scholarly journals Psychometric testing of immigrants and natives in an acute psychiatry facility

2018 ◽  
Vol 9 (2) ◽  
Author(s):  
John E. Berg
Keyword(s):  
Medical Records ◽  
Psychiatric Treatment ◽  
Clinical Investigation ◽  
Psychometric Testing ◽  
Treatment Quality ◽  
Diagnostic Process ◽  
Psychometric Tests ◽  
Computerized Medical Records ◽  
The Difference ◽  
Acute Psychiatric Treatment

The diagnostic process after referral to an acute psychiatric treatment facility consists of more than the clinical investigation and laboratory tests. Psychometric tests in a broad range of languages may be such an augmentation of our diagnostic armamentarium. Whether such tests are in use, and how they are distributed among different patient categories was the aim of the study. All referrals in one calendar year (N=1168), as they are depicted in the hospital computerized medical records, were investigated. Fifty-six (6.1%) out of 926 ethnic Norwegians and six (3.0%) out of 198 non-Western immigrants were tested, whereas none of the 44 Western immigrants. The difference between ethnic Norwegians and the immigrants was significant (Z=-3.05 and P=0.002). Psychometric tests were thus almost not in use, and even lesser so in immigrants. Mean number of resident days was higher among those tested, 11.7 (SD=11.2) versus those not tested, 7.4 (SD=10.4) days, t=2.97 and P=0.004. Length of stay for ethnic Norwegians did not differ from that for non-Western immigrants 11.4 versus 11.7, respectively. The patients tested were older than those not tested. Mean age was 43.0 (SD=14.4) versus 38.8 (SD=12.1), with a t=2.65 and P=0.03. The difference in resident days between all immigrants and ethnic Norwegians was significant with a Z=- 2.232 and P=0.026. Level of testing was higher in ethnic Norwegians, and the tested patients stayed longer, maybe indicating more room for testing. Whether this low test-activity influences treatment quality is an unsettled question.

scholarly journals Psychometric testing of immigrants and natives in an acute psychiatry facility

2017 ◽  
Vol 9 (2) ◽  
pp. 48-51
Author(s):  
John E. Berg
Keyword(s):  
Medical Records ◽  
Psychiatric Treatment ◽  
Clinical Investigation ◽  
Psychometric Testing ◽  
Treatment Quality ◽  
Diagnostic Process ◽  
Psychometric Tests ◽  
Computerized Medical Records ◽  
The Difference ◽  
Acute Psychiatric Treatment

The diagnostic process after referral to an acute psychiatric treatment facility consists of more than the clinical investigation and laboratory tests. Psychometric tests in a broad range of languages may be such an augmentation of our diagnostic armamentarium. Whether such tests are in use, and how they are distributed among different patient categories was the aim of the study. All referrals in one calendar year (N=1168), as they are depicted in the hospital computerized medical records, were investigated. Fifty-six (6.1%) out of 926 ethnic Norwegians and six (3.0%) out of 198 non-Western immigrants were tested, whereas none of the 44 Western immigrants. The difference between ethnic Norwegians and the immigrants was significant (Z=-3.05 and P=0.002). Psychometric tests were thus almost not in use, and even lesser so in immigrants. Mean number of resident days was higher among those tested, 11.7 (SD=11.2) versus those not tested, 7.4 (SD=10.4) days, t=2.97 and P=0.004. Length of stay for ethnic Norwegians did not differ from that for non-Western immigrants 11.4 versus 11.7, respectively. The patients tested were older than those not tested. Mean age was 43.0 (SD=14.4) versus 38.8 (SD=12.1), with a t=2.65 and P=0.03. The difference in resident days between all immigrants and ethnic Norwegians was significant with a Z=−2.232 and P=0.026. Level of testing was higher in ethnic Norwegians, and the tested patients stayed longer, maybe indicating more room for testing. Whether this low test-activity influences treatment quality is an unsettled question.

