Cardiovascular health hazards has become one of major life threats in Pakistan, the risks may vary from province to province. Present study aims to find out the role of psycho-social depression & its relation with risks of cardiovascular maladies in city of Hyderabad-Pakistan. A cross-sectional study was conducted from November 2012 to February 2013; based on multiple logistic to investigate the relationship between Depression, lifestyle & blood pressure variations. The Study included 174 subjects both males and females gender with age between 18-25 years. Depression rating scale was used to evaluate type & cause of depression furthermore BMI and blood pressure of each subject were also noted. Our study observed that the intensity of stress is directly related with the disturbed blood pressures. Study also observed that with the increasing BMI the prevalence of depression is high. It is therefore concluded that depression is the major risk factor that will increase the risks of cardiovascular maladies; along with other factors like obesity, psychosocial issues like elevating crime & violence rate could be the major cause of depression in Hyderabad city.
Background
Penetrating trauma to the brain is a rare mode of self-harm in individuals with depressive psychosis. It may have variable presentations ranging from intact neurological status to non-survivable damage and the subjects may be surprisingly apathetic to pain. It is even unusual for such an injury to have an excellent prognosis despite coming late to clinical attention.
Case presentations
We report two cases of patients with psychotic depression who attempted suicide by hammering nails into their heads. On imaging, deep penetration within the brain parenchyma was noted; however, neither case had any neurological deficit or symptoms attributable to brain trauma.
Conclusions
Self-inflicted penetrating brain injuries with peculiar objects such as nails are rarely encountered in practice. They need prompt management for their removal and addressing the underlying mental health illnesses.
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