Background: To validate a predictive scoring system for 1-year mortality among psychogeriatric inpatients admitted for acute psychiatric care. Methods: Computerized data were extracted from the District Health Board D...Background: To validate a predictive scoring system for 1-year mortality among psychogeriatric inpatients admitted for acute psychiatric care. Methods: Computerized data were extracted from the District Health Board Database for a university affiliated general hospital. A geriatric risk scoring system developed in the USA was employed to validate mortality within 1-year of hospital discharge. Results: Among 125 psychogeriatric inpatients who were discharged in 2017, [mean age 82.8 (±8.9) years, 82 (65.6%) women] 33 died within 1-year [26.4% of the sample, mean age, 87.7 (±11.1) years, 25 (75.7%) women]. Levine’s mortality index predicted death. A post hoc probit analysis found two factors significantly associated with predicted mortality: metastatic cancer (Chi-square = 5.6;p Conclusions: A geriatric 1-year mortality scoring system accurately predicted mortality among psychogeriatric inpatients. Predicting psychogeriatric mortality should be considered a guideline for ensuring quality of care and appropriate discharge and advanced care planning.展开更多
Background: research focusing on incidence of cancer amongst bipolar affective disorder (BAD) is sparse. Aim: to ex-amine the incidence of cancer in a cohort of BAD inpatients. Methods: the study sample was comprised ...Background: research focusing on incidence of cancer amongst bipolar affective disorder (BAD) is sparse. Aim: to ex-amine the incidence of cancer in a cohort of BAD inpatients. Methods: the study sample was comprised of BAD patients who had been admitted to a tertiary care mental health center during the period: 1990 to 2006. The data for the sample was cross-referenced with the National Cancer Registry. Analyses of Standardized Incidence Rates (SIR) for all organ systems malignancies were performed. Results: of 1,638 BAD patients included in the present study, 72 (0.04%) were diagnosed as suffering from co-morbid malignancy. This reflects a significantly reduced risk;SIR of 0.27 (95% CI 0.21-0.34). Reduced risk of cancer held true for both males and females (0.20 and 0.34, respectively). Nineteen women developed breast cancer;SIR = 0.42 (95% CI 0.25-0.66). Conclusions: the present study demonstrates reduced rates of cancer amongst patients suffering from BAD - with special reduction in breast cancer.展开更多
Background: positive psychology and the science of happiness have impacted many realms in academia, including medicine. Recent reports from several countries suggest that physicians are unhappy with their profession. ...Background: positive psychology and the science of happiness have impacted many realms in academia, including medicine. Recent reports from several countries suggest that physicians are unhappy with their profession. Aim: to assess levels of happiness amongst Israeli physicians and its’ correlates. Method: participants in professional meetings endorsed the Satisfaction with Life Scale (SWLS) and a questionnaire detailing personal data (age, gender, marital status, number of children), specialty years as a physician and their state of health. Results: 223 physicians (131 psychiatrists, 92 primary care) completed the survey. The response rate was higher than 75%. Mean SWLS score for all 223 physicians was 23.6 ± 5.7 and did not differ between specialties’ (p = 0.39). No differences from reported norms amongst the general population were found. The only signifycant association with SWLS scores was number of children (r = 0.23;p = 0.0006). Selection bias was inherent in this type of survey. Conclusion: satisfaction with life amongst Israeli physicians is equal to reported national means and may be supported by variables outside the professional sphere.展开更多
Objectives: Bhutan was the first country to invest in “gross national happiness”. Health care professionals usually report higher levels of happiness. In the last decade many physicians were reportedly dissatisfied ...Objectives: Bhutan was the first country to invest in “gross national happiness”. Health care professionals usually report higher levels of happiness. In the last decade many physicians were reportedly dissatisfied with their lives and careers: “unhappy physicians”. We aimed to assess levels of happiness amongst Bhutanese physicians. Methods: Bhutanese physicians endorsed the Satisfaction with Life Scale (SWLS) and a demographic questionnaire. Results: Of 176 physicians in Bhutan, 110 physicians completed the survey: 25.5% women and 74.5% men. Mean age was 36.9 years. Mean SWLS score for all physicians was 23.5 ± 6.9. Conclusions: Only two thirds (66.5%) of the Bhutanese physicians who have participated in this study were satisfied with life, which was significantly lower than rate in the Bhutanese general population or among Israeli Physicians participating in a similar study.展开更多
