scholarly journals Loss to Follow-Up among a Group of Patients with HIV and Severe Mental Illness in South Africa

2014 ◽  
Vol 04 (01) ◽  
pp. 74-80 ◽  
Author(s):  
Todd Wagner ◽  
Jennifer Furin ◽  
Barbara Gripshover ◽  
Yasmien Jeenah ◽  
Greg Jonsson
BJPsych Open ◽  
2018 ◽  
Vol 4 (4) ◽  
pp. 313-316 ◽  
Author(s):  
Daniëlle Emmerink ◽  
Sybiel Bakker ◽  
Thomas Van Bemmel ◽  
Eric O. Noorthoorn ◽  
Paul Naarding

BackgroundPeople with severe mental illness (SMI) show significantly shorter life expectancy, mostly due to more prevalent cardiovascular disease. Although age is a prominent contributor to contemporary risk assessment and SMI usually affects younger people, these assessments still do not reveal the actual risk. By assessing advanced glycation end products (AGEs), cardiovascular risk can be assessed independent of age.AimsTo establish whether detection of AGEs with the AGE-reader will give a more accurate cardiovascular risk assessment in people with SMI.MethodWe compared assessment with the AGE-reader with that of the Systematic Coronary Risk Evaluation (SCORE) table in a group of 120 patients with SMI.ResultsThe AGE-reader showed an increased cardiovascular risk more often than the SCORE table, especially in the youngest group.ConclusionsBecause of its ease of use and substantiation by studies done on other chronic diseases, we advocate use of the AGE-reader in daily care for patients with SMI to detect cardiovascular risk as early as possible. However, the findings of the current study should be evaluated with caution and should be seen as preliminary findings that require confirmation by a prospective longitudinal cohort study with a substantial follow-up observation period.Declaration of interestNone.


PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0230504
Author(s):  
Brittany K. Moore ◽  
Linda Erasmus ◽  
Julia Ershova ◽  
Sarah E. Smith ◽  
Norbert Ndjeka ◽  
...  

2019 ◽  
Vol 214 (5) ◽  
pp. 260-268 ◽  
Author(s):  
Melanie Lean ◽  
Miriam Fornells-Ambrojo ◽  
Alyssa Milton ◽  
Brynmor Lloyd-Evans ◽  
Bronwyn Harrison-Stewart ◽  
...  

BackgroundSelf-management is intended to empower individuals in their recovery by providing the skills and confidence they need to take active steps in recognising and managing their own health problems. Evidence supports such interventions in a range of long-term physical health conditions, but a recent systematic synthesis is not available for people with severe mental health problems.AimsTo evaluate the effectiveness of self-management interventions for adults with severe mental illness (SMI).MethodA systematic review of randomised controlled trials was conducted. A meta-analysis of symptomatic, relapse, recovery, functioning and quality of life outcomes was conducted, using RevMan.ResultsA total of 37 trials were included with 5790 participants. From the meta-analysis, self-management interventions conferred benefits in terms of reducing symptoms and length of admission, and improving functioning and quality of life both at the end of treatment and at follow-up. Overall the effect size was small to medium. The evidence for self-management interventions on readmissions was mixed. However, self-management did have a significant effect compared with control on subjective measures of recovery such as hope and empowerment at follow-up, and self-rated recovery and self-efficacy at both time points.ConclusionThere is evidence that the provision of self-management interventions alongside standard care improves outcomes for people with SMI. Self-management interventions should form part of the standard package of care provided to people with SMI and should be prioritised in guidelines: research on best methods of implementing such interventions in routine practice is needed.Declaration of interestsNone.


Author(s):  
Peter MacPherson ◽  
Mosa Moshabela ◽  
Neil Martinson ◽  
Paul Pronyk

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