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World Journal of Clinical Pediatrics 2024年第2期13卷 161-170页

作者： Aditya Agrawal Vivek Agarwal sujita kumar kar.amit arya Department of Psychiatry King George Medical UniversityUttar PradeshLucknow 226003India

BACKGROUND Transcranial direct current stimulation(tDCS)is proven to be safe in treating various neurological conditions in children and *** is also an effective method in the treatment of OCD in *** To assess the safety and efficacy of tDCS as an add-on therapy in drug-naive adolescents with *** We studied drug-naïve adolescents with OCD,using a Children’s Yale-Brown obsessive-compulsive scale(CY-BOCS)scale to assess their *** active and sham groups were given fluoxetine,and we applied cathode and anode over the supplementary motor area and deltoid for 20 min in 10 *** occurred at 2,6,and 12 wk using *** Eighteen adolescents completed the study(10-active,8-sham group).CY-BOCS scores from baseline to 12 wk reduced significantly in both groups but change at baseline to 2 wk was significant in the active group *** mean change at 2 wk was more in the active group(11.8±7.77 vs 5.25±2.22,P=0.056).Adverse effects between the groups were *** tDCS is safe and well tolerated for the treatment of OCD in ***,there is a need for further studies with a larger sample population to confirm the effectiveness of tDCS as early augmentation in OCD in this population.

关键词： Adolescents Early augmentation Obsessive compulsive disorder Safety Transcranial direct current stimulation

Efficacy of repetitive transcranial magnetic stimulation in treatmentresistant depression:the evidence thus far

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General Psychiatry 2019年第4期32卷 167-174页

作者： Aditya Somani sujita kumar kar Department of Psychiatry Mental Health InstituteChandigarhIndia departm ent of Psychiatry King George's Medical UniversityLucknowUttar PradeshIndia

Depression is a common mental disorder, which attributes to significant morbidity, disability and burden of care. A significant number of patients with depression still remain symptomatic after adequate trials of antidepressant treatment as well as psychotherapy, which is often referred to as treatment-resistant depression. Neuromodulation techniques—like electroconvulsive therapy, vagus nerve stimulation, transcranial magnetic stimulation (TMS) and transcranial direct current stimulation, may be useful augmenting techniques in depression, mostly recommended for treatment-resistant cases. Robust evidence exists regarding the efficacy of electroconvulsive therapy in the management of treatment-resistant depression;however, other techniques are understudied. TMS has been increasingly studied in various psychiatric disorders including depression. It has been approved by the US Food and Drug Administration for use in major depressive disorder. Over the past two decades, TMS has been studied in diverse groups of the population with depression using several research designs. This article gives an overview of the efficacy of repetitive TMS in treatment-resistant depression with the recent evidence.

关键词： magnetic stimulation treatmentresistant depression

Zolpidem dependence in an adult with bipolar affective disorder and epilepsy: A case report

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General Psychiatry 2019年第5期32卷 276-278页

作者： sujita kumar kar Suyash Dwivedi Department of Psychiatry King George's Medical UniversityLucknowUttar PradeshIndia

Zolpidem is a short-acting non-benzodiazepine hypnotic agent,commonly recommended for short-term treatment of *** has less dependence potential than *** with mental illnesses often have disturbed sleep,for which zolpidem is often ***-term use and self-medication(in more than recommended doses)are more likely to cause *** report here a case of bipolar affective disorder with epilepsy,who developed dependence to zolpidem and had severe withdrawal *** management issues are also discussed with review of the literature.

关键词： epilepsy doses Zolpidem

Relevance of early intervention in Fahr's disease: understanding through a case study

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General Psychiatry 2019年第1期32卷 43-45页

作者： Jamshed Ahmad Bandna Gupta sujita kumar kar Department of Psychiatry King George's Medical UniversityLucknowUttar PradeshIndia

SUMMARY Intracranial calcification may result from disturbances in calcium metabolism. It often remains asymptomatic, but may present with symptoms like seizure and neurological deficits. Correction of the underlying metabolic disturbance before damage of neuronal tissues due to intracranial calcification may be useful in preventing irreversible neurological deficits. This window period may be the crucial period that needs a thorough clinical evaluation and urgent intervention. We highlight the case of an adult woman with Fahr's disease presented with generalised tonic-clonic seizure. The management priorities were also discussed along with review of literature.

