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Biomedical subjects

Adityanjee

Publications and source records attributed to Adityanjee.

At least 19 recordsLinked to original sources
PubMed1991

Sporadic Koro and marital dysharmony.

A case of Koro is described in a Malaysian Chinese man in the setting of martial dysharmony and sexual rejection. A distinction is suggested between the epidemic form of Koro and the Koro symptom occurring sporadically. Existence of the sporadic Koro syndrome is discussed and a unified classificatory system is proposed.

Adult↗
PubMed1989

The syndrome of irreversible lithium-effectuated neurotoxicity (SILENT).

Though the acute complications of lithium toxicity involving the central nervous system have been known for more than 70 years, it is only recently that the longlasting sequelae of lithium intoxication have come to be discussed at length; about fifty-five cases have been reported so far. The acronym SILENT (Syndrome of Irreversible Lithium-Effectuated Neurotoxicity) has been coined recently to denote these sequelae. The present report describes the typical profile of SILENT (persisting cerebellar dysfunction) and suggests measures to decrease the incidence of this potentially serious condition, for which no definitive treatment is available.

Bipolar Disorder↗
PubMed1989

Current status of multiple personality disorder in India.

Three consecutive cases of multiple personality disorder seen over a period of 3 years at a psychiatric clinic in India are reported. The prevalence of this disorder at the clinic is about 0.15/1,000 patients per year. The authors discuss the infrequency of this diagnosis in India in contrast to the frequent diagnosis of possession syndrome for patients who have many of the same symptoms. Transcultural differences in diagnostic practices are also discussed.

Adolescent↗
PubMed1989

Alcohol-related problems in the emergency room of an Indian general hospital.

Alcohol-related problems made up 17.6% of the case load of psychiatric emergencies in an Indian general hospital. The police brought three-quarters of them, 45% for quarrels, street-fights and under influence of alcohol and 20% for minor offences like abusing in public. A psychiatric illness was definitely present in 40% of the cases. Only 10% of the patients with alcohol-related problems were referred for outpatient treatment. Eighty-five percent were not given any follow-up advice because the patients said they needed no help.

Accidents, Traffic↗
PubMed1989

Prior neurologic illness and the syndrome of irreversible lithium-effectuated neurotoxicity (SILENT).

Prior neurologic illness or CNS insult of any kind is known to increase the vulnerability to neurotoxicity of lithium. In this event the occurrence of neurotoxicity does not correlate with serum lithium levels. The authors describe a patient with hemiparesis who developed the syndrome of irreversible lithium-effectuated neurotoxicity (SILENT) while being treated with lithium for a manic episode. The authors review the literature on this aspect and highlight the dangers of starting lithium treatment in patients with neurologic impairment.

Adult↗
PubMed1988

Determinants of emergency room visits for psychological problems in a general hospital.

Determinants of emergency room visits for psychological reasons were studied prospectively for a four month period in an Indian General Hospital. Psychiatric emergencies constituted only 2% of all emergency visits. Most of the patients were new except for 7.4% who were already registered with the outpatient services of the psychiatry department. Males outnumbered females in a ratio of 2:1. Self-referrals constituted 77% of the samples; 21% of patients were brought by police. Two-thirds of the patients were brought owing to the severity of their clinical condition and the rest, one-third, for medico-legal and social reasons. Approximately 80% of the patients sought consultation within one month of the onset of illness episode. First episode of mental illness was within last one year of the emergency room visit in 60% patients. Past history of hospitalization for mental illness was obtained only in 10% of cases. The pattern suggested that there was no misuse of emergency services by psychiatric patients although 20% of the patients presented with social problems only which required social rather than psychiatric intervention.

Adolescent↗
PubMed1988

Unwelcome guests: bugbears of the emergency room physician.

In a prospective study on psychiatric emergencies in the setting of a general hospital, the phenomenon of repeat-visits was studied. Results confirm that repeaters represent a sizeable load on emergency services--about 18% of all psychiatric emergencies. Females and neurotics are over-represented among the repeaters. Chronic repeaters tend to evoke strong feelings among the emergency physicians thereby decreasing their chances of referral to the psychiatry resident on call.

Attitude of Health Personnel↗