Relationship between the risk of relapse and via of administration of treatment antipsychotic

2017 ◽  
Vol 41 (S1) ◽  
pp. S691-S691
Author(s):  
L.F. Laura ◽  
A. González Suárez ◽  
A. Alonso Huerta ◽  
S. Ocio León ◽  
M. Gómez Simon ◽  
...  
Keyword(s):  
Hospital Admissions ◽  
Oral Treatment ◽  
Psychiatric Inpatient ◽  
Protective Role ◽  
The Past ◽  
Psychiatric Inpatient Unit ◽  
Injectable Treatment ◽  
Competing Interest ◽  
One Year

IntroductionHe income hospital represents a rupture in the continuity of life of the patient. It would be advisable to determine those variables that help to reduce them. Some studies are running to a paper protector of the treatment injection in the relapses and number of hospitalizations.ObjectivesCompare the risk of decompensation, measured in terms of income hospital or consultations to emergency, between patients to treatment injection versus oral.Aims/methodsHe is a descriptive study which assesses the number of hospital admissions and consultations to emergency departments in the period of one year (between September 2015 and September 2016) of a sample of 28 patients registered as TMS and the results are compared with the type used for antipsicotivo treatment via.ResultsWe start from a sample of 28 patients, of which 17 are still a treatment intramuscular and 11 have all your guideline prescribed in oral. Patients injection treatment group needed to be admitted to a psychiatric inpatient unit at least on one occasionin the past year, 7 patients and 11 patients to oral treatment, only 2 patients wereadmitted and other 2 came once to your referral hospital emergency department.ConclusionsOf the 17 patients to treatment with injectable ingresason or needed care urgently a 41.18%, facing the 36.36% of those patients to treatment by via oral. These results do not have a protective role of injectable treatment compared with decompensation measures according to need hospitalization or urgent attention.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals One Year of the COVID-19 Pandemic in Galicia: A Global View of Age-Group Statistics during Three Waves

2021 ◽  
Vol 18 (10) ◽  
pp. 5104
Author(s):  
Iván Area ◽  
Henrique Lorenzo ◽  
Pedro J. Marcos ◽  
Juan J. Nieto
Keyword(s):  
Intensive Care Unit ◽  
Hospital Admissions ◽  
Age Groups ◽  
Age Group ◽  
Nw Spain ◽  
The Past ◽  
Global View ◽  
Time Period ◽  
Key Variables ◽  
One Year

In this work we look at the past in order to analyze four key variables after one year of the COVID-19 pandemic in Galicia (NW Spain): new infected, hospital admissions, intensive care unit admissions and deceased. The analysis is presented by age group, comparing at each stage the percentage of the corresponding group with its representation in the society. The time period analyzed covers 1 March 2020 to 1 April 2021, and includes the influence of the B.1.1.7 lineage of COVID-19 which in April 2021 was behind 90% of new cases in Galicia. It is numerically shown how the pandemic affects the age groups 80+, 70+ and 60+, and therefore we give information about how the vaccination process could be scheduled and hints at why the pandemic had different effects in different territories.

Forestalling Preschool Expulsion: A Mixed-Method Exploration of the Potential Protective Role of Teachers’ Perceptions of Parents

2019 ◽  
Vol 56 (6) ◽  
pp. 2189-2220 ◽  
Author(s):  
Courtney A. Zulauf ◽  
Katherine M. Zinsser
Keyword(s):  
Protective Factors ◽  
Child Behavior ◽  
Mixed Method ◽  
Protective Role ◽  
Teachers Perceptions ◽  
The Past ◽  
Negative Perceptions ◽  
Role Of Teachers ◽  
The Relationship

Preschoolers are being expelled at an alarming rate and little is known about protective factors. One factor may be the relationship between parents and teachers. Using surveys and interviews, the present study explores teachers’ perceptions of parents and center support as they relate to teachers’ requests to have a child removed from their classroom, an action related to expulsion. Teachers who have more negative perceptions of parents and perceive less center support working with parents were more likely to have requested a removal of a child in the past year. Qualitative comparisons yield differential themes around attribution of child behavior to parents and styles of engagement with parents between teachers who have requested a removal and those who have not.

