scholarly journals The effectiveness of telepsychiatry: thematic review

2021 ◽  
pp. 1-8
Author(s):  
Gunjan Sharma ◽  
Karrish Devan
Keyword(s):  
Cochrane Library ◽  
Clinical Implications ◽  
Diagnostic Reliability ◽  
Video Consultation ◽  
Clinician Satisfaction ◽  
Thematic Review ◽  
Continued Use ◽  
Main Barrier ◽  
Professional Guidance ◽  
Significant Factors

Aims and method This review aims to clarify the evidence on the effectiveness of telepsychiatry following the COVID-19 pandemic. We conducted a literature review of three databases (Cochrane Library, PubMed and PsycINFO), using the terms virtual consultation/telepsychiatry/video consultation AND psychiatry/mental illness. Results We identified 325 eligible papers and conducted a thematic analysis resulting in five themes: patient and clinical satisfaction, diagnostic reliability, outcomes, technology and professional guidance. The most significant factors linked to effectiveness of telepsychiatry were patient and clinician satisfaction and adequate technology to facilitate examination of the patient. Clinical implications The consistent diagnostic reliability, satisfactory clinical outcomes and patient satisfaction linked to telepsychiatry favour its continued use once the pandemic ends. The main barrier is reluctance among clinicians and lack of professional guidance. We recommend education on the uses of telepsychiatry among clinicians, and the provision of professional guidance for its use from medical bodies and organisations.

scholarly journals The effectiveness of telepsychiatry: a thematic review

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S51-S51
Author(s):  
Gunjan Sharma ◽  
Karrish Devan
Keyword(s):  
Patient Satisfaction ◽  
Psychotic Disorders ◽  
Age Groups ◽  
Evidence Base ◽  
Appropriate Technology ◽  
Access To Treatment ◽  
Diagnostic Reliability ◽  
Clinician Satisfaction ◽  
Thematic Review ◽  
Professional Guidance

AimsThe authors conducted a thematic review on the effectiveness of Telepsychiatry in light of the COVID-19 pandemic. The study aimed to clarify the effectiveness of Telepsychiatry, providing an evidence base for the growing use of Telepsychiatry.MethodThe authors searched three databases - Cochrane, PubMed and PsychINFO - using the terms virtual consultation/telepsychiatry/video consultation AND psychiatry/mental illness.The authors excluded all papers that were not in English and that did not focus on the psychiatric consultation.Result961 papers were identified, reduced to 321 using exclusion criteria and removal of duplicates. Using thematic analysis the authors found five themes that occurred across all papers in relation to the effectiveness of Telepsychiatry.Patient & Clinician SatisfactionThere is consistently high patient satisfaction with telepsychiatry but lower clinician satisfaction, often as a result of cynicism and a lack of familiarity. Clinician satisfaction increases when clinicians trial Telepsychiatry and become more positive about its uses.Diagnostic ReliabilityTelepsychiatry was found to have high levels of inter-rater reliability equivalent to face-to-face consultations for common disorders including mood and psychotic disorders, substance misuse and dementia. It was also found to have high levels of diagnostic reliability across age groups.OutcomesTelepsychiatry has been found to reduce symptoms of common psychiatric disorders and improve quality of life in a variety of environments including emergency departments, inpatient units and prisons. Telepsychiatry increases access to specialised services resulting in quicker access to treatment and reduction in admissions.TechnologyWithout adequate internet connectivity clinicians are unable to conduct an appropriate mental state examination and the therapeutic relationship becomes challenging. Inadequate technology can impact the effectiveness of Telepsychiatry amongst those who are socioeconomically disadvantaged and may not have access to appropriate technology.Professional GuidanceThere is a concerning lack of guidance around the use of Telepsychiatry. Without clear protocols there is a lack of standardisation and clinicians are unwilling to integrate Telepsychiatry into their practice. Main concerns raised are around confidentiality, consent, the appropriateness of certain patient groups and emergencies.ConclusionThis review found evidence for the effectiveness of Telepsychiatry with greatest emphasis on technology and patient satisfaction. The main barrier is the reluctance amongst clinicians to facilitate Telepsychiatry into their practice, often due to cynicism and a lack of familiarity. The authors recommend training in the uses of Telepsychiatry and the provision of professional guidance from medical bodies to allay concerns and provide clear standards.

