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Senior Woman Strength Health Vitality

The researchers found that those who feel younger may keep their health and function for longer periods of time, and, as the present research reveals, can recover from disability more quickly. As a result, by believing they will age effectively, individuals could maintain a healthy and active lifestyle.

Even in old age, feeling youthful may reduce the likelihood of physical impairment and illness

The phrase “you’re only as old as you feel” is becoming more accurate as research shows that those who feel younger than their real age tend to be healthier and more mentally resilient.

Could the saying apply to elderly folks who are recovering from physical disabilities? Apparently so. Israeli researchers from Bar-Ilan University have shown that, even in old age, having a youthful mindset might Excellerate one’s chances of successfully recovering from medical conditions. Their research was recently published in the journal Gerontology.

The research followed 194 adult patients, aged 73 to 84, who were being treated for osteoporotic fractures or strokes at various rehab centers around Israel. The two health conditions that older individuals dread the most are fractures (usually brought on by falls) and stroke. This is because both of these conditions often cause the loss of one’s functional independence.

Multiple interviews with patients were conducted during their recuperation. They were questioned about their emotions, experiences, and perceived age (how young they felt). The nursing staff used the Functional Independence Measurement (FIM) test to evaluate the patients’ functional independence at both admission and discharge.

At release, about a month after being admitted to the hospital, patients who felt younger (had a younger subjective age) had greater functional independence. Feeling younger has been shown to have positive effects on individuals recovering from osteoporotic fractures and stroke. The researchers also discovered that those who felt younger recovered more quickly because they had more hope for recovering their functioning skills.

“The effect of subjective age at admission on functional independence at discharge was confirmed,” says Prof. Amit Shrira, from the Gerontology Program at the Department of Interdisciplinary Social Sciences, who led the study together with Prof. Ehud Bodner, also from the Interdisciplinary Social Sciences department. “However, the reverse effect — that of functional independence at admission on subjective age at discharge — was not confirmed. This supports the conclusion that a younger age identity is an important psychological construct that contributes to a more successful rehabilitation,” added Shrira, who conducted the research with Dr. Daphna Magda Kalir from the Gender Studies Program, among others.

Surprisingly, subjective age was the strongest predictor of rehabilitation outcomes, stronger even than patients’ chronological age and multiple chronic health conditions occurring simultaneously (physical multimorbidity) at admission. Chronological age and physical multimorbidity are generally considered by health care practitioners in determining prognosis, whereas subjective age is unknown to most practitioners. “Those who feel younger can maintain their health and functioning for longer periods, and as the current study shows, can recuperate better from disability. Therefore, by perceiving themselves to age successfully people may preserve a healthy and vigorous lifestyle,” says Shrira.

In view of the findings, the researchers suggest that clinicians consider evaluating patients’ subjective age when they design rehabilitation protocols. A younger subjective age may motivate older individuals to adhere to the rehabilitation protocol following osteoporotic fracture and stroke. Future research could assist in designing interventions geared to induce a younger subjective age in patients that might assist them in rehabilitating more successfully. Such interventions may help correct false beliefs about aging and include cognitive techniques that help change negative automatic thoughts about aging.

Reference: “Feeling Younger, Rehabilitating Better: Reciprocal and Mediating Effects between Subjective Age and Functional Independence in Osteoporotic Fracture and Stroke Patients” by Kalir D.M., Shrira A., Palgi Y., Batz C., Ben-Eliezer A., Heyman N., Lieberman D., Seleznev I., Shugaev I., Zaslavsky O., Zikrin E. and Bodner E., 25 May 2022, Gerontology.
DOI: 10.1159/000524885

This study was funded by the Israeli Ministry of Science, Technology, and Space.

Mon, 11 Jul 2022 03:53:00 -0500 Bar-Ilan University en-us text/html https://scitechdaily.com/feeling-younger-isnt-just-psychological-it-has-health-benefits/
Killexams : Seeing the same GP is good for your health, but only half of patients are able to do so

People who benefit the most from seeing the same GP are those with long-term health conditions and people who visit a practice frequently. With continuity of care in decline, these patients could be disproportionately affected, leading to suboptimal care and important issues being missed.

The researchers are calling on policymakers to measure as a marker of GP practice quality, with incentives to encourage improvement.

