scholarly journals Suicide by prisoners

2004 ◽  
Vol 184 (3) ◽  
pp. 263-267 ◽  
Author(s):  
Jenny Shaw ◽  
Denise Baker ◽  
Isabelle M. Hunt ◽  
Anne Moloney ◽  
Louis Appleby
Keyword(s):  
Mental Disorder ◽  
Clinical Care ◽  
National Sample ◽  
Primary Diagnosis ◽  
Care Staff ◽  
Health Care Staff ◽  
Prevention Measures ◽  
Prison Health ◽  
History Of ◽  
Clinical Survey

BackgroundThe number of suicides in prison has increased over recent years. This is the first study to describe the clinical care of a national sample of prison suicides.AimsTo describe the clinical and social circumstances of self-inflicted deaths among prisoners.MethodA national clinical survey based on a 2-year sample of self-inflicted deaths in prisoners. Detailed clinical and social information was collected from prison governors and prison health care staff.ResultsThere were 172 self-inflicted deaths: 85 (49%; 95% CI 42–57) were of prisoners on remand; 55 (32%; 95% CI 25–39) occurred within 7 days of reception into prison. The commonest method was hanging or self-strangulation (92%; 95% CI 88–96). A total of 110 (72%; 95% CI 65–79) had a history of mental disorder. The commonest primary diagnosis was drug dependence (39, 27%; 95% CI 20–35). Eighty-nine (57%; 95% CI 49–64) had symptoms suggestive of mental disorder at reception into prison.ConclusionsSuicide prevention measures should be concentrated in the period immediately following reception into prison. Because hanging is the commonest method of suicide, removal of potential ligature points from cells should be a priority.

scholarly journals Analysis of the practice and the reasons for under documentation of body mass index and unintentional weight loss in adult hospitalized patients in Indian set up

2017 ◽  
Vol 4 (9) ◽  
pp. 3094
Author(s):  
Prashant K. Bajpai ◽  
R. R. Singh ◽  
C. N. Mehrotra ◽  
Sanjiv Bhatia
Keyword(s):  
Weight Loss ◽  
Nutritional Assessment ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Care Staff ◽  
Health Care Staff ◽  
Health Staff ◽  
Unintentional Weight Loss ◽  
Cross Sectional ◽  
History Of

Background: The present study analyzed the practice of documentation of BMI and history of unintentional weight loss in adult hospitalized patients on admission by the health care staff and the causes for their under documentation. Methods: A cross-sectional study was conducted among 600 healthcare workers, 150 duty medical officers and 450 nurses attending to adult hospitalized patients in both public and private hospitals of Lucknow, U.P., India and nearby districts. Information was collected on the basis of a self-administered questionnaire, on the practice of recording of weight, height, BMI and history of unintentional weight loss in past three months in patient records and also for the reasons for the under-documentation. Results: Only 54.16% of the staff admitted documenting BMI of the patients regularly in their case notes. Similarly, only 60% of the staff documented history of unintentional weight loss in past three months in patient case notes. Documentation was omitted more by nurses as compared to medical officers. The main reasons for under-documentation were work overload and time constraints, lack of training, confusion regarding responsibility and mistaken opinion for malnutrition screening. Conclusions: BMI and weight loss are often not recorded by health staff, more so by nurses. They need to be provided sufficient time to perform nutritional assessment of patient; moreover we should make them competent and delineate roles to them as well as develop a nutrition culture in our health facilities. 

Evaluation of ventricular tachyarrhythmias in patients with myocardial infarction after streptokinase therapy

2021 ◽  
Author(s):  
Mohsen Abbasnezhad ◽  
Golnesa Shahnazarli ◽  
Mohammadreza Taban Sadeghi ◽  
Razieh Parizad ◽  
Naser Khezerlouy Aghdam ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Tachyarrhythmia ◽  
Care Staff ◽  
Control Group ◽  
Health Care Staff ◽  
Case Group ◽  
Ventricular Tachyarrhythmias ◽  
Increased Risk ◽  
History Of ◽  
Streptokinase Therapy

Objectives: The occurrence of arrhythmias after myocardial infarction is associated with an increased risk of mortality. The purpose of this study was to investigate tachyarrhythmias after streptokinase therapy in myocardial infarction patients. Methods: This study was a case-control study. Among 262 patients with myocardial infarction who received streptokinase, 168 patients with ventricular tachyarrhythmia, ventricular fibrillation, or both (case group), and 94 patients without arrhythmia (control group) were selected. Their clinical information were collected by questionnaire.  Data were analyzed using SPSS 20 software through chi-square test and Wilcoxon rank-sum. Results: There was no relationship between demographic variables or electrocardiogram changes and the type of arrhythmia in 168 participants in the group 1 (p > 0.05). However, there was a significant relationship between age (p = 0.04), sex (p = 0.049), diabetes (p = 0.039), hypertension (p = 0.037), history of beta-blocker use (p =  0.028), history of aspirin use (p = 0.023), number of the leads involved (p = 0.023) and occurrence of arrhythmia among the participants in the group 2. Conclusions: According to the findings of this study, patients with myocardial infarction who need to receive thrombolysis and who have any of the following conditions should be monitored by the health care staff to prevent development of ventricular tachyarrhythmias: old age, male gender, history of diabetes mellitus, hypertension or more lead involvement in their electrocardiogram.

