Prevalence of Social Phobia and Depression among Adolescent girls in selected schools in rural areas of Panipat, Haryana

2021 ◽  
pp. 299-304
Author(s):  
Ruchika Ruchika ◽  
Sathish Rajamani
Keyword(s):  
Social Phobia ◽  
Adolescent Girls ◽  
Rural Areas ◽  
Previous History ◽  
Study Finding ◽  
P Value ◽  
Social Avoidance ◽  
Chi Square ◽  
History Of ◽  
The Mean

Background and objectives: The term social phobia was first coined by Janet (1903) to describe the patient who feared being observed while speaking, playing, or writing, symptoms of shyness, social anxiety and social avoidance had been describe as early as the time of Hippocrates (1969). Aim: Against this background the following study aim of to determine the Prevalence of Social Phobia and Depression among Adolescent Girls. Materials and methods: This study is a Non - Experimental study. Sample size of was 120 adolescent girls. Sample was selected by using Non- Probability Convenience technique. Social phobia inventory (SPIN) and Beck depression inventory II (BDI II) on social phobia and depression among adolescent girls. Data analysis was done with the help by the mean of descriptive and inferential statistics. Results: The study finding reveals that majority of the subjects 77(64.2%) had very mild / no social phobia. Majority of the subjects in this study had moderate depression 54(45%). The chi – square value of social phobia and previous history of psychiatric illness was 6.386. The ‘P’ value is 0.041. which shows a statistically significant association. The correlation coefficient value between social phobia and depression was 0.264 which shows a mild positive correlation. Conclusion: The study concluded adolescent girls had depression more when compare with social phobia.

Parasuicidal poisoning treated in a Greek medical ward: epidemiology and clinical experience

2001 ◽  
Vol 20 (12) ◽  
pp. 611-617 ◽  
Author(s):  
A I Hatzitolios ◽  
M L Sion ◽  
N P Eleftheriadis ◽  
E Toulis ◽  
G Efstratiadis ◽  
...  
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Previous History ◽  
Case Series ◽  
Acute Poisoning ◽  
Northern Europe ◽  
Female Ratio ◽  
History Of ◽  
The Mean ◽  
Prospective Case Series

Objective: To study the epidemiology of acute poisoning patients presenting to an acute medical service ward in a Greek hospital between January 1998 and December 2000. Design: Prospective case series. Results: A total of 273 patients with self-poisoning were included in the study. This represented 3.8% of the overall admissions to the unit. The mean age of patients was 33, the most frequent age group being that aged 20–30 years (36.2% of total) with a male-to-female ratio of 1:1.97. Sixty per cent of patients was admitted within 4 h. Those from urban areas comprised 76.2% and 23.8% from rural areas. The most frequently ingested agents were psychopharmaceuticals (37.4%) and analgesics/anti-rheumatics (32.6%). Pesticides (7.7% of total) were most frequently used by patients coming from rural areas (32.3% of patients from rural areas). Alcohol was included in the overdose in 8.4%. Of the patients, 16.2% had a previous history of overdose. In this case series, psychiatric assessment suggested that 52% of the patients had a formal psychotic diagnosis, 21% had personality disorder and 27% had taken an overdose in response to stress. The most frequently documented precipitating factors were family problems and disputes (37%). Unusually, the seasonal distribution in these patients suggested a peak in summer (37.5% of presentations) with lower numbers in spring (30.2%), autumn (17.7%) and winter (14.6%). Of the patients, 23.7% presented in July. A total of 73.5% of patients was conscious, 16.4% was somnolent, 4.5% was in precoma and 5.6% was in coma (GCS <8). Patients who received antidotal therapy comprised 17.9%. Evidence of hepatic dysfunction was observed in 8.9% of patients and renal dysfunction in 3.6%. Extracorporeal techniques for drug removal (hemodialysis and hemoperfusion) were used in 2.2% of patients. Intensive care therapy was required in 11.4% of patients. The mean overall hospitalization time was 3.3 days. The mortality rate was 2.9%. Conclusions: This study shows that the epidemiology of self-harm by overdose in Greece is significantly different in terms of the seasonal presentation from other parts of Europe. The agents ingested and other features are similar to northern Europe. Psychiatric diagnoses are more common in our group than in those reported from northern Europe.

