conclusions:The pattern shows predominance of female gender, younger age group, a role of mental illness, impulsivity and psychosocial factors in suicide attempts. Future research should focus on these aspects to develop effective prevention strategies.
Background: Nepalgunj Medical College is a tertiary care centre in western Nepal. This part of Nepal is under privileged with high rate of illiteracy and poverty leading to various morbidities including pediatric problems. This study is carried out as there have not been many studies with this regard especially from this part of the country.Methods: This is a retrospective study done in patients admitted in pediatric ward of Nepalgunj Medical College, Kohalpur, for six months from June to November 2014.Results: Out of 949 patients admitted in Nepalgunj Medical College, Kohalpur, 604 (63.6%) were male and 345(36.4%) were female. Age range 1-5 years had the maximum number of patients 342(36%) of the total hospital admissions. Respiratory tract infections were the most frequent cause of childhood morbidity 266 (28%) followed by central nervous system illness 138 (14.5%) and gastrointestinal system illness 122(12.9%). Mean hospital stay was 4.3 days.Conclusions: Respiratory tract infections were the most frequent cause of childhood morbidity 266(28%) followed by central nervous system illness 138(14.5%) and gastrointestinal system illness 122(12.9%).JNGMC Vol. 12 No. 2 December 2014, Page: 20-23
Background: Mental health is an ignored area of general health care system despite the magnitude of problem and financial burden on families and whole country. In our country, psychiatric services are out of reach to majority of population because of inadequate mental health professionals, lack of awareness and lack of proper mental health policy. This study is conducted with the objective to know socio-demographic and diagnostic profile of patients from a mental health check up camp conducted at Belauri, Kanchanpur district from far western region of Nepal. Material and Methods: This is a descriptive study, comprised of all consecutive participants i.e. 128 patients attending Maryknoll mental health check up camp at Belauri town of Kanchanpur district, Nepal. The Study was performed in March 2013. Socio-demographic data and clinical diagnosis based on International Classification of Disease- 10 diagnostic research criteria were collected and analyzed. Results: Out of 128 subjects studied, highest number of participants (35.94%) belonged to age group 21- 30 yrs followed by age group 11-20 yrs (18.75%) and age group 31-40 yrs (16.40%). The most common psychiatric morbidity was found to be Neurotic, stress related & somatoform disorders (23.45%) followed by mood disorder in 24 (18.75%) patients and Headache (Migraine & Tension type) in 18 (14.07%) patients. Conclusion: The commonest age group affected with mental illness is younger age groups and Neurotic, stress related & somatoform disorders are the most common psychiatric morbidity followed by mood disorders. DOI: http://dx.doi.org/10.3126/jpan.v2i2.9724 J Psychiatrists’ Association of Nepal Vol.2, No.2, 2013 35-38
Background: Presence of physical illness with mental health problems is very common occurrence. Contraindication of certain psychotropics with certain physical problem and some beneficial effects of other drugs in comorbid conditions is one of important aspect of studying comorbidity. Comorbidity identification and intervention helps to cure and contain mental problems in most effective way. Materials and methods: Descriptive study with convenient sampling in all the patients who consented and attended monthly neuropsychiatric satellite health camp in Sindhuli district of Nepal from the month of Shrawan to Poush 2069 (6 months) organized by Tranquility Hospital and Research Centre, Khumaltar, Kathamndu. Results: Out of the 172 subjects studied, the most common age group was 20-39 years (47.7 %) followed by 40-59 years (27.9 %). The most common neuropsychiatric diagnosis was mood spectrum disorder followed by neurotic (neurotic, stress-related and somatoform) disorders. Psychosis spectrum (schizophrenia, schizotypal and delusional disorders) was the least common. The most common physical comorbid diagnosis was migraine followed by hypertension and diabetes mellitus. Conclusions: Migraine, hypertension and diabetes mellitus are the most common comorbid physical problems in psychiatric population found in our study. DOI: http://dx.doi.org/10.3126/jpan.v2i1.8571 J Psychiatrists’ Association of Nepal Vol .2, No.1, 2013 26-29
ABSTRACT:Background: Depression is the most common mental health problem but its presentation may not be the same all the time. Presentation of depression in the form of somatic symptoms makes it difficult to identify by untrained eyes which needs detailed investigations before labeling them as having a psychiatric problems. Methods: This is a descriptive study done in patients attending psychiatry OPD of Nepalgunj Medical College, Kohalpur, for six months from the month of May to October 2014. Results: Out of the 240 study subjects, the most common age group is 21-30 years, 90(37.5%), followed by 11-20 years, 50(20.83%). Among the physical symptoms, Generalized weakness 145(29.84%), loss of appetite 106(21.81%), vague pain (joint/abdomen) 84(17.28%), headache 80(16.46%), burning and tingling sensation 71(14.61%). Conclusions: Depression is a common psychiatric entity but may present in the form of physical symptoms. The commonest being generalized weakness 145(29.84%), followed by loss of appetite 106(21.81%).
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