scholarly journals A prospective, multisite study analyzing the percentage of urological cases that can be completely managed by telemedicine

2020 ◽  
Vol 14 (10) ◽  
Author(s):  
Bruno Turcotte ◽  
Sophie Paquet ◽  
Anne-Sophie Blais ◽  
Annie-Claude Blouin ◽  
Stéphane Bolduc ◽  
...  
Keyword(s):  
Case Management ◽  
General Hospital ◽  
Private Clinic ◽  
Quebec City ◽  
Socioeconomic Considerations

Introduction: The COVID-19 pandemic has accelerated the development of telemedicine due to confinement measures. However, the percentage of outpatient urological cases that could be managed completely by telemedicine outside of the COVID-19 pandemic remains to be determined. We conducted a prospective multisite study involving all urologists working in the region of Quebec City. Methods: During the first 4 weeks of the regional confinement, 18 pediatric and adult urologists were asked to determine after each telemedicine appointment, if it translated into a complete (CCM), incomplete (ICM), or suboptimal case management (SCM, adequate only in the context of the pandemic). Results: 1679 appointments representing all urological areas were registered.  Overall, 67.6 [65.3;69.8]%, 27.1 [25.0;29.3]% and 4.3 [3.5;5.4]% were reported as CCM, SCM and ICM, respectively.  The CCM ratio varied according to the reason for consultation, with cancer suspicion (52.9 [42.9;62.8]%) and pediatric reasons (38.0 [30.0;46.6]%) showing the lowest CCM percentages. CCM percentages also varied significantly based on the setting where it was performed, ranging from 61.1% (private clinic) to 86.8% (endourology and general hospital). Conclusion: We show that two thirds of all urological outpatient cases could be completely managed by telemedicine outside of the pandemic. After the pandemic, it will be important to incorporate telemedicine as an alternative for a patient’s first or follow-up visit, especially those with geographical, pathological and socioeconomic considerations.

Evaluating a bereavement support group

2008 ◽  
Vol 6 (1) ◽  
pp. 43-49 ◽  
Author(s):  
Nancy C. Maruyama ◽  
Clarisa V. Atencio
Keyword(s):  
General Hospital ◽  
Support Group ◽  
Negative Emotions ◽  
Hospital Setting ◽  
Bereavement Support ◽  
Men And Women ◽  
Before And After ◽  
Bereavement Support Group

ABSTRACTObjective:To assess the feasibility of an 8-week bereavement support group in a general hospital setting.Methods:We assessed grief and mood before and after an 8-week bereavement support group and compared dropouts to completers. Forty-seven participants filled out mood and grief questionnaires. Scores were compared with norms, then baseline and follow-up scores were analyzed by paired t tests. Fifteen dropouts' scores were compared with completers' baseline scores.Results:Participants' grief improved, as did depression in women but not men. Women dropouts scored significantly higher on Anger, Tension/Anxiety.Significance of results:Findings suggest men and women respond differently to bereavement groups. Bereaved individuals with high anger and tension may require interventions addressing their particular needs, with a focus on acceptance of negative emotions.

scholarly journals Motivational Interviewing Case Management (MICM) for Persons on Probation or Parole Entering Sober Living Houses

2018 ◽  
Vol 45 (11) ◽  
pp. 1634-1659 ◽  
Author(s):  
Douglas L. Polcin ◽  
Rachael Korcha ◽  
Jane Witbrodt ◽  
Amy A. Mericle ◽  
Elizabeth Mahoney
Keyword(s):  
Criminal Justice ◽  
Case Management ◽  
Motivational Interviewing ◽  
Community Based ◽  
Probation And Parole ◽  
New Policies ◽  
To Receive ◽  
Housing Options ◽  
Drug Free

The failure of incarceration as a response to drug offenses has resulted in new policies supporting community-based alternatives. One challenge has been finding appropriate housing for persons on probation and parole. Sober living houses (SLHs) are alcohol- and drug-free living environments that are increasingly being used as housing options for these individuals. The current study examined 6- and 12-month outcomes for 330 persons on probation or parole who entered 49 SLHs. Residents in 22 houses ( n = 149 individuals) were randomly assigned to receive a “Motivational Interviewing Case Management” (MICM) intervention and residents in the other 27 houses ( n = 181 individuals) received SLH residency as usual. At 6- and 12-month follow-up, both study conditions showed significant improvement relative to baseline on substance abuse, criminal justice, HIV risk, and employment outcomes. For persons who attended at least one MICM session, there were better criminal justice outcomes compared with the SLH as usual group.

