scholarly journals Maximum Temperature and Solar Radiation as Predictors of Bipolar Patient Admission in an Emergency Psychiatric Ward

2019 ◽  
Vol 16 (7) ◽  
pp. 1140 ◽  
Author(s):  
Andrea Aguglia ◽  
Gianluca Serafini ◽  
Andrea Escelsior ◽  
Giovanna Canepa ◽  
Mario Amore ◽  
...  
Keyword(s):  
Solar Radiation ◽  
Psychiatric Inpatient ◽  
Bipolar Patient ◽  
Primary Diagnosis ◽  
Meteorological Variables ◽  
Maximum Temperature ◽  
Psychiatric Ward ◽  
Psychiatric Inpatient Unit ◽  
Bipolar Patients ◽  
The Impact

Environmental variables can regulate behavior in healthy subjects. Recently, some authors investigated the role of meteorological variables in bipolar patients with an impact on both the onset and course of bipolar disorder (BD). The aim of this study was to investigate the impact of meteorological variables and other indexes in bipolar hospitalized patients. We examined all patients admitted to the Psychiatric Inpatient Unit of San Luigi Gonzaga Hospital, Orbassano (Turin, Italy) from September 2013 to August 2015, collecting several socio-demographic and clinical characteristics. Seven hundred and thirty patients were included. Compared to the day of admission of control individuals, patients with BD were admitted on a day that presented higher minimum, medium, and maximum temperature, higher maximum humidity, higher solar radiation, and higher hours of sunshine. After logistic regression analysis, admissions to the emergency psychiatric ward due to a primary diagnosis of BD were associated with maximum temperature and solar radiation. The current study provides a novel perspective on the question surrounding seasonal mood patterns in patients with BD. A greater awareness of all possible precipitating factors is needed to inform self-management and psycho-educational programs as well as to improve resilience regarding affective recurrences in the clinical practice.

scholarly journals Unlocking an acute psychiatric ward: The impact on unauthorised absences, assaults and seclusions

2017 ◽  
Vol 41 (2) ◽  
pp. 92-96 ◽  
Author(s):  
Ben Beaglehole ◽  
John Beveridge ◽  
Warren Campbell-Trotter ◽  
Chris Frampton
Keyword(s):  
Psychiatric Inpatient ◽  
Psychiatric Ward ◽  
Inpatient Service ◽  
Positive Effects ◽  
Adverse Event Data ◽  
Before And After ◽  
Acute Psychiatric Ward ◽  
Restrictive Environment ◽  
Open Wards ◽  
The Impact

Aims and methodThe acute psychiatric inpatient service in Christchurch, New Zealand, recently changed from two locked and two unlocked wards to four open wards. This provided the opportunity to evaluate whether shifting to an unlocked environment was associated with higher rates of adverse events, including unauthorised absences, violent incidents and seclusion. We compared long-term adverse event data before and after ward configuration change.ResultsRates of unauthorised absences increased by 58% after the change in ward configuration (P = 0.005), but seclusion hours dropped by 53% (P = 0.001). A small increase in violent incidents was recorded but this was not statistically significant.Clinical implicationsAlthough unauthorised absences increased, the absence of statistically significant changes for violent incidents and a reduction in seclusion hours suggest that the change to a less restrictive environment may have some positive effects.

scholarly journals The impact of COVID-19 on acute psychiatric inpatient unit

2020 ◽  
Vol 290 ◽  
pp. 113107 ◽  
Author(s):  
Daniel Hernández-Huerta ◽  
Elena Begoña Alonso-Sánchez ◽  
Carmen Aldara Carrajo-Garcia ◽  
José Manuel Montes-Rodríguez
Keyword(s):  
Psychiatric Inpatient ◽  
Inpatient Unit ◽  
Psychiatric Inpatient Unit ◽  
The Impact

scholarly journals Impact Assessment of Climate Change on Paddy Yield: A Case Study of Nepal Agriculture Research Council (NARC), Tarahara, Nepal

1970 ◽  
Vol 8 (3) ◽  
pp. 147-167 ◽  
Author(s):  
Yam K Rai ◽  
Bhakta B Ale ◽  
Jawed Alam
Keyword(s):  
Climate Change ◽  
Solar Radiation ◽  
Research Council ◽  
Crop Yields ◽  
Rice Yield ◽  
Weather Data ◽  
Maximum Temperature ◽  
Future Climate Change ◽  
Climate Change Scenarios ◽  
The Impact

