53 research outputs found
"There are millions of young Indians who feel frustrated with their lives.... I really want the Indian government to take these frustrations seriously." - Snigdha Poonam
Get PDFLSE South Asia Centre recently invited Snigdha Poonam, journalist at Hindustan Times and author of Dreamers: How Young Indians are Changing the World, for a panel discussion entitled 'Who are the Middle Class in South Asia?' as part of the South Asia Summit 2018. In conversation with Anirbaan Banerjee, she talks about aggressive Indian nationalism, the political and economic frustrations of the middle-class young Indian, women's aspirations and a growing social-political crisis in India
Importance of marriage for Asian Indian women in the U.S.: an exploratory study
No full textThroughout the past century and across various cultures, the concept of marriage has significantly changed from being a union between two families to a union between two individuals. The change has penetrated South Asia, despite collectivism being the norm in Asian Indian culture. The current exploratory study was done to investigate an unexamined area of research namely, the pressure experienced by unmarried Asian Indian women in the United States. A qualitative research design combining ethnographic and grounded theory was used. Ten interviews were conducted with heterosexual, Asian Indian, Hindu women, above the age of 25, and raised in the United States. Four main research questions were addressed: (1) What pressures do family and community put on Asian Indian women to get married (2) What effect does remaining unmarried have on Asian Indian women (3) How do certain factors (i.e., past relationships, religion, skin color, and education) affect how desirable these women are to others, and how desirable they feel? and (4) What are Asian Indian women’s perspectives on marriage? The interview data collected were analyzed to uncover qualitative themes. These themes included the following: the women interviewed felt that all Asian Indian women were born to be brides, that Asian Indian women did not go through a process of separation-individuation as defined in Western psychology, that parents experienced a great deal of shame if their daughters remained unmarried, that a great amount of interpersonal conflict with family and friends resulted from staying single, and that most women had felt that they needed to get married before the age of thirty. Although several of the women interviewed stated that they were ambivalent about the idea of marrying someone of Indian origin, the women felt that several factors affected how desirable they were to other members of the Indian community. The findings of this study suggest important implications for clinical psychology training for mental health clinicians. The study suggests that therapists should have an increased understanding of the difference in separation-individuation between Western and Asian Indian culture, the importance of an Asian Indian woman’s external presentation, and the extreme shame that these women may experience by remaining single.Psy. D.Includes bibliographical referencesby Snigdha Ramesh Ratho
Single jejunal blowout perforation following blunt abdominal trauma: Diagnostic dilemma
No full textSingle isolated jejunal perforation (IJP) due to blunt abdominal trauma is uncommon and most often occurs with road traffic accidents. The diagnosis of traumatic single IJP is challenging as there are minimal clinical features initially. For most favorable results, strict monitoring, a high index of clinical suspicion, and the help of available appropriate diagnostic tools like diagnostic peritoneal lav age (DPL)/focused abdominal sonography for trauma (FAST) are preferable. Here we report a case of IJP following blunt trauma abdomen
Role of once-daily tadalafil in men with concomitant erectile dysfunction and symptomatic benign prostatic hyperplasia: A prospective randomized placebo-controlled study
No full textBackground: Majority of men over age 50 are sexually active and sex is an important part of overall quality of life. Both benign prostatic hyperplasia (BPH) with lower urinary tract symptoms-BPH (BPH-LUTS) and erectile dysfunction (ED) are often found in this age group simultaneously. Pathophysiological mechanisms for both these diseases are almost common. All males presenting with LUTS should be assessed for sexual dysfunction and viceversa. The aim of this study is to evaluate the effects of once-daily tadalafil on erectile function in men with ED and benign prostatic hypertrophy with LUTS. One drug for treatment of both diseases and better patient′s compliance are important issues for proper management.
Materials and Methods: We did a study of 60 men. All patients were divided in two groups: 30 in group A who were given tadalafil 5 mg (megalis-5 mg of Macleods Pharmaceutical Company) and 30 patients in group B who were on placebo (plain sugar pills) for 12-week. This was a randomized, placebo-controlled study of once-daily tadalafil, which was carried out in men with BPH-LUTS in a rural Medical College of Northern India during June 2009 to November 2011.