scholarly journals Reflections on melatonin: focus on child mental health

2008 ◽  
Vol 32 (12) ◽  
pp. 444-448 ◽  
Author(s):  
Oluwole Famuyiwa ◽  
Abiodun Adewuya
Keyword(s):  
Side Effects ◽  
Child And Adolescent Psychiatry ◽  
Cochrane Library ◽  
Clinical Implications ◽  
Quality Of Sleep ◽  
Intervention Programme ◽  
Library Resource ◽  
The Cochrane Library

Aims and MethodTo examine the propriety of the use of melatonin in child and adolescent psychiatry based on findings retrieved from multiple electronic databases including the Cochrane Library resource, covering 1950–2007.ResultsThere is evidence for the effectiveness of melatonin in the initiation of sleep in children with a variety of neurodevelopmental disorders but its value in improving quality of sleep is doubtful. Like hormones in general, melatonin has multifarious action sites and hence potential for many side-effects. Posological issues and long-term side-effects are yet to be validly determined.Clinical ImplicationsSleep hygiene should be a major component of the routine intervention programme for insomnia and melatonin judiciously prescribed until the safety of long-term use is known.

Schizoaffective disorder–an ongoing challenge for psychiatric nosology

2011 ◽  
Vol 26 (3) ◽  
pp. 159-165 ◽  
Author(s):  
M. Jäger ◽  
S. Haack ◽  
T. Becker ◽  
K. Frasch
Keyword(s):  
Schizoaffective Disorder ◽  
Diagnostic Category ◽  
Cochrane Library ◽  
Heterogeneous Database ◽  
Diagnostic Systems ◽  
Diagnostic Reliability ◽  
Diagnostic Categories ◽  
Common Diagnosis ◽  
Icd 10

AbstractObjectiveSchizoaffective disorder is a common diagnosis in mental health services. The present article aims to provide an overview of diagnostic reliability, symptomatology, outcome, neurobiology and treatment of schizoaffective disorder.MethodLiterature was identified by searches in “Medline” and “Cochrane Library”.ResultsThe diagnosis of schizoaffective disorder has a low reliability. There are marked differences between the current diagnostic systems. With respect to psychopathological symptoms, no clear boundaries were found between schizophrenia, schizoaffective disorder and affective disorders. Common neurobiological factors were found across the traditional diagnostic categories. Schizoaffective disorder according to ICD-10 criteria, but not to DSM-IV criteria, shows a more favorable outcome than schizophrenia. With regard to treatment, only a small and heterogeneous database exists.ConclusionDue to the low reliability and questionable validity there is a substantial need for revision and unification of the current diagnostic concepts of schizoaffective disorder. If future diagnostic systems return to Kraepelin's dichotomous classification of non-organic psychosis or adopt a dimensional diagnostic approach, schizoaffective disorder will disappear from the psychiatric nomenclature. A nosological model with multiple diagnostic entities, however, would be compatible with retaining the diagnostic category of schizoaffective disorder.

scholarly journals Circulating lncRNAs as noninvasive biomarkers in bladder cancer: A diagnostic meta-analysis based on 15 published articles

2020 ◽  
Vol 35 (2) ◽  
pp. 40-48
Author(s):  
Jinfeng Wang ◽  
Yongli Gao ◽  
Xiaohua Wang ◽  
Yisheng Gao ◽  
Luning Li ◽  
...  
Keyword(s):  
Bladder Cancer ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Great Promise ◽  
Clinical Implications ◽  
Diagnostic Biomarkers ◽  
Bibliographic Retrieval ◽  
Non Coding Rnas ◽  
Noninvasive Biomarkers ◽  
The Cochrane Library

