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Intertidal Seagrass Meadows In South West England: The Ecology Of Expansion, Oliver Thomas Jan 2026

Intertidal Seagrass Meadows In South West England: The Ecology Of Expansion, Oliver Thomas

School of Biological and Marine Sciences Theses

Within the space of a decade, intertidal sediments in the Tamar estuary, South West England, have undergone a shift from unvegetated mudflats to dense perennial seagrass habitat. Yet despite the increasing prevalence of intertidal seagrass meadows in the South West, there are large knowledge gaps relating to intertidal meadow biodiversity, function and ecosystem service provision, particularly within the context of the estuarine meadows of the South West: as such we do not fully understand the implications of this recent colonisation within the Tamar. This study aims to characterise the spatial expansion of these newly-established Zostera marina meadows using Earth observation …


Physiological And Morphological Responses To Drought Stress In Different Cultivation Environments In Wild Type And Aba-Deficient Barley, Chloe Betts Jan 2026

Physiological And Morphological Responses To Drought Stress In Different Cultivation Environments In Wild Type And Aba-Deficient Barley, Chloe Betts

School of Biological and Marine Sciences Theses

Global food security is increasingly threatened by the effects of climate change. Of the environmental factors affected by climate change, drought is one of the most critical for plant survival and reproduction, shaping plant morphology and physiology and therefore crop productivity. Although the effects of drought on plants are widely studied, studies are often conducted in controlled greenhouse or laboratory conditions rather than more realistic field-like conditions. This is justified by the lower costs, convenience, and ability to disentangle the effects of different factors in more controlled conditions. This thesis explores the effect of the same watering limitations in different …


Coral Reef Fishes In Different Hard And Soft Coral-Dominated Reef Habitats, Ana Coelho Jan 2026

Coral Reef Fishes In Different Hard And Soft Coral-Dominated Reef Habitats, Ana Coelho

School of Biological and Marine Sciences Theses

Understanding how fish communities respond to different coral habitats is essential for predicting the future resilience of coral reef ecosystems. This study tested whether fish assemblages differ between hard and soft coral–dominated reef plots and among coral genera. We predicted higher fish abundance and more frequent benthic interactions in hard coral plots, and genus-specific differences in community composition, behaviour, and time spent within plots. This study examined fish species diversity, richness, abundance, behaviour, and the time spent in coral habitats. The analysis encompassed seven coral genera in an Indo-Pacific reef system. Twenty 2 × 2 m reef areas, each dominated …


Influence Of Ecological Transitions On The Evolution Of Circadian And Light Detection Genes In Squamates, Isobel Sleep Jan 2026

Influence Of Ecological Transitions On The Evolution Of Circadian And Light Detection Genes In Squamates, Isobel Sleep

School of Biological and Marine Sciences Theses

Circadian rhythms are self-sustaining, endogenous processes that align behaviour and physiology with daily environmental cycles. Rhythms are regulated by conserved genes forming transcriptional feedback loops and are entrained by environmental cues (e.g., light). Circadian systems are well studied in model organisms, their molecular evolution in squamates (lizards and snakes) remains less understood. Squamates represent the most species-rich reptile group with extensive ecological and sensory diversity, exhibiting multiple independent transitions across ecological niches, including repeated shifts into low-light environments (e.g., nocturnality, fossoriality), making them ideal for examining circadian and light-associated gene evolution. This study investigates how ecological transitions have influenced the …


Coping With Climate Change: The Role Of Plasticity Within And Across Generations, Caitlin Mcandry Jan 2026

Coping With Climate Change: The Role Of Plasticity Within And Across Generations, Caitlin Mcandry

School of Biological and Marine Sciences Theses

Climate change is leading to increased mean temperatures and more frequent and severe temperature anomalies, threatening organisms globally. Phenotypic plasticity, the ability of a given genotype to express different phenotypes in different environments, may offer a mechanism that allows organisms to temporarily persist in a rapidly changing environment, ultimately buying time for genetically based adaptations to evolve. Plasticity has been demonstrated both within and across generations, in response to different environmental stressors. However, our understanding of the interactive effects of plastic responses across levels of biological organisation, and over temporal scales from hours to generations, is still limited. Additionally, we …


