scholarly journals Assessment of Depression in Patients with Acute Stroke

Author(s):  
. Dayanandan ◽  
V. Bavaani

Objectives: To assess degree and severity of depression To describe the symptomatic profile of depression Analyse the relation between depression and demographic, predisposing and precipitating factors. Materials and Methods: A cross-sectional study was done on 160 subjects chosen by random sampling technique from the Department of General Medicine of Saveetha Medical College and Hospital using Montgomery-Asberg Depression Rating Scale. Results: 68% of the cases with acute stroke was assessed and found to have depression according to Montgomery-Asberg Depression Rating Scale. Conclusion: Post-Stroke Depression is expected in patients diagnosed with acute stroke.

Author(s):  
Suresh C. Gupta ◽  
Karan J. Jain ◽  
Anjana Tiwari ◽  
Indu Padmey ◽  
Nandkishor J. Bankar ◽  
...  

Background: Acquired immunodeficiency syndrome (AIDS) is one of the deadliest diseases that modern medicine has ever had to tackle. Understanding the knowledge about HIV/AIDS in general populations will help in formulating strategy for prevention and treatment. With this background, this study was conducted to assess the knowledge and awareness about HIV/AIDS among general population.Methods: A cross sectional study was conducted at C.C.M. Medical College and Hospital, Durg during December 2018 to January 2019. The data was collected from 450 patients attending the medicine outpatient department. Study subjects were selected using convenient sampling technique. Patients giving consent and willing to participate were included in the study. The data was collected in predesigned and pretested questionnaire.Results: 77.11% study participants were aware that unprotected sex can lead to transmission of HIV, 73.78% knew that shaking hands will not transmit the disease. 79.8% knew that use of condom can prevent transmission of HIV/AIDS. Overall males had better knowledge than females. 76.85% said they would behave friendly with people having HIV/AIDS and 69.78% were willing to take care of relatives with HIV.Conclusions: This study indicates that majority participants have good knowledge about difference between HIV and AIDS, modes of transmission and prevention though they were not completely aware of it. The proportion of those with lack of correct knowledge though comparatively less, needs to be taken as a challenge and addressed through well planned health educational activities at various platforms including teaching hospital premises.


2021 ◽  
Vol 8 (11) ◽  
pp. 3375
Author(s):  
Jaganmoy Maji ◽  
Debjyoti Mandal

Background: Cholelithiasis is a common pathology of the gall bladder affecting about 10 to 15% of the adults in western countries and 2 to 29% in India. More than 80% of the patients with cholelithiasis are asymptomatic. Hypothyroidism may cause gall stone formation due to the hyperlipidemia, motility disorders affecting the bile duct and sphincter of Oddi.Methods: This was a descriptive cross-sectional study conducted at Department of Surgery, Bankura Sammilani Medical College and Hospital, Bankura from March 2019 to February 2020 for duration of one and half year. The sample size was 54 and consecutive non-probability sampling technique was used for the sampling. All the collected data were recorded in a pre-designed proforma and analyzed in MS excel.Results: Out of 54-patients with cholelithiasis, 28% patients were from the age group 45-54 years.40% patients were hypothyroid pre-dominantly females. Among 30-female patients 11 (26.82%) were hypothyroid and among 11-male patients 2 (15.38%) were hypothyroid. Hypothyroidism in male and female was statistically significant.Conclusions: This study was introduced to determine the relationship between hypothyroidism and cholelithiasis. It was concluded that hypothyroidism was more common in female, obese and elder patients. The gender distribution of the hypothyroidism in patients with cholelithiasis was statistically significant while all other variables were statistically not significant.  