Liaison in Reverse: The Role of a Psychosomatically-Oriented Internist in a Department of Psychiatry

1982 ◽  
Vol 11 (4) ◽  
pp. 373-378 ◽  
Author(s):  
Robert F. Klein
Keyword(s):  
Physical Examination ◽  
Medical Center ◽  
Psychiatric Inpatient ◽  
Inpatient Unit ◽  
Medical Consultation ◽  
Psychiatric Inpatient Unit ◽  
Physician Identity

The renewal of interest in the physician identity of the psychiatrist has exposed widespread deficits in skills such as physical examination. A program designed to provide medical consultation and teaching in a 107 bed psychiatric inpatient unit of a university medical center is described. The contributions of a psychosomatically-oriented internist to the development of this program of reverse liaison are considered. Bidirectional liaison units may prove to be a resource for psychiatry departments in the remedicalization process.

scholarly journals Investigating the reciprocal relations between academic buoyancy and academic adversity: Evidence for the protective role of academic buoyancy in reducing academic adversity over time

2019 ◽  
Vol 44 (4) ◽  
pp. 301-312 ◽  
Author(s):  
Andrew J. Martin ◽  
Herbert W. Marsh
Keyword(s):  
High School Students ◽  
Structural Equation ◽  
Protective Role ◽  
Theory And Practice ◽  
Equation Modeling ◽  
School Students ◽  
Positive Effects ◽  
Academic Buoyancy ◽  
One Year

What is the relationship between academic buoyancy and academic adversity? For example, does the experience of academic adversity help build students’ academic buoyancy in school—or, does academic buoyancy lead to decreases in subsequent academic adversity? This longitudinal study of 481 high school students (Years 7–12) investigated the relations between academic buoyancy and academic adversity. Harnessing a cross-lagged panel design spanning two consecutive academic years, we employed structural equation modeling to investigate the extent to which prior academic buoyancy predicted subsequent academic adversity and the extent to which prior academic adversity predicted subsequent academic buoyancy—beyond the effects of sociodemographics, prior achievement, and auto-regression. We found that prior academic buoyancy significantly predicted lower subsequent academic adversity, but prior academic adversity did not significantly predict higher subsequent academic buoyancy. Interestingly, however, there was a marginal interaction effect such that students who experienced academic adversity but who were also high in academic buoyancy were less likely to experience academic adversity one year later. We conclude that it is important to instill in students the capacity to effectively deal with academic adversity—that is, academic buoyancy. We also conclude that some experience of academic adversity can have positive effects but predominantly when accompanied by high levels of academic buoyancy. Implications for theory and practice are discussed.

scholarly journals Mycobacteriosis treatment challenges in patients with HIV-infection

2020 ◽  
Vol 12 (3) ◽  
pp. 35-45
Author(s):  
M. A. Savchenko ◽  
A. M. Panteleev
Keyword(s):  
Highly Active Antiretroviral Therapy ◽  
Opportunistic Infections ◽  
The United States ◽  
Steady Increase ◽  
The Past ◽  
Highly Active ◽  
History Of ◽  
One Year

Over the past decade, in Russian Federation there has been a steady increase in the incidence of MAC-infection in patients with HIV (the growth of nosology over the past five years, on average, was 57% per year). This determines the interest in this problem, especially in terms of the high inefficiency of treatment for the disease, the long term and cost of treatment. The history of the study of Mycobacterium Avium Complex-infection (MAC) originates in the early eighties in the United States, when the prognosis for a patient with AIDS and mycobacteriosis was extremely poor: mortality within one year after the detection of pathogen reached 71%. The role of infection in the thanatogenesis of patients was, however, established only by the beginning of the nineties. The detection of macrolide activity against the pathogen significantly improved the prognosis for patients, especially in combination with highly active antiretroviral therapy. The widespread introduction of antiviral drugs into practice and the ability to achieve immune reconstitution prevented the development of opportunistic infections, but did not solve the remaining issues of the treatment of the MAC-infection. The main one is the treatment of patients with a clarithromycin-resistant pathogen. There is no consensus on the sensitivity of non-tuberculous mycobacteria to antibacterials.

scholarly journals Pertussis-Associated Persistent Cough in Previously Vaccinated Children

