scholarly journals Combining depot antipsychotic medications with novel antipsychotics in forensic patients: a practice in search of a principle

2003 ◽  
Vol 27 (1) ◽  
pp. 14-16 ◽  
Author(s):  
Jatinder J. S. Bains ◽  
Olav B. Nielssen
Keyword(s):  
Combination Therapy ◽  
Medical Records ◽  
Atypical Antipsychotics ◽  
New South ◽  
Treatment Resistant ◽  
Theoretical Justification ◽  
Forensic Patients ◽  
South Wales ◽  
Depot Antipsychotic ◽  
High Prevalence

OBJECTIVEWe observed a pattern of combining depot antipsychotic medication with the newer ‘atypical’ antipsychotics in forensic patients. We aimed to determine the prevalence and rationale for such ‘combination therapy’.METHODThe medical records of forensic patients in 3 forensic hospitals in New South Wales, Australia, were reviewed and the responsible psychiatrists asked to explain the rationale for treatment of those patients on combination therapy.ResultsTwenty-two per cent of the forensic patient population were receiving combination therapy. The reasons given for combination therapy were the presence of treatment-resistant illness, to ensure adherence to at least part of the treatment and to assist transfer to lower security units.CONCLUSIONSSuch a high prevalence of a practice that is discouraged and without theoretical justification is a cause for concern. It appeared to reflect the practical difficulties of managing forensic patients.

Analysis of Presentations to On-site Medical Units During World Youth Day 2008

2012 ◽  
Vol 27 (6) ◽  
pp. 595-600 ◽  
Author(s):  
Sophie E. Tyner ◽  
Louise Hennessy ◽  
Lisa J. Coombs ◽  
Jan Fizzell
Keyword(s):  
Medical Records ◽  
Respiratory Symptoms ◽  
Risk Mitigation ◽  
New South ◽  
Publication Type ◽  
Mass Gatherings ◽  
South Wales ◽  
The Government ◽  
Mitigation Action ◽  
Sydney Australia

AbstractWorld Youth Day 2008 was held in Sydney, Australia in July 2008. New South Wales (NSW) Health, the government health provider in Australia's most populous state, worked with partner agencies to provide medical services via on-site medical units at key event venues.A post-event review of medical records from the on-site medical units indicated 465 patient presentations, comprised largely of infectious respiratory symptoms and general health concerns of a primary care nature. Providing on-site health services is considered an important risk-mitigation action for many mass gatherings, especially those that generate a substantial temporary population of participants and take place over a number of days.TynerSE,HennessyL,CoombsLJ,FizzellJ.Analysis of presentations to on-site medical units during World Youth Day 2008.Prehosp Disaster Med.2012;27(6):1-6.

The Prince Henry Hospital Mood Disorders Unit

1993 ◽  
Vol 23 (4) ◽  
pp. 1033-1041 ◽  
Author(s):  
Gordon Parker
Keyword(s):  
Mood Disorders ◽  
New South ◽  
Treatment Resistant Depression ◽  
Treatment Resistant ◽  
Postgraduate Students ◽  
South Wales ◽  
Resistant Depression ◽  
Psychiatric Department ◽  
The University ◽  
And Training

In 1985 a Mood Disorders Unit (MDU) was established at Prince Henry Hospital in Sydney as a clinical research module, linked with the psychiatric department of the University of New South Wales. There were three general objectives: first, to provide a specialized state-wide clinical service for the assessment and management of those with affective disorders, particularly treatment-resistant depression; secondly, to make a research contribution; and thirdly, to serve as an academic centre for teaching and training of undergraduate and postgraduate students from a variety of disciplines.

Eating Disorder Patients at a NSW Teaching Hospital: A Comparison with State-Wide Data

1995 ◽  
Vol 29 (1) ◽  
pp. 96-103 ◽  
Author(s):  
P. J. V. Beumont ◽  
E. M. Kopec-Schrader ◽  
W. Lennerts
Keyword(s):  
Eating Disorder ◽  
Teaching Hospital ◽  
New South ◽  
Duration Of Stay ◽  
Public Facilities ◽  
South Wales ◽  
Special Service ◽  
Special Ed ◽  
Medical Facilities ◽  
High Prevalence