scholarly journals Inflammatory markers in Covid-19 Patients: a systematic review and meta-analysis

2020 ◽  
Author(s):  
Golnaz Vaseghi ◽  
Marjan Mansourian ◽  
Raheleh Karimi ◽  
Kiyan Heshmat-Ghahdarijani ◽  
Paria Rouhi ◽  
...  
Keyword(s):  
Inflammatory Markers ◽  
Meta Analysis ◽  
Random Effect ◽  
Random Effect Model ◽  
P Value ◽  
Chi Square ◽  
Effect Model ◽  
Chi Square Test ◽  
History Of ◽  
The Mean

AbstractIntroductionDiagnosis of COVID-19 is based on clinical manifestation, history of exposure, positive findings on chest CT and laboratory tests. It has been shown that inflammation plays a role in pathogenesis of COVID-19.MethodWe used the necessary transformations to convert the median and IQR to mean and SD Random-effect model using Der Simonian, and Laird methods was used if heterogeneity between studies was significant, the homogeneity among studies was assessed with I2 Statistic, values above 50%, and for the chi-square test, P-values <0.1 was supposed statistically significantResultsTwelve studies were included in the analysis that all of which were conducted in China in the year 2020. The result of combining 12 articles with 772 participants showed that the pooled estimate of the mean of lymphocyte with 95% CI was (Mean: 1.01; 95% CI (0.76-1.26); p-value<0.001). About WBC the pooled result of 9 studies with 402 participants was (Mean: 5.11; 95% CI (3.90-6.32); p-value<0.001) Also the pooled mean estimate of 9 studies with 513 patients for the ratio of Neutrophil/lymphocyte was (Mean: 3.62; 95% CI (1.48-5.77); p-value=0.001). The pooled mean from the combination of 7 studies with 521 patients on CRP was (Mean: 28.75; 95% CI (8.04-49.46).ConclusionInflammatory Markers increase in patients with Covid-19, which can be a good indicator to find patients.

Hot Bathtub, Cold Consequences—Misleading Wounds After Scald Injuries: A Retrospective Analysis

2020 ◽  
Author(s):  
Alperen S Bingoel ◽  
Nicco Krezdorn ◽  
Andreas Jokuszies ◽  
Khaled Dastagir ◽  
Peter Maria Vogt ◽  
...  
Keyword(s):  
Surface Area ◽  
Clinical Presentation ◽  
Previous History ◽  
The Elderly ◽  
Initial Assessment ◽  
P Value ◽  
Significant Difference ◽  
History Of ◽  
Erythematous Skin ◽  
The Mean

Abstract Scalds in the elderly are frequently associated with the use of a bathtub and a disturbed consciousness. Therefore, the total burn surface area is often high. The initial clinical presentation displays a stark erythema of the skin, which frequently does not represent the true depth. The aim of this study was to characterize and assess medical features and outcome of scalds sustained in the bathtub. We conducted a retrospective study at a burn intensive care unit (BICU) between 2011 and 2018. Medical features as well as the treatment in these patients were statistically analyzed. We identified 16 patients and divided them into two groups regarding survival and lethality. The mean total burn surface area was 37.50 ± 19.47%. In 81.25% of the patients, we found a previous history of neurological or psychiatric disorders. Dementia and alcohol abuse were the most common triggers for the trauma. The statistical analysis showed a significant difference for the ABSI-score and the presence of multi organ failure (P-value .0462, respectively, .0004). Erythematous skin areas tended to progress into full thickness burns. We, therefore, coined the term “lobster redness” for these regions. Scalds sustained in the bathtub are devastating injuries. Initial assessment can be misleading and might delay early necrectomy. The wounds request even more attention, if the injuries occurred due to unconsciousness because of the longer exposure to heat. Early necrectomy should be considered. A biopsy with histological workup can be useful. Furthermore, we recommend special safety precautions for neurologically and psychiatrically affected patients.

scholarly journals Obstetric Risk Factors and Anal Incontinence among Women with Previous History of Vaginal Delivery

