scholarly journals Diagnosis and treatment of Wernicke's encephalopathy in an in-patient alcohol detoxification unit: a completed audit cycle

2013 ◽  
Vol 37 (12) ◽  
pp. 384-388
Author(s):  
Vijay Delaffon ◽  
Srinivas Naik ◽  
Rajandeep Mann ◽  
Arshya Vahabzadeh ◽  
Timothy Millward ◽  
...  

Aims and methodA baseline audit of trainees' ability to recognise Wernicke's encephalopathy and initiate appropriate thiamine regimes in an in-patient alcohol detoxification unit was carried out. Based on the findings, gaps were addressed using targeted education and training, and their impact on improving standards of managing Wernicke's encephalopathy was re-audited.ResultsThe initial audit revealed that trainees' ability to recognise Wernicke's encephalopathy and initiate thiamine was inadequate. Significant improvement in appropriate use of treatment regime (P < 0.05) of thiamine and the monitoring of clinical response was observed after addressing the initial gaps through education.Clinical implicationsTreatment of Wernicke's encephalopathy can be inadequate, given a lack of awareness of clinical presentation and appropriate management. This can be addressed through education and training.

2006 ◽  
Vol 30 (8) ◽  
pp. 306-308 ◽  
Author(s):  
Sanju George ◽  
Ditesh Dhaya ◽  
Femi Oyebode

Aims and MethodWe explored the contribution of trainees to the Psychiatric Bulletin by estimating the nature and proportion of papers by trainees published during a 5-year period: 2000–2004.ResultsNearly a third (30.7%) of all papers published during the 5 years were authored/co-authored by trainees. The predominant contribution was to education and training papers (66% of all the papers in this section), original papers (46%) and drug information quarterly papers (30%). The proportions of papers by trainees remained fairly consistent across the 5 years.Clinical ImplicationsOverall, the Psychiatric Bulletin appears to be ‘trainee-friendly’ and this should encourage trainees to submit papers to the Bulletin.


2012 ◽  
Vol 36 (3) ◽  
pp. 89-93 ◽  
Author(s):  
Izu Nwachukwu ◽  
Vincent Agyapong ◽  
Leah Quinlivan ◽  
John Tobin ◽  
Kevin Malone

Aims and methodAccumulating evidence suggest that psychiatrists may be at greater risk of being stalked compared with the general population. We used a self-administered questionnaire to survey psychiatrists in Ireland about their experiences, practices and attitudes regarding work-related stalking.ResultsWe found that 25.1% of psychiatrists in Ireland had been the subject of stalking behaviour at some point in their career. At the time of the survey, 5.5% of respondents were actively being stalked. The majority of the stalking occurred in the workplace and most of the perpetrators were patients. Most of the victims were unaware of guidelines or other supportive mechanisms in their workplace. Of those who reported their experiences to authorities, almost half were not satisfied with the support they received.Clinical implicationsStalking of psychiatrists is not uncommon. Employers should put in place supportive structures backed up by education and training to reduce the incidence, associated morbidity and other wider consequences of stalking.


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