scholarly journals Prevalence of Psychiatric Morbidities in Acute Coronary Heart Disease

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Saeed Shoja shafti
Keyword(s):  
Dysthymic Disorder ◽  
Cardiac Events ◽  
Liaison Psychiatry ◽  
Chronic Group ◽  
Acute Group ◽  
Number Of Patients ◽  
Significant Difference ◽  
High Prevalence ◽  
Consultation Liaison Psychiatry ◽  
Psychiatric Problems

Introduction. Psychiatric problems and stresses may deteriorate the prognosis of patients with IHD. So evaluating their frequency possibly will promote our perspective regarding their vital importance in the field of consultation-liaison psychiatry. Method and Materials. One hundred and one (101) patients with IHD were interviewed in CCU of a general hospital by a psychiatrist to find whether there was any relationship between cardiac events and psychiatric problems or stresses. Results. Cardiac events were significantly more prevalent among patients with both psychiatric problems and biological risk factors (P<0.05). Also, the number of patients suffering from psychiatric problems was significantly more than cases without that (P<0.05). There was a significant difference between male and female patients regarding the type of stress (P<0.01). 79% of total stresses were experienced by patients who had as well psychiatric problems (P<0.0001). In addition, there was significantly more dysthymic disorder in the acute group of patients in comparison with major or minor depressive disorder in the chronic group (P<0.001). Conclusion. The high prevalence of psychiatric problems and psychosocial stresses among patients with IHD deserves sufficient attention by clinicians for detection, monitoring, and management of them.

scholarly journals Risk of Cancer Onset in Sub-Saharan Africans Affected with Chronic Gastrointestinal Parasitic Diseases

2005 ◽  
Vol 18 (3) ◽  
pp. 503-511 ◽  
Author(s):  
M. Waku ◽  
L. Napolitano ◽  
E. Clementini ◽  
T. Staniscia ◽  
C. Spagnolli ◽  
...  
Keyword(s):  
Intestinal Tuberculosis ◽  
Clinical History ◽  
Parasitic Infections ◽  
Control Group ◽  
Gi Tract ◽  
Chronic Group ◽  
Acute Group ◽  
Number Of Patients ◽  
History Of ◽  
Risk Of Cancer

Gastrointestinal Schistosomiasis and Amebiasis are uncommon in the western world, while such infections are frequent in the African community. In addition to the problems associated with the clinical symptoms of these parasitic infections, it is important to stress the increase in cancer of the Gastro-Intestinal (GI) tract. In this study we evaluate the prevalence of cancer in patients affected by chronic inflammatory diseases caused by the above named parasites. In three years, from January 2000 to December 2003, we observed a total of 1199 subject. Of these, 950 presented with complaints of diarrhoea, vomiting, abdominal pain, melena, hematemesis, rectal discharges and alteration of bowel habits. A total of 818 patients were evaluated in Uganda (Mulago and Arua hospitals) and 381 at Luisa Guidotti Hospital in Zimbabwe. An exhaustive clinical history was collected for each patient and then physical and laboratory examinations were performed. The clinical files of all patients previously admitted to the respective hospitals were obtained and the information taken from these files was then integrated with our clinical findings. Subjects who were found free of gastro-intestinal disease after examinations and did not have a clinical history of infective GI disease but presented with other pathologies, were regarded as control group. The control group was composed of 249 subjects. The subjects who were positive on examination underwent further investigations. The number of patients affected by schistosomiasis and amoebiasis were 221 and 224 respectivelly. The number of patients who suffered from aspecific enterocolitis was 454, intestinal tuberculosis was present in 21 patients and we found 30 patients with esophageal candidiasis. Patients who had the above mentioned GI diseases were then divided into 3 groups. First group was composed of patients who had a clinical history of infective GI diseases and were re-admitted for similar symptoms, and on examination were positive for the presence of the same infective GI diseases. Such patients were placed in the “Chronic group”. The second group was formed of patients who had previously undergone treatment for infective GI diseases but on re-admission were found free of infective GI disease, and this group was described as the “Cured group”. They had symptoms associated with other pathologies. A third group, which we described as the “Acute group” was composed of patients who did not have any previous case of GI infection and were admitted for the first time. Such patients were found positive on examination for infective GI diseases. In the 950 patients, we found a total of 45 tumors. The tumors were prevalent (42 tumours) in the chronic group. In 34 patients the tumor was in the colo-rectal region, in 3 patients in the stomach, in 4 patients in the oesophagus and 1 patient had cancer in the small bowel. Our results show a strong association between the chronic infection of the GI tract and the likelihood to develop tumours. However, it is not clear which biological mechanisms are implicated in such transformations. They may depend on the chronic inflammation of the GI mucous which permits the entrance of carcinogenic materials or on the effects of mutagenic products produced by the parasites or both.

