Analysis of the elapsed time since a patients’ disease is diagnosed till they come to a rehabilitation center

2016 ◽  
Vol 33 (S1) ◽  
pp. S567-S567
Author(s):  
M. Palomo Monge ◽  
D.C. Sandra ◽  
A.L. María Fernanda ◽  
T.G. María Fernanda ◽  
G.M. David ◽  
...  
Keyword(s):  
Average Length ◽  
Descriptive Study ◽  
Rehabilitation Center ◽  
Cross Sectional ◽  
Elapsed Time ◽  
Rehabilitation Centers ◽  
Men 2 ◽  
Number Of Patients ◽  
Recent Diagnosis ◽  
Competing Interest

IntroductionThe elapsed time since a patients’ disease is diagnosed till these patients come to rehabilitation centers is usually long. In this study in our sanitary area, we have checked the average length of time since the patient is diagnosed till they come to the rehabilitation center.ObjectivesTo calculate and analyze the years of evolution of the disease in patients who come to the rehabilitation center in the Talavera area during year 2014. Classify them by sex.MethodsRetrospective cross-sectional descriptive study. We carried out a register of all the patients who come to the Psychosocial and labor Rehabilitation center in 2014. Classified them by sex, and the time lapsed since they were diagnosed until 2014.ResultsFrom all 135 patients: 92 men (68.15%) and 43 women (31.85%). Less than 2 years of evolution: 1 patient (1%) 1 men, 0 women; between 2 and 5 years of evolution: 7 patients (5%) 5 men, 2 women; between 6 and 10 years evolution: 13 patients (10%) 7 men, 6 women; more than 10 years: 114 patients (84%).ConclusionsIt is evident that the number of patients increases proportionally to the number of years since the diagnosis. The majority of patients who come to the center (84%) were diagnosed more than 10 years ago. This leads us to wonder why the patients in our sanitary area with recent diagnosis of diseases such as schizophrenia do not come to the mentioned centers earlier.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Consultation liaison psychiatry in Talavera's hospital during the year 2014

2016 ◽  
Vol 33 (S1) ◽  
pp. S394-S394
Author(s):  
M. Palomo Monge ◽  
D.C. Sandra ◽  
A.L. Maria Fernanda ◽  
G.M. David ◽  
T.G. Maria Fernanda ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Psychiatric Disorders ◽  
Descriptive Study ◽  
Liaison Psychiatry ◽  
Consultation Service ◽  
Cross Sectional ◽  
Consultation Liaison Psychiatry ◽  
Competing Interest

IntroductionAnalyze the number of interdepartmental consultations carried out at Department of Psychiatry, Hospital Nuestra Señora del Prado from other areas of hospitalization during 2014.ObjectivesThe goal is to evaluate the prevalence of psychiatric disorders in patients who are hospitalized for other reasons, and which services are needed the most.MethodsRetrospective cross-sectional descriptive study. A record of consultations carried out by the psychiatry service in 2014 was collected. The data were analyzed according to the origin of the consultation service, the month when it was performed and the sex of the patient. The monthly percentage of interconsultations and the percentage represented by each interconsultation service were calculated. They classified according to sex.ResultsIn 2014, 211 interconsultations were carried out, 104 men and 86 women. Surgery 16, 11%, pneumology 13, 74%, internal medicine 12, 32%, traumatology 8, 06%, digestive 7, 11%), I.C.U. 6, 64%, cardiology 6, 16%, hematology 5, 69%, oncology 5, 21%, pediatrics 4, 27%, gynecology 2, 84%, emergency 1, 90%, palliative1, 90%, endocrinology 1, 42%, urology 1, 42, nephrology 0, 95%, E.N.T. 0, 95%, obstetrics 0, 47%, dermatology 0%, ophthalmology 0%, rheumatology 0%. January 12, 8%, February 13%, March 9, 5%, April 6, 2%, May 5, 7%, June 8, 1%, July 6, 2%, August 4, 3%, September 8, 1%, October 12%, November 7, 6%, December 6, 2%.ConclusionsMost of the interconsultations were carried out in January, February and October. However, August was the least busy month. The busiest service was the Surgery service, followed by the Pneumology and Internal Medicine one. There were no interconsultations of the Ophthalmology, Rheumatology and Dermatology services. The consults were in demand mainly by men rather than women.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Patients’ perception of safety in four hospitals in Tamaulipas, Mexico

