scholarly journals Comparative Study of Ethanol Intoxications in the Context of Covid-19 Pandemic Reported to the Year of 2019

Author(s):  
Mihai Terpan ◽  
Anamaria Ciubara

Excessive alcohol consumption that causes disorders of social conduct, causes a rejection reaction with the intervention of the authorities. The paper compares trends related to people with the diagnosis of acute intoxication (F10.0) admitted to the "Elisabeta Doamna” Psychiatry Hospital in Galati, from the 1st of January to the 31th of December 2020 with the period from the 1st of January to the 31th of December 2019. In the retrospective study we selected people discharged with acute intoxication, code (F10.0), and harmful use (F10.1), excluding all patients with other psychiatric diagnoses from the database of the "Elisabeta Doamna" Psychiatry Hospital from 2020 to 2019. ICD-10 (Classification of mental and behavioral disorders) was used for diagnosis of psychiatric disorders. The data was processed statistically using: Microsoft Office-Excel, The Jamovi Project (2021). jamovi (Version 1.6) [Computer Software]. In 2020 there were 39.58% fewer discharges by a total of (7973 cases) compared to (13197 cases) in 2019. In 2020, acute intoxication (F10.0) accounted for 7.41% of total discharges compared to a percentage of (8.27%) in 2019, showing a decline by a percentage of 45.92%. Comparing the years 2020 with 2019 by gender (of the total number of discharges with acute intoxication (F10.0), there is an increase in the percentage of discharges by 1.16% (from 86.98% in 2019 to 88.14% in 2020), while in the female gender, the percentage trend has decreased by a percentage of 1.16% (from 13.02% in 2019 to 11.86% in 2020).

Author(s):  
Mihai Terpan ◽  
◽  
Anamaria Ciubara ◽  
◽  

In Romania, the consumption of alcoholic beverages has been and still is a cultural mechanism for socializing and reducing anxiety, regardless of age and gender. This paper evaluates the trends related to people diagnosed with acute intoxication (F10.0) and harmful use (F10.1) at the 'Elisabeta Doamna' Psychiatriy Hospital in Galati, during the pandemic, in the period between the 15th of March 2020 and the 15th of March 2021. We analysed the data base of discharges from the 'Elisabeta Doamna' Psychiatry Hospital from the 15th of March 2020 to the 15th of March 2021. ICD-10 (Classification of mental and behavioural disorders) was used for diagnosis of psychiatric disorders. We selected outpatients with the codes for acute intoxication (F10.0) and harmful use (F10.1) and excluded all patients with other psychiatric diagnoses. The data were statistically processed using: Microsoft Office-Excel, The jamovi project (2021) jamovi (Version 1.6) [Computer Software]. During the analysed period, there were 7614 discharges from the 'Elisabeta Doamna' Psychiatriy Hospital of which 1465 (20.08%) disorders were related to alcohol consumption. Disorders related to intoxication and alcohol use represent 13.14% (957 cases) of the total discharges and 65.46% of the total number of disorders related to alcohol. Disorders related to harmful use (F10.1) represent 30.31% (442 cases), and a percentage of 35.15% (515 cases) with disorders due to acute intoxication (F10.0) out of the total cases were related to alcohol consumption. From the view of the dispersion of the number of cases, there is a fluctuation in the tendency to follow the restrictions imposed by the authorities.


Author(s):  
Farah N. Chowdhury ◽  
G. Sanjaya Chandrarathne ◽  
Kristopher D. Masilamani ◽  
Jennifer T. N. LaBranche ◽  
Shaun Malo ◽  
...  

