SBKS MI and RC

Vadodara, India

SBKS MI and RC

Vadodara, India
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Grover S.,PGIMER | Avasthi A.,PGIMER | Sinha V.,S N Medical College | Lakdawala B.,B J Medical College and Civil Hospital | And 8 more authors.
Indian Journal of Psychiatry | Year: 2014

Background: There is a lack of national level data from India on prescription of psychotropics by psychiatrists. Aim and Objective: This study aimed to assess the first prescription handed over to the psychiatrically ill patients whenever they contact a psychiatrist. Materials and Methods: Data were collected across 11 centers. Psychiatric diagnosis was made as per the International Classification of Diseases Classification of Mental and Behavioural Disorders 10 th edition criteria based on Mini International Neuropsychiatric Interview, and the data of psychotropic prescriptions was collected. Results: Study included 4480 patients, slightly more than half of the subjects were of male (54.8%) and most of the participants were married (71.8%). Half of the participants were from the urban background, and about half (46.9%) were educated up to or beyond high school. The most common diagnostic category was that of affective disorders (54.3%), followed by Neurotic, stress-related and somatoform disorders (22.2%) and psychotic disorders (19.1%). Other diagnostic categories formed a very small proportion of the study participants. Among the antidepressants, most commonly prescribed antidepressant included escitalopram followed by sertraline. Escitalopram was the most common antidepressant across 7 out of 11 centers and second most common in three centers. Among the antipsychotics, the most commonly prescribed antipsychotic was olanzapine followed by risperidone. Olanzapine was the most commonly prescribed antipsychotic across 6 out of 11 centers and second most common antipsychotic across rest of the centers. Among the mood stabilizers valproate was prescribed more often, and it was the most commonly prescribed mood stabilizer in 8 out of 11 centers. Clonazepam was prescribed as anxiolytic about 5 times more commonly than lorazepam. Clonazepam was the most common benzodiazepine prescribed in 6 out of the 11 centers. Rate of polypharmacy was low. Conclusion: Escitalopram is the most commonly prescribed antidepressant, olanzapine is the most commonly prescribed antipsychotic and clonazepam is most commonly prescribed benzodiazepine. There are very few variations in prescription patterns across various centers.


PubMed | Datta Meghe Institute of Medical Sciences, R G Kar Medical College, SRM University, Mahatma Gandhi Institute and 10 more.
Type: Journal Article | Journal: Indian journal of psychiatry | Year: 2015

To assess the health-care needs of the patients with severe mental disorders.Patients with the diagnosis of a severe mental disorder (schizophrenia and related psychotic disorders, bipolar disorder, recurrent depressive disorder, major depressive disorder and obsessive compulsive disorder) were assessed using Camberwell Assessment of Need-Research version (CAN-R) Scale and indigenously designed Supplementary Needs Assessment Scale (SNAS).The study included 1494 patients recruited from 15 centers. The most common diagnostic group was that of affective disorders (55.3%), followed by psychotic disorders (37.6%). The mean number of total needs as perceived by the patients was 7.6 on the CAN-R. About two-third of the needs as assessed on CAN-R were met, and one-third were unmet. On CAN-R, main domains of needs as reported by patients were those of money, welfare benefits, transport, information about the illness and treatment, relief of psychological distress, company, household skills and intimate relationships. On SNAS, the mean number of total needs as perceived by the patients was 7.6 of which 4.1 were met needs. The most common domains of needs as assessed on SNAS were those of financial help, medical reimbursement, psychoeducation, free treatment, certification of mental illness, flexible work/job timings, addressing the caregiver stress and legal aid.About two-third of the needs, of the patients with severe mental disorders are met as assessed using CAN-R. However, higher percentages of unmet needs are identified on SNAS. In view of the commonly reported needs, a change in the orientation of services offered to people with mental disorders is very much called for. At the government level, desired policies must be formulated to support the patients with mental disorders.


Agrawa P.,SBKS MI and RC | Sadadi M.,SBKS MI and RC | Dat S.K.,St Davids Medical Center | Trived C.,SBKS MI and RC
International Journal of Pharmaceutical Sciences Review and Research | Year: 2013

To assess the knowledge, identify the attitudes and barriers of practice of oral contraceptive pills among medical and dental students. This study was carried out in second and final year medical and dental students of SBKS MI & RC and K M Shah Dental College, Sumandeep Vidyapeeth, Piparia, Vadodara. Data were collected on a structured, self - administrative questionnaire which was mounted on a scoring system and the obtained scores were used to determine the level of knowledge of oral contraceptive pills among the participants. The answers of the questions related to the attitudes and practices were yes /no type questions. All the data were analyzed using SPSS V 23.0. Average knowledge score was 16.7 ± 3.95; which was similar between gender (p=0.18) and education category (p=0.7), while, final year students had high knowledge score compared to second year students. (p= 0.007). The information on attitude reveals most of the students believe that it is appropriate to discuss sexual health with friends, while only one third of students believe the need of contraceptive counseling before marriage. The results of questionnaire regarding practice of OC pills reveal an important finding that 73% students believe that using contraceptive methods promote promiscuity while only 58% were in favor of prescribing OC pills. Study clearly shows that medical and dental students require additional education on all aspects of contraception for betterment of sexual health and prevention of unwanted pregnancies.


