A GENDER BASED COMPARISON TO STUDY THE PSYCHIATRIC COMORBIDITIES OF MIGRAINE ON THE BASIS OF ITS SEVERITY.

2021 ◽  
pp. 12-14
Author(s):  
Shilpi Kumari
Keyword(s):  
Depressive Symptoms ◽  
Tertiary Care ◽  
Female Gender ◽  
Tertiary Care Centre ◽  
Psychiatric Comorbidities ◽  
Female Population ◽  
Male And Female ◽  
The Difference ◽  
Headache Clinic ◽  
Gender Based

Background: There is lack of data from india on the difference of presenting psychiatric comorbidities of migraineurs among male and female population. Objectives: the objective of the study were to quantify the impairment i.e disability due to migraine severity, associated depression and anxiety among male and female migraineurs of comparable characteristics. Materials And Methods: we interviewed 105 consecutive newly diagnosed migraine patients (both male and female) visiting headache clinic in a tertiary care centre between September 2019 to march 2020.Age and sex matched healthy subjects (n=105, later 5 dropped) were used. PHQ9, MIDAS, and GAD7 scales were administered. Predictors were analysed using regression analysis. Result: both male and female migraineurs have shown similar result with preponderance of anxiety disorder more in female than male migraineurs. Prevalence of clinically signicant anxiety(48%) and depressive (41%) symptoms, higher among female than male. Female gender, headache related disability, and severity of anxiety and depressive symptoms predicted worse mental component summary scores. Conclusion: incidence of clinically signicant anxiety and depressive symptoms is much higher among migraineurs and the severity was comparatively higher among female than male. These ndings goes with studies from other parts of world and Indian prospects.

scholarly journals Male and Female Cervical Spine Biomechanics and Anatomy: Implication for Scaling Injury Criteria

2017 ◽  
Vol 139 (5) ◽  
Author(s):  
Narayan Yoganandan ◽  
Cameron R. Bass ◽  
Liming Voo ◽  
Frank A. Pintar
Keyword(s):  
Cervical Spine ◽  
Female Population ◽  
Male And Female ◽  
Injury Criteria ◽  
Motion Responses ◽  
Geometric Scaling ◽  
Biomechanical Responses ◽  
The Difference ◽  
Female Specific ◽  
The Military

There is an increased need to develop female-specific injury criteria and anthropomorphic test devices (dummies) for military and automotive environments, especially as women take occupational roles traditionally reserved for men. Although some exhaustive reviews on the biomechanics and injuries of the human spine have appeared in clinical and bioengineering literatures, focus has been largely ignored on the difference between male and female cervical spine responses and characteristics. Current neck injury criteria for automotive dummies for assessing crashworthiness and occupant safety are obtained from animal and human cadaver experiments, computational modeling, and human volunteer studies. They are also used in the military. Since the average human female spines are smaller than average male spines, metrics specific to the female population may be derived using simple geometric scaling, based on the assumption that male and female spines are geometrically scalable. However, as described in this technical brief, studies have shown that the biomechanical responses between males and females do not obey strict geometric similitude. Anatomical differences in terms of the structural component geometry are also different between the two cervical spines. Postural, physiological, and motion responses under automotive scenarios are also different. This technical brief, focused on such nonuniform differences, underscores the need to conduct female spine-specific evaluations/experiments to derive injury criteria for this important group of the population.

Recovery and its correlates among patients with bipolar disorder: A study from a tertiary care centre in North India

2016 ◽  
Vol 62 (8) ◽  
pp. 726-736 ◽  
Author(s):  
Sandeep Grover ◽  
Nandita Hazari ◽  
Jitender Aneja ◽  
Subho Chakrabarti ◽  
Sunil Sharma ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Mental Illness ◽  
Depressive Symptoms ◽  
Rating Scale ◽  
Tertiary Care ◽  
North India ◽  
Personal Recovery ◽  
Tertiary Care Centre ◽  
Young Mania ◽  
Level Of Functioning