Trialing A Novel Method Of Skin Mucus Sampling To Measure Stress And Reproductive Steroid Hormones In Mobula Species Mobula Alfredi And Mobula Munkiana, Bethany Faulkner Jan 2026

Trialing A Novel Method Of Skin Mucus Sampling To Measure Stress And Reproductive Steroid Hormones In Mobula Species Mobula Alfredi And Mobula Munkiana, Bethany Faulkner

School of Biological and Marine Sciences Theses

Anthropogenic pressures, exacerbated by exceptionally slow population growth, have led to all mobulid species being listed on the IUCN Red List. Understanding stress and reproductive physiology is essential for improving mobulid conservation strategies. However, few studies have investigated the hormonal processes that underlie stress responses and reproductive physiology in mobulids. Studies on fish species have identified positive correlations between steroid hormone concentrations in blood and skin mucus, the collection of the latter being a much less invasive technique. This pilot study examined the feasibility of using skin mucus as a non-invasive matrix for detecting steroid hormones in two mobulid species. …


Impacts Of Microplastics In A Changing Agri-Environment, Riley Kent Jan 2026

Impacts Of Microplastics In A Changing Agri-Environment, Riley Kent

School of Biological and Marine Sciences Theses

Microplastics are increasingly recognized as persistent contaminants in terrestrial ecosystems, yet their impacts on plant performance remain poorly understood under realistic environmental conditions. In natural and agricultural systems, plants rarely encounter contaminants in isolation, instead experiencing multiple interacting stressors. The work presented in this thesis investigated how soil microplastics influence plant growth and physiology both independently and in combination with freshwater flooding, a climate-relevant stressor associated with increased storm activity and shifts in precipitation patterns. Using white clover (Trifolium repens) as a model agronomic legume across multiple cultivars, the study examined how polymer identity, plant genotype, and environmental context interact …


When Money Moves In: The Consequences Of Housing Wealth, Darren Aiello, Jason Kotter, Gregor Schubert Jan 2026

When Money Moves In: The Consequences Of Housing Wealth, Darren Aiello, Jason Kotter, Gregor Schubert

Faculty Publications

We construct a novel dataset of millions of household moves over 25 years to examine how housing wealth affects purchase decisions. We find that a $1 exogenous increase in housing equity leads movers to pay a $0.06 premium on their next home, controlling for property characteristics and time-varying local prices. This behavior is driven by search frictions— wealthier households pay a premium rather than incur additional search costs. In aggregate, these decisions spill over to the broader housing market and cause upward regional price pressure. A 10% increase in equity gain among incoming movers increases local house price growth by …


Gendered Resistance: Women’S Strategies Against Military Dictatorships, Argentina And Chile, Maricarmen Canales-Moreno Jan 2026

Gendered Resistance: Women’S Strategies Against Military Dictatorships, Argentina And Chile, Maricarmen Canales-Moreno

Publications and Research

This article compares the Madres de Plaza de Mayo in Argentina and the Agrupación de Familiares de Detenidos Desaparecidos (AFDD) in Chile to examine how women transformed their identities as mothers, wives, and daughters into strategies of political resistance under military dictatorship. It argues that maternal imagery, public mourning, and the transformation of private grief into collective defiance enabled women-led human rights organizations to challenge authoritarian regimes while strategically drawing on gender roles those regimes sought to enforce. The article traces the emergence of both organizations, their occupation of public space, hunger strikes, legal action, and engagement with international human …


Mission-Focused Multidisciplinary Design Optimization Of Tilt-Rotor Evtol Propulsion System, Tyler Critchfield, Andrew Ning Jan 2026

Mission-Focused Multidisciplinary Design Optimization Of Tilt-Rotor Evtol Propulsion System, Tyler Critchfield, Andrew Ning

Faculty Publications

Tilt-rotor propulsion system design requires a multidisciplinary approach to tackle important challenges and competing tradeoffs between disciplines. In this paper, we model rotor aerodynamics, blade structures, vehicle drag, electric propulsion, and tonal/broadband acoustics for a tilt-rotor, electric vertical takeoff and landing aircraft using low-to-mid fidelity tools. We use gradient-based design optimization with automatic differentiation and parameter sensitivity analyses to explore the design space and complex tradeoffs of tilt-rotor distributed electric propulsion systems, exploring effects of variations in payload/empty weight, battery specific energy, and blade tip speed. This framework models multiple operating points with a mission-focused objective to account for the …


