COVID-19 is global threat both on physical and mental health since its outbreak. On 24 March 2020... more COVID-19 is global threat both on physical and mental health since its outbreak. On 24 March 2020, the Government of India ordered a nationwide lockdown with potential consequences on day-to-day life, mental and physical health and this study aims to explore the impact of COVID-19 on mental health institutionally quarantined subjects. Methods: A cross-sectional study was conducted between 9th July and 30th September 2020 among 305 subjects in 12 quarantine centers. Data was collected by physical interview after obtaining informed consent. Descriptive analysis and bivariate linear regression were performed to examine the association of variables. Results: 40.3% were found to not have depression, 59.7% were mild to extremely severely depressed. On the anxiety subscale, 37.7% did not have anxiety, while 62.3% had mild to extremely severe anxiety. On the stress subscale, only 22.6% reported in the normal range, while the rest 77.4% reported experiencing some degree of stress. Female par...
Many journals and other published guidelines provide large, sometimes strict instructions to be i... more Many journals and other published guidelines provide large, sometimes strict instructions to be included for becoming eligible in academic journals. However, there is a lack of simple and clear recommendations on how to write such scientific articles. We propose a simple and easy-to-follow hypothesis-based approach. The introduction section should start by introducing the relevant concepts, formulate the study hypothesis, mention the gap in knowledge in the existing literature, and describing the study hypothesis in simple language at the end. The material and methods section must describe the study design, sample or material, the tools, instruments, inclusion and exclusion criteria, and procedures used to test the study hypothesis. The results section must describe the data analyses that lead to the confirmation or rejection of the hypothesis. The discussion must state whether the study hypothesis has been confirmed or rejected and compare the study result with previous research. It should clarify the limitations of the study and explore the relevance of the study findings for clinical practice and future research. An abstract at the beginning of the manuscript, usually structured with objectives, material and methods, results and conclusion, should be added. Acknowledgments, ethical approval, informed consent by study subjects, conflicts of interests by authors, and a reference list will be needed in most scientific journals.
Background: Benefits of buprenorphine-based opioid substitution therapy (OST) may be offset by it... more Background: Benefits of buprenorphine-based opioid substitution therapy (OST) may be offset by its adverse effects on sexual functioning. Aim and objective: The aim of the article was to assess the prevalence and degrees of sexual dysfunction in sexually active males on buprenorphine-based OST for 6 months or longer. Materials and methods: Study participants were recruited from among the clients using the services at the Opioid Substitution Therapy Centre inside the premises of Silchar Medical College and Hospital. A semistructured questionnaire was used to collect sociodemographic data and to rule out the presence of symptoms of sexual dysfunction prior to initiation of OST. Two instruments, namely Arizona Sexual Experience Scale (ASEX) and International Index of Erectile Function (IIEF-15), were administered to evaluate the presence and degree of sexual dysfunction. Results: Fifty participants were enrolled in the test group and another 50 in the age-matched control group. Among the test participants, 52% had sexual dysfunction as per ASEX scale. As per IIEF-15, all but one of the test participants had some degree of erectile dysfunction (ED), with 6% having mild, 46% mild to moderate, 34% moderate, and 12% severe ED. None in the control group had sexual dysfunction as assessed by ASEX, while one among them had mild ED and the rest had no ED as per IIEF-15 scores. The test group showed significantly higher levels of dysfunction in all domains of sexual functioning measured by both the scales. No significant effect of age, current dose of buprenorphine, and duration of therapy was found on the prevalence or degree of sexual dysfunction. Conclusion: Different degrees of sexual dysfunction were highly prevalent in the participants making it imperative to routinely assess sexual functioning of the clients on buprenorphine-based OST and provide them with psychosexual counseling and necessary interventions whenever necessary.
Background: Mental illness is a public health issue all over the world. The morbidity pattern in ... more Background: Mental illness is a public health issue all over the world. The morbidity pattern in private clinics differs significantly from general hospitals. Private psychiatric clinics provide help for large number of our population, but they have seldom been evaluated systematically. It has been observed that many patients particularly from upper socioeconomic background prefer visiting a private clinic. Hence, the study is planned in this direction. The study was aimed to assess the morbidity pattern of psychiatric patients attending a private psychiatric clinic. Aim: To analyze the clinical and sociodemographic characteristics of the clients attending the private clinic and to study the pattern of follow-up. Materials and methods: All records from February 1, 2019 to April 30, 2019 were analyzed. This is a descriptive study. Results and conclusion: A total of 1,020 new patients visited the clinic in this period. We found that mental disorders comprise a wide variety of disorders-mainly psychotic, mood disorders, and neurotic disorders. They affect the most productive age groups, almost equally affect both the genders, and there was a slight preponderance of rural patients.
Tuberous sclerosis (TS) is a rare disorder of genetic origin, caused by mutations in the genes TS... more Tuberous sclerosis (TS) is a rare disorder of genetic origin, caused by mutations in the genes TSC1 and TSC2. It is characterized by benign tumors with multisystem involvement resulting in dermatological, nephrological, neurological and psychiatric manifestations. We are presenting a case of a 21 years old male with tuberous sclerosis presenting with dermatological manifestations, seizures, intellectual disability and psychiatric manifestations including delusions and hallucinations, developing extrapyramidal symptoms after antipsychotic administration. Neuroimaging showed characteristic subependymal calcified nodules. With appropriate anticonvulsant and antipsychotic medications he showed clinical improvement.
