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Kar N.,Black Country Partnership NHS Foundation Trust | Arun M.,JSS Medical College | Arun M.,Kasturba Medical College | Mohanty M.K.,All India Institute of Medical Sciences | Bastia B.K.,Medical Institute and Research Center
Indian Journal of Psychiatry | Year: 2014

Background: Lethality of suicidal attempt provides useful information regarding the behavior. There is a perceived need for a clinically useful scale that can be easily adapted to various methods and circumstances of attempt. Aims: The study intended to develop and test utility of a scale for measuring lethality that can reflect overall clinical observation taking into account various indicators of lethality and which can be used across clinical scenarios involving different methods. Settings and Design: Cross-sectional study in a hospital. Materials and Methods: The scale for assessment of lethality of suicide attempt (SALSA) has two components: The first component has four items indicating seriousness of the attempt and its likely consequences and the second component is the global impression of lethality. All the items are scored from 1 to 5, higher scores suggestive of increased lethality. SALSA was used to evaluate lethality of 82 consecutive suicide attempters; and it was compared with lethality of suicide attempt rating scale (LSARS) and risk-rescue rating scale. Statistical Analysis: Chi-square, t-test, analysis of variance, Cronbach′s alpha, binary logistic regression. Result: There was significant correlation of SALSA score with that of LSARS (r: 0.89) and risk score of risk-rescue rating (r: 0.93, P < 0.001); and negative correlation with rescue score (r:-0.569; P < 0.001). Internal consistency reliability of SALSA was high (Cronbach′s alpha: 0.94). Lethality scores of SALSA differentiated known groups with different lethality, e.g. deceased and survived; attempters with different levels of medical intervention: In-patient only, intensive care, ventilator support. SALSA score significantly predicted the lethal outcome (odds ratio: 3.2, confidence interval: 1.12-8.98). Conclusion: SALSA is a useful instrument for assessment of lethality of suicidal behaviors during clinical evaluations considering the ease of administration, its ability to differentiate clinical groups with known variations of lethality and clinical outcomes. Source


Patel D.A.,Bj Medical College | Gupta P.A.,Bj Medical College | Kinariwala D.M.,Bj Medical College | Shah H.S.,GMERS Medical College | And 2 more authors.
Journal of Global Infectious Diseases | Year: 2012

Background: Most outbreaks of viral hepatitis in India are caused by hepatitis E. Recently in the year 2009, Modasa town of Sabarkantha district in Gujarat witnessed the outbreak of hepatitis B. Purpose: An attempt was made to study the outbreak clinically and serologically, to estimate the seropositivity of hepatitis B Virus among the cases and their contacts and to know the seroprevalence of hepatitis B envelope antigen (HBeAg) and IgM antibody against hepatitis B core antigen (IgM HBcAb) out of all the Hepatitis B surface Antigen (HBsAg) positive ones. Materials and Methods: Eight hundred and fifty-six (856) cases and 1145 contacts were evaluated for hepatitis B markers namely HBsAg, HBeAg and IgM HBcAb by enzyme-linked immuno Sorbent Assay (ELISA) test. Results: This outbreak of viral hepatitis B in Modasa, Gujarat was most likely due to unsafe injection practices. Evidence in support of this was collected by Government authorities. Most of the patients and approximately 40% of the surveyed population gave history of injections in last 1.5-6 months. Total 664/856 (77.57%) cases and 20/1145 (1.75%) contacts were found to be positive for HBsAg. 53.41% of the positive cases and 52.93% of the positive contacts were HBeAg-positive and thus in a highly infectious stage. Conclusions: Inadequately sterilized needles and syringes are an important cause of transmission of hepatitis B in India. Our data reflects the high positivity rate of a hepatitis B outbreak due to such unethical practices. There is a need to strengthen the routine surveillance system, and to organise a health education campaign targeting all health care workers including private practitioners, especially those working in rural areas, as well as the public at large, to take all possible measures to prevent this often fatal infection. Source


Shah P.S.,Baroda Medical College and SSG Hospital | Kataria L.,Medical Institute and Research Center
Internet Journal of Mental Health | Year: 2010

Background: Social phobia even though being a common psychiatric disorder is still under recognized and under treated. We study prevalence, severity, disability and quality of life with respect to social phobia among university students in India.Methods: A stratified sample of 380 undergraduate university students was assessed to identify the extent of social phobia, its correlates as well as resulting disability and quality of life.Results: Social phobia was found in 19.5% of participants, in varied degrees of severity and correlated with various faculties in university, resulting in significant disability in work, social life, and family life, as well as impairment in quality of life. 'Acting, performing or giving a talk in front of an audience' was the most commonly feared/avoided situation. Students reported various clinical manifestations affecting academic, social and interpersonal areas.Conclusions: High prevalence and marked impact on life demands stringent efforts to recognize and treat social phobia. Copyright Internet Scientific Publications, LLC., 1996 to 2010. Source


Patel S.H.,All India Institute of Medical Sciences | Bastia B.K.,All India Institute of Medical Sciences | Kumar L.,Medical Institute and Research Center | Senthil Kumaran M.,JIPMER
Journal of Indian Academy of Forensic Medicine | Year: 2015

Stature is one of the biological characteristics often used in Forensic Anthropology, both to help build profiles for unidentified individuals and to support putative identifications. Frequently fragmentary remnants are brought to a Forensic expert for investigation purpose. It is, therefore, necessary to have different formulae for the determination of stature using measurement of different body parts. The aim of this study was to estimate the stature from anthropometric measurement of inter-acromial length and derive a linear regression equation. A total of 300 subjects (150 males and 150 females) of SBKS Medical Institute&Research Center, Sumandeep Vidyapeeth, Vadodara, Gujarat belonging to the age group 22 -44 years were selected for the study. The stature and inter-acromial length of each subject were measured with the help of a stadiometer, spreading caliper and self-retracting tape measure. There exists a positive correlation between the stature and the inter-acromial length in both males and females combined (p <0.001), which was highly significant. Our study also showed low degree of positive correlation in case of males&females measured separately. P- Value is highly significant (p <0.001) in all the cases. Source


Rawal S.V.,Medical Institute and Research Center
Indian Journal of Tuberculosis | Year: 2014

Background: Tribal population resides in difficult to reach terrain. It is vital to know, in context of “Universal care approach”, whether they are equitably benefited by RNTCP. Objective: To compare RNTCP performance in tribal areas with non-tribal areas and to detect whether the difference in performance indicators is statistically significant. Methods: A comparative analysis of RNTCP performance indicators like total case detection rate, new smear positive case detection rate, etc., was carried out using annual data of last three years in tribal and non-tribal areas. T-test was applied to confirm statistically significant difference. Results: The performance of tribal area is better in terms of suspects examined per lakh population per year, total case detection rate, NSP case detection rate and success rate. The difference was close to statistically significant difference at 95% confidence limit and the difference was significant at 90% confidence limit. The extra-pulmonary case notification rate was significantly higher in non-tribal areas with understandable reasons. Conclusion: Significantly high previously treated smear positive case notification rate in tribal area is a matter of concern .The incentives to tribal areas appear to reap better results and these need to be supported and sustained. © 2014, Tuberculosis Association of India. All rights reserved. Source

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