126 research outputs found
Psychiatric consultations and length of hospital stay
No full texthospital stay (LOS) of patients referred to psychiatric
consultation liaison (C-L) services.
Methods: The study sample prospectively included
all the referrals in 2004 to the C-L psychiatry unit
at King Khaled University Hospital in Riyadh,
Kingdom of Saudi Arabia. The following factors
were documented for each consultation: patient
demographic characteristics, dates of admission,
consultation, and discharge, and total days of stay,
medical specialty service requesting the consultation,
reason for referral given by the referring physician,and the Diagnostic and Statistical Manual of
Mental Disorders DSM-IV diagnosis, based on the
consultation interview.
Results: The total number of referrals was 264. The
LOS showed positive correlation with referral time
(p=0.0001) accounting for 22% of the variance
in LOS. Surgical ward admission and diagnosis of
delirium predicted longer LOS, while obstetric/
gynecology ward admission, diagnosis of anxiety,
and diagnosis of bipolar affective disorder predicted
shorter LOS.
Conclusion: The direct correlation between the timing
of referral and LOS reinforces that it is important for
medical professionals to identify and detect patients
who require early psychiatric intervention. Ways of
detecting high-risk patients are discussed.Corresponding Author:
Dr. Yaser R. Alhuthail,
Assistant Professor and Consultant, Consultation-Liaison Psychiatry and Psychosomatic Medicine, Department of Psychiatry, College of Medicine and King Khaled University Hospital, Riyadh, Saudi Arabia. Email: [email protected]
Transferability of Privacy-related Behaviours to Shared Smart Home Assistant Devices
No full textSmart assistant devices (such as Amazon Echo or Google Home) have notable differences to more conventional consumer computing devices. They can be used through voice control as well as physical interaction, and are often positioned as a shared device within a home environment. We conduct an exploratory online survey with 97 UK-based users of smart assistant devices, to examine the differences users perceive between smart assistants and more familiar devices (such as smartphones and computers), in terms of shared use dynamics, privacy-related behaviours, and privacy concerns. The survey explores typical usage, setup practices, perceived ease of use and control, privacy concerns for multiple users, shared usage of existing devices, and smart assistant privacy control usage. Approximately half of participants were unsure of where to access privacy settings on their smart home assistants; basic device controls and informal privacy controls saw general use. Those who had used privacy controls with previous devices used at least one smart assistant privacy control. Results have implications for supporting transferable privacy behaviours from computing devices to smart home devices, and improving privacy-related design for smart assistants.Accepted Author ManuscriptOrganisation & Governanc
Evaluating Standardization of Neoadjuvant Immunotherapy in Transplant-Eligible Hepatocellular Carcinoma Populations
No full textIn the past decade, immunotherapy has significantly revolutionized the treatment of advanced hepatocellular carcinoma (HCC). Recent phase III trials examining immunotherapy as monotherapy and combination therapy for early to intermediate-stage HCC have produced favorable results, while further phase III trials in this patient cohort are ongoing. Owing to the advantageous data derived from these trials, the utilization of immunotherapy is broadening to include patients with earlier stages of HCC, especially within the transplant-eligible subgroup. Current literature increasingly advocates for the standardized application of neoadjuvant immunotherapy in liver transplantation. Transplantation functions as a potentially curative treatment for HCC and additionally restores normal, healthy liver function. Immunotherapy in pre-transplant patients may improve downstaging efficacy and tumor management, though it carries immunological risks. Immune-related toxicities are substantial in individuals with chronic liver disease, who are particularly susceptible, alongside the risk of acute rejection post-transplantation. The main goal of immunotherapy in this population is to improve access to liver transplantation while preserving pre- and post-transplant results. This concise review analyzes contemporary literature regarding the use of immunotherapy in the neoadjuvant context prior to liver transplantation, explores potential advantages of combination immunotherapy, and synthesizes important recent clinical findings from prominent trials related to HCC transplant oncology treatment
Empirical model for frequency content estimation of strong ground motion records of Iran
