48 results match your criteria: "The State Hospital[Affiliation]"

Long-term segregation and seclusion for people with an intellectual disability and/or autism in hospitals: critique of the current state of affairs.

Br J Psychiatry

December 2024

Cornwall Intellectual Disability Equitable Research (CIDER), Cornwall Partnership NHS Foundation Trust, Truro, UK; and CIDER, Peninsula School of Medicine, University of Plymouth, UK.

Article Synopsis
  • The Department of Health and Social Care released a report in November 2023, highlighting the negative impacts of solitary confinement on people with learning disabilities and autism, but the recommendations are largely not supported by evidence-based practices.
  • The report raises issues regarding the terminology used, such as "solitary confinement," assumptions about long-term segregation, and unfairly placing responsibility on clinicians for situations outside their control.
  • A critical appraisal of the report aims to summarize its potential benefits while pointing out specific concerns and advocating for best practices in mental health care.
View Article and Find Full Text PDF

The Landscape of Neurosurgical Oncology Adjunct Usage in Africa: A Scoping Review.

World Neurosurg

March 2024

Research Department, Association of Future African Neurosurgeons, Yaounde, Cameroon; Department of Neurosurgery, Johns Hopkins Hospital, Baltimore, Maryland, USA.

Background: Intraoperative neurosurgical adjuncts improve extent of resection whilst mitigating patient morbidity. The delivery of neurosurgical care via these adjuncts is the norm in high-income countries, but there is yet to be a study highlighting the usage of neurosurgical oncology adjuncts in Africa. This paper aims to provide awareness of the use of these adjuncts in Africa, reasons for limited procurement, and possible solutions to the problem.

View Article and Find Full Text PDF

Background: Violence in inpatient settings is recognised as a worldwide issue, with inpatient intellectual disability services having higher rates than other mental health settings. Violence results in injury and illness, lack of confidence in the organisation and staff burnout. These combined effects have a negative impact on the ability of services to provide therapeutic environments.

View Article and Find Full Text PDF

Background: This study examined the outcomes of a descriptive, longitudinal cohort consisting of 241 patients initially examined in a population study at the high secure State Hospital for Scotland and Northern Ireland in 1992-93. A partial follow-up focusing on patients with schizophrenia was conducted in 2000-01, followed by a comprehensive 20 year follow-up that began in 2014.

Aims: To explore what happens to patients who required high secure care during a 20 year follow-up period.

View Article and Find Full Text PDF

This systematic review aims to synthesize the active ingredients, and identify a list of promising behaviour change techniques (BCTs), likely to be present within physical activity and / or dietary interventions in achieving weight loss in overweight and obese healthcare staff. Four electronic databases were searched in February 2021: PsychINFO, CINAHL, PubMed and MEDLINE (no start date-2021). Studies were eligible for inclusion if they: (1) described a quasi-experimental or cluster, cohort or randomised control trial; (2) implemented workplace-based physical activity and / or dietary interventions versus a less intensive intervention or usual care; (3) targeted predominantly (> 50% of participants) overweight or obese healthcare professionals; and (4) reported a weight loss related outcome and included data on that outcome at least 3 months after the intervention began.

View Article and Find Full Text PDF

Psoriasis and uveitis.

Int Ophthalmol

July 2022

Department of Ophthalmology, Medical Faculty, Karadeniz Technical University, Trabzon, Turkey.

Purpose: Psoriasis, which is a chronic, immune-mediated skin disease of unknown etiology, not only affects the skin, but also is linked to many systemic conditions such as arthritis, cardiovascular disease, depression, and malignancy. Although many types of eye involvement are encountered in psoriasis patients, dry eye is the first among them. Uveitis is an entity that can be associated with psoriasis and can cause severe vision loss as a result of late diagnosis, inadequate and inappropriate treatment.

View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to assess how effective adalimumab is for treating patients with refractory non-infectious uveitis, focusing on changes in retinal vascular leakage.
  • - Involved 23 patients and analyzed a total of 44 eyes, finding that a significant portion had active inflammation, and measuring changes in drug usage and eye conditions over time.
  • - Results showed that adalimumab effectively reduced inflammation and retinal leakage, suggesting it is a beneficial treatment for patients with this eye condition.
View Article and Find Full Text PDF

Purpose: To describe the follow-up and treatment approach of a patient with acute retinal necrosis. . A 44-year-old male patient, who had complaints of pain in the right eye and blurred vision, was referred to our clinic.

View Article and Find Full Text PDF

Background And Aims: Multiple national guidelines stress the importance for clinicians to possess good therapeutic skills for working with patients with significant relational difficulties (who may receive a diagnosis of personality disorder). Training clinicians in mentalization-based treatment skills (MBT-S) is one approach to address this. The main outcome measure used in MBT-S studies is the (KAMQ).

View Article and Find Full Text PDF

The case against removing intellectual disability and autism from the Mental Health Act.