2017 ◽  
Vol 6 (6) ◽  
pp. 15
Author(s):  
Concepción Meléndez Méndez ◽  
Rosalinda Garza Hernández ◽  
Juana Fernanda González Salinas ◽  
Socorro Rangel Torres ◽  
Gloria Acevedo Porras ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Descriptive Study ◽  
Cross Sectional ◽  
Perception Of Safety ◽  
Number Of Patients ◽  
Second Surgery ◽  
Patients Experience ◽  
Clinical Error

Objective: To determine the perceived patient safety related to health care during hospitalization. To identify the number of patients who report having suffered a clinical error and describe the patients’ experience with the clinical error.Methods: A cross-sectional descriptive study performed of patients who were hospitalized between August-November 2013 in four second-level hospitals.Results: A total of 631 patients were surveyed. Regarding the errors suffered during the hospitalization, 7.9% of the patients reported having suffered a complication, 7.9% reported having an infection, 5.2% had an allergic reaction to medication and 5.1% had to undergo a second surgery. Regarding the patients’ responses about the experience with the error, only 4.8% of the patients reported having had experiencing clinical error in their management, 1.9% mentioned that they fully agreed that the error was solved quickly, 2.5% that the error was solved satisfactorily and 3.3% patients disagreed as they were not informed if steps would be taken to prevent the error from recurring.Conclusions: To address safety culture in the hope of improving patient safety will continue to motivate nurse researchers and managers thus more research about patient perception is needed.

Psychoaffectives Repercussions of Autism on Parents

2017 ◽  
Vol 41 (S1) ◽  
pp. S122-S122 ◽  
Author(s):  
R. Ben Soussia ◽  
A. Bouallagui ◽  
S. Khouadja ◽  
I. Marrag ◽  
M. Nasr
Keyword(s):  
Depressive Symptoms ◽  
Children With Autism ◽  
Cross Sectional Study ◽  
Autistic Children ◽  
Daily Stress ◽  
Cross Sectional ◽  
Psychological Reactions ◽  
Rehabilitation Centers ◽  
Stressful Experience ◽  
Competing Interest

IntroductionCaring for a child with autism is a stressful experience for parents. The daily stress of this handicap has a major impact and triggers in the parents a series of adverse psychological reactions.AimTo reveal sociodemographic characteristics of parents of autistic children and to estimate the prevalence of anxiety and depressive symptoms among these parents.MethodsA cross-sectional study conducted among parents of autistic children supported by four of autistic children rehabilitation centers under the Tunisian Association for the Promotion of Mental Health. Data were collected through a questionnaire to explore the sociodemographic data of parents of autistic children. Depressive symptoms were assessed by the Beck scale and anxiety symptoms by the Hamilton scale.ResultsFifty-two parents were collected. The middle age was 35.73 years. They lived in an urban area in 96% of cases. The majority had an average socioeconomic level (88.4%). The respective rates of depressed or anxious parents as Beck scales and Hamilton were 48% and 23%. The association between depressive and anxious symptoms was found in 19%. In addition, depression was more common in mothers (P < 10−4) and anxiety was also more evident among mothers (P = 0.01).ConclusionThe presence of an autistic child causes profound changes in families and can be a source of tension and stress. The anxious and depressive impact on parents is important and frequent. The intervention that designs the psychiatrist to help children with autism should necessarily include an action for parents.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Frequency of conjunctivitis among farmers of district vehari, Punjab, Pakistan

2021 ◽  
Author(s):  
Zain ul Abideen ◽  
Ahmed Sohail ◽  
Ishrat Perveen ◽  
Tallat anwar Faridi ◽  
Hafsa Ayyub
Keyword(s):  
Allergic Conjunctivitis ◽  
Descriptive Study ◽  
Common Type ◽  
Bacterial Conjunctivitis ◽  
Community Based ◽  
Cross Sectional ◽  
Protective Measures ◽  
Literacy Rate ◽  
Number Of Patients ◽  
Outdoor Work

Conjunctivitis is very common type of ocular problem occurring worldwide due to many type of microorganism and if not managed appropriately and timely can lead to corneal perforation or blindness Objective: To find out the frequency of conjunctivitis among farmers in District Vehari.­   Method: It was community based, cross sectional descriptive study, quantitative method was applied. The villages were selected randomly and subjects were communicated by door to door approach and examined personally with the help of ophthalmoscope and torch light. Result: A Total 200 Farmers were examined during the study period in which 33 (16.5%) Farmers were found to have conjunctivitis. Among these 29 (14.5%) patients had bacterial and 4 patients (2%) had viral conjunctivitis. And no patient was found to had allergic conjunctivitis. Conclusion: Protective measures are very important to protect eyes from any sort of pathogens and in this study maximum population were not using any protective measures while doing almost 6 hours outdoor work. Literacy rate was very poor because maximum number of patients were not getting treatment from qualified eye specialist instead of having bacterial conjunctivitis.

