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Psychiatry in general hospital

Nadia Ortiz, Marie My Lien Rebetez, Christel Alberque, Guido Bondolfi
In order to meet the needs of patients suffering from eating disorders and to follow the guidelines of experts, the specialised program for eating disorders of Liaison psychiatry and crisis intervention service in Geneva University Hospitals (HUG) has developed a detailed evaluation (multifactorial and multidisciplinary) and a program with a continuum between outpatient treatment, day care and hospitalisations. The psychotherapy is individualized and goals are regularly assessed. Somatic factors are part of evaluation and care in collaboration with general practitioners but weight (gain or loss) is not the only improvement target...
February 6, 2019: Revue Médicale Suisse
Oliver Freudenreich, Nicholas Kontos
BACKGROUND: Professionalism, although broadly acknowledged to be an important goal of medical education, needs to be taught well. OBJECTIVE: We describe the content selection and structure of an elective professionalism seminar for advanced trainees in psychiatry at the Massachusetts General Hospital. METHOD: We critically evaluate the curriculum content based on participant feedback. RESULTS: We successfully implemented and sustained for 8 years a monthly, 10-session professionalism seminar for advanced trainees in psychiatry...
December 21, 2018: Psychosomatics
Abdulrahman A Al-Atram
Background: Physicians working in Saudi Arabia belong to different countries and may have differences in knowledge and attitude towards psychiatry. We evaluated non-psychiatric physician's knowledge and attitude towards psychiatric disorders, such as anxiety and depression, in the Kingdom of Saudi Arabia. Methods: A descriptive cross-sectional study design was used. The current knowledge and attitude towards anxiety and depression of physicians were determined by using a questionnaire...
November 2018: Ethiopian Journal of Health Sciences
J Potaufeu, B Langrée, D Drapier, G Burgot, N Marie
INTRODUCTION: Olanzapine pamoate has a higher cost of treatment than the oral form and requires administration in a hospital setting (unlike other long-acting antipsychotics), and the cost-effectiveness of this treatment may be questioned. Many scientific societies and national health systems are increasingly interested in the pharmacoeconomic impact of health products. The search for efficacy of a treatment can be done in two ways: medico-economic modeling studies or observational studies i...
December 19, 2018: L'Encéphale
Horst Bickel, Ingrid Hendlmeier, Johannes Baltasar Heßler, Magdalena Nora Junge, Sarah Leonhardt-Achilles, Joshua Weber, Martina Schäufele
BACKGROUND: The care of elderly patients with comorbid dementia poses an increasing challenge in the acute inpatient setting, yet there remains a lack of representative studies on the prevalence and distribution of dementia in general hospitals. METHODS: We conducted a cross-sectional study of patients aged 65 and older in randomly selected general hospitals in southern Germany. Patients were excluded if they were in an intensive care unit or isolation unit or if they were on specialized wards for psychiatry, neurology, or geriatric medicine...
November 2, 2018: Deutsches Ärzteblatt International
Oliver P Fricke, Daniel Halswick, Alfred Längler, David D Martin
Scientific data are sparse on hospital design in child and adolescent psychiatry. The present article aims to give an overview of various concepts of hospital design and to develop concepts how architecture can consider the special needs of children and adolescents in their recovery from psychiatric diseases. Literature research is provided from PubMed and collected from architectural and anthroposophic bibliography. Access to daylight and nature, reduced level of noise and an atmosphere of privacy are general principles to support convalescence in patients...
December 18, 2018: Zeitschrift Für Kinder- und Jugendpsychiatrie und Psychotherapie
Claire E Oppenheim, Kathleen Axelrod, Jeremiah Menyongai, Bernadette Chukwuezi, Alison Tam, David C Henderson, Christina P C Borba
Community-based participatory research methodology is driven by community interests and rooted in community involvement throughout the research process. This article describes the use of community-based participatory research methodology in the HEAAL project (Health and Mental Health Education and Awareness for Africans in Lowell), a research collaboration between Christ Jubilee International Ministries-a nondenominational Christian church in Lowell, Massachusetts, that serves an African immigrant and refugee congregation-and the Massachusetts General Hospital Department of Psychiatry...
