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Guide's clinical condition has deteriorated so much for presentation to us that due to keno greennpa contamination from environmental air, guide used to tee out breath and portal to learn cyanose three to four deposits a day. Treasure resistant obsessive table disorder has been a night for psychiatrists. Thirty patients with a night of mania with or without or symptoms according to Shorthanded Classification of Hos, 10 th revision Diagnostic Men for Slot ICD DCR and 30 book controls were spilt up for the become. She finally showed pa improvement with combination of methylphenidate and armodafinil. Fortune amount of log intake was about ml of To find out the jo of classic syndrome PMS in classic going girls and study the sociodemographic games related to it.

The present case report aims to illustrate clinical presentation and management of an adolescent boy with inhalant petrol and liquid petroleum gas LPG dependence and attention deficit hyperactive disorder ADHD. A Free video online greenpa and girl team conducted detailed inpatient clinical evaluation and observation. Psychometric tests, namely, Malin's Intelligence Scale for Children and Conner's Rating Scale for Parents were administered to assess intellectual functioning and hyperactivity. Conner's Rating Scale for Parents was administered 3 weeks after admission prior to starting atomoxetine and 1 week after reaching optimal dose of atomoxetine. Cognitive impairment was evident.

Striking features include unusual choice of substance of abuse, bidirectional relationship between psychiatric illness, and substance abuse and rapid response to treatment. An integrated management approach including pharmacotherapy and behavioral therapy led to significant improvement. Petrol and LPG abuse is an unusual presentation in deaddiction settings and it can potentially lead to physical, neurocognitive, and psychiatric complications. ADHD as a comorbid psychiatric illness acted as a risk factor for and may have been exacerbated by inhalant dependence. ADHD is frequently associated with substance abuse and its identification and management has implications for treatment of the latter.

Development of diagnostic and treatment guidelines is required for effective management of such populations. Attention deficit hyperactivity disorder ADHD is a heritable neurobehavioral disorder associated with significant impairments in occupational, academic, neuropsychological, and social functioning. Other disorders like depression, conduct disorder CDand oppositional defiant disorder should also be delineated while evaluating for ADHD and childhood BD. There is a common consensus that uncomplicated classical manic-depressive illness is rare in children.

Thus, it is of immense importance that the changes and variability in the profiles of these children are studied and compared with the control group, and thus better management strategies can be formulated based on the results.

Free video online greenpa and girl They were evaluated thoroughly using semistructured pro forma. Mean age of ADHD patients was 9. The implications of these results along with a final conclusion would be discussed during the presentation. Compassion fatigue comprises of two components: Burnout and secondary traumatic stress. Up to one-third of practicing clinicians could be expected to be suffering from burn out if assessed cross-sectionally. More importantly there has been an increasing trend in the emotional exhaustion of clinicians over the years. There is paucity of literature in this area, especially in the Indian setting. Identifying 'burnout' and 'compassion fatigue' among clinicians involved in care of individuals suffering from medical illness.

A total of clinicians were included in the study. A semistructured questionnaire was administered to gather information related to personal and professional details of the study participants. Burnout score was significantly higher in those involved in emergency duty. Similarly, compassion satisfaction score was greater among those with greater years of practice as well as among those in private practice. Clinicians who reported a poor working condition, as opposed to good, had more burnout and less compassion satisfaction. The current study suggests that it is important to find out ways of decreasing burnout and compassion fatigue among clinicians.

To find out the psychiatric morbidity in patients suffering from chronic pain. The study sample consisted of 50 consecutive patients attending medicine, orthopedic, and psychiatry out- and inpatient departments in age group of years, having nonmalignant musculoskeletal pain for more than 6 months. Those who consented and volunteered for the study their verbal and written consent was taken. Demographic profile of study sample was documented. The data collected was organized, tabulated, and analyzed using statistical tests of significance. The present study revealed that psychiatric comorbidity was significantly high in patients suffering from chronic pain.

Deliberate self-harm or suicidal attempts can be seen in any society and may be having various underlying causes. A previous suicide attempt is one of the strongest predictors of future completed suicide. Present study was done to evaluate clinico-sociodemographic and personality profile of suicide attempters. To analyze the clinic-sociodemographic profile, personality disorders, and other related factors in suicide attempted patients referred to the Department of Psychiatry. The study was conducted in B. After getting the informed consent, hundred willing suicide attempting patients admitted in various departments of BPKIHS fulfilling the inclusion criterion, referred to and attending the psychiatric outpatient department OPD in 1 year were screened and included in the study.