文摘Background: To validate a predictive scoring system for 1-year mortality among psychogeriatric inpatients admitted for acute psychiatric care. Methods: Computerized data were extracted from the District Health Board Database for a university affiliated general hospital. A geriatric risk scoring system developed in the USA was employed to validate mortality within 1-year of hospital discharge. Results: Among 125 psychogeriatric inpatients who were discharged in 2017, [mean age 82.8 (±8.9) years, 82 (65.6%) women] 33 died within 1-year [26.4% of the sample, mean age, 87.7 (±11.1) years, 25 (75.7%) women]. Levine’s mortality index predicted death. A post hoc probit analysis found two factors significantly associated with predicted mortality: metastatic cancer (Chi-square = 5.6;p Conclusions: A geriatric 1-year mortality scoring system accurately predicted mortality among psychogeriatric inpatients. Predicting psychogeriatric mortality should be considered a guideline for ensuring quality of care and appropriate discharge and advanced care planning.
文摘Background: research focusing on incidence of cancer amongst bipolar affective disorder (BAD) is sparse. Aim: to ex-amine the incidence of cancer in a cohort of BAD inpatients. Methods: the study sample was comprised of BAD patients who had been admitted to a tertiary care mental health center during the period: 1990 to 2006. The data for the sample was cross-referenced with the National Cancer Registry. Analyses of Standardized Incidence Rates (SIR) for all organ systems malignancies were performed. Results: of 1,638 BAD patients included in the present study, 72 (0.04%) were diagnosed as suffering from co-morbid malignancy. This reflects a significantly reduced risk;SIR of 0.27 (95% CI 0.21-0.34). Reduced risk of cancer held true for both males and females (0.20 and 0.34, respectively). Nineteen women developed breast cancer;SIR = 0.42 (95% CI 0.25-0.66). Conclusions: the present study demonstrates reduced rates of cancer amongst patients suffering from BAD - with special reduction in breast cancer.
文摘Background: positive psychology and the science of happiness have impacted many realms in academia, including medicine. Recent reports from several countries suggest that physicians are unhappy with their profession. Aim: to assess levels of happiness amongst Israeli physicians and its’ correlates. Method: participants in professional meetings endorsed the Satisfaction with Life Scale (SWLS) and a questionnaire detailing personal data (age, gender, marital status, number of children), specialty years as a physician and their state of health. Results: 223 physicians (131 psychiatrists, 92 primary care) completed the survey. The response rate was higher than 75%. Mean SWLS score for all 223 physicians was 23.6 ± 5.7 and did not differ between specialties’ (p = 0.39). No differences from reported norms amongst the general population were found. The only signifycant association with SWLS scores was number of children (r = 0.23;p = 0.0006). Selection bias was inherent in this type of survey. Conclusion: satisfaction with life amongst Israeli physicians is equal to reported national means and may be supported by variables outside the professional sphere.
文摘Objectives: Bhutan was the first country to invest in “gross national happiness”. Health care professionals usually report higher levels of happiness. In the last decade many physicians were reportedly dissatisfied with their lives and careers: “unhappy physicians”. We aimed to assess levels of happiness amongst Bhutanese physicians. Methods: Bhutanese physicians endorsed the Satisfaction with Life Scale (SWLS) and a demographic questionnaire. Results: Of 176 physicians in Bhutan, 110 physicians completed the survey: 25.5% women and 74.5% men. Mean age was 36.9 years. Mean SWLS score for all physicians was 23.5 ± 6.9. Conclusions: Only two thirds (66.5%) of the Bhutanese physicians who have participated in this study were satisfied with life, which was significantly lower than rate in the Bhutanese general population or among Israeli Physicians participating in a similar study.
