Suicidal Behavior and Community Mental Health Care in Emilia-Romagna (Italy)

1996 ◽  
Vol 33 (3) ◽  
pp. 193-206 ◽  
Author(s):  
P. Crepet ◽  
S. Caracciolo ◽  
D. Fabbri ◽  
A. Tomelli ◽  
S. Tugnoli ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Psychiatric Care ◽  
Psychiatric Treatment ◽  
Community Mental Health Service ◽  
Before And After ◽  
Previous Contact ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

Parasuicide and aftercare treatment in a Community Mental Health Service (CMHS) were studied both retrospectively and prospectively. Data were extracted from CMHS Epidemiological Register. Six hundred and fifty persons were recruited (450 F, 200 M), referring to 779 parasuicide episodes. Higher rates (102/100,000) were observed in females in the age class fifteen to twenty-four, while the general rate was 52.79. Psychiatric care was studied for 311 suicide attempters, subsequently divided in three Groups. Thirty-nine subjects (12.5%) previously unknown at CMHS resulted to receive psychiatric treatment after follow up (GROUP 1), while seventy-two attempters (23.15%) with previous contact (GROUP 2) remained mostly (16.4%) in contact; two-hundred subjects (64.3%) without previous contact were still unknown after parasuicide (GROUP 3). Parasuicide repetition was higher for Group 2, while suicide incidence was higher for Group 1. Results suggest that most peclple skip psychiatric care before and after parasuicide.

Effects of experimental volume-overload hypertrophy on myocardial blood flow and cardiac function

1981 ◽  
Vol 241 (4) ◽  
pp. H564-H570 ◽  
Author(s):  
F. R. Badke ◽  
F. C. White ◽  
M. Le Winter ◽  
J. Covell ◽  
J. Andres ◽  
...  
Keyword(s):  
Blood Flow ◽  
Maximal Exercise ◽  
Volume Overload ◽  
Aortocaval Fistula ◽  
Blood Flows ◽  
Before And After ◽  
Group 3 ◽  
Group 2 ◽  
Shunt Closure ◽  
Group 1

To examine the effects of volume-overload hypertrophy on regional myocardial perfusion, we determined myocardial blood flows with microspheres at rest, during exercise, and during exercise with adenosine infusion in dogs with aortocaval fistulas for 12 wk (group 2) and sham-operated controls (group 1). A subgroup of six animals (group 3) was studied both before and after shunt closure in order to separate the influences of hypertrophy from the hemodynamic effects of the fistula. Epicardial blood flows in animals with patent fistulas were significantly greater than in controls under all conditions (P less than 0.05). However, endocardial blood flows were lower at maximal exercise and with adenosine, so that the endocardial-to-epicardial blood flow ratios were reduced 36 and 28%, respectively(P less than 0.05). These flow abnormalities were reversed by closing the fistula prior to regression of hypertrophy. Moreover, coronary resistance per unit of myocardium was not different for the three groups. These results suggest that the blood-flow abnormalities seen in the exercising dog with an aortocaval fistula are secondary to hemodynamic considerations and not to hypertrophy itself. Low aortic diastolic pressures and high myocardial oxygen demands during exercise may combine to produce subendocardial hypoperfusion in this model.

scholarly journals The prognostic value of visually assessing enamel microcracks: Do debonding and adhesive removal contribute to their increase?

2016 ◽  
Vol 86 (3) ◽  
pp. 437-447 ◽  
Author(s):  
Irma Dumbryte ◽  
Tomas Jonavicius ◽  
Laura Linkeviciene ◽  
Tomas Linkevicius ◽  
Vytaute Peciuliene ◽  
...  
Keyword(s):  
Control Group ◽  
Naked Eye ◽  
Room Illumination ◽  
Before And After ◽  
Ceramic Brackets ◽  
Group 3 ◽  
The Mean ◽  
Group 2 ◽  
Adhesive Removal ◽  
Group 1