BARRIERS IN UPTAKE OF CATARACT SURGERY IN THE COVID ERA: PATIENT'S PERCEPTIONS

2021 ◽  
pp. 55-57
Author(s):  
Tania Moudgil ◽  
Yashi Bansal ◽  
Amandeep Singh ◽  
Seema Bandhu ◽  
Sukhmeen Kaur ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Daily Activity ◽  
Descriptive Study ◽  
Structured Interview ◽  
Retrospective Data ◽  
Hospital Services ◽  
Cross Sectional ◽  
Sociodemographic Data ◽  
Number Of Patients

Purpose: To evaluate the barriers in acceptance of cataract surgery during COVID-19(Coronavirus disease-2019) era. Material and methods: A cross sectional descriptive study was conducted in months of August and September 2020. Number of patients who refused the surgery were noted and compared with retrospective data of patients who refused cataract surgery in August and September 2019. The patients who refused cataract surgery were administered semi structured interview noting sociodemographic data, characteristics of cataract, reasons for refusing cataract surgery related to COVID-19 and otherwise and reasons for refusal to get tested for COVID-19. Results:Atotal of 100 patients (57 females and 43 males) who refused cataract surgery, 12 patients had visual acuity (VA) less than 6/60 and 50 had VAbetween 6/18-6/60. Amongst the barriers not relating to COVID-19 were daily activity not suffering(45) followed by fear of the surgery(25) and relating to hospital services were unwillingness for COVID-19 testing( 85), getting COVID-19infection from the hospital(24), lot of time is wasted (25)and they do not trust the level of precautions taken by the hospital at this point of time.(20) . Barriers related to COVID-19 were: refusal to get COVID-19 tested prior to surgery(85) , procedure is not an emergency, they want to defer it(51), their family members may get COVID-19 infection from them, if they get surgery at this time(15) , increase in nancial burden and owing to that they cannot get cataract surgery in this period(65) and lack of transport (25). Conclusions:COVID-19 has negatively impacted on cataract surgery uptake

scholarly journals Prevalence of active tuberculosis and associated factors among people with chronic psychotic disorders at St. Amanuel Mental Specialized Hospital and Gergesenon Mental Rehabilitation center, Addis Ababa, Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eshetu Temesgen ◽  
Yerega Belete ◽  
Kibrom Haile ◽  
Solomon Ali
Keyword(s):  
Associated Factors ◽  
Psychotic Disorders ◽  
Addis Ababa ◽  
Active Tuberculosis ◽  
World Health ◽  
Rehabilitation Center ◽  
Cross Sectional ◽  
Specialized Hospital ◽  
Number Of Patients ◽  
Chi Square Analysis

Abstract Background Tuberculosis (TB) is an airborne chronic infectious disease mainly caused by Mycobacterium tuberculosis complex bacteria. Currently, about 1.7 billion (26%) of the world’s population are considered to be infected with M. tuberculosis. The risk of acquiring tuberculosis is higher on some segments of societies including people with severe mental illness. As a result, World health organization (WHO) strongly recommends screening for tuberculosis in such risk groups and setting. Methods A cross-sectional study was conducted to assess the prevalence of active tuberculosis and associated factors among patients with chronic psychotic disorders admitted at St. Amanuel Mental Specialized Hospital and Gergesenon Mental rehabilitation center from February to June, 2020. All admitted patients were screened for any sign of TB as recommended by WHO. Presumptive TB cases were identified. Sputum samples were collected and tested by Xpert MTB/RIF assay. Data analysis was performed using SPSS version 25.0 statistical software and Chi square analysis was used to test the statistical association. Results From a total 3600 pschotic patients screened for TB, 250 (6.94%) presumptive tuberculosis cases were detected. From these, 27 (10.8%) were positive by Xpert MTB/RIF assay. Most of the patients were males (68.4%). The mean ± SD age of the participant was 36.5 ± 9.7 years. The overall prevalence of tuberculosis was found to be 750 per 100,000 population. The number of patients per room (p = 0.039) was associated with Xpert MTB/RIF positive active tuberculosis. Conclusion The prevalence of active tuberculosis among chronic psychotic patients was high. Number of admitted patients per room was identified as risk factors for Xpert MTB/RIF positive active tuberculosis. Therefore, to control TB transmission in chronic mental health treatment facilities, efforts should be directed to periodic screening for early case detection and improving the number of patients per room.