Continuity of care between GPs and patients leads to better , particularly for people who are elderly, have complex, long-term or multiple conditions, or poor mental health. Research shows that patients who see the same clinician for the majority of their care have fewer hospital admissions and lower mortality rates. Patients who usually see the same GP are also more likely to build a trusted relationship with them, adhere to advice, and take preventative actions to Excellerate their health. Despite its benefits, continuity is not currently measured or incentivized by , but the Health and Social Care Committee (Commons) have made continuity of care a focus of their inquiry into the future of General Practice.

Researchers at Queen Mary's Clinical Effectiveness Group (CEG) analyzed the care of 1 million adults registered at 126 GP practices in East London and found that half (52%) of patients regularly see the same GP. They found that patient age and practice size were the strongest predictors of continuity—the older the patient, the more likely they were to see the same GP; the larger the practice, the less likely.

Continuity of care has been steadily declining, with reasons including the expansion of larger practices, an increase in the number of GPs working part time, recruitment difficulties, and a prioritization of rapid access over continuity. The pandemic has amplified many of these factors and has changed the way that patients interact with their local practice.

The Queen Mary study demonstrates that it's possible to measure continuity of care in a simple way. The researchers used data from two sources—the annual General Practice Patient Survey (GPPS) and the Usual Provider of Care (UPC) index—to measure continuity of care in East London. This information is already routinely collected.

Queen Mary researchers are calling on policymakers to measure continuity of care as a marker of practice quality. They hope that the Health and Social Care Committee will consider this as part of the recommendations of their current inquiry into the future of general practice.

Dr. Sally Hull, lead author and Clinical Reader in Primary Care Development at Queen Mary University of London, said: "Continuity of care leads to better outcomes, particularly for and those with complex needs, and it should be measured routinely as a marker of practice quality. We have shown that it is possible to measure continuity simply, across a whole economy, using information that is already routinely collected.

"Improving continuity of care will require incentivization and engagement from the emerging primary care networks and integrated care systems. There are also opportunities for local initiatives, such as the development of micro-teams within larger practices, or changes to booking systems, but these would need to be underpinned by reliable monitoring.

"With incentivization and monitoring in place, it is possible to Excellerate continuity of care. In addition to improving clinical outcomes, this is likely to have a positive effect on satisfaction for both patients and doctors. We hope that the Health and Social Care Committee will consider this in their current inquiry into the future of general practice."

More information: Sally Hull et al, Measuring continuity of care in general practice: a comparison of two methods using routinely collected data., British Journal of General Practice (2022). DOI: 10.3399/BJGP.2022.0043

Citation: Seeing the same GP is good for your health, but only half of patients are able to do so (2022, June 29) retrieved 18 July 2022 from https://medicalxpress.com/news/2022-06-gp-good-health-patients.html

This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

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Killexams : Crain's Health Pulse is your source for actionable, exclusive and inside news on the health care industry.

RETURN OF HIGH COVID RISK: The growing number of COVID-19 hospitalizations in suburban Cook County last week has put the entire region, including the city of Chicago, back at high risk level for virus transmission, according to the Chicago Health Department.

Cook County briefly came down to medium risk July 8. Chicago and Cook County have teetered back and forth since May. But a growing number of cases in suburban Cook County are pushing up hospitalizations.

There were 256 new cases per 100,000 people over the past seven days in all of Cook County. The goal is fewer than 200. There were 12.6 new hospital admissions per 100,000 people over the last week. The goal is fewer than 10.

Health officials attribute the increase in cases and hospitalizations to the BA.5 variant, which is highly contagious and currently the dominant strain across the Midwest and the U.S. READ MORE.

CHRONIC DISEASE CARE, VIOLENCE RECOVERY TOP NEEDS, UCHICAGO MEDICINE FINDS: Residents on the South Side and the south suburbs prioritized prevention and management of diseases like cancer, heart disease and diabetes as a top health need in the University of Chicago Medicine’s 2021-22 Community Health Needs Assessment, released last week.

UChicago Medicine conducts and publishes a community assessment every three years for the University of Chicago Medical Center and UChicago Medicine Ingalls Memorial, providing essential guidance for UChicago Medicine’s community health investments and efforts, the two-hospital system said in a statement.

