scholarly journals Forensic psychiatry and Covid-19: accelerating transformation in forensic psychiatry

2020 ◽  
pp. 1-9 ◽  
Author(s):  
H. G. Kennedy ◽  
D. Mohan ◽  
M. Davoren
Keyword(s):  
Forensic Psychiatry ◽  
Data Linkage ◽  
National Level ◽  
Service Level ◽  
Population Based ◽  
Psychiatric Services ◽  
Policy Makers ◽  
Standardised Mortality Ratios ◽  
Managing Risk ◽  
Symptomatic Remission

Abstract Swift medically led scientifically informed responses to the Covid-19 epidemic nationally have been demonstrably superior to other, non-scientific approaches. In forensic psychiatry and across all psychiatric services, urgent and clinically led responses have underlined redundancies and confusions in the governance of mental health services and a vacuum in policy makers. For the future, a greater emphasis on services for patients with schizophrenia and other severe, enduring mental disorders must aim at reducing standardised mortality ratios, managing risk of violence and improving hard outcomes such as symptomatic remission, functional recovery and forensic recovery of autonomy. This will require more use of information technology at service level and at national level where Scandinavian-style population-based data linkage research must now become legally sanctioned and necessary. A national research and development centre for medical excellence in forensic psychiatry is urgently required and is complimentary to and different from quality management.

Is Western Australia representative of other Australian States and Territories in terms of key socio-demographic and health economic indicators?

2010 ◽  
Vol 34 (2) ◽  
pp. 210 ◽  
Author(s):  
Antony Clark ◽  
David B. Preen ◽  
Jonathon Q. Ng ◽  
James B. Semmens ◽  
C. D'Arcy J. Holman
Keyword(s):  
Health Economic ◽  
Data Linkage ◽  
Population Based ◽  
Economic Indicators ◽  
Policy Makers ◽  
Australian Health ◽  
Capita Health Expenditure ◽  
Research Findings ◽  
Productive Research ◽  
Western Australian

Objective.To evaluate the extent to which Western Australian (WA) represents the broader Australian population in terms of key socio-demographic and health economic indicators. Methods.We compared key demographic, social and health economic indicators across all Australian States and Territories from Australian government publications in the census years 1991–2006. Jurisdictional averages (JAs) were calculated as the mean (±s.d.) or median (±range). Observed jurisdiction indicators were compared with the JA and ranked according its representativeness of the JA. Results.WA was among the three closest jurisdictions to the national JA for all socio-demographic and health economic indicators examined, with the exception of uptake of private health insurance (ranked 6th) and per-capita health expenditure (ranked 5th). The Northern Territory and Australian Capital Territory were least representative for the majority of indicators. Excluding the proportions of people living in rural or remote areas (0–100%) and of indigenous origin (0.4–28.8%), variations in the indicators across the jurisdictions were relatively small. Conclusions.Population differences between Australia’s States were small, whereas Australia’s Territories were least representative of the JA. WA was the most representative population of Australia’s eight jurisdictions and continues to be in a strong position to contribute to knowledge of the Australian health system that is applicable Australia-wide. What is known about the topic?The Western Australian Data Linkage system (WADLS) is a highly successful and productive research tool that facilitates population-based health research. A potential criticism and concern of this research surrounds the representativeness of the WA population to other Australian States and Territories. Anecdotally, there is a perception that WA’s isolation from other Australian populations may lead to systematic socio-demographic and socioeconomic differences; thus limiting the generalisability of research findings. What does this paper add?This paper compares Australia’s State and Territory population profiles and allows researchers to determine the extent to which contextual issues concerning key socio-demographic and health economic indicators may affect the external validity of population-based research arising from any one jurisdiction. What are the implications to practitioners?In the absence of previous evaluations in this area and with the continued emergence of new data linkage systems around the country, this information is important for health researchers and policy makers who may wish to draw conclusions and make policy decisions that rely upon extrapolating findings from population-based studies.

