4 research outputs found
To determine the frequency of depression in patients with primary epilepsy
Depression is well known common co-morbid psychiatric condition associated with primary epilepsy. This study showed that frequency of depression was 62% in primary epilepsy patient presenting to the Neurology outpatient clinic of a tertiary care hospital. Female gender, high seizures frequency, polytherapy with AEDs and long duration of primary epilepsy were found to be the factors leading to frequent occurrence of depression in primary epilepsy patients Objective: To determine the frequency of depression in patients with primary epilepsy presenting to the Neurology outpatient clinic of Aga Khan University Hospital Karachi.Study Design: Cross-sectional study. Study Setting: Neurology outpatient department at Aga Khan University Hospital, Karachi. Duration of study: 02.11.2009 to 25.08.2010 Patients and Methods: A total of one hundred cases of primary epilepsy patients were enrolled in the study, after informed consent. They were asked to complete the Beck depression inventory while waiting in the neurology outpatient clinic. Patients score more than 9 were diagnosed as depression. Results were analyzed on SPSS version 17.Results: Out of hundred patients 46 (46%) and 54(54%) were male and females respectively. The mean age of the patients was 32.1±14.03. The frequency of depression was found to be (62 %) in primary epilepsy patient. Conclusions: The frequency of depression was found to be very high
Ciguatera fish poisoning with elevated muscle enzymes and abnormal spinal MRI.
We report three cases of ciguatera fish poisoning. One Patient died secondary to respiratory failure. Two Patients showed elevated muscle enzymes and one Patients had an abnormal cervical spinal MRI. MRI findings have not been previously described. MRI findings explain the mechanism of the L\u27hermitte phenomenon (a common complaint) among these Patients. Respiratory failure is rare in ciguatera fish poisoning. Our findings suggest this could be related to respiratory muscles involvement
Bullying of medical students in Pakistan: a cross-sectional questionnaire survey.
Background: Several studies from other countries have shown that bullying, harassment, abuse or belittlement are a regular phenomenon faced not only by medical students, but also junior doctors, doctors undertaking research and other healthcare professionals. While research has been carried out on bullying experienced by psychiatrists and psychiatry trainees in Pakistan no such research has been conducted on medical students in this country. Methodology/Principal Findings: We conducted a cross-sectional questionnaire survey on final year medical students in six medical colleges of Pakistan. The response rate was 63%. Fifty-two percent of respondents reported that they had faced bullying or harassment during their medical education, about 28% of them experiencing it once a month or even more frequently. The overwhelming form of bullying had been verbal abuse (57%), while consultants were the most frequent (46%) perpetrators. Students who were slightly older, males, those who reported that their medical college did not have a policy on bullying or harassment, and those who felt that adequate support was not in place at their medical college for bullied individuals, were significantly more likely to have experienced bullying. Conclusion: Bullying or harassment is faced by quite a large proportion of medical students in Pakistan. The most frequent perpetrators of this bullying are consultants. Adoption of a policy against bullying and harassment by medical colleges, and providing avenues of support for students who have been bullied may help reduce this phenomenon, as the presence of these two was associated with decreased likelihood of students reporting having being bullied
Factors associated with an increased likelihood of having experienced bullying or harassment: Simple Multiple Logistic Regression Analysis
*<p>Statistically significant at the level of P<0.05</p