Surveys of residents found that in the University of Chicago Medical Center’s service area—about 626,000 residents in 28 South Side community areas—cancer and heart disease are new priorities. Residents also say they need a focus on violence recovery and mental health.

For suburban Cook County residents in the Ingalls Memorial service areas, which serves more than 256,000 residents across 13 zip codes in Thornton Township, residents' focus is on preventing and managing chronic disease and providing access to care and services, with a focus on maternal services and mental health, the assessment showed.

"The CHNA survey and findings confirm the health disparities that we have been working to address through renewed investments in cancer care, violence prevention and primary care access, to name a few," said Dr. Kenneth Polonsky, dean and executive vice president for medical affairs at the University of Chicago. "This includes our plans for Chicago’s first freestanding cancer center, which will be built on our campus on the South Side and significantly expand our capacity and resources for cancer prevention, screening, diagnosis, treatment and research."

NORTHSHORE BEGINS CARDIOVASCULAR INSTITUTE CONSTRUCTION: NorthShore University HealthSystem's 170,000-square-foot cardiovascular institute at Glenbrook Hospital in Glenview is now under construction, with an expected opening in early 2024, the health system said in a statement last week.

The $170 million institute will be NorthShore’s central hub for elective cardiac and vascular procedures, catheterizations and interventions, as well as structural heart procedures and electrophysiology studies. The complex will focus on women’s heart health, sports cardiology, cardio-oncology and cardiac rehabilitation; and will house six new institute-dedicated operating rooms and nine new labs.

“Our vision is to create a center of cardiovascular excellence that brings together world-renowned experts and emerging technologies such as AI, robotics and genetic testing,” said Dr. Gregory Mishkel, chief of the division of cardiology and co-director of the institute.

UNITEDHEALTH ELIMINATING COST-SHARE ON INSULIN, ALBUTEROL, NALOXONE AND MORE: UnitedHealth Group will eliminate cost-sharing for insulin and certain other prescription drugs for many policyholders as soon as next year, said CEO Andrew Witty. Crain's sister publication Modern Healthcare reports the company's UnitedHealthcare subsidiary will no longer require out-of-pocket spending from fully insured group members for the following medications:

• Insulin for diabetes;
• Epinephrine for severe allergic reactions;
• Albuterol for acute asthma attacks;
• Glucagon for hypoglycemia; and
• Naloxone for opioid overdoses.

"We need those folks to fill those prescriptions properly," Witty said. "If they don't get these medicines, they will go to the emergency room." The company expects the change in its pharmacy benefits to reduce overall spending by preventing patients from becoming sicker, he said.

About 688,000 of UnitedHealthcare's 8 million fully insured group members use these medicines, according to a spokesperson.

AG RELEASES GUIDANCE ON PROTECTING DIGITAL PRIVACY WHEN SEEKING REPRODUCTIVE CARE: Illinois Attorney General Kwame Raoul is urging people to exercise caution while using apps and online platforms, in which information could be shared with third parties.

Raoul's office said "fertility and menstrual tracking apps require users to provide personal information related to reproductive health."

“In anticipation of the Supreme Court overturning Roe v. Wade, several states—including those that share borders with Illinois—enacted draconian policies to immediately limit or criminalize abortion," Raoul said in a statement. "As a result, millions of Americans are now faced with searching for alternative methods of managing their reproductive health or seeking abortion services. It is critical that before using apps, web platforms or search engines, people be aware that their personal data could be shared with third parties or used to identify their location.”

"Women have a right to use web-based tools to seek reproductive health care without worrying that their data or location is being shared with third parties. I strongly encourage people to review my office’s free guidance to limit the personal data that can be collected and shared with others.”

The guidance suggests turning off cell phone location services when visiting somewhere that you want to remain private, turning off phones' ad personalization features and adjusting online settings.

RETINA certified LAUNCH AWARENESS CAMPAIGN: The Chicago-based American Society of Retina certified has released its first national TV and radio public service announcements to educate people about protecting their vision from preventable blindness and vision loss due to retinal disease.

The PSAs show people how to identify the symptoms of two common adult retinal conditions, age-related macular degeneration and diabetic retinopathy, and seek care from a retina specialist promptly.