Ethnic Differences in Self-Poisoning Across South London

Crisis ◽  
2014 ◽  
Vol 35 (4) ◽  
pp. 268-272
Author(s):  
Sean Cross ◽  
Dinesh Bhugra ◽  
Paul I. Dargan ◽  
David M. Wood ◽  
Shaun L. Greene ◽  
...  
Keyword(s):  
Black Women ◽  
Data Collection ◽  
White Women ◽  
Population Based ◽  
Care Services ◽  
Self Harm ◽  
Managing Risk ◽  
The Uk ◽  
Incident Cases ◽  
Minority Ethnic

Background: Self-poisoning (overdose) is the commonest form of self-harm cases presenting to acute secondary care services in the UK, where there has been limited investigation of self-harm in black and minority ethnic communities. London has the UK’s most ethnically diverse areas but presents challenges in resident-based data collection due to the large number of hospitals. Aims: To investigate the rates and characteristics of self-poisoning presentations in two central London boroughs. Method: All incident cases of self-poisoning presentations of residents of Lambeth and Southwark were identified over a 12-month period through comprehensive acute and mental health trust data collection systems at multiple hospitals. Analysis was done using STATA 12.1. Results: A rate of 121.4/100,000 was recorded across a population of more than half a million residents. Women exceeded men in all measured ethnic groups. Black women presented 1.5 times more than white women. Gender ratios within ethnicities were marked. Among those aged younger than 24 years, black women were almost 7 times more likely to present than black men were. Conclusion: Self-poisoning is the commonest form of self-harm presentation to UK hospitals but population-based rates are rare. These results have implications for formulating and managing risk in clinical services for both minority ethnic women and men.

The Link between Male Genital Anomalies and Adult Male Reproductive Disorders: A Population-Based Data Linkage Study Spanning Over 40 Years

2018 ◽  
Author(s):  
Francisco Schneuer ◽  
Elizabeth Milne ◽  
Sarra E. Jamieson ◽  
Gavin Pereira ◽  
Michele Hansen ◽  
...  
Keyword(s):  
Adult Male ◽  
Data Linkage ◽  
Population Based ◽  
Linkage Study ◽  
Reproductive Disorders ◽  
Over 40 Years ◽  
Male Genital

scholarly journals What We Talk about When We Talk about Poverty: Culture and Welfare State Development in Britain, Denmark and France

2021 ◽  
pp. 1-24
Author(s):  
Cathie Martin ◽  
Tom Chevalier
Keyword(s):  
Economic Growth ◽  
National Level ◽  
Political Stability ◽  
Historical Case ◽  
Policy Makers ◽  
The Poor ◽  
Fiction Writers ◽  
Welfare State Development ◽  
Political Agents ◽  
Cross National

Why did historical anti-poverty programs in Britain, Denmark and France differ so dramatically in their goals, beneficiaries and agents for addressing poverty? Different cultural views of poverty contributed to how policy makers envisioned anti-poverty reforms. Danish elites articulated social investments in peasants as necessary to economic growth, political stability and societal strength. British elites viewed the lower classes as a challenge to these goals. The French perceived the poor as an opportunity for Christian charity. Fiction writers are overlooked political agents who engage in policy struggles. Collectively, writers contribute to a country's distinctive ‘cultural constraint’, or symbols and narratives, which appears in the national-level aggregation of literature. To assess cross-national variations in cultural depictions of poverty, this article uses historical case studies and quantitative textual analyses of 562 British, 521 Danish and 498 French fictional works from 1770 to 1920.

scholarly journals Population (Antibody) Testing for COVID-19—Technical Challenges, Application and Relevance, an English Perspective

Vaccines ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 550
Author(s):  
Peter A. C. Maple
Keyword(s):  
National Level ◽  
Herd Immunity ◽  
Population Based ◽  
Biological Properties ◽  
Limited Extent ◽  
Antibody Testing ◽  
Serum Samples ◽  
Oral Fluids ◽  
Antibody Assays ◽  
The Uk