AbstractBackgroundHereditary hemorrhagic telangiectasia (HHT) is a disease of abnormal vasculature where patients are predisposed to strokes of multiple etiologies. We assessed yearly stroke incidence among Albertans with HHT and compared with the general population. Given the tendency for stroke in HHT patients, we expected HHT patients to have higher stroke incidence, in particular at younger ages.MethodsPopulation-based administrative health data on inpatient and ambulatory admissions were extracted over a 16-year period using International Classification of Diseases (ICD)-9 and ICD-10, Canada codes. We analyzed overall occurrence of strokes in Alberta by age, gender, stroke subtype, and diagnosis of HHT.ResultsThe age-standardized incidence rate of stroke in HHT was 450 per 100,000 compared with 260 per 100,000 in the general population with a rate ratio of 1.73 (95% confidence interval (CI) [1.046-2.842]). This study found a higher HHT prevalence in Alberta (1 in 3800) compared to the world average of 1 in 5000. Women were also more likely to be diagnosed with HHT, with a 3.25:1 female gender preponderance in the yearly incidence.InterpretationThis study not only shows that HHT patients are at higher risk of having a stroke but also quantifies that risk using an age-adjusted metric in Alberta. This province has a higher than expected disease burden of HHT, with the majority of cases affecting women. Our study found that acute ischemic strokes and transient ischemic attacks are far more common than hemorrhage in HHT. As HHT is a rare, multi-system, chronic disease, these patients should be referred to an HHT Centre of Excellence.


1999 ◽  
Vol 175 (3) ◽  
pp. 205-209 ◽  
Author(s):  
Michael B. First ◽  
Harold Alan Pincus

The editorial by Andrews et al (1999) usefully calls attention to issues of compatibility between diagnostic classification systems but we believe that the editorial greatly overstates the compatibility problem as well as its implications. The article begins with the suggestion that the DSM–IV authors' position is to downplay the differences between DSM–IV and ICD–10. After stating that the American Psychiatric Association “felt sufficiently confident to publish a DSM–IV International Version in which the DSM–IV criteria are listed against the ICD–10 codes”, the authors go on to report concordances between the classifications for the main mental disorders as ranging from a low of 33% (for substance harmful use or abuse) to 87% (for dysthymia), with an overall concordance of only 68%. The authors conclude that if this “unnecessary dissonance between the classification systems continues, patients, researchers and clinicians will be all the poorer”. Although we acknowledge that there are a number of differences between the two systems, the authors fail to assess fully the sources, significance and solutions for this compatibility problem.


2011 ◽  
Vol 26 (S2) ◽  
pp. 1553-1553
Author(s):  
K.K. Pirkalani ◽  
Z. Talaee Rad

ObjectiveTo study sexual problems of our patients and standardizing it for patients with or without religious and cultural restrains we developed a questionnaire with 240 phrases that were extracted from a pool of 1400 sentences addressing sexual problems. Sixty four scales under four headings (sexual general characteristics, deviations, dysfunctions and psychodynamic syndromes) (16 items each) were evaluated based on criteria of DSM-IV and ICD 10. Five validity scales (honesty, desirability, debasement, guilt feeling and overall validity) were also used for better assessment.MethodsA total of 1300 patients in the four variants of the test were evaluated during a time span of 7 years. The questions were presented to examinees at 8th. Grade and higher in a calm environment and the results were evaluated by a computer software specifically developed for this purpose.ResultsThe last version of the test was completed by 734 patients with excellent compliance. It was of nice politeness and comprehensiveness. For almost all scales the sensitivity and specificity were around 85 and 92% respectively.ConclusionWe conclude that QSAF 2009 is an excellent tool both in clinics (diagnosis and follow up) and epidemiology with high sensitivity and specificity. It has also application in cross cultural studies, medico - legal issues and medical documentation. It prevents face to face interviews, breaks patients’ resistance and is less time consuming than scheduled interviews.