Views from health professionals on accessing rehabilitation for people with dementia following a hip fracture

Dementia ◽  
2016 ◽  
Vol 16 (8) ◽  
pp. 1020-1031 ◽  
Author(s):  
Stephen T Isbel ◽  
Maggie I Jamieson
Keyword(s):  
Hip Fracture ◽  
Elderly Patients ◽  
Residential Care ◽  
Health Professionals ◽  
Clinical Care ◽  
Care Staff ◽  
Future Research ◽  
Health Care Staff ◽  
People With Dementia ◽  
Moderate Dementia

The literature reports that rehabilitation for elderly patients with mild-to-moderate dementia who have a hip fracture improves functional outcomes. However, access to rehabilitation may be difficult due to misconceptions about the ability of these patients to engage in and benefit from rehabilitation. Additionally, people who are admitted from residential care may not have the same options for rehabilitation as those admitted from home. This study sought to understand from expert clinicians how and why decisions are made to accept a person with dementia post-fracture for rehabilitation. In this Australian-based qualitative study, 12 health professionals across a state and territory were interviewed. These clinicians were the primary decision makers in accepting or rejecting elderly patients with dementia post-fracture into rehabilitation. Three key themes emerged from the data: criteria for accessing rehabilitation, what works well and challenges to rehabilitation. The participants were unanimous in the view that access to rehabilitation should be based on the ability of the patient to engage in a rehabilitation programme and not assessed solely on cognition. In terms of clinical care, a coherent rehabilitation pathway with integration of geriatric and ortho-geriatric services was reported as ideal. Challenges remain, importantly, the perception of some health care staff that people with dementia have limited capability to benefit from rehabilitation. Rehabilitation for this growing group of patients requires multiple resources, including skilled practitioners, integrated clinical systems and staff education regarding the capabilities of people with dementia. Future research in this area with patients with moderate-to-severe dementia in residential care is warranted.

scholarly journals The Need for Sustainable Teleconsultation Systems in the Aftermath of the First COVID-19 Wave

10.2196/21211 ◽  
2020 ◽  
Vol 22 (10) ◽  
pp. e21211
Author(s):  
Guido Giunti ◽  
Richard Goossens ◽  
Antoinette De Bont ◽  
Jacob J Visser ◽  
Mark Mulder ◽  
...  
Keyword(s):  
Digital Health ◽  
Clinical Care ◽  
Care Staff ◽  
Health Care Staff ◽  
Senior Adults ◽  
Implementation Processes ◽  
Long Time ◽  
Technological Issue ◽  
At Risk Populations ◽  
To Receive

The physical and social distancing measures that have been adopted worldwide because of COVID-19 will probably remain in place for a long time, especially for senior adults, people with chronic conditions, and other at-risk populations. Teleconsultations can be useful in ensuring that patients continue to receive clinical care while reducing physical crowding and avoiding unnecessary exposure of health care staff. Implementation processes that typically take months of planning, budgeting, pilot testing, and education were compressed into days. However, in the urgency to deal with the present crisis, we may be forgetting that the introduction of digital health is not exclusively a technological issue, but part of a complex organizational change problem. This viewpoint offers insight regarding issues that rapidly adopted teleconsultation systems may face in a post–COVID-19 world.

scholarly journals The Need for Sustainable Teleconsultation Systems in the Aftermath of the First COVID-19 Wave (Preprint)

2020 ◽  
Author(s):  
Guido Giunti ◽  
Richard Goossens ◽  
Antoinette De Bont ◽  
Jacob J Visser ◽  
Mark Mulder ◽  
...  
Keyword(s):  
Digital Health ◽  
Clinical Care ◽  
Care Staff ◽  
Health Care Staff ◽  
Senior Adults ◽  
Implementation Processes ◽  
Long Time ◽  
Technological Issue ◽  
At Risk Populations ◽  
To Receive

UNSTRUCTURED The physical and social distancing measures that have been adopted worldwide because of COVID-19 will probably remain in place for a long time, especially for senior adults, people with chronic conditions, and other at-risk populations. Teleconsultations can be useful in ensuring that patients continue to receive clinical care while reducing physical crowding and avoiding unnecessary exposure of health care staff. Implementation processes that typically take months of planning, budgeting, pilot testing, and education were compressed into days. However, in the urgency to deal with the present crisis, we may be forgetting that the introduction of digital health is not exclusively a technological issue, but part of a complex organizational change problem. This viewpoint offers insight regarding issues that rapidly adopted teleconsultation systems may face in a post–COVID-19 world.

