ABSTRACT
Background: Postpartum depression (PPD) is non-psychotic depressive episode that occurs between postpartum to fourteen months of childhood. It has adverse effect on mother and child health. Aim of this study was to analyze prevalence and risk factors for postpartum depression at tertiary care centre.Methods: This cross-sectional study was done in obstetrics and gynaecology department where 175 women between 10 days to 1 year of delivery were assessed using Edinberg postpartum depression scale. A score of 10 or more were taken as sign of postpartum depression. Various socio-demographic and obstetrics variables were assessed using SPSS (Statistical Package for the Social Sciences).Results: Prevalence of PPD was found in 11.4% patients. Common risk factors associated were intrauterine death (IUD) or early neonatal death, postpartum complications and lack of family support.Conclusions: Postpartum is common among postnatal women and is associated with various factors which can be modified. So early detection of associated risk factors is needed for early intervention and prevents its impact on mother and child health.
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Introduction: Schizophrenia is a debilitating disorder, whichhas affected the lives of the diseased & the people aroundthem in troublesome. New interventions are made regularly forthe best outcomes from the available treatments. Aim of thestudy of to compare the efficacy & side-effect profile of the newdrug-Lurasidone with other atypical anti-psychoticsolanzapine, risperidone & quitiapine.Materials & Methods: The presented study was conductedover the duration of 15 months (January 2018- March 2019).This study comprises of 100 subjects, who were divided in 4groups & drugs were randomly provided to them (25 each).Subjects were evaluated using various instruments.Results: It was found that the efficacy of Lurasidone wasalmost similar to other drugs, although scoring better withPANSS & BPRS. Metabolic changes i.e., serum cholesterol,serum LDL, HDL, VLDL levels were found greater in otherdrugs as compared to lurasidone. Fasting glucose levels andweight gain were found to be increased in drugs especiallyolanzapine when compared with lurasidone.
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Aims & Objectives: To compare the occurrence of hyponatremia in the patients receiving two different Tricyclic Antidepressants (TCAs)–Amitriptyline and Imipramine Methodology: Fifty OPD patients attendingthe Psychiatry outpatient clinic of Mahatma Gandhi Institute of Medical Sciences, Sewagram having diagnosis of Depressive episode as per DSM-IV-TR criteria were included in the study. Patients with normalserum sodium levels before treatment with antidepressant were included in the study. Repeat serum Sodium levels were done after one month of being on treatment. EPI Info-6 software was used to analyze the data. Results: Average serum sodium concentrations of the patients receiving different TCAs before treatment were 139.4+2.45 (Mean+SD). Out of the 44% patients who developed hyponatremia, 45.45% were amongst the Imipramine group and 54.54% were amongst the Amitriptyline group. Although of mild severity only, hyponatremia was more in patients receiving Amitriptyline compared to those receiving Imipramine. Conclusion: Patients receiving Amitriptyline have fairly more chance of developing hyponatremiathan Imipramine receiving patients. Hence precaution should be observed while using TCA group of antidepressants.
ABSTRACT
Psychosomatic symptoms are by definition clinical symptoms with no underlying organic pathology. Psychosomatic disorders represent impaired adaptation or deficiencies that limit the capacity to adapt successfully to the demands of everyday life. The symptoms are thought to be a response to stress. Appropriate health consultation should be considered for further evaluation and treatment.