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Cross-Sectional study of internalised stigma and medication adherence in patients with obsessive compulsive disorder

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General Psychiatry 2020年第2期33卷 94-100页

作者： eram ansari Sudha Mishra Adarsh Tripathi Sujita Kumar Kar Pronob Kumar Dalai College of Nursing King George's Medical UniversityLucknowIndia Departm ent of Psychiatry King George's Medical UniversityLucknowIndia

Background Patients suffering from psychiatric disorders tend to stigmatise themselves which had been linked to poor adherence to *** The aim of the present study was to study internalised stigma and medication adherence and to assess the relationship between them in patients with obsessive compulsive disorder(0CD).Methods A cross-sectional study was conducted on 112 patients diagnosed with 0CD who were attending the Out-patient's department at Department of Psychiatry of a tertiary care hospital in North *** stigma and current medication adherence were assessed with Internalized Stigma of Mental Illness Scale(ISMI)and Medication Adherence Rating Scale,***-Brown Obsessive Compulsive Scale was used to assess the current severity of OCD *** and clinical details were also obtained from the patients by using a semistructured sociodemographic *** Most of the patients reported moderate level of internalised stigma with a mean ISMI score of 77.98(10.82).Most of the patients were compliant while 41.96%reported poor medication *** stigma was negatively correlated with the current medication *** severity of OCD symptoms also showed a significant positive correlation with internalised stigma and a significant negative correlation with medication *** High levels of internalised stigma were associated with lower adherence to treatment which suggests that internalised stigma may be a very important factor influencing medication adherence in patients with OCD.

关键词： patients medication Internal

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Structural Variations in Wing Patterning of Seasonal Polyphenic Melanitis leda (Satyrinae)

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Microscopy Research 2016年第4期4卷 47-54页

作者： eram Sultan Debabrat Sabat Binod Bihari Sahu Monalisa Mishra Department of Life Science National Institute of Technology-Rourkela Rourkela India

Seasonal polyphenism is a common phenomenon observed among members of the Lepidopteran subfamily Satyrinae. Melanitis leda, being a member of that subfamily, exhibits seasonal variation in terms of wing patterning. In butterflies, wing patterning is due to the nanostructural architecture of the scales, which reflects and refracts incident light, with or without the combination of pigments. The current scanning electron, fluorescence and optical microscope study divulge fine structural and signal changes that occur with different season in the scales of M. leda and give rise to the different wing pattern in butterfly. The structural and consequent signal changes are likely to be correlated with behavioural processes such as mate selection and escape from predation.

关键词： Melanitis leda Wing Coloration Polyphenism Scales

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Physical Properties of Persian Gulf Outflow Thermohaline Intrusion in the Oman Sea

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Open Journal of Marine Science 2017年第1期7卷 169-190页

作者： eram Ghazi Abbasali Aliakbari Bidokhti Mojtaba Ezam Masoud Torabi Azad Smaeyl Hassanzadeh Department of Marine Science and Technology Science and Research Branch Islamic Azad University Tehran Iran Institute of Geophysics University of Tehran Tehran Iran Department of Marine Science and Technology Islamic Azad University Tehran North Branch Tehran Iran Institute of Physics University of Isfahan Isfahan Iran

Various CTD data obtained in the Oman Sea are analyzed to explain structural features of intrusive layering. Special attention is compensated to thermohaline intrusions observed in layers (depth ranges of 150 m to 450 m, 150 m to 350 m, 100 m to 350 m and 150 m and 400 m in the winter, spring, summer and autumn, respectively). The temperature and salinity profiles in thermohaline intrusion have sawtooth structure in all stations, while they have step structure in density field. Based on interpretations, detailed estimates of thickness are about 10 to 20 meters. The T-S diagrams show the positions of the outflow intrusion with different thicknesses and depths for all seasons in the Oman Sea. Vertical profiles of temperature and salinity show two boundaries in the upper and lower layers. They are prone to double diffusive convection. Salt fingering and diffusive convection can be seen in both the upper and lower boundaries, and salt fingering is stronger at the lower boundary. Diffusive convection also is visible from the surface to the mid-depth of the plume outflow, and the diffusive intrusion is more severe at the upper boundary than the surface and deep. The intensity of double diffusion in the bottom border is greater than the upper boundary. At the deeper parts, the stratification is completely stable. Variations of the positions of greatest salinities in different diagrams are due to changing water masses for different locations and depths and paths of intrusive flow.

关键词： Thermohaline Intrusion Double Diffusive Convection Salt Fingering Persian Gulf Outflow

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