Girish Chandra Baniya

Abstract

Background: In the pregnancy and puerperium phase, giant ovarian cysts are highly uncommon. It raises the risk of fetal and maternal morbidity. We describe three cases of large benign ovarian cysts diagnosed and treated at a rural medical college and hospital with limited facilities during the pregnancy and puerperium phase. Case Presentation: Data were obtained by history analysis, clinical assessment, laboratory examination, radiological imaging, and histopathological analysis of the culled surgical specimen. Our first case was a 23-year-old primigravida who presented with pain in abdomen. Antenatal sonography confirmed a huge intact left ovarian cyst. She was managed at term by cesarean for obstetrical indication along with left ovarian cystectomy. Our second case, a 25-year-old woman, reported abdominal distention following uncomplicated vaginal delivery. After a complete workup, she was diagnosed with a benign serous ovarian cystadenoma. Laparotomy with left ovarian cystectomy was done. In our third scenario, a 20-year-old primigravida with a giant ovarian cyst at 34 weeks gestation who also delivered vaginally and underwent laparotomy with left ovarian cystectomy. Histopathological examination revealed benign ovarian serous adenoma in all three cases. Conclusion: When a large ovarian cyst is present during pregnancy, it is unearthed that vaginal delivery is possible. In the postpartum period, surgical cyst treatment can be performed with satisfaction.   Keywords: Ovarian Cyst, Giant, Serous cystadenoma

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Abstract

Background: Millions of individuals were mentally and physically harmed by the first wave of the COVID-19 pandemic. Health-care workers are those who are most affected by the pandemic's psychological effects. This study examines the psychological effects of the second pandemic wave of Covid-19 on healthcare personnel in India and their coping strategies. Materials and Methods: During the month of May 2021, a semi-structured online survey of healthcare workers in India was conducted. A total of 1340 healthcare workers participated in the study. SPSS software was used to analyze the data. Results: Most participants (37.61%) were between the ages of 18 and 29, with 856 married (63.88%). Three hundred thirty-seven participants (25.15%) were resident doctors, while 1008 (75.22%) worked in government settings. 561 of the 1340 participants reported anxiety symptoms (41.87%). 536 (40.00%) of the participants reported depressive symptoms. Post-traumatic stress symptoms were also present in 423 participants (31.57%). Our study found a statistically significant difference between male and female depression and post-traumatic stress symptoms (p-value Conclusion: It is important to develop strategies to address the growing number of mental health problems. It is anticipated that healthcare worker education about coping strategies, effective coping mechanisms, and avenues for practical assistance will be beneficial.   Keywords: COVID­19, Second wave, Healthcare workers, Depression, Anxiety, Stress, Coping strategy

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Abstract

Background: Depression is a common psychiatric disorder in trauma patients. Early detection of depression in a traumatized patients can help alleviate long-term symptoms and adverse effects associated with depression. This study aimed to determine the prevalence of depression and suicidal ideation in trauma patients after one month of injury. Materials and Methods: Hospital-based cross-sectional study was carried out among 120 individuals with a history of trauma from March 2020 to May 2020. Purposive sampling was used to recruit participants over a specified period. The Beck's Depression Inventory-II (BDI-II) was used to measure depression intensity and suicidal ideation. The statistical analysis was carried out using SPSS version 20. Results: The study included a total of 120 participants. The prevalence of depression was 30% in study participants. In our study, 8 (44.44%) of 18 participants over the age of 60, 30 (36.59%) of 82 male participants, 9 (64.29%) of 14 separated or divorced participants, 17 (45.95%) of 37 illiterate participants, 25 (43.86%) of 57 participants from low socioeconomic backgrounds, and 23 (42.59%) of 54 participants from rural backgrounds had more depression. Twenty (46.51%) out of 43 polytrauma participants, 5 (45.45%) out of 11 participants injured due to violence, 31 (33.70%) out of 92 participants who had a history of more than 48 hrs hospitalization, and 17 (48.57%) out of 35 participants had a history of ICU admission had more depression. Twenty-one participants (58.33%) of the 36 who suffered from depression had suicidal thoughts or intentions. Conclusion: Suicidal ideation and depression were more common in traumatic patients. Physicians' treatment should not be limited to early physical rehabilitation. They must also prioritise early mental rehabilitation in order to avoid long-term issues with mental and physical disabilities.   Keywords: Prevalence, Depression, trauma, accident, Suicidal idea

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