Objective Owing to inconsistency between reports, a meta-analysis was designed to appraise the clinical implications of long non-coding RNAs (lncRNAs) in urine and blood for the diagnosis of bladder cancer. Methods Studies that met the criteria were acquired by bibliographic retrieval through PubMed, Embase, and the Cochrane Library. The pooled diagnostic performance was evaluated by calculating the area under the summary receiver operator characteristic (SROC) curve. The potential sources of heterogeneity were approached through meta-regression and subgroup analyses. All statistical analyses and plots were performed by RevMan 5.3, Meta-DiSc 1.4, and STATA 12.0. Results A total of 43 studies from 15 articles consisting of 3370 bladder cancer patients and 3212 controls were incorporated in our meta-analysis. lncRNAs in urine and blood performed relatively well in diagnosing bladder cancer, with a pooled sensitivity of 0.78, a specificity of 0.79, and an area under the SROC curve (AUC) of 0.86. H19 displayed the best diagnostic accuracy with a pooled AUC of 0.90, followed by UCA1 and MALAT1. The heterogeneity among studies was partly conducted by sample size, lncRNA existence form (cell-free or intracellular lncRNA), lncRNA origin (exosome- or non-exosome-based lncRNA), lncRNA profiling (single- or multiple-lncRNA), specimen types, and ethnicity. Conclusions lncRNAs in urine and blood may serve as noninvasive diagnostic biomarkers with great promise for bladder cancer, while their clinical values need to be examined through further synthetic forward-looking studies.

The Factorial Invariance of the Nurses' Observation Scale for Evaluation of Inpatients

1983 ◽  
Vol 52 (3) ◽  
pp. 843-848 ◽  
Author(s):  
Douglas P. Carbonara ◽  
Brian K. Regan ◽  
Kevin J. Delaney ◽  
Mahadev Kumbar
Keyword(s):  
Similarity Index ◽  
Zero Order ◽  
Principal Factor ◽  
Clinical Implications ◽  
Mean Square ◽  
Factor Analyses ◽  
Observation Scale ◽  
The Stability ◽  
Significant Factors ◽  
Psychiatric Center

The stability of the factor pattern of the NOSIE across 3 psychiatric center populations ( N = 3,027) was investigated. The 5 significant factors that emerged from the principal factor analyses were tested for invariance using the coefficient of congruence, root mean square, zero-order correlation, and the similarity index. The convergence of all the measures indicated that the Irritability, Personal Neatness, Social Interest, Social Competence, and Manifest Psychosis factors were remarkably stable across the 3 settings. The psychometric and clinical implications of the results are discussed.

Validity and reliability of Internet-based physiotherapy assessment for musculoskeletal disorders: a systematic review

2016 ◽  
Vol 23 (3) ◽  
pp. 379-391 ◽  
Author(s):  
Suresh Mani ◽  
Shobha Sharma ◽  
Baharudin Omar ◽  
Aatit Paungmali ◽  
Leonard Joseph
Keyword(s):  
Lumbar Spine ◽  
Musculoskeletal Disorders ◽  
Concurrent Validity ◽  
Methodological Quality ◽  
Reliability And Validity ◽  
Cochrane Library ◽  
Validity And Reliability ◽  
Diagnostic Reliability ◽  
Scar Assessment

