The recently introduced Mental Health Care Bill – 2013 contains elaborate provisions regarding informed consent, which is to be obtained from persons with mental illness, and/or his nominated representative. Full informed consent is mandatory from all participants before proceeding to carry out any research project. Persons with mental illness who lack capacity to give consent should be included in a research study, only if there is likelihood of benefit for them or if it is intended to promote the health of the population represented by the potential subject. ABSTRACT
{"title":"Informed Consent in Psychiatric Practice","authors":"Dr. C. L. Narayan","doi":"10.5005/ejp-18-2-3","DOIUrl":"https://doi.org/10.5005/ejp-18-2-3","url":null,"abstract":"The recently introduced Mental Health Care Bill – 2013 contains elaborate provisions regarding informed consent, which is to be obtained from persons with mental illness, and/or his nominated representative. Full informed consent is mandatory from all participants before proceeding to carry out any research project. Persons with mental illness who lack capacity to give consent should be included in a research study, only if there is likelihood of benefit for them or if it is intended to promote the health of the population represented by the potential subject. ABSTRACT","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"138 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130872119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Comorbid psychiatric disorders are common in epilepsy patients. Patients with epilepsy are prone to psychosis, depression, personality disorders, hyposexuality, and other behavioral disorders. Comorbid psychiatric disorders are particularly common in temporal lobe epilepsy or complex partial seizure. Though psychiatric comorbidity is common in epilepsy, it is under-recognized and under-treated, both in adult and pediatric patients in specialty health care centers as well as in community based health care centers. Early recognition and management of psychiatric disorders in patients with epilepsy is extremely important, because it improves the quality of life and aids in better seizure control. ABsTRACT
{"title":"Psychiatric Aspects of Epilepsy: A Review","authors":"Satyakam Mohapatra, Neelmadhav Rath","doi":"10.5005/ejp-17-2-40","DOIUrl":"https://doi.org/10.5005/ejp-17-2-40","url":null,"abstract":"Comorbid psychiatric disorders are common in epilepsy patients. Patients with epilepsy are prone to psychosis, depression, personality disorders, hyposexuality, and other behavioral disorders. Comorbid psychiatric disorders are particularly common in temporal lobe epilepsy or complex partial seizure. Though psychiatric comorbidity is common in epilepsy, it is under-recognized and under-treated, both in adult and pediatric patients in specialty health care centers as well as in community based health care centers. Early recognition and management of psychiatric disorders in patients with epilepsy is extremely important, because it improves the quality of life and aids in better seizure control. ABsTRACT","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121262486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
: Paroxetine is a selective serotonin reuptake inhibitor (SSRI) that is used in the treatment of panic disorder. SSRIs as a group are known to causeextra-pyramidal syndrome (EPS) even at therapeutic doses. However, systematic data regarding this is lacking. We describe a case of acute cervical dystonia in a young adult with panic disorder temporally related to paroxetine. The dystonia was relieved by intravenous injection of promethazine, an antihistaminic with anticholinergic property. Inhibitory serotonergic input to dopaminergic system in the nigro-striatal pathway may be responsible for such idiosyncratic reaction. Clinicians should be aware of such side effect while prescribing SSRIs as this can have significant clinical implications
{"title":"Acute Dystonia with Paroxetine – Case Presentation, Possible Mechanism and Clinical Implications","authors":"K. Chakraborty","doi":"10.5005/ejp-14-1--2-48","DOIUrl":"https://doi.org/10.5005/ejp-14-1--2-48","url":null,"abstract":": Paroxetine is a selective serotonin reuptake inhibitor (SSRI) that is used in the treatment of panic disorder. SSRIs as a group are known to causeextra-pyramidal syndrome (EPS) even at therapeutic doses. However, systematic data regarding this is lacking. We describe a case of acute cervical dystonia in a young adult with panic disorder temporally related to paroxetine. The dystonia was relieved by intravenous injection of promethazine, an antihistaminic with anticholinergic property. Inhibitory serotonergic input to dopaminergic system in the nigro-striatal pathway may be responsible for such idiosyncratic reaction. Clinicians should be aware of such side effect while prescribing SSRIs as this can have significant clinical implications","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126659830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
concept. However, it has more than made up for its late entry by showing exponential growth over the past two decades. Pioneered in early 1990s by Guyatt et al, it represents the conscientious, explicit and judicious use of current best evidence in making clinical decisions about the care of individual patients1. Although new to modern times, its philosophical underpinnings have been traced back to China in older times2 . In simple terms EBM helps the clinicians make decisions supported by evidence. The philosophy of EBM can be summed up as follows: if there is evidence that something is of good and of benefit to the patient, then use it; if there is evidence that something is not good for the patient and can be harmful, then do not use it3. In this context Evidence Based Practice (EBP) would pertain to any practice that applies up-to-date information from relevant and valid research about the usefulness of various diagnostic tests or the predictive power of prognostic factors or the beneficence of a particular treatment method. Multiple ongoing clinical trials, ever increasing number of biomedical journals and thousands of articles published every month have ensured floods of information. Going by most conservative of estimates this is likely to grow exponentially in the coming years. Also growing use of the internet and other modes of communication has ensured that most of this information Era of Evidence Based Medicine: Is clinical expertise outdated?
