scholarly journals Admission patterns of patients with personality disorder

2004 ◽  
Vol 28 (9) ◽  
pp. 321-323 ◽  
Author(s):  
Pritha Dasgupta ◽  
Joan Barber
Keyword(s):  
Personality Disorder ◽  
Psychiatric Disorder ◽  
Substance Misuse ◽  
Alcohol Misuse ◽  
Primary Diagnosis ◽  
Retrospective Case ◽  
System A ◽  
Adult Psychiatry ◽  
Patient Stay ◽  
Patient Administration System

Aims and MethodTo examine the prevalence and admission patterns of patients with personality disorder admitted to a Scottish general adult psychiatry service. We carried out a retrospective case-note study of patients identified from the computerised patient administration system. A subgroup of patients was identified as having a longer in-patient stay. Their admission pattern over the preceding 4 years was studied further.ResultsSixty-two of 844 patients admitted had personality disorder. Thirty-nine had a primary diagnosis of personality disorder, 19 had an additional diagnosis of psychiatric disorder and 12 of alcohol or substance misuse. Within the subgroup admitted for longer in 2001, patterns of few/brief and numerous/often lengthy admissions were noted in earlier years.Clinical ImplicationsPersonality disorder occurs in approximately 7% of admissions to general adult psychiatry beds. Many have additional diagnoses of psychiatric disorder, or substance or alcohol misuse further complicating their treatment.

scholarly journals Substance misuse and violence: the scope and limitations of forensic psychiatry's role

2001 ◽  
Vol 7 (3) ◽  
pp. 189-196 ◽  
Author(s):  
Peter Snowden
Keyword(s):  
Personality Disorder ◽  
Psychiatric Disorder ◽  
Violent Crime ◽  
Dual Diagnosis ◽  
Forensic Psychiatry ◽  
Substance Misuse ◽  
Violent Offenders ◽  
Health Problems ◽  
The Past ◽  
Forensic Case

For the past 25 years, forensic psychiatry has been concerned with violent offenders with psychosis and/or personality disorder. If dual diagnosis or comorbidity meant anything to a forensic psychiatrist, it would be the ‘typical’ forensic case – an individual with schizophrenia and a premorbid dissocial personality who had been arrested for a violent crime. In this article I use comorbidity to describe the co-occurrence of two or more conditions (here a psychiatric disorder and health problems arising from substance misuse) rather than dual diagnosis. In fact, many violent offenders have multiple diagnoses. Williams & Cohen (2000) argue that dual diagnosis suggests a closer relationship, perhaps including cause and effect, and is a subset of comorbidity.

Technology and Hospital Information System: A Case of Implementation of Electronic Clinical Records in Hospital Maternity Irene Neto in Lubango, Angola

2019 ◽  
Vol 10 (11) ◽  
pp. 1131-1135
Author(s):  
Tomas Hambili Paulo Sanjuluca ◽  
◽  
Ricardo Correia ◽  
Anabela Antunes de Almeida ◽  
Ana Gloria Diaz Martinez ◽  
...  
Keyword(s):  
Maternity Hospital ◽  
Management Support ◽  
Retrospective Case ◽  
System A ◽  
Clinical Records ◽  
Retrospective Case Study ◽  
The Impact ◽  
And Child Health

Introduction: In order to have a good assessment of the quality of maternal and child health care, it is essential that there is up-to-date and reliable information. Objective: To evaluate the impact of the implementation of a computerized database of clinical processes in the admission, archive and medical statistics section, of Maternity hospital Irene Neto/Lubango-Angola. Methodology: A descriptive study with a quantitative and qualitative approach to carry out a retrospective case study deliveries and newborns, records from 2014 to 2017. Final considerations: The implementation of this project may contribute to the improvement of clinical management support management of the hospital as well as facilitating access to information for research and scientific production.

Young Males Attending a Family-Planning Clinic: Some Ideas about Consequences of Child Abuse

1999 ◽  
Vol 85 (2) ◽  
pp. 529-532
Author(s):  
PEggy B. Smith ◽  
Maxine L. Weinman ◽  
Ruth S. Buzi
Keyword(s):  
Smoking Cessation ◽  
Child Abuse ◽  
Family Planning ◽  
Behavioral Problems ◽  
Substance Misuse ◽  
Alcohol Misuse ◽  
Family Planning Clinic ◽  
Young Males ◽  
Medical Needs ◽  
Drug And Alcohol

