Biodiversity Informatics
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Chronic Suicidality in Youth Admitted for Mental Health Emergencies: A Retrospective Chart Review
Get PDFIntroduction. Suicide is a leading cause of death among youth in the United States. Most youth who attempt suicide have underlying mental health disorders, which account for approximately 10% of pediatric hospitalizations. Researchers hypothesized that children with chronic suicidality (CS) have more suicide-related risk factors, attempt suicide with greater lethality, and have more pre-existing mental health diagnoses compared to those without chronic suicidality (Non-CS).
Methods. The study team reviewed pediatric hospitalizations related to suicide at Wesley Medical Center from 2016 to 2021. CS was defined as a reported history of, or prior hospitalization for, suicide-related behavior. The severity of suicidal ideation/behavior and actual lethality or medical damage was measured using the Columbia-Suicide Severity Rating Scale (C-SSRS).
Results. Of 375 patients, 253 were classified as CS and 122 as Non-CS. Age and race distributions were similar between groups. Females were more likely to have CS (p = 0.0006). Patients with CS were more often admitted for suicide attempts rather than non-suicidal self-injury (p = 0.0171). No significant differences were found in method or lethality of attempts.Patients with CS experienced more peer stress, abuse, legal problems, and job-related issues (all p <0.05). No differences were observed in other stressors. CS patients had more prior mental health treatment (p <0.0001) and were more frequently discharged to inpatient mental health care (p <0.0001).
Conclusions. Female gender and psychosocial stressors were associated with increased risk of chronic suicidality in youth. Early identification of these factors may enable earlier interventions to prevent suicide-related behaviors
Comparison of Polyethylene Thickness and Constraint in Traditional and Robotic-Assisted Total Knee Arthroplasty
Get PDFIntroduction. Thicker polyethylene inserts in total knee arthroplasty (TKA) may be associated with increased wear rates, a higher risk of implant failure, and the need for revision surgery. The authors of this study aimed to compare polyethylene insert thickness in robotic-assisted TKA versus conventional manual TKA.
Methods. The authors conducted a cross-sectional study on patients with end-stage primary knee osteoarthritis who underwent TKA by a single fellowship-trained orthopedic surgeon over a two-year period. Patients with post-traumatic or inflammatory arthropathy or those undergoing revision arthroplasty were excluded. Demographics, implant manufacturer and type, and polyethylene insert thickness were recorded in an electronic database. Bivariate analyses, including t-tests, Mann-Whitney U tests, and Fisher’s exact tests were used to compare robotic-assisted and manual TKA procedures.
Results. Data from 222 patients were analyzed, with 111 in each group. The mean (standard deviation [SD]) age at surgery was similar between groups: 64.3 (8.2) years for robotic-assisted and 62.3 (8.8) years for the manual group (p=0.398). Polyethylene insert thickness differed significantly: the median was 9 mm (range 9-13 mm) in the robotic-assisted group versus 11 mm (range 9-16 mm) in the manual group (p<0.001). The most frequently used thickness was 9 mm, used in 70.3% (78/111) of robotic-assisted cases compared to 34.2% (38/111) of manual cases (p<0.001).
Conclusions. Robotic-assisted TKA was associated with significantly thinner polyethylene inserts compared to manual, suggesting more precise, bone-sparing femoral and tibial cuts. These findings may support the use of robotic-assisted techniques by orthopedic surgeons seeking to optimize implant positioning and longevity
Concomitant Tianeptine and Alcohol Use Disorders: Diagnosis and Treatment with Buprenorphine-Naloxone
Get PDFWATS-3D-Only Surveillance and Band Ligation in Cirrhosis with Barrett\u27s Esophagus: A Case Report
Get PDFVariation in Spatial Access to Substance Use Disorder Treatment Programs for Older Adults in the United States
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