Efficiently Stowed Flashers With Uniform-Thickness Panels Based On Non-Developable Origami, Larry L. Howell, Robert J. Lang, Specer P. Magleby, Davis Wing Jan 2026

Efficiently Stowed Flashers With Uniform-Thickness Panels Based On Non-Developable Origami, Larry L. Howell, Robert J. Lang, Specer P. Magleby, Davis Wing

Faculty Publications

We present the mathematical construction of a deployable flasher pattern with near-uniform nonzero thickness in the deployed form and efficient face-to-face packing in the stowed form. We demonstrate its fabrication, deployment, and stowage. The results facilitate the design and manufacture of deployable systems with panels whose substantial thickness is dictated by the end application, with particular utility for space systems.


A Case Study Of Gender And Online Team Communication In Software Engineering Education, Rita Garcia, Christoph Treude Jan 2026

A Case Study Of Gender And Online Team Communication In Software Engineering Education, Rita Garcia, Christoph Treude

Research Collection School Of Computing and Information Systems

Collaboration is crucial in Software Engineering (SE), yet factors like gender bias can shape team dynamics and behaviours. This descriptive case study examines an eight-week project involving 39 SE students across eight teams contributing to GitHub projects. Focusing on gender, we used a mixed-methods approach to analyse Slack communications, identifying gender differences in how students respond to initiated communications and comparing how students’ communications influenced other aspects of students’ performance, including learning gains. We found higher help-seeking and leadership behaviours in the all-woman team involved in this case study, while men responded more slowly. Although communication did not directly affect …


Generalization Bounds For Semi‑Supervised Matrix Completion With Distributional Side Information, Antoine Ledent, Mun Chong Soo, Minh Hieu Nong Jan 2026

Generalization Bounds For Semi‑Supervised Matrix Completion With Distributional Side Information, Antoine Ledent, Mun Chong Soo, Minh Hieu Nong

Research Collection School Of Computing and Information Systems

We study a matrix completion problem where both the ground truth R matrix and the unknown sampling distribution P over observed entries are low-rank matrices, and share a common subspace. We assume that a large amount M of unlabeled data drawn from the sampling distribution P is available, together with a small amount N of labeled data drawn from the same distribution and noisy estimates of the corresponding ground truth entries. This setting is inspired by recommender systems scenarios where the unlabeled data corresponds to ‘implicit feedback’ (consisting in interactions such as purchase, click, etc. ) and the labeled data …


Hybrid Learning And Optimization Methods For Solving Capacitated Vehicle Routing Problem, Monit Sharma, Hoong Chuin Lau Jan 2026

Hybrid Learning And Optimization Methods For Solving Capacitated Vehicle Routing Problem, Monit Sharma, Hoong Chuin Lau

Research Collection School Of Computing and Information Systems

We propose a hybrid quantum–classical framework for the Capacitated Vehicle Routing Problem (CVRP) that integrates the Augmented Lagrangian Method (ALM) with deep reinforcement learning (RL). Directly solving CVRP via Variational Quantum Eigensolver (VQE) requires a slack-based QUBO formulation, where converting inequalities to equalities greatly increases the qubit count. To circumvent this, we employ an ALM-based reformulation that enforces constraints through Lagrange terms instead of slack variables, drastically reducing quantum resource demands. An RL agent, trained with Soft Actor–Critic, adaptively tunes the Lagrange penalties to improve convergence and feasibility. Experiments show that RL-Q-ALM outperforms static-penalty and plain VQE baselines in both …


Food Recognition With Visual Language Models: Search Re-Ranking Or Retrieval-Augmented Generation?, Kian Yu Gan, Phuong Anh Nguyen, Chong-Wah Ngo Jan 2026

Food Recognition With Visual Language Models: Search Re-Ranking Or Retrieval-Augmented Generation?, Kian Yu Gan, Phuong Anh Nguyen, Chong-Wah Ngo

