scholarly journals Association between Toxoplasma gondii Exposure and Suicidal Behavior in Patients Attending Primary Health Care Clinics

Pathogens ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 677
Author(s):  
Cosme Alvarado-Esquivel ◽  
Sergio Estrada-Martínez ◽  
Agar Ramos-Nevárez ◽  
Alma Rosa Pérez-Álamos ◽  
Isabel Beristain-García ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Suicidal Ideation ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Igg Antibodies ◽  
Primary Care Clinics ◽  
Health Care Clinics ◽  
Primary Health ◽  
History Of

This study aimed to determine the association between suicidal behavior and T. gondii seroreactivity in 2045 patients attending primary care clinics. IgG antibodies against T. gondii were found in 37 (12.1%) out of 306 individuals with a history of suicidal ideation and in 134 (7.7%) of 1739 individuals without this history (OR: 1.64; 95% CI: 1.11–2.42; p = 0.01). Seropositivity to T. gondii was associated with suicidal ideation in women (OR: 1.56; 95% CI: 1.01–2.42; p = 0.03) and individuals aged ≤30 years (OR: 3.25; 95% CI: 1.53–6.88; p = 0.001). No association between the rates of high (>150 IU/mL) levels of anti-T. gondii IgG antibodies and suicidal ideation or suicide attempts was found. IgG antibodies against T. gondii were found in 22 of 185 (11.9%) individuals with a history of suicide attempts and in 149 (8.0%) of 1860 individuals without this history (OR: 1.54; 95% CI: 0.96–2.49; p = 0.06). The seroprevalence of T. gondii infection was associated with suicide attempts in individuals aged 31–50 years (OR: 2.01; 95% CI: 1.09–3.71; p = 0.02), and with more than three suicide attempts (OR: 4.02; 95% CI: 1.34–12.03; p = 0.008). Our results indicate that T. gondii exposure is associated with suicidal behavior among patients attending primary care clinics.

scholarly journals COMPORTAMENTO SUICÍDA E ATENÇÃO PRIMÁRIA À SAÚDE

2018 ◽  
Vol 9 (4) ◽  
Author(s):  
Micheli Leal Ferreira ◽  
Mara Ambrosina De Oliveira Vargas ◽  
Jeferson Rodrigues ◽  
Daiane Trentin ◽  
Laura Cavalcanti de Farias Brehmer ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Suicidal Ideation ◽  
Suicidal Behavior ◽  
Attempted Suicide ◽  
Primary Health ◽  
Factores De Riesgo ◽  
Suicide Attempted ◽  
Primary Care Professionals

Objetivo: Conhecer as evidências relativas ao comportamento suicida na atenção primária à saúde, em produções científicas nacionais e internacionais. Metodologia: Revisão integrativa da literatura de janeiro de 2012 a abril de 2017. Utilizaram-se os termos: “Suicídio”, “Tentativa de suicídio”, “Ideação suicida” e “Atenção Primária à Saúde” resultando em 35 artigos. Resultados: Predominam estudos com enfoque na avaliação da prevalência de comportamento suicida; na descrição/avaliação da eficácia na prevenção/detecção de pessoas com comportamento suicida; e na identificação do perfil/fatores de risco ou proteção de pessoas com comportamento suicida que utilizaram a atenção primária. Evidenciou a necessidade em estudos com destaque à atenção primária à saúde, principal porta de entrada da pessoa em sofrimento. Conclusão: Uma lacuna importante a ser preenchida é a carência de estudos que enfoquem a identificação/desenvolvimento de estratégias de sensibilização/ capacitação dos profissionais da atenção primária para intervenção/prevenção ao comportamento suicida.DESCRITORES: Suicídio; Tentativa de suicídio; Ideação suicida; Atenção Primária à Saúde.SUICIDAL BEHAVIOR AND PRIMARY HEALTH CARE: AN INTEGRATIVE REVIEWObjective: To know the evidence regarding suicidal behavior in primary health care in national and international scientific productions. Methodology: Integrative review of the literature from January 2012 to April 2017. The terms “Suicide”, “Attempted suicide”, “Suicidal ideation” and “Primary health care” were used, resulting in 35 articles. Results: Predominant studies focus on the evaluation of the prevalence of suicidal behavior; in the description / evaluation of effectiveness in the prevention / detection of people with suicidal behavior; and the identification of the profile / risk factors or protection of people with suicidal behavior who used primary care. It evidenced the need in studies with emphasis on primary health care, the main entry point of the suffering person. Conclusion: An important gap to be filled is the lack of studies that focus on the identification / development of awareness strategies / training of primary care professionals for intervention / prevention of suicidal behavior.Descriptors: Suicide; Attempted suicide; Suicidal ideation; Primary Health Care.COMPORTAMIENTO SUICIDIO Y ATENCIÓN PRIMARIA A LA SALUD: UNA REVISIÓN INTEGRATIVAObjetivo: Conocer las evidencias relativas al comportamiento suicida en la atención primaria a la salud, en producciones científicas nacionales e internacionales. Metodología: Revisión integrativa de la literatura de enero de 2012 a abril de 2017. Se utilizaron los términos: “Suicidio”, “Tentativa de suicidio”, “Ideación suicida” y “Atención Primaria a la Salud” resultando en 35 artículos. Resultados: Predominan estudios con enfoque en la evaluación de la prevalencia de comportamiento suicida; en la descripción / evaluación de la eficacia en la prevención / detección de personas con comportamiento suicida; y en la identificación del perfil / factores de riesgo o protección de personas con comportamiento suicida que utilizaron la atención primaria. Evidenció la necesidad en estudios con destaque a la atención primaria a la salud, principal puerta de entrada de la persona en sufrimiento. Conclusión: Una laguna importante a ser llenada es la carencia de estudios que enfoquen la identificación / desarrollo de estrategias de sensibilización / capacitación de los profesionales de la atención primaria para intervención / prevención al comportamiento suicida.Descriptores: Suicidio; Tentativa de Suicidio; Idea Suicida; Atención Primaria a la Salud.

