controls with abnormal results had only haematocrit deranged with value of 12.3g/d. Neutrophil hypersegmentation was seen on the film of five antipsychotic-naïve patients (7.5%) diagnosed with Schizophrenia and one (1.5%) of the controls. Macrocytosis was only seen in three (4.5%) of the five antipsychotic-naïve patients that had neutrophil hypersegmentation. Conclusion: No significant difference was noted in the Full Blood Counts among the two sets of patients and controls, although there were isolated cases of neutrohil hyperesegmentation and macrocytosis. Bangladesh Journal of Medical Science Vol.18(2) 2019 p.196-205

1968 ◽  
Vol 21 (6) ◽  
pp. 788-788
Author(s):  
A. G. Signy

Author(s):  
Nidhi Gupta ◽  
Suniti Pandey ◽  
Ashutosh Anshu

Background: Currently anatomy training and assessment is seriously disrupted in COVID-19 Pandemic lockdown. New challenges of anatomy curriculum and assessment method development are being attempted based upon resources, expertise and technical skills of educators. This study aims at creating a standard operation procedure (SOP) for conducting gross anatomy assessment, finding statistical relevance and discusses viewpoints of students reflected in feedback. Materials and methods: a retrospective cross sectional study was conducted on 250 first year students at GSVM Medical College Kanpur India. Students were briefed about SOP and were given choice to opt for either of three interview modalities of assessment tool [Viz. Telephonic Interview (GROUP T), Whatsapp© video call (GROUP W) and Zoom© meetings (GROUP Z)] and submit subjective feedbacks to assessor regarding new assessment format. The marks obtained as response distribution were subjected to descriptive statistics. One way ANOVA was applied to test any difference in means at (P<0.05) followed by post-hoc pair wise test amongst groups corrected to Bonferroni adjusted alpha level of [P<0.0167] per test. Results: Among 97.2% respondent ANOVA test result pointed that the types of interview pattern preferred had no significant impact on obtained score [F (2,240) = 2.80, p = .062], post-hoc test further confirmed that there was no significant difference between groups. Conclusion: the assessor and students both need to evolve and adapt to paradigm changes. Student’s feedback will serve to tailor the assessment tool by refining validity, consistency, reliability and interaction dynamics of assessment designs. Alternative evidence based futuristic assessment methods exploration are call of the hour. Bangladesh Journal of Medical Science Vol.19(0) 2020 p.S 21-S 27


1970 ◽  
Vol 19 (1) ◽  
pp. 67-68
Author(s):  
A Wazib ◽  
MZ Hossain ◽  
JK Saha ◽  
KA Al-Mamun ◽  
SB Shahid ◽  
...  

A middle aged lady presented with recurrent jaundice with normal SGPT, serum alkaline phosphatase, serum albumin and prothrombin time. Haemolysis was excluded by normal haemoglobin, peripheral blood film and reticulocyte count and finally she was diagnosed to have Gilbert's syndrome. Key words: Gilbert's Syndrome; Hyperbilirubinaemia. DOI: 10.3329/jdmc.v19i1.6257 J Dhaka Med Coll. 2010; 19(1) : 67-68.


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