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| EDITORIAL |
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Towards Greater Integration With Other Medical Specialities. |
p. 194 |
K Kuruvilla
PMID:21709852 |
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| ARTICLES |
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Prevalence of Soft Neurological Signs : A Study Among Indian School Boys |
p. 196 |
Dhruba Jyoti Bagchi, Rakesh Khanna, SS Raju
PMID:21584130"PANESS" battery was administered to a total sample of 120 students of five age specific groups of children from two schools catering to the needs of different socio-economic classes. Most commonly observed item was overflow/higher movements (5, N = 24) followed by motor inco-ordination and dysdiadochokinesia, maximally present in the age group of 7 to 8 (6, N = 24). Further results suggest different patterns across various age groups and that there may be a significant correlation between handedness and soft neurological signs. The implications of these findings have been discussed in the paper. |
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Prevalence of Scholastic Backwardness Among Five to Eight Year Old Children |
p. 201 |
Jyothi Shenoy, Malavika Kapur
PMID:21584131The present paper reports jhe findings of a study of scholastic backwardness among five to eight year old school going children. 1535 children were screened by their class teachers, of which 10.23% were found to have scholastic backwardness. No gender differences were noticed. The rates of specific difficulties such as reading, writing and arithmetic were found to be 4.69%, 5.15% and 15.96% respectively. About 26% of the scholastically backward children were also found to have psychological disturbance. In addition, they most often came from families which could not afford basic amenities, had fathers with alcohol dependence, inconsistent disciplining and poor parental interaction. They also had more frequent school changes, tution attendence and fewer hobbies compared to the scholastically superior children. |
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The Psychiatric Aspects of Wilsons Disease - A Study from A Neurology Unit |
p. 208 |
Rajeev Kumar, Sunil Datta, L Jayaseelan, Chandran Gnanmuthu, K Kuruvilla
PMID:21584132A series of 31 cases of Wilson's disease (WD) were assessed retrospectively on a range of variables including psychiatric, neurologic and biochemical data recorded at index admission over a period of 7 years. 18 patients (58%) showed psychopathological features. 5 patients (16.1%) were reported to have poor scholastic performance at the onset of illness and 1 patient (3.2%) had abnormal behaviour (mania like) many years prior to the appearance of neurological symptoms. The most common psychiatric features were cognitive impairment (45.2%), affective symptomatology (41.9%) and behavioural abnormalities (29%). Only one patient had a schizophrenia like psychosis. The psychiatric manifestation of Wilson's disease as they present in our setting and their clinical relevance are discussed. |
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Psychological Profile of Females with Chronic Pelvic Pain |
p. 212 |
Pradeep Agarwal, Udayan Khastgir, MS Bhatia, Neena Bohra, SC Malik
PMID:21584133The study sample consisted of 90 females with nonorganic pelvic pain, selected from Gynecology OPDs of Smt. S.K. Hospital and Swami Dayanand Hospital. Majority of patients were young, married Hindu, illiterate, housewives, belonging to low socioeconomic group and living in nuclear families. Majority of the patients had pain that had lasted between 1 and 5 years. Pain was of dull, mild type. These patients scored significantly higher than controls in the free floating anxiety, somatization, depression and hysteria subscales of Middlesex Hospital Questionnaire. 54.4% of the patients in the study group scored between 8 to 15 on the Hamilton Rating Scale for depression. |
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Psychological Aspects of Irritable Bowel Syndrome |
p. 217 |
Mani Rajagopalan, George Kurian, Jacob K John
PMID:21584134Psychological aspects of Irritable Bowel Syndrome have been well investigated in Western countries, but there is a paucity of Indian studies focusing on this area. A series of fifty patients with the Irritable Bowel Syndrome were studied with respect to their depressive symptoms, anxiety symptoms and their personality traits. Patients had a mean score of 14.68 on Hamilton's depression rating scale and 11.22 on Hamilton's anxiety rating scale, and were more introverted and more neurotic than the general population. No association was found between psychological symptoms and severity of gastrointestinal symptoms. These findings suggest that psychological symptoms are a concomitant part of the Irritable Bowel Syndrome. |
