Engaging problem drinkers in a general hospital setting

1992 ◽  
Vol 9 (2) ◽  
pp. 126-129
Author(s):  
Catherine McDonnell ◽  
Diana G Patterson ◽  
Ann Marie Hughes
Keyword(s):  
General Hospital ◽  
Hospital Setting ◽  
Alcohol Dependency ◽  
Ward Staff ◽  
Problem Drinkers ◽  
Patient Appointment ◽  
The Mean ◽  
Alcohol Related Problems

AbstractObjective:To determine the level of engagement as defined by return for out-patient appointment in patients referred for alcohol counselling in a general hospital.Method:The hospital was offered a service with counselling within 24 hours for patients who were identified by ward staff as having alcohol related problems. Referred patients were interviewed on the ward by a nurse who specialised in alcohol counselling. Follow-up appointments were offered.Results:60% of those given counselling returned for further counselling as out-patients. 83% of women counselled were engaged compared with 42% of men (p<0.05). The mean SADD (a measure of alcohol dependency) score was 23.9 in those subjects who were engaged and 18.6 in those not engaged (p<0.05), indicating greater dependency in the former group.Conclusions:Although these patients had not actively sought help with their drinking 60% returned for counselling as out-patients. Women and those with high levels of alcohol dependency were more likely to seek further counselling.

Evaluating a bereavement support group

2008 ◽  
Vol 6 (1) ◽  
pp. 43-49 ◽  
Author(s):  
Nancy C. Maruyama ◽  
Clarisa V. Atencio
Keyword(s):  
General Hospital ◽  
Support Group ◽  
Negative Emotions ◽  
Hospital Setting ◽  
Bereavement Support ◽  
Men And Women ◽  
Before And After ◽  
Bereavement Support Group

ABSTRACTObjective:To assess the feasibility of an 8-week bereavement support group in a general hospital setting.Methods:We assessed grief and mood before and after an 8-week bereavement support group and compared dropouts to completers. Forty-seven participants filled out mood and grief questionnaires. Scores were compared with norms, then baseline and follow-up scores were analyzed by paired t tests. Fifteen dropouts' scores were compared with completers' baseline scores.Results:Participants' grief improved, as did depression in women but not men. Women dropouts scored significantly higher on Anger, Tension/Anxiety.Significance of results:Findings suggest men and women respond differently to bereavement groups. Bereaved individuals with high anger and tension may require interventions addressing their particular needs, with a focus on acceptance of negative emotions.

Alcohol-Related Problems in the Emergency Room of an Indian General Hospital

1989 ◽  
Vol 23 (2) ◽  
pp. 274-278 ◽  
Author(s):  
Adityanjee ◽  
D. Mohan ◽  
N. N. Wig
Keyword(s):  
Emergency Room ◽  
General Hospital ◽  
Outpatient Treatment ◽  
Psychiatric Illness ◽  
Not Given ◽  
Psychiatric Emergencies ◽  
Case Load ◽  
Alcohol Related Problems

Alcohol-related problems made up 17.6% of the case load of psychiatric emergencies in an Indian general hospital. The police brought three-quarters of them, 45% for quarrels, street-fights and under influence of alcohol and 20% for minor offences like abusing in public. A psychiatric illness was definitely present in 40% of the cases. Only 10% of the patients with alcohol-related problems were referred for outpatient treatment, Eighty-five percent were not given any follow-up advice because the patients said they needed no help.

scholarly journals Initial results of laparoscopic partial nephrectomy in the treatment of renal tumors in Thanh Hoa General Hospital

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Keyword(s):  
General Hospital ◽  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Renal Tumors ◽  
Intensive Training ◽  
Average Operative Time ◽  
The Mean ◽  
Initial Results ◽  
Average Tumor Size

