Evaluation of Different Forms of Community Meeting in a Psychiatric Unit in Hong Kong

1982 ◽  
Vol 140 (5) ◽  
pp. 491-497 ◽  
Author(s):  
M. L. Ng ◽  
Y. K. Tam ◽  
S. L. Luk
Keyword(s):  
Hong Kong ◽  
Retrospective Study ◽  
Prospective Study ◽  
Patient Discharge ◽  
Psychiatric Unit ◽  
Ward Atmosphere ◽  
Discharge Rates ◽  
Therapeutic Value ◽  
Three Stages ◽  
Community Meeting

SummaryIn an in-patient psychiatric unit attached to a teaching general hospital in Hong Kong, community meetings went through doctor-directed and nurse-directed forms to develop into a non-directive one. The therapeutic value of these different forms was tested by retrospective and prospective studies. In the retrospective study the rates of ward incidents and discharge rates of inpatients before and during the three stages were compared. In the prospective study an ABA design was used with ten-week blocks of regular non-directive meetings, cessation of meetings and then resumption; ward incidents, discharge rates and ward atmosphere during these blocks were compared. Both the non-directive and nurse-directed forms were equally associated with a reduction in ward incidents, aggressive incidents showing the greatest tendency to change; ward atmosphere and patient discharge rates did not change with community meetings.

Development of the phenylketonuria screening programme in Estonia

1998 ◽  
Vol 5 (1) ◽  
pp. 22-23 ◽  
Author(s):  
K Õunap ◽  
H Lilleväli ◽  
A Metspalu ◽  
M Lipping-Sitska
Keyword(s):  
Retrospective Study ◽  
Prospective Study ◽  
Newborn Screening ◽  
Filter Paper ◽  
Screening Programme ◽  
European Countries ◽  
Diagnosis And Treatment ◽  
Fluorometric Method ◽  
Live Births ◽  
Ninhydrin Reaction

Objective To develop the phenylketonuria (PKU) screening programme in Estonia. Method All data about patients with PKU, born during 1980–92, were documented to establish its prevalence at birth in Estonia. Newborn screening for the diagnosis and treatment of PKU was started in Estonia in 1993 and the prevalence at birth established by screening. Phenylalanine was determined from filter paper blood by a modified fluorometric method based on enhancement of the fluorescence of a phenylalanine-ninhydrin reaction product by L-leucyl-L-alanine. Results During three years (1993–5) 36 074 newborns (85% of the total) were screened for PKU. PKU was diagnosed in six cases during the first four to six weeks of life. All investigated cases could be classified as classical PKU. No cases of mild forms of hyperphenylalaninaemia were diagnosed. The retrospective study showed an average incidence of PKU of 1 in 8090, the prospective study identified a comparable incidence of 1 in 6010 live births. Conclusion The prevalence at birth of classic PKU in Estonia is higher than the average in Europe and similar to that of some eastern and middle European countries.

Long-term outcomes and predictors of chronic insomnia: A prospective study in Hong Kong Chinese adults

2012 ◽  
Vol 13 (5) ◽  
pp. 455-462 ◽  
Author(s):  
Jihui Zhang ◽  
S.P. Lam ◽  
S.X. Li ◽  
M.W.M. Yu ◽  
A.M. Li ◽  
...  
Keyword(s):  
Hong Kong ◽  
Prospective Study ◽  
Hong Kong Chinese ◽  
Chronic Insomnia ◽  
Long Term Outcomes ◽  
Chinese Adults ◽  
A Prospective Study

scholarly journals Screening of epileptic seizures in children and adolescents with hydrocephalus and ventriculoperitoneal shunt

2009 ◽  
Vol 15 (3) ◽  
pp. 106-109 ◽  
Author(s):  
Raimundo Francisco de Amorim Júnior ◽  
Suerda Emiliana Cavalcanti Dantas ◽  
Rodrigo de Holanda Mendonça ◽  
Abdiel de Lira Rolim ◽  
Maria Luiza de Carvalho Jales ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Data Analysis ◽  
Prospective Study ◽  
Children And Adolescents ◽  
Ventriculoperitoneal Shunt ◽  
Epileptic Seizures ◽  
Significant Difference ◽  
A Prospective Study ◽  
Larger Sample ◽  
Diagnosis Age

OBJECTIVES: To assess the occurrence of epileptic seizures (ES) in children and adolescents with hydrocephalus and their relationship with ventriculoperitoneal shunt (VPS) treatment. METHODS: Retrospective study of 45 patients from both genders, aged 0 to 18 years, with hydrocephalus and presenting with ES or not. The following variables were analyzed: gender, hydrocephalus etiology, age at diagnosis, age at initial VPS treatment, age at first ES and types of ES. RESULTS: Data analysis showed the following: 20 (44.4%) presented with ES, 13 (65%) of the girls and seven (35%) of the boys. There was a predominance of ES in the girls, but with no statistically significant difference. In total, 13 (65%) patients used VPS. Of the 13 patients with VPS and ES, it was observed that the onset of ES was after VPS in 10 (76.9%) individuals, whereas it occurred before VPS in two (15.4%). CONCLUSIONS: The results showed no association between VPS treatment and ES (ρ=0.832); however, most of the patients presented with their first ES episode after VPS, suggesting a possible relationship between this treatment and the occurrence of ES. A larger sample and a prospective study might answer this question.

scholarly journals Fibreoptic Bronchoscopy in the Critically Ill: A Prospective Study of its Diagnostic and Therapeutic Value

1992 ◽  
Vol 20 (4) ◽  
pp. 464-469 ◽  
Author(s):  
R. Bellomo ◽  
E. Tai ◽  
G. Parkin
Keyword(s):  
Prospective Study ◽  
Critically Ill ◽  
Lower Lobe ◽  
Major Complication ◽  
Diagnostic Value ◽  
Fibreoptic Bronchoscopy ◽  
Clinical Assessments ◽  
Therapeutic Value ◽  
Before And After ◽  
A Prospective Study

Aim A prospective study was undertaken to assess the diagnostic value and therapeutic usefulness of fibreoptic bronchoscopy in the critically ill. Method Fifty-six bronchoscopies were performed in fifty patients. Biochemical, radiological, microbiological and clinical assessments were made before and after each procedure. Results Eighteen fibreoptic bronchoscopies were performed for therapeutic indications (32.1%) of which ten (55.6%) yielded a useful outcome. Thirty-eight bronchoscopies were for diagnostic purposes (67.8%) of which 22 (5 7.9%) were clinically useful. Broncho-alveolar lavage was performed in twenty-eight cases (50%) and it led to a clinically useful diagnosis in 17 (60.7%). There was no major complication. A subgroup of patients was defined (persistent left lower lobe collapse or consolidation following thoracic or abdominal surgery) in whom fibreoptic bronchoscopy usually did not yield a useful outcome. Conclusion The use of fibreoptic bronchoscopy in the Intensive Care Unit, in combination with the technique of broncho-alveolar lavage, results in a clinically useful outcome in the majority of cases. Fibreoptic bronchoscopy is an effective and safe diagnostic and therapeutic tool in critically ill patients.

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