Hospital admissions and direct costs: A comparative study between paliperidone palmitate and oral antipsychotics

2016 ◽  
Vol 33 (S1) ◽  
pp. s229-s229
Author(s):  
A. Soler Iborte ◽  
S. Galiano Rus ◽  
J.A. Ruíz Sánchez
Keyword(s):  
Hospital Stay ◽  
Hospital Admissions ◽  
Average Length ◽  
Direct Costs ◽  
Average Hospital Stay ◽  
Average Hospital ◽  
Number Of Patients ◽  
Icd 10 ◽  
Schizophrenic Patients ◽  
Competing Interest

IntroductionThe total costs of schizophrenia increased to 2576 million Euros in 2013 in Spain, or 2.7% of the annual cost of health services. The hospitalizations, along with other intermediate resources, such as Day Hospital, etc., significantly contribute to the increase of economic burden. In Spain, the average hospital stay of schizophrenic patients is 18.24 days, totalling to an average cost of 6,753 Euros/patient (370.23 Euros/patient/day).Material and methodsThe sample selected included patients from both sexes, aged between 18 and 65 years old, with diagnostic criteria of schizophrenia (according to DSM-IV and ICD-10), admitted in the Mental Health Hospital Unit (MHHU), Úbeda between 2012 and 2013, with registered visits of at least 2 outpatient visits or 1 hospitalization related to the schizophrenia diagnosis (n = 48).ResultsAfter the start of treatment with the injectable antipsychotic drug of prolonged duration, the number of patients that required hospitalization for any psychiatric motive went from 24 patients (49.7%) to 11 patients (22.4%; P < 0.001). The patients who started treatment with PAP during hospitalization had an average stay of 15.7 days, as compared to 18.24 days of average hospital stay due to schizophrenia in Spain. The direct costs of hospitalization stays due to psychiatric reasons decreased from 162,071.88 Euros to 74,282.95 Euros (P < 0.001).ConclusionsThis observational study shows us that the treatment with PAP reduced the average length of the hospital stay, and resulted in a decreased percentage of re-admissions as compared to oral treatments for schizophrenia. These data led to savings of more than 50% of the direct costs of hospitalization.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Perceived and anticipated stigma in patients with schizophrenia according with the length of illness

2016 ◽  
Vol 33 (S1) ◽  
pp. s257-s257
Author(s):  
B. Reneses ◽  
L. Gallego ◽  
C. López-Micó ◽  
A. Fernández del Moral ◽  
R. Rodríguez ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Negative Consequences ◽  
Outpatient Services ◽  
Cross Sectional ◽  
Course Of Illness ◽  
Recent Diagnosis ◽  
Axis I ◽  
Competing Interest ◽  
Long Course ◽  
Anticipated Stigma

IntroductionPerceived and anticipated stigma are relevant issues in patients with schizophrenia. Stigma has negative consequences both in quality of life and in the course of illness.ObjectivesTo analyze differences in perceived and anticipated discrimination in two groups of patients with schizophrenia: one with a recent diagnosis of illness and another with a long course of disease.MethodsA cross-sectional study was carried out in a sample of 100 patients with diagnosis of schizophrenia, 18 or more years old, clinically stabilized, without axis I DSM-IV comorbidity. Patients received treatment in the outpatient services of a catchment area in Madrid. Perceived and anticipated discrimination was evaluated trough the DISC-12 (Discrimination and Stigma scale). Other study variables were: socio-demographic status, length of disease, symptoms of depression (Calgary Scale) and functionality degree measured by Global Assessment of Function (GAF). Two sub-groups of patients were compared: one with a length of illness below 5 years and a second one with a length of illness over 5 years.ResultsPatients with a length of illness longer than 5 years showed elevated degree of perceived and anticipated discrimination compared with patients with less than 5 years of illness course. In the same way, patients with a recent diagnosis of illness showed increased scores in the measure of face the stigma.ConclusionsPreventive strategies to avoid the stigma in schizophrenia should consider some differences in patients in relationship with the length of evolution of illness in order to be more accurate. Early intervention programs about stigma are necessary.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Evaluation of insomnia management in the elderly by general practitioners