2018 ◽  
pp. 55
Author(s):  
Azizah Nurdin ◽  
Trika Irianta ◽  
Mardiah Tahir ◽  
Maisuri T. Chalid
Keyword(s):  
Risk Factors ◽  
Vaginal Delivery ◽  
Anal Incontinence ◽  
Previous History ◽  
Severity Index ◽  
P Value ◽  
Vacuum Extraction ◽  
Chi Square ◽  
Vacuum Delivery ◽  
History Of

Objective: To investigate the obstetric risk factors of the analincontinence in mothers with previous history of vaginaldelivery.Methods: The was a case-control study conducted in the Obstetricsand Gynecology Department of Dr.Wahidin Sudirohusodo Hospital,Faculty of Medicine, Universitas Hasanuddin, Makassar, during theperiod of February 2015 through January 2016. The researchinstruments were used to evaluate obstetric risk factors and theanal incontinence was the self-administered questionnaire and FecalIncontinence Severity Index. The data were analyzed statisticallyusing the Chi-square test with the significant value of p<0.05.Results: A total of 300 subjects were recruited in this study. Theresearch results indicated that the parity of  3, the assisted vaginaldelivery history (vacuum extraction), and the prolong secondstage of labor had a significant correlation with the anal incontinencewith p value=0.026, OR (95% CI) = 1.8 (1.07-3.03), p=0.018with OR (95% CI) =3.65 (1.2-10.7) and p=0.006 with OR (95% CI)= 2.9 (1.2-6.7).The history of episiotomy and the delivery of thebaby  4000 gram had no correlation with the anal incontinence.Conclusion: Parity, vacuum delivery and prolong second stage oflabor have an association with anal incontinence among womenwho has history of vaginal delivery.Keywords: anal incontinence, obstetric risk factors, vaginal delivery

scholarly journals The Course of Parosmia Improvement in Patients with COVID-19 in Iran

2020 ◽  
Vol 11 (4) ◽  
pp. 402-412
Author(s):  
Doha Abo Aljadayel ◽  
Hadi Jalilvand ◽  
Mojtaba Abdi ◽  
Hesam Jahandideh
Keyword(s):  
Previous History ◽  
International Health ◽  
Cross Sectional Study ◽  
P Value ◽  
Absolute Frequency ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
History Of ◽  
And Gender

Background and Objectives: Smell disorder such as dostorted olfaction (parosmia) is one of the most common symptoms of COVID-19. Therefore, this study aimed to investigate the improvement of symptoms of parosmia in patients with COVID-19 in 2020. Material and Methods: This cross-sectional study was conducted in summer and spring of 2020 using a data collection form which was validated with Cronbach's alpha of r=0.826. The study was done in an international health center in Tehran. To report descriptive results, mean, standard deviation, absolute frequency and absolute frequency percentage, and for analysis, independent t-test and chi-square test were used using SPSS software version 16 and the significance level was considered to be 0.05. Results: In total ,350 patients participated in the study, the prevalence of parosmia in patients was 15.14% and the mean and age deviation of patients was 32.71 ± 10.93 years. There was not a significant relationship between parosmia and gender (p value=0.317), age (p value=0.271), previous history of allergic symptoms (p value=0.083), family history of the disease (p value=0.638), taste disorder (p-value=0.768), and smoking (p-value=0.558). 31 cases (58.49 % of Patients) with parosmia had complete remission within 4-6 weeks. Conclusion: Due to the high prevalence of olfactory disorders, especially parosmia in patients with COVID-19, parosmia and other olfactory disorders can be used to screen and triage patients with COVID-19, especially moderate and mild patients. Patients with parosmia should be followed for at least 4 to 6 weeks and if they do not recover for up to 12 weeks, they should be referred to ENT specialists for more specific measures.

scholarly journals Epidemiologic Trends of Viral Skin Infections in Egypt: A Cross-Sectional Hospital-Based Study

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Ramadan Saleh ◽  
Essam Nada ◽  
Ahmed F. Hamed ◽  
Wesam M. Hussien
Keyword(s):  
Family History ◽  
Rural Areas ◽  
Urban Areas ◽  
P Value ◽  
Skin Infections ◽  
Chi Square ◽  
Cross Sectional ◽  
Dermatology Clinic ◽  
Chi Square Test ◽  
History Of