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Right Hemispheric Function in Normals, Affective Disorder and Schizophrenia |
p. 225 |
Milind Borde, Amal Roy, Elizabeth J. B Davis, Rachel Davis
PMID:21584135The happy-sad chimeric faces test has been established as a useful test of right hemispheric function. It is known to elicit a left hemifacial bias (LHF bias) in right handed subjects. 41 normals and 19 manic, depressive and schizophrenic patients each were tested. All subjects were strictly right handed. Normals and depressives showed significant LHF bias. Monies and schizophrenics did not show significant LHF Bias. This suggests right hemispheric dysfunction in both mania and schizophrenia. |
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Phenomenological Study of Late-Onset Schizophrenia |
p. 231 |
MG Harish, Kallur P Suresh, I Rajan, Y.C. Janardhan Reddy, Sumant Khanna
PMID:21584136The phenomenological presentation of late-onset schizophrenia is a topic of considerable debate. This study aims to look at the clinical presentation of late-onset schizophrenia. Charts of all subjects who received a diagnosis of schizophrenia between January 1990 and December 1993 with age of onset being 45 or more were systematically analysed using the OPCRIT checklist. Of the 89 subjects chosen for analysis, 59 satisfied the ICD-10 DCR criteria for schizophrenia and formed the sample of the study. Of them, 20 were males and 39 were females. The mean age of onset for males was 51.65.7 years and for females, 53.26.7 years. The commonest phenomenon was persecutory delusion (83%) followed by delusion of influence and hallucinations in any modality (66%each). 53% of the subjects had third person auditory hallucinations, while 42% showed negative symptoms. Delusional perception and thought echo were not found in any subject. The implications of these phenomenological findings are discussed. |
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Seasonality and Unipolar Recurrent Mania : Preliminary Findings from A Retrospective Study |
p. 236 |
A Avashthi, A Sharma, N Gupta, P Kulhara, VK Varma
PMID:21584137Fifty patients of recurrent mania were studied for seasonality of which 11 patients fulfilled our study criteria for Seasonal Affective Disorder (recurrent mania). The two groups of seasonal and nonseasonal recurrent mania were compared on clinical and socio-demographic variables. Results characterised recurrent seasonal mania with psychotic features and occurrence of episodes mainly in summer and winter instead of autumn and spring. |
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Strengths and Limitations in Using Psychiatric Measures Across Cultures |
p. 240 |
S Rajkumar, Shuba Kumar
PMID:21584138Issues concerning the application of psychiatric measures across cultures are discussed in the light of the authors experiences with the Geriatric Mental State (GMS) and the WHO Quality of Life Instrument (WHOQOL). The aceptability of the GMS to non - literate populations are examined in the context of culture, age ascertainment, education and cognition and variances between the GMS - psychiatrist diagnosis. The WHOQOL which is in the developmental stage, brings forth issues concerning qualitative techniques in instrument development; conceptual, semantic and technical equivalence; translations and backtranslations and response formats. Potential barriers to using an existing measure in a new setting or developing a cross-culturally comparable one are elaborated. |
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A Comparative Study of Side-Effects of Lithium, Carbamazepine and Haloperidol in Acute Mania |
p. 248 |
JK Trivedi, Arun Lata, PK Dalal, PK Sinha, Shrikant Srivastava
PMID:21584139In an open trial on manic patients, side-effects of carbamazepine, lithium and haloperidol were evaluated weekly over a 4-week period. The total side-effects with the three drugs were not significantly different, but the rate of amelioration of the same was best for lithium and least for haloperidol. It was indicative that lithium was better tolerated drug than the other two. |
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Occurrence of Neurolepric Malignant Syndrome on Trihexphenidyl Discontinuation |
p. 250 |