January 2019: Journal of Public Health Management and Practice: JPHMP
Hui Zhang, Yuming Sun, Donglan Zhang, Chao Zhang, Gang Chen
Background: Schizophrenia is one of the leading public health issues in psychiatry and imposes a heavy financial burden on the healthcare systems. This study aims to report the direct medical costs and the associated factors for patients with schizophrenia in Guangzhou city, Southern China. Methods: This was a retrospective 4-year cohort study. Data were obtained from urban health insurance claims databases of Guangzhou city, which contains patients' sociodemographic characteristics, direct medical costs of inpatient and outpatient care...
2018: International Journal of Mental Health Systems
Stefan Gebhardt, Ilka Dammann, Klaus Loescher, Peter M Wehmeier, Helmut Vedder, Richard von Georgi
OBJECTIVES: Music therapy is a well-established non-verbal treatment method in psychiatry and psychosomatic medicine. However, empirical data of its impact on emotion modulation processes and personality dimensions are still sparce. An interesting concept is the use of music for emotion modulation in everyday life. The purpose of this interim study was to assess the interplay of personality dimensions and emotion modulation strategies in patients treated with music therapy versus patients without music therapy...
December 2018: Complementary Therapies in Medicine
K Nauta, A D Boenink, I K Wimalaratne, D B Menkes, G Mellsop, Bfp Broekman
Psychosocial and psychiatric problems are common in patients admitted to general hospitals, and can negatively influence course of somatic diseases. Hence, early identification and adequate management is important. The aim of this study is to investigate attitudes towards psychosocial and psychiatric problems by non-psychiatrist consultants in an academic hospital. Data were collected by anonymous, self- administered questionnaires which were provided to all consultants during morning reports and by email...
November 21, 2018: Psychology, Health & Medicine
Nicholas Dufourq, Lara Nicole Goldstein, Martin Botha
Introduction: Despite the differences in exposure and experience in dealing with medical emergencies, all doctors should nevertheless be competent to assist a patient in need of resuscitation. The objective of this study was to describe the level of self-assessed emergency skill competence that specialist trainees in various disciplines possessed as well as to identify factors that may have contributed to their level of self-perceived competence. Methods: A prospective, cross-sectional, questionnaire study of various specialist trainees' self-perceived levels of competence in emergency skills was conducted across three academic hospitals in Johannesburg, South Africa...
December 2017: African Journal of Emergency Medicine Revue Africaine de la Médecine D'urgence
Anne-Frédérique Naviaux
In Wexford and Waterford, an "out of hours" child psychiatric service has been developed, in order to provide help when the regular Child Psychiatry services (CAMHS) are not accessible. Providing a service for under 18 years old patients with mental health issues presenting in the Emergency Department (ED) of a General hospital, it functions with extremely limited resources (a consultant psychiatrist and a doctor in psychiatric training), and therefore needs an efficient triage procedure. The purpose of this article is to review the literature about existing triage tools, and especially the 2016 Irish Children's Triage System (ICTS) and to discuss how to optimise triaging our specific patients in this new 'out of hours' CAMHS cover for Waterford /Wexford area...
November 2018: Psychiatria Danubina
Gentian Vyshka, Anila Kazaferi, Ilda Kapo, Tedi Mana
The authors discuss the issue of psychiatric care and patients during the second half of XX century in Albania, when the country was under an absolute regime of communism. Completely isolated from the rest of the world, the territory remained a prohibited area for scholars, and local authors due to censorship or self-censorship, offered very scarce information. The general feeling of the public was that of a denial of psychic disorders in total, combined with the fear that this kind of disorders has ever since provoked...
December 2018: Psychiatria Danubina
Michael Brinkers, Paulina Rumpelt, Anke Lux, Moritz Kretzschmar, Giselher Pfau
Background: Complex regional pain syndrome (CRPS) is a multifactorial disorder with complex aetiology and pathogenesis. At the outpatient pain clinic of Magdeburg University Hospital, all patients, without exception, are subject to permanent psychiatric care delivered by a consultation-liaison psychiatrist. In CRPS, psychological stabilization and treatment of the neuropathic aspects are equally important. The aim of this single-center retrospective study was to determine mental/psychiatric defects impairing pain processing at the time of investigation and show the effects of treating mental disorders and neuropathic pain with the same psychotropic drugs...