Tóm tắt Đặt vấn đề: Đánh giá kết quả bước đầu của phẫu thuật nội soi cắt bán phần thận điều trị u thận tại bệnh viện Đa khoa tỉnh Thanh Hóa.Phương pháp nghiên cứu: Bao gồm 7 người bệnh (4 nữ, 3 nam) được chẩn đoán u thận trên chụp CLVT và được PTNS cắt bán phần thận tại Bệnh viện Đa khoa tỉnh Thanh Hóa từ tháng 11 năm 2016 đến tháng 07 năm 2017. Kết quả: Tuổi trung bình: 55,43 tuổi (38 - 67 tuổi). Kích thước u trung bình: 3,43 cm (3 - 5cm). U ở Giai đoạn pT1a có 5 người bệnh, giai đoạn pT1b có 2 người bệnh. Điểm độ phức tạp của khối u tính theo hệ thống R.E.N.A.L.: 4a có 2 người bệnh; 4p có 2 người bệnh; 5a, 6p, 8x đều có 1 người bệnh. Thời gian mổ trung bình: 135 phút. Thời gian thiếu máu nóng trung bình: 30,57 phút. Lượng máu mất trung bình: 87,14 ml. Tai biến chảy máu trong mổ có 1 người bệnh được chuyển sang phẫu thuật nội soi cắt thận triệt căn. Theo dõi sau 1 đến 3 tháng, chức năng thận phục hồi tốt không có biến chứng, di căn hay tái phát tại chỗ. Kết luận: PTNS cắt bán phần thận trong điều trị u thận có thể thực hiện được tại các bệnh viện tuyến tỉnh, với lựa chọn phù hợp ban đầu cho những khối u thận kích thước ≤ 4 cm. Tuy nhiên, để thực hiện tốt được kỹ thuật này thì cơ sở điều trị cần phải có trang thiết bị đầy đủ, phẫu thuật viên có kinh nghiệm phẫu thuật nội soi và được đào tạo chuyên sâu. Abstract Introduction: To evaluate initial results of laparoscopic partial nephrectomy in the treatment of renal tumors in Thanh Hoa General Hospital. Material and Methods: 7 patients (4 females, 3 males) were diagnosed with renal tumors on CT scans and underwent laparoscopic partial nephrectomy at Thanh Hoa General Hospital from November 2016 to July 2017. Results: The mean age is 55.43 years old. Average tumor size is 3.43 cm. There are 5 patients in the pT1a stage, 2 patients in the pT1b stage. The R.E.N.A.L. nephrometry scoring: 2 patients in 4a; 2 patients in 4p; 1 patient in 5a; 1 patient in 6p; 1 patient in 8x. Average operative time is 135 minutes. Average warm-ischaemic time is 30.57 minutes. Blood loss average 87,14 ml. Haemorrhagic complication in 1 patient required convert conversionto laparoscopic radical nephrectomy. After 1 - 3 months of follow-up, renal function recovered well without complication, metastasis, or local recurrence. Conclusion: Laparoscopic partial nephrectomy in the treatment of renal tumors is a surgical procedure that can be performed at provincial hospitals, with initial indications for renal tumors size ≤ 4 cm. However, in order to perform well in this technique, the facility must have adequate equipments, laparoscopically - experienced surgeons and intensive training. Keyword: Partial nephrectomy; renal tumor; laparoscopic surgery.

Computer assisted screening for alcohol‐related problems in a general hospital setting

1990 ◽  
Vol 152 (10) ◽  
pp. 556-556
Author(s):  
Robert Hecker ◽  
Christopher S E Wurm ◽  
Davlyn K Hale ◽  
Alan P DeGilio ◽  
Julian B Bungey ◽  
...  
Keyword(s):  
General Hospital ◽  
Hospital Setting ◽  
Computer Assisted ◽  
Alcohol Related Problems

scholarly journals A154 ASSESSING COLON SCREENING PROGRAM COLONOSCOPIES IN A NON-HOSPITAL ENDOSCOPY CLINIC

2020 ◽  
Vol 3 (Supplement_1) ◽  
pp. 18-19
Author(s):  
A N Gillies ◽  
R Chow ◽  
C Galorport ◽  
C A Macdonnell ◽  
J Yonge ◽  
...  
Keyword(s):  
Adverse Event ◽  
Screening Program ◽  
Hospital Setting ◽  
Hospital Environment ◽  
Record System ◽  
Detection Rates ◽  
Adenoma Detection ◽  
The Mean ◽  
Repeat Procedures

