Medicine and Health Sciences Commons^™

Nothing To Sneeze At! A Study Into Intra-Operative Contamination, David Graham, Benjamin Parkinson, Meghan Evans, Gerben Keijzers, Petra Derrington

Gerben Keijzers

Purpose: We performed a prospective study of sneezes from orthopaedic registrars to assess the potential for intra-operative contamination from a masked surgeon, and to determine if head position can alter the potential for contamination. Type of Study: Prospective controlled trial. Methods: Four orthopaedic registrars from the Gold Coast Hospital each inhaled pepper to precipitate a sneeze. Cultures were taken with and without standard Smith & Nephew™ surgical masks, in positions directly in front and to the sides of a masked registrar. The process was repeated three times for each registrar. A control plate was left exposed to the atmosphere. A …

Early Psychosis: A Novel Gateway For Suicide Prevention, Amresh Srivastava, Megan Johnston

Amresh Srivastava

Early psychosis: A Novel Gateway For Suicide Prevention

Amresh Shrivastava 1, Megan Johnston 2 Address: 1. Department of Psychiatry, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, Ontario, Canada; Lawson Health Research Institute, London, Ontario, Canada); Mental Health Foundation of India (PRERANA Charitable Trust) and Silver Mind Hospital, 209 Shivkripa Complex, Gokhale Road, Thane, Mumbai, Maharashtra, India 400 602 (Present Address: Regional Mental Health Care, 467 Sunset Drive, St. Thomas, Ontario, Canada N5H 3V9; 2. Department of Psychology, University of Toronto.

Early psychosis and early intervention initiative in by now a well established model for treatment …

Duration Of Untreated Psychosis & Long-Term Outcome Of First Episode, Hospitalized Schizophrenia: Search For A Missing Link In A Linear Correlation, Amresh Srivastava, Nilesh Shah, Meghana Thakar, Larry Stitt, Gurusamy Chinnasamye

Amresh Srivastava

Duration of untreated psychosis & Long-term outcome of First episode, hospitalized schizophrenia: Search for a missing link in a linear correlation Amresh Shrivastavaa,*, Nilesh Shahb, Meghana Thakarc, Larry Stittd, Gurusamy Chinnasamye a Excecutive Director , Mental Health Foundation of India (PRERANA Charitable trust) and Silver Mind Hospital, 209 Shivkripa Complex, Gokhale Road, Thane, Mumbai, Maharashtra, India 400 602, Currently: Assistant Professor of Psychiatry, The University of western Ontario, & associate Scientist, Lawson Health Research Institute, London, Ontario,Canada, E Mail : amresh.edu@gmail.com b Professor of Psychiatry LTMG Hospital, University of Mumbai, Sion, Mumbai, Maharashtra, India 400 022 c Clinical psychologist, Silver …

Innovation Powered By Partnerships To Transform Health Professions Education In American Indian And Alaska Native Communities - Community/Public Health Education In Native Communities, Round Table Discussion, Tim Dunnagan

Tim Dunnagan

No abstract provided.

Community Demographics And Access To Care Among Us Hispanics, Carole Gresenz, J. Rogowski, Jose Escarce

Carole Roan Gresenz

No abstract provided.

First Episode Is The Best Episode: Lessons And Limitations In Duration Of Untreated Psychosis (Dup) And Outcome In Schizophrenia, Amresh Srivastava

Amresh Srivastava

First episode is the best episode: Lessons and limitations in duration of untreated psychosis (DUP) and outcom Amresh Shrivastavaa, *, Nilesh Shahb, Meghana Thakarc, Larry Stittd, Gurusamy Chinnasamye

a Executive Director , Mental Health Foundation of India (PRERANA Charitable trust) and Silver Mind Hospital, 209 Shivkripa Complex, Gokhale Road, Thane, Mumbai, Maharashtra, India 400 602, Currently: Assistant Professor of Psychiatry, The University of western Ontario, & associate Scientist, Lawson Health Research Institute, London, Ontario, Canada, E Mail : amresh.edu@gmail.com Professor of Psychiatry LTMG Hospital, University of Mumbai, Sion, Mumbai, Maharashtra, India 400 022 c Clinical psychologist, Silver Mind Hospital, Mumbai, …

