Psychiatric disorders following hysterectomy

Hysterectomy is one of the most commonly performed gynecological surgical procedures on the uterus which are thought to be an insult to the women’s emotional equilibrium. It leads to the feeling of reduced femininity which may develop psychiatric disorders. The objective of the study was to evaluate the proportion and pattern of psychiatric disorders among the hysterectomized women. This was a cross sectional and comparative study, conducted in the department of Psychiatry in collaboration with the outpatient department of Gynecology and Obstetrics, Sylhet MAG Osmani Medical College Hospital, Sylhet, Bangladesh during the period from January 2012 to December 2012. For this purpose 365 married women of reproductive age group, after 3 to 6 months of planned hysterectomy fulfilling the inclusion and exclusion criteria were selected consecutively as a case group and age matched 365 healthy women were selected as control group. The result showed that, the mean age of the respondents was 41.48 (SD±3.79) years which was almost identical to control group (p=0.953). Most (49.5%) of the women were below the age of 40 years. Psychiatric disorders were most frequent in hysterectomized group (38.3%) as compared to control group (28.1%) (p<0.001). The most common psychiatric disorder was major depressive disorder (26.5%) followed by panic disorder (5.2%), obsessive compulsive disorder (3.8%) and conversion disorder (2.7%).The results of this study suggest that a significant number of women suffer from psychiatric disorders after hysterectomy than the age matched control.Bang J Psychiatry December 2015; 29(2): 44-47

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Risk Factors of Vulvovaginal Candidiasis among Women of Reproductive Age in Xi’an: A Cross-Sectional Study

BioMed Research International ◽

10.1155/2018/9703754 ◽

2018 ◽

Vol 2018 ◽

pp. 1-8 ◽

Cited By ~ 5

Author(s):

Xianling Zeng ◽

Yafei Zhang ◽

Taohong Zhang ◽

Yan Xue ◽

Huiqiu Xu ◽

...

Keyword(s):

Risk Factors ◽

Cross Sectional Study ◽

Vulvovaginal Candidiasis ◽

Reproductive Age ◽

Control Group ◽

Sectional Study ◽

Women Of Reproductive Age ◽

Cross Sectional ◽

Gynecology And Obstetrics ◽

History Of

Purpose. To explore risk factors of vulvovaginal candidiasis (VVC) among women of reproductive age in Xi’an district and then to offer reference for clinical prevention and treatment of VVC. Methods. Patients from the outpatient department of gynecology and obstetrics in the First Affiliated Hospital of Xi’an Jiaotong University from June 2016 to May 2017 were recruited strictly according to the inclusion and exclusion criteria. Participants diagnosed as simple VVC were assigned to the case group, while women who underwent routine gynecological examination and had normal vaginal microflora were assigned to the control group. Then we conducted a questionnaire survey of the two groups and used the logistic regression model to explore the related risk factors of VVC. Results. In the present study, ninety-seven cases were sample VVC patients and eighty-seven cases were healthy women. This cross-sectional study showed that occasionally or never drinking sweet drinks (odds ratio [OR] =0.161, 95% confidence interval [CI] =0.056-0.462, P=0.001), occasionally or never eating sweet foods (OR=0.158, 95%CI=0.054-0.460, P=0.001), and the use of condom (OR=0.265, 95%CI=0.243-0.526, P=0.001) were regarded as protective factors for VVC. In addition, sedentary life style (OR=7.876, 95%CI=1.818-34.109, P=0.006), frequently wearing tights (OR=6.613, 95%CI=1.369-27.751, P=0.018), frequent intravaginal douching (OR=3.493, 95%CI=1.379-8.847, P=0.008), having the first sexual encounter when under 20 years old (OR=2.364, 95%CI=1.181-7.758, P=0.006), the number of sexual partners being over two (OR=3.222, 95%CI=1.042-9.960, P=0.042), history of curettage (OR=3.471, 95%CI=1.317-9.148, P=0.012), history of vaginitis (OR=8.999, 95%CI=2.816-28.760, P<0.001), and not cleaning the vulva before or after sexual encounters (OR=13.684, 95%CI=2.843-65.874, P=0.001) were considered to be risk factors of VVC. Conclusion. In conclusion, risk factors of VVC are various, involving ages, hygienic habits, disease history, and other aspects.