Background and Aim: The goal of treatment in mental illness has evolved from a symptom-based approach to a personal recovery–based approach. The aim of this study was to evaluate the predictors of personal recovery among patients with bipolar disorder. Methodology: A total of 185 patients with bipolar disorder, currently in remission, were evaluated on Recovery Assessment Scale (RAS), Internalized Stigma of Mental Illness Scale (ISMIS), Brief Religious coping scale (RCOPE), Duke University Religiosity Index (DUREL), Religiousness Measures Scale, Hamilton depression rating scale (HDRS), Young Mania rating scale (YMRS) and Global Assessment of Functioning (GAF) scale. Results: The mean age of the sample was 40.5 (standard deviation (SD), 11.26) years. Majority of the participants were male, married, working, Hindu by religion and belonged to extended/joint families of urban background. In the regression analysis, RAS scores were predicted significantly by discrimination experience, stereotype endorsement and alienation domains of ISMIS, level of functioning as assessed by GAF, residual depressive symptoms as assessed by HDRS and occupational status. The level of variance explained for total RAS score and various RAS domains ranged from 36.2% to 46.9%. Conclusion: This study suggests that personal recovery among patients with bipolar disorder is affected by stigma, level of functioning, residual depressive symptoms and employment status of patients with bipolar disorder.

scholarly journals The impact of the COVID-19 pandemic on microbial keratitis presentation patterns

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256240
Author(s):  
Gibran F. Butt ◽  
Alberto Recchioni ◽  
George Moussa ◽  
James Hodson ◽  
Graham R. Wallace ◽  
...  
Keyword(s):  
Time Windows ◽  
Tertiary Care ◽  
Patient Characteristics ◽  
Microbial Keratitis ◽  
Tertiary Care Centre ◽  
Culture Positivity ◽  
Equivalent Time ◽  
Sight Loss ◽  
The Difference ◽  
The Impact

Background Microbial keratitis (MK) is the most common non-surgical ophthalmic emergency, and can rapidly progress, causing irreversible sight-loss. This study explored whether the COVID-19 (C19) national lockdown impacted upon the clinical presentation and outcomes of MK at a UK tertiary-care centre. Methods Medical records were retrospectively reviewed for all patients with presumed MK requiring corneal scrapes, presenting between 23rd March and 30th June in 2020 (Y2020), and the equivalent time windows in 2017, 2018 and 2019 (pre-C19). Results In total, 181 and 49 patients presented during the pre-C19 and Y2020 periods, respectively. In Y2020, concurrent ocular trauma (16.3% vs. 5.5%, p = 0.030) and immunosuppression use (12.2% vs 1.7%, p = 0.004) were more prevalent. Despite proportionately fewer ward admissions during the pandemic (8.2% vs 32.6%, p<0.001), no differences were observed in baseline demographics; presenting visual acuity (VA; median 0.6 vs 0.6 LogMAR, p = 0.785); ulcer area (4.0 vs 3.0mm2, p = 0.520); or final VA (0.30 vs 0.30 LogMAR, p = 0.990). Whilst the overall rates of culture positivity were similar in Y2020 and pre-C19 (49.0% vs. 54.7%, p = 0.520), there were differences in the cultures isolated, with a lower rate of poly-microbial cultures in Y2020 (8.3% vs. 31.3%, p = 0.022). Conclusions Patient characteristics, MK severity and final visual outcomes did not appear to be affected in the first UK lockdown, despite fewer patients being admitted for care. Concurrent trauma and systemic immunosuppression use were greater than in previous years. The difference in spectra of isolated organisms may relate to behavioural changes, such as increased hand hygiene.

scholarly journals Etiological correlation of common urinary problems in females in a tertiary care centre in central India

2017 ◽  
Vol 4 (7) ◽  
pp. 2251
Author(s):  
Raj Kumar Mathur ◽  
Kunal Vikram Singh ◽  
Poonam Mathur
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Tertiary Care ◽  
Lower Abdominal Pain ◽  
Central India ◽  
Tertiary Care Centre ◽  
Female Population ◽  
Vaginal Deliveries ◽  
Urinary Problems