33 young males attending a family-planning clinic were asked about the consequences of child abuse as it affects behavioral problems of teens and their interest in programs that deal specifically with these problems. Nine reported they had been victims of abuse. Most believed that drug and alcohol misuse and suicide were the major consequences of child abuse. Fifteen were interested in programs for prevention of child abuse but not for specific problems such as substance misuse and smoking cessation. This study's findings suggest that family-planning clinics with services for males must address their behavioral as well as medical needs.

scholarly journals Soft tissue management of children's open tibial fractures – a review of seventy children over twenty years

2010 ◽  
Vol 92 (4) ◽  
pp. 320-325 ◽  
Author(s):  
P Rao ◽  
MV Schaverien ◽  
KJ Stewart
Keyword(s):  
Soft Tissue ◽  
Tibial Fractures ◽  
Soft Tissue Management ◽  
Retrospective Case ◽  
Open Tibial Fractures ◽  
Fractures In Children ◽  
Superficial Wound ◽  
Patient Stay ◽  
Grade Ii ◽  
Distally Based

INTRODUCTION The management of open tibial fractures in children represents a unique reconstructive challenge. The aim of the study was to evaluate the management of paediatric open tibial fractures with particular regard to soft tissue management. PATIENTS AND METHODS A retrospective case-note analysis was performed for all children presenting with an open tibial fracture at a single institution over a 20-year period for 1985 to 2005. RESULTS Seventy children were reviewed of whom 41 were males and 29 females. Overall, 91% (n = 64) of children suffered their injury as a result of a vehicle-related injury. The severity of the fracture with respect to the Gustilo classification was: Grade I, 42% (n = 29); Grade II, 24% (n = 17); Grade III, 34% (n = 24; 7 Grade 3a, 16 Grade 3b, 1 Grade 3c). The majority of children were treated with external fixation and conservative measures, with a mean hospital in-patient stay of 13.3 days. Soft tissue cover was provided by plastic surgeons in 31% of all cases. Four cases of superficial wound infection occurred (6%), one case of osteomyelitis and one case of flap failure. The limb salvage was greater than 98%. CONCLUSIONS In this series, complications were associated with delayed involvement of plastic surgeons. Retrospective analysis has shown a decreased incidence of open tibial fractures which is reported in similar studies. Gustilo grade was found to correlate with length of hospital admission and plastic surgery intervention. We advocate, when feasible, the use of local fas-ciocutaneous flaps (such as distally based fasciocutaneous and adipofascial flaps), which showed a low complication rate in children.

scholarly journals Off-licence use of clozapine in patients with emotionally unstable personality disorder: a case series analysis

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S116-S116
Author(s):  
Declan Hyland ◽  
Alex Walmsley ◽  
Victoria Simpson
Keyword(s):  
Side Effects ◽  
Personality Disorder ◽  
Suicide Attempts ◽  
Symptom Control ◽  
Case Series ◽  
Community Support ◽  
Retrospective Case ◽  
Psychotherapeutic Treatment ◽  
Self Harm ◽  
Emotionally Unstable Personality Disorder

ObjectiveThis retrospective case series followed emotionally unstable personality disorder (EUPD) patients following initiation of clozapine on an off-licence basis, aiming to examine tolerance by determining side effect prevalence and treatment cessation frequency, as well as examining efficacy, by investigating number of hospital re-admissions and symptom control.Case reportThis case series captured the experiences of 11 EUPD patients under the care of Mersey Care NHS Foundation Trust, all of whom had, at some time in the past five years, been initiated on clozapine. All patients were white British females, with a median age of 31. The median daily dose of clozapine was 300 mg. Most patients had significant psychiatric comorbidities, as well as illicit substance and / or alcohol misuse.Whilst prescribed clozapine, patients were only admitted to hospital once on average and this was commonly for clozapine re-titration. Whilst in hospital, rates of self-harm were low, but ligaturing and suicide attempts showed higher prevalence. Patients still demonstrated self-harming behaviour out of hospital leading to A and E presentations. In the community, contacts with the police were minimal, with only two patients undergoing Section 136 assessments or arrests.All patients reported side effects from clozapine - usually hypersalivation, over-sedation and constipation. All 11 patients experienced sinus tachycardia. Eight patients temporarily ceased taking clozapine at some point. In three patients, discontinuation of clozapine was as a result of intolerable side effects. Three patients experienced neutropenia, which subsequently resolved. Only two patients had a body mass index within healthy range.DiscussionDespite patients reporting clozapine to provide symptomatic benefit for their EUPD, and improved their engagement with mental health services, prevalence of self-harm and of A and E presentations remained high, indicating the importance of community support and concomitant psychotherapeutic treatment. Patients with more robust community support showed greater adherence to clozapine.High prevalence of side effects and obesity in these patients, in addition to risk of developing neutropenia, highlights the importance of rigorous monitoring after initiating clozapine. It is reassuring that, despite development of neutropenia in some patients, this recovered quickly, and clozapine treatment could resume.ConclusionClozapine may be an effective pharmacological treatment for enabling EUPD patients to engage more therapeutically with services. Clozapine may be of greater benefit to those with more stable, less chaotic lives. Although diminished, patients still show self-harming behaviour and need for A and E admissions and re-hospitalisation. Side effects of clozapine are common and regular monitoring is required.

