This study evaluated the impact of antipsychotic review, social interaction, and exercise, in conjunction with person-centered care, on antipsychotic use, agitation, and depression in people with dementia living in nursing homes. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - www.sssft.nhs.uk/library
'However, when looked at in its overall context, the study found only a small increased risk of a child developing autism spectrum disorder (ASD) – estimated to be less than 1 in 100 (0.72% of all births in this study).'
'A small study suggests the widely used painkiller does not help combat the overall effects of infection. The trial specifically looked at whether paracetamol had any effect on the amount of flu virus in the body (viral load). But it should be stressed this is something paracetamol is not designed to do. Paracetamol is designed to relieve symptoms, not cure any underlying infection.'
'The research compared modern antidepressants such as paroxetine, citalopram and fluoxetine, with cognitive behavioural therapy (CBT) – a type of talking therapy aimed at helping people change unhelpful ways of thinking and behaving.
It found both treatments worked more or less equally well for the initial treatment of people with moderate to severe depression. However, the study did not say if either treatment was effective at preventing depression from returning at some point in the future or who responds best to which type of treatment.
The authors of the review, which included 11 studies involving 1,511 patients, concluded that people should be offered a choice of treatment.'
The question of whether there are significant changes in brain anatomy and function at illness onset and over the early course of schizophrenia is a crucial issue with broad implications for prognosis, patient care, and models of illness pathophysiology. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - www.sssft.nhs.uk/library
Although mortality related to psychotropic medications has received much attention in recent years, little is known about the relationship between risk of death and cumulative antipsychotic load, and even less about the relationship between mortality and cumulative exposure to antidepressants or benzodiazepines. The authors examined these relationships using nationwide databases. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - www.sssft.nhs.uk/library
A systematic scoping review of peer-reviewed articles published from 1994 through 2014 explored home modifications and AD. Library Services do not currently have access to this journal, but you can request a copy of the article online and we will try to get a copy to you: http://bit.ly/1Xyazai
Assessment of the psychometric properties of the FLOTCA resulted in high interrater reliability, internal consistency and construct validity along with moderate ecological validity. Library Services do not currently have access to this journal, but you can request a copy of the article online and we will try to get a copy to you: http://bit.ly/1Xyazai
Findings from this study of 26 community-dwelling older adults suggest that postural sway responses depend on the integration of sensory information including head position, standing surface, and vision. Library Services do not currently have access to this journal, but you can request a copy of the article online and we will try to get a copy to you: http://bit.ly/1Xyazai
A cross-sectional study with a convenience sample of 116 healthy participants illuminated the ways in which adult attachment, sensory processing, and distress may be interrelated in healthy adults. Library Services do not currently have access to this journal, but you can request a copy of the article online and we will try to get a copy to you: http://bit.ly/1Xyazai
Health care and educational legislation and policy require that clinicians demonstrate, using measurement and report of outcomes, accountability for services rendered. Clinical algorithms have been developed and are used by various health care professionals to assist with hypothesis generation and systematic clinical reasoning; however, they do not explicitly guide measurement of outcomes as part of the reasoning process. Schaaf and colleagues developed the Data-Driven Decision Making (DDDM) process to address the greater need for outcome measurement, systematically support decision making, target intervention more precisely, and measure and document outcomes. This article describes the application of the DDDM process with a child with ASD who received occupational therapy using Ayres Sensory Integration®. Library Services do not currently have access to this journal, but you can request a copy of the article online and we will try to get a copy to you: http://bit.ly/1Xyazai
Little is known about sons’ roles in caring for a parent with dementia. To ensure that interventions and practices appropriately match sons’ needs, we investigated their experiences. Library Services do not currently have access to this journal, but you can request a copy of the article online and we will try to get a copy to you: http://bit.ly/1Xyazai
Three-quarters of people with an alcohol use disorder in the USA never receive treatment. Our understandings of who receives care are informed by sociological perspectives, theories and models, each of which discuss the role of lay people's understanding of illness. However, comparatively little work has been done to unpack the cognitive processes underlying lay assessment. In the context of the Framework Integrating Normative Influences on Stigma (FINIS), we aim to understand key factors guiding lay people's stigmatizing attitudes, perceptions and assessments of alcohol use disorder behaviors. Library Services do not currently have access to this journal, but you can request a copy of the article online and we will try to get a copy to you: http://bit.ly/1Xyazai
To test the total consumption model claiming that alcohol-related ill health can best be diminished by a policy of severe restrictions and high price. Library Services do not currently have access to this journal, but you can request a copy of the article online and we will try to get a copy to you: http://bit.ly/1Xyazai
To review the international guidelines and recommendations on survey instruments for measurement of alcohol consumption in population surveys and to examine how national surveys in England meet the core recommendations. Library Services do not currently have access to this journal, but you can request a copy of the article online and we will try to get a copy to you: http://bit.ly/1Xyazai
A substantial number of university students exceed alcohol guidelines. Impulsivity has been repeatedly implicated in heavy alcohol use, yet despite knowledge that impulsivity is multifaceted, there have previously been few studies applying multiple measures of self-report and behavioural impulsivity to examine the relationship with excessive student drinking. This results in a limited understanding of the relationship of various facets of impulsivity to student drinking. Library Services do not currently have access to this journal, but you can request a copy of the article online and we will try to get a copy to you: http://bit.ly/1Xyazai
Empirical data concerning the long-term psychosocial development of adolescents admitted to inpatient treatment with alcohol intoxication (AIA) are lacking. The aim of this study was to identify the factors that, at the time of admission, predict future substance use, alcohol use disorders (AUD), mental health treatment, delinquency and life satisfaction. Library Services do not currently have access to this journal, but you can request a copy of the article online and we will try to get a copy to you: http://bit.ly/1Xyazai
Open access. Crohn's disease (CD) is rapidly increasing in children so an up to date knowledge of diagnosis, investigation and management is essential. Exclusive enteral nutrition is the first line treatment for active disease. The vast majority of children will need immunosuppressant treatment and around 20% will need treatment with biologics. Recent guidelines have helped make best use of available therapies.
