scholarly journals Demographic and clinical factors associated with psychiatric inpatient admissions during the COVID-19 pandemic

2021 ◽  
pp. 103985622110529
Author(s):  
Natalie Seiler ◽  
Matthew Ng ◽  
Midya Dawud ◽  
Subhash Das ◽  
Shu-Haur Ooi ◽  
...  
Keyword(s):  
Media Coverage ◽  
Smoking Status ◽  
Psychiatric Inpatient ◽  
Health Impact ◽  
Daily Routine ◽  
Clinical Factors ◽  
Exact Test ◽  
Factors Associated ◽  
Psychiatric Admissions ◽  
The Impact

Objective: The COVID-19 pandemic may cause a major mental health impact. We aimed to identify demographic or clinical factors associated with psychiatric admissions where COVID-19 was attributed to contribute to mental state, compared to admissions which did not. Methods: A retrospective cohort study was undertaken of inpatients admitted to Northern Psychiatric Unit 1, Northern Hospital in Melbourne, Victoria, Australia during 27/02/2020 to 08/07/2020. Data were extracted for participants who identified COVID-19 as a stressor compared to participants who did not. Fisher’s exact test and Mann-Whitley rank sum test were used. Results: Thirty six of 242 inpatients reported the COVID-19 pandemic contributed to mental ill health and subsequent admission. Reasons given included social isolation, generalized distress about the pandemic, barriers to support services, disruption to daily routine, impact on employment, media coverage, re-traumatization, cancelled ECT sessions, loss of loved ones, and increased drug use during the lockdown. Chronic medical conditions or psychiatric multimorbidity were positively associated and smoking status was negatively associated with reporting the COVID-19 pandemic as a contributor to mental ill health. Conclusion: Screening and identifying vulnerable populations during and after the global disaster is vital for timely and appropriate interventions to reduce the impact of the pandemic worldwide.

Characteristics of Physician Relocation Following Hurricane Katrina

2009 ◽  
Vol 95 (1) ◽  
pp. 6-12
Author(s):  
Kusuma Madamala ◽  
Claudia R. Campbell ◽  
Edbert B. Hsu ◽  
Yu-Hsiang Hsieh ◽  
James James
Keyword(s):  
Hurricane Katrina ◽  
Gulf Coast ◽  
General Medicine ◽  
The United States ◽  
Lessons Learned ◽  
Bivariate Analysis ◽  
Fisher Exact Test ◽  
Exact Test ◽  
Factors Associated ◽  
The Impact

ABSTRACT Introduction: On Aug. 29, 2005, Hurricane Katrina made landfall along the Gulf Coast of the United States, resulting in the evacuation of more than 1.5 million people, including nearly 6000 physicians. This article examines the relocation patterns of physicians following the storm, determines the impact that the disaster had on their lives and practices, and identifies lessons learned. Methods: An Internet-based survey was conducted among licensed physicians reporting addresses within Federal Emergency Management Agency-designated disaster zones in Louisiana and Mississippi. Descriptive data analysis was used to describe respondent characteristics. Multivariate logistic regression was performed to identify the factors associated with physician nonreturn to original practice. For those remaining relocated out of state, bivariate analysis with x2 or Fisher exact test was used to determine factors associated with plans to return to original practice. Results: A total of 312 eligible responses were collected. Among disaster zone respondents, 85.6 percent lived in Louisiana and 14.4 percent resided in Mississippi before the hurricane struck. By spring 2006, 75.6 percent (n = 236) of the respondents had returned to their original homes, whereas 24.4 percent (n = 76) remained displaced. Factors associated with nonreturn to original employment included family or general medicine practice (OR 0.42, 95 percent CI 0.17–1.04; P = .059) and severe or complete damage to the workplace (OR 0.24, 95 percent CI 0.13–0.42; P < .001). Conclusions: A sizeable proportion of physicians remain displaced after Hurricane Katrina, along with a lasting decrease in the number of physicians serving in the areas affected by the disaster. Programs designed to address identified physician needs in the aftermath of the storm may give confidence to displaced physicians to return.