Climate change and global warming are burning issues, which significantly threat agriculture and global food security. Change in solar radiation, temperature and precipitation will influence the change in crop yields and hence economy of agriculture. It is possible to understand the phenomenon of climate change on crop production and to develop adaptation strategies for sustainability in food production, using a suitable crop simulation model. CERES-Rice model of DSSAT v4.0 was used to simulate the rice yield of the region under climate change scenarios using the historical weather data at Nepal Agriculture Research Council (NARC) Tarahara (1989-2008). The Crop Model was calibrated using the experimental crop data, climate data and soil data for two years (2000-2001) and was validated by using the data of the year 2002 at NARC Tarahara. In this study various scenarios were undertaken to analyze the rice yield. The change in values of weather parameters due to climate change and its effects on the rice yield were studied. It was observed that increase in maximum temperature up to 2°C and 1°C in minimum temperature have positive impact on rice yield but beyond that temperature it was observed negative impact in both cases of paddy production in ambient temperature. Similarly, it was observed that increased in mean temperature, have negative impacts on rice yield. The impact of solar radiation in rice yield was observed positive during the time of study period. Adjustments were made in the fertilizer rate, plant density per square meter, planting date and application of water rate to investigate suitable agronomic options for adaptation under the future climate change scenarios. Highest yield was obtained when the water application was increased up to 3 mm depth and nitrogen application rate was 140 kg/ha respectively. DOI: http://dx.doi.org/10.3126/jie.v8i3.5941 JIE 2011; 8(3): 147-167

Mindfulness-based group therapy: Impact on psychiatrically hospitalized adolescents

2018 ◽  
Vol 23 (4) ◽  
pp. 582-591 ◽  
Author(s):  
Deanna P Sams ◽  
Elizabeth D Handley ◽  
Linda J Alpert-Gillis
Keyword(s):  
Psychiatric Inpatient ◽  
Psychotherapy Research ◽  
Opportunity To Learn ◽  
Loving Kindness ◽  
Breathing Exercises ◽  
Mindfulness Skills ◽  
Therapeutic Benefits ◽  
Psychiatric Inpatient Unit ◽  
Psychiatrically Hospitalized ◽  
The Impact

The practice of mindfulness has long been incorporated into psychotherapy. Research on the therapeutic benefits of mindfulness exists within adult populations, and emerging empirical evidence demonstrates the benefit of such practices in the treatment of adolescents in both clinical and non-clinical settings. However, there are extremely limited data on the practice of mindfulness with adolescents in a psychiatric hospital. The iMatter ( Improve Mindful ATTention, Enhance Relaxation) group is a manualized program developed to provide adolescents on a short-term psychiatric inpatient unit with an opportunity to learn and practice relaxation strategies, mindfulness exercises, and simple yoga poses. Mindfulness skills are taught in the context of the group and include self-observation of thoughts and feelings, breathing exercises, self-validation of one’s experience, loving-kindness toward self, non-judgmental stance toward self, and acceptance and observation of change within self. Participants included 65 adolescents aged 13–17 years ( M = 15.06, standard deviation ( SD) = 1.34) who took part in at least one session of the iMatter intervention. Improvements in self-reported mood were evident following participation in a mindfulness group. Also, participants’ heart rate significantly decreased following participation in two groups. Future directions include improved integration of mindfulness into the milieu and other unit programming. Furthermore, comparing self-reported mood and physiological measures from this sample to findings obtained for other unit groups will further clarify the impact of the iMatter intervention.

Eligibility of the patients admitted to psychiatric inpatient units for participation in catie clinical trial

2011 ◽  
Vol 26 (S2) ◽  
pp. 1368-1368
Author(s):  
M.C. Diaz ◽  
N. Morales ◽  
J. Ruiz ◽  
K. Nieto ◽  
E. Iniesta ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Psychiatric Inpatient ◽  
Internal Validity ◽  
Inpatient Unit ◽  
Clinical Population ◽  
Psychiatric Ward ◽  
Inclusion Criteria ◽  
Psychiatric Inpatient Unit ◽  
Inpatient Units ◽  
Real Patients

IntroductionClinical trials (CT) are the main scientific support of the recommendations of pharmacological treatment of patients with schizophrenia. However, CT tend to strengthen the internal validity at the expense of external validity and the ability to generalize the results to the clinical population. For this reason, in recent years have developed large practical clinical trials that expand the inclusion criteria to incorporate as many real patients as possible. The first and most significant of these trials was the CATIE study (Lieberman et al, 2005).ObjectivesTo analyze eligibility for participation in CATIE of patients admitted during 2009 in a psychiatric inpatient unit with a diagnosis of schizophrenia.MethodsA total of 145 patients (27.6% females, mean age 39.6+/−12.8 years), consecutively admitted to an inpatient psychiatric ward with a clinical diagnosis of schizophrenia were assessed to test if they would fulfill criteria for participation in CATIE.Results60 (41.4%) patients did not fulfill CATIE inclusion criteria. Mental retardation (n = 22, p < 0.001), absence of informed consent (n = 15, p < 0.001) and refusal to take oral medication (n = 12, p < 0.001) were the main factors responsible for not meeting inclusion criteria.Meeting the criteria was not significantly related to gender or specific diagnosis.Conclusions41.4% of patients admitted to a psychiatric inpatient unit with a diagnosis of schizophrenia did not meet criteria for participation in the CATIE study.

