Research News. Depression does not seem to increase the risk for dementia, but depressive symptoms in later life could be a feature of dementia’s preclinical phase, a 28 year follow-up study in the UK has found.
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To explore variation in clinical course and steroid treatment in Duchenne muscular dystrophy (DMD) by ethnic origin and socio-economic status. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
To assess the relationship between developmental coordination disorder (DCD) and mental health outcomes in late adolescence. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Blog post. After a five-minute mindfulness exercises narcissistic participants actually showed less empathy than control participants in a study published in 'Self & Identity'.
Depression and anxiety are common and have a significant impact on the individual and wider society. One theory proposed to explain a heightened risk for depression and anxiety is affective concordance in couples (e.g. influence of shared mood states, shared health beliefs). Whilst research has shown concordance for severe psychiatric illnesses and general mood in couples, little attention has been given to concordance for common psychiatric conditions such as depression and anxiety. The aims of this UK study were to test affective concordance in couples and examine potential influences on concordance.
Gender differences regarding psychiatric ill-health are well known in the general population. However, not much research is done on people with intellectual disability, and especially not among older people with intellectual disability.
The provision of patient information leaflets regarding telehealth has been perceived by potential consumers as a strategy to promote awareness and adoption of telehealth services. However, such leaflets need to be designed carefully if adoption and awareness among potential users is to be promoted. Therefore, the aims of this study were: first, to see how telehealth was portrayed in some of the existing telehealth leaflets (THLs). Second, to explore patients’ perceptions of the existing THLs and their engagement with the concept and how THLs can be optimised in London.
Earlier studies of nursing home patients show a high prevalence of dementia, neuropsychiatric symptoms (NPS), pain, and dependency in activities of daily living. The REDIC-NH cohort was set up to study the disease course and the resources used in patients with dementia in Norway. The aim of this paper was to describe the methods and the data collection, and to present selected data about patients at admission to a nursing home.
An 11-year-old girl with life-limiting pulmonary hypertension was offered art therapy as a mode of communication about her condition. Hour-long therapy sessions were weekly, over 5 years during which her condition improved and she prepared to move on to college. No claims are made for art therapy apart from it being part of her treatment. She said she needed art therapy because … To read the full article, log in using your NHS OpenAthens details.
After the introduction of replacement therapy with glucocorticoids and mineralocorticoids in the 1950s, congenital adrenal hyperplasia (CAH) is no longer a life-limiting condition. However, due to the successful introduction of medical steroid hormone replacement, CAH has become a chronic condition, with associated comorbidities and long-term health implications.....To read the full article, log in using your NHS OpenAthens details.
Vision impairment (VI) has a significant impact on an individual's ability to engage with everyday tasks. Severe early-onset VI presents different challenges to adult onset visual loss since reduced visual input presents a major obstacle to the acquisition and development of fundamental developmental skills in early and later childhood. Early referral of the child with reduced vision is vital to ensure accurate diagnosis and prompt treatment of any modifiable aspects of the condition. Guidance to ensure optimisation of developmental opportunity through adaptation of play and care is vital from the earliest stages. To read the full article, log in using your NHS OpenAthens details.
How much does very early physical and emotional deprivation damage long-term cognitive ability and mental health? Population cohort studies are inevitably subject to all sorts of ongoing confounding factors. So the only way to answer this question would be to do a controlled trial. Unethical, surely? Well yes, but a unique set of circumstances in the 1990s presented an opportunity for a natural experiment. Readers will remember that, after the fall of the notorious Ceausescu regime in Romania in 1989, it was revealed that …...To read the full article, log in using your NHS OpenAthens details.
Poor growth and delayed puberty in children with cerebral palsy is frequently felt to be related to malnutrition. Although growth hormone deficiency is commonly described in these children, multiple pituitary hormone deficiency (MPHD) has not been previously reported. We present a series of four children with cerebral palsy who were born before 29 weeks gestation who were referred to the regional endocrinology service...... To read the full article, log in using your NHS OpenAthens details.
This study highlights the value of a comprehensive paediatric assessment in a dedicated clinic for cases of suspected or alleged historic CSA, by identifying a broad variety of unmet health needs in this group. The findings have important implications for the child, their families and the multiagency team. To read the full article, log in using your NHS OpenAthens details.
To determine accuracy, safety and acceptability of the FreeStyle Libre Flash Glucose Monitoring System in the paediatric population. To read the full article, log in using your NHS OpenAthens details.
Many infants born prematurely experience growth failure following delivery, with subsequent catch-up growth. Traditionally catch-up was thought to be complete in the first few years of life. Most studies have focused on groups of infants defined by birth weight, for example <1500 g, resulting in disproportionate numbers of small for gestational age infants. This study aimed to determine whether appropriate weight for gestation (AGA) preterm born children reach their expected adult height when compared with term controls. To read the full article, log in using your NHS OpenAthens details.
