scholarly journals Trends of Mental Disorders and Treatment Continuity Predictors of New Patients in the Paediatric Psychiatry Clinic of a University Hospital

2021 ◽  
Vol 18 (18) ◽  
pp. 9613
Author(s):  
Ah-Rah Lee ◽  
Geon-Ho Bahn
Keyword(s):  
Mental Disorders ◽  
Treatment Compliance ◽  
Tic Disorders ◽  
University Hospital ◽  
Disruptive Behaviour ◽  
Factors Affecting ◽  
Psychiatry Clinic ◽  
Disruptive Behaviour Disorders ◽  
Treatment Continuity ◽  
First Time

This study analysed trends of first-time patients visiting the paediatric psychiatry clinic in a university hospital. The medical records from 2009 to 2016 of first-time patients visiting the Kyung Hee University Hospital were reviewed, focusing on children in grades 1–12. We analysed the clinical diagnosis rate of mental disorders per 100,000 in the general population by gender and grade, and the characteristics of patients who sought outpatient care more than three times. The study included 1467 participants, of which 931 were males (63.5%). The number of male patients per 100,000 population significantly decreased from 4.14 in 2009 to 2.03 in 2016. While hyperkinetic disorders had the highest prevalence in males, neurotic disorders were most frequent in females. The rate of disruptive behaviour disorders in males and mental retardation in females decreased significantly during the data collecting period. The factors affecting treatment continuity were being female, 7th–12th graders, and diagnosis of depressive, hyperkinetic, and tic disorders. Physicians should consider the new paediatric patients’ gender, grade, and expected diagnosis from their first visit to improve treatment compliance.

scholarly journals Prevalence of Diagnosis and Treatment Continuity Predictors of New Patients in a Paediatric Psychiatry Clinic

2021 ◽  
Author(s):  
Ah Rah Lee ◽  
Geon Ho Bahn
Keyword(s):  
Treatment Compliance ◽  
Tic Disorders ◽  
University Hospital ◽  
Disruptive Behaviour ◽  
Factors Affecting ◽  
Psychiatry Clinic ◽  
Disruptive Behaviour Disorders ◽  
General Populations ◽  
Treatment Continuity ◽  
First Time

This study analysed trends of first-time patients visiting the paediatric psychiatry clinic in a university hospital. The medical records from 2009 to 2016 of first-time patients visiting the Kyung Hee university hospital were reviewed, focusing on children in grades 1–12. We analysed the prevalence rate of psychiatric disorders per 100,000 general populations by gender and grade, and the characteristics of patients who sought outpatient care more than three times. The study included 1,467 participants, of which 931 were males (63.5%). The number of male patients per 100,000 populations significantly decreased from 4.14 in 2009 to 2.03 in 2016. While hyperkinetic disorders had the highest prevalence in males, neurotic disorders were most frequent in females. Prevalence of disruptive behaviour disorders in males and mental retardations in females decreased significantly during the study period. The factors affecting continuity were being female, studying in grades 7–12, and diagnosis of depressive, hyperkinetic, and tic disorders. Physicians should consider the new paediatric patients’ gender, grade, and expected diagnosis from their first visit to improve treatment compliance.

scholarly journals Profile of stress factors associated with mental disorders in children and adolescents referred for evaluation and treatment to the Free State Psychiatric Complex, 2007

2012 ◽  
Vol 18 (2) ◽  
pp. 7
Author(s):  
H Heckler ◽  
C E Taute ◽  
G H J Krüger ◽  
D De Wet ◽  
F J W Calitz ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Children And Adolescents ◽  
Developmental Disorders ◽  
Depressive Disorders ◽  
Conduct Disorders ◽  
Stress Factors ◽  
Free State ◽  
Disruptive Behaviour ◽  
State Psychiatric ◽  
Disruptive Behaviour Disorders

