Informatics Publishing Limited

P. Upadhyaya , S. Bhargava , S. Dube , K. R. Sundaram , D. K. Mitra , J. George , D. C. Singh

Abstract

Results of surgical treatment of hydrocephalus using Upadhyaya Shunt in 280 children have been presented. A new system developed by the authors has been used for scoring mental performance. Sixty per cent of the 280 children were found to be educable, 15 per cent were trainable and the remaining 25 per cent were severely retarded. During the first 3 months following surgery there was no significant improvement in mental scores, but after this period, there was a trend for steady improvement upto 5 years of age. Severity of hydrocephalus was graded on the basis of ventricle/brain ratio, worked out from pre and post operative CT scans. While majority of children (93%) with mild hydrocephalus were found to be educable or of normal intelligence, only 25 per cent of the children having severe hydrocephalus were educable. The incidence of shunt revisions was 31 per cent.

Keywords

Hydrocephalus, C.S.F.Shunt, Intelligence, CT Scanning

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M. Singla ¹, A. Sharma ², C. Samuel ³, J. George ¹

Affiliations
1 Department of Psychiatry, Christian Medical College and Hospital, Ludhiana, Punjab, IN
2 Department of Psychiatry, Guru Gobind Singh Medical College and Hospital Faridkot, Punjab, IN
3 Christian Medical College and Hospital, Ludhiana, Punjab, IN

Abstract

Objective:In our study, 95 Urban and 56 rural populations of menopausal women were subjected to SCL 80 scale to determine psychiatric morbidity.

Material and Methods: Assessment was made using ATM scale, MRS scale and their coping strategies were noted. Data was statistically analyzed.

Results: The rural women were found to succumb 1.4 times more to physical and mental exhaustion after menopause than urban women (P<0.042). Percentage scores of the urban respondents were significantly more concerned how their husbands would feel about them after menopause (χ² =8.35, p<0.004). Statistically significant (p<0.011) urban women (5.47) show more depressive symptoms than rural women (3.08) and statistically significant (p<0.019) urban (2.33) than rural women (1.25) had more of anger hostility symptoms.

Conclusion: Emotionally stable, literacy, medical knowledge about menopause, good social support was among predominant markers for positive outcome.

Keywords

SCL (Symptom Check List-80), ATM (Attitude Towards Menopause), Menopause Rating Scale (MRS), Coping Stratigies, Anger Hostility, Psychiatric Morbidity.

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