"Millions of Americans are at risk of losing vision and even going blind from conditions a retina specialist can effectively treat when caught early, and we are determined to save the sight of as many people as possible through this critical campaign," ASRS President Dr. Philip Ferrone said in a statement. "Our goal is to empower the public to care for their vision, to watch for the symptoms of retinal disease and to find a retina specialist at the first sign or symptom so they can 'See for a Lifetime.' "

988 LAUNCHES AS MENTAL HEALTH CRISIS LINE: A three-digit mental health crisis line launched Saturday with the ambitious goals of reducing emergency department visits and encounters with law enforcement and providing ongoing care for those experiencing mental health crises.

People seeking help will be able to text or call 988 to contact trained counselors through the existing National Suicide Prevention Lifeline, a network of more than 180 call centers that has been using a 10-digit, toll-free phone number—1-800-273-8255—for years. With the revamp, providers hope to assist people with mental health concerns and emotional distress, in addition to suicide crises, by directing them to resources and connecting them with response teams and programs, Modern Healthcare reports.

One concern in the health care industry is the absence of national standards for the rollout, which will cause variation in funding and policies among states.

Only a few state legislatures have enacted or even introduced legislation to build crisis stabilization systems with physical settings for diagnosis and observation and experienced staff, which the 988 project requires, said Caitlin Gillooley, director of quality and behavioral health policy at the American Hospital Association. The AHA is compiling resources for behavioral health crisis care that will complement  guidelines to states, she said.

"We're trying to identify where the gaps are and what still needs to be done," Gillooley said. "That's advocating for additional funding at the state and local level, as well as workforce and staffing allowances to actually staff the crisis call centers."

The 988 project has sufficient start-up funding, but sustaining the financial support will be a challenge, said Dr. Brian Hepburn executive director of the National Association of State Mental Health Program Directors. State and local authorities will need money over time to staff call centers, mobilize response teams and manage operations, he said.

"It's coming down from the federal level, but it's being implemented in state- and local-based ways," said Jason Lerner, who is senior portfolio director for emergency response for the Health Lab at University of Chicago Urban Labs.


• Matt Renn has been named vice president of Finance at Silver Cross Hospital in New Lenox. Renn was most recently at Janus Health, a health care organization focused on process improvement technology platforms. 

• Dr. Alexander Ghanayem, department chair of orthopedic surgery and rehabilitation at Loyola University Medical Center and chief medical officer of Loyola Medicine, has been named second president-elect of the American Orthopaedic Association.

Ghanayem will serve as president of the organization from 2024-25. The second president-elect serves as part of the AOA's executive committee, which oversees the organization's strategic direction and is comprised of the nation's top orthopedic surgeons.

Sun, 17 Jul 2022 22:15:00 -0500 en text/html https://www.chicagobusiness.com/health-pulse/chicago-area-back-high-covid-risk-level-health-pulse-chicago
Killexams : 8 Benefits of Madison Betterlife SME medical packages No result found, try new keyword!After issuance of the cover, one can access a health facility for outpatient illnesses and inpatient (non-chronic) admissions after 30 days.Depending on the type of cover you choose, their SME health ... Thu, 07 Jul 2022 12:00:00 -0500 en text/html https://www.msn.com/en-xl/africa/other/8-benefits-of-madison-betterlife-sme-medical-packages/ar-AAZwWTJ Killexams : Biomentors to commence their new 'Focus Batch' from this upcoming august, admissions to begin soon

New Delhi [India], July 15 (ANI/TPT): Recently, Biomentors, which is an exclusive Online NEET Coaching Institute for NEET Medical entrance test online preparation, has officially announced the commencement of their new 'Focus Batch' that is scheduled to start from this upcoming August.
The 'Focus Batch' aims to provide quality learning and preparation for NEET Entrance Exams in a very short span of time. Under this, the students preparing for the National Eligibility Entrance Test will be given a rigorous commando-like training while covering every detail of the curriculum.
The interested candidates that will enrol themselves in the Focus Batch started by Biomentors will also be provided with premium learning videos, study materials and other benefits.
The admission for the upcoming 'Focus Batch' will commence in the upcoming few days and the admission criteria will be simply on 'First Come First Serve' basis. The duration of the 'Focus Batch' will be from the first week of August and will conclude in the month of February 2023. Personalised training and specialisation on the subjects will be due focus of this new batch and catering to the same, the management at Biomentors has decided to have a limited number of students for their 'Focus Batch'.
For the affordability and convenience of the aspiring students, the fee is kept very nominal and a student willing to enrol themselves can avail admission by paying an amount between INR 4,000 to INR 8000. Any students across Pan-India are eligible for the admission in this Focus Batch and for ensuring accessibility, the classes will be streamed live.
Talking about the need for starting the new 'Focus Batch', Dr Geetendra Singh, the Founder of Biomentors, stated, "It is out in the open that NEET exams are one of the toughest entrance exams and it is likely that several students would not be able to come out with flying colours in their first attempt.