scholarly journals Demographic and clinical factors associated with benzodiazepine prescription at discharge from psychiatric inpatient treatment

2015 ◽  
Vol 37 (6) ◽  
pp. 595-600 ◽  
Author(s):  
Shannon M. Peters ◽  
Kendra Quincy Knauf ◽  
Christina M. Derbidge ◽  
Ryan Kimmel ◽  
Steven Vannoy
Keyword(s):  
Inpatient Treatment ◽  
Psychiatric Inpatient ◽  
Clinical Factors ◽  
Factors Associated ◽  
Psychiatric Inpatient Treatment

Characteristics of Physician Relocation Following Hurricane Katrina

2007 ◽  
Vol 1 (1) ◽  
pp. 21-26 ◽  
Author(s):  
Kusuma Madamala ◽  
Claudia R. Campbell ◽  
Edbert B. Hsu ◽  
Yu-Hsiang Hsieh ◽  
James James
Keyword(s):  
Hurricane Katrina ◽  
Gulf Coast ◽  
General Medicine ◽  
Lessons Learned ◽  
Bivariate Analysis ◽  
Fisher Exact Test ◽  
Exact Test ◽  
Factors Associated ◽  
The Us ◽  
The Impact

ABSTRACTIntroduction: On August 29, 2005, Hurricane Katrina made landfall along the US Gulf Coast, resulting in the evacuation of >1.5 million people, including nearly 6000 physicians. This article examines the relocation patterns of physicians following the storm, determines the impact that the disaster had on their lives and practices, and identifies lessons learned.Methods: An Internet-based survey was conducted among licensed physicians reporting addresses within Federal Emergency Management Agency–designated disaster zones in Louisiana and Mississippi. Descriptive data analysis was used to describe respondent characteristics. Multivariate logistic regression was performed to identify the factors associated with physician nonreturn to original practice. For those remaining relocated out of state, bivariate analysis with χ2 or Fisher exact test was used to determine factors associated with plans to return to original practice.Results: A total of 312 eligible responses were collected. Among disaster zone respondents, 85.6% lived in Louisiana and 14.4% resided in Mississippi before the hurricane struck. By spring 2006, 75.6% (n = 236) of the respondents had returned to their original homes, whereas 24.4% (n = 76) remained displaced. Factors associated with nonreturn to original employment included family or general medicine practice (OR 0.42, 95% CI 0.17–1.04; P = .059) and severe or complete damage to the workplace (OR 0.24, 95% CI 0.13–0.42; P < .001).Conclusions: A sizeable proportion of physicians remain displaced after Hurricane Katrina, along with a lasting decrease in the number of physicians serving in the areas affected by the disaster. Programs designed to address identified physician needs in the aftermath of the storm may give confidence to displaced physicians to return. (Disaster Med Public Health Preparedness. 2007;1:21–26)

scholarly journals Factors associated with surgeon recommendation for additional cast immobilization of a CT-verified nondisplaced scaphoid waist fracture

2021 ◽  
Author(s):  
Anne Eva J. Bulstra ◽  
Tom J. Crijns ◽  
Stein J. Janssen ◽  
Geert A. Buijze ◽  
David Ring ◽  
...  
Keyword(s):  
The United States ◽  
Clinical Factors ◽  
Cast Immobilization ◽  
Radiographic Appearance ◽  
Factors Associated ◽  
Included Patient ◽  
Elbow Surgery ◽  
Mixed Regression ◽  
Fracture Consolidation ◽  
The Impact