Viral skin infections (VSIs) were ranked among the top 50 prevalent diseases in 2010. The objective of this study was to determine the epidemiologic features of VSIs in patients attending a dermatology clinic in Egypt from June 2010 to May 2011. Patient’s residence, occupation, housing data, and family history of similar conditions were recorded. Categorical data were recorded as frequencies and percentages and were compared by Chi square test. P value < 0.05 was significant. Diagnosis of VSIs was made in 1000/20322 (4.9%) patients. Out of the 1000 patients with VSIs, 580 (58.0%) were residents of rural areas and 420 (42.0%) were residents of urban areas (p = 0.02). Out of the 1000 patients, 489 (48.9%) were females and 511 (51.1%) were males (p = 0.25). The breakdown of 1000 patients with VSIs indicated diagnosis of viral warts in 673 (67.3%), chickenpox (CP) in 200 (20.0%), herpes simplex (HS) facialis in 50 (5.0%), herpes zoster (HZ) in 42 (4.2%), molluscum contagiosum (MC) in 27 (2.7%.0), and anogenital warts in 8 (0.8%) cases. Overcrowding (sharing a bedroom by more than 3 persons) was recorded in 652/1000 (65.2%) of the patients with VSIs [165/200 (82.5.3%) in CP, 36/50 (72%) in HS facials, 427/673 (63.4%) in viral warts, 14/27 (51.9%) in MC, and 10/42 (23.8%) in HZ]. Family history of a similar condition was positive in 329/1000 (32.9%) of the patients with VSIs [142/200 (71.0%) in CP, 177/673 (26.3%) in viral warts, 5/27 (18.5%) in MC, and 4/50 (8%) in HS facialis]. In conclusion, viral warts and CP were the commonest VSIs diagnosed in patients who attended a dermatology clinic in Egypt. Viral skin infections were more prevalent among patients who lived in rural areas and under crowded conditions. These data may have important public health implications particularly in developing countries.

scholarly journals The prospective study on prevalence of menstrual disorders in school going adolescents at Sangareddy district, Telangana

2021 ◽  
Vol 10 (6) ◽  
pp. 2443
Author(s):  
Priyanka Rajipet ◽  
Ajith Kumar Vemula ◽  
Praveena Rathod ◽  
Kavya Valmeekam ◽  
Sandhya Rani Rakuditti
Keyword(s):  
Adolescent Girls ◽  
Sampling Technique ◽  
Age At Menarche ◽  
P Value ◽  
Menstrual Disorders ◽  
Government Schools ◽  
Chi Square ◽  
Screening Programs ◽  
Chi Square Test ◽  
History Of

Background: Menstrual disorders are common sources of morbidity among adolescent girls. Overall, 75% of adolescent’s experience problems with menstruation either with delaying in onset, irregular menstrual cycles, painful or heavy periods. The study was aimed to evaluate the prevalence and examine the key areas of need and explore the experience of adolescent girls with menstrual problems like dysmenorrhea, Amenorrhea, menorrhagia and PMS.Methods: The study employed prospective observational design. The pre-designed, self-administered, semi-structured questionnaire was used to elicit the data from 1100 adolescents selected from Government schools in and around Sangareddy district, Telangana by random sampling technique. Data was analyzed by using Chi-square test in Statistical package for social sciences (SPSS) version 22.Results: A total of (65.6%) subjects were unaware of menstruation before menarche. The mean age at menarche was found to be 12.5±1.36 years. Dysmenorrhea (N=158.6) and PMS (N=125.7) were most commonly reported disorders. Majority of subjects have complained about abdominal pain (N=719). Many of subjects (N=292.7) were found to have history of menorrhagia. Many of them reported about irregular periods (N=172). Study resulted there is positive correlation between dysmenorrhea and dysmenorrhea with PMS with p value <0.05 and also amenorrhea and amenorrhea with dysmenorrhea with p value <0.05 which are significant.Conclusions: This study revealed that majority of girls prone to menstrual problems which often goes unreported due to lack of knowledge on their reproductive health. Hence there is a huge need of educating and screening programs in schools for early diagnosis and management of menstrual disorders, which will improve quality of life and also lower the risks for future diseases.