However, they must not provide up and keep on trying and in this process, they need a certain kind of personalised and specialised training with a deep focus and this is the reason we felt the need to start 'Focus Batch'. Through this, we, at Biomentors, are giving a complete 360-degree learning and training to students who are willing to crack NEET exams and secure a seat for themselves in some of the renowned governmental medical colleges."
Biomentors have emerged as India's most disciplined online NEET training institute and this is all because of their high-reaching, rigorous, and dedicated services to the students. It prepares medical aspirants on the academic front with solid ethics and character through discipline.
Through their cutting-edge technology to deliver innovative features, it takes the NEET preparations to the next level, making learning interactive and fun without compromising the quality of education.
They work diligently to make day-to-day learning a unique experience for every student who connects to the portal of Biomentors online. Biomentors also provide ample opportunities for their students to nose out that education, discover the truth, and use it well. The competitive learning institute and a nurturing and caring online environment will empower the students who hanker after becoming doctors.
Today, Biomentors is regarded as an institute based on trust, hard work, motivation, and experience alongside providing affordable and top-quality education.
To know more about the Focus Batch by Biomentors, Click Here.
This story is provided by TPT. ANI will not be responsible in any way for the content of this article. (ANI/TPT)

Fri, 15 Jul 2022 05:08:00 -0500 en text/html https://www.bignewsnetwork.com/news/272622090/biomentors-to-commence-their-new-focus-batch-from-this-upcoming-august-admissions-to-begin-soon
Killexams : Build your health & fitness knowledge

MONDAY, July 11, 2022 (American Heart Association News) -- Flu-like illnesses can increase the risk for stroke among adults, but being vaccinated might lower those odds, especially among those under 45, new research finds.

The study, published Monday in the American Heart Association journal Stroke, found flu-like illnesses increased the odds of having a stroke in the month following infection, with the highest risk among unvaccinated 18- to 44-year-olds.

Strokes have been increasing among younger adults, who account for about 10% of all strokes in the U.S., according to the AHA's Heart Disease and Stroke Statistics-2022 Update. Research suggests the causes of strokes in younger adults are more wide-ranging than in older adults, and other strategies for prevention may be needed.

The new study looked at the relationship between strokes, flu-like illnesses and whether vaccines might play a role in prevention. Flu-like illnesses are defined as having a fever of 100 degrees Fahrenheit or higher, a cough and/or a sore throat, according to the Centers for Disease Control and Prevention.

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"For younger adults, we need to be looking at stroke risk factors outside the conventional ones," said Amelia Boehme, the study's senior author and an assistant professor of epidemiology in the division of neurology clinical outcomes research and population sciences at Columbia University in New York City. "Infections in general can increase the risk for stroke, and flu-like illnesses are no exception. We've shown that one way to prevent stroke is through the use of vaccines."

Using a nationwide database of people in employee-sponsored insurance programs, researchers analyzed data for 331,828 adults ages 18 to 65 who were admitted to the hospital for strokes between 2008 and 2014. They were compared to a control group of people admitted for head or ankle injuries.

Researchers used medical records to determine whether patients had a flu-like illness just before or at the time of admission and whether they had received any type of vaccine in the prior year. Although data wasn't available on which vaccines people received, evidence supports that the majority of vaccines in adults were flu vaccines, which are given annually.

Overall, those with a flu-like illness in the month prior to hospital admission had 38% higher odds of stroke than those without such an illness. But those odds were much lower in people who had been vaccinated in the year prior to admission. For unvaccinated people, the odds of stroke were 46% higher, while those who were vaccinated had 11% higher odds.

The closer a person experienced flu-like illness to the time of hospital admission, the higher the odds of having a stroke, suggesting that flu-like illnesses act as a trigger for stroke rather than a long-term risk, Boehme said.