Research Collection School Of Computing and Information Systems

Despite the rapid advances in Visual Language Models (VLMs), these models struggle to recognize culture-specific food items. While VLMs are effective in recognizing popular cultural dishes, their performance is suboptimal for dishes that are unique but not widely known internationally. Specifically, VLMs often generate either generic labels or hallucinated names for dishes that are localized to a particular culture. As a result, retrieval-augmented generation (RAG), which retrieves relevant recipes as references for VLMs, emerges as a promising approach. Nevertheless, recipe retrieval, which is itself imperfect, could mislead VLMs into generating inaccurate or culturally inappropriate dish names. This paper presents a …


Towards Secure Program Partitioning For Smart Contracts With Llm’S In-Context Learning, Ye Liu, Yuqing Niu, Chengyan Ma, Ruidong Han, Wei Ma, Yi Li, Debin Gao, David Lo Jan 2026

Towards Secure Program Partitioning For Smart Contracts With Llm’S In-Context Learning, Ye Liu, Yuqing Niu, Chengyan Ma, Ruidong Han, Wei Ma, Yi Li, Debin Gao, David Lo

Research Collection School Of Computing and Information Systems

Smart contracts are highly susceptible to manipulation attacks due to the leakage of sensitive information. Addressing manipulation vulnerabilities is particularly challenging because they stem from inherent data confidentiality issues rather than straightforward implementation bugs. To tackle this by preventing sensitive information leakage, we present PARTITIONGPT, the first LLM-driven approach that combines static analysis with the in-context learning capabilities of large language models (LLMs) to partition smart contracts into critical (privileged) and normal codebases, guided by a few annotated sensitive data variables. We evaluated PARTITIONGPT on 18 annotated smart contracts containing 99 sensitive functions. The results demonstrate that PARTITIONGPT successfully generates …


Scaling Up Cooperative Multi-Agent Reinforcement Learning Through Hierarchical Heterogeneous Modular Architectures, Minghong Geng Jan 2026

Scaling Up Cooperative Multi-Agent Reinforcement Learning Through Hierarchical Heterogeneous Modular Architectures, Minghong Geng

Research Collection School Of Computing and Information Systems

Multi-agent reinforcement learning enables sophisticated collaborative behaviors in autonomous systems, yet fundamental scalability barriers persist: existing methods struggle to coordinate large agent populations and face challenges with extended decision-making horizons. This research develops hierarchical approaches to scale up multi-agent learning systems through two complementary directions: structural scaling for coordinating increasing numbers of agents and temporal scaling for extending decision-making horizons. This paper presents four integrated contributions: a taxonomic survey establishing hierarchical architectures as the theoretical foundation for scalable multi-agent learning systems, a benchmark for long-horizon multi-objective multi-agent reinforcement learning, a framework integrating self-organizing neural networks with multiple reinforcement learning agents …


Realign: Text-To-Motion Generation Via Step-Aware Reward-Guided Alignment, Wanjiang Weng, Xiaofeng Tan, Junbo Wang, Guo-Sen Xie, Pan Zhou, Hongsong Wang Jan 2026

Realign: Text-To-Motion Generation Via Step-Aware Reward-Guided Alignment, Wanjiang Weng, Xiaofeng Tan, Junbo Wang, Guo-Sen Xie, Pan Zhou, Hongsong Wang

Research Collection School Of Computing and Information Systems

Text-to-motion generation, which synthesizes 3D human motions from text inputs, holds immense potential for applications in gaming, film, and robotics. Recently, diffusion-based methods have been shown to generate more diversity and realistic motion. However, there exists a misalignment between text and motion distributions in diffusion models, which leads to semantically inconsistent or low-quality motions. To address this limitation, we propose Reward-guided sampling Alignment (ReAlign), comprising a step-aware reward model to assess alignment quality during the denoising sampling and a reward-guided strategy that directs the diffusion process toward an optimally aligned distribution. This reward model integrates step-aware tokens and combines a …


Dengue Fever With Normal Platelet Count In A Patient With Β-Thalassemia Trait: A Case Report., Pankaj Kumar Jain, Manoj Seval, Vikas Meena, Rajesh Kumar Yadav Jan 2026

Dengue Fever With Normal Platelet Count In A Patient With Β-Thalassemia Trait: A Case Report., Pankaj Kumar Jain, Manoj Seval, Vikas Meena, Rajesh Kumar Yadav

Digital Journal of Clinical Medicine

Dengue fever is an arboviral infection caused by different serotypes of the dengue virus. Generally, it presents with a wide variety of symptoms ranging from undifferentiated fever to dengue shock syndrome associated with thrombocytopenia and hemoconcentration. But in patients with thalassemia, it presents with anemia due to hemolysis, rather than hemoconcentration. Here we present a case of an 18-year-old female diagnosed with Dengue fever with thalassemia trait, who presented with a normal platelet count and moderate microcytic anemia.


