scholarly journals The screen for cognitive impairment in psychiatry (SCIP) as a routinely applied screening tool: pathology of acute psychiatric inpatients and cluster analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Petra Schmid ◽  
Agata Czekaj ◽  
Jürgen Frick ◽  
Tilman Steinert ◽  
Scot E. Purdon ◽  
...  
Keyword(s):  
Cluster Analysis ◽  
Cognitive Performance ◽  
Clinical Sample ◽  
Psychiatric Patients ◽  
Chronically Ill ◽  
Cognitive Profiles ◽  
Chronic Patients ◽  
Long Time ◽  
And Cluster Analysis ◽  
Chronically Ill Patients

Abstract Background Cognitive dysfunction has been reported in acute psychiatric patients for a long time. The detection of cognitive deficits is crucial both for clinical treatment and for predicting the psychosocial functional level in the further course of the disease. The SCIP is a well-evaluated screening instrument for the examination of cognitive performance in psychiatric patients. We recently integrated the SCIP into our routine admission and discharge assessments on two inpatient wards, and we examined the cognitive profiles of patients with psychotic and affective disorders over the course of their admission. Methods Shortly after admission, and prior to discharge, patients were routinely referred for examination with the SCIP. A total of 529 assessments were completed on admission, and 227 returned for SCIP at the time of discharge. After standardization of the test results against a normative sample, we examined the normalized test values in terms of percentages of pathological cognitive performance based on the total SCIP score, and each of the SCIP subscale scores. We conducted cluster analysis to identify cognitive subgroups within the clinical sample. Results More than 70% of the SCIP results on admission were pathological. At discharge, improvements were observed, especially on tests with attention and speed components. Cluster analysis identified two groups. The cluster with chronic patients showed poorer results at admission, but greater improvement and reached the level of the others at discharge. Conclusions The SCIP appears to have value in routine diagnostic assessments, and in the quantification of improvements in cognitive performance during an inpatient stay. The greatest benefit was observed in chronically ill patients with many previous stays. Trial registration DRKS00019825 (retrospectively registered on 03.12.2019).

scholarly journals Humanistic Medicine, a Forgotten Concept? The Correct Approach in Palliative Care of Chronic Patients

2016 ◽  
Vol 1 (3) ◽  
pp. 300-302
Author(s):  
Sorin Albu ◽  
Septimiu Voidăzan
Keyword(s):  
Palliative Care ◽  
Chronically Ill ◽  
Medical Specialty ◽  
Theory And Practice ◽  
Chronic Patients ◽  
Medical Specialties ◽  
Total Pain ◽  
Humanistic Medicine ◽  
Human Side ◽  
Chronically Ill Patients

Abstract Palliative care in Romania is a relatively new emerging field. Challenges of this specialty, its uniqueness and the several problems posed by a particular category of patients, the chronically ill patients, make this medical specialty a particularly complex one in certain situations, requiring a multidisciplinary team well-prepared in terms of theory and practice. Unlike in the case of most medical specialties, particular emphasis is laid on the “human” side of medical care, this specialty introducing the concept of “total pain”.

scholarly journals Telemedicine in rheumatology: a reliable approach beyond the pandemic

Rheumatology ◽  
2020 ◽  
Vol 60 (1) ◽  
pp. 366-370 ◽  
Author(s):  
Lorenzo Cavagna ◽  
Giovanni Zanframundo ◽  
Veronica Codullo ◽  
Maria Grazia Pisu ◽  
Roberto Caporali ◽  
...  
Keyword(s):  
Health Care ◽  
Multivariate Analysis ◽  
Educational Level ◽  
Older Patients ◽  
Chronically Ill ◽  
Chronic Patients ◽  
Face To Face ◽  
Viable Approach ◽  
Chronically Ill Patients