Controlling Influenza A (H1n1) In China: Bayesian Or Frequentist Approach, Dejian Lai, Chiehwen Ed Hsu

Chiehwen Ed Hsu

In this article we discuss two approaches to controlling the newly identified influenza A (H1N1) via Bayesian and frequentist statistical reasoning. We reviewed the measures implemented in China as an example to illustrate these two approaches. Since May 2009, China has deployed strict controlling mechanisms based on the strong prior Bayesian assumption that the origin of influenza A (H1N1) was from outside China and as such strict border control would keep the virus from entering China. After more than two months of hard work by Chinese health professionals and officials, the number of confirmed influenza A (H1N1) has increased steadily …

Optimizing Business Performance In Tough Times (Keynote), Tim Dunnagan

Tim Dunnagan

No abstract provided.

How Would Australian Hospital Staff React To An Avian Influenza Admission, Or An Influenza Pandemic, Franco Martinese, Gerben Keijzers, Steven Grant, James Lind

Gerben Keijzers

Objective: To estimate the expected staff absentee rates and work attitudes in an Australian tertiary hospital workforce in two hypothetical scenarios: (i) a single admission of avian influenza; and (ii) multiple admissions of human pandemic influenza. Methods: A survey conducted at hospital staff meetings between May and August 2006. Results: Out of 570 questionnaires distributed, 560 were completed. For scenario one, 72 (13%) indicated that they would not attend work, and an additional 136 (25%) would only work provided that immunizations and/or antiviral medications were immediately available, so that up to 208 (38%) would not attend work. For scenario two, …

Stigma And Discrimination : Mumbai Experience, Amresh Srivastava

Amresh Srivastava

Title: Stigma & Discrimination: The Mumbai Experience Main Author: Amresh Shrivastava MD, DPM, MRCPsych, University of Western Ontario, London, Ontario, Canada. Co-Authors: Gopa Sarkhel, MA, Iyer Sunita MA, Thakar Meghana MA, Shah Nilesh, MD, DPM Address of Presenter: Executive Director, Mental health foundation of India (PRERANA Charitable Trust) Mumbai, India; Currently at Department of Psychiatry, The University of Western Ontario, London, Ontario, Canada Address: Regional mental health care, 467 Sunset Drive, St. Thomas, N5N 3V9, St. Thomas, Ontario, Canada Phone: 1-5196318510; Fax: 1-519-631-2512. E-mail: amresh.edu@gmail.com Background: People with schizophrenia suffer from stigma and discrimination to a great extent, and this …

Environmental Influences On Physical Activity Among Children And Youth, Patricia Tucker

Trish Tucker

No abstract provided.

Working Words: Representation And Reflection Of Two Former Sex Trade Workers Covering The Pickton Trial In Vancouver, British Columbia, D. Baldwin, Treena Orchard

Dr. Treena Orchard

No abstract provided.

Hiv/Aids Prevention Programming With "Traditional" Sex Workers In Rural India: Challenges For The Empowerment Approach In Community-Sanctioned Sex Work Environments, Treena Orchard, J. O'Neil, J. Blanchard, A. Costigan, S. Moses

Dr. Treena Orchard

No abstract provided.