2019 ◽  
Vol 9 (2) ◽  
pp. 47-53
Author(s):  
Anjila Basnet ◽  
Pragya Singh Basnet ◽  
Ram Sudhan Lamichhane ◽  
Prabhat Shrestha

Background: Corneal disease constitutes a significant cause for visual im­pairment and blindness in the developing world. Visual rehabilitation by corneal transplantation for which increased awareness regarding an eye donation is essential, remains the only treatment option for restoring sight in those who suffer from corneal blindness. Hence, the present study con­ducted to assess the awareness, knowledge and willingness about eye do­nation among dental students of KIST medical college & teaching hospital, Nepal Methods: A cross-sectional study was carried out in KIST medical college and teaching hospital in Nepal during the period of 21st to 30th April 2019. A total of 185 dental students were selected as study group by con­venience sampling technique. A Semi-structured questionnaire was used for data collection and analyzed by using SPSS 16. Descriptive statistics and Chi square/ Fischer exact tests were used for data analysis. Results: Out of total 185 dental students who participated in this study, 176 (95.1%) were aware about eye donation, 133 (71.9%) knew that the cornea is used for eye donation and 70 (37.8%) knew that ideal time for eye donation is within six hours of death. Awareness regarding eye dona­tion in male and female students was found to be statistically significant (p =0.013). Conclusions: The present study revealed that most of the dental students were aware regarding eye donation and most of them were willing to do­nate their eyes. Awareness regarding eye donation will form the prime base for the elimination of avoidable corneal blindness in Nepal.


PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253808
Author(s):  
Dhan Bahadur Shrestha ◽  
Nagendra Katuwal ◽  
Ayush Tamang ◽  
Agrima Paudel ◽  
Anu Gautam ◽  
...  

Background Medical students are more prone to burnout than the general population and students of other faculties due to the demanding nature of medical education with limited time and resources. Burnout has a negative impact on the academics and personal life of the students which can continue into their professional life and ultimately hamper patient care. The purpose of this study is to determine the prevalence of burnout among medical students of a medical college and find its association with age, gender, and year of study. Materials and methods This cross-sectional study was conducted among medical students of a medical college in Kathmandu, Nepal from 14 January to 7 March, 2021. Stratified sampling followed by a simple random sampling technique was employed to select study participants. Data was collected through a self-administered questionnaire using the English version of the Oldenburg Burnout Inventory adapted for students (OLBI-S) and analyzed in STATA version 15. Results The prevalence of burnout was found out to be 65.9% (n = 229). And of the remaining, 12.7% were exhausted, 11.4% were disengaged and 10.0% were neither exhausted nor disengaged. Burnout had no significant association with age in years, gender, and year of study. Conclusions This study shows an alarming prevalence of burnout in almost two-thirds of medical students. These results indicate the necessity of employing effective strategies by relevant authorities for the mental well-being of future physicians. Further multicenter prospective studies are required for a better understanding of the prevalence and associated factors of burnout.


2015 ◽  
Vol 9 (2) ◽  
pp. 80-83
Author(s):  
Ahmed Manadir Hossain ◽  
Radheshyam Saha ◽  
Binoy Krishna Tarafder ◽  
Md Abdus Salam ◽  
Md Rafiqul Islam ◽  
...  

A hospital based cross sectional study was carried out to analyze diurnal variation of stroke and their association to sleep awake cycle. Four hundred and two patients of stroke admitted in different Medicine Units of Faridpur Medical College and Dhaka Medical College Hospitals from July 2012 to June 2013 were chosen using purposive sampling technique. Enrolled patients were with their first stroke, subsequently proved by CT scan of brain. The initial clinical diagnosis of stroke was made from history and examination obtained from the patient himself or from his/her attendant. The time of onset of stroke was recorded by attending doctor at the time of assessment and recorded on a fixed proforma. Patient who could not give history properly or had no responsible attendant and who had history of head injury, intracranial space occupying lesion or bleeding disorder were excluded from the study. Age ranged from 25 years to 98 years with mean age of 62.02 years (±SD 11.75 years). Out of 402 patients 59.7% suffered from ischemic stroke. Highest incidence of stroke (26.9%) occurred between 4:01am to 8:00 am and lowest (7.5%) between 8:01 pm to 12:00 am. Among the subtypes, ischaemic stroke has shown a single peak incidence at 4:01 to 8:00 am and lowest between 8:01 pm to 12:00 am. 50 % of ischaemic stroke cases developed between 0:01 am to 8:00 am. In this study, maximum number of patients developed hemorrhagic stroke between 4:01 am to 8:00 am (25.9%) and lowest number developed hemorrhagic stroke between 12:01 pm to 4:00 pm (9.3%). This study confirms the diurnal variation of both hemorrhagic and ischaemic stroke in Bangladesh and most of them occurs in early morning after wakening.Faridpur Med. Coll. J. 2014;9(2): 80-83