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IMPACT OF PARENTAL PSYCHIATRIC PROBLEMS ON ADJUSTMENT BEHAVIOUR OF ADOLESCENTS: A STUDY THROUGH ADJUSTMENT INVENTORY OF SCHOOL STUDENTS

10.36106/ijsr/4137619 ◽

2021 ◽

pp. 1-4

Author(s):

Babita Goyal ◽

Alka Sabharwal ◽

Arora Dhingra

Keyword(s):

Psychiatric Disorders ◽

Cross Sectional Study ◽

Control Group ◽

P Value ◽

Case Group ◽

New Delhi ◽

School Students ◽

Cross Sectional ◽

Adolescent Students ◽

Parental Psychiatric Disorders

Objective- It has been revealed by various studies that parental psychiatric disorders affect several aspects of children's development, including their adjustment behaviour. This study aims to study impact of parent's psychiatric health on adjustment behaviour of adolescent students using Adjustment Inventory of School Students. Methods- A Case-Control cross-sectional study was conducted on adolescent students of class XI in New Delhi, India (Control group) and adolescents of parents diagnosed suffering from some psychiatric disorders as identified by DSM IV in a New Delhi hospital (Case group). A total number of 116 respondents between the age-group 15-18 years were selected. Results- The effect of parents’ psychiatric health is observed with Adjustment Inventory of School Students for ‘Case’ and ‘Control’ groups. The differences in social and emotional adjustments of the two groups were statistically significant (p-values < 0.001) but the difference between educational adjustments was not significant as the means of scores for both the groups were higher than the healthy range. However the total adjustment scores were significantly different as p-value < 0.001.

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Study on Thyroid Hormone Status in Case of Female Infertility

Anwer Khan Modern Medical College Journal ◽

10.3329/akmmcj.v8i2.33667 ◽

2017 ◽

Vol 8 (2) ◽

pp. 117-120

Author(s):

Nusrat Tasnim ◽

Rokeya Begum

Keyword(s):

Thyroid Hormone ◽

Control Group ◽

Case Group ◽

College Hospital ◽

Cross Sectional ◽

Medical College ◽

Hormone Status ◽

Serum T3 ◽

Group A ◽

Group B

Background: Infertility is a global health issue causing great personal sufferings and distress. It is also matter of social injustice and inequality. Both hyperthyroidism and hypothyroidism causes menstrual disturbances secondary to anovulation. The degree of disturbances varies from abnormal sexual development through menstrual irregularity to infertility.Objective: To assess thyroid hormone status in female infertility.Method: A cross-sectional study was carried out in the Department of Physiology, Dhaka Medical College, Dhaka during the period of July 2010 to June 2011. A total number of 250 female were included within the age limit of 20-40 years. Among them 125 subjects, healthy parous women were considered as control (group A) and 125 subjects, infertile women were considered as case (group B). The subjects were selected from Dhaka Medical College Hospital, infertility centre of BSMMU and BIRDEM, Dhaka. Data were collected in predesigned structured questionnaire form after taking consent. The study parameters are serumT3,T4 were measured in the Department of Nuclear Medicine, DMCH, Dhaka. For comparison between two groups, statistical analysis were done by Student's unpaired't' test. P<0.05 was considered as level of significance.Results: Serum T3 and T4 were significantly lower in group B than that of group A(P<0.001).Conclusion: From the results of the present study, it may be concluded that lower level of serum T3,T4 may be related with infertility.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 117-120

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Arousability, Personality, and Decision-Making Ability in Dissociative Disorder

Indian Journal of Psychological Medicine ◽

10.1177/0253717620981555 ◽

2021 ◽

pp. 025371762098155

Author(s):

Doyel Ghosh ◽

Pritha Mukhopadhyay ◽

Ishani Chatterjee ◽

Prasanta Kumar Roy

Keyword(s):

Decision Making ◽

Iowa Gambling Task ◽

Psychiatric Patients ◽

Economic Status ◽

Reaction Time Task ◽

Conversion Disorder ◽

Control Group ◽

Cross Sectional ◽

Personality Disposition

Background: There is a gap in understanding the pathogenesis of dissociative conversion disorder (DCD), despite the disorder having a strong historical root. The role of personality and neurocognitive factors are now highlighted; however, inconsistencies are reported. This study explores the personality disposition, arousability, and decision-making ability of patients with DCD, in reference to a healthy control group (HCG). Methods: In this cross-sectional study, the sample comprised ten adult psychiatric patients with DCD. Ten participants of the HCG were matched according to age, gender, education, economic status, domicile, religious background, and handedness. The study assessed personality disposition with Temperament and Character Inventory, arousability with reaction time task, and decision-making ability with the Iowa Gambling Task (IGT PEBL version). Results: The DCD group differed significantly on personality disposition related to both temperament and character. There was also evidence of easy arousability and frustration along with deficit in executive function related to decision-making ability. Conclusion: This study highlights the presence of both temperamental and characterological factors associated with DCD. Moreover, this study identifies the role of cognitive arousability and decision-making or feedback utilization ability in the psychopathology of DCD.