<p><strong>Introduction.</strong> South African children and adolescents face serious challenges. Over the past decades children have been exposed to rapid and stressful changes in their environment, including increased crime and violence. <strong></strong></p><p><strong>Aim of study.</strong> The aim of the study was to determine the profile of stress factors leading to mental disorders in children and adolescents referred to the Child and Adolescent Unit at the Free State Psychiatric Complex, Bloemfontein, from January 2006 to December 2007. <strong></strong></p><p><strong>Methods.</strong> A total of 669 children (0 - 12 years) and adolescents (13 - 18 years) referred to the unit for evaluation and treatment were included in the study.<strong> </strong></p><p><strong>Results.</strong> Thirty per cent were diagnosed with attention deficit and disruptive behaviour disorders, followed by major depressive disorders (22.7%), anxiety disorders (18.5%), conduct disorders (16.1%), mild mental retardation (15.7%), adjustment disorders (9.6%), elimination disorders (8.8%), developmental disorders (7.6%) and bereavement (7.0%). Social stressors were identified in 64.1% of participants, and psychological stressors in 19%.</p><p><strong>Conclusions.</strong> Stress plays an important role in the lives of children and adolescents, which could lead to emotional problems if not well managed. The functioning of children and adolescents should be monitored continuously. Schools are in a favourable position to identify stressors affecting children and adolescents. Educators therefore need training and opportunities to consult on mental health matters. Furthermore, religious organisations should be enlisted to identify stressors manifesting as spiritual dysfunction. School health services can play a role in the recognition of biological stressors such as epilepsy, pregnancy, enuresis, illness, speech problems and sensory dysfunction.</p>

State Empathy in Young Male Adolescents with Disruptive Behaviour Disorders

2008 ◽  
Author(s):  
Minet de Wied ◽  
Anton van Boxtel ◽  
Walter Matthys ◽  
Wim Meeus
Keyword(s):  
Young Male ◽  
Disruptive Behaviour ◽  
Male Adolescents ◽  
Disruptive Behaviour Disorders

Trombodynamics Method in the Assessment of Coagulation Parameters in Psychopharmacotherapy of Endogenous Mental Disorders

Psychiatry ◽  
2020 ◽  
Vol 18 (4) ◽  
pp. 16-25
Author(s):  
N. S. Karpova ◽  
O. S. Brusov ◽  
I. V. Oleichik ◽  
M. I. Faktor ◽  
N. S. Levchenko ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Response To Therapy ◽  
Procoagulant Activity ◽  
Coagulation Activity ◽  
Continuous Type ◽  
Chronic Neuroinflammation ◽  
Psychopharmacological Treatment ◽  
Before And After ◽  
First Time ◽  
Schizotypal Disorder

Background: currently, it has been proven that the pathogenesis of endogenous mental disorders is associated with the process of neuroinflammation in the brain of patients. It is also known that chronic neuroinflammation, accompanied by a violation the permeability of the blood-brain barrier. It is accompanied by the activation of platelets that generate procoagulant microparticles, which leads to a disturbance of the hemostasis system, causing an increase in blood clotting in patients. Objective: to investigate the dynamics of procoagulant activity of blood in patients with endogenous mental disorders before and after psychopharmacotherapy.Patients and methods: the study included 185 patients aged 16 to 64 years with the following mental disorders: schizophrenia with attack-like/attack-progressive/continuous type of course (F20.00–2), affective disease (F31.1–5; F32.0–3; F33.0–3), schizotypal disorder with affective fluctuations (F21.3–4). The thrombodynamic test (TD) was performed on T-2 Trombodynamis device according to the manufacturer’s instructions (Hemacore LLC, Moscow, Russia). All patients received standard pharmacotherapy according to their condition.Results: a significant decrease of procoagulant activity of spontaneous clots in the patients’ blood after psychopharmacological treatment is observed. Our data on the positive dynamics of changes in the values of TD test’s indicators in most of the examined patients suggest that a decrease in the coagulation activity of the patients’ blood as a result of treatment may be associated with the anti- inflammatory effect of antipsychotics and antidepressants.Conclusion: for the first time, it was shown that there is a positive dynamic in changing the values of the main parameters of the TD test in most patients with endogenous mental diseases. The results of TD tests can be the basis for monitoring the response to therapy.