2011 ◽  
Vol 18 (03) ◽  
pp. 470-474
Author(s):  
MATEEN AKRAM ◽  
GHULAM ABBAS

Objective: To measure recirculation by Urea based Method in double lumen catheters in patients undergoing hemodialysis. Design: Cross sectional study. Place and duration of study: Hemodialysis unit of Nephrology department of Shaikh Zayed Hospital, Lahore, and Quaid- i-Azam Medical College Bahawalpur for period of eight months from October 2007 to May 2008. Patients and methods: Total 125 adult patients selected with Non probability purposive sampling technique in which hemodialysis were done through double lumen catheter, were studied for recirculation. Access recirculation by urea based method with three sample technique was calculated from following formula; Percentage Recirculation= Systemic (S) – Arterial (A)/ systemic – Venous (V) x 100. Results: Out of 125 patients 53 (42%) were males, whereas 72 (58%) were females. Their mean age was 43.4 ± 15.7 years. Percentage recirculation by urea based method was 10.3± 6.64 with range from 3.6 to 24.8. Conclusions: Our results have shown the upper limit of acceptable recirculation (10.3± 6.6) through double lumen catheter. Central venous catheter remains an important temporary access and in some cases the only achievable access for the patients. This recirculation should be considered when measuring adequacy level in these patients.


JKCD ◽  
2019 ◽  
pp. 1-4
Author(s):  
Nadia Munir

Objective: This study aimed to find out the fr equency of the MB2 canal in maxillary first molars, using different diagnostic methods. Materials & Methods: 106 patients, clinically diagnosed with irreversible pulpitis and exposed pulp, requiring endodontic treatment were selected via random non-probability purposive sampling technique for the study . This cross-sectional study was conducted for 12 weeks in the dentistry department of Ayub Medical College from August 2018 to October 2018. A detailed history was taken and documented in the pro-forma. After administration of Local anaesthesia and rubber dam application, the access cavity was prepared and floor of the pulp chamber visualized. MB2 Canal location was done with a naked eye and under magnification (x2.0 to x6.0) Magnification and confirmed by inserting size 08 K file. The data obtained were analyzed using SPSS version 20. Chi-square test was run to determine the association of the presence of the MB2 canal with other variables. P-value of 0.05 was considered to be significant.


1970 ◽  
Vol 4 (1) ◽  
pp. 20-23 ◽  
Author(s):  
Md Mahbubur Rahman ◽  
Mohsin Khalil ◽  
Mansur Khalil ◽  
Seheli Zannat Sultana ◽  
Sabina Mannan ◽  
...  

Background: The mesentery of the appendix extends almost to the appendicular tip along the whole tube or may not be to the tip. The mesoappendix has a free border which carries the blood supply to the organ. Failure of the mesoappendix to reach the tip probably reduces the vascularization of the tip of the organ making it more liable to become gangrenous and hence early perforation occurs during inflammation. Objective: This cross sectional study was carried out to advance our knowledge regarding the extent of mesoappendix in Bangladeshi people and also to find out the variations in the anatomical positions of the vermiform appendix in Bangladeshi population and their distribution according to the sex. Methods: A total of 100 (60 male and 40 female) specimens of vermiform appendix were collected of different age and sex during postmortem examination in the morgue of Mymensingh Medical College from July 2006 to June 2007. Data was collected by convenient sampling technique. Results: In this study pelvic position of the vermiform appendix were common in both sexes. The two thirds extension of mesoappendix was found in 45% cases where as in pelvic position it was 26 (14 male and 12 female) cases. Half and whole extension of mesoappendix were found in 31% and 24% cases respectively. Among half extension of mesoappendix, retrocaecal position were found to be more (12) than other positions. In whole extension of vermiform appendix pelvic position were found to be common (16) than others. Conclusion: This study provides certain basic information of extent of mesoappendix of vermiform appendix of Bangladeshi population which is responsible for vascularization of the organ and severity during inflammation. Key words: Vermiform appendix, Mesoappendix   DOI: 10.3329/jbsp.v4i1.4065 J Bangladesh Soc Physiol. 2009 June; 4(1): 20-23