John P Alexander, Ranji Mathai Thomas, Arunava Das
PMID:21584140The neuroleptic malignant syndrome (NMS) commonly occurs on treatment with neuroleptics, it is also reported in patients who suddenly stop drugs like levodopa, amitriptyline and imipramine. We report a case of NMS, which occurred in a patient on lithium, haloperidol and trihexyphenidyl (THP) after sudden discontinuation of THP. The cholinergic system, through its effect on the dopaminergic system, may play a role in the genesis of NMS. Alternatively, anticholinergic withdrawal may produce extrapyramidal symptoms (EPS), and the consequent alteration in food and fluid intake may produce electrolyte imbalance which increases the risk for NMS. |
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Delusions of Pregnancy - A Report of Four Cases |
p. 254 |
Shabari Dutta, GK Vankar
PMID:21584141We report four cases (three women, one man) having delusions of pregnancy seen over a four month period at a short - stay in-patient facility in a General Hospital Psychiatry Department. None had organic factors and all could be explained on the basis of psychological mechanisms. Delusions of pregnancy may not be as uncommon as was previously believed. |
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Familial Reverse Seasonal Affective Disorder - A Case Report |
p. 257 |
Praveen Fernandes, Ajit Avasthi, PJ Santosh
PMID:21584142A patient with recurrent summer depression for seven consecutive years is described, whose mood significantly worsened with increased environmental temperature. She had a family history of recurrent summer depression in both her brother and paternal grandmother with symptoms similar to those of typical endogenous depression. The patient's mood switched to hypomania with antidepressant therapy. |
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Mania in Twins : A Case Report |
p. 260 |
Shrikant Srivastava, Abdul Khalid, Narottam Lal
PMID:21584143A 19 year old patient presented with a first episode of mania. A year ago his twin brother had developed a similar illness. In the family, there was no other history of psychiatric disorders. |
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Camptocormia - A Rare Conversion Disorder |
p. 263 |
MS Bhatia
PMID:21584144Camptocormia is a rare conversion disorder characterized by severe frontal flexion of the spine and knees, with passive dropping of both arms, and sometimes behavioural abnormalities. It has been mainly reported among soldiers from world war I and II. This paper reports the disorder in a school- teacher. |
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Management of Charles Bonnet Syndrome in the Elderly |
p. 265 |
Sandanandan K.E. Unni, M Venugopal, Suparna Gupta, Sudha R Rani, DK Patro
PMID:21584145The case of an 82 year old lady who suffered from vivid episodic complex visual pseudohallucination is presented. The alleviation of symptoms with carbamazepine monotherapy is highlighted. Correction of visual defect as another aspect of the management of Charles Bonnet syndrome in elderly patients is recommended. |
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Self-Enucleation in Depression : A Case Report |
p. 269 |
KN Rao, Shamshad Begum
PMID:21584146Self- enucleation is a rare and an extreme form of self - mutilation, most commonly reported in schizophrenia. Many forms of self - injuries have been described in depression. However severe form of self- mutilation without suicidal intention, especially self- enucleation is rarely reported. In the present case self- enucleation is described as an expression of aggression in a depressive patient threatened with inter-personal loss. Aggression turned inwards is one of the major psychodynamic explanations in depression. In depressive syndrome self- mutilation, whether mild or severe is an expression of loss of affective (aggression) control. |
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| LETTERS TO EDITOR |
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Non Responsiveness To ECT -- An Additional Pre-Requisite For Clozapine Therapy |
p. 271 |
SK Pandey
PMID:21709853 |
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Dr. Andrade replies |
p. 271 |
Chittaranjan Andrade
PMID:21709854 |
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| NON-INDEXED ARTICLES |
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Index - Subject & Author |
p. 273 |
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Assessors during the Year 1996 |
p. 278 |
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