Study of Psychiatric Morbidity and Psychosexual Dysfunctions in Patients of Alcohol Dependence.

Introduction: Alcohol dependence is a major threat to public health throughout the world. Just as a virus, use of alcohol and alcohol trafficking knows no bounds or limitations. It spreads all over a country; from nation to nation, to the entire globe infecting every civilized society irrespective of caste, creed, culture and geographical location. Aims: To study the psychiatric morbidity and psychosexual dysfunctions among patients of alcohol dependence. Material and Methods : 50 alcohol dependence patients attending psychiatry OPD and admitted in Deaddiction ward under Department of Psychiatry, J.L.N. Hospital, AJMER, who fulfilled the inclusion criteria constituted the sample of study (study group). These alcohol dependence cases were compared with 50 matched controls preferably relatives or family members of alcohol dependence, who were not abusing any substance at present or in the past except tobacco (control group). Psychiatric morbidity and psychosexual dysfunctions were assessed by Eysenck’s Personality Inventory, Indian psychiatry interview schedule, and Brief sexual functioning questionnaire. Results and Conclusion: In conclusion our study highlights that most of studied groups were Hindu male between 31-35 years age and belong to urban area, mostly were married, primary educated, unemployed and belong to joint families, lower and lower middle class status. Most of patients suffered from depression and impotence due to alcohol dependence in comparison of normal healthy control.

Pattern of uveitis in North East India: a tertiary eye care center study.

We conducted an institutional-based retrospective study on 308 uveitic patients and analyzed the pattern of uveitis in Northeastern India. Anterior uveitis was the most common type (47.07%) followed by posterior (29.87%), intermediate (12.98%) and panuveitis (10.06%). Toxoplasmosis (40.21%) had the highest incidence among posterior uveitis cases. Harada's form of Vogt Koyanagi Harada's disease is a frequent occurrence in this subset of the population.

Indirect optic nerve injury in two-wheeler riders in northeast India.

Purpose: To investigate the association of posterior indirect traumatic optic neuropathy and superior temporal orbital rim injury in two-wheeler riders and documentation of the clinical profile of such cases. Design: Retrospective observational study. Materials and Methods: Records of all patients reporting with cranio-orbital injury and vision loss following road traffic accidents between October 1994 and April 2006 were reviewed and from them cases with vision loss solely from indirect optic nerve injury were taken up for study. The prognostic significance of different presenting features, role of intravenous methyl prednisolone (IVMP) and relative risk of superior orbital rim injury to posterior indirect traumatic optic neuropathy (at 95% confidence interval) was calculated. Results: Out of 129 consecutive cases of cranio-orbital injury, 35 had posterior indirect traumatic optic neuropathy with minor ipsilateral superior temporal orbital rim trauma and none used any protective headwear. Presenting clinical features like relative afferent pupillary defect ( P = 0.365), optic disc status ( P = 0.518) and visual evoked potential (VEP) ( P = 0.366) were disproportionate to visual loss. Only VEP had prognostic significance. The IVMP did not provide any added therapeutic benefit. The remaining 94 cases sustained direct blinding ocular trauma and 28 of them had associated intracranial pathology. The relative risk of superior temporal orbital rim injury to posterior indirect optic nerve trauma was 2.25. Conclusion: Superior temporal orbital rim injury, even when minor, carries a potential risk for development of blindness from indirect posterior indirect traumatic optic neuropathy in two-wheeler drivers. Presenting signs do not correlate with visual status. Only VEP has prognostic significance and the condition is untreatable.