Introduction Research into pathway to care (PC) in mental health in India has focussed on severe mental illness in mental hospitals. Aim To assess PC in a cohort of health care seeking subjects from a predominantly rural background approaching weekly community mental health satellite clinics in three towns in North India. Materials and methods 104 consecutive patients over a period of 6 months were included in the study. PC was assessed using a validated instrument. Results A majority of the participants were diagnosed with common mental disorders (CMD). The mean duration of symptoms was 22.97 months and the mean number of treatment contacts was 1.11. Primary care physicians were the most common initial point of contact rather than native/religious healers. Conclusion In a CMD predominant treatment seeking population in a rural community where affordable mental health care and primary health care is available, there is high acceptability and utilization of such services. Clinical significance Community psychiatry services should ideally be situated alongside primary health care services How to cite this article Singh SM, Kumar E, Saroj R, Satapathy A, Nanjayya SB, Sharma A. Pathways to Care in Patients approaching Community Mental Health Satellite Clinics in North India. J Postgrad Med Edu Res 2018;52(1):12-15.
Epidemiology is a science of medicine which measures the occurrence and prevention of morbidity and mortality. It has made many developments in research, public health, basic research. We tried to identify the incidence and relation of disease to the risk factors which will help to prevent the disease occurrence and to easily diagnose the disease. The aim was to determine the prevalence of various orthopedic diseases in a tertiary care teaching hospital and to determine the risk factors included. Out of 900 patients 191 were complained of low back pain, 149 with osteo arthritis, knee joint pains 108, 57with spondylosis, 53 with fractures, 47 with arthritis of different joints, 27 with accidental falls, and 15 with rheumatoid arthritis. One to two cases were reported with groin pain, injury, trigger finger, and only a single case with spondyl arthritis. The observed cases were divided according to the gender. It has shown 84 males and 107 females with LBA, 67 males and 41 females with joint pains, 25 males and 28 females with fractures, 22 males and 35 females with spondylosis, 15 and 26 in sciatica, 4 and 11 in rheumatoid arthritis. The occurrence was almost comparative in arthritis. (osteoarthritis: 80 males and 79 females, arthritis of various joints: 23 in males and 24 in females). The incidence of these diseases may vary according to the risk factors associated, genetical predisposition, region etc. in these areas epidemiological studies need to be done further for précised data that may help the physician.
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