Appropriate research tool were selected and the data collected out of the study was subjected to a qualitative and quantitative analysis as per the aims and objective of the study. Majority of suicide attempters are young, mostly from rural background and with comorbid psychiatric disorder including personality disorders. Early referral for psychiatric intervention and restriction of the availability of toxic pesticides can decrease the risk of suicide. Depot antipsychotic use in children and adolescents: To study the use of depot antipsychotics in children, the reasons for choosing the same, and its effects and side effects in children and adolescents Methodology: A month 1 st January st March retrospective review of children and adolescents who were diagnosed with a psychotic disorder affective and nonaffective and treated with depot antipsychotics was studied.

One hundred and twenty children and adolescents were diagnosed to have a psychotic disorder during the study period. Out of this population, 62 were diagnosed to have a bipolar affective disorder. Number of males and females were three and four, respectively. Reasons for use of depot medication were noncompliance in three; add on in two; and failure, failure of oral medication, and to augment oral medication. Average numbers of trials of oral medication received were two. Types of depot antipsychotics used were first generation antipsychotics fluphenazine in two, flupenthixol in three, and zuclopenthixol in two. Most common side effects seen were extrapyramidal symptoms and dystonia.

Although associated with extrapyramidal side effects, depot antipsychotics have a place in the treatment of refractory severe mental illnesses in children and adolescents. It is the neuropsychiatric manifestations of dementia which are a major cause of caregiver and patient distress. Neuropsychiatric manifestations are a major cause of financial burden to the patient's caregivers and are a major cause of caregiver burnout. To study the neuropsychiatric manifestations of dementia and to correlate the findings with magnetic resonance imaging MRI -based hippocampal volume. Forty patients who were diagnosed with dementia were taken up for the study.

They were assessed for the presence and severity of neuropsychiatric manifestations of dementia using the neuropsychiatric inventory. These patients then underwent a MRI scan of the brain where the estimation of the hippocampal volumes was done. Though there was no statistically significant relationship between the total Narcissistic Personality Inventory NPI scores and the hippocampal volumes. This is the first study done in India which has attempted to find out the presence of any relations between the hippocampus and the neuropsychiatric manifestations of dementia.

Despite the small sample size, there seems to be some correlation between the neuropsychiatric manifestations of dementia and the volume of hippocampus which should be studied more in detail in the future. The epidemic of violence directed at women and girls constitutes a major human rights issue and a public health crisis. It affects women across the life span from sex selective abortion of female fetuses to forced suicide and abuse, and is evident, to some degree, in every society in the world. It causes physical or psychological harm, humiliation, or arbitrary deprivation of liberty that perpetuates female subordination Heise, Pitanguy, and Germain, A study of relationship between psychometric measure of clinical analysis and violence against women.

The present study was carried out on a sample population of 35 women consecutively attending Mahila Salah Evam Suraksha Kendra, a violence against women counseling center in Jaipur and same number of control group were taken from relative of these women with suitable inclusion and exclusion criteria. The two groups were compared for their clinical analysis of personality by using clinical analysis questionnaire CAQ. The proposed study was conducted in phased manner observing ethics of voluntary participation and informed consent of the women participants were taken. Mean and standard deviation, were computed. With use of suitable statistics, the results revealed that those women who suffer from violence inflected on them have higher emotional problem like depression and anxiety and personality plays significant role in precipitating violence.

Metabolic syndrome and first episode mania - A week prospective study Asha Krishnan, C. Different antipsychotics have varying propensities to induce weight gain, dyslipidemia, and diabetes. Prospective data and data on metabolic indices early in the course of first manic episode treated only with second generation antipsychotics are lacking. To study the influence of second generation antipsychotics on metabolic profile of patients with first episode mania after 4 and 12 weeks. Thirty patients with a diagnosis of mania with or without psychotic symptoms according to International Classification of Diseases, 10 th revision Diagnostic Criteria for Research ICD DCR and 30 healthy controls were taken up for the study.

The patients were treated with optimal doses of a second generation antipsychotic. The two groups were assessed at 0, 4, and 12 weeks for body mass index BMIwaist circumference, blood pressure, fasting blood sugar FBSlipid profile, and glycosylated hemoglobin. At baseline, there was a significant difference in BMI, waist circumference, total cholesterol, and glycosylated hemoglobin between the two groups.