scholarly journals SCHIZOPHRENIA AND DRUG NON-COMPLIANCE

2006 ◽  
Vol 13 (03) ◽  
pp. 423-430
Author(s):  
WAJID ALI ◽  
WAJEH UR REHMAN ◽  
NIAZ MAQSOOD
Keyword(s):  
Previous History ◽  
Controlled Study ◽  
Control Group ◽  
P Value ◽  
Test Results ◽  
Retrospective Case ◽  
Chi Square ◽  
Chi Square Test ◽  
History Of ◽  
Compliance To Treatment

Objectives: To determine the different levels of drug non-compliance inpatients with schizophrenia and to find out its relationship to relapses of the disorder and admission to the hospital.Design: A randomized, retrospective, case- controlled study. Place and Duration of Study: Conducted at GovernmentMental Hospital Peshawar, from April 2001 to December 2002. Patients and Method: 50-Cases were randomly (eachfifth patient) selected from all the admissions with the DSM-IV diagnosis of Schizophrenia, 50- matched controls wererandomly (each fifth patient) selected from the outdoor patients. Both sexes were included. The basicsociodemographic characteristics and the clinical profile of all the patients were collected. The level of drug noncompliancewith previous history of admissions to hospital and total number of relapses. SPSS version 10 was usedfor statistical analysis. The applied method for group comparison was the Chi-square test. Results: The mean age ofstudy group was 33.54 ± 8.15 years as compare to 32.56 ± 9.02 years of control group, most participants were men,and a predominant proportion of participants were married. Majority of the patients were from the lower socio-economicclass. Scores on the drug non- compliance were statistically significant with a p value of (0.027). The differencebetween the two groups, regarding the previous number of relapses was statistically significant with a p value (0.002).The number of previous admission was also statistically significant and the p value was (0.017). 74.1% of the patientswith poor drug compliance relapsed, while 71% of patients with poor compliance needed admission. Conclusion: Animportant measure of out come is compliance with treatment. A substantial proportion of patients with schizophreniacontinues to relapse and are readmitted to the hospital as a result of non-compliance to treatment.

Kesediaan Vaksinasi HPV pada Remaja Putri Ditinjau dari Faktor Orang Tua

2020 ◽  
Vol 7 (2) ◽  
pp. 213-222
Author(s):  
Nonik Ayu Wantini ◽  
Novi Indrayani
Keyword(s):  
Adolescent Girls ◽  
Emotional Support ◽  
Parental Support ◽  
Hpv Vaccination ◽  
Information Support ◽  
Bivariate Analysis ◽  
P Value ◽  
Fisher Exact Test ◽  
Chi Square ◽  
Cross Sectional