Shah T.,SBKS MI and RC | Purohit G.,SBKS MI and RC | Nair S.P.,B.J.M.C | Patel B.,SBKS MI and RC | And 2 more authors.
Journal of Clinical and Diagnostic Research | Year: 2014

Introduction: Obesity is a condition in which excess body fat accumulates, which leads to various adverse effects on health, particularly cardiovascular diseases (CVDs), which reduce life expectancy and/or increase health problems. Fast food consumption is one of the factors which have been reported as a cause of obesity. Body mass index (BMI) is used to assess obesity and overweight, which can be calculated by using the formula, weight in kg, divided by square of height in metres. Aim: This study focused on the relationship of body mass index with fast food consumption, associated soft drink consumption and physical activity. Methods: Descriptive cross-sectional study was conducted in Department of Biochemistry, SBKS MI and RC, and Sumandeep Vidyapeeth. This study was approved by the ethical review board.One hundred and forty seven medical students from 1st year MBBS course were included in this study. Self-structured questionnaire was used, which contained several data like information on age, height, weight, education level. The formula used for calculating BMI was, weight in kg, divided by square of height in metres (Kg/m2). Results: In our study, out of 147 students, a total of 138 students (more than 90%) used to have fast food. Among these, a total of 47 students (34.05%) were pre-obese and obese. Out of 147 students, 87 students (59.18%) were in normal weight range, while 13 (8.84%) students were underweight. Statistical Analysis: Data was compiled in an Excel worksheet and it was analyzed for percentages and proportions. Chi-square and Pearson's correlation test were also applied wherever they were applicable and Alpha error was set at a 5% level. Conclusion: In our study, a significant relationship was found between BMI and fast food consumption, less physical activity, and intake of soft drinks.


Muley A.,SBKS MI and RC | Shah C.,SBKS MI and RC | Lakhani J.,SBKS MI and RC | Bapna M.,SBKS MI and RC | Mehta J.,SBKS MI and RC
Indian Journal of Critical Care Medicine | Year: 2014

Background: Organophosphorus poisoning remains an important cause of morbidity and mortality, but no definite parameters have been identified as predictors of outcome. Prediction of morbidity at presentation might help in decision making in places of limited resources like rural settings in developing countries. Materials and Methods: A total of 76 cases were included in this retrospective cohort study. Logged relative risk of requirement of mechanical ventilation and hospital stay >7 days was measured in patients with serum acetylcholinesterase (s. acetylcholinesterase) <1000 versus >1000, presenting in <2 h versus ≥ 2 h after exposure, with Glasgow Coma Scale (GCS) ≤12 versus >12 and in patients with SpO2 <85% versus ≥85% at room air at presentation. Results: S. acetylcholinesterase <1000, time elapsed after ingestion to presentation ≥ 2 h and SpO2 (at room air) at presentation <85% were found to have positive association with requirement of ventilation. GCS ≤ 12 had a significant association with both requirement of ventilation and hospital stay >7 days. Conclusion: S. acetylcholinesterase, SpO2 at room air, GCS, and duration of exposure at presentation can be used to identify the requirement of special care in acute organophosphorus poisoning. This can aid in decision making regarding admission to intensive care unit and referral in the places with limited resources.


Jasuja V.,GAIMS | Purohit G.,SBKS MI and RC | Mendpara S.,C U Shah Medical College | Palan B.M.,SBKS MI and RC
Journal of Clinical and Diagnostic Research | Year: 2014

Background: The mood changes surrounding menstrual cycle mainly during luteal phase, known as premenstrual syndrome, have been described as early as the time of the ancient Greeks. Beck Depression Inventory (BDI-II) and State Trait Anxiety Inventory (STAI) are used to study psychological symptoms of anxiety and depression. Aims: To study the psychological parameters and effects of PMR on females with premenstrual syndrome. Settings and Design: It was an experimental study. Materials and Methods: Sixty participants aged between 18 to 40 years, volunteered for this study. Relaxation technique, PMR was given to the study group (Group A, Mean age 24.13±5.69) for one month and control group (Group B, Mean age 28.96±9.42) was evaluated without any intervention. Statistical Analysis Used: Paired students t test. Alpha error was set at 1% level. Results and Conclusion: PMR Group A showed significant decrease in Both BDI II and STAI scores (p<0.001), showing benefits of relaxation in reducing anxiety and depression. We conclude that PMR helps to alleviate symptoms of premenstrual syndrome and decreases anxiety and depression as shown by changes in scores of both questionnaires.