Stroke risk for unvaccinated people with flu-like illnesses was highest among the under-45 group. They had 73% higher stroke odds compared to 41% increased odds for the vaccinated group of the same age.

Among 45- to 65-year-olds who were unvaccinated and had a flu-like illness, the odds of having a stroke rose 39%. But in the vaccinated group, a flu-like illness didn't increase stroke risk.

Getting a flu shot every year can help ward off more than just the flu virus, prior research suggests. "There's evidence of a cumulative effect for the flu vaccine," Boehme said. "People who have been vaccinated every year have a stronger decreased risk for stroke than someone who got their first flu vaccine this year."

A dozen studies have looked at the link between flu-like illness and cardiovascular disease, according to an editorial accompanying the study. Some found a higher risk for heart attacks among people with confirmed cases of influenza, and one study suggested a higher risk for stroke within the first 15 days of a flu-like illness. Previous research also suggests flu vaccines can lower the risk for stroke, though evidence is inconsistent.

"Even though there has been a fair amount of research done, it is spotty and incomplete," said the editorial's author Dr. Larry Goldstein, chair of neurology and the associate dean for clinical research at the University of Kentucky in Lexington. "Science moves in increments, and this is additional incremental evidence of the relationship" between flu-like illnesses and cardiovascular disease.

Proving that the flu causes stroke is challenging, he said, because it would be unethical to intentionally expose people to the flu virus or deny the vaccine in a randomized trial – the gold standard of research – to test that theory.

But, he said, the new study supports the recommendation from the AHA and American College of Cardiology for people with cardiovascular disease to get annual flu vaccines "not only for respiratory health benefits, but also to likely or possibly reduce the risk of cardiovascular events and stroke."

Boehme said she'd like to see more young adults get the flu vaccine. According to the CDC, only about a third of adults under 50 received the flu shot this past flu season compared to half of those ages 50-64 and more than two-thirds of those 65 and older.

"We have a vaccine with a very low usage rate overall," Boehme said. "People think, 'Oh, it's just the flu, it's fine.'"

But the flu can be a devastating disease, she said. "Once people understand flu raises the risk for heart problems and stroke – and the flu vaccine decreases that risk – that may change their perception so they are more willing to get a flu vaccine."

American Heart Association News covers heart and brain health. Not all views expressed in this story reflect the official position of the American Heart Association. Copyright is owned or held by the American Heart Association, Inc., and all rights are reserved. If you have questions or comments about this story, please email editor@heart.org.

By Laura Williamson, American Heart Association News

Mon, 11 Jul 2022 09:00:00 -0500 en text/html https://omaha.com/lifestyles/health-med-fit/aha-news-being-vaccinated-may-lower-stroke-risk-in-adults-with-flu-like-illnesses/article_469c4d23-4f1b-59fb-b42b-223d2752d9e1.html
Killexams : Advance Directives for Psychiatric Care Reduce Compulsory Admissions

Providing peer or community health workers to help psychiatric patients with complete psychiatric advance directives (PAD) to govern care in advance of a mental health crisis is associated with a significant reduction in compulsory hospital admissions, new research shows.

Results of a randomized trial showed the peer worker PAD group had a 42% reduction in compulsory admission over the following 12 months. This study group also had lower symptom scores, greater rates of recovery, and increased empowerment compared vs patients assigned to usual care.

In addition to proving that PADs are effective in reducing compulsory admission, the results show that facilitation by peer workers is relevant, study investigator Aurélie Tinland, MD, PhD, Faculté de Médecine Timone, Aix-Marseille University,

Marseille, France, told delegates attending the virtual European Psychiatric Association (EPA) 2022 Congress. The study was simultaneously published online June 6 in JAMA Psychiatry.

However, Tinland noted that more research that includes "harder to reach" populations is needed. In addition, greater use of PADs is also key to reducing compulsory admissions.

"Most Coercive" Country

The researchers note that respect for patient autonomy is a strong pillar of healthcare, such that "involuntary treatment should be unusual." However, they point out that "compulsory psychiatric admissions are far too common in countries of all income levels."

In France, said Tinland, 24% of psychiatric hospitalizations are compulsory. The country is ranked the sixth "most coercive" country in the world and there are concerns about human rights in French psychiatric facilities.

She added that advance care statements are the most efficient tool for reducing coercion, with one study suggesting they could cut rates by 25% compared with usual care.