Limitations Of Plasma Exchange In Yellow Phosphorus-Induced Acute Liver Failure: A Case Report, Vihitha Vunnam, Swathi B.S Jan 2026

Limitations Of Plasma Exchange In Yellow Phosphorus-Induced Acute Liver Failure: A Case Report, Vihitha Vunnam, Swathi B.S

Digital Journal of Clinical Medicine

Yellow phosphorus is a highly toxic compound commonly used in rodenticides and is associated with significant morbidity and mortality following ingestion. Toxicity typically evolves through an initial gastrointestinal phase, a deceptive latent period, and a final phase characterized by fulminant hepatic failure and multiorgan dysfunction. We report the case of an 18-year-old male who intentionally ingested two tubes of Ratol containing 3% yellow phosphorus. After initial vomiting and transient clinical stability, he developed rapidly progressive acute liver failure with severe coagulopathy, conjugated hyperbilirubinemia, hepatic encephalopathy, acute pancreatitis, pancytopenia, acute kidney injury, metabolic derangements, and recurrent hypoglycemia. Serial laboratory trends demonstrated …


Understanding The Progression Of Borderline Personality Disorder During Adolescence: A Clinical Case Study, Anjali Chandak, Megha Sadashiv, Bhawna Sharma, Bhargav Mulpuru Jan 2026

Understanding The Progression Of Borderline Personality Disorder During Adolescence: A Clinical Case Study, Anjali Chandak, Megha Sadashiv, Bhawna Sharma, Bhargav Mulpuru

Digital Journal of Clinical Medicine

Borderline Personality Disorder (BPD) often emerges during adolescence, but remains relatively understudied in this population. This case report explores the sociobiological factors shaping symptom expression in an adolescent girl. Longitudinal clinical evaluation revealed hallmark features, including affective instability, identity disturbance, interpersonal relations, and self-harming behaviour. Early attachment disruptions, emotional regulation difficulties, and heightened sensitivity to relational stressors were identified as key developmental risk factors. Diagnostic and therapeutic considerations are presented, highlighting the need for prompt, developmentally informed, and evidence-based interventions. The case further emphasises how prognosis and chronicity may be significantly influenced by an adopting developmental approach, providing insight into …


When Fever And Thrombocytopenia Are Not Infectious: A Case Of Vitamin B12 Deficiency Mimicking Tropical Fever, Ram Arvind Viswanathan Dr Jan 2026

When Fever And Thrombocytopenia Are Not Infectious: A Case Of Vitamin B12 Deficiency Mimicking Tropical Fever, Ram Arvind Viswanathan Dr

Digital Journal of Clinical Medicine

Vitamin B12 deficiency is classically associated with megaloblastic anaemia and neurological manifestations; however, atypical presentations continue to pose diagnostic challenges. Fever in association with thrombocytopenia often prompts evaluation for infectious aetiologies such as dengue, malaria, or sepsis, particularly in tropical settings. We report a case of vitamin B12 deficiency presenting with pyrexia and isolated thrombocytopenia, initially suspected to be an infectious illness. Extensive evaluation failed to reveal an infective cause, and subsequent haematological workup demonstrated megaloblastic changes with low serum vitamin B12 levels. Remarkably, the patient showed rapid defervescence and normalisation of platelet counts following parenteral vitamin B12 therapy. This …


The Role Of Physicians In Society: Perspectives From First-Year Mbbs Aspirants, Jesymol Joy, Dr Rashmi S, Amogha Shree, Dr Sunil Kumar D Jan 2026

The Role Of Physicians In Society: Perspectives From First-Year Mbbs Aspirants, Jesymol Joy, Dr Rashmi S, Amogha Shree, Dr Sunil Kumar D

Digital Journal of Clinical Medicine

Background: Physicians occupy a pivotal role in society as healers and communicators, with ethical leadership embedded in professional practice. In India, this role is evolving in response to changes in healthcare systems, increasing commercialization, and shifting societal expectations. Understanding how medical students perceive the physician’s role at the onset of medical education is vital for early professional identity development.

