Coexistence Of Other Disorders Research Articles

A Study on Assessment of Obsessive Compulsive Symptoms among Schizophrenic Patients

Objectives: 1. To assess the obsessive compulsive symptoms among schizophrenic patients. 2. To find out the association between obsessive compulsive symptoms among schizophrenic patients with selected demographic variables. Materials and Methods: The study was conducted In KS.Hegde .Hospital, Nitte University. Data were collected by 60 schizophrenia in patients with the help of demographic Proforma, Y-BOCS checklist and Y-BOCS rating scale to assess obsessive compulsive symptoms. Results: The result shows that more than half of the 32 (53.3%) samples were screened to have obsessive compulsive symptoms with majority of them 20(33.3%) were having checking compulsion. Conclusion: Findings of this study can be used in the psychiatric nursing field which will help the psychiatric nurses to understand the co-existence of other disorders along with schizophrenia.

Imagerie de l'adénomyose

Adenomyosis is a frequent gynecological disorder that affects women above 40 years of age and is responsible for nonspecific symptoms. Imaging is required to establish the diagnosis, the extension of the disease and to rule out other associated diseases. Transvaginal ultrasound is the initial imaging modality. The reported sensibility and specificity vary between 50-89 % and 53-89 % respectively, depending on the coexistence of other disorders. Pelvic MRI can be proposed in case of doubtful diagnosis, with a high sensitivity (78-89 %) and specificity (67-93 %). The most important distinction must be made with leiomyoma. Specific ultrasound and MRI signs have to be sought to correct the diagnosis since therapeutic strategies differ, especially among patients who wish pregnancy.

Arrhythmias, electrolytes, and ACE inhibitor therapy in the elderly.

Elderly patients have a higher incidence of symptomatic cardiac arrhythmias and greater management problems than younger patients. This is due to the frequency of occult and overt cardiovascular disease, reduction in cardiac reserve as a consequence of the aging process, and coexistence of other disorders which provide a substrate for iatrogenic disease. The last problem is largely due to electrolyte disturbances induced by diuretic therapy for hypertension and heart failure. The major electrolyte disturbance implicated in arrhythmogenesis is diuretic-induced hypokalemia. There is no doubt that arrhythmias are caused by severe hypokalemia (less than 2.5 mEq/l), or by a milder degree of hypokalemia in digitalis-treated patients or those with left ventricular hypertrophy, but the literature contains conflicting data regarding the importance of milder hypokalemia. The most compelling study in support of its importance used a crossover study design in hypertensive patients with coronary disease and showed that mild degrees of hypokalemia induced by thiazide diuretics increased the tendency to arrhythmia when compared with normokalemia on a potassium-sparing diuretic. Diuretic-induced magnesium deficiency is also regarded by some to be as important as hypokalemia, but the evidence is less extensive. Thus, it appears reasonable to avoid hypokalemia and hypomagnesemia. The optimum therapeutic approach in using diuretics is to keep the dose as low as possible, restrict dietary sodium, and add potassium supplements. Since, in many cases of hypertension, hypokalemia is due to secondary hyperaldosteronism, the use of angiotensin-converting enzyme inhibitors is another therapeutic approach that is effective in hypertension and heart failure.