Low-quality evidence suggests that home-based specimen collection seems to increase the number of people completing Chlamydia trachomatis testing compared with clinic-based collection. Positive test prevalence was lower with home-based collection, but no differences were apparent in the numbers of people tested, diagnosed, and treated.
To compare the predictive performance of 18 paediatric early warning systems (PEWS) in predicting critical deterioration. To read the full article, log in using your NHS OpenAthens details.
Concurrent antibiotic treatment of sexual partners of women with a diagnosis of bacterial vaginosis does not seem to improve recurrence rates or rates of clinical and symptomatic resolution among these women.
An observational study identified living people with epilepsy who matched (by age and geographical region) adolescents and adults with a postmortem diagnosis of sudden unexpected death in epilepsy (SUDEP). Use of an intervention to prevent SUDEP was determined for each participant who died (before entry into the study or subsequently). Fewer people died when an intervention to reduce SUDEP was employed (on average, 213 fewer deaths per 1000 people with nocturnal supervision and 184 fewer deaths per 1000 people with special precautions). However, data were available for only 367 of the 616 live participants recruited, and evidence was of very low quality, making firm conclusions impossible.
There is evidence that low risk drinking is possible during the course of alcohol treatment and can be maintained following treatment. Our aim was to identify characteristics associated with low risk drinking during treatment in a large sample of individuals as they received treatment for alcohol dependence. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
To adapt the four-dimensional Gambling Motives Questionnaire-Revised (GMQ-R) to measure the motivation for engaging in electronic gaming, and to validate the internal structure and investigate the criterion validity of the new Electronic Gaming Motives Questionnaire (EGMQ). Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The aims were to (1) estimate the prevalence of alcohol and drug use disorders in prisoners on reception to prison, and (2) estimate and test sources of between study heterogeneity across 10 countries. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Premises licensed for the sale and consumption of alcohol can contribute to levels of assault-related injury through poor operational practices that, if addressed, could reduce violence. We tested the real-world effectiveness of an intervention in Wales, designed to change premises operation, whether any intervention effect changed over time, the effect of intervention dose and cost effectiveness of the intervention. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Substance use and binge drinking during early adolescence are associated with neurocognitive abnormalities, mental health problems and an increased risk for future addiction. The trial aims to evaluate the protective effects of an evidence-based substance use prevention program on the onset of alcohol and drug use in adolescence, as well as on cognitive, mental health and addiction outcomes over 5 years. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Hardly any studies exist on the duration of major depressive disorder (MDD) and factors that explain variations in episode duration that lack biases. This limits clinical decision-making and leaves patients wondering when they will recover. Data was used from the Netherlands Mental Health Survey and Incidence Study-2, a psychiatric epidemiological cohort study among a nationally representative adult population. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
If positive behavioural support is to recoginse the presence of trauma whether in association with intellectual disability or in those providing services, an understanding of the core concepts and associated diagnostic frameworks is required. This paper therefore examines contemporary thinking around post traumatic stress disorder (PTSD) and discusses the emergence of the concept of complex trauma. By means of an exploration of the impact of adverse childhood experiences, it then suggests that trauma may exert a significant impact, even where strict diagnostic criteria are not fulfilled and that a wider understanding of the impact of trauma on the lives of service users and service providers is required by practitioners.
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Positive behavioural support (PBS) is a framework for organising multi-component supports for persons with intellectual disabilities whose behaviour challenges services. PBS supports are constructional, function-based, and non-aversive, and are derived from a synthesis of behavioural science, social role valorisation, and person-centred approaches. The approach has been criticised for lacking utility in complex cases. This article presents two examples of PBS approaches being applied with people diagnosed with borderline personality disorder (BPD).
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Book Review. You can request a copy of this article by replying to this email. Please be clear which article you are requesting. To read a copy of the book in this review, please contact the library
This study was a descriptive case report of a young man with intellectual disabilities who had a history of early trauma. His challenging behaviour was associated with demand avoidance. A positive behavioural support plan, incorporating psychological therapies and medication, was developed, implemented and is described.
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The risk of certain psychiatric disorders is elevated among immigrants. To date, no population studies on immigrant health have addressed eating disorders. We examined whether risk of eating disorders in first- and second-generation immigrants differs from native-born Danes and Swedes. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
To identify the early signs of mood disorder development, specifically bipolar disorder (BD), in a population at familial risk for BD. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
A case study is presented in relation to a group debrief in which the critical incident stress management (CISM) model was carried out for six staff involved in a serious incident. Staff were assessed prior to the debrief and in a two-month follow up using the impact of events scale – revised (IES-R) (Weiss and Marmar, 1997). You can request a copy of this article by replying to this email. Please be clear which article you are requesting.