Abstract Objectives The SARS-CoV-2 outbreak has imposed considerable restrictions on people’s mobility, which affects the referral of chronically ill patients to health care structures. The emerging need for alternative ways to follow these patients up is leading to a wide adoption of telemedicine. We aimed to evaluate the feasibility of this approach for our cohort of patients with CTDs, investigating their attitude to adopting telemedicine, even after the pandemic. Methods We conducted a telephonic survey among consecutive patients referred to our CTD outpatients’ clinic, evaluating their capability and propensity for adopting telemedicine and whether they would prefer it over face-to-face evaluation. Demographical and occupational factors were also collected, and their influence on the answers has been evaluated by a multivariate analysis. Results A total of 175 patients answered our survey (M/F = 28/147), with a median age of 62.5 years [interquartile range (IQR) 53–73]. About 80% of patients owned a device allowing video-calls, and 86% would be able to perform a tele-visit, either alone (50%) or with the help of a relative (36%). Telemedicine was considered acceptable by 78% of patients and 61% would prefer it. Distance from the hospital and patient’s educational level were the strongest predictive factors for the acceptance of telemedicine (P < 0.05), whereas age only affected the mastering of required skills (P < 0.001). Conclusion Telemedicine is a viable approach to be considered for routine follow-up of chronic patients, even beyond the pandemic. Our data showed that older patients would be willing to use this approach, although a proper guide for them would be required.

scholarly journals Unravelling sexual care in chronically ill patients: the perspective of GP practice nurses; Health Service Research

2020 ◽  
Vol 37 (6) ◽  
pp. 766-771
Author(s):  
Pieter C Barnhoorn ◽  
Hannah R Zuurveen ◽  
Inge C Prins ◽  
Gaby F van Ek ◽  
Brenda L den Oudsten ◽  
...  
Keyword(s):  
General Practice ◽  
Sexual Health ◽  
Chronically Ill ◽  
Cross Sectional Study ◽  
Service Research ◽  
Chronic Patients ◽  
Cross Sectional Survey ◽  
Questionnaire Response ◽  
Cross Sectional ◽  
Chronically Ill Patients

Abstract Background Assessment of sexual health is important in chronically ill patients, as many experience sexual dysfunction (SD). The general practice nurse (GPN) can play a crucial part in addressing SD. Objective The aim of this cross-sectional study was to examine to which extent GPNs discuss SD with chronically ill patients and what barriers may refrained them from discussing SD. Furthermore, we examined which factors had an association with a higher frequency of discussing SD. Methods A cross-sectional survey using a 48-item questionnaire was send to 637 GPNs across the Netherlands. Results In total, 407 GPNs returned the questionnaire (response rate 63.9%) of which 337 completed the survey. Two hundred and twenty-one responding GPNs (65.6%) found it important to discuss SD. More than half of the GPNS (n = 179, 53.3%) never discussed SD during a first consultation, 60 GPNs (18%) never discussed SD during follow-up consultations. The three most important barriers for discussing SD were insufficient training (54.7%), ‘reasons related to language and ethnicity’ (47.5%) and ‘reasons related to culture and religion’ (45.8%). More than half of the GPNs thought that they had not enough knowledge to discuss SD (n = 176, 54.8%). A protocol on addressing SD would significantly increase discussing during SD. Conclusions This study indicates that GPNs do not discuss SD with chronically ill patients routinely. Insufficient knowledge, training and reasons related to cultural diversity were identified as most important reasons for this practice pattern. Implementation of training in combination with guidelines on SD in the general practice could improve on the discussing of sexual health with chronic patients.

scholarly journals Psychiatric Services and Teaching during the Covid-19 Pandemic in Romania

2021 ◽  
Author(s):  
Ioana Valentina Micluţia
Keyword(s):  
Suicide Attempts ◽  
Psychiatric Patients ◽  
Bipolar Disorders ◽  
Psychiatric Hospitals ◽  
Chronically Ill ◽  
Emergency Rooms ◽  
Chronic Patients ◽  
Borderline Disorder ◽  
Self Harm ◽  
Outpatient Settings

The Covid-19 pandemic has been declared in Romania on the 16th March 2020.The medical system reacted promptly: chronic patients had to be discharged within 48 h and further scheduled admittances were postponed, adequate epidemiological measures and circuits were organized. Anxiety, insomnia, frustration, binge eating, domestic violence were reported. The majority respected the general advises but soon, persons selected their information sources rather from social media, being victims of the infodemia and peculiar conspirationist theories. A new disorder has been described: coronaphobia. The psychiatric hospitals and outpatient settings had to reduce or innactivate their activity, switch as much as possible to TelePsychiatry. Psychiatry admittances were: onsets of psychosis, relapses of schizophrenia and alcohol, other psychoactive substances abuses, intoxications, and withdrawal states. Later, there were depressions, bipolar disorders, suicide attempts, self-harm in borderline disorder, dementia and delirium. Due to the closure of outpatient units for several months, patients visited the Emergency rooms. Personnel experienced burnout and new psychiatric pathology developed in the aftermath of Covid-19 infection. A big relief occurred with the initial vaccination of the medical staff and seniors, chronically ill persons, psychiatric patients being again left behind. Medical teaching shifted entirely to online and in 2021 the hybrid teaching system has been employed.

