Diagnostic Profile Of Patients Research Articles

Gynaecologic oncology referrals to specialist palliative care in a tertiary referral centre: population, characteristics and outcomes

BackgroundThe early integration of a specialist palliative care team is demonstrated to have numerous benefits for patients. These extend beyond end-of-life care to include reducing depressive symptoms, improving quality of...

Epidemiological and Diagnostic Profile of Patients with Chronic Hepatitis B Virus from 2017 to 2021 in Parakou, Republic of Benin

Epidemiological and Diagnostic Profile of Patients with Chronic Hepatitis B Virus from 2017 to 2021 in Parakou, Republic of Benin

The Contribution of Society of Social Psychiatry P. Sakellaropoulos to the Psychiatric Reform in Rural Greece

The present paper aims to describe the structure, function, and goals of two of the oldest Mobile Mental Health Units in Greece, namely, the Mobile Mental Health Unit in Fokida (MMHU-F) and the Mobile Mental Health Unit in Thrace (Alexandroupolis, MMHU-T). Information about their historical background, catchment areas, and current staffing, as well as the services provided by each MMHU is discussed. The focus of the paper is slightly biased towards the MMHU-F because it is the only available mental health service in the whole Fokida prefecture. The major goals of the MMHUs are the diagnosis, treatment, and prevention of relapse of severe mental illness within the community. Other important goals of the MMHUs are psychoeducation, psychological support for the family/caregivers, as well as vocational training and support for patients with severe mental illness. Statistical data depicting the demographic characteristics and diagnostic profiles of patients in each MMHU is also provided, and the differences between the two MMHUs are briefly discussed.

Scrofula: a descriptive study on the clinical and diagnostic profile of patients with tuberculous lymphadenitis

Background: Tuberculosis remains to be the major health burden primarily affecting the developing countries. The commonest is pulmonary tuberculosis. The aim of the study was to study about the clinical presentation of tuberculous cervical lymphadenopathy and to correlate clinical diagnosis with the histopathological findings, management, outcome, follow up and improvement. Methods: A retrospective descriptive study involving 75 patients with cervical lymph node tuberculosis were followed up from the time of diagnosis till the completion of treatment. Results: It is more common in young females (21-30 years). Constitutional symptoms absent in most of the patients. Mantoux and erythrocyte sedimentation rate (ESR) raised in most cases. Fine needle aspiration cytology (FNAC) showed granuloma in 90.6% cases. GeneXpert results showed Mycobacterium tuberculosis (MTB) detected rifampicin (Rif) resistance not detected in 65.3% and MTB detected Rif resistance detected in 6.1%. Most of the patients recovered daily chemotherapy regimen. Surgery was rarely needed. Conclusions: TB is still the commonest cause of cervical lymph node enlargement in developing countries. FNAC is a rapid, cheap, simple, and effective method of diagnosis for cervical lymphadenopathy. Anti-tubercular drugs should be started in patients with FNAC/biopsy showing granuloma even if GeneXpert negative and all the patients must be followed up regularly.

Clinical and diagnostic profile of patients with anal fistula: a cross sectional study from Vilasrao Deshmukh Government Institute of Medical Sciences, Latur, Maharashtra