No full textThis paper presents a new empirical model to predict the mean period (Tm) as a frequency-content parameter of earthquake record using the strong ground motions recorded in Iran during 1975–2019. An updated earthquake databank containing 2281 horizontal acceleration records was employed to develop the empirical model through a systematic fitting procedure. A simple functional form for the model was found as a function of epicentral distance (R), moment magnitude (Mw), and the shear wave velocity averaged at the top 30 m of the recording sites (Vs30). The proposed model is compared with three existing predictive models and the results are discussed in terms of magnitude, source-to-site, and site dependencies.Green Open Access added to TU Delft Institutional Repository ‘You share, we take care!’ – Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Geo-engineerin
Advances in the treatment of esophageal varices: assessing covered tips versus endoscopic band ligation plus propranolol for the prevention of variceal rebleeding in patients with portal vein thrombosis
No full textUnited States Citizens Detained as Enemy Combatants : The Right to Counsel as a Matter of Ethics
No full textThe Supreme Court will decide as a matter of law whether an American citizen detained as an enemy combatant has the right to counsel. The author argues that as a matter of ethics, the answer is clear - there is a right to counsel. In this Article, the author analyzes the cases regarding Jose Padilla and Yaser Esam Hamdi discusses ABA Model Rule 4.2, and its application, and proposes an amendment to Rule 4.2\u27s Comment
Dietary Patterns and Risk of Inflammatory Bowel Disease: Findings from a Case-Control Study
No full textScientific evidence shows that dietary patterns are associated with the risk of IBD, particularly among unhealthy and Western dietary patterns. However, Western dietary patterns are not exclusive to Western countries, as Jordanians are steadily moving towards a Western lifestyle, which includes an increased consumption of processed foods. This study aims to investigate the association between dietary patterns and the risk factors for IBD cases among Jordanian adults. This case-control study was conducted between November 2018 and December 2019 in the largest three hospitals in Jordan. Three hundred and thirty-five Jordanian adults aged between 18-68 years were enrolled in this study: one hundred and eighty-five IBD patients who were recently diagnosed with IBD (n = 100 for ulcerative colitis (UC) and n = 85 for Crohn's disease (CD)) and 150 IBD-free controls. Participants were matched based on age and marital status. In addition, dietary data was collected from all participants using a validated food frequency questionnaire. Factor analysis and principal component analysis were used to determine the dietary patterns. Odds ratios (OR) and their 95% confidence interval (CI) were calculated using a multinomial logistic regression model. Two dietary patterns were identified among the study participants: high-vegetable and high-protein dietary patterns. There was a significantly higher risk of IBD with high-protein intake at the third and fourth quartiles in the non-adjusted model as well as the other two adjusted models. In contrast, the high-vegetable dietary pattern shows a significantly protective effect on IBD in the third and fourth quartiles in all the models. Thus, a high-vegetable dietary pattern may be protective against the risk of IBD, while a high-protein dietary pattern is associated with an increased risk of IBD among a group of the Jordanian population
Nutrition and Lifestyle Factors Associated with Inflammatory Bowel Disease
No full textObjective Many dietary and lifestyle factors are found to be associated with the pathogenesis of IBD. The purpose of this study is to review the dietary and lifestyle factors associated with IBD. In addition, too, this review attempts to investigate the association between dietary patterns and IBD risk and compare lifestyle factors among IBD patients. Methods Google Scholar and PubMed were searched together with relevant journals for Englishstudies from September 2018 to August 2020. The original studies which evaluated the lifestyle factors and dietary patterns as risk factors for inflammatory bowel disease were included. Results Several studies in IBD were discussed and highlighted the independent effects of various dietary and lifestyle factors on the risk of IBD. Forty-nine articles met the inclusion criteria and indicated that dietary factors tend to play a pivotal role in the disease etiopathogenesis and course. However, research on food and IBD is contradictory. Conclusion An excessive intake of sugar and animal fat is considered a risk factor for the development of IBD, whereas a high fiber diet and high intake of fruits and vegetables may play a protective effect. The role of lifestyle factors in IBD is crucial. Amply of evidence suggested that smoking is a causative agent in CD while it is protective against UC. Stress, depression, vitamin D deficiency, and impaired sleep have all been associated with incident IBD. A diet with a modified carbohydrate composition, a semi-vegetarian diet, a diet low in protein and fat, and a diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols should be taken into consideration for IBD patient
Hypertension and Clinical Outcomes of Patients With Gastrointestinal Submucosal Vascular (Dieulafoy) Lesional Hemorrhage
No full textPrevalence of salmonella in different poultry and meat food products in Hebron district: a prevalence study
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