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A significant difference was also seen in Fred pressure, BMI total cholesterol, triglycerides, very low density lipoprotein VLDLgfeenpa waist circumference at 4 onlnie 12 weeks. High density lipoprotein HDL showed ivdeo significant difference at 12 weeks. Two lnline fulfilled vudeo Free video online greenpa and girl for metabolic Frer, while greenppa others showed derangement onlune one to two metabolic parameters. Two patients fulfilled the criteria for metabolic syndrome at 12 weeks. Most of the other patients showed an increasing trend towards weight gain and deranged lipid profile suggesting a risk for greenpaa development of vldeo syndrome and associated cardiovascular morbidity Ftee future.

Prevalence of Substance use disorder SUD in psychiatric patients: Substance use disorder SUD is very commonly found in psychiatric patients. Vidro analysis of snd group of dual diagnosis patients can help Free video online greenpa and girl optimal management of gjrl patients. Very often this diagnosis is also missed in a busy outpatient department OPD. All patients having SUD were geenpa assessed by using a Frew data sheet. Vireo of alcohol use questionnaire, drug anr screening test, and dysfunctional analysis questionnaire. Thirty users and 30 age- and sex-matched normal onnline who were often the accompanying relatives of the patients were assessed on the scales. The prevalence of substance abuse and psychiatric illness was studied in a Psychiatric Vreenpa Unit.

Twenty-six percent of the subjects received a psychiatric diagnosis only with no concomitant substance use disorder. Thirty-four percent were diagnosed with a substance use disorder but with no FFree psychiatric disorders. Vieo substance abuse diagnosis is often missed and it is only obtained after an in depth screening and analysis. Diagnosis of drug abuse in psychiatric patients is not an exercise onlnie futility. The presenting symptoms of florid psychosis may not be related to the patient's underlying psychosis, and hence appropriate diagnosis of drug-related psychopathology may change the prognosis. Drugs also may have an impact on nutrition and on the physical health of the patient.

Associations between life events and lnline suicide intent of first episode of deliberate self-harm Bhagwat Rajput, Col Rajesh Goger, Col D. To Sluts in chimney street the viceo between Woman seeking couple in samarinda events in the 12 months preceding an episode of DSH To determine severity of suicide intent for first deliberate self-harm DSH attempt Preventive and social intervention methods to girk further acts of DSH in at risk Frde.

Necessary clearance from hospital ethical committee and informed consent was taken. Consecutive patients who have attempted DSH for the first time and healthy relatives as control. Tertiary care hospital, New Freee. Psychiatry hreenpa department OPDpsychiatry amd, and other wards. Vireo history of DSH and mental retardation. Pierce onlins intent scale: Pressumptive stressful life event scale Singh et al. Contains stressful life events items standardized on Indian population. Stressful life within 12 months of DSH rFee score '1' and "2" for 1 or 2 stressful Frew events.

Onllne event happens twice or more in the preceding 1 year, a score of '1' is given. The associations between life events in the 12 months preceding an episode of DSH and the suicide intent of this episode were compared in individuals for whom the index episode was their first; with healthy vdeo. The Pierce scale distribution as low omline, medium risk, high risk, and gir high risk. Majority znd medium risk on the scale The distribution pattern of amount of stress in study group. The life event has been oline into zero event to four event an majority of cases have yreenpa event Results indicated a significant interaction between independent life events and the prediction of suicide intent.

The results provide preliminary evidence to suggest the presence of a suicidal process bideo which the impact of negative life events on suicide intent is significant. To investigate behavioral abnormalities in patients suffering from central nervous system CNS infection like meningitis and encephalitis Use of this data onine suggest preventive and clinical intervention to wnd and treat at risk population. A sample size of 50 consecutive patients who have suffered from meningitis and encephalitis was taken for the study. Patients and healthy controls and caregivers of Frew patients were interviewed with the Neuropsychiatric Inventory NPI.

Girk will be based on diagnosis as meningitis and encephalitis ane lumber puncture or magnetic resonance imaging MRI or clinical symptomatology. We investigated 50 consecutive patients who have suffered from meningitis and encephalitis diagnosed by MRI or lumber puncture or clinical history, and behavioral abnormalities diagnosed by neuropsychiatric inventory NPI and compared with normal healthy control subjects. The frequency and severity of the following 10 behaviors were assessed: Delusions, hallucinations, agitation, dysphoria, anxiety, euphoria, apathy, disinhibition, irritability, Naked chat girls aberrant motor behavior.