Background: Urinary problems are common in female population of India which adversely affect their quality of life. Urinary problems add to chronic suffering of Indian females. The objective of this study was to find etiological correlation of common urinary problems in Indian females.Methods: This is an epidemiological study which includes all adult female patients coming to surgery and gynecology OPDs of M.Y. Hospital, Indore, Madhya Pradesh, India.Results: 58.4% of patients of middle age (31-55) years. Burning micturition was most common urinary complaint (86.2%) followed by lower abdominal pain (51.6%). About 66.8% of females took months or even years to take first consultation after appearance of their symptoms. 63.2% females were suffering from urinary tract infection which was confirmed by urinary culture reports. E. Coli was the most common organism causing urinary tract infection. UTI was closely correlated with urinary tract calculi & low use of sanitary napkins. Only 14.6% females suffered from urinary incontinence (stress, urge, mixed). Incontinence was closely correlated with multiple deliveries. In our study about 88% of women had education level below fifth standard.Conclusions: Urinary problems are common in women of low socioeconomic society with lower education, poor urogenital hygiene and multiple births especially unassisted vaginal deliveries.

scholarly journals A comparative study of two different techniques of subcutaneous tissue closure in abdominal surgery

2017 ◽  
Vol 6 (12) ◽  
pp. 5512
Author(s):  
Jyotsna S. Dwivedi ◽  
Alka S. Gupta ◽  
Sachin H. Pardeshi
Keyword(s):  
Subcutaneous Tissue ◽  
Tertiary Care ◽  
Total Duration ◽  
Wound Complications ◽  
Control Group ◽  
Tertiary Care Centre ◽  
Surgical Access ◽  
Suction Drain ◽  
The Difference

Background: Surgical access to abdomen is required for many operative procedures. The subcutaneous tissue of the anterior abdominal wall can either be sutured or left unsutured with drain in situ. The purpose of this study was to compare the two methods of closure of the subcutaneous tissue and determine the benefit of one over the other.Methods: The study was conducted in a tertiary care centre with sample size of 30 each in study and control group. Patients fulfilling the inclusion criteria were selected and depending on the randomisation the closure of subcutaneous tissue was done either by polyglactin 910, 2-0 or left unsutured with indigenously designed syringe suction drain kept in situ. The patients were followed up till the day of suture removal and further in case of any complications.Results: Total duration taken for the procedure was significantly increased in the study group. There was a significant level of discomfort among the participants due to drain. The rate of surgical site infection, hospital readmission morbidity was significantly higher in the study group.Conclusions: The type of drain studied was indigenously designed where the closed system was not maintained during charging the drain, hence further studies need to be conducted which will compare this with the other closed suction drains to determine the difference in the risk of wound complications.

Gender-based Susceptibility to Interpersonal Influences in Buying Fashion Products in Surabaya, Indonesia

2018 ◽  
Vol 3 (1) ◽  
pp. 48-60
Author(s):  
Evi Thelia Sari
Keyword(s):  
Jel Classification ◽  
Quantitative Methodology ◽  
Fashion Industry ◽  
Male And Female ◽  
Interpersonal Influences ◽  
Fashion Products ◽  
Study Results ◽  
Males And Females ◽  
The Difference ◽  
Gender Based

Objective - As sales in the fashion industry continue to grow, consumer behaviour with respect to purchasing fashion products has also grown. This paper provides an overview of consumers' susceptibility to interpersonal influence (CSII) and examines whether there is the difference between male and female consumers with respect to buying fashion products in Surabaya, Indonesia. Methodology/Technique - The conceptual framework in this paper compares males and females in terms of their normative susceptibility to interpersonal influences (NSI) and informative susceptibility to interpersonal influences (ISI). The study uses a quantitative methodology with an independent sample t-test for analysis. The data is collected through the distribution of questionnaires to 200 respondents, being 100 males and 100 females, falling between the ages of 17 and 45 years old. Further, all respondents live in Surabaya, Indonesia. Findings – There study results show that thre is no difference in normative susceptibility to interpersonal influences (NSI) between males and females however, there is a difference in informative susceptibility to interpersonal influences (ISI) between male and female, with respect to purchasing fashion products. Novelty - This study provides an insight into the similarity in normative susceptibility to interpersonal influences and differences in informative susceptibility to interpersonal influences (ISI) between males and females. This information may be useful for fashion manufacturers, vendors and other interested stakeholders. Type of Paper - Empirical. Keywords: Gender-based Marketing; Consumers' Susceptibility to Interpersonal Influences; Purchasing Behavior; Fashion Products. JEL Classification: M30, M31.