Other than as a sanction for criminal acts, adults with capacity cannot in England be deprived of their liberty. But children and young people, competent or otherwise, have their liberty curtailed as a matter of course by their parents. The parent would regard this restriction of their child's freedom as common sense, while the law would view the parental restrictions as the exercise of their duty to ensure their offspring's welfare. On what legal basis can doctors justify depriving patients of their liberty to enable treatment? And to what extent is parents’ curtailment of their offspring's liberty to enable medical treatment lawful, following the recent decision in Trust A v X & Ors? To read the full article, log in using your NHS OpenAthens details
Editorial. Over the last few years, and after a long period of relative neglect, the outcomes of babies born from 32 weeks’ gestation up to ‘term’ have received increasing attention from researchers, and several papers on this topic have been published in Archives of Disease in Childhood. It is clear that being born moderately preterm is associated with a spectrum of disadvantage that affects various domains of development at 2 years,1 and cognitive, behavioural and emotional functions well into the school years. But how much is this because of preterm delivery itself, and how much is moderate prematurity merely a marker for other factors that are the real causes of suboptimal outcomes in childhood? To read the full article, log in using your NHS OpenAthens details
Antiepileptic drugs (AEDs) were frequently used as polytherapy until evidence from a series of studies in the late 1970s and early 1980s suggested that patients derive as much benefit from monotherapy as polytherapy.1–3 AED polytherapy is increasingly becoming popular again and as much as 30–40% of prescriptions to children are polytherapy. To read the full article, log in using your NHS OpenAthens details
Sleep problems in bipolar disorder (BD) are common, but reported rates vary from 10% to 80%, depending on definitions, methodologies and management of potential confounding factors. This multicenter study seeks to address these issues and also compares BD cases with Hypersomnia as well as the more commonly investigated Insomnia and No Sleep Problem groups. To read the full article, log in using your NHS OpenAthens details
Mental health hospital admissions present an opportunity for brief motivational interventions focussed on substance misuse and can lead to improvements in engagement. To read the full article, log in using your NHS OpenAthens details
Auditory verbal hallucinations (AVHs) are core features of psychotic illness and remain significant in predicting poor outcome and risk. There has been a wide range of approaches to understanding these experiences.To read the full article, log in using your NHS OpenAthens details
High intrinsic and extrinsic religiosities are likely to be associated with positive coping skills and better treatment outcome in patients with depression or diabetes. To read the full article, log in using your NHS OpenAthens details
Amongst children and young people the point prevalence of depression ranges from 1.9-3.4% in primary school children and from 3.2-8.9% in adolescents (Birmaher et al, 1996; Costello et al, 2003; Kovacs et al, 1984).
At this stage, it is pretty well known that negative attitudes held towards people with mental health problems (stigma) are responsible for harm against an already vulnerable group. However, such stigma is still very common, so like Winnie the Pooh wallpaper, it bears repeating. This is not about offence; although some views held can be pretty offensive, but actual harm.
This study asked a group of people with learning disabilities in Ireland what was important to them about their dental services.
The group easily ordered their priorities according to five topics: Access, Cost, Information, Quality of Care and Treatment.
The group's discussion revealed a disempowered group who had little control over how they interacted with dental services.
We suggest ways to empower people with learning disabilities in their interactions with dental services.
When you take a look back at the year just gone, do you see any times of real change? A turning point, perhaps – or maybe a transition? No, I’m not repeating myself: although many of us, including those who research our autobiographical memories, use them interchangeably, these two kinds of important life events are distinct, and as new research in Applied Cognitive Psychology shows, both have their own role in helping us organise our past.
Patients with takotsubo (stress) cardiomyopathy were three times as likely as those who had had a typical heart attack to have received an acute or chronic psychiatric diagnosis.
A meta-analysis identifies a treatment combination involving cognitive-behavioral therapy that may help patients with major depressive disorder stave off relapse.
This year, 2014/15 the Open Athens statistics for health care libraries in the North West have been calculated differently. There are three measures [description came from what I highlighted, which was different to box below. Don't choose Post as Publication option]
This is a reflection on Yammer, an enterprise social media system. It’s a kind of Facebook for corporations and organisations. Yammer works using your work eMail address. Register with Yammer using your eMail and you are in a space with your co-workers. Yammer is owned by Microsoft and run from their Office division, so you might reasonably expect Yammer to come to a Trust near you in the not too distant future. [copied through automatically]
We're currently making some changes in the background of our email updates to solve some problems we've been having recently. During our testing phase this may automatically generate some alerts, which will show below, but you can ignore these! If all goes according to plan we will be resuming normal service in the next week…
Rationale and key points
This article aims to help healthcare professionals to check the arterial pulse. It focuses on the radial pulse, and also briefly considers the brachial and carotid pulses. The arterial pulse provides information about the patient’s condition and is therefore a vital sign. Checking the pulse is an essential clinical skill for healthcare professionals.
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Palpating the pulse tells us the patient’s heart rate.
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It also provides information on the regularity, volume and character of the pulse. Loging using NHS Athens to access full text
Online “brain training” games can improve the cognitive skills of older adults and help them perform day to day tasks such as shopping and managing finances, a study has found. Loging using NHS Athens to access full text
Ideas to make an impact on patient care and quality improvement
COPD and inhaler technique
Regular review of inhaler technique could reduce … Login using NHS Athens