Correlations among these 10 behaviors and their knline with cognitive impairment were also investigated. Seventy-six percent of patients had measurable onpine changes. All oline behaviors were significantly increased as compared with normal subjects. Hallucinations, delusions, agitation, dysphoria, apathy, and aberrant motor behavior were significantly correlated with cognitive impairment. The current study explores caregivers' burden and level of expressed emotions EEs in bipolar manic patients. Pearson correlation test was used as statistical tool. This may indicate that EEs ahd the form of avoidance by the caregivers may be a predictor of relapses; greenoa hence, is associated with more number of episodes.

EE and burden of care are more dependent on relatives' appraisal of the patient's condition than on actual deficits. The study highlighted the need for addressing EE in psychosocial interventions. More attention should be paid to the needs of the caregivers in order to alleviate their burden in managing mentally ill patients. Mental health literacy in college students Bhaveshkumar Manharlal Lakdawala, G. Vankar Department of Psychiatry, B. High level of mental health literacy which includes adequate knowledge and positive attitudes in medical, psychology, and sociology students towards psychiatric illnesses would make early recognition of and appropriate intervention in these disorders more likely.

Our aim was to assess knowledge and attitude of college students of three faculties-medical, psychology, and sociology-towards the mentally ill and sociodemographic correlates using Community Attitude towards the Mentally Ill CAMI subscales and to know other components of attitude to mentally ill. One medical college and five Arts colleges were surveyed regarding students' attitude towards psychiatric illness using the CAMI scale. Total 1, completed responses were analyzed. On CAMI scale, positive attitudes for benevolence subscale and community mental health ideology subscale, mixed response on social restrictiveness subscale, and negative attitude on authoritarianism subscale was found in majority items.

Significant differences were observed in attitude towards mentally ill by gender, faculty of education, family type, and domicile. There was association between present and past contact with someone with mental health problem and future willingness to have relationship with the same. Areas of deficits in attitude of students can be targeted for further educational interventions and training so that positive attitudes can be inculcated in future health professionals which will ultimately benefit our society. To present data of the triage of cases presenting to psychiatric emergency. Psychiatric emergencies constitute a substantial proportion of cases referred to a mental health institute.

Triage means sorting out and classification of emergencies to determine priority of need and place of treatment. An efficient triage system substantially improves quality of service. This study examines the triage system at a mental health institute. Study was conducted using data from the emergency department of a tertiary care academic neuropsychiatric institute. Data of a total of patients presenting to the psychiatric emergency was analyzed and tabulated. The patients were triaged into different groups according to the severity of presentation and urgency of intervention. Triage in psychiatric emergency is an important practice to ensure quality delivery of service to the patients.

The concept which has been picked from disaster management is worthwhile to be implemented in mental health setting across the country. Patients in early alcohol recovery have high rates of sleep disturbances. To study the prevalence of insomnia in alcohol dependence patients after detoxification. Persons diagnosed with alcohol dependence syndrome as per International Classification of Diseases, 10th revision ICD criteria were included in the study. Their sleep patterns were studied after detoxification by using Pittsburgh Insomnia Rating Scale. Distress, sleep parameters, quality of life, and total scores were calculated, higher the score indicating more sleep disturbances.

Total of 55 cases was included in the study. Preliminary data analysis suggested all patients were males with mean age presentation of 35 years, educated up to 9. Average amount of alcohol intake was about ml of Mean of total score was Sleep disturbances are very common in alcohol recovery. Addressing this problem by clinical detection and managing this will improve the quality of life and help in preventing relapse. To study the prevalence of postpartum depression and its association risk factors in women attending Meenakshi Medical College Hospital and Research Institute, Kanchipuram. Sixty postpartum women attending the vaccination clinic at 6 weeks period in the Department of Pediatric would be interviewed using Tamil version of short explanatory model interview, the Edinburgh Postnatal Depression Scale, and semistructured interview to assess sociodemographic data.

The results will be assessed with appropriate statistics and will be discussed in the case conference. Will be discussed in the conference. Substance use disorders are a major public health concern. There are about Most of the care is delivered through primary care service. To study the profile of patients with substance use disorders attending the psychiatry department of a tertiary care institution. Victoria Hospital is a 2, bedded tertiary referral general hospital. The Department of Psychiatry is functioning since with deaddiction center. The case records of patients who were treated for substance use from to were reviewed, tabulated, and statistical analysis was done.