scholarly journals The prevalence of underweight in children aged 5 years and younger attending primary health care clinics in the Mangaung area, Free State

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Danae Koetaan ◽  
Andrea Smith ◽  
Anke Liebenberg ◽  
Marietjie Brits ◽  
Christos Halkas ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Free State ◽  
Health Clinic ◽  
Cross Sectional ◽  
Health Care Clinics ◽  
Primary Health ◽  
History Of

Background: The Constitution of South Africa stipulates that all children have the right to basic nutrition; however, a great number of South African children are underweight for age. It is important to address malnutrition as it is associated with more than 50% of all child deathsin developing countries and also increases the risk for infective diseases.Aim: To determine the prevalence of underweight in children aged 5 years and younger attending primary health care clinics in the Mangaung area, Free State, and determine the possible underlying causes thereof.Setting: Six preselected primary health care clinics in the Mangaung area.Methods: This was a cross-sectional study. Demographic and clinical information and anthropometric measurements were collected from the children’s Road-to-Health clinic cards,obtained from the children’s caregivers.Results: In total, 240 children were included, of which 51.7% were girls. The median age was 7.5 months. The weight-for-age graph revealed that 7.7% (95% confidence interval: 4.8%;11.9%) of children were underweight or severely underweight for age. Length-for-age and weight-for-height graphs were mostly incomplete. Underweight children differed from normal weight children regarding birth weight (low birth weight 70.6% vs. 12.4%) and history of malnutrition (60.0% vs. 7.1%).Conclusion: The prevalence of underweight in children aged 0–5 years attending primary health care clinics in Mangaung is 7.7% based on information available from Road-to-Healthcards. This figure could be higher if these cards were filled in more accurately. A low birth weight and history of malnutrition are associated with underweight.

Evaluation of Suicidal Behaviour in a General Psychiatric Consultation

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
C. Silva ◽  
I. Gil ◽  
M.A. Mateus ◽  
Ó. Nogueiro
Keyword(s):  
Suicidal Ideation ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Age Group ◽  
Psychiatric Consultation ◽  
Process Data ◽  
Systematic Screening ◽  
High Prevalence ◽  
History Of ◽  
Religious Aspects

Several studies have been conducted to establish a profile of the suicidal/parasuicidal patient. Also several factors have been identified as possibly influencing the suicidal rates, including the religious practices.Objectives:Characterize the profile of suicidal behavior in a sample of patients followed in a general psychiatric consultation.Methods:It was done an analytical observational study of a random sample of 100 patients followed in a general psychiatric consultation. A survey was conducted with the collection of socio-economic, religious aspects and clinical data, and it was consulted the patient"s clinical process. Data analysis was done in Excel 2003.Results:The sample was consisted mostly by women (74%), being the most representative age group between 40 and 50 years (27%), mostly married (61%), 24% had 2 children and 65% lived in the rural area. The clinical diagnosis (ICD-9) was in 46% of cases, neurotic depression. 52% consider themselves religious not practitioners, being 90% catholics. History of suicide attempts/parasuicide occurred in 32% of patients, in the form of drug intoxication (31%) or with another method (11%). Most of the individuals said to have already thought about suicide at least once in their lifetime (74%). Only 8% had current suicidal ideation. Family history of suicide occurred in 27%, particularly in first degree family members, mainly by drowning (7%) and hanging (7%).Conclusions:Our results suggest that exists a high prevalence of suicidal behavior in this patients. For that reason, it should be done a systematic screening for suicidal ideation in this risk population.