scholarly journals Rates of mental disorder in people convicted of homicide

2006 ◽  
Vol 188 (2) ◽  
pp. 143-147 ◽  
Author(s):  
Jenny Shaw ◽  
Isabelle M. Hunt ◽  
Sandra Flynn ◽  
Janet Meehan ◽  
Jo Robinson ◽  
...  
Keyword(s):  
Mental Illness ◽  
Mental Disorder ◽  
Severe Mental Illness ◽  
Mental Healthcare ◽  
Psychiatric Services ◽  
England And Wales ◽  
History Of ◽  
Clinical Survey ◽  
The Relationship ◽  
Diminished Responsibility

BackgroundPrevious studies of people convicted of homicide have used different definitions of mental disorder.AimsTo estimate the rate of mental disorder in people convicted of homicide; to examine the relationship between definitions, verdict and outcome in court.MethodA national clinical survey of people convicted of homicide (n=1594) in England and Wales (1996–1999). Rates of mental disorder were estimated based on: lifetime diagnosis, mental illness at the time of the offence, contact with psychiatric services, diminished responsibility verdict and hospital disposal.ResultsOf the 1594, 545 (34%) had a mental disorder: most had not attended psychiatric services; 85 (5%) had schizophrenia (lifetime); 164 (10%) had symptoms of mental illness at the time of the offence; 149 (9%) received a diminished responsibility verdict and 111 (7%) a hospital disposal – both were associated with severe mental illness and symptoms of psychosis.ConclusionsThe findings suggest an association between schizophrenia and conviction for homicide. Most perpetrators with a history of mental disorder were not acutely ill or under mental healthcare at the time of the offence. Some perpetrators receive prison sentences despite having severe mental illness.

scholarly journals Mental disorder and clinical care in people convicted of homicide: national clinical survey

BMJ ◽  
1999 ◽  
Vol 318 (7193) ◽  
pp. 1240-1244 ◽  
Author(s):  
J. Shaw ◽  
L. Appleby ◽  
T. Amos ◽  
R. McDonnell ◽  
C. Harris ◽  
...  
Keyword(s):  
Mental Disorder ◽  
Clinical Care ◽  
Clinical Survey

scholarly journals Long-Term Social Human-Robot Interaction for Neurorehabilitation: Robots as a Tool to Support Gait Therapy in the Pandemic

2021 ◽  
Vol 15 ◽  
Author(s):  
Nathalia Céspedes ◽  
Denniss Raigoso ◽  
Marcela Múnera ◽  
Carlos A. Cifuentes
Keyword(s):  
Clinical Care ◽  
Human Robot Interaction ◽  
Assistive Robotics ◽  
Care Staff ◽  
Health Care Staff ◽  
Robot Interaction ◽  
Challenges And Opportunities ◽  
Term Evaluation ◽  
Gait Therapy

COVID-19 pandemic has affected the population worldwide, evidencing new challenges and opportunities for several kinds of emergent and existing technologies. Social Assistive Robotics could be a potential tool to support clinical care areas, promoting physical distancing, and reducing the contagion rate. In this context, this paper presents a long-term evaluation of a social robotic platform for gait neurorehabilitation. The robot's primary roles are monitoring physiological progress and promoting social interaction with human distancing during the sessions. A clinical validation with ten patients during 15 sessions were conducted in a rehabilitation center located in Colombia. Results showed that the robot's support improves the patients' physiological progress by reducing their unhealthy spinal posture time, with positive acceptance. 65% of patients described the platform as helpful and secure. Regarding the robot's role within the therapy, the health care staff agreed (>95%) that this tool can promote physical distancing and it is highly useful to support neurorehabilitation throughout the pandemic. These outcomes suggest the benefits of this tool to be further implemented in the pandemic.

scholarly journals Air Embolism after Endoscopic Retrograde Cholangiopancreatography in a Patient with Budd Chiari Syndrome

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Beatriz Wills-Sanin ◽  
Yenny R. Cárdenas ◽  
Lucas Polanco ◽  
Oscar Rivero ◽  
Sebastian Suarez ◽  
...  
Keyword(s):  
Endoscopic Retrograde Cholangiopancreatography ◽  
Rare Complication ◽  
Air Embolism ◽  
Care Staff ◽  
Health Care Staff ◽  
Budd Chiari Syndrome ◽  
Endoscopic Retrograde ◽  
Chiari Syndrome ◽  
History Of ◽  
Timely Fashion

Endoscopic retrograde cholangiopancreatography is a procedure commonly used for the diagnosis and treatment of various pancreatic and biliary diseases. Air embolism is a rare complication, which may be associated with this procedure. This condition can be manifested as cardiopulmonary instability and/or neurological symptoms. Known risk factors include: sphincterotomy; application of air with high intramural pressure; anatomic abnormalities; and chronic hepatobiliary inflammation. It is important for the health-care staff, including anesthesiologists, interventional gastroenterologists, and critical care specialists, amongst others, to promptly recognize air embolism and to initiate therapy in a timely fashion, thus preventing potentially fatal outcomes. We submit a brief review of the literature and a case report of air embolism which occurred in the immediate postoperative stage of an endoscopic retrograde cholangiopancreatography, performed in a woman with a history of liver transplantation due to Budd Chiari syndrome and biliary stricture.

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