However, she noted there is an "asymmetry" between medical professionals and patients and a risk of "undue influence" when clinicians facilitate the completion of care statements.

To examine the impact on clinical outcomes of peer-worker facilitated PADs, the researchers studied adults with a diagnosis of schizophrenia, bipolar I disorder, or schizoaffective disorder who were admitted to a psychiatric hospital within the previous 12 months. Peer workers are individuals who have lived experience with mental illness and help inform and guide current patients about care options in the event of a mental health crisis.

Study participants were randomly assigned 1:1 to an intervention group or a usual care control group. The intervention group received a PAD document and were assigned a peer worker while the usual care group received comprehensive information about the PAD concept at study entry and were free to complete it, but they were not connected with a peer worker.

The PAD document included information about future treatment and support preferences, early signs of relapse, and coping strategies. Participants could meet the peer worker in a place of their choice, be supported in drafting the document, and in sharing it with healthcare professionals.

In all, 394 individuals completed the study. The majority (61%) of participants were male and 66% had completed post-secondary education. Schizophrenia was diagnosed in 45%, bipolar I disorder in 36%, and schizoaffective disorder in 19%.

Participants in the intervention group were significantly younger than those in the control group, with a mean of 37.4 years vs 41 years (P = .003) and were less likely to have one or more somatic comorbidities, at 61.2% vs 69.2%.

A PAD was completed by 54.6% of individuals in the intervention group vs 7.1% of controls (P < .001). The PAD was written with peer worker support by 41.3% of those in the intervention and by 2% of controls. Of those who complete a PAD, 75.7% met care facilitators and 27.1% used it during a crisis over the following 12 months.

Results showed that the rate of compulsory admissions was significantly lower in the peer worker PAD group, at 27% vs 39.9% in control participants, at an odds ratio of 0.58 (P = .007).

Participants in the intervention group had lower symptoms on the modified Colorado Symptom Score than usual care patients with an effect size of -0.20 (P = .03) and higher scores on the Empowerment Scale (effect size 0.30, P = .003).

Scores on the Recovery Assessment Scale were also significantly higher in the peer worker PAD group vs controls with an effect size of 0.44 (P < .001). There were no significant differences, however, in overall admission rates, the quality of the therapeutic alliance, and quality of life.

Putting Patients in the Driver's Seat

Commenting on the findings for Medscape Medical News, Robert Dabney Jr, MA, MDiv, peer apprentice program manager at the Depression and Bipolar Support Alliance, Chicago, Illinois, said the study "tells us there are many benefits to completing a psychiatric advance directive, but perhaps the most powerful one is putting the person receiving mental healthcare in the driver’s seat of their own recovery."

However, he noted that "many people living with mental health conditions don’t know the option exists to decide on their treatment plan in advance of a crisis."

"This is where peer support certified can come in. Having a peer who has been through similar experiences and can guide you through the process is as comforting as it is empowering. I have witnessed and experienced firsthand the power of peer support," he said.

"It’s my personal hope and the goal of the Depression and Bipolar Support Alliance to empower more people to either become peer support certified or seek out peer support services because we know it improves and even saves lives," Dabney added.

Also commenting for Medscape Medical News, Virginia A. Brown, PhD, Department of Psychiatry & Behavioral Sciences, The University of Texas at Austin Dell Medical School, noted there are huge differences between the healthcare systems in France and the United States.

She explained that two of the greatest barriers to PADs in the US is that until 2016, filling one out was not billable, and that "practitioners don't know anything about advanced care plans."

Brown said her own work shows that individuals who support patients during a crisis believe it would be "really helpful if we had some kind of document that we could share with the healthcare system that says: 'Hey, look, I'm the designated person to speak for this patient, they've identified me through a document.' So, people were actually describing a need for this document, but didn't know that it existed."

Another problem is that in the US, hospitals operate in a "closed system" and cannot talk to an unrelated hospital or to the police department "to get information to those first responders during an emergency about who to talk to about their wishes and preferences."

"There are a lot of hurdles that we've got to get over to make a more robust system that protects the autonomy of people who live with serious mental illness," Brown said, as "losing capacity during a crisis is time-limited, and it requires us to respond to it as a medical emergency."

