No abstract

Schizophrenia is a chronic and debilitating psychiatric illness consisting primarily of symptoms such as hallucinations and delusions, also termed as "positive" symptoms. In addition, individuals may experience "negative" symptoms which include loss of sense of pleasure, social withdrawal, impoverishment of thoughts and speech and flattening of affect. According to WHO estimates, schizophrenia affects approximately 24 million people worldwide. 1 The prevalence of schizophrenia varies across the world, within countries, and at the local and neighborhood level. 2,3 The most recent publications estimate that prevalence of schizophrenia ranges from 1.4 to 4.6 / 1000 and the median incidence varies from 0.15 to 0.20 / 1000 population/year 4,5 and it is higher (7 / 1000 population) in

Background: Erectile dysfunction (ED) is defined as the inability to attain or maintain a penile erection sufficient for successful vaginal intercourse. ED is a common problem worldwide that affects men with increasing age. ED not only deteriorates sexual life of men but also makes them prone to experience psychological distress. Aim: Present study aimed at investigating the demographical profile and psychological  factors were correlated with the ED. Methods: The cross-sectional study design with the total 197 patients in ED were selected in 18 to 60-year age groups, from Late Lakhiram Agrawal Memorial Govt. Medical College, Raigarh, C.G., India (LAMGMC) and associated hospital. The χ2 test was used for analyzing the data. Results: Total 197 patients were selected, the majority of the patients were mildly affected by ED (n=99, 50.9%). There were Significant correlations between patient’s psychological factors e.g. Dissatisfaction on household income (P=0.030), Blame themselves (P= 0.001), feeling of guilt (P=0.000), less desirable (P= 0.000), feeling hurt (P= 0.000), feeling of anger or bitterness (P=0.000), depression (P=0.005), feeling like a failure (P=0.000), Worry of ED will affect closeness with a partner (P= 0.000), and worry for a future relationship (P= .001), and the association of socio demographic factors were insignificant. Conclusion: ED is a significant health problem and affect psychological well-being of patients. Besides pharmacological therapy, patient education on ED also plays an important role in the management of ED. Assessment early diagnosis and treatment of ED and psychological problems are crucial for patients, as untreated psychological problems can further worsen the ED condition as well as impair patients’ overall QoL.

INTRODUCTION:The rate of psychiatric referrals is reported to be high in hospitalized patients in different studies in developing countries. A high prevalence rate of psychiatric disorders is reported among many outpatient departments. For the quality and effectiveness of the various healthcare services, the active role of the psychiatric services in a general hospital cannot be neglected. OBJECTIVE: To evaluate the pattern of psychiatric referrals from various specialities and to study different psychological conditions affecting physical disorders. MATERIAL AND METHODS: The study was conducted at Chirayu medical college and hospital over a period of one year. It was a retrospective evaluation based study. There were 215 referrals recorded, inclusive of inpatient referrals only and diagnosis was made based on ICD-10 classification. RESULTS: Among the 215 referrals, age range of the subjects was 5-75 years with a mean age of 47±12 years. The most common reasons for referral were disorientation and altered sensorium (34%) followed by irrelevant talks (32%). The most common psychiatric diagnosis made was delirium (30.6%) followed by psychotic spectrum disorders (11.6%). Department wise referrals were mostly from medical units (40%) followed by surgical units (11%). No psychiatric diagnosis was made in 42 cases (20%). CONCLUSION: Early diagnosis and intervention of psychiatric disorders in those having physical illnesses definitely hastens recovery and reduces morbidity and the period of stay at a hospital.

No abstract