Systematic Review And Individual Patient Data Meta-Analysis Of Diagnosis Of Heart Failure, With Modelling Of Implications Of Different Diagnostic Strategies In Primary Care, J. Mant, J. Doust, A. Roalfe, P. Barton, M. Cowie, P. Glasziou, D. Mant, R. Mcmanus, R. Holder, J. Deeks, K. Fletcher, M. Qume, S. Sohanpal, S. Sanders, F. Hobbs

Jenny Doust

Objectives: To assess the accuracy in diagnosing heart failure of clinical features and potential primary care investigations, and to perform a decision analysis to test the impact of plausible diagnostic strategies on costs and diagnostic yield in the UK health-care setting. Data sources: MEDLINE and CINAHL were searched from inception to 7 July 2006. ‘Grey literature’ databases and conference proceedings were searched and authors of relevant studies contacted for data that could not be extracted from the published papers. Review methods: A systematic review of the clinical evidence was carried out according to standard methods. Individual patient data (IPD) analysis …

Correspondence: Help-Negation, Coralie Wilson

Coralie J Wilson

It is positive that preliminary findings from the 2007 National Survey of Mental Health and Wellbeing suggest that more Australians than in 1997 are seeking help for common mental disorders. However, the 2007 Survey also suggests that two in three Australians who had common forms of mental disorder and 41% of those with serious thoughts of suicide during the last year did not seek or engage in professional help for their condition [1]. Even more concerning are the preliminary results suggesting that 86% of those who didn’t seek help for their common mental disorders thought they didn’t need any type …

Strategies For Recruiting Hispanic Women Into A Prospective Cohort Study Of Modifiable Risk Factors For Gestational Diabetes Mellitus, Lisa Chasan-Taber, Renée T. Fortner, Valerie Hastings, Glenn Markenson

Lisa Chasan-Taber

Background The purpose of this article was to describe effective strategies for recruitment of Hispanic women into a prospective cohort study of modifiable risk factors for gestational diabetes mellitus (GDM). Although Hispanic women have two to four times the risk of developing GDM compared with non-Hispanic white women, few GDM prevention studies have included Hispanic women. Methods The study was conducted in the ambulatory obstetrical practices of Baystate Medical Center located in a socioeconomically and ethnically diverse city in Massachusetts. The study employed a range of strategies to recruit Hispanic women based on a review of the literature as well …

Clinical Skills In Psychiatric Assessment: An Educational Module, Amresh Srivastava

Amresh Srivastava

No abstract provided.

Risk Assessment For Suicide Behaviour, Amresh Srivastava, Charles Nelson, Megan Johnston

Amresh Srivastava

This is an audio-visual about risk assessment of suicide behavior. Part 1. Reformulating the concept of RISK and a New instrument for assessment: Risk assessment is an important clinical responsibility, which can be ‘life-saving’. Literature on risk factors has become voluminous; however a traditional risk assessment does not take into account the most relevant factors. This reflects the prevailing conceptualization of risk, which has not been fully and completely tied to clinical outcomes. Psychopathology is currently understood in biopsychosocial terms. A more progressive conceptualization of risk should consider the interplay of both, risk and protective factors. The present work proposes …

Action Research In Emerging Technologies In Health Information Systems: Creating A Mobile Information Environment In A Hospital Ward, Linda Dawson, Julie Fisher, Stephen Weeding, Liza Heslop, Andrew Howard

Associate Professor Linda Dawson

Wireless networks, mobile devices and associated applications are key emerging technologies ideal for nomadic workers such as clinicians in hospital ward settings. These mobile information environments can potentially enhance clinicians’ use of patient management and clinical systems by providing decision support and clinical information at the bedside or point of care. Such technologies need to be critically assessed in a hospital environment for their wider potential and application for delivery of information at the point of care. This paper describes the use of action research methods in a project which analysed an existing clinical Information Communication Technology (ICT) environment in …

Gatekeeper Training For Youth Workers: Impact On Mental Health Help-Seeking And Referral Skill, Coralie J. Wilson

Coralie J Wilson

The Youth Empowerment Series (YES!) Workshops (Wilson et al, 2000) were developed to improve gatekeepers' mental health literacy and skills for promoting effective help-seeking and social problem-solving among adolescents and young people. The curent study the skills of those attending the YES! Workshops 9 months after training.