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April-June 1993
Volume 35 | Issue 2
Page Nos. 1-142
Online since Friday, February 20, 2009
Accessed 14,663 times.
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Index Subject & Author |
p. 1 |
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| EDITORIAL |
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Towards More Rational and Responsible Patient Care |
p. 71 |
K Kuruvilla
PMID:21743605 |
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| ARTICLES |
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Benzodiazepines in Psychotic States |
p. 73 |
Jambur Ananth, Olusegun Solano
PMID:21743606Benzodiazepines are primarily used for the treatment of generalized anxiety disorder, insomnia and status epilepticus. These drugs can also be useful in hyperaroused states, catatonic stupor, manic episodes, and akathisia. This paper will review indications for their use in various psychotic conditions. |
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The Practice of ECT in India : II. The Practical Administration of ECT |
p. 81 |
Chittaranjan Andrade, AK Agarwal, M Venkataswamy Reddy
PMID:21743607A questionnaire on ECT, tapping attitudes, opinions and usage, was mailed to all medical members of the Indian Psychiatric Society whose addresses were known; 263 (28.8%) responded. This paper, the second in a series that presents the results of the survey, describes the practical administration of ECT. Specific issues discussed are the availability of a cardiopulmonary resuscitation kit, ECT premedication, the ECT device, certain aspects of ECT stimulation, the electrode placement during ECT, administration of multiple ECT during a single treatment session and monitoring of the seizure duration. It is concluded that, in many respects, the practical administration of ECT in India in suboptimal; further research is required in certain areas. |
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Efficacy of Meditation in Generalized Anxiety Disorder |
p. 87 |
Vihang N Vahia, Harish K Shetty, Shankar Motiwala, Gira Thakkar, Lizabeth Fernandes, Jagdish Chandra Sharma
PMID:21743608A study was conducted to compare the efficacy of meditation with that of imipramine and chlordiazepoxide in the treatment of Generalized Anxiety Disorder. At the end of five weeks, meditation was found to be as effective as pharmacotherapy in controlling symptoms of anxiety. It was superior in altering trait anxiety (TMAS Scores). Meditation is an easy to learn and cost effective therapy. It has a distinct edge over pharmacotherapy in that it is does not have the associated problems of habit formation,-withdrawal effects, overdosage or other undesirable effects. |
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Miscellaneous |
p. 92 |
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| ARTICLE |
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Combating Aggression in Institutionalized Childern with Physical Exercise and Music |
p. 93 |
Kanchana , Rekha Bhat, Valsa Koshy, Sharada Menon
PMID:21743609The results of a short-term trial of combating aggression in 20 institutionalized children of both sexes in the age range of 10-14 years are presented in this paper. Vigorous physical exercise and learning vocal music were the two remedial therapies employed Results indicate that the experimental group significantly increased its Group Conformity Ratings after the treatment. As far as the direction of aggression is concerned, the experimental group significantly reduced its extra-punitive responses. On the reaction of frustration, the experimental group improved its ego-strength after the treatment. The results are indicative of a better level of adjustment by the experimental group as a result of the therapies. |
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Miscellaneous |
p. 96 |
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| ARTICLES |
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Understanding Schizophrenia : A Family Psychoeducational Approach |
p. 97 |
Anuradha Sovani
PMID:21743610Many research findings have shown that the presence of a schizophrenic patient in the family proves very stressful for each individual family member, as well as for the network of family relationships. This paper outlines the proceedings of an innovative one-day program in family psychoeducation. Program content and participant responses are described; the need for the organization of further such programs for the dissemination of information are highlighted. |
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Prevalence of Psychiatry Morbidity in an Urban Community of Pondicherry |
p. 99 |
KC Premarajan, M Danabalan, R Chandrasekar, DK Srinivasa
PMID:21743611A cross-sectional study on psychiatric morbidity was conducted in an urban area of Pondicherry between October 1988 and July 1989. A sample of 225 families covering 1115 people of all ages was selected by simple random technique. The prevalence rate was 99.4 per 1000, the prevalence among children being 58.6 per 1000. It was found that age, education, occupation and marital status had significant correlation with mental morbidity. Out of 90 cases detected among adults, psychosis formed 20%, neuroses 47% and alcohol dependence syndrome constituted 30%. Among children two conditions commonly identified were mental retardation and nocturnal enuresis. |
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Psychological Crisis and General Practitioners |
p. 103 |
D Bhattacharya, J Roy Chowdhury, D Mondal, A Boral
PMID:21743612A study was conducted to ascertain how often GPs encountered patients with psychological crisis and their means of tackling such cases. A questionnaire was administered to 47 GPs attending a training course on drug de-addiction orientation program. It was observed that failure in an examination (22.9%), break up of a love affair (16.8%) and the death of someone very close to the patient (14.9%) were among the common causes precipitating a crisis. Regarding the treatment techniques, reassurance, tranquilizers and referral to a psychiatric set-up were most commonly resorted to. 68.1% of the GPs were not at all satisfied with the treatment administered by them and 78.9% of them felt the need for further training in psychiatry. Implications of these findings are discussed. |
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Miscellaneous |
p. 106 |
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Short Term Training of Medical Officers in Menal Health |
p. 107 |
Satyavathi Devi
PMID:21743613As specialist services are insufficient to meet the needs of the people, especially in rural areas, the training of medical and paramedical health staff through short courses in psychiatry has been recommended in the National Mental Health Program. A two week orientation course in mental health has been recommended for general physicians, including those working at the dispensary level. This paper focuses on the experience of imparting such training to 91 medical officers in a general hospital psychiatric unit. |
