Socio-demographic characteristics of patients with diff erent
clinical variants of the primary episode of bipolar aff ective
disorder

The analysis of the medical records of 402 patients with a primary episode of bipolar aff ective disorder revealed early onset of the disease, low educational, occupational and social levels of patients, as well as high aff ection by their addictive behavior. Characteristics of these changes depend on the clinical variant of the initial episode and are the worst in patients with mixed and manic variants, and relatively better — in patients with depressive variant of the initial episode. During life, the level of professional, social and family implementation of patients remains low, with the worst social consequences of the disease in patients with a manic and mixed variant of the initial episode, and relatively better — in patients with depressive variant. These features should be taken into account when developing diagnostic, therapeutic and prophylactic approaches. Keywords: bipolar aff ective disorder; primary episode; socio-demographic features

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Longitudinal rates of hospital adverse events that contributed to death in Norway and Sweden from 2013 to 2018

Journal of Patient Safety and Risk Management ◽

10.1177/25160435211026125 ◽

2021 ◽

pp. 251604352110261

Author(s):

Ellen Tveter Deilkås ◽

Marion Haugen ◽

Madeleine Borgstedt Risberg ◽

Hanne Narbuvold ◽

Øystein Flesland ◽

...

Keyword(s):

Adverse Events ◽

Acute Care ◽

Medical Records ◽

Hospital Care ◽

Hospital Admissions ◽

Demographic Characteristics ◽

Mutual Learning ◽

Time Period ◽

Relevant Context ◽

Linear Trends

Objectives In this paper, we explore and compare types and longitudinal trends of hospital adverse events in Norway and Sweden in the years 2013–2018 with special reference to AEs that contributed to death. Design Acute care hospitals in both countries performed medical record reviews on randomly selected medical records from all eligible admissions. Analysis: Comparison between Norway and Sweden of linear trends from 2013–2018, and percentage rates of admissions with at least one AE according to types and severities. Setting Norway and Sweden have similar socio-economic and demographic characteristics, which constitutes a relevant context for cooperation, comparison and mutual learning. This setting has promoted the use of GTT to monitor national rates of AEs in hospital care in the two countries. Participants 53 367 medical records in Norway and 88 637 medical records in Sweden were reviewed. Results 13.2% of hospital admissions in Norway and 13.1% in Sweden were associated with an AE of all severities (E-I). 0.23% of hospital admissions in Norway and 0.26% in Sweden were associated with an AE that contributed to death (I). The differences between the two countries were not statistically significant. Conclusions There were no significant differences in overall rates (E-I) of AEs in Norway and Sweden, nor in rates of AEs that contributed to death (I). There was no significant change in AEs or fatal AEs in either country over the six-year time period.

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Intraoperative choroidal detachment during small-gauge vitrectomy: analysis of causes, anatomic, and visual outcomes

Eye ◽

10.1038/s41433-021-01605-y ◽

2021 ◽

Author(s):

Ting Zhang ◽

Yantao Wei ◽

Zhaotian Zhang ◽

Wei Chi ◽

Lujia Feng ◽

...

Keyword(s):