Abstract Introduction Data from clinical trials suggest that CT-confirmed nondisplaced scaphoid waist fractures heal with less than the conventional 8–12 weeks of immobilization. Barriers to adopting shorter immobilization times in clinical practice may include a strong influence of fracture tenderness and radiographic appearance on decision-making. This study aimed to investigate (1) the degree to which surgeons use fracture tenderness and radiographic appearance of union, among other factors, to decide whether or not to recommend additional cast immobilization after 8 or 12 weeks of immobilization; (2) identify surgeon factors associated with the decision to continue cast immobilization after 8 or 12 weeks. Materials and methods In a survey-based study, 218 surgeons reviewed 16 patient scenarios of CT-confirmed nondisplaced waist fractures treated with cast immobilization for 8 or 12 weeks and recommended for or against additional cast immobilization. Clinical variables included patient sex, age, a description of radiographic fracture consolidation, fracture tenderness and duration of cast immobilization completed (8 versus 12 weeks). To assess the impact of clinical factors on recommendation to continue immobilization we calculated posterior probabilities and determined variable importance using a random forest algorithm. Multilevel logistic mixed regression analysis was used to identify surgeon characteristics associated with recommendation for additional cast immobilization. Results Unclear fracture healing on radiographs, fracture tenderness and 8 (versus 12) weeks of completed cast immobilization were the most important factors influencing surgeons’ decision to recommend continued cast immobilization. Women surgeons (OR 2.96; 95% CI 1.28–6.81, p  =  0.011), surgeons not specialized in orthopedic trauma, hand and wrist or shoulder and elbow surgery (categorized as ‘other’) (OR 2.64; 95% CI 1.31–5.33, p  =  0.007) and surgeons practicing in the United States (OR 6.53, 95% CI 2.18–19.52, p  =  0.01 versus Europe) were more likely to recommend continued immobilization. Conclusion Adoption of shorter immobilization times for CT-confirmed nondisplaced scaphoid waist fractures may be hindered by surgeon attention to fracture tenderness and radiographic appearance.

Abstract P320: Impact of Inpatient TEE on Secondary Stroke Prevention

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Elan Miller ◽  
Franziska Herpich ◽  
Olivia Gruder ◽  
Priyadarshee Patel
Keyword(s):  
Risk Factors ◽  
Demographic Data ◽  
Tertiary Care ◽  
Vascular Risk Factors ◽  
Vascular Risk ◽  
Stroke Management ◽  
Exact Test ◽  
Factors Associated ◽  
New Findings ◽  
The Impact

Introduction: Transthoracic echocardiogram (TTE) is part of the standard stroke workup. If stroke remains cryptogenic after TTE and rest of the initial stroke evaluation, a transesophageal echocardiogram (TEE) is often performed. Evidence about when and in whom TEE should be done is lacking and reported effect on management vary widely. Our goal was to investigate the impact of TEE on stroke management. Methods: We performed a retrospective study of patients admitted with acute ischemic stroke (AIS) between April 2017 and December 2019 to a single, tertiary care, academic center. All patients received TTE and TEE while inpatient. Demographic data, clinical characteristics, results of echocardiograms and discharge medications were collected via chart review. Primary endpoint was change in stroke management based on TEE results. Secondary endpoint discovery of potential stroke etiology and factors associated with TEE results leading to change in management including age, multi-territory infarcts, TTE and vascular risk factors. We used Fisher’s Exact test and 2-sided Wilcoxon-Mann-Whitney rank-sum test. Results: We analyzed 92 patients with AIS who received both TTE and TEE. Median age was 56 (range 23-88), 51% were male and median NIHSS on admission was 9 (0-30). Middle cerebral artery infarct occurred in 58% and 32% had infarcts in multiple territories. Median hospital stay was 9 days (2-43). TEE revealed findings not seen on TTE in 52% and changed management in 16.3% of cases. Surprisingly, It appeared that older age was more likely to be associated with change of management based of TEE results (median age 61 vs. 55), as were multi-territory infarcts (46.7% vs 28.6%). However, neither of these results were statistically significant. Normal TTE findings were similar in both groups (60.0% vs 57.1%) and no vascular risk factors were associated with change of management based on TEE. Conclusion: TEE changes secondary stroke management in approximately one-sixth of patients and revealed new findings in about half. A larger study is needed to find factors associated with change in management based on TEE results.

