INCIDENCE AND PREVALENCE OF VARIOUS PSYCHIATRIC DISORDERS IN PSYCHIATRIC DEPARTMENT OF TEACHING BASED HOSPITAL ONGOLE: A PROSPECTIVE OBSERVATIONAL STUDY

Author(s):  
T. Josna T. Josna ◽  
N. Rajesh N. Rajesh ◽  
K. Naga Sindhura K. Naga Sindhura ◽  
K. Hema Ravali K. Hema Ravali ◽  
N. Uma Jyothi N. Uma Jyothi ◽  
...  

Background: Psychiatric disorders are known to vary across time within the same population and also vary across populations. Most of the community-based Indian epidemiological studies are on point prevalence. The adult epidemiological finding that mental disorders have early ages of onset has created interest in the minds of psychiatrists. Children and adolescents are at high risk of developing mental disorders. Aim & objective: we are aimed at to conduct of this study was to know the overall incidence and prevalence rate of various Psychiatric disorders in the Psychiatric department of teaching based hospitals and the objective of the study is to find out the incidence and prevalence of the predominant psychiatric disorder. To find the role of key factors like age, Education, Gender, environmental analysis, Marital status, and sleep pattern on the mental health status of Patients. Material & Methods: This study was conducted on 500 patients, both male and female were included in the study. ICD- 10 and DSM IV criteria tools were used. Statistical Analysis was done using appropriate tests like the “t” test and Chi-Square test. Results: A total of 500 Patients we are included in our study, males are 293(59%) and Females are 207 (41%). Depression shows the highest incidence of 7.0%. Schizophrenia shows the highest prevalence (17.6%) Chi-Square analysis indicated no significant difference in prevalence between the number of males and females.  There were no significant differences among the prevalence rates among the participants who belonged to middle-class urban and rural areas. Conclusion: Psychology is the science of behavior and mind, it intends to surmise clinical individuals and groups via placing general principles and researching specific cases. As a responsible clinical pharmacist, we have played a major role in the effective counseling of patients by using counseling aids. In this research, have a leading prevalence plus incidence of psychiatric disorders are detected.

2021 ◽  
Vol 233 ◽  
pp. 02009
Author(s):  
Wang Jie ◽  
Yang Kun ◽  
Dong Wen

Hypertension is the most common chronic disease in the Chinese population. The study analyzes the differences of hypertension in different regions in China from space, analyzes the influencing factors of the disease, and the spatial distribution of different populations. The data comes from CHARLS Harmonize. 22,310 interviewees were selected to respond effectively. Single-factor chi-square test and binary logistic regression were used to analyze the factors affecting hypertension. BMI, urban and rural areas, jogging 1KM, smoking, drink, gender, education status, public medical insurance and hypertension chi-square test are significant, BMI (OR=1.193 95%CI 1.182~1.203), age (OR =1.049, 95%CI 1.045~1.053). There is a spatial difference in the prevalence of hypertension in China, which provides a spatial reference for the control and prevention of different regions, so as to better prevent and treat patients with hypertension. Keywords: hypertension, spatial difference, CHARLS data


2018 ◽  
Author(s):  
Payam Saadat ◽  
Alijan Ahmadi Ahangar ◽  
Soraya Khafri ◽  
Mandana Kalantar ◽  
Azin Dariaie ◽  
...  

Introduction: Stroke recognized as the third most common cause of death. Stroke survivors often suffer a large amount of physical and mental disability. Due to assess difference between stroke types, progression and distribution of risk factors according to residential status, to get the correct information for prevention planning and management, this study was conducted. Methods: This descriptive cross-sectional study on stroke patient from 2016 to 2017 that admitted to Ayatollah Rohani Hospital of Babol was conducted. Type of stroke, their severity, risk factors, and urban or rural area of residence of patients were recorded in the checklist. The chi-square test was used to compare frequencies of gender, and stroke risk assessment between the urban and rural residents. Binary logistic regression modeling was used to estimate the association of risk factors with living in urban and rural areas. The results were expressed as multivariable-adjusted odds ratios (ORs) and 95 % confidence intervals (95 % CIs). A two-sided p < 0.05 was considered statistically significant. All data analyses were performed, using SPSS statistical analysis software. Results: Of 241 stroke patients, 133 patients (55 %) were female and 213 patients (88.4 %) were  ischemic.  Also,  140 cases were (58  %)  rural.  Embolic strokes more in urban population and thrombotic strokes were more in rural populations. Hyperlipidemia was more in urban than rural p = 0.01. Severity of stroke in admission time (p = 0.03) and at discharge (p = 0.005) was more in rural than urban. The mortality was higher in rural 12 (8.6) vs. 2 (2) urban resident,( p = 0.03). Conclusion: Rural patients had more severity, thrombotic type and mortality than urban. Suitable policy regard to residential parameter is suggested.