2018: Pain Research & Management: the Journal of the Canadian Pain Society
Bertrand Cariou, Gaëlle Challet-Bouju, Céline Bernard, Marie Marrec, Jean-Benoit Hardouin, Charlotte Authier, Kalyane Bach-Ngohou, Christophe Leux, Matthieu Pichelin, Marie Grall-Bronnec
BACKGROUND: Hypobetalipoproteinemia (HBL) is defined by plasma concentrations of LDL-cholesterol (LDL-C) lower than the fifth percentile for age and sex. Several psychiatric symptoms have been reported in association with HBL. The objective was to assess the prevalence of primary HBL in patients hospitalized in a psychiatric population and to better characterize the related psychiatric disorders. METHODS: HYPOPSY is a retrospective study including 839 adults hospitalized in the Psychiatry department of Nantes University Hospital during the year 2014, except patients with eating disorders...
November 6, 2018: Lipids in Health and Disease
Deborah S Johnson
A significant challenge related to nurse practitioner (NP) training is the shortage of clinical sites with qualified faculty to precept NP interns. The problem is compounded in rural communities with provider shortages, restricting their opportunities to train (and potentially recruit) new APRNs. Consequently, these underserved communities have difficulty accessing specialty providers, such as Psychiatric Mental Health Nurse Practitioners (PMHNPs). Combined with geographic distance from urban communities and generally lower pay, many rural and/or remote communities struggle with the disparity in contrast to more populated regions...
October 30, 2018: Issues in Mental Health Nursing
Brendan D Kelly, Michael Nash
BACKGROUND: People with mental illness experience social and political exclusion but there is limited understanding of voting behaviour in this population. AIMS: This study assessed voter participation and attitudes towards voting among people attending mental health services in Dublin, Ireland. METHODS: Psychiatry outpatients and inpatients were studied over2 months following Ireland's 2016 general election (n = 117). Characteristics of participants who did and did not vote were compared and reasons for voting choices explored...
October 29, 2018: Irish Journal of Medical Science
Elahe Faraji, Mostafa Allami, Nafiseh Feizollahi, Amir Karimi, Amir Yavari, Mohammadreza Soroush, Majid Moudi
BACKGROUND: The aim of the study was to identify health concerns of veterans with high-level lower extremity amputations. METHODS: Through a cross-sectional study, general practitioners, an orthopedic specialist, psychologists, psychiatrists, physiotherapist and prosthetists examined 100 veterans using a short-form health-related quality of life questionnaire (SF-36) that assessed their ability to perform activities of daily living (ADL), instrumental activities of daily living (IADL) and life satisfaction (SWLS) after hip disarticulation or hemi-pelvectomy amputations...
October 26, 2018: Military Medical Research
Yael Ratner, Xavier Y Zendjidjian, Nina Mendyk, Igor Timinsky, Michael S Ritsner
BACKGROUND: Patients' perception of psychiatric healthcare is a critical indicator in measuring service quality. The aim of the study was to determine patient's level of satisfaction with the quality of health care delivered at the inpatient departments, and to identify the service quality factors that were important to patients. METHOD: The Satisfaction with Psychiatry Care Questionnaire-22 was administered to 125 consecutive inpatients with schizophrenia or schizoaffective disorder in a stable condition...
October 10, 2018: Psychiatry Research
Francisco J Zamora-Rodríguez, María R Sánchez-Waisen-Hernández, Juan A Guisado-Macías, Francisco J Vaz-Leal
INTRODUCTION: Patients with bipolar disorder (BD) have a comorbid substance use with high frequency. Our study aims to establish a relationship between substance use and BD, in terms of greater diagnostic difficulty, a worse prognosis and changes in pharmacological prescription. METHODS: The sample consisted of 394 subjects over twenty years were hospitalized with a diagnosis of BD in acute psychiatry unit of a general hospital (10.6% of total of 3,704 patients)...
September 2018: Actas Españolas de Psiquiatría
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