In the UK, population virus or antibody testing using virus swabs, serum samples, blood spots or oral fluids has been performed to a limited extent for several diseases including measles, mumps, rubella and hepatitis and HIV. The collection of population-based infection and immunity data is key to the monitoring of disease prevalence and assessing the effectiveness of interventions such as behavioural modifications and vaccination. In particular, the biological properties of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and its interaction with the human host have presented several challenges towards the development of population-based immunity testing. Measuring SARS-CoV-2 immunity requires the development of antibody assays of acceptable sensitivity and specificity which are capable of accurately detecting seroprevalence and differentiating protection from non-protective responses. Now that anti-COVID-19 vaccines are becoming available there is a pressing need to measure vaccine efficacy and the development of herd immunity. The unprecedented impact of the SARS-CoV-2 pandemic in the UK in terms of morbidity, mortality, and economic and social disruption has mobilized a national scientific effort to learn more about this virus. In this article, the challenges of testing for SARS-CoV-2 infection, particularly in relation to population-based immunity testing, will be considered and examples given of relevant national level studies.

scholarly journals Shared socioeconomic pathways for climate change research in Finland: co-developing extended SSP narratives for agriculture

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Heikki S. Lehtonen ◽  
Jyrki Aakkula ◽  
Stefan Fronzek ◽  
Janne Helin ◽  
Mikael Hildén ◽  
...  
Keyword(s):  
Climate Change ◽  
National Level ◽  
Global Scale ◽  
Change Scenario ◽  
Policy Makers ◽  
Climate Change Research ◽  
Food And Agriculture ◽  
Agriculture And Food ◽  
Farm Subsidies

AbstractShared socioeconomic pathways (SSPs), developed at global scale, comprise narrative descriptions and quantifications of future world developments that are intended for climate change scenario analysis. However, their extension to national and regional scales can be challenging. Here, we present SSP narratives co-developed with stakeholders for the agriculture and food sector in Finland. These are derived from intensive discussions at a workshop attended by approximately 39 participants offering a range of sectoral perspectives. Using general background descriptions of the SSPs for Europe, facilitated discussions were held in parallel for each of four SSPs reflecting very different contexts for the development of the sector up to 2050 and beyond. Discussions focused on five themes from the perspectives of consumers, producers and policy-makers, included a joint final session and allowed for post-workshop feedback. Results reflect careful sector-based, national-level interpretations of the global SSPs from which we have constructed consensus narratives. Our results also show important critical remarks and minority viewpoints. Interesting features of the Finnish narratives compared to the global SSP narratives include greater emphasis on environmental quality; significant land abandonment in SSPs with reduced livestock production and increased plant-based diets; continued need for some farm subsidies across all SSPs and opportunities for diversifying domestic production under scenarios of restricted trade. Our results can contribute to the development of more detailed national long-term scenarios for food and agriculture that are both relevant for local stakeholders and researchers as well as being consistent with global scenarios being applied internationally.

scholarly journals National and regional trends in MRI utilization in the face of the ongoing COVID-19 pandemic

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Osnat Luxenburg ◽  
Mor Saban ◽  
Vicki Myers ◽  
Sharona Vaknin ◽  
Noga Boldor ◽  
...  
Keyword(s):  
Waiting Times ◽  
National Level ◽  
Metropolitan Region ◽  
Third Wave ◽  
Policy Makers ◽  
Unequal Distribution ◽  
Elective Surgical Procedures ◽  
Regional Trends ◽  
The Face ◽  
Magnetic Resonance Imaging Mri

Abstract Background and purpose Marked reductions in imaging exams have been documented during the COVID-19 pandemic. The study aimed to examine the effect of the two waves of COVID-19 on magnetic resonance imaging (MRI) utilization at the national and regional level. Materials and methods A retrospective-archive study was conducted in Israel, comparing March–December 2020 with March–December 2018 and 2019. Data on MRI utilization were obtained from the national MRI registry, while data on confirmed COVID-19 cases, by place of residence, were obtained from the Israeli Ministry of Health open COVID-19 database. Results The number and rate of MRI examinations decreased during the first COVID-19 wave, with the steepest drop in April 2020: 47.5% relative decrease compared to April 2019, and 42.2% compared to 2018. This was followed by a compensatory increase between the waves and a return to almost pre-pandemic levels of use, with just a modest decrease, during the second, more intense COVID wave, compared with the previous year. Existing differences between regions increased during the pandemic. The rate ratio of MRI exams between Tel-Aviv and the Northern periphery increased from 2.89 in April 2019 to 3.94 in April 2020. Jerusalem metropolitan region, with the largest burden of COVID disease, demonstrated only a modest decrease (1%) in MRI utilization during the first 10 months of the pandemic. Conclusions At the national level, time trends in reduced MRI utilization followed the first wave of COVID-19, and were accompanied by increased regional disparities. These changes were not explained by differences in the burden of COVID-19 disease but might be explained by unequal distribution of MRI scanners among regions. Reduced utilization was not evident during the second wave, nor at the beginning of the third wave, despite higher COVID-19 case load, demonstrating adaptation to the new normal. Patterns of MRI utilization might help policy-makers and healthcare managers predict the behavior of imaging as well as other sectors, such as elective surgical procedures, during an ongoing pandemic. This forecast might help to manage the lasting effects of the pandemic, including extended waiting times, in the months and years following its remission. In preparation for future national emergencies, timely and detailed data on MRI utilization can serve as a “sensor” for a wide array of diagnostic and interventional medical activities, providing policy-makers with an updated snapshot to guide their response at the regional and national levels.