Visual Acuity ◽

Medical Records ◽

Demographic Characteristics ◽

Choroidal Detachment ◽

Fluid Exchange ◽

Visual Outcomes ◽

Corrected Visual Acuity ◽

Ocular Hypotony ◽

Small Gauge ◽

Best Corrected Visual Acuity

Abstract Introduction To investigate the incidence and causes of intraoperative choroidal detachment (CD) during small-gauge vitrectomy, as well as the anatomic and visual outcomes. Methods We retrospectively reviewed the medical records of 1026 consecutive patients who underwent small-gauge vitrectomy from June 2017 to December 2018 at Zhongshan Ophthalmic Centre, Guangzhou, China. Data on the presence, location, and extent of intraoperative CD and its relationship to the infusion cannula were collected. Patient demographic characteristics and postoperative anatomic and visual outcomes were also assessed. Results A total of six cases were found to have intraoperative CD, including two with serous CD, three with limited haemorrhagic CD, and one with CD caused by inadvertent perfusion of gas during air/fluid exchange. Retraction of the infusion cannula and acute ocular hypotony were found to be the main causes of intraoperative CD in five out of the six cases. The best-corrected visual acuity of all cases significantly improved after the surgery. Conclusion The incidence of intraoperative CD during small-gauge vitrectomy is low; the predominant causes are retraction of the infusion cannula and acute ocular hypotony. Immediate awareness and timely closure of the incision may contribute to a better surgical prognosis.

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Demographic Characteristics of Mothers Who Delivered Children with Birth Defetcs

Indonesian Journal of Obstetrics and Gynecology ◽

10.32771/inajog.v6i4.845 ◽

2018 ◽

pp. 222-227

Author(s):

Yudianto B Saroyo ◽

Christian Wijaya ◽

Putri M T Marsubin

Keyword(s):

Retrospective Study ◽

Birth Weight ◽

Antenatal Care ◽

Birth Defects ◽

Medical Records ◽

Birth Defect ◽

Demographic Characteristics ◽

Comorbid Disease ◽

Increased Risk

Abstract Objective: to determine the characteristics and background of mothers who delivered neonates with birth defects. Methods: A retrospective study was used by evaluating the medical records of patients with birth defects in Dr. Cipto Mangunkusumo Hospital during the period between September 2014 and June 2016. Results: A total of 67 (1.85%) out of 3,619 infants who were born in Dr. Cipto Mangunkusumo Hospital during the period between September 2014 and June 2016 had birth defects. Forty-seven (70.1%) mothers of the subjects irregularly attend antenatal care. The most frequent maternal comorbid disease in this study was asthma, which was found in 4 (5.97%) mothers of the subjects. 48 (58.7%) subjects had birth weight under 2500 g. Conclusion: In this retrospective study, the main highlight is that 70.1% of the mothers who delivered neonates with birth defects did not attend antenatal care regularly. 58.7% of the neonates with birth defects had low birth weight. This study could be used as base for further research investigating about the role of antenatal care in early detection and/or the planning of delivery for babies with birth defects. Trends in babies with birth defects suggested that fetuses diagnosed with IUGR/SGA should be given special attention, as they were at increased risk for birth defects. Keywords: birth defect, maternal description Abstrak Tujuan: untuk mengetahui deskripsi/ciri-ciri dan latar belakang ibu yang melahirkan janin dengan kelainan bawaan. Metode: Studi retrospektif digunakan dengan menggunakan data sekunder rekam medis pasien dengan kelainan bawaan di Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo pada periode September 2014-Juni 2016. Hasil: Sejumlah 67 (1.85%) dari 3,619 neonatus didapatkan dengan kelainan bawaan di RSUPN Cipto Mangunkusumo pada periode September 2014-Juni 2016 . Sejumlah 47 (70.1%) ibu dari subjek tidak teratur dalam melakukan kunjungan antenatal care. Penyakit komorbid ibu yang paling banyak ditemukan dalam studi ini adalah asma, yang ditemukan dalam 4 (5.97%) subjek. 48 (58.7%) subyek memiliki berat lahir di bawah 2500 g. Kesimpulan: Pada studi retrospektif ini didapatkan 70.1% ibu yang melahirkan bayi dengan kelainan bawaan tidak melakukan kunjungan antenatal care. Didapatkan bahwa 58,7% bayi yang lahir dengan kelainan bawaan memiliki berat badan lahir rendah (BBLR). Studi ini dapat dijadikan sebagai landasan dilakukannya studi yang lebih besar untuk mengevaluasi peran antenatal care terhadap deteksi dini dan/atau perencanaan persalinan bayi dengan kelainan bawaan. Tren pada bayi dengan kelainan bawaan menunjukkan bahwa janin yang pada antenatal care didapatkan IUGR/SGA patut diperhatikan lebih untuk kecurigaan kemungkinan adanya kelainan bawaan. Kata kunci: deskripsi ibu, kelainan bawaan,