Abstract Background Colorectal cancer is the most commonly diagnosed cancer in British Columbia, affecting 1 in 6 persons. The BC Colon Screening Program (CSP) screens individuals 50–74 years of age with biennial FIT (cut-off 10 mcg/g) with follow-up colonoscopy for positive results. In Vancouver, colonoscopies are performed in a hospital environment; however non-hospital endoscopy clinics have been used in other jurisdictions. Aims To investigate the quality of procedure, rate of complications and need to repeat procedures in a hospital setting for colonoscopies performed on CSP patients in a non-hospital setting. Methods A retrospective chart review for all CSP colonoscopies performed from 04/19 to 07/19 in a non-hospital endoscopy clinic. Data was collected from an electronic medical record system and included adenoma detection rates; any repeat procedures required in a hospital setting and adverse event rates. Criteria for a repeat in hospital colonoscopy were inadequate bowel preparation, body mass index exceeding the allowable threshold for a non-hospital colonoscopy and identification of a difficult to remove polyp such as a polyp &gt; 20 mm or in a difficult location. Results 801 FIT positive patients (ages 50–74) underwent colonoscopy in the non-hospital endoscopy clinic. The mean age was 60 years (51% female). The mean time between referral date and procedure date was 192 days. The neoplasia detection rate was 60.2%, there was one (0.1%) adverse event (post-polypectomy bleed) and 21 (2.6%) patients required a repeat colonoscopy in a hospital setting. Conclusions Colonoscopy to follow-up a positive FIT in an non-hospital endoscopy clinic was safe and effective with a low number of repeat, in hospital colonoscopies required. Funding Agencies None

scholarly journals Evaluation of moving an acute psychiatric ward from a psychiatric hospital to a general hospital setting

1997 ◽  
Vol 21 (10) ◽  
pp. 636-639 ◽  
Author(s):  
Neil Rothwell ◽  
Pauline McManus ◽  
John Higgon
Keyword(s):  
General Hospital ◽  
Psychiatric Hospital ◽  
Repeated Measures ◽  
Hospital Setting ◽  
District General Hospital ◽  
Psychiatric Ward ◽  
Repeated Measures Design ◽  
Before And After ◽  
Acute Psychiatric Ward

This study evaluates the effects of moving an acute psychiatric ward from a psychiatric hospital to a district general hospital. A repeated measures design is used covering the three phases of shortly before and after the move and a follow-up 10 months after the move. Eleven measures were used including daily measures of patient disturbance and staff stress, length of stay, diagnosis and a consumer survey. Overall there was little change from before the move to follow-up. Two second-order variables relating to staff stress did, however, show a clear reduction.

scholarly journals Delayed Symptoms in Patients Recovered from COVID-19

2020 ◽  
Author(s):  
Seyed Tayeb MORADIAN ◽  
Akram PARANDEH ◽  
Robabe KHALILI ◽  
Leila KARIMI KARIMI
Keyword(s):  
General Hospital ◽  
Cross Sectional Study ◽  
New Disease ◽  
Sectional Study ◽  
Cross Sectional ◽  
Frequent Symptom ◽  
Rehabilitation Programs ◽  
Hospital Patients ◽  
The Mean

Background: COVID-19 is a new disease, so we don’t know what comes next. Since information on delayed symptoms is limited, this study was conducted to assess the frequency of delayed symptoms in patients with COVID-19. Methods: This follow-up cross-sectional study was conducted in a referral general hospital in Tehran, Iran from Feb to Apr 2020. Two hundred patients hospitalized for COVID-19 and were discharged were assessed for delayed symptoms 6 wk after discharge. Results: The mean age of the participants was 55.58±13.52, and 160 (80%) Of them were male. On admission to hospital, patients reported a mean of 5.63±2.88 symptoms per patient, range from 1 to 14 symptoms. Dyspnea was seen in 119 (59.5%) 0f them as the most frequent symptom. Then weakness, myalgia, and shivering were reported with a frequency of 111 (55.5%), 107 (53.5%), and 103 (51.5%), respectively. Six weeks after discharge reassessment was done. None of the patients was readmitted to the hospital. Ninety-four (42%) of them were symptom-free. Fatigue was the most frequent delayed symptom with a frequency of 39 (19.5%), and then dyspnea, weakness, and activity intolerance with a frequency of 37 (18.5%), 36 (18%), and 29 (14.5%) were reported, respectively. Conclusion: Fatigue, dyspnea, weakness, anxiety, and activity intolerance were most frequent delayed symptoms, respectively. Majority of patient was symptoms free and those with symptom, had mild to moderate symptoms. The importance of symptoms is not fully recognized. Follow up clinics and in some cases rehabilitation programs may be helpful

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