scholarly journals The popularity of eating broadcast: Content analysis of “mukbang” YouTube videos, media coverage, and the health impact of “mukbang” on public

2020 ◽  
Vol 26 (3) ◽  
pp. 2237-2248
Author(s):  
EunKyo Kang ◽  
Jihye Lee ◽  
Kyae Hyung Kim ◽  
Young Ho Yun
Keyword(s):  
Public Health ◽  
Content Analysis ◽  
Media Coverage ◽  
Health Impact ◽  
Negative Effects ◽  
Health Habits ◽  
Increasing Trend ◽  
Youtube Videos ◽  
The Impact ◽  
Over Time

As “mukbang” (eating broadcast) becomes increasingly widespread, there is growing interest about the impact of mukbang on public health. This study aimed to analyze the content of mukbang YouTube videos, as well as news articles related to mukbang and the association between watching mukbang videos and health habits. We analyzed 5952 YouTube mukbang videos, 5265 news articles, and a survey of 1200 people in Korea. In this study, we confirmed that the provocative content of mukbang YouTube videos, such as overeating, was related to video popularity (p < 0.001). In addition, more exposure to mukbang was associated with greater effects on dietary health due to mukbang (p < 0.001). The prevalence of news articles on the negative effects of mukbang showed an increasing trend over time, while the articles on “Mukbang is funny” were most common in all the years evaluated. To cope with public health problems such as obesity, it will be necessary to continue to investigate the content and effects of mukbang on public health.

scholarly journals Factors associated with past 30-day abstinence from cigarette smoking in adult established smokers who used a JUUL vaporizer for 6 months

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Christopher Russell ◽  
Farhana Haseen ◽  
Neil McKeganey
Keyword(s):  
Cigarette Smoking ◽  
Health Impact ◽  
Smoking Abstinence ◽  
Logistic Regression Models ◽  
Factors Associated ◽  
Primary Users ◽  
Frequent Use ◽  
The Usa ◽  
Intent To Treat ◽  
The Impact

Abstract Background JUUL is the fastest growing and highest selling brand of e-cigarette/vapor products in the USA. Assessing the effect of JUUL vapor products on adult smokers’ use of conventional tobacco cigarettes can help inform the potential population health impact of these products. Methods Participants were 15,456 US adult established current smokers aged 21 years who had purchased their first JUUL Starter Kit from a retail store or online within the past 7 days. Online surveys assessed past 30-day use of conventional cigarettes, JUUL vapor products, and other e-cigarettes/vapor products at 3 and 6 months after their first JUUL purchase. Logistic regression models examined factors associated with smokers’ odds of self-reporting past 30-day abstinence from cigarette smoking at 6 months. Results Past 30-day point prevalence abstinence from smoking at 6 months was 31.6% in the intent-to-treat (ITT) sample and 54.0% among those who responded at 6 months (n = 9040; 58.5% of ITT). Consecutive past 30-day smoking abstinence outcomes at 3 and 6 months were reported by 20.3% of the ITT sample and 40.6% of responders to both assessments (n = 7726). Covariate-adjusted odds for reporting past 30-day smoking abstinence at 6 months were significantly higher among primary users of mint- or mango-flavored JUULpods (compared to primary users of Virginia tobacco-flavored JUULpods), exclusive users of JUULpods in characterizing flavors (compared to exclusive users of tobacco-flavored JUULpods), daily users of the JUUL vaporizer (compared to less-than-daily), initial retail purchasers (compared to initial e-commerce purchasers), and those who first purchased a JUUL to help to quit smoking completely. Odds for reporting past 30-day smoking abstinence were significantly lower among those who, at study enrolment, had smoked regularly for ≥ 20 years, smoked ≥ 10 cigarettes per day, and smoked on all 30 of the previous 30 days. Conclusions Around one third of enrolled smokers and one half of smokers who responded to a 6-month follow-up reported being past 30-day abstinent from cigarette smoking after using a JUUL vaporizer for 6 months. More frequent use of a JUUL vaporizer and primary use of JUULpods in characterizing flavors, particularly mint and mango, appeared to be important to smokers’ chances of quitting. The impact of suspending retail sales of flavored JUULpods on adult smokers’ likelihood of quitting should be closely assessed.