scholarly journals The Western Australian Twin Register: A Population-Based Register of Adult and Child Multiples

2006 ◽  
Vol 9 (6) ◽  
pp. 712-717 ◽  
Author(s):  
Jessica D. Y. Lee ◽  
Lyle J. Palmer
Keyword(s):  
Medical Research ◽  
Genetic Epidemiology ◽  
Record Linkage ◽  
Collaborative Research ◽  
Data Linkage ◽  
Population Based ◽  
Multiple Births ◽  
Efficient Management ◽  
Twin Registry ◽  
Western Australian

AbstractThe Western Australian Twin Register (WATR) was established in 1997 to study the health of all child multiples born in Western Australia (WA). The Register has until recently consisted of all multiples born in WA between 1980 and 1997. Using unique record linkage capacities available through the WA data linkage system, we have subsequently been able to identify all multiple births born in WA since 1974. New affiliations with the Australian Twin Registry and the WA Institute for Medical Research are further enabled by the use of the WA Genetic Epidemiology Resource — a high-end bioinformatics infrastructure that allows efficient management of health datasets and facilitates collaborative research capabilities. In addition to this infrastructure, funding provided by these institutions has allowed the extension of the WATR to include a greater number of WA multiples, including those born between 1974 and 1979, and from 1998 onwards. These resources are in the process of being enabled for national and international access.

scholarly journals EVALUASI KEBIJAKAN PENDIRIAN BADAN USAHA MILIK DESA

2021 ◽  
Vol 10 (2) ◽  
pp. 182
Author(s):  
Tatang Sudrajat
Keyword(s):  
Public Policy ◽  
Rural Communities ◽  
State Government ◽  
National Level ◽  
The State ◽  
Economic Welfare ◽  
Government Regulations ◽  
Policy Makers ◽  
Hierarchical Relationship ◽  
The Village

<p><em>The state has provided a lot of welfare to the citizens of rural communities, who make up the largest part of this nation. Socio-economic welfare as a public interest has been pursued by the state with its authority, including in the form of a policy to establish Village Owned Enterprises (BUM Desa). The issuance of Law Number 6 of 2014, PP Number 43 of 2014 and the Village Regulation of PDTT Number 4 of 2015 relating to the interests of the village community, became a strong foundation for the establishment of BUM Desa. In Karawang Regency, this was followed up with the issuance of Regional Regulation Number 4 of 2019 and Perbup Number 35 of 2020. One of the problems when public policy was implemented started from the substance of policies that were bad policy, unclear, not operational/incomplete, ambiguous, and contradictory.</em><em> </em><em>The research uses normative juridical methods and literature review. The results of the study indicate that the issue of welfare of rural communities is embodied in various state/government regulations. There is a relationship between the local government as an operational policy maker and the policy environment as well as a hierarchical relationship with policy makers regarding BUM Desa at the national level. There are several policy substances that are considered bad policies, because they are unclear, not operational/incomplete, ambiguous and contradictory. This will have implications for the ineffective implementation of BUM Desa policies by implementers at the lowest level of government.</em></p><p><strong><em>Keywords</em></strong><em> : evaluation, public policy, village-owned enterprises</em></p>

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