Hypochondriacal and Persecutory Ideas in A Man with Obsessive Compulsive Disorder Managed via Cognitive Behavioural Hypnotherapy.

This case report illustrates the management of a patient with obsessive compulsive disorder who presented with hypochondriacal and persecutory ideas. Cognitive behavioural hypnotherapy approaches were applied in the management as the patient not keen for pharmacological treatment. Obsessive thoughts were managed via distraction technique, thought stopping and modified it to a more helpful compulsive behavior via direct suggestion during hypnotic state. The compulsive behavior was managed via hypno-behavioural approaches, reinforced by direct suggestion and pseudo-orientation in time. The Subjective Unit of Distress Scale (SUDS), Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI) scales were used to measure the progress of anxiety and depressive symptoms.

Bacteriological analysis of various environmental sources in a rural hospital.

Two hundred and five specimens from various sources of hospital ecosystem were processed for isolation of bacteria. 51.7% specimens were found positive and a total of 146 isolates were obtained. Isolation was monobacterial in 35.6% and polybacterial in 16.0%. Bacteria were recovered from discarding jar fluid (84.6%), air (73%), basin swabs (70.5%) hand wash bowl solution (64.2%), cheatle forceps (64%) and thermometer fluid (53.8%) etc. The most common bacteria isolated were P. aeruginosa, B. subtilis, Klebsiella Spp. and E. col and ciprofloxacin (72.88%) was found to be the most effective antibacterial agent.

Serotyping and transferability of drug resistance in clinical isolates of E. coli.

Forty nine multiple drug resistant strains of E. coli isolated from UTI were serotyped. The pattern was found to be 057 (eight strains); 0109 (four strains); 020, 038, 068, 0106, 0148. Rough (three each). 012, 054, 0101, 0160 (two each) and 02, 032, 046, 053, 060, 065, 090, 091, 0117, 0118, untypable (one each). The resistance pattern of all E. coli were identified and matted with recepient strain in penassay broth and in human urine. In a penassay broth transfer of resistance was demonstrated in 38 strains (77.5%) while in human urine transfer was demonstrated only in 14 strains (28.57%).