ABSTRACT Objective:  To find a correlation between the severity of enamel microcracks (EMCs) and their increase during debonding and residual adhesive removal (RAR). Materials and Methods:  Following their examination with scanning electron microscopy (SEM), 90 extracted human premolars were divided into three groups of 30: group 1, teeth having pronounced EMCs (visible with the naked eye under normal room illumination); group 2, teeth showing weak EMCs (not apparent under normal room illumination but visible by SEM); and group 3, a control group. EMCs have been classified into weak and pronounced, based on their visibility. Metal brackets (MB) and ceramic brackets (CB), 15 of each type, were bonded to all the teeth from groups 1 and 2. Debonding was performed with pliers, followed by RAR. The location, length, and width of the longest EMCs were measured using SEM before and after debonding. Results:  The mean overall width (Woverall) was higher for pronounced EMCs before and after debonding CB (P < .05), and after the removal of MB. Pronounced EMCs showed greater length values using both types of brackets. After debonding, the increase in Woverall of pronounced EMCs was 0.57 µm with MB (P < .05) and 0.30 µm with CB; for weak EMCs, − 0.32 µm with MB and 0.30 µm with CB. Conclusions:  Although the teeth having pronounced EMCs showed higher width and length values, this did not predispose to greater EMCs increase after debonding MB and CB followed by RAR.

scholarly journals Preventive Analgesia Is Associated with Reduced Pain Disability 3 Weeks but Not 6 Months after Major Gynecologic Surgery by Laparotomy

2004 ◽  
Vol 101 (1) ◽  
pp. 169-174 ◽  
Author(s):  
Joel Katz ◽  
Lorenzo Cohen
Keyword(s):  
Mental Health ◽  
General Anesthesia ◽  
Mcgill Pain Questionnaire ◽  
Pain Questionnaire ◽  
Pain Disability Index ◽  
Pain Disability ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

Background Most studies of preemptive or preventive analgesia restrict outcomes to pain and analgesic consumption in the acute postoperative period. The potential longer-term effects on these and other domains of functioning have received little empirical attention. The purpose of this study was to follow up patients who had received general anesthesia plus epidural fentanyl and lidocaine before (group 1) or after (group 2) incision or general anesthesia plus a sham epidural (group 3). Methods Patients were contacted approximately 3 weeks and 6 months after surgery. A follow-up pain questionnaire and the McGill Pain Questionnaire were administered by telephone. The Mental Health Inventory and Pain Disability Index were mailed to patients, completed, and mailed back. Results One hundred thirty-one of the 141 patients (93%) were reached 3 weeks after surgery (n = 41, n = 48, and n = 42 in groups 1, 2, and 3, respectively), and 109 (77%) were reached at 6 months (n = 35, n = 37, and n = 37 in groups 1, 2, and 3, respectively). Multivariate analysis of covariance indicated that that even after controlling for age and presence or absence of preoperative pain, Pain Disability Index scores (mean +/- SD) at the first follow-up were significantly lower in group 1 (17.3 +/-12.8) and group 2 (18.1 +/-17.0) compared with group 3 (26.3 +/- 18.3). McGill Pain Questionnaire and Mental Health Inventory scores did not differ significantly among the groups. There were no significant differences at the 6-month follow-up. Conclusion The short-term beneficial effects of preventive epidural analgesia translated into less pain disability 3 weeks after surgery. Progress in understanding the processes involved in postsurgical recovery and the risk factors for chronic postsurgical pain would be aided by baseline and postsurgical measures of relevant psychological, emotional, and physical variables.

scholarly journals Effect of Three Wavelengths of Diode Laser on the Efficacy of Bleaching of Stained Teeth

2020 ◽  
Author(s):  
Reza Saeedi ◽  
Ladan Ranjbar Omrani ◽  
Mahdi Abbasi ◽  
Nasim Chiniforush ◽  
Mojgan Kargar
Keyword(s):  
Diode Laser ◽  
Tooth Bleaching ◽  
Color Parameters ◽  
Group 4 ◽  
Before And After ◽  
Group 3 ◽  
Group 2 ◽  
Laser Bleaching ◽  
Group 1

Objectives: Light irradiation and heat have been used to accelerate the process of tooth bleaching. This study aimed to assess the efficacy of conventional bleaching compared to laser-bleaching using three different wavelengths of diode lasers. Materials and Methods: In this in-vitro experimental study, 40 extracted human central incisors were immersed in a coloring solution made of tea, coffee, and cola for 21 days. The L*, a*, and b* color parameters were measured before and after the immersion using spectrophotometry. The teeth were then randomly divided into four groups (n=10) as follows: group 1: 810-nm diode laser + Biolase Laser White 20, group 2: 940-nm diode laser + Biolase Laser White 20, group 3: 980-nm diode laser + Biolase Laser White 20, and group 4: conventional bleaching with Opalescence Boost without laser irradiation. One-way analysis of variance (ANOVA) was used to assess the effect of laser type and bleaching technique on color parameters. Results: The 940-nm (∆E=28.5896) and 810-nm laser groups (∆E=21.2382) showed the highest and the lowest bleaching efficacy, respectively; however, the groups were not significantly different in terms of bleaching efficacy (P>0.05). Conclusion: Laser-bleaching with 810-, 940- and 980-nm wavelengths of diode laser has an efficacy similar to that of conventional bleaching but in a shorter period. No difference was noted between different laser wavelengths in terms of bleaching efficacy.