Shah S.,SBKS MI and RC
Psychiatric Clinics of North America | Year: 2013

This report emphasizes the belief that whatever the type and scale of disaster, the period of transition from relief to recovery is the most critical. Following the severe earthquake that struck Kachchh, Gurjarat, India on 26 January 2001, emotions spanned grief over the lives lost; anxiety over property and other economic losses; profound feelings of isolation, helplessness, and guilt; and panic in the face of problematic communications from authorities. In an attempt to manage this vast array of psychosocial problems, a large cadre of volunteers was rapidly trained and supervised by experts to work as grass-roots counselors for the community. © 2013 Elsevier Inc.


Muley A.,SBKS MI and RC | Lakhani J.,SBKS MI and RC | Bhirud S.,SBKS MI and RC | Patel A.,SBKS MI and RC
Journal of Tropical Medicine | Year: 2014

Introduction. Thrombocytopenia is frequently noticed with P. falciparum malaria but is less reported and studied with P. vivax. Materials and Methods. The study was conducted in the Department of Medicine, SBKS MI & RC, Pipariya. We included patients who were diagnosed with vivax malaria. The data regarding their clinical and hematological profile was collected and analysed. Result. A total of 66 patients were included. 42 (63%) had platelet count <100000/mm3. Mean platelet count was 1,18,650, range being 8000/mm3-6,10,000/mm3. Amongst those with thrombocytopenia, 16 (38.09%) had anemia, 14 (33.33%) had serum creatinine >1.2 gm/dL, 15 (35.71%) had jaundice (s. bilirubin > 1.2), 2 (4.76%) had altered sensorium, 6 (14.28%) had ARDS, 2 needed ventilator support, and 1 expired. Amongst those with normal platelet count, 5 (20.83%) had anemia and 1 had jaundice whereas none had elevated s. creatinine, altered sensorium, or lung involvement. Conclusion. Thrombocytopenia is now being seen more commonly with vivax malaria. Patients with platelet count <1 lac/cumm have more severe disease. © 2014 Arti Muley et al.


Trushna S.,SBKS MI and RC | Geetanjali P.,SBKS MI and RC
Biomedical Research (India) | Year: 2013

It was a case control study of 60 subjects. The aim of this study was to compare the micro-proteinuria and other kidney functions between tobacco smokers and non-smokers, determining whether smoking is associated with an increased risk for chronic renal failure (CRF) overall and by type of renal disease. 60 subjects, in two different groups (30 in each) were studied in SSG hospital, Vadodara. 30 subjects were participated as a study group (Group II), with chronic tobacco smoking habits. 30 healthy participants, who had never used tobacco, were studied as control group (Group I). The assessment consisted of urine analysis for microproteinuria, creatinine clearance test and blood analysis for urea and creatinine level. Blood pressure and BMI were also evaluated. Both the groups were compared using the unpaired Student's t-test for significance. Both the groups did not differ significantly in sex structure and body mass index, but the blood pressure values were significantly higher in group II (SBP=120.6±8.6 vs 140.6±6.6 and DBP=76.8±4 vs 86±4.4). Group II participants were characterized by higher microproteinurea (61.53±12.9mg% vs. 241±20.3mg%; p<.0001), though there were no significant changes in other kidney functions. The smokers were significantly younger, which may points to the earlier origin of microproteinuria in smokers (42.1 11.0 years). We concluded that chronic tobacco consumption causes kidney damage in various manner, produces microproteinuria as an early predictor of renal diseases.


PubMed | SBKS MI and RC
Type: Journal Article | Journal: Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine | Year: 2014

Organophosphorus poisoning remains an important cause of morbidity and mortality, but no definite parameters have been identified as predictors of outcome. Prediction of morbidity at presentation might help in decision making in places of limited resources like rural settings in developing countries.A total of 76 cases were included in this retrospective cohort study. Logged relative risk of requirement of mechanical ventilation and hospital stay >7 days was measured in patients with serum acetylcholinesterase (s. acetylcholinesterase) <1000 versus >1000, presenting in <2 h versus 2 h after exposure, with Glasgow Coma Scale (GCS) 12 versus >12 and in patients with SpO2 <85% versus 85% at room air at presentation.S. acetylcholinesterase <1000, time elapsed after ingestion to presentation 2 h and SpO2 (at room air) at presentation <85% were found to have positive association with requirement of ventilation. GCS 12 had a significant association with both requirement of ventilation and hospital stay >7 days.S. acetylcholinesterase, SpO2 at room air, GCS, and duration of exposure at presentation can be used to identify the requirement of special care in acute organophosphorus poisoning. This can aid in decision making regarding admission to intensive care unit and referral in the places with limited resources.

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