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Faulty Breast Feeding Practice : A Risk Factor in Malnourished Children

Chattagram Maa-O-Shishu Hospital Medical College Journal ◽

10.3329/cmoshmcj.v14i2.25716 ◽

2015 ◽

Vol 14 (2) ◽

pp. 43-47

Author(s):

Sukhendu Shekhar Sen ◽

Jhulan Das Sharma ◽

Dhananjoy Das ◽

Shahed Iqbal ◽

Md Badruddoza

Keyword(s):

Breast Feeding ◽

Protein Energy Malnutrition ◽

Control Group ◽

Case Group ◽

Feeding Practice ◽

Prelacteal Feeding ◽

College Hospital ◽

Major Health Problem ◽

Protein Energy ◽

Breast Fed

Background: The predominant form of malnutrition is commonly called proteincalorie malnutrition. Protein Energy Malnutrition (PEM) is still a major health problem in children of developing countries including Bangladesh. The causes of malnutrition are multifactorial including nutritional factors, socioeconomic factors, health status of the mothers and repeated infections in children.Objective: To explore the information regarding the breast feeding practices of children suffering from Protein-Energy Malnutrition.Methods: This case control study was conducted in Chittagong Medical College Hospital from November 2006 to April 2007. A total of 65 controls and 65 cases were selected consecutively for the purpose of the study. Their mothers were interviewed with help of structured questionnaire containing all the variables of interest to attain the study objectives. The test statistics used to analyze the data were descriptive statistics and Chi-square (c2) or Fishers Exact Probability Test.Results: A significantly higher frequency of cases (67.7%) were given pre-lacteal feed, predominantly honey and sugar-water compared to control group (41.5%) (p = 0.008). Nearly 100% of controls were given colostrums compared to 75% of the cases. About one-third (31.3%) of the cases was exclusively breast-fed in comparison to 58.5% of the control group (p = 0.003). Over onequarter (27.7%) of the control were breast-fed upto 6 months of age, as opposed to only 1.5% cases (p < 0.001). Duration of predominant breast feeding for more than 6 months of age was also significantly higher in control group than that in case group (p = 0.001). Breast milk substitutes demonstrate their significant presence in cases (38.5%) than that in controls (9%) (p = 0.003).Conclusion: The study showed that rejection of colostrums, practice of prelacteal feeding, delayed initiation of breast feeding, early cessation of exclusive breast feeding and use of formula milk all were significantly higher in the malnourished group of children than those in their normal counterpart.Chatt Maa Shi Hosp Med Coll J; Vol.14 (2); Jul 2015; Page 43-47

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Childhood neuropsychological deficits associated with adult obsessive–compulsive disorder

The British Journal of Psychiatry ◽

10.1192/bjp.bp.108.056812 ◽

2009 ◽

Vol 195 (2) ◽

pp. 138-141 ◽

Cited By ~ 27

Author(s):

Jessica R. Grisham ◽

Tracy M. Anderson ◽

Richie Poulton ◽

Terrie E. Moffitt ◽

Gavin Andrews

Keyword(s):

Executive Functioning ◽

Obsessive Compulsive Disorder ◽

Verbal Ability ◽

Neuropsychological Deficits ◽

Control Group ◽

Developmental Study ◽

Obsessive Compulsive ◽

Cross Sectional ◽

Compulsive Disorder ◽

Visuomotor Skills

BackgroundExisting neuropsychological studies of obsessive–compulsive disorder (OCD) are cross-sectional and do not provide evidence of whether deficits are trait-related (antecedent and independent of symptomatology) or state-related (a consequence, dependent on symptomatology).AimsTo investigate whether there are premorbid neuropsychological deficits associated with adult OCD.MethodLongitudinal data were collected from participants of the Dunedin Multidisciplinary Health and Developmental study. Neuropsychological data collected at age 13 were linked with age 32 diagnosis of OCD.ResultsThe group who had OCD at age 32 differed significantly from the control group with no OCD on their performance at age 13 on neuropsychological tests of visuospatial, visuoconstructive and visuomotor skills, controlling for gender and socioeconomic status, but did not differ on tests of general IQ or verbal ability. Performance of the group with OCD on tests of executive functioning was mixed.ConclusionsIndividuals with OCD have premorbid impairment in visuospatial abilities and some forms of executive functioning, consistent with biological models of OCD.