Objectives: To assess the motivations, perceptions, and values of first-year MBBS students regarding the societal roles, qualities, and responsibilities of physicians.

Methods: A cross-sectional study was conducted among 430 first-year MBBS students at a tertiary medical college in Mysuru, Karnataka, using …


Do More Sexually Active Men Have Less Bothersome Lower Urinary Tract Symptoms Of Benign Prostatic Hypertrophy? – A Prospective Cross-Sectional Study, Sharad Kumar Sahai, Puneet Aggarwal, Satya Prakash Tripathi, Pushkar Mendiratta, Madhamshetty Ranjith Jan 2026

Do More Sexually Active Men Have Less Bothersome Lower Urinary Tract Symptoms Of Benign Prostatic Hypertrophy? – A Prospective Cross-Sectional Study, Sharad Kumar Sahai, Puneet Aggarwal, Satya Prakash Tripathi, Pushkar Mendiratta, Madhamshetty Ranjith

Digital Journal of Clinical Medicine

Objectives:

Lower urinary tract symptoms (LUTS) are common in adult males with benign prostatic hyperplasia (BPH) being a common cause, with significant effect on the patient’s quality of life and sexual function. Studies show that sexual dysfunction increases with increasing severity of LUTS. The present study aimed to analyse whether the severity of BPH symptoms assessed using scoring system had any association with ejaculation frequency and erectile function.

Methods:

This was a prospective cross-sectional study done over a period of 18 months. All consecutive patients reporting to the surgical department with BPH and meeting the inclusion criteria were enrolled for …


Stones, Bones, And Hormones: A Multisystem Presentation Of Primary Hyperparathyroidism Due To Parathyroid Adenoma, Gadgesh B, Varsha Tandure, Nandini K, Chandana Srinath Jan 2026

Stones, Bones, And Hormones: A Multisystem Presentation Of Primary Hyperparathyroidism Due To Parathyroid Adenoma, Gadgesh B, Varsha Tandure, Nandini K, Chandana Srinath

Digital Journal of Clinical Medicine

Primary hyperparathyroidism is an endocrine disorder characterized by excessive secretion of parathyroid hormone, most commonly due to a solitary parathyroid adenoma, resulting in hypercalcemia and multisystem involvement [1]. Although many patients are diagnosed incidentally, delayed recognition may lead to severe renal, skeletal, gastrointestinal, and cardiovascular complications.

We report the case of a 44-year-old male who presented with sepsis and acute kidney injury, later found to have hypercalcemia with nephrocalcinosis, chronic calcific pancreatitis, skeletal deformities, and markedly elevated parathyroid hormone levels. Imaging localized a parathyroid adenoma, and the patient underwent successful parathyroidectomy with significant biochemical and clinical improvement.

This case emphasizes …


Status Of Mental Health Of Children And Sociodemographic Factors Associated With It Three Years Following Covid-19 Pandemic, Dr Dhanyatha T S, Dr Mithila Das Mazumder, Dr Likitha A C Jan 2026

Status Of Mental Health Of Children And Sociodemographic Factors Associated With It Three Years Following Covid-19 Pandemic, Dr Dhanyatha T S, Dr Mithila Das Mazumder, Dr Likitha A C

Digital Journal of Clinical Medicine

Background: COVID-19 disrupted every aspect of life, particularly affecting the mental well-being of children. Prolonged school closures, isolation, and lifestyle changes significantly impacted emotional and behavioral development.This study evaluated the mental health status of children three years after the pandemic and analyzed the influence of sociodemographic factors.

 

Objectives:

  1. To assess the current status of mental health among children 7–15 years, three years after  COVID-19.
  2. To evaluate the sociodemographic factors associated with mental health outcomes.