scholarly journals The Importance Of A Consultation Liaison Psychiatry Service In General Hospitals: A Brazilian 6-Years Experience

2021 ◽  
Author(s):  
Yoichi Takaki Konno ◽  
Fernanda Menezes de Faria ◽  
Gisele Zocoller Seno ◽  
Vinicius dos Santos Sguerri ◽  
Ana Carolina Gonçalves Olmos ◽  
...  
Keyword(s):  
Medical Records ◽  
Treatment Plan ◽  
Demographic Data ◽  
Liaison Psychiatry ◽  
Chi Square ◽  
General Hospitals ◽  
Significant Difference ◽  
Chi Square Test ◽  
Consultation Liaison Psychiatry ◽  
Level Of Significance

Abstract Background: The importance of consultation-liaison psychiatry (CLP) services have been progressively growing in all general hospitals.Methods: Data were collected from medical records of patients treated by the CLP service, from 2014 to 2020, including clinical-demographic data, characteristics of hospitalization, reason for request, treatment plan, and clinical outcome. For these analyses, the chi-square test, z-test, and Kruskal-Wallis test were used. The level of significance was set at 5%.Results: A total of 2,742 consultation requests were evaluated by the psychiatry team. The number of requests made grew by 109.64% over the years. In 58.21% of cases, the patient was in the ward, and 33% were requested by Internal Medicine. There was a statistically significant difference (p <0.001) in the distribution of reasons for request according to patients' characterization variables.Conclusions: This study sought to analyze the functioning and growth of CLP in a tertiary Brazilian general hospital. The present findings reinforce the importance of this service and the need to implement and develop CLP in general hospitals.

scholarly journals High prevalence of osteoporosis in patients undergoing spine surgery in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiaoyi Mo ◽  
Shengli Zhao ◽  
Zhenxing Wen ◽  
Wei Lin ◽  
Zhipeng Chen ◽  
...  
Keyword(s):  
Vertebral Fracture ◽  
Spine Surgery ◽  
Southern China ◽  
Chinese Patients ◽  
Fracture Rate ◽  
Mineral Density ◽  
Degenerative Scoliosis ◽  
Number Of Patients ◽  
Significant Difference ◽  
High Prevalence

Abstract Background With the increase in life expectancy, a large number of patients with osteoporosis (OP) are undergoing spine surgery, which may adversely affect the surgical success rate. The prevalence of OP varies in different regions, and no data are available that represent the prevalence of OP among Chinese patients over 50 years of age who are undergoing spine surgery. It was the first multicenter study to assess OP in these patients. Aiming to obtain comprehensive data, this study combined bone mineral density (BMD) measurements and visual radiography assessment (VRA) to analyze the prevalence of OP in patients aged > 50 years who underwent spine surgery. Methods Data from 1,856 patients aged over 50 years undergoing spine surgery who resided in northern, central, and southern China were reviewed between 2018 and 2019. Based on the perioperative BMD and X-ray data, we calculated the prevalence of OP in this special population according to sex, age, and spine degenerative disease. Results A total of 1,245 patients (678 females and 567 males) were included in the study. The prevalence of OP diagnosed by BMD was 52.8 % in females and 18.7 % in males. When we combined with BMD and VRA, the prevalence of OP increased from 52.8 to 65.9 % in females and from 18.7 to 40.6 % in males. Although OP was more severe in females than in males, a significant difference in the rate of vertebral fracture (VF) was not observed between females and males with a normal BMD and osteopenia (females vs. males: aged 50–59 years, P = 0.977; 60–69 years, P = 0.302; >70 years, P = 0.172). Similarly, no significant difference in the vertebral fracture rate was observed within different age groups of patients with a normal BMD and osteopenia (females: P = 0.210; males, P = 0.895). The incidence of OP in patients with degenerative scoliosis was higher than that in the remaining patients (females: 63.6 % vs. 42.4 %, P = 0.018; males: 38.9 % vs. 13.8 %, P = 0.004). Conclusions A high prevalence of OP was identified in patients aged > 50 years undergoing spine surgery, especially in patients whose primary diagnosis was degenerative scoliosis. BMD and VRA evaluations should be included in the clinical routine for these patients prior to surgery.