Background: Anal fistulas are one of the commonest causes for a persistent discharge seropurulent in nature that irritates the skin in the neighbourhood and leads to discomfort. Fistula-in-ano is seen quite frequently in perirectal perianal suppuration. The objective of this study to study the clinical profile and diagnosis of anal fistula at surgical OPD of VDGIMS.Methods: The present cross-sectional observational study was carried out in patients with fistula-in-ano admitted at surgical department of VDGIMS, Latur during the period of 2017-19 in 50 diagnosed patients. Data was analysed by using SPSS 24.0 version IBM USA.Results: Majority of the patients with anal fistula were from 41-50 years age group i.e. 15 (30%) and males were predominantly affected 40 (80%) compared to females i.e. 10 (20%). Male to female ratio was 4:1. Perianal discomfort was the commonest symptom in all patients i.e. 100%. It is followed by perianal discharge complained by 54% and perianal itching in 38% cases. The anterior position of external opening is found to be significant (p<0.05). Fistulogram showed external opening in all patients i.e. 50 cases whereas internal opening in 46 (92%) cases. Findings of MRI revealed that anal fistula was intra sphincteric in 28 cases i.e. 56%, extra sphincteric in 2 cases i.e. 4% and trans sphincteric in 20 cases i.e. 40%.Conclusions: Commonest age group affected in our study was 40-50 years with male predominance. Perianal discomfort and discharge were the commonest symptom. E. coli was the predominant organism isolated. Fistulogram and MRI is useful in detecting the aetiology of fistula in ano.

Pattern of Presentation and Diagnostic Profile of Patients Attending a Mental Health Facility in North-Central Nigeria

Despite significant advances in the diagnoses and treatment of mental illnesses, it remains shrouded in mystery, myth, and superstition particularly in sub-Saharan Africa. This is often reflected in delayed presentations, frequent relapse and non-treatment, with dire consequences on affected individuals, family, and society. The aim of this study was to evaluate the pattern of presentation and diagnoses of psychiatric illness among attendees of a psychiatric facility in a tertiary hospital in North-Central Nigeria. This was a descriptive, explorative, cross-sectional study. A pro forma was designed to obtain information about patients’ socio-demographic variables, diagnoses, duration of untreated illness, GAF Score and other clinical data, from case files, spanning over a three year period. A total of 720 case files were analyzed with 54% of the patients being male. Only 66(9.2%) comprised of children and adolescents with 83% making up the adult population and 7.5% being elderly (60 years and above). While 129(17.9%) were employed (government and self), most (88%) of the patients reside within the state. Only 12.2% were clinically stable at 6 months follow-up assessment even though most (79.3%) of the patients had absconded at 6months follow-up. Mean duration of untreated illness was 117.5 weeks (SD±226.3) (approximately 2.3years) with Psychotic disorders predominating 355(41.8%). Only 13.4% were diagnosed with depression and 0.6 % mental retardation. Mean GAF score at presentation was 43.23(SD±14.87), a reflection of illness severity at presentation. Mental illness is a common occurrence, however, the majority of patients only present when symptoms become severe or when patients become disruptive. Mental disorders of childhood and old age are particularly underrepresented, underscoring the need for more public enlightenment programs that are geared towards detection, early presentation, treatment and stigma reduction.

Pattern of Presentation and Diagnostic Profile of Patients Attending a Mental Health Facility in North-Central Nigeria

Despite significant advances in the diagnoses and treatment of mental illnesses, it remains shrouded in mystery, myth, and superstition particularly in sub-Saharan Africa. This is often reflected in delayed presentations, frequent relapse and non-treatment, with dire consequences on affected individuals, family, and society. The aim of this study was to evaluate the pattern of presentation and diagnoses of psychiatric illness among attendees of a psychiatric facility in a tertiary hospital in North-Central Nigeria. This was a descriptive, explorative, cross-sectional study. A pro forma was designed to obtain information about patients’ socio-demographic variables, diagnoses, duration of untreated illness, GAF Score and other clinical data, from case files, spanning over a three year period. A total of 720 case files were analyzed with 54% of the patients being male. Only 66(9.2%) comprised of children and adolescents with 83% making up the adult population and 7.5% being elderly (60 years and above). While 129(17.9%) were employed (government and self), most (88%) of the patients reside within the state. Only 12.2% were clinically stable at 6 months follow-up assessment even though most (79.3%) of the patients had absconded at 6months follow-up. Mean duration of untreated illness was 117.5 weeks (SD±226.3) (approximately 2.3years) with Psychotic disorders predominating 355(41.8%). Only 13.4% were diagnosed with depression and 0.6 % mental retardation. Mean GAF score at presentation was 43.23(SD±14.87), a reflection of illness severity at presentation. Mental illness is a common occurrence, however, the majority of patients only present when symptoms become severe or when patients become disruptive. Mental disorders of childhood and old age are particularly underrepresented, underscoring the need for more public enlightenment programs that are geared towards detection, early presentation, treatment and stigma reduction.