2020 ◽  
Vol 17 (2) ◽  
pp. 64-69
Author(s):  
Svetlana Stojkov ◽  
Dušanka Krajnović

Objective. Continued Professional Development (CPD) is one of the most significant precursors to increased competency. Appropriate instruments and support are required for its implementation. This paper demonstrates the attitudes held by pharmacists on the impact of the competency framework on CPD, its acceptance among Serbian pharmacists and potential future application. Furthermore, the motivational impact of the competency framework on CPD as well as the relationship between certain demographic indicators and motivators of CPD are provided. Method. Research on the cross-sectional method throughout 2015-16 included pharmacists working in publicly-owned pharmacies. The survey was anonymous and voluntary. The questionnaires generated for this research contain demographic data on those surveyed and open-ended questions with multiple choice answers and applied a Likert-type scale. Statistical analysis was conducted by applying Microsoft Office 2003 and the Statistical Package for Social Sciences (SPSS) version 22. Results. Among the respondents, the female gender dominated, respondents who had not completed a speciality within their respective field, with an average age of 42 years, and an average of approx. 15 years of service. 26.12% of the respondents had prior experience with the competency framework. Most respondents were of the opinion that these instruments motivated them to actively manage their own PD, to set concrete PD objectives and to review their own competency. Over half intend to apply competency frameworks in future. The statistical Chi-square test indicates it is not possible to determine with certainty that there are differences in terms of motivation in managing PD and in PD goal setting between the groups of variables. Conclusion. The research indicates a positive attitude/opinion of pharmacists towards the competency framework and in recognising these instruments as supportive to CPD.


2011 ◽  
Vol 5 (2) ◽  
pp. 312
Author(s):  
Maria Do Céu Mendes Pinto Marques ◽  
Ermelinda Rebola ◽  
Manuel José Lopes

ABSTRACTObjective: to realize the social representations of relationships and trust and explore their dimensions, elaborated by heart patient relatives from a cardiology unit from a Portuguese hospital. Method: this is about an exploratory study, taken from 48 (forty-eight) relatives. Data were collected during a month time, through a survey, with socio-demographic questions and two inducing factors. The free association of words technique was used. The ethical and legal proceedings were upheld, in agreement with the Helsinki ethics declaration in research involving human beings. The data analysis was performed using the Microsoft Office WordÒ and processed using EvocÒ and SIMIÒ, and provided the structure of social representations and the strength between elements. Results: female gender relatives are predominant, the proximity of relatives is: sons (daughters); and wives. The relationship core is constituted by, providing good care, professionalism, and information. The trust core is constituted by, nurses, medical doctors, and care. Conclusion: for the effectiveness of the relationship to be real, there’s the need for a good care to be provided by the health care professionals to the patient/family, with professionalism always on sight, and with information as a knowledge base. The ones who contributed the most for the main health care foundation, trust, were the nurses and the medical doctors with the art of taking care. Descriptors: relationship; trust; social representations; family.RESUMOObjetivo: apreender as representações sociais de relação e confiança e explorar as suas dimensões, elaboradas por familiares de doentes cardíacos de uma unidade de cardiologia de um hospital Português. Método: estudo exploratório, realizado a 48 familiares. Recolha dos dados feita no espaço temporal de um mês, utilizando questionário, com questões sócio-demográficas e dois estímulos indutores. Foi utilizada a técnica da associação livre de palavras. Foram cumpridos os procedimentos éticos e legais, em conformidade com a Declaração de Helsinki de Ética em Pesquisa Envolvendo Seres Humanos. Os dados foram categorizados recorrendo ao Microsoft Office WordÒ e processados nos softwares EvocÒ e SIMIÒ, forneceram a estrutura das representações sociais e a força da relação entre elementos. Resultados: predominância de familiares do sexo feminino, grau de parentesco filhos e esposas. Núcleo central de relação constituído por, tratar bem, profissionalismo e informação. Núcleo central de confiança constituído por enfermeiros, médicos e cuidar. Conclusão: a relação para ser eficaz, necessita que os profissionais de saúde cuidem bem a família/doente, com profissionalismo tendo a informação como base. Quem mais contribuiu para um dos principais alicerces da relação, a confiança, foram os enfermeiros e os médicos com a arte de cuidar. Descritores: relação; confiança; representações sociais; família.RESUMENObjetivo: comprender las representaciones sociales de relación y confianza y explorar sus dimensiones, preparados por los familiares de los pacientes del corazón en una unidad de cardiología de un hospital portugués. Método: un estudio exploratorio, realizado en 48 familias. La recogida de datos realizada en el lapso de un mes, mediante cuestionario con preguntas sociodemográficas y dos estímulos inductores. Se utilizó la técnica de asociación libre de palabras. Ha cumplido con los procedimientos éticos y legales de conformidad con la Declaración de Helsinki sobre la Ética en la Investigación en Seres Humanos. Los datos fueron categorizados utilizando el Microsoft Office Word  y procesados en el software Evoc y SIMI, proporcionar el marco de las representaciones sociales y la fuerza de la relación entre los elementos. Resultados: la mayoría es mujeres, niños  y esposas. Núcleo centrales de la relacione formado por, manejar bien, profesionalismo y información. Núcleo centrales de la confianza construida por los enfermeros, los médicos y la atención. Conclusión: la relación sea efectiva, requiere que los profesionales de la salud traten bien la familia / paciente a la con profesionalismo y la base de información. Quién más ha contribuido a una importante fundación de respeto, confianza, fueron las enfermeros y los médicos con el arte de la atención. Descriptores: respeto; confianza; representaciones sociales; familia. 