scholarly journals Psychiatry in the renal unit

2001 ◽  
Vol 7 (6) ◽  
pp. 426-432 ◽  
Author(s):  
Andrew Phipps ◽  
Douglas Turkington
Keyword(s):  
Renal Unit ◽  
Liaison Psychiatry ◽  
Physical Problems ◽  
Assessment And Treatment ◽  
Unique Experience ◽  
Consultation Liaison Psychiatry ◽  
The Common ◽  
Psychiatric Problems ◽  
Multi Disciplinary Team

Consultation–liaison psychiatry in renal medicine provides a unique experience for the psychiatrist. There is the opportunity to work with a specialist multi-disciplinary team managing patients with chronic and complex physical problems in in-patient and out-patient settings. We aim to consider the common psychiatric problems experienced by renal patients and the particular problems that face the renal team and the liaising psychiatrist in relation to assessment and treatment.

Endovascular treatment of acute and chronic isolated abdominal aortic dissection

Vascular ◽  
2018 ◽  
Vol 26 (4) ◽  
pp. 418-424 ◽  
Author(s):  
Dongqing Wang ◽  
Tao Ma ◽  
Daqiao Guo ◽  
Xin Xu ◽  
Bin Chen ◽  
...  
Keyword(s):  
Survival Rate ◽  
Aortic Dissection ◽  
Clinical Outcomes ◽  
Technical Success ◽  
Technical Success Rate ◽  
Chronic Group ◽  
Acute Group ◽  
Abdominal Aortic ◽  
Significant Difference ◽  
Abdominal Aortic Dissection

Objective To discuss the strategies and clinical outcomes of endovascular aortic repair (EVAR) for acute and chronic isolated abdominal aortic dissection (IAAD). Methods From January 2012 to June 2017, 33 patients with IAAD were retrospectively reviewed. Patients were classified into acute and chronic groups based on the time to EVAR from IAAD onset (acute: ≤90 days; chronic: >90 days). Patient demographics, clinical parameters, procedural factors, and clinical outcomes were evaluated and compared between the two groups. Results Among 33 patients, 21 were diagnosed with acute IAAD and 12 were diagnosed with chronic IAAD. All patients underwent EVAR, and no significant difference in EVAR-related procedural factors was observed between the two groups. The primary technical success rate in all patients was 100%. The overall survival rate in the chronic group was lower than that in the acute group, but the difference was not statistically significant ( P = 0.186). However, the reintervention-free survival rate in the chronic group was significantly lower than that in the acute group ( P = 0.039). Significant enlargement of the true lumen (TL) and regression of the false lumen (FL) and maximal aortic diameter were observed in all patients after EVAR ( P < 0.05). The mean diameter of the TL in the acute group increased significantly more than that in the chronic group (14 ± 3 mm vs. 11 ± 3 mm, P = 0.040). A significant difference was not observed in the regression of the FL ( P = 0.628) or maximal aortic diameter ( P = 0.319) between the two groups. Conclusion EVAR continues to be a safe therapeutic approach with a high technical success rate and favorable clinical outcomes. The clinical outcomes and aortic remodeling in the chronic group seem to be poorer than those in the acute group.

scholarly journals Psychiatric Morbidity Patterns in Referred Inpatients of Other Specialties

2013 ◽  
Vol 52 (189) ◽  
pp. 238-244 ◽  
Author(s):  
Ajay Risal ◽  
Pushpa Prasad Sharma
Keyword(s):  
Psychiatric Diagnosis ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Hospital Setting ◽  
Medical Ward ◽  
University Teaching ◽  
Psychiatric Evaluation ◽  
Liaison Psychiatry ◽  
Number Of Patients ◽  
Consultation Liaison Psychiatry