scholarly journals Impact of Oral Health Educational Interventions on Oral Hygiene Status of Children with Hearing Loss: A Randomized Controlled Trial

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Maria Moin ◽  
Sohail Saadat ◽  
Sara Rafique ◽  
Afsheen Maqsood ◽  
Abhishek Lal ◽  
...  
Keyword(s):  
Oral Health ◽  
Oral Hygiene ◽  
Educational Interventions ◽  
Hearing Impaired ◽  
Before And After ◽  
Group 3 ◽  
Group 2 ◽  
Impaired Children ◽  
Group 1 ◽  
Hearing Impaired Children

Introduction. Oral health is considered as one of the essential components of the overall health of every individual. Maintaining oral health is a gradual process that requires commitment. Children who require special care such as hearing impairment experience difficulty in maintaining oral health primarily due to communication difficulties. This study is aimed at using different interventions to evaluate the improvement of oral hygiene in hearing impaired children. Materials and Methods. Fifty-nine children were recruited in this study that were allocated randomly into each group with twenty children as follows: group 1: pictorial, group 2: video, and group 3: control. Mean plaque and gingival scores were noted before and after the use of different interventions. Oral hygiene was categorized as “excellent,” “good,” and “fair.” Gingival health was categorized as “healthy,” “mild gingivitis,” and “moderate gingivitis.” Results. Thirty-four children (57.6%) were from 12-13 years of age bracket, and 25 (42.4%) belonged to 14-16 years of age. Regarding gender, there were 37 (62.7%) males and 22 (37.3%) females. About comparison of mean gingival and plaque scores before and after interventions in each group, a significant difference was found in group 1 ( p < 0.001 ) and group 2 ( p < 0.001 ), as compared to group 3 where the difference in scores was not significant ( p > 0.05 ). Conclusion. Maintaining oral health requires the compliance of individuals to perform different methods of preventive dentistry, such as tooth brushing and use of dental floss. The use of different oral hygiene educational interventions such as pictorial and video methods have been proven and useful for hearing impaired children in improving oral health.

PENGARUH BOOKLET TERHADAP PENGETAHUAN, KONSUMSI ENERGI DAN PROTEIN ANAK SEKOLAH DASAR NEGERI 16 PONTIANAK TIMUR

2018 ◽  
Vol 12 (01) ◽  
Author(s):  
Suaebah Suaebah ◽  
Ayu Rafiony
Keyword(s):  
Independent Test ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental ◽  
Study Population ◽  
Group 3 ◽  
The Mean ◽  
Group 2 ◽  
Paired T Test ◽  
Group 1

                                                  ABSTRACTThis research aims to determine the effect of nutritional counseling in the form of booklets towards knowledge, consumption of energy and protein of children in elementary school. This research is a quasi-experimental design with a controlled group pre-post test. This research was conducted in August-September, 2017. The study population was students of 5A and 5B grades of SDN 16 East Pontianak. The samples are 24 children, each group consist of 8 children by randomly sampling. Group 1 was given nutrition counseling with booklet media once a month, group 2 was given twice a month and group 3 was given 3 times a month. Data analysis used paired t-test and independent test. The results showed that knowledge of group 1 increased by 11.0%, group 2 increased by 11.0% and group 3 increased by 10.5%. Energy consumption in group 1 increased to 1270.6 calories, group 2 decreased to 1310.7 calories, and group 3 increased to 1204.2 calories. Protein consumption in group 1 increased to 43.9 gr/day, group 2 increased to 48.5 gr/day, group 3 increased to 39.4 gr/day. In conclusion, the mean score of knowledge in each group significantly increased before and after the intervention as well as energy and protein intake. However, there was no difference before and after the intervention. Counseling about healthy breakfast is needed so that student nutrition can be fulfilled.Keywords: Booklet, Nutrition Knowledge, Energy, protein

scholarly journals Saliva Contamination Effect on Shear Bond Strength of Self-etching Primer with Different Debond Times