Abstract 14751: Gender Based Implications in Cardiovascular Presentation and Management in South Asia Region - Pre and Post Covid Analysis

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Pirbhat Shams ◽  
Osman Faheem ◽  
ghufran adnan
Keyword(s):  
Medical Management ◽  
Treatment Approach ◽  
Tertiary Care ◽  
Female Gender ◽  
Gender Disparity ◽  
Care Hospital ◽  
Middle Income ◽  
Common Observation ◽  
Gender Based ◽  
Cv Disease

Introduction: Gender disparity in treatment approach is a common observation which could be society driven. COVID-19 pandemic has resulted in reduction in presentation of cardiovascular (CV) diseases. Hence, we analyzed if or not, the drop in presentation was comparable in both the genders and if this had impacted our approach in managing them. Methods: We conducted a retrospective study at our center, which is a tertiary care hospital located in largest city of Pakistan. Emergency department (ED) electronic registry was accessed for patients presenting with CV symptoms or diagnosis for same months of 2019 and 2020. Comparison was made for both genders in terms of patient presentation and treatment approach used. Results: A total of 536 and 385 consultations were raised for CV reasons for males and females respectively for year 2019 (Mar-Apr). This dropped to 264 and 166 in Mar-Apr 2020. This meant 57% reduction in consults raised for females and 51% reduction for males. ST-elevation Myocardial Infarction (STEMI) and Non-STEMI admissions dropped by 58% and 62% respectively for males and it dropped by 40% (STEMI) and 60% (NSTEMI) in females. All cardiac catheterization lab (CCL) procedures dropped by 46% in males and 60% in females. More females were treated with medical management than males (10 % increase versus 35% decrease). Conclusion: Pandemic impact on CV disease exhibited gender disparity. In this part of the world, there was greater inclination to treat females with medical management. This held true for CCL procedures too. There was greater reduction in number of CV consults raised for females. However, drop in cases of CVD was greater in males. This is an eye opener towards gender disparity in setting of low to middle income country during the pandemic. There is a need to urge physicians to reconsider their choices of non-invasive strategy in female gender. Additionally, there is a greater need to reinforce male gender to present for their CV symptoms to ED.

Incidence of post-thrombotic syndrome in patients with previous pulmonary embolism

2004 ◽  
Vol 92 (11) ◽  
pp. 993-996 ◽  
Author(s):  
Vincenza Rossi ◽  
Roberto Ricchio ◽  
Antonio Greco ◽  
Antonio Bloise ◽  
Filomena Daniele ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Tertiary Care ◽  
Signs And Symptoms ◽  
Clinical Score ◽  
Tertiary Care Centre ◽  
True Incidence ◽  
Vein Thrombosis ◽  
Post Thrombotic Syndrome ◽  
The Difference ◽  
Deep Vein

SummaryThere is little information available about the true incidence of post-thrombotic syndrome (PTS) after pulmonary embolism (PE). The aim of this study was to investigate the incidence of PTS in patients with previous pulmonary embolism without concomitant ultrasonographically-detectable deep vein thrombosis (DVT). A retrospective cohort study was conducted at a single tertiary care centre, Cosenza, Italy. Forty-seven consecutive patients with proved PE without DVT within the previous 2 to 6 years, 45 patients with previous DVT in the same years, and 45 patients with diseases unrelated to venous thrombo-embolism (VTE) underwent a blind assessment for PTS using a clinical score. Two of 47 (4.2%, 95%CI: 0.01-9.9) patients with PE, 2 of 45 (4.4%, 95%CI: 0.01-10.4) patients with diseases unrelated to VTE, and 23 of 45 (53.3%, 95%CI: 38.7-67.9) patients with DVT showed signs and symptoms of PTS. The difference between the first two groups was not statistically significant (p = 0.7). In conclusion, the incidence of PTS after pulmonary embolism without DVT is low, and no different from that of patients without previous VTE.