scholarly journals Segmentation of Coffee Consumers Using Sustainable Values: Cluster Analysis on the Polish Coffee Market

2018 ◽  
Author(s):  
Grzegorz Maciejewski ◽  
Sylwia Mokrysz ◽  
Łukasz Wróblewski
Keyword(s):  
Cluster Analysis ◽  
Sustainable Consumption ◽  
Computer Assisted ◽  
Purchasing Decisions ◽  
Goods And Services ◽  
Long Time ◽  
The Face ◽  
Coffee Market ◽  
And Cluster Analysis ◽  
Source Of Information

In the face of the ongoing degradation of the natural environment and increasingly worrying climate change, societies and their governments should pay more and more attention to the issue of the development of sustainable consumption and pro-environmental consumer behaviour. It has been known for a long time that producers and retailers are the driving force behind adopting the idea of ​​sustainable development. Unfortunately, many of them, when preparing the offer of their goods and services, still take into account only such consumer characteristics as their wealth, the purchasing frequency and volume. In consumer segmentation, the sustainable values ​​that consumers follow when making their purchasing decisions are rarely taken into account. The purpose of the presented article is to try to fill the research gap in this area. The Polish coffee market, on which this type of research has not been conducted so far, was chosen as an example of segmentation taking into account the sustainable values ​​of consumers. The article’s main source of information is the results of primary research carried out using the CAWI (Computer-Assisted Web Interview) technique on a nationwide sample of 800 coffee consumers in July 2018. Multi-dimensional analyses such as extrapolative factor analysis (EFA) and cluster analysis (CA) were used to describe the results which were obtained from the research and statistical analysis. This made it possible to identify and describe six segments of coffee consumers, taking into account their demographic, social and economic characteristics as well as being guided by sustainable values in their purchases. The conclusions presented in the last part of the article may be used by manufacturing and trade enterprises, operating on the coffee market, in order to respond to the identified needs and expectations of consumers and by governmental and social organisations so as to determine the directions of pro-ecological education of consumers.

The limit of the contemporary financial system in Russia

2020 ◽  
Vol 16 (7) ◽  
pp. 1223-1245
Author(s):  
V.V. Smirnov
Keyword(s):  
Cluster Analysis ◽  
Foreign Currency ◽  
Financial System ◽  
Descriptive Statistics ◽  
High Tech ◽  
Monetary Aggregate ◽  
Internal System ◽  
Monetary Relations ◽  
And Cluster Analysis ◽  
Structural Preservation

Subject. The article focuses on the modern financial system of Russia. Objectives. I determine the limit of the contemporary financial system in Russia. Methods. The study is based on methods of descriptive statistics, statistical and cluster analysis. Results. The article shows the possibility of determining the scope of the contemporary financial system in Russia by establishing monetary relations as the order of the internal system and concerted operation of subsystems, preserving the structure of the financial system, maintaining the operational regime, implementing the program and achieving the goal. I found that the Russian financial system correlated with the Angolan one, and the real scope of the contemporary financial system in Russia. Conclusions and Relevance. As an attempt to effectively establish monetary relations and manage them, the limit of the contemporary financial system is related to the possibility of using Monetary Aggregate M0 to maintain the balance of the Central Bank of Russia. To overcome the scope of Russia’s financial system, the economy should have changed its specialization, refocusing it on high-tech export and increasing the foreign currency reserves. This can be done if amendments to Russia’s Constitution are adopted. The findings expand the scope of knowledge and create new competence in the establishment of monetary relations, order of the internal system and concerted interaction of subsystems, structural preservation of the financial system and maintenance of its operational regime.

Sign in / Sign up

Export Citation Format

Share Document