2007 ◽  
Vol 77 (5) ◽  
pp. 901-906 ◽  
Author(s):  
Tamer Turk ◽  
Selma Elekdag-Turk ◽  
Devrim Isci ◽  
Fethiye Cakmak ◽  
Nurhat Ozkalayci
Keyword(s):  
Control Group ◽  
Group 4 ◽  
Contamination Effect ◽  
Significant Difference ◽  
Before And After ◽  
Group 3 ◽  
Bond Strengths ◽  
Group 2 ◽  
Saliva Contamination ◽  
Group 1

Abstract Objective: To evaluate shear bond strengths (SBSs) of a self-etching primer (SEP) following saliva contamination at different stages of bonding at debond times of 5, 15, and 30 minutes and 24 hours. Materials and Methods: Two-hundred forty human premolars were divided into four groups: group 1, uncontaminated; group 2, saliva contamination after priming; group 3, saliva contamination before priming; and group 4, saliva contamination before and after priming. Four subgroups according to debond times of 5, 15, 30 minutes and 24 hours were composed. Metal brackets were bonded with an SEP (Transbond Plus) and light-cure adhesives paste (Transbond XT). SBS values and the adhesive remnants were determined. Results: The highest SBS was obtained at a debond time of 24 hours for the control group. This was significantly different from the other groups. SBSs at 5, 15, and 30 minutes showed no significant difference from each other in the control group (P &gt; .05). Lowest SBSs were obtained at a debond time of 5 minutes for groups 1, 2, 3, and 4 (8.38, 7.10, 7.06, and 6.26 MPa, respectively) and were not significantly different from each other (P &gt; .05). SBSs at 24 hours were not significantly different from each other for groups 2, 3, and 4 (P &gt; .05). Significant differences were found in the adhesive remnant (P &lt; .001). Conclusions: SEP (Transbond Plus) may produce clinically acceptable bracket bonding after 5, 15, and 30 minutes from time of placement on the teeth, even with light and heavy saliva contamination.

scholarly journals PROTEOMIC DIAGNOSTIC TECHNOLOGIES AND THEIR APPLICATION FOR THE REFRACTIVE CORRECTION OF AMETROPIA

2017 ◽  
Vol 12 (4) ◽  
pp. 193-199
Author(s):  
M. A Kovalevskaya ◽  
I. V Chernikova ◽  
V. S Podoprigora ◽  
Mariya I. Sergeeva
Keyword(s):  
Dry Eye ◽  
Ocular Surface ◽  
Dry Eye Syndrome ◽  
Tear Fluid ◽  
Antioxidant Protection ◽  
Before And After ◽  
Group 3 ◽  
Group 2 ◽  
High Degree ◽  
Group 1

Aim. The objective of the present study was the analysis of the tear fluid proteomic status and the eye surface of the patients presenting with ametropia before and after laser-assisted in situ keratomileusis (LASIK). Material and methods. The study included 163 patients (326 eyes) divided into three groups. Group 1 was comprised of 51 adult patients (102 eyes)at the age from 35 to 54 years suffering from high-degree myopia and astigmatism. Group 2 was composed of 26 adult patients (52 eyes) at the age from 35 to 55 years suffering from moderate or high-degree hyperopia and astigmatism. Group 3 consisted of 86 younger patients (172 eyes) at the age from 18 to 54 years suffering from high-degree myopia and astigmatism. The dry eye syndrome and the state pf the cornea were diagnosed with the use of the Lipkof’s test, Schirmer’s test, TBUT test, and corneal fluorescence staining. The antioxidant activity of the tears was estimated based on the results of measurements of peroxyredoxin-6 (PEDX6) expression. Results. The level of PEDX6 expression after LASIK increased in the patients presenting with myopia by 1.4 times and in those with hyperopia by 1.07 times, that is it changed but slightly after the operation and was 6.2 times less pronounced in comparison was the myopes. Conclusion. The study has demonstrated that two methods proved reliable for the evaluation of the tear fluid proteomic status, viz. the Lipkof’s test (1.82 ± 0.2mm, stage 3) and the TBUT test (8.0 ± 1.46 seconds), suggesting the presence of grade 2 dry eye syndrome. Te same refers to the patients of group 2: the results of the Lipkof’s test (1.31 ± 0.2mm) and the TBUT test (8.23 ± 0.87 seconds). The level of antioxidant protection of the ocular surface (PEDX6 expression) depended on the type of the refractive error: in the patients of group 1 before and after LASIK, PEDX6 expression was 4.7 times (13.57 ± 0.83) and 6.2 (19.31 ± 0.71) higher 2.88 ± 0.38 and 3.09 ± 0.47) than in those of group 2, respectively. In addition, it was shown that the level of antioxidant protection of the ocular surface (PEDX6 expression) depended on the age of the patients prior to LASIK: it was 1.3 lower in group 1 than in group 3 (1.35 ± 0.83 and 17.77 ± 1.03 respectively). The clinical significance of the tests for the tear fluid production and proteomic status changed appreciably after LASIK. The TBUT test for diagnostics of dry eye syndrome remained reliable in all the groups.