scholarly journals Affected Twins in the Familial Intracranial Aneurysm Study

2015 ◽  
Vol 39 (2) ◽  
pp. 82-86 ◽  
Author(s):  
Jason Mackey ◽  
Robert D. Brown ◽  
Laura Sauerbeck ◽  
Richard Hornung ◽  
Charles J. Moomaw ◽  
...  
Keyword(s):  
Intracranial Aneurysm ◽  
Smoking Status ◽  
Twin Studies ◽  
Birth Date ◽  
Fisher Exact Test ◽  
Ehlers Danlos Syndrome ◽  
Exact Test ◽  
Affected Sibling Pair ◽  
History Of ◽  
The Impact

Background and Purpose: Very few cases of intracranial aneurysms (IAs) in twins have been reported. Previous work has suggested that vulnerability to IA formation is heritable. Twin studies provide an opportunity to evaluate the impact of genetics on IA characteristics, including IA location. We therefore sought to examine IA location concordance, multiplicity, and rupture status within affected twin-pairs. Methods: The Familial Intracranial Aneurysm study was a multicenter study whose goal was to identify genetic and other risk factors for formation and rupture of IAs. The study required at least three affected family members or an affected sibling pair for inclusion. Subjects with fusiform aneurysms, an IA associated with an AVM, or a family history of conditions known to predispose to IA formation, such as polycystic kidney disease, Ehlers-Danlos syndrome, Marfan syndrome, fibromuscular dysplasia, or moyamoya syndrome were excluded. Twin-pairs were identified by birth date and were classified as monozygotic (MZ) or dizygotic (DZ) through DNA marker genotypes. In addition to zygosity, we evaluated twin-pairs by smoking status, major arterial territory of IAs, and rupture status. Location concordance was defined as the presence of an IA in the same arterial distribution (ICA, MCA, ACA, and vertebrobasilar), irrespective of laterality, in both members of a twin-pair. The Fisher exact test was used for comparisons between MZ and DZ twin-pairs. Results: A total of 16 affected twin-pairs were identified. Location concordance was observed in 8 of 11 MZ twin-pairs but in only 1 of 5 DZ twin-pairs (p = 0.08). Three MZ subjects had unknown IA locations and comprised the three instances of MZ discordance. Six of the 11 MZ twin-pairs and none of the 5 DZ twin-pairs had IAs in the ICA distribution (p = 0.03). Multiple IAs were observed in 11 of 22 MZ and 5 of 10 DZ twin-pairs. Thirteen (13) of the 32 subjects had an IA rupture, including 10 of 22 MZ twins. Conclusions: We found that arterial location concordance was greater in MZ than DZ twins, which suggests a genetic influence upon aneurysm location. The 16 twin-pairs in the present study are nearly the total of affected twin-pairs that have been reported in the literature to date. Further studies are needed to determine the impact of genetics in the formation and rupture of IAs.

scholarly journals Non-clinical factors associated with headache presentations in patients with psychological co-morbidities: a 7-year retrospective study

2018 ◽  
Vol 6 (4) ◽  
pp. 649
Author(s):  
Chris O Ifediora
Keyword(s):  
General Practice ◽  
Retrospective Study ◽  
Age Groups ◽  
International Study ◽  
Psychosocial Issues ◽  
Clinical Factors ◽  
Psychological Issues ◽  
Factors Associated ◽  
Australian General Practice ◽  
The Impact