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Psychiatric patients at general hospital emergency departments

Bangladesh Journal of Psychiatry ◽

10.3329/bjpsy.v31i1.45366 ◽

2020 ◽

Vol 31 (1) ◽

pp. 7-14

Author(s):

Shafquat Waheed ◽

Md Golam Rabbani ◽

Abdullah Al Mamun ◽

Jhunu Shamsun Nahar ◽

Khaleda Begum ◽

...

Keyword(s):

Emergency Departments ◽

Psychiatric Illness ◽

Single Case ◽

Psychiatric Patients ◽

Conversion Disorder ◽

Income Group ◽

College Hospital ◽

Cross Sectional ◽

Total Study Population ◽

Medical College

A cross-sectional descriptive type of study on 357 patients was carried out in the emergency departments of Dhaka Medical College Hospital (DMCH) and Shahid Sohrawardy Medical College (SSMCH), Dhaka in 2011 to find out the incidence and socio-demographic characteristics of psychiatric morbidities among the patients attended there. The patients were interviewed using GHQ-28 and SCID-I, All GHQ-28 screen positive and 25% of screen negative respondents (total 158) were assessed by SCID-I. Among them 42 (11.76% of all 357 cases) respondents were found with some form of psychiatric illness. Diagnosis of psychiatric illness was significantly higher in those scored 4 or more in GHQ-28. More psychiatric cases were found among 18-25 years age group (50%), male gender (54.76%), urban population (69.05%), Muslims (85.71%), being single (54.76%), patients with secondary level of education (45.24%), housewives (26.19%), members of nuclear families (78.57%), and members of lower-income group. Among these 42 psychiatric cases, 22 were assessed by a psychiatrist who was blind about GHQ-28 score and SCID-I diagnosis. Out of these psychiatrically ill 42 cases, Major Depressive Disorder was in 9 (2.52% of the total study population of 357), Conversion Disorder was in 8 (2.24%) and Anxiety Disorder was in 7 (1.96%) respondents. There were two cases of Bipolar I Disorder and a single case of extrapyramidal side effects (EPSEs) with schizophrenia. Psychiatric illnesses are important issues at the emergency departments which require special attention. Bang J Psychiatry June 2017; 31(1): 7-14

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Assessment of in Obsessive Compulsive Disorder

Journal of Advances in Medicine and Medical Research ◽

10.9734/jammr/2021/v33i1030915 ◽

2021 ◽

pp. 105-114

Author(s):

Sarah Alaa Mohsen ◽

Fatma Ahmed El Deeb ◽

Ehab Sayed Ramadan ◽

Mai Abd El-Raouf Eissa

Keyword(s):

Obsessive Compulsive Disorder ◽

Test Performance ◽

Age Of Onset ◽

Neuropsychological Test ◽

Control Group ◽

Obsessive Compulsive ◽

Cross Sectional ◽

Compulsive Disorder ◽

Group I ◽

Significant Difference

Background: Obsessive compulsive disorder (OCD) is a common and potentially debilitating disorder. Neuropsychological assessment provides unique complementary information that is critical for evaluating higher cortical abilities. This study aimed to assess the neuropsychological functions in OCD patients which can then point to the brain structures or pathways and to study the correlation between these assessments and different clinical variables. Methods: This cross-sectional case control study had included sixty patients who were divided into two groups, Group I: thirty OCD patients diagnosed by DSM-IV and Group II: thirty healthy controls who were recruited from the community, matched with patients’ age, gender, and education. Results: The age of onset in our study was 19.13 ± 0.35 years, the mean duration was 7.44 ± 3.88 years, 40% of the studied cases had severe OCD symptoms and 33.3% of them were compulsive cleaners. There was a high significant difference between the two groups regarding WCST in favor of the control group. There was a high significant difference between the two groups regarding ROCF where the control group showed better results than the OCD patients. Conclusions: Neuropsychological test performance remains an informative and objective means of investigation, especially when applied to psychiatric disorders. The executive functions in OCD patients were impaired in comparison to the normal study subjects.

