New onset gender dysphoria in bipolar affective disorder - A case series.

Gender confusion in the context of mania is very less frequently described in the literature. The actuality of a primary psychiatric condition in gender identity complaint has significant bearing on the applicable operation and prognostic. This case series describes cases of bipolar affective complaint presenting in a manic occasion whose mania was marked by hypersexuality and the desire to be of opposite gender. Both of these symptoms resolved with treatment of the manic occasion. Case 1 describes a 17-year-old male presenting with an episodic illness, with current manic episode. He is currently interested in boys and has started enjoying feminine activities. Upon treatment, his symptoms showed improvement. Case 2 describes a 22-year-old gay male, with a total duration of 7 years, current episode mania. Now, he is considering himself a lesbian and feels he is mentally a modern female. After 4 months of treatment, there was significant improvement in his complaints and he stopped cross-dressing as a female. Case 3 shows a 21-year-old female, with manic episode. After 1 month, the patient began acting and speaking more like a boy. The patient has shown improvement while taking lithium 900 mg, divalproex sodium 1000 mg, risperidone 6 mg, and chlorpromazine 150 mg. Gender dysphoria occurring along with a psychotic episode and resolving with management of the primary psychiatric disorder are rarely recorded. The central issue in similar cases is a proper workup and diagnosis. Psychiatrists should be aware of this scenario so that proper treatment strategies for gender incongruence can be planned and not be brushed aside as "just another symptom."

Biomass derived green carbon dots for sensing applications of effective detection of metallic contaminants in the environment.

The rapid consumption of metals and unorganized disposal have led to unprecedented increases in heavy metal ion concentrations in the ecosystem, which disrupts environmental homeostasis and results in agricultural biodiversity loss. Mitigation and remediation plans for heavy metal pollution are largely dependent on the discovery of cost-effective, biocompatible, specific, and robust detectors because conventional methods involve sophisticated electronics and sample preparation procedures. Carbon dots (CDs) have gained significant importance in sensing applications related to environmental sustainability. Fluorescence sensor applications have been enhanced by their distinctive spectral properties and the potential for developing efficient photonic devices. With the recent development of biomass-functionalized carbon dots, a wide spectrum of multivalent and bivalent transition metal ions responsible for water quality degradation can be detected with high efficiency and minimal toxicity. This review explores the various methods of manufacturing carbon dots and the biochemical mechanisms involved in metal detection using green carbon dots for sensing applications involving Cu (II), Fe (III), Hg (II), and Cr (VI) ions in aqueous systems. A detailed discussion of practical challenges and future recommendations is presented to identify feasible design routes.

Disability Assessment in Geriatric Psychiatry and Social Welfare Measures in Geropsychiatry in India.

BACKGROUND: Rising population of elder people and associated rise in health problems, frailty and disabilities have significant socioeconomic and health care implications. Mental health related disability contributes significantly in the global disability statistics and is an important health and quality of life indicator. Assessment of disabilities in elderly is essential part of routine evaluation, further it also helps the clinicians in identifying current functional status and choosing and monitoring therapeutic interventions and need for social welfare schemes. METHODS: In order to understand the process of disability assessment in geriatric psychiatry and to gather information about social welfare schemes a literature review in Google Scholar and PubMed electronic database, and website of various ministries under Government of India was done, using developed key search terms for articles published up to February 2021. The identified eligible articles were reviewed for ideas and concepts, which were then integrated and categorized under broader themes. Finally, the broad categories were discussed briefly based on the above framework. RESULTS: Review findings are summarized under the following headings: concept of ageing and disability, assessment of disability, process of certification, and social welfare schemes. CONCLUSIONS: The process of disability assessment comprises of comprehensive clinical evaluation, use of standardized rating instruments and disability certification wherever warranted or asked for. It is now being acknowledged worldwide by provisions of various social welfare benefits, that living with disability and increased care needs should be an integral part of definition of successful ageing.