2015 ◽  
Vol 8 (5) ◽  
pp. 89 ◽  
Author(s):  
Mohammad Amiri ◽  
Ahmad Khosravi ◽  
Reza Chaman ◽  
Zakieh Sadeghi ◽  
Mehdi Raei ◽  
...  

<p><strong>BACKGROUND &amp; OBJECTIVE:</strong> Social reactions to infertility are one of the concerns infertile people. This study aimed to investigate the social consequences of infertility among urban and rural population of Shahroud in northeast of Iran.</p> <p><strong>METHOD:</strong> This study is a comparative study that was conducted in 2013. In this study, 1,528 women (511 infertile and 1017 fertile ones) were randomly selected. The 36-item questionnaire included 18 items about women’s attitude towards infertility and 18 questions about the consequences of infertility was used. Data were analyzed using chi-square test, one-way analysis of variance and t test.</p> <p><strong>FINDINGS:</strong> The prevalence of infertility in rural areas was estimated to be 2.23 percent. 42.2% of the participants were living the city (n= 645) and 57.8 % were living in the village (n= 883). 49.2% of the participants had education below high school diploma (n=751), 31.7% had high school diploma (n=484) and 19.2% had university degrees (n=293). 51.9% of the people referred to the infertility problem among distant relatives, 24.9% referred to infertility among the close relatives and 9% reported the infertility among their family members. The mean score of attitude of the fertile was 56.6±7.0 and that of the infertile was 56.8± 6.6 and there was no statistically significant difference between the two groups (P&gt;0.05). There was a significant association between fertility status and encouraging divorce, encouraging remarriage and encouraging adoption (P = 0.001).</p> <p><strong>CONCLUSION:</strong> Infertility causes a negative attitude toward infertile people. But the interference of others leads to further encouragement of divorce and remarriage among the infertile people.</p>


2017 ◽  
Vol 11 (4) ◽  
pp. 506-522 ◽  
Author(s):  
Lakshmi Shankar Iyer ◽  
Subba Rao R.N.

Purpose It is the responsibility of any government to ensure efficient, transparent and reliable services to the common man through telecentres. The purpose of this study is to take into account the influence of people and process on transparency that leads to effective e-governance. Design/methodology/approach This study involved collecting data through questionnaire method from 400 citizens who visited the telecentres. Data were analysed by conducting chi-square test and independent sample t-test, and it was found that there exists significant influence of location on transparency. Findings The current study reiterates the fact from literature that transparency in transactions enables effective e-governance. Beneficiaries perceive that people and processes have influence on transparency. Research limitations/implications The research adds up to the literature in establishing that there exist differentials among the rural and urban population with respect to transparency. Results could be skewed, as there could be an impact of population density across urban and rural areas. Practical implications This study brings out a framework and an action plan for the government to implement and ensure transparency in processes leading to effective e-governance. Social implications The action plan ensures transparency in service delivery leading to effective e-governance. Increased transparency empowers citizens with increased trustworthiness towards services delivered through telecentres. Originality/value This paper fulfils the need for an action plan to assure citizens to use deliveries through telecentres with better transparency. The aspect of transparency is not being studied in the present context of service delivery by the government authorities in India. Moreover, the influence of transparency on e-governance is also under-explored.


2016 ◽  
Vol 8 (1) ◽  
pp. 43-64 ◽  
Author(s):  
Jayesh D. Patel ◽  
Yupal S. Shukla

Purpose Despite having strategic inflection, retail set-ups in India have been continuously raising a challenge for suppliers of retail products aiming to all to target the right consumers in accordance with their ever-changing preferences. This adds a complexity to retailers offering services who seek valued information to devise a retail strategy by segmenting markets on the basis of consumer shopping orientations. Therefore, the purpose of this paper is to develop and validate the consumer profile of out shoppers based on the shopping orientations. Design/methodology/approach The study has used descriptive research design. A total of 298 consumers from urban and rural areas of North Gujarat, India, were selected through quota-based sampling method and contacted personally to fill the self-rated structured questionnaire. Findings Collected data were edited and processed for first exploratory factor analysis to exactly know the factor structure of consumer perceived shopping orientation. Thereafter, cluster analysis was performed to identify consumer groups which were validated through multiple discriminant analysis. Three groups, namely, outshoppers, community-oriented in-shoppers and time-effective in-shoppers were cross-tabulated with consumers’ socio-demographics to extract the profile through chi-square analysis. Results were fairly consistent with the past studies. Practical implications The results of this study indicate consumers’ profiles based on shopping orientation to provide an input to retail services markets to devise strategy for targeting and positioning emphasising on outshoppers segment. Marketers do not consider them as an identical segment. Henceforth, more specific approach can be used for consumers who are frequently reflected through their psychographic portrait. Originality/value At macro level, study reveals some opportunities to retailers for penetrating into other segments of outshoppers. Furthermore, segmenting for retail services marketers has been ignored in past literature; the study addresses this gap by proposing bases in outshopping context for Indian businesses.