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P2-311: EARLY ONSET DEGENERATIVE DEMENTIAS: ETIOLOGICAL CLASSIFICATION AND DEMOGRAPHIC CHARACTERISTICS IN SERBIAN TERTIARY REFERRAL CENTER

Alzheimer s & Dementia ◽

10.1016/j.jalz.2018.06.1001 ◽

2006 ◽

Vol 14 (7S_Part_15) ◽

pp. P801-P802

Author(s):

Gorana Mandic Stojmenovic ◽

Elka Stefanova ◽

Tanja Stojkovic ◽

Biljana Salak-Djokic ◽

Vera Ilic ◽

...

Keyword(s):

Early Onset ◽

Demographic Characteristics ◽

Tertiary Referral ◽

Tertiary Referral Center ◽

Referral Center

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Knowledge and Experience of Neonatal Resuscitation among Midwives in Tamale

Nursing Research and Practice ◽

10.1155/2019/3652608 ◽

2019 ◽

Vol 2019 ◽

pp. 1-8 ◽

Cited By ~ 3

Author(s):

Afizu Alhassan ◽

Abdul-Ganiyu Fuseini ◽

Wahab Osman ◽

Alhassan Basour Adam

Keyword(s):

Neonatal Resuscitation ◽

Birth Asphyxia ◽

Cross Sectional Study ◽

Demographic Characteristics ◽

Sectional Study ◽

Cross Sectional ◽

Neonatal Deaths ◽

Academic Qualification ◽

Level Of Knowledge ◽

Demographic Features

Background. Efforts to reduce under-five mortality across the globe are being hindered by a disproportionately high rate of neonatal deaths. About a quarter of these neonatal deaths are caused by birth asphyxia. Available evidence shows that effective neonatal resuscitation delivered by providers skilled in and knowledgeable about neonatal resuscitation can significantly reduce neonatal mortality rates. Objectives. This cross-sectional study was conducted to determine knowledge and experience in neonatal resuscitation among midwives in Tamale, and the factors associated with their knowledge on neonatal resuscitation. Methods. This was a cross-sectional study involving all midwives practicing in three large hospitals in Tamale. We developed a questionnaire to collect data on demographic characteristics of participants, and their knowledge and experience in neonatal resuscitation. We used the Statistical Package for Social Sciences (SPSS), version 21, to analyse the data. Demographic characteristics of participants were summarized using descriptive statistics. Pearson’s correlation was used to determine associations between knowledge and some selected demographic features, while the one-way ANOVA was conducted to determine differences in level of knowledge based on the demographic features. Results. 98.1% of the participants in this study had insufficient knowledge on neonatal resuscitation. Midwives at the Tamale Central Hospital demonstrated a statistically significantly higher level of knowledge (24.67 ± 2.79, p = .014), compared to those at the Tamale Teaching Hospital (22.92 ± 4.56, p = .028) and Tamale West Hospital (21.50 ± 6.24, p = .021). Those who had a first-degree qualification in midwifery and those with a Post-NAC/NAP midwifery certificate had a statistically significantly higher knowledge than those with a diploma in midwifery. Training in neonatal resuscitation was associated with more knowledge in neonatal resuscitation (r(158) = .195, p = .013). In terms of experience, 55% of the participants in this study were not experienced in performing neonatal resuscitation. There were no differences in their level of experience based on their academic qualification, work place, and years of practice as a midwife. Conclusion. Considering the generally low level of knowledge and experience of midwives in neonatal resuscitation as discovered in this study, there is an urgent need for government to provide more opportunities for all practicing midwives to be trained in this important lifesaving skill.