Introduction: Consultation-liaison psychiatry is an upcoming field dealing with interdepartmental collaboration heading into multidisciplinary and holistic care. In general hospital setting, psychiatrists need to be involved in evaluation of patients referred from other specialties. This study analyzed the psychiatric morbidity among the inpatients referred to Psychiatry Department from different wards in a Tertiary care University Teaching Hospital. Methods: Total 385 subjects were referred to the Department of Psychiatry from different wards during a period of one year. Each of them underwent a detailed psychiatric evaluation by a consultant psychiatrist once they were medically stable. Psychiatric diagnosis was considered as per International Classification of Disease-10 criteria. Results: The mean age of the subjects evaluated was 37.26 (±1.86); most of them were females 216 (56.4%), married 287 (74.5%), and homemaker 159 (41.3%). Maximum 271 (70.4%) referral was from Medical ward, and most of them 292 (75.8%) were admitted in general bed. The most common medical diagnosis was self-poisoning 115 (30.6%) followed by alcoholic liver disease 49 (12.7%); while the commonest 123 (31.9%) psychiatric diagnosis was depression (including Dysthymia and Adjustment disorder). Depression remained the commonest diagnosis among those referred from medical ward 131 (34.7%); while anxiety was mostly found in the emergency referral 94 (24.5%). Significant Correlation (P <0.05) was seen between the source of referral and Psychiatric diagnosis. Conclusions: Psychiatric consultation was sought mostly by medical ward that had maximum number of patients presenting with self-poisoning. The commonest diagnosis seen in the referred in-patients was depression and anxiety disorder.  Keywords: consultation-liaison psychiatry; in-patient referral; psychiatric morbidity.

Psychiatric Consultations in a Canadian General Hospital

1979 ◽  
Vol 24 (8) ◽  
pp. 717-723 ◽  
Author(s):  
Graeme Taylor ◽  
Kenneth Doody
Keyword(s):  
Nursing Education ◽  
General Hospital ◽  
The United States ◽  
Psychiatric Ward ◽  
Medical Setting ◽  
Psychiatric Consultation ◽  
Liaison Psychiatry ◽  
Consultation Liaison Psychiatry ◽  
Consultation Services ◽  
Psychiatric Problems

This paper reports a survey of psychiatric referral patterns on the inpatient wards of a Canadian general hospital over a 5-year period. The results demonstrate the useful contributions which psychiatric consultants can make to the care of physically ill patients. The most frequent consultation requests were for assistance with diagnostic problems and the management of depression or other psychopathology accompanying physical illness. The majority of consultation patients, 69.4%, had concurrent physical and psychiatric diagnoses and could be managed collaboratively on the services from which they were referred. Only 6.64% of the referred patients were transferred to a psychiatric ward, which reflected the philosophy of the consultation-liaison service to treat the psychiatric problems of the physically ill in the medical setting. The findings from the survey are compared with reports from general hospitals in Britain and the United States where the underutilization of psychiatric consultation services has been well demonstrated. Factors influencing the referral process, including liaison activities, are discussed and the limitations of consultation-liaison psychiatry, acknowledged. Changes in medical and nursing education are suggested to promote the wider practice of comprehensive patient care.

scholarly journals Profile of Patients Seen in Consultation-Liaison Psychiatry in India: A Systematic Review

2020 ◽  
Vol 42 (6) ◽  
pp. 503-512
Author(s):  
Devakshi Dua ◽  
Sandeep Grover
Keyword(s):  
Literature Search ◽  
Training Needs ◽  
Psychiatry Training ◽  
Liaison Psychiatry ◽  
Referral Rates ◽  
Hand Search ◽  
Medically Ill ◽  
Number Of Patients ◽  
Consultation Liaison Psychiatry ◽  
Self Harm