Br J Psychiatry

January 2021

Forensic Network Clinical Lead for Intellectual Disabilities, The Forensic Network, The State Hospital, Carstairs, Scotland. Email:

View Article and Find Full Text PDF

Background: On March 16, 2020, the federal government of Austria declared a nationwide lockdown due to the COVID-19 pandemic. Since the lockdown, screening examinations and routine checkups have been restricted to prevent the spread of the virus and to increase the hospitals' bed capacity across the country. This resulted in a severe decline of patient referrals to the hospitals.

View Article and Find Full Text PDF

Aim: To evaluate the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) in idiopathic epiretinal membrane (IERM) patients, and their relations with visual acuity.

Method: Fifty-seven IERM and 51 control patients were included. All patients underwent comprehensive ophthalmological examination and complete blood count tests, and NLR and PLR values were calculated.

View Article and Find Full Text PDF

Aim: To evaluate ultra-widefield fundus fluorescein angiography (FFA) findings in cases of ankylosing spondylitis (AS)-associated uveitis.

Materials And Methods: Forty-five eyes of 23 AS patients followed up with a diagnosis of uveitis were included.

Results: Sixteen (69.

View Article and Find Full Text PDF

Introduction: Forensic mental health nurses working at the forefront of services can intermittently face enduring and somewhat harrowing or stressful situations. Enclosed is an example of the use of mechanical restraints (Soft Restraint Kit) for a two month period. Staff experience of working under such circumstances is an under reported area.

View Article and Find Full Text PDF

Background: There is limited data available regarding the most common forms of psychiatric illness, the occurrence of childhood adversity, and the link between childhood adversity and criminal and psychiatric outcomes amongst forensic inpatients.

Aims: Using census data for all Scottish forensic inpatients, we investigated the most common primary psychiatric diagnoses in forensic settings, the occurrence of childhood adversity amongst forensic inpatients, and whether childhood adversity experiences significantly predict a range of criminal and psychiatric outcomes.

Method: Data for the current study were drawn from 'The Scottish Forensic Network Inpatient Census' (N = 422).

View Article and Find Full Text PDF

Objectives: A person-centred approach to recovery is increasingly represented within mainstream mental health literature. Little examination of recovery among forensic mental health patients is evidenced. This study plans to address that insufficiency.

View Article and Find Full Text PDF

Objective: To investigate factors relevant to violence and self-harm in forensic psychiatric inpatients the cross-sectional association between four potential contributory factors; head injury, schizophrenia, drug and alcohol misuse, and self-harm or violence-related outcomes was examined.

Methodology: Data were extracted from an existing dataset of routinely collected data on all patients under the care of Scotland's Forensic Mental Health Managed Care Network, of whom (n = 432) met inclusion criteria. A Factorial MANOVA and Pearson's chi-square tests were conducted to assess the relationship between potential contributory factors and self-harm and violence.

View Article and Find Full Text PDF

Acute angle closure can be seen as a side effect of some medications that can be used systemically. In this article, clinical characteristics of 54-year-old female patient who applied to our clinic with bilateral acute angle closure and has been received nebulized form of salbutamol and ipratropium bromide due to asthma for 4 days was evaluated. Right and left eye IOP were measured as 50 and 48 mmHg.

View Article and Find Full Text PDF

Background: People diagnosed with schizophrenia have significant difficulty accurately recognising emotions expressed by others. This may generate anomalous experiences which, if misinterpreted, could contribute to experiences of social defeat, psychotic symptoms and reduced social functioning. It remains unclear whether this impairment is responsive to non-pharmacological intervention, or what the effect of modifying it is.

View Article and Find Full Text PDF

Previous research has found an association between childhood trauma and insecure attachment and psychological distress, risk of violence and engagement in therapy. The aim of this study was to investigate the relationships between these factors in a forensic population. Sixty-four participants from three secure psychiatric hospitals completed the Childhood Trauma Questionnaire (CTQ), the Relationship Scales Questionnaire (RSQ) and the Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM).

View Article and Find Full Text PDF

Developments and current approaches in the treatment of pterygium.

Int Ophthalmol

August 2017

Department of Ophthalmology, Medical Faculty, Karadeniz Technical University, Trabzon, Turkey.

Purpose: To assess and compare the studies conducted in the literature with recurrence rates and the summary of the justified treatment approaches be presented.

Method: Pterygium, a fibrovascular tissue that proceeds from the bulbar conjunctiva towards the cornea, is quite a commonly seen ocular surface deterioration. The treatment is performed through a surgical excision, and the frequent recurrence of this disorder, despite the developments of today, is the major problem experienced in the wake of the surgery.

View Article and Find Full Text PDF

Long-term benefits of somatosensory training to improve balance of elderly with diabetes mellitus.

J Bodyw Mov Ther

July 2015

Physiotherapy Course, Department of Biomechanics, Medicine and Rehabilitation of Locomotor System, University of São Paulo, School of Medicine at Ribeirao Preto, FMRP/USP, SP, Brazil. Electronic address:

We evaluate the effects of somatosensory training on the mean amplitude of the center of pressure (COP) in the upright position and the sustained benefits after 6-month. Twelve elderly patients with type II diabetes (T2DM) participated in the study. Patients with T2DM were allocated to the somatosensory protocol, which consisted of a circuit composed of 13 stations with different textures.

View Article and Find Full Text PDF