关键词： Relevance of early intervention Fahr's disease understanding through a case study

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

Mental health promotion for elderly populations in World Health Organization South-East Asia Region:Needs and resource gaps

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World Journal of Psychiatry 2022年第1期12卷 117-127页

作者： Nisha Mani Pandey Rakesh kumar Tripathi sujita kumar kar K L Vidya Nitika Singh Department of Geriatric Mental Health King George's Medical UniversityLucknow 226003Uttar PradeshIndia Department of Psychiatry King George's Medical UniversityLucknow 226003Uttar PradeshIndia

The accelerated population growth of the elderly(individuals aged 60 years or more)across the globe has many indications,including changes in demography,health,the psycho-social milieu,and economic *** transition has given rise to varied challenges;significant changes have been observed in regard to developing strategies for health care systems across the *** World Health Organization(WHO)is also engaging in initiatives and mediating ***,advocacy is being conducted regarding a shift toward the salutogenic model from the pathogenic *** concept behind this move was to shift from disablement to enablement and from illness to wellness,with the notion of mental health promotion(MHP)being *** article attempts to discuss the MHP of elderly individuals,with special reference to the need to disseminate knowledge and awareness in the community by utilizing the resources of the health sector available in the WHO South-East Asia Region *** have tried to present the current knowledge gap by exploring the existing infrastructure,human resources,and financial *** is much to do to promote the mental health of the elderly,but inadequate facilities are *** on available resources,a roadmap for MHP in elderly individuals is discussed.

关键词： Mental health promotion Elderly Mental healthcare needs Resource gaps World health organization

Phenomenology,disability and sexual functioning in female Dhat syndrome:a study of tertiary care gynaecology outpatients

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General Psychiatry 2022年第5期35卷 328-337页

作者： Shubha Joshi Adarsh Tripathi Smriti Agarwal Nisha Singh Bandna Gupta Anil Nischal sujita kumar kar Department of Geriatric Mental Health King George's Medical UniversityLucknowUttar PradeshIndia Department of Psychiatry King George's Medical UniversityLucknowUttar PradeshIndia Department of Gynaecology and Obstetrics King George's Medical UniversityLucknowUttar PradeshIndia

Background Dhat syndrome,a clinical condition related to semen loss in urine often found among males in India,has rarely been described as a separate clinical condition in *** with the syndrome complain of passing vaginal discharge and can be excessively concerned and preoccupied with it,often attributing various physical symptoms to the loss of vaginal *** This study aimed to assess the sociodemographic and clinical profiles of female patients with Dhat syndrome and their perceived stress,disability and sexual *** Sociodemographic details of 70 females with non-pathological vaginal discharge were evaluated with a semistructured sociodemographic *** phenomenology of the vaginal discharge was assessed with the Scale for Assessment of Female Dhat Syndrome *** and depressive symptoms were measured with the Hospital Anxiety and Depression *** stress in the past month and disability caused by the illness were assessed with the Perceived Stress Scale and the World Health Organization Disability Assessment *** addition,the Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition,Level 2 Somatic Symptoms Scale was administered to rate the severity of somatic symptoms,and sexual functioning was evaluated using the Female Sexual Function Index(FSFI)scale for women who had had sexual intercourse in the past *** The mean age of onset vaginal discharge was 23.0(6.6)*** factors,such as urinary tract infection,were the commonly attributed cause of the loss of vaginal *** comorbidity and perceived moderate stress in the past month were found in 38.6%and 68.6%of female patients with Dhat syndrome,*** scores tended to be *** the females having had sexual intercourse in the past month,48.3%had FSFI scores indicative of a female sexual *** The clinical presentation of women with non-pathological vaginal discharge is

关键词： female sexual details

Suicide in Nigeria:observations from the content analysis of newspapers

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General Psychiatry 2021年第1期34卷 30-36页

作者： Tosin Philip Oyetunji S M Yasir Arafat Stephen Oluwaseyi Famori Timilehin Blessing Akinboyewa Michael Afolami Moyo Faith Ajayi sujita kumar kar Department of Human Nutrition Faculty of Public HealthCollege of MedicineUniversity of IbadanIbadanOyoNigeria Department of Psychiatry Enam Medical College and HospitalSavarBangladesh Department of Geology University of IbadanIbadanOyoNigeria Department of Psychology Adekunle Ajasin UniversityAkungba-AkokoOndoNigeria Department of International Relations Obafemi Awolowo UniversityIle-IfeOsunNigeria Department of Psychiatry King George's Medical UniversityLucknowU.PIndia

Background Suicide is a global public health problem and Nigeria is one of the epicentres of suicide in the ***,there is a dearth of research exploring the epidemiological aspects of suicide in *** To examine the demographic information and precipitating events for suicides in Nigeria by analysing the contents of newspaper reports of *** We searched,collected,and analysed published news reports about suicide from 10 English newspapers in Nigeria.A total of 350 suicide reports were assessed between January 2010 and December 2019 after screening and *** The mean(SD)age of the reported cases was 36.33(15.48)*** of the reported cases were male(80.6%),married(51.8%),students(33.6%),living in a semi-urban area(40.3%)and among the age group of 25-34(25.3%).Hanging(48.6%)and poisoning(32.2%)were the most commonly reported methods of *** constraints and marital conflicts were most commonly assumed precipitating *** This study suggests that being male,married,or living in semi-urban areas are associated with suicide in *** community-based studies are warranted to generalise the findings and adopt appropriate preventive strategies.

