The Hampstead Schizophrenia Survey 1991

BackgroundA point prevalence study al schizophrenia was carried out in 1986 in the former Hampstead Health District using a key informant method to identify cases. The point prevalence al broadly defined schizophrenia was 4.7 per 1000.MethodA repeat census al people with schizophrenia, using the same method, was carried out in 1991 and the point prevalence calculated. The accuracy al the census method was estimated. Contact with services, social and occupational activity, and medication usage in the 1986 and 1991 samples were compared.ResultsThe point prevalence rate al broadly defined schizophrenia in 1991 was 5.1 per 1000. The results al both censuses showed we underestimated the number of individuals with DSM-III-R positive schizophrenia by about 14%. The level of contact with specialist services was greater in 1991 than 1986. Patients in 1991 were discharged on higher doses of medication, and their most recent admission was more likely to be due to non-compliance, than the 1986 group.ConclusionThe point prevalence confirmed the high rate reported in 1986. The accuracy of the census was within acceptable limits for service planning. Contact with specialist services increased between 1986 and 1991.

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Determinants Of Adherence To Dental Treatment Of Socially Vulnerable Adolescents In Primary Health Care: A Cohort Study

10.21203/rs.3.rs-27477/v2 ◽

2020 ◽

Author(s):

Jaqueline Vilela Bulgareli ◽

Karine Laura Cortellazzi Cortellazzi ◽

Luciane Miranda Guerra ◽

Gláucia Maria Bovi Ambrosano ◽

Armando Koichiro Kaieda ◽

...

Keyword(s):

Family Cohesion ◽

Family Income ◽

Dental Treatment ◽

Family Health ◽

Service Planning ◽

High Rate ◽

Adherence To Treatment ◽

Health Service Planning ◽

The Family ◽

Number Of Individuals

Abstract Background: Different studies with adolescents address the difficulty they have to adhere to oral dental treatments. Therefore, better understanding the processes involved in adherence to treatment in this population is necessary. The aim of this study was to investigate the factors that influence adherence to dental treatment in socially underprivileged adolescents in primary care. Methods: A longitudinal analytical study was conducted in Piracicaba, São Paulo, Brazil, between 2014 and 2015. The sample consisted of 1179 adolescents examined in family health units; of these, 474 were referred to treatment (40.2%) and 325 (68.6%) were reevaluated after 18 months. Adherence to dental treatment was the dependent variable. Independent variables were: individual (clinical, sociodemographic, access to the service, reporting pain, oral impacts on daily performance, family cohesion) and contextual (percentage of families in the neighborhood with income of 0.5 to 1 minimum wage). Results: Non-adherence to treatment showed high rate in the studied sample (49.5%). Family income (p=0.039) and number of individuals in the family (p=0.003) were associated with non-adherence to dental treatment. Conclusions: It is concluded that the adolescents’ social vulnerability condition resulted in situations that are incompatible with adherence, which hinders dental treatment and health service planning.

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Determinants of adherence to dental treatment of socially vulnerable adolescents: a cohort study

BMC Research Notes ◽

10.1186/s13104-021-05525-8 ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

Jaqueline Vilela Bulgareli ◽

Karine Laura Cortellazzi ◽

Luciane Miranda Guerra ◽

Gláucia Maria Bovi Ambrosano ◽

Armando Koichiro Kaieda ◽

...

Keyword(s):

Primary Care ◽

Social Vulnerability ◽

Family Income ◽

Dental Treatment ◽

Service Planning ◽

High Rate ◽

Adherence To Treatment ◽

Health Service Planning ◽

The Family ◽

Number Of Individuals

Abstract Objective Different studies with adolescents address the difficulty they have to adhere to oral dental treatments. Therefore, better understanding the processes involved in adherence to treatment in this population is necessary. The aim of this study was to investigate the factors that influence adherence to dental treatment in socially underprivileged adolescents in primary care. Results Non-adherence to treatment showed high rate in the studied sample (49.5%). Family income (p = 0.039) and number of individuals in the family (p = 0.003) were associated with non-adherence to dental treatment. It is concluded that the adolescents’ social vulnerability condition resulted in situations that are incompatible with adherence, which hinders dental treatment and health service planning.

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Outcome of Treatment of Deep-Vein Thrombosis with Urokinase: Relationship to Dosage, Duration of Therapy, Age of the Thrombus and Laboratory Changes

Thrombosis and Haemostasis ◽

10.1055/s-0038-1661066 ◽

1984 ◽

Vol 51 (02) ◽

pp. 236-239 ◽

Cited By ~ 28

Author(s):

A D’Angelo ◽

P M Mannucci

Keyword(s):

Degradation Products ◽

High Rate ◽

Bleeding Complications ◽

Vein Thrombosis ◽

Treatment Regimens ◽

Duration Of Therapy ◽

Laboratory Changes ◽

Deep Vein ◽

Dose Dependent ◽

Higher Doses

SummaryForty-one patients with phlebographically proven DVT of the popliteal, femoral or iliac veins were treated with different regimens of urokinase (UK) given by continuous intravenous infusion. The four groups were comparable with respect to localization, extension and estimated age of the thrombi. Another phlebographic picture was taken within 48 hr after the end of UK infusion. Substantial lysis had occurred in 2 of 10 patients treated with 1500 U/kg/h for 2 days, in 4 of 11 treated with 2500/U/kg/h for 3 days, in 2 of 10 treated with 2500 U/kg/h for 7 days and in 4 of 10 treated with 4000 U/kg/h for 4 days. Only thrombi younger than 8 days could be lysed, with 61% (8/13) rate of lysis for thrombi less than 5 days old. Bleeding complications were observed more frequently with the higher doses and longer durations of therapy. The four treatment regimens all induced dose-dependent changes in fibrinogen, fibrin(ogen) degradation products, plasminogen and antiplasmin. Neither pre- nor postinfusion values of these parameters could differentiate patients with lysis from those without lysis. It is concluded that UK can provoke a high rate of thrombolysis of DVT treated early after the appearance of symptoms but that there is no relationship between UK-induced modifications of fibrinolysis and the outcome of therapy.

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