Pattern of Presentation and Diagnostic Profile of Patients Attending a Mental Health Facility in North-Central Nigeria

Despite significant advances in the diagnoses and treatment of mental illnesses, it remains shrouded in mystery, myth, and superstition particularly in sub-Saharan Africa. This is often reflected in delayed presentations, frequent relapse and non-treatment, with dire consequences on affected individuals, family, and society. The aim of this study was to evaluate the pattern of presentation and diagnoses of psychiatric illness among attendees of a psychiatric facility in a tertiary hospital in North-Central Nigeria. This was a descriptive, explorative, cross-sectional study. A pro forma was designed to obtain information about patients’ socio-demographic variables, diagnoses, duration of untreated illness, GAF Score and other clinical data, from case files, spanning over a three year period. A total of 720 case files were analyzed with 54% of the patients being male. Only 66(9.2%) comprised of children and adolescents with 83% making up the adult population and 7.5% being elderly (60 years and above). While 129(17.9%) were employed (government and self), most (88%) of the patients reside within the state. Only 12.2% were clinically stable at 6 months follow-up assessment even though most (79.3%) of the patients had absconded at 6months follow-up. Mean duration of untreated illness was 117.5 weeks (SD±226.3) (approximately 2.3years) with Psychotic disorders predominating 355(41.8%). Only 13.4% were diagnosed with depression and 0.6 % mental retardation. Mean GAF score at presentation was 43.23(SD±14.87), a reflection of illness severity at presentation. Mental illness is a common occurrence, however, the majority of patients only present when symptoms become severe or when patients become disruptive. Mental disorders of childhood and old age are particularly underrepresented, underscoring the need for more public enlightenment programs that are geared towards detection, early presentation, treatment and stigma reduction.

Open referral policy within a nurse-led memory clinic: patient demographics, assessment scores, and diagnostic profiles.

Memory clinics, typically led by multidisciplinary teams and requiring health professional referral, are one means of providing diagnosis and care coordination for dementia. Nurse-led clinics may provide an effective and alternative means to dementia diagnosis, and open referral policies may minimize existing barriers to accessing a diagnosis, but evidence is needed. Patients attending a one-day per week nurse-led memory clinic over a 25-month period during 2011-2013 (n = 106) completed comprehensive cognitive assessments and were diagnosed by an aged care nurse practitioner. Descriptive statistics detail the demographics, assessment scores, and diagnostic profiles of patients. Comparable data from published literature was identified, and the differences were analyzed qualitatively. One hundred and six patients were assessed with the key differences from other data sets being history of falls more common, higher mean Mini-Mental State Examination scores, and fewer dementia diagnoses. Sixty-four patients (60%) were self-referred to the nurse-led memory clinic, of which 19 (30%) were diagnosed with mild cognitive impairment (MCI) or dementia. Overall, forty-eight patients (45%) received diagnoses of MCI or dementia. An open referral policy led to a high proportion of patients being self-referred, and nearly a third of these were diagnosed with cognitive impairment or dementia. Open referral policies and nurse-led services may overcome some of the barriers to early diagnosis that are currently experienced. Considering an aging population worldwide and the associated increases in cognitive impairment, which benefits from early identification and intervention, this paper provides an alternative model of nurse-led assessment.