2019 ◽  
Vol 3 (2) ◽  

Radiographic Mandibular Indices serve as easy and relatively cheap tools for evaluating bone mineralization. Objectives: To examine the effect of age and gender on three mandibular indices: the panoramic mandibular index (PMI), the mandibular ratio (MR) and the mandibular cortical index (MCI), among Libyan population. Methods: The three indices were measured on 317 digital (OPGs) of adult humans (155 males, 162 females). The sample was divided into six age groups (from 18-25 years through 56-65 years). The measurements were analyzed for interactions with age and sex, using SPSS (Statistical Package for Social Studies) software version no. 22. The tests employed were two way ANOVA, the unpaired T-test and chi-square test. Results: The mean PMI fluctuated between 0.37 s.d. 0.012 and 0.38 s.d. 0.012. among the sixth age groups. One-way ANOVA statistical test revealed no significant of age on PMI. On the other hand gender variation has effect on PMI, since independent sample t-test disclosed that the difference between the male and female PMI means statistically significant. ANOVA test showed that the means of MR among age groups showed a negative correlation i.e. MR mean declined from 3.01 in 18-25 age groups to 2.7 in 55-65 age groups. In contrary, the gender showed no effect on MR according two sample t-test at p> 0.05. In regards with MCI, statistical analysis showed that it affected by age that is C1 was decreasing by age while C2 and C3 were increased by age. Using chi square test the result indicated that there is a significant difference among the different age group and the two genders in MCI readings. Conclusion: PMI was influenced significantly by age but minimally by the gender. MR is not affected by gender but has a negative correlation with age. MCI is affected by both age and gender


Author(s):  
Satoe Fujiwara ◽  
Ruri Nishie ◽  
Shoko Ueda ◽  
Syunsuke Miyamoto ◽  
Shinichi Terada ◽  
...  

Abstract Background There is uncertainty surrounding the prognostic value of peritoneal cytology in low-risk endometrial cancer, especially in laparoscopic surgery. The objective of this retrospective study is to determine the prognostic significance of positive peritoneal cytology among patients with low-risk endometrial cancer and to compare it between laparoscopic surgery and conventional laparotomy. Methods From August 2008 to December 2019, all cases of pathologically confirmed stage IA grade 1 or 2 endometrial cancer were reviewed at Osaka Medical College. Statistical analyses used the Chi-square test and the Kaplan–Meier log rank. Results A total of 478 patients were identified: 438 with negative peritoneal cytology (232 who underwent laparotomy and 206 who undertook laparoscopic surgery) and 40 with positive peritoneal cytology (20 who underwent laparotomy and 20 who received laparoscopic surgery). Survival was significantly worse among patients with positive peritoneal cytology compared to patients with negative peritoneal cytology. However, there was no significant difference among patients with negative or positive peritoneal cytology between laparoscopic surgery and laparotomy. Conclusion This retrospective study suggests that, while peritoneal cytology is an independent risk factor in patients with low-risk endometrial cancer, laparoscopic surgery does not influence the survival outcome when compared to laparotomy.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ye Wu ◽  
Zhen Zhang ◽  
Meng Liao ◽  
Qi Li ◽  
Xue Lin Tang ◽  
...  