Purpose The purpose of this review is to systematically explore and summarise the validity and reliability of telerehabilitation (TR)-based physiotherapy assessment for musculoskeletal disorders. Method A comprehensive systematic literature review was conducted using a number of electronic databases: PubMed, EMBASE, PsycINFO, Cochrane Library and CINAHL, published between January 2000 and May 2015. The studies examined the validity, inter- and intra-rater reliabilities of TR-based physiotherapy assessment for musculoskeletal conditions were included. Two independent reviewers used the Quality Appraisal Tool for studies of diagnostic Reliability (QAREL) and the Quality Assessment of Diagnostic Accuracy Studies (QUADAS) tool to assess the methodological quality of reliability and validity studies respectively. Results A total of 898 hits were achieved, of which 11 articles based on inclusion criteria were reviewed. Nine studies explored the concurrent validity, inter- and intra-rater reliabilities, while two studies examined only the concurrent validity. Reviewed studies were moderate to good in methodological quality. The physiotherapy assessments such as pain, swelling, range of motion, muscle strength, balance, gait and functional assessment demonstrated good concurrent validity. However, the reported concurrent validity of lumbar spine posture, special orthopaedic tests, neurodynamic tests and scar assessments ranged from low to moderate. Conclusion TR-based physiotherapy assessment was technically feasible with overall good concurrent validity and excellent reliability, except for lumbar spine posture, orthopaedic special tests, neurodynamic testa and scar assessment.

scholarly journals A systematic review of central-line–associated bloodstream infection (CLABSI) diagnostic reliability and error

2019 ◽  
Vol 40 (10) ◽  
pp. 1100-1106
Author(s):  
Emily N. Larsen ◽  
Nicole Gavin ◽  
Nicole Marsh ◽  
Claire M. Rickard ◽  
Naomi Runnegar ◽  
...  
Keyword(s):  
Systematic Review ◽  
Bloodstream Infection ◽  
Central Line ◽  
Risk Of Bias ◽  
Cochrane Library ◽  
Test Accuracy ◽  
Consecutive Series ◽  
Validity And Reliability ◽  
Diagnostic Reliability ◽  
Predictive Values

AbstractObjective:To establish the reliability of the application of National Health and Safety Network (NHSN) central-line–associated bloodstream infection (CLABSI) criteria within established reporting systems internationally.Design:Diagnostic-test accuracy systematic review.Methods:We conducted a search of Medline, SCOPUS, the Cochrane Library, CINAHL (EbscoHost), and PubMed (NCBI). Cohort studies were eligible for inclusion if they compared publicly reported CLABSI rates and were conducted by independent and expertly trained reviewers using NHSN/Centers for Disease Control (or equivalent) criteria. Two independent reviewers screened, extracted data, and assessed risk of bias using the QUADAS 2 tool. Sensitivity, specificity, negative and positive predictive values were analyzed.Results:A systematic search identified 1,259 publications; 9 studies were eligible for inclusion (n = 7,160 central lines). Publicly reported CLABSI rates were more likely to be underestimated (7 studies) than overestimated (2 studies). Specificity ranged from 0.70 (95% confidence interval [CI], 0.58–0.81) to 0.99 (95% CI, 0.99–1.00) and sensitivity ranged from 0.42 (95% CI, 0.15–0.72) to 0.88 (95% CI, 0.77–0.95). Four studies, which included a consecutive series of patients (whole cohort), reported CLABSI incidence between 9.8% and 20.9%, and absolute CLABSI rates were underestimated by 3.3%–4.4%. The risk of bias was low to moderate in most included studies.Conclusions:Our findings suggest consistent underestimation of true CLABSI incidence within publicly reported rates, weakening the validity and reliability of surveillance measures. Auditing, education, and adequate resource allocation is necessary to ensure that surveillance data are accurate and suitable for benchmarking and quality improvement measures over time.Registration:Prospectively registered with International prospective register of systematic reviews (PROSPERO ID CRD42015021989; June 7, 2015). https://www.crd.york.ac.uk/PROSPERO/display_record.php?ID%3dCRD42015021989

scholarly journals Association of N-acetyltransferases 1 and 2 Polymorphisms with Susceptibility to Head and Neck Cancers—A Meta-Analysis, Meta-Regression, and Trial Sequential Analysis

