Five-year Outcome and Prognosis in Schizophrenia: A Report from the London Field Research Centre of the International Pilot Study of Schizophrenia

1987 ◽  
Vol 150 (3) ◽  
pp. 345-354 ◽  
Author(s):  
R. Prudo ◽  
H. Munroe Blum

A sample of 100 schizophrenic patients admitted to London area psychiatric hospitals were examined as part of the International Pilot Study of Schizophrenia. Clinical and social outcome were variable. At 5-year follow-up, 49% had good symptomatic outcome and 42%, good social outcome. Poor social functioning at inclusion was predictive of poor symptomatic outcome. Illness history (IH), occupational functioning (OF), social relationship functioning (SRF), negative and non-specific symptoms (NNS) at initial evaluation, and their interaction with sex and race accounted for 32% of the 5-year symptomatic outcome variance (n = 84; F=3.48; P<0.001). OF, SRF, housing status, NNS and their interaction with sex, race and age accounted for 47% of the social outcome variance (n = 62; F=2.62; P<0.007).

2015 ◽  
Vol 589 ◽  
pp. 159-162 ◽  
Author(s):  
J. Genius ◽  
A. Schellenberg ◽  
L. Tchana-Duope ◽  
N. Hartmann ◽  
I. Giegling ◽  
...  

1971 ◽  
Vol 119 (553) ◽  
pp. 611-620 ◽  
Author(s):  
Agnes Miles

There is a consensus of opinion among the staff of psychiatric hospitals that it is in the best interests of the patients to be occupied during their hospital stay. In most hospitals of this type workshops have been set up for the patients and these are variedly regarded as amenities and therapeutic tools. The workshops vary a great deal in their characteristics, but broadly fall into two categories: occupational therapy units and industrial units.


1992 ◽  
Vol 22 (1) ◽  
pp. 131-145 ◽  
Author(s):  
J. Leff ◽  
N. Sartorius ◽  
A. Jablensky ◽  
A. Korten ◽  
G. Ernberg

SYNOPSISA five-year follow-up of the patients initially included in the International Pilot Study of Schizophrenia was conducted in eight of the nine centres. Adequate information was obtained for 807 patients, representing 76% of the initial cohort. Clinical and social outcomes were significantly better for patients in Agra and Ibadan than for those in the centres in developed countries. In Cali, only social outcome was significantly better.


2011 ◽  
Vol 26 (S2) ◽  
pp. 1422-1422
Author(s):  
M. Kösters ◽  
C. Lahmeyer ◽  
Y. Zhang ◽  
S. Weinmann ◽  
T. Becker

Introduction/objectivesThere is currently a variety of initiatives to improve the quality of care for schizophrenia, but there is no established core set of quality indicators in schizophrenia. In 2009, Weinmann and Becker published a set of indicators for quality monitoring of schizophrenia care. This study aims to evaluate the feasibility of these indicators.MethodsAdult schizophrenic patients insured by the Federal Association of Local Health Insurance Funds (AOK) were recruited in two large psychiatric hospitals. Participants were evaluated using PANSS, CGI, Camberwell Assessment of Need-European Version (CAN-EU) and the Verona Service Satisfaction Scale (VSSS) at discharge and after six month. Furthermore, 18-month AOK administrative data was available for all patients included. Feasibility of structural and quality indicators described by Weinmann and Becker (2009) will be tested by applying the full set of indicators.Results82 patients with a mean age of 40 and an average GAF score of 44.3 were included. We were able to calculate all indicators. Outpatient data was available with a delay of over six month. Patients had on average 1.6 additional psychiatric diagnoses (S1) and a mean length of stay of 44 days (S6). 67% of the patients were satisfied with the treatment received (Q17). 25% of the patients were re-admitted to an inpatient psychiatric care within 30 days after discharge.ConclusionsThe usage of Quality Indicators seems to be feasible in routine care. However, delay in the availability of outpatient data has to be considered if these indicators are implemented.


1971 ◽  
Vol 5 (3) ◽  
pp. 146-155 ◽  
Author(s):  
J. Krupinski ◽  
A. Stoller ◽  
Eva Meredith

SYNOPSIS A one-year follow-up of 127 schizophrenic patients admitted to psychiatric hospitals in 1968–69, who had spent at least three months in the community during the year following their admission, revealed that regular taking of medication is the most crucial single factor leading to improvement in the psychiatric status of the patient, regardless of whether he was living in a positive or a negative environment. No difference was found between family of origin and nuclear family, but family setting tended to influence either improvement or deterioration of the patient, whilst patients living in a non-family setting remained predominantly unchanged. The progress of southern European patients was poorer than all the others, independently of their family setting and medication.


