Depression and chronic medical illness: Implications for relapse prevention.

2010 ◽  
pp. 199-225 ◽  
Author(s):  
Timothy W. Smith
Keyword(s):  
Relapse Prevention ◽  
Medical Illness ◽  
Chronic Medical Illness

scholarly journals Knowledge, attitude, and practice of healthcare workers toward COVID-19 and its prevention in Ethiopia: A multicenter study

2021 ◽  
Vol 9 ◽  
pp. 205031212110343
Author(s):  
Bedru Jemal ◽  
Zemedu Aweke ◽  
Simeneh Mola ◽  
Sileshi Hailu ◽  
Sileshi Abiy ◽  
...  
Keyword(s):  
Social Media ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Healthcare Workers ◽  
Medical Illness ◽  
Chronic Medical Illness ◽  
Attitude And Practice ◽  
Route Of Transmission ◽  
History Of ◽  
Knowledge Attitude And Practice

Background: An emerging respiratory disease abbreviated as coronavirus disease 2019 was first reported in December 2019 in Wuhan city of China. The virus is zoonotic and tends to be transmitted between animals to humans and humans to humans. The major route of transmission of coronavirus disease 2019 is droplet and close contact. The Ethiopian Ministry of Health has initiated training for health care workers at a different level. Thus, the main objective of this study is to assess the knowledge, attitudes, and practices of health workers in Ethiopia toward coronavirus disease 2019 and its prevention techniques. Method: An institution-based multicenter cross-sectional study was conducted in each of eight teaching and referral hospitals. A total of 422 Ethiopian healthcare workers were selected for the assessment of knowledge, attitude, and practice toward coronavirus disease 2019. Data were collected using a structured questionnaire. A logistic regression model was used to identify factors associated with the attitude and knowledge of healthcare workers toward coronavirus disease 2019 at a significance level of p < 0.05. Result: Three hundred ninety-seven healthcare workers participated in the study, with a response rate of 94%. Among these, 88.2% and 94.7% of respondents had good knowledge and positive attitudes, respectively. A respondent with a history of chronic medical illness (odds ratio: 0.193, 95% confidence interval: 0.063–0.593), social media, telecommunication, and television/radio as a source of information were significantly associated with knowledge (odds ratio: 3.4, 95% confidence interval: 1.5–7.4, OR: 4.3, 95% confidence interval: 1.3–14.3 and odds ratio: 3.2, 95% confidence interval: 1.4–7.2). In addition, respondents with a history of chronic medical illness were significantly associated with a negative attitude toward coronavirus disease 2019. Conclusion: The knowledge and attitude were good while; the practice was relatively low. Sources of information such as social media, telecommunication, and television/radio were positively associated with healthcare workers' knowledge about coronavirus disease 2019.

Chronic Medical Illness, Depression, and Use of Acute Medical Services Among Medicare Beneficiaries

Medical Care ◽  
2004 ◽  
Vol 42 (6) ◽  
pp. 512-521 ◽  
Author(s):  
Seth Himelhoch ◽  
Wendy E. Weller ◽  
Albert W. Wu ◽  
Gerard F. Anderson ◽  
Lisa A. Cooper
Keyword(s):  
Medical Services ◽  
Medical Illness ◽  
Medicare Beneficiaries ◽  
Chronic Medical Illness

scholarly journals Synchronous cytomegalovirus infection in a newly diagnosed ulcerative colitis patient

2017 ◽  
Vol 8 (1) ◽  
Author(s):  
Jin Yu Chieng ◽  
Yasotha Sugumaran ◽  
Sellymiah Adzman ◽  
Pan Yan
Keyword(s):  
Ulcerative Colitis ◽  
Medical Illness ◽  
C Reactive Protein ◽  
Colitis Patient ◽  
Intravenous Ganciclovir ◽  
Reactive Protein ◽  
Chronic Medical Illness ◽  
History Of ◽  
Cmv Colitis

A 61-year-old Punjabi female patient presented with six months history of mild abdominal discomfort with bloody diarrhea. She did not have underlying chronic medical illness; she neither took steroid nor immunosuppressant. She was found anemic, thrombocytosis, and elevated C-reactive protein. Colonoscopy showed moderate left sided colitis, with histopathology evidence of ulcerative colitis (UC) with cytomegalovirus (CMV) infection. Her serum anti-CMV IgM antibody was detected. She was treated with intravenous ganciclovir, together with 5-ASA and tapering dose of steroid. Anemia was corrected. Subsequent clinic reviews and follow up endoscopies showed dramatically improvement. CMV colitis should be considered for the patients presenting with moderate to severe UC. Early prescription of antiviral would be beneficial in the treatment of flare of UC.