Objectives: This review aimed to evaluate all the published studies from India conducted in the consultation-liaison (CL) psychiatry setting to identify the diagnostic patterns and referral rates in this setting. Understanding the same can help in organizing the services and knowing the training needs. Materials and Methods: A thorough literature search was done in August 2020 using different search engines (PubMed, Medknow, and Google Scholar). This was followed by an individual search of various Indian Psychiatry journals and a hand search of references in the available articles. Only those studies that described patients referred to psychiatry services from various specialties were included. Results: A total of 33 studies were selected for the review. More than half of them were published in the last 5 years. Studies have primarily reported psychiatric profile medically ill inpatients referred to CL psychiatry services, with the majority of the studies reporting the number of patients seen for the duration of at least 1 year. The referral rates for inpatients across different institutes have varied from 0.01% to 3.6%. The referral rates from emergency set-ups have varied from 1.42% to 5.4%, and in outpatients, from 0.06% to 7.17%. The most commonly diagnosed psychiatric disorders across different studies include depression; organic disorders, including delirium; substance use; intentional self-harm; and anxiety disorders. Conclusions: A limited number of studies have reported the profile of patients seen in CL psychiatry setups. Available data from these studies suggest that referral rates to psychiatry services from other specialists are dismal. There is an urgent need to change the focus of psychiatry training at both undergraduate and the postgraduate levels to enhance the psychiatric knowledge of physicians to improve psychiatry referrals.

scholarly journals Prevalence and severity of periodontal diseases among Nepalese adults - a hospital based study

2015 ◽  
Vol 10 (1) ◽  
pp. 11-16 ◽  
Author(s):  
J Rajkarnikar ◽  
J Acharya
Keyword(s):  
Periodontal Diseases ◽  
Age Group ◽  
Inclusion Criteria ◽  
Medical Sciences ◽  
Probing Depth ◽  
Time Period ◽  
Number Of Patients ◽  
Significant Difference ◽  
High Prevalence ◽  
Dental Hospital

Objective The present study was undertaken to determine the prevalence of periodontal diseases among adults visiting the dental department of a hospital based in Jorpati.Methods Four hundred and seventeen patients were randomly taken from a dental hospital situated in Jorpati during the time period of March 2013 to August 2013. All patients visiting the dental department who fulfilled the inclusion criteria were included in the study. The data included patients overall information along with their chief complaint, gingival bleeding on probing (BOP), probing depth (PD), frequency of brushing, adverse habits and the diagnosis of the patients examined.Results We found that 52.5% suffered from gingivitis and 47.5% suffered from periodontitis. Also 28.3% suffered from localized and 18% suffered from generalized form of periodontitis. There was no statistically significant difference in the gender when the prevalence of periodontal disease was compared. 51.4% of male and 44.4% of female was seen to be affected with periodontitis. Also habits like smoking and intake of smokeless tobacco was seen to be associated with periodontitis. Regarding the age group more number of patients in the age group of >50 years were seen to be suffering from periodontitis (84.3%) as compared to age group of <35 years (25.9%).Conclusion There is high prevalence of periodontitis and gingivitis in the studied population. Periodontitis was seen to be more prevalent as age advanced which can be attributed mainly to untreated gingivitis. However, no significant difference was seen in the prevalence of periodontitis with respect to gender.Journal of College of Medical Sciences-Nepal, 2014, Vol.10(1); 11-16

Critical Review on Suicide Among Nurses

Crisis ◽  
2015 ◽  
Vol 36 (2) ◽  
pp. 91-101 ◽  
Author(s):  
Marie Alderson ◽  
Xavier Parent-Rocheleau ◽  
Brian Mishara
Keyword(s):  
Risk Factors ◽  
Literature Review ◽  
High Stress ◽  
Related Factors ◽  
Work Settings ◽  
Work Related ◽  
High Prevalence ◽  
Full Text Review ◽  
The Subject ◽  
Psychiatric Problems

Background: Research shows that there is a high prevalence of suicide among nurses. Despite this, it has been 15 years since the last literature review on the subject was published. Aim: The aim of this article is to review the knowledge currently available on the risk of suicide among nurses and on contributory risk factors. Method: A search was conducted in electronic databases using keywords related to prevalence and risk factors of suicide among nurses. The abstracts were analyzed by reviewers according to selection criteria. Selected articles were submitted to a full-text review and their key elements were summarized. Results: Only nine articles were eligible for inclusion in this review. The results of this literature review highlight both the troubling high prevalence of suicide among nurses as well as the persistent lack of studies that examine this issue. Conclusion: Considering that the effects of several factors related to nurses' work and work settings are associated with high stress, distress, or psychiatric problems, we highlight the relevance of investigating work-related factors associated with nurses' risk of suicide. Several avenues for future studies are discussed as well as possible research methods.

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