Diagnostic profiles of patients with late-onset Creutzfeldt–Jakob disease differ from those of younger Creutzfeldt–Jakob patients: a historical cohort study using data from the German National Reference Center

In contrast to other neurodegenerative diseases, sporadic Creutzfeldt-Jakob disease (sCJD) is rarely diagnosed in patients older than 75 years. Data describing the characteristics of sCJD in the very old are rare and inconclusive. Therefore, a historical cohort study was designed to evaluate clinical, cerebrospinal fluid (CSF), electroencephalography (EEG), and magnetic resonance imaging (MRI) features of this group. Patients older than 75 years identified via the German surveillance program from 2001 to 2012 (n = 73) were compared to a random subsample of sCJD patients younger than 75 (n = 73) from the same time period using an historical cohort design. Older patients showed a faster disease progression represented by an earlier point of diagnosis and a shorter survival time (p < 0.001). In the early stages of disease, older patients presented slightly more often with dementia (p = 0.127) or dysarthria (p = 0.238), whereas disorders of the extrapyramidal (p = 0.056) and visual system (p = 0.015) were more common in the younger group. Atypical MRI profiles such as MRI lesions restricted to one hemisphere (p < 0.001) or cortical lesions only (p = 0.258) were found more frequently in patients older than 75 years, whereas typical cortical and basal ganglia hyperintensities were more common in the younger group (p = 0.001). We demonstrated for the first time that patients with late-onset sCJD differ from younger sCJD patients with respect to MRI profiles and initial clinical presentation, but not among CSF markers. Misclassification of Creutzfeldt-Jakob disease cases in patients older than 75 years seems likely due to atypical clinical and radiological presentation. This might contribute to lower sCJD incidence rates in this age group.

Socio-demographic and clinical profile of patients attending a mental health camp: A study from Kanchanpur district of western Nepal

Background: Mental health is an ignored area of general health care system despite the magnitude of problem and financial burden on families and whole country. In our country, psychiatric services are out of reach to majority of population because of inadequate mental health professionals, lack of awareness and lack of proper mental health policy. This study is conducted with the objective to know socio-demographic and diagnostic profile of patients from a mental health check up camp conducted at Belauri, Kanchanpur district from far western region of Nepal. Material and Methods: This is a descriptive study, comprised of all consecutive participants i.e. 128 patients attending Maryknoll mental health check up camp at Belauri town of Kanchanpur district, Nepal. The Study was performed in March 2013. Socio-demographic data and clinical diagnosis based on International Classification of Disease- 10 diagnostic research criteria were collected and analyzed. Results: Out of 128 subjects studied, highest number of participants (35.94%) belonged to age group 21- 30 yrs followed by age group 11-20 yrs (18.75%) and age group 31-40 yrs (16.40%). The most common psychiatric morbidity was found to be Neurotic, stress related &amp; somatoform disorders (23.45%) followed by mood disorder in 24 (18.75%) patients and Headache (Migraine &amp; Tension type) in 18 (14.07%) patients. Conclusion: The commonest age group affected with mental illness is younger age groups and Neurotic, stress related &amp; somatoform disorders are the most common psychiatric morbidity followed by mood disorders. DOI: http://dx.doi.org/10.3126/jpan.v2i2.9724 J Psychiatrists’ Association of Nepal Vol.2, No.2, 2013 35-38

A study of socio-demographic and diagnostic profile of patients attending the psychiatric out-patient department of Nobel Medical College Biratnagar

Study on prevalence of psychiatric disorders in Eastern part of Nepal, is relatively understudied subject in Nepal. The present study is undertaken with the aim to study the socio-demographic characteristics and diagnostic profile of patients attending the psychiatry OPD of Nobel Medical College, that provides both outpatient and inpatient services to psychiatric patients residing in eastern part of Nepal and nearby Indian villages. It was a retrospective study where all consecutive patients attending the Psychiatry OPD from 1st May 2011 to 30th April 2012 and fulfilling the diagnostic criteria for Category F of ICD-101 were included in the study. Amongst the total number of 637 patients, cases with Epilepsy (N=44), Headache (N=53), other medical disorders (N=13) and incomplete case record (N=17) were excluded, and the final sample size was comprised of 510 cases (males=214 and females=296). Maximum numbers of patients were in the age-group 16-40 years (N=238, 47%) and were married (N=416, 79.04%). Most of the patients suffered from Neurotic stress-related and somatoform disorders (N=214, 41.96%), followed by Mood (N=168, 32.94%) and Schizophrenia, schizotypal and related disorders (N=56, 10.98%).DOI: http://dx.doi.org/10.3126/jonmc.v1i2.7299 Journal of Nobel Medical College (2012), Vol.1 No.2 p.45-49