Cultural Factors Affecting the Negotiation of First Sexual Intercourse among Latina Adolescent Mothers

1998 ◽  
Vol 18 (1) ◽  
pp. 121-137 ◽  
Author(s):  
Pamela I. Erickson
Keyword(s):  
Los Angeles ◽  
Sexual Intercourse ◽  
Adolescent Mothers ◽  
Social Factors ◽  
Birth Rate ◽  
Factors Affecting ◽  
First Sexual Intercourse ◽  
Latina Adolescent Mothers ◽  
Adolescent Birth ◽  
First Time

In 1995, the Latina adolescent birth rate surpassed that of African Americans for the first time. This article investigates cultural and social factors affecting the initiation of sexual intercourse among Latina adolescent mothers in Los Angeles. The data are from life history interviews with forty young mothers and their partners conducted in 1994 to 1997. Results suggest that sexual intercourse is initiated within the context of the couple's developing relationship, and that the course of relationships is highly scripted. Men pressure for sex and women resist. Women should be ignorant about sex, but control access to intercourse. Sex is never discussed. Thus, it is unexpected, and contraception other than withdrawal is not used. This script places young Latinas at enormous risk for pregnancy and STDs.

scholarly journals Implementation and evaluation of a curriculum on the assessment and treatment of disruptive behaviour disorders

2021 ◽  
Author(s):  
Asif Doja ◽  
Tamara Pringsheim ◽  
Brendan F Andrade ◽  
Lindsay Cowley ◽  
Sarah A Healy ◽  
...  
Keyword(s):  
Atypical Antipsychotics ◽  
Disruptive Behaviour ◽  
Hyperactivity Disorder ◽  
Disruptive Mood Dysregulation Disorder ◽  
Post Evaluation ◽  
Oppositional Defiant ◽  
Disruptive Behaviour Disorders ◽  
Adequate Education ◽  
Assessment And Treatment ◽  
Paediatric Practice

Abstract Disruptive behaviour disorders (DBDs)—which can include or be comorbid with disorders such as attention-deficit hyperactivity disorder, oppositional defiant disorder, conduct disorder and disruptive mood dysregulation disorder—are commonly seen in paediatric practice. Given increases in the prescribing of atypical antipsychotics for children and youth, it is imperative that paediatric trainees in Canada receive adequate education on the optimal treatment of DBDs. We describe the development, dissemination, and evaluation of a novel paediatric resident curriculum for the assessment and treatment of DBDs in children and adolescents. Pre–post-evaluation of the curriculum showed improved knowledge in participants.

scholarly journals Dispersal and colonization risk of the Walnut Twig Beetle, Pityophthorus juglandis, in southern Europe

2021 ◽  
Author(s):  
Matteo Marchioro ◽  
Massimo Faccoli
Keyword(s):  
Spatiotemporal Data ◽  
Medium Size ◽  
Dispersal Capacity ◽  
Factors Affecting ◽  
Geosmithia Morbida ◽  
Ne Italy ◽  
Pityophthorus Juglandis ◽  
Southwestern Usa ◽  
Walnut Twig Beetle ◽  
First Time

AbstractThe Walnut Twig Beetle (WTB), Pityophthorus juglandis Blackman, is a small bark beetle native to Mexico and Southwestern USA recorded for the first time in Europe (NE Italy) in 2013. WTB attacks walnut (Juglans spp.) and wingnut trees (Pterocarya spp.) and is the vector of Geosmithia morbida Kolarík et al., a pathogen causing the thousand cankers disease (TCD). WTB and TCD represent a serious threat for walnut orchards in Europe. Spatiotemporal data of the WTB-TCD infestations recorded from an 8-year-long (2013–2020) monitoring conducted in 106 walnut orchards of NE Italy were used to develop a model in order to analyze: (i) the effective dispersal capacity of WTB, (ii) the factors affecting dispersal and (iii) the colonization risk of healthy walnut orchards. We registered a mean annual dispersal of 9.4 km, with peaks of about 40 km. Pest dispersal is affected by distance of suitable hosts from the nearest infested site, number of walnut orchards in the surroundings (both infested and healthy), orchard size and walnut species in the orchard. Using the model, it was also possible to calculate the colonization risk of a specific walnut orchard according to its characteristics showing, for instance, that a medium-size (5,000 trees) black walnut orchard located at 25 km from the nearest infested orchard has an infestation risk of about 50% of probability.

