Psychiatry Case Record

Neurocysticercosis presenting with Psychosis: Cysticercosis is the most common parasitic disease of human central nervous system. The word cysticercosis derived from Greek KYSITS (cyst) and KERKOS (tail). Cysticercosis is endemic in some parts of all continents except Australia and Antartica. Cysticercosis consists of infection with the small bladder-like larvae of the pork tapeworm Taeniasolium. The life cycle of parasite is maintained between man and pig infected with cysticerci. Epilepsy is the most common presentation of neurocysticercosis; focal signs, headache, involuntary movements and global mental deterioration are other symptoms. Psychosis is a rare presentation and may be seen in up to 5% of patients. Obsessive Compulsive Disorder with Comorbid Recurrent Depression Current Episode Severe: DURATION: 5 years, Symptoms started gradually and increased in nature. COURSE: Continuous, Waxing and Waning present, patient never touched normalcy in between, no major precipitating factors. History of repeated thoughts of contamination with dirt present for which he washed hands repeatedly. History of repeated thoughts of something harm might happen to him or his parents. History of excessive brushing the teeth, showering, bathing by repeatedly applying the soap and for which he takes about two hours. Staying in toilet for more than one hour until somebody calls him. History of drinking water repeatedly 10-15 times per day. History of checking and counting things repeatedly and arranges it in a particular order again and again. Chants prayer several times mentally. If he goes to temple goes round it exactly eleven times and prays three times. Before going to bed he stand and count for hundred. History of feeling he has to do all these otherwise something harm might happen to his family. He feels these thoughts of his own, tries to resist but couldn’t. It causes great distress in him. Feels relieved by these acts. History of doing things very slowly present. It interferes with his social and motor functioning. History of fatigue, generalized weakness, inability to do work present. History of sad feelings present throughout the day, History of hopelessness, worthlessness present. History of inability to indulge in pleasurable activity, history of reduced self esteem and confidence, has feeling he might better die. No history of suicidal attempts or feeling others is talking about him. Paranoid Schizophrenia: Patient was apparently alright about 4 years back. She developed suspicious ideas about her husbands’ fidelity. She became emotionally withdrawn denied her family members that they are not her relatives. She stayed aloof and didn’t do any house hold work. At times, she found standing under the sun for long time. Once she wandered away without informing anybody. Also reported that her parents are against her and her mother does not take care of her properly. She used to accuse mother of giving affection only for her elder brother and because of which he is a lawyer now. Patient also would report to her parents that people talk and discuss about her on the streets and she apparently would pick up fights for the same. She was found smiling and muttering to herself at various times. She hears unknown female voices when no one could hear which threatens her and gives commands. She feels that people can know her thoughts without she telling it out. She would not take bath and did not have good personal care. She was also found to have disturbed sleep, frequent quarrels with her parents and assaulted them at times thinking that they were against her. Bipolar Affecting Disorder Current Episode Mania without Psychotic Features: He was apparently normal 3months back. He developed sleep disturbances. Found doing works and studying throughout the night .He became over talkative. He found himself more distractible at class room and could not sustain his attention. He developed over inflated ideas about his knowledge. And claimed that he can acquire any job. He prayed three to four times a day He took bath several times in a day and became much aware of his personal appearance. He exhibited disinhibition in his behavior and changed his dresses publically. He became over spending for his friends by borrowing the money from others. He sang songs and cracked jokes inappropriately. For the one month, he became more aggressive and assaultive towards his family members whenever questioned about his behavior. Dissociative Convulsion: Patient was apparently normal one month back. She has night blindness and she was criticized about this by her hostel in mates. Following which she complaint of giddiness. This was associated with involuntary movements involving all 4 Limbs, Side to side movement of head, screaming, crying and pelvic thrusting lasted for more than 30 minutes to 1 hour. This episode not associated with the followings: 1. Loss of consciousness, 2. Tongue biting, 3. Un concerned urination, 4. Frothing in mouth. No history of upward gaze of eye ball. No history of post ictal confusion. No history of any nocturnal event. Never injured herself. Never occurred when she was alone. She had repeated such episodes and some time 2 to 3 times / day She was consulted Neurology department

Effective use of Cloud Computing in Educational Organizations

When people discuss about the new technologies evolved in IT field, one of the technologies comes to their minds is Cloud Computing. Cloud Computing is a recent technology emerged in IT field and has been spread widely over the world. It is an internet-based computing service on-demand. One of the main uses of Cloud Computing is in the educational field. This technology helps the educational institutes to easily shift from traditional teaching methods and ways into modern and sophisticated teaching. It offers attractive advantages to higher education. This paper mainly focuses on security and usefulness of cloud computing applications in educational field. This also focus on historical view of Cloud Computing, implementation of various service models like Infrastructure as a service(IAAS), Software as a service (SAAS) and Platform as a service(PAAS) as per education institutions’ requirement. As well as it considers the challenges and barriers of cloud computing in educational field

