scholarly journals Neurologists' detection and recognition of mental disorder in a tertiary in-patient neurological unit

2018 ◽  
Vol 42 (1) ◽  
pp. 19-23
Author(s):  
Samr Dawood ◽  
Norman Poole ◽  
Robert Fung ◽  
Niruj Agrawal
Keyword(s):  
Mental Disorder ◽  
Psychiatric Disorders ◽  
Cost Effective ◽  
Assessment Tools ◽  
Clinical Implications ◽  
Acceptable Method ◽  
Patient Referrals ◽  
Neuropsychiatric Conditions ◽  
Neurological Unit ◽  
Detection And Recognition

Aims and methodPsychiatric disorders are common in neurological in-patients, but they are under-recognised and undertreated. We investigated the frequency of detection of mental disorder and referral to psychiatric services in a regional neuroscience centre. The results were compared with the expected prevalence. All in-patient referrals received in 2014 from the in-patient wards of the regional neuroscience centre and acute neurological unit were reviewed.ResultsA total of 129 ward referrals were identified; of these, 78 were from the regional in-patient neurological unit, which comprised 11.4% of the total of 679 admissions to that unit.Clinical implicationsA spectrum of neuropsychiatric conditions were recognised by neurologists, but overall rates of recognition were low. To address the problem of under-recognition, routine screening with validated assessment tools can represent a cost-effective and acceptable method to detect psychiatric disorders in an in-patient neurological setting.Declaration of InterestNone.

scholarly journals Assessing Riparian Areas of Greece—An Overview

2020 ◽  
Vol 13 (1) ◽  
pp. 309
Author(s):  
George N. Zaimes ◽  
Valasia Iakovoglou
Keyword(s):  
Sustainable Management ◽  
Stream Flow ◽  
Vegetation Indices ◽  
Cost Effective ◽  
Assessment Tools ◽  
Land Uses ◽  
Riparian Areas ◽  
Spatial And Temporal Scales ◽  
Management Plans ◽  
Of Greece

Riparian areas, especially in the Mediterranean, offer many ecosystem services for the welfare of society benefits from their sustainable management. This study presents different tools used to assess riparian areas of Greece and their results. Riparian areas with different land-uses/vegetation covers along streams or torrents were assessed. The assessment tools were visual protocols, bioindicators, geographic information systems (GIS), vegetation indices, and a model. These tools differ in scale, accuracy, and difficulty of implementation. The riparian areas had Low and Moderate quality in Greece because of agricultural activities and hydrologic alterations. Vegetation appeared more important for the integrity of riparian areas than stream flow (perennial or intermittent). In addition, territorial variables (distance from dam and sea) were more influential compared to climatic variables. Visual protocols and GIS were effective for preliminary assessments. GIS can be applied at a greater scale but was less accurate than the protocols. Bioindicators can provide more cost-effective monitoring than physicochemical water variables. Finally, vegetation indices and models can be used for larger spatial and temporal scales, but require specialized personnel. Overall, riparian areas of Greece seem to be degraded, and monitoring would contribute to the development of a database on riparian areas that should form the basis for sustainable management plans in Greece.

scholarly journals The relationship between apathy and impulsivity in large population samples

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Pierre Petitet ◽  
Jacqueline Scholl ◽  
Bahaaeddin Attaallah ◽  
Daniel Drew ◽  
Sanjay Manohar ◽  
...  
Keyword(s):  
Young Adults ◽  
Large Population ◽  
Assessment Tools ◽  
Self Assessment ◽  
Social And Emotional ◽  
Scale Scores ◽  
Recent Addition ◽  
The Relationship ◽  
Gathering Data ◽  
Neuropsychiatric Conditions

AbstractApathy and impulsivity are debilitating conditions associated with many neuropsychiatric conditions, and expressed to variable degrees in healthy people. While some theories suggest that they lie at different ends of a continuum, others suggest their possible co-existence. Surprisingly little is known, however, about their empirical association in the general population. Here, gathering data from six large studies ($$n = 3755$$ n = 3755 ), we investigated the relationship between measures of apathy and impulsivity in young adults. The questionnaires included commonly used self-assessment tools—Apathy Evaluation Scale, Barratt Impulsiveness Scale (BIS-11) and UPPS-P Scale—as well as a more recent addition, the Apathy Motivation Index (AMI). Remarkably, across datasets and assessment tools, global measures of apathy and impulsivity correlated positively. However, analysis of sub-scale scores revealed a more complex relationship. Although most dimensions correlated positively with one another, there were two important exceptions revealed using the AMI scale. Social apathy was mostly negatively correlated with impulsive behaviour, and emotional apathy was orthogonal to all other sub-domains. These results suggest that at a global level, apathy and impulsivity do not exist at distinct ends of a continuum. Instead, paradoxically, they most often co-exist in young adults. Processes underlying social and emotional apathy, however, appear to be different and dissociable from behavioural apathy and impulsivity.