Comperative Evaluation of Diagnostic Profile, Age, Sex and Educational Background of Patients to Have Referred to Dental Clinic for Tooth and Gingival Diseases

Aim: Due to their high prevalence and relapse rates, tooth and gingival diseases are defined as one of the most important health problems. This study aimed to detect whether some external factors such as oral hygiene, educational background, sex and age are effective on diagnosis of patients and to find out if there is a statistically significant relationship between these factors. Method: In the scope of the study; those factors, gingival and plaque indices and diagnostic profiles of the patients were examined. Results: It was recorded that people with higher educational background paid more attention to oral hygiene, that middle-aged and young individuals had better oral health care and that females were more cautious about oral hygiene more than males. Coclusion: Early diagnosis increases the possibility of easy and successful treatments and decreases caries rate, which is considerably high among Turkish population, and can reduce the workload of dentists.

Características de la hospitalización reumatológica en un hospital de nivel terciario

The diagnostic profile of patients with rheumatic diseases admitted to a general hospital is variable. To report the epidemiological profile of patients with rheumatic diseases admitted to a tertiary care hospital. All admissions to a Medicine ward of a general hospital and seen by the Rheumatology team were prospectively registered during one year in 1999. Patients were classified as primarily admitted for a rheumatic disease or admitted for other cause that required a consultation with the Rheumatology team. One hundred forty five admissions due to rheumatic diseases were registered. Of these, 82 were due to primary rheumatic diseases. Systemic lupus erythematosus, rheumatoid arthritis and vasculitis were the main diagnoses and the mean hospital stay was 18.5 days. Sixty three patients required a consultation with the Rheumatology team specially due to osteoarthritis and crystal induced diseases. Admissions due to rheumatic diseases are prolonged, correspond to 0.46% of all admissions and the main responsible disease is systemic lupus erythematosus.

Profile of a comprehensive psychiatric emergency program in a New York City municipal hospital.

This paper profiles the services provided, and the patient population treated, in a busy inner city Comprehensive Psychiatric Emergency Program (CPEP) located in Elmhurst, Queens, New York City. For each CPEP component, including the emergency room, extended observation unit and crisis services two years of data are reviewed. A diagnostic profile of patients seen, description of services, patient referrals and dispositions are presented. The children and adolescents treated in the CPEP are described in more detail, focusing on the high frequency of violence to self or others seen in their presenting problems. The CPEP's role in providing comprehensive community based services is discussed.

Ethnic and Gender Differences in the Diagnostic Profiles of Substance Abusers

The aim of the study was to evaluate ethnic and gender differences in the diagnostic profiles of patients first admitted to the alcohol/drug rehabilitation unit of a state hospital. The majority of the patients (66%) had more than one diagnosis. African-American patients were significantly more likely to have a single diagnosis, however. In terms of primary diagnosis, Mexican Americans were more likely to have an alcoholrelated disorder while African-Americans were more likely to have a drug related disorder Drug-related disorders also complicate the diagnostic profile of African-American patients who had a primary diagnosis of an alcohol-related disorder Ethnic differences in type of drug abused were observed. African Americans were more likely to use stimulants/hallucinogens, and Mexican Americans were more likely to use depressants. A drug-related disorder was the most common diagnosis among females across all ethnic groups. Findings pointto the need of developing gender/ethnic-sensitive treatment programs. Potential ethnic and gender biases in the diagnostic evaluation of substance abuse patients are discussed.