{"title":"Era of Evidence Based Medicine: Is Clinical Expertise Outdated?","authors":"Y. Balhara, S. Deshpande","doi":"10.5005/ejp-13-1--2-105","DOIUrl":"https://doi.org/10.5005/ejp-13-1--2-105","url":null,"abstract":"concept. However, it has more than made up for its late entry by showing exponential growth over the past two decades. Pioneered in early 1990s by Guyatt et al, it represents the conscientious, explicit and judicious use of current best evidence in making clinical decisions about the care of individual patients1. Although new to modern times, its philosophical underpinnings have been traced back to China in older times2 . In simple terms EBM helps the clinicians make decisions supported by evidence. The philosophy of EBM can be summed up as follows: if there is evidence that something is of good and of benefit to the patient, then use it; if there is evidence that something is not good for the patient and can be harmful, then do not use it3. In this context Evidence Based Practice (EBP) would pertain to any practice that applies up-to-date information from relevant and valid research about the usefulness of various diagnostic tests or the predictive power of prognostic factors or the beneficence of a particular treatment method. Multiple ongoing clinical trials, ever increasing number of biomedical journals and thousands of articles published every month have ensured floods of information. Going by most conservative of estimates this is likely to grow exponentially in the coming years. Also growing use of the internet and other modes of communication has ensured that most of this information Era of Evidence Based Medicine: Is clinical expertise outdated?","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128597651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
: Background : The present study focuses on the symptoms and signs of Obsessive Compulsive Disorder as per 2 DSM IV (APA 1994) and ICD 10 (WHO, 1992), were studied by administering Y-BOCS symptom checklist (Goodman, 1989), Kneeding out types of obsessions and compulsions and their sub-types. The presence of depression 3 and suicidal ideas were assessed by administering HAM-D (Hamilton, 1960), Results: The patients diagnosed as OCD are not a single nosological entity. Each patient must be differentially diagnosed.
背景:本研究的重点是根据DSM IV (APA 1994)和ICD 10 (WHO, 1992)对强迫症的症状和体征进行研究，采用Y-BOCS症状检查表(Goodman, 1989)，识别出强迫和强迫的类型及其亚型。使用HAM-D评估抑郁和自杀想法的存在(Hamilton, 1960)。结果:被诊断为强迫症的患者并不是一个单一的疾病实体。必须对每个病人进行鉴别诊断。
{"title":"Phenomenology of Obsessive Compulsive Disorder in Eastern India","authors":"Sayeed Akhtar, N. Sayeed, Jyoti Mishra","doi":"10.5005/ejp-14-1--2-38","DOIUrl":"https://doi.org/10.5005/ejp-14-1--2-38","url":null,"abstract":": Background : The present study focuses on the symptoms and signs of Obsessive Compulsive Disorder as per 2 DSM IV (APA 1994) and ICD 10 (WHO, 1992), were studied by administering Y-BOCS symptom checklist (Goodman, 1989), Kneeding out types of obsessions and compulsions and their sub-types. The presence of depression 3 and suicidal ideas were assessed by administering HAM-D (Hamilton, 1960), Results: The patients diagnosed as OCD are not a single nosological entity. Each patient must be differentially diagnosed.","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125497660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effective Teaching and Training","authors":"K. Dwivedi","doi":"10.5005/ejp-12-1--2-69","DOIUrl":"https://doi.org/10.5005/ejp-12-1--2-69","url":null,"abstract":"","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116952071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Smoking in Psychiatric Patients: Need for a Concerted Approach","authors":"S. Garg","doi":"10.5005/ejp-17-1-57","DOIUrl":"https://doi.org/10.5005/ejp-17-1-57","url":null,"abstract":"","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133963923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transformative Tales: How Stories Can Change People","authors":"Chris M. Nicholson","doi":"10.5005/ejp-13-1--2-119","DOIUrl":"https://doi.org/10.5005/ejp-13-1--2-119","url":null,"abstract":"","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134426819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The quality of life in the society in the neighborhood of mining is result of gradual adoption of a characteristic life-style that is highly influenced by mining industry. There are number of attributes of a family and the society that are affected by mining. The overall realization of these impacts is reflected on the quality of life. In order to sustain the societal developments beyond the mine closure, it is essential to plan post mining activities in the area. To minimize the societal impacts on the nearby communities, it is necessary to predict the impacts of mine closure before closure planning is initiated. However, there are no comprehensive indicators and methodology to measure social impact of mine closure. This paper highlights the results of a study to quantify the degree of adverse effects of mine closure on the quality of life of neighboring communities adopting the Structural Equation Modeling (SEM) and the Latent Variables Interaction Modeling (LVM) techniques