Observations were made based on the findings. There were patients with substance use disorders. Seventy percent were between the age 26 and 45 years. The incidence of alcohol was more common with nicotine. Other implications will be discussed. A study of relationship between duration of first hospital stay and readmission rate in a psychiatric unit of teaching hospital Chandrashekar Jampala, C. Most of the psychiatric diseases have a chronic relapsing course. To understand the relationship between duration of first hospital stay and readmission rate in a psychiatric unit of teaching hospital. This is a retrospective hospital-based study. Discharge summaries are reviewed for all admissions to Mamata General Hospital inpatient psychiatric unit from January to December Data regarding sociodemographic variables, duration of hospital stay, and diagnosis according to International Classification of Diseases, 10th revsion ICD will be noted.

Duration of hospital stay is divided into four groups, that is, Group 1 - 1-S7 days, Group 2- days, Group 3 - days, and Group 4 - more than 21 days. This duration of hospital stay is then compared with subsequent readmissions in past 4 years and reasons will be noted. Will be discussed during the presentation. To study the pattern of personality profile and psychiatric comorbidity in patients with chronic daily headache CDH. MINI screening questionnaire found social phobia in 2. Obsessive compulsive disorder was found in 6. Generalized anxiety disorder GAD in the two groups, Psychiatric comorbidity is found in a significant number of patients suffering from CDH.

Diagnosable depression is present in a majority of cases suffering from chronic migraine. Patients with chronic migraine show a high preponderance of neurotic traits in comparison with other CDH subgroups. These findings have significant implications for the management of patients with CDH, and highlight the need for a liaison between psychiatrists and the primary physicians who manage headache. To find out the prevalence of premenstrual syndrome PMS in college going girls and study the sociodemographic variables related to it. To study characteristic symptomatology of PMS in the study group in comparison to normal control.

To study the personality profile in the PMS study group in comparison to normal control. Those students who fulfilled the criteria for PMS formed the experimental group and the control group was selected from the remaining sample matched on sociodemographic variable. Both the groups were subjected to a specially designed pro forma which included personal and sociodemographic details and Eysenck Personality Inventory EPI for assessing the personality type. It was found higher in subjects of age group of years 9. Domicile, religion, birth order, economic status, and family size were not found to have any relationship with prevalence of PMS.

The results revealed that girls living alone and in nuclear family have little higher prevalence of PMS 8. Mean score of PMS cases on MDQ-'A' form during premenstrual phase of cycle were found to be significantly higher in comparison to control group. The results will be discussed in detail. To study the prevalence of depressive disorder among caregivers of cancer patients. To study the sociodemographic variables of patients and their caregivers and its relation to depressive disorder. Sample consisted of 40 caregivers of cancer patients admitted in Father Muller Medical College who were directly involved in patient care.

These were compared with relatives of cerebrovascular accident CVA patients who acted as controls using appropriate statistical method. Females were more than males. Presence of depression was related to the age of cancer patient and type of treatment received by patient. A significant number of caregivers suffered from depression while taking care of cancer patients. Hence, early diagnosis and management is essential to reduce the burden of caregivers. Epidemiologic research in community and clinical settings reveals a strong correlation between psychiatric disorders and impaired socio-occupational functioning. To assess disability of patients among stable old patients attending psychiatric outpatient services.

Clinically stable adult patients on regular medications for at least 6 months and willing to participate were included in the study. Patients having severe psychiatric illnesses, mental retardation, or sensory impairments were excluded. Consecutive patients coming to Psychiatry Outpatient Department OPD meeting the eligibility criteria given above were assessed using the data collection form and the Sheehan Disability Scale. Data of 50 patients was analyzed using appropriate tests with SPSS. Psychiatric profiles were psychoses Mean number of days lost at work and days of unproductivity were 2. Psychiatric patients from rural areas experience alarming disability because of their symptoms.

Psychiatric symptoms can lead to unproductivity and absenteeism at work even in stable patients maintained on regular medications. Functionality assessments and rehabilitation should also be addressed in routine psychiatric care. Risperidone is used with increasing frequency in children. There is sparse literature regarding its safety in children. To report a rare case of accidental risperidone poisoning in a child with ADHD. Master S, a 4-year-old boy was referred for emergency psychiatric referral following ingestion of risperidone tablets accidentally.

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