Abstract Background To analyze whether corneal refractive surgery (CRS) is associated with the distribution of different accommodative dysfunctions (ADs) and binocular dysfunctions (BDs) in civilian pilots. A further aim was to analyze the percentages and visual symptoms associated with ADs and/or BDs in this population. Methods One hundred and eight civilian pilots who underwent CRS from January 2001 to July 2012 (age: 30.33 ± 4.60 years) were enrolled, the mean preoperative SE was − 1.51 ± 1.15 D (range: − 1.00- − 5.00 D). Ninety-nine emmetropic civilian pilots (age: 29.64 ± 3.77 years) who were age- and sex-matched to the CRS group were also enrolled. Refractive status, accommodative and binocular tests of each subject were performed. Visually related symptoms were quantified using the 19-item College of Optometrists in Vision Development Quality of Life (COVD-QOL) questionnaire. The 19 items were summed to obtain visual symptom scores that might indicate visual dysfunctions. The chi-square test was used to analyze differences in percentages of ADs and/or BDs between the CRS and emmetropic groups. The Mann-Whitney U test was used to compare visual symptom scores between pilots with ADs and/or BDs and pilots with normal binocular vision. Results No significant difference was observed between the CRS and emmetropic groups in the overall prevalence of ADs and BDs (15.7% and 15.2% in the CRS and emmetropic groups, respectively; P = 0.185). ADs were present in 4.63% and 3.03% of the CRS and emmetropic group, respectively. BDs were observed in 11.1% and 12.1% of the CRS and emmetropic group, respectively, yielding no significant differences between the groups in the prevalence of ADs or BDs (AD: P = 0.094; BD: P = 0.105). Pilots with ADs and/or BDs had significantly more visual symptoms than pilots with normal binocular vision (p < 0.001). Conclusions CRS for civilian pilots with low-moderate myopia might not impact binocular functions. ADs and/or BDs commonly occur in both emmetropia pilots and pilots who undergo CRS, and pilots with ADs and/or BDs are associated with increased symptoms. This study confirms the importance of a full assessment of binocular visual functions in detecting and remedying these dysfunctions in this specific population.


2021 ◽  
Vol 11 (8) ◽  
pp. 3469
Author(s):  
Khalid H. Almadi ◽  
Muhammad Adeel Ahmed ◽  
Tuba Ghazal ◽  
Rizwan Jouhar ◽  
Mazen F. Alkahtany ◽  
...  

Propolis is proposed to possess antibacterial and anti-inflammatory properties, which can be used in endodontic applications. However, evidence on its efficacy in comparison to chlorhexidine against Enterococcus faecalis (E. faecalis) is controversial. The aim of the current study was to compare the antibacterial efficacy of Propolis and chlorhexidine as an intracanal medicament against E. faecalis in extracted human permanent teeth. The focused question was, “Does Propolis show better antibacterial efficacy than Chlorhexidine (CHX) as an intracanal medicament against E. faecalis in extracted human permanent teeth?”. Databases including PubMed/Medline, Scopus, EMBASE, ISI-Web of Science were searched from 1990 to August 2020 using different combinations of the following keywords: “Propolis”, “Intracanal medicament”, “E. faecalis”, “Antibacterial activity” and “Chlorhexidine”. Ten studies fulfilling inclusion criteria were considered for qualitative analysis, followed by quantitative analysis of eight studies. Heterogeneity was calculated for colony forming units (CFU) of E. Faecalis using the Chi-square test and I2 statistics. Forest plots were computed reporting standard mean difference (SMD) of outcomes and 95% confidence intervals. The overall mean difference for CFU of E. faecalis showed a statistically significant difference between the antibacterial efficacy of Propolis and CHX (SMD = 3.20 [1.70, 4.69] Z = 4.20; p < 0.001). CHX showed superior antibacterial efficacy against E. faecalis compared to Propolis.


2021 ◽  
Vol 61 (1) ◽  
Author(s):  
Isadora Carvalho Medeiros Francescantonio ◽  
Leandro Augusto Rodrigues dos Santos ◽  
Paulo Luiz Carvalho Francescantonio ◽  
Luiz Eduardo Coelho Andrade ◽  
Wilson de Melo Cruvinel

Abstract Objective To evaluate the perception of rheumatologists regarding the recommendations of the Brazilian Consensus for detection of Autoantibodies (BCA) on HEp-2 Cells by Indirect Immunofluorescence assay (IFA) and how BCA recommendations help in clinical practice. Methodology A structured questionnaire regarding the BCA recommendations for detection and interpretations of autoantibodies in HEp-2 cells was applied to randomly selected rheumatologists. The results were tabulated using the Microsoft® Excel program, expressed as a simple percentage and the dichotomous data were analyzed using the Chi-square test and the Epi Info® program. Results Four hundred fuorteen rheumatologists participated in the study: 70% of them considered their knowledge of the HEp-2 IFA test satisfactory or excellent, and 43% said they knew the BCA recommendations in general, without distinguishing the edition of the BCA to which they refer. The Revista Brasileira de Rheumatologia/Advances in Rheumatology was the means of dissemination most consulted by specialists (50%). According to the rheumatologists’ opinion, the most relevant pattern was the homogeneous nuclear (78%) and 65% stated they were satisfied with the BCA recommendations at a level of satisfaction greater than or equal to 80%. There was no significant difference in the perception of rheumatologists from the several Brazilian geographic regions. Conclusion Brazilian rheumatologists are aware of the BCA guidelines and most are satisfied with the content published, considering that the BCA recommendations assist positively in the clinical practice. Most rheumatologists recognize the patterns associated with rheumatic autoimmune diseases and have used BCA recommendations to interpret the results of the HEp-2 IFA test.


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