关键词： newspaper finding content

How far has panic buying been studied?

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World Journal of Meta-Analysis 2020年第6期8卷 446-460页

作者： S M Yasir Arafat Fahad Hussain sujita kumar kar Vikas Menon Kum Fai Yuen Department of Psychiatry Enam Medical College and HospitalDhaka 1340Bangladesh Department of Pharmacy Noakhali Science and Technology UniversityNoakhali 3814Bangladesh Department of Psychiatry King George’s Medical UniversityLucknow 226003India Department of Psychiatry Jawaharlal Institute of Postgraduate Medical Education and ResearchPuducherry 605006India School of Civil and Environmental Engineering Nanyang Technological UniversitySingapore 639798Singapore

BACKGROUND Although panic buying(PB)is a ubiquitous behavior,it became prominent during the coronavirus disease 2019 ***,studies are inadequate to explore the different aspects of it,even though it covers several perspectives of life and academic *** To assess the research that have been conducted on *** A search was conducted to identify the articles in PubMed,PubMed Central,Scopus,and Google Scholar using the search term“panic buying”on November 15,2020.A total of 104 articles was extracted from the initial *** removing duplicates and initial and full-text screening,42 articles were included in the *** only considered peer-reviewed published articles that can be downloaded in a full portable document *** published in other languages and preprints were *** Among the 42 articles,27 were original contributions,6 were correspondences,3 were commentaries,3 were review articles,and there was one each for editorial,opinion,and discussion type of *** domains have been researched such as psychology,responsible factors,supply chain,management,disaster preparedness,e-commerce,consumer behavior,marketing,prevention strategies,media,social network,economics,personality,and *** from several disciplines,such as psychiatry,management,economics,business,sales and marketing,consumer behavior,public health,communication,information management,sociology,engineering,business administration,psychology,nursing,health economics,food policy,epidemiology,and community health,have been studied ***,causative model,econometric model,controlling strategy,and measuring instrument have been reported.A total of 18 papers had cross-country collaboration,and ten were funded *** of the authors were affiliated with the institutions of Australia,Bangladesh,China,India,Singapore,and the United *** PB is a relatively newer concept to get the attention of the research communit

关键词： Panic buying Systematic review COVID-19 Pandemic Disaster Supply chain

Geochemistry of Tikak Parbat Sandstones and Tipam Sandstones Occurring in and around Dilli Area, Sivasagar District, Assam, India

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Open Journal of Geology 2017年第8期7卷 1238-1267页

作者： Hrishikesh Baruah Asim Dutta Lahkar Balen Bhagabati Ranjeeta kar Pradip kumar Das Department of Geology Arya Vidyapeeth College Guwahati India Department of Geological Sciences Gauhati University Guwahati India

This study presents a geochemical investigation of Tikak Parbat and Tipam Sandstone Formations occurring in and around Dilli area, Sivasagar, Assam. Petrographically Tikak Parbat and Tipam sandstones are mainly quartzose arenite to sublitharenite types with their constituents being derived from recycled orogen provenance under sub-humid to humid climatic conditions. Geochemically, sandstones of both the formations range from sublitharenite to wacke. They indicate a recycled orogen source and influence of humid to arid condition. Source rocks of Tikak Parbat sandstones were more weathered than the Tipam sandstones. While Tikak Parbat sandstones show affinity towards passive margin, Tipam sandstones hint at active continental margin setup, where clasts were supplied from uplifted areas. Upliftment of provenance covering areas of Naga Patkai Range in the south east and Eastern Himalayas along the syntaxial bend during mid Miocene affected the sandstones. Tikak Parbat sandstones reflect a stable tectonic setup which later underwent a phase of volatility leading to deposition of the Tipam sandstones. Our study supports a sediment supply from the upper continental crust, largely of granitic composition, however, with a significant variation in their depth of source supply. Trace element analyses indicate depositional setup with low ventilation marked by both oxic and anoxic phases.

关键词： Geochemistry Provenance Palaeoweathering Tikak Parbat Sandstones Tipam Sandstones Dilli (Assam India)