2017 ◽  
Vol 41 (S1) ◽  
pp. s856-s856
Author(s):  
M. Turki ◽  
J. Aloulou ◽  
N. Halouani ◽  
R. Ennaoui ◽  
O. Amami
Keyword(s):  
General Practice ◽  
General Practitioners ◽  
The Elderly ◽  
Descriptive Study ◽  
Accurate Diagnosis ◽  
Physiological Changes ◽  
Cross Sectional ◽  
Somatic Comorbidities ◽  
Hypnotic Drugs ◽  
Competing Interest

IntroductionInsomnia is the most common sleep disorder in the elderly. Its management must take into account the physiological changes associated with age, a higher frequency of comorbidities and polypharmacy.AimTo evaluate the management of insomnia in the elderly patients by general practitioners and to compare it with international recommendations.MethodsWe conducted a cross-sectional and descriptive study among general practitioners in Sfax over a period of two months (January and February 2016). We proposed to these doctors to participate in our study by sending to them a questionnaire in their emails, which they fill anonymously.ResultsA total of 32 doctors responded to the questionnaire. Among them, 62.5% reported that they often or very often receive elderly consulting for insomnia. Before prescribing hypnotic drugs, 65.6% of practitioners reported that they often advise lifestyle and dietary rules. The most prescribed hypnotic classes were: benzodiazepines (BZD) 59.37%; antihistamines 59.37% and homeopathic treatments 56.25%. In the last prescription, the treatment period exceeded 30 days in 18.75%. As for the prescription of BZD, molecules with long half-life were used in 37.48% of cases, and the dosage was identical to adult in 34.4% of cases.ConclusionThe prescription of hypnotic treatment in the elderly meets a logical approach to care, after an accurate diagnosis, taking into account psychiatric and somatic comorbidities, the precautions and contraindications. In this context, we have identified several shortcomings in the management of insomnia in the elderly in general practice. A multiplication of training on this subject is needed.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Antipsychotic polypharmacy at the clinic of psychiatry, clinical centre of Serbia

2016 ◽  
Vol 33 (S1) ◽  
pp. S538-S539
Author(s):  
N. Divac ◽  
A. Damjanovic ◽  
R. Stojanovic ◽  
K. Savic Vujovic ◽  
B. Letunica ◽  
...  
Keyword(s):  
First Generation ◽  
National Level ◽  
Cross Sectional Study ◽  
Extensive Study ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Clinical Centre ◽  
Single Centre Study ◽  
Competing Interest ◽  
First And Second Generation

IntroductionAntipsychotic polypharmacy is not supported by current guidelines. However, it is often present in practice. A common reason for this is to gain a greater, faster therapeutic response and reduce the doses of individual drugs, thus reducing the adverse effects.Aims and ObjectivesThe aim of this study is to analyze the prevalence of antipsychotic polypharmacy at the Clinic of Psychiatry, Clinical Centre of Serbia and to compare it with the data from 10 years ago when similar research was conducted.Material and methodsThis is a cross-sectional study conducted in 2015. The data were obtained from the patients’ charts and compared with the results of a more extensive study conducted at the same hospital during 2002–2005 period. Statistics was performed using standard statistical methods.ResultsOf the total number of patients (n = 44), 81.8% (n = 36) were on antipsychotic monotherapy, while in the previous study, which included 198 patients, monotherapy was noted in just 32.3% hospitalizations (n = 64) (Chi = 34.5; P < 0.001). Among patients treated with polypharmacy, the majority was prescribed the combination of a first- and second-generation antipsychotic (n = 7, 87.5%), while just one patient was treated with two first-generation antispychotics (n = 1, 12.5%). In the 2002–2005 period, the combination of two first-generation antipsychotics was dominant (58.9%, n = 79).ConclusionThis study indicates that in Serbian psychiatry there is a strong tendency towards reduction of antipsychotic polypharmacy. However, this is a single-centre study with a relatively small number of participants and more extensive research on the national level is warranted to confirm this trend.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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