scholarly journals Tablet-Based Screening of Depressive Symptoms in Quito, Ecuador: Efficiency in Primary Care

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Michelle Grunauer ◽  
David Schrock ◽  
Eric Fabara ◽  
Gabriela Jimenez ◽  
Aimee Miller ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Depressive Symptoms ◽  
Symptom Severity ◽  
Depression Symptoms ◽  
Health Questionnaire ◽  
Care Clinic ◽  
Health Care Clinics ◽  
Primary Health

Depression is a frequent yet overlooked occurrence in primary health care clinics worldwide. Depression and related health screening instruments are available but are rarely used consistently. The availability of technologically based instruments in the assessments offers novel approaches for gathering, storing, and assessing data that includes self-reported symptom severity from the patients themselves as well as clinician recorded information. In a suburban primary health care clinic in Quito, Ecuador, we tested the feasibility and utility of computer tablet-based assessments to evaluate clinic attendees for depression symptoms with the goal of developing effective screening and monitoring tools in the primary care clinics. We assessed individuals using the 9-item Patient Health Questionnaire, the Quick Inventory of Depressive Symptoms-Self-Report, the 12-item General Health Questionnaire, the Clinical Global Impression Severity, and a DSM-IV checklist of symptoms. We found that 20% of individuals had a PHQ9 of 8 or greater. There was good correlation between the symptom severity assessments. We conclude that the tablet-based PHQ9 is an excellent and efficient method of screening for depression in attendees at primary health care clinics and that one in five people should be assessed further for depressive illness and possible intervention.

scholarly journals An implementation history of primary health care transformation: Alberta’s primary care networks and the people, time and culture of change

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Myles Leslie ◽  
Akram Khayatzadeh-Mahani ◽  
Judy Birdsell ◽  
P. G. Forest ◽  
Rita Henderson ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Quality Improvement ◽  
Primary Health Care ◽  
Fee For Service ◽  
Structured Interviews ◽  
Policy Documents ◽  
Incremental Change ◽  
Primary Health ◽  
History Of

Abstract Background Primary care, and its transformation into Primary Health Care (PHC), has become an area of intense policy interest around the world. As part of this trend Alberta, Canada, has implemented Primary Care Networks (PCNs). These are decentralized organizations, mandated with supporting the delivery of PHC, funded through capitation, and operating as partnerships between the province’s healthcare administration system and family physicians. This paper provides an implementation history of the PCNs, giving a detailed account of how people, time, and culture have interacted to implement bottom up, incremental change in a predominantly Fee-For-Service (FFS) environment. Methods Our implementation history is built out of an analysis of policy documents and qualitative interviews. We conducted an interpretive analysis of relevant policy documents (n = 20) published since the first PCN was established. We then grounded 12 semi-structured interviews in that initial policy analysis. These interviews explored 11 key stakeholders’ perceptions of PHC transformation in Alberta generally, and the formation and evolution of the PCNs specifically. The data from the policy review and the interviews were coded inductively, with participants checking our emerging analyses. Results Over time, the PCNs have shifted from an initial Frontier Era that emphasized local solutions to local problems and featured few rules, to a present Era of Accountability that features central demands for standardized measures, governance, and co-planning with other elements of the health system. Across both eras, the PCNs have been first and foremost instruments and supporters of family physician authority and autonomy. A core group of people emerged to create the PCNs and, over time, to develop a long-term Quality Improvement (QI) vision and governance plan for them as organizations. The continuing willingness of both these groups to work at understanding and aligning one another’s cultures to achieve the transformation towards PHC has been central to the PCNs’ survival and success. Conclusions Generalizable lessons from the implementation history of this emerging policy experiment include: The need for flexibility within a broad commitment to improving quality. The importance of time for individuals and organizations to learn about: quality improvement; one another’s cultures; and how best to support the transformation of a system while delivering care locally.

scholarly journals Toxoplasma gondii Infection and Suicidal Behavior in People with Alcohol Consumption