Underdiagnosis of psychiatric disorders in people with intellectual disabilities: Differences between psychiatric disorders and challenging behaviour

2018 ◽  
Vol 24 (3) ◽  
pp. 326-338 ◽  
Author(s):  
Carlos Peña-Salazar ◽  
Francesc Arrufat ◽  
Josep Manel Santos ◽  
Abel Fontanet ◽  
Gretel González-Castro ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Psychiatric Disorders ◽  
Psychiatric Diagnosis ◽  
Cross Sectional Study ◽  
Assessment Tools ◽  
Challenging Behaviour ◽  
Cross Sectional ◽  
Intelligence Scale ◽  
Severely Handicapped ◽  
People With Intellectual Disabilities

Background and purpose: The purpose of this study was to assess the level of mental disorders and challenging behaviour in individuals with intellectual disability (ID) supported by specialized services, but without a prior psychiatric diagnosis, and to compare the levels of different disorders depending on the severity of ID. Methods: This is a cross-sectional study ( N = 142) of population with ID. Inclusion criteria were the following: adult patients with ID and with no previous psychiatric diagnosis prior to this survey. The Wechsler Adults Intelligence Scale-II, the Psychiatric Assessment Schedule for Adults with Developmental Disability checklist and clinical interview, the Diagnostic Assessment for the Severely Handicapped scale and the Inventory for Client and Agency Planning were the assessment tools. Results: A previously undiagnosed mental disorder was found in 29.6% of the sample. The most prevalent mental disorders were major depressive and anxiety disorders. An association between psychiatric comorbidity and challenging behaviour was found only for mild/moderate ID, especially for affective disorders. Conclusions: The presence of a psychiatric as well as a medical comorbidity is associated with severe ID, unlike challenging behaviour. Clinical limitations of the study have been discussed.

Symptoms and side effects in chronic non-cancer pain patients: clinical implications and development of new assessment tools

2015 ◽  
Vol 59 (8) ◽  
pp. 1060-1067
Author(s):  
T. S. Olsen ◽  
T. Jonsson ◽  
J. Højsted ◽  
P. Sjøgren ◽  
L. Christrup
Keyword(s):  
Side Effects ◽  
Cancer Pain ◽  
Assessment Tools ◽  
Clinical Implications ◽  
Pain Patients

scholarly journals Attitudes of the general population to psychiatric and physical illness

1999 ◽  
Vol 23 (11) ◽  
pp. 671-674 ◽  
Author(s):  
Stephen M. Lawrie
Keyword(s):  
General Population ◽  
Psychiatric Disorder ◽  
Psychiatric Disorders ◽  
Random Sample ◽  
Response Bias ◽  
Close Relationships ◽  
Clinical Vignette ◽  
Clinical Implications ◽  
General Tendency ◽  
Negative Attitudes

Aims and methodThe attitudes of members of the general population to people with psychiatric and physical illnesses were examined. We took a random sample of 280 members of the general population listed in the phone directory and sent them a brief clinical vignette about a neighbour with either schizophrenia, depression, diabetes or no illness.ResultsOnly 103 (41%) of the surveyed general population responded. Some unsolicited comments revealed negative attitudes from a small number of subjects. There were, however, no statistically significant differences in general attitudes to sufferers of psychiatric and physical illnesses suggestive of discrimination against the former. Indeed, respondents showed a general tendency to be more supportive of a neighbour with any illness than to those without. In a sub-analysis, however, those who knew someone with schizophrenia were significantly less likely to be sympathetic towards them.Clinical implicationsWe have not detected any general stigmatisation of those with psychiatric disorders, but our results may be attributable to response bias. Discrimination against those with psychiatric disorder may be limited to a relatively small sector of society or may only be manifest in relatively close relationships.

scholarly journals Awareness of the cost of psychotropic medication among doctors: a service evaluation

2010 ◽  
Vol 34 (9) ◽  
pp. 364-366 ◽  
Author(s):  
Dhananjay Kumar Singh ◽  
Shakil Khawaja ◽  
Ishaq Pala ◽  
Jaleel Khaja ◽  
Ray Krishnanu ◽  
...  
Keyword(s):  
Cost Effective ◽  
Service Evaluation ◽  
Financial Resources ◽  
Clinical Implications ◽  
North East ◽  
The North ◽  
Old Age Psychiatry ◽  
Level Of Knowledge ◽  
The Cost ◽  
Structured Questionnaire