Objectives To evaluate the cost-effectiveness of a therapist-guided internet-delivered cognitive behaviour therapy (ICBT) intervention for adolescents with obsessive–compulsive disorder (OCD) compared with untreated patients on a waitlist.
Open Access Article
The aim of this study is to develop a model for screening excessive gambling practices based on the gambling behaviours observed on French gambling websites, coupled with a clinical validation.
Open Access Article
Social isolation and loneliness affect approximately one-third to one-half of the elderly population and have a negative impact on their physical and mental health. Group-based interventions where facilitators are well trained and where the elderly are actively engaged in their development seem to be more effective, but conclusions have been limited by weak study designs. We aim to conduct a systematic review to assess the effectiveness of health promotion interventions on social isolation or loneliness in older people.
Open Access Article
A POTENTIALLY life-saving project to give staff the skills to spot the first signs of sepsis has now been rolled out across all wards at Queen’s Hospital in Burton on Trent.
Two services at Leeds and York Partnership NHS Foundation Trust are being nationally showcased as examples of how to provide high quality care for people with medically unexplained symptoms (MUS).
The Leeds Liaison Psychiatry Service and the Yorkshire Centre for Psychological Medicine are featured as case studies in national guidance for commissioners that examines what good services look like.
Using my clinical academic knowledge and understanding of dementia, with the library team provided the underpinning research based framework; we were able to highlight skills and understanding to enhance care, and support patients and staff in a more person centred approach.
dementia 3Our dementia volunteers all receive dementia care as part of their corporate training, and attend additional presentations about meal time support. There are opportunities to attend further sessions such as Sage and Thyme and Dignity Awareness. Evidence of their visits and input is recorded to capture the difference it is making and to be able to report back to Carers and Patients’ Experience (CAPE) board.
To determine the magnitude and pattern of internet usage by undergraduate medical students to retrieve medical information. To read the full article, log in using your NHS OpenAthens details.
In summary, they found that people wanted a workforce who held positive attitudes and considered the people they supported or cared for as equals. They also wanted a workforce who could support them across both a Health and Care setting, with a range of physical and mental health needs, and who could also help them develop skills to become more independent. [Link to full report]
NHSCC’s publication ‘Excellence in commissioning diabetes care’ showcases examples of where clinically led commissioning is changing the way diabetes care is commissioned and improving people’s lives.
After more than three decades of assessment of clinical competence through Objective Structured Clinical Examinations (OSCEs), are medical trainees viewing clinical examination through the lens of an assessment method? Has the structure (the OS) become more important than the skill itself (the CE)? For many students, the standards required by OSCEs are the skills expected for clinical competence. Most recent textbooks on clinical examination are based on the structure needed to succeed in an OSCE, but OSCEs were not designed to teach an ideal framework for performing a clinical examination and most medical encounters require a more flexible patient-centred approach. How can we ascertain that medical students are focusing less on the OS and more on learning ‘the art’ of CE?
The OSCE remains a very important method for assessing students in many medical training programmes and in national examinations. The task demands of OSCEs and the importance of …..To read the full article, log in using your NHS OpenAthens details.
The modes of action and clinical implications of several of the newest classes of antidiabetic drugs used as monotherapy and as add-on therapy have been extensively reviewed in recent publications.1 2 Sodium-glucose cotransporter 2 (SGLT-2) inhibitors (eg, empagliflozin) belong to one such novel class and act via interference with proximal renal tubular reabsorption of glucose; about 90% of such reabsorption depends on this cotransporter. They therefore reduce blood glucose concentrations, promote weight reduction and lower blood pressure through glycosuria and osmotic diuresis. Moreover, since their activity is independent of insulin, they are efficacious even in the presence of pancreatic beta cell failure, which is in marked contrast to many other antidiabetic drugs.....To read the full article, log in using your NHS OpenAthens details.
Over the last decade, many changes have taken place in the UK, which have affected the training that doctors receive.To read the full article, log in using your NHS OpenAthens details.
North Cumbria University Hospitals NHS Trust has placed a quality of care board on each of its wards.
The boards are part of the Trust’s commitment to be open and transparent by allowing patients to see key information when they enter a ward such as: staffing levels on that day, hygiene scores, cleaning scores, training rates, and waiting times (for outpatient areas).
Watsu means water shiatsu. It’s a unique type of therapy which involves immersing a person in warm water and, whilst they are held and supported by a therapist, they are gently moved around, stretched and massaged.
South West Yorkshire Partnership NHS Foundation Trust is the first organisation to offer Watsu in an inpatient mental health setting to service users on its Trinity 1 ward at Fieldhead in Wakefield.