2017 ◽  
Vol 6 (2) ◽  
pp. 20-24 ◽  
Author(s):  
Md Mahfuzar Rahman ◽  
Md Atiqur Rahman ◽  
Tabassum Tahmin Sajani

Background: In Bangladesh person aged 60 years or above are considered to elderly. 5.9% of total population are within the age group of 55-65years and 65 years old or above are 5% of the total population. Elderly dependency ratio is 7.3%. Depression is a common problem among the older people, but it is not a normal part of aging. The aim of this study was to find out the level of depression, factors associated with depression and health problems among the respondents .Material and Methods: This descriptive cross sectional study was carried among 829 people aged more than 60 years by purposive sampling technique from 7th to 9th December, 2014 in different vilages of Dhamrai Upazila,Dhaka. Data were collected on a pretested questionnaire by face to face interview using short form of GDS. Data were analyzed manually and by using computer.Results: Then study revealed that majority of the respondents (82%) were Muslims by religion. About 39% respondents were aged more than 70 years and mean age was 68±3.7 years. Most of them (52%) were illiterate and only 5% had received HSC or higher education. About 15% respondents' occupation were service and 47% of the respondents were housewives. Among all the respondents about 22% & 26% were found to have 2& 3 number of children respectively. About 27% & 18% respondents were suffering from mild & moderate depression respectively. Feeling burden on others, physical disability, lack of close family ties & Living alone were found the main factors of depression in 27%, 26%, 26% & 22% respondents respectively. About 59%, 57%, 49% & 28% respondents were suffering from poor vision, musculo-skeletal diseases, hypertension & chest pain respectively.Conclusion: Elderly people are suffering from various health problems due to depression. The study findings demand awareness among family members as well as an establishment of comprehensive one stop health care delivery package for the senior citizens.Anwer Khan Modern Medical College Journal Vol. 6, No. 2: July 2015, P 20-24


Author(s):  
Anjan Datta ◽  
Kaushik Nag ◽  
Nabarun Karmakar ◽  
Srabani Datta

Background: To plan for effective health measures, knowledge regarding morbidity profile of local area is very important. Preventive health strategies cannot be made without an idea about the disease burden and changing trend of diseases of the locality. Keeping this background in mind the present study was conducted. The objective of the study was to assess the common morbidity pattern of people living in an urban area of Tripura.Methods: A community based cross-sectional study was conducted among people living in the filed practice area of Urban Health Training Centre, Dukli under Department of Community Medicine, Tripura Medical College & DR. BRAM Teaching Hospital, Hapania for a period of one year. Five hundred fourty participants were selected using simple random sampling technique and data was collected using a pre-designed pretested questionnaire and analyzed using SPSS version 20.0 software. Results: Majority (50.93%) of the study participants were females and belonged to 19-59 years age group (32.78%). The commonest type of morbidity was found to be acute respiratory infections (31.10%), followed by musculo-skeletal disorders (17.78%), with non-communicable diseases like diabetes mellitus, hypertension, obesity etc. catering 13.70% of all morbidities. Majority of the participants were having single morbidity (55.74%) than those having comorbidities. Conclusions: There is dual burden of communicable as well a non-communicable diseases in our study population. Future studies for risk factors assessment are required to plan for effective preventive strategies locally. 


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