scholarly journals Evaluation of tobacco use and willingness to accept nicotine replacement therapy during stay in an acute inpatient psychiatric ward

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S186-S187
Author(s):  
Isabel Ganhao ◽  
Miguel Trigo ◽  
Afonso Paixao
Keyword(s):  
Smoking Cessation ◽  
Replacement Therapy ◽  
Nicotine Replacement Therapy ◽  
Tobacco Smoking ◽  
Psychiatric Inpatient ◽  
Willingness To Accept ◽  
Psychiatric Ward ◽  
Inpatient Stay ◽  
Nicotine Replacement ◽  
The Impact

AimsTo evaluate tobacco smoking and willingness to try and to accept prescription of nicotine replacement therapy during psychiatric acute inpatient stay. When free to choose and use as desired (without imposing smoking cessation) patients may be open to nicotine replacement therapy.BackgroundTobacco smoking interventions are increasingly in demand especially for difficult to treat patient populations, as are those with severe mental illness. Implementing totally smoke-free psychiatric inpatient units is challenging. Imposing smoking cessation and use of nicotine substitutes may or not be the best of strategies for smoking reduction and cessation in the mid and long term. Allowing the patient free choice as to trying and learning to use nicotine replacement therapy with supervision may constitute a more acceptable approach.MethodFrom 1/1/2020 to 28/1/2020 (four weeks), 40 of the 44 patients in a general adult psychiatric inpatient unit (4 patients were too sedated or too agitated to be evaluated), with smoking restricted to a designated area and only during the day, were briefly evaluated as to their tobacco smoking habits (cigarettes/day) and willingness to accept nicotine lozenges and patches and were invited to participate in a smoking cessation programme during or after discharge.ResultOf the 40 patients evaluated, 26 were male and 14 were female, average age was 34 years (age range from 19 to 79 years). Diagnostic hypotheses for patients at admission were: schizophrenic disorder/schizoaffective disorder 9, bipolar disorder 7, psychosis not otherwise specified 19, depressive disorder 1 and other 4. 20(50%) were current smokers and 20 (50%) were non or ex-smokers. The smokers reported smoking an average of 14 cigarettes/day. Only one patient refused to try nicotine lozenges and all other smokers accepted regular prescription of nicotine lozenges during inpatient stay. 5 patients (25% of smokers) asked for or accepted suggestion to try nicotine patches in combination therapy with nicotine lozenges with the goal of smoking cessation.ConclusionPatients were open to a brief informal intervention targeting smoking behaviours and readily accepted trying nicotine lozenges and prescription during their inpatient stay. The regular use of nicotine replacement therapy by some patients encouraged other patients to try and accept therapy. In addition to the habitual tobacco sharing among patients, nicotine lozenges were also shared especially with newly admitted patients. The evaluation of the impact of this intervention will require a much longer period of time of implementation.

scholarly journals Impact of Non-convective Zone and Lower Convective Zone Thickness on the Performance Characteristics of Salinity Gradient Solar Pond

2021 ◽  
Vol 1206 (1) ◽  
pp. 012003
Author(s):  
S G Chakrabarty ◽  
U S Wankhede ◽  
R S Shelke
Keyword(s):  
Solar Radiation ◽  
Numerical Investigation ◽  
Heat Loss ◽  
Salinity Gradient ◽  
Convective Zone ◽  
Performance Characteristics ◽  
Maximum Temperature ◽  
Maturation Period ◽  
Solar Pond ◽  
The Impact

Abstract A solar pond technology employs a layer of salinity gradient to prevent heat loss due to convection from the lower convective zone. Thus, the energy received from solar radiation is stored in a lower convective zone. The thickness of various zones significantly affects the behaviour of solar pond temperature. In this present study, a transient numerical investigation is conducted to evaluate the impact of depths of different zones on the performance characteristics of solar pond. The variation in maximum temperature and maturation period under the influence of non-convective zone and lower convective zone thickness is discussed. The energy obtained from a solar pond significantly depends on various losses associated with the zones. Thus, an assessment of conduction and ground heat loss is presented for the variation in thickness of zones. An attempt is also made to study the effect of thickness of zones on the temperature of the lower convective zone. It is found that the configuration of a smaller thickness of LCZ and a higher thickness of NCZ yields maximum LCZ temperature.

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