2014 ◽  
Vol 513-517 ◽  
pp. 2253-2256
Author(s):  
Jie Zhang ◽  
Bo Zhang

In this paper the author introduced the application of Word drawing function in sports drawing, the function and skills of common drawing tools, and solved the stubborn problems in writing teaching plan and class by drawing ground device, queue type, teaching organization, and sports human body in practical examples. In this way, the study difficulty level was reduced, the time spent in mastering actions was shortened, the teaching effect and quality was greatly promoted, the application of computers in sports teaching was propagated, and the teaching patterns of sports drawings were enriched.


SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A365-A365
Author(s):  
E A McIntyre ◽  
S K Oles ◽  
A Bandyopadhyay ◽  
A Daftary

Abstract Introduction Narcolepsy is known to be associated with sleep related movement disorders (SRMD) including periodic limb movement and restless leg syndrome. However, there is paucity of data comparing the clinical characteristics of children with narcolepsy with and without SRMD. Methods Retrospective chart review of all children presenting to the sleep clinic for sleep problems between March 2016 to June 2017 was performed. Demographics, sleep intake patient questionnaires and ICD-10 codes for comorbidities and sleep diagnoses were collected. Children with diagnosis of narcolepsy (ICD-10 G47.4) were included in this study. Cohort was divided into 2 groups- with and without co-existing diagnoses of sleep related movement disorders (ICD-10 G47.6). Demographics, presenting symptoms, Epworth sleepiness scores and prevalence of sleep comorbidities were compared using T-test (continuous) and Chi square (categorical). Unadjusted odds ratio was calculated for demographics and presence of SRMD. P value of <0.05 was considered significant. Results 28 (F=14,50%) children with narcolepsy were included. 25% children were diagnosed with SRMD. Mean (SD) age of children with SRMD presenting to the sleep clinic was 11.14 (5.08) years while mean age (SD) of children without SRMD was 9.52 (3.87) years. Age and race of children with and without SRMD were not statistically different. There was an increased prevalence of females in the group with narcolepsy and SRMD compared to the group without SRMD (86%vs38%, p=0.029). Epworth sleepiness score was not statistically different between the 2 groups. Female gender increased the odds of SRMD in children with narcolepsy (OR:9.75, 0.98- 96.56). Conclusion Children with narcolepsy can present with comorbid sleep related movement disorder. Females were more likely to present with associated SRMD compared to males. Support None


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