Pathogens ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 734
Author(s):  
Cosme Alvarado-Esquivel ◽  
Sergio Estrada-Martínez ◽  
Alma Rosa Pérez-Álamos ◽  
Isabel Beristain-García ◽  
Ángel Osvaldo Alvarado-Félix ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Toxoplasma Gondii ◽  
Alcohol Consumption ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Igg Antibodies ◽  
Igm Antibodies ◽  
Immunosorbent Assays ◽  
Toxoplasma Gondii Infection

We determined the association between T. gondii infection and suicidal behavior in people with alcohol consumption. One-thousand four-hundred and twenty-three people with alcohol consumption were screened for suicidal behavior and tested for anti-T. gondii IgG and IgM antibodies using commercially available enzyme-linked immunosorbent assays. Anti-T. gondii IgG antibodies were found in 34 of 224 (15.2%) individuals with suicidal ideation and in 118 (9.8%) of 1199 individuals without suicidal ideation (OR: 1.63; 95% CI: 1.08–2.47; p = 0.01). Seropositivity to T. gondii was associated with suicidal ideation in women (OR: 2.24; 95% CI: 1.33–3.78; p = 0.001) and in individuals aged ≤30 years (OR: 2.68; 95% CI: 1.22–5.87; p = 0.01) and >50 years (OR: 2.85; 95% CI: 1.19–6.77; p = 0.01). Anti-T. gondii IgG antibodies were found in 17 of 136 (12.5%) individuals with suicide attempts and in 135 (10.5%) of 1287 individuals without suicide attempts (OR: 1.21; 95% CI: 0.71–2.08; p = 0.47). Seroprevalence of T. gondii infection was associated with suicide attempts in women (OR: 1.88; 95% CI: 0.99–3.55; p = 0.04). No association between anti-T. gondii IgM and suicidal ideation or suicide attempts was found. Results suggest that T. gondii infection is associated with suicidal behavior in people with alcohol consumption.

scholarly journals An Implementation History of Primary Health Care Transformation: Alberta’s Primary Care Networks and the People, Time and Culture of change

2020 ◽  
Author(s):  
Myles Leslie ◽  
Akram Khayatzadeh-Mahani ◽  
Judy Birdsell ◽  
PG Forest ◽  
Rita Henderson ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Quality Improvement ◽  
Primary Health Care ◽  
Fee For Service ◽  
Structured Interviews ◽  
Policy Documents ◽  
Incremental Change ◽  
Primary Health ◽  
History Of

Abstract Background: Primary care, and its transformation into Primary Health Care (PHC), has become an area of intense policy interest around the world. As part of this trend Alberta, Canada, has implemented Primary Care Networks (PCNs). These are decentralized organizations, mandated with supporting the delivery of PHC, funded through capitation, and operating as partnerships between the province’s healthcare administration system and family physicians. This paper provides an implementationhistory of the PCNs, giving a detailed account of how people, time, and culture have interacted to implement bottom up, incremental change in a predominantly Fee-For-Service (FFS) environment.Methods: Our implementation history is built out of an analysis of policy documents and qualitative interviews. We conducted an interpretive analysis of relevant policy documents (n=20) published since the first PCN was established. We then grounded 12 semi-structured interviews in that initial policy analysis. These interviews explored 11 key stakeholders’ perceptions of PHC transformation in Alberta generally, and the formation and evolution of the PCNs specifically. The data from the policy review and the interviews were coded inductively, with participants checking our emerging analyses.Results: Over time, the PCNs have shifted from an initial Frontier Era that emphasized local solutions to local problems and featured few rules, to a present Era of Accountability that features central demands for standardized measures, governance, and co-planning with other elements of the health system. Across both eras, the PCNs have been first and foremost instruments and supporters of family physician authority and autonomy. A core group of people emerged to create the PCNs and, over time, to develop a long-term Quality Improvement (QI) vision and governance plan for them as organizations. The continuing willingness of both these groups to work at understanding and aligning one another’s cultures to achieve the transformation towards PHC has been central to the PCNs’ survival and success.Conclusions: Generalizable lessons from the implementation history of this emerging policy experiment include: The need for flexibility within a broad commitment to improving quality. The importance of time for individuals and organizations to learn about: quality improvement; one another’s cultures; and how best to support the transformation of a system while delivering care locally.

scholarly journals An implementation history of primary health care transformation: Alberta’s primary care networks and the people, time and culture of change