The aim of the study was to present data which may be useful in deciding the type of services needed for eating disorder (ED) patients in New South Wales (NSW). The demographic and clinical characteristics of 155 patients consecutively admitted to a special ED unit at a major Sydney teaching hospital during the triennium 1989–1991 were documented and compared with relevant data from the State as a whole (709 admissions for ED to public facilities and 938 admissions for ED to private facilities during the same period). The findings are discussed in the light of information from overseas studies. Although a relatively large number of ED patients are admitted to hospitals in NSW, their short duration of stay suggests that many may receive inadequate treatment. The unit in the Department of Psychiatry at the Royal Prince Alfred Hospital (RPA), the largest public ED service in NSW, provides a special service for these patients. It is effective in bringing about nutritional restoration, with a duration of stay similar to those reported from centres overseas. Most referrals are tertiary, and there is a high prevalence of physical morbidity indicating a need for access to general medical facilities. Most serious physical complications occur in patients who can be identified by their chronicity and by the pattern of their behavioural disturbance. These various factors are considered in the formulation of recommendations for rationalising the service.

scholarly journals Mycoplasma genitalium: high prevalence of resistance to macrolides and frequent anorectal infection in men who have sex with men in western Sydney

2018 ◽  
Vol 94 (6) ◽  
pp. 406-410 ◽  
Author(s):  
Deborah L Couldwell ◽  
Dean Jalocon ◽  
Melissa Power ◽  
Neisha J Jeoffreys ◽  
Sharon C-A Chen ◽  
...  
Keyword(s):  
New South ◽  
Health Centre ◽  
Mycoplasma Genitalium ◽  
Macrolide Resistance ◽  
Resistance Mutations ◽  
Sti Testing ◽  
South Wales ◽  
High Prevalence ◽  
Sex With Men ◽  
Exposure Prophylaxis

ObjectivesWe aimed to estimate the prevalence of Mycoplasma genitalium infection and of mutations linked to macrolide resistance using the ResistancePlus MG assay (SpeeDx, Sydney, New South Wales, Australia) in first-void urine (FVU), anorectal and oropharyngeal samples from men who have sex with men (MSM) attending Western Sydney Sexual Health Centre (WSSHC).MethodsConsecutive symptomatic and asymptomatic MSM attending for STI testing were prospectively enrolled. M. genitalium testing using the ResistancePlus MG assay was performed on FVU, anorectal and oropharyngeal samples routinely collected for Chlamydia trachomatis and Neisseria gonorrhoeae assays.ResultsOverall, the prevalence of M. genitalium infection in the study group was 13.4% (68/508). Most (79.4%, 54/68) M. genitalium harboured macrolide resistance mutations (87.5% of urethral and 75.6% of anorectal infections). The anorectum was the most commonly infected site (45/505, 8.9%), followed by the urethra (24/508, 4.7%). No oropharyngeal M. genitalium infections were detected (0/508). Most of the anorectal (93.3%) and urethral (79.2%) infections were asymptomatic.MSM who were taking HIV pre-exposure prophylaxis (PrEP) were twice as likely to be infected with M. genitalium compared with MSM who were not on PrEP (OR 2.1, 95% CI 1.3 to 3.6; P=0.0041). Always using condoms for anal sex in the last 3 months was protective of infection (OR 0.8, 95% CI 0.6 to 1.0; P=0.0186).ConclusionsWe demonstrated a high prevalence of M. genitalium and very high levels of macrolide resistance among MSM attending WSSHC. Our findings support the routine use of an assay to detect macrolide resistance mutations in M. genitalium infections. This will ensure, in regions or populations with high rates of macrolide resistance among M. genitalium strains, that first-line treatment with azithromycin will only be used if a macrolide-sensitive strain is identified.

The Use of Medical Records in Epidemiology: A Case Study Using Asthma Hospitalisations in New South Wales, 1979–86

1990 ◽  
Vol 20 (3) ◽  
pp. 101-105 ◽  
Author(s):  
Adrian Bauman ◽  
David Lyle ◽  
Lee Taylor ◽  
Peter Thomson
Keyword(s):  
Medical Records ◽  
New South ◽  
New South Wales ◽  
South Wales

Primary evidence of seton therapy at Tarban Creek, New South Wales, 1839

2016 ◽  
Vol 25 (3) ◽  
pp. 293-296 ◽  
Author(s):  
Saraya White ◽  
Warren Kealy-Bateman
Keyword(s):  
Mental Health ◽  
Medical Records ◽  
New South ◽  
New South Wales ◽  
Historical Records ◽  
Medical Culture ◽  
South Wales ◽  
Early Colonial ◽  
Mental Health Difficulties ◽  
Insight Into

Objective: We aimed to find and explore the earliest available New South Wales asylum medical records to identify any management or therapeutic data that might be of interest to the psychiatric field. Conclusions: The earliest known existing records of New South Wales asylum data are from Tarban Creek Asylum. After almost two centuries the preserved records allow insight into treatment used in early colonial Australia, including the scarcely remembered seton therapy. This finding highlights the importance of preserving historical records. It also demonstrates the necessity and/or evolving wish within the colony to care for patients with perceived mental health difficulties based on a shared medical culture inherited from techniques used in Britain.

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