scholarly journals COT-13 Current situation and problems of cancer genomic profiling test in Kyoto University Hospital

2020 ◽  
Vol 2 (Supplement_3) ◽  
pp. ii22-ii22
Author(s):  
Yoshiki Arakawa ◽  
Junko Suga ◽  
Yukinori Terada ◽  
Kohei Nakajima ◽  
Masahiro Tanji ◽  
...  
Keyword(s):  
Treatment Options ◽  
Insurance Coverage ◽  
Germline Mutations ◽  
University Hospital ◽  
Genomic Profiling ◽  
Test Results ◽  
Final Test ◽  
First Time ◽  
To Receive ◽  
Secondary Finding

Abstract Objective: Kyoto University Hospital has introduced the cancer genomic profiling tests, Oncoprime in 2015, Guardant360 in 2018, which are not under insurance coverage, FoundationOne CDx(F1CDx) and OncoGuide NCC Oncopanel system(NCC OP) in 2019, which received approval for insurance coverage for the first time in Japan. We investigated the results of cancer genomic profiling test under insurance coverage in our hospital. Methods: A special facility for the cancer genomic profiling tests was produced. To perform the cancer genomic profiling test, an outpatient must visit the facility three times (learning, ordering of the test, and getting the results). The expert panels decide the final test results and treatment options with the all information of the patients. Results: From November 2019 to March 2020, 51 and 9 patients were tested with F1CDx and NCC OP, respectively. 16 patients (31%) of F1CDX and 2 patients (22%) of NCC OP got treatment recommendations from the expert panels. However, only 5 patients (9.8%) of F1CDX and 1 patient (11%) of NCC OP received the treatments. The secondary finding suspecting germline mutations was found in 8 patients of F1CDX. Conclusion: After the approval the cancer genomic profiling tests with insurance coverage in Japan, it becomes easy for the patients to perform the test and get the genetic information of the tumor. However, it remains not easy to receive the recommended drugs because of several limitations of their usages.

Improving the Strength of Abrasive Wheels and Optimizing the Control over the Strength of Composite Abrasive Materials

2019 ◽  
Vol 946 ◽  
pp. 380-385
Author(s):  
Boris A. Chaplygin ◽  
Viacheslav V. Shirokov ◽  
Tat'yana A. Lisovskaya ◽  
Roman A. Lisovskiy
Keyword(s):  
Mechanical Properties ◽  
Test Results ◽  
Key Factors ◽  
Special Equipment ◽  
Material Density ◽  
Factors Affecting ◽  
Control Factors ◽  
Reinforcing Material ◽  
Special Studies ◽  
First Time

The strength of abrasive wheels is one of the key factors affecting the performance of abrasive machining. The paper discusses ways to improve the strength of abrasive wheels. The stress-state mathematical model presented herein is a generalization of the existing models. It is used herein to find for the first time that there are numerous optimal combinations of the elastic modulus and reinforcing material density, which result in the same minimum value of the objective function. It is found out that increasing the radius of the reinforcing component while also optimizing the mechanical properties of its material may increase the permissible breaking speed of the wheel several times. We herein present a regression equation and a nomogram for finding the optimal combination of control factors. Conventional methods for testing the mechanical properties of materials, which have been proven reliable for testing metals and alloys, are not as reliable for testing abrasive materials, as the test results they generate are not sufficiently stable or accurate. We therefore propose an alternative method that does not require any special equipment or special studies.

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