COVID-19 is global threat both on physical and mental health since its outbreak. On 24 March 2020... more COVID-19 is global threat both on physical and mental health since its outbreak. On 24 March 2020, the Government of India ordered a nationwide lockdown with potential consequences on day-to-day life, mental and physical health and this study aims to explore the impact of COVID-19 on mental health institutionally quarantined subjects. Methods: A cross-sectional study was conducted between 9th July and 30th September 2020 among 305 subjects in 12 quarantine centers. Data was collected by physical interview after obtaining informed consent. Descriptive analysis and bivariate linear regression were performed to examine the association of variables. Results: 40.3% were found to not have depression, 59.7% were mild to extremely severely depressed. On the anxiety subscale, 37.7% did not have anxiety, while 62.3% had mild to extremely severe anxiety. On the stress subscale, only 22.6% reported in the normal range, while the rest 77.4% reported experiencing some degree of stress. Female par...
Many journals and other published guidelines provide large, sometimes strict instructions to be i... more Many journals and other published guidelines provide large, sometimes strict instructions to be included for becoming eligible in academic journals. However, there is a lack of simple and clear recommendations on how to write such scientific articles. We propose a simple and easy-to-follow hypothesis-based approach. The introduction section should start by introducing the relevant concepts, formulate the study hypothesis, mention the gap in knowledge in the existing literature, and describing the study hypothesis in simple language at the end. The material and methods section must describe the study design, sample or material, the tools, instruments, inclusion and exclusion criteria, and procedures used to test the study hypothesis. The results section must describe the data analyses that lead to the confirmation or rejection of the hypothesis. The discussion must state whether the study hypothesis has been confirmed or rejected and compare the study result with previous research. It should clarify the limitations of the study and explore the relevance of the study findings for clinical practice and future research. An abstract at the beginning of the manuscript, usually structured with objectives, material and methods, results and conclusion, should be added. Acknowledgments, ethical approval, informed consent by study subjects, conflicts of interests by authors, and a reference list will be needed in most scientific journals.
Background: Benefits of buprenorphine-based opioid substitution therapy (OST) may be offset by it... more Background: Benefits of buprenorphine-based opioid substitution therapy (OST) may be offset by its adverse effects on sexual functioning. Aim and objective: The aim of the article was to assess the prevalence and degrees of sexual dysfunction in sexually active males on buprenorphine-based OST for 6 months or longer. Materials and methods: Study participants were recruited from among the clients using the services at the Opioid Substitution Therapy Centre inside the premises of Silchar Medical College and Hospital. A semistructured questionnaire was used to collect sociodemographic data and to rule out the presence of symptoms of sexual dysfunction prior to initiation of OST. Two instruments, namely Arizona Sexual Experience Scale (ASEX) and International Index of Erectile Function (IIEF-15), were administered to evaluate the presence and degree of sexual dysfunction. Results: Fifty participants were enrolled in the test group and another 50 in the age-matched control group. Among the test participants, 52% had sexual dysfunction as per ASEX scale. As per IIEF-15, all but one of the test participants had some degree of erectile dysfunction (ED), with 6% having mild, 46% mild to moderate, 34% moderate, and 12% severe ED. None in the control group had sexual dysfunction as assessed by ASEX, while one among them had mild ED and the rest had no ED as per IIEF-15 scores. The test group showed significantly higher levels of dysfunction in all domains of sexual functioning measured by both the scales. No significant effect of age, current dose of buprenorphine, and duration of therapy was found on the prevalence or degree of sexual dysfunction. Conclusion: Different degrees of sexual dysfunction were highly prevalent in the participants making it imperative to routinely assess sexual functioning of the clients on buprenorphine-based OST and provide them with psychosexual counseling and necessary interventions whenever necessary.
Background: Mental illness is a public health issue all over the world. The morbidity pattern in ... more Background: Mental illness is a public health issue all over the world. The morbidity pattern in private clinics differs significantly from general hospitals. Private psychiatric clinics provide help for large number of our population, but they have seldom been evaluated systematically. It has been observed that many patients particularly from upper socioeconomic background prefer visiting a private clinic. Hence, the study is planned in this direction. The study was aimed to assess the morbidity pattern of psychiatric patients attending a private psychiatric clinic. Aim: To analyze the clinical and sociodemographic characteristics of the clients attending the private clinic and to study the pattern of follow-up. Materials and methods: All records from February 1, 2019 to April 30, 2019 were analyzed. This is a descriptive study. Results and conclusion: A total of 1,020 new patients visited the clinic in this period. We found that mental disorders comprise a wide variety of disorders-mainly psychotic, mood disorders, and neurotic disorders. They affect the most productive age groups, almost equally affect both the genders, and there was a slight preponderance of rural patients.
Tuberous sclerosis (TS) is a rare disorder of genetic origin, caused by mutations in the genes TS... more Tuberous sclerosis (TS) is a rare disorder of genetic origin, caused by mutations in the genes TSC1 and TSC2. It is characterized by benign tumors with multisystem involvement resulting in dermatological, nephrological, neurological and psychiatric manifestations. We are presenting a case of a 21 years old male with tuberous sclerosis presenting with dermatological manifestations, seizures, intellectual disability and psychiatric manifestations including delusions and hallucinations, developing extrapyramidal symptoms after antipsychotic administration. Neuroimaging showed characteristic subependymal calcified nodules. With appropriate anticonvulsant and antipsychotic medications he showed clinical improvement.
Uploads
Papers by anshuman gogoi