Red Flower's Journal of Psychiatric Nursing

Eagle’s syndrome or stylalgia is a disorder related to the abnormally elongated styloid process (>30 m). It is characterized by pharyngeal pain localized in the tonsillar fossa, radiating to the oesophagus, tothehyoid bone, painful head rotation and lingual movements. The pain is exacerbated by swallowing and chewing. Other symptoms include foreign body sensation (globus hystericus) and voice change lasting for only a few minutes. A variety of additional symptoms have been reported such as clicking jaw, unilateral pain, pain radiating to the neck, to the tongue, chest or temporo-mandibular joint (TMJ) and facial paraesthesia, hypersalivation, sometimes visual problems, dysphagia and pharyngeal spasm. However no psychiatric co-morbidity has been reported till date. We hereby discuss a case of a middle aged male presenting to psychiatry OPD with symptoms suggestive of Eagle’s Syndrome and unspecified anxiety disorder. 

Keywords: Eagle’s syndrome; Anxiety disorder.  

Introduction: It is believed that an individual is disabled not because of his or her physical handicap,but because of the physical barriers prevalent in our society, The present study was undertaken by the investigator for identifying the self-concept of adolescents with orthopaedic impairment with a view to develop and evaluate guidelines for teachers to improve the self-concept of adolescents with orthopaedic impairment. Methodology: The sample for the study comprised of 60 adolescents with orthopaedic impairment and 30 teachers working in institutes for physically handicapped selected through purposive sampling technique and total enumeration technique, respectively. The Conceptual framework of the study as based on Stuart Stress Adaptation model related to self-concept responses. Structured questionnaires were used to assess the selfconcept of orthopedically impaired adolescents and knowledge of teachers regarding self-concept of the adolescents. Results: The study revealed that majority of the adolescents with orthopaedic impairment had  average level of self-concept. The intellectual selfconcept was found to be the most affected area out of all other (i.e moral, educational, temperamental, social and physical) areas of self- concept; but there was no significant relationship between level of selfconcept and variables, viz; age, gender and cause of orthopaedic impairment in adolescents with orthopedic impairment. Maximum numbers of subjects’ i.e.65% were from the age group of 17-19 years. The major cause of orthopaedic impairment in majority of the subjects (53%) was illness such as polio. In the second part of the study, guidelines developed for improvement of self- oncept of adolescents with orthopaedic impairment were effective asevidenced from knowledge gain by teachers.   

Key words: Self-concept; Adolescent; Orthopaedic impairment. 

Objectives: To find out the self concept & anxiety levels of adolescents and seek the relationship between anxiety & self concept levels. Methodology: The study was conducted in Poonam Nagar, Mumbai in the year 2009. Subjects included 150 adolescents, both boys and girls in the age group of 13 -18 years selected by convenient sampling. Data collection instruments included Dr. N.K. Dutta Self Concept Scale and Sinha Anxiety Scale. Descriptive and inferential statistics were employed for analysis of data. Results: Obtained self concept scores ranged from 215 – 379 with a mean score 287.60 and standards deviation 21.02. Anxiety scores ranged from 11-86 with a mean of 35.98 and standard deviation 18.38. Co-efficient of correlation (r) between self concept and anxiety score was .82. Mean anxiety score for high self concept adolescents was more than low self concept ones.t- alue of 9.53 at 0.05 levels was found to be statistically significant. Conclusions: There is need of saving the 22% of future citizens of Indians i.e. adolescents from undue stress and anxiety. Schools and hospitals should be adequately equipped with guidance and counseling. 

Keywords: Anxiety; Self concept; Stress; Adolescent. 

Allocation concealment is defined as the procedure for protecting the randomisation process so that the treatment to be allocated is not known before the patient enters into the study. Hiding the allocationsequence from those performing randomization is known as “Allocation Concealment”. The primary purpose of randomizing patients into treatment arms is to prevent researchers, clinicians and patients from predicting and thus influencing, upcoming group assignments. Allocation concealment is a strict implementation of the schedule must be secured through an assignment mechanism that prevents biases that could stem from foreknowledge of treatment assignment. Enclosing assignments in sequentially numbered, opaque, sealed envelopes can be a good allocation concealment mechanism if it is developed and onitored diligently. Unpredictability is assured through the process of concealment which is critical in preventing selection bias that is the potential for investigators to manipulate who gets what treatment such manipulation in clinical trials has been well documented. Unclearly concealed and inadequately concealed trials compared to adequately concealed trials, exaggerated the estimates of an intervention’s effectiveness by 30% to 40%, on average. Finally note that the issues of randomization and concealment should be kept separate from blinding and they are completely different. 

Keywords: Randomization; Allocation concealment; Sequentially numbered opaque sealed envelopes; Nurse researcher.  

The theme of the 2012 World Blood Donor Day campaign, ”Every blood donor is a hero” focuses on the idea that every one of us can become a hero by giving blood. Today, Blood Transfusion Services constitute a crucial part of any healthcare delivery system. Adequate and safe supply of blood and blood components is essential, to enable a wide range of critical care procedures to be carried out in hospitals. The objective of the present study was to identify the level of knowledge of blood donation among voluntary blood donors attending blood bank of Krishna Hospital Karad and to correlate the knowledge with socio-demographic variables. 100 voluntary Blood donors between the ages of 18 and 55 years were selected by Non probability Convenient Sampling technique. Descriptive Survey Design was employed for study. Structured knowledge questionnaire was given to assess their knowledge on Blood Donation. The study sample consisted of 64 males (64%) and 36 females (36%). The overall knowledge on blood donation among respondents was observed as good 10%, average 56%, and poor 34%. In males the overall knowledge level was found good among 9%, average 52% and poor 39%. In females, good knowledge level was observed among 14%, average 49%, and poor 37%. Education and gender was significantly associated with knowledge of blood donation where as education religion blood group and age were not statistically significant. In the present study researcher concluded that there is need for health education regarding blood donation,which will ultimately increases the awareness among general population to motivate for voluntary blood donation.

Keywords: Tobacco; Blood donation; Knowledge.