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The association between insight and symptoms in bipolar inpatients: An Italian prospective study

European Psychiatry ◽

10.1016/j.eurpsy.2011.09.002 ◽

2011 ◽

Vol 27 (8) ◽

pp. 619-624 ◽

Cited By ~ 20

Author(s):

C. Bressi ◽

M. Porcellana ◽

P.M. Marinaccio ◽

E.P. Nocito ◽

M. Ciabatti ◽

...

Keyword(s):

Regression Models ◽

Rating Scale ◽

Bipolar Depression ◽

Demographic Characteristics ◽

Social Consequences ◽

Young Mania ◽

Hamilton Rating Scale ◽

Insight Into ◽

Multidimensional Concept

AbstractObjectiveTo evaluate potential differences in insight among bipolar manic, mixed and bipolar depressed inpatients and assess the role of clinical and demographic characteristics as possible predictors.MethodOne hundred and twenty consecutive inpatients divided into three diagnostic groups were studied on admission (T0), at discharge (T1) and at 18weeks after hospitalization (T2). The Young Mania Rating Scale (YMRS), the Hamilton Rating Scale for Depression (HAMD) and the Scale to Assess Unawareness of Mental Disorder (SUMD) were used.ResultsPatients with mixed mania showed highest scores on the SUMD than patients with mania or bipolar depression. It was found a significant relationship between improvements in mania and in the insight. The level of insight at baseline was the only predictor of awareness in social consequences, moreover clinical and demographic characteristics were predictors of insight into mental illness. For what concerns insight about therapy benefits it was influenced by level of mania at baseline.ConclusionThe three general dimensions of insight revealed significant differences among the three groups. Regression models suggest that insight is a multidimensional concept in which some aspects are state-related, associated with psychopathology, whereas others are trait-like qualities, not directly associated with symptoms and predicted only by level at baseline.

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Early-onset Alzheimer disease clinical variants: Multivariate analyses of cortical thickness

Neurology ◽

10.1212/wnl.0b013e31825dce28 ◽

2012 ◽

Vol 79 (1) ◽

pp. 80-84 ◽

Cited By ~ 59

Author(s):

G. R. Ridgway ◽

M. Lehmann ◽

J. Barnes ◽

J. D. Rohrer ◽

J. D. Warren ◽

...

Keyword(s):

Alzheimer Disease ◽

Cortical Thickness ◽

Early Onset ◽

Multivariate Analyses ◽

Clinical Variants

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Grounds for divorce in England and Wales—a social and demographic analysis

Journal of Biosocial Science ◽

10.1017/s0021932000016084 ◽

1986 ◽

Vol 18 (2) ◽

pp. 127-153 ◽

Cited By ~ 4

Author(s):

John C. Haskey

Keyword(s):

Social Class ◽

Demographic Characteristics ◽

Demographic Analysis ◽

Dependent Children ◽

England And Wales ◽

Divorce Law ◽

Number Of Children ◽

Socioeconomic Changes ◽

The Social ◽

Demographic Features

SummaryThis paper examines the social and demographic features of divorcing couples by the grounds on which their decrees are made absolute and by the party granted the divorce. The demographic characteristics include ages at marriage and at divorce of husbands and of wives granted decrees, duration of marriage, number of children, and the social class of both the husband and the wife. The data are also analysed for particular categories of couples: those in which the wife is a housewife, couples where the husband is unemployed, couples who have a child which was pre-maritally conceived, and couples who have dependent children. There are clear and interesting differences in the demographic characteristics of couples who successfully petition on the various grounds, suggesting that the law is used in different ways by different couples. Reasons for the observed patterns are considered. The data provide some basis for assessing the possible repercussions on divorce of socioeconomic changes, and for informed discussion on whether and how divorce law might sensibly be improved.