Beliefs About the Malleability of Anxiety and General Emotions and Their Relation to Treatment Outcomes in Acute Psychiatric Treatment

2018 ◽  
Vol 43 (2) ◽  
pp. 312-323 ◽  
Author(s):  
Hans S. Schroder ◽  
Elizabeth T. Kneeland ◽  
Alexandra L. Silverman ◽  
Courtney Beard ◽  
Thröstur Björgvinsson
Keyword(s):  
Treatment Outcomes ◽  
Psychiatric Treatment ◽  
Acute Psychiatric Treatment

scholarly journals Predictors of Rehospitalization for Depressed Adolescents Admitted to Acute Psychiatric Treatment

2017 ◽  
Vol 78 (5) ◽  
pp. 592-598 ◽  
Author(s):  
Nienke R. van Alphen ◽  
Jeremy G. Stewart ◽  
Erika C. Esposito ◽  
Bryan Pridgen ◽  
Joseph Gold ◽  
...  
Keyword(s):  
Psychiatric Treatment ◽  
Acute Psychiatric Treatment

scholarly journals The effect of amblyopia on clinical outcomes of children with astigmatism

2021 ◽  
Vol 13 ◽  
pp. 251584142110408
Author(s):  
Burçin Çakır ◽  
Nilgün Özkan Aksoy ◽  
Sedat Özmen ◽  
Özlem Bursalı
Keyword(s):  
Visual Acuity ◽  
Clinical Outcomes ◽  
Medical Records ◽  
Convergence Insufficiency ◽  
Corrected Visual Acuity ◽  
Ocular Deviation ◽  
The Mean ◽  
The Difference ◽  
Best Corrected Visual Acuity

Background: Amblyopia is more common in children with high astigmatism, but factors contributing to development of amblyopia and visual outcomes are not fully understood. Objective: To evaluate the effect of amblyopia on the clinical outcomes in children with ⩾1.75 diopter (D) astigmatism. Methods: We reviewed the medical records of children with ⩾1.75 D astigmatism with and without amblyopia (amblyopes group and non-amblyopes group). The mean age, gender, amount and type of ocular deviation, presence of convergence insufficiency (CI), stereopsis, time of initial spectacle use and follow-up time, differences in best-corrected visual acuity (VoD) and spherical equivalent (SE) between eyes were assessed and compared between the groups. Best-corrected visual acuity (BCVA), mean SE, astigmatism measurements were assessed and compared between amblyopic, fellow, and non-amblyopic eyes. Results: The records included 68 eyes of 34 children with amblyopia and 56 eyes of 28 children without amblyopia. The mean age, gender, amount and type of ocular deviation, presence of CI, stereopsis, time of initial spectacle use, follow-up time, and the difference in SE did not differ between groups. In amblyopes, exodeviation was more common and statistically greater in near (33 cm) than at distance (6 m) (p = 0.005). The mean BCVA and astigmatism values were statistically different between amblyopic, fellow, and non-amblyopic eyes. Conclusion: A greater near than distance exodeviation and higher mean astigmatism value were found in amblyopic children with astigmatism.

scholarly journals Trans-septal quilting suture versus intranasal silicone splint for preventing complications post endoscopic septoplasty

2021 ◽  
Vol 7 (9) ◽  
pp. 1415
Author(s):  
Rana F. Al Muslem ◽  
Mohammad R. Al Eid ◽  
Hussain A. Al Baharna
Keyword(s):  
Medical Records ◽  
Retrospective Cohort ◽  
Simple Technique ◽  
Common Procedure ◽  
Endoscopic Septoplasty ◽  
Video Recordings ◽  
Endoscopic Video ◽  
Operative Complications ◽  
The Difference ◽  
Quilting Suture