Background: Multiple factors potentially influence doctors’ decisions regarding neuroimaging for headaches in general practice and psycho-morbidities are one of such. Unfortunately, other non-clinical factors at play among psychological patients with headaches are poorly known and the need to identify these factors has become important in view of recent findings on the impact of psychological issues in managing headaches in primary care. The findings from this study are expected to help improve efficiency and confidence in managing headaches in this subset of patients.Method: This is a 7-year retrospective study exploring headache presentations of patients aged ≥18 in an Australian general practice setting from 1 January 2010 to 1 April 2017.Results: A total of 517 patients were identified, with an average age of 45.5 +/- 16.2 years (range of 18 to 94 years).  Psycho-morbidities were reported among 190 (36.8%) patients. The female to male ratio was 72% to 28%. Most cases of headaches were among those aged 40 to 59 years (199 or 38.5%), while the least presentations were among the 18 to 24-year-olds (47 or 9.1%). It was found that 40% fewer males had psycho-morbidities relative to females (OR 0.6; CI 0.39 to 0.91; p -0.02), while those aged between 40 and 59 years were more likely to have associated psycho-morbidities compared to other age groups (OR 1.68; CI 1.17 to 2.42; p -0.01).Conclusion: General Practitioners should properly evaluate the psychosocial issues of all patients presenting with headaches for which neuroimaging is being considered, particularly middle-aged females. This is important given the recent report that neuroimaging for headache presentations among patients with associated psycho-morbidities are ordered more disproportionately and yet were less likely to have findings that can explain the headaches. A larger national or international study may be needed to further explore the identified associations.

Evaluation of the Psychiatric Decisions Unit (PDU): effect on emergency department presentations and psychiatric inpatient admissions

2019 ◽  
Vol 95 (1119) ◽  
pp. 6-11 ◽  
Author(s):  
Samuel P Trethewey ◽  
Shantal Deepak ◽  
Samuel Saad ◽  
Ellen Hughes ◽  
George Tadros
Keyword(s):  
Mental Health ◽  
Patient Satisfaction ◽  
Psychiatric Inpatient ◽  
Mental Health Crisis ◽  
Liaison Psychiatry ◽  
Optimal Care ◽  
Health Crisis ◽  
Psychiatric Admissions ◽  
Number Of Patients ◽  
The Impact

BackgroundBusy emergency departments (EDs) are not the optimum environment for assessment of patients in mental health crisis. The Psychiatric Decisions Unit (PDU) was developed by the Birmingham and Solihull Mental Health Foundation Trust as an enhanced assessment service to ensure patients in mental health crisis receive optimal care.AimsTo evaluate the activities of the PDU and its impact on the frequency of ED presentations and inpatient admissions, and to explore patient satisfaction.MethodsData were collected over a 6-month period during 2015 regarding patient demographics, referral sources, length of stay, and frequency of mental health-related ED presentations and inpatient psychiatric admissions. Comparison group data were used to evaluate the impact of the PDU. Patient satisfaction was measured using the ‘Friends and Family Test’ and structured feedback forms.ResultsIn total, 385 patients were referred to the PDU during the study period. Implementation of the PDU was associated with a 39% decrease in the number of patients taken to the ED by Street Triage and a 26% fall in inpatient psychiatric admissions via the Trusts’ in-hospital liaison psychiatry team. Ninety-eight per cent of patients surveyed felt that they were treated with respect and understanding, and 94% reported that they were likely or extremely likely to recommend the service to friends and family.ConclusionsImplementation of the PDU was associated with a reduction in the frequency of ED presentations and inpatient psychiatric admissions. This study suggests that patients are satisfied with the care provided at the PDU.

Sign in / Sign up

Export Citation Format

Share Document