Adopting Cloud ERP in Small and Medium Enterprises: Benefits and Challenges

As wide-ranging of IT services transfer to online services in the cloud, progressively many IT managers are thinking whether to move their enterprise resource planning (ERP) systems there also. Small to Medium Enterprises of India are one of the most hostile implementers of ERP solutions. Most of the SMEs have implemented the traditional ERP Systems and have incurred a heavy cost while adopting these systems. Even though some SMEs have prospered in shifting a portion of their unconventional ERP services, for example human resources systems, into the cloud, many organizations keep on vague of undertaking the same with core supply chain and financial operations. There are a many aspects that organizations should consider in determining whether and how to use cloud-based services for their ERP systems. Industry type, company size, solution complexity, security needs, and several other organizational issues must all be addressed. In this Perspective, this paper presents the various cloud deployment and delivery models, ERP deployment models, benefits of implementing a Cloud ERP solution from scratch or a migration from an existing in-house solution to a cloud version, and challenges of moving ERP services to the cloud

Indian Finfish Exports – An Analysis of Export Performance and Revealed Comparative Advantage

The export of finfish from India has been rising over the past few years and in 2006-07 it contributed almost 44 per cent of the total marine products exported from the country in quantity terms. However in value terms its contribution is only 16 per cent, indicating low unit value realization of the products. This paper has analysed the export performance and has studied the revealed comparative advantage of finfish export from India for the period 2001 to 2005. The finfish exports from India have not revealed any comparative advantage among the total marine products export in the period of study. The paper has suggested reviewing of the policy of finfish export, with a shift in emphasis to export of only high-value finfish and value-added low-value finfish.Agricultural and Food Policy,

EVALUATION OF LIVER FUNCTION MARKERS AMONG WORKERS IN JEWELLERY UNITS

Objectives: Jewellery making unit workers are exposed to potent toxic chemicals and heavy metals during the manufacturing process. Various alloys are used during the manufacturing process of gold in which silver is used in higher concentration. The induction of metallothioneins (MTs) might occur due to the occupational exposure to heavy metals. Hence, the relationship of silver or MTs with liver function markers were investigated. Methods: A cross sectional study was conducted in the jewellery making units located in Coimbatore, Tamilnadu. A total of 211 participants [exposed (n = 158) and control (n = 53)] were included for the study and their liver function markers namely alanine amino transferase (ALT), aspartate amino transferase (AST), alkaline phosphatase (ALP), total protein, albumin, total/direct bilirubin and total cholesterol were estimated. Levels of serum silver and MTs were also assessed. Results: There were significant (p<0.05) increases of serum silver, MTs, ALT, AST, total cholesterol, total/direct bilirubin and significant (p<0.05) decrease of ALP, total protein and albumin in exposed groups compared to control group. Levels of MTs were positively correlated with ALT, AST, total cholesterol, total/direct bilirubin and were negatively correlated with albumin, total protein and ALP. Conclusion: The significant changes of liver function enzymes were observed due to the prolonged period of exposure to silver. However releases of these markers were in the normal range which might be due to the induction of MTs. The elevated levels of MT in the serum compared to control group pointed out that it might provide a cellular defense strategy against silver

Effectiveness of information, education, communication package on knowledge and expressed practice regarding the care of low birth weight babies among mothers

A Pre-experimental study to evaluate the effectiveness of Information Education and Communication Package regarding care of low birth weight babies in terms of knowledge and expressed practice among mothers in Child Jesus Hospital, Trichy, 2011. Objectives 1. To assess the level of knowledge on care of low birth weight babies among mothers. 2. To assess the expressed practice on care of low birth weight babies among mothers. 3. To find out the effectiveness of information, education and communication package on care of low birth weight babies among mothers. 4. To find out the relationship between knowledge and expressed practices on care of low birth weight babies among mothers. 5. To find out the association between demographic variables and knowledge on care of low birth weight babies among mothers. 6. To find out the association between demographic variables and expressed practice on care of low birth weight babies among mothers. Conceptual framework Rosenstocks and Beckers health belief model. Research Design Pre experimental (One group pretest posttest). Population Mothers of new borns, diagnosed as low birth weight. Sampling Technique Non probability convenience sampling technique. Sampling size 30 samples Setting Child Jesus Hospital, Trichy. Tool Knowledge questionaire Expressed practice questionaire Data collection The period of the data collection was started from 28.06.2011-12.08.2011. Before starting the study the investigator obtained formal permission from the administrator of Child Jesus Hospital to conduct the study. Data analysis 1. Percentage, mean, chi-square & standard deviation would be used to know the association between demographic variables and the post test scores. 2. Correlation would be used to determine the relationship between knowledge and expressed practice. 3. Paired T-test would be used to compare the pre test & post test score. Major Findings 1. The mean pretest level of knowledge is higher than the mean post test level of knowledge. 2. The mean pretest level of expressed practice higher than the post test level of expressed practice. 3. There is significant improvement in the level of knowledge and expressed practice after administering the IEC package which shows the IEC given was effective. 4. There was a positive correlation between the post test knowledge and post test expressed practice of mothers of low birth weight . 5. Significant association was found between the post test level of knowledge and selected demographic variables such as mothers education, (p < 0.01), Number of gravida (p < 0.01). 6. Significant association was found between the post test level of expressed practice and selected demographic variables such as Number of gravida (p < 0.01), fathers occupation (p < 0.01). Conclusion 1. Care of low birth weight babies is safer and more effective intervention for low birth weight babies. 2. Improves the physiological responses. 3. Mothers is having positive attitude