Infeksi HPV dan pre kanker serviks (sel-sel abnormal pada leher rahim yang dapat menyebabkan kanker) telah menurun secara signifikan sejak vaksin HPV digunakan.Cakupan vaksinasi HPV masih rendah di Indonesia.Orang tua adalah pemegang tanggung jawab dan kewajiban utama di dalam penjaminan pemenuhan hak dasar anak untuk mendapatkan vaksinasi. Tujuan penelitian adalah untuk mengetahui faktor yang berhubungan (sikap, kepercayaan, dukungan orang tua) dengan kesediaan vaksinasi pada remaja putri. Jenis penelitian adalah survey analitik dengan pendekatan cross sectional. Penelitian dilaksanakan di SD Muhammadiyah Macanan, Ngemplak dan SMPN 1 Berbah, Sleman pada Mei-Juli 2019. Jumlah sampel 127 remaja putri beserta orang tuanya dipilih dengan accidental sampling. Instrumen kuesioner dan telah dilakukan uji validitas. Analisis bivariat dengan uji chi square (dukungan instrumen, emosional, kepercayaan orang tua) dan uji fisher exact (dukungan informasi dan sikap). Hasil penelitian menunjukkan 92,9% orang tua tidak memberikan dukungan informasi, 85% tidak memberikan dukungan instrumen, 75,6% memberikan dukungan emosional kepada putrinya terkait vaksinasi. Faktor yang berhubungan dengan kesediaan vaksinasi adalah dukungan instrumen (p-value = 0,048). Faktor yang menjadi pertimbangan terbanyak orang tua untuk mengijinkan anaknya di vaksinasi adalah keamanan vaksin (81,1%). Kesimpulan: Ada hubungan dukungan instrumen orang tua dengan kesediaan vaksinasi HPV pada remaja putri. HPV infections and cervical precancers (abnormal cells on the cervix that can lead to cancer) have dropped significantly since HPV vaccine has been in use. HPV vaccination coverage is still low in Indonesia. Parents are the main responsibility and obligation in guaranteeing the fulfillment of the child's basic rights to get a vaccination. The purpose of this study was to determine the related factors (attitudes, beliefs, parental support) with the willingness to participate in HPV vaccination among adolescent girls. This type of the study was analytic survey with cross sectional approach. The study was conducted at SD Muhammadiyah Macanan, Ngemplak and SMPN 1 Berbah, Sleman in May-July 2019. The sample was 127 adolescent girl and their parents selected by accidental sampling. The instrument used questionnaire and already undergone validity test. The bivariate analysis used chi square test (instrument and emotional support, parental trust) and fisher exact test (information support and attitude). The results showed 92.9% of parents did not provide information support, 85% did not provide instrument support, 75.6% provided emotional support to their daughters related to vaccination. Factors related to the willingness of vaccinations were instrument support (p-value = 0.048). The factor that was considered by most parents to allow their children to be vaccinated was vaccine safety (81.1%). Conclusion: There was a correlation between parental instrument support and HPV vaccination willingness of adolescent girls.

scholarly journals An Emulation of Randomized Trials of Administrating Antipsychotics in PTSD Patients for Outcomes of Suicide-Related Events

2021 ◽  
Vol 11 (3) ◽  
pp. 178
Author(s):  
Noah R. Delapaz ◽  
William K. Hor ◽  
Michael Gilbert ◽  
Andrew D. La ◽  
Feiran Liang ◽  
...  
Keyword(s):  
Randomized Clinical Trials ◽  
Previous History ◽  
Current Treatment ◽  
Careful Consideration ◽  
P Value ◽  
Post Traumatic Stress ◽  
Increased Risk ◽  
History Of ◽  
Almost All

Post-traumatic stress disorder (PTSD) is a prevalent mental disorder marked by psychological and behavioral changes. Currently, there is no consensus of preferred antipsychotics to be used for the treatment of PTSD. We aim to discover whether certain antipsychotics have decreased suicide risk in the PTSD population, as these patients may be at higher risk. A total of 38,807 patients were identified with a diagnosis of PTSD through the ICD9 or ICD10 codes from January 2004 to October 2019. An emulation of randomized clinical trials was conducted to compare the outcomes of suicide-related events (SREs) among PTSD patients who ever used one of eight individual antipsychotics after the diagnosis of PTSD. Exclusion criteria included patients with a history of SREs and a previous history of antipsychotic use within one year before enrollment. Eligible individuals were assigned to a treatment group according to the antipsychotic initiated and followed until stopping current treatment, switching to another same class of drugs, death, or loss to follow up. The primary outcome was to identify the frequency of SREs associated with each antipsychotic. SREs were defined as ideation, attempts, and death by suicide. Pooled logistic regression methods with the Firth option were conducted to compare two drugs for their outcomes using SAS version 9.4 (SAS Institute, Cary, NC, USA). The results were adjusted for baseline characteristics and post-baseline, time-varying confounders. A total of 5294 patients were eligible for enrollment with an average follow up of 7.86 months. A total of 157 SREs were recorded throughout this study. Lurasidone showed a statistically significant decrease in SREs when compared head to head to almost all the other antipsychotics: aripiprazole, haloperidol, olanzapine, quetiapine, risperidone, and ziprasidone (p < 0.0001 and false discovery rate-adjusted p value < 0.0004). In addition, olanzapine was associated with higher SREs than quetiapine and risperidone, and ziprasidone was associated with higher SREs than risperidone. The results of this study suggest that certain antipsychotics may put individuals within the PTSD population at an increased risk of SREs, and that careful consideration may need to be taken when prescribed.

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