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Clinical and Demographic Characteristics of COVID-19 Patients Admitted in a Tertiary Care Hospital in the Dominican Republic

10.1101/2020.12.11.20247437 ◽

2020 ◽

Author(s):

David De Luna ◽

Yori Roque ◽

Nicolás Batlle ◽

Katherine Gómez ◽

Miguelina Jáquez ◽

...

Keyword(s):

Dominican Republic ◽

Electronic Medical Records ◽

Medical Records ◽

Inflammatory Markers ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Demographic Characteristics ◽

Care Hospital ◽

Presenting Symptoms ◽

Overall Mortality

AbstractTo present clinical and demographic characteristics of COVID-19 patients admitted to Hospital Metropolitano de Santiago in Dominican Republic, we analyzed electronic medical records of all hospitalized patients clinically admitted as viral pneumonia through March - April, 2020. Of 374 patients, 150 (40.1%) laboratory confirmed, were included in this study. Most of the patients were men (104 / 69.3%) with a median (IQR 44 - 66) age of 54. Hypertension (83 / 55.3%) and diabetes mellitus (49 / 32.7%) were the most common comorbidities, whereas fever (120 / 80%), cough (79 / 52.7%) and fatigue (60 / 40%) were the most common presenting symptoms. 28 (18.7%) patients required admission to the intensive care unit, of them, 26 patients (17.3%) required mechanical ventilation. The overall mortality rate was 10.7% Higher levels of inflammatory markers were associated with longer length of stay (LOS). This findings indulge information that could contribute to stratify patients at higher risk of complications.

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Maternal Death Surveillance and Response in Tanzania: Comprehensiveness of Maternal Deaths Narrative Summaries and Action Points from Death Reviews

10.21203/rs.3.rs-66168/v1 ◽

2020 ◽

Author(s):

Ali Said ◽

Andrea B. Pembe ◽

Siriel Massawe ◽

Claudia Hanson ◽

Mats Malqvist

Keyword(s):

Maternal Death ◽

Medical Records ◽

Causes Of Death ◽

Demographic Characteristics ◽

Standards Of Care ◽

Action Plans ◽

Maternal Deaths ◽

Sequence Of Events ◽

Surveillance And Response ◽

Community Facility

Abstract BackgroundReview of maternal deaths relies on comprehensive documentation of medical records that can reveal sequence of events that led to death. Maternal Death and Surveillance (MDSR) system recommends the use of narrative summaries during maternal death reviews to discuss the case and categorize medical causes of death, identify gaps in care and recommend action plans to prevent deaths. Suggested action plans are recommended to be Specific, Measurable, Attainable, Relevant and Time bound (SMART). To identify gaps in documenting information and planning recommendations, comprehensiveness of written narrative summaries and adequacy of action plans according the MDSR guideline were assessed. MethodsA total of 76 facility maternal deaths that occurred in two regions in Southern Tanzania in 2018 were included for analysis. We assessed the comprehensiveness of narrative summaries and action plans using a prepared checklist from MDSR guideline of 2015. Presence or absence of items in four domains each with several attributes was recorded on the checklist. The domains were socio-demographic characteristics, antenatal care, referral information and events that occurred after admission. Less than 75% completeness of attributes in all domains was considered poor while >94% was good/comprehensive. Action plans were assessed by application of SMART criteria and according to place of planned implementation (community, facility or higher level of health system). Results Two-thirds of summaries (66%) scored poor, and none were scored as good/comprehensive. Summaries missed key information such as demographic characteristics, information of events that occurred in community (16%), time between diagnosis of complication and commencing treatment (65%), investigation results (47%), summary of case evolution (51%) and referral information (47%). A total of 285 action plans were analysed. Most action plans 242(85%) were allocated to health facilities for implementation and they were mostly 42(42%) on service delivery. Only 42% (32/76) of the action plans were deemed to be SMART.ConclusionsAbstraction of information to prepare narrative summaries used in MDSR system is inadequately done. Action plans and recommendations in MDSR system are mostly for facility sub standards of care and are not specific on the issues to be addressed.

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