scholarly journals Frequent users of an inner-city emergency department

CJEM ◽  
2012 ◽  
Vol 14 (05) ◽  
pp. 306-313 ◽  
Author(s):  
Jill Geurts ◽  
Wes Palatnick ◽  
Trevor Strome ◽  
Erin Weldon
Keyword(s):  
Emergency Department ◽  
Substance Use ◽  
General Population ◽  
Tertiary Care ◽  
Vital Signs ◽  
Female Gender ◽  
Tertiary Care Centre ◽  
Lengths Of Stay ◽  
Ed Visits ◽  
Marginally Housed

ABSTRACTBackground:Within the emergency department (ED) patient population there is a subset of patients who make frequent visits. This chart review sought to characterize this population and identify strategies to reduce frequent ED visits.Methods:Frequent use at an urban tertiary care centre was defined as 15 or more visits over 1 year. The details of each visit—demographics, entrance complaint, discharge diagnosis, arrival method, Canadian Triage and Acuity Scale (CTAS) score, and length of stay—were analyzed and compared to data from the entire ED population for the same period.Results:Ninety-two patients generated 2,390 ED visits (of 25,523 patients and 44,204 visits). This population was predominantly male (66%) and middle-aged (median 42 years), with no fixed address (27.2%). Patients arrived by ambulance in 59.3% of visits with less acute CTAS scores than the general population. Substance use accounted for 26.9% of entrance complaints. Increased lengths of stay were associated with female gender and abnormal vital signs, whereas shorter stays were associated with no fixed address and substance use (p&lt; 0.05). Admissions were lower than the general population, and women were twice as likely as men to be admitted (p&lt; 0.05). Patients left without being seen in 15.8% of visits.Conclusions:High-frequency ED users are more likely to be male, younger, and marginally housed and to present secondary to substance use. Although admissions among this population are low, the costs associated with these presentations are high. Interventions designed to decrease visits and improve the health of this population appear warranted.

scholarly journals Comprehensive study of salivary gland neoplasms: single department study in a tertiary care centre

2019 ◽  
Vol 5 (3) ◽  
pp. 581
Author(s):  
S. Muthuchitra ◽  
V. Saravanaselvan ◽  
R. Malarvizhi
Keyword(s):  
Salivary Gland ◽  
Facial Nerve ◽  
Salivary Glands ◽  
Malignant Tumors ◽  
Tertiary Care ◽  
Female Gender ◽  
Salivary Gland Neoplasms ◽  
Malignant Neoplasms ◽  
Tertiary Care Centre ◽  
General Surgeons

<p class="abstract"><strong>Background:</strong> Pathologies of salivary glands are common in the general population. Of them few are neoplasms-benign or malignant. The presentation of salivary gland pathologies are both to general surgeons and otorhinolaryngologists of the same hospital. The presentation to concerned treating surgeon is based on the symptoms during presentation. This study aims at the various types of salivary gland pathologies requiring surgical intervention and the rate of recurrence following surgery in a single department.</p><p class="abstract"><strong>Methods:</strong> Retrospective study was conducted. Study period was from May 2017 to February 2019. All salivary gland neoplasms were studied for presentation and recurrence following surgery.  </p><p class="abstract"><strong>Results:</strong> Intraoperative difficulties and post-operative complications more common in malignant tumors. Female gender is more commonly affected by benign neoplasms. There is no gender predilection in malignant neoplasms. Facial nerve is most common nerve to get affected in pre-operative and during surgery as well.</p><p class="abstract"><strong>Conclusions:</strong> Neoplasms of salivary glands are common in females though it has equal incidence in malignancy. Facial nerve is most commonly affected as complication in malignant neoplasms.</p>

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