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Industrial pollution related health problems among residents of a rural area in central Kerala

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20214042 ◽

2021 ◽

Author(s):

Suchithra Erath Thadathil ◽

Jaya Koothupalakkal Viswambharan ◽

Alok Kanjhoor Premdas ◽

Ashwin Raj

Keyword(s):

Air Pollution ◽

Health Effects ◽

Rural Area ◽

Odds Ratio ◽

Skin Lesions ◽

Control Group ◽

Case Group ◽

Cross Sectional ◽

Adverse Health Effects ◽

Significant Difference

Background: Air pollution leads to several health effects, the major systems affected were respiratory, dermatology, neurology and ophthalmology. This study is an attempt to find out various health effects of pollution, from a food factory to the nearby residents.Methods: A cross sectional comparative study was performed on 248 residents nearby a food factory, situated in rural area of Thrissur district and a comparative group of 266 participants taken 5km away from this factory.Results: Both the groups were comparable in socio-demographic profile except religion and occupation. There was no statistically significant difference (p>0.05) between the use of firewood in both the groups. The symptoms of major systems involved were respiratory (odds ratio 3.9, 95% CI 2.2 to 6.8), dermatological (odds ratio 18.3, 95% CI 8.3 to 40.7), neurological (odds ratio 13.5, 95% CI 4.1 to 44.7) and ophthalmological (odds ratio 5.9, 95% CI 2.6 to 13.6). The major symptoms complained by them were pruritus (32.7%), skin lesions (17.7%), breathlessness (16.9%), itching eye (13.3%) watering from eye (11.7%) and headache (11.3%). All these symptoms among the case group compared to control group were very high and these associations were highly statistically significant (p<0.001).Conclusions: This study showed an increased occurrence of adverse health effects among the individuals who were residing near the food factory. Therefore this study points out the possibility of environmental pollution (mainly air pollution) as a main factor for the increased prevalence of symptoms among those who reside nearby the factory.

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OPG / RANKL / RANK Gene Methylation Among Alcohol-induced Femoral Head Necrosis in Northern Chinese Men

10.21203/rs.3.rs-177390/v1 ◽

2021 ◽

Author(s):

Tiantian Wang ◽

Fei Wang ◽

Tingting Liu ◽

Menghu Sun ◽

Feimeng An ◽

...

Keyword(s):

Femoral Head ◽

Methylation Status ◽

Control Group ◽

Case Group ◽

Roc Curve Analysis ◽

Male Population ◽

Cross Sectional ◽

Chinese Men ◽

Cpg Sites ◽

Rank Gene

Abstract Background and purpose: Alcohol-induced osteonecrosis of the femoral head (ONFH) is a complex and heterogeneous disease. Genetic factors and epigenetic modifications are one of the pathogenesis of the disease. However, the influence of epigenetic factors on the disease has not been systematically studied. Our research aims to determine the methylation changes of alcohol-induced ONFH.Methods：An analytical cross-sectional study of a Chinese male population (50 lung cancer patients and 50 controls). The EpiTYPER of the Sequenom MassARRAY platform was used to detect the DNA methylation status of 132 Cytosine-phosphate-Guanine (CpG) sites in the OPG/RANKL/RANK gene promoter region.Results: In the whole study group，Chi-square test was used to analyze the methylation rate between the two groups, and six CpG sites were found to be different, among which OPG1_CpG_2, OPG3_CpG_4, RANK1_CpG_6, RANK3_CpG_10, RANKL2_CpG_21, and RANKL2_CpG_46 in the case group were higher than those in the control group, while OPG4_CpG_2 was lower than that in the control group. Our results showed that 146 CpG sites were measured, of which 32 were undetectable, and of the remaining 114 methylation sites, methylation levels were different in 23 CpG sites in patients with alcohol-induced ONFH compared to healthy controls. Receiver operator characteristic (ROC) curve analysis demonstrated the methylation levels of OPG/RANKL/RANK could efficiently predict the existence of alcohol-induced ONFH.Conclusion: Our study of Chinese men suggests that several CpG sites in the OPG/RANKL/RANK gene in peripheral blood leukocytes of patients with alcohol-induced ONFH are in abnormal methylation state(hypermethylation tended to be more frequent).

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