The study was supported by an institutional grant from the French 2017 National Program of Health Services Research. The Clinical Research Direction of Assistance Publique Hôpitaux de Marseille sponsored the trial. Tinland declares grants from the French Ministry of Health Directorate General of Health Care Services (DGOS) during the conduct of the study.

European Psychiatric Association (EPA) 2022 Congress. Abstract: Facilitation of Psychiatric Advance Directives by Peer-Workers: Results from DAiP. Presented June 6, 2022.

JAMA Psych. Published online June 6, 2022. Full text

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Tue, 21 Jun 2022 04:01:00 -0500 en text/html https://www.medscape.com/viewarticle/975938
Killexams : PG medical seats case: Madras HC upholds single judge order for CB-CID probe

By Express News Service

CHENNAI: The first bench of the Madras High Court on Monday upheld an order of a single judge directing the CB-CID to probe an alleged conspiracy between officials of the Directorate of Medical Education (DME) and certain private medical colleges in filling up 103 PG seats in private medical colleges without the mop-up counselling for the year 2020-21.

The bench of Chief Justice Munishwar Nath Bhandari and Justice N Mala pronounced the verdict on writ appeals filed by Dr G Selvarajan, who had held the post of secretary of selection committee for medical admission. 

The judges brushed aside the appellant's contention regarding the orders of a single judge for investigation by CB-CID against all the concerned officers of the selection committee and awarding compensation of Rs. 4 lakh each to the petitioners (candidates) who filed the writ appeals. 

However, the judges granted slight relief to the appellant in connection with freezing of the secretary's retirement benefits. The matter relates to alleged scam in filling up vacant PG seats in 13 private colleges in the State without holding mop-up counseling.

A single judge ordered a probe by the CB-CID which unearthed non-adherence to the directions of the SC on medical admission. 

Mon, 04 Jul 2022 10:34:00 -0500 text/html https://www.newindianexpress.com/states/tamil-nadu/2022/jul/05/pg-medical-seats-case-madras-hc-upholds-single-judge-order-for-cb-cid-probe-2473051.html
Killexams : Putts Fur Mutts golf outing benefits stray animals No result found, try new keyword!It is $110 per golfer, individual players and teams are both welcome. It is $25 for lunch and admission to the silent auction only. Sat, 09 Jul 2022 06:01:07 -0500 en-us text/html https://www.msn.com/en-us/sports/golf/putts-fur-mutts-golf-outing-benefits-stray-animals/ar-AAZoF7v Killexams : Madras HC Bench upholds single judge verdict on CB-CID probe into medical admissions

Pic credits: Edex Live

On Monday, July 4, the first Bench of the Madras High Court upheld an order passed by a single judge which directed the CB-CID to probe an alleged conspiracy between officials of the Directorate of Medical Education (DME) and a few private medical colleges in accommodating 74 management quota post-graduate (PG) seats without conducting mop-up counselling for the 2020-21 academic year, as stated in a report by PTI.

On July 4, while disposing of an appeal from the selection board secretary Dr Devarajan, the Bench of Chief Justice MN Bhandari and Justice N Mala upheld the orders passed in October 2020. Considering the plight of meritorious students who lost a chance to get admission in PG courses or couldn't shift to a better branch of Medicine as the mop-up counselling was not conducted, the single judge directed the DGP (Director General of Police) to make sure that the scope of the inquiry was extended to find the amount of money collected by private colleges from students admitted on August 31, 2020, the last date for PG admissions, as stated in a report by PTI.

Further, as per a report in LiveLaw, the court passed an order based on an appeal filed by Dr G Selvarajan, former secretary of the Selection Committee, DME, seeking a stay of the single bench where Dr Selvarajan, along with others, were found guilty by the court for not conducting the mop-up for the management seats.

Additionally, it was also found in a writ petition that Dr Selvarajan and others were giving seats to non-meritorious by excluding the meritorious ones. Therefore, the court ordered an inquiry on Dr Selvarajan and others. Consequently, based on the result of the investigation, the court issued directions to stop the pension and other benefits payable to individuals, as stated in a report by LiveLaw

Mon, 04 Jul 2022 04:50:00 -0500 en text/html https://www.edexlive.com/news/2022/jul/04/madras-hc-bench-upholds-single-judge-verdict-on-cb-cid-probe-into-medical-admissions-29753.html
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