{"title":"Impacts of Mine Closure on the Quality of Life of the Neighboring Community","authors":"P. M. Rao, K. Pathak","doi":"10.5005/ejp-12-1--2-10","DOIUrl":"https://doi.org/10.5005/ejp-12-1--2-10","url":null,"abstract":"The quality of life in the society in the neighborhood of mining is result of gradual adoption of a characteristic life-style that is highly influenced by mining industry. There are number of attributes of a family and the society that are affected by mining. The overall realization of these impacts is reflected on the quality of life. In order to sustain the societal developments beyond the mine closure, it is essential to plan post mining activities in the area. To minimize the societal impacts on the nearby communities, it is necessary to predict the impacts of mine closure before closure planning is initiated. However, there are no comprehensive indicators and methodology to measure social impact of mine closure. This paper highlights the results of a study to quantify the degree of adverse effects of mine closure on the quality of life of neighboring communities adopting the Structural Equation Modeling (SEM) and the Latent Variables Interaction Modeling (LVM) techniques","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131896040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: In accordance with Bio-Medical Waste(management and handling)Rules,1998,it is the duty of every ‘‘occupier” i.e. a person who has the control over the institution and or its premises, to take all steps to ensure that waste generated is handled without any adverse effect to human health and environment. To improve hospital waste management, it is important to begin by surveying the facility of current hospital waste practices. A waste survey should therefore be undertaken about the information of the waste planning process. Methods: A waste survey was undertaken about the information of the waste planning process; as to improve hospital waste management, it is important to begin by surveying the facility of current hospital waste practices. This survey should provide information on types and quantity of wastes, which are arising at each point of production, and methods of storage, handling, treatment and disposal. Results: In our survey it is seen that, management, handling and treatment of Biomedical Waste are done as per Bio-Medical Waste Rules, 1998. Conclusion: After analyzing the study it was felt that the healthcare waste management should go beyond data compilation, enforcement of regulations and acquisition of better equipment. It should be supported through appropriate education, training and the commitment of the healthcare staff, management and healthcare managers within an effective policy and legislative framework.
{"title":"An Explorative Study on Biomedical Waste Management in a Psychiatric Hospital of India","authors":"Jnyandeep Hazarika, A. Sarmah, M. Das","doi":"10.5005/ejp-13-1--2-32","DOIUrl":"https://doi.org/10.5005/ejp-13-1--2-32","url":null,"abstract":"Background: In accordance with Bio-Medical Waste(management and handling)Rules,1998,it is the duty of every ‘‘occupier” i.e. a person who has the control over the institution and or its premises, to take all steps to ensure that waste generated is handled without any adverse effect to human health and environment. To improve hospital waste management, it is important to begin by surveying the facility of current hospital waste practices. A waste survey should therefore be undertaken about the information of the waste planning process. Methods: A waste survey was undertaken about the information of the waste planning process; as to improve hospital waste management, it is important to begin by surveying the facility of current hospital waste practices. This survey should provide information on types and quantity of wastes, which are arising at each point of production, and methods of storage, handling, treatment and disposal. Results: In our survey it is seen that, management, handling and treatment of Biomedical Waste are done as per Bio-Medical Waste Rules, 1998. Conclusion: After analyzing the study it was felt that the healthcare waste management should go beyond data compilation, enforcement of regulations and acquisition of better equipment. It should be supported through appropriate education, training and the commitment of the healthcare staff, management and healthcare managers within an effective policy and legislative framework.","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131345697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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