Global Journal of Medicine & Public Health

Pointing to a huge gap in mental health care and palliative care for gender minorities based on inputs provided by 60 participants of a workshop

Sumitha T S — 2024-05-14

Sahodaran Community Oriented Health

Development (SCOHD) was founded in 1998 at

Puducherry (in India) to protect the rights of MSM

and lesbian, gay, bi-sexual and transgender persons

(LGBT).1 They and the members of their

collaborating institutions were disturbed with

frequent news of suicidal attempts and runaway by

the community members in SCOHD, and majority of

them were transgender. In order to take a positive

step to address this problem, a two-day workshop to

explore the health needs and to introduce the

concepts of palliative care for life limiting conditions

and coping mechanisms for mental health issues to

transgender in SCOHD was organized in Puducherry

with the help of experts in the field.

Adolescents perception on parent child conflict and its resolution: A qualitative study

Khem Raj Bhatta — 2024-05-14

Adolescent period is marked by strain in relationship and misunderstanding

with parents. Understanding perception of adolescents about this issue is

necessary for conflict resolution. The current study is aimed at exploring

adolescent perception on nature of parent child conflict and the strategies

for resolving such problems.

A qualitative study was conducted among 150 (60 females & 90 males)

college students in late adolescence period. Three colleges were

conveniently selected in Kathmandu. Semi-structured questions were asked

to the participant adolescents. They were asked to list on common issues or

problems with their parents and type of parental behavior which would

facilitate in resolving conflict. Data was analyzed using thematic analysis

method.

Seven main themes emerged in the sources of conflict in parent adolescent

relationship. They are lack of warmth, acceptance and understanding,

restriction in personal freedom and imposing control, comparison and

discrimination, conflicting messages (double bind communication), unduly focus on adolescents’ negative

behavior, over emphasis on studies and unreasonable aggression/ lack of trust. Regarding strategies to

mitigate conflict, participants’ suggestion for parents were analyzed into themes of listening and empathic

understanding, freedom, flexibility, forgiveness and not discriminating.

These themes on sources of conflict and strategies in resolution could be utilized by parents and adolescents

in building healthy relationship.

The complexity of family stigma living with mental illness patients

Ira Kusumawaty — 2024-05-14

Introduction

Families with mental disorder are often faced with stigma which results in

hampering the patient's recovery process so that it aggravates and

prolongs family suffering. Family experience when caring for sufferers is

valuable information, however the exploration of Palembang family

experiences when treating sufferers is still not much explored.

Objective

This study aims to explore family experiences when facing stigma in

providing care for people with mental disorders.

Methods

This research was conducted with a descriptive phenomenological design

and data collection through in-depth interviews. Families of people with

mental disorders who are in the Ulu 1 Palembang Public Health Center are

the study population and 5 participants as research samples were

determined using convenience sampling techniques. In-depth information

is outlined in the form of transcripts and matrices, then analyzed using the Colaizzi’s method.

Results

Six themes have been identified, including: loss response, use of coping mechanisms, change in the response

of social relations, the meaning of stigma for the family, expect community support and expect support from

health workers.

Conclusion

Recuperation of mental issue can run ideally if stigma can be diminished through great joint effort between

families, communities and health care services.

Postmarketing safety and usage study of anti-snake venom in a tertiary hospital in Talegaon, Maharashtra

Sudeep Kumar — 2024-05-14

Aim

To study the adverse event profile and usage pattern of Anti Snake Venom

(ASV).

Methods

This prospective observational study included 40 cases of snake bite

admitted from July 2016 to December 2017. Adverse reactions to ASV were

assessed. Clinical response parameters after ASV administration were also

analyzed.

Results

24 cases had hemotoxic, 11 neurotoxic and 5 local envenomation. The mean number of vials used (19.35 +/-

12.89), time to control envenomation (22.4+/- 15.76 hours) and duration of hospital stay (4.9 +/-2.99 days) was

not significantly different for any particular type of envenomation. They also did not vary between types of

envenomation and whether bite to needle time was more or less than 6 hours. 27 adverse events were

recorded in 9 patients. Most of these cases of early reactions were managed with antihistamines and

corticosteroids. One case of possible anaphylaxis required vasopressors.

Conclusions

ASV of Premium Serums was well tolerated, and the number of adverse events were less than those reported

in earlier studies. A mean of 19.35 vials were needed to control envenomation, an acceptable number based

on WHO and National guidelines.