ABSTRACT
Background: To study the menstrual abnormalities among adolescent females attending a gynaecolocial outpatient department (OPD) in a tertiary care hospital. Material & Methods: It was a cross sectional study which was carried at outpatient department (OPD) of obstetrics and gynaecology, Government medical college Srinagar over a period of 6 months. A total of 90 adolescent females in the age group 10-19 years were included in the study. Along with the demographic profile, menstrual abnormalities were evaluated with the help of self-structured questionnaire. Results: The mean age of the study population was 15.6 ± 2.8 years. Majority of the adolescent females were in the age group of 16-19 years (44.4%), literate with formal education above 10th class (37.8%) and from rural background (56.7%).Dysmenorrhea was the most common menstrual morbidity in 64.4% of adolescent females followed by menorrhagia (26.7%). Pain abdomen was the most common premenstrual symptom encountered by 62.2% of females. Conclusion: Menstrual abnormalities are common in the adolescent females with dysmenorrhea being the commonest.
ABSTRACT
Background:Migraine is a highly prevalent and disabling neurological disorder associated with a wide range of psychiatric comorbidities.The aimof the studywas tostudy the psychiatric comorbidities in patients with migraine.Methods:The study population comprised all the out patients who fulfilled the diagnostic criteria of migraine attending a tertiary care psychiatry hospital over a period of 6 months.A total of 90 cases of migraine seen over a period of 6 months were analysed to know the demographic characteristics, clinical pattern and psychiatric comorbidity.Results:Maximum patients were between 21-40 years of age group (41.1%), females (83.3%), married (74.4%) and housewives (52.2%). 64.5% of study population was literate with a formal education above 10thstandard. Migraine without aura was commonest sub-type (65.6%).Noise (75.6%) and sunlight (65.6%) was the most common precipitating factors. Anxiety disorders were the most common comorbid psychiatric disorders (40%), followed by major depressive disorder (24.4%). In 24.6% cases, no psychiatric comorbidity was present.Conclusions:Migraine is comorbid with several psychiatric disorders, including anxiety and depressive disorders. When migraine and a comorbid psychiatric disorder are present, it is important to take both disorders into account in formulating a treatment plan.
ABSTRACT
Background: Electro-convulsive therapy (ECT) refers to the electrical stimulation of the brain to produce seizures for therapeutic purpose. This study was undertaken with the aim of exploring the clinical and demographic profile of patients treated with ECT from a tertiary care psychiatry hospital in north India.Methods: It was a retrospective descriptive study of patients who were treated with ECT after admission in the inpatient psychiatry unit of Institute of mental health and neurosciences Kashmir during a period of one year (March 2017 to February 2018).Results: A total of 70 patients received ECT during the course of one year. About 72.85% of the patients belonged to 20-39 years age group. Female patients constituted more than half of the subjects (55.71%). Review of diagnostic profile showed that majority of patients receiving ECT were suffering from Schizophrenia (35.71%), followed by bipolar affective disorder (28.57%), depressive disorder (28.57%), schizoaffective disorder (4.28%) and substance induced mood/psychotic disorders (2.85%). A significant majority of subjects (57.13%) received about 7-9 ECT sessions. No any major complications were noted during ECT treatment.Conclusions: This study suggests that ECT, use as a treatment modality is common in adults between 20 to 39 years of age and females with Schizophrenia being the most common indications.