Medicina ◽  
2021 ◽  
Vol 57 (10) ◽  
pp. 1095
Author(s):  
Hady Mohammadi ◽  
Mehrnoush Momeni Roochi ◽  
Masoud Sadeghi ◽  
Ata Garajei ◽  
Hosein Heidar ◽  
...  
Keyword(s):  
Head And Neck ◽  
Sequential Analysis ◽  
Meta Analysis ◽  
Head And Neck Cancers ◽  
Slow Acetylators ◽  
Cochrane Library ◽  
Trial Sequential Analysis ◽  
Nat2 Polymorphism ◽  
Rapid Acetylator ◽  
Significant Factors

Background and objective: N-acetyltransferases 1 and 2 (NAT1 and NAT2) genes have polymorphisms in accordance with slow and rapid acetylator phenotypes with a role in the development of head and neck cancers (HNCs). Herein, we aimed to evaluate the association of NAT1 and NAT2 polymorphisms with susceptibility to HNCs in an updated meta-analysis. Materials and methods: A search was comprehensively performed in four databases (Web of Science, Scopus, PubMed/Medline, and Cochrane Library until 8 July 2021). The effect sizes, odds ratio (OR) along with 95% confidence interval (CI) were computed. Trial sequential analysis (TSA), publication bias and sensitivity analysis were conducted. Results: Twenty-eight articles including eight studies reporting NAT1 polymorphism and twenty-five studies reporting NAT2 polymorphism were involved in the meta-analysis. The results showed that individuals with slow acetylators of NAT2 polymorphism are at higher risk for HNC OR: 1.22 (95% CI: 1.02, 1.46; p = 0.03). On subgroup analysis, ethnicity, control source, and genotyping methods were found to be significant factors in the association of NAT2 polymorphism with the HNC risk. TSA identified that the amount of information was not large enough and that more studies are needed to establish associations. Conclusions: Slow acetylators in NAT2 polymorphism were related to a high risk of HNC. However, there was no relationship between NAT1 polymorphism and the risk of HNC.

scholarly journals Research of population readiness to use credit cards in Russia

KANT ◽  
2020 ◽  
Vol 36 (3) ◽  
pp. 57-61
Author(s):  
Olesya Lakovich ◽  
Ekaterina Koroleva
Keyword(s):  
Credit Card ◽  
Structural Equation ◽  
Credit Cards ◽  
Equation Model ◽  
Loyalty Programs ◽  
Banking Services ◽  
Credit Card Market ◽  
Key Driver ◽  
Main Barrier ◽  
Significant Factors

To date, an analysis of trends in the development of banking services has revealed the underdevelopment of the credit card market in Russia. This situation indicates the presence of barriers to the development of this type of service. The article identifies the most significant factors influencing the choice of the consumer in relation to the use of credit cards using the construction of a structural equation model. As a result, it is statistically substantiated that reasons such as fear of unnecessary spending and an unreasonable increase in consumers' own expenses are the main barrier to the development of the bank credit card market. The key driver of market development is attractive loyalty programs and favorable cashback conditions for potential consumers.

Effects of Selected Rhinologic Disorders on the Perception of Nasal Resonance in Children

1984 ◽  
Vol 15 (1) ◽  
pp. 44-50 ◽  
Author(s):  
Michael P. Rastatter ◽  
Melvin Hyman
Keyword(s):  
Allergic Rhinitis ◽  
Clinical Implications ◽  
Normal Children ◽  
Nasal Resonance

A group of sophisticated listeners judged the nasal resonance characteristics of normal children versus children evidencing selected rhinologic disorders under three speaking conditions. Results showed that perceptions of denasality are influenced by both speakers and speaking tasks. That is, children with allergic rhinitis and edemic adenoids were perceived as being denasal when they produced VCV utterances and recited sentences. However, their resonance characteristics were deemed normal for vowel productions. Interestingly, children with severely deviated septums were judged to have normal nasal resonance under all speaking conditions. Clinical implications are discussed.

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