scholarly journals Evaluate the Protective Effect of Lactobacillus against Collateral Damage Induced by Ciprofloxacin and Levofloxacin in Iraqi Patients

2019 ◽  
Vol 28 (2) ◽  
pp. 174-179
Author(s):  
Ali F. Hassan ◽  
Suha N. Muhsin
Keyword(s):  
Wide Spectrum ◽  
Multidrug Resistant ◽  
Collateral Damage ◽  
Group 4 ◽  
Number Of Patients ◽  
Wide Range ◽  
Before And After ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

Abstract:                                                                                                                Fluoroquinolones drugs are an important class of wide spectrum antibacterial agents, and active against a wide range of Gram-negative and Gram-positive pathogens, are divided into four generations. Collateral damage is a term used to refer to ecological adverse effects of antibiotic therapy, occurring as drug-resistant organisms and the unwanted development of colonization or infection with multidrug-resistant organisms. This damage is mostly related to levofloxacin and Ciprofloxacin.  Aim: The aim of the current study was to compare the incidence of collateral damage between two quinolone antibiotic derivatives (ciprofloxacin and Levofloxacin) and evaluate the activity of lactobacillus to reduce the collateral damage. Patients and Methods: This study was carried out on 100 patients. Administration of ciprofloxacin, levofloxacin each alone or in combination with lactobacillus, the character of diarrhea and grade of diarrhea was studied before and after 10 days of administration each dosing protocol. Results: there are a significant increase in the incidence of diarrhea for all groups when compare between before and after treatment diarrhea, Number of patients with diarrhea in group 1 after finish the treatment was not significantly higher when compared with group 2 (p>0.05) meanwhile number of patients with diarrhea in group 4 after finish the treatment was significantly lower when compared with group 3 (p>0.05). Conclusion; The use of ciprofloxacin and levofloxacin associated with incidence of collateral damage represented as diarrhea and levofloxacin is the least risk of this damage, and using of lactobacillus with levofloxacin was better results than the other three groups.     

Virtual and stereoscopic anatomy: when virtual reality meets medical education

2016 ◽  
Vol 125 (5) ◽  
pp. 1105-1111 ◽  
Author(s):  
Jose Weber Vieira de Faria ◽  
Manoel Jacobsen Teixeira ◽  
Leonardo de Moura Sousa Júnior ◽  
Jose Pinhata Otoch ◽  
Eberval Gadelha Figueiredo
Keyword(s):  
Higher Learning ◽  
Traditional Teaching ◽  
Teaching Resources ◽  
Significant Difference ◽  
Before And After ◽  
Group 3 ◽  
Group 2 ◽  
Areas Of Interest ◽  
Theory Test ◽  
Group 1

OBJECTIVE The authors sought to construct, implement, and evaluate an interactive and stereoscopic resource for teaching neuroanatomy, accessible from personal computers. METHODS Forty fresh brains (80 hemispheres) were dissected. Images of areas of interest were captured using a manual turntable and processed and stored in a 5337-image database. Pedagogic evaluation was performed in 84 graduate medical students, divided into 3 groups: 1 (conventional method), 2 (interactive nonstereoscopic), and 3 (interactive and stereoscopic). The method was evaluated through a written theory test and a lab practicum. RESULTS Groups 2 and 3 showed the highest mean scores in pedagogic evaluations and differed significantly from Group 1 (p < 0.05). Group 2 did not differ statistically from Group 3 (p > 0.05). Size effects, measured as differences in scores before and after lectures, indicate the effectiveness of the method. ANOVA results showed significant difference (p < 0.05) between groups, and the Tukey test showed statistical differences between Group 1 and the other 2 groups (p < 0.05). No statistical differences between Groups 2 and 3 were found in the practicum. However, there were significant differences when Groups 2 and 3 were compared with Group 1 (p < 0.05). CONCLUSIONS The authors conclude that this method promoted further improvement in knowledge for students and fostered significantly higher learning when compared with traditional teaching resources.

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