2020 ◽  
Author(s):  
Dennis Rippe ◽  
Michael Jordan ◽  
Marie Macquet ◽  
Don Lawton ◽  
Anouar Romdhane ◽  
...  

&lt;p&gt;A key requirement by the European CCS directive for the safe operation of geological CO&lt;sub&gt;2&lt;/sub&gt; storage is the operator's responsibility to demonstrate containment of the injected CO&lt;sub&gt;2&lt;/sub&gt; and conformance between its actual and modelled behavior. Understanding the subsurface behavior and long-term fate of the injected CO&lt;sub&gt;2&lt;/sub&gt; requires the quantification of key reservoir parameters (e.g. pore pressure, CO&lt;sub&gt;2&lt;/sub&gt; saturation and strain in the overburden). Reliable quantification of these parameters and distinction between them pose a challenge for conventional monitoring techniques, which could be overcome by combining advanced multi-disciplinary and multi-method monitoring techniques in a joint inversion.&lt;/p&gt;&lt;p&gt;Within the &lt;strong&gt;aCQurate&lt;/strong&gt; project, we aim to develop a new technology for &lt;strong&gt;a&lt;/strong&gt;ccurate &lt;strong&gt;CO&lt;sub&gt;2&lt;/sub&gt;&lt;/strong&gt; monitoring using &lt;strong&gt;Qu&lt;/strong&gt;antitative joint inversion for la&lt;strong&gt;r&lt;/strong&gt;ge-sc&lt;strong&gt;a&lt;/strong&gt;le on-shore and off-shore s&lt;strong&gt;t&lt;/strong&gt;orag&lt;strong&gt;e&lt;/strong&gt; applications. In previous applications of joint inversion to CO&lt;sub&gt;2&lt;/sub&gt; monitoring, we successfully combined the strengths and advantages of different geophysical monitoring techniques (i.e. seismics with its high spatial resolution and geoelectrics with its high sensitivity to changes in CO&lt;sub&gt;2&lt;/sub&gt; saturation), using a cross-gradient approach to achieve structural similarity between the different models. While this structural joint inversion provides a robust link between models of different geophysical monitoring techniques, it lacks a quantitative calibration of the model parameters based on valid rock-physics models. This limitation is addressed by extending the previously developed structural joint inversion method into a hybrid structural-petrophysical joint inversion, which allows integration of cross-property relations, e.g. derived from well logs.&lt;/p&gt;&lt;p&gt;The hybrid structural-petrophysical joint inversion integrates relevant geophysical monitoring techniques in a modular way, including seismic, electric and potential field methods (FWI, CSEM, ERT, MMR and gravity). It is implemented using a Bayes formulation, which allows proper weighting of the different models and data sets, as well as the relevant structural and petrophysical joint inversion constraints during the joint inversion.&lt;/p&gt;&lt;p&gt;The hybrid joint inversion is designed for on-shore and off-shore CO&lt;sub&gt;2&lt;/sub&gt; storage applications and will be demonstrated using synthetic data from the CaMI Field Research Station (CaMI.FRS) in Canada. CaMI.FRS is operated by the Containment and Monitoring Institute (CaMI) of CMC Research Institutes, Inc., and provides an ideal platform for the development and deployment of advanced CO&lt;sub&gt;2&lt;/sub&gt; monitoring technologies. CO&lt;sub&gt;2&lt;/sub&gt; injection occurs at 300 m depth into the Basal Belly River sandstone formation, which is monitored using a large variety of geophysical and geochemical monitoring techniques. In preparation for the application to real monitoring data, we present the application of the joint inversion to synthetic full waveform inversion (FWI) and electrical resistivity tomography (ERT) data, derived for a geostatic model with dynamic fluid flow simulations.&lt;/p&gt;&lt;p&gt;In addition to obtaining a better understanding of the subsurface behavior of the injected CO&lt;sub&gt;2&lt;/sub&gt; at CaMI.FRS, our goal is to mature the joint inversion technology further towards large-scale CO&lt;sub&gt;2&lt;/sub&gt; storage applications, e.g. on the Norwegian Continental Shelf.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Acknowledgements&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;Funding is provided by the Norwegian CLIMIT program (project number 616067), Equinor ASA, CMC Research Institutes, Inc., University of Calgary, Lawrence Berkeley National Laboratory (LBNL), Institut national de la recherche scientifique (INRS), Quad Geometrics Norway AS and GFZ German Research Centre For Geosciences (GFZ).&lt;/p&gt;


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