2020 ◽  
Author(s):  
Myles Leslie ◽  
Akram Khayatzadeh-Mahani ◽  
Judy Birdsell ◽  
PG Forest ◽  
Rita Henderson ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Quality Improvement ◽  
Primary Health Care ◽  
Fee For Service ◽  
Structured Interviews ◽  
Policy Documents ◽  
Incremental Change ◽  
Primary Health ◽  
History Of

Abstract Background: Primary care, and its transformation into Primary Health Care (PHC), has become an area of intense policy interest around the world. As part of this trend Alberta, Canada, has implemented Primary Care Networks (PCNs). These are decentralized organizations, mandated with supporting the delivery of PHC, funded through capitation, and operating as partnerships between the province’s healthcare administration system and family physicians. This paper provides an implementationhistory of the PCNs, giving a detailed account of how people, time, and culture have interacted to implement bottom up, incremental change in a predominantly Fee-For-Service (FFS) environment.Methods: Our implementation history is built out of an analysis of policy documents and qualitative interviews. We conducted an interpretive analysis of relevant policy documents (n=20) published since the first PCN was established. We then grounded 12 semi-structured interviews in that initial policy analysis. These interviews explored 11 key stakeholders’ perceptions of PHC transformation in Alberta generally, and the formation and evolution of the PCNs specifically. The data from the policy review and the interviews were coded inductively, with participants checking our emerging analyses.Results: Over time, the PCNs have shifted from an initial Frontier Era that emphasized local solutions to local problems and featured few rules, to a present Era of Accountability that features central demands for standardized measures, governance, and co-planning with other elements of the health system. Across both eras, the PCNs have been first and foremost instruments and supporters of family physician authority and autonomy. A core group of people emerged to create the PCNs and, over time, to develop a long-term Quality Improvement (QI) vision and governance plan for them as organizations. The continuing willingness of both these groups to work at understanding and aligning one another’s cultures to achieve the transformation towards PHC has been central to the PCNs’ survival and success.Conclusions: Generalizable lessons from the implementation history of this emerging policy experiment include: The need for flexibility within a broad commitment to improving quality. The importance of time for individuals and organizations to learn about: quality improvement; one another’s cultures; and how best to support the transformation of a system while delivering care locally.

scholarly journals An Implementation History of Primary Health Care Transformation: Alberta’s Primary Care Networks and the People, Time and Culture of change

2020 ◽  
Author(s):  
Myles Leslie ◽  
Akram Khayatzadeh-Mahani ◽  
Judy Birdsell ◽  
PG Forest ◽  
Rita Henderson ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Quality Improvement ◽  
Primary Health Care ◽  
Qualitative Interviews ◽  
Fee For Service ◽  
Structured Interviews ◽  
Incremental Change ◽  
Primary Health ◽  
History Of

Abstract Background: Primary care, and its transformation into Primary Health Care (PHC), hasbecome an area of intense policy interest around the world. As part of this trendAlberta, Canada, has implemented Primary Care Networks (PCNs). These aredecentralized organizations, mandated with supporting the delivery of PHC, fundedthrough capitation, and operating as partnerships between the province’s healthcareadministration system and family physicians. This paper provides an implementationhistory of the PCNs, giving a detailed account of how people, time, and culturehave interacted to implement bottom up, incremental change in a predominantly Fee-For-Service (FFS) environment.Methods: Our implementation history is built out of an analysis of policy documentsand qualitative interviews. We conducted an interpretive analysis of relevant policydocuments (n=20) published since the first PCN was established. We then grounded12 semi-structured interviews in that initial policy analysis. These interviews explored11 key stakeholders’ perceptions of PHC transformation in Alberta generally, and theformation and evolution of the PCNs specifically. The data from the policy review andthe interviews were coded inductively, with participants checking our emerginganalyses.Results: Over time, the PCNs have shifted from an initial Frontier Era thatemphasized local solutions to local problems and featured few rules, to a present Eraof Accountability that features central demands for standardized measures,governance, and co-planning with other elements of the health system. A core groupof people – clinician and administration leaders – emerged to create the PCNs and,over time , to develop a long-term Quality Improvement (QI) vision and governanceplan for them as organizations. The continuing willingness of both these groups towork at understanding and aligning one another’s cultures to achieve thetransformation towards PHC has been central to the PCNs’ survival and success.Conclusions: Generalizable lessons from the implementation history of this emergingpolicy experiment include: The need for flexibility within a broad commitment toimproving quality. The importance of time for individuals and organizations to learnabout: quality improvement; one another’s cultures; and how best to support thetransformation of a system while delivering care locally.

Sign in / Sign up

Export Citation Format

Share Document