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Psychosis not Otherwise Specified - Change of Diagnosis at Five Year Follow -up |
p. 111 |
V Sivakumar, R Chanrasekaran
PMID:21743614A five-year follow-up study of 38 patients with 'psychosis not otherwise specified' revealed that diagnostic change occurred in 34.2% of the patients. 15.8% of the patients developed schizophrenia and 18.4% developed affective disorders. The initial diagnosis was retained in 65.8% of the patients. The onset of the illness was acute in patients from rural background and this is statistically significant. 42% of the patients presented only catatonic signs, of which nearly 70% showed full recovery. |
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Miscellaneous |
p. 114 |
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Restrained Psychiatric Outpatients : Necessity Justification or Violation of Human Rights? |
p. 115 |
Sayeed Akhtar, T Jagawat
PMID:21743615Seventy patients were brought restrained to a Psychiatric outpatient department over a three month period, with the commonest site of restraint being the wrist. They were compared with controls and it was found that restrained patients were more likely to be younger, belonging to a lower socioeconomic status, from a rural background and were more likely to be diagnosed as manic. The significance of these findings and their implications for the human rights of the mentally ill are discussed. |
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Distress and Job Performance of Industrial Workers |
p. 119 |
CR Samanta, Avneesh Singh
PMID:21743616The present study aims at the investigation of the relationship between distress and job performance of industrial workers. The sample consisted of 500 workers of public and private sectors. CMI Health Questionnaire and Performance Appraisal Scale (PAS) were used to measure the level of distress and quality of performance at job, respectively. Results showed that physical, menial and overall distress correlated significantly and negatively with workers 'performance as appraised Furthermore, levels of physical and mental distresses could forecast effectively the job performance of industrial workers. |
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Miscellaneous |
p. 122 |
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| ARTICLE |
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Urinary Incontinence in Acute Psychosis |
p. 123 |
S Choudhury, M Augustine
PMID:21743617A prospective two year study of consecutive admissions (n=984) to a psychiatry ward revealed that the incidence of temporary urinary incontinence in psychiatric patients without delirium or dementia was 1.63% (nml6). When compared with controls (n=64) the incontinent patients were more often psychotic, gave a history of childhood enuresis and a past history of temporary incontinence during psychosis. Compared with psychotic controls (n=26), incontinent patients (n=16) had been exposed to a greater variety of treatments and were hospitalized for longer periods. |
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Miscellaneous |
p. 126 |
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| ARTICLES |
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The Genetics of Affective Disorder - A Pedigree Study |
p. 127 |
Sathyanarayana T.S. Rao, Vasumathy S Rao, S Shivamoorthy, K Kuruvilla
PMID:21743618A study on the genetics of effective disorder was carried out using pedigree methodology. Ike index case presented with features of bulimia which was diagnosed to be Bipolar affective disorder. The pedigree was analyzed for 4 generations and included evaluation of 76 individuals, of whom the oldest was 103 years of age. The evaluation was done clinically to demonstrate various concepts concerning affective syndromes, the presence and extent of gene borne influences and mode of inheritance. Data was compared with other genetic research studies and suggestions for further research arc made. |
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Effect of Lithium Therapy on Thyroid Function : A Retrospective Study on Indian Patients |
p. 131 |
AS Srivastava, PB Behere, JK Agrawal
PMID:21743619Thirty patients with Bipolar affective disorder who were on Lithium therapy for 6 months to 24 months, were tested for any alteration in their thyroid function. Eight (26.67%) patients had elevated serum TSH level and four (13.33%) patients had decreased serum T4 level than the normal range. Serum T3, although showing a declining trend was found within the normal range in all the patients. |
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Long - Lasting Lithium Neurotoxicity in an Adolesecent |
p. 135 |
Rakesh Khanna, Sujata Sethi
PMID:21743620Acute lithium intoxication is well known. A case of long tasting lithium neurotoxicity in an adolescent male is reported, who showed signs of cerebellar as well as brain stem involvement. Persistent lithium neurotoxicity is discussed and the recommendation made that this condition be considered irreversible only if no substantial recovery occurs in the first six months. |
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Paroxysmal Kinesiogenic Choreoathetosis : A Frequently Misdiagnosed Movement Disorder |
p. 137 |
Ravindra K Garg, Rakesh Shukla
PMID:21743621Paroxysmal kinesiogenic choreoathetosis is rare movement disorder, which is frequently misdiagnosed as an epileptic disorder partly because of a good response to anti-epileptic drugs (Phenytoin sodium). At times these patients are mistaken for a conversion reaction. One such case is described. |
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Stevens - Johnson Syndrome in a Schizophrenic Patient Treated with Carbamazepine |
p. 139 |
Rajeev Jain
PMID:21743622A female schizophrenic patient who developed Stevens Johnson syndrome following carbamazepine treatment is reported. This life threatening condition is discussed in context of other adverse effects of the drug, reportedly found to be higher in frequency in the psychiatric population. |
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| LETTER TO THE EDITOR |
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Jhin - Jhini - A Hysterical Constagion ? |
p. 141 |
AN Chowdhury
PMID:21743623 |
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News & Notes |
p. 142 |
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| NON-INDEXED ARTICLE |
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Corrections |
p. 142 |
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New and Notes |
p. 142 |
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