Methods:

 A cross sectional study was conducted from June2023 to December 2024 among 125 children aged 7–15 years at our institute.The Child Behavior Checklist (CBCL) was …


Clinical Correlates And Predictors Of Suicide Attempt Severity In Elderly Patients: A Cross-Sectional Study From South India, Rajamani Siddamallappa, Kiran Kumar Kadarappa Dr, Megha C N Jan 2026

Clinical Correlates And Predictors Of Suicide Attempt Severity In Elderly Patients: A Cross-Sectional Study From South India, Rajamani Siddamallappa, Kiran Kumar Kadarappa Dr, Megha C N

Digital Journal of Clinical Medicine

Background: Suicide in late life is a major yet under-recognized public health problem in low- and middle-income countries. Elderly suicidal behaviour reflects interactions between psychiatric morbidity, substance use, psychological distress, intent, and method selection. Indian data examining these factors comprehensively remain limited.

Objectives: To assess psychiatric morbidity, hopelessness, suicide intent, planning patterns, methods, and independent predictors of suicide attempt severity among elderly suicide attempters.

Methods: This cross-sectional study included 75 elderly individuals (≥60 years) admitted following a suicide attempt to a tertiary care hospital in South India. Depression severity, hopelessness, and suicide intent were assessed using Beck’s Depression Inventory-21 (BDI-21), …


Family Mental Health – A Case Report, Vikrant Arora, Medha Kosireddy, Mathumitha Ananth, Kishor M. Manohar Rao Jan 2026

Family Mental Health – A Case Report, Vikrant Arora, Medha Kosireddy, Mathumitha Ananth, Kishor M. Manohar Rao

Digital Journal of Clinical Medicine

Psychiatric illness in India is estimated to be 15% as per National Mental Health Survey 2015-16.  Mental health challenges within families, especially depression, anxiety disorders that are not common and when unaddressed exert cascading effects on all members, disrupting emotional cohesion, relational functioning, and socioeconomic stability. There are few case reports on entire family presenting to psychiatry department.

With informed consent a city-based middle-class family of non-consanguineous origin, where the 40-year-old female, presented with intractable limb pains and health anxiety, she had multiple consultation in last few months and her 48-year-old husband also had with episodic pains, irritability and her …


From Controversy To Comeback: The Renewed Role Of Pralidoxime In Op Poisoning, Dr Sanaa Jain, Dr Savitha V, Dr . Shashidhara K C Jan 2026

From Controversy To Comeback: The Renewed Role Of Pralidoxime In Op Poisoning, Dr Sanaa Jain, Dr Savitha V, Dr . Shashidhara K C

Digital Journal of Clinical Medicine

Organophosphorus compounds are commonly used as pesticides in agriculture, but they are responsible for approximately one-third of suicide deaths in Asian countries.The symptoms of organophosphate (OP) poisoning vary over time and are categorized into three phases: Acute Cholinergic Crisis (minutes to 24 hours), Delayed Phase (24 hours to 2 weeks), which may include intermediate syndrome, coma, and extrapyramidal symptoms, and Late Phase (OPIDP). Treatment typically involves Atropine, Pralidoxime, and symptomatic management, including airway support and mechanical ventilation.


Ropinirole-Induced Sleep-Related Behavioral Disturbances And Psychotic Symptoms In Parkinson's Disease: A Case Report, Kareena Arora, Akshatha C. J, Rajesh Raman, Vikrant Arora, Bindu Annigeri, Megha Sadashiv Jan 2026

Ropinirole-Induced Sleep-Related Behavioral Disturbances And Psychotic Symptoms In Parkinson's Disease: A Case Report, Kareena Arora, Akshatha C. J, Rajesh Raman, Vikrant Arora, Bindu Annigeri, Megha Sadashiv

Digital Journal of Clinical Medicine

Parkinson’s disease (PD) is a progressive neurodegenerative disorder characterized primarily by motor symptoms such as bradykinesia, rigidity, and tremor. Though commonly associated with motor symptoms but can also present with significant non-motor symptoms such as sleep disturbances, psychosis, and cognitive decline. These symptoms may arise spontaneously or be medication-induced. We present the case of a 53-year-old male with Parkinson’s disease who developed nocturnal behavioural disturbances and psychotic features, likely secondary to dopaminergic agonist medication. Symptom resolution followed adjustment of antiparkinsonian medications and the introduction of antipsychotic medication