Results: International index of erectile function-erectile function (IIEF-EF) domain score improvements from baseline with 5 mg once-daily tadalafil were significantly greater throughout the study for tadalafil groups versus placebo (all P ≤ 0.001). International Prostate Symptom Score (IPSS) improvements from baseline to end point were significantly greater with 5 mg tadalafil dose versus placebo (all P < 0.05).
Conclusion: There are encouraging results with tadalafil. It was used in 30 patients who were suffering with both ailments of BPH and LUTS simultaneously and is effective in both diseases
Pseudopancreatic cyst invasion into spleen: Case report and review
No full textSplenic parenchymal complications in pancreatitis are uncommon and these vary from invasion of pseudopancreatic cysts into spleen to hemorrhages, infarctions and splenic rupture. Spleen is prone to complications in both acute and chronic pancreatitis due to the anatomical relation of splenic hilum with the tail of pancreas. As clinical picture is non-specific, a high index of suspicion is mandatory for early detection to avoid shattering complications. Conservative management is feasible in patients with small and resolving pseudocysts of pancreas as well as of spleen. Surgery is a treatment of choice for large non-resolving and complicated cyst. We present a 26-year-male with huge pseudopancreatic cyst, which invaded into spleen. Patient was operated by open technique. The case is being presented because of uncommon occurrence along with review of the literature regarding the pre-operative evaluation and various treatment option
Male breast carcinoma and review of the literature
No full textMale breast cancer is a rare disease with unclear etiology. Its incidence is about 0.5-1%. Usually, these male patients present in advance stages due to non-specific clinical features and due to lack of awareness. Treatment scheduling is similar to female breast cancer
Isolated splenic tuberculosis in immunocompetent patient: A rare occurrence
No full textGlobally millions of people are affected by tuberculosis (TB) each year and India has the largest number of TB cases both pulmonary and extrapulmonary. Extrapulmonary TB affecting spleen is quite rare and occurs mostly as a part of miliary tuberculosis in immunocompromised patients. In the Immunocompetent patients, isolated splenic tuberculosis is extremely rare. Herein, we present the case of an immunocompetent female with isolated splenic tuberculosis. [Arch Clin Exp Surg 2018; 7(1.000): 37-40
Surgical Management of Enteric Perforation by Using Omental Patch : A Prospective Study of 60 Patients
No full textEnteric perforation is a serious complication of typhoid fever. Depending upon the bowel condition, primary closure of perforation is the treatment of choice. Development of fecal fistula is the key apprehension in primary closure. The purpose of this study is to find out the benefit of an omental patch when used over primary closure. It is a small study of 60 patients, which were divided into two groups: Group I - Primary closure with omental patch, and Group II - only primary closure. The outcomes were measured in relation to wound infection, fecal fistula, wound dehiscence, and intra-abdominal abscess. The incidence of complications including fecal fistula and mortality is significantly lower in the group-I patients. Fecal fistula occurs in 13.33% in group II, while in only 3.3% in group I. There was no significant difference in the incidence of wound infection and wound dehiscence. Primary closure with an omental patch is a better option compared with only primary closure in enteric perforation patients. It can be suggested as an alternative method to primary closure only in selective enteric perforation patients. [Arch Clin Exp Surg 2013; 2(2.000): 80-84
Spontaneous rupture of normal spleen: A diagnostic dilemma
No full textSpontaneous rupture of normal spleen poses a diagnostic dilemma for the treating clinician. Bacterial, viral, or parasitic infection, and malignancy of the spleen are predisposing factors for atraumatic spontaneous rupture. Severe and sudden pain in the left upper abdomen with radiation to the left shoulder is the most common presenting symptom. Ultrasonography (USG) and computed tomography (CT) are important diagnostic imaging modalities. Here we present the case of a 60-year-old female who presented with severe upper left abdominal pain just after a heavy meal. Emergency USG diagnosed the patient as a case of ruptured spleen and it was further confirmed with contrast enhanced computed tomography (CECT) and paracentesis of perisplenic collection. The patient was managed conservatively with success. [Arch Clin Exp Surg 2015; 4(1.000): 60-63
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