scholarly journals Pneumothorax in COVID-19 – A New Challenge

2021 ◽  
Vol 5 (10) ◽  
Author(s):  
Sudhir Bhandari ◽  
Govind Rankawat ◽  
Ajeet Singh
Keyword(s):  
Inflammatory Markers ◽  
Therapeutic Strategy ◽  
Medical Illness ◽  
Invasive Ventilation ◽  
Non Invasive ◽  
Chronic Medical Illness ◽  
Vulnerable Patients ◽  
Non Invasive Ventilation ◽  
Clinical Conditions ◽  
Mean Time

Background: Coronavirus disease 2019 mainly affect the lungs which can complicate into pneumothorax and require hospitalization. We aimed to discuss the presence of pneumothorax and its possible risk factors in vulnerable patients of COVID-19 to establish an effective preventive and therapeutic strategy for this fatal complication. Methods: This retrospective observational study included 30 admitted patients of COVID-19 associated pneumothorax. The patient’s data concerning demography, clinical manifestation, associated medical illness, point of onset of pneumothorax, mode of oxygenation with FiO2 and PEEP, radiological imaging, and outcome were extracted from their medical records. All collected data were tabulated, compiled, and analyzed to establish possible causality of pneumothorax. Results: All patients of the study group exhibited symptomatic presentations, 73% of patients had severe clinical conditions and 24 patients also had associated chronic medical illness. In our study pneumothorax developed 3rd week onwards after symptoms onset with a mean time of pneumothorax was found to be 23.96 days (23.96±8.06). At the point of diagnosis of pneumothorax, 22 patients were on non-invasive ventilation, 6 on high flow mask, and 2 patients on invasive ventilation, these patients required higher FiO2 (77.66%) and higher PEEP (10.83 cmH2O) to maintain PaO2 within normal range. All patients had raised COVID-related inflammatory markers viz. NLR, D-dimer, CRP, IL-6, and these markers showed a positive correlation with the duration of hospital stay in patients of pneumothorax. Conclusion: Pneumothorax can be suspected in COVID-19 infected patients having severe COVID-19 pneumonia of longer duration with assistant ventilation and raised inflammatory markers going to rapid worsening of symptoms.

Rate of Weight Gain of Inpatients with Anorexia Nervosa Under Two Behavioral Contracts

PEDIATRICS ◽  
1994 ◽  
Vol 93 (6) ◽  
pp. 989-991
Author(s):  
Mary V. Solanto ◽  
Stanley Hertz ◽  
Marc S. Jacobson ◽  
Neville H. Golden ◽  
Lenore Heller
Keyword(s):  
Anorexia Nervosa ◽  
Weight Gain ◽  
Female Gender ◽  
Analysis Of Covariance ◽  
Adolescent Medicine ◽  
Medical Illness ◽  
Chronic Medical Illness ◽  
Criterion Weight ◽  
Behavioral Contracts

Objective. To ascertain the rate of weight gain of inpatients with anorexia nervosa under two behavioral contracts, differing in criterion weight gain required to earn increasing privileges. Design. Follow-up comparison of cohorts receiving different interventions. Setting. Eating disorders service, operating on a general adolescent medicine unit. Patients. Patients admitted consecutively who met the following criteria: (1) weight at least 15% less than that expected for age, sex, and height; (2) female gender; (3) absence of chronic medical illness; (4) hospital stay of at least 28 days. Twenty-two patients meeting these criteria were treated between July 1987 and October 1988, when contract 1 was in effect. This cohort of patients was compared with a group of 31 patients, also meeting the these criteria, who were treated between November 1988 and December 1991, when contract 2 was in effect. Interventions. The behavioral contract, signed by the patient on admission, specifies the minimum 4-day weight gain necessary to earn increasing ward privileges, such as use of phone, frequency of visits, etc. Contracts 1 and 2 differed only in the 4-day weight gain criterion: 0.8 lb (0.36 kg) and 1.2 lb (0.55 kg), respectively. Results. The results of analysis of covariance, with admission weight as the covariate, revealed a significant interaction between contract and day, such that patients receiving contract 2 gained weight more rapidly (0.36 lb/d) than those receiving contract 1 (0.20 lb/d). There was no confounding difference between groups in the use of psychotropic medication, and no complications of refeeding in either group. Conclusion. Increasing the 4-day criterion weight gain from 0.8 to 12 lb in a behavioral contracting intervention was associated with a significant increase in the rate of weight gain, without an accompanying increase in complications of refeeding. This result simultaneously: (a) provides support for the efficacy of behavioral contracting and (b) reveals malleability in the rate of gain based on the targeted gain specified in the contract.

Chronic Medical Illness and Rehabilitation

2010 ◽  
pp. 397-404
Author(s):  
Guy Maytal ◽  
Terry Rabinowitz ◽  
Thomas D. Stewart ◽  
Gregory L. Fricchione
Keyword(s):  
Medical Illness ◽  
Chronic Medical Illness
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