2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S323-S323
Author(s):  
Nicola Principi ◽  
David Litt ◽  
Leonardo Terranova ◽  
Marina Picca ◽  
Concetta Malvaso ◽  
...  
Keyword(s):  
Oral Fluid ◽  
Vaccine Dose ◽  
Protective Role ◽  
Enzyme Linked Immunosorbent Assay ◽  
Nasopharyngeal Swab ◽  
Igg Antibody ◽  
Pertussis Infection ◽  
Persistent Cough ◽  
One Year

Abstract Background Persistent cough is a very distressing condition. It may be due to infectious agents, including Bodetella pertussis. In this case, associated symptoms are frequently different from typical pertussis (PT) cases and diagnosis is difficult and delayed. In this study, the role of B. pertussis infection as cause of persistent cough in school-children and adolescents and the protective role of previously administered PT vaccine doses was evaluated. Methods Healthy 7- to 17-year-old children with cough lasting from 2 to 8 weeks were enrolled. Excluded were the patients who had received the preschool booster (PSB) PT vaccine less than one year before the cough onset. At enrollment, a nasopharyngeal swab and an oral fluid sample were obtained to seek pertussis infection by detection of B. pertussis DNA in the nasopharynx using PCR and/or an elevated titer of anti-pertussis toxin IgG in oral fluid using an IgG antibody-capture enzyme-linked immunosorbent assay. Saliva determination of anti-PT toxin IgG was used because it acts as a surrogate for anti-PT toxin IgG serology. Results Among 96 patients, pertussis was diagnosed in 18 (18.7%; 95% CI 11.5–28.0). In 2 children with cough lasting 2 weeks, confirmation was based on the detection of B. pertussis; in 13 cases, with cough lasting 4–7 weeks, PT was diagnosed because there were high anti-PT IgG titers in oral fluid; and in 3 cases, with cough lasting 3 weeks, PT was diagnosed due to positivity for both tests. In 15 children, the disease occurred despite PSB administration. In 2 cases, PT diagnosis was made only 16 and19 months after booster injection, whereas in other 13 cases infection emerged after a longer period. However, in eight cases disease occurred less than 5 years after vaccine administration. Conclusion This study demonstrates that about 20% of persistent cough in children is due to PT. In case of persistent cough, this has to be considered to prescribe an effective therapy. Moreover, the study confirms that protection evoked by PT vaccine rapidly wanes and that schoolchildren may return to be PT susceptible after few year of the officially recommended PSB dose. If confirmed, these findings might lead to anticipate presently recommended PT vaccine dose for adolescents. Disclosures All authors: No reported disclosures.

Improving use of resources-health care in patients with psychiatric pathology after introduction of risperidone long-acting injection (RLAI)

2011 ◽  
Vol 26 (S2) ◽  
pp. 1288-1288
Author(s):  
F. Valdivia ◽  
M. Asensio ◽  
A. Soler ◽  
L. López
Keyword(s):  
Mental Health Center ◽  
Psychiatric Inpatient ◽  
Ambulatory Monitoring ◽  
Adherence To Treatment ◽  
Use Of Resources ◽  
Psychiatric Inpatient Unit ◽  
Qualitative Variables ◽  
Oral Antipsychotic ◽  
One Year ◽  
Long Acting

Enhance adherence to treatment is one of the main objectives in psychiatric clinical practice. The aim of this study is to evaluate changes in the use of oral antipsychotic medication, the use of rehabilitation resources and the number and duration of income in Psychiatric Inpatient Unit, comparing one year before and one year after RLAI's introduction, in patients with different psychiatric disorders, followed up by Mental Health Center and have maintained adherence to treatment for a defined period. We performed an observational, retrospective study by reviewing medical records of patients in ambulatory monitoring. The sample consisted of all patients (112) who had maintained RLAI treatment for a year, excluding those who did not fulfill the guideline correctly (14), remaining n = 98. We included patients of various pathologies, establishing groups as qualitative variables (F.20 = 56; F.25 = 12; F.22–28 = 20; F.60 = 10); of both sexes (V = 71; M = 27) and all ages. The preliminary results obtained showed a greater use of rehabilitation resources and decreased use of oral antipsychotics.

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