Aims and methodCost-effective prescribing is an increasingly important aspect of our practice. A service evaluation was carried out to assess the level of awareness and knowledge of different aspects of cost-effective prescribing among doctors working in the North East London Foundation Trust. A semi-structured questionnaire was used to benchmark knowledge against six standards.ResultsThe survey was completed by 71% of doctors working in adult or old age psychiatry. A total of 2% of doctors stated that they should always take into consideration the price of the drug when prescribing and only 5% of doctors claimed to know the price of medications they prescribe most frequently.Clinical implicationsStrategies to improve the poor level of knowledge and awareness in this area of clinical practice would be of benefit in making the best use of limited financial resources without any detriment to patient care.

scholarly journals The Physical and Morphological Properties of Kenaf/ Epoxy Fibres in Coating Treatment Process

2019 ◽  
Vol 16 (2) ◽  
pp. 43 ◽  
Author(s):  
Muhammad Mustakim Mohd Ghaztar ◽  
Nik Noor Idayu Nik Ibrahim ◽  
Sarani Zakaria ◽  
Ahmad Zafir Romli
Keyword(s):  
Energy Demand ◽  
Cost Effective ◽  
Treatment Method ◽  
High Energy ◽  
Natural Fibre ◽  
Morphological Properties ◽  
Fibre Coating ◽  
Acceptable Method ◽  
Section Analysis ◽  
Kenaf Fibres

Natural fibre is an economical material that often used in various applications due to its low in density, non-abrasiveness in processing and biodegradable. But, its usage in various applications is still limited due to the low in overall properties. The acceptable method to improve the properties of the fibres is by chemical treatment method that is costly, meticulous process and high energy demand. Thus, a new, simple and cost-effective fibre coating treatment method was developed which was able to improve the physical and morphological properties that open a new path for natural based materials to be used in a more robust application. In this study, the physical and morphological properties of various coated Kenaf fibres were analysed to comprehend the cutting behaviour of coated fibres after subjected to the pulverisation process. The Kenaf fibres were individually immersed in 1:4, 1:5 and 1:6 epoxy to acetone coating solutions prior cured, and pulverised consecutively using 5 mm, 1 mm, 0.5 mm and 0.25 mm mesh sizes aperture. The morphological characteristic was analysed using polarised optical and scanning electron microscope. The result showed that 1:6 coating ratio solution able to effectively coat the fibres’ aspect ratio that forming individual coated fibre which in long length pulverised fibres. Moreover, the low viscous 1:6 solution able to penetrate inside fibre structure that supported by density and fibre cross-section analysis compare to the other solutions. In future, this analysis is crucial to give insight on the coated fibres behaviour after subjected to the mechanical means of cutting process that later relates to the reinforcing mechanism in the composite samples.

The Impact of the Internet in Twenty-First Century Addictions

2019 ◽  
pp. 436-454
Author(s):  
Shilpa Suresh Bisen ◽  
Yogesh Deshpande
Keyword(s):  
Psychiatric Disorders ◽  
Illicit Drugs ◽  
Cost Effective ◽  
First Century ◽  
Online Gambling ◽  
The Internet ◽  
Web Based ◽  
Positive Side ◽  
User Friendly ◽  
The Impact

In the era of digital technology, the internet has its significant role in sprouting vulnerability toward the different form of addictions and psychiatric disorders as well as providing the platform to manage them effectively. The internet provides ready access to illicit drugs, nonprescription medications which facilitate a sale of controlled substances over the Internet without a valid prescription which contributed to the rise of several forms of addictions. Studies have linked the severity of Problematic Internet Use to increase chances of substance Use disorder. Utilization of internet for longer durations serves as a booster for behavioral addictions like online gambling. Web based interventions on the positive side provides a cost effective, readily accessible and user-friendly platform to reach out majority of patients to help them in seeking treatment of Addictions and various psychiatric disorders. The aim of this chapter is to discuss the contribution of the internet in a positive and negative way to develop as well as resolve Psychiatric disorder.

scholarly journals Multicomponent Frailty Assessment Tools for Older People with Psychiatric Disorders: A Systematic Review

2018 ◽  
Vol 67 (5) ◽  
pp. 1085-1095 ◽  
Author(s):  
Jennifer L. Sutton ◽  
Rebecca L. Gould ◽  
Mark C. Coulson ◽  
Emma V. Ward ◽  
Aine M. Butler ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older People ◽  
Psychiatric Disorders ◽  
Assessment Tools ◽  
Frailty Assessment
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