<p class="abstract"><strong>Background:</strong> Septoplasty is a common procedure in the field of otolaryngology for treatment of septal deviations. Intranasal splints and trans-septal quilting suture are commonly utilized to prevent post-operative complications. The silicone splint is a quick and simple technique to aid in cartilage support; however, it can cause discomfort. Trans-septal quilting suture is more available, well-tolerated and can help in mucosal tear closure, though is time-consuming. This study aimed to compare the efficacy of intranasal silicone splints versus quilting suture in the prevention of post endoscopic septoplasty complications.</p><p class="abstract"><strong>Methods:</strong> This was a retrospective COHORT study comprised of patients who underwent endoscopic septoplasty between January 2017 and December 2019 at Qatif central hospital. The patients were assigned into two groups: group S, who received intranasal splints and group Q, who received trans-septal quilting suturing. Patients’ medical records were reviewed for evaluation of post-operative visits and post-operative nasal endoscopic video recordings from the image archive software were evaluated to document complications. Statistical analysis was conducted using SPSS 23.0 software.</p><p class="abstract"><strong>Results:</strong> The study included 65 patients, of whom 41 were in group S and 24 were in group Q. None of the patients had major bleeding, local infection or mucosal synechia. There was a higher complication rate in terms of mucosal crustation, septal hematoma and perforation among group S; however, the difference was not statistically significant.</p><p class="abstract"><strong>Conclusions:</strong> We conclude that trans-septal quilting suture and intranasal silicone splints are both equally effective in preventing complications following septoplasty.</p>

scholarly journals Facilitating Organizational Unlearning using Appreciative Inquiry as an Intervention

2009 ◽  
Vol 34 (4) ◽  
pp. 67-78 ◽  
Author(s):  
T M Srithika ◽  
Sanghamitra Bhattacharyya
Keyword(s):  
Organizational Learning ◽  
Organizational Development ◽  
Appreciative Inquiry ◽  
Diagnostic Process ◽  
Continuous Change ◽  
Change Initiatives ◽  
Diagnostic Problem Solving ◽  
Cognitive Behavioural ◽  
Strength Based ◽  
The Difference

Drawing upon theoretical bases, this paper attempts to demonstrate a relationship between Appreciative Inquiry (AI), an organizational development (OD) intervention, and organizational unlearning. Present day organizations are characterized by continuous change. It has been accepted that change implies learning along various dimensions: cognitive, behavioural, and normative. Any type of organizational learning would involve: (1) creation of new knowledge and (2) getting rid of obsolete knowledge. The first aspect refers to learning while the second aspect relates to unlearning. While literature abounds in studies pertaining to organizational learning, literature on organizational unlearning is relatively few and far between. While appreciating the fact that both learning and unlearning complement each other and result in change, this paper has attempted to highlight the difference that inherently exists in the process of unlearning, as compared to the process of learning. And it is on account of these differences that the techniques or interventions that facilitate organizational learning may not be appropriate for organizational unlearning. According to Zell (2003), increased resistance to unlearn exists for individuals, groups or organizations due to their fear of loss of time and resources invested earlier in gaining such knowledge. Senge (1990) has described how the diagnostic process of analysing problems and identifying solutions by itself stifles creativity and flexibility and increases resistance. Thus, increased resistance and fear inherent in the unlearning process calls for an affirmative and strength-based approach such as Appreciative Inquiry, vis-a-vis other diagnostic problem-solving interventions. Based on an extensive review of existing literature, this paper attempts to demonstrate how AI can be used as an effective facilitator for unlearning. The complete AI process and principles have been enumerated and mapped to the unlearning process. With an eye to objectivity, the authors have also attempted to identify inhibiting factors that might hinder the process of unlearning while using AI as an intervention. While adding to existing literature, this paper is also expected to contribute meaningfully by sensitizing practising managers about this technique and logically establishing its efficacy, along with awareness creation of possible challenges that might arise during intervention. This in turn can have significant implications for longterm organizational change initiatives and OD practices.

Cost consequences of home-based and in-patient-based acute psychiatric treatment: Results of an implementation study

2001 ◽  
Vol 10 (4) ◽  
pp. 467-476 ◽  
Author(s):  
Richard Ford ◽  
Edana Minghella ◽  
Colin Chalmers ◽  
John Hoult ◽  
James Raftery ◽  
...  
Keyword(s):  
Psychiatric Treatment ◽  
Implementation Study ◽  
Treatment Results ◽  
Home Based ◽  
Acute Psychiatric Treatment
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