scholarly journals Standardization and Validation of the Personality Disorder Inventory PSGP-IPDI

2019 ◽  
Vol 7 (1) ◽  
pp. 112-122
Author(s):  
K Abilash ◽  
P Sindhuja Manisha Kamini ◽  
T Jothimani
Keyword(s):  
Personality Disorder ◽  
Psychiatric Disorder ◽  
Internal Consistency ◽  
Psychiatric Patients ◽  
Personality Inventory ◽  
Clinical Population ◽  
Positive Correlation ◽  
Characteristic Behavior ◽  
The Individual ◽  
The Relationship

Background: Personality is the dynamic organization within the individual of those psychophysical systems that determine characteristic behavior and thought. Aim: To standardize and validate personality disorder inventory in clinical population. Methods and Samples: 100 Psychiatric patients were taken as a sample as a clinical population in various hospital Coimbatore age ranged 28 – 58. PSGP- IPDI- Indian Personality Disorder Inventory assessed for 100 psychiatric disorder individuals. Results: The relationship among the disorders of the personality inventory shows both positive and negative correlations among the dimensions most of the dimensions exhibited positive correlation. The internal consistency of the inventory is reliable.Conclusion: The personality disorder inventory is reliable and significant and this tool can be administered on the clinical population.

The Upper Paralimbal Zone is Especially Susceptible to Ruptures Due to Blunt Trauma

2021 ◽  
Author(s):  
Lea Osterried ◽  
Markus Gruber ◽  
Daniel Böhringer ◽  
Hansjürgen Agostini ◽  
Thomas Reinhard
Keyword(s):  
Violence Against Women ◽  
Epidemiological Data ◽  
Primary Diagnosis ◽  
Targeted Prevention ◽  
Slit Lamp ◽  
Retrospective Case ◽  
Globe Rupture ◽  
Protective Eyewear ◽  
Retrospective Case Study

Abstract Background Globe ruptures are ophthalmological emergencies where the primary diagnosis using a slit lamp is often a challenge. Objectives The retrospective case study aimed to characterise the predilection sites, the demographic profile and the causes of bursts due to blunt globe trauma. Materials and Methods The surgical plan of the Eye Centre of the Medical Centre (University of Freiburg) was electronically searched using the keyword “globe rupture” over a period of 18 years (2000 – 2018). This led to 350 hits, which were scrutinised by hand. 134 globe ruptures due to blunt globe trauma were then identified. Results The most common predilection sites were the upper nasal and the upper temporal paralimbal zones with 37 and 32% of the examined globe ruptures, respectively. The average age at the time of rupture was 60 (from 2 to 97) years. The median age was 62.5 years. 37% (49/134) of patients were female. The most frequent causes of accidents were falls (43%), “flying” wooden and metal objects (18%) and acts of violence (10%). Conclusions Special attention should be paid to the upper paralimbal zone in the exploratory primary care of globe ruptures. If the rupture occurred due to “flying” wooden and metal objects, the posterior sclera burst most frequently. The epidemiological data suggest that targeted prevention against falls for individuals over 60 years and consistent wearing of protective eyewear when working with wood or metal could reduce the incidence of bulbar bursting. It was also noticeable that acts of violence were the third most frequent cause of rupture, although woman did not report that they were affected by this. Given the high occurrence of violence against women, shame and stigma may lead to an incorrect inquiry about the cause of the accident. This could be mitigated by training employees specifically to take a sensitive history.

Mental health services for single homeless people

2020 ◽  
pp. 1-11
Author(s):  
Philip Timms ◽  
Jenny Drife
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Personality Disorder ◽  
Health Services ◽  
Substance Misuse ◽  
Homeless People ◽  
Psychiatric Services ◽  
Background Information ◽  
The Past ◽  
The Uk

SUMMARY Homelessness has long been associated with high rates of psychosis, alcohol and substance misuse, and personality disorder. However, psychiatric services in the UK have only recently engaged actively with homeless people. This article provides some background information about homelessness and mental illness and describes the elements of inclusion health and some of the models of service for homeless people that have been established over the past 30 years.

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