scholarly journals Twenty years of electroconvulsive therapy in a psychiatric unit at a university general hospital

2013 ◽  
Vol 35 (3) ◽  
pp. 229-233 ◽  
Author(s):  
Amilton dos Santos Jr. ◽  
Maitê Cruvinel Oliveira ◽  
Tiago dos Santos Andrade ◽  
Rosana Ramos de Freitas ◽  
Cláudio Eduardo Muller Banzato ◽  
...  
Keyword(s):  
General Hospital ◽  
Electroconvulsive Therapy ◽  
Psychiatric Hospitalization ◽  
Psychiatric Unit ◽  
Telephone Contact ◽  
Persistent Memory ◽  
History Of ◽  
Telephone Calls ◽  
Psychiatric Outcome

Objective: To describe the sociodemographic and clinical profile of patients who underwent electroconvulsive therapy (ECT) at a university general hospital. Method: In this retrospective study, records from all patients undergoing ECT between January 1988 and January 2008 at the psychiatric unit of the general hospital of Universidade Estadual de Campinas (UNICAMP) were reviewed. Telephone contact was made with patients/relatives to collect follow-up data. Results: A total of 200 charts were reviewed. The majority of patients were women, with a mean age of 39 years, and history of psychiatric hospitalization. The main indications for ECT were depression and catatonia. Complications were observed in less than half of the cases, and most were temporary and not severe. There was a good psychiatric outcome for 89.7% of the patients, especially for catatonic patients (100%, p = 0.02). Thirty-four percent of the cases were later contacted by telephone calls, at a mean of 8.5 years between the procedure and the contact. Among these, three (1.5%) reported persistent memory disorders and 73% considered ECT a good treatment. Conclusion: ECT has been performed according to international guidelines. In the vast majority of cases, undesirable effects were temporary and not severe. Response to ECT was positive in most cases, particularly in catatonic patients.

0040 - VIRTUAL KNEE ARTHROPLASTY CLINIC; 5 YEAR FOLLOW UP DATA IN A DISTRICT GENERAL HOSPITAL

The Knee ◽  
2017 ◽  
Vol 24 (6) ◽  
pp. XI
Author(s):  
R. Fisher ◽  
F. Khatun ◽  
S. Reader ◽  
V. Hamilton ◽  
M. Porteous ◽  
...  
Keyword(s):  
General Hospital ◽  
Knee Arthroplasty ◽  
District General Hospital

scholarly journals Cataract Surgery and Uveitis

2016 ◽  
Vol 9 (3) ◽  
Author(s):  
Mumtaz Hussain ◽  
Muhammad Moin ◽  
Nazir Ahmad Aasi ◽  
Muhammad Waqas ◽  
Jawaid Mughal
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
General Hospital ◽  
Cataract Extraction ◽  
Extracapsular Cataract Extraction ◽  
Iol Implantation ◽  
Corrected Visual Acuity ◽  
Best Corrected Visual Acuity

The study of 30 patients was performed at Lahore General Hospital, and Institute Of Ophthalmology Mayo Hospital, Lahore from June 1989 to June 2003 for 14 years. Total number of eyes were 34 where 2 patients had both eyes. Age ranged from 12-65 years. Males were 11 and females were 19. all the patients had planned extracapsular cataract extraction with IOL implantation. Total follow up period ranged from 1-5 years and best corrected visual acuity in these patients after surgery was 6/12 to 6/6. Post operatively, eyes had vitreous membranes and glaucomatous reaction.

Short-Term Response to Counseling and Case Management Intervention in a Domestic Violence Shelter

1997 ◽  
Vol 81 (3_suppl) ◽  
pp. 1243-1251 ◽  
Author(s):  
John R. McNamara ◽  
Melissa A. Ertl ◽  
Sue Marsh ◽  
Suzanne Walker
Keyword(s):  
Domestic Violence ◽  
Case Management ◽  
Drop Out ◽  
Short Term ◽  
Domestic Violence Shelter ◽  
Management Intervention ◽  
Case Management Intervention ◽  
Skill Deficits ◽  
Shelter Services

81 women who accessed counseling and case management services at a domestic violence shelter after three sessions reported that abuse decreased, life satisfaction increased, perceived coping ability improved, as did their satisfaction with the services. Shelter users, however, also displayed significant skill deficits in the inability to apprise or respond appropriately to abusive situations. Limitations on understanding how shelter services affect longer-term outcomes were ascribed to high drop out rates and the absence of follow-up measures. Researchers need to address the causes of drop-out and what specific interventions can meet the needs of short-term shelter users.

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